论曰小儿疳疾，皆以肥甘而得之，故名诸疳。五脏所受，各各不同。在肝为风疳，其
状摇头揉目，白膜遮睛，色青黄，毛焦发立。筋青脑热，复面而卧。腹有积聚，时下痢，身
体自汗。久不愈，转加羸瘦。是为肝疳，若目睛带青脉。左胁下硬。吐涎、眼角有黑气者，
不可治。在心为惊疳，其状浑身壮热，吐痢无常。颊赤面黄。胸膈烦满，鼻干心躁，口舌生
疮。时有盗汗，或发虚惊。久不愈，则下痢脓血，是为心疳。若惊啼多渴，偏食辛味，耳边
有脉，舌上有黑靥者。不可治，在脾为食疳，其状腹多筋脉，啼促气粗，乳食不多。心腹胀
满。多啼咳逆，面色萎黄，骨立毛焦。形枯力劣，胸膈壅闷。乳食难消，肠胃不和。下痢酸
，鼻干口燥，爱暗憎明，情意不佳，好吃泥土，是为脾疳。若腹大唇无血色。人中平满，
下痢不禁，皮枯骨露者，不可治。在肺为气疳，其状咳嗽气逆，皮毛干焦。饶涕多啼，咽喉
不利。揉鼻咬甲，壮热憎寒，口鼻生疮，唇边赤痒，腹中气胀。食减下痢，皮上粟起。是为
肺疳，若咳逆气促。下痢白沫，身有斑纹。黑色如粟米者，不可治。在肾为急疳，其状肌骨
消瘦。齿龈生疮，逢寒遇热，则鼻干口燥。脑热如火，脚冷如冰。食少吐逆，时或下痢。下
部生疮，肛门脱出，是为肾疳。若嗜酸咸，饮乳无度。小便白浊，牙齿青黑，耳脑干燥，肩
耸骨枯者，不可治。凡此五疳，又有五绝之候，一掐着脚中趾底不觉疼，二抱着手足垂
无力。三病未退，遍身不暖，四脏腑泻青涎及沫、不止。五项筋舒展无力，如此皆不可治
也，五疳之外，随十二经脉血气所受，变状不一，故曰诸疳。
治小儿二十四种疳。熊胆散方
熊胆 牛黄 雄黄 五灵脂 丹砂 麝香（各半两） 蚺蛇胆（以上细研） 黄连（去
须）
干蝎（去土） 天麻 蜗牛（炒） 马兜铃根（干者） 大黄（锉碎炒各一分）
上一十三味，熊胆等七味。研令如粉，黄连等六味，捣罗为散，再同研令极细，每服一
字至半钱匕，用米饮调下，早晨午间临卧各一服，量儿大小加减服之。或以蜜为丸，如麻子
大，每服三丸至五丸。
治小儿五疳。无食子丸方
无食子（三枚大者煨熟用） 牛黄（研） 麝香（研） 丁香 雄黄（研水飞） 青黛
（研） 木
香丹砂（研水飞各一分） 蟾酥（三片如柳叶大焙过研） 熊胆（半两研） 蜗牛壳（干
者去土
二十枚）
上一十一味，捣研为末。更同研令细，水浸蒸饼为丸。如黍米大，一二岁儿临卧，乳汁
下一丸，三四岁二丸，五六岁三丸，七八岁五丸，米饮下，亦得，日再服之。
治小儿五疳羸瘦，腹胀下利。不思饮食。使君子丸方
使君子（用水和生面裹炮以面熟为度只取使君子用） 丁香 无食子 熊胆（研） 胡
黄连 夜明砂（微炒） 青黛（研） 肉豆蔻仁 黄连（去须微炒） 芦荟（研各一两） 蟾
头（干者一
枚炙黄） 蟾酥（一皂子大） 麝香（一钱研） 龙脑（半钱研）
上一十四味，捣研为细末。拌令匀。湿纸裹粟米烧饭和丸。如麻子，每三岁服五丸至七
丸。用温米饮下，日三服，不计时候，大小以意加减。
治小儿疳气。芦荟丸方
芦荟（研） 钩藤（别捣末各一两） 雄黄 青黛（各半两研） 蟾酥（研） 熊胆（研）
麝香
（研三味各一分）
上七味，同研匀。入猪胆汁和丸。如绿豆大，每日空心临卧，煎荆芥汤下三丸至五丸。
二岁以下两丸。
治小儿疳气。虾蟆煎丸方
虾蟆（一枚用头炙黄为末） 胡黄连 地龙（去土炒） 木香（各一分） 肉豆蔻（一
枚去壳） 麝香（研） 黄连（去须各一钱半） 夜明沙 白芜荑（各一钱为末） 丹砂（二
钱研）
上一十味，用虾蟆芜荑末， 猪胆二枚，法酒一盏，煎成膏，和其余药末为丸，如粟米
大，每服五丸至七丸，米饮下，日三两服。
治小儿一切疳。四胆丸方
龙胆（去土） 虎胆 熊胆（研） 猪胆 芦荟（研） 麝香（研） 白矾（灰） 荆
芥穗（各一
分）
上八味，捣研为末，先取东引石榴根半斤锉碎，以水三碗。煮至半碗去滓，以慢火煎如
膏。下诸药末，又熬令可丸。即丸如绿豆大，用瓷器收之，如遇诸疳有虫，或揩鼻眼。手剜
指甲，及下部者，取一丸。以荆芥汤化为汁，候儿睡后，点少许于鼻中、脑上、十指、下部
。虫闻药气，皆化为水。
治小儿一切疳，吹鼻。青黛散方
青黛（研） 细辛（去苗叶各半两） 瓜蒂 麝香（研） 地龙（微炒） 芦荟（研） 黄
连（去
须各一分）
上七味，捣研为细散，每用少许。吹鼻中，得嚏喷多，即易治，嚏喷少难治，不嚏喷不
可治。
治小儿五疳，心脏惊疳，肝脏风疳，肺脏气疳，脾脏滑疳，肾脏急疳。皆治之，常服。
金蟾丸方
蟾酥（一字） 胡黄连 使君子 熊胆（研各一分） 木香（一钱） 麝香（研少许） 牛
黄（
研半钱） 丹砂（研二钱飞） 大黄（半两） 虎睛（研一对）
上一十味，捣研为末，烧粟米饭，丸如麻子大，荆芥汤下三丸，至五丸。量儿大小加减
服之。
治小儿一切疳，脑闷昏沉，宜先用。吹鼻散方
青黛（研） 踯躅花（各一分） 黄连（去须） 瓜蒂 地龙（微炒） 麝香（研各半
分）
上六味，捣研为细散，每用少许。吹在鼻中，看嚏喷多少，嚏喷多即病轻，嚏喷少即病
重。
治小儿疳气，面黄肌瘦，发热多困，好吃泥土， 眉咬甲，时好伏地。香蟾丸方
干蟾（一枚炙焦） 麝香（研半钱） 胡黄连（半两） 丹砂（研） 牛黄（研） 蛇
蜕（烧灰）
雄黄（研） 天竺黄（研） 熊胆（研） 蝉蜕（炙各一分） 天仙子（半合水浸出芽子为
度焙干为
细末） 肉豆蔻（一枚去壳）
上一十二味，捣研为细末，糯米饭和为丸。如黄米大，每服七丸至十丸，米饮下，不拘
时候，一日三服。
治小儿疳气，身体壮热，毛发焦黄，目常有泪，满口生疮，脚手细弱，腹胁胀满，好吃
泥土。使君子丸方
使君子（去皮） 夜明沙（炒） 白芜荑（炒各半两） 胡黄连（一两） 麝香（半钱
研） 细辛
