（《纲目》）
【集解】
时珍曰∶凡人、畜有风病、疮病，肠肚内必有虫。《圣惠方》治目翳用此物，云以乌驴
者为
【主治】目中肤翳。取三七枚曝干，入石胆半钱同研，瓷盒收盛，勿令见风。每日点三、
五次，其翳自消（《圣惠》）。
（《拾遗》）
【释名】
时珍曰∶造蛊者，以百虫置皿中，俾相啖食，取其存者为蛊。故字从虫，从皿。皿，器
也。
【集解】
藏器曰∶古人愚质，造蛊图富，皆取百虫入瓮中，经年开之，必有一虫尽食诸虫，即此
名为蛊，能隐形似鬼神，与人作祸，然终是虫鬼。咬人至死者，或从人诸窍中出，信候取之，
曝干。有患蛊人，烧灰服之，亦是其类自相伏耳。又云∶凡蛊虫疗蛊，是知蛊名即可治之。
如蛇蛊用蜈蚣蛊虫，蜈蚣蛊用蛤蟆蛊虫，蛤蟆蛊用蛇蛊虫之类，是相伏者，乃可治之。
时珍曰∶按∶蛊毒不一，皆是变乱元气，多因饮食行之。与人为患。则蛊主吉利，所以
小人因而造之。南方又有蜥蜴蛊、蜣螂蛊、马蝗蛊、金蚕蛊、草蛊、挑生蛊等毒，诸方大有
主治之法，不能悉纪。
【主治】蛊毒，烧灰服少许，立愈（藏器）。
（《纲目》）
【释名】食锦虫。
【集解】
时珍曰∶按∶陈藏器云∶故锦灰疗食锦虫蛊毒。注云∶虫屈如指环，食故绯帛锦，如蚕
之食
浸多。
所欲，日置他财，使人暴富。然遣之极难，水火兵刃所不能害。必倍其所致金银锦物，置蚕
于中，投之路旁。人偶收之，蚕随以往，谓之嫁金蚕。不然能入人腹。残啮肠胃，完然而出，
如尸
榻下墙隙擒出。夫金蚕甚毒，若有鬼神，而 能制之，何耶？又《幕府燕闲录》云∶池州进
士邹阆家贫，一日启户，获一小笼，内有银器，持归。觉股上有物，蠕蠕如蚕，金色烂然，
遂拨去之，仍复在旧处。践之斫之，投之水火，皆即如故。阆以问友人。友人曰∶此金蚕也。
备告其故。阆归告妻云∶吾事之不可，送之家贫，何以生为？遂吞之。家人谓其必死。寂无
所苦，竟以
一见此蛊畏
石榴根皮煎汁
胜其天。
【《本草纲目》】
【集解】
李时珍说：凡是人、畜患有风病、疮病，肠肚内必定有虫。《圣惠方》治疗目翳（眼珠表面生成的薄膜）使用此物，声称用乌驴（黑驴）的……
【主治】目中肤翳。取三七枚晒干，加入石胆半钱共同研磨，用瓷盒收藏密封，不要让见到风。每天点眼三、五次，其翳自然消除（出自《圣惠方》）。
【《本草拾遗》】
【释名】
李时珍说：制造蛊的人，把各种虫子放在器皿中，让它们互相吞食，保留存活下来的作为蛊。所以“蛊”字从虫，从皿。皿，就是器皿。
陈藏器说：古人愚昧质朴，为了致富而制造蛊，都是取各种虫子放入瓮中，经过一年打开它，必定有一种虫子吃尽了其他虫子，就以此名为蛊，它能隐形像鬼神一样，给人带来灾祸，但终究是虫鬼。咬人至死的，有时从人的各个孔窍中出来，相信并据此寻找，晒干。有患蛊病的人，烧成灰服用，也是同类相克罢了。又说：凡是用蛊虫来治疗蛊病，是知道蛊的名称就可以治疗它。比如蛇蛊用蜈蚣蛊虫，蜈蚣蛊用蛤蟆蛊虫，蛤蟆蛊用蛇蛊虫之类，这是相互克制的，才可以治疗。
李时珍说：查考：蛊毒不止一种，都是扰乱元气，多因饮食传播。给人带来祸患。所以蛊主吉利，因此小人借此制造。南方又有蜥蜴蛊、蜣螂蛊、马蝗蛊、金蚕蛊、草蛊、挑生蛊等毒，各方都有很大的主治方法，不能全部记录。
【主治】蛊毒，烧成灰服用少许，立刻痊愈（陈藏器）。
【《本草纲目》】
【释名】食锦虫。
【集解】
李时珍说：查考：陈藏器说：旧锦灰治疗食锦虫蛊毒。注释说：虫子弯曲如指环，吃旧的红色丝织品锦缎，像蚕吃桑叶一样贪婪。
想要什么，就放置其他财物，使人突然暴富。然而驱除它极难，水火兵刃都不能伤害它。必须加倍给予它所招致的金银锦物，把蚕放在其中，投掷在路旁。人偶然收起来，蚕跟随而去，叫做嫁金蚕。不然就能进入人的腹部。残害啃噬肠胃，完好无损地出来，像尸体一样从床下墙缝中擒出。那金蚕非常毒，如果有鬼神，而谁能制服它呢？又《幕府燕闲录》说：池州进士邹阆家里贫穷，一天开门，获得一个小笼子，里面有银器，拿回家。觉得大腿上有东西，蠕蠕而动像蚕，金色灿烂，于是拨开去掉它，仍然回到原处。踩踏它砍伐它，投入水火，都依然如故。邹阆询问朋友。朋友说：这是金蚕啊。详细告诉了他缘故。邹阆回家告诉妻子说：我侍奉它不可行，送回家里贫穷，怎么生活呢？于是吞下了它。家人认为他必死。寂静没有痛苦，最终……一见此蛊畏惧石榴根皮煎汁胜过他的天敌。
[Compendium of Materia Medica]
[Collected Explanations]
Li Shizhen said: Whenever humans or livestock suffer from wind diseases (diseases caused by wind pathogens) or sores, there must be parasites in the intestines and abdomen. The *Shenghui Fang* uses this substance to treat corneal opacity (membrane covering the eye), stating that donkey-derived preparations are effective...
