铜壁山人曰∶凡治疳，不必细分五疳，但虚则补之，热则清之，冷则温之，吐
则治吐，利则治利，积则治积，虫则治虫，不出集圣丸一方加减用之，屡试屡验。
集圣丸
芦荟 五灵脂 夜明砂（炒） 砂仁 橘红 木香 莪术（煨） 使君子肉（各二钱） 川连
川芎 干蟾（炙。各三钱） 当归 青皮（各一钱半）
因于虚者，加人参二钱、白术三钱，去莪术、青皮。因于热者，加龙胆草三
钱，去砂仁、莪术。因于吐泻下痢者，加白术二钱、肉果、煨诃肉各一钱五
分，去青皮、莪术。因于积痛者，加煨三棱、川楝子肉、小 香各二钱，去当
归、川芎。因于疟者，加鳖甲醋炙三钱。因于虫者，加白芜荑一钱五分、川楝
子肉二钱，去当归、川芎。因于渴者，加人参、白术各二钱，去莪术、砂仁。
上为细末，用雄猪胆汁二个和面糊为丸，看大小服，米饮送下。此方乃十全
丹去槟榔、白豆仁，加黄连、夜明砂、砂仁，不热不寒，补不致滞，消不致耗，至稳至妥。
疳积散 治 乳病乳，夹乳夹食，大病之后饮食失调，平居饮食过饱伤脾，致成疳
积，面黄腹大，小便色如米泔，大便泻黄酸臭，头皮干枯，毛发焦穗，甚至目涩
羞明，睛生云翳，形体骨立，夜热昼凉，丁奚哺露等证，并用主之。
浓朴（浓而紫色有油者佳，去粗皮，切片，生姜自然汁炒熟为末，净一两） 广陈皮（去白，为末，八钱） 粉甘
草（去皮净，为末） 真芦荟（净末。各七钱） 芜荑（真孔林大而多白衣者佳，去白衣壳，净末五钱） 青黛（取颜
料
铺中浮碎如佛头青色者研，净末三钱） 百草霜（乃山庄人家锅底墨也，净末二钱） 旋复花（净末一钱半）
上件匀和成剂用。每一岁用药一分，用灯心汤早上空腹时调服。服后，病即
愈，当再用肥儿丸调理，如脾气未实，用启脾丸或大健脾丸。如疳气未尽，用
陈皮一两、白术香三钱、白茯苓五钱、加好平胃散三钱，陈米粥汤调服。
疳眼方 用生鸡肝一具（不拘大小雄雌），二三岁者只用半具，外去衣，内去筋膜，研
细如面，入疳积散若干，调极匀，加好熟白酒浓薄相和，隔汤顿温热，空心通口
服。用甜曲酒少加熟白酒亦佳。服至眼开翳散方止。
疳泻痢红白积滞，用散子加黄连（姜汁、土炒）肉果，用浓灯心汤稍加熟蜜少许调服。
食积成疳，砂仁汤调服。
《集验方》治小儿疳气不可疗。
神效丹
绿矾（用火 ，通赤取出，用酽醋淬过复 ，如此三次）
上细研，用枣肉和丸，如绿豆大。温水下，日进二三服。
《元和纪用经》麝香丸 主小儿疳瘦，面黄发穗，骨立减食，肌热惊痫疳虫。
麝香（研） 芦荟（研） 胡黄连（末）
上等分，研匀，滴水丸黄米大。一岁三丸，三岁五丸至七丸，人参汤下，
日三服，无比奇效。一方，胡黄连四分，余二物各二分，疗疳痢温疟，无比尤验，
一名圣丸。疳药百数，无如此者，小儿癫痫惊风，五疳三虫，服之立见功效，蛔
虫作疾枯瘁，久痢不住，热药调护，最难得法，唯此若神。经以四味饮、黑散、
紫丸、至圣散、五加皮治不能行、蜀脂饮、并此麝香丸七方，谓之育婴七宝，紫
阳道士亦名保子七圣至宝方，专为一书者，此是也。
《灵苑》千金丸 治小儿一切疳，久服，令儿肥壮无疾。
川楝子肉 川芎（各等分）
上，同为末，猪胆汁和杵为丸，如麻子大。量儿大小加减丸数，每以饭饮吞下，
日二服，常服三丸至五丸。《张氏家传》丸如绿豆大，分五分，用朱砂、青黛、白
定粉、光墨、密陀僧名为五色丸，非时进，米饮下。《孔氏家传》治疳热下虫
方同，用腊月干猪胆膏为丸，如干，汤化动，丸绿豆大。十丸十五丸肉汤下。
疳虫如发，便看即见，稍迟即化。
太医局芦荟丸 治疳气羸瘦，面色痿黄，腹胁胀满，头发作穗，揉鼻咬甲，好吃泥
土，痢色无定，寒热往来，目涩口臭，齿龈烂黑，常服长肌、退黄、杀疳虫、进乳食。
干虾蟆 大皂角（以上二味，等分，同烧存性，为末，每末一两，入后药） 青黛（二钱半，研） 芦荟
（研） 麝香（研） 朱砂（飞研。各一钱）
上合研匀，汤浸蒸饼为丸，如麻子大。三岁儿服二十丸，不计时候，温米饮下，
量儿大小加减。
〔钱氏〕胆矾丸 治疳消癖，进食止泻，和胃遣虫。
胆矾（真者，一钱，为粗末） 绿矾（真者，二两） 大枣（十四个，去核） 好醋（一升） 以上四物，同熬
令枣烂，和后药∶使君子（二两，去壳） 枳实（去穣，炒，三两） 黄连 诃梨勒（去核。各一两，并
为粗末） 巴豆（二七枚，去皮破之） 以上五物，同炒令黑，约三分干，入后药∶
夜明砂（一两） 虾蟆灰（存五分性，一两） 苦楝根皮（末，半两）
以上三物，再同炒候干，同前四物，杵罗为末，却同前膏和，入臼中杵千下，
如未成，更旋入熟枣肉，亦不可多，恐服之难化，太稠即入温水，可丸即丸，如
绿豆大。每服二三十丸，米饮温水下，不拘时。
虾蟆丸 西京丁左藏 肥孩儿，常服得效。
干虾蟆（大者一枚，泔浸三宿，去肠肚头爪，净洗，酥炙令黄香） 陈皮（去白，二钱半） 胡黄连（一两） 郁
金芜荑仁（各半两）
上为末，于陶器内用 猪胆汁和令稀稠得作于饭上蒸熟为度，取出半日，
丸如绿豆大。常服五、七丸，陈米饮下。
〔张氏〕神曲散 治小儿诸般疳。
神曲 陈橘皮（不去白） 大黄（纸裹，炮熟） 芍药（各一钱二分半） 桔梗 川芎 浓朴（姜汁制） 枳
壳（去穣，麸炒） 白茯苓（各二钱半） 人参（一钱半） 甘草（五钱，炙）
上为细末。每服一钱，入姜一片，如茶法煎服，无时。
治小儿一切疳，肌肤消瘦，泻痢不止，口鼻生疮，水谷不化方
虾蟆灰（存性） 白矾 乌贼鱼骨（炙） 密陀僧（各二钱半） 麝香（一钱二分半）
上为末，炼蜜丸，如绿豆大。温水下三丸。《圣惠方》同，但麝香用半两。（庄氏第五候用此方）
治小儿一切疳方（庄氏第十四候用此方）
蟾头（一个，炙） 腻粉 豆豉 芜荑 黄连（各二钱半）
上为末，软粟米饭为丸，麻子大。早晚米饮下三丸。
又方（庄氏第十七候用此方及香连丸）
芦荟 胡黄连 朱砂 青黛 麝香（各二钱半） 蟾酥（少许）
