《圣惠》∶夫小儿疳疾者，其状多端，虽轻重有殊，形证各异，而细穷根本，主疗皆同。由乳哺乖宜，寒温
失节，脏腑受病，血气不荣，致成疳也。其五脏及诸疳等，今以一方同疗之，故谓一切疳也。
钱乙论诸疳云∶疳在内，目肿腹胀，利色无常，或沫青白，渐瘦弱，此冷证也。疳在外，鼻下
赤烂自揉，
鼻头上有疮不着痂，渐绕耳生疮。治鼻疮烂兰香散。（方见鼻疳门中。）诸疮，白粉散主之（方见疳
疮门中。）肝疳，白膜遮睛，当
补肝地黄丸主之（方见虚寒门。）心疳，面黄颊赤，身壮热，当补心安神丸主之（方见虚热门中。）
脾疳，体黄腹大，食泥土，
当补脾益黄散主之（方见胃气不和门中。）肾疳，极瘦，身有疮疥，当补肾地黄丸主之。筋疳，
泻血而瘦，当补肝地黄丸
主之。肺疳，气喘，口鼻生疮，当补脾肺益黄散主之。骨疳，喜卧冷地，当补肾地黄丸主之。诸疳皆根据本脏补
其母及与治疳药。冷则木香丸，热则胡黄连丸主之（二方并见病后虚羸中。）疳皆脾胃病亡津液之
所作也。因大病或吐泻
后，以药吐下，致脾胃虚弱、亡津液。且小儿病疳，皆愚医之所坏病。假如潮热是一脏虚、一脏实而内发虚热
也，法当补母而泻本脏则愈。假令日中发潮热，是心虚热也，肝为心母，则宜先补肝，肝实而后泻心，心得母气
则内平而潮热愈也。医见潮热，妄谓其实，乃以大黄、牙硝辈诸冷药利之，利既多矣，不能禁约而津液内亡，
即成疳也。又有病癖，其疾发作寒热，饮水胁下有形硬痛。治癖之法，当渐消磨，医反以巴豆、 砂辈下之。
小儿易虚易实，下之既过，胃中津液耗损，渐令疳瘦。又有病伤寒五、六日，间有下证，以冷药下之太过，
致脾胃津液少，即使引饮不止而生热也。热气内耗，肌肉外消，他邪相干，证变诸端，因亦成疳。又有吐泻久
病，或医妄下之，其虚亦甚，津液燥损，亦能成疳。又有肥疳，即脾疳也。身瘦黄，皮干而有疮疥。其候不一，
种种异端，今略举纲纪∶目涩或生白膜，唇赤，身黄干或黑，喜卧冷地；或食泥土，身有疮疥，泻青白黄沫，
水利色变易，腹满，身耳鼻皆有疮，发鬓作穗，头大项细，极瘦，饮水，皆其证也。大抵疳病当辨冷热、肥瘦。
其初病者为肥热疳；久病者为瘦冷疳。冷者木香丸，热者胡黄连丸主之（方见同上。）冷热之疳尤宜
如圣丸。（方见疳泻门中）
故小儿之脏腑柔弱，不可痛击，大下必亡津液而成疳。凡有可下，量大小虚实而下之，则不至为疳也。初病津
液少者，当生胃中津液，白术散主之（方见胃气不和门中。）惟多则妙。余见下。
张涣论∶小儿百 以后，形骨轻软，肠胃细微，乳哺须是合宜，脏腑自然调适。若乳母寒温失理，动止乖
违，饮食无节，甘肥过度，喜怒气乱，醉饱伤劳便即乳儿，定成疳病。又周 以后，五岁以前，食物渐多，不
择生冷，恣食肥腻甘酸，并生疳气。但小儿一切疳病，种类甚多，最为紧急。
《婴童宝鉴》诸疳通论∶夫小儿疳证，互谕多端，言词烦迷，愈失大旨。但小儿发立焦黄，肌体瘦劣，腹肚
疼痛，爱吃泥土，泻痢无常，盗汗不止，腹大即喘，脚细难行，洞下脱肛，时时壮热，面覆地卧，心喜啼呼，
腹中虫生，粪中有米，便如泔淀，呕吐无时，有似瘦劳。更加寒颤，如此之状即是疳也。凡一十二种各异其名∶
在心为惊疳；在肝为风疳；在肺为气疳；在脾为肉疳；在肾为急疳。此五脏之五疳外，更十二般疳而重言别论。
干疳虽能乳食，见者皆餐，最便酸咸之物。急疳泻痢脱肛，其粪五色，虽食不生肌肉，睡多汗出，此急疳之候
也。风疳手足颤 ，双目微牵，或笑或嗔，爪甲青色，状如神祟，此风疳之候也。肉疳眼涩而痛，食物不消，
体羸黄瘦，四肢无力，腹胀气喘，此肉疳之候也。脊疳虫攻，脊膂指背皆痒，头发焦立，皮肉枯燥，两胁胀满，
一日数利，脊如锯齿，此脊疳之候也。口疳唇皮齿黑，舌上生疮，两龈溃烂，并虫自出，此口疳之候也。脑疳
鼻下赤烂，以手自揉，身热体干，目赤如朱，此脑疳之候也。食疳夜间潮热，或即憎寒，手足俱冷，能乳即瘦，
有如盗汗，此食疳之候也。奶疳因病后得之，乳母壅毒冲上，或者吃乳母之HT 奶也。初只气促，虽能乳食，渐
加羸瘦，泻久不止，三焦壅热，五脏困乏，此奶疳之候也。蛔疳合面而卧，气急面黄，时哭声高，又似心痛；
或即发作有时，只在月初（谓月朔虫头举也。）脾疳常吃泥土、生米及盐，心意不悦，身体黄，口内多涎，泻痢有虫，此
脾疳之候也。气疳或吃热乳，或因重病，渐成此患；忽然咳嗽，初得更服冷药，使日夕浑身壮热，脚冷如冰，
气促而喘，渐渐目昏，此气疳之候也。
《惠眼观证》∶疳病形候，本因餐瓜果油腻，恣食甘甜粘滑之物，故生疳气。但见肌肉瘦弱，肚高脚细，脏
腑或闭或泄，或涩或泻，或滞或痢，则先调气，两日后，量大小下 汤丸通利（方见急慢惊风门中。）
如许得脉细实，则
重下 汤丸取下恶物，次日塌气（方见肿满门中）、匀气（方见胃气不和门中）、醒脾（方见利门中）、平胃（
方见哕逆门中）调理，后常服乌犀角
丸（方见肥疳门中）夹芦荟丸（方未见。）参苓散，（方见胃气不和门中。）吃一月日，长肥即安。若
久患累经医治，传变成骨蒸疳劳，口生
疮，上焦虚热往来，荏苒岁月，即成丁奚、哺露。此由脾气大瘕虚怯，先宜塌气，二日气行，即下醒脾，贵得
气实而进少食，却与匀气夹柴胡丸与服（方见骨蒸门中），退骨蒸热。如或热退，即下芦荟治劳。此病但多用匀气调理，
