（《别录》）
【集解】《别录》曰∶
时珍曰∶ 与蝮同类，即虺也。长尺余，蝮大而虺小，其毒则一。《食经》所谓“虺色
如土，小如蝮蛇”者是也。详见蝮下。旧本作 类，一名 ，误矣
。 ，即虺字。 、 字象相近，传写脱误尔。陶氏注蝮即 ，亦误矣。 既是蝮，《别
录》不应两出。今并改正。
【气味】缺。
【主治】疗痹内漏（《别录》）。治破伤中风，大风恶
【附方】新一。
破伤风∶牙关紧急，口噤不开，口面 斜，肢体弛缓。用土虺蛇一条（去头、尾、
皮、骨，醋炙），地龙五条（去泥，醋炙），天南星（八钱重）一枚（炮），上为末，醋煮面
糊
如绿豆大。每服三丸至五丸，生姜酒下，仍食稀葱白粥，取汗即瘥。昔宫使明光祖，向任
制官，被重伤，服此得效。（《普济方》）
（《拾遗》）
【集解】藏器曰∶出苍梧诸县。状如蝮有约，从约断之，头毒尾良。岭南人呼为蓝药。
【主治】用头合毒药，毒人至死。以尾作脯，食之即解（藏器）。
（《拾遗》）
【释名】枳首蛇（《尔雅》）、越王蛇。
时珍曰∶枳，两也。郭璞云∶会稽人言是越王弩弦所化，故名越王蛇。江东人名越王约
发。《续博物志》云∶
【集解】藏器曰∶两头蛇大如指，一头无口目，两头俱能行。云见之不吉，故孙叔敖埋
之，恐后人见之必死也。
时珍曰∶按∶《尔雅》中央有枳首蛇，中国之异气也。刘恂《岭表录异》云∶岭外极多。
长尺余，大如小指，背有锦纹，腹下鳞红。人视为常，不以为异。
罗愿《尔雅翼》云∶宁国甚多，数十同穴，黑鳞白章。又一种夏月雨后出，如蚯蚓大，
有鳞
行不类
肉
【气味】时珍曰∶按∶《南越志》云∶无毒。夷人饵之。
【主治】疟疾。山人收取干之，佩于项上（时珍）。
（出自《名医别录》）
【集解】《名医别录》记载：
李时珍说：蓝蛇与蝮蛇同类，也就是虺。身长一尺多，蝮蛇体型大，虺蛇体型小，但它们的毒性是一样的。这就是《食经》中所说的“虺的颜色像泥土，体型比蝮蛇小”的那种蛇。详细内容见“蝮”条下。旧版书本中将其写作“类”，又名某字，这是错误的。“某字”即“虺”字。“某”和“虺”字形相近，是传抄过程中脱漏错误所致。陶弘景注释蝮蛇即为“某”，也是错误的。“某”既然是蝮蛇，《名医别录》就不应重复出现。现在一并改正。
【气味】信息缺失。
【主治】治疗痹证内漏（出自《名医别录》）。治疗破伤中风、大风病……
【附方】新增一方。
破伤风：症状为牙关紧急，口噤不能张开，口眼歪斜，肢体弛缓无力。取土虺蛇一条（去掉头、尾、皮、骨，用醋炙烤），地龙五条（去掉泥土，用醋炙烤），天南星一枚（重八钱，炮制），以上药材研为细末，用醋煮面糊制成如绿豆大小的丸药。每次服用三至五丸，用生姜酒送服，并食用稀薄的葱白粥，以出汗为度，病即可痊愈。过去宫使明光祖，曾任制官，遭受重伤，服用此方见效。（出自《普济方》）
（出自《本草拾遗》）
【集解】陈藏器说：产于苍梧各县。形状像有节环的蝮蛇，从节环处折断，头部有毒，尾部无毒。岭南人称之为“蓝药”。
【主治】用其头部配合毒药，可使中毒者致死。用其尾部制作肉干食用，即可解毒（陈藏器）。
（出自《本草拾遗》）
【释名】枳首蛇（出自《尔雅》）、越王蛇。
李时珍说：“枳”意为两。郭璞说：会稽人说这是越王弩弦所化，所以名叫越王蛇。江东人称越王蛇为“约发”。《续博物志》记载：
【集解】陈藏器说：两头蛇大小如手指，一头没有口目，两头都能行动。传说见到它不吉利，所以孙叔敖将其掩埋，担心后人见到它会必死无疑。
李时珍说：按《尔雅》记载，中央地区有枳首蛇，是中国各地的异气所生。刘恂《岭表录异》说：岭外地区极多。身长一尺多，粗细如小指，背部有锦缎般的纹路，腹部鳞片呈红色。当地人视为平常，不以为奇。
罗愿《尔雅翼》说：宁国府非常多，几十条同穴居住，黑鳞白纹。又有一种在夏月雨后出现，大小如蚯蚓，有鳞，爬行方式不像……肉……
【气味】李时珍说：按《南越志》记载：无毒。夷人食用它。
(From *Bie Lu*)
[Collected Explanations] *Bie Lu* states:
Li Shizhen says: It is of the same kind as the viper (Fushé), which is also known as the hui snake (Hui). It is slightly more than one chi in length. The viper is larger, while the hui is smaller, but their toxicity is identical. This refers to what *Shi Jing* describes as "the hui has a color like soil and is smaller than the viper." For details, see the entry under "Viper". In older editions, it was written as "Lei" and given another name, which is incorrect. The character in question is indeed "Hui". Due to the similarity in shape between the characters, errors occurred during transcription. Tao Hongjing's annotation that the viper is this character is also erroneous. Since this character refers to the viper, it should not appear twice in *Bie Lu*. These have now been corrected together.
[Flavor and Toxicity] Information missing.
[Indications] Treats bi syndrome with internal leakage (from *Bie Lu*). Treats traumatic wind stroke and severe wind disease...
[Attached Prescriptions] One new prescription.
