某 痔血延久不痊，便后血色鲜紫，虽似肠胃远血，然恐肠尽肛头旧损所渗，沿便之一线而来，尾闾不禁，
沧海易枯，无怪面色萎悴也。治用凉以润之，黑以止之，固以摄之。槐米（炒）、柿饼（ ）、乌梅（蒸烂）、
侧柏叶（捣汁）、地榆（炒）、百草霜、熟地（杵膏），加炼蜜丸，服效。
王 气虚下陷，痔坠肿痛，兼脱肛脓血，用补中益气汤加槐米、茯苓，外用牡蛎粉、黄柏面安纸上，承
以布托肛入，数次效。
某 便燥出血，痔核肿痛。参东垣润燥通幽二汤，用熟地、生地、桃仁、麻仁、红花、当归（酒润）、
杏仁、甘草、枳壳，蜜丸。此入血分润燥结，服效。
气化之生虫也，木朽为蠹，草腐为萤，日气蒸雨变生螟 。脏腑之生虫也，肥甘不节，生冷失宜，中脘
气虚，湿热不运，诸 乃生，如发症、龟瘕、疳虫、尸疰、狐惑、应声之类。其候心嘈腹痛，面色萎黄，沉默
嗜眠，食减羸瘦，唇有红白点，呕多青绿涎，或专嗜（生米、茶叶、泥螺、瓦灰之类。）此在小儿为多，其
痛时作时止，其脉忽大忽小，其腹有气梗起往来，痛定便能食者是。古分五脏虫形，如心之虫曰蛔，脾之虫曰
寸白，肾之虫如刀截丝缕，肝之虫如烂杏，肺之虫如蚕。诸虫皆能杀人，惟肺虫蚀肺，令人痒咳，至咯血声嘶，
最为难治。又有三虫，长虫、赤虫、蛲虫。惟蛲虫最能病患，治之必于月初，虫头向上，空腹先饮肉汁，令其
闻香，聚而求食，以迂仙丹下之。虫下净，乃啜粥止之。虫性喜甜，得甘则动，得苦则止，得酸则软，得辛则
伏。如乌梅丸，连、柏之苦，梅、醋之酸，椒、姜之辣。古法治伤寒蛔厥，理中汤加川椒五粒、槟榔五分。
脏寒吐蛔，及胃腑咳呕长虫出，乌梅丸。胃虚蛔上入膈，理中安蛔丸。诸虫攻胸急痛，扫虫煎。虫啮心痛，贯心
则死，芜荑散。虫痛口流清涎，以乌梅、川椒、姜煎服。腹有虫积，万应丸去干漆。虫痛腹热，化虫丸。虫痛
肢冷，集效丸。虫积坚久，胀痛黄瘦，猎虫丸。一切虫积，追虫丸。元气实者，木香槟榔丸。虚寒虫动，呕泻
成疳，温脏丸。脾疳虫积，肚大肌消，龈腐生疮，六味肥儿丸。虫积嗜生米泥炭等物，为虫疳，以使君子、榧
子、槟榔、南星研细，砂糖水调服。虫血积久，成膈呕涎，秦川翦红丸。肺嗽有虫，骨蒸成瘵，百部膏。尸疰
传染，獭肝丸、鳗鱼汤。消渴虫耗阴液，苦楝根白皮一握切焙，加麝香少许，水煎服，则虫下渴止。杀寸白虫，
榧子四十九枚，砂糖水煮。每上旬平日，空心服七枚，七日尽，虫化水。腹生鳖瘕，白
马溺饮之，鳖化水。呕吐虾虫，铜绿煎汤饮之，遂绝。口发言，腹应声，捣蓝汁饮，或服雷丸汤。狐惑症，
状类伤寒，起卧不安，四肢沉重，虫食其脏，上唇生疮，为惑。必声哑，宜桃仁汤，或甘草泻心汤。虫蚀其肛，
下唇生疮，为狐。必咽干，宜苦参汤洗，以雄黄锐散纳谷道中。谷道微痒，粪后蛆虫，宜调补脾胃。四君归脾
温脏等汤。或化 丸，外用楝根白皮煎汤洗之。大肠虫出，行坐不得，用鹤虱灰五钱，水调服，自愈。小肠湿
热，溺窍虫出，导赤散加使君子、萆 、黄柏。妇人阴蚀虫痒，用蛇床子煎汤洗，拭干，内掺桃仁、雄黄等细
末。浑身虱出，血肉俱坏，饮盐醋汤，半月即安。阴毛生虱，（虱有八脚，生肉中，出毛孔。）肝肾阴亏，
内服六味地黄丸，外以白果肉擦之。筋肉化虫，如蟹走皮肤内作声，急用雄黄雷丸各一两，为末，掺猪肉上，
炙熟，食尽自愈。凡治虫势骤急者，行攻逐，如大黄、黑丑、干漆、槟榔、三棱、莪术等。虫去则调其脾胃，
势缓者用制伏，如川连、胡连、乌梅、苦参、苦楝、川椒、芜荑、鹤虱等。脾弱者兼运脾，胃滞者兼消滞。脾
胃气强，虫乃不生，尤宜审脏气之虚实而治之，毋专恃攻下为也。
某患者痔疮出血日久不愈，排便后血色鲜红带紫。虽然看似是肠胃深处的远血，但恐怕是肠道尽头、肛门头部的陈旧损伤所导致的渗血，随着大便排出一线流出。尾闾（指肛门或下元）无法固摄，如同沧海容易枯竭，面色憔悴枯黄也就不足为奇了。治疗采用清凉滋润、黑色止血、固涩摄血的方法。使用炒槐米、柿饼、蒸烂的乌梅、捣汁的侧柏叶、炒地榆、百草霜、杵成膏状的熟地黄，加入炼蜜制成丸药服用，见效。
