《圣惠》治小儿蛔疳，虫毒腹胀，青筋急满，日渐枯瘦，食物不着肌肉，或时下蛔虫，或时腹内多痛。蟾酥丸
方
蟾酥 麝香 五灵脂 巴豆（去皮心，研，纸裹，压去油。各一分）
上件药，同研令极细，用酒半盏，同入铫子内，以慢火熬，不住手搅，候堪丸，即丸如黄米大。每服以陈
橘皮汤下三丸，空心及晚后服之。随儿大小以意加减。
《谭氏殊圣》治疳蛔。却蛔散方
苦楝皮（有子者良，荫干，内赤色者杀人不用） 鹤虱 密陀僧（各二分） 白槟榔（一个，炮，乘热杵）
上为细末，米饮下一钱，连吃三服，虫自出。
汉东王先生《家宝》治小儿蛔虫，搅刺腹肚疼痛，常服内化，其虫永去根本。化虫丸方
芜荑 川鹤虱（各一分） 槟榔（二钱）
上为末，用 猪胆为丸，如大麻子大。每服三岁五丸；五七岁十丸，陈米吞下，一日三服。
丁在藏杀虫散 治小儿疳蛔咬腹方。
干漆 五灵脂 定粉（以上各等分）
上为末。每服半字，葱白汤下。
丁在藏干漆散 治小儿疳蛔咬心痛方。
狗脊 干漆 大麻仁 鹤虱（以上各等分）
上为细末，炒香。每服一钱，精羊肉汤调下。
《圣惠》蛔疳者，儿多食甜物、油腻、生冷，在肠胃不消化成虫。其候合面卧觉，气急，颜色痿黄，肌体
羸瘦，啼哭声高，又似心痛，发歇无时，每月初二、三、四日，其虫甚，人不识，呼为鬼祟，不早治虫蚀脏腑，
必致危笃。
《玉诀》歌∶
哭恶痰青蛔咬心，涎生积冷痛难任。每餐甜物并时果，致得虫生病转深。
先下积取蛔疳，次温脾胃。
《圣惠》野狼牙草散 治蛔疳干瘦，发立或痢。
野狼于草 射干 鼠尾草（各一分） 使君子 醋石榴皮 贯众根 槲皮 钩藤 龙胆 栗刺 棠梨根（各半两） 故
绵（灰） 发灰（各一两）
罗，五、六岁儿服一钱，水小盏，煎五分，早晚各一，温服。意裁。
蚺蛇胆丸 治蛔疳壮热，眼赤或涩常揉；及发黄秃，视物不明，手足心热。时出蛔虫，下痢或青、黄、赤、白。
身体口鼻下部生疮，虫蚀齿落，项生无辜，肌体羸瘦，兄弟姐妹，相传至死。
蚺蛇胆 丁香 黄连 苦参 青葙子 犀角 木香 米砂 雄黄 青黛 硫黄 麝 牛黄 胭脂 龙胆
白矾（灰） 发灰 绯绢灰 干虾蟆（灰。各一分）
罗末，蜜丸如麻子，粥饮下三丸量服。水化二丸，吹鼻中，敷疮处。
青黛丸 治蛔疳兼诸疾。
青黛 朱砂 芦荟 胡黄连 鹤虱（各一分）
末，猪胆汁丸如绿豆。空心，汤下三丸，有虫下。
治蛔疳虫出熊胆丸
熊胆（一分） 狗脊（去毛） 白芜荑 干蟾头（炙焦） 黄丹（炒紫） 蛇蜕（灰。各半两）
罗，枣肉丸如绿豆，粥饮化三丸。更以藿香汤浴儿，青热衣盖，虫出。意减。
使君子丸 治疳蛔出虫。
使君子 雄黄 熊胆（各一分） 牛黄 蟾酥 麝（各一钱）
研，软饭丸如麻子。疳极者，桃柳汤浴，粥饮调三丸。
又∶鹤虱 胡黄连 槟榔 熊胆 干蟾（酥，炙黄。各半两）
散，空心，汤调一字。服后杀虫如马尾，瘥。三岁上半钱。
吴氏蛔疳七宝丹
青皮（去瓤） 干姜（麸炒） 木香（面裹，炮赤） 巴豆（净肉，米醋一碗，煮干，水洗去油） 肉豆蔻（生） 槟
榔肉桂（去粗皮，不见火。各一两） 砂（半两，汤澄慢火熬如煎盐，纸盖收飞者）
细末，面糊丸如梧子，朱砂衣。空心服一、二、三粒。欲消食，食后服。酒食伤，诸般积，胸膈不快或腹
痛，姜汤；中酒，葱姜汤；心痛，炒姜汤；妇人血气，当归酒；泻肚，陈米饮；赤痢，甘草汤；白痢，干姜
汤；脾泄泻，煨姜一块，细嚼汤咽；心腹胀满，浑身倦怠，温酒；转筋霍乱，紫苏藿香汤；中毒药，五倍子
雄黄汤；大小便不通，桐木根汤；吐逆，檀香汤；膈上食毒、虚痰，姜蜜酒；头风，腊茶清∶儿急慢惊风，
金银薄荷汤；疳蛔，石榴汤。
《圣惠方》治疗小儿蛔疳，表现为虫毒导致腹部胀满、青筋暴露且拘急胀大、身体日渐枯瘦、饮食无法转化为肌肉营养，有时排出蛔虫，有时腹部剧烈疼痛。蟾酥丸
方剂组成：
蟾酥、麝香、五灵脂、巴豆（去皮心，研磨，用纸包裹压去油脂。各一分）
制法与用法：将上述药物共同研磨至极细粉末，取半盏酒，一同放入铫子中，用慢火熬煮，不停搅拌，待药糊可制成丸剂时，将其制成如黄米大小的丸粒。每次服用三丸，以陈皮汤送服，空腹及晚间服用。根据患儿年龄大小酌情增减剂量。
《谭氏殊圣》治疗疳病伴蛔虫。却蛔散方
方剂组成：
