论
《内经》曰∶肠胃为市，无物不受，无物不包。又曰∶饮食自倍，肠胃乃伤。若夫饮食不能谨节，则朝损暮伤，自
伤成积，积久成热，湿热相生，而诸般奇形之虫，各从五行之气而化生矣，若腐草为萤之类是也。外台秘要所谓九虫者，
皆能食人腑脏。一曰伏虫，长四寸许；二曰蛔虫，长尺许；三曰白虫，长四、五尺余；四曰肉虫，状若烂杏；五曰肺虫，
其状如蚕；六曰胃虫，状如虾蟆；七曰弱虫，又名膈虫，状如瓜瓣；八曰赤虫，状如生肉；九曰蛲虫，状如菜虫，形至
细微。其伏虫，又为诸虫之主也。蛔虫，生发多则贯心，即杀人。白虫，母子相生，其形转大而长，亦能杀人。肉虫，
食人，令人烦满。肺虫，令人咳嗽。胃虫，令人呕吐咳逆喜哕。弱虫，令人多唾。赤虫，令人肠鸣。蛲虫，居广肠，多
则为痔，剧则为癞，因人疮处，以生诸痈疽癣 、 疥龋蚀。若虫之类，无所不为，人亦不必尽有，有亦不必尽多，或
偏有，或偏无，皆能为害者也。凡此诸虫，根据附肠胃之间，若元气尚实，未为大害；稍有虚损，遂能侵蚀，随其虫
动而变生诸病也。若夫膈噎、劳瘵、癞风、蛊胀、狐惑、伤寒等证，无不生虫，又如鼷鼠、应声虫之类，未易悉举，
医者宜于各类推而治之可也。
脉法
脉沉实者生，虚大者死。
尺脉沉而滑者，为寸白虫。
蚀阴肛，脉虚小者生，紧急者死。
《外台》云∶虫脉当沉弱而弦，今反洪大，即知蛔虫甚也。
方法
丹溪曰∶湿热之生虫，脏腑虚则侵蚀。上半月虫头向上，易治；下半月虫头向下，难治（以上二月字，恐并当作日
字，盖虫无半月一转头之理也）。先以蜜或砂糖或炒吃引虫头向上，然后用杀虫药。
腹内热，肠胃虚，虫行求食。上唇有疮曰惑，虫食其脏；下唇有疮曰狐虫食其肛。
（以上丹溪方法凡二条）
治 桃仁汤（活人） 治狐惑唇口生疮，上唇虫食其脏，下蜃虫食其肛。
桃仁 槐子 艾（各五钱） 大枣（十五枚）
上用水二盏半，煎至一盏半，分二服。
雄黄锐散（活人） 治前证
雄黄 青葙子 苦参 黄连（各二钱） 桃仁（一钱）
上为末，捣新艾汁和，捏如小指头大 纳谷道中，治虫食其肛也。
化虫丸（宝鉴） 治诸虫。
鹤虱（去土） 槟榔 苦楝根（东引不出土者） 胡粉（炒，各一两） 明白矾（枯，二钱半）
上为细末，米糊为丸，如梧桐子大，一岁儿服五丸，量人大小加减丸数，温浆水入生麻油三、四点打匀送下，清米
饮亦可，不拘时候。其虫细小者皆化为水，大者自下。
集效丸（宝鉴）
木香 鹤虱（炒） 槟榔 诃子（麸裹煨，去核） 芜荑（炒） 附子（炮，去皮脐） 干姜（各七钱半） 大黄
（一两半） 乌梅（十四个，去核）
上为末，炼蜜丸如麻子大，陈皮汤或醋汤下。
一方，加黄连、黄柏各七钱半。
万应丸（外台）
槟榔（五两） 大黄（八两） 黑丑（四两，以上三味为末） 皂荚（十挺，不蛀者） 苦楝根皮（一斤）
上先以皂荚，苦楝用水二大碗熬成膏，一处搜和药末为丸，如梧桐子大，又以沉香、木香、雷丸各一两为末为衣，
先以沉香衣，次用雷丸衣，又次用木香衣，每服三丸，四更时用砂糖水送下。
一方（外台）用鸡子炒白 尘，酒糊丸服，治寸白虫。
一方（外台）黑铅炒成灰，槟榔末等分和匀，米饮调下。
化虫丸（外台）能化虫为水。
硫黄（一两） 木香（五钱） 密陀僧（三钱） 附子（一枚，炮，另为末）
上先以附子末，醋一盏熬膏，余药研为细末，以附子膏和匀，丸如绿豆大，每服二十丸，荆芥茶清下。
一方（外台）用苦楝根、槟榔、鹤虱三味，浓煎汤饮之。
前胡汤 治脾劳身热，内有白虫在脾为病，令人好呕而胸中咳，呕而不出。
前胡 白术 赤茯苓 细辛 杏仁（去皮尖，另研） 草龙胆 常山（各二钱） 枳实 松萝（各七分） 旋复花
（五分） 竹叶（七片）
上细切，作一服，水二大盏，煎至一盏，去渣温服。如腹中热满闷，加芒硝五分，栀子、黄芩、苦参各五分，加水
煎，忌桃、李、雀肉、醋、生葱、菜等物。
茱萸根汤（外台） 治脾劳热，内有白虫食脾为病，与前证同。
吴茱萸根（东引者，一钱） 火麻子（八钱） 陈皮（一两半）
上三味，细切，水煎服，或下虫或下黄汁。……此方治虫甚验。
五膈下气丸（外台） 治肺劳热瘦损，内有肺虫在肺为病，令人咳逆气喘，或谓忧忿气膈寒热，皆从劳之所生，
名曰膏肓疾，针灸不着。
麦门冬（五两，去心） 蜀椒（炒出汗，一两） 远志肉 附子 干生姜 甘草炙（各五钱） 人参（七钱半） 桂
心（二钱半） 百部 白术 黄 （各七钱半） 细辛（五钱） 杏仁（去皮尖及双仁者，二十四粒）
上为细末，炼蜜丸如弹子大，每服一丸，徐徐噙化咽汁，忌猪肉、冷水、海藻、菘菜、生葱、桃李、雀肉等物。
千金散（外台）疗肾劳热，四肢肿急，蛲虫生于肾中为病。
贯众（三两，炒） 干漆（二两，炒烟尽） 芜荑 胡粉 槐白皮（各一两） 吴茱萸（五十粒） 杏仁（四十五
粒，去皮尖，炒）
