病源凡蛊毒有数种，皆是变惑之气，人有故造作之多取蛊蛇之类，以器皿盛贮，任其自
相啖食，唯有一物独在者即谓之为蛊，便能变惑，随逐酒食为人患祸，患祸于他，则蛊主吉
利，所以不羁之徒而畜事之，又有飞蛊，去来无由，渐状如鬼气者，得之猝重，凡中蛊病多
趋于
内热
经
手
色
或
胀
其
颜
与
内
若非
新生
着霜
得水
熨
针石
以两
云，
又
勿令有声，令入多出少，以微为故存视五脏，各如其形色，又存胃中，令鲜明洁白，如素为
之，倦极汗出乃止，以粉粉身，摩捋形体，汗不出而倦者，亦可止，明日复为之，又当存作
大雷电光，走入腹中，为之不止，病自除。（出第二十五卷中）
千金论曰∶蛊毒千品，种种不同，或吐下鲜血，或好卧暗室，不欲见光明，或心性反常
，乍嗔乍喜，或四肢沉重，百节酸疼，如此种种状貌，说不可尽，亦有得之三年乃死，急者
一月
神
丹诸
有灸
又论曰∶世有拙医，见患蛊胀者，偏腹肿满，四肢如故，小便不甚涩，以水病疗之，近
服水药，经五十余日，望渐痊愈，日复增加，奄致殂殒，如此者不一，学人当细寻方意，消
息用
广济疗蛊毒方，服此升麻散，三四日后，即服前光砂丸方。
升麻 桔梗 栝蒌（各五两）
上三味捣为散，以熟汤洗所患人阴中，再以浓汁服方寸匕，日二服，渐加至二匕，内消
。忌粘食，猪肉。（出第四卷中）
肘后疗中蛊毒诸方，人有养畜蛊毒以病患，凡诊法，中蛊状，令人心腹切痛，如有物啮
，或吐下血，不即疗之，食人五脏，尽即死矣，欲知是蛊与非，当令病患唾水，沉者是，浮
者非
又欲知蛊主姓名方
取鼓皮一片，烧灰末以饮服，病患须臾自当呼蛊主姓名，可语令知，便即去，病愈矣，
亦有以蛇涎合作蛊毒，着饮食中，使人得瘕病，此一种积年乃死，疗之各自有药，江南山间
人，不可不信之。
又方
以 荷密着病患卧席上，亦能令呼蛊主姓名也。（文仲备急千金并翼同出第三卷中）
短剧疗蛊方。
鼓皮（广五寸长一尺） 蔷薇根（五寸如足KT 趾大细切本方云莨菪根）
上二味，以水一升，清酒三升，煮取一升，顿服之，当下蛊即愈。（千金古今录验同千
金治蛊吐下血）
又方
土瓜根大如拇指，长三寸切，以酒半升渍一宿，一服当吐下。（古今录验同）
又方
皂荚三挺，长一尺者，炙去皮子，美酒一升渍一宿，去滓顿服。（古今录验范汪同肘后
云以酒五升分三服）
又方
取荠 根捣为末，以饮服方寸匕。（古今录验同）
千金犀角丸，疗蛊毒百病腹暴痛，飞尸，恶气肿方。
犀角（末） 羚羊角（末） 鬼臼 桂心（各量四钱匕） 天雄（炮） 莽草（炙） 真
珠（研） 雄黄（研各一两） 麝香（半两研） 贝齿（烧灰五枚） 赤足蜈蚣（五节炙） 射
罔（如鸡子
黄三枚） 巴豆（五十枚去皮心熬）
上十三味，各捣合筛之，以蜜和为丸如小豆大，服一丸，不知增一丸，猝得腹中痛，飞
尸，服如大豆二丸，若恶气肿，以苦酒和以涂之甚良，以绛囊盛药，系男左女右臂辟恶，可
以备
千金翼疗蛊毒方。
槲木北阴白皮一大握，长五寸，以水三升，煎取一升，空腹服之，即吐蛊出也。并疗蛊
下血。（出第十五卷中）
崔氏疗蛊方。
黄栝蒌根干者二两捣，以绵裹，酒一升渍一日去滓，温服之，少时即吐利，蛊即出，后
煮粥饮服一两盏，吐利即断，不断，即煮人参甘草炙生姜各一两服之，此根唯山南者好。（
出第三卷中）
备急疗蛊方。
取白鸽毛粪烧灰，以饮和服之良。
又疗蛊方，人家虽藏此方，而不知如此效验。
捣生栝蒌根，取汁一升，酱汁少许和，温服之，须臾吐蛊出，试验。（并出第十六卷中）
必效疗蛊毒大神验方。
大戟 桃白皮（东引者以火烘之） 斑蝥（去足翅熬等分）
上三味捣筛为散，以冷水服半方寸匕，一服其毒即出，未出，更一服蛊并出。李饶州法
云奇效，若以酒中得，则以酒服，若食中得，以饮服之。（崔氏千金同肘后云斑蝥一分桃皮
大戟各二分和枣核大米清饮服吐出蛊十日不瘥更一服千金崔氏云服八捻）
又方
胡荽根捣取汁半升，和酒服之立下。
又方
取未钻相思子二七枚，捣碎为末，暖水半盏和搅，顿服之，令尽，即当欲吐，抑之勿吐
，若耐不得，即大张口吐之，其毒即出，出讫，服稀粥，勿食诸肉，轻者但服七枚瘥，无问
年月深浅，非常神效，勿轻之。
又试蛊法。
取银匙若箸或钗含之，经宿色黑即是，不黑者非。（出第三卷中）
古今录验疗蛊方。
巴豆（十枚去心皮熬） 豉（半升熬） 釜底墨（方寸匕）
上三味捣筛为散，清旦以酒服如簪头大，小行，蛊主当自至门，勿应之，去到家，立自
知其姓名。
又雄黄丸，主蛊毒中药欲死方
雄黄（研） 朱砂（研） 藜芦（炙） 马目毒公 皂荚（炙去皮子二分） 莽草（二
分
炙） 巴豆（去心皮熬各二分）
上七味捣筛，以蜜丸如大豆许，服三丸，当转下，先利清水，次出蛇等，当烦闷者，依
