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Commentary states: The disease of Jing Gan (Startled Emaciation) originates from excess heat in the Heart. Infants within the swaddling clothes have unregulated Qi and Blood, weak Zang-Fu organs, and irregular breastfeeding or feeding. This leads to stagnation.

Treatment for pediatric Jing Gan (Startled Emaciation), presenting with high fever, vomiting, red cheeks, sallow complexion, sores in the mouth and nose, occasional diarrhea, excessive sweating, and frequent fright.
Formula: Ruxiang Wan (Frankincense Pill)
Ruxiang (Labdanum/Incense, ground) Ban Liang, Muxiang (Vladimiria Root, half liang), Baizhi (Angelica Dahurica, half liang), Shexiang (Musk, ground) Yi Fen, Zhudan (Pig Gallbladder, dried, membrane removed, ground) Yi Mei.
The above five ingredients are crushed and ground into powder. Pills are made using Jinmi Fan (Japonica rice porridge) like hemp seeds. Take 3 to 5 pills per dose, swallowed with rice water, on an empty stomach. Dosage should be adjusted according to the child's age and size.

Treatment for pediatric Jing Gan (Startled Emaciation), presenting with a distended abdomen and thin neck.
Formula: Gouteng Yin (Uncaria Decoction)
Gouteng (Uncaria Rhynchophylla) Yi Fen, Gancao (Licorice, honey-fried) Yi Fen, Renshen (Ginseng) Yi Fen, Gualougen (Trichosanthes Root) Yi Fen.
The above four ingredients are coarsely crushed and sieved. Use one Qianbi (measure) of powder, add one small cup of water, decoct until five fen remains. Strain and divide into two warm doses. Administer on an empty stomach and in the afternoon. Dosage should be adjusted according to the child's age and size.

Treatment for all types of Gan diarrhea and convulsions in children.
Formula: Huhuanglian Wan (Coptis Chinensis Pill)
Huhuanglian (Coptis Teeta) Ban Liang, Muxiang (Vladimiria Root) Yi Fen, Gejie (Gecko, fried in butter) Yi Fen, Wo Niuzi (Snail Seed, shell removed) Er Qi Mei (14 seeds), Renshen (Ginseng) Yi Fen, Xionghuang (Realgar, ground) Yi Fen, Huanglian (Coptis Chinensis, stamens removed) Yi Fen, Binglang (Areca Nut, chopped) Yi Fen, Danggui (Angelica Sinensis, fried) Yi Fen, Lvhui (Aloe) Yi Fen, Qianghuo (Notopterygium Root, rhizome removed) Yi Fen, Duhuo (Angelica Pubescens, rhizome removed) Yi Fen, Wuyi Ren (Alpinia Oxyphylla Seed) Yi Fen, Shexiang (Musk, ground) Yi Fen, Qianglang (Dung Beetle, fried) Wu Mei, Chishizhi (Red Halloysite, ground) Yi Fen, Daizhe (Hematite, crushed and ground) Ban Liang, Zhuya Zaojiao (Toothpick Soap Pod, two stalks, fried, skin and seeds removed, separately ground to powder).
The above twenty-eight ingredients are crushed and ground into powder. Pills are made using pig bile like millet grains. Take 2 or 3 pills per dose, swallowed with rice water on an empty stomach. Dosage should be adjusted according to the child's age and size.

Treatment for all types of Gan dysentery and convulsions in children.
Formula: Huhuanglian Wan (Coptis Teeta Pill)
Huhuanglian (Coptis Teeta) Ban Liang, Roudoukou (Myristica Seed, shell removed) Yi Mei, Binglang (Areca Nut, baked and chopped), Helile (Terminalia Chebula, baked and pitted), Hongxue (Red Snow), Miduoseng (Litharge), Dingxiang (Clove).
The above seven ingredients are crushed, sifted into fine powder, and formed into pills using wheat paste like hemp seeds. Take 3 to 5 pills per dose, swallowed with rice water on an empty stomach. For Xin Gan (Heart Gan), swallow with Huanglian Tang (Coptis Decoction); for Fei Gan (Lung Gan), swallow with rice water; for Pi Gan (Spleen Gan) with emaciation, swallow with Gan Zao Tang (Jujube Decoction); for Shi Gan (Food Gan) with hematemesis, swallow with Shengjiang Tang (Ginger Decoction); for Jing Gan (Startled Gan) with bloody diarrhea, swallow with Yan Tang (Salt Water); for Gan Gan (Liver Gan) with sores in the eyes, swallow with Gancao Tang (Licorice Decoction); for Gu Gan (Bone Gan) preferring cold floors and eating soil, swallow with Zi Sun Cha Tang (Purple Bamboo Shoot Tea); for Qi Gan (Qi Gan) with abdominal distension, swallow with Jupi Tang (Tangerine Peel Decoction).

