（旧名卸寒暖胃膏此方表里俱备冬时施送穷人预贴一张于心口并脐可免受寒）
治胃
本浓朴白术枳壳防风细辛藿香半夏赤芍吴萸草蔻仁良姜猪苓泽泻甘草姜枣之属盖外感方也
又东垣中满分消汤治中满寒胀寒疝二便不通四肢厥逆食入反出腹中寒心下痞下虚阴躁奔豚不
收用川乌干姜荜澄茄生姜黄连党参当归泽泻青皮麻黄柴胡草蔻仁浓朴黄 黄柏益智仁吴茱萸
木香半夏茯苓升麻之属盖内伤方也可推）
干姜（炒二两） 川乌 白术（各两半） 苍术 党参 附子 吴萸 黄 麻黄 桂枝
北细
辛羌活 独活 防风 麦冬 本 柴胡（炒） 川芎 当归 酒芍 香附 紫苏 藿梗
杏仁 白芷 青皮 陈皮 半夏（炒） 南星 浓朴 乌药 灵仙 麦芽 神曲（炒） 枳实
泽泻 荜澄茄 草果 草蔻仁 肉蔻仁 故纸 良姜 益智仁 大茴 巴戟 荜茇 车前子
延胡 灵脂（各一两） 黄连（吴萸水炒） 五味子（各五钱） 甘草（七钱）
生姜 葱白（各
两） 大枣 乌梅肉（各五个）○两共享油十二斤。分熬黄丹收○再入木香 丁香 砂仁 官
桂乳香（制） 没药（各一两） 牛胶（四两酒蒸化如清阳膏下法）一加木鳖仁蓖麻仁山甲（各
（肝生血气○木喜调达○肝以敛为泻以散为补○相火寄于肝胆有泻而无补泻
热即所以补之○肝宜凉胆宜温然胆附于肝此动则彼随故肝胆同治肝与心肾亦同治○此膏与清
阳膏金仙膏滋阴膏参用治肝风宜合清阳膏治肝气宜合金仙膏治肝火宜合滋阴膏）
治肝经血虚
用清阳膏）面青口酸。（青是肝色酸是肝味）寒热往来。（少阳在半表半里又疟为肝积宜黄连柴
胡等参用金仙膏）多惊不睡。（肝藏魂宜羚角等参用清心膏）善怒。（肝燥宜当归栝蒌红花等）
吐血。（暴怒伤肝不能藏血）胸中痞塞。（肝郁宜逍遥散六郁汤萸连丸等参用金仙膏）胁肋乳
旁
痛。（皆肝之部位○肝积在左肋下痛引小腹名肥气参用金仙膏）大腹作痛。（土为木克参用金
仙
膏）少腹作痛。（少腹亦肝之部位有蓄血在下则痛妇人为血瘕等）阴肿阴疼。（肝脉络阴器）小
儿发搐。（有假搐真搐之分○假搐者搐搦反张邪视而牙关不紧无痰涎而气热未可指为惊风恐
是
伤风伤食痘疹等症○真搐者潮热发搐乃急惊风也心主惊肝主风○在巳午未时者心用事宜导赤
散生地木通甘草淡竹叶等分煎或凉惊丸龙胆草防风青黛三钱钩膝三钱黄连五分牛黄冰麝丸
金
银汤化在寅卯辰时者肝用事宜泻青丸羌活大黄川芎山栀仁龙胆草当归防风蜜丸竹叶汤化在申
酉戌时者肺用事宜补脾益黄散青皮陈皮丁香而兼用泻青丸治肝导赤散治心在亥子丑时者肾用
事亦宜补脾益黄散而兼用导赤散凉惊丸治心又急惊因热生于心热甚则风生风属肝此阳盛阴虚
也宜利惊丸即天竺黄三钱轻粉青黛一钱黑丑头末五钱蜜丸薄荷汤调者若热渴发搐痰涎壅盛危
急者天南星大半夏均用牙皂明矾生姜汁制过各一两花粉二两元明粉五钱硼砂三钱雄黄五分麝
四分甘草生研水丸朱衣金箔姜皮灯心汤调用或单用礞石一味木香汤调用○以上诸药皆可擦胸
