《贾谊新书》云∶楚惠王食寒 得蛭，恐监食当死，遂吞之，腹有疾而不能食。令尹曰∶天道无亲，惟德是
辅。王有仁德，病不为伤，王病果愈。王充《论衡》云∶蛭乃食血之虫，楚王殆有积血之病，故食蛭而病愈也。
陶弘景曰∶楚王食寒 见蛭，食之果能去结积，虽曰阴 ，亦是物性兼然。（《本草纲目》。）
唐时京盛医人吴元祯治一妇人，从夫南京还，曾误食一虫，常疑之，由是致疾，频治不减。请吴医之，吴
揣知所患，乃择主人姨奶中谨密一人，预戒之曰，今以药探吐，以盆盂盛之，当吐时但言有一小虾蟆走去，然
切不可令病患知之，是诳 也。奶仆如约，此疾顷除。（《北梦琐言》。）
元载不饮酒，人强之，辞以鼻闻酒气即醉，人谓可治。取针挑载鼻尖，出一小青虫。曰∶此犹魔也，闻酒
即畏之，去此无患。是日载酒一斗，五日倍之。（《清赏录》。）
孙兆治向大王宫中有一宫人，七太尉所宠也，忽患一疾，凡恶心则吐虫数条，后仍频作。七太尉甚愍之，
累治不瘥，每用杀虫药，则吐虫愈多。诸医殆遍召。孙诊之，孙曰∶六脉皆细，非虫脉也。今虽吐出，乃脏寒
而虫不安，移居上膈，因而吐出。复用杀虫之药，为药所苦，不能自安，所以吐出愈多也。孙遂用药，不三五
钱，皆一色丸子，虫遂不吐。明日再召孙至，六脉渐大，进前药其病不作。后求方，乃硫黄、附子各一两，并
末，糯米糊为丸。每三十丸，米饮下。（《纲目》。此张景岳治虫用温脏丸之蓝本也。但大寒大热，虫俱不安，
亦未可执一。）
窦材治一妇人，病腹胀，诸药不效。令解腹视之，其皮黄色，光如镜面，乃蛲瘕也。先炙牛肉一片，令食，
后用生麻油调轻粉五分服之取下，下蛲虫一合，如线如须状，后服安虫散而愈。
张子和曰∶汴梁诸匠氏，有木匠赵作头、铁匠杜作头，行次失路，迷至大宅乞宿，主人不纳，曰家中有人
重病，不敢纳君。杜作头 ∶曰∶此赵公乃汴梁太医之家，今蒙上司见召，迷路至此，盖病者当愈，而遇此公
也。主人然而入，良久复出，将邀二人入室，与之食已，主人起请曰∶烦太医看病何如？赵见而笑曰∶一药可
愈。二人窃议曰∶来时所携熟药，寄他车上，此中实无奈何？杜曰∶此甚易耳。潜出门得牛粪一块，作三十粒，
下以温水。少顷病患觉胸中如虫行，一涌而出，状若小蜣 一二升。以手探之，又约一升，顿觉病去。明日主
人出谢曰∶百岁老人，未尝见此神效之药也。礼饯二人遂归。此二子小人也。（欲苟一时之宿，遂以秽物治人，
亦偶得吐法耳。）
周汉卿治武城人，病胃痛，奋掷乞死。汉卿纳药于鼻，俄喷赤虫寸许，口眼悉具，痛旋止。（《明史》。）
钟大延治一僧，嗜盐，每食斤许。众医虽知为虫，然服药辄痛闷欲绝。大延曰∶是虫不受药也，当有以饵
之。以盐笋干用药煮，仍加以盐，令服。越数日，果呕虫数斤许而愈。（《宁波府志》。雄按∶此则诱之以所好也，
治病皆宜如此，而治虫尤宜。）
李明甫东阳人，善医，尤妙针法。义乌令病心痛垂死，明甫视之曰∶有虫在肺下，药所不及，惟砭乃可，
然非易也。谬谓于背上点穴，密取水以 之，令方惊而针已入。曰∶虫已死矣。既而腹大痛，下黑水数升，
虫亦去，遂愈。（《两淅名贤录》）
尹蓬头者，传称骑铁鹤仙，盖异人也。一贵人闺女弱病，形容俱变，医人束手，无药可愈。母钟爱不能舍，
偶邀视之，曰∶有痨虫，尚可医。请用何药？曰∶药力不能治，只消与我同宿一夜，便好也。母信其仙术，决
无戏言，白之于父。父大怒云∶胡说，岂有公侯家女，与一风道士同宿之理！后见女殊无生意，母又涕泣言之，
恳切不已，从之。尹令纸糊一室，室不许留孔，设一榻，不用障。令女去其袒衣，用手摩足心极热如火，抵
女阴户，东西而睡。戒女云∶喉中有虫出，可急叫我。女不能合眼，而尹鼻息如雷。天将明，女报虫从口中飞
出。尹四顾觅之不见，曰；从何处钻去？不能除根，定要害一人也。盖乳母不放心，因开一孔窥之，虫出女口，
已入乳母之腹也。天明，父母视之，女之颜色已变，尹大笑而去。后数月，女方择婿，而乳母死矣。（《续金
陵琐事》。）
冯益斋给谏每发言，腹中辄有声应之，此应声虫病也。遂告病卜居南京。杨守极用小蓝煎饮之，即吐出其
虫。（《续金陵琐事》。）
郭茂倩嫂，金华君，产七日不食，始言头痛，头痛已又心痛作，即而目睛痛，如割如刺，更作更止，相去
无瞬息间。每头痛甚，欲取大石压，良久渐定。心痛作，则以十指抓壁，血流满掌。痛定，目复痛，又以两手
自剜取之。如是十日不已，众医无计。进黑龙丹半粒，疾少间。中夜再服下，瞑目寝如平昔。至平旦下一行约
三升许，如蝗虫子，疾减半。巳刻又行如前，则霍然顿愈矣。（《纲目》。）
孙文垣治一妇人，心痛唇红，痛则大发热头痛，少顷出汗，脉大小不一。（虫脉。）曰∶此虫痛之症，痛吐白沫
可征也。（凡心腹痛而唇红吐白沫者，多属虫症。）槟榔、川椒各二钱，杏仁一钱五分，石菖蒲一钱，乌梅七个，
（太多。）炮姜、草豆仁、陈皮各五分，山栀一钱，一剂痛减半，再服痛全愈。
闵蜃楼乃政，体肥性躁，患痛风，手不能栉沐，足不能步履，痛处略肿，呻吟喊叫。（此风木生虫也。）凡治七，
越月不减。孙诊之曰∶湿痰凝滞经络作痛，（也猜错了。）医作血虚，投以补剂，宜其不愈。乃用二陈汤加乌药叶、
苍术、僵蚕、海桐皮、南星，服至六帖，遂不肯药。强之，曰∶医以疗痛，今反加痛，吾何药焉？时巳申刻，
知其骄蹇性成，亦不再强。改以芫花醋炒过三分，海金沙一钱，为末，白汤调下。（仿更衣丸意。）至晚泻一次，
下稠痰半盏，足痛减大半，稍能动止。初更后忽腹中大痛，促进诊，行至后堂，家人出曰∶病者卒矣。曰∶此
必痛厥，非竟死也。（临症者不可不知。）且视之，至则冷汗淋漓，兀坐溺器，面青息断。诊之，手冷如冰，六
脉俱在，但沉伏耳。知为痛极使然，用姜汤灌之乃苏。徐语侍女适来腹中痛甚，火气迸出，肛门如焚，大响一
