论曰小儿身体憎寒壮热，舌涩口干，发耸毛焦，皮肤枯燥，睡多盗汗，乳食虽多，肌肉
消瘦
故令
治小儿干疳，腹胀气急，退热。龙齿散方
龙齿（烧研） 龙脑（锉） 桔梗（炒） 白茯苓（去黑皮） 桂（去粗皮） 麝香（研
各一分） 蜣
上七味，捣研为散，一二岁儿每服半钱匕，用温水调下，三四岁儿一钱匕，空心午后服
，更量儿大小加减。
治小儿干疳瘦瘁。胡黄连散方
胡黄连 犀角屑 白羊肝（切焙为末各一分） 麝香（研一钱）
上四味，捣罗为散，每服半钱匕，生地黄汁小半盏调下，空心日午服，更量儿大小加减
治小儿干疳瘦瘁，鼻痒口疮。龙脑散方
龙脑 芦荟 麝香 青黛（各别研） 黄连（去须捣末） 羊子肝（切焙捣末）
上六味等分，同研细和匀，每服半钱或一字，吹鼻中，及涂口中。
治小儿干疳体热。茵芋丸方
茵芋 细辛（去苗叶） 黄芩（去黑心） 甘草（炙） 龙齿（烧灰） 石膏（碎） 松
罗（各三
上九味，捣罗为末，炼蜜和丸，如麻子大，一二岁儿每服三丸，米饮下，三四岁五七丸
，更量儿大小加减。
治小儿干疳，身多壮热、黄瘦。黄连丸方
黄连（去须） 黄柏（去粗皮） 甘草（炙） 青橘皮（汤浸去白焙各一分）
上四味，捣罗为末，入麝香少许和匀，以 猪胆汁和，却入胆内盛，用线子系定，于
器内
大，
治小儿干疳，瘦弱萎黄。保童丸方
大黄（锉炒一两） 黄连（去须半两） 夜明砂 楝实（麸炒各一分）
上四味，捣罗为末，炼蜜丸如豌豆大，麝香汤下三丸五丸，更量大小加减。
治小儿干疳，体热肌瘦。金蟾丸方
蟾头（一枚炙） 黄连（去须） 胡黄连 木香（各一分） 大黄（锉炒半分）
上五味，捣罗为末，粟米饭和丸，如麻子大，每服五丸至十丸，米饮下，更量大小加减
治小儿干疳肌热。化食压惊。麝香丸方
麝香（研一钱） 青黛（研） 雷丸 鹤虱（炒） 贯众（去皴皮） 黄连（去须各一
两） 巴豆
上七味，除麝香青黛巴豆外，余捣罗为末，共和研匀，用 猪胆汁浸炊饼和丸，如绿
豆大，每服五七丸，空心日午米饮下。更量儿大小加减。
治小儿干疳肌热。青黛散方
青黛（别研半两） 苦楝根（锉三两） 黄连（去须） 雄黄（别研） 丹砂（别研各
一分） 麝
上九味，除别研外，捣罗为散，每服半钱或一钱匕，米饮调下，日再服，更量大小加减
治小儿干疳体热。胡黄连丸方
胡黄连 黄连（去须各半两） 丹砂（研） 木香（各一分）
上四味，捣罗为末，用 猪胆填药在内，取线紧系，以杖子一条，横于铫子上，将药
胆挂上面，勿令着铫底，用浆水煮一炊时，取出入芦荟麝香各一分，研细和匀，饭尖丸如黍
米大，每服五丸至七丸，米泔温水下，更量大小加减。
消肌疳烦热，化肠胃食滞，令儿能食。破积丸方
木香 青橘皮（去白焙） 桂（去粗皮各一两） 吴茱萸（汤浸焙干炒二两） 砂（醋
熬成
上六味，捣罗四味为末，与 砂巴豆霜拌匀，醋煮面糊，丸如绿豆大，每服三丸至五丸
，早晚食后临卧各一服，大便利则减丸数。
治小儿干疳，肌肉消瘦，饮食不减，寒热枯瘁。诃黎勒丸方
诃黎勒皮（捣末三分） 肉豆蔻（去壳一枚捣末） 青黛（研） 麝香（研） 芦荟（研）
熊胆
上七味，同研令匀，用酒煮面糊和丸，如黍米大，每服三丸至五丸，米饮下，更量儿大
小加减。
治小儿身体寒热，皮毛枯燥，饮食虽多，肌肉消瘦，嘿嘿不慧，名曰干疳。蟾蜍煎丸方
干蟾（大者五枚细锉用醇酒五升文火煎烂去骨研滤去滓入蜜四两银器内重汤熬成稠膏）
胡黄连 黄连（去须） 白芜荑仁（炒各二两） 麝香（研半两）
上五味，捣研四味为末，以前蟾膏和剂，丸如麻子大，每服十五丸，米饮下，不拘时，
过至十岁以前，并宜服，大能退疳黄。长肌肉。
治小儿干疳，饮食如常，肌体羸瘦，时作寒热，皮毛枯焦，嘿嘿不慧。胡黄连丸方
胡黄连（半两） 黄连（去须） 白芜荑仁（各一两） 木香（半两）
上四味，捣为细末， 猪胆和于盏内，坐饭甑中蒸两度为丸，如粟米大，服二十丸，
饮下。
[Discussion] Infants and children may present with aversion to cold accompanied by high fever, a stiff tongue with dry mouth, erect hair and scorched body hair, dry and rough skin, excessive sleepiness with night sweats. Although milk and food intake is abundant, muscle mass decreases. Therefore, the following prescriptions are formulated to treat "Gan Syndrome" (a pediatric condition characterized by emaciation and spleen-stomach dysfunction) in infants and children, aiming to alleviate abdominal distension, rapid breathing, and fever.
