脉
小儿脉单细为疳劳。虎口脉纹白色为疳。
病
夫诸疳者，谓肥甘饮食之所致也。盖小儿脾胃懦弱，多为母之舐犊之爱，不知调养之法，遂令恣食甘肥
瓜果生冷之物，一切烹饪调和之味，以其朝餐暮食，渐成积滞，胶固而不为疳者鲜矣。或婴幼缺乳，粥饭
太早，耗伤形气者。又或因久患疟痢吐泻，乃生诸病，误以下药，致损脾胃，亡津液而然者，皆能致身热体
瘦，面黄肚大，青筋虫痛，泻痢等证。
治
宜理脾胃，消积化虫，清热止泻住痢。以肥儿丸、疳积饼为主，此二方不问诸疳冷热，服之最效。大抵
疳之为病，皆因过餐饮食，于脾家一脏，有积不治传之余脏，而成五疳之疾。何为五疳？心、肝、脾、肺、
肾也。如疳在心，则面赤口干，切牙舒舌，口舌生疮，身热体瘦，以安神丸主之；疳在肝，则面青，筋膜
遮睛，摇头揉目多泪，头焦发竖，筋青脑热，瘦弱，以补肝汤主之；疳在脾，则面黄身热，肚胀腹大，好食
泥土，水谷不消，泄下酸臭，困睡减食，肌瘦，以益黄散主之；疳在肺，则面白咳嗽，喘逆，口鼻生疮，咽喉
不利，壮热恶寒，鼻流清涕，以清肺汤主之；疳在肾，则面黑肌肉瘦，而体生疮，身热尿涩，手足冰冷，口臭干
渴，以地黄丸主之。内疳则目肿胀，利色无常，或沫清白，渐而瘦弱，此冷证也，宜木香丸主之；外疳鼻下赤
烂，自揉鼻头，有疮不结痂，绕目而生，当用兰香散治之。大抵疳病当辨冷热肥瘦，而治其初病者
为肥热疳，久病者为瘦冷疳。冷则用木香丸，热则用黄连丸，临证
宜审治焉。
方
肥儿丸（刘尚书传） 消疳化积，磨癖清热，代肝补脾，进食杀虫，养元气。
人参（去芦，三钱半） 白术（去芦，三钱） 白茯苓（去皮，三钱） 黄连（姜汁炒，
三钱半） 胡黄连（五钱） 使君子（去壳，四钱半） 神曲（炒，三钱半） 麦芽（炒，三钱
半） 山楂肉（三钱半） 甘草（炙，三钱） 芦荟（二钱半，碗盛，泥封固，置土坑中，四
面谷糠火煨透用之）
上为细末，黄米糊为饼，米汤化下。或作小丸亦可。每服二三十丸，量儿大小，加减服之。
疳积饼（毛惟中传） 治小儿五疳诸积，肚大青筋，面黄肌瘦，饮食少进，或泻，或痢，或腹痛。
青皮（去穣，五钱） 陈皮（五钱） 山楂肉（五钱） 神曲（炒，五钱） 麦芽（炒，五
钱） 砂仁（炒，五钱） 白术（去芦，六钱） 三棱（煨，五钱） 莪术（煨，五钱） 木
香（五钱） 槟榔（四钱） 甘草（炙，四钱） 小茴（炒，三钱） 使君子（去壳，二两） 川
楝子（酒蒸，去核，三钱） 肉豆蔻（煨，四钱） 诃子（去核，四钱） 夜明砂（炒，三
钱，另研） 干蟾蜍（一大个） 川黄连（去毛，净，六钱，清水浸，取汁和药末）
上焙干，为细末，用好细白面六斤，微炒黄，以砂糖十两，水
煮化，和前面药得所，印作饼子，每重一钱。每服三五饼，任意嚼吃。
五积饼（山东德府传）〔批〕（按此方治一切诸疳，一消一补，平和之剂） 治小
儿疳积、食积、虫积、肉积、气积、冷积，腹胀大如鼓，青黄肌瘦，泄泻发热，不能服药者。
三棱（醋炒，一钱） 莪术（醋炒，一钱） 青皮（去穣，一钱） 陈皮（一钱） 木香
（一钱） 黄连（姜汁浸炒，一钱） 川楝肉（二钱） 槟榔（二钱） 神曲（炒，三钱） 麦芽
（炒，三钱） 砂仁（三钱） 使君子肉（五钱） 胡黄连（五钱） 白术（炒，六钱） 龙胆
草（六分） 山楂肉（二两） 干蟾蜍（五只）
上为细末，用炒过白面五斤，黑糖二斤，并前药和匀，用印印作饼子，约重一钱。每服三、五饼，服过
半月大效。
安神丸 治邪热惊啼心疳，面黄颊赤壮热。
麦门冬（去心，五钱） 白茯苓（五钱） 山药（五钱） 甘草（炙，五钱） 朱砂（一
两） 龙脑（一字） 牙硝（五钱）
上为末，炼蜜为丸，如芡实大。每服半丸，砂糖水磨化下，慢惊用参术煎浓汁化下。
补肝汤 治肝疳眼闭不开，内有朦雾。
生地（一两） 熟地（一两） 川芎（二钱半） 赤茯苓（二钱半） 枳壳（炒，二钱半） 黄连（二钱半） 杏
仁（水泡，去皮，二钱半） 半夏曲（二钱半） 天麻（二钱半） 地骨皮（二钱半） 甘草（炙，二钱半）
上锉，每二钱，姜三片，黑豆十五粒，水煎，临卧服。
益黄散 治脾疳脾胃虚寒，体黄腹大，好食泥土。肺疳气喘，口鼻生疮等证。
