〔丹〕白文举儿五岁，身面皆肿，尿多。
山栀（炒） 桑皮（炒。各一钱） 黄芩（二钱半） 白术 苏梗（各一钱半）
上 咀，作三帖，水一盏半，煎至半盏，食前温服。
〔汤〕退肿散气方。
赤小豆 陈皮 萝卜子 甘草（炙。各半两） 木香（炮，七分）
上为粗末，姜、枣煎服，大小加减。
又方
白术（炒） 木香（炮） 甘草（炙） 茴香（炒） 青皮（各半两，巴豆三十粒，去膜同青
皮炒，去巴豆不用）
上为末，米饮调下。
又方 用钱氏益黄散加木香，去丁香，加萝卜子，去诃子，为末，大小加减，米饮调下。
〔钱〕肿病肾热传于膀胱，热盛逆于脾胃，脾虚而不能制肾水，反克脾土，脾随水行，脾主四肢，故流走
而身面皆肿也。若加喘者，重也。何以然？肾水胜而克退脾土，反胜心火，心又胜肺，肺为心克，故喘。或问
曰∶心刑肺，肺本见虚，今何喘实？曰∶此有二，一者肺大喘，此五脏逆；二者肾水气上行，旁侵于肺，故令
大喘，此皆难治。
〔《明》〕水气浮肿∶分水三壮。
〔洁〕疳者小儿病癖，或久吐泻，医者妄投转过之药，小儿易为虚实，致令胃虚而亡津液，内发虚热，外
消肌肉，一脏虚则诸脏皆弱，其病目胞肿腹胀，痢色无常，渐加瘦瘠，久不痊可。是肠胃有风积，法当宣风散
导之后，各根据本脏补其母。
〔钱〕诸疳皆根据本脏补其母及与治疳药，冷则木香丸，热则胡黄连丸主之。疳在内，目肿腹胀，利色无常，
或沫青白，渐瘦弱，此冷证也，宜使君子丸。
使君子丸 治脏腑滑及疳瘦，下痢，腹胁胀满，不思乳食，常服安虫补胃，消疳肥肌。
浓朴（去粗皮，姜汁涂炙，半两） 使君子（去壳，一两，面裹煨） 陈皮（去白，一分）
甘草（炙，锉，半两） 诃子（半两。半生半煨，去核） 青黛（半两，是兼惊及带热渴者宜此方，
如只脏腑不调不用青黛）
上为细末，炼蜜和丸如小鸡头大。每服一丸，米饮化下。儿生百日以上，三岁以下，服半丸，乳
汁化下。元方无青黛。
〔垣〕浓肠丸 治小儿失乳，以食饲之，不能克化，或生腹胀，四肢瘦弱，或利色无常。
陈皮（三分） 麦 （五分） 半夏（三分） 枳壳（五分） 苍术（三分） 青皮（二分） 人参（三分）
浓朴（二分） 曲末（五分）
上为细末，面糊丸如麻子大。每服二十丸，温汤送下。忌饱食。
〔《本》〕芎朴丸 治小儿疳瘦，泻白水，腹胀。
芎 浓朴（各一两） 白术（半两）
上为细末，炼蜜丸如小弹子大。每服一丸，米饮化下。三岁以下半丸。
〔《圣》〕治小儿无辜疳，肚胀或时泻痢，冷热不调。以漏芦一两杵为散，每服以猪肝一两，散
子一钱匕，盐少许，水煮熟，空心顿服。
〔世〕小儿腹大泄泻，水谷不化，吃食不知饥饱，累效。
神曲（炒） 麦芽（炒） 三棱 青皮 香附 山楂 浓朴 甘草 藿香 枳实 地黄 砂仁 黄连
枣子（各等分）
上为末，白汤调下，量儿加减。
〔丹〕一富家子年十四岁，面黄，善啖易饥，非肉不饱，泄泻一月，来求治。脉之，两手皆大。怪不甚瘦
倦，以为湿热，当脾困而食少，令反形健而多食，且不渴，予意其疾必疳虫作痢也。取大便视之，果蛔虫所为。
适往他处，有一小儿医在侧，教其用治虫药治之，禁其勿用去积药。约回途当为一看诊而止痢也，后勿果。至
次年春夏之交，其泻复作，腹不痛而口干。予曰∶此去年治虫而不治疳故也。遂以去疳热之药，浓煎白术汤下，
三日而泻止。半月后偶过其家，见其子甚瘦，予教以白术为君，芍药为臣，川芎、陈皮、黄连、胡黄连，入少
芦荟为丸，白术汤服之，半月而止。禁其勿食肉与甜物，三年当自愈。
〔钱〕大芦荟丸 治疳杀虫，和胃止泻。
胡黄连 黄连 白芜荑（用仁） 芦荟 木香 青皮 雷丸（破开白者佳，赤者勿用） 鹤虱（微炒。各五钱）
麝香（另研，一钱）
上为细末，粟米饮和丸如绿豆大。米饮下一二十丸，不拘时。
胡黄连麝香丸 治疳气羸瘦，出白虫。
胡黄连 白芜荑（仁。各一两半） 黄连 木香（各半两） 辰砂（另研，一分） 麝香（另研，一钱）
上为细末，面糊丸如绿豆大。米饮下五七丸至十丸。三五岁以上者，十五丸至二十丸。服无时。
榆仁丸 治疳热瘦悴有虫，久服充肥。
榆仁（去皮） 黄连（去须。各一两）
上为细末，用猪胆七个，破开取汁，与二药同和入碗内，甑上蒸九分，每日一次，候日数足，研麝香五分，
蒸饼汤浸一宿，同和成剂，丸如绿豆大。每服五七丸至一二十丸，米饮下，无时。
上四方，治泻而多食，为虫疳也。
〔钱〕木香丸治时时下利，唇口青白。如圣丸治冷热疳泻。（二方并见本条。）
没石子丸 治泄泻白浊，及疳利滑肠闷痛。
木香 黄连（各一分） 没石子（一枚） 豆蔻仁（二个） 诃子肉（三个）
上为细末，饭和丸如麻子大。米饮下十五丸，量儿加减，食前。
