闻蛊俗将竹篾一片约四五寸，放于路上，人行过则此蔑跳上脚腿，痛不可忍，久则此蔑
入于膝盖，脚渐小如鹤膝，不出四五年，其人必死。治方，用雄黄、蒜子、菖蒲，生咬吃，
滚水送下，得吐与泻自愈。后用雄黄末五钱，蒜子一斤，菖蒲一斤，同捣烂放滚水内，汤洗
脚膝数次自愈。不用戒口。
此蛊金色，其形如蚕，能入人腹、食人肠胃、其粪亦能毒人。养蛊之家，蓄以害人，用
金银等物将蛊送之路旁，有人遇之，蛊即随往，谓之嫁金蚕。此蛊不畏水火刀枪，最难灭除
。惟畏刺 。中此蛊者食白矾味甜，嚼黑豆不腥者即是。又初吃药后，周身皮肉如有数百虫
行，痒极难忍者亦是。用石榴皮根煎汤饮之，可以吐出。或用刺 皮烧枯研末，用水调服一
二钱，亦可。刺 又名毛刺，又名 鼠，其头嘴似鼠，身有刺毛似壕猪箭。
又方∶常山四钱，山豆根五钱，蜈蚣一条烘干，黄柏五钱，蜘蛛五只，烘干，穿山甲五
钱，白鸽血一只全血，烘干，以上七味，同研末，分三次泡滚酒服，其毒自化。毒重者服此
方必愈。不用戒口。按∶以上五蛊未曾经验，即用苏荷汤服之，想亦可以取效。
苏荷汤∶紫苏、南薄荷、青蒿各一两，条参、连翘各八钱，槐花、元参各七钱，柴胡六
钱，川芎二钱，生黄 五钱，按∶蛇蛊加白芷一两、三七二钱，受毒重者用水煎服，服药之
后病渐减者即是对症，久服自愈。大便秘结者加茨菇菜一两更妙。
上方条参清肺火，消肿胀，连翘泻心火，败毒，紫苏入肺、心、脾，杀蛇发表，薄荷入
肺杀蛊，槐花清肝火解毒，生黄 败毒发表，元参清肾火解毒，川芎发表、青蒿杀蛊解毒。
凡中蛊治方，大要不外杀蛇解毒，发毒败毒之品。按∶国中毒，服药得吐泻者皆妙。受毒者
如不能戒盐荤，但戒鸡、鸭、鱼、虾、蚌、蛤等可也。
槐 汤∶凡口干火盛者，此方主之。槐花、青蒿各一两，生地、紫苏、南薄荷、连翘各
七钱，生黄 、天冬、元参、花粉各五钱，黄柏三钱，头痛加白芷三钱，川芎二钱，水煎服
归连汤∶当归、生白芍各三钱，生地、连翘、百合、紫苏、苏薄荷各五钱，川芎、槐花
、黄连、生甘草各二钱，水煎服。肚胀除甘草，大便结秘加茨菇菜一两。
参 汤∶条参七钱，生黄 、紫苏、南薄荷、麦冬（去心）、青蒿各五钱，川芎四钱，
茯
以上四方，皆治蛊要药，治疳蛊更效。受毒者随时加减服。药不外四方内药品。受毒极
重者，戒盐荤女色，服药数月后，开荤盐近色无妨，仍旧照方服药一年，或二、三年，至出
恭食物全不变，则毒净尽矣。体虚者分两酌量减用。
苏荷生地汤∶紫苏、南薄荷、青蒿各一两、生地、条参、连翘各八钱、槐花七钱、柴胡
六钱，川芎二钱，生黄 五钱，此中蛇、中疳、中肿、中癫良方也。与前四方同功。大便结
秘者，重加槐花、黄柏、黄芩、茨菇菜等味；小便赤者，加元参、栀子、茯苓；肝火盛者，
加生白芍；头痛加白芷，蛇蛊加白芷一两，三七二钱。或带热嗽或咳血者，紫苏、薄荷减半
，加百合、麦冬、生芍各一两。或时而伤风带寒嗽者，去条参、连翘、槐花、青蒿、生地，
加干姜、当归、半夏、陈皮、白芷。或人弱带痢者去条参、连翘、槐花、柴胡、生 、青蒿
、生地，加百合、白芍、茯苓、麦冬、砂仁、白术、干姜。总之，神而明之，存乎其人。但
蛊毒未净，不可服补药与收敛药。或兼有别病，则兼治之，而紫苏、薄荷则断不可去也。又
口舌热烂，实火炎上，则去紫苏、薄荷，重加槐花、黄柏、黄芩、茯苓、白芍、元参、泽泻
、天冬、石膏等味，酒水煨服。
中疳一症，有毒瓦斯走在手者，时而移上头者，或初服药通身发红片者，有通身麻木肉大
跳者，有头面上血忽开忽合者，或脑内有声者，治方同。
蛇蛊一症，有在两胁皮内痛，忽移上两肩下皮内痛，永不出汗，怕寒。服药后有有声走
入肚内者，有在肚内痛会动会移者，有在心上胀口涎出、痛而不移、大便常下蛔虫者，或遍
身如虱走窜、卧则手脚跳起者。治方同。
Background Information
Book: Yan Fang Xin Bian (New Collection of Verified Prescriptions)
Author: Bao Xiang'ao
Dynasty: Qing
Chapter: Mie Pian Gu (Bamboo Splinter Gu) / Jin Can Gu (Golden Silkworm Gu) / Various Prescriptions for Zhong Gan, Zhong She, Zhong Zhong, and Zhong Dian
Category: Formulas
Translation
It is said that there is a folk custom involving "Mie Pian Gu" (Bamboo Splinter Gu). A bamboo splint about four or five cun long is placed on the road. When a person walks over it, this splint jumps onto their legs, causing unbearable pain. Over time, the splint enters the knee, and the foot gradually becomes thin like a crane's knee. Within four or five years, the patient will inevitably die. The treatment involves chewing raw Realgar (Xionghuang), garlic cloves, and Acorus tatarinowii (Changpu), swallowing them with boiling water. Recovery occurs through vomiting and diarrhea. Subsequently, mix five qian of Realgar powder, one jin of garlic cloves, and one jin of Acorus tatarinowii, pound them into a paste, and place them in boiling water. Wash the feet and knees several times with this decoction to achieve self-healing. No dietary restrictions are required.
