刘仲安治一儿。病癖积。左胁下硬如覆手。肚大青筋。发热肌瘦。自汗咳嗽。日晡尤甚
牙疳。口臭恶。宣露出血。四肢困倦。饮食减少。病甚危笃。先与沉香海金砂丸。一服。
下秽物两三行。次日。合塌气丸服之。十日。复与沉香海金砂丸利之。又令服塌气丸。如此
互换。服至月余。其癖减半。百日良愈。
明宗室富顺王一孙。嗜灯花。但闻其气。即哭索不已。时珍诊之。曰。此癖也。以杀虫
治癖之药丸服。一料而愈。
震按沉香海金砂丸乃牵牛头末一两。海金砂一钱。沉香、轻粉各一钱。独囊蒜研泥丸之
木香塌气丸乃陈皮去白、萝卜子炒各五钱。草豆蔻、胡椒、木香、青皮各三钱。蝎尾去毒
二钱五分。水法丸。所服丸数皆三十丸。多至四五十丸。出东垣十书。
陈孝廉自述云。其子痘疹后。患疳积病。骨瘦如柴。大便不固。偶得市人传一方。用山
楂一两。白酒曲一两。取多年瓦夜壶人中白最多者。将二物装内。炭火 存性。研为细末。
每服六分。滚水送下。药未完而病愈。
黄上舍瑶台乃郎。患疳。肚大如箕。足细如管。眼生翳膜遮睛。几不可为。在苏州。得
异人传授一方。取鸡蛋七枚。轻去壳。勿损衣膜。以胡黄连一两。川黄连一两。童便浸春秋
五日。夏三日。冬七日。浸透煮熟。令儿服之。遂愈。后以治数儿。无不立效。
江应宿见丁氏儿医。治疳积腹大脚小。翳膜遮睛者。用大虾蟆十数个。打死。置小口缸
内。取粪蛆不拘多少。粪清浸养。盛夏三日。春末秋后四五日。以食尽虾蟆为度。为粗麻布
袋一方。扎住缸口。倒置活水中。令吐出污秽净。再取新瓦烧红。置蛆于上。烙干。令病儿
食之。每服一二钱。后服参苓白术散。而愈。若儿稍大见疑。用炒熟大麦面和少虫作饼或丸
看儿大小壮弱。无不验者。
刘仲安治疗一个小孩。患有癖积病，左胁下坚硬如倒扣的手掌状，腹部胀大且青筋暴露，身体发热、肌肉消瘦，自汗出并伴有咳嗽，症状在傍晚时分尤为严重，还有牙疳（牙龈溃烂出血），口臭难闻，牙齿松动出血，四肢困倦乏力，饮食减少，病情非常危重。先用沉香海金砂丸服用一次，排出秽浊物两三次。第二天，配合服用塌气丸。十日后，再次给予沉香海金砂丸以通利大便。又令其服用塌气丸。如此交替服药，持续一个多月，癖积减半，百日之后完全痊愈。
明代宗室富顺王的一个孙子，嗜好灯花，只要闻到灯花的味道，就哭闹不止。李时珍诊断后说：“这是癖积。”用杀虫兼治癖积的药物制成丸剂让他服用，一料药后痊愈。
俞震按语：沉香海金砂丸是由牵牛子头末一两、海金砂一钱、沉香和轻粉各一钱组成，用独头蒜研成泥状制作成丸剂。木香塌气丸是由去白皮的陈皮、炒萝卜子各五钱，草豆蔻、胡椒、木香、青皮各三钱，去毒蝎尾二钱五分组成，用水泛丸法制作。所服用的丸剂数量均为三十丸，多则四五十丸。这些方子出自李东垣的著作。
陈孝廉自己叙述说：他的孩子在痘疹（天花或麻疹）之后，患上疳积病，骨瘦如柴，大便失禁。偶然得到市井之人传授的一个方子，用山楂一两、白酒曲一两，选取多年使用的瓦制夜壶中的人中白（尿垢）最多的部分，将前两种药材装入其中，用炭火煅烧至存性，研为细末。每次服用六分，用滚开水送服。药还没吃完，病就好了。
黄上舍瑶台的儿子，患疳积，肚子大如簸箕，腿细如管子，眼睛生翳膜遮挡视线，几乎无法救治。在苏州时，得到异人传授的一个方子：取鸡蛋七个，轻轻去掉蛋壳，不要损伤内膜，将胡黄连一两、川黄连一两，用童子小便浸泡，春秋季节五日，夏季三日，冬季七日，浸透后煮熟，让孩子服用，于是痊愈。后来用此方治疗几个孩子，无不立即见效。
江应宿见到丁氏医生治疗疳积导致腹大脚小、翳膜遮睛的孩子，使用大蟾蜍十多个，打死，放入小口缸内，收集里面的粪蛆不限多少，用粪水浸泡饲养。盛夏三天，春末秋后四五日，直到吃尽蟾蜍为止。准备一方块粗麻布，扎住缸口，倒置在活水中，让蛆虫吐出体内的污秽物使其洁净。再取新瓦烧红，将蛆虫放在上面烙干，让生病的孩子吃下去。每次服用一二钱，之后再服用参苓白术散，病就好了。如果孩子稍大产生怀疑，可以用炒熟的大麦面和少量虫粉做成饼或丸，根据孩子的大小强弱来服用，没有不灵验的。
Liu Zhong'an treated a child suffering from *pi ji* (Pi accumulation, a type of abdominal mass or indigestion characterized by stagnation). There was hardness under the left hypochondrium resembling an inverted hand, abdominal distension with visible superficial veins, fever, emaciation, spontaneous sweating, and coughing, which were particularly severe in the late afternoon. The patient also suffered from *ya gan* (Gum disease/ulceration), foul breath, loose teeth, and bleeding gums. The limbs were fatigued, food intake was reduced, and the condition was critical. Initially, *Chenxiang Haijinsha Wan* (Agarwood and Goldsand Pill) was administered once, resulting in the passage of two to three stools of turbid matter. The following day, *Taqi Wan* (Sinking Qi Pill) was taken. After ten days, *Chenxiang Haijinsha Wan* was given again to promote purgation, followed by *Taqi Wan*. This alternating regimen continued for over a month, reducing the *pi* accumulation by half, and the child recovered completely after one hundred days.