Treatment for pediatric Jing Gan (Startled Emaciation), presenting with palpitations, fright, sallow complexion, emaciation, mouth and tongue sores, lethargy, and dry eyes.
Formula: Tui Gan Wan (Eliminate Gan Pill)
Huhuanglian (Coptis Teeta) Ban Qian, Huanglian (Coptis Chinensis, stamens removed) Ban Qian, Dahuang (Rhubarb) Ban Qian, Chen Jupi (Aged Tangerine Peel, soaked in water, white pith removed, dried) Yi Fen, Kuligen (Melia Root Bark, shell removed) Yi Fen, Dansha (Cinnabar, ground).
The above ten ingredients: grind the latter five ingredients separately into powder. Mix with the former five ingredients and pig bile to form pills like mung beans. Take 10 pills per dose, swallowed with rice water at any time. Dosage should be adjusted according to the child's age and size.

Treatment for pediatric Jing Gan (Startled Emaciation).
Formula: Bao Tong Wan (Protect Child Pill)
Tiefen (Iron Powder, ground) Yi Fen, Biejia (Turtle Shell, skirt removed, vinegar-fried) Ban Liang, Xama (Toad, fried) Yi Mei, Huanglian (Coptis Chinensis, stamens removed) Ban Liang, Shexiang (Musk, ground) Yi Fen.
The above five ingredients are crushed and ground into powder. Pills are made using rice like mung beans. Take 2 pills per dose, swallowed with rice water on an empty stomach. Dosage should be adjusted according to the child's age and size.

Treatment for pediatric Jing Gan (Startled Emaciation).
Formula: Lvhui Wan (Aloe Pill)
Lvhui (Aloe, ground), Huanglian (Coptis Chinensis, stamens removed), Shijunzi (Quisqualis Fruit, shell removed), Leiwan (Holarrhena Root), Heshi (Chrysanthemum Parthenium), Huoxiang Ye (Patchouli Leaf), Xixin (Asarum, seedlings and leaves removed), Peng'e Zhu (Curcuma Phaeocaulis), Roudoukou (Myristica Seed, shell removed and baked), and nine other ingredients totaling thirteen.
The above eighteen ingredients: first grind the former twelve ingredients into powder. Put half into a pig gallbladder, adding two Ba Dou (Croton Seed) kernels per gallbladder. Cook in millet drink until done, remove Ba Dou, then add the first half of the powder. Grind together with Long Nao (Borneol) and six other ingredients. Form pills like millet grains. Take 10 to 15 pills per dose. Dosage should be adjusted according to the child's age and size.

Treatment for pediatric Jing Gan (Startled Emaciation).
Formula: Mayaxiao Wan (Calcined Natron Pill)
Mayaxiao (Calcined Natron, ground) Yi Fen, Tiannanxing (Arisaema, processed) Yi Mei, Dansha (Cinnabar, ground), Huanglian (Coptis Chinensis, stamens removed) Each Yi Fen Ban.
The above four ingredients are crushed and ground into powder. Form pills using soft liquid (thin gruel) like mung beans. Take 3 to 5 pills per dose and adjust accordingly. Swallow with Bohe Tang (Mint Decoction).

Treatment for all pediatric Jing Gan with accumulated heat and Jiao Nai Gan Qi (Weaning Gan Qi).
Formula: Huhuanglian Wan (Coptis Teeta Pill)
Huhuanglian (Coptis Teeta) Yi Fen, Tianzhu Huang (Calculus Bovis) Yi Fen, Lvhui (Aloe) Ban Liang, Huanglian (Coptis Chinensis, stamens removed, ground with Aloe, placed in pig gallbladder, cooked over fire, dried in shade) Ban Liang, Shexiang (Musk, ground) Qian.
The above thirteen ingredients are crushed and ground into powder. Form pills using Jinmi Yin (Japonica rice drink) like millet grains. Take 3 to 5 pills per dose, swallowed with warm water. If the area under the nose is red, dissolve one pill and apply topically.

