夫小儿在胎之时。其母挟于风热。生下之后。热毒之气犹在脏腑。不得宣通。因其哺乳
不节
若久
治小儿脑疳。身热发枯。牛黄丸方。
牛黄（一分细研） 麝香（半分细研） 龙脑（半分细研） 青黛（半两细研） 熊胆
（一分研
入）
研入）
上件药。捣罗为末。都研令匀。以面糊和丸。如黄米大。每服。以温水下五丸。日三服。
量
治小儿脑疳。是胎热所为。其疾在头皮光急。头发作穗。或鬓有疮痍。或时腮虚肿
。若患此
青黛（半两细研） 龙胆（半两去芦头） 川升麻（半两） 赤茯神（半两） 黄连（半
两去须）
蓝
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水下五丸。日三服。量儿大小。
加减
治小儿脑疳。眼涩多睡。惊悸。不吃奶食。黄瘦。宜服虎睛丸方。
虎睛（一对酒浸一宿微炙） 犀角屑（半两） 真珠末（半两） 子芩（半两） 川大
黄（半两
锉碎
黄（一
分细
上件药。捣罗为末。都研令匀。炼蜜和丸。如麻子大。一岁儿以奶汁下一丸。日三服。
儿稍
治小儿脑疳久不瘥。肌体黄瘦。头面干枯。眼鼻生疮。壮热多渴。宜服化疳丸方。
虾蟆灰（半两） 青黛（半两细研） 谷精草灰（一分） 牛黄（一分细研） 木香（一
分） 丁
香（
分细研）
犀角屑（一分） 腻粉（半分研入） 羚羊角屑（一分） 砒黄（半分细研） 槟榔（一分）
胡黄连
（一分）
上件药。捣罗为末。研入牛黄等。炼蜜和丸。如粟米大。每一岁以粥饮下一丸。日三服。
治小儿脑疳。羸瘦烦热。龙脑丸方。
龙脑（一钱） 牛黄（一分） 麝香（一钱） 朱砂（一分） 熊胆（一分） 芦荟（一
分） 干虾
蟆灰
上件药。都研令如粉。以水化熊胆和丸。如麻子大。若硬。更入糯米饭同丸。每服。用
薄荷
治小儿脑疳。头发干竖。作穗。眼有白膜。鼻头有疮。通脑丁香散方。
丁香（一分） 蜗牛壳（一分炒令黄） 赤小豆（一分） 不 皂荚（一分并子）
上件药。捣细罗为散。每取少许。以竹管子吹入鼻中。五疳悉用之。若病重者。鼻内出
虫子
治小儿脑疳。烦热。皮干瘦瘁。青黛散方。
青黛（一分） 甘草（半两炙微赤锉） 地榆（半两） 蜗牛子（一两炒令黄） 兰香
根（一分）
麝
上件药。捣细罗为散。都研令匀。每服。以粥饮调下半钱。日三服。量儿大小。以意加
减。
治小儿脑疳。头发干竖。口生白疮。凡有诸疳并治之方。
熊胆（一分） 蚺蛇胆（一分） 芦荟（一分） 龙脑（半分） 牛黄（半分） 麝香
（半分）
上件药。都细研。以井华水一升。和令匀。以瓷器盛。用重汤煮。数以竹篦搅。勿令药
干着
味。
治小儿脑疳。鼻塞头痛。眼目昏暗。羞明怕日。吹鼻龙脑散方。
龙脑（少许细研） 蜗牛壳（一分炒令黄） 虾蟆灰（一分） 瓜蒂（一分） 麝香（少
许细研）
黄
上件药。捣细罗为散。入瓷合内贮之。每取少许。吹于鼻中。每日两上用之。
治小儿脑疳。鼻痒。毛发作穗。面青羸瘦。益脑吹鼻散方。
地榆末（一分） 虾蟆灰（一分） 青黛（半两） 谷精草（一分） 干蜗牛壳（十四
枚微炒）
麝香
上件药。同细研为散。以两黄米大。吹入鼻中。当有黄水出为效。
又方。\x
上用鲫鱼胆。滴于鼻中。连二五日用之。甚效。
When a child is in the womb, the mother may be affected by wind-heat pathogens. After birth, the qi of heat-toxin remains stagnant in the zang-fu organs and cannot be dispersed or unblocked. Due to irregular breastfeeding and feeding habits, if the condition persists for a long time, it develops into pediatric "Nao Gan" (Brain Malnutrition Syndrome).
