论曰寸白虫，乃九虫之一种，状似绢边葫芦子，因脏气虚，风寒湿冷，伏于肠胃，又好
食生脍干肉等，所以变化滋多，难于蠲治，说者谓食牛肉，饮白酒所致，特一端尔，亦未必
皆缘此。
治寸白虫，密陀僧丸方
密陀僧（ 一两） 硫黄（研） 木香（各半两） 附子（一枚生去皮脐别为末）
上四味，先以酽醋一升，煎附子末为膏，次入三味药和丸，如绿豆大，每服二十丸，空
心晚食前，冷茶下，不过数服，虫化为水，永除根本。
治葫芦虫，香附丸方
木香（为末一分） 附子（生去皮脐为末） 硫黄（研各半两）
上三味，先用密陀僧末半两，入醋熬成膏，然后入三味药末，一处和丸，如小豆大，每
服十五丸，温酒下食前服。
治蛔虫寸白虫，槟榔散方
槟榔（锉一两半） 当归（切焙） 鹤虱（各三分） 贯众（锉） 雷丸（炮各半两） 芜
荑仁（
上七味，捣罗为散，每服二钱匕，空心煎枣汤调下，至晚再服，渐加至三钱匕。
治寸白虫，石榴根散方
酸石榴根（东行者去土五两碎锉水二碗煎至一小碗去滓） 槟榔（一颗生锉为末） 腻
粉（
上四味，先取槟榔末等三味，细研令匀，再温石榴根汁调药末，五更顿服，凡欲服药，
侵早先食肥猪肉，次便服药。
治寸白虫，槟榔散方
石榴根（锉） 陈橘皮（汤浸去白焙） 桑根白皮（各一两）
上三味细锉，分作三服，每服水一盏半，煎取一盏，去滓，五更初，调生槟榔末二钱
匕，至天欲明不泻，至晓又一服，如虫母未下再服，或泻不止，吃冷粥止之。
治寸白虫，令人羸瘦，石榴根汤方
酸石榴根（东行者一大握锉） 芜荑（微炒二两） 牵牛子（微炒别捣末半两）
上三味，前二味粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓下牵牛子末半钱匕，
煎沸空心温服，如人行十里再服，以快利虫下为度。
治寸白虫，食榧实方
生榧实（四十九枚去皮）
上一味，于清旦空腹食七枚，七日食尽，其虫即化成水。
治寸白虫，橘皮丸方
陈橘皮（汤浸去白焙干二两） 芜荑仁（炒） 野狼牙（去苗锉各一两半）
上三味，捣罗为末，炼蜜和为剂，更杵令匀，丸如梧桐子大，每服三十丸，食前温浆水
下，日三服。
治寸白虫，槟榔散方
槟榔（锉二两） 陈橘皮（汤浸去白焙） 桑根白皮（锉各三分） 芜荑（炒一分）
上四味，捣罗为散，每服一钱半，浓煎酸石榴根汤调，空腹服，欲服药，隔宿勿食，侵
早先取干脯一片，细嚼咽汁，少顷即服药，至晚虫未下，煮桑白皮汁服之。
治寸白虫，槟榔汤方
槟榔（锉一十四枚） 薤白（细切一盏许） 盐豉（一盏许）
上三味，先将槟榔粗捣筛，与余物各分为三分、煎，每分以水三盏，煎至一盏半，去滓
分三服，隔宿勿食，侵早空心一服，如人行六七里一服，虫未下再服。
治寸白虫，干脯汤方
干脯（一片如手大） 石榴根（东行者一握）
上二味并细锉，以水四片，浸一宿，明日平旦，煎至一升，去滓分三服，空腹先嚼干脯
一片，即服药，如人行十里许，又一服，每服药后，以手按患人腹上，药力易行，其虫自下，
凡服药取月一日至五日以前，虫头向上服良。
治寸白虫，槟榔散方
槟榔（一枚锉） 酸石榴皮（一分锉焙）
上二味，捣罗为散，分作三分，先用二分，以淡猪肉汁调下，五更初服，候半时辰再将
一分服之，实时取下虫，永去根本。
治寸白虫累取不尽，久令人面黄，心中如饥，黑铅散方
黑铅沙子（画家银涂是也）
上一味研极细，每服二大钱匕，五更初肉汁调顿服，至平明取下虫立瘥。
治寸白虫，雷丸散方
雷丸（不拘多少浸软去皮切焙）
上一味，捣为散，每服五更初，先吃炙肉少许，次用药一钱匕，稀粥半盏调服之。
治寸白虫，玉粉散方
定粉（一两）
上一味研细，每服二钱匕，用生麻油调，于五更时顿服，至晚逐下虫，永瘥。
治寸白虫，水银丸方
水银 锡 白 （与上二味结沙子各一分）
上三味熟研，以糯米粥丸如皂子大，每服温酒夜卧，嚼下一丸，次日食前，取下虫母瘥
治寸白虫，槟榔散方
槟榔（如鸡心者一枚为末）
上一味，欲服药，隔宿不吃，晚食放饥睡，先用盐醋等炙杂肉脯一片香熟，次日五更，
令病患空腹嚼脯咽津，却吐出肉，用温米饮调槟榔末一钱匕，顿服即睡，至午前取下虫方可
食，甚者不过再服，月一至初五以前服，尤佳。
治寸白虫，石榴根汤方
酸石榴根（一握） 楝皮（一两） 槟榔（三枚锉捣为末）
上三味，除槟榔末外，各细锉，以水三盏，煎至一盏半，去滓入槟榔末搅匀，分温二
服，空心相断服尽，当有虫出，次煮薤粥补之。
治寸白虫，年月深久，虫类滋蔓者方
锡沙（作银涂者无即以黄丹代油和如梧桐子大） 芜荑仁 槟榔（二物等分为散）
上煎石榴根浓汁半升，调散三钱匕，下五丸，中夜早晨皆可服。
治寸白虫，石榴根汤方
上以酸石榴根东引者一握，细锉，用水半碗，均作三分，煎取二分，更入冷水半盏，同
煎去滓取汁，来日鸡鸣时，将槟榔一颗，用冷熟水磨一分，余二分为末，更入朴硝半钱，同
入研槟榔汁内拌匀，即入前石榴汁内温过，先嚼干脯一片咽汁，少顷顿服此药，八分一盏，
坐良久，待药行后方睡，睡觉腹痛，虫即出。
Discussion: Cunbai Chong (Taenia solium, pork tapeworm) is one of the Nine Worms. Its shape resembles a gourd seed with a silk edge. It arises because of deficiency in Zang-Fu Qi, with Cold, Wind, and Dampness lurking in the intestines and stomach. Additionally, a preference for eating raw meat and dried meat leads to its proliferation and mutation, making it difficult to eradicate. Some say it is caused by eating beef and drinking white wine; this is only one aspect, and not all cases are due to this.
