夫蛔虫者。是九虫内一虫也。长一尺。亦有长五寸。或因腑脏虚弱而动。或因甘肥而动
。则
脉。
治蛔虫攻心。吐如醋水。痛不能止。宜服贯众散方。
贯众（一两） 鹤虱（一两纸上微炒） 野狼牙（一两） 麝香（一钱细研） 芜荑仁（一
两） 龙
胆（一两去芦头）
上件药。捣细罗为散。每于食前。以淡醋汤调下二钱。
治蛔虫。或攻心。吐清水。宜服野狼牙散方。
野狼牙（一两） 芜荑仁〔二（一）两〕
上件药。捣细罗为散。每服药。空心先吃少淡羊肉干脯。即以温酒调散二钱服之。不过
三四服永瘥。
又方。
绿豆（一升水三升煮取汁一升） 大麻子（一升水研取汁半升）
上以麻子豆汁各半盏。暖令温。虫正发时。先炙淡羊肉脯令熟。嚼含咽汁。三五咽即服
之。须臾或吐或利。其虫当自出。如未尽。再服。
又方。
酸石榴根东引者（锉三合） 槟榔（一两半）
上件药细锉 分为二服。每服。以水二大盏。煎至一大盏二分。去滓。空腹分温二服。
虫当自下。
治蛔虫在胃中。渐渐羸瘦方。
淳酒（一中盏） 白蜜（一合） 好漆（一两）
上件药相和。于铫子内。以慢火熬。令可丸即丸。如樱桃大。每服一丸。温酒中化破。
夜勿食。旦服之。良久即虫下。未下即更服。
治蛔虫攻心。腹痛方。
薏苡仁根〔一（二）两锉〕
上以水二大盏。煎取一盏。去滓。于空腹时顿服之。
治蛔虫。或攻心如刺。口中吐清水者方。
龙胆（一两去芦头锉）
上以水二大盏。煮取一盏。去滓。隔宿不食。平旦顿服之。
又方。
石榴根（半斤锉净洗）
上以水三大盏。煎至一盏半。去滓空腹。分温三服。
治蛔虫咬心楚痛。宛转欲死方。
上浓捣地黄汁。和面煮作冷淘。不用着盐醋。尽意食之。如一顿虫不出。即再食。
治蛔虫日夜咬人。腹内痛不可忍方。
苦楝树白皮（二斤去粗者锉）
上以水一斗。煎至三升。去滓。于银器内。以慢火熬成膏。每日于五更初。以温酒调下
半匙。以虫下为度。
蛔虫，是九种寄生虫中的一种。体长一尺，也有长五寸的。有时因为脏腑虚弱而活动，有时因为食用甘肥食物而活动。
治疗蛔虫攻心，呕吐如醋水般酸臭，疼痛无法停止的症状，适宜服用贯众散方。
贯众（一两） 鹤虱（一两，在纸上轻微炒制） 野狼牙（一两） 麝香（一钱，细研） 芜荑仁（一两） 龙胆（一两，去除芦头）
以上药物，捣碎过细罗成为散剂。每次在进食前，用淡醋汤调服二钱。
治疗蛔虫，有时攻心，呕吐清水的症状，适宜服用野狼牙散方。
野狼牙（一两） 芜荑仁（二两，注：原文括号内有异文“一”）
以上药物，捣碎过细罗成为散剂。每次服药时，空腹先吃少许淡羊肉干脯，随即用温酒调服散剂二钱。不超过三四次服用即可彻底痊愈。
又一方。
绿豆（一升，用水三升煮取汁液一升） 大麻子（一升，用水研磨取汁半升）
以上将麻子汁和豆汁各取半盏，加热至温热。当蛔虫发作时，先烤熟淡羊肉脯，咀嚼含咽并喝下汁液。吞咽三五口后即服用此药。不久之后或呕吐或腹泻，蛔虫应当自行排出。如果未排尽，再次服用。
又一方。
酸石榴根向东生长的枝条（锉碎三合） 槟榔（一两半）
以上药物细锉，分为两次服用。每次服用，用水两大盏，煎煮至一大盏二分，去渣滓。空腹分两次温服。蛔虫应当自行下行排出。
治疗蛔虫在胃中，身体渐渐消瘦羸弱的方子。
淳酒（一中盏） 白蜜（一合） 好漆（一两）
以上药物混合，在铫子内，用慢火熬制，使其可以制成丸药，大小如樱桃。每次服用一丸，在温酒中化开破散。夜晚不要进食，早晨服用。良久之后蛔虫即下行排出。如果未排出则再服用。
治疗蛔虫攻心，腹痛的方子。
薏苡仁根（二两，锉碎，注：原文括号内有异文“一”）
以上用水两大盏，煎取一盏，去渣滓。在空腹时一次性服下。
治疗蛔虫，有时攻心如针刺，口中吐清水的方子。
龙胆（一两，去除芦头锉碎）
以上用水两大盏，煮取一盏，去渣滓。隔夜不进食，清晨一次性服下。
又一方。
石榴根（半斤，锉净洗净）
以上用水三大盏，煎至一盏半，去渣滓。空腹分三次温服。
治疗蛔虫咬心导致剧烈疼痛，辗转反侧欲死去的方子。
以上浓捣地黄取汁，和面煮成冷淘面。不要加盐和醋。尽情食用。如果一顿饭蛔虫不出，就再吃。
治疗蛔虫日夜咬人，腹内疼痛不可忍受的方子。
苦楝树白皮（二斤，去除粗皮锉碎）
以上用水一斗，煎至三升，去渣滓。在银器内，用慢火熬成膏状。每天在五更初，用温酒调下半匙服用，以蛔虫排出为度。
Roundworms (Ascaris lumbricoides) are one of the nine types of parasites. They may be one chi long, or five cun long. Their activity may be triggered by deficiency and weakness of the fu and zang organs, or by the consumption of sweet and fatty foods.
