经言人脏腑中有九虫。内三虫偏能发动为病。人脏腑实强。则不能为害。若脏腑虚弱。则随虫所动而生焉。
故经亦别立三虫之名。一曰蛔虫。（又曰长虫）居胃脘之间。动则令儿吐青白沫。或吐青水。心腹刺痛。若虫贯
心者即死。二曰蛲虫。居洞肠之间。多则发动为痔 蚀。疮疥痂癞。三曰寸白虫。居肠胃之间。动则损人精
气。令腰脚痛弱。更有一虫。形若细丝。或如马尾。故俗呼谓之马尾虫。此虫不拘九虫之数。或云。饮食中误咽
油发所变。亦居胃中。动则令儿腹中搅刺发痛。不可忍受。小儿虫动者。多病于诸病
之后。脏腑虚弱故也。患疳劳吐泻者尤甚。钱乙论小儿虫动之证。面 白。心腹痛。唯是口不吐沫。及无清水出
也。故乙又言心腹痛而吐者。虫痛也。心腹痛而不吐水者。冷痛也，但吐水不心腹痛者。胃冷也。又虫痛亦与惊
痫证略略相似。但目不邪。手不搐也。以此别之。则无误矣。乙治虫痛者。用安虫散。然世人用治虫之药。多
于临卧服之。并无日分。故多不验。唯于每月初四五日间。在五更时服之。至日午前。虫尽下矣。后以平调药一
两服和之。不可多也。凡虫在人腹中。每月上旬头向上。中旬横之。下旬头向下。是以中下旬服药。则不入虫
口。所以不验也。亦如牛马生子。上旬生者行在母前。中旬生者并母而行。下旬生者行在母后。又如猫之食鼠。
上旬则食前段。中旬则食中段。下旬则食下段。此物理之自然。莫不知也。然虫痛极者。虽不贯心。亦能毙人。
昔钱乙治辛氏女五岁病虫痛。他医以巴漆 砂之属治之不效。至五日外。多哭而俯仰。卧睡不安。自
按心腹。时大叫。面无正色。或青或黄。或白或黑。目无光而慢，唇白吐沫。至六日胸高而卧转不安。召乙至。
详而视之。用芜荑散三服。见目不除青色。大惊曰。此病大困。若更加泻。则为逆矣。至次日见辛曰。夜来三更
而泻。乙于泻盆中看如药汁。以杖搅之。见有药丸。乙曰此子肌浓。当气实。今证反虚。不
可治也。何以然。师曰。脾虚胃冷则虫动。今目青。此肝乘于脾。又更加泻。知其气极虚也。而药丸随粪
下。即脾胃已脱。兼形为癖症。乃食饮所作。经言积者阴气也。聚者阳气也。故阴沉而伏。阳浮而动。气之所积
名曰积。乃五脏所生。其发有常处。其痛不离其部。气之所聚名曰聚。乃六腑所成。其发无根本。其痛无常处。
是以积聚皆气之所为也。癖症者。其始因脾胃虚冷。乳食不化。而以成伤。不为早治。停滞留结。乃成癖症也。
癖者邪癖也。所居在胁下。症者正证也。所居在腹中。皆有其形。或长或短。或块或片。其状不一。皆坚硬作
痛。其因乳得者。名曰乳癖症。俗云奶癖者是也。其因食得者。名曰食癖症。其因水浆得者。名曰水癖症。若因
按之或因转动时。自有声响者。此乃水癖症也。是以癖症皆饮食所作也。故小儿常当节适乳哺。调顺寒温。若少
失保卫。则病从而生矣。如或乳哺不时。寒温失宜。则脾胃不和。气不调顺。其候口频撮。面 白无精光。口中
气冷。不思乳食。盒饭以药和之。若不即治。则成胃冷。其候乳食不化。或但吐水。急当用药温之。又不与治。
则脾胃浸以成虚。其候面 白色弱。腹痛。口吐痰沫白绿。急当用药温补。若下痢者。更与调养。其中病不相
应。故知死病。后五日昏笃。七日而死。钱乙用方。本集载之。学人当以此为法尔。今除疳劳虫动者。已具于疳
疾门之下外。诸虫之方。叙而具后。
使君子
治蛔咬心腹疼痛。以使君子火煨熟。去壳与食。以壳煎汤送下。
红桃散
治蛔咬心腹痛。发渴有时。
风化锻石（一两烧赤细研为末） 朱砂（一钱细研为末水飞）
上拌匀细。用饭饮一大盏。入艾三五叶。煎二三沸。看多少。调一字或半钱与服。但少用。多则难吃。
龙胆汤
