夫蛊害人。蚀腑脏。其状。心中切痛。如物啮。或面目青黄。病变无常。是先伤于膈上
。则吐血也。不即治之。蚀脏腑伤则死矣。
治中蛊毒吐血。雄黄散方。
雄黄（一分细研） 釜下黄土（半两细研） 獭肝（如枣大微炙） 斑蝥（十匹枚糯米
拌炒令
黄色去翅足）
上件药。捣细罗为散。每服空腹。以酪浆调下二钱。或吐虾蟆及蛇等出。即瘥。
又方。
败鼓皮（三寸炙微焦） 苦参（一两锉） 荷根（一两）
上件药。捣粗罗为散。分为四服。每服。以水一大盏。煎至五分。去滓。不计时候温服
。日二服。
治蛊毒吐血。或下血如烂肝。宜服此方。
茜草根（半升） 荷根（半升）
上件药。细锉。以水三大盏。煎至一盏半。去滓。空腹分温三钱服。
又方。
苦瓠一枚切
上以水一（二）大盏。煎去滓。取一盏。空腹分温二服。当吐下蛊即效。
治中蛊吐血方。
小麦面二合。分为三服。以冷水调服之。半日令尽。当下蛊即瘥。
又方。
取桑木心。锉二斗。于釜中。以水五斗淹之。令上水深三寸。煮取二斗。澄清。微火煎
得五升。夜勿食。旦服五合。则吐出蛊毒即瘥。
治中蛊吐血方。
生桔梗捣取汁。每服一小盏。日三服。
夫蛊者。能变化为毒。有蓄事者。以毒害人。多因饮食内行。人中之者。心腹燥痛。烦
毒不可忍。蚀人五脏。下血瘀黑如烂鸡肝也。
治蛊毒下血。皆如烂肉。令人心腹 痛。如有物啮。若不即治。蚀人五脏乃死遍。
宜服
槲树北阴白皮（四两） 桃根白皮（四两） 皮灰（一两） 乱发灰（一两） 大麻
子汁（五
升）
上件药。先以水五大盏。煮槲树皮桃根皮。取浓汁二盏。和麻子汁。每服。暖汁一中盏
。调
及诸
治中蛊。下血如鸭肝。腹中 痛。急者。宜服茜根散方。
茜根（一两） 川升麻（一两） 犀角屑（一两） 地榆（二两锉） 白 荷（二两）
桔梗（半
两去芦头） 黄柏（半两锉） 黄芩（半两）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治蛊下血欲死。宜服此方。
蔷薇根（一两锉） 牛膝（半两去苗） 连翘子（一两） 蜡（一分）
上件药。捣筛。以水三大盏。煎至二盏。去滓。不计时候。分为三服。
治蛊毒腹痛下血。踯躅花散方。
踯躅花（一两酒拌炒令干） 干姜（一分炮裂锉） 藜芦（一分去芦头） 附子（一分
炮裂去
皮脐） 巴豆（一分去皮心研纸裹压去油） 野葛根皮（一分） 桂心（一分） 朱砂（一
分细研）
雄黄（一
上件药。捣细罗为散。每服空腹。以冷水调下一字。
治蛊毒。大便下血。日数十行。宜用此方。
巴豆（七枚去心皮研纸裹压去油） 藜芦（去芦头） 附子（炮裂去皮脐） 芫青（糯
米拌炒
令微黄去翅足） 白矾（烧令汁尽） 以上各二（一）分
上件药。捣细罗为散。以绵裹一大豆许。纳下部中。日二三度易之。
治蛊毒下血方。
皮（烧为灰）
上细研。以煎水调下二钱。日三服。
治卒中蛊毒。下血如鸡肝。昼夜不止。四脏悉损。唯心未毁。宜服此方。\x
桔梗（去芦头） 伏龙肝 以上等分
上捣细罗为散。每服。以温酒调下二钱。日三服。不能下药。以物发口开灌之。心中当
须臾自定。服七日止。当食猪肝 以补之。
蛊毒危害人体，侵蚀脏腑。其症状表现为心中剧烈疼痛，如同被物体啃咬；或者面目呈现青黄色，病情变化无常。这是因为病邪先损伤了膈上部位，从而导致吐血。如果不立即治疗，侵蚀脏腑造成严重损伤就会死亡。
治疗中蛊毒吐血的雄黄散方：
雄黄（一分，细研） 釜下黄土（半两，细研） 獭肝（如枣大小，微炙） 斑蝥（十枚，与糯米拌炒至黄色，去翅足）
以上药材，捣碎过细罗成为散剂。每次空腹服用，用酪浆调服二钱。如果吐出蛤蟆及蛇等物，病即痊愈。
又一方：
败鼓皮（三寸，炙微焦） 苦参（一两，锉） 荷根（一两）
以上药材，捣碎过粗罗成为散剂。分为四次服用。每次用水一大盏，煎至五分，去渣。不限时候温服，每日两次。
治疗蛊毒吐血，或下血像烂肝一样，适宜服用此方：
茜草根（半升） 荷根（半升）