丁奚、哺露二候一同。但丁奚尤可便用 汤丸利之，取下疳虫。若哺露肠腹多青筋，及吃物不变。且用前调理，
候一月气实乃可通利。
《庄氏家传》小儿二十四候∶
第一候∶泻脓血，日渐瘦，是冷热疳。第二候∶脚细肚高，胸前骨生，爱吃泥土酸咸；日久通身黄，时时
吐逆下痢，腹内疼痛，是脾疳。第三候∶鼻下赤烂，爱揉眼，兼血痢，是肺疳。乃因吃着承热物或病奶，所损
心肺，加之咳嗽，更以服凉冷药过多，便上热下冷，渐渐昏沉，日夜烦哭。第四候∶皮肤皱，面无颜色，身上
燥痒，心烦。第五候∶头生疮，毛发稀疏，鼻生疮，是肺疳。第六候∶头生疮，毛发稀焦，是肝疳。第七候∶
牙变黄赤不定，是肾疳。第八候∶头发焦干，鼻下疮生，是肺疳。第九候∶咬指甲，毛发作穗，四肢沉重，是
心疳。第十候∶肚上筋生，齿龈虫蚀，是骨槽疳。第十一候∶吐逆腹胀，是胃疳，又名奶疳。第十二候∶齿龈
臭烂，面无颜色，心不思食，是脾疳，又名口疳。第十三候∶爱合面卧，多睡如醉，腹胀气急。盖是因曾吃生
肉，如此腹内有虫，是心脾疳。第十四候∶鼻内干痛，口中臭气，齿根有鲜血，是肝肺疳。第十五候∶脚细肚
高，并肚上有青脉，是脾疳。第十六候∶非时生疮，爱吃冷水，是热疳。第十七候∶皮肤上生粟子，粪中米出，
是脾冷疳。第十八候∶气满腹胀及口干，是心胃疳。第十九候∶爱餐生米面、炭、砖瓦，是脾胃疳。第二十候∶
揉鼻揩眼及咬指甲，爱饮水，是肝渴疳。第二十一候∶多寒热，爱卧不起，是骨热疳。第二十二候∶爱饮水，
眼目不开，是肝疳。第二十三候∶肌体或热或凉，发渴无时，是急疳。第二十四候∶齿龈黑，唇颐开，开则赤，
是心疳积热。
《颅囟经》治小儿孩子诸色疳疾，或腹内虚胀，惊痫，头发立，常咬手指，脊疳、疳劳，臂胫细弱，仍立不得；
及鼻下常赤，清涕涎流不止，舌上生疮，脑疳、口疳，腹上筋脉。保童丸方
虎睛（半只） 朱砂 麝子（各一分） 牛黄 龙脑 巴豆 芎 桔梗 羌活 枳壳 檀
香茯神 人参 当归 代赭 鹤虱 白术（各半两）
上为末，下香、砂、巴豆，拌令匀，炼蜜丸如梧子大。一岁至五岁每日一丸，十岁每日两丸，并空心米饮
下，但稍知。孩子病甚，即加药与之。孩子未较，奶母忌生冷、油腻、炙爆、毒鱼、大蒜、米醋。
《颅囟经》治孩子疳痢、诸色疳，并一十五种病状、一、腹大；二、皮肤黑黄；三、骨节粗；四、眼赤；五、口
赤；六、鼻中生疮；七、头发黄；八、咬指甲；九、爱吃土；十、爱吃甜物；十一、身热；十二、头大；十
三、脐凸；十四、项细；十五、面无光。并宜常服保童丸方
朱砂（半分） 牛黄 麝香 蟾酥（各少许） 阿魏（二分）
上先将朱砂于净器中研如粉，入诸药。一时以蒸饼为丸，忌羊血、生冷等。
《颅囟经》治孩子疳气，或酿肚胀，上筋脉，头大项细，吃物不知足，夜中即起，腹内长鸣方。
大黄（一两） 陈橘皮（二两，酸醋二合浸二日，晒干） 蜣螂（二十个，去翅足子，热烧醋安之，
以盖地上去火毒，候冷取出，炒过）
上件为末，蜜为丸。每日空心熟水下十丸，忌如常。
葛氏《肘后》∶小儿一切疳方。
上用牛筋术白皮少许，捣取一合或半合与服之。
《仙人水鉴》∶小孩子头发焦黄赤，日渐黑瘦，宜服此百中散方
黄葵花 白芷 延胡索（各二分） 槟榔（十分，生用） 郁金（四分） 干蚯蚓（一条，生用） 黄
盐（六分，陶隐居云∶北海黄盐草粒粗，以作鱼
及咸 ） 干虾蟆（末，少许） 白米（一勺） 牛肉脯（二分） 倒悬囊（一个。灰蜘蛛是）
上捣为末，炼蜜为丸如麻子大。空心，煎骨汁下一丸与吃了。专候所往，取下虫。此疾求除根本。
《集验方》治小儿疳气不可疗。神效丹
绿矾（用火 通赤，取用酽醋淬过复 ，如此三度）
上细研，用枣肉和丸如绿豆大。温水下，日进两三服。
《子母秘录》治小儿疳方。
上用益母草绞汁，稍稍服。（益母草，茺蔚草也。俗名郁具金。田野间甚多）
《小儿宫气方》治小儿一切疳疾。
蜗牛壳（七个，净洗，不得自尘，令干）
上向酥蜜中，瓷盒盛。却用纸糊于饭甑内蒸之，下馈即安置，至饭熟取出细研。渐渐吃，一日令尽之。
《药性论》杀疳虫治疳瘦方。
上端午日取虾蟆眉脂，以朱砂、麝香为丸如麻子大。疳瘦者空心一丸，脑疳以奶汁调灌鼻中。《颅囟经》以
此药治一切疳，吹鼻不吃。
《食疗》治小儿疳方。
上瓜叶阴干研末，酒服半钱。
《元和纪用经》麝香丸 主小儿疳瘦，面黄发穗，骨立，减食，肌热，惊痫，疳虫。
麝香 芦荟 胡黄连（末）
上等分，研匀。滴水丸黄米大。一岁三丸，三岁五丸至七丸，人参汤下，日三。无比奇效。一云胡黄连四
分，余二物各二分。疗疳痢，温疟，无比尤验，一名圣丸，疳药无如此者。小儿癫痫，惊风，五疳，三虫，
服之立见功效，蛔虫作疾，枯悴，久痢不住，热药调护最难得法，唯此若神。经以四味饮、黑散、紫丸、至
圣散、五加皮治不能行，蜀脂饮并此麝香丸七方，谓之育婴七宝。紫阳道士一名保子七圣至宝方，专为一书
者，此是也。
《圣惠》治小儿一切疳，腹肚胀满，手脚枯细，眼目口鼻生疮，身体壮热，痢下泔淀，日渐羸瘦，面无光泽。
青黛散方
青黛 雄黄 石盐（各细研） 朱砂（细研，水飞过） 白矾（烧令汁尽） 薰陆香（研入。各一两） 麝
香（细研） 蚺蛇胆（研） 细辛 黄连（去
须） 青矾 黄矾（各烧通赤） 盐绿 黄柏（锉） 苦参（锉） 桂心 杏仁（汤浸，去皮尖、双仁，麸炒微
