Library

Pediatric acute gan (a severe wasting disease in children characterized by malnutrition, digestive disorders, and often oral ulcers) is caused by irregular breastfeeding or dieting and excessive consumption of sweet and fatty foods. Sweet flavors enter the Spleen and stir up parasites; parasites become active due to sweetness.

**Xionghuang Wan (Realgar Pill)** for treating pediatric acute gan with emaciation, dysentery, and oral ulcers, possessing the effect of killing parasites:
* Xionghuang (Realgar), finely ground
* Lushen (Aloe), finely ground
* Qingdai (Indigo Naturalis), finely ground
* Zhusha (Cinnabar), finely ground
* Longdan (Gentianae Radix et Rhizoma), removed rhizome head
* Huangbai (Phellodendri Cortex), lightly roasted and chopped
* Huangfan (Yellow Alum), sprouted and roasted until yellow
* Xia (Scorpio), one piece, coated

The above medicines are crushed, sieved into powder, mixed evenly with the already-ground medicines, and bound with wheat paste to form pills the size of mung beans. Take five pills at any time with rice broth, adjusting the dose according to the condition.

**Xiongdan San (Bear Bile Powder)** for treating pediatric acute gan parasites causing ulcers in the mouth and gums, suitable for external application:
* Xiongdan (Ursi Fel), finely ground
* Tiantingli (Semen Lepidii seu Descurainiae), lightly fried
* Langdanszi (Semen Daturae), fried until slightly black
* Xiamahui (Ash of Toad)
* Renfenhui (Ash of Human Feces)
* Baijianhui (Ash of White Alum)
* Shexiang (Moschus), finely ground

The above medicines are crushed, sieved into powder, and thoroughly mixed. If there are ulcers, apply a thin layer. If the nose itches, take a small amount and insufflate into the nose daily.

**Ranshedan San (Python Gallbladder Powder)** for treating pediatric acute gan itching, where scratching causes ulcers instantly as large as a coin, located on the head, face, mouth, or teeth, suitable for external application:
* Ranshedan (Gall Bladder of Python bivittatus), size of three large mung beans
* Huangfan (Yellow Alum)
* Baijianhui (Ash of White Alum)
* Lushen (Aloe)
* Shexiang (Moschus) (Each of the above: 1 qian)

The above medicines are finely ground into powder. If there are ulcers on the head, face, or body, wash with clear starch water, dry, and apply an amount the size of one mung bean. Stop when fluid exudes. For severe cases... [text fragment].

**Chanhui Wan (Toad Ash Pill)** for treating pediatric acute gan where parasites eat the mouth causing ulcers, with weak limbs, distended abdomen, and coarse veins:
* Chanhui (Ash of Toad)
* Renfenhui (Ash of Human Feces)
* Dilong (Pheretima), lightly fried and powdered
* Woniuqiao (Shell of Snail), lightly fried
* Goutouhui (Ash of Dog Head)
* Shexiang (Moschus)
* Lanxianggenhui (Ash of Costus Root) (Each of the above: 1 fen)

The above medicines are finely ground together into powder. Mix with fermented grain water on paper and apply to the ulcer at appropriate times. If there are ulcers in the nose, wrap the medicine in cotton and place it inside the nose.

**Woniu Hui San (Snail Ash Powder)** for treating pediatric acute gan ulcers unresponsive to previous treatments:
* Woniu Hui (Ash of Snail)
* Bai Gou Fen Hui (Ash of White Dog Feces)
* Qianglang Hui (Ash of Dung Beetle)
* Bai Jian Hui (Ash of White Alum)
* Ren Fen Hui (Ash of Human Feces)
* Lushen (Aloe)
* Xiamahui (Ash of Toad)
* Lanxiang KT Hui (Ash of Costus - *Note: likely typo for Lanxianggen*)
* Ranshedan (Gall Bladder of Python)
* Zhizhu Hui (Ash of Spider)

The above medicines are crushed and ground finely like powder. Using a reed tube cut obliquely, insufflate a small amount into the nose. If there are ulcers on the gums, mix with honey, apply to paper, and patch.

**Formula for Pediatric Acute Gan with Oral/Nasal Ulcers and Persistent Itching:**
* Damaizi (Semen Cannabis), one sheng burned in a bamboo tube to extract oil/paste
* Xiamahui (Ash of Toad), 1 fen
* Shexiang (Moschus), 1 fen
* Renfenhui (Ash of Human Feces), 1 fen
* Yánlǜ (Malachite), half fen

The above medicines are finely ground like powder. Bind with hemp seed paste to form pills the size of mung beans. Insert into both nostrils and mouth, alternating with water drops. Day and night... [text fragment].

**Formula for Pediatric Acute Gan with White Oral Ulcers, Mainly for Various Gan Diseases:**
* Xiongdan (Ursi Fel)
* Ranshedan (Gall Bladder of Python)
* Lushen (Aloe)
* Longnao (Borneolum Syntheticum)
* Niuhuang (Calculus Bovis)
* Shexiang (Moschus) (Each of the above: 1 fen)

The above medicines are finely ground. Mix with one small cup of Jinghua Water (first drawn well water from dawn) until uniform. Store in a porcelain vessel, heat gently over a double boiler, stirring frequently with a comb, ensuring the liquid does not dry out at the edges.