A grandson of the Prince Fushun of the Ming imperial clan had a craving for lamp wick ash; merely smelling it caused incessant crying and demanding behavior. Li Shizhen diagnosed this as *pi ji* and prescribed pills made of herbs that kill parasites and treat *pi*. One dose resulted in a cure.
Yu Zhen commented: *Chenxiang Haijinsha Wan* consists of 1 liang of the first batch powder of *Qian Niu Zi* (Pharbitis Seed), 1 qian of *Hai Jin Sha* (Lygodium Spore), and 1 qian each of *Chen Xiang* (Aquilaria Wood) and *Qing Fen* (Calomel), prepared into pills using the paste of a single-clove garlic. *Muxiang Taqi Wan* consists of 5 qian each of *Chen Pi* (Citrus Peel, peeled) and fried *Luobo Zi* (Radish Seed), 3 qian each of *Caodoukou* (Black Cardamom), *Hu Jiao* (Pepper), *Mu Xiang* (Aucklandia Root), and *Qing Pi* (Green Citrus Peel), along with 2.5 qian of venom-free *Xie Wei* (Scorpion Tail), prepared into pills using water-pellet method. The dosage was thirty pills per administration, up to forty or fifty pills. These formulas are derived from the works of Li Dongyuan.
Lin Xiaolian narrated that his son, after recovering from smallpox/rubella (*dou zhen*), developed *gan ji* (Infantile malnutrition syndrome). The child was emaciated like firewood and suffered from loose stools. He accidentally obtained a folk prescription: mix 1 liang of *Shan Zha* (Hawthorn Fruit) and 1 liang of *Bai Jiu Qu* (White Wine Yeast) inside a clay chamber pot that has been used for many years, taking the maximum amount of *Ren Zhong Bai* (Human Urine Deposit). Calcine these ingredients over charcoal until they retain their nature, then grind into fine powder. Take 6 fen per dose with boiling water. The illness was cured before the medicine ran out.
The son of Shangshe Huang Yaotai suffered from *gan* syndrome, with an abdomen large as a winnowing basket and legs thin as tubes. An opacity covered his eyes, obscuring vision, making the case seem hopeless. In Suzhou, he received a prescription from an unknown master: take seven eggs, carefully remove the shells without damaging the inner membrane. Soak 1 liang of *Hu Huang Lian* (Coptis Rhizoma) and 1 liang of *Chuan Huang Lian* (Coptis Rhizoma) in urine from a healthy boy for five days in spring and autumn, three days in summer, and seven days in winter. Cook thoroughly after soaking, and feed to the child. The child recovered. This formula proved effective when used on several other children subsequently.
Jiang Yingsu observed Dr. Ding treating a child with *gan ji* presenting with abdominal distension, thin legs, and eye opacities. The treatment involved killing more than ten large toads and placing them in a narrow-mouthed jar. Collect the maggots produced, regardless of quantity, and raise them in fecal water. In midsummer, wait three days; in late spring or autumn, four to five days, until the toads are consumed. Cover the jar mouth with a square of coarse hemp cloth, invert it into running water, and allow the maggots to expel impurities until clean. Then, place the maggots on a red-hot new tile to dry by roasting, and feed them to the sick child. Each dose was 1-2 qian, followed by *Shenling Baizhu San* (Ginseng, Poria, and Atractylodes Macrocephala Powder) to complete the cure. If the older child was suspicious, roasted barley flour mixed with a small amount of dried insect powder could be formed into cakes or pills according to the child's size and strength. All cases responded successfully.