仲阳云∶诸疳皆脾胃之病，内亡津液之所作也，因大病或吐泻后，以药吐下，致脾胃虚弱，内亡津液。且小儿病疳，
皆愚医之所坏病，假如潮热，是一脏虚，一脏实，而内发虚热也，法当补母而泻本脏则愈。假令日中发潮热、是心虚热
也，肝为心母，则宜先补肝，肝实而后泻心，心得母气，则内平而潮热愈也。医见潮热，妄谓其实，乃以大黄、牙硝辈
诸冷药利之，利既多矣，不能禁约而津液内亡，即成疳也。又有病癖，其疾发作，寒热饮水，胁下有形，硬痛，治癖之
法，当渐消磨，医反以巴豆、 砂辈下之，小儿易虚易实，下之既过，胃中津液耗损，渐以疳瘦。杨氏曰∶小儿脏腑娇
嫩，饱则易伤，乳哺饮食，一或失常，不为疳者鲜矣。则疳以伤得。恣食甘肥粘腻，生冷咸酸，以滞中脘，则疳因积成。
或乳母寒暄失理，饮食乖常，喜怒房劳，即与儿乳，则疳因母患传气而入。此非病家不能调适之过乎。疳之为候，头皮
光急，毛发焦稀，腮缩鼻干，口馋唇白，两眼昏烂，揉鼻 眉，脊耸体黄，斗牙咬甲，焦渴自汗，尿白泻酸，肚胀肠
鸣，癖结潮热，酷嗜瓜果咸酸，炭米泥土，而饮水饮者，皆其候也。夫疳曰五疳，病关乎五脏以别之，心疳即惊疳，外
症身体壮热，脸赤唇红，口舌生疮，胸膈烦闷，小便赤涩，五心烦热，盗汗发渴，切牙虚惊是也。肝疳即风疳，外症摇
头揉目，白膜遮睛，眼青多泪，头焦发立，筋青脑热，躁渴汗多，下利疮癣是也。肾疳即急疳，外症脑热肌削，手足如
冰，寒热时来，滑泄肚痛，口鼻干渴，齿龈生疮，爪黑面黧，身多疮疥是也。肺疳即气疳，亦名疳 ，外症咳嗽喘逆，
壮热恶寒，皮肤粟生，鼻痒流涕，咽喉不利，颐烂唾红，气胀毛焦，泄利频并是也。脾疳即食疳，亦名奶疳，内症身面
俱黄，肚大脚细；吐逆中满，水谷不化，泄下酸臭，合面困睡，减食吃泥也。诸疳，宜大芦荟丸、肥儿丸、胡黄连丸、
地黄丸、生熟地黄汤，皆要药也。集圣丸、嚏疳散、脂连丸、五疳良方、至圣丸、通神丸、天麻丸、地黄清肺饮、化
丸、灵脂丸、下虫丸、龙胆丸、黄连丸、香蔻丸、木香丸、褐丸子、黄 汤、鳖血煎、蚵 丸、浓朴丸等剂，对症详
明施治。
大芦荟丸 治疳杀虫，和胃止泻。
胡黄连 黄连 白芜荑（去扇） 芦荟 木香 青皮 雷丸（破开、白者佳、赤者杀人勿用） 鹤虱（微炒各半两）
麝香（二钱、另研）
上为细末，粟米饮丸绿豆大，米饮下一、二十丸，不拘时服。
肥儿丸 治疳多因缺乳，食肉太早，或患脏腑胃虚，疗诸般疳，化虫治黄瘦肚急，消疳，可常服退疳热。
黄连（局方、加肉豆蔻） 陈皮（去白、局方去此、用木香） 神曲（炒、局方有使君子） 麦 （炒、各一两、
加三棱、莪术） 白芜荑（半两、局方用槟榔） 川楝子（一两、去核、炒）
上为丸，神曲糊丸麻子大，每服三十丸，空心米饮吞下。
又方
三棱（煨） 蓬术（煨） 川楝子 龙胆草 黄连（各四两） 柴胡 地骨皮（各半两） 枳壳（麸炒） 麦 当
归（各三钱） 白芜荑（二钱） 芦荟 木香（各一钱）
上为末，神曲糊丸麻子大，每服三十丸，米饮下。
胡黄连丸
胡黄连 黄连（各半两） 朱砂（二钱半、另研）
上物为细末，研入朱砂末，却填入猪胆内，用浆煮，以杖子于铫子上用线钓之，勿令着底，候一炊久，取出研入
芦荟，麝香各二钱半，饭和丸麻子大，每服五、七丸，至一、二十丸，米饮食后，一作食前，治疳症有热。
又方 治婴儿一切疳积，及一切虚痢，他药无功，此药极效。
胡黄连 黄连 芦荟 肉豆蔻（煨） 桂心 人参 朱砂 麝香 使君子 木香 钩藤 龙齿 白茯苓（各等分）
上为末，取 猪胆两枚，裂汁和末，令匀，却入袋内盛之，以绳扎定，汤煮半日，取出，切破袋子，更入莨菪子二
钱，微炒黄丹一钱，二味别研如粉，入前药和匀，捣五百杵，为丸如绿豆大，但是疳与痢，用粥饮下五、七丸，幼者三
丸，不吃粥饮，乳头令吻，能治一十二种疳痢，及无辜疳之症，功效非常。
吴希亮疳方
三棱（煨） 莪术（煨） 神曲（炒） 麦 （炒、各半两） 青皮 陈皮 乌梅肉 芜荑仁 胡黄连 百草霜 雷
丸（各三钱） 玄胡索（炒） 甘草（各二钱） 巴豆（五十粒） 加川楝子、使君子亦可。
上为末合了，先用一两入巴豆五十粒，丸如麻子大，每服五、七丸，米汤下，大小以意加减。
地黄丸 治肾疳。
熟地黄（八钱） 赤茯苓 山茱萸肉 当归 川楝肉 牡丹皮 山药 泽泻 使君子肉（各三钱）
上为末，蜜丸桐子大，每服三丸，温水化下。
生熟地黄汤 治疳眼闭合不升，内有蒙雾。
生地黄 熟地黄（各半两） 川芎 赤茯苓 枳壳（炒） 杏仁（水浸、去皮） 川黄连 半夏曲 天麻 地骨皮
甘草（炙） 当归（各二钱半）
上锉散，每服二钱，姜三片，黑豆十五粒，水一盏，煎至六分，空心温服
脾积丸
山楂子（青者多用） 香附子 乌药 紫金皮 砂仁 甘草（各等分）
上为末，山楂子生用，捣碎成末，米糊丸桐子大，米饮下三、五十丸，大人小儿皆可服。
集圣丸 治诸疳通用。
芦荟 五灵脂 夜明沙（焙） 缩砂仁 橘皮 青皮（去瓤） 莪术（煨） 木香（各二钱） 黄连 使君子（煨
取肉） 虾蟆（炙焦、各三钱）
上为末，雄猪胆二枚，取汁和药，入糕糊丸麻子大，每服十五丸，米饮下。疳劳瘦弱，本方加当归一钱半，川芎三
钱。
嚏疳散 治疳。
芦荟 黄连（各一钱） 瓜蒂 猪牙皂 虾蟆灰（各半两） 麝香（少许）
上末吹入鼻内，嚏则可疗。
脂连丸 治五疳潮热，肚胀发焦。
胡黄连（半两） 五灵脂（一两）
上为末， 猪胆汁丸麻子大，每服十五丸，米饮下。五疳潮热，慎勿用大黄黄芩。
五疳良方 治疳。
川黄连 芜荑（取仁） 神曲（炒） 麦 （炒） 陈皮 木香 虾蟆（烧、存性、各一两） 使君子（三十个、
煨、去壳） 肉豆蔻（生、二个） 鸡心槟榔（二个） 麝香（一字别研）
上为细末，雄猪胆二个，取汁入好酒打清，面糊丸芥子大，每服十五丸，米饮下。
茯苓丸 治心疳与惊疳。
茯神 芦荟 琥珀 黄连（净） 赤茯苓（各三钱） 钩藤皮 远志肉（姜制、焙干） 虾蟆灰（各二钱） 石菖
蒲（一钱） 麝香（少许）
上为末，粟米丸麻子大，每服十丸，薄荷汤下。
神效换肌丸 治小儿脾疳，肌瘦潮热，盗汗，饮食易伤，脏腑不调泄泻，糟粕不化，头大腹急。
川黄连（炒） 鳖甲（酒炙） 肉豆蔻（煨） 使君子 神曲（炒） 麦芽（炒、各半两） 麝香（半钱） 诃子
肉（一钱半）
上为末，面糊丸如芥子大，米汤下，量小儿大小加减。
天麻丸 治肝疳、风疳、疳眼。
青黛 川黄连 天麻 五灵脂 夜明砂（微炒） 川芎 芦荟（各二钱） 龙胆草 防风 蝉蜕（去足、各一钱半）
