锻石十两，筛过极细，炒红，用好醋熬成膏，入大黄末一两，官桂末五钱，搅匀，
瓦器封贮，纸摊烘暖，贴患处。
酒积 轻者，葛根、神曲、黄连、白豆蔻；甚者，用甘遂、牵牛。
气积 轻者，木香、枳壳、浓朴、橘红；甚者，枳实、牵牛。
血积 轻者，干漆、桃仁、牡丹、归尾、赤芍药、红花；甚者，大黄、虻虫、水
蛭、穿山甲、花蕊石。
痰积 轻者，半夏、栝蒌；甚者，滚痰丸；老痰，海石、瓦楞子；痰在皮里膜外，白芥子。
水积 轻者，五苓散；甚者，商陆、甘遂、芫花。
茶积 轻者，姜黄、芝麻；甚者，茱萸、椒姜。
癖积 轻者，三棱、蓬术；甚者，巴霜、大黄。
谷积 轻者，麦芽、谷芽、神曲、砂仁；甚者，鸡内金。
肉积 轻者，山楂、阿魏；甚者，卤砂、硝石。
蛋积 白豆寇、橘红、豆豉、姜汁。
果积 丁香、肉桂、麝香。
面积 萝卜子、姜酒煎。
鱼鳖积 紫苏、橘皮、木香、姜汁、白马尿专治鳖瘕。
狗肉积 杏仁、山楂。
虫积 雄黄、锡灰、槟榔、雷丸、芜荑、榧子、使君子、川楝子。
疟积 鳖甲、草果。
造化化生之理，莫不假于湿热，即本朽生虫，腐草为萤，难成形于草木而寄生，实
由湿热气交而化育，人腹之虫也。亦由肥甘不节，生冷过餐，久郁成热，湿热酿蒸，为
虫为积，犹未发而为害也。久则脏腑虚弱，或胃冷胃热，或再食甘肥，乃即动焉。动则
往来上下，攻刺心腹，叫号啼哭，仰身挥手，心神闷乱，吐涎吐沫，或吐清水，乍瘥
乍甚，腹上青筋，恶心似痫，但目不斜，手不搐搦，面无正色，或青或黑者是也。又蛔
痛者，亦因食物太早，吃物太粗而成也。动则攻心刺腹，乍作乍止，忽往忽来，爱甜怕
食，口吐清水，高声啼叫，唇口紫黑。凡诸腹痛，脉必沉弱而弦，若反大者，必是蛔
也。且诸虫皆生于肝，故虫痛者，肝脉倍大，甚有诸蛔团聚，痛极而厥，多似慢惊，
惟唇口独紫为异，治法实而甚者取之，虚而轻者安之，不受药者用川椒以伏之，有用肉
汁调药饵，其虫头向上，以药除之也。若贯伤心者不治。
丹溪曰∶虫本湿热所生，脏腑虚则侵蚀。《千金方》云∶劳则生热，热则生虫。
心虫曰蛔，脾虫曰寸白，肾虫如刀截丝缕，肝虫如烂杏，肺虫如蚕，皆能杀人，惟肺虫
为急，居肺叶内，蚀人肺系，故成瘵疾，咯血声嘶，药所不到，治之为难。虫 之生，
由饮食不节，伤饥过饱，喜啖腥脍，多食生冷，酷嗜曲 爱食肥甘，脏腑虚弱，湿热内
淫，则生虫积也。凡服取虫药，必在上半月为妙，盖上半月虫头向上，下半月虫头向下
也。三虫者谓长虫、赤虫、蛲虫也。虫名共
有九种，而蛲虫尤多，病患寸白虫，从食牛肉饮白酒所成，相连一尺，则杀人，服药下
之，尽出乃佳。又有伏虫、肉虫、肺虫、胃虫、弱虫、蛔虫，然蛲虫惟小儿多患之，大
人亦有，令人口吐清沫，心痛烦躁，乍作乍止，其余各种，总下利于人，胃中若有者，
宜化虫丸速除之。凡腹内热，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，十无一生也。凡腹中痛，其脉当沉弦，若反洪大，必
有蛔虫，盖热则生虫，故脉洪大，大凡偏嗜一物，中必有虫，即以所好之物，加入下虫
杀虫之药于中，无不应手取效。若中气虚而虫不安者，但调补脾胃自安，诸虫逢椒则伏，
遇苦则安，见酸则静也。应声虫者，古有患此，每语则有声相应，偶读《本草》至
蓝，遂默然，乃取蓝捣汁饮之，少顷吐一肉块，长二寸余，人形悉具，其声遂已，又一
人读至雷丸不应，服雷丸亦愈。
煅石十两，筛至极细，炒至红色，用好醋熬制成膏状，加入大黄末一两、官桂末五钱，搅拌均匀，用瓦器密封储存。使用时摊在纸上，烘暖后贴于患处。
酒积：轻症，用葛根、神曲、黄连、白豆蔻；重症，用甘遂、牵牛子。