声，不知泻下何物。视之，乃血鳅一条，长六寸余，鳞目悉具，尚能游动。众问如何，曰∶此蛔物也，得下幸
耳。但此剂实为行痰，初不如其有虫如是。盖芫花乃杀虫之品，故偶中，亦疾人之福也。次日，手足皆能
动，仍以二陈汤加苡仁、红花、五加皮，四帖脱然。（雄按∶病变万端，病机百出，天下事莫难于医。）
叶润斋年近四十，心膈嘈杂，好啖肉，尤好啖鸡，一日不可缺，缺即身浮力倦，神魂无措，必急得乃大嚼
入腹，腹又大痛，痛极则吐酸水稠涎，然后稍定，少顷又思啖矣。其痛苦之态，喊叫之声，闻见酸鼻，而彼
则甘心焉。或劝其勿啖肉，谓久病脾虚，肉入难化，故作楚也。曰∶吾岂不知？盖痛甚苦尚能熬，若嘈杂则遍
身淫淫苏苏，左右无可奈何，手足无所把捉，顷刻不能自存，有逾于死也。孙诊之，六脉大小不等，观其色，
唇红面黄，曰∶据色脉乃虫病也。先与雄黄丸一服，以腻粉五分，使君子末一钱，用鸡子打饼，五更空心饲之。
（方可录。）辰下长蛲十条，内有二大者，长足有咫，自首贯尾皆红，下午又下小虫百余。自此不嗜肉，而嘈杂良愈。
龚子才治一妇，年四旬，心胃刺痛，时痛时止，（虫痛。）不思饮食，食即吐，手足厥冷，胸中痞闷，口干作渴，
曰∶此胃中有虫也。以二陈汤加槟榔、枳实、乌梅、花椒、黑姜、苦楝根皮、生姜，煎一服，下虫一大碗而愈。
孙一奎在吴下时，有吴生谭震者，博雅士也。一日偶谈及鼓胀，吴乃诘予曰∶鼓有虫否乎？予卒不敢应，
俯思久之，对曰∶或有之。《本事方》云，脐腹四肢悉肿者为水，只腹胀而四肢不肿者为蛊。注曰，蛊即鼓胀
也。由是参之，古人曾以鼓蛊同名矣。且蛊以三虫为首，岂无旨哉。盖鼓胀，即今云气虚中满是也。以其外坚
中空，有似于鼓，故以名之。彼蛊症者，中实有物，积聚既久，理或有之。吴曰∶子诚敏也。予堂嫂病鼓三载，
腹大如箕，时或胀痛，四肢瘦削，三吴名剂，历尝不瘳。吴俗死者多用火葬，烧至腹忽响声如炮，人皆骇然。
乃见虫从腹中爆出，高三丈许，烧所之天为昏，俄尔坠地。细视之，皆蛔也，不下千万数，大者长尺余，虫腹
中复生小虫，多者十五六条。虫在人腹中，蕃息如此，曷不令人胀而死哉？惜诸书未有言及者。予后至淮阴，
有王卿官者，其子年十六，新娶后腹胀大，按之有块，形如稍瓜，发热昼夜不退，已年半矣。医惟以发热消胀
之剂投之，其胀愈甚，喉中、两耳俱疮。诊其脉滑数，望其唇则红，其腹则痛，又多嗜肥甘。（腹痛而唇红好
啖者，皆属虫。）因思凡腹痛者，唇色必淡，不嗜饮食，今其若此，得非虫乎？遂与阿魏积气丸服之，下虫数
十，大者数条，小者亦三四条。虫下则热渐减，腹渐消，三下而愈，益信前闻之不虚也。（《景岳全书》。雄
按∶前条龚氏案，不思饮食，亦虫证也。病情变幻，莫执一端。）
李士材治侯给谏，腹中嘈痛，按其左肱，手不可近。凡饮食到口，喉间若有一物接之者然。曰∶脉大而数，
腹痛呕涎，面色萎黄，此虚而有湿，湿热相兼，虫乃生焉。当用人参汤送槟榔丸，以下虫积。虫若不去，虽服
补汤，竟何益乎？病家畏谨之甚，不敢轻投，终莫能起。（何不改用平善杀虫之剂？）
张远公三年久嗽，服药无效，委命待尽。姑乞诊之，问曰∶饥时胸中痛否？曰∶大痛。视其上唇，白点如
粞者十余处，此虫啮其肺也。用百部膏一味，加乌梅、槟榔与服，不十日而痛若失，咳顿止。令其家人从净
桶中觅之，有寸白虫四十余条，自此永不复发。（立斋案云∶上唇白点，虫蚀上部，下唇白点，虫蚀下部。）
王海藏云∶有杨时者，因患风气冲心，饮食吐逆，遍身枯瘦。日服万病紫菀丸，至二十日，泻出肉块虾蟆
五六枚，白脓二升愈。又赵侍郎，先食后吐，目无所见，耳无所闻，亦服万病紫菀丸，泻出青蛇五七条，下恶
脓三四升方愈。紫菀丸，即浓朴丸加羌活、独活、防风是也。浓朴、蜀椒、川乌头、紫菀、吴茱萸、菖蒲、柴
胡、桔梗、茯苓、官桂、皂角、干姜、人参、黄连、巴豆霜。（雄按∶必有的实证据，始可投之。）
益昌伶人刘清啸，昵一娼，名曰花翠，年逾笄，病好食生米，否则终日不乐，至憔悴萎黄，不思饮食。惠
民局监赵尹，用苍术，米泔水浸一夜，锉焙为末，蒸饼丸梧子大。每服五十丸，食前米饮下，日三服，两旬而
愈。盖生米留滞肠胃，受湿则谷不磨，至生虫。苍术能去湿，温消谷也。（杨氏藏经验。《本草纲目》。）
戴元礼奉太祖命，往治燕王患瘕，见他医所用药良是，念何以不效？乃问王何嗜？曰∶嗜生芹。元礼曰∶
得之矣。投一剂，夜暴下，皆细蝗也。（《明史》。）
葛可久治一人患腹痛。脉之，谓其家曰∶腹有肉龟。视熟寐，吾针之，勿令患者知，知则龟藏矣。患者问
故，家人诳曰∶医云寒气凝结，多饮醇酒自散矣。患者喜引觞剧饮，沉酣而卧。家人亟报葛，以针刺其患处，
病者惊寤，俾以药饵。须萸有物下，俨如龟形，厥首有穴。盖针所中也，病遂愈。（黄日升《蓬窗类记》。雄按∶
俟寐而针，固是治法。至于一诊而知其为龟，一针而恰中龟首，未免神其说矣。）
杭州府通判王某，河间人，病腹胀，服药不效。梦人语云∶鬼蒺藜可治。王觅取煎饮，饮之痛不可忍，俄
顷洞泄，迸出一虫，长丈余，寻愈。（《览余漫抄》。）
山野人好啮虱，在腹生虫，为虱症，用败梳、败篦各一枚，各破作两分，以一分烧研，以一分用水五升，
煮取一升，调服即下出。
张路玉曰∶近有女子咳逆腹痛，后忽喜呼叫，初是呀呷连声，渐至咿唔不已，变易不常，或如母鸡声，或
如水哇鸣，或如舟人打号，每作数十声，日发十余次，忍之则胸中闷闷不安。此为叫虫，即应声虫之类也。复
有一人，忽发热痞满，后常兀兀欲吐，吐中必有虫数枚，状如虾形，跳跃不已，诸治不应。或令服铜绿涌之，
不过二三度遂绝，不复见矣。
黄履素曰∶人阴毛中生虱，名八角子，贴伏毛根最痒恼。人相传此虫不医，延及头髦眉毛，其人当