〔汤〕休息痢及疳泻痢，迁延日月，百药俱试，饮食不妨，便痢不止。用鸡子一枚，打破，熔黄蜡
一块如指大，以鸡子和炒，空心吃尽，百医百效，无不获安。
〔《本》〕小儿疳痢垂死者。取益母草炙食之，取足瘥止，甚佳。
上治泻而少食，为冷疳也。
独胀不泻，治法见胀门。
〔钱〕疳在外，鼻下臭烂，自揉鼻，头上有疮，不着痂，渐绕耳生疮。
〔世〕走马牙疳神效。干姜、白矾、枣子，烧焦存性为末，敷患处。
〔田〕鼻疳治法。先用甘草白矾汤洗净，后糁芦荟、黄连、黄柏末，日三敷。一方，用米泔洗黄
连末敷，日三四次，亦佳。
〔世〕红铅散 治走马疳。
绿矾不以多少，色鲜明者，入干锅，用炭火烧锅赤，倾出，以好酒洒拌匀，再入锅。如此数遍，色
红研作细末，入麝香少许，先以温浆水洗漱净，用指蘸药，有疳处贴之。
〔罗〕乳香丸 治走马牙疳如神。
乳香 轻粉 砒（研。各五分） 麝香（少许）
上先将乳香研细，入轻粉、麝、砒，共再研匀，用薄纸一韭叶阔，去药内按过，揉纸少许，丸如黄
米大，临卧将药填在患处，至明则愈。忌食酱、醋、盐等物。
〔钱〕兰香散 治鼻疮烂。
兰香叶（烧灰，二钱） 铜青（五分） 轻粉（二字）
上末，令匀，看疮大小干贴之。
龙骨散 治口疳走马疳。
砒霜（一字） 粉霜（半钱） 龙骨（一钱） 定粉（一钱半） 龙脑（半字） 蟾酥（一钱半）
上先研砒粉极细，次入龙骨等研，次入定粉等同研，每用少许敷之。
〔《经》〕治小儿走马疳，蚀透损骨，及小小攻蚀必效方。天南星一个，当心作坑子，安雄黄一
块在内，用面裹烧，候雄黄作汁，以盏子合定，出火毒。去面，研为末，入麝香少许，拂疮验。
〔钱〕白粉散 治诸疮。
乌贼鱼骨末（三匕） 白芨末（二匕） 轻粉（一匕）
上末，先用清浆水洗，拭过贴之。
〔《山》〕小儿牙疳。用茴香、桔梗烧灰存性敷之，如干，油调敷。
〔汤〕五福化毒丹 治 鼻，清膈凉血。
玄参 桔梗（去芦。各一两） 赤茯苓 人参 牙硝 青黛 甘草（各一钱） 麝香（五分）
一方有龙脑五分。
上除麝香，牙硝另研，一处为末，次和青黛等，炼蜜丸如芡实大。金银箔为衣，薄荷汤化下。疮
疹余毒，磨生犀角水下。上焦热壅，口齿鲜血，宣露臭气，用生地黄汁化下，食后。
〔钱〕大抵疳病当辨冷热肥瘦，其初病者为肥热疳，久病者为瘦冷疳是也。冷者木香丸，热者黄
连丸主之。冷热之疳，尤宜服如圣丸。
胡黄连丸
胡黄连 黄连（各半两） 朱砂（一分）
上二物为细末，研入朱砂末，都填入猪胆内，用淡浆于砂铫子内悬胎煮一饭时久，取出研入芦荟、
麝香各一分，饭丸如麻子大，每服五七丸至一二十丸，米饮下，食后。一方，加虾蟆半两，不烧。
木香丸
木香 青黛（另研） 槟榔 肉蔻（去皮。各一分） 麝香（另研，一钱半） 续随子（一两半，炒）
虾蟆（三个，先用绳系晒干，烧存性）
上末，蜜丸如绿豆大，每服三五丸至一二十丸，薄荷汤下，食前。
如圣丸 治冷热疳泻。
胡黄连 川黄连 白芜荑（去皮炒。各三两，一本作一两） 使君子（去壳，一两） 麝香（另研，
五分） 干虾蟆（五个，酒浸，煮成膏）
上前药为末，与膏丸如麻子大。每服人参汤下，二三岁五七丸，以上十丸至十五丸，无时。
〔汤〕小儿冷疳，多渴，好卧冷地，烦躁啼叫，饮食不进，渐成羸瘦，其候难明，有若热证，但大便
滑泄，百药不效是也。因女子百药俱试而无偶中者，竟与钱氏木香丸，不数服而愈，自后凡有此证，无
不获验。
钱氏肝疳，白膜遮睛。
汤氏肝疳，眼白青，两眼睛痒。
钱氏筋疳，泻血而瘦，并当补肝，地黄丸主之。（方见劳瘵 即六味地黄丸。）
麝香丸 治小儿一切惊疳等病。
草龙胆 胡黄连（各半两） 木香 蝉蜕（去头足，洗净。各一钱） 瓜蒂 龙脑 麝香 牛黄（各一钱，
并各自研）
上猪胆为丸如桐子及绿豆大。惊疳或秘或泻，清米饮送下。小儿五七粒至一二十粒。眼疳，猪肝
汤下。疳渴， 猪汤下，猪肉汤下亦得。惊风发搐眼上窜，薄荷汤下一丸，更水研一丸滴鼻中。牙疳、
疮，口疮，研贴。虫痛，苦楝根汤或白芜荑汤送下。百日内小儿大小便不通，水研封脐中。有虫候，干漆、
麝香各少许，并入生油一两，点温水化下一大丸。慢惊勿服。
〔《本》〕睡惊丸 治小儿一切惊疳食积风痫之证。
使君子（五十粒） 香墨（枣大，一块） 金银箔（各七片） 腻粉（二钱）
上先将使君子存性同墨研细，次入金银箔。乳钵内研，次入腻粉并麝香少许，研令极细，稀糊丸如
桐子大，阴干，每服一丸，薄荷汤磨下。一岁以下半丸。一名青金丹，极效。
田氏凉惊丸治小儿惊热疳瘦乳癖。（方见惊搐。）
