杨氏云∶肝疳者，由乳食不调，肝脏受热所致也。若乳母寒温不调，滋味不节，
或外感风寒，内伤喜怒，邪气未散，遽以乳儿，多成风疳。肝者，眼之候，上膈伏
热，痰涎壅滞，以致肝风入眼，赤肿翳生，眵泪烂眶，痛痒揉擦，昏暗雀盲，甚至
经月合眼，亦名疳眼。外证摇头揉目，白膜遮睛，眼青泪多，头焦发竖，筋青脑热，
甲痒筋挛，燥渴汗多，下痢疮癣是也。钱氏以地黄丸主之（肾）。杨氏以天麻丸、生
熟地黄汤、主之。曾氏调肝，用 归汤。
天麻丸 治肝疳、风疳、疳眼。
青黛 川黄连 天麻 五灵脂 夜明砂（微炒） 川芎 芦荟（各二钱） 龙胆草 防风
蝉蜕（去足。各一钱半） 全蝎（二枚，焙） 麝香（少许） 干蟾头（炙焦，三钱）
上为末，猪胆汁浸糕，丸麻子大。每服十丸，薄荷汤下。
生熟地黄汤 治疳眼闭合不开，内有朦雾。
生地黄 熟地黄（各半两） 川芎 赤茯苓 枳壳（炒） 杏仁（水浸，去皮） 川黄连 半夏曲
天麻 地骨皮 甘草（炙） 当归（各二钱半）
上锉散。每服二钱，生姜三片，黑豆十五粒，水煎，温服。
归汤 治小儿禀赋素弱，豆疮出不快者。及肝虚目视不明。
黄 （一两，蜜水涂炙） 当归（酒洗焙干） 白芍药 川芎（各半两） 甘草（三钱，炙）
上件， 咀。每服二钱，水一盏，煎七分，无时温服。
〔张涣〕熊胆天麻丹 治风疳羸瘦，摇头揉目，百脉拘急。
天麻 羌活 真熊胆 蝉壳 使君子（去壳） 胡黄连（各一两） 芦荟 干蟾（酥炙黄，各半两）
上件捣，罗为细末，粳米饭和，如黍米大。每服十粒，煎荆芥汤下，量儿大小加减。
乌蟾丹
乌蛇（酒浸去皮骨，炙令黄） 干蟾（酥、炙黄） 蛇蜕皮（烧灰。各一两） 胡黄连（半两，以上，捣罗为细末，
次用） 真芦荟 麝香 熊胆（各二钱半并细研）
上件，同拌匀，以粟米饮和，如黍米大。每服十粒，煎薄荷汤下，乳前。
《庄氏家传》治小儿风疳，顺肝气，进饮食。芦荟丸
芦荟（一钱，别研秤，或只以皂角水磨） 草龙胆（一两，净洗，锉、焙干秤）
上件药一处捣罗为末，用不 皂角三铤，以水二升 汁，用生绢滤去滓，入银
器内慢火熬成膏，入前二味药调和得所，丸如绿豆大。每服三丸至五丸，薄荷汤吞下。
《汉东王先生家宝》治小儿风疳，气攻项下生核子。皂角膏方
皂角（大者、一茎，烧，存性） 糯米（一合，炒黑色） 草乌头（二钱，生） 黄皮（一钱，炒黑色）
上为末。每用不拘多少，以井华水调贴。如未安，须用水精丹取后，用调气、
观音、人参散、等药补，仍再贴，兼与疳药相间服。
神妙观音散 补虚，调胃气，进乳食，止吐泻，久不进食。
白扁豆（微炒） 石莲肉（炒，去心） 人参（焙。各一分） 茯苓（一钱半，焙） 甘草（炙） 香白芷 绵黄
（捶碎，用蜜水拌炙） 木香（炒。各一钱） 神曲（二钱）
上为末。每服婴孩一字，二三岁半钱，四五岁一钱，用水一药注或半银盏，枣
子半片，煎十数沸，服。
人参散 补虚，谓胃气，进乳食，止吐泻。
人参 茯苓 莲肉（去心、炒。各一分） 黄 （半两，捶，蜜水拌炙） 甘草（二钱，炙）
上为末。每服婴孩一字，二三岁半钱，四五岁一钱，以水一药注或半银盏，入
枣子半片，煎十数沸，服。
庄氏第六候头生疮，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） 龙脑 麝香（各一钱）
上，为末，软饭丸，如麻子大。粟米饮下三丸。只可两服。
治小儿手足动，眼目不开，有时语笑，或即嗔怒，兼多惊，手指甲青，状形似死，妄称天 。
通神丸
茯苓 龙齿（各。煨半两） 铅丹 胡黄连（各一分） 银箔（五片） 麝香（一钱） 钓藤（一两，煨）
上为末，炼蜜丸，麻子大。每十丸，米饮下。（庄氏第二十二候用此方）
第三风疳，小儿手足拘挛，眼目不开，有时自笑，或嗔怒惊叫，手爪甲青，状似鬼
形，已似天 。须服金箔茯苓散
金箔（五片） 茯苓 牛膝 胡黄连（各一两） 龙骨（一分） 木香 麝香（各一钱）
上件为末。每服一字，米饮下，日二服。忌油腻。