背参用清阳膏清心膏滋阴膏贴）肝疳。（食肥令人内热食甘令人中满十六岁以后则名痨○肝疳
者面青目生白膜泻泄夹水青色泻血小儿疳分五脏肝病为多○一切疳症冷热新久均以脾疳集圣
丸主之用党参黄连干蟾酥各三钱川芎当归五灵脂陈皮青皮醋炒莪术煨木香真芦荟酒蒸砂仁各
二钱公猪胆汁丸五脏各有加减如肝疳去莪术砂仁陈皮木香加龙胆草栀仁防风天麻蝉蜕各二钱
青黛钱半可以擦胸背再贴膏详见儿科书）外症颈上生核。（火旺筋挛所致参用云台膏）○头眼
病贴两太阳。耳病夹耳门贴。内症上贴胸口。并两胁背心（肝俞）脐上脐下。余贴患处。加锭
子醋磨敷。
鳖甲一个。用小磨麻油三斤。浸熬听用。
柴胡（四两） 黄连 龙胆草（各三两） 元参 生地 川芎 当归 白芍 郁金 丹皮
地骨
皮羌活 防风 胆南星（各二两） 薄荷 黄芩 麦冬 知母 贝母 黄柏 荆芥穗 天麻
秦艽 蒲黄 枳壳 连翘 半夏 花粉 黑山栀 香附 赤芍 前胡 橘红 青皮 栝蒌
仁桃仁 胡黄连 延胡 灵脂（炒） 莪术（煨） 三棱（煨） 甘遂 大戟 红花 茜草（即
五爪龙） 牛膝 续断 车前子 木通 皂角 细辛 蓖麻仁 木鳖仁 大黄 芒硝 羚羊
角犀角 山甲 全蝎 牡蛎 忍冬藤 甘草 石决明（各一两） 吴萸 官桂 蝉蜕（各五
钱）
生姜 葱白 大蒜头（各二两） 韭白（四两） 槐枝 柳枝 桑枝 冬青枝 枸杞根（各
八两） 凤仙（全株） 益母草 白菊花 干桑叶 蓉叶（各四两） 侧柏叶（二两） 菖蒲 木
瓜（各一两） 花椒 白芥子 乌梅（各五钱）○两共享油二十四斤。分熬丹收○再入 青礞石
（四两）明雄黄 漂青黛（各二两） 芦荟 青木香（各一两） 牛胶（四两酒蒸化如清阳膏下法）
○此方鳖甲改干甲四两。先研末听用。生姜至凤仙十味捣汁亦听用。牛胶加十二两。醋熬化
。亦听用。其余群药共研末。并鳖甲末。以姜葱等汁合牛胶醋和药为锭备敷。或加青鱼胆原
有白芷五倍。
（旧名卸寒暖胃膏，此方表里俱备。冬季施用于穷人，预先贴一张于心口及肚脐处，可免受寒冷侵袭。）
治疗胃病。
本方由厚朴、白术、枳壳、防风、细辛、藿香、半夏、赤芍、吴茱萸、草豆蔻仁、良姜、猪苓、泽泻、甘草、生姜、大枣等组成。这属于外感病的治疗方剂。
又，李东垣的中满分消汤，用于治疗中焦胀满、寒性腹胀、寒疝、二便不通、四肢厥冷、进食后反吐、腹中寒冷、心下痞塞、下虚阴躁、奔豚气不收等症状。使用川乌、干姜、荜澄茄、生姜、黄连、党参、当归、泽泻、青皮、麻黄、柴胡、草豆蔻仁、厚朴、黄芪、黄柏、益智仁、吴茱萸、木香、半夏、茯苓、升麻等药物组成。这属于内伤病的治疗方剂，可以由此类推。
