夫小儿疳痢久不瘥者。因田脏腑宿挟疳气。或乳食不节。冷热相乘。肠胃既虚。遂令下
痢。痢而不瘥。连滞日月。故名久疳痢也。
治小儿疳痢久不瘥。日渐羸瘦。青黛散方。
青黛（一两细研） 麝香（半两细研） 雄黄（半两细研） 朱砂（半两细研） 蚺蛇
胆（半两）
黄柏（半两涂蜜微炙锉） 苦参（半两锉） 桂心（半两） 杏仁（半两汤浸去皮尖双仁麸
炒微黄）
干姜（一分炮裂锉） 白矾（半两烧令汁尽） 细辛（一分） 黄连（半两微炒去须） 藜
芦（一分
去芦头） 附子（半两炮裂去皮脐） 莨菪子（半两水淘去浮者水煮令芽出候干炒令黄黑色）
上件药。捣细罗为散。都研令匀。以井华水调下半钱。日三服。一岁儿服一字。三岁儿
服半钱。量儿大小。以意加减。若口有疮。及鼻痒。酥和绿豆大。安鼻中。若头上疳疮。及
下部有疮赤烂。并用散敷之。
治小儿疳痢久不瘥。肌肉消瘦。面黄发焦。啼叫不恒。胡黄连散方。
胡黄连（末半两） 白龙骨（末半两） 白矾（半两烧令汁尽） 胡粉（一分微炒）
上件药。同细研为散。一岁儿每服。以米饮调下一字。二岁儿每服半钱。随儿大小。量
病轻重。加减服之。
治小儿疳痢。经久不瘥。肌肤羸瘦。宜服黄连散方。
黄连（一分微炒去须） 胡黄连（一分） 朱砂（一分细研） 麝香（半分细研） 蜗
牛（一分
微炒） 牛黄（一钱细研） 铅霜（一钱细研） 诃黎勒（一分煨用皮） 没石子（一分微
炒） 使
君子（一分） 肉豆蔻（一分去壳） 定粉（一分炒微黄） 黄丹（一分微炒） 龙骨（一
分）
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。量儿大小。以意加减。
又方。
黄丹（一两微炒） 胡粉（一两炒令微黄） 酸石榴皮（三分锉微炒） 诃黎勒皮（一
两煨用
皮）
上件药。捣细罗为散。每煎糙米粥饮。调下半钱。日三四服。量儿大小。加减服之。
治小儿疳痢久不瘥。肌体黄瘦。爱食泥土。蜗牛散方。
蜗牛（三十枚） 蛇蜕皮（一分） 莨菪子（半两水淘去浮者） 干蜣螂（半两） 臭
黄（一分）
夜明砂（一分）
上件药。都入瓷瓶子内。以泥封瓶口。烧令药熟。候冷取出。捣细罗为散。每服。以粥
饮调
治小儿疳痢久不瘥。龙骨散方。
龙骨（半两） 诃黎勒（一分煨用皮） 赤石脂（半两） 密陀僧（一分） 酸石榴皮
（一分锉
微炒）
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。量儿大小。以意加减。
又方。
母丁香（七枚） 鸡屎矾（一两烧灰） 黄柏（一两去粗皮炙微焦锉） 麝香（一分细
研）
上件药。捣研为散。每服。以粥饮调下半钱。日三四服。量儿大小。加减服之。
治小儿疳痢。经年不瘥。发歇不定。状如胶。白矾丸方。
白矾（一两烧令汁尽） 寒水石（半两烧熟） 水蓼（半两） 雄黄（半两细研） 朱
砂（半两
细研
子壳（半
两烧
上件药。捣罗为末。都研令匀。用蟾酥半分。及面糊和丸。如粟米大。每服。以新汲水
下三
治小儿疳痢久不瘥。体瘦羸弱。皮毛干燥。发无润泽。朱砂丸方。
朱砂（半两细研水飞过） 青黛（半两） 麝香（一分） 粉霜（一分） 芦荟（一分）
雄黄
（一分）
对酒浸一
宿炙微
上件药。都研为末。用软饭和丸。如麻子大。每服。以粥饮下五（三）丸。日三服。量
儿
大小
治小儿疳痢久不瘥。日夜度数无恒。蝉壳丸方。
蝉壳（一分去足微炒） 蜗牛壳（一分） 干漆（一分捣碎炒令烟出） 狗头灰（三分）
夜明
沙（
上件药。捣罗为末。汤浸蒸饼和丸。如绿豆大。一岁。以粥饮下一丸。儿大即随年加之。
治小儿疳痢久不瘥。体热心烦。不欲乳食。龙胆丸方。
龙胆（一分去芦头） 使君子（半两） 胡黄连（半两） 麝香（一分） 苦楝树根皮
（半两炙
微黄
上件药。捣罗为末。更都研令匀。以面糊和丸。如绿豆大。一岁。以粥饮下一丸。儿稍
大。
治小儿疳痢久不瘥。可吃乳食。渐加黄瘦。夜明砂丸方。
夜明砂（一分微炒） 诃黎勒（半两煨用皮） 龙骨（半两） 熊胆（一分细研） 朱
砂（一分
细研）
上件药。捣罗为末。都研令匀。以 猪胆汁和丸。如黍米大。每服。以粥饮下五丸。日
三服
治小儿疳痢久不瘥。四肢羸瘦。或多。心恒惊悸。神效杀疳丸方。
砒霜（半两） 天灵盖（一个） 人粪（半两干者） 胡黄连（末半两） 莨菪子（一
分水淘去
浮者
上件药。先将砒霜天灵盖人粪。用湿纸三五重裹。以黄胶泥固济。晒干。于炭火中烧令
通赤
以乳
毛。
治小儿久疳痢不瘥。宜服砒霜丸方。
砒霜（一分） 雄黄（一分） 朱砂（一分） 麝香（一分） 干蟾灰（一分）
上件药。同研为末。汤浸蒸饼和丸。如粟米大。每服。以冷粥饮下一丸。日再服。忌热
物。
治小儿疳痢久不瘥。腹胁鼓胀。麝香丸方。