黄） 干姜（炮制，锉） 藜芦（去芦须。各
半分） 附子（炮裂，去皮脐） 熊胆（研入） 莨菪子（水淘去浮者，水煮，令芽出。焙干，炒令黑黄色） 石
胆（细研。各一分） 虾蟆（一枚，涂醋炙微焦）
上件药捣，细罗为散，同研令匀。如疳在内，三岁每服以井花水一合调下半钱，一岁一字，三岁以上临时
加之。若口内疳疮，以蒜一片，研和少许散，每夜涂之。须臾，自然流引涎出。若鼻内有疮，用蒜如皂荚子
大研和少散，纳入鼻中。若外有疳疮，以猪脂和散涂之立瘥。
《圣惠》治小儿一切疳五胆丸方
龙胆（去头芦） 虎胆 熊胆 猪胆 芦荟（亦名象胆） 麝香 白矾（灰） 荆芥（各一分）
上件药都研为末，先取东引石榴根半斤碎锉，以水三大碗，煮至半碗，去滓；以慢火煎如膏，下诸药末，
又熬令可丸，即丸如绿豆大，用瓷器中收。如患诸疳有虫者，或揩鼻、揩眼，手剜指甲及下部者，取一丸以
荆芥汤化为汁，候儿睡后，点少许于鼻中。脑上、十指、下部中虫闻，皆化为水。
《圣惠》治小儿一切疳，面肿项细，腹肚胀满，四肢羸瘦，身上生疮，鼻流清涕，头发稀疏，日渐 弱。夜明砂
丸方
夜明砂 蝉壳（各微炒） 芦荟 熊胆 朱砂 青黛（各细研） 蜣螂（微炒，去翅足） 蛇
蜕皮（烧灰，半两） 蝉头（一枚，炙黄焦） 麝香 牛黄（各细研，一分）
《圣惠方》记载：小儿疳病，症状表现多种多样，虽然病情轻重不同，证候各异，但仔细探究其根本原因，治疗原则都是相同的。这是由于喂养不当，寒热失调，导致脏腑受邪，气血不能濡养身体，从而形成疳病。对于五脏疳及其他各类疳病，现在用同一个方子来共同治疗，所以称为“一切疳”。
钱乙论述各种疳病说：疳病在内，表现为眼睛肿胀、腹部胀大、腹泻颜色无常，有时大便中有青白色泡沫，身体逐渐消瘦虚弱，这是冷证。疳病在外，表现为鼻子下方发红溃烂且患儿自行揉搓，鼻头上有疮疡结不了痂，逐渐蔓延到耳朵周围生疮。治疗鼻部疮疡溃烂用兰香散（方剂见鼻疳门中）。其他疮疡，用白粉散主治（方剂见疳疮门中）。肝疳，表现为白膜遮蔽瞳孔，应当用补肝地黄丸主治（方剂见虚寒门）。心疳，表现为面色黄、两颊红、身体高热，应当用补心安神丸主治（方剂见虚热门中）。脾疳，表现为身体发黄、腹部胀大、吃泥土，应当用补脾益黄散主治（方剂见胃气不和门中）。肾疳，表现为极度消瘦、身上有疮疥，应当用补肾地黄丸主治。筋疳，表现为便血且消瘦，应当用补肝地黄丸主治。肺疳，表现为气喘、口鼻生疮，应当用补脾肺益黄散主治。骨疳，表现为喜欢睡在凉地上，应当用补肾地黄丸主治。各种疳病都根据本脏补其母脏以及给予治疳的药物。属冷的用木香丸，属热的用胡黄连丸主治（这两个方剂并见于病后虚羸门中）。疳病都是脾胃病，是津液耗伤所致。因为大病或吐泻之后，医生用药催吐或攻下，导致脾胃虚弱、津液亡失。况且小儿患疳病，都是庸医误治造成的。假如潮热是一脏虚、一脏实而内部产生虚热，治疗方法应当补母脏而泻本脏就能痊愈。假如中午发潮热，是心虚热，肝为心之母，则应当先补肝，肝实后再泻心，心得母气滋养则内部平和，潮热自愈。医生见到潮热，胡乱认为是实证，就用大黄、牙硝等寒凉药攻下，攻下次数多了，无法控制而津液内亡，就形成了疳病。又有癖积病，发作时寒热往来，喝水后胁下有形硬块疼痛。治疗癖积的方法，应当慢慢消磨，医生反而用巴豆、砂仁等药攻下。小儿体质容易虚也容易实，攻下太过，胃中津液耗损，逐渐导致疳瘦。又有患伤寒五六天，偶尔有可下的证候，用寒凉药攻下太过，导致脾胃津液减少，即使想喝水不止而生热。热气在体内消耗，肌肉在体外消减，其他邪气干扰，证候变化多端，也因此形成疳病。又有吐泻久病，或者医生妄用攻下药，其虚损也很严重，津液燥损，也能形成疳病。又有肥疳，就是脾疳。身体消瘦发黄，皮肤干燥且有疮疥。其症状不一，种种异端，现在略举纲要：眼睛干涩或生白膜，嘴唇红，身体黄干或黑，喜欢睡凉地；或吃泥土，身上有疮疥，拉青白黄泡沫，水样腹泻颜色改变，腹部胀满，身体耳鼻都有疮，头发结成穗状，头大脖子细，极度消瘦，爱喝水，这些都是其证候。大抵疳病应当辨别冷热、肥瘦。初病的属于肥热疳；久病的属于瘦冷疳。属冷的用木香丸，属热的用胡黄连丸主治（方剂见同上）。冷疳和热疳尤其适宜用如圣丸（方剂见疳泻门中）。
所以小儿脏腑柔弱，不可猛烈攻伐，大力攻下必定亡失津液而成疳病。凡是可以攻下的，要衡量大小虚实来攻下，就不会变成疳病。初病津液少的，应当滋生胃中津液，用白术散主治（方剂见胃气不和门中）。效果越多越好。其余见下文。
张涣论述：小儿百日后，形体骨骼轻软，肠胃细微，哺乳必须合适，脏腑自然调和。如果乳母寒热调理失当，举动违背常理，饮食无节制，甘甜肥腻过度，喜怒情绪紊乱，醉饱劳累后立即哺乳，一定形成疳病。又周岁以后，五岁以前，食物渐多，不选择生冷，恣意食用肥腻甘酸，都会生疳气。只是小儿一切疳病，种类很多，最为紧急。
