（附论）
夫时气下部疮者。 由毒热结在腹内。谷气衰。毒瓦斯盛。三虫动作常食人五脏。多冷泄
痢。下部生疮。痒不暂止。若唇内生疮。但欲寤者。此虫蚀下部也。重者则肚肠烂伤于五脏。
其人即死。
方
雄黄散（出圣惠方）治时气 蚀下部生疮。宜服。
雄黄（五钱细研一方用醋炙） 青葙子（三两） 苦参（三两锉） 黄连（三两去须微
炒） 杏
仁（一两五钱汤浸去皮尖双仁麸炒微黄外一方用桃仁） 上为散。每服食前粥饮调下二钱。
外
台秘要方。捣筛。绵裹如半枣核大。纳下部。亦可米汁服方寸匕。一日三服。忌猪肉、冷水。
及热面、炙肉、蒜等物。
治毒病下部生疮者（出肘后方）
捣蛇莓汁服之三合。日三服。水渍乌梅令浓。并纳崖蜜。数数饮之。
治天行下部疮烂方（出肘后方）
乌梅（二十七枚去核） 大蒜（二十枚） 屋尘（半升筛取细者） 上捣筛为散。苦酒
一升和
调。于铜器中煎成膏。作长梃。纳下部。
治时气下部 疮疼（出圣惠方）
桂心（二两） 蓝叶（二两） 上为末。分为三服。以生猪肝半斤。去膜细切。拌药一
服。
入五味同煮。每日早晨一服。当于下部中出虫如发。一合已来便瘥。外台秘要方。治天行
病。用桂心、小蓝各二两 咀。水一斗。煮取二升。
纳猪肝十两。去膜细研。着汤中和令相得。临时小温。若毒悉在腹内。尽服之。在下部
者。三分药中用一分。竹筒纳下部中。服药一时间。当下细虫如发大五六升。小儿半作之。
忌生葱。一名桂枝汤。
治时气痢脓血。下部生 疮虫方。（出圣惠方）
黄连（三分去须微炒外台秘要方作三两） 蜡（一两） 乌梅肉（三两微炒） 上为末。
化蜡
和蜜为丸如梧桐子大。每服食前以粥饮下三十丸。晚再服之。外台秘要。加至四十丸瘥。忌
猪肉、冷水。一名黄连丸。
治时气下部 疮方（出圣惠方）
用马蹄烧为灰。为末。以猪脂和涂之。一日可五六遍。即瘥。
治时气病下部 疮痛不止（出圣惠方）
用浓煮桃枝皮。取汁煎如稠饧。以通下部中。若口疮含之瘥。亦治热病下部生疮。
治伤寒 病。兼治蛔虫攻心脐如刺。口吐清水。（出千金方）
取生鸡子。小头叩出白。入漆一合熟和。搅令极稠。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。
治毒病下部生疮者（出肘后方）
烧盐以黄。导之不透。又以绵裹熨之。
又方（出肘后方）
用生漆涂之。绵导之。
又方（出肘后方）
大丸艾灸下部。
又方（出肘后方）
取蚯蚓三升。水五升。煮得二升半。尽服之。
又方（出肘后方）
取水中荇菜。捣。绵裹导之。日五易瘥。
又方（出肘后方）
用搅皮槲皮。令煮汁粘糖以导之。又浓煮桃皮饮之。良。
猪胆苦酒汤（出千金方）治热病有 。上下攻移杀人。
用猪胆一具。苦酒半斤和之。大煎令沸。三上三下药成。放温。空心服饮三满口。虫死
便愈。
治伤寒热病多睡。变成温 。四肢烦疼。不得食。（出千金方）
用羊桃十斤切捣。令熟。暖汤三升。淹浸之。日正午时。入中坐一炊久。不过三度瘥。
青葙散（出千金方）治热病有 。下部生疮。
青葙子（一两） 篇竹（二两） 芦（四两） 甘草（一分） 野狼牙（三分） 上捣
筛。米饮
和。每服一合。日三服。不知稍加之。一方无甘草。有橘皮二两。
雄黄兑散（出千金方）治时气病 。下部生疮。
雄黄（五钱） 桃仁（一两） 青葙子（五钱） 黄连（五钱） 苦参（五钱） 上为
末。绵裹如
枣核大。纳下部。亦可用枣汁服方寸匕。日三服。
治温病下部有疮。虫蚀人五脏。（出千金方）
雄黄（一分） 皂荚（一分） 麝香（二分） 朱砂（二分） 上为末。用蜜和丸如梧
桐子大。
初得病。酒服一丸。日二。若下部有疮取如梧子末。纳下部。日二。
【附论】
