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《葛仙翁肘後備急方》Vol. 7

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Zhengyi 正一部 Vol. 7 / 8 12,862 characters

About this page. The original text of 《葛仙翁肘後備急方》 Vol. 7 (Zhengyi 正一部, 8 volumes) is shown in Classical Chinese as transmitted in the Kanripo (Kyoto University) edition. An English interpretation of the 25 passages on this page accompanies it: select a passage or press “Interpretation” to show it. All texts in English

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Source textInterpretation

葛仙翁肘後備急方卷之七陛七    治爲熊虎爪牙所傷毒痛方第五(十/三) 葛氏方燒青布以燻瘡口毒即出仍煑葛根  令濃以洗瘡搗乾葛根末以煑葛根汁服  方寸七日五夜一則佳 又方嚼粟塗之姚同 又煑生鐵令有味以洗瘡上姚同 凡猛獸毒蟲皆受人禁氣將入山草宜先禁  之其經術云  到山下先閉氣三十五息存神仙將虎來  到吾前乃存吾肺中有白帝出把虎兩目  塞吾下部又乃吐肺氣白通冠一山林之  上於是良久又閉氣三十五息兩手捻都  監目作三步步皆以右足在前乃止祝曰  李耳李耳圖汝非李耳耶汝盜黄帝之犬  黄帝教我問汝汝答之云何畢便行一山  之虎不可得見若逢之者目向立大張左  手五指側之極勢跳手上下三度於跳中  大唤咄虎北斗君汝去虎即走止宿亦先  四凹如此又燒牛羊角虎亦不敢近人又  搗雄黄紫石縫囊貯而帶之 附方 梅師方治虎傷人瘡  但飲酒常令大醉當吐毛出    治卒爲猘犬凡所咬毒方第五十四 療猘犬咬人方  先嗍却惡血灸瘡中十壯明日以去日灸  一壯滿百乃止姚云忌酒 又云地榆根末服方寸七日一二亦末傅瘡  上生根搗傅佳 又方刮虎牙若虎骨服一七已發如猘犬者  服此藥即差姚同 又方仍殺所咬犬取腦傅之後不復發
Interpretation

This passage records Ge Hong's (the Immortal Lord Ge) emergency treatments for injuries caused by wild beasts and rabies (mad dog bites), as documented in Daoist medical traditions.

For treating poisonous wounds from bear or tiger attacks: First, burn blue cloth and fumigate the wound to expel toxins, then cleanse it with a strong decoction of kudzu root. Pound dried kudzu into powder and take it with kudzu juice—one small spoonful (approximately 7 cubic centimeters) per dose. Administering this every five days and nights yields optimal results. Alternatively, chew raw chestnuts and apply the paste to the wound. Washing the injury with boiled pig iron water is another method.

Mountain protection ritual against wild beasts: Before entering mountainous areas, perform the "Qi Restraint" technique (a Daoist cultivation method). The procedure involves: At the mountain's base, hold your breath 35 times while visualizing immortals leading tigers before you. Then imagine the White Emperor (a Daoist deity) emerging from your lungs to cover the tiger's eyes while contracting your lower body. Exhale white lung Qi to envelop the mountain forest. Repeat the breath-holding 35 times, form hand seals (using the "Supervisor's Eye" mudra), and step forward three paces with your right foot. Recite the incantation: "Li Er, Li Er—are you not Li Er? You stole the Yellow Emperor's dog, and he sent me to question you..." After chanting, enter the mountain—legend claims this makes tigers unable to see you. If encountering a tiger, widen your eyes, vigorously wave your splayed left hand five times, jump while swinging both arms up and down three times, and shout: "Dui! Tiger of the Northern Dipper—begone!" This reportedly makes tigers flee. Repeat this ritual before lodging overnight. Burning ox or sheep horns also deters tigers. Carrying pouches of powdered realgar and amethyst quartz provides additional protection.

Supplementary treatment for tiger bites: Drink copious alcohol until thoroughly intoxicated—this allegedly causes expulsion of tiger fur through vomiting.

For rabid dog bites: First suck out the poisoned blood, then apply moxibustion to the wound ten times. From the next day onward, administer moxibustion once daily until completing 100 treatments—abstain from alcohol during this period. Alternatively, take powdered sanguisorba root orally (one small spoonful once or twice daily), or apply the powder directly to the wound—fresh crushed sanguisorba root poultices work better. Another method involves ingesting powdered tiger teeth or bones, said to cure even manifested rabies. Killing the offending dog and applying its brain to the wound allegedly prevents recurrence.

These methods reflect characteristic features of ancient Daoist medicine, combining herbal remedies, ritual incantations, and specialized therapies. While certain components like kudzu and sanguisorba possess genuine detoxifying properties, the ritual elements belong to the realm of Daoist spiritual practice.

又方搗薤汁傅之又飲一升日三瘡乃差 又方末礬石内瘡中裹之止瘡不壞速愈神  妙 又方頭髮猬皮燒末水和飲一杯若或已目  赤口噤者折齒下之姚云二物等分 又方搗地黄汁飲之并以塗瘡過百度止 又方末乾薑常服并以内瘡中 凡猘犬咬人七日一發過三七日不發則脫  也要過百日乃爲大免耳  每到七日輒當飲薤汁三二升又當終身  禁食犬肉蠶蛹食此發則不可救矣瘡未  差之間亦忌生物諸肥膩及冷但於飰下  蒸魚及就膩氣中食便發不宜飲酒能過  一年乃佳 若重發療方  生食蟾蜍鱠絶良驗姚同亦可燒炙食之  不必令其人知初得嚙便爲之則後不發  姚剥作鱠吞蒜齏下 又方搗薑根汁飲之即差 又方服蔓菁汁亦佳 又凡犬咬人  取竈中熱灰以粉瘡傅之姚同 又方火炙蠟以灌瘡中姚同 又方以頭垢少少内瘡中以熱牛屎塗之佳  姚同 又方挼蓼以傅瘡上 又方乾薑末服二七薑汁服半升亦良 又方但依猘犬法彌佳燒蟾蜍及末礬石傅  之尤佳 得犬嚙者難療凡犬食馬肉生狂  及尋常忽鼻頭燥眼赤不食避人藏身皆  欲發狂便宜枸杞汁煑糜飼之即不狂若  不肯食糜以塩伺鼻便忽塗其鼻既舐之  則欲食矣神驗 附方 梅師方治狂狗咬人
Interpretation

This text records multiple medicinal formulas and precautions for treating bites from rabid dogs:

The first method involves crushing Chinese chives (Allium macrostemon) to extract the juice for external application on the wound, while also drinking one liter of the juice daily in three divided doses until complete healing.

The second method recommends grinding alum into powder to sprinkle on the wound before bandaging, which miraculously prevents infection and accelerates healing.

For the third approach, burn equal parts of human hair and hedgehog skin into ashes, mix with water, and drink one cup. If symptoms like red eyes or locked jaw appear, force open the teeth to administer. Physician Yao emphasizes using equal proportions of these ingredients.

The fourth prescription directs patients to pound fresh rehmannia root for its juice—consumed internally while also applying topically to the wound over a hundred times.

The fifth treatment uses powdered dried ginger, taken orally or applied directly to the injury.

Critical warnings: After a rabid dog bite, symptoms typically recur every seven days. If no symptoms appear within twenty-one days, danger passes—but complete safety requires one hundred days. Drink 2-3 liters of chive juice weekly during this period, and permanently avoid dog meat and silkworm pupae to prevent fatal relapse. During recovery, abstain from raw, cold, or greasy foods—especially steamed fish over rice or exposure to oily fumes—and alcohol, preferably for a full year.

For symptom recurrence:

Consuming raw toad slices proves remarkably effective (verified by Physician Yao), though roasted preparation works too—best taken immediately after the bite. Yao also recommends swallowing with garlic paste.

Supplementary therapies:

Drinking ginger root juice cures; turnip juice also works well; apply warm stove ashes to the wound; pour melted wax into the injury; combine scalp residue with warm cow dung for topical use; crush knotweed for poultices; take dried ginger powder or half-liter ginger juice orally.

Key emphasis: Rabies-specific treatments yield superior results, particularly roasted toad and alum powder applications. Dog bites prove notoriously difficult to treat—especially from dogs fed horse meat that triggers madness. Watch for warning signs: dry nose, red eyes, hiding, and food refusal indicate impending rabies. Prevent by feeding wolfberry juice porridge. If the dog refuses, rub salt on its nose to induce licking.

Final appendix references the "Mei Shi Fang" formula for rabid dog bites.

 取桃白皮一握水三升煎取一升服 食療治犬傷人  杵生杏人封之差    治卒毒及狐溺棘所毒方第五十五 馬嚼人作瘡有毒種熱疼痛方  刺鷄𡨥血瀝著瘡中三下若駁馬用雌鷄  草馬用雄鷄姚同 又方灸瘡及腫上差 若瘡乆不差者  馬鞭梢長二寸鼠矢二七枚燒末膏和傅  之效 又方以婦人月經傅上最良姚云神效 人體上先有瘡而乘馬馬汗若馬毛入瘡中  或但爲馬氣所蒸皆致腫痛煩熱入腹則  殺人  燒馬鞭皮末以膏和傅上 又方多飲淳酒取醉即愈 又剥死馬馬骨傷人手毒攻欲死方  便取死馬腹中屎塗之即差姚同 又方以手内女人隂中即愈有胎者不可令  胎墮 狐尿棘㓨㓨人腫痛欲死方  破鷄搨之即差 又方以熱桑灰汁漬冷復易取愈 小品方以熱蠟著瘡中又烟熏之令汁出即  便愈 此狐所尿之木猶如蛇𧊄也此下有魚骨傷  人 附方 圖經云治惡刺及狐尿刺  搗取蒲公草根莖白汁塗之惟多塗立差  止此方出孫思邈千金方其序云余以正  觀五年七月十五日夜以左手中指背觸  著庭木至曉遂患痛不可忍經十日痛日  深瘡日高大色如熟小豆色嘗聞長者之  論有此方遂依治之手下則愈痛亦除瘡  亦即差未十日而平復楊炎南行方亦著  其效云 效方治狐尿㓨螫痛
Interpretation

This records ancient folk remedies for emergency treatments such as animal bites and venomous stings, primarily utilizing readily available herbs and common household items. Though primitive, these methods reflect the wisdom of ancient people in dealing with sudden injuries.

For dog bites, fresh crushed apricot kernels could be applied to the wound. Several approaches existed for treating horse bites or sores caused by horse sweat: applying rooster or hen comb blood to the injury (using hen blood for male horses and rooster blood for mares); applying an ointment made from powdered, burnt horsewhip leather mixed with oil; or drinking strong liquor until intoxicated to alleviate symptoms. If poisoned by a wound from dead horse bones, applying dung from the horse's abdomen could neutralize the toxin.

For swelling and pain caused by fox urine or thorn pricks, one could split open a live chicken and apply it directly to the wound, or repeatedly soak the injury in warm mulberry ash solution. Another method involved dripping hot wax into the wound followed by fumigation with smoke to draw out the venom. As noted in Minor Prescriptions (Xiaopin Fang), such wounds resembled snakebites and required prompt treatment.

An appended formula documents the personal experience of Sun Simiao (the renowned Tang dynasty physician), who used the white sap from dandelion roots to treat a wood splinter wound, achieving full recovery within ten days. This method was also recorded in Yang Yan's Southern Travel Formulas (Yang Yan Nanxing Fang), confirming its efficacy.