气积：轻症，用木香、枳壳、厚朴、橘红；重症，用枳实、牵牛子。
血积：轻症，用干漆、桃仁、牡丹皮、当归尾、赤芍药、红花；重症，用大黄、虻虫、水蛭、穿山甲、花蕊石。
痰积：轻症，用半夏、瓜蒌；重症，用滚痰丸；老痰，用海浮石、瓦楞子；痰在皮里膜外，用白芥子。
水积：轻症，用五苓散；重症，用商陆、甘遂、芫花。
茶积：轻症，用姜黄、芝麻；重症，用吴茱萸、花椒生姜。
癖积：轻症，用三棱、莪术；重症，用巴豆霜、大黄。
谷积：轻症，用麦芽、谷芽、神曲、砂仁；重症，用鸡内金。
肉积：轻症，用山楂、阿魏；重症，用硇砂、硝石。
蛋积：用白豆蔻、橘红、豆豉、姜汁。
果积：用丁香、肉桂、麝香。
面积：用萝卜子，加姜酒煎服。
鱼鳖积：用紫苏、橘皮、木香、姜汁；白马尿专治鳖瘕（腹部因食鳖而形成的肿块）。
狗肉积：用杏仁、山楂。
虫积：用雄黄、锡灰、槟榔、雷丸、芜荑、榧子、使君子、川楝子。
疟积：用鳖甲、草果。
造化化生的道理，无不借助于湿热。就像朽木生虫、腐草化为萤火虫一样，有些虫子难以在草木上形成形体而只能寄生，这实际上是由湿热气机交蒸而化育而成的。人体腹中的寄生虫也是如此。这也是因为肥甘厚味饮食不节制，生冷食物过量食用，长期郁结化热，湿热酿蒸，从而化为虫或积滞，此时尚未发作为害。时间久了，脏腑变得虚弱，或者出现胃冷、胃热的情况，或者再次进食甘肥之物，虫子就会活动。虫子活动时，上下往来，攻刺心腹，患者叫喊啼哭，仰身挥手，心神烦闷混乱，吐涎沫或吐清水，病情时好时坏，腹部出现青筋，恶心类似癫痫，但眼睛不斜视，手脚不抽搐，面色不正，或青或黑，这就是虫痛的症状。另外，蛔虫疼痛，也是由于进食过早、食物太粗糙而形成的。蛔虫活动时攻心刺腹，疼痛时作时止，忽往忽来，喜爱甜食而厌恶其他食物，口吐清水，高声啼叫，嘴唇和口角紫黑。凡是各种腹痛，脉象必定沉弱而弦，如果反而洪大，必定是蛔虫所致。况且各种虫子都生于肝，所以虫痛时，肝脉特别大，严重时诸蛔团聚，疼痛剧烈导致厥逆，症状很像慢惊风，只有嘴唇和口角唯独发紫是不同之处。治疗原则是：实证且严重的采用攻下法，虚证且轻微的采用安抚法，不能服药的，用川椒来伏制它；有的用肉汤调药服用，因为此时虫头向上，用药可以驱除它们。如果虫子贯穿心脏，则无法治愈。
丹溪说：虫子本是由湿热所生，脏腑虚弱则被侵蚀。《千金方》说：劳累则生热，热则生虫。心虫叫蛔虫，脾虫叫寸白虫，肾虫像刀截断的丝缕，肝虫像烂杏，肺虫像蚕，这些都能杀人，其中肺虫最为急迫，居住在肺叶内，侵蚀人的肺系，所以形成痨瘵（肺结核），咯血声嘶，药物难以到达，治疗非常困难。虫子的产生，是由于饮食不节制，饥饱失常，喜欢吃腥腻生肉，多吃生冷，酷嗜酒曲，爱吃肥甘厚味，导致脏腑虚弱，湿热内侵，从而生出虫积。凡是服用驱虫药，以上半月服用为妙，因为上半月虫头向上，下半月虫头向下。三种主要的虫子是指长虫、赤虫、蛲虫。虫名共有九种，而蛲虫尤其多。病人患寸白虫病，是由吃牛肉喝白酒造成的，连成一尺长，则会致死，服药排出后，全部排出来才好。又有伏虫、肉虫、肺虫、胃虫、弱虫、蛔虫，然而蛲虫只有小儿多患，大人也有，令人口吐清沫，心痛烦躁，疼痛时作时止，其余各种虫子，总之下利通便对人有益，如果胃中有这些虫子，宜用化虫丸迅速去除。凡是腹内热，肠胃虚，虫子行走寻找食物，上唇有疮叫做惑，虫子吃内脏；下唇有疮叫做狐，虫子吃肛门，得此病的人，十个中没有能活下来的。凡是腹中痛，脉象应当沉弦，如果反而洪大，必定有蛔虫，因为热则生虫，所以脉象洪大。大凡偏嗜某一种食物，体内一定有虫，就以所喜欢的食物，加入下虫杀虫的药物中，没有不立即见效的。如果中气虚弱而虫子不安宁的，只要调补脾胃自然安宁。各种虫子遇到花椒则伏藏，遇到苦味则安定，见到酸味则静止。应声虫，古代有患此病的人，每说话就有声音相应，偶然读到《本草》中的“蓝”字，就沉默了，于是取蓝草捣汁饮用，过了一会儿吐出一块肉，长约二寸多，人形俱全，声音随即停止；又有一人读到“雷丸”不应声，服用雷丸也痊愈了。
