论曰虫与人俱生,而藏于幽隐,其为害也,盖本于正气亏弱,既食生冷,复感风邪,所
以种种变化以至蕃息,初若不足畏,而其甚可以杀人,善摄生者,薄滋味,节嗜欲,蚤去三
尸,防患于未然,彼九虫亦将销铄于冥冥之中,惟未进此道,则攘孽剔蠹,无使滋蔓,盖有
药存焉。
论曰九虫一名伏虫,长四分,二名蛔虫,长一尺,三名白虫,长一寸,四名肉虫,状如
烂杏,五名肺虫,状如蚕,六名胃虫,状如虾蟆,七名弱虫,状如瓜瓣,八名赤虫,状如生
肉,九名蛲虫,状如菜虫,至微细也,是九虫皆根据乎肠胃之间,若腑脏气实,则不能为害,
及其虚也,发动变化,侵蚀气血,浸成诸病,不可不察。
治九虫动作,变生诸病,贯众丸方
贯众 石蚕(微炒各一两一分) 野狼牙(锉) 芦(微炒) 蜀漆 白僵蚕(微炒) 浓
朴(
上九味,捣罗为末,炼蜜和为剂,更于臼内,入酥少许,杵令匀熟,丸如梧桐子大。每
服十丸,空心温浆水下,午时临卧再服。
治九虫,鸡子丸方
鸡子(去壳两枚) 好漆(绵滤过四两) 蜡(三两) 粳米粉(半升)
上四味,先取漆蜡,入铜铛中,用慢火煎,搅令得所,次入粳米粉,又搅令匀,煎令凝
候可丸,即取铛置生黄土堆上,才候稍温,即下鸡子,又择令得所,再置火上煎令可丸,丸
如小豆大,隔宿勿食,于空腹煎粟米饮,下二十丸,小儿五丸。
治九虫,麝香丸方
黄连(去须一两) 白芜荑(炒二两) 干虾蟆(一枚酥炙令黄焦) 干漆(炒令烟出
一两)
上六味,捣研为末,入麝香少许,再研罗匀,用醋煮面糊和丸,梧桐子大,每服温水下
十丸,空心食前服。
治九虫动作,腹中刺痛,口吐清水,面色黑黄,及虫心痛者,石榴枝汤方
东引石榴枝(三两) 木香 陈橘皮(汤浸去白焙) 吴茱萸(汤洗焙炒各一两半) 大
黄(
上七味, 咀如麻豆大,每服五钱匕,水一盏半,煎至八分,去滓温服空心。
治大人小儿腹中虫动,痛发不止,漆香散方
干漆(炒令烟出二两) 雄黄(研五钱) 麝香(研一钱)
上三味,先捣干漆为细末,次入雄黄麝香,再同研匀,以密器盛之,每服一钱匕,煎苦
楝根汤调下,食前,小儿以意加减。
治诸虫痛,干漆散方
干漆(炒令烟出半两) 雄黄(研一分) 槟榔(一枚锉) 诃黎勒(煨去核一分)
上四味,捣研为散,每服半钱匕,入麝香少许,用葱汁生油调下,空心服。
治诸虫发动,上连心痛,青橘丸方
青橘皮(汤浸去白焙) 芜荑(微炒) 贯众 雷丸(炮等分)
上四味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,食前橘皮汤下,加至三十丸,
虫下为度。
治腹中诸虫,令人腹痛,多食泥土及油者,南粉散方
南粉(二钱细研)
上五更初,用生油调下,至食时虫出尽。
治诸虫痛,砒黄丸方
砒黄(细研一两)
上一味,用水浸炊饼心为丸,如小豆大,每服二丸,用煮肉汤下,空心食前。
治诸虫发动,咬心痛,芜荑丸方
白芜荑(微炒一两)
上一味为末,用砂糖和丸,如梧桐子大,每服十丸,米饮下,不计时服。
论述说:虫与人生于同一时期,潜伏在隐蔽之处。它们造成的危害,根本原因在于人体正气虚弱。如果既食用了生冷食物,又感受了风邪,就会导致虫体发生各种变化并大量繁殖。起初似乎不足为惧,但严重时足以致人死地。善于养生的人,会饮食清淡,节制欲望,早早去除体内的“三尸”(道教认为寄居人体内作祟的三种害虫),在疾病未发生前就加以防范。这样,那九种虫也会在不知不觉中消亡。如果不遵循此道,就必须通过药物祛除孽障、剔除蛀虫,防止其蔓延滋长,因为确实有药物可以治疗。
论述说:所谓“九虫”,第一种叫伏虫,长度四分;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,形状像菜虫,极其微小细微。这九种虫都盘踞在肠胃之间。如果脏腑之气充实,它们就不能造成危害;一旦脏腑气虚,虫体就会发动变化,侵蚀气血,逐渐演变成各种疾病,不可不仔细考察。
治疗九虫发作,变生各种疾病的贯众丸方:
贯众、石蚕(微炒,各一两一分)、野狼牙(锉碎)、芦(微炒)、蜀漆、白僵蚕(微炒)、浓朴(此处原文似有缺漏,通常需配伍其他药材或剂量,依原文仅列名)。
以上九味药,捣碎过筛成粉末,用炼蜜调和制成丸剂,再放入臼中,加入少许酥油,杵捣均匀熟透,制成梧桐子大小的丸药。每次服用十丸,空腹时用温米汤送服,中午和临睡前再各服一次。
治疗九虫的鸡子丸方:
鸡蛋(去壳,两枚)、好漆(用绵布过滤,四两)、蜡(三两)、粳米粉(半升)。
以上四味药,先取漆和蜡,放入铜锅中,用慢火煎煮,搅拌至适宜状态,然后加入粳米粉,再次搅拌均匀,煎至凝固且可制丸时,将锅放在生黄土堆上,待稍凉后,放入鸡蛋,再次搅拌至适宜状态,放回火上煎至可制丸。制成小豆大小的丸药。隔宿禁食,空腹时煎粟米饮送服二十丸,小儿五丸。
治疗九虫的麝香丸方:
黄连(去须,一两)、白芜荑(炒,二两)、干虾蟆(一枚,用酥炙至黄焦)、干漆(炒至冒烟,一两)。(注:原文列举四味,但下文称“上六味”,可能隐含其他辅料或原文脱漏,此处依原文翻译)。
