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Pediatric gan li (malnutrition with dysentery) arises from irregular breastfeeding or weaning, excessive consumption of raw and cold foods, which damage the spleen and stomach. This leads to dysfunction of the zang-fu organs, conflict between cold and heat pathogens, and weakness of the large intestine.

For pediatric gan li presenting with a stiff back like a saw, itching of eyes, mouth, and nose, self-biting of fingernails, dry and brittle hair, acute pain in the lower region (anus), use Qingdai San (Indigo Powder).
Ingredients: Qingdai (Indigo Naturalis, finely ground), Zhusha (Cinnabaris, finely ground), Xionghuang (Realgar, finely ground), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed), Lilu (Veratri Rhizoma, rhizome head removed), Huhuanglian (Coptidis Chinensis Rhizoma var. Otsuense, fine root), Xixin (Asari Radix et Rhizoma).
The above ingredients are crushed, passed through a fine sieve to make a powder, and thoroughly mixed. Each dose consists of half a qian (approx. 3-5g depending on era/region, here likely smaller for infants), taken with rice gruel, once in the morning and once in the evening. Dosage should be adjusted according to the child's age and size.

For pediatric gan li presenting with a distended abdomen, dry mouth, emaciated limbs, and persistent dysentery, use Shensheng San (Divine Holy Powder).
Ingredients: Gan chanma (Dry Bufo bufo gargarizans, one piece collected on the fifth day of the fifth lunar month, feet and viscera removed), Du ke suan (Single-clove garlic, crushed), Chuanjiao (Zanthoxyli Pericarpium, half a liang, eyes removed).
These two ingredients are finely ground together with previous preparations into a powder. Each dose is half a qian, taken with rice gruel, three to four times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li presenting with emaciated limbs, abdominal distension, nasal itching, dry skin, and intermittent dysentery, use Lushui Wan (Aloe Pill).
Ingredients: Lushui (Aloes, finely ground), Xionghuang (Realgar, finely ground), Moshizi (Myrobalan nut), Shetuipi (Ophichthidis Corium, burnt to ash), Dingxiang (Caryophylli Flos), Xiongdan (Ursi Bile), Chanqiao (Cicadae Periostracum, lightly stir-fried, legs removed), Chansu (Bufonis Venenum).
The above ingredients are crushed, passed through a sieve to make a fine powder, and bound with refined honey into pills the size of yellow millet grains. Each dose is three pills, taken with rice gruel. Additionally, one pill is separately ground and insufflated into the nose. Adjust based on the child's condition.

For pediatric gan li that does not stop, presenting with emaciation, poor appetite, abdominal pain, and weakness, use Shexiang Wan (Musk Pill).
Ingredients: Shexiang (Moschi Fermentum, finely ground), Zhusha (Cinnabaris, finely ground), Lushui (Aloes, finely ground), Xionghuang (Realgar, finely ground), Mudingxiang (Cardamomi Fructus, female type), Heshi (Pyrrosiae Folium), Baifan hui (Alumen Ash), Mituo seng (Lithargyrum), Chanqiao (Cicadae Periostracum), Huanglian (Coptidis Rhizoma).
The above ingredients are crushed, passed through a sieve to make a powder, mixed thoroughly with the pre-ground ingredients, and bound with wheat paste into pills the size of mung beans. Each dose is three pills, taken with rice gruel, three times daily.

For pediatric gan li persisting day and night, presenting with emaciation, weakness, and inability to eat, use Muxiang Wan (Costus Root Pill).
Ingredients: Muxiang (Aucklandiae Radix), Chanqiao (Cicadae Periostracum, lightly stir-fried, legs removed), Roudoukou (Myristicae Semen, shell removed), Huandan (Minii Oxidum Rubrum, lightly stir-fried), Zhusha (Cinnabaris, finely ground), Yemingsha (Gulodis Faeces, lightly stir-fried, each one fen), Wo Niu (Helicidae Concha, twenty pieces, stir-fried until finely ground and slightly yellow).
The above ingredients are crushed, passed through a sieve to make a powder, mixed thoroughly with the pre-ground ingredients, and bound with steamed dough soaked in water into pills the size of mung beans. Each dose is five pills, taken with warm rice gruel. Daily frequency is implied but text is truncated.