上为细末，平旦以井花水调服方寸匕，渐增之，以病瘥止。
三圣饮子（外台） 治劳热生虫，在肺为病。
吴茱萸根（东引者，五两） 野狼牙子（三两） 桑白皮（东引者，一升）
上三味细切，以酒七升，煮取一升半，平旦服尽。
五凤丸（外台） 治肝劳热生长虫在肝为病，令人恐畏不安，眼中赤壅。
乌鸡卵（五枚，去黄） 黄蜡（三两） 干漆（四两，炒烟尽） 粳米粉（半升） 东引吴茱萸根（切三升）
上五味，以茱萸根、干漆杵为细末，和入铜铫中，火炼可丸如小豆大，隔宿勿食，清晨以米饮下一百二十丸，小儿
五十丸，虫即烂尽。
雷公丸（外台） 治心劳发热，心里有长虫名曰蛊虫，长一尺许，贯心即死。
雷丸（炒，五枚） 陈皮（一两二钱半） 贯众 芜荑 青葙子 干漆（炒烟尽，各一两） 僵蚕（十四枚炒） 乱
发（如鸡子大块，瓶内烧存性） 桃仁（去皮尖，另研，一两二钱半）
上为细末，炼蜜丸如小豆大，空心温酒送下二十丸，日三服。（自前胡汤以下七方，治五脏劳虫方也，当与前劳极方
互用。）
广济疗蛔虫方（外台）
槟榔（十枚，细切） 酸石榴根（东引者，切，二升）
上二味，以水七升，煮取二升半，去渣，以粳米煮稀粥，平旦空腹食之，少间虫并死，快利神效。
又治蛔虫方（外台）
用苦楝根生子东引不出土者，刮去外粗皮，取内白皮二两。
上以水三碗，煮取一碗半，去渣，用晚粳米三合煮糜粥，空心先以炒肉一、二片吃，引虫向上，然后进药粥一、二
口、少顷又吃一、二口、渐渐加至一碗或二碗，其虫尽下而愈。
（祖传方）
槟榔丸 治小儿疳病，积气块痛，腹大有虫等证。
三棱（细切，醋炒，五钱） 莪术（细切，醋炒，五钱） 槟榔（一两） 枳实（去穣，麸炒黄色） 陈皮（去白，
各五钱） 芜荑（二钱半） 雷丸（五钱） 鹤虱（三钱，略炒） 干漆（五钱，炒无烟） 木香（三钱，不见火） 良
姜（二钱，陈壁土炒） 砂仁（一钱，去壳） 麦 面（五钱，炒） 胡黄连（三钱，炒） 甘草（炙，三钱） 神曲
（五钱，炒黄色）
上为细末，醋米糊为丸，如绿豆大，每服三、五十丸，空心淡姜汤下。今加使君子肉五钱，尤妙。
又方 治妇人阴蚀疮，阴户中有细虫，其痒不可忍，食入脏腑即死，令人发寒热，与劳证相似。
先用蛇床子煎汤，洗净挹干，敷后药∶
梓树皮（不拘多少）
上焙干为末，入枯矾四分之一，麝香少许，敷之立效。
（医案）
予曾治一妇人，因采桑，见桑有金虫如蚕者，被其毒，谓之金蚕毒，腹中 痛欲死，召予治。予以樟木屑浓煎汤与
之，大吐，吐出有金丝如乱发者一块，腹痛减十分之七、八，又与甘草汤，连进二、三盏而安。
Treatise
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The intestines and stomach are like a marketplace, accepting and encompassing all things. It also says: If food intake doubles, the intestines and stomach will be injured. If dietary habits are not strictly regulated, damage occurs morning by night, self-inflicted injury leads to accumulation (stagnation of food or pathogens), prolonged accumulation generates heat, and damp-heat mutually generate, causing various bizarrely shaped parasites to transform according to the Qi of the Five Phases, similar to how decaying grass transforms into fireflies. The *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies) describes nine types of parasites, all capable of devouring the viscera.
1. Fuchong (Hidden Parasite): approximately four cun long.
2. Huichong (Roundworm): approximately one chi long.
3. Baichong (White Parasite): over four or five chi long.