治蛔虫攻心。其痛如刺。吐出清水。以龙胆草一两锉碎。水
二盏。煮取一盏。去滓。隔宿不食。至五更头顿服。量大小与。
三角散
治如前。于七月七日。采蒺藜子不拘多少。阴干为散。每服半钱或一钱。饮服日三。量大小加减。无时。
木香桃仁丹
治蛔攻心。痛不可忍。
木香（一两） 桃仁（汤浸去皮尖并双仁者麸炒香熟一两） 槟榔（一分） 鹤虱（一两拣净） 黑狗脊
（一两） 苦楝根白皮（半两）
上为细末。 猪胆汁和丸黍米大。每服十粒。麝香汤下。无时。
夺命丹
主治如前。病至危困者。
野狼牙草（一两） 蓄（一两） 苦参（一两） 雷丸（半两） 薏苡仁（半两） 鹤虱（半两）
上为细末。糯米和丸黍米大。每服十粒。生地黄汁下。无时。
乳香丸
治虫动心腹疼痛。
乳香末 青皮（去穣炒黄为末各一分） 槐花（半合炒末） 风化锻石（研细半两）
上为末匀细。每服半钱。槐花汤调下。无时。
干漆散
治如前。
干漆（炒烟尽一钱） 使君子仁（二七个） 芜荑（去扇六十片） 楝根白皮（取东边者一钱）
上为细末。每服一字。沙糖熟水调下。二三岁半钱。四五岁一钱。无时。
楝皮汁
治如前。取楝根皮。削去外苍皮不用。只用白者。以煮浓汁。量大小与服。
抵圣散
治如前。痛不可忍者。苦楝根白皮二两。白芜荑去扇半两。为末。每服一钱。水一小盏。煎取半盏。放冷。
待发时服。量大小加减。无时。
胜丸子
治如前。
龙脑（研） 芦荟（研） 麝香（各一字） 牛黄（半字研） 胡黄连（半钱末）
上为末。同研匀。熊胆和丸绿豆大。每服三五丸。生米泔水化服。无时。
又方 以槟榔生为末。用东引石榴根煮汤调下。量大小与服。或半钱一钱。治寸白虫神效，上旬空心食前
服之。
治小儿蛔虫动作 以楝实一枚。煮浓汁。纳孔中。亦治蛲虫。以槐子杵烂纳孔中。亦治蛲虫。
治小儿寸白虫 以桃叶杵烂。绞汁服之。
雷丸散
治小儿三虫。雷丸川芎等分。为细末。每服一钱。米饮调之。日二服，无时。
胡粉牛黄丸
治小儿蛔动。腹内时时疼痛。
胡粉（三钱） 牛黄（一钱） 麝香（一钱）
上同研为末。用 猪胆一枚取汁。浸蒸饼和丸绿豆大。五岁儿温水下七丸。以意加减。无时。
又方 治如前。以葶苈子一分。生为末。水三合。煎取一合。一日服尽。以薏苡根煮汁作糜食之。甚香而
效。
治蛲虫内啮。心腹疼痛。以鹤虱为细末。用肥猪肉汁调服。五岁儿服二合。虫出便止。更以意加减。
治蛲虫及虫攻蚀。下部痒痛。以 蓄一把。水一升煮熟。五岁儿空腹服三二合。乳食前。
治蛲虫攻蚀下部 以胡粉雄黄各一分。同研为末。每以少许敷下部。
补胃膏
治如前。痛甚不可忍。啼哭不止。
良姜（一两微炒） 肉桂（去粗皮一两） 肉豆蔻（面裹煨半两） 干漆（炒烟尽半两） 乌梅肉（半两炒
干）
上为细末。炼蜜和丸鸡头子大。每服一二粒。米饮化下。无时。
香雷散
治如前。
雷丸 鹤虱 苦楝根皮 白芜荑（去扇各半两）
上为细末。每服一字或半钱。用生猪肉煮淡汤调下。无时。
化虫丸
治虫咬。腹中搅刺疼痛。
芜荑（去扇一分） 槟榔（二钱） 川鹤虱（一分）
上为细末。猪胆汁和丸麻子大。每三岁五丸。五七岁十丸。陈米饮下。无时。
川楝丸
治胃寒虫动。心腹疼痛。及上中下焦因虚而虫动。
干漆（三分炒碎烟出尽） 雄黄（一分研水飞） 巴豆霜（一钱）
上为细末。糊丸黍米大。每服五七丸。量大小加减。取东引石榴
根煎汤下。痛甚者煎苦楝根汤。或煎芜荑汤下。
芜荑散
治上中二焦虚。及胃寒虫动。心腹刺痛。危恶证候。与惊痫相似。
白芜荑（拣净） 干漆（炒烟尽等分）
上为末。每服一字或半钱。米饮调。发时服。儿大者一钱。无时。