Treatment for pediatric Jing Gan with emaciation, hair forming tufts, sallow complexion, abdominal distension, and disharmony of Zang-Fu organs.
Formula: Bao Tong Wan (Protect Child Pill)
Huhuanglian (Coptis Teeta), Huanglian (Coptis Chinensis, stamens removed), Qing Jupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Longdan (Gentiana Root), Wuyi Ren (Alpinia Oxyphylla Seed, stir-fried), Chantui (Cicada Slough), Kuligen (Melia Root Bark), Wubeizi (Chinese Gall, fried until charred, three pieces), Qingdai (Indigo Naturalis), and nine other ingredients totaling eighteen.
The above eighteen ingredients are crushed and ground into powder. Form pills using wheat paste like millet grains. One-year-old infants take 2 to 3 pills; children over two years old adjust dosage accordingly. Take before meals with rice water.

Treatment for pediatric Jing Gan (Startled Emaciation).
Formula: Xeshao Wan (Scorpion Tail Pill)
Xeshao (Scorpion Tail, stir-fried) Ban Liang, Tianma (Gastrodia Rhizome) Yi Fen, Fuzi (Aconite Root, processed, skin and umbilicus removed) Yi Fen, Muxiang (Vladimiria Root) Yi Fen, Peng'e Zhu (Curcuma Phaeocaulis, baked and chopped) Yi Fen, Qingdai (Indigo Naturalis) Yi Liang, and three other ingredients totaling nine.
The above nine ingredients are crushed and ground into powder. Form pills using refined honey like mung beans. Take 1 pill per dose, swallowed with Bohe Tang (Mint Decoction) or Liu Zhi Tang (Willow Branch Decoction). Adjust according to the child.

Treatment for pediatric Xin Gan (Heart Gan), presenting with high fever, scorched hair, constant tearing, mouth sores, weak hands and feet, distended abdomen and ribs, sleeping face down, and incessant drinking.
Formula: Shexiang Wan (Musk Pill)
Shexiang (Musk), Niuhuang (Calculus Bovis), Dansha (Cinnabar), Qingdai (Indigo Naturalis) [These four are ground together], Yeming Sha (Night-shining Sand), Gudi (Momordica Seed), Xiong Dan (Bear Gallbladder, ground), Chansu (Toad Venom, dried, soaked in water, red skin removed).
The above nine ingredients are crushed and ground into powder. Form pills using burnt Japonica rice like yellow millet grains. Dosage: 2 pills for one-year-olds, 4 to 5 pills for children over two years old. Adjust according to the child. Swallow with warm water.

Treatment for pediatric Jing Gan (Startled Emaciation), presenting with heat in the five centers (palms, soles, chest), sallow emaciated muscles, and craving for eating soil.
Formula: Huanglian Wan (Coptis Chinensis Pill)
Huanglian (Coptis Chinensis, stamens removed), Yujin (Curcuma Aromatica, chopped), Qianghuo (Notopterygium Root, rhizome removed), Qingdai (Indigo Naturalis, ground), Kuligen (Melia Root Bark) Each Yi Qian.
The above five ingredients are crushed and ground into powder. Mix with pig bile, dry in shade, and grind again into powder. Add a small amount of Long Nao (Borneol) and Shexiang (Musk). Form pills using steamed dough soaked in water like yellow millet grains. Take 2 to 3 pills per dose, adjust according to the child. Swallow with warm water.

Treatment for pediatric Jing Gan (Startled Emaciation).
Formula: Gan Qi Wan (Absorb Qi Pill)
Fuzi (Aconite Root, processed, skin and umbilicus removed, ground to one large Qianbi), Nifen (White Lead Powder), Gudi (Momordica Seed, ground, twenty-one seeds), Shexiang (Musk, Dang Men Zi) Yi Mei.
The above four ingredients: except for Shexiang and Nifen, grind the others into powder. Mix with pig bile, insert Shexiang inside, hold in pig gallbladder skin, hang on a loess wall. Spray with mouthwash daily before washing face for seven days. Then retrieve the medicine, grind finely, mix with pig bile to form pills like hemp seeds, coat with Dansha (Cinnabar). Take 5 to 7 pills per dose, adjust according to the child. Swallow on an empty stomach and before sleep with warm boiled water.