以上六味药,捣碎研磨成粉末,加入少许麝香,再次研磨均匀,用醋煮面糊调和制成丸药,梧桐子大小。每次服用十丸,温水送服,空腹饭前服用。
治疗九虫发作,腹中刺痛,口吐清水,面色黑黄,以及虫心痛的症状,石榴枝汤方:
东引石榴枝(三两)、木香、陈橘皮(热水浸泡去白焙干)、吴茱萸(热水洗焙炒,各一两半)、大黄(原文此处截断,依常规补全语境,但不添加内容,故仅译现有部分)。
以上七味药,切碎如麻豆大小。每次服用五钱匕,加水一盏半,煎至八分,去渣温服,空腹服用。
治疗大人小儿腹中虫动,疼痛不止的漆香散方:
干漆(炒至冒烟,二两)、雄黄(研细,五钱)、麝香(研细,一钱)。
以上三味药,先将干漆捣成细末,再加入雄黄和麝香,一同研磨均匀,用密封容器盛装。每次服用一钱匕,用苦楝根汤煎好后调服,饭前服用,小儿用量酌情增减。
治疗各种虫痛的干漆散方:
干漆(炒至冒烟,半两)、雄黄(研细,一分)、槟榔(一枚,锉碎)、诃黎勒(煨去核,一分)。
以上四味药,捣碎研磨成散剂。每次服用半钱匕,加入少许麝香,用葱汁和生油调服,空腹服用。
治疗各种虫发作,痛连心部的青橘丸方:
青橘皮(热水浸泡去白焙干)、芜荑(微炒)、贯众、雷丸(炮制,等分)。
以上四味药,捣碎过筛成粉末,用炼蜜调和制成丸药,梧桐子大小。每次服用二十丸,饭前用橘皮汤送服,可加至三十丸,以虫排出为度。
治疗腹中各种虫,导致腹痛,多吃泥土及油脂者的南粉散方:
南粉(二钱,细研)。
以上五味(原文仅列一味,疑有脱漏,依原文翻译),在五更初,用生油调服,到吃饭时虫子会全部排出。
治疗各种虫痛的砒黄丸方:
砒黄(细研,一两)。
以上一味药,用水浸泡炊饼心制成丸药,小豆大小。每次服用二丸,用煮肉汤送服,空腹饭前服用。
治疗各种虫发作,咬心痛的症状,芜荑丸方:
白芜荑(微炒,一两)。
以上一味药,研成粉末,用砂糖调和制成丸药,梧桐子大小。每次服用十丸,米饮送服,不限时间服用。
Discourse states: Parasites are born with humans, hiding in concealed places. Their harm stems fundamentally from the deficiency of healthy qi (Zheng Qi). If one consumes raw and cold foods and is simultaneously affected by wind pathogens, various changes occur leading to their proliferation. Initially, they may seem harmless, but when severe, they can be fatal. Those skilled in preserving health eat bland diets, moderate desires, and eliminate the "Three Corpses" (Daoist concept of parasites residing in the body causing illness) early on, preventing disease before it arises. In this way, the nine types of parasites will dissolve imperceptibly. If one does not follow this path, one must use medicine to remove pests and eliminate worms, preventing their spread, as there are indeed medicines available for treatment.
The discourse states: The so-called "Nine Parasites" are named as follows: First is the Fu Chong (Hidden Worm), four fen long; second is the Hui Chong (Roundworm), one chi long; third is the Bai Chong (White Worm), one cun long; fourth is the Rou Chong (Flesh Worm), resembling rotten apricots; fifth is the Fei Chong (Lung Worm), resembling silkworms; sixth is the Wei Chong (Stomach Worm), resembling toads; seventh is the Ruo Chong (Weak Worm), resembling melon seeds; eighth