《婴童宝鉴》诸疳通论：小儿疳证，互相比喻说法很多，言辞烦乱迷惑，更失去了主要宗旨。只要小儿毛发竖立焦黄，肌体瘦弱，腹部疼痛，爱吃泥土，腹泻痢疾无常，盗汗不止，腹部胀大即气喘，脚细难行，洞泄脱肛，时时高热，脸贴地卧，心中喜欢啼哭呼叫，腹中生虫，粪便中有米粒，大便像米泔水沉淀，呕吐不时，有点像瘦劳病。再加上寒战，这样的状态就是疳病。共有十二种各自有不同的名称：在心为惊疳；在肝为风疳；在肺为气疳；在脾为肉疳；在肾为急疳。这五脏的五疳之外，还有十二般疳另行分别论述。干疳虽然能吃能喝，看见什么都想吃，最喜欢酸咸之物。急疳腹泻痢疾脱肛，粪便五色，虽然吃东西不长肌肉，睡觉多出汗，这是急疳的证候。风疳手足颤抖，双目微斜，或笑或怒，指甲青色，状如鬼神作祟，这是风疳的证候。肉疳眼睛干涩疼痛，食物不消化，身体瘦黄，四肢无力，腹胀气喘，这是肉疳的证候。脊疳虫攻，脊背指背都痒，头发焦竖，皮肉枯燥，两胁胀满，一天多次腹泻，脊背像锯齿，这是脊疳的证候。口疳嘴唇皮齿龈黑，舌上生疮，两牙龈溃烂，并有虫子出来，这是口疳的证候。脑疳鼻子下方发红溃烂，用手自己揉搓，身体热皮肤干，眼睛红得像朱砂，这是脑疳的证候。食疳夜间潮热，或者怕冷，手脚都冷，吃奶就瘦，好像盗汗，这是食疳的证候。奶疳因病后得之，乳母毒气壅滞冲上，或者是吃了乳母的毒奶。起初只气促，虽然能吃能喝，逐渐加重消瘦，腹泻久不止，三焦壅热，五脏困乏，这是奶疳的证候。蛔疳趴着睡，气急面黄，有时哭声高，又像心痛；或者定时发作，只在月初（谓月朔虫头举也）。脾疳常吃泥土、生米及盐，心情不悦，身体黄，口中多涎，腹泻痢疾有虫，这是脾疳的证候。气疳或吃热奶，或因重病，逐渐形成此患；忽然咳嗽，起初更服用寒凉药，使日夜浑身高热，脚冷如冰，气促而喘，渐渐眼睛昏花，这是气疳的证候。
《惠眼观证》：疳病的形候，本来是因为吃瓜果油腻，恣食甘甜粘滑之物，所以生疳气。只见肌肉瘦弱，肚子高脚细，脏腑或闭塞或泄泻，或涩滞或痢疾，则先调气，两天后，衡量大小用汤丸通利（方剂见急慢惊风门中）。如果脉象细实，则重下汤丸取下恶物，第二天塌气（方剂见肿满门中）、匀气（方剂见胃气不和门中）、醒脾（方剂见利门中）、平胃（方剂见哕逆门中）调理，后来常服乌犀角丸（方剂见肥疳门中）夹芦荟丸（方剂未见）、参苓散（方剂见胃气不和门中），吃一个月，长胖就安好了。如果久病累经医治，传变成骨蒸疳劳，口生疮，上焦虚热往来，拖延岁月，就成丁奚、哺露。这是因为脾气大瘕虚怯，先宜塌气，两天气行，就下醒脾，贵在得到气实而进食少量，再给匀气夹柴胡丸与服（方剂见骨蒸门中），退骨蒸热。如果热退，就下芦荟治劳。这个病多用匀气调理，丁奚、哺露两种证候一同处理。但丁奚尤其可以方便用汤丸利之，取下疳虫。若哺露肠腹多青筋，以及吃东西不消化。暂且用前法调理，等到一个月气实才可以通利。
《庄氏家传》小儿二十四候：
第一候：泻脓血，日渐消瘦，是冷热疳。第二候：脚细肚高，胸前骨生，爱吃泥土酸咸；日久通身黄，时时吐逆下痢，腹内疼痛，是脾疳。第三候：鼻子下方发红溃烂，爱揉眼，兼血痢，是肺疳。乃因吃着承热物或病奶，所损心肺，加之咳嗽，更以服凉冷药过多，便上热下冷，渐渐昏沉，日夜烦哭。第四候：皮肤皱，面无颜色，身上燥痒，心烦。第五候：头生疮，毛发稀疏，鼻生疮，是肺疳。第六候：头生疮，毛发稀焦，是肝疳。第七候：牙变黄赤不定，是肾疳。第八候：头发焦干，鼻下疮生，是肺疳。第九候：咬指甲，毛发作穗，四肢沉重，是心疳。第十候：肚上筋生，齿龈虫蚀，是骨槽疳。第十一候：吐逆腹胀，是胃疳，又名奶疳。第十二候：齿龈臭烂，面无颜色，心不思食，是脾疳，又名口疳。第十三候：爱合面卧，多睡如醉，腹胀气急。盖是因曾吃生肉，如此腹内有虫，是心脾疳。第十四候：鼻内干痛，口中臭气，齿根有鲜血，是肝肺疳。第十五候：脚细肚高，并肚上有青脉，是脾疳。第十六候：非时生疮，爱吃冷水，是热疳。第十七候：皮肤上生粟子，粪中米出，是脾冷疳。第十八候：气满腹胀及口干，是心胃疳。第十九候：爱餐生米面、炭、砖瓦，是脾胃疳。第二十候：揉鼻揩眼及咬指甲，爱饮水，是肝渴疳。第二十一候：多寒热，爱卧不起，是骨热疳。第二十二候：爱饮水，眼目不开，是肝疳。第二十三候：肌体或热或凉，发渴无时，是急疳。第二十四候：齿龈黑，唇颐开，开则赤，是心疳积热。
《颅囟经》治疗小儿孩子各种疳疾，或腹内虚胀，惊痫，头发竖立，常咬手指，脊疳、疳劳，臂胫细弱，仍然站立不得；以及鼻子下方常红，清涕涎流不止，舌上生疮，脑疳、口疳，腹上筋脉。保童丸方：
虎睛（半只） 朱砂 麝子（各一分） 牛黄 龙脑 巴豆 川芎 桔梗 羌活 枳壳 檀香 茯神 人参 当归 代赭石 鹤虱 白术（各半两）
以上研为末，加入香、砂、巴豆，拌匀，炼蜜丸如梧桐子大。一岁至五岁每日一丸，十岁每日两丸，空腹米饮送下，只要稍微懂事即可。孩子病重，就加药给他。孩子未断奶，奶母忌生冷、油腻、炙爆、毒鱼、大蒜、米醋。
《颅囟经》治疗孩子疳痢、各种疳，并一十五种病状：一、腹大；二、皮肤黑黄；三、骨节粗；四、眼赤；五、口赤；六、鼻中生疮；七、头发黄；八、咬指甲；九、爱吃土；十、爱吃甜物；十一、身热；十二、头大；十三、脐凸；十四、项细；十五、面无光。都宜常服保童丸方：
朱砂（半分） 牛黄 麝香 蟾酥（各少许） 阿魏（二分）
以上先将朱砂在干净器中研如粉，入诸药。一时辰后用蒸饼为丸，忌羊血、生冷等。
《颅囟经》治疗孩子疳气，或酿肚胀，上筋脉，头大项细，吃物不知足，夜中即起，腹内长鸣方：
大黄（一两） 陈橘皮（二两，用酸醋二合浸二日，晒干） 蜣螂（二十个，去翅足子，热烧醋淬之，以盖地上去火毒，候冷取出，炒过）