杨氏说：肝疳，是由于乳食不调，肝脏受热所致。如果乳母寒温调节不当，饮食滋味不节制，或者外感风寒，内伤于喜怒情绪，邪气未散，就急忙给婴儿哺乳，多会形成风疳。肝是眼睛的征候所在，上膈有伏热，痰涎壅滞，导致肝风入眼，出现眼睛红肿胀痛、生翳、眼屎多流泪、眼眶溃烂、疼痛瘙痒而揉擦、视力昏暗甚至雀盲（夜盲），甚至长达一个月闭眼不开，这也称为疳眼。外在证候表现为摇头揉眼、白膜遮睛、眼青泪多、头发焦枯竖起、筋脉青显露、脑部发热、指甲痒、筋脉拘挛、口干燥渴、汗多、下痢、疮癣等。钱乙主张用六味地黄丸主治（针对肾）。杨士瀛主张用天麻丸、生熟地黄汤主治。曾世荣调理肝脏，使用黄芪当归汤。
天麻丸：治疗肝疳、风疳、疳眼。
配方：青黛、川黄连、天麻、五灵脂、夜明砂（微炒）、川芎、芦荟（各二钱）；龙胆草、防风、蝉蜕（去足，各一钱半）；全蝎（二枚，焙干）；麝香（少许）；干蟾头（炙焦，三钱）。
制法与用法：以上药物研为细末，用猪胆汁浸泡糕粉，制成如麻子大小的丸剂。每次服用十丸，用薄荷汤送服。
生熟地黄汤：治疗疳眼闭合不开，眼内有朦胧雾气。
配方：生地黄、熟地黄（各半两）；川芎、赤茯苓、枳壳（炒）、杏仁（水浸去皮）、川黄连、半夏曲、天麻、地骨皮、甘草（炙）、当归（各二钱半）。
制法与用法：以上药物切碎成散剂。每次服用二钱，加生姜三片、黑豆十五粒，用水煎煮，温服。
黄芪当归汤：治疗小儿先天禀赋素来虚弱，痘疮出不顺畅者。以及肝虚导致视物不明。
配方：黄芪（一两，用蜜水涂抹后炙烤）、当归（酒洗焙干）、白芍药、川芎（各半两）；甘草（三钱，炙）。
制法与用法：以上药物切碎。每次服用二钱，加水一盏，煎至七分，不拘时候温服。
〔张涣〕熊胆天麻丹：治疗风疳身体消瘦，摇头揉眼，全身经脉拘急。
配方：天麻、羌活、真熊胆、蝉壳、使君子（去壳）、胡黄连（各一两）；芦荟、干蟾（酥炙黄，各半两）。
制法与用法：以上药物捣碎，过筛成细末，用粳米饭调和，制成如黍米大小的丸剂。每次服用十粒，用荆芥汤煎服，根据患儿年龄大小加减用量。
乌蟾丹
配方：乌梢蛇（酒浸去皮骨，炙令黄色）、干蟾（酥、炙黄）、蛇蜕皮（烧灰，各一两）；胡黄连（半两，以上药物捣罗成细末，备用）；真芦荟、麝香、熊胆（各二钱半，并细研）。
制法与用法：以上药物拌匀，用粟米饮调和，制成如黍米大小的丸剂。每次服用十粒，在吃奶前用薄荷汤煎服。
《庄氏家传》治疗小儿风疳，顺调肝气，增进饮食。芦荟丸
配方：芦荟（一钱，单独研磨称重，或者只用皂角水磨）、草龙胆（一两，洗净，切碎，焙干称重）。
制法与用法：以上药物一处捣罗成末，取不结实的皂角三铤，用水二升煎汁，用生绢滤去渣滓，放入银器内用慢火熬成膏状，加入前两种药物调和均匀，制成如绿豆大小的丸剂。每次服用三丸至五丸，用薄荷汤吞服。
《汉东王先生家宝》治疗小儿风疳，气攻项下生核子。皂角膏方
配方：皂角（大的，一茎，烧存性）、糯米（一合，炒黑色）、草乌头（二钱，生用）、黄皮（一钱，炒黑色）。
制法与用法：以上药物研为细末。每次用量不拘多少，用井华水调匀贴敷。如果病情未安定，必须先用“水精丹”攻下，然后用调气散、观音散、人参散等药物补益，仍然再贴敷，同时与治疳药物交替服用。
神妙观音散：补虚，调胃气，增进乳食，止吐泻，适用于久不进食。
配方：白扁豆（微炒）、石莲肉（炒，去心）、人参（焙，各一分）；茯苓（一钱半，焙）、甘草（炙）、香白芷、绵黄芪（捶碎，用蜜水拌炙）、木香（炒，各一钱）；神曲（二钱）。
制法与用法：以上药物研为细末。每次服用：婴儿一字，二三岁半钱，四五岁一钱。用水一药注或半银盏，加枣子半片，煎煮十余沸，服用。
人参散：补虚，谓补胃气，增进乳食，止吐泻。
配方：人参、茯苓、莲肉（去心、炒，各一分）；黄芪（半两，捶碎，蜜水拌炙）、甘草（二钱，炙）。
制法与用法：以上药物研为细末。每次服用：婴儿一字，二三岁半钱，四五岁一钱。用水一药注或半银盏，加枣子半片，煎煮十余沸，服用。
庄氏第六候：头生疮，毛发稀焦，这是肝疳的方剂。
配方：肉豆蔻、蟾灰（完整的，各一个）；桔梗（炮）、茯苓（煨）、大黄（煨，各一两）；龙脑、麝香（各一钱）。
制法与用法：以上药物研为细末，用软饭制成丸剂，如麻子大小。用粟米饮送服三丸。只可服用两次。
治疗小儿手足抽动，眼目不开，有时语笑，或者随即嗔怒，兼有多惊，手指甲青，形状似死，妄称天钓。通神丸
配方：茯苓、龙齿（各煨半两）；铅丹、胡黄连（各一分）；银箔（五片）；麝香（一钱）；钩藤（一两，煨）。
制法与用法：以上药物研为细末，炼蜜制成丸剂，如麻子大小。每次十丸，用米饮送服。（庄氏第二十二候使用此方）