全蝎（二枚、焙） 麝香（少许） 干蟾头（炙焦、三钱）
上为末，猪胆汁浸糕，糊丸如麻子大，每服十丸，薄荷汤下。
地黄清肺饮 治肺热疳 ，咳嗽气逆多啼，壮热恶寒。
桑白皮（炒、半两） 紫苏 北前胡 防风 赤茯苓 黄芩 天门冬（去心） 当归 连翘 桔梗 生地黄 甘草
（炙、各二钱五分）
上锉散，每服二钱，水煎食后服，次用化 丸。
化 丸
芜荑 芦荟 青黛 川芎 白芷稍 胡黄连 川黄连 虾蟆灰（各等分）
上为末，猪胆汁浸糕，糊丸麻子大，每服二十丸，食后临卧杏仁煎汤下。其鼻常用熊胆汤泡汤，小笔蘸洗，俟前药
各进数服，却用青黛、当归、赤小豆、瓜蒂、地榆、黄连、芦荟、等药均分，雄黄少许，细末入鼻敛疮。
灵脂丸 治脾疳食疳。
白豆蔻仁 麦 （炒） 五灵脂 缩砂仁 莪术（煨） 青皮（去瓤） 使君子 橘红 虾蟆（炙焦、各二钱）
上为末，米糊丸麻子大，每服十丸，米汤下。
下虫丸 治疳蛔诸虫。
苦楝根皮（酒浸、焙） 绿色贯众 木香 芜荑（焙） 桃仁（浸、去皮、焙） 槟榔（各二钱） 鹤虱（炒） 轻
粉（各半钱） 干虾蟆（炙焦、三钱） 使君子（五十个、煨、取肉用）
上为末，飞面糊丸麻子大，每服二十丸，天明清肉汁下。内加当归、川黄连、各二钱半，治脊疳兼疳劳。
龙胆丸 治脑疳脑热，饼疮。
龙胆草 川升麻 苦楝根皮 赤茯苓 芦荟 防风 油发灰（各二钱） 青黛 黄连（净、各三钱）
上为末，猪胆汁浸糕，丸麻子大，每二十丸，薄荷汤下食后，仍以芦荟末入鼻。
黄连丸 治疳劳、疳渴，干疳。
黄连（半两、净猪胆汁浸一夜、晒干） 栝蒌根 乌梅肉 杏仁（浸、去皮、焙） 石莲子（各二钱）
上为末，猪胆浸糕，糊丸麻子大，每服十五丸，煎乌梅姜蜜汤下，又瘵虫后附消渴方论式药可治疳渴，及五干疳。
香蔻丸 治疳泻。
黄连（三钱、炒） 肉豆蔻（生） 木香 诃子（煨） 缩砂仁 茯苓（各一钱）
上为末，揉饭丸麻子大，每服十五丸，食前米饮下。
木香丸 治疳痢，冷热不调，五色杂下，里急后重。
黄连（净、三钱） 木香 紫浓朴（姜制） 缩砂仁 夜明砂（隔纸炒、各二钱） 诃子肉（煨、一钱）
上为末，粳米饭丸麻子大，每十五丸，干艾叶、生姜煎汤，食前温服。
褐丸子 见第四十五问。
黄 汤 治疳劳咳嗽不定，虚汗骨蒸，渴而复泻，乳食迟进。
黄 当归 川芎 白芍药 生地黄 虾蟆（去足、炙焦） 鳖甲（醋炙焦、各三钱） 人参 白茯苓 陈皮 半
夏曲 柴胡 使君子 甘草（炙、各一钱）
上锉散，每服二钱，姜枣煎，食前服。
鳖血煎 治疳劳。
芜荑 柴胡 川芎（各一两） 人参（半两） 使君子（二十一个） 胡黄连 川黄连（各一两）
上用鳖血一盏，吴茱萸一两，拌和二黄连，淹一宿，次早炒干，拣出茱萸，并血，只用二黄连夹余药杵末，粟米粉
糊丸麻子大，每二十丸食前熟水服。
蚵 丸 治无辜诸疳，一服虚热退，二服烦渴止，三服泻痢住。
蟾蜍（一枚、夏月沟渠中、取腹大不跳不鸣者、其身上多癞磊）
上取粪虫一杓，置桶中，以尿浸之，桶上要干，不与虫走，却将蟾蜍打死，顿在虫中，任与虫食，一日一夜，次以
新布袋包系之，置之急流水中，浸一宿，取出瓦上焙为末，麝一字，揉饭糊丸麻子大，每二、三十丸，米饮下。
君朴丸 治小儿诸疳，小便白浊，久则黄瘦，不长肌肉。
使君子（煨） 浓朴（制） 黄连（各一两） 木香（三钱）
上为末，糊丸如小豆大，三岁三十丸，米汤下，三、五服效。
Lu Zhongyang stated: All types of Gan syndrome (malnutrition syndrome characterized by emaciation and digestive disorders) are diseases of the Spleen and Stomach, caused by the depletion of body fluids internally. This occurs after severe illnesses or following vomiting and diarrhea, where physicians inappropriately use emetic or purgative drugs, leading to Spleen and Stomach weakness and internal loss of body fluids. Moreover, children suffering from Gan syndrome often have their conditions worsened by incompetent physicians. For instance, tidal fever (fever that occurs at regular intervals) indicates one Zang organ is deficient and another is excess, generating internal deficiency heat. The treatment principle should be to tonify the mother organ and drain the excess of the affected organ for recovery. If tidal fever occurs at noon, it indicates Heart deficiency heat. Since the Liver is the mother of the Heart, one should first tonify the Liver; after the Liver qi is sufficient, then drain the Heart. Once the Heart receives the nourishment from its mother, internal balance is restored, and the tidal fever resolves. Physicians seeing tidal fever might wrongly assume it is an excess condition and use cold-purgative drugs such as Radix