周梦觉曰∶道人于圣学本无所窥，而少者怀之，雅有同志，窃于疳症三致意焉。十六岁以后谓之痨，十六岁以
前谓之疳。其症头皮枯涩，毛发焦稀，腮缩鼻干，脊耸体削，斗牙咬甲，烦渴自汗，口鼻溺赤，肚胀潮热，酷嗜
瓜果、泥炭等物，外则肢体生疮，是其候也。疳之纲领有五，脾肺心肝肾，至于条目，不可穷纪，姑举其要。曰脊
疳，曰蛔疳，曰脑疳，曰丁奚疳，曰无辜疳，曰哺露疳。名有百端，理为一致。虽见症不同，不外热积虫三者而已。
考古名方，有塌气丸，龙胆汤，芦荟丸、木香丸，胡黄连丸，及各种肥儿丸。其理正，其义深，其效神；信非仙
家莫传。因方书论症支吾，虽传其方，无人敢用。如景岳论中，其或气血两虚，有非大补不可，固属门外揣摩。即
钱仲阳，为小儿科中一代名医。而以为皆因脾胃虚损，亦是老生常谈，于疳症何涉。钱氏如此，其它可知。道人不
惜苦口饶舌，细为分晰，病源既明，则作方者之苦心，庶得以阐明于世。杨氏曰∶疳者，干也。道人则曰疳者，甘
也。因奉养太过，肥甘之味，郁而为热，蒸而生虫，久而成积，而疳以是名焉。惟其煎熬津液，肌肉为之
消削。惟其成积，肚腹胀大，饮食为之减少。惟其生虫，吮脏腑，则偏嗜异物，蚀肢体，则疮痒不痛。种种症候，
大半得之膏粱之家，食藜藿者十居一二。道人云游以来，每见朱门子弟，反不如居茅屋之神完气足，总由饮食不节
之故，何关乎元气之盛衰，脾胃之强弱，此其大彰明较着者也。各方中不离黄连为君者，解其煎熬之热毒也。用芦
荟生地山栀青黛胆草黄柏者，清其火也，用芜荑君子川楝雷丸鹤虱乌梅者，杀其虫也。用莪术神曲山楂麦芽青皮
木香者，消其积也。用干虾蟆蟾酥者，以毒攻其毒也。用夜明砂灵脂者，去瘀而生新也。有是症则有是药，药味之
寒与毒，夫复何疑。尝见患是症者，请一目不识丁之医，或揣之曰，莫不是疳，将师所传治疳之方，遂撮一帖，
犹或幸中，彼原不知黄连之寒，芜荑之毒。请一读书明理之医，明知是疳，开口便曰∶脾胃大损，非峻补不可。
枯瘦之躯，何堪此黄连之寒，芜荑之毒。主人曰稳当。不知热得补而益炽，积得补而坚甚，虫得补而更多。至于
不救，则曰有命。此非读书之过，不善读书者之过也。道高一尺，魔高一丈，其斯之谓欤。然则惟攻热积虫，
遂可以治疳乎，非也。五疳有所见之疳，诸疳又各有所见之症，变化生心，岂可胶柱鼓瑟。不过胸有成竹，而后
能画竹。然则治疳一于攻而全无补法乎？亦非也。经曰大毒治病，十去五六。相其热退积减虫安，穷寇勿追。或调
理脾胃，滋肾平肝，一任医之运用。
涂蔚生曰∶梦觉分析此节，论症精详，治法简明，犹设雷灯于暗道，施航海家以南针，济世济人，厥力岂浅鲜
哉。然其郁而为热，蒸而生虫，久而成积一节，余以为其次序当积系于先，热次之，虫更次之。盖必有积而后有
热，有热而后有虫，有虫而后
有酷嗜瓜果泥炭等物之事也。试观夏月，吾人之置食菜与肉于地，最易生蛆可知。至其虫之吮脏腑，所以能发生
偏嗜异物，则梦觉尤未能帮助。以余度之，当系某脏腑被虫蚀之后，其阴液即系亏损，自不得不求救于性类所
属之物质，以为补助者也。如脾疳而嗜泥土，肾疳而嗜生盐等是也。
考古各方∶
塌气丸 米糊为丸。治腹胀大。
白豆蔻 麦芽 五灵脂 砂仁 莪术 陈皮 青皮 使君子（各二钱） 癞虾蟆（三钱）
下虫丸 米糊为丸。
苦楝子（一钱，米泔浸，焙） 贯众（一钱） 槟榔（一钱） 桃仁（一钱） 芜荑（一钱） 木香（一钱）
鹤虱（一钱）
木香丸 生姜水为丸。治疳痢。
黄连（一钱） 木香（一钱） 浓朴（七分） 夜明砂（一钱）
大芜荑汤 治小儿发热作渴，少食，大便不利，发黄脱落。
芜荑（一钱） 栀子（一钱） 当归（一钱） 白术（一钱） 茯苓（一钱） 柴胡（一钱） 麻黄（一钱）
羌活（六分） 防风（一钱） 黄连（一钱） 黄柏（一钱） 炙甘草（一钱）
四味肥儿丸 治小儿食积五疳，目生云翳牙根腐烂。
芜荑（一钱） 神曲（一钱） 麦芽（一钱） 黄连（一钱）
上等分为末，猪胆汁为丸，绿豆大。
芦荟肥儿丸 猪胆为丸黍米大。治热疳。
芦荟 龙胆草 人参 木香 麦芽（各二钱） 土鳖（去头足酥炙） 槟榔 使君子 芜荑（各三钱） 胡
黄连（一钱） 黄连（一钱）
龙胆丸 炼蜜为丸。治疳热脑疮。
龙胆草（一钱） 升麻（六分） 苦楝根皮（一钱） 赤茯苓（一钱） 防风（一钱） 芦荟（一钱）
油发灰（一钱） 青黛（一钱） 黄连（一钱）
蟾酥丸 治小儿头顶结核，面色黄瘦，饮食不甘，腹大发
热。
