论曰小儿有九虫，一曰伏虫，长四分，二曰长虫，一名蛔虫，长一尺，贯心则杀人，三
曰白虫，长一寸，长至四五尺，亦能杀人，四曰肉虫，状如烂杏，令人烦满，五曰肺虫，状
如蚕，令人咳嗽，六曰胃虫，状如虾蟆，令人呕吐喜哕。七曰弱虫，又名鬲虫，令人多唾。
八曰赤虫，状如生肉，令人肠鸣，九曰蛲虫，状如蜗虫，令人下部痒。九虫之中，三虫最甚
，而为病之尤者，莫如蛔，皆由小儿气血不调，腑脏虚弱，或食生冷，或嗜肥甘，胃中气缓
，故生诸虫。居肠胃之间，多则为痔，剧则为癞。或因疮疡，变成痈疽恶疮，又有寸白虫者
，长一寸，色白形小褊，因食生鱼牛腊冷物后饮乳，致生此虫，损人精气，令人心腹痛，若
长及一尺，亦能杀人，凡此诸虫，品类不可悉数。皆可通以化虫药治之，欲知虫证者，凡腹
痛之脉当沉弦，若反洪大者，蛔也，肘外垢聚甚者虫也。
治小儿九虫。贯众丸方
贯众（一两一分去白虫） 芦（三两去长虫） 芜荑（去肉虫） 野狼牙（去胃虫各一
两） 雷
丸（一两半去赤虫） 蜀漆（去蛲虫） 白僵蚕（去弱虫） 浓朴（去粗皮生姜汁炙去肺虫）
石蜜
（去蛔虫各三分）
上九味，捣罗为末。炼白蜜和丸，如麻子大，每服量儿大小加减。四五岁以苦酒浆下五
丸，空腹服之，以知为度，未知稍加至十丸。
治小儿三虫。雷丸散方
雷丸（微煨过） 芎 （各半两）
上二味，捣罗为散。一二岁儿每服半钱匕，五六岁儿一钱匕，用米饮调下，空心服之，
日三。
治小儿蛲虫。桃叶自然汁方
桃叶（一两）
上一味，捣绞取汁，空腹服半合。
又方
苦楝根白皮（半两细锉）
上一味，以水一盏，煎至七分，空腹温服，未瘥再服。
又方
蓄（嫩者一两）
上一味，捣绞取汁，空腹服半合，日再服。
治小儿腑脏虚弱，或因食甘肥，致蛔虫动作攻心腹痛，痛有休止，喜吐涎及清水。此
虫贯心者死，诊其病，但腹中痛者，脉当沉若弦，今反洪大，即是蛔虫， 芦汤方
芦（五两） 黍米（二合）
上二味，粗捣筛。以水五盏，煮取二盏，去滓，每服半合，空心午后各一服，随儿大小
，以意加减。
治小儿蛔虫。使君子散方
使君子 芦荟（研） 干楝皮 槟榔（锉） 芜荑（各三两） 肉豆蔻（去壳） 丁香 苦
参（
各二两） 腻粉（研少许）
上九味，捣罗为散，每服一字匕，空心饭饮调下。
治小儿疳渴，虫动心痛。万安散方
虾蟆 蛇蜕皮 蝉壳（各一分烧）
上三味，捣为散，用麝香半钱同研，每服一字匕，午时温水调下，午后煎柳枝汤洗浴，
用青绵帛子盖之，即虫自出而安。
治小儿疳虫痛，取效。胜金丸方
龙胆 定粉（研） 黄连（去须） 乌梅肉（炒）
上四味等分为末，炼蜜丸如麻子大，每服十丸，米泔下。
治小儿诸虫，但是疳虫并疗。麝香散方
麝香（研一分） 夜明砂（一两）
上二味，研为散，每服半钱匕，葱白汤调下。
治小儿蛔动猝叫如心痛。万金散方
干漆（炒烟出一两） 雄黄（二两）
上二味，捣研为细散，每服半钱匕，油一点，温水调下，量儿大小，以意加减。
治小虫诸虫，定疼痛。抵圣汤方
楝实（大者二两） 白芜荑（半两）
上二味，粗捣筛。每服一钱匕，水一盏，煎取四分，去滓放冷，临发时服。
治小儿诸虫心痛，发歇无时，止痛杀虫。鹤虱散方
鹤虱（炒黄） 槟榔（锉生用） 胡粉（炒黄） 苦楝根皮（锉各一两） 白矾（烧过
一分）
上五味，捣罗三味为散。入白矾胡粉同研匀细，每服米饮下一字匕。
治小儿寸白虫。白芜荑散方
白芜荑（一两半） 野狼牙草（一两） 白蔹（半两）
上三味，捣罗为散。每服一钱匕，以苦酒二合，空腹调下，立瘥。
又方
东行茱萸根皮（四两） 桃白皮（三两）
上二味细锉，以酒一升，浸一宿，去滓。一二岁儿每服半合，三四岁儿一合，空心午
后各一服，量儿大小，以意加减。
治小儿疳蛔动心痛，面伏地卧，口吐清水痰涎。千金散方
白槟榔（锉一钱） 紫楝根（锉） 石榴根皮（锉） 鹤虱（炒令烟出） 芦荟（研各
半两）
上五味，捣研为散。空心热茶调下一钱匕，更看儿大小加减。
治小儿虫痛频发。面青呕吐冷痰。渐至肌瘦。槟榔散方
槟榔（锉一枚） 酸石榴皮（锉） 苦楝根（锉） 陈橘皮（汤浸去白焙各一分）
上四味，捣为散。每服半钱匕，米饮调下，食前服。
治小儿虫痛不可忍。化虫散方
白丁香（一钱） 槟榔（锉一枚） 雷丸（一钱）
上三味，捣为细散，每服一字，或半钱匕，米饮调下，奶食后服。
治小儿诸虫，大啼时作心腹痛。白藓皮丸方
白藓皮 苦楝根 鹤虱（炒） 青橘皮（汤浸去白焙各半两） 定粉锻石（各一分）
上六味，捣为细末，面糊和丸，如绿豆大，每服十丸，煎使君子汤下，不拘时。
治小儿虫动心腹痛。滴金丸方
雄黄（半两） 白矾（三钱） 麝香（半钱）
上三味，捣研为末，粟米饭和丸，如麻子大，每服五丸，煎苦楝汤下。
治小儿诸虫心痛方
干漆（烧烟出三分） 雄黄（研半两） 麝香（研一钱匕）
上三味，捣研为散。每服一钱匕，煎苦楝汤调下，不计时候，量儿大小加减。
治小儿胃虚虫动。赤石脂丸方
赤石脂（细研二钱） 肉豆蔻（烧存性一枚） 橡实（五枚） 莨菪子（淘去浮者满五