第三风疳：小儿手足拘挛，眼目不开，有时自笑，或者嗔怒惊叫，手爪甲青，形状似鬼形，已经类似天钓。须服用金箔茯苓散
配方：金箔（五片）；茯苓、牛膝、胡黄连（各一两）；龙骨（一分）；木香、麝香（各一钱）。
制法与用法：以上药物研为细末。每次服用一字，用米饮送服，每日两次。忌食油腻。
Yang Shi stated: Gan gan (Liver malnutrition) is caused by irregular breastfeeding and diet, leading to heat in the Liver. If the nursing mother fails to regulate warmth and cold properly, does not control her diet, or suffers from external contraction of wind-cold and internal injury from anger and joy, and if the pathogenic factor has not yet dissipated but breastfeeding is resumed immediately, it often results in Feng gan (Wind malnutrition). The Liver manifests in the eyes. With latent heat above the diaphragm and congestion of phlegm-fluids, Liver wind enters the eyes, causing redness, swelling, formation of nebulae (corneal opacity), excessive discharge and tearing, ulceration of the eye sockets, pain and itching leading to rubbing and wiping, dim vision, nyctalopia (night blindness), and even keeping the eyes closed for months; this is also called Gan eye. External signs include shaking the head and rubbing the eyes, white membrane covering the pupils, bluish eyes with excessive tears, scorched and erect hair, visible blue veins and hot brain, itchy nails and tendon spasms, dry thirst, excessive sweating, dysentery, sores, and tinea. Qian Yi advocated treating this with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) targeting the Kidney. Yang Shi advocated treating it with Tianma Wan (Gastrodia Pill) and Shengshu Dihuang Tang (Raw and Cooked Rehmannia Decoction). Zeng Shirong regulated the Liver using Huangqi Danggui Tang (Astragalus and Angelica Decoction).
Tianma Wan (Gastrodia Pill): Treats Gan gan (Liver malnutrition), Feng gan (Wind malnutrition), and Gan eye.
