论曰箭镞毒药，入皮肤肌肉间，令人短气闷绝，口噤唇干，血虽止而腹满不能言，其人
如醉者，为难治。若瘀血应时出，其疮温而热，开口能言，则可治也。巢氏论毒箭有三种。
曰岭南夷俚人，用焦铜作箭镞，岭北诸处，以蛇毒螫物汁，着管中渍箭镞，及有以 药为之
者，三种伤人，皆不易治，唯急饮粪汁，可以御其毒，小缓则毒瓦斯深入，不可救也。
治中毒箭，解毒。蓝子散方
板蓝子（五合生用） 升麻 甘草（炙） 王不留行（各四两）
上四味，捣罗为散，每服二钱匕，温水调下，不拘时候，日三，更以水调少许，涂于疮
上。
治箭镞毒药在内不出。半夏散方
半夏（三两以生姜三斤取汁浸三日） 白蔹（三两）
上二味，同炒为末，每服一钱匕，酒下，日三夜一，不拘时，浅疮十日出，深疮二十日
出。
治箭镞毒药入诸处不出。牡丹皮散方
牡丹皮（为末二分） 白盐（半两）
上二味。同研匀为散，每服二钱匕，温酒调下，日三，其箭镞渐渐自出。
治金刃箭镞疮，避风，续筋骨，止血。锻石敷方
风化锻石细末（三两） 生地菘苗 生旋覆花 生葛叶 生青蒿苗 生麦门冬苗（各半
两）
上六味，除锻石外，研绞取汁，和锻石作饼子，曝干捣罗为散，用敷疮口，兼止血止痛
，避风水，重午日合，尤佳。
治毒箭。服贝子散方
贝子
上一味，捣罗为末，每服一钱匕，温酒调下，不拘时，日三四服，此方治中毒亦妙。
治毒箭。干姜散方
干姜末 盐
上二味等分，再同研匀，敷疮上，毒自出。
治毒箭所伤，烦乱欲绝。饮麻子汁方
大麻子（三升）
上一味，捣取自然汁，每服半盏许，日再服。
治毒箭。雄黄敷疮方
雄黄
上一味，捣研为细末，敷疮上，日四五度，汁出便愈，治毒蛇咬疮亦妙。
又方
上取芦根自然汁，每服半盏许，日二夜一，一方饮藕汁，唯多为妙。
治毒箭。甘草饮方
甘草（三两）
上一味细锉，用水二升，煎取一升绞汁，每服一小盏温饮，日三服，仍淋疮上。
治毒箭。生姜饮方
生姜（半斤切）
上一味，研如泥，取自然汁，饮五分一盏，未退再服。
治毒箭。旋覆根散方
旋覆根（不拘多少）
上一味，捣罗为散，每服二钱匕，以温酒调下，日三服，不拘时候，仍用敷疮中。若无
根花，只子亦可用。
治毒箭。地龙散方
地龙粪
上一味，研为末，熟水调服一钱匕，日三服，不拘时候。
治药毒箭头，在身诸处未出。雄黄散方
雄黄（细研一分） 粉霜（半两研） 蜣螂（四枚为末生用） 巴豆（三粒去壳别研如
泥生用）
上四味，再同研为散，以铜箸头取乳汁，调点疮上，频频用之，七日疮热，箭头自出。
论述说：箭镞上的毒药进入皮肤肌肉之间，使人呼吸短促、窒息昏厥，牙关紧闭、嘴唇干燥，虽然出血停止但腹部胀满不能说话，病人像喝醉了一样，这种情况难以治疗。如果瘀血能立即排出，伤口温热且发热，张开口能说话，那么就可以治疗。巢元方在《诸病源候论》中论述毒箭有三种。一种是岭南地区的少数民族，用烧焦的铜制作箭镞；另一种是岭北各地，用蛇毒咬噬物体后流出的汁液，涂抹在箭管中浸泡箭镞；还有一种是用药物处理箭镞。这三种方式伤人，都不容易治疗，只有紧急饮用粪汁，可以抵御其毒性，稍微迟缓则毒气深入体内，就无法救治了。
治疗中毒箭，解毒。蓝子散方
板蓝根（五合，生用） 升麻 甘草（炙过） 王不留行（各四两）
以上四味药，捣碎筛选成散剂，每次服用二钱匕，用温水调服，不限时间，每日三次，另外用水调少许药粉，涂抹在伤口上。
治疗箭镞毒药留在体内排不出来。半夏散方
半夏（三两，用生姜三斤取汁浸泡三天） 白蔹（三两）
以上两味药，一起炒制后研成粉末，每次服用一钱匕，用酒送服，白天三次，夜间一次，不限时间，浅层伤口十天排出，深层伤口二十天排出。
治疗箭镞毒药进入身体各处排不出来。牡丹皮散方
牡丹皮（研末占二分比例） 白盐（半两）
以上两味药，一起研磨均匀成为散剂，每次服用二钱匕，用温酒调服，每日三次，箭镞会逐渐自行排出。
治疗金属利器或箭镞造成的伤口，避风，接续筋骨，止血。锻石敷方
风化锻石细末（三两） 生地黄菘苗 生旋覆花 生葛叶 生青蒿苗 生麦门冬苗（各半两）
以上六味药，除锻石外，其余研碎绞取汁液，与锻石混合做成饼状，晒干后捣碎筛选成散剂，用来敷在伤口上，兼有止血止痛、避风寒的作用，最好在端午节那天配制，尤其好。
治疗毒箭。服用贝子散方
贝子
以上一味药，捣碎筛选成粉末，每次服用一钱匕，用温酒调服，不限时间，每日三四次，此方治疗中毒也很奇妙。
治疗毒箭。干姜散方
干姜末 盐
以上两味药等量，再次一起研磨均匀，敷在伤口上，毒素自然排出。
治疗毒箭所伤，心烦意乱快要断气。饮麻子汁方
大麻子（三升）
以上一味药，捣碎取得自然汁液，每次服用约半盏，每日两次。
治疗毒箭。雄黄敷疮方
雄黄
以上一味药，捣碎研磨成细末，敷在伤口上，每天四五次，流出汁液就好了，治疗毒蛇咬伤的伤口也很奇妙。
又一方
以上取芦根自然汁，每次服用约半盏，白天两次，夜间一次，另一说法是饮用藕汁，越多越好。
治疗毒箭。甘草饮方
甘草（三两）
以上一味药切碎，用水二升，煎取一升并绞取汁液，每次服用一小盏温饮，每日三次，同时淋在伤口上。
治疗毒箭。生姜饮方
生姜（半斤切片）
以上一味药，研磨如泥状，取得自然汁液，每次服用五分一盏，症状未退再服用。
治疗毒箭。旋覆根散方
旋覆根（不限多少）
以上一味药，捣碎筛选成散剂，每次服用二钱匕，用温酒调服，每日三次，不限时间，同时仍用于敷在伤口中。如果没有根和花，只用种子也可以。
治疗毒箭。地龙散方
蚯蚓粪
以上一味药，研磨成粉末，用熟水调服一钱匕，每日三次，不限时间。
治疗药毒箭头，在身体各处尚未排出。雄黄散方