蟾蜍二三个，将粪蛆一杓置桶中，以尿浸之，即将蟾蜍打死与蛆食一昼夜，用布袋盛起，置急流水中一宿，取
出，瓦上焙干为末，入麝香少许，米为丸。
《集成》集圣丸 治冷热新久一切疳症，以之为主，可随症加减。
芦荟（一钱） 五灵脂（一钱） 夜明砂（一钱） 陈皮（六分） 莪术（一钱） 使君子（一钱） 广木香
（一钱） 当归（一钱） 川芎（一钱） 人参（一钱） 川连（一钱） 干蟾酥（一钱，酥炙） 西砂仁（酒炒，二
分）
涂蔚生曰∶此方出自《幼幼集成》，与前之芦荟肥儿丸相似，而人参与灵脂同用，尤恐人参畏其侵夺之力也。
《集成》参苓白术散 治脾胃虚弱，饮食不进，或呕吐泄痢，及大病之后。补救脾胃，此方为神。
人参（一钱） 白术（一钱） 茯苓（一钱） 怀山药（一钱） 桔梗（一钱） 苡仁（一钱） 建莲肉（一钱）
炙甘草（一钱）
上共为细末，每服一二钱，姜枣汤调服。
《集成》清胃散 治走马牙疳。
黄连（一钱） 当归（一钱） 升麻（六分） 生地（一钱） 丹皮（一钱） 白芷（一钱） 细辛（五分）
《集成》大肥儿丸 治小儿脾胃虚弱，泄泻骨蒸。
人参 山楂肉（炒） 白术（土炒） 莪术（炒） 川朴（姜汁炒） 神曲（炒） 陈皮（炒） 胡黄连（炒）
川连（姜制） 青皮（醋炒） 茯苓（乳蒸） 杭芍（酒炒） 地骨皮（酒炒） 泽泻（炒） 肉豆蔻（ ）
槟榔 川芎（炒） 柴胡（酒炒） 使君子肉（炒） 干蟾蜍（醋炙） 炙甘草（各一钱） 五谷虫（二钱）
上共为细末，炼蜜为丸，弹子大，米饮化下。
《集成》走马牙疳方 并治口疳破烂及齿龈腐烂黑臭者。用药后，须防其涎流口内。
人中白（一两， ） 儿茶（五钱） 黄柏 薄荷 青黛（各一钱） 冰片（三
分）
上共为细末用。
《集成》急疳方 治蚀烂口鼻欲死。
海中紫贝子（炭灰 过，俗名南蛇牙齿，大名牙螺，岭南称狗支螵。）为末，猎猪油调涂。
周梦觉说：我对圣人之学本无深入探究，但年少者对我怀有期待，我们志趣相投，因此我特别对疳症（小儿慢性消耗性疾病）反复思考。十六岁以后称为痨病（虚劳），十六岁以前称为疳症。其症状表现为头皮干枯涩滞，毛发焦黄稀疏，面颊收缩鼻干，脊背高耸身体消瘦，磨牙咬指甲，烦躁口渴自汗，口鼻分泌物及尿液色赤，腹部胀大伴有潮热，极度嗜好瓜果、泥土炭块等异物，体表则肢体生疮，这是其征候。疳症的纲领分为五类，对应脾、肺、心、肝、肾五脏，至于具体条目，不可穷尽列举，姑且举其主要者。如脊疳、蛔疳、脑疳、丁奚疳、无辜疳、哺露疳。名称虽有百种，道理却是一致的。虽然表现出的症状不同，不外乎热、积、虫三个方面而已。
考察古代名方，有塌气丸、龙胆汤、芦荟丸、木香丸、胡黄连丸，以及各种肥儿丸。这些方剂的原理正确，义理深远，疗效神奇；确实不是仙家不能传授。因为医书在论述病症时含糊其辞，虽然流传了方子，却无人敢使用。比如张景岳在论述中认为，如果是气血两虚，非大补不可，这固然是门外汉的揣测。即使是钱乙（字仲阳），作为儿科一代名医，却认为皆因脾胃虚损所致，这也是老生常谈，与疳症的实质何干？钱氏如此，其他医者可知。我不惜苦口婆心，仔细分析，病源既然明确，那么组方者的苦心，或许得以阐明于世。
杨氏说：疳，就是“干”的意思。我说：疳，其实是“甘”的意思。因为奉养过度，肥甘厚味，郁结化为热邪，蒸腾而生出寄生虫，久而久之形成积滞，疳症因此得名。正因为煎熬津液，肌肉随之消削。正因为形成积滞，肚腹胀大，饮食减少。正因为生出寄生虫，吮吸脏腑，导致偏嗜异物；侵蚀肢体，导致疮痒不痛。种种症状，大半得之于富贵膏粱之家，吃粗茶淡饭的人十之一二。我云游以来，常常见到朱门子弟，反而不如住在茅屋的人精神饱满、元气充足，总归是饮食不节的缘故，这与元气的盛衰、脾胃的强弱无关，这是显而易见的。
各方中不离黄连为君药（主药）的，是为了化解其煎熬的热毒。用芦荟、生地、山栀、青黛、胆草、黄柏的，是为了清火。用芜荑、使君子、川楝子、雷丸、鹤虱、乌梅的，是为了杀虫。用莪术、神曲、山楂、麦芽、青皮、木香的，是为了消积。用干虾蟆、蟾酥的，是以毒攻毒。用夜明砂、五灵脂的，是为了去瘀生新。有什么症状就用什么药，药味的寒性与毒性，还有什么可疑虑的呢？
我曾见过患此症的患者，请一个目不识丁的医生，或者猜测说：“莫不是疳症吧？”于是拿出师父传授的治疳方子，抓一帖药，有时还侥幸奏效，因为他原本不知道黄连的寒性、芜荑的毒性。再请一个读书明理的医生，明知是疳症，开口便说：“脾胃大损，非峻补不可。”枯瘦的身体，哪里承受得住黄连的寒性、芜荑的毒性。主人却说这样稳妥。却不知道热邪得到补益会更加炽盛，积滞得到补益会更加坚固，寄生虫得到补益会更多。到了无法救治时，就说是有命数。这不是读书人的过错，是不善于读书人的过错啊。道高一尺，魔高一丈，说的就是这个道理。
