病源夫九虫者，一曰伏虫，长四寸，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，状如蚕形，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，伏虫，群虫之主也，蛔虫贯心则杀人，白虫相
生，
逆喜
入疮
有，
变成
集验贯众丸，主疗九虫动作诸病方。
贯众（熬） 石蚕（熬五分） 野狼牙（四分） 芦（二分） 蜀漆（六分炙） 僵蚕
（三分熬）
雷丸（六分） 芜荑（四分） 浓朴（三分） 槟榔（六分）
上十味捣筛，蜜丸，空心暖浆水服三十丸，日三，不知，稍稍加之，白虫用榧子汤服。
（备急文仲古今录验范汪同出第九卷中）
删繁疗脾劳，有白虫长一寸在脾为病，令人好呕，而胸中骇骇，（一作玄玄）呕而不吐
出
，前胡汤方。
前胡（三两） 白术（三两） 赤茯苓（三两） 枳实（炙二两） 细辛（三两） 旋
复花（一两
）常山（三两） 松萝（二两） 龙胆（三两） 竹叶（切一升） 杏仁（三两去尖皮）
上十一味切，以水一斗，煮取三升，去滓，分三服，若腹中热满，下芒硝三两，黄芩三
两，苦参二两，加水二升，依方煎。忌如常。
又疗脾劳热，有白虫在脾中为病，令人好呕，茱萸根下虫汤方。
茱萸东引根（大者一尺切） 大麻子（八升） 橘皮（二两切）
上三味切，捣麻子烂，并和煎服，或下黄汁，凡合药，禁声勿语道作药，虫当闻便不下
，切须忌之，甚验，以水煎服，临时量之效。
又疗肺劳热损，生肺虫，形如蚕，在肺为病，令人咳逆气喘，或谓忧恚，气隔寒热，皆
从劳之所生，名曰膏肓，针灸不着，麦门冬五隔下气丸方。
麦门冬（十两去心） 蜀椒（四分汗） 远志 附子（炮各六分） 干姜（五分） 甘
草（十分
炙） 人参（七分） 细辛（六分） 桂心（五分） 百部根 白术 黄 （各五分） 杏
仁（四十枚
）槟榔（五分）
上十四味捣筛，蜜丸如弹子许，含一丸，稍稍咽汁。忌如常。
千金疗肾热，四肢肿急，蛲虫如菜中虫，生肾中为病方。
贯众（大者三枚熬） 干漆（二两熬） 茱萸（六分一云五十枚） 杏仁（四十枚） 芜
荑胡
粉槐白皮（各四分）
上七味捣散，平旦以井华水服方寸匕，增之，以瘥止。
又肺劳热，生虫在肺为病方。
东行桑根白皮（切一升） 东行茱萸根（切五两） 野狼牙（三两）
上三味切，以酒七升，煮取一升半，平旦服尽。
又疗肝劳，生长虫在肝为病，令人恐畏不安，眼中赤方。
鸡子（五枚去黄） 东行茱萸根（切三升） 蜡（三两） 干漆（四两熬） 粳米粉（半
升）
上五味，捣茱萸根漆为末，和药，铜器中打鸡子调，火炼可丸如小豆，宿勿食，旦以饮
服一百二十丸，小儿五十丸，虫即烂出瘥。
又疗心劳热伤心，有长虫名蛔虫，长一尺贯心为病方。
雷丸（熬） 橘皮 桃仁（各五分） 野狼牙（六分） 贯众（三枚） 芜荑 青葙子 干
漆（
熬各四分） 乱发（如鸡子烧） 僵蚕（二十枚熬）
上十味捣筛，蜜丸，以饮及酒空腹服二七丸，日再服之。（并出第十八卷中）
病因：所谓九虫，第一种叫伏虫，长四寸；第二种叫蛔虫，长一尺；第三种叫白虫，长一寸；第四种叫肉虫，形状像烂掉的杏子；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，形状像菜里的虫子。伏虫是群虫的首领。蛔虫若贯穿心脏则会导致死亡。白虫会相互滋生……（原文此处有脱漏或错简）……《集验方》中的贯众丸，主治九虫发作引起的各种疾病。
贯众（炒制） 石蚕（炒制，五分） 野狼牙（四分） 芦（二分） 蜀漆（炙制，六分） 僵蚕（炒制，三分）
雷丸（六分） 芜荑（四分） 浓朴（三分） 槟榔（六分）
以上十味药捣碎过筛，用蜂蜜制成丸剂，空腹时用温热的浆水送服三十丸，每日三次。如果无效，逐渐增加剂量。如果是白虫致病，用榧子汤送服。（此方出自《备急文仲古今录验》，范汪所著书卷九中也有收录）
删繁疗法治疗脾劳证，体内有一寸长的白虫在脾脏致病，导致人经常呕吐，且心中惊骇不安（另一版本作“玄玄”），想吐却吐不出来，前胡汤方。
前胡（三两） 白术（三两） 赤茯苓（三两） 枳实（炙制，二两） 细辛（三两） 旋复花（一两） 常山（三两） 松萝（二两） 龙胆（三两） 竹叶（切，一升） 杏仁（三两，去尖皮）
以上十一味药切碎，用水一斗，煮取三升，滤去药渣，分三次服用。如果腹中感觉热胀满，加入芒硝三两、黄芩三两、苦参二两，再加水二升，按照原方煎煮。饮食禁忌同常规。
又一种疗法治疗脾劳热证，白虫在脾中致病，导致人经常呕吐，茱萸根下虫汤方。
茱萸东引根（大的的一尺，切碎） 大麻子（八升） 橘皮（二两，切碎）
以上三味药切碎，将麻子捣烂，混合一起煎服。服药后可能会排出黄色汁液。凡是配制药物时，禁止说话谈论制药过程，虫子听到声音就不会排出，务必忌讳这一点，效果非常显著。用水煎服，根据情况临时调整剂量以见效为准。