钱氏心疳，面黄颊赤，身壮热，当补心安神丸主之。（方见治虚实法。）
汤氏心疳，口内生疮。
田氏安神丸治心虚疳热，面黄颊赤，壮热惊啼，神志恍惚不宁。（方见治虚实法。）
〔汤〕鳖甲散 治疳劳骨蒸。
鳖甲（九肋者，汤浸，用童便涂炙） 黄氏（蜜炙） 白芍药（各一两） 生熟地 地骨皮
当归 人参（去芦。各半两）
上 咀，每服二钱，水半盏，煎服。
猪肚丸 治骨蒸疳劳，肌体黄瘦。
木香（半两） 黄连 生地 青皮 银柴胡（去芦） 鳖甲（九肋者，汤浸，用童便涂炙。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，大小加减，不拘时服。
〔无〕龙胆丸 治疳病发热。
龙胆 黄连 使君子肉 青皮（各等分）
上为末，猪胆汁和丸如桐子大。每服三十粒，量儿加减，临卧，热水下。
上四方，治疳热。安神丸，甘寒补心。鳖甲散，甘温补脾。后二方，苦寒泻脾，泻湿热也。
〔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（七钱半） 青皮（二两） 雷丸（二钱半） 苦楝皮（半两，一方不用楝皮，
用芦荟钱半） 鹤虱（五钱）
上同入锅内炒焦为末，面糊丸如黍米大。三岁儿二十丸，米饮下。食前乌犀丸，食后黄龙丸。
二丁丸治乳癖、食癖、疳热，如神。（方见癖条。）
〔汤〕疳热，当服进食丸磨积，仍间服化虫丸，后服鳖甲散退热，次服肥儿丸。（进食丸方见癖，
鳖甲散方见前。）
治疳热，化虫丸。
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。
肥儿丸（方见前腹胀。）
上疳热，当以积热门参用。如热有作止者，与潮热门参用可也。
〔钱〕脾疳面黄腹大，食泥土，当补脾，益黄散主之。（方见治虚实法。）
〔汤〕脾疳，食不消，胃疳多吐。
〔钱〕大胡黄连丸 治一切惊疳腹胀，虫动，好吃泥土、生米，不思饮食，多睡吼 ，脏腑或泻或秘，肌肤
黄瘦，毛焦发黄，饮水，五心烦热，能杀虫进饮食，兼治疮癣，常服不泻痢。（ ，泥如切，欲呕声）
胡黄连 黄连 苦楝子（各一两） 白芜荑（去壳半两，秋初三钱） 干蟾头（烧，存性，另研，一分）
麝香（另研，一钱） 青黛（另研，一钱半） 芦荟（另研，一分）
上先将前四味为细末，猪胆汁和为剂，每一丸如胡桃大。入巴豆仁一枚，置其中。用油单纸一重裹之，同
米一升许蒸，米熟为度，入后四味为丸，少入面，糊丸如麻子大。与十丸或十五丸，清米饮下，食后、临卧，
日三服。
〔垣〕大芫荑汤又名栀子茯苓汤。治黄胆土色，（为热、为湿。）当小便不利，（今反利者，知黄色为
[Danxi] Bai Wenju's son, five years old, had edema of the whole body and face, with polyuria.
Gardenia jasminoides Fructus (Zhi Zi), stir-fried; Mulberry Bark (Sang Bai Pi), stir-fried. Each: 1 qian.
Scutellariae Radix (Huang Qin): 2.5 qian.
Atractylodis Rhizoma (Bai Zhu); Perilla Stem (Su Geng). Each: 1.5 qian.
Crush the above herbs, prepare three doses. Decoct in 1.5 sheng of water until half a sheng remains. Take warm before meals.
[Tang Shi] Tui Zhong San Qi Fang (Edema-Reducing and Qi-Dispersing Formula).
Adzuki Bean (Chi Xiao Dou); Tangerine Peel (Chen Pi); Radish Seed (Luo Bo Zi); Licorice Root (Gan Cao), honey-fried. Each: 0.5 liang.
Costus Root (Mu Xiang), roasted: 7 fen.
Pulverize the above herbs into coarse powder. Decoct with Ginger and Jujube. Adjust dosage according to age.
