论曰蛔即九虫叙所谓长虫者，今此析而治之，盖较之它虫，害人为多，观其发作冷气，
脐腹撮痛，变为呕逆，以至心中痛甚如锥刺，昔人谓蛔厥贯心能杀人，则所以治之，不可缓
也。
治蛔虫，贯众散方
贯众（去须一两） 槟榔（炮锉三两） 当归（切焙一两半） 鹤虱（去土微炒一两） 白
芜荑
（微炒） 陈橘皮（汤去白炒各一两半） 雷丸（炮一两）
上七味，捣罗为散，每服一钱半，煎大枣汤，空心调服，以利为度。
治蛔虫心痛，心中如锥刺，时吐白虫，当归汤方
当归（切焙一两） 桔梗（锉炒一两半） 陈橘皮（去白微炒） 桂（去粗皮） 人参
（各半两）
分）
上九味，除朴硝外，粗捣筛，入朴硝拌匀，每服三钱匕，水一盏，煎至七分，去滓空心
服，后半时辰再服。
治蛔虫痛发作，冷气先从两肋，连胸背撮痛，欲变吐逆，当归散方
当归（切焙） 鹤虱（去土微炒各二两） 陈橘皮（去白微炒） 人参（各一两半） 槟
榔（炮
上八味，捣罗为散，每服二钱匕，空心煎枣汤调下，至晚再服。
治九种心痛，虫痛为先，雷丸散方
雷丸（炮一两） 贯众（去须一两半） 野狼牙（去芦头并土锉一两） 当归（切焙一两
半） 槟
榔（炮锉一两） 桂（去粗皮一两半） 鹤虱（去土炒一两） 陈橘皮（去白炒一两）
上八味，捣罗为散，每服二钱匕，空心煎粟米饮调下，晚食前再服，以大下蛔虫为度。
治虫心痛，柴胡汤方
柴胡（去苗一两半） 当归（切焙） 食茱萸（去枝茎各一两） 芍药（一两半） 浓
朴（去粗
上七味，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓食前温服，日三。
治蛔虫攻心痛，桔梗散方
桔梗（锉炒） 当归（切焙） 芍药（各三分） 橘皮（去白微炒半两） 槟榔（煨锉）
鹤虱（
上七味，捣罗为散，每服二钱匕，空心煎生姜枣汤调下，至晚再服。
治蛔虫心痛，桑根白皮汤方
桑根白皮（细锉三两） 醋石榴皮（干者一两） 白芜荑（微炒） 槟榔（炮锉） 浓
朴（去干
上五味，粗捣筛，每服三钱匕，水一盏，入生姜一小块拍破，同煎至六分，去滓空心服，
至晚再服。
治蛔虫心痛，腹中 刺，痛不可忍，往往吐醋水，石榴皮汤方
酸石榴皮（三分） 槟榔（炮锉一分） 桃符（一两半碎锉分为五度用） 胡粉（一分
微炒别
上四味，先粗捣筛前二味，后以胡粉拌匀，分为五服煎，每服水一盏，入桃符一分，酒
半盏，同煎至七分，去滓空心温服，至晚再服。
治蛔虫发作，萆 散方
萆 （锉炒） 白芜荑（微炒） 狗脊（去毛锉各一分）
上三味，捣罗为散，每服二钱匕，温酒调下，欲服药，先隔宿吃牛肉干脯一片，次日空
心服药，虫下即瘥。
治疳蛔寸白蛔虫等发作，心腹 痛，鹤虱散方
鹤虱（去土微炒三分） 槟榔（炮锉一两二分） 楝根皮（结子东南引者以锻石如拳大
水两
半生用一半
上七味，捣罗为散，每服二钱匕，空腹煎粟米饮调下，如未转泻，即更服，仍时时煎姜
蜜汤热投之。
治大人及小儿疳蛔，腹中虚胀，面目萎黄，麝香散方
麝香（别研一分） 干蚯蚓（慢火炙黄半两） 干虾蟆（一枚涂酥炙黄赤色净剔去骨并
腹中
上三味，先捣蚯蚓等，细罗为散，与麝香同研令匀细，每服一钱匕，空腹煎薏苡根汤调
下。
治虫蚀下部痒，谷道中生疮，阿胶汤方
阿胶（炙燥） 当归（切焙） 青葙子（炒各一两）
上三味，粗捣筛，每服五钱匕，水一盏半，入艾叶十余片，同煎至一盏，去滓空腹服，
午食前近晚各一。
治蛔虫，高良姜汤方
高良姜（锉一分） 苦楝根皮（干者锉二两） 胡椒（三十粒）
上三味，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓空心服，服讫卧少时，未得吃
食，或吐或泻即瘥。
治蛔虫懊 ， 芦散方
芦（炙黄碎锉） 干漆（捣碎炒令烟绝各二两） 蓄（去根及土干者三分）
上三味，捣罗为散，每服一钱匕，煎粟米饮调，食前服，日三。
治蛔虫蛲虫在胃，令人渐渐羸瘦，漆煎丸方
清漆（绵滤过） 白蜜 清酒（各半升）
上三味，同搅令匀，内于铜锅中，微火煎常令沸，不住手搅，候如膏可丸即止，丸如雀
卵大，每服一丸，隔宿不食，空心温酒化破服之，虫即下，不下再服，亦可丸如梧桐子大，
空心酒下二十丸。
治蛔虫，薏苡根汤方
薏苡根（一握去土碎锉）
上一味，粗捣筛，水三盏，煎至一盏半，去滓分二服，空心先吃饧少许，然后温服。
治蛔虫，槟榔煎方
槟榔（炮锉五枚） 酸石榴根皮（入土五寸东引者去土细锉一升）
上二味，先将槟榔粗捣，与石榴根各均分作三度用，每度用水二升半，煎至一升半。
绞去滓，入粟米一合，煮如粥，平旦空心顿吃，利下虫即效。
治蛔虫蚕蛹汁方
蚕蛹
上取缲丝蚕蛹两合烂研，生布绞取汁，空心顿饮之，非缲丝时，即须根据时收取蚕蛹，曝
干捣罗为末，用时以意斟酌多少，和粥饮服之。
治大便忽见虫，是腹中虫已多，宜服桑根白皮汤方