Rheum palmatae (Dahuang, 大黄) and Natrii Sulfas (Yaxiao, 牙硝). Excessive purging leads to an inability to retain fluids, causing internal depletion of body fluids, which results in Gan syndrome. There is also Pi accumulation disease, which presents with alternating chills and fever, thirst, a palpable mass under the hypochondrium that is hard and painful. The treatment for Pi accumulation should involve gradual dissipation. However, physicians mistakenly use drastic purgatives like Radix et Rhizoma Crotonis (Badou, 巴豆) and Semen Kochiae (Qianniuzhong, 牵牛子). Children's constitutions easily shift between deficiency and excess; excessive purging depletes stomach fluids, gradually leading to emaciation characteristic of Gan syndrome. Yang Shi said: Children's Zang-fu organs are delicate and tender; overeating causes injury easily. If breastfeeding and diet are irregular, few will escape developing Gan syndrome. Thus, Gan syndrome arises from damage. Indulgence in sweet, fatty, sticky, cold, raw, salty, or sour foods causes stagnation in the Middle Jiao, forming Gan syndrome due to food accumulation. Alternatively, if the nursing mother fails to regulate warmth and cold properly, eats irregularly, experiences emotional extremes or sexual exhaustion, and then breastfeeds the infant, Gan syndrome may enter through the transmission of Qi from the mother's illness. Is this not the fault of the family failing to provide proper care? The manifestations of Gan syndrome include: shiny and tight scalp, dry and sparse hair, sunken cheeks and dry nose, white lips with abnormal appetite, dim and ulcerated eyes, rubbing of nose and eyebrows, protruding spine, yellowish complexion, teeth grinding and nail biting, intense thirst with spontaneous sweating, clear urine and sour-smelling stool, abdominal distension with borborygmus, Pi accumulation with tidal fever, extreme craving for fruits, vegetables, salt, and sour foods, pica (eating charcoal, rice, mud), and incessant drinking. These are all symptoms.
Gan syndrome is classified into Five Gan syndromes based on the involved Zang organs:
1. Heart Gan (also called Jing Gan/Startle Gan): External symptoms include high fever, red face and lips, sores in mouth and tongue, chest oppression, dark and scanty urination, five-palm heat, night sweats, thirst, teeth grinding, and false fright.
2. Liver Gan (also called Feng Gan/Wind Gan): External symptoms include head shaking and eye rubbing, white membrane covering the pupil, blueish eyes with excessive tearing, dry and erect hair, cyanotic tendons and hot brain, irritability, thirst, profuse sweating, diarrhea with sores and tinea.
