(Also known as Kidney Gan)

*Taiping Shenghui Fang* records: Pediatric Ji Gan (Acute Malnutrition with Parasitic Infection) is caused by improper breastfeeding and feeding, specifically the excessive consumption of sweet and fatty foods. The sweet flavor enters the Spleen and stirs up parasites; parasites move due to sweetness, thereby damaging the Zang-Fu organs. If the parasites erode upwards into the gums, sores will form with bleeding, and the teeth will turn purple-black; if they erode downwards into the intestines and stomach, it leads to irregular diarrhea and an open, relaxed anus. Sores appear red and ulcerated, skin becomes dry and brittle, hair stands on end, milk and food fail to digest, and the body becomes emaciated and weak. If not treated early, the condition will progress to the critical stage of Gaohuang (deep-seated disease). Hence, it is called Ji Gan.

*Taiping Shenghui Fang* prescription for treating pediatric Ji Gan with emaciation, diarrhea, oral sores, and parasiticidal effects: Xionghuang Wan (Realgar Pill).
Ingredients: Xionghuang (Realgar), Lvhui (Aloe), Qingdai (Indigo Naturalis), Zhusha (Cinnabar) [each finely ground]; Longdan (Gentianae Radix, remove rhizome); Huangbai (Phellodendri Cortex, lightly roasted, sliced); Huangfan (Yellow Alum, fired until red-hot); Danggui (Angelicae Sinensis Radix, sliced, lightly roasted); Baifan (White Alum, fired until juices are exhausted); Xixin (Asari Radix et Rhizoma); Langdanszi (Daturae Semen, washed in water to remove floating seeds, boiled until sprouting, fried until yellow); Gancao (Licorice Root, roasted until slightly red, sliced, each 1 fen); Shexiang (Musk); Zechan (Tettigidae, 3 or 7 pieces, lightly roasted, wings and legs removed); Ganchan (Dry Bufo, 1 piece, coated with butter, roasted until yellow).
Process: Pound the ingredients, sieve into powder, mix uniformly with the finely ground drugs, bind with wheat paste, and roll into pills the size of mung beans. Administer at any time, taking five pills with rice gruel broth. Adjust dosage according to the child's age and size.

*Taiping Shenghui Fang* prescription for treating pediatric Ji Gan parasites causing sores in the mouth and gums: Xiongdan San (Bear Gallbladder Powder) for external application.
Ingredients: Xiongdan (Bear Bile), Tiantingli (Lepidii Fructus, lightly roasted), Langdanszi (Daturae Semen, fried until slightly black), Xiaha Hui (Toad Ash), Renfen Hui (Human Feces Ash), Baifan Hui (White Alum Ash), Shexiang (Musk, finely ground), Xionghuang (Realgar, finely ground), Lvhui (Aloe, finely ground), Liuhuang (Sulfur, finely ground) [each 1 fen].
Process: Pound the ingredients, sieve into powder, and grind uniformly. Apply thinly to affected areas. If the nose itches, take a small amount and insufflate into the nostrils two to three times daily until cured.

*Taiping Shenghui Fang* prescription for treating pediatric Ji Gan where itching leads to sores upon scratching, instantly enlarging to the size of a coin, occurring on the head, face, or mouth/teeth: Ranshedan San (Rattlesnake Gallbladder Powder) for external application.
Ingredients: Ranshedan (Rattlesnake Gallbladder, approx. three large soybean sizes), Huangfan (Yellow Alum), Baifan Hui (White Alum Ash), Lvhui (Aloe), Shexiang (Musk) [each 1 qian].
Process: Finely grind into powder. For sores on the head, face, or body, wash with clear starch water, dry, and apply a dose the size of one soybean; stop when fluid exudes. Severe cases may require no more than three applications to cure. For sores in the mouth/teeth, apply frequently.

*Taiping Shenghui Fang* prescription for pediatric Ji Gan sores unresponsive to previous treatments: Woniu Hui San (Snail Ash Powder).
Ingredients: Woniu Hui (Snail Ash), Bai Gou Fen Hui (White Dog Feces Ash), Qianglang Hui (Dung Beetle Ash), Baifan Hui (White Alum Ash), Renfen Hui (Human Feces Ash), Lvhui (Aloe), Xiaha Hui (Toad Ash), Lanxiang (Costus Root), KT Hui (Herb Ash, text unclear), Ranshedan (Rattlesnake Gallbladder), Zhizhu Hui (Spider Ash), Dilong Hui (Earthworm Ash) [each 1 fen].
Process: Pound and grind finely into powder. Using a slanted reed tube, insufflate a small amount into the nose. For sores on the gums, mix with honey, spread on paper, and apply as a patch; for sores in the lower body, insert into the lesion.

*Taiping Shenghui Fang* prescription for pediatric Ji Gan with white sores in the mouth, applicable to various types of Gan:
Ingredients: Xiongdan (Bear Bile), Ranshedan (Rattlesnake Gallbladder), Lvhui (Aloe), Longnao (Borneol), Niuhuang (Calculus Bovis), Shexiang (Musk) [each 1 fen].
Process: Finely grind the ingredients. Mix with one small cup of well-water (Jinghua Shui) until uniform. Store in a porcelain vessel. Heat gently over a double boiler, stirring frequently with a comb-like tool, ensuring the medicine does not stick to the sides. Seven days prior to administration, the child and nursing mother must avoid raw/cold foods, legumes, pungent meats, hot noodles, fish, and meat, and reduce salt intake. Then, take a dose the size of two beans, gradually insufflate into the nose, and apply to oral sores.

