论曰蛇火虫也，热气炎极，为毒至甚，五方所出，名称不同，惟广南尤多，彼山崇地湿
，水火蒸郁，所生最盛，蕲黄之地，蛇类稍众，南中有一山，居水中，当四五月之交。群蛇
吐毒瓦斯。凡高数丈，蒸若云雾，每至中夏，瘴气盛行，亦缘此也。凡蛇类不可悉状，其毒极
微，不能杀人者，惟花蛇乌蛇。故入药品，凡见蛇，不言正名，但云虫及地索之类以避之，
或入山及履深草，宜带雄黄麝香辟之，蛇入人家者，烧羚羊角，令烟遍复即去矣。
治诸毒蛇咬，毒瓦斯攻心迷闷，雄黄散方
雄黄（研） 麝香（研） 干姜（炮为末各半两） 巴豆（一分去皮膜心出尽油研）
上四味一处和匀，每服一字匕，以新汲水调下，才中便服，得微利则毒瓦斯消，未利更一
二服。
治诸毒蛇所伤，解毒。白矾散方
白矾（熬汁枯研） 羚羊角（烧灰研各半两） 射罔（一分） 雄黄（研） 麝香（研）
干姜（
上六味，捣研为细散，用敷疮上。凡蛇畏雄黄，疑有蛇处于其下微火烧雄黄，蛇并散走
治诸蛇咬，毒瓦斯攻心。桂香散方
桂（去粗皮） 栝蒌根（各二两）
上二味，捣罗为细末，以小竹筒盛密塞，带行，猝为毒蛇所中，即敷之。
治一切毒蛇咬迷闷。椒黄敷方
闭口椒（一两为末） 苍耳苗（五两为末） 生姜汁（二合） 硫黄（半两为末）
上四味，相和，敷之。
治诸蛇咬，毒瓦斯攻心迷闷。二虫膏方
地龙（五枚） 蜈蚣（一枚端午日收赤足者）
上二味，相和烂捣，敷之。
治诸蛇咬痛肿。椒蒜敷方
椒合口 蒜（各等分）
上二味，同捣令熟，敷之瘥。
又方
砂（一两）
上一味，细研为末，以园内生楼葱就土取却葱角尖，倾入 砂末，却以角尖复，一七日
掘出葱，倾 砂汁于一张薄纸上阴干，每有伤处，取钱孔大纸贴之，立愈。
又方
黑豆叶（五两）
上一味，细锉捣敷疮上，日四五度用之。
又方
远志（不以多少）
上一味，细嚼令烂以敷之，并内一片子于所螫疮孔中，数易之。
治蛇咬人疮已合，而余毒在内淫淫痛痒。方
紫苋（不拘多少）
上一味，捣绞取汁，饮一盏，以滓封疮上。
治蛇咬出血，去毒。射罔散方
射罔（不拘多少）
上一味捣末，以唾调敷肿上，血出即愈。
治蛇咬，敷疮。雄黄散方
雄黄（不拘多少）
上一味，为末，敷疮上，亦用铜青敷疮中。
治蛇卒绕人不解方
上以热汤淋之。即解。
治因睡卧地上，被蛇误入口内，牵挽不出。方
以刀破蛇尾，内生椒三二粒裹着，须臾即出，又割母猪尾，沥血着口中即出，又以艾灸
蛇尾即出，又以刀周匝割蛇尾，截令皮断，却将皮倒脱，即出。
治毒蛇咬，毒瓦斯攻心腹闷乱。方
豉（四两） 椒（去目） 熏陆香（各三两） 白矾（烧灰二两）
上四味，相和烂捣，以唾调敷伤处。
治毒蛇并射工沙虱等伤，眼黑口噤，手脚强直，毒攻腹内，逡巡不救。白矾散方
白矾（生用一两） 甘草（生用半两）
上二味，捣为细末，每服三钱匕，冷水调灌下，便以大蒜横切钱子贴疮口，以艾炷于蒜
钱上灸之，不拘壮数，如蒜钱焦，即别换更灸，痛定则止。
治蛇螫人窍出血，虻虫散方
虻虫（初食牛血者二七枚）
上一味，烧为灰，以温水调服。
治蛇咬蒜灸方
独头蒜（一颗）
上一味，薄切安咬处，以艾灸之，热彻即止。
又方
麝香（一分细研） 雄黄（一分细研） 半夏末（一分生用）
上三味，细研令匀，敷之即愈。
又方
白矾（二两研） 大麻叶（五两锉） 苍耳茎叶（五两锉）
上三味，以水一斗，煮至六升，去滓下白矾末，温温浸之。
又方
猫儿粪（三两烧灰） 干姜（二两锉） 牛角（ 二两烧灰） 黄（一两）
上四味，捣罗为散，以津唾调敷于螫处。
又方
黑豆（五升砺碎）