死。治法以生银杏捣烂，敷合毛上，隔宿其虫尽死。有少年曾患此，此法神效。有友为予言，生此虫者，运会
将否之兆。予患此之后，抱病十余年，备尝苦楚，其言果验。
虫之类能入耳者，不独蚰蜒，凡虫皆然。有人患脑痛，为虫所食，或教以桃叶作枕，一夕虫自鼻出，形
如瓮嘴，人莫能识其名。（《 斋闻觅》。）
有人患脚疮，冬月顿然无事，夏月臭烂，痛不可言。遇一道人云∶尔因行草上，惹蛇交遗沥，疮中有蛇儿，
《贾谊新书》记载：楚惠王在吃冷食时，发现水蛭混在其中，担心负责饮食的官员会被处死，于是将其吞下。此后他腹部患病，无法进食。令尹（官职名）说：“天道无私，只辅助有德行的人。”楚王具有仁德，疾病不会伤害他，楚王的病果然痊愈了。王充在《论衡》中说：“水蛭是吸血的虫子，楚王大概体内有瘀血积滞，所以吃了水蛭后病就好了。”陶弘景说：“楚王在冷食中看到水蛭，吃下去确实能去除体内的结块积滞，虽然这属于阴邪之证，但也符合事物的本性。（出自《本草纲目》。）
唐代京城名医吴元祯治疗一位妇人，她跟随丈夫从南京回来，曾误食一只虫子，心里一直怀疑，因此致病，多次治疗病情未减。请吴医生诊治，吴医生揣测出她的病因，便选择主人家一位谨慎密实的姨奶，预先告诫她说：“现在我用药物让她催吐，用盆盂接住，当她呕吐时，你只管说看到有一只小蛤蟆跑掉了，但千万不要让病人知道，这是欺骗她。”姨奶照做，这个病很快就好了。（出自《北梦琐言》。）
元载不喝酒，别人强迫他喝，他以闻到酒气就会醉为借口推辞，人们认为可以治疗。取针挑刺元载的鼻尖，挑出一条小青虫。医生说：“这还是魔障，闻到酒味就害怕，去掉这个就没有祸患了。”当天元载喝了一斗酒，五天后加倍饮用。（出自《清赏录》。）
孙兆治疗向大王宫中的一位宫人，她是七太尉宠爱的人，突然患了一种病，凡是感到恶心就会吐出几条虫子，后来频繁发作。七太尉很怜悯她，多次治疗不见好转，每次使用杀虫药，吐出的虫子反而更多。各位医生几乎都召来了。孙兆诊脉后说：“六脉都细弱，不是虫病的脉象。现在虽然吐出虫子，是因为脏腑寒冷导致虫子不安宁，迁移到上膈，因而被吐出。如果再用杀虫药，虫子受到药物的痛苦，不能安宁，所以吐出的虫子更多。”孙兆于是用药，不到三五钱，都是一色的丸子，虫子就不再吐出了。第二天再次召见孙兆，六脉逐渐变大，服用之前的药，病不再发作。后来求取方子，原来是硫黄、附子各一两，研成末，用糯米糊做成丸药。每次三十丸，米汤送服。（出自《纲目》。这是张景岳治疗虫病使用温脏丸的蓝本。但是大寒大热，虫子都不安宁，也不可固执一端。）
窦材治疗一位妇人，病症是腹胀，各种药物无效。让她解开衣服查看腹部，皮肤呈黄色，光亮如镜面，这是蛲瘕（一种寄生虫积聚形成的肿块）。先烤一片牛肉给她吃，然后用生麻油调服轻粉五分，排出后，排出一合蛲虫，形状像线像胡须，后来服用安虫散而痊愈。
张子和说：汴梁的各种工匠中，有木匠赵作头、铁匠杜作头，走路时迷路，迷到了一个大宅院请求借宿，主人不接纳，说家里有人重病，不敢接纳你们。杜作头说：“这位赵公是汴梁太医家的，现在蒙上司征召，迷路到这里，大概是病人应当痊愈，才遇到这位公子的。”主人听后相信并让他们进入，过了很久又出来，邀请两人进屋，给他们食物后，主人起身请教说：“麻烦太医看看病人的病怎么样？”赵医生看了笑着说：“一种药就可以治好。”两人私下议论说：“来时携带的熟药，寄放在他的车上，这里实在没有办法？”杜医生说：“这很容易。”悄悄出门弄来一块牛粪，做成三十粒药丸，用温水送下。过了一会儿，病人觉得胸中像有虫子爬行，一下子涌出很多，形状像小屎壳郎一二升。用手去探，又大约一升，顿时觉得病好了。第二天主人出来道谢说：“百岁老人，从未见过如此神效的药。”设宴送别二人后他们回去了。这两个人是小人。（为了暂时借宿，就用污秽之物治病，也只是偶然得到了催吐的方法罢了。）
周汉卿治疗武城人，病症是胃痛，愤怒挣扎乞求死亡。周汉卿将药纳入鼻孔，不久喷出长约一寸多的赤色虫子，口眼俱全，疼痛随即停止。（出自《明史》。）
钟大延治疗一位僧人，嗜好盐，每顿饭吃一斤左右。众医生虽然知道是虫病，但服药后总是疼痛闷绝欲死。钟大延说：“这虫子不服药，应当用饵料引诱它。”用盐笋干和药一起煮，再加盐，让他服用。过了几天，果然呕出几斤虫子而痊愈。（出自《宁波府志》。雄按：这是用其所好来引诱，治病都应该这样，而治虫病尤其适宜。）
李明甫是东阳人，擅长医术，尤其精通针灸。义乌县令患心痛快要死了，李明甫看后说：“肺下有虫子，药物达不到，只有砭石或针刺才可以，但这也不容易。”谎称要在背上点穴，秘密取水来洗（或指某种操作），让县令刚吃惊时针已刺入。说：“虫子已经死了。”随后腹部剧烈疼痛，排出黑水几升，虫子也去了，于是痊愈。（出自《两浙名贤录》）
尹蓬头，传说是骑铁鹤仙，是个异人。一位贵人的女儿得了弱症，形体容貌都变了，医生束手无策，没有药可治。母亲钟爱女儿不忍心舍弃，偶然邀请尹蓬头来看，说：“有痨虫，还可以治。”问用什么药？说：“药力不能治，只需与我同宿一夜，就好了。”母亲相信他的仙术，决无戏言，告诉了父亲。父亲大怒说：“胡说，哪有公侯家的女儿，与一个疯道士同宿的道理！”后来见女儿完全没有生机，母亲又哭泣诉说，恳切不停，父亲同意了。尹蓬头用纸糊一间屋子，屋子里不留孔洞，设一张床，不用屏风。让女儿脱去上衣，用手按摩脚心直到极热如火，抵住女儿的阴户，面对面睡觉。告诫女儿说：“喉咙中有虫子出来，可以急忙叫我。”女儿无法入睡，而尹蓬头鼾声如雷。天快亮时，女儿报告虫子从口中飞出。尹蓬头四处寻找没找到，说：“从何处钻去了？不能除根，一定要害一个人。”原来乳母不放心，因此开一个小孔偷看，虫子从女儿口中出来，已经进入了乳母的腹中。天亮后，父母查看，女儿的脸色已经改变，尹蓬头大笑离去。几个月后，女儿正挑选女婿，而乳母却死了。（出自《续金陵琐事》。）
