夫 癖之病大同而小异 者近脐左右成条大者如臂次者如弦之状癖在两肋之间有时而痛
此皆由阴阳不和经络痞隔饮食停滞不得宣流邪冷之气搏结而成也(鸡峰方)
昔人患 瘕死遗言令开腹取之得病块干硬如石文理有五色人谓异物窃取削成刀柄后因以
刀刈三棱柄消成水乃知此可疗 瘕也(本草)
永州通判厅军员毛景得奇疾每语喉中必有物作声相应有道人教令学诵本草药名至蓝而默
然遂
取蓝捩汁而饮之少顷吐出肉块长二寸余人形悉具刘襄子思为永 景正被疾逾年亲见其愈(泊
宅编)
陈正敏遁斋闲览载杨 中年得异疾每发言应答腹中有小声效之数年间其声浸大有道士见
而惊
曰此应声虫也久不治延及妻子宜读本草遇虫不应者当取服之 如言读至雷丸虫忽无声乃顿服
数粒遂愈正敏其后至长沙遇一丐者亦有是疾环而观之甚众因教使服雷丸丐者谢曰某贫无他技
所以求衣食于人者唯藉此尔以上皆陈所记予读唐张 朝野佥载云洛州有士人患应声语即喉中
应之以问良医张文仲张经夜思之乃得一法即取本草令读之皆应至其所畏者即不言仲乃录取药
合和为丸服之应时而止乃知古有是事(百衲居士铁围山丛话)
蛔虫九虫之数人腹中皆有之小儿失乳而哺早或食甜过多胃虚虫动令人腹痛恶心口吐清水
腹上
有青筋火煨使君子与食以壳煎汤送下甚妙然世人多于临卧服之又无日分多不验唯是于月初四
五间五更服之至日午前虫尽下可以和胃温平药一两日调理之不可多也凡虫在人腹中月上旬头
向上中旬横之下旬头向下故中下旬用药即不入虫口所以不验也牛马之生子上旬生者行在母前
中旬生者并肩而行下旬生者后随之猫之食鼠亦然上旬食上 中旬中 下旬下 自然之理物皆
由之而莫知之(医余)
癖病（腹内结块，推之不移，痛有定处）的大致情况相同但细节略有差异：有的位于肚脐左右，呈条状，大的如手臂粗，小的如琴弦细；有的位于两肋之间，有时会出现疼痛。这些症状都是由于阴阳失调、经络阻滞、饮食停滞无法宣通流散，以及寒邪之气搏结凝聚而形成的。（出自《鸡峰方》）
过去有人患瘕病（腹内结块，聚散无常，痛无定处）死后留下遗言，让人剖开腹部取出病灶，发现病块干燥坚硬像石头一样，纹理中有五种颜色，人们称之为异物并偷偷削制成刀柄，后来用这把刀切割三棱草，刀柄竟然溶解成水，由此才知道这种药可以治疗瘕病。（出自《本草》）
永州通判厅的军员毛景得了奇异的疾病，每次说话时喉咙中必定有物体发出声音与之相应。有位道人教他学习背诵本草药名，直到读到“蓝”字时，他沉默不语。于是取蓝草拧出汁液让他喝下，过了一会儿吐出一块肉，长二寸多，形状完全具备人形。刘襄子思担任永、景两地长官期间亲自目睹了毛景痊愈的过程。（出自《泊宅编》）
陈正敏在《遁斋闲览》中记载，杨先生中年时得了怪病，每次发言应答时，腹中都有小声模仿回声。几年间，那声音逐渐变大。一位道士看见后惊讶地说：“这是应声虫。长久不治会波及妻儿子女，应当诵读《本草》，遇到虫子不回应的时候，就取那种药服用。”按照他的话读至“雷丸”时，虫子忽然不再出声，于是立刻顿服几粒，随即痊愈。陈正敏后来到了长沙，遇到一个乞丐也有同样的病，围观的人很多，便教他服用雷丸。乞丐推辞说：“我贫穷没有其他技艺，靠乞讨衣食生活，全仰仗这个毛病来博取同情罢了。”以上都是陈正敏所记述的内容。我阅读唐代张鷟的《朝野佥载》时说：洛州有一位读书人患应声语病，即喉咙里跟着回应。他去问名医张文仲，张经一夜思考，想到一个办法，即取《本草》令其诵读，全都回应，直到读到他所畏惧的药名时就不说话了。张仲于是采集这些药物混合制成丸剂让他服用，应声随即停止。由此可知古代确有此事。（出自《百衲居士铁围山丛话》）
蛔虫属于九虫之一，人的腹中都有。小儿如果断奶过早或喂食甜食过多，导致胃虚虫动，会引起腹痛、恶心、口吐清水、腹部出现青筋等症状。用火煨过的使君子与食物一起食用，或用使君子壳煎汤送服，效果很好。然而世人多在临睡前服用，且没有固定的日期，大多无效。只有在每月初四、初五的五更天服用，到中午前虫子就会全部排出，之后可以用一两天的温和调和脾胃的药物进行调理，不可过量。凡是虫类在人体腹中，上旬头部向上，中旬横向，下旬头部向下，所以在中下旬用药就无法进入虫口，因此无效。牛马生育，月上旬出生的走在母体前面，中旬出生的并肩而行，下旬出生的跟在后面。猫吃老鼠也是如此，上旬吃上面的，中旬吃中间的，下旬吃下面的，这是自然之理，万物都遵循此规律却无人知晓。（出自《医余》）
Pi disease (abdominal masses that are fixed, immovable upon pushing, and associated with localized pain) is generally similar but differs in details: some are located to the left or right of the navel, appearing as strips; those larger are as thick as an arm, while smaller ones are as thin as a string. Others are located between the hypochondriac regions and cause intermittent pain. These conditions all arise from disharmony of Yin and Yang, obstruction of meridians, stagnation of food and fluids preventing their free circulation, and the binding and coagulation of cold pathogenic factors. (From *Jifeng Fang*)
In the past, a person suffering from Jia disease (abdominal masses that gather and scatter irregularly with no fixed location of pain) left instructions after death to have his abdomen opened to remove the lesion. The removed mass was found to be dry, hard like stone, with five-colored textures. People called it a foreign object and secretly carved it into a knife handle. Later, when this knife was used to cut *Sanleng* (Sparganii Rhizoma), the handle dissolved into water. From this, it was known that this herb could treat Jia disease. (From *Bencao*)
Mao Jing, a military officer in the office of the Vice Prefect of Yongzhou, suffered from a strange illness where a sound would always emanate from his throat corresponding to his speech. A Daoist priest instructed him to memorize the names of herbs from the *Compendium of Materia Medica*. When he reached the name "Lan" (Isatidis Folium), he fell silent. Consequently, juice was extracted from Lan grass and given to him to drink. After a short while, he vomited out a piece of meat over two cun long, completely shaped like a human form. Liu Xiang Zisi, who served as the prefect of Yong and Jing, personally witnessed Mao Jing's recovery over the course of more than a year. (From *Bozhai Bian*)