上为末，饭为丸，如芥子大。每服空心、临卧，温熟水下五、七丸。
洪州张道人传治小儿一十二种疳，肝疳、急疳、风疳、肉疳、脊疳、口疳、脑疳、
食疳、蛔疳、脾疳、肾疳、心疳，定生死。有此候者取得虫青者死，黄者可治，
须服。
定命丹
木香 夜明砂 麝香（各一分） 蝉蜕（三分） 胡黄连（二钱） 金箔 银箔（各五片）
上件为末，米饭丸，如麻子大。空心米饮下三丸，日三服。忌咸酸油腻。
第一肝疳，小儿虽饮乳，渐喜食肉，尤爱酸咸，只服定命丹，次服此药。
肉豆蔻（三个） 枳壳（炒，七钱半） 茯苓 胡黄连（各半两） 大黄 甘草 丁香 麝香（各二钱）
上为末。每服一字，米饮下，日两服，久者五服效。
〔演山使君〕槟榔丸 治小儿食肉太早，伤及脾胃，水谷不分，积滞不化，疾作疳痢等候，并宜服之。
肉豆蔻（一个） 生槟榔（一个） 宣连 胡黄连 陈皮 青皮 川楝肉（炒） 芜荑（炒，去皮）
神曲 麦 （并炒） 木香 夜明砂（淘净，炒） 芦荟 川芎（各一钱） 麝（一字）
上件为末， 猪胆汁、薄荷为丸，如麻子大。每服三五十丸，温饭饮下。
议曰∶积是疳之母，所以有积不治，乃成疳候。又有治积不下其积，存而脏虚，
成疳尤重。大抵小儿所患疳证，泄泻无时，不作风候者何？惟疳泻名热泻，其脏
腑转动有限，所以不成风候，虽泻不风，亦转它证，作渴虚热烦躁，下痢肿满喘
急，皆疳候虚证。古云∶疳虚用补虚，是知疳之为疾，不可更利动脏腑。发作之初，
名曰疳气。腹大胀急，名曰疳虚。泻痢频并，名曰疳积。五心虚烦，名曰疳热。
毛焦发穗，肚大青筋，好吃异物，名曰疳极（受病传脏已极。）热发往来，形体枯槁，面
无神采，无血色，名曰疳劳。手足细小，项长骨露，尻臀无肉，肚胀脐突，名曰
丁奚。食加呕哕，头骨分开，作渴引饮，虫从口出，名曰哺露。此皆疳候。又因
多食生冷甘肥粘腻，积滞中脘不化，久亦成疳。治疳之法，量候轻重，理其脏腑，
和其中脘，顺其三焦，使胃气温而纳食，益脾元壮以消化，则脏腑自然调贴，令
气脉与血脉相参，则筋力与骨力俱健，神清气爽，疳消虫化，渐次安愈。若以
药攻之五脏，疏却肠胃，下去积毒，取出虫子，虽曰医疗，即非治法，盖小儿脏腑
虚则生虫，虚则积滞，虚则疳羸，虚则胀满，何可利下，若更转动，肠胃致虚，
由虚成疳，疳虚证候，乃作无辜，无辜之孩，难救矣。
胡黄连丸 治婴儿一切疳候，及一切虚痢，他药无功，此药极效。
胡黄连 芦荟 草黄连 肉豆蔻（炮） 桂心 人参 朱砂 使君子（去壳） 木香
钓藤 龙齿 白茯苓（以上各一钱） 麝香（一字研）
上件各生用，为细末，取 猪胆二枚裂汁，和末令匀，却入袋内盛之，用线扎
定，汤煮半日取出，切破袋子，加莨菪子（二钱）、黄丹（一钱）二味，另研如粉，入前
药和匀，捣五百杵，丸如绿豆大。但是疳与痢，用粥饮下五七丸，子幼者三丸，
不吃粥饮，乳头令吮。能治一十二种痢及无辜者，功效非常。
议曰∶疳之疾危，发由于渐，痢之后逆，传自于延（延久为逆），初见其轻，言之曰
常，后知其重，告之无门，是以痢疳皆由积毒、娇恣口腹，因虚以致虚，因害而
伤害，医工见有此等，自是忧疑，病家欲得便苏，岂无性急，更迁取活，展转逾
深，或疳极而腹下痢，或热盛而加作渴，或烦躁四体虚浮，或饮食一时呕吐，常
方不能安愈，快剂恐越伤和，并宜服此。
肥肌丸 治小儿一切疳气，肌瘦体弱，神困力乏，常服杀虫消疳，开胃进食。
黄连（去须） 川楝肉（炒） 川芎（各半两） 陈皮 香附子（各二钱半，酒煮，炒干） 木香（二钱）
上件为末，水煮细面糊、为丸如麻子大。每服三五十丸，温饭饮下。
议曰∶惊疳积痢，各分证候用药，今有小儿患疳虚困，又作痢疾，二候相加，
最为恶重。疳痢并行，脏腑虚乏之极，热毒差重，皆系积之久滞，虽曰系积，无
积可疗，乃虚受之，然谓其虚，补之不及，所见其证，不得良方，以何对治，虽
获其方，不审其候，亦难疗也。良由脉与病同，药与证对，医工运巧，扶而起之，
必得安乐。胡黄连丸无以加矣，肥肌良方，亦佐胜焉。
铜壁山人说：大凡治疗疳证，不必细分五种疳证，只要虚证就补益它，热证就清解它，寒证就温煦它，呕吐就治疗呕吐，腹泻就治疗腹泻，积滞就消导积滞，虫证就驱虫杀虫，不出集圣丸这一方加减使用，多次尝试都有效。
集圣丸
芦荟、五灵脂、夜明砂（炒）、砂仁、橘红、木香、莪术（煨）、使君子肉（各二钱），川黄连、川芎、干蟾（炙，各三钱），当归、青皮（各一钱半）。
如果是因虚引起的，加人参二钱、白术三钱，去掉莪术、青皮。如果是因热引起的，加龙胆草三钱，去掉砂仁、莪术。如果是因呕吐、腹泻、下痢引起的，加白术二钱、肉豆蔻、煨诃子肉各一钱五分，去掉青皮、莪术。如果是因积滞疼痛引起的，加煨三棱、川楝子肉、小茴香各二钱，去掉当归、川芎。如果是因疟疾引起的，加醋炙鳖甲三钱。如果是因虫证引起的，加白芜荑一钱五分、川楝子肉二钱，去掉当归、川芎。如果是因口渴引起的，加人参、白术各二钱，去掉莪术、砂仁。
以上药物研成细末，用雄猪胆汁两个和面糊做成丸药，根据患儿年龄大小服用，米汤送服。这个方子是十全丹去掉槟榔、白豆蔻，加上黄连、夜明砂、砂仁，药性不热不寒，补益而不致壅滞，消导而不致耗伤，非常稳妥妥当。
疳积散 主治乳病（婴儿脾胃虚弱之病），夹乳夹食（饮食停滞），大病之后饮食失调，平时饮食过饱损伤脾脏，导致形成疳积，面色黄，腹部胀大，小便颜色像米泔水，大便泻出黄色酸臭粪便，头皮干枯，毛发焦枯成穗状，甚至眼睛干涩怕光，眼球生出云翳，身体消瘦如骨立，夜间发热白天发凉，丁奚疳、哺露疳等证候，都用此方主治。