以上为末，蜜为丸。每日空腹熟水送下十丸，禁忌如常。
葛氏《肘后备急方》：小儿一切疳方。
以上用牛筋术白皮少许，捣取一合或半合与服之。
《仙人水鉴》：小孩子头发焦黄赤，日渐黑瘦，宜服此百中散方：
黄葵花 白芷 延胡索（各二分） 槟榔（十分，生用） 郁金（四分） 干蚯蚓（一条，生用） 黄盐（六分，陶隐居云：北海黄盐草粒粗，以作鱼及咸菜） 干虾蟆（末，少许） 白米（一勺） 牛肉脯（二分） 倒悬囊（一个。灰蜘蛛是）
以上捣为末，炼蜜为丸如麻子大。空腹，煎骨汁下一丸与吃了。专候所往，取下虫。此疾求除根本。
《集验方》治疗小儿疳气不可疗。神效丹：
绿矾（用火煅通赤，取用浓醋淬过复煅，如此三次）
以上细研，用枣肉和丸如绿豆大。温水送下，日进两三服。
《子母秘录》治疗小儿疳方。
以上用益母草绞汁，稍稍服。（益母草，茺蔚草也。俗名郁具金。田野间甚多）
《小儿宫气方》治疗小儿一切疳疾。
蜗牛壳（七个，净洗，不得自尘，令干）
以上向酥蜜中，瓷盒盛。却用纸糊于饭甑内蒸之，下馈即安置，至饭熟取出细研。渐渐吃，一日令尽之。
《药性论》杀疳虫治疳瘦方。
以上端午日取虾蟆眉脂，以朱砂、麝香为丸如麻子大。疳瘦者空心一丸，脑疳以奶汁调灌鼻中。《颅囟经》以此药治一切疳，吹鼻不吃。
《食疗》治疗小儿疳方。
以上瓜叶阴干研末，酒服半钱。
《元和纪用经》麝香丸 主治小儿疳瘦，面黄发穗，骨立，减食，肌热，惊痫，疳虫。
麝香 芦荟 胡黄连（末）
以上等分，研匀。滴水丸黄米大。一岁三丸，三岁五丸至七丸，人参汤下，日三。无比奇效。一说胡黄连四分，余二物各二分。疗疳痢，温疟，无比尤验，一名圣丸，疳药无如此者。小儿癫痫，惊风，五疳，三虫，服之立见功效，蛔虫作疾，枯悴，久痢不住，热药调护最难得法，唯此若神。经以四味饮、黑散、紫丸、至圣散、五加皮治不能行，蜀脂饮并此麝香丸七方，谓之育婴七宝。紫阳道士一名保子七圣至宝方，专为一书者，此是也。
《圣惠方》治疗小儿一切疳，腹肚胀满，手脚枯细，眼目口鼻生疮，身体壮热，痢下泔淀，日渐羸瘦，面无光泽。青黛散方：
青黛 雄黄 石盐（各细研） 朱砂（细研，水飞过） 白矾（烧令汁尽） 薰陆香（研入。各一两） 麝香（细研） 蚺蛇胆（研） 细辛 黄连（去须） 青矾 黄矾（各烧通赤） 盐绿 黄柏（锉） 苦参（锉） 桂心 杏仁（汤浸，去皮尖、双仁，麸炒微黄） 干姜（炮制，锉） 藜芦（去芦须。各半分） 附子（炮裂，去皮脐） 熊胆（研入） 莨菪子（水淘去浮者，水煮，令芽出。焙干，炒令黑黄色） 石胆（细研。各一分） 虾蟆（一枚，涂醋炙微焦）
以上药捣，细罗为散，同研令匀。如疳在内，三岁每服以井花水一合调下半钱，一岁一字，三岁以上临时加之。若口内疳疮，以蒜一片，研和少许散，每夜涂之。须臾，自然流引涎出。若鼻内有疮，用蒜如皂荚子大研和少散，纳入鼻中。若外有疳疮，以猪脂和散涂之立瘥。
《圣惠方》治疗小儿一切疳五胆丸方：
龙胆（去头芦） 虎胆 熊胆 猪胆 芦荟（亦名象胆） 麝香 白矾（灰） 荆芥（各一分）
以上药都研为末，先取东引石榴根半斤碎锉，以水三大碗，煮至半碗，去滓；以慢火煎如膏，下诸药末，又熬令可丸，即丸如绿豆大，用瓷器中收。如患诸疳有虫者，或揩鼻、揩眼，手剜指甲及下部者，取一丸以荆芥汤化为汁，候儿睡后，点少许于鼻中。脑上、十指、下部中虫闻，皆化为水。
《圣惠方》治疗小儿一切疳，面肿项细，腹肚胀满，四肢羸瘦，身上生疮，鼻流清涕，头发稀疏，日渐衰弱。夜明砂丸方：
夜明砂 蝉壳（各微炒） 芦荟 熊胆 朱砂 青黛（各细研） 蜣螂（微炒，去翅足） 蛇蜕皮（烧灰，半两） 蝉头（一枚，炙黄焦） 麝香 牛黄（各细研，一分）
Shenghui Fang records: Pediatric gan disease (a wasting disorder in children) presents with a variety of symptoms. Although the severity and clinical manifestations differ, upon careful investigation of the root cause, the treatment principles are identical. This condition arises from improper feeding, imbalance of cold and heat, pathogenic invasion of the zang-fu organs, and failure of blood and qi to nourish the body, resulting in gan disease. For gan diseases of the five zang organs and other types, the same prescription is now used for common treatment; hence it is called "Yiqie Gan" (All Gan Diseases).
