有人行蛊毒以病患。若欲知其姓名者，以败鼓皮烧作末，饮服方寸匕，须臾自呼蛊家姓名。可语之，令呼
唤将去则愈。治之亦有方。（《医学纲目》。）
干宝外姊夫蒋士先，得疾下血，言中蛊。家人密以囊荷置其席下，士先忽大笑曰∶蛊我者，张小也。乃收
小，小至，并令解之，士先获瘳。世以此物，为治蛊之良方。（ ，音穣。 荷草名，本草无。《本草通志略》∶
出闽 。）
《梅师方》云∶凡中蛊毒，或下血如鹅肝，或吐血，或心腹切痛，如有物咬，不即治之，食人五脏，即死。
欲知是蛊，但令病患吐水，沉者是，浮者非也。用败鼓皮烧灰，服方寸匕，须臾自呼蛊主姓名。（《本草纲目》。）
夷方有蛊毒之害，须袖中尝带当归，遇饮食讫，即咀嚼少许。若有毒则实时呕吐，无不安然矣。（《漱石闲谈》。）
生甘草五钱，煎汁半杯，温饮之，入咽即吐。国中蛊毒，入腹未久，其虫未生，得吐即出矣。如恐未尽，
再煎五钱服之，加麻黄半盏更妙。
食不辍醋，蛊不入肚。又《肘后方》云∶马兜铃藤能逐蛊从小便出。用至十两，水一斗，酒二升，煮三升，
分三服。不瘥更服。上人呼为三百两银药。
大蜘蛛一个，研烂，生蜂蜜半盏和服。蛊畏蜘蛛，故用蜘蛛治蛊。而蜘蛛有毒，又用蜂蜜制之。此方独治金蚕蛊。
蛊毒在上，则服升麻吐之；在腹，服郁金下之。或合升麻、郁金服之，不吐即下。李侍郎焘初为雷郡推官，
鞠狱得此方，活人甚多。（《范石湖集》。）
新州郡境有药，人呼为吉财，解诸毒及蛊，神用无比。昔人有尝至雷州，途中遇毒，而貌颇异，自谓即毙，
得吉财数寸饮之，一吐而愈。俗云∶昔有遇毒者，其奴吉财得是药，因以奴名名之。实草根也，类芍药。凡人
遇毒，夜中潜取二三寸，或锉或磨，少加甘草，诘旦煎饮之，得吐即愈。俗传将服是药，不欲显言，故曰潜取。
或云∶昔有里媪病蛊，其子为小胥，邑宰命以吉财饮之，暮乃具药。及旦，其母谓曰∶吾梦人告我，若饮
是，且死。亟去之，即仆于地。其子又告县尹，县尹固令饮之，果愈。岂中蛊者，亦有神若二坚哉。（《投荒杂录》。）
吉利，草类石斛，根类芍药。吴黄武中李俣以罪徙合浦，入境遇蛊，其奴吉利取此草解之，遂以为名。
（即前之吉财也。）
常抚军安，己酉岁，秉钺西臬，谳案有为蛊毙命者，狱已定。因检卷阅之，缘养蛊妇女，觇富室贸易
远归，知其必携财。倩邻媪诣其家，初作问候状，后乘机藏蛊于指，弹之立毙。事主疑而执之，送诸官，究得其
实。据供，妇女初嫁时，已附带十九蛊，嫁后与根据夫又害六人，后增至二十五蛊矣。其所害六人，施察出确证
者三，挖土得尸骸者二，其一即犯事之家。予怪之而未信，次日，提妇女复亲鞫之，历历不讳。因令呈所养
蛊视之，出初一竹筒，空然无所有。女禀法堂听政之所，邪祟不敢入，必咒祭司户而后可。如是，则果现，乃
蠕蠕赤蛊耳，遂令以足践踏之泥水。吏曰∶却未灭，令妇女呼之蛊仍在筒中，依然如前数。于是访所以绝之法，
用石函入蛊虫，封以印纸，投于江，蛊乃灭。盖蛊之为害甚毒，有谓刺 能捕蛊虫，使无遗匿。殊不知蛊之为
类不一，其最毒者，虽刀断石碎，火焚土埋，而蛊依然不灭，根据附妇女，中人立死，死后财物为蛊搬运，以利
养蛊者。每害一人，则增一蛊。或云∶其人被害，魄即附而为蛊。（《宦游笔记》。雄按∶虽非医案，足广见闻。）
陈自明云∶两广山谷间有草曰胡蔓，又曰断肠，亦有感蛇毒致生恶菌，名为定年药。有淫妇与北人交好者，
别时阴以药置饮食中，仍解之曰，子必某时来。若根据期而至，彼复以药解之，若过期不往，必死，故谓之定年
药。如服神仙追毒丸一粒，其病即瘥。五倍子三两，山茨菰二两，麝香三钱，千金子去油一两，红芽大戟一两
半，各为末，用糯米煮浓饮为丸，分为四十粒。每服一粒，用井花水或薄荷汤磨服，利一二次，用粥止之。此
丸能解一切毒，一名太乙丹紫金丹，一名神仙太乙丹，一名玉枢丹，又名神仙解毒万病丹。宜于端午重阳七夕
合之，须洁净之所，尤忌一切冲犯。（雄按∶胡蔓又名野葛，又名雷公藤，浙东亦有之。土人用以杀菜虫，遂呼为
虫药。余在婺每闻轻生者，服之辄死。狱讼频兴禁之不止，似比定年药之毒尤烈也。蛇蕈杀人亦速，恐虫药非此
二物所造，然皆可以玉枢丹救之。）
有人用蛊毒来害病人。如果想要知道施蛊者的姓名，将破旧的鼓皮烧成粉末，用水送服一方寸匕的量，片刻之后，患者就会自己喊出施蛊之人的姓名。可以告诉患者，让他呼唤那个人过来，病就好了。治疗此病也有相应的方剂。（出自《医学纲目》。）
干宝的外甥女婿蒋士先，得了便血的症状，说是中了蛊。家人秘密地用一种叫“穣”的草（荷是草名，本草经中未收录）做成袋子放在他的席子下面。蒋士先忽然大笑说：“中我蛊的是张小。”于是抓来了张小，张小到了之后，又让他解开蛊术，蒋士先的病才得以痊愈。世人认为这种方法是治疗蛊毒的良方。（“穣”，音同“瓤”。“荷”是草名，本草书中没有记载。《本草通志略》记载：产于福建等地。）
《梅师方》说：凡是中了蛊毒，有的下血像鹅肝一样，有的吐血，有的心腹剧烈疼痛，好像有东西在咬，如果不立即治疗，蛊虫会吃人五脏，人就会死。想要确认是否中蛊，只让患者吐水，沉下去的是蛊，浮上来的不是。用破旧的鼓皮烧成灰，服用一方寸匕，片刻之后，患者就会自己喊出施蛊主人的姓名。（出自《本草纲目》。）
