病源夫九虫者，一曰伏虫，长四寸，二曰蛔虫，长一尺，三曰白虫，长一寸，四曰肉虫
，状如烂杏，五曰肺虫，状如蚕形，六曰胃虫，状如虾蟆，七曰弱虫，状如瓜瓣，八曰赤虫
，状如生肉，九曰蛲虫，至细微，形如菜虫，伏虫，群虫之主也，蛔虫贯心则杀人，白虫相
生，
逆喜
入疮
有，
变成
集验贯众丸，主疗九虫动作诸病方。
贯众（熬） 石蚕（熬五分） 野狼牙（四分） 芦（二分） 蜀漆（六分炙） 僵蚕
（三分熬）
雷丸（六分） 芜荑（四分） 浓朴（三分） 槟榔（六分）
上十味捣筛，蜜丸，空心暖浆水服三十丸，日三，不知，稍稍加之，白虫用榧子汤服。
（备急文仲古今录验范汪同出第九卷中）
删繁疗脾劳，有白虫长一寸在脾为病，令人好呕，而胸中骇骇，（一作玄玄）呕而不吐
出
，前胡汤方。
前胡（三两） 白术（三两） 赤茯苓（三两） 枳实（炙二两） 细辛（三两） 旋
复花（一两
）常山（三两） 松萝（二两） 龙胆（三两） 竹叶（切一升） 杏仁（三两去尖皮）
上十一味切，以水一斗，煮取三升，去滓，分三服，若腹中热满，下芒硝三两，黄芩三
两，苦参二两，加水二升，依方煎。忌如常。
又疗脾劳热，有白虫在脾中为病，令人好呕，茱萸根下虫汤方。
茱萸东引根（大者一尺切） 大麻子（八升） 橘皮（二两切）
上三味切，捣麻子烂，并和煎服，或下黄汁，凡合药，禁声勿语道作药，虫当闻便不下
，切须忌之，甚验，以水煎服，临时量之效。
又疗肺劳热损，生肺虫，形如蚕，在肺为病，令人咳逆气喘，或谓忧恚，气隔寒热，皆
从劳之所生，名曰膏肓，针灸不着，麦门冬五隔下气丸方。
麦门冬（十两去心） 蜀椒（四分汗） 远志 附子（炮各六分） 干姜（五分） 甘
草（十分
炙） 人参（七分） 细辛（六分） 桂心（五分） 百部根 白术 黄 （各五分） 杏
仁（四十枚
）槟榔（五分）
上十四味捣筛，蜜丸如弹子许，含一丸，稍稍咽汁。忌如常。
千金疗肾热，四肢肿急，蛲虫如菜中虫，生肾中为病方。
贯众（大者三枚熬） 干漆（二两熬） 茱萸（六分一云五十枚） 杏仁（四十枚） 芜
荑胡
粉槐白皮（各四分）
上七味捣散，平旦以井华水服方寸匕，增之，以瘥止。
又肺劳热，生虫在肺为病方。
东行桑根白皮（切一升） 东行茱萸根（切五两） 野狼牙（三两）
上三味切，以酒七升，煮取一升半，平旦服尽。
又疗肝劳，生长虫在肝为病，令人恐畏不安，眼中赤方。
鸡子（五枚去黄） 东行茱萸根（切三升） 蜡（三两） 干漆（四两熬） 粳米粉（半
升）
上五味，捣茱萸根漆为末，和药，铜器中打鸡子调，火炼可丸如小豆，宿勿食，旦以饮
服一百二十丸，小儿五十丸，虫即烂出瘥。
又疗心劳热伤心，有长虫名蛔虫，长一尺贯心为病方。
雷丸（熬） 橘皮 桃仁（各五分） 野狼牙（六分） 贯众（三枚） 芜荑 青葙子 干
漆（
熬各四分） 乱发（如鸡子烧） 僵蚕（二十枚熬）
上十味捣筛，蜜丸，以饮及酒空腹服二七丸，日再服之。（并出第十八卷中）
Etiology: The so-called "Nine Parasites" are as follows: the first is called Fuchong (Fushi Worm, a type of intestinal parasite), four cun in length; the second is called Huichong (Ascaris lumbricoides, roundworm), one chi in length; the third is called Baichong (White Worm, likely tapeworm segments or threadworms), one cun in length; the fourth is called Rouchong (Meat Worm), resembling rotten apricots; the fifth is called Feichong (Lung Worm), resembling silkworms; the sixth is called Weichong (Stomach Worm), resembling toads; the seventh is called Ruochong (Weak Worm), resembling melon seeds; the eighth is called Chichong (Red Worm), resembling raw meat; the ninth is called Taochong (Pinworm/Oxyuris vermicularis), extremely minute, resembling vegetable worms. Fuchong is the leader of the group of worms. If Huichong penetrates the heart, it causes death. Baichong reproduces itself... [Text here contains lacunae or corruption] ... Guanzhong Wan (Hosiea Pill) from the *Jiyan Fang* (Collected Experiences Formulas) treats various diseases caused by the activity of the Nine Parasites.