处方：干姜（炒制二两）、川乌、白术（各一两半）、苍术、党参、附子、吴茱萸、黄芪、麻黄、桂枝、北细辛、羌活、独活、防风、麦冬、藁本、柴胡（炒制）、川芎、当归、酒白芍、香附、紫苏、藿梗、杏仁、白芷、青皮、陈皮、半夏（炒制）、天南星、厚朴、乌药、威灵仙、麦芽、神曲（炒制）、枳实、泽泻、荜澄茄、草果、草豆蔻仁、肉豆蔻仁、补骨脂、良姜、益智仁、大茴香、巴戟天、荜茇、车前子、延胡索、五灵脂（各一两）、黄连（用吴茱萸水炒制）、五味子（各五钱）、甘草（七钱）。生姜、葱白（各一两）、大枣、乌梅肉（各五个）。以上药材共用麻油十二斤。分次熬煮，加入黄丹收膏。再加入木香、丁香、砂仁、官桂、乳香（制过）、没药（各一两）、牛胶（四两，用酒蒸化，方法同清阳膏的下法）。另外加入木鳖仁、蓖麻仁、穿山甲（各... [原文此处截断]）
（肝主生血气。肝木喜好调达舒畅。肝以收敛为泻，以疏散为补。相火寄居于肝胆，只有泻法而没有补法。泻热即是补益。肝宜凉，胆宜温。然而胆附于肝，一动则彼随之，故肝胆同治。肝与心、肾也同治。此膏可与清阳膏、金仙膏、滋阴膏配合使用。治疗肝风宜合用清阳膏；治疗肝气郁结宜合用金仙膏；治疗肝火宜合用滋阴膏。）
治疗肝经血虚。
使用清阳膏。
症状包括：面色发青、口泛酸味。（青色是肝的本色，酸味是肝的本味。）寒热往来。（少阳经位于半表半里之间，且疟疾被视为肝之积证，宜配合黄连、柴胡等药物，并参用金仙膏。）多惊且不睡。（肝藏魂，宜配合羚羊角等药物，并参用清心膏。）易怒。（肝燥，宜配合当归、瓜蒌、红花等药物。）吐血。（暴怒伤肝，导致肝不能藏血。）胸中痞塞。（肝气郁结，宜配合逍遥散、六郁汤、吴茱萸丸等药物，并参用金仙膏。）胁肋及乳房旁疼痛。（均为肝的循行部位。肝积在左肋下疼痛，牵引小腹，名为肥气，宜参用金仙膏。）大腹作痛。（脾土被肝木克制，宜参用金仙膏。）少腹作痛。（少腹也是肝的循行部位，若有蓄血在下则疼痛，妇女则为血瘕等症。）阴部肿胀疼痛。（肝经络绕阴器。）小儿抽搐。（分为假搐和真搐。假搐者，表现为抽搐、角弓反张、斜视而牙关不紧，无痰涎，气热，不可指认为惊风，恐怕是伤风、伤食、痘疹等病症。真搐者，潮热发作抽搐，乃急惊风也。心主惊，肝主风。若在巳、午、未时发病，属心经用事，宜用导赤散（生地、木通、甘草、淡竹叶等分煎服）或凉惊丸（龙胆草、防风、青黛三钱、钩藤三钱、黄连五分，用牛黄、冰片、麝香丸剂，金银汤化开服用）。若在寅、卯、辰时发病，属肝经用事，宜用泻青丸（羌活、大黄、川芎、山栀仁、龙胆草、当归、防风蜜丸，竹叶汤化开服用）。若在申、酉、戌时发病，属肺经用事，宜用补脾益黄散（青皮、陈皮、丁香）兼用泻青丸治肝，导赤散治心。若在亥、子、丑时发病，属肾经用事，亦宜用补脾益黄散，兼用导赤散、凉惊丸治心。此外，急惊因热生于心，热甚则生风，风属肝，此为阳盛阴虚之证，宜用利惊丸（即天竺黄三钱、轻粉、青黛一钱、黑丑头末五钱，蜜丸，薄荷汤调服）。若热渴、抽搐、痰涎壅盛、病情危急者，可用天南星、大半夏均用牙皂、明矾、生姜汁制过，各一两，花粉二两，元明粉五钱，硼砂三钱，雄黄五分，麝香四分，甘草生研，水丸，朱衣、金箔包裹，姜皮、灯心汤送服。或单用礞石一味，木香汤送服。