蛔虫者，是九虫内之一虫也。长一尺，亦有长五六寸。或因腑脏虚弱而动，或因食甘肥
而动。其发动则腹中痛，发作肿聚，去来上下，痛有休息，亦攻心痛。口喜吐涎及吐清水，
贯伤心者则死。
诊其脉，腹中痛，其脉法当沉弱而弦，今反脉洪而大，则是蛔虫也。
寸白者，九虫内之一虫也。长一寸而色白，形小褊，因腑脏虚弱而能发动。或云饮白酒
，一云以桑枝贯牛肉炙食，并食生栗所成。
又云∶食生鱼后，即饮乳酪，亦令生之。其发动则损人精气，腰脚疼弱。
又云∶此虫生长一尺，则令人死。
蛲虫，犹是九虫内之一虫也。形甚细小，如今之蜗虫状。亦因腑脏虚弱，而致发动，甚
者则能成痔、 、疥、癣、癞、痈、疽、 诸疮。
蛲虫是人体虚极重者，故蛲虫因之动作，无所不为也。
积聚者，由阴阳不和，腑脏虚弱，受于风邪，搏于腑脏之气所为也。腑者，阳也。脏者
，阴也。阳浮而动，阴沉而伏。积者阴气，五脏所生，始发不离其部，故上下有所穷已；聚
者阳气，六腑所成，故无根本，上下无所留止，其痛无有常处。诸脏受邪，初未能为积聚，
留滞不去，乃成积聚。
肝之积，名曰肥气。在左胁下，如覆杯，有头足，久不愈，令人发 疟，连岁月
不已。以季夏戊己得之，何以言之？肺病当传肝，肝当传脾，脾季夏适王，王者不受邪，肝
复欲还肺，肺不肯受，故留结为积，故知之肥气季夏得之也。
心之积，名曰伏梁。起脐上，大如臂，上至心下，久不愈，令人病烦心。以秋庚辛得之
，何以言之？肾病当传心，心当传肺，肺秋适旺，肾冬适旺，旺者不受邪，心欲复还肾，肾不肯受，故
留结为积，故知伏梁以秋得之也。
脾之积，名曰痞气。在胃脘，覆大如盘，久不愈，令人四肢不收，发黄胆，饮食不为肌
肤。以冬壬癸得之，何以言之？肝病当传脾，脾当传肾，肾冬适王，旺者不受邪，脾欲复远
肝，肝不肯受，故留结为积，故知痞气以冬得之也。
肺之积，名曰息贲。在右肋下，覆大如杯，久不愈，令人洒淅寒热，喘嗽发肺痈。以春
甲乙得之，何以言之？心病当传肺，肺当传肝，肝以春适旺，旺者不受邪，肺欲复还心，心
不肯受，故留结为积，故知息贲以春得之。
肾之积，名曰贲 。发于少腹，上至心下，若 贲走之状，上下无时。久不愈
，令人喘逆，骨萎少气。以夏丙丁得之，何以言之？脾病当传肾，肾当传心，心夏适旺，旺
者不受邪，肾欲复还脾，脾不肯受，故留结为积，故知贲 以夏得之。此为五积也。
诊其脉，快而紧，积聚。脉浮而牢，积聚。脉横者，胁下有积聚。脉来小沉实者，
胃中有积聚，不下食，食即吐出。脉来细沉附骨者，积也。脉出在左，积在左；脉出在右，
积在右；脉两出，积在中央，以部处之。
诊得肺积脉，浮而毛，按之辟易。胁下气逆，背相引痛，少气，善忘，目瞑，皮肤寒，
秋愈夏剧。主皮中时痛，如虱缘状，其甚如针刺之状，时痒，色白也。
诊得心积脉，沉而芤，时上下无常处。病悸，腹中热，面赤，咽干，心烦，掌中热，甚
即唾血。主身螈 ，主血厥，夏瘥冬剧。色赤也。
诊得脾积脉，浮大而长。饥则减，饱则见， 起与谷争，累累如桃李，起见于外。
腹满，呕，泄，肠鸣，四肢重，足胫肿，厥不能卧。主肌肉损，季夏瘥春剧，色黄也。
诊得肝积脉，弦而细。两胁下痛，邪走心下，足胫寒，胁痛引小腹，男子积疝也，女子
病淋也。身无膏泽，喜转筋，爪甲枯黑，春瘥秋剧，色青也。
诊得肾积脉，沉而急。苦脊与腰相引痛，饥则见，饱则减。病腰痛，小腹里急，口干，
咽肿伤烂，目茫茫，骨中寒，主髓厥，喜忘，冬瘥夏剧，色黑也。
诊得心腹积聚，其脉牢强急者生，脉虚弱急者死。
又积聚之脉，实强者生，沉者死。其汤熨针石，别有正方，补养宣导，今附于后。
《养生方·导引法》云∶以左足践右足上。除心下积。
又云∶病心下积聚，端坐伸腰，向日仰头，徐以口纳气，因而咽之，三十过而止，开目
作。
又云∶左胁侧卧，申臂直脚，以口纳气，鼻吐之，周而复始。除积聚、心下不便。
又云∶以左手按右胁，举右手极形。除积及老血。
又云∶闭口微息，正坐向王气，张鼻取气，逼置脐下，小口微出气，十二通。以除结聚
。低头不息十二通，以消饮食，令身轻强。行之冬月，令人不寒。
又云∶端坐伸腰，直上，展两臂，仰两手掌，以鼻纳气闭之，自极七息，名曰蜀上乔。
除胁下积聚。
又云∶向晨，去枕，正偃卧，伸臂胫，瞑目闭口不息，极张腹、两足，再息，顷间吸腹
仰两足，倍拳，欲自微息定，复为之春三、夏五、秋七、冬九。荡涤五脏，津润六腑，所病
皆愈。腹有疾积聚者，张吸其腹，热乃止， 瘕散破，即愈矣。
