论曰小儿宿有疳气，肌肤瘦瘁，内亡津液，心肺壅热，则为疳渴。盖因乳母不慎，恣食
热物，不择酸咸，致令壅热潜流乳脉，或即乳儿，致腑脏生热，疳热相搏，上焦干燥，津液
枯少，故烦躁而渴。
治小儿疳渴，肌肤消瘦，乳食不进。芦荟丸方
芦荟（研） 硼砂（研） 麝香（研） 马牙硝（研） 人参 熊胆（研） 甘草（炙
捣为末各半
上七味，捣研为末，炼蜜为丸，如绿豆大，每服五丸或七丸，薄荷汤化下。
治小儿疳渴。铅霜丸方
铅白霜 铅丹 定粉 铁粉 龙骨 蛤粉 马牙硝
上七味等分，为细末，入麝香少许，用蜗牛肉，研和为丸，如梧桐子大，每服一丸，倒
流水化下。
治小儿疳渴不止。柳絮矾散方
柳絮矾（半两） 铅白霜（一两） 马牙硝（一分） 芒硝（一分）
上四味，细研为散，每服一字匕，冷水调下，一服立效。
治小儿疳渴，引饮不止。胡黄连散方
胡黄连 葛根（锉） 玄参 枇杷叶（拭去毛炙黄） 甘草（炙各一分） 麦门冬（去
心焙半
上六味，捣罗为散，每服一钱匕，以水一盏，入生姜少许，煎至五分，去滓入蜜少许，
再煎一两沸，放温服。
治小儿疳渴黄瘦，日夜饮水不足。龙脑丸方
龙脑（研） 麝香（研） 丹砂（研） 牛黄（研） 胡黄连 熊胆（研） 芦荟（研）
丁香 木
上一十三味，捣研为细末，再研匀，饭丸如绿豆大，每服三丸至四丸，薄荷汤下。
治小儿疳渴羸瘦。龙胆散方
龙胆 熊胆（研） 蜗牛（炒令黄） 芦荟（研） 夜明砂（炒） 麝香（研各一分） 青
黛（研）
上九味，捣研为散，每服半钱匕，米饮调下，量儿大小加减。
治小儿疳渴喜水，小便淋。愈金汤方
山栀子（炒黄一两） 瞿麦（半两） 木通（锉半两） 滑石（研一分） 甘草（炙一
两） 竹叶
上六味，粗捣筛，二岁儿每服一钱匕，水一盏，入沙糖皂子大，同煎五分，去滓温服，
日两服，更量儿大小加减。
治小儿膈壅疳渴，凉心经。金粉地黄膏方
郁金（一两皂荚水煮软切焙） 地黄（粉半两生） 雄黄（水飞一分） 绿豆粉（半两）
白术
上八味，都为细末，炼蜜丸如皂子大，二岁一丸，荷薄汤化下，一岁半丸，更量儿大小
加减。
治小儿疳渴，饮水不止。乌梅丸方
乌梅肉（焙） 茜根（去土） 木瓜（焙） 葛根（炮各一两） 赤茯苓（去黑皮半两）
人参（
上八味，捣罗为末，沙糖和丸，如皂子大，每服一丸，新汲水化下。
治小儿疳痢渴不止。胡粉丸方
胡粉（研半两） 鸡子（一枚）
上一味，将鸡子头上打破，如钱眼大，入淀粉于鸡子壳内，以纸糊定，用水一升。入铫
子内，慢火煮熟，取出去壳，每服与梧桐子大哺之，一日三五度，量儿大小以意增减。
治小儿疳渴，泄泻不定，黄瘦不思食。地骨皮丸方
地骨皮 龙胆 黄芩（去黑心） 枳壳（去瓤麸炒） 木香 赤芍药 猪苓（去黑皮） 海
蛤
上一十二味，捣罗为末，炼蜜丸如绿豆大，每服五七丸，温汤下，微利即止，量儿大小
加减。
治小儿疳渴不止，及急慢惊风，胸膈有涎，天 疳风，并皆治疗。蟾酥丸方
蟾酥 麝香（研） 犀角（镑） 牛黄（研） 丹砂（研） 芦荟（研） 天竺黄（各
半两） 益智
炙）
上一十一味，捣研为末，用 猪胆汁和丸，如米粒大，丹砂为衣，每服五丸至七丸，
煎薄荷汤下，惊风，用剪刀股研，薄荷汤下，慢惊风，煎荆芥汤下；疳气、麝香汤下，惊风
搐搦，目睛上视，煎金银酒化下，此药兼利胸膈，坠涎，压心脏积热，顺气进奶食开胃，小
儿诸疾皆治。量儿大小加减。
治小儿宿有疳气，心肺壅热，内亡津液，烦渴不止。人参散方
人参 白茯苓（去黑皮各一两） 葛根（锉二两） 木香 藿香叶 甘草（炙各一分）
上六味，捣罗为细散，每服一钱匕，水半盏，煎三五沸温服。
治小儿疳渴不止，调中补虚。草豆蔻散方
草豆蔻（五枚和皮用） 人参 白茯苓（去黑皮） 防风（去叉） 藿香（各半两） 陈
橘皮（去白焙一分）
上六味，捣罗为散，每服一钱匕，生姜米饮调下，量儿大小加减服。
治小儿久疳多渴，不美乳食。大枣汤方
大枣（去核焙） 人参 白术 白茯苓（去黑皮） 陈曲（炒各一两） 甘草（炙） 檀
香（锉
上七味，粗捣筛，一岁儿一钱匕，水半盏，入枣一枚擘，煎至三分，去滓温服、日三，
量儿大小加减服。
治小儿疳痢发渴方
椿根白皮
上一味，曝干捣末，粟米煮作糊，和丸如绿豆大，每服五丸，若下部开，以干末频吹之
