（论三首 方四十五首）
论曰∶人腹中有尸虫，此物与人俱生，而为人大害。尸虫之形状似大马尾，或如薄筋，
根据脾而居，乃有头尾，皆长三寸。又有九虫，一曰伏虫，长四分。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。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，形如菜虫状。伏虫，则群虫之主也。
蛔虫贯心则杀人。白虫相生，子孙转多，其母转大，长至四五丈，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。弱虫又名膈虫，令人多唾。赤虫令人肠鸣。蛲虫
居胴肠之间，多则为痔，剧则为癞。因人疮痍，即生诸痈、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，类妇人常多，其虫凶恶，人之极
患也。常以白筵草沐浴佳，根叶皆可用，既是香草，且是尸虫所畏也。
论曰∶凡欲服补药及治诸病，皆须去诸虫，并痰饮宿 醒醒除尽，方可服补药，不尔，
必不得药力。
治肝劳生长虫，在肝为病恐畏不安眼中赤方∶
蜡 吴茱萸东行根皮（各二两） 干漆（四两） 鸡子（五枚去黄） 粳米粉（半斤）
上五味捣吴茱萸皮为末和药，铜器中煎可丸，如小豆大，宿勿食，平旦饮服一百丸，小
儿服五十丸，虫当烂出。（《集验方》无吴萸根，名鸡子丸。）
治心劳热伤，心有长虫名曰蛊长一尺，贯心为病方∶
雷丸 橘皮 桃仁（一作桃皮） 石蚕（各五分） 野狼牙（六分） 贯众（二枚） 僵
蚕（三七
枚）
上十二味为末，蜜丸如梧子大，空腹饮或酒下七丸，加至二七丸，日二服。（一方无石
蚕。
治脾劳热，有白虫在脾中为病，令人好呕下虫方∶
大麻子（八升） 东引吴茱萸根（一尺大者） 橘皮（二两）
上三味 咀，以水煎，临时量服，凡合，禁声勿语道作药，虫当闻便不下，切忌之。
治肺劳热生虫，在肺为病方∶
野狼牙（三两） 东行吴茱萸根白皮（五合） 东行桑根白皮（切一升）
上三味 咀，以酒七升，煮取一升，平旦顿服之。
治肾劳热，四肢肿急，蛲虫状如菜虫，在肾中为病方∶
芜荑 胡粉 槐皮（各一两） 干漆（二两） 贯众（三枚） 杏仁（四十枚） 吴萸
（五十枚）
上七味治，下筛，平旦以井花水服方寸匕，加至一匕半，瘥止。
治蛲虫方∶
以好盐末二两，苦酒半升合铜器中，煮数沸，宿不食，空心顿服之。
又方 真珠（二两） 乱发（如鸡子大烧末。）
上二味治下筛，以苦酒调，旦起顿服之。（《肘后方》用治三虫）。
（论述三篇，方剂四十五首）
论述说：人的腹中有尸虫，这种虫子与人同时出生，但对人危害极大。尸虫的形状像大马尾，或者像薄薄的筋，依附在脾脏上居住，有头有尾，长度都是三寸。另外还有九种虫：第一种叫伏虫，长四分；第二种叫蛔虫，长一尺；第三种叫白虫，长一寸；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，极其细微，形状像菜虫。伏虫，是群虫的首领。蛔虫如果贯穿心脏就会致死。白虫繁殖后代，子孙越来越多，母虫变得更大，长达四五丈，也能致人死地。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。弱虫又名膈虫，使人多流口水。赤虫使人肠鸣。蛲虫居住在胴肠之间，多了就会生痔疮，严重了就会生癞病。因为人的疮口伤口，就生出各种痈、疽、癣、疥、龋齿等，虫子无所不为，人也不一定全都有这些虫，有了也不一定是全部种类。有的偏于有某些虫，有的偏于没有，类似妇女身上这类虫通常较多，这些虫子凶恶，是人极大的祸患。经常用白筵草沐浴很好，根和叶都可以使用，它既是香草，又是尸虫所畏惧的东西。
论述说：凡是想要服用补药以及治疗各种疾病，都必须先去除体内的诸虫，并将痰饮、宿食彻底清除干净，才可以服用补药，否则，必然无法发挥药效。
治疗肝劳生长虫，在肝脏致病，表现为恐惧不安、眼中发红的方剂：
蜡（蜂蜡）、吴茱萸东行根皮（各二两）、干漆（四两）、鸡蛋（五枚，去掉蛋黄）、粳米粉（半斤）。
以上五味药，捣碎吴茱萸皮成为粉末，混合药物，在铜器中煎煮至可以制成丸药的程度，做成如小豆大小的丸子。前一天晚上不要进食，清晨空腹用温水送服一百丸，小儿服用五十丸，虫子应当会烂掉排出。（《集验方》中没有吴茱萸根，名为鸡子丸。）
治疗心劳热伤，心脏有长虫名叫蛊，长一尺，贯穿心脏致病的方剂：
雷丸、橘皮、桃仁（一作桃皮）、石蚕（各五分）、野狼牙、贯众（二枚）、僵蚕（三七枚）。
以上十二味药研成粉末，蜂蜜调和制成如梧桐子大小的丸药，空腹时用温水或酒送服七丸，逐渐增加至十四丸，每天服用两次。（另一版本没有石蚕。）
治疗脾劳热，有白虫在脾中致病，使人容易呕吐并排出虫子的方剂：
大麻子（八升）、东引吴茱萸根（一尺粗大的）、橘皮（二两）。
以上三味药切碎，用水煎煮，临时根据情况适量服用。凡是在配制时，禁止说话谈论制药过程，虫子听到声音就不会下来，切记这一点。
治疗肺劳热生虫，在肺部致病的方剂：
野狼牙（三两）、东行吴茱萸根白皮（五合）、东行桑根白皮（切一升）。
以上三味药切碎，用七升酒，煮取一升，清晨一次性服用。
治疗肾劳热，四肢肿胀拘急，蛲虫形状像菜虫，在肾脏致病的方剂：
芜荑、胡粉、槐皮（各一两）、干漆（二两）、贯众（三枚）、杏仁（四十枚）、吴茱萸（五十枚）。
以上七味药处理后，过筛，清晨用井花水送服一方寸匕的药量，增加到一匕半，病愈即止。
治疗蛲虫的方剂：
用好盐末二两，与半升醋混合在铜器中，煮沸几次，前一天晚上不进食，空腹一次性服用。