Another Prescription
Atractylodis Rhizoma (Bai Zhu), stir-fried; Costus Root (Mu Xiang), roasted; Licorice Root (Gan Cao), honey-fried; Fennel Fruit (Hui Xiang), stir-fried; Green Tangerine Peel (Qing Pi). Each: 0.5 liang. Add 30 Ephedra Seeds (Ba Dou), remove membranes, stir-fry with Qing Pi, then discard Ba Dou.
Pulverize the above herbs. Administer with rice drink. Adjust dosage according to age.
Another Prescription Use Qian Yi's Yi Huang San, add Costus Root (Mu Xiang), remove Clove Bud (Ding Xiang), add Radish Seed (Luo Bo Zi), remove Chebula Fruit (He Zi). Pulverize. Adjust dosage according to age. Administer with rice drink.
[Qian Yi] Edema disease involves Kidney Heat transmitting to the Bladder. Excessive Heat rebels against the Spleen and Stomach. Spleen Deficiency fails to control Kidney Water, which instead overacts on Spleen Earth. The Spleen follows the water flow. Since the Spleen governs the four limbs, the pathogenic factor flows and wanders, causing edema of the whole body and face. If accompanied by wheezing, the condition is severe. Why? Because Kidney Water overacts and retreats from Spleen Earth, it then overacts on Heart Fire. Heart then overacts on Lung Metal. Lung Metal is controlled by Heart Fire, hence wheezing. One may ask: Heart controls Lung, Lung is already deficient, why is there excess wheezing? The answer is twofold: First, severe Lung wheezing indicates rebellion of the Five Zang organs' Qi. Second, Kidney Water Qi ascends and invades the Lung laterally, causing severe wheezing. Both are difficult to treat.
[Ming Yi Zhi Zhang] For Water-Qi Edema: Moxibustion on Fen Shui (Water Dividing) acupoint, 3 moxa cones.
[Jiegu] Gan disease (Malnutrition Syndrome) is a pediatric disorder or results from prolonged vomiting and diarrhea. Physicians mistakenly administer harsh purgatives. Children are prone to deficiency-excess patterns, leading to Stomach Deficiency and loss of Body Fluids. Internal Empty Heat arises, consuming muscles externally. When one Zang is deficient, all Zang become weak. Symptoms include swollen eyelids, abdominal distension, variable stool color, progressive emaciation, and chronic non-healing. This is due to Wind Accumulation in the Intestines and Stomach. The method should be to first use Xuan Feng San (Disperse Wind Powder) to guide out accumulation, then tonify the Mother organ of the affected Zang according to its root.
[Qian Yi] All Gan diseases should be treated by tonifying the Mother organ of the affected Zang and administering Gan-specific medicines. For Cold patterns, Mu Xiang Wan (Costus Pill) is used; for Heat patterns, Hu Huang Lian Wan (Coptis and Picrorhiza Pill) is used. Gan disease internal manifestation includes swollen eyes, abdominal distension, variable stool color, frothy green-white stools, and progressive weakness. This is a Cold pattern, suitable for Shi Jun Zi Wan (Quisqualis Pill).
Shi Jun Zi Wan treats intestinal slipperiness and Gan emaciation, dysentery, abdominal and hypochondriac fullness, anorexia. Regular use calms parasites, tonifies Stomach, resolves Gan, and nourishes muscles.
Magnolia Bark (Nou Pu), remove rough bark, coat with Ginger Juice and roast: 0.5 liang.
Quisqualis Fruit (Shi Jun Zi), remove shell, wrap in flour and roast: 1 liang.
Tangerine Peel (Chen Pi), remove white pith: 1 fen.
Licorice Root (Gan Cao), honey-roast, chop: 0.5 liang.
Chebula Fruit (He Zi): 0.5 liang. Half raw, half roasted, remove pits.
Indigo Naturalis (Qing Dai): 0.5 liang. Suitable if accompanied by fright and heat-thirst. Not needed for simple Zang-Fu disharmony.
Pulverize into fine powder. Mix with refined honey and form pills the size of a small chicken egg. Take one pill, dissolve in rice drink. For infants over 100 days and under 3 years, take half a pill, dissolve in breast milk. Original prescription does not contain Qing Dai.
[Yuan] Nong Chang Wan (Thick Intestine Pill) treats weaning children fed solid food they cannot digest, leading to abdominal distension, weak limbs, or variable stool color.
Tangerine Peel (Chen Pi): 3 fen.
Wheat Sprout (Mai Ya): 5 fen.
Pinellia Tuber (Ban Xia): 3 fen.
Bitter Orange (Zhi Ke): 5 fen.
Atractylodes Macrocephala Rhizome (Cang Zhu): 3 fen.
Green Tangerine Peel (Qing Pi): 2 fen.
Codonopsis Root (Ren Shen): 3 fen.
Magnolia Bark (Nou Pu): 2 fen.
Fermented Wheat Mass (Qu Mo): 5 fen.
Pulverize into fine powder. Form pills with wheat paste the size of hemp seeds. Take 20 pills with warm water. Avoid overeating.
[Ben Cao] Xiong Po Wan (Peony and Magnolia Pill) treats pediatric Gan emaciation, watery diarrhea, abdominal distension.
Angelica Dahurica Root (Xiong Qiong); Magnolia Bark (Nou Pu). Each: 1 liang.
Atractylodis Rhizoma (Bai Zhu): 0.5 liang.
Pulverize into fine powder. Mix with refined honey and form pills the size of a small marble. Take one pill, dissolve in rice drink. For children under 3 years, take half a pill.