厚朴（以浓而紫色有油者为佳，去掉粗皮，切片，用生姜自然汁炒熟后研为细末，净重一两），广陈皮（去掉白色内层，研为细末，八钱），粉甘草（去掉外皮洗净，研为细末），真芦荟（净末，各七钱），芜荑（以真孔林产且个大、白衣多者为佳，去掉白衣壳，净末五钱），青黛（取颜料铺中浮碎如佛头青色者研细，净末三钱），百草霜（即山庄人家锅底的黑灰，净末二钱），旋覆花（净末一钱半）。
以上药物均匀混合制成制剂。每一岁用药一分，用灯心草汤在早上空腹时调服。服药后，病立即痊愈，应当再用肥儿丸调理，如果脾气尚未充实，用启脾丸或大健脾丸。如果疳气未尽，用陈皮一两、白术三钱、白茯苓五钱，加入好平胃散三钱，陈米粥汤调服。
疳眼方 用生鸡肝一个（不拘大小雌雄），二三岁的儿童只用半个，外面去掉衣膜，里面去掉筋膜，研细如面粉状，加入适量疳积散，调匀极细，加入好的熟白酒，浓淡适当调和，隔水炖温热，空腹通口服用。用甜曲酒少加熟白酒也很好。服用到眼睛睁开、云翳消散为止。
疳证引起的泻痢红白积滞，用散子加黄连（姜汁、土炒）和肉豆蔻，用浓灯心草汤稍加少许熟蜂蜜调服。
食积形成的疳证，用砂仁汤调服。
《集验方》治疗小儿疳气不可治愈的病症。
神效丹
绿矾（用火煅烧至通红取出，用浓醋淬炼后再煅，如此三次）。
以上研成细末，用枣肉和丸，如绿豆大小。温水送下，每天进服二三次。
《元和纪用经》麝香丸 主治小儿疳瘦，面色黄，毛发成穗，骨骼显露食欲减退，肌肉发热惊痫疳虫。
麝香（研），芦荟（研），胡黄连（末）。
以上等分，研匀，滴水做成丸药如黄米大。一岁服三丸，三岁服五丸至七丸，用人参汤送下，每天三次，效果无比神奇。另一配方，胡黄连四分，其余两物各二分，治疗疳痢温疟，效果无比尤其显著，又名圣丸。治疗疳证的药有上百种，没有能比得上这个的，小儿癫痫惊风，五疳三虫，服用后立即见效，蛔虫作疾身体枯瘦，久痢不止，用热药调护，最难得法，唯有此方若神。经文记载的四味饮、黑散、紫丸、至圣散、五加皮治不能行、蜀脂饮，并此麝香丸共七方，称为育婴七宝，紫阳道士也称保子七圣至宝方，专门为一本书写的，就是这个。
《灵苑》千金丸 治疗小儿一切疳证，长期服用，让儿童肥壮无病。
川楝子肉、川芎（各等分）。
以上，共同研为细末，用猪胆汁和捣做成丸药，如麻子大。根据儿童大小增减丸数，每次用饭饮吞下，每天两次，常服三丸至五丸。《张氏家传》丸药如绿豆大，分为五分，用朱砂、青黛、白定粉、光墨、密陀僧名为五色丸，非定时进服，米饮送下。《孔氏家传》治疗疳热下虫方相同，用腊月干猪胆膏为丸，如干了，用水化开动，丸药如绿豆大。十丸十五丸用肉汤送下。疳虫如头发丝，便看就能看见，稍迟就会化掉。
太医局芦荟丸 治疗疳气羸瘦，面色萎黄，腹胁胀满，头发作穗，揉鼻子咬指甲，喜欢吃泥土，痢色不定，寒热往来，眼睛干涩口臭，齿龈烂黑，常服长肌肉、退黄、杀疳虫、增进乳食。
干虾蟆、大皂角（以上两味，等分，同烧存性，为末，每末一两，入后药），青黛（二钱半，研），芦荟（研），麝香（研），朱砂（飞研，各一钱）。
以上合研匀，汤浸蒸饼为丸，如麻子大。三岁儿服二十丸，不计时候，温米饮下，根据儿童大小加减。
〔钱氏〕胆矾丸 治疗疳消癖，进食止泻，和胃遣虫。
胆矾（真的，一钱，为粗末），绿矾（真的，二两），大枣（十四个，去核），好醋（一升）。以上四物，同熬令枣烂，和后药：使君子（二两，去壳），枳实（去穣，炒，三两），黄连，诃梨勒（去核，各一两，并为粗末），巴豆（二七枚，去皮破之）。以上五物，同炒令黑，约三分干，入后药：夜明砂（一两），虾蟆灰（存五分性，一两），苦楝根皮（末，半两）。以上三物，再同炒候干，同前四物，杵罗为末，却同前膏和，入臼中杵千下，如未成，更旋入熟枣肉，亦不可多，恐服之难化，太稠即入温水，可丸即丸，如绿豆大。每服二三十丸，米饮温水下，不拘时。
虾蟆丸 西京丁左藏 肥孩儿，常服得效。
干虾蟆（大者一枚，泔浸三宿，去肠肚头爪，净洗，酥炙令黄香），陈皮（去白，二钱半），胡黄连（一两），郁金芜荑仁（各半两）。
上为末，于陶器内用猪胆汁和令稀稠得作于饭上蒸熟为度，取出半日，丸如绿豆大。常服五、七丸，陈米饮下。
〔张氏〕神曲散 治疗小儿诸般疳。
神曲，陈橘皮（不去白），大黄（纸裹，炮熟），芍药（各一钱二分半），桔梗，川芎，浓朴（姜汁制），枳壳（去穣，麸炒），白茯苓（各二钱半），人参（一钱半），甘草（五钱，炙）。
上为细末。每服一钱，入姜一片，如茶法煎服，无时。
治疗小儿一切疳，肌肤消瘦，泻痢不止，口鼻生疮，水谷不化方
虾蟆灰（存性），白矾，乌贼鱼骨（炙），密陀僧（各二钱半），麝香（一钱二分半）。
上为末，炼蜜丸，如绿豆大。温水下三丸。《圣惠方》同，但麝香用半两。（庄氏第五候用此方）
治疗小儿一切疳方（庄氏第十四候用此方）
蟾头（一个，炙），腻粉，豆豉，芜荑，黄连（各二钱半）。
上为末，软粟米饭为丸，麻子大。早晚米饮下三丸。
又方（庄氏第十七候用此方及香连丸）
芦荟，胡黄连，朱砂，青黛，麝香（各二钱半），蟾酥（少许）。
上为末，饭为丸，如芥子大。每服空心、临卧，温熟水下五、七丸。
洪州张道人传治小儿一十二种疳，肝疳、急疳、风疳、肉疳、脊疳、口疳、脑疳、食疳、蛔疳、脾疳、肾疳、心疳，定生死。有此候者取得虫青者死，黄者可治，须服。
定命丹
木香，夜明砂，麝香（各一分），蝉蜕（三分），胡黄连（二钱），金箔，银箔（各五片）。
上件为末，米饭丸，如麻子大。空心米饮下三丸，日三服。忌咸酸油腻。
第一肝疳，小儿虽饮乳，渐喜食肉，尤爱酸咸，只服定命丹，次服此药。
肉豆蔻（三个），枳壳（炒，七钱半），茯苓，胡黄连（各半两），大黄，甘草，丁香，麝香（各二钱）。
上为末。每服一字，米饮下，日两服，久者五服效。
〔演山使君〕槟榔丸 治疗小儿食肉太早，伤及脾胃，水谷不分，积滞不化，疾作疳痢等候，并宜服之。
肉豆蔻（一个），生槟榔（一个），宣连，胡黄连，陈皮，青皮，川楝肉（炒），芜荑（炒，去皮），神曲，麦 （并炒），木香，夜明砂（淘净，炒），芦荟，川芎（各一钱），麝（一字）。
