无辜疳传有二因，鸟羽污服着儿身，或缘乳母病传染，颈项疮核便利脓，
虫蚀脏腑身羸瘦，面黄发热致疳生，清热宜用柴胡饮，消疳肥儿效如神．
[注]
无辜疳者，其病原有二，
或因浣衣夜露，被无辜乌落羽所污，儿着衣后，致成此证，
或因乳母有病，传染小儿，以有此疾，
其证颈项生疮，或项内有核如弹，按之转动，软而不疼，
其中有虫如米粉，不速破之，使虫蚀脏腑，便利脓血，
身体羸瘦，面黄发热也，
治宜先清其热，柴胡饮主之，再消其疳以芦荟肥儿丸主之。
(柴胡饮) 赤芍药 柴胡 黄连 半夏姜制 桔梗 夏枯草 龙胆草
浙贝母 黄芩 甘草生 引用灯心水煎服。
(方歌)
柴胡饮治无辜疳，赤芍柴胡川黄连，半夏桔梗夏枯草，龙胆浙贝芩草煎。
(芦荟肥儿丸) 方见肝疳。
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疳证门
遍身骨露号丁奚，肌肉干涩昼夜啼，手足枯细面鯬黑，项细腹大突出脐，
尻削身软精神倦，骨蒸潮热渴烦随，化滞五疳消积治，补养人参启脾宜．
[注]
丁奚者，遍身骨露，其状似丁，故名曰丁奚也，
其证肌肉干涩，啼哭不已，手足枯细，面色鯬黑，项细腹大，
肚脐突出，尻削身软，精神倦怠，骨蒸潮热，燥渴烦急也，
先用五疳消积丸化其滞，
继用人参散脾丸理其脾病，可渐愈矣。
(五疳消积丸) 史君子肉五钱炒 麦芽炒 陈皮 神麴炒 山查各一两
白芜荑 黄连 胆草各三钱 以上为末，陈米饭为丸，每服一钱，米饮下。
(人参散脾丸) 人参五钱 白术五钱土炒 白茯苓五钱 陈皮四钱
扁豆五钱炒 山药五钱炒 木香二钱煨 榖芽三钱炒 神麴三钱炒
炙甘草二钱 以上研细末，炼蜜为丸，重一钱，用建连汤化下。
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疳证门
The transmission of Wugu Gan (Innocent Child's Malnutrition) has two causes: one is contamination by bird feathers and soiled clothing coming into contact with the infant; the other is transmission from a sick wet nurse. The manifestations include sores or lymph node enlargement (scrofula) in the neck region, which may rupture and discharge pus. If not treated promptly, parasites may erode the internal organs, leading to emaciation, sallow complexion, fever, and the development of Gan syndrome. Treatment should first clear heat using Chaihu Yin (Bupleurum Decoction); subsequently, to eliminate Gan, Lushui Fei'er Wan (Aloe and Infant-Nourishing Pill) is highly effective.
[Note]
Wugu Gan refers to a condition with two primary etiologies:
One cause is exposure during laundry washing at night outdoors, where feathers from the "Wugu Bird" (a mythical toxic bird) contaminate the clothes; wearing such garments induces this disease in infants.
The other cause is infectious transmission from a mother suffering from illness to her nursing infant.
Clinical signs include sores on the neck or elastic-sized nodules that are mobile upon palpation, soft in texture, and painless.
Inside these nodules, worm-like structures resembling rice flour may be found. If not promptly lanced and drained, these worms can erode the Zang-Fu organs, resulting in purulent bloody stools,
emaciation, sallow complexion, and fever.
Therapy should initially focus on clearing heat, primarily utilizing Chaihu Yin (Bupleurum Decoction); thereafter, to resolve Gan accumulation, Lushui Fei'er Wan (Aloe and Infant-Nourishing Pill) is indicated.
