Mr. Mao: Children suffering from the syndrome of Zhong Gan Diarrhea (Middle-type Malnutrition with Diarrhea) present with emaciation and weakness throughout the body, abdominal distension, excessive thirst, and continuous loose stools. In ten bowel movements, three to five may vary in consistency, and worms may be present in the feces. This is caused by excessive accumulation of Gan malnutrition pathogens, leading to improper digestion of food in the abdomen. Treatment should first employ Qingjin Dan (Green Gold Pill), see Accumulation Section; Xianglian San (Cinnamon and Coptis Powder), see All Diarrhea Section; and Ruxiang San (Frankincense Powder), see All Diarrhea Section for regulation, after which recovery occurs. Regularly administer Baotong Wan (Child-Protecting Pill), see All Gan Sections.

The Song of Thirty-Six Types of Gan Diarrhea and Diarrheal Symptoms from *Shibi Jing* (Stone Wall Classic):
White lips, dry hair, and bluish forehead indicate definite accumulation and frequent fright. The abdomen protrudes high with masses like eggs; diarrhea resembles dregs with a yellowish hue. Do not use hot medicines to forcibly stop diarrhea; if stopped, sounds will arise in the intestines. When thirst strikes, fever suddenly appears; swelling from deficient wind is more alarming.

This condition arises from dietary indiscretion or improper feeding (Jiaoru), resulting in such symptoms. There are sheet-like masses in the abdomen, some the size of an egg, others like two or three dates. Hence diarrhea occurs, with feces resembling dregs; hair becomes stiff, complexion lacks luster, appearing blue-yellow; eyes often roll upward. One must distinguish water and grain metabolism; mild medicines harmonizing Qi will lead to recovery. If medicines are too hot, swelling ensues leading to death.

The song for this syndrome in *Fengsui Jing* (Phoenix Marrow Classic) is identical. A note states: It is suitable to administer Xingxing Wan (Awakening Pill), see this section; Yinbai San (Silver White Powder), see Cholera Section (*Yujue* agrees).

The song for forty-eight types of Gan and Diarrhea syndromes in *Xiao'er Xingzheng Lun* (Discussion on Infant Forms and Syndromes) is identical. It further states: This syndrome results from overeating or fright, with white lips as a sign. If diarrhea does not cease and redness (heat signs) is present, hot medicines are contraindicated, nor is simple Qi-harmonizing appropriate. Instead, administer medicines treating fright and accumulation, followed by Chensha Wan (Cinnabar Pill) for Gan injury, see this section.

*Xianren Shuijian* (Immortal's Water Mirror) Fenshuang Wan: Treats infant Gan and all types of diarrhea.
Fenshuang (Calomel), Baidingxiang (White Tawny Owl Dropping), each 1 qian; Badou (Croton Seed), 2 pieces (without releasing oil).
Grind into powder, mix with mashed rice to form pills of size Xu ○. Administer 2 pills per dose with well-water drawn at dawn.

Qian Yi Moshizi Wan: Treats diarrhea, white turbidity, Gan dysentery with slippery intestines, and abdominal pain.
Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), each 1 fen; Moshizi (Terminalia Chebula Retz.), 1 piece; Doukourén (Cardamomi Semen), 2 pieces; Hezirou (Myrobalani Fructus), 3 pieces.
Grind into fine powder, mix with rice to form pills the size of hemp seeds. Take with rice drink. Adjust dosage according to age; take before meals.

*Boji* Huhuanglian Wan: Treats Gan disease with diarrhea and dysentery.
Huhuanglian (Picrorhizae Rhizoma), Dingxiang (Caryophylli Flos), Miduoseng (Lithargyri), each half liang; Roudoukou (Myristicae Semen), 1 piece; Binglang (Arecae Semen), 1 piece; Hongxue (Red Snow/Saltpeter), 1 liang; Hezi (Myrobalani Fructus), 1 raw, 1 roasted.
Grind finely, add 1 fen of Shexiang (Moschus), a little Lvdoumo (Mung Bean Powder), and make water pills the size of hemp seeds. For 3-year-olds, 1 pill; for 5-year-olds, up to 5 pills. For Nao Gan (Brain Gan) with nasal itching and redness/ulceration, take with Huanglian Tang (Coptis Decoction); for Pi Xu (Spleen Deficiency) with emaciation, diarrhea/dysentery, and limb edema, take with Qingzhou Zao Tang (Qingzhou Date Decoction); for Gan Gan (Liver Gan) with dry eyes and sores, take with Gancao Tang (Licorice Decoction); for Gu Gan (Bone Gan) preferring cold floors and geophagia, take with Zisu Cha (Perilla Tea), regularly with rice drink; for Fei Gan (Lung Gan) with wheezing, take with Jupi Tang (Tangerine Peel Decoction); for Jin Gan (Sinew Gan) with bloody diarrhea, take with Yantang (Salt Water); for Gan worms and irregular diarrhea, take with Shengjiang Tang (Ginger Decoction).

Qian Yi Rusheng Wan: Treats cold-heat Gan diarrhea.
Huhuanglian (Picrorhizae Rhizoma), Bai Wuyi (Chuanbei Fructus, fried), Chuan Huanglian (Coptidis Rhizoma), each 2 liang; Shijunzi (Quisqualis Fructus), 1 liang; She (Moschus), half qian; Gan Xiaha (Dried Toad), 5 pieces (simmered in wine to paste).
Grind into powder, mix with paste to form pills the size of hemp seeds. Take with Ren Shen Tang (Ginseng Decoction). For 2-3 year olds, 5-7 pills. Take anytime.

