苦寒无毒。漂净炙黄，捣细末，同糖霜食之。
发明 蛆出粪中，故能消积，治小儿诸疳积滞，取消积而不伤正气也。一法用大虾蟆十
数只打死置坛内，取粪蛆不拘多少，河水渍养三五日，以食尽虾蟆为度，用麻布扎住坛口，
倒悬活水中令污秽净，取新瓦烧红置蛆于上焙干。治小儿疳积腹大脚弱，翳膜遮睛，每服一
二钱；量儿大小服之，无不验者，勿以其鄙而忽诸。
咸温无毒。
发明 蝇食狗血，性热而锐，力能拔毒外出。故治痘疮倒靥色黑、唇口冰冷之证，以数
枚擂细，醅酒少许调服。闻人规方也。
咸微温有毒。
《本经》主恶血血瘀痹气，破折血在胁下坚满，通月闭，目中淫肤，青翳白膜。
发明 蛴螬穴土而居，与蚯蚓不异，故《本经》所治皆瘀血之证。《金匮》治虚劳瘀血
，大黄 虫丸方用之，取其去胁下坚满也。许学士治筋急，养血地黄丸用之，亦取其治血瘀
也。取汁滴目去翳障散血止痛。《千金》研末敷小儿脐疮，加猪脂调治小儿唇紧，《经验方
》治瘀伤肿痛。《肘后》捣涂竹木刺。苏颂捣汁点喉痹得下即开。藏器涂游风丹疹。又治麦
芒入眼，以蛴螬在目上隔布摩之，芒着布上即出。
甘温小毒。色白带黄而腹中无秽， 之无水者为真。若头硬而腹中不净者，即
杂树内蠹也。如一时难觅真者，则以 毛壳 灰存性代之。
发明 桑蠹虫食木，柔能胜坚，故治痘疮毒盛，白陷不能起发者，用以绞汁，和白酒酿
服之即起。但皮薄脚散及泄泻畏食者服之，每致驳裂而成不救，不可不慎。《千金》治崩中
漏下赤白，桑蠹烧灰温酒服，亦治胎漏下血效。
味苦，性寒，无毒。将其漂洗干净后炙至黄色，捣成细末，与糖霜混合食用。
【发明】蛆虫生于粪便之中，因此能够消除积滞，治疗小儿各种疳积停滞，其特点是消除积滞而不损伤正气。另一种方法是用十几只大蛤蟆打死放入坛中，取粪蛆不拘数量，用河水浸泡饲养三五天，直到蛆虫将蛤蟆吃尽为止。用麻布扎紧坛口，倒悬于活水中以洗净污秽，取出新瓦烧红后将蛆虫放在上面焙干。用于治疗小儿疳积导致腹部胀大、腿部无力、眼睑生翳膜遮挡视线等症状，每次服用一钱或二钱；根据患儿年龄大小调整剂量服用，没有不灵验的，不要因为其卑微而忽视它。
味咸，性温，无毒。
【发明】苍蝇食用狗血后，性质变得热而锐利，力量能够拔除毒邪使其外泄。因此用于治疗痘疮内陷、颜色发黑、嘴唇和口腔冰冷等证候，将数枚苍蝇研磨细碎，用少量发酵酒调服。这是闻人规提出的方子。
味咸，微温，有毒。
《神农本草经》主治恶血、血瘀痹阻之气，破除胁下坚硬满结的瘀血，通调月经闭止，治疗眼中淫肤（眼眵增多）、青翳白膜。
【发明】蛴螬穴居在土壤中，与蚯蚓无异，所以《神农本草经》所治疗的都是瘀血证候。《金匮要略》治疗虚劳瘀血，在大黄䗪虫丸方剂中使用它，是取其消除胁下坚硬满结的作用。许学士治疗筋脉拘急，在养血地黄丸中使用它，也是取其治疗血瘀的作用。取汁液滴入眼睛以去除翳障、散血止痛。《千金方》将其研末敷于小儿脐疮，加猪脂调和治疗小儿嘴唇紧缩，《经验方》治疗瘀伤肿痛。《肘后备急方》捣烂涂抹治疗竹木刺入肉中。苏颂记载捣汁点涂喉痹，若痰涎下行则喉部即开。藏器记载涂抹治疗游风丹疹。又用于治疗麦芒刺入眼睛，将蛴螬放在眼睛上方隔着布摩擦，麦芒就会附着在布上被拔出。
味甘，性温，有小毒。色白带黄且腹中没有秽物，体内无水的为真品。如果头部坚硬且腹中不干净的，就是杂树内的蛀虫。如果一时难以找到真品，则以土鳖虫（地鳖虫）的干燥体煅存性来代替。
【发明】桑蠹虫食木，柔性能克制坚性，因此治疗痘疮毒盛、白色凹陷不能起发的症状，将其绞取汁液，与白酒酿混合服用即可使痘疮起发。但是皮肤薄、脚部松散以及腹泻、畏食的患者服用，往往会导致病情恶化而成不治之症，不可不谨慎。《千金方》治疗崩中漏下赤白（阴道大量出血或淋漓不断，分泌物色红或白），将桑蠹虫烧成灰后用温酒送服，也治疗胎漏下血有效。
Bitter, cold, non-toxic. Rinse clean, roast until yellow, grind into fine powder, and consume mixed with rock sugar.