For pediatric gan li with unpredictable frequency day and night, and emaciated muscles, use Longgu Wan (Dragon Bone Pill).
Ingredients: Longgu (Fossilia Ossis Mastodi, half a liang), Xionghuang (Realgar, one qian, finely ground), Shexiang (Moschi Fermentum, one qian, finely ground), Zhusha (Cinnabaris, one fen, finely ground), Wo Niu (Helicidae Concha, twenty pieces, stir-fried until slightly yellow).
The above ingredients are crushed, passed through a sieve to make a powder, mixed thoroughly with the pre-ground ingredients, and bound with wheat paste into pills the size of mung beans. Each dose is five pills, taken with rice gruel.

For pediatric gan li due to deficiency-cold of the spleen and stomach, indigestion of milk and food, and umbilical/abdominal pain, use Xiongdan Wan (Bear Bile Pill).
Ingredients: Xiongdan (Ursi Bile, five fen), Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed until cracked, skin and umbilicus removed), Badou (Crotonis Fructus, seven pieces, skin and heart removed, ground and pressed between paper to remove oil), Dingfen (Cerussa, one liang, stir-fried until slightly yellow), Huandan (Minii Oxidum Rubrum, two points, stir-fried until purple), Pishuang (Arsenici Trioxidum, one qian, finely ground), Liuhuang (Sulfur, one fen, finely ground), Jiangjiang (Zingiberis Rhizoma Recens, one fen, baked until cracked and cut), Helile (Terminaliae Chebulae Fructus, one fen, baked, peel used).
The above ingredients are crushed, passed through a sieve to make a powder, and bound with steamed dough soaked in water into pills the size of yellow millet grains. Each dose is two pills, taken with cold water. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, use Huanglian San (Coptis Powder).
Ingredients: Huanglian (Coptidis Rhizoma, half a liang, mustache removed, lightly stir-fried), Baifuling (Poria, half a liang), Ejiao (Colla Corii Asini, half a liang, crushed and stir-fried until yellow and dry), Huangbai (Phellodendri Cortex, half a liang, lightly roasted and cut), Renshen (Ginseng Radix et Rhizoma), Moshizi (Myrobalan nut, two pieces).
The above ingredients are crushed, passed through a fine sieve to make a powder. Each dose is half a qian, taken with rice drink. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, with itching in the lower region, use Qingdai San (Indigo Powder).
Ingredients: Qingdai (Indigo Naturalis, one fen), Canhui (Bufo Ash, one fen), Chishizhi (Halloysitum Rubrum, half a liang), Helile pi (Terminaliae Chebulae Fructus Peel, one liang, lightly baked), Hufen (Cerussa, one fen, lightly stir-fried), Huanglian (Coptidis Rhizoma).
The above ingredients are crushed, passed through a sieve to make a powder. Each dose is half a qian, taken with breast milk, three to four times daily. Dosage should be adjusted according to the child's age and size.

For chronic pediatric gan li that does not resolve, use Sha Gan Wan (Eliminate Gan Pill).
Ingredients: Xionghuang (Realgar, one fen, finely ground), Shexiang (Moschi Fermentum, one fen, finely ground), Niuhuang (Bovis Calculus, one fen, finely ground), Lushui (Aloes, one fen, finely ground), Zhusha (Cinnabaris, one fen, finely ground), Qingdai (Indigo Naturalis, half a liang).
The above ingredients are crushed, passed through a sieve to make a powder, mixed thoroughly with the pre-ground ingredients and Chansu (Bufonis Venenum), and bound with steamed dough soaked in water into pills the size of yellow millet grains. Each dose is taken with warm water. (Text truncated).

