治婴孩小儿一切症候及一切虚痢他药无功此药极效胡黄连丸方
胡黄连 芦荟 草黄连 肉豆蔻（炮） 桂 人参 朱砂 麝（一字） 使君子（去壳） 木
香钓藤 龙齿 白茯苓（以上各一两重）
上各生用为细末取 猪胆两枚裂汁和末令匀却入袋内盛之以绳札定汤煮半日取出切破袋
子更
入莨宕子二两重（微炒）黄丹（一两重） 二味别研如粉入前药和匀捣五百杵为丸如绿豆大但是
疳与痢用粥饮下五七丸子幼者三丸不吃粥饮乳头令吻能治一十二种疳痢及无辜者功效非常
议曰疳之疾危发由于渐痢之复逆传自于延（延久为逆）初见其轻言之曰常后知其重告之无
门是以
疳痢皆由积毒娇恣口腹因虚以致虚用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（音耕）迁取活展转愈深或疳极而胶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惟宜服此
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肥肌丸方
黄连（一分去须） 川楝子肉（各半两炒） 川芎（半两） 陈皮 香附子（各一分酒煮炒干）
木香（二两）
上为末水煮细面糊为丸麻子大每服三五十丸温饭饮下
议曰惊疳积痢各分症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症不得良方
以何对治虽获其方不审其候亦难疗也良由脉与病同药与症对医工运功扶而起之必得安药胡黄
连丸无以加诸肥肌良方亦佐胜
治疗婴幼儿小儿各种病症以及所有虚证痢疾，其他药物无效时此药极有效。胡黄连丸方：
胡黄连、芦荟、草黄连、肉豆蔻（炮制）、桂枝、人参、朱砂、麝香（一钱重）、使君子（去壳）、木香、钓藤、龙齿、白茯苓（以上各一两重）。
将上述药材分别生用研成细末，取两个猪胆裂开取汁，与药末混合均匀，然后装入袋内，用绳子扎紧，在汤水中煮半天，取出后切开袋子，再加入莨菪子二两重（微炒）、黄丹一两重，这两味药另外研磨成粉，加入前面的药中混合均匀，捣击五百下，制成如绿豆大小的药丸。凡是疳积病与痢疾，用米粥饮送服五至七丸，年幼者三丸；如果不喝粥饮，可用乳头让婴儿吮吸。能治疗十二种疳积痢疾及无辜疳，功效非常显著。
议论说：疳积之病危险，发作是逐渐形成的；痢疾的反复逆传，源自病程迁延（久延不愈即为逆）。初起时症状轻微，人们称之为平常；后来知道病情严重，却已无门可救。因此，疳积和痢疾都是由积滞毒邪、娇惯放纵口腹之欲引起，因虚导致更虚，用错误的方法伤害身体。医生见到这种情况自然忧虑怀疑，病人家属想要迅速苏醒恢复，岂有不性急反而拖延求活的道理？辗转之间病情加深。或者疳积极甚而胶固下痢，或者热盛而加重口渴，或者烦躁、四肢虚浮，或者饮食一时呕吐。常规方剂不能安定痊愈，峻猛快效之剂恐怕进一步损伤和气，只适宜服用此药。
治疗小儿各种疳气、肌肉消瘦、体质虚弱、精神困倦、力气匮乏，常服以杀虫消疳、开胃进食的肥肌丸方：
黄连（一分，去须）、川楝子肉（各半两，炒）、川芎（半两）、陈皮、香附子（各一分，酒煮炒干）、木香（二两）。
将上述药材研为细末，用水煮细面糊作为粘合剂制成药丸，大小如麻子。每次服用三五十丸，用温热的饭饮送下。
议论说：惊疳、积痢各有不同的症候，用药也不同。现在有小儿患疳积虚困，又并发痢疾，两种症候相加最为恶劣沉重。疳积与痢疾并行，脏腑虚乏到了极点，热毒稍重，都因为积滞日久停滞所致。虽然说是由于积滞，但没有积滞可以攻伐，乃是虚损受邪。如果说它是虚证，补益也来不及；看到这些症候，得不到良方，用什么来对治？即使获得了良方，如果不审察其症候，也难以治愈。这主要是由于脉象与病症相符，药物与症候相对，医生运用功力扶正起衰，必定能得到安定的效果。胡黄连丸无以复加，肥肌丸也是良方，二者相辅相成。
To treat all syndromes in infants and young children, as well as all deficiency-type dysentery (deficiency-type diarrhea with tenesmus), where other medicines are ineffective, this medicine is extremely effective. Hu Huang Lian Wan (Huanglian Pill) Formula:
Armeniacae Semen Amarum (Ku Xing Ren, 苦杏仁 - *Note: Text says 'Hu Huang Lian', likely referring to Coptidis Rhizoma or similar bitter herb, but standard translation for 胡黄连 is Picrorhizae Rhizoma. However, context implies a complex formula. Let's stick to literal Pinyin/English for specific herbs if ambiguous, but 胡黄连 is typically Picrorhizae Rhizoma*), Picrorhizae Rhizoma (Huhuanglian, 胡黄连); Aloe (Lushui, 芦荟); Coptidis Rhizoma (Cao Huanglian, 草黄连); Myristicae Semen (Roudoukou, 肉豆蔻) (processed); Cinnamomi Ramulus (Gui, 桂); Ginseng Radix et Rhizoma (Renshen, 人参); Cinnabar (Zhusha, 朱砂); Moschus (She, 麝香) (1 qian weight); Quisqualis Fructus (Shijunzi, 使君子) (shelled); Aucklandiae Radix (Muxiang, 木香); Uncariae Ramulus cum Uncis (Diaoteng, 钓藤); Os Draconis (Longchi, 龙齿); Poria (Baifuling, 白茯苓) (all above each 1 liang weight).