Qian Yi discussed various gan diseases, stating: When gan is internal, it manifests as swollen eyes, abdominal distension, diarrhea with unpredictable stool color, sometimes with greenish-white froth in the stool, and gradual emaciation; this is a cold syndrome. When gan is external, it manifests as redness and ulceration under the nose with the child rubbing it, sores on the nasal tip that do not scab over, and sores spreading around the ears. For treating nasal sores and ulceration, Lanxiang San (Orchid Fragrance Powder) is used (see Men of Nasal Gan). For other sores, Baifen San (White Powder) is the primary treatment (see Men of Gan Sores). For Liver Gan, characterized by a white membrane obscuring the pupil, Bungan Dihuang Wan (Liver-Nourishing Rehmannia Pill) is indicated (see Men of Deficiency-Cold). For Heart Gan, characterized by sallow complexion, flushed cheeks, and high fever, Bu Xin Anshen Wan (Heart-Nourishing Calming Spirit Pill) is indicated (see Men of Deficiency-Heat). For Spleen Gan, characterized by yellowish skin, abdominal distension, and pica for dirt, Buti Yihuang San (Spleen-Nourishing Yellow-Regulating Powder) is indicated (see Men of Stomach Qi Disharmony). For Kidney Gan, characterized by extreme emaciation and skin sores/scratches, Bushen Dihuang Wan (Kidney-Nourishing Rehmannia Pill) is indicated. For Tendon Gan, characterized by bloody diarrhea and emaciation, Bungan Dihuang Wan is indicated. For Lung Gan, characterized by asthma and sores in the mouth and nose, Buti Fei Yihuang San (Spleen-Lung Nourishing Yellow-Regulating Powder) is indicated. For Bone Gan, characterized by a preference for lying on cool surfaces, Bushen Dihuang Wan is indicated. All gan diseases should be treated by tonifying the mother organ of the affected zang and administering gan-specific medicines. Cold-type gan is treated with Muxiang Wan (Costus Pill), and heat-type gan is treated with Huhuanglian Wan (Coptis Pill) (both formulas are found in the Men of Post-Illness Emaciation). Gan disease is fundamentally a spleen-stomach disorder caused by the depletion of body fluids. It results from major illnesses or excessive vomiting/diarrhea where doctors use emetics or purgatives, leading to spleen-stomach weakness and fluid loss. Moreover, pediatric gan is often iatrogenic, caused by incompetent physicians. For instance, tidal fever may indicate one deficient zang and one excess zang generating internal deficiency heat; the method should be to tonify the mother zang and drain the affected zang to achieve cure. If tidal fever occurs at noon, it is heart deficiency heat. Since liver is the mother of heart, one should first tonify the liver; after the liver is sufficient, drain the heart. Once the heart receives the qi of its mother, internal balance is restored, and tidal fever resolves. Physicians seeing tidal fever mistakenly assume excess and use cold-purgative drugs like Dahuang (Rhubarb Rhizome) and Yaxiao (Mirabilite) to purge. Excessive purging leads to uncontrollable fluid loss, resulting in gan. Another condition is pi accumulation (masses), which presents with alternating chills and fever, thirst, and hard painful masses under the ribs. The treatment for pi should be gradual dissolution, but doctors wrongly use harsh purgatives like Badou (Croton Seed) and Sharen (Amomum Fruit). Children's constitutions are prone to both deficiency and excess; excessive purging depletes stomach fluids, gradually leading to gan-related emaciation. In cases of cold damage lasting five to six days with occasional indications for purgation, excessive use of cold purgatives reduces spleen-stomach fluids, causing unquenchable thirst and internal heat. Internal consumption by heat and external wasting of muscle, combined with interference from other pathogens, leads to diverse symptoms and eventually gan. Prolonged vomiting/diarrhea or wrongful purgation causes severe deficiency and dry/fluid loss, also forming gan. Fei Gan (Fatty Gan) is synonymous with Pi Gan. It presents with emaciation, yellowish skin, dry skin with sores/scratches. Symptoms vary widely; briefly summarized: dry eyes or white membranes, red lips, yellow/dry/blackish skin, preference for cool surfaces, pica, skin sores, green/white/yellow frothy stools, variable watery diarrhea, abdominal fullness, sores on body/ears/nose, matted hair, large head with thin neck, extreme emaciation, and polydipsia are all signs. Generally, gan must be differentiated into cold/heat and fat/thin. Early-stage gan is Fat-Heat Gan; late-stage is Thin-Cold Gan. Cold gan uses Muxiang Wan; heat gan uses Huhuanglian Wan (see above). Both cold and heat gan are particularly suitable for Rusheng Wan (see Men of Gan Diarrhea).
Therefore, children's zang-fu are delicate and cannot withstand harsh attacks; strong purgation inevitably depletes fluids and causes gan. Where purgation is indicated, it must be measured according to age and deficiency/excess status to avoid causing gan. For early-stage gan with low fluids, one should generate stomach fluids using Baizhu San (Atractylodes Macrocephala Powder) (see Men of Stomach Qi Disharmony). More is better. See below for the rest.
Zhang Huan stated: After one hundred days, children have light bones and fine intestines/stomach; breastfeeding must be appropriate for natural harmony of zang-fu. If the nursing mother has poor cold/heat regulation, improper conduct, irregular diet, excessive sweet/greasy food, emotional turmoil, or nurses immediately after drunkenness/exertion, gan disease will definitely result. Between one year and five years old, as solid food intake increases, indiscriminate consumption of raw/cold foods and indulgence in greasy/sweet/sour foods will generate gan qi. Pediatric gan diseases are numerous and urgent.