冯益斋给事中，每次说话，腹中总有声音回应，这是应声虫病。于是告病迁居南京。杨守极用小蓝煎剂让他服用，立即吐出了虫子。（出自《续金陵琐事》。）
郭茂倩的嫂子，金华君，产后七天不吃饭，开始说头痛，头痛后又心痛发作，接着眼睛痛，像切割像针刺，反复发作，间隔没有片刻。每次头痛厉害时，想用大石头压住，过了很久才渐渐安定。心痛发作时，就用十指抓墙壁，血流满手掌。疼痛停止后，眼睛又痛，又用双手挖自己的眼睛。这样十天不止，众医生没有办法。进服黑龙丹半粒，病情稍缓。半夜再服用，闭眼睡觉如平常。到了清晨排便约三升多，像蝗虫卵一样的东西，病减半。巳时又排便如前，则霍然完全痊愈了。（出自《纲目》。）
孙文垣治疗一位妇人，心痛嘴唇红，痛时大发高热头痛，一会儿出汗，脉搏大小不一。（这是虫脉。）说：“这是虫痛的症候，痛时吐白沫可以证实。（凡是心腹痛且嘴唇红、吐白沫的，多属于虫病。）槟榔、川椒各二钱，杏仁一钱五分，石菖蒲一钱，乌梅七个，（太多了。）炮姜、草豆仁、陈皮各五分，山栀一钱，一剂后疼痛减半，再服疼痛全愈。
闵蜃楼名叫政，身体肥胖性格急躁，患痛风，手不能梳头洗头，脚不能行走，疼痛处略微肿胀，呻吟喊叫。（这是风木生虫。）凡治疗七次，过一个月病情不减。孙医生诊察后说：“湿痰凝滞经络导致疼痛，（这也猜错了。）医生当作血虚，投以补剂，应该是不愈的原因。于是用二陈汤加乌药叶、苍术、僵蚕、海桐皮、南星，服用至六帖，病人就不肯吃药了。强迫他吃，他说：“医生用来治痛，现在反而加重疼痛，我吃什么药呢？”当时已是申时，知道他骄纵傲慢的性格已成，也不再强迫。改为用芫花醋炒过三分，海金沙一钱，研成末，用开水调服。（仿更衣丸的意思。）到了晚上泻了一次，排出稠痰半盏，足痛减轻大半，稍微能动弹。初更后忽然腹部大痛，催促医生诊治，走到后堂，家人出来说：“病人去世了。”医生说：“这一定是痛厥，不是真的死了。（临症者不可不知道。）”再看他，到了那里冷汗淋漓，独坐溺器，面色青，气息断绝。诊脉，手冷如冰，六脉都在，只是沉伏而已。知道是因为剧痛导致的，用姜汤灌下才苏醒。慢慢询问侍女刚才腹中痛得很厉害，火气迸出，肛门如火烧，大声响了一声，不知道泻下了什么东西。一看，是一条血鳅，长六寸多，鳞目俱全，还能游动。众人问怎么办，医生说：“这是蛔虫类，能排下来幸好。但这剂药实际上是行痰，起初并不认为有这么多虫。因为芫花是杀虫的药物，所以偶然奏效，也是病人的福气。”第二天，手足都能活动，仍以二陈汤加苡仁、红花、五加皮，四帖后彻底痊愈。（雄按：病变万端，病机百出，天下事没有比医学更难的了。）
叶润斋年近四十，心膈嘈杂，喜欢吃肉，尤其喜欢吃鸡，一天不可缺少，缺了就身体浮肿乏力，神魂无所依托，必须急切地大吃一顿才能缓解，吃完后腹部又大痛，痛极了就吐酸水稠涎，然后稍微安定，一会儿又想吃了。他那痛苦的样子，喊叫的声音，让人听了心酸，而他却心甘情愿。有人劝他不要吃肉，说久病脾虚，吃肉难消化，所以造成痛苦。他说：“我难道不知道？只是痛得厉害还能熬，若嘈杂则全身瘙痒麻木，左右无可奈何，手足无处安放，片刻不能自存，这比死还难受。”孙医生诊察，六脉大小不等，观察他的脸色，唇红面黄，说：“根据色脉乃是虫病。”先用雄黄丸一服，用腻粉五分，使君子末一钱，用鸡蛋打饼，五更空腹喂给他。（方可录。）辰时下出长蛲十条，内有两条大的，长足有一咫，从头到尾都是红色，下午又下小虫百余条。从此不喜欢吃肉，而嘈杂症良愈。
龚子才治疗一位妇人，四十岁，心胃刺痛，时痛时止，（虫痛。）不思饮食，吃东西就吐，手足冰冷，胸中痞闷，口干想喝水，说：“这是胃中有虫。”用二陈汤加槟榔、枳实、乌梅、花椒、黑姜、苦楝根皮、生姜，煎服一剂，排出一大碗虫子而痊愈。
孙一奎在吴地时，有位吴生叫谭震，是博学雅正的士人。有一天偶然谈到鼓胀，吴生责问我：“鼓胀有虫吗？”我一时不敢回答，低头思考了很久，回答说：“或许有吧。”《本事方》说，脐腹四肢都肿的是水气病，只有腹胀而四肢不肿的是蛊胀。注释说，蛊就是鼓胀。由此参考，古人曾把鼓和蛊同名。而且蛊以三种虫为首，难道没有深意吗？大概鼓胀，就是今天说的气虚中满是。因为它外坚中空，像鼓一样，所以以此命名。那个蛊症，中间实有物，积聚久了，道理上或许有。吴生说：“您真聪明。”我的堂嫂患鼓胀三年，肚子大如簸箕，时而胀痛，四肢瘦削，三吴地区的名药，历尝不效。吴地风俗死者多用火葬，烧到肚子忽然响声如炮，人都很惊骇。看见虫子从腹中爆出，高三丈许，烧的天都被熏昏，一会儿坠地。仔细看，都是蛔虫，不下千万数，大的长一尺多，虫腹中又生小虫，多的十五六条。虫子在人腹中，繁殖如此，为什么不让人胀死呢？可惜诸书没有提及。我后来到淮阴，有位王卿官，他的儿子十六岁，新婚后腹胀大，按之有块，形状像稍瓜，发热昼夜不退，已半年了。医生只用清热消胀的药剂投喂，其胀更甚，喉中、两耳都生疮。诊其脉滑数，望其唇则红，其腹则痛，又多嗜肥甘。（腹痛而唇红好食的，都属于虫病。）想到凡是腹痛者，唇色必淡，不爱饮食，现在他却这样，莫非是虫吗？于是给予阿魏积气丸服用，排出虫子数十条，大的几条，小的三四条。虫子排出后热渐减，腹渐消，三次治疗后痊愈，更加相信前闻不虚。（《景岳全书》。雄按：前条龚氏案，不思饮食，也是虫证。病情变幻，不要固执一端。）
李士材治疗侯给事中，腹中嘈杂疼痛，按压左臂，手不能靠近。凡是饮食到口，喉间好像有一物接着似的。说：“脉大而数，腹痛呕涎，面色萎黄，这是虚而有湿，湿热相兼，虫乃生焉。应当用人参汤送服槟榔丸，以排除虫积。虫子如果不除去，虽然服用补汤，又有什么益处呢？”病家非常畏惧谨慎，不敢轻易投药，最终没能救起。（为何不改用平和善意的杀虫剂？）