Treatment for pediatric convulsions, various Gan syndromes, and various dysenteries.
Formula: Qing Jin Dan (Blue Gold Pellet)
Qingdai (Indigo Naturalis, ground San Fen), Xionghuang (Realgar, ground), Huhuanglian (Coptis Teeta, powder) Each Er Fen, Dansha (Cinnabar, ground), Nifen (White Lead Powder), Xiong Dan (Bear Gallbladder, dissolved in warm water), Baifuzi (Typhonium Rhizome, frost, ground), Long Nao (Borneol, ground).
The above thirteen ingredients are put together in a mortar, ground repeatedly until uniform. Use one pig gallbladder, extract juice, boil, soak a little steamed dough to form pills. Like yellow millet grains, sun-dry. One-year-olds may take 2 pills, adjust according to age and size. For convulsions and epilepsy, first dissolve one pill in warm water, drip into nose to induce sneezing; for upward staring eyes, they will naturally lower; for spasms, they will stop. Then take with Bohe Tang (Mint Decoction). For various Gan syndromes, take with congee drink. For Bian Zheng (physiological fever in infants) with chills and fever, take with dissolved Mint Decoction. For various diarrheas and dysenteries, take with rice water. For Gan roundworm biting the heart, take with Litong Decoction. For red rot under the nose, oral/dental Gan worms, mouth sores, etc., grind with breast milk and apply. For Gan eye disease and night blindness, take one white lamb liver, slice open with bamboo knife, insert medicine into liver, tie with hemp thread, cook in rice wash water until done. Take on an empty stomach.

Treatment for pediatric Jing Gan (Startled Emaciation), presenting with body heat, red cheeks, dry hair and skin, fullness, vomiting and diarrhea, and restless mind.
Formula: Dingxiang Lvhui Wan (Clove and Aloe Pill)
Dingxiang (Clove), Huoxiang Ye (Patchouli Leaf), Xiong Dan (Bear Gallbladder, ground), Qianbaishuang (Lead White Frost), Lvhui (Aloe, ground), Dansha (Cinnabar, ground), Chansu (Toad Venom), Shijunzi (Quisqualis Fruit), Xionghuang (Realgar, ground) Each Ban Liang.
The above thirteen ingredients are crushed and ground into fine powder. Form pills using white wheat paste like yellow millet grains. Take 10 pills per dose, swallowed with rice water at any time.

Treatment for pediatric Jing Gan (Startled Emaciation), presenting with high fever, emaciation, and hand-foot spasms.
Formula: Ruan Jin Wan (Soft Gold Pill)
Huhuanglian (Coptis Teeta), Shexiang (Musk, ground), Qingdai (Indigo Naturalis, ground), Nifen (White Lead Powder, ground) Each Ban Liang, Shijunzi (Quisqualis Fruit) Ten Mei, Mo (Ink Stick, burned) Er Qian, Tiannanxing (Arisaema, processed).
The above eight ingredients are crushed, sifted into powder, and formed into pills using wheat paste like sophora seeds. Take 1 pill per dose, dissolve in decoction of Silver, Gold, and Mint. Take until sticky phlegm is discharged. Adjust dosage according to child's age and size.

Treatment for pediatric Jing Gan (Startled Emaciation), presenting with body heat, red cheeks, mouth sores, abdominal distension, and thirst.
Formula: Huangbai Jian Wan (Phellodendron Decoction Pill)
Huangbai (Phellodendron Bark, coarse skin removed, honey-fried), Huanglian (Coptis Chinensis, stamens removed), Huhuanglian (Coptis Teeta), Lvhui (Aloe, ground), Helile Pi (Terminalia Chebula Skin).
The above five ingredients in equal parts are crushed and ground into powder. Boil pig bile and mix to form pills like yellow millet grains. Take 10 pills per dose, swallowed with rice water.