（《唐本草》）
【释名】没多僧（《唐本》）、炉底。恭曰∶密陀、没多，并胡言也。
【集解】恭曰∶出波斯国，形似黄龙齿而坚重，亦有白色者，作理石纹。
颂曰∶今岭南、闽中银铜冶处亦有之，是银铅脚。其初采矿时，银铜相杂，先以铅同煎
炼，银随铅出。又采山木叶烧灰，开地作炉，填灰其中，谓之灰池。置银铅于灰上，更加火
，铅渗灰下，银住灰上，罢火候冷，出银。其灰池感铅银气，积久成此物，未必自胡中来
也。承曰∶今市中所货，是小瓶实铅丹锻成者，大块尚有瓶形。银冶所出最良，而罕有货
者。外国者，未尝见之。
时珍曰∶密陀僧原取银冶者，今既难得，乃取煎销银铺炉底用之。造黄丹者，以脚
滓炼成密陀僧，其似瓶形者是也。
【修治】 曰∶凡使捣细，安瓷锅中，重纸袋盛柳蛀末焙之，次下东流水浸满，火煮一
伏时，去柳末、纸袋，取用。
【气味】咸、辛，平，有小毒。大明曰∶甘，平，无毒。
时珍曰∶制野狼毒。
【主治】久痢，五痔，金疮，面上瘢 ，面膏药用之（《唐本》。
保升曰∶五痔，谓牡、酒、肠、血、气也。）镇心，补五脏，治惊痫咳嗽，呕逆吐痰（大
明）。疗反胃消渴，疟疾下痢。止血，杀虫，消积。治诸疮，
消肿毒，除狐臭，染髭发（时珍）。
【发明】时珍曰∶密陀僧感铅银之气，其性重坠下沉，直走下焦，故能坠痰、止吐、消
积，定惊痫，治疟痢，止消渴，疗疮肿。洪迈《夷坚志》云∶惊气入心络，喑不能言语者，
用密陀僧末一匕，茶调服，即愈。昔有人伐薪，为野狼所逐，而得是疾，或授此方而愈。又一
军校采藤逢恶蛇病此，亦用之而愈。此乃惊则气乱，密陀僧之重以去怯而平肝也。其功力与
铅丹同，故膏药中用代铅丹云。
【附方】旧三，新一十五。痰结胸中不散∶密陀僧一两。醋、水各一盏，煎干为末。每
服二钱，以酒、水各一小盏，煎一盏，温服，少顷当吐出痰涎为妙。（《圣惠方》）
消渴饮水∶神效丸∶用密陀僧二两。研末，汤浸蒸饼丸梧子大。浓煎蚕茧、盐汤，或茄
根汤，或酒下，一日五丸，日增五丸，至三十丸止，不可多服，五、六服后，以见水恶心为
度。恶心时，以干物压之，日后自定，甚奇。（《选奇方》）
赤白下痢∶密陀僧三两，烧黄色研粉。每服一钱，醋、茶下，日三服。（《圣惠方》）
肠风痔 ∶铜青、密陀僧各一钱，麝香少许，为末，津和涂之。（《济急方》）
小儿初生，遍身如鱼脬，又如水晶，破则成水，流渗又生者。密陀僧生研 之，仍服苏
合香丸。（《救急方》）
惊气失音∶方见发明。
腋下狐臭∶浆水洗净，油调密陀僧涂之。以一钱，用热蒸饼一个，切开掺末夹之。（《集
简方》）
香口去臭∶密陀僧一钱，醋调漱口。（《普济方》）
大人口疮∶密陀僧锻研，掺之。（《圣济方》）
小儿口疮，不能吮乳。密陀僧末，醋调涂足心，疮愈洗去。蔡医博方也。（黎居士《简
易方》）
鼻内生疮∶密陀僧、香白芷等分。为末。蜡烛油调涂之。（《简便方》）
鼻 赤 ∶密陀僧二两，细研，人乳调，夜涂旦洗。（《圣惠方》）
痘疮瘢 ∶方同上。（谭氏）
斑点∶方同上。（《外台》）
夏月汗斑如疹∶用密陀僧八钱，雄黄四钱，先以姜片擦热，仍以姜片蘸末擦之，次日即
焦。（《活人心统》）
骨疽出骨，一名多骨疮，不时出细骨，乃母受胎未及一月，与六亲骨肉交合，感其精气，
故有多骨之名。以密陀僧末，桐油调匀，摊贴之，即愈。（寿域方》）
血风 疮∶密陀僧，香油入粗碗内磨化，油纸摊膏，反复贴之。（孙氏《集效方》）
阴汗湿痒∶密陀僧末敷之。戴氏，加蛇床子末。
（出自《唐本草》）
【释名】没多僧（《唐本草》）、炉底。苏恭说：密陀、没多，都是胡语（古代对北方及西域民族的称呼）。
【集解】苏恭说：产自波斯国，形状像黄龙牙齿一样坚硬沉重，也有白色的，带有理石般的纹理。
苏颂说：现在岭南、福建等银铜冶炼的地方也有出产，这是提炼银铅后的残渣。起初开采矿石时，银和铜混杂在一起，先用铅一起煎炼，银便随着铅析出。又采集山木叶子烧成灰，在地上挖坑做炉子，填入灰烬，称为“灰池”。将银铅放在灰上，再加火加热，铅渗入灰下，银留在灰上。停止加热待冷却后，取出银。这灰池因为感应了铅银的气息，日久积累形成了这种物质，未必是从外国传来的。陈承说：现在市场上售卖的，是用小瓶装的铅丹锻打而成的，大块还保留着瓶子的形状。从银矿冶炼中产出的质量最好，但很少在市场上见到。外国的货色，我未曾见过。
李时珍说：密陀僧原本取自银矿冶炼，现在既然难以得到，就取用煎销银铺里炉底的残留物来使用。制造黄丹的人，用银铅脚滓炼制密陀僧，那些形状像瓶子的就是这类。
【修治】雷敩说：凡是使用时要捣碎，放入瓷锅中，用多层纸袋盛装柳蛀末焙干，接着注入东流水浸满，用火煮一个时辰（约两小时），去掉柳末和纸袋，即可取用。
【气味】咸味、辛味，性平，有小毒。孟诜说：甘味，性平，无毒。
李时珍说：能制约野狼毒的毒性。
【主治】久痢，五痔，金疮，面上瘢痕，面膏药中使用它（《唐本草》。
