王 厥阴吐蛔。寒热干呕。心胸格拒。舌黑。渴不欲饮。极重之症。（胃虚肝乘）
乌梅肉（一钱半） 桂枝木（一钱） 炒黑川椒（四分） 白芍（一钱） 小川连（三分） 黄芩（一钱）
生淡干姜（一钱）
席 脉右歇。舌白渴饮。脘中痞热。多呕逆稠痰。曾吐蛔虫。此伏暑湿。皆伤气分。邪自里发。神欲
昏冒。湿邪不运。自利粘痰。议进泻心法。半夏泻心汤。
又 凡蛔虫上下出者。皆属厥阴乘犯阳明。内风入胃。呕吐痰涎浊沫。如仲景厥阴篇中。先
厥后热同例。试论寒热后。全无汗解。谓至阴伏邪既深。焉能隔越诸经以达阳分。阅医药方。
初用治肺胃。后用温胆茯苓饮。但和胃治痰。与深伏厥阴之邪未达。前进泻心汤。苦可去湿。
辛以通痞。仍在上中。服后胸中稍舒。超时稍寐。寐醒呕吐浊痰。有黄黑之形。大凡色带青黑。
必系胃底肠中逆涌而出。老年冲脉既衰。所谓冲脉动。则诸脉皆逆。自述呕吐之时。周身牵
引。直至足心。其阴阳跷维。不得自固。断断然矣。仲景于半表半里之邪。必用柴芩。今上下
格拒。当以桂枝黄连汤为法。参以厥阴引经。为通里之使。俾冲得缓。继进通补阳明。此为治
厥阴章旨。
淡干姜 桂枝 川椒 乌梅 川连 细辛 茯苓
又 肝郁不舒。理进苦辛。佐以酸味者。恐其过刚也。仿食谷则呕例。
人参 茯苓 吴萸 半夏 川连 乌梅
又 疟来得汗。阴分之邪已透阳经。第痰呕虽未减。青绿形色亦不至。最属可喜。舌心白苔未
净。舌边渐红。而神倦困惫。清邪佐以辅正。一定成法。
人参 半夏 茯苓 枳实汁 干姜 川连
又 食入欲呕。心中温温液液。痰沫味咸。脊背上下引痛。肾虚水液上泛为涎。督脉不司约束。
议用真武撤其水寒之逆。二服后接服。
人参 半夏 茯苓 桂枝 煨姜 南枣
又 别后寒热三次。较之前发减半。但身动言语。气冲。涌痰吐逆。四肢常冷。寒热。汗出时四肢
反热。此阳衰胃虚。阴浊上乘。以致清气无以转舒。议以胃中虚。客气上逆为噫气呕吐者。可
与旋复代赭汤。仍佐通阳以制饮逆。加白芍附子。
又 镇逆方虽小效。究是强制之法。凡痰饮都是浊阴所化。阳气不振。势必再炽。仲景谓饮邪
当以温药和之。前方劫胃水以苏阳。亦是此意。议用理中汤。减甘草之守。仍加姜附以通阳。
并入草果以醒脾。二服后接用。
人参 干姜 半夏 生白术 附子 生白芍
王 脉沉弦。腹痛呕吐。鼻煤舌绛。面带青晦色。夏秋伏暑发热。非冬月。乃误表禁食。胃气受伤。
致肝木上干胃土。蛔虫上出。遂成重病。常有厥逆之虑。拟进泄肝和胃。得痛止呕缓。冀有转机。
川椒 川连 乌梅 干姜 人参 茯苓
生白芍 川楝子
程 大病后。胃气极伤。肝木乘土。蛔欲透膈。脘胁阵痛。是土衰木克。古人以狐惑虫厥。都以胃
虚少谷为训。
安胃丸 人参川椒乌梅汤化送二钱。
周（三一） 两胁痛。尤甚于左。呕吐蛔虫。年前好食生米。此饥饱加以怒劳。胃土不和。肝木
来犯。试观幼稚有食米麦泥炭者。皆里滞久聚。初从湿热郁蒸而得。宜和阳宣腑。辛窜通络。湿去热走。
腑络自和。
川连 干姜 桂枝 金铃子 延胡 芦荟 白芍 枳实 乌梅丸服三钱。
李 身不壮热。二便颇通。已非风寒停滞之病。因惊动肝。厥气下泛。蛔虫上攻触痛。呕吐清涎。
仲景云。蛔虫厥都从惊恐得之。人参安蛔法。
又 古人云。上升吐蛔。下降狐惑。皆胃虚少谷。肝脏厥气上干耳。既知胃中虚。客气上冲逆
犯。斯镇逆安胃方。是遵古治法。
人参 代赭石 乌梅肉 川椒 川楝子 茯苓
