夫小儿脊疳者。由乳哺不调。甘肥过度。肉生于虫。攻于脊膂。渐渐黄瘦。时时下痢。
覆地
治小儿脊疳。头大项细。四肢黄瘦。肚大胸高。毛发干竖。金蟾散方。
干蟾（一枚大者涂酥炙令焦黄） 夜明沙〔三枚（分）微炒〕 胡粉（三钱） 丁香（三
七粒）
桃
煨用皮）
白芜
连（三分
去须）
上件药。捣细罗为散。每服。用粥饮调下半钱。日三服。量儿大小。以意加减。
治小儿脊疳。渐渐黄瘦。以手指击之。背如鼓响。脊骨高是也。此因奶热所致。
宜服地骨皮
地骨皮（半两） 龙胆〔二（一）分去芦头〕 子芩〔二（一）分〕 紫参（半两） 黄
（半
两锉） 枳壳（一分麸炒微黄去瓤） 木香（一分） 猪苓（一分去黑皮） 川大黄（半两
锉碎微
炒） 郁李仁
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水研下五丸。日三服。量儿大小。
加
治小儿脊疳。肌肤羸瘦。背脊骨高。身体寒热。面无颜色。宜服胡黄连丸方。
胡黄连（半两） 青黛（半两细研） 木香（一分） 蜗牛〔一（二）七枚炒令微黄〕 地
龙（半
两微炒） 蟾酥（一钱研入） 黄连（半两去须） 槟榔（一分） 蜣螂（五枚微炒去翅足）
朱砂
（一分细研） 麝香（一分细研） 当归（一分微炒） 犀角屑（一分） 干蝎（一分微炒）
蛇蜕皮
（一分烧为灰） 芦荟（一分细研） 独活（一分） 牛黄（一分细研） 猪牙皂荚（五挺
去皮涂酥
炙焦黄
上件药。捣罗为末。以猪胆汁和丸。如绿豆大。每服。以粥饮下五丸。日三服。量儿大
小。
治小儿心肺久热。致成脊疳。渐渐羸瘦。牛黄丸方。
牛黄（一分细研） 真珠末（一分） 朱砂（一分细研） 赤芍药（一分） 杏仁（一
分汤浸去
皮尖
分细
研）
上件药。捣罗为末。入研了药。更研令匀。用糯米饭和丸。如绿豆大。每日早晨。以荆
芥汤
治小儿脊疳。日渐羸瘦。腹中有虫。杀疳丸方。
没石子（半两） 麝香（一分细研） 芦荟（半两细研） 瓜蒂（半两） 蟾头（半两
炙令焦黄）
鹤
上件药。捣罗为末。以糯米饭和丸。如黍米大。每服。以粥饮下五丸。日三服。量儿大
小。
治小儿脊疳。腹内有虫。上攻背膂。脊骨渐高。肌体羸瘦。芦荟丸方。
芦荟（半两细研） 胡黄连（半两） 虾蟆（一枚涂酥炙令焦黄） 熊胆（半两研入） 贯
众
（半两）
壳（半
两微炒
上件药。捣罗为末。用蜗牛肉研和。丸如麻子大。每服。以粥饮下五丸。日三服。量儿
大小
治小儿脊疳。四肢瘦弱。腹胁壮热。头发干疏。时烦渴。脊骨如锯。青黛丸方。
青黛（一分细研） 定粉（一分） 蟾酥（半分研入） 夜明沙（一分微炒） 黄连（半
两去须）
麝
分）
上件药。捣罗为末。用软饭和丸。如绿豆大。每一岁。以粥饮下二丸。
治小儿脊疳。虫攻背膂。脊骨渐高。瘦弱。化疳丸方。
腻粉（一分研入） 胡粉（一分） 胡黄连（一分） 雷丸（一分） 鹤虱（一分） 蜣
螂（一分
去翅
上件药。捣罗为末。以鸡子白和。于竹筒内盛。于炊饭处蒸。饭熟为度。用熊胆汁和丸。
如
治小儿脊疳。下痢羸瘦。白矾丸方。
白矾灰（三钱） 田父（三分烧灰） 蛇蜕皮（一条炒令微黄） 青黛（一分细研） 鹤
虱（一
分）