上一味，分为二分，于盆中以水浸过三寸深，令浸螫处，良久去旧豆，着新豆复浸，不
过三两易愈，兼以豆为末，以调服之亦妙。
治毒蛇所伤方
上用艾炷当啮处灸之，引去毒瓦斯即瘥，其余恶虫所螫马汗入疮等，用之亦效。
论述说：蛇是火虫，热气极盛，毒性极大。各地出产的蛇名称不同，只有广南地区最多，那里山高地湿，水火蒸腾郁结，所以蛇类滋生最旺盛；蕲州、黄州一带，蛇类稍多；南方有一座山，位于水中，正值四五月之交时，群蛇吐出毒气，高达数丈，蒸腾如云雾，每到盛夏，瘴气盛行，也是因为这个原因。
大凡蛇类无法全部描述清楚，其中毒性极微、不能杀人的，只有花蛇和乌蛇，所以它们被纳入药品使用。凡是见到蛇，不称其正名，只说是虫及地索之类以避开它；或者进山及踩深草时，宜携带雄黄、麝香来辟邪防蛇。如果蛇进入人家，烧羚羊角，让烟雾弥漫覆盖，蛇就会离去。
治疗各种毒蛇咬伤，毒气攻心导致昏迷闷乱，雄黄散方：
雄黄（研细） 麝香（研细） 干姜（炮制后研末，各半两） 巴豆（一分，去皮膜，去尽油后研细）
以上四味药混合均匀，每次服用“一字”量（约0.5-1克），用新汲取的凉水调服，刚中毒就服用，若出现轻微腹泻则毒气消散，若未腹泻可再服一二剂。
治疗各种毒蛇咬伤，解毒。白矾散方：
白矾（熬至汁枯研细） 羚羊角（烧成灰研细，各半两） 射罔（一分） 雄黄（研细） 麝香（研细） 干姜（未注明剂量，依上下文推测为适量或与前文同）
以上六味药，捣碎研成细散，敷在伤口上。大凡蛇畏惧雄黄，怀疑有蛇潜伏在其下方时，微火烧雄黄，蛇便会散开逃走。
治疗各种蛇咬，毒气攻心。桂香散方：
桂（去除粗皮） 栝蒌根（各二两）
以上两味药，捣罗成细末，用小竹筒盛装并密封，随身携带，突然被毒蛇咬伤，立即敷在伤口上。
治疗一切毒蛇咬伤导致昏迷闷乱。椒黄敷方：
闭口椒（一两，研末） 苍耳苗（五两，研末） 生姜汁（二合） 硫黄（半两，研末）
以上四味药，混合均匀，敷在伤口上。
治疗各种蛇咬，毒气攻心导致昏迷闷乱。二虫膏方：
地龙（五条） 蜈蚣（一条，端午日收集赤足的）
以上两味药，混合捣烂，敷在伤口上。
治疗各种蛇咬引起的疼痛肿胀。椒蒜敷方：
花椒（开口者） 大蒜（各等分）
以上两味药，共同捣烂熟透，敷在伤口上即可痊愈。
又一方：
砂（一两，此处疑为“砂仁”或特定矿物，原文仅写“砂”，保留原意）
以上一味药，细研成末，从园中取生楼葱，就地拔起去掉葱角尖，将砂末倒入葱管内，再用葱角尖盖住，放置七日，掘出葱，将砂汁倒在一张薄纸上阴干。每当受伤处，取铜钱孔大小的纸片贴敷，立即痊愈。
又一方：
黑豆叶（五两）
以上一味药，细切捣烂敷在伤口上，每天四五次使用。
又一方：
远志（不限多少）
以上一味药，细嚼烂后敷在伤口上，并将一片放入螫伤的疮口中，多次更换。
治疗蛇咬人后疮口已愈合，但余毒在内，隐隐作痛发痒。方：
紫苋菜（不限多少）
以上一味药，捣碎绞取汁液，饮用一盏，用渣滓封敷在伤口上。
治疗蛇咬出血，去毒。射罔散方：
射罔（不限多少）
以上一味药，捣成末，用唾液调和敷在肿胀处，血流出即愈。
治疗蛇咬，敷伤口。雄黄散方：
雄黄（不限多少）
以上一味药，研成末，敷在伤口上，也可用铜青敷在疮口中。
治疗蛇突然缠绕人不肯松开的方子：
用热汤淋浇蛇身，蛇即松开。
治疗因睡卧在地上，被蛇误入口内，拉扯不出来的方子：
用刀剖开蛇尾，内生入两三粒花椒包裹住，片刻即可出来；又割母猪尾巴，滴血到蛇口中，蛇即出来；又用艾灸蛇尾，蛇即出来；又用刀环绕切割蛇尾，截断皮肤，再将皮倒脱，蛇即出来。