Traumatic Wind Stroke: Symptoms include tightness of the jaw, inability to open the mouth, deviation of the mouth and eyes, and flaccidity of the limbs. Take one earth hui snake (remove head, tail, skin, and bones; stir-fry with vinegar), five earthworms (Dìlóng, remove mud; stir-fry with vinegar), and one Rhizoma Pinelliae Preparata (Tiānnánxīng, weighing eight qian; processed). Grind all into powder. Use vinegar and wheat paste to make pills the size of mung beans. Take three to five pills per dose, washed down with ginger wine. Also consume thin porridge with white scallions to induce sweating, after which the illness will resolve. Previously, Palace Envoy Ming Guangzu, who served as an official, suffered severe trauma and found this prescription effective. (From *Puji Fang*)
(From *Shi Yi*)
[Collected Explanations] Chen Cangqi says: It is produced in various counties of Cangwu. Its appearance resembles a segmented viper. If broken at the segment, the head is toxic, while the tail is non-toxic. People in Lingnan call it "Lan Yao" (Blue Medicine).
[Indications] Using its head combined with poison can cause death to those poisoned. Eating its tail prepared as dried meat can detoxify the body (Chen Cangqi).
(From *Shi Yi*)
[Names] Zhi Shou She (from *Erya*), Yue Wang She.
Li Shizhen says: "Zhi" means two. Guo Pu stated: People in Kuaiji say it was transformed from the bowstring of King Yue, hence the name Yue Wang She. People in Jiangdong call Yue Wang She "Yue Wang Yue Fa". *Xu Bowu Zhi* records:
[Collected Explanations] Chen Cangqi says: The two-headed snake is as thick as a finger. One end lacks a mouth and eyes, yet both ends can move. It is said that seeing it is inauspicious, so Sun Shu'ao buried it, fearing that others who saw it would surely die.
Li Shizhen says: According to *Erya*, the Zhi Shou Snake exists in the central regions, arising from the unique qi of China. Liu Xun's *Lingbiao Lu Yi* states: They are extremely common outside the mountains. They are slightly more than one chi long, as thick as a small finger, with brocade-like patterns on the back and red scales on the belly. Locals consider them ordinary and do not regard them as strange.
Luo Yuan's *Erya Yi* states: They are very numerous in Ningguo, with dozens living in the same burrow, having black scales with white markings. Another type appears after rain in summer, as large as an earthworm, with scales, but its crawling manner is unlike... flesh...
[Flavor and Toxicity] Li Shizhen says: According to *Nan Yue Zhi*: It is non-toxic. Barbarians consume it.
[Indications] Malaria. Mountain people collect and dry it, wearing it around the neck (Li Shizhen).