小儿食乳饭早，食肉太早，或肠胃停蓄甜腻，化为蛔虫，皱眉多啼，呕吐
清沫，腹中作痛，肚胀青筋，唇口紫黑，摇头齿痒是也。玉诀歌∶恶哭痰青蛔咬
心，涎生积冷痛难任，每餐甜物并时果，致得虫生病转深。先用使君子散、芦荟
丸取蛔，后温脾胃。
使君子散 治小儿疳蛔。
使君子（十个，瓦上炒，为末） 甘草（胆汁浸一夕） 白芜荑（各一分） 苦楝子（五个，炮，去核）
上末之。每服一钱，水煎服。
芦荟丸 治小儿疳蛔。
芦荟 安息香 胡黄连 枳壳（麸炒。各一钱） 使君子（三七个，炒） 芜荑（一分） 定粉（一钱半） 麝香
（少许）
上末， 猪胆糊丸，如绿豆大。五七丸，米饮吞下。
〔张涣〕三根散 治蛔疳虫动，啼叫不止，每至月初间尤甚，状如神祟。
贯众根 棠梨根 醋石榴根（各一两） 栗刺 故绵 干漆（各半两）
上件药六味，并烧灰存性，捣、罗为细末。每服一钱，用水八分，煎四分，去
滓放温服，不拘时候。
除毒丹 此方治蛔疳不瘥，传染兄弟姊妹。
鬼臼（一两，去毛） 苦参（锉） 青葙子 草龙胆（各半两） 硫黄 绯绢 干虾蟆 白矾（各一分）
上件药并烧灰存性，捣、罗为细末，炼蜜和，如麻子大。每服十粒，磨沉香汤下，量儿大小加减。
猪肚丹 治小儿疳瘦盗汗，多倦少力，大便有虫，曾经大效。
川黄连（拣净） 胡黄连 木香（各一两） 羌活 芦荟 肉豆蔻 鳖甲（酥炙，去裙 ） 白芜
荑（各半两）
上件捣，罗为细末，用 猪肚一个，洗刮令净，先以好香白芷二两，纳肚中蒸
极熟，去白芷不用，却入诸药，缝合再蒸如泥，取出同猪肚捣二三百下，成膏，
丸如黍粟大。每服十粒，米饮下，不拘时候，量儿大小加减。
谷精丹 治诸病下虫如丝发，或如马尾，甚者，便至夭伤。
谷精草（三两，入饼子纳盐泥固济，用慢火煨通赤为度，取出） 干蟾（三枚，五月五日取者，用酥炙黄） 皂荚
（三寸，烧灰）
胡黄连 瓜蒂 母丁香（各半两。以上捣罗为细末，次入） 粉霜 芦荟 麝香（各一分。并细研）
上件都拌匀，用猪胆汁和如黍米大。每服十粒，米泔放温下，量儿大小加减。
桃柳汤 服诸药后用此法助之。
桃枝（二两） 柳枝（二两）
上件并锉碎，以水两大碗，煎数沸，通手浴儿，甚佳。浴儿毕，用一青衣服盖
之，疳虫自出，为验。
小儿合地，面无颜色，啼声乍高，状似心痛，往往口干，发动有时，医人不识，妄
呼见祟，不知小儿曾吃生肉，肉化为虫，此方大效。苦楝丸
苦楝根 鹤虱 朱砂（各一两） 槟榔（三个） 麝香（一钱）
上末，面糊丸，如小豆大。每服三丸，白汤下，日三服。忌毒物。
下虫丸 治疳蛔诸虫。
新白苦楝根皮（酒浸，焙） 绿包贯众 木香 桃仁（浸，去皮，焙） 芜荑（焙） 鸡心槟榔（各二钱）
鹤虱（炒，一钱） 轻粉（五分） 干虾蟆（炙焦，三钱） 使君子（五十，取肉，煨）
上为末，面糊丸，麻子大。每服一二十丸，天明清肉汁下。内加当归、川连各二钱五分。
If infants consume milk and rice too early, or eat meat too early, or if their gastrointestinal tract accumulates sweet and greasy foods that transform into Ascaris lumbricoides (roundworm), they may exhibit symptoms such as frowning, excessive crying, vomiting of clear froth, abdominal pain, abdominal distension with visible subcutaneous veins, purple-black lips and mouth, head shaking, and itching teeth. The *Yujue Ge* states: "Crying in distress with green phlegm indicates roundworm biting the heart; increased saliva due to cold accumulation causes unbearable pain; consuming sweets and seasonal fruits at every meal leads to deepening parasitic disease." Treatment should first employ Shijunzi San (Quince Seed Powder) or Lushui Wan (Aloe Pill) to expel roundworms, followed by warming and tonifying the spleen and stomach.
