病源蛊是合聚蛊蛇之类，以器皿盛之，任其相啖食，余一存者名为蛊，能害人，食人腑
脏，其状心切痛如被物啮或硬面目青黄，病变无常，是先伤于膈上，则吐血也，不即治之，
食脏腑尽则死。（出第二十五卷中）
肘后疗中蛊毒，吐血或下血皆如烂肝方。
茜根 荷根（各三两）
上二味 咀，以水四升，煮取二升，去滓顿服即愈，又当自知蛊主姓名。（千金短剧崔
氏文仲备急古今录验同）
又方
巴豆（一枚去心皮熬） 豉（三粒） 釜底墨（方寸匕）
上三味捣，分作三丸，饮下一丸，须臾当下蛊毒，不下，更服一丸。（短剧必效集验文
仲备急范汪同并出第三卷中）
范汪疗中蛊吐血方。
麦面二升熬，以水服之令尽，当下蛊。
又方
苦瓠一枚，以水二升，煮取一升，分服，当吐蛊如虾蟆蝌蚪之类，苦瓠毒，可临时量
用之。（肘后千金短剧文仲备急古今录验同千金云苦瓠一分治下血）
又方
生桔梗捣取汁，服二三升，日三服，牛膝根亦得。（并出第十四卷中）
文仲疗中蛊吐血方。
羚羊皮（方三寸败鼓皮亦佳） 苦参 荷根（三两） 黄连（二两） 当归（二两）
上五味切，以水七升，煎取二升，分三服。（备急集验同一方有苦瓠）
又方
取桑木心锉一斛，于釜中以水淹之，令上有三寸，煮取二斗，澄取清，又微火煎得五升
，宿勿食，旦服五合，则吐蛊毒。（崔氏集验古今录验同）
又方
雄黄（研） 釜月下黄土 獭犴（炙各如枣） 斑蝥（十四枚去足翅熬）
上四味捣末，以酪浆服之，分为三四服，则吐虾蟆。（短剧同古今录验方有大黄如枣大
或吐虾蟆及蛇等物余同范汪同）
崔氏疗中蛊吐血方。
雄黄（研） 丹砂（研） 藜芦（炙各一两）
上三味捣筛为散，旦以井华水服一刀圭，当吐蛊毒。忌生血物狸肉。（肘后集验同）凡
蛊
有数
不有
易
亦
大
短剧疗中蛊，心痛吐血欲死方。
盐一升，淳苦酒一升煮，令消和，一服立吐蛊毒出，已用良验。（肘后文仲备急古今录
验同出第四卷中）
【背景信息】
书名：《外台秘要》 作者：王焘 朝代：唐·天宝十一年 章节：蛊吐血方一十首 类别：方剂
【原文翻译】
病源：蛊是由聚集蛇虫之类，放入器皿中，任凭它们互相吞食，最后剩下的一只便称为蛊。它能害人，吞噬人的脏腑。其症状表现为心部剧烈疼痛，如同被物体啃咬，或者面目呈现青黄色，病变无常。如果先损伤膈上部位，就会导致吐血；如果不立即治疗，待脏腑被吃尽就会死亡。（出自第二十五卷中）
《肘后备急方》治疗中蛊毒，吐血或下血都像烂肝一样的方子。
茜根、荷根（各三两）
以上两味药，切碎，用水四升，煮取二升，去渣后一次性服下即可痊愈，并且应当能知道蛊主的姓名。（《千金翼方》《崔氏纂要》《文仲备急方》《古今录验》相同）
又一方：
巴豆（一枚，去掉心皮并炒制）、豉（三粒）、釜底墨（一方寸匕）
以上三味药捣碎，分成三丸，用温水送服一丸，一会儿就会排出蛊毒；如果没排出来，再服一丸。（《短剧方》《必效方》《集验方》《文仲备急方》《范汪方》相同，均出自第三卷中）
范汪治疗中蛊吐血的方子。
麦面二升，炒熟，用水送服令其服尽，应当会排出蛊。
又一方：
苦瓠一枚，用水二升，煮取一升，分次服用，应当吐出像虾蟆蝌蚪之类的蛊毒。若苦瓠有毒，可临时酌情使用。（《肘后方》《千金方》《短剧方》《文仲备急方》《古今录验》相同，《千金方》记载苦瓠一分治疗下血）
又一方：
生桔梗捣取汁液，服用二三升，每日三次，牛膝根也可以。（均出自第十四卷中）
文仲治疗中蛊吐血的方子。
羚羊皮（方三寸，败鼓皮也很好）、苦参、荷根（三两）、黄连（二两）、当归（二两）
以上五味药切碎，用水七升，煎取二升，分三次服用。（《备急方》《集验方》同一方中有苦瓠）
又一方：
取桑木心锉成一斛，放在锅中用水淹没，让水面高出木材三寸，煮取二斗，澄清取清液，再用微火煎至五升，隔夜不进食，早晨服用五合，则会吐出蛊毒。（《崔氏方》《集验方》《古今录验》相同）
又一方：
雄黄（研末）、釜月下黄土、獭犴（炙烤，各如枣大小）、斑蝥（十四枚，去掉足翅并炒制）
以上四味药捣成粉末，用酪浆送服，分为三四次服用，则会吐出虾蟆。（《短剧方》相同，《古今录验方》有大黄如枣大，或者吐出虾蟆及蛇等物，其余同范汪方相同）
崔氏治疗中蛊吐血的方子。
雄黄（研末）、丹砂（研末）、藜芦（炙烤，各一两）
以上三味药捣筛为散，早晨用井华水（清晨第一次打的井水）服用一刀圭，应当吐出蛊毒。忌食生血之物和狸肉。（《肘后方》《集验方》相同）凡蛊……（此处原文残缺）
《短剧方》治疗中蛊，心痛吐血欲死的方子。
