脉沉实者生。虚大者死。尺脉沉而滑者。为寸白虫。蚕蚀阴症。脉虚小者生。劲急者死
外台云。虫脉当沉弱而弦。今反洪大。即知蛔虫甚也。
一曰伏虫。长四寸。为群虫之长。二曰蛔虫。又曰长虫。动则吐清水。出则心痛。贯心
则杀
人。三曰白虫。长一寸。又曰寸白虫。相生子孙。转大长至四五寸。或因脏腑虚弱而动。或
因食甘肥而动。其发动则腹痛。发作肿聚。去来上下。痛有休息。亦攻心痛。口喜吐涎。及
吐清水。贯伤心者死。四曰肉虫。状如烂渣。令人烦满。五曰肺虫。状如蚕。令人咳而声嘶
六曰胃虫。状如虾蟆。令人呕逆吐。喜哕。七曰弱虫。状如瓜瓣。又名膈虫。令人多唾。
八曰赤虫。状如生肉。令人肠鸣。九曰蛲虫。形至微细。状如菜虫。居洞肠之间。因脏腑虚
弱而致发动。则为痔为疥癣。因人疮处。以生诸痈疽癣疮 疥龋虫。无所不为。
谷道虫者。由胃弱阳虚。而蛲虫下乘也。谷道肛门。大肠之候。蛲虫者。九虫内之一虫
也。
在于肠间。若脏腑气爽。则不妄动。胃弱阳虚。则蛲虫乘之。轻者或痒。或虫从谷道中溢出
重者侵蚀肛门疮烂。
一论诸般痞积。面色痿黄。肌体羸瘦。四肢无力。皆缘内有虫积。或好食生米。或好食
壁泥。或食茶炭咸辣等物者。是虫积。只此一服除根。
指迷七气汤
青皮（去穣） 陈皮 三棱（醋炒） 香附 益智仁 藿香 官桂 桔梗 大黄 槟榔 甘
草
上锉。水煎。露一宿。五更。空心。温服。不得些少饮食。不然则药力减。而虫积不行
矣。
服药顷。肚腹必痛。当下如鱼冻。或长虫。或血鳖。至日午。虫积下尽。方用温粥止之。后
服退黄丸一料。全愈。
退黄丸
平胃散（六两） 绿矾（一两）
上用醋糊为丸。如梧子大。每服六十丸。枣汤送下。忌食生冷发热湿面等物。
万应丸 治诸虫。
大黄（八两） 黑牵牛（四两） 槟榔（四两）
上为细末。用楝根皮一斤。皂角不蛀者十锭。用水二大碗。煎成膏。搜和前三味药为丸
如
梧桐子大。外用沉香、木香、雷丸各一两。为细末。先用沉香为衣。然后木香、雷丸为衣。
每服三丸。四更时分。用沙糖水送下。
一论蛔虫。或心如刺。口吐清水。用生艾取汁。宿勿食。但取肥猪脯一方寸片。先吃。
令虫闻香。后饮汁。当下虫。
一论小儿诸疳生虫。不时啼哭。呕吐清水。肚腹胀痛。唇口紫黑。肠口湿 。宜服
化 丸
青黛 芦荟 胡黄连 芜荑仁 虾蟆（烧灰） 川芎 白芷（各等分）
上为细末。猪胆汁浸蒸糕丸如麻子大。每服一二十丸。食后卧时。杏仁汤送下。
一治下部生虫 蚀。肚烂见五脏。便死。艾叶入雄黄末。入管中。熏下部。令烟入。即
愈。
一治下部虫痒。大枣蒸取膏。以水银和捻。长三寸。以绵裹宿纳下部中。明日虫皆出。
又治痔漏。
一治虫已蚀下部。肛尽肠穿者。取长股虾蟆。青背者一只。鸡骨一分。烧灰。合纳下部
令深。大效。
一论妇人阴中生疮。如虫咬痛。用桃叶捣烂。绵裹纳阴户中。一日换三次。即安。
一论妇人阴蚀疮。阴户中有细虫。其痒不可当。食人脏腑即死。令人发寒热。与劳症相
似。
用猪肝切大片。以花椒葱拌猪油煎干。待冷。纳阴户中。少顷取出。再换一片。其虫入肝尽
出。再用后方洗之。
洗拓散
五倍子 花椒 蛇床子 苦参 白矾 葱（各等分）
上水煎。熏洗。神效。
脉象沉实有力的，预后良好；脉象虚大无力的，预后不良。尺部脉象沉而滑的，说明体内有寸白虫（绦虫）。若出现蚕蚀阴部的症状，脉象虚小的可生，脉象劲急有力的则死。
《外台秘要》说：虫病的脉象应当是沉弱而弦的，现在反而洪大，这就知道蛔虫非常严重。
第一种叫伏虫，身长四寸，是各种虫中的首领。第二种叫蛔虫，又叫长虫，发作时呕吐清水，疼痛放射至心部则致人死亡。第三种叫白虫，身长一寸，又叫寸白虫，能繁殖后代，逐渐长大至四五寸。或因脏腑虚弱而动，或因食用甘甜肥腻食物而动。其发作时腹痛，肿块聚散无常，上下移动，疼痛有时缓解，也会攻冲心痛，口中喜欢吐涎沫及清水，若侵蚀心脏则死。第四种叫肉虫，形状像烂渣，令人烦闷胀满。第五种叫肺虫，形状像蚕，令人咳嗽且声音嘶哑。第六种叫胃虫，形状像蛤蟆，令人呕逆呕吐，喜欢打嗝。第七种叫弱虫，形状像瓜瓣，又名膈虫，令人多唾。第八种叫赤虫，形状像生肉，令人肠鸣。第九种叫蛲虫，形体极其细微，形状像菜虫，居住在洞肠之间。因脏腑虚弱而发动，则导致痔疮、疥癣。侵入人体疮处，从而产生各种痈疽、癣疮、疥、龋齿虫等，无所不为。