These prescriptions embody the "using poison to attack poison" treatment principle, employing foul substances like animal dung or menstrual blood to counteract toxins. While modern medicine no longer recommends direct application of these methods, their underlying principles of wound cleansing and detoxification remain valuable references.

 杏人細研煑一兩沸承熱以浸螫處數數  易之 外臺祕要治剥馬被骨刺破中毒欲死  取剥馬腹中糞及馬尿洗以糞傅之大驗  絞糞汁飲之效 聖惠方治馬咬人毒入心  馬齒莧湯食之差 靈苑方治馬汗入瘡腫痛漸甚宜急療之遲  則毒深難理  以生烏頭末傅瘡口良乆有黄水出立愈 王氏博濟治驢涎馬汗毒所傷神效  白礬飛過黄丹炒令紫色各等分相衮合 調貼患處   治卒青蛙蝮虺衆蛇所螫方第五十   六 葛氏竹中青蜂螫人方  雄黄麝香乾薑分等搗篩以麝罔和之著  小竹管帶之行急便用傅瘡兼衆蛇虺毒  之神良 又方破烏鷄熱傅之  蛇緑色喜縁樹及竹上大者不過四五尺  皆呼爲青條蛇人中立死 葛氏毒蛇螫人方  急掘作坑以埋瘡處堅築其上毒即入土  中須臾痛緩乃出 徐王治蛇毒方  用搗地榆根絞取汁飲兼以漬瘡 又方搗小蒜飲汁以滓傅瘡上 又方猪耳垢著瘡中牛耳中垢亦可用之良 又方嚼塩唾上訖灸三壯復嚼塩唾之瘡上 又方搗薤傅之 又方燒蜈蚣末以傅瘡上 又方先以無節竹筒著瘡上熔蠟及蜜等分  灌筒中無蜜單蠟亦通 又方急且尿瘡中乃拔向日閉氣三步以刀  掘地作小坎以熱湯沃坎中埿作丸如梧  子大服之并以少泥泥之瘡上佳
Interpretation

Here are several emergency treatments for poisoning from animal bites:

For horse bites or when horse sweat contaminates a wound: Finely grind apricot kernels, boil them, and soak the wound while the liquid is still hot, replacing it frequently. If poisoned by a horse bone puncture, wash the wound with dung and urine from the horse's abdomen—applying the dung directly is particularly effective. Alternatively, strain the dung to extract its juice for drinking. Another remedy involves decocting purslane for oral administration. If horse sweat enters a sore causing swelling and intensified pain, immediate treatment is crucial—delay may allow the toxin to penetrate deeply, making cure difficult. Apply raw aconite powder to the sore until yellow fluid discharges, signaling recovery. Another method combines alum and yellow lead (huangdan), frying them until purple, then applying the mixture to the affected area.

For venomous snake bites: Crush equal parts of realgar, musk, and dried ginger, sift them, blend with honey, and store in small bamboo tubes for emergency use. Apply to the wound—effective against various snake venoms. Another approach involves mashing black-feathered chickens for a hot compress. Special caution is required for the green-striped snake (qingtiao she), a virulent green serpent often coiled on trees; its bite causes instant death.

Ge Hong's recommended first aid: Immediately bury the bitten limb in a pit of compacted earth to draw out the venom. Once pain subsides, remove the limb. Alternatives include pounding the roots of Sanguisorba officinalis for juice (taken orally and applied topically) or applying crushed garlic with its residue. Other methods involve using earwax from pigs, chewing salt and spitting it onto the wound before moxibustion, or applying burnt centipede powder.

In dire emergencies: Urinate directly on the wound, then face the sun, hold your breath, and take three steps. Dig a small pit, pour in hot water, form mud pellets the size of phoenix tree seeds, ingest them, and apply a small amount of mud to the wound.

又方桂心栝蔞分等爲末用小竹筒宻塞之  以帶行卒爲蝮蛇即傅之此藥療諸蛇毒  塞不宻則氣歇不中用 一切蛇毒  急灸瘡三五壯則衆毒不能行 蛇毒  搗鬼針草傅上即定 又方荆葉袋貯薄瘡腫上 又方以射罔塗腫上血出乃差 又方以合口椒并葉搗傅之無不止 又方切葉刀燒赤烙之 附方 梅師方治蛇虺螫人  以獨頭蒜酸草搗絞傅所咬處 廣利方治蛇咬方  取黑豆葉剉杵傅之日三易良 廣濟方治毒蛇嚙方  菰蔣草根灰取以封之其草似燕尾也 兵部手集主蛇蝎蜘蛛毒  鷄卵輕敲一小孔合咬處立差 劉禹錫傳信方治蛇咬蝎螫  燒刀子頭令赤以白礬置刀上看成汁便  熱滴咬處立差此極神驗得力者數十人  貞元三十二年有兩僧流向南到鄧州俱  爲蛇嚙令用此法救之傅藥了便發更無  他苦    治蛇瘡敗蛇骨刺人入口繞身諸方     第五十七 葛氏凡蛇瘡未愈禁熱食食便發療之依初  螫人法 蛇螫人九竅皆血出方  取虻蟲初食牛馬血腹滿者二七枚燒服  之 此上蛇瘡敗及洪腫法方蛇螫人牙折入肉  中痛不可堪方  取蝦蟆肝以傅上立出 又方先宻取荇葉當其上穿勿令人見以再  覆瘡口上一時著葉當上穿穿即折牙出  也 蛇骨刺人毒痛方
Interpretation

This text records several emergency treatments for snake bites:

Grind equal parts of cinnamon bark and trichosanthes root into powder, store it in a sealed bamboo tube, and carry it at all times. When bitten by a viper, apply it immediately—this remedy can counteract various snake venoms. Note that the bamboo tube must be tightly sealed to prevent the medicinal properties from dissipating.

Universal first aid for snake venom: Quickly apply moxibustion (3-5 cones of mugwort) at the bite site to prevent toxin spread. Alternatively, crush bidens herb and apply it to the wound for immediate pain relief.

Other proven remedies include: applying a cloth pouch filled with vitex leaves to swollen areas; smearing swollen areas with aconite juice (a toxic plant extract) until bleeding occurs; applying crushed zanthoxylum leaves with their stems; or cauterizing the wound with a red-hot knife.

Secret formulas from different physicians:

  • Master Mei's formula: Crush single-clove garlic with oxalis to make juice for application.
  • Guangli formula: Apply finely chopped black bean leaves to the wound, changing three times daily.
  • Guangji formula: Apply burned reed rhizome ashes (the plant resembles a swallow's tail).
  • Military Ministry's collection: Lightly tap an egg to create a small hole and place it over the wound.
  • Liu Yuxi's verified formula: Drip molten alum onto the wound using a red-hot knife tip—reportedly saving dozens of lives.

Notable case: During the Zhenyuan era, two monks bitten by snakes were immediately cured using the alum method above.

Additional snakebite therapies:

  • For bone splinters from snake bites: Apply toad liver to make the splinter emerge naturally.
  • Broken snake fangs in flesh: Secretly cover with nymphoides leaves (don't let others see)—when holes appear in the leaves, the fangs will follow.
  • Severe cases with bleeding from nine orifices: Take 14 horseflies engorged with bovine/equine blood, burn to ashes, and ingest.

Precaution: Avoid hot-natured foods while the bite wound heals, as this may cause relapse. Treatment methods remain the same as during initial bite.

 以鐵精如大豆者以管吹瘡内姚同 又方燒死鼠搗傅之瘡上 蛇螫人瘡已合而餘毒在肉中淫淫痛癢方  取大小蒜各一升合搗熱湯淋取汁灌瘡  中姚同 蛇卒繞人不解方  以熱湯淋即解亦可令就尿之 蛇入人口中不出方  艾灸蛇尾即出若無火以刀周匝割蛇尾  截令皮斷乃將皮倒脫即出小品同之 七八月中諸蛇毒旺不得泄皆嚙草木即枯  死名爲蛇蚳此物傷人甚於蛇螫即依蛇  之螫法療之 附方 廣利方治蛇咬瘡  暖酒淋洗瘡上日三易 聖惠方治蛇入口并入七孔中  割母猪尾頭瀝血滴口中即出    治卒入山草禁辟衆蛇藥術方第五     十八 辟衆蛇方  同前姚氏仙人入山草法 辟蛇之藥雖多唯以武都雄黄爲上帶一塊  右稱五兩於肘間則諸蛇毒莫敢犯  他人中者便磨以療之又帶五蛄黄丸良  丸有蜈蚣故方在於備急中此下有禁法  云不受而行則無驗  蛇毒勿渡水渡水則痛甚於初螫  亦當先存想作大蜈蚣前已隨後渡若乘  船渡不作法殺人 入山並不得呼作蛇皆唤爲蛇中之者彌宜  勿誤辟蛇法  到處燒羖羊角令有煙出地則去矣 附方 廣利方治諸蛇毒螫人欲死兼辟蛇  乾薑雄黄等分同研用小絹袋貯系臂上  男左女右蛇聞藥氣逆避人螫毒傅之
Interpretation

This passage primarily discusses treatments for snakebites and methods for snake prevention.

For snakebite wounds, several treatment methods are described: Iron filings can be blown into the wound; alternatively, the ashes of a burned dead mouse can be crushed and applied to the wound. If the wound heals but residual toxins cause pain and itching, crush one sheng each of garlic and wild garlic, steep them in hot water, and use the liquid to rinse the wound.

If a snake coils around a person, pour hot water over its body or urinate on it. If a snake enters a person’s mouth and refuses to leave, moxibustion can be applied to its tail. If fire is unavailable, use a knife to make a circular cut around the tail, sever the skin, and peel it backward to remove the snake.

The seventh and eighth lunar months are when snake venom is most potent, making bites during this time more dangerous than usual, though the treatments remain the same. Additional remedies include rinsing the wound with warm wine. If a snake enters any of the seven orifices, cutting the tail of a sow and letting the blood drip can drive the snake away.

For snake prevention: When entering the mountains, it is best to carry realgar (a mineral) from Wudu (a place name), as hanging a five-liang piece on the arm can ward off snakes. If bitten, realgar can also be ground and applied. Another effective remedy is the "Five-Gu Yellow Pill" (a medicinal pill containing centipede). However, these methods will fail if the prescribed taboos are not observed.

A special warning: After being bitten, avoid immediately wading through water, as this will intensify the pain. When crossing a river, visualize a large centipede clearing the path ahead. In the mountains, avoid directly saying the word "snake"—use an alternative name instead. Burning goat horns and using the smoke to repel snakes is also effective.

An additional remedy: Grind equal parts of dried ginger and realgar, place the powder in a small silk pouch, and tie it to the arm (left for men, right for women). The medicinal scent will deter snakes, and the powder can also be applied to bites if needed.

