小儿疳疾身发热，轻重虚实当分别，初用青蒿饮为宜，日久□甲散最捷。
[注]
疳疾之证，身多发热，治者宜分别轻重虚实治之，
病初起多实者，□甲青蒿饮主之，日久多虚者，□甲散主之。
(□甲青蒿饮) 银柴胡 □甲炙 青蒿 生甘草 生地黄 赤芍 胡黄连
知母炒 地骨皮 引用灯心水煎服。
(方歌)
疳疾血虚身发热，□甲青蒿药有功，银柴□蒿草地芍，胡连知母地骨同。
(□甲散) 人参 黄耆 □甲炙 生地 熟地 当归 白芍炒 地骨皮 水煎服。
(方歌)
疳疾日久骨热蒸，□甲散治效从容，参耆□甲生熟地，当归白芍地骨同。
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疳证门
脑疳多缘受风热，又乘乳哺失调节，头皮光急生饼疮，头热发焦如穗结，
鼻干心烦腮□肿，困倦睛暗身汗热，龙胆龙脑丸甚良，吹鼻龙脑效甚捷。
[注]
脑疳者，因儿素受风热，又兼哺乳失调，以致变生此证，
头皮光急，脑生饼疮，头热毛焦，发结如穗，鼻干心烦，腮□肿硬，
困倦睛暗，自汗身热也，
脑热生疮者，龙胆丸主之，
烦热羸瘦者，龙脑丸主之，
外用吹鼻龙脑散吹之，其证自愈。
(龙胆丸) 龙胆草 升麻 苦楝根皮焙 赤茯苓 防风 芦荟
油发灰各二钱 青黛 黄连各三钱 以上为细末，猪胆汁浸糕楜丸，
如麻子大，薄荷汤下，量儿大小与之。
(龙脑丸) 龙脑 麝香各五分 雄黄二钱 胡黄连三钱 牛黄一钱
朱砂一钱五分 芦荟三钱生 干虾蟆四钱灰 以上为细末，
熊胆合丸，如麻子大，每服三丸，薄荷汤下。
(吹鼻龙脑散) 龙脑 麝香少许各研细末 蜗牛壳炒黄 虾蟆灰
瓜蒂 黄连 细辛 桔梗各等分 以上为细末，入磁盒内贮之，
每取少许吹人鼻中，日吹二次。
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疳证门
Pediatric gan disease (a chronic condition characterized by malnutrition and emaciation due to spleen-stomach dysfunction) presents with body fever; the severity and deficiency-excess patterns must be differentiated. For early-stage cases, Qinghao Yin is appropriate; for long-standing cases, Jia San is most effective.
[Note]
Gan disease typically manifests with body fever. Practitioners should treat based on differentiation of severity and deficiency-excess patterns.
Early-onset cases are mostly excess patterns, treated primarily with Jia Qinghao Yin. Long-standing cases are mostly deficiency patterns, treated primarily with Jia San.
(Jia Qinghao Yin) Yin Chai Hu (Radix Stellariae), Jia Zhi (Testudinis Carapax et Plastrum calcined), Qing Hao (Herba Artemisiae Annuae), Sheng Gan Cao (Radix Glycyrrhizae Preparata), Sheng Di Huang (Radix Rehmanniae Preparata), Chi Shao (Radix Paeoniae Rubra), Hu Huang Lian (Rhizoma Coptidis), Zhi Mu Chao (Rhizoma Anemarrhenae Preparated), Di Gu Pi (Cortex Lycii). Decoct with Deng Xin Cao (Medulla Junci) as a guide and take orally.
(Prescription Verse)
For gan disease with blood deficiency and body fever, Jia and Qinghao demonstrate merit;
Yin Chai Hu, Qing Hao, Gan Cao, Sheng Di Huang, and Chi Shao,
Combined with Hu Huang Lian, Zhi Mu, and Di Gu Pi.