以上诸药皆可擦涂胸背，并参用清阳膏、清心膏、滋阴膏贴敷。）肝疳。（食用肥腻食物令人内热，食用甘甜食物令人中焦胀满，十六岁以后则称为痨病。肝疳者，面色青，目生白膜，泄泻夹水，呈青色，或便血。小儿疳症分为五脏，肝病居多。一切疳症，无论冷热新久，均以脾疳集圣丸为主治。药用党参、黄连、干蟾酥各三钱，川芎、当归、五灵脂、陈皮、青皮（醋炒）、莪术、煨木香、真芦荟（酒蒸）、砂仁各二钱，公猪胆汁为丸。五脏各有加减，如肝疳去莪术、砂仁、陈皮、木香，加龙胆草、栀仁、防风、天麻、蝉蜕各二钱，青黛钱半。可以擦涂胸背，再贴膏药，详见儿科书籍。）外症颈上生核。（火旺筋挛所致，宜参用云台膏。）头部眼病贴两太阳穴。耳病夹耳门穴贴。内症上贴胸口，并两胁背部（肝俞穴）、脐上、脐下。其余贴在患处。加锭子醋磨敷。
鳖甲一个。用小磨麻油三斤，浸泡熬制备用。
处方：柴胡（四两）、黄连、龙胆草（各三两）、玄参、生地、川芎、当归、白芍、郁金、丹皮、地骨皮、羌活、防风、胆南星（各二两）、薄荷、黄芩、麦冬、知母、贝母、黄柏、荆芥穗、天麻、秦艽、蒲黄、枳壳、连翘、半夏、花粉、黑山栀、香附、赤芍、前胡、橘红、青皮、瓜蒌仁、桃仁、胡黄连、延胡索、五灵脂（炒制）、莪术（煨制）、三棱（煨制）、甘遂、大戟、红花、茜草（即五爪龙）、牛膝、续断、车前子、木通、皂角、细辛、蓖麻仁、木鳖仁、大黄、芒硝、羚羊角、犀角、穿山甲、全蝎、牡蛎、忍冬藤、甘草、石决明（各一两）、吴茱萸、官桂、蝉蜕（各五钱）。生姜、葱白、大蒜头（各二两）、韭白（四两）、槐枝、柳枝、桑枝、冬青枝、枸杞根（各八两）、凤仙花（全株）、益母草、白菊花、干桑叶、蓉叶（各四两）、侧柏叶（二两）、菖蒲、木瓜（各一两）、花椒、白芥子、乌梅（各五钱）。以上药材共用麻油二十四斤。分次熬煮，加入黄丹收膏。再加入青礞石（四两）、明雄黄、漂青黛（各二两）、芦荟、青木香（各一两）、牛胶（四两，用酒蒸化，方法同清阳膏的下法）。此方中鳖甲改为干甲四两，先研成末备用。生姜至凤仙花十味捣取汁液备用。牛胶增加十二两，用醋熬化，也备用。其余群药共研成末，并与鳖甲末混合，以姜葱等汁液调和牛胶醋制成锭子备用敷用。或加入青鱼胆，原有白芷、五倍子。
(Formerly named Xiehan Nuwei Gao (Cold-Dispersing Stomach-Warming Plaster), this formula covers both exterior and interior aspects. In winter, it is applied to the poor; one piece is pre-applied to the heart region and umbilicus to prevent cold invasion.)
Treating Stomach Diseases.