上件为末，猪胆汁、薄荷为丸，如麻子大。每服三五十丸，温饭饮下。
议曰：积是疳之母，所以有积不治，乃成疳候。又有治积不下其积，存而脏虚，成疳尤重。大抵小儿所患疳证，泄泻无时，不作风候者何？惟疳泻名热泻，其脏腑转动有限，所以不成风候，虽泻不风，亦转它证，作渴虚热烦躁，下痢肿满喘急，皆疳候虚证。古云：疳虚用补虚，是知疳之为疾，不可更利动脏腑。发作之初，名曰疳气。腹大胀急，名曰疳虚。泻痢频并，名曰疳积。五心虚烦，名曰疳热。毛焦发穗，肚大青筋，好吃异物，名曰疳极（受病传脏已极。）热发往来，形体枯槁，面无神采，无血色，名曰疳劳。手足细小，项长骨露，尻臀无肉，肚胀脐突，名曰丁奚。食加呕哕，头骨分开，作渴引饮，虫从口出，名曰哺露。此皆疳候。又因多食生冷甘肥粘腻，积滞中脘不化，久亦成疳。治疳之法，量候轻重，理其脏腑，和其中脘，顺其三焦，使胃气温而纳食，益脾元壮以消化，则脏腑自然调贴，令气脉与血脉相参，则筋力与骨力俱健，神清气爽，疳消虫化，渐次安愈。若以药攻之五脏，疏却肠胃，下去积毒，取出虫子，虽曰医疗，即非治法，盖小儿脏腑虚则生虫，虚则积滞，虚则疳羸，虚则胀满，何可利下，若更转动，肠胃致虚，由虚成疳，疳虚证候，乃作无辜，无辜之孩，难救矣。
胡黄连丸 治疗婴儿一切疳候，及一切虚痢，他药无功，此药极效。
胡黄连，芦荟，草黄连，肉豆蔻（炮），桂心，人参，朱砂，使君子（去壳），木香，钓藤，龙齿，白茯苓（以上各一钱），麝香（一字研）。
上件各生用，为细末，取猪胆二枚裂汁，和末令匀，却入袋内盛之，用线扎紧，汤煮半日取出，切破袋子，加莨菪子（二钱）、黄丹（一钱）二味，另研如粉，入前药和匀，捣五百杵，丸如绿豆大。但是疳与痢，用粥饮下五七丸，子幼者三丸，不吃粥饮，乳头令吮。能治一十二种痢及无辜者，功效非常。
议曰：疳之疾危，发由于渐，痢之后逆，传自于延（延久为逆），初见其轻，言之曰常，后知其重，告之无门，是以痢疳皆由积毒、娇恣口腹，因虚以致虚，因害而伤害，医工见有此等，自是忧疑，病家欲得便苏，岂无性急，更迁取活，展转逾深，或疳极而腹下痢，或热盛而加作渴，或烦躁四体虚浮，或饮食一时呕吐，常方不能安愈，快剂恐越伤和，并宜服此。
肥肌丸 治疗小儿一切疳气，肌瘦体弱，神困力乏，常服杀虫消疳，开胃进食。
黄连（去须），川楝肉（炒），川芎（各半两），陈皮，香附子（各二钱半，酒煮，炒干），木香（二钱）。
上件为末，水煮细面糊、为丸如麻子大。每服三五十丸，温饭饮下。
议曰：惊疳积痢，各分证候用药，今有小儿患疳虚困，又作痢疾，二候相加，最为恶重。疳痢并行，脏腑虚乏之极，热毒差重，皆系积之久滞，虽曰系积，无积可疗，乃虚受之，然谓其虚，补之不及，所见其证，不得良方，以何对治，虽获其方，不审其候，亦难疗也。良由脉与病同，药与证对，医工运巧，扶而起之，必得安乐。胡黄连丸无以加矣，肥肌良方，亦佐胜焉。
The person from Tongbi Mountain said: In general, when treating *gan* syndrome (childhood malnutrition and digestive disorder), there is no need to strictly distinguish among the five types of *gan*. One should simply tonify deficiency, clear heat, warm cold, treat vomiting when it occurs, treat diarrhea when it occurs, resolve accumulation when it exists, and expel parasites when they are present. These treatments do not go beyond adding or subtracting ingredients from the Jisheng Wan formula, which has proven effective in repeated trials.
Jisheng Wan (Collection of Holy Pills)
*Aloe vera* (Luhui), *Lycii Cortex* (Wulingzhi - note: text says Wulingzhi which is Trogopterus Dung, but standard Pinyin is Wu Ling Zhi; context implies Trogopteri Faeces), *Owl Droppings* (Yeming Sha, stir-fried), *Amomum Fruit* (Sharen), *Tangerine Peel* (Juhong), *Costus Root* (Muxiang), *Curcuma Rhizome* (Ezhu, baked), *Quisqualis Seed* (Shijunzi Ren, each 2 qian); *Coptis Rhizome* (Chuanlian), *Sichuan Lovage Rhizome* (Chuanxiong), *Toad Skin* (Ganchan, roasted, each 3 qian); *Angelica Sinensis* (Danggui), *Citrus Peel* (Qingpi, each 1.5 qian).
