天灵盖（二钱，炙黄为末，年深沉泥渍朽者良） 虎粪内骨（一钱，酥炙。杀虎，于大
肠
内取者，亦可） 青蛇脑（小豆许，酥炙，色变为度，无此亦可） 鳖甲（酥炙黄色，一两，
九
肋者尤良） 安息香（半斤） 桃仁（一枚，去皮尖，上件皆为细末） 槟榔（一枚，别为
细末） 麝
香（一分，别研） 青蒿（六两，取近 三四寸者） 豉（三百粒） 葱根（二寸一个，拍）
东引
桃柳李桑枝（各七茎，如箸大，长各七寸，细锉） 枫叶（二十一片） 童子小便（半升）
上件，先将青蒿、桃柳李桑枝、枫叶、葱、豉，以官升量水三升，煎至半升许，去渣，
入天灵盖、虎粪内骨、青蛇脑、鳖甲、安息香、桃仁、童子小便，同煎取汁，去渣有四五合，
将槟榔、麝香同研，匀调，作一服。早晨温服，被覆取汗。恐汗内有细虫，以帛拭之，即焚。
相次须泻，必有虫下，如未死，以大火焚，并弃长流水内。所用药，切不得令病患知，日后
亦然。十来日后，气体撤消，再进一服，皆如前法，至无虫而止。
《百一选方》云∶袁州寄居武节郎李应，本湘州法司，有男女三人，长子因议买宅，入
无人所居之室，忽觉心动，背寒凛凛，遂成瘵疾，既死。次女寻病，又传于第三子，证候一
同。应大恐，每日祈神设饭，以斋云水，冀遇异人，且许谢钱三十万。后遇一道人，传以此
方，不受一钱而去，且教以祈于城隍，以为阴助。遂如其言，下虫七枚，其色如红 肉而腹
白，长约一寸，阔七八分，前锐后方，腹下近前有口，身之四周有足，若鱼骨，细如针尖而
曲，已死。试取火焚之，以铁火箸扎刺不能入，病势顿减。后又用一剂，得小虫四枚，自此
遂安。昆谓天灵盖，人虫之尸物也。虎粪内骨，毛虫之尸物也。青蛇脑，鳞虫之尸物也。鳖
甲，介虫之尸物也。二五之精，各从其类，故假尸物以疗五尸疰疾。此《大易》所谓同气相
求，《内经》所谓衰之以属是也。东引桃柳李桑枝，出乎震者也，得天地升生之气。故能匡
正而辟不祥。枫叶、青蒿，相见乎离者也，得天地长养之气，故能止阳而驱邪热。葱根、豆
豉，表药也，能疏腠而开鬼门。麝香、安息，窜药也，能利窍而消疰恶。槟榔能杀三虫，桃
仁能除恶败。童子小便者，以其得少阳之完气，一能去邪火，一能致新气也。
天灵盖（二钱，炙烤至黄后研成粉末，年代久远、深埋于泥土中腐朽的质地更佳） 虎粪中的骨头（一钱，用酥油炙烤。捕捉老虎时，从大肠内取出的亦可） 青蛇脑（如小豆大小，用酥油炙烤，以颜色改变为度，若无此药也可不用） 鳖甲（用酥油炙烤至黄色，一两，九肋的尤其好） 安息香（半斤） 桃仁（一枚，去皮和尖，上述药材都需研成细末） 槟榔（一枚，单独研成细末） 麝香（一分，单独研磨） 青蒿（六两，选取靠近根部三四寸的部分） 豆豉（三百粒） 葱根（每段二寸，拍碎） 向东生长的桃枝、柳枝、李枝、桑枝（各七茎，粗细如筷子，长度各七寸，细细切碎） 枫叶（二十一片） 童便（半升）
以上药材，先将青蒿、桃柳李桑枝、枫叶、葱、豆豉，用量水三升，煎煮至约半升，滤去药渣，加入天灵盖、虎粪内骨、青蛇脑、鳖甲、安息香、桃仁、童便，共同煎取汁液，滤去药渣，剩余四五合，将槟榔、麝香一同研磨，均匀调和，作为一次服用的剂量。早晨温服，服药后覆盖被子以取汗。担心汗液中带有细小虫子，用丝帛擦拭汗水，随即焚烧。随后应当腹泻，必定有虫排出，如果虫子未死，用大火焚烧，并丢弃在流动的长流水中。所用的药物，切不能让病人知道，日后也是如此。十来天后，病人体气消退，再进服一剂，方法都同前，直到没有虫排出为止。
《百一选方》记载：寄居袁州的武节郎李应，本是湘州司法官员，有三个子女。长子因商议购买宅院，进入无人居住的屋子，忽然觉得心跳加速，背部寒冷战栗，于是患上痨瘵（虚劳咳嗽），最终死亡。次女接着生病，又传染给第三个儿子，症状完全相同。李应非常恐惧，每天祈祷神灵设斋饭，供养云游僧道，希望遇到异人，并许诺酬谢三十万钱。后来遇到一位道人，传授了这个方子，不接受一分钱就离开了，并且教导他向城隍神祈祷，以获得阴间的帮助。于是照他的话去做，排出了七条虫子，颜色像红肉而腹部白色，长约一寸，宽七八分，前端尖锐后端方正，腹部前方近处有口，身体四周有足，像鱼骨一样，细如针尖且弯曲，已经死亡。尝试用火焚烧它，用铁火筷扎刺也插不进去，病情顿时减轻。后来又用了一剂药，排出小虫四条，从此便安稳了。吴昆认为，天灵盖是人虫的尸体；虎粪内骨，是毛虫的尸体；青蛇脑，是鳞虫的尸体；鳖甲，是介虫（带壳虫类）的尸体。五行之精，各自同类相求，所以借用这些尸体来治疗五尸疰疾。这就是《易经》所说的“同气相求”，《内经》所说的“衰之以属”（用同类之物使其衰退）。向东生长的桃柳李桑枝，出自震卦（东方），获得天地升发之气。所以能匡正邪气而辟除不祥。枫叶、青蒿，显现于离卦（南方），获得天地长养之气，所以能抑制阳气而驱除邪热。葱根、豆豉，是解表药，能疏通腠理而打开鬼门（汗孔）。麝香、安息香，是走窜药，能通利窍道而消除疰恶之气。槟榔能杀灭三种寄生虫，桃仁能除恶血败血。童便，因为它获得了少阳的完整之气，一方面能去除邪火，一方面能招致新气。
Heavenly Skull Cap (2 qian, roasted until yellow and ground into powder; those aged deeply and soaked in mud are superior) Bone from Tiger Excrement (1 qian, roasted with butter. Obtained from the large intestine of a killed tiger is also acceptable) Brain of Green Snake (size of a mung bean, roasted with butter until color changes; this ingredient may be omitted if unavailable) Turtle Shell (roasted with butter until yellow, 1 liang; those with nine ribs are particularly good) Benzoin (8 liang) Peach Kernel (1 piece, skin and tip removed; all above ingredients should be ground into fine powder) Areca Seed (1 piece, separately ground into fine powder) Musk (1 fen, separately ground) Young Mugwort (6 liang, select the part near the root, 3-4 cun long) Prepared Soybean (300 grains) Scallion Root (2 cun per piece, crushed) Eastward-growing Branches of Peach, Willow, Plum, and Mulberry (7 stems each, thickness like chopsticks, length 7 cun each, finely chopped) Maple Leaf (21 pieces) Urine of a Healthy Boy (0.5 sheng)
