芦圣丸 治冷热新久一切疳证，以此为主。
真芦荟（酒蒸） 五灵脂（炒） 夜明砂（炒） 真广皮（酒炒） 杭青皮（醋炒） 蓬莪术（煨）
使君肉（炒） 南木香（屑） 白当归（炒） 正川芎（酒炒，以上俱各二钱）
官拣参（三钱，切片，焙干） 正川连（姜制） 干蟾蜍（酥炙，俱三钱） 西砂仁（酒炒，二钱）
上为细末，用公猪胆一枚取汁，将前末和匀，粟米糊丸龙眼核大。每服一丸，米饮调下。
一病有切牙舒舌，舌上生疮，爱饮冷水，
唇红面白，喜伏地卧。此心疳也。本方去莪术、砂仁、青皮、陈皮、川芎、木香六味，加生地、茯苓、胆星各
二钱，朱砂、甘草各一钱；
一面青，目生白膜，泄泻夹水或青色，此肝疳也，本方去莪术、砂仁、陈皮、木香四味，加胆草、栀仁、
防风、天麻、蝉蜕各二钱，青黛一钱五分；
一爱食泥土，冷物，饮食无度，身面俱黄，发稀作穗，头大项小，腹胀脚弱，间或泄泻，肌瘦，昼凉夜热，
不思乳食，此脾疳也，专用本方；
一鼻下赤烂，手足枯细，口中腥臭，或作喘嗽，右腮晃白，此肺疳也，本方去莪术、砂仁、青皮、川芎、
木香四味，加桑皮、桔梗、苏叶、阿胶、炙甘草各二钱，外用泽兰叶、铜绿、轻粉，等分为末，贴烂处；
一两耳内外生疮，脚如鹤膝，头缝不合，或齿缝臭烂，变成走马疳，此肾疳也，本方去莪术、砂仁、青皮、
陈皮、木香、灵脂六味，加熟地、茯苓、山药、萸肉各三钱，丹皮、泽泻各二钱；
一食积久而成疳。其证形瘦腹紧，时发潮热，羞见生人，见之则哭，本方去芦荟、灵脂二味，加人参、黄
、白术、茯苓、半夏、枳实、浓朴、炙草、神曲、麦芽、鳖甲、三棱各二钱；
一久泄不止，胃虚成疳，此疳泻也，本方去芦荟、莪术、灵脂三味，加白术、茯苓、肉蔻、诃子各二钱，
加人参三钱；
一久痢不止，胃虚成疳，此疳痢也，本方去芦荟、莪术、青皮、灵脂四味，加诃子肉、建莲肉各三钱；
一疟久未已，胃虚成疳，此必有癖，谓之疳疟，本方去芦荟、灵脂二味，加黄 、鳖甲、柴胡、半夏、神
曲、三棱各二钱，倍人参三钱；
一脑疳，皮毛光急，满头疮饼，脑热如火，发结如穗，遍身多汗，腮肿囟高，令儿
眼痛，其病在肝，本方去莪术、砂仁、青皮、陈皮四味，加胆草、川芎、升麻、羌活、防风各二钱；
一脊疳，虫食脊膂，发热黄瘦，积中生热，烦渴下痢，拍背如鼓鸣，脊骨如锯齿，或十指皆疮，频啮指甲，
宜安虫丸，盖五疳或有停食成积，积久生虫，或如丝发、如马尾，多出于头项背腹之间，虫色黄白赤者可治，
青黑者难治也，安虫丸，即本方去莪术、砂仁、青皮、陈皮、当归、川芎六味，加苦楝根白皮、贯众、芜荑、
槟榔各二钱，名安虫丸∶
一蛔疳，皱眉多哭，呕吐清沫，腹中乍痛，痛时腹中结聚成块，摸之梗起，满肚青筋，唇口紫黑，肠头啮
痒者是也，蛔从口鼻出者难治，宜安虫丸，即上方；
一丁奚疳，手足极细，项小骨高，尻削体瘦，腹大脐突，号叫胸陷者是也，集圣丸本方；
一哺露疳，虚热往来，头骨分开，翻食吐虫，烦躁呕哕者是也，集圣丸本方；
一无辜疳，因浣衣夜露，被无辜鸟落毛所污，小儿服之，身体发热，日渐黄瘦，脑后项边有核如弹丸，按之
随动，软而不痛，其中有虫如米粉，宜刺破其核，以膏药贴之，内以本方去莪术、砂仁、灵脂三味，加黄 、
鳖甲、槟榔各二钱；
一疳热，由于胃脾虚弱，阳浮于外，气不归元，只以补脾为主，使阳气收敛，热自退矣，用参苓白术散多
服为妙，或兼脾阴虚者，间服六味地黄丸；
一疳渴，由胃气下陷，津液不生故也，宜补其胃，使清阳上升，津液渐生，渴自止矣，七味白术散；
一走马疳，虫病也，齿属肾，肾主虚，才受热邪，直奔上焦，初起口臭，名曰臭息，次则齿黑，名曰崩砂，
甚则龈烂，名曰溃漕，有血迸出，名曰宣露，甚至齿皆脱落，名曰腐根。纵得全活，齿不复生，外证脑热肌瘦，
