中蛊之脉，多系阳分盛。盖蛊家毒药，皆于端午日制之，乘其阳气极盛之时以制药，故
中其毒者脉皆强旺，所以利用清凉之药（一切蛊毒，皆忌补药）又蛊药皆属蛇末，故治之皆
以
心脉强者多加连翘、麦冬；脾脉强者多加茨菇菜；肾脉强者多加生地、玄参；肺脉强者多加
条参。而紫苏、薄荷，则凡中蛇、中癫、中肿、中疳治方断不可少者。至蛊毒将愈，肺、心
脉平和则紫苏少放，肝脉平和则薄荷少放，不知脉者，即照后篇成方治服，亦可取效。
人国中其毒，或肚痛极、或作吐作泻。自后凡遇肚痛时，行动则皮内或肚内有物坚实，
夜卧以手按之，则肚皮内有物肿起，长二三寸，微觉跳动，心烦涎溢，得吃肉则止。或移入
左胁、右胁、则饭食减少。或跳上心，则心胀欲作吐。又此物在身，时有时无，至四、五年
则成形，会咬。又有变成肉鳖、肉龟以作咬者。至蛇老时在皮内、肚内行咬，有日咬二三十
次者，命在顷刻。此时内蛇翻动作咬，则通身发热，额焦、头痛，如有发刺蚁咬，夜则更甚
。此乃蛊家之外蛇从风而至也。内蛇咬脏腑，外蛇入毛孔，其蛇无形亦无数。
用雄黄五钱，研末，生菖蒲四两，蒜子四两捣烂，三味缺一不可，用放浴盆内，倒热水
于内，令病者自头至脚处处洗到。隔日一洗，以御外蛇。再用马兜铃四两，同水久煨多服。
服药后，忌食茶水饮食半日，若蛇不吐出泻下，仍将苏荷汤四方（见后）加减治，服过半月，
复用马兜铃半斤煎浓汤服，如此三五次，其蛇自化不见。愈后仍戒鸡鸭二年，鱼虾螺蚌等戒
三年，终身戒食蛇蛤。
有李姓妻者中此毒，内蛇长五六寸，日咬数十次，照方服药，不戒盐荤，两月而愈。
又，路姓二人，中生蛇蛊，尚未见咬，服马兜铃，兼服苏荷汤，一月而愈。后因食鱼复
发，慎之，慎之。
中蛊的脉象，多表现为阳分旺盛。因为制作蛊毒所用的毒药，都是在端午节这一天制造的，趁着阳气极盛的时候来制药，所以中毒者的脉象都强劲旺盛，因此适宜使用清凉性质的药物（所有的蛊毒，都忌讳使用补药）。另外，蛊药大多属于蛇末制成，所以治疗时都要根据脉象进行加减：心脉强者多加连翘、麦冬；脾脉强者多加茨菇菜；肾脉强者多加生地、玄参；肺脉强者多加条参。而紫苏、薄荷，则是凡中蛇毒、中癫毒、中肿毒、中疳毒的治疗方剂中绝对不可缺少的。等到蛊毒将要痊愈，肺脉和心脉平和了，就减少紫苏的用量；肝脉平和了，就减少薄荷的用量。不懂诊脉的人，就按照后面的成方治疗服用，也可以取得疗效。
人在体内中了这种毒，有的肚子剧烈疼痛，有的发生呕吐或腹泻。此后每逢肚子痛时，活动时感觉皮肤内或肚内有物体坚实存在，夜间躺卧用手按压，则肚皮内有物体肿起，长约二三寸，微微感到跳动，心烦意乱且唾液溢出，吃到肉后症状就会停止。或者毒素移入左胁、右胁，则饭食减少。或者毒素跳上心脏，则心胸胀满想要呕吐。此外，此物在体内，有时出现有时消失，到了四五年后形成形状，会咬人。又有变成肉鳖、肉龟来咬人的。等到蛇老了时在皮内、肚内行咬，有的一天咬二三十次的，性命就在顷刻之间。此时体内的蛇翻身动作去咬，则全身发热，额头焦枯、头痛，好像有发刺和蚂蚁叮咬一样，夜晚则更加严重。这是蛊家所说的外蛇随风而至的情况。内蛇咬脏腑，外蛇进入毛孔，这些蛇没有固定形状也没有固定数量。
用雄黄五钱，研成粉末，生菖蒲四两，蒜子四两捣烂，这三味药缺一不可，放入浴盆内，倒入热水，让病人从头到脚处处清洗。每隔一天洗一次，用来抵御外蛇。再用马兜铃四两，同水长时间煨煮，多次服用。服药后，忌食茶水饮食半天，如果蛇不吐出也不泻下，仍然将苏荷汤四方（见后文）加减治疗，服用半个月后，再用马兜铃半斤煎浓汤服用，像这样三五次，蛇自然化解不见。痊愈后仍要戒吃鸡鸭两年，鱼虾螺蚌等戒三年，终身戒食蛇蛤。
有个李姓的妻子中了这种毒，体内的蛇长五六寸，每天咬数十次，照着方子服药，但不戒盐和荤腥，两个月后痊愈。
另外，路姓的两个人，中间生了蛇蛊，还没有见到被咬的症状，服用马兜铃，兼服苏荷汤，一个月后痊愈。后来因为吃鱼又复发，一定要谨慎，谨慎。
The pulse of Gu poisoning (Gu poisoning) often manifests as excess in the Yang aspect. This is because the toxic substances used to make Gu are prepared on the Dragon Boat Festival, taking advantage of the time when Yang Qi (vital energy associated with heat and activity) is at its peak. Therefore, those poisoned by it have a strong and vigorous pulse. Consequently, cooling herbs should be utilized (all types of Gu poison contraindicate the use of tonifying medicines). Furthermore, since Gu medicines are mostly derived from snake powder, treatment involves adding specific herbs based on the stronger pulse positions: for a strong Heart pulse, add more Qiaoyao (Forsythiae Fructus) and Maidong (Ophiopogonis Radix); for a strong Spleen pulse, add more Cigucabbage; for a strong Kidney pulse, add more Shengdi (Rehmanniae Radix) and Xuanshen (Scrophulariae Radix); for a strong Lung pulse, add more Tiaoshen. However, Zisu (Perilla Leaf) and Bohe (Menthae Haplocalycis Herba) are indispensable in any formula treating Snake Gu, Dian Gu, Zhong Gu, or Gan Gu. When the Gu poison is about to heal, if the Lung and Heart pulses become balanced, reduce the amount of Zisu; if the Liver pulse becomes balanced, reduce the amount of Bohe. Those unfamiliar with pulse diagnosis can follow the established formulas provided later for treatment, which will also yield results.