蛔虫，是九虫中的一种。体长一尺，也有长五六寸的。有时因为脏腑虚弱而活动，有时因为吃了甘甜肥腻的食物而活动。它发作时腹部疼痛，出现肿胀聚结，上下移动，疼痛有间歇，也会攻冲心痛。口中喜欢流涎水或吐出清水，如果上贯伤心就会死亡。
诊察其脉象，腹中疼痛，脉法应当表现为沉弱而弦，现在反而脉象洪大，这就是蛔虫病的表现。
寸白虫，也是九虫中的一种。体长一寸，颜色白色，形体短小扁平，因为脏腑虚弱而能发动。有人说饮用白酒导致，另一种说法是吃用桑枝穿起来的烤牛肉，以及吃生栗子所形成。
又说：吃了生鱼后，立即喝乳酪，也会导致生成此虫。它发作时会损伤人的精气，导致腰脚疼痛无力。
又说：这种虫生长到一尺长，人就会死亡。
蛲虫，同样是九虫中的一种。形体非常细小，像现在的蜗虫形状。也是因为脏腑虚弱，而导致发动，严重的能形成痔疮、脱肛、疥疮、癣、癞、痈、疽等各种疮疡。
蛲虫是人体极度虚弱的人才会有的，所以蛲虫因此动作，无所不为。
积聚病，是由于阴阳不和，脏腑虚弱，受风邪侵袭，与脏腑之气搏结而成的。腑属阳，脏属阴。阳气浮而动，阴气沉而伏。积属于阴气，由五脏产生，发病初期不离其部位，所以上下有尽头；聚属于阳气，由六腑形成，所以没有根本，上下没有停留止息的地方，疼痛没有固定位置。各脏受邪，起初不能形成积聚，只有留滞不去，才形成积聚。
肝之积，名叫肥气。在左胁下，像倒扣的杯子，有头有足，久不愈，使人发疟疾，连年不断。这是在夏季戊己日得的，为什么这样说？肺病应当传变给肝，肝应当传变给脾，脾在夏季正值旺盛，旺盛的脏器不受邪，肝想再传回给肺，肺不肯接受，所以留结成为积，所以知道肥气是在夏季得的。
心之积，名叫伏梁。起于脐上，大如手臂，向上至心下，久不愈，使人患心烦病。这是在秋季庚辛日得的，为什么这样说？肾病应当传变给心，心应当传变给肺，肺在秋季正值旺盛，肾在冬季正值旺盛，旺盛的脏器不受邪，心想再传回给肾，肾不肯接受，所以留结成为积，所以知道伏梁是在秋季得的。
脾之积，名叫痞气。在胃脘部，覆盖广大如盘子，久不愈，使人四肢无力不收，发黄疸，饮食不能转化为肌肉皮肤。这是在冬季壬癸日得的，为什么这样说？肝病应当传变给脾，脾应当传变给肾，肾在冬季正值旺盛，旺盛的脏器不受邪，脾想远离肝，肝不肯接受，所以留结成为积，所以知道痞气是在冬季得的。
肺之积，名叫息贲。在右肋下，覆盖广大如杯子，久不愈，使人洒淅寒热，喘咳并发肺痈。这是在春季甲乙日得的，为什么这样说？心病应当传变给肺，肺应当传变给肝，肝在春季正值旺盛，旺盛的脏器不受邪，肺想再传回给心，心不肯接受，所以留结成为积，所以知道息贲是在春季得的。
肾之积，名叫贲豚。发于少腹，向上至心下，像奔豚气走窜的样子，上下无定时。久不愈，使人喘逆，骨萎少气。这是在夏季丙丁日得的，为什么这样说？脾病应当传变给肾，肾应当传变给心，心在夏季正值旺盛，旺盛的脏器不受邪，肾想再传回给脾，脾不肯接受，所以留结成为积，所以知道贲豚是在夏季得的。这称为五积。
诊察其脉象，脉快而紧，为积聚。脉浮而牢，为积聚。脉横者，胁下有积聚。脉来小沉实者，胃中有积聚，不下食，食入即吐出。脉来细沉附骨者，为积。脉出现在左侧，积在左侧；脉出现在右侧，积在右侧；脉两侧都出现，积在中央，根据部位来判断。
诊得肺积脉，浮而毛，按之辟易（指脉搏应指即散，如羽毛般轻浮）。胁下气逆，背部牵引疼痛，少气，健忘，目眩，皮肤寒冷，秋季痊愈夏季加重。主要症状是皮中时常疼痛，如虱爬行状，严重时如针刺状，时常瘙痒，面色白。
诊得心积脉，沉而芤，时而上下无常处。病心悸，腹中热，面赤，咽干，心烦，掌心热，严重时唾血。主要症状是身体抽搐，主血厥，夏季减轻冬季加重。面色赤。
诊得脾积脉，浮大而长。饥饿时脉象减弱，饱食时脉象显现，气起与谷争，累累如桃李，显露于外。腹满，呕吐，泄泻，肠鸣，四肢沉重，足胫肿，厥逆不能卧。主要症状是肌肉受损，夏季减轻春季加重，面色黄。
诊得肝积脉，弦而细。两胁下痛，邪气走窜心下，足胫寒冷，胁痛牵引小腹，男子患疝气，女子患淋病。身体无光泽，喜欢转筋，爪甲枯黑，夏季减轻秋季加重，面色青。
诊得肾积脉，沉而急。苦于脊背与腰部牵引疼痛，饥饿时显现，饱食时减轻。病腰痛，小腹里急，口干，咽喉肿痛溃烂，眼睛昏花，骨中寒冷，主髓厥，喜忘，夏季减轻冬季加重，面色黑。
诊得心腹积聚，脉象牢强急者生，脉象虚弱急者死。
又积聚的脉象，实强者生，沉者死。其汤药、熨贴、针灸、砭石，另有正方的治疗方法，补养宣导的方法，现在附在后面。
《养生方·导引法》说：用左脚踩在右脚上。可消除心下积聚。
又说：患心下积聚，端坐伸腰，面向太阳仰头，慢慢用口吸气，然后咽下，三十次后停止，睁眼做。
