明张冲虚，吴县人，善医，有道人以竹筒就灶吹火，误吸蜈蚣入腹，痛不可忍，张碎鸡子数
枚，令啜其白，良久痛少定，索生油与咽，遂大吐，鸡子与蜈蚣缠束而下。盖二物气类相制
，入腹则合为一也。事见《吴县志》。按∶明汇氏 《名医类案》亦有一方，云取小猪儿一
个，切断喉取血，令其人顿饮之，须臾灌以生油一口，其蜈蚣滚在血中吐出，继与雄黄细研
，水调服愈。南方多蜈蚣，且家家用竹筒吹火，尝有是患，故录之。
（炳章）按∶江 方取小猪儿切断喉取血，伤生物命，未免残忍，不如用张冲虚法，方理
明切，效验必确，为便利也。
咸丰乙卯年，吾邑皇甫湘山上舍（岷），患牙龈肿烂，两腿青胀，其势甚剧，诸医不效，
乌程
温醉白诊之，谓病名青腿牙疳，不必服药，惟食马乳可愈，如其言，一月全愈。又一戴姓妇
人，病证相同，亦食马乳得痊。按∶此证见于御纂《医宗金鉴》八十四卷外科门，长洲唐笠
山大烈所着《医宜博览论》曾述及之，吾乡罕有此证，医家知此者亦鲜矣。
（炳章）按∶青腿牙疳，清初关外发现此症，饮马乳得愈，故采入《医宗金鉴》，近年
江浙间亦有之。
患目赤者，小便时以指蘸入目中，闭目俟其自干，日三四次即愈，惟当净洗手面；以免
不洁之咎，此方载《医学纲目》，他书不恒见，屡试屡验，秘方也。又《石室秘录》治目中初起
星，用白蒺藜三钱，水煎洗之，日四五次，星即退，此方亦神效。
（炳章）按∶目赤肿痛，用大青叶煎汤饮之，肿赤即退，或鲜野刺苋煎汁饮数次，红肿亦
退，起星者，加木贼草同煎，起云翳者，加蝉衣同煎服，皆有良效。
明代张冲虚是吴县人，擅长医术。有一位道人用竹筒靠近灶台吹火时，误将蜈蚣吸入腹中，疼痛难以忍受。张冲虚打碎几枚鸡蛋，让病人喝下蛋清，过了很久疼痛才稍微缓解，随后又让病人吞服生油，于是剧烈呕吐，鸡蛋与蜈蚣纠缠在一起排出体外。这是因为鸡蛋和蜈蚣的气类相互制约，进入腹中后便结合成一体。此事记载于《吴县志》。按：明代汇氏的《名医类案》中也记载了一方，说取一只小猪仔，切断喉咙取血，让病人一次性饮下，片刻后再灌入一口生油，蜈蚣就会在血中翻滚吐出，随后服用细研的雄黄调水，病即痊愈。南方多蜈蚣，且家家户户使用竹筒吹火，曾发生过此类病患，因此记录下来。
（炳章）按：江方主张取小猪仔切断喉咙取血，伤害生物生命，未免残忍，不如采用张冲虚的方法，方理明确切当，疗效必定确切，更为便利。
咸丰乙卯年，我家乡的皇甫湘山上舍（名岷），患有牙龈肿胀腐烂、双腿青紫肿胀的症状，病情非常严重，多位医生治疗无效。乌程人温醉白诊断后，称此病名为“青腿牙疳”，不必服药，只要食用马奶即可痊愈。皇甫湘照此办理，一个月后完全康复。还有一位戴姓妇人，病症相同，也是食用马奶而痊愈。按：此证见于御纂《医宗金鉴》第八十四卷外科门，长洲人唐笠山大烈所著的《医宜博览论》也曾提及，我的家乡很少见此证，知晓此病的医生也很少。
（炳章）按：青腿牙疳在清初关外地区发现此症，饮用马奶得以痊愈，因此被收录进《医宗金鉴》，近年来江浙地区也有此病发生。
患眼红者，在小便时用手指蘸取尿液滴入眼中，闭目等待其自行干燥，每天三四次即可痊愈，但必须洗净手脸，以免因不洁而招致过错。此方载于《医学纲目》，其他书籍不常见到，屡次尝试屡次有效，是秘方。另外，《石室秘录》治疗眼睛初起星翳，用白蒺藜三钱，水煎后清洗眼部，每天四五次，星翳即消退，此方也极为神效。
（炳章）按：对于眼红肿痛，可用大青叶煎汤内服，红肿即可消退；或用鲜野刺苋煎汁分次内服，红肿也能消退；若起星翳者，加木贼草同煎；若起云翳者，加蝉衣同煎内服，都有良好疗效。
Zhang Chongxu of the Ming Dynasty was from Wu County and was skilled in medicine. A Daoist priest, while using a bamboo tube to blow fire into a stove, accidentally inhaled a centipede into his abdomen, causing unbearable pain. Zhang crushed several eggs and instructed the patient to drink the egg whites. After a long time, the pain subsided slightly. He then had the patient swallow raw oil, resulting in severe vomiting, during which the eggs and the centipede were expelled entangled together. This is because the qi and nature of the two substances mutually restrain each other, and upon entering the abdomen, they combine into one. This incident is recorded in *Wu County Gazetteer*. Note: The Ming dynasty's *Collected Cases of Famous Physicians* by Hui also records a prescription: take one piglet, cut its throat to obtain blood, have the patient drink it all at once, and after a moment, administer a mouthful of raw oil. The centipede will roll in the blood and be vomited out. Subsequently, administer finely ground realgar mixed with water, and the illness will be cured. Centipedes are common in the South, and since every household uses bamboo tubes for blowing fire, such cases have occurred; thus, it is recorded here.
