论曰三虫亦九虫之数,曰蛔曰赤曰蛲是也,其发动诸病,较之它种为甚,蛔虫又曰长虫,
长一尺,动则吐清水,心痛贯心则死,赤虫状似生肉,动则肠鸣,蛲虫至细微,形如菜虫,
居胴肠间,多则为痔,极则为癞,或生诸痈疽癣 疥,而其变甚多,三虫为患如此,古人
必析而治之,意亦深矣。
治三虫发动心痛等疾,白蔹丸方
白蔹(碎锉) 野狼牙(去莲苗处及土锉碎) 芦(微炙) 桃花 贯众(择去心须) 陈
橘皮
上七味,捣罗为细末,炼蜜和为剂,更于铁臼内入酥,杵令匀熟,丸如小豆大,每服二
十丸,隔宿勿食,空腹浆水下,至晚再服,渐加至三十丸,妊娠妇人勿服。
治三虫发痛,面目黄不下食,鳖甲丸方
鳖甲(去裙 醋炙黄二两) 白术(一两半) 陈橘皮(汤去白焙一两) 木香 狗脊
(去毛
上七味,捣罗为细末,炼蜜和为剂,置臼内入酥,杵令匀熟,丸如梧桐子大,每日空腹,
煎青橘皮汤,下三十丸,晚食前再服。
治三虫,芎 散方
芎 白芷 雷丸(煨) 桔梗(炒各一两)
上四味,同捣罗为细散,每服二钱匕,用蜜并醋各少许解匀,调服,或米泔汁调服亦可,
每日空腹日午近晚各一,亦可蜜丸服之。
治三虫, 芦散方
芦(炙黄四两) 干漆(炒令烟尽二两) 吴茱萸(水浸两日每三次换水洗去涎焙干
微炒
上三味,捣罗为细散,每服二钱匕,煎粟米稀粥调,空心服。
治三虫,保定肺气,去寒热,养肌肤,益气力,利小便,及诸暴中偏风湿痹,强骨髓,
天门冬煎方
天门冬(去心生用十斤) 白蜜(七两)
上二味,先取天门冬,细切烂研如泥,用酒一斗,如绞取汁,并蜜搅令匀,铜器中重汤
上煎,仍用竹篦搅候如饧,每服如弹丸大,空腹温汤服之,或用生地黄汁一盏同煎妙。
治三虫乱发灰散方
乱发(净洗如鸡子大烧灰) 丹砂(研如面水飞过一两)
上二味同研极细,每服一钱匕,醋调空腹服之。
治三虫,雷丸散方
雷丸(炮一两) 芎 (一两)
上二味,捣罗为细散,每服一钱匕,空腹煎粟饮调下,日午近晚各一服。
治三虫,鹤虱散方
鹤虱(微炒二两) 芦(微炒一两)
上二味,捣罗为细散,每服一钱匕,用猪羊肉 汁调服,空腹日午近夜各一服。
治脏腑内一切虫,令人偏好食生物,及面黄呕吐,或时心腹发痛,但是虫病悉治,白金
散方
野狼毒(不拘多少)
上一味,捣罗为细散,每服一钱匕,用饧一皂子大,砂糖少许,以温水同化下,临卧后
腹空时服之,服药时,先服微动气食药一服,来日早取下虫为效。
治大人小儿诸虫为病,及骨蒸热劳羸瘦,飞尸遁尸鬼疰,室女经脉不行,五心烦热,怠
惰少力,寸金散方
干漆(不拘多少炒令烟出)
上一味,捣罗为细散,每服一钱匕,以生油温水,搅匀调服,若治小儿,每一斤再入白
芜荑仁三两,捣罗取细末,更研雄黄半两,合研匀,量儿大小,亦用生油温水调服,清米
饮亦得,如是室女经脉不行,服之必行,其余蛔虫寸白虫,服无不效者。
治三虫,神效, 芦散方
芦(微炙二两)
上一味,捣罗为细散,每服二钱匕,隔宿匀食,于清旦用羊肉 汁调服之,虫自下。
治三虫,槟榔汤方
槟榔(三枚灰火煨过)
上一味,粗捣筛,用水三盏,煎至一盏半,去滓分三服,空腹日午前近夜各一服,其虫
尽下,或和葱白盐豉同煮饮之,亦佳。
治三虫,鹤虱散方
鹤虱(微炒一两半)
上一味,捣罗为细散,每服一钱匕,用猪肉肉 汁调,空心服之。
论述说:三虫也属于九虫的范畴,即蛔虫、赤虫和蛲虫。它们引发的各种疾病,比其他种类的虫更为严重。蛔虫又被称为长虫,长达一尺,发作时呕吐清水,若疼痛放射至心脏则会导致死亡;赤虫形状像生肉,发作时肠鸣;蛲虫极其微小,形状像菜青虫,居住在胴肠(大肠与小肠)之间,数量多时会引发痔疮,严重时会导致癞病(麻风等皮肤顽疾),或者产生各种痈疽、癣、疥疮,其变化非常多。三虫为害如此严重,古人必定将其分开治疗,其中的用意也很深远。
