万密斋治王氏子，善食，尝病腹痛，乃虫痛也，用安虫丸服之。三日后，取下一虫甚异，约长一尺，身赤
色，大如 。令持两头牵之，长可丈余，其形如线，放下依旧短缩，此虫母也，以火焚之而愈。
胡氏子尝腹痛，万诊之曰∶虫病也。问何以辨之？曰∶腹痛，凡一向不止，乃积痛也。腹中成聚，口吐涎
水者，虫痛也。用安虫丸与解毒丸，屡进不效，因思此虫有灵，当设法取之。择定除破日，在月初旬取之，勿
令儿知也。隔夜煎苦楝根汤，次日五更，用清油煎鸡子饼一个，令儿闻其香味，遂急欲食，故迟不与。而以少
许啖之，觉腹中有如物涌上心口，乃取药与服之。少顷心口之物堕下，以蛋食之，不食矣。巳时腹中大鸣，而
泻下一虫甚异，如指长，有头手足，状如婴儿。万曰∶此三传劳虫也。初起于父，再传其母，三传其子，幸去
之矣。令一婢用铁钳夹送河中焚之，其婢受烟气一口，亦劳病死，此儿至今无恙。（雄按∶紫庭方云，第一代
初，劳虫如婴儿。万氏此说，不知何本。）
阎姓子有虫病，黄瘦，腹中时痛，口馋，如有肉食则痛不发，一日无肉，则痛甚。万视其体甚弱，不敢下，
只用苦楝根皮，放肉汁中煮食之，单服三日，下虫如蝌蚪者一盆，色黄黑。后以养脾丸调理而安。
一儿七岁，善食肉，常病腹痛。其父问积痛虫痛何如？万曰∶积痛发有常处，手不可按，恶食而口干；虫
痛无常处，喜人按摩，口馋而吐清水。此儿乃虫痛也，以药取之，下虫大者十余条而痛止。未一月又痛，万曰∶
不事再取矣，恐伤胃气。乃立一方，用黄连、木香、槟榔，去积为主，陈皮、青皮、三棱、莪术、枳实、山楂，
专去其虫。等分为末，神曲为丸麻子大，米饮下。常服之，时下小虫，及下大虫如指大，约长一尺，乃虫母也。
自后痛渐减。
吴孚先治一婢，面黄身瘦，嗜油，甚至灯盏垢腻都尽。与医，下虫如虾者数枚，遂而不嗜矣，寻肥健。（《本
草纲目》载患发瘕者，能食油至五斤。）
一小儿将自身布衣，浑身遍吃，两袖吃至肩上，吴用煎虫丸，下虫如蚕者数枚而愈。
钱仲阳治辛氏女，五岁，病虫痛。医以巴豆、干漆、 砂之属治之不效。至五日外，多哭而俯仰，睡卧
不安，自按其心腹，时大叫，面无正色，或青或黄，或白或黑，目无光而慢，唇白吐沫。至六日，胸高而卧转
不安。钱视之，用芜荑散三服。见目不除青色，大惊曰∶此病大困，若更加泻，则为逆矣。至三更果泻，如药
汁，以杖搅之，见有丸药。钱曰∶此儿肌浓，当气实，今症反虚，不可治矣。辛曰∶何以然？钱曰∶脾虚胃冷
则虫动，今反目青，此肝乘脾。又更加泻，知其气极虚也。而丸药随粪下，脾胃已脱，兼形病不相应，故知死
病。五日昏笃，七日而死。（此医用干漆、巴豆之过也。）
龚子才治一儿，腹中作痛，看看至死，腹中揣摩，似有大小块。诸医不效，乃令人慢慢以手搓揉痛处，半
日，其虫自大便出而愈。
四明顾氏女十余岁， 羸骨立，百治不瘥，奄奄待毙。偶端午，家人调雄黄酒，女窃饮之，不觉大醉，呕
秽野狼藉。视之，中有物如鳖，蠕蠕动，色纯红，两眼正碧。家人惊怪，以足踩之，颈伸甚长。以钳夹之，掉头
啮之，格格有声，棰之不死。亟捣捶至烂，埋之土中，明日发视，仅血块耳。自后女益长成无恙。（新安方懋记。）
朱肇能着围棋，生一女腹多虫，偶在何矩所在谈及，一医云∶食榧子当愈。果食榧子，下虫曝干，尚有八
尺长。（《续金陵琐事》。）
乡间一大姓，有子方周岁，值热天，遍身疼痛，啼哭不休。延请诸医，束手无策。王起云后至云∶能以十
金酬我，一刻即愈。主人唯唯，乃浓煎甘草汤浴儿，未几儿即睡去，半日方醒，已不作痛矣。主人大喜，出银
酬之。特问小儿何病？王云∶此乳母抱之纳凉，为刺毛所着耳，（疑即毛虫，俗呼为羊辣子。）故以甘草汤浴
