夫小儿五疳之疾。皆由乳哺不调。寒温失节之所致也。若久而不瘥。则腹内有虫。肌体
黄瘦
上。
治小儿五疳。及惊风疳虫。定生死。干蟾丸方。
干蟾（一枚五月五日者良） 蛇蜕皮（一条大者） 谷精草（二两与以上药同入罐子内
以盐
泥固
（半
两）
上件药。都入乳钵内。研令极细。用 猪胆汁煎。面糊和丸。如绿豆大。三岁儿。以温
米泔
细麸
内瘥
治小儿五疳。瘦弱。毛发干焦。口鼻多痒。宜用麝香丸方。
麝香（一分） 芦荟（一分） 蝉酥（一白豆许大） 皂荚（三寸烧为灰） 蛇蜕皮（五
寸烧灰）
粉
上件药。都细研。以油熔蜡和丸。如小豆大。先以桃柳汤洗儿。后用药一丸。涂于脐中。
上
治小儿五疳。四肢干瘦。腹胀气粗。频揉鼻眼。宜服出虫芦荟丸方。
芦荟（一分细研） 田父（一枚烧烟似绝便住） 青黛（半两细研） 腻粉（一钱） 牛
黄（一
分细研） 粉霜（一钱） 硫黄（一钱细研） 蝉壳（一分） 蛇蜕皮（一条烧灰） 麝香
（一钱细
研）
上件药。捣罗为末。入研了药令匀。以粳米饭和丸。如绿豆大。每服。以温水下二丸。
良久
治小儿五疳。四肢黄瘦。腹胀气粗。发干作穗。眼鼻多痒。精神昏闷。不欲乳食
。宜服出虫
水银（三分） 硫黄（半两二味结为砂子细研） 砒霜（半两） 芦荟（半两细研） 朱
砂（半
两细
分细
研）
分）
上件药。捣罗为末。入研了药令匀。以苦参半斤。锉碎。用水五升浸一宿。煮至一升。
去若
干。
便是
治小儿五疳。下痢羸瘦。鼻痒。田父丸方。
田父（三分炙微黄） 夜明沙（半两微炒） 蛇蜕皮（半两烧灰） 胡黄连（三分） 牛
黄（一
钱细
浮者炒
令黄
上件药。捣罗为末。都研令匀。以糯米饭和丸。如绿豆大。三岁儿。空心以热水下三丸。
服
量儿大小。加减服之。
治小儿五疳。定命天灵盖丸方。
天灵盖灰（一分） 蟾酥（一片如柳叶大） 汗袜灰（一分） 砒霜（半分） 麝香（一
分） 驴
啼护
上件药。都研为末。炼蜜和丸。如麻子大。空心。以温水下二丸。后以桃柳汤浴儿了。
澄浴
治小儿五疳久不瘥。羸瘦极甚。出虫丸方。
朱砂（一分细研） 麝香（一分） 牛黄（一分） 蟾酥（半钱） 熊胆（一分） 蜗
牛子（一分
炒微
上件药。都研细罗。以面糊和丸。如绿豆大。每服。以温水下三丸。更别以水研一丸。
滴向
治小儿五疳。出虫干蟾丸方。
干蟾（一枚烧灰） 蝉壳（一分微炒去足） 麝香（半分细研） 天灵盖〔半分（两）
烧灰〕 鳖
甲
上件药。捣罗为末。用烧饭和丸。如绿豆大。二岁以下。以蛤粉汤下一丸。三岁以上至
五岁
治小儿五疳。出虫。熊胆丸方。
熊胆（细研） 朱砂（细研） 麝香（细研） 蚺蛇胆（细研） 蜣螂（微炙） 瓜蒂
（以上各半
两）
上件药。捣罗为末。入研了药令匀。用 猪胆汁和丸。如绿豆大。先用桃柳汤浴儿了。
用粥
治小儿五疳。定命散方。
干虾蟆（一枚烧为灰） 蛇蜕皮（一分炒令黄） 蝉壳（一分）
上件药。捣罗为末。入麝香末半钱。研匀。但是一切疳。至午时后。以暖水调下半钱。
一
治小儿五疳。手足干瘦。腹胀筋起。鼻痒。昏沉多睡。宜服出虫蟾头丸方。
蟾头（二枚涂酥炙焦黄） 皂荚〔一分先于厕中浸七日后以水洗净剔（刮）去黑皮涂酥
炙令
焦黄去子〕 青黛（一分细研） 硫黄（一分细研） 麝香（半分细研） 巴豆（七枚去皮
心研纸
裹压
上件药。捣罗为末。炼蜜和丸。如绿豆大。空心。以粥饮下三丸。良久。当有虫出。量
儿大
治小儿五疳。烦热干瘦。或渴。不欲乳食。宜服出虫芦荟散方。
芦荟（半两细研） 胡黄连（半两） 雄黄（一分细研） 熊胆（半两研入） 朱砂（半
两细研）
代
上件药。捣细罗为散。先用桃柳汤浴儿。后以粥饮调下半钱。然后用青衣盖覆。其虫子
自出
治小儿五疳。羸瘦腹胀。不欲乳食。宜服出虫。螳螂散方。
螳螂（三分炒令黄） 蜗牛子（七枚炒令微黄） 蝉壳（七枚微炒） 丁香（一分） 蟾
酥（一
分研
上件药。捣细罗。都研为散。先以桃柳汤浴儿。后以粥饮调下半钱。便以青衣盖覆。当
有虫
治小儿五疳。体热干瘦。发竖鼻痒。不欲乳食。青黛丸方。\x
青黛（半两细研） 芦荟（半两细研） 蝉壳（半分微炒） 人中白（半两） 麝香（一
分细研）
胡
上件药。捣罗为末。取五月五日午时修合。以粽子内枣肉丸。及蟾涎乳汁和。如黍米大。
先
易
Pediatric five kinds of *gan* (malnutrition with parasitic infestation) are all caused by irregular breastfeeding and improper regulation of cold and warmth. If the condition persists without improvement, it leads to intestinal parasites, emaciation of the muscles, and sallow complexion.
