白如粞米，俗呼状元子，大力丸用之。然微有毒，食之作胀。纲目蚁下仅存其名，无主
治。
近行伍中营医以此合壮药，颇效。
益气力，泽颜色。
敏按∶蚁有各种，入药用窠，则取山蚁窠；盖山蚁形大，在草中或树根内作窠。其子粗
如粒
米，入药力太猛。用子以黄色细蚁所生子为佳，盖此蚁力最大，能举等身铁，故人食其子，
亦力大也。 宦游笔记∶广人美味有蚁子酱，于山间收蚁卵，淘净滓垢，卤以为酱。诧为珍
品，则其子亦无毒矣。
王安采药录∶大窖坑内有蛆虫窠，如白茧子样，挂在蓬 内者，取来净去泥灰，晒燥焙
用。
治 疮疳蛀，一切虫蛀烂孔，外科收口药用。
疳疮蛀梗 柴氏独妙方∶用粪坑内蛆虫窠，在蓬尘内者，形如白茧子而小，取来不拘多
少，
放在罐中，焙燥为细末，贮小口瓶内，瓶口以细 纱包扎覆转，轻轻敲弹少许药末于疮口内
；如有小蛀眼，药末不能入，用麦草秆吹药入细孔内，每日三、五次。其蛀烂者，肉孔自能
长平，神效无比。
人蚜
此检尸场中棺内死蛆也。唐怡士云∶凡人死后魂魄散尽，其生气有未尽者，肉烂后悉腐
而为
蛆，攒啮筋骨，久之蛆亦随死；故强死者，棺中无不有黑蛆。凡有须问仵作于尸场收之。
治大麻疯癞疾 赤水元珠，治大麻疯癞疾方∶用死人蛆虫，洗净，钢片上焙干为末，每用一
、二钱，皂角刺煎浓汤调下；若肿而有疙瘩者，乃阳明经湿热壅盛，先以防风通圣散服二、
三帖，然后再服此药，有补功。以皂针为引，故能达表。能久服之，极有神效，非泛常草木
可比也。 医学指南有治大麻疯秘方∶用人蛆一升，细布袋盛之，放在急水内流之，干净取
起，以麻黄煎汤，将蛆连布袋浸之，良久取起，晒干，再用甘草煎汤浸晒干，又用苦参煎汤
浸晒干，又用童便浸晒干，又用葱、姜煎汤，投蛆入内，不必取起，就放锅内煮干，焙为末
，每一两加麝二钱、蟾酥三钱，共为一处，入瓷器内。每服一钱，石藓花煎汤下，花即山中
石上生白藓如钱样；用苍耳草煎汤洗浴，然后服药。七日见效。体壮者一日一服，体弱者二
日一服，即愈。
治劳痨，能驱尸虫，以贼攻贼之义；跌扑；绝邪疟、尸蛀、石疣。
驱痨虫 吴秀峰虚劳论云∶痨有虫，为湿郁所化，在外为虱，在脏腑为虫。用死人身上
蛆虫
，制令洁净，焙干和药服之，则痨虫化为水下。
山蚂蚁子：体色白如碎米，俗称“状元子”，大力丸中会用到它。然而它微有毒性，食用后会引起腹胀。《本草纲目》在“蚁”类下仅保留了其名，未记载主治功效。近来军队中的营医将此药与壮阳药配合使用，效果颇佳。它能益气力，润泽面色。赵学敏按语：蚂蚁种类繁多，入药用的蚁巢，应取山蚁的巢；因为山蚁体型较大，在草丛中或树根内筑巢。其幼虫粗如米粒，入药药力太猛。若用幼虫入药，以黄色细蚁所产的幼虫为佳，因为这种蚂蚁力气最大，能举起与身体等重的铁块，所以人吃了它的幼虫，也能增加力气。《宦游笔记》记载：广东人有一种美味叫“蚁子酱”，在山间收集蚁卵，淘洗干净杂质，制成卤酱。人们将其视为珍品，说明其幼虫也是无毒的。
蛆窠：王安采药录记载：大窖坑内有蛆虫的巢穴，像白色的蚕茧一样，悬挂在蓬草内的，取来洗净泥土灰尘，晒干后焙干备用。用于治疗疮疳蛀蚀、一切虫蛀烂孔，是外科收口药常用的药物。
治疗疳疮蛀梗的柴氏独妙方：使用粪坑内的蛆虫巢穴，位于蓬草灰尘内的，形状像白色蚕茧但较小，取来不拘多少，放在罐中，焙干研成细末，储存在小口瓶内。瓶口用细纱布包扎覆盖，轻轻敲击弹取少许药末撒在疮口内；如果有细小的蛀眼，药末无法进入，可用麦草秆将药末吹入细孔内，每日三至五次。那些被蛀烂的部位，肉孔自然能长平，神效无比。
死人蛀虫（人蚜）：这是指在检验尸体的场所中，棺材内的死蛆。唐怡士说：凡是人死后魂魄散尽，其残存的生气未尽，肉体腐烂后全部腐化为蛆，聚集啃食筋骨，久而久之蛆也会随之死亡；所以非正常死亡的死者，棺中无不有黑色的蛆。凡是需要此药的人，须询问仵作，在尸体检验场收集。