人参（一钱） 白术（一钱） 陈皮（一钱） 青皮（五分） 诃子皮（五分） 甘草（炙，五分） 丁香（二分）
上锉一剂，水煎温服。古方无参、术。
清肺汤 治肺热疳慝蚀为穿孔，汁臭或息肉。
桑白皮（炙） 紫苏 前胡 黄芩 当归 连翘 天门冬（去心） 防
风赤茯苓 桔梗 甘草 生地黄（各等分）
上锉，每二钱，水煎，食后服。
地黄丸 治肾疳肌肉极瘦，生疮疥，寒热乍作，头极热，足冷如冰。肝疳白膜遮睛，筋疳泻血，骨
疳喜卧冷地。又治胃怯不言，解颐，小儿年长不能行者，专服有效。
熟地黄（酒洗，三钱） 山茱萸（酒蒸，去核，取皮，三钱） 干山药（三钱） 泽
泻（三钱） 牡丹皮（三钱） 白茯苓（三钱）
上为末，炼蜜为丸，如梧桐子大。每五、七丸，空心热水化
下，年长者，量增丸数。
木香丸 治瘦冷疳，及疳在内。
木香（二钱半） 青黛（二钱半） 槟榔（二钱半） 肉豆蔻（二钱半） 麝香（一钱，另
研） 续随子（一两，去油） 虾蟆（大壮者三个，烧存性）
上为细末，炼蜜为丸，如绿豆大。每服三、五丸至一二十丸，薄荷汤下，食前服。
黄连丸 治肥热疳。
胡黄连（五钱） 川黄连（五钱） 朱砂（二钱半，另研）
上为细末，和匀，填入猪胆内，用淡浆煮，以杖子如铫子，上用线约之，勿着底，候一时取出，研入
芦荟、麝香各一分，饭为丸，麻子大。每服五、七丸，至一二十丸，米饮下。一方是虾蟆半两，焙干不烧。
兰香散 治外疳鼻下赤烂。
兰香叶（二钱，烧存性） 铜青（五分） 轻粉（五分）
上为细末，干敷之。
小芦荟丸 治疳积瘰 结核，耳内生疮，或疝气囊痈，下疳溃烂，或茎出白津，股腹有疮，或体
瘦热渴，大便不调，牙龈蚀落，颊腮腐烂等证。
胡黄连（一两） 黄连（一两） 芦荟（一两） 木香（一两） 白雷丸（一两） 青皮
（一两） 鹤虱草（一两） 白芜荑（炒，一两） 麝香（二钱）
上为细末，蒸饼为丸，如麻子大。每服一钱，空心米汤下。
一小儿，下疳溃烂，发热作痛。一小儿，茎中作痒，不时搔捻。一小儿，肾茎中溃痛，小便闭涩，日
晡尤甚。一小儿，目痒出水，或项中结核，或两眼连札，或阴囊瘙痒年余矣，俱属肝火，用此立愈。
大芦荟丸 治五疳皮黄肌瘦，发直尿白，肚大青筋，好食泥、炭、米、茶之物，或吐或泻。
苍术（米泔浸，炒） 陈皮 浓朴（姜炒） 青皮 枳实（炒） 槟榔 神曲（炒）
山楂（去子） 麦芽（炒） 三棱（煨） 莪术（煨） 砂仁 茯苓 黄连 胡黄连
芜荑仁 使君子 青黛 芦荟（各等分）
上为细末，使君子壳，煎汤浸，蒸饼为丸，如弹子大。每一丸，清米汤化服。
黄土丸 治小儿疳积在脾，面黄腹胀，咬指甲， 眉毛，揉口鼻，泥、土、炭、茶、纸之类。
黄土（一两） 陈皮（一两） 木香（二钱半） 黄连（五钱） 巴豆（去壳，二十粒，不去油）
上为细末，面丸如绿豆大。每岁十丸，黑豆汁下。直候泄五、七次，疳积尽，与益黄散助药，后与疳药常服。
Pulse
A thin and fine pulse in children indicates Gan-Lao (Gan disease with consumption). A white color of the pulse pattern on the Tiger's Mouth (Hukou, located at the radial side of the first web space) indicates Gan disease.
Disease
The various types of Gan disease are caused by the consumption of rich, sweet, and fatty foods. Since children have weak spleen and stomach functions, they are often overindulged due to maternal affection, without proper care methods. This leads to excessive eating of sweet, greasy, raw