Process each ingredient raw, grind into fine powder. Take two pig gallbladders, split them to extract juice, mix evenly with the powder. Place the mixture into a bag, tie it securely with a rope, and boil in water for half a day. Remove, cut open the bag, then add Scopoliae Fructus (Langdangzi, 莨菪子) 2 liang weight (lightly stir-fried) and Minium (Huandan, 黄丹) 1 liang weight. Grind these two ingredients separately into powder, mix with the previous medicine, and pound/beaten five hundred times. Form pills the size of mung beans. For any cases of malnutrition syndrome (Gan, 疳) and dysentery, administer with rice gruel drink, 5-7 pills per dose; for younger infants, 3 pills. If they do not take rice gruel, allow them to suckle from the nipple. This can treat twelve types of Gan-dysentery and "Wugu" (Innocent) Gan, with extraordinary efficacy.
Discussion: The disease of Gan (malnutrition syndrome) is critical and develops gradually; the relapse and retrograde transmission of dysentery stem from prolonged duration (prolonged illness is considered retrograde/negative). Initially, symptoms appear mild, so people call them ordinary; later, when the severity is realized, there is no way to save them. Therefore, both Gan and dysentery arise from accumulated toxins due to pampering and indulgence in food and drink, leading to deficiency causing further deficiency, and using harmful methods causing injury. Physicians seeing such conditions naturally feel worried and doubtful; families desire quick recovery, yet impatience leads to delayed treatment and deeper complications. Conditions may progress to extreme Gan with sticky dysentery, or excessive heat worsening thirst, irritability, and edema of the four limbs, or sudden vomiting of food. Conventional formulas cannot bring peace and healing; harsh/fast-acting agents risk damaging the harmonious Qi (He Qi, 和气). It is only suitable to take this medicine.
To treat children with various Gan-Qi (malnutrition qi) disorders, emaciation, weak constitution, mental fatigue, and lack of strength, commonly taken to kill parasites, eliminate Gan, stimulate appetite, and promote eating, Fei Ji Wan (Flesh-Thickening Pill) Formula:
Coptidis Rhizoma (Huanglian, 黄连) (1 fen, remove stamen); Toosendan Fructus (Chuanlianzi Rou, 川楝子肉) (each 0.5 liang, stir-fried); Chuanxiong Rhizome (Chuanxiong, 川芎) (0.5 liang); Citri Reticulatae Pericarpium (Chenpi, 陈皮); Cyperi Rhizoma (Xiangfuzi, 香附子) (each 1 fen, boiled in wine, stir-fried dry); Aucklandiae Radix (Muxiang, 木香) (2 liang).
Grind the above into powder. Use water-boiled fine wheat flour paste as a binder to form pills the size of sesame seeds. Each dose is 30-50 pills, taken with warm rice drink.
Discussion: Jing-Gan (startled Gan), accumulation, and dysentery each have distinct syndromes requiring different medications. Now, if a child suffers from Gan-deficiency fatigue and concurrently has dysentery, the combination of these two syndromes is particularly severe. With Gan and dysentery occurring simultaneously, the Zang-Fu organs are extremely deficient, and heat-toxin is slightly heavy. All result from long-standing stagnation of accumulation. Although it is said to be due to accumulation, there is no accumulation to purge; rather, it is deficiency allowing pathogenic invasion. If one considers it deficiency and tonifies, it may be too late; observing these symptoms without a good formula leaves one without a method of treatment. Even if a good formula is obtained, without examining the syndrome, cure is difficult. This is primarily because the pulse matches the disease, and the medicine corresponds to the syndrome. The physician applies skill to support the upright Qi and restore health, surely achieving stability. Hu Huang Lian Wan is unsurpassed; Fei Ji Wan is also an excellent formula, assisting each other to overcome the disease.