论曰蛲虫甚微细，若不足虑者，然其生化众多，攻心刺痛，时吐清水，在胃中侵蚀不已，
日加羸瘦，甚则成痔 疥癣痈疽诸癞，害人若此，绝其本根，勿使能殖，则毒而治之，所不
可忽。
治蛲虫，芫花散方
芫花（择醋浸一宿炒令黄黑色） 野狼牙（去苗土） 雷丸（煨） 桃仁（去皮尖双仁炒
研各一
上四味，捣罗为散，每服一钱匕，宿不食，平旦煎粟米饮调下。
治蛲虫蛔虫，及痔虫蚀下部生疮，桃皮汤方
桃木皮（干者去粗皮锉） 槐子（微炒各一两半） 艾叶（半两）
上三味，粗捣筛，每服三钱匕，水一盏，枣一枚劈破，煎至六分，去滓，空心食前夜卧
各一服。
治蛲虫，蜜香丸方
密陀僧（ 一两） 麝香（研半钱） 硫黄（研一分） 定粉（研半两）
上四味，捣研为细末，醋煮面糊，丸如梧桐子大，每服十丸，空心芜荑汤下。
治蛲虫，巴豆桃仁丸方
巴豆（五枚和皮烧令烟断去皮心） 桃仁（去皮尖双仁炒二十枚）
上二味同研极细，丸如大麻子大，每旦空心服，温浆水下，大人两丸，小儿一丸，虫未
下再服。
治蛲虫，石榴散方
酸石榴根（锉） 干漆（碎炒烟出） 野狼牙（去苗土） 鹤虱 槟榔（锉各一两）
上五味，捣罗为细散，每服一钱匕，空心温酒调下。
治蛲虫攻心如刺，吐清水，艾汁方 生艾叶（并嫩心切二升）
上一味，捣研绞取汁两盏许，宿不食，平旦先嚼干脯少许后，顿饮汁，不能尽，即两日
服。
又方
芦（一两微炒）
上一味，捣罗为散，每服一钱匕，空心煮羊肉汁调下。
治蛲虫，蒺藜散方
蒺藜子并苗叶
上一味，七月七日采，阴干烧存性细研，每服二钱匕，食后煎芜荑酒调下，日三。
治蛲虫在胃，渐加羸弱，槐皮丸方
槐皮（干者锉） 桃仁（去皮尖双仁生用） 楝实（去核生用各半两）
上三味，捣罗为末，炼猪膏丸如人指大，以绵裹导下部中。
治蛲虫咬人下部痒方
水银（一两）
上一味，用蒸枣膏和丸，如人指大，绵裹临卧内下部中一宿，内药时，常留绵带子在外
治蛲虫在胃，令人渐羸，熬漆丸方
好漆 醇酒 白蜜（各半升）
上三味，于铜器中和匀，微火熬令可丸，丸如鸡头大，每服一丸，宿勿食，空腹温酒下，
虫未下再服。
治肾热四肢肿急，腹中有蛲虫，贯众散方
贯众（三枚炒） 干漆（炒烟出二两） 吴茱萸（汤洗焙干炒一两半） 芜荑（炒） 胡
粉（研）
上七味，捣罗为散，每服三钱匕，空心井华水调下，日二服。
论述说：蛲虫非常微小纤细，似乎不值得担忧，然而它们繁殖迅速，数量众多，侵袭心脏时引起刺痛，时常呕吐清水，在胃中不断侵蚀，导致身体日渐消瘦虚弱，严重时甚至引发痔疮、疥癣、痈疽等各种恶疮，对人的危害如此之大。因此，必须断绝其根本根源，不让它们继续繁殖，然后用解毒的方法治疗，这一点不可轻视。
治疗蛲虫的芫花散方剂：
芫花（选择用醋浸泡一夜，炒至黄黑色） 野狼牙（去除苗和泥土） 雷丸（煨制） 桃仁（去皮尖，双仁者炒后研碎，各取一份）
以上四味药，捣碎过筛成散剂，每次服用一钱匕，前一晚禁食，清晨用粟米饮调服。
治疗蛲虫、蛔虫，以及痔虫侵蚀下部生疮的桃皮汤方剂：
桃木皮（干燥者，去除粗皮切碎） 槐子（微炒，各一两半） 艾叶（半两）
以上三味药，粗捣筛选，每次服用三钱匕，用水一盏，一枚劈破的大枣，煎煮至六分满，去渣滓，空腹、饭前及睡前各服一次。
治疗蛲虫的蜜香丸方剂：
密陀僧（一两） 麝香（研细，半钱） 硫黄（研细，一分） 定粉（研细，半两）
以上四味药，捣碎研成细末，用醋煮面糊为粘合剂，制成梧桐子大小的丸药，每次服用十丸，空腹时用芜荑汤送服。
治疗蛲虫的巴豆桃仁丸方剂：
巴豆（五枚，带皮烧至烟断，去皮去心） 桃仁（去皮尖，双仁者炒，二十枚）
以上两味药共同研磨极细，制成大麻子大小的丸药，每天早晨空腹服用，用温浆水送下，成人每次两丸，小儿每次一丸，若虫未排出可再服。
治疗蛲虫的石榴散方剂：
酸石榴根（切碎） 干漆（捣碎炒至冒烟） 野狼牙（去除苗和泥土） 鹤虱 槟榔（切碎，各一两）
以上五味药，捣碎过筛成细散剂，每次服用一钱匕，空腹时用温酒调服。
治疗蛲虫侵袭心脏如针刺感、呕吐清水的艾汁方剂：
生艾叶（连同嫩心切二升）
以上一味药，捣碎研磨绞取汁液约两盏，前一晚禁食，清晨先嚼少许干肉脯，然后一次性饮下汁液，若不能一次喝完，则分两天服用。
又一方剂：
芦（一两，微炒）
以上一味药，捣碎过筛成散剂，每次服用一钱匕，空腹时用煮羊肉汁调服。
治疗蛲虫的蒺藜散方剂：
蒺藜子及其苗叶
以上一味药，七月七日采集，阴干后烧至存性，细研，每次服用二钱匕，饭后用煎好的芜荑酒调服，每日三次。
治疗蛲虫在胃中，使人逐渐消瘦虚弱的槐皮丸方剂：
槐皮（干燥者切碎） 桃仁（去皮尖，双仁者生用） 楝实（去核，生用，各半两）
以上三味药，捣碎过筛成末，用炼制的猪油制成如人手指大小的丸药，用棉布包裹后纳入下部（肛门）。
治疗蛲虫咬噬下部瘙痒的方剂：
水银（一两）
以上一味药，用蒸熟的枣膏调和制成如人手指大小的丸药，用棉布包裹，临睡前纳入下部（肛门）留置一夜。放入药物时，通常要留出棉带的尾巴在外面。
