（蔓草）木鳖子引吐热毒从痰外出。番木鳖引吐热涎逆流而上
木鳖（专入外科外治）。本有二种。一名土鳖。有壳。一名番木鳖。无壳。木鳖味苦居
多。甘
辛略带。诸书皆言性温。以其味辛者故耳。究之性属大寒。狗食即毙。人若误用。中寒口噤
。多
致不救。常有因病错用而毙者矣！故其功用多从外治。如肿毒乳痈痔漏肿痛喉痹。用此醋漱
于喉间。引痰吐出。以解热毒。不可咽下。或同朱砂艾叶卷筒。熏疥杀蛊最效。或用麻油熬
擦癣亦可。总不可入汤剂。以致寒毒内攻耳。番鳖（即马钱子）功与木鳖大同。而寒烈之性
尤
甚。所治热病喉痹。亦止可同山豆根青木香磨汁内含。使其痰涎引吐。逆流而上。不可咽下
。斑疮入眼。可用番木鳖半个。轻粉冰片麝香为末。左目吹右耳。右目吹左耳。日吹二次即
住。狗性大热。用此大寒内激。使之相反。立见毙耳。止入外科治疗。用时除油。
（香木）
胡桐泪（专入胃。兼入肾）。苦咸大寒。专治咽喉热痛。齿 风疳。瘰 结核。缘此热
盛于内
。上攻口齿。发为诸病。非不用此味苦。则虫莫制。用此味咸。则坚莫除。用此大寒。则热
莫解。经曰。热淫于内。治以咸寒。又曰。在高者。因而越之。可知大热大毒。必用大苦大
寒以为引吐。方能以除。（颂曰。古方稀用。今治口齿家。为最要之物。）正俗所云有病病当
之者是耳。但此不宜多服。恐其引吐不休。结如小石片者佳。（时珍曰。石泪入地受卤气。
故其性寒能除热。其味咸。能入骨软坚。）木泪状如膏油。（系树脂流出者。）
（蔓草类）木鳖子能引导热毒随痰液从口中吐出排出。番木鳖能引导热涎逆流向上涌出。
木鳖（专门用于外科外治）。本药有两种。一种叫土鳖，有壳；一种叫番木鳖，无壳。木鳖味道以苦为主，甘辛味略带。各种书籍都说它性温，这是因为它带有辛味的缘故。但究其本质，其属性实为大寒，狗吃了就会死亡，人如果误用，会导致中寒、口噤（牙关紧闭），多导致无法救治。常有因病错用而死亡的案例！所以它的功用多用于外治。如肿毒、乳痈（乳腺炎）、痔漏肿痛、喉痹等，用醋漱口时含此药于喉间，引导痰液吐出，以解除热毒。不可咽下。或者与朱砂、艾叶一起卷成筒状，熏治疥疮、杀灭蛊毒最为有效。或者用麻油熬制后擦拭治疗癣疾也可以。总之不可入汤剂服用，以免寒毒内攻。番鳖（即马钱子）功效与木鳖大体相同，但其寒烈之性尤其强烈。所治疗的熱病喉痹，也只可同山豆根、青木香磨汁含在口中，使其痰涎被引导吐出，逆流而上，不可咽下。斑疹疮疡侵入眼睛，可用半个番木鳖，配合轻粉、冰片、麝香研为细末，左眼患病吹入右耳，右眼患病吹入左耳，每日吹两次即可停止。狗性大热，用此大寒之物内激，使之阴阳相反，立即就会毙命。只用于外科治疗。使用时需去油。
（香木类）
胡桐泪（专门入胃经，兼入肾经）。味苦咸，性大寒。专门治疗咽喉热痛、齿风疳（牙龈溃烂）、瘰疬结核。因为此症是热盛于内，上攻口齿，引发各种疾病。不用此苦味，则虫无法控制；不用此咸味，则坚结无法消除；不用此大寒，则热邪无法解除。《内经》说：热邪淫溢于内，用咸寒之法治疗。又说：病位在高处的，因势利导使其涌吐。可知大热大毒，必须用大苦大寒作为引吐之药，才能将其清除。（苏颂说：古方中很少使用，现在治疗口齿疾病的医生，认为是最重要的药物。）这正是俗话所说的“有病病当之”的情况。但这种药不宜多服，恐怕引起呕吐不止。结成像小石片形状的质量最佳。（李时珍说：石泪落入地下受到卤气侵蚀，所以其性寒能除热，其味咸能入骨软坚。）木泪状如膏油。（是树脂流出形成的。）
(Vine-like Plants)
Mu Bei Zi (Strychni Semen, 木鳖子) guides heat-toxins to be expelled outward from the mouth along with phlegm. Fan Mu Bei (Strychnos nux-vomica seed, 番木鳖) guides hot saliva to flow upward and regurgitate.