桑根白皮（细锉二两）
上一味，粗捣筛，分三服，每服用水一盏半，煎至八分，去滓空腹顿服。
Commentary states: Ascaris (roundworm) is the "long worm" mentioned in the *Narrative of Nine Parasites*. It is now treated separately because, compared to other parasites, it causes greater harm to humans. Observing its attacks involving a sensation of cold qi, cramping pain in the umbilical and abdominal regions, progressing to vomiting and regurgitation, and even severe heart pain like needle pricking, ancients stated that "Ascaris Jue penetrating the heart" can be fatal; therefore, its treatment cannot be delayed.
**Guanyong San (Copris Powder) for Treating Ascaris**
*Ingredients:* Guanyong (Copris, removed roots, 1 liang), Binglang (Areca Seed, processed and crushed, 3 liang), Danggui (Angelicae Radix, sliced and dried, 1.5 liang), Heshi (Chrysanthemi Indici Fructus, cleaned of soil, slightly fried, 1 liang), Bai Wuyi (Trogopterori Excrement, slightly fried), Chen Jupi (Citri Reticulatae Pericarpium, washed with water to remove white pith and fried, each 1.5 liang), Leiwan (Omphalia Lapponica, processed, 1 liang).
*Preparation and Administration:* The above seven ingredients are pounded, sifted, and made into a powder. Take 1.5 qian per dose, mixed with decoction of Zao (Jujube Fruit), taken on an empty stomach. Continue until worms are expelled.
**Danggui Tang (Angelica Decoction) for Treating Heart Pain Caused by Ascaris, Characterized by Needle-like Pricking Sensation in the Heart and Frequent Vomiting of White Worms**
*Ingredients:* Danggui (Angelicae Radix, sliced and dried, 1 liang), Jiegeng (Platycodonis Radix, crushed and fried, 1.5 liang), Chen Jupi (Citri Reticulatae Pericarpium, removed white pith and slightly fried), Gui (Cinnamomi Ramulus, removed rough bark), Renshen (Ginseng Radix, each 0.5 liang), Houpo (Magnoliae Officinalis Cortex, removed rough bark), Huangqin (Scutellariae Radix, removed blackened heart), Shaoyao (Paeoniae Radix), Puxiao (Natrii Sulfas, prepared separately).