**Longchi San (Dragon Tooth Powder)**
*Ingredients:* Longchi (Fossilized Dragon Teeth, calcined and ground), Longnao (Borneol, chopped), Jiegeng (Platycodon Root, stir-fried), Baifuling (Poria Cocos, black skin removed), Guizhi (Cinnamon Twig, coarse bark removed), Shexiang (Musk, ground), each 1 fen; Qiangan (Dung Beetle, wings and feet removed, stir-fried).
*Preparation & Administration:* The seven ingredients are crushed and ground into a powder. For children aged 1-2 years, administer half a qianbi (ancient measuring spoon) per dose, mixed with warm water. For children aged 3-4 years, administer one qianbi per dose. Take on an empty stomach or in the afternoon. Dosage should be adjusted according to the child's size.
**Huhuanglian San (Coptidis Rhizoma and Picrorhiza Root Powder)**
*Indication:* Treats Gan syndrome causing emaciation and physical decline.
*Ingredients:* Huhuanglian (Picrorhiza Root), Xijiaoxie (Rhinoceros Horn shavings), Baiyanggan (White Goat Liver, sliced, baked, and ground), each 1 fen; Shexiang (Musk, ground), 1 qian.
*Preparation & Administration:* The four ingredients are crushed, sifted, and made into a powder. Administer half a qianbi per dose, mixed with a small amount of fresh juice from Dihuang (Rehmannia Root). Take on an empty stomach or at noon. Adjust dosage based on the child's size.
**Longnao San (Borneol Powder)**
*Indication:* Treats Gan syndrome causing emaciation, nasal itching, and oral ulcers.
*Ingredients:* Longnao (Borneol), Lushui (Aloe), Shexiang (Musk), Qingdai (Indigo Naturalis), each separately ground; Huanglian (Coptis Rhizome, mustards removed and ground), Yangzigan (Lamb Liver, sliced, baked, and ground).
*Preparation & Administration:* The six ingredients are combined in equal parts, finely ground, and mixed uniformly. Administer half a qianbi or one zi (a very small measure) per dose. Blow into the nose and apply to the oral cavity.
**Yinyu Wan (Ilex Rotunda Pill)**
*Indication:* Treats Gan syndrome causing body heat.
*Ingredients:* Yinyu (Ilex Rotunda Stem), Xixin (Asarum Root, seedlings and leaves removed), Huangqin (Scutellaria Root, black heart removed), Gancao (Licorice Root, honey-fried), Longchi (Dragon Teeth, calcined to ash), Shigao (Gypsum Fibrosum, crushed), Songluo (Pine Lichen), each 3 liang.
