癖相同，遽难移易其志。但内癖之中，酒癖为最，高下不侔，浅深各异，或一斗，或一石，或有限量，或无限量。
虽云酒有别肠，未必非消食虫之能运化。如其不然，试观欲饮之时，鼻吸心香，涎垂难忍，一啜下咽，心广体
胖。谚谓贪饮者将进酒，却有欲速饕馋景状，号之曰，酒鳖虫爬起来。（《一万社草》）（按∶《医说》载饥
疾吐异虫数条，近日医官喜多邗子温，着有《蛔志》，
内论善饥证，多属蛔，其说为富，盖善饥亦即卢氏所谓内癖也。子温之书，援据子史，极有辨评，学人宜阅。）
好食茶叶、生米、草纸、怪异等，当困倦少食，今反饮食如常，形健不渴，悉属虫症。（《汇补》引《类
案》）
大凡偏食一物，中必有虫，即以所好投之，随下虫药，无不应手获效。（《六要》）
好食茶者，谓之茶虫。酷思酒者，谓之酒虫。欲饮油者，谓之油虫。至于小儿多好食生米、壁泥，皆虫所
使也。皆当以杀虫之药，如铅灰、雷丸、槟榔、川楝、使君子之类为丸，即以所好之物送下，直至虫处而杀之。
（《医镜》）（按∶此下更有一法，录在饥甚施治条。）
虫鼓（互见胀满门） 万历岁癸已，赴督漕理刑吴比部之召而至淮阴。有王乡官者，其子年十六，新
娶后，腹胀大，按之有块，形如稍瓜，四肢瘦削，发热昼夜不退，已半年矣。族医惟以退热消胀之剂投之，其
胀愈大，其热愈炽，甚且喉中两耳俱疮。余诊视之，脉滑数，望其唇则红，其腹则疼，又多嗜肥甘。余思诸凡
腹疼者，唇色淡，不嗜饮食。今若此，得非虫乎。投以阿魏积块丸，服之果下虫数十，大者二，一红一黑，长
尺余。虫身红线自首贯尾，虫腹中有虫，大者数条，小者亦三、四条。虫下则热渐减，胀渐消，三下而愈。
（《赤水》）（按∶积块丸系棱、莪、蜈蚣、芦荟、阿魏、沉香等及金石之药，今不录。更有一方，用黑丑等
六味，录于后下虫方中。）
虫多怪证 如或希奇怪病，除痰血外，百治不效者，即是虫为患。视其经络虚实，参脉症消息治之。
（《六要》）
虫之怪证多端，遇之卒不能辨，昔人治例有雷丸治应声虫之说。近有女子咳逆腹痛后，忽喜呼叫，初时呀
呷连声，渐至 唔不已，变易不常，或如母鸡声，或如水蛙鸣，或如舟人打号，每作数十声，日发十余次，忍之则胸中
闷闷不安，此为叫虫，即应声虫之类也。复有一人，患发热痞满后，常兀兀欲吐，吐中必有虫数枚，状如虾状，跳
跃不已。诸治不应，或令服铜绿涌之，不过二、三度，遂绝不再见矣。（《医通》）
休邑西山金峰人，尝语人曰∶或人小腹甚痛，百药不应。一医灸关元十余壮，次日茎中淫淫而痒，视之有
虫出四五分许，急用铁镊扯出之，裸虫长五、六寸，每日虫出，如此者至七条，不复痛。初甚惊，后则视以为常，
皆用手扯出去也。仲景曰∶内为大热所逼，不能容，故从溺孔出也。其人善饮御内，湿热熏蒸膀胱，遇有留血污
浊相结而为虫矣，经曰湿热生虫是也。故痨虫、寸白虫皆内由湿热蒸郁而生，犹春夏之交，湿热郁结而生诸虫也，
此亦奇病。（《汪石山》）
治辨虚实 体虚者，俱宜先用温补，扶其元气，然后用王道之药，佐以一、二杀虫之剂，如化虫丸、使
君子丸、五膈下气丸之类，或追虫后而继以温补亦可，不然则虫去而元气亦散矣。体实虫攻上膈，心腹 痛，用樟
木屑浓煎汤，服之大吐，吐虫痛减后，煎甘草汤与之和胃。如有积自吐虫者，用黑锡灰、槟榔等分为末，米饮下。
（《入门》）
治杜其源 治虫之法，虽当去虫，而欲治生虫之本，以杜其源，犹当以温养脾肾元气为主，但使脏气阳强，
非惟虫不能留，亦自不能生也。余制有温脏丸方，最所宜也。（《景岳》）（按∶又有吐蛔治按曰。凡逐虫之药，
无有不伤胃气者，向使胃气再伤，非惟不能逐虫，而命必随之矣。）
凡诸虫之中，惟蛔虫最多。其逐治之法，总若前条，然
旋逐旋生，终非善策，欲杜其源，必须温养脾胃，脾胃气强，虫自不生矣云云。凡治虫之法，或攻或补，自有缓
急先后之宜，所当详辨，不可任意忽略也。（同上）
若旋去旋生者，当温藏缓攻，毋过急过峻也。（《医级》）
去虫后补 凡病气血虽虚，有虫有积者，皆须用追虫杀虫等剂下去虫积，及宿 痰饮酸腥除尽，方可
以服补药。不尔，必不得功效。（《医统》）（按∶《千金》曰∶凡欲服补药及治诸病，皆须去诸虫，并痰饮宿