is the Chi Chong (Red Worm), resembling raw meat; ninth is the Nuo Chong (Pinworm), resembling vegetable worms, extremely minute. These nine parasites reside within the intestines and stomach. If the qi of the fu and zang organs is sufficient, they cannot cause harm; however, when qi is deficient, they activate and change, eroding blood and qi, gradually developing into various diseases, which requires careful examination.
Guan Zhong Wan Formula for treating the activation of the nine parasites and the resulting various diseases:
Guan Zhong (Cyathulae Radix), Shi Can (Silex Siliceus, lightly fried, each 1 liang 1 fen), Ye Lang Ya (Acanthopanacis Senticosi Caulis, chopped), Lu (likely a typo or missing herb name in source, translated as Lu), Shu Qi (Perillae Fructus or similar depending on context, here kept as Shu Qi), Bai Jiang Can (Bombyx Batryticatus, lightly fried), Hou Po (Magnoliae Officinalis Cortex).
(Note: Source text lists ingredients but implies nine items, some details may be truncated in source).
Crush and sieve the above nine herbs into powder. Mix with refined honey to form pills. Place in a mortar, add a small amount of butter (Su), and pound until uniform and cooked. Form into pills the size of paulownia seeds. Take ten pills per dose, with warm rice water on an empty stomach, and again at noon and before bed.
Ji Zi Wan Formula for treating the nine parasites:
Ji Zi (Galli Ovum Shell removed, two eggs), Hao Qi (Good Lacquer, filtered through silk, 4 liang), La (Beeswax, 3 liang), Jing Mi Fen (Oryza Sativa Var. Glutinosa Rice Flour, half sheng).
Take the lacquer and wax first, place in a copper pot, and simmer over low heat, stirring until appropriate. Add rice flour, stir evenly, and cook until solidified and suitable for pill formation. Place the pot on a pile of raw yellow earth. When slightly warm, add the eggs, stir appropriately, return to fire, and cook until suitable for pill formation. Form into pills the size of mung beans. Fast overnight. On an empty stomach, take twenty pills with millet drink; children take five pills.
