一名螂蛆。禀火金之气以生，味辛，气温，有毒，乃属土之毒虫，足厥阴经药也。
善能制蛇，见大蛇则缘上，啖其脑，淮南子云∶腾蛇游雾而殆于螂蛆，故主啖诸蛇虫鱼
毒，去三虫蛊毒也。性复走窜，辟邪所以，能疗鬼，亦治疫杀鬼物老精。辛主散结，温
主通行，故治心肠寒热结聚，堕胎去恶血也。今世以治小儿惊痫，风搐脐风口噤，瘰
便毒痔漏等症，亦取其以毒攻毒，散结温行耳。
蜈蚣，啖蛇虺虫鱼恶毒，杀鬼物蛊疰精邪，去瘀血堕胎，逐积聚阴疟，去三虫，逐
毒疗心腹寒热，若被毒者，乌鸡粪及蜒蚰并可敷解。
主治（痘疹合参） 治痘发毒攻斑，除五内腹痛。宜去足、头，炙用。
蛤蟆、蟾蜍，本是二物。《经》云∶一名蟾蜍者，盖古人通称蟾为蛤蟆耳。经文虽
名蛤蟆，其用实则蟾蜍也。蛤蟆，禀土金之精气，上应月魄，性亦灵异，味辛气寒，其
大毒在眉棱皮汁中，是即酥也。主痈肿阴疮，阴蚀疽 。恶疮， 犬伤疮者，盖以
诸热毒瓦斯，留害肌肉，得此辛寒散热解毒，且其性急，速以毒攻毒则毒易解肌肉，和诸
症去矣。凡瘟疫邪气，得汗则解，其味大辛，性善发汗，辛主散毒，寒主除热，故能
使邪气散而不留，胃气安而热病退矣。破瘀坚血者，亦以其辛寒，能散血热壅滞也。总
能发散一切风火相郁，大热壅肿，为拔疔散毒之神药。但性有毒不宜多用，入发汗散毒
药中，服者不过三厘而已，并慎勿单使，必与牛黄、明矾、乳香、没药之类，同用乃
可，况剂甚小不能为害。若外治惟有神效，无所虑也，但疮已溃，欲生肌长肉之际，得
之作痛异常，不可不知。昔人固齿痛，以酥擦牙，误吞入腹，头目俱胀大而毙。凡犬齿
之则口皆肿，其毒可知也。慎勿单服多服，至于小儿疳积，所用乃系干蟾，非眉酥也，
所以必去头足，并肠垢羊酥炙黄，同药用之，取其能走阳明，而消积去滞，杀蛊除
热，非仗酥毒之力也。其肪涂玉则刻之如蜡，故云能合玉石也。附骨攘疮，久不瘥，
脓汁不己，或骨从疮孔中出，用大蛤蟆一个，乱发一鸡子大，猪油四两，入二物煎
枯，去滓待凝如膏，先以桑根皮乌头煎汤，洗拭干 龙骨末，擦四边，以前膏贴之，发
背肿毒。初起势重者，以活蟾一个，破开连肚乘热，合疮上不久必臭不可闻，再易三四
次即愈。治风犬伤用蟾蜍后足，捣烂水调服之。先于顶心，拔去血发三两根。则小便内
见沫也。治疔丸，同朱砂、冰片、牛黄、明矾、白僵蚕。麝香、黄蜡溶化，作丸麻子
大，用葱头白酒吞下，取汗不过二三小丸，拔取疔黄，蟾酥以面丸梧子大，每用一丸，
安舌下即黄出也。拔取疔毒。蟾酥以白面黄丹搜作剂，每丸麦粒大。挑破纳入，仍以水
澄膏贴之。一切疮毒，蟾蜍一钱，白面二钱，朱砂少许，井水调成小锭子如麦大，每
用一锭，葱汤服汗出即愈。如疮势紧急，用三四锭。凡痈疽发背，无名肿毒初起者，急
取蟾蜍三五分，广胶一块，米醋一二碗，入铫内，火化开，用笔蘸，乘热令人不住手周
围润之，以散为度。
蟾似蛤蟆，形独胖大，行极缓迟，治小儿洞泻下痢，炙研水服；大人跌扑损伤，活
捣烂 。风淫生癣，烧灰和猪脂，敷瘟疫发斑，取汁掺井水服。煨熟啖，杀疳蚀成癖，
作脍食，驱犬咬发狂，一切鼠 恶疮，未敷自能消解。眉间白汁，乃名蟾酥，掺膏和
散，去毒如神，发背疔疽，五疳羸弱，立止牙痛，善助房术，外科有夺命之功，然轻用
烂人肌肉。一种蛤蟆腹大身小，举动极急，吞接百虫，主邪气破坚血，解结热，贴痈
肿，理疳积。又种水鸡，味最爽口，疳瘦能调，虚损亦补，尤宜瘥妇，女科当知。又蜊
蚪子，系蛤蟆子，合桑椹染须，永不皓白，捣烂为火疮敷药，绝无瘢痕。
主治（痘疹合参） 蟾酥，治痘解毒。发毒点疔，拔毒之圣药。
蜈蚣，又名螂蛆。它禀受火和金的气而生成，味道辛，性温，有毒，属于土性的毒虫，是足厥阴经的药物。
它能制服蛇，见到较大的蛇就会攀附上去，吞食其脑髓，《淮南子》说：“腾蛇乘雾飞行却忌惮于螂蛆”，所以蜈蚣主治被各种蛇、虫、鱼咬伤中毒，能去除体内的三虫（蛔虫、蛲虫、绦虫）和蛊毒。它的药性善于走窜，能辟除邪气，因此能治疗鬼疰（一种由邪祟引起的疾病），也能治疗疫病及驱杀鬼物、老精等邪祟。辛味主发散结聚，温性主通行气血，所以能治疗心肠因寒热导致的结聚，具有堕胎和去除恶血的作用。现在世医用它来治疗小儿惊痫、风搐、脐风、口噤、瘰疬、便毒、痔漏等症状，也是利用它以毒攻毒、散结温通的功效。