醒醒除尽，方可服补药。不尔，必不得药力。徐氏盖本此说也。又按∶前条与此条，即是虚实之分。）
虫药总考 昆按∶古方杀虫，如雷丸、贯众、干漆、蜡尘、百部、铅灰，皆其所常用也。有加附子、干
姜者，壮正气也。加苦参、黄连者，虫得苦而安也。加乌梅、诃子者，虫得酸而软也。加藜芦、瓜蒂者，欲其带
虫而吐也。加芫花、黑丑者，欲其带虫而下也。用雄黄。川椒。蛇床、樟脑、水银、槟榔者，治疥疮之虫也。用
胡桐泪、莨菪子、韭子、蟾酥者，治龋齿之虫也。用川槿皮、海桐皮者，治风癣之虫也。用青葙子、覆盆叶者，
治九窍 蚀之虫也。用败鼓心、桃符板、虎粪骨、死人枕、獭爪、鹳骨者，驱瘵虫也。或用桃柳东南枝者，以其
得天地春生夏长之气，而假之以为吾身之助也。或用吴茱萸东引根，或用酸石榴东引根，煎汤吞药者，一以此物
亦能杀虫，一以东方者生物之始，诸虫受气之所也。东引根能引诸药东行，夺其生生之气，乃伐根之斧也。（《医
方考》）
饥甚施药 夫虫之所居，必于脾胃深处。药之所过，在于中流。虫闻药气而避之，群者安得取之。予
之法，先令饥
甚，次以槟榔、雷丸为引子，别下虫药，大下十数行，可以搐而空。HT 上张子政，用此法下虫数百，相衔长丈余。
（《儒门事亲》）
一法，不必服药，但使病患禁食所好之物，苦苦忍之，忍至四、五日，其虫不得所食，则饥而上升以求食，
口中觉馋甚。将病患绑缚凳上，令其覆卧，然后以所好之物，近其口边引之，香气入喉，必踊跃而出矣。（《医镜
》）（按∶此条出茶虫酒虫等说后。又此法，本于《外台》∶《广济》疗发症之意，其他斯类颇多。）
服药日时 治虫之法，按丹溪云∶上半月虫头向上易治，下半月虫头向下难治。先以肉汁或糖蜜引虫
头向上，然后用药。此皆法之善者，然此惟缓治之法耳。但虫证甚急，又安能必待其时乎。且以望前望后辨虫
头，亦若渺茫无据。惟先用香饵而虫头可引，岂非望后之治亦自有法，又何虑其难治也。（《景岳》）
杀虫诸方 治肾劳热，四肢肿急，蛲虫如菜中虫，在肾中为病方。
贯众（三枚） 干漆（二两） 吴茱萸（五十枚） 杏仁（四十枚） 芜荑 胡粉 槐皮（各一两）
上七味治下筛，平旦井花水服方寸匕，加至一匕半，以瘥止。（《千金》）
《广济》疗蛔虫寸白虫方。
槟榔（十二枚） 当归 鹤虱 芜荑（熬） 橘皮（各五分） 贯众 雷丸（各四分）
上七味捣散，空腹煮大枣汤，服方寸匕，日二服，渐加至三匕，微利无忌。（《外台》）《幼幼》张涣香
雷散，治虫动啼叫不止，于本方去当归、橘皮、贯众。
张文仲疗蛔虫心痛，鹤虱散方。
鹤虱二分末，温酢一盏和服之，虫当下。《备急》、《千金》同。（《外台》）
《延年》疗蛔虫，恶心吐水心痛，鹤虱丸方。鹤虱三两捣筛，蜜和为丸，用蜜浆水，平旦服二十丸，日只
一服，各一服各根据前，不相妨，禁肉，若不服则得食。《古今录验》用十两，云∶韦云患心痛十年，不可过（《本
草图经》作十年不瘥），于杂方内见，合服之便瘥。（同上）
又鹤虱丸，疗蛔虫心痛方。
鹤虱（六两） 吴茱萸（五两） 橘皮（四两） 桂心（三两） 槟榔（四两）
上五味捣筛，蜜和为丸，如梧子大，一服二十丸，蜜汤下，日二服，加至三十丸，以虫出为度，忌生葱。
（同上）
化虫丸，治小儿疾病，多有诸虫。
鹤虱（去土） 苦楝皮（去浮皮） 槟榔 胡粉（炒各五两） 白矾（飞过十二两半）
上为末，以面糊为丸，如麻子大，一岁儿服五丸，温浆水入生麻油一两点，打调匀下之，温米饮下亦得，不
拘时候。其虫细小者皆化为水，大者自下。（《和剂》）（按∶此方可移治大人，故列于此，后小儿方皆仿
之。）
治九虫，麝香丸。
黄连（去须一两） 白芜荑（炒二两） 干虾蟆（一枚酥炙令黄焦） 干漆（炒令烟出一两） 雷丸（炮半两）
定粉（研一两半）
上六味捣研为末，入麝香少许，再研罗匀，用醋煮面糊和丸，梧桐子大，每服温水下十丸，空心食前服。
（《圣济》）
治小儿蛔虫，使君子散方。
使君子 芦荟（研） 干楝皮 槟榔（锉） 芜荑（各三两） 肉
豆蔻（去壳） 丁香 苦参（各二两） 腻粉（研少许）
上九味捣罗为散，每服一字匕，空心饭饮下。（同上）（《秘方集验》于本方去肉豆蔻、丁香、苦参、腻粉，
加雷丸、鹤虱、草。）