手足如冰，寒热时有，滑泄肚痛，口臭干渴，齿
龈破烂，爪甲黧黑，身多疮疥，痘疹之后，多有此证，不可救治，毒归于肾故也，初起者清胃散，另有治法，
在齿牙本门；
一 病，儿将周岁，母复有娠，儿饮其乳，谓之 （音忮）乳，以成此证，或有母患别病，儿饮其乳，以类母病
者有之，盖母之血气若调，乳则长养精神，血气一病，乳则反为病根，母既妊娠，精华下荫，冲任之脉，不能
上行，气则壅而为热，血则郁而为毒，小儿神气未全，易于感动。其候寒热时作，微微下利，毛发脱落，意殊
不悦，甚则面色萎黄，腹胀青筋，泻青多吐，日渐 羸，竟成疳证，俗以孕在胎中，因儿饮乳，其魄识嫉而致
儿病，故谓之胎妒，龙胆汤；
一骨蒸之病，多起于胃，其始也，邪火上冲而能啖，火消烁而善饥，盖胃为气血之海，气血不足，邪火杀
谷，水谷之精气不足济之，渐成口秽烦躁，夜热朝凉，毛焦口渴，气促盗汗，形如骨立，谓之消瘅。若大便日
十余行，肢瘦腹大，频食多饥，谓之食并，此皆邪火为害，耗伤津液而致者，大肥儿丸。
芦圣丸，用于治疗冷热性质、新发或久患的各种疳证，以此方为主治。
真芦荟（用酒蒸制）五钱，五灵脂（炒制）五钱，夜明砂（炒制）五钱，真广皮（即陈皮，用酒炒）五钱，杭青皮（用醋炒）五钱，蓬莪术（煨制）五钱，使君子肉（炒制）五钱，南木香（研成屑）五钱，白当归（炒制）五钱，正川芎（用酒炒）五钱，以上各药均为二钱；人参（拣选优质者，切片后焙干）三钱；正川连（姜汁制）三钱；干蟾蜍（用酥油炙烤）三钱；西砂仁（用酒炒）二钱。
将上述药物研磨成细末，取一只公猪的胆汁提取汁液，与前药末混合均匀，用粟米糊制成如龙眼核大小的丸剂。每次服用一丸，用米汤送服。
若患儿出现咬牙伸舌、舌上生疮、喜欢喝冷水、嘴唇红而面色白、喜欢趴在地上卧躺等症状，这是心疳。在原方基础上去掉莪术、砂仁、青皮、陈皮、川芎、木香六味药，加入生地、茯苓、胆星各二钱，朱砂、甘草各一钱；
若患儿面色青，眼睛生出白色膜翳，腹泻夹杂水样便或青色便，这是肝疳。在原方基础上去掉莪术、砂仁、陈皮、木香四味药，加入龙胆草、栀子仁、防风、天麻、蝉蜕各二钱，青黛一钱五分；
若患儿喜欢吃泥土和生冷食物，饮食没有节制，全身及面部发黄，头发稀疏且结成穗状，头大颈小，腹部胀满，腿部无力，偶尔腹泻，肌肉消瘦，白天凉爽晚上发热，不想吃奶进食，这是脾疳。专门使用本方（芦圣丸原方）；
若患儿鼻下红肿溃烂，手足枯瘦细小，口中散发腥臭味，或者出现气喘咳嗽，右侧脸颊苍白无血色，这是肺疳。在原方基础上去掉莪术、砂仁、青皮、川芎、木香四味药，加入桑白皮、桔梗、苏叶、阿胶、炙甘草各二钱，外用泽兰叶、铜绿、轻粉，等分研为细末，贴敷于溃烂处；
若患儿双耳内外生疮，脚部肿大如鹤膝，头颅骨缝不合，或者牙缝臭烂，演变成走马疳，这是肾疳。在原方基础上去掉莪术、砂仁、青皮、陈皮、木香、五灵脂六味药，加入熟地黄、茯苓、山药、山茱萸各三钱，牡丹皮、泽泻各二钱；
若因食积日久而成疳。症状表现为形体消瘦、腹部紧绷，时常发作潮热，害怕见陌生人，见到就哭，在原方基础上去掉芦荟、五灵脂两味药，加入人参、黄芩、白术、茯苓、半夏、枳实、厚朴、炙甘草、神曲、麦芽、鳖甲、三棱各二钱；
若长期腹泻不止，因胃虚而成疳，这叫疳泻。在原方基础上去掉芦荟、莪术、五灵脂三味药，加入白术、茯苓、肉豆蔻、诃子各二钱，加入人参三钱；
若长期痢疾不止，因胃虚而成疳，这叫疳痢。在原方基础上去掉芦荟、莪术、青皮、五灵脂四味药，加入诃子肉、建莲肉各三钱；
若疟疾久治不愈，因胃虚而成疳，这必然伴有痞块，称为疳疟。在原方基础上去掉芦荟、五灵脂两味药，加入黄芩、鳖甲、柴胡、半夏、神曲、三棱各二钱，人参用量加倍至三钱；