Ingredients: Qingdai (Indigo Naturalis), Chuanlianhuan (Coptidis Rhizoma), Tianma (Gastrodiae Rhizoma), Wulingzhi (Trogopterori Faeces), Yemingcha (Chrysopteri Glaucescens), Chuanxiong (Ligustici Chuanxiong Rhizoma), Lvhui (Aloe), each 2 qian; Longdancao (Gentianae Radix), Fangfeng (Saposhnikoviae Radix), Chantui (Cicadae Periostracum, feet removed), each 1.5 qian; Quanxie (Scorpio, 2 pieces, roasted), Shexiang (Moscus), Ganchantou (Dry Bufo Skin Head, roasted until charred, 3 qian).
Preparation and Administration: Grind all ingredients into fine powder. Soak cake flour in pig bile juice and form pills the size of hemp seeds. Take 10 pills per dose, washed down with Bohe Tang (Mint Decoction).
Shengshu Dihuang Tang (Raw and Cooked Rehmannia Decoction): Treats Gan eye where the eyes are closed and cannot open, with misty vision inside.
Ingredients: Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Rehmanniae Radix Preparata), each 0.5 liang; Chuanxiong (Ligustici Chuanxiong Rhizoma), Chi Fuling (Poria cum Ligno Rubrum), Zhike (Aurantii Fructus, stir-fried), Xingren (Armeniacae Semen Amarum, soaked in water and peeled), Chuanlianhuan (Coptidis Rhizoma), Banxiaqu (Pinelliae Fermentatum), Tianma (Gastrodiae Rhizoma), Digupi (Bark of Ground Cherry Root), Gancao (Licorice Root, honey-roasted), Danggui (Angelicae Sinensis Radix), each 2.5 qian.
Preparation and Administration: Cut the herbs into coarse fragments. Take 2 qian per dose, add 3 slices of fresh ginger and 15 black soybeans, decoct in water, and take warm.
Huangqi Danggui Tang (Astragalus and Angelica Decoction): Treats infants with congenital weakness who have difficulty erupting smallpox/varioloid lesions. Also treats unclear vision due to Liver deficiency.