3. Kidney Gan (also called Ji Gan/Urgent Gan): External symptoms include hot brain and emaciated muscles, ice-cold hands and feet, alternating chills and fever, slippery diarrhea and abdominal pain, dry mouth and nose with thirst, gum sores, black nails, dark complexion, and frequent skin sores and scabies.
4. Lung Gan (also called Qi Gan or Gan Chuan/Gan Asthma): External symptoms include cough and wheezing, high fever with aversion to cold, miliary skin rash, nasal itching with runny nose, throat discomfort, facial ulcers with bloody saliva, abdominal distension, dry hair, and frequent diarrhea.
5. Spleen Gan (also called Shi Gan/Food Gan or Nai Gan/Milk Gan): Internal symptoms include yellowing of the body and face, large abdomen with thin legs, vomiting and abdominal fullness, indigestion of water and grain, sour-smelling diarrhea, sleeping prone with drowsiness, reduced appetite, and pica (eating dirt).
For various Gan syndromes, major formulas include Da Lushui Wan (Large Aloe Pill), Fei'er Wan (Flesh-Enriching Pill), Huhuanglian Wan (Picrorhiza and Coptis Pill), Dihuang Wan (Rehmannia Pill), and Shengshu Dihuang Tang (Raw and Cooked Rehmannia Decoction). Other effective formulas include Jisheng Wan (Collection of Holy Pills), Tian Gan San (Sneeze Gan Powder), Zhilian Wan (Trogopterus Dung and Coptis Pill), Wug Liangfang (Five Good Prescriptions), Zhisheng Wan (Supreme Pill), Tongshen Wan (Spirit-Connecting Pill), Tianma Wan (Gastrodia Pill), Dihuang Qingfei Yin (Rehmannia Clearing Lung Drink), Huajia Wan (Stagnation-Dissolving Pill), Lingzhi Wan (Trogopterus Dung Pill), Xia Chong Wan (Worm-Expelling Pill), Longdan Wan (Gentian Pill), Huanglian Wan (Coptis Pill), Xiangkou Wan (Amomum Pill), Muxiang Wan (Aucklandia Pill), He Wan (Brown Pill), Huangqi Tang (Astragalus Decoction), Bie Xue Jian (Turtle Blood Decoction), Ke Wan (Toad Pill), and Houpo Wan (Magnolia Bark Pill). Treatment must be tailored to specific symptoms.
Da Lushui Wan (Large Aloe Pill): Treats Gan syndrome, expels parasites, harmonizes the Stomach, and stops diarrhea.
Ingredients: Radix Picrorhizae (Huhuanglian, 胡黄连), Radix Coptidis (Huanglian, 黄连), Fructus Tsoao (Bai Wuyi, 白芜荑 - husked), Aloe (Lushui, 芦荟), Radix Aucklandiae (Muxiang, 木香), Pericarpium Citri Reticulatae Viride (Qingpi, 青皮), Polyporus (Leiyuan, 雷丸 - split, white is good, red is toxic), Semen Dolichoris (Heshi, 鹤虱 - lightly fried, each half liang), Moschus (Shexiang, 麝香 - two qian, ground separately).
Preparation and Administration: Grind into fine powder, make pills the size of mung beans using millet drink. Take 10-20 pills with rice drink at any time.
Fei'er Wan (Flesh-Enriching Pill): Treats Gan syndrome often caused by lack of milk, early introduction of meat, or deficiency of Zang-fu and Stomach. It treats various Gan syndromes, eliminates parasites, treats yellowish emaciation with urgent abdomen, reduces Gan, and can be taken regularly to reduce Gan fever.
Ingredients: Radix Coptidis (Huanglian, 黄连 - Bureau formula adds Fructus Myristicae), Pericarpium Citri Reticulatae (Chenpi, 陈皮 - remove white pith; Bureau formula removes this and uses Radix Aucklandiae), Massa Medicata Fermentata (Shenqu, 神曲 - fried; Bureau formula includes Semen Juglandis), Fructus Hordei germinatus (Maiya, 麦芽 - fried, each one liang, add Rhizoma Bannghong and Rhizoma Curcumae), Fructus Tsoao (Bai Wuyi, 白芜荑 - half liang; Bureau formula uses Areca Seed), Fructus Toosendan (Chuanlianzi, 川楝子 - one liang, remove core, fried).
Preparation and Administration: Make pills using Massa Medicata Fermentata paste, size of hemp seeds. Take 30 pills on an empty stomach with rice drink.
Another Prescription:
Ingredients: Rhizoma Bannghong (Sanleng, 三棱 - baked), Rhizoma Curcumae (Pengzhu, 蓬术 - baked), Fructus Toosendan (Chuanlianzi, 川楝子), Radix Gentianae (Longdancao, 龙胆草), Radix Coptidis (Huanglian, 黄连 - each four liang), Radix Bupleuri (Chaihu, 柴胡), Cortex Lycii (Digupi, 地骨皮 - each half liang), Fructus Aurantii (Zhike, 枳壳 - bran-fried), Fructus Hordei germinatus (Maiya, 麦芽), Radix Angelicae Sinensis (Danggui, 当归 - each three qian), Fructus Tsoao (Bai Wuyi, 白芜荑 - two qian), Aloe (Lushui, 芦荟), Radix Aucklandiae (Muxiang, 木香 - each one qian).
Preparation and Administration: Grind into powder, make pills using Massa Medicata Fermentata paste, size of hemp seeds. Take 30 pills with rice drink.
Huhuanglian Wan (Picrorhiza and Coptis Pill):
Ingredients: Radix Picrorhizae (Huhuanglian, 胡黄连), Radix Coptidis (Huanglian, 黄连 - each half liang), Cinnabaris (Zhusha, 朱砂 - two and a half qian, ground separately).
