问曰。疳有五疳者。何谓也。答曰。五疳者。五脏所发见也。疳者属脾。脾实则无五疳。有五疳者。此为脾既病也。
疳之为恙。肉脱血燥。腹硬而脉细数。若身热发作。若大便溏。小便必如米泔也。疳有阳。有阴。蒸热便难者。阳也。
身肿便泻者。阴也。疳有阳。有阴。始多阳。终多阴阳者宜寒凉方。阴者宜温热方。疳病。鼻燥欲湿者。名曰鼻疳。宜
熊胆蜜敷之。
熊胆蜜方
熊胆（三分） 芒硝（一分） 蜂蜜（一钱）
上三味。研调敷。干再三敷之。疳病嗜泥好炭。此为脾郁所致也。儿啼哭。声噎者。气不顺也。喘痰者。气促迫也。
声浊沉静者。疳积也。儿身热发作。胸腹痞硬。若呕乳者。宜柴胡平胃散料主之。疳癖。胸胁辘辘有声。若潮热发作。
若气逆妄怒者。宜溃坚汤主之。儿疳。露骨萎黄。身热而溏。臭不可近者。消疳汤主之。
消疳汤方
茯苓（三分） 白术（炒二分） 乳柑皮（五分） 莪术（五分） 三棱（五分） 马舄（五分） 使君子（去壳
研二分） 生姜（二分）
上八味。以水一升。先煮七味。取七合。去滓。加使君子。搅调。分温食远服。病患手背热者。为真火也。手心热
者。为假火也。儿无食肠。而与食。遂致食癖。剧则谷不化。血气渐孤弱者。名曰疳癖也。病乳癖易化。谷癖难化。体
瘦腹鼓。脉沉紧者。名曰谷瘕。宜溃坚汤。
溃坚汤方
茯苓（五分） 白术（炒三分） 半夏（三分） 枳实（炒三分） 陈皮（五分） 槟榔（五分） 山楂子（炒二
分） 香附子（五分） 缩砂（三分） 绵实（黑炒五分） 风化硝（三分） 莪术（三分） 三棱（五分） 麦芽（黑
炒一钱） 生姜（二分） 甘草（一分）
上十六味。 咀。以水二升。煮取一升。去滓。分温服。病体瘦热动。脸赤鼻燥。大便难。小便涩者。名曰阳疳。
宜柏皮汤主之。儿身热啼哭。腰腹如削者。此为缺乳疳也。儿无食肠者。强与食。胸腹硬满。时痛。若唇红唾沫。宜
胡汤主之。
胡汤方
胡菜（一钱） 槟榔（五分） 大黄（五分） 苦楝皮（二分） 甘草（五分）
上五味。以水二升。煮取一升。分温二服。暮时减食。次朝勿食。当有验。糜粥自养。儿头胀大渐长。反四肢瘦者。
名曰脑疳。宜逐疳丸主之。儿体羸腹大。眼内生医者。名曰疳眼。宜柳肝加马舄汤主之。疳热郁酿。致蚀疮者。宜乌头
灰。以鸡子清敷之。儿疳。骨节疼痛。遂致伛偻 背。若胸上突起。名曰龟胸。宜铁浆服之。更龟尿煎敷之。
龟尿煎方
龟尿（三合） 烧酒（五合） 韶脑（三分）
上三味。调和煎熟。乘热熨突处。疳热胶凝。骨节疼痛。胸背欲突起者。宜逐疳丸。频服当自愈也。疳病。脉细数。
必蒸热。蒸热者。致盗汗。遂属肌肤甲错也。儿疳爱吃泥土者。宜伏龙肝丸。
伏龙肝丸方
优龙肝（二两） 使君肉（二两） 槟榔（一两） 南星（姜制一两） 鳗鲡头（黑炒二两） 熊胆（一钱）
上六味。研调蜜丸。吃炭者。去伏龙加炭二两。吃米者。加米二两。儿体羸肤燥。烦渴者。名曰疳渴。宜白梅汤主
之。
白梅汤方
白梅（二个） 菟丝子（一钱）
上二味。以水一升。煮取七合。去滓分温服。儿疳。烦渴不解。脉微数。小便赤而涩者。宜益元散主之。
益元散方
滑石（三钱） 辰砂（一钱）
上二味。研调。以雪水冷服。儿体瘦咬爪。大便溏泄。连日不解。名曰疳泻。宜扶脾汤主之。痢疾既解。反潮热血
燥者。为疳病也。痘疮解后。血液必竭。四肢瘦削。脉细而数。此为转属疳病也。儿病胸骨露。腹肚胀大。四肢微冷。
