论曰急疳谓疳势急暴。其状唇口勿变青白，齿龈腮颊疼痛。或赤或黑，朽烂脓血俱出
，速宜针去恶血，点烙死肌。此盖养护无方，甘肥过度，致风热内积，五脏俱虚，虫因虚动
，上蚀口齿，攻注龈颊。不早治之，死于旬日，俗谓之走马疳者是也。
治小儿牙齿急疳，虫蚀齿床，及口面肿，开口不得，臭烂疼痛，不可忍。白矾煮散方
白矾（烧灰） 防风（去叉） 细辛（去苗叶） 附子（生用） 干姜（炮） 白术 甘
草（炙各
分）
上一十味，捣罗为细散，每用一钱匕，以无灰酒一盏，水半盏，煎十余沸，热含冷吐、
日三，以瘥为度。
治小儿齿损烂，及走马急疳。麝香膏方
麝香（研一分） 猪牙皂荚（三挺烧存性） 白矾（一两） 绿矾（一两半与白矾同杵
碎入铫
陀僧（各一两）
上九味，捣研为细末，用无灰酒三升，熬成膏，先净漱口涂之，如久患者，取药半匙，
并砒霜粉霜末各少许拌匀，使有津吐之。
治小儿急疳，蚀口唇鼻。三矾散方
黄矾 青矾（各半两烧令枯） 白矾（烧枯研） 麝香（研） 石胆（研） 莨菪子（微
炒） 人
上一十一味，捣研为细散，每用半钱匕，掺患处，有涎吐之。
治小儿急疳，蚀唇口鼻。白杨皮汤方
白杨皮（锉一握） 地骨皮（一两） 蜀椒（去闭口者并目炒出汗三十粒） 杏仁（汤
浸去皮
各半两）
上八味，锉如麻豆大，每服五钱匕，水二盏，煎十余沸。去滓热含冷吐，以瘥为度。
治小儿牙疳出血，牙龈臭烂，风牙、走马疳、 牙等。酸浆膏方
酸浆草根（生者一握细锉以水净洗乱发缠裹成一团酸浆草成小窠子结实红色似栀子中心
有子如
一钱）
上五味，先用米醋一碗，入酸浆草根及皂荚两味，慢火煎至半碗，去滓入附子白矾末，
更熬
然
治小儿走马疳。蟾蜍散方
蟾蜍（一枚去头足及肠胃烧灰） 龙柏花 地骨皮（各一分） 无食子（两枚） 麝香
（研一
上五味，捣罗为细散，每先以盐浆水净漱口，后以硝石末少许，先贴一上，次以此药一
钱匕贴之。日三。
治小儿疳虫，蚀唇口鼻。黄龙散方
销金银锅下黄龙灰（细研一两） 麝香（研一分） 银末（小豆大） 蟾蜍（一枚一半
烧灰一
上四味，捣罗为细散，但有虫蚀处疮上敷之。
治小儿急疳，虫蚀唇鼻齿口。硫黄散方
硫黄（研半两） 干漆（炒烟尽一两） 文蛤（烧灰二两）
上三味，捣罗为细散，每用半钱匕，入麝香少许，研令细，取故绵拭去疮上恶血，然后
用药敷之。
治小儿走马疳。胆矾散方
胆矾（飞） 乳香（研） 铅丹（飞各一钱）
上三味，同研为细散，每用纸拈子点少许，贴患处，如肉紫烂臭，药到便红。
治小儿急疳，蚀唇鼻。附子丸方
附子（炮裂去皮脐） 黄蜡（各半两）
上二味，捣附子为末，销蜡为丸，纳虫孔中。
治小儿走马疳。代赭石散方
代赭石（丁头者）
上一味，不拘多少，用炭火烧赤，醋淬七遍，湿地上，以物盖，出火毒，捣研为散，患
者不拘大人小儿，射破唇上下，如针眼子者，先用温浆水漱口，剪好纸作细条子，薄蘸药，
于疳牙龈上贴，隔宿即生肌，如石榴子，甚者不过再上，寻常牙齿宣露，亦用药贴之。
治小儿急疳，及蚀唇鼻。巴豆丸方
巴豆（十七枚）
上一味，冷水浸一宿，去皮研与蜡为丸，如梧桐子大，每用一丸含之，仍吐其汁。若误
咽在喉中，喉肿闭塞吐利者，急煎黄连汤，及蓝叶汁等解之。
治小儿急疳，虫蚀口内生疮，腹大羸瘦。蟾灰丸方
蟾灰 地龙（炒） 蜗牛壳（炒） 狗头灰 人粪灰 兰香根灰 麝香（各一分）
上七味，同研为细散，用浆水调在纸上，时用贴疮，如鼻中有疮，绵裹药安鼻中，如疳
入腹
治小儿急疳，虫蚀口鼻及下部。皆赤烂。方
大蒜（二两） 甜葶苈（半两） 干虾蟆（一两） 地龙（去土炒二枚） 乱发灰（一
分）
上五味，粗捣筛相和，入竹筒内，置瓦中，以 灰火烧之，取沥少许，涂儿口鼻囟顶
，及谷道等处。
治小儿急疳，唇口臭烂，齿宣肿。护命散方