Preparation and Administration: Grind ingredients into fine powder, mix in Cinnabar powder, fill into pig gallbladder. Boil in liquid, suspending the gallbladder with a stick and thread so it does not touch the bottom. Cook for the duration of one meal. Remove, add Aloe and Moschus (each two and a half qian), mix with rice dough, make pills size of hemp seeds. Take 5-7 pills, up to 10-20 pills, after meals with rice drink (or before meals). Treats Gan syndrome with heat.
Another Prescription: Treats all infant Gan accumulation and deficiency dysentery; ineffective for other drugs, this is highly effective.
Ingredients: Radix Picrorhizae (Huhuanglian, 胡黄连), Radix Coptidis (Huanglian, 黄连), Aloe (Lushui, 芦荟), Fructus Myristicae (Roudoukou, 肉豆蔻 - baked), Ramulus Cinnamomi (Guixin, 桂心), Radix Ginseng (Renshen, 人参), Cinnabaris (Zhusha, 朱砂), Moschus (Shexiang, 麝香), Semen Juglandis (Shijunzi, 使君子), Radix Aucklandiae (Muxiang, 木香), Ramulus Uncariae (Gouteng, 钩藤), Os Draconis (Longchi, 龙齿), Poria (Baifuling, 白茯苓 - equal parts).
Preparation and Administration: Grind into powder. Take juice from two pig gallbladders, mix evenly with powder, place in a bag, tie tightly, boil in water for half a day. Remove, cut open bag, add Semen Hyoscyami (Langdangzi, 莨菪子 - two qian) and Calcined Hematite (Huandan, 黄丹 - one qian, both finely ground). Mix with previous medicine, pound 500 times, make pills size of mung beans. For Gan or dysentery, take 5-7 pills (3 for infants) with porridge drink. If refusing porridge, feed via nipple. Treats twelve types of Gan dysentery and Wu Gu Gan (Innocent Gan) with extraordinary efficacy.
Wu Xiliang Gan Prescription:
Ingredients: Rhizoma Bannghong (Sanleng, 三棱 - baked), Rhizoma Curcumae (Ezhu, 莪术 - baked), Massa Medicata Fermentata (Shenqu, 神曲 - fried), Fructus Hordei germinatus (Maiya, 麦芽 - fried, each half liang), Pericarpium Citri Reticulatae Viride (Qingpi, 青皮), Pericarpium Citri Reticulatae (Chenpi, 陈皮), Fructus Mume (Wumei rou, 乌梅肉), Fructus Tsoao (Wuyi ren, 芜荑仁), Radix Picrorhizae (Huhuanglian, 胡黄连), Fomes Ulnarius (Baicaoshuang, 百草霜), Polyporus (Leiyuan, 雷丸 - each three qian), Rhizoma Corydalis (Yanhusuo, 玄胡索 - fried), Radix Glycyrrhizae (Gancao, 甘草 - each two qian), Radix et Rhizoma Crotonis (Badou, 巴豆 - 50 grains). Can also add Fructus Toosendan and Semen Juglandis.
Preparation and Administration: Grind into powder and mix. Take one liang of powder mixed with 50 Badou grains, make pills size of hemp seeds. Take 5-7 pills with rice soup, adjusting dosage by age/size.
Dihuang Wan (Rehmannia Pill): Treats Kidney Gan.
Ingredients: Prepared Radix Rehmanniae (Shudihuang, 熟地黄 - eight qian), Red Poria (Chifuling, 赤茯苓), Fructus Corni (Shanzhuyu rou, 山茱萸肉), Radix Angelicae Sinensis (Danggui, 当归), Fructus Toosendan flesh (Chuanlian rou, 川楝肉), Cortex Moutan (Mudanpi, 牡丹皮), Rhizoma Dioscoreae (Shanyao, 山药), Rhizoma Alismatis (Zexie, 泽泻), Semen Juglandis (Shijunzi rou, 使君子肉 - each three qian).
Preparation and Administration: Grind into powder, make honey pills size of paulownia seeds. Take 3 pills, dissolve in warm water.
Shengshu Dihuang Tang (Raw and Cooked Rehmannia Decoction): Treats Gan eyes that cannot open fully, with internal opacity.
Ingredients: Raw Radix Rehmanniae (Shengdihuang, 生地黄), Prepared Radix Rehmanniae (Shudihuang, 熟地黄 - each half liang), Radix Ligustici Chuanxiong (Chuanxiong, 川芎), Red Poria (Chifuling, 赤茯苓), Fructus Aurantii (Zhike, 枳壳 - fried), Semen Pruni (Xingren, 杏仁 - soaked, peeled), Radix Coptidis (Chuanhuanglian, 川黄连), Massa Medicata Fermentata Banxia (Banxiaqu, 半夏曲), Rhizoma Gastrodiae (Tianma, 天麻), Cortex Lycii (Digupi, 地骨皮), Radix Glycyrrhizae (Gancao, 甘草 - roasted), Radix Angelicae Sinensis (Danggui, 当归 - each two and a half qian).
Preparation and Administration: Cut into pieces. Take two qian per dose, add three slices of ginger and fifteen black soybeans, one cup of water, decoct to six-tenths. Take warm on an empty stomach.
Pi Ji Wan (Spleen Accumulation Pill):
Ingredients: Fructus Crataegi (Shanzhazi, 山楂子 - use more green ones), Rhizoma Cyperi (Xiangfuzi, 香附子), Rhizoma Linderae (Wuyao, 乌药), Cortex Pseudolaricis (Zijinpi, 紫金皮), Fructus Amomi (Sharen, 砂仁), Radix Glycyrrhizae (Gancao, 甘草 - equal parts).