For pediatric gan li that does not stop, presenting with body heat, dry mouth, irritability, and emaciation, use Qingdai Wan (Indigo Pill).
Ingredients: Qingdai (Indigo Naturalis, one fen), Xiongdan (Ursi Bile, one qian), Shexiang (Moschi Fermentum, one qian), Dingfen (Cerussa, one qian, stir-fried until slightly yellow), Chansu (Bufonis Venenum, half a qian), Hanshi Zhengbing (Cold Food Steamed Dough, powdered).
The above ingredients are all ground into powder and bound with pig bile into pills the size of yellow millet grains. Each dose is five pills, taken with rice gruel, three times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, use Bailonggu Wan (White Dragon Bone Pill).
Ingredients: Bailonggu (Fossilia Ossis Mastodi Albus), Baishizhi (Halloysitum Album), Jishifan (Galli Stercoris Praeparatio, burnt until juice is gone), Huanglian (Coptidis Rhizoma, roots removed, lightly stir-fried), Hufen (Cerussa, lightly stir-fried), Baifuling (Poria), Ejiao (Colla Corii Asini, crushed).
The above ingredients are crushed, passed through a sieve to make a powder, and bound with refined honey into pills the size of hemp seeds. Each dose is five pills, taken with rice gruel, three to four times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li where the child refuses milk and food, with emaciated limbs, use Roudoukou Wan (Nutmeg Pill).
Ingredients: Roudoukou (Myristicae Semen, one piece, shell removed), Muxiang (Aucklandiae Radix, half a liang), Zhusha (Cinnabaris, finely ground), Renshen (Ginseng Radix et Rhizoma, rhizome head removed), Helile (Terminaliae Chebulae Fructus, baked, peel used), Shexiang (Moschi Fermentum, finely ground).
The above ingredients are crushed, passed through a sieve to make a powder, and thoroughly mixed. Bound with soft rice into pills the size of hemp seeds. Each dose is three pills, dissolved in rice gruel and taken, three to four times daily.

For pediatric gan li, use Pishuang Wan (Arsenic Pill).
Ingredients: Pishuang (Arsenici Trioxidum, one fen, finely ground), Baifan hui (Alumen Ash, half a liang), Gan chan (Dry Bufo, burnt to ash, half a liang), Yemingsha (Gulodis Faeces, half a liang, lightly stir-fried), Huandan (Minii Oxidum Rubrum, half a liang, lightly stir-fried).
The above ingredients are crushed, passed through a sieve to make a powder, and thoroughly mixed. Bound with soft rice into pills the size of mung beans. Each dose is three pills, taken with cold water. After taking the medicine... (Text truncated).

For pediatric gan li that does not stop, gradually becoming weak and fatigued, use Dingxiang Wan (Clove Pill).
Ingredients: Dingxiang (Caryophylli Flos, one fen), Badou (Crotonis Fructus, seven pieces, boiled in vinegar-water until liquid is exhausted, skin and heart removed, ground and pressed between paper to remove oil), Huanglian (Coptidis Rhizoma, one fen, mustache removed).
The above ingredients are crushed, passed through a sieve to make a powder, and bound with wheat paste into pills the size of broomcorn millet. Each dose is three pills, taken with cold rice gruel, three times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li with emaciation, use Shexiang Wan (Musk Pill).
Ingredients: Shexiang (Moschi Fermentum, one fen, finely ground), Tiefen (Plumbum Metallicum, half a liang), Guijia (Testudinis Carapax et Plastrum, half a liang, coated with vinegar, roasted until yellow, skirt edge removed), Huanglian (Coptidis Rhizoma, half a liang, mustache removed), Xama (Bufo, one...).
The above ingredients are crushed, passed through a sieve to make a powder, and bound with soft rice into pills the size of hemp seeds. Each dose is five pills, taken with warm water, three times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, use Roudoukou Wan (Nutmeg Pill).
Ingredients: Roudoukou (Myristicae Semen, one piece, shell removed), Huhuanglian (Coptidis Chinensis Rhizoma var. Otsuense, one fen), Pishuang (Arsenici Trioxidum, half a fen, finely ground), Badou (Crotonis Fructus, ten pieces, skin and heart removed, boiled in clear oil until black, pressed between paper...).
The above ingredients are crushed, passed through a sieve to make a powder, and bound with glutinous rice flour into pills the size of broomcorn millet. Each dose is one pill, taken with cold water. Hot substances are strictly prohibited.

For pediatric gan li persisting day and night, use Longgu San (Dragon Bone Powder).
Ingredients: Longgu (Fossilia Ossis Mastodi, one fen), Hufen (Cerussa, one fen, stir-fried until yellow), Baifan hui (Alumen Ash, one fen), Huanglian (Coptidis Rhizoma, half a liang, mustache removed, cut and lightly stir-fried).
The above ingredients are crushed, passed through a fine sieve to make a powder. Each dose is half a qian, taken with rice drink, three times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, use Lushui San (Aloe Powder).
Ingredients: Lushui (Aloes, half a liang), Dingfen (Cerussa, half a liang), Huandan (Minii Oxidum Rubrum, three fen, lightly stir-fried), Yemingsha (Gulodis Faeces, three fen, lightly stir-fried).
The above ingredients are finely ground into a powder. Each dose is half a qian, taken with rice gruel, three times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, gradually worsening with emaciation, use Disheng Wan (Reach Sage Pill).
Ingredients: Badou (Crotonis Fructus, five pieces, skin and heart removed, ground and pressed between paper to remove oil), Liuhuang (Sulfur, one qian), Fen shuang (Sublimated Arsenic Compound, half a qian), Zhusha (Cinnabaris, one fen), Moshizi mo (Myrobalan Nut Powder, one fen).
The above ingredients are all ground into powder and bound with glutinous rice flour into pills the size of yellow millet grains. Each dose is two pills, taken with cold water. Dosage should be adjusted according to the child's age and size.

