（《纲目》）
【集解】时珍曰∶按∶沈存中《笔谈》云∶天蛇生幽阴之地，遇雨后
其大如箸而扁，长三、四尺，色黄赤。浇之以醋则消，或以锻石糁之亦
何物？人遭其螫，仍为露水所濡，则遍身溃烂。或云草间黄花蜘蛛者，
所毒，举身溃烂。一医视云∶天蛇所螫，不可为矣。仍以药敷其一有肿处，以钳拔出如蛇十
余。而疾终不起。又钱塘一田夫忽病癞，通身溃烂，号呼欲绝。西溪寺僧视之，曰∶此天蛇
毒，非癞也。以秦皮煮汁一斗，令其恣饮。初日减半，三日顿愈。又水蛇治天蛇毒，见前。
（《拾遗》）
【集解】藏器曰∶苟印，一名苟斗，出潮州。如蛇有四足。
膏
【主治】滴耳中，治聋，令左右耳彻（藏器）。
（《纲目》）
【释名】骨咄犀（亦作骨笃）、碧犀。
时珍曰∶按∶陶九成《辍耕录》云∶骨咄犀，大蛇之角也。当作蛊毒，谓其解蛊毒如犀
角也。《唐书》有古
【集解】时珍曰∶按∶《大明会典》云∶蛇角出哈密卫。刘郁《西使
大蛇角，出西番。曹昭《格古论》云∶骨笃犀，碧犀也。色如淡碧玉，稍有黄色，其
角。扣之声清越如玉，磨刮嗅之有香，烧之不臭。最贵重，能消肿解毒。洪迈《松漠纪闻
云∶骨咄犀，犀不甚大。纹如象牙，带黄色。作刀靶者，以为无价之宝也。
【气味】有毒。
【主治】消肿毒，解诸毒蛊毒，以毒攻毒也（时珍）。
（《本草纲目》）
【集解】李时珍说：据沈括《梦溪笔谈》记载：天蛇生长在幽暗阴湿的地方，雨后出现，大小像筷子那样扁，长三、四尺，颜色黄赤色。用醋浇灌它就能溶解，或者用锻石（一种矿物药）撒在上面也能消除。人被它螫伤后，如果又被露水沾湿，就会全身溃烂。有人说那是草丛中的黄花蜘蛛所毒，会导致全身溃烂。有一位医生查看后说：被天蛇螫伤，就没法治了。但还是用药敷在其中一个肿胀处，用钳子拔出了十几条像蛇一样的东西，然而病人最终没能痊愈。又有一个钱塘县的农夫突然患上癞病，全身溃烂，大声呼救几乎断气。西溪寺的僧人查看后说：这是天蛇毒，不是癞病。用秦皮煮出一斗汁液，让他随意饮用。第一天症状减半，三天后完全痊愈。另外，水蛇可以治疗天蛇毒，见前文。
（《本草拾遗》）
【集解】陈藏器说：苟印，又名苟斗，产于潮州。形状像蛇但有四只脚。
【膏】
【主治】滴入耳中，治疗耳聋，使左右耳听力恢复通畅（陈藏器）。
（《本草纲目》）
【释名】骨咄犀（也写作骨笃）、碧犀。
李时珍说：据陶宗仪《辍耕录》记载：骨咄犀，是大蛇的角。应当解释为“蛊毒”，意思是它能解除蛊毒，如同犀角一样。《唐书》中有相关记载。
【集解】李时珍说：据《大明会典》记载：蛇角产于哈密卫。刘郁《西使记》记载有大蛇角，产于西番。曹昭《格古论》说：骨笃犀，就是碧犀。颜色像淡碧玉，略带黄色，敲击声音清脆如玉，磨刮嗅闻有香气，燃烧没有臭味。最为贵重，能消肿解毒。洪迈《松漠纪闻》记载：骨咄犀，犀牛角不太大。纹理像象牙，带黄色。做成刀柄的，被视为无价之宝。
【气味】有毒。
【主治】消肿毒，解除各种毒和蛊毒，是以毒攻毒的方法（李时珍）。
(Compendium of Materia Medica)
[Collected Explanations] Li Shizhen stated: According to Shen Kuo's *Dream Pool Essays* (Mengxi Bitan): Tian She (Heavenly Snake, a venomous creature) grows in dark and damp places. After rain, it appears, being as flat as a chopstick, three to four chi long, with a yellowish-red color. Pouring vinegar on it causes it to dissolve; sprinkling it with Duan Shi (calcined mineral drug) also neutralizes it. If a person is stung by it and subsequently moistened by dew, the whole body will ulcerate. Some claim it is the venom of a yellow-flowered spider found among grasses, which causes whole-body ulceration. A physician examined the case and said, "A sting from Tian She is incurable." Nevertheless, he applied medicine to one swollen area and extracted more than ten snake-like entities with tweezers, yet the patient ultimately died. Additionally, a farmer in Qiantang suddenly suffered from what appeared to leprosy, with his entire body ulcerated, crying out in agony nearly to death. A monk from Xixi Temple examined him and said, "This is Tian She venom, not leprosy." He boiled Qin Pi (Phellodendron Bark) in water to make one dou of decoction and allowed the patient to drink freely. By the first day, symptoms were halved; after three days, he was completely cured. Furthermore, Water Snake can treat Tian She venom, see previous entries.
(Collected Additions to Materia Medica)
[Collected Explanations] Chen Zangqi stated: Gou Yin, also known as Gou Dou, originates from Chaozhou. It resembles a snake but has four feet.
[Paste]
[Indications] Drip into the ear to treat deafness, restoring hearing in both ears (Chen Zangqi).
(Compendium of Materia Medica)
[Names] Guduo Xi (also written as Gudu), Bixi (Green Rhinoceros Horn).
Li Shizhen stated: According to Tao Zongyi's *Records of Stopping the Plough* (Chueng Lu): Guduo Xi is the horn of a large snake. The name should be interpreted as relating to "Gu Poison" (Gu Du), implying its ability to resolve Gu poison just like Rhinoceros Horn. There are records in the *Book of Tang*.
[Collected Explanations] Li Shizhen stated: According to the *Da Ming Hui Dian*, She Jiao (Snake Horn) originates from Hami Wei. Liu Yu's *Record of Western Envoys* mentions Da She Jiao (Large Snake Horn) from Xifan. Cao Zhao's *Treatise on Ancient Antiques* states: Gudu Xi is Bixi. Its color is like pale green jade, slightly yellowish. When struck, it produces a clear sound like jade; when ground and smelled, it has an aroma; when burned, it does not smell foul. It is extremely precious and can reduce swelling and detoxify. Hong Mai's *Records of Songmo* states: Guduo Xi is not very large. The texture resembles ivory with a yellow tint. Those made into knife handles are considered priceless treasures.
[Properties and Flavor] Toxic.
[Indications] Reduces swelling toxins, resolves various poisons and Gu poison; this employs the method of using toxicity to combat toxicity (Li Shizhen).