而大便溏者。名曰冷疳。宜养真汤主之。
养真汤方
茯苓（五分） 白术（三分） 乳柑皮（五分） 青皮（二分） 半夏（五分） 香附子（五分便制） 缩砂（三
分酒制） 藿香（二分） 人参（二分） 破故纸（三分） 附子（二分） 麦芽（五分） 甘草（三分） 生姜（二
分） 大枣（二枚）
上十五味。以水二升。煮取一升。去滓分温服。病身热血燥。脉细而数。脾气衰则大便 溏。胃气衰则四肢微肿。
名曰脾痨。宜扶脾汤主之。病腹肚石硬。胃弱不杀谷。面颜银白。朝凉暮热。脉细数。而肌肤甲错者。名曰疳劳。宜抉
脾汤主之。
抉脾汤方
茯苓（五分） 白术（二分） 半夏（五分） 缩砂（三分） 香附子（童便制五分） 莲蕊（三分） 乳柑皮（五
分） 青皮（三分） 食盐（一分） 人参（二分） 红曲（二分） 生姜（二分）
上十二味。以水二升。煮取一升。去滓空肚温服。疳劳为病。朝凉暮热。咳痰心悸。肌肉血燥。脉细而数者。宜逐
疳丸主之。
逐疳丸方
天灵盖（黑炒一两） 虾蟆灰（四钱） 鳗鲡头（烧灰四钱） 獭肝（灸干八钱） 真珠（一钱） 松脂（水飞九
钱） 田螺灰（四钱） 犀角（四钱） 龙脑（一钱） 麝香（五分）
上十味。研筛。以烧酒糊。丸梧子大。每服五分。鸡卵浓汤送下。病患。骨热起伏。其脉微数。四肢肉脱。一身血
燥。名曰干血劳。宜鳗鲡膏。
鳗鲡膏方
鳗鲡（去头骨三斤） 清酒（一斗）
上二味。以文火。煮为膏。随意食之。疳之为病。阳虚则吐血。阴虚则小便难。阴阳俱虚竭。则身体枯燥。蒸热盗
汗。心悸不安。若口渴而咽痛者。宜柴鳖汤。
柴鳖汤方
柴胡（一钱） 黄芩（三分） 鳖甲（丸，二钱） 茯苓（二钱） 枳实（五分） 寒水石（二钱） 鹿角菜（三
分） 莲蕊（二分） 甘草（一分）
上九味。以水二升。煮取一升。去滓。分温服。疳热骨蒸。肌肉销铄者。宜栀子饭。
栀子饭方
栀子（四钱）
上一味。以水一斗。煮取汁。以炊米。作粥食。病患。气血虚竭。郁热起伏。二脉细数。大便若燥。若溏。胸痞悸
动。 其气。而热愈动。滋其血。而胸益痞。宜八珍汤主之。
八珍汤方
人参（三分） 茯苓（二钱） 枸杞（三钱） 缩砂（五分） 鹿角霜（七分） 莲蕊（三分） 生姜（一片） 甘
草（三分）
上八味。以水二升。煮取一升。去滓。分温服。阴痿遗精。腰脚酸痛。胸间悸动。脐下脱力。 真元。滋肾液。七
珍膏主之。
七珍膏方
人参（四钱） 破故（微炒二钱） 枸杞（二十钱） 雀肉（研如泥十钱） 鸡子黄（涂板面烈日晒干十钱） 白
糖（二十钱） 蜂蜜（一合）
上七味。以烧酒二升。文火煮。胶凝为度。每服弹丸大。盐汤送下。气血耗散。脾胃虚弱。遂变见诸症。勿论其证。
勿拘其脉。宜连服阴阳调匀汤。以取穷境之效也。
阴阳调匀汤方
人参（三分） 茯苓（二钱） 白术（五分） 橘皮（炒五分） 半夏（一钱） 香附子（便制一钱） 缩砂（五
分） 破故（五分） 枸杞（一钱） 黄柏（酒制三分） 甘草（三分） 生姜（一片）
上十二味。以水二升。煮取一升。去滓分温服。疳劳。身微肿。四肢沉重。若大便泄痢者。宜真武加马舄汤。若有
阴热者。更加鳖甲三分。病患。肌肤干枯。咳喘少气。名曰疳咳。榧子去壳。微灸蘸蜜。每食一二枚。日二三次。病胸
胁挛拘。夜卧盗汗。若身发虚班。若心悸动者。黄 建中汤主之。疳病。腹癖膨胀。雷鸣而微痛。若四肢微肿者。大
麦煎主之。
大麦煎方