若患脑疳，皮肤毛发光亮紧绷，满头疮痂如饼，脑部发热如火，头发结如穗状，全身多汗，腮帮肿胀，囟门高突，导致小儿眼痛，病位在肝。在原方基础上去掉莪术、砂仁、青皮、陈皮四味药，加入龙胆草、川芎、升麻、羌活、防风各二钱；
若患脊疳，虫蚀脊柱，发热、面色萎黄消瘦，积滞中生热，烦躁口渴、下痢，拍打背部声音如鼓鸣，脊骨突出如锯齿，或者十个手指都生疮，频繁咬指甲，适宜使用安虫丸。大概五种疳证中可能有停食成积，积久生虫，虫子有的像丝发，有的像马尾，多出现在头项背腹之间，虫色黄白赤色的可治，青黑色的难治。安虫丸，即在本方基础上去掉莪术、砂仁、青皮、陈皮、当归、川芎六味药，加入苦楝根白皮、贯众、芜荑、槟榔各二钱，名为安虫丸；
若患蛔疳，皱眉多哭，呕吐清稀泡沫，腹部突然疼痛，痛时腹部结聚成块，触摸有梗起感，满肚子青筋暴露，嘴唇口角紫黑，肛门瘙痒者是也。蛔虫从口鼻出者难治，适宜使用安虫丸，即上方；
若患丁奚疳，手足极细，颈部小骨头高，臀部削瘦身体羸弱，腹部大肚脐突出，号叫时胸窝凹陷者是也，使用集圣丸，即本方（芦圣丸）；
若患哺露疳，虚热往来，头骨分开，翻胃吐虫，烦躁呕逆者是也，使用集圣丸，即本方（芦圣丸）；
若患无辜疳，因夜间浣洗衣物被无辜鸟落下的羽毛污染，小儿接触后，身体发热，日渐黄瘦，脑后颈部有核如弹丸大小，按压随动，软而不痛，其中有虫如米粉状，适宜刺破其核，用膏药贴敷，内服本方去掉莪术、砂仁、五灵脂三味药，加入黄芩、鳖甲、槟榔各二钱；
若患疳热，由于胃脾虚弱，阳气浮越于外，气不归元，只以补脾为主，使阳气收敛，热自然消退。多用参苓白术散效果妙，如果兼有脾阴虚者，间服六味地黄丸；
若患疳渴，由胃气下陷，津液不生所致，适宜补益胃气，使清阳上升，津液逐渐生成，口渴自然停止，使用七味白术散；
若患走马疳，属于虫病。齿属肾，肾主虚，刚受热邪，直奔上焦。初起口臭，名叫臭息；接着牙齿变黑，名叫崩砂；严重则牙龈腐烂，名叫溃漕；有血迸出，名叫宣露；甚至牙齿全部脱落，名叫腐根。即使保全性命，牙齿也不再生长。外证见脑部热、肌肉消瘦，手足如冰，寒热时有发作，滑泄腹痛，口臭干渴，牙齿牙龈破烂，爪甲黧黑，身上多有疮疥。痘疹之后，多有此证，不可救治，因为毒归于肾的缘故。初起者用清胃散，另有治法，详见齿牙本门；
若患 乳病，婴儿将满周岁，母亲再次怀孕，婴儿继续吸吮母乳，称为“ 乳”（音忮），从而形成此证。或者有母亲患其他疾病，婴儿吸吮乳汁，因而患上类似母亲疾病的也有。大概母亲的气血如果调和，乳汁就能滋养精神；气血一旦有病，乳汁反而成为病根。母亲既然妊娠，精华向下荫蔽，冲任之脉不能上行，气则壅滞而为热，血则郁结而为毒。小儿神气未全，易于感动。其候表现为寒热时作，微微下利，毛发脱落，神情很不愉快，严重时面色萎黄，腹胀青筋，泻青多吐，日渐羸弱，竟成疳证。俗认为孕在胎中，因儿饮乳，其魄识嫉妒而导致儿病，故称之为胎妒，使用龙胆汤；
若患骨蒸之病，多起于胃。起初，邪火上冲而能进食，火消烁而善饥。盖胃为气血之海，气血不足，邪火杀谷，水谷的精气不足来济助，渐渐形成口秽烦躁，夜热朝凉，毛发焦枯口渴，气促盗汗，形如骨立，叫做消瘅。如果大便每日十余次，肢瘦腹大，频食多饥，叫做食并。这都是邪火为害，耗伤津液所致的，使用大肥儿丸。
Lusheng Wan is used to treat all types of gan syndrome (chronic malnutrition and digestive disorder in children), whether cold or hot, new or chronic, serving as the primary formula.