那么，只要攻清热、积、虫，就可以治疗疳症了吗？不是这样。五疳有各自显现的症状，诸疳又各有不同的表现，变化由心生，岂可拘泥固执。不过是胸有成竹，然后才能画好竹子。那么，治疗疳症只知攻伐而全无补法吗？也不是。经书说：用大毒药物治疗疾病，病去十分之五六即可。观察热退、积减、虫安的情况，对于穷途末路的敌人不要追逼。或者调理脾胃，滋肾平肝，任由医生运用。
涂蔚生说：梦觉对此节内容的分析，论症精详，治法简明，犹如在暗道上设置雷灯，为航海家提供指南针，济世救人，功劳难道浅显吗？然而他说“郁而为热，蒸而生虫，久而成积”，我认为其顺序应当是积在先，热次之，虫更次之。因为必定先有积滞，然后才有热邪，有热邪然后才有虫，有虫然后才会有酷嗜瓜果、泥土炭块等行为。试看夏天，我们将食物和肉放在地上，最容易生蛆，由此可知。至于虫子吮吸脏腑，从而发生偏嗜异物的现象，梦觉的解释未能提供帮助。依我推测，应当是某个脏腑被虫蚀之后，其阴液亏损，不得不求救于与其本性所属的物质，作为补助。如脾疳而嗜食泥土，肾疳而嗜食生盐等就是这样。
考察古代各方：
塌气丸：用米糊做丸。治疗腹部胀大。
白豆蔻、麦芽、五灵脂、砂仁、莪术、陈皮、青皮、使君子（各二钱）、癞虾蟆（三钱）。
下虫丸：用米糊做丸。
苦楝子（一钱，米泔水浸泡，焙干）、贯众（一钱）、槟榔（一钱）、桃仁（一钱）、芜荑（一钱）、木香（一钱）、鹤虱（一钱）。
木香丸：用生姜水做丸。治疗疳痢（疳症伴腹泻痢疾）。
黄连（一钱）、木香（一钱）、浓朴（七分）、夜明砂（一钱）。
大芜荑汤：治疗小儿发热口渴，少食，大便不通利，头发发黄脱落。
芜荑（一钱）、栀子（一钱）、当归（一钱）、白术（一钱）、茯苓（一钱）、柴胡（一钱）、麻黄（一钱）、羌活（六分）、防风（一钱）、黄连（一钱）、黄柏（一钱）、炙甘草（一钱）。
四味肥儿丸：治疗小儿食积及五疳，目生云翳，牙根腐烂。
芜荑（一钱）、神曲（一钱）、麦芽（一钱）、黄连（一钱）。
上等分研为末，猪胆汁做丸，绿豆大小。
芦荟肥儿丸：猪胆汁做丸，黍米大小。治疗热疳。
芦荟、龙胆草、人参、木香、麦芽（各二钱）、土鳖（去头足，酥炙）、槟榔、使君子、芜荑（各三钱）、胡黄连（一钱）、黄连（一钱）。
龙胆丸：炼蜜做丸。治疗疳热引起的脑疮。
龙胆草（一钱）、升麻（六分）、苦楝根皮（一钱）、赤茯苓（一钱）、防风（一钱）、芦荟（一钱）、油发灰（一钱）、青黛（一钱）、黄连（一钱）。
蟾酥丸：治疗小儿头顶结核，面色黄瘦，饮食不甘，腹大发热。
蟾蜍二三个，将粪蛆一杓放入桶中，用尿浸泡，即将蟾蜍打死让蛆吃一昼夜，用布袋装起，置于急流水中一夜，取出，瓦上焙干研末，加入少许麝香，米做丸。
《集成》集圣丸：治疗冷热新旧一切疳症，以此为主，可根据症状加减。
芦荟（一钱）、五灵脂（一钱）、夜明砂（一钱）、陈皮（六分）、莪术（一钱）、使君子（一钱）、广木香（一钱）、当归（一钱）、川芎（一钱）、人参（一钱）、川连（一钱）、干蟾酥（一钱，酥炙）、西砂仁（酒炒，二分）。
涂蔚生说：此方出自《幼幼集成》，与前文的芦荟肥儿丸相似，但人参与五灵脂同用，尤其担心人参畏惧五灵脂的侵夺之力。
《集成》参苓白术散：治疗脾胃虚弱，饮食不进，或呕吐泄痢，以及大病之后。补救脾胃，此方为神效。
人参（一钱）、白术（一钱）、茯苓（一钱）、怀山药（一钱）、桔梗（一钱）、苡仁（一钱）、建莲肉（一钱）、炙甘草（一钱）。
以上共为细末，每服一二钱，姜枣汤调服。
《集成》清胃散：治疗走马牙疳（一种迅速发展的口腔溃烂病）。
黄连（一钱）、当归（一钱）、升麻（六分）、生地（一钱）、丹皮（一钱）、白芷（一钱）、细辛（五分）。
《集成》大肥儿丸：治疗小儿脾胃虚弱，泄泻骨蒸（阴虚发热）。
人参、山楂肉（炒）、白术（土炒）、莪术（炒）、川朴（姜汁炒）、神曲（炒）、陈皮（炒）、胡黄连（炒）、川连（姜制）、青皮（醋炒）、茯苓（乳蒸）、杭芍（酒炒）、地骨皮（酒炒）、泽泻（炒）、肉豆蔻、槟榔、川芎（炒）、柴胡（酒炒）、使君子肉（炒）、干蟾蜍（醋炙）、炙甘草（各一钱）、五谷虫（二钱）。
以上共为细末，炼蜜做丸，弹子大小，米饮送服。