For pediatric Nao Gan presenting with body fever and dry, withered hair, use Niuhuang Wan (Calculus Bovis Pill).
Ingredients: Calculus Bovis (1 fen, finely ground), Moschus (0.5 fen, finely ground), Borneolum Syntheticum (0.5 fen, finely ground), Indigo Naturalis (0.5 liang, finely ground), Ursi Fel (1 fen, ground and incorporated).
Preparation and Administration: Pulverize the above ingredients and sieve them into powder. Mix thoroughly and grind until uniform. Bind with wheat paste to form pills the size of yellow millet grains. Administer 5 pills per dose with warm water, three times daily. Adjust dosage according to the child's age.
Pediatric Nao Gan is caused by fetal heat. Symptoms include shiny and tight scalp skin, hair matted into tufts, sores and scabs on the temples, and occasional puffy swelling of the cheeks. For this condition, use the following prescription:
Ingredients: Indigo Naturalis (0.5 liang, finely ground), Gentianae Radix (0.5 liang, removed rhizome), Cimicifugae Rhizoma (0.5 liang), Poria Cocos with Red Heart (0.5 liang), Coptidis Rhizoma (0.5 liang, removed roots), Isatis Folium/Indigo source (quantity unspecified in text, implied as adjunct).
Preparation and Administration: Pulverize and sieve the ingredients. Bind with refined honey to form pills the size of mung beans. Administer 5 pills per dose with warm water, three times daily. Adjust dosage according to the child's age.
For pediatric Nao Gan presenting with dry eyes, excessive sleepiness, palpitations and fright, refusal to nurse or eat, and sallow emaciation, Hu Jing Wan (Tiger Eye Pill) is suitable.
Ingredients: Tiger Eye (1 pair, soaked in wine overnight, lightly roasted), Cornu Rhinocerotis (0.5 liang), Margarita Powder (0.5 liang), Scutellariae Radix (0.5 liang), Rhei Radix et Rhizoma (0.5 liang, sliced).
Preparation and Administration: Pulverize and sieve the ingredients. Mix thoroughly and grind until uniform. Bind with refined honey to form pills the size of hemp seeds. For one-year-old infants, administer 1 pill with milk, three times daily. Increase dosage slightly for older children.
For chronic pediatric Nao Gan that has not healed, presenting with sallow emaciation, dry and withered head and face, sores around eyes and nose, high fever, and excessive thirst, use Huagan Wan (Malnutrition Dissolving Pill).
Ingredients: Bufo Bufaginis Cutis Ash (0.5 liang), Indigo Naturalis (0.5 liang, finely ground), Eriocauli Flos Ash (1 fen), Calculus Bovis (1 fen, finely ground), Aucklandiae Radix (1 fen), Caryophylli Flos (1 fen, finely ground), Cornu Rhinocerotis (1 fen), Calomelas (0.5 fen, ground and incorporated), Saigae Tataricae Cornu (1 fen), Arsenicum Sulfuratum Rubrum (0.5 fen, finely ground), Arecae Semen (1 fen), Coptidis Rhizoma? No, Picrorhizae Rhizoma (1 fen). *Note: Text lists Huhuanglian which is Picrorhizae.*
Preparation and Administration: Pulverize and sieve the ingredients. Incorporate Calculus Bovis and other fine powders. Bind with refined honey to form pills the size of broomcorn millet. Administer 1 pill per year of age with gruel broth, three times daily.