Ten taels of calcined lime (Duan Shi), sifted to be extremely fine, stir-fried until red, boiled with good vinegar into a paste. Add one tael of Rhizoma et Radix Notoginseng powder (Dahuang, 大黄) and five qian of Cinnamon Twig powder (Guizhi, 官桂), mix evenly. Seal in a pottery vessel for storage. Spread on paper, warm by baking, and apply to the affected area.
Alcohol accumulation: For mild cases, use Puerariae Radix (Gegen, 葛根), Medicated Leaven (Shenqu, 神曲), Coptidis Rhizoma (Huanglian, 黄连), and Cardamomi Fructus Rotundus (Baidoukou, 白豆蔻); for severe cases, use Kansui Radix (Gansui, 甘遂) and Pharbitidis Semen (Qianniu, 牵牛).
Qi accumulation: For mild cases, use Aucklandiae Radix (Muxiang, 木香), Aurantii Fructus Immaturus (Zhike, 枳壳), Magnoliae Officinalis Cortex (Houpo, 浓朴), and Citri Reticulatae Pericarpium (Juhong, 橘红); for severe cases, use Aurantii Fructus Immaturus (Zhishi, 枳实) and Pharbitidis Semen (Qianniu, 牵牛).
Blood accumulation: For mild cases, use Drynariae Rhizoma (Ganqi, 干漆), Persicae Semen (Taoren), Moutan Cortex (Mudan, 牡丹), Angelicae Sinensis Radix Caulis (Guiwei, 归尾), Paeoriae Radix Rubra (Chishao, 赤芍药), and Carthami Flos (Honghua, 红花); for severe cases, use Rheum Palmatum Rhizoma et Radix (Dahuang, 大黄), Blatta Orientalis (Mengchong, 虻虫), Hirudo (Shuizhi, 水蛭), Manis Squama (Chuanshanjia, 穿山甲), and Pyritum (Huaruishi, 花蕊石).