*Preparation & Administration:* The nine ingredients are crushed, sifted, and made into powder. Mix with refined honey to form pills the size of hemp seeds. For children aged 1-2 years, take 3 pills per dose with rice drink. For children aged 3-4 years, take 5-7 pills per dose. Adjust dosage based on the child's size.
**Huanglian Wan (Coptis Rhizome Pill)**
*Indication:* Treats Gan syndrome with frequent high fever and sallow, emaciated appearance.
*Ingredients:* Huanglian (Coptis Rhizome, mustards removed), Huangbai (Phellodendron Bark, coarse bark removed), Gancao (Licorice Root, honey-fried), Qingjuapi (Green Tangerine Peel, soaked in hot water, white pith removed, baked), each 1 fen.
*Preparation & Administration:* The four ingredients are crushed, sifted, and made into powder. Add a small amount of Shexiang (Musk) and mix uniformly. Blend with Pig Bile (Zhu Dan Zhi), place the mixture back into the gallbladder, tie securely with thread, and steam in a vessel until the pills resemble hemp seeds.
**Baotong Wan (Child-Protecting Pill)**
*Indication:* Treats Gan syndrome causing weakness and sallow complexion.
*Ingredients:* Dahuang (Rhubarb Root, chopped and stir-fried), 1 liang; Huanglian (Coptis Rhizome, mustards removed), half liang; Yemingsha (Stool of Owls), Lianshi (Chinaberry Fruit, bran-fried), each 1 fen.
*Preparation & Administration:* The four ingredients are crushed, sifted, and made into powder. Mix with refined honey to form pills the size of pea seeds. Take 3-5 pills per dose with Shexiang decoction. Adjust dosage based on the child's size.
**Jinchuan Wan (Golden Toad Pill)**
*Indication:* Treats Gan syndrome with body heat and muscle wasting.
*Ingredients:* Chantou (Toad Head, one piece, roasted), Huanglian (Coptis Rhizome, mustards removed), Huhuanglian (Picrorhiza Root), Muxiang (Aucklandia Root), each 1 fen; Dahuang (Rhubarb Root, chopped and stir-fried), half fen.
*Preparation & Administration:* The five ingredients are crushed, sifted, and made into powder. Mix with millet rice flour to form pills the size of hemp seeds. Take 5-10 pills per dose with rice drink. Adjust dosage based on the child's size.
**Shexiang Wan (Musk Pill)**
*Indication:* Treats Gan syndrome with muscular heat; promotes digestion and calms fright.
*Ingredients:* Shexiang (Musk, ground), 1 qian; Qingdai (Indigo Naturalis, ground), Leiwan (Polyporus Umbellatus), Heshi (Chrysanthemum Seed, stir-fried), Guanzhong (Cyathulae Radix, wrinkled skin removed), Huanglian (Coptis Rhizome, mustards removed), each 1 liang; Badou (Croton Seed, peeled and heart removed, processed).
*Preparation & Administration:* Except for Shexiang, Qingdai, and Badou, crush and sift the remaining ingredients into powder. Grind them together uniformly. Soak in Zhu Dan Zhi (Pig Bile) and mix with steamed wheat cake dough to form pills the size of mung beans. Take 5-7 pills per dose on an empty stomach or at noon with rice drink. Adjust dosage based on the child's size.
**Qingdai San (Indigo Naturalis Powder)**
*Indication:* Treats Gan syndrome with muscular heat.
*Ingredients:* Qingdai (Indigo Naturalis, separately ground), half liang; Kulian Gen (Melia Radicis Cortex, chopped), 3 liang; Huanglian (Coptis Rhizome, mustards removed), Xionghuang (Realgar, separately ground), Dansha (Cinnabar, separately ground), each 1 fen; Shexiang (Musk, ground).
*Preparation & Administration:* Except for those requiring separate grinding, crush and sift the remaining ingredients into powder. Take half a qianbi or one qianbi per dose, mixed with rice drink. Take twice daily. Adjust dosage based on the child's size.
**Huhuanglian Wan (Picrorhiza Root Pill)**
*Indication:* Treats Gan syndrome with body heat.