For pediatric Nao Gan presenting with emaciation and vexatious heat, use Longnao Wan (Borneol Pill).
Ingredients: Borneolum Syntheticum (1 qian), Calculus Bovis (1 fen), Moschus (1 qian), Cinnabaris (1 fen), Ursi Fel (1 fen), Aloe (1 fen), Dried Bufo Bufaginis Cutis Ash (quantity unspecified).
Preparation and Administration: Grind all ingredients into powder. Dissolve Ursi Fel in water and bind to form pills the size of hemp seeds. If too hard, add glutinous rice flour during processing. Administer appropriate number of pills with mint decoction.
For pediatric Nao Gan presenting with dry, erect hair matted into tufts, white membrane over eyes, and sores on the tip of the nose, use Tongnao Dingxiang San (Clove Powder for Unblocking Brain).
Ingredients: Caryophylli Flos (1 fen), Cochleae Concha (1 fen, roasted until yellow), Adzuki Bean (1 fen), Gleditsiae Sinensis Fructus (1 fen, including seeds).
Preparation and Administration: Pulverize and sieve into fine powder. Take a small amount and insufflate into the nasal cavity using a bamboo tube. This method applies to the five types of Gan syndrome. If the condition is severe, worms may be expelled from the nose.
For pediatric Nao Gan presenting with vexatious heat, dry skin, and emaciation, use Qingdai San (Indigo Naturalis Powder).
Ingredients: Indigo Naturalis (1 fen), Glycyrrhizae Radix et Rhizoma (0.5 liang, honey-fried until slightly red and sliced), Sanguisorbae Radix (0.5 liang), Cochlea (1 liang, roasted until yellow), Pogostemon Cablin Root (1 fen), Moschus (small amount).
Preparation and Administration: Pulverize and sieve into fine powder. Mix thoroughly. Administer 0.5 qian per dose mixed with gruel broth, three times daily. Adjust dosage according to the child's age.
For pediatric Nao Gan presenting with dry, erect hair and white sores in the mouth. This formula treats various types of Gan syndrome.
Ingredients: Ursi Fel (1 fen), Pythonis Fel (1 fen), Aloe (1 fen), Borneolum Syntheticum (0.5 fen), Calculus Bovis (0.5 fen), Moschus (0.5 fen).
Preparation and Administration: Finely grind all ingredients. Mix with 1 sheng of well-water. Store in a porcelain vessel and simmer in a double boiler (water bath). Stir frequently with a bamboo spatula to prevent sticking or drying out.
For pediatric Nao Gan presenting with nasal congestion, headache, dim vision, photophobia, and aversion to sunlight, use Chuanbi Longnao San (Insufflation Borneol Powder).
Ingredients: Borneolum Syntheticum (small amount, finely ground), Cochleae Concha (1 fen, roasted until yellow), Bufo Bufaginis Cutis Ash (1 fen), Cucumeris Trichosanthis Fructus (1 fen), Moschus (small amount, finely ground).
Preparation and Administration: Pulverize and sieve into fine powder. Store in a porcelain container. Insufflate a small amount into the nose twice daily (morning and evening).
For pediatric Nao Gan presenting with nasal itching, hair matted into tufts, greenish sallow complexion, and emaciation, use Yinao Chuibi San (Brain-Benefiting Nasal Insufflation Powder).
Ingredients: Sanguisorbae Radix Powder (1 fen), Bufo Bufaginis Cutis Ash (1 fen), Indigo Naturalis (0.5 liang), Eriocauli Flos (1 fen), Dried Cochleae Concha (14 pieces, lightly roasted), Moschus (small amount).
Preparation and Administration: Grind together into fine powder. Take an amount equivalent to two yellow millet grains and insufflate into the nose. The appearance of yellow discharge indicates efficacy.
Another Prescription:
Use bile from crucian carp, drip into the nasal cavity, and use continuously for two to five days. This is highly effective.