论曰诸虫在人身中，若腑脏平调，则自安其所，若脏气虚弱，或因食肥甘过度。致动肠
胃间诸虫，其虫往来上攻于心络，则令人心痛，痛有休止，腹中热，喜吐涎出，是蛔心痛也。
宜速疗之。不疗虫贯心，则能杀人。
治虫动心痛，不可忍。胜金丸方
贯众 白僵蚕（炒） 芜荑 干漆（炒烟尽） 槟榔（锉） 桂（去粗皮各一两）
浓朴（去粗皮姜汁炙透） 雷丸（各一两半）
上八味，捣罗为细末，炼蜜丸梧桐子大，每服十五丸，空心食前，温浆水下，初服三五
日，取下诸虫乃效，若虫多，即服药十日以上方验。
治心痛发作，痛有休止，喜涎出，是为蛔虫。温中当归汤方
当归（切焙一两半） 芍药（锉碎微炒三两） 黄芩（去黑心） 朴硝 桔梗（炒） 柴
胡（去
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治蛔厥呕逆心痛。乌梅丸方
乌梅（三百枚） 细辛（去苗叶六两） 干姜（炮十两） 黄连（去须一斤） 当归（切
焙四两）
参黄柏（蜜炙
上一十味，除乌梅外，捣罗为细末，以苦酒渍乌梅一宿，取肉蒸熟捣如泥，和药令相得，
内臼中涂蜜，捣二千下，丸如梧桐子大，食前服十丸，日三，稍加至二十丸。
治虫心痛 刺不可忍。槟榔汤方
槟榔（微煨二枚） 酸石榴皮（微炒三分） 桃符（锉碎一枚） 胡粉（一分）
上四味，粗捣筛，每服二钱匕，水一盏，煎至半盏，又下酒一合，更煎取沸，去滓空心
温服，日晚再服。
治心腹 痛不止。橘皮汤方
陈橘皮（去白焙） 当归（切焙） 细辛（去苗叶各一两） 鹤虱（微炒半两） 甘草
（炙一两）
上六味，粗捣筛，每服三钱匕，水一盏，入生姜半分切，煎至七分，去滓空心温服。日
午临卧各一服，未瘥再服。
治蛔虫心痛喜吐水，冲刺痛不可忍，或不能食，面黄腹满。姜黄汤方
姜黄（一两三分） 芦（锉一两） 鹤虱（微炒一两一分）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，又入酒一合，更煎取沸，空心服，
晚食热饭，即虫下，一服未尽，更服。
治三虫心痛面黄，不下食。木香汤方
木香 槟榔（煨） 陈橘皮（去白焙各三分） 东引石榴根（炙锉一两半） 吴茱萸（水
浸焙
干炒一分） 薏苡根（炙一两）
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，如人行三四里，再服。
治蛔咬心痛。鹤虱饮方
鹤虱（微炒） 苦楝根（有子者良焙各一两） 砂（研如粉一分）
上三味，先以二味粗捣筛，入研药和匀，每服三钱匕，水二盏，同煎至一盏，下朴硝末
一钱，煎沸去滓空心服。
治蛔咬心痛。槟榔散方
槟榔（锉） 蜀椒（去闭口并目炒出汗各半两）
上二味，捣罗为细散，每服二钱匕，米饮调下，空心日晚各一服
治蛔心痛，吴茱萸散方
吴茱萸（水浸一宿焙干炒半两） 鹤虱（微炒一两半）
上二味，捣罗为细散，每服二钱匕，空心温酒调下。
治蛔虫寸白等，心腹 痛。石榴根散方
东引石榴根（二两） 腻粉（一钱） 陈橘皮（去白焙半两） 芍药（锉炒三分） 槟
榔萆
（各一两）
上六味，捣罗为细散，每服二钱匕，空心煎枣汤调服，日晚再服。
治蛔心痛。桔梗散方
桔梗（炒三分） 当归（切焙一两） 芍药（锉炒） 雷丸（各三分） 陈橘皮（去白
焙一两）
人参（三分） 贯众（半两） 槟榔（锉一两半）
上八味，捣罗为细散，每服二钱匕，空心煎姜枣汤调下，日晚再服，渐加至三钱匕。
治诸虫攻心腹 痛。麦 散方
大麦 （炒一两） 鹤虱（炒三分） 白槟榔（锉三分） 陈橘皮（去白焙半两） 糯
米（炒熬
两）
上七味，捣罗为细散，每服三钱匕，空心米饮调下，未几更时呷热姜蜜汤投之。
治蛔心痛。乳香散方
乳香（研一分） 鹤虱（炒三分） 槟榔（锉一两半）
上三味，捣研为细散，每服三钱匕，大麻子汁调下。
治虫兼气心痛。槟榔丸方
槟榔（锉一两半） 陈橘皮（去白焙） 芜荑 牵牛子（炒各一两） 木香（半两）
上五味，捣罗为细末，炼蜜和丸，如小豆大，每服二十丸，橘皮汤下，空心日午临卧、
各一服。
治蛔虫心痛。狗脊丸方
狗脊（去毛一分） 吴茱萸（水浸一宿焙干炒半两） 陈橘皮（去白焙三分） 芜荑（三
分）
上五味，捣罗为细末，炼蜜和丸，如小豆大，每服二十丸，食前橘皮汤下。
治心痛如虫咬。皂荚丸方
皂荚（炙黄去皮子） 杏仁（去皮尖双仁研各一两）
上二味，先捣罗皂荚为末，次与杏仁相和，捣为丸。如小豆大，每服七丸，粥饮下。发
时吃。
治虫咬心痛。干漆汤方
干漆（炒烟尽一两） 胡椒（一分）
上二味，粗捣筛，每服一钱匕，水一盏，入葱白一寸，麝香少许。
煎七分、去滓温服。
Discourse states: Various parasites within the human body, if the zang-fu organs are in a state of harmony and balance, will remain tranquil in their places. However, if the qi of the viscera is deficient, or due to excessive consumption of rich and sweet foods, causing the various parasites in the intestines and stomach to become agitated. These parasites move back and forth, attacking upwards into the heart collaterals, resulting in heart pain. This pain is intermittent, accompanied by heat in the abdomen and a tendency to salivate excessively; this is known as Ascaris heart pain (Hui Xin Tong). It should be treated promptly. If left untreated, the parasites may penetrate the heart, leading to death.
