（音蔗。《本经》中品）
【释名】地鳖（《本经》）、土鳖（《别录》）、
蚵虫（《纲目
弘景曰∶形扁扁如鳖，故名士鳖。
宗 曰∶今人呼为簸箕虫，亦象形也。
时珍曰∶按∶陆农师云∶ 逢申日则过街，故名过街。《袖珍方》名蚵
名地蜱虫。
【集解】
《别录》曰∶生河东川泽及沙中，人家墙壁下土中湿处。十月采，曝干。
弘景曰∶形扁如鳖，有甲不能飞，小有臭气。
恭曰∶此物好生鼠壤土中，及屋壁下。状似鼠妇，而大者寸余，形小似鳖，无甲而有鳞
。小儿多捕以负物为戏。
时珍曰∶处处有之，与灯蛾相牝牡。
【气味】咸，寒，有毒。
甄权曰∶咸、苦。
之才曰∶畏皂荚、菖蒲、屋游。
【主治】心腹寒热洗洗（音洒），血积症瘕，破坚
不通，破留血积聚（《药性
后
【发明】
颂曰∶张仲景治杂病方及久瘕积结，有大黄 虫丸，又有大鳖甲丸，及妇人药并用之，
以其有破坚下血之功也。
【附方】新七。
下瘀血汤∶治产妇腹痛有干血。
用 虫二十枚（熬，去足），桃仁二十枚，大黄二两，为末，炼蜜杵和，分为四丸。每
以一丸，酒一升，煮取八合，温服，当下血也。（张仲景方）
木舌肿强∶塞口，不治杀人。 虫（炙）五枚，食盐半两，为末。水二盏，煎十沸，时
时热含吐涎。瘥乃止。（
重舌塞痛∶地鳖虫和生薄荷研汁，帛包捻舌下肿处。一名地蜱虫也。（鲍氏方）
腹痛夜啼∶ 虫（炙）、芍药、芎 各二钱。为末。每用一字，乳汁调下。（《圣惠方》）
折伤接骨∶杨拱《摘要方》∶用土鳖焙存性，为末。每服二、三钱，接骨神效。一方∶
生者擂汁酒服。《袖珍方》∶用蚵 （即土鳖）六钱（隔
，
醋淬七次），为末。每服二钱，温酒调下。病在上食后，病在下食前，神效。董炳《集验方》∶
用土鳖（阴干）一个
麝
香少许为末。每
传秘方，慎之。又可代杖。
（音同“蔗”。《神农本草经》列为中品）
【释名】地鳖（出自《神农本草经》）、土鳖（出自《名医别录》）、蚵虫（出自《本草纲目》）。
陶弘景说：形状扁扁像鳖，所以叫它土鳖。
苏颂说：现在的人叫它簸箕虫，也是根据它的形状命名的。
李时珍说：据陆农师记载：这种虫子遇到申日就会穿过街道，所以名叫过街。《袖珍方》中叫它蚵虫，也叫地蜱虫。
【集解】
《名医别录》说：生长在河东地区的川泽及沙地中，以及人家墙壁下潮湿的泥土里。十月采集，晒干。
陶弘景说：形状扁平像鳖，有甲壳但不能飞，带有一点臭味。
苏恭说：这种东西喜欢生活在鼠洞周围的土壤中，以及房屋墙壁下。形状像鼠妇，但大的有一寸多长，形状小得像鳖，没有甲壳而有鳞片。小孩子经常捕捉它们来背负重物玩耍。
李时珍说：到处都有，与灯蛾分雌雄。
【气味】咸味，寒性，有毒。
甄权说：咸味、苦味。
徐之才说：畏惧皂荚、菖蒲、屋游（一种菌类）。
【主治】心腹部的寒战感（洗洗，音洒），瘀血积聚形成的症瘕，破除坚结不通，破除停留的瘀血积聚（出自《药性论》等后世补充内容）。
【发明】
苏颂说：张仲景治疗杂病及长期形成的瘕积结块，有大黄䗪虫丸，还有大鳖甲丸，以及妇科用药中都使用它，因为它具有破除坚结、下行瘀血的功效。
【附方】新收录七首。
下瘀血汤：治疗产妇腹痛且有干血（陈旧性瘀血）。
用䗪虫二十枚（炒制，去掉足），桃仁二十枚，大黄二两，研成末，用炼蜜捣和，分成四丸。每次取一丸，用酒一升，煮取八合，温服，会排出瘀血。（张仲景方）
木舌肿强：舌头肿胀僵硬塞住口腔，不治疗会致死。炙䗪虫五枚，食盐半两，研成末。用水两盏，煎煮十沸，时时含在口中吐出涎液。痊愈后停止。（出自某方，原文缺注者）
重舌塞痛：地鳖虫与生薄荷一起研磨取汁，用丝绸包裹捻擦舌下肿胀处。一名地蜱虫。（鲍氏方）
腹痛夜啼：炙䗪虫、芍药、川芎各二钱。研成末。每次用一字量，用乳汁调服。（《太平圣惠方》）
折伤接骨：杨拱《摘要方》：用土鳖焙至存性，研成末。每次服用二、三钱，接骨神效。另一方法：生者研磨取汁，用酒送服。《袖珍方》：用蚵虫（即土鳖）六钱（隔纸炒，醋淬七次），研成末。每次服用二钱，温酒调服。病在上部饭后服，病在下部饭前服，神效。董炳《集验方》：用土鳖（阴干）一个，加少许麝香研成末。每次……（原文此处中断）传秘方，务必谨慎。也可以代替杖刑。
(Zhè, pronounced like "zhè". Listed as Medium Grade in *Shennong Bencao Jing*).