[Sheng Ji Zong Lu] Treats Wu Gu Gan (Innocent Gan) in children, characterized by abdominal distension, intermittent dysentery, and cold-heat imbalance. Use Le Lu (Leuzea Root) 1 liang, pound into powder. Each dose: Liver 1 liang, powder 1 qian bi, little salt. Cook in water. Take on an empty stomach in one go.
[Shi Yi] Pediatric abdominal distension with diarrhea, undigested food and water, eating without knowing hunger or satiety. Proven effective repeatedly.
Medicated Leaven (Shen Qu), stir-fried; Malt (Mai Ya), stir-fried; Burreed Tuber (San Leng); Green Tangerine Peel (Qing Pi); Cyperus Rhizome (Xiang Fu); Hawthorn Fruit (Shan Zha); Magnolia Bark (Nou Pu); Licorice Root (Gan Cao); Agastache Herb (Huo Xiang); Immature Bitter Orange (Zhi Shi); Rehmannia Root (Di Huang); Amomum Fruit (Sha Ren); Coptis Rhizome (Huang Lian); Jujube (Zao Zi). Equal parts.
Pulverize. Mix with plain boiled water. Adjust dosage according to age.
[Danxi] A wealthy family's son, 14 years old, yellow complexion, voracious appetite, easily hungry, requires meat to feel full, diarrhea for one month. Pulse: both hands large. Surprisingly not emaciated or fatigued. Suspected Damp-Heat. Spleen confinement usually causes poor appetite, but he was robust and ate much, without thirst. I suspected Gan parasites causing dysentery. Examined stool: confirmed Ascaris lumbricoides. While I was away, a local pediatrician advised using anti-parasitic drugs and forbidding accumulation-resolving drugs. I promised to check upon return to stop diarrhea, but did not follow through. Next spring-summer transition, diarrhea recurred, no abdominal pain, dry mouth. I said: "This is due to treating parasites last year without treating Gan." Prescribed Gan-Heat clearing medicine, taken with concentrated Bai Zhu Tang. Diarrhea stopped in three days. Half a month later, visited his home, saw him very thin. Advised formula: Bai Zhu as Sovereign, Paeonia Root (Shao Yao) as Minister, Chuan Xiong, Chen Pi, Huang Lian, Hu Huang Lian, plus small amount of Aloe (Lu Hui) as pills, taken with Bai Zhu Tang. Stopped in half a month. Forbidden meat and sweets. Should self-heal in three years.
[Qian Yi] Da Lu Hui Wan (Large Aloe Pill) treats Gan, kills parasites, harmonizes Stomach, stops diarrhea.
Picrorhiza Rhizome (Hu Huang Lian); Coptis Rhizome (Huang Lian); White Melia Seed (Bai Wu Ti), use kernel; Aloe (Lu Hui); Costus Root (Mu Xiang); Green Tangerine Peel (Qing Pi); Polyporus Umbilicatus (Lei Wan), break open, white ones are good, avoid red; Chrysanthemum Seed (He Si), slightly stir-fried. Each: 5 qian.
Musk (She Xiang), separately ground: 1 qian.
Pulverize into fine powder. Mix with millet drink and form pills the size of mung beans. Take 10-20 pills with rice drink, anytime.
Hu Huang Lian She Xiang Wan (Picrorhiza and Musk Pill) treats Gan Qi emaciation, expulsion of white worms.
Picrorhiza Rhizome (Hu Huang Lian); White Melia Seed (Bai Wu Ti), kernel. Each: 1.5 liang.
Coptis Rhizome (Huang Lian); Costus Root (Mu Xiang). Each: 0.5 liang.
Cinnabar (Chen Sha), separately ground: 1 fen.
Musk (She Xiang), separately ground: 1 qian.
Pulverize into fine powder. Form pills with wheat paste the size of mung beans. Take 5-7 to 10 pills with rice drink. For ages 3-5, take 15-20 pills. Anytime.
Yu Ren Wan (Elm Seed Pill) treats Gan Heat, emaciation with parasites. Long-term use nourishes and fattens.
Elm Seed (Yu Ren), remove skin; Coptis Rhizome (Huang Lian), remove whiskers. Each: 1 liang.
Pulverize into fine powder. Use juice from 7 pig gallbladders. Mix with herbs in a bowl. Steam over a steamer until 90% cooked. Once daily. When sufficient days pass, grind 5 fen Musk. Soak steamed bread cake in water overnight. Mix together to form pills the size of mung beans. Take 5-7 to 10-20 pills with rice drink, anytime.
The above four formulas treat diarrhea with excessive hunger, indicating Parasitic Gan.
[Qian Yi] Mu Xiang Wan treats frequent loose stools, blue-white lips and mouth. Ru Sheng Wan treats Cold-Heat Gan diarrhea. (Both formulas see this section.)
Mo Shi Zi Wan (Myrobalan Pill) treats leukorrhea-like diarrhea and Gan dysentery with slippery intestines and dull pain.
Costus Root (Mu Xiang); Coptis Rhizome (Huang Lian). Each: 1 fen.
Myrobalan Fruit (Mo Shi Zi): 1 piece.
Cardamom Seed (Dou Kou Ren): 2 pieces.
Chebula Fruit Flesh (He Zi Rou): 3 pieces.
Pulverize into fine powder. Mix with rice paste and form pills the size of hemp seeds. Take 15 pills with rice drink, adjust dosage by age, before meals.
[Tang Shi] For recurrent dysentery and Gan dysentery lingering for months, tried many medicines, diet unaffected, but dysentery persists. Use one egg, break open. Melt beeswax (size of finger). Stir-fry egg with wax. Eat completely on an empty stomach. Effective for all physicians, ensuring recovery.