王某气虚下陷，导致痔核脱出肿痛，兼有脱肛并伴有脓血。使用补中益气汤加入槐米、茯苓，外用牡蛎粉和黄柏面涂在纸上，垫布托举肛门使其复位，经过数次治疗见效。
某患者大便干燥出血，痔核肿痛。参考李东垣的润燥通幽二方，使用熟地黄、生地黄、桃仁、火麻仁、红花、酒浸当归、杏仁、甘草、枳壳，制成蜜丸。此方入血分以滋润燥结，服用后见效。
人体气化过程中产生寄生虫，就像木头腐朽生出蛀虫，草木腐烂生出萤火虫一样。脏腑产生寄生虫，是因为肥甘厚味饮食不节制，生冷食物摄入不当，导致中脘（脾胃）气虚，湿热不能运化，各种寄生虫于是滋生，如发症、龟瘕、疳虫、尸疰、狐惑、应声虫等。其症状表现为心中嘈杂腹痛，面色萎黄，沉默嗜睡，食欲减退身体消瘦，嘴唇上有红白斑点，呕吐多青绿色涎沫，或者特别嗜好吃生米、茶叶、泥螺、瓦灰等异物。这种情况多见于小儿，疼痛时作时止，脉象忽大忽小，腹部有气块梗起往来移动，疼痛停止后就能进食。古人将五脏之虫分类，如心之虫叫蛔虫，脾之虫叫寸白虫（绦虫），肾之虫像刀截断的丝缕，肝之虫像烂杏，肺之虫像蚕。各种虫都能致人死亡，只有肺虫侵蚀肺部，令人瘙痒咳嗽，直到咯血声音嘶哑，最为难治。又有三虫：长虫、赤虫、蛲虫。其中蛲虫最能危害病人，治疗必须在月初进行，此时虫头向上，空腹先喝肉汤，让虫闻到香味聚集求食，然后用迂仙丹攻下。虫子排净后，再喝粥来调养。虫性喜欢甜味，得甘则动，得苦则止，得酸则软，得辛则伏。如乌梅丸，用黄连、黄柏之苦，乌梅、醋之酸，花椒、生姜之辣。古法治疗伤寒蛔厥，用理中汤加川椒五粒、槟榔五分。脏寒吐蛔，以及胃腑咳呕出长虫，用乌梅丸。胃虚蛔虫上入膈部，用理中安蛔丸。诸虫攻冲胸胁急痛，用扫虫煎。虫咬心痛，若穿透心脏则死，用芜荑散。虫痛口流清涎，用乌梅、川椒、生姜煎服。腹中有虫积，用万应丸去掉干漆。虫痛腹部发热，用化虫丸。虫痛四肢冰冷，用集效丸。虫积坚硬日久，腹胀疼痛面色黄瘦，用猎虫丸。一切虫积，用追虫丸。元气实者，用木香槟榔丸。虚寒虫动，呕吐腹泻形成疳证，用温脏丸。脾疳虫积，肚大肌肉消瘦，牙龈腐烂生疮，用六味肥儿丸。虫积嗜吃生米泥炭等物，称为虫疳，用使君子、榧子、槟榔、天南星研细，砂糖水调服。虫血积久，形成膈证呕吐涎沫，用秦川翦红丸。肺嗽有虫，骨蒸劳热形成痨病，用百部膏。尸疰具有传染性，用獭肝丸、鳗鱼汤。消渴症因虫耗伤阴液，用苦楝根白皮一把切碎焙干，加少许麝香，水煎服，则虫下渴止。杀寸白虫，用榧子四十九枚，砂糖水煮。每月上旬平日，空腹服七枚，七日服完，虫化为水。腹生鳖瘕，饮白马尿，鳖化为水。呕吐虾虫，饮铜绿煎汤，随即断绝。口发言语，腹中应声，捣蓝汁饮用，或服雷丸汤。狐惑症，症状类似伤寒，坐卧不安，四肢沉重，虫蚀内脏，上唇生疮，称为惑。必然声音嘶哑，宜用桃仁汤，或甘草泻心汤。虫蚀肛门，下唇生疮，称为狐。必然咽干，宜用苦参汤清洗，将雄黄锐散纳入谷道（肛门）中。谷道微痒，便后有蛆虫，宜调理补益脾胃。可用四君子汤、归脾汤、温脏汤等。或用化虫丸，外用楝根白皮煎汤清洗。大肠虫出，坐立不安，用鹤虱灰五钱，水调服，自愈。小肠湿热，尿道窍孔出虫，用导赤散加使君子、萆薢、黄柏。妇人阴户蚀痒生虫，用蛇床子煎汤清洗，擦干，内掺桃仁、雄黄等细末。浑身虱子出来，血肉俱坏，饮盐醋汤，半月即安。阴毛生虱（虱有八脚，生在肉中，从毛孔钻出），肝肾阴亏，内服六味地黄丸，外用白果肉擦拭。筋肉化虫，如蟹在皮肤内爬行作响，急用雄黄、雷丸各一两，研末，撒在猪肉上，烤熟，吃完自愈。凡治疗虫势骤急者，行攻逐之法，如大黄、黑丑、干漆、槟榔、三棱、莪术等。虫去后调理脾胃，势缓者用制伏之法，如川连、胡连、乌梅、苦参、苦楝、川椒、芜荑、鹤虱等。脾弱者兼运脾，胃滞者兼消滞。脾胃气强，虫乃不生，尤其应当审察脏气的虚实而治疗，不要专门依赖攻下法。