4. Roucang (Flesh Parasite): resembling rotten apricots.
5. Feichong (Lung Parasite): resembling silkworms.
6. Weichong (Stomach Parasite): resembling toads.
7. Ruochong (Weak Parasite), also known as Gechong (Diaphragm Parasite): resembling melon seeds.
8. Chichong (Red Parasite): resembling raw meat.
9. Nuochong (Pinworm): resembling vegetable worms, extremely minute in form.
Among these, the Fuchong is the leader of all parasites. If Huichong proliferates excessively, it may pierce the heart, leading to death. Baichong reproduces parent-to-offspring, growing larger and longer, also capable of causing death. Roucang devours the body, causing vexation and fullness. Feichong causes coughing. Weichong causes vomiting, retching, and hiccups. Ruochong causes excessive salivation. Chichong causes borborygmus (bowel sounds). Nuochong resides in the large intestine; an excess leads to hemorrhoids, and severe cases lead to leprosy-like conditions; entering wounds can cause various carbuncles, sores, tinea, scabies, dental caries, and erosions. Such parasites act without restraint. Humans do not necessarily have all types, nor do those who have them necessarily have many; having some but not others, or vice versa, can all cause harm. These parasites attach themselves within the intestines and stomach. If the Original Qi (Yuan Qi) is still substantial, they are not a major threat; however, with slight deficiency, they erode the body, generating various diseases depending on their movement. Conditions such as Ge Ye (dysphagia), Lao Zhai (consumptive disease like tuberculosis), Lai Feng (leprosy), Gu Zhang (ascites), Hu Huo (fox-and-hu syndrome involving oral/genital ulcers), and Shang Han (cold damage) all involve parasites. Others, like Xi Shu (field mouse parasite) and Ying Sheng Chong (echoing parasite), are difficult to list exhaustively. Physicians should deduce and treat based on each category.