又 人参 茯苓 炒当归 炒白芍 桂心 炙草 煨姜 南枣
又 忽然痛再发。诊脉微细。恰值立夏之交。正气不相接续。有复厥之虑。
人参 桂枝木 川楝子 炒川椒 生白芍 乌梅肉 川连 细辛
叶（十七） 热气上闭。耳聋身热。神识不清。当清心营肺卫。（湿热结于厥阴）
竹叶心 飞滑石 连翘 川贝 石菖蒲根 生绿豆皮
又 暑湿热内蒸。吐蛔。口渴耳聋。
川连（水炒四分） 半夏（一钱半） 枳实（一钱） 广皮白（三钱） 菖蒲（一钱半）
杏仁（三钱）
又 身热。三候不解。胸痞。入暮谵语。耳聋吐蛔。此热结厥阴。症势最险。
川连 黄芩 干姜 枳实 半夏 姜汁 茯苓 菖蒲
吐蛔本属肝胃症。因厥阴之邪上逆。蛔不能安。故从上而出也。今所辑方案。皆因客邪病
而致吐蛔者。虽有泻心汤。桂枝黄连汤。安胃丸等。然皆不离乎仲景之乌梅丸法。以苦辛
酸寒热并用为治。当与呕吐门同参。至于幼稚有吐蛔泻蛔。及诸虫之病。治标则有杀虫
之方。治本则温补脾胃。或佐清疳热。前人各有成法。不必重赘。（华玉堂）
徐评 所列诸案。大半皆呕逆症。并非蛔病。其治吐蛔之方。亦惟乌梅丸一方加减。并无精思
博识。随症立法。其用人参。虽本于乌梅丸之意。而多不对症。知此老于此病未深讲也。
王姓患者，厥阴经受邪导致吐蛔。伴有寒热往来、干呕、心胸部位气机格拒不通、舌苔黑、口渴但不想喝水的症状。这是病情极重的表现。（病机为胃气虚弱，肝木乘虚克制脾土）
处方：乌梅肉（一钱半）、桂枝木（一钱）、炒黑川椒（四分）、白芍（一钱）、小川连（三分）、黄芩（一钱）、生淡干姜（一钱）。
席姓患者，脉象右侧间歇停跳，舌苔白且口渴想喝水，胃脘部痞塞有热感，频繁呕吐粘稠痰液，曾经吐出蛔虫。这是伏匿的暑湿之邪，都损伤了气分，邪气从体内发出，神志即将昏沉冒昧。因湿邪不能运化，导致自发性腹泻并排出粘痰。建议采用泻心法治疗，使用半夏泻心汤。
又论：凡是蛔虫上下窜动而出的，都属于厥阴经邪气侵犯阳明经，内风进入胃部，导致呕吐痰涎浊沫。这与张仲景《伤寒论》厥阴篇中“先出现四肢厥冷，后出现发热”的例子属于同一机理。试论述在寒热症状之后，完全没有通过出汗而解表的情况，这是因为至阴之处的伏邪已经深入，怎么可能隔着其他经络到达阳分呢？查阅之前的医药方剂，起初用治肺胃的药，后来用温胆茯苓饮，只是调和胃气、治疗痰饮，对于深伏在厥阴经的邪气并未触及。之前服用泻心汤，苦味药可以去湿，辛味药可以通开痞结，病位仍在上焦和中焦。服药后胸中稍微舒畅，过了一段时间稍作睡眠，醒来后呕吐浊痰，痰色呈黄黑色。大凡颜色带青黑的，必定是从胃底或肠中逆涌而出。老年人冲脉既已衰退，所谓“冲脉动，则诸脉皆逆”，患者自述呕吐时，周身牵引疼痛，直至足心。这说明阴阳跷脉和维脉无法自我固摄，这是确定的。张仲景对于半表半里的邪气，一定用柴胡和黄芩。如今上下格拒，应当以桂枝黄连汤为法则，参考厥阴经的引经药，作为通达里证的使者，使冲脉得以舒缓，随后进补通补阳明经。这是治疗厥阴病的章旨。
又论：肝气郁结不舒展，理当进用苦辛味的药物，佐以酸味药，是担心药性过于刚燥。仿照进食后呕吐的例子治疗。
又论：疟疾发作后得到汗出，说明阴分的邪气已经透达阳经。虽然痰多呕吐未减，但青色绿色的形色不再出现，这非常可喜。舌中心白苔未净，舌边逐渐变红，但精神疲倦困乏。用清透邪气的药物佐以扶助正气，这是一定的成法。
