牛胆汁浸糕丸，麻子大。每下五丸，乌梅、姜、蜜煎汤下。如五干俱见，身上粟生，色斑黑者、必死。
疳渴遇夜还稍止，
疳渴，脏中宿有疳气，加之乳母恣食五辛炙爆酒面，以致小儿心肺壅热，日则烦渴引饮，乳食不进，夜则
渴止，宜连胆丸。如饮水不止，舌黑者即死。
疳痨潮汗咳泻成；
疳痨骨蒸，五心潮热，盗汗咳嗽，泄泻肚硬如石，面色如银，断不可治。古方八物汤去白术，加黄 、柴
胡、陈皮、半夏、使君子、蛤蟆灰，鳖甲各等分，姜枣煎服。或连胆丸，香连猪肚丸，加蛤蟆灰救之。如气促
者即死。
疳泻额上青纹见，
疳泻，毛干唇白，额上青纹，肚腹胀鸣，泻下糟粕，忌用热药止之，宜香蔻丸∶黄连三钱，木香、肉豆蔻、
诃子、砂仁、茯苓各一钱，为末，饭丸黍米大。每五丸，米饮下。如滑泻脱肛、呃逆者，死速。
疳痢五色湿邪萦；
疳痢，见有疳疾，加之伤食及感冷热不调，以致痢下五色，里急后重，宜香砂丸∶黄连三钱，木香、浓朴、
夜明砂、砂仁各二钱，诃子一钱，为末，粳饭丸麻子大。每十五丸，姜艾煎汤下。如人中平满者，必死。
疳肿中虚毒瓦斯并，
疳肿胀者，虚中有积，积毒与脾气相并，故令肚腹紧张。由是脾复受湿，故令头面手足浮肿，宜退黄丸、
肥儿丸。胀甚者，褐丸子∶萝卜子一两，陈皮、青皮、槟榔、黑丑、五灵脂、赤茯苓、莪术各五钱，木香二钱
半，为末，面糊丸绿豆大。每十五丸，桑白皮、紫苏煎汤，或萝卜煎汤下。治小儿乳食不消、心腹胀满、呕逆
气急，或肠鸣泄泻、腹中冷痛、食症乳癖、 气痞结、积聚肠胃、或秘或利、头面浮肿，兼治五疳、八痢，肌瘦
腹大者，如神。一方有胡椒、黄连、三棱、苦楝根各二钱半。疳胀腹皮紧者，大异香散加五灵脂为末，紫苏煎
汤下，少吞紫霜丸。
蛔疳虫出难为情；
蛔疳，因缺乳，粥饭肉食太早，肠胃停蓄甜腻，化为蛔虫。多啼呕沫，腹痛唇紫，肠头及齿痒。蛔虽食虫，
却不可动，动从口鼻出者难治。凡疳积久，莫不有虫，形状不一，黄白赤者可医，青黑者死。
脑疳囟肿发作穗，
脑疳，因胎中素挟风热，生下乳食越常，或临产犯房，以致满头饼疮，脑热如火，发结作穗，囟肿囟高，
遍身多汗，宜龙胆丸∶龙胆草、升麻、苦楝根、防风、赤茯苓、芦荟、油发灰、青黛、黄连各等分，为末，猪
胆汁浸，糕丸麻子大。每二十丸，薄荷、紫苏煎汤下。食后仍以芦荟末入鼻。
疳脊蚀脊锯齿形。
脊疳，虫蚀脊膂骨如锯齿，拍背如鼓鸣，十指皆生疮，频咬爪甲，烦热黄瘦，不利，宜芦荟丸。
无辜项核虫如粉，或因乌羽古方评∶
无辜疳，脑项边有核转动，软而不疼，中有虫如米粉，不速破之则虫随热气流散，淫蚀脏腑，以致肢体痈
疮，便利脓血，壮热羸瘦，头露骨高。初起可用针破，膏药贴之。或因浣儿衣时，夜露檐下，为雌乌落羽所污，
儿着此衣，虫入皮肤故也。其衣用火烘之，则无此恙。宜月蟾丸∶用癞蛤蟆一个，打杀置桶中，以尿浸之，却
取粪蛆一杓入内，任蛆食一日夜，取出以布袋系于急流水中浸一宿，瓦上焙干，入麝香一字，为末，饭丸麻子
大，旦每三十丸，米饮下。一服虚烦退，再服渴止，三服泻住。亦治诸疳。
丁奚腹大手足小，
丁，手足与项极小伶仃也；奚，腹大也。甚者尻高肉削，脐突号哭胸陷，或生谷症，爱吃生米。
哺露翻食骨棱层。
哺露疳，虚热往来，头骨分开，翻食吐虫，烦渴呕秽，骨瘦棱层，露形者死。盖丁奚、哺露，皆因脾胃久
虚，不能消化水谷，以致荣卫气弱，肌肉消烁，肾气不足，复为风冷所伤，形体瘦露；亦有胎中受毒，脏腑少
血所致。尽皆无辜种类，难治。宜十全丹救之。
保童消食堪通用，
五疳保童丸∶鳗鲡头、蟾头、熊胆、麝香、夜明砂、天浆子、黄连、龙胆草、青皮、五倍子、苦楝根、
雄黄、青黛、芦荟、胡黄连各等分为末，糯米糊丸，麻子大。每十丸，米饮下。治五脏干疳。五疳消食丸∶
使君子、麦芽、陈皮、芜荑、神曲、草龙胆、黄连、山楂各等分为末，陈米饭丸黍米大。每十丸，米饮下。消
疳杀虫退热，磨积进食。
芦荟肥儿美且灵∶
芦荟丸∶胡黄连、雷丸、芦荟、芜荑、木香、青黛、鹤虱、黄连各一两，蝉蜕二十个，麝香一钱，为末，
猪胆汁浸，糕丸麻子大。每二十丸，米饮下。消疳杀虫，和胃止泻。肥儿丸∶黄连，神曲各一两，麦芽、肉豆
蔻、使君子各五钱，槟榔、木香各二钱，为末，猪胆汁浸糕丸，麻子大。每三四十丸，米饮下。治身黄肚急，
痞块、泄泻、瘦弱，一切疳证。一方去槟榔、豆蔻、木香，加芜荑、青皮，名黄连肥儿丸，治诸疳及疳眼。
坏证十全与布袋，
十全丹∶陈皮、青皮、莪术、川芎、五灵脂、白蔻、槟榔、芦荟各五钱，木香、使君子、蛤蟆灰各二钱，
为末，猪胆汁浸，蒸饼丸麻子大。每二十丸，米饮下，热者薄荷煎汤下。治丁奚、哺露、无辜疳证。布袋丸∶
夜明砂、芜荑、使君子各二两，芦荟、人参、白术、茯苓、甘草各五钱，为末，汤浸蒸饼丸，弹子大。每一丸，
用绢袋盛之，次用精猪肉二两同煮，候肉烂熟，提起药，挂风前阴干，只用肉和汁与儿食之。次日根据前煮服，
药尽为度。治诸疳腹大颈小，面黄虫痛，饮食不为肌肤。
佩服单方羡夜明。
单夜明砂炒为末，入诸饮食中服之，治诸
疳。又有 病者，因孕妇被恶祟导其腹中，令儿下利，寒热去来，毛发不泽；或因妇人有儿，未能行时复有孕，
使儿饮乳亦成此疾，宜千金龙胆汤。仍以红纱袋夜明砂，与儿佩之。
诸积
诸积须分虚与实，虚者热微实热多；
诸积腹胀腹痛，甚结癖痞，浮肿黄胆，以致八痢等证，总皆积之为害。虚者浑身微热，或夜间有热，少
食神倦，抱起如睡；实者壮热，肚热尤甚，便闭腮肿，喉塞，涎鸣壅盛，热毒发疮，俱宜木香丸主之。虚者
少用，实者倍服。其或变证，面黑泻黑，久泻气促，手心生疮，瘦软者不治。