又说：向左侧卧，伸展手臂伸直脚，用口吸气，鼻呼气，循环往复。可消除积聚、心下不便。
又说：用左手按住右胁，举起右手极力伸展。可消除积及老血。
又说：闭口微呼吸，正坐面向王气方向，张开鼻孔取气，迫置于脐下，小口微出气，十二遍。以消除结聚。低头不息十二遍，以消饮食，令身轻强。在冬季练习，使人不寒冷。
又说：端坐伸腰，直立，展开两臂，仰两手掌，用鼻吸气闭住，自极七次呼吸，名叫蜀上乔。可消除胁下积聚。
又说：清晨，去枕，正仰卧，伸展臂胫，瞑目闭口不息，极力张腹、两足，两次呼吸，顷刻间吸腹仰两足，握拳，想要微微息定，再做。春三、夏五、秋七、冬九。荡涤五脏，津润六腑，所病皆愈。腹有疾积聚者，张吸其腹，热乃止，瘕散破，即愈矣。
Ascaris (Hui Chong) is one of the nine parasites. It is one chi long, or sometimes five to six cun long. Its movement may be triggered by deficiency and weakness of the fu and zang organs, or by consuming sweet and fatty foods. When it moves, it causes abdominal pain, swelling and lump formation that move up and down, with intermittent pain, and may also attack the heart causing heart pain. There is excessive salivation or vomiting of clear water. If it ascends to damage the heart, death ensues.
Upon pulse diagnosis, if there is abdominal pain, the pulse should theoretically be deep, weak, and wiry; however, if it is instead surging and large, this indicates ascaris infection.
Taenia solium (Cun Bai Zhe) is also one of the nine parasites. It is one cun long, white in color, with a small and flat shape. It can be activated by deficiency and weakness of the fu and zang organs. Some say it results from drinking white wine; others claim it arises from eating beef roasted on mulberry branches or consuming raw chestnuts.
It is also said that consuming raw fish followed immediately by milk or cheese leads to its formation. Its activation damages the body's essence and qi, causing pain and weakness in the lower back and legs.
It is further stated that if this parasite grows to one chi in length, it causes death.
Enterobius vermicularis (Tuo Chong) is likewise one of the nine parasites. Its form is extremely fine and small, resembling modern pinworms. It is also caused by deficiency and weakness of the fu and zang organs leading to its activation. Severe cases can result in hemorrhoids, rectal prolapse, scabies, tinea, leprosy-like conditions, carbuncles, sores, and various other ulcers.