雄黄（细研一分） 粉霜（半两研细） 蜣螂（四枚研末，生用） 巴豆（三粒去壳另研如泥，生用）
以上四味药，再次一起研磨成散剂，用铜筷头蘸乳汁，点涂在伤口上，频繁使用，七天伤口发热，箭头自然排出。
Discussion: Arrowheads coated with poison entering the skin and muscles cause shortness of breath, suffocation, lockjaw (trismus), and dry lips. Although bleeding may stop, abdominal distension occurs, rendering the patient unable to speak. If the person appears intoxicated, it is difficult to treat. However, if stasis blood (blood stagnation) is expelled immediately, the wound feels warm and hot, and the patient can open their mouth and speak, then it is treatable. Chao Yuan-fang discussed three types of poisoned arrows in his work *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases). The first type involves people in Lingnan using scorched copper for arrowheads. The second type, found north of the岭 (mountain range), uses juice from substances bitten by venomous snakes, which is placed in tubes to soak the arrowheads. The third type involves treating arrowheads with specific drugs. Injuries caused by these three methods are not easy to treat; only urgent consumption of fecal juice can counteract the toxicity. If treatment is delayed even slightly, the toxic qi will penetrate deeply, making rescue impossible.
To treat poisoned arrow injuries and detoxify: Lan Zi San Formula
Isatidis Radix (Banlangen, 5 he, used raw) Cimicifugae Rhizoma (Shengma) Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried) Spermacoceae Herba (Wangbuliuxing) (each 4 liang)
The above four ingredients are crushed, sifted, and made into a powder. Each dose consists of two qianbi (a small measuring spoon), taken with warm water, at any time. Administer three times daily. Additionally, mix a small amount of powder with water and apply it topically to the wound.
To treat arrowheads or poison remaining inside the body without being expelled: Ban Xia San Formula
Pinelliae Rhizoma (Banxia, 3 liang, soaked for three days in juice extracted from 3 jin of Zingiberis Rhizoma Recens [Shengjiang]) Ampelopsis Radix (Bailian) (3 liang)
The above two ingredients are stir-fried together, ground into powder. Each dose is one qianbi, taken with wine, three times during the day and once at night, at any time. For superficial wounds, expulsion occurs within ten days; for deep wounds, within twenty days.