(Bingzhang) Note: Jiang Fang's method of cutting the piglet's throat to obtain blood harms living beings and is somewhat cruel. It is inferior to Zhang Chongxu's method, which has clear theoretical basis, certain efficacy, and greater convenience.
In the Yimao year of the Xianfeng era, Huangfu Xiang, a Shanshe (scholar-official) from my hometown named Min, suffered from swollen and rotting gums and cyanotic swelling of both legs. The condition was severe, and treatments by various physicians were ineffective. Wen Zuibai from Wucheng diagnosed the disease as "Green Leg and Gum Gangrene" (Qingtui Yagan). He stated that no medication was necessary; only drinking horse milk would cure it. Following this advice, Huangfu recovered completely within one month. Another woman surnamed Dai presented with identical symptoms and was also cured by drinking horse milk. Note: This syndrome appears in Volume 84 of the Imperially Commissioned *Medical Standard Gold Mirror* (Yizong Jinjian) under the Department of Surgery. Tang Lidie of Changzhou also mentioned it in his work *Yi Yi Bolun*. This syndrome is rare in my hometown, and few physicians are aware of it.
(Bingzhang) Note: Green Leg and Gum Gangrene was first discovered in the regions outside the Great Wall during the early Qing Dynasty and was included in *Yizong Jinjian* because drinking horse milk cured it. In recent years, it has also appeared in the Jiangsu and Zhejiang regions.
For patients suffering from red eyes, dip a finger in urine during urination and apply it to the eye. Close the eye and wait for it to dry naturally. Doing this three or four times a day leads to recovery. One must strictly wash hands and face to avoid infection due to uncleanliness. This prescription is recorded in *Medical Outline* (Yixue Gangmu) and is rarely seen in other books. It has been tested repeatedly with consistent success, making it a secret formula. Additionally, *Shishi Milu* prescribes washing the eyes with a decoction of three qian of white Tribulus (Bajili) for early-stage corneal opacities (xing), applied four to five times daily, which effectively clears the opacity. This prescription is also highly effective.
(Bingzhang) Note: For redness and swelling of the eyes, drinking a decoction of Isatis Root (Daqingye) reduces swelling and redness. Alternatively, drinking juice from fresh wild Amaranthus (Xianyeci) also resolves redness and swelling. If corneal opacities (xing) develop, add Equisetum ramosissimum (Muzecao) to the decoction. If cloud-like opacities (yunyi) form, add Cicada Slough (Chanyi) to the decoction and ingest. Both approaches yield good results.