Ingredients: Huangqi (Astragali Radix, 1 liang, coated with honey water and roasted), Danggui (Angelicae Sinensis Radix, washed in wine and dried), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), each 0.5 liang; Gancao (Licorice Root, 3 qian, roasted).
Preparation and Administration: Cut the herbs into coarse fragments. Take 2 qian per dose, add one cup of water, decoct until reduced to 70%, and take warm at any time.
[Zhang Huan] Xiongdan Tianma Dan (Bear Gallbladder and Gastrodia Pill): Treats Feng gan (Wind malnutrition) with emaciation, head shaking, eye rubbing, and tension of all meridians.
Ingredients: Tianma (Gastrodiae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Zhen Xiongdan (Real Bear Gallbladder), Chanqiao (Cicadae Molt), Shijunzi (Quisqualis Fructus, shelled), Huhuanglian (Coptidis Rhizoma var. Chinense), each 1 liang; Lvhui (Aloe), Ganchan (Dry Toad Skin, fried in butter until yellow), each 0.5 liang.
Preparation and Administration: Pound the ingredients, sieve into fine powder, and mix with glutinous rice paste to form pills the size of millet seeds. Take 10 pills per dose, washed down with Jingjie Tang (Schizonepeta Decoction), adjusting dosage according to the child's age and size.
Wuchan Dan (Black Toad Pill)
Ingredients: Wushe (Zaocys, soaked in wine, skin and bones removed, roasted until yellow), Ganchan (Dry Toad Skin, fried in butter until yellow), Shetuitui (Ophichthidis Cutis Usta, burnt to ash), each 1 liang; Huhuanglian (Coptidis Rhizoma var. Chinense, 0.5 liang, pounded and sieved into fine powder, set aside); Zhen Lvhui (Real Aloe), Shexiang (Moscus), Xiongdan (Bear Gallbladder), each 2.5 qian, finely ground.
Preparation and Administration: Mix all ingredients evenly, bind with millet drink, and form pills the size of millet seeds. Take 10 pills per dose before breastfeeding, washed down with Bohe Tang (Mint Decoction).
"Zhuang Family Collection" treats pediatric Feng gan (Wind malnutrition), smooths Liver qi, and promotes appetite. Lvhui Wan (Aloe Pill)
Ingredients: Lvhui (Aloe, 1 qian, separately ground and weighed, or ground using soap pod water), Caolongdan (Gentianae Radix, 1 liang, cleaned, cut, and dried).
Preparation and Administration: Pound the ingredients together into powder. Take three strips of non-knotting soap pods, decoct in two sheng of water to extract juice, filter through raw silk, and slowly boil in a silver vessel until a paste forms. Mix with the previous two powders, form pills the size of mung beans. Take 3 to 5 pills per dose, swallowed with Bohe Tang (Mint Decoction).
"Handong Mr. Wang's Family Treasure" treats pediatric Feng gan (Wind malnutrition) where qi attacks the neck causing nodules. Zaojiao Gao (Soap Pod Paste) Formula
Ingredients: Zaojiao (Gleditsiae Sinensis Fructus, large ones, one stalk, burnt to retain properties), Nuomi (Glutinous Rice, one he, stir-fried until black), Caowutou (Aconiti Radix Lateralis Preparata Raw, 2 qian, raw), Huangpi (Phellodendri Cortex, 1 qian, stir-fried until black).
Preparation and Administration: Grind into fine powder. Apply an appropriate amount mixed with well water as a plaster. If not relieved, must first use Shuijing Dan (Water Crystal Pill) to purge, then use Tiaoqi San (Regulate Qi Powder), Guanyin San (Guanyin Powder), Renshen San (Ginseng Powder), etc., to tonify. Continue applying the plaster and alternate with anti-gan medicines.
Shenmiao Guanyin San (Miraculous Guanyin Powder): Tonifies deficiency, regulates Stomach qi, promotes milk and food intake, stops vomiting and diarrhea, suitable for prolonged refusal to eat.