   治卒蜈蚣蜘蛛所螫方第五十九 葛氏方割鷄冠血塗之 又方以鹽緘瘡上即愈云蜈蚣去遠者即不  復得 又方塩熱漬之 又方嚼大蒜若小蒜或桑樹白汁塗之亦以  麻履底土揩之良 蜈蚣甚嚙人其毒殊輕於蜂當時小痛而易  歇蜘蛛毒  生鐵衣醋研取濃汁塗之又烏麻油和胡  粉傅上乾復易取差取羊桃葉傅之立愈 附方(蚯蚓螻蛄蠶咬蠼嫂/尿及惡蟲咬人附) 梅師方治蜈蚣咬人痛不止  獨頭蒜摩螫處痛止 又經驗後方燒鷄屎酒和傅之佳又取鷄屎  和醋傅之 聖惠方治蜈蚣咬方  用蝸牛擦取汁滴入咬處 兵部手集治蜘蛛咬遍身成瘡  取上好春酒飲醉使人翻不得一向卧恐  酒毒腐人須臾蟲於肉中小如米自出 又譚氏小兒方以葱一枝去尖頭作孔將蚯  蚓入葱葉中緊担兩頭勿泄氣頻摇動即  化爲水點咬處差 劉禹錫傳信方治蟲豸傷咬  取大藍汁一碗入雄黄麝香二物隨意看  多少細研投藍中以點咬處若是毒者即  并細服其汁神異之極也昔張員外在劒  南爲張延賞判官忽被斑蜘蛛咬項上一  宿咬有二道赤色細如箸繞項上從胷前  下至心經兩宿頭面腫疼如數升大肚  漸腫幾至不救張相素重薦因出家資五  百千并薦家財又數百千募能療者忽一
Interpretation

This passage describes several folk remedies for treating bites from venomous insects like centipedes and spiders, explained in modern terms:

For centipede bites, the methods include: applying rooster comb blood to the wound; or covering it with salt (it's said centipedes avoid salt odor); soaking in hot salt water; applying crushed garlic or wild garlic paste, white mulberry sap, or even rubbing the wound with dirt from hemp shoe soles. Though centipede bites are painful, their venom is milder than bee venom, and the pain subsides quickly.

Spider bite treatments include: soaking iron rust in vinegar to make a concentrated solution for application; or mixing black sesame oil with lead carbonate paste, reapplying when dry; actinidia leaves provide immediate relief when applied.

Additional remedies:

  • For earthworm, mole cricket, or silkworm bites: rub the wound with single-clove garlic for pain relief; apply chicken droppings ash mixed with wine or vinegar
  • When spider bites cause body-wide sores: drink fine spring wine until drunk and asleep, causing the parasites to emerge from the flesh like rice grains
  • Pediatric treatment: shake earthworms inside scallion stalks to liquefy them, then apply to wounds
  • Universal antidote: apply a paste of Isatis root juice mixed with realgar and musk; for severe poisoning, take orally

The passage concludes with a historical case: During the Tang Dynasty, Judge Zhang Yanshang's assistant suffered a venomous spider bite on the neck. The redness spread to his chest, and within two days his head swelled to bucket-size, nearing death. Magistrate Zhang offered a substantial reward for treatment, and later... (the original text cuts off, implying someone cured him with special methods)

 人應召云可治張相初甚不信欲驗其方  遂令目前合藥其人云不惜方當療人性  命耳遂取大藍汁一瓷碗取蜘蛛投之藍  汁良乆方出得汁中甚困不能動又别搗  藍汁加麝香末更取蜘蛛投之至汁而死  又更取藍汁麝香復加雄黄和之更取一  蜘蛛投汁中隨化爲水張相及諸人甚異  之遂令點於咬處兩日内悉平愈但咬處  作小瘡痂落如舊 經驗方治蜘蛛咬遍身生絲  羊乳一升飲之貞元十年崔員外從質云  目擊有人被蜘蛛咬腹大如孕婦其家弃  之乞食於道有僧遇之教飲羊乳未幾日  而平 又方治蚯蚓咬  濃作塩湯浸身數遍差浙西軍將張韶爲  此蟲所咬其形大如風眉鬚皆落每夕蚯  蚓鳴於體有僧教以此方愈 又方治蚯蚓蟲咬其形如大風眉鬚皆落  以石灰水浸身亦良 聖惠方主蛐蟮咬人方  以鷄屎傅之 又方治螻蛄咬人  用石灰醋和塗之 廣利方治蠶咬人  麝香細研蜜調塗之差 千金方治蠼嫂尿瘡  楝樹枝皮燒灰和猪膏傅之 又方杵豉傅之 又方以酢和粉傅之 又方治蠼螋蟲尿人影  著處便令人體病瘡其狀如粟粒累累一  聚慘痛身中忽有處燥痛如芒刺亦如刺  蟲所螫後細瘡㿔作叢如茱萸子狀也四  畔赤中央有白膿如黍粟亦令人皮急舉
Interpretation

Here are several folk remedies recorded for treating insect bites:

When someone was bitten by a spider, Official Zhang Xiang initially doubted it could be cured. The person conducted an experiment by soaking the spider in Da Lan juice (a Chinese herbal medicine, specifically Isatis root juice). The spider first became paralyzed and motionless, then after adding musk and realgar, it completely dissolved into liquid. Applying this medicinal solution to the bite healed it in two days, leaving only a small scab.

Another remedy for spider bites: drink one liter of goat's milk. Records mention a victim whose abdomen swelled like a pregnant woman's, causing family to abandon them. Later, a Buddhist monk instructed them to drink goat's milk, and recovery followed within days.

For earthworm bites: repeatedly soak the entire body in concentrated saltwater. A military officer named Zhang Shao suffered such a bite—his eyebrows and beard fell out, and at night he could hear the earthworm's cries inside his body. This method cured him. Alternatively, bathing in limewater works.

For cricket or earthworm bites: apply chicken droppings to the wound.

For mole cricket bites: mix lime with vinegar and apply the paste.

For silkworm bites: grind musk into powder, blend with honey, and apply topically.

For blisters caused by the toxic urine of earwigs (a venomous insect): apply ash from burned chinaberry tree bark mixed with lard, or use mashed fermented black beans as a poultice. Vinegar mixed with flour also works. The insect's venom causes millet-sized pustules on skin—painful as needle pricks with white pus at the center—and makes skin feel tight.

 身惡寒壯熱極者連起竟腰脇胷也治之  法初得磨犀角塗之止 博物志治蠼嫂蟲溺人影亦隨所著作瘡  以鷄腸草汁傅之良 外臺秘要治蠼嫂尿瘡繞身匝即死  以燕巢中土猪脂苦酒和傅之 又方治蠼嫂尿瘡  燒鹿角末以苦酒調塗之 錢相公方療蠼螋尿瘡黄水出  嚼梨葉傅之乾即易 勝金方治蠼螋尿人成瘡初如糝粟漸大如  豆更大如火烙漿庖疼痛至甚宜速用草  茶并臘茶俱可以生油調傅上其痛藥至  立止妙 聖惠方治惡蟲咬人  用紫草油塗之 又方以酥和塩傅之    治卒蠆螫方第六十 以玉壺丸及五蛄丸塗其上並得  其方在備急丸散方中 又方取屋霤下土水和傅之    治卒蜂所螫方第六十一 蜂螫人  取人尿洗之 又方榖樹桑樹白汁塗之并佳 又方刮齒垢塗之又破蜘蛛又煑蜂房塗之  燒牛角灰苦酒和塗之又斷葫揩之又嚼  青蒿傅之 附方 千金方治蜂螫人  用露蜂房末猪膏和傅之楊氏産乳蜂房  煎湯洗亦得 又外臺秘要挼薄荷貼之差 又聖惠方以酥傅之愈 沈存中筆談云處士劉湯隱居住屋山嘗於  齊中見一大蜂竄爲蛛網絲縛之爲蜂所  螫墜地俄頃蛛鼓腹欲裂徐徐行入草嚙  芋梗微破以瘡就嚙處磨之良久腹漸消  輕躁如故自後人有爲蜂螫者挼芋梗傅
Interpretation

This passage describes ancient emergency treatments for various insect bites and venomous stings, explained in modern terms:

When experiencing chills accompanied by persistent high fever, with discomfort in the waist, ribs, and chest, the initial treatment involves grinding rhinoceros horn into powder and applying it to the affected area for relief.

The Records of Diverse Matters documents that contact with the venom of earwigs (a type of poisonous insect) causes skin ulcers. Applying the juice of chickweed (a Chinese medicinal herb) externally proves highly effective.

The Arcane Essentials from the Imperial Library mentions that if earwig venom causes ulcers encircling the body, it can be fatal. A remedy involves mixing soil from swallow nests with lard and vinegar for external application. Another prescription recommends burning deer antlers into ash and applying it mixed with vinegar.

Minister Qian's prescription states that earwig venom ulcers discharge yellow fluid—chewed pear leaves should be applied and replaced when dry. The Triumphant Golden Formulas records that these ulcers initially resemble millet grains, gradually grow to bean-size, and eventually form burn-like blisters with intense pain. Immediate relief comes from grinding ordinary tea leaves or aged tea cakes mixed with raw oil for topical application.

The Sagacious Benevolence Formulas treats poisonous insect bites with lithospermum oil application or clarified butter (ghee) mixed with salt.

For scorpion stings: Apply Jade Vessel Pills or Five Insect Pills (two types of detoxifying pills) recorded in the Emergency Pill and Powder Formulas. A folk remedy uses mud from dripping eaves mixed with water for topical application.

Wasp sting treatments include: Rinsing with human urine; applying the white sap of paper mulberry or mulberry trees; using tooth tartar; crushing spiders for application; or boiling wasp nests into wash water. Other methods involve burning ox horn into ash mixed with vinegar, slicing garlic for rubbing, or chewing wormwood for external application.

The Thousand Gold Formulas records using powdered wild honeycomb mixed with lard. The Yang's Maternal Care Formulas recommends honeycomb decoction washes. The Arcane Essentials suggests crushed mint leaf poultices, while the Sagacious Benevolence Formulas uses ghee application.

Shen Kuo's Dream Pool Essays from the Song Dynasty recounts: Recluse Liu Tang, dwelling at Mount Wu, once observed a giant wasp trapped in a spiderweb. The spider, stung by the wasp, swelled until near bursting. Gradually, the spider crawled into grass, gently gnawing a taro stem and rubbing its wound against it—soon the swelling subsided. Henceforth, taro stems became a standard treatment for wasp stings.

 之則愈    治卒蝎所螫方第六十二 蝎螫人  温湯漬之 又方挼馬莧大蒜又嚼乾薑塗之佳姚方以  冷水漬螫處即不痛水微暖便痛即易水  又以冷漬故布搨之數易 新效方蜀葵花石榴花艾心分等並五月五  日午時取隂乾合搗和水塗之螫處立定  二花未定又鬼針草挼汁傅之立差又黄  丹醋塗之又生烏頭末唾傅之嚼乾薑塗  之又麝罔封之温酒漬之即愈 附方 孫眞人食忌主蠍螫  以礬石一兩醋半升煎之投礬末於醋中  浸螫處 又勝金方烏頭末少許頭醋調傅之 又錢相公篋中方取半夏以水研塗之立止 又食醫心鏡以醋磨附子傅之 又經驗方以驢耳垢傅之差崔給事傳 廣利方治蠍螫人痛不止方  楮樹白汁塗之立差    治中蠱毒方第六十三 葛氏方療蠱毒下血方  羖羊皮方三寸得敗鼓亦好蘘荷葉苦參  黄連當歸各二兩水七升煑二升分三服  一方加犀角升麻各三兩無蘘荷根用茜  根四兩代之佳 人有養畜蠱以病人其𧦽法  中蠱令人心腹切痛如有物嚙或吐下血  不即療之食人五藏則死矣欲知蠱與非  蠱當令病人唾水中沉者是浮者非小品  姚並同 欲知蠱毒主姓名方  取鼓皮少少燒末飲病人病人須臾自當  呼蠱主姓名可語便去則便愈亦有蛇蜒
Interpretation

This passage records ancient Chinese medical emergency treatments for scorpion stings and gu poison from Ge Hong's Emergency Formulas to Keep Up One's Sleeve (Zhouhou Beiji Fang) of the Eastern Jin dynasty. Here's a vernacular explanation:

For scorpion stings, these methods were used: Immediately soak the wound in warm water; or pound purslane and garlic together, then chew some dried ginger to make a poultice for better effect. The Yao family formula recommends soaking the sting in cold water to relieve pain—when the water warms up the pain returns, so change the cold water frequently. Another method uses old cloth soaked in cold water as a compress, replaced several times.