之。若预帮助，岂肯以十金酬我哉？众大笑而别。（《云间杂记》。）
张子和治一儿悲哭，亦以浴愈，谓心火乘肺，浴之汗出，则肺热散也。（雄按∶毛虫刺者，皮肤实时赤肿，
最忌洗浴，宜以菜油涂之。）
小儿口吐涎沫，或吐清水，面 白，心腹痛有时者，虫痛也，与痫相似，但目不斜，手不搐也，安虫散主
之。胡粉炒黄、槟榔、川楝子、鹤虱各三钱，枯白矾二钱五分。上为末，每服五六分，痛时米饮调下。
万密斋治疗王氏的儿子，孩子食欲旺盛，曾经患腹痛病，这是虫痛，使用安虫丸服用。三天后，排出了一条非常奇特的虫子，大约长一尺，身体呈红色，粗细如手指（原文缺字，据语境推测为指或笔）。让人捏住两头拉扯，长度可达一丈多，形状像线一样，放下后就立刻缩短，这是母虫，用火焚烧后病愈。
胡家的儿子曾经腹痛，万密斋诊察后说：“是虫病。”问如何辨别？回答说：“腹痛，如果一直不停止，那是积滞痛。腹中成块聚结，口吐涎水的，是虫痛。”使用安虫丸配合解毒丸，多次服用无效，于是心想这虫子有灵性，应当设法捕捉它。选定除破日，在月初旬进行，不要让小孩知道。前一天晚上煎煮苦楝根汤，第二天五更天，用清油煎一个鸡蛋饼，让孩子闻到香味，急切想吃，故意拖延不给。然后只给少许吃，感觉腹中有东西涌上心口，这时才给药服用。过了一会儿，心口的东西堕下，用蛋喂食，就不再吃了。巳时腹中大响，泻下一条奇特的虫子，像手指长，有头有手有脚，形状像婴儿。万密斋说：“这是三传劳虫。”起初从父亲传来，再传给母亲，三传给儿子，幸好将其去除了。让一个婢女用铁钳夹着送到河中焚烧，那婢女吸入一口烟气，也得了劳病死去了，这个孩子至今安然无恙。（雄按：紫庭方说，第一代初起时，劳虫像婴儿。万氏这种说法，不知依据是什么。）
姓阎的孩子有虫病，面色黄瘦，腹中时常疼痛，嘴馋，如果有肉食吃则疼痛不发作，一天没有肉，则疼痛剧烈。万密斋看他的体质很虚弱，不敢用猛药攻下，只用苦楝根皮，放在肉汁中煮食，单服三天，排出一盆像蝌蚪一样的虫子，颜色黄黑。后来用养脾丸调理而安定。
一个七岁的孩子，爱吃肉，经常患腹痛。他的父亲问积痛和虫痛有什么区别？万密斋说：“积痛发作有固定部位，手不能按压，厌恶饮食且口干；虫痛发作无固定部位，喜欢被人按摩，嘴馋且吐清水。这孩子是虫痛，用药驱除，排出大虫十余条后疼痛停止。不到一个月又痛，万密斋说：“不再次攻下了，恐怕损伤胃气。”于是立一方，用黄连、木香、槟榔，以去除积滞为主，陈皮、青皮、三棱、莪术、枳实、山楂，专门去除其虫。等分为末，神曲为丸，大小如麻子，米饮送服。常服此药，不时排出小虫，及排出大虫如手指大，约长一尺，这是母虫。从此后疼痛逐渐减轻。
吴孚先治疗一个婢女，面黄身瘦，嗜食油脂，甚至灯盏上的油污都吃光。请医生诊治，排出像虾一样的虫子数枚，随后就不嗜食油脂了，不久变得肥壮健康。（《本草纲目》记载患发瘕的人，能吃油至五斤。）
一个小男孩把自己身上的布衣全身都吃掉，两袖吃到肩上，吴孚先用煎虫丸，排出像蚕一样的虫子数枚而痊愈。
钱仲阳治疗辛氏的女儿，五岁，患虫痛。医生用巴豆、干漆、硇砂之类药物治疗无效。到了第五天以后，孩子多哭且俯仰不定，睡卧不安，自己抚摸心腹部，时常大叫，面色无常，或青或黄，或白或黑，目光无神且迟缓，嘴唇白且吐沫。到了第六天，胸部高耸而卧转更加不安。钱仲阳诊视后，使用芜荑散服用三次。见眼睛仍带青色，大惊说：“这病势危重，如果再腹泻，就是逆证了。”到了三更果然腹泻，像药汁一样，用手杖搅动，看见有丸药。钱仲阳说：“这孩子肌肉丰厚，应当气实，现在症状反而虚，不可治了。”辛氏问：“为什么这样？”钱仲阳说：“脾虚胃冷则虫动，现在反见目青，这是肝乘脾。再加上腹泻，知道其气极虚。而且丸药随粪便排出，脾胃已脱，加上形症与病情不相符合，所以知道是死证。五天昏迷加重，七天死亡。（这是医生误用干漆、巴豆造成的过错。）”