*Taiping Shenghui Fang* prescription for pediatric Ji Gan with emaciation and sores, for internal use: Tianlinggai Wan (Human Skull Cap Pill).
Ingredients: Tianlinggai (Human Calvaria, 1 liang), Pishuang (Arsenic Trioxide, 0.5 fen), Huhuanglian (Picrorhizae Rhizoma, 0.5 liang), Renfen (Human Feces, 0.5 liang), Langdanszi (Daturae Semen, 1 fen).
Process: Wrap all ingredients in yellow clay, fire until red-hot, remove clay, and let cool. Add 0.5 fen of Musk, grind together into powder, bind with wheat paste, and roll into pills the size of millet grains. Administer at any time, dissolving one pill in breast milk. One-year-old children take one pill. Do not exceed three pills.

*Taiping Shenghui Fang* prescription for pediatric Ji Gan with parasites eroding the mouth/nose and sores in the lower body:
Ingredients: Ganchan (Dry Bufo, 1 liang; half powdered, half ash); Xiaojin Yin Gan Guo (Smelted Gold/Silver Crucible Residue, 1 liang); Yinmo (Silver Powder, one large bean size); Renfen Hui (Human Feces Ash, 1 liang); Shexiang (Musk, 1 liang).
Process: Pound, sieve into fine powder. Apply powder to areas eroded by parasites. For three to seven days, avoid all greasy and rich foods.

*Taiping Shenghui Fang* prescription for pediatric Ji Gan with red, ulcerated sores in the mouth, nose, and lower body:
Ingredients: Dasuan (Garlic, 2 liang), Tiantingli (Lepidii Fructus, 0.5 liang), Gan Xiaha (Dry Toad, 1 liang), Gan Dilong (Dry Earthworm, 2 pieces), Luankua Hui (Scalp Hair Ash, 1 fen).
Process: Finely slice and mix. Place in a bamboo tube, set on tile, and roast over stove ash to extract the distillate. Apply sparingly to the child's mouth, nose, crown, neck, and scrotum.

*Taiping Shenghui Fang* Alternative Prescription:
Jing Baiyangrou (Lean White Mutton, 2 liang), Wuyi Ren (Chrysanthemi Fructus, 0.5 liang), Chi (Fermented Soybeans, 1 he), Chuanjiao (Sichuan Pepper, 3-7 grains, remove seeds), Jiangdou (Soybean Paste, 1 spoon).
Process: Mix and grind thoroughly. Take a date-sized amount, apply to sores, changing three times daily.

Manjing Hua (Turnip Flower, harvested with roots during full bloom, dried in shade).
Process: Take a handful of roots/stems, remove ends, wrap in barley flour and soybean paste, roast in charcoal until smoke ceases, cool, add 1 qian of Musk, and grind to powder. Before application, wash with rice water, dry with cloth, then apply. For young children prone to pain, apply sparingly; usually cures within three to four applications. Treats sores in mouth, nose, and lower body.

Tan Shi Xianglian San (Tan’s Fragrant Coptis Powder):
Symptoms: Frequent greenish diarrhea in Ji Gan, excessive sleepiness with frequent startles/restlessness, diarrhea immediately after turning over, dry scorched lips with intense thirst resembling smoking craving.
Ingredients: Huhuanglian (Picrorhizae Rhizoma), Xiongdan (Bear Bile) [each 1 qian]; Dingxiang (Caryophylli Flos), Shexiang (Musk), Lvhui (Aloe) [each 0.5 qian]; Wulingzhi (Trogopterori Faeces), Chijianzhi (Atractylodis Macrocephalae Rhizoma), Bailonggu (Fossilized Bone) [each 1 fen].
Process: Grind to powder. Take 0.5 qian, administer with aged rice gruel. Five to six doses per day and night.

Zhang Huan’s Lisheng Gao (Establishing Sage Ointment): Treating erosive Ji Gan.
Ingredients: Renru (Human Breast Milk, 0.5 he), Huangyan (Yellow Salt, grain-of-millet size), Baifan (White Alum, date-pit size), Shidan (Melanterite, bean-size).
Process: Grind fine, wrap in cotton, soak in breast milk overnight. Once flavored, simmer slowly into an ointment and apply to the mouth. For nasal sores, drip in. For swollen areas, puncture with a triangular needle to drain blood before applying. (*Note: Taiping Shenghui Fang uses Qingfan and Shengma*).

Ding Shifa’s Lvhui Wan (Aloe Pill for Ji Gan):
Symptoms: Frequent greenish diarrhea in Ji Gan, excessive sleepiness, yellowish complexion, angry/red eyes. Frequent administration of Aloe Pills prevents prolonged progression leading to abdominal distension.
Ingredients: Lvhui (Aloe), Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma) [each 1 qian]; Zhusha (Cinnabar, 0.5 qian); Badou (Crotonis Fructus, 1 grain, oil removed).
Process: Grind to powder. Mix with pig bile on rice steam; steam briefly. Add a little Musk and roll into pills of size ○. Take 3-5 pills per dose, swallowed with warm water.