《集成》走马牙疳方：并治口疳破烂及齿龈腐烂黑臭者。用药后，须防止其涎水流入口内。
人中白（一两，煅）、儿茶（五钱）、黄柏、薄荷、青黛（各一钱）、冰片（三分）。
以上共为细末外用。
Zhou Mengjue said: "I have no deep insight into the learning of the Sages, but the young hold expectations for me, and we share similar aspirations. Therefore, I have paid special attention to *Gan* syndrome (a chronic wasting disease in children) repeatedly. After the age of sixteen, it is called *Lao* (consumptive disease); before the age of sixteen, it is called *Gan*. Its symptoms include dry and rough scalp, scorched and sparse hair, sunken cheeks and dry nose, hunched spine and emaciated body, grinding teeth and biting nails, irritability, thirst, and spontaneous sweating, reddish discharge from the mouth and nose and urine, abdominal distension with tidal fever, extreme craving for fruits, vegetables, mud, charcoal, and other foreign substances, and sores on the limbs externally. These are its signs. The general principles of *Gan* are categorized into five, corresponding to the Spleen, Lung, Heart, Liver, and Kidney. As for specific items, they cannot be exhaustively listed; I will briefly mention the main ones: Ji Gan (Spine *Gan*), Hui Gan (Roundworm *Gan*), Nao Gan (Brain *Gan*), Ding Xi Gan, Wu Gu Gan, and Bu Lu Gan. Although there are hundreds of names, the underlying principle is consistent. Although the manifested symptoms differ, they essentially fall into three categories: Heat, Accumulation, and Parasites.
Examining ancient famous prescriptions, there are Ta Qi Wan (Collapse Qi Pill), Long Dan Tang (Gentian Decoction), Lu Hui Wan (Aloe Pill), Mu Xiang Wan (Costus Root Pill), Hu Huang Lian Wan (Coptis/Picrorhiza Pill), and various Fei Er Wan (Fatten Child Pills). Their principles are correct, their meanings profound, and their effects miraculous; indeed, only immortals could transmit them. Because medical texts