治疗蛲虫在胃中，令人逐渐消瘦的熬漆丸方剂：
好漆 醇酒 白蜜（各半升）
以上三味药，在铜器中混合均匀，用微火熬煮至可制成丸药的程度，制成鸡头大小的丸药，每次服用一丸，前一晚禁食，空腹时用温酒送服，若虫未排出可再服。
治疗肾热导致四肢肿胀拘急，腹中有蛲虫的贯众散方剂：
贯众（三枚，炒） 干漆（炒至冒烟，二两） 吴茱萸（汤洗焙干炒，一两半） 芜荑（炒） 胡粉（研细）
以上七味药，捣碎过筛成散剂，每次服用三钱匕，空腹时用井华水（清晨第一次打的井水）调服，每日两次。
Commentary states: Pinworms (Enterobius vermicularis) are extremely minute, seemingly not worth worrying about; however, their reproduction and proliferation are abundant. They attack the heart causing stabbing pain, frequently cause vomiting of clear fluid, and continuously erode within the stomach. This leads to progressive emaciation and weakness. In severe cases, they may result in hemorrhoids, scabies, tinea, carbuncles, ulcers, and various other skin diseases. Such harm to the human body is significant. One must eradicate the root cause to prevent further propagation, then treat with detoxifying methods; this cannot be neglected.
Formula for Pinworms: Yuanhua San (Spurge Flower Powder)
Yuanhua (Daphne genkwa flower), selected after soaking in vinegar overnight and stir-fried until yellow-black; Yelangya (Acanthopanacis Tricoccus Radix), cleaned of sprouts and soil; Leiwan (Wan Tao Sclerotium), baked; Taoren (Prunus persica seed), peeled, de-pitted, double-kernel ones used, stir-fried and crushed. Each ingredient taken in equal proportion.
The above four ingredients are pounded, sifted into a powder. Take one qianbi (approx. 3-5g) per dose. Fast overnight, and in the early morning, mix with millet drink to take orally.
Formula for Pinworms, Roundworms, and Hemorrhoidal Worms Eroding the Lower Orifices Causing Sores: Taopi Tang (Peach Bark Decoction)
Taomu pi (Cortex Pruni persicae), dried, coarse bark removed and chopped; Huaizi (Fructus Sophorae), lightly stir-fried, each 1.5 liang; Aiye (Folium Artemisiae argyi), 0.5 liang.
The above three ingredients are coarsely pounded and sieved. Take 3 qianbi per dose. Add one water unit and one split jujube. Decoct until reduced to 0.6 units. Strain. Take one dose before meals on an empty stomach and one dose before sleep.