For pediatric gan li with dry and emaciated limbs, abdominal and hypochondriac distension, and indigestion, use Zhusha Wan (Cinnabar Pill).
Ingredients: Zhusha (Cinnabaris, one fen), Liuhuang (Sulfur, one fen), Badou (Crotonis Fructus, seven pieces, skin and heart removed, ground and pressed between paper to remove oil), Chantou hui (Toad Head Ash, three qian).
The above ingredients are all ground into powder and bound with wheat paste into pills the size of yellow millet grains. Each dose is three pills, taken with Sweet Bean Decoction. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, presenting with body heat, irritability, abdominal distension, and inability to nurse, use Niuhuang Wan (Cow Bezoar Pill).
Ingredients: Niuhuang (Bovis Calculus, one qian), Shexiang (Moschi Fermentum, half a qian), Chansu (Bufonis Venenum, half a qian), Badou (Crotonis Fructus, seven pieces, skin and heart removed, fried in clear oil until purple, removed and placed in a new clay pot...).
The above ingredients are all ground into powder and bound with steamed dough soaked in water into pills the size of yellow millet grains. Each dose is taken on an empty stomach, with two pills taken with cold ginger-vinegar soup. Dosage should be adjusted according to the child's age and size.

For pediatric gan li with persistent abdominal pain, use Huhuanglian Wan (Huanglian Pill).
Ingredients: Huhuanglian (Coptidis Chinensis Rhizoma var. Otsuense, half a liang), Muxiang (Aucklandiae Radix, one fen).
The above ingredients are crushed, passed through a sieve to make a powder, and bound with glutinous rice flour into pills the size of mung beans. Each dose is five pills, taken with rice gruel, three to four times daily. Dosage should be adjusted according to the child's age and size.

For pediatric gan li that does not stop, presenting with yellow and emaciated body, this formula is suitable.
Ingredients: Chou Chu gen bai pi (Stemonae Radix Bark, coated with honey and roasted until scorched).
The above ingredient is crushed, passed through a sieve to make a powder. Each dose is half a qian, taken with rice gruel, three to four times daily. Dosage should be adjusted according to the child's age and size.

Another prescription.
Take one kernel from an acorn cup, roast it until cooked. An adult chews it thoroughly and feeds it to the child. Boiling it into a decoction for administration is also good.

For pediatric gan li caused by improper breastfeeding practices, resulting in changing colors, this formula is suitable.
Ingredients: Gou gu (Canis Os, rotten ones, any amount, burnt to ash).
The above is finely ground into a powder. Each dose is half a qian, taken with thickly boiled peach leaf decoction, three times daily. Dosage should be adjusted according to the child's age and size.

Another prescription.
Take one chicken egg, crack the top, insert one grain of Badou (Crotonis Fructus), thread it through, and place it inside the egg. Wrap with paper, seal with raw wheat paste, and steam in a rice steamer until fully cooked. Remove the Badou. Eat one egg daily, up to two eggs. When foul matter is discharged, the condition will heal.

For pediatric gan li that does not stop, this formula is suitable.
Ingredients: Langdang zi (Daturae Semen, four liang, washed in water to remove floating ones, boiled until sprouts emerge, dried, then stir-fried until black, crushed and passed through a sieve to make a powder).
Mix the above with four liang of white flour, knead into cakes, dry them, crush them, and pass through a fine sieve to make a powder. Each dose is one zi (approx. 1-2g), taken with rice gruel, once on an empty stomach and once in the afternoon. Dosage should be adjusted according to the child's age and size.

For pediatric gan li in a critical, near-death state, this formula is suitable.
Ingredients: Yimu cao (Leonuri Herba, one handful).
Boil the above in water until cooked and let the child eat it. The condition will heal.