常法可用鸭羹补之。忌如常法。
又疗中蛊毒方
取牡丹根捣末，服一钱匕，日三服至良。忌胡荽。（范汪同）
又疗中蛊胡洽方
以猪胆导下部至良。（肘后集验范汪同并出第四十五卷中）
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：中蛊毒方二十一首 类别：方剂
【待处理原文翻译】
病源（疾病根源）凡蛊毒有数种，皆是变惑之气。人有故意制造、多取蛊蛇之类，以器皿盛贮，任其自相啖食，唯有一物独在者即谓之为蛊，便能变惑，随逐酒食为人患祸，患祸于他，则蛊主吉利，所以不羁之徒而畜事之。又有飞蛊，去来无由，渐状如鬼气者，得之猝重。凡中蛊病多趋于内热，经手色或胀，其颜与内……（此处原文残缺严重，难以连贯翻译，大意涉及面色变化及体内症状）。若非新生着霜得水熨针石以两云，又勿令有声，令入多出少，以微为故存视五脏，各如其形色，又存胃中，令鲜明洁白，如素为之，倦极汗出乃止，以粉粉身，摩捋形体，汗不出而倦者，亦可止，明日复为之，又当存作大雷电光，走入腹中，为之不止，病自除。（出自第二十五卷中）
《千金论》曰：蛊毒千品，种种不同。或吐下鲜血，或好卧暗室，不欲见光明，或心性反常，乍嗔乍喜，或四肢沉重，百节酸疼。如此种种状貌，说不可尽。亦有得之三年乃死，急者一月神丹诸有灸……（此处原文残缺）。
又论曰：世有拙医，见患蛊胀者，偏腹肿满，四肢如故，小便不甚涩，以水病疗之。近服水药，经五十余日，望渐痊愈，日复增加，奄致殂殒，如此者不一。学人当细寻方意，消息用……（此处原文残缺）。
《广济》疗蛊毒方：服此升麻散，三四日后，即服前光砂丸方。
升麻、桔梗、栝蒌（各五两）。
上三味捣为散，以熟汤洗所患人阴中，再以浓汁服方寸匕，日二服，渐加至二匕，内消。忌粘食、猪肉。（出自第四卷中）
《肘后》疗中蛊毒诸方：人有养畜蛊毒以病患。凡诊法，中蛊状，令人心腹切痛，如有物啮，或吐下血。不即疗之，食人五脏，尽即死矣。欲知是蛊与非，当令病患唾水，沉者是，浮者非。
又欲知蛊主姓名方：取鼓皮一片，烧灰末以饮服，病患须臾自当呼蛊主姓名，可语令知，便即去，病愈矣。亦有以蛇涎合作蛊毒，着饮食中，使人得瘕病，此一种积年乃死，疗之各自有药。江南山间人，不可不信之。
又方：以荷密着病患卧席上，亦能令呼蛊主姓名也。（文仲、备急千金并翼同出第三卷中）
《短剧》疗蛊方：
鼓皮（广五寸长一尺）、蔷薇根（五寸，如足KT趾大，细切。本方云莨菪根）。
上二味，以水一升，清酒三升，煮取一升，顿服之，当下蛊即愈。（《千金》、《古今录验》同。《千金》治蛊吐下血）
又方：土瓜根大如拇指，长三寸切，以酒半升渍一宿，一服当吐下。（《古今录验》同）
又方：皂荚三挺，长一尺者，炙去皮子，美酒一升渍一宿，去滓顿服。（《古今录验》、范汪同。《肘后》云以酒五升分三服）
又方：取荠根捣为末，以饮服方寸匕。（《古今录验》同）
《千金》犀角丸，疗蛊毒百病腹暴痛，飞尸，恶气肿方。
犀角（末）、羚羊角（末）、鬼臼、桂心（各量四钱匕）、天雄（炮）、莽草（炙）、真珠（研）、雄黄（研各一两）、麝香（半两研）、贝齿（烧灰五枚）、赤足蜈蚣（五节炙）、射罔（如鸡子黄三枚）、巴豆（五十枚去皮心熬）。
上十三味，各捣合筛之，以蜜和为丸如小豆大。服一丸，不知增一丸。猝得腹中痛，飞尸，服如大豆二丸。若恶气肿，以苦酒和以涂之甚良。以绛囊盛药，系男左女右臂辟恶，可以备……（此处原文残缺）
《千金翼》疗蛊毒方：
槲木北阴白皮一大握，长五寸，以水三升，煎取一升，空腹服之，即吐蛊出也。并疗蛊下血。（出自第十五卷中）
崔氏疗蛊方：
黄栝蒌根干者二两捣，以绵裹，酒一升渍一日去滓，温服之，少时即吐利，蛊即出。后煮粥饮服一两盏，吐利即断；不断，即煮人参、甘草、炙生姜各一两服之。此根唯山南者好。（出自第三卷中）
备急疗蛊方：
取白鸽毛粪烧灰，以饮和服之良。
又疗蛊方：人家虽藏此方，而不知如此效验。捣生栝蒌根，取汁一升，酱汁少许和，温服之，须臾吐蛊出，试验。（并出第十六卷中）
必效疗蛊毒大神验方：
大戟、桃白皮（东引者以火烘之）、斑蝥（去足翅熬等分）。
上三味捣筛为散，以冷水服半方寸匕，一服其毒即出。未出，更一服蛊并出。李饶州法云奇效，若以酒中得，则以酒服；若食中得，以饮服之。（崔氏、千金同。《肘后》云斑蝥一分、桃皮大戟各二分，和枣核大米清饮服，吐出蛊。十日不瘥更一服。千金崔氏云服八捻）
又方：胡荽根捣取汁半升，和酒服之立下。
又方：取未钻相思子二七枚，捣碎为末，暖水半盏和搅，顿服之，令尽，即当欲吐，抑之勿吐。若耐不得，即大张口吐之，其毒即出。出讫，服稀粥，勿食诸肉。轻者但服七枚瘥，无问年月深浅，非常神效，勿轻之。