This formula consists of Houpo (Magnolia Bark), Baizhu (Atractylodes Rhizome), Zhike (Bitter Orange Fruit), Fangfeng (Saposhnikovia Root), Xixin (Asarum Root), Huoxiang (Patchouli Herb), Banxia (Pinellia Tuber), Chishao (Red Peony Root), Wuzhuyu (Evodia Fruit), Caodoukou Ren (Cardamom Seed), Liangjiang (Galangal Rhizome), Zhuling (Poria), Zexie (Alisma Rhizome), Gancao (Licorice Root), Shengjiang (Fresh Ginger), and Dazao (Jujube Fruit). This belongs to formulas for treating exogenous diseases.
Furthermore, Dongyuan's Zhongman Fenxiao Tang (Middle Fullness Dispersing Decoction) treats middle jiao fullness, cold-type abdominal distension, cold hernia, obstruction of urination and defecation, cold limbs, regurgitation after eating, cold abdomen, epigastric stuffiness, deficiency at the lower jiao with yin restlessness, and running piglet syndrome (Ben Tun). It uses Chuanwu (Aconite Lateral Root), Ganjiang (Dried Ginger), Bichengqie (Schisandra Berry), Shengjiang (Fresh Ginger), Huanglian (Coptis Rhizome), Dangshen (Codonopsis Root), Danggui (Angelica Sinensis Root), Zexie (Alisma Rhizome), Qingpi (Green Tangerine Peel), Mahuang (Ephedra Stem), Chaihu (Bupleurum Root), Caodoukou Ren (Cardamom Seed), Houpo (Magnolia Bark), Huangqi (Astragalus Root), Huangbai (Phellodendron Bark), Yizhiren (Alpinia Oxyphylla Fruit), Wuzhuyu (Evodia Fruit), Muxiang (Vladimiria Root), Banxia (Pinellia Tuber), Fuling (Poria), and Shengma (Cimicifuga Rhizome). This belongs to formulas for treating endogenous injuries and can be inferred from this example.
Prescription: Ganjiang (Stir-fried, 2 liang), Chuanwu (Aconite Lateral Root), Baizhu (1.5 liang each), Cangzhu (Atractylodes Lancea Rhizome), Dangshen (Codonopsis Root), Fuzi (Prepared Aconite Lateral Root), Wuzhuyu (Evodia Fruit), Huangqi (Astragalus Root), Mahuang (Ephedra Stem), Guizhi (Cinnamon Twig), Beixixin (Northern Asarum Root), Qianghuo (Notopterygium Rhizome), Duohuo (Angelica Pubescens Root), Fangfeng (Saposhnikovia Root), Maidong (Ophiopogon Tuber), Ben Cao (Ligusticum Wallichii Rhizome), Chaihu (Bupleurum Root, stir-fried), Chuanxiong (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Root), Jiushaoyao (White Peony Root processed with wine), Xiangfu (Cyperus Rhizome), Zisu (Perilla Leaf), Huogeng (Patchouli Stem), Xingren (Apricot Seed), Baizhi (Angelica Dahurica Root), Qingpi (Green Tangerine Peel), Chenpi (Tangerine Peel), Banxia (Pinellia Tuber, stir-fried), Nanting (Arisaema Tuber), Houpo (Magnolia Bark), Wuyao (Litsea Petiolata Fruit), Lingxian (Syneilesis Aconitifolia Root), Maiya (Hordeum Vulgare Sprout), Shenqu (Medicated Leaven, stir-fried), Zhishi (Bitter Orange Immature Fruit), Zexie (Alisma Rhizome), Bichengqie (Schisandra Berry), Caoguo (Black Cardamom Fruit), Caodoukou Ren (Cardamom Seed), Roudoukou Ren (Nutmeg Seed), Guozhi (Psoralea Fructus), Liangjiang (Galangal Rhizome), Yizhiren (Alpinia Oxyphylla Fruit), Da Hui (Star Anise), Bajitian (Morinda Officinalis Root), Bibo (Long Pepper Fruit), Cheqianzi (Plantago Seed), Yanhu (Corydalis Rhizome), Lingzhi (Trogopterus Dung, 1 liang each), Huanglian (Coptis Rhizome, stir-fried with Wuzhuyu