《圣惠》云∶小儿乳食不消，心腹虚胀，眼目涩痒，体热皮枯，肠胃不调，痢下
五色，渐渐羸瘦，虫蚀肛肠，日月弥深，痢转不止，故号内疳。钱氏云∶疳在内，
则目肿腹胀，利色无常，或沫青白，渐瘦弱，此冷证也，宜使君子丸。
使君子丸 治脏腑滑，及疳瘦下痢，腹胁胀满，不思乳食，常服安虫补胃，消疳肥肌。
浓朴（去粗皮，姜汁涂炙，半两） 使君子（去壳，一两，面裹煨） 陈皮（去白，一分） 甘草（炙，锉，半两）
诃
子（半两，半生半煨，去核） 青黛（半两，是兼惊及带热渴者，宜此方，如只脏腑不调，不用青黛）
上为细末，炼蜜和丸，如小鸡头大。每服一丸，米饮化下，儿生百日以上、三
岁以下服半丸，乳汁化下。元方，无青黛。
东垣浓肠丸 治小儿失乳，以食饲之，不能克化，或生腹胀，四肢瘦弱，或利色无常。
陈皮 半夏 苍术 人参（各三分） 麦 枳壳 曲末（各五分） 青皮 浓朴（各二分）
上为细末，面糊丸，如麻子大。每服二十丸，温汤送下。忌饱食。
张涣金粟丹 治腹大疳瘦，好吃泥土，泄利不调。
干蟾（五枚，酥炙焦黄） 川黄连（夏用二两，冬用一两） 母丁香 浓朴（姜汁制） 草龙胆（各一两） 夜
明砂（微炒） 蝉壳（洗） 诃子皮（微炮。各半两。以上捣罗为细末，次用） 好朱砂（细研，水飞） 青黛（研，
各一两） 好麝香（半两，研）
上件一处拌匀，用炼蜜一半、白面糊一半，和如黍米大。每服十粒，米饮下，
不拘时候，量儿大小加减。
《本事》芎朴丸 治小儿疳瘦，泻白水，腹胀。
芎 浓朴（各一两） 白术（半两）
上为细末，炼蜜丸，如小弹子大。每服一丸，米饮化下，三岁以下半丸。
小儿腹大泄泻，水谷不化，吃食不知饥饱，累效。
神曲（炒） 麦芽（炒） 三棱 青皮 香附 山楂 浓朴 甘草 藿香 枳实 地黄
砂仁 黄连 枣子（各等分）
上为末。白汤调下，量儿加减。
《圣惠》木香丸 治小儿内疳，乳食不调，心腹胀满，肌肤羸瘦，下痢无常。
木香 蝉壳（微炒，去足） 麝香（细研） 黄连（去须） 黄丹（微炒） 熊胆（研入） 夜明砂（微炒） 干
蟾
（涂酥，炙微焦。各一分） 赤石脂（半两） 肉豆蔻（一颗，去壳） 田父（半两，炙令微黄）
上件药捣，罗为末，用水浸蒸饼丸，如麻子大。每服，以温粥饮下二丸，量儿
大小，以意加减。
芦荟丸 治小儿内疳，四肢羸瘦，腹胀鼻痒，皮肤干燥，下痢不常。
芦荟 雄黄（各细研） 没石子 蝉壳（微炒，去足） 蛇蜕皮（灰） 丁香 熊胆（研入。各一分） 麝
香（细研） 蟾酥（研入。各一钱） 黄连（半两，去须）
上件药捣，罗为末，炼蜜、和丸如黄米粒大。每服以粥饮下三丸，日三服，别
研一丸，吹入鼻中，量儿大小，以意加减。《圣惠》又收治疳痢。
麝香散 治小儿内疳，下痢不止，肌体消瘦，诸治未瘥。
麝香 芦荟（各细研） 蛇蜕皮（灰） 夜明砂（微炒） 蜗牛壳 黄连（去须，微炒） 没石子（各一分）
黄丹 定粉（各微炒，一两） 诃梨勒（半两，煨，用皮）
上件药捣，细罗为散，都研令匀。每服以粥饮调下半钱，早辰午后各一服，看儿大小，加减服之。
胡粉丸 治小儿内疳，下痢不止，昏沉多睡。
胡粉（微炒） 青黛（细研。各半两） 黄连（末，一两，微炒） 麝香（一钱）
上件药同研令细，以猪胆一枚取汁、和丸如黄米粒大。不计时候，以粥饮下五
丸，量儿大小以意加减。
《谭氏殊圣》宝命丹 治内疳。
皂角（一两，炙令焦黑色，去皮为末，三分） 巴豆（二七个，去心膜，细研，新瓦上出油了，用之） 雄雀儿粪
（二钱）
上细末，以粟米饭丸，绿豆大。空心，温水下三丸。