张远公咳嗽三年，服药无效，听天由命等待死亡。姑且请求诊脉，问：“饥饿时胸中痛吗？”说：“非常痛。”看他的上唇，有十余处白点像米粒，这是虫子咬噬肺部。用百部膏一味，加乌梅、槟榔服用，不到十天疼痛消失，咳嗽立刻停止。让家人从净桶中寻找，有四十几条寸白虫，从此永不复发。（立斋案说：上唇白点，虫子侵蚀上部；下唇白点，虫子侵蚀下部。）
王海藏说：有个叫杨时的人，因患风气冲心，饮食吐逆，遍身枯瘦。每天服用万病紫菀丸，到二十天，泻出肉块虾蟆五六枚，白脓二升而愈。又有赵侍郎，先吃后吐，目无所见，耳无所闻，也服用万病紫菀丸，泻出青蛇五七条，下恶脓三四升才愈。紫菀丸，就是浓朴丸加羌活、独活、防风组成。浓朴、蜀椒、川乌头、紫菀、吴茱萸、菖蒲、柴胡、桔梗、茯苓、官桂、皂角、干姜、人参、黄连、巴豆霜。（雄按：必须有确凿的证据，才可以投用。）
益昌的伶人刘清啸，亲近一个妓女，名叫花翠，年龄超过十五岁，病得好生吃生米，否则整天不快乐，以至于憔悴萎黄，不思饮食。惠民局监赵尹，用苍术，米泔水浸泡一夜，切碎焙干研成末，蒸饼做成梧桐子大小的丸药。每次服用五十丸，饭前米汤送下，每天三次，二十天而愈。因为生米留滞肠胃，受湿则谷物不磨，从而生虫。苍术能去湿，温消谷。（杨氏藏经验。《本草纲目》。）
戴元礼奉太祖命令，前往治疗燕王患瘕，见他医所用药很好，心想为什么无效？就问燕王有什么嗜好？说：“嗜好生芹菜。”元礼说：“明白了。”投一剂药，夜间暴泻，都是细小的蝗虫。（出自《明史》。）
葛可久治疗一人患腹痛。诊脉后，对他的家人说：“腹中有肉龟。趁他熟睡时，我给针刺，不要让患者知道，知道了龟就会藏起来。”患者问原因，家人骗他说：“医生说寒气凝结，多喝醇酒自己消散。”患者高兴举杯狂饮，沉睡而卧。家人急忙告诉葛医生，葛医生针刺患处，病人惊醒，让他服药饵。须臾有物体排出，俨然像龟的形状，头部有穴位。那是针刺的地方，病于是痊愈。（黄日升《蓬窗类记》。雄按：等到睡眠时针刺，固然是治疗方法。至于诊断一次就知道是龟，一针恰好刺中龟首，未免神化了这个说法。）
杭州府通判王某，河间人，患腹胀，服药无效。梦见有人告诉他：“鬼蒺藜可以治疗。”王某寻找来煎服，喝下去后疼痛不可忍受，不久洞泄，迸出一条虫子，长一丈多，不久痊愈。（出自《览余漫抄》。）
山野人喜欢咬虱子，在腹中生虫，称为虱症，用败梳、败篦各一枚，各破作两份，一份烧成灰，一份用水五升，煮取一升，调服即排出。
张路玉说：近来有个女子咳逆腹痛，后来忽然喜欢呼叫，起初呀呷连声，渐渐咿唔不已，变易不常，有时像母鸡叫声，有时像蛙鸣，有时像船夫打号，每次发作几十声，每天发作十几次，忍住则胸中闷闷不安。这叫叫虫，就是应声虫之类。又有一个人，忽然发热痞满，后来常常头晕想吐，吐中必有虫子几枚，形状像虾，跳跃不停，各种治疗无效。有人让他服铜绿催吐，不过二三度就绝迹，不再出现了。
黄履素说：人阴毛中生虱，名叫八角子，贴伏毛根最痒恼。人们相传此虫不医，蔓延到头髦眉毛，其人当死。治疗方法是用生银杏捣烂，敷在合毛上，隔宿虫子尽死。有个少年曾患此病，此法神效。有朋友对我说，生此虫者，是运势将要衰败的征兆。我患此病之后，抱病十余年，备尝苦楚，他的话果然应验。
能进入耳朵的虫子，不只是蚰蜒，凡是虫子都可能。有人患脑痛，被虫子啃食，有人教他用桃叶做枕头，一晚虫子从鼻子出来，形状像瓮嘴，没人能认出它的名字。（出自《 斋闻觅》。）
The *Xin Shu* by Jia Yi records: King Hui of Chu found a leech in his cold food. Fearing that the official in charge of food would be executed, he swallowed it. Subsequently, he suffered from abdominal illness and could not eat. The Lingyin (Prime Minister) said, "The Way of Heaven is impartial; it only assists those with virtue." Since the King possessed benevolence, the illness would not harm him. Indeed, the King's illness was cured. Wang Chong stated in *Lun Heng*: "Leeches are blood-sucking insects. King Chu likely had accumulated blood stagnation, which is why eating the leech cured his illness." Tao Hongjing said: "King Chu saw a leech in his cold food and ate it, which indeed removed the internal accumulation. Although this pertains to Yin pathogens, it also conforms to the nature of the substance." (*Ben Cao Gang Mu*).