麝香（一分细研） 巴豆（一两入油中煎令黑色去皮心研纸裹压去油）
上件药。同研令匀。用烧饭和丸。如黍米大。每服。以粥饮下一丸。空心午后各一服。
治小儿久疳痢不瘥。芜荑丸方。
芜荑（半两） 羊子肝（一枚）
上件药。先以子肝切作片子。以芜荑末糁在肝内。线缠之。用米泔煮令熟。捣烂糯米饭
和丸
治小儿疳痢久不瘥。肚大有青脉。四肢渐瘦。芦荟丸方。
芦荟（一两） 粉霜（一分）
上件药。同研为末。以日煎黄连汁至浓和丸。如绿豆大。每服。食前以粥饮下五丸。量
儿大
The condition of infantile gan-li (malnutrition with dysentery) persisting for a long time without cure is caused by the internal organs harboring gan-qi (parasitic or toxic accumulation associated with malnutrition) for an extended period, or due to irregular intake of milk and food, where cold and heat pathogens mutually invade. Once the intestines and stomach are deficient, it leads to dysentery. If the dysentery does not heal and lingers for months or years, it is named "persistent gan-li".
To treat persistent gan-li in infants with gradual emaciation, use Qingdai San (Indigo Naturalis Powder).
Ingredients: Qingdai (Indigo Naturalis, 1 liang, finely ground), Shexiang (Musk, 0.5 liang, finely ground), Xionghuang (Realgar, 0.5 liang, finely ground), Zhusha (Cinnabar, 0.5 liang, finely ground), Ranshe Dan (Bungarus multicinctus Gallbladder, 0.5 liang), Huangbai (Phellodendri Cortex, 0.5 liang, brushed with honey, slightly roasted, and cut), Kushen (Sophorae Flavescentis Radix, 0.5 liang, cut), Guixin (Cinnamomi Cortex, 0.5 liang), Xingren (Armeniacae Semen, 0.5 liang, soaked in water, skin and tip removed, double-kernel bran-roasted until slightly yellow), Ganjiang (Zingiberis Rhizoma, 1 fen, roasted until cracked and cut), Baijian (Alumen, 0.5 liang, roasted until juice is exhausted), Xixin (Asari Radix et Rhizoma, 1 fen), Huanglian (Coptidis Rhizoma, 0.5 liang, slightly roasted and须s removed), Lilu (Veratri Nigrum Rhizoma, 1 fen, rhizome head removed), Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, roasted until cracked, skin and umbilicus removed), Langdangzi (Daturae Semen, 0.5 liang, water-rinsed to remove floating ones, boiled until sprouts emerge, dried, and roasted until dark yellow-black).
