无辜疳传有二因，鸟羽污服着儿身，或缘乳母病传染，颈项疮核便利脓，
虫蚀脏腑身羸瘦，面黄发热致疳生，清热宜用柴胡饮，消疳肥儿效如神．
[注]
无辜疳者，其病原有二，
或因浣衣夜露，被无辜乌落羽所污，儿着衣后，致成此证，
或因乳母有病，传染小儿，以有此疾，
其证颈项生疮，或项内有核如弹，按之转动，软而不疼，
其中有虫如米粉，不速破之，使虫蚀脏腑，便利脓血，
身体羸瘦，面黄发热也，
治宜先清其热，柴胡饮主之，再消其疳以芦荟肥儿丸主之。
(柴胡饮) 赤芍药 柴胡 黄连 半夏姜制 桔梗 夏枯草 龙胆草
浙贝母 黄芩 甘草生 引用灯心水煎服。
(方歌)
柴胡饮治无辜疳，赤芍柴胡川黄连，半夏桔梗夏枯草，龙胆浙贝芩草煎。
(芦荟肥儿丸) 方见肝疳。
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疳证门
遍身骨露号丁奚，肌肉干涩昼夜啼，手足枯细面鯬黑，项细腹大突出脐，
尻削身软精神倦，骨蒸潮热渴烦随，化滞五疳消积治，补养人参启脾宜．
[注]
丁奚者，遍身骨露，其状似丁，故名曰丁奚也，
其证肌肉干涩，啼哭不已，手足枯细，面色鯬黑，项细腹大，
肚脐突出，尻削身软，精神倦怠，骨蒸潮热，燥渴烦急也，
先用五疳消积丸化其滞，
继用人参散脾丸理其脾病，可渐愈矣。
(五疳消积丸) 史君子肉五钱炒 麦芽炒 陈皮 神麴炒 山查各一两
白芜荑 黄连 胆草各三钱 以上为末，陈米饭为丸，每服一钱，米饮下。
(人参散脾丸) 人参五钱 白术五钱土炒 白茯苓五钱 陈皮四钱
扁豆五钱炒 山药五钱炒 木香二钱煨 榖芽三钱炒 神麴三钱炒
炙甘草二钱 以上研细末，炼蜜为丸，重一钱，用建连汤化下。
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疳证门
无辜疳的传变有两种原因，一是鸟羽和污秽的衣服沾染到婴儿身上，二是可能因为乳母患病而传染给婴儿。症状表现为颈项部出现疮疡或淋巴结肿大（核），破溃后流出脓液；若不及时治疗，虫蚀脏腑会导致身体消瘦、面色发黄、发热，从而形成疳证。治疗上应先清热，宜使用柴胡饮；随后消疳，芦荟肥儿丸效果极佳。
[注]
所谓无辜疳，其病因主要有两种：
一种是因为洗衣服时夜间露天放置，被“无辜鸟”（传说中的一种毒鸟）落下的羽毛污染，婴儿穿上这种衣服后，导致患上此病；
另一种是因为乳母患有疾病，传染给小儿，因此产生这种疾患。
其临床表现是颈项部长疮，或者颈部有像弹丸大小的肿块，按压时可以转动，质地柔软且不疼痛，
肿块里面有类似米粉状的虫子，如果不迅速将其刺破排出，会使虫子侵蚀脏腑，导致大便带脓血，
身体消瘦，面色萎黄，伴有发热等症状。
治疗应当先清除内热，以柴胡饮为主方；然后再消除疳积，以芦荟肥儿丸为主方。
(柴胡饮) 组成药物：赤芍药、柴胡、黄连、姜制半夏、桔梗、夏枯草、龙胆草、浙贝母、黄芩、生甘草。引用灯心草水煎服。
(方歌)
柴胡饮治疗无辜疳，包含赤芍、柴胡、川黄连，还有半夏、桔梗、夏枯草，以及龙胆、浙贝、黄芩、甘草一起煎煮。
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疳证门
遍身骨骼显露称为丁奚疳，肌肉干枯涩滞，昼夜啼哭不止，手足枯细，面色黧黑，颈部纤细而腹部膨大突出肚脐，
尾骨削薄，身体软弱，精神疲倦，伴有骨蒸潮热、口渴烦躁等症状。治疗宜采用化滞、五疳消积的方法，后期补养则宜用人参启脾丸。
[注]
所谓丁奚，是指遍身骨骼外露，形状像“丁”字，所以名叫丁奚疳。
其症状表现为肌肉干枯涩滞，不停地啼哭，手足枯细，面色黧黑，颈部纤细而腹部胀大，
肚脐突出，尾骨削薄，身体软弱无力，精神倦怠，伴有骨蒸潮热、燥渴烦急等症状。
治疗先用五疳消积丸来化解积滞，
接着用人参散脾丸来调理脾病，病情可以逐渐痊愈。
(五疳消积丸) 组成药物：炒史君子肉五钱、炒麦芽、陈皮、炒神曲、山楂各一两，白芜荑、黄连、胆草各三钱。以上药物研为细末，用陈米饭做丸，每次服用一钱，米汤送下。
(人参散脾丸) 组成药物：人参五钱、土炒白术五钱、白茯苓五钱、陈皮四钱、炒扁豆五钱、炒山药五钱、煨木香二钱、炒榖芽三钱、炒神曲三钱、炙甘草二钱。以上药物研成细末，用炼蜜做成丸剂，每丸重一钱，用建莲汤化开服用。
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疳证门
The transmission of Wugu Gan (Innocent Child's Malnutrition) has two causes: one is contamination by bird feathers and soiled clothing coming into contact with the infant; the other is transmission from a sick wet nurse. The manifestations include sores or lymph node enlargement (scrofula) in the neck region, which may rupture and discharge pus. If not treated promptly, parasites may erode the internal organs, leading to emaciation, sallow complexion, fever, and the development of Gan syndrome. Treatment should first clear heat using Chaihu Yin (Bupleurum Decoction); subsequently, to eliminate Gan, Lushui Fei'er Wan (Aloe and Infant-Nourishing Pill) is highly effective.