又试蛊法：取银匙若箸或钗含之，经宿色黑即是，不黑者非。（出自第三卷中）
古今录验疗蛊方：
巴豆（十枚去心皮熬）、豉（半升熬）、釜底墨（方寸匕）。
上三味捣筛为散，清旦以酒服如簪头大。小行，蛊主当自至门，勿应之，去到家，立自知其姓名。
又雄黄丸，主蛊毒中药欲死方：
雄黄（研）、朱砂（研）、藜芦（炙）、马目毒公、皂荚（炙去皮子二分）、莽草（二分炙）、巴豆（去心皮熬各二分）。
上七味捣筛，以蜜丸如大豆许。服三丸，当转下。先利清水，次出蛇等。当烦闷者，依常法可用鸭羹补之。忌如常法。
又疗中蛊毒方：取牡丹根捣末，服一钱匕，日三服至良。忌胡荽。（范汪同）
又疗中蛊胡洽方：以猪胆导下部至良。（《肘后》、《集验》、范汪同，并出第四十五卷中）
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Twenty-One Formulas for Gu Poisoning
Category: Formulas
[Translation]
Disease Origins: The sources of Gu poison are of several types, all being qi of transformation and bewilderment. Some people intentionally create them by collecting various snakes and insects, storing them in vessels, and allowing them to devour each other until only one remains; this survivor is called "Gu." It possesses the power to bewilder and follow food and drink to bring disaster to humans. If it brings disaster to others, the master of the Gu benefits, which is why unrestrained individuals keep and serve them. There are also "Flying Gu," which come and go without trace, gradually resembling ghostly qi. Contracting this is sudden and severe. Generally, those suffering from Gu poisoning tend toward internal heat... [The original text here is severely fragmented and difficult to translate coherently, but generally refers to changes in complexion and internal symptoms]. ...If not newly formed, frost, water, moxibustion, acupuncture, etc., should be considered... Do not let there be sound... Store/visualize the five zang organs, each according to its color and shape... Visualize the stomach as bright and white... Stop when exhausted and sweating... Apply powder to the body... Tomorrow repeat... Visualize great thunder and lightning entering the abdomen... If practiced continuously, the disease will remove itself. (From Volume 25)
