病源蛊是合聚虫蛇之类，以器皿盛之，任其自相食啖，余留一存者为蛊，能变化为毒害
，人有事之以毒害，多因饮食内行之，人中之者，心腹懊痛烦毒不可忍，食人五脏，下血瘀
黑如烂鸡肝。（出第二十五卷中）
短剧疗蛊毒，腹痛注下赤血，踯躅散方。
羊踯躅 干姜 藜芦（熬） 附子（炮） 巴豆（去皮心熬） 野葛皮 肉桂 丹砂
（研） 雄黄（研） 蜈蚣（炙各一分）
上十味捣为散，以水服一刀圭，不知，加一粟米。忌猪肉，芦笋，生血物，生葱，狸肉
。（古今录验同）
又疗蛊下血欲死方。
蔷薇根（锉一升） 牛膝（五） 连翘子（一升） 腊（一弹子许）
上四味切，以水四升，煮取三升，分三服即愈。（古今录验同）
又疗诸蛊，大便下血日数十行方。
巴豆（二七枚） 藜芦（炙） 附子（炮） 芫菁（去足翅熬） 矾石（各二分熬汁尽）
上五味捣下筛，别研巴豆如膏，和相得，以绵裹一大豆许，纳下部中，日二三愈。忌同
前方。（千金古今录验同并出第四卷中）
千金凡忽患下血，以上件方疗，更增剧者，此是中蛊，其下血状如鸭肝，腹中绞痛急者
，此方主之。
茜根 升麻 犀角（各三两） 地榆 白 荷（各四两） 桔梗 黄柏 黄芩（各一两
）
上八味切，以水九升，煮取二升半，分三服。
又凡猝患血痢，或赤或黑，无有多少，此皆是蛊毒，粗医以断痢处之，此大非也。
又疗中蛊毒，吐血下血皆如烂鸡肝，令人心腹绞切痛如有物啮，若不即疗，令人五脏尽
乃死，验之法，欲知是蛊，令病患唾水中，沉者是蛊，浮者非蛊也方
槲木北阴白皮 桃根皮 皮（炙一方寸匕） 乱发灰（一方寸匕） 生麻子（汁五
升
）
上五味，先煮槲皮桃根，取浓汁一升，和麻子汁乱发灰 皮末等，令病者少食，旦服一
升，须臾着盆水，以鸡翮搅，吐水中如牛涎犊胎，及诸蛊毒之物。（出第二十五卷中）
千金翼疗蛊毒下血方。
皮烧灰，以水服方寸匕，当吐蛊毒。（出第十五卷中）
崔氏疗中蛊下血及毒下，羚羊皮汤方。
羚羊皮（方三寸炙） 荷根（四两） 苦参 黄连（各二两） 当归 升麻 犀角（各
三两）
上七味切，以水九升，煮取三升，分三服，无 荷根，以茜根代之。
又疗中蛊毒泻血，日夜无度，腹痛不可忍方
取白 荷叶四五枚，私纳着病患眠卧处席下，勿令病患知之，若为蛊毒所伤，则不肯在
上眠，即知是蛊毒为病，用皂荚三挺，炙去皮子，打碎，用极酽醋四升于瓷器中，候日正午
时
药，
甲，
除，
古今录验疗猝中蛊，下血如鸡肝者，昼夜下石余血，四脏悉损，唯心未毁，或乃鼻破待
死方。
桔梗捣末，以酒服方寸匕，日三，不能下药，以物揭口开灌之，心中当烦，须臾自静，
有顷下蛊，至服七日止，当服猪肝 以补之。（出第四卷中）
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：蛊下血方九首 类别：方剂
【待处理原文翻译】
病因中的“蛊”，是将虫蛇等类聚集在一起，用器皿盛放，任凭它们互相吞食，最后剩下的一只存活下来的，就称为“蛊”。它能变化产生毒性进行害人。人如果遭遇这种毒害，多是通过饮食进入体内。人中了蛊毒后，心胸腹部感到烦闷疼痛，毒痛难以忍受，蛊毒会侵蚀人的五脏，导致排出黑色的瘀血，状如烂鸡肝。（出自第二十五卷中）
《短剧》治疗蛊毒引起的腹痛、泻下赤色血液的踯躅散方。
羊踯躅（杜鹃花科植物，有毒）、干姜、藜芦（熬制）、附子（炮制）、巴豆（去皮心并熬制）、野葛皮、肉桂、丹砂（研磨）、雄黄（研磨）、蜈蚣（炙烤，各一分）。
以上十味药捣碎成散剂，用水送服一刀圭的量，若无效，增加一粟米的量。忌食猪肉、芦笋、生血类食物、生葱、狸肉。（与《古今录验》相同）
又一方治疗因中蛊而下血欲死的方剂。
蔷薇根（锉碎一升）、牛膝（五两）、连翘子（一升）、腊（约弹丸大小）。
以上四味药切碎，用水四升，煮取三升，分三次服用即可痊愈。（与《古今录验》相同）
又一方治疗各种蛊毒引起的大便下血，每天数十次的方剂。
巴豆（十四枚）、藜芦（炙烤）、附子（炮制）、芫菁（去掉足和翅膀并熬制）、矾石（各二分，熬至汁尽）。
以上五味药捣碎过筛，另外将巴豆研磨如膏状，混合均匀，用棉布包裹如大豆大小，纳入肛门内，每天二到三次即愈。禁忌同前方。（与《千金方》、《古今录验》相同，均出自第四卷中）
《千金方》认为凡是突然患下血症状，用上述方剂治疗后，病情反而加重的，这是中了蛊毒。其下血的样子像鸭肝，腹中绞痛急迫的，此方主治。
茜根、升麻、犀角（各三两）、地榆、白荷（各四两）、桔梗、黄柏、黄芩（各一两）。
以上八味药切碎，用水九升，煮取二升半，分三次服用。