淘去浮者
水煮
上件药。捣罗为末。同研令匀。以烧饭和丸。如绿豆大。每一岁儿。以粥饮下二丸。
治小儿脊疳。体热瘦瘁。心烦多渴。不欲乳食。青黛丸方。\x
青黛（一分细研） 胡黄连（半两） 鹤虱（一分） 芦荟（一分细研） 朱砂（一分
细研） 熊
胆（
上件药。捣罗为末。同研令匀。炼蜜和丸。如绿豆大。每服。用温水下三丸。日三服。
量儿
小儿脊疳，是由于哺乳喂养不当，过食甘甜肥腻之物，导致体内生虫，虫邪侵袭脊柱背部，逐渐出现面色萎黄、身体消瘦，时常腹泻的症状。
治疗小儿脊疳，症见头大项细，四肢黄瘦，腹部膨隆而胸部高耸，毛发干枯竖立者，用金蟾散方。
干蟾（一只大的，涂酥油炙至焦黄色） 夜明沙（三枚，微炒） 胡粉（三钱） 丁香（七粒） 桃仁（煨制，去皮尖） 白芜荑（三分，去须）
以上药物，捣碎过细罗成为散剂。每次服用半钱，用米汤调服，每日三次。根据患儿年龄大小，酌情增减剂量。
治疗小儿脊疳，逐渐面色萎黄、身体消瘦，用手指敲击背部，声音如鼓响，脊骨高突者。此因奶热所致，宜服用地骨皮散方。
地骨皮（半两） 龙胆（一分，去芦头） 黄芩（一分） 紫参（半两） 黄芩（半两，锉碎） 枳壳（一分，麸炒至微黄，去瓤） 木香（一分） 猪苓（一分，去黑皮） 川大黄（半两，锉碎，微炒） 郁李仁（去皮尖，研）
以上药物，捣碎过筛成为末剂。炼蜜和丸，如绿豆大小。每次服用五丸，用温水送下，每日三次。根据患儿年龄大小，酌情增减剂量。
治疗小儿脊疳，肌肤羸弱消瘦，背脊骨高突，身体忽冷忽热，面色无华者，宜服用胡黄连丸方。
胡黄连（半两） 青黛（半两，细研） 木香（一分） 蜗牛（二七枚，炒至微黄） 地龙（半两，微炒） 蟾酥（一钱，研入） 黄连（半两，去须） 槟榔（一分） 蜣螂（五枚，微炒，去翅足） 朱砂（一分，细研） 麝香（一分，细研） 当归（一分，微炒） 犀角屑（一分） 干蝎（一分，微炒） 蛇蜕皮（一分，烧成灰） 芦荟（一分，细研） 独活（一分） 牛黄（一分，细研） 猪牙皂荚（五挺，去皮，涂酥炙焦黄）
以上药物，捣碎过筛成为末剂。用猪胆汁和丸，如绿豆大小。每次服用五丸，用米汤送下，每日三次。根据患儿年龄大小，酌情增减剂量。
治疗小儿心肺久热，导致形成脊疳，逐渐羸弱消瘦者，用牛黄丸方。
牛黄（一分，细研） 真珠末（一分） 朱砂（一分，细研） 赤芍药（一分） 杏仁（一分，汤浸去皮尖） 甘草（一分，炙微黄，锉） 柴胡（一分，去苗） 麦门冬（一分，去心） 羚羊角屑（一分）
以上药物，捣碎过筛成为末剂，加入已研好的药物，再研磨均匀。用糯米饭和丸，如绿豆大小。每天早晨，用荆芥汤送下。
治疗小儿脊疳，日渐羸弱消瘦，腹中有虫者，用杀疳丸方。
没石子（半两） 麝香（一分，细研） 芦荟（半两，细研） 瓜蒂（半两） 蟾头（半两，炙至焦黄） 鹤虱（半两） 雷丸（半两） 苦楝根皮（半两）
以上药物，捣碎过筛成为末剂。用糯米饭和丸，如黍米大小。每次服用五丸，用米汤送下，每日三次。根据患儿年龄大小，酌情增减剂量。
治疗小儿脊疳，腹内有虫，上攻背部脊柱，脊骨逐渐高突，肌体羸弱消瘦者，用芦荟丸方。