谷道虫（肛门处的虫），是由胃弱阳虚，蛲虫下行侵袭所致。谷道肛门是大肠的外候。蛲虫是九虫中的一种。在于肠间，如果脏腑气机清爽，就不会妄动。若胃弱阳虚，则蛲虫乘虚而入。轻者或瘙痒，或有虫从肛门溢出；重者侵蚀肛门，导致疮烂。
有一种论述关于各种痞积，面色萎黄，身体消瘦，四肢无力，都是因为内有虫积。或者喜欢吃生米，或者喜欢吃墙泥，或者吃茶、炭、咸辣等物的人，这是虫积。只需服用这一剂药即可除根。
指迷七气汤
青皮（去瓤） 陈皮 三棱（醋炒） 香附 益智仁 藿香 官桂 桔梗 大黄 槟榔 甘草
以上药物切碎，用水煎煮，露天放置一夜。五更时分，空腹温服。服药期间不得吃任何食物，否则药力减弱，虫积就不能排出。
服药后不久，肚腹必然疼痛，随后排泄物如鱼冻状，或排出长虫，或排出血鳖。到中午时分，虫积排尽，才用温粥止泻。之后服用一料退黄丸，即可痊愈。
以上用醋糊制作成丸，如梧桐子大小。每次服用六十丸，用枣汤送下。忌食生冷、发热、湿面等食物。
万应丸，治疗各种寄生虫。
大黄（八两） 黑牵牛（四两） 槟榔（四两）
以上研为细末。用楝根皮一斤，不蛀的皂角十锭，用水两大碗，煎成膏状，调和前三味药制成丸，如梧桐子大小。外用沉香、木香、雷丸各一两，研为细末。先用沉香粉包衣，然后用木香、雷丸粉包衣。每次服用三丸，四更时分，用沙糖水送下。
有一种论述关于蛔虫，心中感觉如针刺，口吐清水。用生艾草取汁，前一晚不要进食，只取一方寸大的肥猪肉脯先吃，让虫子闻到香味，然后再喝艾汁，虫子就会排出。
有一种论述关于小儿各种疳积生虫，不时啼哭，呕吐清水，肚腹胀痛，唇口紫黑，肛门口湿润。宜服用化疳丸。
青黛 芦荟 胡黄连 芜荑仁 蛤蟆（烧灰） 川芎 白芷（各等分）
以上研为细末，用猪胆汁浸泡蒸糕，制成如麻子大小的丸。每次服用一二十丸，饭后和睡觉时，用杏仁汤送下。
一种治疗方法用于下部生虫侵蚀，肚子腐烂见到五脏，便会死亡。将艾叶放入雄黄末中，装入管中，熏蒸下部，让烟进入，即可痊愈。
一种治疗方法用于下部虫痒，将大枣蒸熟取膏，与水银混合捻成长三寸的药条，用棉布包裹，晚上纳入下部中。第二天虫子都会出来。此法也可治疗痔漏。
一种治疗方法用于虫已侵蚀下部，肛门甚至肠穿的情况。取大腿长的蛤蟆一只（青背的），加鸡骨一分，烧成灰，合在一起纳入下部深处，效果显著。
有一种论述关于妇人阴中生疮，像被虫咬一样疼痛。用桃叶捣烂，用棉布包裹纳入阴户中，一天换三次，即可安宁。
有一种论述关于妇人阴蚀疮，阴户中有细虫，瘙痒难忍，吃人脏腑即死，令人发寒热，症状与劳症相似。
用猪肝切大片，用花椒、葱拌猪油煎干，待冷后纳入阴户中，过一会儿取出，再换一片。虫子会全部进入肝中。再用后方清洗。
以上用水煎煮，熏洗，神效。
If the pulse is deep and solid, there is hope for survival; if it is deficient and large, death ensues. If the radial pulse (Cun) is deep and slippery, it indicates the presence of *Cunbai Chong* (Taenia saginata/Bandworm). If there are symptoms of yin erosion resembling silkworms, a deficient and small pulse indicates survival, while a forceful and rapid pulse indicates death.
