汉东王先生论小儿发热形瘦多渴，吃食不长肌肉者，谓之疳热。汤氏云∶疳热
当服进食丸（方见癖）磨积，仍间服化虫丸，后服鳖甲散退热，次服肥儿丸（疳瘦）。
汤氏鳖甲散 治疳劳骨热。
鳖甲（九肋者，汤浸，用童便涂炙） 黄 （蜜炙） 白芍药（各一两） 生熟地黄 地骨皮 当归 人
参（去芦。各半两）
上 咀。每服二钱，水半盏煎服。
化虫丸 治疳热。
白芜荑 黄连 神曲 麦芽（各炒，等分）
上末，糊丸如黍米大。空心米饮下。猪胆汁尤佳。
猪肚丸 治骨蒸疳劳，肌体黄瘦。
木香（半两） 黄连 生地黄 鳖甲（九肋者，汤浸，用童便涂炙） 银柴胡（去芦） 青皮（各一两）
上为末，猪肚一枚，入药于内，以线缠之，于砂罐内悬胎煮熟，取出细研，猪
肚为丸，如麻子大。米饮送下，量大小加减，不拘时服。
龙胆丸（三因） 治疳病发热。
龙胆草 黄连 使君子肉 青皮（各等分）
上为末，猪胆汁和丸，如桐子大。每服三十丸，临卧熟水下，量儿加减。
〔世〕乌犀丸 治小儿疳热，腹内生虫，肚大手足疲弱，丁奚 羸。（此方治疳热如神。）
黑牵牛（二两） 使君子（肉，七钱半） 青皮（二两） 雷丸（二钱半） 苦楝皮（一方不用楝皮，用芦荟二钱
半）
鹤虱（各半两）
上，同入锅内炒焦，为末，面糊丸黍米大。三岁儿二十丸，米饮下，食前。
二丁丸 治乳癖、食癖、疳热。
白丁香（半两） 丁香 密陀僧（各一两） 韶粉（一钱） 硫黄（三钱）
上为细末，糊丸如小豆大。三岁儿十丸，日晡时米饮下，饮乳者乳汁下。次日
当取下恶物，热即随退，加黄莺屎一钱，尤妙。
《谭氏殊圣》金瓜丸 治小儿疳热，身多壮热，黄瘦。久服令肥。
黄连 黄柏 甘草（微炮） 青皮（各等分）
上为末，入麝香少许，用 猪胆一枚，入药胆内，线扎定，入石器中，浆水煮
五七沸取出，风吊一宿，丸如绿豆大。每服五七丸，米饮下，量儿加减。《玉诀》
方同，外以朱砂为衣，仍治脾疳。《博济方》同，《刘氏家传方》亦同，云∶或添
胡黄连，若早晨服使君子丸，晚服金瓜丸，永无疾，消食长肌肉。《庄氏家传方》
同，仍加夜明砂一味，等分。《赵氏方》亦同，名凉疳药，长沙朱司理以为有神效。
芦荟丸 治小儿惊热疳不思食。
芦荟 熊胆 朱砂（各二钱半） 青黛（七钱半） 诃梨勒（煨取肉，三钱） 麝香（一钱）
上为末，糯米饭为丸，如麻子大。空心随岁数与之，用沙糖水咽下五、七丸。
〔茅先生〕柴胡散 治小儿疳热，四肢如柴，不能起止。
柴胡 知母 贝母（去心） 茯苓 茯神 干葛 甘草（炙。各等分）
上为末，每服用小麦一匙头，药一匙头，水一盏，同煎六分。去滓服。
六物黄芩汤 治少小腹大短气，热有进退，食不安谷，为之不化。
黄芩 大青 甘草（炙） 麦门冬（去心） 石膏（碎。各半两） 桂皮（三钱）
上每服三钱，水一盏，煎至七分。去滓温服。
〔庄氏〕青黛丸 治疳热。
青黛（研，一两） 胡黄连 宣连 天竺黄（研。各半两） 朱砂（水飞，二钱半） 麝香（研，一钱） 肉
豆蔻（二个） 牛黄（半钱，研） 干蟾（一枚，端午日取者，酒浸，洗去肠肚，涂酥炙黄）
上件，除研药外，为末再同研匀，绿豆粉煮糊、丸如芥子大。每服空心、夜后，
熟水下三丸。恐绿豆粉难和丸，绿豆面作糊亦得。
〔王氏〕使君子散 治疳热。
上用使君子不以，多少曝干，为末。空心米饮下。大者一钱，小者半钱，取虫出为度。
猪肚黄连丸（直指） 治疳热流注，遍身疮蚀，或潮热肚胀，或渴。
