痈疽发背，岚瘴气，才觉头痛，背膊拘急，便宜服之。快利为度。常服可以不染瘴疾。凡瘴疾皆因脾胃实热
所致，常以凉药解。膈上壅热，并以此药通利弥善。此丸本治岚瘴及温疟大效。李校理敦裕尝为传，刻石于
大庾岭，蒙效者不可胜数。予伯氏任闽中，尝拥兵捕山寇，过漳浦，军人皆感疟。用此治之，应时患愈。予在
江南时，值岁发温疟，以此药济人，其效如神。皆以得快利为度。又记∶凡久疟服药讫，乃灸气海百壮，又
灸中管三十壮尤善。《张氏家传》云∶刑部李学士治疳御瘴方，得之于马都丞，分两稍别，木香、附子各二
两，大黄、人参、浓朴各一两，桂、槟榔、豆蔻、陈皮各三两，余皆半两，牵牛子一升。
《聚宝方》朝黄连丸小儿常服疳药方
胡黄连（半两） 宣连 白芜荑仁 木香（各二两）
上四味为末， 猪胆和于盏内，坐饭甑中蒸两度，丸如粟米大。每服二十丸，米饮下。
西京丁左藏黄瓜丸 治小儿疳疾。
熟黄瓜（一个，去瓤留盖，纳好黄连，盖却；又蒸熟，去黄连） 白芜荑仁 麦 夜明砂 龙胆草（各一
分） 巴豆（炒，去皮膜，五钱） 神曲（猪胆浸一宿，慢火炙） 麝香（各半两）
上为细末，用蒸黄瓜丸如绿豆大。常服三丸，饭饮下。
西京丁左藏紫霜丸 治小儿五疳、八痢，及一切疳。
木香 赤石脂 龙骨 枳壳（去瓤，麸炒） 附子 白姜（炮） 黄连 肉豆蔻 密陀僧（各
半两） 巴豆（一十五个、去皮膜，浆水半盏，煮尽水，去油，细研用） 麝香（半钱）
上为末，蒸饼心和丸如麻子大。一岁一丸，三岁五丸。每服三丸汤使，如后常服温水吞下。鼻痒、脑疳，
橘皮汤下；吐泻、食疳，生姜汤下；羸瘦、脾疳，煎枣汤下；疳气肚胀，橘皮汤下；筋疳多泻，盐汤下；肝
疳眼涩、生疮，黄连汤下；骨蒸热，覆地食泥土，腊茶清下。
西京丁左藏虾蟆丸 肥孩儿，常服得效方。
干虾蟆（大者一个，泔浸三宿，去肠肚、头爪，净洗，酥炙、令黄香） 陈皮（去白，一分） 胡黄连（
一两） 郁金 芜荑仁（各半两）
上为末，于陶器内用 猪胆汁和，令稀稠得所，放饭上蒸熟为度；取出半日，丸如绿豆大。常服五、七丸，
陈米饮下。
西京丁左藏龙胆丸 治小儿疳，兼肥孩儿方。
龙胆草（二两） 青黛（一两） 麝香（一分）
上同研匀，馒头底水浸烂如糊，和丸如绿豆大。常服杀蛔进食，长肌肤，大有神效。食后每服米饮下三丸
至五丸。
《惠眼观证》乌梅散 治疳病经取腹中疼痛方。
乌梅 延胡索（各一分）
上二味为末。每服一大钱，水八分一盏，甘草一寸捶碎，煎至四分，去滓温服。
《刘氏家传》小儿疳芦荟丸方
芦荟（研） 黄连（去毛） 白术 使君子（肉） 芜荑仁（不见火。各一分） 巴豆（半两，连
壳银器内 存性，取一分）
上末之。研饭丸如粟米大。每服五丸或七丸，饭汤下。
《刘氏家传》治疳方。
草龙胆（末之） 白芜荑仁（去皮，研。各一两）
上米饮丸如此○大，不拘时候。此药能进食，长肌肉。须小儿会食方可服，盖吃食方可疳也，日二、三岁
至十数岁者可服。初服三、五日问下疳虫是效，每服五丸。
《刘氏家传》象守陈南仲治小儿一切疳，诸药无效方。
上用大麻子取沥，和干蒸饼末为丸如绿豆大。每服十五、二十粒，空心粥饮下。
《张氏家传》治小儿诸般疳。神曲散方
神曲 陈橘皮（不去膜） 大黄（纸裹，炮熟） 芍药（各三铢） 桔梗 芎 浓朴（姜制） 枳
壳（去瓤，麸炒） 白茯苓（各一分） 人参（四铢） 甘草（二分，炙）
上为细末。无时候，入姜一片，如茶法煎一钱匕服。
《张氏家传》沉香丸 治小儿疳气方。
沉香 巴豆（面裹，油煎令黄色即出，入乳钵，研如面） 肉豆蔻 大黄（湿纸裹，煨香熟） 木
香干姜（炮。各一两） 槟榔（二两半） 青橘皮（三分）
上件八味，面糊为丸如绿豆大。小儿疳气，以姜、橘皮汤下一丸至二丸。量大小加减吃。
《庄氏家传》治小儿诸疳，头面微肿，腹内作痛，色黄肚胀，不思饮食，多嗽不止。芦荟丸方
芦荟（研） 芜荑（各半分） 干蟾（用头并脊背秤） 木香 宣连 干蜗牛 辰砂（研。
各一分） 熊胆（真者，研，一钱） 丁香（二钱，新者）
麝香（一字，秤、研） 使君子（取仁一分）
上为细末，面糊为丸麻子大。每服二十丸加至三十丸。日三、两服，米饮下。此药常用至效，须久服见功。
《庄氏家传》小儿疳伤丸子方
黄连 巴豆（去皮心，出油了） 芜荑 萆 （各半两）
上为末， 猪胆丸，入麝少许，朱砂为衣，如麻子大。米饮下一两丸，量儿大小。
《庄氏家传》疳药保童方
朱砂（一分，研） 石菖蒲 牛膝 官桂（各半分）
上同为末，用白羊肾一对煮熟，一处捣，和丸如绿豆大。空心，温水下二丸。
《庄氏家传》疳疾二十四候∶
第一候∶泻脓血，日渐瘦，是冷热疳。宜服八香丸方
胡黄连（一钱） 脑麝（各半钱） 牛黄（半分） 芦荟（一钱半） 蟾酥（五十子，
作块者亦得） 白花蛇（半两，酒浸去骨） 蝎梢（一分）
上为细末，猪胆丸如黄米大。每服五丸，米饮下，一日三服。如患甚，仍用生米泔调作散，半钱服。
治小儿脾疳，面黄多睡，手足浮肿方。
桑白皮（焙） 汉防己（焙） 人参 茯苓 胡黄连（炮） 麝香（各一分）
上为末，炼蜜丸如麻子大。用米饮下五丸，一日二服。
第二候∶脚细肚高，胸前骨生，爱吃土泥酸咸。日久通身黄，时时吐逆下痢，腹内疼痛，是脾疳。宜服此∶
虎睛（一对、焙） 牛黄 朱砂 麝香（各一分） 桔梗（半两，煨）
上为末，炼蜜丸。生姜汤下三丸至五丸。
治小儿脾疳，泻血、肚大、气喘方。
丁香 白术 龙脑 干蝎 胡黄连 夜明砂（炒。各一分）
上为末，软饭丸米粒大。芜荑汤下。
第三候∶鼻下赤烂，爱揉眼，无血痢，是肺疳。乃因吃者乘热物或病奶，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，日夜烦哭方∶
龙脑 朱砂（各一分） 钩藤 玄参（各一两） 胡黄连（半两，炮） 麝香（一钱）
上为末，炼蜜丸如黄米大。米饮下三丸至五丸。
治小儿五疳、八痢，及发焦黄、肚胀、手足瘦细，肚上筋脉起，揩眼，鼻涕垂至口，咬指甲。或下部生疮及
大小便不通。宜服此药疗之方。
芦荟 夜明砂（炒） 蛇蜕皮（灰） 黄牛角（屑。各一分） 蟾酥（少许）
上为末，更入麝香少许，炼蜜丸如绿豆大。每服三丸，用米饮下。服药间仍先用桃柳汤洗浴孩儿了，将青
皂衣盖之。更用药一丸至二丸，安在孩儿脐中。便着醋面糊与青皂帛贴之，候虫出为度。如无虫，但汗出为
妙。服药三日后，宜减一丸。
第四候∶皮虚皱，面无颜色，身上燥痒，心烦，宜用药疗之。
治小儿五疳，面色黄瘦，身体壮热，吃乳食不能消化；眼目涩痛及胸膈痰涎，爱食酸咸，常多泻痢。宜服此方。
胡黄连 母丁香 黄连（微炒，去毛） 芦荟 熊胆（研。各半两） 麝香（一分，细研）
蟾头（一枚，涂酥炙焦黄）
上为末，用牛胆和丸绿豆大。如患心脏疳，煎芜荑甘草汤下三丸。食疳泻血或赤白痢，新汲水下三丸。吐
逆不止及水泻，生姜汤下。眼疳，羊子肝血与酒和，看多少，微煎，下三丸。
第五候∶毛发稀疏，鼻生疮，是肺疳。
治小儿一切疳，肌肤消瘦，泻痢不止，口鼻生疮，水谷不化方。
虾蟆（灰） 白矾 乌贼鱼骨（炙） 密陀僧（各一分） 麝香（半分）
上为末，炼蜜丸如豆大。温水下三丸。（《圣惠》方同，但麝香用半两。）
第六候∶头生疮，毛发稀焦，是肝疳。方∶
肉豆蔻 蟾灰（全者。各一个） 桔梗（炮） 茯苓（煨） 大黄（煨。各一两） 脑麝（各一钱）
上为末，软饭丸麻子大。粟米饮下三丸，只可两服。
治小儿头项细，心腹胀满，皮肤干皱，毛发焦黄，鼻下赤烂，口舌生疮，泻痢不止，日渐羸瘦方。
