上膈胃火盛少食。蛔上不安往下行。此候不须用方药。调其余食症自平。
下蛔之症。多见于麻收之后。乃上膈及胃火壮盛。少食。虫不能上安。而往下行。虫往下行。
亦顺症也。与过食伤中、虫不能容而下、不同。但调其饮食自愈。非若口中吐虫之比耳。不须施
治。
朱曰 下蛔为小儿常有之证。故可勿治。
眼光如水是何因。肝肾之热极而兴。未发初潮必见此。如无斯候别病侵。
目赤弦烂泪常淋。非因被风即烟熏。治若不早成痼疾。急为疏通奏奇勋。
热毒余毒上攻目。羞明怕日眵泪多。暴赤肿闭目生翳。眼眶皮烂宜清毒。
眼光如水。此肝肾两经热极所致。乃麻之正候也。未发热与初热之间。有此症者。方为出麻
之候。如无此症。即非麻候。如有麻毒入目、生翳障者。以蝉菊散主之。如热毒上攻、眼目生翳。并
暴赤羞明者。用羌菊散主之。（朱曰 麻后白翳攀眼不退。有秘方用鸡肝一具。麝香少许。拌入鸡
肝内。隔水蒸熟食之。食七次。必见效。）大便滑者。去大黄。少加生枳壳微导之。如麻后余毒不
解。上攻眼目。羞明怕日。云翳眵泪俱多。红赤肿闭。用羚羊角散。去黄 、升麻。加连翘、牛蒡子、
黄连主之。如麻后眼目生翳。目赤红肿。眼眶皮烂。俱宜用朱纯嘏加减清毒拨翳汤主之。其有眼
眶红烂常多泪者。其症多因麻之正收时及麻收后。不避风寒。为风热所侵。或被烟熏。皆能令目
赤弦烂。而常流泪。当即为疏解。急以柴胡饮子治之。若日久不治。则为终身痼疾。
朱曰 眼眶红烂。小儿麻后。往往有此。皆因不避风寒。风挟热上攻所致。
蝉菊散 治痘麻入目。或病后生翳障。
蝉蜕（去土净） 白菊花（去梗叶净） 各等分。为末。水煎。加蜜汁少许。再煎。食后温服。
羌菊散
羌活 白菊花 蝉蜕 防风 木贼 栀仁 大黄 谷精草 白蒺藜 黄连 沙苑 蒺藜
甘草为末。清米水调下一钱。
羚羊角散
羚羊角（镑屑） 黄芩 草决明 车前子 防风 大黄 芒硝 黄 升麻 水煎。稍热服。
朱纯嘏加减清毒拨翳汤 此方最验。可随症加减。
生地黄（一钱五分） 甘菊花 黄芩（酒炒） 牛蒡子 连翘（各七分） 当归尾 柴胡（各八分） 川芎（六分）
红花 木贼（各五分） 草决明（炒） 白蒺藜（炒去刺各一钱） 甘草（去皮三分） 水煎服。
柴胡饮子 治风热眼眶赤烂。
柴胡 羌活 防风 赤芍 桔梗 荆芥 生地黄（各一钱） 甘草（五分） 水煎热服。
上膈胃火旺盛，食欲减退。蛔虫不安于上而向下移动。这种证候不需要使用方药，调理剩余的食物，症状自然平息。
下蛔的症状，多见于麻疹消退之后。这是由于上膈及胃中火热壮盛，进食量少，蛔虫不能安处于上部，从而向下运行。蛔虫向下运行，也属于顺症（顺应病势的良性表现）。这与因过食损伤脾胃、蛔虫无法容纳而下行不同。只需调理饮食即可自愈，不像口中吐虫那样需要专门治疗。
朱氏说：下蛔是小儿常见的证候，因此可以不进行治疗。
眼光如水是什么原因？这是肝肾之热极盛所致。在发病初期或初热阶段必然会出现此症。如果没有这个证候，则是其他疾病侵袭。
眼睛红赤弦烂，泪水常流。不是因为受风就是被烟熏。治疗如果不及时，会形成顽固性疾病；急于疏通经络可奏奇效。
热毒和余毒向上攻冲眼部，羞明怕日，眼屎眼泪多。突然红肿闭目生翳，眼眶皮肤溃烂，应当清热解毒。
眼光如水，这是肝肾两经热极所致，是麻疹的正候（典型症状）。在未发热与初热之间出现此症，才是出麻疹的征象。如果没有此症，就不是麻疹的征象。如果有麻毒入目、生翳障者，以蝉菊散为主治方剂。如果热毒上攻、眼目生翳，并伴有暴赤羞明者，用羌菊散为主治方剂。（朱氏说：麻疹后白翳攀眼不退，有秘方用一只鸡肝，少许麝香，拌入鸡肝内，隔水蒸熟食用。吃七次，必定见效。）大便滑泄者，去掉大黄，稍加生枳壳轻微导滞。如麻疹后余毒不解，上攻眼目，羞明怕日，云翳眵泪俱多，红赤肿闭，用羚羊角散，去掉黄芩、升麻，加连翘、牛蒡子、黄连主治。如麻疹后眼目生翳，目赤红肿，眼眶皮肤溃烂，都适宜用朱纯嘏加减清毒拨翳汤主治。那些眼眶红烂常多泪的，其症状多因麻疹正收之时及麻疹收后，不避风寒，为风热所侵，或被烟熏，都能导致目赤弦烂而常流泪。应当立即疏解，急用柴胡饮子治疗。若日久不治，则成为终身顽疾。
朱氏说：眼眶红烂，小儿麻疹后往往有此症，皆因不避风寒，风挟热上攻所致。
蝉菊散：治疗痘疹或麻疹入目，或病后生翳障。
蝉蜕（去土净） 白菊花（去梗叶净） 各等分。研为末，水煎，加少许蜜汁，再煎，食后温服。
羌菊散：
羌活 白菊花 蝉蜕 防风 木贼 栀仁 大黄 谷精草 白蒺藜 黄连 沙苑 蒺藜
甘草研为末，用清米水调下一钱。
羚羊角散：
羚羊角（镑屑） 黄芩 草决明 车前子 防风 大黄 芒硝 黄芪 升麻 水煎，稍热服。