又论：进食后想要呕吐，心中感觉温热泛水，痰沫味道咸，脊背上下牵引疼痛。这是肾虚导致水液上泛成为涎沫，督脉不能约束。建议用真武汤来撤除水寒之邪的上逆。服用两剂后接续服用。
又论：分别后寒热症状发作三次，比之前发作减半。但是身体动弹说话时，气机上冲，涌出痰液并呕吐逆气，四肢经常发冷。在寒热交替、出汗的时候四肢反而发热。这是阳气衰弱、胃气虚弱，阴浊之气上乘，导致清气无法转输舒展。建议按照胃中虚弱、客气上逆导致的噫气呕吐病症治疗，可以使用旋复代赭汤。仍然佐以通阳的药物来制约饮邪上逆，加入白芍和附子。
又论：镇逆的方子虽然有小效，究其本质是强制的方法。凡是痰饮都是由浊阴所化生，如果阳气不振作，势必再次炽盛。张仲景说饮邪应当用温药调和。前方的方子劫夺胃中的水气以苏醒阳气，也是这个意思。建议用理中汤，减少甘草的守中之性，仍然加入姜和附子以通阳，并入草果以醒脾。服用两剂后接续使用。
王姓患者，脉象沉弦，腹痛呕吐，鼻头煤黑，舌质绛红，面带青晦色。夏秋季节伏暑发热，并非冬月发病，而是误用发汗解表法和禁食，导致胃气受伤，致使肝木上干犯胃土，蛔虫上出，遂成重病。常有发生厥逆的忧虑。拟进泄肝和胃的方剂，得到疼痛停止、呕吐缓解，希望有转机。
程姓患者，大病之后，胃气极度受伤，肝木乘势克制脾土，蛔虫想要透膈而出，胃脘和胁肋阵痛。这是土气衰败被木气克制，古人将狐惑病和虫厥，都以胃虚缺少谷气作为训诫。
周姓（三十一岁），两胁疼痛，尤其左侧严重，呕吐蛔虫。年前喜欢吃生米，这是饥饱失调加上愤怒劳累，导致胃土不和，肝木来侵犯。试看幼稚孩童有吃米麦泥炭的，都是里滞久聚而成，初起从湿热郁蒸而得。宜用和阳宣腑、辛窜通络的方法，湿气去除热气走散，腑络自然调和。
处方：川连、干姜、桂枝、金铃子、延胡索、芦荟、白芍、枳实，乌梅丸服用三钱。
李姓患者，身体没有壮热，二便颇为通畅，已经不是风寒停滞的疾病。因为惊恐触动肝气，厥气下泛，蛔虫上攻触痛，呕吐清稀涎沫。张仲景说，蛔虫厥证都从惊恐得来。用人参安蛔法。
又论：古人说，上升吐蛔，下降狐惑，都是因为胃虚少谷，肝脏厥气上干犯耳。既然知道胃中虚弱，客气上冲逆犯，那么镇逆安胃的方子，是遵循古人的治法。
又论：人参、茯苓、炒当归、炒白芍、桂心、炙甘草、煨姜、南枣。
又论：忽然疼痛再次发作，诊脉微细，恰逢立夏之交，正气不相接续，有再次发生厥逆的忧虑。
处方：人参、桂枝木、川楝子、炒川椒、生白芍、乌梅肉、川连、细辛。
叶姓（十七岁），热气上闭，耳聋身热，神识不清。应当清心营和肺卫。（病机为湿热结于厥阴经）
处方：川连（水炒四分）、半夏（一钱半）、枳实（一钱）、广皮白（三钱）、菖蒲（一钱半）、杏仁（三钱）。
又论：身热，经过三个候期不解，胸中痞塞，入夜谵语，耳聋吐蛔。这是热结在厥阴经，症势最危险。
吐蛔本来属于肝胃病症，因为厥阴经的邪气上逆，蛔虫不能安宁，所以从上而出。现在所辑录的方案，都是因为客邪致病而导致吐蛔的。虽然有泻心汤、桂枝黄连汤、安胃丸等方，然而都不离开张仲景的乌梅丸法，以苦、辛、酸、寒、热并用为治疗方法。应当与呕吐门的内容一同参考。至于幼稚儿童有吐蛔、泻蛔以及各类虫病的，治标则有杀虫的方子，治本则温补脾胃，或者佐以清疳热。前人各有成法，不必重复赘述。（华玉堂评注）