discuss symptoms ambiguously, although the prescriptions are transmitted, no one dares to use them. For instance, Zhang Jingyue argued in his discussions that if there is deficiency of both Qi and Blood, major tonification is indispensable, which is undoubtedly speculation by outsiders. Even Qian Yi (courtesy name Zhongyang), a renowned master of pediatrics, believed that all cases were due to Spleen and Stomach deficiency damage, which is also an old cliché and irrelevant to the essence of *Gan* syndrome. If Qian was like this, others can be imagined. I do not spare my bitter words and tedious explanations; once the source of the disease is clear, the painstaking efforts of the formulators may hopefully be elucidated to the world.
Yang Shi said: '*Gan' means 'dry'. I say: '*Gan' actually means 'sweet/greasy'. It arises because of excessive indulgence in rich and sweet foods, which stagnate and transform into Heat, steaming and generating Parasites. Over time, Accumulations form, and thus the name *Gan* comes about. Because it boils away Body Fluids, muscles are consumed. Because Accumulations form, the abdomen becomes distended, and food intake decreases. Because Parasites are generated, they suckle the Zang-Fu organs, leading to cravings for foreign substances; they erode the limbs, causing sores and itching without pain. Various symptoms mostly occur in wealthy families accustomed to rich diets, while only one or two out of ten occur in those eating coarse food. Since my travels, I have often seen that children of noble houses are less robust and full of vital energy than those living in thatched cottages. This is entirely due to irregular diet, having nothing to do with the flourishing or decline of Yuan Qi (Original Qi) or the strength or weakness of the Spleen and Stomach. This is manifestly obvious.