又一种疗法治疗肺劳热损，产生肺虫，形状像蚕，在肺部致病，导致人咳嗽气逆气喘，或者说是由于忧愤导致气机阻隔、寒热交替，这些都从劳损而生，病名叫做膏肓，针灸难以触及，麦门冬五隔下气丸方。
麦门冬（十两，去心） 蜀椒（四分，出汗处理） 远志 附子（炮制，各六分） 干姜（五分） 甘草（炙制，十分） 人参（七分） 细辛（六分） 桂心（五分） 百部根 白术 黄（各五分） 杏仁（四十枚） 槟榔（五分）
以上十四味药捣碎过筛，用蜂蜜制成如弹子大小的丸剂，含服一丸，慢慢咽下汁液。饮食禁忌同常规。
《千金方》疗法治疗肾热，四肢肿胀拘急，蛲虫像菜园里的虫子，在肾脏中致病，方剂如下。
贯众（大的三枚，炒制） 干漆（二两，炒制） 茱萸（六分，一说五十枚） 杏仁（四十枚） 芜荑 胡粉 槐白皮（各四分）
以上七味药捣成散剂，清晨用井华水（清晨第一次打的井水）送服一方寸匕，逐渐增加剂量，直到病愈为止。
又一种疗法治疗肺劳热，生虫在肺部致病，方剂如下。
东行桑根白皮（切碎，一升） 东行茱萸根（切碎，五两） 野狼牙（三两）
以上三味药切碎，用酒七升，煮取一升半，清晨一次性服完。
又一种疗法治疗肝劳，生长虫在肝脏致病，导致人恐惧不安，眼中发红，方剂如下。
鸡子（五个，去蛋黄） 东行茱萸根（切碎，三升） 蜡（三两） 干漆（四两，炒制） 粳米粉（半升）
以上五味药，将茱萸根和漆捣成末，混合药物，在铜器中打入鸡蛋调和，用火炼制可做成如小豆大小的丸剂。前一晚不要进食，早晨用饮服用一百二十丸，小儿服用五十丸，虫子就会腐烂排出而病愈。
又一种疗法治疗心劳热伤及心脏，有长虫名叫蛔虫，长一尺贯穿心脏致病，方剂如下。
雷丸（炒制） 橘皮 桃仁（各五分） 野狼牙（六分） 贯众（三枚） 芜荑 青葙子 干漆（炒制，各四分） 乱发（如鸡蛋大小，烧焦） 僵蚕（二十枚，炒制）
以上十味药捣碎过筛，用蜂蜜制成丸剂，空腹时用饮水和酒送服十四丸，每日两次服用。（以上方剂均出自第十八卷）
Etiology: The so-called "Nine Parasites" are as follows: the first is called Fuchong (Fushi Worm, a type of intestinal parasite), four cun in length; the second is called Huichong (Ascaris lumbricoides, roundworm), one chi in length; the third is called Baichong (White Worm, likely tapeworm segments or threadworms), one cun in length; the fourth is called Rouchong (Meat Worm), resembling rotten apricots; the fifth is called Feichong (Lung Worm), resembling silkworms; the sixth is called Weichong (Stomach Worm), resembling toads; the seventh is called Ruochong (Weak Worm), resembling melon seeds; the eighth is called Chichong (Red Worm), resembling raw meat; the ninth is called Taochong (Pinworm/Oxyuris vermicularis), extremely minute, resembling vegetable worms. Fuchong is the leader of the group of worms. If Huichong penetrates the heart, it causes death. Baichong reproduces itself... [Text here contains lacunae or corruption] ... Guanzhong Wan (Hosiea Pill) from the *Jiyan Fang* (Collected Experiences Formulas) treats various diseases caused by the activity of the Nine Parasites.