盐一升，纯苦酒一升一起煮，令其溶解混合，一次服用立刻吐出蛊毒，已经使用过且效果良好。（《肘后方》《文仲备急方》《备急方》《古今录验》相同，出自第四卷中）
[Background Information]
Book: *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Ten Formulas for Gu Poison Hematemesis
Category: Formula
[English Translation]
Etiology: "Gu" is created by gathering various snakes and insects into a vessel, allowing them to devour each other until only one remains; this survivor is called "Gu." It harms humans by consuming their internal organs. The symptoms include severe pain in the heart region, as if being bitten by an object, or a bluish-yellow discoloration of the face and eyes, with unpredictable variations in pathology. If it first injures the area above the diaphragm, it causes hematemesis (vomiting blood); if not treated immediately, death ensues when the internal organs are completely consumed. (From Volume 25)
*Zhouhou Beiji Fang* (Emergency Prescriptions from the Golden Cabinet) treats Gu poison where hematemesis or lower bleeding resembles rotten liver tissue.
*Qian Gen* (Radix Rubiae Millefolii), *He Gen* (Rhizoma Nelumbinis) (each 3 liang).
The above two herbs are cut into pieces, boiled in 4 sheng of water to reduce to 2 sheng. Strain and take all at once for immediate recovery. One will also come to know the name of the master who created the Gu. (Identical to *Qianjin Jianzhong*, *Cui Shi Wen*, *Wenzhong Beijifang*, *Gujin Luyuan*).
Another formula:
*Badou* (Seed Crotonis Tiglii, 1 seed, remove heart and skin, stir-fry), *Chi* (Folium Sojae Preparatum, 3 grains), *Fudi Mo* (Soot from the bottom of the cauldron, 1 fangcun bi).
The above three ingredients are pounded together and divided into three pills. Take one pill with warm water. Within a short time, the Gu poison should be expelled. If not expelled, take another pill. (Identical to *Duanju Fang*, *Bixiao Ji*, *Jiyan Fang*, *Wenzhong Beijifang*, *Fanwang Fang*, all from Volume 3).