Shijunzi San (Quince Seed Powder): Treats pediatric malnutrition (*Gan*) complicated by roundworm infection.
Ingredients: Shijunzi (Ten seeds, stir-fried on a tile until fragrant, then powdered); Gancao (Licorice Root, soaked in bile overnight); Bai Wuyi (White Toosendan Fruit, each 1 fen); Kulianzi (Bitter Chinaberry Fruit, five pieces, processed, pitted).
Usage: Grind all ingredients into fine powder. Take 1 qian per dose, decoct in water, and administer orally.
Lushui Wan (Aloe Pill): Treats pediatric malnutrition (*Gan*) complicated by roundworm infection.
Ingredients: Lushui (Aloe); Anshixiang (Benzoin Resin); Hu Huanglian (Indian Barberry Rhizome); Zhike (Aurantium Peel, stir-fried with bran, each 1 qian); Shijunzi (21 seeds, stir-fried); Wuyi (Toosendan Fruit, 1 fen); Dingfen (Basic Bismuth Subcarbonate, 1.5 qian); Shexiang (Musk, a small amount).
Usage: Grind into fine powder, mix with pig bile paste to form pills the size of mung beans. Take 5-7 pills per dose, swallowed with rice water.
[Zhang Huan] Sangen San (Three Roots Powder): Treats roundworm malnutrition where worms are active, causing incessant crying, which is particularly severe around the beginning of each month, resembling possession by spirits.
Ingredients: Guanzhonggen (Cyrtomium Rhizome); Tangligen (Pyrus Betulifolia Root); Cu Shiliugeng (Vinegar-treated Pomegranate Root, each 1 liang); Cici (Chestnut Spines); Gumiang (Old Cotton Floss); Ganqi (Dried Lacquer, each 0.5 liang).
Usage: Calcine the six herbs to ash while preserving their medicinal properties, grind, and sieve into fine powder. Take 1 qian per dose, decoct in 0.8 sheng of water until reduced to 0.4 sheng, strain, and administer warm. No specific timing required.
Chudu Dan (Remove Toxicity Pill): This formula treats persistent roundworm malnutrition that has spread to siblings.
Ingredients: Guijiu (Podophyllum Rhizome, 1 liang, de-haired); Kushen (Sophora Root, sliced); Qingxiangzi (Celosia Seed); Cao Longdan (Gentian Root, each 0.5 liang); Liuhuang (Sulfur); Feijuan (Red Silk); Gan Xiamahua (Dried Toad, 1 fen); Baifan (Alum, 1 fen).
Usage: Calcine all ingredients to ash while preserving their medicinal properties, grind, and sieve into fine powder. Mix with refined honey to form pills the size of hemp seeds. Take 10 pills per dose, administered with crushed Agaricus Sinensis (Chenxiang) decoction. Adjust dosage according to the child's age.
Zhudu Dan (Pig Stomach Pill): Treats pediatric malnutrition characterized by emaciation, night sweats, fatigue, weakness, and presence of worms in stool. Historically proven effective.
Ingredients: Chuan Huanglian (Coptis Rhizome, selected and clean); Hu Huanglian (Indian Barberry Rhizome); Muxiang (Aucklandia Root); Qianghuo (Notopterygium Rhizome); Lushui (Aloe); Roudoukou (Nutmeg); Biejia (Tartar Turtle Shell, fried with butter, skirt removed); Bai Wuyi (White Toosendan Fruit, each 0.5 liang).