龚子才治疗一个儿子，腹中作痛，眼看就要死了，腹中揣摩，似乎有大小肿块。众医无效，于是让人慢慢用手搓揉痛处，半天后，虫子自行从大便排出而痊愈。
四明顾氏的女儿十多岁，消瘦得骨立，各种治疗都不见效，奄奄一息等待死亡。偶然遇到端午节，家人调制雄黄酒，女孩偷偷喝了一点，不觉大醉，呕吐污秽物满地狼藉。查看其中，有物体像鳖，蠕蠕蠕动，颜色纯红，两眼正碧。家人惊怪，用脚踩它，脖子伸得很长。用钳子夹它，掉头咬人，格格有声，捶打不死。急忙捣烂，埋在土中，第二天挖出来查看，仅是血块而已。从此后女孩日益成长，安然无恙。（新安方懋记。）
朱肇能爱好围棋，生了一个女儿腹中多虫，偶然在何矩所在的地方谈及，一位医生说：“吃榧子应当痊愈。”果然吃了榧子，排出虫子晒干后，还有八尺长。（《续金陵琐事》。）
乡间一个大户人家，有个儿子刚满周岁，正值热天，遍身疼痛，啼哭不休。延请各位医生，束手无策。王起云后来赶到说：“如果能给我十金酬谢，一刻就能痊愈。”主人答应，于是浓煎甘草汤给孩子洗澡，不久孩子就睡着了，半天才醒，已经不作痛了。主人很高兴，拿出银子酬谢他。特意问小儿什么病？王起云说：“这是乳母抱着纳凉，被刺毛所伤罢了，（怀疑即毛虫，俗呼为羊辣子。）所以用甘草汤洗澡。如果预先帮助，哪里肯以十金酬谢我呢？”众人大笑而别。（《云间杂记》。）
张子和治疗一个悲伤哭泣的孩子，也是通过洗澡治愈的，说是心火乘肺，洗澡出汗，则肺热消散。（雄按：毛虫刺伤者，皮肤立即红肿，最忌讳洗浴，宜用菜油涂抹。）
小儿口吐涎沫，或吐清水，面色苍白，心腹痛有时发作的，是虫痛，与痫证相似，但目不斜视，手不抽搐，用安虫散主治。胡粉炒黄、槟榔、川楝子、鹤虱各三钱，枯白矾二钱五分。以上研为末，每次服用五六分，疼痛时用米饮调下。
Wan Mizhai treated the son of the Wang family. The child had a good appetite and once suffered from abdominal pain, which was identified as worm pain (worm-induced abdominal pain). He administered An Chong Wan (Worm-Expelling Pill). Three days later, an unusually large worm was expelled, approximately one chi long, with a red body and thickness like a finger. When held by both ends and pulled, it could stretch to over ten chi in length, resembling a thread; upon release, it would instantly contract back to its short form. This was the mother worm, which was burned with fire, leading to recovery.
