〔垣〕云∶脉缓怠惰嗜卧，四肢不收，或大便泄泻，此湿胜，从平胃散。又云∶怠惰嗜卧有湿，胃虚不能
食，或沉困，或泻泄，加苍术，自汗加白术。
〔《本》〕补虚损，治劳倦一切虚极欲垂死者。（肥人阴虚宜服，瘦人不宜服。）
甘草（三两） 苍术（一斤，米泔浸一宿，切，用韭白一斤细切，同罨过一宿） 川椒（四两，炒） 草乌（半
斤，水浸一宿，切，用盐四两罨一宿，次日炒干）
上共为末，用好酒糟六斤，同捣三五千杵，令匀为丸，如桐子大。每服三十丸，空心温酒盐汤任下，妇人
淡醋汤下。
〔垣〕食入则困倦，精神昏冒而欲睡者，脾虚弱也。
人参补气汤 治四肢懒倦。
黄 （一钱半） 人参（七分） 甘草（炙，三分） 生地（五分） 防风（七分） 白芍（五分） 五味（二十
粒）
升麻（七分） 肉桂（二分） 熟地（六分） 生甘草（一分） 黄柏（七分） 知母（七分）
上为粗末，作一服，水二盏，煎至一盏，滤去渣，空心热服下。
〔无〕江南闽中山间人，以蛇、虺、蜈蚣、蜒岫、虾蟆等百虫同器蓄之，使其自相食啖，胜者为灵以祀之，
取其毒，杂以菜果饮食之类以害人，妄意要福，以图富贵。人或中之，症状万端，或年岁间人多死。又有人家
香火奉祀如家先者，亦谓之蛊，能病患，世谓之蛊疰，以姓类属五音，谓之五蛊。此皆边鄙邪僻之地，多有此
事，中都则蔑闻也。
夫中蛊毒者，令人心腹绞痛，如有物吐出，皆如烂肉。若不即治，食人五脏即死。验令病患唾水沉者即是。
有人行蛊毒，以病患若欲知其姓名者，以败鼓皮烧作末，饮服方寸匕，须臾自呼蛊家姓名可语之，令呼唤
将去则愈，治之亦有方。
〔世〕验蛊之法，含一大豆，其豆胀皮脱者蛊也，豆不胀皮不脱者非也。人以鹄皮至病患卧所下，勿令知
觉，病甚者走，居则非也。治疗之法，必须审而后行，试而后可。今人偶有积聚胀满之病，类乎蛊者，便以为
蛊，尤为非也。凡蛊毒之中，有缓有急，急者十数日便死，缓者待以岁月，气力羸败，食尽五脏而后死。死则
其毒流注于傍，傍人亦成蛊疰矣。
〔无〕凡中毒，嚼生豆不腥，嚼白矾味甘者，皆中毒无疑。
〔《脉》〕人为百药所中伤，脉浮涩而疾者生，微细者死，洪大而迟者生。（《千金》“迟”作“速”。）
〔无〕辰砂丸 治蛊毒从酒食中着者，端午日合。
辰砂（细研） 雄黄（另研，水飞） 赤脚蜈蚣 续随子（各一两） 麝香（一钱）
上为末，糯米饮为丸，如鸡头大。若觉中毒，即以酒下一丸。蛇蝎所螫，醋磨敷，效。
〔《必效》〕主蛊毒神效。以胡荽根绞汁半升，酒和服之，立下。
〔《外》〕治蛊毒。土瓜根大如拇指长三寸，切，以酒半升浸一宿，一服当吐下。
〔崔〕蛇蛊，食饮中得之，咽中如有物，咽不下，吐不出，闷闷心热。服马兜铃，即吐出。又服麝香一钱
匕，即吐蛊毒。
〔《圣》〕五种蛊毒。马兜铃根三两为末，分为三帖，水一盏，煎五分，去渣服，当吐虫出。未快再服。
〔《本》〕主蛊毒。用大戟，桃白皮以火烘干，班蝥去翅足炒，三物等分捣筛为散，以冷水服半方寸匕，
其毒即出。不出，更一服，蛊并出。此李饶州法，大奇效。若以酒中得，则以酒服。以食中得，则以饮服之。
（上吐利蛊毒法）
〔无〕凡诸蛊多是假毒药以投之，知时宜煮大豆、甘草、荠 汁饮之，通除诸毒药。
〔《经》〕山豆根不拘多少，如中药蛊毒，密遣人和水研，以禁声服少许。不止，再服。一方用酒调下二钱。
〔《本》〕食中有蛊毒，令人腹内坚痛，两目青黄，淋露骨立，病变无常。用铁精细研，捣鸡肝和为丸，
桐子大，食前或后酒下五丸。
李东垣说：脉象缓弱、身体倦怠嗜睡、四肢无力不收，或者大便泄泻，这是湿气过盛所致，应当从平胃散（燥湿运脾方）治疗。他又说：倦怠嗜睡伴有湿气，若因胃气虚弱不能进食，或感到沉重困倦，或泄泻，应加入苍术；若有自汗症状，则加入白术。
《本草》记载：补益虚损，治疗劳倦引起的一切极度虚弱近乎死亡的症状。（肥胖之人阴虚者适宜服用，瘦人不宜服用。）
药材组成：甘草（三两）、苍术（一斤，用米泔水浸泡一夜，切片，再用韭白一斤细切，一同覆盖闷置一夜）、川椒（四两，炒制）、草乌（半斤，用水浸泡一夜，切片，再用盐四两覆盖闷置一夜，次日炒干）。
以上药物共同研为细末，用好酒糟六斤，一同捣杵三五千下，使其均匀，制成梧桐子大小的丸药。每次服用三十丸，空腹时用温酒加盐汤送服，妇女则用淡醋汤送服。
李东垣说：进食后便感到困倦，精神昏沉冒昧想要睡觉的，是脾气虚弱所致。
人参补气汤：治疗四肢懒惰疲倦。
药材组成：黄芪（一钱半）、人参（七分）、炙甘草（三分）、生地黄（五分）、防风（七分）、白芍（五分）、五味子（二十粒）、升麻（七分）、肉桂（二分）、熟地黄（六分）、生甘草（一分）、黄柏（七分）、知母（七分）。
以上药物制成粗末，作为一剂服用，加水两盏，煎煮至一盏，滤去药渣，空腹热服。
无择说：江南闽中地区山间的人，将蛇、蝮蛇、蜈蚣、蜒蚰、蛤蟆等上百种虫类放在同一个容器中饲养，让它们互相吞食，获胜存活的那只被视为“灵物”用来祭祀，取出其毒液，混杂在菜果饮食中用来害人，妄图以此求福，谋求富贵。人如果中了这种毒，症状千变万化，有时一年内多人死亡。又有人像供奉祖先一样在家香火供奉祭祀此类蛊物，也称为蛊，能使人患病，世人称之为“蛊疰”，根据其姓氏归类于五音，称为“五蛊”。这些都发生在边远偏僻之地，多有此事，中原地区则很少听说。