苦楝皮（有种子者佳，阴干，内部呈赤色者有毒不可用）、鹤虱、密陀僧（各二分）、白槟榔（一个，炮制，趁热捣碎）
制法与用法：研为细末，用米饮送服一钱，连续服用三次，蛔虫自然排出。
汉东王先生《家宝》治疗小儿蛔虫，蛔虫扰动刺割腹部引起疼痛，常服此方可使虫在体内化解，彻底根除。化虫丸方
制法与用法：研为细末，用猪胆汁制成丸剂，如大麻子大小。每三岁服用五丸；五至七岁服用十丸，用陈米汤吞服，每日三次。
制法与用法：研为细末。每次服用半字，用葱白汤送服。
制法与用法：研为细末，炒香。每次服用一钱，用精羊肉汤调服。
《圣惠方》指出：蛔疳是由于小儿多食甜食、油腻、生冷食物，在肠胃中不消化而化成虫所致。其症状表现为喜欢侧卧睡觉，呼吸急促，面色萎黄，身体消瘦，啼哭声高亢，又似有心痛症状，发作无定时。每月初二、初三、初四这几天，虫势最盛，人们不认识这种病症，称之为鬼祟作怪。若不早期治疗，虫蚀脏腑，必然导致病情危重。
《玉诀》歌诀：
哭泣厌恶痰多青色，蛔虫咬心，涎液增多，积冷疼痛难以忍受。每餐食用甜物及时令水果，导致生虫生病转深。
治疗原则：先攻下积滞以驱除蛔疳，随后温补脾胃。
《圣惠方》野狼牙草散 治疗蛔疳导致的干枯消瘦、毛发竖立或痢疾。
方剂组成：
野狼牙草、射干、鼠尾草（各一分）、使君子、醋石榴皮、贯众根、槲皮、钩藤、龙胆、栗刺、棠梨根（各半两）、故绵灰、发灰（各一两）
制法与用法：过筛。五至六岁儿童服用一钱，加水一小盏，煎至五分，早晚各一次，温服。酌情裁量。
蚺蛇胆丸 治疗蛔疳引起的壮热、眼睛发红或干涩常揉；以及发黄脱发、视物不明、手足心发热。时而排出蛔虫，下痢颜色或青、黄、赤、白。身体口鼻下部生疮，虫蚀牙齿脱落，颈部生成无辜肿核，身体消瘦，兄弟姐妹间相互传染直至死亡。
方剂组成：
蚺蛇胆、丁香、黄连、苦参、青葙子、犀角、木香、米砂、雄黄、青黛、硫黄、麝香、牛黄、胭脂、龙胆、白矾（灰）、发灰、绯绢灰、干虾蟆（灰。各一分）
制法与用法：研为细末，用蜂蜜制成如麻子大小的丸剂，粥饮送服三丸，视情况调整剂量。用水化开二丸，吹入鼻中，或敷于疮处。
制法与用法：研为细末，用猪胆汁制成如绿豆大小的丸剂。空腹时，用汤水送服三丸，若有虫则排出。
方剂组成：
熊胆（一分）、狗脊（去毛）、白芜荑、干蟾头（炙焦）、黄丹（炒紫）、蛇蜕（灰。各半两）
制法与用法：过筛，用枣肉制成如绿豆大小的丸剂，粥饮化开三丸。再用藿香汤给患儿洗澡，用青热衣覆盖，蛔虫即可排出。酌情减量。
方剂组成：
使君子、雄黄、熊胆（各一分）、牛黄、蟾酥、麝香（各一钱）
制法与用法：研磨，用软饭制成如麻子大小的丸剂。疳病极重者，用桃柳汤洗澡，粥饮调服三丸。
制法与用法：研为散剂，空腹时，用汤水调服一字。服药后杀虫效果显著，如马尾状排出，病愈。三岁儿童服用半钱。
方剂组成：
青皮（去瓤）、干姜（麸炒）、木香（面裹，炮至赤色）、巴豆（净肉，用一碗米醋煮干，水洗去油）、肉豆蔻（生）、槟榔、肉桂（去粗皮，忌见火。各一两）、砂（半两，用水澄清，慢火熬如煎盐状，用纸盖收飞炼者）
制法与用法：研为细末，用面糊制成如梧桐子大小的丸剂，外披朱砂衣。空腹服用一至三粒。若要消食，则在饭后服用。
针对不同情况的加减服用方法：
因酒食损伤，各种积滞，胸膈不适或腹痛，用姜汤送服；
醉酒，用葱姜汤送服；
心痛，用炒姜汤送服；
妇人血气病，用当归酒送服；
腹泻，用陈米饮送服；
赤痢，用甘草汤送服；
白痢，用干姜汤送服；
脾虚泄泻，用煨姜一块，细嚼后用汤水咽下；
心腹胀满，浑身倦怠，用温酒送服；
转筋霍乱，用紫苏藿香汤送服；
中毒，用五倍子雄黄汤送服；
大小便不通，用桐木根汤送服；
呕吐逆反，用檀香汤送服；
膈上食毒、虚痰，用姜蜜酒送服；
头风，用腊茶清送服；
小儿急慢惊风，用金银薄荷汤送服；
疳蛔，用石榴汤送服。