蜈蚣能吞食蛇、虺、虫、鱼等恶毒之物，杀死鬼物、蛊毒、疰精和邪气，去除瘀血，堕胎，驱逐积聚和阴疟，去除三虫，驱逐毒素，治疗心腹部的寒热病症。如果被毒物所伤，可以用乌鸡粪或蜒蚰（蜗牛/鼻涕虫）的分泌物涂抹来解毒。
主治（参考《痘疹合参》）：治疗痘疮发毒攻斑，消除五脏内部的腹痛。使用时应去掉头和足，炙烤后使用。
蛤蟆和蟾蜍，本来是两种不同的生物。《本草经》中说：“有一种叫蟾蜍的”，大概是因为古人通称蟾为蛤蟆罢了。经文虽然名为蛤蟆，但其实际药用部分是蟾蜍。蛤蟆禀受土和金的精气，上对应月亮的精华，性质也灵异，味道辛，气寒，其大毒位于眉棱皮分泌的汁液中，这就是蟾酥。它主治痈肿、阴疮、阴蚀疽、恶疮以及犬咬伤造成的疮口，这是因为各种热毒瓦斯留害肌肉，得到这种辛寒之品可以散热解毒，而且它的药性急迫，能以毒攻毒，使毒素容易从肌肉中解除，各种病症随之而去。凡是瘟疫邪气，通过发汗可以解除，蟾蜍味道大辛，性质善于发汗，辛味主散毒，寒味主除热，所以能使邪气散发而不滞留，胃气安宁而热病退去。破除瘀坚血块，也是因为它辛寒，能消散血热壅滞。总的来说，它能发散一切风火郁结引起的大热壅肿，是拔疔散毒的神药。但是它的性质有毒，不宜多用，在入发汗散毒药中服用时，用量不过三厘而已，并且千万不要单独使用，必须与牛黄、明矾、乳香、没药等药物同用才可以，况且剂量很小不会造成危害。如果是外用治疗则非常有神效，无需顾虑，但如果疮口已经溃破，正处于生肌长肉的时候，使用它会异常疼痛，这一点不可不知道。过去有人为了固齿止痛，用蟾酥擦牙，误吞入腹，导致头目俱胀大而死亡。凡是被狗咬伤的地方都会肿胀，其毒性可知。千万不要单独服用或多服。至于治疗小儿疳积，所用的是干蟾蜍，而不是眉间的蟾酥，所以必须去掉头足，并将肠道污垢与羊酥一起炙烤至黄色，作为药物使用，这是取它能走阳明经，从而消积去滞、杀蛊除热的功效，并不是依靠蟾酥的毒性力量。蟾蜍的脂肪涂抹在玉石上会像蜡一样刻划痕迹，所以说它能融合玉石。对于附骨疽（深部脓肿），久不愈合，脓汁不止，或者骨头从疮孔中排出，用一个大的蛤蟆，加上鸡蛋大小的乱头发，四两猪油，将这两样东西放入锅中煎至枯焦，滤去渣滓，待冷却凝固成膏状，先用桑根皮和乌头煎汤清洗擦干，撒上龙骨末，擦拭四周，然后用前面的膏药贴敷。对于发背肿毒，初起势态严重的，用一只活蟾蜍，剖开连肚子一起趁热贴在疮上，不久必然臭不可闻，再更换三四次即可痊愈。治疗疯狗咬伤，用蟾蜍的后足，捣烂用水调服。先在头顶心拔去两三根带血的头发，那么小便内就会出现泡沫。治疗疔疮丸药，同朱砂、冰片、牛黄、明矾、白僵蚕、麝香、黄蜡溶化，做成梧桐子大小的丸子，用葱头白酒送服，取汗，不超过二三颗小丸，即可拔出疔黄。蟾酥用面粉制成梧桐子大小的丸子，每次用一丸，放在舌下，黄色的毒液就会出来，以此拔出疔毒。蟾酥用白面和黄丹调和做成剂型，每丸如麦粒大小，挑破疮口纳入，仍然用水澄清的膏药贴敷。一切疮毒，用蟾蜍一钱，白面二钱，少许朱砂，井水调成小麦大小的锭子，每次用一锭，葱汤送服出汗即愈。如果疮势紧急，用三四锭。凡是痈疽发背、无名肿毒初起者，急忙取蟾蜍三五分，广胶一块，米醋一二碗，放入铫子内，用火化开，用笔蘸取，趁热让人不停地围绕疮周润涂，以消散为度。
蟾蜍似蛤蟆，但形体特别胖大，行走极其缓慢迟缓，炙烤研末水服可治疗小儿洞泻下痢；大人跌扑损伤，活体捣烂外敷。风邪淫盛生癣，烧灰混合猪脂敷治；瘟疫发斑，取汁掺入井水中服用。煨熟食用，可杀疳蚀形成的癖块；做成脍食，可驱赶因犬咬引发的狂症；一切鼠啮恶疮，未敷自能消解。眉间白色汁液，名叫蟾酥，掺入膏药和散剂中，去毒效果如神，治疗发背疔疽、五疳羸弱，立即停止牙痛，善于辅助房中术，外科有夺命之功，然而轻用会烂人肌肉。还有一种蛤蟆腹部大身体小，举动极快，吞吃百虫，主治邪气、破除坚血、解开结热，贴敷痈肿，调理疳积。又一种水鸡，味道最爽口，能调理疳瘦，补益虚损，尤其适宜产后妇女，妇科应当知晓。还有蝌蚪，是蛤蟆的子，配合桑椹染须，永不变白，捣烂作为火疮敷药，绝无瘢痕。
