（附论）
夫蝼蛄 者。由食果 子。不避有虫。即便啖之。外绝于纲。内绝于肠。有毒不去。变
化所生也。始发之时。在于颈上。状如蜗形瘾疹而出。其根在大肠也。
方
荏子桔梗丸（出千金方） 治蝼蛄 。始发于颈项。状如肿。此得之食瓜果实。毒不去。
其根在大肠。荏子主之。桔梗为之佐。
荏子 龙骨（各半两） 附子（一两） 蜀椒（一百粒） 桂心 桔梗 干姜 矾石 独
活
芎（各一分） 上为末。以枣十枚。合捣。醋浆和丸如豆大。温浆下五丸。渐加至十丸。
丹参散（出圣惠方）治蝼蛄 生于项门。肿硬疼痛。
丹参（二两） 蒴 根（二两） 甘草（半两炙微赤锉） 秦艽（一两去苗） 独活（一
两） 牛
蒡子（一两） 踯躅花（半两） 川椒（半两去目及闭口者微炒出汗） 牛膝（一两去苗） 上
咀。每服三钱。水一盏。煎至六分。去滓。每日空心及晚食前服之。
桂心丸（出圣惠方）治蝼蛄 疼痛。出脓水。
桂心（一分） 黄 （半两锉） 矾石（烧灰研一分） 芎 （一分） 大黄（半两锉
碎微炒）
乌啄（半两炮去尾） 川椒（一百粒去目及闭口者微炒出汗） 虎颈骨（半两涂酥炙黄色者）
上
为细末。炼蜜和丸如绿豆大。每日空心及晚食前。以温浆水下二丸。
亭长散（出圣惠方）治蝼蛄 。
亭长（六枚去头足翅糯米拌炒以黄为度） 川大黄（半两锉碎微炒） 细辛（半两） 桂
心
（一分） 鲮鲤（一两炙令微黄） 枫树中虫粪（二指撮） 上为细末。每日空心温酒调下
一钱。
晚食前再服。
马齿苋膏 治蝼蛄 。
治蝼蛄 。（出圣惠方）
用槲叶烧灰细研。以泔别渍槲叶取汁洗疮。拭干。内少许灰于疮中。
【附论】
蝼蛄病，是由于食用了含有虫子的果实，不加辨别便吞食下去。导致体表经络闭塞，体内肠道阻滞。毒素未能排出，由这种变化而生成此病。起初发作时，位于颈部上方，形状像蜗牛形状的瘾疹一样出现。其病根在大肠。
方剂
荏子桔梗丸（出自《千金方》）：治疗蝼蛄病。初发于颈项部，状如肿胀。这是由于食用瓜果果实中毒，毒素未去所致。其病根在大肠。以荏子为主药，桔梗为佐药。
处方组成：荏子、龙骨（各半两）、附子（一两）、蜀椒（一百粒）、桂心、桔梗、干姜、矾石、独活、芎藭（各一分）。以上药物研为细末，用十枚大枣合捣，用醋浆调和制成如豆大的丸剂。温服浆水送服五丸，逐渐增加至十丸。
丹参散（出自《圣惠方》）：治疗生于项门部的蝼蛄病，表现为肿硬疼痛。
处方组成：丹参（二两）、蒴藋根（二两）、甘草（半两，炙至微红并锉碎）、秦艽（一两，去苗）、独活（一两）、牛蒡子（一两）、踯躅花（半两）、川椒（半两，去目及闭口者，微炒出汗）、牛膝（一两，去苗）。以上药物切碎，每次服用三钱，加水一盏，煎至六分，去渣滓。每日空腹及晚饭前服用。
桂心丸（出自《圣惠方》）：治疗蝼蛄病引起的疼痛，流出脓水。
处方组成：桂心（一分）、黄芪（半两，锉碎）、矾石（烧成灰后研细，一分）、芎藭（一分）、大黄（半两，锉碎微炒）、乌啄（半两，炮制去尾）、川椒（一百粒，去目及闭口者，微炒出汗）、虎颈骨（半两，涂酥炙至黄色）。以上药物研为细末，用炼蜜和丸，制成如绿豆大小的丸剂。每日空腹及晚饭前，用温浆水送服二丸。
亭长散（出自《圣惠方》）：治疗蝼蛄病。
处方组成：亭长（六枚，去头足翅，与糯米拌炒至变黄）、川大黄（半两，锉碎微炒）、细辛（半两）、桂心（一分）、鲮鲤（一两，炙至微黄）、枫树中虫粪（两指撮）。以上药物研为细末，每日空腹时用温酒调服一钱，晚饭前再服一次。
马齿苋膏：治疗蝼蛄病。
治法（出自《圣惠方》）：用槲树叶烧成灰，细细研磨。用淘米水单独浸泡槲树叶取汁清洗疮口，擦干后，将少许灰放入疮中。
[Supplementary Discussion]
Lougu disease (Antlion-like nodule) arises from consuming fruits containing parasites without discrimination. This leads to the obstruction of external meridians and internal intestines. When toxins are not expelled, they transform into this pathology. Initially, it manifests on the upper neck, resembling a蜗形瘾疹 (snail-shaped urticarial rash). The root of the disease lies in the Large Intestine.
