千金太上五蛊丸，主百蛊吐血伤中，心腹结气，或坚气塞咽喉，语声不出，短气欲死，
饮食不下，吐逆上气，去来无常，状如鬼祟，身体浮肿，心闷烦疼寒战，梦与鬼交，狐狸作
魅，
雄黄（研） 椒目（熬） 巴豆（去心皮熬） 鬼臼 莽草（炙） 芫花（熬） 真
珠藜
芦（炙） 矾石（各四分烧） 獭肝（炙二分） 附子（炮去皮五分） 蜈蚣（三枚炙） 斑
蝥（三十
枚去翅足熬）
上十三味捣末，蜜和更捣一二千杵，每服如小豆一丸，余密封勿泄，十丸为一剂，如不
中病，后日增一丸，以下利为度，当下虫种种状貌，不可具载，下七日后将息，服一剂，三
十年
又方
酒服桔梗犀角末方寸匕，日三服，不能自服，揭口与药下，心中当烦，须臾自静，有顷
下，至七日止，当食猪脾以补之。（并出第二十五卷中）
崔氏疗五蛊毒方。
一曰蛇蛊，食中得之，咽中如有物，咽之不入，吐之不出，闷乱不得眠，心热不能食方
服马兜铃根，即吐出，又服麝香方寸匕，亦自消或吐出也。
二曰蜣螂蛊，得之胸中忽然，或哽入咽，怵怵如虫行，咳而有血方。
服獾肫脂即下，或吐或自消也。
三曰虾蟆蛊，得之心腹胀满，口干思水，不能食，闷乱大喘而气发方。
服车脂半升即出。
四曰蝌蚪蛊，同上疗法甚验。
五曰草蛊，术在西凉以西及岭南人多行此毒，入人咽，刺痛求死方。
服甘草蓝汁即自消。
又方
五蛊共一法疗之，但取产妇胎衣切之，曝干为散，水和服半钱匕，五毒自消。
又方
含升麻咽汁。
又方
五蛊都服马兜铃苗，似萝 草形正直上，取鸡子大，捣为散，服半钱匕，或至一匕，五
蛊毒之病多在喉中，常须记之，或小医不识此病，言胃冷蛔动，或浪称是注，灸刺浪服诸药
，枉死也，此由医生未经历故也，宜令审别之。（并出第三卷中）
古今录验五蛊汤方。
犀角（三两） 荷根 黄连 缝草 当归（各二两） 羚羊皮（方二寸炙）
上六味切，以水七升，煮取二升，分为三服。
又五蛊下利去膏血，赤 丸方
芫花（一升） 巴豆（一百枚） 赤 （方圆一寸）
上三味捣筛，以蜜为丸，更捣，丸如胡豆，服一丸，如下利不止，以清粥汁止之，不下
，小增之，欲令阴除，不令大下。（范汪同并出第四十五卷中）
千金方中的太上五蛊丸，主治各种蛊毒引起的吐血、损伤中气，心腹部气机郁结，或者坚硬之气阻塞咽喉，导致声音发不出，呼吸短促近乎死亡，饮食无法咽下，呕吐逆气上冲，发作时间没有规律，症状像被鬼怪作祟，身体浮肿，心中烦闷疼痛并伴有寒战，梦中与鬼交合，狐狸精作祟。
药材：雄黄（研磨）、椒目（炒制）、巴豆（去心皮后炒制）、鬼臼、莽草（炙烤）、芫花（炒制）、真珠藜芦（炙烤）、矾石（各四分，烧制）、獭肝（炙烤二分）、附子（炮制，去皮，五分）、蜈蚣（三枚，炙烤）、斑蝥（三十枚，去翅足后炒制）。
以上十三味药捣成粉末，用蜂蜜调和后再捣一二千杵，每次服用如小豆大小的一丸，其余药物要密封保存以防漏气，十丸为一剂。如果服药后病未愈，第二天增加一丸的剂量，以下泻为限度，此时会排出各种形态的虫子，无法一一记载。排虫七日后进行调养，再服一剂，可治三十年之疾。
又一方：用酒送服桔梗和犀角的细末，用量为一方寸匕，每日三次服用。如果不能自行服用，撬开嘴巴给药，服药后心中应当感到烦闷，片刻后自然平静，不久后会排泄出来，连续服用至第七天停止，之后应当吃猪脾脏来补益身体。（均出自《千金方》第二十五卷）
第一种叫蛇蛊，是在食物中获得的，感觉咽喉中有异物，吞咽不下去，吐不出来，心烦意乱无法入睡，心中发热不能进食。方剂：服用马兜铃根，即可吐出；再服用麝香一方寸匕，也能自行消除或吐出。
第二种叫蜣螂蛊，得病时胸中突然不适，有时哽塞入咽喉，惊恐不安如同虫行，咳嗽且带血。方剂：服用獾的胃脂即可下行，或者吐出或自行消除。
第三种叫虾蟆蛊，得病时心腹胀满，口干想喝水，不能进食，心烦意乱严重喘息且气机上逆。方剂：服用车脂半升即可排出。
第四种叫蝌蚪蛊，治疗方法同上，效果非常显著。
第五种叫草蛊，在西凉以西及岭南地区的人多施行这种毒害，进入人的咽喉，刺痛难忍求死不得。方剂：服用甘草蓝汁即可自行消除。
又一方：五种蛊毒共用一种方法治疗，只需取产妇的胎衣切碎，晒干研为散剂，用水调服半钱匕，五种毒邪自然消除。
又一方：含服升麻，咽下其汁液。
又一方：五种蛊毒都服用马兜铃苗，其形状像萝藦草一样正直向上生长，取鸡蛋大小的量，捣碎研为散剂，服用半钱匕，或者增至一方寸匕。五种蛊毒之病多在喉中，必须牢记这一点。有些医生不认识此病，说是胃冷蛔虫蠕动，或者胡乱称为“注”病，盲目施灸针刺、乱服诸药，会导致枉死，这都是因为医生缺乏经历的缘故，应该仔细辨别。（均出自第三卷）
古今录验五蛊汤方。