*Preparation and Administration:* The above nine ingredients, except Puxiao, are coarsely pounded and sifted. Mix in Puxiao evenly. Take 3 qianbi per dose with one cup of water, decoct to 70%, remove dregs, and take on an empty stomach. Take again after half a shichen (one hour).
**Danggui San (Angelica Powder) for Treating Attacks of Ascaris Pain, Starting with Cold Qi from Both Hypochondria, Radiating to Chest and Back with Cramping Pain, and Desire for Vomiting**
*Ingredients:* Danggui (Angelicae Radix, sliced and dried), Heshi (Chrysanthemi Indici Fructus, cleaned of soil and slightly fried, each 2 liang), Chen Jupi (Citri Reticulatae Pericarpium, removed white pith and slightly fried), Renshen (Ginseng Radix, each 1.5 liang), Binglang (Areca Seed, processed and crushed).
*Preparation and Administration:* The above eight ingredients are pounded, sifted, and made into a powder. Take 2 qianbi per dose, mixed with decoction of Zao (Jujube Fruit), taken on an empty stomach. Take again at night.
**Leiwan San (Omphalia Powder) for Treating the Nine Types of Heart Pain, Where Parasitic Pain Takes Precedence**
*Ingredients:* Leiwan (Omphalia Lapponica, processed, 1 liang), Guanyong (Copris, removed roots, 1.5 liang), Ye Langya (Acanthopanacis Cortex, removed rhizome and soil, crushed, 1 liang), Danggui (Angelicae Radix, sliced and dried, 1.5 liang), Binglang (Areca Seed, processed and crushed, 1 liang), Gui (Cinnamomi Ramulus, removed rough bark, 1.5 liang), Heshi (Chrysanthemi Indici Fructus, cleaned of soil and fried, 1 liang), Chen Jupi (Citri Reticulatae Pericarpium, removed white pith and fried, 1 liang).
*Preparation and Administration:* The above eight ingredients are pounded, sifted, and made into a powder. Take 2 qianbi per dose, mixed with Setaria italica drink, taken on an empty stomach. Take again before evening meal. Continue until large amounts of ascaris are expelled.
**Chaihu Tang (Bupleurum Decoction) for Treating Parasitic Heart Pain**
*Ingredients:* Chaihu (Bupleuri Radix, removed seedlings, 1.5 liang), Danggui (Angelicae Radix, sliced and dried), Shizhuyu (Zanthoxyli Fructus, removed branches and stems, each 1 liang), Shaoyao (Paeoniae Radix, 1.5 liang), Nongpo (Magnoliae Officinalis Cortex, removed rough bark).
*Preparation and Administration:* The above seven ingredients are coarsely pounded and sifted. Take 3 qianbi per dose with one cup of water, decoct to 60%, remove dregs, and take warm before meals. Three times daily.
**Jiegeng San (Platycodon Powder) for Treating Ascaris Attacking the Heart Causing Pain**
*Ingredients:* Jiegeng (Platycodonis Radix, crushed and fried), Danggui (Angelicae Radix, sliced and dried), Shaoyao (Paeoniae Radix, each 3 fen), Jupi (Citri Reticulatae Pericarpium, removed white pith and slightly fried, 0.5 liang), Binglang (Areca Seed, baked and crushed), Heshi (Chrysanthemi Indici Fructus, cleaned of soil and fried).
*Preparation and Administration:* The above seven ingredients are pounded, sifted, and made into a powder. Take 2 qianbi per dose, mixed with decoction of Shengjiang (Zingiberis Rhizoma) and Zao (Jujube Fruit), taken on an empty stomach. Take again at night.