**Gan Chan Wan (Dry Toad Pill)** for treating pediatric five kinds of *gan*, as well as convulsive *gan* with parasites, used to determine prognosis:
* *Bufo bufo gargarizans* (one piece, preferably collected on the fifth day of the fifth lunar month)
* *Ophichthus skin* (Snake sloughing, one large piece)
* *Cnidium fruit* (Gu Jing Cao, two liang, placed in a jar with the above medicines, sealed firmly with salt mud [text incomplete])
Grind all ingredients into an extremely fine powder using a mortar. Decoct with pig bile, mix with wheat paste to form pills the size of mung beans. For a three-year-old child, administer with warm rice water [text incomplete], until recovery.
**She Xiang Wan (Musk Pill)** for pediatric five kinds of *gan*, characterized by weakness, dry and scorched hair, and itching of the mouth and nose:
* *Moschus* (She Xiang, one fen)
* *Aloe* (Lu Hui, one fen)
* *Cicada molting* (Chan Su, approx. size of a white bean)
* *Gleditsia sinensis* (Zao Jia, three cun, burnt to ash)
* *Ophichthus skin* (She Tuo Pi, five cun, burnt to ash) [text incomplete]
Grind all ingredients finely. Mix with melted oil and wax to form pills the size of small beans. First wash the child with peach and willow twig decoction, then apply one pill to the umbilicus [text incomplete].
**Chu Chong Lu Hui Wan (Parasite-Expelling Aloe Pill)** for pediatric five kinds of *gan*, characterized by dry and thin limbs, abdominal distension, coarse breathing, and frequent rubbing of the nose and eyes:
* *Aloe* (Lu Hui, one fen, finely ground)
* *Rice rat feces* (Tian Fu, one piece, burnt until smoke ceases)
* *Indigo naturalis* (Qing Dai, half liang, finely ground)
* *Calomel* (Ni Fen, one qian)
* *Bovis calculus* (Niu Huang, one fen, finely ground)
* *Calomelas* (Fen Shuang, one qian)
* *Sulfur* (Liu Huang, one qian, finely ground)
* *Cicada molting* (Chan Ke, one fen)
* *Ophichthus skin* (She Tuo Pi, one piece, burnt to ash)
* *Moschus* (She Xiang, one qian, finely ground)
Pulverize and sieve all ingredients, mixing uniformly with the pre-ground components. Form pills the size of mung beans using glutinous rice paste. Administer two pills per dose with warm water [text incomplete].