吉氏家传，取虫，槟榔散方。
槟榔 使君子 腻粉
上件等分为末，肉汁调下，量虚实多少用之。（《幼幼》）
长沙医者丁时发传治蛔疳方∶孩儿蛔咬痛攒心，忽发来时面带青，唇黑儿如灰土色，使君四味可通灵。使君
子散方。
使君子（七个） 轻粉 芜荑 鹤虱（各半钱）
上件为末，每服半钱，五更米饮调下。（同上）
芜荑散，治胃寒虫痛。
白芜荑（去扇秤） 干漆（炒各等分）
上为细末，每服一匙，伍分或一钱，米饮调下，发时服。上方杜壬、《养生必用方》同，杜亦治胃寒虫上。
（《直诀》）
诸虫作痛，口中必有清涎流出，汤饮不能进，危在旦夕者，用乌梅、花椒煎汤服。（《秘方集验》）
治腹内虫方。
乌梅（一个） 老姜（二片） 榧子（十个） 花椒（四十个）
上黑糖少许煎服，虫尽出矣。（《集验良方》）
治寸白虫方。
榧子四十九枚丢皮，以月上旬旦，空腹服七枚，七日服尽，虫消成水，永瘥。（《千金》）
《广济》疗蛔虫方。
酸石榴根（东引入土五寸者切二升） 槟榔（十枚碎）
上二味，以水七升，煮取二升半，绞去滓，着少米煮稀粥，平旦空肚食之，少间虫并死快利效，无忌。（《外
台》）（按∶《千金》治寸白虫，用槟榔一味。）
扫虫煎，治诸虫上攻胸腹作痛。
青皮（一钱） 小茴香（炒一钱） 槟榔 乌药（各一钱半） 细榧肉（三钱敲碎） 吴茱萸（一钱）
乌梅（二个） 甘草（八分） 朱砂 雄黄（各五分俱为极细末）
上将前八味，用水一钟半，煎八分去渣，随入后二味，再煎三、四沸搅匀，徐徐取之。如恶心作吐，加炒干
姜一、二钱。（《景岳》）
《新方砭》轻症可偶用，若重症必须乌梅丸。
治蛔结丸方。
胡黄连（八钱） 白芍药（一两五钱） 槟榔（八钱） 粉草（五钱） 广陈皮（二两） 肉豆蔻（不油不蛀者五
钱） 使君子肉（五钱）
上为细末，白糖调服。（《广笔记》）
《必效》疗KT （于沿切，作 非）心痛方。
取鳗鲡鱼淡炙令熟，与患人吃一、二枚，永瘥，饱食弥佳。（《外台》）
又方
熊胆如大豆，和水服，大效。（同上）（按∶《本草》熊胆条药性论云∶杀虫。）
崔氏疗蛔虫方。
取缲蚕蛹汁，空腹饮之良。若非缲丝时，即须收蛹曝干。患者捣筛，取意斟酌多少，和粥饮服之。（同上）
缲丝汤，主蛔虫，热取一盏服之。此煮茧汁，为其杀虫故也。（《本草》）
《方氏本草》治蛔结心痛，用芦荟一钱，剪碎如米粒大，用乌梅、花椒汤吞服。（《汇言》）
治寸白虫，累取不尽，久令人面黄，心中如饥，黑铅散方。
黑铅沙子（画家银涂是也）
上一味研极细，每服二大钱匕，五更初，肉汁调顿服，至平明取下虫，立瘥。（《圣济》）
灵砂丹，肠胃诸虫，此方主之，良。尝谓湿热生虫，故知湿热者，虫之天也。是方用硫黄以燥湿，用水银以
驱虫，是夺虫之天矣。虫失其天，未有不杀。（《医方考》）
下虫诸方 安虫散，治小儿虫痛。
胡粉（炒黄） 槟榔 川楝子（去皮核） 鹤虱（炒各二两） 白矾（铗器熬一分） 干漆（炒烟尽一分）
雄黄（一分） 巴豆霜（一分）
上为细末，每服一匙，大者半钱，温米饮调下，痛时服。（《直诀》）
治小儿寸白虫久不愈方。
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，每服以沙糖水下三丸，量儿大小加减服之。（《圣惠》）
木香槟榔丸，杀下诸虫。
鸡心槟榔（一两） 木香 鹤虱 贯众 锡灰 干漆（烧烟尽） 使君子肉（各半两） 轻粉（二钱） 雷丸
巴豆肉（各二钱半）
The nature of alcohol addiction is similar to other types of peculiar cravings, making it difficult to change. Among various internal peculiarities, alcohol addiction is the most severe, varying in degree and depth; some can drink one dou, others one shi, some have a limit, while others do not.