红豆（出芽五分） 茯苓（一钱） 乳柑皮（五分） 枳实（三分） 大腹皮（五分） 大麦芽（二钱） 生姜（二
分）
上七味。以水二升。煮麦芽。减七合。去滓。内六味。再煮取七合。去滓。分温服。疳肿腹胀。小便不通者。宜瞿
麦汤主之。
瞿麦汤方
瞿麦（五分） 商陆（五分） 茯苓（一钱） 琥珀（二分） 大腹皮（三分） 生姜（二分） 甘草（三分）
上七味。以水二升。煮取一升。去滓。分温服。疳病。面黄颈细。腹大青筋。大便溏而澄清者。宜七成汤主之。
七成汤方
破故纸（一钱） 附子（三分） 莲蕊（二分） 茯苓（一钱） 人参（二分） 生姜（二分） 甘草（二分）
上七味。以水一升。煮取七合。去滓。分温服。疳病。玄府衰则自汗出。牝脏衰则大便溏。宜温脏丸主之。
温脏丸方
蝮蛇（灸四钱） 缩砂（二钱） 破故（炒二钱） 莲蕊（炒一钱） 熊胆（五分） 甘草（三分）
上六味。研筛。以烧酒糊丸。每服三十丸。疳热发渴。要视口内。若齿焦黑者。名曰走马疳。宜大黄黄连泻心加茉
莉白汤主之。疳热骨蒸。咳喘烦悸。渴而小便赤者。五蒸汤主之。
五蒸汤方
石膏（五分） 知母（三分） 黄柏（二分） 龟板（五分） 地黄（三分生用） 人参（二分） 甘草（二分） 生
姜（二分） 大枣（二枚）
上九味。 咀。以水二升。煮取一升。去滓。加童便。分温服。疳热骨蒸。咳痰吐食。其腹郁膨。若微痛。吞酸腥
臭者。宜鳖甲枸杞饮。
鳖甲枸杞饮方
鳖甲（一钱） 枸杞（一钱） 犀角（三分）
上三味。以水一升。煮取七合。去滓。分温服。病骨热咳痰。身微肿。吐鲜血者。宜犀角山漆汤。
犀角山漆汤方
犀角（五分） 山漆（二钱） 人中白（三分）
上三味。先煮二味。去滓。内人中白。搅调。分温服。若痰多者。更加竹沥三分。亡血家饮食减少肌色脱是 必致
肿也。疳病。脉细而沉。腹满肠鸣。必作KT 也。 阳脉。浮而数。浮则为虚。数则为热。虚热相搏。故令气KT 。
言胃气
虚竭也。百骸乏力。咳痰倚息。身浮肿。大便泄利者。不可治。疳病。腹满如鼓。为丁奚。若吐乳食。为哺露。俱属难
治。病患。倦卧而不食。其眼失神。颧时红者。孤阳之动也。疳病。倦卧唇色脱。盗汗不歇者死。病。奂口倚息。鼻焦
唇燥。蛔既出者死。病暴热倚息。饮食不能者。可治。渐热HT 作。行动烦悸。饮食少进者。不可治。阴虚者。阳必动
之。
热也。阳虚者。阴必HT 之。肿也。阴阳偏废者。不可治。
Question: There are five types of Gan disease (Pediatric Malnutrition Syndrome). What do they refer to?
Answer: The so-called "Five Gans" are manifestations of disorders in the Five Zang Organs. Gan disease belongs to the Spleen. If the Spleen is in a state of excess (normal robust function), there will be no Five Gans. The appearance of Five Gans indicates that the Spleen is already diseased.