This type of Gu poison is golden in color and resembles a silkworm. It can enter the human abdomen, consume the stomach and intestines, and its feces can also poison others. Those who raise Gu keep it to harm people. They use gold, silver, or other objects to send the Gu to the roadside; when someone encounters it, the Gu follows that person away. This is called "Jia Jin Can" (Married Golden Silworm). This Gu is immune to fire, water, knives, and spears, making it extremely difficult to eradicate. It fears only Ci (a thorny plant). Individuals infected with this Gu will find that eating Alum (Bai Fan) tastes sweet, and chewing black beans does not taste fishy/gamey; this indicates infection. Additionally, shortly after taking medicine, if the skin and flesh all over the body feel as if hundreds of insects are crawling, causing extreme itching, this is also a symptom of Gu infection. One can drink a decoction made from pomegranate peel roots to induce vomiting of the poison. Alternatively, burn the bark of the thorny plant (Ci) until charred, grind it into powder, and take one or two qian mixed with water. Ci is also known as Mao Ci (Hairy Thorn) or Shu (Mouse-like), with a head and mouth resembling a mouse and body covered in quills like those of a hedgehog.
Another prescription: Changshan (Dichroa Febrifuga Radix) 4 qian, Shandougen (Sophorae Tonkinensis Radix) 5 qian, one dried Centipede (Wugong), Huangbai (Phellodendri Cortex) 5 qian, five dried Spiders (Zhi Zhu), Qianshanjia (Manis Squama) 5 qian, and one whole dried pigeon blood (Baige Xue). Grind these seven ingredients together into a powder. Divide into three doses, soak in boiling wine, and take orally. The poison will naturally dissolve. Patients with severe poisoning will surely recover with this formula. No dietary restrictions are required. Note: I have not personally verified the above five types of Gu. However, administering Suhed Tang (Perilla and Mint Decoction) should theoretically be effective.
Suhed Tang (Perilla and Mint Decoction): Zi Su Ye (Perillae Folium), Nan Bo He (Menthae Haplocalycis Herba), and Qing Hao (Artemisiae Annuae Herba) each 1 liang; Tiao Shen (Codonopsis Radix), Lian Qiao (Forsythiae Fructus) each 8 qian; Huai Hua (Sophorae Flos), Yuan Shen (Scrophulariae Radix) each 7 qian; Chai Hu (Bupleuri Radix) 6 qian; Chuan Xiong (Ligustici Chuanxiong Rhizoma) 2 qian; Sheng Huang Qi (Astragali Radix) 5 qian. Note: For Snake Gu, add Bai Zhi (Angelicae Dahuricae Radix) 1 liang and San Qi (Notoginseng Radix et Rhizoma) 2 qian. Patients with severe poisoning should take it boiled in water. If symptoms gradually decrease after taking the medicine, it indicates the correct diagnosis; prolonged use leads to self-healing. For constipation, adding Shi Gu Cai (Colocasia esculenta leaves) 1 liang is even better.
In the above formula, Tiao Shen clears Lung Fire and reduces swelling; Lian Qiao drains Heart Fire and detoxifies; Zi Su enters the Lung, Heart, and Spleen meridians, kills snakes, and releases the exterior; Bo He enters the Lung meridian and kills Gu; Huai Hua clears Liver Fire and detoxifies; Sheng Huang Qi detoxifies and releases the exterior; Yuan Shen clears Kidney Fire and detoxifies; Chuan Xiong releases the exterior; Qing Hao kills Gu and detoxifies. Generally, the principle of treating Gu infection lies in using herbs that kill snakes, detoxify, promote the expulsion of toxins, and resolve toxicity. Note: In domestic treatments for Gu, inducing vomiting and diarrhea through medication is considered excellent. Poisoned individuals who cannot abstain from salt and meat should at least avoid chicken, duck, fish, shrimp, clams, and mussels.