朱纯嘏加减清毒拨翳汤：此方最灵验，可根据症状加减。
生地黄（一钱五分） 甘菊花 黄芩（酒炒） 牛蒡子 连翘（各七分） 当归尾 柴胡（各八分） 川芎（六分）
红花 木贼（各五分） 草决明（炒） 白蒺藜（炒去刺各一钱） 甘草（去皮三分） 水煎服。
The stomach fire in the upper jiao is excessive, leading to poor appetite. The roundworms (Ascaris) become restless above and move downward. This condition does not require herbal medicine; regulating the remaining food intake will allow the symptoms to resolve spontaneously.
Symptoms of downward-moving roundworms are mostly seen after the resolution of measles. This is due to excessive heat in the upper jiao and stomach, with insufficient food intake, causing the worms to be unable to remain in the upper part and thus move downward. Downward movement of worms is also considered a favorable progression (shun zheng). This differs from cases where overeating damages the middle jiao, preventing the worms from staying and forcing them downward. Only dietary regulation is needed for self-healing; it is not comparable to vomiting worms from the mouth, which requires specific treatment.
Master Zhu stated: Downward-moving roundworms are a common condition in children, so treatment can be omitted.
What causes the eyes to appear watery like water? This is caused by extreme heat in the Liver and Kidney meridians. It must appear during the initial onset or early fever stage. If this symptom is absent, it indicates invasion by other diseases.
Redness and swelling of the eyes with tearing that flows constantly. This is either due to wind pathogen or smoke irritation. If treatment is not timely, it becomes a chronic stubborn disease; urgent dredging and unblocking can achieve miraculous results.
Heat toxins and residual toxins attack the eyes upward, causing photophobia, excessive discharge and tears. Sudden redness, swelling, closed eyes, and formation of corneal opacities. If the skin around the eye sockets is ulcerated, one should clear heat and detoxify.