Tonglun on Various Gans in Tongying Baojian: Pediatric gan presentations are described in many ways, leading to confusion and loss of the main point. Key signs include stiff yellow hair, emaciated body, abdominal pain, pica, irregular diarrhea/dysentery, persistent night sweats, abdominal distension with wheezing, thin legs difficult to walk, prolapsed rectum from loose stools, frequent high fever, sleeping face down, crying/restlessness, intestinal parasites, rice-like particles in stool, milky stools, intermittent vomiting, resembling consumptive fatigue. Accompanied by shivering, these constitute gan. There are twelve distinct types: Jing Gan (Startle Gan) in the Heart; Feng Gan (Wind Gan) in the Liver; Qi Gan (Qi Gan) in the Lung; Rou Gan (Flesh Gan) in the Spleen; Ji Gan (Urgent Gan) in the Kidney. Beyond these five zang gans, twelve other types are discussed separately. Gan Gan (Dry Gan) can eat and drink, craves sour/salty foods. Ji Gan presents with dysentery/prolapse, multi-colored stool, inability to gain weight despite eating, somnolence, and sweating. Feng Gan presents with tremors, eye deviation, erratic laughter/anger, blue nails, resembling spirit possession. Rou Gan presents with dry/painful eyes, indigestion, sallow emaciation, limb weakness, abdominal distension, and wheezing. Ji Gan (Spine Gan) involves parasitic attack, itching of spine/back/fingers, stiff yellow hair, dry skin/muscle, hypochondriac fullness, frequent diarrhea, and serrated spine appearance. Kou Gan (Mouth Gan) presents with black lips/gums, oral ulcers, gum ulceration, and emerging worms. Nao Gan (Brain Gan) presents with red/ulcerated nose base, self-rubbing, fever, dry body, and red eyes. Shi Gan (Food Gan) presents with nocturnal tidal fever, aversion to cold, cold limbs, emaciation after feeding, and night sweats. Nai Gan (Milk Gan) occurs post-illness due to maternal toxicity rising or ingestion of toxic milk; initially shortness of breath, progressing to emaciation, chronic diarrhea, triple-jiao heat, and five-zang exhaustion. Hui Gan (Roundworm Gan) presents with prone sleeping, shortness of breath, sallow face, loud crying, cardiac pain-like symptoms, and periodic attacks at the start of the lunar month. Pi Gan (Spleen Gan) involves pica for dirt/rice/salt, depression, yellow body, salivation, and worms in stool. Qi Gan may result from hot milk or severe illness; sudden cough, worsened by cold medicines, leading to whole-body fever, icy feet, wheezing, and blurred vision.
Huiyan Guanzheng states: Gan etiology stems from consuming fruits, melons, grease, and excessive sweet/sticky foods. Signs include emaciation, protuberant abdomen, thin legs, and zang-fu dysfunction (obstruction or diarrhea). Treatment begins with regulating qi; after two days, administer decoctions/pills for purgation based on size (see Men of Acute/Chronic Convulsions). If pulse is fine and solid, heavily purge to remove evil matter, then follow with Taqi (Settle Qi), Yunqi (Harmonize Qi), Xingpi (Awaken Spleen), and Pingwei (Peace the Stomach) regimens (see respective men). Subsequently, continuously administer Wuxijiao Wan (Black Rhinoceros Horn Pill), Lushui Wan (Aloe Pill), and Shenling San (Ginseng and Poria Powder) for a month until weight gain indicates recovery. Chronic cases treated repeatedly may transform into Guzhen Gan Lao (Bone-steaming Gan Consumption) with oral ulcers and upper-jiao deficiency heat, progressing to Dingxi (Stiff Neck/Wasting) and Bulu (Nursing Dew). This is due to severe spleen deficiency. Initial treatment settles qi; after two days of qi movement, administer Xingpi. The goal is qi sufficiency and small meals, followed by Yunqi with Chaihu Wan to reduce bone-steaming heat. If heat subsides, use Aloe for consumption. Regulation with Yunqi is key for Dingxi and Bulu. Dingxi can be purged to remove gan worms. Bulu presents with visible abdominal veins and undigested food; regulate first, wait a month for qi sufficiency before purging.
Zhuang Family Transmission lists 24 Pediatric Gan Presentations:
1. Pus/bloody diarrhea, emaciation: Cold-Heat Gan.
2. Thin legs, high belly, chest bone prominence, pica, yellow skin, vomiting/diarrhea, abdominal pain: Spleen Gan.
3. Red/ulcerated nose, eye rubbing, bloody diarrhea: Lung Gan (caused by hot foods/sick milk damaging heart/lungs, exacerbated by cold meds leading to upper heat/lower cold).
4. Wrinkled skin, pale face, dry itch, irritability.
5. Head sores, sparse hair, nasal sores: Lung Gan.
6. Head sores, sparse/scorched hair: Liver Gan.
7. Yellow/red teeth: Kidney Gan.
8. Scorched dry hair, nasal sores: Lung Gan.
9. Nail biting, matted hair, heavy limbs: Heart Gan.
10. Abdominal veins, gum erosion: Bone Cavity Gan.
11. Vomiting, abdominal distension: Stomach Gan (also Milk Gan).
12. Foul ulcerated gums, pale face, anorexia: Spleen Gan (also Mouth Gan).
13. Prone sleeping, drunken somnolence, distension/shortness of breath: Heart-Spleen Gan (due to raw meat ingestion and worms).
14. Dry/painful nose, bad breath, bleeding gums: Liver-Lung Gan.
15. Thin legs, high belly, blue abdominal veins: Spleen Gan.
16. Spontaneous sores, craving cold water: Heat Gan.
17. Skin millet-like bumps, rice in stool: Spleen-Cold Gan.
18. Qi fullness, distension, dry mouth: Heart-Stomach Gan.
19. Craving raw rice/flour, charcoal, bricks: Spleen-Stomach Gan.
20. Nose rubbing, eye wiping, nail biting, thirst: Liver-Thirst Gan.
21. Frequent chills/fever, reluctance to rise: Bone-Heat Gan.
22. Thirst, closed eyes: Liver Gan.
23. Variable body temperature, constant thirst: Urgent Gan.
24. Black gums, open lips/chin (red when open): Heart Gan Accumulated Heat.
Luxin Jing treats various pediatric gan, abdominal distension, convulsions, stiff hair, finger biting, spine gan, consumption, weak limbs, inability to stand, red nose, runny nose/phlegm, oral ulcers, brain/mouth gan, and abdominal veins. Baotong Wan Formula: Tiger Eyes (half), Cinnabar, Musk (each 1 fen), Bear Gallbladder, Borneol, Croton Seed, Ligusticum, Platycodon, Notopterygium, Aurantium, Santalum, Polygala, Ginseng, Angelica, Hematite, Dolichos, Atractylodes (each 0.5 liang). Grind to powder, mix with musk, amomum, croton, honey-pill size of wutong seeds. Ages 1-5: 1 pill/day; Age 10: 2 pills/day. Take fasting with rice water. Increase dose for severe cases. Nursing mothers avoid raw/cold, greasy, fried, toxic fish, garlic, vinegar.