又一方：真珠（二两）、乱发（如鸡蛋大小，烧成灰末）。
以上两味药处理后过筛，用醋调匀，早晨起床后一次性服用。（《肘后方》用此方治疗三种虫。）
(Three Discourses, Forty-Five Prescriptions)
Discourse: There is a "Corpse Worm" (Shi Chong) in the human abdomen. This creature is born with humans but poses a great harm to them. The shape of the Corpse Worm resembles a large horse's tail or a thin tendon. It resides attached to the Spleen, possessing both head and tail, and measures three cun in length. Additionally, there are nine types of worms: First is the Hidden Worm (Fu Chong), measuring four fen; second is the Roundworm (Hui Chong), measuring one chi; third is the White Worm (Bai Chong), measuring one cun; fourth is the Flesh Worm (Rou Chong), resembling a rotten apricot; fifth is the Lung Worm (Fei Chong), resembling a silkworm; sixth is the Stomach Worm (Wei Chong), resembling a toad; seventh is the Weak Worm (Ruo Chong), resembling a melon seed; eighth is the Red Worm (Chi Chong), resembling raw meat; ninth is the Pinworm (Tiao Chong), extremely minute, resembling a vegetable worm. The Hidden Worm is the leader of all worms. If the Roundworm penetrates the Heart, it causes death. The White Worm reproduces, its offspring multiplying, while the mother grows larger, reaching four or five zhang in length, also capable of causing death. The Flesh Worm causes irritability and fullness. The Lung Worm causes coughing. The Stomach Worm causes vomiting and a tendency for stomach qi to rebel, resulting in hiccups. The Weak Worm, also known as the Diaphragm Worm (Ge Chong), causes excessive salivation. The Red Worm causes borborygmus (intestinal rumbling). The Pinworm resides between the intestines; if numerous, it causes hemorrhoids; if severe, it causes leprosy-like conditions. Due to human sores and wounds, various boils (Yong), carbuncles (Ju), tinea (Xuan), scabies (Suo), and dental caries arise; worms do everything possible. Humans do not necessarily have all these worms, nor must those present be numerous. Some may have specific worms, others none. Similar to women, who often have more of these worms, these creatures are fierce and represent a major affliction for humans. Bathing frequently with Baiyan Grass (Bai Yan Cao) is beneficial; both roots and leaves can be used, as it is both an aromatic herb and feared by the Corpse Worm.