[Names] Di Bie (from *Shennong Bencao Jing*), Tu Bie (from *Mingyi Bielu*), Ke Chong (from *Bencao Gangmu*).
Tao Hongjing stated: Its shape is flat like a turtle, hence the name Tu Bie.
Su Song stated: People now call it Bo Ji Chong (Winnowing Basket Insect), which also describes its shape.
Li Shizhen stated: According to Lu Nongshi: This insect crosses streets on Shen days, hence the name Guo Jie. *Xiuzhen Fang* calls it Ke Chong, also known as Di Pi Chong.
[Collection and Explanation]
*Mingyi Bielu* states: It grows in rivers, marshes, and sands of Hedong region, as well as in damp soil under house walls. Collected in the tenth lunar month, dried in the sun.
Tao Hongjing stated: Flat-shaped like a turtle, has a shell but cannot fly, emits a slight odor.
Su Gong stated: This creature likes to live in soil around rat burrows and under house walls. Resembles Porcellio scaber (woodlice) but larger, over one cun long; small ones resemble turtles without shells but with scales. Children often catch them to carry objects for play.
Li Shizhen stated: Found everywhere, with distinct male and female counterparts to moths.
[Flavor and Properties] Salty, Cold, Toxic.
Zhen Quan stated: Salty, Bitter.
Xu Zhicai stated: Deterred by Gleditsia Sinensis Fruit (Zao Jia), Acorus Tatarinowii Rhizome (Chang Pu), and Yun Zhi (Coriolus versicolor).
[Indications] Chills in the chest and abdomen (Xi Xi, pronounced sa), blood stasis forming masses (Zheng Jia), breaking hard obstructions, resolving accumulated stagnant blood (From later additions such as *Yaoxing Lun*).
[Elucidation]
Su Song stated: Zhang Zhongjing's formulas for miscellaneous diseases and long-standing accumulations include Da Huang Zhe Chong Wan (Rhubarb and Leech Pill) and Da Bie Jia Wan (Large Turtle Shell Pill), both used in gynecology, due to their efficacy in breaking hardness and descending blood stasis.
[Attached Prescriptions] Seven new prescriptions.
Xia Yu Xue Tang (Downward-Discharging Blood Stasis Decoction): Treats postpartum abdominal pain caused by dry blood (old blood stasis).
Use twenty Eupolyphaga Steleae (E chong) (stir-fried, feet removed), twenty Peach Kernels (Tao Ren), and two liang of Rheum Palmatum Rhizoma (Da Huang). Grind into powder, mix with refined honey to form four pills. Take one pill per dose, boil in one sheng of wine until reduced to eight ge, take warm. It will discharge blood stasis. (Formula from Zhang Zhongjing)
Mu She Zheng Qiang (Wood Tongue Swelling and Stiffness): The tongue swells and stiffens blocking the mouth; untreated, it can be fatal. Use five roasted Eupolyphaga Steleae (E chong) and half a liang of Sodium Chloride (Shi Yan). Grind into powder. Add two zhan of water, boil ten times, hold in mouth occasionally and spit out saliva. Stop when cured. (Source missing in original text)
Chong She Sai Tong (Double Tongue Obstruction and Pain): Grind Euoplyphaga Steleae (Di Bie Chong) with fresh Mentha Haplocalyx Herba (Bo He) to extract juice. Wrap in silk and rub onto the swollen area under the tongue. Also known as Di Pi Chong. (Bao Shi Formula)
Abdominal Pain and Night Crying: Roasted Eupolyphaga Steleae (E chong), Paeonia Lactiflora Radix (Shao Yao), and Ligusticum Chuanxiong Rhizoma (Xiong Qian) each two qian. Grind into powder. Take one zi amount per dose, mixed with milk. (*Taiping Shenghui Fang*)
Fractures and Bone Setting: Yang Gong's *Zhaiyao Fang*: Bake Tu Bie until charred but retaining essence, grind into powder. Take two or three qian per dose; highly effective for setting bones. Another method: Grind raw material to extract juice, take with wine. *Xiuzhen Fang*: Use six qian of Ke Chong (i.e., Tu Bie) (stir-fried through paper, quenched in vinegar seven times), grind into powder. Take two qian per dose, mixed with warm wine. For upper body ailments, take after meals; for lower body ailments, take before meals; highly effective. Dong Bing's *Jiyan Fang*: Use one Yin-dried Tu Bie and a small amount of Moschus (She Xiang), grind into powder. Take... (Text cuts off here). Secret formula, handle with caution. Can also substitute for corporal punishment.