The symptoms of Gan disease include emaciation, dryness of blood, a hard abdomen, and a fine, rapid pulse. If there is recurrent fever, loose stools, the urine will inevitably be turbid like rice wash water. Gan disease is divided into Yang Gan and Yin Gan. Recurrent steaming heat and difficult defecation characterize Yang Gan.
Body edema and diarrhea characterize Yin Gan. Gan disease involves both Yin and Yang; initially it is mostly Yang, but later often transitions to Yin or mixed Yin-Yang conditions. Yang patterns are suitable for cold-cooling formulas, while Yin patterns are suitable for warm-heating formulas. In Gan disease, if the nose is dry and desires moisture, it is called Bi Gan (Nasal Gan), suitable for treatment with Bear Gallbladder Honey application.
Bear Gallbladder Honey Formula
Bear Gallbladder (3 fen) Mang Xiao (Sodium Sulfate, 1 fen) Honey (1 qian)
Grind and mix the above three ingredients, apply externally. Reapply when dry. Children with Gan disease who crave eating mud and charcoal have this due to Spleen Qi stagnation. Crying children with a choking voice indicate stagnant Qi. Wheezing with phlegm sounds indicates rapid, forced breathing.
A hoarse and quiet voice indicates Gan accumulation. If a child has recurrent fever, chest and abdominal distension and hardness, and vomiting milk, Chai Hu Ping Wei San material should be used as the main treatment. For Gan Pi (Gan mass), where there is gurgling sound in the chest and hypochondrium, recurrent tidal fever,
or rebellious Qi with irrational anger, Kui Jian Tang (Hardness-Dispersing Decoction) should be used. For pediatric Gan disease, with exposed bones, sallow complexion, recurrent fever, loose stools, and an unbearable foul odor, Xiao Gan Tang (Gan-Resolving Decoction) should be used.
Xiao Gan Tang Formula
Fu Ling (Poria, 3 fen) Bai Zhu (Atractylodes Macrocephala Rhizoma, stir-fried 2 fen) Ru Gan Pi (Citrus Peel, 5 fen) E Zhu (Curcuma Zedoaria Rhizome, 5 fen) San Leng (Sparganium Rhizome, 5 fen) Ma Xi (Portulaca Oleracea Herb, 5 fen) Shi Jun Zi (Quisqualis Fruit, shelled and ground 2 fen) Sheng Jiang (Fresh Ginger, 2 fen)
Boil the first seven ingredients in one sheng of water, reduce to seven ge, remove dregs, add Shi Jun Zi, mix well, and take warm in divided doses after meals. Heat on the back of the hands indicates True Fire. Heat on the palms indicates False Fire. When a child lacks appetite (empty intestines) but is force-fed, it leads to Food Pi (mass). Severe cases result in undigested food and gradual depletion of Blood and Qi, known as Gan Pi. Milk Pi is easier to resolve, while Grain Pi is harder. Emaciated body with drum-like abdomen and deep, tight pulse is called Gu Jia (Grain Mass), treated with Kui Jian Tang.
Kui Jian Tang Formula
Fu Ling (Poria, 5 fen) Bai Zhu (Atractylodes Macrocephala Rhizoma, stir-fried 3 fen) Ban Xia (Pinellia Tuber, 3 fen) Zhi Shi (Immature Bitter Orange, stir-fried 3 fen) Chen Pi (Tangerine Peel, 5 fen) Bing Lang (Areca Seed, 5 fen) Shan Zha Hawthorn Fruit, stir-fried 2 fen) Xiang Fu Cyperus Rhizome, 5 fen) Suo Sha (Amomum Villosum Fruit, 3 fen) Mian Shi (likely a variant or typo, context implies resolving agent, 5 fen stir-fried black) Feng Hua Xiao (Weathered Nitre, 3 fen) E Zhu (Curcuma Zedoaria Rhizome, 3 fen) San Leng (Sparganium Rhizome, 5 fen) Mai Ya (Barley Sprout, stir-fried black 1 qian) Sheng Jiang (Fresh Ginger, 2 fen) Gan Cao (Licorice Root, 1 fen)
Chop the above sixteen ingredients, boil in two sheng of water to obtain one sheng, remove dregs, and take warm in divided doses. A thin body with feverish restlessness, red cheeks, dry nose, difficult defecation, and scanty urine is called Yang Gan, treated with Bo Pi Tang. Recurrent fever and crying in children with wasted waist and abdomen indicate Que Ru Gan (Milk-Lack Gan). Force-feeding a child with no appetite causes chest/abdominal fullness and pain; red lips and salivation require Hu Tang.