治疗三虫引发心痛等疾病的白蔹丸方:
白蔹(捣碎锉细)、野狼牙(去除莲苗处及泥土后锉碎)、芦(轻微炙烤)、桃花、贯众(挑选去除心须)、陈橘皮。
以上七味药,捣碎过筛成细末,用炼蜜调和制成丸剂,再放入铁臼中加入酥油,杵打均匀熟透,制成如小豆大小的丸药。每次服用二十丸,隔一夜不进食,空腹用米汤送服,到了晚上再服一次,逐渐增加至三十丸,孕妇禁止服用。
治疗三虫引发疼痛,面目发黄不能进食的鳖甲丸方:
鳖甲(去除裙边,醋炙至黄色,二两)、白术(一两半)、陈橘皮(热水烫去白瓤焙干,一两)、木香、狗脊(去毛)。
以上七味药,捣碎过筛成细末,用炼蜜调和制成丸剂,放入臼中加入酥油,杵打均匀熟透,制成如梧桐子大小的丸药。每天空腹时,煎煮青橘皮汤,送服三十丸,晚饭前再服一次。
治疗三虫的芎䓖散方:
芎䓖、白芷、雷丸(煨制)、桔梗(炒制,各一两)。
以上四味药,一起捣碎过筛成散剂。每次服用二钱匕,用少许蜂蜜和醋调匀服用,或者用米泔水调服也可以。每天空腹、中午、临近晚上各服一次,也可以制成蜜丸服用。
治疗三虫的葶苈散方:
葶苈(炙黄,四两)、干漆(炒至烟尽,二两)、吴茱萸(用水浸泡两天,每三次换水洗去唾液,焙干微炒)。
以上三味药,捣碎过筛成细散。每次服用二钱匕,用粟米稀粥调服,空腹服用。
治疗三虫,保定肺气,去除寒热,滋养肌肤,益气力,通利小便,以及治疗各种突发性的偏侧风湿痹痛,强健骨髓的天门冬煎方:
天门冬(去除心生用,十斤)、白蜜(七两)。
以上两味药,先取天门冬,细细切碎烂研如泥状,用酒一斗,像绞汁一样提取药汁,并与蜂蜜搅匀,在铜器中隔水加热煎煮,仍用竹篦搅拌,待其浓稠如饴糖状。每次服用如弹丸大小,空腹用温开水送服。或者用生地黄汁一盏同煎更好。
治疗三虫乱发灰散方:
乱发(洗净如鸡蛋大烧成灰)、丹砂(研如面粉水飞过,一两)。
以上两味药一同研磨极细。每次服用一钱匕,用醋调匀空腹服用。
治疗三虫的雷丸散方:
雷丸(炮制,一两)、芎䓖(一两)。
以上两味药,捣碎过筛成细散。每次服用一钱匕,空腹煎粟米饮调下,中午和临近晚上各服一次。
治疗三虫的鹤虱散方:
鹤虱(微炒,二两)、葶苈(微炒,一两)。
以上两味药,捣碎过筛成细散。每次服用一钱匕,用猪羊肉汁调服,空腹、中午、临近晚上各服一次。
治疗脏腑内一切虫,使人偏好吃生食,以及面色发黄呕吐,有时心腹疼痛,凡是虫病都治疗的白金散方:
野狼毒(不限多少)。
以上一味药,捣碎过筛成细散。每次服用一钱匕,用一块皂子大的饴糖和少许砂糖,用温水化开送服,临睡前腹部空的时候服用。服药时,先服用一点能轻微推动气机的食药,第二天早上排出虫子即为有效。
治疗大人小儿各种虫类疾病,以及骨蒸热劳、身体消瘦,飞尸、遁尸、鬼疰,少女月经不行,五心烦热,懒惰少力的寸金散方:
干漆(不限多少,炒至冒烟)。
以上一味药,捣碎过筛成细散。每次服用一钱匕,用生油和温水搅匀调服。如果治疗小儿,每一斤药再加入白芜荑仁三两,捣碎过筛取细末,再研磨雄黄半两,混合研匀,根据孩子的大小,也用生油温水调服,清米饮也可以。如果是少女月经不行,服用后必然通畅,其余蛔虫、寸白虫,服用无不有效的。
治疗三虫,神效的葶苈散方:
葶苈(微炙,二两)。
以上一味药,捣碎过筛成细散。每次服用二钱匕,隔一夜均匀饮食,在清晨用羊肉汁调服,虫子自然排出。
治疗三虫的槟榔汤方:
槟榔(三枚,在灰火中煨过)。
以上一味药,粗捣筛,用水三盏,煎至一盏半,去渣分三次服用,空腹、日中午前、临近晚上各服一次,虫子全部排出。或者和葱白、盐豉同煮饮用,也很好。