（去苗叶） 芦荟（研） 雄黄（研） 蟾酥 槟榔（锉） 蝉蜕（去翅足炒各一分） 蜗
牛（十枚）
干虾蟆（二枚用温水洗去肠肚恶物并骨爪后慢火炙黄色为度捣罗为末用酒一升同熬成膏）
上一十三味，除虾蟆外，捣研为细末。入膏子和为丸，如麻子大，每服五丸至七丸。米
饮下，不拘时候，一日三服。
治小儿脑脊疳，口生白疮，齿疳并诸般疳疾，悉主之。熊胆膏方
熊胆 蚺蛇胆 芦荟 牛黄 麝香 龙脑（各一分）
上六味，并研如粉，用新汲水两盏，入药末搅令匀。以瓷器盛，重汤煮之。水只可及瓷
器五分以来。慢火煮，旋添暖水，煮至半日，更投三五粒粳米同煮。米烂药即成，以篦子搅
令匀，勿令药干，欲点鼻中时，先七日孩子与乳母，忌生冷酱豉五辛热面鱼肉，并少食盐，
然后取药少许，渐渐吹鼻中，及涂口疮上、频使。两日即停一日，看儿发变青即止，至七度
停药后，还须慎口。
治小儿一切疳病。鹤虱丸方
鹤虱（轻炒） 胡黄连 芦荟（研） 丹砂（研各一分） 青黛（研三分）
上五味，捣研为末，更入乳钵内。研令细，用米泔煮猪胆令熟。取汁和为丸，如麻子大
，每服三丸至五丸，米饮下，早晨午间日晚各一服，量儿大小加减。
治小儿五疳瘦弱，不思乳食。黄连猪胆丸方
黄连（去须） 芦荟（研） 芜荑 青黛（研） 槟榔（锉各一分） 蝉蜕（二十一个
去土） 胡
黄连（半两） 麝香（研半钱）
上八味，捣研为末。以猪胆丸如麻子大，每服五七丸，量儿加减，米饮下。
治一切疳气。青金定命丸方
胡黄连（一两为末） 芦荟（研） 青黛（研各三分） 肉豆蔻（二枚去壳为末） 诃
黎勒（五
枚煨去核为末） 槟榔（一枚为末） 麝香（研） 丹砂（研） 密陀僧（为末） 木香（为
末） 丁
香（为末各半两） 红雪（研） 鹤虱（为末各一分）
上一十三味，再同研令匀，用酒煎 猪胆膏，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。
治五疳，杀虫化食，长肌肉，退风热。青黛丸方
青黛（别研留一半为衣） 使君子（肉） 槟榔（锉） 夜明砂 白芜荑（醋炒令紫各
半两）
蛇蜕（一条炙） 肉豆蔻（面裹煨去壳一分） 巴豆（半分用麸炒令紫去壳别研） 麝香（一
钱研） 黄连（去须炒一分半） 虾蟆（一枚酒浸炙令黄紫色去骨）
上一十一味，先研巴豆令细，次用猪胆一枚取汁，同研令匀，旋入其余药末，搜和为丸。
如未就，更用少软饭，再研得所。丸如麻子大，每服三岁以下者一丸，五岁两丸，十岁三
丸，食后用熟水下，日三服。如风热大便涩。用葱汤下五丸至七丸。以通利为度。
治小儿诸疳，常服杀疳虫。天浆子丸方
天浆子（七枚去壳） 青黛（研） 乌蛇（酒浸去骨炙热） 丹砂（研） 麝香（研各
一分） 葶
苈（隔纸炒过） 龙脑（研） 雄黄（研） 腻粉（各半分） 白附子（炮） 独角仙（去
翅足炙各一
枚） 干蝎（五枚炒） 蝉蜕（十枚去足） 蟾酥（一分）
上一十四味，各捣研为末。用生猪胆为丸。如黄米大，每服一粒，早晨日晚各一服。
治小儿五疳。胡黄连丸方
胡黄连 蛤蚧（酥炙） 牛黄（研） 犀角屑 天麻 人参 肉豆蔻仁 大黄（研细炒
各半
两） 雄黄（研如粉一分）
上九味，捣研为末。炼蜜为丸。如麻子大，每服五丸。空心午后各一服，温水下。
治小儿诸疳壮热。黄连丸方
黄连（去须） 黄柏（去粗皮） 甘草（炙锉） 青橘皮（去白焙各等分）
上四味，捣罗为细末。研麝香少许和匀。入 猪胆内。用线系定。于石器内，浆水煮
五七沸，取出当风挂一宿，去胆皮研熟，丸如绿豆大，每服五七丸，米饮下，渐加至十丸。
治小儿诸疳诸痢。食伤气胀，头大体羸。头发作穗，壮热不食多困，齿烂鼻疮，丁奚潮
热等疾。牛黄煎方
虾蟆（一枚去皮骨肠胃炙焦捣末以无灰酒一盏 猪胆一枚取汁同熬成膏） 诃黎勒皮（
炮） 使君子（去壳） 胡黄连 蝉蜕 无食子 芦荟（研） 芜荑仁 熊胆（研） 夜明
砂丹
砂（研） 雄黄（研） 木香（各一分） 肉豆蔻（去壳春夏半分秋冬一分） 牛黄（研二
钱） 麝
香（研一钱） 龙脑（半钱）
上一十七味，捣研十六味为末。入前膏，丸如麻子大，每服五七丸。米饮下，惊疳、金
银薄荷汤下，干疳腹胀、桃仁 香汤下，疳虫、东引石榴苦楝根汤下，此丸尤治疳痢，若挟
热而痢者，不可服。
治小儿诸疳，肢体羸弱。脏腑虚滑，不思乳食。三和丸方
胡黄连（一两） 木香（半两） 麝香（研一钱）
上三味，捣研为细末，面糊和丸。如麻子大，一二岁每服十丸，温粥饮下，日三。
Commentary states: Pediatric gan disease (a wasting disorder in children) arises from excessive consumption of rich and sweet foods, hence the name "various gans." The involvement of the five zang organs varies. When affecting the Liver, it is termed Wind Gan (Liver Gan), characterized by head shaking and eye rubbing, a white membrane obscuring the pupils, greenish-yellow complexion, dry and erect hair, visible tendons, heat in the brain, a preference for lying on one's side, abdominal masses, frequent