徐灵胎评语：所列诸案，大半都是呕逆症，并非单纯的蛔虫病。其治疗吐蛔的方子，也唯有乌梅丸一方加减，并没有精思博识，随症立法。其中使用人参，虽然本于乌梅丸之意，但大多不对症。可知这位老医对此病研究不够深入。
Wang: Jueyin (Liver and Pericardium channels) involvement causing vomiting of roundworms. Accompanied by alternating chills and fever, dry retching, obstruction and rejection in the chest and heart region, black tongue coating, thirst but no desire to drink. This is a critically severe condition. (Pathogenesis: Stomach deficiency with Liver Wood overacting on Spleen Earth).
Prescription: Semen Pruni Mume (Wumei, 1.5 qian), Ramulus Cinnamomi (Guizhi, 1 qian), Fructus Zanthoxyli (Chuanjiao, fried and charred, 0.4 qian), Radix Paeoniae Alba (Baishao, 1 qian), Rhizoma Coptidis (Xiaochuanlian, 0.3 qian), Cortex Phellodendri (Huangqin, 1 qian), Rhizoma Zingiberis Recens (Sheng Danganjiang, 1 qian).
Xi: Pulse shows intermittent pauses on the right side. Tongue coating is white with thirst and desire to drink. Epigastric region feels obstructed and hot. Frequent vomiting of thick phlegm. Previously vomited roundworms. This is latent summerheat-dampness, both injuring the Qi level. The pathogen originates from the interior. Spirit is about to become confused and obscured. Due to dampness failing to transform, there is spontaneous diarrhea with sticky phlegm. It is proposed to advance the Xiexin (Drain the Heart) method using Banxia Xiexin Tang (Pinellia Decoction to Drain the Epigastrium).