保升说：五痔，指的是牡痔、酒渣痔、肠痔、血痔、气痔。）镇心安神，补益五脏，治疗惊痫咳嗽，呕吐逆气吐痰（孟诜）。治疗反胃消渴，疟疾下痢。止血，杀虫，消除积滞。治疗各种疮疡，消肿解毒，去除狐臭，染黑胡须头发（李时珍）。
【发明】李时珍说：密陀僧感应了铅银之气，其性质重坠下沉，直走下焦，所以能坠痰、止吐、消积，定惊痫，治疟痢，止消渴，疗疮肿。洪迈《夷坚志》记载：惊恐之气侵入心络，导致失音不能言语的人，用密陀僧末一匕，茶调服，立即痊愈。从前有人砍柴，被野狼追逐而得了这种病，有人传授此方而治愈。又有一名军校采藤时遭遇恶蛇惊吓得了此病，也用此方治愈。这是因为惊恐导致气机紊乱，密陀僧的重浊之性能去怯并平肝。它的功效与铅丹相同，所以在膏药中用它代替铅丹。
【附方】旧方三个，新方十五个。痰结胸中不散：密陀僧一两。醋、水各一盏，煎至干燥研为细末。每次服用二钱，用酒、水各一小盏，煎至一盏量，温服，不久应当吐出痰涎为妙。（《圣惠方》）
消渴饮水：神效丸：用密陀僧二两。研为细末，用热水浸泡蒸饼制成梧桐子大小的丸剂。用浓煎蚕茧汤、盐汤或茄根汤送服，或酒送服，一日五丸，每日增加五丸，直到三十丸为止，不可多服，五、六次服药后，以出现喝水恶心为度。恶心时，用干食物压住，日后自然安定，非常奇特。（《选奇方》）
赤白下痢：密陀僧三两，烧至黄色研粉。每次服用一钱，醋、茶送服，每日三次。（《圣惠方》）
肠风痔漏：铜青、密陀僧各一钱，麝香少许，研为细末，用唾液调和涂抹患处。（《济急方》）
小儿初生，遍身如鱼泡，又如水晶，破则出水，流渗后又生出者。密陀僧生研粉末敷之，同时服用苏合香丸。（《救急方》）
惊气失音：方见发明篇。
腋下狐臭：浆水洗净，油调密陀僧涂抹。取一钱，用一个热蒸饼切开，掺入药末夹在腋下。（《集简方》）
香口去臭：密陀僧一钱，醋调漱口。（《普济方》）
大人口疮：密陀僧锻打研细，撒布患处。（《圣济方》）
小儿口疮，不能吮乳。密陀僧末，醋调涂足心，疮愈洗去。蔡医博的方子。（黎居士《简易方》）
鼻内生疮：密陀僧、香白芷等分。研为细末。蜡烛油调和涂抹。（《简便方》）
鼻头赤红：密陀僧二两，细研，人乳调和，夜间涂抹早晨洗去。（《圣惠方》）
痘疮瘢痕：方同上。（谭氏）
斑点：方同上。（《外台秘要》）
夏月汗斑如疹：用密陀僧八钱，雄黄四钱，先用姜片擦热皮肤，仍用姜片蘸药末擦拭，次日即变黑焦。（《活人心统》）
骨疽出骨，一名多骨疮，不时排出细骨，这是母亲受孕未满一月，与六亲骨肉交合，感其精气，故有多骨之名。用密陀僧末，桐油调匀，摊贴患处，即愈。（《寿域方》）
血风疮：密陀僧，香油放入粗碗内磨化，油纸摊成膏药，反复贴敷。（孙氏《集效方》）
阴汗湿痒：密陀僧末敷之。戴氏方，加蛇床子末。
(From *Tang Bencao*)
[Names] Moduo Seng (*Tang Bencao*), Ludi. Gong stated: "Mituo" and "Moduo" are both Hu (ancient terms for peoples of the north and west) words.
[Collection & Explanation] Gong stated: It originates from Persia, resembling yellow dragon teeth in shape, being hard and heavy; some are white with marble-like patterns.
Song stated: It is now also found in silver and copper smelting areas in Lingnan and Fujian; it is the residue from refining silver and lead. Initially, when mining ores, silver and copper are mixed. Lead is first added to smelt them together, causing the silver to separate out with the lead. Then, mountain tree leaves are collected and burned to ash. A pit is dug in the ground to serve as a furnace, filled with this ash, called a "Ash Pool." The silver-lead mixture is placed on the ash, and fire is applied. The lead seeps down