所谓时气下部疮，是由于毒热结聚在腹内。谷气衰弱，毒瓦斯旺盛，导致三虫（寄生虫）活动，经常啃食人的五脏。多表现为冷泄痢。下部生疮，瘙痒片刻不停。如果唇内生疮，总是想醒来（或指神志不安），这是虫蚀下部的表现。病情严重的，会导致肚肠烂伤五脏，人就会死亡。
方剂：
雄黄散（出自《圣惠方》），治疗时气病引起的下部生疮。适宜服用。
雄黄（五钱，细研；另一版本用醋炙） 青葙子（三两） 苦参（三两，锉碎） 黄连（三两，去须，微炒） 杏仁（一两五钱，汤浸去皮尖，双仁者用麸炒至微黄；另一版本用桃仁）。以上药物研为散剂。每次在饭前用粥饮调服二钱。
外用《外台秘要》方：将药捣筛，用绵包裹如半颗枣核大小，纳入下部。也可以用米汁送服方寸匕，每日三次。忌食猪肉、冷水、热面、烤肉、蒜等物。
治疗毒病引起下部生疮的方子（出自《肘后方》）：
捣取蛇莓汁服用三合，每日三次。用水浸泡乌梅使其浓稠，并加入崖蜜，多次饮用。
治疗天行病引起下部疮烂的方子（出自《肘后方》）：
乌梅（二十七枚，去核） 大蒜（二十枚） 屋尘（半升，筛取细末）。以上捣筛为散剂。用醋一升调和。在铜器中煎成膏状，制成长条棒，纳入下部。
治疗时气病引起下部疮痛的方子（出自《圣惠方》）：
桂心（二两） 蓝叶（二两）。以上研为末，分为三服。用生猪肝半斤，去膜切细，拌入药粉一服。加入五味同煮。每天早晨服用一次。应当从下部排出如头发般的虫子，大约一合左右即可痊愈。《外台秘要》方：治疗天行病，用桂心、小蓝各二两，切碎。用水一斗，煮取二升。加入猪肝十两，去膜细研，放入汤中调和均匀。临用时稍温。如果毒邪全在腹内，全部服下。如果毒邪在下部，则取三分之一的药量，用竹筒纳入下部。服药后一段时间，会排出如头发般粗细的小虫，约五六升。小儿减半制作。忌生葱。此方又名桂枝汤。
治疗时气痢疾脓血、下部生虫的方子（出自《圣惠方》）：
黄连（三分，去须微炒；《外台秘要》作三两） 蜡（一两） 乌梅肉（三两，微炒）。以上研为末。熔化蜡和蜜制成梧桐子大小的丸剂。每次在饭前用粥饮送服三十丸，晚上再服一次。《外台秘要》加至四十丸可愈。忌猪肉、冷水。此方又名黄连丸。
治疗时气病下部疮的方子（出自《圣惠方》）：
用马蹄烧成灰，研为末。用猪脂调和涂抹患处。一天可涂五六次，即可痊愈。
治疗时气病下部疮痛不止的方子（出自《圣惠方》）：
用浓煮桃枝皮，取汁液煎至像稠糖一样。用来通导下部。如果是口疮含漱也可痊愈。也治疗热病引起下部生疮。
治疗伤寒病，兼治蛔虫攻心脐如刺、口吐清水的方子（出自《千金方》）：
取生鸡蛋，在小头敲开倒出蛋清。加入漆一合，充分调和，搅拌至极稠，出现泡沫。再放回蛋壳中。仰头吞服。过一会儿或半天，就会吐出或拉出虫子。病情重的再服一次。虫子排尽，热除病愈。
治疗毒病引起下部生疮的方子（出自《肘后方》）：
烧盐至变黄，用于导引（塞入下部），如果不通，又用绵包裹熨烫。
又一方（出自《肘后方》）：
在大丸艾灸下部。
又一方（出自《肘后方》）：
取蚯蚓三升，水五升，煮取二升半，全部服下。
又一方（出自《肘后方》）：
取水中荇菜，捣碎，用绵包裹导引。每天更换五次，可愈。
又一方（出自《肘后方》）：
用搅皮槲树皮，煮汁粘糖以导引。另外浓煮桃皮饮用，效果良好。
猪胆苦酒汤（出自《千金方》），治疗热病有虫，上下攻移杀人。
用猪胆一个，苦酒（醋）半斤调和。大火煎至沸腾，反复加热三次使药成。放温。空腹服下三口满嘴的药液。虫死便愈。
治疗伤寒热病多睡，变成温病，四肢烦疼，不能进食的方子（出自《千金方》）：
用羊桃十斤切碎捣烂，使其熟透。用暖汤三升浸泡。正午时分，坐入其中蒸煮一顿饭的时间，不超过三次即可痊愈。
青葙散（出自《千金方》），治疗热病有虫，下部生疮。
青葙子（一两） 篇竹（二两） 芦（四两） 甘草（一分） 野狼牙（三分）。以上捣筛。用米饮调和。每次服用一合，每日三次。无效则稍加剂量。另一版本无甘草，有橘皮二两。
