治疳病腹大∶胡黄连（一钱，去果子积） 阿魏（一钱半，醋浸，去肉积） 神曲（二钱，去食积） 炒黄
连（二钱，去热积） 麝香（四粒） 上为末，猪胆丸，如麻子大，每服二十丸，白术汤下。香蟾
丸，治疳，消虫积、食积、肉积。腹胀∶三棱（炮） 蓬术（炮） 青皮 陈皮 神曲（炒） 麦 （炒） 龙胆
草槟榔（各五钱） 胡黄连 川楝子 使君子 黄连（各四钱） 白术（一两） 木香（二钱） 干蟾（五个
）上为末，将蟾醋煮焖捣，再入醋，糊为丸，粟米大，每服二十丸，米饮下。肥儿丸，治小儿诸疳积病∶芦荟（另
研三钱） 胡黄连（三钱） 神曲（炒四钱） 黄连（炒） 白术 山楂（炒各五钱） 芜荑（炒二钱半） 上为
末，猪胆丸，粟米大，每服十五粒。芦荟丸，治五疳羸瘦，虫咬肚疼。腹胀∶芦荟 胡黄连 木香（各
二钱半） 槟榔（二枚） 青黛（二钱） 芜荑（一钱） 麝香（一字） 使君子（二十枚） 干蟾（一个酒炙）
青皮（去穣切，二钱半，用巴豆仁十个同炒焦，去豆不用） 上猪胆丸，黍米大，米饮下十五粒。治疳黄食积∶白
术黄连 苦山楂，等分为末，曲糊丸，白汤下十五粒。疳口，用五疳保童丸五帖，加芜荑（二钱） 使君子 苦楝
根（
各三钱） 同为末，粥糊丸，麻子大，每服三十丸，米饮下。又方，端午日取虾蟆眉脂，以朱砂、麝香末和丸，麻子
大，空心乳下一丸。疳泻，用赤石脂末，米饮调，服半钱。脑疳眉痒，毛发作穗，面黄瘦，用鲫鱼胆滴鼻中，三五日
效。走马疳，蚕蜕纸烧存性，入麝香少许为末，蜜和敷。加枯矾少许尤妙。牙疳∶龙骨（三钱） 轻粉（五分） 铜
绿（五分） 麝香（一字） 枯矾（二钱） 上研细，敷之。牙疳，口内并牙龈烂∶轻粉（一钱） 枯矾（二钱） 柏
末（三钱，先以帛蘸水洗拭患处，令净用药，干糁）
上。一富家子年十四岁，面黄善啖，易饥，非肉不食，泄泻一月，脉之两手皆大，惟其不甚疲倦，以为湿热当疲困而
食少，今反形瘦而多食，且不渴，此必病虫作痢也，视大便果蛔虫所为，予教去虫之药，勿用去积之药当愈。次年春夏
之交，泻腹不痛，口干，此去年治虫不治疳故也，遂以去疳热之剂，浓煎白术汤之三日而泻止半。复见其人甚瘦，教以
白术为君，芍药为臣，川芎、陈皮、黄连、胡黄连，入少芦荟为丸，煎白术汤下之，禁食肉与甜物，三年当自愈。
Treatment for abdominal distension in *gan* disease (childhood malnutrition with accumulation): *Huhuanglian* (Coptidis Rhizoma, 1 qian, to resolve fruit accumulation), *Awei* (Ferulae Resina, 1.5 qian, soaked in vinegar, to resolve meat accumulation), *Shenqu* (Massa Medicata Fermentata, 2 qian, to resolve food accumulation), fried *Huanglian* (Coptidis Rhizoma, 2 qian, to clear heat accumulation), *Shexiang* (Moschus, 4 grains). The above are ground into powder, formed into pills with pig bile, sized like hemp seeds. Take 20 pills per dose, administered with *Baizhu* decoction. *Xiangchan Wan* is used to treat *gan* disease, eliminating worm accumulation, food accumulation, and meat accumulation.
Abdominal distension: *Sanleng* (Sparganii Rhizoma, processed), *Pengzhu* (Curcumae Radix, processed), *Qingpi* (Citri Reticulatae Pericarpium Viride), *Chenpi* (Citri Reticulatae Pericarpium), *Shenqu* (Massa Medicata Fermentata, fried), *Maiya* (Hordei Fructus Germinatus, fried), *Longdancao* (Gentianae Radix et Rhizoma), *Binglang* (Arecae Semen) (each 5 qian), *Huhuanglian* (Scutellariae Barbatae Herba), *Chuanlianzi* (Toosendan Fructus), *Shijunzi* (Quisqualis Fructus), *Huanglian* (Coptidis Rhizoma) (each 4 qian), *Baizhu* (Atractylodis Macrocephalae Rhizoma, 1 liang), *Muxiang* (Aucklandiae Radix, 2 qian), *Ganchan* (Bufo Bufo, dried, 5 individuals). The above are ground into powder. Boil the toad in vinegar until steamed through, mash it, add vinegar again, and form pills with flour paste, sized like millet seeds. Take 20 pills per dose, administered with rice drink.