diarrhea, spontaneous sweating, and progressive emaciation if untreated. This is Liver Gan. If the eyeballs appear blue, the left hypochondrium is hard, there is vomiting of saliva, and black qi at the corners of the eyes, it is incurable. When affecting the Heart, it is termed Startled Gan (Heart Gan), characterized by high fever throughout the body, irregular vomiting and diarrhea, red cheeks with a sallow face, chest and diaphragm fullness and irritability, dry nose, mental restlessness, sores in the mouth and tongue, occasional night sweats, or false fright. If untreated, it progresses to dysentery with pus and blood, which is Heart Gan. If accompanied by frequent startled crying, excessive thirst, preference for pungent flavors, visible pulses behind the ears, and black spots on the tongue, it is incurable. When affecting the Spleen, it is termed Food Gan (Spleen Gan), characterized by visible abdominal veins, rapid and coarse crying, poor milk/food intake, chest and abdominal distension, frequent crying and coughing with rebellious qi, sallow complexion, skeletal thinness with dry hair, withered form and weak strength, chest and diaphragm congestion and stuffiness, indigestion, disharmony of the intestines and stomach, sour-smelling diarrhea, dry nose and mouth, preference for darkness over light, poor mood, and pica (eating dirt). This is Spleen Gan. If accompanied by a distended abdomen, colorless lips, a flat philtrum, incontinence of diarrhea, dry skin, and exposed bones, it is incurable. When affecting the Lung, it is termed Qi Gan (Lung Gan), characterized by coughing and rebellious qi, dry and scorched skin and hair, profuse nasal discharge with frequent crying, throat discomfort, nose rubbing and nail biting, high fever with aversion to cold, sores in the mouth and nose, red and itchy lips, abdominal bloating, reduced appetite with diarrhea, and millet-like rashes on the skin. This is Lung Gan. If accompanied by coughing with shortness of breath, white frothy diarrhea, and black rice-grain-sized spots on the body, it is incurable. When affecting the Kidney, it is termed Urgent Gan (Kidney Gan), characterized by muscle and bone emaciation, sores on the gums, dry nose and mouth upon exposure to cold or heat, burning heat in the brain, ice-cold feet, poor intake with