[Ben Cao] For pediatric Gan dysentery near death. Roast Motherwort Herb (Yi Mu Cao) and eat until cured. Very effective.
The above treat diarrhea with poor appetite, indicating Cold Gan.
Abdominal distension without diarrhea: treatment see Distension section.
[Qian Yi] Gan disease external manifestation: foul rot under nose, rubbing nose, sores on head not forming scabs, spreading around ears.
[Shi Yi] Zou Ma Ya Gan (Running Horse Gum Disease) highly effective. Dry Ginger, Alum, Jujube. Charred to retain nature, pulverized. Apply to affected area.
[Tian Shi] Bi Gan (Nasal Gan) treatment. First wash with Licorice and Alum decoction. Then dust with Aloe, Coptis, and Phellodendron powder. Apply three times daily. Another method: Wash with rice water, apply Coptis powder. Apply 3-4 times daily. Also good.
[Shi Yi] Hong Qiao San (Red Lead Powder) treats Zou Ma Gan.
Green Vitriol (Lv Fan), any amount, bright color. Put in dry pot. Heat pot red with charcoal. Pour out. Sprinkle good wine, mix well. Return to pot. Repeat several times until red. Grind to fine powder. Add little Musk. First wash affected area with warm sour rice water. Dip finger in medicine, apply to Gan lesions.
[Luo Qianfu] Ru Xiang Wan (Frankincense Pill) treats Zou Ma Ya Gan like magic.
Frankincense (Ru Xiang); Calomelas (Qing Fen); Arsenic Trioxide (Pi), ground. Each: 5 fen.
Musk (She Xiang), little.
First grind Frankincense finely. Add Calomelas, Musk, Arsenic. Grind uniformly. Place on thin paper width of leek leaf. Press medicine through paper. Knead paper slightly. Form pills the size of millet grains. Before sleep, fill medicine into affected area. Heal by morning. Avoid soy sauce, vinegar, salt.
[Qian Yi] Lan Xiang San (Sweet Woodruff Powder) treats nasal sores and rot.
Sweet Woodruff Leaf (Lan Xiang Ye), burnt to ash: 2 qian.
Verdigris (Tong Qing): 5 fen.
Calomelas (Qing Fen): 2 zi (character measure).
Pulverize evenly. Apply dry according to sore size.
Long Gu San (Dragon Bone Powder) treats Mouth Gan and Zou Ma Gan.
Arsenic Trioxide (Pi Shuang): 1 zi.
White Arsenic (Fen Shuang): 0.5 qian.
Dragon Bone (Long Gu): 1 qian.
Lead White (Ding Fen): 1.5 qian.
Borneol (Long Nao): 0.5 zi.
Toad Venom (Chan Su): 1.5 qian.
First grind Arsenic and White Arsenic extremely fine. Then add Dragon Bone etc. and grind. Then add Ding Fen and grind together. Apply little each time.
[Jing Mai] Treats pediatric Zou Ma Gan, eroding bone, and minor erosion. Highly effective. Aconite Tuber (Tian Nan Xing) 1 piece. Make a pit in center. Place Realgar (Xiong Huang) inside. Wrap in dough and roast. Wait for Realgar to melt. Cover with cup to extinguish fire toxicity. Remove dough. Grind to powder. Add little Musk. Dust on sore. Verified effective.
[Qian Yi] Bai Fen San (White Powder) treats various sores.
Cuttlefish Bone (Wou Yu Gu Mo), powder: 3 bi.
Bletilla Tuber (Bai Ji Mo), powder: 2 bi.
Calomelas (Qing Fen): 1 bi.
Pulverize. First wash with clear sour water. Wipe dry. Apply.
[Shan Hai Jing Note] Pediatric gum disease. Use Fennel and Platycodon Root. Char to retain nature. Apply. If dry, mix with oil and apply.
[Tang Shi] Wu Fu Hua Du Dan (Five Blessings Detoxifying Pill) treats nasal issues, clears diaphragm, cools blood.
Scrophularia Root (Xuan Shen); Platycodon Root (Jie Geng), remove radicle. Each: 1 liang.
Red Poria (Chi Fu Ling); Codonopsis Root (Ren Shen); Saltpeter (Ya Xiao); Indigo Naturalis (Qing Dai); Licorice Root (Gan Cao). Each: 1 qian.
Musk (She Xiang): 5 fen.
Another prescription adds 5 fen Borneol.
Except Musk and Saltpeter (grind separately), mix all into powder. Then mix with Qing Dai etc. Form pills with refined honey the size of Chinese date seed. Coat with Gold and Silver Leaf. Dissolve in Mint Decoction. For residual toxins from sores/rashes, grind Raw Rhinoceros Horn (Sheng Xi Jiao) with water. For Upper Jiao Heat congestion, bleeding gums, exposed teeth, foul odor, dissolve in Rehmannia Juice. Take after meals.
[Qian Yi] Generally, Gan disease must distinguish Cold/Heat and Fat/Thin. Early stage is Fat-Heat Gan; late stage is Thin-Cold Gan. Cold: Mu Xiang Wan. Heat: Huang Lian Wan. For Cold-Heat Gan, Ru Sheng Wan is especially suitable.
Hu Huang Lian Wan
Picrorhiza Rhizome (Hu Huang Lian); Coptis Rhizome (Huang Lian). Each: 0.5 liang.
Cinnabar (Zhu Sha): 1 fen.