Preparation and Administration: The above ingredients are pounded into a fine powder through a silk sieve, thoroughly mixed. Take half a qianbi (a traditional measure) mixed with Jinghua Shui (well water drawn at dawn). Administer three times daily. For one-year-old infants, take a yizi measure; for three-year-old children, take half a qianbi measure. Adjust according to the child's size. If there are sores in the mouth and nasal itching, mix with butter to the size of a mung bean and insert into the nose. If there are gan-sores on the head or red, ulcerated sores in the lower body, apply this powder externally.
To treat persistent gan-li in infants with muscle wasting, yellowish complexion, dry and brittle hair, and constant crying, use Huhuanglian San (Picrorhizae Powder).
Ingredients: Huhuanglian (Picrorhizae Rhizoma, powdered, 0.5 liang), Bailonggu (Fossilia Ossis Mastodi, powdered, 0.5 liang), Baijian (Alumen, 0.5 liang, roasted until juice is exhausted), Hufen (Cerussa/Lead Carbonate, 1 fen, slightly roasted).
Preparation and Administration: The above ingredients are finely ground together into a powder. For one-year-old infants, take a yizi measure mixed with rice drink each time. For two-year-old children, take half a qianbi measure each time. Adjust dosage based on age and severity of illness.
For persistent gan-li in infants with prolonged duration and emaciated skin,服用 Huanglian San (Coptidis Powder) is suitable.
Ingredients: Huanglian (Coptidis Rhizoma, 1 fen, slightly roasted and须s removed), Huhuanglian (Picrorhizae Rhizoma, 1 fen), Zhusha (Cinnabar, 1 fen, finely ground), Shexiang (Musk, 0.5 fen, finely ground), Woniu (Helix Aspersa/Snail, 1 fen, slightly roasted), Niuhuang (Calculus Bovis, 1 qian, finely ground), Qianshuang (Plumbum Subacetatum, 1 qian, finely ground), Helile (Terminalia Chebula Fruit, 1 fen, baked, using the peel), Moshizi (Myrobalan Emblic Fruit, 1 fen, slightly roasted), Shijunzi (Quisqualis Fructus, 1 fen), Roudoukou (Myristicae Semen, 1 fen, shell removed), Dingfen (Cerussa/Lead Carbonate, 1 fen, roasted until slightly yellow), Huangdan (Minium, 1 fen, slightly roasted), Longgu (Fossilia Ossis Mastodi, 1 fen).
Preparation and Administration: The above ingredients are pounded into a fine powder through a silk sieve. Each dose is half a qianbi mixed with porridge drink. Administer three to four times daily. Adjust according to the child's size.
Another prescription.
Ingredients: Huangdan (Minium, 1 liang, slightly roasted), Hufen (Cerussa/Lead Carbonate, 1 liang, roasted until slightly yellow), Suan Shiliu Pi (Punica Granatum Pericarpium, 3 fen, cut and slightly roasted), Helile Pi (Terminalia Chebula Pericarpium, 1 liang, baked, using the peel).
Preparation and Administration: The above ingredients are pounded into a fine powder through a silk sieve. Each dose is half a qianbi mixed with coarse rice porridge drink. Administer three to four times daily. Adjust according to the child's size.
To treat persistent gan-li in infants with yellowish and thin body, craving to eat soil, use Woniu San (Snail Powder).
Ingredients: Woniu (Helix Aspersa/Snail, 30 pieces), Tuopipi (Bombyx Batryticatus/Snake Slough, 1 fen), Langdangzi (Daturae Semen, 0.5 liang, water-rinsed to remove floating ones), Gan Qiangan (Scarabaeus Dry, 0.5 liang), Chouhuang (Orpiment/Arsenic Sulfide, 1 fen), Yeming Sha (Gulielmi Faecalis/Night-shining Sand, 1 fen).