Hu Tang Formula
Hu Cai (likely a local herb, possibly Artemisia or similar, 1 qian) Bing Lang (Areca Seed, 5 fen) Da Huang (Rhubarb Root, 5 fen) Ku Lian Pi (Melia Bark, 2 fen) Gan Cao (Licorice Root, 5 fen)
Boil in two sheng of water to obtain one sheng, take in two warm doses. Reduce food intake at night, fast until morning next day for efficacy. Nourish with millet gruel. Head swelling with growing size but thin limbs is called Nao Gan (Brain Gan), treated with Zhu Gan Wan. Emaciated body with large abdomen and eye opacities is called Gan Yan (Eye Gan), treated with Liu Gan Jia Ma Xi Tang. Gan heat toxicity causing ulceration is treated with Wu Tou Hui (Aconite Ash) applied with egg white. Bone joint pain leading to kyphosis or chest protrusion (Gui Xiong/Turtle Chest) in Gan disease is treated with Tie Jiang (Iron Slag) orally and Gui Niao Jian (Turtle Urine Decoction) topically.
Gui Niao Jian Formula
Gui Niao (Turtle Urine, 3 he) Shao Jiu (Distilled Wine, 5 he) Nao (Borneol, 3 fen)
Mix and boil, apply hot to the protruding area. Sticky Gan heat causing bone pain and chest/back protrusion is treated with frequent Zhu Gan Wan. Fine, rapid pulse with steaming heat leads to night sweats and xeroderma (skin scaling like fish scales). Craving earth is treated with Fu Long Gan Wan.
Fu Long Gan Wan Formula
Fu Long Gan (Dragon's House Earth, 2 liang) Shi Jun Ren (Quisqualis Seed, 2 liang) Bing Lang (Areca Seed, 1 liang) Nan Xing (Arisaema Tuber, ginger-processed 1 liang) Man Li Tou (Eel Head, stir-fried black 2 liang) Xiong Dan (Bear Gallbladder, 1 qian)
Grind and make honey pills. For charcoal eaters, remove Fu Long Gan and add 2 liang of charcoal. For rice eaters, add 2 liang of rice. Emaciated, dry skin, irritability, and thirst indicate Gan Ke (Thirst Gan), treated with Bai Mei Tang.
Bai Mei Tang Formula
Bai Mei (White Plum, 2 pieces) Tu Si Zi (Cuscuta Seed, 1 qian)
Boil in one sheng of water to obtain seven ge, remove dregs, take warm in divided doses. Unresolved thirst, fine-rapid pulse, red scanty urine in Gan disease is treated with Yi Yuan San.
Yi Yuan San Formula
Hua Shi (Talcum, 3 qian) Chen Sha (Cinnabar, 1 qian)
Grind and mix, take cold with snow water. Thin body, nail-biting, chronic loose stools indicate Gan Xie (Diarrhea Gan), treated with Fu Pi Tang. Post-dysentery tidal fever and blood dryness indicate transition to Gan disease. Post-smallpox blood depletion, thin limbs, fine-rapid pulse also indicate Gan disease. Exposed sternum, large abdomen, cold limbs, loose stools indicate Cold Gan, treated with Yang Zhen Tang.
