委蛇 is the most obscure word in either style covered by this dictionary entry pair. It isn't standard modern Japanese — a native speaker with no classical-literature background would likely not recognize it on sight — and its root sits in Chinese poetic tradition (委蛇, wēiyí), where it describes a winding, meandering quality applied variously to rivers, roads, and a person's unhurried, dignified walk, as well as to snakes themselves. Choosing a technical/literary word this narrow for the opening form of an entire fighting style is a strong authorial signal: where Mist Breathing reaches for waka-poetry vocabulary (八重, 遠霞) that a modern reader can still parse from context, Serpent Breathing's Form One reaches further back, into classical-Chinese-derived vocabulary that functions almost like a specialist's password — fitting for Obanai, a character defined by guardedness and concealment (he fights masked, keeps his eyes hidden, and speaks in clipped, wary sentences).
VIZ's "WINDING SERPENT SLASH!" makes a smart translation call by making the snake explicit — 委蛇 doesn't contain the kanji for "snake" itself (蛇 here functions as part of the fixed loanword, not as an independent "snake" morpheme in quite the same way 長蛇's 蛇 does), but folding "serpent" into the English title reinforces the technique's place within Serpent Breathing for readers who wouldn't catch the classical allusion regardless. That's a defensible trade of etymological precision for immediate legibility, the same trade VIZ makes throughout the Mist Breathing forms.
This occurrence sits in the same climactic multi-Hashira assault on Muzan as several other named techniques (Giyu's Water Breathing Fourth Form appears in the same panel sequence), and the corpus's automated bilingual alignment garbles this stretch of pages — its stored English for this line is a fabricated composite ("...TWIN-HEADED REPTILE") that does not appear anywhere in the real printed volume. The actual VIZ rendering, confirmed by direct visual check one page later in the tankōbon, is "WINDING SERPENT SLASH!" — used here in place of the automated pipeline's incorrect guess.