以上药材，细锉。用水三大盏，煎至一盏半，去渣。空腹分三次温服，每次三钱。
又一方：
苦瓠一枚，切
用水一（二）大盏，煎煮去渣，取一盏。空腹分两次温服。应当吐出、泻下蛊毒即见效。
治疗中蛊吐血的方子：
小麦面二合，分为三次服用。用冷水调服。半日内服完。当下出蛊毒即痊愈。
又一方：
取桑木心，锉成二斗。放入釜中，用水五斗浸泡，使水面高出木材三寸。煮取二斗，澄清。用微火煎至五升。晚上不要进食，早晨服用五合，则吐出蛊毒即痊愈。
治疗中蛊吐血的方子：
生桔梗捣取汁。每次服用一小盏，每日三次。
蛊毒能够变化为毒，有蓄积之事者，以毒害人。多因饮食进入体内，人感染后，心腹干燥疼痛，烦热毒痛不可忍受，侵蚀人的五脏，下血瘀黑像烂鸡肝一样。
治疗蛊毒下血，都像烂肉一样，令人心腹疼痛，如有物体啃咬。如果不立即治疗，侵蚀人的五脏就会死亡。
适宜服用：
槲树北阴白皮（四两） 桃根白皮（四两） 皮灰（一两） 乱发灰（一两） 大麻子汁（五升）
以上药材，先用水五大盏，煮槲树皮和桃根皮，取浓汁二盏，混合麻子汁。每次服用，暖汁一中盏，调和诸药（原文此处似有缺漏，依文意译为调和服用）。
治疗中蛊，下血像鸭肝，腹中疼痛。急症者，适宜服用茜根散方：
茜根（一两） 川升麻（一两） 犀角屑（一两） 地榆（二两，锉） 白荷（二两） 桔梗（半两，去芦头） 黄柏（半两，锉） 黄芩（半两）
以上药材，捣碎过粗罗成为散剂。每次服用五钱，用水一大盏，煎至五分，去渣。不限时候温服。
治疗蛊下血欲死，适宜服用此方：
蔷薇根（一两，锉） 牛膝（半两，去苗） 连翘子（一两） 蜡（一分）
以上药材，捣筛。用水三大盏，煎至二盏，去渣。不限时候，分为三次服用。
治疗蛊毒腹痛下血，踯躅花散方：
踯躅花（一两，酒拌炒令干） 干姜（一分，炮裂锉） 藜芦（一分，去芦头） 附子（一分，炮裂去皮脐） 巴豆（一分，去皮心研纸裹压去油） 野葛根皮（一分） 桂心（一分） 朱砂（一分，细研） 雄黄（一分，细研）
以上药材，捣碎过细罗成为散剂。每次空腹，用冷水调服一字量。
治疗蛊毒，大便下血，每天数十次，适宜用此方：
巴豆（七枚，去心皮研纸裹压去油） 藜芦（去芦头） 附子（炮裂去皮脐） 芫青（糯米拌炒令微黄，去翅足） 白矾（烧令汁尽） 以上各二（一）分
以上药材，捣碎过细罗成为散剂。用棉包裹如大豆许大，纳入下部（肛门）中，每天二三次更换。
治疗蛊毒下血方：
皮（烧为灰）
以上细研。用煎水调服二钱，每日三次。
治疗卒中蛊毒，下血像鸡肝，昼夜不止，四脏悉损，唯心未毁，适宜服用此方：
桔梗（去芦头） 伏龙肝 以上等分
以上捣碎过细罗成为散剂。每次服用，用温酒调服二钱，每日三次。不能服药的，用物品撬开嘴灌入。心中应当须臾自定。服药七日停止。应当吃猪肝来补益。
Gu poison harms the human body, eroding the fu and zang organs. Its manifestations include severe pain in the heart region, as if being bitten by an object; or a bluish-yellow complexion of the face and eyes, with unpredictable changes in the condition. This is because the pathogenic factor first injures the area above the diaphragm, leading to hematemesis (vomiting blood). If not treated immediately, the erosion of the zang and fu organs will result in death.
