《本事方》云∶葛稚川言，鬼疰者，是五尸之一疰。又按诸鬼邪为害，其变动乃
有三十六种至九十九种。大约使人淋漓沉沉，默默的不知其所苦，而无处不恶。累
年积月，渐就顿滞，以至于死。传于旁人，乃至灭门。觉知是候者，急治獭肝一具，
阴干取末，水服方寸七，日三服效，未知再服，此方神良。《紫庭方》云∶传尸、伏
尸皆有虫，须用乳香熏病患之手，乃仰手掌，以帛覆其上，熏良久，手背上出毛长
寸许，白而黄者可治，红者稍难，青黑者即死。若熏之良久无毛者，即非此症，属
寻常虚劳症也。又法，烧安息香令烟出，病患吸之嗽不止，乃传尸也。不嗽，非传
尸也。《直指方》云∶瘵虫食人骨髓，血枯精竭，不救者多。人能平时爱护元气，保
养精血、瘵不可得而传。惟夫纵欲多淫，精血内耗，邪气外乘，是不特男子有伤，
妇人亦不免矣。然而气虚腹馁，最不可入劳瘵之门，吊丧问丧，衣服器用中，皆能
乘虚而染触。间有妇人入其房，睹其人，病者思之，劳气随入，染患日久，莫不化
而为虫。治疗之法，大抵以保养精血为上，去虫次之。安息、苏合、阿魏、麝、犀、
丹砂、雄黄，固皆驱伐恶气之药，亦须以天灵盖行乎其间。盖尸疰者鬼气也，伏而
未起，故令淹缠，得枯骸枕骨治之，鬼气飞越，不复附人，于是乎瘥。外此则虎牙
骨、鲤鱼头，皆食人之类也，其亦枕骨之亚乎。要之发用以前，当以川芎、当归先
立乎根本之地。先用芎归血余散，吞北斗符，次用鳖甲生犀散取虫。苏游论曰∶传
尸之候，先从肾起，初受之两胫酸疼，腰背拘急，行立脚弱，饮食减少，两耳飕飕，
真似风声，夜卧遗泄，阴汗痿弱。肾既受讫，次传于心，心初受气，夜卧心惊，或
多恐悸，心悬悬，气吸吸欲尽，梦见先亡，有时盗汗，饮食无味，口内生疮，心气
烦热，惟欲眠卧，朝轻夕重，两颊口唇，悉皆纹赤，如敷胭脂，有时手足五心烦热。
心受已，次传于肺，肺初受气，咳嗽上气，喘卧益甚，鼻口干燥，不闻香臭，如或
忽闻，惟觉朽腐气，有时恶心欲吐，肌肤枯燥，时或疼痛，或似虫行，干皮细起，
状如麸片。肺既受已，次传于肝，肝初受气，两目胱胱，面无血色，常欲颦眉，视
不能远，目常干涩，又时赤痛，或复睛黄，常欲合眼，及时睡卧不着。肝既受已，
次传于脾，脾初受气，两胁虚胀，食不消化，又时泻利，水谷生虫，有时肚痛腹胀
雷鸣，唇口焦干，或生疮肿，毛发干耸，无有光润，或时上气，撑肩喘息，利赤黑
汁，见此证者，乃不治也。
夫骨蒸、 、伏连、尸疰、劳疰、虫疰、毒疰、热疰、冷疰、食疰、鬼疰，
善皆曰传尸。以疰者注也，病自上注也，其变有二十二种，或三十六种，或九十九
种。大略令人寒热盗汗，梦与鬼交，遗精白浊，发干而耸，或腹内有块，或脑后两
边有小结，复连数个，或聚或散，沉沉默默，咳嗽痰涎，或咯脓血如肺痿肺痈状，
或腹下利，羸瘦困乏，不自胜持，积月累年，以至于死。死复传注亲属，乃至灭门
者是也。更有蜚尸、遁尸、寒尸、丧尸、与尸疰，谓之五尸，及大小附着等证，乃
挟诸鬼邪而害人。其证多端，传变推迁，难以推测。故自古及今，愈此病者，十不
一得。所谓狸骨、獭肝、天灵盖、铜锁鼻，徒有其说，未尝取效。惟膏肓俞、四
花穴，若及早灸之，可否几半，晚亦不济矣。
上清紫庭追劳方云∶三尸九虫之为害，治者不可不知其详。九虫之内，三虫不
传， 、蛔、寸白也。其六虫者，或脏种毒而生，或亲属习染而传，疾之初觉，精
神恍惚，气候不调，切在戒忌酒色，调节饮食。如或不然，五心烦热，寝汗忪悸，
如此十日、顿成羸瘦，面黄光润，此其证也。大抵六虫，一旬之中，遍行四穴，周
而复始。病经遇木气而生，立春一日后方食起，三日一食，五日一退，方其作苦，
百节皆痛，虫之食也。退即还穴醉睡，一醉五日，其病乍静。候其退醉之时，乃可
投符用药。不然，虫熟于符药之后，不能治也。一虫在身中，占十二穴，六虫共占
七十二穴。一月之中，上十日虫头向上，从心至头游四穴，中十日虫头向内，从心
至脐游四穴，下十日虫头向下，从脐至足游四穴。阳日长雄，阴日长雌。其食先脏
腑脂膏，故其色白。五脏六腑一经食损，即皮聚毛脱。妇人即月信不行，血脉皆损，
不能荣五脏六腑也。七十日后食人血肉尽，故其虫黄赤。损于肌肉，故变瘦劣，饮
食不为肌肤，筋缓不能收持。一百二十日外，血肉食尽，故其虫紫。即食精髓，传
于肾中食精，故其虫色黑。食髓即骨痿不能起于床。诸虫久即生毛，毛色杂花钟
孕五脏五行之气，传之三人即自能飞，其状如禽，亦多品类。传入肾经，不可救治。
利药下虫后，其虫色白，可三十日服药补，其虫黄赤，可六十日服药补，其虫紫黑，
此病已极，可百二十日服药补。又云∶虫头赤者，食患人肉、可治，头口白者，食
患人髓，其病难治，只宜断后。故经曰∶六十日者，十得七八。八十日内治者，十
得三四。过此以往，未知生全，但可为子孙除害耳。
第一代为初劳病，谓初受其疾，不测病源，酒食加餐，渐觉羸瘦，治疗蹉跎，
乃成重病，医人不详其故，误药多死。
\r图\p01-e44a1.bmp\r
此虫形如婴儿，背上毛长三寸，在人身中。
\r图\p01-e44a2.bmp\r
此虫形如鬼状，变动在人脏腑中。
\r图\p01-e44a3.bmp\r
此虫形如虾蟆，变动在人脏腑中。
以上诸虫，在人身中萦着之后或大或小，令人梦寐颠倒，魂魄飞扬，精神离散，
饮食不减，形容渐羸，四肢酸疼，百节劳倦，憎寒壮热，背膊拘急，头脑疼痛，
口苦舌干，面无颜色，鼻流清涕，虚汗常多，行步艰辛，眼睛多痛。其虫遇丙丁日
