疳症有五，其原亦别，皆由饮食不调，肥甘过节之所致也。大人为痨，小儿为疳，同症而异名也。大人痨症，起于
房劳，肾经受病者多；小儿疳症，皆由饮食所伤，脾胃受病者多。脾胃虚损，津液消亡，病久相传，五脏皆损也。大人
痨疾，骨削而气耗；小儿疳疾，腹鼓而神羸。其始也，由晡食腥荤大早；或恣食肥甘油腻过度；或食生冷大多，凝滞中
脘；或寒暄失宜，不善调理；或房劳以乳吮儿；或母有痨气因而传子，种种不同。疳之为候，头皮光急、发毛焦稀、腮
缩鼻干、口燥唇裂、两眼昏烂、揉鼻 眉、肌肉消烁、便泻酸臭、尿白如泔、腹鸣肚痛、或发潮热、或生症癖、或咬指
甲、或贪冷水、或食炭米泥土茶布咸酸果品，如此等症，皆疳之候也。所谓五疳者，外则传变不同，内则关于五脏。
一曰肝疳，即风疳也。其症摇头揉目、白膜遮睛、遍身多汗、喜覆面而卧、两目涩痒、发竖头焦、筋青脑热、腹中
积聚、下痢频数、日渐羸瘦。
二曰心疳，即惊疳也。其症浑身壮热、颊赤面黄、心膈烦躁、口舌生疮、小便赤涩、盗汗多惊、下痢脓血、或纯紫
黑败血、神彩衰耗。
三曰脾疳，即食疳也。其症皮黄色黯、腹鼓脚细、肚多青筋、气乏喘促、啼哭吐逆、水谷不消、下痢酸臭、饮食减
少、好食泥土、情意不乐、憎明喜暗、肌烁形枯。
四曰肺疳，即气疳也。其症咳嗽气逆、皮毛焦枯、肤粟恶寒、鼻蚀流涕、颐烂吐红、咽喉不利、大便糟粕、泻痢不
常。
五曰肾疳，即急疳也。其症上热下冷、寒热时作、牙龈生疮、耳焦胸热、手足厥冷、滑泻厥逆、爪黑面黧、身多疮
疥、下部生 、脱肛不收、渐成困惫、骨痿乃败。
虽五疳受病之不同，彼此相传，五脏皆损矣。经言五损者∶一损于皮毛，皮聚而毛落；二损损于肌肉，肌肉消瘦，
饮食不能为肌肤；三损损于血脉，血脉虚少，不能荣养五脏六腑也；四损损于筋，筋缓不能自收持；五损损于骨，骨痿
不能起于床者死。五疳又有五虫∶肝虫尾散如马尾；心虫乃血鳖；肺虫寸白，虫食肺间；脾虫即 虫；肾虫如细发，下
食肛。久而失治，各附本脏，食其精血，消耗元气，精血尽则死矣。
又有丁奚哺乳疳，即今之 病。困母腹中有孕，此乳吮儿，儿吃此乳，令儿肌肉消削，面色痿黄，肚大青筋，泻痢
无时，毛焦发立，形症似疳，实非疳也。乃日继胞，子继胎中之子，故以名之。虽重不死，断乳调理，侍儿生下病自愈
矣。
一云粉瘤疳，其症初起，脑项后有核如弹，按之转动，软而不痛，日渐长大，其间有虫，如米粉白星，若不速破，
则虫随热气流散，淫食脏腑，以致遍体疮痈疥癞，则无救矣。
一云无辜疳，乃儿所穿之衣，日晒失收，夜有鸟名无辜鸟，所遗不洁及毛羽在衣，儿穿此衣，乃生此症，曰无辜疳。
此言近诬，闽广之地，或有此鸟，留此备考。
五疳得效方 治一切疳热、积热，小便赤涩。
白术 茯苓 猪苓 泽泻 柴胡（各一钱） 黄芩 黄连 胡连 银柴胡（各七分） 甘草 龙胆草 青皮（各六
分）
生姜三片，桃头三个，水煎，侵晨服。
五疳饮 治一切疳症，疳积疳热，疳泻疳痢，面目浮肿，心腹膨胀并效。
人参 白术 茯苓（各一钱） 甘草（五分） 陈皮 蓬术 槟榔 神曲 山楂（各八分） 木香（三分）
随症加减，水煎。