Furthermore: Whenever roundworms move up and down and emerge, it belongs to Jueyin invading Yangming. Internal wind enters the Stomach, causing vomiting of saliva and turbid foam. This is analogous to the case in Zhang Zhongjing's Jueyin chapter where cold extremities precede fever. Discussing after cold and heat symptoms, if there is absolutely no sweating resolution, it means the latent pathogen in the extreme Yin has penetrated deeply; how can it cross other channels to reach the Yang level? Reviewing previous medical prescriptions, initially treating Lung and Stomach was used, followed by Wendan Fuling Yin (Warm Gallbladder and Poria Decoction), merely harmonizing the Stomach and treating phlegm, without reaching the pathogen deeply hidden in Jueyin. Previously taking Xiexin Tang: Bitter flavors remove dampness, pungent flavors unblock obstruction. The location remains in the Upper and Middle Jiao. After taking it, the chest felt slightly relieved, slept for a while, and upon waking, vomited turbid phlegm with yellow-black coloration. Generally, colors with green or black hues must surge upward from the bottom of the Stomach or intestines. In the elderly, the Chong Mai (Penetrating Vessel) has declined. As stated, "When the Chong Mai moves, all vessels rebel." The patient described that during vomiting, the whole body was pulled and painful, extending to the soles of the feet. This indicates that the Yin and Yang Qiao Mai (Heel Vessels) and Wei Mai (Linking Vessels) cannot maintain their own integrity; this is certain. For pathogens at the half-exterior half-interior level, Zhang Zhongjing always uses Chai Hu (Bupleuri Radix) and Huang Qin (Scutellariae Radix). Now, with upper and lower obstruction, one should follow the method of Guizhi Huanglian Tang (Cinnamon Twig and Coptis Decoction), incorporating Jueyin guiding herbs as messengers to penetrate the interior, thereby soothing the Chong Mai. Subsequently, tonify and unblock the Yangming channel. This is the principle for treating Jueyin disorders.
Prescription: Gan Jiang (Dried Ginger), Guizhi (Cinnamon Twig), Chuanjiao (Zanthoxylum), Wumei (Mume Fruit), Chuanlian (Coptis), Xixin (Asarum), Fuling (Poria).
Furthermore: Liver Qi stagnation not smoothing out requires bitter-pungent regulation, assisted by sour flavors to prevent excessive rigidity. Following the example of vomiting after eating food.
Prescription: Renshen (Ginseng), Fuling (Poria), Wuyu (Evodia), Banxia (Pinellia), Chuanlian (Coptis), Wumei (Mume Fruit).
Furthermore: After malaria attacks induce sweating, the pathogen in the Yin level has already penetrated to the Yang channels. Although phlegm and vomiting have not decreased, the green-blue coloration has disappeared, which is highly auspicious. The white coating in the center of the tongue is not yet cleared, and the edges are gradually becoming red, but the spirit is fatigued and exhausted. Clear the pathogen while assisting the righteous Qi; this is a established method.
Prescription: Renshen (Ginseng), Banxia (Pinellia), Fuling (Poria), Zhishi Juice (Immature Bitter Orange Juice), Ganjiang (Dried Ginger), Chuanlian (Coptis).
Furthermore: Desire to vomit after eating, feeling warm fluid accumulation in the heart, salty-tasting saliva and foam, pulling pain along the spine. This is Kidney deficiency causing water fluids to float upward into saliva, and the Du Mai (Governor Vessel) failing to constrain. It is proposed to use Zhenwu Tang (True Warrior Decoction) to withdraw the rebellion of water-cold. After two doses, continue administration.
Prescription: Renshen (Ginseng), Banxia (Pinellia), Fuling (Poria), Guizhi (Cinnamon Twig), Weijiang (Roasted Ginger), Nanzao (Jujube).
Furthermore: Since separation, chills and fever occurred three times, halving compared to previous attacks. However, movement and speech cause Qi rushing upward, surging phlegm and vomiting/reversal, with limbs often cold. During chills/fever and sweating, limbs反而 (instead) become hot. This is Yang decline and Stomach deficiency, with Yin turbidity ascending, preventing clear Qi from transforming and relaxing. It is proposed to treat based on Stomach deficiency and rebellious guest Qi causing belching and vomiting, using Xuanshu Daizhe Tang (Inula and Hematite Decoction). Still assist with Yang-unblocking agents to control fluid reversal, adding Baishao (White Peony Root) and Fuzi (Aconite Root).