If caused by deficiency, add *Ginseng Radix* (Renshen) 2 qian and *Atractylodes Macrocephala Rhizome* (Baizhu) 3 qian, remove *Curcuma Rhizome* (Ezhu) and *Citrus Peel* (Qingpi). If caused by heat, add *Gentiana Scabra Root* (Longdancao) 3 qian, remove *Amomum Fruit* (Sharen) and *Curcuma Rhizome* (Ezhu). If caused by vomiting, diarrhea, or dysentery, add *Atractylodes Macrocephala Rhizome* (Baizhu) 2 qian, *Myristica Seed* (Rouguo), and *Terminalia Chebula Fruit* (Weihe Rou, baked) each 1.5 qian, remove *Citrus Peel* (Qingpi) and *Curcuma Rhizome* (Ezhu). If caused by accumulation pain, add *Burreed Tuber* (Sanleng, baked), *Toosendan Fruit* (Chuanlianzi Rou), and *Fennel Fruit* (Xiaohuixiang) each 2 qian, remove *Angelica Sinensis* (Danggui) and *Sichuan Lovage Rhizome* (Chuanxiong). If caused by malaria, add *Tartar Shell* (Biejia, vinegar-roasted) 3 qian. If caused by parasites, add *Alpinia Katsumadai Seed* (Baiwuyi) 1.5 qian and *Toosendan Fruit* (Chuanlianzi Rou) 2 qian, remove *Angelica Sinensis* (Danggui) and *Sichuan Lovage Rhizome* (Chuanxiong). If caused by thirst, add *Ginseng Radix* (Renshen) and *Atractylodes Macrocephala Rhizome* (Baizhu) each 2 qian, remove *Curcuma Rhizome* (Ezhu) and *Amomum Fruit* (Sharen).
Grind the above ingredients into a fine powder. Mix with bile from two male pigs and paste made of flour to form pills. Administer according to the child's age, taken down with rice water. This formula is derived from Shiquan Dan by removing *Areca Seed* (Binglang) and *Cardamom* (Baidoukou), and adding *Coptis Rhizome* (Huanglian), *Owl Droppings* (Yeming Sha), and *Amomum Fruit* (Sharen). It is neither hot nor cold, tonifying without causing stagnation, and resolving accumulation without depleting vitality, making it extremely stable and appropriate.
Ganji San (Accumulation-Resolving Powder for Gan) treats Ru Bing (infant spleen-stomach weakness), food retention, dietary irregularity after severe illness, excessive eating damaging the spleen, leading to Gan accumulation. Symptoms include sallow complexion, distended abdomen, urine resembling rice wash water, yellow sour-smelling loose stools, dry scalp, brittle hair forming tufts, dry and light-sensitive eyes, corneal opacity, emaciation, night fever and daytime chill, and syndromes such as Dingxi Gan and Bulu Gan. All these are treated with this formula.