乳积吐泻极其臭，
吐乳泻乳，其气酸臭，皆因啼叫未已，饮乳停滞不化得之。虽未吃谷，而有痞，是为乳积。
气积蟹渤叫啼过。
腹痛啼叫，利如蟹渤，或发热，肚膨体瘦，饮食不为肌肤，皆由触忤其气，荣卫不和，淹延日久得之。
是为气积。
食积面黄肚腹硬，
腹硬带热，渴泻，或呕，面黄，皆由饮食无度，食飧过饱后即睡得之。是为食积。
行气消乳食自磨；
行气丸∶木香、槟榔、丁香、枳壳、甘松、使君子、神曲、麦芽各二钱半，三棱、莪术、青皮、陈皮、香
附各五钱，胡黄连一钱，为末，蒸饼丸，黍米大。每二十丸，米饮下。治气积。如有汗者去青皮，或五味木香
散亦好。消乳食丸∶砂仁、陈皮、三棱、莪术、神曲、麦芽各五钱，香附一两，为末，糊丸麻子大。每二十丸，
紫苏煎汤下。治乳积、食积。甚者消积丸、感应丸、红丸子下之。
要知小儿肠胃软，切戒猛峻伤元和。
小儿有积，肠胃脆软，忌用毒药攻击，久则脾虚食少，或吐或利，变生他证。取积之法，调脾和胃，缓急
次序攻之，切勿伤其胃气。有因下积伤脾，反生潮热，变为慢惊者有之。
癖病不食但饮乳，
凡小儿不食但饮乳，饮乳而又咳嗽吐痰者，必腹中有癖。
寒热如疟因停水；
惟癖能发潮热或寒。原因乳食失调，以致中脘停水，不能宣行，为瘀为痰，冷气搏之，结而为癖，所以久
疟多有之。
藏于隐僻胁腹疼，
即痞块，与大人积聚同，多藏胁腹隐僻之处，时时作痛。
取癖保安还是主。
轻者木香丸，重者取癖丸∶甘遂、芫花、牵牛、辣桂、莪术、青皮、木香、桃仁、五灵脂各二钱，为末，
入油巴豆一钱和匀，飞面糊丸，麻子大。每一二丸，姜、蜜煎汤下。泄后冷粥补，仍与和胃。秘传保安丸∶
白术土炒三两，神曲、木香、槟榔、茯苓、三棱、使君子、浓朴、荸荠、甘草各一钱，苍术二两，陈皮、枳实、
人参、莪术各一两半，黄连猪胆汁浸、砂仁、麦芽、益智仁、肉豆蔻、藿香、白豆蔻各五钱，为末，蜜丸，龙
眼大。每一丸，米饮化下；呕吐，姜汤下。治小儿五疳八痢、吐泻、肚大青筋、面黄肌瘦、疳积等疾。有肉积
加山楂，喘加萝卜子，泻加泽泻、猪苓各一两。化痞丸∶木香、人参、黄 、当归、桔梗、黄连、三棱、莪术、
鳖甲、夜明砂、绿矾、枳实、使君子、苦楝根、诃子各一两，蛤蟆灰七钱半，为末，蜜丸绿豆大。每三十丸，
米饮下。忌生冷、杂果发脾之物。大人 瘕，去夜明砂、蛤蟆、黄连，为丸梧子大服。治疳消癖进食，止泻和
胃追虫。挝脾散∶海蛤粉、黄丹、硫黄各等分，初伏日修合为末，用醋调成膏，摊瓦盆内晒干，再研为末。一
岁儿服一分，空心米饮下，取下脾秽如蓝汁为效。贴痞膏∶水红花子二钱，大黄、朴硝、山栀、锻石各一钱，
酒酵一块鸡子大，共捣成膏，用布摊开贴痞块上，再用汤瓶熨，手帕勒之，三日后揭起，肉黑
如墨是其效也。
腹胀由中虚气作，有积实者喘气恶；
有积闷乱喘满为实，宜紫霜丸、白玉饼、消积丸、褐丸子选用，以利其积。若气短喘急者，分气紫苏饮
换苏汤。
无积不喘虚宜温，
无积不喘为虚，可以温散，六君子汤加白芍、干姜、浓朴；或大异香散加五灵脂为末，紫苏煎汤下；
或五苓散，俾上下分消其气。不可妄下，仍忌香燥热药。
误下面肿及手脚。
误下脾气内陷，虚气附肺外行，肺主面目胞腮，脾主四肢，故作浮肿。
肿胀通用塌气九，
胡椒一两，蝎梢五钱，为末，面糊丸，粟米大。每五七丸，米饮下，如腹大，加萝卜子。
大喘气粗肾气索；
肾虚水气乘肺，大喘者危，益黄散、塌气丸救之。
阴肿多因地气抽，或啼怒伤小肠络。
阴核气结，肿大钓痛，谓之 疝。有因坐石冷气凝之，或近地风湿伤之，俱宜五苓散。有风热囊肿便闭
者，三白散。有因啼叫不止，致令阴气下结，水窦不行；或孕妇啼泣过伤，令儿生下，小肠气闭，血水凝聚，
水上乘肺，故多先喘而后肿痛，有稀软者，有木硬者，宜行心气，逐肾邪，利二便，更无补法，宜桃仁丸∶桃
仁三钱，辣桂、大黄、牵牛、蒺藜、牡丹皮各二钱，为末，蜜丸麻子大。每五七丸，葱白、木通、青皮、入
盐煎汤下；或煎流气饮子下青木香丸。外治肾囊肿大，茎物通明，用牡蛎为末，先以津唾涂肿处，次用干糁。
坐地被风及虫蚁吹着囊肿，用蝉蜕煎汤频洗，或葱地蚯蚓粪为末，甘草汁调敷。风热外肾暴肿且硬，或生疮
者，用生地黄为末，先以葱、椒煎汤，于避风处洗净，次用津唾调敷；外肾热者，鸡子清调敷，或加牡蛎少许。
余详大科疝气。
胀久不通痞塞胸，芩连枳梗当斟酌∶
痞结因热聚腹，不得宣通，上攻胸胁，按之则痛，时发壮热，宜芩连枳梗汤∶枳壳、桔梗各五分，半夏、黄
芩、栝蒌仁、黄连各三分，生姜、麦门冬煎服，利去黄涎即安；热甚加大黄少许。虚气痞塞胸膈，留饮聚于腹
胁，或加胀满手不可近，枳实理中丸去芩，渴加栝蒌根，泻加牡蛎。
胀久虚湿热生黄，深黄为热淡（黄）胃弱。
胀久中虚，停湿生热，热生黄，名曰黄胆，治与大人一同。有热者，小柴胡汤加麦芽、枳实、山栀、茵陈；
胃弱者，四君子汤或理中汤，加茵陈。通用万金丸∶苍术二两，陈皮、浓朴、夜明砂各一两，为末，用绿矾二
两化水，入醋少许煮面糊，或煮枣肉捣丸，绿豆大。每五十丸，米饮下，磨积去黄。一方加使君子一两，枳实、
黄连、诃子各五钱，用巴豆十粒同炒令紫色，去巴豆不用，再入蛤蟆灰五钱，苦楝根皮二钱半为丸。治疳消癖，
进食止泻，和胃追虫。
腹痛面黄只是积，
腹痛面黄，口中气温，多睡畏食，大便臭者，消积丸；甚者，白玉饼下之，下后以钱氏白术散和胃。寻常轻
者，只用平胃散加山楂、麦芽、砂仁、青皮、甘草为末，每一钱，米饮下。热加黄芩，寒加吴萸。
间有寒热邪相击；面赤为热面白寒，