Flowers of hollyhock and pomegranate gathered at noon on the fifth day of the fifth lunar month, along with dried mugwort heart, when pounded and mixed with water for application, provide instant pain relief. If pain persists, apply beggarticks juice. Other remedies include: applying yellow lead powder mixed with vinegar, wild aconite powder with saliva, chewed dried ginger, sealing the wound with musk, or soaking in warmed wine.

Supplementary formulas include Sun Simiao's recommended scorpion poison treatment: boil one liang of alum with half a sheng of vinegar, or apply wild aconite powder mixed with vinegar. Chancellor Qian's formula uses pinellia tuber ground with water, while Dietary Physician's Heart Mirror suggests applying monkshood root ground in vinegar. The Empirical Formulas record donkey earwax as effective, and the Extensive Beneficial Formulas mention immediate pain relief from paper mulberry white sap.

For gu poison treatment: Use three-cun-square black sheepskin (or broken drum skin) combined with two liang each of ginger lily leaf, sophora root, coptis, and Chinese angelica, decocted in water and taken in three doses. Another version adds three liang each of rhinoceros horn and skunk cabbage root—if ginger lily root is unavailable, use madder root instead.

The ancients believed gu poison caused severe heart and abdominal pain as if being gnawed, or hematemesis and bloody stool, becoming fatal if untreated. To detect gu poisoning: have the patient spit into water—if it sinks, gu is confirmed. To identify the poisoner: burn a small piece of drum skin for the patient to ingest, and soon they'll name the perpetrator. Persuading the poisoner to lift the curse then brings recovery. Some cases used snake venom as gu poison.

 合作蠱毒著飲食中使人得瘕病此一種  積年乃死療之各自有藥又蘘荷葉宻著  病人卧席下其病人即自呼蠱主姓名也 療中蠱毒吐血或下血皆如爛肝方  茜草根蘘荷根各三兩㕮咀以水四升煑  取二升去滓適寒温頓服即愈又自當呼  蠱主姓名茜草即染絳草也小品并姚方  同也 又方巴豆一枚去心皮熬豉三粒釜底墨方  寸七合搗爲三丸一丸當下毒不可者更  服一丸即下 又方塩一升淳苦酒和一服立吐即愈小品  同支方苦酒一升煑令消服愈 又方取蚯蚓十四枚以苦酒三升漬之蚓死  但服其汁已死者皆可活 又方苦瓠一枚水二升煑取一升服立即吐  愈小品同支方用苦酒一升煑令消服神  驗 又方皂莢三梃炙去皮子酒五升漬一宿去  滓分三服小品同 療飲中蠱毒令人腹内堅痛面目青黄淋露  骨立病變無常方取鐵精搗之細篩又别  搗烏鷄肝以和之丸如梧子大服三丸甚  者不過十日微者即愈别有鐵精方 又方猪肝一具蜜一升共煎之令熟分爲二  十服祕方小品同支方分作丸亦得 又方取棗木心剉得一斛著釜中淹之令上  有三寸水煑取二斗澄取清微火煎得五  升宿勿食旦服五合則吐蠱毒出小品姚  同之 又方雄黄丹砂藜蘆各一兩搗末旦以井華  水服一刀圭當下吐蠱蟲出
Interpretation

This passage describes ancient methods for treating gu poison (a form of sorcery involving poisoning through food or drink). After entering the human body, gu poison could cause symptoms like vomiting blood, bloody stools, severe abdominal pain, a greenish or yellowish complexion, and emaciation, sometimes leading to death.

Several antidote formulas are listed:

1. Boil three liang each of madder root and ginger lily root in water to make two sheng of medicinal liquid. Drink it warm in one dose—after taking it, the patient would allegedly call out the poisoner's name involuntarily.

2. Mix one croton seed, three fermented black beans, and stove-bottom ash, then pound into three pills. Taking one pill would expel the poison; if ineffective, take another.

3. Consuming one sheng of salt mixed with bitter wine (vinegar) induces immediate vomiting to detoxify.

4. Soak fourteen earthworms in three sheng of bitter wine. After the worms die, drinking the wine was said to revive those in a deathlike state from poisoning.

5. Boiling bitter gourd in water induces vomiting when consumed.

6. Roast three soapberry branches, remove the skin, soak in five sheng of wine overnight, and take in three doses.

7. Mix iron powder with black chicken liver to make pills the size of phoenix tree seeds. Take three pills per dose—severe cases show improvement within ten days.

8. Pan-fry pork liver with honey and consume in twenty portions.

9. Boil jujube wood core in water to make a concentrated liquid. Taken on an empty stomach, it purportedly expels gu poison through vomiting.

10. Grind one liang each of realgar, cinnabar, and hellebore into powder. Take one spoonful with morning well water to vomit out the gu worms.

These methods are cited with sources, some attributed to ancient medical texts like Xiaopin Fang or the Yao family formulas. Note that these are historical records—certain ingredients like realgar and hellebore are toxic and should never be attempted today without professional guidance.

又方隱荵草汁飲一二升此草桔梗苗人皆  食之 治蠱已食下部肚盡腸穿者  取長股蝦蟆青背一枚鷄骨支方一分燒  爲灰合内下部令深入小品同支方屢用  大驗姚方亦同 又方以猪膽瀝内下部中以綿深導内塞之 又方五蠱黄丸最爲療蠱之要其方在備急  條中 復有自然飛蠱狀如鬼氣者難  此諸種得眞犀麝香雄黄爲良藥人帶此  於身亦預防之 姚氏療中蠱下血如鷄肝出石餘四藏悉壞  唯心未毁或鼻破 待死方  末桔梗酒服一七日一二葛氏方也 支太醫有十數傳用方  取馬兜零根搗末水服方寸匕隨吐則出  極神驗此物苗似葛蔓縁柴生子似橘子 凡畏已中蠱欲服甘草汁  宜生煑服之當吐疾出若平生預服防蠱  毒者冝熟炙煑服即内消不令吐神驗 又方甘草炙每合嚥汁若因食中蠱反毒即  自吐出極良常含嚥之永不慮藥及蠱毒  也 又有解百毒散在後藥毒條中亦療方  桑白汁一合服之須臾吐利蠱出 席辯刺史傳效二方云并試用神驗  斑猫蟲四枚去足翅炙桃皮五月初五采取  去黑皮隂乾大戟凡三物並搗别篩取斑  猫一分桃皮大戟各二分合和棗核大以  米清飲服之訖吐出蠱一服不差十日更  一服差此蠱洪州最多老媪解療一人得  縑二十疋祕方不可傳其子孫犯法黄花
Interpretation

This text records several remedies for gu poison (an ancient concept of illness caused by venomous creatures or dark magic):

The first method uses juice pressed from the young shoots of Platycodon grandiflorus (yinrencao), consuming one to two liters. This herb is commonly eaten and can treat cases where the gu poison has eroded the lower abdomen, causing intestinal perforation.

The second method involves burning a green-backed, long-legged toad together with one fen (a traditional unit) of chicken bone zhifang (a medicinal ingredient) into ashes. The mixture is then inserted deep into the rectum. This formula is also recorded in the Xiaopin Fang (a medical text) and has proven highly effective with repeated use. Physician Yao's prescription follows the same approach.

The third remedy uses pig's bile dripped into the rectum, followed by inserting a cotton wick to guide it deeper.

The fourth recommends the Five Gu Yellow Pill, a crucial formula for treating gu poison, with its specific composition documented in the Beiji Tiao (Emergency Remedies).

There's also a naturally occurring "flying gu," elusive as ghostly qi. For such cases, genuine rhinoceros horn, musk, and realgar are the best medicines. Carrying these ingredients can also prevent gu poisoning.

Physician Yao had a prescription for gu poisoning causing bloody stools resembling chicken liver color, where internal organs are nearly destroyed except for the heart: take Platycodon root powder with wine for seven days. Ge Hong's formula is similar.

Physician Zhi (a renowned ancient doctor) passed down over ten prescriptions, including one where Aristolochia root is pounded into powder. Taking a small spoonful with water immediately induces vomiting of the gu poison, proving remarkably effective. This vine resembles kudzu and bears fruit like small tangerines.

If gu poisoning is suspected, drinking raw licorice juice induces vomiting of toxins. For preventive measures, use cooked and roasted licorice to dissolve toxins internally without vomiting.

Another common preventive method involves holding roasted licorice in the mouth and swallowing its juices. If poisoned through food, it automatically induces toxin expulsion. Regular use prevents both medicinal and gu poisoning.

Taking one ge (about 20ml) of white mulberry sap quickly expels gu poison through vomiting. Inspector Xi Bian verified two remarkably effective formulas: 1) four blister beetles (banmao) with legs and wings removed, roasted, combined with peach bark collected on the fifth day of the fifth month (with black skin removed and shade-dried), plus a small amount of knoxia root (daji). These three ingredients are separately pounded and sifted, then mixed in proportion to form jujube seed-sized pills taken with rice water. If ineffective after one dose, repeat after ten days. Gu poisoning was most prevalent in Hongzhou (modern Jiangxi region), where elderly women using this secret formula could earn twenty bolts of silk as reward, though transmission to descendants was prohibited.

(Note: Ingredients mentioned like blister beetles and knoxia root are toxic. Modern readers should never attempt these ancient remedies without professional guidance.)

 公若於則爲都督因以得之流傳老媪不  復得縑席云已差十餘人也 又方羖羊皮方寸七蘘荷根四兩苦參黄連  各二兩當歸犀角升麻各三兩七物以水  九升煑取三升分三服蠱即出席云曾與  一人服應時吐蜂兒數升即差此是姚大  夫方 附方 千金翼方療蠱毒  以槲木北隂白皮一大握長五寸以水三  升煑取一升空腹分服即吐蠱出也 又治蠱毒下血  猬皮燒末水服方寸匕當吐蠱毒 外臺祕要救急治蠱  以白鴿毛糞燒灰飲和服之 楊氏産乳療中蠱毒  生玳瑁以水磨如濃飲服一盞自解 聖惠方治小兒中蠱下血欲死  搗青藍汁頻頻服半合    治卒中溪毒方第六十四 姚氏中水毒祕方  取水萍曝乾以酒服方寸七差止又云中  水病手足指冷即是若暖非也其冷或一  寸極或竟指未過肘膝一寸淺至於肘膝  爲劇 葛氏水毒中人一名中溪一名中灑(東人呼/爲蘇駭)  (切)一名水病似射工而無物其診法  初得之惡寒頭微痛目注疼心中煩懊四  肢振浙骨節皆强筋急但欲睡旦醒暮劇  手逆冷三日則復生蟲食下瘡不痛不癢  不冷人覺視之乃知不即療過六七日下  部膿潰蟲食五藏熱極煩毒注下不禁八  九日良醫不能療覺得急當深視下部若  有瘡正赤如截肉者爲陽毒最急若瘡如
Interpretation

This passage records several ancient medicinal formulas for treating gu poison (an illness believed in antiquity to be caused by venomous insects or dark magic) and water toxin (similar to modern waterborne infectious diseases), all derived from the empirical knowledge of ancient physicians.

