外用生肌
甘温属金。生肌止血（郑赞寰曰∶汪御章年十六，常患尿血，屡医不效。予以白蜡加入
冲血滋肾药中，遂愈），定痛补虚，续筋接骨，外科要药。
大泻，以毒攻毒
辛寒有毒。外用蚀死肌，敷疥癣恶疮；内用破石淋，拔瘰 疔肿（杨登甫云∶瘰 之毒
，莫不有根。大抵治以斑蝥、地胆为主，制度如法，能令其根从小便出，如粉片血块烂肉，
此其验也。以木通、滑石、灯心辈导之。斑蝥捕得，屁射出，臭不可闻。故奔走下窍，直至
精溺之处，能下败物，痛不可当，用须斟酌），下 犬毒（九死一生之候，急用斑蝥七枚，
去头、翅、足，糯米炒黄，为末酒煎，空心下，取下小狗三四十枚，如数少再服。又方，糯
米一勺，斑蝥二十一枚，分三次，炒至青烟为度。去蝥，取米为粉，冷水入清油少许，空心
下。取利下毒物，如不利再进。愈后，忌闻钟鼓声，复发则不可治。服之肚痛急者，用靛汁
或黄连水解之），溃肉（肌肉近之则烂）堕胎。豆叶上虫，黄黑斑文。去头、足，糯米炒熟，
生用则吐泻，人亦有用米取气不取质者。畏巴豆、丹参。恶甘草、豆花（斑蝥、芫青、葛上
亭长、地胆四虫，形色不同，功略相近。食芫花为芫青，青绿色尤毒，春生；食葛花为亭长，
黑身赤头，夏生；食豆花为斑蝥，斑色，秋生；冬入地为地胆，黑头赤尾。陶隐居曰∶乃一
物而四时变化者。苏恭曰∶非也，皆极毒，须慎用）。
外用可促进肌肉生长。
性味甘温，五行属金。具有生肌止血的功效（郑赞寰说：汪御章十六岁时，经常患尿血病，多次治疗无效。我将白蜡加入滋补肾血的药物中，于是痊愈），能定痛补虚，接续筋骨，是外科的重要药物。
内服可大泻毒邪，以毒攻毒。
性味辛寒，有毒。外用可腐蚀坏死组织，敷治疥癣和恶疮；内服可破除石淋，拔出瘰疬和疔肿的毒根（杨登甫说：瘰疬的毒邪，没有不带有根底的。大致用斑蝥、地胆为主药，炮制方法得当，能让毒根随小便排出，排出物像粉片、血块或烂肉，这就是疗效的验证。配合木通、滑石、灯心草等引导排泄。斑蝥被捕时，会从肛门射出臭气，气味难闻。因此它奔走于下窍，直达精液和尿液之处，能排出败坏之物，疼痛难以忍受，使用时必须斟酌），排出犬毒（这是九死一生的危重情况，紧急时用斑蝥七枚，去掉头、翅、足，用糯米炒黄，研为粉末，酒煎后空腹服用，排出三四十条小狗样毒物，如果数量少则再服。另一方，用糯米一勺，斑蝥二十一枚，分三次服用，炒至冒出青烟为止。去掉斑蝥，取糯米研为粉末，冷水调服并加入少许清油，空腹服用。排出毒物，如果不通利则再进服。痊愈后，忌讳听到钟鼓声，若复发则无法治疗。服药后若肚子剧痛急迫，用靛蓝汁或黄连水解其毒），溃烂腐肉（肌肉接触到就会腐烂）。堕胎。生于豆叶上的虫，身体有黄黑斑纹。去掉头、足，用糯米炒熟，生用会引起呕吐腹泻，也有人只用米取其气而不取其实质。畏巴豆、丹参。厌恶甘草、豆花（斑蝥、芫青、葛上亭长、地胆四种虫，外形颜色不同，功效大致相近。吃芫花的是芫青，青绿色毒性尤烈，春季出生；吃葛花的是亭长，黑身赤头，夏季出生；吃豆花的是斑蝥，身上有斑色，秋季出生；冬季入地的是地胆，黑头赤尾。陶隐居说：这是一物在四季变化的结果。苏恭说：不对，它们都极毒，必须慎用）。
Externally applied to promote tissue regeneration.