Prescription for treating hematemesis caused by gu poisoning: Xionghuang San (Realgar Powder)
Xionghuang (Realgar, *Arsenicum Rubrum*) (1 fen, finely ground)
Fuxia Huangtu (Yellow earth from under the cooking pot) (0.5 liang, finely ground)
Tagan (Liver of the American Badger, *Taxidea taxus*) (Size of a date, slightly roasted)
Banmao (Blister Beetle, *Mylabris phalerata*) (10 pieces, stir-fried with glutinous rice until yellow, wings and feet removed)
The above ingredients are crushed and passed through a fine sieve to make a powder. Each dose is taken on an empty stomach, mixed with buttermilk and administered orally (2 qian). If toads or snakes are vomited out, the disease will be cured.
Another prescription:
Baigupi (Aged drum skin, *Dermis taboris*) (3 cun, roasted until slightly scorched)
Kushen (Sophora Root, *Sophorae Flavescentis Radix*) (1 liang, sliced)
Hegen (Lotus Root, *Nelumbinis Rhizoma*) (1 liang)
The above ingredients are crushed and passed through a coarse sieve to make a powder. Divided into four doses. For each dose, decoct with one large bowl of water until reduced to two-fifths of the original volume. Strain the dregs. Take warm, regardless of meal times, twice daily.
For treating gu poisoning with hematemesis, or lower gastrointestinal bleeding resembling rotten liver tissue, this prescription is suitable:
Qiancaogen (Rubia Root, *Rubiae Cordifoliae Radix et Rhizoma*) (0.5 sheng)
Hegen (Lotus Root, *Nelumbinis Rhizoma*) (0.5 sheng)
The above ingredients are finely sliced. Decoct with three large bowls of water until reduced to one and a half bowls. Strain the dregs. Take warm in three divided doses on an empty stomach, 3 qian per dose.
Another prescription:
Kuhu (Bitter Gourd, *Momordicae Fructus*) (one piece, sliced)
Decoct with one (or two) large bowls of water. Strain the dregs and obtain one bowl. Take warm in two divided doses on an empty stomach. Vomiting and purging the gu poison will yield efficacy.
Prescription for treating hematemesis due to gu poisoning:
Xiaomaimian (Wheat Flour, *Tritici Vulgaris Farina*) (2 he), divided into three doses. Mix with cold water and take orally. Finish within half a day. Purging the gu poison will lead to recovery.
Another prescription:
Take the heartwood of mulberry wood (*Mori Cortex* core), slice into two dou. Place in a pot, submerge with five dou of water, ensuring the water level is three cun above the wood. Boil down to two dou. Clarify the liquid. Simmer over low heat until reduced to five sheng. Do not eat at night. In the morning, take five he. Vomiting the gu poison will lead to recovery.
Prescription for treating hematemesis due to gu poisoning:
Fresh Jiegeng (Platycodon Root, *Platycodi Radix*), crush to extract juice. Take one small bowl per dose, three times daily.
Gu poison can transform into toxicity. Those who accumulate it use it to harm others. It often enters the body through diet. Upon infection, the patient experiences dryness and pain in the heart and abdomen, unbearable irritability and toxicity, erosion of the five zang organs, and lower gastrointestinal bleeding that is dark and clotted like rotten chicken liver.
For treating lower gastrointestinal bleeding due to gu poisoning, where the stool resembles rotten flesh, causing abdominal pain as if bitten by an object: If not treated immediately, erosion of the five zang organs will cause death.
Suitable prescription:
Hushu Bei Yin Bai Pi (White bark of Quercus variabilis growing on the north side of shade) (4 liang)
Taogen Bai Pi (White bark of Prunus persica root, *Pruni Persicae Radicis Cortex*) (4 liang)
Pihui (Ash of bark, unspecified species) (1 liang)
Luanfa Hui (Ash of human hair, *Capilli Humani Cinis*) (1 liang)
Damaizi Zhi (Juice of Cannabis seeds, *Cannabis Semen Expressum*) (5 sheng)
The above ingredients: First decoct the Quercus bark and Prunus root bark in five large bowls of water to obtain two bowls of concentrated juice. Mix with the hemp seed juice. Warm one small bowl of this mixture and take orally.
For treating gu poisoning with lower gastrointestinal bleeding resembling duck liver and abdominal pain: In acute cases, Qiangensan (Rubia Root Powder) is suitable.