A certain patient suffered from hemorrhoidal bleeding that persisted for a long time without healing. After defecation, the blood was bright red with purple hues. Although it resembled distant blood from the intestines and stomach (Yuan Xue), it is feared to be seepage from old damage at the end of the intestines or the head of the anus, coming out in a single line along with the stool. The tail gate (Wei Lu, referring to the anus or lower origin) could not retain it, and just as the vast ocean is prone to drying up, it is no wonder that the complexion became withered and sallow. Treatment employed cooling to moisten, black substances to stop bleeding, and astringents to consolidate and grasp. Fried Sophorae Flos (Huai Mi), persimmon cake, steamed and mashed Crataegi Fructus (Wu Mei), juice extracted from捣碎 of Platycladi Cacumen (Cebai Ye), fried Sanguisorbae Radix (Diyu), Baicaoshuang, and prepared Rehmanniae Radix (Shu Di) pounded into paste were added to refined honey to make pills. The treatment was effective.
Mr. Wang suffered from Qi deficiency with sinking, causing prolapsed hemorrhoids with swelling and pain, accompanied by rectal prolapse with pus and blood. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used with added Sophorae Flos (Huai Mi) and Poria (Fuling). Externally, Oyster Shell Powder (Muli Fen) and Phellodendri Cortex powder (Huangbai Mian) were applied to paper, supported by cloth to push the prolapsed anus back in. It was effective after several times.