干蟾（一枚五月五日取烧存性） 白龙骨（捣研） 雄黄 麝香 石胆 芦荟（各一分
研）
上六味，同研为细散，每用少许敷疮上。
治小儿急疳，口生疮及诸疳。熊胆膏方
熊胆 蚺蛇胆 芦荟 龙脑 牛黄 麝香（各一分研）
上六味，合研令细，以井华水一盏，搅和令匀，瓷器内盛，重汤缓火煎数沸，以篦搅盏
四畔
少食
治小儿急疳。虾蟆丸方
虾蟆（一枚去爪烧作灰） 熊胆（研） 麝香（研） 猪牙皂荚（去皮子炙） 白芜荑
（各一分）
上五味，捣研为末，炼蜜丸如绿豆大，每服五丸至七丸，米饮或温水下，日三服。如急
疳曾退落牙齿者，以倒流水化五七丸，涂龈上。
治小儿走马疳。四物散方
粉霜 麝香 锻石 铅丹（炒紫色各一分）
上四味，先研前三味细为散，后入铅丹再研匀，如桃花红，用鸡翎扫之，立瘥。
治小儿急疳，牙龈腐烂恶血口臭，牙齿脱落，立验。麝香散方
麝香（研） 铜绿（研各一钱） 黄连（去须三钱）
上三味，捣研为散，以枣肉一枚，水银一钱研如泥，入前末共研令匀，患处敷少许。以
兰香叶覆之，立瘥，内消者，可待肉生。
治小儿急疳，及脾毒骨槽风，蚀动唇口。雄黄散方
雄黄（一分） 水银（半钱与雄黄同研令星尽） 铜绿（一钱） 麝香（一字）
上四味研匀，以瓷合盛，每先以新绵 去血，甚者剪去恶肉贴之，一日三敷之。
治小儿走马疳，蚀透损骨，及小可攻蚀。天南星散方
天南星（大者一枚） 皂子大雄黄
上二味，先用天南星当心，剜作坑子，次安雄黄一块在内，用大麦面裹合，炭火内烧令
烟尽，取出候冷，入麝香一字，同研为细末，先以新绵 血，然后于疮上掺药，
一日三次敷之。
治小儿急疳，虫蚀口内齿龈作疮。熊胆散方
熊胆（细研） 甜葶苈（微炒） 莨菪子（炒黑） 虾蟆灰 人粪灰 白矾灰 麝香（细
研）
上十味，捣研为细散拌匀，于有疮处，宜薄敷之，如治鼻痒，即取少许，逐日吹鼻中三
次，以瘥为度。
Discussion states: Ji Gan (Acute Gum Disease) refers to the acute and violent progression of Gan disease. Its manifestations include lips and oral cavity not turning cyan or white, but with pain in the gums, cheeks, and jaw. The affected areas may be red or black, with rotting, pus, and blood discharge. One should promptly prick to release evil blood and cauterize necrotic tissue with a hot iron. This is likely due to improper care and excessive consumption of sweet and fatty foods, leading to internal accumulation of wind-heat, deficiency of all five zang organs, and parasites moving due to deficiency, eroding upwards into the mouth and teeth, attacking the gums and cheeks. If not treated early, death will occur within ten days; this is commonly known as "Zou Ma Gan" (Running Horse Gum Disease).