Qiangeng (Rubia Root, *Rubiae Cordifoliae Radix et Rhizoma*) (1 liang)
Chuan Shengma (Cimicifuga Rhizome, *Cimicifugae Rhizoma*) (1 liang)
Xijiao Xie (Rhinoceros Horn, *Rhinocerotis Cornu*) (1 liang)
Diyu (Sanguisorba Root, *Sanguisorbae Radix*) (2 liang, sliced)
Baihe (Lotus Root, *Nelumbinis Rhizoma*) (2 liang)
Jiegeng (Platycodon Root, *Platycodi Radix*) (0.5 liang, remove rhizome head)
Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*) (0.5 liang, sliced)
Huangqin (Scutellaria Root, *Scutellariae Radix*) (0.5 liang)
The above ingredients are crushed and passed through a coarse sieve to make a powder. Take 5 qian per dose, decoct with one large bowl of water until reduced to two-fifths. Strain. Take warm, regardless of meal times.
For treating severe lower gastrointestinal bleeding due to gu poisoning, this prescription is suitable:
Qiangweigen (Rose Root, *Rosae Rugosae Radix*) (1 liang, sliced)
Niuxi (Achyranthes Root, *Achyranthis Bidentatae Radix*) (0.5 liang, remove sprouts)
Lianqiao Zi (Forsythia Fruit, *Forsythiae Fructus*) (1 liang)
La (Beeswax, *Cera Flava*) (1 fen)
The above ingredients are crushed and sifted. Decoct with three large bowls of water until reduced to two bowls. Strain. Take in three divided doses, regardless of meal times.
Prescription for abdominal pain and lower gastrointestinal bleeding due to gu poisoning: Zhizhu Hua San (Rhododendron Flower Powder)
Zhizhu Hua (Rhododendron Flower, *Rhododendri Mollis Flos*) (1 liang, stir-fried with wine until dry)
Ganjiang (Dried Ginger, *Zingiberis Rhizoma*) (1 fen, roasted, cracked, and sliced)
Lilu (Veratrum Rhizome, *Veratri Rhizoma*) (1 fen, remove rhizome head)
Fuzi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) (1 fen, roasted, peel and umbilicus removed)
Badou (Croton Seed, *Crotonis Tiglii Fructus*) (1 fen, peel and heart removed, ground between paper to remove oil)
Yegegen Pi (Wild Kudzu Root Bark, *Puerariae Lobatae Radicis Cortex*) (1 fen)
Guixin (Cinnamon Twig, *Cinnamomi Ramulus*) (1 fen)
Zhusha (Cinnabar, *Cinnabaris*) (1 fen, finely ground)
Xionghuang (Realgar, *Arsenicum Rubrum*) (1 fen, finely ground)
The above ingredients are crushed and passed through a fine sieve to make a powder. Take on an empty stomach, mixed with cold water, dosage of "yi zi" (approx. 0.5-1 g).
For treating gu poisoning with lower gastrointestinal bleeding occurring dozens of times a day, use this prescription:
Badou (Croton Seed, *Crotonis Tiglii Fructus*) (7 pieces, remove heart and peel, grind between paper to remove oil)
Lilu (Veratrum Rhizome, *Veratri Rhizoma*) (remove rhizome head)
Fuzi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) (roasted, peel and umbilicus removed)
Yanqing (Blister Beetle, *Mylabris phalerata*) (stir-fried with glutinous rice until slightly yellow, wings and feet removed)
Baifan (Alumen, *Alumen*) (burned until liquid evaporates)
All above ingredients: 2 (or 1) fen
The above ingredients are crushed and passed through a fine sieve to make a powder. Wrap a amount the size of a soybean in cotton. Insert into the anus. Change 2-3 times daily.
Prescription for lower gastrointestinal bleeding due to gu poisoning:
Pi (Bark, unspecified species, burned to ash)
Finely grind. Mix with decocted water and take 2 qian per dose, three times daily.
For treating sudden gu poisoning with lower gastrointestinal bleeding resembling chicken liver, continuing day and night, damaging the four zang organs while the heart remains intact, this prescription is suitable:
Jiegeng (Platycodon Root, *Platycodi Radix*) (remove rhizome head)
Fulonggan (Dragon's House Earth, *Caulis Longanii Cinis*)
Equal parts of the above.
Crush and pass through a fine sieve to make a powder. Take 2 qian per dose, mixed with warm wine, three times daily. If unable to swallow medicine, pry open the mouth and administer forcibly. The heart sensation should stabilize shortly. Stop medication after seven days. Consume pig liver to tonify the body.