[Therapeutic Actions]
For corneal opacity. Take 37 pieces, dry them in the sun, grind them together with half a qian of Lithodori Fructus (Shidan), store in a porcelain box, and prevent exposure to wind. Instill into the eyes three to five times daily; the opacity will naturally dissipate (*Shenghui Fang*).
[Supplement to Materia Medica]
[Names]
Li Shizhen said: Those who manufacture gu poison place various insects in a vessel, allowing them to devour one another, retaining the survivor as gu. Hence, the character 'gu' consists of 'insect' and 'vessel'. Vessel refers to a container.
Chen Cangqi said: Ancients were simple-minded and created gu for wealth. They placed hundreds of insects in an urn; after a year, upon opening it, one insect would have consumed all others. This survivor is called gu. It can become invisible like spirits or ghosts, bringing misfortune to people, but it remains merely an insect-ghost. Bites causing death may emerge from the body's orifices. One should trust these signs, locate the source, and dry it. For those suffering from gu disease, burning it to ash and ingesting it works through mutual subjugation of similar species. Furthermore, using specific gu worms to treat gu implies that knowing the name of the gu allows for its treatment. For example, snake-gu is treated with centipede-gu worm, centipede-gu with toad-gu worm, and toad-gu with snake-gu worm. These mutually restraining agents are curative.
Li Shizhen said: Upon investigation, gu poisons vary in type, all disrupting Yuan Qi (Original Qi), often transmitted via diet, causing harm to humans. Thus, gu is associated with auspiciousness, leading petty people to create it. In the South, there are also lizard-gu, dung-beetle-gu, leech-gu, golden silkworm-gu, grass-gu, and life-picking gu, among others. Various prescriptions offer major treatments for these, which cannot be fully recorded here.
[Therapeutic Actions]
Gu poison. Burn to ash, ingest a small amount, and recovery is immediate (Chen Cangqi).
[Compendium of Materia Medica]
[Names]
Silk-eating worm.
[Collected Explanations]
Li Shizhen said: According to Chen Cangqi: Old silk ash treats silk-eating worm gu poison. The annotation states: The worm curls like a finger ring, eating old red silk brocade greedily, like silkworms eating mulberry leaves.
It grants desires, placing other wealth to make people suddenly rich. However, expelling it is extremely difficult; fire, water, weapons, and blades cannot harm it. One must double the gold, silver, and silk items it attracted, place the silkworm within them, and throw them by the roadside. If a person accidentally picks them up, the silkworm follows, known as "marrying the golden silkworm." Otherwise, it enters the human abdomen, destroying and gnawing at the intestines and stomach, emerging intact, as if extracted from under the bed or wall cracks where a corpse might be found. The golden silkworm is highly toxic; if spirits exist, who can control it? Additionally, *Mufu Yanxian Lu* records: Zou Lang, a scholar from Chizhou, was poor. One day, he opened his door and found a small cage containing silverware, which he took home. He felt something on his thigh, wriggling like a silkworm, shining golden. He brushed it away, but it returned to the same spot. Stepping on it, chopping it, or throwing it into fire and water had no effect. Zou Lang asked a friend, who said, "This is the golden silkworm." After hearing the explanation, Zou Lang told his wife, "I cannot serve it. If I return it, we remain poor; how shall we live?" So he swallowed it. His family thought he would surely die. Yet, silently enduring no pain, eventually... seeing this gu, it fears the decoction of Pomegranate Root Bark more than its natural enemy.