凡诸虫之中，惟蛔虫最多，其逐治之法总若前条，然旋逐旋生，终非善策，欲杜其源，
必须温养脾胃，脾胃气强，虫自不生矣。故凡逐虫之后，或于未逐之先。若欲调补脾肾，则
如归脾汤、温胃饮、五君子煎、理中汤，或理阴煎之属，皆所宜也。若欲兼虫而治之，则惟
温脏丸为最善。凡治虫之法，或攻或补，自有缓急先后之宜，所当详辨，不可任意忽略也。
《巢氏病源》曰∶凡腹中痛，其脉法当沉弱，今脉反洪大者，是蛔虫也。
《医余》曰∶蛔虫亦九虫之数，人腹中皆有之。小儿失乳而哺早，或食甜食过多，胃虚
而热，生虫。令人腹痛恶心，口吐清水，腹上青筋。用火煨使君子与食，以壳煎汤送下，甚
妙。然世人多于临卧服之，又无日分，多不验。惟月初四五里五更而服之，至日午前虫尽下
，可用温平和胃药调理一二日。凡虫在腹中，月上旬头向上，中旬横之，下旬头向下。故中
旬下旬用药则不入虫口，所以不验也。牛马之生子，上旬生者，行在母前，中旬生者，并肩
而行，下旬生者，后随之。猫之食鼠亦然。天地自然之理，物皆由之而莫知之。
伤寒门有吐蛔、蛔厥证治。呕吐门有吐蛔治法，并吐蛔治按。肿胀门有孙一奎蛔虫按，
俱当参阅。
《外台》用苦楝汤治蛔虫。
在所有寄生虫中，蛔虫最为常见。其驱虫治疗方法总体与前述条文一致，然而边驱除边滋生，终究不是良策。若要杜绝其根源，必须温养脾胃；脾胃之气强健，蛔虫自然无法生成。因此，凡是在驱虫之后，或在尚未驱虫之前，若想调理补益脾肾，如归脾汤、温胃饮、五君子煎、理中汤（Li Zhong Tang），或理阴煎（Li Yin Decoction）等方剂，都是适宜的。若想兼顾驱虫与治疗，则以温脏丸（Wen Zang Wan）为最佳。大凡治疗寄生虫的方法，或攻伐或补益，自有缓急先后的适宜次序，应当仔细辨别，不可随意忽略。
《巢氏病源》记载：凡是腹中疼痛，脉象法度应当沉弱，如今脉象反而洪大，这是蛔虫所致。
《医余》记载：蛔虫也属于九虫之列，人的腹中都有它存在。小儿断奶后喂养过早，或者食用甜食过多，导致胃虚而生热，从而生出蛔虫。使人腹痛恶心，口吐清水，腹部出现青筋。用火煨制的使君子（Shi Jun Zi, Quisqualis Fructus）喂食，并用其壳煎汤送服，效果很好。然而世人多在临睡前服用，又没有固定的日期，大多不灵验。只有在农历月初四五日五更时分服用，到中午前蛔虫就能全部排出，之后可用温和平和的调理胃气的药物调理一两天。凡是蛔虫在腹中，上旬头部向上，中旬身体横卧，下旬头部向下。所以在中旬和下旬用药则药力进不了虫口，因此不灵验。牛马生产幼崽，上旬出生的走在母体前面，中旬出生的并肩而行，下旬出生的跟在后面。猫吃老鼠也是如此。这是天地自然的道理，万物都遵循此理而人们却不知晓。
伤寒门中有吐蛔、蛔厥证治的内容。呕吐门中有吐蛔的治疗方法，以及吐蛔治疗的医案。肿胀门中有孙一奎关于蛔虫的医案，都应当参考阅读。
Among all parasitic worms, Ascaris lumbricoides (Hui Chong) is the most common. The methods for expelling them are generally consistent with the preceding article; however, expelling them while they continue to reproduce is ultimately not a sound strategy. To eliminate their source, it is necessary to warm and nourish the Spleen and Stomach; when the Qi of the Spleen and Stomach becomes strong, the worms will naturally cease to generate. Therefore, whether after expelling worms or before doing so, if one wishes to regulate and tonify the Spleen and Kidney, formulas such as Guipi Tang (Guizhi Tang), Wenwei Yin (Stomach-Warming Drink), Wu Junzi Jian (Five Gentlemen Decoction), Lizhong Tang (Center-Regulating Decoction), or Liyin Jian (Yin-Regulating Decoction) are all appropriate. If one wishes to treat both the worms and the underlying condition simultaneously, Wenzang Wan (Viscera-Warming Pill) is considered the best. In general, the treatment of parasitic worms involves either attacking or tonifying, each having its own appropriate sequence of urgency and priority, which must be carefully distinguished and should not be casually ignored.
The *Chao Shi Bing Yuan* states: "Whenever there is abdominal pain, the pulse method dictates it should be deep and weak; if the pulse is instead surging and large, this indicates Ascaris lumbricoides."
The *Yi Yu* states: "Ascaris lumbricoides is also counted among the Nine Worms; everyone has them in their abdomen. If infants are weaned too early or fed solid food prematurely, or consume excessive sweet foods, the Stomach becomes deficient and generates heat, leading to the birth of worms. This causes abdominal pain, nausea, vomiting of clear fluid, and visible blue veins on the abdomen. Roasted Quisqualis Fructus (Shi Jun Zi) can be given as food, followed by decoction of its shells taken orally, which is very effective. However, people often take it before sleep without observing specific days, resulting in little efficacy. It is only effective when taken at the fifth watch (around 1–3 AM) on the fourth or fifth day of the lunar month; by noon, the worms will be completely expelled. Thereafter, mild and harmonizing Stomach-regulating medicines can be used for one or two days to recover. Whenever worms reside in the abdomen, during the first ten days of the lunar month their heads point upward, during the middle ten days they lie horizontally, and during the last ten days their heads point downward. Therefore, administering medication during the middle or late periods means the medicine cannot enter the worm's mouth, hence its ineffectiveness. When cows or horses give birth, those born in the first period walk ahead of the mother, those born in the middle period walk side-by-side, and those born in the late period follow behind. Cats eating mice behave similarly. This is the natural principle of Heaven and Earth; all things follow it, yet people remain unaware."
In the Treatise on Cold Damage section, there are treatments for vomiting worms and Reversal Cold due to Ascaris. In the Vomiting section, there are methods for treating vomiting worms, along with clinical records. In the Swelling and Distension section, there is a clinical record by Sun Yikui regarding Ascaris. All these should be consulted.
The *Waitai Miyao* uses Kulian Tang (Toosendan Decoction) to treat Ascaris lumbricoides.