Guanzhong (Osmorhiza longiloba, processed by stir-frying) Shican (Stone Silkworm, processed by stir-frying, 5 fen) Yelangya (Wild Wolf's Tooth, 4 fen) Lu (Reed Rhizome, 2 fen) Shuqi (Perilla Leaf, processed by stir-frying, 6 fen) Jiangcan (Bombyx Batryticatus, processed by stir-frying, 3 fen)
Leiwan (Polyporus Umbellatus, 6 fen) Wuyi (Chaulmoogra Seed, 4 fen) Nongpo (Magnolia Bark, 3 fen) Binglang (Areca Nut, 6 fen)
The above ten herbs are crushed and sifted, formed into pills with honey. Take thirty pills on an empty stomach with warm Jiangshui (fermented grain water). Administer three times daily. If ineffective, gradually increase the dose. For diseases caused by Baichong, administer with Feizi Tang (Torreya Decoction). (This formula appears in *Beiji Wen Zhong Jin Gu Lu Yan*, and is also found in Volume 9 of Fan Wang's works.)
Shanfan Therapy treats Pi Lao (Spleen Exhaustion) where a one-cun-long Baichong resides in the Spleen, causing frequent vomiting and a feeling of inner terror (another version reads "Xuanxuan"), with a sensation of nausea but inability to vomit. Qianhu Tang (Peucedanum Decoction) Formula:
Qianhu (Peucedanum Root, 3 liang) Baizhu (Atractylodes Macrocephala Rhizome, 3 liang) Chi Fuling (Poria Cocos with Red Coir, 3 liang) Zhishi (Immature Bitter Orange Fruit, processed by stir-frying, 2 liang) Xixin (Asarum Root, 3 liang) Xuanfuhua (Inula Flower, 1 liang) Changshan (Dichroa Root, 3 liang) Songluo (Tree Moss, 2 liang) Longdan (Gentian Root, 3 liang) Zhuye (Bamboo Leaf, sliced, 1 sheng) Xingren (Apricot Seed, 3 liang, remove tip and skin)
The above eleven herbs are chopped. Boil in one dou of water until reduced to three sheng. Strain the dregs and divide into three doses. If there is heat and fullness in the abdomen, add Mangxiao (Mirabilite, 3 liang), Huangqin (Scutellaria Root, 3 liang), and Kushen (Sophora Root, 2 liang), then add two sheng of water and decoct according to the prescription. Observe usual dietary restrictions.
Another method treats Pi Lao Re (Heat from Spleen Exhaustion) where Baichong resides in the Spleen, causing frequent vomiting. Zhuyu Gen Xia Chong Tang (Cornus Root Downward-Expelling Worm Decoction) Formula:
Zhuyu Dongyin Gen (Cornus Officinalis Root, eastern-growing branch, large ones one chi long, sliced) Dama Zi (Cannabis Seed, 8 sheng) Jupi (Tangerine Peel, 2 liang, sliced)
The above three herbs are chopped. Pound the Hemp Seeds until mushy, mix together, and decoct for administration. Yellow fluid may be discharged after taking the medicine. When preparing the medicine, silence must be maintained; do not speak about making the medicine, as the worms will hear it and refuse to exit. This must be strictly observed. It is very effective. Decoct with water and adjust the dosage temporarily to achieve efficacy.