*Fei'er Wan* is used to treat various *gan* accumulation diseases in children: *Lushen* (Aloe, separately ground, 3 qian), *Huhuanglian* (Scutellariae Barbatae Herba, 3 qian), *Shenqu* (Massa Medicata Fermentata, fried, 4 qian), *Huanglian* (Coptidis Rhizoma, fried), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Shanzha* (Crataegi Fructus, fried) (each 5 qian), *Wuyi* (Euodiae Fructus, fried, 2.5 qian). The above are ground into powder, formed into pills with pig bile, sized like millet seeds. Take 15 pills per dose.
*Lushen Wan* is used to treat the five types of *gan* disease causing emaciation and worm-bite abdominal pain.
Abdominal distension: *Lushen* (Aloe), *Huhuanglian* (Scutellariae Barbatae Herba), *Muxiang* (Aucklandiae Radix) (each 2.5 qian), *Binglang* (Arecae Semen, 2 pieces), *Qingdai* (Indigo Naturalis, 2 qian), *Wuyi* (Euodiae Fructus, 1 qian), *Shexiang* (Moschus, 1 zi), *Shijunzi* (Quisqualis Fructus, 20 pieces), *Ganchan* (Bufo Bufo, dried, wine-processed, 1 individual), *Qingpi* (Citri Reticulatae Pericarpium Viride, pith removed, sliced, 2.5 qian, stir-fried with 10 *Badouren* (Crotonis Fructus) kernels until scorched, discard beans). Formed into pills with pig bile, sized like broomcorn millet seeds. Take 15 pills per dose, administered with rice drink.
For *gan* jaundice and food accumulation: *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Huanglian* (Coptidis Rhizoma), *Kushanzha* (Crataegi Fructus) are divided equally into powder, formed into pills with malt paste, taken with warm water, 15 pills per dose.
For *gan* mouth lesions: Use 5 doses of *Wugan Baotong Wan*, adding *Wuyi* (Euodiae Fructus, 2 qian), *Shijunzi* (Quisqualis Fructus), *Kuliegen* (Meliae Cortex Radicis) (each 3 qian). Grind together into powder, form pills with porridge paste, sized like hemp seeds. Take 30 pills per dose, administered with rice drink.
Another prescription: On the Dragon Boat Festival, collect the fat from the eyebrows of a toad (*Hamax*), mix with *Zhusha* (Cinnabar) and *Shexiang* (Moschus) powder, form pills sized like hemp seeds. Take one pill on an empty stomach with breast milk.
For *gan* diarrhea: Use *Chishizhi* (Halloysitum Rubrum) powder, mixed with rice drink, take half a qian.
For brain *gan* (head *gan*) with itchy eyebrows, hair forming tufts, yellow sallow complexion, and emaciation: Instill gallbladder juice from a crucian carp (*Jiyu*) into the nose. Effective within three to five days.
For *Zouma Gan* (rapidly progressing necrotizing stomatitis): Burn silkworm pupal skin (*Cantui Zhi*) until carbonized but retaining its nature, add a small amount of *Shexiang* (Moschus), grind into powder, mix with honey, and apply externally. Adding a small amount of *Kufan* (Alumen) is especially good.
For dental *gan*: *Gulong* (Draconis Os, 3 qian), *Qingfen* (Calomelas, 5 fen), *Tonglv* (Chrysocolla, 5 fen), *Shexiang* (Moschus, 1 zi), *Kufan* (Alumen, 2 qian). Grind finely and apply externally.
For dental *gan* with rotting inside the mouth and gums: *Qingfen* (Calomelas, 1 qian), *Kufan* (Alumen, 2 qian), *Baimo* (Platycladi Cacumen, 3 qian). First, clean the affected area thoroughly by wiping with water-soaked silk cloth, then sprinkle the dry powder onto the lesion.
A case: A fourteen-year-old son of a wealthy family had a yellow sallow complexion, strong appetite, easy hunger, refused to eat without meat, and suffered from diarrhea for one month. His pulse was large in both hands, yet he did not feel fatigued. Typically, damp-heat causes fatigue and poor appetite; here, he was emaciated but ate much, and was not thirsty. This indicated parasitic dysentery. Examination of stool confirmed roundworms (*Huichong*). I instructed him to use vermifuge drugs rather than digestive resolving drugs, and he recovered.
The following year, during the transition between spring and summer, he experienced diarrhea without abdominal pain and dry mouth. This was because last year only the worms were treated, not the *gan* heat. Thus, I prescribed a formula to clear *gan* heat. He took concentrated *Baizhu* decoction for three days, after which the diarrhea stopped by half. Seeing that he was very emaciated, I advised using *Baizhu* as the sovereign herb, *Shaoyao* (Paeoniae Radix Alba) as the minister herb, combined with *Chuanxiong* (Ligustici Chuanxiong Rhizoma), *Chenpi* (Citri Reticulatae Pericarpium), *Huanglian* (Coptidis Rhizoma), *Huhuanglian* (Scutellariae Barbatae Herba), and a small amount of *Lushen* (Aloe) to form pills. These were taken with *Baizhu* decoction. He was forbidden from eating meat and sweet foods. He would naturally recover after three years.