When summer arrives, more people go out to cool off, and outpatients often come to the clinic with poisonous insect bites, of which centipede bites account for a large percentage. Centipedes often live in dark and damp corners, brick cracks, gutters, rotting wood, bark, and weeds. Mainly living in tropical and subtropical areas, China is mostly seen in the southern region, so centipede bites are more common in Hangzhou. Clinical manifestations: redness, burning, severe pain and other local symptoms; in severe cases, local lymphadenitis and lymph node enlargement, and even local tissue necrosis, the whole body can have fever, headache, nausea, vomiting, etc., and even allergy, shock, etc. occur. Differentiation from venomous snake bites: 1. Different teeth marks: in general, snake bites have larger teeth marks spacing; 2. Different symptoms: in general, snake bites have heavier local and systemic symptoms, and insect bites are lighter; 3. Different bite environments: centipede bites are more often found in dark and humid indoor or field, and snake bites are more often found in mountains, forests, fields, and seashores; 4. Subjective patient judgment can be used as a reference to find venomous insects. Treatment: 1, local treatment: A, with soapy water, with an attractor or cupping method to try to suck out the poisonous juice; B, local application of medical ammonia or baking soda solution to neutralize the acidic poisonous juice released by the centipede, can achieve pain relief and reduce the symptoms of poisoning; C, can be applied externally Ji Desheng snake medicine external, detoxification and pain relief; D, fresh fishy grass or dandelion pounded and compressed on the affected area. 2, systemic treatment: A, the main symptomatic treatment, the application of glucocorticoids; B, anti-allergic treatment, such as paracetamol; C, Chinese medicine treatment is appropriate to clear heat and detoxify, cool blood and disperse blood stasis, to homemade septic combination orally. Prevention: 1, keep the room dry and clean; 2, strengthen protection in the dark and humid environment, avoid wearing slippers and night activities; 3, the dark and humid areas of the home can be sprinkled with lime to prevent centipede crawling.