感热作痛者，面赤壮热，四肢烦热，口中气热，宜四顺清凉饮，加青皮、枳壳，或黄芩芍药汤。感寒作痛
者，面白或青，四肢冷甚，宜小建中汤，或大七气汤加肉桂，调苏合香丸。
冷热不调多呕逆；
宜枳壳、桔梗、青皮、陈皮、当归、甘草各等分，木香减半，姜煎服。
心腹俱痛面 （白）光，口中吐沫虫攻的。
虫动心痛，与痫钓相似，但目不斜而手不搐耳，化虫丸主之。
八痢本与大科同，惟有惊痢属幼童∶
八痢∶冷痢，白积；热痢，赤积∶冷热不调，积下赤白；疳痢，黄白积，或见五色，下无时度；
惊痢，青积下臭；休息痢，粪黑如鱼肠，愈而复作； 痢，停积又来，腹胀便臭，肚痛；蛊毒痢，下紫黑血，如
猪肝。
白冷挨积温脾胃，
纯白者，积冷毒也，宜感应丸。挨去其毒，然后用参苓白术散之类，温和脾胃。
Niudanzhi Jiao Wan (Ox Bile Steamed Cake Pills), size of hemp seeds. Take five pills each time, administered with a decoction of Wumei (Mume Fruit), Shengjiang (Fresh Ginger), and Femi (Honey). If all five types of Gan syndrome appear, millet-grain-like rashes emerge on the body, and the complexion turns black, death is certain.
Gan Ke (Gan Syndrome with Thirst) alleviates slightly at night.
Gan Ke arises from pre-existing Gan Qi (pathogenic factor in Gan syndrome) in the viscera, compounded by the wet nurse's indulgence in the Five Pungents, roasted/fried foods, alcohol, and wheat products. This leads to stagnation and heat in the child's Heart and Lungs. During the day, there is irritability, intense thirst, and desire for water, with poor appetite for milk and food; at night, the thirst ceases. Lian Dan Wan (Coptis and Gallbladder Pill) is indicated. If drinking water does not stop and the tongue turns black, death ensues immediately.
Gan Lao (Gan Syndrome with Consumption) presents with tidal fever, night sweats, cough, and diarrhea.
Gan Lao involves bone-steaming fever (Yin deficiency with internal heat), tidal fever in the "Five Hearts" (both palms, both soles, and the chest), night sweats, cough, diarrhea with an abdomen hard as stone, and a silvery-white complexion. This condition is incurable. The ancient formula Ba Wu Tang (Eight-Ingredient Decoction), without Bai Zhu (Atractylodes Rhizome), plus Huang Qin (Scutellaria Root), Chai Hu (Bupleurum Root), Chen Pi (Tangerine Peel), Ban Xia (Pinellia Tuber), Shi Jun Zi (Quince Seed), Hamagui (Toad Ash), and Bie Jia (Turtle Shell), all in equal parts, is decocted with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube). Alternatively, use Lian Dan Wan, Xiang Lian Zhu Du Wan (Costus, Coptis, and Pig Stomach Pills), or add Hamagui (Toad Ash) for rescue. If shortness of breath occurs, death is imminent.
Gan Xie (Gan Syndrome with Diarrhea) shows blue veins on the forehead.