大蟾（一个，去四足，劈开腹，去肛肠；入胡黄连一两，和在内，线缝合。以湿纸三重裹，
用泥固济四面，令干。微火出阴气。更用炭三斤烧令通赤即住。候
冷，净去泥土，细研如粉） 麝香 熊胆 芦荟（各半两）
上一处细研如泥，面糊丸如麻子大。米饮下三丸，乳汁亦得。三岁以上加丸。
第七候∶牙变黄赤不定，是肾疳。宜服此药。
治小儿肾疳，并疝气偏坠寒热方。
没药（炮） 甘草（各一分） 硫黄 木香（炮） 胡黄连（各一分）
上为末，用蒸枣肉丸如麻子大。苁蓉汤下三丸，可两服。
治小儿五疳瘦羸。定命牛黄丸方
牛黄 朱砂 雄黄 麝香 丁香 脑子（各一钱） 瓜蒂（三个） 蟾酥（半分）
上为末，用温水浸，蟾酥和丸如 米大。每服先用温水化两丸，滴入两鼻中，令嚏三五声。再以温水下
三五丸，日可三服，神妙。《圣惠》亦有此方，但瓜蒂用三十枚、丁香一分，余药皆同。
第八候∶头发焦干，鼻下疮生，是肺疳。
理小儿五疳、八痢，腹胀羸瘦，头发焦干，口鼻生疮方。
黄连 白芜荑（与黄连同炒焦） 夜明砂（用水淘五次，焙。各一两）
上为末， 猪胆汁和丸如绿豆大。三丸至五丸，不计时候，麦门冬熟水下。久患疳气，服药无效，或腹胀
气促不能饮食，米欲下，取出疳虫即瘥。
第九候∶咬指甲，毛发作穗，四肢沉重，是心疳。
治五疳、八痢，心藏热方。
芦荟（半两，研） 轻粉 青黛 香墨 飞罗面（各一钱） 使君子（一个） 蜗牛（
五个，和肉炒焦，细研） 麝香（半钱）
上为末，研细，滴水为丸芥子大。生地黄汁化下一丸至二丸，薄荷汤亦得。
治小儿疳渴，常服五疳不生方。
大虾蟆（两个，长流水内刮去肚肠之法，酒三升，瓶内煮令烂，去骨，研如粉） 黄连（四两，
别为末） 麝香（一钱） 朱砂（一钱半）
上先将虾蟆膏与黄连末同研，后更与麝香、朱砂等研匀，作丸如绿豆大。每服十丸，陈米饮下。如患疳，
用黄蜡茶调下。如难丸，入些酒面糊不妨。
第十候∶肚上筋生，齿龈虫食脾，骨槽疳。
治小儿脾疳手足浮肿方。
桑白皮（炮） 汉防己 人参 茯苓 胡黄连 麝香（各一分）
上为末，炼蜜丸如麻子大。食前，米饮下五丸。与第一候第一方同。
治小儿疳蚀动唇齿及疮生方。
蟾头（一个大者。烧灰） 麝香（半钱）
上研匀如粉，掺于疮上，立效。
治小儿一切疳毒有疮方。
苦楝皮（五斤，锉） 七姑叶（半两，锉） 甘草 白矾（各二两） 葱白（十茎）
上粗捣令匀，用水五斗煮五、七沸，旋旋添洗疮处。如久患，两服立效。
第十一候∶吐逆腹胀是胃疳，又名奶疳。
治小儿因吃着患热病，奶次腹痛；并及惊风、毒奶，便乃下痢吐逆。又名奶疳。
桃仁（去皮尖，炒） 胡黄连（各半两） 沉香 朱砂（别研。各一分） 金箔（五片）
上为末，软饭丸麻子大。米饮下五丸，奶汁下亦得。
治小儿胃疳及进食方。
胡黄连 芦荟（各一分） 肉豆蔻（一个） 槟榔 干蟾（炙。各半个） 夜明砂（
半分，炒） 朱砂 麝香（各半钱）
上为末，炼蜜丸如绿豆大。一岁一丸，米饮及乳汁下亦得。如是疳盛，次加二丸至三丸，取下虫屎为验。
五日一服。
第十二候∶齿龈臭烂，面无颜色，心不思食，是脾疳。又名口疳。
治小儿唇口及齿根宣露，牙龈生疮臭烂方。
葶苈（炒） 胡黄连（各二钱） 黄丹（半两）
上为末。每半钱于牙龈上贴之，不得咽津。
治小儿鼻下赤烂，心烦躁；鼻中生疮，渐渐转多。及身上焦燥，日夜疼痛。急治之方。
诃子（二个） 豆蔻（三个） 黄连（六分） 防风（半两） 朱砂一分）
上为末，饭丸麻子大。每服荆芥汤下三丸。
第十三候∶爱合面卧，多睡如醉，腹胀气急，是心脾疳。
治小儿合面卧地，多睡；或气急面黄，哭声高叫；或心痛口干。盖是因曾吃生肉，如此腹内有虫。
鹤虱（二分） 茯苓（一两，煨） 木香（一分） 苦楝根（三两） 桧株根（半两）
上先将二味根用水一斗煎成膏，然后杵三味为末，搜和成丸黍粒大。每服三、五丸，米饮下。
治小儿一切疳。蜗牛丸方
蜗牛（四十九枚，用小罐子一个，泥固济令密，烧通赤，烟尽为度，去泥，只用蜗牛灰） 蛇蜕
皮（二条，为末） 芦荟 熊胆 夜明砂（淘泥，炒）
黄连（各一分） 瓜蒡（一十四个，别为末） 麝香（半钱） 干蟾（一个，要前脚以前一截，
用泥固济罐子，与蛇皮一处烧，烟尽为度，用）
上为末，猪胆丸绿豆大。饭饮下三丸。（《圣惠》方同。）
第十四候∶鼻内干痛，口中臭气，齿根有鲜血，是肝肺疳。
【背景信息】
书名：幼幼新书 作者：刘昉 朝代：宋 章节：一切疳第三(3/5) 类别：综合
痈疽发背（背部发生的痈疽），岚瘴气（岭南地区的山岚瘴气），刚觉得头痛，背部和两胁拘急不舒，就应当立即服用此药。以大便通畅为度。经常服用可以不得染上瘴疾。凡是瘴疾都是因为脾胃实热所致，常用凉性药物来解除。胸膈上部壅滞的热邪，也用此药通利效果更好。这个丸药原本治疗岚瘴及温疟（一种发作有定时、寒热往来的疟疾）非常有效。李校理敦裕曾经流传此方，刻石在大庾岭，蒙受疗效的人不可胜数。我的伯父在福建任职时，曾率兵捕捉山寇，经过漳浦，军人都感染了疟疾。用此药治疗他们，当时患病者都痊愈了。我在江南时，正值每年都有温疟发作，用此药救济病人，效果如神一般。都是以大便通畅为度。又记载：凡是久疟服药结束后，就灸气海穴（任脉穴位，位于脐下1.5寸）一百壮，再灸中管穴（即中脘穴，任脉穴位，位于脐上4寸）三十壮尤其好。《张氏家传》说：刑部李学士治疗疳积御除瘴气的方子，是从马都丞那里得来的，分量稍有不同，木香、附子各二两，大黄、人参、浓朴各一两，桂枝、槟榔、豆蔻、陈皮各三两，其余药材各半两，牵牛子一升。
《聚宝方》朝黄连丸小儿常服疳药方
胡黄连（半两） 宣连（安徽宣城产的黄连） 白芜荑仁 木香（各二两）
以上四味药研成粉末，用猪胆汁调和放在盏内，坐在饭甑中蒸两次，制成如粟米大小的丸药。每次服用二十丸，用米汤送服。
西京丁左藏黄瓜丸 治疗小儿疳疾。
熟黄瓜（一个，去掉瓜瓤保留瓜盖，放入好的黄连，盖上盖子；再蒸熟，取出黄连） 白芜荑仁 麦麸 夜明砂（蝙蝠的粪便） 龙胆草（各一分） 巴豆（炒，去皮膜，五钱） 神曲（用猪胆汁浸泡一夜，慢火炙烤） 麝香（各半两）
以上研为细末，用蒸熟的黄瓜肉做丸药，如绿豆大小。经常服用三丸，用饭饮送服。
西京丁左藏紫霜丸 治疗小儿五疳、八痢，以及一切疳积。
木香 赤石脂 龙骨 枳壳（去瓤，麸炒） 附子 白姜（炮制过的干姜） 黄连 肉豆蔻 密陀僧（各半两） 巴豆（十五个，去皮膜，用浆水半盏，煮尽水分，去油，细细研磨使用） 麝香（半钱）
以上研为粉末，用蒸饼心和丸，如麻子大小。一岁的吃一丸，三岁的吃五丸。每次服用三丸，汤剂送服，如后文所述：经常服用温水吞下。鼻痒、脑疳，用橘皮汤送服；吐泻、食疳，用生姜汤送服；消瘦、脾疳，用煎枣汤送服；疳气肚胀，用橘皮汤送服；筋疳多泻，用盐汤送服；肝疳眼涩、生疮，用黄连汤送服；骨蒸潮热，喜欢趴在地上吃泥土，用腊茶清送服。
西京丁左藏虾蟆丸 使孩子肥胖，经常服用有效的方子。
干虾蟆（大的一个，淘米水浸泡三宿，去掉肠肚、头爪，洗净，用酥油炙烤，令其黄香） 陈皮（去白，一分） 胡黄连（一两） 郁金 芜荑仁（各半两）
以上研为粉末，在陶器内用猪胆汁调和，令稀稠适度，放在饭上蒸熟为止；取出半天，制成如绿豆大小的丸药。经常服用五、七丸，用陈米汤送服。
西京丁左藏龙胆丸 治疗小儿疳积，兼作使孩子肥胖的方子。
龙胆草（二两） 青黛（一两） 麝香（一分）