The *Shenghui Fang* treats pediatric ascariasis (intestinal roundworm disease) characterized by abdominal distension due to insect toxicity, prominent and tense blue veins, progressive emaciation, failure of food to nourish muscles, occasional passage of Ascaris lumbricoides, or intermittent severe abdominal pain. Chan Su Wan (Toad Venom Pill)
Prescription:
Bufo bufo gargarizans secretions (Chan Su), Moschus (Shexiang), Trogopterus Dung (Wulingzhi), Croton seed (Badou) (skin and heart removed, ground, wrapped in paper to press out oil. Each 1 fen).
Preparation and Administration: Grind the above ingredients into an extremely fine powder. Add half a cup of wine to a small pot, simmer over low heat while stirring constantly until the mixture can be formed into pills. Shape into pills the size of yellow millet grains. Administer three pills per dose with Chenpi Tang (Tangerine Peel Decoction), taken on an empty stomach and in the evening. Adjust dosage according to the child's age and condition.
*Tan Shi Shu Sheng* treats gan syndrome with Ascaris. Que Hui San (Expel Roundworm Powder)
Prescription:
Melia toosendan bark (Kulianpi) (preferably from fruit-bearing branches, shade-dried; discard those with red interior as they are toxic), Chrysanthemum indicum seed (Nishe), Pyromorphite (Miduoseng) (Each 2 fen), Areca seed (Binglang) (one piece, processed, pounded while hot).
Preparation and Administration: Grind into a fine powder. Take one qian with rice water. Consume three doses consecutively; the worms will naturally pass out.
Mr. Wang from Handong’s *Jia Bao* treats pediatric Ascaris causing abdominal pain due to worm agitation and piercing. Regular use dissolves the worms internally, eliminating them at the root. Hua Chong Wan (Dissolve Worms Pill)
Prescription:
Chenopodium seed (Wuyi), Sichuan Chrysanthemum seed (Chuan Nishe) (Each 1 fen), Areca nut (Binglang) (2 qian).