Gan Xie is characterized by dry hair, white lips, blue veins on the forehead, abdominal distension with borborygmus, and passage of undigested food in stool. Hot herbs to stop diarrhea are contraindicated. Xiang Kou Wan (Amomum and Costus Pills) is indicated: Huang Lian (Coptis Rhizome) 3 qian, Mu Xiang (Aucklandiae Radix), Rou Dou Kou (Nutmeg), He Zi (Chebula Fruit), Sha Ren (Cardamom Seed), and Fu Ling (Poria) 1 qian each. Grind into powder, form pills with rice paste, size of millet seeds. Take five pills with rice drink. If slippery diarrhea with rectal prolapse or hiccups occur, death is rapid.
Gan Li (Gan Syndrome with Dysentery) is caused by entanglement of five-color damp-evil.
Gan Li occurs when existing Gan disease is compounded by food stagnation and exposure to cold/heat imbalance, leading to dysentery with five colors of discharge, tenesmus. Xiang Sha Wan (Costus and Amomum Pills) is indicated: Huang Lian (Coptis Rhizome) 3 qian, Mu Xiang (Aucklandiae Radix), Hou Po (Magnolia Bark), Ye Ming Sha (Trogopterus Dung), and Sha Ren (Cardamom Seed) 2 qian each, He Zi (Chebula Fruit) 1 qian. Grind into powder, form pills with glutinous rice paste, size of hemp seeds. Take fifteen pills with a decoction of Sheng Jiang (Fresh Ginger) and Ai Ye (Mugwort Leaf). If the area between the nose and upper lip (Ren Zhong) becomes flat and full, death is certain.
Gan Zhong (Gan Syndrome with Swelling) results from middle-jiao deficiency and toxin accumulation.
Gan swelling involves deficiency with stagnation, where accumulated toxins bind with Spleen Qi, causing abdominal tension. Subsequently, the Spleen is affected by dampness, leading to edema of the head, face, hands, and feet. Tui Huang Wan (Remove Yellowing Pills) and Fei Er Wan (Fatten Child Pills) are indicated. For severe distension, He Wan Zi (Brown Pills) is used: Luo Bo Zi (Radish Seed) 1 liang, Chen Pi (Tangerine Peel), Qing Pi (Green Tangerine Peel), Bing Lang (Areca Seed), Hei Qiu (Black Morning Glory Seed), Wu Ling Zhi (Trogopterus Dung), Chi Fu Ling (Red Poria), and E Zhu (Curcuma Rhizome) 5 qian each, Mu Xiang (Aucklandiae Radix) 2.5 qian. Grind into powder, form pills with flour paste, size of mung beans. Take fifteen pills with a decoction of Sang Bai Pi (Mulberry Root Bark) and Zi Su (Perilla Leaf), or Radish decoction. It treats infant indigestion, epigastric/fullness, vomiting, shortness of breath, borborygmus, diarrhea, cold pain in the abdomen, food stagnation, qi stagnation, intestinal masses, constipation or diarrhea, facial edema, and concurrently treats the Five Gans and Eight Dysenteries, emaciation with abdominal distension, with miraculous effects. Another prescription includes Hu Jiao (Pepper), Huang Lian (Coptis Rhizome), San Leng (Burreed Rhizome), and Ku Lei Gen (Melia Root Bark) 2.5 qian each. For Gan distension with tight abdominal skin, Da Yi Xiang San (Great Fragrant Powder) plus Wu Ling Zhi (Trogopterus Dung) powdered, taken with Zi Su (Perilla Leaf) decoction, swallowing small amounts of Zi Shuang Wan (Purple Frost Pills).
Hui Gan (Roundworm Gan Syndrome) is difficult to treat if worms exit.
Hui Gan arises from milk deficiency, premature introduction of porridge/meat, causing sweet/greasy substances to accumulate in the intestines/stomach and transform into roundworms. Symptoms include frequent crying, vomiting foam, abdominal pain, purple lips, and itching of the anus and teeth. Although roundworms feed on other parasites, they should not be forcibly moved; if they exit via the mouth or nose, treatment is difficult. In long-standing Gan stagnation, worms are invariably present. Yellow/white worms are treatable; black/blue worms indicate death.
Nao Gan (Brain Gan Syndrome) presents with fontanelle swelling and hair tufts.
Nao Gan stems from wind-heat carried in utero, excessive breastfeeding/feeding after birth, or parental intercourse during labor. Symptoms include crusty sores on the head, burning heat in the brain, hair forming tufts, swollen/elevated fontanelles, and generalized sweating. Long Dan Wan (Gentian Pill) is indicated: Long Dan Cao (Gentiana Root), Sheng Ma (Cimicifuga Rhizome), Ku Lei Gen (Melia Root Bark), Fang Feng (Saposhnikovia Root), Chi Fu Ling (Red Poria), Lu Hui (Aloe), You Fa Hui (Burnt Human Hair), Qing Dai (Indigo Naturalis), and Huang Lian (Coptis Rhizome) in equal parts. Grind into powder, soak in Ox Bile, form steamed cake pills size of hemp seeds. Take twenty pills with Bo He (Mint) and Zi Su (Perilla Leaf) decoction. After meals, apply Lu Hui (Aloe) powder to the nose.
Ji Gan (Spine Gan Syndrome) erodes the spine like a saw.
Ji Gan involves worms eroding the spinal bones like a saw, drum-like sound upon back percussion, sores on all ten fingers, frequent nail-biting, irritability, fever, yellowish emaciation, and difficulty urinating. Lu Hui Wan (Aloe Pills) is indicated.
Wu Gu Gan (Innocent Gan Syndrome) presents with neck nodes like powder, possibly due to crow feathers.
Wu Gu Gan features movable, soft, non-tender nodes on the side of the head/neck containing worm-like particles resembling rice flour. If not promptly ruptured, worms disperse with heat flow, damaging viscera, leading to limb abscesses, purulent stools, high fever, emaciation, and prominent skull bones. Initially, puncture with a needle and apply plaster. Etiology may involve washing infant clothes hanging under eaves overnight, contaminated by female crow feathers; wearing such clothes allows worms to enter the skin. Burning the clothes prevents this. Yue Chan Wan (Moon Toad Pills) is indicated: One toad, killed and placed in a bucket, soaked in urine. Add one scoop of maggot, let maggots feed for one day/night. Remove, tie in a cloth bag, soak in running water overnight, dry on tiles. Add She Xiang (Musk) a "zi" amount. Grind into powder, form rice pills size of hemp seeds. Take thirty pills in the morning with rice drink. First dose reduces deficiency-irritability; second stops thirst; third stops diarrhea. Also treats various Gan syndromes.