南方少数民族地区有蛊毒的危害，必须随身携带当归，每次吃完饭后，就咀嚼少许。如果有毒，就会立刻呕吐出来；如果没有毒，身体就会安然无恙。（出自《漱石闲谈》。）
生甘草五钱，煎取半杯汁液，温服，喝到喉咙里就会吐出来。如果是国内中的蛊毒，进入腹部时间不长，蛊虫还没有孵化，通过呕吐就能排出来。如果担心没有吐干净，再煎五钱服用，加入半盏麻黄效果更好。
吃饭时不断吃醋，蛊毒就不会进入肚子。另外《肘后方》说：马兜铃藤能将蛊毒从小便排出。用十两马兜铃藤，加水一斗、酒二升，煮取三升药液，分三次服用。病不好再服。当地人称之为“三百两银药”。
大蜘蛛一只，研烂，与半盏生蜂蜜混合服用。蛊害怕蜘蛛，所以用蜘蛛来治蛊。而蜘蛛本身有毒，所以用蜂蜜来制约它。这个方子专门治疗金蚕蛊。
蛊毒在上焦，就服用升麻使其呕吐；在腹部，就服用郁金使其泻下。或者将升麻和郁金合在一起服用，不呕吐就会腹泻。李侍郎焘初任雷州推官时，审理案件得到了这个方子，救活的人很多。（出自《范石湖集》。）
新州郡境内有一种药，人们称为“吉财”，能解各种毒及蛊毒，功效神奇无比。过去有人曾到雷州，途中中毒，相貌变得很怪异，自认为必死无疑，喝了数寸长的“吉财”药汁，吐了一次就好了。俗话传说：以前有人遇毒，他的奴仆吉财得到了这种药，因此就用奴仆的名字命名它。这实际上是草根，形状类似芍药。凡人遇到中毒，夜里悄悄取二三寸长，或切碎或磨粉，加少量甘草，第二天早晨煎服，吐出来就好了。俗传服用这种药时不想让人知道，所以说“悄悄取”。
有人说：以前有位老妇人患蛊病，她的儿子是小官吏，县令命令用“吉财”给她喝，晚上才备好药。到了早晨，她母亲对儿子说：“我梦见有人告诉我，如果喝了这个，就会死。”急忙扔掉，结果倒在地上。她的儿子又报告了县尹，县尹坚持让她喝，果然好了。难道中蛊的人，也有神灵或两个顽固的邪祟吗？（出自《投荒杂录》。）
吉利，草类石斛，根类芍药。三国吴黄武年间，李俣因罪被流放到合浦，入境时遇到蛊毒，他的奴仆吉利取了这种草解毒，于是以此命名。（就是前面的“吉财”。）
常抚军安，己酉年，他持节担任西臬台职务，审理案件中有因养蛊致人死亡的案子，狱案已定。于是检查卷宗阅读，原来是养蛊妇女窥探富商贸易远归，知道他们必定携带钱财。便请邻居老妇去他家，起初装作问候的样子，后来趁机将蛊藏在手指上弹射出去，受害者立刻死亡。事主怀疑并抓住了她，送到官府，查究得到实情。据供词，该妇女刚出嫁时，已附带十九个蛊，嫁后与丈夫一起又害了六人，后来增加到二十五个蛊。其中所害六人中，经过审查确凿证据的有三起，挖土得到尸骸的有两起，其中一起就是犯事的那家。我感到奇怪但不相信，第二天，提审该妇女亲自再次审讯，她详细交代毫不隐瞒。于是让她拿出所养的蛊来看，拿出一只竹筒，空空如也。女子禀告说，法堂正气所在，邪祟不敢进入，必须念咒祭祀户神才可以。这样一说，蛊果然现形，原来是蠕动的红色蛊虫，于是让人用脚踩进泥水里。小吏说：却没有灭掉，让妇女呼唤它，蛊仍在筒中，依然像之前数量一样。于是访求断绝的方法，用石盒装入蛊虫，盖上印纸封印，投入江中，蛊才消灭。大概蛊为害非常毒辣，有人说刺蝟能捕捉蛊虫，使它们无处藏匿。却不知道蛊的种类不一，其中最毒的，即使刀砍石头碎、火烧土埋，蛊依然不灭，依附于妇女身上，中人立刻死亡，死后财物被蛊搬运，以利于供养蛊的人。每害一人，就增加一个蛊。有人说：那人被害后，魂魄就附着变成蛊。（出自《宦游笔记》。雄按：虽然不是医案，但足以开阔见闻。）
陈自明说：两广山谷间有一种草叫胡蔓，又叫断肠草，也有因为感染蛇毒而产生恶菌，名为“定年药”。有淫妇与北方男子交好，分别时暗中把药放在饮食中，然后解释说：“你必须在某个时候来。如果按期而至，我再给你解药；如果过期不去，必死无疑”，所以叫定年药。如果服用神仙追毒丸一粒，病就好了。配方：五倍子三两，山慈菇二两，麝香三钱，千金子去油一两，红芽大戟一两半，各研为末，用糯米煮浓汁做丸，分为四十粒。每次服一粒，用井花水或薄荷汤磨服，腹泻一两次后，用粥来止住。此丸能解一切毒，一名太乙丹紫金丹，一名神仙太乙丹，一名玉枢丹，又名神仙解毒万病丹。适宜在端午、重阳、七夕配制，必须在洁净的地方，尤其忌讳一切冲犯。（雄按：胡蔓又名野葛，又名雷公藤，浙东也有。当地人用来杀菜虫，所以称为虫药。我在金华时常听说轻生者，服用后往往死亡。诉讼频繁兴起，禁止也禁不止，似乎比定年药的毒性更猛烈。蛇蕈杀人也很快，恐怕虫药不是由这两种东西制造的，但都可以用玉枢丹来救治。）