The *Qianjin Lun* states: There are thousands of types of Gu poison, all different. Symptoms may include vomiting or defecating fresh blood, preferring to lie in dark rooms and avoiding light, mental aberrations such as sudden anger or joy, heavy limbs, and soreness in all joints. Such manifestations cannot be fully described. Some die after three years, while acute cases may kill within a month... [Text fragmentary].
Another discussion states: Incompetent physicians in the world, seeing patients with Gu distension characterized by unilateral abdominal swelling and fullness, with normal limbs and no significant difficulty in urination, treat them as water diseases. After taking water-draining medicines for over fifty days, hoping for gradual recovery, the condition worsens day by day, leading to sudden death. This happens frequently. Students should carefully seek the meaning of the formulas and apply them appropriately... [Text fragmentary].
*Guangji* Formula for Treating Gu Poisoning: Take this Shengma San (Cimicifuga Powder), and after three or four days, take the previously mentioned Guangsha Wan (Guangsha Pill).
Shengma (Rhizoma Cimicifugae), Jiegeng (Radix Platycodonis), Gualou (Fructus Trichosanthis) (each 5 liang).
Pulverize these three ingredients into a powder. Wash the patient's genitals with hot water decoction, then administer the concentrated juice using a "fangcun bi" (a square-inch measure) orally, twice daily. Gradually increase to two measures for internal resolution. Avoid sticky foods and pork. (From Volume 4)
*Zhouhou* Various Formulas for Treating Gu Poisoning: Some people raise Gu poison to harm patients. Generally, the signs of Gu poisoning cause cutting pain in the heart and abdomen, as if being bitten, or vomiting/defecating blood. If not treated immediately, it eats the five zang organs, and once finished, death occurs. To know if it is Gu or not, have the patient spit into water; what sinks is Gu, what floats is not.