Ingredients: Baibiandou (Phaseoli Semen Album, lightly stir-fried), Shilianrou (Nelumbinis Nucifera Semen, stir-fried, heart removed), Renshen (Ginseng Radix et Rhizoma, baked), each 1 fen; Fuling (Poria, 1.5 qian, baked), Gancao (Licorice Root, roasted), Xiangbaizhi (Angelicae Dahuricae Radix), Mian Huangqi (Astragali Radix, crushed, mixed with honey water and roasted), Muxiang (Aucklandiae Radix, stir-fried), each 1 qian; Shenqu (Massa Medicata Fermentata, 2 qian).
Preparation and Administration: Grind into fine powder. Dosage: infant 1 zi, 2-3 years old 0.5 qian, 4-5 years old 1 qian. Decoct with one medicinal measure or half a silver cup of water, plus half a jujube, boil for ten boils, and administer.
Renshen San (Ginseng Powder): Tonifies deficiency, supplements Stomach qi, promotes milk and food intake, stops vomiting and diarrhea.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Lianrou (Nelumbinis Nucifera Semen, heart removed, stir-fried), each 1 fen; Huangqi (Astragali Radix, 0.5 liang, crushed, mixed with honey water and roasted), Gancao (Licorice Root, 2 qian, roasted).
Preparation and Administration: Grind into fine powder. Dosage: infant 1 zi, 2-3 years old 0.5 qian, 4-5 years old 1 qian. Decoct with one medicinal measure or half a silver cup of water, plus half a jujube, boil for ten boils, and administer.
Zhuang Shi Sixth Syndrome: Sores on the head, sparse and scorched hair, this is the formula for Gan gan (Liver malnutrition).
Ingredients: Roudoukou (Myristicae Semen), Canhui (Toad Ash, whole, each one piece); Jiegeng (Platycodonis Radix, processed), Fuling (Poria, baked), Dahuang (Rhei Radix et Rhizoma, baked), each 1 liang; Longnao (Borneolum Syntheticum), Shexiang (Moscus), each 1 qian.
Preparation and Administration: Grind into fine powder, bind with soft rice to form pills the size of hemp seeds. Wash down with three pills using millet drink. Only allow two doses.
Treats infants with convulsions of hands and feet, eyes unable to open, occasional talking and laughing, or sudden anger, accompanied by frequent fright, bluish fingernails, appearance resembling death, falsely termed Tian diao (Heavenly Hook). Tongshen Wan (Spirit-Penetrating Pill)
Ingredients: Fuling (Poria), Longchi (Draconis Os, each baked 0.5 liang); Qiandan (Minium), Huhuanglian (Coptidis Rhizoma var. Chinense), each 1 fen; Yinbo (Folium Argenti), 5 pieces; Shexiang (Moscus, 1 qian); Gouteng (Uncariae Ramulus cum Uncis, 1 liang, baked).
Preparation and Administration: Grind into fine powder, bind with refined honey to form pills the size of hemp seeds. Take 10 pills per dose, washed down with rice drink. (Used for Zhuang Shi's Twenty-second Syndrome).
Third Feng gan (Wind malnutrition): Infants with stiff hands and feet, eyes unable to open, occasional self-laughing, or angry screaming, bluish finger nails, appearance resembling ghosts, already similar to Tian diao (Heavenly Hook). Must take Jinbo Fuling San (Gold Foil and Poria Powder).
Ingredients: Jinbo (Folium Argenti, 5 pieces); Fuling (Poria), Niuxi (Achyranthis Bidentatae Radix), Huhuanglian (Coptidis Rhizoma var. Chinense), each 1 liang; Longgu (Draconis Os, 1 fen); Muxiang (Aucklandiae Radix), Shexiang (Moscus), each 1 qian.
Preparation and Administration: Grind into fine powder. Take 1 zi per dose, washed down with rice drink, twice daily. Avoid greasy food.