论曰小儿宿有疳气，加以肠胃虚弱，寒邪乘之，则变下痢。痢久不止。肠胃益虚。寒湿
相乘，虫因虚动，侵蚀腑脏，或口齿生疮，或肛门伤烂，故名疳 。
治小儿疳 ，下部开张。痢有脓血，烂痒赤肿。麝香丸方
麝香（研） 蝉壳（去足） 猪牙皂荚（去皮子炙） 芦荟（研） 人中白（研各一分）
青黛（
半两研）
上六味，捣研为细末。先取五月五日虾蟆一枚，以绳子双系后脚倒挂。用胡黄连一寸，
以绵系。纳虾蟆口中系定。将不津器承虾蟆涎，从午至戌，解放虾蟆，只取胡黄连并涎用。
将六味药末就涎和丸，如粟米大，每服先暖浆水洗儿，软帛拭干后扶坐，取一丸子，以乳汁
少许化下，须臾如醉，慎勿惊，虫即自出。若虫色白或身黄头黑，皆是病浅易瘥，若虫子遍
体乱出，纷纷如剪碎马尾，此必死之候。
治小儿疳疮，蚀口鼻及下部、危急。鸡屎矾敷方
鸡屎矾（烧灰为末）
上一味，先以米泔洗疮拭干，以药敷之，日三。
治小儿疳 下痢，不问赤白。及五种疳气痢疾。麻子膏方
大麻仁（二两） 黑豆黄（一两） 青黛（半斤研） 虾蟆（一枚烧灰研） 麝香（研
一两）
上五味，先研麻仁，次捣研黑豆等四味为末。与麻仁同研如稠饧，入少许竹沥和匀，用
瓷合收，口鼻疳疮者，每服半匙匕。米饮调下日三，若脑脊疳，每日涂口鼻三上。若下部开，
以绵裹药半匙匕，纳下部，日三换，量儿大小加减。
治小儿疳蛔蚀口鼻，及下部赤烂方
大麻仁（三合） 干蟾（一枚） 地龙（去土炒一两） 葶苈（纸上炒半两） 乱发（如
鸡子大）
上五味，除乱发外。并捣碎，与发和匀，都入在一枚新竹筒内，置于瓦上，以 灰火烧
取沥。少少涂儿口鼻顶上，及谷道中。
治小儿疳痢下部开，并生疮，吹药。麝香散方
麝香（研） 黄连（去须捣末各半两）
上二味，相和研匀，取一苇管，吹少许于下部。
治小儿 虫蚀下部。雄黄散方
雄黄（研） 胡粉（熬各半两）
上二味，细研如粉。每用半钱匕，以乳汁调，纳下部中，日三上，以瘥为度。
又绯帛膏方
绯帛（烧灰研一方） 倒棘刺（四十九枚烧灰研） 雄黄（研） 磁石（捣研） 麝香
（研） 蚺
蛇胆（研各一分） 槐枝（一条长八寸锉） 猪脂（腊月者五两）
上八味，先研六味为细末，次炼脂作油，去滓下槐枝，煎令焦黄。去槐枝，下六味药末，
煎成膏，以瓷器盛，每用少许，涂下部日三。
治小儿疳 蚀下部。苦参膏方
苦参（五两） 艾叶（二两） 青葙子 甘草（炙锉各三两）
上四味，先以青葙甘草为细末，次用水五升，煎苦参艾叶成膏。量多少去滓，入二味药
末，和作梃子，长一寸。如箸许大曝干。涂猪脂。纳下部，日再。虫出尽为度。
又方
上以铁衣少许研细，纳下部中。
治小儿疳虫蚀下部，久痢脓血，举体疼痛，面色虚肿，苦参丸方
苦参 雌黄（研） 雄黄（研） 白矾（烧各半两） 藜芦（去芦头一分） 麝香（少
许研）
上六味，捣研为末。以小枣许大，纳下部中，日两三上。
治疳 、虫食肛门。治不以时，多至杀人。猪胆饮方
猪胆（一枚） 苦酒（五合）
上二味同煎，量力空心饮之，虫即死。
治小儿宿有疳气，又因肠虚下痢，寒湿相乘，虫因虚动，侵食脏腑，或口齿生疮。或肛
门伤烂，病名疳 。青金定命丸方
胡黄连末（一两） 芦荟（研） 青黛（研各三分） 白槟榔（一枚为末） 肉豆蔻（去
壳一枚
为末） 诃黎勒（五枚去核为末） 木香（为末） 麝香（研） 丹砂（研） 密陀僧（捣
研） 丁香（为末各半两） 红雪（研） 鹤虱（为末各一分）
上一十三味，合研令匀。用酒煎 猪胆膏和丸。如绿豆大，每服五丸至七丸，奶疳腊
茶下，气疳丁香汤下，脑疳黄连汤下，肺疳橘皮汤下，急疳干笋汤下，食疳生姜汤下，脾疳
枣汤下，肝疳盐汤下。
治小儿疳 ，口疮齿龈宣露。黄柏散方
黄柏根皮（炙锉） 黄连（去须） 黄芩（去黑心） 升麻（锉各三分） 大青（半两）
干虾蟆
（酥炙一两）
上六味，捣罗为散，以绵裹贴齿龈上，吐涎。
治小儿疳 ，或口齿生疮，或肛门伤烂。黄连丸方
黄连（去须一两） 白芜荑（去皮炒半两） 麝香（研一钱）
上三味，捣研为末，面糊和丸。如麻子大，一二岁每服十丸，温米饮下，日三。
Discussion states: Children who originally harbor "Gan" Qi (a pathological condition characterized by malnutrition and parasitic infection in children) within their bodies, combined with weak intestines and stomach, are susceptible to invasion by cold pathogens, which transforms into dysentery. If the dysentery persists for a long time without cessation, the intestines and stomach become increasingly deficient. Cold and dampness interact mutually, and parasites move restlessly due to deficiency, eroding the fu organs. This may manifest as sores in the mouth and teeth, or injury and ulceration of the anus; hence it is named Gan disease.