以上共同研磨均匀，用馒头底的水浸烂如糊状，和丸如绿豆大小。经常服用能杀蛔虫、增进食欲，长肌肉，大有神效。饭后每次用米汤送服三丸至五丸。
《惠眼观证》乌梅散 治疗疳病经过取腹（古代一种治疗疳积的手术或疗法）后腹部疼痛的方子。
乌梅 延胡索（各一分）
以上两味药研为粉末。每次服用一大钱，用水八分一盏，甘草一寸捶碎，煎至四分，去渣温服。
《刘氏家传》小儿疳芦荟丸方
芦荟（研） 黄连（去毛） 白术 使君子（肉） 芜荑仁（不见火。各一分） 巴豆（半两，连壳在银器内存性，取一分）
以上研为粉末。用米饭和丸如粟米大小。每次服用五丸或七丸，用饭汤送服。
《刘氏家传》治疳方。
草龙胆（研末） 白芜荑仁（去皮，研。各一两）
以上用米汤和丸如○大，不拘时候。此药能增进食欲，长肌肉。必须小儿会吃东西才可以服用，因为吃了东西才会得疳积，日二、三岁至十数岁者可服。初服三、五天问下疳虫是效，每服五丸。（注：原文此处语意稍显跳跃，意指观察是否排出疳虫作为疗效验证）。
《刘氏家传》象守陈南仲治小儿一切疳，诸药无效方。
上面用大麻子取汁，和干蒸饼末为丸如绿豆大小。每次服用十五、二十粒，空腹粥饮送服。
《张氏家传》治小儿诸般疳。神曲散方
神曲 陈橘皮（不去膜） 大黄（纸裹，炮熟） 芍药（各三铢） 桔梗 芎藭 浓朴（姜制） 枳壳（去瓤，麸炒） 白茯苓（各一分） 人参（四铢） 甘草（二分，炙）
以上研为细末。不拘时候，放入姜一片，像泡茶一样煎一钱匕服用。
《张氏家传》沉香丸 治疗小儿疳气方。
沉香 巴豆（面裹，油煎令黄色即出，入乳钵，研如面） 肉豆蔻 大黄（湿纸裹，煨香熟） 木香干姜（炮。各一两） 槟榔（二两半） 青橘皮（三分）
以上八味药，用面糊为丸如绿豆大小。小儿疳气，用姜、橘皮汤送下一丸至二丸。根据年龄大小加减服用。
《庄氏家传》治小儿诸疳，头面微肿，腹内作痛，色黄肚胀，不思饮食，多嗽不止。芦荟丸方
芦荟（研） 芜荑（各半分） 干蟾（用头并脊背秤） 木香 宣连 干蜗牛 辰砂（研。各一分） 熊胆（真者，研，一钱） 丁香（二钱，新者）
麝香（一字，秤、研） 使君子（取仁一分）
以上研为细末，面糊为丸如麻子大小。每次服用二十丸加至三十丸。每天三、两服，米饮送服。此药常用至效，须久服见功。
《庄氏家传》小儿疳伤丸子方
黄连 巴豆（去皮心，出油了） 芜荑 萆薢（各半两）
以上研为粉末，用猪胆汁和丸，入麝少许，朱砂为衣，如麻子大小。米饮送服一两丸，根据孩子大小调整。
《庄氏家传》疳药保童方
朱砂（一分，研） 石菖蒲 牛膝 官桂（各半分）
以上共同研为粉末，用白羊肾一对煮熟，一处捣烂，和丸如绿豆大小。空腹，温水送服二丸。
《庄氏家传》疳疾二十四候∶
第一候∶泻脓血，日渐瘦，是冷热疳。宜服八香丸方
胡黄连（一钱） 脑麝（各半钱） 牛黄（半分） 芦荟（一钱半） 蟾酥（五十子，作块者亦得） 白花蛇（半两，酒浸去骨） 蝎梢（一分）
以上研为细末，猪胆汁和丸如黄米大小。每次服用五丸，米饮送服，一日三服。如果病情严重，仍用生米泔调作散，半钱服用。
治小儿脾疳，面黄多睡，手足浮肿方。
桑白皮（焙） 汉防己（焙） 人参 茯苓 胡黄连（炮） 麝香（各一分）
以上研为粉末，炼蜜为丸如麻子大小。用米饮送服五丸，一日二服。
第二候∶脚细肚高，胸前骨生，爱吃土泥酸咸。日久通身黄，时时吐逆下痢，腹内疼痛，是脾疳。宜服此∶
虎睛（一对、焙） 牛黄 朱砂 麝香（各一分） 桔梗（半两，煨）
以上研为粉末，炼蜜为丸。生姜汤送服三丸至五丸。
治小儿脾疳，泻血、肚大、气喘方。
丁香 白术 龙脑 干蝎 胡黄连 夜明砂（炒。各一分）
以上研为粉末，软饭为丸米粒大小。芜荑汤送服。
第三候∶鼻下赤烂，爱揉眼，无血痢，是肺疳。乃因吃者乘热物或病奶，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，日夜烦哭方∶
龙脑 朱砂（各一分） 钩藤 玄参（各一两） 胡黄连（半两，炮） 麝香（一钱）
以上研为粉末，炼蜜为丸如黄米大小。米饮送服三丸至五丸。
治小儿五疳、八痢，及发焦黄、肚胀、手足瘦细，肚上筋脉起，揩眼，鼻涕垂至口，咬指甲。或下部生疮及大小便不通。宜服此药疗之方。
芦荟 夜明砂（炒） 蛇蜕皮（灰） 黄牛角（屑。各一分） 蟾酥（少许）
以上研为粉末，更入麝香少许，炼蜜为丸如绿豆大小。每次服用三丸，用米饮送服。服药期间仍先用桃柳汤洗浴孩儿了，将青皂衣盖之。更用药一丸至二丸，安在孩儿脐中。便着醋面糊与青皂帛贴之，候虫出为度。如无虫，但汗出为妙。服药三日后，宜减一丸。
第四候∶皮虚皱，面无颜色，身上燥痒，心烦，宜用药疗之。
治小儿五疳，面色黄瘦，身体壮热，吃乳食不能消化；眼目涩痛及胸膈痰涎，爱食酸咸，常多泻痢。宜服此方。
胡黄连 母丁香 黄连（微炒，去毛） 芦荟 熊胆（研。各半两） 麝香（一分，细研）
蟾头（一枚，涂酥炙焦黄）
以上研为粉末，用牛胆和丸绿豆大小。如患心脏疳，煎芜荑甘草汤送服三丸。食疳泻血或赤白痢，新汲水下三丸。吐逆不止及水泻，生姜汤送服。眼疳，羊子肝血与酒和，看多少，微煎，下三丸。
第五候∶毛发稀疏，鼻生疮，是肺疳。
治小儿一切疳，肌肤消瘦，泻痢不止，口鼻生疮，水谷不化方。
虾蟆（灰） 白矾 乌贼鱼骨（炙） 密陀僧（各一分） 麝香（半分）
以上研为粉末，炼蜜为丸如豆大小。温水送服三丸。（《圣惠》方同，但麝香用半两。）
第六候∶头生疮，毛发稀焦，是肝疳。方∶
肉豆蔻 蟾灰（全者。各一个） 桔梗（炮） 茯苓（煨） 大黄（煨。各一两） 脑麝（各一钱）
以上研为粉末，软饭为丸如麻子大小。粟米饮送服三丸，只可两服。
治小儿头项细，心腹胀满，皮肤干皱，毛发焦黄，鼻下赤烂，口舌生疮，泻痢不止，日渐羸瘦方。
大蟾（一个，去四足，劈开腹，去肛肠；入胡黄连一两，和在内，线缝合。以湿纸三重裹，用泥固济四面，令干。微火出阴气。更用炭三斤烧令通赤即住。候冷，净去泥土，细研如粉） 麝香 熊胆 芦荟（各半两）
以上一处细研如泥，面糊为丸如麻子大小。米饮送服三丸，乳汁亦可。三岁以上加丸。
第七候∶牙变黄赤不定，是肾疳。宜服此药。
治小儿肾疳，并疝气偏坠寒热方。
没药（炮） 甘草（各一分） 硫黄 木香（炮） 胡黄连（各一分）
以上研为粉末，用蒸枣肉为丸如麻子大小。苁蓉汤送服三丸，可两服。
治小儿五疳瘦羸。定命牛黄丸方
牛黄 朱砂 雄黄 麝香 丁香 脑子（各一钱） 瓜蒂（三个） 蟾酥（半分）
以上研为粉末，用温水浸，蟾酥和丸如米大小。每次服用先用温水化两丸，滴入两鼻中，令嚏三五声。再以温水下三五丸，日可三服，神妙。《圣惠》亦有此方，但瓜蒂用三十枚、丁香一分，余药皆同。
第八候∶头发焦干，鼻下疮生，是肺疳。
理小儿五疳、八痢，腹胀羸瘦，头发焦干，口鼻生疮方。
黄连 白芜荑（与黄连同炒焦） 夜明砂（用水淘五次，焙。各一两）
以上研为粉末，猪胆汁和丸如绿豆大小。三丸至五丸，不计时候，麦门冬熟水下。久患疳气，服药无效，或腹胀气促不能饮食，米欲下，取出疳虫即瘥。
第九候∶咬指甲，毛发作穗，四肢沉重，是心疳。
治五疳、八痢，心藏热方。
芦荟（半两，研） 轻粉 青黛 香墨 飞罗面（各一钱） 使君子（一个） 蜗牛（五个，和肉炒焦，细研） 麝香（半钱）
以上研为粉末，研细，滴水为丸如芥子大小。生地黄汁化下一丸至二丸，薄荷汤亦可。
治小儿疳渴，常服五疳不生方。