Formula for treating pediatric acute tooth gum disease, parasitic erosion of the tooth bed, and swelling of the mouth and face with inability to open the mouth, foul odor, rotting, and unbearable pain: Bai Fan Zhu San Decoction Powder.
Bai Fan (Alum, calcined to ash), Fang Feng (Saposhnikoviae Radix, de-branched), Xi Xin (Asari Radix et Rhizoma, de-seeded and leafless), Fu Zi (Aconiti Lateralis Radix Preparata, raw), Gan Jiang (Zingiberis Rhizoma, processed), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, equal parts).
The above ten ingredients are pounded and sifted into a fine powder. Each time, use one qian bi (measure), decoct with one zhan of non-ash wine and half a zhan of water for more than ten boils. Hold hot in the mouth and spit out cold, three times daily, until cured.
Formula for treating pediatric dental damage and rotting, as well as Zou Ma Ji Gan: She Xiang Gao Ointment.
She Xiang (Moschus, ground, 1 fen), Zhu Ya Zao Jia (Gleditsiae Sinensis Fructus, three pods burned to retain nature), Bai Fan (Alum, 1 liang), Lü Fan (Chalcanthite, 1.5 liang, pounded together with Bai Fan), Tuo Seng (Pyritum, 1 liang each).
The above nine ingredients are pounded and ground into a fine powder. Use three sheng of non-ash wine to boil down into an ointment. First rinse the mouth clean, then apply. For chronic cases, take half a spoon of medicine, mix with a small amount of Pi Shuang (Arsenic Trioxide) and Fen Shuang (Calomel), and have the patient spit out saliva.
Formula for treating pediatric Ji Gan, eroding lips and nose: San Fan San Powder.
Huang Fan (Chalcanthite variant), Qing Fan (Chalcanthite, half liang each, burned until dry), Bai Fan (Alum, burned dry and ground), She Xiang (Moschus, ground), Shi Dan (Melanterite, ground), Lang Dang Zi (Daturae Semen, slightly fried), Ren [Missing/Incomplete]...
The above eleven ingredients are pounded and ground into a fine powder. Each time, use half a qian bi, sprinkle on the affected area, and spit out if there is saliva.
Formula for treating pediatric Ji Gan, eroding lips, mouth, and nose: Bai Yang Pi Tang Decoction.
Bai Yang Pi (Populus Albae Cortex, chopped, one handful), Di Gu Pi (Lycii Cortex, 1 liang), Shu Jiao (Zanthoxyli Pericarpium, remove closed ones and eyes, stir-fry until sweat appears, 30 grains), Xing Ren (Armeniacae Semen Amarum, soaked in water, skin removed, half liang each).
The above eight ingredients are chopped like hemp seeds. Each dose uses five qian bi, two zhan of water, boiled for more than ten boils. Remove dregs, hold hot in mouth and spit out cold, until cured.
Formula for treating pediatric gingival bleeding from Ji Gan, foul-smelling rotten gums, wind-toothache, Zou Ma Gan, etc.: Suan Jiang Gao Ointment.
Suan Jiang Cao Gen (Phytolaccae Radix, fresh, one handful, finely chopped, washed clean, wrapped in tangled hair into a ball; Phytolacca forms small nests, solid red like gardenia, center has seeds like... 1 qian).
The above five ingredients: first use one bowl of rice vinegar, add Suan Jiang Cao Gen and Zao Jia, simmer slowly until half a bowl remains. Remove dregs, add Fu Zi and Bai Fan powder, and continue boiling... [Text incomplete].
Formula for treating pediatric Zou Ma Gan: Chan Chu San Powder.
Chan Chu (Bufo bufo gargarizans, one piece, remove head, feet, and intestines, burn to ash), Long Bai Hua [Unknown], Di Gu Pi (Lycii Cortex, 1 fen each), Wu Shi Zi (Terminaliae Chebulae Fructus, two pieces), She Xiang (Moschus, ground [incomplete]).
The above five ingredients are pounded and sifted into a fine powder. First rinse mouth with salt water, then apply a small amount of Xiao Shi (Natrii Nitras) powder on one side, followed by one qian bi of this medicine on the other side. Three times daily.
Formula for treating pediatric Gan parasites eroding lips, mouth, and nose: Huang Long San Powder.