橡实中）
上四味，将橡实并莨菪一处，炒令黑色，与赤石脂豆蔻同捣罗为末。入蟾酥少许，用面
糊和丸，如黄米大，每服五丸，米饮下，虫痛煎苦楝根汤下，小儿泄泻，频服良。
治小儿寒气伤脾虫痛，泻青黑色，减乳食。化虫丸方
木香（一分） 槟榔（炮二枚） 胡粉 苦楝根 鹤虱（炒各二分）
上五味为细末，面糊丸如麻子大，一二岁每服十丸，温粥饮下，日二，瘥即止。
治小儿疳虫腹痛。干漆散方
干漆（炒烟出一钱） 使君子（取肉十四枚） 楝木皮（东边皮浓者曝干去粗皮一两） 芜
荑
（一钱半）
上四味，捣为散。每服半钱匕，量儿大小加减，砂糖熟水调下。
治小儿疳虫， 刺腹痛。化虫丸方
芜荑（一分） 槟榔（锉二钱） 鹤虱（炒半两）
上三味为末， 猪胆丸如麻子大，每服五丸，量儿大小加减。
治小儿虫痛。楝实散方
楝实 鸡粪（等分）
上二味为散，每服半钱匕，冷水调下。
治小儿虫痛，面好伏地，口吐清水。鹤虱散方
鹤虱（炒） 苦楝根（各一分） 槟榔（锉一枚） 牵牛子（炒一分） 使君子（去皮
十枚）
上五味，捣为细散。每服半钱匕，米饮调下。
治小儿胃虚虫动吐逆。干漆散方
干漆（烧出烟一两）
上一味，捣罗为散。每服半钱匕，煎葱白汤调下，立效。
It is stated that children have nine types of parasites: the first is called Fuchong (Hidden Worm), measuring four fen in length; the second is called Changchong (Long Worm), also known as Hui Chong (Roundworm/Ascaris), measuring one chi in length, which can be fatal if it penetrates the heart; the third is called Baichong (White Worm), measuring one cun in length, which can grow to four or five chi and is also fatal; the fourth is called Rou Chong (Flesh Worm), resembling rotten apricots, causing irritability and abdominal fullness; the fifth is called Fei Chong (Lung Worm), resembling silkworms, causing coughing; the sixth is called Wei Chong (Stomach Worm), resembling a toad, causing vomiting and frequent hiccups; the seventh is called Ruo Chong (Weak Worm), also known as Ge Chong (Diaphragm Worm), causing excessive salivation; the eighth is called Chi Chong (Red Worm), resembling raw meat, causing borborygmus (intestinal rumbling); the ninth is called Tao Chong (Pinworm), resembling snail worms, causing anal itching. Among the nine worms, three are particularly severe, with Hui Chong (Roundworm) being the most pathogenic. These arise from irregular Qi and Blood in children, weakness of the Zang-Fu organs, consumption of cold/raw foods, or preference for rich and sweet foods, leading to relaxed Stomach Qi and the generation of various parasites. They reside between the intestines and stomach; an abundance leads to hemorrhoids, while severity leads to leprosy-like conditions. Sometimes, due to sores, they