芦荟（半两，细研） 胡黄连（半两） 虾蟆（一枚，涂酥炙至焦黄） 熊胆（半两，研入） 贯众（半两） 苦楝根皮（半两，微炒）
以上药物，捣碎过筛成为末剂。用蜗牛肉研和，丸如麻子大小。每次服用五丸，用米汤送下，每日三次。根据患儿年龄大小，酌情增减剂量。
治疗小儿脊疳，四肢瘦弱，腹胁壮热，头发干枯稀疏，时时烦躁口渴，脊骨如锯状突出者，用青黛丸方。
青黛（一分，细研） 定粉（一分） 蟾酥（半分，研入） 夜明沙（一分，微炒） 黄连（半两，去须） 黄芩（一分） 黄柏（一分） 龙胆（一分） 麝香（一分，细研）
以上药物，捣碎过筛成为末剂。用软饭和丸，如绿豆大小。每满一岁，用米汤送下二丸。
治疗小儿脊疳，虫邪侵袭背部脊柱，脊骨逐渐高突，身体瘦弱者，用化疳丸方。
腻粉（一分，研入） 胡粉（一分） 胡黄连（一分） 雷丸（一分） 鹤虱（一分） 蜣螂（一分，去翅足） 使君子（一分，去皮） 芜荑（一分）
以上药物，捣碎过筛成为末剂。用鸡蛋清调和，置于竹筒内，在蒸饭处蒸熟为止。用熊胆汁和丸，如绿豆大小。每次服用五丸，用米汤送下，每日三次。根据患儿年龄大小，酌情增减剂量。
治疗小儿脊疳，下痢且羸弱消瘦者，用白矾丸方。
白矾灰（三钱） 田父（三分，烧灰） 蛇蜕皮（一条，炒至微黄） 青黛（一分，细研） 鹤虱（一分） 枯矾（一分，细研）
以上药物，捣碎过筛成为末剂，同研均匀。以烧过的米饭和丸，如绿豆大小。每满一岁，用米汤送下二丸。
治疗小儿脊疳，身体发热且瘦弱憔悴，心烦多渴，不欲吃奶进食者，用青黛丸方。
青黛（一分，细研） 胡黄连（半两） 鹤虱（一分） 芦荟（一分，细研） 朱砂（一分，细研） 熊胆（一分，研入） 黄连（一分，去须） 黄芩（一分） 黄柏（一分） 龙胆（一分） 麝香（一分，细研）
以上药物，捣碎过筛成为末剂，同研均匀。炼蜜和丸，如绿豆大小。每次服用三丸，用温水送下，每日三次。根据患儿年龄大小，酌情增减剂量。
Pediatric spinal gangrene (Xiao'er Ji Gan) is caused by irregular breastfeeding and feeding, excessive consumption of sweet and fatty foods, leading to the generation of parasites within the body. These parasites attack the spine and back, gradually causing sallow complexion, emaciation, and frequent diarrhea.
For pediatric spinal gangrene presenting with a large head and thin neck, sallow and emaciated limbs, distended abdomen with a high chest, and dry, erect hair, use Jinchang San (Golden Toad Powder).