Another formula to know the name of the Gu master: Take a piece of drum skin, burn it to ash, and take with drink. The patient will soon call out the name of the Gu master. Inform the master, and the Gu will leave, curing the disease. There are also cases where snake saliva is mixed with Gu poison in food/drink, causing phlegm masses (Jia Bing). This type takes years to kill, and has specific treatments. People in the mountains of Jiangnan must believe this.
Another formula: Place He Mi (likely a typo for a specific herb or substance, possibly related to lotus or similar) on the patient's sleeping mat, which can also make them call the Gu master's name. (Wen Zhong, Beiji Qianjin Yaofang, and Qianjin Yifang are identical, From Volume 3)
*Duanju* Formula for Treating Gu:
Gupi (Drum Skin, 5 cun wide, 1 chi long), Weiqiang Gen (Root of Rosa multiflora, 5 cun, cut finely. This formula says Langdang Gen / Radix Daturae).
Boil these two ingredients in 1 sheng of water and 3 sheng of clear wine until 1 sheng remains. Take in one dose. The Gu will be expelled, and the patient will recover. (*Qianjin*, *Gujin Luyan* are identical. *Qianjin* treats Gu with vomiting/defecating blood).
Another formula: Tugua Gen (Root of Thlaspi arvense or similar, size of thumb, 3 cun long), cut, soak in half a sheng of wine overnight. One dose causes vomiting/defecation. (*Gujin Luyan* is identical).
Another formula: Zaojiao (Gleditsia Sinensis Fruit, 3 stalks, 1 chi long), roasted, skin and seeds removed, soaked in 1 sheng of fine wine overnight. Strain and take in one dose. (*Gujin Luyan*, Fan Wang are identical. *Zhouhou* says divide 5 sheng of wine into three doses).
Another formula: Qi Gen (Root of Shepherd's Purse), pulverized, taken with drink using a fangcun bi. (*Gujin Luyan* is identical).
*Qianjin* Xijiao Wan (Rhinoceros Horn Pill) for Treating Hundred Diseases of Gu Poisoning, Sudden Abdominal Pain, Feishi (Flying Corpse), Evil Qi Swelling:
Xijiao (Horn of Rhinoceros, powdered), Lingyangjiao (Horn of Saiga Antelope, powdered), Jiubai (Rhizoma Typhonii), Guixin (Cortex Cinnamomi, quantity: 4 qianbi), Tianxiong (Radix Aconiti Kusnezoffii, processed), Mangcao (Herba Agrimoniae, roasted), Zhenzhu (Margarita, ground), Xionghuang (Realgar, ground, each 1 liang), Shexiang (Moschus, half liang, ground), Beichi (Shell of Concha Haliotidis, burned to ash, 5 pieces), Chizu Wugong (Red-footed Centipede, 5 segments, roasted), Shewang (Aconitum alkaloid paste, amount equal to 3 chicken egg yolks), Badou (Seed of Croton tiglium, 50 seeds, skin and heart removed, roasted).
Pulverize and sieve these thirteen ingredients separately, mix, and bind with honey to form pills the size of small beans. Take one pill; if ineffective, increase by one pill. For sudden abdominal pain or Feishi, take two pills the size of soybeans. For Evil Qi swelling, mix with vinegar and apply externally; this is very good. Store the medicine in a crimson bag and tie it to the left arm of men and right arm of women to ward off evil, for preparation... [Text fragmentary].
