《巢氏病源》小儿寸白候∶寸白者,九虫内之一虫也。长一寸而色白,形小扁。因腑脏虚弱而能发动,或云
饮白酒。一云以桑株枝贯串牛肉炙,并食生粟所作;或云食生鱼后即食乳酪亦令生之。其发动则损人精气,
腰脚疼弱。又云∶此虫生长一尺,则令人死者。
《圣惠》∶夫小儿寸白者,多因甘肥不节,生冷过度之所致也。其虫发动伤人脏腑,饮食不成肌肤。子母相
生,无有休止。若虫长一尺,则能害人也。
《千金》治寸白虫方。
上用东行石榴根一把,水一升,煮取三合,分服。
《千金》又方
上用桃叶捣,绞取汁服之。
《圣惠》治小儿寸白虫连年不除,面无颜色,体瘦少力。青黛散方
青黛 鹤虱(各一分) 槟榔(一枚) 苦楝根(一两,微炙,锉)
上件药捣,细罗为散。每服时先吃淡肉脯少许,后以粥饮调下半钱。量儿大小加减服之。日二、三服。
《圣惠》又方
朱砂 麝香(各一钱) 苦楝子肉(一两,糯米拌炒,以米熟为度)
上件药都研令细,以水浸,蒸饼和丸如芥子大。每于空腹,春夏冷水、秋冬热水下七丸。量儿大小加减服
之。
《圣惠》治小儿寸白虫久不愈。槟榔散方
槟榔(二枚,为末) 猪牙皂角(三枚,烧) 苦楝子(五枚,为末)
上件药同研为散。每服空心,煎苦楝根白皮汤调下半钱。三两服后虫皆自下。量儿大小加减服之。
《圣惠》又方
鹤虱 雷丸 使君子(各三分) 巴豆(十枚,去皮心,研,纸裹压去油)
上件药捣,罗为末,以糯米饭和丸如绿豆大。每服以砂糖水下三丸。量儿大小加减服之。
张涣碧金散方 治小儿大便虫下及生寸白虫。
苦楝根(一两,微炙,锉) 猪牙皂角(三挺,烧灰) 鹤虱 槟榔 使君子仁(各半两,捣,罗为细末,次用∶)
好青黛(半两,细研) 麝香(一分,细研)
上件同拌匀。每服一字,煎淡猪肉汤下,不拘时候。
《张氏家传》治大人、小儿腹中生虫,名寸白虫,如葫芦子大,令人瘦悴,久而不可者方。
密陀僧(一钱,细研) 轻粉(少许)
上每早晨未吃饮食且令稍饥,然后用生油调,猛吃三两口;候一、两时辰,虫母取下,可长数尺,永除根
本。
长沙医者丁时发传治小儿寸白虫久不瘥槟榔丸方
槟榔(二枚,为末) 猪牙皂角(三条,烧) 苦楝子(五个,为末) 石榴根(一握,二七茎,烧一碗)
上件为末,每服半钱,苦楝根白皮汤调下,三两服,取虫。大小加减。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the condition of *Cunbai* worms (Tapeworms) in children: *Cunbai* is one of the nine types of parasites. It is about one cun long, white in color, and small and flat in shape. It arises due to the weakness of the fu and zang organs. Some say it is caused by drinking white wine; others claim it results from eating beef roasted on mulberry branches along with raw millet; still others suggest that consuming dairy products immediately after eating raw fish can cause them. When active, these worms deplete the body's essence and qi, causing pain and weakness in the lower back and legs. It is also said that if a worm grows to one chi long, it can be fatal.
*Tai Ping Sheng Hui Fang* (Formulas of the Holy Benefit of the Taiping Era) states: Children suffering from *Cunbai* worms are mostly affected by excessive consumption of sweet, rich, and fatty foods, as well as overindulgence in cold and raw foods. When active, these worms damage the internal organs, preventing food from transforming into muscle and tissue. They reproduce endlessly. If a worm reaches one chi in length, it becomes harmful to the human body.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) formula for treating *Cunbai* worms.
Take one handful of pomegranate root from the east-facing side of the tree, add one sheng of water, boil until reduced to three ge, and divide into doses for administration.
Another formula from *Qian Jin Fang*:
Crush peach leaves, extract the juice, and administer orally.