[Invention] Maggots originate from feces; therefore, they can eliminate accumulations and treat various types of infantile malnutrition (Gan syndrome) with stagnation in children. Their characteristic is eliminating accumulation without damaging healthy Qi. Another method involves killing a dozen large toads and placing them in a jar. Take an unspecified amount of maggot larvae, soak and raise them in river water for three to five days until the larvae have consumed all the toad flesh. Tie the mouth of the jar tightly with hemp cloth, suspend it upside down in running water to wash away impurities, then take fresh tiles, heat them red-hot, and place the maggots on top to bake dry. This is used to treat infantile malnutrition characterized by abdominal distension, weak legs, and nebulae covering the eyes. Each dose is one or two qian; adjust the dosage according to the child's age and size. It is invariably effective; do not neglect it because of its humble nature.
Salty, warm, non-toxic.
[Invention] Flies that feed on dog blood acquire a hot and sharp nature, possessing the power to draw out toxins. Therefore, it is used to treat conditions where smallpox lesions are inverted, dark in color, accompanied by cold lips and mouth. Grind several flies into a fine paste, mix with a small amount of fermented wine, and administer orally. This prescription was proposed by Wen Ren Gui.
Salty, slightly warm, toxic.
The *Shennong Bencao Jing* states it treats evil blood, blood stasis with bi-syndrome qi obstruction, breaks up hard and full masses of blood under the hypochondrium, regulates amenorrhea, and treats ocular discharge (yin fu), blue nebulae, and white membranes.
[Invention] *Larva of Melolontha* (Qicao) lives in burrows in the soil, similar to earthworms; thus, the conditions treated in the *Shennong Bencao Jing* are all related to blood stasis. In the *Jin Gui Yao Lue*, it is used in the Dahuang Zhechong Wan formula to treat deficiency consumption with blood stasis, taking advantage of its ability to resolve hard masses under the hypochondrium. Xu Xueshi used it in Yangxue Dihuang Wan to treat tendon tension, also utilizing its effect on blood stasis. Its juice is dripped into the eyes to remove nebulae, dissipate blood stasis, and relieve pain. The *Qianjin Fang* grinds it into powder for application to infantile umbilical sores; mixed with pig fat, it treats tight lips in infants. The *Jingyan Fang* treats swelling and pain from traumatic blood stasis. The *Zhouhou Beiji Fang* applies mashed form to bamboo or wood splinters embedded in the skin. Su Song recorded using its juice applied to the throat for bi-syndrome (sore throat/throat obstruction); if phlegm descends, the obstruction opens. Zangqi recorded applying it to treat migratory wind urticaria (you feng dan zhen). It is also used to treat wheat awns entering the eye: place the larva above the eye, rubbing through a cloth; the awn adheres to the cloth and is removed.
Sweet, warm, slightly toxic. Those that are white with a yellowish tint, have no filth inside, and contain no moisture are authentic. If the head is hard and the interior is unclean, they are borers from miscellaneous trees. If authentic specimens are difficult to find at once, dried bodies of *Eupolyphaga sinensis* (Dibiechong, ground beetle) calcined to retain their properties may be used as a substitute.
[Invention] *Antherina pernyi* borer (Sangduchong) feeds on wood; its soft nature overcomes hardness. Therefore, it treats severe toxin accumulation in smallpox where lesions are white and depressed, failing to erupt. Juice is extracted and mixed with rice wine for fermentation and administration, causing the lesions to rise. However, patients with thin skin, loose extremities, diarrhea, or aversion to food should use it cautiously, as administration may lead to deterioration and untreatable conditions. The *Qianjin Fang* treats metrorrhagia and leukorrhea (bleeding and discharge of red and white fluids) by administering powdered Sangduchong roasted to ash with warm wine; it is also effective for threatened miscarriage with bleeding.