True Aloe Vera (steamed with wine) 5 qian, Trogopterus Dung (stir-fried) 5 qian, Night-bright Sand (stir-fried) 5 qian, True Guangpi (Citri Reticulatae Pericarpium, stir-fried with wine) 5 qian, Hang Qingpi (Exocarpium Citri Grandis, stir-fried with vinegar) 5 qian, Peng Ezhu (Curcumae Rhizoma, baked) 5 qian, Semen Quisqualis (stir-fried) 5 qian, Nanmuxiang (Vladimiria Root, ground into powder) 5 qian, Bai Danggui (Angelica Sinensis, stir-fried) 5 qian, Zheng Chuanxiong (Ligusticum Chuanxiong, stir-fried with wine) 5 qian; all the above herbs are each 2 qian; Ren Shen (Panax Ginseng, selected high-quality slices, baked dry) 3 qian; Zheng Chuanlian (Coptidis Rhizoma, processed with ginger juice) 3 qian; Gan Chan Yu (Dried Toad Skin, roasted with su oil) 3 qian; Xi Sharen (Amomi Fructus, stir-fried with wine) 2 qian.
Grind the above herbs into a fine powder. Extract the juice from one male pig gallbladder, mix it evenly with the herbal powder, and form pills using millet paste, sized like longan seeds. Take one pill per dose, administered with rice water.
If the child exhibits teeth grinding, tongue protrusion, sores on the tongue, preference for cold water, red lips but pale complexion, and a habit of lying prone on the ground, this is Heart Gan Syndrome. Remove Ezhu, Sharen, Qingpi, Chenpi, Chuanxiong, and Muxiang (six herbs) from the base formula, and add Dihuang, Fuling, and Dansheng, each 2 qian, plus Zhusha and Gancao, each 1 qian.