Preparation and Administration: Grind into powder. Form pills using pig bile, sized like hemp seeds. For every three years of age, administer five pills; for five to seven years, ten pills. Swallow with aged rice water, three times daily.
Ding Zaicang’s Sha Chong San (Kill Insects Powder) treats pediatric gan syndrome where worms bite the abdomen.
Prescription:
Dry lacquer (Ganqi), Trogopterus Dung (Wulingzhi), Lead carbonate (Dingfen) (Equal parts).
Preparation and Administration: Grind into powder. Take half a zi per dose, administered with scallion white decoction.
Ding Zaicang’s Ganqi San (Dry Lacquer Powder) treats pediatric gan syndrome where worms bite causing heart pain.
Prescription:
Drynaria rhizome (Gouji), Dry lacquer (Ganqi), Hemp seed (Dama Ren), Chrysanthemum indicum seed (Nishe) (Equal parts).
Preparation and Administration: Grind into a fine powder and stir-fry until fragrant. Take one qian per dose, mixed with lean mutton broth.
The *Shenghui Fang* states that ascariasis arises when children consume excessive sweets, greasy foods, or raw/cold items, which fail to digest in the intestines and transform into worms. Symptoms include sleeping face-down, rapid breathing, sallow complexion, emaciation, high-pitched crying, and symptoms resembling heart pain with irregular episodes. The condition worsens around the second, third, and fourth days of the lunar month. Unrecognized by laypeople and attributed to demonic influence, if not treated early, the worms will erode the zang-fu organs, leading to critical illness.
*Yu Jue* Verse:
Crying, aversion to phlegm, green stool, worms biting the heart, excessive saliva, cold accumulation, unbearable pain. Frequent consumption of sweets and seasonal fruits leads to deepening worm infestation.
Treatment principle: First purge accumulations to expel ascariasis, then warm and tonify the spleen and stomach.
The *Shenghui Fang* Ye Langya Cao San (Wild Wolf-tooth Grass Powder) treats dry emaciation from ascariasis, erect hair, or dysentery.
Prescription:
Herba Siegesbeckiae (Ye Langya Cao), Belamcanda chinensis rhizome (Shegan), Salvia miltiorrhiza root (Shuweicao), Quinine tree fruit (Shijunzi), Vinegar-treated pomegranate peel (Cu Shiliupi), Cyathula officinalis root (Guanzhongen), Oak bark (Hupi), Uncaria rhynchophylla (Gouteng), Gentiana scabra root (Longdan), Chestnut thorn (Lici), Pear root (Tanglixgen), Ash from old cotton (Gumian hui), Ash from human hair (Fahui) (Each 0.5 liang for herbs, 1 liang for ashes).
Preparation and Administration: Sieve the powder. For children aged five to six, take one qian with a small cup of water, decoct to reduce to half a cup. Take warm twice daily. Adjust dosage as needed.
Ranshe Dan Wan (Python Gallbladder Pill) treats intense fever from ascariasis, red or dry/itchy eyes requiring frequent rubbing; jaundice, alopecia, blurred vision, and heat in palms and soles. Occasional passage of Ascaris, dysentery with stools varying in color (green, yellow, red, or white). Sores on the lower body, mouth, and nose; tooth loss due to worm erosion; innocent lymphadenopathy (neck masses); emaciation; contagious among siblings, potentially fatal.
Prescription:
Python gallbladder (Ranshe dan), Clove (Dingxiang), Coptis chinensis rhizome (Huanglian), Sophora flavescens root (Kushen), Celosia seed (Qingxiangzi), Rhinoceros horn (Xijiao - *note: substitute legally*), Aucklandia root (Muxiang), Arsenic sulfide ore (Misha), Realgar (Xionghuang), Indigo naturalis (Qingdai), Sulfur (Liuhuang), Moschus (Shexiang), Bovine calculus (Niuhuang), Carmine (Yanzhi), Gentiana scabra root (Longdan), Alum (Bai fan - ash form), Hair ash (Fahui), Red silk ash (Feijuan hui), Dried toad (Gan xama - ash form) (Each 1 fen).
Preparation and Administration: Grind into powder. Form pills with honey, sized like hemp seeds. Take three pills with porridge water, adjusting quantity. Dissolve two pills in water, insufflate into nostrils, or apply topically to sores.