*Magnolia Bark* (Houpo, preferably thick, purple, and oily, remove coarse bark, slice, stir-fry with fresh ginger juice until cooked, grind to powder, net weight 1 liang), *Broad-leaved Citrus Peel* (Guangchenpi, remove white pith, grind to powder, 8 qian), *Licorice Root* (Fanganscao, remove skin, clean, grind to powder), *True Aloe* (Zhenluhui, pure powder, each 7 qian), *Alpinia Katsumadai Seed* (Wuyi, preferably from Konglin, large with many white coats, remove coats, pure powder 5 qian), *Indigo Naturalis* (Qingdai, take floating fragments from pigment shops that are blue like Buddha's head, grind to powder, 3 qian), *Soot* (Baicaoshuang, soot from stove bottoms in mountain villages, pure powder 2 qian), *Inula Flower* (Xuanfuhua, pure powder 1.5 qian).
Mix the above ingredients evenly. For each year of age, administer 1 fen. Mix with *Centipede Grass Decoction* (Dengxin Tang) and give on an empty stomach in the morning. After taking the medicine, the disease will heal immediately. Subsequently, use Fei'er Wan for regulation. If the spleen qi is not yet solid, use Qipi Wan or Dajianpi Wan. If gan qi remains, use *Tangerine Peel* (Chenpi) 1 liang, *Atractylodes Macrocephala Rhizome* (Baizhu) 3 qian, *Poria* (Baifuling) 5 qian, plus 3 qian of good Pingwei San, mixed with old rice porridge soup.
Gan Yan Fang (Formula for Gan Eyes) uses one raw chicken liver (any size or sex). For children aged 2-3, use half. Remove external membranes and internal fascia, grind finely like flour. Add an appropriate amount of Ganji San, mix thoroughly. Add good cooked white wine, adjusting thickness appropriately. Warm in a double boiler. Take orally on an empty stomach. Using sweet qu wine with a little cooked white wine is also good. Continue until the eyes open and opacities disperse.
For red and white dysentery with stagnation caused by Gan, use the powder added with *Coptis Rhizome* (Huanglian, processed with ginger juice and earth) and *Myristica Seed* (Rouguo), mixed with strong Centipede Grass Decoction and a little honey.
For Gan caused by food accumulation, mix with *Amomum Fruit* (Sharen) decoction.
The *Jiyan Fang* treats pediatric gan qi that is considered incurable.
Shenxiao Dan (Miraculous Pill)
*Green Vitriol* (Lvfan, calcined until red-hot, quenched in strong vinegar, repeat three times).
Grind into fine powder. Mix with date flesh to form pills the size of mung beans. Take with warm water, 2-3 doses per day.
The *Yuanhe Jiyong Jing* Moxiang Wan (Musk Pill) treats pediatric emaciation due to gan, sallow complexion, tufted hair, skeletal appearance with reduced appetite, muscle heat, convulsions, epilepsy, and gan parasites.
*Musk* (Moxiang, ground), *Aloe* (Luhui, ground), *Picrorhiza Rhizome* (Huhuanglian, powdered).
Equal parts, grind uniformly. Add water drop by drop to form pills the size of millet grains. Age 1: 3 pills; Age 3: 5-7 pills. Take with Ginseng decoction, 3 times daily. The effect is miraculous. Another prescription: Picrorhiza Rhizome 4 parts, the other two substances 2 parts each. Treats gan dysentery and warm malaria with even greater efficacy. Also known as Sheng Wan. Among hundreds of gan medicines, none compare. It is effective for pediatric epilepsy, convulsions, five types of gan, and three types of parasites. It stops ascariasis, cures chronic dysentery, and is unparalleled when used with warming herbs. The classics mention Siwei Yin, Heisan, Ziwan, Zhisheng San, Wujiapi Zhibunengxing, Shuzhi Yin, and this Moxiang Wan, totaling seven formulas, called the Seven Treasures of Infant Nurturing. Daoist Ziyang also calls them the Seven Sages' Precious Formula for Protecting Children. This specific book focuses on them.
The *Lingyuan* Qianjin Wan (Thousand Gold Pill) treats all pediatric gan syndromes. Long-term use makes children robust and healthy.
*Toosendan Fruit* (Chuanlianzi Rou), *Sichuan Lovage Rhizome* (Chuanxiong) (equal parts).
Grind together into powder. Mix with pig bile and pound into pills the size of hemp seeds. Adjust dosage based on child's size. Swallow with rice drink, twice daily. Common maintenance dose is 3-5 pills. The *Zhang Family Tradition* forms pills the size of mung beans, divided into five parts, using Cinnabar, Indigo Naturalis, Lead Carbonate, Lampblack, and Litharge, named Five-Color Pills. Taken at non-fixed times with rice water. The *Kong Family Tradition* treats gan heat with parasitic expulsion using the same method, forming pills with dried pig bile from the twelfth lunar month. If dry, dissolve in water. Pills the size of mung beans. Take 10-15 pills with meat broth. Gan parasites appear like hair strands; see them immediately, otherwise they dissipate.
Taoyiju Luahui Wan (Aloes Pill of the Imperial Medical Bureau) treats gan qi emaciation, sallow complexion, abdominal and hypochondriac fullness, tufted hair, nose rubbing, nail biting, geophagia, variable stool color, alternating chills and fever, dry eyes, bad breath, blackened rotting gums. Long-term use promotes muscle growth, resolves jaundice, kills gan parasites, and improves milk/food intake.
*Dried Toad* (Gan xama), *Large Gleditsia Spine* (Da zaojiao) (equal parts, burn to retain character, grind to powder. For every 1 liang of powder, add following herbs): *Indigo Naturalis* (Qingdai, 2.5 qian, ground), *Aloe* (Luhui, ground), *Musk* (Moxiang, ground), *Cinnabar* (Zhusha, purified and ground, each 1 qian).
Mix uniformly. Soak steamed bread dough in water to form pills the size of hemp seeds. Age 3: 20 pills. Take anytime with warm rice water, adjust based on size.
[Qian's] Danfan Wan (Blue Vitriol Pill) treats gan wasting and masses, promotes appetite, stops diarrhea, harmonizes stomach, and expels parasites.