**[Formula Name Missing]** for pediatric five kinds of *gan*, characterized by yellowish thinness of limbs, abdominal distension, coarse breathing, straw-like hair, itching of eyes and nose, mental confusion, and anorexia:
* *Hydrargyrum* (Shui Yin, three fen)
* *Sulfur* (Liu Huang, half liang; these two react to form cinnabar-like grains, finely ground)
* *Arsenic trioxide* (Pi Shuang, half liang)
* *Aloe* (Lu Hui, half liang, finely ground)
* *Cinnabar* (Zhu Sha, half liang, finely ground) [text incomplete]
Pulverize and sieve all ingredients, mixing uniformly. Soak half a jin of *Sophora flavescens* (Ku Shen), chopped, in five sheng of water overnight, then boil down to one sheng [text incomplete]. This completes the preparation [text incomplete].
**Tian Fu Wan (Rice Rat Pill)** for pediatric five kinds of *gan*, characterized by dysentery, emaciation, and nasal itching:
* *Rice rat feces* (Tian Fu, three fen, roasted until slightly yellow)
* *Nyctibiidae feces* (Ye Ming Sha, half liang, lightly stir-fried)
* *Ophichthus skin* (She Tuo Pi, half liang, burnt to ash)
* *Picrorhiza rhizome* (Hu Huang Lian, three fen)
* *Bovis calculus* (Niu Huang, one qian, finely ground) [text incomplete]
* [Ingredient missing, likely processed by frying floating parts until yellow]
Pulverize and sieve all ingredients, mixing uniformly. Form pills the size of mung beans using sticky rice paste. For a three-year-old child, administer three pills on an empty stomach with hot water [text incomplete]. Adjust dosage according to the child's age and size.
**Ding Ming Tian Ling Gai Wan (Life-Securing Human Skull Cap Pill)**:
* *Human skull cap ash* (Tian Ling Gai Hui, one fen)
* *Toad venom* (Chan Su, one piece, willow-leaf sized)
* *Ash from sweaty socks* (Han Wa Hui, one fen)
* *Arsenic trioxide* (Pi Shuang, half fen)
* *Moschus* (She Xiang, one fen)
* [Text incomplete: possibly Donkey urine or hoof]
* [Text incomplete]
Grind all ingredients into powder. Mix with refined honey to form pills the size of hemp seeds. Administer two pills on an empty stomach with warm water. Afterwards, bathe the child in peach and willow twig decoction [text incomplete].
**Chu Chong Wan (Parasite-Expelling Pill)** for pediatric five kinds of *gan* that has persisted for a long time, resulting in severe emaciation and parasite expulsion:
* *Cinnabar* (Zhu Sha, one fen, finely ground)
* *Moschus* (She Xiang, one fen)
* *Bovis calculus* (Niu Huang, one fen)
* *Toad venom* (Chan Su, half qian)
* *Ursine gallbladder* (Xiong Dan, one fen)
* *Helix pomatia* (Wo Niu Zi, one fen, lightly stir-fried until yellow)
Grind all ingredients finely and sieve. Mix with wheat paste to form pills the size of mung beans. Administer three pills per dose with warm water. Additionally, dissolve one pill in water and drip [text incomplete, likely into nostrils or mouth].
**Gan Chan Wan (Dry Toad Pill)** for pediatric five kinds of *gan* with parasite expulsion:
* *Bufo bufo gargarizans* (Gan Chan, one piece, burnt to ash)
* *Cicada molting* (Chan Ke, one fen, lightly stir-fried, legs removed)
* *Moschus* (She Xiang, half fen, finely ground)
* *Human skull cap* (Tian Ling Gai, half fen/liang, burnt to ash)
* *Trionyx carapace* (Bie Jia) [text incomplete]
Pulverize and sieve all ingredients. Mix with cooked rice to form pills the size of mung beans. For children under two years old, administer one pill with clam powder decoction. For children aged three to [five]...