fruits, cold items, and all kinds of cooked and seasoned foods. Consumed morning and night, these gradually form stagnation. It is rare for such accumulated and fixed food not to develop into Gan disease. Alternatively, infants lacking breast milk may be fed porridge too early, damaging their physical form and Qi. Furthermore, prolonged suffering from malaria, dysentery, vomiting, or diarrhea can lead to various diseases; if mismanaged with purgative medicines, it damages the spleen and stomach, depletes body fluids, and results in symptoms such as fever, emaciation, sallow complexion, abdominal distension, visible subcutaneous veins, worm pain, diarrhea, and dysentery.
Treatment
The treatment should regulate the spleen and stomach, eliminate stagnation, resolve parasites, clear heat, and stop diarrhea and dysentery. Fei'er Wan (Fetus-Nourishing Pill) and Ganji Bing (Gan Stagnation Cake) are the primary formulas. These two formulas are most effective for all types of Gan disease regardless of cold or heat patterns. Generally, Gan disease arises from overeating, causing accumulation in the Spleen. If untreated, it transmits to other Zang organs, resulting in the Five Gan diseases. What are the Five Gan? They correspond to the Heart, Liver, Spleen, Lung, and Kidney.
If Gan is in the Heart: red face, dry mouth, teeth grinding, tongue protrusion, sores in the mouth and tongue, fever, and emaciation. Treat with Anshen Wan (Calming the Spirit Pill).
If Gan is in the Liver: blue-green face, tendons covering the eyes, head shaking, eye rubbing with excessive tearing, dry and upright hair, cyanotic tendons, brain heat, and weakness. Treat with Bugan Tang (Tonify Liver Decoction).
