陈（七岁） 湿伤。脾胃失调。下注小肠。虫从溺窍而出。粪溏完谷。不可温补。（湿热）
黄柏 茯苓 猪苓 槐米 泽泻 萆
又 虫自小便而出。经月泻皆粘腻及不化食物。此非虚寒。皆湿 内蕴。运化失司。当苦药胜
湿兼理幼稚疳积。
黄连 黄柏 茅术 浓朴 泽泻 槐角子 木通 使君子 淡竹叶 三服后续进肥儿丸
龚（七岁） 湿热生虫。腹痛便溏。恶食。
川连 胡连 生白芍 乌梅 枳实 川椒 炒楂 青皮 水法丸。
许 肠有湿热生 虫。用苦寒引导小肠。
苦楝皮 北秦皮 槐角子 胡粉 黄柏 牡蛎 生研末。猪肚肠一条漂洁。煮丸。
张（十三） 丹溪云。小儿盗汗不须医。以体属纯阳。汗乃阳泄故也。至于疮多。湿热浮肿胀满。得攻
下而消。此六腑以通为补也。其少腹痛屡发。亦由湿热生虫生积。当以酸苦泄热。
川连 胡连 生白芍 鸡肫皮 炒楂肉 芦荟 枳实 苦楝皮 乌梅肉捣丸。
汪（十六） 肛漏时肿。泻过白虫。手足阳明热甚。（阳明热）
槐角子 黄柏 榧子肉 生茅术 樗根白皮 小川连
茯苓 炒地榆 蒸饼为丸。
虫类虽多。其源皆由饮食停滞。湿热郁蒸。变化而成者也。凡面色痿黄。饮食不为肌肤。起
伏作痛。聚散不定。痛止即能饮食者。皆有虫积。或从呕。或从小便。或从大便而出。治法当
观其微甚。若虫势骤急者。当用攻逐之剂。如黑丑槟榔大黄胡粉山棱莪术之类。虫去则
调其脾胃。缓者用酸苦泄热燥湿。兼以相制相畏之品。如川连胡连芦荟苦楝乌梅川椒
雷丸芜荑使君榧肉之类。脾弱者兼运其脾。胃滞者兼消其滞。虫症治法。大略如此。（陆履安）
徐评 治虫有缓治之法。其病势甚轻。而日久当用膏丸等药。兼补兼消之。若病势危急者。必
另有峻厉之方。并奇药秘方。可杀虫去积。否则元气消乏。不可补救矣。
Chen (7 years old): Dampness has injured the body. The Spleen and Stomach functions are disordered, with dampness sinking into the Small Intestine, causing parasites to exit from the urethral orifice. Stool is loose and contains undigested food residues; warming and tonification methods must not be used at this time. (Pathogenesis: Damp-Heat)
Prescription: Phellodendri Cortex (Huangbai), Poria (Fuling), Polyporus (Zhuling), Sophorae Flos (Huaimi), Alismatis Rhizoma (Zexie), Dioscoreae Hypoglaucae Rhizoma (Bixie).
Second visit: Parasites are exiting via urine. Diarrhea has persisted for a month, with sticky stools containing undigested food. This is not a Deficiency-Cold syndrome, but rather dampness accumulating internally with impaired transformation and transportation. Bitter medicines should be used to overcome dampness, while simultaneously addressing pediatric malnutrition (Gan accumulation).
Prescription: Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Houpo), Alismatis Rhizoma (Zexie), Sophorae Fructus (Huaijiaozhi), Akebiae Caulis (Mutong), Quisqualis Fructus (Shijunzi), Lophatheri Herba (Dan Zhuye). After three doses, subsequently administer Fei'er Wan (Fat-Nourishing Pill).
Gong (7 years old): Damp-heat generates parasites, causing abdominal pain, loose stools, and aversion to food.
Prescription: Coptidis Rhizoma (Chuanlian), Phellodendri Cortex (Hulian), Raw Paeoniae Radix Alba (Baishao), Mume Fructus (Wumei), Aurantii Fructus Immaturus (Zhishi), Zanthoxyli Pericarpium (Chuanjiao), Fried Crataegi Fructus (Chaozha), Citri Reticulatae Pericarpium (Qingpi). Prepared as water-habit pills.