*Tai Ping Sheng Hui Fang* formula for pediatric *Cunbai* worms persisting for years, presenting with pallor, emaciation, and weakness. Qingdai San (Indigo Powder):
Qingdai (Indigo Naturalis), Qieshi (Artemisiae argyi Fructus or similar parasitic herb, typically Qieshi refers to *Dipsaci Radix* or *Artemisia* seeds depending on context, here likely *Qieshi* as antiparasitic), each 1 fen; Binglang (Arecae Semen), 1 piece; Kulian Gen (Meliae Cortex), 1 liang, slightly roasted and chopped.
Pulverize the above ingredients and sieve finely to make a powder. Before taking the medicine, consume a small amount of plain dried meat first, then mix half qian of the powder with congee broth for oral administration. Adjust dosage according to the child's age. Administer two to three times daily.
Another formula from *Tai Ping Sheng Hui Fang*:
Zhusha (Cinnabar), Shexiang (Moschus), each 1 qian; Kulian Zi Rou (Kernel of Melia Toosendan Fruit), 1 liang, stir-fried with glutinous rice until the rice is cooked.
Grind all ingredients to a fine powder, moisten with water, and mix with steamed bread dough to form pills the size of mustard seeds. Take seven pills on an empty stomach, using cold water in spring and summer, and warm water in autumn and winter. Adjust dosage according to the child's age.
*Binglang San* (Areca Powder) from *Tai Ping Sheng Hui Fang* for chronic pediatric *Cunbai* worms:
Binglang (Arecae Semen), 2 pieces, powdered; Zhuya Zaojiao (Gleditsiae Sinensis Spina), 3 pieces, charred; Kulian Zi (Fructus Meliae Toosendae), 5 pieces, powdered.
Grind the above ingredients together into a powder. Take half qian on an empty stomach, mixed with decoction of the white bark of Kulian root. After two or three doses, the worms will pass naturally. Adjust dosage according to the child's age.
Another formula from *Tai Ping Sheng Hui Fang*:
Qieshi (Herba Siegesbeckiae or similar), Leiwan (Wanillospermum), Shijunzi (Quisqualis Fructus), each 3 fen; Badou (Crotonis Fructus), 10 pieces, skin and heart removed, ground, wrapped in paper to press out the oil.
Pulverize the above ingredients, sieve into powder, and bind with glutinous rice paste to form pills the size of mung beans. Take three pills per dose with sugar water. Adjust dosage according to the child's age.
Zhang Huan's Bijin San (Emerald-Gold Powder): For treating children passing worms in stool and suffering from *Cunbai* worms.
Kulian Gen (Meliae Cortex), 1 liang, slightly roasted and chopped; Zhuya Zaojiao (Gleditsiae Sinensis Spina), 3 spikes, burned to ash; Qieshi (Herba Siegesbeckiae), Binglang (Arecae Semen), Shijunzi Ren (Semen Quisqualis), each 0.5 liang, crushed and sieved into fine powder. Then add:
Hao Qingdai (Optimal Indigo Naturalis), 0.5 liang, finely ground; Shexiang (Moschus), 1 fen, finely ground.
Mix all ingredients thoroughly. Take one zi measure per dose, administered with decoction of lean pork broth, at any time.
*Zhang Shi Jia Chuan* (Zhang Family Transmission) formula for adults and children with abdominal worms named *Cunbai*, sized like gourd seeds, causing emaciation and frailty, for cases unresponsive to treatment:
Mituo Seng (Lithargyrum), 1 qian, finely ground; Qingfen (Calomelas), a small amount.
Each morning before eating, allow the patient to feel slightly hungry. Mix with raw sesame oil and ingest vigorously in two or three mouthfuls. After one or two shichen (2-4 hours), the mother worm will be expelled, potentially several chi long, permanently removing the root cause.
Binlang Wan (Areca Pill) transmitted by Ding Shifa, a physician from Changsha, for chronic pediatric *Cunbai* worms unresponsive to treatment:
Binglang (Arecae Semen), 2 pieces, powdered; Zhuya Zaojiao (Gleditsiae Sinensis Spina), 3 strips, charred; Kulian Zi (Fructus Meliae Toosendae), 5 pieces, powdered; Shiliu Gen (Punica Granati Radix Cortices), one handful (approximately 14 stems), burned to produce one bowl of ash.
Process the above into powder. Take half qian per dose, mixed with decoction of the white bark of Kulian root. After two or three doses, the worms will be expelled. Adjust dosage according to the child's age.