Phlegm accumulation: For mild cases, use Pinelliae Tuber (Banxia) and Trichosanthis Fructus (Gualou, 栝蒌); for severe cases, use Guntan Wan; for old phlegm, use Floatstone (Haishi, 海石) and Arca Testa (Walengzi, 瓦楞子); for phlegm between skin and fascia, use Mustard Seed (Baijiezi, 白芥子).
Water accumulation: For mild cases, use Wuling San; for severe cases, use Phytolaccae Radix (Shanglu, 商陆), Kansui Radix (Gansui, 甘遂), and Genkwa Flos (Yanhua, 芫花).
Tea accumulation: For mild cases, use Turmeric Rhizome (Jianghuang, 姜黄) and Sesame Seed (Zhimai, 芝麻); for severe cases, use Evodiae Fructus (Zhuyu, 茱萸) and Zanthoxyli Pericarpium with Ginger (Jiaojang, 椒姜).
Mass accumulation: For mild cases, use Bupleuri Radix (Sanleng, 三棱) and Curcumae Rhizoma (Ezhu, 蓬术); for severe cases, use Crotonis Fructus (Bashuang, 巴霜) and Rheum Palmatum Rhizoma et Radix (Dahuang, 大黄).
Grain accumulation: For mild cases, use Hordei Fructus Germinatus (Maiya, 麦芽), Oryzae Fructus Germinatus (Guya, 谷芽), Medicated Leaven (Shenqu, 神曲), and Amomi Fructus (Sharen, 砂仁); for severe cases, use Gallus Gallus Domesticus Ventriculus Intestinum Linen (Jineijin, 鸡内金).
Meat accumulation: For mild cases, use Crataegi Fructus (Shanzha, 山楂) and Ferulae Resina (awei, 阿魏); for severe cases, use Natrii Chloridum (Luosha, 卤砂) and Natrii Nitras (Xiaoshi, 硝石).
Egg accumulation: Use Cardamomi Fructus Rotundus (Baikou, 白豆寇), Citri Reticulatae Pericarpium (Juhong, 橘红), Sojae Semen Praeparatum (Douchi, 豆豉), and Zingiberis Rhizoma Recens Juice (Jiangzhi, 姜汁).
Fruit accumulation: Use Caryophylli Flos (Dingxiang, 丁香), Cinnamomi Cortex (Rougui, 肉桂), and Moschus (Shexiang, 麝香).
Noodle/Dough accumulation: Use Raphani Semen (Luoboz, 萝卜子), decocted with ginger wine.
Fish and Turtle accumulation: Use Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Jupi), Aucklandiae Radix (Muxiang), and Zingiberis Rhizoma Recens Juice (Jiangzhi); Horse Urine is specifically used to treat turtle masses (Bie Xia, 鳖瘕).
Dog meat accumulation: Use Armeniacae Semen Amarum (Xingren, 杏仁) and Crataegi Fructus (Shanzha, 山楂).
Parasite accumulation: Use Realgar (Xionghuang, 雄黄), Tin Ash (Xihui, 锡灰), Arecae Semen (Binglang, 槟榔), Polyporus Umbellatus (Leiwang, 雷丸), Chrysanthemi Indici Flos (Wuyi, 芜荑), Torreyae Seed (Feizi, 榧子), Quisqualis Fructus (Shijunzi, 使君子), and Toosendan Fructus (Chuanlianzi, 川楝子).
Malaria accumulation: Use Trionycis Carapax et Plastrum (Biejia, 鳖甲) and Tsaoko Fructus (Caoguo, 草果).