**Xiong Dan Wan (Bear Gallbladder Pill)** for pediatric five kinds of *gan* with parasite expulsion:
* *Ursine gallbladder* (Xiong Dan, finely ground)
* *Cinnabar* (Zhu Sha, finely ground)
* *Moschus* (She Xiang, finely ground)
* *Python gallbladder* (Ran She Dan, finely ground)
* *Scarabaeus* (Qiang Lang, lightly roasted)
* *Melon stalk* (Gua Di, each half liang)
Pulverize and sieve all ingredients, mixing uniformly. Mix with pig bile to form pills the size of mung beans. First bathe the child in peach and willow twig decoction. Then use porridge [text incomplete].
**Ding Ming San (Life-Securing Powder)**:
* *Bufo bufo gargarizans* (Gan Xia Ma, one piece, burnt to ash)
* *Ophichthus skin* (She Tuo Pi, one fen, stir-fried until yellow)
* *Cicada molting* (Chan Ke, one fen)
Pulverize and sieve all ingredients. Add half a qian of *Moschus* powder and grind uniformly. For any type of *gan*, after noon, mix half a qian with warm water and administer [text incomplete].
**Chan Tou Wan (Toad Head Pill)** for pediatric five kinds of *gan*, characterized by dry and thin hands and feet, abdominal distension with visible veins, nasal itching, lethargy, and excessive sleepiness:
* *Toad head* (Chan Tou, two pieces, coated with butter and roasted until golden brown)
* *Gleditsia sinensis* (Zao Jia, one fen, soaked in toilet for seven days, washed clean, black skin scraped off, coated with butter, roasted until golden brown, seeds removed)
* *Indigo naturalis* (Qing Dai, one fen, finely ground)
* *Sulfur* (Liu Huang, one fen, finely ground)
* *Moschus* (She Xiang, half fen, finely ground)
* *Croton seed* (Ba Dou, seven seeds, peeled, heart removed, pressed between paper to remove oil)
Pulverize and sieve all ingredients. Mix with refined honey to form pills the size of mung beans. On an empty stomach, administer three pills with porridge drink. After some time, parasites should be expelled. Adjust according to the child's size...
**Chu Chong Lu Hui San (Parasite-Expelling Aloe Powder)** for pediatric five kinds of *gan*, characterized by irritability, heat, dryness, thinness, thirst, and anorexia:
* *Aloe* (Lu Hui, half liang, finely ground)
* *Picrorhiza rhizome* (Hu Huang Lian, half liang)
* *Realgar* (Xiong Huang, one fen, finely ground)
* *Ursine gallbladder* (Xiong Dan, half liang, incorporated via grinding)
* *Cinnabar* (Zhu Sha, half liang, finely ground)
* [Text incomplete: possibly Hematite/Dai Zhe Shi]
Pulverize and sieve all ingredients into a powder. First bathe the child in peach and willow twig decoction, then mix half a qian with porridge drink. Cover the child with green cloth; parasites will naturally emerge...
**Tang Lang San (Mantis Powder)** for pediatric five kinds of *gan*, characterized by emaciation, abdominal distension, and anorexia:
* *Mantis ootheca/body* (Tang Lang, three fen, stir-fried until yellow)
* *Helix pomatia* (Wo Niu Zi, seven seeds, stir-fried until slightly yellow)
* *Cicada molting* (Chan Ke, seven pieces, lightly stir-fried)
* *Syzygium aromaticum* (Ding Xiang, one fen)
* *Toad venom* (Chan Su, one fen, ground) [text incomplete]
Pulverize and sieve all ingredients into a powder. First bathe the child in peach and willow twig decoction, then mix half a qian with porridge drink. Cover with green cloth; parasites should emerge...
**Qing Dai Wan (Indigo Naturalis Pill)** for pediatric five kinds of *gan*, characterized by body heat, dryness, thinness, erect hair, nasal itching, and anorexia:
* *Indigo naturalis* (Qing Dai, half liang, finely ground)
* *Aloe* (Lu Hui, half liang, finely ground)
* *Cicada molting* (Chan Ke, half fen, lightly stir-fried)
* *Human excremental deposit* (Ren Zhong Bai, half liang)
* *Moschus* (She Xiang, one fen, finely ground)
* [Text incomplete: Hu...]
Pulverize and sieve all ingredients. Prepare at noon on the fifth day of the fifth lunar month. Mix with dates from inside zongzi, toad saliva, and breast milk to form pills the size of millet seeds. First... Yi...