茧唇烙后敷药方（窦汉卿）
苋菜（阴干、烧灰三钱） 鸡内金 铜青 儿茶 枯矾（各二钱） 轻粉 雄黄（各一钱） 麝香（二分）
上为细末。麻油调搽，明日再用甘草汤洗净，再烙如前，以平为度。后用生肌散。
生肌散
花蕊石（醋 ） 儿茶 鸡内金 血竭（各二钱） 大红绒（ 灰） 黄连 飞丹（ ） 乳香（各一钱）
共为细末，加冰片一分干掺。
甘露饮
犀角 生甘草 生地 银柴胡 枳壳 麦门冬 知母 枇杷叶 黄芩 钗石斛 茵陈（各一钱）
引用淡竹叶七片，灯心十根，煎服。
冯鲁瞻曰∶伤寒狐惑，上唇生疮，虫食其脏，下唇生疮，虫食其肛，若蚀肛透
内者，不治。（《锦囊》）
又曰∶又有久嗽不已，饥则胸中大痛，须视上唇，有白点如粞者，此虫啮其肺也。
用百部膏一味，加乌梅、槟榔与服，下其虫则愈。肺虫其形如茧，令人咳嗽声嘶也。
又曰∶凡腹中热，肠胃虚，虫行求食，上唇有疮曰惑，虫食其脏。下唇有疮曰狐，
虫食其肛，得此疾者，十无一生。
\r烙铁式\p04-a41a87.bmp\r
又曰∶若肠头作痒者，多因大肠湿热生虫而蚀肛门。久则齿根无色，舌上尽白，
四肢倦怠，唾血如粟，心内懊 ，而成危证。初起宜服化慝丸。
《心法》曰∶小儿肛门作痒，由虫蚀也。视其下唇内，必有小白疮，或耳之前后，结
小核如串珠者是也。宜内服芦荟丸，外用雄黄、铜绿等分研细，掺之。
【茧唇烙后敷药方】（窦汉卿提供）
苋菜（阴干、烧成灰三钱） 鸡内金 铜青 儿茶 枯矾（各二钱） 轻粉 雄黄（各一钱） 麝香（二分）
以上药物研为细末。用麻油调和涂抹患处，次日再用甘草汤洗净，再次进行烙治，以疮面平整为度。之后使用生肌散。
【生肌散】
花蕊石（醋制） 儿茶 鸡内金 血竭（各二钱） 大红绒（烧灰） 黄连 飞丹（水飞） 乳香（各一钱）
共研为细末，加入冰片一分，干掺于患处。
【甘露饮】
犀角 生甘草 生地 银柴胡 枳壳 麦门冬 知母 枇杷叶 黄芩 钗石斛 茵陈（各一钱）
引用淡竹叶七片，灯心草十根，煎服。
冯鲁瞻说：伤寒狐惑病，上唇生疮，是虫在啃食内脏；下唇生疮，是虫在啃食肛门。如果侵蚀肛门并穿透内部，则无法治愈。（出自《锦囊》）
又说：又有长期咳嗽不止，饥饿时胸中剧烈疼痛，必须观察上唇，如果有如米屑般的白点，这是虫在啃噬肺部。
使用百部膏一味药，加入乌梅、槟榔一起服用，排出虫子即可痊愈。肺虫的形状像蚕茧，会导致人咳嗽、声音嘶哑。
又说：凡是腹中热，肠胃虚弱，虫体游走寻找食物，上唇有疮称为“惑”，是虫在啃食内脏。下唇有疮称为“狐”，是虫在啃食肛门，得了这种病的人，十个人中没有能活下来的。
[图片：烙铁样式]
又说：如果肛门周围发痒，多是因为大肠湿热生虫而侵蚀肛门。时间久了会出现牙根颜色消失，舌面全白，四肢倦怠，咳吐带血的粟粒状物，心中烦闷不安，从而形成危重证候。初起时适宜服用化慝丸。
《医宗心法》说：小儿肛门发痒，是由虫蚀引起的。观察其下唇内侧，必定有小白色疮口，或者耳朵前后结有小肿块如串珠状的就是这种情况。适宜内服芦荟丸，外用雄黄、铜绿等份研细，撒敷患处。
[Prescription for Application After Cauterization of Silkworm Lip] (Provided by Dou Hanqing)
Amaranthus tricolor (dried in shade, burnt to ash, 3 qian) Jineijin (Gallus gallus domesticus Burch. endolium) Tongqing (Malachite) Ercha (Kadophora catechu) Kufan (Alumen) (each 2 qian) Qingfen (Calomelas) Xionghuang (Realgar) (each 1 qian) Shexiang (Moschus) (2 fen)
Grind the above ingredients into a fine powder. Mix with sesame oil and apply to the affected area. The next day, wash clean with Licorice Decoction, then cauterize again as before, until the lesion is flat. Subsequently, apply Shengji San.