Ding Xi Gan (Stilt Abdomen Gan Syndrome) features large abdomen and small limbs.
"Ding" refers to extremely small limbs and neck; "Xi" refers to large abdomen. Severe cases show elevated buttocks, wasted flesh, protruding umbilicus, crying with sunken chest, or "Grain Gan" craving raw rice.
Bu Lu Gan (Breast Leak Gan Syndrome) presents with vomiting, bone prominence.
Bu Lu Gan involves alternating deficiency-heat, separated cranial sutures, vomiting of food/worms, irritability/thirst, foul vomiting, emaciated ribs, and exposed form (death). Ding Xi and Bu Lu result from chronic Spleen/Stomach deficiency failing to digest food/grain, weakening Ying/Wei Qi, wasting muscles, depleting Kidney Qi, and susceptibility to wind-cold. Some arise from fetal toxicity or visceral blood deficiency. All belong to the Wu Gu category and are difficult to treat. Shi Quan Dan (Ten Complete Pills) is indicated.
Bao Tong Wan (Protect Child Pill) for digestion is universally applicable.
Wu Gan Bao Tong Wan (Five Gan Protect Child Pill): Man Li Tou (Eel Head), Chan Tou (Toad Head), Xiong Dan (Bear Gallbladder), She Xiang (Musk), Ye Ming Sha (Trogopterus Dung), Tian Jiang Zi (Calotropis Seed), Huang Lian (Coptis Rhizome), Long Dan Cao (Gentian Root), Qing Pi (Green Tangerine Peel), Wu Bei Zi (Gallnut), Ku Lei Gen (Melia Root Bark), Xiong Huang (Realgar), Qing Dai (Indigo Naturalis), Lu Hui (Aloe), Hu Huang Lian (Coptis Chinensis Rhizome) in equal parts. Grind, form pills with glutinous rice paste, size of hemp seeds. Take ten pills with rice drink. Treats Dry Gan of the Five Viscera. Wu Gan Xiao Shi Wan (Five Gan Digest Food Pill): Shi Jun Zi (Quince Seed), Mai Ya (Barley Sprout), Chen Pi (Tangerine Peel), Wu Yi (Chaulmoogra Seed), Shen Qu (Medicated Leaven), Cao Long Dan (Gentian Root), Huang Lian (Coptis Rhizome), Shan Zha (Hawthorn Fruit) in equal parts. Grind, form pills with aged rice paste, size of millet seeds. Take ten pills with rice drink. Eliminates Gan, kills parasites, clears heat, grinds stagnation, promotes appetite.
Lu Hui Wan (Aloe Pill) and Fei Er Wan (Fatten Child Pill) are excellent and effective.
Lu Hui Wan: Hu Huang Lian (Coptis Chinensis Rhizome), Lei Wan (Vermifuge Pill ingredient/Hymenochaete), Lu Hui (Aloe), Wu Yi (Chaulmoogra Seed), Mu Xiang (Aucklandiae Radix), Qing Dai (Indigo Naturalis), He Shi (Hemlock Seed), Huang Lian (Coptis Rhizome) 1 liang each, Chan Tui (Cicada Slough) 20 pieces, She Xiang (Musk) 1 qian. Grind, soak in Ox Bile, form steamed cake pills size of hemp seeds. Take twenty pills with rice drink. Eliminates Gan, kills parasites, harmonizes Stomach, stops diarrhea. Fei Er Wan: Huang Lian (Coptis Rhizome), Shen Qu (Medicated Leaven) 1 liang each, Mai Ya (Barley Sprout), Rou Dou Kou (Nutmeg), Shi Jun Zi (Quince Seed) 5 qian each, Bing Lang (Areca Seed), Mu Xiang (Aucklandiae Radix) 2 qian each. Grind, soak in Ox Bile, form steamed cake pills size of hemp seeds. Take 30-40 pills with rice drink. Treats jaundice, tense abdomen, masses, diarrhea, emaciation, and all Gan syndromes. Alternative: Remove Bing Lang, Rou Dou Kou, Mu Xiang; add Wu Yi, Qing Pi. Named Huang Lian Fei Er Wan, treats all Gans and Gan Eyes.
Severe conditions treated with Shi Quan Dan and Bu Dai Wan.
Shi Quan Dan: Chen Pi (Tangerine Peel), Qing Pi (Green Tangerine Peel), E Zhu (Curcuma Rhizome), Chuan Xiong (Ligusticum Rhizome), Wu Ling Zhi (Trogopterus Dung), Bai Kou (White Cardamom), Bing Lang (Areca Seed), Lu Hui (Aloe) 5 qian each, Mu Xiang (Aucklandiae Radix), Shi Jun Zi (Quince Seed), Hamagui (Toad Ash) 2 qian each. Grind, soak in Ox Bile, form steamed cake pills size of hemp seeds. Take twenty pills with rice drink; if heat, use Bo He (Mint) decoction. Treats Ding Xi, Bu Lu, and Wu Gu Gan. Bu Dai Wan (Bag Pill): Ye Ming Sha (Trogopterus Dung), Wu Yi (Chaulmoogra Seed), Shi Jun Zi (Quince Seed) 2 liang each, Lu Hui (Aloe), Ren Shen (Ginseng), Bai Zhu (Atractylodes Rhizome), Fu Ling (Poria), Gan Cao (Licorice Root) 5 qian each. Grind, soak in water, form steamed cake pills, size of quail egg. Wrap one pill in silk bag, boil with 2 liang lean pork until meat is tender. Remove pill, hang to dry in wind. Feed only the meat and juice to the child. Repeat next day until pills are exhausted. Treats Gan with large abdomen/small neck, yellow face, worm pain, failure of food to nourish flesh.
Single prescriptions praised for Ye Ming Sha.