(Jia San) Ren Shen (Radix Ginseng), Huang Qi (Radix Astragali), Jia Zhi (Testudinis Carapax et Plastrum calcined), Sheng Di Huang (Radix Rehmanniae Preparata), Shu Di Huang (Radix Rehmanniae Preparata), Dang Gui (Radix Angelicae Sinensis), Bai Shao Chao (Radix Paeoniae Alba Preparated), Di Gu Pi (Cortex Lycii). Decoct with water and take orally.
(Prescription Verse)
For long-standing gan disease with bone-steaming fever, Jia San yields steady efficacy;
Ren Shen, Huang Qi, Jia, Sheng Di Huang, and Shu Di Huang,
Combined with Dang Gui, Bai Shao, and Di Gu Pi.
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Chapter on Gan Diseases
Nao Gan (Brain Gan) often arises from contracting wind-heat pathogens, compounded by improper breastfeeding or feeding management. This leads to scalp that is shiny and tight, developing "bing chuang" (pancake-like sores); the head feels hot, hair becomes brittle and matted into tufts like grain ears.
Symptoms include dry nose, irritability, swollen cheeks, lethargy, dull eyes, spontaneous sweating, and body heat. Longdan Longnao Wan is highly effective, and blowing Longnao powder into the nose yields rapid results.
[Note]
Nao Gan occurs when a child has previously been affected by wind-heat, combined with inadequate nursing care, resulting in this syndrome.
Manifestations include shiny and tight scalp, brain sores resembling pancakes, head heat, brittle hair matted into tufts, dry nose, irritability, hard and swollen cheeks,
lethargy, dull eyes, spontaneous sweating, and body heat.
For brain heat causing sores, use Longdan Wan.
For irritability, heat, and emaciation, use Longnao Wan.
Externally, blow Longnao San into the nose; the syndrome will resolve spontaneously.
(Longdan Wan) Long Dan Cao (Radix Gentianae), Sheng Ma (Rhizoma Cimicifugae), Ku Lian Gen Pi Bei (Cortex Meliae Toosendan dried), Chi Fu Ling (Poria with Red Core), Fang Feng (Radix Saposhnikoviae), Lu Hui (Resina Aloe),
You Fa Hui (Ash of Human Hair) 2 qian each, Qing Dai (Lapis Azuriti), Huang Lian (Rhizoma Coptidis) 3 qian each. Grind all into fine powder. Moisten with pig bile and prepare pills using Gao Hu (likely referring to a starch-based binder or specific herb, literal translation: cake-like substance). Size of hemp seeds. Take with Bo He Tang (Mint decoction), dosage adjusted according to the child's age.
(Longnao Wan) Long Nao (Borneolum Syntheticum), She Xiang (Moschus) 5 fen each, Xiong Huang (Realgar) 2 qian, Hu Huang Lian (Rhizoma Coptidis) 3 qian, Niu Huang (Calculus Bovis) 1 qian,
Zhu Sha (Cinnabaris) 1.5 qian, Lu Hui (Resina Aloe) 3 qian (raw), Gan Xia Ma (Dry Bufo bufo gargarizans ash) 4 qian. Grind all into fine powder.
Combine with Xiong Dan (Ursi Bile) to form pills, size of hemp seeds. Take 3 pills per dose with Bo He Tang (Mint decoction).
(Chuan Bi Longnao San) Long Nao (Borneolum Syntheticum), She Xiang (Moschus) a small amount (each ground separately into fine powder), Wo Niu Ke Chao Huang (Shell of Helix Aspersa cooked until yellow), Xia Ma Hui (Ash of Bufo bufo gargarizans),
Gua Di (Fructus Cucumeris), Huang Lian (Rhizoma Coptidis), Xi Xin (Radix et Rhizoma Asari), Jie Geng (Radix Platycodonis) in equal proportions. Grind all into fine powder. Store in a porcelain container.
Take a small amount and blow into the nose twice daily.
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Chapter on Gan Diseases