*Blue Vitriol* (Danfan, authentic, 1 qian, coarse powder), *Green Vitriol* (Lvfan, authentic, 2 liang), *Jujube* (Dazao, 14 pieces, pitted), *Good Vinegar* (Hacu, 1 sheng). Simmer the four ingredients until dates are soft. Add following herbs: *Quisqualis Seed* (Shijunzi, 2 liang, shelled), *Immature Bitter Orange* (Zhishi, remove pulp, stir-fried, 3 liang), *Coptis Rhizome* (Huanglian), *Chebula Terminalia Fruit* (Helile, pitted, each 1 liang, coarse powder), *Croton Seed* (Badou, 14 seeds, peeled and broken). Stir-fry the five ingredients until black, about 30% dry. Add following herbs: *Owl Droppings* (Yeming Sha, 1 liang), *Toad Ash* (Xiamahui, retain 20% potency, 1 liang), *Melia Root Bark* (Kulian Genpi, powder, 0.5 liang). Stir-fry the three ingredients until dry again. Mix with the previous four ingredients. Pound and sieve into powder. Combine with the previous paste. Pound in a mortar 1000 times. If not formed, add cooked date flesh gradually (do not add too much, as it may be hard to digest). If too thick, add warm water. Form pills the size of mung beans. Take 20-30 pills with warm rice water, anytime.
Xama Wan (Toad Pill) transmitted by Ding Zuocang of Xijing. Effective for fat children who take it regularly.
*Dried Toad* (Gan xama, large one, soak in bran water for three nights, remove intestines, head, claws, wash clean, roast in lard until yellow and fragrant), *Tangerine Peel* (Chenpi, remove white pith, 2.5 qian), *Picrorhiza Rhizome* (Huhuanglian, 1 liang), *Turmeric Tuber* (Yujin) and *Alpinia Katsumadai Seed* (Wuyi Ren) (each 0.5 liang).
Grind to powder. In a ceramic vessel, mix with pig bile to desired consistency. Steam over rice until cooked. Cool for half a day. Form pills the size of mung beans. Take 5-7 pills regularly with old rice drink.
[Zhang's] Shenqu San (Medicated Leaven Powder) treats various pediatric gan syndromes.
*Medicated Leaven* (Shenqu), *Old Tangerine Peel* (Chenju pi, do not remove white pith), *Rhubarb Root* (Dahuang, wrapped in paper, roasted), *White Peony Root* (Shaoyao) (each 1.25 qian), *Platycodon Root* (Jiegeng), *Sichuan Lovage Rhizome* (Chuanxiong), *Magnolia Bark* (Houpo, processed with ginger juice), *Bitter Orange* (Zhiqiao, remove pulp, bran-fried), *Poria* (Baifuling) (each 2.5 qian), *Ginseng Radix* (Renshen, 1.5 qian), *Licorice Root* (Gancao, 5 qian, roasted).
Grind to fine powder. Take 1 qian per dose. Add one slice of ginger. Decoct like tea. Take anytime.
Formula for treating all pediatric gan syndromes with emaciation, persistent diarrhea/dysentery, mouth/nose ulcers, and undigested food/water.
*Toad Ash* (Xiamahui, retain character), *Alum* (Baifan), *Cuttlefish Bone* (Wzeiyu gu, roasted), *Litharge* (Mituo seng) (each 2.5 qian), *Musk* (Moxiang, 1.25 qian).
Grind to powder. Mix with refined honey to form pills the size of mung beans. Take 3 pills with warm water. Same as *Shenghui Fang*, but uses 0.5 liang of Musk. (Used by Zhuang's 5th stage).
Formula for treating all pediatric gan syndromes (Used by Zhuang's 14th stage).
*Toad Head* (Chantou, one, roasted), *Calomel* (Nifen), *Fermented Soybean* (Douchi), *Alpinia Katsumadai Seed* (Wuyi), *Coptis Rhizome* (Huanglian) (each 2.5 qian).
Grind to powder. Form pills the size of hemp seeds using soft millet rice. Take 3 pills with rice water morning and evening.
Another Formula (Used by Zhuang's 17th stage and Xianglian Wan).
*Aloe* (Luhui), *Picrorhiza Rhizome* (Huhuanglian), *Cinnabar* (Zhusha), *Indigo Naturalis* (Qingdai), *Musk* (Moxiang) (each 2.5 qian), *Toad Venom* (Chansu, a little).
Grind to powder. Form pills the size of mustard seeds using rice. Take 5-7 pills on an empty stomach and before bed with warm water.
Daoist Zhang from Hongzhou transmitted treatment for twelve types of pediatric gan: Liver Gan, Acute Gan, Wind Gan, Flesh Gan, Spine Gan, Mouth Gan, Brain Gan, Food Gan, Ascariasis Gan, Spleen Gan, Kidney Gan, Heart Gan. These determine life and death. If parasites are found in stool, green indicates death, yellow indicates curability. Must take medicine.
Dingming Dan (Life-Determining Pill)
*Costus Root* (Muxiang), *Owl Droppings* (Yeming Sha), *Musk* (Moxiang) (each 1 fen), *Cicada Slough* (Chantui, 3 fen), *Picrorhiza Rhizome* (Huhuanglian, 2 qian), *Gold Leaf* (Jinbo), *Silver Leaf* (Yinbo) (each 5 pieces).
Grind to powder. Form pills the size of hemp seeds using rice. Take 3 pills with rice water on an empty stomach, 3 times daily. Avoid salty, sour, and greasy foods.
First, Liver Gan: Although the infant drinks milk, gradually prefers meat, especially loves sour and salty tastes. Only take Dingming Dan, then take this medicine.
*Myristica Seed* (Roudoukou, 3 pieces), *Bitter Orange* (Zhiqiao, stir-fried, 7.5 qian), *Poria* (Fuling), *Picrorhiza Rhizome* (Huhuanglian) (each 0.5 liang), *Rhubarb Root* (Dahuang), *Licorice Root* (Gancao), *Cloves* (Dingxiang), *Musk* (Moxiang) (each 2 qian).
Grind to powder. Take "one zi" dose with rice water, twice daily. Chronic cases may require 5 doses for effect.
[Yanshan Shijun] Binglang Wan (Areca Pill) treats early introduction of meat damaging spleen and stomach, inability to separate clear and turbid, untransformed accumulation, leading to gan dysentery symptoms. All should take this.
*Myristica Seed* (Roudoukou, 1 piece), *Raw Areca Seed* (Shengbinglang, 1 piece), *Xuanlian* (Xuanlian), *Picrorhiza Rhizome* (Huhuanglian), *Tangerine Peel* (Chenpi), *Citrus Peel* (Qingpi), *Toosendan Fruit* (Chuanlianrou, stir-fried), *Alpinia Katsumadai Seed* (Wuyi, stir-fried, peeled), *Medicated Leaven* (Shenqu), *Wheat* (Mai, both stir-fried), *Costus Root* (Muxiang), *Owl Droppings* (Yeming Sha, washed and stir-fried), *Aloe* (Luhui), *Sichuan Lovage Rhizome* (Chuanxiong) (each 1 qian), *Musk* (She, one zi).