Treatment for pediatric Gan disease where the lower orifice (anus) is open, dysentery contains pus and blood, and the area is ulcerated, itchy, red, and swollen. Musk Pill Prescription (Shexiang Wan Fang):
Musk (ground), Cicada Slough (feet removed), Chinese Tallow Tree Pod (skin and seeds removed, roasted), Aloe (ground), Human Bone Ash (ground, each 1 fen), Indigo Naturalis (Ban Liang, ground).
The above six ingredients are crushed and ground into fine powder. First, obtain one toad caught on the fifth day of the fifth lunar month, tie its hind legs with a rope, and hang it upside down. Take one cun of Coptidis Rhizoma (Huanglian), tie it with silk thread, insert it into the toad's mouth, and secure it. Use a non-leaky vessel to collect the toad's saliva from Wu hour (11:00-13:00) to Xu hour (19:00-21:00). Release the toad, retaining only the Coptidis Rhizoma and the saliva. Mix the six powdered ingredients with the toad saliva and pill them to the size of millet grains. Before each dose, wash the child's lower body with warm grain water, dry gently with soft cloth, and support the child in a sitting position. Take one pill, dissolve it in a small amount of breast milk, and administer. After a short while, the child will appear intoxicated; do not startle them, and the parasites will exit spontaneously. If the expelled parasites are white or yellow-bodied with black heads, the disease is shallow and easy to cure. If parasites emerge chaotically all over the body, resembling cut horsehair tails, this is a sign of inevitable death.
Treatment for pediatric Gan sores that corrode the mouth, nose, and lower orifices, presenting critical conditions. Chicken Dropping Alum Powder Application Prescription (Jishifan Fu Fang):
Chicken Dropping Alum (burned to ash and ground).