into the ash, while the silver remains on top. After cooling, the silver is extracted. This Ash Pool, having absorbed the qi of lead and silver over time, accumulates to form this substance; it may not necessarily come from foreign lands. Cheng stated: What is sold in markets today is made by forging small bottles of Qian Dan (Lead Oxide). Large pieces still retain the bottle shape. Those produced from silver smelting are of the best quality but are rarely available. Foreign versions have never been seen by me.
Shizhen stated: Mituo Seng originally came from silver smelting. Since it is now difficult to obtain, the residue at the bottom of furnaces in shops that melt silver is used instead. Those who produce Huang Dan (Yellow Red Lead) refine Mituo Seng from silver-lead residues; those shaped like bottles belong to this category.
[Processing] Yue stated: When using, crush it finely, place it in a porcelain pot, cover with multiple layers of paper bags containing willow-borer powder, and roast. Then fill with running water from the east, boil over fire for one shichen (two hours), remove the willow powder and paper bags, and use.
[Flavor & Toxicity] Salty, pungent, neutral, slightly toxic. Ming stated: Sweet, neutral, non-toxic.
Shizhen stated: It can counteract the toxicity of Yelangdu (Stemona Root).
[Indications] Chronic dysentery, five types of hemorrhoids, metal wounds, facial scars, and used in facial cosmetics (*Tang Bencao*).
Baosheng stated: The "five types of hemorrhoids" refer to Mu Zhong (protruding), Jiu Zhong (alcohol-related), Chang Zhong (intestinal), Xue Zhong (bloody), and Qi Zhong (gas-related). Calms the heart, tonifies the five zang organs, treats epilepsy and cough, vomiting and regurgitation with phlegm (Ming). Treats reverse stomach qi and thirst-disease, malaria and dysentery. Stops bleeding, kills parasites, resolves accumulation. Treats various sores, reduces swelling and detoxifies, removes fox odor, dyes eyebrows and hair black (Shizhen).