Preparation and Administration: All ingredients are placed in a porcelain bottle, sealed with mud, and roasted until cooked. After cooling, remove and pound into a fine powder through a silk sieve. Each dose is taken mixed with porridge drink... (Original text missing specific dosage here).
To treat persistent gan-li in infants, use Longgu San (Dragon Bone Powder).
Ingredients: Longgu (Fossilia Ossis Mastodi, 0.5 liang), Helile (Terminalia Chebula Fruit, 1 fen, baked, using the peel), Chishizhi (Halloysit Rubra, 0.5 liang), Mituoseng (Lithargyrum, 1 fen), Suan Shiliu Pi (Punica Granatum Pericarpium, 1 fen, cut and slightly roasted).
Preparation and Administration: The above ingredients are pounded into a fine powder through a silk sieve. Each dose is half a qianbi mixed with porridge drink. Administer three to four times daily. Adjust according to the child's size.
Another prescription.
Ingredients: Mudingxiang (Eugeniae Caryophyllatus Flos, 7 pieces), Jishifan (Arsenical Salt, 1 liang, burned to ash), Huangbai (Phellodendri Cortex, 1 liang, rough bark removed, roasted until slightly scorched and cut), Shexiang (Musk, 1 fen, finely ground).
Preparation and Administration: The above ingredients are pounded and ground into a powder. Each dose is half a qianbi mixed with porridge drink. Administer three to four times daily. Adjust according to the child's size.
To treat infantile gan-li lasting for years without cure, with intermittent attacks resembling glue, use Baifan Wan (Alumen Pill).
Ingredients: Baijian (Alumen, 1 liang, roasted until juice is exhausted), Hanshuishi (Aragonite, 0.5 liang, roasted), Shuiliao (Polygoni Hydropiperis Herba, 0.5 liang), Xionghuang (Realgar, 0.5 liang, finely ground), Zhusha (Cinnabar, 0.5 liang, finely ground)... (Text fragment: "Zi Ke (Shell, 0.5 liang, roasted)" appears incomplete in source).
Preparation and Administration: The above ingredients are pounded into powder through a sieve and thoroughly mixed. Use Chan Su (Toad Venom, 0.5 fen) and flour paste to form pills the size of millet grains. Each dose is taken with fresh well water... (Original text missing number of pills).
To treat persistent gan-li in infants with emaciation, weak body, dry skin and hair, and lackluster hair, use Zhusha Wan (Cinnabar Pill).
Ingredients: Zhusha (Cinnabar, 0.5 liang, finely ground and washed with water), Qingdai (Indigo Naturalis, 0.5 liang), Shexiang (Musk, 1 fen), Fenshuang (Sublimated Arsenic Trioxide, 1 fen), Lvhui (Aloe, 1 fen), Xionghuang (Realgar, 1 fen)... (Text fragment: "Soaked in wine overnight, roasted slightly..." subject missing).
Preparation and Administration: The above ingredients are ground into powder and mixed with soft rice to form pills the size of sesame seeds. Each dose is five (three) pills taken with porridge drink. Administer three times daily. Adjust according to the child's size... (Text cuts off).
To treat persistent gan-li in infants with irregular bowel movements day and night, use Chanke Wan (Cicada Slough Pill).
Ingredients: Chanke (Cicada Slough, 1 fen, legs removed, slightly roasted), Woniu Ke (Snail Shell, 1 fen), Ganqi (Resina Draconis, 1 fen, crushed and roasted until smoke emerges), Goutou Hui (Dog Head Ash, 3 fen), Yeming Sha (Gulielmi Faecalis/Night-shining Sand)... (Text cuts off).
Preparation and Administration: The above ingredients are pounded into powder through a sieve and mixed with steamed dough soaked in water to form pills the size of mung beans. For one-year-olds, take one pill with porridge drink. Increase dosage with age.
To treat persistent gan-li in infants with fever, irritability, and loss of appetite for milk and food, use Longdan Wan (Gentian Pill).