Preparation and Administration: Grind into powder. Use raw Shanzhazi, crush into powder, make pills with rice paste size of paulownia seeds. Take 30-50 pills with rice drink. Suitable for adults and children.
Jisheng Wan (Collection of Holy Pills): General treatment for various Gan syndromes.
Ingredients: Aloe (Lushui, 芦荟), Trogopterus Dung (Wulingzhi, 五灵脂), Night Soil (Yemingsha, 夜明沙 - baked), Fructus Amomi (Suosharen, 缩砂仁), Exocarpium Citri Reticulatae (Jupi, 橘皮), Pericarpium Citri Reticulatae Viride (Qingpi, 青皮 - remove pith), Rhizoma Curcumae (Ezhu, 莪术 - baked), Radix Aucklandiae (Muxiang, 木香 - each two qian), Radix Coptidis (Huanglian, 黄连), Semen Juglandis (Shijunzi, 使君子 - baked, flesh only), Bufo (Hamazha, 虾蟆 - roasted until charred, each three qian).
Preparation and Administration: Grind into powder. Take juice from two male pig gallbladders, mix with medicine, add cake paste, make pills size of hemp seeds. Take 15 pills with rice drink. For Gan consumption and emaciation, add Radix Angelicae Sinensis (one and a half qian) and Radix Ligustici Chuanxiong (three qian) to this formula.
Tian Gan San (Sneeze Gan Powder): Treats Gan syndrome.
Ingredients: Aloe (Lushui, 芦荟), Radix Coptidis (Huanglian, 黄连 - each one qian), Fructus Cucumis Triloculi (Gua di, 瓜蒂), Fructus Gleditsiae Sinensis (Zhuyazao, 猪牙皂), Bufo Ash (Hamazha hui, 虾蟆灰 - each half liang), Moschus (Shexiang, 麝香 - small amount).
Preparation and Administration: Grind into powder, insufflate into nostrils. Sneezing indicates therapeutic effect.
Zhilian Wan (Trogopterus Dung and Coptis Pill): Treats Five Gan tidal fever, abdominal distension and burning sensation.
Ingredients: Radix Picrorhizae (Huhuanglian, 胡黄连 - half liang), Trogopterus Dung (Wulingzhi, 五灵脂 - one liang).
Preparation and Administration: Grind into powder, make pills with pig bile size of hemp seeds. Take 15 pills with rice drink. For Five Gan tidal fever, strictly avoid Radix Rheum palmatae and Radix Scutellariae.
Wu Liangfang (Five Good Prescriptions): Treats Gan syndrome.
Ingredients: Radix Coptidis (Chuanhuanglian, 川黄连), Fructus Tsoao (Wuyi, 芜荑 - flesh only), Massa Medicata Fermentata (Shenqu, 神曲 - fried), Fructus Hordei germinatus (Maiya, 麦芽 - fried), Pericarpium Citri Reticulatae (Chenpi, 陈皮), Radix Aucklandiae (Muxiang, 木香), Bufo (Hamazha, 虾蟆 - burned, preserved nature, each one liang), Semen Juglandis (Shijunzi, 使君子 - 30 grains, baked, shelled), Fructus Myristicae (Roudoukou, 肉豆蔻 - raw, two grains), Betel Nut (Jixinbinglang, 鸡心槟榔 - two grains), Moschus (Shexiang, 麝香 - one zi, ground separately).
Preparation and Administration: Grind into fine powder. Take juice from two male pig gallbladders, clarify with good wine, make mustard-seed-sized pills with flour paste. Take 15 pills with rice drink.
Fuling Wan (Poria Pill): Treats Heart Gan and Startle Gan.
Ingredients: Poria Cum Radix (Fushen, 茯神), Aloe (Lushui, 芦荟), Succinum (Hupo, 琥珀), Radix Coptidis (Huanglian, 黄连 - purified), Red Poria (Chifuling, 赤茯苓 - each three qian), Ramulus Uncariae cum Uncis (Gouteng pi, 钩藤皮), Radix Polygalae (Yuanzhi rou, 远志肉 - ginger-processed, dried), Bufo Ash (Hamazha hui, 虾蟆灰 - each two qian), Rhizoma Acori Tatarinowii (Shichangpu, 石菖蒲 - one qian), Moschus (Shexiang, 麝香 - small amount).
Preparation and Administration: Grind into powder, make pills with millet size of hemp seeds. Take 10 pills with mint tea.
Shenxiao Huanji Wan (Divine Efficacy Muscle-Replacing Pill): Treats pediatric Spleen Gan, emaciation with tidal fever, night sweats, easy food injury, Zang-fu disharmony with diarrhea, undigested waste, large head and urgent abdomen.
Ingredients: Radix Coptidis (Chuanhuanglian, 川黄连 - fried), Carapax et Plastrum Testudinis (Biejia, 鳖甲 - wine-processed), Fructus Myristicae (Roudoukou, 肉豆蔻 - baked), Semen Juglandis (Shijunzi, 使君子), Massa Medicata Fermentata (Shenqu, 神曲 - fried), Fructus Hordei germinatus (Maiya, 麦芽 - fried, each half liang), Moschus (Shexiang, 麝香 - half qian), Fructus Corni (Hezi rou, 诃子肉 - one and a half qian).
Preparation and Administration: Grind into powder, make mustard-seed-sized pills with flour paste. Take with rice soup, adjust dosage by child's size.
Tianma Wan (Gastrodia Pill): Treats Liver Gan, Wind Gan, and Gan Eyes.