transform into carbuncles, ulcers, and malignant sores. There is also Cunbai Chong (Tapeworm), measuring one cun, white in color, small and flat in shape, caused by consuming raw fish, dried beef, or cold foods followed by milk, which damages Essence and Qi, causing heart and abdominal pain; if it grows to one chi, it can also be fatal. The varieties of these parasites cannot be exhaustively listed. They can generally be treated with vermifuge medicines. To diagnose parasitic infection, the pulse for abdominal pain should be Chen (Deep) and Xian (Wiry); if it is instead Hongda (Surging and Large), it indicates Roundworm; significant accumulation of dirt on the outer elbow suggests the presence of parasites.
Treatment for Nine Parasites in Children. Guanzhong Wan Formula
Guanzhong (Cyathulae Radix, 1 liang 1 fen, remove white part to eliminate Baichong)
Lu (Arisaema Cum Bile, 3 liang, to eliminate Changchong)
Wuyi (Chrysanthemi Fructus, to eliminate Rou Chong)
Yelangya (Sarcandrae Herba, to eliminate Wei Chong, each 1 liang)
Leiwan (Ovum Viperis, 1.5 liang, to eliminate Chi Chong)
Shuqi (Perillae Caulis, to eliminate Tao Chong)
Baijiangcan (Bombyx Batryticatus, to eliminate Ruo Chong)
Noupu (Magnoliae Officinalis Cortex, remove rough bark, process with Ginger Juice to eliminate Fei Chong)
Shimi (Saccharum Sinense, to eliminate Hui Chong, each 3 fen)
Crush and sieve the above nine ingredients into powder. Mix with refined white honey to form pills the size of hemp seeds. Dosage varies by age. For children aged 4-5, administer 5 pills with vinegar juice on an empty stomach. Efficacy is the guide; if ineffective, increase slightly to 10 pills.
Treatment for Three Parasites in Children. Leiwan San Formula
Leiwan (Ovum Viperis, lightly roasted)
Xiong (Ligustici Chuanxiong Rhizoma, each 0.5 liang)
Crush and sieve the above two ingredients into powder. For children aged 1-2, administer half a qian bi; for ages 5-6, administer one qian bi. Mix with rice water and take on an empty stomach, three times daily.