For treating heart pain caused by parasite agitation, which is unbearable: Shengjin Wan Formula (Golden Victory Pill)
Jianzhong (Rhizoma Cyathulae / Cyathula Root), Baijiangcan (Bombyx Batryticatus, fried), Wuyi (Fructus Tsoosapae), Ganqi (Resina Draconis, fried until smoke ceases), Binglang (Arecae Semen, crushed), Guizhi (Ramulus Cinnamomi, bark removed, each 1 liang), Houpo (Cortex Magnoliae Officinalis, bark removed, stir-fried with ginger juice until permeated), Leiwan (Fructus Polyspora Chinensis, each 1.5 liang).
The above eight herbs are pounded and sifted into a fine powder. Honey is refined and used to form pills the size of paulownia seeds. Take 15 pills per dose, on an empty stomach before meals, washed down with warm sour rice water. In the initial three to five days, efficacy is seen when the parasites are expelled. If there are many parasites, continue medication for more than ten days to verify effectiveness.
For treating heart pain attacks with intermittent pain and salivation, indicating Ascaris infection: Wenzhong Danggui Tang (Warm the Middle Decoction with Angelica Sinensis)
Danggui (Radix Angelicae Sinensis, sliced and dried, 1.5 liang), Shaoyao (Radix Paeoniae Alba, crushed and lightly fried, 3 liang), Huangqin (Radix Scutellariae Baicalensis, remove blackened center), Xiaoyan (Natrii Sulfas), Jiegeng (Radix Platycodonis, fried), Chaihu (Radix Bupleuri, remove seedlings and leaves [dosage missing in source text]).
The above seven herbs (note: source text lists fewer than seven distinct items or has omissions) are coarsely pounded and sieved. Take 3 qianbi per dose, with one sheng of water, decoct to 0.7 sheng, strain, and take warm.
For treating Ascaris jue (cold extremities due to parasites), vomiting, counterflow qi, and heart pain: Wu Mei Wan Formula (Mume Pill)
Wumei (Fructus Mume, 300 pieces), Xixin (Herba Asari, remove seedlings and leaves, 6 liang), Ganjiang (Rhizoma Zingiberis Recens, processed, 10 liang), Huanglian (Rhizoma Coptidis, remove stumps, 1 jin), Danggui (Radix Angelicae Sinensis, sliced and dried, 4 liang), Renshen (Radix Ginseng), Huangbai (Cortex Phellodendri, honey-fried [dosage missing]).
The above ten herbs (source text implies ten but lists fewer explicitly or has formatting errors): Except for Wumei, pound and sift the remaining herbs into a fine powder. Soak Wumei in vinegar (Ku Jiu) overnight, take the flesh, steam until cooked, and pound into a paste. Mix with the herb powder until uniform. Place in a mortar, coat with honey, and pound two thousand times. Form pills the size of paulownia seeds. Take 10 pills before meals, three times a day, gradually increasing to 20 pills.