First, the gu poison remedies: The first formula uses seven square inches of ram's hide combined with four liang of galangal root, two liang each of sophora root and coptis, plus three liang each of Chinese angelica, rhinoceros horn, and cimicifuga. These are boiled in nine sheng of water until reduced to three sheng of medicinal liquid, to be taken in three doses. Records claim some patients immediately vomited several sheng of bee-like creatures after taking this remedy—a formula attributed to Physician Yao.

Other folk remedies for gu poison are equally fascinating: A handful of white bark from the north side of an oak tree boiled for fasting consumption induces vomiting of the poison; ashes of burned hedgehog skin taken with water; ashes of white pigeon feathers and droppings mixed with water; concentrated juice from raw hawksbill turtle shell; and using bluegrass juice to stop bleeding and save children afflicted by gu poisoning.

Regarding water toxin (also called stream affliction or water contamination), its symptoms resemble modern parasitic diseases: initial chills, headache, eye pain, restlessness, stiff joints, daytime drowsiness worsening at night, and cold extremities. If untreated for three days, parasites multiply internally, potentially causing organ necrosis within six to seven days. Diagnosis hinges on observing red ulcerations on the lower body—bright red indicating acute cases, dark red chronic ones.

A secret remedy for water toxin involves drying duckweed and taking it with wine for rapid effect. Another diagnostic trick: genuinely afflicted patients will have cold extremities—the severity correlating with the chill's progression (reaching elbows/knees indicates critical condition).

Though primitive, these formulas reflect the ancients' meticulous observation of symptoms and experimental spirit. The use of animal-derived medicines and plant extracts, viewed through modern lenses, demonstrates discernible pharmacological rationale.

 蠡魚齒者爲隂毒猶小緩要皆煞人不過  二十日欲知是中水毒當作數升湯以小  蒜五寸㕮咀投湯中莫令大熱熱即無力  捩去滓適寒温以浴若身體發赤斑文者  又無異證當以他病療之也 病中水毒方  取梅若桃葉搗絞汁三升許以少水解爲  飲之姚云小兒不能飲以汁傅乳頭與之 又方常思草搗絞飲汁一二升并以綿染寸  中以導下部日三過即差 又方搗藍青汁以少水和塗之頭面身體令  匝 又方取梨葉一把熟搗以酒一杯和絞服之  不過三 又方取蛇莓草根搗作末服之并以導下部  亦可飲汁一二升夏月常行欲入水浴先  以少末投水中流更無所畏又辟射工家  中雖以器貯水浴亦宜少末投水中大佳 今東閒諸山縣無不病溪毒春月皆得亦如  傷寒呼爲溪温未必是射工輩亦盡患瘡  痢但寒熱煩疼不解便致死耳方家用藥  與傷寒温疾相似令施其單法  五加根燒末酒若漿水飲之荆葉汁佳千  金不傳祕之 又方宻取蓼搗汁飲一二合又以塗身令周  匝  取牛膝莖一把水酒共一杯漬絞取汁飲  之日三雄牛膝莖紫色者是也 若下部生瘡已決洞者  秫米一升塩五升水一石煑作糜坐中即  差 又方桃皮葉熟搗水漬令濃去滓著盆中坐  漬之有蟲出 又方皂莢燒末綿裹導之亦佳又服牡丹方
Interpretation

This passage discusses several methods for treating water poisoning (illness caused by exposure to contaminated water sources). Water poisoning manifests insidiously and is difficult to detect, but can be fatal in severe cases, typically developing within twenty days.

To diagnose water poisoning: Boil several liters of water with five inches of wild garlic (a medicinal plant), ensuring the temperature isn't too high as excessive heat diminishes efficacy. After straining, use the lukewarm decoction for bathing. If red rashes appear without other symptoms, treat as another condition.

Treatment methods include:

1. Crush plums or peach leaves to extract juice. Mix three liters with a little water for drinking. For infants unable to drink directly, apply the juice to the mother's nipple for nursing.

2. Pound changsi grass (a medicinal herb) to extract juice. Drink 1-2 liters while applying the juice to the lower body with cotton cloth three times daily until recovery.

3. Blend indigo plant juice with water and apply to face and entire body.

4. Crush a handful of pear leaves with a cup of wine for oral administration, not exceeding three doses.

5. Take powdered snakeberry root orally or apply to the lower body. In summer, sprinkle powder in water before entering as prevention.

Mountain streams often carry toxins, especially in spring when "stream fever" resembling typhoid occurs, with symptoms including chills, fever, and pain that may prove fatal. Treatment parallels typhoid protocols.

Additional remedies:

  • Consume burned acanthopanax root ash with wine or rice water (better results with chaste tree leaf juice, though this is a closely guarded secret)
  • Drink 1-2 ge of knotweed juice while applying topically
  • Steep purple ox knee stems in wine; take thrice daily
  • For ulcerated lower body sores: Boil 1 liter glutinous rice with 5 liters salt in 60kg water for steam therapy
  • Bathe in concentrated peach bark/leaf decoction to expel parasites
  • Insert gleditsia ash wrapped in cotton into affected areas while taking peony formula

(Note: "Shegong" refers to aquatic venomous insects; "treating the lower body" indicates therapies for genital/rectal ailments; "1 dan" ≈ 60kg)

 寸七日三服    治卒中射工水弩毒方第六十五 江南有射工毒蟲一名短狐一名蜮常在山  間水中人行及水浴此蟲口中横骨角弩  唧以射人形影則病其診法  初得或如傷寒或似中惡或口不能語或  惡寒熱四肢拘急旦可暮劇困者三日齒  間血出不療即死其中人有四種初覺則  遍身體視之其一種正黑如墨子而繞四  邊犯之如刺狀其一種作瘡瘡久  即穿陷一種突起如石其一種如  火灼人肉熛起作瘡此種最急并皆煞人  居地天大雨或逐人行潦流入人  家而射人又當養鵝鴨食人行將純  白鵝以辟之白鴨亦善帶好生犀角佳也 若見身中有此四種瘡處便急療之  急周繞遍去此瘡邊一寸輒炙一處百壯  瘡亦百壯則差 又方赤莧莖葉搗絞取汁飲之以滓傅之姚  云服七合日四五服 又方胡蒜令傅以搨瘡上灸蒜上千壯差 又方白鷄矢白者二枚以小餳和調以塗瘡  上 又方鼠婦蟲豉各七合巴豆三枚去心合猪  脂但以此藥塗之 又方取水上浮走豉母蟲一枚置口中便差  云此蟲正黑如大豆浮水上相遊者 又方取皁莢一梃尺二者槌碎苦酒一升煎  如飴去滓傅之痛處差 又方馬齒莧搗飲汁一升滓傅瘡上日四五  遍則良驗 又方升麻烏翣各二兩水三升煑取一升盡
Interpretation

In the Jiangnan region, there exists a venomous creature called the "arrow-worker" (also known as "short fox" or "yu"), which commonly inhabits mountain streams. When people wade or bathe in the water, this creature can shoot venom from a transverse bone in its mouth like a crossbow—even striking a person's shadow can cause illness.

Initial symptoms resemble typhoid fever or demonic possession, potentially including speech impairment, alternating chills and fever, and limb stiffness. Symptoms are milder in the morning but worsen by evening. If untreated for three days, bleeding gums may lead to death. The bite manifests in four ways: first, skin blackens like ink with surrounding needle-like pain; second, ulcers form that may fester if unhealed; third, stone-like protrusions appear on the skin; fourth, burn-like blisters and ulceration occur (the most dangerous, often fatal).

Prevention methods: During rainy seasons, these creatures may flow into homes with rainwater. Keeping white geese or ducks can repel them, while carrying high-quality rhinoceros horn offers protection. For treatment, apply moxibustion within one cun (≈3cm) around the wound—100 moxa cones per lesion.

Eight specific therapies:

1. Crush red amaranth stems/leaves for juice (take orally); apply residue externally (Yao-family physicians recommend 7 ge [≈140ml] per dose, 4-5 times daily)

2. Apply crushed garlic to wounds, then perform moxibustion over the paste 1,000 times

3. Mix two portions of white chicken droppings with sugar as poultice

4. Combine 7 ge each of pill bugs and fermented beans with three shelled/cored croton seeds in lard for topical application

5. Hold one floating black "mother" bean bug from water surfaces in mouth

6. Crush a 1.2-chi [≈36cm] honeylocust pod, decoct in 1 sheng [≈200ml] vinegar to syrup consistency, strain and apply

7. Drink 1 sheng of crushed purslane juice; apply residue externally (effective within 4-5 daily doses)

8. Decoct 2 liang [≈75g] each of black cohosh and iris domestica in 3 sheng water to 1 sheng, consume in one dose

(Note: Ancient measurements: 1 ge ≈20ml, 1 sheng ≈200ml, 1 liang ≈37.5g. In moxibustion, one "zhuang" refers to burning one moxa cone. These remedies require professional guidance.)

 服之滓傅瘡上不差更作姚同更加犀角  二兩  云此蟲含沙射人影便病欲渡水先以石  投之口邊角弩發矢言口息兩角能屈伸 冬月則蟄  有一長角横在口前弩檐臨其角端曲如  上弩以氣爲矢用水勢以射人人中之便  不能語餘狀如葛氏所說    治卒中沙虱毒方第六十六 山水間多有沙虱甚細略不可見人入水浴 及以水澡浴此蟲在水中著人身及隂天雨 行草中亦著人便鑽入皮裏其診法  初得之皮上正赤如小豆黍米粟粒以手  摩赤上痛如刺三日之後令百節强疼痛  寒熱赤上發瘡此蟲漸入至骨則殺人自  有山澗浴畢當以布拭身數遍以故帛拭  之一度乃傅粉之也 又療沙虱毒方  以大蒜十片著熱灰中温之令熱斷蒜及  熱柱瘡上盡十片復以艾灸瘡上七壯則  良 又方斑猫二枚熬一枚末服之燒一枚令絶  烟末以傅瘡上即差又以射罔傅之佳 又方生麝香大蒜合搗以羊脂和著小筒子  中帶之行今東間水無不有此浴竟中拭  㸁㸁如芒毛針刺熟看見則以竹葉抄挑  去之  比見嶺南人初有此者即以茅葉茗茗刮  去及小傷皮則爲佳仍數塗苦苣菜汁佳 已深者針挑取蟲子正如疥蟲著爪上映光 方見行動也若挑得便就上灸三四壯則蟲 死病除  若覺猶惛惛見是其已太深便應依土俗
Interpretation

This passage primarily discusses methods for treating bites from sand mites (minute venomous insects inhabiting mountainous streams). These mites are extremely tiny, nearly invisible to the naked eye, and can burrow into human skin while bathing or walking through wet grass during rain.

After being bitten, small red dots the size of red beans appear on the skin, causing needle-like pain upon touch. Within three days, victims experience joint pain throughout the body alternating between chills and fever, with the red spots developing into ulcers. If the mites penetrate to the bone, the condition may become fatal. The text recommends immediately rubbing the body vigorously with cloth after bathing in mountain streams, followed by wiping with used silk fabric, and finally applying talcum powder as prevention.

Several treatments for sand mite poisoning are described: First, roast ten garlic cloves until warm, slice them, and apply alternately as hot compresses to the wound, then perform moxibustion with mugwort seven times. Second, use two blister beetles (a type of insect)—brew one for oral consumption and burn the other to fumigate the wound. Third, crush musk and garlic, mix with mutton fat, and carry the mixture in a small bamboo tube for emergency use.

In the Lingnan region, locals immediately scrape the skin's surface with cogongrass and repeatedly apply sow thistle juice after being bitten. For deeper burrowing mites, needles should be used to extract them—under sunlight, the mites can be seen wriggling like scabies mites. After removal, perform moxibustion three or four times on the wound to kill remaining parasites. Dizziness indicates severe poisoning requiring local folk remedies.