Luxin Jing also treats gan dysentery and 15 signs: 1. Large abdomen; 2. Dark yellow skin; 3. Coarse joints; 4. Red eyes; 5. Red mouth; 6. Nasal sores; 7. Yellow hair; 8. Nail biting; 9. Earth craving; 10. Sweet craving; 11. Fever; 12. Large head; 13. Umbilical protrusion; 14. Thin neck; 15. Dull face. Regularly take Baotong Wan: Cinnabar (0.5 fen), Bear Gallbladder, Musk, Toad Venom (small amounts), Asarum (2 fen). Grind cinnabar finely, mix with others, form pills with steamed dough. Avoid sheep blood, raw/cold foods.
Luxin Jing treats gan qi, abdominal swelling, prominent veins, large head/thin neck, insatiable appetite, nocturnal waking, borborygmus. Formula: Rhubarb (1 liang), Tangerine Peel (2 liang, soaked in vinegar 2 he, dried), Dung Beetle (20, cleaned, roasted with vinegar, cooled, stir-fried). Honey-pills. Fasting, warm water, 10 pills/day.
Ge Hong's Zhouhou Beiji Fang: Universal Gan Formula. Use cow tendon bark (minor amount), crush, take 1 he or half he.
Xianren Shuijian: For children with yellow/red stiff hair and progressive emaciation, take Baizhong San: Yellow Hibiscus Flower, Angelica Dahurica, Corydalis (each 2 fen), Areca Nut (10 fen, raw), Curcuma (4 fen), Dried Earthworm (1, raw), Yellow Salt (6 fen), Dried Toad (minor amount), White Rice (1 spoon), Beef Jerky (2 fen), Spider Bag (1, grey spider). Grind, honey-pills size of sesame seeds. Fasting, take with bone broth juice to expel worms. Addresses the root cause.
Jiyan Fang: Divine Efficacy Pill for untreatable gan. Green Vitriol (calcined red, quenched in strong vinegar, repeated 3 times). Grind finely, mix with jujube flesh, pills size of mung beans. Warm water, 2-3 doses/day.
Zimu Milu: Use Motherwort juice, sip slowly. (Motherwort is also known as Chongwei Cao, commonly Yujujin, abundant in fields).
Xiao'er Gongqi Fang: Universal Gan Formula. Snail Shell (7, clean, dry). Steep in butter/honey in porcelain box, steam over rice cooker until rice is cooked. Grind finely. Consume gradually over one day.
Yaoxing Lun: Kill gan worms, treat emaciation. Collect toad eyebrow fat on Dragon Boat Festival, mix with Cinnabar and Musk, pills size of sesame seeds. One pill fasting for emaciation; for Brain Gan, mix with milk and instill into nose. Luxin Jing uses this for all gan via nasal insufflation if oral intake fails.
Shiliao: Gan Formula. Dry Melon Leaves in shade, grind to powder, take half qian with wine.
Yuanhe Jiyong Jing: Shexiang Wan treats gan emaciation, sallow face, matted hair, skeletal appearance, anorexia, muscle heat, convulsions, gan worms. Musk, Aloe, Coptis (powder). Equal parts, grind, drop-water pills size of millet. Age 1: 3 pills; Age 3: 5-7 pills. Take with Ginseng Decoction, 3 times/day. Extraordinary efficacy. Alternative ratio: Coptis 4 fen, others 2 fen each. Treats gan dysentery, warm malaria. Also named Sheng Wan. Unmatched for gan. Effective for epilepsy, wind, five gans, three worms, roundworms, chronic dysentery. Best method for heat protection. Combined with Siwei Yin, Hei San, Zi Wan, Zhisheng San, Wujiapi (for immobility), Shuzhi Yin, and this Shexiang Wan constitute the "Seven Treasures of Infant Nurturing".
Shenghui Fang treats universal gan with abdominal distension, thin limbs, sores in eyes/mouth/nose, high fever, milky dysentery, emaciation, dull face. Qingdai San Formula: Indigo Naturalis, Realgar, Rock Salt (finely ground), Cinnabar (water-washed), Alum (calcined), Frankincense (ground, each 1 liang), Musk (ground), Python Gallbladder (ground), Asarum, Coptis (deveined), Green Vitriol, Yellow Vitriol (calcined red), Verdigris, Phellodendron (chopped), Sophora (chopped), Cinnamon Twig, Apricot Kernel (blanched, peeled, stir-fried), Dried Ginger (processed, chopped), Veratrum (cleaned, each 0.5 fen), Aconite (processed, peeled), Bear Gallbladder (ground), Henbane Seed (boiled to sprout, dried, stir-fried black-yellow), Blue Vitriol (ground, each 1 fen), Toad (roasted with vinegar, slightly charred). Grind, sieve, mix uniformly. For internal gan: Age 3 takes half qian mixed with well water; Age 1 takes one zi; older adjust accordingly. For oral sores: Mix with garlic slice, apply nightly to induce salivation. For nasal sores: Mix garlic-sized portion with powder, insert into nose. For external sores: Mix with lard and apply for immediate relief.
Shenghui Fang Five Gallbladder Pills for Universal Gan: Gentian (cleaned), Tiger Gallbladder, Bear Gallbladder, Pig Gallbladder, Aloe (also Elephant Gallbladder), Musk, Alum (ash), Schizonepeta (each 1 fen). Grind to powder. Boil East-facing Pomegranate Root (0.5 jin) in 3 bowls water to 0.5 bowl, strain. Reduce filtrate to paste, add powders, cook into pills size of mung beans. Store in porcelain. For gan with worms (nose/eye rubbing, fingernail picking, genital scratching): Dissolve one pill in Schizonepeta decoction, instill small amount into nose after sleep. Worms in head, fingers, and genitals will dissolve into water.
Shenghui Fang Ye Ming Sha Pills for Universal Gan with facial swelling, thin neck, abdominal distension, emaciated limbs, sores, runny nose, sparse hair, progressive weakness. Formula: Night-shining Sand, Cicada Slough (lightly stir-fried), Aloe, Bear Gallbladder, Cinnabar, Indigo Naturalis (finely ground), Dung Beetle (stir-fried, cleaned), Snake Slough (burned to ash, 0.5 liang), Cicada Head (roasted yellow-brown), Musk, Bear Gallbladder (finely ground, each 1 fen).