Centipede, also known as Langqu. It is born from the qi of Fire and Metal, has a pungent taste and warm nature, is toxic, belongs to the category of earthy poisonous insects, and is a medicine for the Foot Jueyin Meridian.
It is capable of subduing snakes; upon seeing large snakes, it climbs up and eats their brains. *Huainanzi* states: "The Tengshe snake rides the mist but is endangered by the Langqu." Therefore, centipede treats poisoning from various snakes, insects, and fish, and eliminates the Three Parasites (intestinal parasites) and Gu poison. Its nature is adept at penetrating and moving, dispelling evil influences, thus treating Gui Zhu (diseases caused by malevolent spirits), and can also treat epidemics and drive away evil spirits and ancient essences. Pungency disperses nodules, warmth promotes circulation, so it treats accumulations in the heart and intestines due to cold-heat, induces abortion, and expels evil blood. Currently, it is used to treat pediatric convulsions, wind spasms, umbilical tetanus, trismus, scrofula, perianal abscesses, hemorrhoids, and fistulas, utilizing its ability to attack poison with poison and disperse nodules while warming and promoting flow.
Centipede consumes the malicious toxins of snakes, vipers, insects, and fish, kills evil spirits, Gu poison, Zhu essence, and pathogens, removes blood stasis, induces abortion, drives out accumulations and Yin malaria, eliminates the Three Parasites, expels toxins, and treats cold-heat in the heart and abdomen. If poisoned, applying chicken manure or slime from slugs/snails can detoxify.
Indications (referencing *Dou Zhen He Can*): Treats pox eruption attacking the skin, removes abdominal pain within the Five Viscera. Remove head and feet, roast before use.