食起，醉归心俞穴中，四穴轮转，周而复始。候虫大醉，方可医灸，取出虫后，用
药补心。（此用守灵散）
第二代为觉劳病，谓传受此病，已觉病者患人，乃自知夜梦不祥，与亡人为伴
侣，醒后全无情思，昏沉似醉，神识不安，所食味辄成患害，或气痰发动，风毒所
加，四体不和，心胸满闷，日渐羸瘦，骨节干枯，或呕酸水，或者醋心，唇焦口苦，
鼻塞胸痛，背膊酸疼，虚汗常出，腰膝刺痛。如此疾状，早须医治，过时难疗，致
伤性命。
\r图\p01-e44a4.bmp\r
此虫形如乱丝，长三寸许，在人脏腑中。
\r图\p01-e44a5.bmp\r
此虫形如蜈蚣，或似守宫，在人脏腑中。
\r图\p01-e44a6.bmp\r
此虫形如虾蟹，在人脏腑中。
以上诸虫，在人身中，令人气喘，唇口多干，咳嗽憎寒，心烦壅满，毛发焦落，
气胀吞酸，津液渐衰，次多虚渴，鼻流清水，四肢将虚，脸赤面黄，皮肤枯瘦，腰
膝无力，背脊酸疼，吐血唾脓，语言不利，鼻塞头痛，胸膈多痰。重者心闷吐血，
僵仆在地，不能自知。其虫遇庚辛日食起，醉归肺俞穴中，四穴轮转，周而复始。
俟虫大醉，方可治医，取出其虫，补肺则瘥。（虚成散）
第三代为传尸劳病，谓传受病患自寻得知之，日渐消瘦，顿改容颜，日日 惶，
夜夜忧死，不遇良医，就死伊芳迩。
\r图\p01-e44a7.bmp\r
此虫形如蚊蚁，俱游人脏腑中。
\r图\p01-e44a8.bmp\r
此虫形如蜣螂，大如碎血片，在人脏中。
\r图\p01-e44a9.bmp\r
此虫形如刺 ，在人腹中。
以上诸虫，在人身中，令人三焦多昏，日常思睡，呕吐苦汁或吐清水，或甜
或苦，粘涎常壅，腹胀虚鸣，卧后多惊，口鼻生疮，唇黑面青，日渐消瘦，精神恍
惚，魂魄飞扬，饮食不消，气咽声干，目多昏泪。其虫遇庚寅日食起，醉归厥阴穴
中，四穴轮转，周而复始。俟虫大醉，方可治取，虫出之后，补气即瘥。
第四代
\r图\p01-e44a10.bmp\r
此虫形如乱丝，在人腹脏之中。
\r图\p01-e44a11.bmp\r
此虫形如猪肺，在人腹内之中。
\r图\p01-e44a12.bmp\r
此虫形如蛇虺。在人五脏之中。
以上诸虫，在人身中，令人脏腑虚鸣，呕逆伤中， 癖气块，憎寒壮热，肚大
筋生，腰背疼痛，或虚或瘦，泻利无时，行履困重，四肢憔悴，上气喘急，口苦舌
干，饮食及水过多，要吃酸咸之物。其虫遇戊己日食起，醉归脾俞穴中，四穴轮
转，周而复始。俟虫大醉，方可治取，虫出之后，补脾为瘥。（魂停散）
第五代
\r图\p01-e44a13.bmp\r
此虫形如鼠，似小瓶，浑无表里背里。
\r图\p01-e44a14.bmp\r
此虫形如有头无足，有足无头。
\r图\p01-e44a15.bmp\r
此虫变动，形如血片，在于阳宫。
以上诸虫，入肝经而归肾，得血而更改也。令人多怒气逆，筋骨拳挛，四肢解
散，唇黑面青，憎寒壮热，腰背疼痛，起坐无力，头如斧斫，眼睛时痛，翳膜多泪，
背膊刺痛，力乏虚羸，手足干枯，卧着床枕，不能起止，有似风中，肢体顽麻，腹
内多痛，眼见黑花，忽然倒地，不省人事，梦寐不祥，觉来遍体虚汗，或有面色红润
如平时者，或有通灵而言未来事者。其虫遇癸未日食起，醉归肝俞穴中，四穴轮转，
周而复始。俟虫大醉，方可医救，取虫出后，补肝乃瘥。（金明散）
第六代（此代虫有翅足全者，千里传疰，所谓飞尸，不以常法治也。）
\r图\p01-e44a16.bmp\r
此虫形如马尾，有两条，一雌一雄。
\r图\p01-e44a17.bmp\r
此虫形如龟鳖，在人五脏中。
\r图\p01-e44a18.bmp\r
此虫形如烂面，或长或短，或如飞禽。
以上诸虫，在人身中，居于肾脏，透连脊骨，令人思食，百味要吃，身体危羸，
腰膝无力，髓寒骨热，四体干枯，眼见火生，或多黑暗，耳内虚鸣，阴汗燥痒，冷
汗如油，梦多鬼交，小便黄赤，醒后昏沉，脐下结硬，或奔心腹，看物如艳，心腹
闷乱，骨节疼痛，食物进退，有时喘嗽。其虫遇丑亥日食起，醉归肾俞穴中，四穴
轮转，周而复始。俟虫大醉可医治，取虫后，补肾填精瘥。（育婴散）
《本事方》记载：葛稚川说，鬼疰是五尸中的一种疰病。另外据考察各种鬼邪为害，其变化有从三十六种到九十九种之多。大致使人身体淋漓沉重，默默不知痛苦所在，但全身无不厌恶不适。经年累月，逐渐导致气血凝滞，以至于死亡。传染给旁人，甚至导致全家灭门。若察觉有此征兆，应立即治疗獭肝一块，阴干后研成粉末，用水送服一方寸七（约2-3克），每日三次服用见效；若未见效再服用，此方神效良验。《紫庭方》记载：传尸、伏尸都有虫，必须用乳香熏烤患者的手，然后让患者手掌向上，用布覆盖在上面，熏烤很久后，手背上会长出长约一寸的毛发，颜色白而黄的可以治愈，红色的稍难，青黑色的即死。如果熏烤很久没有长毛的，就不是这种病症，属于寻常的虚劳症。另一种方法，燃烧安息香让其冒出烟，让患者吸入，如果咳嗽不止，就是传尸；如果不咳嗽，就不是传尸。《直指方》记载：瘵虫啃食人的骨髓，导致血枯精竭，无法救治的情况很多。人若能平时爱护元气，保养精血，瘵病就无法传播。只有那些纵欲多淫，导致精血内耗，邪气外侵的人，不仅男子受伤，妇人也不能幸免。然而气虚腹馁（脾胃虚弱），最不可进入劳瘵的门径，吊丧问丧时，衣服器具中，都能乘虚感染接触。间或有妇人进入其房间，看到那个人，病人思念它，劳气随之进入，染患日久，无不化而为虫。