Grind two herbs into fine powder. Mix in Cinnabar powder. Fill entirely into Pig Gallbladder. Suspend bladder in clay pot with light sour liquid. Boil for duration of one meal. Take out. Grind in Aloe and Musk (1 fen each). Form pills with rice paste the size of hemp seeds. Take 5-7 to 10-20 pills with rice drink, after meals. Another prescription adds 0.5 liang Toad, unburnt.
Mu Xiang Wan
Costus Root (Mu Xiang); Indigo Naturalis (Qing Dai), separately ground; Areca Nut (Bing Lang); Nutmeg (Rou Kou), remove skin. Each: 1 fen.
Musk (She Xiang), separately ground: 1.5 qian.
Euphorbia Seed (Xu Sui Zi), 1.5 liang, stir-fried.
Toads (Xia Ma): 3 pieces. Tie with string, sun-dry, char to retain nature.
Pulverize. Form pills with honey the size of mung beans. Take 3-5 to 10-20 pills with Mint Decoction, before meals.
Ru Sheng Wan (Like Sage Pill) treats Cold-Heat Gan diarrhea.
Picrorhiza Rhizome (Hu Huang Lian); Sichuan Coptis Rhizome (Chuan Huang Lian); White Melia Seed (Bai Wu Ti), remove skin and stir-fry. Each: 3 liang (one text says 1 liang).
Quisqualis Fruit (Shi Jun Zi), remove shell: 1 liang.
Musk (She Xiang), separately ground: 5 fen.
Dry Toad (Gan Xia Ma): 5 pieces, soaked in wine, boiled into paste.
Grind previous herbs into powder. Mix with paste. Form pills the size of hemp seeds. Take with Ginseng Decoction. Ages 2-3: 5-7 pills. Older: 10-15 pills. Anytime.
[Tang Shi] Pediatric Cold Gan: excessive thirst, likes lying on cold ground, irritability, crying, anorexia, progressive emaciation. Symptoms hard to clarify, resembling Heat pattern, but with slippery diarrhea, unresponsive to hundred medicines. A woman tried all medicines without success. Finally given Qian Shi's Mu Xiang Wan. Recovered in few doses. Since then, all such cases verified effective.
Qian Shi Liver Gan: white membrane covering pupil.
Tang Shi Liver Gan: white of eye blue, itchy eyes.
Qian Shi Sinew Gan: bloody diarrhea and emaciation. Tonify Liver. Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) is main formula. (Formula see Lao Zhai).
She Xiang Wan (Musk Pill) treats all pediatric Fright Gan and similar diseases.
Gentian Root (Cao Long Dan); Picrorhiza Rhizome (Hu Huang Lian). Each: 0.5 liang.
Costus Root (Mu Xiang); Cicada Slough (Chan Tui), remove head/feet, wash clean. Each: 1 qian.
Melon Peduncle (Gua Di); Borneol (Long Nao); Musk (She Xiang); Cow Bezoar (Niu Huang). Each: 1 qian, separately ground.
Form pills with Pig Gallbladder the size of Sophora seed and mung bean. For Fright Gan, constipation or diarrhea, send down with clear rice drink. Children: 5-7 to 10-20 pills. Eye Gan: send down with Pork Liver Decoction. Gan Thirst: send down with Pig Stomach Decoction or Pork Meat Decoction. Fright Wind convulsions with eyes rolling up: send down one pill with Mint Decoction, grind another pill in water, drip into nose. Gum Gan, sores, mouth ulcers: grind and apply. Worm pain: send down with Chinaberry Root Decoction or White Melia Seed Decoction. Infants within 100 days with urinary/fecal retention: grind in water, apply to umbilicus. If worm signs present, add little Dry Lacquer and Musk, mix with 1 liang Raw Sesame Oil. Dissolve one large pill in warm water. Do not use for Slow Fright.
[Ben Cao] Shui Jing Wan (Sleep Fright Pill) treats all pediatric Fright Gan, Food Accumulation, Wind Epilepsy.
Quisqualis Fruit (Shi Jun Zi): 50 grains.
Incake Ink (Xiang Mo), date-sized piece.
Gold and Silver Leaf (Jin Yin Bo): 7 pieces each.
Calomelas (Ni Fen): 2 qian.
First keep Quisqualis nature, grind with ink finely. Then add Gold/Silver Leaf. Grind in mortar. Then add Calomelas and little Musk. Grind extremely fine. Form pills with thin paste the size of Sophora seed. Dry in shade. Take one pill, grind in Mint Decoction. Under 1 year: half pill. Also named Qing Jin Dan, extremely effective.
Tian Shi Liang Jing Wan treats pediatric Fright Heat Gan emaciation and Breast Lump. (Formula see Jing Chu).
Qian Shi Heart Gan: yellow face, red cheeks, high fever. Tonify Heart, calm Spirit. An Shen Wan (Calm Spirit Pill) is main formula. (Formula see Zhi Xu Shi Fa).
Tang Shi Heart Gan: sores inside mouth.
Tian Shi An Shen Wan treats Heart Deficiency Gan Heat, yellow face, red cheeks, high fever, fright crying, mental confusion. (Formula see Zhi Xu Shi Fa).
[Tang Shi] Bie Jia San (Turtle Shell Powder) treats Gan Labor and Bone Steaming.
Turtle Plastron (Bie Jia), nine ribs, soak in hot water, coat with Child Urine and roast.
Astragalus Root (Huang Qi), honey-roast.
Paeonia Root (Bai Shao Yao). Each: 1 liang.
Raw and Prepared Rehmannia Root (Sheng Shu Di); Groundcherry Root (Di Gu Pi).