Discussion states: Children who have pre-existing "Gan" Qi (a pathological condition characterized by malnutrition and stagnation) present with emaciated and withered skin and flesh, internal depletion of body fluids, and heat obstruction in the Heart and Lungs, resulting in Gan Ke (Gan thirst). This is often caused by the nursing mother being careless, indulging in hot-natured foods, and indiscriminately consuming sour or salty flavors. This leads to latent heat flowing into the milk channels. When the infant suckles, heat generates within the Zang-Fu organs. The Gan heat and pathogenic heat contend with each other, causing dryness in the Upper Jiao (Upper Burner), withering of body fluids, and consequently leading to irritability and thirst.
Treatment for pediatric Gan Ke, presenting with emaciation and poor feeding/lactation intake. Lu Hui Wan (Aloe Pill) Formula:
Lu Hui (Aloeswood, *Aloe* extract, ground) Peng Sha (Borax, ground) She Xiang (Musk, ground) Ma Ya Xiao (Mirabilite, ground) Ren Shen (Ginseng Root, *Panax ginseng*) Xiong Dan (Bear Bile, ground) Gan Cao (Licorice Root, *Glycyrrhiza uralensis*, roasted and ground) [Each half liang]
The above seven ingredients are crushed and ground into powder. Honey is refined and used to form pills the size of mung beans. Each dose consists of five or seven pills, dissolved and taken with Bo He Tang (Peppermint Decoction).
Treatment for pediatric Gan Ke. Qian Shuang Wan (Lead Frost Pill) Formula:
Qian Bai Shuang (Lead White Frost, basic lead carbonate) Qian Dan (Lead Tetroxide, *Pb3O4*) Ding Fen (White Lead Powder) Tie Fen (Iron Powder) Long Gu (Fossilized Bones, *Os fossile*) Ge Fen (Clam Shell Powder) Ma Ya Xiao (Mirabilite)
The above seven ingredients are taken in equal proportions, ground into fine powder, mixed with a small amount of She Xiang (Musk), and combined with Wo Rou (Snail Meat, *Helix pomatia*) by grinding to form pills the size of Sophora seeds. Each dose is one pill, dissolved and taken with Dao Liu Shui (flowing water).