Tuo Chong occurs in individuals with extreme bodily deficiency; thus, when active, it causes widespread pathological changes.
Accumulation and Gathering diseases (Ji Ju) arise from disharmony between yin and yang, deficiency and weakness of the fu and zang organs, invasion by wind pathogenic factors, and the struggle between these pathogens and the qi of the organs. Fu organs belong to yang; Zang organs belong to yin. Yang qi floats and moves; yin qi sinks and hides. Accumulations (Ji) are formed by yin qi and originate from the five zang organs. Initially, they do not leave their specific location, so their movement has limits. Gatherings (Ju) are formed by yang qi and originate from the six fu organs; therefore, they have no fixed root, move without stopping, and cause pain without a constant location. When various organs are invaded by pathogens, accumulation and gathering do not initially form. Only when the pathogen lingers and does not depart does accumulation and gathering develop.
The accumulation of the Liver is named Fei Qi (Fat Qi). It is located under the left hypochondrium, shaped like an inverted cup, with distinct head and foot structures. If untreated for a long time, it induces malaria that persists for years. This condition is acquired during the late summer days of Wu and Ji. Why? Because Lung disease transmits to the Liver, and Liver disease should transmit to the Spleen. However, the Spleen is prosperous in late summer; a prosperous organ does not accept pathogenic transmission. The Liver attempts to send the pathogen back to the Lung, but the Lung refuses to accept it. Thus, the pathogen remains and knots to form an accumulation. Hence, we know Fei Qi is acquired in late summer.