Chen Zhengmin recorded in *Dunzhai Xianlan* that Mr. Yang developed a peculiar illness in middle age. Whenever he spoke or responded, a small voice mimicking echoes came from his abdomen. Over several years, the sound grew louder. A Daoist priest saw this and exclaimed, "This is an Echoing Worm. If not treated for a long time, it will spread to your wife and children. You should recite the *Compendium of Materia Medica*; when the worm does not respond, take that medicine." Following his advice, when reading about "Leiwang" (Pillulae Asaris), the worm suddenly fell silent. He immediately took several pills and was cured. Later, Chen Zhengmin met a beggar in Changsha who had the same ailment. Many people gathered around, so he taught the beggar to take Leiwang. The beggar declined, saying, "I am poor and have no other skills; I rely on begging for food and clothing, and I depend entirely on this condition to gain sympathy." These accounts were recorded by Chen Zhengmin. I read in Zhang Zhuo's *Chaoye Qianzai* from the Tang Dynasty that a scholar in Luozhou suffered from Echoing Speech, responding in his throat. He consulted the renowned physician Zhang Wenzhong. Zhang pondered overnight and devised a method: he had the patient recite the *Compendium of Materia Medica*. All names elicited a response until he reached a herb the worm feared, at which point silence ensued. Zhang then collected these specific herbs, compounded them into pills, and administered them. The echoing stopped instantly. Thus, we know such events occurred in ancient times. (From *Baina Jushi Tiewei Shan Conghua*)
Roundworms (Ascaris lumbricoides) are one of the Nine Worms, present in everyone's abdomen. In infants, early weaning or excessive consumption of sweet foods can lead to Spleen/Stomach deficiency and worm agitation, causing abdominal pain, nausea, vomiting of clear fluid, and visible blue veins on the abdomen. Roasted *Shijunzi* (Quisqualis Fructus) eaten with food, or decoction made from its shells, is very effective. However, people often take it before bed without a specific schedule, leading to poor efficacy. It is most effective when taken during the third watch (Wugeng) on the 4th or 5th day of the lunar month. By mid-morning, the worms will be expelled. Subsequently, mild harmonizing and warming formulas can be taken for one or two days to regulate the Stomach; do not overdose. Generally, worms in the abdomen position themselves differently depending on the lunar date: heads up in the first ten days, horizontal in the second ten days, and heads down in the last ten days. Therefore, medication taken in the middle or late periods fails to enter the worm's mouth, rendering it ineffective. For cattle and horses, those born in the first ten days walk ahead of the mother, those in the second ten days walk side-by-side, and those in the last ten days follow behind. Cats eating mice behave similarly: eating the upper part in the first ten days, the middle in the second, and the lower in the last. This is natural law, followed by all things, yet unknown to most. (From *Yiyu*)