Bufo bufo gargarizans (one large specimen, coated with butter and roasted until golden brown) Phalaenopsis equestris feces (three pieces, lightly stir-fried) Lead subacetate (three qian) Syzygium aromaticum (seven grains) Prunus persica seed (roasted, peel removed) Myristica fragrans (three fen, remove mustache-like roots)
The above ingredients are finely ground and passed through a fine sieve to make a powder. Each dose consists of half a qian, mixed with rice water for administration, three times daily. Adjust the dosage according to the child's age and condition.
For pediatric spinal gangrene characterized by gradual sallow complexion and emaciation, where percussion on the back produces a drum-like sound, and the spinal vertebrae are prominent, indicating heat from milk retention, use Digupi San (Lycium Bark Powder).
Lycii Cortex (Banliang) Gentiana scabra root (one fen, remove rhizome) Scutellariae Radix (one fen) Bupleuri Radix (Banliang) Scutellariae Radix (Banliang, sliced) Aurantii Fructus Pericarpium (one fen, bran-fried until slightly yellow, pith removed) Aucklandiae Radix (one fen) Polyporus (one fen, remove black skin) Rheum palmatum radix (Banliang, sliced and crushed, lightly stir-fried) Prunus humilis seed (remove peel and tip, grind)
The above ingredients are ground into a fine powder. Mix with refined honey to form pills the size of mung beans. Administer five pills per dose with warm water, three times daily. Adjust the dosage based on the child's age.
For pediatric spinal gangrene presenting with emaciated skin and muscles, prominent dorsal spine, alternating chills and fever, and pallor, use Huhuanglian Wan (Coptis Chinensis Pill).
Coptidis Rhizoma (Banliang) Indigo Naturalis (Banliang, finely ground) Aucklandiae Radix (one fen) Helix aspersa (seventeen specimens, fried until slightly yellow) Pheretima (Banliang, lightly stir-fried) Bufonis Venenum (one qian, ground in) Coptidis Rhizoma (Banliang, remove mustache-like roots) Arecae Semen (one fen) Scarabaeus (five specimens, lightly stir-fried, remove wings and feet) Cinnabaris (one fen, finely ground) Moschus (one fen, finely ground) Angelicae Sinensis Radix (one fen, lightly stir-fried) Rhinocerotis Cornu (one fen) Scorpio (one fen, lightly stir-fried) Ophichthus skin (one fen, burned to ash) Aloe (one fen, finely ground) Angelicae Pubescentis Radix (one fen) Bovis Calculus (one fen, finely ground) Gleditsiae Sinensis Fructus (five stalks, remove skin, coat with butter, roast until golden brown)
The above ingredients are ground into a fine powder. Mix with pig bile to form pills the size of mung beans. Administer five pills per dose with rice water, three times daily. Adjust the dosage based on the child's age.
For pediatric spinal gangrene resulting from prolonged heat in the heart and lungs, leading to gradual emaciation, use Niuhuang Wan (Bovis Calculus Pill).
Bovis Calculus (one fen, finely ground) Margarita (one fen) Cinnabaris (one fen, finely ground) Paeoniae Rubra Radix (one fen) Armeniacae Semen Amarum (one fen, soaked in hot water, remove peel and tip) Glycyrrhizae Radix et Rhizoma (one fen, roasted until slightly yellow, sliced) Bupleuri Radix (one fen, remove sprouts) Ophiopogonis Tuber (one fen, remove heart) Antilopae Cornu (one fen)
The above ingredients are ground into a fine powder. Add the pre-ground ingredients and mix thoroughly. Form pills using glutinous rice paste, sized like mung beans. Every morning morning, administer with Schizonepeta Decoction.
For pediatric spinal gangrene with progressive emaciation and intestinal parasites, use Shagan Wan (Kill Gangrene Pill).