For treating parasite-induced heart pain with unbearable stabbing pain: Binglang Tang (Areca Decoction)
Binglang (Arecae Semen, slightly roasted, 2 pieces), Suan Shiliu Pi (Cortex Granati, slightly fried, 3 fen), Taofu (Peach Kernel/Fructus Persicae? Source says 'Taofu', likely typo for Tao Ren, crushed, 1 piece), Hufen (Cerussa/Lead Carbonate, 1 fen).
The above four herbs are coarsely pounded and sieved. Take 2 qianbi per dose, with one sheng of water, decoct to half a sheng. Add one he of wine, boil again, strain, and take warm on an empty stomach. Take another dose in the evening.
For treating persistent heart and abdominal pain (source text has omission): Jupi Tang (Tangerine Peel Decoction)
Chen Jupi (Pericarpium Citri Reticulatae, remove white pith and dry), Danggui (Radix Angelicae Sinensis, sliced and dry), Xixin (Herba Asari, remove seedlings and leaves, each 1 liang), Leshi (Herba Siegesbeckiae, slightly fried, 0.5 liang), Gancao (Radix Glycyrrhizae Preparata, honey-fried, 1 liang).
The above six herbs are coarsely pounded and sieved. Take 3 qianbi per dose, with one sheng of water, add 0.5 part of sliced fresh ginger, decoct to 0.7 sheng, strain, and take warm on an empty stomach. Take one dose at noon and one before bed. Repeat if not cured.
For treating Ascaris heart pain with tendency to vomit water, stabbing pain unbearable, anorexia, yellow complexion, and abdominal distension: Jianghuang Tang (Curcuma Decoction)
Jianghuang (Rhizoma Curcumae Longae, 1 liang 3 fen), Lu (Reed Stem/Rhizome? Source says 'Lu', likely incomplete, 1 liang), Leshi (Herba Siegesbeckiae, slightly fried, 1 liang 1 fen).
The above three herbs are coarsely pounded and sieved. Take 3 qianbi per dose, with one sheng of water, decoct to 0.7 sheng. Add one he of wine, boil again, and take on an empty stomach. Eat hot rice in the evening to facilitate expulsion of parasites. If one dose is insufficient, take another.
For treating San Chong (Three Parasites) heart pain with yellow complexion and inability to eat: Muxiang Tang (Aucklandia Decoction)
Muxiang (Radix Aucklandiae), Binglang (Arecae Semen, roasted), Chen Jupi (Pericarpium Citri Reticulatae, remove white pith and dry, each 3 fen), Dongyin Shiliugen (Root Bark of Pomegranate from East-facing branch, processed and crushed, 1.5 liang), Wuzhuyu (Fructus Evodiae, soaked in water, dried, stir-fried, 1 fen), Yiyiren Gen (Root of Coix Seed? Source says 'Yiyi Gen', 1 liang).
The above six herbs are coarsely pounded and sieved. Take 3 qianbi per dose, with one sheng of water, decoct to 0.7 sheng, strain, and take warm. Re-administer after walking for about three to four li.
For treating Ascaris biting heart pain: Leshi Yin (Siegesbeckia Drink)
Leshi (Herba Siegesbeckiae, slightly fried), Kulian Gen (Radix Meliae Toosendan, those with seeds are better, dried, each 1 liang), Sha (Sal Ammoniac/Natronum Chloratum? Source says 'Sha', likely Nuoshan or similar, ground to powder, 1 fen).
The above three herbs: First, coarsely sieve the first two, mix with the ground third herb. Take 3 qianbi per dose, with two shengs of water, decoct together to one sheng. Add one qian of powdered Xiaoyan (Natrii Sulfas), boil, strain, and take on an empty stomach.
For treating Ascaris biting heart pain: Binglang San (Areca Powder)
Binglang (Arecae Semen, crushed), Shujiao (Fructus Zanthoxyli, remove closed mouths and eyes, stir-fried to release moisture, each 0.5 liang).
The above two herbs are pounded and sifted into a fine powder. Take 2 qianbi per dose, mixed with rice drink. Take on an empty stomach and in the evening.
For treating Ascaris heart pain: Wuzhuyu San (Evodia Powder)
Wuzhuyu (Fructus Evodiae, soak overnight, dry, stir-fry, 0.5 liang), Leshi (Herba Siegesbeckiae, slightly fried, 1.5 liang).
The above two herbs are pounded and sifted into a fine powder. Take 2 qianbi per dose, mixed with warm wine on an empty stomach.
For treating Ascaris, Taenia (white worms), etc., causing heart and abdominal pain (source text has omission): Shiliugen San (Pomegranate Root Powder)
Dongyin Shiliugen (Root Bark of Pomegranate from East-facing branch, 2 liang), Nifen (Calomel/Hydrargyri Chloridum, 1 qian), Chen Jupi (Pericarpium Citri Reticulatae, remove white pith and dry, 0.5 liang), Shaoyao (Radix Paeoniae Alba, crush and fry, 3 fen), Binglang (Arecae Semen, 1 liang), Bi (Rhizoma Dioscoreae Hypoglaucae? Source says 'Bi', likely Biba/Xiebi, 1 liang).