大虾蟆（两个，长流水内刮去肚肠之法，酒三升，瓶内煮令烂，去骨，研如粉） 黄连（四两，别为末） 麝香（一钱） 朱砂（一钱半）
以上先将虾蟆膏与黄连末同研，后更与麝香、朱砂等研匀，作丸如绿豆大小。每次服用十丸，陈米饮送服。如患疳，用黄蜡茶调下。如难丸，入些酒面糊不妨。
第十候∶肚上筋生，齿龈虫食脾，骨槽疳。
治小儿脾疳手足浮肿方。
桑白皮（炮） 汉防己 人参 茯苓 胡黄连 麝香（各一分）
以上研为粉末，炼蜜为丸如麻子大小。食前，米饮送服五丸。与第一候第一方同。
治小儿疳蚀动唇齿及疮生方。
蟾头（一个大者。烧灰） 麝香（半钱）
以上研匀如粉，掺于疮上，立效。
治小儿一切疳毒有疮方。
苦楝皮（五斤，锉） 七姑叶（半两，锉） 甘草 白矾（各二两） 葱白（十茎）
以上粗捣令匀，用水五斗煮五、七沸，旋旋添洗疮处。如久患，两服立效。
第十一候∶吐逆腹胀是胃疳，又名奶疳。
治小儿因吃着患热病，奶次腹痛；并及惊风、毒奶，便乃下痢吐逆。又名奶疳。
桃仁（去皮尖，炒） 胡黄连（各半两） 沉香 朱砂（别研。各一分） 金箔（五片）
以上研为粉末，软饭为丸如麻子大小。米饮送服五丸，奶汁送服亦可。
治小儿胃疳及进食方。
胡黄连 芦荟（各一分） 肉豆蔻（一个） 槟榔 干蟾（炙。各半个） 夜明砂（半分，炒） 朱砂 麝香（各半钱）
以上研为粉末，炼蜜为丸如绿豆大小。一岁一丸，米饮及乳汁送服亦可。如是疳盛，次加二丸至三丸，取下虫屎为验。五日一服。
第十二候∶齿龈臭烂，面无颜色，心不思食，是脾疳。又名口疳。
治小儿唇口及齿根宣露，牙龈生疮臭烂方。
葶苈（炒） 胡黄连（各二钱） 黄丹（半两）
以上研为粉末。每次半钱于牙龈上贴之，不得咽津。
治小儿鼻下赤烂，心烦躁；鼻中生疮，渐渐转多。及身上焦燥，日夜疼痛。急治之方。
诃子（二个） 豆蔻（三个） 黄连（六分） 防风（半两） 朱砂一分）
以上研为粉末，饭为丸如麻子大小。每次荆芥汤送服三丸。
第十三候∶爱合面卧，多睡如醉，腹胀气急，是心脾疳。
治小儿合面卧地，多睡；或气急面黄，哭声高叫；或心痛口干。盖是因曾吃生肉，如此腹内有虫。
鹤虱（二分） 茯苓（一两，煨） 木香（一分） 苦楝根（三两） 桧株根（半两）
以上先将二味根用水一斗煎成膏，然后杵三味为末，搜和成丸如黍粒大小。每次服用三、五丸，米饮送服。
治小儿一切疳。蜗牛丸方
蜗牛（四十九枚，用小罐子一个，泥固济令密，烧通赤，烟尽为度，去泥，只用蜗牛灰） 蛇蜕皮（二条，为末） 芦荟 熊胆 夜明砂（淘泥，炒）
黄连（各一分） 瓜蒌（一十四个，别为末） 麝香（半钱） 干蟾（一个，要前脚以前一截，用泥固济罐子，与蛇皮一处烧，烟尽为度，用）
以上研为粉末，猪胆汁为丸如绿豆大小。饭饮送服三丸。（《圣惠》方同。）
[Background Information]
Book: Youyou Xinshu (New Book for Young Children)
Author: Liu Fang
Dynasty: Song
Chapter: All Types of Gan Syndrome Part 3 (3/5)
Category: Comprehensive
For carbuncles and ulcers on the back, and miasma pestilence (Lanzhang Qi), as soon as headache is felt and stiffness/tightness in the back and shoulders occurs, this medicine should be taken immediately. The dosage is adjusted until a brisk bowel movement is achieved. Regular use can prevent contracting miasma diseases. All miasma diseases are caused by excess heat in the spleen and stomach, and are commonly treated with cooling medicines. For heat congestion in the upper chest/diaphragm, using this medicine to promote unblocking and purgation is even more effective. This pill was originally highly effective for treating Lanzhang and warm malaria (a type of malaria with periodic chills and fever). Li Xiaoli Dunyu once circulated this prescription and carved it on stone at Dayu Ridge; the number of people who benefited from its efficacy is countless. My elder uncle served in Fujian and once led troops to suppress mountain bandits. Passing through Zhangpu, all soldiers contracted malaria. Using this medicine to treat them, they recovered at that time. When I was in Jiangnan, during a year when warm malaria was prevalent, I used this medicine to help people, and its efficacy was miraculous. In all cases, the goal was to achieve a brisk bowel movement. It is also recorded: For chronic malaria, after taking medicine, moxibustion should be applied to Qihai (Ren-6, located 1.5 cun below the umbilicus) for one hundred moxa cones, and then to Zhongwan (Ren-12, located 4 cun above the umbilicus) for thirty moxa cones, which is particularly beneficial. "Zhang's Family Collection" states: The prescription for treating Gan syndrome (childhood malnutrition/wasting disease) and expelling miasma used by Academician Li of the Ministry of Justice was obtained from Ma Ducheng, with slight variations in dosage: Mugwort (Muxiang) and Prepared Aconite Root (Fuzi) each two liang; Rhubarb (Dahuang), Ginseng (Renshen), and Magnolia Bark (Houpo) each one liang; Cinnamon Twig (Guizhi), Areca Seed (Binglang), Cardamom (Doukou), and Tangerine Peel (Chenpi) each three liang; the remaining herbs each half a liang; and Semen Koelpinia (Qianniuzi) one sheng.