The accumulation of the Heart is named Fu Liang (Hidden Beam). It starts above the umbilicus, as thick as an arm, extending upward to below the heart. If untreated for a long time, it causes mental restlessness and irritability. This condition is acquired during the autumn days of Geng and Xin. Why? Because Kidney disease transmits to the Heart, and Heart disease should transmit to the Lung. The Lung is prosperous in autumn, and the Kidney is prosperous in winter; prosperous organs do not accept pathogenic transmission. The Heart attempts to send the pathogen back to the Kidney, but the Kidney refuses to accept it. Thus, the pathogen remains and knots to form an accumulation. Hence, we know Fu Liang is acquired in autumn.
The accumulation of the Spleen is named Pi Qi (Stagnant Qi). It is located in the epigastrium, covering a large area like a plate. If untreated for a long time, it causes flaccidity and inability to use the four limbs, jaundice, and failure of food intake to nourish muscles and skin. This condition is acquired during the winter days of Ren and Gui. Why? Because Liver disease transmits to the Spleen, and Spleen disease should transmit to the Kidney. The Kidney is prosperous in winter; a prosperous organ does not accept pathogenic transmission. The Spleen attempts to distance itself from the Liver, but the Liver refuses to accept the return of the pathogen. Thus, the pathogen remains and knots to form an accumulation. Hence, we know Pi Qi is acquired in winter.
The accumulation of the Lung is named Xi Ben (Gasping Accumulation). It is located under the right hypochondrium, covering a large area like a cup. If untreated for a long time, it causes chills and fever, wheezing, coughing, and lung abscess. This condition is acquired during the spring days of Jia and Yi. Why? because Heart disease transmits to the Lung, and Lung disease should transmit to the Liver. The Liver is prosperous in spring; a prosperous organ does not accept pathogenic transmission. The Lung attempts to send the pathogen back to the Heart, but the Heart refuses to accept it. Thus, the pathogen remains and knots to form an accumulation. Hence, we know Xi Ben is acquired in spring.
The accumulation of the Kidney is named Ben Tuo (Rushing Pig). It originates in the lower abdomen and extends upward to below the heart, resembling the sensation of gas rushing up and down at irregular intervals. If untreated for a long time, it causes wheezing and counterflow qi, bone atrophy, and shortness of breath. This condition is acquired during the summer days of Bing and Ding. Why? Because Spleen disease transmits to the Kidney, and Kidney disease should transmit to the Heart. The Heart is prosperous in summer; a prosperous organ does not accept pathogenic transmission. The Kidney attempts to send the pathogen back to the Spleen, but the Spleen refuses to accept it. Thus, the pathogen remains and knots to form an accumulation. Hence, we know Ben Tuo is acquired in summer. These constitute the Five Accumulations.
Pulse diagnosis: A rapid and tight pulse indicates accumulation and gathering. A floating and firm pulse indicates accumulation and gathering. A transversely oriented pulse indicates accumulation and gathering under the hypochondrium. A small, deep, and solid pulse indicates accumulation and gathering in the stomach, accompanied by inability to eat and immediate vomiting upon ingestion. A fine, deep pulse felt against the bone indicates an accumulation. If the pulse manifests on the left, the accumulation is on the left; if on the right, the accumulation is on the right; if on both sides, the accumulation is in the center. Diagnosis is made according to the pulse position.
Diagnosis of Lung Accumulation Pulse: Floating and feathery, scattering upon pressure. Symptoms include rebellious qi under the hypochondrium, pulling pain in the back, shortness of breath, forgetfulness, dizziness, cold skin. The condition improves in autumn and worsens in summer. Main symptoms include intermittent pain in the skin resembling crawling insects, severe pain like needle pricks, and itching. The complexion is white.