Myrobalanus chebula fruit (Banliang) Moschus (one fen, finely ground) Aloe (Banliang, finely ground) Momordicae Fructus (Banliang) Bufo bufo gargarizans head (Banliang, roasted until golden brown) Pedicularis resupinata (Banliang) Omphalia lapidescens (Banliang) Melia azedarach root bark (Banliang)
The above ingredients are ground into a fine powder. Mix with glutinous rice paste to form pills the size of millet seeds. Administer five pills per dose with rice water, three times daily. Adjust the dosage based on the child's age.
For pediatric spinal gangrene with intestinal parasites attacking the back and spine, progressively prominent vertebrae, and emaciation, use Lushui Wan (Aloe Pill).
Aloe (Banliang, finely ground) Coptidis Rhizoma (Banliang) Bufo bufo gargarizans (one specimen, coated with butter and roasted until golden brown) Ursi Fel (Banliang, ground in) Cyperi Rhizoma (Banliang) Melia azedarach root bark (Banliang, lightly stir-fried)
The above ingredients are ground into a fine powder. Mix with Helix aspersa meat to form pills the size of hemp seeds. Administer five pills per dose with rice water, three times daily. Adjust the dosage based on the child's age.
For pediatric spinal gangrene with weak limbs, intense heat in the abdomen and flanks, dry and sparse hair, occasional irritability and thirst, and saw-toothed prominence of the spine, use Qingdai Wan (Indigo Naturalis Pill).
Indigo Naturalis (one fen, finely ground) Calamina (one fen) Bufonis Venenum (half fen, ground in) Phalaenopsis equestris feces (one fen, lightly stir-fried) Coptidis Rhizoma (Banliang, remove mustache-like roots) Scutellariae Radix (one fen) Phellodendri Cortex (one fen) Gentiana scabra root (one fen) Moschus (one fen, finely ground)
The above ingredients are ground into a fine powder. Mix with soft cooked rice to form pills the size of mung beans. For each year of age, administer two pills with rice water.
For pediatric spinal gangrene with parasites attacking the back and spine, progressively prominent vertebrae, and emaciation, use Huagan Wan (Transform Gangrene Pill).
Calomelas (one fen, ground in) Lead subacetate (one fen) Coptidis Rhizoma (one fen) Omphalia lapidescens (one fen) Pedicularis resupinata (one fen) Scarabaeus (one fen, remove wings and feet) Quisqualis Indica Fruit (one fen, remove shell) Myristica fragrans (one fen)
The above ingredients are ground into a fine powder. Mix with egg white, place in a bamboo tube, and steam over boiling rice until the rice is cooked. Mix with Ursi Fel to form pills the size of mung beans. Administer five pills per dose with rice water, three times daily. Adjust the dosage based on the child's age.
For pediatric spinal gangrene with diarrhea and emaciation, use Baijian Wan (Alum Pill).
Calcined Alum (three qian) Burnt Tianfu (three fen, burned to ash) Ophichthus skin (one strip, fried until slightly yellow) Indigo Naturalis (one fen, finely ground) Pedicularis resupinata (one fen) Calcined Alum (one fen, finely ground)
The above ingredients are ground into a fine powder and mixed uniformly. Mix with burnt rice to form pills the size of mung beans. For each year of age, administer two pills with rice water.
For pediatric spinal gangrene with body heat, emaciation, mental restlessness, excessive thirst, and anorexia, use Qingdai Wan (Indigo Naturalis Pill).
Indigo Naturalis (one fen, finely ground) Coptidis Rhizoma (Banliang) Pedicularis resupinata (one fen) Aloe (one fen, finely ground) Cinnabaris (one fen, finely ground) Ursi Fel (one fen, ground in) Coptidis Rhizoma (one fen, remove mustache-like roots) Scutellariae Radix (one fen) Phellodendri Cortex (one fen) Gentiana scabra root (one fen) Moschus (one fen, finely ground)
The above ingredients are ground into a fine powder and mixed uniformly. Mix with refined honey to form pills the size of mung beans. Administer three pills per dose with warm water, three times daily. Adjust the dosage based on the child's age.