Ju Bao Fang (Treasure Gathering Formulas): Chao Huanglian Wan (Daily Pill for Children with Gan Syndrome)
Picrorhiza Rhizome (Huhuanglian) (half liang); Xuanlian (Anhui-produced Coptis Rhizome); White Melia Fruit Kernel (Bai Wuyi Ren); Costus Root (Muxiang) (each two liang).
The above four ingredients are ground into powder. Pig bile is used to mix them in a cup, placed in a rice steamer, and steamed twice. Pills are made the size of millet seeds. Take twenty pills per dose, swallowed with rice water.
Xijing Ding Zuocang Huanggua Wan (Cucumber Pill of Ding Zuocang from the Western Capital): Treats pediatric Gan syndrome.
Cooked cucumber (one whole, pulp removed but cap retained, filled with good Coptis Rhizome, replaced; then steamed until cooked, Coptis removed); White Melia Fruit Kernel (Bai Wuyi Ren); Wheat bran (Mai Fu); Night-bright sand (Ye Ming Sha, bat guano); Gentian Root (Longdan Cao) (each one fen); Croton Seed (Badou) (stir-fried, skin and membrane removed, five qian); Medicated Leaven (Shenqu) (soaked in pig bile overnight, slow-roasted); Musk (Shexiang) (each half liang).
Grind all into fine powder. Use the steamed cucumber flesh to form pills the size of mung beans. Take three pills regularly, swallowed with food drink.
Xijing Ding Zuocang Zishuang Wan (Purple Frost Pill of Ding Zuocang from the Western Capital): Treats pediatric five types of Gan, eight types of dysentery, and all kinds of Gan syndrome.
Costus Root (Muxiang); Red Kaolin (Chishizhi); Dragon Bone (Longgu); Auricularia Polypore (Zhike) (pulp removed, stir-fried with bran); Prepared Aconite Root (Fuzi); Processed Ginger (Baijiang); Coptis Rhizome (Huanglian); Nutmeg (Roudoukou); Lead Monoxide (Mituo Seng) (each half liang); Croton Seed (Badou) (fifteen seeds, skin and membrane removed, boiled in bean water until liquid evaporates, oil removed, finely ground); Musk (Shexiang) (half qian).
Grind into powder. Mix with steamed dough to form pills the size of hemp seeds. One-year-old infants take one pill; three-year-olds take five pills. Each dose consists of three pills taken with decoction as follows: For regular use, swallow with warm water. For nasal itching and brain Gan, take with Tangerine Peel Decoction; for vomiting/diarrhea and food Gan, take with Ginger Decoction; for emaciation and spleen Gan, take with Jujube Decoction; for Gan Qi abdominal distension, take with Tangerine Peel Decoction; for tendon Gan with frequent diarrhea, take with salt water; for liver Gan with dry eyes and sores, take with Coptis Decoction; for bone-steaming fever with preference for lying on earth and eating soil, take with aged tea infusion.