又说凡是突然患上血痢，无论颜色红或黑，无论多少，这都是蛊毒所致。粗劣的医生将其当作普通痢疾来治疗，这是非常错误的。
又一方治疗中蛊毒，吐血和下血都像烂鸡肝，使人心中腹部绞切般疼痛，好像有东西在啃咬，如果不立即治疗，会导致人五脏受损而死。验证的方法是：想知道是否中了蛊，让病人吐唾沫在水中，沉下去的是蛊，浮起来的不是蛊。方剂如下：
槲木北阴面白皮、桃根皮、皮（炙烤，一方寸匕）、乱发灰（一方寸匕）、生麻子（榨汁五升）。
以上五味药，先煮槲皮和桃根，取浓汁一升，混合麻子汁、乱发灰、皮末等，让病人少量进食，早晨服用一升。不久后将水放入盆中，用鸡毛搅拌，吐出物如水牛唾液、牛犊胎盘及各类蛊毒之物。（出自第二十五卷中）
《千金翼方》治疗蛊毒下血的方剂。
皮烧成灰，用水送服一方寸匕，应当吐出蛊毒。（出自第十五卷中）
崔氏治疗中蛊下血及毒邪下注的羚羊皮汤方。
羚羊皮（方形三寸，炙烤）、荷根（四两）、苦参、黄连（各二两）、当归、升麻、犀角（各三两）。
以上七味药切碎，用水九升，煮取三升，分三次服用。若无荷根，可用茜根代替。
又一方治疗中蛊毒泻血，日夜无度，腹痛不可忍受的方剂。
取白荷叶四五枚，偷偷放在病人睡觉的席子下面，不要让病人知道。如果被蛊毒所伤，病人就不肯在上面睡觉，由此可知是蛊毒致病。使用皂荚三挺，炙烤去皮带籽，打碎，用极浓的醋四升在瓷器中浸泡（此处原文可能有缺漏，意为浸药），候日正午时……（原文此处中断，后续为甲、除等字，似为排版错误或残缺，依文意推测为服药时间或步骤，但鉴于原文不全，仅翻译可见部分逻辑：若确诊为蛊毒，则用皂荚醋浸法治疗）。
《古今录验》治疗突然中蛊，下血如鸡肝，昼夜下血数石余，五脏皆损，唯心脏未毁，或者鼻破待死的方剂。
桔梗捣成末，用酒送服一方寸匕，每天三次。如果不能服药，用工具撬开嘴灌进去，心中应当感到烦闷，一会儿自然平静。过一会儿排出蛊毒，直到服用七天为止，应当服用猪肝来补益身体。（出自第四卷中）
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Nine Formulas for Gu Poison with Hematochezia
Category: Formulas
[English Translation]
The etiology of "Gu" involves gathering various insects and snakes into a vessel, allowing them to devour each other until only one survives. This survivor is termed "Gu," which can transform into poison to harm humans. If a person is subjected to such poisoning, it often occurs through ingestion via food or drink. Upon contracting Gu poison, the patient experiences severe distress and pain in the heart and abdomen that is unbearable. The poison attacks the five Zang organs, leading to the passage of dark, clotted blood resembling rotten chicken liver. (From Volume 25)
**Duanju's Zhizhu San Formula for Treating Gu Poison with Abdominal Pain and Passage of Red Blood**
* *Adonis amurensis* (Yangzhizhu, toxic), Dried Ginger, Veratrum (roasted), Aconite Root (processed), Croton Seed (skin and heart removed, roasted), Wild Kudzu Bark, Cinnamon Twig, Cinnabar (ground), Realgar (ground), Centipede (roasted). Each ingredient is used in equal parts (one fen).