Roasted Ye Ming Sha (Trogopterus Dung) powder added to food treats all Gans. Another condition arises if a pregnant woman is influenced by evil spirits affecting the fetus, causing infant diarrhea, alternating chills/fever, lusterless hair; or if a mother with an infant becomes pregnant again, causing this disease through breastfeeding. Qian Jin Long Dan Tang (Thousand Gold Gentian Decoction) is indicated. Also, wear Ye Ming Sha in a red gauze bag.
Zhu Ji (Various Accumulations)
Accumulations must be distinguished as Deficiency or Excess; Deficiency has mild heat, Excess has abundant heat.
Various accumulations cause abdominal distension/pain, potentially leading to masses, edema, jaundice, and the Eight Dysenteries. Deficiency type: mild whole-body heat or night heat, poor appetite, mental fatigue, appearing asleep when held. Excess type: high fever, especially abdominal heat, constipation, swollen cheeks, throat obstruction, profuse phlegm-rattle, heat-toxin sores. Mu Xiang Wan (Aucklandia Pills) is primary. Use less for Deficiency, double dose for Excess. Variations: black face/stool, chronic diarrhea with shortness of breath, sores on palms, emaciation/weakness are incurable.
Ru Ji (Milk Accumulation) vomiting/diarrhea is extremely foul.
Vomiting/diary milk with sour-foul odor results from crying while feeding, causing milk stagnation. Even without grain intake, masses form; this is Milk Accumulation.
Qi Ji (Qi Accumulation) crab-like stool and excessive crying.
Abdominal pain, crying, stool resembling crab feces, or fever, distended belly/emaciated body, food failing to nourish, result from Qi disturbance, Ying/Wei disharmony, and prolonged duration. This is Qi Accumulation.
Shi Ji (Food Accumulation) yellow face and hard abdomen.
Hard abdomen with heat, thirst/diarrhea, or vomiting, yellow face, result from overeating followed by sleep. This is Food Accumulation.
Xing Qi Wan (Move Qi Pill) and Xiao Ru Shi Wan (Digest Milk/Food Pill) grind away accumulation.
Xing Qi Wan: Mu Xiang (Aucklandiae Radix), Bing Lang (Areca Seed), Ding Xiang (Clove), Zhi Ke (Aurantium Fructus), Gan Song (Nardostachys Root), Shi Jun Zi (Quince Seed), Shen Qu (Medicated Leaven), Mai Ya (Barley Sprout) 2.5 qian each, San Leng (Burreed Rhizome), E Zhu (Curcuma Rhizome), Qing Pi (Green Tangerine Peel), Chen Pi (Tangerine Peel), Xiang Fu (Cyperus Rhizome) 5 qian each, Hu Huang Lian (Coptis Chinensis Rhizome) 1 qian. Grind, form steamed cake pills size of millet seeds. Take twenty pills with rice drink. Treats Qi Accumulation. If sweating, remove Qing Pi; or use Wu Wei Mu Xiang San (Five-Flavor Aucklandia Powder). Xiao Ru Shi Wan: Sha Ren (Cardamom Seed), Chen Pi (Tangerine Peel), San Leng (Burreed Rhizome), E Zhu (Curcuma Rhizome), Shen Qu (Medicated Leaven), Mai Ya (Barley Sprout) 5 qian each, Xiang Fu (Cyperus Rhizome) 1 liang. Grind, form paste pills size of hemp seeds. Take twenty pills with Zi Su (Perilla Leaf) decoction. Treats Milk and Food Accumulation. Severe cases use Xiao Ji Wan (Eliminate Accumulation Pill), Ying Gan Wan (Responsive Pill), or Hong Wan Zi (Red Pills) to purge.
Know that infant intestines/stomachs are soft; strictly avoid harsh drugs harming Yuan Qi.
Infants with accumulations have fragile intestines/stomachs. Avoid toxic attacking drugs; prolonged use causes Spleen deficiency, poor appetite, vomiting/diarrhea, and other complications. Method to remove accumulation: Harmonize Spleen/Stomach, attack gradually according to urgency. Do not damage Stomach Qi. Purging accumulation may injure Spleen, causing tidal fever or transforming into Slow Convulsion.
Pi Bing (Mass Disease) refusing food but drinking milk.
Infants refusing food but drinking milk, accompanied by cough/phlegm,必有 (must have) Pi masses in the abdomen.
Han Re Ru Nü (Chills/Fever like Malaria) due to retained water.
Only Pi masses cause tidal fever/chills. Cause: improper diet leading to water retention in Middle Jiao, unable to circulate, becoming stasis/phlegm, combated by cold Qi, knotting into Pi. Hence common in chronic malaria.
Hidden location in hypochondrium/abdomen with pain.
These are masses, similar to adult accumulations, hiding in hidden hypochondriac/abdominal areas, causing intermittent pain.
Qu Pi (Remove Mass) primarily uses Bao An Wan.
