凡得伤寒日数较多。腹内有热。又全食少。肠胃空虚。三虫行作求食。蚀人五脏及下部
也。其候。齿无色。舌上尽白。甚者唇里有疮。四肢沉重。忽忽喜眠。如此皆为虫蚀其肛。
肛烂
下
治伤寒 虫蚀下部。躁闷痒痛不已。宜服桃仁散方。
桃仁（二两汤浸去皮尖双仁麸炒微黄） 槐子〔一（二）两微炒〕 熟艾（二两微炒） 黄
连
（一两去须微炒）
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。食前温服。
治伤寒 下部生疮。蚀肛门疼痛。宜服雄黄散方。
雄黄（一两细研） 青葙子（一两半） 黄连（一两半去须） 苦参（一两半锉） 桃
仁（三分
汤浸去皮尖双仁麸炒微黄）
上件药。捣细罗为散。食前。以粥饮调下二钱。又将散子绵裹如杏仁大。内于下部中良
治伤寒心中痛闷。下痢。下部生 疮烂伤方。
藜芦（二两） 干漆（半两捣碎炒令烟出） 篇竹（半两干者）
上件药。捣细为散。每服食前。以粥饮调下二钱。
治伤寒 。心中懊 。下部有疮。疼痛。宜服麝香散方。
麝香（一分细研） 雄黄（一分细研） 朱砂（一分细研） 羚羊角屑（一分） 青葙
子（一分）
黄连（一分去须） 川升麻（一分） 桃仁（一分汤浸去皮尖双仁麸炒微黄） 贝齿（一
分）
上件药。捣细罗为散。每服食前。煎小麦饮。调下二钱。
治伤寒初有 。下部生疮疼痛。宜服青葙散方。
青葙子（一两） 藜芦（二两） 野狼牙（一两） 陈橘皮（一两汤浸去白瓤焙） 竹
（一两）
上件药。捣细罗为散。每服食前。以粥饮调下二钱。
治伤寒下唇内生疮。虫蚀下部。疼痛。或时泄痢。宜服阿胶散方。
阿胶（三分捣碎炒令黄燥） 黄柏（半两微炙锉） 当归（半两锉微炒） 槟榔（半两）
木香
〔三（半）两〕 龙骨（半两） 槐子（一两微炒）
上件药。捣细罗为散。每服食前。以黄 汤调下二钱。
治伤寒 蚀下部。腹中 痛。宜服楝根皮丸方。
东引苦楝根白皮（一两锉） 野狼牙（一两） 白矾灰（一两） 猪胆（三枚取汁用酒三
合相和
重汤煮如膏）
上件药。捣罗为末。用猪胆膏和丸。如梧桐子大。每服食前。以桃枝汤下二十丸。
治伤寒下部生 疮。时久不瘥。宜服藜芦丸方。
藜芦（半两去芦头） 桂心（一两） 巴豆（一分去皮心研纸裹压去油） 附子（一两
炮裂去
皮脐）
上件药。捣罗为末。入巴豆研令匀。炼蜜和丸。如梧桐子大。每服食前。以粥饮下一丸
治伤寒下部 疮。痛痒不止。宜服槐子丸方。
槐子仁（一两微炒） 苦参（一两锉） 熊胆（半两） 干漆（三分捣碎炒令烟出） 木
香（一
两） 槟榔（一两） 桃仁（二两汤浸去皮尖双仁麸炒微黄）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服食前。以荆芥汤下二十丸。
治伤寒 病。唾血。上唇内有疮如粟。心中痛闷。此虫在上蚀其五脏。若下唇内
生疮。
上以鸡子一枚。小豆敲破。出白。和熟漆半合。搅和令匀。空腹吞之。食顷或半日。或
下虫。或吐虫。虫尽则热除病愈。若不治。即杀人。
又方。
猪胆（二枚取汁）
上用醋一中盏。入胆汁相和。煎三五沸。放温。空腹服之。一合虫则自死。
治伤寒。下部生 疮方。
地龙（一两去土微炒） 野狼牙（二两）
上件药。细锉和匀。每服二字。以水一大盏。煎至五分。去滓。食前温服。
又方。
蛇莓草。捣绞取汁。每于食前。温服一小盏。
又方。
乌梅肉（二两炒令燥）
上件药。捣细罗为末。炼蜜和丸。如梧桐子大。每服食前。以石榴根皮汤下十丸。
又方。
梓树皮（三两）
上件药。细锉。以水三大盏。煎至一盏半。去滓。空心分温三服。
治伤寒。下部 疮。虫蚀肛烂方。
熟艾（弹子大） 雄黄末（半钱）
上件药。相和作炷烧。用竹筒引烟。熏下部中。
又方。\x
乌蹄烧作灰。细研为末。以猪膏和涂下部。
Whenever the duration of a cold damage (Shanghan) disease is prolonged, heat accumulates in the abdomen. Due to insufficient food intake, the stomach and intestines become empty, causing the "Three Worms" (intestinal parasites) to move about seeking food, eroding the five zang organs and the lower orifices. The manifestations include: teeth lacking luster, the entire tongue coated with white fur, severe cases presenting with sores inside the lips, heavy limbs, mental confusion, and excessive sleepiness. These are all indications that worms are eroding the anus, leading to anal ulceration.