Commentary states: The "Three Worms" (San Chong) also belong to the category of the "Nine Worms" (Jiu Chong), specifically referring to Ascaris lumbricoides (Hui Chong, 蛔虫), Red Worms (Chi Chong, 赤虫), and Pinworms (Nao Chong, 蛲虫). The diseases they induce are more severe than those caused by other types of worms. Ascaris lumbricoides is also called the "Long Worm" (Chang Chong, 长虫), measuring about one chi in length; when active, it causes vomiting of clear fluid, and if the pain radiates to the heart, it can be fatal. Red Worms resemble raw meat; when active, they cause borborygmus (intestinal rumbling). Pinworms are extremely minute, resembling vegetable larvae, residing between the large and small intestines (Tong Chang, 胴肠); a large number can lead to hemorrhoids, and in extreme cases, leprosy-like conditions (Lai, 癞), or various carbuncles, sores, tinea, and scabies. Their manifestations are highly variable. Given such severe harm caused by the Three Worms, ancient physicians certainly treated them separately, implying profound therapeutic intent.
Formula for Bai Lian Wan (White Peony Root Pill) to treat diseases such as heart pain induced by the Three Worms:
Bai Lian (Radix Paeoniae Rubra, 白蔹) [crushed and sliced], Ye Lang Ya (Herba Siegesbeckiae Orientalis, 野狼牙) [remove lotus root-like parts and soil, then crushed and sliced], Ting Li (Semen Lepidii seu Descurainiae, 葶苈) [lightly roasted], Tao Hua (Flos Persicae, 桃花), Guan Zhong (Rhizoma Cyathulae seu Cibotii, 贯众) [select and remove heart and fibers], Chen Ju Pi (Pericarpium Citri Reticulatae, 陈橘皮).