If the child has a bluish-green complexion, white membrane growth in the eyes, diarrhea mixed with watery or green stools, this is Liver Gan Syndrome. Remove Ezhu, Sharen, Chenpi, and Muxiang (four herbs) from the base formula, and add Longdancao, Zhiren, Fangfeng, Tianma, and Chantui, each 2 qian, plus Qingdai 1.5 qian.
If the child craves eating dirt and cold foods, eats without restraint, presents with yellowing of the body and face, sparse hair matted into tufts, large head with a thin neck, abdominal distension, weak legs, occasional diarrhea, emaciation, coolness during the day and fever at night, and loss of appetite for milk and food, this is Spleen Gan Syndrome. Use the base formula exclusively.
If the child has red erosion under the nose, withered and thin limbs, foul-smelling breath, or wheezing cough, and a pale right cheek, this is Lung Gan Syndrome. Remove Ezhu, Sharen, Qingpi, Chuanxiong, and Muxiang (four herbs) from the base formula, and add Sangbai, Jiegeng, Ziye, Ejiao, and Zhigancao, each 2 qian. Externally, apply equal parts of Zelan Ye, Tonglv, and Qingfen ground into powder to the eroded areas.
If the child develops sores inside and outside both ears, knee-like swelling in the legs, unfused cranial sutures, or foul-smelling rotting gums progressing to "Running Horse Gan" (noma), this is Kidney Gan Syndrome. Remove Ezhu, Sharen, Qingpi, Chenpi, Muxiang, and Wulingzhi (six herbs) from the base formula, and add Shudi, Fuling, Shanyao, and Yurou, each 3 qian, plus Danpi and Zexie, each 2 qian.
If gan syndrome results from prolonged food stagnation, presenting with emaciation, tight abdomen, intermittent tidal fever, fear of strangers (crying upon seeing them), remove Lushen and Wulingzhi (two herbs) from the base formula, and add Renshen, Huangqin, Baizhu, Fuling, Banxia, Zhishi, Houpo, Zhigancao, Shenqu, Maiya, Biejia, and Sanleng, each 2 qian.
If chronic diarrhea persists leading to stomach deficiency and gan syndrome, known as Gan Diarrhea, remove Lushen, Ezhu, and Wulingzhi (three herbs) from the base formula, add Baizhu, Fuling, Roukou, and Hezi, each 2 qian, and add Renshen 3 qian.
If chronic dysentery persists leading to stomach deficiency and gan syndrome, known as Gan Dysentery, remove Lushen, Ezhu, Qingpi, and Wulingzhi (four herbs) from the base formula, add Hezirou and Jianlianrou, each 3 qian.
If malaria persists untreated leading to stomach deficiency and gan syndrome, accompanied by masses, known as Gan Malaria, remove Lushen and Wulingzhi (two herbs) from the base formula, add Huangqin, Biejia, Chaihu, Banxia, Shenqu, and Sanleng, each 2 qian, and double the dosage of Renshen to 3 qian.
For Brain Gan Syndrome, characterized by shiny/tight skin and hair, crusty sores all over the scalp, brain heat like fire, hair matted into tufts, profuse sweating, swollen cheeks, bulging fontanelle, and eye pain due to liver pathology, remove Ezhu, Sharen, Qingpi, and Chenpi (four herbs) from the base formula, and add Longdancao, Chuanxiong, Shengma, Qianghuo, and Fangfeng, each 2 qian.
For Spine Gan Syndrome, where parasites eat the spine, causing fever, jaundice, emaciation, internal heat from accumulation, irritability, thirst, and dysentery, with a drum-like sound when patting the back and serrated-looking spine, or sores on all ten fingers with frequent nail biting, use Anchong Wan. Generally, among the five types of gan, food stagnation may lead to accumulation and subsequent parasite generation. Parasites may resemble silk threads or horse tails, often appearing between the head, neck, back, and abdomen. Those that are yellow, white, or red are treatable; those that are blue-black are difficult to treat. Anchong Wan is formulated by removing Ezhu, Sharen, Qingpi, Chenpi, Danggui, and Chuanxiong (six herbs) from the base formula, and adding Kulian Gen Baipi, Guanzhong, Wuyi, and Binglang, each 2 qian.