Xijing Ding Zuocang Xama Wan (Toad Pill of Ding Zuocang from the Western Capital): Formula to fatten children, effective for regular use.
Dried Toad (one large toad, soaked in rice washing water for three nights, intestines/stomach/head/claws removed, washed clean, roasted with lard until yellow and fragrant); Tangerine Peel (Chenpi) (white part removed, one fen); Picrorhiza Rhizome (Huhuanglian) (one liang); Turmeric Tuber (Yujin); Melia Fruit Kernel (Wuyi Ren) (each half liang).
Grind into powder. In a ceramic vessel, mix with pig bile to the appropriate consistency, place on rice and steam until cooked. Remove and let stand for half a day. Form pills the size of mung beans. Take five to seven pills regularly, swallowed with old rice water.
Xijing Ding Zuocang Longdan Wan (Gentian Pill of Ding Zuocang from the Western Capital): Treats pediatric Gan syndrome, also a formula to fatten children.
Gentian Root (Longdan Cao) (two liang); Indigo Naturalis (Qingdai) (one liang); Musk (Shexiang) (one fen).
Grind together uniformly. Soak in water from the bottom of a steamed bun until soft like paste. Form pills the size of mung beans. Regular use kills roundworms, stimulates appetite, and builds muscle, with great efficacy. After meals, take three to five pills swallowed with rice water.
"Huiyan Guanzheng" Wu Mei San (Dark Plum Powder): Treats abdominal pain following abdominal extraction therapy for Gan syndrome.
Dark Plum (Wumei); Corydalis Rhizome (Yanhusuo) (each one fen).
Grind the above two ingredients into powder. Take one large qian per dose. Add one cun of Licorice Root (Gancao) smashed, to eight fen of water (one cup). Decoct to four fen. Strain and take warm.
"Liu's Family Collection" Xiao'er Gan Lushan Wan (Aloe Vera Pill for Pediatric Gan Syndrome)
Aloe Vera (Lushan) (ground); Coptis Rhizome (Huanglian) (deprived of fibers); Atractylodes Macrocephala Rhizome (Baizhu); Quisqualis Fruit (Shijunzi) (kernel); Melia Fruit Kernel (Wuyi Ren) (not exposed to fire; each one fen); Croton Seed (Badou) (half liang, kept in silver vessel with shell until charred but not burnt, take one fen).
Grind into powder. Mix with rice to form pills the size of millet seeds. Take five or seven pills per dose, swallowed with rice soup.
"Liu's Family Collection" Zhi Gan Fang (Prescription for Treating Gan Syndrome)
Gentian Root (Caolongdan) (ground); White Melia Fruit Kernel (Bai Wuyi Ren) (skin removed, ground; each one liang).
Mix with rice water to form pills of size ○. Take at any time. This medicine stimulates appetite and builds muscle. It can only be administered to children who can eat, as Gan syndrome arises from improper diet. Suitable for children aged two or three up to ten or more years. Initially, take five pills per dose for three to five days; observe if Gan worms are expelled as a sign of efficacy.
"Liu's Family Collection" Xiang Shou Chen Nanzhong Zhi Xiao'er Yiqie Gan, Zhu Yao Wu Xiao Fang (Prescription by Chen Nanzhong for All Pediatric Gan Cases Where Other Medicines Failed)
Extract juice from hemp seeds. Mix with powder of dried steamed bread to form pills the size of mung beans. Take fifteen to twenty pills per dose, swallowed with porridge water on an empty stomach.
"Zhang's Family Collection" Shen Qu San (Medicated Leaven Powder) for Various Pediatric Gan Syndromes
Medicated Leaven (Shenqu); Aged Tangerine Peel (Chen Ju Pi) (membrane not removed); Rhubarb (Dahuang) (wrapped in paper, stir-fried until cooked); Peony Root (Shaoyao) (each three zhu); Platycodon Root (Jiegeng); Ligusticum Rhizome (Xiong); Magnolia Bark (Houpo) (processed with ginger); Auricularia Polypore (Zhike) (pulp removed, stir-fried with bran); White Poria (Baifuling) (each one fen); Ginseng (Renshen) (four zhu); Licorice Root (Gancao) (two fen, stir-fried).
Grind into fine powder. At any time, add one slice of ginger. Decoct one qian bi (measure) like tea and take.
"Zhang's Family Collection" Chenxiang Wan (Agarwood Pill) for Pediatric Gan Qi Syndrome
Agarwood (Chenxiang); Croton Seed (Badou) (wrapped in flour, fried in oil until yellow, remove, grind in mortar like flour); Nutmeg (Roudoukou); Rhubarb (Dahuang) (wrapped in wet paper, baked until fragrant and cooked); Costus Root (Muxiang); Processed Dried Ginger (Ganjiang) (each one liang); Areca Seed (Binglang) (two and a half liang); Green Tangerine Peel (Qing Ju Pi) (three fen).
The above eight ingredients are formed into pills the size of mung beans using flour paste. For pediatric Gan Qi syndrome, take one to two pills swallowed with Ginger and Tangerine Peel Decoction. Adjust dosage according to age/size.
"Zhuang's Family Collection" Lushan Wan (Aloe Vera Pill) for Pediatric Gan with Mild Head/Face Swelling, Abdominal Pain, Yellow Complexion, Distension, Anorexia, and Persistent Cough
Aloe Vera (Lushan) (ground); Melia (Wuyi) (each half fen); Dried Toad (Ganchan) (weigh head and spine); Costus Root (Muxiang); Xuanlian (Coptis); Dried Snail (Gan Woniu); Cinnabar (Chensha) (ground; each one fen); Bear Bile (Xiongdan) (authentic, ground, one qian); Clove (Dingxiang) (two qian, fresh); Musk (Shexiang) (one zi, weighed and ground); Quisqualis Kernel (Shijunzi) (kernel, one fen).
Grind into fine powder. Form pills the size of hemp seeds using flour paste. Take twenty pills, increasing to thirty. Take two to three times daily, swallowed with rice water. This medicine is highly effective with long-term use.
"Zhuang's Family Collection" Xiao'er Gan Shang Wan Zi (Pediatric Gan Injury Pill)
Coptis Rhizome (Huanglian); Croton Seed (Badou) (skin and heart removed, oil expressed); Melia Fruit Kernel (Wuyi); Dioscorea Hypoglauca Rhizome (Bixie) (each half liang).
Grind into powder. Form pills with pig bile. Add a little Musk. Coat with Cinnabar. Make pills the size of hemp seeds. Take one to two pills swallowed with rice water, adjusting for child's size.
"Zhuang's Family Collection" Gan Yao Bao Tong Fang (Gan Medicine Child-Protection Formula)
Cinnabar (Zhusha) (one fen, ground); Acorus Rhizome (Shichangpu); Achyranthes Root (Niuxi); Official Cinnamon (Guangui) (each half fen).
Grind all together into powder. Cook one pair of white goat kidneys. Pound together with the powder. Form pills the size of mung beans. Take two pills on an empty stomach with warm water.
"Zhuang's Family Collection" Twenty-Four Manifestations of Gan Disease:
First Manifestation: Diarrhea with pus and blood, gradual emaciation. This is Cold-Heat Gan. Should take Ba Xiang Wan (Eight Fragrances Pill):
Picrorhiza Rhizome (Huhuanglian) (one qian); Brain Musk (Naoshe) (each half qian); Calculus Bovis (Niuhuang) (half fen); Aloe Vera (Lushan) (one and a half qian); Toad Venom (Chansu) (fifty grains, chunks acceptable); White Flower Snake (Baihua She) (half liang, soaked in wine, bones removed); Scorpion Tail Tip (Xieshao) (one fen).
