治少小有蛔虫，结在腹中，数发腹痛，微下白汁，吐闷寒热，饮食不生肌皮，肉痿黄
四肢不相胜举方∶
蘼芜 贯众 雷丸 山茱萸 天冬 野狼牙 （各八分） 芦 甘菊（各四分）
上八味为末，蜜丸如大豆，三岁饮服五丸，五岁以上以意加之，渐至十丸。加 芦六
分名 芦丸，治老小及妇人等万病。腹内冷热不通，急满痛，胸膈坚满，手足烦热上气，不
得饮食，身体气肿腰脚不遂，腹内状如水鸡鸣，女人月经不调，无所不治。
治蛔虫方∶
芦末以饮 和，服方寸匕不觉，加之。（《备急方》治蛲虫）。
治热患有蛔虫懊恼方∶
芦（十分） 干漆 扁竹（各二分）
上三味治，下筛，米饮和一合服之。日三。
治蛔虫在胃中渐渐羸人方∶
干漆（《外台》作盐） 醇酒 白蜜（各一升）
上三味纳铜器中微火煎，令可丸如桃核一枚，温酒中，宿勿食，旦服之，虫必下。未下
更服。（《外台》治蛲虫）。
又方 取楝实纳醇苦酒中浸再宿，用绵裹，纳谷道中入三寸，一日易之（《集验方》用
治长
治蛔虫攻心腹痛方∶
锉薏苡根三斤，以水七升，煮取三升，先食服之，虫即死出。
又方 鹤虱为末，苦酒空腹服方寸匕，佳。
又方 七月七日采蒺藜子阴干烧灰，先食服方寸匕，日三，即瘥。
治寸白虫方∶
吴茱萸细根（一握，熟捣） 大麻子（三升，熬，捣末）
上二味以水三升和搦取汁，平旦顿服，至巳时与好食令饱，须臾虫出。不瘥，明旦更合
服之。不瘥，三日服。（《肘后》治三虫，以酒渍，取汁服）。
又方 芜荑（六分） 野狼牙（四分） 白蔹（二分）
上三味治，下筛，以苦酒二合，和一宿，次早空腹服之。
又方 胡麻（一升） 胡粉（一两）
上二味为末，平旦空腹，以猪肉 汁啖尽，即瘥。
又方 以榧子四十九枚，去皮，月上旬平旦空腹服七枚，七日服尽，虫消成水，永瘥
又方 以吴茱萸北阴根干去土切一升，以酒一升浸一宿，平旦分二服。凡茱萸皆用细
根东引北阴者良。若如指以上大，不任用。
又方 用石榴根如茱萸法，亦可水煮服。
又方 大麻捣取汁，五升分五服。亦治小儿蛔虫。
又方 以好麻油二升煎令熟，纳葱白三寸令黑便熟，冷，顿服之。
又方 熬饧令十分燥作末，以方寸匕纳羊肉 中，服之。
又方 桑根白皮切三升，以水七升，煮取二升，宿勿食，平旦空腹顿服之。
又方 槟榔二七枚治，下筛，以水二升半，先煮其皮，取一升半，去滓纳末，顿服。
暖卧虫出，出不尽更合服，取瘥止。宿勿食，旦服之。
论曰∶凡得伤寒及天行热病，腹中有热，又人食少，肠胃空虚，三虫行作求食，蚀人五
脏及下部。若齿龈无色，舌上尽白，甚者唇里有疮，四肢沉重，忽忽喜眠，当数看其上唇，
内有疮唾血，唇内如粟疮者，心内懊恼痛闷。此虫在上蚀其五脏；下唇内生疮者，其人喜眠，
此虫在下蚀其下部，人不能知，可服此蚀虫药，不尔， 虫杀人。又曰∶凡患湿 者，多是
热病后或久下不止，或有客热结在腹中，或易水土温凉气着，多生此病。亦有干 ，不甚泄
痢，而下部疮痒。不问干湿，久则杀人。凡湿得冷而苦痢，单煮黄连及艾叶、苦参之属，皆
可用之。若病患齿龈无色，舌上白者，或喜眠烦愦，不知痛痒处，或下痢，急治下部。不晓
此者，但攻其上，不以下部为意。下部生疮，虫蚀其肛，肛烂见五脏便死，烧艾于竹筒熏之。
治伤寒 虫病方∶
取生鸡子小头叩出白，入漆一合，熟和搅令极调，当沫出，更纳着壳中，仰吞之，食顷
或半日乃吐下虫。剧者再服，虫尽热除病愈。
治湿 方∶
黄连（十分） 生姜（十分） 苦参（四分） 艾叶（八分）