五灵脂散
治虫动攻心痛欲绝。
五灵脂（去沙石末二钱） 白矾（枯半钱）
上拌匀。每服一钱或半钱。水八分。煎至减半温服。当吐虫出。
绿矾丸
治腹中有虫。爱贪生物。以绿矾不拘多少为细末。猪胆汁和丸。绿豆大。每服五七丸。米饮下。无时。
蜂窠蛹子
治腹有诸虫。口中吐出。以蜂窠中蛹子与食之。
槟榔散
治寸白蛲蛔诸虫。
槟榔（一个） 木香（一钱）
上同为末。每用一钱。煎楝根白皮汤调下。如楝根赤者不堪用。用即害人。须在
月初四五日间。至五更头。先嚼肉脯一小片。只咽其汁。少顷服药。至日午前虫下。勿登厕。但用盆子。或在净
地上。庶见取下虫多少也。一服永绝根本。且食粥一二日。不须服补药。忌生冷硬物五七日佳。
碧金散
治寸白蛔蛲诸虫。随时大便粪下。
苦楝根皮（一两微炒锉） 鹤虱（半两拣净） 槟榔（半两） 猪牙皂角（三铤烧灰） 使君子仁（半两以
上先末） 青黛（半两研） 麝香（一分研）
上拌匀细。每服一钱，淡猪肉汤调下。无时。
化虫丹
治数岁上食肥甘物多而虫动。
鹤虱（一两拣净） 槟榔（一两） 苦楝根皮（一两以上先末） 胡粉（半两研） 白矾（半两研）
上为细末拌匀。面糊和丸黍米大。每服十粒。温浆水入生油一两点。搅匀送下。无时。
黑金散
治虫烦扰乱。服之烦已。得睡为验。
干漆（一两） 肉桂（半两） 草豆蔻仁（一分） 石榴根（三钱） 雄黄（一分研）
上都于一瓦器中烧存性。研为极细末。每服一字或半钱。研麝
香少许。煎粟米饮调下。
黄金散
专治吐痢后虫动。
干漆（一两拣烟尽） 白芜荑（去扁半两） 肉豆蔻（面裹煨去面半两以上先为末） 雄黄（三分研水飞）
上研拌匀细。每服半钱。煎葱白汤入生油一二点同调下。须调令匀。熟即得。如药冷。再上火温服。不拘时
候。
胡粉丹
治蛲虫发动。甚者成痔漏 疥。
大枣（五十个蒸熟取肉去皮核） 水银（半两二味同研匀细成膏） 胡粉（一两研） 雄黄（半两研水飞）
上同入枣膏研匀。丸黍米大，每服十粒。煎苦楝根汤送下。无时。
皮散
治蛲虫耗损气血。已成痔者。
皮（一两烧灰） 鳖甲（一两酥炙黄去裙 ） 蛇蜕皮（一两烧灰） 露蜂房（半两烧灰）
上为细末。入麝香末一钱拌匀。每服半钱。米饮调下。无时。
棕榈散
治如前。
棕榈（一两烧灰） 荆芥穗（一两） 侧柏（一两炙黄） 牛膝（去芦半两） 枳壳（去穣麸炒黄半两）
黄（半两）
上为细末。每服半钱。米饮调下。乳食前。
神蟾谷精丹
治诸病有虫下如丝。或如马尾。甚者便至危殆。
干蟾（三枚五月五日取者酥炙黄） 谷精草（三两入一瓶内盐泥固封慢火 通赤） 胡黄连（半两） 皂角（三寸
烧灰） 瓜蒂（半两） 母丁香（半两以上先为末） 粉霜（一分研） 芦荟（一分研） 麝香（一分研）
上同拌匀。以猪胆汁和丸黍米大。每服十粒。温米饮下。无时。
The classic states that there are nine types of parasites in the human zang-fu organs. Among them, three types of parasites are particularly prone to causing disease. If the zang-fu organs are strong, they cannot cause harm; if the zang-fu organs are weak, symptoms will arise following the disturbance by these parasites.