For Ascariasis Gan Syndrome, characterized by frowning, excessive crying, vomiting clear foam, sudden abdominal pain with palpable masses, exposed abdominal veins, purple-black lips and mouth, and anal itching, if roundworms exit via mouth or nose, prognosis is poor. Use Anchong Wan, which is the aforementioned formula.
For Dingxi Gan Syndrome, characterized by extremely thin limbs, small neck with prominent bones, wasted buttocks, emaciated body, large abdomen with protruding umbilicus, and chest depression during crying, use Jisheng Wan, which is the base formula (Lusheng Wan).
For Bulu Gan Syndrome, characterized by alternating deficiency-heat, separated cranial bones, regurgitation of worms, irritability, and vomiting, use Jisheng Wan, which is the base formula (Lusheng Wan).
For Wugu Gan Syndrome, caused by exposure to laundry washed at night contaminated by feathers from "Wugu" birds. If ingested by children, it causes fever, progressive yellowing and emaciation, and elastic-sized nodes behind the ears/neck that move upon pressure, are soft, painless, and contain rice-flour-like parasites. Puncture the node and apply plaster externally. Internally, use the base formula removing Ezhu, Sharen, and Wulingzhi (three herbs), adding Huangqin, Biejia, and Binglang, each 2 qian.
For Gan Heat, caused by spleen/stomach weakness with floating yang qi failing to return to its source, treatment focuses on tonifying the spleen to收敛 (consolidate) yang qi, allowing heat to subside naturally. Shenling Baizhu San is recommended for frequent use. For cases with concurrent spleen yin deficiency, intermittently administer Liuwei Dihuang Wan.
For Gan Thirst, caused by sinking of stomach qi and failure to generate fluids, treatment involves tonifying the stomach to raise clear yang and gradually generate fluids, stopping thirst naturally. Use Qiwei Baizhu San.
For Running Horse Gan (Noma), a parasitic disease. Teeth belong to the Kidney, and the Kidney governs deficiency. Upon exposure to heat pathogens, the pathogen rushes to the Upper Jiao. Initial halitosis is called "Chouxi"; subsequent blackening of teeth is called "Bengsha"; severe gum rot is called "Kuicao"; bleeding is called "Xuanlu"; complete tooth loss is called "Fugen". Even if survival occurs, teeth do not regrow. External signs include brain heat, emaciation, ice-cold extremities, alternating chills/fever, slippery diarrhea, abdominal pain, halitosis, dry thirst, rotten gums/black nails, and widespread sores. This condition often follows smallpox/variolola and is incurable because the toxin resides in the Kidney. Early stages are treated with Qingwei San (see Dental section for details).
For "Zhi Ru" Disease: When an infant nearing one year old continues breastfeeding while the mother is pregnant, it is called "Zhi Ru" (sound: Zhi), leading to this condition. Alternatively, if the mother suffers from other diseases, the infant may contract similar symptoms through breast milk. Harmonious maternal blood/qi produces nourishing milk; diseased maternal blood/qi becomes the root of illness. During pregnancy, essence descends, blocking the Chong and Ren meridians from ascending, causing qi stagnation (heat) and blood stasis (toxin). Children's spirit/qi is incomplete and easily affected. Symptoms include alternating chills/fever, mild diarrhea, hair loss, irritability, severe cases showing sallow complexion, abdominal distension with visible veins, green diarrhea with vomiting, progressive emaciation, eventually becoming gan syndrome. Folklore attributes this to fetal jealousy ("Tai Du") due to the infant drinking milk while pregnant. Use Longdan Tang.
For Bone-steaming Disease, originating in the Stomach. Initially, evil fire rushes upward allowing eating, then consumes energy causing hunger. The Stomach is the sea of blood/qi; insufficiency leads to evil fire digesting food rapidly. Insufficient essence from food/water fails to nourish, leading to foul breath, irritability, night fever/morning coolness, dry hair/thirst, shortness of breath, night sweats, and skeletal emaciation, termed "Xiaodan". If stool frequency exceeds ten times daily with limb emaciation, abdominal distension, and frequent hunger despite eating, it is termed "Shibing". These result from evil fire damaging fluids. Use Dafei'er Wan.