上四味 咀，以水一斗，煮取三升，分三服。久者服三剂。
治疗小儿体内有蛔虫，结聚在腹部，频繁发作腹痛，轻微排出白色黏液，呕吐、胸闷、寒热交替，饮食无法转化为肌肉和皮肤营养，肌肉消瘦萎黄，四肢无力抬举的方剂：
蘼芜、贯众、雷丸、山茱萸、天冬、野狼牙（各八分），芦（此处指代某种药物，原文可能有误或特指，保留原名）、甘菊（各四分）。
以上八味药研成细末，用蜂蜜制成如大豆大小的丸剂，三岁的儿童用温水送服五丸，五岁以上的儿童酌情增加剂量，逐渐增至十丸。加入六分芦（此处指代同上）名为“芦丸”，可治疗老人、小孩及妇女的各种疾病。对于腹内冷热之气不通畅，突然腹胀疼痛，胸膈部坚硬胀满，手足烦热、气逆上冲，无法进食，身体浮肿、腰脚活动不利，腹内有如水鸡鸣叫的声音，女性月经不调等症，均能治愈。
治疗蛔虫的方剂：
将芦（同上）研末，用水调和，服用一方寸匕的量，若无效则增加剂量。（《备急方》用于治疗蛲虫）。
治疗热病伴有蛔虫导致心中懊恼不适的方剂：
芦（十分）、干漆、扁竹（各二分）。
以上三味药处理后过筛，用米汤调和一合服用，每日三次。
治疗蛔虫在胃中逐渐使人消瘦的方剂：
干漆（《外台秘要》作盐）、醇酒、白蜜（各一升）。
以上三味药放入铜器中，用微火煎煮，使其能够搓成如桃核大小的一枚丸药，温酒送服，前一晚禁食，早晨服用，虫子必然排出。若未排出，再次服用。（《外台秘要》用于治疗蛲虫）。
又一方：取楝实放入醇苦酒中浸泡两个晚上，用棉布包裹，纳入肛门内约三寸深，每天更换一次。（《集验方》用于治疗长……[原文残缺]）
治疗蛔虫攻心引起腹痛的方剂：
锉碎薏苡根三斤，用水七升，煮取三升，饭前服用，虫子即会死掉并排出。
又一方：七月七日采集蒺藜子，阴干后烧成灰，饭前服用一方寸匕，每日三次，即可痊愈。
治疗寸白虫（绦虫）的方剂：
吴茱萸细根（一握，捣熟）、大麻子（三升，炒熟，捣成末）。
以上两味药加水三升，揉捏取汁，清晨一次性服用，等到巳时（上午9-11点）吃好的食物让其吃饱，片刻后虫子就会排出。若未痊愈，第二天早上再配制服用。若仍未愈，隔三天再服用。（《肘后备急方》治疗三虫，用酒浸泡，取汁服用）。
又一方：芜荑（六分）、野狼牙（四分）、白蔹（二分）。
以上三味药处理后过筛，用二合醋水调和，浸泡一夜，次日清晨空腹服用。
又一方：胡麻（一升）、胡粉（一两）。
以上两味药研成细末，清晨空腹，用猪肉汁吞服完毕，即可痊愈。
又一方：取四十九枚榧子，去皮，每月上旬清晨空腹服用七枚，七天服完，虫子化为水，永久痊愈。
又一方：取吴茱萸北面背阴处的干燥根部，去土切片一升，用酒一升浸泡一夜，清晨分两次服用。凡是吴茱萸，都应使用细根且来自东方牵引、北面背阴部位的为佳。如果直径超过手指粗大，则不使用。
又一方：用好麻油二升煎熟，放入三寸长的葱白使其变黑熟透，冷却后一次性服用。
又一方：熬饴糖使其非常干燥后研成末，用一方寸匕的量混入羊肉羹中服用。
又一方：桑根白皮切三升，用水七升，煮取二升，前一晚禁食，清晨空腹一次性服用。
又一方：槟榔十四枚处理后过筛，用水二升半，先煮其皮，取一升半，去渣后加入槟榔粉末，一次性服用。使虫暖出，若未排尽再配制服用，直到痊愈为止。前一晚禁食，早晨服用。