In various prescriptions, Coptis Rhizome (Huanglian) is invariably used as the Sovereign herb to resolve the toxic heat caused by boiling. Aloe (Lu Hui), Rehmannia Root (Sheng Di), Gardenia Fruit (Shan Zhi), Indigo Naturalis (Qing Dai), Gentian Root (Dan Cao), and Phellodendron Bark (Huang Bo) are used to clear Fire. Coix Seed (Wuyi), Quinine Tree Fruit (Shijunzi), Toosendan Fruit (Chuan Lian Zi), Ophiopogon Tuber (Leiwang - *Note: Text likely refers to a parasitic herb like Wollemi Pine or similar antiparasitic, but literal translation of Leiwang usually points to Ophiopogon or specific antiparasitic context here implies antiparasitic action*), Carrot Weed (Heshi), and Mume Fruit (Wumei) are used to kill parasites. Curcuma Tuber (Ezhu), Medicated Leaven (Shenqu), Hawthorn Fruit (Shanzha), Barley Sprout (Maiya), Green Tangerine Peel (Qingpi), and Costus Root (Muxiang) are used to dissipate Accumulation. Dried Toad (Gan Xiamu) and Toad Venom (Chansu) are used to attack toxicity with toxicity. Night-shining Sand (Yeming Sha) and Trogopterus Dung (Wulingzhi) are used to remove stasis and generate new blood. Where there are symptoms, there are medicines; what doubt remains regarding the cold nature and toxicity of these herbs?
I have seen patients suffering from this condition consult an illiterate doctor, who might guess, 'Could it be *Gan*?' and then prescribe a packet of a master's *Gan*-treating formula, sometimes accidentally succeeding, because he did not know the cold nature of Coptis Rhizome or the toxicity of Coix Seed. Conversely, when consulting a literate and rational doctor who knows it is *Gan*, he immediately says, 'The Spleen and Stomach are severely damaged; drastic tonification is required.' A withered body cannot withstand the cold of Coptis and the toxicity of Coix Seed. The owner thinks this is safe. Yet, Heat becomes more intense with tonification, Accumulation becomes harder with tonification, and Parasites multiply with tonification. When death ensues, they say it is fate. This is not the fault of reading books, but the fault of those who do not read well enough. Virtue rises one foot, demons rise ten feet; this is what is meant.
Then, can *Gan* be treated solely by attacking Heat, Accumulation, and Parasites? No. The Five *Gans* have their specific manifestations, and each type of *Gan* has its own symptoms. Changes arise from the mind; how can one be rigid and inflexible? One must have the bamboo in mind before painting it. So, is treatment of *Gan* purely offensive with no tonifying methods? Also no. The Classics state: 'When using highly toxic drugs to treat disease, stop when 50-60% of the disease is gone.' Observe when Heat recedes, Accumulation diminishes, and Parasites are pacified; do not pursue a desperate enemy. Alternatively, regulate the Spleen and Stomach, nourish the Kidney, and calm the Liver, leaving it to the physician's discretion.
Tu Weisheng said: "Mengjue's analysis of this section is precise in discussing symptoms and concise in treatment methods, like setting up lightning lamps on a dark path or providing a compass for navigators. His contribution to saving lives is far from insignificant. However, regarding his statement 'stagnation transforms into Heat, steaming generates Parasites, and over time Accumulations form,' I believe the order should be Accumulation first, Heat second, and Parasites third. There must be Accumulation before Heat, Heat before Parasites, and Parasites before the behavior of craving fruits, mud, and charcoal. Consider summer: if we place food and meat on the ground, maggots easily appear. Regarding parasites sucking Zang-Fu organs causing cravings for foreign substances, Mengjue's explanation does not fully help. In my estimation, it is likely that after a specific Zang-Fu organ is eroded by parasites, its Yin fluids are depleted, forcing it to seek substances related to its nature for supplementation. For example, Spleen *Gan* craves mud, and Kidney *Gan* craves raw salt.
Examining ancient prescriptions:
Ta Qi Wan: Made into pills with rice paste. Treats abdominal distension.
Cardamom Seed (Ba Dou Kou), Barley Sprout (Mai Ya), Trogopterus Dung (Wu Ling Zhi), Amomum Fruit (Sha Ren), Curcuma Tuber (E Zhu), Tangerine Peel (Chen Pi), Green Tangerine Peel (Qing Pi), Quinine Tree Fruit (Shi Jun Zi) (2 qian each), Toad (Laixama) (3 qian).