Formula for Mieseng Wan (Lead Monoxide Pill) to treat Cunbai Chong:
Mieseng (Galena, 1 liang), Liuhuang (Sulfur, ground), Muxiang (Aucklandiae Radix, 0.5 liang each), Fuzi (Prepared Aconite Root, 1 piece, raw, skin and umbilicus removed, separately ground into powder).
Take the above four ingredients. First, decoct the Fuzi powder in 1 sheng of strong vinegar until it forms a paste. Then mix in the other three medicines and form pills the size of mung beans. Take 20 pills per dose, on an empty stomach before evening meal, with cold tea. Within a few doses, the worms will dissolve into water, permanently removing the root cause.
Formula for Xiangfu Wan to treat Hulu Chong (Gourd Worm):
Muxiang (Aucklandiae Radix, powdered, 1 fen), Fuzi (Raw Aconite Root, skin and umbilicus removed, powdered), Liuhuang (Sulfur, ground, 0.5 liang each).
Take the above three ingredients. First, take 0.5 liang of Mieseng powder, boil with vinegar to form a paste. Then add the powders of the three medicines, mix well, and form pills the size of adzuki beans. Take 15 pills per dose, before meals with warm wine.
Formula for Binglang San (Areca Seed Powder) to treat Hui Chong (Ascaris lumbricoides) and Cunbai Chong:
Binglang (Arecae Semen, crushed, 1.5 liang), Danggui (Angelicae Sinensis Radix, sliced and roasted), Leshi (Chrysanthemi Indici Herba, 3 qian each), Guanzhong (Cyathulae Rhizoma, crushed), Leiwan (Vermifugus Fructus, processed, 0.5 liang each), Wuyi Ren (Terminalia Chebulae Fructus, dosage missing in original text but implied as part of the seven ingredients).
Pulverize the above seven ingredients into a fine powder. Take 2 qianbi per dose, mixed with jujube soup on an empty stomach. Take again late at night, gradually increasing the dose to 3 qianbi.
Formula for Shiliugen San (Pomegranate Root Bark Powder) to treat Cunbai Chong:
Suan Shiliugen (Acid Pomegranate Root Bark, from east-growing trees, soil removed, 5 liang, crushed, decocted in 2 bowls of water until reduced to 1 small bowl, strained), Binglang (Arecae Semen, 1 piece, raw, crushed into powder), Nifen (Calomelas, dosage missing in original text).