During the Tang Dynasty, Wu Yuanzhen, a renowned physician in the capital, treated a woman who had returned from Nanjing with her husband. She had accidentally ingested an insect and harbored constant suspicion about it, leading to illness that did not improve despite frequent treatments. Dr. Wu diagnosed the condition and selected a cautious aunt from the host's family, instructing her beforehand: "I will use medicine to induce vomiting. Catch the vomit in a basin. When she vomits, simply say you saw a small toad run away. Do not let the patient know; this is deception." The aunt followed instructions, and the illness was quickly resolved. (*Bei Meng Suo Yan*).
Yuan Zai did not drink alcohol. When forced, he claimed that smelling wine made him drunk, suggesting it was treatable. A needle was used to prick the tip of his nose, extracting a small green worm. The doctor said, "This is still a demonic influence; fearing wine indicates its presence. Removing this eliminates the danger." On that day, Yuan Zai drank one dou of wine, doubling the amount five days later. (*Qing Shang Lu*).
Sun Zhao treated a palace maid in the household of Prince Xiang, favored by Grand Commandant Qi. She suddenly developed an illness where nausea caused her to vomit several worms, recurring frequently. Grand Commandant Qi pitied her; numerous treatments failed, and each time vermifuges were used, more worms were vomited. Various physicians were summoned. Sun Zhao palpated the pulse and said, "All six pulses are fine and weak, not indicative of a worm disease. Although worms are being vomited, it is due to coldness in the viscera causing the worms to become restless and migrate to the upper diaphragm, leading to their expulsion. Using vermifuges again causes the worms pain and restlessness, resulting in more vomiting." Sun Zhao then prescribed medication consisting of pills weighing less than three or five qian. The worms ceased vomiting. Upon recall the next day, the six pulses had gradually enlarged, and continuing the previous medication prevented recurrence. The prescription consisted of Rhizoma Cynanchi Atrati (Huangjing) and Radix Aconiti Lateralis Preparata (Fuzi), each one liang, powdered and formed into pills with glutinous rice paste. Thirty pills were taken with rice water per dose. (*Gang Mu*. This served as the basis for Zhang Jingyue's Wenzang Wan for treating worm diseases. However, when there is extreme cold or heat, worms become restless; one should not adhere rigidly to a single method.)
Dou Cai treated a woman with abdominal distension unresponsive to various medicines. Upon examining her abdomen after she undressed, the skin was yellow and smooth as a mirror, indicating a Pinworm Mass (Nao Jia). He first had her eat a slice of roasted beef, then administered half a qian of Calomel (Qingfen) mixed with raw sesame oil. She expelled one he of pinworms, thread-like in shape. She subsequently recovered after taking Anchong San.
Zihehe stated: Among the craftsmen in Bianliang, there were carpenter Zhao Zuotou and blacksmith Du Zuotou. While lost, they sought shelter in a large mansion. The owner refused, citing a serious illness in the family. Du Zuotou replied, "Master Zhao is from the family of the Imperial Physician of Bianliang, now summoned by superiors. His arrival suggests the patient will recover." Believing this, the owner admitted them. After some time, the owner returned, invited them in, fed them, and asked for a diagnosis. Master Zhao smiled and said, "One medicine can cure this." The two discussed privately that their prepared medicines were left on another cart. Du Zuotou said, "This is easy." He secretly obtained a piece of cow dung, shaped it into thirty pills, and took them with warm water. Soon, the patient felt movement in the chest like crawling insects and vomited up approximately one to two sheng of material resembling small dung beetles. Hand exploration yielded another sheng. The patient instantly felt relief. The next day, the owner thanked them, saying no centenarian had seen such efficacy. They were entertained and departed. These two were petty men (seeking temporary shelter, they used filth to treat someone, merely stumbling upon a vomiting method by chance).
Zhou Hanqing treated a man from Wucheng suffering from severe stomach pain, thrashing about begging for death. Zhou Hanqing placed medicine into his nostrils. Shortly after, the man spat out a red worm about one cun long, complete with mouth and eyes. The pain stopped immediately. (*Ming Shi*).
Zhong Dayan treated a monk who craved salt, consuming nearly a jin per meal. Physicians knew it was a worm disease, but medication caused excruciating pain and fainting. Zhong Dayan said, "The worms do not accept medicine; we must bait them." He boiled salted bamboo shoots with medicine and added salt, administering it to the monk. Days later, the monk vomited several jin of worms and recovered. (*Ningbo Fu Zhi*. Xiong notes: This uses attraction to what is desired. Treatment should generally follow this principle, especially for worm diseases.)