For the above ingredients, first decoct the young mugwort, eastward-growing peach, willow, plum, and mulberry branches, maple leaves, scallions, and prepared soybeans in 3 sheng of water, reducing to approximately 0.5 sheng. Strain out the dregs. Add the heavenly skull cap, bone from tiger excrement, brain of green snake, turtle shell, benzoin, peach kernels, and urine of a healthy boy. Decoct together to extract the juice, strain out the dregs, obtaining about 4-5 he. Grind the areca seed and musk together, mix evenly, and prepare as a single dose. Take warm in the morning, cover with blankets to induce sweating. If tiny worms are suspected in the sweat, wipe with silk cloth and burn immediately. Subsequently, diarrhea should occur, and worms must be expelled. If any worm is not dead, burn it with high fire and discard into flowing water. The medicinal ingredients must never be revealed to the patient, and this rule applies thereafter. After ten days or so, when the patient's qi and condition subside, administer another dose using the same method, continuing until no more worms are expelled.
The *Bai Yi Xuan Fang* records: Li Ying, a Wujie Lang residing in Yuanzhou, originally served as a judicial officer in Xiangzhou. He had three children. His eldest son, while discussing the purchase of a house, entered an uninhabited room, suddenly felt his heart palpitate, and experienced severe chills in his back, eventually developing phthisis (consumption/tuberculosis), which led to his death. His second daughter subsequently fell ill, and the disease was transmitted to the third son, presenting identical symptoms. Li Ying was terrified, praying daily to deities and offering meals to support wandering monks and Daoists, hoping to encounter a miraculous person, promising a reward of 300,000 coins. Later, he met a Daoist priest who transmitted this prescription without accepting any money, and instructed him to pray to the City God for spiritual assistance. Following this advice, he expelled seven worms. Their color resembled red meat with white bellies, approximately 1 cun long and 7-8 fen wide. The anterior end was sharp and the posterior end square. Near the anterior belly, there was a mouth. The body had legs around its circumference, resembling fish bones, thin as needle tips and curved, already dead. Attempting to burn them, iron chopsticks could not pierce them. The disease severity decreased abruptly. Another dose was then administered, resulting in the expulsion of four small worms, after which he recovered completely. Kun states that the heavenly skull cap is the corpse of human worms; bone from tiger excrement is the corpse of hairy worms; brain of green snake is the corpse of scaled worms; turtle shell is the corpse of shelled worms. The essence of the Five Elements follows their own kind; thus, these corpses are borrowed to treat the five corpse-related zhu diseases. This corresponds to the concept of "similar energies attract" in the *Great Changes* (*I Ching*) and "reducing through affinity" in the *Inner Canon* (*Neijing*). Eastward-growing peach, willow, plum, and mulberry branches originate from the Zhen trigram (East), acquiring the ascending qi of heaven and earth. Therefore, they can correct abnormalities and dispel misfortune. Maple leaves and young mugwort appear in the Li trigram (South), acquiring the nurturing qi of heaven and earth, thus suppressing yang and driving away pathogenic heat. Scallion roots and prepared soybeans are exterior-releasing herbs that can unblock interstices and open the "ghost gates" (pores). Musk and benzoin are penetrating herbs that can benefit orifices and eliminate zhu-pathogenic evil. Areca seeds can kill three types of parasites, and peach kernels can eliminate bad blood. Urine of a healthy boy, possessing the complete qi of Shaoyang, can both clear pathogenic fire and promote the generation of new qi.