If Gan is in the Spleen: yellow face, fever, abdominal distension and enlargement, craving for eating soil, indigestion of water and grain, sour-smelling stool, lethargy, reduced appetite, and muscle wasting. Treat with Yihuang San (Yellow-Enriching Powder).
If Gan is in the Lung: pale face, cough, wheezing and reverse flow of Qi, sores in the mouth and nose, throat discomfort, high fever with aversion to cold, and runny clear nose. Treat with Qingfei Tang (Clear Lung Decoction).
If Gan is in the Kidney: black face, extreme muscle wasting, skin sores, fever, painful/difficult urination, cold hands and feet, bad breath, and dry thirst. Treat with Dihuang Wan (Rehmannia Pill).
Internal Gan presents with swollen eyes, variable stool color, or clear foamy stool, progressing to emaciation; this is a Cold pattern, treated with Muxiang Wan (Costus Pill).
External Gan presents with redness and erosion under the nose, self-rubbing of the nose, non-healing sores around the eyes. Treat with Lanxiang San (Perilla Leaf Powder).
Generally, Gan disease must be differentiated by cold/heat and fat/emaciation. Early-stage disease is Fat-Heat Gan, while chronic disease is Thin-Cold Gan. Cold patterns use Muxiang Wan; Heat patterns use Huanglian Wan. Clinical judgment is essential.
Formulas
Fei'er Wan (Transmitted by Vice Minister Liu): Eliminates Gan, resolves stagnation, clears heat from accumulations, supports the Liver to tonify the Spleen, promotes appetite, kills parasites, and nourishes Yuan Qi.
Ren Shen (Ginseng Radix et Rhizoma, removed rhizome, 3.5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, removed rhizome, 3 qian), Bai Fu Ling (Poria, peeled, 3 qian), Huang Lian (Coptidis Rhizoma, stir-fried with ginger juice, 3.5 qian), Hu Huang Lian (Picrorhizae Rhizoma, 5 qian), Shi Jun Zi (Quisqualis Fructus, shelled, 4.5 qian), Shen Qu (Massa Medicata Fermentata, stir-fried, 3.5 qian), Mai Ya (Hordei Fructus Germinatus, stir-fried, 3.5 qian), Shan Zha Rou (Crataegi Fructus pulp, 3.5 qian), Gan Cao (Licorice Radix et Rhizoma, honey-fried, 3 qian), Lu Hui (Aloe, 2.5 qian, placed in a bowl, sealed with mud, buried in soil, and baked thoroughly with chaff fire).
Grind into fine powder. Form pills/biscuits with yellow millet paste, taken down with millet soup. Or make small pills. Take 20-30 pills per dose, adjusting according to the child's age and size.
Ganji Bing (Transmitted by Mao Weizhong): Treats the Five Gan and various accumulations in children, abdominal distension with visible veins, sallow complexion and emaciation, poor appetite, diarrhea, dysentery, or abdominal pain.
Qing Pi (Citri Reticulatae Pericarpium Viride, removed pith, 5 qian), Chen Pi (Citri Reticulatae Pericarpium, 5 qian), Shan Zha Rou (Crataegi Fructus pulp, 5 qian), Shen Qu (Massa Medicata Fermentata, stir-fried, 5 qian), Mai Ya (Hordei Fructus Germinatus, stir-fried, 5 qian), Sha Ren (Amomi Fructus, stir-fried, 5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, removed rhizome, 6 qian), San Leng (Sparganii Rhizoma, baked, 5 qian), E Zhu (Curcumae Rhizoma, baked, 5 qian), Mu Xiang (Aucklandiae Radix, 5 qian), Bing Lang (Arecae Semen, 4 qian), Gan Cao (Licorice Radix et Rhizoma, honey-fried, 4 qian), Xiao Hui (Foeniculi Fructus, stir-fried, 3 qian), Shi Jun Zi (Quisqualis Fructus, shelled, 2 liang), Chuan Lian Zi (Meliosmae Fructus, steamed with wine, pitted, 3 qian), Rou Dou Kou (Myristicae Semen, baked, 4 qian), He Zi (Chebulae Fructus, pitted, 4 qian), Ye Ming Sha (Bombyx Batryticatus, stir-fried, 3 qian, separately ground), Gan Chan Chu (Bufo Skin, dried, one large specimen), Chuan Huang Lian (Coptidis Rhizoma, cleaned, 6 qian, soaked in clear water, juice extracted to mix with powder).