Although it is said that humans have "different intestines," this may not necessarily be due to the ability of digestive worms to metabolize food. If this were not the case, observe the state when desiring to drink: the nose smells the fragrance with joy, saliva flows uncontrollably, and upon swallowing a sip, the heart feels open and the body comfortable. The proverb states that greedy drinkers exhibit a hasty and gluttonous appearance before raising the cup, referred to as "the wine turtle worm crawling up." (Wan Yi She Cao) [Note: Yi Shuo records several cases of vomiting different worms due to hunger. Recently, Medical Officer Xi Duo Han Zi Wen wrote "Hui Zhi" (Record of Roundworms), discussing excessive hunger syndromes, mostly attributing them to roundworms. This view is insightful, as excessive hunger is likely what Lu Shi called internal peculiarity. Zi Wen's book cites historical texts with excellent analysis, which students should read.]
Liking to eat tea leaves, raw rice, paper grass, or strange items, yet feeling no fatigue or loss of appetite, maintaining normal diet, robust physique, and no thirst, all belong to worm syndromes. (Hui Bu citing Lei An)
Generally, if one has a preference for a specific food, there must be worms inside. Using the preferred food as a guide and immediately administering anthelmintic drugs will yield immediate results. (Liu Yao)
Those who like drinking tea are called "tea worm" sufferers; those who crave alcohol are called "wine worm" sufferers; those wanting to drink oil are called "oil worm" sufferers. As for children who often eat raw rice or wall mud, this is caused by worms. All should be treated with anthelmintic medicines such as lead ash, Trichosanthes kirilowii root (Leiyuan), Areca nut (Binglang), Sichuan chinaberry (Chuanlian), and Quisqualis indica (Shijunzi) made into pills, taken with the preferred food, until the medicine reaches the worms and kills them. (Yi Jing) [Note: Another method follows, recorded under "Treating with Hunger".]
Worm Drum (See Bloating Section) In the Gui Si year of the Wanli era, I was summoned by Wu Bibu, the Supervisor of Grain Transport and Judicial Review, to Huaiyin. A local gentry named Wang had a sixteen-year-old son who, after his new marriage, developed abdominal distension with palpable masses, shaped like a small melon, emaciated limbs, and unremitting day-and-night fever for half a year. Family physicians only used antipyretic and anti-distension agents, resulting in increased distension and heat, even sores on the throat and ears. Upon examination, the pulse was slippery and rapid, lips were red, abdomen painful, and the patient favored rich and sweet foods. I reasoned that abdominal pain usually presents with pale lips and aversion to food. Given this presentation, could it not be worms? I administered Awel Mass Dissolving Pills (Awei Jikuai Wan). Indeed, dozens of worms were passed, two large ones, one red and one black, over a chi long. The red line ran from head to tail; inside the worm's belly were smaller worms, several large and three or four small. After passing the worms, the fever subsided, distension decreased, and he recovered after three doses. (Chishui) [Note: Jikuai Wan contains Curcuma zedoaria (Leng), Curcuma longa (Ezhu), Scolopendra (Wugong), Aloe (Luhui), Ferula assa-foetida (Awei), Aquilaria sinensis (Chenxiang), and mineral drugs, not listed here. Another formula using Black Morning Glory Seed (Heiqiu) and six other ingredients is listed later.]
