治蛊疰,四肢浮肿,肌肤消索,咳逆腹大如水状,死后转易家人。一名蛊胀方。(《小
品》名雄黄丸。)
雄黄 巴豆 莽草 鬼臼(各四两) 蜈蚣(三枚)
上五味,为末,蜜和捣三千杵,丸如小豆,密封勿泄气,宿勿食,平旦空腹服一丸,一
炊久不知,更加一丸,当先下清水,次下虫长数寸,及下蛇,又下 鸡子或白如膏,下后作
葱豉粥补之,百种暖将息。
治中蛊毒,腹内坚如石,面目青黄,小便淋沥,病变无常处方。(《肘后》、《古今录验》
俱云∶用铁精、乌鸡肝和丸,如梧子,酒服三丸,日再。甚者不过十日。《千金》用后
汤,疑误。)
羊皮(方五寸) 犀角 芍药 牡丹 黄连(各一两) 荷(四两半) 栀子仁(七
枚)
上七味, 咀,以水九升,煮取三升,分三服。(葛氏、崔氏俱无牡丹、芍药、栀子,
有
治蛊毒百病,腹暴痛飞尸恶气肿方。
犀角(屑) 鬼臼(屑) 桂心(末) 羚羊角屑(各四钱匕) 天雄 莽草 真珠(即
丹砂)
雄黄(各一两) 贝子(五枚,烧) 蜈蚣(五节) 巴豆(五十枚) 麝香 射罔(各如
鸡子黄大
,一枚)
上十三味,为末,蜜丸如小豆,服一丸,日二,含咽,不知少增之。卒得腹满蜚尸,服
如大豆许二丸。若恶气肿,以苦酒和涂上,绛囊盛药系左臂,辟不祥鬼疰蛊毒。可以备急。
治蛊毒方∶
茜根 荷根(各三两)
上二味, 咀,以水四升,煮取二升,顿服。(《肘后》云∶治中蛊吐血,或下血如烂
肝者,自知蛊主姓名)。
又方 皮灰 乱发灰(各一方寸匕) 生麻子汁(五升) 桃根皮(向阳者) 槲树
背阴白
皮(各五两)
上五味,先煮桃根、槲皮取浓汁一升,和麻子汁、发灰等令匀,患人宿少食,旦服一大
升,须臾着盆中,以鸡翎 吐水中如牛涎犊胎,及诸虫并出。
又方 槲树背阴白皮一大握长五寸,水三升,煮取一升,空腹服即吐虫出,亦治中蛊
下血。
又方 皮灰水服方寸匕,亦出虫。
又方 大戟 斑蝥 五月五日桃白皮(各四分。《必效方》云∶取东引者火烘之。)
上三味,治下筛,旦空腹以水一钟,服八捻。用二指相着如开,顿服之。若指头相离取
药太过,恐能损人。(《肘后方》云∶服枣核大不瘥,十日更一服。《必效方》云∶服半方寸
匕
治蛇蛊方(蛇毒入菜果中,食之令人得病,名曰蛇蛊)∶
大豆末以酒渍,绞取汁,服半升。
治诸热毒或蛊毒,鼻中及口中出血,医所不治方∶
取人屎尖七枚烧作火色,置水中研之,顿服即愈,亦解百毒时气热病之毒,服极神验。
治蛊吐下血方∶
榉皮(广五寸,长一尺) 芦荻根(如足大趾,五寸。《短剧方》用蔷薇根)
上二味, 咀,以水二升,煮取一升,顿服,极下蛊。
治中蛊下血,日数十行者方∶
巴豆(二七枚) 芫青 藜芦 附子 矾石(各二分)
上五味,为末,别治巴豆,合和相得,以绵裹药如大豆许,纳下部中,日三瘥。
又方 苦瓠一枚,以水二升,煮取一升,稍稍服之,当下蛊及吐虾蟆,蝌蚪之状,一月
后乃尽。(《肘后方》云∶用苦酒二升煮。)
治疗蛊注病,症状表现为四肢浮肿,肌肤消瘦枯槁,咳嗽气逆,腹部胀大如水肿状,此病死后会传染给家人。又名蛊胀方。(《小品方》中称为雄黄丸。)
以上五味药,研成细末,用蜂蜜调和并捣击三千下,制成如小豆大小的药丸,密封保存以防漏气。服药前一夜不要进食,清晨空腹服用一丸,一顿饭的时间后若无感觉,再增加服用一丸。服药后应当先排出清水,接着排出数寸长的虫,以及蛇,随后可能排出像鸡蛋清或膏状物一样的东西。排出之后,食用葱豉粥来调养身体,注意保暖护理。
