夫小儿干疳者。由乳食不调。心脾积热之所致也。其候。身体壮热。或则憎寒。舌涩口
干。
来。
治小儿干疳。心脏烦热。眼目赤涩。皮肤干燥。夜多盗汗。羸瘦不能乳食。天竹
黄散方。
天竹黄（半两） 牛黄（一分细研） 雄黄（一分细研） 朱砂（一分细研） 芦荟（一
分细研）
蟾
（一分）
木
上件药。捣细罗为散。都研令匀。每服。以温水调下半钱服。日三服。量儿大小。以意
加减
治小儿干疳。体瘦烦热。睡卧不安。宜服此方。
牛黄（一分细研） 雄黄（一分细研） 天竹黄（一分细研） 芦荟（一分细研） 胡
黄连（半
两）
钱研入）
蛇蜕
上件药。捣罗为末。更研令匀。以炼蜜和丸。如绿豆大。每服。以酱饮下三丸。日三服。
量儿大小。以意加减。
治小儿干疳。肌体羸瘦。皮毛干焦。发歇寒热。昏昏多睡。青黛丸方。
青黛（三分细研） 牛黄（细研） 芦荟（细研） 胡黄连 朱砂（细研） 麝香（细
研） 蛇蜕
皮灰
上件药。捣罗为末。都研令匀。用面糊和丸。如黍米大。每服。以粥饮下三丸。日三服。
量
治小儿干疳。面青目涩。脑热鼻疮。眼生障膜。毛发焦黄。肌肤羸瘦。蜗牛丸方。
蜗牛（三分烧灰） 谷精草（三分碎切） 夜明沙（三分微炒） 干蟾（一两涂酥炙令
焦黄）
瓜蒂
上件药。都研为末。用蒸饼和丸。如绿豆大。每服。以粥饮下三丸。日三服。量儿大小。
加
治小儿干疳。烦渴壮热。皮肤枯燥。日渐羸瘦。牛黄丸方。
牛黄（半钱细研） 雄黄（一分细研） 甘草（半分炙微赤锉） 龙脑（一钱细研） 麝
香（一
钱细
上件药。捣罗为末。都研令匀。用糯米饭和丸。如绿豆大。每一岁以粥饮下一丸。日三
服。
治小儿干疳。瘦弱不能乳食。发竖脑干。肌体柴瘦。胡黄连丸方。
胡黄连末（半两） 朱砂（三分） 麝香（一分） 蛇蜕皮（一条烧灰） 波斯青黛（三
分）
蟾酥
上件药。都研为末。用猪胆一枚。取清酒一盏。和药末。都于铫子内熬如膏。丸如绿豆
大。
治小儿干疳。乳食不成肌肤。日渐羸瘦。身体壮热。毛发干枯。四肢无力。蟾酥
丸方。
蟾酥（一分） 猪胆（二枚） 青黛（三分） 龙脑（三分） 朱砂（三分细研） 麝
香（一分）
蝉壳
上件药。除蟾酥外。细研。以猪胆化蟾酥和丸。如粟米粒大。每服。以温水下五丸。研
吹鼻
治小儿干疳。日久不瘥。骨立形枯。诸治无效。青黛散方。
青黛（一分） 麝香（二分） 芦荟（一分） 朱砂（一分） 地龙（一分微炒） 夜
明沙（一分
微炒）
上件药。都细研为散。每服半钱。空心。以粥饮调下。更用少许药。吹入鼻中。后以桃
枝汤
治小儿干疳。面色萎黄。肌体羸瘦。宜服此方。
芦荟〔二（一）分〕 龙胆（一分去芦头） 青黛（半两细研） 胡黄连（一分） 牛
黄（一分
细研）
上件药。捣罗为末。都研令匀。以蒸饼和丸。如黄米大。每服。以粥饮下五丸。量儿大
小。
治小儿干疳。体热羸瘦。心神烦躁。少得眠卧。宜服牛黄丸方。
牛黄（半两细研） 朱砂（半两细研水飞过） 子芩（半两） 犀角屑（半两） 麝香
（一分细
研）
上件药。捣罗为末。都研令匀。以糯米饭和丸。如麻子大。每服。用粥饮下三丸。量儿
大小
Pediatric Gan Syndrome (Chronic Malnutrition in Children) characterized by dryness is caused by irregular breastfeeding and diet, leading to the accumulation of heat in the Heart and Spleen. Its manifestations include high fever, occasional aversion to cold, a stiff tongue, and dry mouth.
For pediatric Gan syndrome with symptoms of mental restlessness due to Heart heat, red and gritty eyes, dry skin, nocturnal sweating, emaciation, and inability to suckle or eat, use Tianzhu Huang San (Bambusa Textilis Decoction Powder).
Tianzhu Huang (Half liang) Niuhuang (One fen, finely ground) Xionghuang (One fen, finely ground) Zhusha (One fen, finely ground) Lvhui (One fen, finely ground)
Chansu (One fen)
Muxiang (Text implies missing character "Mu")
The above herbs are crushed, passed through a fine sieve to make a powder, and thoroughly mixed. Each dose consists of half qian, taken with warm water, three times daily. Dosage should be adjusted according to the child's age and size.
For pediatric Gan syndrome with emaciation, irritability, heat, and restless sleep, this formula is suitable.