Strange Symptoms Caused by Worms If encountering bizarre diseases where treatments for phlegm and blood stasis fail, it is caused by worms. Observe the deficiency or excess of meridians and adjust treatment based on pulse and symptoms. (Liu Yao)
Strange symptoms caused by worms are diverse and hard to identify suddenly. Ancient cases mention using Trichosanthes kirilowii root (Leiyuan) for "echoing worms." Recently, a woman, after coughing and abdominal pain, suddenly liked to shout, initially making gaping sounds, then continuous humming, changing voices like a hen, frog, or boatman's call, occurring dozens of times daily. Enduring it caused chest oppression. This is called "shouting worm," similar to echoing worm. Another person, after fever and fullness, felt nauseous, vomiting several shrimp-like jumping worms. Various treatments failed. Someone suggested Copper Green (Tonglv) to induce vomiting; after two or three times, they never appeared again. (Yi Tong)
Jin Feng from Xishan, Xiuyi County, told people: Someone had severe lower abdominal pain unresponsive to medicines. A doctor moxibusted Guanyuan (CV4) for over ten moxa cones. The next day, the urethra itched, and a worm about four or five fen long emerged. It was quickly pulled out with iron tweezers. The naked worm was five or six cun long. One worm emerged daily for seven days, and pain ceased. Initially shocked, he later accepted it, pulling them out by hand. Zhang Zhongjing said: "Internal heat forces them out through the urinary opening." This person indulged in alcohol and sex, causing damp-heat steaming the bladder, combining with stagnant blood to form worms. The Classic says damp-heat generates worms. Thus, tuberculosis worms and tapeworms arise from internal damp-heat stagnation, like spring-summer damp-heat generating insects. This is also a rare disease. (Wang Shishan)
Differentiating Treatment for Deficiency and Excess For weak constitutions, warm tonification should be used first to support Yuan Qi, followed by gentle royal methods assisted by one or two anthelmintics, such as Hua Chong Wan, Shijunzi Wan, or Wuge Xiaqi Wan. Alternatively, tonify after expelling worms; otherwise, expelling worms may scatter Yuan Qi. For strong constitutions with worms attacking the upper jiao causing heart/abdominal pain, use strong decoction of Camphorwood chips (Zhangmu) to induce vomiting. After vomiting worms and pain relief, administer Licorice decoction to harmonize the stomach. For spontaneous vomiting of worms due to accumulation, use equal parts Lead Tin Ash (Heixi Hui) and Areca nut (Binglang) as powder, taken with rice water. (Ru Men)
Eliminating the Source Although treating worms requires expulsion, to cure the root and eliminate the source, one must focus on warming and nourishing Spleen and Kidney Yuan Qi. If organ Qi and Yang are strong, worms cannot survive or generate. I formulated Wenzang Wan, which is very suitable. (Jing Yue) [Note: Regarding vomiting roundworms: Anthelmintic drugs inevitably damage Stomach Qi. If Stomach Qi is further damaged, not only can worms not be expelled, but life will be lost.]
Among all worms, roundworms are the most common. Expulsion methods are generally as described above, but expelling while they regenerate is not a good strategy. To eliminate the source, one must warm and nourish the Spleen and Stomach; if Spleen/Stomach Qi is strong, worms will not generate. Treatments vary between attack and tonification, requiring careful consideration of urgency and sequence, not to be ignored. (Ibid.)
If worms regenerate after removal, warm the viscera and attack gently, avoiding excessive haste or harshness. (Yi Ji)
Tonifying After Expelling Worms Even if Qi and Blood are deficient, if worms and accumulations exist, one must first use chasing and killing agents to remove worms, phlegm, fluid retention, and sour/fishy residues before administering tonics. Otherwise, efficacy will be lacking. (Yi Tong) [Note: Qian Jin Fang states: Before taking tonics or treating diseases, all worms, phlegm, and old food must be cleared. Otherwise, medicinal power will fail. Xu Shi likely based this on that saying. Also, the previous and current sections distinguish deficiency and excess.]