Guanzhong (Osmorhiza longiloba, processed by stir-frying) Shican (Stone Silkworm, processed by stir-frying, 5 fen) Yelangya (Wild Wolf's Tooth, 4 fen) Lu (Reed Rhizome, 2 fen) Shuqi (Perilla Leaf, processed by stir-frying, 6 fen) Jiangcan (Bombyx Batryticatus, processed by stir-frying, 3 fen)
Leiwan (Polyporus Umbellatus, 6 fen) Wuyi (Chaulmoogra Seed, 4 fen) Nongpo (Magnolia Bark, 3 fen) Binglang (Areca Nut, 6 fen)
The above ten herbs are crushed and sifted, formed into pills with honey. Take thirty pills on an empty stomach with warm Jiangshui (fermented grain water). Administer three times daily. If ineffective, gradually increase the dose. For diseases caused by Baichong, administer with Feizi Tang (Torreya Decoction). (This formula appears in *Beiji Wen Zhong Jin Gu Lu Yan*, and is also found in Volume 9 of Fan Wang's works.)
Shanfan Therapy treats Pi Lao (Spleen Exhaustion) where a one-cun-long Baichong resides in the Spleen, causing frequent vomiting and a feeling of inner terror (another version reads "Xuanxuan"), with a sensation of nausea but inability to vomit. Qianhu Tang (Peucedanum Decoction) Formula:
Qianhu (Peucedanum Root, 3 liang) Baizhu (Atractylodes Macrocephala Rhizome, 3 liang) Chi Fuling (Poria Cocos with Red Coir, 3 liang) Zhishi (Immature Bitter Orange Fruit, processed by stir-frying, 2 liang) Xixin (Asarum Root, 3 liang) Xuanfuhua (Inula Flower, 1 liang) Changshan (Dichroa Root, 3 liang) Songluo (Tree Moss, 2 liang) Longdan (Gentian Root, 3 liang) Zhuye (Bamboo Leaf, sliced, 1 sheng) Xingren (Apricot Seed, 3 liang, remove tip and skin)
The above eleven herbs are chopped. Boil in one dou of water until reduced to three sheng. Strain the dregs and divide into three doses. If there is heat and fullness in the abdomen, add Mangxiao (Mirabilite, 3 liang), Huangqin (Scutellaria Root, 3 liang), and Kushen (Sophora Root, 2 liang), then add two sheng of water and decoct according to the prescription. Observe usual dietary restrictions.
Another method treats Pi Lao Re (Heat from Spleen Exhaustion) where Baichong resides in the Spleen, causing frequent vomiting. Zhuyu Gen Xia Chong Tang (Cornus Root Downward-Expelling Worm Decoction) Formula:
Zhuyu Dongyin Gen (Cornus Officinalis Root, eastern-growing branch, large ones one chi long, sliced) Dama Zi (Cannabis Seed, 8 sheng) Jupi (Tangerine Peel, 2 liang, sliced)
The above three herbs are chopped. Pound the Hemp Seeds until mushy, mix together, and decoct for administration. Yellow fluid may be discharged after taking the medicine. When preparing the medicine, silence must be maintained; do not speak about making the medicine, as the worms will hear it and refuse to exit. This must be strictly observed. It is very effective. Decoct with water and adjust the dosage temporarily to achieve efficacy.