The above seven ingredients are pounded, sifted into fine powder, mixed with refined honey to form pills. Then, add su (animal fat/butter) into an iron mortar and pound until uniform and well-blended. Form pills the size of small beans. Take 20 pills per dose. Fast overnight, take on an empty stomach with rice water. Take again late in the evening. Gradually increase to 30 pills. Contraindicated in pregnant women.
Formula for Bie Jia Wan (Softshell Turtle Shell Pill) to treat pain induced by the Three Worms, yellow complexion, and loss of appetite:
Bie Jia (Carapax et Plastrum Testudinis, 鳖甲) [remove skirt edge, vinegar-roasted until yellow, 2 liang], Bai Zhu (Radix Atractylodis Macrocephalae, 白术) [1.5 liang], Chen Ju Pi (Pericarpium Citri Reticulatae, 陈橘皮) [scalded to remove white pith, dried, 1 liang], Mu Xiang (Radix Aucklandiae, 木香), Gou Ji (Rhizoma Cibotii, 狗脊) [remove hairs].
The above seven ingredients are pounded, sifted into fine powder, mixed with refined honey to form pills. Place in a mortar, add su, and pound until uniform and well-blended. Form pills the size of paulownia seeds. Take 30 pills daily on an empty stomach, administered with decoction of Qing Ju Pi (Pericarpium Citri Reticulatae Viride, 青橘皮). Take another dose before evening meal.
Formula for Xiong Qiong San (Kung Kung Powder) to treat the Three Worms:
Xiong Qiong (Radix Ligustici Chuanxiong, 芎䓖), Bai Zhi (Radix Angelicae Dahuricae, 白芷), Lei Wan (Semen Paviliae, 雷丸) [roasted], Jie Geng (Radix Platycodonis, 桔梗) [stir-fried, each 1 liang].
The above four ingredients are pounded together and sifted into a powder. Take 2 qian bi per dose, mixed with a small amount of honey and vinegar, or mixed with rice wash water. Take once on an empty stomach, once at noon, and once near evening. Can also be taken as honey pills.
Formula for Ting Li San (Ting Li Powder) to treat the Three Worms:
Ting Li (Semen Lepidii seu Descurainiae, 葶苈) [roasted until yellow, 4 liang], Gan Xi (Resina Taxodi, 干漆) [stir-fried until smoke ceases, 2 liang], Wu Zhu Yu (Fructus Evodiae, 吴茱萸) [soaked in water for two days, changing water three times to remove saliva, dried, lightly roasted].
The above three ingredients are pounded and sifted into fine powder. Take 2 qian bi per dose, mixed with thin millet porridge. Take on an empty stomach.
Formula for Tian Men Dong Jian (Asparagus Fern Decoction) to treat the Three Worms, secure Lung Qi, eliminate chills and fever, nourish skin and muscles, boost Qi and strength, promote urination, and treat various acute hemiplegic wind-damp bi syndrome, strengthening bone marrow:
Tian Men Dong (Radix Asparagi, 天门冬) [remove heart, used raw, 10 jin], Bai Mi (Mell, 白蜜) [7 liang].
The above two ingredients: First, finely chop and grind Tian Men Dong into a paste. Use one dou of wine to extract the juice, mix with honey until uniform. Simmer in a copper vessel over double-boiling heat, stirring constantly with a bamboo spatula until thick like malt syrup. Take a dose the size of a bullet pill, warm with plain water on an empty stomach. Alternatively, simmer with one cup of fresh Radix Rehmanniae Preparata juice (Sheng Di Huang Zhi, 生地黄汁) for better effect.
Formula for Luan Fa Hui San (Hair Ash Powder) to treat the Three Worms:
Luan Fa (Capilli Humanis Cinis, 乱发) [cleanly washed, burned to ash, quantity equivalent to a chicken egg], Dan Sha (Cinnabaris, 丹砂) [ground to flour consistency, washed with water, 1 liang].