The text mentions "shewang"—an ancient arrow poison, "banmao" (blister beetles), and "shexiang" (musk secreted by male musk deer), all commonly used in traditional Chinese medicine.

 作方術拂出乃用諸湯藥以浴皆一二升  出都盡乃止亦依此方并雜溪毒及  射工法急救七日中宜差不爾則仍有飛  蟲噉人心藏便死愼不可輕    治卒服藥過劑煩悶方第六十七 服藥過劑煩悶及中毒多煩悶欲死方  刮東壁土少少以水一二升和飲之良 又方於屋霤下作坎方二尺深三尺以水七  升灌坎中以物揚之令沫出取一升飲之  未解更作 又方擣藍取汁服數升無藍只洗青絹取汁  飲亦得 服藥失度心中苦煩方  飲生葛根汁大良無生者乾葛爲末水服  五合亦可煑服之 又方吞鷄子黄數枚即愈不差更作 服石藥過劑者  白鴨屎末和水調服之差 又方大黄三兩芒硝二兩生地黄汁五升煑  取三升分三服得下便愈 若卒服藥吐不止者  飲新汲水一升即止 若藥中有巴豆下痢不止方  末乾薑黄連服方寸七差 又方煑豆汁一升服之差 附方 外臺祕要治服藥過劑及中毒煩悶欲死  燒犀角末水服方寸七    治卒中諸藥毒救解方第六十八 治食野葛已死方  以物開口取鷄子三枚和以吞之須臾吐  野葛出 又方温猪脂一升飲之 又方取生鴨就口斷鴨頭以血瀝口中入咽  則活若口不可開者取大竹筒洞節以頭  注其脇取冷水竹筒中數易水須臾口開
Interpretation

This passage presents several practical emergency remedies for drug poisoning or overdose, all grounded in traditional medical knowledge.

For medication overdose causing heart discomfort and chest tightness, scrape some soil from an eastern wall, mix with 1-2 liters of water, and drink the solution. Alternatively, dig a pit (2 chi square, 3 chi deep) beneath roof eaves, pour in 7 liters of water, stir to create foam, then drink 1 liter of the foamy water. Repeat if ineffective. Another method involves pounding indigo plants for juice (drink several liters), or soaking blue silk in water for substitute juice.

For mental distress and agitation, fresh kudzu root juice works effectively. If unavailable, mix dried kudzu powder with water (about 100ml dose). Swallowing several raw egg yolks also helps—continue if symptoms persist.

For mineral drug overdose: Drink water mixed with white duck feces powder. Alternatively, boil 150g rhubarb, 100g mirabilitum with 5 liters of fresh rehmannia juice until reduced to 3 liters; take in three doses. Bowel movement indicates recovery.

Persistent vomiting after medication: Drink 1 liter of freshly drawn well water to stop it. For croton-induced diarrhea: Take 1g (about 1 square-inch spoonful) of dried ginger and coptis powder. Alternatively, drink 1 liter of boiled bean juice.

The Waitai Miyao records: For life-threatening poisoning distress, burn rhinoceros horn to ash and take 1g with water.

For fake death from toxic vine poisoning: Force-feed three raw eggs to induce vomiting. Alternatively, drink 1 liter of warm lard. A dramatic method involves beheading a live duck and dripping its blood into the patient's mouth. If jaws are locked, place a bamboo tube (nodes removed) under the armpit and continuously pour cold water through it until the mouth opens.

These methods specify precise measurements: "square-inch spoon" (approx. 1g) and "he" (approx. 200ml). Important note: While these ancient first-aid methods are documented in detail, modern poisoning cases require immediate professional medical attention—these historical approaches serve primarily as reference material.

 則可得下藥若人多者兩脇及臍中各與  筒甚佳 又方多飲甘草汁佳 姚方中諸毒藥及野葛已死方  新小便和人屎絞取汁一升頓服入腹即  活解諸毒無過此汁 中酖毒已死者  粉三合水三升和飲之口噤以竹管强開  灌之 中射罔毒  藍汁大豆猪犬血並解之 中狼毒毒以藍汁解之 中狼葵毒以葵根汁解之 中藜蘆毒以雄黄葱汁并可解之 中躑躅毒以栀子汁解之中巴豆毒  黄連小豆藿汁大豆汁並可解之 中雄黄毒以防己汁解之 中蜀椒毒中蜈蚣毒  二毒桑汁煑桑根汁并解之 中礬石毒以大豆汁解之 中芫花毒以防風甘草桂并解之 中半夏毒以生薑汁乾薑并解之 中附子烏頭毒大豆汁遠志汁並可解之 中杏仁毒以藍子汁解之 食金已死者取鷄屎半升水淋得一升飲之  日三服 又方吞水銀二兩即裹金出少者一兩亦足 姚云一服一兩三度服之扶坐與之令入腹  即活 又方鴨血及鷄子亦解之 今取一種而兼解衆毒  取甘草㕮咀濃煑多飲其汁井多食䓗中  涕並佳 又方煑大豆令涌多飲其汁無大豆豉亦佳 又方藍青藍子亦通解諸毒常預畜之 又方煑薺苨令濃飲一二升祕方卒無可煑  嚼食之亦可作散服之此藥在諸藥中諸  藥則皆驗
Interpretation

This passage records various methods for treating poisoning cases, all being practical and effective emergency remedies.

When multiple people are poisoned, placing bamboo tubes (similar to cupping therapy) on both sides of the ribs and the navel area proves highly effective. Another method is to drink large quantities of licorice juice.

The Yao family's remedy states: For those who have fallen unconscious due to poisoning from various toxic substances or wild kudzu, mix fresh urine with human feces, strain the mixture to obtain one liter of juice, and administer it all at once. Once the poison reaches the stomach, it will be neutralized, and the person will regain consciousness—this is the most effective antidote.

For those poisoned by zhen (an ancient lethal toxin) and unconscious, mix three he of powder with three liters of water and administer it orally. If the jaws are clenched, force open the mouth with a bamboo tube to pour the mixture in.

For poisoning from shemang (a type of arrow poison), use indigo plant juice, soybean juice, pig blood, or dog blood as an antidote.

Other antidotes for specific poisons include:

  • Wolf poison: Indigo plant juice
  • Wolf's bane poison: Mallow root juice
  • False hellebore poison: Realgar or onion juice
  • Azalea poison: Gardenia juice
  • Croton seed poison: Coptis root, adzuki bean soup, or soybean juice
  • Realgar poison: Fangji (Stephania tetrandra) juice
  • Prickly ash and centipede poison: Mulberry juice or boiled mulberry root juice
  • Alum poison: Soybean juice
  • Daphne poison: Saposhnikovia root, licorice, or cinnamon
  • Pinellia poison: Ginger juice or dried ginger
  • Aconite and monkshood poison: Soybean juice or polygala juice
  • Apricot kernel poison: Indigo seed juice

For cases of swallowing gold leading to death:

  • Filter half a liter of chicken feces with water to obtain one liter of juice; take it three times daily.
  • Alternatively, ingest two liang of mercury, which can encase and expel the gold. A small amount of gold requires only one liang of mercury. (Yao's method suggests one liang per dose, divided into three administrations; the patient should be seated upright to allow the medicine to enter the stomach.)
  • Duck blood and eggs can also counteract gold poisoning.

General detoxification methods:

1. Chop licorice into fine pieces, boil it into a strong decoction, and drink large quantities of the juice while consuming plenty of the slimy liquid from scallion whites.

2. Boil soybeans thoroughly and drink the juice in large amounts; if soybeans are unavailable, fermented beans (douchi) may be used instead.

3. Indigo plants or indigo seeds can neutralize hundreds of poisons—it is advisable to keep them on hand.

4. Boil qini (a medicinal herb) into a strong decoction and drink one to two liters. In emergencies, chew the herb directly or take it in powdered form—this remedy is particularly potent.

(Note: Some detoxification methods described here, such as ingesting mercury, pose serious safety risks. Modern readers should not attempt these and should instead seek professional medical assistance.)

又方凡煑此藥汁解毒者不可熱飲之諸毒  得熱更甚宜使小冷爲良 帶辯刺史云嶺南俚人毒皆因食得之多不 即覺漸不能食或更心中漸脹并背急悶先 寒似瘴  微覺即急取一片白銀含之一宿銀變色  即是藥也銀青是藍藥銀黄赤是𦵣藥久  久者入眼眼或青或黄赤青是藍藥黄赤  是𦵣藥俚人有解療者畏人得知在外預  言三百牛藥或云三百兩銀藥余久任以  首領親狎知其藥常用俚人不識本草乃  妄言之其方并如後也 初得俚人毒藥且令定方  生薑四兩甘草三兩炙切以水六升煑取  二升且服三服服訖然後覓藥療之 療方  常山四兩切白塩四錢以水一斗漬一宿  以月盡日漬月一日五更以土釜煑勿令  奴婢鷄犬見煑取二升旦分再服服了少  時即吐以銅器貯取若青色以杖舉五尺  不斷者即藥未盡二日後更一劑席辯曾  飲酒得藥月餘始覺首領梁墳將土常山  與爲呼爲一百頭牛藥服之即差差後二  十日愼毒食唯有煑飯食之前後得差凡  九人 又方黄藤十兩嶺南皆有切以水一斗煑取  二升分三服服訖毒藥内消若防己俚人  藥常服此藤縱得自然不發席云常服之  利小便亦療數人 又方都淋藤十兩嶺南皆有土人悉知俚人  呼爲三百兩銀其葉細長有三尺微藤生
Interpretation

This passage records several antidote formulas primarily targeting poisons used by the Li ethnic people of Lingnan (modern-day Guangdong and Guangxi regions). It notes that the antidote decoction should never be consumed hot, as heat exacerbates the poison's effects—it must be cooled before drinking.

Li poisons typically enter the body through food. Early symptoms are subtle: gradual loss of appetite, distension in the chest and abdomen, tightness and discomfort in the back, accompanied by malaria-like chills. A simple detection method involves placing a silver plate in the mouth overnight—if it turns bluish, the poison is "blue medicine"; if yellowish-red, it's "fungus medicine" (a toxic substance). Chronic poisoning also manifests in corresponding eye discoloration.

Antidote methods include:

First Emergency Formula: Begin with 4 liang of ginger and 3 liang of roasted licorice boiled in water to make 2 sheng of decoction, taken in three doses. Then soak 4 liang of changshan (Dichroa root) and 4 qian of white salt overnight in water, ideally starting the soak at month's end and boiling at dawn (3-5 AM) on the first day of the new moon in an earthen pot (the process must be hidden from servants, chickens, and dogs). Reduce to 2 sheng and take in two doses. Vomiting will occur—collect the vomit in a bronze vessel. If the expelled fluid is bluish and can be stretched 5 chi (≈1.5m) unbroken on a wooden stick, the antidote hasn't fully taken effect; administer a second dose after two days. A man named Xi Bian, poisoned for over a month before detection, recovered using this formula but had to abstain from all foods except plain rice for twenty days. This formula cured nine individuals.

Second Formula: Boil 10 liang of yellow vine (common in Lingnan) in water and consume in three doses to neutralize toxins. The Li people regularly ingest this vine like fangji (Stephania root) to prevent poison activation. Xi Bian noted its diuretic properties and reported several successful treatments.

Third Formula: Use 10 liang of duling vine (locally called "three hundred taels of silver"), a Lingnan plant with slender leaves growing up to 3 chi (≈1m) long. Preparation mirrors the previous formulas.