General Examination of Worm Medicines Kun notes: Ancient formulas for killing worms commonly used Trichosanthes kirilowii root (Leiyuan), Cyathula officinalis (Guanzhong), Dried Lacquer (Ganqi), Wax dust, Stemona sessilifolia (Baibu), and Lead ash. Adding Aconite (Fuzi) and Dried Ginger (Ganjiang) strengthens righteous Qi. Adding Sophora flavescens (Kushen) and Coptis chinensis (Huanglian) calms worms with bitterness. Adding Mume fruit (Wumei) and Chebula terminalia (Hezi) softens worms with acidity. Adding Veratrum nigrum (Lilu) and Thladiantha dubia (Gua Di) induces vomiting with worms. Adding Genkwa flos (Yuanhua) and Pharbitis nil seed (Heiqiu) promotes defecation with worms. Using Realgar (Xionghuang), Zanthoxylum bungeanum (Chuanjiao), Cnidium monnieri (Shechuangzi), Camphor (Zhangnao), Mercury (Shuiyin), and Areca nut (Binglang) treats scabies worms. Using Tamarix galericulata gum (Hutong Lei), Datura stramonium seed (Langdangzi), Allium tuberosum seed (Jiu Zi), and Toad venom (Chansu) treats dental caries worms. Using Hibiscus tiliaceus bark (Chuanjin Pi) and Peltophorum pterocarpum bark (Haitong Pi) treats wind-xuan worms. Using Semen celosiae (Qingxiang Zi) and Rubus chingii folium (Fupen Ye) treats nine orifices erosion worms. Using Decayed drum heart, Peach talisman board, Tiger bone/excrement, Dead man's pillow, Otter claw, and Stork bone drives away tuberculosis worms. Or using Southeast branches of Peach and Willow, borrowing the Qi of Spring growth and Summer expansion to assist the body. Or using East-growing roots of Evodia rutaecarpa (Wuzhuyu) or Acid Pomegranate root (Suan Shiliu) to decoct and swallow medicine, partly because these kill worms, partly because the East is the beginning of life, where worms receive Qi. East-growing roots guide medicines eastward, stealing their vital Qi, acting as an axe to cut roots. (Yi Fang Kao)
Medication Under Extreme Hunger Worms reside deep in the Spleen and Stomach. Medicine passes through the middle. Worms avoid the medicine's scent, making it hard to catch them. My method: Starve the patient severely first, then use Areca nut (Binglang) and Trichosanthes kirilowii root (Leiyuan) as guides, followed by other purgative anthelmintics. Profuse diarrhea (ten-plus times) can empty the bowels completely. Zhang Zizheng used this method to expel hundreds of worms linked together, over a zhang long. (Rumen Shinqin)
Another method: No need for medicine. Simply forbid the patient from eating their favorite foods. Endure for four to five days. Deprived of food, worms rise seeking nourishment, causing intense craving in the mouth. Bind the patient to a stool, prone position. Bring the favorite food near the mouth. The aroma enters the throat, and the worms will eagerly emerge. (Yi Jing) [Note: This follows the tea/wine worm section. This method originates from Waitai Miyao and Guangji Fang treating "fa zheng". Many similar methods exist.]
Timing of Administration According to Danxi: In the first half of the lunar month, worm heads face upward, easier to treat. In the second half, heads face downward, harder. First use meat broth or honey to guide heads upward, then medicate. These are good methods for slow treatment. However, for urgent worm syndromes, one cannot wait. Differentiating worm heads by moon phases seems vague. Using aromatic bait to guide heads shows that late-month treatment also has methods. Why worry about difficulty? (Jing Yue)
Formulas for Killing Worms Treating Kidney Labor Heat, limb swelling/tightness, threadworms like vegetable worms, pathology in Kidney.
Cyathula officinalis (Guanzhong, 3 pieces), Dried Lacquer (Ganqi, 2 liang), Evodia rutaecarpa (Wuzhuyu, 50 pieces), Apricot kernel (Xingren, 40 pieces), Melia azedarach seed (Wuyi), Lead white (Hufen), Sophora japonica bark (Huai Pi, 1 liang each).
Process seven ingredients, sieve. Take one cubic inch spoonful with well water at dawn, increase to 1.5 spoonfuls until cured. (Qian Jin)
Guangji Formula for Roundworms and Tapeworms.
Areca nut (Binglang, 12 pieces), Angelica sinensis (Danggui), Pillbug herb (Heshi), Melia azedarach seed (Wuyi, fried), Tangerine peel (Jupi, 5 fen each), Cyathula officinalis (Guanzhong), Trichosanthes kirilowii root (Leiyuan, 4 fen each).
Pound into powder. Decoct Jujube soup, take one cubic inch spoonful fasting, twice daily, gradually increase to three spoonfuls. Mild laxation is acceptable. (Waitai) Zhang Huan's Xiang Lei San in Youyou Xinshu, for restless crying due to worms, removes Danggui, Jupi, Guanzhong from this formula.
Zhang Wenzhong’s Heshi Powder for Roundworm Heartache.
Heshi 2 fen powder, mix with 1 cup warm vinegar, take. Worms should pass. Beiji Qianjin Yaofang, Qianjin Fang agree. (Waitai)
Yannian Formula for Roundworms, nausea/vomiting water, heartache, Heshi Wan.
Heshi 3 liang, pound/sieve, honey pills. Take 20 pills at dawn with honey water, once daily. Follow previous instructions, no conflict. Avoid meat; if not taking medicine, can eat. Gjinlu Yan uses 10 liang. Says: Wei Yun had heartache for 10 years, uncured. Saw this in miscellaneous formulas, took it and cured. (Ibid.)