雄黄兑散（出自《千金方》），治疗时气病，下部生疮。
雄黄（五钱） 桃仁（一两） 青葙子（五钱） 黄连（五钱） 苦参（五钱）。以上研为末。用绵包裹如枣核大小，纳入下部。也可以用枣汁送服方寸匕，每日三次。
治疗温病下部有疮，虫蚀人五脏的方子（出自《千金方》）：
雄黄（一分） 皂荚（一分） 麝香（二分） 朱砂（二分）。以上研为末。用蜜和丸如梧桐子大小。初得病时，用酒送服一丸，每日两次。如果下部有疮，取如梧子大小的药末，纳入下部，每日两次。
[Attached Discussion]
The condition known as "Shi Qi Xia Bu Chuang" (Sores in the Lower Part Caused by Seasonal Pathogenic Factors) arises from toxic heat accumulating within the abdomen. The grain qi is weak, while toxic vapors are abundant, causing the "Three Worms" (parasites) to become active and constantly devouring the five zang organs. This often manifests as cold diarrhea and dysentery. Sores appear in the lower part of the body with incessant itching. If sores form inside the lips and the patient desires to wake up frequently (or exhibits restlessness), this indicates that worms are eroding the lower part. In severe cases, the intestines and stomach may rot and damage the five zang organs, leading to death.
Formulas:
Xionghuang San (Realgar Powder) [Source: *Shenghui Fang*]: Treats sores in the lower part caused by Shi Qi. Suitable for oral administration.
- Xionghuang (Realgar): 5 qian, finely ground; another version uses vinegar-fried.
- Qingxiangzi (Seed of Celosia): 3 liang.
- Kushen (Root of Sophora Flavescens): 3 liang, sliced.
- Huanglian (Rhizoma Coptidis): 3 liang, remove roots, lightly stir-fried.
- Xingren (Apricot Seed): 1 qian 5 chen, soaked in water, peel and tip removed, use double-kernel seeds, lightly stir-fried with bran until slightly yellow; another version uses Taoren (Peach Kernel).