Fan Wang's formula for treating Gu poison with hematemesis:
*Maifan* (Triticum aestivum flour, 2 sheng), stir-fried. Take with water until fully consumed. This should expel the Gu.
Another formula:
*Ku Hu* (Lagenaria siceraria var. bitter, 1 fruit). Boil in 2 sheng of water to obtain 1 sheng. Divide and take. This should cause vomiting up of the Gu, appearing like tadpoles of frogs/toads. If *Ku Hu* is toxic, use cautiously according to circumstances. (Identical to *Zhouhou Fang*, *Qianjin Fang*, *Duanju Fang*, *Wenzhong Beijifang*, *Gujin Luyuan*; *Qianjin Fang* notes *Ku Hu* 1 fen treats lower bleeding).
Another formula:
Fresh *Jiegeng* (Radix Platycodonis) is pounded to extract juice. Take 2-3 sheng, three times a day. *Niuxi* (Radix Achyranthis Bidentatae) root is also acceptable. (All from Volume 14).
Wenzhong's formula for treating Gu poison with hematemesis:
*Lingyang Pi* (Cornu Saigae Tataricae, square piece 3 cun; aged drum skin is also good), *Kushen* (Radix Sophorae Flavescentis), *He Gen* (Rhizoma Nelumbinis, 3 liang), *Huanglian* (Rhizoma Coptidis, 2 liang), *Danggui* (Radix Angelicae Sinensis, 2 liang).
The above five herbs are cut into pieces, boiled in 7 sheng of water to obtain 2 sheng. Divide into three doses. (*Beijifang* and *Jiyan Fang* share this formula but include *Ku Hu*).
Another formula:
Take the heartwood of mulberry wood, chop it to amount to 1 hu. Place in a cauldron and cover with water, ensuring the water level is 3 cun above the wood. Boil to obtain 2 dou. Clarify and take the clear liquid. Further simmer over low heat to reduce to 5 sheng. Fast overnight. In the morning, take 5 he. This will cause vomiting up of the Gu poison. (Identical to *Cui Shi Fang*, *Jiyan Fang*, *Gujin Luyuan*).
Another formula:
*Xionghuang* (Realgar, pulverized), *Fuyue Xia Huangtu* (Yellow earth from under the cauldron during the new moon), *Ta'an* (Liver of a wild dog/rabbit? Context implies animal part, roasted, size of a date), *Banmao* (Mylabris, 14 seeds, remove feet and wings, stir-fry).
The above four ingredients are pounded into powder. Take with whey/cheese liquid, divided into 3-4 doses. This will cause vomiting up of toads/frogs. (Identical to *Duanju Fang*; *Gujin Luyuan* adds *Dahuang* (Radix Rhei Palmati) size of a date, or vomiting up of toads, snakes, etc., otherwise same as Fan Wang's formula).
Cui Shi's formula for treating Gu poison with hematemesis:
*Xionghuang* (Realgar, pulverized), *Dansha* (Cinnabar, pulverized), *Lilu* (Radix Veratri Nigrī, roasted, each 1 liang).
The above three ingredients are pounded and sifted into a powder. In the morning, take 1 dao gui with *Jinghua Shui* (first drawn well water). This should expel the Gu poison. Avoid raw blood products and civet cat meat. (Identical to *Zhouhou Fang*, *Jiyan Fang*). Regarding Gu... [Text fragmentary].
*Duanju Fang* treats Gu poison causing heart pain and hematemesis nearing death:
Salt 1 sheng, pure vinegar (Ku Jiu) 1 sheng. Boil together until dissolved and mixed. Take once to immediately vomit up the Gu poison. Proven effective through prior use. (Identical to *Zhouhou Fang*, *Wenzhong Beijifang*, *Beijifang*, *Gujin Luyuan*, from Volume 4).