（附论）
夫蝼蛄 者。由食果 子。不避有虫。即便啖之。外绝于纲。内绝于肠。有毒不去。变
化所生也。始发之时。在于颈上。状如蜗形瘾疹而出。其根在大肠也。
方
荏子桔梗丸（出千金方） 治蝼蛄 。始发于颈项。状如肿。此得之食瓜果实。毒不去。
其根在大肠。荏子主之。桔梗为之佐。
荏子 龙骨（各半两） 附子（一两） 蜀椒（一百粒） 桂心 桔梗 干姜 矾石 独
活
芎（各一分） 上为末。以枣十枚。合捣。醋浆和丸如豆大。温浆下五丸。渐加至十丸。
丹参散（出圣惠方）治蝼蛄 生于项门。肿硬疼痛。
丹参（二两） 蒴 根（二两） 甘草（半两炙微赤锉） 秦艽（一两去苗） 独活（一
两） 牛
蒡子（一两） 踯躅花（半两） 川椒（半两去目及闭口者微炒出汗） 牛膝（一两去苗） 上
咀。每服三钱。水一盏。煎至六分。去滓。每日空心及晚食前服之。
桂心丸（出圣惠方）治蝼蛄 疼痛。出脓水。
桂心（一分） 黄 （半两锉） 矾石（烧灰研一分） 芎 （一分） 大黄（半两锉
碎微炒）
乌啄（半两炮去尾） 川椒（一百粒去目及闭口者微炒出汗） 虎颈骨（半两涂酥炙黄色者）
上
为细末。炼蜜和丸如绿豆大。每日空心及晚食前。以温浆水下二丸。
亭长散（出圣惠方）治蝼蛄 。
亭长（六枚去头足翅糯米拌炒以黄为度） 川大黄（半两锉碎微炒） 细辛（半两） 桂
心
（一分） 鲮鲤（一两炙令微黄） 枫树中虫粪（二指撮） 上为细末。每日空心温酒调下
一钱。
晚食前再服。
马齿苋膏 治蝼蛄 。
治蝼蛄 。（出圣惠方）
用槲叶烧灰细研。以泔别渍槲叶取汁洗疮。拭干。内少许灰于疮中。
[Supplementary Discussion]
Lougu disease (Antlion-like nodule) arises from consuming fruits containing parasites without discrimination. This leads to the obstruction of external meridians and internal intestines. When toxins are not expelled, they transform into this pathology. Initially, it manifests on the upper neck, resembling a蜗形瘾疹 (snail-shaped urticarial rash). The root of the disease lies in the Large Intestine.
Prescriptions
Renzi Jiegeng Wan (Cassia Seed and Platycodon Pill, from *Qianjin Fang*): Treats Lougu disease. It initially appears on the neck and nape, presenting as swelling. This results from ingesting toxic fruits or melons where the toxin remains unexpelled. The root is in the Large Intestine. Cassia seed (Renzi) serves as the principal herb, while Platycodon root (Jiegeng) acts as an assistant.
Ingredients: Cassia seed (Renzi), Dragon bone (Longgu) (each 0.5 liang); Aconite root lateralis preparata (Fuzi) (1 liang); Sichuan pepper (Shujiao) (100 grains); Cinnamon twig heart (Guixin); Platycodon root (Jiegeng); Dried ginger (Ganjiang); Alum (Fanshi); Angelica pubescens root (Duhuo); Ligusticum wallichii rhizome (Xiongqiong) (each 0.1 liang). Process all ingredients into fine powder. Combine with ten jujubes, pound together, and mix with vinegar water to form pills the size of beans. Take five pills with warm grain water, gradually increasing to ten pills.
Danshen San (Salvia Powder, from *Shenghui Fang*): Treats Lougu disease occurring at the nape, characterized by hard swelling and pain.
Ingredients: Salvia miltiorrhiza root (Danshen) (2 liang); Dioscorea hypoglauca rhizome (Shuodie) (2 liang); Licorice root (Gancao) (0.5 liang, roasted until slightly red and cut); Gastrodia elata rhizome (Qinjiao) (1 liang, remove sprouts); Angelica pubescens root (Duhuo) (1 liang); Arctium lappa seed (Niubangzi) (1 liang); Rhododendron molle flower (Zhizhu hua) (0.5 liang); Sichuan pepper (Chuanjiao) (0.5 liang, remove eyes and closed-mouth ones, stir-fry lightly to release moisture); Achyranthes bidentata root (Niuxi) (1 liang, remove sprouts). Cut the herbs. For each dose, take 3 qian, add one cup of water, decoct until six-tenths remain, strain. Take on an empty stomach daily and before evening meals.
Guixin Wan (Cinnamon Twig Heart Pill, from *Shenghui Fang*): Treats Lougu disease causing pain and purulent discharge.
Ingredients: Cinnamon twig heart (Guixin) (0.1 liang); Astragalus membranaceus root (Huangqi) (0.5 liang, cut); Calcined alum (Fanshi) (burned to ash, ground fine, 0.1 liang); Ligusticum wallichii rhizome (Xiongqiong) (0.1 liang); Rhubarb (Dahuang) (0.5 liang, cut and stir-fried lightly); Bird beak (Wuzhuo) (0.5 liang, processed, tail removed); Sichuan pepper (Chuanjiao) (100 grains, remove eyes and closed-mouth ones, stir-fry lightly to release moisture); Tiger neck bone (Hu Jinggu) (0.5 liang, coated with butter, roasted yellow). Grind into fine powder. Mix with refined honey to form pills the size of mung beans. Take two pills with warm grain water on an empty stomach and before evening meals.
Tingchang San (Tingchang Powder, from *Shenghui Fang*): Treats Lougu disease.
Ingredients: Tingchang (six specimens, remove head, feet, wings; stir-fry with glutinous rice until yellow); Rhubarb (Dahuang) (0.5 liang, cut and stir-fried lightly); Asarum (Xixin) (0.5 liang); Cinnamon twig heart (Guixin) (0.1 liang); Pangolin scales (Lingqi) (1 liang, roasted until slightly yellow); Insect feces from maple tree (Fengshu zhong chongfen) (two finger-pinches). Grind into fine powder. Take 1 qian mixed with warm wine on an empty stomach, and repeat before evening meals.
Machixian Gao (Purslane Ointment): Treats Lougu disease.
Method (from *Shenghui Fang*): Burn oak leaves (Huye) to ash and grind finely. Soak oak leaves separately in rice washing water to extract juice for washing the sore. Dry the area, then apply a small amount of the ash directly into the wound.