夫九虫者,一曰伏虫,长四寸;二曰蛔虫,长一尺;三曰白虫,长一寸;四曰肉虫,状
如烂杏;五曰肺虫,状如蚕形;六曰胃虫,状如虾蟆;七曰弱虫,状如瓜瓣;八曰赤虫,状
如生肉;九曰蛲虫,至细微,形如菜虫。伏虫,群虫之主也。蛔虫贯心则杀人。白虫相生,
子孙转大,长至四、五尺,亦能杀人。肉虫令人烦满。肺虫令人咳嗽。胃虫令人呕吐,胃逆
喜哕。弱虫又名隔虫,令人多唾。赤虫令人肠鸣。蛲虫居胴肠,多则为痔,剧则为癞,因人
疮处,以生诸痈疽、癣 、 疥。龋虫无所不为,人亦不必尽有,有亦不必尽多,或偏有,
或偏无者。此诸虫根据肠胃之间,若腑脏气实,则不为害。若虚则能侵蚀,随其虫之动而变成
诸患也。(《外台》卷二十六)
贯众丸,主治九虫动作诸病方。
贯众(熬) 石蚕(熬五分) 野狼牙(四分) 芦(二分) 蜀漆(六分炙) 僵蚕
(三分熬) 雷
上十味,捣筛,蜜丸,空心暖浆水服三十丸,日三。不知稍加之。白虫用榧子汤服。(《外
台》卷二十六)
治长虫,鸡子丸方。
鸡子白(三枚) 干漆(四两熬一本无) 腊(三两) 粳米粉(半斤)
上四味,内铜器中,于微火上煎,搅令调,内粉,令凝可丸,置土上温,乃内鸡子,搅
令相得,又煎令可丸,宿勿食,以饮下小豆许大一百二十丸,小儿五十丸。效验。(《外台》
卷
又方
取楝实,以淳苦酒中渍再宿,以绵裹,内下部中,令入三寸许,一日易之。(《外台》卷
二十
治蛔虫攻心腹痛方。
取薏苡根二斤锉,以水七升,煮取三升,先食尽取之,虫死尽出。(《外台》卷二十六)
治蛔虫,或攻心痛如刺,口中吐清水方。
以鸡子一枚,开头去黄,以好漆少许,内中相和,仰头吞之,虫悉出矣。(《外台》卷二
十六)
治蛲虫在胃中,渐渐羸人方。
淳酒 白蜜 好漆(各一升)
上三味,合铜器中,微火上煎之,令可丸,丸如桃核大一枚,宿勿食,空腹温酒下,虫
不下,再服之(《外台》卷二十六)
治三虫方。
真珠(一两研) 乱发(如鸡子大烧末)
上二味,内苦酒中,旦空腹顿服之,令尽。(《外台》卷二十六)
又方
捣桃叶,绞取汁,饮一升。(《外台》卷二十六)
治寸白虫方。
取茱萸根洗去土,切一升,渍一宿,平旦分再服。取树北阴地根。(《医心方》卷七)
又方
桑根白皮,切三升,以水七升,煮取二升,宿无食,一顿服之。(《医心方》卷七)
九种寄生虫,第一种叫伏虫,长度四寸;第二种叫蛔虫,长度一尺;第三种叫白虫,长度一寸;第四种叫肉虫,形状像腐烂的杏子;第五种叫肺虫,形状像蚕;第六种叫胃虫,形状像蛤蟆;第七种叫弱虫,形状像瓜瓣;第八种叫赤虫,形状像生肉;第九种叫蛲虫,极其微小,形状像菜虫。伏虫是群虫的首领。蛔虫如果穿透心脏就会致死。白虫繁殖后代,子孙逐渐变大,长达四五尺,也能致死。肉虫使人感到烦闷胀满。肺虫使人咳嗽。胃虫使人呕吐,胃气上逆喜欢打嗝。弱虫又名隔虫,使人多唾液。赤虫使人肠鸣。蛲虫居住在胴肠(直肠),数量多则导致痔疮,严重则导致癞病,侵入人体疮口处,从而产生各种痈疽、癣、疥。龋虫无所不为,人也不一定都有,有也不一定要多,有的偏于有,有的偏于无。这些寄生虫都盘踞在肠胃之间,如果脏腑之气充实,就不会造成危害。如果虚弱就能侵蚀身体,随着各种虫的活动而变成各种病患。(出自《外台秘要》卷二十六)
贯众丸,主治九虫发作引起的各种疾病方。
贯众(炒制) 石蚕(炒制五分) 野狼牙(四分) 芦(二分) 蜀漆(炙六分) 僵蚕(三分炒制) 雷(此处原文似有缺漏或异体,暂译作“雷”)
以上十味药,捣碎过筛,用蜂蜜制成丸剂,空腹时用温热的浆水送服三十丸,每日三次。无效则稍加剂量。白虫可用榧子汤送服。(出自《外台秘要》卷二十六)
治疗长虫(蛔虫),鸡子丸方。
鸡子白(三个) 干漆(四两炒制,另一版本无此药) 腊(三两) 粳米粉(半斤)
以上四味药,放入铜器中,在微火上煎煮,搅拌使其调和,加入米粉,使其凝固可做成丸剂,放置在土上保温,然后加入鸡蛋清,搅拌使其融合,再煎煮至可做成丸剂。前一晚不要进食,用饮水送服如小豆大小的一百二十丸,小儿五十丸。疗效显著。(出自《外台秘要》卷二十六)
又一方
取楝实,用纯苦酒浸泡两个晚上,用棉布包裹,纳入下部(肛门),令其进入约三寸深,每天更换一次。(出自《外台秘要》卷二十六)
治疗蛔虫攻心腹痛方。
取薏苡根二斤切碎,用水七升,煮取三升,饭前全部喝完,虫子死后全部排出。(出自《外台秘要》卷二十六)
治疗蛔虫,或者攻心痛如针刺,口中吐清水方。
取鸡蛋一枚,敲开顶部去掉蛋黄,放入少许好漆,混合后仰头吞下,虫子就会全部出来。(出自《外台秘要》卷二十六)
治疗蛲虫在胃中,渐渐消瘦人的方子。
淳酒 白蜜 好漆(各一升)
以上三味药,合放在铜器中,在微火上煎煮,使其可做成丸剂,做成如桃核大一枚的药丸,前一晚不要进食,空腹用温酒送服,如果虫子不下,再服用一次(出自《外台秘要》卷二十六)
治疗三虫方。
真珠(一两研细) 乱发(如鸡蛋大烧成灰末)