Usage: Grind and sieve into fine powder. Take one pig stomach, clean thoroughly. Place 2 liang of high-quality Bai Zhi (Angelica Dahurica) inside, steam until very soft, remove Bai Zhi, insert the herbal powder, sew shut, and steam again until mushy. Remove and pound together with the stomach for 200-300 strikes to form a paste. Shape into pills the size of millet grains. Take 10 pills per dose with rice water. No specific timing required. Adjust dosage according to the child's age.
Gu Jing Dan (Valerian Pill): Treats expulsion of thread-like or horse-tail-like worms from various diseases; severe cases may lead to premature death.
Ingredients: Gujingcao (Eriocaulon Flower Head, 3 liang, wrapped in dough, sealed with salt mud, slow-roasted until red-hot, then taken out); Gan Chan (Dried Toad, three pieces, collected on the 5th day of the 5th lunar month, fried with butter until yellow); Zaojiao (Gleditsia Sinensis Pod, 3 cun, calcined to ash).
Hu Huanglian (Indian Barberry Rhizome); Gudi (Melon Peduncle); Mu Dingxiang (Mother Clove Bud, each 0.5 liang. Grind and sieve into fine powder, then add:) Fen Shuang (Calomel); Lushui (Aloe); Shexiang (Musk, each 1 fen. Finely ground).
Usage: Mix uniformly, bind with pig bile to form pills the size of millet grains. Take 10 pills per dose with warm rice wash water. Adjust dosage according to the child's age.
Taoliu Tang (Peach and Willow Decoction): Use this method after administering various vermifuges to assist treatment.
Ingredients: Tao Zhi (Peach Twig, 2 liang); Liu Zhi (Willow Twig, 2 liang).
Usage: Chop finely, decoct in two large bowls of water, boil briefly. Bathe the infant in the warm solution, which is highly effective. After bathing, cover the child with a blue garment; the emergence of parasites confirms efficacy.
Xiao'er Hedi (Pediatric Abdominal Contraction Syndrome): Characterized by pale complexion, fluctuating cry pitch, symptoms resembling heart pain, frequent dry mouth, and periodic onset. Physicians unfamiliar with this condition may mistakenly attribute it to spirit possession, failing to recognize that consumption of raw meat led to worm formation. This formula is highly effective.
Kulian Wan (Bitter Chinaberry Pill):
Ingredients: Kulian Gen (Bitter Chinaberry Root); Lesi (Chrysanthemum Caravonica Seed); Zhusha (Cinnabar, each 1 liang); Binglang (Areca Nut, three pieces); Shexiang (Musk, 1 qian).
Usage: Grind into powder, bind with wheat flour paste to form pills the size of small beans. Take 3 pills per dose with plain boiled water, three times daily. Avoid toxic foods.
Xia Chong Wan (Expel Worms Pill): Treats malnutrition and various intestinal parasites including roundworms.
Ingredients: Xin Bai Kulian Genpi (Fresh White Bitter Chinaberry Root Bark, soaked in wine, dried); Lv Bao Guanzhong (Green-wrapped Cyrtomium); Muxiang (Aucklandia Root); Taoren (Peach Kernel, soaked, peeled, dried); Wuyi (Toosendan Fruit, dried); Jixin Binglang (Chicken-heart Areca Nut, each 2 qian); Lesi (Chrysanthemum Caravonica Seed, stir-fried, 1 qian); Qingfen (Calomel, 0.5 qian); Gan Xiamahua (Dried Toad, roasted until scorched, 3 qian); Shijunzi (Quince Seed, 50 seeds, flesh extracted, roasted).
Usage: Grind into powder, bind with wheat flour paste to form pills the size of hemp seeds. Take 10-20 pills per dose, administered in the morning on an empty stomach with meat broth. Optionally add Danggui (Angelica Sinensis) and Chuan Lian (Coptis Chinensis) each 2.5 qian.