For treating cold damage where worms erode the lower orifices, accompanied by incessant restlessness, stifling sensation, itching, and pain, the Tao Ren San (Peach Kernel Powder) formula is suitable.
Ingredients: Tao Ren (Peach Seed, 2 liang, soaked in hot water, skin and pointed ends removed, retaining double kernels, stir-fried with bran until slightly yellow), Huai Zi (Sophora Fruit, 1 or 2 liang, slightly stir-fried), Shu Ai (Mugwort Leaf, 2 liang, slightly stir-fried), Huang Lian (Coptis Rhizome, 1 liang, whiskers removed, slightly stir-fried).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water, decoct until reduced to 0.5 zhong, strain, and take warm before meals.
For treating cold damage causing sores in the lower orifices, erosion of the anus, and pain, the Xiong Huang San (Realgar Powder) formula is suitable.
Ingredients: Xiong Huang (Realgar, 1 liang, finely ground), Qing Xi Zi (Celosia Seed, 1.5 liang), Huang Lian (Coptis Rhizome, 1.5 liang, whiskers removed), Ku Shen (Sophora Root, 1.5 liang, sliced), Tao Ren (Peach Seed, 3 fen, soaked in hot water, skin and pointed ends removed, retaining double kernels, stir-fried with bran until slightly yellow).
Preparation and Administration: Pound and sieve the above ingredients into a fine powder. Before meals, mix 2 qian with millet broth and ingest. Additionally, wrap the powder in cotton cloth into a size similar to an apricot kernel, and insert it into the lower orifice for good effect.
For treating cold damage causing painful oppression in the heart, dysentery, and sores/ulceration in the lower orifices.
Ingredients: Li Lu (Veratrum Rhizome, 2 liang), Gan Qi (Dried Resin of Toxicodendron, 0.5 liang, crushed and stir-fried until smoke emerges), Pian Zhu (Bamboo Sheath/Daizhe Tu, likely referring to a bamboo-related herb, 0.5 liang, dried).
Preparation and Administration: Pound and sieve the above ingredients into a fine powder. Before meals, mix 2 qian with millet broth and ingest.
For treating cold damage causing mental restlessness and stifling sensation, sores in the lower orifices, and pain, the She Xiang San (Musk Powder) formula is suitable.
Ingredients: She Xiang (Musk, 1 fen, finely ground), Xiong Huang (Realgar, 1 fen, finely ground), Zhu Sha (Cinnabar, 1 fen, finely ground), Ling Yang Jiao (Antelope Horn, 1 fen), Qing Xi Zi (Celosia Seed, 1 fen), Huang Lian (Coptis Rhizome, 1 fen, whiskers removed), Chuan Sheng Ma (Bupleurum Root, 1 fen), Tao Ren (Peach Seed, 1 fen, soaked in hot water, skin and pointed ends removed, retaining double kernels, stir-fried with bran until slightly yellow), Bei Chi (Concha Meretricis, 1 fen).
Preparation and Administration: Pound and sieve the above ingredients into a fine powder. Before meals, decoct wheat beverage, mix with 2 qian of powder, and ingest.
For treating early-stage cold damage accompanied by sores in the lower orifices and pain, the Qing Xi San (Celosia Seed Powder) formula is suitable.
Ingredients: Qing Xi Zi (Celosia Seed, 1 liang), Li Lu (Veratrum Rhizome, 2 liang), Ye Lang Ya (Sarcandra Glabra Herb, 1 liang), Chen Ju Pi (Aged Tangerine Peel, 1 liang, soaked in hot water, white pith removed, baked), Zhu (Bamboo [likely Zhu Ru or Zhu Ye], 1 liang).
Preparation and Administration: Pound and sieve the above ingredients into a fine powder. Before meals, mix 2 qian with millet broth and ingest.
For treating cold damage causing sores inside the lower lip, worm erosion of the lower orifices, pain, and occasional dysentery, the E Jiao San (Donkey-hide Gelatin Powder) formula is suitable.
Ingredients: E Jiao (Donkey-hide Gelatin, 3 fen, crushed and stir-fried until yellow and dry), Huang Bo (Phellodendron Bark, 0.5 liang, slightly roasted and sliced), Dang Gui (Angelica Sinensis Root, 0.5 liang, sliced and slightly stir-fried), Bing Lang (Areca Seed, 0.5 liang), Mu Xiang (Costus Root, 3 or 0.5 liang), Long Gu (Fossilized Bone, 0.5 liang), Huai Zi (Sophora Fruit, 1 liang, slightly stir-fried).
Preparation and Administration: Pound and sieve the above ingredients into a fine powder. Before meals, mix 2 qian with Huang Qi (Astragalus) broth and ingest.