The *Waitai Mi Yao* states that the pulse associated with parasites should be deep, weak, and wiry. If it is instead surging and large, it indicates that roundworms (*Hui Chong*) are severe.
The first is called *Fu Chong* (Hidden Worm), four cun in length, which is the leader of all worms. The second is called *Hui Chong* (Roundworm), also known as *Chang Chong* (Long Worm); when active, it causes vomiting of clear fluid, and if pain penetrates to the heart, it is fatal. The third is called *Bai Chong* (White Worm), one cun in length, also known as *Cunbai Chong*; it reproduces and grows larger, reaching four or five cun. It may be activated by weakness of the zang-fu organs or by consuming sweet and fatty foods. When active, it causes abdominal pain, with masses appearing and disappearing, moving up and down, with intervals of relief from pain. It may also attack the heart causing pain, and the mouth tends to salivate or vomit clear fluid. If it penetrates the heart, it is fatal. The fourth is called *Rou Chong* (Flesh Worm), shaped like rotting dregs, causing vexation and fullness. The fifth is called *Fei Chong* (Lung Worm), shaped like a silkworm, causing coughing and hoarseness. The sixth is called *Wei Chong* (Stomach Worm), shaped like a toad, causing vomiting and regurgitation, and frequent hiccups. The seventh is called *Ruo Chong* (Weak Worm), shaped like melon seeds, also known as *Ge Chong*, causing excessive salivation. The eighth is called *Chi Chong* (Red Worm), shaped like raw meat, causing borborygmus (intestinal rumbling). The ninth is called *Nao Chong* (Pinworm), extremely minute in shape, resembling vegetable worms, residing in the intestines. Activated by weakness of the zang-fu, it leads to hemorrhoids and scabies/tinea. Entering wounds on the body, it generates various sores, ulcers, tinea, scabies, and dental caries worms, doing everything possible.
The "Valley Gate Worm" (worms at the anus) arises from stomach weakness and yang deficiency, allowing pinworms to descend. The valley gate (anus) is the external manifestation of the Large Intestine. Pinworms are one of the nine worms. They reside in the intestines; if the qi of the zang-fu is clear and smooth, they do not move recklessly. If the stomach is weak and yang is deficient, pinworms take advantage. Mild cases involve itching or worms protruding from the anus; severe cases erode the anus, causing ulceration.
One discussion addresses various types of stagnation and accumulation: sallow complexion, emaciation, and weakness in the four limbs are all due to internal parasitic accumulation. This applies to those who crave raw rice, wall mud, tea, charcoal, salty, or spicy substances. This is parasitic accumulation. A single dose of this prescription can eradicate the root cause.
**Zhimi Qi Qi Tang** (Pointing to Confusion Seven-Qi Decoction)
* Qingpi (Citri Reticulatae Pericarpium Viride, pith removed)
* Chenpi (Citri Reticulatae Pericarpium)
* Sanleng (Sparganii Rhizoma, stir-fried with vinegar)
* Xiangfu (Cyperi Rhizoma)
* Yizhiren (Alpiniae Oxyphyllae Fructus)
* Huoxiang (Agastaches Herba)
* Guigui (Cinnamomi Ramulus)
* Jiegeng (Platycodonis Radix)
* Dahuang (Rhei Radix et Rhizoma)
* Binglang (Arecae Semen)
* Gancao (Glycyrrhizae Radix et Rhizoma)
Crush the herbs, decoct in water, and leave exposed overnight. Take warm on an empty stomach at wugeng (3-5 AM). Do not consume any food during this time, otherwise the medicinal power will diminish, and the parasitic accumulation will not be expelled.