Another method treats Fei Lao Re Sun (Heat Damage from Lung Exhaustion) where Feichong (Lung Worm), resembling a silkworm, resides in the Lungs, causing cough, counterflow qi, and asthma. Alternatively, this is attributed to sorrow and anger causing Qi obstruction and alternating chills and fever, all arising from exhaustion. The disease is named Gaohuang (Gaohuang Syndrome, a critical condition beyond the reach of acupuncture and moxibustion). Maimendong Wu Ge Xia Qi Wan (Ophiopogon Five-Segmented Descending Qi Pill) Formula:
Maimendong (Ophiopogon Tuber, 10 liang, remove heart) Shujiao (Sichuan Pepper, 4 fen, sweat out the oil) Yuanzhi (Polygala Root) Fuzi (Prepared Aconite Root, each 6 fen) Ganjiang (Dried Ginger, 5 fen) Gancao (Licorice Root, processed by stir-frying, 10 fen) Renshen (Ginseng Root, 7 fen) Xixin (Asarum Root, 6 fen) Guixin (Cinnamon Twig Heart, 5 fen) Baibu (Stemona Root) Baizhu (Atractylodes Macrocephala Rhizome) Huang (Astragalus Root, each 5 fen) Xingren (Apricot Seed, 40 pieces) Binglang (Areca Nut, 5 fen)
The above fourteen herbs are crushed and sifted, formed into pills the size of quail eggs with honey. Hold one pill in the mouth and slowly swallow the juice. Observe usual dietary restrictions.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats Shen Re (Kidney Heat) with swelling and tightness of the four limbs, where Taochong (Pinworm) resembles garden worms and resides in the Kidneys. Formula:
Guanzhong (Osmorhiza longiloba, three large ones, processed by stir-frying) Ganqi (Dried Resin of Toxicodendron vernicifluum, 2 liang, processed by stir-frying) Zhuyu (Cornus Fruit, 6 fen, or said to be 50 pieces) Xingren (Apricot Seed, 40 pieces) Wuyi (Chaulmoogra Seed) Hufen (Lead White Powder) Huaibaipi (Phellodendron Bark, each 4 fen)
The above seven herbs are crushed into powder. In the early morning, take one fangcun bi (a square-inch measure) with Jinghua Shui (well water drawn at dawn). Increase the dose gradually until the disease is cured.
Another method treats Fei Lao Re (Heat from Lung Exhaustion) where parasites reside in the Lungs causing disease. Formula:
Dongxing Sanggen Baipi (White Bark of Mulberry Root growing eastward, sliced, 1 sheng) Dongxing Zhuyu Gen (Cornus Root growing eastward, sliced, 5 liang) Yelangya (Wild Wolf's Tooth, 3 liang)
The above three herbs are chopped. Decoct in seven sheng of wine until reduced to one and a half sheng. Consume entirely in the early morning.
Another method treats Gan Lao (Liver Exhaustion) where Zhangchong (Liver Worm) resides in the Liver, causing fear, anxiety, and red eyes. Formula:
Jizi (Chicken Egg, five pieces, remove yolks) Dongxing Zhuyu Gen (Cornus Root growing eastward, sliced, 3 sheng) La (Beeswax, 3 liang) Ganqi (Dried Resin of Toxicodendron vernicifluum, 4 liang, processed by stir-frying) Jingsimi (Glutinous Rice Flour, half sheng)
The above five herbs: pound the Cornus Root and Resin into powder, mix with the medicine, beat the chicken eggs in a copper vessel to combine, refine over fire until it can be formed into pills the size of small beans. Do not eat the previous night. In the morning, take 120 pills with drink/water for adults, and 50 pills for children. The worms will rot and be expelled, curing the disease.
Another method treats Xin Lao Re Shang Xin (Heat from Heart Exhausture Damaging the Heart) where a long worm named Huichong (Ascaris lumbricoides), one chi long, penetrates the heart causing disease. Formula:
Leiwan (Polyporus Umbellatus, processed by stir-frying) Jupi (Tangerine Peel) Taoren (Peach Seed, each 5 fen) Yelangya (Wild Wolf's Tooth, 6 fen) Guanzhong (Osmorhiza longiloba, three pieces) Wuyi (Chaulmoogra Seed) Qingxiangzi (Celosia Seed) Ganqi (Dried Resin of Toxicodendron vernicifluum, processed by stir-frying, each 4 fen) Luankou (Human Hair Tangle, burned like a chicken egg) Jiangcan (Bombyx Batryticatus, twenty pieces, processed by stir-frying)
The above ten herbs are crushed and sifted, formed into pills with honey. Take fourteen pills on an empty stomach with water and wine. Administer twice daily. (All formulas above are from Volume 18.)