Mild cases: Mu Xiang Wan. Severe cases: Qu Pi Wan: Gan Sui (Kansui Root), Yuan Hua (Genkwa Flower), Qian Niu (Morning Glory Seed), La Gui (Cinnamon Twig), E Zhu (Curcuma Rhizome), Qing Pi (Green Tangerine Peel), Mu Xiang (Aucklandiae Radix), Tao Ren (Peach Seed), Wu Ling Zhi (Trogopterus Dung) 2 qian each. Mix with 1 qian You Ba Dou (Oil-processed Croton Seed). Form pills with sifted flour paste, size of hemp seeds. Take 1-2 pills with Ginger/Honey decoction. After purging, drink cold congee to tonify; continue harmonizing Stomach. Secret Bao An Wan: Bai Zhu (Atractylodes Rhizome) earth-fried 3 liang, Shen Qu (Medicated Leaven), Mu Xiang (Aucklandiae Radix), Bing Lang (Areca Seed), Fu Ling (Poria), San Leng (Burreed Rhizome), Shi Jun Zi (Quince Seed), Hou Po (Magnolia Bark), Bi Qi (Water Chestnut), Gan Cao (Licorice Root) 1 qian each, Cang Zhu (Atractylodes Lancea Rhizome) 2 liang, Chen Pi (Tangerine Peel), Zhi Shi (Aurantium Fructus), Ren Shen (Ginseng), E Zhu (Curcuma Rhizome) 1.5 liang each, Huang Lian (Coptis Rhizome) soaked in Ox Bile, Sha Ren (Cardamom Seed), Mai Ya (Barley Sprout), Yi Zhi Ren (Alpinia Oxyphylla Fruit), Rou Dou Kou (Nutmeg), Huo Xiang (Patchouli Leaf), Bai Dou Kou (White Cardamom) 5 qian each. Grind, honey pills size of longan. Dissolve one pill in rice drink; if vomiting, use Ginger decoction. Treats Five Gans, Eight Dysenteries, vomiting/diarrhea, large abdomen with visible veins, yellow face/emaciation, Gan accumulation. Add Shan Zha (Hawthorn) for meat accumulation, Luo Bo Zi (Radish Seed) for asthma, Ze Xie (Alisma Rhizome) and Zhu Ling (Poria) 1 liang each for diarrhea. Hua Pi Wan (Resolve Mass Pill): Mu Xiang (Aucklandiae Radix), Ren Shen (Ginseng), Huang Qi (Astragalus Root), Dang Gui (Angelica Sinensis), Jie Geng (Platycodon Root), Huang Lian (Coptis Rhizome), San Leng (Burreed Rhizome), E Zhu (Curcuma Rhizome), Bie Jia (Turtle Shell), Ye Ming Sha (Trogopterus Dung), Lv Fan (Green Vitriol), Zhi Shi (Aurantium Fructus), Shi Jun Zi (Quince Seed), Ku Lei Gen (Melia Root Bark), He Zi (Chebula Fruit) 1 liang each, Hamagui (Toad Ash) 7.5 qian. Grind, honey pills size of mung beans. Take thirty pills with rice drink. Avoid cold/raw/spicy foods. For adult masses, remove Ye Ming Sha, Hamagui, Huang Lian; form pills size of wutong seeds. Treats Gan, resolves masses, promotes appetite, stops diarrhea, harmonizes Stomach, expels worms. Zhua Pi San (Beat Spleen Powder): Hai Ge Fen (Clam Shell Powder), Huang Dan (Lead Monoxide), Liu Huang (Sulfur) equal parts. Prepare on first Fu day, grind. Mix with vinegar to paste, spread on tile pot, dry, grind. One-year-old takes 1 fen, empty stomach with rice drink. Effective when spleen turbidity exits like blue juice. Tie Pi Gao (Stick Mass Plaster): Shui Hong Hua Zi (Polygonum Fruit) 2 qian, Da Huang (Rhubarb Root), Pu Xiao (Mirabilite), Shan Zhi (Gardenia Fruit), Duan Shi (Calcined Dolomite) 1 qian each, Jiu Jiao (Yeast) size of chicken egg. Pound into paste, spread on cloth, apply to mass. Iron with hot bottle, bind with handkerchief. Remove after three days; blackening of skin indicates efficacy.
Abdominal distension due to middle-jiao deficiency and Qi; excess accumulation causes bad breath/asthma.
Distension with stifling sensation and asthma is Excess. Select Zi Shuang Wan, Bai Yu Bing, Xiao Ji Wan, or He Wan Zi to promote accumulation discharge. If shortness of breath/rapid breathing, use Fen Qi Zi Su Yin (Separate Qi Perilla Decoction) replacing Zi Su Tang.
No accumulation means no asthma; deficiency requires warming.
No accumulation-related asthma is Deficiency, treatable with warming dispersion. Liu Jun Zi Tang (Six-Gentleman Decoction) plus Bai Shao (White Peony Root), Gan Jiang (Dried Ginger), Hou Po (Magnolia Bark); or Da Yi Xiang San (Great Fragrant Powder) plus Wu Ling Zhi (Trogopterus Dung) powdered, taken with Zi Su (Perilla Leaf) decoction; or Wu Ling San (Five-Ingredient Powder with Poria) to drain Qi from above/below. Do not misuse purgatives; avoid aromatic/dry/hot herbs.
Mistaken purging causes facial/hand-foot edema.
Mistaken purging sinks Spleen Qi; deficient Qi attaches to Lung and moves externally. Lung governs face/eyes; Spleen governs limbs. Thus, edema occurs.
Zhong Zhang (Swelling) generally uses Ta Qi Jiu.
Hu Jiao (Pepper) 1 liang, Xie Shao (Scorpion Tail) 5 qian. Grind, form flour paste pills size of millet seeds. Take 5-7 pills with rice drink. If abdomen large, add Luo Bo Zi (Radish Seed).
Da Chuan (Great Asthma) coarse breathing indicates Kidney Qi exhaustion.
Kidney deficiency allowing Water Qi to assault Lung; great asthma is critical. Yi Huang San (Yellow-Protecting Powder) and Ta Qi Wan (Qi-Sinking Pills) for rescue.
Yin Zhong (Yin Swelling) often due to Earth Qi drawing, or crying/anger injuring Small Intestine collaterals.
Qi knotting in genitalia, swelling/tethering pain, called Han (Hernia). Caused by sitting on cold stones or damp-wind near ground; treat with Wu Ling San (Five-Ingredient Powder with Poria). Wind-heat cyst with constipation: San Bai San (Three-White Powder). Prolonged crying causing Yin Qi sinking, water ducts blocked; or maternal excessive weeping causing fetal Small Intestine Qi closure, blood/water coagulation, Water assaulting Lung, leading to asthma preceding swelling/pain. Soft or woody hardness: Move Heart Qi, expel Kidney pathogen, benefit urination/defecation, no tonification. Tao Ren Wan (Peach Kernel Pill): Tao Ren (Peach Seed) 3 qian, La Gui (Cinnamon Twig), Da Huang (Rhubarb Root), Qian Niu (Morning Glory Seed), Ji Li (Tribulus Fruit), Mu Dan Pi (Moutan Cortex) 2 qian each. Grind, honey pills size of hemp seeds. Take 5-7 pills with Cong Bai (Scallion White), Mu Tong (Akebia Stem), Qing Pi (Green Tangerine Peel), salt, decocted. Or take with Liu Qi Yin Zi (Flowing Qi Decoction) and Qing Mu Xiang Wan (Blue Aucklandia Pills). External: For renal cyst/enlarged penis, use Mu Li (Oyster Shell) powder, apply saliva to swelling, then dry powder. Sitting on ground/wind/insect bite on cyst: Wash frequently with Chan Tui (Cicada Slough) decoction, or apply Cong Di Chuan Qiu Fen (Scallion Earthworm Manure Powder) mixed with Gan Cao (Licorice) juice. Wind-heat acute external genital swelling/hardness/sores: Sheng Di Huang (Rehmannia Root) powder, wash with Cong/Jiao (Scallion/Pepper) decoction in wind-free place, apply with saliva. Heat in external genitals: Apply Ji Zi Qing (Egg White), or add Mu Li (Oyster Shell). See Major Section on Hernia for details.