*Qianjin Yifang* Formula for Treating Gu Poisoning:
Take a large handful of the white inner bark of Hu Mu (Oak Tree) from the north shade, 5 cun long. Boil in 3 sheng of water until 1 sheng remains. Take on an empty stomach to vomit out the Gu. Also treats Gu with bleeding. (From Volume 15)
Cui Shi Formula for Treating Gu:
Dry Huang Gualou Gen (Root of Trichosanthes kirilowii), 2 liang, pulverized. Wrap in silk, soak in 1 sheng of wine for one day. Strain and take warm. Soon after, vomiting and diarrhea occur, and the Gu is expelled. Then drink one or two cups of porridge soup to stop the vomiting/diarrhea. If it does not stop, decoct Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae), and Zhi Shengjiang (Prepared Fresh Ginger), each 1 liang, and take. The root from South Shan is best. (From Volume 3)
Beiji Formula for Treating Gu:
Burn the feathers and feces of white pigeons to ash, mix with drink and take. Good effect.
Another formula for treating Gu: Although families hide this formula, they do not know its efficacy. Pulverize fresh Gualou Gen, extract 1 sheng of juice, mix with a little sauce, take warm. Soon vomit out the Gu. Tested. (Both from Volume 16)
Bixiao Greatly Effective Formula for Gu Poisoning:
Daji (Radix Euphorbiae Pekinensis), Taobaipi (Inner Bark of Peach Tree, from east-facing branch, roasted), Banmao (Mylabris, legs and wings removed, roasted), equal parts.
Pulverize and sieve these three ingredients. Take half a fangcun bi with cold water. One dose expels the poison. If not expelled, take another dose to expel both. Li Raozhou's method claims miraculous effect: if contracted via wine, take with wine; if via food, take with drink. (*Cui Shi*, *Qianjin* are identical. *Zhouhou* says Banmao 1 part, Taopi/Daji 2 parts each, mix with date pit rice clear drink to vomit Gu. If not cured in 10 days, take again. *Qianjin* Cui Shi says take 8 nianni).
Another formula: Hudie Gen (Root of Coriandrum sativum), pulverized, extract half a sheng of juice, mix with wine and take to induce immediate expulsion.
Another formula: Take 14 Si Xiang Zi (Acacia Seeds) that have not been drilled, pulverize, mix with half a cup of warm water, stir, and take in one dose. You will feel the urge to vomit; suppress it. If you cannot bear it, open mouth wide and vomit. The poison comes out. Afterward, eat thin porridge, avoid meat. Mild cases cure with 7 seeds. Regardless of duration, this is extremely effective, do not轻视 (underestimate) it.
Another method to test for Gu: Hold a silver spoon, chopsticks, or hairpin in the mouth overnight. If it turns black, it is Gu; if not, it is not. (From Volume 3)
Gujin Luyan Formula for Treating Gu:
Badou (10 seeds, heart and skin removed, roasted), Chi (Fermented Soybeans, half a sheng, roasted), Fudi Mo (Soot from the bottom of the cauldron, 1 fangcun bi).
Pulverize and sieve these three ingredients. Early morning, take the size of a hairpin head with wine. Walk slightly. The Gu master will come to the door. Do not answer. When he returns home, he will immediately know his own name.
Another Xionghuang Wan (Realgar Pill) for Severe Gu Poisoning Near Death:
Xionghuang (Realgar, ground), Zhusha (Cinnabar, ground), Lilu (Rhizoma Veratri, roasted), Mumu Dougong (Toxic substance, likely a specific mineral/herb), Zaojiao (Gleditsia Sinensis, roasted, skin/seeds removed, 2 fen), Mangcao (Agrimony, roasted, 2 fen), Badou (Croton seed, heart/skin removed, roasted, 2 fen).
Pulverize and sieve these seven ingredients, bind with honey to form pills the size of soybeans. Take three pills. Expect downward movement. First clear water, then snakes/etc. emerge. If feeling stifled, supplement with duck soup according to usual methods. Dietary restrictions as usual.
Another formula for treating Gu: Take Mudan Gen (Root of Paeonia suffruticosa), pulverize, take 1 qianbi, three times daily. Good effect. Avoid Coriander. (Fan Wang is identical).
Another formula for treating Gu by Hu Qia: Use Pig Gallbladder to guide into the lower orifice. Very good. (*Zhouhou*, *Jiyi*, Fan Wang are identical, From Volume 45)