Grind into fine powder. Form pills with pig bile the size of yellow millet. Take five pills per dose, swallowed with rice water, three times daily. If condition is severe, still use raw rice wash water to make a powder, take half qian.
Formula for Pediatric Spleen Gan with Yellow Face, Somnolence, and Edema of Hands/Feet:
Mulberry Root Bark (Sangbaipi) (roasted); Stephania Tetrandra (Hanfangji) (roasted); Ginseng (Renshen); Poria (Fuling); Picrorhiza Rhizome (Huhuanglian) (processed); Musk (Shexiang) (each one fen).
Grind into powder. Form pills with refined honey the size of hemp seeds. Take five pills swallowed with rice water, twice daily.
Second Manifestation: Thin legs, high abdomen, protruding chest bone, craving dirt/mud/sour/salty foods. Long-term yellow complexion, frequent vomiting/regurgitation and dysentery, abdominal pain. This is Spleen Gan. Should take this:
Tiger Eye (Hu Jing) (one pair, roasted); Calculus Bovis (Niuhuang); Cinnabar (Zhusha); Musk (Shexiang) (each one fen); Platycodon Root (Jiegeng) (half liang, baked).
Grind into powder. Form pills with refined honey. Take three to five pills swallowed with Ginger Decoction.
Formula for Pediatric Spleen Gan with Bloody Diarrhea, Abdominal Distension, and Asthma:
Cloves (Dingxiang); Atractylodes Macrocephala Rhizome (Baizhu); borneol (Longnao); Dried Scorpion (Ganxie); Picrorhiza Rhizome (Huhuanglian); Night-bright Sand (Yeming Sha) (stir-fried; each one fen).
Grind into powder. Form pills the size of rice grains using soft rice. Take with Melia Decoction.
Third Manifestation: Red erosion under nose, rubbing eyes, no bloody diarrhea. This is Lung Gan. Caused by consuming hot foods or sick breast milk, damaging heart/lungs; compounded by coughing and excessive intake of cold medicines, leading to upper heat and lower cold, gradually becoming lethargic and crying restlessly day and night. Formula:
Borneol (Longnao); Cinnabar (Zhusha) (each one fen); Uncaria Rhynchophylla (Gouteng); Scrophularia Root (Xuanshen) (each one liang); Picrorhiza Rhizome (Huhuanglian) (half liang, processed); Musk (Shexiang) (one qian).
Grind into powder. Form pills with refined honey the size of yellow millet. Take three to five pills swallowed with rice water.
Formula for Pediatric Five Gans, Eight Dysenteries, with Scorched Yellow Complexion, Abdominal Distension, Thin Limbs, Visible Abdominal Veins, Eye Rubbing, Drooping Nasal Discharge, Nail Biting, Sores in Lower Body, and Urinary/Fecal Obstruction:
Aloe Vera (Lushan); Night-bright Sand (Yeming Sha) (stir-fried); Snake Slough (Shetuipi) (ash); Yellow Ox Horn (Huangniujiao) (shavings; each one fen); Toad Venom (Chansu) (small amount).
Grind into powder. Add a little Musk. Form pills with refined honey the size of mung beans. Take three pills per dose, swallowed with rice water. During medication, first bathe the child in Peach and Willow Water, then cover with dark blue cloth. Place one to two pills in the child's umbilicus. Secure with vinegar-flour paste and dark blue cloth. Wait for worms to exit. If no worms, sweating is ideal. After three days of medication, reduce dose by one pill.
Fourth Manifestation: Loose wrinkled skin, pale face, dry itching body, irritability. Should use medicine to treat.
Formula for Pediatric Five Gans with Yellow-Thin Complexion, High Fever, Indigestion of Milk/Food, Dry/Painful Eyes, Phlegm in Chest/Diaphragm, Craving Sour/Salty, Frequent Diarrhea/Dysentery:
Picrorhiza Rhizome (Huhuanglian); Mother Clove (Mu Dingxiang); Coptis Rhizome (Huanglian) (lightly stir-fried, de-fibered); Aloe Vera (Lushan); Bear Bile (Xiongdan) (ground; each half liang); Musk (Shexiang) (one fen, finely ground); Toad Head (Chantou) (one, coated with lard, roasted until scorched yellow).
Grind into powder. Form pills with ox bile the size of mung beans. If Heart Gan, take three pills with Melia and Licorice Decoction. If Food Gan with bloody stool or red/white dysentery, take three pills with fresh well water. If persistent vomiting/regurgitation and watery diarrhea, take with Ginger Decoction. If Eye Gan, mix Sheep Liver Blood with wine, heat slightly, take three pills.
Fifth Manifestation: Sparse hair, sores on nose. This is Lung Gan.
Formula for All Pediatric Gans with Emaciated Skin, Persistent Diarrhea/Dysentery, Sores on Mouth/Nose, Undigested Food/Water:
Toad Ash (Xama Hui); Alum (Baifan); Cuttlefish Bone (Wuzeiyu Gu) (roasted); Lead Monoxide (Mituo Seng) (each one fen); Musk (Shexiang) (half fen).
Grind into powder. Form pills with refined honey the size of beans. Take three pills with warm water. (Same as "Shenghui" formula, but uses half liang of Musk.)
Sixth Manifestation: Sores on head, sparse/scorched hair. This is Liver Gan. Formula:
Nutmeg (Roudoukou); Toad Ash (Chan Hui) (whole; each one); Platycodon Root (Jiegeng) (processed); Poria (Fuling) (baked); Rhubarb (Dahuang) (baked; each one liang); Brain Musk (Naoshe) (each one qian).
Grind into powder. Form pills the size of hemp seeds using soft rice. Take three pills swallowed with millet drink. Limit to two doses.
Formula for Pediatric Thin Neck/Head, Abdominal Fullness, Dry Wrinkled Skin, Scorched Yellow Hair, Red Erosion Under Nose, Mouth/Tongue Sores, Persistent Diarrhea/Dysentery, Gradual Emaciation:
Large Toad (one, remove four feet, split abdomen, remove anus/intestines; insert one liang of Picrorhiza Rhizome, sew with thread. Wrap in three layers of wet paper, seal with mud on all sides, let dry. Apply mild fire to remove yin qi. Then burn with three jin of charcoal until red hot, then stop. Wait for cool, remove mud, grind fine like powder); Musk (Shexiang); Bear Bile (Xiongdan); Aloe Vera (Lushan) (each half liang).
Grind all together into mud. Form pills the size of hemp seeds using flour paste. Take three pills swallowed with rice water; breast milk is also acceptable. Increase dose for children over three years.
Seventh Manifestation: Teeth turning yellow/red irregularly. This is Kidney Gan. Should take this medicine.
Formula for Pediatric Kidney Gan and Hernia with Alternating Chills/Fever:
Myrrh (Moyao) (processed); Licorice Root (Gancao) (each one fen); Sulfur (Liuhuang); Costus Root (Muxiang) (processed); Picrorhiza Rhizome (Huhuanglian) (each one fen).
Grind into powder. Form pills with steamed jujube flesh the size of hemp seeds. Take three pills swallowed with Cistanche Decoction. Limit to two doses.
Formula for Pediatric Five Gans with Emaciation. Dingming Niuhuang Wan (Life-Determining Calculus Bovis Pill):
Calculus Bovis (Niuhuang); Cinnabar (Zhusha); Realgar (Xionghuang); Musk (Shexiang); Clove (Dingxiang); Borneol (Naonao) (each one qian); Thistle Fruit (Gua Di) (three); Toad Venom (Chansu) (half fen).
Grind into powder. Soak in warm water. Mix with Toad Venom to form pills the size of rice grains. First, dissolve two pills in warm water and drip into both nostrils to induce sneezing three to five times. Then take three to five pills swallowed with warm water. Can be taken three times daily. Miraculous. "Shenghui" also has this formula, but uses thirty Gua Di and one fen of Dingxiang; other herbs are the same.