Yang Zhen Tang Formula
Fu Ling (Poria, 5 fen) Bai Zhu (Atractylodes Macrocephala Rhizoma, 3 fen) Ru Gan Pi (Citrus Peel, 5 fen) Qing Pi (Green Citrus Peel, 2 fen) Ban Xia (Pinellia Tuber, 5 fen) Xiang Fu (Cyperus Rhizome, processed with urine 5 fen) Suo Sha (Amomum Fruit, wine-processed 3 fen) Huo Xiang (Patchouli Leaf, 2 fen) Ren Shen (Ginseng Root, 2 fen) Po Gu Zhi (Astragalus Complanatus Seed, 3 fen) Fu Zi (Aconite Lateral Root, 2 fen) Mai Ya (Barley Sprout, 5 fen) Gan Cao (Licorice Root, 3 fen) Sheng Jiang (Fresh Ginger, 2 fen) Da Zao (Jujube Fruit, 2 pieces)
Boil in two sheng of water to obtain one sheng, remove dregs, take warm in divided doses. Fever, blood dryness, fine-rapid pulse, spleen deficiency causing loose stools, stomach deficiency causing limb edema is called Pi Lao (Spleen Consumption), treated with Fu Pi Tang. Stone-hard abdomen, weak stomach failing to digest food, silver-white face, morning coolness/evening heat, fine-rapid pulse, xeroderma is called Gan Lao (Gan Consumption), treated with Jue Pi Tang.
Jue Pi Tang Formula
Fu Ling (Poria, 5 fen) Bai Zhu (Atractylodes Macrocephala Rhizoma, 2 fen) Ban Xia (Pinellia Tuber, 5 fen) Suo Sha (Amomum Fruit, 3 fen) Xiang Fu (Cyperus Rhizome, processed with child's urine 5 fen) Lian Rui (Lotus Plumule, 3 fen) Ru Gan Pi (Citrus Peel, 5 fen) Qing Pi (Green Citrus Peel, 3 fen) Yan Shi (Salt, 1 fen) Ren Shen (Ginseng Root, 2 fen) Hong Qu (Red Yeast Rice, 2 fen) Sheng Jiang (Fresh Ginger, 2 fen)
Boil in two sheng of water to obtain one sheng, remove dregs, take warm on empty stomach. Morning coolness/evening heat, cough/phlegm, palpitations, muscle wasting, blood dryness, fine-rapid pulse in Gan Lao is treated with Zhu Gan Wan.
Zhu Gan Wan Formula
Tian Ling Gai (Human Skull Cap, stir-fried black 1 liang) Xia Ma Hui (Toad Ash, 4 qian) Man Li Tou (Eel Head, burnt ash 4 qian) Da Gan (Otter Liver, dried by moxa 8 qian) Zhen Zhu (Pearl, 1 qian) Song Zhi (Pine Resin, water-washed 9 qian) Tian Luo Hui (Snail Ash, 4 qian) Xi Jiao (Rhinoceros Horn, 4 qian) Long Nao (Borneol, 1 qian) She Xiang (Musk, 5 fen)
Grind and sieve, bind with wine paste, make pills size of wutong seeds. Take 5 fen per dose, washed down with rich chicken egg soup. Bone heat fluctuations, fine-rapid pulse, muscle wasting, whole-body blood dryness is called Gan Xue Lao (Dry Blood Consumption), treated with Man Li Gao.
Man Li Gao Formula
Man Li (Eel, head and bones removed 3 jin) Qing Jiu (Clear Wine, 1 dou)
Simmer over low heat to form a paste, consume as desired. Gan disease with Yang deficiency causes hematemesis; Yin deficiency causes dysuria. Total Yin-Yang exhaustion causes dry body, steaming heat, night sweats, palpitations. Throat pain with thirst requires Chai Die Tang.
Chai Die Tang Formula
Chai Hu (Bupleurum Root, 1 qian) Huang Qin (Scutellaria Root, 3 fen) Bie Jia (Tartaric Shell, pill form 2 qian) Fu Ling (Poria, 2 qian) Zhi Shi (Immature Bitter Orange, 5 fen) Han Shui Shi (Calcitum, 2 qian) Lu Jiao Cai (Deer Antler Vegetable, 3 fen) Lian Rui (Lotus Plumule, 2 fen) Gan Cao (Licorice Root, 1 fen)
Boil in two sheng of water to obtain one sheng, remove dregs, take warm in divided doses. Bone steaming heat with muscle wasting is treated with Zhi Zi Fan.
Zhi Zi Fan Formula
Zhi Zi (Gardenia Fruit, 4 qian)
Boil in one dou of water to extract juice, cook rice into porridge. Qi and Blood exhaustion,郁热 (stagnant heat) fluctuations, fine-rapid pulses, dry or loose stools, chest stuffiness, palpitations, shortness of breath worsening with heat, nourishing blood worsens chest stuffiness, treated with Ba Zhen Tang.