**Sanggengbaipi Tang (Morus Root Bark Decoction) for Treating Ascaris Heart Pain**
*Ingredients:* Sanggengbaipi (Mori Cortex, finely crushed, 3 liang), Cu Shiliupi (Punicae Pericarpium, vinegar-processed, dried, 1 liang), Bai Wuyi (Trogopterori Excrement, slightly fried), Binglang (Areca Seed, processed and crushed), Nongpo (Magnoliae Officinalis Cortex, removed rough bark).
*Preparation and Administration:* The above five ingredients are coarsely pounded and sifted. Take 3 qianbi per dose with one cup of water, add one small piece of Shengjiang (Zingiberis Rhizoma) smashed, decoct together to 60%, remove dregs, and take on an empty stomach. Take again at night.
**Shiliupi Tang (Pomegranate Peel Decoction) for Treating Ascaris Heart Pain, Acute Stabbing Abdominal Pain Unbearable, Often Vomiting Acid Water**
*Ingredients:* Suan Shiliupi (Punicae Pericarpium, 3 fen), Binglang (Areca Seed, processed and crushed, 1 fen), Taofu (Pruni Semen, 1.5 liang, crushed and divided into five doses), Hufen (Cerussa, 1 fen, slightly fried and ground separately).
*Preparation and Administration:* Coarsely pound and sift the first two ingredients. Mix in Hufen evenly. Divide into five portions for decoction. For each dose, use one cup of water, add one portion of Taofu (Pruni Semen), and half a cup of wine. Decoct to 70%, remove dregs, and take warm on an empty stomach. Take again at night.
**Bixie San (Dioscoreae Hypoglaucae Rhizoma Powder) for Treating Ascaris Attacks**
*Ingredients:* Bixie (Dioscoreae Hypoglaucae Rhizoma, crushed and fried), Bai Wuyi (Trogopterori Excrement, slightly fried), Gouji (Cibotii Rhizoma, removed hairs and crushed, each 1 fen).
*Preparation and Administration:* The above three ingredients are pounded, sifted, and made into a powder. Take 2 qianbi per dose, mixed with warm wine. To prepare for medication, eat one slice of dried beef jerky the night before. Take medicine on an empty stomach the next day. Recovery occurs upon expulsion of worms.
**Heshi San (Chrysanthemi Indici Fructus Powder) for Treating Attacks of Gan-Ji Ascaris, Tapeworm, etc., with Heart and Abdominal Stabbing Pain**
*Ingredients:* Heshi (Chrysanthemi Indici Fructus, cleaned of soil and slightly fried, 3 fen), Binglang (Areca Seed, processed and crushed, 1 liang 2 fen), Lian Genpi (Toosendan Cortex, from fruits bearing seeds, growing towards southeast, soaked in Duan Shi water, 2 bowls; half raw, half fried).
*Preparation and Administration:* The above seven ingredients are pounded, sifted, and made into a powder. Take 2 qianbi per dose, mixed with Setaria italica drink on an empty stomach. If diarrhea does not occur, continue taking. Frequently drink hot Jiangmi Tang (Ginger and Honey Decoction).
**Shexiang San (Moschus Powder) for Treating Adult and Pediatric Gan-Ji Ascaris with Abdominal Distension, Withered Yellow Complexion**
*Ingredients:* Shexiang (Moschus, ground separately, 1 fen), Gan Diqiuwan (Lumbricus, slow-fire roasted yellow, 0.5 liang), Gan Xama (Bufo, one, coated with butter, roasted yellow-red, bones and abdominal contents removed).
*Preparation and Administration:* Pound Diqiuwan and Xama finely, sift, and mix evenly with Shexiang. Take 1 qianbi per dose, mixed with Yiyiren Gen Tang (Coicis Radix Decoction) on an empty stomach.
**Ejiao Tang (Colla Corii Asini Decoction) for Treating Lower Orifice Itching and Ulcers in Anus Caused by Parasites**
*Ingredients:* Ejiao (Colla Corii Asini, roasted dry), Danggui (Angelicae Radix, sliced and dried), Qingxiangzi (Celosiae Semen, fried, each 1 liang).
*Preparation and Administration:* The above three ingredients are coarsely pounded and sifted. Take 5 qianbi per dose with 1.5 cups of water, add over ten leaves of Aiye (Artemisiae Argyi Folium), decoct to one cup, remove dregs, and take on an empty stomach. Take once near evening before noon meal, and once more later.