治疗的方法，大体以保养精血为上策，驱除虫子次之。安息香、苏合香、阿魏、麝香、犀角、丹砂、雄黄，固然都是驱除恶气的药物，但也必须配合天灵盖在其中发挥作用。因为尸疰是鬼气，潜伏而未发作，所以让人缠绵难愈，得到枯骸枕骨来治疗它，鬼气飞散，不再依附于人，于是痊愈。除此之外，虎牙骨、鲤鱼头，都是吃人的东西，也是枕骨的次选。总之，在用药之前，应当先用川芎、当归确立根本。先用芎归血余散，吞服北斗符，再用鳖甲生犀散取虫。苏游论述说：传尸的病候，先从肾开始，初受病时两腿酸痛，腰背拘急，行走站立脚软，饮食减少，两耳嗡嗡作响，真像风声，夜间睡觉遗精泄汗，阴部出汗痿弱。肾既受病后，接着传给心，心初受邪气，夜间睡觉心惊，或多恐惧悸动，心中悬悬不安，气息吸吸欲尽，梦见已故亲人，有时盗汗，饮食无味，口中生疮，心气烦热，只想躺卧，早晨轻晚上重，两颊口唇都发红，像涂了胭脂，有时手足心发热。心受病后，接着传给肺，肺初受邪气，咳嗽气逆，躺卧时更严重，鼻口干燥，闻不到香味臭味，如果忽然闻到，只觉得腐朽气味，有时恶心欲吐，肌肤枯燥，时而疼痛，或感觉像虫子爬，干皮细起，状如麸片。肺既受病后，接着传给肝，肝初受邪气，两眼昏花，面无血色，常想皱眉，视物不能远，眼睛常干涩，又时常红痛，或者眼珠发黄，常想闭眼，及时睡觉也睡不着。肝既受病后，接着传给脾，脾初受邪气，两胁虚胀，食物不消化，又时常腹泻，水谷生虫，有时肚痛腹胀雷鸣，唇口焦干，或者生疮肿，毛发干枯耸立，没有光泽，或者有时气逆，撑肩喘息，拉赤黑色汁液，见此证者，是不治之症。
所谓骨蒸、{此处原文缺字，推测为“劳”}、伏连、尸疰、劳疰、虫疰、毒疰、热疰、冷疰、食疰、鬼疰，善人都称为传尸。因为“疰”就是注的意思，病自上注下，其变化有二十二种，或三十六种，或九十九种。大致令人寒热盗汗，梦与鬼交，遗精白浊，头发干枯耸立，或者腹内有肿块，或者脑后两边有小结节，连续数个，或聚或散，沉沉默默，咳嗽痰涎，或者咯脓血像肺痿肺痈的样子，或者腹下利，羸瘦困乏，不能自持，积月累年，以至于死。死后又传染亲属，甚至灭门的就是这样。更有蜚尸、遁尸、寒尸、丧尸，与尸疰，称为五尸，以及大小附着等证，乃是挟带各种鬼邪害人。其证候多种多样，传变推移，难以推测。所以自古至今，治愈此病的，十人中难得一人。所谓的狸骨、獭肝、天灵盖、铜锁鼻，徒有其说，未曾取得疗效。只有膏肓俞、四花穴，如果及早灸治，或许能有一半希望，晚了就不起作用了。
上清紫庭追劳方说：三尸九虫的危害，治病者不可不知道详细情况。九虫之中，有三虫不传染，是{此处原文缺字，推测为“蛲”}、蛔虫、寸白虫。那六虫呢，或者是脏腑中毒而生，或者是亲属习染而传，疾病刚发觉时，精神恍惚，气候不调，切戒酒色，调节饮食。如果不这样，五心烦热，寝汗心悸，如此十天，顿时变成羸瘦，面色黄而光润，这就是它的证候。大体这六虫，一旬之中，遍行四个穴位，周而复始。病遇到木气而生，立春一日后才进食起来，三日一食，五日一退，当它作苦时，百节皆痛，是虫子在吃。退去就回到穴位醉睡，一醉五天，病情暂时安静。等到它退去醉醒的时候，才可以投符用药。不然，虫子熟于符药之后，就不能治疗了。一虫在身中，占据十二个穴位，六虫共占据七十二个穴位。一月之中，上十日虫头向上，从心到头游历四个穴位，中十日虫头向内，从心到脐游历四个穴位，下十日虫头向下，从脐到足游历四个穴位。阳日长雄，阴日长雌。它们先吃脏腑脂膏，所以颜色白。五脏六腑一经被食损，就皮聚毛脱。妇人则月经不行，血脉皆损，不能荣养五脏六腑。七十日后吃人血肉尽，所以虫子黄赤。损伤肌肉，所以变瘦劣，饮食不能化为肌肤，筋缓不能收持。一百二十日外，血肉食尽，所以虫子紫。即吃精髓，传给肾中食精，所以虫子色黑。吃髓即骨痿不能起床。诸虫久了就生毛，毛色杂花钟孕五脏五行之气，传给三人就能自己飞，形状像禽鸟，也有很多品类。传入肾经，不可救治。用泻药下虫后，虫子色白的，可三十日服药补，虫子黄赤的，可六十日服药补，虫子紫黑的，此病已极，可百二十日服药补。又说：虫头红的，吃病人的肉，可治，虫头口白的，吃病人的髓，病难治，只宜断绝其后患。所以经上说：六十日内治疗的，十人得七八康复。八十日内治疗的，十人得三四康复。过了这个时间，不知能否生全，只能为子孙除害罢了。
第一代为初劳病，谓初受此疾，不测病源，酒食加餐，渐渐觉得羸瘦，治疗蹉跎，乃成重病，医人不详其故，误药多死。
[图] 此虫形如婴儿，背上毛长三寸，在人身中。
[图] 此虫形如鬼状，变动在人脏腑中。
[图] 此虫形如虾蟆，变动在人脏腑中。
以上诸虫，在人身中萦绕之后，或大或小，令人梦寐颠倒，魂魄飞扬，精神离散，饮食不减，形容渐渐羸瘦，四肢酸痛，百节劳倦，憎寒壮热，背膊拘急，头脑疼痛，口苦舌干，面无颜色，鼻流清涕，虚汗常多，行步艰辛，眼睛多痛。这些虫子遇丙丁日进食兴起，醉归心俞穴中，四穴轮转，周而复始。等到虫子大醉，方可医灸，取出虫子后，用药补心。（此用守灵散）
第二代为觉劳病，谓传受此病，已觉病者患人，乃自知夜梦不祥，与亡人为伴侣，醒后全无情思，昏沉似醉，神识不安，所食味辄成患害，或气痰发动，风毒所加，四体不和，心胸满闷，日渐羸瘦，骨节干枯，或者呕酸水，或者醋心，唇焦口苦，鼻塞胸痛，背膊酸痛，虚汗常出，腰膝刺痛。如此疾状，早须医治，过时难疗，致伤性命。
[图] 此虫形如乱丝，长三寸许，在人脏腑中。