Pulse Diagnosis
A deep and solid pulse indicates survival; a deficient and large pulse indicates death.
A deep and slippery pulse at the Chi position indicates Cunbai Chong (Tapeworm).
Erosion of the genitals and anus: a deficient and small pulse indicates survival; a tense and urgent pulse indicates death.
The *Waitai* states: The pulse for parasites should be deep, weak, and wiry. If it is instead flooding and large, it indicates severe roundworm infestation.
Methods
Zhu Danxi said: Damp-heat generates parasites, and deficiency of the zang-fu organs allows erosion. In the first half of the month, the worm heads upward, making treatment easier; in the second half, the worm heads downward, making treatment difficult. (Note: The characters "two months" likely refer to "two days," as worms do not turn their heads every half-month.) First, use honey, sugar, or fried foods to guide the worm head upward, then administer anthelmintic herbs.
Heat in the abdomen and deficiency of the intestines and stomach cause worms to move seeking food. Sores on the upper lip are called "Hu" (confusion), where worms eat the viscera; sores on the lower lip are called "Fox Worm," eating the anus.
(Above are two statements from Zhu Danxi regarding methods.)
Formulas
Taoren Tang (Peach Kernel Decoction) [from *Ren Shu*]: Treats Hu Huo syndrome with sores on lips and mouth, where worms eat the viscera (upper lip) and the anus (lower lip).
Ingredients: Taoren (Peach Kernel), Huaizi (Sophora Seed), Ai (Mugwort Leaf) (each 5 qian); Dazao (Jujube) (15 pieces).
Preparation: Decoct in 2.5 cups of water until 1.5 cups remain. Divide into two doses.
Xionghuang Rui San (Realgar Sharp Powder) [from *Ren Shu*]: Treats the above condition.
Ingredients: Xionghuang (Realgar), Qingxiangzi (Celosia Seed), Kushen (Sophora Root), Huanglian (Coptis Rhizome) (each 2 qian); Taoren (Peach Kernel) (1 qian).
Preparation: Grind into powder, mix with fresh Ai juice, shape into pills the size of a little finger, and insert into the anus to treat worms eating the anus.
Huachong Wan (Parasite-Dissolving Pill) [from *Bao Jian*]: Treats various parasites.
Ingredients: Heshi (Nigella Seed) (cleaned of soil), Binglang (Areca Nut), Kuliangenpi (Melia Root Bark) (from east-facing roots not emerging from soil), Hufen (Lead Carbonate) (stir-fried) (each 1 liang); Mingfan (Alum) (calcined) (2.5 qian).
Preparation: Grind into fine powder, bind with rice paste into pills the size of phoenix tree seeds. Infants aged one year take 5 pills; adjust dosage for adults. Take with warm grain water mixed with 3-4 drops of sesame oil, or clear rice drink, at any time. Small parasites dissolve into water; large ones pass naturally.
Jixiao Wan (Effectiveness-Accumulating Pill) [from *Bao Jian*]
Ingredients: Muxiang (Costus Root), Heshi (Nigella Seed) (stir-fried), Binglang (Areca Nut), Hezi (Chebula Fruit) (roasted in bran, pitted), Wuyi (Changium Fruit), Fuzi (Aconite Lateral Root) (processed, skin and umbilicus removed), Ganjiang (Dried Ginger) (each 7.5 qian); Dahuang (Rhubarb Root) (1.5 liang); Wumei (Chinese Olive) (14 pieces, pitted).
