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Source: Bǔ Yào Xiù Zhēn Xiǎo ér Fāng Lùn 补要袖珍小儿方论

Ingredients:

• Yè míng shā (夜明砂 Vespertilionis Faeces, bat's droppings) 6–9g
• Wú yí (芜荑 Ulmi Fructus Praeparatio, elm cake) 6–9g
• Shǐ jūn zǐ (使君子 Quisqualis Fructus, quisqualis [fruit]) 10–15g
• Fú líng (茯苓 Poria , poria) 6–9g
• Rén shēn (人参 Ginseng Radix, ginseng) 6–9g
• Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 6–9g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 3–6g
• Lú huì (芦荟 Aloe , aloe) 6–9g

Action: Expels roundworm and eliminates gān; supplements the spleen and boosts qì.

Indication: Worm gān (gān accumulation) in children, characterized by yellow facial complexion, emaciation, heat effusion, abdominal distension, and dull, dry eyes. Tongue: Pale. Pulse: Weak.

Category: Worm-expelling formulas

Method: ???

Rationale: Shǐ jūn zǐ and Wú yí both kill worms and eliminate gān. Lú huì is a precipitating agent that makes the worms pass out in the stool. These three agents together address worm gān. When worms have been present in the body for a long time, the damage the liver and spleen, and liver heat rises to cause eye gān patterns characterized by blurred vision, aversion to light, and dryness of the eyes. For this reason, Yè míng shā are added to brighten the eyes. Fú líng, Bái zhú, Rén shēn, and Gān cǎo are called the four gentlemen. They are included to address spleen vacuity and prevent the Lú huì damaging the stomach and spleen. The Gān cǎo helps to moderate the toxicity of the Lú huì and Shǐ jūn zǐ.

Notes: This formula is so-named because the yemingsha is wrapped in muslin for decoction.

Similar: Wū méi wán (乌梅丸 Mume Pill)

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