《圣惠方》记载：小儿乳食不消化，心腹部虚胀，眼目干涩发痒，身体发热皮肤枯槁，肠胃功能失调，痢疾排出五色脓血，逐渐消瘦，虫蚀肛门直肠，病程日久加深，痢疾转为持续不止，因此称为内疳。钱乙说：疳证病位在内，则出现眼睑肿胀、腹部胀满，大便颜色无常，或呈泡沫状青白色，逐渐瘦弱，这是冷证，适宜使用使君子丸。
使君子丸：治疗脏腑滑脱，以及疳积消瘦下痢，腹胁部胀满，不想吃奶和食物，常服可安虫补胃，消除疳积，使肌肉丰满。
药材：浓朴（去除粗皮，用姜汁涂抹后炙烤，半两）、使君子（去壳，一两，用面粉包裹煨制）、陈皮（去除白瓤，一分）、甘草（炙烤，切碎，半两）、诃子（半两，一半生用，一半煨制，去核）、青黛（半两，如果是兼有惊风及伴有热渴症状的，适宜用此方；如果只是脏腑不调，不用青黛）。
以上药物研为细末，用炼蜜调和制成丸药，大小如小鸡头。每次服用一丸，用米汤化开送下；出生百日以上、三岁以下的幼儿服用半丸，用乳汁化开送下。原方中没有青黛。
李东垣的浓肠丸：治疗小儿断奶后，以普通食物喂养，不能消化，或者产生腹胀，四肢瘦弱，或者大便颜色无常。
药材：陈皮、半夏、苍术、人参（各三分）、麦曲、枳壳、神曲末（各五分）、青皮、浓朴（各二分）。
以上药物研为细末，用面糊制成丸药，大小如麻子。每次服用二十丸，用温开水送下。忌饱食。
张涣的金粟丹：治疗腹部大、疳积消瘦，喜欢吃泥土，泄泻痢疾不调。
药材：干蟾（五枚，用酥油炙烤至焦黄）、川黄连（夏季用二两，冬季用一两）、母丁香、浓朴（姜汁炮制）、草龙胆（各一两）、夜明砂（微炒）、蝉蜕（洗净）、诃子皮（微炮制。各半两。以上捣碎过筛为细末，备用）、好朱砂（细研，水飞法处理）、青黛（研细，各一两）、好麝香（半两，研细）。
以上药物拌匀，用一半炼蜜、一半白面糊调和，制成如黍米大小的丸药。每次服用十粒，用米汤送下，不限时候，根据幼儿大小增减剂量。
《本事方》的芎朴丸：治疗小儿疳积消瘦，泻出白水，腹部胀满。
药材：川芎、浓朴（各一两）、白术（半两）。
以上药物研为细末，用炼蜜制成丸药，大小如小弹子。每次服用一丸，用米汤化开送下，三岁以下幼儿服用半丸。
对于小儿腹部大、泄泻，水谷不消化，吃东西不知饥饱，屡试屡效。
药材：神曲（炒）、麦芽（炒）、三棱、青皮、香附、山楂、浓朴、甘草、藿香、枳实、地黄、砂仁、黄连、枣子（各等分）。
以上药物研为粉末。用白开水调服，根据幼儿情况增减剂量。
《圣惠方》的木香丸：治疗小儿内疳，乳食不调，心腹胀满，肌肤消瘦，下痢无常。
药材：木香、蝉蜕（微炒，去足）、麝香（细研）、黄连（去须）、黄丹（微炒）、熊胆（研入）、夜明砂（微炒）、干蟾（涂酥油，炙烤微焦。各一分）、赤石脂（半两）、肉豆蔻（一颗，去壳）、田父（半两，炙烤令微黄）。
以上药物捣碎，过筛为粉末，用水浸泡蒸饼制成丸药，大小如麻子。每次服用，用温粥饮送下两丸，根据幼儿大小，酌情增减。
芦荟丸：治疗小儿内疳，四肢消瘦，腹部胀满鼻痒，皮肤干燥，下痢无常。
药材：芦荟、雄黄（各细研）、没石子、蝉蜕（微炒，去足）、蛇蜕皮（灰）、丁香、熊胆（研入。各一分）、麝香（细研）、蟾酥（研入。各一钱）、黄连（半两，去须）。
以上药物捣碎，过筛为粉末，用炼蜜调和，制成如黄米粒大小的丸药。每次用粥饮送下三丸，每日三次，另外研细一丸，吹入鼻中，根据幼儿大小，酌情增减。《圣惠方》又收治疳痢的方法。
麝香散：治疗小儿内疳，下痢不止，肌体消瘦，各种治疗未痊愈。