Therefore, the classics also separately name these three parasites. The first is called Ascaris (also known as long worm), residing between the stomach and epigastrium. When active, it causes children to vomit greenish-white foam or greenish water, accompanied by stabbing pain in the heart and abdomen. If the worm penetrates the heart, death ensues. The second is called Pinworm, residing in the rectum. When numerous, its activity leads to hemorrhoids, skin erosion, sores, scabies, and leprosy-like conditions. The third is called Taenia (flatworm), residing between the intestines and stomach. Its activity depletes the body's essence and qi, causing soreness and weakness in the waist and legs. Additionally, there is another parasite shaped like a fine thread or horse tail, hence commonly called Horse-tail Worm. This parasite is not counted among the nine worms. Some say it transforms from ingested oil and hair during diet, also residing in the stomach. Its activity causes abdominal churning and stabbing pain, unbearable for the child. Parasitic diseases in children often occur after other illnesses due to the weakness of the zang-fu organs. It is especially severe in cases of infantile malnutrition (Gan syndrome), consumptive fever, vomiting, and diarrhea. Qian Yi discussed the symptoms of parasitic movement in children: pale complexion, heart and abdominal pain, but without vomiting foam or clear water. Thus, Qian Yi further stated that heart and abdominal pain with vomiting indicates parasitic pain; heart and abdominal pain without vomiting water indicates cold pain; vomiting water without heart and abdominal pain indicates stomach cold. Furthermore, parasitic pain is slightly similar to convulsive epilepsy, but the eyes do not deviate, and the hands do not twitch. Distinguishing by this ensures no misdiagnosis. Qian Yi treated parasitic pain using An Chong San (Worm-Calming Powder). However, people usually administer anti-parasitic medicines before bedtime without regard to specific days, resulting in ineffectiveness. It is only effective when taken around the 4th or 5th day of the lunar month at Wu Geng time (early morning, 3-5 AM). By noon, the worms are completely expelled. Subsequently, one liang of a harmonizing medicine should be taken to regulate the system; excessive dosage should be avoided. Generally, worms in the abdomen face upwards in the first ten days of the lunar month, lie horizontally in the middle ten days, and face downwards in the last ten days. Therefore, taking medicine in the middle or late periods fails to enter the worm's mouth, rendering it ineffective. This is analogous to cattle and horses giving birth: those born in the early period walk ahead of the mother, those in the middle walk alongside, and those in the late period walk behind. Similarly, when a cat eats a mouse, it consumes the front part in the early period, the middle part in the mid-period, and the rear part in the late period. This is the natural law of things, known to all. However, severe parasitic pain can be fatal even without penetrating the heart.
Previously, Qian Yi treated a five-year-old girl of the Xin family suffering from parasitic pain. Other doctors used drugs like Radix Euphorbiae Lathyri (Batu) and Lacca (Qisha) without success. After five days, the child cried frequently, tossed her body up and down, slept restlessly, pressed her heart and abdomen, screamed occasionally, displayed an abnormal complexion (green, yellow, white, or black), had dull eyes, pale lips, and vomited foam. On the sixth day, her chest was elevated while lying, and she became more restless. Qian Yi was summoned, examined her carefully, and administered three doses of Wuyi San (Trogopterus Dung Powder). Seeing that the greenish hue in her eyes persisted, Qian Yi was greatly alarmed, saying, "This illness is critical. If diarrhea occurs, it becomes a reverse syndrome (incurable)." The next day, he told Mr. Xin, "She had diarrhea at midnight." Looking into the chamber pot, Qian Yi saw liquid resembling medicinal juice and stirred it with a stick, revealing pill remnants. Qian Yi said, "This child has thick muscles and should have robust qi, but the current signs indicate extreme deficiency; it is untreatable." Why? The teacher explained, "Spleen deficiency and stomach cold cause worm movement. The greenish eyes indicate Liver Wood overacting on Spleen Earth. Coupled with diarrhea, we know the qi is extremely depleted. Moreover, the pills passed with feces indicate that the Spleen and Stomach qi have collapsed. Additionally, the physical manifestation is Pi Syndrome (masses), caused by dietary injury. The classic states: Ji (accumulation) is Yin Qi, Ju (gathering) is Yang Qi. Yin sinks and remains static; Yang floats and moves. Where Qi accumulates, it is called Ji, originating from the Zang organs, with fixed locations and pain confined to those areas. Where Qi gathers, it is called Ju, originating from the Fu organs, with no fixed root and wandering pain. Thus, Ji and Ju are both manifestations of Qi disorders. Pi Syndrome initially arises from Spleen deficiency and stomach cold, leading to undigested milk and food. If not treated early, stagnation and knotting form Pi Syndrome. 'Pi' refers to eccentric pathogenic factors residing in the hypochondrium; 'Zheng' refers to proper masses residing in the abdomen. Both have distinct shapes—long or short, lumpy or flat—and are hard and painful. Caused by nursing, it is called Ru Pi Zheng (Milk Pi Mass); commonly known as Nai Pi. Caused by food, it is called Shi Pi Zheng (Food Pi Mass). Caused by fluids, it is called Shui Pi Zheng (Water Pi Mass). If pressing or turning the body produces sounds, it is Water Pi Syndrome. Thus, Pi Syndromes are all caused by diet. Therefore, children should regulate nursing and adjust warmth and cold. Neglecting protection invites disease. Irregular nursing and improper temperature regulation lead to Spleen-Stomach disharmony and Qi stagnation. Symptoms include frequent mouth puckering, pale lusterless complexion, cold breath, and loss of appetite. Medication must be used to harmonize. If untreated, it becomes Stomach Cold, characterized by indigestion or vomiting only water. Urgent warming treatment is required. If still untreated, Spleen-Stomach gradually become deficient. Symptoms include pale weak complexion, abdominal pain, and vomiting white-green phlegm foam. Urgent warming and tonification are needed. If dysentery occurs, further conditioning is necessary. If symptoms do not respond to treatment, death is imminent. The child will become comatose after five days and die on the seventh. Qian Yi's formulas are recorded in his collected works. Students should take this as a model. Apart from Gan syndrome and parasitic movements detailed in the Gan Disease section, the following are various anti-parasitic formulas.