治疗毒蛇咬伤，毒气攻心腹导致闷乱。方：
豉（四两） 椒（去目） 熏陆香（各三两） 白矾（烧成灰二两）
以上四味药，混合捣烂，用唾液调和敷在伤口处。
治疗毒蛇以及射工、沙虱等伤害，眼睛发黑、牙关紧闭、手脚强直，毒气攻入腹部，不久危及生命。白矾散方：
白矾（生用一两） 甘草（生用半两）
以上两味药，捣成细末，每次服用三钱匕，用冷水调灌下去，随即用大蒜横切成钱币大小贴在疮口上，用艾炷在蒜片上灸之，不拘壮数，如果蒜片焦了，就换新的继续灸，疼痛停止则止。
治疗蛇螫人导致窍道出血，虻虫散方：
虻虫（初食牛血的十四枚）
以上一味药，烧成灰，用温水调服。
治疗蛇咬，用蒜灸的方子：
独头蒜（一颗）
以上一味药，薄片切好放在咬伤处，用艾灸之，热度透彻即停止。
又一方：
麝香（一分，细研） 雄黄（一分，细研） 半夏末（一分，生用）
以上三味药，细研均匀，敷在伤口上即愈。
又一方：
白矾（二两，研细） 大麻叶（五两，切碎） 苍耳茎叶（五两，切碎）
以上三味药，用水一斗，煮至六升，去渣后加入白矾末，温热浸泡患处。
又一方：
猫儿粪（三两，烧成灰） 干姜（二两，切碎） 牛角（二两，烧成灰） 黄（一两，此处疑为黄芪或黄连，原文缺字，按语境补全或保留单字，通常指某味药，此处依原文“黄”处理，可能指黄芪或泛指黄色药材，但在古籍整理中常需校勘，此处暂按原文提取实体）
以上四味药，捣罗成散，用津唾调和敷在螫伤处。
又一方：
黑豆（五升，磨碎）
以上一味药，分为两份，在盆中加水浸过三寸深，令浸泡螫伤处，许久后去掉旧豆，换新豆再次浸泡，不超过三次即可痊愈，同时将豆研末，调服也妙。
Discussion states: The snake is a fire-insect; its heat energy is extremely intense, and its toxicity is severe. Snakes produced in different regions have different names, but those from the Guangnan region are the most numerous. There, the mountains are high and the ground is damp, with water and fire steaming and stagnating, causing the proliferation of snakes to be at its peak. In the areas of Qizhou and Huangzhou, there are slightly more snakes. In the south, there is a mountain located in water; during the transition between the fourth and fifth lunar months, groups of snakes exhale toxic vapors that rise several zhang high, steaming like clouds and mist. Every midsummer, miasma prevails, which is also due to this reason.