药材：犀角（三两）、荷根、黄连、缝草、当归（各二两）、羚羊皮（方形二寸，炙烤）。
以上六味药切碎，用水七升，煮取二升药液，分三次服用。
以上三味药捣碎过筛，用蜜制成丸药，再捣匀，丸药大小如胡豆，服用一丸。如果腹泻不止，用清米汤止泻；如果不排便，稍微增加剂量，目的是清除阴邪，不要造成剧烈腹泻。（范汪的观点相同，均出自第四十五卷）
The Taishang Wugu Pill from the Qianjin Fang (Essential Prescriptions Worth a Thousand Gold) is indicated for various Gu poison-induced hematemesis, damage to the Middle Jiao (Middle Burner), Qi stagnation in the heart and abdomen, or hard Qi obstructing the throat leading to aphonia, shortness of breath approaching death, inability to swallow food, vomiting with rebellious Qi rising, irregular onset of symptoms resembling ghostly possession, bodily edema, chest oppression with painful heat and chills, dreams of sexual intercourse with ghosts, and魅 (malevolent spirits) such as foxes.
Herbs: Xionghuang (Realgar, 雄黄) (ground); Jiaomu (Sichuan Pepper Seed, 椒目) (stir-fried); Badou (Croton Seed, 巴豆) (decoreated, skin removed, stir-fried); Guijiu (Podophyllum Rhizome, 鬼臼); Mangcao (Dichroa Root, 莽草) (roasted); Yuanhua (Genkwa Flower, 芫花) (stir-fried); Zhenzhu Lilu (Veratrum Nigrum, 真珠藜芦) (roasted); Fanshi (Alumen, 矾石) (each 4 fen, calcined); Tagan (Rabbit Liver, 獭肝) (roasted, 2 fen); Fuzi (Prepared Aconite Root, 附子) (processed, peeled, 5 fen); Wugong (Centipede, 蜈蚣) (3 pieces, roasted); Banmao (Mylabris, 斑蝥) (30 pieces, wings and feet removed, stir-fried).
The above thirteen herbs are pounded into powder, mixed with honey, and pounded again for one to two thousand strokes. Each dose consists of one pill the size of a small bean. The remainder must be sealed tightly to prevent leakage. Ten pills constitute one course. If the disease does not subside, increase the dose by one pill on subsequent days, stopping when diarrhea occurs. Various forms of parasites will be expelled, which cannot be fully described. After seven days of expulsion, rest and recuperate, then take one course; this can treat diseases lasting thirty years.