治疗中蛊毒,症状表现为腹内坚硬如石头,面目呈现青黄色,小便淋漓不畅,病情变化无常的处方。(《肘后备急方》和《古今录验》都记载:使用铁精、乌鸡肝和药丸,大小如梧桐子,酒送服三丸,每日两次。重症不超过十天即可痊愈。《备急千金要方》使用后面的汤剂,怀疑有误。)
羊皮(一方五寸)、犀角、芍药、牡丹、黄连(各一两),荷(四两半),栀子仁(七枚)。
以上七味药,切碎,用水九升,煮取三升,分三次服用。(葛氏、崔氏的方子中没有牡丹、芍药、栀子,有……)
犀角(锉屑)、鬼臼(锉屑)、桂心(粉末)、羚羊角屑(各四钱匕),天雄、莽草、真珠(即丹砂)、雄黄(各一两),贝子(五枚,烧制),蜈蚣(五节),巴豆(五十枚),麝香、射罔(各如鸡蛋黄大小,一枚)。
以上十三味药,研成细末,用蜂蜜制成如小豆大小的药丸,每次服用一丸,每日两次,含在口中咽下,若无感觉可稍微增加剂量。突然感到腹部胀满、飞尸作祟,服用如大豆大小的两丸。如果是恶气肿胀,用醋调和涂在患处,用红布袋盛装药物系在左臂上,以辟除不祥、鬼疰、蛊毒。可以备用急救。
治疗蛊毒的方子:
以上两味药,切碎,用水四升,煮取二升,一次性服用。(《肘后备急方》记载:治疗中蛊吐血,或者下血像烂肝一样的情况,患者能知道蛊主的姓名。)
又一方:皮灰、乱发灰(各一方寸匕),生麻子汁(五升),桃根皮(向阳生长的),槲树背阴面的白皮(各五两)。
以上五味药,先煮桃根、槲皮取得浓汁一升,与麻子汁、发灰等混合均匀,患者在头天晚上少吃一点,早晨服用一大升,不久后将药放入盆中,患者呕吐出的水像牛涎和牛犊胎一样,各种虫子一并排出。
又一方:槲树背阴面的白皮一大握长五寸,用水三升,煮取一升,空腹服用就会吐出虫子,也治疗中蛊下血。
又一方:皮灰用水送服一方寸匕,也能排出虫子。
又一方:大戟、斑蝥、五月五日采集的桃白皮(各四分。《必效方》记载:取向东生长的枝条上的皮,用火烘干。)
以上三味药,研磨过筛,早晨空腹用水一钟,服用八捻的药量。用药时用手指夹住药丸使其张开,一次性吞服。如果手指分开取药太多,恐怕会损伤人体。(《肘后方》记载:服用枣核大小的药量若不好转,十日后再次服用。《必效方》记载:服用半方寸匕……)
用酒浸泡大豆末,绞取汁液,服用半升。
取人粪尖端七枚烧至火色,放入水中研磨,一次性服用即愈,也能解除百毒、时气热病的毒素,服用极灵验。
榉皮(广五寸,长一尺),芦荻根(如足大趾大小,五寸。《短剧方》使用蔷薇根)。
以上两味药,切碎,用水二升,煮取一升,一次性服用,能强力排出蛊毒。
以上五味药,研成细末,单独处理巴豆,混合均匀,用棉布包裹药如大豆大小,纳入下部(肛门)中,每日三次,病愈为止。
又一方:苦瓠一枚,用水二升,煮取一升,慢慢服用,应当能排出蛊毒及吐出像虾蟆、蝌蚪形状的东西,一个月后才能排尽。(《肘后方》记载:用醋二升煮。)
To treat *Gu Zhu* (Gu infestation and transmission), characterized by edema of the four limbs, emaciation with dry skin, cough with counterflow qi, and abdominal distension resembling water swelling. This disease may transmit to family members after death. Also known as the formula for Gu distension. (Named *Xionghuang Wan* in *Xiaopin Fang*.)