Sweet and warm in nature, belonging to Metal. Promotes tissue regeneration and stops bleeding (Zheng Zanhuan said: Wang Yuzhang suffered from hematuria at the age of sixteen, and multiple treatments were ineffective. I added *Bai La* [White Wax] into blood-nourishing and kidney-tonifying herbs, and he was cured), alleviates pain and tonifies deficiency, reconnects tendons and bones, and is an essential herb for external medicine.
Internally used to purge toxins vigorously, employing toxicity to combat toxicity.
Acrid, cold, and toxic. Externally applied to escharotic dead tissue and to treat scabies, tinea, and malignant sores; internally used to break up lithiasis (stone strangury) and extract the root of scrofula and carbuncles (Yang Dengfu said: The toxin of scrofula invariably has a root. Generally, treating with *Ban Mao* [Mylabris] and *Di Dan* [Blister Beetle] as main ingredients, if processed correctly, can cause the root to be excreted via urine, appearing like powder flakes, blood clots, or rotting flesh, which verifies its efficacy. Guided by herbs such as *Mutong* [Akebia Caulis], *Huashi* [Talcum], and *Dengxincao* [Junci Medulla]. When caught, *Ban Mao* ejects foul-smelling fluid from its posterior orifice, making it unbearable to smell. Thus, it travels through the lower orifices, reaching the seat of essence and urine, capable of expelling corrupt matter, causing unbearable pain, so its use requires careful consideration), expels dog venom (a critical condition where nine out of ten die; urgently use seven *Ban Mao*, remove head, wings, and legs, stir-fry with glutinous rice until yellow, grind into powder, decoct in wine, and take on an empty stomach to expel thirty to forty small dog-like toxic entities; if fewer are expelled, administer again. Another prescription: one spoonful of glutinous rice and twenty-one *Ban Mao*, taken in three doses, stir-fried until blue smoke appears. Remove the beetles, take the rice, grind into powder, mix with cold water and a little refined oil, and take on an empty stomach. Expel toxic matter; if not purged, administer again. After recovery, avoid hearing bells and drums; relapse is incurable. If severe abdominal pain occurs after ingestion, resolve the toxicity with indigo juice or *Huanglian* [Coptidis Rhizoma] decoction), ulcerates flesh (flesh rots upon contact), and induces abortion. It is a beetle found on bean leaves, marked with yellow and black spots. Remove head and legs, stir-fry with glutinous rice until cooked; raw use causes vomiting and diarrhea. Some use only the rice to extract its qi rather than the substance itself. Averse to *Badou* [Crotonis Fructus] and *Danshen* [Salviae Miltiorrhizae Radix et Rhizoma]. Dislikes *Gancao* [Glycyrrhizae Radix et Rhizoma] and bean flowers (*Douhua*). (*Ban Mao* [Mylabris], *Yuan Qing* [Lyttae Mylabris], *Ge Shang Ting Zhang* [Eupolyphaga Steleophaga], and *Di Dan* [Blister Beetle] are four insects differing in appearance but having similar effects. Those feeding on *Yuanhua* [Genkwa Flos] are *Yuan Qing*, greenish-black and highly toxic, born in spring; those feeding on *Ge Hua* [Kadsurae Flos] are *Ting Zhang*, black body with red head, born in summer; those feeding on *Douhua* [Phaseoli Semen Germinatum] are *Ban Mao*, spotted, born in autumn; those entering the ground in winter are *Di Dan*, black head with red tail. Tao Hongjing stated: These are transformations of one entity across the four seasons. Su Gong disagreed, stating they are all extremely toxic and must be used with caution).