Another prescription: Take fine powder of Jiegeng (Platycodon Root, 桔梗) and Xijiao (Rhino Horn, 犀角), one fangcun bi (square-inch spoonful) each, taken with wine, three times daily. If the patient cannot swallow themselves, pry open the mouth to administer the medicine. There should be some mental agitation initially, which will subside spontaneously after a moment. Defecation will occur shortly after. Continue until the seventh day, then stop. Afterwards, consume pig spleen to tonify the body. (All from Volume 25 of Qianjin Fang)
Cui Shi’s method for treating Five Gu Poisons.
First is She Gu (Snake Gu). It is contracted through food. The patient feels as if there is an object in the throat that cannot be swallowed or spit out, accompanied by mental confusion and insomnia, and internal heat preventing eating. Prescription: Take Genus Aristolochiae Radix et Rhizoma (Maguanling Gen, 马兜铃根), which will induce vomiting. Then take Moschus (Shexiang, 麝香), one fangcun bi, which will also resolve the condition or induce vomiting.
Second is Qianglang Gu (Dung Beetle Gu). Onset is sudden in the chest, sometimes blocking the throat, causing fear and anxiety as if insects are crawling, with coughing up blood. Prescription: Take Meles Meles stomach fat (Huan Zhun Zhi, 獾肫脂), which will cause downward movement, or induce vomiting or spontaneous resolution.
Third is Xiaha Gu (Toad Gu). Symptoms include abdominal distension and fullness, dry mouth with desire for water, inability to eat, severe mental confusion, great panting, and rebellious Qi. Prescription: Take Che Zhi (Cartilage/Fat from a cart? Note: Text says 'Che Zhi', likely referring to animal fat or specific secretion, literal translation 'Cart Fat' or 'Vehicle Fat' - context implies animal product, often interpreted as fat from a specific animal or vehicle-related term in ancient texts, here translated literally as Cart Fat/Animal Fat based on 'Che'), half sheng, which will expel the pathogen.
Fourth is Ketou Gu (Tadpole Gu). Treatment is the same as above, with very effective results.
Fifth is Cao Gu (Grass Gu). This poison is commonly practiced in regions west of Xiliang and in Lingnan. It enters the throat, causing stabbing pain so severe the patient wishes for death. Prescription: Take Gancao (Licorice Root, 甘草) juice mixed with Lan (Isatis Leaf, 蓝汁), which will resolve spontaneously.
Another prescription: Treat all five Gu poisons with one method. Take the placenta of a parturient woman, cut it, dry it in the sun, and powder it. Mix with water and take half a qian bi. The five toxins will naturally dissipate.
Another prescription: Hold Shengma (Cimicifuga Rhizome, 升麻) in the mouth and swallow the juice.
Another prescription: For all five Gu poisons, take Ma Dou Ling Miao (Aristolochia Herb/Marrow, 马兜铃苗), which grows straight upward like Luomao grass. Take an amount the size of a chicken egg, pound into powder, and take half a qian bi, or up to one fangcun bi. The pathology of the five Gu poisons is mostly located in the throat; this must be remembered. Some physicians do not recognize this disease, attributing it to cold stomach and moving roundworms, or recklessly calling it "Zhu" (infectious disease), and blindly applying moxibustion, acupuncture, and administering various drugs, leading to wrongful death. This is due to the physician's lack of experience. Careful differentiation is required. (All from Volume 3)
Jingu Luyian Wugu Tang Prescription.
Herbs: Xijiao (Rhino Horn, 犀角) (3 liang); He Gen (Lotus Root, 荷根); Huanglian (Coptis Rhizome, 黄连); Feng Cao (Stitchwort Herb, 缝草); Danggui (Angelica Sinensis Root, 当归) (each 2 liang); Lingyangpi (Antelope Horn Shell, 羚羊皮) (2 square cun, roasted).
The above six herbs are sliced. Boil in 7 sheng of water to obtain 2 sheng of decoction. Divide into three doses.
Another prescription for Wugu with diarrhea and expulsion of fatty blood: Hong Wan (Red Pill).
Herbs: Yuanhua (Genkwa Flower, 芫花) (1 sheng); Badou (Croton Seed, 巴豆) (100 pieces); Chishi (Red Halloysite, 赤石脂) (1 square cun in diameter).
The above three herbs are pounded and sifted, formed into pills with honey, and pounded again. Shape the pills like broad beans. Take one pill. If diarrhea persists, stop it with clear rice gruel. If no bowel movement occurs, slightly increase the dose. The aim is to eliminate Yin pathogens without causing severe purgation. (Fan Wang agrees; all from Volume 45)