论述说：凡是患上伤寒及流行性热病，腹中有热，加上人吃得少，肠胃空虚，三虫（泛指寄生虫）行动觅食，侵蚀人的五脏及下部。如果齿龈颜色淡白无血色，舌面全白，严重的嘴唇里面有疮疡，四肢沉重，精神恍惚喜欢睡觉，应当多次查看其上唇内部，如果有疮疡、吐血的迹象，嘴唇内侧像粟米大小的疮粒，说明内心懊恼痛闷。这是虫在上部侵蚀五脏；下唇内部生疮的人，喜欢睡觉，这是虫在下部侵蚀下部。人们往往不知道这一点，可以服用这种杀虫药，否则，虫会致人死亡。又说：凡是患有湿痢疾的人，多是热病之后或者长期腹泻不止，或者有客热结聚在腹部，或者是水土不服、温差变化所致，容易生出此病。也有干痢，不严重腹泻，但下部疮痒的情况。无论是湿痢还是干痢，时间久了都会致命。凡是湿痢遇到寒冷而痛苦腹泻，单煮黄连以及艾叶、苦参之类的药物，都可以使用。如果病人齿龈无色，舌面白，或者喜欢睡觉、烦躁昏沉，不知道痛痒的部位，或者下痢，急需治疗下部。不懂这个道理的人，只攻击上部，不把下部放在心上。下部生疮，虫侵蚀肛门，肛门腐烂见到五脏就会死亡，可以用烧着的艾草装在竹筒里熏蒸治疗。
治疗伤寒虫病（寄生虫病）的方剂：
取生鸡蛋的小头敲开倒出蛋清，加入一合漆，充分搅拌使其极其均匀，当泡沫产生时，再放回蛋壳中，仰头吞下，大约一顿饭的时间或半天后会吐出或拉出虫子。病情严重的再服用一次，虫子排尽，热退病愈。
治疗湿痢的方剂：
黄连（十分）、生姜（十分）、苦参（四分）、艾叶（八分）。
以上四味药切碎，用水一斗，煮取三升，分三次服用。病程久的服用三剂。
Treatment for children with Ascaris lumbricoides (roundworm) accumulated in the abdomen, causing frequent abdominal pain, slight discharge of white mucus, vomiting, chest tightness, alternating chills and fever, inability of diet to nourish muscles and skin, emaciation with sallow complexion, and weakness of the four limbs unable to lift. Formula:
Miwu (Changium smyrnioides Root), Guanzhong (Cyrtomium fortunei Rhizome), Leiwan (Wormwood Fruit/Albizia Seed - *Note: Traditional term often refers to specific anti-parasitic herbs*), Shanzhuyu (Cornus Officinalis Fruit), Tiandong (Asparagus Cochinchinensis Rhizome), Yelangya (Pyrethrum Parthenium Flower Head) (each 8 fen); Lu (*Specific herb name retained as per text*, possibly a typo or local variant), Ganju (Chrysanthemum Morifolium Flower) (each 4 fen).