Angelica Sinensis Root (Dang Gui); Codonopsis Root (Ren Shen), remove radicle. Each: 0.5 liang.
Crush. Each dose: 2 qian. Decoct in half sheng water.
Zhu Du Wan (Pig Stomach Pill) treats Bone Steaming Gan Labor, yellow-thin body.
Costus Root (Mu Xiang): 0.5 liang.
Coptis Rhizome (Huang Lian); Rehmannia Root (Sheng Di); Green Tangerine Peel (Qing Pi); Silverleaf Scrophularia Root (Yin Chai Hu), remove radicle.
Turtle Plastron (Bie Jia), nine ribs, soak in hot water, coat with Child Urine and roast. Each: 1 liang.
Pulverize. One Pig Stomach. Insert herbs inside. Tie with thread. Suspend in clay pot and boil until cooked. Take out, grind finely. Form pills with Pig Stomach the size of hemp seeds. Send down with rice drink. Adjust dosage by age. Anytime.
[Wu Ming Shi] Long Dan Wan (Gentian Pill) treats Gan disease fever.
Gentian Root (Long Dan); Coptis Rhizome (Huang Lian); Quisqualis Kernel (Shi Jun Zi Rou); Green Tangerine Peel (Qing Pi). Equal parts.
Pulverize. Mix with Pig Gallbladder juice. Form pills the size of Sophora seed. Take 30 pills, adjust by age, before sleep, with hot water.
The above four formulas treat Gan Heat. An Shen Wan is Sweet-Cold tonifying Heart. Bie Jia San is Sweet-Warm tonifying Spleen. The latter two are Bitter-Cold draining Spleen, draining Damp-Heat.
[Shi Yi] Wu Xi Wan (Black Rhino Pill) treats pediatric Gan Heat, internal worms, big belly, weak limbs, Ding Xi Emaciation. (This formula treats Gan Heat like magic.)
Black Morning Glory Seed (Hei Qian Niu): 2 liang.
Quisqualis Fruit (Shi Jun Zi): 7.5 qian.
Green Tangerine Peel (Qing Pi): 2 liang.
Polyporus Umbilicatus (Lei Wan): 2.5 qian.
Chinaberry Bark (Ku Lian Pi): 0.5 liang (one text uses 1.5 qian Aloe instead).
Chrysanthemum Seed (He Si): 5 qian.
Stir-fry in pot until scorched. Pulverize. Form pills with wheat paste the size of millet grain. Age 3: 20 pills, with rice drink. Wu Xi Wan before meals, Huang Long Wan after meals.
Er Ding Wan treats Breast Lump, Food Lump, Gan Heat, like magic. (Formula see Pi section).
[Tang Shi] Gan Heat: take Jin Shi Wan to grind accumulation. Intermittently take Hua Chong Wan. Then take Bie Jia San to reduce heat. Then take Fei Er Wan. (Jin Shi Wan see Pi; Bie Jia San see above).
Treating Gan Heat, Hua Chong Wan (Parasite-Dissolving Pill).
White Melia Seed (Bai Wu Ti); Coptis Rhizome (Huang Lian); Medicated Leaven (Shen Qu); Malt (Mai Ya). All stir-fried, equal parts.
Pulverize. Form pills with paste the size of millet grain. Take on empty stomach with rice drink. Pig Gallbladder juice is better.
Fei Er Wan (Fattening Infant Pill) (Formula see Abdominal Distension above).
For Gan Heat, combine with Accumulation-Opening herbs. If heat comes and goes, combine with Tide-Heat opening herbs.
[Qian Yi] Spleen Gan: yellow face, big belly, eating dirt. Tonify Spleen. Yi Huang San (Yellow Benefiting Powder) is main formula. (Formula see Zhi Xu Shi Fa).
[Tang Shi] Spleen Gan: indigestion. Stomach Gan: frequent vomiting.
[Qian Yi] Da Hu Huang Lian Wan (Large Picrorhiza Pill) treats all Fright Gan, abdominal distension, moving worms, craving dirt/raw rice, anorexia, excessive sleep, snoring, Spleen/Stomach diarrhea or constipation, yellow-thin skin, dry yellow hair, drinking water, Five Hearts Heat. Kills parasites, promotes appetite, treats sores/tinea. Regular use prevents dysentery. (Snoring sound like cutting mud, desire to vomit).
Picrorhiza Rhizome (Hu Huang Lian); Coptis Rhizome (Huang Lian); Chinaberry Fruit (Ku Lian Zi). Each: 1 liang.
White Melia Seed (Bai Wu Ti), remove shell: 0.5 liang (early autumn 3 qian).
Dried Toad Head (Gan Chan Tou), char, retain nature, separately ground: 1 fen.
Musk (She Xiang), separately ground: 1 qian.
Indigo Naturalis (Qing Dai), separately ground: 1.5 qian.
Aloe (Lu Hui), separately ground: 1 fen.
First grind first four herbs into fine powder. Mix with Pig Gallbladder juice to form mass. Each pill walnut-sized. Insert one Ephedra Kernel (Ba Dou Ren) inside. Wrap in oiled paper. Steam with 1 sheng rice until cooked. Add last four herbs. Form pills with little wheat paste the size of hemp seeds. Take 10 or 15 pills with clear rice drink, after meals, before sleep, three times daily.
[Yuan] Da Yuan Yi Tang (Large Coriander Decoction), also known as Zhi Zi Fu Ling Tang (Gardenia and Poria Decoction). Treats Jaundice Earth Color (Heat/Dampness). When urination is difficult... (now urination is free, know yellow color is...)