小儿脾疳，证见面色发黄，肌肉消瘦，身体发热，困倦喜睡，心下痞硬，乳食懒进，睡卧喜冷，好食泥土，
肚腹坚硬疼痛，头大颈细，有时吐泻，口干烦渴，大便腥粘诸状，古方主消疳理脾汤（如芜荑、三棱、莪术、青
皮、陈皮、芦荟、槟榔、使君子肉、生甘草、川黄连、胡黄连、炒麦芽、炒神曲，引用灯芯）。
〔真按〕脾属土，色黄、主肌肉，故脾疳之证必发黄，且有发稀作穗，腹胀脚弱，昼凉夜热，或不思乳食，
或饮食无度之现象，方用蓬莪术二钱，炒青皮五分，广陈皮钱半，煨芦荟五分，西党参二钱，花槟榔五分，使君
子肉五分，川黄连二分，胡黄连四分，炒麦芽一钱，炒山楂钱半，范志曲八分，炙甘草八分，引用旧仓米钱半，
灯芯十五寸。
若将汤剂改作丸剂，除旧仓米不用，以米汤糊丸，如绿豆大，每晨空心再以米汤送下二十丸，如儿小不能吞
丸，即用米汤化十丸服之亦可。
小儿疳泻之证，多缘积热伤脾，以致水谷不分，频频作泻，古法主清热和中汤（如白术、陈皮、浓朴、赤苓、
黄连、神曲、谷芽、使君子、生甘草、白泽泻，引用灯芯）。
〔真按〕久泄不止，胃虚成疳，方用土炒白术二钱，云茯苓
二钱，西党参三钱，姜炒川朴五分，焦谷芽八分，炒黄连五分，使君子肉八分，赤茯苓钱半，生甘草五分，诃子肉
一钱，引用灯芯十五寸，干荷蒂一个。
Pediatric Spleen Gan (Spleen-type Malnutrition Syndrome), characterized by yellowish complexion, emaciation of muscles, fever, lethargy and preference for sleep, epigastric fullness and hardness, anorexia, preference for cool sleeping environments, pica (eating dirt), abdominal distension with hardness and pain, macrocephaly with thin neck, occasional vomiting and diarrhea, dry mouth with irritability and thirst, and foul-smelling sticky stools. Ancient formulas advocate Xiaoging Lipi Tang (Cure Gan and Regulate Spleen Decoction) containing *Mume Fructus* (Wuyi), *Sparganium Rhizoma* (Sanleng), *Curcuma Longa Rhizoma* (Ezhu), *Aurantii Fructus Immaturus* (Qingpi), *Aurantii Fructus* (Chenpi), *Aloe* (Luhui), *Areca Seed* (Binglang), *Quisqualis Indica Fruit* (Shijunzi Rou), *Glycyrrhiza Uralensis Radix et Rhizoma* (Sheng Gancao), *Coptis Chinensis Rhizoma* (Chuan Huanglian), *Picrorhiza Scrophulariiflora Rhizome* (Hu Huanglian), *Hordeum Vulgare Sprout* (Chao Maiya), *Crataegus Pinnatifida Fructus* (Chao Shenqu), using *Juncus Effusus* (Dengxin) as a guiding herb.
[Commentary by Chen Shouzhen]: The Spleen belongs to Earth, its color is yellow, and it governs the muscles. Therefore, Spleen Gan must present with yellowish complexion, along with sparse hair forming tufts, abdominal distension, weak legs, chills during the day and fever at night, anorexia, or uncontrolled eating habits. The prescription uses *Curcuma Zedoaria Rhizoma* (Peng Ezhu) 2 qian, fried *Aurantii Fructus Immaturus* (Qingpi) 5 fen, *Aurantii Fructus* (Guang Chenpi) 0.5 qian, roasted *Aloe* (Wei Luhui) 5 fen, *Codonopsis Pilosula Radix* (Xi Dangshen) 2 qian, *Areca Seed* (Hua Binglang) 5 fen, *Quisqualis Indica Fruit* (Shijunzi Rou) 5 fen, *Coptis Chinensis Rhizoma* (Chuan Huanglian) 2 fen, *Picrorhiza Scrophulariiflora Rhizome* (Hu Huanglian) 4 fen, fried *Hordeum Vulgare Sprout* (Chao Maiya) 1 qian, fried *Crataegus Pinnatifida Fructus* (Chao Shanzha) 0.5 qian, *Fanzhi Qu* (Fan Zhi Qu) 8 fen, honey-fried *Glycyrrhiza Uralensis Radix et Rhizoma* (Zhi Gancao) 8 fen, using old warehouse rice 0.5 qian and *Juncus Effusus* (Dengxin) 15 cun as guiding herbs.
If the decoction is changed into pills, excluding the old warehouse rice, use rice gruel to bind the powder into pills the size of mung beans. Take twenty pills every morning on an empty stomach with rice gruel. If the child is too small to swallow pills, ten pills can be dissolved in rice gruel and administered orally.
Pediatric Gan Diarrhea is mostly caused by accumulated heat damaging the Spleen, leading to the failure of separating clear turbid substances from food and water, resulting in frequent diarrhea. Ancient methods advocate Qingre Hezhong Tang (Clear Heat and Harmonize Middle Decoction) containing *Atractylodes Macrocephala Rhizoma* (Baizhu), *Aurantii Fructus* (Chenpi), *Magnolia Officinalis Bark* (N Houpo), *Poria Cocos* (Chi Ling), *Coptis Chinensis Rhizoma* (Huanglian), *Medicated Leaven* (Shenqu), *Setaria Italica Sprout* (Guya), *Quisqualis Indica Fruit* (Shijunzi), *Glycyrrhiza Uralensis Radix et Rhizoma* (Sheng Gancao), *Alisma Orientale Tuber* (Baize Xie), using *Juncus Effusus* (Dengxin) as a guiding herb.
[Commentary by Chen Shouzhen]: Prolonged diarrhea leads to Stomach deficiency and subsequently forms Gan. The prescription uses earth-fried *Atractylodes Macrocephala Rhizoma* (Tu Chao Baizhu) 2 qian, *Poria Cocos* (Yun Fuling) 2 qian, *Codonopsis Pilosula Radix* (Xi Dangshen) 3 qian, ginger-fried *Magnolia Officinalis Bark* (Jiang Chuan Houpo) 5 fen, scorched *Setaria Italica Sprout* (Jiao Guya) 8 fen, fried *Coptis Chinensis Rhizoma* (Chao Huanglian) 5 fen, *Quisqualis Indica Fruit* (Shijunzi Rou) 8 fen, *Poria Cocos* (Chi Fuling) 0.5 qian, *Glycyrrhiza Uralensis Radix et Rhizoma* (Sheng Gancao) 5 fen, *Chebula Retusa Fruit* (Hezi Rou) 1 qian, using *Juncus Effusus* (Dengxin) 15 cun and one dried lotus calyx (Gan Hedi) as guiding herbs.