The son of the Hu family once suffered from abdominal pain. Wan diagnosed it as a worm disease. When asked how to distinguish it, he replied: "Abdominal pain that persists continuously is due to food stagnation (accumulation pain). Abdominal masses with salivation are due to worms." He prescribed An Chong Wan combined with Jie Du Wan (Detoxifying Pill), but repeated doses were ineffective. Thinking the worm might be cunning, he devised a plan. He selected an auspicious day for expulsion in the early part of the lunar month, keeping it secret from the child. The night before, he decocted a soup made from the root bark of *Toosendan Fructus* (Kutian Gen Tang). At dawn on the next day, he fried an egg pancake in clear oil. Letting the child smell the aroma, the child eagerly wanted to eat it, so Wan delayed giving it. He gave only a small amount first. The child felt something surging up to the heart and chest area. Only then did Wan administer the medicine. Shortly after, the object in the chest descended. The child was fed an egg and stopped eating. At the Si hour (9–11 AM), loud borborygmi occurred in the abdomen, followed by the expulsion of a strange worm, about the length of a finger, with a head, hands, and feet, resembling an infant. Wan stated: "This is the San Chuan Lao Chong (Three-Generation Consumption Worm). It originated from the father, passed to the mother, and then to the son. Fortunately, it has been removed." A maid was ordered to use iron tongs to carry it to the river and burn it. The maid inhaled some smoke and subsequently died of consumption-like illness, while the child remained healthy. (Note by Xiong: The Ziting Fang states that at the initial stage, the Lao Chong resembles an infant. It is unknown what basis Wan's theory has.)
A boy surnamed Yan suffered from a worm disease, presenting with yellowish emaciation, intermittent abdominal pain, and craving. If meat was consumed, the pain did not occur; if no meat was eaten for a day, the pain became severe. Observing his weak constitution, Wan dared not use harsh purgatives. Instead, he used the root bark of *Toosendan Fructus* boiled in meat broth, taken alone for three days. This resulted in the expulsion of a basin full of tadpole-like worms, yellowish-black in color. Subsequently, Yang Pi Wan (Spleen-Nourishing Pill) was used for regulation, leading to stability.
A seven-year-old boy loved meat and frequently suffered from abdominal pain. His father asked about the difference between stagnation pain and worm pain. Wan explained: "Stagnation pain occurs at fixed locations, is aggravated by pressure, involves aversion to food, and dry mouth; worm pain has no fixed location, is relieved by massage, involves cravings, and spitting of clear fluid. This child has worm pain." Medication was given to expel the worms, resulting in the passage of more than ten large worms, after which the pain ceased. Less than a month later, the pain returned. Wan said, "I will not purge again, fearing damage to Stomach Qi." He formulated a prescription using Huang Lian (Coptidis Rhizoma), Mu Xiang (Aucklandiae Radix), and Bing Lang (Arecae Semen) primarily to remove stagnation, and Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), and Shan Zha (Crataegi Fructus) specifically to eliminate worms. These were ground into powder, formed into pills with Shen Qu (Massae Fermentatae) the size of hemp seeds, and taken with rice water. Regular consumption led to the periodic expulsion of small worms, and eventually a large worm, finger-sized and about one chi long, which was the mother worm. Thereafter, the pain gradually diminished.
Wu Fuxian treated a maid who was sallow and emaciated, with a strong craving for oil, even consuming the grease from lamp wicks. After medical treatment, several shrimp-like worms were expelled, her craving ceased, and she soon regained health and robustness. (*Ben Cao Gang Mu* records cases of individuals with Fa Xia [abdominal masses] capable of consuming up to five jin of oil.)
A young boy ate his own cloth clothes, starting from the sleeves up to the shoulders. Wu used Jian Chong Wan (Worm-Expelling Decoction/Pill), resulting in the expulsion of several silkworm-like worms, leading to recovery.