以上两味药,放入苦酒中,早晨空腹一次性服完,令其服尽。(出自《外台秘要》卷二十六)
又一方
捣碎桃叶,绞取汁液,饮用一升。(出自《外台秘要》卷二十六)
The nine types of parasites are: the first is called Fuchong (Hidden Worm), four cun in length; the second is called Huichong (Roundworm), one chi in length; the third is called Baichong (White Worm), one cun in length; the fourth is called Rouc (Flesh Worm), resembling a rotten apricot; the fifth is called Feichong (Lung Worm), resembling a silkworm; the sixth is called Weichong (Stomach Worm), resembling a toad; the seventh is called Ruochong (Weak Worm), resembling a melon seed; the eighth is called Chichong (Red Worm), resembling raw meat; the ninth is called Nuochong (Pinworm), extremely minute, resembling a vegetable worm. Fuchong is the leader of the group of worms. If Huichong penetrates the heart, it causes death. Baichong reproduces, and its descendants grow larger, reaching four or five chi in length, which can also cause death. Rouc causes vexation and fullness. Feichong causes coughing. Weichong causes vomiting and a tendency for stomach qi to rebel with belching. Ruochong, also known as Gechong (Diaphragm Worm), causes excessive salivation. Chichong causes borborygmus (bowel sounds). Nuochong resides in the tongchang (rectum); if numerous, it leads to hemorrhoids; if severe, it leads to leprosy-like conditions; entering human sores, it generates various yongju (carbuncles and ulcers), xuan (tinea), and jie (scabies). Quchong (Tooth Worm) does everything possible; humans do not necessarily have them all, nor must they be numerous; some may have them predominantly, others not at all. These various worms reside between the fu organs and chang organs. If the qi of the fu and zang organs is solid, they do not cause harm. If deficient, they can erode the body, transforming into various ailments according to the movement of the specific worm. (From *Waitai Miyao*, Vol. 26)
Guanzhong Wan (Costus Root Pill), a formula for treating various diseases caused by the activity of the nine worms.