water), Wuweizi (Schisandra Fruit, 5 qian each), Gancao (Licorice Root, 7 qian). Shengjiang (Fresh Ginger), Congbai (Scallion White, 1 liang each), Dazao (Jujube Fruit), Wumei Rou (Mume Fruit Pulp, 5 pieces each). Use 12 jin of sesame oil for these ingredients. Boil in batches, add Huangdan (Lead Monoxide) to form the plaster. Then add Muxiang (Vladimiria Root), Dingxiang (Clove), Sharen (Amomum Fruit), Guanzi Gui (Cassia Bark), Xuxiang (Frankincense, processed), Moyao (Myrrh, 1 liang each), Niujiao (Ox Hide Glue, 4 liang, steamed with wine until liquid, method same as Qingyang Gao below). Additionally add Mugeren (Momordica Semen), Bamaren (Castor Bean Seed), Shan Jia (Pangolin Scale, each...). [Text cuts off here]
(The Liver generates blood and qi. Wood favors smooth flow. The Liver uses astringency as purging and dispersion as tonifying. Ministerial Fire resides in the Liver and Gallbladder; there is only purging and no tonifying for it. Purging heat is equivalent to tonifying. The Liver prefers coolness, the Gallbladder prefers warmth. However, the Gallbladder attaches to the Liver; when one moves, the other follows, so they are treated together. The Liver is also treated together with the Heart and Kidney. This plaster can be used in conjunction with Qingyang Gao, Jin Xian Gao, and Ziyin Gao. For treating Liver Wind, combine with Qingyang Gao; for treating Liver Qi stagnation, combine with Jin Xian Gao; for treating Liver Fire, combine with Ziyin Gao.)
Treating Liver Meridian Blood Deficiency.
Use Qingyang Gao.
Symptoms include: Cyan complexion and sour taste in the mouth. (Cyan is the color of the Liver, sour is the flavor of the Liver.) Alternating chills and fever. (Shaoyang is located between the exterior and interior; malaria is considered an accumulation of the Liver, so combine Huanglian and Chaihu, and use Jin Xian Gao.) Frequent fright and insomnia. (The Liver stores the Hun/Soul, so combine Lingjiaojiao (Antelope Horn) etc., and use Qingxin Gao.) Irritability. (Liver dryness, so combine Danggui, Gualou, Honghua etc.) Hematemesis. (Violent anger injures the Liver, causing failure to store blood.) Epigastric stuffiness. (Liver Qi stagnation, so combine Xiaoyao San, Liu Yu Tang, Yulian Wan etc., and use Jin Xian Gao.) Pain in the hypochondrium and beside the breasts. (These are locations of the Liver meridian. Liver accumulation causing pain under the left rib radiating to the lower abdomen is named Feiqi, combine Jin Xian Gao.) Abdominal pain. (Earth is overcome by Wood, combine Jin Xian Gao.) Lower abdominal pain. (The lower abdomen is also a location of the Liver; if blood stasis accumulates below, it causes pain; in women, this manifests as blood masses etc.) Swelling and pain of the genitals. (The Liver meridian winds around the genitalia.) Pediatric convulsions. (Divided into false and true convulsions. False convulsions present with spasms, opisthotonos, strabismus but tight jaw, no phlegm, and heat in qi; do not diagnose as wind-strike, suspect wind-cold, food retention, or smallpox/rubella. True convulsions involve tidal fever and convulsions, constituting acute wind-strike. The