vomiting and rebellious qi, occasional diarrhea, sores in the lower body, and rectal prolapse. This is Kidney Gan. If accompanied by craving for sour and salty flavors, uncontrolled milk drinking, turbid white urine, blackish teeth, dry ears and brain, shoulder shrugging, and skeletal withering, it is incurable. These five gans have five signs of terminal prognosis: 1. No pain when pinching the sole of the middle toe; 2. Limp limbs when held; 3. Body remains cold despite illness; 4. Continuous passage of green saliva and foam from the viscera; 5. Stiff neck and tendons with weakness. All such cases are incurable. Beyond these five gans, variations occur according to the twelve meridians and qi-blood pathogenesis, hence the term "various gans."
Formula for Bear Gallbladder Powder (Xiong Dan San) for treating twenty-four types of pediatric gan:
Bear gallbladder (Xiong Dan), Calculus Bovis (Niu Huang), Realgar (Xiong Huang), Trogopterus Dung (Wu Ling Zhi), Cinnabar (Dan Sha), Moschus (She Xiang) (each 0.5 liang), Python gallbladder (Ran She Dan) (all finely ground above), Coptis Rhizome (Huang Lian) (remove stamens), Dry Scorpion (Gan Xie) (remove soil), Gastrodia Rhizome (Tian Ma), Snail (Wo Niu) (stir-fried), Aristolochia Root (Ma Dou Ling Gen) (dried), Rhubarb (Da Huang) (cut into pieces and stir-fried, each 1 fen).
The above thirteen ingredients: Grind the first seven (Bear gallbladder etc.) into powder. Pound and sieve the latter six (Coptis etc.) into a powder. Mix and grind extremely fine. Take 1 zi to half qian bi, mixed with rice water. Administer once in the morning, noon, and before bed. Adjust dosage based on age. Alternatively, make honey pills the size of hemp seeds. Take 3-5 pills per dose.
Formula for Wushi Zi Pill (Wushi Zi Wan) for treating five types of pediatric gan:
Diospyros Fruit (Wushi Zi) (three large ones, roasted熟), Calculus Bovis (Niu Huang) (ground), Moschus (She Xiang) (ground), Clove Ding (Ding Xiang), Realgar (Xiong Huang) (ground and floated in water), Indigo Naturalis (Qing Dai) (ground), Aucklandia Root (Mu Xiang), Cinnabar (Dan Sha) (ground and floated in water, each 1 fen), Toad Venom (Chan Su) (three willow-leaf sized slices, baked and ground), Bear Gallbladder (Xiong Dan) (0.5 liang, ground), Snail Shell (Wo Niu Ke) (dried, soil removed, 20 pieces).