Another method treats Fei Lao Re Sun (Heat Damage from Lung Exhaustion) where Feichong (Lung Worm), resembling a silkworm, resides in the Lungs, causing cough, counterflow qi, and asthma. Alternatively, this is attributed to sorrow and anger causing Qi obstruction and alternating chills and fever, all arising from exhaustion. The disease is named Gaohuang (Gaohuang Syndrome, a critical condition beyond the reach of acupuncture and moxibustion). Maimendong Wu Ge Xia Qi Wan (Ophiopogon Five-Segmented Descending Qi Pill) Formula:
Maimendong (Ophiopogon Tuber, 10 liang, remove heart) Shujiao (Sichuan Pepper, 4 fen, sweat out the oil) Yuanzhi (Polygala Root) Fuzi (Prepared Aconite Root, each 6 fen) Ganjiang (Dried Ginger, 5 fen) Gancao (Licorice Root, processed by stir-frying, 10 fen) Renshen (Ginseng Root, 7 fen) Xixin (Asarum Root, 6 fen) Guixin (Cinnamon Twig Heart, 5 fen) Baibu (Stemona Root) Baizhu (Atractylodes Macrocephala Rhizome) Huang (Astragalus Root, each 5 fen) Xingren (Apricot Seed, 40 pieces) Binglang (Areca Nut, 5 fen)
The above fourteen herbs are crushed and sifted, formed into pills the size of quail eggs with honey. Hold one pill in the mouth and slowly swallow the juice. Observe usual dietary restrictions.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats Shen Re (Kidney Heat) with swelling and tightness of the four limbs, where Taochong (Pinworm) resembles garden worms and resides in the Kidneys. Formula:
Guanzhong (Osmorhiza longiloba, three large ones, processed by stir-frying) Ganqi (Dried Resin of Toxicodendron vernicifluum, 2 liang, processed by stir-frying) Zhuyu (Cornus Fruit, 6 fen, or said to be 50 pieces) Xingren (Apricot Seed, 40 pieces) Wuyi (Chaulmoogra Seed) Hufen (Lead White Powder) Huaibaipi (Phellodendron Bark, each 4 fen)
The above seven herbs are crushed into powder. In the early morning, take one fangcun bi (a square-inch measure) with Jinghua Shui (well water drawn at dawn). Increase the dose gradually until the disease is cured.
Another method treats Fei Lao Re (Heat from Lung Exhaustion) where parasites reside in the Lungs causing disease. Formula:
Dongxing Sanggen Baipi (White Bark of Mulberry Root growing eastward, sliced, 1 sheng) Dongxing Zhuyu Gen (Cornus Root growing eastward, sliced, 5 liang) Yelangya (Wild Wolf's Tooth, 3 liang)
The above three herbs are chopped. Decoct in seven sheng of wine until reduced to one and a half sheng. Consume entirely in the early morning.
Another method treats Gan Lao (Liver Exhaustion) where Zhangchong (Liver Worm) resides in the Liver, causing fear, anxiety, and red eyes. Formula:
Jizi (Chicken Egg, five pieces, remove yolks) Dongxing Zhuyu Gen (Cornus Root growing eastward, sliced, 3 sheng) La (Beeswax, 3 liang) Ganqi (Dried Resin of Toxicodendron vernicifluum, 4 liang, processed by stir-frying) Jingsimi (Glutinous Rice Flour, half sheng)
The above five herbs: pound the Cornus Root and Resin into powder, mix with the medicine, beat the chicken eggs in a copper vessel to combine, refine over fire until it can be formed into pills the size of small beans. Do not eat the previous night. In the morning, take 120 pills with drink/water for adults, and 50 pills for children. The worms will rot and be expelled, curing the disease.
Another method treats Xin Lao Re Shang Xin (Heat from Heart Exhausture Damaging the Heart) where a long worm named Huichong (Ascaris lumbricoides), one chi long, penetrates the heart causing disease. Formula:
Leiwan (Polyporus Umbellatus, processed by stir-frying) Jupi (Tangerine Peel) Taoren (Peach Seed, each 5 fen) Yelangya (Wild Wolf's Tooth, 6 fen) Guanzhong (Osmorhiza longiloba, three pieces) Wuyi (Chaulmoogra Seed) Qingxiangzi (Celosia Seed) Ganqi (Dried Resin of Toxicodendron vernicifluum, processed by stir-frying, each 4 fen) Luankou (Human Hair Tangle, burned like a chicken egg) Jiangcan (Bombyx Batryticatus, twenty pieces, processed by stir-frying)
The above ten herbs are crushed and sifted, formed into pills with honey. Take fourteen pills on an empty stomach with water and wine. Administer twice daily. (All formulas above are from Volume 18.)