凡服铅粉者,非妇女角口,愤不欲生,冀其铅能坠肠而殒。更有妇女打胎服之,不
惟不效,每冀求生不得,欲死不能,且生子多痴呆,身体发疮毒。更有因服铅粉钻
筋入骨,老来遍身筋骨疼痛,无法可疗,此故自取之也,深可悯焉。特立此门救之。(新
增)其见证,面色呈青,腹中坠痛,欲死者是。
验方 麻油、黄蜜、红砂糖,搅匀服之。
又方 多食生荸荠即解。
又方 香油灌之即解。
又方 急捣萝卜汁饮之。
验方 水温服即解
令病患朝取井华水,唾水中,唾如柱直下沉者是蛊也,浮者非蛊也。(《三因》)
中蛊者,大便黑如漆,或坚或薄,或微赤者,是蛊也。(《千金》)
孙真人曰∶凡中蛊毒,噙白矾不涩而
味反甘,嚼生黑豆不腥者是。若含甘草而不吐者,非蛊也。(征今铎)
《遁齐闲览》云∶海南鱼有石首,盖鱼枕也。取其石为器,可盛饮食,如遇蛊毒,
器必裂,其效甚者,闽人制作最精,人但玩其色,而鲜有识其用者。
又曰∶唾津在净水中,沉即是,浮则非。
又曰∶口含大豆,中蛊者豆即胀而皮脱,无蛊者豆虽胀皮不脱。
又曰∶煮鸡蛋一枚去壳,以银簪一只插入蛋中,并含入口内,一饮之顷,取视簪卵俱黑,即为中蛊。
诀曰∶脉紧数如钗股弦直,而吐甚者,即中蛊也,急治之。
又曰∶脉洪大者生,微细者死。
陈远公曰∶有游两粤与女人交好,或与男子成仇,下蛊于饮食之中,食之则两
目渐黄,饮食倦怠,一年三载,无药解之,必致暴亡。世传造蛊土人,各将蛊毒与蛇
蝎等物共投缸内,彼此相食,食完止存一物不死者,取为蛊母,此讹传也。盖彼地
别有蛊药,乃天生之毒也,土人治此证,有方可解,大约用矾石化蛊,恐外人知之,故
秘不言。矾石化痰又善化坚,蛊积腹中,内必坚硬,而外以痰包之,所以一物二用,奏
功如神。惟人身柔弱者多,强健者少,而蛊积胸腹间,必正气大虚,倘用矾石,不
更虚其虚乎?必于补气血之中,加消痰化蛊之味,有益无损,始称万全也。宜破蛊全生汤。
凡是服用铅粉的人,大多是因为妇女之间发生口角争执,愤恨得不想活下去,希望铅粉能坠入肠道导致死亡。更有妇女为了打胎而服用它,不仅没有效果,反而常常求生不得、求死不能,而且生下的孩子大多痴呆,身体长出疮毒。还有因为服用铅粉导致药力钻入筋脉骨骼,年老时全身筋骨疼痛,无法治疗,这都是自己招致的灾祸,实在令人怜悯。因此专门设立这一门类来救治。(新增)其临床表现是:面色发青,腹部有下坠感并疼痛,痛苦得像要死掉一样。
验方:用麻油、蜂蜜、红砂糖,搅拌均匀后服用。
又一方:多吃生荸荠即可解毒。
又一方:灌服香油即可解毒。
又一方:急取萝卜捣汁饮用。
验方:温水送服井华水(清晨第一次汲取的井水)即可解毒。
让病患在早晨取清晨第一次汲取的井华水,向水中吐唾沫,如果唾沫像柱子一样笔直下沉,就是中了蛊毒;如果浮在水面上,就不是蛊毒。(出自《三因极一病证方论》)
中蛊的人,大便颜色黑如漆,或者干硬或者稀薄,或者微带红色,这就是中了蛊毒。(出自《千金方》)
孙思邈说:凡是中蛊毒的人,嘴里含着白矾不会觉得涩,反而味道甘甜;嚼生黑豆不觉得腥气的,就是中了蛊。如果含甘草而不呕吐的,就不是蛊毒。(引自《征今铎》)
《遁斋闲览》说:海南有一种鱼叫石首鱼,它的头骨叫做“鱼枕”。取下这块骨头做成器皿,可以用来盛放饮食,如果遇到蛊毒,器皿必定会破裂。这种功效显著的器皿,福建人制作得最精良,人们只是玩赏它的色泽,很少有人认识它的用途。
又说:唾液吐在清水中,沉下去的就是蛊,浮起来的就不是。
又说:口中含大豆,中蛊的人豆子就会膨胀且皮脱落,没中蛊的人豆子虽然膨胀但皮不脱落。
又说:煮一个鸡蛋剥去壳,用一只银簪插入蛋中,一起含入口内,喝下一杯水的功夫,拿出来看,银簪和鸡蛋都变黑了,就是中了蛊。
口诀说:脉搏紧数,像钗股一样弦直,并且呕吐严重的,就是中了蛊毒,必须紧急治疗。
又说:脉象洪大的预后良好,脉象微细的预后不良(主死)。
陈远公说:有人游历两广地区,与女人交好,或与男子结仇,在饮食中下蛊,吃下后两眼逐渐发黄,饮食倦怠,一年或三年,无药可解,必然导致突然死亡。世间流传制造蛊毒的当地人,各自将蛊毒与蛇蝎等物共同投入缸内,让它们彼此相食,吃完后只留下一只不死的东西,取出来作为“蛊母”,这是错误的传闻。其实那地方另有蛊药,是天生之毒。当地人治疗此证,有方子可以解救,大概是用矾石化解蛊毒,恐怕外人知道,所以秘密不说。矾石化痰又善于软化坚硬之物,蛊积聚在腹中,内部必定坚硬,外部被痰包裹,所以一物两用,奏效如神。只是人身柔弱的人多,强健的人少,而蛊积聚在胸腹间,必然正气大虚,如果使用矾石,不是更加虚弱其本已虚的正气吗?必须在补气血的药物中,加入消痰化蛊的成分,有益无损,才称得上万全之策。适宜使用破蛊全生汤。
Anyone who ingests lead powder (Galena Powder) usually does so because women, after engaging in verbal disputes and feeling so indignant that they wish to die, hope the lead will fall into their intestines and cause death. Furthermore, some women take it for abortion; not only is it ineffective, but they often find themselves unable to live nor die, and their children are frequently born with intellectual disabilities and skin sores/ulcers. Additionally, some suffer from lead penetrating the sinews and bones, leading to whole-body bone and joint pain in old age with no cure available; this is self-inflicted harm, deeply pitiable. Therefore, this section is established specifically for rescue. (Newly Added) The clinical manifestations include: a bluish complexion, abdominal bearing-down pain, and a sensation of impending death.
Empirical Formula: Mix sesame oil, honey, and red sugar thoroughly and ingest.
Another Formula: Consume large amounts of fresh water chestnuts (Dioscorea opposita var. thunbergii) to detoxify.
Another Formula: Instill/perfusion of sesame oil to detoxify.
Another Formula: Rapidly crush radish (Raphanus sativus) to extract juice and drink.
Empirical Formula: Ingest well-water drawn at dawn (Jinghua Water) with warm water to detoxify.