The above eleven ingredients: Pound and grind into powder. Mix finely. Make pills with steamed dough soaked in water, size of millet grains. For 1-2 years old, give 1 pill with milk before bed. For 3-4 years, 2 pills. For 5-6 years, 3 pills. For 7-8 years, 5 pills. Can also use rice water. Twice daily.
Formula for Shi Jun Zi Pill (Shi Jun Zi Wan) for treating pediatric gan with emaciation, abdominal distension, diarrhea, and anorexia:
Quisqualis Fruit (Shi Jun Zi) (wrapped in raw dough with water and roasted until dough is cooked, use only the fruit), Clove Ding (Ding Xiang), Diospyros Fruit (Wushi Zi), Bear Gallbladder (Xiong Dan) (ground), Picrorhiza Rhizome (Hu Huang Lian), Phalaenopsis Feces (Ye Ming Sha) (lightly stir-fried), Indigo Naturalis (Qing Dai) (ground), Nutmeg Kernel (Rou Dou Kou Ren), Coptis Rhizome (Huang Lian) (remove stamens, lightly stir-fried), Aloe (Lu Hui) (ground, each 1 liang), Toad Head (Chan Tou) (dried, one piece, roasted yellow), Toad Venom (Chan Su) (size of a soap bean), Moschus (She Xiang) (1 qian, ground), Borneol (Long Nao) (0.5 qian, ground).
The above fourteen ingredients: Pound and grind into fine powder. Mix evenly. Wrap in wet paper and steam with millet rice to make pills, size of hemp seeds. For every three years of age, take 5-7 pills. Take with warm rice water. Three times daily, anytime. Adjust based on size.
Formula for Aloe Pill (Lu Hui Wan) for treating pediatric gan qi:
Aloe (Lu Hui) (ground), Uncaria Ramulus cum Uncis (Gou Teng) (separately ground into powder, each 1 liang), Realgar (Xiong Huang), Indigo Naturalis (Qing Dai) (each 0.5 liang, ground), Toad Venom (Chan Su) (ground), Bear Gallbladder (Xiong Dan) (ground), Moschus (She Xiang) (ground, these three each 1 fen).
The above seven ingredients: Grind uniformly. Mix with pig bile to make pills, size of mung beans. Take 3-5 pills on an empty stomach and before bed with decoction of Schizonepeta Spike (Jing Jie). Two pills for under two years old.
Formula for Toad Decoction Pill (Xia Ma Jian Wan) for treating pediatric gan qi:
Toad (Xia Ma) (one piece, head roasted yellow and ground), Picrorhiza Rhizome (Hu Huang Lian), Earthworm (Di Long) (remove soil and stir-fried), Aucklandia Root (Mu Xiang) (each 1 fen), Nutmeg (Rou Dou Kou) (one piece, remove shell), Moschus (She Xiang) (ground), Coptis Rhizome (Huang Lian) (remove stamens, each 1.5 qian), Phalaenopsis Feces (Ye Ming Sha), White Melia Seed (Bai Wu Ti) (each 1 qian, ground), Cinnabar (Dan Sha) (2 qian, ground).
The above ten ingredients: Use the powders of Toad and White Melia Seed. Add two pig gallbladders and one cup of medicinal wine. Decoct into a paste. Mix with other powders to make pills, size of millet grains. Take 5-7 pills with rice water. Two to three times daily.
Formula for Four Gallbladders Pill (Si Dan Wan) for treating all pediatric gan:
Gentian Root (Long Dan) (remove soil), Tiger Gallbladder (Hu Dan), Bear Gallbladder (Xiong Dan) (ground), Pig Gallbladder (Zhu Dan), Aloe (Lu Hui) (ground), Moschus (She Xiang) (ground), Alum (Bai Fan) (ash processed), Schizonepeta Spike (Jing Jie Sui) (each 1 fen).
The above eight ingredients: Pound and grind into powder. First, take half a jin of east-growing Pomegranate Root (Shi Liu Gen), cut into pieces, add three bowls of water, boil down to half a bowl, strain. Decoct slowly into a paste. Add drug powders and boil until pillable. Make pills size of mung beans. Store in porcelain. For gan with parasites or involving nose/eyes/fingers/lower body: Take one pill, dissolve in Jing Jie decoction. After child sleeps, apply a little to nose, forehead, ten fingers, and lower body. Parasites dissolve upon smelling the medicine.
Formula for Qing Dai Powder (Qing Dai San) for blowing into nose for all pediatric gan:
Indigo Naturalis (Qing Dai) (ground), Asarum Root (Xi Xin) (remove leaves/stems, each 0.5 liang), Trichosanthes Fruit (Gua Di), Moschus (She Xiang) (ground), Earthworm (Di Long) (lightly stir-fried), Aloe (Lu Hui) (ground), Coptis Rhizome (Huang Lian) (remove stamens, each 1 fen).
