治江南毒瓦斯恶核,射工中人暴肿生疮方。
甲香 犀角 鳖甲 升麻 薰陆香 丁香 沉香 乌 青木香 川连 黄芩 羚羊
角甘草 牡蛎(各四分) 吴茱萸(三分) 黄柏(六分)
上十六味,治下筛,中射工毒及诸毒皆水服方寸匕,日二,并以水和少许洗之,仍以鸡
子白和涂肿上,干则易。
治射工恶核,卒中恶毒方。
野葛(一升) 巴豆 乌头 川椒(各半升) 茵芋 踯躅 附子 丹砂(各一两) 雄
黄
大黄(各一两)
上十味,治下筛,以不中水猪膏三斤,煎三上三下,去滓纳丹砂、雄黄末,搅至凝,似
枣核大,摩痛上,勿近眼,凡合各膏,皆无令产妇、女人、小儿、鸡犬、六畜见之,唯宜清
净。
治沙虱毒方∶
斑蝥二枚熬一枚,熬为末,服一大枚,又烧一枚烧令烟绝,为末着疮中。
又方 大蒜十枚,合皮安热灰中炮,令热,去皮刀断蒜头,取热着毒处。
又方 麝香 大蒜
上二味,合捣,以羊脂和着小筒中带,欲用取敷疮上。
又方 雄黄 朱砂 恒山(各等分)
上三味,取五月五日日中时,令童子合之,取敷疮上。
治石蛭方(山中阴湿草木上石蛭着人,则穿啮人肌肤,行人肉中,浸淫坟起如虫行道
之
凡行山路草木中,常以腊月猪膏和盐涂脚胫及足趾间趺上,及着鞋袜,蛭不得着人也。
已着者,灸断其道即愈。
治水毒方∶
论曰∶凡山水有毒虫,人涉水之时,中人似射工而无物,其初得之,恶寒,微头痛,目
眶疼,心中烦懊,四肢振 ,腰背百节皆强,两膝痛,或翕翕而热,但欲眠睡,旦醒暮剧,
手足逆冷至肘膝,二三日腹中生虫,蚀人下部,肛中生疮,不痛不痒,令人不觉。不急治,
过六七日下部出脓溃,虫上食人五脏,热盛毒烦,下利不禁,八九日虽良医不能治矣。其毒
有阴阳之异,觉得之,急早视其下部,若有疮正赤如截肉者,为阳毒最急,若疮如鲤鱼齿者,
为阴毒犹小缓,要皆杀人,不过二十日也。欲知是中水与非者,当作五六升汤,以小蒜五升
切,投汤中,消息,勿令大热,去滓以浴之。是水毒,身当发赤斑,无是者非也。
治疗江南地区毒瓦斯引起的恶核,以及被射工虫突然咬伤导致迅速肿胀生疮的方剂。
甲香、犀角、鳖甲、升麻、薰陆香、丁香、沉香、乌(此处疑为“乌药”或特定药材简称,依原文保留)、青木香、川连、黄芩、羚羊角、甘草(各四分),吴茱萸(三分),黄柏(六分)。
以上十六味药,捣碎过筛,服用时若被射工虫毒及其他各种毒物所伤,均用水送服一方寸匕的药粉,每日两次;同时用温水调和少许药粉清洗患处,仍可用鸡蛋清调和药粉涂抹在肿胀处,干了就更换。
治疗射工虫引起的恶核,以及突然遭受恶毒侵袭的方剂。
野葛(一升)、巴豆、乌头、川椒(各半升)、茵芋、踯躅、附子、丹砂(各一两)、雄黄、大黄(各一两)。
以上十味药,捣碎过筛,用三斤未经受水的猪脂油,煎煮三次(即三上三下),滤去药渣,加入丹砂和雄黄的细末,搅拌至凝固,制成如枣核大小的丸剂,摩擦疼痛部位,注意不要靠近眼睛。凡是制作各种膏药,都不要让产妇、妇女、小孩、鸡狗及其他家畜看见,只宜保持环境清净。
治疗沙虱毒的方剂:
斑蝥两枚,一枚炒制,一枚炒成粉末,服用一大枚量的粉末;又取一枚烧至烟尽,研成粉末敷在疮口中。
另一个方子:
大蒜十枚,带皮放在热灰中炮烤,使其变热,去皮后切开蒜头,将热的蒜头贴在中毒部位。
又一个方子:
麝香、大蒜。
以上两味药,一起捣碎,用羊脂调和装入小筒中随身携带,需要使用时取出敷在疮口上。
又一个方子:
雄黄、朱砂、恒山(各等分)。
以上三味药,在五月五日正午时分,让童男童女混合制作,取出来敷在疮口上。
治疗石蛭的方法:
山中阴湿草木上的石蛭附着在人身上,就会穿透并啃食人的肌肤,钻入行人肉中,浸润蔓延隆起,像虫子爬过的痕迹一样。
凡是行走在山路草木丛中,经常用腊月收集的猪脂油混合盐涂抹脚胫及脚趾间脚背上,以及涂在鞋袜上,蛭虫就无法附着在人身上。
已经附着的,用火灸断其连接的路径即可痊愈。
治疗水土毒气的方剂:
论述说:凡是山水中有毒虫,人涉水时被叮咬,感觉像被射工虫所伤但看不见实物。刚得病时,怕冷,轻微头痛,眼眶疼痛,心中烦闷懊恼,四肢颤抖,腰背全身关节皆僵硬,两膝疼痛,或者感到微微发热,只想睡觉,早晨醒来傍晚加重,手脚冰冷直到肘部和膝盖。二三天后腹中生虫,侵蚀人体下部,肛门生出疮疡,不痛不痒,让人没有察觉。如果不紧急治疗,过了六七天下部会出脓溃烂,虫子向上侵蚀五脏,热盛毒重烦躁,腹泻不止,到了八九天即使良医也无法治愈了。这种毒气有阴阳的区别,发现患病后,要急忙早看其下部,如果有疮口正红得像截断的肉一样,是阳毒,最为急迫;如果疮口像鲤鱼牙齿形状,是阴毒,相对稍缓,但总之都会致死,不超过二十天。想要知道是否中了水毒,可以煮五六升热水,将五升切碎的蒜投入汤中,观察变化,不要让水太烫,滤去药渣用来洗澡。如果是水毒,身上应当发出红斑,没有这种情况的就不是水毒。
Treatment for malignant nodules caused by toxic vapors in the Jiangnan region, and formulas for sudden swelling and ulceration resulting from acute envenomation by *Shegong* (a mythical poisonous insect).