Grind to powder. Form pills the size of hemp seeds using pig bile and mint. Take 30-50 pills with warm rice drink.
Discussion: Accumulation is the mother of Gan. Therefore, if accumulation is not treated, it becomes Gan syndrome. Furthermore, if accumulation treatment fails to resolve the accumulation, leaving the viscera deficient, Gan becomes even more severe. Generally, pediatric Gan syndromes involve frequent diarrhea without wind signs. Why? Because Gan diarrhea is called Heat Diarrhea. The movement of viscera is limited, so it does not become Wind Syndrome. Even if there is diarrhea without wind, it transforms into other syndromes: thirst, deficiency heat, irritability, dysentery, swelling, fullness, panting urgency—all are deficiency syndromes of Gan. Ancients said: Use tonification for Gan deficiency. Thus, Gan disease should not further drain the viscera. At onset, it is called Gan Qi. Large distended abdomen is called Gan Xu. Frequent diarrhea/dysentery is called Gan Ji. Deficiency irritability in five hearts is called Gan Re. Brittle hair, tufted hair, large belly with visible veins, craving strange foods is called Gan Ji (disease transmission to viscera is extreme). Alternating fever, emaciation, lack of spirit/color in face is called Gan Lao. Small hands/feet, long neck, exposed bones, buttocks without flesh, distended belly with protruding umbilicus is called Dingxi. Vomiting/regurgitation with increased food intake, separated skull sutures, thirst with drinking, worms from mouth is called Bulu. These are all Gan syndromes. Also, excessive consumption of cold, raw, sweet, fatty, sticky foods causes accumulation in the middle jiao that fails to transform, eventually becoming Gan. Treatment of Gan involves assessing severity, regulating viscera, harmonizing middle jiao, smoothing triple burner, warming stomach qi to accept food, strengthening spleen yuan to digest. Then viscera naturally harmonize, qi and blood merge, sinew and bone strength increase, spirit clears, gan dissipates, parasites dissolve, and gradual recovery occurs. If attacking the five viscera with drugs, draining intestines/stomach, removing accumulated toxins and parasites, although called medical treatment, it is not the correct method. Because pediatric viscera deficiency generates parasites, deficiency causes accumulation, deficiency leads to Gan emaciation, deficiency causes fullness. How can purgatives be used? If further draining, intestines/stomach become deficient, leading to Gan. Gan deficiency syndromes become Wugu (innocent) disease. Innocent children are difficult to save.
Huhuanglian Wan (Picrorhiza Pill) treats all infant Gan syndromes and all deficiency dysenteries. Other medicines are ineffective; this one is extremely effective.
*Picrorhiza Rhizome* (Huhuanglian), *Aloe* (Luhui), *Grass Coptis* (Caohuanglian), *Myristica Seed* (Roudoukou, roasted), *Cinnamon Twig* (Guixin), *Ginseng Radix* (Renshen), *Cinnabar* (Zhusha), *Quisqualis Seed* (Shijunzi, shelled), *Costus Root* (Muxiang), *Uncaria Rhynchophylla* (Gouteng), *Dragon Bone* (Longchi), *Poria* (Baifuling) (above each 1 qian), *Musk* (Moxiang, one zi, ground).
Use all raw. Grind to fine powder. Take juice from two pig gallbladders, mix with powder uniformly. Put in a bag, tie tightly, boil in water for half a day. Remove, cut bag open. Add *Datura Seed* (Langdazi, 2 qian) and *Lead Monoxide* (Huandan, 1 qian), grind separately to powder. Mix with previous medicine. Pound 500 times. Form pills the size of mung beans. For any Gan or dysentery, take 5-7 pills with porridge drink. Infants take 3 pills. If refusing porridge, suck on nipple. Can treat twelve types of dysentery and Wugu disease. Efficacy is extraordinary.
Discussion: Gan disease is critical, developing gradually. Dysentery reverses later, transmitting from prolongation (prolongation leads to reversal). Initially seen as mild, called normal. Later recognized as severe, no way to report. Thus, dysentery and Gan both arise from accumulated toxicity and indulgence of the mouth/stomach. Due to deficiency leading to further deficiency, harm causing further harm. Physicians seeing this are worried. Families want quick recovery, often impatient. Seeking survival, conditions deepen. Or Gan extreme with lower abdominal dysentery, or heat excess with increased thirst, or irritability with floating limbs, or sudden vomiting of food. Standard formulas cannot stabilize. Strong agents may damage harmony. All should take this.
Feiji Wan (Flesh-Thickening Pill) treats all pediatric Gan qi, emaciation, weakness, mental fatigue, lack of strength. Regular use kills parasites, resolves Gan, opens stomach, promotes appetite.
*Coptis Rhizome* (Huanglian, remove stamen), *Toosendan Fruit* (Chuanlianrou, stir-fried), *Sichuan Lovage Rhizome* (Chuanxiong) (each 0.5 liang), *Tangerine Peel* (Chenpi), *Cyperi Rhizome* (Xiangfuzi) (each 2.5 qian, boiled in wine, stir-fried dry), *Costus Root* (Muxiang, 2 qian).
Grind to powder. Boil fine flour paste. Form pills the size of hemp seeds. Take 30-50 pills with warm rice drink.
Discussion: Convulsion Gan, accumulation, and dysentery have distinct syndromes requiring different medicines. Now, a child suffers from Gan deficiency fatigue and also has dysentery. Two syndromes combined are most severe. Gan and dysentery running parallel indicate extreme visceral deficiency. Heat toxin is relatively severe. All relate to long-standing accumulation. Although called accumulation, there is no accumulation to treat; it is deficiency receiving the pathogen. Calling it deficiency, tonification is insufficient. Seeing the syndrome, lacking good formulas, how to treat? Even obtaining a formula, without assessing the syndrome, it is hard to cure. Indeed, pulse matches disease, medicine matches syndrome. Physician skill lifts the patient to peace. Huhuanglian Wan cannot be improved. Feiji Wan is also a good assisting formula.