Shi Jun Zi (Quisqualis Fruit)
Treats Ascaris biting causing heart and abdominal pain. Roast Quisqualis fruit until cooked, remove shells, feed to the child, and administer decoction of the shells to wash it down.
Hong Tao San (Red Peach Powder)
Treats Ascaris biting causing heart and abdominal pain with intermittent thirst.
Feng Hua Duan Shi (Weathered Talcum Stone) (1 liang, calcined red, finely ground) Zhu Sha (Cinnabar) (1 qian, finely ground, washed with water)
Mix well and grind finely. Take one large cup of rice drink, add 3-5 leaves of Ai Ye (Artemisia argyi), boil for 2-3 boils. Adjust amount, mix in one zi or half a qian for administration. Use sparingly; too much is difficult to swallow.
Long Dan Tang (Gentian Decoction)
Treats Ascaris attacking the heart, pain like stabbing, vomiting clear water. Use 1 liang of Long Dan Cao (Gentiana scabra), chopped, boiled in 2 cups of water to yield 1 cup. Strain. Fast overnight. Administer all at once at Wu Geng time. Adjust dose according to age.
San Jiao San (Triangle Powder)
Treats as above. Collect Ji Li Zi (Tribulus terrestris seeds) on the 7th day of the 7th lunar month, dry in shade, and grind into powder. Take half a qian or one qian per dose, with water, three times daily. Adjust according to age. No specific timing.
Mu Xiang Tao Ren Dan (Aucklandia and Peach Kernel Pill)
Treats Ascaris attacking the heart, unbearable pain.
Mu Xiang (Costus Root) (1 liang) Tao Ren (Peach Seed) (Soaked in water, peeled, removed pits and double kernels, stir-fried with bran until fragrant, 1 liang) Bing Lang (Areca Nut) (1 fen) He Shi (Chrysanthemum seed head/parasite) (1 liang, cleaned) Hei Gou Ji (Black Dog Spine) (1 liang) Ku Lian Gen Bai Pi (White Bark of Melia azedarach Root) (0.5 liang)
Grind into fine powder. Mix with Pig Bile (Su Dan Huang) to form pills the size of millet seeds. Take 10 pills per dose, washed down with She Xiang (Musk) decoction. No specific timing.
Duo Ming Dan (Life-Seizing Pill)
Indications as above. For critical and desperate cases.
Ye Lang Ya Cao (Wild Wolf Tooth Grass) (1 liang) Xu (Polygonum aviculare) (1 liang) Ku Shen (Sophora flavescens) (1 liang) Lei Wan (Omphalia lapidescens) (0.5 liang) Yi Yi Ren (Coix Seed) (0.5 liang) He Shi (1 liang)
Grind into fine powder. Mix with Glutinous Rice to form pills the size of millet seeds. Take 10 pills per dose, washed down with Sheng Di Huang (Rehmannia) juice. No specific timing.
Ru Xiang Wan (Frankincense Pill)
Treats parasitic movement causing heart and abdominal pain.
Ru Xiang Mo (Frankincense Powder) Qing Pi (Citrus reticulata Green Peel) (Remove albedo, stir-fry until yellow, grind to powder, 1 fen each) Huai Hua (Sophora japonica Flower Bud) (0.5 he, stir-fry and grind) Feng Hua Duan Shi (0.5 liang, finely ground)
Mix powders uniformly. Take half a qian per dose, mixed with Huai Hua (Sophora japonica) decoction. No specific timing.
Gan Xi San (Dry Resin Powder)
Treats as above.
Gan Xi (Resina Draconis) (Stir-fry until smoke ceases, 1 qian) Shi Jun Zi Ren (Quisqualis Kernel) (27 pieces) Wu Yi (Melia azedarach fruit) (Remove scales, 60 pieces) Lian Gen Bai Pi (White Bark of Melia azedarach Root) (Take from east side, 1 qian)
Grind into fine powder. Take one zi per dose, mixed with brown sugar water. Children aged 2-3 years take half a qian; aged 4-5 years take one qian. No specific timing.