[Shengji San (Flesh-Regenerating Powder)]
Huaruishi (Calcitrite, vinegar-treated) Ercha (Kadophora catechu) Jineijin (Gallus gallus domesticus Burch. endolium) Xuexie (Daemonorops draco resin) Dahongrong (Cotton wool, burnt to ash) Huanglian (Coptidis Rhizoma) Feidan (Mineral cinnabar, water-floated) Ruxiang (Olibanum) (each 1 qian)
Grind all together into a fine powder, add Bingpian (Borneolum Syntheticum, 1 fen), and sprinkle dry onto the wound.
[Ganlu Yin (Sweet Dew Decoction)]
Xijiao (Rhinocerotis Cornu) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) Shengdi (Rehmanniae Radix) Yinchaihu (Stellariae Radix) Zhiqiao (Aurantii Fructus) Maimendong (Ophiopogonis Radix) Zhimu (Anemarrhenae Rhizoma) Pipaye (Eriobotryae Folium) Huangqin (Scutellariae Radix) Chai Shihu (Dendrobii Caulis) Ychen (Artemisiae Scopariae Herba) (each 1 qian)
Add Danzhuyez (Lophatheri Herba, 7 leaves) and Dengxincao (Junci Medulla, 10 stems) as引子 (guiding herbs), decoct and take orally.
Feng Luzhan stated: In Shanghan Huhuo disease (Infectious disease characterized by oral and genital ulcers), sores on the upper lip indicate worms devouring the internal organs; sores on the lower lip indicate worms devouring the anus. If the erosion penetrates through the anus internally, it is incurable. (From *Jinnang*)
He further stated: There are cases of persistent chronic cough where severe chest pain occurs when hungry. One must examine the upper lip; if white spots resembling rice grains are present, this indicates worms devouring the lungs.
Use Baibu Gao (Stemonae Tuber Ointment) alone, added with Wumei (Mume Fructus) and Binglang (Arecae Semen), taken orally. Expelling the worms will lead to recovery. Lung worms resemble cocoons and cause coughing and hoarseness.
He also stated: Whenever there is heat in the abdomen and deficiency-cold in the stomach and intestines, worms migrate seeking food. Sores on the upper lip are called "Huo" (Confusion), indicating worms devouring the viscera. Sores on the lower lip are called "Hu" (Fox), indicating worms devouring the anus. Those who contract this illness rarely survive; ten out of ten do not live.
[Image: Style of Cautery Iron]
He further stated: Itching around the anus is mostly caused by damp-heat in the large intestine generating worms that erode the anus. Over time, the gums lose color, the tongue becomes entirely white, limbs feel fatigued, hemoptysis of millet-grain-sized blood clots occurs, and one feels inner restlessness, leading to a critical condition. At the onset, Huati Wan (Evil-Transforming Pill) is suitable.
*Yizong Xinfa* states: Anal itching in children is caused by worm erosion. Inspecting the inner side of the lower lip will reveal small white sores, or small nodules like beads clustered behind and in front of the ears. Internal administration of Lushui Wan (Aloe Pill) is appropriate, while externally, Xionghuang (Realgar) and Tonglv (Malachite) ground equally into a fine powder should be sprinkled on the area.