[图] 此虫形如蜈蚣，或似守宫，在人脏腑中。
[图] 此虫形如虾蟹，在人脏腑中。
以上诸虫，在人身中，令人气喘，唇口多干，咳嗽憎寒，心烦壅满，毛发焦落，气胀吞酸，津液渐衰，次多虚渴，鼻流清水，四肢将虚，脸赤面黄，皮肤枯瘦，腰膝无力，背脊酸痛，吐血唾脓，语言不利，鼻塞头痛，胸膈多痰。重者心闷吐血，僵仆在地，不能自知。这些虫子遇庚辛日进食兴起，醉归肺俞穴中，四穴轮转，周而复始。等到虫子大醉，方可治医，取出其虫，补肺则痊愈。（虚成散）
第三代为传尸劳病，谓传受病患自寻得知之，日渐消瘦，顿改容颜，日日惶恐，夜夜忧死，不遇良医，就死伊迩。
[图] 此虫形如蚊蚁，俱游人脏腑中。
[图] 此虫形如蜣螂，大如碎血片，在人脏中。
[图] 此虫形如刺蝟，在人腹中。
以上诸虫，在人身中，令人三焦多昏，日常思睡，呕吐苦汁或吐清水，或甜或苦，粘涎常壅，腹胀虚鸣，卧后多惊，口鼻生疮，唇黑面青，日渐消瘦，精神恍惚，魂魄飞扬，饮食不消，气咽声干，目多昏泪。这些虫子遇庚寅日进食兴起，醉归厥阴穴中，四穴轮转，周而复始。等到虫子大醉，方可治取，虫出之后，补气即痊愈。
第四代
[图] 此虫形如乱丝，在人腹脏之中。
[图] 此虫形如猪肺，在人腹内之中。
[图] 此虫形如蛇虺。在人五脏之中。
以上诸虫，在人身中，令人脏腑虚鸣，呕逆伤中，癖气块，憎寒壮热，肚大筋生，腰背疼痛，或虚或瘦，泻利无时，行履困重，四肢憔悴，上气喘急，口苦舌干，饮食及水过多，要吃酸咸之物。这些虫子遇戊己日进食兴起，醉归脾俞穴中，四穴轮转，周而复始。等到虫子大醉，方可治取，虫出之后，补脾为痊愈。（魂停散）
第五代
[图] 此虫形如鼠，似小瓶，浑无表里背里。
[图] 此虫形如有头无足，有足无头。
[图] 此虫变动，形如血片，在于阳宫。
以上诸虫，入肝经而归肾，得血而更改也。令人多怒气逆，筋骨拳挛，四肢解散，唇黑面青，憎寒壮热，腰背疼痛，起坐无力，头如斧斫，眼睛时痛，翳膜多泪，背膊刺痛，力乏虚羸，手足干枯，卧着床枕，不能起止，有似风中，肢体顽麻，腹内多痛，眼见黑花，忽然倒地，不省人事，梦寐不祥，觉来遍体虚汗，或有面色红润如平时者，或有通灵而言未来事者。这些虫子遇癸未日进食兴起，醉归肝俞穴中，四穴轮转，周而复始。等到虫子大醉，方可医救，取虫出后，补肝乃痊愈。（金明散）
第六代（此代虫有翅足全者，千里传疰，所谓飞尸，不以常法治也。）
[图] 此虫形如马尾，有两条，一雌一雄。
[图] 此虫形如龟鳖，在人五脏中。
[图] 此虫形如烂面，或长或短，或如飞禽。
以上诸虫，在人身中，居于肾脏，透连脊骨，令人思食，百味要吃，身体危羸，腰膝无力，髓寒骨热，四体干枯，眼见火生，或多黑暗，耳内虚鸣，阴汗燥痒，冷汗如油，梦多鬼交，小便黄赤，醒后昏沉，脐下结硬，或奔心腹，看物如艳，心腹闷乱，骨节疼痛，食物进退，有时喘嗽。这些虫子遇丑亥日进食兴起，醉归肾俞穴中，四穴轮转，周而复始。等到虫子大醉可医治，取虫后，补肾填精痊愈。（育婴散）
According to *Ben Shi Fang* (Handbook of Effective Prescriptions): Ge Zhichuan stated that "Gui Zhu" (Ghost Transmission) is one type of the "Wu Shi" (Five Corpse) diseases. Furthermore, regarding the harm caused by various ghostly pathogens, their variations range from thirty-six to ninety-nine types. Generally, they cause the patient to feel dripping and heavy, silently unaware of the specific source of suffering, yet feeling aversion everywhere. Over years and months, this gradually leads to stagnation and eventually death. It spreads to others, even wiping out entire families. If one perceives these signs, immediate treatment with one piece of Otter Liver (Lutrae Corium), dried in the shade and powdered, taken orally with water in a dose of "Fang Cun Qi" (approximately 2-3 grams), three times daily, is effective; if not effective, continue taking it. This prescription is miraculous. *Zi Ting Fang* states: Both Chuan Shi (Transmission Corpse) and Fu Shi (Hidden