Preparation: Grind into powder, bind with refined honey into pills the size of hemp seeds. Take with Chenpi decoction or vinegar decoction.
Alternative formula: Add Huanglian (Coptis Rhizome) and Huangbai (Phellodendron Bark) (each 7.5 qian).
Wanying Wan (Ten-Thousand-Response Pill) [from *Waitai*]
Ingredients: Binglang (Areca Nut) (5 liang), Dahuang (Rhubarb Root) (8 liang), Heiqiu (Black Cassia Seed) (4 liang) (these three ground into powder); Zaojia (Gleditsia Fruit) (10 pods, non-borer); Kuliangenpi (Melia Root Bark) (1 jin).
Preparation: Decoct Zaojia and Kuliangenpi in two large bowls of water until a paste forms. Mix with the powder to form pills the size of phoenix tree seeds. Coat sequentially with powders of Chenxiang (Agarwood), Muxiang (Costus Root), and Leiwan (Omphalia Lapponica) (each 1 liang). Take 3 pills at 4 AM with sugar water.
Alternative [from *Waitai*]: Stir-fry Jizi (Chicken Egg) with Baiji (White Dodder Seed) dust, bind with wine paste, and take to treat tapeworms.
Alternative [from *Waitai*]: Stir-fry Qian (Lead) to ash, mix equally with Binglang powder, and take with rice drink.
Huachong Wan (Parasite-Dissolving Pill) [from *Waitai*]: Dissolves parasites into water.
Ingredients: Liuhuang (Sulfur) (1 liang), Muxiang (Costus Root) (5 qian), Miduoseng (Litharge) (3 qian), Fuzi (Aconite Lateral Root) (1 piece, processed, ground separately).
Preparation: Decoct Fuzi powder in one cup of vinegar to make a paste. Grind remaining herbs into powder, mix with the paste, and form pills the size of mung beans. Take 20 pills with Jingjie tea infusion.
Alternative [from *Waitai*]: Decoct Kuliangen (Melia Root), Binglang (Areca Nut), and Heshi (Nigella Seed) strongly and drink.
Qianhu Tang (Peucedanum Decoction): Treats Spleen Labor with fever, white parasites in the spleen causing illness, frequent vomiting, chest cough, and inability to expectorate.
Ingredients: Qianhu (Peucedanum Radix), Baizhu (Atractylodes Macrocephala Rhizome), Chifuling (Polyporus with Red Sand), Xixin (Asarum), Xingren (Apricot Seed) (skin and tip removed, ground separately), Caolongdan (Gentiana Scabra Root), Changshan ( Dichroa Root) (each 2 qian); Zhishi (Immature Bitter Orange), Songluo (Usnea) (each 0.7 qian); Xuanjinhua (Inula Flower) (0.5 qian); Zhuye (Bamboo Leaf) (7 leaves).
Preparation: Cut finely, decoct in two large cups of water until one cup remains. Strain and take warm. If abdominal heat and fullness occur, add Mangxiao (Mirabilite) (0.5 qian), Zhizi (Gardenia Fruit), Huangqin (Scutellaria Root), and Kushen (Sophora Root) (each 0.5 qian), decoct with water. Avoid peaches, plums, sparrow meat, vinegar, raw green onions, and vegetables.
Zhuyu Gen Tang (Evodia Root Decoction) [from *Waitai*]: Treats Spleen Labor Heat, white parasites eating the spleen, same as above.
Ingredients: Wuzhuyu Gen (Evodia Root) (east-facing, 1 qian), Huomazi (Hemp Seed) (8 qian), Chenpi (Citrus Peel) (1.5 liang).
Preparation: Cut finely, decoct in water. May expel worms or yellow fluid. This formula is very effective for parasites.