Crush these ten ingredients into a powder. Administer one Dao Gui (a traditional Chinese unit of measure) with water. If ineffective, increase the dose by one millet grain. Avoid pork, reed shoots, raw blood products, raw green onions, and civet meat. (Consistent with *Gujin Luyan*)
**Another Formula for Treating Fatal Hematochezia due to Gu Poison**
* Rose Root (crushed, one sheng), Achyranthes Bidentata Root (five liang), Forsythia Fruit (one sheng), Animal Fat (approximately the size of a pellet).
Chop these four ingredients. Boil in four sheng of water until three sheng remain. Divide into three doses for cure. (Consistent with *Gujin Luyan*)
**Another Formula for Various Gu Poisons Causing Frequent Hematochezia (Dozens of Times Daily)**
* Croton Seed (fourteen seeds), Veratrum (roasted), Aconite Root (processed), Blister Beetle (legs and wings removed, roasted), Alum (two fen each, boiled until liquid evaporates).
Pulverize these five ingredients and sieve them separately. Grind the Croton Seeds into a paste. Mix thoroughly. Wrap a portion the size of a soybean in cotton and insert it into the anus. Use two to three times daily for cure. Dietary restrictions are the same as the previous formula. (Consistent with *Qianjin Fang* and *Gujin Luyan*, from Volume 4)
According to *Qianjin Fang*, if sudden hematochezia worsens after using the above formulas, it indicates Gu poisoning. The blood resembles duck liver, and there is severe, urgent abdominal cramping. This formula treats such conditions.
* Qian Gen (Madder Root), Cimicifuga Rhizome, Rhino Horn (each three liang), Sanguisorba Officinalis Root, White Lotus Root (each four liang), Platycodon Root, Phellodendron Bark, Scutellaria Root (each one liang).
Chop these eight ingredients. Boil in nine sheng of water until two and a half sheng remain. Divide into three doses.
Furthermore, any sudden onset of bloody dysentery, regardless of color (red or black) or volume, is caused by Gu poison. Incompetent physicians who treat this merely as ordinary dysentery are greatly mistaken.
**Another Formula for Gu Poison Causing Hematemesis and Hematochezia Resembling Rotten Chicken Liver, with Severe Abdominal Cramping Sensation as if Being Gnawed**
If not treated immediately, this leads to death due to damage to the five Zang organs. To verify Gu poisoning: have the patient spit into water. If the saliva sinks, it is Gu; if it floats, it is not.
Formula:
* White bark from the north-facing side of Oak Wood, Peach Root Bark, [Missing Ingredient] (roasted, one cun-bi), Ash of Tangled Hair (one cun-bi), Hemp Seed Juice (five sheng).
Boil the Oak Bark and Peach Root first to obtain one sheng of concentrated decoction. Mix with Hemp Seed Juice, Ash of Tangled Hair, and the powdered missing ingredient. Have the patient eat a small amount, then administer one sheng in the morning. Shortly after, place water in a basin and stir with a chicken feather. The patient will vomit substances resembling oxen's saliva, calf placentas, and various Gu toxins. (From Volume 25)
**Qianjin Yifang Formula for Gu Poison with Hematochezia**
Burn [Missing Ingredient] to ash. Administer one cun-bi with water. The patient should vomit up the Gu poison. (From Volume 15)
**Cui Shi's Lingyang Pi Decoction for Gu Poison with Hematochezia and Descending Toxicity**
* Antelope Skin (3-inch square, roasted), Lotus Root, Sophora Root, Coptis Rhizome (each two liang), Angelica Sinensis, Cimicifuga Rhizome, Rhino Horn (each three liang).
Chop these seven ingredients. Boil in nine sheng of water until three sheng remain. Divide into three doses. If Lotus Root is unavailable, substitute with Madder Root.
**Another Formula for Gu Poison Causing Uncontrollable Hematochezia Day and Night with Unbearable Abdominal Pain**
Take four or five white lotus leaves and secretly place them under the mat where the patient sleeps, without the patient's knowledge. If injured by Gu poison, the patient will refuse to sleep on it, confirming Gu poisoning. Use three stalks of Soap Bean, roast them, remove skin and seeds, and crush them. Soak in four sheng of strong vinegar in a porcelain vessel... (Text fragment ends here, implying administration at noon).
**Gujin Luyan Formula for Sudden Gu Poison with Hematochezia Resembling Chicken Liver, Profuse Bleeding (Several Shi Daily), Damage to Four Zang Organs, Preserved Heart, or Nasal Hemorrhage Imminent Death**
Pulverize Platycodon Root. Administer one cun-bi with wine, three times daily. If unable to swallow, pry open the mouth and pour it in. The patient may feel mental restlessness initially, which will subside shortly. Subsequently, Gu toxins will be expelled. Continue treatment for seven days. Consume pig liver afterward to tonify the body. (From Volume 4)