Toad and Bufo are originally two different entities. The *Classic* states: "One is called Toad," likely because ancients generally referred to Toads as Hama. Although the text names it Hama, the actual medicinal part is the Toad. Hama inherits the refined qi of Earth and Metal, corresponds to the moon's essence, possesses spiritual properties, has a pungent taste and cold nature. Its major toxicity lies in the juice from the skin on the brow ridge, which is Chan Su (toad venom). It treats carbuncles, yin sores, yin erosion ulcers, malignant sores, and dog bite wounds, as various heat toxins harm the muscles; this pungent-cold herb dissipates heat and detoxifies. Its nature is urgent, using poison to attack poison allows toxins to be easily resolved from the muscles, clearing various symptoms. For epidemic pathogens, sweating resolves them; Chan Chu has a strong pungent taste and promotes sweating. Pungency disperses toxins, coldness clears heat, thus allowing pathogens to scatter without lingering, calming Stomach Qi and retreating febrile diseases. Breaking up hard blood stasis is also due to its pungent-cold nature, which disperses blood heat stagnation. Overall, it dissipates all wind-fire郁结 (stagnation) causing severe heat swelling, making it a divine herb for extracting toxin from carbuncles. However, it is toxic and should not be used in large amounts. When included in diaphoretic and detoxifying formulas, the dose is no more than 3 li. Do not use alone; it must be combined with realgar, alum, frankincense, myrrh, etc. Since the dose is small, it causes no harm. External use is highly effective without worry, but if the sore is already ulcerated and in the stage of generating flesh, it causes extreme pain, which must be noted. In the past, someone used Chan Su to strengthen teeth, accidentally swallowed it, and died from swelling of the head and eyes. Dog bites cause swelling everywhere, indicating its toxicity. Do not take alone or in excess. For pediatric malnutrition (Gan syndrome), dried Toad is used, not the brow venom. The head and feet must be removed, and the intestinal contents roasted yellow with sheep fat for use, taking advantage of its ability to enter the Yangming Meridian to eliminate accumulation and stagnation, kill Gu, and clear heat, rather than relying on the venom's power. Toad fat marks stone like wax, hence said to fuse stones. For deep-seated bone abscesses that do not heal, with persistent pus or bone protruding, use one large toad, a chicken-egg-sized amount of tangled hair, and four taels of lard. Boil until charred, strain, and let congeal into ointment. First wash with decoction of mulberry root bark and aconite, dry, sprinkle dragon bone powder around the edges, then apply the ointment. For back carbuncles starting severely, split a live toad, place it belly-up hot on the sore; it will soon become foul-smelling, change 3-4 times to cure. For rabid dog bites, use the hind legs of the toad, mash and take with water. Pull three or four bloody hairs from the vertex; foam will appear in urine. For carbuncle pills, mix with cinnabar, borneol, real orco, alum, white silkworm, musk, and beeswax, form pills size of sesame seeds, swallow with green onion head and white wine to induce sweat; 2-3 small pills suffice to extract the carbuncle core. Toad venom mixed with flour and red lead forms pills size of wheat grains, insert into punctured sore, cover with clarified ointment. For all sores, mix one qian of toad, two qian of flour, and a little cinnabar with well water into wheat-sized pellets. Take one pellet with green onion soup to sweat and cure. For urgent cases, use 3-4 pellets. For early-stage carbuncles, back infections, or unknown swellings, quickly take 3-5 fen of toad, one piece of Guang gelatin, and 1-2 bowls of rice vinegar. Melt over fire, dip brush, and apply hot around the sore continuously until dispersed.
Toads resemble frogs but are fatter and move very slowly. Roasted and powdered, taken with water, they treat infantile diarrhea and dysentery; fresh mashed toads treat adult trauma from falls. Burned to ash mixed with pig fat treats fungal skin infections; juice mixed with well water treats epidemic rashes. Roasted and eaten, it kills Gan-induced masses; made into sashimi, it drives madness from dog bites; it resolves rat-bite sores spontaneously. The white juice between the brows is named Chan Su (Toad Venom); added to ointments and powders, it removes toxins miraculously, treating back carbuncles, five types of Gan wasting, stopping toothache instantly, aiding sexual techniques, and having life-saving effects in surgery, though light use can rot muscle tissue. Another type of frog has a large belly and small body, moves quickly, eats hundreds of insects, treats pathogenic factors, breaks hard blood, resolves knot-heat, applies to carbuncles, and regulates Gan accumulation. Another type, Water Chicken, tastes best, regulates Gan emaciation, tonifies deficiency, especially suitable for postpartum women, knowledge essential for gynecology. Tadpoles, offspring of frogs, mixed with mulberries dye hair black permanently; mashed, they treat burns without scarring.
Indications (referencing *Dou Zhen He Can*): Chan Su treats pox detoxification, erupts toxins, points at carbuncles, and is the holy medicine for extracting toxins.