Ba Zhen Tang Formula
Ren Shen (Ginseng Root, 3 fen) Fu Ling (Poria, 2 qian) Gou Qi (Goji Berry, 3 qian) Suo Sha (Amomum Fruit, 5 fen) Lu Jiao Shuang (Deer Antler Glue Frost, 7 fen) Lian Rui (Lotus Plumule, 3 fen) Sheng Jiang (Fresh Ginger, 1 slice) Gan Cao (Licorice Root, 3 fen)
Boil in two sheng of water to obtain one sheng, remove dregs, take warm in divided doses. Impotence, spermatorrhea, sore waist/legs, chest palpitations, umbilical weakness, damaged Yuan Qi, nourishing Kidney fluid is treated with Qi Zhen Gao.
Qi Zhen Gao Formula
Ren Shen (Ginseng Root, 4 qian) Po Gu (Astragalus Complanatus Seed, lightly stir-fried 2 qian) Gou Qi (Goji Berry, 20 qian) Que Rou (Sparrow Meat, mashed 10 qian) Ji Zi Huang (Chicken Egg Yolk, sun-dried on board 10 qian) Bai Tang (White Sugar, 20 qian) Feng Mi (Honey, 1 he)
Simmer in two sheng of distilled wine until gelatinous. Take pill-sized dose, washed down with salt water. Qi/Blood dispersion, Spleen/Stomach weakness causing various symptoms, regardless of presentation or pulse, treated continuously with Yin Yang Diao Yun Tang.
Yin Yang Diao Yun Tang Formula
Ren Shen (Ginseng Root, 3 fen) Fu Ling (Poria, 2 qian) Bai Zhu (Atractylodes Macrocephala Rhizoma, 5 fen) Ju Pi (Tangerine Peel, stir-fried 5 fen) Ban Xia (Pinellia Tuber, 1 qian) Xiang Fu (Cyperus Rhizome, urine-processed 1 qian) Suo Sha (Amomum Fruit, 5 fen) Po Gu (Astragalus Complanatus Seed, 5 fen) Gou Qi (Goji Berry, 1 qian) Huang Bo (Phellodendron Bark, wine-processed 3 fen) Gan Cao (Licorice Root, 3 fen) Sheng Jiang (Fresh Ginger, 1 slice)
Boil in two sheng of water to obtain one sheng, remove dregs, take warm in divided doses. Gan Lao with slight edema, heavy limbs, diarrhea is treated with Zhen Wu Jia Ma Xi Tang. Add Bie Jia (3 fen) if Yin heat exists. Dry skin, cough/wheezing, shortness of breath is Gan Ke. Fei Zi (Torreya Seed), shell removed, lightly roasted, dipped in honey, 1-2 pieces per meal, 2-3 times daily. Chest/hypochondriac spasm, night sweats, false macules, palpitations treated with Huang Qi Jian Zhong Tang. Abdominal mass with distension, borborygmus, slight pain, limb edema treated with Da Mai Jian.
Da Mai Jian Formula
Hong Dou (Adzuki Bean, sprouted 5 fen) Fu Ling (Poria, 1 qian) Ru Gan Pi (Citrus Peel, 5 fen) Zhi Shi (Immature Bitter Orange, 3 fen) Da Fu Pi (Areca Peel, 5 fen) Da Mai Ya (Barley Sprout, 2 qian) Sheng Jiang (Fresh Ginger, 2 fen)
Boil Mai Ya in two sheng of water, reduce by seven ge, remove dregs, add remaining six ingredients, boil to seven ge, remove dregs, take warm in divided doses. Gan edema with abdominal distension and urinary retention treated with Qu Mai Tang.
Qu Mai Tang Formula
Qu Mai (Dianthus Herb, 5 fen) Shang Lu (Phytolacca Root, 5 fen) Fu Ling (Poria, 1 qian) Hu Po (Amber, 2 fen) Da Fu Pi (Areca Peel, 3 fen) Sheng Jiang (Fresh Ginger, 2 fen) Gan Cao (Licorice Root, 3 fen)
Boil in two sheng of water to obtain one sheng, remove dregs, take warm in divided doses. Sallow face, thin neck, large abdomen with visible veins, clear loose stools treated with Qi Cheng Tang.