Grind the above eight ingredients into powder, mix with honey to make pills the size of soybeans. For three-year-olds, take five pills with warm water; for those over five years old, adjust dosage gradually up to ten pills. Adding 6 fen of Lu creates "Lu Wan," which treats various diseases in the elderly, children, and women. It is effective for conditions where cold and heat qi in the abdomen are blocked, sudden abdominal distension and pain, hardness and fullness in the chest and diaphragm, irritability and heat in hands and feet, rebellious qi, inability to eat, generalized edema, immobility of waist and legs, sounds in the abdomen resembling a toad's croak, and irregular menstruation in women.
Formula for treating Ascaris lumbricoides:
Take Lu powder, mix with water, and administer one fangcun bi (a square inch measure). If ineffective, increase the dose. (*Beiji Fang* treats Enterobius vermicularis/threadworm).
Formula for treating heat disease complicated by Ascaris lumbricoides causing inner restlessness (Aonao):
Lu (10 fen), Ganqi (Dry Lacquer), Bianzhu (Bamboo Leaf/Shoot - *Context dependent*) (each 2 fen).
Process the above three ingredients, sieve them, and take one he (a liquid measure) mixed with rice decoction, three times a day.
Formula for treating gradual emaciation caused by Ascaris lumbricoides in the stomach:
Ganqi (Dry Lacquer; *Waitai Mi Yao* uses Yan/Salt), Chunjiu (Pure Wine), Bami (White Honey) (each 1 sheng).
Place the above three ingredients in a copper vessel and simmer gently over low fire until they can be formed into a pill the size of a peach pit. Take with warm wine after fasting overnight. The worms will likely be expelled. If not, take again. (*Waitai Mi Yao* treats Enterobius vermicularis/threadworm).
Another formula: Take Lianshi (Toona sinensis fruit), soak it in pure sour wine for two nights. Wrap in cotton cloth, insert into the anus about three cun deep, and change once a day. (*Jiyan Fang* treats long [worms]).
Formula for treating abdominal pain caused by Ascaris lumbricoides attacking the heart:
Finely chop Yiyigen (Coix Root) three jin, boil in seven sheng of water until reduced to three sheng. Take before meals; the worms will die and be expelled.
Another formula: Grind Heshi (Nigella Sativa Seed) into powder, take one fangcun bi with sour wine on an empty stomach; this is better.
Another formula: Collect Jilizi (Tribulus Terrestris Fruit) on the seventh day of the seventh lunar month, dry in shade, burn to ash, and take one fangcun bi before meals, three times a day, for recovery.
Formula for treating Taenia saginata/pork tapeworm (Cunbai Chong):
Wuzhuyu Xigen (Fine roots of Evodia Rutaecarpa) (one handful, pounded熟ly), Dama Zi (Hemp Seed) (three sheng, roasted, pounded into powder).
Mix the above two ingredients with three sheng of water, knead to extract juice, and take all at once in the early morning. At Si hour (9-11 AM), eat a good meal until full. Shortly after, the worms will be expelled. If not cured, prepare and take again the next morning. If still not cured, take every three days. (*Zhouhou Beiji Fang* treats three types of parasites, soaked in wine, take the juice).
Another formula: Wuyi (Melia Azedarach Fruit) (6 fen), Yelangya (Pyrethrum Parthenium Flower Head) (4 fen), Bailian (Pueraria Lobata Root Skin) (2 fen).
Process the above three ingredients, sieve them, mix with two he of sour wine, let stand overnight, and take on an empty stomach the next morning.
Another formula: Humo (Sesame Seed) (1 sheng), Hu Fen (Lead Carbonate/White Lead) (1 liang).
Grind the above two ingredients into powder. In the early morning on an empty stomach, consume completely with pork juice; this leads to recovery.