When a person is poisoned internally, they may experience severe abdominal pain, vomiting, or diarrhea. Subsequently, whenever abdominal pain occurs, movement causes a sensation of a solid object within the skin or abdomen. At night, lying down and pressing with the hand reveals a swelling inside the abdomen, approximately two to three cun long, with a slight throbbing sensation. The patient feels restless with excessive salivation, and symptoms cease after eating meat. If the toxin migrates to the left or right hypochondrium, food intake decreases. If it jumps to the heart, chest distension and nausea occur. This entity within the body appears intermittently; after four or five years, it takes form and begins to bite. It may transform into a flesh turtle or tortoise to bite. When the snake matures, it bites within the skin and abdomen, sometimes twenty to thirty times a day, putting life in immediate danger. At this stage, the internal snake turns over to bite, causing whole-body fever, scorching forehead, headache, and sensations like prickling ants biting, which worsen at night. This is referred to as the external snake arriving via wind in Gu practices. The internal snake attacks the Zang-Fu organs, while the external snake enters the hair pores; these snakes have no fixed shape or number.
Use Xionghuang (Realgar) 5 qian, ground into powder; Shengchangpu (Acori Tatarinowii Rhizoma) 4 liang; and garlic cloves 4 liang, pounded into a paste. These three ingredients are essential and cannot be omitted. Place them in a bathtub, pour hot water in, and allow the patient to wash thoroughly from head to toe. Bathe once every other day to repel the external snake. Additionally, use Madouling (Aristolochiae Manshuriensis Fructus) 4 liang, simmered in water for a long time, taken frequently. After taking the medicine, abstain from tea, water, and food for half a day. If the snake is not vomited out or excreted, modify the four formulas of Suhé Tang (Perilla and Mint Decoction) (see below) for treatment. After taking the medication for half a month, decoct Banjin (half jin) of Madouling in concentrated soup and consume it. Repeating this three to five times will cause the snake to dissolve and disappear. After recovery, abstain from chicken and duck for two years, fish, shrimp, snails, and clams for three years, and strictly avoid snake and shellfish for life.
A wife of the Li family was poisoned by this, harboring an internal snake five to six cun long, bitten dozens of times daily. She followed the prescription but did not abstain from salt and meat, yet recovered in two months.
Furthermore, two individuals from the Lu family contracted Snake Gu but had not yet been bitten. They took Madouling combined with Suhé Tang and recovered in one month. Later, due to consuming fish, the condition recurred. One must be cautious, most cautious.