The above six herbs are pounded and sifted into a fine powder. Take 2 qianbi per dose, mixed with jujube decoction on an empty stomach. Take another dose in the evening.
For treating Ascaris heart pain: Jiegeng San (Platycodon Powder)
Jiegeng (Radix Platycodonis, fried, 3 fen), Danggui (Radix Angelicae Sinensis, sliced and dried, 1 liang), Shaoyao (Radix Paeoniae Alba, crush and fry), Leiwan (Fructus Polyspora Chinensis, each 3 fen), Chen Jupi (Pericarpium Citri Reticulatae, remove white pith and dry, 1 liang), Renshen (Radix Ginseng, 3 fen), Jianzhong (Rhizoma Cyathulae / Cyathula Root, 0.5 liang), Binglang (Arecae Semen, crushed, 1.5 liang).
The above eight herbs are pounded and sifted into a fine powder. Take 2 qianbi per dose, mixed with ginger and jujube decoction on an empty stomach. Take another dose in the evening, gradually increasing to 3 qianbi.
For treating various parasites attacking the heart and abdomen causing pain (source text has omission): Mai San (Barley Powder)
Damai (Hordei Fructus Germinatus, fried, 1 liang), Leshi (Herba Siegesbeckiae, fried, 3 fen), Bai Binglang (Arecae Semen, white variety, crushed, 3 fen), Chen Jupi (Pericarpium Citri Reticulatae, remove white pith and dry, 0.5 liang), Nuomi (Oryza Sativa Glutinosa, fried and roasted [dosage missing]).
The above seven herbs (source text claims seven, lists fewer explicitly) are pounded and sifted into a fine powder. Take 3 qianbi per dose, mixed with rice drink on an empty stomach. Shortly after, drink hot ginger and honey soup to assist.
For treating Ascaris heart pain: Ruxiang San (Frankincense Powder)
Ruxiang (Resina Olibani, ground, 1 fen), Leshi (Herba Siegesbeckiae, fried, 3 fen), Binglang (Arecae Semen, crushed, 1.5 liang).
The above three herbs are pounded and ground into a fine powder. Take 3 qianbi per dose, mixed with juice from Cannabis seeds (Damaizi).
For treating parasite-related heart pain combined with Qi stagnation: Binglang Wan (Areca Pill)
Binglang (Arecae Semen, crushed, 1.5 liang), Chen Jupi (Pericarpium Citri Reticulatae, remove white pith and dry), Wuyi (Fructus Tsoosapae), Qianniu Zi (Semen Pharbitidis, fried, each 1 liang), Muxiang (Radix Aucklandiae, 0.5 liang).
The above five herbs are pounded and sifted into a fine powder. Mix with refined honey to form pills the size of small beans. Take 20 pills per dose, washed down with Tangerine Peel Decoction. Take on an empty stomach, at noon, and before bed.
For treating Ascaris heart pain: Gouji Wan (Cibotium Pill)
Gouji (Rhizoma Cibotii, remove hairs, 1 fen), Wuzhuyu (Fructus Evodiae, soak overnight, dry, stir-fry, 0.5 liang), Chen Jupi (Pericarpium Citri Reticulatae, remove white pith and dry, 3 fen), Wuyi (Fructus Tsoosapae, 3 fen).
The above five herbs (source text lists four main ingredients, possibly implying a fifth or counting differently) are pounded and sifted into a fine powder. Mix with refined honey to form pills the size of small beans. Take 20 pills per dose, before meals, washed down with Tangerine Peel Decoction.
For treating heart pain like insect bites: Zhaojiao Wan (Gleditsia Pill)
Zhaojiao (Fructus Gleditsiae Sinensis, roast until yellow, remove skin and seeds), Xingren (Semen Pruni Armeniacae, remove skin, tips, and double kernels, grind, each 1 liang).
The above two herbs: First, pound Zhaojiao into powder, then mix with Xingren paste, and form pills. Size of small beans. Take 7 pills per dose, washed down with gruel drink. Take during attacks.
For treating insect-bite heart pain: Ganqi Tang (Dragon's Blood Resin Decoction)
Ganqi (Resina Draconis, fried until smoke ceases, 1 liang), Hujiao (Piperis Fructus, 1 fen).
The above two herbs are coarsely pounded and sieved. Take 1 qianbi per dose, with one sheng of water, add one cun of scallion white and a little Mosxiang (Storax/Musk? Source says 'Moxiang', likely Musks). Decoct to 0.7 sheng, strain, and take warm.