治疗大麻疯癞疾：《赤水元珠》中治疗大麻疯癞疾的方剂：使用死人身上的蛆虫，洗净，在钢片上焙干研成粉末，每次服用一钱或二钱，用皂角刺煎浓汤调服；如果肿胀且有疙瘩，这是阳明经湿热壅盛所致，先服用防风通圣散二至三帖，然后再服用此药，有补益之功。以皂角刺为引经药，所以能达表。若能久服，极有神效，不是普通的草木药所能比拟的。《医学指南》中有治疗大麻疯的秘方：用人蛆一升，装在细布袋里，放在急流的水中冲洗，干净后取出，用麻黄煎汤，将装着人蛆的布袋浸入其中，良久后取出晒干；再用甘草煎汤浸渍后晒干；又用苦参煎汤浸渍后晒干；又用童便浸渍后晒干；又用葱、姜煎汤，投入人蛆，不必取出，直接放入锅内煮干，焙干研成粉末，每一两药粉加入麝香二钱、蟾酥三钱，混合在一起，装入瓷器内。每次服用一钱，用石藓花煎汤送服，石藓花即山中石头上生长的像铜钱大小的白色地衣；先用苍耳草煎汤洗浴，然后服药。七日见效。体质强壮者一日一服，体质虚弱者两日一服，即可痊愈。
治疗劳痨，能驱除尸虫，取“以贼攻贼”之意；治疗跌打损伤；治疗绝邪疟、尸蛀、石疣。
驱除痨虫：吴秀峰在《虚劳论》中说：痨病有虫，是由湿郁所化生，在体表表现为虱，在脏腑表现为虫。使用死人身上蛆虫，制作洁净，焙干后和药服用，则痨虫化为水排出。
Shanmayizi (Mountain Ant Larvae): White like broken rice grains, commonly known as "Zhuangyuanzi" (Scholar's Egg), used in Dali Wan (Great Strength Pill). However, it is slightly toxic; ingestion causes abdominal distension. *Bencao Gangmu* (Compendium of Materia Medica) retains only its name under the category of ants, without recording therapeutic indications. Recently, military camp physicians have combined this with tonifying drugs for potency, achieving considerable efficacy. It supplements qi and strength, and nourishes complexion. Zhao Xuemin notes: Ants vary in species; for medicinal use of ant nests, mountain ant nests are selected because mountain ants are larger and build nests in grass or tree roots. Their larvae are coarse like rice grains, making them too potent for medicinal use. If using larvae, those from small yellow ants are best, as these ants possess great strength, capable of lifting iron equal to their body weight; thus, consuming their larvae also enhances human strength. *Huanyou Biji* (Notes from Official Travels) records: Cantonese people enjoy a delicacy called "Ant Larvae Sauce," collected from mountains, washed clean of impurities, and made into a brine sauce. Regarded as a treasure, indicating their larvae are non-toxic.