Lian Pi Zhi (Melia Bark Juice)
Treats as above. Take Melia bark, scrape off the outer rough skin, use only the white inner part. Boil to make a concentrated juice. Administer according to age.
Di Sheng San (Holy-Rescuing Powder)
Treats as above. For unbearable pain. Ku Lian Gen Bai Pi (2 liang), Bai Wu Yi (0.5 liang, remove scales). Grind to powder. Take one qian per dose, with a small cup of water, boil to half a cup, let cool. Administer when symptoms appear. Adjust according to age. No specific timing.
Sheng Wan Zi (Victory Pill)
Treats as above.
Long Nao (Borneol) (Ground) Lu Hui (Aloe) (Ground) She Xiang (Musk) (Each 1 zi) Niu Huang (Calculus Bovis) (Half zi, ground) Hu Huang Lian (Coptis chinensis rhizome substitute/Berberis) (Half qian, powder)
Grind to powder, mix uniformly. Form pills the size of mung beans using Xiong Dan (Bear Gallbladder). Take 3-5 pills per dose, dissolved in raw rice water. No specific timing.
Another Formula
Use Bing Lang (Areca Nut) raw ground to powder. Mix with decoction of Dong Yin Shi Liu Gen (East-growing Pomegranate Root). Administer according to age, half a qian or one qian. Highly effective for Taenia (Cestoda). Take on an empty stomach in the morning during the first ten days of the lunar month.
Treating Pediatric Ascaris Movement
Boil one Lian Shi (Melia fruit) to make a concentrated juice, instill into the nostrils. Also treats Pinworm. Pound Huai Zi (Sophora seeds) until paste-like and instill into nostrils. Also treats Pinworm.
Treating Pediatric Taenia
Pound Tao Ye (Peach Leaf) until paste-like, squeeze out juice, and administer orally.
Lei Wan San (Lei Wan Powder)
Treats the three parasites in children. Lei Wan (Omphalia lapidescens) and Chuan Xiong (Ligusticum wallichii) in equal parts. Grind to fine powder. Take one qian per dose, mixed with rice drink. Twice daily. No specific timing.
Hu Fen Niu Huang Wan (Lead White and Calculus Bovis Pill)
Treats pediatric Ascaris movement with intermittent abdominal pain.
Hu Fen (Lead White) (3 qian) Niu Huang (Calculus Bovis) (1 qian) She Xiang (Musk) (1 qian)
Grind together to powder. Extract juice from one Zhu Dan (Pig Gallbladder), soak steamed dough, and form pills the size of mung beans. Five-year-old children take 7 pills with warm water. Adjust as needed. No specific timing.
Another Formula
Treats as above. Use Ting Li Zi (Descurainia semen) 1 fen, raw ground to powder. Add 3 he of water, boil to 1 he. Consume within one day. Eat porridge made with Yi Yi Gen (Coix Root) decoction. Very fragrant and effective.
Treating Pinworm Internal Biting, Heart and Abdominal Pain
Grind He Shi (Chrysanthemum seed head/parasite) to fine powder. Mix with fat pork juice. Five-year-old children take 2 he. Stop when worms exit. Adjust as needed.
Treating Pinworm and Parasitic Erosion, Lower Part Itching and Pain
Use Xu (Polygonum aviculare) one handful, boil in one sheng of water. Five-year-old children take 2-3 he on an empty stomach, before nursing or meals.
Treating Pinworm Eroding Lower Parts
Use Hu Fen (Lead White) and Xiong Huang (Realgar) each 1 fen. Grind together to powder. Apply a small amount to the affected lower area.
Bu Wei Gao (Stomach-Tonifying Paste)
Treats as above. Severe pain, incessant crying.
Liang Jiang (Alpinia officinarum Rhizome) (1 liang, lightly stir-fried) Rou Gui (Cinnamon Bark) (Remove coarse bark, 1 liang) Rou Dou Kou (Nutmeg) (Wrapped in flour, baked, 0.5 liang) Gan Xi (Resina Draconis) (Stir-fry until smoke ceases, 0.5 liang) Wu Mei Rou (Dark Plum Flesh) (0.5 liang, stir-fry until dry)
Grind to fine powder. Mix with refined honey to form pills the size of chicken heads. Take 1-2 pills per dose, dissolved in rice drink. No specific timing.
Xiang Lei San (Aucklandia and Lei Wan Powder)
Treats as above.
Lei Wan (Omphalia lapidescens) He Shi (Chrysanthemum seed head/parasite) Ku Lian Gen Pi (Melia azedarach Root Bark) Bai Wu Yi (Melia azedarach fruit, remove scales, each 0.5 liang)
Grind to fine powder. Take one zi or half a qian per dose, mixed with light broth from raw pork. No specific timing.
