江南有射工毒虫。一名短狐。一名蜮。常在山涧水内。此虫口内有横骨。状如弓弩。其
虫形正黑。状如大蜚。而有雌雄。雄者口边有两横角。角能屈伸。冬月并在土中蛰。其上气
蒸怵
时。
或如
张口
初
晡夕辄剧。寒热闷乱是也。始得三四日可治。急者七日皆死。缓者至二七日。远不过三七日
皆死。其中毒人。初未有疮。但恶风。寒热。或如针刺。及其成疮。初如豆粒黑子。或如火
烧。或如蠼 尿。皆肉有穿空。如大针孔也。其射工中人头面尤急。腰以上去人心近者。多
死。中人腰以下者。小宽。不治亦死。虽不死。皆百日内不可保瘥。又云。疮有数种。其一
中人疮正黑。如靥子状。周遍悉赤。衣被犯之。如有芒刺痛。其一种作疮久。即穿陷。或常
寒热。其一种如火炙人肉。烟起作疮。此者最急。数日杀人。其一种突起如石疖状。俱能杀
人
凡人入山行草中。常以腊月猪脂和盐。涂脚胫。及足指间趺上。乃着鞋。蛭及射工不得
着人也。
治射工毒肿生疮。甲香散方。
甲香 犀角屑 射干 木香 薰陆香 丁香 黄连 川升麻 鳖甲（涂醋炙令黄去裙
）
牡蛎（烧为粉） 羚羊角屑 甘草（炙微赤锉） 黄芩（以上各一两） 黄柏（一两锉） 吴
茱萸
（一分汤浸七遍焙干微炒）
上件药。捣细罗为散。中射工毒及诸毒。皆水服一钱。日三服。兼以鸡子白调散涂之。
良。
治射工中人。疮有三种。一种疮正黑如 子状。周遍悉赤。如有刺痛。一种作疮。
经久
射干（二两） 川升麻
上件药。锉。以水三大盏。煎至一盏。去滓。适寒温尽服。其滓敷于疮上。
又方。
犀角屑（二两） 川升麻（一两） 射干（一两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
又方。
上取生茱萸树茎叶一握。切断。去前后。余者熟捣。以水二盏。煮取一盏。去滓。顿服
之。
又方。
凡山中草木上。亦有此。着人则穿啮肌肤。行人肉中。浸淫 起。炙断其道即愈。
又方。
皂荚（一挺长一尺二寸者）
上捶碎。以醋一升。煎如饧。去滓。以敷疮上妙。
又方。
马齿苋（不限多少）
上捣绞取汁。饮一盏。又烂捣敷疮上。日四五度换之。
治射工中人。寒热。或发疮。偏在一处。有异于常。宜服此方。
上取赤苋并茎叶。捣绞取汁。一服三合。日四五服良。
治射工初未有疮。但恶寒 。及其成疮。似蠼 尿。亦似 疽方。
上取芥子捣令熟。醋和浓涂于疮上。半日其痛便止。
又方。
上取野狼牙叶。冬取根。捣之令熟。敷所中处。又饮四五合汁佳也。
治射工中人。寒热。或发疮方。
上取鬼臼叶一握。熟捣。纳一升醋中渍之。绞取汁。分三服。
治射工毒方。
上以胡葱烂捣。以拓疮上。灸十壮即瘥。
治射工中人。已有疮方。
上取蜈蚣大者一枚。烧之。捣罗为末。用醋和。以敷疮上。
治射工毒。若见身中有此种疮处。急治之方。
上急于疮周遭一寸。用艾作细条子围着。齐发火灸之。疮上亦可灸百壮良。
又方。\x
上取水浮走豉母虫一枚。置口中便愈。已死者皆起。此虫正黑。如大豆浮水相逐。中国
名豉母虫。令以白梅皮裹吞之。须臾即效。
江南地区有一种名为“射工”的毒虫。它又名“短狐”，又名为“蜮”。这种虫子常栖息在山涧的水中。它的口中有一根横骨，形状像弓弩。虫体呈正黑色，体型像大的飞虫，但有雌雄之分。雄性的口边有两根横角，角能够屈伸。冬季时，它们都潜伏在泥土中蛰伏。当气温上升、湿气蒸腾之时，它们便活跃起来。
被射工所伤的人，症状多在傍晚时分加重，表现为寒热交替、烦闷混乱。发病初起三四天内尚可治疗；病情急重的，七日内便会死亡；病情较缓的，至十四日（二七日）内死亡；最远不超过二十一日（三七日）也会死亡。
其中毒之人，起初并没有疮疡，只是怕风，伴有寒热，或者感觉如针刺般疼痛。等到疮疡形成后，起初像豆粒大小的黑点，或者像火烧过一样，或者像蠼螋尿（一种皮肤溃烂症），皮肤肌肉都有穿孔，如同大针孔一般。射工攻击人的头面部尤为危急，腰部以上离心脏近的，大多死亡。攻击腰部以下的，情况稍宽缓一些，但如果不治疗也会死亡。即使不死，在一百日内也不能保证痊愈。
又说，疮疡有几种类型：其一，中人疮色正黑，像酒靥（痣）的形状，周围全部发红，衣物触碰时，如有芒刺般刺痛。其二，形成的疮经久不愈，就会穿陷下去，或者经常伴有寒热。其三，像火烤人肉一样，冒烟形成疮疡，这种情况最为紧急，数日内即可杀人。其四，突起像石疖一样，这些都能杀人。
凡是进入山林草丛行走的人，常用腊月里的猪油和盐混合，涂抹在小腿和脚背脚趾之间，然后穿上鞋，这样水蛭和射工就不能叮咬人了。
治疗射工毒肿生疮的甲香散方：
甲香、犀角屑、射干、木香、薰陆香（乳香）、丁香、黄连、川升麻、鳖甲（涂醋炙令黄，去裙边）、牡蛎（烧成粉）、羚羊角屑、甘草（炙微赤，锉碎）、黄芩（以上各一两）、黄柏（一两，锉碎）、吴茱萸（一分，汤浸七遍，焙干，微炒）。
以上药物，捣细过罗成为散剂。被射工毒及其他毒物所伤，均用水送服一钱，每日三次服用。同时用鸡蛋清调和药散外涂，效果很好。
治疗射工伤人，疮有三种类型：一种疮色正黑如酒靥状，周围全红，如有刺痛；另一种疮经久不愈……（此处原文似乎有缺漏或排版错误，接下方药材）
射干（二两）、川升麻。
以上药物，锉碎。用水三大盏，煎至一盏，去渣滓。趁温热服尽。药渣敷在疮上。
以上药物，捣粗罗成为散剂。每次服四钱，用水一中盏，煎至六分，去渣滓，不拘时候温服。
又一方：