Treatment for persistent pediatric Gan Ke. Liu Xu Fan San (Willow Catkin Alum Powder) Formula:
Liu Xu Fan (Willow Catkin Alum) [Half liang] Qian Bai Shuang (Lead White Frost) [One liang] Ma Ya Xiao (Mirabilite) [One fen] Mang Xiao (Mirabilite, *Natrii Sulfas*) [One fen]
The above four ingredients are finely ground into a powder. Each dose is one "Yi Zi" (approx. 0.5-1g) measured with a spoon, mixed with cold water and ingested. Effect is immediate upon one dose.
Treatment for pediatric Gan Ke with incessant drinking. Hu Huang Lian San (Coptis Chinensis Powder) Formula:
Hu Huang Lian (Goldthread Rhizome, *Coptis chinensis*) Ge Gen (Kudzu Root, *Pueraria lobata*, sliced) Xuan Shen (Scrophularia Root, *Scrophularia ningpoensis*) Pi Pa Ye (Loquat Leaf, *Eriobotrya japonica*, brushed clean and roasted yellow) Gan Cao (Licorice Root, *Glycyrrhiza uralensis*, roasted, each one fen) Mai Men Dong (Ophiopogon Tuber, *Ophiopogon japonicus*, heart removed and dried, half liang)
The above six ingredients are crushed, sieved into powder. Each dose is one Qian Bi (approx. 3-5g) of powder. Add one cup of water and a little fresh ginger. Decoct until the volume reduces to two-fifths. Strain the dregs, add a little honey, boil for one or two more boils, let cool to warm temperature, and administer.
Treatment for pediatric Gan Ke with sallow complexion and emaciation, insufficient drinking day and night. Long Nao Wan (Borneol Pill) Formula:
Long Nao (Borneol, ground) She Xiang (Musk, ground) Dan Sha (Cinnabar, ground) Niu Huang (Calculus Bovis, ground) Hu Huang Lian (Goldthread Rhizome, *Coptis chinensis*) Xiong Dan (Bear Bile, ground) Lu Hui (Aloeswood, ground) Ding Xiang (Clove, *Syzygium aromaticum*) Mu [Text incomplete, likely Mu Xiang]
The above thirteen ingredients are crushed and ground into fine powder, blended uniformly. Rice paste is used to form pills the size of mung beans. Each dose is three to four pills, taken with Bo He Tang (Peppermint Decoction).
Treatment for pediatric Gan Ke with wasting and emaciation. Long Dan San (Gentiana Powder) Formula:
Long Dan (Gentiana Root, *Gentiana scabra*) Xiong Dan (Bear Bile, ground) Wo Niu (Snail, *Helix aspersa*, roasted until yellow) Lu Hui (Aloeswood, ground) Ye Ming Sha (Stool of Nyctereutes procyonoides, roasted) She Xiang (Musk, ground, each one fen) Qing Dai (Indigo Naturalis, ground)
The above nine ingredients are crushed and ground into powder. Each dose is half a Qian Bi, mixed with Mi Yin (Rice Drink/Decoction). Dosage should be adjusted according to the child's age and size.
Treatment for pediatric Gan Ke with preference for water and dysuria. Yu Jin Tang (Curcuma Decoction) Formula:
Shan Zhi Zi (Gardenia Fruit, *Gardenia jasminoides*, roasted yellow, one liang) Qu Mai (Dianthus Herb, *Dianthus superbus*) Mu Tong (Akebia Stem, *Akebia quinata*, sliced, half liang) Hua Shi (Talcum, ground, one fen) Gan Cao (Licorice Root, *Glycyrrhiza uralensis*, roasted, one liang) Zhu Ye (Bamboo Leaf, *Phyllostachys nigra*)
The above six ingredients are coarsely crushed and sieved. For a two-year-old child, each dose is one Qian Bi of powder. Add one cup of water and a piece of rock sugar the size of a soap bean. Decoct together until the volume reduces to two-fifths. Strain and take warm. Administer twice daily. Adjust dosage according to the child's age and size.