Long-term distension/blockage obstructs chest; consider Qin Lian Zhi Geng.
Pi結 (Pi Knot) due to heat gathering in abdomen, blocking circulation, attacking chest/hypochondrium, painful on pressure, periodic high fever. Qin Lian Zhi Geng Tang (Scutellaria, Coptis, Aurantium, Platycodon Decoction): Zhi Ke (Aurantium Fructus), Jie Geng (Platycodon Root) 5 fen each, Ban Xia (Pinellia Tuber), Huang Qin (Scutellaria Root), Gua Lou Ren (Trichosanthes Seed), Huang Lian (Coptis Rhizome) 3 fen each, Sheng Jiang (Fresh Ginger), Mai Men Dong (Ophiopogon Tuber) decocted. Relief follows passage of yellow phlegm; if heat severe, add Da Huang (Rhubarb Root). Deficient Qi blocking chest/diaphragm, retained fluid in abdomen/hypochondrium, or unbearable distension: Zhi Shi Li Zhong Wan (Aurantium Regulate Middle Pill) remove Huang Qin; if thirsty add Gua Lou Gen (Trichosanthes Root); if diarrhea add Mu Li (Oyster Shell).
Long-term distension deficiency-damp-heat generates Jaundice; deep yellow is heat, pale yellow is weak Stomach.
Long-term distension with middle-jiao deficiency, damp-heat retention generates Jaundice, treated same as adults. With heat: Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Mai Ya (Barley Sprout), Zhi Shi (Aurantium Fructus), Shan Zhi (Gardenia Fruit), Yin Chen (Artemisia Capillaris). Weak Stomach: Si Jun Zi Tang (Four-Gentleman Decoction) or Li Zhong Tang (Regulate Middle Decoction) plus Yin Chen (Artemisia Capillaris). Universal Wan Jin Wan (Ten Thousand Gold Pill): Cang Zhu (Atractylodes Lancea Rhizome) 2 liang, Chen Pi (Tangerine Peel), Hou Po (Magnolia Bark), Ye Ming Sha (Trogopterus Dung) 1 liang each. Grind. Dissolve Lv Fan (Green Vitriol) 2 liang in water, add vinegar, cook flour paste or jujube pulp, form mung bean-sized pills. Take fifty pills with rice drink. Grinds accumulation, removes yellow. Alternative: Add Shi Jun Zi (Quince Seed) 1 liang, Zhi Shi (Aurantium Fructus), Huang Lian (Coptis Rhizome), He Zi (Chebula Fruit) 5 qian each. Stir-fry with 10 Ba Dou (Croton Seeds) until purple, remove Ba Dou, add Hamagui (Toad Ash) 5 qian, Ku Lei Gen Pi (Melia Bark) 2.5 qian. Treats Gan, resolves masses, promotes appetite, stops diarrhea, harmonizes Stomach, expels worms.
Abdominal pain with yellow face is merely accumulation.
Abdominal pain, yellow face, warm breath, lethargy, aversion to food, foul stool: Xiao Ji Wan (Eliminate Accumulation Pill). Severe: Bai Yu Bing (White Jade Cake) to purge, then Qian Shi Bai Zhu San (Master Qian's Atractylodes Powder) to harmonize Stomach. Mild: Ping Wei San (Peace the Stomach Powder) plus Shan Zha (Hawthorn), Mai Ya (Barley Sprout), Sha Ren (Cardamom), Qing Pi (Green Tangerine Peel), Gan Cao (Licorice) powder. Take 1 qian with rice drink. Add Huang Qin (Scutellaria) for heat, Wu Zhu Yu (Evodia Fruit) for cold.
Occasional cold/heat conflict; red face is heat, white face is cold.
Heat-induced pain: Red face, high fever, limb irritability, warm breath. Si Shun Qing Liang Yin (Four-Obedience Cooling Decoction) plus Qing Pi (Green Tangerine Peel), Zhi Ke (Aurantium Fructus), or Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction). Cold-induced pain: Pale/blue face, cold limbs. Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) or Da Qi Ji Tang (Great Qi Accumulation Decoction) plus Rou Gui (Cinnamon Bark), mixed with Su He Xiang Wan (Liquid Amber Pill).
Cold/heat imbalance causes frequent vomiting/regurgitation.
Zhi Ke (Aurantium Fructus), Jie Geng (Platycodon Root), Qing Pi (Green Tangerine Peel), Chen Pi (Tangerine Peel), Dang Gui (Angelica Sinensis), Gan Cao (Licorice Root) equal parts, Mu Xiang (Aucklandiae Radix) half amount. Decoct with Ginger.
Heart/abdominal pain, pale face, foamy mouth indicates worm attack.
Worm-induced heart pain resembles convulsions but without eye deviation or hand twitching. Hua Chong Wan (Expel Worm Pill) is primary.
Eight Dysenteries are same as major section, except Jing Li (Fright Dysentery) belongs to infants.
Eight Dysenteries: Leng Li (Cold Dysentery) - White Ji; Re Li (Heat Dysentery) - Red Ji; Cold/Heat Imbalance - Red/White Ji; Gan Li (Gan Dysentery) - Yellow/White Ji or five colors, uncontrolled frequency; Jing Li (Fright Dysentery) - Green Ji, foul smell; Xiu Xi Li (Resting Dysentery) - Black stool like fish intestine, recurring; Chang Li (Intestinal Dysentery) - Retained accumulation returns, abdominal distension, foul stool, pain; Gu Du Li (Gu Poison Dysentery) - Purple/black blood like pig liver.
White Cold Ji requires warming Spleen/Stomach.
Purely white stool indicates Cold-Toxin accumulation. Ying Gan Wan (Responsive Pill) to eliminate toxin, then Shen Ling Bai Zhu San (Ginseng, Poria, Atractylodes Powder) to warm/tonify Spleen/Stomach.