For treating cold damage where worms erode the lower orifices and cause abdominal pain, the Lian Gen Pi Wan (Toona Root Bark Pill) formula is suitable.
Ingredients: Dong Yin Ku Lian Gen Bai Pi (White Bark of Toona Root from East-facing Branch, 1 liang, sliced), Ye Lang Ya (Sarcandra Glabra Herb, 1 liang), Bai Fan Hui (Alum Ash, 1 liang), Zhu Dan (Pig Gallbladder, 3 pieces, juice extracted and mixed with 3 he of wine, simmered in a double boiler until paste-like).
Preparation and Administration: Pound and sieve the solid ingredients into powder. Mix with the pig gallbladder paste to form pills the size of sophora seeds. Before meals, take 20 pills with peach branch broth.
For treating cold damage causing sores in the lower orifices that persist for a long time without healing, the Li Lu Wan (Veratrum Pill) formula is suitable.
Ingredients: Li Lu (Veratrum Rhizome, 0.5 liang, rhizome head removed), Gui Xin (Cinnamon Twig Heart, 1 liang), Ba Dou (Croton Seed, 1 fen, skin and heart removed, ground and pressed between paper to remove oil), Fu Zi (Prepared Aconite Root, 1 liang, processed until cracked, skin and navel removed).
Preparation and Administration: Pound and sieve the solid ingredients into powder. Mix with the ground Ba Dou evenly. Combine with refined honey to form pills the size of sophora seeds. Before meals, take 1 pill with millet broth.
For treating cold damage causing sores in the lower orifices with incessant pain and itching, the Huai Zi Wan (Sophora Seed Pill) formula is suitable.
Ingredients: Huai Zi Ren (Sophora Seed Kernel, 1 liang, slightly stir-fried), Ku Shen (Sophora Root, 1 liang, sliced), Xiong Dan (Bear Bile, 0.5 liang), Gan Qi (Dried Resin of Toxicodendron, 3 fen, crushed and stir-fried until smoke emerges), Mu Xiang (Costus Root, 1 liang), Bing Lang (Areca Seed, 1 liang), Tao Ren (Peach Seed, 2 liang, soaked in hot water, skin and pointed ends removed, retaining double kernels, stir-fried with bran until slightly yellow).
Preparation and Administration: Pound and sieve the above ingredients into powder. Combine with refined honey to form pills the size of sophora seeds. Before meals, take 20 pills with Schizonepeta (Jing Jie) broth.
Regarding cold damage disease manifesting as spitting blood, sores like millet grains inside the upper lip, and painful oppression in the heart: this indicates worms eroding the five zang organs from above. If sores appear inside the lower lip:
Method 1: Take one chicken egg, crack a small bean, extract the white, and mix with half he of cooked lacquer. Stir well. Swallow on an empty stomach. After a meal's duration or half a day, worms may be excreted or vomited. Once the worms are cleared, the fever subsides and the disease heals. If untreated, it can be fatal.
Method 2:
Ingredients: Zhu Dan (Pig Gallbladder, 2 pieces, juice extracted).
Administration: Mix with one zhong of vinegar, add the bile, boil for three to five boils, let cool to warm temperature. Take one he on an empty stomach; the worms will die naturally.
Treating cold damage causing sores in the lower orifices.
Ingredients: Di Long (Earthworm, 1 liang, soil removed, slightly stir-fried), Ye Lang Ya (Sarcandra Glabra Herb, 2 liang).
Preparation and Administration: Finely slice and mix evenly. Take a quantity equivalent to two characters (approx. 2-4 qian depending on script size, usually interpreted as a small dose), decoct with one large zhong of water until reduced to 0.5 zhong, strain, and take warm before meals.
Another Formula:
She Mei Cao (Rubus Fruit Herb), crush and squeeze to extract juice. Take one small zhong warm before meals.
Another Formula:
Wu Mei Rou (Dark Plum Flesh, 2 liang, stir-fried until dry).
Preparation and Administration: Pound and sieve into a fine powder. Combine with refined honey to form pills the size of sophora seeds. Before meals, take 10 pills with Pomegranate Root Bark broth.
Another Formula:
Zi Shu Pi (Chinese Toon Tree Bark, 3 liang).
Preparation and Administration: Finely slice. Decoct with three large zhongs of water until reduced to 1.5 zhong, strain. Divide into three warm doses taken on an empty stomach.
Treating cold damage causing sores in the lower orifices and worm erosion leading to anal ulceration.
Ingredients: Shu Ai (Mugwort Leaf, size of a bullet), Xiong Huang Mo (Realgar Powder, 0.5 qian).
Preparation and Administration: Mix and form into moxa cones. Burn them and use a bamboo tube to direct the smoke to fumigate the lower orifice.
Another Formula:
Burn Wu Ti (Ox Hoof) to ash, grind finely into powder. Mix with pig fat and apply to the lower orifice.