Guanzhong (Atractylodis Rhizoma, prepared by frying) Shican (Silex, prepared by frying, 5 fen) Yelangya (Ephedrae Herba, 4 fen) Lu (Phragmitis Rhizoma, 2 fen) Shuqi (Perillae Folium, prepared by roasting, 6 fen) Jiangcan (Bombyx Batryticatus, prepared by frying, 3 fen) Lei [Text incomplete/variant]
The above ten ingredients are crushed, sifted, and made into pills with honey. Take thirty pills on an empty stomach with warm jiangshui (fermented grain water), three times a day. If ineffective, slightly increase the dose. For Baichong, take with Feizi Tang (Torreya Seed Decoction). (From *Waitai Miyao*, Vol. 26)
Jizi Wan (Chicken Egg Pill) for treating Changchong (Long Worm/Roundworm).
Jizi Bai (Albumen Ovi Galli, three pieces) Ganqi (Resina Cinnamomi, four liang, prepared by frying; absent in another version) La (Animal Fat, three liang) Jingmi Fen (Oryza Sativa Var. Glutinis Farin, half jin)
The above four ingredients are placed in a copper vessel and simmered over low heat, stirring until blended. Add the flour and stir until it coagulates into a form suitable for making pills. Place on earth to keep warm, then add the egg white, stirring until incorporated. Simmer again until suitable for making pills. Do not eat the night before. Take one hundred twenty pills, sized like a small bean, with water; for children, take fifty pills. Effective. (From *Waitai Miyao*, Vol. 26)
Another prescription
Take Lianshi (Meliae Fructus), soak in pure Kujiu (bitter wine/vinegar) for two nights. Wrap in cotton and insert into the lower orifice (anus), about three cun deep. Change once daily. (From *Waitai Miyao*, Vol. 26)
Formula for treating Huichong attacking the heart causing abdominal pain.
Take Er Yi Yi Gen (Coicis Radix), two jin, chopped. Boil in seven sheng of water to obtain three sheng. Drink completely before meals. The worms will die and be expelled entirely. (From *Waitai Miyao*, Vol. 26)
Formula for treating Huichong attacking the heart causing stabbing pain and spitting clear fluid from the mouth.
Take one chicken egg, open the top and remove the yolk. Add a small amount of good Qi (lacquer/resin), mix well, and swallow while tilting the head back. The worms will all come out. (From *Waitai Miyao*, Vol. 26)
Formula for treating Nuochong in the stomach causing gradual emaciation.
Chunjiu (Pure Wine), Baimi (White Honey), Haoqi (Good Lacquer/Resin) (one sheng each)
The above three ingredients are combined in a copper vessel and simmered over low heat until suitable for making pills. Form into pills the size of a peach pit. Do not eat the night before. Take one pill on an empty stomach with warm wine. If the worms are not expelled, take another dose. (From *Waitai Miyao*, Vol. 26)
Formula for treating Sanchong (Three Worms).
Zhenzhu (Margarita, one liang, ground) Luankua (Hair, burned to ash, size of a chicken egg)
The above two ingredients are placed in Kujia (bitter vinegar/wine) and taken all at once on an empty stomach in the morning. (From *Waitai Miyao*, Vol. 26)
Another prescription
Crush Tao Ye (Peach Leaf), squeeze out the juice, and drink one sheng. (From *Waitai Miyao*, Vol. 26)
Formula for treating Cunbaichong (Taenia/Cestode).
Take Zhuyu Gen (Evodiae Radix), wash to remove soil, chop one sheng, soak overnight. Divide and take twice in the early morning. Use roots from the shady north side of the tree. (From *Yixin Fang*, Vol. 7)
Another prescription
Sanggen Baipi (Mori Cortex, three sheng, chopped). Boil in seven sheng of water to obtain two sheng. Do not eat the night before. Take in one dose. (From *Yixin Fang*, Vol. 7)