The above seven ingredients: Pound and grind into fine powder. Apply a small amount into the nose. Frequent sneezing indicates easier treatment; less sneezing indicates harder treatment; no sneezing indicates incurable.
Formula for Golden Toad Pill (Jin Chan Wan) for treating five types of pediatric gan (Heart Startled Gan, Liver Wind Gan, Lung Qi Gan, Spleen Slippery Gan, Kidney Urgent Gan):
Toad Venom (Chan Su) (1 zi), Picrorhiza Rhizome (Hu Huang Lian), Quisqualis Fruit (Shi Jun Zi), Bear Gallbladder (Xiong Dan) (ground, each 1 fen), Aucklandia Root (Mu Xiang) (1 qian), Moschus (She Xiang) (ground, small amount), Calculus Bovis (Niu Huang) (ground, 0.5 qian), Cinnabar (Dan Sha) (ground, 2 qian floated), Rhubarb (Da Huang) (0.5 liang), Tiger Eye (Hu Jing) (ground, one pair).
The above ten ingredients: Pound and grind into powder. Mix with roasted millet rice to make pills size of hemp seeds. Take 3-5 pills with Jing Jie decoction. Adjust based on age.
Formula for Blowing Nose Powder for pediatric gan with cerebral stuffiness and drowsiness:
Indigo Naturalis (Qing Dai) (ground), Datura Flower (Zhi Zhu Hua) (each 1 fen), Coptis Rhizome (Huang Lian) (remove stamens), Trichosanthes Fruit (Gua Di), Earthworm (Di Long) (lightly stir-fried), Moschus (She Xiang) (ground, each 0.5 fen).
The above six ingredients: Pound and grind into fine powder. Apply a small amount into the nose. Frequent sneezing indicates mild disease; less sneezing indicates severe disease.
Formula for Fragrant Toad Pill (Xiang Chan Wan) for pediatric gan qi with sallow face, emaciation, fever, fatigue, pica, eyebrow/nail biting, and prone posture:
Dry Toad (Gan Chan) (one piece, roasted charred), Moschus (She Xiang) (ground, 0.5 qian), Picrorhiza Rhizome (Hu Huang Lian) (0.5 liang), Cinnabar (Dan Sha) (ground), Calculus Bovis (Niu Huang) (ground), Snake Slough (She Tui) (burned to ash), Realgar (Xiong Huang) (ground), Himalayan Mint (Tian Zhu Huang) (ground), Bear Gallbladder (Xiong Dan) (ground), Cicada Slough (Chan Tui) (roasted, each 1 fen), Henbane Seed (Tian Xian Zi) (half he soaked in water until sprouted, dried and ground fine), Nutmeg (Rou Dou Kou) (one piece, remove shell).
The above twelve ingredients: Pound and grind into fine powder. Mix with glutinous rice flour to make pills size of yellow millet. Take 7-10 pills with rice water. Anytime, three times daily.
Formula for Quisqualis Pill (Shi Jun Zi Wan) for pediatric gan qi with high fever, scorched hair, watery eyes, oral ulcers, weak limbs, abdominal/flank distension, and pica:
Quisqualis Fruit (Shi Jun Zi) (peeled), Phalaenopsis Feces (Ye Ming Sha) (stir-fried), White Melia Seed (Bai Wu Ti) (stir-fried, each 0.5 liang), Picrorhiza Rhizome (Hu Huang Lian) (1 liang), Moschus (She Xiang) (0.5 qian, ground), Asarum Root (Xi Xin) (remove leaves/stems), Aloe (Lu Hui) (ground), Realgar (Xiong Huang) (ground), Toad Venom (Chan Su), Areca Seed (Bing Lang) (cut), Cicada Slough (Chan Tui) (remove wings/legs, stir-fried, each 1 fen), Snail (Wo Niu) (10 pieces), Dry Toad (Gan Xia Ma) (two pieces, washed clean, slow-roasted yellow, pounded to powder, boiled with one sheng of wine into paste).
The above thirteen ingredients: Except for the toad paste, pound and grind others into fine powder. Mix with paste to make pills size of hemp seeds. Take 5-7 pills with rice water. Anytime, three times daily.
Formula for Bear Gallbladder Ointment (Xiong Dan Gao) for pediatric brain/spinal gan, oral white ulcers, dental gan, and various gan diseases:
Bear Gallbladder (Xiong Dan), Python Gallbladder (Ran She Dan), Aloe (Lu Hui), Calculus Bovis (Niu Huang), Moschus (She Xiang), Borneol (Long Nao) (each 1 fen).