Someone used Gu poison to harm patients. If one wishes to know the name of the perpetrator, burn old drum skin into powder and take one *cun* bi (a square-inch measure) with water. After a short while, the patient will spontaneously call out the name of the Gu master. One can instruct the patient to summon that person, and upon their arrival, the illness will be cured. There are also specific prescriptions for treating this condition. (*Medical Outline*)
Jiang Shixian, the nephew by marriage of Gan Bao, suffered from hematochezia (blood in stool) and claimed to have been poisoned by Gu. His family secretly placed a bag made of *Rang* grass (the character 'He' refers to a grass name not recorded in the *Bencao Jing*; *Tongzhi Lüe of Bencao* records it as originating from Fujian) under his mat. Jiang suddenly laughed and said, "The one who cast Gu on me is Zhang Xiao." They apprehended Zhang Xiao, who arrived and was ordered to lift the curse; Jiang's illness then recovered. The world considers this method an excellent prescription for treating Gu. (*Tongzhi Lüe of Bencao*)
The *Mei Shi Fang* states: Whenever one is poisoned by Gu, symptoms may include hematochezia resembling goose liver, hematemesis (vomiting blood), or severe pain in the heart and abdomen as if being bitten. If not treated immediately, the Gu worms will consume the five viscera, leading to death. To confirm if it is Gu, have the patient vomit water; what sinks is Gu, what floats is not. Burn old drum skin into ash and take one *cun* bi; shortly after, the patient will spontaneously call out the name of the Gu master. (*Compendium of Materia Medica*)
In the customs of the Yi people, there is the harm of Gu poison. One should always carry Angelicae Sinensis Radix (Danggui, 当归) in their sleeve. After finishing meals, chew a small amount. If there is poison, vomiting will occur immediately; if not, one remains safe. (*Shuoshi Xiantan*)
Take Raw Glycyrrhizae Radix et Rhizoma (Gancao, 生甘草) five qian, decoct to obtain half a cup of juice, drink it warm, and it will induce vomiting upon reaching the throat. For domestic Gu poison that has recently entered the abdomen, before the worms have hatched, vomiting will expel them. If concerned about incomplete expulsion, decoct another five qian and take it; adding Ban Ji (Ephedrae Herba, 麻黄) half a zhan is even better.