Niuhuang (One fen, finely ground) Xionghuang (One fen, finely ground) Tianzhu Huang (One fen, finely ground) Lvhui (One fen, finely ground) Huhuanglian (Half liang)
Shetui (Text implies missing character)
The above herbs are crushed, passed through a sieve to make a powder, and thoroughly mixed. They are combined with refined honey to form pills the size of mung beans. Each dose consists of three pills, taken with sauce-infused water, three times daily. Dosage should be adjusted according to the child's age and size.
For pediatric Gan syndrome with emaciated body, dry and brittle hair and skin, alternating chills and fever, drowsiness, and excessive sleep, use Qingdai Wan (Indigo Naturalis Pill).
Qingdai (Three fen, finely ground) Niuhuang (Finely ground) Lvhui (Finely ground) Huhuanglian Zhusha (Finely ground) Shexiang (Finely ground) Shetui pi hui (Ash from snake skin)
The above herbs are crushed, passed through a sieve to make a powder, and thoroughly mixed. They are combined with wheat paste to form pills the size of millet seeds. Each dose consists of three pills, taken with rice broth, three times daily. Dosage should be adjusted according to the child's age and size.
For pediatric Gan syndrome with a bluish complexion, dry and gritty eyes, heat in the head, nasal sores, eye membranes/opacities, yellow and brittle hair, and emaciated skin, use Woniu Wan (Snail Pill).
Woniu (Three fen, calcined to ash) Gujingcao (Three fen, chopped) Yemingsha (Three fen, lightly stir-fried) Ganchan (One liang, coated with pig fat and roasted until golden brown)
Gua di (Text implies missing character)
The above herbs are all ground into powder. They are combined with steamed dough to form pills the size of mung beans. Each dose consists of three pills, taken with rice broth, three times daily. Dosage should be adjusted according to the child's age and size.
For pediatric Gan syndrome with irritability, thirst, high fever, dry and rough skin, and progressive emaciation, use Niuhuang Wan (Calculus Bovis Pill).
Niuhuang (Half qian, finely ground) Xionghuang (One fen, finely ground) Gancao (Half fen, roasted until slightly reddish and cut) Longnao (One qian, finely ground) Shexiang (One qian, finely ground)
The above herbs are crushed, passed through a sieve to make a powder, and thoroughly mixed. They are combined with glutinous rice flour to form pills the size of mung beans. For each year of age, one pill is taken with rice broth, three times daily.
For pediatric Gan syndrome with weakness, inability to suckle or eat, erect hair, dry scalp, and emaciated body, use Huhuanglian Wan (Coptidis Rhizoma Pill).
Huhuanglian mo (Half liang) Zhusha (Three fen) Shexiang (One fen) Shetui pi (One strip, calcined to ash) Bosi Qingdai (Three fen)
Chansu (Text implies missing character)
The above herbs are all ground into powder. One pig gallbladder and one cup of clear wine are used to mix with the powder, which is then boiled in a pot until it becomes a paste, and formed into pills the size of mung beans.
For pediatric Gan syndrome where improper feeding leads to lack of muscle tone, progressive emaciation, high fever, dry and brittle hair, and weak limbs, use Chansu Wan (Toad Venom Pill).
Chansu (One fen) Zhu dan (Two pieces) Qingdai (Three fen) Longnao (Three fen) Zhusha (Three fen, finely ground) Shexiang (One fen)
Chan ke (Text implies missing character)
Except for Chansu, the other herbs are finely ground. The Chansu is dissolved in pig bile and mixed with the powder to form pills the size of millet grains. Each dose consists of five pills, taken with warm water. Another method involves grinding the powder and insufflating it into the nose.
For pediatric Gan syndrome that has persisted for a long time without improvement, resulting in skeletal prominence and emaciation, where various treatments have failed, use Qingdai San (Indigo Naturalis Powder).
Qingdai (One fen) Shexiang (Two fen) Lvhui (One fen) Zhusha (One fen) Dilong (One fen, lightly stir-fried) Yemingsha (One fen, lightly stir-fried)
The above herbs are all finely ground into powder. Each dose consists of half qian, taken on an empty stomach with rice broth. A small amount of the powder is also insufflated into the nose. Subsequently, use peach branch decoction... (Text cuts off here).
For pediatric Gan syndrome with sallow complexion and emaciated body, this formula is suitable.
Lvhui (Two fen) Longdan (One fen, removing the root head) Qingdai (Half liang, finely ground) Huhuanglian (One fen) Niuhuang (One fen, finely ground)
The above herbs are crushed, passed through a sieve to make a powder, and thoroughly mixed. They are combined with steamed dough to form pills the size of yellow millet. Each dose consists of five pills, taken with rice broth. Dosage should be adjusted according to the child's age and size.
For pediatric Gan syndrome with body heat, emaciation, mental restlessness, and insomnia, use Niuhuang Wan (Calculus Bovis Pill).
Niuhuang (Half liang, finely ground) Zhusha (Half liang, finely ground, processed by water flotation) Zixinqin (Half liang) Xijiao xie (Half liang) Shexiang (One fen, finely ground)
The above herbs are crushed, passed through a sieve to make a powder, and thoroughly mixed. They are combined with glutinous rice flour to form pills the size of sesame seeds. Each dose consists of three pills, taken with rice broth. Dosage should be adjusted according to the child's age and size.