Ingredients: Realgar and Indigo Naturalis mixture (Qingdai, 青黛), Radix Coptidis (Chuanhuanglian, 川黄连), Rhizoma Gastrodiae (Tianma, 天麻), Trogopterus Dung (Wulingzhi, 五灵脂), Night Soil (Yeming sha, 夜明砂 - lightly fried), Radix Ligustici Chuanxiong (Chuanxiong, 川芎), Aloe (Lushui, 芦荟 - each two qian), Radix Gentianae (Longdancao, 龙胆草), Radix Saposhnikoviae (Fangfeng, 防风), Periostracum Cicadae (Chantui, 蝉蜕 - remove feet, each one and a half qian), Whole Scorpion (Quanxie, 全蝎 - two pieces, baked), Moschus (Shexiang, 麝香 - small amount), Dried Toad Head (Ganchantou, 干蟾头 - roasted until charred, three qian).
Preparation and Administration: Grind into powder, soak cake in pig bile, make pills size of hemp seeds. Take 10 pills with mint tea.
Dihuang Qingfei Yin (Rehmannia Clearing Lung Drink): Treats Lung Heat Gan Asthma, cough with air rushing and frequent crying, high fever with aversion to cold.
Ingredients: Cortex Mori (Sangbaipi, 桑白皮 - fried, half liang), Folium Perillae (Zisu, 紫苏), Radix Peucedani (Beiqianhu, 北前胡), Radix Saposhnikoviae (Fangfeng, 防风), Red Poria (Chifuling, 赤茯苓), Radix Scutellariae (Huangqin, 黄芩), Herba Asparagi (Tianmendong, 天门冬 - remove heart), Radix Angelicae Sinensis (Danggui, 当归), Fructus Forsythiae (Lianqiao, 连翘), Radix Platycodonis (Jiegeng, 桔梗), Raw Radix Rehmanniae (Shengdihuang, 生地黄), Radix Glycyrrhizae (Gancao, 甘草 - roasted, each two and a half qian).
Preparation and Administration: Cut into pieces. Take two qian per dose, decoct in water, take after meals. Follow with Huajia Wan.
Huajia Wan (Stagnation-Dissolving Pill):
Ingredients: Fructus Tsoao (Wuyi, 芜荑), Aloe (Lushui, 芦荟), Realgar and Indigo Naturalis mixture (Qingdai, 青黛), Radix Ligustici Chuanxiong (Chuanxiong, 川芎), Radix Angelicae Dahuricae (Baizhi shao, 白芷稍), Radix Picrorhizae (Huhuanglian, 胡黄连), Radix Coptidis (Chuanhuanglian, 川黄连), Bufo Ash (Hamazha hui, 虾蟆灰 - equal parts).
Preparation and Administration: Grind into powder, soak cake in pig bile, make pills size of hemp seeds. Take 20 pills after meals and before bed with apricot kernel decoction. For nose, commonly use Bear Gallbladder solution, wash with small brush. After several doses of previous medicines, use equal parts of Qingdai, Danggui, Adzuki Bean, Gua Di, Sanguisorba, Huanglian, Lushui, plus a little Realgar, grind to fine powder and insufflate into nose to heal sores.
Lingzhi Wan (Trogopterus Dung Pill): Treats Spleen Gan and Food Gan.
Ingredients: Semen Cardamomi Albis (Baidoukou ren, 白豆蔻仁), Fructus Hordei germinatus (Maiya, 麦芽 - fried), Trogopterus Dung (Wulingzhi, 五灵脂), Fructus Amomi (Suosharen, 缩砂仁), Rhizoma Curcumae (Ezhu, 莪术 - baked), Pericarpium Citri Reticulatae Viride (Qingpi, 青皮 - remove pith), Semen Juglandis (Shijunzi, 使君子), Exocarpium Citri Reticulatae (Juhong, 橘红), Bufo (Hamazha, 虾蟆 - roasted until charred, each two qian).
Preparation and Administration: Grind into powder, make pills with rice paste size of hemp seeds. Take 10 pills with rice soup.
Xia Chong Wan (Worm-Expelling Pill): Treats Gan roundworms and other parasites.
Ingredients: Cortex Meliae Toosendan (Kuilangenpi, 苦楝根皮 - wine-soaked, baked), Green Cyathula Root (Lvse Guanzhong, 绿色贯众), Radix Aucklandiae (Muxiang, 木香), Fructus Tsoao (Wuyi, 芜荑 - baked), Semen Persicae (Taoren, 桃仁 - soaked, peeled, baked), Areca Seed (Binglang, 槟榔 - each two qian), Semen Dolichoris (Heshi, 鹤虱 - fried), Calomelas (Qingfen, 轻粉 - each half qian), Dried Bufo (Gan hamazha, 干虾蟆 - roasted until charred, three qian), Semen Juglandis (Shijunzi, 使君子 - 50 grains, baked, flesh used).
Preparation and Administration: Grind into powder, make pills with refined flour paste size of hemp seeds. Take 20 pills early morning on empty stomach with meat juice. Add Radix Angelicae Sinensis and Radix Coptidis (each two and a half qian) to treat Spine Gan and Gan Consumption.
Longdan Wan (Gentian Pill): Treats Brain Gan, brain heat, and cradle cap.
Ingredients: Radix Gentianae (Longdancao, 龙胆草), Radix Cimicifugae (Chuanshengma, 川升麻), Cortex Meliae Toosendan (Kuilangenpi, 苦楝根皮), Red Poria (Chifuling, 赤茯苓), Aloe (Lushui, 芦荟), Radix Saposhnikoviae (Fangfeng), Ash of Oiled Hair (Youfa hui, 油发灰 - each two qian), Realgar and Indigo Naturalis mixture (Qingdai, 青黛), Radix Coptidis (Huanglian, 黄连 - purified, each three qian).
Preparation and Administration: Grind into powder, soak cake in pig bile, make pills size of hemp seeds. Take 20 pills after meals with mint tea. Also insufflate Aloe powder into nose.