Prescriptions
Renzi Jiegeng Wan (Cassia Seed and Platycodon Pill, from *Qianjin Fang*): Treats Lougu disease. It initially appears on the neck and nape, presenting as swelling. This results from ingesting toxic fruits or melons where the toxin remains unexpelled. The root is in the Large Intestine. Cassia seed (Renzi) serves as the principal herb, while Platycodon root (Jiegeng) acts as an assistant.
Ingredients: Cassia seed (Renzi), Dragon bone (Longgu) (each 0.5 liang); Aconite root lateralis preparata (Fuzi) (1 liang); Sichuan pepper (Shujiao) (100 grains); Cinnamon twig heart (Guixin); Platycodon root (Jiegeng); Dried ginger (Ganjiang); Alum (Fanshi); Angelica pubescens root (Duhuo); Ligusticum wallichii rhizome (Xiongqiong) (each 0.1 liang). Process all ingredients into fine powder. Combine with ten jujubes, pound together, and mix with vinegar water to form pills the size of beans. Take five pills with warm grain water, gradually increasing to ten pills.
Danshen San (Salvia Powder, from *Shenghui Fang*): Treats Lougu disease occurring at the nape, characterized by hard swelling and pain.
Ingredients: Salvia miltiorrhiza root (Danshen) (2 liang); Dioscorea hypoglauca rhizome (Shuodie) (2 liang); Licorice root (Gancao) (0.5 liang, roasted until slightly red and cut); Gastrodia elata rhizome (Qinjiao) (1 liang, remove sprouts); Angelica pubescens root (Duhuo) (1 liang); Arctium lappa seed (Niubangzi) (1 liang); Rhododendron molle flower (Zhizhu hua) (0.5 liang); Sichuan pepper (Chuanjiao) (0.5 liang, remove eyes and closed-mouth ones, stir-fry lightly to release moisture); Achyranthes bidentata root (Niuxi) (1 liang, remove sprouts). Cut the herbs. For each dose, take 3 qian, add one cup of water, decoct until six-tenths remain, strain. Take on an empty stomach daily and before evening meals.
Guixin Wan (Cinnamon Twig Heart Pill, from *Shenghui Fang*): Treats Lougu disease causing pain and purulent discharge.
Ingredients: Cinnamon twig heart (Guixin) (0.1 liang); Astragalus membranaceus root (Huangqi) (0.5 liang, cut); Calcined alum (Fanshi) (burned to ash, ground fine, 0.1 liang); Ligusticum wallichii rhizome (Xiongqiong) (0.1 liang); Rhubarb (Dahuang) (0.5 liang, cut and stir-fried lightly); Bird beak (Wuzhuo) (0.5 liang, processed, tail removed); Sichuan pepper (Chuanjiao) (100 grains, remove eyes and closed-mouth ones, stir-fry lightly to release moisture); Tiger neck bone (Hu Jinggu) (0.5 liang, coated with butter, roasted yellow). Grind into fine powder. Mix with refined honey to form pills the size of mung beans. Take two pills with warm grain water on an empty stomach and before evening meals.
Tingchang San (Tingchang Powder, from *Shenghui Fang*): Treats Lougu disease.
Ingredients: Tingchang (six specimens, remove head, feet, wings; stir-fry with glutinous rice until yellow); Rhubarb (Dahuang) (0.5 liang, cut and stir-fried lightly); Asarum (Xixin) (0.5 liang); Cinnamon twig heart (Guixin) (0.1 liang); Pangolin scales (Lingqi) (1 liang, roasted until slightly yellow); Insect feces from maple tree (Fengshu zhong chongfen) (two finger-pinches). Grind into fine powder. Take 1 qian mixed with warm wine on an empty stomach, and repeat before evening meals.
Machixian Gao (Purslane Ointment): Treats Lougu disease.
Method (from *Shenghui Fang*): Burn oak leaves (Huye) to ash and grind finely. Soak oak leaves separately in rice washing water to extract juice for washing the sore. Dry the area, then apply a small amount of the ash directly into the wound.