用雄猪肚（净洗，一具） 宣连（净五两） 锉细，水和润，纳肚中，线缝，放五升粳米上
蒸至烂，入臼中，加少蒸饭，捣千杵，丸小桐子大。每服二十丸，米饮下。仍服
调血清心之剂佐之。（凡儿病，不出于疳，则出于热，热则生痰，常须识此。）
柴胡饮 治骨蒸疳气，五心烦热，日晡转盛，口干无味，渴多身瘦，胸满痰紧，小
便黄色，食减神昏。
北柴胡（去芦，净洗） 人参（去芦） 当归（酒洗） 黄芩 赤芍药 甘草（炙。各一两） 大黄（生用） 桔
梗（去芦，锉，炒） 北五味子（去梗） 半夏（汤煮透，去滑。各半两）
上锉，每服二钱，水一盏，乌梅一亚，姜二片，煎七分。无时温服。
汉东王先生论述小儿发热、形体消瘦、多饮口渴，且进食后肌肉不长的情况，称之为疳热。汤氏说：治疗疳热应当服用进食丸（方剂见癖块篇）以磨消积滞，同时间歇服用化虫丸，之后服用鳖甲散退热，接着服用肥儿丸（治疗疳瘦）。
汤氏鳖甲散 治疗疳劳骨蒸热。
鳖甲（选用九肋的，用热水浸泡，用童子尿涂抹后炙烤） 黄芩（蜂蜜炙烤） 白芍药（各一两） 生地黄和熟地黄 地骨皮 当归 人参（去除芦头。各半两）
以上药材切碎。每次服用二钱，加水半盏煎煮后服用。
化虫丸 治疗疳热。
白芜荑 黄连 神曲 麦芽（各炒制，等量）
以上研为细末，用糊制作成如黍米大小的丸剂。空腹时用米汤送服。用猪胆汁送服效果更佳。
猪肚丸 治疗骨蒸疳劳，身体发黄消瘦。
木香（半两） 黄连 生地黄 鳖甲（九肋的，热水浸泡，童子尿涂炙） 银柴胡（去芦头） 青皮（各一两）
以上研为细末，取一个猪肚，将药物放入其中，用线缠绕固定，在砂罐内悬吊煮熟，取出后细细研磨，以猪肚肉为粘合剂制成如麻子大小的丸剂。用米汤送服，根据患儿年龄大小调整剂量，不限时间服用。
龙胆丸（出自《三因极一病证方论》） 治疗疳病发热。
龙胆草 黄连 使君子肉 青皮（各等分）
以上研为细末，用猪胆汁调和制成如梧桐子大小的丸剂。每次服用三十丸，睡前用温水送服，根据幼儿情况调整剂量。
〔世医〕乌犀丸 治疗小儿疳热，腹内生虫，腹部胀大，手足疲软无力，丁奚疳羸瘦。（此方治疗疳热效果神奇。）
黑牵牛（二两） 使君子（肉，七钱半） 青皮（二两） 雷丸（二钱半） 苦楝皮（另一版本不用楝皮，改用芦荟二钱半）
鹤虱（各半两）
以上一同放入锅内炒至焦黄，研为细末，用面糊制成如黍米大小的丸剂。三岁儿童服用二十丸，饭前用米汤送服。
二丁丸 治疗乳癖、食癖、疳热。
白丁香（半两） 丁香 密陀僧（各一两） 韶粉（一钱） 硫黄（三钱）
以上研为细末，用糊制成如小豆大小的丸剂。三岁儿童服用十丸，傍晚时分用米汤送服，吃奶的婴儿用乳汁送服。次日应当排出恶物，热邪随即消退，若加入黄莺屎一钱，效果尤其奇妙。
《谭氏殊圣》金瓜丸 治疗小儿疳热，身体常有壮热，发黄消瘦。长期服用可使身体丰满。
黄连 黄柏 甘草（微炮制） 青皮（各等分）
以上研为细末，加入少许麝香，取一枚猪胆，将药物装入胆内，用线扎紧，放入石器中，用浆水煮五到七沸后取出，悬挂风干一夜，制成如绿豆大小的丸剂。每次服用五到七丸，用米汤送服，根据幼儿情况调整剂量。《玉诀》方相同，外加朱砂为衣，同时治疗脾疳。《博济方》相同，《刘氏家传方》也相同，说：或者添加胡黄连，如果早晨服用使君子丸，晚上服用金瓜丸，可永无疾病，消食长肌肉。《庄氏家传方》相同，仍加夜明砂一味，等量。《赵氏方》也相同，名为凉疳药，长沙朱司理认为有神奇疗效。