Xia Chong Wan: Made into pills with rice paste.
Quinine Tree Fruit (Kuan Lian Zi) (1 qian, soaked in rice water, baked), Millettia Stem (Guan Zhong) (1 qian), Areca Nut (Bing Lang) (1 qian), Peach Kernel (Tao Ren) (1 qian), Coix Seed (Wuyi) (1 qian), Costus Root (Mu Xiang) (1 qian), Carrot Weed (He Shi) (1 qian).
Mu Xiang Wan: Made into pills with ginger juice. Treats *Gan* dysentery.
Coptis Rhizome (Huang Lian) (1 qian), Costus Root (Mu Xiang) (1 qian), Magnolia Bark (Nong Po) (7 fen), Night-shining Sand (Ye Ming Sha) (1 qian).
Da Wuyi Tang: Treats pediatric fever with thirst, poor appetite, difficult defecation, yellowing hair loss.
Coix Seed (Wuyi) (1 qian), Gardenia Fruit (Zi Zi) (1 qian), Angelica Sinensis (Dang Gui) (1 qian), Atractylodes Macrocephala (Bai Zhu) (1 qian), Poria (Fu Ling) (1 qian), Bupleurum (Chai Hu) (1 qian), Ephedra Herb (Ma Huang) (1 qian), Notopterygium Root (Qiang Huo) (6 fen), Saposhnikovia Root (Fang Feng) (1 qian), Coptis Rhizome (Huang Lian) (1 qian), Phellodendron Bark (Huang Bo) (1 qian), Prepared Licorice Root (Zhi Gan Cao) (1 qian).
Si Wei Fei Er Wan: Treats pediatric food accumulation and Five *Gans*, cloudy cornea, rotten gum roots.
Coix Seed (Wuyi) (1 qian), Medicated Leaven (Shen Qu) (1 qian), Barley Sprout (Mai Ya) (1 qian), Coptis Rhizome (Huang Lian) (1 qian).
Grind the above into powder, make pills with pig bile, size of mung beans.
Lu Hui Fei Er Wan: Made into pills with pig bile, size of millet seeds. Treats Heat *Gan*.
Aloe (Lu Hui), Gentian Root (Long Dan Cao), Ginseng Root (Ren Shen), Costus Root (Mu Xiang), Barley Sprout (Mai Ya) (2 qian each), Ground Beetle (Tu Bie) (head and feet removed, fried in butter), Areca Nut (Bing Lang), Quinine Tree Fruit (Shi Jun Zi), Coix Seed (Wuyi) (3 qian each), Picrorhiza Rhizome (Hu Huang Lian) (1 qian), Coptis Rhizome (Huang Lian) (1 qian).
Long Dan Wan: Made into pills with refined honey. Treats *Gan* heat brain sores.
Gentian Root (Long Dan Cao) (1 qian), Cimicifuga Rhizome (Sheng Ma) (6 fen), Quinine Tree Root Bark (Kuan Lian Gen Pi) (1 qian), Red Poria (Chi Fu Ling) (1 qian), Saposhnikovia Root (Fang Feng) (1 qian), Aloe (Lu Hui) (1 qian), Burnt Hair Ash (You Fa Hui) (1 qian), Indigo Naturalis (Qing Dai) (1 qian), Coptis Rhizome (Huang Lian) (1 qian).
Chansu Wan: Treats pediatric cervical lymphadenitis, sallow and thin complexion, aversion to food, abdominal distension with fever.
Take 2-3 toads, put a scoop of fly larvae in a bucket, soak with urine, kill the toads and let the larvae eat them for a day and night. Place in a cloth bag, soak in running water overnight, take out, bake on tiles until dry, grind into powder, add a little Musk (She Xiang), make pills with rice.
Jicheng Jisheng Wan: Treats all types of *Gan* (cold, hot, new, old). Use as base, modify according to symptoms.
Aloe (Lu Hui) (1 qian), Trogopterus Dung (Wu Ling Zhi) (1 qian), Night-shining Sand (Ye Ming Sha) (1 qian), Tangerine Peel (Chen Pi) (6 fen), Curcuma Tuber (E Zhu) (1 qian), Quinine Tree Fruit (Shi Jun Zi) (1 qian), Guang Costus Root (Guang Mu Xiang) (1 qian), Angelica Sinensis (Dang Gui) (1 qian), Ligusticum Rhizome (Chuan Xiong) (1 qian), Ginseng Root (Ren Shen) (1 qian), Coptis Rhizome (Chuan Lian) (1 qian), Dry Toad Venom (Gan Chansu) (1 qian, fried in butter), Western Amomum Fruit (Xi Sha Ren) (wine-fried, 2 fen).