These remedies were documented by Lingnan officials through prolonged observation of Li medicinal practices. As the Li people lacked medical texts, they often used whimsical names for poisons (e.g., "three hundred oxen medicine" or "three hundred taels of silver medicine"), requiring practical verification of efficacy.

 切以水一斗和酒二升煑取三升分三服  服訖毒藥并逐小便出十日愼毒食不差  更服之即愈 又方乾藍實四兩白花藤四兩出隽州者上  不得取野葛同生者切以水七升酒一升  煑取半空腹頓服之少悶勿怪單乾藍擣  末頓服之亦差 又療腹内諸毒  都淋藤二兩長三寸並細剉酒三升合安  罌中宻封以糠火燒四邊燒令三沸待冷  出温服常令有酒色亦無所忌大效 若不獲已食俚人食者  先取甘草一寸炙之後熟嚼吞之若食著  毒藥即吐便是得藥依前法療之席辯云  常囊貯甘草十片以自防 附方 勝金方治一切毒  以膽子礬爲末用糯米糊丸如鷄頭實大  以朱砂衣常以朱砂養之冷水化一丸服  立差 經驗方解藥毒上攻如聖散  露蜂房甘草等分用麩炒令黄色去麩爲  末水二碗煎至八分一碗令温臨卧頓服  明日取下惡物 外臺秘要治諸藥石後或熱噤多向冷地卧 又不得食諸熱麵酒等方  五加皮二兩以水四升煑取二升半候石  發之時便服未定更服 孫思邈論云有人中烏頭巴豆毒  甘草入腹即定方稱大豆解百藥毒嘗試  之不效乃加甘草爲甘豆湯其效更速 梅師方蜀椒閉口者有毒誤食之便氣欲絶  或下白沫身體冷急煎桂汁服之多飲冷  水一二升忽食飲吐漿煎濃豉汁服之
Interpretation

Here are several recorded antidote formulas and treatment methods:

The first method involves boiling one dou of water mixed with two sheng of wine until reduced to three sheng of medicinal liquid. Divide this into three doses. After consumption, toxins will be expelled through urination. For ten days after taking the medicine, avoid eating poisonous foods. If not fully recovered, repeat the dosage.

Another formula uses four liang each of dried lan shi (a medicinal herb) and white-flowered vine (must be sourced from Junzhou and never grown alongside wild kudzu). After chopping, boil with seven sheng of water and one sheng of wine until reduced by half. Consume the entire dose on an empty stomach. Mild dizziness may occur but is harmless. Alternatively, grind dried lan shi alone into powder—a single dose of this preparation also proves effective.

For abdominal poisoning: Take two liang of dulinteng (cut into three-cun segments) and three sheng of wine. Seal in a jar and heat evenly with chaff fire until boiling three times. Drink warm when cooled. Maintain a flushed complexion from mild inebriation—there are no specific dietary restrictions, and the effects are remarkable.

If accidental consumption of toxic food occurs, first roast one cun of licorice root until cooked, then chew and swallow. Poisoned food will induce vomiting, after which the aforementioned treatments may be applied. Xi Bian recommends always keeping ten slices of licorice for emergency use.

Additional antidote formulas:

  • Shengjin Formula: Grind dansufan into powder, mix with glutinous rice paste to form chicken-head-sized pills, and coat with cinnabar. Store preserved in cinnabar; when needed, dissolve one pill in cold water for consumption.
  • Empirical Formula: Equal parts honeycomb and licorice, stir-fried yellow with wheat bran (discard bran afterward), then ground. Boil two bowls of water until reduced to eight-tenths; drink warm before sleep—toxins will be expelled by morning.
  • Waitai Biyao: For fever and thirst after consuming medicinal stones, with desire to lie on cool ground (avoid hot noodles and wine). Boil two liang of wujiapi in four sheng of water until reduced to two and a half sheng; consume when symptoms manifest.

Sun Simiao notes: For aconite or croton poisoning, licorice proves effective upon ingestion. Though soybeans are said to neutralize all toxins, tests show limited efficacy—adding licorice to create sweet bean soup accelerates results.

Meishi Fang records: Sichuan pepper (unopened pods) is toxic; accidental consumption may cause breathlessness, frothing, or chills. Immediately drink cinnamon decoction and one or two sheng of cold water. If vomiting occurs, consume concentrated fermented soybean juice.

聖惠方治硫黄忽發氣悶用羊血服一合效 又方治射罔在諸肉中有毒及漏脯毒  用貝子末水調半錢服效或食麵臛毒亦  同用 初虞世方治藥毒祕效  巴豆去皮不出油馬牙硝等分合研成膏  冷水化一彈子許服差    治食中諸毒方第六十九 蜀椒閉口者有毒戟人咽氣便欲絶又令人 吐白沫  多飲桂汁若冷水一二升及多食大蒜即  便愈愼不可飲熱殺人比見在中椒毒含  蒜及薺苨差 鈎吻葉與芥相似誤食之殺人方  薺苨八兩水六升煑取三升服五合日五  服又云此非釣吻 食諸菜中毒發狂煩悶吐下欲死方  取鷄屎燒末服方寸七不解更服又煑葛  根飲汁 莨菪毒煑甘草汁擣藍汁飲並良 苦瓠毒煑黍穰令濃飲汁數升佳 食馬肝中毒  取牡鼠屎二七枚兩頭尖者是水和飲之  未解者更作 食六畜鳥獸  幞頭垢一錢七小品云起死人又飲豉汁  數升良 凡物肝臟自不可輕啖自死者彌勿食之生 食肝中毒  擣附子末服一刀圭日三服 肉有箭毒以藍汁大豆解射罔毒 食鬱肉謂在蜜器中經宿者及漏脯茅屋汁 霑脯爲漏脯此前并有毒  燒人屎末酒服方寸七 又方搗薤汁服二三升各連取以少水和之 食黍米中藏脯中毒方  此是鬱脯煑大豆一沸飲汁數升即解兼  解諸肉漏毒
Interpretation

This passage mainly describes practical emergency treatments for poisoning from various foods and medicines in ancient times.

If accidentally eating sulfur causes chest tightness and shortness of breath, drink a small bowl of sheep’s blood (about 200 milliliters) to counter the poison. In another case, meat contaminated with arrow poison, or dried meat that has become toxic through improper storage, can be treated by grinding shellfish into powder, taking half a qian (about 2 grams), and mixing it with water. This remedy is also effective for poisoning from wheat foods.

A secret remedy for medicinal poisoning: grind equal amounts of peeled croton seeds (without pressing out the oil) and matiyaoxiao, a mineral medicine, into a paste. Dissolve a marble-sized amount in cold water and take it; it should work.

Precautions for food poisoning: unopened Sichuan peppercorns (a kind of peppercorn) are poisonous. Eating them can cause a stinging throat, difficulty breathing, and foaming at the mouth. In that case, drink plenty of cinnamon juice or cold water, and eat a large amount of garlic to counter the poison. Be sure not to drink hot water, as it can be fatal. For Sichuan peppercorn poisoning, holding garlic or qini, a medicinal herb, in the mouth is also effective.

The leaves of gou wen, a highly poisonous plant, closely resemble mustard greens, and eating them by mistake can be fatal. To counter the poison, boil eight liang (about 240 grams) of qini in six sheng of water until reduced to three sheng of medicinal liquid. Drink five he (about 100 milliliters) at a time, five times a day.

When vegetable poisoning causes madness and vomiting, burn chicken droppings to ash and take a small spoonful, or boil kudzu root in water and drink it. For henbane poisoning, drink boiled licorice water or bluegrass juice. For poisoning from bitter bottle gourd, boil millet stalks into a strong decoction and drink several sheng.

For poisoning from accidentally eating horse liver, take fourteen mouse droppings with pointed ends at both sides (referring to the droppings of a male mouse) and drink them mixed with water. For poisoning from other poultry or livestock meat, use one qian (about 4 grams) of greasy dirt from a headcloth, or drink several sheng of fermented soybean juice.

Take special care: animal liver must not be eaten raw, and the livers of animals that died naturally are especially dangerous. If raw liver causes poisoning, grind aconite into powder and take one daogui (about 0.5 grams) at a time, three times a day. Meat contaminated with arrow poison can be treated with bluegrass juice or soybeans.

Finally, meat left overnight in a honey jar, called yuru, and dried meat soaked by rain leaking through a thatched roof, called loupu, are both poisonous. To counter the poison, burn human feces to ash and take it with wine, or extract juice from xiebai (small wild garlic) and drink two or three sheng. For poisoning from dried meat hidden in millet, boil soybeans and drink several sheng of the liquid; this method also works for poisoning from other spoiled meats.

食自死六畜諸肉中毒方  黄檗末服方寸七未解者數服 六畜自死皆是遭疫有毒食之洞下亦致堅 積並宜以痢丸下之 食魚中毒  濃煑橘皮飲汁小品云冬瓜汁最驗 食猪肉遇冷不消必成蟲癥下之方  大黄朴硝各一兩芒硝亦佳煑取一升盡  服之若不消并皮研杏子湯三升和三服  吐出神驗 食牛肉中毒煑甘草飲汁一二升 食馬肉洞下欲死者  豉二百粒杏子二十枚㕮咀蒸之五升飯  下熟合搗之再朝服令盡 此牛馬皆謂病死者耳 食鱸魚肝及鯸鮧魚中毒  剉蘆根煑汁飲一二升良 解毒濃煑香蘇飲汁一升 飲食不知是何毒  依前甘草薺苨通療此毒皆可以救之 食𦵔菜誤吞水蛭蛭噉臟血腸痛漸黄瘦者  飲牛羊熱血一二升許經一宿便煖猪脂  一升飲之便下蛭 食菌遇毒死方  絞人屎汁飲一升即活服諸吐痢丸亦佳  又掘地作土漿服二三升則良 誤食野芋欲死療同菌法 凡種芋三年不取亦成野芋即殺人也 附方 梅師方治飲食中毒魚肉菜等  苦參三兩以苦酒一升煎三五沸去滓服  之吐出即愈或取煑犀角汁一升亦佳 又方治食狗肉不消心下堅或腹脹口乾發  熱妄語煑蘆根飲之 又方杏仁一升去皮水三升煎沸去滓取汁  爲三服下肉爲度 金匱方治食蟹中毒
Interpretation

This passage records various ancient methods for treating food poisoning, primarily addressing symptoms caused by consuming diseased livestock or spoiled fish and meat. Here are the specific detoxification protocols:

For poisoning from eating diseased livestock (the "six domestic animals" referring to horses, cattle, sheep, pigs, dogs, and chickens), grind huangbai (Phellodendron bark) into powder and take one fangcunbi dose (approximately 1 gram). Repeat if symptoms persist. Meat from sick animals typically causes diarrhea or abdominal masses, so dysentery-relieving pills are recommended to purge toxins.

For fish poisoning, boil concentrated orange peel water as remedy. The Xiaopin Fang notes winter melon juice works best. When pork becomes indigestible due to cold and forms parasites, decoct one liang each of rhubarb (dahuang) and mirabilite (puxiao) into one sheng (≈200ml) of medicinal broth. If unresolved, take three sheng of apricot kernel (xingren) decoction divided into three doses to induce vomiting.

For beef poisoning, drink one to two sheng of licorice (gancao) decoction. Severe diarrhea from horse meat poisoning requires consuming 200 fermented soybeans (douchi) and 20 crushed apricot kernels steamed overnight—take the full dose at dawn (note: only applicable to meat from diseased horses).