Another Heshi Wan for Roundworm Heartache.
Heshi (6 liang), Evodia rutaecarpa (Wuzhuyu, 5 liang), Tangerine peel (Jupi, 4 liang), Cinnamon twig (Guixin, 3 liang), Areca nut (Binglang, 4 liang).
Pound/sieve, honey pills, wu-tong seed size. Take 20 pills, honey water, twice daily, increase to 30. Stop when worms exit. Avoid raw green onion. (Ibid.)
Hua Chong Wan, for children with various worms.
Heshi (cleaned), Toosendan bark (Kulian Pi, cleaned), Areca nut (Binglang), Lead white (Hufen, fried, 5 liang each), Alum (Baifan, purified, 12.5 liang).
Powder, wheat paste pills, hemp seed size. 1-year-old takes 5 pills. Mix with warm grain water and 1-2 drops sesame oil, or warm rice drink. Any time. Small worms dissolve to water, large ones pass. (Heji Ju Fang) [Note: Applicable to adults, listed here. Pediatric formulas follow this pattern.]
Shexiang Wan for Nine Worms.
Coptis chinensis (Huanglian, cleaned, 1 liang), White Melia azedarach seed (Bai Wuyi, fried, 2 liang), Dried Toad (Gan Hamax, fried in butter until yellow/brown, 1 piece), Dried Lacquer (Ganqi, fried until smoke gone, 1 liang), Trichosanthes kirilowii root (Leiyuan, roasted, 0.5 liang), Lead white (Dingfen, ground, 1.5 liang).
Pound/grind to powder, add little Musk, sieve. Vinegar-wheat paste pills, wu-tong seed size. Take 10 pills with warm water, fasting before meals. (Shengji Zonglu)
Shijunzi San for Children's Roundworms.
Quisqualis indica (Shijunzi), Aloe (Luhui, ground), Dried Toosendan bark (Ganlian Pi), Areca nut (Binglang, sliced), Melia azedarach seed (Wuyi, 3 liang each), Nutmeg (Roudoukou, peeled), Clove (Dingxiang), Sophora flavescens (Kushen, 2 liang each), Calomelas (Nifen, ground little).
Nine ingredients, powder. Take one character spoonful, fasting with rice drink. (Ibid.) [Mifang Jiyan removes Roudoukou, Dingxiang, Kushen, Nifen; adds Leiyuan, Heshi, Cao.]
Ji Family Secret, Qu Chong, Binglang San.
Areca nut (Binglang), Quisqualis indica (Shijunzi), Calomelas (Nifen).
Equal parts powder, mix with meat broth, dose according to deficiency/excess. (Youyou Xinshu)
Ding Shifa from Changsha, transmitted formula for Roundworm Malnutrition: Child's roundworm biting causes heart-clutching pain, sudden onset with blue face, black lips, gray complexion. Shijunzi four ingredients work spiritually. Shijunzi San.
Quisqualis indica (Shijunzi, 7 pieces), Calomelas (Qingfen), Melia azedarach seed (Wuyi), Pillbug herb (Heshi, 0.5 qian each).
Powder. Take 0.5 qian at fifth watch with rice drink. (Ibid.)
Wuyi San for Cold-Stomach Worm Pain.
White Melia azedarach seed (Bai Wuyi, winnowed), Dried Lacquer (Ganqi, fried, equal parts).
Fine powder. Take 1 spoon, 0.5 or 1 qian, rice drink, during attacks. Du Ren and Yangsheng Biyong Fang same. Du also treats cold-stomach worm uprising. (Zhijue)
When various worms cause pain, clear saliva flows from mouth, unable to drink, critical condition. Use Mume fruit (Wumei) and Zanthoxylum bungeanum (Huajiao) decoction. (Mifang Jiyan)
Formula for Abdominal Worms.
Mume fruit (Wumei, 1 piece), Old Ginger (Lao Jiang, 2 slices), Torreyia seed (Feizi, 10 pieces), Zanthoxylum bungeanum (Huajiao, 40 pieces).
Add little brown sugar, decoct and take. Worms all exit. (Jiyan Liangfang)
Formula for Tapeworms.
49 Torreyia seeds (Feizi), peel. On morning of first half of month, take 7 fasting. Finish in 7 days. Worms dissolve to water, permanent cure. (Qian Jin)
Guangji Formula for Roundworms.
Acid Pomegranate root (Suan Shili Gen, East-growing 5 cun underground, cut 2 sheng), Areca nut (Binglang, 10 pieces crushed).
Two ingredients, water 7 sheng, boil to 2.5 sheng, strain. Add little rice, cook thin porridge. Eat fasting at dawn. Soon worms die and pass rapidly. Effective, no restrictions. (Waitai) [Note: Qian Jin uses only Binglang for tapeworms.]