*Baojian* Chihu Wan: Treats various types of Gan diarrhea.
Zhusha (Cinnabaris), Huhuanglian (Picrorhizae Rhizoma), Xuanlian (Coptidis Rhizoma), Lvhui (Aloe), Nifen (Calomel), each 1 qian; Roudoukou (Myristicae Semen, processed), 1 piece; Badou (Croton Seed), 21 grains (fried with bran until black); Liuhuang (Sulfur), 2 qian; She (Moschus), a little.
Grind, bind with millet paste into pills the size of radish seeds. Dissolve in Gancao Tang (Licorice Decoction). One pill for one-year-olds. Zhu’s formula lacks Fenhuang.

*Liangfang* treats persistent Gan diarrhea without day or night limits, leading to gradual emaciation. Wu Po San
Taogen Bapi (Peach Root Bark), Huangbai (Phellodendri Cortex, honey-fried), Huanglian (Coptidis Rhizoma), each 1 fen; Houpo (Magnoliae Officinalis Cortex, ginger-fried), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Dingxiang (Caryophylli Flos), each 1 qian; Moshizi (Terminalia Chebula Retz.), half qian; Lian Gen Bapi (Toona Root Bark), half fen; Wuyi (Chuanbei Fructus), 1 fen.
Grind into powder. Dose: "Yi Zi" (a measure approx. 0.5-1g); for 3 years old, half qian; for 6 years old, 1 qian. Mix with Zisu (Perillae Folium), Mugua (Chaenomelis Fructus), and rice drink. Take before milk/food, three times daily. Effective for all Gan diarrhea. Properties slightly warm; not suitable for sudden heat diarrhea.

*Jubao* treats Gan diarrhea and diarrhea/dysentery in late summer/early autumn. Xianglian Wan
Muxiang (Aucklandiae Radix), 1 fen; Chuan Huanglian (Coptidis Rhizoma), half liang; Moshizi (Terminalia Chebula Retz.), 1 piece; Roudoukou (Myristicae Semen), 2 pieces; Hepi (Myrobalani Pericarpium), 3 pieces; Hujiao (Piperis Longi Fructus), 40 grains.
Wuzhuyu (Evodiae Fructus), 1 he, stir-fry slowly until purple, remove Wuzhuyu. Grind remaining ingredients into powder, bind with wine paste into pills the size of hemp seeds. Take 10 pills with Gancao Tang (Reed Catkin Decoction), empty stomach before meals, three to four times daily.

Liu Shi treats Gan abdominal distension, excessive thirst, frequent passage of foul white purulent blood or dysentery. Limb pain, yellowish emaciation, Gan worms biting the heart, frequent vomiting of green fluid, anorexia. Suitable for infants to ten years old. For summer Gan diarrhea, expels evil substances immediately stopping symptoms. Shexiang Wan
One large live Bufo (Toad), 10 Badou (Croton Seeds) intact. Place Badou in Bufo's mouth, keep in jar until Bufo dies naturally. Remove Badou, wash Bufo inside and out, remove viscera, cut into segments. Grind Badou into flour-like powder. Combine with 2 sheng water and Bufo segments in a silver pot. Simmer on gentle fire until soft. Remove bones, add non-grain alcohol and simmer.
Yeming Sha (Nyctibiidae Excrement), 1 liang; Xuanlian (Coptidis Rhizoma), Da Wuyi (Chuanbei Fructus), each 2 liang. (Simmer these with the paste until syrupy, then add following herbs): Zhusha (Cinnabaris), 1 fen; Heshi (Carpesii Fructus, fried on paper until green); Lvhui (Aloe); She (Moschus), each half liang.
Grind into powder, mix with previous paste, form pills the size of mung beans. Dry in sun. For 1-year-old, start with 1 pill, gradually increase to 2 pills for older children, adjust accordingly.

Huhuanglian Yin: Treats intermittent Gan-heat diarrhea, fluctuating appetite, yellow face, dark marrow, progressive emaciation.
Huhuanglian (Picrorhizae Rhizoma), Huang Yaozi (Dioscoreae Hypoglaucae Rhizoma), Renshen (Ginseng Radix), Gancao (Licorice Root, roasted), Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix), equal parts. Cut into pieces, dose 2 qian. Add 1 sheng water, 7 cun tender peach branch, 7 cun willow branch, a few Wumei (Mume Fructus). Decoct to 8 fen. Clarify, divide into two doses. Take after meals and before bed. Effective if urine is red; stop when urine clears. Promotes muscle growth and appetite. Generally suitable for children under fifteen.

Wang Shi treats Gan abdominal distension and diarrhea. Wubi Wan
Qingjupi (Citri Reticulatae Pericarpium Viride), 1 piece; Badou (Croton Seed), 7 grains. Tie with hemp skin, fry with bran until smoke appears, remove Badou. Sieve Qingjupi into powder, bind with vinegar paste into pills the size of mung beans, coat with Zhusha (Cinnabaris). Take 5-7 pills with aged rice drink. Effective within several days.

Ji Shi treats Gan diarrhea, anorexia, and abdominal distension. Lvhui Wan
Dingxiang (Caryophylli Flos), Roudoukou (Myristicae Semen, peeled), Muxiang (Aucklandiae Radix), each half liang. Wrap in dough, bake slowly until cooked. Add Lvhui (Aloe), 1 liang; Shijunzi (Quisqualis Fructus), half liang. Grind into powder, bind with thin paste into pills the size of millet seeds. Take 10-20 pills with rice drink.