Generally, snakes cannot be fully described by type. Among them, only the flower snake (Hua She) and the black snake (Wu She) have extremely mild toxicity and cannot kill humans; therefore, they are included in medicinal materials. Whenever one sees a snake, one does not use its proper name but refers to it as an insect or "di suo" (ground rope/snake) to avoid it. When entering mountains or walking through deep grass, one should carry realgar (Xionghuang) and musk (Shexiang) to repel snakes. If a snake enters a house, burning antelope horn (Lingyang Jiao) until smoke fills the area will cause the snake to leave.
To treat bites from various venomous snakes where toxic vapors attack the heart causing coma and stifling sensation, Realgar Powder Formula (Xionghuang San):
Realgar (Xionghuang, Ground), Musk (Shexiang, Ground), Dried Ginger (Ganjiang, Pao'd into powder, each 0.5 liang), Croton Seed (Badou, 1 fen, peeled, membrane removed, oil completely extracted, then ground).
Mix the above four ingredients evenly. Take one dose of "yi zi" (approx. 0.5-1g), mixed with fresh cold water, taken immediately after being bitten. If slight diarrhea occurs, the toxic vapors will dissipate. If no diarrhea occurs, take one or two more doses.
To treat injuries from various venomous snakes and detoxify, Alum Powder Formula (Bai Fan San):
Alum (Baifan, boiled until dry and ground), Antelope Horn (Lingyang Jiao, burned to ash and ground, each 0.5 liang), She Wang (She Wang, 1 fen), Realgar (Xionghuang, Ground), Musk (Shexiang, Ground), Dried Ginger (Ganjiang).
Grind the above six ingredients into a fine powder and apply it to the wound. Snakes fear realgar; if you suspect a snake is hiding underneath, slightly burn realgar, and the snakes will scatter and flee.
To treat snake bites where toxic vapors attack the heart, Cinnamon and Musk Powder Formula (Guixiang San):
Cinnamon Bark (Gui, coarse bark removed), Trichosanthes Root (Gualou Gen, each 2 liang).
Grind the above two ingredients into a fine powder, store in a small bamboo tube tightly sealed, and carry it while traveling. If suddenly bitten by a venomous snake, apply it immediately.
To treat all types of venomous snake bites causing coma and stifling sensation, Pepper and Sulfur Poultice Formula (Jiaohuang Fu):
Closed-mouth Pepper (Bikou Jiao, 1 liang, powdered), Cocklebur Seedlings (Canger Miao, 5 liang, powdered), Ginger Juice (Shengjiang Zhi, 2 he), Sulfur (Huang, 0.5 liang, powdered).
Mix the above four ingredients and apply as a poultice.
To treat various snake bites where toxic vapors attack the heart causing coma and stifling sensation, Two-Insect Ointment Formula (Er Chong Gao):
Earthworm (Dilong, 5 pieces), Centipede (Wugong, 1 piece, collected on the Dragon Boat Festival day, specifically red-footed ones).
Mix the above two ingredients, pound thoroughly, and apply to the wound.
To treat pain and swelling from various snake bites, Pepper and Garlic Poultice Formula (Jiaosuan Fu):
Open-mouthed Pepper (Jiaohekou), Garlic (Suan, equal parts).
Pound the above two ingredients together until soft and apply to the wound for recovery.
Another Formula:
Sha Sand (Sha, 1 liang).
Grind the above ingredient into a fine powder. Take a raw scallion from the garden, pull it out from the soil, remove the tip of the scallion bulb, pour the sand powder into the hollow stem, and replace the tip. Leave for seven days, then dig up the scallion. Pour the sand juice onto a thin paper and dry in the shade. When injured, cut a piece of paper the size of a coin hole and apply it to the wound for immediate healing.
Another Formula:
Black Soybean Leaves (Heidou Ye, 5 liang).
Finely chop and pound the above ingredient, then apply to the wound. Use four to five times a day.
Another Formula:
Polygala Root (Yuanzhi, any amount).
Chew the above ingredient thoroughly until soft and apply to the wound. Also insert a piece into the bite puncture, changing it frequently.
For snake bites where the wound has closed but residual toxin remains inside causing itching and dull pain:
Purple Amaranth (Zixian, any amount).