The above two ingredients are ground together extremely finely. Take 1 qian bi per dose, mixed with vinegar. Take on an empty stomach.
Formula for Lei Wan San (Lei Wan Powder) to treat the Three Worms:
Lei Wan (Semen Paviliae, 雷丸) [processed, 1 liang], Xiong Qiong (Radix Ligustici Chuanxiong, 芎䓖) [1 liang].
The above two ingredients are pounded and sifted into fine powder. Take 1 qian bi per dose, mixed with millet drink decoction. Take on an empty stomach, once at noon and once near evening.
Formula for He Shi San (He Shi Powder) to treat the Three Worms:
He Shi (Herba Pedilii, 鹤虱) [lightly stir-fried, 2 liang], Ting Li (Semen Lepidii seu Descurainiae, 葶苈) [lightly stir-fried, 1 liang].
The above two ingredients are pounded and sifted into fine powder. Take 1 qian bi per dose, mixed with pig or mutton juice. Take on an empty stomach, once at noon and once near evening.
Formula for Bai Jin San (White Gold Powder) to treat all internal worms in organs and bowels, craving for raw food, yellow complexion, vomiting, occasional abdominal pain; effective for all worm diseases:
Ye Lang Du (Radix Daphnes Genkwa, 野狼毒) [any quantity].
One ingredient: Pound and sift into fine powder. Take 1 qian bi per dose, dissolved with a piece of yi tang (malt sugar) the size of a soap nut and a little granulated sugar in warm water. Take after going to bed when the abdomen is empty. Before taking this medicine, first take a dose of food/herb that mildly moves Qi. Excretion of worms the next morning indicates efficacy.
Formula for Cun Jin San (Inch Gold Powder) to treat various worm diseases in adults and children, bone-steaming heat consumption, emaciation, Fei Shi (Flying Corpse), Dun Shi (Lurking Corpse), Gui Zhu (Ghost Taint), amenorrhea in unmarried women, five-palm heat, lethargy, and weakness:
Gan Xi (Resina Taxodi, 干漆) [any quantity, stir-fried until smoke appears].
One ingredient: Pound and sift into fine powder. Take 1 qian bi per dose, mixed with raw oil and warm water. For children, add 3 liang of Bai Wu Ti Ren (Semen Chrysanthemi Indici, 白芜荑仁) for every 1 jin of Gan Xi, pound and sift to fine powder, then grind in 0.5 liang of Xiong Huang (Realgar, 雄黄), mix uniformly. Adjust dosage according to child's size, mixed with raw oil and warm water or clear rice drink. For amenorrhea in unmarried women, menstruation will resume upon taking this. It is also effective for Ascaris lumbricoides and Taenia solium (Cun Bai Chong, 寸白虫).
Formula for Ting Li San (Ting Li Powder) to treat the Three Worms with miraculous effect:
Ting Li (Semen Lepidii seu Descurainiae, 葶苈) [lightly roasted, 2 liang].
One ingredient: Pound and sift into fine powder. Take 2 qian bi per dose. Maintain balanced diet overnight. In the early morning, mix with mutton juice to take. Worms will naturally pass out.
Formula for Bing Lang Tang (Areca Nut Decoction) to treat the Three Worms:
Bing Lang (Semen Arecae, 槟榔) [3 pieces, roasted in ash fire].
One ingredient: Coarsely crush and sieve. Use three cups of water, decoct to one and a half cups. Remove dregs and divide into three doses. Take on an empty stomach, once before noon, and once near evening. All worms will be expelled. Alternatively, boil with scallion whites and fermented black soybeans for drinking, which is also good.
Formula for He Shi San (He Shi Powder) to treat the Three Worms:
He Shi (Herba Pedilii, 鹤虱) [lightly stir-fried, 1.5 liang].
One ingredient: Pound and sift into fine powder. Take 1 qian bi per dose, mixed with pork juice. Take on an empty stomach.