Xiao Jin Yin Guo Xia Huang Long Hui (Yellow Dragon Ash from melting gold/silver pots, finely ground, 1 liang), She Xiang (Moschus, ground, 1 fen), Yin Mo (Silver powder, size of soybean), Chan Chu (Bufo bufo gargarizans, one piece, half burned to ash, [incomplete]).
The above four ingredients are pounded and sifted into a fine powder. Apply to any site of parasitic erosion.
Formula for treating pediatric Ji Gan, parasitic erosion of lips, nose, teeth, and mouth: Liu Huang San Powder.
Liu Huang (Sulfur, ground, half liang), Gan Xi (Drywood Resin, stir-fry until smoke ceases, 1 liang), Wen Ge (Clam Shell, burned to ash, 2 liang).
The above three ingredients are pounded and sifted into a fine powder. Each time, use half a qian bi, add a little She Xiang, grind finely. Wipe off evil blood from the sore with old cotton, then apply medicine.
Formula for treating pediatric Zou Ma Gan: Dan Fan San Powder.
Dan Fan (Chalcanthite, flown/ground), Ru Xiang (Olibanum, ground), Qian Dan (Minium, flown, 1 qian each).
The above three ingredients are ground together into a fine powder. Each time, dip a paper wick in a small amount and apply to the affected area. If flesh is purple, rotten, and foul, it will turn red upon application.
Formula for treating pediatric Ji Gan, eroding lips and nose: Fu Zi Wan Pill.
Fu Zi (Aconiti Lateralis Radix Preparata, processed, cracked, skin and umbilicus removed), Huang La (Yellow Beeswax, half liang each).
The above two ingredients: pound Fu Zi into powder, melt wax to form pills, insert into worm holes.
Formula for treating pediatric Zou Ma Gan: Dai Zhe Shi San Powder.
Dai Zhe Shi (Hematitum, nail-head type).
One ingredient. Take appropriate amount, fire red in charcoal, quench in vinegar seven times, place on wet ground, cover to remove fire toxicity, pound and grind into powder. Applies to patients regardless of age. If lips are pierced like needle holes, first rinse with warm grain water, cut good paper into thin strips, thinly dip in medicine, and paste on Ji Gan gums. Muscle regenerates overnight like pomegranate seeds; severe cases need no more than two applications. For exposed teeth, also apply medicine.
Formula for treating pediatric Ji Gan, eroding lips and nose: Ba Dou Wan Pill.
Ba Dou (Crotonis Fructus, 17 seeds).
One ingredient. Soak in cold water overnight, remove skin, grind, mix with wax to form pills the size of Sophora seeds. Contain one pill at a time, still spit out juice. If accidentally swallowed causing throat swelling, blockage, vomiting, and diarrhea, urgently decoct Huang Lian Tang and Lan Ye Zhi to detoxify.
Formula for treating pediatric Ji Gan, parasitic erosion causing sores in mouth, abdominal distension, and emaciation: Chan Hui Wan Pill.
Chan Hui (Toad ash), Di Long (Pheretima, fried), Wo Niu Ke (Helix Shell, fried), Gou Tou Hui (Dog head ash), Ren Fen Hui (Human feces ash), Lan Xiang Gen Hui (Litsea root ash), She Xiang (Moschus, 1 fen each).
The above seven ingredients are ground together into a fine powder. Mix with grain water on paper, apply to sores when needed. If sores in nose, wrap medicine in cotton and place in nose; if Ji Gan enters abdomen... [Text incomplete].
Formula for treating pediatric Ji Gan, parasitic erosion of mouth, nose, and lower part, all red and rotten.
Da Suan (Garlic, 2 liang), Tian Ting Li (Descurainiae Semen, half liang), Gan Xia Wa (Dried Toad, 1 liang), Di Long (Pheretima, remove earth, fry, 2 pieces), Luan Fa Hui (Tangled hair ash, 1 fen).
The above five ingredients are coarsely pounded, sieved, mixed, placed in a bamboo tube, set on tile, burned with ... ash. Take a few drops of the distilled liquid, apply to child's mouth, nose, fontanelle top, and anus.
Formula for treating pediatric Ji Gan, foul breath and rotting lips/mouth, exposed swollen teeth: Hu Ming San Powder.