For perch liver or other toxic fish poisoning, drink reed rhizome (lugen) decoction. Concentrated perilla stem (xiangsu) broth (one sheng) also neutralizes toxins. For unknown poison sources, decoct licorice with sheqi (Pseudostellaria heterophylla) as antidote.

When accidentally swallowing leeches causes abdominal pain and wasting, drink one to two sheng of hot livestock blood (cow/sheep), followed by one sheng of lard the next day to expel parasites. For mushroom poisoning, consume one sheng of human feces juice or two to three sheng of excavated mud-water. Wild taro poisoning follows the same treatment—note that cultivated taro becomes toxic if grown over three years.

Supplementary formulas: The Meishi Fang recommends decocting three liang of kushen (Sophora flavescens) with vinegar to induce vomiting, or rhinoceros horn decoction as antidote. For indigestible dog meat, drink reed rhizome water. Peeled apricot kernel decoction also aids digestion. The Jinkui Fang mentions crab poisoning remedies (details unspecified). These methods predominantly employ common herbs to induce vomiting, purge bowels, or neutralize toxins, demonstrating ancient emergency wisdom against foodborne illnesses.

 紫蘇煑汁飲之三升以子汁飲之亦治凡  蟹未經霜多毒 又聖惠方以生藕汁或煑乾蒜汁或冬瓜汁  並佳 又方治雉肉作臛食之吐下  用生犀角末方寸七新汲水調下即差 唐崔魏公云鉉夜暴亡有梁新聞之乃𧦜之  曰食毒僕曰常好食竹鷄竹鷄多食半夏  苗必是半夏毒命生薑擂汁折齒而灌之  活 金匱方春秋二時龍帶精入芹菜中人遇食  之爲病發時手青肚滿痛不可忍作蛟龍  病服硬糖三二升日二度吐出如蜥蜴三  二個便差 明皇雜録云有黄門奉使交廣回周顧謂曰  此人腹中有蛟龍上驚問黄門曰卿有疾  否曰臣馳馬大庾嶺時當大熱困且渴遂  飲水覺腹中堅痞如杯周遂以硝石及雄  黄煑服之立吐一物長數寸大如指視之  鱗甲具投之水中俄頃長數尺復以苦酒  沃之如故以器覆之明日已生一龍矣上 甚訝之    治防避飲食諸毒方第七十 雜鳥獸他物諸忌法  白羊不可雜雄雞羊肝不可合烏梅及  椒食猪肉不可雜羊肝牛腸不可合  犬肉 雄雞肉不可合生䓗菜雞鴨肉  不可合蒜及李子鱉肉等生肝投地塵  芥不著者不可食暴脯不肯燥及火炙  不動并見水而動並勿食鳥獸自死口  不開者不可食 水中魚物諸忌  魚頭有正白連諸齊上不可食魚無腸  膽及頭無魫勿食 魚不合烏雞肉食
Interpretation

This passage primarily discusses ancient methods for preventing and treating food poisoning, along with dietary taboos. Let me explain each point in detail:

Regarding detoxification methods: Boiling perilla leaves to make three liters of broth can counteract toxins, as can drinking juice extracted from perilla seeds. Crabs caught before the frost season are often poisonous. Other effective antidotes include raw lotus root juice, boiled garlic juice, and winter melon juice.

For pheasant meat poisoning: If someone experiences vomiting and diarrhea after consuming pheasant meat soup, they should take about 7 grams of powdered rhinoceros horn (the "fangcunbi" was an ancient measurement unit) mixed with freshly drawn well water for recovery.

The Tang Dynasty story of Cui Xuan: An official suddenly collapsed at night, and physician Liang Xin diagnosed food poisoning. The servant revealed the man frequently ate bamboo pheasants, which often consume pinellia (a toxic plant), suggesting pinellia poisoning. They pounded ginger juice and pried open the teeth to administer it, successfully reviving him.

The celery poisoning case: During spring and autumn, dragon essence was believed to enter celery, causing "flood dragon disease" with symptoms of blue-tinged hands and unbearable abdominal pain. The treatment involved consuming 2-3 liters of hard candy twice daily until vomiting up several lizard-like creatures.

The Tang eunuch official's story: A returning southern envoy was diagnosed with a flood dragon in his abdomen. He had drunk untreated water when thirsty at Dayu Ridge, noticing abdominal hardness afterward. Physicians administered water boiled with niter and realgar, causing him to vomit a several-inch-long, scaly creature that transformed into a dragon when placed in water.

Dietary prohibitions:

  • Mutton shouldn't be eaten with rooster meat
  • Sheep liver shouldn't be paired with smoked plum or Sichuan pepper
  • Pork shouldn't be combined with sheep liver
  • Beef intestines shouldn't accompany dog meat
  • Chicken shouldn't be eaten with raw leeks
  • Poultry shouldn't be consumed with garlic, plums, or turtle meat
  • Animal livers that don't collect dust when dropped shouldn't be eaten
  • Dried meat that won't dry or cook thoroughly shouldn't be consumed
  • Meat that moves when exposed to water is unsafe
  • Naturally deceased animals with closed mouths are inedible

Fish prohibitions:

  • Fish with white spots connecting head to fins are unsafe
  • Fish lacking intestines/gallbladders or with head bones missing gill covers shouldn't be eaten
  • Fish shouldn't be consumed with black chicken meat

These records reflect ancient empirical knowledge of food safety. While some beliefs may appear unscientific by modern standards, they demonstrate our ancestors' meticulous observations.

 生魚目赤不可作膾 魚勿合小豆藿  青魚鮓不可合生胡荽鱉目凹者不可  食鱉肉不可合雞鴨子及赤莧菜食之   妊娠者不可食鱠魚 雜果菜諸忌  李子不可合雞子及臨水食之五月五  日不可食生菜病人不可食生胡芥菜   妊娠勿食桑椹并鴨子巴豆藿 羹半  夏菖蒲羊肉細辛桔梗忌菜 甘草忌菘  菜 牡丹忌胡荽 常山忌葱 黄連桔  梗忌猪肉 茯苓忌大醋 天門冬忌鯉  魚 附方 食醫心鏡黄帝云食甜瓜竟食塩成霍亂 孫眞人食忌蒼耳合猪肉食害人又云九月  勿食被霜瓜食之令人成反胃病    治卒飲酒大醉諸病方第七十一 大醉恐腹腸爛  作湯於大器中以漬之冷復易 大醉不可安卧常令摇動轉側又當風席地  及水洗飲水最忌於交接也 飲醉頭痛方  刮生竹皮五兩水八升煑取五升去滓然  後合納雞子五枚攪調更煑再沸二三升  服盡 飲後下痢不止  煑龍骨飲之亦可末服 連月飲酒喉咽爛舌上生瘡  擣大麻子一升末黄檗二兩以蜜爲丸服  之 飲酒積熱遂發黄方  雞子七枚苦酒漬之封蜜器中納井底二  宿當取各吞二枚枚漸盡愈 大醉酒連日煩每不堪方  蔓青菜并少米熟煑去滓冷之便飲則良 又方生葛根汁一二升乾葛煑飲亦得 欲使難醉醉則不損人方
Interpretation

On Dietary Prohibitions and Alcohol Consumption:

Regarding food restrictions: Do not prepare raw fish (kuai) from red-eyed live fish, and avoid eating adzuki bean leaves with fish. Salted black carp should not be consumed with raw coriander, and soft-shelled turtles with sunken eyes are inedible. When eating turtle meat, avoid consuming chicken eggs, duck eggs, or red amaranth simultaneously. Pregnant women must abstain from raw fish dishes.

Fruit and vegetable combinations to avoid: Plums should not be eaten with eggs or consumed near water. Refrain from eating raw vegetables on the fifth day of the fifth lunar month. Patients must avoid raw mustard greens, while pregnant women should shun mulberries and duck eggs. Stews made with croton leaves are prohibited. Certain herbal combinations require caution: liquorice conflicts with Chinese cabbage, peony with coriander, dichroa root with scallions, coptis and platycodon with pork, poria with vinegar, and asparagus root with carp.

Remedies for alcohol overconsumption: When severely intoxicated and concerned about gastrointestinal damage, immerse the body in warm water using a large container, replacing cooled water as needed. Avoid lying still after drunkenness—frequent movement is advised, though exposure to wind, sleeping on the ground, cold showers, or immediate water intake must be avoided. Most critically, abstain from sexual activity while intoxicated.

Sobering preparations: For alcohol-induced headaches, boil five liang of fresh bamboo shavings in water, strain the decoction, whisk in five eggs, reboil and consume. Treat post-drinking diarrhea with dragon bone (fossilized bone) decoction or powdered dragon bone. Chronic alcoholics suffering throat ulcers or tongue sores may take hemp seed and phellodendron bark powder mixed with honey into pills.

Preventative and curative measures: To enhance alcohol tolerance while minimizing harm, soak seven eggs in vinegar, seal the container, and submerge it in a well for two days—ingest two eggs per dose. For persistent drunken discomfort, boil shepherd's purse with minimal rice, strain and chill the broth before drinking. Fresh kudzu root juice (1-2 liters) or dried kudzu decoction also proves effective.

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Interpretation

This records several ancient prescriptions for sobering up from alcohol and abstaining from drinking. Take two portions each of cypress seeds (Bai Zi Ren) and hemp seeds (Ma Zi Ren), crush them, and consume the mixture to counteract intoxication—it works even better when taken while drinking.

Another sobering remedy: Dry and grind kudzu flowers (Ge Hua) and adzuki bean flowers (Xiao Dou Hua) into powder, then take three to seven fen (a traditional unit of measure) per dose. For daily prevention, one can drink kudzu root (Ge Gen) soup, loquat leaf (Pi Pa Ye) soup, or brew dried cattail grass (Gan Pu Cao) and hemp seeds (Ma Zi) as a tea substitute—all of which help mitigate alcohol’s harm. Black sesame (Hu Ma) also neutralizes alcohol toxicity. Eating salt before drinking can reportedly double one’s alcohol tolerance.

The Waitai Miyao (Arcane Essentials from the Imperial Library) records a sobering formula: Pick chrysanthemums (Ju Hua) on the Double Ninth Festival, dry them, grind into powder, and take one fangcunbi (an ancient spoon measure) dissolved in water. For quitting alcohol: Burn a donkey foal’s afterbirth (Lü Ju Yi) into ashes and take it with wine. Another method involves burning cormorant droppings (Lu Ci Fen) into ashes and consuming one fangcunbi with warm water.

The Sheng Hui Fang (Imperial Grace Formulary) prescribes: Dry-roast two liang of mandarin orange peel (Gan Pi), grind it, then boil three qian and seven fen of the powder in one bowl of water for three to five boils. Drink it like tea with added salt for best effect. Another recipe calls for two ge of Chinese cabbage seeds (Bai Cai Zi), finely ground, mixed with a bowl of well water, and divided into two doses.

The Qianjin Fang (Thousand Gold Formulary) offers abstinence methods: Add half a liang of cinnabar powder (Zhu Sha) to seven sheng of wine, seal the bottle, and place it in a pigpen for seven days while pigs jostle it. Then drink it all at once. Alternatively: On New Year’s Day, pour five sheng of wine over a mortar and pestle, then collect and drink the runoff. For alcohol-related ailments: Simmer half a sheng each of fermented black beans (Dou Chi) and scallion whites (Cong Bai) in two sheng of water until reduced to one sheng, and consume it in one go.

升頓服 葛仙翁肘後備急方卷之七

Source text: Kanripo 漢籍リポジトリ(KR5g0115); Licence: CC BY-SA 4.0 · Report an error / feedback

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