葛氏,凡蛇疮未愈禁热食。食便发,疗之根据初螫人法。
蛇螫人,九窍皆血出方。
取虻虫初食牛马血腹,满者二七枚,烧服之。
此上蛇疮败及洪肿法方,蛇螫人,牙折入肉中,痛不可堪方。
取虾蟆肝,以敷上,立出。
又方,先密取荇叶,当其上穿勿令人见。以再覆疮口上,一时着叶当上穿,穿即折牙出
也。
蛇骨刺人毒痛方。
以铁精如大豆者,以管吹疮内,姚同。
又方,烧死鼠,捣,敷之疮上。
蛇螫人,疮已合而余毒在肉中,淫淫痛痒方。
取大小蒜各一升,合捣热汤淋取汁,灌疮中,姚同。
蛇卒绕人不解方。
以热汤淋即解,亦可令就尿之。
蛇入人口中不出方。
艾灸蛇尾即出,若无火以刀周匝割蛇尾。截令皮断,乃将皮倒脱即出,《短剧》同之。
七八月中,诸蛇毒旺,不得泄。皆啮草木,即枯死。名为蛇 ,此物伤人甚于蛇螫,
即根据蛇之螫法,疗之。
附方
《广利方》,治蛇咬疮。
暖酒,淋洗疮上,日三易。
《圣惠方》,治蛇入口,并入七孔中。
割母猪,尾头沥血,滴口中,即出。
辟众蛇方。
同前姚氏仙人入山草法。
辟蛇之药虽多,唯以武都雄黄为上。带一块石,称五两于肘间,则诸蛇毒莫敢犯。
他人中者,便磨以疗之,又带五蛄黄丸,良。丸有蜈蚣,故方在于备急中,此下有禁法
云,不受而行,则无验。
中蛇毒勿渡水,渡水则痛甚于初螫。
亦当先存想作大蜈蚣,前已随后渡。若乘船渡,不作法,杀人。
入山并不得呼作蛇,皆唤为蛇,中之者,弥宜勿误。
辟蛇法,到处烧羚羊角,令有烟出地,则去矣。
附方
《广利方》,治诸蛇毒螫人欲死兼辟蛇。
干姜,雄黄等分。同研,用小绢袋贮,系臂上。男左,女右,蛇闻药气逆避,人螫毒,
敷之。
葛氏方:凡是蛇咬疮尚未痊愈时,禁止食用热性食物。如果吃了热食,病情就会复发,治疗应依照最初被蛇咬伤的方法进行。
治疗蛇咬后九窍出血的方子。
取刚吸食过牛马血液、腹部饱满的虻虫十四枚,烧焦后服用。
以上是关于治疗蛇疮溃烂及严重肿胀的方法;以及治疗蛇咬后毒牙折断留在肉中、疼痛难忍的方子。
取蛤蟆(蟾蜍)的肝脏,敷在伤口上,毒牙会立即排出。
另一个方子:事先秘密采集荇菜叶,要在叶片中间穿孔,不要让人看见。将两片叶子覆盖在伤口上,片刻之后,叶片中间的孔洞对准折断的毒牙,毒牙就会随之折出。
治疗蛇骨刺入人体、有毒且疼痛的方子。
取如大豆大小的铁精(铁粉),用管子吹入伤口内,姚氏的观点与此相同。
另一个方子:将死老鼠烧焦,捣碎,敷在伤口上。
治疗蛇咬后疮口已愈合但余毒仍在肌肉中,产生游走性刺痛和瘙痒的方子。
取大蒜和小蒜各一升,一起捣碎,用热汤淋洗并滤取汁液,灌入伤口中,姚氏的观点与此相同。
治疗蛇突然缠绕人体无法解脱的方子。
用热汤淋浇即可解开,也可以让患者靠近尿液处(利用尿气)。
治疗蛇进入人口中出不来的方子。
艾灸蛇的尾部,蛇就会出来;如果没有火,就用刀在蛇尾周围切割,切断表皮,然后将皮倒着脱下,蛇就会出来,《短剧》中的记载与此相同。
农历七八月间,各种蛇的毒性旺盛,无法排泄。它们都会啃咬草木,导致草木枯死。这种草被称为“蛇衔”(或类似名称,原文此处可能有缺字或通假,指代一种剧毒植物),它伤人的程度比蛇咬更甚,治疗时应依照被蛇咬伤的方法进行。
附方:
《广利方》,治疗蛇咬疮。
用温热的酒,淋洗伤口,每天更换三次。
《圣惠方》,治疗蛇进入口中,并侵入七窍的情况。
宰杀母猪,取猪尾根部的血,滴入患者口中,蛇就会出来。
辟除众蛇的方子。
同前文姚氏仙人入山草的方法。
辟蛇的药物虽然很多,但以武都产的雄黄为最佳。随身携带一块重五两的石块,挂在手肘附近,那么各种蛇毒都不敢侵犯。如果是他人被蛇咬伤,可以磨雄黄来治疗。另外佩戴“五蛄黄丸”,效果也很好。因为丸药中含有蜈蚣,所以该方列在备急方中。下文有禁法说,如果不遵守禁忌而行医或自救,则没有疗效。
被蛇咬伤后不要渡水,渡水会使疼痛比初次被咬时更剧烈。
应当先存想(冥想)有一只大蜈蚣在前面跟随自己渡水。如果乘船渡水而不使用这种方法,会导致死亡。
进入山林不得称呼蛇的名字,都要唤作“长虫”或其他隐语,如果被误称而遭蛇攻击,更加不宜疏忽大意。
辟蛇的方法:走到哪里就在哪里烧羚羊角,让烟从地面升起,蛇就会离开。
附方:
《广利方》,治疗各种蛇毒咬人濒临死亡兼能辟蛇。
干姜、雄黄等分。一同研细,用小绢袋装好,系在手臂上。男性系左手,女性系右手。蛇闻到药气会逆避,人被蛇咬中毒后,敷用此药。
Ge Shi's Formula: Whenever a snakebite wound has not yet healed, hot food is prohibited. If hot food is consumed, the condition will flare up; treatment should follow the methods used for the initial snakebite.