Qian Zhongyang treated the daughter of the Xin family, aged five, suffering from worm pain. Previous physicians used Ba Dou (Crotonis Fructus), Gan Xi (Drynariae Rhizoma), and Nao Sha (Natrii Boras) without effect. By the fifth day, the child cried frequently, tossed about, slept restlessly, rubbed her own heart and abdomen, screamed intermittently, displayed varying facial colors (blue, yellow, white, black), had dull eyes, pale lips, and foaming at the mouth. On the sixth day, her chest was elevated when lying down, and she became increasingly restless. Qian examined her and prescribed Wu Yi San (Meliosma Powder) three times. Noticing the persistence of bluish discoloration around the eyes, he exclaimed in alarm: "The condition is critical. If diarrhea ensues, it will be a adverse sign." Indeed, at midnight, she experienced diarrhea resembling medicinal juice. Stirring it with a stick revealed undigested pill remnants. Qian said: "This child has thick flesh and should have excess Qi, yet the symptoms indicate deficiency. It is incurable." Xin asked why. Qian replied: "Spleen deficiency and Cold Stomach cause worms to move. The bluish eyes indicate Liver overacting on Spleen. Combined with diarrhea, this indicates extreme Qi depletion. The pills passing with feces suggest Spleen and Stomach collapse. The mismatch between physical signs and disease severity confirms a fatal prognosis." The child fell into deep coma on the fifth day and died on the seventh. (This outcome was due to the misuse of Gan Xi and Ba Dou by previous physicians.)
Gong Zicai treated a boy suffering from severe abdominal pain, appearing near death, with palpable lumps in the abdomen. Other physicians failed. Gong instructed someone to slowly rub the painful area by hand. After half a day, the worms were expelled via defecation, and the boy recovered.
A girl of the Gu family in Siming, over ten years old, was severely emaciated ("bone standing"), unresponsive to various treatments, and dying. During the Dragon Boat Festival, her family prepared realgar wine. She secretly drank some, became drunk, and vomited profusely. Among the vomitus was an organism resembling a turtle, wriggling, pure red in color with bright green eyes. The family stepped on it, stretching its neck long. Using tongs, it bit back, making grating sounds, and resisted beating. It was crushed thoroughly and buried. The next day, only a blood clot remained. From then on, the girl grew up healthy. (Recorded by Fang Mao of Xin'an.)
Zhu Zhaoneng, a Go enthusiast, had a daughter with many abdominal worms. Discussing this with He Ju, a physician suggested eating Fei Zi (Torreya Seeds). Upon consumption, worms were expelled and dried, measuring eight chi in length. (From *Xu Jinling Suoshi*.)
In a rural area, a prominent family had a one-year-old son suffering from generalized body pain and incessant crying during hot weather. Physicians were helpless. Wang Qiyun arrived and promised a cure within an hour for ten taels of silver. The owner agreed. Wang prepared a strong decoction of Gan Cao (Licorice Root) for a bath. The child soon fell asleep, woke up after half a day, and the pain had ceased. Delighted, the owner paid him and asked for the diagnosis. Wang explained: "The wet nurse was holding the child for cool air, and the child was stung by thorns/hairs (likely caterpillar hairs, commonly called 'Yang La Zi'). Hence, the licorice bath cured it. If I had helped beforehand, would you have offered ten taels?" Everyone laughed and parted. (From *Yunjian Zaji*.)
Zhang Zihe treated a child crying sorrowfully, also curing him through bathing. He attributed it to Heart Fire overacting on the Lung; bathing induced sweating, dispersing Lung Heat. (Note by Xiong: For injuries caused by hairy caterpillars, the skin immediately becomes red and swollen. Bathing is strictly contraindicated; vegetable oil should be applied instead.)
If a child spits saliva or clear fluid, has a pale face, and experiences intermittent epigastric/abdominal pain, it is worm pain, similar to epilepsy but distinguished by the absence of eye deviation and hand convulsions. An Chong San (Worm-Expelling Powder) is the primary treatment. Prepared by frying Hu Fen (Lead Carbonate) until yellow, and mixing with Bing Lang (Arecae Semen), Chuan Lian Zi (Toosendan Fructus), and He Shi (Chrysanthemi Indici Flos), each 3 qian, and Ku Bai Fan (Alumen Exsiccatum) 2.5 qian. Grind into powder. Take 5–6 fen per dose, mixed with rice water during pain episodes.