[Elucidation] Shizhen stated: Mituo Seng absorbs the qi of lead and silver; its nature is heavy, sinking, and descending directly to the lower jiao. Therefore, it can descend phlegm, stop vomiting, resolve accumulation, calm epilepsy, treat malaria and dysentery, relieve thirst, and heal sores. Hong Mai's *Yijian Zhi* records: For those whose fright qi has entered the heart collaterals, resulting in aphonia and inability to speak, administering one spoonful of Mituo Seng powder mixed with tea results in immediate recovery. Once, a person chopping wood was chased by a wild wolf and contracted this illness; someone taught him this prescription, and he recovered. Another military officer contracting this illness after being frightened by a venomous snake while gathering vines also recovered using this method. This occurs because fright causes qi chaos; the heaviness of Mituo Seng dispels fear and soothes the liver. Its efficacy is similar to that of Qian Dan (Lead Oxide), hence it is used in place of Qian Dan in plasters.
[Attached Prescriptions] Three old prescriptions, fifteen new ones. Phlegm knotting in the chest and not dispersing: Mituo Seng 1 liang. Decoct with one cup of vinegar and one cup of water until dry, then grind to powder. Take 2 qian each time, decocted with a small cup of wine and a small cup of water until reduced to one cup, take warm. Ideally, phlegm and saliva should be expectorated shortly after (*Shenghui Fang*).
Thirst-disease with excessive drinking: Shenxiao Wan: Use Mituo Seng 2 liang. Grind to powder, mix with steamed dough soaked in hot water to make pills the size of wu zi (cherry seeds). Take with strong decoction of silkworm cocoons, salt water, or eggplant root soup, or with wine. Start with 5 pills daily, increasing by 5 pills daily up to 30 pills. Do not overdose. After 5-6 doses, stop when nausea upon seeing water occurs. During nausea, suppress it with dry food; it will settle naturally later. Very remarkable (*Xuanqi Fang*).
Red and white dysentery: Mituo Seng 3 liang, roasted until yellow and ground to powder. Take 1 qian each time, taken with vinegar and tea, three times a day (*Shenghui Fang*).
Changfeng hemorrhoids: Tongqing (Azurite) and Mituo Seng 1 qian each, plus a little Shexiang (Musk). Grind to powder, mix with saliva, and apply externally (*Jiji Fang*).
Newborn infant with body resembling fish bladders or crystal, breaking to release fluid, which then regenerates: Apply raw, ground Mituo Seng powder externally, and internally administer Suhexiang Wan (*Jiuji Fang*).
Aphonia due to fright qi: See Elucidation section.
Axillary fox odor: Wash clean with Jiangshui (fermented grain wash), mix Mituo Seng with oil, and apply. Take 1 qian, sandwich between halves of a hot steamed bun, and apply to the armpit (*Jijian Fang*).
Fragrant breath/removing bad odor: Mix 1 qian of Mituo Seng with vinegar, rinse mouth (*Pujifang*).
Adult mouth ulcers: Forge and grind Mituo Seng fine, sprinkle on affected area (*Shengjifang*).
Infant mouth ulcers, unable to suckle milk: Mix Mituo Seng powder with vinegar, apply to the sole of the foot. Wash off when healed. Prescription from Physician Cai (*Jianyi Fang* by Li Jushi).
Ulcers inside the nose: Equal parts Mituo Seng and Xiang Baizhi (Angelica Dahurica). Grind to powder, mix with candle wax oil, and apply (*Jianbian Fang*).
Red nose tip: Mituo Seng 2 liang, finely ground, mixed with human breast milk. Apply at night, wash in the morning (*Shenghui Fang*).
Smallpox scars: Same formula as above (Tan Shi).
Spots/Pigmentation: Same formula as above (*Waitai Mi Yao*).
Summer sweat spots resembling rashes: Use Mituo Seng 8 qian, Xionghuang (Realgar) 4 qian. First rub the skin hot with ginger slices, then use ginger slices dipped in the powder to rub the area. It turns black and scabs the next day (*Huoren Xintong*).
Bone abscess exuding bone, also known as Duogu Chuang (Multi-bone sore), occasionally expelling fine bones. This is caused by the mother engaging in intercourse with close relatives within one month of conception, absorbing their essence, hence the name "multi-bone." Mix Mituo Seng powder with tung oil, spread on plaster, and apply. Cures immediately (*Shouyu Fang*).
Blood-wind sores: Mituo Seng, dissolve in sesame oil by grinding in a coarse bowl. Spread on oil paper as a plaster, apply repeatedly (Sun Shi *Jixiao Fang*).
Genital sweating and itching: Apply Mituo Seng powder. Dai Shi's addition includes Shechuangzi (Cnidium) powder.