Li Mingfu, a native of Dongyang, was skilled in medicine, particularly acupuncture. The magistrate of Yiwu suffered from fatal heart pain. Li Mingfu examined him and said, "There is a worm under the lung, inaccessible to medicine; only needling or scarification works, though it is difficult." He falsely claimed he needed to mark acupoints on the back, secretly using water to distract the patient, and inserted the needle while the patient was startled. He declared, "The worm is dead." The patient then experienced severe abdominal pain and passed several sheng of black water, expelling the worm and recovering. (*Liang Zhe Mingxian Lu*).
Yin Pengtou, known as the Iron Crane Immortal, was considered an extraordinary person. A nobleman's daughter suffered from a wasting disease, changing in appearance. Physicians gave up. Her mother, unable to bear losing her, invited Yin. He said, "There is a consumption worm; it is treatable." Asked for medicine, he replied, "Medicine cannot cure it. Simply sleep with me for one night, and she will be well." Trusting his supernatural powers, the mother informed the father. The father angrily refused, deeming it improper for a duke's daughter to sleep with a mad Daoist. Seeing his daughter near death, the mother pleaded tearfully until the father agreed. Yin instructed them to paper over a room with no holes, set up a bed without screens, have the girl remove her upper garment, and rubbed her soles until extremely hot. He pressed against her vulva and slept facing her. He warned, "If a worm comes out of your throat, call me immediately." The girl could not sleep, while Yin snored loudly. At dawn, the girl reported a worm flying out of her mouth. Yin looked around, couldn't find it, and said, "Where did it钻 go? If not rooted out, it will kill someone." The wet nurse, worried, had peeked through a hole. The worm exited the girl's mouth and entered the wet nurse's abdomen. At daybreak, the parents saw the girl's complexion had changed. Yin laughed and left. Months later, just as the girl was choosing a suitor, the wet nurse died. (*Xu Jinling Suoshi*).
Feng Yizhai, a Remonstrator, heard echoing sounds in his abdomen whenever he spoke, a condition known as Echoing Worm Disease. He resigned and moved to Nanjing. Yang Shouji prescribed a decoction of Indigofera tinctoria (Xiao Lan), causing him to vomit the worm. (*Xu Jinling Suoshi*).
Guo Maoqian's sister-in-law, Lady Jinhua, had not eaten for seven days postpartum. She complained of headache, followed by heart pain, then eye pain described as cutting or stabbing, recurring without pause. Severe headaches made her wish to lie under a heavy stone; heart pain made her scratch walls until her palms bled. Eye pain made her gouge her eyes. This continued for ten days. Physicians were helpless. Half a pill of Heilong Dan provided slight relief. Taken again at midnight, she slept peacefully. At dawn, she passed about three sheng of stool containing substances like locust eggs, reducing the illness by half. By Si hour, passing similar stool led to complete recovery. (*Gang Mu*).
Sun Wenyuan treated a woman with heart pain, red lips, high fever, and headache during pain episodes, followed by sweating. Pulses varied in size. (Worm pulse). He said, "This is worm pain, evidenced by vomiting white foam. (Heart/abdominal pain with red lips and white foam usually indicates worm disease)." Prescription: Areca Seed (Binglang) and Sichuan Pepper (Chuanjiao) 2 qian each, Almond (Xingren) 1.5 qian, Acorus (Shichangpu) 1 qian, Smoked Plum (Wumei) 7 pieces (too many), Fried Ginger (Paojiang), Cardamom (Caodouren), Tangerine Peel (Chenpi) 0.5 qian each, Gardenia (Shanzhi) 1 qian. One dose reduced pain by half; a second dose cured it completely.
Min Shenlou (named Zheng) was obese and irritable, suffering from gout. He could not comb his hair or walk. Painful areas were slightly swollen, accompanied by groaning. (Wind-Wood generating worms). Seven treatments over a month failed. Sun diagnosed: "Damp-phlegm stagnating in collaterals causes pain. (Also incorrect guess). Doctors treated it as Blood Deficiency with tonics, hence no improvement." He prescribed Erchen Tang plus Wuyao Ye, Cangzhu, Silkworm (Jiangcan), Sea Peony Root (Haitongpi), and Arisaema (Nanxing). After six doses, the patient refused further medicine, complaining it increased pain. Knowing his obstinate nature, Sun stopped forcing it. Instead, he prescribed Corn Poppy Root (Yuanhua) stir-fried with vinegar (3 fen) and Goldthread Coptidis Rhizome (Haijinsha) 1 qian, powdered and taken with boiling water (modeled after Gengyi Wan). That evening, one bowel movement occurred, expelling half a cup of thick phlegm. Leg pain reduced significantly. Later that night, severe abdominal pain ensued. Sun rushed to examine him. Family reported death. Sun said, "This is likely syncope from pain, not true death. (Clinicians must know this)." Examination revealed cold sweat, sitting on a chamber pot, blue face, absent breath, ice-cold hands, and deep, hidden pulses. Recognizing it as extreme pain reaction, he administered Ginger Soup, reviving the patient. The servant girl explained severe abdominal pain, sensation of fire bursting from the anus, a loud sound, and unknown excretion. It was a blood loach, over six cun long, with scales and eyes, still moving. Sun said, "This is an Ascaris type; fortunate it passed. This formula actually moves phlegm; I didn't expect so many worms. Yuanhua kills worms, so it worked by chance, blessing the patient." The next day, limbs moved freely. He resumed Erchen Tang plus Coix Seed (Yiren), Safflower (Honghua), and Five-leaved Acanthopanax (Wujia Pi). Four doses led to full recovery. (Xiong notes: Pathological changes are myriad; medicine is the most difficult art.)
Ye Runzhai, nearly forty, suffered from epigastric discomfort, craving meat, especially chicken. Without it, he felt bloated, weak, and disoriented. Eating relieved this but caused severe abdominal pain, sour regurgitation, and thick saliva, providing temporary relief before cravings returned. His agony was audible, yet he persisted. Advised against meat due to Spleen deficiency, he replied, "I know pain is bearable, but this itching/numbness is unbearable, worse than death." Sun diagnosed worm disease based on unequal pulses and red lips/yellow face. First, Xionghuang Wan: Calomel (Nifen) 5 fen, Semen Quisqualis (Shijunzi) powder 1 qian, mixed with egg pancake, given fasting at dawn. (Fang Ke Lu). In Chen hour, ten long roundworms passed, including two large ones, a chi long, entirely red. In the afternoon, over a hundred small worms passed. Craving for meat ceased, and discomfort resolved.
Gong Zicai treated a forty-year-old woman with stabbing heart/stomach pain, intermittent, loss of appetite, vomiting upon eating, cold extremities, chest oppression, and dry mouth/thirst. He said, "Worms in the stomach." Prescribed Erchen Tang plus Binglang, Zhi Shi, Wumei, Huajiao, Heijiang, Cortex Meliae (Kulian Genpi), and Shengjiang. One dose expelled a large bowl of worms, curing her.