芦荟丸 治疗小儿惊热疳积不思饮食。
芦荟 熊胆 朱砂（各二钱半） 青黛（七钱半） 诃梨勒（煨后取肉，三钱） 麝香（一钱）
以上研为细末，用糯米饭制成如麻子大小的丸剂。空腹时根据年龄给予，用沙糖水吞服五到七丸。
〔茅先生〕柴胡散 治疗小儿疳热，四肢枯瘦如柴，不能站立行走。
柴胡 知母 贝母（去心） 茯苓 茯神 干葛 甘草（炙。各等分）
以上研为细末，每次服用小麦一匙头，药末一匙头，加水一盏，共同煎煮至六分。去渣服用。
六物黄芩汤 治疗少腹部胀大短气，热势时有进退，饮食不安难以消化。
黄芩 大青 甘草（炙） 麦门冬（去心） 石膏（捣碎。各半两） 桂皮（三钱）
以上每次服用三钱，加水一盏，煎至七分。去渣温服。
〔庄氏〕青黛丸 治疗疳热。
青黛（研，一两） 胡黄连 宣连 天竺黄（研。各半两） 朱砂（水飞法处理，二钱半） 麝香（研，一钱） 肉豆蔻（二个） 牛黄（半钱，研） 干蟾（一枚，端午日采集的，酒浸，洗去肠肚，涂酥油炙黄）
以上除已研细的药物外，其余研为细末再共同研匀，用绿豆粉煮糊，制成如芥菜籽大小的丸剂。每次空腹、夜间，用温水送服三丸。担心绿豆粉难和丸，用绿豆面作糊也可以。
〔王氏〕使君子散 治疗疳热。
以上使用使君子不拘数量，晒干，研为细末。空腹用米汤送服。大的儿童一钱，小的儿童半钱，以排出虫体为度。
猪肚黄连丸（出自《直指方》） 治疗疳热流注，遍身疮疡腐蚀，或潮热腹胀，或口渴。
用雄猪肚（洗净，一个） 宣连（净五两） 锉细，用水湿润，纳入肚中，用线缝合，放在五升粳米上蒸至烂熟，放入臼中，加入少量蒸饭，捣一千杵，制成如小梧桐子大小的丸剂。每次服用二十丸，用米汤送服。同时服用调血清心的药剂辅助治疗。（凡是小儿生病，不出于疳，就出于热，热则生痰，必须认识到这一点。）
柴胡饮 治疗骨蒸疳气，五心烦热，傍晚加重，口干无味，口渴身体消瘦，胸满痰紧，小便黄色，食欲减退神志昏沉。
北柴胡（去芦头，洗净） 人参（去芦头） 当归（酒洗） 黄芩 赤芍药 甘草（炙。各一两） 大黄（生用） 桔梗（去芦头，锉碎，炒） 北五味子（去梗） 半夏（水煮透，去滑腻。各半两）
以上锉碎，每次服用二钱，加水一盏，乌梅半个，生姜两片，煎至七分。随时温服。
Mr. Wang of Handong discusses the condition in children characterized by fever, emaciation, excessive thirst, and failure to gain muscle mass despite eating, which is termed *Gan* heat (Wasting-heat syndrome). Mr. Tang states: For treating *Gan* heat, one should administer *Shijin Wan* (see formula for masses) to grind away accumulations, while intermittently administering *Huachong Wan*, followed by *Biejia San* to reduce fever, and subsequently *Fei'er Wan* (for *Gan* emaciation).