Corpse) involve worms. One must fumigate the patient's hand with Frankincense (Ruxiang, 乳香). Then, have the patient hold their palm upward, cover it with a cloth, and fumigate for a long time. Afterward, hairs about one cun long will grow on the back of the hand. If white and yellow, it is treatable; if red, slightly difficult; if blue-black, fatal. If no hair grows after prolonged fumigation, it is not this condition but rather ordinary Deficiency Consumption (Xu Lao, 虚劳). Another method involves burning Benzoin (Anxi Xiang, 安息香) until smoke emerges and having the patient inhale it. If the patient coughs incessantly, it is Chuan Shi; if not, it is not. *Zhi Zhi Fang* states: Zhai Chong (Tuberculosis Worms) devour the human bone marrow, leading to exhaustion of blood and essence, with many cases being incurable. If people protect their Yuan Qi (Primal Qi, 元气) and nourish blood and essence during normal times, Zhai disease cannot spread. Only those who indulge in lust and excessive sexual activity, causing internal depletion of essence and blood, allowing pathogenic qi to invade externally, are affected. Not only men suffer, but women are also not spared. However, those with Qi deficiency and weak spleen/stomach are most susceptible to entering the door of Laborious Consumption (Lao Zhai, 劳瘵). Visiting funerals or mourning houses, one can contract the disease through clothes and utensils that carry the pathogen into the void. Occasionally, a woman enters the room, sees the person, and the patient's longing allows the "Labor Qi" to enter. After long infection, it inevitably transforms into worms. The treatment principle generally prioritizes nourishing blood and essence, with expelling worms as secondary. Benzoin, Styrax, Asafoetida, Musk, Rhinoceros Horn, Cinnabar, and Realgar are indeed drugs that drive away evil qi, but Tian Ling Gai (Human Skull Cap, 天灵盖) must also be used among them. Because Shi Zhu (Corpse Transmission) is ghostly qi, latent and unarisen, it causes lingering illness. Treating it with the occipital bone of a dry corpse makes the ghostly qi flee, no longer attaching to humans, thus curing the disease. Besides these, Tiger Tooth Bone and Carp Head are also things