When Sun Yikui was in Wu, scholar Tan Zhen asked if drum distension involved worms. Sun hesitated, then recalled *Benshi Fang*: swelling of limbs indicates water retention; isolated abdominal distension is Gu distension. Note: Gu equals Drum Distension. Ancient texts equated them. Gu involves three worms. Drum distension is Qi deficiency with fullness, hollow inside, hard outside. Gu implies solid accumulation. Tan praised him. Sun's cousin had drum distension for three years, belly large as a basket, limbs emaciated. Local remedies failed. In Wu custom, corpses are cremated. During cremation, the belly exploded with a cannon-like sound. Worms burst out, rising thirty zhang, darkening the sky, then falling. They were Ascaris, numbering in the thousands, some over a chi long, containing smaller worms. How could one not die of distension from such reproduction? Books omitted this. Later in Huaiyin, Official Wang's sixteen-year-old son had post-marital abdominal distension, palpable masses, gourd-shaped, unremitting fever for half a year. Doctors used heat-clearing/distension-reducing agents, worsening the condition. Sores appeared in throat and ears. Pulse slippery-rapid, lips red, abdomen painful, craving rich foods. (Abdominal pain, red lips, craving indicate worms). Thinking of typical worm symptoms (pale lips, anorexia), he suspected worms. Prescribed Awei Jiqi Wan. Passed dozens of worms, large and small. Fever subsided, abdomen reduced. Three courses cured him, confirming previous accounts. (*Jingquan Quanshu*. Xiong notes: Lack of appetite in Gong's case was also worm-related. Do not cling to one aspect amidst changing conditions.)
Li Shicai treated Privy Censor Hou. Abdominal discomfort/pain, left arm tender to touch. Sensation of obstruction in throat when eating. Pulse large-rapid, abdominal pain, spitting saliva, sallow complexion. Deficiency with Damp-Heat, generating worms. Should use Ginseng Decoction to deliver Binglang Wan to expel worm accumulation. Without removing worms, tonics are useless. Family feared side effects, refused treatment. Patient died. (Why not use milder vermifuges?)
Zhang Yuangong suffered chronic cough for three years, ineffective medication, awaiting death. Diagnosis: Severe chest pain when hungry. White spots like rice grains on upper lip. Worms biting lungs. Prescribed Baibu Gao alone, plus Wumei and Binglang. Within ten days, pain vanished, cough stopped. Family found over forty Taenia saginata (Cunbai Chong) in the chamber pot. No recurrence. (Lizhai case: Upper lip spots = upper body worms; lower lip spots = lower body worms.)
Wang Haicang recorded: Yang Shi suffered wind-Qi rushing to heart, vomiting, emaciation. Took Wanbing Ziwan daily. After twenty days, expelled 5-6 flesh-like toads and two sheng of white pus. Zhao Shilang, vomiting after eating, blind and deaf, took Wanbing Ziwan. Expelled 5-7 green snakes and 3-4 sheng of foul pus. Wanbing Ziwan is Nongpo Wan plus Qianghuo, Duhuo, Fangfeng. Ingredients: Magnolia Bark (Nongpo), Sichuan Pepper (Shujiao), Aconite (Chuan Wutou), Asters (Ziwan), Evodia (Wuzhuyu), Acorus (Changpu), Bupleurum (Chaihu), Platycodon (Jiegeng), Poria (Fuling), Cinnamon (Guigui), Gleditsia (Zaojiao), Ginger (Ganjiang), Ginseng (Renshen), Coptis (Huanglian), Croton Husk (Badoushuang). (Xiong notes: Only administer with definitive evidence.)
Liu Qingxiao, a performer from Yichang, loved a courtesan named Hua Cui. Over fifteen, she craved raw rice, becoming depressed, emaciated, and jaundiced otherwise. Zhao Yin of Huimin Bureau used Atractylodes Macrocephala (Cangzhu), soaked in rice water overnight, dried, powdered, and formed into pills. Fifty pills taken before meals with rice water, three times daily. Cured in twenty days. Raw rice stagnates in intestines, dampness prevents digestion, generating worms. Cangzhu removes dampness and warms/digests grain. (Yang's Experience. *Ben Cao Gang Mu*).
Dai Yuanli, ordered by Emperor Taizu to treat Prince of Yan's mass, wondered why previous good prescriptions failed. Asked about cravings. Prince liked raw celery. Dai said, "Understood." Prescribed one dose. Violent diarrhea ensued, expelling small locust-like worms. (*Ming Shi*).
Ge Kejiu treated a man with abdominal pain. Diagnosed a "meat turtle" in the abdomen. Told family to keep patient asleep for needling, lest the turtle hide. Patient asked why; family lied, saying cold qi required strong wine. Patient drank heavily and slept. Family notified Ge. Ge needled the affected area. Patient woke, took medicine. Soon expelled something turtle-shaped with a head pore (needle site). Cured. (Huang Risheng *Pengchuang Leiji*. Xiong notes: Needling during sleep is valid. Claiming instant diagnosis and precise needle placement seems exaggerated.)
Prefect Wang of Hangzhou, from Hejian, had abdominal distension unresponsive to medicine. Dreamt of advice: "Ghost Tribulus treats this." Found and decocted it. Severe pain followed, profuse diarrhea, expelling a worm over one zhang long. Recovered. (*Lanyu Man Chao*).
A mountain dweller who bit lice developed abdominal worms (Lice Disease). Treated with broken comb and hairpin halves. One half burned to ash, the other boiled in five sheng water to one sheng. Mixed and taken. Expelled worms.
Zhang Luyu stated: A woman recently had cough, abdominal pain, then sudden shouting. Initially gasping, then muttering, changing voices (hen, frog, boatman). Occurred dozens of times daily, causing chest oppression if suppressed. Called "Calling Worm," similar to Echoing Worm. Another man had fever/fullness, then retching worms shrimp-like, jumping constantly. Treatments failed. Copper Green (Tonglv) induced vomiting twice, ending the issue.
Huang Lvsu stated: Lice in pubic hair, called "Eight-Angled Child," attached to roots, very itchy. Rumor says untreated, it spreads to eyebrows/head, causing death. Treatment: Crush fresh Ginkgo nut, apply to pubic area. Overnight, worms die. Effective for a youth. Friend said infestation signals declining fortune. Huang suffered for ten years, validating the claim.
Insects entering ears include whip scorpions, but any insect can. Brain pain caused by insect feeding. Peach leaf pillow used; worms exited nose overnight, shaped like urn spouts, unidentified. (*Zhai Wen Mi*).
Foot ulcer: Silent in winter, foul/rotting/painful in summer. Daoist said walking on grass introduced snake venom/semen. Snake larvae in wound.