Another patient had dry stools with bleeding and swollen, painful hemorrhoidal nodules. Reference was made to Li Dongyuan’s Runzao Tongyou Er Tang (Two Decoctions for Moistening Dryness and Unblocking the Obscure). Prepared Rehmanniae Radix (Shu Di), Raw Rehmanniae Radix (Sheng Di), Peach Kernel (Taoren), Hemp Seed (Maren), Safflower (Honghua), Angelicae Sinensis Radix (Danggui) moistened with wine, Apricot Kernel (Xingren), Licorice Root (Gancao), and Aurantii Fructus (Zhiqiao) were used to make honey pills. This formula enters the Blood level to moisten dryness and resolve stagnation; it was effective.
Parasites are generated through the transformation of Qi in the body, just as wood rots to produce termites, and grass decays to produce fireflies. Parasites arise in the Zang-Fu organs due to immoderate consumption of rich and sweet foods, improper intake of raw and cold items, leading to Qi deficiency in the Zhongwan (Middle Jiao/Spleen-Stomach), where damp-heat fails to transform, allowing various parasites to breed, such as Fa Zheng (Abdominal Mass), Gui Jia (Turtle-like Mass), Gan Chong (Childhood Malnutrition Worms), Shi Zhu (Corpse Transmission Disease), Hu Huo (Fox-Huo Syndrome), and Ying Sheng Chong (Echoing Voice Worm). Symptoms include epigastric discomfort and abdominal pain, sallow complexion, silence and drowsiness, reduced appetite and emaciation, red and white spots on the lips, frequent vomiting of greenish-yellow saliva, or specific cravings for raw rice, tea leaves, mud snails, tile ash, etc. This is common in children. The pain comes and goes, the pulse fluctuates between large and small, there is a sensation of Qi lumps moving in the abdomen, and the patient can eat once the pain subsides. Ancient texts classified worms by the five Zang organs: heart worms are called roundworms (Hui), spleen worms are tapeworms (Cun Bai), kidney worms resemble cut silk threads, liver worms resemble rotten apricots, and lung worms resemble silkworms. All worms can be fatal, but only lung worms eroding the lungs cause itching cough, eventually leading to hemoptysis and hoarseness, which is the most difficult to treat. There are also three types of worms: Chang Chong (Long Worm), Chi Chong (Red Worm), and Tuo Chong (Pinworm). Pinworms are particularly harmful. Treatment must be conducted at the beginning of the month when the worm heads upward. Before fasting, drink meat broth to attract the worms with the scent, then administer Yu Xian Dan (Yu Immortal Pill) to purge them. After the worms are cleared, consume congee to nourish. Worms favor sweetness (move when sweet), stop when bitter, soften when sour, and subside when pungent. For example, Wu Mei Wan (Olive Pit Pill) uses the bitterness of Coptidis Rhizoma (Lian) and Phellodendri Cortex (Bai), the sourness of Olive Pit (Mei) and vinegar, and the pungency of Zanthoxyli Pericarpium (Jiao) and Zingiberis Rhizoma (Jiang). Ancient methods for treating Shaoyin disease with roundworm reversal used Lizhong Tang (Regulate the Middle Decoction) plus five grains of Zanthoxyli Pericarpium (Chuanjiao) and 5 fen of Arecae Semen (Binglang). For cold viscera with vomiting of roundworms, or long worms vomited from the stomach due to cough, use Wu Mei Wan. For weak stomach with roundworms ascending to the diaphragm, use Lizhong Anhuo Wan (Regulate Middle and Pacify Worms Pill). For acute chest pain caused by worms attacking, use Saochong Jian (Sweep Worms Decoction). For worm-bitten heart pain, if it penetrates the heart, death ensues; use Wuyi San (Worm-Expelling Powder). For worm pain with clear saliva flowing from the mouth, decoct Olive Pit, Zanthoxyli Pericarpium, and Ginger. For abdominal worm accumulation, use Wanying Wan (Ten Thousand Responses Pill) removing Dry Lacquer (Ganqi). For worm pain with abdominal heat, use Huachong Wan (Transform Worms Pill). For worm pain with cold limbs, use Jixiao Wan (Accumulate Effectiveness Pill). For hard, long-standing worm accumulation with distension, pain, yellow sallow complexion, use Liechong Wan (Hunt