that eat humans, serving as substitutes for the occipital bone. In summary, before applying treatments, one should first establish the foundation with Chuanxiong (Chuanxiong Rhizome, 川芎) and Danggui (Angelica Sinensis Root, 当归). First use Xiong Gui Xue Yu San (Atractylodes, Angelica and Hair Powder) while swallowing Beidou Fu (Big Dipper Talisman), then use Bie Jia Sheng Xi San (Tartar Shell and Raw Rhinoceros Powder) to extract worms. Su You discussed: The symptoms of Chuan Shi begin in the Kidney. Initially, the two calves ache, the waist and back are stiff, walking and standing feel weak, appetite decreases, ears ring like wind, nocturnal emission occurs, and there is sweating and weakness in the yin area. After the Kidney is affected, it transmits to the Heart. When the Heart first receives the pathogen, the patient feels startled at night, often fearful and palpitations, with a sense of hanging anxiety, shallow breathing, dreams of deceased relatives, occasional night sweats, loss of taste, mouth ulcers, heart irritability and heat, desire to lie down, symptoms lighter in the morning and heavier in the evening, redness on cheeks and lips like rouge, and sometimes five-palm heat. After the Heart is affected, it transmits to the Lung. When the Lung first receives the pathogen, there is coughing and rebellious qi, worse when lying down, dry nose and mouth, inability to smell, or sensing only putrid odors, occasional nausea, dry skin, intermittent pain, or sensation of insects crawling, fine dry scales like bran. After the Lung is affected, it transmits to the Liver. When the Liver first receives the pathogen, eyes are blurry, face lacks color, frequent frowning, blurred distance vision, dry and gritty eyes, redness and pain, or yellow sclera, desire to close eyes, insomnia. After the Liver is affected, it transmits to the Spleen. When the Spleen first receives the pathogen, distension in the hypochondrium, indigestion, diarrhea, worms in food/water, abdominal pain and borborygmus, dry scaly lips/mouth, ulcers/swellings, dry bristling hair without luster, rebellious qi, shoulder-shrugging panting, passage of dark red/black fluid. Seeing these signs indicates an incurable condition.