凡是中蛊毒的人，会令人心腹绞痛，感觉有东西要吐出来，吐出的东西都像烂肉一样。如果不立即治疗，蛊毒会侵蚀人的五脏就会死亡。验证方法是让病人吐口水入水中，若下沉者即是中蛊。
有人施行蛊毒，如果患者想知道施蛊者的姓名，可以将败鼓皮烧成粉末，服用一方寸匕的量，片刻之后病人自然会说出施蛊者的姓名并可以告知他，让他呼唤施蛊者带走蛊毒即可痊愈，治疗也有相应的方法。
世传验蛊的方法：口中含一颗大豆，如果豆子胀大且表皮脱落的是中蛊，豆子不胀大且表皮不脱落则不是中蛊。让人拿着鹤皮走到病人卧处放下，不要让病人察觉，病重者鹤皮会移动，不动则不是中蛊。治疗之法，必须审慎考察后再行动，试探确认后方可实施。现在的人偶尔有积聚胀满的疾病，类似蛊症，就认为是蛊毒，这尤为错误。凡中蛊毒，有急症和缓症之分，急症的十几天内就会死亡，缓症的拖延岁月，直到气力衰竭，吃尽五脏后才死亡。死后其毒气流注到旁边，旁人也会成为蛊疰患者。
无择说：凡是中毒的人，嚼生豆没有腥味，嚼白矾觉得味甘的，都是中毒无疑。
《脉经》说：人被各种药物所中伤，脉象浮涩而疾速的能生，脉象微细的会死，脉象洪大而迟缓的能生。（《千金方》中“迟”字作“速”字。）
药材组成：辰砂（细研）、雄黄（另研，水飞法处理）、赤脚蜈蚣、续随子（各一两）、麝香（一钱）。
以上药物研为细末，用糯米饮调和制成鸡头子大小的丸药。如果觉得中毒，立即用酒送服一丸。被蛇蝎螫伤，用醋磨敷患处，有效。
《必效方》：主治蛊毒神效。用胡荽根绞取汁液半升，用酒调和服用，立刻见效。
《外台秘要》：治疗蛊毒。土瓜根大如拇指长三寸，切片，用半升酒浸泡一夜，一次服用，应当吐出或泻下。
崔氏说：蛇蛊，在饮食中得之，咽喉中如有异物，咽不下也吐不出，心中烦闷发热。服用马兜铃，就会吐出。再服用麝香一方寸匕，就会吐出蛊毒。
《圣济总录》：五种蛊毒。马兜铃根三两研为细末，分为三帖，加水一盏，煎至五分，滤去药渣服用，应当吐出虫子。未完全排出可再服。
《本草》：主治蛊毒。用大戟、桃树皮用火烘干、斑蝥去翅足炒制，三物等分捣筛为散剂，用冷水服用半方寸匕，其毒随即排出。若不排出，再服一剂，蛊毒一并排出。这是李饶州的方法，非常奇效。如果是从酒中得的，就用酒送服。如果是从食物中得的，就用饮料送服。（以上为吐利蛊毒的方法）
无择说：凡是各种蛊毒多是假借毒药来投放的，知道时间后宜煮大豆、甘草、荠菜汁饮用，以通除各种毒药。
《内经》：山豆根不拘多少，如怀疑中蛊毒，秘密派人用水研磨，禁声服用少许。若不止，再服。另一方法是用酒调下二钱。
《本草》：食物中有蛊毒，令人腹内坚硬疼痛，两眼青黄，消瘦露骨，病变无常。用铁屑精细研磨，捣碎鸡肝和合制成丸药，梧桐子大小，饭前或饭后用酒送服五丸。
Li Dongyuan stated: A slow and weak pulse, accompanied by lethargy, excessive sleepiness, flaccidity of the four limbs, or diarrhea, indicates an excess of dampness. This should be treated with Pingwei San (Calm the Stomach Powder). He further stated that for lethargy and sleepiness caused by dampness, if there is an inability to eat due to Spleen deficiency, heaviness, or diarrhea, add Cangzhu (Atractylodis Rhizoma); if spontaneous sweating occurs, add Baizhu (Atractylodis Macrocephalae Rhizoma).
*Bencao* records: It tonifies deficiencies and treats all conditions of extreme debility resulting from overwork and fatigue. (It is suitable for obese individuals with Yin deficiency, but not for thin individuals.)
Ingredients: Gancao (Licorice Root, 3 liang), Cangzhu (Atractylodis Rhizoma, 1 jin, soaked overnight in rice washing water, sliced, then covered overnight with 1 jin of finely chopped Allii Tuberosi Bulbus), Chuanjiao (Sichuan Pepper, 4 liang, stir-fried), Caowu (Aconiti Kusnezoffii Radix, 0.5 jin, soaked overnight in water, sliced, then covered overnight with 4 liang of salt, and stir-fried dry the next day).