Sao Chong Jian for Worms Attacking Chest/Abdomen.
Green Orange Peel (Qingpi, 1 qian), Fennel (Xiaohuixiang, fried, 1 qian), Areca nut (Binglang), Lindera aggregata (Wuyao, 1.5 qian each), Fine Torreyia meat (Xi Fei Rou, 3 qian crushed), Evodia rutaecarpa (Wuzhuyu, 1 qian), Mume fruit (Wumei, 2 pieces), Licorice (Gancao, 0.8 qian), Cinnabar (Zhusha), Realgar (Xionghuang, 0.5 qian each, fine powder).
First eight ingredients, water 1.5 zhong, boil to 0.8 zhong, strain. Add last two, boil 3-4 boils, stir, take slowly. If nausea/vomiting, add fried Dried Ginger (Ganjiang) 1-2 qian. (Jing Yue Quan Shu)
Xinfang Bian: Light cases can use occasionally; severe cases must use Wumei Wan.
Formula for Roundworm Knotting.
Picrorhiza kurroa (Huhuanglian, 8 qian), White Peony Root (Baishaoyao, 1.5 liang), Areca nut (Binglang, 8 qian), Licorice (Fencao, 5 qian), Broadleaf Tangerine Peel (Guang Chenpi, 2 liang), Nutmeg (Roudoukou, non-oily/non-mothy, 5 qian), Quisqualis indica meat (Shijunzi Rou, 5 qian).
Fine powder, mix with white sugar, take. (Guang Biji)
Bixiao Formula for Heartache.
Roast Eel (Manli Yu) lightly until cooked. Patient eats 1-2 pieces. Permanent cure, better when full. (Waitai)
Another Formula
Bear Gallbladder (Xiongdan), soybean size, mix with water, take. Highly effective. (Ibid.) [Note: Bencao Bear Gallbladder section says: Kills worms.]
Cui Shi Formula for Roundworms.
Extract juice from silkworm pupae, drink fasting. If not silkworm season, dry pupae. Patient pounds/sieves, takes appropriate amount mixed with porridge drink. (Ibid.)
Silkworm Soup, main for roundworms. Take 1 cup hot. This is boiled cocoon juice, because it kills worms. (Bencao)
Fangshi Bencao for Roundworm Knotting Heartache: Use 1 qian Aloe (Luhui), cut to rice-grain size, swallow with Wumei/Huajiao decoction. (Huiyan)
For persistent Tapeworms causing sallow face and false hunger, Heiqian San.
Black Lead Sand (Heiqian Shazi - painter's silver coating).
One ingredient, grind extremely fine. Take 2 large qian spoons at fifth watch, mix with meat broth, take at once. By dawn, worms pass, immediate cure. (Shengji Zonglu)
Lingsha Dan, for gastrointestinal worms. Excellent. Damp-heat generates worms; thus damp-heat is the enemy of worms. This formula uses Sulfur (Huangshan) to dry dampness and Mercury (Shuiyin) to drive worms, removing their habitat. Without their habitat, worms die. (Yi Fang Kao)
Formulas for Expelling Worms
An Chong San, for children's worm pain.
Lead white (Hufen, fried yellow), Areca nut (Binglang), Sichuan Chinaberry (Chuanlianzi, peeled/pitted), Pillbug herb (Heshi, fried, 2 liang each), Alum (Baifan, boiled in iron vessel, 1 fen), Dried Lacquer (Ganqi, fried smoke gone, 1 fen), Realgar (Xionghuang, 1 fen), Croton seed frost (Badou Shuang, 1 fen).
Fine powder. Take 1 spoon, larger patients 0.5 qian, warm rice drink, during pain. (Zhijue)
Formula for Chronic Pediatric Tapeworms.
Pillbug herb (Heshi), Trichosanthes kirilowii root (Leiyuan), Quisqualis indica (Shijunzi, 3 fen each), Croton seed (Badou, 10 pieces, peeled/cored, ground, wrapped in paper, pressed to remove oil).
Powder, glutinous rice paste pills, mung bean size. Take 3 pills with sugar water, adjust by age. (Shenghui Fang)
Muxiang Binglang Wan, kills lower worms.
Chicken-heart Areca nut (Jixin Binglang, 1 liang), Costus root (Muxiang), Pillbug herb (Heshi), Cyathula officinalis (Guanzhong), Tin ash (Xihui), Dried Lacquer (Ganqi, burned smoke gone), Quisqualis indica meat (Shijunzi Rou, 0.5 liang each), Calomelas (Qingfen, 2 qian), Trichosanthes kirilowii root (Leiyuan), Croton meat (Badou Rou, 2.5 qian each).