Bake until dry, grind into fine powder. Mix with 6 jin of fine white flour (lightly stir-fried yellow), 10 liang of rock sugar dissolved in water. Combine well with the herbal powder, stamp into biscuits, each weighing 1 qian. Take 3-5 biscuits per dose, chew freely.
Wuji Bing (Transmitted from De Prefecture, Shandong) [Comment]: This formula treats all types of Gan, combining elimination and tonification, a mild preparation. Treats pediatric Gan accumulation, food accumulation, parasite accumulation, meat accumulation, Qi accumulation, and cold accumulation. Symptoms include drum-like abdominal distension, sallow/yellow complexion with emaciation, diarrhea, fever, and inability to take liquid medicine.
San Leng (Sparganii Rhizoma, vinegar-fried, 1 qian), E Zhu (Curcumae Rhizoma, vinegar-fried, 1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, removed pith, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Mu Xiang (Aucklandiae Radix, 1 qian), Huang Lian (Coptidis Rhizoma, soaked and stir-fried with ginger juice, 1 qian), Chuan Lian Rou (Meliosmae Fructus pulp, 2 qian), Bing Lang (Arecae Semen, 2 qian), Shen Qu (Massa Medicata Fermentata, stir-fried, 3 qian), Mai Ya (Hordei Fructus Germinatus, stir-fried, 3 qian), Sha Ren (Amomi Fructus, 3 qian), Shi Jun Zi Rou (Quisqualis Fructus pulp, 5 qian), Hu Huang Lian (Picrorhizae Rhizoma, 5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 6 qian), Long Dan Cao (Gentianae Radix et Rhizoma, 6 fen), Shan Zha Rou (Crataegi Fructus pulp, 2 liang), Gan Chan Chu (Bufo Skin, dried, five specimens).
Grind into fine powder. Mix with 5 jin of stir-fried white flour and 2 jin of brown sugar. Combine evenly, stamp into biscuits, approx. 1 qian each. Take 3-5 biscuits per dose. Significant effect after half a month of use.
Anshen Wan: Treats Heart Gan due to pathogenic heat causing fright and crying, sallow face, red cheeks, and high fever.
Mai Men Dong (Ophiopogonis Tuber, removed heart, 5 qian), Bai Fu Ling (Poria, 5 qian), Shan Yao (Dioscoreae Rhizoma, 5 qian), Gan Cao (Licorice Radix et Rhizoma, honey-fried, 5 qian), Zhu Sha (Cinnabaris, 1 liang), Long Nao (Borneolum Syntheticum, one character), Ya Xiao (Natrii Sulfas, 5 qian).
Grind into powder. Form pills with refined honey, size of Euphorbia seed. Take half a pill per dose, ground down with rock sugar water. For slow convulsion, dissolve in concentrated decoction of Ren Shen and Bai Zhu.
Bugan Tang: Treats Liver Gan with eyes closed and unable to open, internal visual obstruction (cataract/mist).
Sheng Di Huang (Rehmanniae Radix, 1 liang), Shu Di Huang (Rehmanniae Radix Preparata, 1 liang), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 2.5 qian), Chi Fu Ling (Poria with red wood, 2.5 qian), Zhi Ke (Aurantii Fructus, stir-fried, 2.5 qian), Huang Lian (Coptidis Rhizoma, 2.5 qian), Xing Ren (Armeniacae Semen Amarum, soaked in water, peeled, 2.5 qian), Ban Xia Qu (Pinelliae Rhizoma Praeparatum, 2.5 qian), Tian Ma (Gastrodiae Rhizoma, 2.5 qian), Di Gu Pi (Lycii Cortex, 2.5 qian), Gan Cao (Licorice Radix et Rhizoma, honey-fried, 2.5 qian).