Watery eyes are caused by extreme heat in the Liver and Kidney meridians; this is a typical manifestation (zheng hou) of measles. Its appearance between the pre-fever and early fever stages signifies the eruption of measles. Without this symptom, it is not a sign of measles. If measles toxin enters the eyes causing opacities, Chan Ju San (Cicada and Chrysanthemum Powder) is the primary formula. If heat toxins attack upward causing eye opacities accompanied by sudden redness and photophobia, Qiang Ju San (Notopterygium and Chrysanthemum Powder) is used. (Master Zhu said: For persistent white corneal opacities after measles, there is a secret recipe using one chicken liver and a small amount of musk, mixed into the liver, steamed over water, and eaten. After seven doses, effectiveness is guaranteed.) If loose stools occur, remove Da Huang (Rhubarb Root), and add slightly raw Zhi Ke (Immature Bitter Orange) to gently guide stagnation. If residual measles toxin remains unresolved and attacks the eyes, causing photophobia, cloud-like opacities, excessive discharge and tears, redness, swelling, and closed eyes, Ling Yang Jiao San (Antelope Horn Powder) is used, removing Huang Qin (Scutellaria Root) and Sheng Ma (Cimicifuga Rhizome), adding Lian Qiao (Forsythia Fruit), Niu Bang Zi (Arctium Seed), and Huang Lian (Coptis Rhizome). If eye opacities, redness, swelling, and periorbital skin ulceration occur after measles, Zhu Chun'gu's Modified Qing Du Bo Yi Tang (Clear Toxin and Remove Opacity Decoction) is suitable. Cases with frequent redness, ulceration, and tearing of the eye sockets are often due to exposure to wind-cold during the final stage of measles or after its resolution, invaded by wind-heat or smoke irritation, leading to red, swollen, ulcerated eyes and constant tearing. Immediate dispersing and resolving is required; urgently use Chai Hu Yin Zi (Bupleurum Infusion). If left untreated for a long time, it becomes a lifelong chronic disease.
Master Zhu stated: Redness and ulceration of the eye sockets often occur in children after measles, caused by failure to avoid wind-cold, with wind carrying heat attacking upward.
Chan Ju San (Cicada and Chrysanthemum Powder): Treats pox or measles toxins entering the eyes, or post-illness corneal opacities.
Chan Tui (Cicada Slough, cleaned of soil) Bai Ju Hua (White Chrysanthemum Flower, stems and leaves removed) in equal parts. Grind into powder, decoct in water, add a little honey juice, boil again, and take warm after meals.
Qiang Ju San (Notopterygium and Chrysanthemum Powder):
Qiang Huo (Notopterygium Rhizome) Bai Ju Hua (White Chrysanthemum Flower) Chan Tui (Cicada Slough) Fang Feng (Saposhnikovia Root) Mu Zei (Equisetum Hiemale) Zhi Ren (Gardenia Seed) Da Huang (Rhubarb Root) Gu Jing Cao (Evodia Fruit) Bai Ji Li (Tribulus Fruit) Huang Lian (Coptis Rhizome) Sha Yuan Zi (Astragalus Complanatus Seed) Ji Li (Tribulus Fruit) Gan Cao (Licorice Root) ground into powder. Take one qian mixed with clear rice water.
Ling Yang Jiao San (Antelope Horn Powder):
Ling Yang Jiao (Antelope Horn, shaved flakes) Huang Qin (Scutellaria Root) Cao Jue Ming (Cassiae Seed) Che Qian Zi (Plantago Seed) Fang Feng (Saposhnikovia Root) Da Huang (Rhubarb Root) Mang Xiao (Mirabilite) Huang Qi (Astragalus Root) Sheng Ma (Cimicifuga Rhizome) Decoct in water, take slightly warm.
Zhu Chun'gu's Modified Qing Du Bo Yi Tang (Clear Toxin and Remove Opacity Decoction): This formula is most effective and can be modified according to symptoms.
Sheng Di Huang (Rehmannia Root, 1.5 qian) Gan Ju Hua (Chrysanthemum Flower) Huang Qin (Scutellaria Root, wine-fried) Niu Bang Zi (Arctium Seed) Lian Qiao (Forsythia Fruit, each 0.7 qian) Dang Gui Wei (Angelica Sinensis Tail) Chai Hu (Bupleurum Root, each 0.8 qian) Chuan Xiong (Ligusticum Rhizome, 0.6 qian) Hong Hua (Carthamus Flower) Mu Zei (Equisetum Hiemale, each 0.5 qian) Cao Jue Ming (Cassiae Seed, stir-fried) Bai Ji Li (Tribulus Fruit, stir-fried and thorns removed, each 1 qian) Gan Cao (Licorice Root, peeled, 0.3 qian) Decoct in water and take.
Chai Hu Yin Zi (Bupleurum Infusion): Treats redness and ulceration of eye sockets due to wind-heat.
Chai Hu (Bupleurum Root) Qiang Huo (Notopterygium Rhizome) Fang Feng (Saposhnikovia Root) Chi Shao (Red Peony Root) Jie Geng (Platycodon Root) Jing Jie (Schizonepeta Spike) Sheng Di Huang (Rehmannia Root, each 1 qian) Gan Cao (Licorice Root, 0.5 qian) Decoct in water and take hot.