*Xionghuang* (Realgar), *Badou* (Crotonis Fructus), *Mangcao* (Daphne Genkwa Flower), *Guijiu* (Podophylli Radix) (each 4 liang), *Wugong* (Centipedae Corpus) (3 specimens).
The above five herbs are ground into powder, mixed with honey, and pounded three thousand times. Form pills the size of small beans. Seal tightly to prevent leakage of qi. Do not eat at night before taking the medicine. In the morning on an empty stomach, take one pill. If there is no effect after the time it takes to cook a meal, increase the dose by one pill. After administration, clear fluid should be discharged first, followed by worms several inches long, then snakes, and subsequently substances resembling egg whites or paste. After discharge, nourish the body with scallion and fermented soybean porridge, and maintain warmth and care.
For treating internal Gu poison, where the abdomen is hard as stone, the face and eyes appear greenish-yellow, urination is dribbling and difficult, and the pathology changes unpredictably. (Both *Zhouhou Beiji Fang* and *Gujin Luyan* state: Use *Tiejing* (Iron filings) and liver of black hen mixed into pills the size of sophora seeds, taken with wine, three pills per dose, twice daily. For severe cases, recovery occurs within ten days. *Qianjin* uses the following decoction; this may be an error.)
Sheep skin (5 cun square), *Xijiao* (Rhinocerotis Cornu), *Shaoyao* (Paeoniae Radix Alba), *Mudanpi* (Moutan Cortex), *Huanglian* (Coptidis Rhizoma) (each 1 liang), *He* (Nelumbinis Nelumbo Leaf/Petiole) (4.5 liang), *Zhizi Ren* (Gardeniae Semen) (7 seeds).
The above seven herbs are cut into pieces, boiled in nine sheng of water until three sheng remain. Divide into three doses. (Ge Shi and Cui Shi's formulas do not contain *Mudanpi*, *Shaoyao*, or *Zhizi*, but have...)
For treating various diseases caused by Gu poison, sudden abdominal pain, flying corpse syndrome, evil qi, and swelling.
*Xijiao* (Rhinocerotis Cornu, shaved), *Guijiu* (Podophylli Radix, shaved), *Guixin* (Cinnamomi Ramulus Powder), *Lingyangjiao* (Saigae Tataricae Cornu, shaved) (each 4 qian bi), *Tianxiong* (Aconiti Lateralis Radix Preparata), *Mangcao* (Daphne Genkwa Flower), *Zhenzhu* (Cinnabaris, i.e., *Dansha*), *Xionghuang* (Realgar) (each 1 liang), *Beizi* (Concha Meretricis et Cyprinae) (5 shells, calcined), *Wugong* (Centipedae Corpus) (5 segments), *Badou* (Crotonis Fructus) (50 seeds), *Shexiang* (Moschus), *Shewang* (Aconiti Radix Preparata / Veratrum alkaloid preparation) (each the size of a chicken yolk, 1 piece).
The above thirteen herbs are ground into powder, mixed with honey to form pills the size of small beans. Take one pill twice daily, holding it in the mouth to swallow. If there is no effect, slightly increase the dose. For sudden abdominal fullness and flying corpse syndrome, take two pills the size of soybeans. If suffering from evil qi swelling, mix with vinegar and apply topically. Store the medicine in a crimson bag and tie it to the left arm to ward off inauspicious influences, ghostly afflictions, and Gu poison. Useful for emergency preparedness.