Cut into pieces. Use 2 qian per dose with 3 slices of fresh ginger and 15 black soybeans. Decoct in water, take before bed.
Yihuang San: Treats Spleen Gan with spleen-stomach deficiency-cold, yellow body, large abdomen, craving for soil. Also treats Lung Gan with asthma and sores in mouth/nose.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 5 fen), He Zi Pi (Chebulae Fructus pericarpium, 5 fen), Gan Cao (Licorice Radix et Rhizoma, honey-fried, 5 fen), Ding Xiang (Caryophylli Flos, 2 fen).
Cut into pieces for one dose. Decoct in water, take warm. Ancient formulas did not contain Ren Shen or Bai Zhu.
Qingfei Tang: Treats Lung Heat Gan causing erosion/perforation, foul discharge, or polyps.
Sang Bai Pi (Mori Cortex, honey-fried), Zi Su, Qian Hu, Huang Qin, Dang Gui, Lian Qiao, Tian Men Dong (Asparagi Radix, removed heart), Fang Feng, Chi Fu Ling (Poria with red wood), Jie Geng, Gan Cao, Sheng Di Huang (Rehmanniae Radix) (all equal parts).
Cut into pieces. Use 2 qian per dose. Decoct in water, take after meals.
Dihuang Wan: Treats Kidney Gan with extreme muscle wasting, skin sores/scabies, alternating chills and fever, very hot head, and ice-cold feet. Also treats Liver Gan with white membrane covering eyes, Sinew Gan with bloody stool, and Bone Gan preferring to lie on cool ground. Additionally treats weak Stomach Qi with mutism, jaw dropping, and older children unable to walk; specifically effective when taken exclusively.
Shu Di Huang (Rehmanniae Radix Preparata, washed with wine, 3 qian), Shan Zhu Yu (Corni Fructus, steamed with wine, pitted, peel used, 3 qian), Gan Shan Yao (Dioscoreae Rhizoma, dried, 3 qian), Ze Xie (Alismatis Rhizoma, 3 qian), Mu Dan Pi (Moutan Cortex, 3 qian), Bai Fu Ling (Poria, 3 qian).
Grind into powder. Form pills with refined honey, size of Sophora seed. Take 5-7 pills per dose, dissolve in hot water on an empty stomach. Older children increase the number of pills accordingly.
Muxiang Wan: Treats Thin-Cold Gan and Internal Gan.
Mu Xiang (Aucklandiae Radix, 2.5 qian), Qing Dai (Indigo Naturalis, 2.5 qian), Bing Lang (Arecae Semen, 2.5 qian), Rou Dou Kou (Myristicae Semen, 2.5 qian), She Xiang (Moschus, 1 qian, separately ground), Xu Sui Zi (Euphorbiae Lathyridis Semen, 1 liang, oil removed), Xia Ma (Bufo, three large strong ones, burned to retain nature).
Grind into fine powder. Form pills with refined honey, size of mung bean. Take 3-5 to 10-20 pills per dose, with mint tea, before meals.
Huanglian Wan: Treats Fat-Heat Gan.
Hu Huang Lian (Picrorhizae Rhizoma, 5 qian), Chuan Huang Lian (Coptidis Rhizoma, 5 qian), Zhu Sha (Cinnabaris, 2.5 qian, separately ground).
Grind into fine powder, mix evenly. Fill into pig gallbladder. Boil in light brine. Suspend using a stick like a crucible, tied with thread, ensuring it does not touch the bottom. After one hour, remove. Grind in Lu Hui (Aloe) and She Xiang (Moschus), 1 fen each. Form pills with rice, size of hemp seed. Take 5-7 to 10-20 pills per dose, with rice drink. Alternative method: use 0.5 liang of Bufo, baked dry but not burned.