Pound and squeeze the juice from the above ingredient, drink one cup, and apply the dregs to seal the wound.
To treat bleeding from snake bites and remove toxins, She Wang Powder Formula (She Wang San):
She Wang (She Wang, any amount).
Grind the above ingredient into powder, mix with saliva, and apply to the swollen area. Healing occurs when blood flows out.
To treat snake bites and apply to wounds, Realgar Powder Formula (Xionghuang San):
Realgar (Xionghuang, any amount).
Grind the above ingredient into powder and apply to the wound. Copper Green (Tongqing) can also be applied inside the wound.
To treat a snake suddenly coiling around a person and refusing to let go:
Pour hot water over the snake. It will immediately release.
To treat a situation where a snake accidentally enters the mouth while sleeping on the ground and cannot be pulled out:
Cut open the snake's tail, insert two or three grains of pepper inside, wrap it, and it will come out shortly. Alternatively, cut the tail of a sow, drip its blood into the snake's mouth, and it will come out. Or moxa-burn the snake's tail, and it will come out. Or cut around the snake's tail with a knife, sever the skin, and peel the skin backward to make it exit.
To treat venomous snake bites where toxic vapors attack the heart and abdomen causing confusion and stifling sensation:
Fermented Soybeans (Chi, 4 liang), Pepper (Jiao, eyes removed), Frankincense (Xunlu Xiang, each 3 liang), Alum (Baifan, burned to ash, 2 liang).
Mix the above four ingredients, pound thoroughly, mix with saliva, and apply to the injury site.
To treat injuries from venomous snakes, Shigong (water spiders), and Shali (sand fleas), presenting with blackened eyes, locked jaw, stiff limbs, and toxin attacking the abdomen leading to imminent death:
Raw Alum (Baifan, raw, 1 liang), Raw Licorice Root (Gancao, raw, 0.5 liang).
Grind the above two ingredients into a fine powder. Take three qian bi (approx. 9-10g) per dose, mixed with cold water and forced down. Immediately place a slice of garlic (cut to the size of a coin) on the wound and moxa-burn on top of the garlic slice. Do not limit the number of moxa cones. Replace the garlic slice when it burns. Stop when the pain subsides.
To treat bleeding from orifices caused by snake stings, Horsefly Powder Formula (Machong San):
Horseflies (Machong, 14 pieces that have recently fed on cow blood).
Burn the above ingredient to ash, mix with warm water, and administer orally.
To treat snake bites using garlic and moxibustion:
Single-clove Garlic (Dutou Suan, 1 clove).
Slice the above ingredient thinly, place it on the bite site, and apply moxibustion. Stop when the heat penetrates deeply.
Another Formula:
Musk (Shexiang, 1 fen, finely ground), Realgar (Xionghuang, 1 fen, finely ground), Pinellia Tuber Powder (Banxia Mo, 1 fen, raw).
Grind the above three ingredients evenly and apply to the wound for healing.
Another Formula:
Alum (Baifan, 2 liang, ground), Hemp Leaves (Dama Ye, 5 liang, chopped), Cocklebur Stems and Leaves (Canger Jingye, 5 liang, chopped).
Boil the above three ingredients in one dou of water until reduced to six sheng. Strain the dregs, add alum powder, and soak the affected area in the warm liquid.
Another Formula:
Cat Feces (Maor Fen, 3 liang, burned to ash), Dried Ginger (Ganjiang, 2 liang, chopped), Cow Horn (Niujiao, 2 liang, burned to ash), Huang (Huang, 1 liang).
Grind the above four ingredients into a powder, mix with saliva, and apply to the sting site.
Another Formula:
Black Soybeans (Heidou, 5 sheng, crushed).
Divide the above ingredient into two portions. Place in a basin, cover with water three cun deep, and soak the bitten area. After a long time, remove the old beans and replace with new beans to continue soaking. Recovery usually occurs within three changes. Additionally, grinding the beans into powder and taking them internally is also effective.
To treat venomous snake bites:
Apply moxa cones directly to the bite site to draw out the toxic vapors, which leads to recovery. This method is also effective for other harmful insect stings and horse sweat entering wounds.