The principle of creation and generation relies on dampness and heat. Just as rotting wood produces insects and decaying grass turns into fireflies, some parasites cannot form their own shape on plants and must parasitize them; this is actually due to the interaction and transformation of damp-heat qi. Parasites in the human abdomen arise similarly. This occurs because of unregulated consumption of rich and sweet foods, excessive intake of raw and cold items, long-term stagnation transforming into heat, and the brewing effect of damp-heat, which transforms into parasites or accumulations. At this stage, they have not yet caused harm. Over time, the zang-fu organs become weak, or stomach cold/heat develops, or upon re-consuming rich and fatty foods, the parasites become active. When active, they move up and down, attacking the heart and abdomen. Patients cry out, arch their backs, wave their hands, feel mental restlessness, salivate excessively, vomit clear fluid, and experience fluctuating severity of symptoms. Green veins appear on the abdomen, nausea resembles epilepsy, but eyes do not deviate, limbs do not convulse, complexion is abnormal (blue or black). This describes worm pain. Additionally, ascariasis pain arises from eating too early or food that is too coarse. When active, they attack the heart and abdomen, pain comes and goes, they move suddenly, patients crave sweets and dislike other foods, vomit clear fluid, cry loudly, and lips/mouth turn purple-black. In all abdominal pains, the pulse must be deep, weak, and wiry; if it is instead surging, it indicates ascariasis. Moreover, all worms originate in the Liver; thus, in worm pain, the Liver pulse is significantly enlarged. In severe cases, worms cluster together, causing extreme pain leading to syncope, resembling slow convulsions, except for the unique purple lips and mouth. Treatment principles: for excess and severe cases, use purgation; for deficiency and mild cases, use calming methods; if medication cannot be taken, use Zanthoxyli Pericarpium (Chuanjiao, 川椒) to subdue them; sometimes medicine is mixed with meat broth, as the worm head faces upward at this time, allowing expulsion. If the worm penetrates the heart, it is incurable.
Danxi stated: Worms are born of damp-heat; when zang-fu are deficient, they erode. The *Qianjin Fang* states: Labor generates heat, heat generates worms. Heart worms are called Ascaris (Hui, 蛔); Spleen worms are called Tapeworms (Cunbai, 寸白); Kidney worms resemble cut silk threads; Liver worms resemble rotten apricots; Lung worms resemble silkworms. All can be fatal, but Lung worms are most urgent. They reside within lung lobes, eroding lung tissues, causing consumption disease (Zhai Ji, 瘵疾), hemoptysis, hoarseness. Medicines cannot reach them easily, making treatment difficult. Worm production results from irregular diet, hunger and overeating, preference for raw/fatty meats, excessive cold/raw foods, addiction to fermented products, love for rich/sweet foods, leading to zang-fu weakness and internal damp-heat invasion, generating parasite accumulations. When taking vermifuges, the first half of the lunar month is best, as worm heads face upward then, whereas in the second half, they face downward. The three main worms are Long worms (Ascaris), Red worms, and Threadworms (Sao, 蛲). There are nine types of worms in total, with threadworms being most common. Patients with tapeworms contract it from eating beef and drinking white wine; if connected for a chi length, it is fatal. Taking medicine to expel them is ideal only when fully expelled. Other worms include Fu worms, Rou worms, Lung worms, Stomach worms, Ruo worms, and Hui worms. However, threadworms mainly affect children, though adults can get them, causing clear saliva vomiting, heart pain, irritability, intermittent pain. Generally, expelling other worms via bowel movement benefits humans. If present in the stomach, Huachong Wan should be used to remove them quickly. If there is internal heat and empty intestines/stomach, worms move seeking food. Ulcers on the upper lip are called "Huo" (confusion), where worms eat viscera; ulcers on the lower lip are called "Hu" (fox), where worms eat the anus. Those contracting this disease rarely survive. In abdominal pain, the pulse should be deep and wiry; if surging, it indicates ascariasis, because heat generates worms, hence the surging pulse. Generally, if one has a strong craving for a specific food, there are likely worms inside. Adding that preferred food to anti-worm medications ensures immediate efficacy. If middle Qi is deficient and worms are restless, tonifying and regulating the Spleen and Stomach will calm them. All worms are subdued by pepper, calmed by bitterness, and quieted by sourness. The "Echoing Worm": An ancient case involved a patient whose voice echoed every time he spoke. Reading the *Bencao* to the character "Lan" (Isatis Root), he fell silent. Isatis root juice was administered, and shortly after, he vomited a piece of flesh, over two cun long, resembling a human form, and the echoing sound ceased. Another patient did not respond to "Leiwang" (Polyporus Umbellatus) and was cured by taking Leiwang.