**Gaoliangjiang Tang (Alpiniae Officinarum Rhizoma Decoction) for Treating Ascaris**
*Ingredients:* Gaoliangjiang (Alpiniae Officinarum Rhizoma, crushed, 1 fen), Kulian Genpi (Meliae Cortex, dried and crushed, 2 liang), Hujiao (Piperis Longi Fructus, 30 grains).
*Preparation and Administration:* The above three ingredients are coarsely pounded and sifted. Take 3 qianbi per dose with one cup of water, decoct to 60%, remove dregs, and take on an empty stomach. Lie down for a short time after ingestion. Do not eat. Recovery occurs if vomiting or diarrhea ensues.
**Lugen San (Reed Rhizome Powder) for Treating Ascaris Restlessness**
*Ingredients:* Lugen (Phragmitis Rhizoma, roasted yellow, crushed), Ganqi (Drynariae Rhizoma? Note: Text says Gan Xi - Drynariae Rhizoma or similar resinous substance, processed by pounding and frying until smoke ceases, each 2 liang), Xu (Polygoni Avicularis Herba, removed roots and soil, dried, 3 fen).
*Preparation and Administration:* The above three ingredients are pounded, sifted, and made into a powder. Take 1 qianbi per dose, mixed with Setaria italica drink. Take before meals, three times daily.
**Qijian Wan (Lac Pill) for Treating Ascaris and Enterobius in Stomach Causing Gradual Emaciation**
*Ingredients:* Qingqi (Clear Lac, filtered through silk), Baimi (White Honey), Qingjiu (Clear Wine, each 0.5 sheng).
*Preparation and Administration:* Mix evenly, place in a copper pot, simmer gently keeping it boiling, stirring constantly until it becomes paste-like for pill formation. Form pills the size of sparrow eggs. Take one pill per dose after fasting overnight, dissolved in warm wine on an empty stomach. Worms will be expelled; if not, repeat. Alternatively, form pills the size of Sophora seeds, take 20 pills with wine on an empty stomach.
**Yiyigen Tang (Coicis Radix Decoction) for Treating Ascaris**
*Ingredients:* Yiyigen (Coicis Radix, one handful, cleaned of soil and crushed).
*Preparation and Administration:* Coarsely pound and sift. Use three cups of water, decoct to 1.5 cups, remove dregs. Divide into two doses. Eat a little maltose (Yitang) on an empty stomach first, then take warm.
**Binglang Jian (Areca Decoction) for Treating Ascaris**
*Ingredients:* Binglang (Areca Seed, processed and crushed, 5 pieces), Suan Shiliu Genpi (Punica Granatum Root Bark, entering soil 5 cun, east-growing, cleaned of soil and finely crushed, 1 sheng).
*Preparation and Administration:* Coarsely crush Binglang. Divide Binglang and Shiliu Genpi equally into three portions. For each portion, use 2.5 sheng of water, decoct to 1.5 sheng. Strain, add 1 he of Setaria italica, cook into porridge. Drink all at once on an empty stomach at dawn. Efficacy seen upon expulsion of worms via bowel movement.
**Can Yong Zhi (Silkworm Pupa Juice) for Treating Ascaris**
*Ingredients:* Can Yong (Silkworm Pupa).
*Preparation and Administration:* Obtain 2 he of silkworm pupae used for reeling silk, grind thoroughly, squeeze juice through raw cloth. Drink all at once on an empty stomach. If not during silk-reeling season, collect pupae according to time, dry, pound into powder. Mix with appropriate amount into porridge drink when using.
**Sanggengbaipi Tang (Morus Root Bark Decoction) for Treating Sudden Appearance of Worms in Stool Indicating Heavy Infestation**
*Ingredients:* Sanggengbaipi (Mori Cortex, finely crushed, 2 liang).
*Preparation and Administration:* Coarsely pound and sift. Divide into three doses. For each dose, use 1.5 cups of water, decoct to 80%, remove dregs, and drink all at once on an empty stomach.