Formula for Pinworms: Mixiang Wan (Musk Pill)
Miduoseng (Litharge); Shexiang (Moschus), crushed, 0.5 qian; Liuhuang (Sulfur), crushed, 1 fen; Dingfen (Cerussa), crushed, 0.5 liang.
The above four ingredients are pounded and ground into fine powder. Use vinegar-boiled wheat paste to form pills the size of paulownia seeds. Take ten pills per dose on an empty stomach, washed down with Wuyi decoction.
Formula for Pinworms: Badao Taoren Wan (Croton Seed and Peach Kernel Pill)
Badou (Seminar Crotonis tiglii), five seeds, burned with peel until smoke ceases, then peel and core removed; Taoren (Prunus persica seed), peeled, de-pitted, double-kernel ones used, stir-fried, twenty seeds.
The above two ingredients are ground together extremely finely. Form pills the size of hemp seeds. Take every morning on an empty stomach, washed down with warm grain wash water. Adults take two pills, children take one pill. If worms are not expelled, administer again.
Formula for Pinworms: Shiliu San (Pomegranate Powder)
Suan shiliu gen (Radix Punicae granati), chopped; Ganqi (Resina Toxicodendri), crushed and stir-fried until smoking; Yelangya (Acanthopanacis Tricoccus Radix), cleaned of sprouts and soil; Heshi (Herba Pedalii fortunei); Binglang (Arecae Semen), chopped. Each ingredient 1 liang.
The above five ingredients are pounded, sifted into a fine powder. Take one qianbi per dose on an empty stomach, mixed with warm wine.
Formula for Pinworms Attacking the Heart Like Stabbing Pain and Vomiting Clear Fluid: Aizhi Fang (Mugwort Juice Formula)
Sheng aiye (Fresh Folium Artemisiae argyi), including tender hearts, cut to 2 sheng.
One ingredient only. Pound, crush, and squeeze to obtain approximately two zhan of juice. Fast overnight. In the early morning, chew a small amount of dried meat first, then drink the juice in one go. If unable to finish all at once, divide the dose over two days.
Another Formula:
Lu (Reed rhizome), 1 liang, lightly stir-fried.
One ingredient only. Pound and sift into powder. Take one qianbi per dose on an empty stomach, mixed with boiled mutton broth.
Formula for Pinworms: Jili San (Tribulus Powder)
Jilizi (Fructus Tribuli) and its seedlings/leaves.
Harvest on the seventh day of the seventh lunar month. Dry in shade, burn until carbonized but retaining properties, and grind finely. Take 2 qianbi per dose after meals, mixed with Wuyi-infused wine decoction. Three times daily.
Formula for Pinworms in the Stomach Causing Progressive Weakness: Huaipi Wan (Sophora Bark Pill)
Huapi (Cortex Sophorae tonkinensis), dried and chopped; Taoren (Prunus persica seed), peeled, de-pitted, double-kernel ones used raw; Lianshi (Fructus Meliae azedarach), pitted, used raw. Each ingredient 0.5 liang.
The above three ingredients are pounded, sifted into powder. Mix with refined lard to form pills the size of a human finger. Wrap in cotton cloth and insert into the lower orifice (anus).
Formula for Pinworms Biting the Lower Orifice Causing Itching:
Shuiyin (Mercurius), 1 liang.
One ingredient only. Mix with steamed jujube paste to form pills the size of a human finger. Wrap in cotton cloth. Insert into the lower orifice (anus) before sleep and leave overnight. When inserting the medicine, always leave the end of the cotton string outside.
Formula for Pinworms in the Stomach Causing Progressive Emaciation: Aoqi Wan (Boiled Lacquer Pill)
Haoqi (Good quality lacquer); Chunjiu (Pure wine); Baimi (White honey). Each 0.5 sheng.
Mix the above three ingredients evenly in a copper vessel. Heat gently over low fire until moldable. Form pills the size of a chicken head. Take one pill per dose. Fast overnight. Take on an empty stomach with warm wine. If worms are not expelled, administer again.
Formula for Kidney Heat Causing Swelling and Tightness of Limbs, with Pinworms in the Abdomen: Guanzhong San (Cyathulae Root Powder)
Guanzhong (Rhizoma et Radix Cyathulae), three pieces, stir-fried; Ganqi (Resina Toxicodendri), stir-fried until smoking, 2 liang; Wuzhuyu (Fructus Evodiae routeae), washed in hot water, dried, stir-fried, 1.5 liang; Wuyi (Fructus Tsooshoeadeniae), stir-fried; Hufen (Cerussa), crushed.
(Note: Text lists "above seven ingredients" but only lists five items explicitly in the header line, likely implying sub-components or missing items in transcription, but translating strictly based on listed herbs):
Pound and sift into powder. Take 3 qianbi per dose on an empty stomach, mixed with Jinghua water (first-drawn well water in the morning). Two doses daily.