Quke (Maggot Nest): Wang An's Herb Collection records: Inside large cellar pits, there are maggot nests resembling white silkworm cocoons, hanging within thatch. Collect them, clean off mud and ash, dry in the sun, and roast before use. Treats chancre ulcers and insect-bored holes; used in external medicine for wound healing.
Chai's Unique Prescription for Treating Chancre Ulcers and Obstruction: Use maggot nests from cesspits located within thatch dust, shaped like small white cocoons. Collect any amount, place in a jar, roast until dry, grind into fine powder, and store in a narrow-necked bottle. Cover the bottle mouth with fine gauze. Gently tap to dispense a small amount of powder onto the ulcer site. If there are small boreholes where powder cannot enter, use a wheat straw to blow the powder into the fine holes. Apply three to five times daily. The corroded flesh will naturally grow level; this is extraordinarily effective.
Sirenzhu Chong (Dead Man Maggots / Human Aphids): These are dead maggots found in coffins at corpse inspection sites. Tang Yishi stated: After death, when soul and spirit dissipate, residual vital energy remains; after flesh rots, it transforms entirely into maggots which gather and gnaw bones and sinews. Eventually, the maggots die along with the corpse; thus, corpses dying violently invariably contain black maggots. Those needing this drug should inquire with coroners and collect them at corpse inspection grounds.
Treating Leprosy (*Da Ma Feng Lai Ji*): From *Chishui Yuanzhu*, prescription for leprosy: Use dead man's maggots, wash clean, roast dry on steel sheets, and grind to powder. Take one or two qian per dose, mixed with strong decoction of Gleditsia Sinensis Spina (Zao Jiao Ci). If swelling and nodules are present, this indicates damp-heat stagnation in the Yangming channel; first take Fangfeng Tongsheng San (Wind Protection and Unblocking Decoction) for two to three doses, then take this medicine, which has tonic effects. Using Zao Jiao Ci as a guiding herb allows it to reach the exterior. Long-term consumption yields miraculous effects, incomparable to ordinary herbs. *Yixue Zhinan* (Medical Guide) contains a secret recipe for leprosy: Take one sheng of human maggots, place in a fine cloth bag, rinse in fast-flowing water until clean. Soak the bagged maggots in Ephedrae Herba (Mahuang, 麻黄) decoction for a long time, remove and dry. Then soak in Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) decoction and dry. Then soak in Sophorae Flavescentis Radix (Kushen, 苦参) decoction and dry. Then soak in Child's Urine (Tongbian, 童便) and dry. Finally, add Scallion Stem (Congbai, 葱白) and Ginger Rhizome (Shengjiang, 生姜) decoction, put the maggots inside without removing, boil dry in the pot, roast, and grind to powder. For every liang of powder, add Moschus (Shexiang, 麝香) two qian and Bufo Venenum (Chansu, 蟾酥) three qian. Mix well and store in porcelain. Take one qian per dose, administered with decoction of Parmelia Saxatilis (Shixianhua, 石藓花), which grows like coins on mountain rocks. First bathe with Xanthii Fructus et Herba (Cangercao, 苍耳草) decoction, then take the medicine. Effects seen in seven days. Strong constitutions take once daily; weak constitutions take every two days until cured.
Treats consumptive tuberculosis, expels corpse parasites, employing the principle of "using thieves to attack thieves"; treats traumatic injuries; treats refractory malaria, corpse borings, and stone warts.
Expelling Tuberculosis Parasites: Wu Xiufeng in *Xulao Lun* (Discussion on Deficiency Consumption) states: Tuberculosis involves parasites transformed by dampness stagnation; externally they manifest as lice, internally in organs as worms. Use maggots from dead bodies, process to be clean, roast dry, mix with medicine, and ingest; the tuberculosis parasites will transform and pass out with water.