(Chaihu Yin / Bupleurum Decoction) Ingredients: Chi Shao Yao (Red Peony Root), Chai Hu (Bupleurum Root), Huang Lian (Coptis Rhizome), Ban Xia (Pinellia Tuber processed with ginger), Jie Geng (Platycodon Root), Xia Ku Cao (Prunella Spike), Long Dan Cao (Gentian Root), Zhe Bei Mu (Fritillaria Thunbergii Bulb), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root) raw. Decoct with Deng Xin Cao (Juncus Effusus) water for administration.
(Prescription Song)
Chaihu Yin treats Wugu Gan, comprising Chi Shao, Chai Hu, and Chuan Huang Lian;
Ban Xia, Jie Geng, and Xia Ku Cao are added, along with Long Dan, Zhe Bei, Huang Qin, and Gan Cao for decoction.
(Lushui Fei'er Wan / Aloe and Infant-Nourishing Pill) See the section on Liver Gan for the formula details.
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Gan Syndrome Section
When bones protrude all over the body, it is termed Dingxi Gan (Stilt-legged Malnutrition). The muscles are dry and rough, accompanied by ceaseless crying day and night. The limbs are withered and thin, the face is dark and sallow, the neck is slender while the abdomen is distended with umbilical herniation. The sacrum is emaciated, the body feels flaccid, and there is mental fatigue. These symptoms are often followed by bone-steaming tidal fever, thirst, and irritability. Treatment should involve resolving stagnation and eliminating accumulation via Wu Gan Xiao Ji Wan (Five-Gan Accumulation-Resolving Pill); for subsequent nourishment and tonification, Renshen Qipi Wan (Ginseng Spleen-Initiating Pill) is appropriate.
[Note]
Dingxi refers to a state where bones are exposed throughout the body, resembling the character "Ding," hence the name.
Symptoms include dry and rough muscles, incessant crying, withered and thin extremities, a dark and sallow complexion, a slender neck with abdominal distension,
protruding umbilicus, emaciated sacrum, flaccidity, mental fatigue, bone-steaming tidal fever, dryness, thirst, and irritability.
Initially, Wu Gan Xiao Ji Wan (Five-Gan Accumulation-Resolving Pill) is used to resolve stagnation and accumulation.
Subsequently, Renshen Sanpi Wan (Ginseng Spleen-Supporting Pill) is employed to regulate spleen dysfunction, leading to gradual recovery.
(Wu Gan Xiao Ji Wan / Five-Gan Accumulation-Resolving Pill) Ingredients: Chao Shi Jun Zi Ren (Stir-fried Quisqualis Fruit Seed) 5 qian, Chao Mai Ya (Stir-fried Hordeum Germinatum), Chen Pi (Tangerine Peel), Chao Shen Qu (Stir-fried Medicated Leaven), Shan Zha (Hawthorn Fruit) each 1 liang; Bai Wu Yi (White Toosendan Fruit), Huang Lian (Coptis Rhizome), Dan Cao (Gentian Root) each 3 qian. Grind all ingredients into fine powder, form pills with aged rice paste. Take 1 qian per dose, administered with rice water.
(Renshen Sanpi Wan / Ginseng Spleen-Supporting Pill) Ingredients: Ren Shen (Ginseng Root) 5 qian, Tu Chao Bai Zhu (Earth-stir-fried Atractylodes Macrocephala Rhizome) 5 qian, Bai Fu Ling (Poria) 5 qian, Chen Pi (Tangerine Peel) 4 qian, Chao Bian Dou (Stir-fried Lablab Bean) 5 qian, Chao Shan Yao (Stir-fried Dioscorea Rhizome) 5 qian, Wei Mu Xiang (Baked Aucklandiae Root) 2 qian, Chao Gu Ya (Stir-fried Millet Sprout) 3 qian, Chao Shen Qu (Stir-fried Medicated Leaven) 3 qian, Zhi Gan Cao (Honey-fried Licorice Root) 2 qian. Grind all ingredients into fine powder, mix with refined honey to form pills weighing 1 qian each. Administer by dissolving in Jian Lian Tang (Nelumbo Nucifera Seed Decoction).
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Gan Syndrome Section