夫疳 者。由人有嗜甘味多。而动胃间诸虫。致令浸蚀脏腑。此是 也。凡食五味之物
。皆
胃。
状手
喜睡。
腰脊挛急也。五是黑疳。蚀人五脏。多下黑血。数日即死。凡五疳。白者轻。
又次之。疳 又次之。黑者最重。皆从肠里上蚀咽喉。齿龈并生疮。下至谷道
血。呕逆。手足心热。腰痛嗜睡。秋冬可。春夏剧。又云。面青。颊赤。眼无
燥。腹胀有块。日渐瘦损者。是疳蚀人五脏。至死不觉。又云疳缓者。则变成
治疳 。上唇内生疮如粟。口中懊涩。腹痛。面色枯白。好睡体重。虫蚀五脏。苦
参汤
苦参（一两） 桃白皮（三分） 槐白皮（三分）
上件药。细锉。以水三大盏。煎至二盏。去滓。食前分温三服。
治疳 虫蚀。下唇里生疮。睡面 时肿。下部痒痛不止方。
鸡子（一枚破取黄） 好漆（一合）
上件药。相和令匀。空腹仰头顿服令尽。当吐虫出即愈。
治疳 时久。下部生疮。麝香丸方。
麝香（半两细研） 干姜（一两炮裂锉） 蠹虫粪（一两） 葵茎（半两） 白矾（二
两烧令汁
尽） 虾蟆（一枚涂酥炙令黄焦）
上件药。捣罗为末。以醋煮面糊和丸。如梧桐子大。每于食前。以艾汤下二十丸。
治疳 。肠头挺出。宜服此方。
黄连（一两去须） 蚺蛇胆（一枚） 芜荑〔一（二）两〕
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。随时以温水下。
又方。
桃叶（二两干者） 腐犬骨（二两烧灰）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
丁香（半两） 麝香（半两细研） 黄连（一两去须）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
黄矾（一两烧赤） 干姜（一两炮裂锉） 葛勒蔓（一两）
上件药。捣细罗为散。熔黄蜡和丸。如枣核大。以薄绵裹纳下部中。日三易效。
又方。\x
干虾蟆（一枚烧灰） 兔粪（半两微炒）
上件药。细研为散。用绵裹莲子大。纳下部中。日三易效。
Gan disease (Wasting-Thirst Syndrome) arises from excessive consumption of sweet flavors, which agitates the parasites in the stomach, leading to the erosion of the Zang-Fu organs. This is the etiology of Gan disease. All foods with the five flavors affect the Stomach.
(The original text contains lacunae here; based on context, it likely describes symptoms such as lethargy and stiffness of the waist and spine. The fifth type is Black Gan, which erodes the Five Zang organs, often resulting in the passage of black blood, leading to death within a few days.)
Among the five types of Gan, White Gan is the mildest, followed by Red Gan, then Yellow Gan, while Black Gan is the most severe. These conditions all ascend from the intestines to erode the throat, causing sores on the gums, and descend to cause bleeding from the anus. Symptoms include vomiting and regurgitation, heat in the palms and soles, lower back pain, and somnolence. The condition is milder in autumn and winter but exacerbates in spring and summer.
Furthermore, if the complexion is green, cheeks are red, eyes are dry, the abdomen is distended with masses, and the patient wastes away day by day, this indicates Gan disease eroding the Five Zang organs, where the patient remains unaware until death.
If Gan disease lingers, it transforms into Gan accumulation (or Gan exhaustion). The treatment for Gan accumulation involves sores like millet grains inside the upper lip, a feeling of stifling discomfort and dryness in the mouth, abdominal pain, withered and pale complexion, somnolence, heavy body, and parasitic erosion of the Zang organs causing suffering.
Kushen Decoction (Bitterroot Decoction):
* *Sophorae Flavescentis Radix* (Kushen, 苦参), 1 liang
* *Pruni Persicae Cortex Albus* (Taobai Pi, 桃白皮), 3 fen
* *Stemonae Radix* (Huaimu Pi/Huaibai Pi, 槐白皮), 3 fen
Process: Finely chop the above ingredients. Decoct with 3 large cups of water until reduced to 2 cups. Strain. Divide into three warm doses, taken before meals.
Formula for treating parasitic erosion due to Gan disease, with sores inside the lower lip, facial swelling during sleep, and unceasing itching and pain in the lower orifices:
* *Galli Ovini Ovum* (Jizi, 鸡子 - specifically the yolk), 1 egg
* Good Lacquer (Hao Qi, 好漆), 1 he
Process: Mix evenly. Take on an empty stomach while tilting the head back, consuming it all at once. Recovery occurs when the parasites are vomited out.
Moxa Musk Pill Formula for long-standing Gan disease with sores in the lower orifice:
* *Moschus* (Shexiang, 麝香), 0.5 liang, finely ground
* *Zingiberis Rhizoma Preparatum* (Ganjiang, 干姜), 1 liang, processed until cracked and chopped
* Dung of Bookworms (Duchong Fen, 蠹虫粪), 1 liang
* *Abutilonis Caulis* (Kuijing, 葵茎), 0.5 liang
* *Alumen* (Baifan, 白矾), 2 liang, calcined until the juice is gone
* *Bufo Bufo* (Xama, 虾蟆), 1 unit, coated with butter and roasted until yellow and crisp
Process: Pound and sieve the above ingredients into powder. Mix with paste made from flour boiled in vinegar to form pills the size of *Koelreuteriae* seeds. Take 20 pills before meals, washed down with Mugwort tea.
Formula suitable for prolapse of the rectum (intestine protruding) caused by Gan disease:
* *Coptidis Rhizoma* (Huanglian, 黄连), 1 liang, remove the rootlets
* *Rhinocerotis Cornu* equivalent / Python Gallbladder (Ranshe Dan, 蚺蛇胆), 1 unit
* *Maydis Fructus Germinatus* equivalent / Prunus Mume Seed (Wuyi, 芜荑), 1 liang
Process: Pound and sieve into powder. Mix with refined honey to form pills the size of mung beans. Take each dose with warm water as appropriate.
Another Formula:
* *Persicae Folium* (Taoye, 桃叶), 2 liang (dried)
* Bone of a decayed dog (Fu Gou Gu, 腐犬骨), 2 liang, calcined to ash
Process: Pound finely and sieve into powder. Take 2 qian before meals, mixed with rice gruel drink.
Another Formula:
* *Symplocos Fructus* (Dingxiang, 丁香), 0.5 liang
* *Moschus* (Shexiang, 麝香), 0.5 liang, finely ground
* *Coptidis Rhizoma* (Huanglian, 黄连), 1 liang, remove the rootlets
Process: Pound finely and sieve into powder. Take 2 qian before meals, mixed with rice gruel drink.
Another Formula:
* *Calcareous Jarosite* (Huangfan, 黄矾), 1 liang, calcined until red
* *Zingiberis Rhizoma Preparatum* (Ganjiang, 干姜), 1 liang, processed until cracked and chopped
* *Ampelopsis Caulis* (Gele Man, 葛勒蔓), 1 liang
Process: Pound finely and sieve into powder. Mix with melted beeswax to form pills the size of a jujube pit. Wrap in thin silk and insert into the lower orifice. Replace three times daily for efficacy.
Another Formula:
* Dried *Bufo Bufo* (Gan Xama, 干虾蟆), 1 unit, calcined to ash
* Rabbit Feces (Tufen, 兔粪), 0.5 liang, lightly stir-fried
Process: Grind finely into powder. Wrap in silk to the size of a lotus seed and insert into the lower orifice. Replace three times daily for efficacy.