Huai Hua Tang (Sophora Flower Decoction): Indicated for dry mouth and excessive internal heat. Huai Hua 1 liang, Qing Hao 1 liang, Sheng Di Huang (Rehmanniae Radix), Zi Su, Nan Bo He, Lian Qiao each 7 qian; Sheng Huang Qi, Tian Dong (Asparagi Radix), Yuan Shen, Fen Hua (Trichosanthis Radix) each 5 qian; Huang Bai 3 qian. For headache, add Bai Zhi 3 qian and Chuan Xiong 2 qian. Take boiled in water.
Guilian Tang (Angelica and Coptis Decoction): Dang Gui (Angelicae Sinensis Radix), Sheng Bai Shao (Paeoniae Radix Alba) each 3 qian; Sheng Di Huang, Lian Qiao, Bai He (Lilii Bulbus), Zi Su, Su Bo He each 5 qian; Chuan Xiong, Huai Hua, Huang Lian (Coptidis Rhizoma), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma) each 2 qian. Take boiled in water. Remove Gan Cao if abdominal distension is present; add Shi Gu Cai 1 liang for constipation.
Shen [Missing Character] Tang: Tiao Shen 7 qian; Sheng Huang Qi, Zi Su, Nan Bo He, Mai Dong (Ophiopogonis Radix, heart removed), Qing Hao each 5 qian; Chuan Xiong 4 qian; Fu Ling (Poria)... [Text cuts off here].
The above four formulas are key medicines for treating Gu. They are particularly effective for Gan Gu (Childhood Malnutrition due to Parasites/Poison). Poisoned individuals may adjust and take them according to circumstances. The medicinal ingredients do not exceed those in these four formulas. For extremely severe poisoning, abstain from salt, meat, and sexual activity. After several months of medication, resuming salt, meat, and sexual activity is permissible, but one must continue taking the prescribed formula for one year, or two to three years, until bowel movements and food excretion return completely to normal, indicating the poison is fully eliminated. Reduce dosages for patients with weak constitutions.
Suhed Shengdi Tang (Perilla, Mint, and Rehmannia Decoction): Zi Su, Nan Bo He, Qing Hao each 1 liang; Sheng Di Huang, Tiao Shen, Lian Qiao each 8 qian; Huai Hua 7 qian; Chai Hu 6 qian; Chuan Xiong 2 qian; Sheng Huang Qi 5 qian. This is an excellent prescription for treating Snake Gu, Gan Gu, Swelling Gu, and Epilepsy Gu. It has the same efficacy as the previous four formulas. For constipation, increase the dosage of Huai Hua, Huang Bai, Huang Qin (Scutellariae Radix), and Shi Gu Cai. For red urine, add Yuan Shen, Zhi Zi (Gardeniae Fructus), and Fu Ling. For excessive Liver Fire, add Sheng Bai Shao. For headache, add Bai Zhi; for Snake Gu, add Bai Zhi 1 liang and San Qi 2 qian. If accompanied by hot cough or hemoptysis, reduce Zi Su and Bo He by half, and add Bai He, Mai Dong, and Sheng Bai Shao each 1 liang. If occasionally suffering from wind-cold with cold cough, remove Tiao Shen, Lian Qiao, Huai Hua, Qing Hao, and Sheng Di Huang; add Gan Jiang (Zingiberis Rhizoma), Dang Gui, Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), and Bai Zhi. If the patient is weak with dysentery, remove Tiao Shen, Lian Qiao, Huai Hua, Chai Hu, Sheng Huang Qi, Qing Hao, and Sheng Di Huang; add Bai He, Bai Shao, Fu Ling, Mai Dong, Sha Ren (Amomi Fructus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Gan Jiang. Ultimately, skillful application depends on the practitioner. However, do not administer tonifying or astringent medicines while the Gu poison remains. If concurrent diseases exist, treat them simultaneously, but Zi Su and Bo He must never be omitted. Furthermore, if there is heat-induced ulceration of the mouth and tongue due to blazing excess fire, remove Zi Su and Bo He, and heavily increase Huai Hua, Huang Bai, Huang Qin, Fu Ling, Bai Shao, Yuan Shen, Ze Xie (Alismatis Rhizoma), Tian Dong, and Shi Gao (Gypsum Fibrosum). Simmer in a mixture of wine and water.
Regarding Gan Gu (Poison-related Childhood Malnutrition), if toxic vapors travel to the hands and then shift to the head, or if the body turns red in patches upon initial medication, or if there is whole-body numbness with large muscle twitching, or if blood vessels on the head and face open and close intermittently, or if there are sounds in the brain, the treatment method is the same.
Regarding Snake Gu, symptoms include pain under the skin of both flanks that suddenly shifts to under the skin of both shoulders, perpetual absence of sweating, and aversion to cold. After taking medicine, one might hear sounds moving into the abdomen, experience moving pain within the abdomen, feel bloating at the heart region with salivation, unmovable pain, and frequent passage of roundworms in stool, or feel as if lice are crawling all over the body, with legs and feet jumping when lying down. The treatment method is the same.