Another formula: Take 49 Feizi (Torreya Grandis Seed), remove the shell. On the first ten days of the month, take seven pills in the early morning on an empty stomach. Finish within seven days; the worms will dissolve into water, ensuring permanent cure.
Another formula: Take one sheng of dried fine roots of Wuzhuyu from the north-facing shaded side, remove soil, slice, and soak in one sheng of wine overnight. Divide into two doses taken in the early morning. For all Wuzhuyu, use fine roots from the east-facing, north-shaded parts. Roots thicker than a finger should not be used.
Another formula: Use Pomegranate Root (Shiliugen) in the same manner as Wuzhuyu, or it can be boiled in water and taken.
Another formula: Extract juice from Hemp (Dama), divide five sheng into five doses. This also treats pediatric Ascaris lumbricoides.
Another formula: Boil two sheng of good sesame oil until cooked, add three cun of green onion white until blackened and cooked through, cool down, and take in one dose.
Another formula: Boil Yi (Malt Sugar) until very dry, grind into powder, mix one fangcun bi into mutton soup, and take.
Another formula: Cut Sanggen Baipi (Mulberry Root Bark) three sheng, boil in seven sheng of water until reduced to two sheng. Fast overnight, and take in one dose on an empty stomach in the early morning.
Another formula: Process fourteen Binglang (Areca Nut), sieve them. Boil two and a half sheng of water, first boil the peel to reduce to one and a half sheng, remove dregs, add the powder, and take in one dose. This warms the body to expel worms. If not fully expelled, prepare and take again until cured. Fast overnight, take in the morning.
Discussion: Generally, when contracting Shanghan (Cold Damage) or epidemic heat diseases, if there is heat in the abdomen, combined with poor appetite and empty intestines/stomach, the "Three Worms" (parasites) move seeking food, eroding the five zang organs and the lower orifices. If the gums are colorless, the tongue is entirely white, severe cases have sores inside the lips, limbs feel heavy, the person feels vague and sleepy, frequently check the upper lip interior. If there are sores or blood in saliva, or millet-grain-like sores inside the lips, it indicates inner restlessness and pain. This means the worms are eroding the five zang organs from above. If sores appear on the lower lip interior, the person likes to sleep, indicating worms eroding the lower part. People often do not realize this. One can take these vermifuge drugs; otherwise, the worms may cause death. It is also said that patients suffering from Shi Li (Damp Dysentery) often do so after a heat disease or due to prolonged diarrhea, or because guest-heat accumulates in the abdomen, or due to climate/water-soil adaptation issues. There are also cases of Dry Li with mild diarrhea but itching sores in the lower part. Whether damp or dry, if prolonged, it is fatal. For damp dysentery aggravated by cold, single decoctions of Huanglian (Coptis Rhizome), Aiye (Mugwort Leaf), Kushen (Sophora Flavescens Root), etc., can be used. If the patient has colorless gums, a white tongue, prefers sleeping, feels irritable and confused, loses sensation of pain/itch, or has dysentery, urgently treat the lower part. Those who do not understand this only attack the upper part and ignore the lower part. Sores in the lower part, worm erosion of the anus, rotting of the anus exposing internal organs, lead to death. Treat by moxibustion using a bamboo tube.
Formula for treating Shanghan parasitic disease:
Crack the small end of a raw egg, pour out the white. Add one he of lacquer, stir thoroughly until uniform. When foam appears, put it back into the shell. Swallow while lying on your back. After a meal time or half a day, vomit or pass the worms. Severe cases take another dose; once worms are gone, heat subsides, and the disease heals.
Formula for treating Damp Dysentery (Shi Li):
Huanglian (Coptis Rhizome) (10 fen), Shengjiang (Fresh Ginger) (10 fen), Kushen (Sophora Flavescens Root) (4 fen), Aiye (Artemisia Argyi Leaf) (8 fen).
Cut the above four ingredients, boil in one dou of water until reduced to three sheng. Divide into three doses. For chronic cases, take three courses of treatment.