The above single ingredient: First wash the sore with rice washing water and dry it. Apply the powder to the affected area three times daily.
Treatment for pediatric Gan-induced dysentery, whether red or white. As well as five types of Gan-Qi induced dysentery. Hemp Seed Paste Prescription (Mazi Gao Fang):
Hemp Seed (Da Ma Ren, 2 Liang), Black Soybean Yellow (Heidou Huang, 1 Liang), Indigo Naturalis (Qingdai, 8 Ban Liang, ground), Toad (one, burned to ash and ground), Musk (ground, 1 Liang).
The above five ingredients: First grind the hemp seeds, then crush and grind the black soybean and the other four ingredients into powder. Grind together with the hemp seeds until thick like syrup. Add a small amount of Bamboo Sap (Zhuli) and mix evenly. Store in a porcelain container. For mouth/nose Gan sores, take half a spoonful per dose, mixed with rice drink, three times daily. For brain/spinal Gan, apply to the top of the mouth and nose three times daily. If the lower orifice is open, wrap half a spoonful of medicine in cotton and insert into the lower orifice, changing three times daily, adjusting dosage according to the child's size.
Treatment for pediatric Gan disease where roundworms corrode the mouth, nose, and lower orifices causing redness and ulceration:
Hemp Seed (San He), Dried Toad (one), Earthworm (soil removed, stir-fried, 1 Liang), Lepidium Seed (Tingli Zi, stir-fried on paper, Ban Liang), Tangled Hair (size of a chicken egg).
The above five ingredients: Except for the tangled hair, crush the others, mix evenly with the hair, and place entirely into one new bamboo tube. Place on a tile and roast over stove ash fire to extract the drip/juice. Apply sparingly to the child's mouth, nose, vertex, and anus.
Treatment for pediatric Gan dysentery with open anus and sores, using insufflation. Musk Powder Prescription (Shexiang San Fang):
Musk (ground), Coptis Rhizoma (Huoxin removed, ground into powder, Ban Liang each).
The above two ingredients are mixed and ground uniformly. Take a reed tube, insufflate a small amount of powder into the lower orifice.
Treatment for pediatric intestinal parasites corroding the lower orifice. Realgar Powder Prescription (Xionghuang San Fang):
Realgar (ground), Lead Carbonate (Hufen, cooked, Ban Liang each).
The above two ingredients are finely ground into powder. Use half a Qianbi (measure) per application, mix with breast milk, insert into the lower orifice, three times daily, until cured.
Another Prescription: Crimson Silk Ointment Prescription (Feibo Gao Fang):
Crimson Silk (burned to ash, ground, one square cun), Thorny Branch (Daojici, 49 pieces, burned to ash and ground), Realgar (ground), Magnetite (Ci Shi, crushed and ground), Musk (ground), Python Gallbladder (Ranshe Dan, ground, 1 fen each), Locust Twig (Huai Zhi, one piece, 8 cun long, chopped), Pig Fat (Zhu Zhi, made in the twelfth lunar month, 5 Liang).
The above eight ingredients: First grind the first six ingredients into fine powder. Next, refine the fat into oil, remove dregs, add locust twig, and fry until scorched yellow. Remove the twig, add the six powdered ingredients, and fry into an ointment. Store in porcelain. Apply a small amount to the lower orifice three times daily.
Treatment for pediatric Gan disease corroding the lower orifice. Sophora Root Ointment Prescription (Kushen Gao Fang):
Sophora Root (Kushen, 5 Liang), Mugwort Leaf (Ai Ye, 2 Liang), Celosia Seed (Qingxiangzi), Licorice Root (Gancao, roasted and chopped, 3 Liang each).
The above four ingredients: First grind Qingxiangzi and Gancao into fine powder. Then use five Sheng of water to decoct Kushen and Ai Ye into an ointment. Filter out dregs according to volume, add the two powders, and mix into stick shapes, one cun long, thickness of a chopstick. Dry in the sun, coat with pig fat, insert into the lower orifice, twice daily, until parasites are completely expelled.