She Xiang Wan Formula for treating the nine parasites:
Huang Lian (Coptidis Rhizoma, stamens removed, 1 liang), Bai Wu Yi (Chukrasiae Folium, fried, 2 liang), Gan Xia Ma (Bufo Bufo dried, fried with butter until yellow and scorched, one piece), Gan Qi (Dried Lacca, fried until smoke appears, 1 liang).
(Note: Text mentions "six flavors" but lists four main ones plus She Xiang later).
Grind these into powder. Add a small amount of She Xiang (Moschus), grind uniformly. Use vinegar-boiled wheat paste to bind into pills, size of paulownia seeds. Take ten pills with warm water, before meals on an empty stomach.
Shi Liu Zhi Tang Formula for treating parasite activation, abdominal stabbing pain, vomiting clear fluid, dark yellow complexion, and worm-induced heart pain:
Dong Yin Shi Liu Zhi (East-facing Pomegranate Branch, 3 liang), Mu Xiang (Aucklandiae Radix), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Wu Zhu Yu (Evodiae Fructus, washed in hot water, dried, fried, each 1 liang 5 fen), Da Huang (Rhei Radix et Rhizoma - *text truncated*).
(Note: Source text cuts off Da Huang dosage/processing).
Chop the above seven herbs into sizes similar to hemp seeds. Take five qian bi per dose, with 1.5 cups of water, decoct to 0.8 cup, remove dregs, and take warm on an empty stomach.
Qi Xiang San Formula for treating adults and children with moving parasites in the abdomen and unceasing pain:
Gan Qi (Dried Lacca, fried until smoke appears, 2 liang), Xiong Huang (Realgar, ground, 5 qian), She Xiang (Moschus, ground, 1 qian).
First grind Gan Qi into fine powder. Add Xiong Huang and She Xiang, grind together uniformly. Store in a sealed container. Take one qian bi per dose, mixed with decoction of Qiu Lan Gen (Meliae Radix), before meals. Adjust dosage for children as appropriate.
Gan Qi San Formula for treating various parasite pains:
Gan Qi (Dried Lacca, fried until smoke appears, 0.5 liang), Xiong Huang (Realgar, ground, 1 fen), Bing Lang (Arecae Semen, one piece, chopped), He Li Le (Terminaliae Fructus, baked, pit removed, 1 fen).
Grind these four herbs into powder. Take half a qian bi per dose, add a little She Xiang (Moschus), mix with scallion juice and raw oil, take on an empty stomach.
Qing Ju Wan Formula for treating various parasite activations with pain radiating to the heart:
Qing Ju Pi (Aurantii Fructus Viridis, soaked in hot water, white pith removed, dried), Wu Yi (Chukrasiae Folium, lightly fried), Guan Zhong (Cyathulae Radix), Lei Wan (Wulingzhi, processed, equal parts).
Grind these four herbs into powder. Mix with refined honey to form pills, size of paulownia seeds. Take twenty pills per dose, before meals, with Citrus reticulata peel tea. Dosage can be increased to thirty pills, stop when parasites are expelled.
Nan Fen San Formula for treating various abdominal parasites causing abdominal pain, geophagia (eating dirt/oil):
Nan Fen (Kaolin or similar clay, 2 qian, finely ground).
(Note: Text says "above five flavors" but lists only Nan Fen, likely missing other ingredients in source).
Take at dawn (fifth watch), mixed with raw oil. Parasites will be fully expelled by mealtime.
Pi Huang Wan Formula for treating various parasite pains:
Pi Huang (Arsenic Yellow/Oreal, finely ground, 1 liang).
Mix with the center of steamed bread dough soaked in water to form pills, size of mung beans. Take two pills per dose, with broth from boiled meat, before meals on an empty stomach.
Wu Yi Wan Formula for treating various parasite activations and biting heart pain:
Bai Wu Yi (Chukrasiae Folium, lightly fried, 1 liang).
Grind into powder. Mix with rock sugar to form pills, size of paulownia seeds. Take ten pills per dose, with rice drink, at any time.