Consuming vinegar continuously during meals prevents Gu from entering the stomach. Additionally, the *Zhou Hou Bei Ji Fang* states that Aristolochiae Caulis (Madouling Teng, 马兜铃藤) can expel Gu through urination. Use ten liang of Aristolochiae Caulis, one dou of water, and two sheng of wine; boil down to three sheng and divide into three doses. Take again if not cured. People call this the "Three Hundred Tael Silver Medicine."
One large spider, crushed and mixed with half a zhan of raw honey, taken orally. Gu fears spiders, hence the use of spiders to treat Gu. Since spiders themselves are toxic, honey is used to mitigate this toxicity. This prescription specifically treats Golden Silkworm Gu.
If Gu poison is located in the upper jiao, administer Cimicifugae Rhizoma (Shengma, 升麻) to induce vomiting; if in the abdomen, administer Curcumae Radix (Yujin, 郁金) to induce purgation. Alternatively, take both together; if vomiting does not occur, purgation will follow. Li Shilang Tao, when initially serving as a judicial official in Leizhou, obtained this prescription while adjudicating cases and saved many lives. (*Collected Works of Fan Shihu*)
In the jurisdiction of Xinzhou, there is a medicine called "Ji Cai," which can resolve various poisons and Gu with unparalleled efficacy. Once, someone traveled to Leizhou, encountered poisoning mid-journey, and appeared severely ill, believing death was imminent. He drank several inches of Ji Cai juice and recovered after one episode of vomiting. Folklore says: Previously, someone encountered poison, and his slave named Ji Cai found this herb, thus naming it after him. It is actually a root similar to Paeoniae Radix Rubra (Shaoyao, 芍药). When anyone encounters poisoning, secretly take two or three cun at night, chop or grind it, add a little Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), and decoct and drink it the next morning; recovery follows vomiting. The custom implies secrecy in taking this medicine, hence the phrase "secretly take."