Instruct the patient to draw well-water at dawn and spit saliva into it. If the saliva sinks straight down like a pillar, it indicates Gu poisoning (Gu Toxin); if it floats, it is not Gu poisoning. (From *San Yin Ji Yi Bing Zheng Fang Lun*)
Those poisoned by Gu have stools that are black as lacquer, either hard or loose, or slightly reddish; this indicates Gu poisoning. (From *Qian Jin Fang*)
Sun Simiao stated: For those poisoned by Gu, holding white alum (Alumen) in the mouth does not feel astringent but tastes sweet; chewing raw black soybeans (Glycine max) does not smell fishy. This indicates Gu poisoning. If holding licorice root (Gancao) does not induce vomiting, it is not Gu poisoning. (Cited from *Zheng Jin Duo*)
*Dun Zhai Xian Lan* states: There is a fish in Hainan called the stone-head fish (Lithognathus), whose head bone is called the "fish pillow." Taking this stone to make vessels for food and drink, if Gu poison is encountered, the vessel must crack. Such effective vessels are exquisitely crafted by Fujian people, yet people only admire their color, rarely recognizing their use.
It also states: Spittle spat into clear water sinks if it is Gu, and floats if it is not.
It also states: Holding a large soybean in the mouth, if one has Gu, the bean swells and its skin peels off; if one does not have Gu, the bean swells but the skin does not peel off.
It also states: Boil one egg, remove the shell, insert a silver hairpin into the egg, hold both in the mouth, and swallow with a drink of water. After a short while, examine them; if both the hairpin and egg turn black, it confirms Gu poisoning.
The maxim states: A pulse that is tight and rapid, string-like and straight like a hairpin shaft, accompanied by severe vomiting, indicates Gu poisoning; treat urgently.
It also states: A surging and large pulse indicates survival; a minute and fine pulse indicates death.
Chen Yuan Gong said: Some traveled through Liangguang, had relations with women or enmity with men, and placed Gu in food/drink. Upon ingestion, eyes gradually turn yellow, appetite fails, and fatigue sets in. Within one to three years, without antidote, sudden death ensues. It is rumored that local makers of Gu throw various toxins along with snakes and scorpions into a jar, letting them devour each other until only one survivor remains, which becomes the "mother Gu." This is a false rumor. In fact, there are specific Gu medicines in that region, which are natural poisons. Locals treat this condition with formulas that likely use alum to dissolve the Gu, keeping it secret. Alum transforms phlegm and softens hardness. Gu accumulates in the abdomen, becoming internally hard and externally wrapped in phlegm; thus, alum serves a dual purpose, working miraculously. However, most people are physically weak rather than strong. With Gu accumulating in the chest and abdomen, the righteous Qi (Zheng Qi) is severely deficient. Using alum would further deplete this deficiency. Therefore, one must add ingredients that resolve phlegm and dissolve Gu within formulas that tonify Qi and Blood, ensuring benefit without harm, for a perfect solution. The appropriate formula is Po Gu Quan Sheng Tang (Break Gu Preserve Life Decoction).