Huanglian Wan (Coptis Pill): Treats Gan Consumption, Gan Thirst, and Dry Gan.
Ingredients: Radix Coptidis (Huanglian, 黄连 - half liang, purified, soaked in pig bile overnight, dried), Radix Trichosanthis (Gualou gen, 栝蒌根), Fructus Mume (Wumei rou, 乌梅肉), Semen Pruni (Xingren, 杏仁 - soaked, peeled, baked), Fructus Nelumbinis (Shilianzi, 石莲子 - each two qian).
Preparation and Administration: Grind into powder, soak cake in pig bile, make pills size of hemp seeds. Take 15 pills with decoction of Wumei, ginger, and honey. Additionally, formulas for Xiao Ke (Wasting-Thirst) after Phthisis worms can treat Gan Thirst and Five Types of Dry Gan.
Xiangkou Wan (Amomum Pill): Treats Gan Diarrhea.
Ingredients: Radix Coptidis (Huanglian, 黄连 - three qian, fried), Fructus Myristicae (Roudoukou, 肉豆蔻 - raw), Radix Aucklandiae (Muxiang, 木香), Fructus Corni (Hezi, 诃子 - baked), Fructus Amomi (Suosharen, 缩砂仁), Poria (Fuling, 茯苓 - each one qian).
Preparation and Administration: Grind into powder, knead with rice dough, make pills size of hemp seeds. Take 15 pills before meals with rice drink.
Muxiang Wan (Aucklandia Pill): Treats Gan Dysentery, imbalance of cold and heat, mixed colors in stool, tenesmus.
Ingredients: Radix Coptidis (Huanglian, 黄连 - purified, three qian), Radix Aucklandiae (Muxiang, 木香), Cortex Magnoliae Officinalis (Zinongpou, 紫浓朴 - ginger-processed), Fructus Amomi (Suosharen, 缩砂仁), Night Soil (Yeming sha, 夜明砂 - fried through paper, each two qian), Fructus Corni (Hezi rou, 诃子肉 - baked, one qian).
Preparation and Administration: Grind into powder, make pills with glutinous rice size of hemp seeds. Take 15 pills, decoct dry Mugwort leaves and ginger, take warm before meals.
He Wan (Brown Pill): See Question 45.
Huangqi Tang (Astragalus Decoction): Treats Gan Consumption with uncertain cough, deficiency sweating, bone-steaming fever, thirst followed by diarrhea, delayed intake of milk/food.
Ingredients: Radix Astragali (Huangqi, 黄芪), Radix Angelicae Sinensis (Danggui, 当归), Radix Ligustici Chuanxiong (Chuanxiong, 川芎), Radix Paeoniae Alba (Baishaoyao, 白芍药), Raw Radix Rehmanniae (Shengdihuang, 生地黄), Bufo (Hamazha, 虾蟆 - remove feet, roasted until charred), Carapax et Plastrum Testudinis (Biejia, 鳖甲 - vinegar-roasted until charred, each three qian), Radix Ginseng (Renshen, 人参), White Poria (Baifuling, 白茯苓), Pericarpium Citri Reticulatae (Chenpi, 陈皮), Massa Medicata Fermentata Banxia (Banxiaqu, 半夏曲), Radix Bupleuri (Chaihu, 柴胡), Semen Juglandis (Shijunzi, 使君子), Radix Glycyrrhizae (Gancao, 甘草 - roasted, each one qian).
Preparation and Administration: Cut into pieces. Take two qian per dose, decoct with ginger and jujube, take before meals.
Bie Xue Jian (Turtle Blood Decoction): Treats Gan Consumption.
Ingredients: Fructus Tsoao (Wuyi, 芜荑), Radix Bupleuri (Chaihu, 柴胡), Radix Ligustici Chuanxiong (Chuanxiong, 川芎 - each one liang), Radix Ginseng (Renshen, 人参 - half liang), Semen Juglandis (Shijunzi, 使君子 - 21 grains), Radix Picrorhizae (Huhuanglian, 胡黄连), Radix Coptidis (Chuanhuanglian, 川黄连 - each one liang).
Preparation and Administration: Use one cup of turtle blood and one liang of Evodia Fruit (Wuzhuyu, 吴茱萸) to mix and soak the two Huanglian herbs overnight. Next morning, stir-fry until dry, remove Evodia and blood. Only use the two Huanglian herbs mixed with remaining medicine, pound into powder, make pills with millet flour paste size of hemp seeds. Take 20 pills before meals with boiled water.
Ke Wan (Toad Pill): Treats Innocent Gan syndromes. First dose reduces deficiency heat, second stops irritability and thirst, third stops diarrhea.
Ingredients: Bufo (Chan chu, 蟾蜍 - one piece, from summer ditches, choose large ones that do not jump or croak, with many warts).
Preparation and Administration: Take one scoop of dung beetles, place in bucket, soak in urine. Keep bucket top dry to prevent escape. Kill the toad, drop into the bucket, let beetles eat it for one day and night. Wrap in new cloth bag, tie tightly, soak in fast-flowing water overnight. Remove, bake on tile until dry, grind to powder. Add Moschus (one zi), knead with rice dough, make pills size of hemp seeds. Take 20-30 pills with rice drink.
Junpu Wan (Areca and Magnolia Pill): Treats pediatric Gan syndromes, turbid white urine, long-term yellowish emaciation, failure to gain muscle.
Ingredients: Semen Juglandis (Shijunzi, 使君子 - baked), Cortex Magnoliae Officinalis (Nongpou, 浓朴 - processed), Radix Coptidis (Huanglian, 黄连 - each one liang), Radix Aucklandiae (Muxiang, 木香 - three qian).
Preparation and Administration: Grind into powder, make pills size of small beans with paste. For three-year-olds, take 30 pills with rice soup. Effective after 3-5 doses.