Hua Chong Wan (Parasite-Dissolving Pill)
Treats parasitic biting, abdominal churning and stabbing pain.
Wu Yi (Melia azedarach fruit, remove scales, 1 fen) Bing Lang (Areca Nut) (2 qian) Chuan He Shi (Sichuan Chrysanthemum seed head/parasite, 1 fen)
Grind to fine powder. Mix with Pig Bile to form pills the size of sesame seeds. Every three years of age takes 5 pills; 5-7 years takes 10 pills. Wash down with aged rice drink. No specific timing.
Chuan Lian Wan (Sichuan Melia Pill)
Treats Stomach Cold with parasitic movement, heart and abdominal pain, and parasitic movement in Upper, Middle, and Lower Jiao due to deficiency.
Gan Xi (Resina Draconis) (3 fen, crushed and stir-fried until smoke ceases) Xiong Huang (Realgar) (1 fen, ground, washed with water) Ba Dou Shuang (Croton Seed Frost) (1 qian)
Grind to fine powder. Form pills with starch paste, size of millet seeds. Take 5-7 pills per dose, adjust according to age. Wash down with decoction of Dong Yin Shi Liu Gen (East-growing Pomegranate Root). For severe pain, use Ku Lian Gen (Melia Root) decoction or Wu Yi (Melia Fruit) decoction.
Wu Yi San (Trogopterus Dung Powder)
Treats Upper and Middle Jiao deficiency, Stomach Cold with parasitic movement, heart and abdominal stabbing pain, critical conditions resembling convulsive epilepsy.
Bai Wu Yi (Cleaned) Gan Xi (Stir-fried until smoke ceases, equal parts)
Grind to powder. Take one zi or half a qian per dose, mixed with rice drink. Administer when symptoms appear. Older children take one qian. No specific timing.
Wu Ling Zhi San (Trogopterus Dung Powder Variant)
Treats parasitic movement attacking the heart, pain nearing death.
Wu Ling Zhi (Trogopterus Dung) (Remove sand/stones, powder 2 qian) Bai Fan (Alumen) (Calcined, half qian)
Mix well. Take one qian or half a qian per dose, with 8 fen of water. Boil until reduced by half. Take warm. Vomiting of worms should occur.
Lu Fan Wan (Green Vitriol Pill)
Treats abdominal parasites, craving raw food. Use Lu Fan (Green Vitriol) in any amount, grind to fine powder. Mix with Pig Bile to form pills the size of mung beans. Take 5-7 pills per dose, washed down with rice drink. No specific timing.
Feng Ke Yong Zi (Beehive Pupa)
Treats various abdominal parasites, expelled through the mouth. Feed pupae from beehives to the child.
Bing Lang San (Areca Nut Powder)
Treats Taenia, Pinworm, and Ascaris.
Bing Lang (Areca Nut) (1 piece) Mu Xiang (Costus Root) (1 qian)
Grind together to powder. Take one qian per dose, mixed with decoction of Lian Gen Bai Pi (White Bark of Melia azedarach Root). Red-colored Melia roots are unsuitable and harmful. Must be taken around the 4th or 5th day of the lunar month at Wu Geng time. Chew a small piece of meat jerky first, swallow only the juice. Wait a moment, then take the medicine. Worms will be expelled by noon. Do not go to the toilet; use a basin or clean ground to observe the expelled worms. One dose permanently eradicates the root. Eat congee for 1-2 days. No need for tonic medicines. Avoid raw, cold, and hard foods for 5-7 days.
Bi Jin San (Blue Gold Powder)
Treats Taenia, Ascaris, and Pinworm, expelled via stool at any time.
Ku Lian Gen Pi (Melia azedarach Root Bark) (1 liang, lightly stir-fried and chopped) He Shi (Chrysanthemum seed head/parasite) (0.5 liang, cleaned) Bing Lang (Areca Nut) (0.5 liang) Zhu Ya Zao Jiao (Ziziphus jujuba Thorn) (3 ting, burned to ash) Shi Jun Zi Ren (Quisqualis Kernel) (0.5 liang, pre-ground) Qing Dai (Indigo Naturalis) (0.5 liang, ground) She Xiang (Musk) (1 fen, ground)
Mix well and grind finely. Take one qian per dose, mixed with light pork broth. No specific timing.
Hua Chong Dan (Parasite-Dissolving Pill)
Treats parasitic movement in children over several years due to excessive consumption of rich and sweet foods.