Tu Weisheng said: This prescription comes from *Youyou Jicheng*, similar to the previous Lu Hui Fei Er Wan, but Ginseng and Trogopterus Dung are used together. One might worry that Ginseng fears the invasive power of Trogopterus Dung.
Jicheng Shen Ling Bai Zhu San: Treats Spleen and Stomach weakness, poor appetite, vomiting/dysentery, and post-major illness. For replenishing Spleen and Stomach, this prescription is divine.
Ginseng Root (Ren Shen) (1 qian), Atractylodes Macrocephala (Bai Zhu) (1 qian), Poria (Fu Ling) (1 qian), Chinese Yam (Huai Shan Yao) (1 qian), Platycodon Root (Jie Geng) (1 qian), Coix Seed (Yi Ren) (1 qian), Lotus Seed (Jian Lian Rou) (1 qian), Prepared Licorice Root (Zhi Gan Cao) (1 qian).
Grind all into fine powder, take 1-2 qian per dose, mix with Ginger-Jujube decoction.
Jicheng Qing Wei San: Treats Zou Ma Ya Gan (rapidly progressing gingivostomatitis/noma).
Coptis Rhizome (Huang Lian) (1 qian), Angelica Sinensis (Dang Gui) (1 qian), Cimicifuga Rhizome (Sheng Ma) (6 fen), Rehmannia Root (Sheng Di) (1 qian), Moutan Bark (Dan Pi) (1 qian), Angelica Dahurica (Bai Zhi) (1 qian), Asarum (Xi Xin) (5 fen).
Jicheng Da Fei Er Wan: Treats pediatric Spleen and Stomach weakness, diarrhea, bone-steaming fever.
Ginseng Root (Ren Shen), Hawthorn Flesh (Shan Zha Rou, stir-fried), Atractylodes Macrocephala (Bai Zhu, earth-fried), Curcuma Tuber (E Zhu, stir-fried), Magnolia Bark (Chuan Po, ginger juice-fried), Medicated Leaven (Shen Qu, stir-fried), Tangerine Peel (Chen Pi, stir-fried), Picrorhiza Rhizome (Hu Huang Lian, stir-fried), Coptis Rhizome (Chuan Lian, ginger-processed), Green Tangerine Peel (Qing Pi, vinegar-fried), Poria (Fu Ling, milk-steamed), White Peony Root (Hang Shao, wine-fried), Cortex Lycii (Di Gu Pi, wine-fried), Alisma Rhizome (Ze Xie, stir-fried), Nutmeg (Rou Dou Kou), Areca Nut (Bing Lang), Ligusticum Rhizome (Chuan Xiong, stir-fried), Bupleurum (Chai Hu, wine-fried), Quinine Tree Fruit Meat (Shi Jun Zi Rou, stir-fried), Dry Toad (Gan Chan Chu, vinegar-roasted), Prepared Licorice Root (Zhi Gan Cao) (1 qian each), Five-grain Insect (Wu Gu Chong) (2 qian).
Grind all into powder, make pills with refined honey, size of bullet, dissolve in rice drink.
Jicheng Zou Ma Ya Gan Fang: Also treats oral *Gan* ulcers and black/foul-smelling rotten gums. After application, prevent saliva from flowing into the mouth.
Human Urine Deposit (Ren Zhong Bai) (1 liang, calcined), Camelia Seed Tea (Er Cha) (5 qian), Phellodendron Bark (Huang Bo), Mint (Bo He), Indigo Naturalis (Qing Dai) (1 qian each), Borneol (Bing Pian) (3 fen).
Grind all into fine powder for external use.
Jicheng Ji Gan Fang: Treats erosion and rotting of mouth and nose to the point of near death.
Sea Purple Shell (Hai Zhong Zi) (calcined with charcoal ash, commonly known as Nan She Ya Chi, formally Ya Luo, in Lingnan called Gou Zhi Piao.) Grind into powder, mix with wild boar fat for application.