Treatment for Pinworms in Children. Taoye Natural Juice Formula
Taoye (Persicae Folium, 1 liang)
Crush and squeeze the above ingredient to obtain juice. Take half he on an empty stomach.
Another Prescription
Kulian Gen Baipi (Meliae Cortex, 0.5 liang, finely sliced)
Boil the above ingredient in one sheng of water until reduced to seven-tenths. Take warm on an empty stomach. Repeat if not cured.
Another Prescription
Xu (Polygoni Avicularis Herba, tender parts 1 liang)
Crush and squeeze the above ingredient to obtain juice. Take half he on an empty stomach, twice daily.
Treatment for Weakness of Zang-Fu Organs in Children, where consumption of sweet/fatty foods causes Roundworm activity attacking the heart, resulting in intermittent abdominal pain, preference for spitting saliva and clear water. If this worm penetrates the heart, death ensues. Diagnosis: Abdominal pain alone suggests a Chen (Deep) or Xian (Wiry) pulse. If the pulse is instead Hongda (Surging and Large), it confirms Roundworm. Lu Tang Decoction
Lu (Arisaema Cum Bile, 5 liang)
Shumi (Panicomi Semen, 2 he)
Coarsely crush and sieve the above two ingredients. Boil in five zhan of water until two zhan remain. Strain. Take half he per dose, once on an empty stomach and once in the afternoon. Adjust dosage according to age.
Treatment for Roundworm in Children. Shijunzi San Formula
Shijunzi (Quisqualis Fructus)
Luhui (Aloe)
Ganlianpi (Meliae Cortex, dried)
Binglang (Arecae Semen, sliced)
Wuyi (Chrysanthemi Fructus, each 3 liang)
Roudoukou (Myristicae Semen, shell removed)
Dingxiang (Caryophylli Flos)
Kushen (Sophorae Flavescentis Radix, each 2 liang)
Nifen (Calomel, finely ground, small amount)
Crush and sieve the above nine ingredients into powder. Take one zi bi per dose, mixed with rice drink on an empty stomach.
Treatment for Gan Syndrome Thirst and Heart Pain caused by Worm Activity. Wan'an San Formula
Xiam (Bufo Bufo)
Shetupi (Serpentis Dermis)
Chanqiao (Cicadae Periostracum, each 1 fen, calcined)
Grind the above three ingredients into powder. Add She Xiang (Moschus, 0.5 qian) and grind together. Take one zi bi per dose at noon with warm water. In the afternoon, bathe in Willow Branch Decoction and cover with green cotton cloth; the worms will exit and peace will return.
Treatment for Gan Syndrome Worm Pain. Shengjin Wan Formula
Longdan (Gentianae Radix)
Dingfen (Minii Carbonas)
Huanglian (Coptidis Rhizoma, remove stamens)
Wumei Rou (Mume Fructus pulp, stir-fried)
Grind the above four ingredients into equal parts powder. Mix with refined honey to form pills the size of hemp seeds. Take 10 pills per dose with rice wash water.
Treatment for All Parasites in Children, specifically Gan Syndrome Worms. Shexiang San Formula
She Xiang (Moschus, ground, 1 fen)
Yeming Sha (Faecalis Noctuae, 1 liang)
Grind the above two ingredients into powder. Take half a qian bi per dose, mixed with Scallion White Decoction.
Treatment for Sudden Crying like Heart Pain due to Roundworm Activity. Wanjing San Formula
Ganqi (Resina Draconis, stir-fried until smoke emerges, 1 liang)
Xionghuang (Realgar, 2 liang)
Grind the above two ingredients into fine powder. Take half a qian bi per dose with a drop of oil and warm water. Adjust dosage according to age.
Treatment for Small and Various Parasites to Stop Pain. Disheng Tang Decoction
Lianshi (Fructus Meliae Toosendan, large ones 2 liang)
Bai Wuyi (Chrysanthemi Fructus, 0.5 liang)
Coarsely crush and sieve the above two ingredients. Take one qian bi per dose, boil in one sheng of water until reduced to four-tenths. Strain, cool, and take at onset of symptoms.