Ingredients: Longdan (Gentianae Radix, 1 fen, rhizome head removed), Shijunzi (Quisqualis Fructus, 0.5 liang), Huhuanglian (Picrorhizae Rhizoma, 0.5 liang), Shexiang (Musk, 1 fen), Kuliangunpi (Meliae Cortex, 0.5 liang, roasted until slightly yellow)... (Text cuts off).
Preparation and Administration: The above ingredients are pounded into powder through a sieve and thoroughly mixed. Mix with flour paste to form pills the size of mung beans. For one-year-olds, take one pill with porridge drink. For slightly older children... (Text cuts off).
To treat persistent gan-li in infants who can eat but are becoming progressively thinner, use Yeming Sha Wan (Night-shining Sand Pill).
Ingredients: Yeming Sha (Gulielmi Faecalis/Night-shining Sand, 1 fen, slightly roasted), Helile (Terminalia Chebula Fruit, 0.5 liang, baked, using the peel), Longgu (Fossilia Ossis Mastodi, 0.5 liang), Xiongdan (Ursi Bile, 1 fen, finely ground), Zhusha (Cinnabar, 1 fen, finely ground).
Preparation and Administration: The above ingredients are pounded into powder through a sieve and thoroughly mixed. Mix with pig bile to form pills the size of millet grains. Each dose is five pills taken with porridge drink. Administer three times daily.
To treat persistent gan-li in infants with emaciated limbs, frequent symptoms, and constant palpitations/fright, use Shenxiao Shagan Wan (Miraculous Anti-Gan Pill).
Ingredients: Pishuang (Arsenic Trioxide, 0.5 liang), Tianlinggai (Skull Cap, 1 piece), Renfen (Human Excrement, 0.5 liang, dried), Huhuanglian (Picrorhizae Rhizoma, powdered, 0.5 liang), Langdangzi (Daturae Semen, 1 fen, water-rinsed to remove floating ones)... (Text cuts off).
Preparation and Administration: First, wrap Pishuang, Tianlinggai, and Renfen in 3-5 layers of wet paper, seal tightly with yellow clay, dry, and roast in charcoal fire until red hot... (Text cuts off, likely followed by mixing with milk).
To treat persistent gan-li in infants, use Pishuang Wan (Arsenic Pill).
Ingredients: Pishuang (Arsenic Trioxide, 1 fen), Xionghuang (Realgar, 1 fen), Zhusha (Cinnabar, 1 fen), Shexiang (Musk, 1 fen), Ganchan Hui (Dry Toad Ash, 1 fen).
Preparation and Administration: The above ingredients are ground into powder and mixed with steamed dough soaked in water to form pills the size of millet grains. Each dose is one pill taken with cold porridge drink. Administer twice daily. Avoid hot foods.
To treat persistent gan-li in infants with abdominal distension, use Shexiang Wan (Musk Pill).
Ingredients: Shexiang (Musk, 1 fen, finely ground), Badou (Crotonis Fructus, 1 liang, fried in oil until black, skin and heart removed, ground and pressed between paper to remove oil).
Preparation and Administration: The above ingredients are thoroughly mixed. Mix with cooked rice to form pills the size of millet grains. Each dose is one pill taken with porridge drink. Take once on an empty stomach and once in the afternoon.
To treat persistent gan-li in infants, use Wuyi Wan (Chromolaena Pill).
Ingredients: Wuyi (Chromolaenae Fructus, 0.5 liang), Yangzi Gan (Sheep Liver, 1 piece).
Preparation and Administration: Slice the sheep liver, sprinkle Wuyi powder inside, tie with thread, and boil in rice wash water until cooked. Pound and mix with glutinous rice flour to form pills... (Text cuts off).
To treat persistent gan-li in infants with prominent blue veins on the abdomen and gradually thinning limbs, use Lvhui Wan (Aloe Pill).
Ingredients: Lvhui (Aloe, 1 liang), Fenshuang (Sublimated Arsenic Trioxide, 1 fen).
Preparation and Administration: The above ingredients are ground into powder and mixed with concentrated decoction of Huanglian (Coptidis Rhizoma) to form pills the size of mung beans. Each dose is five pills taken before meals with porridge drink. Adjust according to the child's size... (Text cuts off).