Furthermore: Although the anti-rebellious formula had slight effect, it is essentially a coercive method. All phlegm-fluids are transformed from turbid Yin. If Yang Qi does not rise, it will inevitably flare again. Zhang Zhongjing stated that fluid pathogens should be harmonized with warming medicines. The previous formula seized Stomach water to revive Yang, which is also this meaning. It is proposed to use Lizhong Tang (Regulate the Middle Decoction), reducing the retaining nature of Gancao (Licorice), still adding Jiang (Ginger) and Fu Zi (Aconite) to unblock Yang, and adding Caoguo (Tsaoko Fruit) to awaken the Spleen. After two doses, continue.
Prescription: Renshen (Ginseng), Ganjiang (Dried Ginger), Banxia (Pinellia), Sheng Baizhu (Raw Atractylodes Macrocephala Rhizome), Fuzi (Prepared Aconite Root), Sheng Baishao (Raw White Peony Root).
Wang: Pulse is deep and wiry. Abdominal pain and vomiting. Nose tip is coal-black, tongue is crimson, face has a blue-dull hue. Summer-autumn latent summerheat fever. Not a winter disease, but caused by mistaken exterior-releasing methods and fasting, injuring Stomach Qi, leading to Liver Wood overacting on Stomach Earth, roundworms emerging upward, thus becoming a severe illness. There is constant fear of Jue Ni (Cold Extremities). It is proposed to vent the Liver and harmonize the Stomach. Pain stops and vomiting slows, hoping for a turning point.
Prescription: Chuanjiao (Zanthoxylum), Chuanlian (Coptis), Wumei (Mume Fruit), Ganjiang (Dried Ginger), Renshen (Ginseng), Fuling (Poria), Sheng Baishao (Raw White Peony Root), Chuanlianzi (Szechwan Chinaberry Fruit).
Cheng: After a major illness, Stomach Qi is extremely injured. Liver Wood overacts on Earth. Roundworms desire to pierce through the diaphragm. Paroxysmal pain in the epigastrium and hypochondrium. This is Earth deficiency overcome by Wood. Ancients taught that Huhuo (Hu Disease) and Chong Jue (Worm Cold) are due to Stomach deficiency and lack of grain.
Anwei Wan (Stomach-Anchoring Pill), taken with Ren Shen Chuan Jiao Wu Mei Tang (Ginseng, Zanthoxylum, and Mume Fruit Decoction), 2 qian per dose.
Zhou (31 years old): Pain in both hypochondria, worse on the left. Vomiting roundworms. Previously liked eating raw rice. This is due to irregular diet combined with anger and fatigue, causing Stomach Earth disharmony and Liver Wood invasion. Observe children who eat rice, wheat, mud, or charcoal; these are long-accumulated interior stagnations, initially arising from damp-heat郁蒸 (stagnant steaming). One should harmonize Yang, ventilate the Fu organs, use pungent penetrating methods to unblock collaterals. When dampness leaves and heat dissipates, the Fu collaterals naturally harmonize.
Prescription: Chuanlian (Coptis), Ganjiang (Dried Ginger), Guizhi (Cinnamon Twig), Jinlingzi (Szechwan Chinaberry), Yanhu (Corydalis), Lvhui (Aloe), Baishao (White Peony), Zhishi (Immature Bitter Orange). Take Wumei Wan (Mume Pill), 3 qian.
Li: Body does not have high fever. Bowel and bladder movements are quite smooth. No longer a disease of Wind-Cold stagnation. Due to fright disturbing the Liver, Jue Qi (Rebellious Qi) floats downward, roundworms attack upward causing pain, vomiting clear saliva. Zhang Zhongjing said: Roundworm Jue all arise from fright. Use Renshen An Hui Fa (Ginseng Method to Pacify Roundworms).