*Ingredients:* Huhuanglian (Picrorhiza Root), Huanglian (Coptis Rhizome, mustards removed), each half liang; Dansha (Cinnabar, ground), Muxiang (Aucklandia Root), each 1 fen.
*Preparation & Administration:* Crush and sift the four ingredients into powder. Fill the mixture into a pig gallbladder, tie tightly with thread. Hang the gallbladder over a yao (cooking pot) using a stick, ensuring it does not touch the bottom. Boil in jiangshui (fermented rice water) for the time it takes to cook a meal. Remove, add Lushui (Aloe) and Shexiang (Musk), each 1 fen, grind finely, and mix. Form pills the size of millet seeds. Take 5-7 pills per dose with warm mi gan (rice wash water). Adjust dosage based on the child's size.
**Poji Wan (Accumulation-Breaking Pill)**
*Indication:* Clears heat from muscular Gan, resolves gastrointestinal food stagnation, and restores appetite.
*Ingredients:* Muxiang (Aucklandia Root), Qingjuapi (Green Tangerine Peel, white pith removed and baked), Guizhi (Cinnamon Twig, coarse bark removed), each 1 liang; Wuzhuyu (Evodia Fruit, soaked in hot water, baked, dried, and stir-fried), 2 liang; Naosha (Sal Ammoniac, boiled in vinegar), Badoushuang (Croton Seed Frost), appropriate amounts.
*Preparation & Administration:* Crush and sift the first four ingredients into powder. Mix evenly with Naosha and Badoushuang. Use vinegar-boiled wheat paste to form pills the size of mung beans. Take 3-5 pills per dose, morning and evening after meals, and before bed. Reduce the number of pills if loose stools occur.
**Helile Wan (Chebula Fruit Pill)**
*Indication:* Treats Gan syndrome with muscle wasting, unchanged diet, alternating chills and fever, and physical decline.
*Ingredients:* Helilepi (Chebula Pericarpium, ground), 3 fen; Roudoukou (Nutmeg, shell removed, one piece, ground), Qingdai (Indigo Naturalis, ground), Shexiang (Musk, ground), Lushui (Aloe, ground), Xiongdan (Bear Bile), appropriate amounts.
*Preparation & Administration:* Grind all seven ingredients uniformly. Mix with wine-boiled wheat paste to form pills the size of millet seeds. Take 3-5 pills per dose with rice drink. Adjust dosage based on the child's size.
**Chanchu Jian Wan (Toad Decoction Pill)**
*Indication:* Treats Gan syndrome characterized by alternating chills and fever, dry and rough skin/hair, abundant diet but muscle wasting, and lethargy/dullness.
*Ingredients:* Ganchan (Dried Toad, five large ones, finely chopped, decocted in 5 sheng of strong wine over low heat until soft, bones removed, ground, filtered, mixed with 4 liang of honey, and concentrated in a silver vessel over double boiling); Huhuanglian (Picrorhiza Root), Huanglian (Coptis Rhizome, mustards removed), Baiwuyiren (Alpinia Katsumadae Seed, stir-fried), each 2 liang; Shexiang (Musk, ground), half liang.
*Preparation & Administration:* Crush and grind the four herbs into powder. Mix with the prepared toad paste to form pills the size of hemp seeds. Take 15 pills per dose with rice drink, at any time. Suitable for children under ten years old. It effectively reduces Gan-related jaundice and emaciation and promotes muscle growth.
**Huhuanglian Wan (Picrorhiza Root Pill - Variation)**
*Indication:* Treats Gan syndrome with normal diet, emaciated body, intermittent chills and fever, scorched skin/hair, and lethargy/dullness.
*Ingredients:* Huhuanglian (Picrorhiza Root), half liang; Huanglian (Coptis Rhizome, mustards removed), Baiwuyiren (Alpinia Katsumadae Seed), each 1 liang; Muxiang (Aucklandia Root), half liang.
*Preparation & Administration:* Grind the four ingredients into fine powder. Mix with Zhu Dan Zhi (Pig Bile) in a cup, place in a rice steamer, and steam twice. Form pills the size of millet seeds. Take 20 pills per dose with rice drink.