Formula for treating Gu poison:
*Qiangen* (Rubiae Cordifoliae Radix), *Hegen* (Nelumbinis Rhizomatis Nodus) (each 3 liang).
The above two herbs are cut into pieces, boiled in four sheng of water until two sheng remain. Take all at once. (*Zhouhou Beiji Fang* states: Treats hematemesis due to Gu poisoning, or bloody stool resembling rotten liver; the patient can know the name of the person who cast the Gu.)
Another formula: *Pi Hui* (Ash of leather), *Luancha Hui* (Ash of human hair) (each 1 fang cun bi), fresh juice of hemp seeds (5 sheng), peach root bark (from the sunny side), oak bark white layer (from the shady side) (each 5 liang).
The above five herbs: First boil peach root bark and oak bark to obtain one sheng of concentrated juice. Mix evenly with hemp seed juice and ash. The patient should eat lightly the night before. In the morning, take one large sheng. Soon after, vomit into a basin; the vomitus will resemble ox saliva and calf placenta, and all parasites will be expelled.
Another formula: Oak bark white layer from the shady side, a handful about 5 cun long. Boil in three sheng of water until one sheng remains. Take on an empty stomach to induce vomiting of parasites. Also treats Gu poisoning with bloody stool.
Another formula: Ash of leather taken with water, 1 fang cun bi, also expels parasites.
Another formula: *Daji* (Euphorbiae Pekinensis Radix), *Banmao* (Mylabris), peach white bark collected on the fifth day of the fifth lunar month (each 4 fen. *Bixiao Fang* states: Take bark from branches growing eastward and dry over fire.)
The above three herbs are ground and sifted. In the morning on an empty stomach, take eight "ni" (pinches) with one zhong of water. Hold the pill between two fingers to open it slightly before swallowing at once. If too much medicine is taken by separating the fingers, it may harm the person. (*Zhouhou Fang* states: If a date-pit sized dose does not work, administer again after ten days. *Bixiao Fang* states: Take half a fang cun bi...)
Formula for treating Snake Gu (Snake venom enters vegetables or fruits; ingestion causes illness, named Snake Gu):
Soak soybean powder in wine, squeeze out the juice, and take half a sheng.
Formula for treating various heat toxins or Gu poison causing bleeding from the nose and mouth, which physicians cannot cure:
Take seven tips of human feces, burn them until they turn fiery red, grind them in water, and take at once. It heals immediately. It also detoxifies hundred-toxins, seasonal epidemics, and heat diseases. Extremely effective.
Formula for treating Gu poison causing hematemesis and bloody stool:
*Jupi* (Zelkovae Cortex) (5 cun wide, 1 chi long), *Ludi Gen* (Phragmitis Rhizoma) (size of the big toe, 5 cun. *Duanju Fang* uses *Qiangwei Gen*).
The above two herbs are cut into pieces, boiled in two sheng of water until one sheng remains. Take at once. Strongly expels Gu poison.
Formula for treating internal Gu poisoning with bloody stool and frequent diarrhea (dozens of times a day):
*Badou* (Crotonis Fructus) (14 seeds), *Yuanqing* (Lyttae Corpus), *Lilu* (Veratri Radix), *Fuzi* (Aconiti Lateralis Radix Preparata), *Fanshi* (Alumen) (each 2 fen).
The above five herbs are ground into powder. Process *Badou* separately, then mix well. Wrap the medicine in cotton cloth like a soybean, insert into the lower orifice (anus), three times daily, until cured.
Another formula: One bitter melon (*Kuhu*), boil in two sheng of water until one sheng remains. Take gradually. It should expel Gu poison and cause vomiting of creatures resembling toads and tadpoles. Complete expulsion may take one month. (*Zhouhou Fang* states: Boil with two sheng of vinegar.)