Take the above four ingredients. First, finely grind the Binglang powder and the other two ingredients together. Mix the powder with warm pomegranate root juice. Take once at Wu Geng (3-5 AM). Before taking medicine, eat fatty pork early in the morning, then take the medicine.
Formula for Binglang San (Areca Seed Powder) to treat Cunbai Chong:
Shiliugen (Pomegranate Root Bark, crushed), Chen Jupi (Aged Tangerine Peel, soaked in hot water, white pith removed, roasted), Sanggen Baipi (Morus Albae Cortex, 1 liang each).
Finely crush the above three ingredients and divide into three doses. For each dose, decoct in 1.5 bowls of water until reduced to 1 bowl, strain. At early Wu Geng, mix with 2 qianbi of raw Binglang powder. If no bowel movement occurs by dawn, take another dose in the morning. If the "mother worm" has not been expelled, take again. If diarrhea persists, eat cold congee to stop it.
Decoction of Shiliugen (Pomegranate Root Bark) to treat Cunbai Chong causing emaciation:
Suan Shiliugen (Acid Pomegranate Root Bark, from east-growing trees, a large handful, crushed), Wuyi (Terminalia Chebulae Fructus, lightly roasted, 2 liang), Qianniu Zi (Pharbitidis Semen, lightly roasted, separately ground into powder, 0.5 liang).
Coarsely crush and sieve the first two ingredients. Take 5 qianbi per dose, decoct in 1.5 bowls of water until reduced to 1 bowl, strain. Add 0.5 qianbi of Qianniu Zi powder, boil, and take warm on an empty stomach. Take again after walking about 10 li. The goal is smooth evacuation and expulsion of worms.
Method of eating Fei Shi (Torreya Grandis Seed) to treat Cunbai Chong:
Sheng Feishi (Raw Torreya Grandis Seeds, 49 pieces, peeled).
Eat 7 seeds on an empty stomach early in the morning. Finish them within 7 days. The worms will dissolve into water.
Formula for Jupi Wan (Tangerine Peel Pill) to treat Cunbai Chong:
Chen Jupi (Aged Tangerine Peel, soaked in hot water, white pith removed, roasted, 2 liang), Wuyi Ren (Terminalia Chebulae Fructus, roasted), Yelangya (Potentillae Chinensis Radix, weeds removed, crushed, 1.5 liang each).
Pulverize the above three ingredients into powder. Mix with refined honey to form a mass, pound until uniform, and make pills the size of sophora seeds. Take 30 pills per dose, before meals with warm fermented rice wash. Take three times a day.
Formula for Binglang San (Areca Seed Powder) to treat Cunbai Chong:
Binglang (Arecae Semen, crushed, 2 liang), Chen Jupi (Aged Tangerine Peel, soaked in hot water, white pith removed, roasted), Sanggen Baipi (Morus Albae Cortex, crushed, 3 qian each), Wuyi (Terminalia Chebulae Fructus, roasted, 1 fen).
Pulverize the above four ingredients into powder. Take 1.5 qian per dose, mixed with thickly decocted acid pomegranate root soup. Take on an empty stomach. Do not eat the night before. Early in the morning, chew a piece of dried meat jerky, swallow the juice, wait a moment, then take the medicine. If worms are not passed by evening, decoct Sang Bai Pi (Morus Albae Cortex) juice to drink.
Decoction of Binglang (Areca Seed) to treat Cunbai Chong:
Binglang (Arecae Semen, crushed, 14 pieces), Xiebai (Allii Macrostemonis Bulbus, finely cut, approx. 1 bowl), Yanchi (Salted Soybeans, approx. 1 bowl).
Coarsely crush and sieve the Binglang. Divide the mixture into three parts for decoction. For each part, use 3 bowls of water, decoct until reduced to 1.5 bowls, strain. Divide into three doses. Fast overnight. Take one dose on an empty stomach early in the morning. Take another dose after walking 6-7 li. Take again if worms are not passed.
Decoction of Ganpu (Dried Meat Jerky) to treat Cunbai Chong:
Ganpu (Dried meat jerky, one piece, palm-sized), Shiliugen (Pomegranate Root Bark, from east-growing trees, one handful).
Finely crush both ingredients. Soak in 4 units of water overnight. Next morning, decoct until reduced to 1 sheng, strain, and divide into three doses. Chew one piece of ganpu on an empty stomach, then take the medicine. Take another dose after walking about 10 li. After each dose, press the patient's abdomen with hands to facilitate drug action and worm expulsion. Best taken between the 1st and 5th days of the lunar month, when the worm's head is facing upward.