Furthermore: Ancients said, rising leads to vomiting roundworms, descending leads to Huhuo. Both are due to Stomach deficiency and lack of grain, with Liver Jue Qi rebelling upward. Knowing the Stomach is deficient and guest Qi rushes upward to invade, then the anti-rebellious and Stomach-anchoring formula follows ancient treatment methods.
Prescription: Renshen (Ginseng), Daizheshi (Hematite), Wumei Rou (Mume Flesh), Chuanjiao (Zanthoxylum), Chuanlianzi (Szechwan Chinaberry), Fuling (Poria).
Furthermore: Renshen (Ginseng), Fuling (Poria), Chao Danggui (Fried Angelica Sinensis), Chao Baishao (Fried White Peony), Guixin (Cinnamon Heart), Zhigancao (Honey-fried Licorice), Weijiang (Roasted Ginger), Nanzao (Jujube).
Furthermore: Suddenly pain recurs. Pulse is faint and fine. Coinciding with early Li Xia (Start of Summer), righteous Qi fails to connect continuously. There is fear of recurrent Jue Ni.
Prescription: Renshen (Ginseng), Guizhimu (Cinnamon Twig Wood), Chuanlianzi (Szechwan Chinaberry), Chao Chuanjiao (Fried Zanthoxylum), Sheng Baishao (Raw White Peony), Wumei Rou (Mume Flesh), Chuanlian (Coptis), Xixin (Asarum).
Ye (17 years old): Heat Qi closes upward. Deafness and body heat. Consciousness is unclear. Should clear Xin Ying (Heart Nutrient Level) and Fei Wei (Lung Defensive Level). (Pathogenesis: Damp-Heat knotting in Jueyin).
Prescription: Zhuxinye (Bamboo Leaf Tip), Fei Huashi (Flown Talcum), Lianqiao (Forsythia), Chuanbei (Fritillaria Bulb), Shichangpu Gen (Acorus Root), Sheng Lv Dou Pi (Raw Mung Bean Skin).
Furthermore: Summerheat-Damp-Heat steaming internally. Vomiting roundworms. Thirst and deafness.
Prescription: Chuanlian (Water-fried Coptis, 0.4 qian), Banxia (Pinellia, 1.5 qian), Zhishi (Immature Bitter Orange, 1 qian), Guangpi Bai (Citrus Peel White, 3 qian), Changpu (Acorus, 1.5 qian), Xingren (Apricot Seed, 3 qian).
Furthermore: Body heat persists for three five-day periods (hou). Chest oppression. Delirium at night. Deafness and vomiting roundworms. This is Heat knotting in Jueyin, the most dangerous syndrome.
Prescription: Chuanlian (Coptis), Huangqin (Scutellaria), Ganjiang (Dried Ginger), Zhishi (Immature Bitter Orange), Banxia (Pinellia), Jiangzhi (Ginger Juice), Fuling (Poria), Changpu (Acorus).
Vomiting roundworms originally belongs to Liver-Stomach syndromes. Because Jueyin pathogen rebels upward, roundworms cannot settle, thus exiting from above. The cases compiled here are all caused by external pathogens leading to vomiting roundworms. Although Xiexin Tang, Guizhi Huanglian Tang, Anwei Wan etc. are used, they all adhere to Zhang Zhongjing's Wumei Wan method, utilizing bitter, pungent, sour, cold, and hot together. These should be referenced together with the Vomiting section. As for children vomiting/passing roundworms and other worm diseases, treating the branch involves vermifuge formulas, while treating the root involves warming and tonifying Spleen-Stomach, or assisting with clearing Gi-heat. Predecessors each had established methods; no need to repeat. (Commentary by Hua Yutang)
Xu Lingtai's Commentary: Most of the listed cases are vomiting/reversal syndromes, not purely worm diseases. The formulas for treating vomiting roundworms only modify Wumei Wan, lacking profound thought and broad knowledge to legislate according to specific symptoms. The use of Renshen, although derived from the intent of Wumei Wan, is mostly inappropriate for the symptoms. It is known that this old physician did not study this disease deeply.