Grind all ingredients into a powder. Take 2 qian before meals, mixed with congee broth.
External Application [Source: *Waitai Miyao*]: Grind and sieve the medicine, wrap in cotton like half a date pit, and insert into the lower orifice. Alternatively, take 1 fangcun bi (a measure roughly the size of a square inch) with rice juice, three times a day. Avoid pork, cold water, hot noodles, roasted meat, garlic, etc.
Formula for Toxic Disease Causing Lower Sores [Source: *Zhouhou Fang*]:
Take the juice of Shemei (Herba Pteridis Multifidae), drink 3 he, three times a day. Soak Wumei (Fructus Mume) in water until concentrated, add Yanmi (Cliff Honey), and drink frequently.
Formula for Tianxing Disease Causing Lower Ulcers [Source: *Zhouhou Fang*]:
- Wumei (Fructus Mume): 27 pieces, remove pits.
- Dasuan (Garlic Bulb): 20 cloves.
- Wuchen (House Dust): 0.5 sheng, sifted to fine powder.
Grind and sieve into a powder. Mix with 1 sheng of Kujiu (Vinegar). Boil in a copper vessel until it becomes a paste. Shape into long sticks and insert into the lower orifice.
Formula for Shi Qi Causing Lower Sore Pain [Source: *Shenghui Fang*]:
- Guixin (Cinnamon Twig Bark): 2 liang.
- Lanye (Isatis Leaf): 2 liang.
Grind into powder, divide into three doses. Take one dose mixed with 0.5 jin of raw pig liver (membrane removed, finely chopped). Cook together with five flavors. Take once every morning. Worms resembling hair should be expelled from the lower orifice; recovery occurs after about 1 he.
*Waitai Miyao* variant for Tianxing Disease: Use Guixin and Xiaolan (Indigo Naturalis) each 2 liang, chopped. Boil in 1 dou of water until reduced to 2 sheng. Add 10 liang of pig liver (membrane removed, finely ground) and mix well in the decoction. Warm slightly before use. If toxicity is entirely in the abdomen, consume all. If located in the lower part, use one-third of the mixture, inserted via a bamboo tube into the lower orifice. After taking the medicine for a period, expel small worms resembling hair, approximately 5-6 sheng. For children, halve the dosage. Avoid raw green onions. This formula is also known as Guizhi Tang (Cinnamon Twig Decoction).
Formula for Shi Qi Dysentery with Pus and Blood and Lower Worm Infestation [Source: *Shenghui Fang*]:
- Huanglian (Rhizoma Coptidis): 3 fen, remove roots, lightly stir-fried (*Waitai Miyao* uses 3 liang).
- La (Beeswax): 1 liang.
- Wumei Rou (Flesh of Fructus Mume): 3 liang, lightly stir-fried.
Grind into powder. Melt beeswax and mix with honey to make pills the size of wutong seeds. Take 30 pills before meals with congee broth, and again at night. *Waitai Miyao* suggests increasing to 40 pills for cure. Avoid pork and cold water. This formula is also known as Huanglian Wan (Coptis Pill).
Formula for Shi Qi Lower Sores [Source: *Shenghui Fang*]:
Burn Matihui (Hoof Ash) to ash, grind into powder. Mix with Zhuzhi (Pig Fat) and apply topically. Apply 5-6 times a day for cure.
Formula for Unceasing Lower Sore Pain in Shi Qi Disease [Source: *Shenghui Fang*]:
Boil Taozhipi (Peach Branch Bark) thickly, extract the juice, and boil until it resembles thick syrup. Insert into the lower orifice. If used for mouth sores, hold in the mouth for cure. Also treats lower sores caused by Heat Diseases.