For symptoms where roundworms attack the heart, causing vomiting of sour fluid resembling vinegar water, and unceasing pain, it is appropriate to take Guan Zhong San (Cibotium Powder).
Guanzhong (Cyati Rhizoma, Cibotii Rhizoma et Stipitum) (1 liang) Heshi (Nartheci Radix, Narthecii Radix) (1 liang, lightly stir-fried on paper) Yelangya (Sanguisorbae Radix, Sanguisorbae Officinalis Radix) (1 liang) Shexiang (Moschus) (1 qian, finely ground) Wuyiren (Trogopterori Fructus, Trogopterori Excrementum) (1 liang) Longdan (Gentianae Radix et Rhizoma, Gentianae Scabrae Radix et Rhizoma) (1 liang, remove the rhizome head)
The above medicines are pounded into a fine powder through a silk sieve. Before meals, mix 2 qian with light vinegar water and take orally.
For roundworms that occasionally attack the heart and cause vomiting of clear water, it is appropriate to take Yelangya San (Sanguisorba Powder).
Yelangya (Sanguisorbae Radix, Sanguisorbae Officinalis Radix) (1 liang) Wuyiren (Trogopterori Fructus, Trogopterori Excrementum) (2 liang; variant reading: 1 liang)
The above medicines are pounded into a fine powder through a silk sieve. For each dose, first consume a small amount of plain dried mutton jerky while fasting, then mix 2 qian of the powder with warm wine and take orally. The condition will be completely cured within three or four doses.
Another prescription.
Lvdou (Vigna radiata Seed, Mung Bean) (1 sheng, boiled with 3 sheng of water to obtain 1 sheng of juice) Damaizi (Cannabis Fructus, Hemp Seed) (1 sheng, ground with water to obtain half a sheng of juice)
Take half a zhan of hemp seed juice and half a zhan of bean juice respectively, and warm them. When the roundworm attack occurs, roast plain mutton jerky until cooked, chew and swallow it along with the juice. After swallowing three or five times, administer the medicine. Soon after, either vomiting or diarrhea will occur, and the worms should be expelled naturally. If not fully expelled, administer again.
Another prescription.
Suan Shiliugen Dongyin Zhe (Radix Punicae Granati, Pomegranate Root Bark, from eastward-growing branches) (3 he, chopped) Binglang (Arecae Semen, Betel Nut) (1.5 liang)
Finely chop the above medicines and divide into two doses. For each dose, use 2 large zhan of water, decoct until reduced to 1 large zhan plus 2 fen, strain off the dregs. Take warm in two divided doses on an empty stomach. The worms should descend and be expelled.
For roundworms residing in the stomach, leading to gradual emaciation and weakness.
Chunjiu (Pure Wine) (1 medium zhan) Baimi (White Honey) (1 he) Haoqi (Good Lacquer) (1 liang)
Mix the above medicines together. In a yin vessel, simmer over low heat until it can be formed into pills, sized like cherries. Take one pill per dose, dissolving it in warm wine. Do not eat at night; take it in the morning. After some time, the worms will descend. If not expelled, take again.
For roundworms attacking the heart, causing abdominal pain.
Yiyiren Gen (Radix Coicis, Job's Tears Root) (2 liang, chopped; variant reading: 1 liang)
Use 2 large zhan of water, decoct to obtain 1 zhan, strain off the dregs. Take all at once on an empty stomach.
For roundworms that occasionally attack the heart like thorns/stabbing, and cause vomiting of clear water.
Longdan (Gentianae Radix et Rhizoma, Gentianae Scabrae Radix et Rhizoma) (1 liang, remove rhizome head and chop)
Use 2 large zhan of water, decoct to obtain 1 zhan, strain off the dregs. Fast overnight, and take all at once at dawn.
Another prescription.
Shiliugen (Radix Punicae Granati, Pomegranate Root Bark) (0.5 jin, chopped clean and washed)
Use 3 large zhan of water, decoct until reduced to 1.5 zhan, strain off the dregs. Take warm in three divided doses on an empty stomach.
For roundworms biting the heart causing severe pain, with the patient rolling around as if dying.
Pound fresh Dihuang (Rehmanniae Radix, Rehmannia Root) thickly to extract juice. Mix with flour and boil to make cold noodles (leng tao). Do not add salt or vinegar. Eat as much as desired. If the worms do not come out after one meal, eat again.
For roundworms biting day and night, causing unbearable abdominal pain.
Kulian Shu Baipi (Celtis Sinensis Cortex, Chinese Hackberry Bark - specifically the white inner bark) (2 jin, remove coarse outer bark and chop)
Use 1 dou of water, decoct until reduced to 3 sheng, strain off the dregs. Simmer into a paste over low heat in a silver vessel. Every day at the beginning of the fifth watch (early morning), mix half a spoonful with warm wine and take orally. Continue until the worms are expelled.