**Biejia San (Turtle Shell Powder) by Mr. Tang**
Indications: *Gan* consumption with bone-steaming heat.
Ingredients: *Bie Jia* (Tartaric Turtle Shell; select nine-ribbed specimens, soak in hot water, coat with urine from a young boy, and roast); *Huang Qin* (Scutellariae Radix; honey-roasted); *Bai Shao Yao* (Paeoniae Radix Alba; each 1 liang); *Sheng Di Huang* (Rehmanniae Radix Recens) and *Shu Di Huang* (Rehmanniae Radix Praeparata); *Di Gu Pi* (Lycii Cortex); *Dang Gui* (Angelicae Sinensis Radix); *Ren Shen* (Ginseng Radix et Rhizoma; remove rhizome; each 0.5 liang).
Preparation: Coarsely crush the herbs. Take 2 qian per dose, decoct with half a zhan of water, and drink.
**Huachong Wan (Worm-Destroying Pill)**
Indications: *Gan* heat.
Ingredients: *Bai Wu Ti* (Chrysanthemi Indici Flos); *Huang Lian* (Coptidis Rhizoma); *Shen Qu* (Massa Medicata Fermentata); *Mai Ya* (Hordei Fructus Germinatus; each stir-fried, equal parts).
Preparation: Grind into fine powder, mix with paste to form pills the size of millet seeds. Administer on an empty stomach with rice gruel. Administration with pig bile is particularly effective.
**Zhudu Wan (Pig Stomach Pill)**
Indications: Bone-steaming *Gan* consumption, yellowish emaciation of the body.
Ingredients: *Mu Xiang* (Aucklandiae Radix; 0.5 liang); *Huang Lian* (Coptidis Rhizoma); *Sheng Di Huang* (Rehmanniae Radix Recens); *Bie Jia* (Tartaric Turtle Shell; nine-ribbed, soaked in hot water, coated with urine from a young boy, and roasted); *Yin Chai Hu* (Stellariae Radix; remove rhizome); *Qing Pi* (Citri Reticulatae Pericarpium Viride; each 1 liang).
Preparation: Grind into fine powder. Take one pig stomach, insert the medicine inside, tie securely with thread, suspend in a clay pot, and boil until cooked. Remove, grind finely, and use the pig stomach meat as a binder to form pills the size of hemp seeds. Administer with rice gruel, adjusting dosage according to age, without restriction on time.
**Longdan Wan (Gentian Pill) (from *San Yin Fang*)**
Indications: Fever due to *Gan* disease.
Ingredients: *Long Dan Cao* (Gentianae Radix); *Huang Lian* (Coptidis Rhizoma); *Shi Jun Zi Rou* (Quisqualis Semen); *Qing Pi* (Citri Reticulatae Pericarpium Viride; equal parts).
Preparation: Grind into fine powder, mix with pig bile to form pills the size of paulownia seeds. Take 30 pills per dose before sleep with warm water, adjusting dosage according to the child's condition.
**Wuxi Wan (Black Rhinoceros Horn Pill) (by Physicians of the World)**
Indications: Pediatric *Gan* heat, intestinal parasites, abdominal distension, weak limbs, Dingxi *Gan* emaciation. (This formula is miraculous for treating *Gan* heat.)
Ingredients: *Hei Qian Niu* (Morning Glory Seed; 2 liang); *Shi Jun Zi* (Quisqualis Semen flesh; 7.5 qian); *Qing Pi* (Citri Reticulatae Pericarpium Viride; 2 liang); *Lei Wan* (Ovum Ascaris); *Ku Lian Pi* (Meliae Cortex; some versions omit this and use *Lu Hui* Aloe 2.5 qian); *He Shi* (Chrysanthemi Parthenii Flos; each 0.5 liang).
Preparation: Stir-fry together in a pan until scorched, grind into powder, and mix with flour paste to form pills the size of millet seeds. For three-year-olds, take 20 pills before meals with rice gruel.