Wuge Xiaqi Wan (Five Diaphragms Qi-Descending Pill) [from *Waitai*]: Treats Lung Labor Heat and emaciation, lung parasites in the lungs causing cough, wheezing, and shortness of breath. Also treats emotional stagnation, cold/fever due to labor, known as Gaohuang Disease, unresponsive to acupuncture.
Ingredients: Maimendong (Ophiopogon Tuber) (5 liang, core removed), Shujiao (Sichuan Pepper) (stir-fried to sweat out moisture, 1 liang), Yuanzhi (Polygala Root) flesh, Fuzi (Aconite Lateral Root), Ganjiang (Dried Ginger), Gancao (Licorice Root) (roasted) (each 5 qian); Renshen (Ginseng Root) (7.5 qian); Guixin (Cinnamon Twig Heart) (2.5 qian); Baibu (Stemona Root), Baizhu (Atractylodes Macrocephala Rhizome), Huangqi (Astragalus Root) (each 7.5 qian); Xixin (Asarum) (5 qian); Xingren (Apricot Seed) (24 grains, skin, tip, and double-kernel removed).
Preparation: Grind into fine powder, bind with refined honey into pills the size of marbles. Take one pill at a time, holding in mouth to swallow saliva slowly. Avoid pork, cold water, Haizao (Seaweed), Songcai (Chinese Cabbage), raw green onions, peaches, plums, and sparrow meat.
Qianjin San (Thousand-Gold Powder) [from *Waitai*]: Treats Kidney Labor Heat, swelling and stiffness of limbs, and pinworms born in the kidneys.
Ingredients: Guanzhong (Cyathulae Root) (3 liang, stir-fried), Ganqi (Dry Lacquer) (2 liang, stir-fried until smoke ceases), Wuyi (Changium Fruit), Hufen (Lead Carbonate), Huaibai Pi (Bark of White槐 Tree) (each 1 liang); Wuzhuyu (Evodia Fruit) (50 grains); Xingren (Apricot Seed) (45 grains, skin and tip removed, stir-fried).
Preparation: Grind into powder. Take one fangcunbi (square-inch spoonful) with well water at dawn, gradually increasing until cured.
Sansheng Yinzi (Three-Sages Drink) [from *Waitai*]: Treats labor-heat generating parasites in the lungs.
Ingredients: Wuzhuyu Gen (Evodia Root) (east-facing, 5 liang), Yelangya Zi (Wild Wolf-Tooth Seed) (3 liang), Sangbaipi (Mulberry Root Bark) (east-facing, 1 sheng).
Preparation: Cut finely, boil in seven sheng of wine until one and a half sheng remains. Take all at dawn.
Wufeng Wan (Five-Phoenix Pill) [from *Waitai*]: Treats Liver Labor Heat generating parasites in the liver, causing fear and restlessness, red and congested eyes.
Ingredients: Wuji Lv (Hen Egg) (5 eggs, yolk removed), Huangla (Yellow Beeswax) (3 liang), Ganqi (Dry Lacquer) (4 liang, stir-fried until smoke ceases), Jingmi Fen (Glutinous Rice Flour) (0.5 sheng), Dongyin Wuzhuyu Gen (East-facing Evodia Root) (cut, 3 sheng).
Preparation: Pound Evodia root and Dry Lacquer into fine powder, mix in a copper pot, refine over fire into pills the size of soybeans. Fast overnight. Take 120 pills with rice drink at dawn (50 for children). Parasites rot and pass completely.
Leigong Wan (Lord-Lei Pill) [from *Waitai*]: Treats Heart Labor Fever, long worms called Gu Chong in the heart, about one chi long, piercing the heart causes death.
Ingredients: Leiwan (Omphalia Lapponica) (stir-fried, 5 pieces), Chenpi (Citrus Peel) (1.25 liang), Guanzhong (Cyathulae Root), Wuyi (Changium Fruit), Qingxiangzi (Celosia Seed), Ganqi (Dry Lacquer) (stir-fried until smoke ceases, each 1 liang); Jiangcan (Bombyx Batryticatus) (14 pieces, stir-fried); Luannfa (Human Hair) (chicken-egg sized chunk, burned in bottle to retain nature); Taoren (Peach Kernel) (skin and tip removed, ground separately, 1.25 liang).