Treatment for Heart Pain from Various Parasites in Children, occurring intermittently, to stop pain and kill worms. Heshi San Formula
Heshi (Saracothrips Asiaticus, stir-fried yellow)
Binglang (Arecae Semen, sliced, raw)
Hufen (Lead Carbonate, stir-fried yellow)
Kulian Genpi (Meliae Cortex, sliced, each 1 liang)
Baifan (Alumen, calcined, 1 fen)
Crush and sieve three of the five ingredients into powder. Mix evenly with Baifan and Hufen. Take one zi bi per dose with rice water.
Treatment for Cunbai Chong (Tapeworm) in Children. Bai Wuyi San Formula
Bai Wuyi (Chrysanthemi Fructus, 1.5 liang)
Yelangya Cao (Sarcandrae Herba, 1 liang)
Bailian (Pseudostellariae Radix, 0.5 liang)
Crush and sieve the above three ingredients into powder. Take one qian bi per dose, mixed with two he of vinegar on an empty stomach. Cure immediately.
Another Prescription
Dongxing Zhuyu Genpi (Corni Fructus Root Bark growing eastward, 4 liang)
Tao Baipi (Pruni Persicae Cortex albus, 3 liang)
Finely slice the above two ingredients. Soak in one sheng of wine overnight. Strain. For children aged 1-2, take half he; for ages 3-4, take one he. Take on an empty stomach and in the afternoon. Adjust dosage according to age.
Treatment for Gan Syndrome Roundworm Activity Causing Heart Pain, Face Down Lying, Spitting Clear Water and Phlegm. Qianjin San Formula
Bai Binglang (Arecae Semen, sliced, 1 qian)
Zi Lian Gen (Meliae Radix, sliced)
Shiliu Genpi (Punicae Granati Cortex, sliced)
Heshi (Saracothrips Asiaticus, stir-fried until smoke emerges)
Luhui (Aloe, ground, each 0.5 liang)
Grind the above five ingredients into powder. Take one qian bi per dose with hot tea on an empty stomach. Adjust based on age.
Treatment for Frequent Worm Pain in Children. Cyan Complexion, Vomiting Cold Phlegm. Gradual Emaciation. Binglang San Formula
Binglang (Arecae Semen, sliced, one piece)
Suan Shiliu Pi (Punicae Granati Cortex acid, sliced)
Kulian Gen (Meliae Radix, sliced)
Chen Jupi (Citri Reticulatae Pericarpium, soaked in water, remove white pith, dried, each 1 fen)
Crush the above four ingredients into powder. Take half a qian bi per dose, mixed with rice water. Take before meals.
Treatment for Unbearable Worm Pain in Children. Huachong San Formula
Bai Dingxiang (Vermis Fermented, 1 qian)
Binglang (Arecae Semen, sliced, one piece)
Leiwan (Ovum Viperis, 1 qian)
Grind the above three ingredients into fine powder. Take one zi bi, or half a qian bi, mixed with rice water. Take after milk/food intake.
Treatment for Various Parasites in Children, Heart and Abdominal Pain during Loud Crying. Baixianpi Wan Formula
Baixianpi (Dictamni Radix)
Kulian Gen (Meliae Radix)
Heshi (Saracothrips Asiaticus, stir-fried)
Qing Jupi (Citri Reticulatae Pericarpium viride, soaked in water, remove white pith, dried, each 0.5 liang)
Dingfen (Minii Carbonas) Duan Shi (Lepidocrocitum, each 1 fen)
Grind the above six ingredients into fine powder. Mix with flour paste to form pills the size of mung beans. Take 10 pills per dose with Quisqualis Decoction. Time is not restricted.
Treatment for Worm Activity Causing Heart and Abdominal Pain in Children. Dijin Wan Formula
Xionghuang (Realgar, 0.5 liang)
Baifan (Alumen, 3 qian)
She Xiang (Moschus, 0.5 qian)
Grind the above three ingredients into powder. Mix with millet rice to form pills the size of hemp seeds. Take 5 pills per dose with Melia Decoction.