药材：麝香、芦荟（各细研）、蛇蜕皮（灰）、夜明砂（微炒）、蜗牛壳、黄连（去须，微炒）、没石子（各一分）、黄丹、定粉（各微炒，一两）、诃梨勒（半两，煨，只用皮）。
以上药物捣碎，细罗为散，全部研匀。每次用粥饮调服半钱，早晨和午后各服一次，看幼儿大小，加减服用。
胡粉丸：治疗小儿内疳，下痢不止，昏沉多睡。
药材：胡粉（微炒）、青黛（细研。各半两）、黄连（末，一两，微炒）、麝香（一钱）。
以上药物同研极细，取一个猪胆汁的汁液，调和制成如黄米粒大小的丸药。不限时候，用粥饮送下五丸，根据幼儿大小酌情增减。
《谭氏殊圣》的宝命丹：治疗内疳。
药材：皂角（一两，炙烤令焦黑色，去皮为末，取三分）、巴豆（二十七个，去心膜，细研，在新瓦上除去油脂后使用）、雄雀儿粪（二钱）。
以上为细末，用粟米饭制成丸药，绿豆大小。空腹时，用温水送下三丸。
According to *Shenghui Fang* (Prescriptions from the Holy Healer): When infants and children fail to digest milk and food, they experience empty distension in the heart and abdomen, dryness and itching of the eyes, body heat with withered skin, dysfunction of the intestines and stomach, dysentery discharging five-colored pus and blood, gradual emaciation, intestinal parasites eroding the anus and rectum. As the disease progresses over days and months, the dysentery becomes persistent; hence it is termed "Nei Gan" (Internal Wasting-Thirst). Qian Yi stated: When Gan syndrome is located internally, there is swelling of the eyelids and abdominal distension, variable stool color, or frothy greenish-white discharge, leading to gradual weakness; this is a Cold Syndrome, suitable for treatment with Shijunzi Wan (Quisqualis Pill).
Shijunzi Wan: Treats organ slippage, as well as wasting-thirst with emaciation and dysentery, distension in the abdomen and hypochondrium, loss of appetite for milk and food. Regular use calms parasites, tonifies the stomach, eliminates wasting-thirst, and promotes muscle gain.