取生茱萸树的茎叶一把，切断，去掉前后部分，剩下的部分熟捣。用水二盏，煮取一盏，去渣滓，一次性服下。
又一方：
凡山中的草木上，也有这种毒虫附着，人接触后就会穿透啃食肌肤，在皮肉中穿行，导致浸淫性皮炎发作。用火灸断其路径即可痊愈。
又一方：
皂荚（一挺，长一尺二寸者）。
以上捶碎，用醋一升，煎至像饴糖那样粘稠，去渣滓，用来敷在疮上，效果极佳。
又一方：
马齿苋（不限多少）。
以上捣烂绞取汁液，饮用一盏。又将残渣烂捣敷在疮上，每日换四五次。
治疗射工伤人，出现寒热，或者发疮，偏在一处，与平常不同，宜服用此方。
以上取赤苋及其茎叶，捣烂绞取汁液。一次服三合，每日四五次，效果良好。
治疗射工初起尚未成疮，只是恶寒，以及成疮后，类似蠼螋尿，也类似痈疽的方子。
以上取芥子捣熟，用醋调成浓糊涂在疮上。半天后疼痛就会停止。
又一方：
以上取野狼牙叶，冬季取根，捣熟，敷在被咬处。再饮用四五合汁液更好。
治疗射工伤人，出现寒热，或者发疮的方子。
以上取鬼臼叶一把，熟捣，放入一升醋中浸泡，绞取汁液，分三次服用。
治疗射工伤人，已有疮疡的方子。
以上取大蜈蚣一条，烧焦，捣罗为末，用醋调和，敷在疮上。
治疗射工毒，如果见到身上有此种疮处，急于治疗的方子。
以上急于疮周围一寸处，用艾做成细条围着，齐发火灸之。疮上也可以灸一百壮，效果良好。
又一方：
以上取水浮走豉母虫一条，放入口中即愈。已死者也能复活。这种虫正黑色，像大豆一样浮在水面互相追逐，中国名叫豉母虫。现在用白梅皮包裹吞下，片刻即见效。
There is a poisonous insect in the Jiangnan region known as "Shegong" (Crossbowman). It is also called "Duanhu" (Short Fox) or "Yu" (Hidden One). This insect often inhabits mountain streams. Inside its mouth, there is a transverse bone shaped like a crossbow. The insect is jet black, resembling a large flying insect, and has male and female distinctions. Males have two transverse horns at the corners of their mouths, which can flex and extend. In winter, they hibernate buried in the soil. When the air becomes warm and humid, they become active.
Those bitten by Shegong experience worsening symptoms in the late afternoon, characterized by alternating chills and fever, and mental restlessness. If treated within three to four days of onset, it is curable; severe cases result in death within seven days; milder cases die within fourteen days; and the longest survival does not exceed twenty-one days.
Initially, the poisoned person has no visible sores but suffers from aversion to wind, chills and fever, or sensations like needle pricks. Once sores form, they initially appear as black spots the size of a bean, or look like burns, or resemble "Qusu" (a type of skin ulceration), with perforations in the flesh similar to large needle holes. Bites on the head and face are particularly critical; injuries above the waist, being closer to the heart, are mostly fatal. Injuries below the waist are slightly less severe, but without treatment, they are also fatal. Even if not fatal, recovery cannot be guaranteed within one hundred days.