Gan Chan (Dried Toad, taken on May 5th, burned to retain nature), Bai Long Gu (Fossilized Mammoth Bone, pounded and ground), Xiong Huang (Realgar), She Xiang (Moschus), Shi Dan (Melanterite), Lu Hui (Aloe, 1 fen each, ground).
The above six ingredients are ground together into a fine powder. Apply a small amount to sores each time.
Formula for treating pediatric Ji Gan, mouth sores and various Gan diseases: Xiong Dan Gao Ointment.
Xiong Dan (Ursi Bile), Ran She Dan (Python bile), Lu Hui (Aloe), Long Nao (Borneolum Syntheticum), Niu Huang (Bovis Calculus), She Xiang (Moschus, 1 fen each, ground).
The above six ingredients are mixed and ground finely. Add one zhan of Jing Hua Shui (well water drawn at dawn), stir evenly, store in porcelain jar, simmer gently over double boiler for several boils, stir sides of cup with comb... eat less... [Text incomplete].
Formula for treating pediatric Ji Gan: Xia Wa Wan Pill.
Xia Wa (Toad, one piece, remove claws, burn to ash), Xiong Dan (Ursi Bile, ground), She Xiang (Moschus, ground), Zhu Ya Zao Jia (Gleditsiae Sinensis Fructus, remove skin and seeds, roast), Bai Wu Yi (Chrysanthemi Indici Flos, 1 fen each).
The above five ingredients are pounded and ground into powder, refined honey to form pills the size of mung beans. Take 5-7 pills each time, swallow with rice drink or warm water, three times daily. If Ji Gan previously caused tooth loss, dissolve 5-7 pills in flowing water, apply to gums.
Formula for treating pediatric Zou Ma Gan: Si Wu San Powder.
Fen Shuang (Calomel), She Xiang (Moschus), Duan Shi (Calcined Alumen), Qian Dan (Minium, stir-fried to purple color, 1 fen each).
The above four ingredients: first grind the first three into fine powder, then add Qian Dan and grind uniformly to peach-blossom red color. Sweep with chicken feather, immediate cure.
Formula for treating pediatric Ji Gan, gum rotting with evil blood, foul breath, tooth loss, immediate effect: She Xiang San Powder.
She Xiang (Moschus, ground), Tong Lv (Malachite, ground, 1 qian each), Huang Lian (Coptidis Rhizoma, remove roots, 3 qian).
The above three ingredients are pounded and ground into powder. Take one jujube meat, 1 qian mercury, grind into paste, mix with previous powder evenly. Apply a small amount to affected area. Cover with Lan Xiang leaf, immediate cure. For internal resolution, wait for flesh regeneration.
Formula for treating pediatric Ji Gan, spleen toxin, bone groove wind, eroding lips and mouth: Xiong Huang San Powder.
Xiong Huang (Realgar, 1 fen), Shui Yin (Mercury, half qian, ground with Xiong Huang until stars disappear), Tong Lv (Malachite, 1 qian), She Xiang (Moschus, 1 zi).
The above four ingredients are ground uniformly, stored in porcelain box. First wipe blood with new cotton, cut away necrotic flesh if severe, apply, three times daily.
Formula for treating pediatric Zou Ma Gan, erosion penetrating bone, and minor attacks: Tian Nan Xing San Powder.
Tian Nan Xing (Arisaematis Rhizoma, large one piece), Xiong Huang (Realgar, size of soap bean).
The above two ingredients: hollow out center of Tian Nan Xing, place Xiong Huang inside, wrap in barley flour, burn in charcoal until smoke ceases. Cool, add She Xiang (1 zi), grind finely. First wipe blood with new cotton, then sprinkle medicine on sore, three times daily.
Formula for treating pediatric Ji Gan, parasitic erosion of mouth and gums causing sores: Xiong Dan San Powder.
Xiong Dan (Ursi Bile, finely ground), Tian Ting Li (Descurainiae Semen, slightly fried), Lang Dang Zi (Daturae Semen, fried black), Xia Wa Hui (Toad ash), Ren Fen Hui (Human feces ash), Bai Fan Hui (Alum ash), She Xiang (Moschus, finely ground).
The above ten ingredients are pounded and ground into fine powder, mixed evenly. Thinly apply to sores. For nasal itching, take a small amount, blow into nose three times daily, until cured.