**Fenshuang San (Powder Frost Powder)** for applying to Pediatric Running Horse Gan Ulcers:
* Fenshuang (Sublimated Arsenic Oxide), 1 liang
* Tiannanxing (Arisaematis Rhizoma), 1 fen powder
* Huangdan (Lithargyrum), half liang, fried until purple
* Shexiang (Moschus), half liang
* Dingfen (White Lead Powder), 1 fen

Mix the above medicines and grind finely. First wash the ulcer with salt brine. Use a paper twist to dip the medicine and sweep it onto the ulcer. Apply 3-4 times daily until healed.

**Tianlinggai Wan (Human Skull Cap Pill)** for internal use in Pediatric Acute Gan with emaciation and ulcers:
* Tianlinggai (Os Cranium Humanum), 1 liang
* Pishuang (Arsenic Trioxide), half fen
* Huhuanglian (Picrorhizae Rhizoma), half liang
* Renfen (Human Feces), half liang
* Langdanszi (Semen Daturae), 1 fen

Wrap all medicines in yellow mud and fire until red hot. Remove mud, let cool, retrieve the medicine. Add half fen of Shexiang (Moschus), grind together into powder, and bind with wheat paste to form pills.

**Formula for Pediatric Acute Gan where Parasites Erode Lips/Mouth and Cause Painful Gum Ulcers:**
* Pishuang (Arsenic Trioxide)
* Renfenhui (Ash of Human Feces)
* Shexiang (Moschus)
* Ninifen (Calomel) (Each of the above: half fen)
* Tonglü (Malachite)
* Hutonglü (Tetrastigminis Caulis)
* Xiamahui (Ash of Toad) (Each of the above: 1 fen)

Grind all medicines finely. First wash with salt brine, then apply a small amount of medicine to the affected area.

**Formula for Pediatric Acute Gan where Parasites Erode Mouth/Nose and Lower Parts Causing Ulcers:**
* Ganchan (Dry Bufo), 1.5 liang (half powdered, half ash)
* Xiaojinyin Ganguo (Residue from melting gold/silver), 1 liang
* Yinmo (Silver Powder), size of one large mung bean
* Renfenhui (Ash of Human Feces), 1 liang
* Shexiang (Moschus) [dose missing in text]

Crush and sieve into fine powder. Apply powder to areas eroded by parasites. For 21 days, avoid all greasy and rich foods.

**Formula for Pediatric Acute Gan with Red and Erosive Ulcers in Mouth/Nose and Lower Parts:**
* Dasuan (Allium Sativum), 2 liang
* Tiantingli (Semen Lepidii seu Descurainiae), half liang
* Gan Xiamá (Dry Toad), 1 liang
* Gan Dilong (Dry Pheretima), 2 pieces
* Luánfà Hui (Ash of Ragged Hair), 1 fen

Finely chop and mix. Place in a bamboo tube, set on a tile, and burn with... [missing fuel type] ash. Collect the distilled liquid and apply sparingly to the child's mouth, nose, crown, nape, and fontanelle.

**Formula for Pediatric Acute Gan with Oral Swelling and Nasal Ulcers:**
* Ren Ru Zhi (Human Breast Milk), 1 he
* Huangfan (Yellow Alum), size of one date
* Baijianhui (Ash of White Alum), size of one date
* Qingfan (Green Alum), size of one date
* Shidan (Melanterite), size of one cowpea
* Chuanshengma Mo (Rhizoma Cimicifugae Powder), half fen

Grind all medicines finely. Wrap in cotton and soak in breast milk overnight. When the liquid has flavor, apply to the mouth. If there are nasal ulcers, drip... [text fragment].

**Formula for Pediatric Acute Gan where Parasites Erode Mouth/Nose/Teeth:**
* Pishuang (Arsenic Trioxide), 1 fen
* Shexiang (Moschus), 1 fen

First fry the Pishuang on paper, then add Shexiang and grind finely. Sweep onto the ulcer with a chicken feather. Use 2-3 times daily.

**Another Formula:**
* Qingfan (Green Alum), half liang, fired until red hot
* Huangfan (Yellow Alum), half liang, fired until red hot
* Baijian (White Alum), half liang, fired until juice is exhausted
* Shexiang (Moschus), 1 fen

Mix and grind finely like powder. Apply a small amount to gan ulcers as needed.

**Another Formula:**
* Jing Baiyangrou (Lean White Mutton), 2 liang
* Wuyiren (Semen Choerospondidis), half liang
* Chi (Fermented Soybeans), 1 he
* Chuanjiao (Zanthoxyli Pericarpium), 27 grains, remove eyes
* Jiangdou (Soybean Paste), 1 spoon

Mix and grind thoroughly. Apply an amount the size of a jujube to the ulcer three times daily.

**Miraculous Formula for Pediatric Acute Gan Ulcers:**
* Manjinghua (Flower of Turnip), harvested with roots when in full bloom and dried in shade.
Take a handful of the above roots and stems, remove heads and tails, wrap in barley flour and soy sauce paste, and burn in charcoal fire until smoke ceases. Let cool... [text fragment].

**Another Formula:**
Chew Sesame (Youma) until soft and apply to the ulcer for immediate effect.

**Another Formula:**
Grind Ranshedan (Python Gallbladder) finely, mix with water, and apply.