[Note]
Wugu Gan refers to a condition with two primary etiologies:
One cause is exposure during laundry washing at night outdoors, where feathers from the "Wugu Bird" (a mythical toxic bird) contaminate the clothes; wearing such garments induces this disease in infants.
The other cause is infectious transmission from a mother suffering from illness to her nursing infant.
Clinical signs include sores on the neck or elastic-sized nodules that are mobile upon palpation, soft in texture, and painless.
Inside these nodules, worm-like structures resembling rice flour may be found. If not promptly lanced and drained, these worms can erode the Zang-Fu organs, resulting in purulent bloody stools,
emaciation, sallow complexion, and fever.
Therapy should initially focus on clearing heat, primarily utilizing Chaihu Yin (Bupleurum Decoction); thereafter, to resolve Gan accumulation, Lushui Fei'er Wan (Aloe and Infant-Nourishing Pill) is indicated.
(Chaihu Yin / Bupleurum Decoction) Ingredients: Chi Shao Yao (Red Peony Root), Chai Hu (Bupleurum Root), Huang Lian (Coptis Rhizome), Ban Xia (Pinellia Tuber processed with ginger), Jie Geng (Platycodon Root), Xia Ku Cao (Prunella Spike), Long Dan Cao (Gentian Root), Zhe Bei Mu (Fritillaria Thunbergii Bulb), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root) raw. Decoct with Deng Xin Cao (Juncus Effusus) water for administration.
(Prescription Song)
Chaihu Yin treats Wugu Gan, comprising Chi Shao, Chai Hu, and Chuan Huang Lian;
Ban Xia, Jie Geng, and Xia Ku Cao are added, along with Long Dan, Zhe Bei, Huang Qin, and Gan Cao for decoction.
(Lushui Fei'er Wan / Aloe and Infant-Nourishing Pill) See the section on Liver Gan for the formula details.
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Gan Syndrome Section
When bones protrude all over the body, it is termed Dingxi Gan (Stilt-legged Malnutrition). The muscles are dry and rough, accompanied by ceaseless crying day and night. The limbs are withered and thin, the face is dark and sallow, the neck is slender while the abdomen is distended with umbilical herniation. The sacrum is emaciated, the body feels flaccid, and there is mental fatigue. These symptoms are often followed by bone-steaming tidal fever, thirst, and irritability. Treatment should involve resolving stagnation and eliminating accumulation via Wu Gan Xiao Ji Wan (Five-Gan Accumulation-Resolving Pill); for subsequent nourishment and tonification, Renshen Qipi Wan (Ginseng Spleen-Initiating Pill) is appropriate.
[Note]
Dingxi refers to a state where bones are exposed throughout the body, resembling the character "Ding," hence the name.
Symptoms include dry and rough muscles, incessant crying, withered and thin extremities, a dark and sallow complexion, a slender neck with abdominal distension,
protruding umbilicus, emaciated sacrum, flaccidity, mental fatigue, bone-steaming tidal fever, dryness, thirst, and irritability.
Initially, Wu Gan Xiao Ji Wan (Five-Gan Accumulation-Resolving Pill) is used to resolve stagnation and accumulation.
Subsequently, Renshen Sanpi Wan (Ginseng Spleen-Supporting Pill) is employed to regulate spleen dysfunction, leading to gradual recovery.
(Wu Gan Xiao Ji Wan / Five-Gan Accumulation-Resolving Pill) Ingredients: Chao Shi Jun Zi Ren (Stir-fried Quisqualis Fruit Seed) 5 qian, Chao Mai Ya (Stir-fried Hordeum Germinatum), Chen Pi (Tangerine Peel), Chao Shen Qu (Stir-fried Medicated Leaven), Shan Zha (Hawthorn Fruit) each 1 liang; Bai Wu Yi (White Toosendan Fruit), Huang Lian (Coptis Rhizome), Dan Cao (Gentian Root) each 3 qian. Grind all ingredients into fine powder, form pills with aged rice paste. Take 1 qian per dose, administered with rice water.
(Renshen Sanpi Wan / Ginseng Spleen-Supporting Pill) Ingredients: Ren Shen (Ginseng Root) 5 qian, Tu Chao Bai Zhu (Earth-stir-fried Atractylodes Macrocephala Rhizome) 5 qian, Bai Fu Ling (Poria) 5 qian, Chen Pi (Tangerine Peel) 4 qian, Chao Bian Dou (Stir-fried Lablab Bean) 5 qian, Chao Shan Yao (Stir-fried Dioscorea Rhizome) 5 qian, Wei Mu Xiang (Baked Aucklandiae Root) 2 qian, Chao Gu Ya (Stir-fried Millet Sprout) 3 qian, Chao Shen Qu (Stir-fried Medicated Leaven) 3 qian, Zhi Gan Cao (Honey-fried Licorice Root) 2 qian. Grind all ingredients into fine powder, mix with refined honey to form pills weighing 1 qian each. Administer by dissolving in Jian Lian Tang (Nelumbo Nucifera Seed Decoction).
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Gan Syndrome Section