Shortly after taking the medicine, abdominal pain will occur, followed by the passage of stool resembling fish jelly, or long worms, or blood clots resembling turtles. By noon, the parasitic accumulation will be completely expelled. Then, use warm congee to stop diarrhea. Subsequently, take one course of **Tuihuang Wan** (Jaundice-Resolving Pill) for complete recovery.
**Tuihuang Wan** (Jaundice-Resolving Pill)
* Pingwei San (Stomach-Ping Powder) (6 liang)
* Lüfan (Chalcanthite) (1 liang)
Make pills using vinegar paste, sized like wutong seeds. Take 60 pills per dose, washed down with jujube soup. Avoid cold, raw, heating, damp, and wheat products.
**Wanying Wan** (Myriad-Accordance Pill), treats various parasites.
* Dahuang (Rhei Radix et Rhizoma) (8 liang)
* Heiqianqiu (Semen Sterculiae Lychnophorae Nigrum) (4 liang)
* Binglang (Arecae Semen) (4 liang)
Grind into fine powder. Use 1 jin of Kuidgenpi (Meliae Cortex) and 10 non-decayed pods of Zaojiao (Gleditsiae Sinensis Fructus). Decoct in two large bowls of water until a paste forms. Mix with the three aforementioned powders to make pills sized like wutong seeds. Coat externally with Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), and Leiwang (Vermifugi Fructus), each 1 liang, ground into fine powder. First coat with Chenxiang powder, then with Muxiang and Leiwang powder. Take 3 pills per dose at siging (1-3 AM), washed down with sugar water.
One discussion addresses roundworms: if the heart feels like being pierced and clear fluid is vomited, extract juice from fresh Mugwort (Ai Ye). Fast overnight. Eat a square-cun piece of fat pork jerky first to attract the worms with the scent, then drink the mugwort juice. The worms will be expelled.
One discussion addresses pediatric gan syndrome (malnutrition) with parasites: frequent crying, vomiting of clear fluid, abdominal distension and pain, purple-black lips and mouth, and wetness at the anal opening. One should take **Huagan Wan** (Gan-Syndrome-Transforming Pill).
* Qingdai (Indigo Naturalis)
* Lvhuan (Aloe)
* Huhuanglian (Coptidis Rhizoma var. Chinense)
* Wuyiren (Myricae Fructus)
* Hamaxia (Bufo Skin, burned to ash)
* Chuanxiong (Ligustici Chuanxiong Rhizoma)
* Baizhi (Angelicae Dahuricae Radix)
(Equal parts)
Grind into fine powder. Soak in pig bile and steam with cake flour to make pills sized like hemp seeds. Take 10-20 pills per dose after meals and before sleep, washed down with apricot kernel soup.
One treatment for lower body parasitic erosion causing abdominal rot and exposure of viscera (fatal): Put Aiye (Artemisiae Argyi Folium) mixed with Xionghuang (Realgar) into a tube, and fumigate the lower body, allowing the smoke to enter. This brings cure.
One treatment for lower body parasitic itching: Steam dates to obtain paste, mix with mercury, roll into a three-cun stick, wrap in cotton, and insert into the lower body overnight. The next day, all worms will emerge. This also treats hemorrhoidal fistulas.
One treatment for worms that have eroded the lower body, causing anal and intestinal perforation: Take one large frog (green-backed), add one part chicken bone, burn to ash, and insert deeply into the lower body. Highly effective.
One discussion addresses women with sores in the vagina, painful like worm bites: Mash peach leaves, wrap in cotton, and insert into the vaginal orifice. Change three times a day for relief.
One discussion addresses women with vaginal erosion sores containing fine worms, unbearable itching, eating into viscera (fatal), causing chills and fever, resembling consumption (tuberculosis/labor disease): Slice pork liver thinly, fry dry with Sichuan pepper, green onion, and lard. Let cool, insert into the vaginal orifice, remove after a short while, and replace with another slice. The worms will enter the liver and exit. Then wash with the following formula.
**Xituo San** (Washing and Compressing Powder)
* Wubeizi (Galla Chinensis)
* Huajiao (Zanthoxyli Pericarpium)
* Shechuangzi (Cnidii Fructus)
* Kushen (Sophorae Flavescentis Radix)
* Baijian (Alumen)
* Congbai (Allii Fistulosi Bulbus)
(Equal parts)
Decoct in water, fumigate and wash. Miraculous effect.