He Shi (Chrysanthemum seed head/parasite) (1 liang, cleaned) Bing Lang (Areca Nut) (1 liang) Ku Lian Gen Pi (Melia azedarach Root Bark) (1 liang, pre-ground) Hu Fen (Lead White) (0.5 liang, ground) Bai Fan (Alumen) (0.5 liang, ground)
Grind to fine powder and mix. Form pills with wheat paste, size of millet seeds. Take 10 pills per dose, washed down with warm sour rice water containing 1-2 drops of raw oil. No specific timing.
Hei Jin San (Black Gold Powder)
Treats parasitic agitation and disturbance. Effective if agitation ceases and sleep follows.
Gan Xi (Resina Draconis) (1 liang) Rou Gui (Cinnamon Bark) (0.5 liang) Cao Dou Kou Ren (Cardamom Kernel) (1 fen) Shi Liu Gen (Pomegranate Root) (3 qian) Xiong Huang (Realgar) (1 fen, ground)
Calcine all ingredients in a clay vessel until preserved character (burnt but not ashed). Grind to extremely fine powder. Take one zi or half a qian per dose. Mix with a little ground Musk, and wash down with millet drink decoction.
Huang Jin San (Yellow Gold Powder)
Specifically treats parasitic movement after vomiting and dysentery.
Gan Xi (Resina Draconis) (1 liang, select smoke-free) Bai Wu Yi (Melia azederach fruit, remove scales, 0.5 liang) Rou Dou Kou (Nutmeg) (Wrapped in flour, baked, remove flour, 0.5 liang, pre-ground) Xiong Huang (Realgar) (3 fen, ground, washed with water)
Grind uniformly to fine powder. Take half a qian per dose. Wash down with Scallion White decoction with 1-2 drops of raw oil. Ensure uniform mixing. Cook thoroughly. If cold, reheat before administration. No specific timing.
Hu Fen Dan (Lead White Pill)
Treats Pinworm activation, severe cases leading to hemorrhoids/fistulas and scabies.
Da Zao (Jujube) (50 pieces, steamed, flesh taken, skin and pits removed) Shui Yin (Mercury) (0.5 liang, grind these two together until fine paste) Hu Fen (Lead White) (1 liang, ground) Xiong Huang (Realgar) (0.5 liang, ground, washed with water)
Mix thoroughly with Jujube paste. Form pills the size of millet seeds. Take 10 pills per dose, washed down with Ku Lian Gen (Melia Root) decoction. No specific timing.
Pi San (Skin Powder)
Treats Pinworm depleting Qi and Blood, resulting in hemorrhoids.
Pi (Skin) (1 liang, burned to ash) Bie Jia (Carapax et Plastrum Testudinis) (1 liang, fried with Su until yellow, remove skirt) She Tui Pi (Snake Skin) (1 liang, burned to ash) Lu Feng Fang (Honeycomb) (0.5 liang, burned to ash)
Grind to fine powder. Add 1 qian of She Xiang (Musk) powder, mix well. Take half a qian per dose, mixed with rice drink. No specific timing.
Zong Lv San (Palmyra Palm Powder)
Treats as above.
Zong Lv (Palmyra Palm Fiber) (1 liang, burned to ash) Jing Jie Sui (Schizonepeta Spike) (1 liang) Ce Bai (Platycladus Orientalis Leaf) (1 liang, stir-fried until yellow) Niu Xi (Achyranthes bidentata Root) (Remove radix tip, 0.5 liang) Zhi Ke (Aurantii Fructus) (Remove albedo, stir-fried with bran until yellow, 0.5 liang) Huang Qi (Astragalus Root) (0.5 liang)
Grind to fine powder. Take half a qian per dose, mixed with rice drink. Before nursing/meals.
Shen Chan Gu Jing Dan (Divine Toad and Grain Spirit Pill)
Treats various diseases where worms emerge like threads or horse tails, severe cases approaching danger.
Gan Chan (Toad Skin/Dried Toad) (3 pieces, taken on May 5th, fried with Su until yellow) Gu Jing Cao (Equisetum hiemale/Glume Flower Grass) (3 liang, sealed in bottle with salt mud, slow-fire calcined until red) Hu Huang Lian (Coptis chinensis rhizome substitute/Berberis) (0.5 liang) Zao Jiao (Gleditsia sinensis Fruit) (3 cun, burned to ash) Gua Di (Momordica charantia Fruit) (0.5 liang) Mu Ding Xiang (Cloves) (0.5 liang, pre-ground) Fen Shuang (Sublimated Arsenic Trioxide) (1 fen, ground) Lu Hui (Aloe) (1 fen, ground) She Xiang (Musk) (1 fen, ground)
Mix uniformly. Form pills with Pig Bile, size of millet seeds. Take 10 pills per dose, washed down with warm rice drink. No specific timing.