Lanxiang San: Treats External Gan with redness and erosion under the nose.
Lan Xiang Ye (Perillae Folium, 2 qian, burned to retain nature), Tong Qing (Chrysocolla, 5 fen), Qing Fen (Calomelas, 5 fen).
Grind into fine powder. Apply dry to the affected area.
Xiao Lu Hui Wan: Treats Gan accumulation with scrofula/tubercles, ear sores, hernia/scrotal abscess, lower Gan ulceration, penile discharge of white fluid, sores on thighs/abdomen, emaciation with fever/thirst, irregular bowel movements, gum erosion, and cheek/cheekbone rot.
Hu Huang Lian (Picrorhizae Rhizoma, 1 liang), Huang Lian (Coptidis Rhizoma, 1 liang), Lu Hui (Aloe, 1 liang), Mu Xiang (Aucklandiae Radix, 1 liang), Bai Lei Wan (Stemonae Radix, 1 liang), Qing Pi (Citri Reticulatae Pericarpium Viride, 1 liang), He Ni Cao (Herba Siegesbeckiae, 1 liang), Bai Wu Ti (Alpiniae Katsumadai Semen, stir-fried, 1 liang), She Xiang (Moschus, 2 qian).
Grind into fine powder. Form pills with steamed cake dough, size of hemp seed. Take 1 qian per dose, with rice soup on an empty stomach.
Case Notes: One child had lower Gan ulceration with fever and pain. One child had itching in the penis, scratching frequently. One child had ulceration/pain in the kidney/penis, urinary retention/dysuria, worse in the late afternoon. One child had itchy weeping eyes, neck tubercles, eyelid adhesion, or year-long scrotal itching. All belong to Liver Fire; this formula cures them immediately.
Da Lu Hui Wan: Treats Five Gan with yellow skin and emaciation, straight hair, white urine, abdominal distension with visible veins, craving for dirt/charcoal/rice/tea, vomiting, or diarrhea.
Cang Zhu (Atractylodis Rhizoma, soaked in rice water, stir-fried), Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger), Qing Pi (Citri Reticulatae Pericarpium Viride), Zhi Shi (Aurantii Fructus Immaturus, stir-fried), Bing Lang (Arecae Semen), Shen Qu (Massa Medicata Fermentata, stir-fried), Shan Zha (Crataegi Fructus, seeds removed), Mai Ya (Hordei Fructus Germinatus, stir-fried), San Leng (Sparganii Rhizoma, baked), E Zhu (Curcumae Rhizoma, baked), Sha Ren (Amomi Fructus), Fu Ling (Poria), Huang Lian (Coptidis Rhizoma), Hu Huang Lian (Picrorhizae Rhizoma), Wu Ti Ren (Alpiniae Katsumadai Semen), Shi Jun Zi (Quisqualis Fructus), Qing Dai (Indigo Naturalis), Lu Hui (Aloe) (all equal parts).
Grind into fine powder. Soak in decoction of Shi Jun Zi shells. Form pills with steamed cake dough, size of a marble. Dissolve one pill in clear rice soup and take.
Huang Tu Wan: Treats pediatric Gan accumulation in the Spleen, yellow face, abdominal distension, nail-biting, eyebrow loss, rubbing mouth/nose, and eating dirt/clay/charcoal/tea/paper.
Huang Tu (Loess, 1 liang), Chen Pi (Citri Reticulatae Pericarpium, 1 liang), Mu Xiang (Aucklandiae Radix, 2.5 qian), Huang Lian (Coptidis Rhizoma, 5 qian), Ba Dou (Crotonis Fructus, shelled, 20 grains, oil not removed).
Grind into fine powder. Form pills with flour, size of mung bean. Take 10 pills per year of age, with black soybean juice. Continue until diarrhea occurs 5-7 times, exhausting the Gan accumulation. Then administer Yihuang San to assist, followed by regular Gan medicine.