病源凡得伤寒及天行热病，日数较多腹内有热，又人食少，肠胃空虚，三虫行作求食，
食人五脏及下部也， 病之候，齿龈无色，舌上尽白，甚者唇里有疮，四肢沉重，匆忽喜眠，
如此皆为虫食其肛，肛烂见五脏则死，当数看其上唇内有疮唾血，唇内如粟疮者，则心内懊
痛，此虫在上食其五脏，下唇内生疮者，其人不寤，此虫食下部，皆能杀人也。（出第八
卷中）
肘后若病患齿龈无色，舌上白者，或喜眠愦愦，不知痛痒处，或下利，宜急疗下部，不
晓此者，但攻其上，不以为意，下部生疮，虫食其肛，肛烂见五脏便死。
烧马蹄作灰细末，猪膏和涂绵以导下部，日数度瘥。
又桃仁苦酒汤方。
桃仁（五十枚去皮尖及两仁） 苦酒（二升） 盐（一合）
上三味，煮取六合，去滓，尽服之。（并出第一卷中）
深师疗 食下部，桃皮汤方。
桃皮（二两） 槐子（二两） 艾（二两） 大枣（三十枚擘一方用黄连）
上四味切，以水五升，煮取三升，去滓，温分三服之。
又疗 虫食下部方。
以泥作罂，以竹筒如指所，横穿罂肚，筒一头纳下孔中，内如鸡子艾烧之，人就罂口
吹之，常令艾烧，强人可益艾甚良。（千金同）
又龙骨汤，治伤寒已八九日至十余日，大烦渴热盛，而三焦有疮 者多下，或张口吐舌
呵吁，咽烂口鼻生疮，吟语不识人，宜服此汤，除热毒止痢神方。
龙骨（半斤碎）
上一味，以水一斗，煮取四升，沉之井底令冷，服五合，余渐渐进之，恣意如饮，尤宜
老少，无味殆如饮水，亦断下。（文仲备急千金等同）
又疗伤寒及诸病之后，内有疮出下部烦者，黄连犀角汤方。
黄连（一两去毛） 乌梅（十四枚擘） 犀角（三两） 青木香（半两）
上四味切，以水五升，煮取一升半，分再服。忌猪肉冷水等。（并出第十四卷中）
范汪疗伤寒心中懊 ，下利，谷道中烂伤，当服懊 散，以 药纳谷道中，懊 散方。
芦（十分） 干漆（二分） 蓄（二分）
上三味，各异捣筛，粉粥饮服一钱匕，先食，日再服。（千金同）
又疗 懊 ，麝香散方。
麝香（一分研） 雄黄（一分研） 丹砂（一分研） 犀角（一分屑） 羚羊角（一分
研） 青
葙子（一分） 黄连（一分） 升麻（一分） 桃仁（一分熬） 贝齿（一分）
上十味并捣合下筛，先食以小麦粥服钱五匕，服药讫复以钱五匕，绵裹以导谷道中，食
顷去之，日三。忌猪肉冷水生血等物。（并出第三十三卷中）
短剧青葙子散，疗热病有 ，下部生疮方。
青葙（一两） 芦（四两） 野狼牙（三分） 橘皮（二分） 蓄（二分切之）
上五味捣下筛，粥饮和合服两钱匕，日三，不知，稍增之。（出第六卷中千金同有甘草
一分）
张文仲疗伤寒兼 疮，王叔和云，其候口唇皆生疮，唾血，上唇内有疮如粟者，则心中
懊痛，如此则此虫在上，乃食五脏，若下唇内生疮，其人喜眠者，此虫在下，食下部方，
取鸡子一枚，扣头出白，与漆一合熟和，令调如漆，还纳谷中，仰吞之，食顷，或半日，或
下虫，或吐虫，剧者再服乃尽，热除病愈，凡得热病腹内热，食少，三虫行作求食，食人五
脏及下部，人不能知，可服此药，不尔 虫杀人。（集验深师肘后同）
又方
猪胆（一具）
上一味渍着半升苦酒中和之，煎三沸，三下三上，药成可放温，空腹饮一满口，虫即死
，有人经用之验。（并出第二卷中千金同）
Etiologically, for those who have contracted Cold Damage (Shanghan) or epidemic febrile diseases, after many days, heat accumulates in the abdomen. Coupled with poor appetite and empty intestines and stomach, the "Three Worms" (parasites) become active seeking food, eroding the five Zang organs and the lower body. The manifestations of the disease include: gums lacking color, the entire tongue surface turning white, severe cases presenting with sores inside the lips, heavy limbs, sudden drowsiness, and a tendency to sleep. Such conditions indicate that worms are consuming the anus; if the anus rots exposing the internal organs, death ensues. One should frequently inspect the inner upper lip for sores and blood in saliva. If the inner upper lip has sores resembling millet grains, it causes mental restlessness and pain, indicating worms are consuming the five Zang organs from above. Sores on the inner lower lip cause the patient to be unconscious or lethargic, indicating worms are consuming the lower body. All these can be fatal. (From Volume 8)
*Zhouhou Beiji Fang* records: If a patient has colorless gums, a white tongue, prefers sleeping, is confused and unaware of pain or itch, or suffers from diarrhea, urgent treatment of the lower lesion is required. Those ignorant of this may only attack the upper lesions without attention, resulting in lower sores where worms consume the anus, leading to death when the anus rots and exposes internal organs.
Burn horse hooves to ash, grind into fine powder, mix with lard, apply on cotton, and insert into the lower orifice (anus). Apply several times a day until recovery.
Another formula is Tao Ren Ku Jiu Tang (Peach Kernel and Vinegar Decoction).