Treatment for pediatric chest obstruction and Gan Ke, cooling the Heart Meridian. Jin Fen Di Huang Gao (Gold Powder Rehmannia Ointment/Pill) Formula:
Yu Jin (Curcuma Tuber, *Curcuma aromatica*, one liang, boiled in Soap Pod water until soft, sliced and dried) Di Huang (Rehmannia Root, *Rehmannia glutinosa*, raw, powdered, half liang) Xiong Huang (Realgar, *As4S4*, water-floated, one fen) Lv Dou Fen (Mung Bean Powder, half liang) Bai Zhu (Atractylodes Rhizome, *Atractylodes macrocephala*)
The above eight ingredients (text lists fewer explicitly but implies combination) are all ground into fine powder. Refined honey is used to form pills the size of soap pods. For a two-year-old, one pill per dose, dissolved in He Ye Bo He Tang (Lotus Leaf and Peppermint Decoction). For a one-year-old, half a pill per dose. Adjust according to the child's age and size.
Treatment for pediatric Gan Ke with incessant drinking. Wu Mei Wan (Mume Pill) Formula:
Wu Mei Rou (Mume Fruit Flesh, *Prunus mume*, roasted) Qian Gen (Madder Root, *Rubia cordifolia*, cleaned) Mu Gua (Chaenomeles Fruit, *Chaenomeles speciosa*, roasted) Ge Gen (Kudzu Root, *Pueraria lobata*, processed, each one liang) Chi Fu Ling (Red Poria, *Poria cocos*, black skin removed, half liang) Ren Shen (Ginseng Root, *Panax ginseng*)
The above eight ingredients (text list appears truncated) are crushed and sieved into powder. Rock sugar is used to bind and form pills the size of soap pods. Each dose is one pill, dissolved and taken with Xin Ji Shui (freshly drawn well water).
Treatment for pediatric Gan Dysentery with persistent thirst. Hu Fen Wan (White Lead Pill) Formula:
Hu Fen (White Lead Powder, *Basic Lead Carbonate*, ground, half liang) Ji Zi (Chicken Egg, one)
Take the chicken egg, break the top open to the size of a coin eye. Put starch powder inside the shell. Seal the opening with paper. Place in a pot with one sheng of water. Cook slowly over low heat until done. Remove and peel the shell. Feed the child portions the size of Sophora seeds. Administer three to five times a day. Adjust dosage according to the child's age and size.
Treatment for pediatric Gan Ke with irregular diarrhea, sallow complexion, emaciation, and anorexia. Di Gu Pi Wan (Cortex Lycii Pill) Formula:
Di Gu Pi (Cortex Lycii, *Lycium barbarum*) Long Dan (Gentiana Root, *Gentiana scabra*) Huang Qin (Scutellaria Root, *Scutellaria baicalensis*, remove black heart) Zhi Ke (Aurantium Fruit, *Citrus aurantium*, pulp removed, bran-roasted) Mu Xiang (Vladimiria Root, *Vladimiria souliei*) Chi Shao Yao (Red Peony Root, *Paeonia lactiflora*) Zhu Ling (Polyporus, *Poria cocos*, black skin removed) Hai Ge (Clam Shell, *Arca inflata*)
The above twelve ingredients are crushed and sieved into powder. Refined honey is used to form pills the size of mung beans. Each dose is five to seven pills, taken with warm water. Stop if mild diarrhea occurs. Adjust dosage according to the child's age and size.