Formula for Binglang San (Areca Seed Powder) to treat Cunbai Chong:
Binglang (Arecae Semen, 1 piece, crushed), Suan Shilipí (Acid Pomegranate Rind, 1 fen, crushed and roasted).
Pulverize the above two ingredients into powder, divide into three parts. Use two parts first, mixed with lean pork broth, taken at early Wu Geng. Wait half a zhen (one hour), then take the remaining part. Worms will be expelled immediately, permanently removing the root cause.
Formula for Heiqian San (Black Lead Powder) for persistent Cunbai Chong causing yellow complexion and hunger pain:
Heiqian Shazi (Black Lead Sand, used by painters for silver coating).
Grind extremely fine. Take 2 large qianbi per dose, mixed with meat broth at early Wu Geng. Worms will be expelled by dawn, and recovery will be immediate.
Formula for Leiwan San (Vermifugus Powder) to treat Cunbai Chong:
Leiwan (Vermifugus Fructus, any amount, soak until soft, peel, slice, roast).
Pulverize into powder. At early Wu Geng, eat a little roasted meat first, then take 1 qianbi of medicine mixed with half a bowl of thin congee.
Formula for Yufen San (White Powder) to treat Cunbai Chong:
Dingfen (Minium/Red Lead, 1 liang).
Grind fine. Take 2 qianbi per dose, mixed with raw sesame oil. Take once at Wu Geng. Worms will be expelled by evening, leading to permanent cure.
Formula for Shuiyin Wan (Mercury Pill) to treat Cunbai Chong:
Shuiyin (Mercury), Xi (Tin), Bai [Qian] (Lead - implied contextually as "Bai" often refers to lead or mercury alloy in ancient texts, here likely referring to the amalgam). Equal parts (1 fen) of the amalgam formed by these three.
Thoroughly grind the three ingredients. Form pills the size of soapberries using glutinous rice porridge. Chew one pill with warm wine before bed. By next morning before meal, the mother worm will be expelled, and cure achieved.
Formula for Binglang San (Areca Seed Powder) to treat Cunbai Chong:
Binglang (Arecae Semen, heart-shaped, 1 piece, powdered).
Do not eat the night before. Go to sleep hungry after dinner. Roast a piece of mixed meat jerky with salt and vinegar until fragrant. At early Wu Geng next day, have the patient chew the jerky on an empty stomach and swallow saliva, then spit out the meat. Mix 1 qianbi of Binglang powder with warm rice drink, take once, then sleep. Eat only after worms are expelled by mid-morning. Severe cases may require no more than two doses. Best taken between the 1st and 5th days of the lunar month.
Decoction of Shiliugen (Pomegranate Root Bark) to treat Cunbai Chong:
Suan Shiliugen (Acid Pomegranate Root Bark, one handful), Lianpi (Meliae Cortex, 1 liang), Binglang (Arecae Semen, 3 pieces, crushed and powdered).
Finely crush all except the Binglang powder. Decoct in 3 bowls of water until reduced to 1.5 bowls, strain. Add Binglang powder, mix well. Divide into two warm doses. Take on an empty stomach with intervals. Worms should be expelled. Afterwards, decoct Xie Zhou (Scallion Congee) to nourish.
Formula for long-standing Cunbai Chong with extensive infestation:
Xisha (Tin Sand, used for silver coating; if unavailable, use Huangdan/Minium instead), mixed with oil to form pills the size of sophora seeds. Wuyi Ren (Terminalia Chebulae Fructus) and Binglang (Arecae Semen) are equal parts pulverized into powder.
Decoct half a sheng of thick pomegranate root juice. Mix with 3 qianbi of the powder, and swallow 5 pills. Can be taken at midnight or morning.
Decoction of Shiliugen (Pomegranate Root Bark) to treat Cunbai Chong:
Take one handful of east-growing acid pomegranate root, finely crush. Use half a bowl of water, divide into three parts. Decoct to obtain two parts. Add half a bowl of cold water, decoct again, strain, and collect juice. At cockcrow next day, grind one Binglang (Areca Seed) in cold cooked water to get one part juice, leave two parts as powder. Add 0.5 qian of Poxiao (Mirabilite). Mix thoroughly with the Binglang juice, then add to the warm pomegranate juice. Chew a piece of dried jerky and swallow the juice first. Wait a moment, then take the medicine (approx. 0.8 bowl). Sit for a long time, sleep only after the medicine acts. Upon waking, abdominal pain will occur, and worms will be expelled.