**Er Ding Wan (Two Dings Pill)**
Indications: Breast mass (*Ru Pi*), food stagnation mass (*Shi Pi*), *Gan* heat.
Ingredients: *Bai Ding Xiang* (Strigis Spiculum; 0.5 liang); *Ding Xiang* (Caryophylli Flos); *Mi Duo Seng* (Lithargyri Pulvis; each 1 liang); *Shao Fen* (Lead Carbonate); *Liu Huang* (Sulfur; 3 qian).
Preparation: Grind into fine powder, mix with paste to form pills the size of small beans. For three-year-olds, take 10 pills at dusk with rice gruel; for nursing infants, administer with breast milk. The following day, foul matter should be discharged, and the heat will subside. Adding 1 qian of *Huang Ying Shi* (Oriental White-eye Excrement) is especially excellent.
**Jin Gua Wan (Golden Melon Pill) (from *Tan Shi Shu Sheng*)**
Indications: Pediatric *Gan* heat, frequent high fever, yellowish emaciation. Long-term use promotes weight gain.
Ingredients: *Huang Lian* (Coptidis Rhizoma); *Huang Bo* (Phellodendri Cortex); *Gan Cao* (Glycyrrhizae Radix et Rhizoma; lightly roasted); *Qing Pi* (Citri Reticulatae Pericarpium Viride; equal parts).
Preparation: Grind into fine powder, add a small amount of *She Xiang* (Moschus). Take one pig gallbladder, insert the medicine inside, tie tightly, place in a stone vessel, and boil in starch water for five to seven boils. Remove and hang to air-dry overnight. Form pills the size of mung beans. Take 5–7 pills per dose with rice gruel, adjusting dosage according to the child. The formula in *Yu Jue* is identical but coated with *Zhu Sha* (Cinnabar), and also treats Spleen *Gan*. *Bo Ji Fang* and *Liu Shi Jia Chuan Fang* are similar; the latter suggests adding *Hu Huang Lian* (Coptidis Rhizoma alternative). If *Shi Jun Zi Wan* is taken in the morning and *Jin Gua Wan* at night, diseases will cease, digestion will improve, and muscles will grow. *Zhuang Shi Jia Chuan Fang* is similar but adds *Ye Ming Sha* (Vermilion Fly Excrement) in equal parts. *Zhao Shi Fang* is also similar, named "Cooling *Gan* Medicine," and Zhu Simili of Changsha deemed it miraculous.
**Luhui Wan (Aloe Pill)**
Indications: Pediatric fright-heat *Gan* with loss of appetite.
Ingredients: *Lu Hui* (Aloe); *Xiong Dan* (Ursi Fel); *Zhu Sha* (Cinnabar; each 2.5 qian); *Qing Dai* (Indigo Naturalis; 7.5 qian); *He Li Le* (Terminalia Chebula Fruit flesh, baked; 3 qian); *She Xiang* (Moschus; 1 qian).
Preparation: Grind into fine powder, mix with glutinous rice paste to form pills the size of hemp seeds. On an empty stomach, administer according to age, swallowing 5–7 pills with sugar water.
**Chai Hu San (Bupleurum Powder) (by Mr. Mao)**
Indications: Pediatric *Gan* heat, limbs emaciated like firewood, inability to stand or walk.
Ingredients: *Chai Hu* (Bupleuri Radix); *Zhi Mu* (Anemarrhenae Rhizoma); *Bei Mu* (Fritillariae Bulbus; remove heart); *Fu Ling* (Poria); *Fu Shen* (Poria with Hostwood); *Ge Gen* (Puerariae Lobatae Radix); *Gan Cao* (Glycyrrhizae Radix et Rhizoma; roasted; equal parts).
Preparation: Grind into fine powder. For each dose, take one spoonful of wheat grains and one spoonful of powder, add one zhan of water, decoct to six-tenths volume, strain, and drink.
**Li Wu Huang Qin Tang (Six-Ingredient Scutellaria Decoction)**
Indications: Lower abdominal distension with shortness of breath, fluctuating heat, discomfort after eating, indigestion.