Treatment for persistent pediatric Gan Ke, acute and chronic convulsions (Jing Feng), phlegm-saliva in the chest and diaphragm, Tian Gan Feng. All are treated. Chan Su Wan (Toad Venom Pill) Formula:
Chan Su (Toad Venom, *Bufonis Venenum*) She Xiang (Musk, ground) Xi Jiao (Rhinoceros Horn, *Rhinocerotis Cornu*, shaved) Niu Huang (Calculus Bovis, ground) Dan Sha (Cinnabar, ground) Lu Hui (Aloeswood, ground) Tian Zhu Huang (Bambusa Textile Tuber, *Bambusa textilis*, each half liang) Yi Zhi Ren (Alpinia Oxyphylla Fruit, *Alpinia oxyphylla*, roasted)
The above eleven ingredients are crushed and ground into powder. Pig bile is used to bind and form pills the size of rice grains. Coat with Cinnabar. Each dose is five to seven pills, taken with decocted Bo He Tang (Peppermint Decoction). For convulsions, grind Jian Dao Gu (Herba Siegesbeckiae) and take with Bo He Tang. For slow convulsions, take with Jing Jie Tang (Schizonepeta Decoction). For Gan Qi, take with She Xiang Tang (Musk Decoction). For convulsive spasms with upward gaze, dissolve in Jin Yin Jiu (Silver Gold Wine). This medicine also benefits the chest and diaphragm, resolves phlegm, suppresses accumulated heat in the Heart, regulates Qi, promotes milk intake and appetite, and treats various pediatric diseases. Adjust dosage according to the child's age and size.
Treatment for pediatric pre-existing Gan Qi, Heat Obstruction in Heart and Lungs, internal fluid depletion, and persistent irritability/thirst. Ren Shen San (Ginseng Powder) Formula:
Ren Shen (Ginseng Root, *Panax ginseng*) Bai Fu Ling (White Poria, *Poria cocos*, black skin removed, each one liang) Ge Gen (Kudzu Root, *Pueraria lobata*, sliced, two liang) Mu Xiang (Vladimiria Root, *Vladimiria souliei*) Huo Xiang Ye (Agastache Leaf, *Agastache rugosa*) Gan Cao (Licorice Root, *Glycyrrhiza uralensis*, roasted, each one fen)
The above six ingredients are crushed and sieved into fine powder. Each dose is one Qian Bi. Add half a cup of water. Decoct for three to five boils. Take warm.
Treatment for persistent pediatric Gan Ke, regulating the Middle Jiao and tonifying deficiency. Cao Dou Kou San (Grass Cardamom Powder) Formula:
Cao Dou Kou (Grass Cardamom Seed, *Amomum tsao-ko*, used with skin, five fruits) Ren Shen (Ginseng Root, *Panax ginseng*) Bai Fu Ling (White Poria, *Poria cocos*, black skin removed) Fang Feng (Saposhnikovia Root, *Saposhnikovia divaricata*, twigs removed) Huo Xiang (Agastache, *Agastache rugosa*, each half liang) Chen Ju Pi (Aged Tangerine Peel, *Citrus reticulata*, white pith removed and dried, one fen)
The above six ingredients are crushed and sieved into powder. Each dose is one Qian Bi, mixed with Ginger Mi Yin (Ginger Rice Decoction). Adjust dosage according to the child's age and size.
Treatment for long-standing pediatric Gan disease with excessive thirst and aversion to milk/food. Da Zao Tang (Jujube Decoction) Formula:
Da Zao (Jujube Fruit, *Ziziphus jujuba*, pit removed and dried) Ren Shen (Ginseng Root, *Panax ginseng*) Bai Zhu (Atractylodes Rhizome, *Atractylodes macrocephala*) Bai Fu Ling (White Poria, *Poria cocos*, black skin removed) Chen Qu (Fermented Wheat, *Medicated Leaven*, roasted, each one liang) Gan Cao (Licorice Root, *Glycyrrhiza uralensis*, roasted) Tan Xiang (Sandalwood, *Santalum album*, sliced)
The above seven ingredients are coarsely crushed and sieved. For a one-year-old, each dose is one Qian Bi. Add half a cup of water and one split jujube. Decoct until the volume reduces to three-tenths. Strain and take warm. Three times daily. Adjust dosage according to the child's age and size.
Treatment for pediatric Gan Dysentery with thirst. Chun Gen Bai Pi (Corktree Bark)
One ingredient. Sun-dry and grind into powder. Cook millet into a paste. Mix with the powder to form pills the size of mung beans. Each dose is five pills. If there is fissuring in the lower orifice (anus), frequently blow the dry powder onto the affected area.