Tao Ren (Peach Kernel, 50 seeds, remove skin, tips, and double-kernel ones) Ku Jiu (Vinegar, 2 sheng) Yan (Salt, 1 he)
Boil the above three ingredients to obtain 6 liu of liquid, strain, and take all at once. (All from Volume 1)
*Shen Shi Fang* treats worms consuming the lower body with Tao Pi Tang (Peach Bark Decoction).
Tao Pi (Peach Bark, 2 liang) Huai Zi (Sophora Seed, 2 liang) Ai (Mugwort Leaf, 2 liang) Da Zao (Jujube, 30 pieces, split; one variant uses Huang Lian)
Chop the above four ingredients, boil in 5 sheng of water to obtain 3 sheng of liquid, strain, and take warm, divided into three doses.
Another formula for worms consuming the lower body:
Make a clay urn, pierce the belly horizontally with a bamboo tube finger-thick. Insert one end of the tube into the lower orifice. Place mugwort wool the size of a chicken egg inside and ignite it. The person blows into the mouth of the urn to keep the mugwort burning. Stronger individuals may increase the amount of mugwort for better effect. (Same as *Qian Jin Fang*)
There is also Long Gu Tang (Dragon Bone Decoction), treating Cold Damage lasting 8-9 to 10+ days, with extreme restlessness, thirst, high fever, ulcers in the San Jiao causing frequent diarrhea, open mouth with tongue protrusion, panting, rotting throat, sores in mouth and nose, delirium, and inability to recognize people. This decoction clears heat toxins and stops dysentery effectively.
Long Gu (Dragon Bone, half jin, crushed)
Boil the single ingredient in 1 dou of water to obtain 4 sheng. Cool by submerging in a well. Take 5 he initially, then gradually increase intake as desired. It tastes like water, suitable for young and old, and can stop diarrhea. (Same as Wen Zhong's *Bei Ji Fang* and *Qian Jin Fang*)
Another formula for post-Cold Damage or other diseases where internal ulcers manifest in the lower body causing distress, is Huang Lian Xi Jiao Tang (Coptis and Rhinoceros Horn Decoction).
Huang Lian (Coptis Rhizome, 1 liang, remove hairs) Wu Mei (Dark Plum, 14 pieces, split) Xi Jiao (Rhinoceros Horn, 3 liang) Qing Mu Xiang (Costus Root, half liang)
Chop the above four ingredients, boil in 5 sheng of water to obtain 1.5 sheng. Divide into two doses. Avoid pork and cold water. (All from Volume 14)
Fan Wang treats Cold Damage with mental restlessness (Ao Nao), diarrhea, and anal erosion/ulceration with Ao Nao San (Restlessness Powder). Insert the medicine into the anus. Formula:
Lu Gen (Reed Rhizome, 10 parts) Gan Qi (Dried Lacquer, 2 parts) Xu (Shepherd's Purse, 2 parts)
Grind each of the three ingredients separately into powder. Take one qian bi with rice gruel before meals, twice daily. (Same as *Qian Jin Fang*)
Another formula for treating restlessness is She Xiang San (Musk Powder).
She Xiang (Musk, 1 part, ground) Xiong Huang (Realgar, 1 part, ground) Dan Sha (Cinnabar, 1 part, ground) Xi Jiao (Rhinoceros Horn, 1 part, shaved) Ling Yang Jiao (Antelope Horn, 1 part, ground) Qing Xi Zi (Celosia Seed, 1 part) Huang Lian (Coptis Rhizome, 1 part) Sheng Ma (Cimicifuga Rhizome, 1 part) Tao Ren (Peach Kernel, 1 part, fried) Bei Chi (Concha Meretricis, 1 part)
Grind and sieve the ten ingredients together. Before meals, take five qian bi with wheat gruel. After taking the oral dose, wrap five qian bi in cotton and insert into the anus. Remove after a short while. Three times daily. Avoid pork, cold water, and blood-generating foods. (All from Volume 33)
*Duan Ju Fang* Qing Xi Zi San (Celosia Seed Powder) treats febrile diseases with... (text missing/implied damp-heat) and lower body sores.
Qing Xi (Celosia Seed, 1 liang) Lu Gen (Reed Rhizome, 4 liang) Ye Lang Ya (Agrimonia Pilosa, 3 fen) Ju Pi (Citrus Peel, 2 fen) Xu (Shepherd's Purse, 2 fen, chopped)
Grind the five ingredients into powder. Mix with gruel and drink two qian bi, three times daily. Increase dosage slightly if ineffective. (From Volume 6, same as *Qian Jin Fang* which adds 1 fen of Gan Cao)
Zhang Wenzhong treats Cold Damage complicated by... (text missing/implied worm ulcers). Wang Shuhe states the signs are sores on both lips, bloody saliva, millet-grain-like sores inside the upper lip causing heart restlessness and pain, indicating worms are above consuming the five Zang organs. Sores inside the lower lip with drowsiness indicate worms below consuming the lower body. Formula: Take one chicken egg, crack it, extract the white, mix with one he of lacquer until viscous like lacquer. Re-insert into the rectum, swallow while lying on back. After a moment or half a day, worms may be passed or vomited. Severe cases require repeated doses until cured. Heat dissipates, illness resolves. Generally, for febrile diseases with abdominal heat, poor eating, and active worms consuming organs and lower body undetected, this medicine can be taken; otherwise, worms will kill. (Same as *Ji Yan Fang*, *Shen Shi Fang*, *Zhou Hou Fang*)
Another formula:
Zhu Dan (Pig Gallbladder, one)
Soak the single ingredient in half a sheng of vinegar. Boil for three ebullitions, stirring up and down. When ready, let cool to warm. Drink a full mouthful on an empty stomach; worms will die. Verified by users. (All from Volume 2, same as *Qian Jin Fang*)