Treatment for Heart Pain from Various Parasites in Children.
Ganqi (Resina Draconis, burned until smoke emerges, 3 fen)
Xionghuang (Realgar, ground, 0.5 liang)
She Xiang (Moschus, ground, 1 zi bi)
Grind the above three ingredients into powder. Take one qian bi per dose, mixed with Melia Decoction. Time is not restricted. Adjust dosage according to age.
Treatment for Stomach Deficiency and Worm Activity in Children. Chishizhi Wan Formula
Chishizhi (Halloysit Rubrum, finely ground, 2 qian)
Roudoukou (Myristicae Semen, roasted to retain properties, one piece)
Xiangshi (Castaneae Semen, five pieces)
Langdazi (Daturae Semen, rinse away floating ones, fill five Xiangshi cavities)
Place Xiangshi and Langdazi together, roast until black. Grind together with Chishizhi and Roudoukou into powder. Add a small amount of Chan Su (Toad Venom). Mix with flour paste to form pills the size of broomcorn millet. Take 5 pills per dose with rice water. For worm pain, use Melia Root Decoction. For pediatric diarrhea, frequent administration is effective.
Treatment for Cold Damage to Spleen Causing Worm Pain, Black/Green Diarrhea, Reduced Milk Intake in Children. Huachong Wan Formula
Muxiang (Aucklandiae Radix, 1 fen)
Binglang (Arecae Semen, processed, two pieces)
Hufen (Lead Carbonate)
Kulian Gen (Meliae Radix)
Heshi (Saracothrips Asiaticus, stir-fried, each 2 fen)
Grind the above five ingredients into fine powder. Form pills with flour paste the size of hemp seeds. For ages 1-2, take 10 pills per dose with warm porridge drink. Twice daily. Stop when cured.
Treatment for Gan Syndrome Worm Abdominal Pain. Ganqi San Formula
Ganqi (Resina Draconis, stir-fried until smoke emerges, 1 qian)
Shijunzi (Quisqualis Fructus, flesh, 14 pieces)
Lian Mupi (Meliae Cortex, thick bark from eastern side, dried, coarse bark removed, 1 liang)
Wuyi (Chrysanthemi Fructus, 1.5 qian)
Crush the above four ingredients into powder. Take half a qian bi per dose. Adjust according to age. Mix with sugar water.
Treatment for Gan Syndrome Worms Causing Piercing Abdominal Pain. Huachong Wan Formula
Wuyi (Chrysanthemi Fructus, 1 fen)
Binglang (Arecae Semen, sliced, 2 qian)
Heshi (Saracothrips Asiaticus, stir-fried, 0.5 liang)
Grind the above three ingredients into powder. Form pills with Pig Bile the size of hemp seeds. Take 5 pills per dose. Adjust according to age.
Treatment for Worm Pain in Children. Lianshi San Formula
Lianshi (Fructus Meliae Toosendan)
Jifen (Galli Feces, equal parts)
Grind the above two ingredients into powder. Take half a qian bi per dose, mixed with cold water.
Treatment for Worm Pain in Children, Prefacing Ground Lying, Spitting Clear Water. Heshi San Formula
Heshi (Saracothrips Asiaticus, stir-fried)
Kulian Gen (Meliae Radix, each 1 fen)
Binglang (Arecae Semen, sliced, one piece)
Qianniuzi (Pharbitidis Semen, stir-fried, 1 fen)
Shijunzi (Quisqualis Fructus, peeled, 10 pieces)
Grind the above five ingredients into fine powder. Take half a qian bi per dose, mixed with rice water.
Treatment for Stomach Deficiency and Worm Activity Causing Vomiting in Children. Ganqi San Formula
Ganqi (Resina Draconis, burned until smoke emerges, 1 liang)
Crush and sieve the above ingredient into powder. Take half a qian bi per dose, mixed with Scallion White Decoction. Immediate effect.