Qingdai Wan (Indigo Naturalis Pill) treats ascariasis and various other conditions.
Prescription:
Indigo naturalis (Qingdai), Cinnabar (Zhusha), Aloe vera (Luhui), Picrorhiza rhizome (Huhuanglian), Chrysanthemum indicum seed (Nishe) (Each 1 fen).
Preparation and Administration: Grind into powder. Form pills with pig bile, sized like mung beans. Take three pills on an empty stomach with water decoction; worms will be expelled.
Xiong Dan Wan (Bear Bile Pill) for expelling worms in ascariasis.
Prescription:
Bear bile (Xiong dan, 1 fen), Drynaria rhizome (Gouji, de-haired), White Chenopodium seed (Bai Wuyi), Dried toad head (Gan chan tou, roasted until charred), Minium (Huang dan, fried purple), Snake slough (She tui, ash form) (Each 0.5 liang).
Preparation and Administration: Sieve. Form pills with jujube flesh, sized like mung beans. Dissolve three pills in porridge water. Bathe the child in Huoxiang Tang (Agastache Decoction), cover with a cool green cloth, and worms will emerge. Reduce dosage as appropriate.
Shijunzi Wan (Quinine Tree Fruit Pill) treats gan syndrome with Ascaris expulsion.
Prescription:
Quinine tree fruit (Shijunzi), Realgar (Xionghuang), Bear bile (Xiong dan) (Each 1 fen), Bovine calculus (Niuhuang), Bufo bufo gargarizans secretions (Chansu), Moschus (Shexiang) (Each 1 qian).
Preparation and Administration: Grind. Form pills with soft rice, sized like hemp seeds. For severe gan cases, bathe in Taoliu Tang (Peach and Willow Twig Decoction), take three pills mixed with porridge water.
Alternative Formula:
Chrysanthemum indicum seed (Nishe), Picrorhiza rhizome (Huhuanglian), Areca nut (Binglang), Bear bile (Xiong dan), Dried toad (Gan chan, processed with toad venom and roasted yellow) (Each 0.5 liang).
Preparation and Administration: Grind into powder. Take one zi on an empty stomach mixed with water decoction. After administration, worms are expelled resembling horse tails; recovery ensues. Dosage for three-year-olds is half a qian.
Wu Shi Qi Bao Dan (Wu’s Seven-Treasure Pill for Ascariasis)
Prescription:
Green tangerine peel (Qing pi, pith removed), Dried ginger (Gan jiang, bran-fried), Aucklandia root (Mu xiang, wrapped in flour, roasted red), Croton seed (Ba dou, cleaned meat, boiled in one bowl of rice vinegar until dry, washed to remove oil), Nutmeg (Rou doukou, raw), Areca nut (Bing lang), Cinnamon bark (Rou gui, bark removed, protected from fire) (Each 1 liang), Refined arsenic compound (Sha, 0.5 liang, clarified with water, slow-cooked like salt frying, covered with paper to collect refined powder).
Preparation and Administration: Grind into fine powder. Form pills with wheat paste, sized like wu-tze seeds, coated with cinnabar. Take one to three pills on an empty stomach. To aid digestion, take after meals.
Adjuvant administration based on specific conditions:
For damage from alcohol and food, various accumulations, chest oppression, or abdominal pain: take with ginger decoction.
For alcohol intoxication: take with scallion and ginger decoction.
For heart pain: take with roasted ginger decoction.
For women’s blood qi disorders: take with Danggui wine.
For diarrhea: take with aged rice water.
For bloody dysentery: take with licorice decoction.
For non-bloody dysentery: take with dried ginger decoction.
For spleen deficiency diarrhea: chew one piece of baked ginger slowly and swallow with water.
For abdominal fullness, global fatigue: take with warm wine.
For muscle cramps and cholera-like vomiting/diarrhea: take with Perilla and Agastache decoction.
For poisoning: take with Myrobalan and Realgar decoction.
For constipation or urinary retention: take with Paulownia root decoction.
For vomiting and reflux: take with Sandalwood decoction.
For food toxicity and deficient phlegm in the diaphragm: take with ginger-honey wine.
For wind headache: take with aged tea infusion.
For pediatric acute or chronic convulsions: take with Goldthread and Mint decoction.
For gan syndrome with Ascaris: take with pomegranate decoction.