Grind the above ingredients into a fine powder. Mix with 6 jin of good wine lees, pound together three to five thousand times until uniform, and form pills the size of paulownia seeds. Take 30 pills per dose. For adults, take on an empty stomach with warm wine mixed with salt water; for women, take with light vinegar water.
Li Dongyuan stated: Feeling sleepy and mentally foggy after eating indicates Spleen Qi deficiency.
Renshen Buqi Tang (Ginseng Qi-Tonifying Decoction): Treats laziness and fatigue of the four limbs.
Ingredients: Huangqi (Astragali Radix, 1.5 qian), Renshen (Ginseng Radix, 0.7 qian), Zhi Gancao (Honey-fried Licorice Root, 0.3 qian), Shengdi (Rehmanniae Radix, 0.5 qian), Fangfeng (Saposhnikoviae Radix, 0.7 qian), Baishao (Paeoniae Radix Alba, 0.5 qian), Wuweizi (Schisandrae Fructus, 20 grains), Shengma (Cimicifugae Rhizoma, 0.7 qian), Rougui (Cinnamomi Cortex, 0.2 qian), Shudi (Rehmanniae Radix Praeparata, 0.6 qian), Sheng Gancao (Raw Licorice Root, 0.1 qian), Huangbai (Phellodendri Cortex, 0.7 qian), Zhimu (Anemarrhenae Rhizoma, 0.7 qian).
Grind the above ingredients into a coarse powder. Use as one dose. Add two cups of water, decoct until one cup remains, strain off the dregs, and take hot on an empty stomach.
Wu Ze stated: In the mountainous regions of Minzhong in Jiangnan, people keep hundreds of insects such as snakes, vipers, centipedes, slugs, and toads in the same vessel, allowing them to devour each other. The survivor is considered "spiritual" and used for worship. Its venom is extracted and mixed into vegetables, fruits, or food to harm others, under the delusion of seeking blessings and wealth. If a person is poisoned by this, symptoms vary endlessly, and sometimes many people die within a year. Some families worship these蛊 (Gu) like ancestors with incense and offerings. This is also called Gu, which can cause illness. The world calls it "Gu Zhu" (Gu Transmission). Based on surnames classified into the five tones, it is called "Five Gu." These practices occur mostly in remote, backward areas and are rarely heard of in the central plains.