The above six ingredients: Grind into powder. Add two cups of fresh water, mix well. Store in porcelain. Double-boil. Water level should not exceed 1/5 of vessel height. Boil slowly, adding warm water as needed. After half a day, add 3-5 japonica rice grains. When rice is soft, medicine is ready. Stir evenly, do not let dry. Seven days prior to use, mother and child must avoid cold/raw foods, soy sauce, fermented beans, five pungent spices, hot noodles, fish/meat, and reduce salt. Then, gradually blow small amount into nose and apply to oral ulcers frequently. Stop every two days. Stop after hair turns green. After seven treatments, maintain dietary caution.
Formula for Carpesium Pill (He Shi Wan) for all pediatric gan:
Carpesium Fruit (He Shi) (lightly stir-fried), Picrorhiza Rhizome (Hu Huang Lian), Aloe (Lu Hui) (ground), Cinnabar (Dan Sha) (ground, each 1 fen), Indigo Naturalis (Qing Dai) (ground, 3 fen).
The above five ingredients: Pound and grind into powder. Further grind in mortar. Cook pig gallbladder in rice wash water until ripe. Take juice to make pills size of hemp seeds. Take 3-5 pills with rice water. Morning, noon, evening. Adjust based on age.
Formula for Coptis Pig Gallbladder Pill (Huang Lian Zhu Dan Wan) for pediatric five gan with emaciation and anorexia:
Coptis Rhizome (Huang Lian) (remove stamens), Aloe (Lu Hui) (ground), Melia Seed (Wu Ti), Indigo Naturalis (Qing Dai) (ground), Areca Seed (Bing Lang) (cut, each 1 fen), Cicada Slough (Chan Tui) (21 pieces, remove soil), Picrorhiza Rhizome (Hu Huang Lian) (0.5 liang), Moschus (She Xiang) (ground, 0.5 qian).
The above eight ingredients: Pound and grind into powder. Make pills with pig bile size of hemp seeds. Take 5-7 pills. Adjust based on size. Rice water delivery.
Formula for Blue Gold Life-Determining Pill (Qing Jin Ding Ming Wan) for all gan qi:
Picrorhiza Rhizome (Hu Huang Lian) (1 liang, powder), Aloe (Lu Hui) (ground), Indigo Naturalis (Qing Dai) (ground, each 3 fen), Nutmeg (Rou Dou Kou) (two pieces, remove shell, powder), Chebula Fruit (He Li Le) (five pieces, roasted, remove pit, powder), Areca Seed (Bing Lang) (one piece, powder), Moschus (She Xiang) (ground), Cinnabar (Dan Sha) (ground), Lead Monoxide (Mi Duo Seng) (powder), Aucklandia Root (Mu Xiang) (powder), Clove Ding (Ding Xiang) (powder, each 0.5 liang), Red Snow (Hong Xue) (ground), Carpesium Fruit (He Shi) (powder, each 1 fen).
The above thirteen ingredients: Grind uniformly. Decoct pig gallbladder with wine into paste. Make pills size of mung beans. Take 5-7 pills. Milk gan with aged tea; Qi gan with Clove decoction; Brain gan with Coptis decoction; Lung gan with Tangerine Peel decoction; Urgent gan with Dried Bamboo Shoot decoction; Food gan with Ginger decoction; Spleen gan with Jujube decoction; Liver gan with Salt water.
Formula for Indigo Pill (Qing Dai Wan) for five gan, killing parasites, digesting food, building muscle, clearing wind-heat:
Indigo Naturalis (Qing Dai) (separately ground, save half for coating), Quisqualis Fruit (Shi Jun Zi) (flesh), Areca Seed (Bing Lang) (cut), Phalaenopsis Feces (Ye Ming Sha), White Melia Seed (Bai Wu Ti) (vinegar-stir-fried until purple, each 0.5 liang), Snake Slough (She Tui) (one strip, roasted), Nutmeg (Rou Dou Kou) (flour-wrapped roasted, remove shell, 1 fen), Croton Seed (Ba Dou) (0.5 fen, bran-roasted until purple, remove shell, separately ground), Moschus (She Xiang) (1 qian, ground), Coptis Rhizome (Huang Lian) (remove stamens, stir-fried, 1.5 fen), Toad (Xia Ma) (one piece, wine-soaked roasted until yellow-purple, remove bones).
The above eleven ingredients: First grind Croton finely. Take juice from one pig gallbladder, mix with Croton. Gradually add other powders. Knead into pills. If too sticky, add soft rice. Make pills size of hemp seeds. Under 3 years: 1 pill. 5 years: 2 pills. 10 years: 3 pills. After meals with cooked water. Three times daily. For wind-heat with constipation, use Scallion decoction, 5-7 pills. Aim for bowel movement.