Worms Pill). For all worm accumulations, use Zhuichong Wan (Pursue Worms Pill). For those with robust Yuan Qi, use Muxiang Binglang Wan (Costus and Areca Nut Pill). For deficiency-cold with worm movement, vomiting, diarrhea forming Gan syndrome, use Wenzang Wan (Warm Viscera Pill). For Spleen Gan with worm accumulation, large belly, muscle wasting, rotting gums, use Liuwei Feier Wan (Six-Ingredient Stomach-Nourishing Pill). For worm accumulation with craving for raw rice/mud/charcoal, known as虫疳 (Worm Gan), grind Qianli Zi (使君子), Torreyae Semen (Feizi), Arecae Semen (Binglang), and Arisaematis Rhizoma (Nanxing) into fine powder, mix with sugar water. For long-standing blood-worm accumulation forming Ge syndrome with vomiting saliva, use Qinchuan Jianhong Wan (Qinchuan Cut-Red Pill). For lung cough with worms, bone-steaming fever forming Lao disease, use Baibu Gao (Stemona Paste). For infectious Shi Zhu, use Tale Liver Pill (Tatan Wan) or Eel Fish Soup. For Xiao Ke (Wasting-Thirst) where worms consume Yin fluids, decoct one handful of dried Cortex Fructus Meliae (Kulian Gen Baipi) with a little Musk (Shexiang) in water; this expels worms and stops thirst. To kill tapeworms, boil 49 Torreyae Seeds (Feizi) in sugar water. Take 7 seeds on an empty stomach on regular days in the first ten days of the lunar month; finish within seven days, and the worms dissolve into water. For abdominal Bi Jia Jia (Turtle Abdominal Mass), drink horse urine; the turtle dissolves. For vomiting shrimp-worms, drink Copper Green (Tonglv) decoction; they cease. For speaking aloud with abdominal echoing, drink crushed Indigofera Tinctoria Leaf Juice (Lanzhi) or Leiwan Tang (Thunder Pill Decoction). For Hu Huo syndrome, resembling Shaoyang disease, restlessness, heavy limbs, worms eating viscera, sores on upper lip (Huo), with hoarseness, use Taoren Tang (Peach Kernel Decoction) or Gancao Xiexin Tang (Licorice Drain Heat Decoction). For worms eroding the anus, sores on lower lip (Hu), with dry throat, wash with Kushen Tang (Sophora Decoction) and insert Xionghuang Ruisan (Realgar Sharp Powder) into the anal canal. For slight anal itching with maggots after stool, tonify and regulate the Spleen and Stomusing Sijunzi Tang, Guipi Tang, or Wenzang Tang. Or use Huachong Wan, externally wash with Melia Radix Bark decoction. For large intestine worms causing inability to sit or stand, take 5 qian of Herisefumi Ash (Heshi Hui) mixed with water; it heals itself. For Small Intestine damp-heat with worms exiting the urinary orifice, use Daochi San plus Qianli Zi, Dioscoreae Hypoglaucae Rhizoma (Bixie), and Phellodendri Cortex (Huangbai). For women with vaginal erosion and itching from worms, wash with Cnidii Fructus (Shechuangzi) decoction, dry, and apply fine powder of Peach Kernel and Realgar internally. For body lice causing flesh destruction, drink salt-vinegar soup; peace returns in half a month. For pubic lice (eight-legged, living in flesh, emerging from pores) due to Liver-Kidney Yin deficiency, take Liuwei Dihuang Wan internally, and rub with White Fruit (Baiguo) externally. For flesh-transformed worms sounding like crabs under the skin, urgently use 1 liang each of Realgar (Xionghuang) and Polyporus Umbellatus (Leiwan) as powder, sprinkle on pork, roast, and eat until cured. For sudden, urgent worm attacks, use purgatives like Rhubarb (Dahuang), Morning Glory Seed (Heiqiu), Dry Lacquer (Ganqi), Areca Nut (Binglang), Curcuma Longa (Sanleng), and Curcuma Phaeocaulis (Ezhu). After worms are gone, regulate the Spleen and Stomach. For slow cases, use restraining agents like Coptis (Chuanlian), Picrorhiza (Hulian), Olive Pit (Wumei), Sophora (Kushen), Melia (Kulian), Zanthoxylum (Chuanjiao), Coicis Semen (Wuyi), and Pyrethri Flos (Heshi). If the Spleen is weak, simultaneously transport the Spleen; if the Stomach is stagnant, simultaneously resolve stagnation. When Spleen and Stomach Qi are strong, worms do not generate. One must examine the deficiency or excess of Zang Qi and treat accordingly, relying not solely on purgation.