Formula for treating nine orifices bleeding after a snakebite.
Take fourteen biting flies (Tabanidae) whose abdomens are full of blood from recently feeding on cattle or horses. Burn them and administer orally.
The above formulas address treating ulcerated snakebites and severe swelling, as well as cases where fangs break off and remain in the flesh with unbearable pain.
Apply the liver of a toad (Bufo bufo gargarizans) to the wound; the fang will be expelled immediately.
Another formula: Secretly collect leaves of Nymphoides peltata (Xingye), piercing a hole in the center without letting others see. Cover the wound with two leaves. After a moment, the hole in the leaves aligns with the broken fang, causing it to snap out.
Formula for treating pain and toxicity caused by snake bone spicules penetrating the body.
Take iron powder (Tie Jing) the size of a soybean and blow it into the wound using a tube. Yao's view is identical.
Another formula: Burn dead mice until charred, crush them, and apply the powder to the wound.
Formula for treating lingering toxicity remaining in the muscles after a snakebite wound has closed, manifesting as wandering stinging pain and itching.
Take one sheng each of large garlic and small garlic. Crush them together, pour hot water over the mixture to extract the juice, and irrigate the wound. Yao's view is identical.
Formula for resolving sudden entanglement by a snake that cannot be loosened.
Irrigate with hot water to resolve the entanglement; alternatively, allow the patient to be near urine.
Formula for a snake entering the mouth and unable to exit.
Moxibustion on the snake's tail will cause it to exit. If fire is unavailable, cut around the snake's tail with a knife until the skin is severed, then invert and peel back the skin to remove the snake. The "Duan Ju" text records this identically.
In the seventh and eighth lunar months, the venom of various snakes is potent and cannot be excreted. They bite grass and trees, causing them to wither and die. This plant is named [She Xian/Snake-holding] (Note: Text implies a specific toxic plant associated with snakes). It injures people more severely than a snakebite; treat it according to the methods for snakebites.
Attached Formulas:
"Guang Li Fang": Treats snakebite wounds.
Wash the wound with warm wine, changing the application three times daily.
"Sheng Hui Fang": Treats snakes entering the mouth and invading the seven orifices.
Slaughter a sow, drip blood from the root of the pig's tail into the patient's mouth; the snake will exit.
Formula to repel various snakes.
Same as the method of Immortal Yao for entering mountains and forests described previously.
Although there are many herbs to repel snakes, realgar (Xionghuang) from Wudu is superior. Carry a stone weighing five liang at the elbow; then no snake venom will dare to attack. If others are bitten, grind the realgar for treatment. Also carrying "Wugu Huang Wan" is effective. Because the pill contains centipedes, this formula is included in the emergency preparations. The following taboos state that if one does not observe these prohibitions, the treatment will be ineffective.
Do not cross water after being bitten by a snake; doing so will intensify the pain beyond the initial bite.
One should visualize a large centipede crossing ahead of oneself. If crossing by boat without this visualization method, death may result.
When entering mountains, do not call snakes by their name; refer to them by euphemisms like "long chong" (long worm). If one is bitten due to misnaming, extra caution is required.
Method to repel snakes: Burn antelope horn wherever you go, allowing smoke to rise from the ground; the snakes will depart.
Attached Formula:
"Guang Li Fang": Treats fatal snakebites and repels snakes.
Equal parts of dried ginger (Ganjiang) and realgar (Xionghuang). Grind together, store in a small silk bag, and tie to the arm. Men tie to the left arm, women to the right. Snakes avoid the scent of the medicine. For human envenomation, apply externally.