The terms Gu Zheng (Bone Steaming), {missing character, likely 'Lao'}, Fu Lian (Hidden Connection), Shi Zhu, Lao Zhu, Chong Zhu, Du Zhu, Re Zhu (Heat Transmission), Leng Zhu (Cold Transmission), Shi Zhu (Food Transmission), and Gui Zhu are all collectively called Chuan Shi by experts. "Zhu" means to pour/transfer; the disease transfers from above downwards. Its variations include twenty-two, thirty-six, or ninety-nine types. Generally, it causes chills and fever, night sweats, dreams of sexual intercourse with ghosts, seminal emission and turbid urine, dry bristling hair, abdominal masses, small nodules behind the ears connected in series, scattered or clustered, heaviness and silence, coughing with phlegm, hemoptysis resembling Fei Wei (Lung Atrophy) or Fei Yong (Lung Abscess), lower abdominal diarrhea, emaciation and fatigue beyond endurance, accumulating over months and years to death. After death, it transmits to relatives, even wiping out families. Additionally, Fei Shi (Flying Corpse), Dun Shi (Escaping Corpse), Han Shi (Cold Corpse), Sang Shi (Dead Corpse), and Shi Zhu are called Wu Shi (Five Corpses), along with Da Xiao Fu Zhuo (Large and Small Adhesion) syndromes, which involve ghostly pathogens harming people. The manifestations are diverse, changing and shifting, hard to predict. Thus, since ancient times, only one in ten recovers. Claims about Fox Bone, Otter Liver, Human Skull Cap, and Copper Lock Nose are mere theories without efficacy. Only Moxibustion on Gaohuangshu (BL43) and Sihua Acupoints, if done early, offers a fifty-fifty chance; late intervention is useless.
Shang Qing Zi Ting Zhui Lao Fang states: The harm of San Shi (Three Corpses) and Jiu Chong (Nine Worms) must be known in detail by practitioners. Among the Nine Worms, Three do not transmit: {missing character, likely 'Nao'} (Pinworm), Roundworm, and Tapeworm. The other six worms arise from toxicity in organs or transmission via family contact. Early signs include mental confusion and climate sensitivity. Strict abstinence from alcohol and sex, and dietary regulation are essential. Otherwise, five-palm heat, night sweats, and palpitations occur. Within ten days, severe emaciation ensues, with a yellow glossy face. These six worms circulate through four acupoints every ten days, repeating. They thrive in Wood Qi, starting after the Spring Equinox, eating every three days, retreating every five. During feeding, all joints hurt. Retreating, they sleep drunk for five days, calming the disease. Treatment with talismans and herbs should occur during this retreat/drunk phase. Otherwise, worms become resistant. Each worm occupies twelve points; six worms occupy seventy-two points. In a month: first ten days, head up, moving from Heart to Head (4 points); middle ten days, head inward, Heart to Umbilicus (4 points); last ten days, head down, Umbilicus to Feet (4 points). Yang days favor males, Yin days females. They eat organ fat first, appearing white. Damage to organs causes skin contraction and hair loss. Women stop menstruating, blood vessels damaged, failing to nourish organs. After 70 days, flesh/blood eaten, worms turn yellow-red. Muscle damage causes emaciation, poor nutrition absorption, flaccid tendons. After 120 days, flesh/blood gone, worms turn purple. They eat essence, transmitting to Kidneys, turning black. Marrow consumption causes bone痿 (impotence/weakness) bedridden state. Long-term worms grow hair, absorbing Five Elements Qi, becoming airborne birds-like entities after infecting three people. Renal transmission is incurable. After purging white worms, tonify for 30 days; yellow-red, 60 days; purple-black, extreme case, 120 days. Red-headed worms eating flesh are treatable; white-headed eating marrow are difficult, requiring prevention of recurrence. Classics say: Treat within 60 days, 70-80% recover; within 80 days, 30-40% recover. Beyond this, survival is uncertain, only preventing hereditary harm.