Mu Bei (Strychni Semen, 木鳖子) [Specifically used for external surgical treatments]. There are two types of this herb. One is called Tu Bie (Earth Beetle), which has a shell; the other is called Fan Mu Bei (Foreign Strychnos Seed), which has no shell. The taste of Mu Bei is predominantly bitter, with slight sweet and acrid notes. Various texts state its nature as warm, attributing this to its acrid flavor. However, upon investigation, its true nature is extremely cold; dogs die after consuming it. If humans mistakenly use it, it causes cold damage to the middle jiao and lockjaw (Jin Kou, 口噤), often leading to untreatable conditions. There have been cases of death due to incorrect usage! Therefore, its functions are mostly applied externally. For example, in cases of swelling toxins, mastitis (Ru Yong, 乳痈), painful hemorrhoids and fistulas, or throat obstruction (Hou Bi, 喉痹), one can rinse the throat with vinegar containing this herb to guide the expulsion of phlegm and resolve heat-toxins. It must not be swallowed. Alternatively, rolled into a tube with Cinnabar (Zhu Sha, 朱砂) and Mugwort Leaf (Ai Ye, 艾叶), it is most effective for fumigating scabies and killing parasites. It can also be boiled in Sesame Oil (Ma You, 麻油) and applied topically to treat tinea. In summary, it must not be taken in decoctions to avoid internal attack by cold-toxins. Fan Bie (i.e., Ma Qian Zi/Strychnos nux-vomica seed, 番鳖/马钱子) has similar efficacy to Mu Bei, but its extremely cold and potent nature is even more severe. For treating heat diseases and throat obstruction, it may only be ground with Dou Gen (Sophorae Tonkinensis Radix, 山豆根) and Qing Mu Xiang (Aucklandiae Radix, 青木香) into juice for holding in the mouth, guiding the regurgitation of phlegm and saliva upward. It must not be swallowed. For pox sores entering the eyes, half a Fan Mu Bei seed, combined with Calamine (Qing Fen, 轻粉), Borneol (Bing Pian, 冰片), and Musk (She Xiang, 麝香) powdered together, can be blown into the right ear if the left eye is affected, or into the left ear if the right eye is affected. Blowing twice daily will stop the condition. Dogs have a strongly hot nature; using this extremely cold substance internally creates opposition, causing immediate death. It is used only for external surgical treatment. When used, the oil must be removed.
(Woody Plants)
Hu Tong Lei (Tamarici Flos, 胡桐泪) [Specifically enters the Stomach meridian, and concurrently enters the Kidney meridian]. It tastes bitter and salty, and is extremely cold. It specifically treats sore throat with heat-pain, wind-heat affecting teeth and gums (Chi Feng Gan, 齿风疳), scrofula (Luo Li, 瘰疬), and tubercles. This is because these conditions arise from excessive heat within, attacking the mouth and teeth, manifesting as various diseases. Without this bitter flavor, parasites cannot be controlled; without this salty flavor, hard accumulations cannot be resolved; without this extreme cold nature, heat cannot be cleared. The Classic states: "When heat overflows internally, treat it with salty-cold methods." It also states: "For disorders located high up, induce vomiting according to the situation." Thus, it is known that for severe heat and toxins, one must use strong bitter and extreme cold herbs as emetics to clear them. (Su Song said: Rarely used in ancient formulas, but currently considered the most essential herb by practitioners treating oral and dental diseases.) This aligns with the common saying that "the disease should bear the brunt of the medicine." However, this herb should not be taken in large doses, lest it cause incessant vomiting. Those that form clumps resembling small stone flakes are of best quality. (Li Shizhen said: Stone tears fall into the earth and absorb saline energy, thus their cold nature clears heat, and their salty flavor enters the bones to soften hardness.) Mu Lei (Wood Tears) resembles ointment or oil. (It is formed from flowing resin.)