Formula for Heavenly Pulp Pill (Tian Jiang Zi Wan) for pediatric gan, long-term use to kill gan parasites:
Heavenly Pulp (Tian Jiang Zi) (seven pieces, remove shell), Indigo Naturalis (Qing Dai) (ground), Black Snake (Wu She) (wine-soaked, remove bone, roasted hot), Cinnabar (Dan Sha) (ground), Moschus (She Xiang) (ground, each 1 fen), Lepidium Seed (Ting Li) (stir-fried through paper), Borneol (Long Nao) (ground), Realgar (Xiong Huang) (ground), Calomelas (Ni Fen) (each 0.5 fen), Typhonium Rhizome (Bai Fu Zi) (processed), Hercules Beetle (Du Jiao Xian) (remove wings/legs, roasted, each one piece), Dry Scorpion (Gan Xie) (five pieces, stir-fried), Cicada Slough (Chan Tui) (ten pieces, remove legs), Toad Venom (Chan Su) (1 fen).
The above fourteen ingredients: Pound and grind each into powder. Make pills with raw pig bile size of yellow millet. Take one pill. Morning and evening.
Formula for Picrorhiza Pill (Hu Huang Lian Wan) for pediatric five gan:
Picrorhiza Rhizome (Hu Huang Lian), Gecko (Ge Jie) (fried with butter), Calculus Bovis (Niu Huang) (ground), Rhinoceros Horn (Xi Jiao Xie), Gastrodia Rhizome (Tian Ma), Ginseng (Ren Shen), Nutmeg Kernel (Rou Dou Kou Ren), Rhubarb (Da Huang) (finely ground and stir-fried, each 0.5 liang), Realgar (Xiong Huang) (ground like powder, 1 fen).
The above nine ingredients: Pound and grind into powder. Make pills with refined honey size of hemp seeds. Take 5 pills. Empty stomach and afternoon. Warm water delivery.
Formula for Coptis Pill (Huang Lian Wan) for pediatric gan with high fever:
Coptis Rhizome (Huang Lian) (remove stamens), Phellodendron Bark (Huang Bai) (remove rough bark), Licorice Root (Gan Cao) (roasted and cut), Green Tangerine Peel (Qing Ju Pi) (remove white pith and roast, equal parts).
The above four ingredients: Pound and sieve into fine powder. Mix with small amount of ground Moschus. Place inside pig gallbladder, tie with thread. Boil in stone pot with starch water for 5-7 boils. Hang in wind overnight. Remove gallbladder skin, grind熟. Make pills size of mung beans. Take 5-7 pills with rice water, gradually increase to 10 pills.
Formula for Calculus Bovila Decoction (Niu Huang Jian) for pediatric gan/dysentery, food injury with bloating, large head/emaciated body, tufted hair, high fever/anorexia/fatigue, rotten teeth/nasal ulcers, Ding Xi tidal fever:
Toad (Xia Ma) (one piece, remove skin/bones/gut, roast charred, pound to powder, decoct with one cup non-grain wine and one pig gallbladder juice into paste), Chebula Peel (He Li Le Pi) (processed), Quisqualis Fruit (Shi Jun Zi) (remove shell), Picrorhiza Rhizome (Hu Huang Lian), Cicada Slough (Chan Tui), Diospyros Fruit (Wushi Zi), Aloe (Lu Hui) (ground), Melia Kernel (Wu Ti Ren), Bear Gallbladder (Xiong Dan) (ground), Phalaenopsis Feces (Ye Ming Sha), Cinnabar (Dan Sha) (ground), Realgar (Xiong Huang) (ground), Aucklandia Root (Mu Xiang) (each 1 fen), Nutmeg (Rou Dou Kou) (remove shell, 0.5 fen spring/summer, 1 fen autumn/winter), Calculus Bovis (Niu Huang) (ground, 2 qian), Moschus (She Xiang) (ground, 1 qian), Borneol (Long Nao) (0.5 qian).
The above seventeen ingredients: Pound and grind sixteen ingredients into powder. Add the paste. Make pills size of hemp seeds. Take 5-7 pills with rice water. Startled gan with Silver/Gold Mint decoction; Dry gan with bloating with Peach Kernel/Aromatic decoction; Gan parasite with East-growing Pomegranate/Ailanthus root decoction. This pill treats gan dysentery best. Do not use if dysentery is complicated by heat.
Formula for Three Harmonies Pill (San He Wan) for pediatric gan with weak limbs, visceral deficiency/slippage, anorexia:
Picrorhiza Rhizome (Hu Huang Lian) (1 liang), Aucklandia Root (Mu Xiang) (0.5 liang), Moschus (She Xiang) (ground, 1 qian).
The above three ingredients: Pound and grind into fine powder. Mix with flour paste to make pills size of hemp seeds. 1-2 years old: 10 pills. Take with warm porridge drink. Three times daily.