To treat arrowheads or poison lodged in various parts of the body without being expelled: Mudan Pi San Formula
Moutan Cortex (Mudanpi, prepared as powder constituting two parts) Halitum (Baigan) (0.5 liang)
The above two ingredients are ground together uniformly into a powder. Each dose is two qianbi, taken with warm wine, three times daily. The arrowhead will gradually be expelled naturally.
To treat wounds from metal blades or arrowheads, avoid wind, regenerate tendons and bones, and stop bleeding: Duanshi Fufang (Calcined Iron Ore Poultice)
Fenghua Duanshi (Weathered Calcined Iron Ore, fine powder, 3 liang) Fresh leaves of Brassica campestris var. rapa (Sheng Dizhong Songmiao) Fresh flowers of Inulae Flos (Sheng Xuanfuhua) Fresh leaves of Puerariae Radix (Sheng Ge Ye) Fresh shoots of Artemisia annua (Sheng Qinghaomiao) Fresh shoots of Ophiopogonis Radix (Sheng Maidongmiao) (each 0.5 liang)
For the above six ingredients, excluding the calcined iron ore, crush and extract the juice. Mix with the calcined iron ore to form cakes, sun-dry, then crush and sift into a powder. Apply to the wound. This also stops bleeding and pain, protects against wind and cold. It is best prepared on the fifth day of the fifth lunar month.
To treat poisoned arrows: Beizi San Formula (to be ingested)
Concha Arcae (Beizi)
The above single ingredient is crushed, sifted, and made into powder. Each dose is one qianbi, taken with warm wine, at any time, three to four times daily. This formula is also excellent for treating poisoning.
To treat poisoned arrows: Gan Jiang San Formula
Zingiberis Rhizoma (Ganjiang, powdered) Sal (Yan)
Mix the above two ingredients in equal proportions, grind them together uniformly, and apply topically to the wound. The toxin will be expelled naturally.
To treat injuries from poisoned arrows causing severe restlessness and near-death state: Mashu Zhi Fang (Hemp Seed Juice Drink)
Cannabis Fructus (Damaizi, 3 sheng)
The above single ingredient is crushed to extract natural juice. Each dose is approximately half a zhan (cup), administered twice daily.
To treat poisoned arrows: Xionghuang Fuchuang Fang (Realgar Wound Poultice)
Xionghuang (Realgar)
The above single ingredient is crushed and ground into fine powder. Apply to the wound four to five times daily. Healing occurs when exudate appears. This is also effective for snakebite wounds.
Another Formula
Extract natural juice from Phragmitis Rhizoma (Lugen). Each dose is approximately half a zhan, taken twice during the day and once at night. Another method suggests drinking Lotus Root Juice (Ou Zhi); the more, the better.
To treat poisoned arrows: Gancao Yin Fang (Licorice Decoction)
Glycyrrhizae Radix et Rhizoma (Gancao, 3 liang)
The above single ingredient is finely chopped. Boil in two sheng of water until reduced to one sheng, then strain to obtain juice. Each dose is one small zhan, taken warm, three times daily. Also, pour the remaining liquid over the wound.
To treat poisoned arrows: Shengjiang Yin Fang (Fresh Ginger Decoction)
Zingiberis Rhizoma Recens (Shengjiang, 0.5 jin, sliced)
The above single ingredient is ground into a paste to extract natural juice. Each dose is half a zhan (five fen). If symptoms persist, administer another dose.
To treat poisoned arrows: Xuanfu Gen San Formula (Inula Root Powder)
Inulae Radix (Xuanfu Gen, quantity as needed)
The above single ingredient is crushed, sifted, and made into powder. Each dose is two qianbi, taken with warm wine, three times daily, at any time. Also apply topically into the wound. If roots or flowers are unavailable, seeds may be used.
To treat poisoned arrows: Dilong San Formula
Excrement of Earthworms (Dilong Fen)
The above single ingredient is ground into powder. Take one qianbi mixed with boiled water, three times daily, at any time.
To treat drug-poisoned arrowheads lodged in various parts of the body without being expelled: Xionghuang San Formula
Xionghuang (Realgar, finely ground, 1 fen) Fen Shuang (Calomelas, ground, 0.5 liang) Scarabaeus (Qianglang, four pieces, ground, used raw) Semen Crotonis (Badou, three kernels, husked, ground separately into a paste, used raw)
The above four ingredients are ground together into a powder. Use the tip of a chopstick to take cow's milk, applying it frequently to the wound. After seven days, the wound will become hot, and the arrowhead will be expelled naturally.