First Generation: Chu Lao Bing (Initial Consumption Disease). Initial infection, unknown origin, rich diet exacerbates, gradual emaciation, delayed treatment leads to severe illness, misdiagnosis causes death.
[Image] Worm resembles infant, 3-cun hair on back, inside body.
[Image] Worm resembles ghost, affects organs.
[Image] Worm resembles toad, affects organs.
These worms cause dream disturbance, soul flight, spirit dispersion, unchanged appetite but wasting appearance, limb soreness, joint fatigue, aversion to cold with high fever, back stiffness, headache, bitter taste, dry tongue, pale face, clear nasal discharge, spontaneous sweat, difficult walking, eye pain. They feed on Bing/Ding days, drunk at Xinshu (BL12) points, rotating four points. Treat when drunk, extract worm, tonify Heart (Shou Ling San).
Second Generation: Jue Lao Bing (Aware Consumption Disease). Patient knows dream omens, companions with dead, wakes confused/drunk, restless mind, food becomes harmful, phlegm/qi activation, wind-toxin, limb disharmony, chest fullness, wasting, dry joints, sour vomiting, acid regurgitation, dry bitter lips, nasal congestion/chest pain, back soreness, sweat, stabbing waist/knees. Early treatment needed; delay harms life.
[Image] Worm resembles tangled silk, 3-cun long, in organs.
[Image] Worm resembles centipede or gecko, in organs.
[Image] Worm resembles crab, in organs.
These worms cause panting, dry lips/mouth, cough with chills, heart vexation/fullness, burnt hair fall, bloating/acid reflux, declining fluids, thirst, clear nasal discharge, weak limbs, red/yellow face, shriveled skin, weak waist/knees, back pain, hemoptysis/purulent sputum, speech difficulty, nasal/head pain, chest phlegm. Severe cases: chest distress/hemoptysis, collapse, unconsciousness. Feed on Geng/Xin days, drunk at Feishu (BL13) points. Treat when drunk, extract worm, tonify Lung (Xu Cheng San).
Third Generation: Chuan Shi Lao Bing (Transmission Corpse Consumption Disease). Patient discovers illness, wasting, changed appearance, daily fear, nightly dread of death, near death without good doctor.
[Image] Worm resembles mosquito/ant, in organs.
[Image] Worm resembles dung beetle, blood-clot size, in viscera.
[Image] Worm resembles hedgehog, in abdomen.
These worms cause Sanjiao drowsiness, daily sleepiness, vomiting bitter/clear/sweet fluid, sticky phlegm, bloating/noises, post-sleep fright, oral/nasal ulcers, black lips/blue face, wasting, confusion, spirit flight, indigestion, dry throat/voice, teary eyes. Feed on Geng-Yin day, drunk at Jueyin point. Treat when drunk, extract worm, tonify Qi to cure.
Fourth Generation
[Image] Worm resembles tangled silk, in abdominal viscera.
[Image] Worm resembles pig lung, in abdomen.
[Image] Worm resembles snake/viper, in five zang organs.
These worms cause visceral rumbling, vomiting/injury to middle jiao, masses, chills/fever, large belly/protruding veins, back pain, emaciation/diarrhea, heavy gait, wasted limbs, rapid upper breath, bitter/dry mouth, craving sour/salty. Feed on Wu/Ji days, drunk at Pishu (BL20) points. Treat when drunk, extract worm, tonify Spleen to cure (Hun Ting San).
Fifth Generation
[Image] Worm resembles mouse/small bottle, structureless.
[Image] Worm resembles headless/footless forms.
[Image] Worm resembles blood slice, in Yang Palace.
These worms enter Liver meridian, return to Kidney, change with blood. Cause anger/rebellious qi, tendon cramping, limb relaxation, black lips/blue face, chills/fever, back pain, weakness, headache like axe blow, eye pain/tears, back stabbing pain, weakness, dry limbs, bedbound, stroke-like numbness, abdominal pain, visual spots, sudden collapse/unconsciousness, bad dreams, sweating upon waking, rare lucid future-telling. Feed on Gui-Wei day, drunk at Ganshu (BL18) points. Treat when drunk, extract worm, tonify Liver to cure (Jin Ming San).
Sixth Generation (Worms with wings/legs, transmit千里, Fei Shi, treated differently.)
[Image] Worm resembles horse tail, pair male/female.
[Image] Worm resembles turtle/tortoise, in five zang.
[Image] Worm resembles rotten dough/bird, variable.
These worms reside in Kidney, penetrate spine, increase appetite, body critical/emaciated, weak waist/knees, cold marrow/hot bones, dry limbs, visual fire/darkness, ear ringing, yin sweat/itch, oily cold sweat, ghost sex dreams, yellow/red urine, post-wake confusion, hard umbilical mass, rushing to heart/abdomen, vivid visions, chest chaos, joint pain, irregular eating/panting. Feed on Chou-Hai day, drunk at Shenshu (BL23) points. Treat when drunk, extract worm, tonify Kidney/fill essence to cure (Yu Ying San).