Another account: An old woman once suffered from Gu. Her son, a minor clerk, was ordered by the county magistrate to give her Ji Cai. The medicine was prepared at night. In the morning, she told her son, "I dreamed someone warned me that drinking this would kill me." She threw it away and collapsed. Her son reported this to the prefect, who insisted she drink it, and she indeed recovered. Could it be that those poisoned by Gu also have divine protection or stubborn evil spirits? (*Records of Exile*)
"Jili" is a grass resembling Dendrobii Caulis (Shihu, 石斛), with roots resembling Paeoniae Radix Rubra (Shaoyao, 芍药). During the Huangwu era of Eastern Wu, Li Yu was exiled to Hepu due to a crime. Upon entering the territory, he encountered Gu poison, and his slave Jili used this herb to cure him, giving the herb its name. (This is the same as "Ji Cai" mentioned earlier.)
During the Jiyou year, Governor Chang An held the title of Western Judicial Commissioner. In a case where death resulted from raising Gu, the verdict had already been reached. Reviewing the files, it was found that a woman raising Gu spied on wealthy merchants returning from long trade trips, knowing they carried wealth. She hired a neighbor to visit their home, feigning greetings, then concealed Gu in her finger and flicked it, causing immediate death. The victim's family suspected her, arrested her, and handed her to the authorities, uncovering the truth. According to her confession, when first married, she possessed nineteen Gu; after marriage, she and her husband harmed six more people, increasing the total to twenty-five. Of the six victims, three had confirmed evidence, two were exhumed corpses, and one belonged to the accused's own household. I was skeptical but did not believe it. The next day, I summoned the woman for re-interrogation, and she confessed everything clearly. I ordered her to present the Gu she raised. She produced a bamboo tube, which was empty. She stated that the court's righteous energy prevented evil spirits from entering, requiring incantations and sacrifices to the household deity first. Upon saying this, the Gu appeared: red, wriggling worms. I ordered them to be trampled into mud by foot. The clerk reported they were not destroyed; when the woman called them, they remained in the tube, unchanged in number. Thus, a method to eliminate them was sought: placing the Gu worms in a stone box, sealing it with an official seal, and throwing it into the river, thereby destroying the Gu. Gu is extremely harmful. Some say hedgehogs can capture Gu worms, leaving none hidden. However, Gu consists of various types. The most toxic type persists even if cut by knives, shattered by stones, burned by fire, or buried in earth. It attaches to women, kills victims instantly upon biting, and transports the victim's property after death to benefit the Gu raiser. Each victim adds one Gu to the collection. Some say the victim's soul attaches and becomes Gu. (*Notes from Official Travels*. Note by Xiong: Although not a medical case, it broadens knowledge.)
Chen Ziming stated: In the valleys of Liangguang, there is a herb called Human, also known as Duanchang (Intestine-Cutting), or sometimes caused by snake venom producing malignant fungi, named "Nian Yao" (Year-Determining Medicine). An adulteress involved with a northern man secretly placed this drug in food/drink upon parting, explaining, "You must come at a certain time. If you arrive on schedule, I will provide the antidote; if you miss the deadline, you will surely die." Hence the name Nian Yao. Taking one pill of Shenxian Zhuidu Wan (Immortal Poison-Chasing Pill) cures the illness. Prescription: Fimbristylidis Perianthium (Wubeizi, 五倍子) three liang, Smilacis Glabrae Rhizoma (Shancigu, 山茨菰) two liang, Moschus (Shexiang, 麝香) three qian, Sparganii Rhizoma Qianjinzi (Qianjinzi, 千金子) de-oiled one liang, Euphorbiae Pekinensis Radix Hongya (Hongya Daji, 红芽大戟) one and a half liang. Grind each into powder, mix with thick rice gruel to form pills, dividing into forty pills. Take one pill per dose, ground with well water or Mint Decoction (Bohe Tang, 薄荷汤). Purge one or two times, then stop with congee. This pill resolves all poisons. Also known as Taiyi Dan Zijin Dan, Shenxian Taiyi Dan, Yushu Dan, and Shenxian Jiedu Wanbing Dan. It is best compounded on Dragon Boat Festival, Double Ninth Festival, or Qixi Festival, in a clean place, avoiding all taboos. (Note by Xiong: Human is also known as Yege and Leigongteng, found in eastern Zhejiang. Locals use it to kill vegetable pests, calling it Chong Yao (Insect Medicine). In Wuzhou, I often heard that those attempting suicide died after taking it. Lawsuits frequently arose, and bans failed to stop it. Its toxicity seems fiercer than Nian Yao. Snake mushrooms kill quickly too. Perhaps Chong Yao is not made of these two, but all can be rescued by Yushu Dan.)