Qi Cheng Tang Formula
Po Gu Zhi (Astragalus Complanatus Seed, 1 qian) Fu Zi (Aconite Lateral Root, 3 fen) Lian Rui (Lotus Plumule, 2 fen) Fu Ling (Poria, 1 qian) Ren Shen (Ginseng Root, 2 fen) Sheng Jiang (Fresh Ginger, 2 fen) Gan Cao (Licorice Root, 2 fen)
Boil in one sheng of water to obtain seven ge, remove dregs, take warm in divided doses. Gan disease with deficient Xu Fu (pores) causing spontaneous sweating, and deficient Pin Zang (Yin organs/Kidney) causing loose stools is treated with Wen Zang Wan.
Wen Zang Wan Formula
Fu She (Viper, moxibusted 4 qian) Suo Sha (Amomum Fruit, 2 qian) Po Gu (Astragalus Complanatus Seed, stir-fried 2 qian) Lian Rui (Lotus Plumule, stir-fried 1 qian) Xiong Dan (Bear Gallbladder, 5 fen) Gan Cao (Licorice Root, 3 fen)
Grind and sieve, bind with wine paste, 30 pills per dose. Thirst with Gan heat, black scorched teeth is Zou Ma Gan (Running Horse Gan), treated with Da Huang Huang Lian Xie Xin Jia Mo Li Bai Tang. Bone steaming heat, cough/wheezing, irritability/palpitations, thirst, red urine treated with Wu Zheng Tang.
Wu Zheng Tang Formula
Shi Gao (Gypsum Fibrosum, 5 fen) Zhi Mu (Anemarrhena Rhizome, 3 fen) Huang Bo (Phellodendron Bark, 2 fen) Gui Ban (Turtle Plastron, 5 fen) Di Huang (Rehmannia Root, raw 3 fen) Ren Shen (Ginseng Root, 2 fen) Gan Cao (Licorice Root, 2 fen) Sheng Jiang (Fresh Ginger, 2 fen) Da Zao (Jujube Fruit, 2 pieces)
Chop, boil in two sheng of water to obtain one sheng, remove dregs, add child's urine, take warm in divided doses. Bone steaming heat, cough/phlegm/vomiting, abdominal distension, slight pain, sour regurgitation with foul odor treated with Bie Jia Gou Qi Yin.
Bie Jia Gou Qi Yin Formula
Bie Jia (Tartaric Shell, 1 qian) Gou Qi (Goji Berry, 1 qian) Xi Jiao (Rhinoceros Horn, 3 fen)
Boil in one sheng of water to obtain seven ge, remove dregs, take warm in divided doses. Bone heat, cough/phlegm, slight edema, hemoptysis treated with Xi Jiao Shan Qi Tang.
Xi Jiao Shan Qi Tang Formula
Xi Jiao (Rhinoceros Horn, 5 fen) Shan Qi (Panax Notoginseng Root, 2 qian) Ren Zhong Bai (Urine Sediment, 3 fen)
Boil first two ingredients, remove dregs, add Ren Zhong Bai, mix, take warm. Add Zhu Li (Bamboo Juice, 3 fen) if phlegm is excessive. Blood loss patients with reduced diet and pale complexion will inevitably develop edema. Fine-deep pulse, abdominal fullness, borborygmus in Gan disease indicates abdominal distension. Floating-rapid Yang pulse indicates deficiency-heat conflict causing Qi rebellion/distension, signifying Stomach Qi exhaustion. Limb weakness, cough/phlegm requiring support to breathe, edema, diarrhea are incurable. Drum-like abdomen is Ding Xi; vomiting milk/food is Bu Lu; both are difficult to treat. Prostration, anorexia, dull eyes, malar flush indicate Lone Yang movement. Prostration, lip pallor, unremitting night sweats indicate death. Gasping, dry nose/lips, expelled roundworms indicate death. Acute heat with gasping and inability to eat is treatable. Gradual heat with agitation/palpitations and poor intake is incurable. Yin deficiency leads to Yang hyperactivity (Heat); Yang deficiency leads to Yin accumulation (Edema). Yin-Yang abandonment is incurable.