Discourse: Whenever one wishes to take tonic medicines or treat various diseases, one must first eliminate all worms from the body and thoroughly clear out phlegm-fluid retention (Tan Yin) and retained food/wine. Only then can tonic medicines be taken; otherwise, the medicinal efficacy will certainly fail.
Prescription for Liver Exhaustion (Gan Lao) with long worms causing fear, unease, and red eyes:
Beeswax (La), Root bark of Evodia rutaecarpa (Wu Zhu Yu) growing eastward (each 2 liang), Dried Resin of Toxicodendron vernicifluum (Gan Qi) (4 liang), Chicken eggs (5, removing yolks), Rice flour (Jing Mi Fen) (0.5 jin).
Pulverize the root bark of Wu Zhu Yu, mix with other drugs, and decoct in a copper vessel until pillable. Form pills the size of small beans. Fast overnight, and take 100 pills with warm water at dawn. Children take 50 pills. The worms should rot and pass out. (The *Ji Yan Fang* lacks Wu Zhu Yu root and names this Ji Zi Wan [Chicken Egg Pill].)
Prescription for Heart Exhaustion Heat Injury, where long worms named Gu (蛊) reside in the heart, measuring one chi and penetrating the heart:
Polyporus umbellatus (Lei Wan), Tangerine peel (Ju Pi), Peach kernel (Tao Ren, alternatively peach skin), Stone Silkworm (Shi Can), Wild Wolf Tooth (Ye Lang Ya) (each 5 fen), Cyathula officinalis (Guan Zhong) (2 pieces), Bombyx batryticatus (Jiang Can) (37 pieces).
Pulverize the twelve ingredients, honey-combine into pills the size of wetapod seeds. Take 7 pills on an empty stomach with water or wine, increasing to 14 pills, twice daily. (One version excludes Shi Can.)
Prescription for Spleen Exhaustion Heat, with White Worms in the spleen causing frequent vomiting and passage of worms:
Hemp seed (Da Ma Zi) (8 sheng), Eastward-growing root of Evodia rutaecarpa (Wu Zhu Yu) (one chi, thick ones), Tangerine peel (Ju Pi) (2 liang).
Chop the three ingredients, decoct in water, and take appropriate amounts as needed. When preparing the medicine, strictly avoid speaking about the preparation process, lest the worms hear and refuse to descend. This is crucial.
Prescription for Lung Exhaustion Heat generating worms in the lungs:
Wild Wolf Tooth (Ye Lang Ya) (3 liang), White bark of Eastward-growing Evodia rutaecarpa (Wu Zhu Yu) (5 he), White bark of Eastward-growing Mulberry root (Sang Bai Pi) (chopped, 1 sheng).
Chop the three ingredients, decoct in seven sheng of wine until one sheng remains. Take all at once at dawn.
Prescription for Kidney Exhaustion Heat, with swollen and tight limbs, Pinworms resembling vegetable worms residing in the kidneys:
Myrobalan (Wu Ti), Lead carbonate (Hu Fen), Sophora root bark (Huai Pi) (each 1 liang), Dried Resin of Toxicodendron vernicifluum (Gan Qi) (2 liang), Cyathula officinalis (Guan Zhong) (3 pieces), Apricot kernel (Xing Ren) (40 pieces), Evodia fruit (Wu Yu) (50 pieces).
Process the seven ingredients, sieve, and take one fang cun bi (square-inch spoonful) with well water at dawn, increasing to one and a half bi, stopping when cured.
Prescription for Pinworms:
Mix two liang of fine salt powder with half a sheng of vinegar in a copper vessel, boil several times. Fast overnight, and take on an empty stomach in one dose.
Another Prescription: Pearl (Zhen Zhu) (2 liang), Human hair (Luan Fa) (size of a chicken egg, burned to ash).
Process the two ingredients, sieve, mix with vinegar, and take at once upon rising in the morning. (*Zhou Hou Bei Ji Fang* uses this for treating three types of worms.)