Heart governs fright, the Liver governs wind. If occurring during Si, Wu, Wei hours (Heart time), use Daochi San (Shengdi, Mutong, Gancao, Danzhuye equal parts decocted) or Liangjing Wan (Longdancao, Fangfeng, Qingdai 3 qian, Gouteng 3 qian, Huanglian 0.5 qian, pills made with Niuhuang, Bingpian, Shexiang, dissolved in Yinjin Tang). If occurring during Yin, Mao, Chen hours (Liver time), use Xieqing Wan (Qianghuo, Dahuang, Chuanxiong, Shanzhiren, Longdancao, Danggui, Fangfeng honey pills, dissolved in Zhuye Tang). If occurring during Shen, You, Xu hours (Lung time), use Bupi Yihuang San (Qingpi, Chenpi, Dingxiang) combined with Xieqing Wan to treat the Liver and Daochi San to treat the Heart. If occurring during Hai, Zi, Chou hours (Kidney time), also use Bupi Yihuang San combined with Daochi San and Liangjing Wan to treat the Heart. Furthermore, acute wind-strike arises from heat generating in the Heart; excessive heat generates wind, which belongs to the Liver. This is excess Yang and deficient Yin. Use Lijing Wan (Tianzhuhuang 3 qian, Qingfen, Qingdai 1 qian, Heiqiu head powder 5 qian, honey pills, mixed with Bohe Tang). If heat, thirst, convulsions, and profuse phlegm indicate critical condition, use Tian Nanxing, Ban Xiashen processed with Ya Zao, Mingfan, Shengjiang juice (1 liang each), Huafen 2 liang, Yuanmingfen 5 qian, Pengsha 3 qian, Xionghuang 0.5 fen, Shexiang 0.4 fen, Gancao raw powder, water pills, coated with Zhu Yi and Jinbo, taken with Jiangpi and Dengxin Tang. Or use Mengshi alone, taken with Muxiang Tang. The above medicines can all be rubbed on the chest and back, combined with Qingyang Gao, Qingxin Gao, and Ziyin Gao for application.) Liver Gan (Pediatric malnutrition due to Liver). (Consuming fatty foods causes internal heat; consuming sweet foods causes middle jiao fullness. After age sixteen, this is called Lao disease. Liver Gan presents with cyan complexion, white membrane on eyes, watery diarrhea with cyan tint, or bloody stool. Pediatric Gan syndromes are divided by five zang organs, with Liver involvement being common. All Gan syndromes, regardless of cold/heat or new/old, are primarily treated with Pi Gan Jisheng Wan. Ingredients: Dangshen, Huanglian, Ganchansu 3 qian each; Chuanxiong, Danggui, Wulingzhi, Chenpi, Qingpi (vinegar fried), Ezhu, Wei Muxiang, Zhen Lvhua (wine steamed), Sharen 2 qian each. Pills made with Gongzhu Danzhi. Modifications for five zang: For Liver Gan, remove Ezhu, Sharen, Chenpi, Muxiang; add Longdancao, Zhiren, Fangfeng, Tianma, Chantui 2 qian each, Qingdai 0.5 qian. Can be rubbed on chest/back, then apply plaster. See pediatric texts for details.) External symptoms: Neck nodules. (Caused by fire hyperactivity and tendon contraction, combine Yuntai Gao.) Head and eye conditions apply to Taiyang acupoints. Ear conditions apply to Ermen acupoint. Internal conditions apply to Chest area, bilateral hypochondriac Back (Ganshu BL18), above and below Umbilicus. Others apply to the affected area. Add Dingzi (plaster ingots) ground with vinegar for application.
Biejia (Turtle Shell) one piece. Soak and boil in 3 jin of sesame oil for later use.