Ingredients: *Huang Qin* (Scutellariae Radix); *Da Qing* (Isatidis Folium); *Gan Cao* (Glycyrrhizae Radix et Rhizoma; roasted); *Mai Men Dong* (Ophiopogonis Tuber; remove heart); *Shi Gao* (Gypsum Fibrosum; crushed; each 0.5 liang); *Gui Pi* (Cinnamomi Cortex; 3 qian).
Preparation: Take 3 qian per dose, add one zhan of water, decoct to seven-tenths volume, strain, and take warm.
**Qing Dai Wan (Indigo Pill) (by Mr. Zhuang)**
Indications: *Gan* heat.
Ingredients: *Qing Dai* (Indigo Naturalis; ground, 1 liang); *Hu Huang Lian* (Coptidis Rhizoma alternative); *Xuan Lian* (Coptidis Rhizoma); *Tian Zhu Huang* (Calami Tuber; ground; each 0.5 liang); *Zhu Sha* (Cinnabar; water-ground, 2.5 qian); *She Xiang* (Moschus; ground, 1 qian); *Rou Dou Kou* (Myristicae Semen; two); *Niu Huang* (Bovis Calculus; 0.5 qian, ground); *Gan Chan* (Bufo Skin; one, collected on Dragon Boat Festival, soaked in wine, washed clean of intestines, coated with butter, and roasted yellow).
Preparation: Except for already ground ingredients, grind the rest into powder and mix thoroughly. Use mung bean flour paste to form pills the size of mustard seeds. Take 3 pills on an empty stomach and at night with warm water. If mung bean flour is difficult to use, mung bean powder paste is acceptable.
**Shi Jun Zi San (Quisqualis Powder) (by Mr. Wang)**
Indications: *Gan* heat.
Ingredients: *Shi Jun Zi* (Quisqualis Semen; any quantity).
Preparation: Dry thoroughly, grind into powder. Take on an empty stomach with rice gruel. Older children: 1 qian; younger children: 0.5 qian. Continue until worms are expelled.
**Zhudu Huang Lian Wan (Pig Stomach Coptis Pill) (from *Zhi Zhi Fang*)**
Indications: *Gan* heat flowing through meridians, widespread ulcerative sores, tidal fever with abdominal distension, or thirst.
Ingredients: Male pig stomach (cleaned, one whole); *Xuan Lian* (Coptidis Rhizoma; cleaned 5 liang).
Preparation: Chop finely, moisten with water, stuff into the stomach, sew shut, and steam over five sheng of japonica rice until soft. Place in a mortar, add a little steamed rice, pound 1,000 times, and form pills the size of small paulownia seeds. Take 20 pills per dose with rice gruel. Assist with formulas that regulate blood and clear the heart. (Note: All pediatric illnesses stem either from *Gan* or from heat; heat generates phlegm; this must be recognized.)
**Chai Hu Yin (Bupleurum Drink)**
Indications: Bone-steaming *Gan* qi, heat in the five centers (palms, soles, chest), worsening at dusk, dry mouth with no taste, thirst with emaciation, chest fullness with tight phlegm, yellow urine, reduced appetite, and mental confusion.
Ingredients: *Bei Chai Hu* (Bupleuri Radix; remove rhizome, wash clean); *Ren Shen* (Ginseng Radix et Rhizoma; remove rhizome); *Dang Gui* (Angelicae Sinensis Radix; wine-washed); *Huang Qin* (Scutellariae Radix); *Chi Shao Yao* (Paeoniae Radix Rubra); *Gan Cao* (Glycyrrhizae Radix et Rhizoma; roasted; each 1 liang); *Da Huang* (Rhei Radix et Rhizoma; raw); *Jie Geng* (Platycodonis Radix; remove rhizome, chop, stir-fry); *Bei Wu Wei Zi* (Schisandrae Fructus; remove stems); *Ban Xia* (Pinelliae Tuber; boiled through, remove slipperiness; each 0.5 liang).
Preparation: Coarsely chop. Take 2 qian per dose, add one zhan of water, half a Chinese plum (*Wu Mei*), and two slices of ginger. Decoct to seven-tenths volume. Take warm at any time.