Xu: Damp-heat in the intestines generates parasites. Use bitter-cold medicines to guide the action into the Small Intestine.
Prescription: Meliae Cortex (Kulianpi), Fraxini Cortex (Beiqinpi), Sophorae Fructus (Huaijiaozhi), Plumbum Subacetatum (Hufen), Phellodendri Cortex (Huangbai), Ostrea Concha (Muli). Pulverized. Take one pig large intestine, clean thoroughly, boil until soft, and mix with the powder to make pills.
Zhang (13 years old): Zhu Danxi stated that nocturnal sweating in children does not require treatment, as children's constitutions are purely Yang, and sweat is the leakage of Yang Qi. Regarding numerous sores, floating and swelling fullness caused by damp-heat can be resolved through purgation. This illustrates the principle that the Six Fu organs benefit from unobstructed flow. Recurrent lower abdominal pain is also due to damp-heat generating parasites and food stagnation. Acid and bitter methods should be used to drain heat.
Prescription: Coptidis Rhizoma (Chuanlian), Phellodendri Cortex (Hulian), Raw Paeoniae Radix Alba (Baishao), Gavis Corneus (Jizhenpi), Fried Crataegi Fructus (Chaozharon), Aloe (Luhui), Aurantii Fructus Immaturus (Zhishi), Meliae Cortex (Kulianpi), Mume Fructus (Wumeirou). Pounded and made into pills.
Wang (16 years old): Anal fistula swells intermittently; white worms are passed during diarrhea. Heat is excessive in the Hand and Foot Yangming meridians. (Pathogenesis: Yangming Heat)
Prescription: Sophorae Fructus (Huaijiaozhi), Phellodendri Cortex (Huangbai), Torreyae Semen (Feizirou), Raw Atractylodis Rhizoma (Cangzhu), Akebiae Caulis (Chugenbaipi), Minor Coptidis Rhizoma (Xiaochuanlian).
Additional: Poria (Fuling), Fried Sanguisorbae Radix (Chaodiyu). Made into pills using steamed wheat bun paste as a binder.
Although there are many types of parasites, their source lies in food stagnation, where damp-heat accumulates and steams, transforming into parasites. Whenever the complexion is sallow, food fails to nourish the muscles, abdominal pain fluctuates irregularly, masses gather and scatter unpredictably, and appetite returns immediately after pain subsides, these indicate parasite accumulation. Parasites may be expelled via vomiting, urine, or stool. Treatment methods should observe the severity. If the parasitic condition is sudden and urgent, purgative agents such as Strychni Semen (Heiqiu), Arecae Semen (Binglang), Rheomi Radix et Rhizoma (Dahuang), Plumbum Subacetatum (Hufen), Bupleuri Radix (Sanleng), and Curcumae Longae Rhizoma (Ezhu) should be used. After the parasites are eliminated, regulate the Spleen and Stomach. For milder cases, use acid and bitter methods to drain heat and dry dampness, combined with mutually restraining or fearing herbs such as Coptidis Rhizoma (Chuanlian), Phellodendri Cortex (Hulian), Aloe (Luhui), Meliae Cortex (Kulian), Mume Fructus (Wumei), Zanthoxyli Pericarpium (Chuanjiao), Wollemiae Semen (Leiwang), Chrysanthemi Indici Flos (Wuyi), Quisqualis Fructus (Shijunzi), and Torreyae Semen (Feirou). For weak Spleens, promote Spleen transportation; for stagnant Stomachs, eliminate stagnation. The general principles for treating parasitic diseases are as above. (Recorded by Lu Lv'an)
Commentary by Xu: There is a slow-treatment method for parasitic diseases. If the pathogenic force is mild but the disease persists for a long time, pastes and pills should be used, combining tonification and elimination. If the pathogenic force is critical, there must be separate potent prescriptions, including miraculous drugs and secret formulas, capable of killing parasites and removing accumulation. Otherwise, the Yuan Qi (Primary Qi) will be depleted and exhausted, making recovery impossible.