Jiaxiang (Stelea Shell), Xijiao (Rhinoceros Horn), Biejia (Turtle Carapace), Shengma (Cimicifugae Rhizoma), Xunluxiang (Olibanum), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum), Wu (likely Wuyao or specific local herb), Qingmuxiang (Aucklandiae Radix), Chuanlian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Lingyangjiao (Saiga Tataricae Cornu), Gancao (Glycyrrhizae Radix et Rhizoma) [each 4 fen], Wuzhuyu (Evodiae Fructus) [3 fen], Huangbai (Phellodendri Cortex) [6 fen].
The above sixteen ingredients are processed and sifted. For envenomation by *Shegong* or other toxins, take one *cunbi* (approx. 2-3 grams) of the powder with water, twice daily. Additionally, mix a small amount of the powder with water to wash the affected area. Alternatively, mix the powder with egg white and apply it to the swollen area; change when dry.
Treatment for malignant nodules caused by *Shegong* and sudden exposure to severe toxicity.
Yege (likely Aconitum or similar toxic root), Badou (Crotonis Fructus), Wutou (Aconiti Radix), Chuanjiao (Zanthoxyli Pericarpium) [each 0.5 sheng], Yinyu (Epimedii Herba), Zhizhu (Rhododendri Mollis Flos), Fuzi (Aconiti Lateralis Radix Praeparata), Dansha (Cinnabaris), Xionghuang (Realgar), Dahuang (Rhei Radix et Rhizoma) [each 1 liang].
The above ten ingredients are processed and sifted. Fry them in three jin (approx. 1.5 kg) of pure lard (pig fat not exposed to water) using the "three up, three down" method (boiling intermittently). Strain out the dregs, add powdered Dansha and Xionghuang, and stir until solidified. Form into pills the size of a jujube pit. Rub onto painful areas, avoiding the eyes. When preparing any ointment, ensure that parturient women, women, children, chickens, dogs, and livestock do not see the process; maintain a clean and pure environment.
Treatment for *Shashi* (sand tick/midge) venom:
Banmao (Mylabris), two specimens. Roast one specimen and grind into powder; ingest a large pill-sized dose. Roast another specimen until smoke ceases, grind into powder, and apply into the wound.
Another formula:
Ten bulbs of Dasoon (Allium sativum). Keep the skin on and roast in hot ashes until hot. Peel and cut the garlic head, then apply the warm garlic directly to the poisoned area.
Another formula:
Shexiang (Moschus), Dasoon (Allium sativum).
Grind the above two ingredients together, mix with sheep fat, store in a small tube for carrying. Apply to the wound when needed.
Another formula:
Xionghuang (Realgar), Zhusha (Cinnabaris), Hengshan (Polygalae Radix) [equal parts].
On the fifth day of the fifth lunar month at noon, have a young boy prepare the mixture. Apply to the wound.
Treatment for Stone Leech (*Shizhi*):
Stone leeches found on damp, shady vegetation in mountains attach to humans, penetrating and biting the skin, burrowing into flesh, causing spreading eruptions resembling worm tracks.
When walking in mountainous vegetation, frequently apply lard mixed with salt (collected in the twelfth lunar month) to the calves, toes, and dorsum of the feet, as well as to shoes and socks, to prevent leech attachment.
If already attached, cauterize the connection point to sever the leech, which will result in healing.
Treatment for Water Toxicity (*Shuidu*):
Discussion states: There are poisonous insects in mountain waters. When people wade through water, they may be bitten. The sensation is similar to being struck by *Shegong*, but no object is visible. Initially, symptoms include aversion to cold, mild headache, orbital pain, mental restlessness and oppression, trembling of the four limbs, stiffness of the waist, back, and all joints, knee pain, or a feeling of slight heat. The patient desires sleep; symptoms worsen in the evening compared to the morning. Coldness extends from the hands and feet up to the elbows and knees. After two to three days, worms develop in the abdomen, eroding the lower body. Ulcers form in the anus, characterized by lack of pain or itching, often unnoticed. If not treated urgently, after six to seven days, pus and ulceration appear in the lower body. The worms ascend to devour the five zang organs. Severe heat, toxicity, irritability, and uncontrollable diarrhea ensue. By the eighth or ninth day, even skilled physicians cannot cure the condition. This toxicity has yin and yang distinctions. Upon detection, examine the lower body immediately. If the ulcer is bright red like cut meat, it is Yang Toxicity, which is most urgent. If the ulcer resembles carp teeth, it is Yin Toxicity, which is slightly less urgent. However, both are fatal within twenty days. To determine if one has contracted water toxicity, boil five to six sheng of water, add five sheng of chopped Dasoon (Allium sativum), observe the reaction without letting it become too hot, strain, and use the liquid for bathing. If water toxicity is present, red spots will appear on the body; absence of such spots indicates it is not water toxicity.