Another Prescription:
Take a small amount of iron rust (Tieyi), grind finely, and insert into the lower orifice.
Treatment for pediatric Gan disease, parasites corroding the lower orifice, chronic dysentery with pus and blood, whole-body pain, and facial edema. Sophora Root Pill Prescription (Kushen Wan Fang):
Sophora Root (Kushen), Orpiment (Cihuang, ground), Realgar (Xionghuang, ground), White Alum (Bai Fan, calcined, Ban Liang each), Veratrum Root (Lilu, rhizome head removed, 1 Fen), Musk (Shexiang, small amount, ground).
The above six ingredients are crushed and ground into powder. Form pills the size of a small date, insert into the lower orifice, two to three times daily.
Treatment for Gan disease, parasites eating the anus. If treatment is delayed, it often leads to death. Pig Gallbladder Drink Prescription (Zhudan Yin Fang):
Pig Gallbladder (one), Vinegar (Ku Jiu, 5 He).
Decoct the above two ingredients together. Drink according to tolerance on an empty stomach; the parasites will die.
Treatment for children who originally harbor Gan Qi, and due to intestinal deficiency suffer dysentery, where cold and dampness interact, parasites move due to deficiency, invade and eat the zang-fu organs, causing mouth/tooth sores or anal ulceration. Disease name: Gan. Blue Gold Life-Determining Pill Prescription (Qingjin Dingming Wan Fang):
Coptis Rhizoma Powder (Huhuanglian Mo, 1 Liang), Aloe (ground), Indigo Naturalis (Qingdai, ground, 3 Fen each), Areca Seed (Baibinglang, one, ground), Nutmeg (Roudoukou, shell removed, one, ground), Chebula Fruit (Helile, five, pitted and ground), Aucklandia Root (Muxiang, ground), Musk (ground), Cinnabar (Dansha, ground), Litharge (Miduoseng, crushed and ground), Clove (Dingxiang, ground, Ban Liang each), Red Snow (Hongxue, ground), Carpesium Fruit (Heshi, ground, 1 Fen each).
The above thirteen ingredients are mixed and ground uniformly. Use wine-decocted Pig Gallbladder Paste to bind the pills, forming them the size of mung beans. Each dose takes 5 to 7 pills. For Milk Gan, take with aged tea; for Qi Gan, with Clove Decoction; for Brain Gan, with Coptis Decoction; for Lung Gan, with Tangerine Peel Decoction; for Acute Gan, with Dried Bamboo Shoot Decoction; for Food Gan, with Ginger Decoction; for Spleen Gan, with Jujube Decoction; for Liver Gan, with Salt Water.
Treatment for pediatric Gan disease, mouth sores and exposed gums. Phellodendron Powder Prescription (Huangbai San Fang):
Phellodendron Bark (Huangbai Genpi, roasted and chopped), Coptis Rhizoma (Huoxin removed), Scutellaria Root (Huangqin, black heart removed), Cimicifuga Rhizome (Shengma, chopped, 3 Fen each), Isatis Root (Daqing, Ban Liang), Dried Toad (one, fried in butter, 1 Liang).
The above six ingredients are crushed, sifted into powder. Wrap in cotton and apply to the gums to induce salivation.
Treatment for pediatric Gan disease, either mouth/tooth sores or anal ulceration. Coptis Pill Prescription (Huanglian Wan Fang):
Coptis Rhizoma (Huoxin removed, 1 Liang), Melia Seed (Bai Wuyi, skin removed, stir-fried, Ban Liang), Musk (ground, 1 Qian).
The above three ingredients are crushed and ground into powder, bound with wheat paste into pills the size of sesame seeds. For children aged one to two years, take ten pills per dose with warm rice drink, three times daily.