Preparation: Grind into powder, bind with refined honey into pills the size of soybeans. Take 20 pills with warm wine on an empty stomach, three times daily. (The following seven formulas treat five-zang labor parasites; use interchangeably with previous Labor Exhaustion formulas.)
Guangji Liaowei Fang (Guangji Roundworm Treatment Formula) [from *Waitai*]
Ingredients: Binglang (Areca Nut) (10 pieces, cut finely), Suan Shiliu Gen (Acid Pomegranate Root) (east-facing, cut, 2 sheng).
Preparation: Decoct in seven sheng of water until two and a half sheng remains. Strain. Cook glutinous rice porridge. Eat at dawn on an empty stomach. Worms die shortly after; purging is miraculous.
Another Formula for Roundworms [from *Waitai*]
Use Kuliangen (Melia Root) producing fruit, east-facing, not emerging from soil. Scrape off outer rough bark, take inner white bark (2 liang).
Decoct in three bowls of water until one and a half bowls remain. Strain. Cook millet porridge with three he of late glutinous rice. On an empty stomach, eat one or two slices of stir-fried meat first to guide worms upward. Then take one or two mouthfuls of medicine porridge, then another one or two mouthfuls later. Gradually increase to one or two bowls. Worms pass completely and cure is achieved.
(Ancestral Formula)
Binglang Wan (Areca Nut Pill): Treats pediatric malnutrition (Gan Disease), qi accumulation, mass pain, abdominal distension with parasites.
Ingredients: Sanleng (Sparganium Rhizome) (cut, vinegar-fried, 5 qian), Ezhu (Curcuma Rhizome) (cut, vinegar-fried, 5 qian), Binglang (Areca Nut) (1 liang), Zhishi (Immature Bitter Orange) (pulp removed, roasted in bran to yellow), Chenpi (Citrus Peel) (white part removed, each 5 qian), Wuyi (Changium Fruit) (2.5 qian), Leiwan (Omphalia Lapponica) (5 qian), Heshi (Nigella Seed) (3 qian, lightly fried), Ganqi (Dry Lacquer) (5 qian, stir-fried without smoke), Muxiang (Costus Root) (3 qian, avoid direct fire), Liangjiang (Galangal Rhizome) (2 qian, fried with old wall earth), Sharen (Amomum Fruit) (1 qian, husk removed), Maifan (Malt Powder) (5 qian, stir-fried), Huhuanglian (Coptis Chinensis var. chinensis) (3 qian, stir-fried), Gancao (Licorice Root) (roasted, 3 qian), Shenqu (Medicated Leaven) (5 qian, stir-fried to yellow).
Preparation: Grind into fine powder, bind with vinegar-rice paste into pills the size of mung beans. Take 30-50 pills with light ginger soup on an empty stomach. Adding Shijunzi (Quisqualis Fruit) pulp (5 qian) is especially good.
Another Formula: Treats female yin erosion sores, fine worms in the vaginal opening causing unbearable itching. If worms enter viscera, death ensues, causing chills and fever, resembling labor disease.
First, wash and dry with Shechuangzi (Cnidium Fruit) decoction. Apply the following:
Zipi (Toona Bark) (any amount).
Dry by baking, grind into powder, add 1/4 Alum, and a little Musk. Apply externally for immediate effect.
Medical Case
I once treated a woman who, while picking mulberry leaves, saw golden worms like silkworms on the mulberry tree. She was poisoned by them, a condition called Jin Can Du (Golden Silkworm Poison). She suffered severe abdominal pain nearly fatal. I prescribed a strong decoction of Zhangmu (Camphor Wood) chips. She vomited violently, expelling a mass resembling golden threads and messy hair. Her abdominal pain decreased by 70-80%. I then gave her Gancao (Licorice) decoction, taken continuously for two or three cups, after which she stabilized.