Eighth Manifestation: Scorched dry hair, sores under nose. This is Lung Gan.
Formula for Pediatric Five Gans, Eight Dysenteries, Abdominal Distension, Emaciation, Scorched Dry Hair, Mouth/Nose Sores:
Coptis Rhizome (Huanglian); White Melia (Bai Wuyi) (stir-fried scorched with Coptis); Night-bright Sand (Yeming Sha) (washed five times with water, roasted; each one liang).
Grind into powder. Form pills with pig bile the size of mung beans. Take three to five pills at any time, swallowed with熟 (cooked) Ophiopogon Decoction. For chronic Gan Qi where medicine is ineffective, or abdominal distension/breathlessness preventing eating, if stool is about to pass, expel Gan worms and recovery will follow.
Ninth Manifestation: Nail biting, hair forming tufts, heavy limbs. This is Heart Gan.
Formula for Five Gans, Eight Dysenteries, Heart Heat:
Aloe Vera (Lushan) (half liang, ground); Calomelas (Qingfen); Indigo Naturalis (Qingdai); Ink Stick (Xiangmo); Fine Flour (Feiluo Mian) (each one qian); Quisqualis Fruit (Shijunzi) (one); Snail (Woniu) (five, stir-fried scorched with meat, finely ground); Musk (Shexiang) (half qian).
Grind into fine powder. Add drops of water to form pills the size of mustard seeds. Dissolve one to two pills in Juice of Rehmannia Root (Sheng Dihuang Zhi). Mint Decoction is also acceptable.
Formula for Pediatric Gan Thirst, Daily Use to Prevent Five Gans:
Large Toads (two, scraped clean of intestines in running water method; boil in three sheng of wine in bottle until soft, remove bones, grind to powder); Coptis Rhizome (Huanglian) (four liang, ground separately); Musk (Shexiang) (one qian); Cinnabar (Zhusha) (one and a half qian).
First grind Toad Paste with Coptis Powder. Then mix uniformly with Musk and Cinnabar. Form pills the size of mung beans. Take ten pills per dose, swallowed with old rice water. If suffering from Gan, take mixed with Honey Wax Tea. If difficult to form pills, adding some wine-flour paste is acceptable.
Tenth Manifestation: Veins appearing on abdomen, gum worms eating spleen, Alveolar Gangrene (Gucao Gan).
Formula for Pediatric Spleen Gan with Edema of Hands/Feet:
Mulberry Root Bark (Sangbaipi) (processed); Stephania Tetrandra (Hanfangji); Ginseng (Renshen); Poria (Fuling); Picrorhiza Rhizome (Huhuanglian); Musk (Shexiang) (each one fen).
Grind into powder. Form pills with refined honey the size of hemp seeds. Before meals, take five pills swallowed with rice water. Same as First Manifestation, First Formula.
Formula for Pediatric Gan Eroding Lips/Teeth and Generating Sores:
Toad Head (Chantou) (one large, burned to ash); Musk (Shexiang) (half qian).
Grind uniformly to powder. Apply to sores. Immediate effect.
Formula for All Pediatric Gan Toxins with Sores:
Melia Bark (Kulian Pi) (five jin, chopped); Seven-Girl Leaf (Qigu Ye) (half liang, chopped); Licorice Root (Gancao); Alum (Baifan) (each two liang); Scallion White (Congbai) (ten stems).
Coarsely grind uniformly. Boil in five dou of water for five to seven boils. Add water gradually to wash sores. For chronic cases, two doses yield immediate effect.
Eleventh Manifestation: Vomiting/Regurgitation and Abdominal Distension. This is Stomach Gan, also called Milk Gan.
Formula for Pediatric Heat Disease from Diet causing Abdominal Pain during Nursing; also Convulsions, Toxic Milk leading to Dysentery/Vomiting. Also called Milk Gan.
Peach Kernel (Taoren) (skin/spit removed, stir-fried); Picrorhiza Rhizome (Huhuanglian) (each half liang); Agarwood (Chenxiang); Cinnabar (Zhusha) (ground separately; each one fen); Gold Foil (Jinbo) (five pieces).
Grind into powder. Form pills the size of hemp seeds using soft rice. Take five pills swallowed with rice water; breast milk is also acceptable.
Formula for Pediatric Stomach Gan and Stimulating Appetite:
Picrorhiza Rhizome (Huhuanglian); Aloe Vera (Lushan) (each one fen); Nutmeg (Roudoukou) (one); Areca Seed (Binglang); Dried Toad (Ganchan) (roasted; each half); Night-bright Sand (Yeming Sha) (half fen, stir-fried); Cinnabar (Zhusha); Musk (Shexiang) (each half qian).
Grind into powder. Form pills with refined honey the size of mung beans. One-year-old takes one pill. Swallowed with rice water or breast milk. If Gan is severe, increase by two to three pills. Expulsion of worm feces is the sign of efficacy. Take once every five days.
Twelfth Manifestation: Foul/Eroded Gums, Pale Face, Lack of Appetite. This is Spleen Gan, also called Mouth Gan.
Formula for Pediatric Exposed Lips/Gums and Foul Eroded Gum Sores:
Perilla Seed (Tingli) (stir-fried); Picrorhiza Rhizome (Huhuanglian) (each two qian); Red Lead (Huandan) (half liang).
Grind into powder. Apply half qian to gums per dose. Do not swallow saliva.
Formula for Pediatric Red Erosion Under Nose, Irritability; Nasal Sores Increasing; Body Dryness, Day/Night Pain. Urgent Treatment:
Chinese Fructus Choerospondii (Hezi) (two); Cardamom (Doukou) (three); Coptis Rhizome (Huanglian) (six fen); Saposhnikovia Root (Fangfeng) (half liang); Cinnabar (Zhusha) (one fen).
Grind into powder. Form pills the size of hemp seeds using rice. Take three pills per dose swallowed with Schizonepeta Decoction.
Thirteenth Manifestation: Preference for sleeping face down, somnolence like drunkenness, Abdominal Distension, Breathlessness. This is Heart-Spleen Gan.
Formula for Pediatric Sleeping Face Down, Somnolence; or Breathlessness, Yellow Face, Loud Crying; or Heart Pain, Dry Mouth. Likely due to eating raw meat, causing worms in abdomen.
Chrysanthemum Seed (Heshi) (two fen); Poria (Fuling) (one liang, baked); Costus Root (Muxiang) (one fen); Melia Root (Kulian Gen) (three liang); Juniper Trunk Root (Guai Zhu Gen) (half liang).
First decoct the two roots in one dou of water until thick paste. Then pound the other three ingredients into powder. Mix and form pills the size of millet grains. Take three to five pills per dose, swallowed with rice water.
Formula for All Pediatric Gan. Woniu Wan (Snail Pill):
Snails (Woniu) (forty-nine, place in small jar, seal with mud, burn until red hot, smoke gone, remove mud, use only snail ash); Snake Slough (Shetuipi) (two strips, ground); Aloe Vera (Lushan); Bear Bile (Xiongdan); Night-bright Sand (Yeming Sha) (washed, stir-fried); Coptis Rhizome (Huanglian) (each one fen); Trichosanthes Fruit (Gualou) (fourteen, ground separately); Musk (Shexiang) (half qian); Dried Toad (Ganchan) (one, anterior segment before front legs, sealed in jar with snake skin, burned until smoke gone, use).
Grind into powder. Form pills with pig bile the size of mung beans. Take three pills swallowed with food drink. (Same as "Shenghui" formula.)
Fourteenth Manifestation: Dry/Painful Inside Nose, Foul Breath, Fresh Blood at Tooth Roots. This is Liver-Lung Gan.