Diagnosis of Heart Accumulation Pulse: Deep and knotted (Kou), moving up and down without a fixed location. Symptoms include palpitations, heat in the abdomen, red face, dry throat, mental restlessness, heat in the palms, and hemoptysis in severe cases. Main symptoms include muscle twitching and blood syncope. The condition improves in summer and worsens in winter. The complexion is red.
Diagnosis of Spleen Accumulation Pulse: Floating, large, and long. The pulse weakens when hungry and becomes apparent when full. Qi rises competing with grain, feeling like peaches or plums protruding externally. Symptoms include abdominal distension, vomiting, diarrhea, borborygmus, heaviness of the four limbs, edema of the calves, and syncope preventing lying down. Main symptoms include muscle damage. The condition improves in late summer and worsens in spring. The complexion is yellow.
Diagnosis of Liver Accumulation Pulse: Wiry and fine. Symptoms include pain in both hypochondria, rebellious qi moving to the epigastrium, cold calves, hypochondriac pain radiating to the lower abdomen. In men, it causes hernia; in women, strangury. The body lacks luster, prone to muscle spasms, nails are dry and black. The condition improves in summer and worsens in autumn. The complexion is green.
Diagnosis of Kidney Accumulation Pulse: Deep and rapid. Symptoms include pulling pain between the spine and waist, appearing when hungry and subsiding when full. Symptoms include lower back pain, urgency and tension in the lower abdomen, dry mouth, swollen and ulcerated throat, blurred vision, coldness in the bones, marrow syncope, and forgetfulness. The condition improves in summer and worsens in winter. The complexion is black.
In diagnosing heart and abdominal accumulations, a firm, strong, and urgent pulse indicates survival; a weak and urgent pulse indicates death.
Furthermore, regarding the pulse of accumulation and gathering, a excess and strong pulse indicates survival, while a deep pulse indicates death. Treatments involving decoctions, moxibustion/heat application, acupuncture, and stone therapy have separate standard formulas. Methods of tonification, nourishment, and guidance are attached below.
According to "Yang Sheng Fang · Dao Yin Fa" (Prescriptions for Nourishing Life · Guiding and Pulling Methods): Place the left foot upon the right foot. This eliminates accumulation beneath the heart.
It also states: For accumulation beneath the heart, sit upright, extend the waist, face the sun and tilt the head back. Slowly inhale air through the mouth and swallow it. Repeat thirty times, then open the eyes and proceed.
It also states: Lie on the left side, extend the arms and straighten the legs. Inhale through the mouth and exhale through the nose, repeating continuously. This eliminates accumulation and discomfort beneath the heart.
It also states: Press the right hypochondrium with the left hand, and raise the right hand to stretch maximally. This eliminates accumulation and old blood stasis.
It also states: Close the mouth and breathe slightly. Sit upright facing the direction of the King Qi. Open the nostrils to inhale, guide the qi to the lower dantian (navel), and exhale slightly through the mouth. Repeat twelve cycles. This eliminates knotting and gathering. Lower the head and hold breath for twelve cycles to digest food and make the body light and strong. Practicing this in winter prevents coldness.
It also states: Sit upright, extend the waist, straighten up, spread both arms, and turn palms upward. Inhale through the nose and hold the breath until maximum capacity, repeating seven breaths. This is called "Shu Shang Qiao." It eliminates accumulation under the hypochondrium.
It also states: In the early morning, remove the pillow, lie supine, extend arms and legs, close eyes and mouth, and hold breath. Maximize abdominal expansion and lift both feet. Perform two breaths. Then, inhale deeply, lifting the abdomen and raising both feet, clench fists. Wait until breathing stabilizes slightly, then repeat. Practice three times in spring, five in summer, seven in autumn, and nine in winter. This purges the five zang organs and moistens the six fu organs, curing all diseases. For those with abdominal accumulation, expand and inhale into the abdomen until warmth is generated; the mass will disperse and break, resulting in cure.