Ingredients: Houpo (Magnoliae Officinalis Cortex, removed coarse bark, coated with ginger juice and roasted, 15g), Shijunzi (Quisqualis Indicae Fructus, shelled, 30g, wrapped in flour and roasted), Chenpi (Citri Reticulatae Pericarpium, white pith removed, 3g), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, cut, 15g), Hezi (Terminaliae Chebulae Fructus, 15g, half raw, half roasted, pips removed), Qingdai (Indigo Naturalis, 15g; indicated if accompanied by fright and heat-thirst; omit if only organ dysfunction exists).
Grind the above into fine powder, mix with refined honey to form pills the size of a small chicken egg. Take one pill per dose, dissolved in rice water. For infants over 100 days old and under three years old, take half a pill, dissolved in breast milk. The original formula does not contain Qingdai.
Li Dongyuan's Nongchang Wan: Treats infants who have been weaned and fed solid food they cannot digest, resulting in abdominal distension, weak limbs, or variable stool color.
Ingredients: Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Cangzhu (Atractylodis Rhizoma), Renshen (Ginseng Radix) (each 9g), Maiqu (Fermented Wheat Mass), Zhike (Aurantii Fructus Immaturus), Qumo (End of Fermented Wheat Mass) (each 15g), Qingpi (Aurantii Fructus Immaturus Pericarpium), Houpo (Magnoliae Officinalis Cortex) (each 6g).
Grind the above into fine powder, mix with wheat paste to form pills the size of hemp seeds. Take twenty pills per dose, with warm water. Avoid overeating.
Zhang Huan's Jinshu Dan: Treats large abdomen, wasting-thirst emaciation, craving for eating soil, and irregular diarrhea/dysentery.
Ingredients: Ganchan (Bufo Glandula Venena, five pieces, roasted with butter until yellow and charred), Chuanhuanglian (Coptidis Rhizoma, 60g in summer, 30g in winter), Mudingxiang (Syzygii Aromatici Flos), Houpo (Magnoliae Officinalis Cortex, prepared with ginger juice), Caolongdan (Gentianae Radix) (each 30g), Yemingsha (Stercoris Vespertilionis), Chanqiao (Cicadae Periostracum, washed), Hezipi (Pericarpium Terminaliae Chebulae, lightly roasted. Each 15g. Grind these into fine powder and set aside), Zhusha (Cinnabaris, finely ground and levigated with water), Qingdai (Indigo Naturalis, ground. Each 30g), Muxiang (Moschus, high quality, 15g, ground).
Mix all ingredients evenly, using half refined honey and half white flour paste to form pills the size of millet grains. Take ten pills per dose, with rice water, at any time, adjusting dosage according to the child's age and size.
*Xibanshi Fang*'s Xiongpou Wan: Treats pediatric wasting-thirst with emaciation, watery diarrhea, and abdominal distension.
Ingredients: Xiong (Ligustici Chuanxiong Rhizoma), Houpo (Magnoliae Officinalis Cortex) (each 30g), Baizhu (Atractylodis Macrocephalae Rhizoma, 15g).
Grind the above into fine powder, mix with refined honey to form pills the size of small marbles. Take one pill per dose, dissolved in rice water; half a pill for children under three years old.
Effective for pediatric abdominal distension and diarrhea where food and water are not digested, and the child eats without knowing satiety.
Ingredients: Shenqu (Massa Medicata Fermentata, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried), Sanleng (Sparganii Rhizoma), Qingpi (Aurantii Fructus Immaturus Pericarpium), Xiangfu (Cyperi Rhizoma), Shanzha (Crataegi Fructus), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Huoxiang (Pogostemonis Herba), Zhishi (Aurantii Fructus Immaturus), Dihuang (Rehmanniae Radix), Sharen (Amomi Fructus), Huanglian (Coptidis Rhizoma), Zaozi (Jujubae Fructus) (equal parts).
Grind into powder. Mix with plain boiled water for administration, adjusting dosage according to the child's condition.
*Shenghui Fang*'s Muxiang Wan: Treats pediatric internal wasting-thirst, indigestion of milk and food, heart and abdominal distension, emaciated skin and muscles, and irregular dysentery.