Prescription: Chaihu (4 liang), Huanglian, Longdancao (3 liang each); Yuan Shen (Scrophularia Root), Shengdi (Rehmannia Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Root), Baishao (White Peony Root), Yujin (Curcuma Longa Rhizome), Danpi (Moutan Cortex), Digupi (Lycium Bark), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root), Dan Nanting (Arisaema with Bile, 2 liang each); Bohe (Mint), Huangqin (Scutellaria Root), Maidong (Ophiopogon Tuber), Zhimu (Anemarrhena Rhizome), Beimu (Fritillaria Bulb), Huangbai (Phellodendron Bark), Jingjie Sui (Schizonepeta Spike), Tianma (Gastrodia Rhizome), Qinjiao (Gentiana Macrophylla Root), Puhuang (Typha Pollen), Zhike (Bitter Orange Fruit), Lianqiao (Forsythia Fruit), Banxia (Pinellia Tuber), Huafen (Trichosanthes Root), Hei Shanzhi (Gardenia Fruit), Xiangfu (Cyperus Rhizome), Chishao (Red Peony Root), Qianhu (Peucedanum Root), Juhong (Citrus Reticulata Red Peel), Qingpi (Green Tangerine Peel), Gualou Ren (Trichosanthes Seed), Taoren (Peach Seed), Hu Huanglian (Coptis Chinensis alternative), Yanhu (Corydalis Rhizome), Lingzhi (Trogopterus Dung, stir-fried), Ezhu (Curcuma Zedoaria Rhizome, baked), Sanleng (Sparganium Rhizome, baked), Gansui (Kansui Root), Daji (Euphorbia Lathyris Root), Honghua (Carthamus Flower), Qiancao (Rubia Cordifolia Root, i.e., Wuzhao Long), Niuxi (Achyranthes Root), Xuduan (Dipsacus Root), Cheqianzi (Plantago Seed), Mutong (Akebia Stem), Zaojiao (Gleditsia Spine), Xixin (Asarum Root), Bamaren (Castor Bean Seed), Mugeren (Momordica Semen), Dahuang (Rhubarb Root), Mangxiao (Mirabilite), Lingyangjiao (Antelope Horn), Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Shan Jia (Pangolin Scale), Quanxie (Scorpion), Muli (Oyster Shell), Rendongteng (Honeysuckle Stem), Gancao (Licorice Root), Shijueming (Argonaut Eggshell, 1 liang each); Wuzhuyu (Evodia Fruit), Guanzi Gui (Cassia Bark), Chantui (Cicada Slough, 5 qian each). Shengjiang (Fresh Ginger), Congbai (Scallion White), Dasuantou (Garlic Clove, 2 liang each); Jiubai (Leek White, 4 liang); Huaizhi (Locust Twig), Liuzhi (Willow Twig), Sangzhi (Mulberry Twig), Dongqingzhi (Ilex Cornuta Twig), Gouqigen (Goji Root Bark, 8 liang each); Fengxian (Impatiens Whole Plant), Yimucao (Motherwort Herb), Baijuhua (Chrysanthemum Indicum), Gongsangye (Mulberry Leaf), Rongye (Unknown leaf, likely typo or specific local herb), 4 liang each); Cebaiye (Biota Top, 2 liang); Changpu (Acorus Rhizome), Mugua (Chaenomeles Fruit, 1 liang each); Huajiao (Sichuan Pepper), Baijiezi (White Mustard Seed), Wumei (Mume Fruit, 5 qian each). Use 24 jin of sesame oil for these ingredients. Boil in batches, add Huangdan (Lead Monoxide) to form the plaster. Then add Qingmengshi (Mica Schist, 4 liang), Ming Xionghuang (Realgar), Piaoding (Washed Indigo Naturalis, 2 liang each); Lvhua (Aloe), Qingmuxiang (Wood Aromatic, 1 liang each); Niujiao (Ox Hide Glue, 4 liang, steamed with wine until liquid, method same as Qingyang Gao below). In this formula, replace fresh Biejia with dried Jia 4 liang, grind into powder first for later use. The ten herbs from Shengjiang to Fengxian are crushed for juice extraction for later use. Increase Niujiao by 12 liang, dissolve in vinegar for later use. Grind the remaining herbs into powder, mix with Biejia powder, combine with ginger/scallion juice, ox hide glue, and vinegar to form plaster ingots for application. Alternatively, add Qingyu Dan (Grass Carp Gallbladder), original Baizhi (Angelica Dahurica Root), Wubei (Galla Chinensis).