Those who suffer from Gu poison experience severe colicky pain in the heart and abdomen, feeling as if something is being vomited up, resembling rotten meat. If not treated immediately, the poison will consume the five Zang organs, leading to death. To verify, have the patient spit into water; if the saliva sinks, it confirms Gu poisoning.
If someone has administered Gu poison, and the patient wishes to know the name of the perpetrator, burn broken drum skin into powder, take one fangcun bi (a measure roughly equivalent to a coin's surface area) with water, and within moments, the patient will spontaneously call out the name of the Gu master, which can be conveyed to him. Calling the perpetrator away will cure the patient. There are specific methods for treatment.
Popular methods for verifying Gu: Place a large soybean in the mouth. If the bean swells and its skin peels off, it is Gu poisoning; if it does not swell and the skin remains intact, it is not Gu. Have someone place a crane skin near the patient's bed without their knowledge. If the skin moves, the illness is severe and likely Gu; if it stays still, it is not Gu. Treatment must be carefully investigated before action and tested before implementation. Currently, some people mistakenly diagnose ordinary accumulation and distension diseases as Gu, which is particularly incorrect. Among Gu poisons, there are acute and chronic forms. Acute cases may lead to death within ten days; chronic cases drag on for years, leading to emaciation and eventual death after the five Zang organs are consumed. After death, the poison spreads to those nearby, turning them into Gu Zhu patients.
Wu Ze stated: For any poisoning, if chewing raw beans yields no fishy smell, or if chewing Bai Fan (Alumen) tastes sweet, it is undoubtedly poisoning.
*Mai Jing* states: When injured by various medicines, if the pulse is floating, choppy, and rapid, the patient will survive; if the pulse is minute and fine, the patient will die; if the pulse is surging, large, and slow, the patient will survive. (*Qianjin Fang* reads "rapid" instead of "slow").
Wu Ze stated: Chen Sha Wan (Cinnabar Pill): Treats Gu poison entering through wine and food. Prepare on the fifth day of the fifth lunar month.
Ingredients: Chen Sha (Cinnabar, finely ground), Xionghuang (Realgar, separately ground using water flotation method), Chijiao Wugong (Red-legged Centipede), Xuisui Zi (Euphorbiae Lathyridis Semen), each 1 liang; Shexiang (Musk, 1 qian).
Grind into powder, mix with glutinous rice drink to form pills the size of a cockle seed. If poisoning is suspected, take one pill with wine immediately. For snake or scorpion bites, grind with vinegar and apply externally; effective.
*Bixiao Fang*: Highly effective for Gu poison. Juice half a sheng from Hu Su Gen (Coriandri Sativi Radix), mix with wine, and take orally; effects are immediate.
*Waitai Miyao*: Treats Gu poison. Cut Tudigua Gen (Trichosanthes Radix) about three cun long and thumb-thick, soak in half a sheng of wine overnight. Take once; expect vomiting or purging.
Cui Shi stated: Snake Gu, acquired through food or drink, feels like a foreign object in the throat that cannot be swallowed or vomited, causing mental oppression and heat. Taking Madouling (Dentariae Rhizoma) will induce vomiting. Taking one fangcun bi of Shexiang (Musk) will also expel the Gu poison.
*Shengji Zonglu*: Five types of Gu poison. Grind Madouling Gen (Dentariae Rhizoma) 3 liang into powder, divide into three doses. Decoct one cup of water until reduced to half a cup, strain, and take. Expect worms to be vomited out. If not fully expelled, take again.
*Bencao*: Treats Gu poison. Use Daji (Euphorbiae Pekinensis Radix), Taobai Pi (Pruni Persicae Cortex dried by fire), and Banmao (Mylabris, wings and feet removed, stir-fried). Mix equal parts, grind and sieve into a powder. Take half a fangcun bi with cold water; the poison will be expelled. If not, take another dose, and the Gu will be expelled completely. This is the method of Li Raozhou, which is remarkably effective. If contracted via wine, take with wine; if via food, take with beverage. (Above are methods for inducing vomiting and purging Gu poison.)
Wu Ze stated: Most Gu poisons are disguised toxins. Upon knowing the time of exposure, boil Da Dou (Soybeans), Gancao (Licorice Root), and Ji Cai (Shepherd's Purse) juice to drink, which helps eliminate various toxins.
*Jing* states: Shan Dou Gen (Sophorae Tonkinensis Radix), amount unspecified. If suspected of Gu poisoning, secretly send someone to grind it with water, instructing the patient to remain silent while taking a small amount. If symptoms persist, take again. Another prescription uses 2 qian mixed with wine.
*Bencao*: Food containing Gu poison causes hard abdominal pain, yellowish-green eyes, extreme emaciation, and unpredictable changes. Grind Tie Xi (Iron filings) finely, mix with Ji Gan (Chicken Liver) pounded into paste, form pills the size of paulownia seeds. Take 5 pills with wine before or after meals.