Ingredients: Muxiang (Aucklandiae Radix), Chanqiao (Cicadae Periostracum, lightly roasted, legs removed), Muxiang (Moschus, finely ground), Huanglian (Coptidis Rhizoma, mustards removed), Huangdan (Minium, lightly roasted), Xiongdan (Ursi Bile), Yemingsha (Stercoris Vespertilionis, lightly roasted), Ganchan (Bufo Glandula Venena, coated with butter, roasted until slightly charred. Each 3g), Chishizhi (Halloysit Rubra, 15g), Roudoukou (Myristicae Semen, one piece, shelled), Tianfu (Radix Codonopsis? Note: Text says Tianfu, likely a specific local herb or typo for another root, kept as Tianfu), 15g, roasted until slightly yellow).
Grind the above medicines, sieve into powder, soak steamed dough cakes in water to form pills the size of hemp seeds. Take two pills per dose with warm porridge water, adjusting according to the child's size.
Luhui Wan: Treats pediatric internal wasting-thirst, emaciated limbs, abdominal distension with nasal itching, dry skin, and irregular dysentery.
Ingredients: Luhui (Aloe), Xionghuang (Realgar) (each finely ground), Meishizi (Terminalia Chebula Retz. fruit extract?), Chanqiao (Cicadae Periostracum, lightly roasted, legs removed), Shetui (Serpentis Shed Skin, ash), Dingxiang (Syzygii Aromatici Flos), Xiongdan (Ursi Bile, mixed in. Each 3g), Muxiang (Moschus, finely ground), Chansu (Bufonis Venenum, mixed in. Each 3g), Huanglian (Coptidis Rhizoma, 15g, mustards removed).
Grind the above medicines, sieve into powder, mix with refined honey to form pills the size of yellow rice grains. Take three pills per dose with porridge water, three times daily. Additionally, grind one pill separately and insufflate into the nose, adjusting according to the child's size. *Shenghui Fang* also records treatments for Gan dysentery.
Shexiang San: Treats pediatric internal wasting-thirst, persistent dysentery, emaciation, and cases where other treatments have failed.
Ingredients: Muxiang (Moschus), Luhui (Aloe) (each finely ground), Shetui (Serpentis Shed Skin, ash), Yemingsha (Stercoris Vespertilionis, lightly roasted), Woniuqiao (Cochleae Concha), Huanglian (Coptidis Rhizoma, mustards removed, lightly roasted), Meishizi (Terminalia Chebula Retz. fruit extract) (each 3g), Huangdan (Minium), Dingfen (Cerussa? Or similar lead compound, lightly roasted. Each 30g), Helile (Terminaliae Chebulae Pericarpium, 15g, roasted, using only the peel).
Grind the above medicines, sieve into fine powder, and mix thoroughly. Take half a qian (approx. 1.5-3g) per dose mixed with porridge water, once in the morning and once in the afternoon, adjusting dosage according to the child's size.
Hufen Wan: Treats pediatric internal wasting-thirst, persistent dysentery, lethargy and excessive sleepiness.
Ingredients: Hufen (Cerussa/Lead White, lightly roasted), Qingdai (Indigo Naturalis, finely ground. Each 15g), Huanglian (Coptidis Rhizoma, powdered, 30g, lightly roasted), Muxiang (Moschus, 3g).
Grind the above medicines together until very fine. Extract juice from one pig gallbladder and mix to form pills the size of yellow rice grains. Take five pills per dose with porridge water at any time, adjusting according to the child's size.
*Tan Shi Shu Sheng*'s Baoming Dan: Treats internal wasting-thirst.
Ingredients: Zaojiao (Gleditsiae Sinensis Spina, 30g, roasted until blackened, peeled and powdered, take 9g), Badou (Crotonis Fructus, 27 kernels, remove heart membrane, grind finely, press on new tile to remove oil, then use), Xiongque'er Fen (Excrement of Male Sparrow, 6g).
Grind into fine powder, form pills with millet rice paste, the size of mung beans. Take three pills on an empty stomach with warm water.