It is said that there are several types of sores: First, the sore is jet black like a mole, surrounded by redness, causing sharp pain when touched by clothing. Second, long-standing sores may sink and perforate, often accompanied by chills and fever. Third, the sore resembles meat roasted by fire, emitting smoke, which is the most urgent type and can kill within a few days. Fourth, the sore protrudes like a hard boil; all these types can be fatal.
When entering mountains and grasslands, people traditionally mix lard from the twelfth lunar month with salt and apply it to the calves, dorsum of the feet, and between toes, then wear shoes, preventing leeches and Shegong from biting.
**Jiaxiang San Powder for Treating Sores Caused by Shegong Poisoning:**
Jiaxiang (Clam Shell), Xijiao (Rhinoceros Horn), Shexian (Belamcanda Rhizome), Muxiang (Aucklandia Root), Xunluxiang (Frankincense), Dingxiang (Clove), Huanglian (Coptis Rhizome), Chuan Shengma (Cimicifugae Rhizoma), Biejia (Tartar Testudinis Carapax et Plastrum - vinegar-processed, remove skirt), Musi (Ostreae Concha - calcined to powder), Lingyangjiao (Saiga Antelope Horn), Gancao (Licorice Root - honey-processed, chopped), Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark - chopped), Wuzhuyu (Evodia Fruit - soaked in water seven times, dried, lightly fried).
Grind the above herbs into a fine powder. For poisoning by Shegong or other toxins, take 1 qian with water, three times daily. Additionally, mix the powder with egg white and apply externally for good effect.
**For Three Types of Sores from Shegong Bites:**
Shexian (2 liang), Chuan Shengma.
Chop the herbs. Decoct in 3 jin of water until reduced to 1 jin. Strain and drink while warm. Apply the residue to the sore.
**Another Prescription:**
Xijiao (2 liang), Chuan Shengma (1 liang), Shexian (1 liang).
Coarsely grind into powder. Take 4 qian per dose, decoct in 1 jin of water until reduced to 0.6 jin. Strain and take warm at any time.
**Another Prescription:**
Take a handful of fresh Eucommia stem and leaves, cut them, discard the ends, and thoroughly pound the remainder. Decoct in 2 jin of water until reduced to 1 jin. Strain and take in one dose.
**Another Prescription:**
This toxin also exists on mountain vegetation. Contact causes penetration and biting of the skin, spreading through the flesh leading to impetiginous dermatitis. Cauterizing the path with fire cures it.
**Another Prescription:**
Zaojiao (Gleditsia Sinensis Fruit - 1 pod, 1 chi 2 cun long).
Pound it, decoct in 1 sheng of vinegar until thick like syrup. Strain and apply to the sore. Excellent.
**Another Prescription:**
Machixian (Portulaca Oleracea).
Pound and squeeze out the juice. Drink 1 jin. Also, pound the residue and apply to the sore, changing 4-5 times daily.
**For Shegong Bites with Chills, Fever, or Localized Sores:**
Take Amaranthus tricolor (Chi Xian) and its stems/leaves. Pound and squeeze out the juice. Take 3 he per dose, 4-5 times daily. Good effect.
**For Early Stage Shegong Poisoning (No Sore Yet, Aversion to Cold) or Later Stage (Sore Resembling Qusu or Carbuncle):**
Pound Mustard Seed (Jiezi) thoroughly. Mix with vinegar to form a thick paste and apply to the sore. Pain stops within half a day.
**Another Prescription:**
Take Ye Langya (Wild Toothwort) leaves, or roots in winter. Pound thoroughly and apply to the bite site. Drinking 4-5 he of the juice is also beneficial.
**For Shegong Bites with Chills, Fever, or Sores:**
Take Guibai (Podophylli Radix et Rhizoma) leaves, a handful. Pound thoroughly, soak in 1 sheng of vinegar, squeeze out the juice, and divide into three doses.
**Treatment for Shegong Poisoning:**
Pound Hucong (Allium fistulosum) thoroughly and apply to the sore. Moxibustion of 10 cones cures it.
**For Existing Sores from Shegong Bites:**
Take one large Centipede (Wugong), burn it, grind into powder, mix with vinegar, and apply to the sore.
**Urgent Treatment for Visible Sores:**
Around the perimeter of the sore (one cun away), place thin moxa sticks and ignite them simultaneously. Burning 100 cones directly on the sore is also effective.
**Another Prescription:**
Take one "Shimu Chong" (Vinegar Bean Mother Insect) floating on water. Place it in the mouth for immediate cure; even the dead revive. This insect is jet black, soybean-sized, floats on water chasing each other. Wrap it in dried white plum peel and swallow. Effect is seen shortly after.