Formula for Shanghan Disease, treating Roundworms Attacking Heart and Umbilicus with Stabbing Pain and Clear Saliva Vomiting [Source: *Qianjin Fang*]:
Take a raw chicken egg, crack open the small end, and pour out the white. Add 1 he of Qi (Raw Lacquer), mix thoroughly until very thick and foamy. Return to the shell. Swallow upright. After a short while or half a day, vomit or defecate worms. Severe cases may require a second dose. Once worms are cleared, heat dissipates, and the disease heals.
Formula for Toxic Disease Causing Lower Sores [Source: *Zhouhou Fang*]:
Burn salt until yellow, use for insertion (suppository). If blocked, wrap in cotton and apply moxibustion/heat compression.
Another Formula [Source: *Zhouhou Fang*]:
Apply raw lacquer, insert wrapped in cotton.
Another Formula [Source: *Zhouhou Fang*]:
Apply moxibustion on large pellets to the lower area.
Another Formula [Source: *Zhouhou Fang*]:
Take 3 sheng of earthworms, boil in 5 sheng of water until reduced to 2.5 sheng. Drink all.
Another Formula [Source: *Zhouhou Fang*]:
Take Xingcai (Nymphoides peltata), crush, wrap in cotton, and insert. Change 5 times a day for cure.
Another Formula [Source: *Zhouhou Fang*]:
Use Jiaopi (Bark of Quercus variabilis), boil to extract sticky juice for insertion. Also, drink thickly boiled Tao Pi (Peach Bark); effective.
Zhudan Kujiu Tang (Pig Gallbladder and Vinegar Decoction) [Source: *Qianjin Fang*]: Treats Heat Disease with parasites migrating上下 (up and down) causing death.
Use one pig gallbladder, mix with 0.5 jin of Kujiu (Vinegar). Boil vigorously, heating three times until ready. Let cool to warm temperature. Take three full mouthfuls on an empty stomach. Cure when worms die.
Formula for Shanghan Heat Disease with Excessive Sleepiness, Transforming into Wen Bing (Warm Disease), with Restless Limbs Pain and Anorexia [Source: *Qianjin Fang*]:
Take 10 jin of Yangtao (Actinidia arguta), chop and crush until soft. Immerse in 3 sheng of warm water. Sit in the solution at noon for the duration of cooking a meal. Do not exceed three sessions for cure.
Qingxiang San (Celosia Powder) [Source: *Qianjin Fang*]: Treats Heat Disease with parasites, causing lower sores.
- Qingxiangzi (Seed of Celosia): 1 liang.
- Pianzhu (Bamboo Leaves): 2 liang.
- Lu (Reed Rhizome): 4 liang.
- Gancao (Licorice Root): 1 fen.
- Yelangya (Wild Wolf's Tooth Herb): 3 fen.
Grind and sieve. Mix with rice drink. Take 1 he per dose, three times a day. Increase dosage if ineffective. Another version excludes Gancao but includes 2 liang of Chuanpi (Tangerine Peel).
Xionghuang Dui San (Realgar Compound Powder) [Source: *Qianjin Fang*]: Treats Shi Qi Disease with lower sores.
- Xionghuang (Realgar): 5 qian.
- Taoren (Peach Kernel): 1 liang.
- Qingxiangzi (Seed of Celosia): 5 qian.
- Huanglian (Rhizoma Coptidis): 5 qian.
- Kushen (Root of Sophora Flavescens): 5 qian.
Grind into powder. Wrap in cotton like a date pit and insert into the lower orifice. Alternatively, take 1 fangcun bi with jujube juice, three times a day.
Formula for Wen Bing with Lower Sores and Parasitic Erosion of Five Zang Organs [Source: *Qianjin Fang*]:
- Xionghuang (Realgar): 1 fen.
- Zhaojiao (Gleditsia Sinensis Pod): 1 fen.
- Shexiang (Musk): 2 fen.
- Zhusha (Cinnabar): 2 fen.
Grind into powder. Mix with honey to make pills the size of wutong seeds. At onset of disease, take one pill with wine, twice daily. If there are lower sores, take powder the size of a wutong seed and insert into the lower orifice, twice daily.