疳热，加银柴胡、小柴胡、胡黄连；虚热，加小柴胡、黄芩、乌梅；腹胀，加枳实、麦芽、砂仁、青皮；泄泻，加
黄连、诃子、肉豆蔻；小便不利，猪苓、泽泻、麦冬、生地；阴虚发热，当归、川芎、知母、柴胡； 瘕，山棱、官桂；
口渴，干葛、麦冬、五味；疳痢，枳壳、白芍、黄连；不食，白豆蔻、砂仁；水肿，苍术、浓朴、秦艽、大腹皮、阶沿
草；虫痛，苦楝根、使君子；咳嗽，贝母、杏仁、知母；喘急，杏仁、桑皮、葶苈、苏子、枳壳； 病加龙胆草、柴胡、
黄芩。
龙胆汤 治肝疳 病。
柴胡 黄芩 龙胆草 茯苓 白芍 桔梗 钩藤 当归（各八分） 人参 甘草（各四分）
生姜三片，水煎。便秘，加大黄。
加味胃苓汤 治五疳八痢，脾胃不和，胸膈不宽。婴童百病，随症加减，其效如神。
茅术 浓朴 陈皮 甘草 猪苓 白术 泽泻 茯苓 槟榔 黄连
生姜三片，灯心二十寸，水煎。发热，柴胡、干葛；疳热，银柴胡、胡黄连；伤食，神曲、麦芽、木香；食积作痛，
山楂、神曲、干姜、木香；呕吐，藿香、砂仁；症癖，加山棱、蓬术、枳实、木香， 痛，使君子肉、苦楝根；痢疾，
当归、白芍、枳壳；昼热属阳虚，人参；夜热属阴虚，当归、生地；口渴，麦冬、干葛、五味；小便短涩，龙胆草、山
栀；咳嗽，杏仁、半夏、黄芩；痰喘，加栝蒌子、贝母。
芦荟保童丸 治五疳八痢，脏腑虚弱，身体消瘦，头发焦稀，肚腹青筋，小便白浊，内热饮水，洞泻无度、完
谷不化，遍身疮疥，神色枯槁。此药养脾胃，壮元气，止泻痢，去一切虫积并效。
芦荟（五钱） 槟榔 黄连 川练子（肉） 陈皮 青皮（炒） 神曲（炒） 芜荑 夜明砂 麦芽（炒。各一
两） 肉豆蔻（六钱） 木香（三钱） 胡黄连 使君子肉（各七钱）
为末，猪胆为丸，菜子大。每服百丸，清米汤下。
芦荟肥儿丸 治症同前，甚效。
人参（五钱） 白术（一两二钱） 茯苓（一两二钱） 甘草（五钱） 胡连 宣连 使君肉 神曲（炒） 麦芽
（炒） 山楂（各八钱） 芦荟（五钱） 木香（五钱） 槟榔 青黛（各七钱） 干蟾（二个，炙）
猪胆汁为丸，米汤下。
芦荟丸 治一切疳症，调理脾胃。州守林震西方。
人参（五钱） 白术（一两五钱，炒） 茯苓（一两） 甘草（四钱） 山莲肉（一两五钱） 山楂肉 麦芽（炒）
神曲（炒） 陈皮（各一两） 芦荟（五钱） 使君肉（八钱） 黄连 胡连 槟榔（各八钱） 木香（三钱）
为末，炼蜜丸，弹子大。每服一丸，米汤下。
大芦荟丸 治疳杀虫，和胃止泻。
胡连（一两） 宣连 芜荑 青皮（各七钱） 雷丸 鹤膝草 芦荟 木香（各五钱） 麝香（一钱）
为末，猪胆汁为丸，米汤下。
十全丹 诸疳 病，气血不荣，肌肉消铄发热。
青皮 陈皮（各一两） 白豆蔻（五钱） 蓬术（七钱） 槟榔（七钱） 芦荟（五钱） 使君肉 木香 干蟾（炙）
砂仁 五灵脂（炒。各五钱） 香附（一两） 五谷虫（一两，炒）
为末，猪胆汁为丸。每服四五分，米汤下。
保童丸 治肝疳，诸疳并效。以上诸方，治疳圣药也。
黄连 胡连 胆草（各一两） 芜荑 青黛 槟榔（各七钱） 芦荟（五钱） 木香（三钱） 使君肉（六钱）
为末，雄猪胆汁为丸，米汤下。
褐丸子 治阴阳不和，脏腑虚弱，乳食不消，心腹胀满，呕吐气急，肠鸣泄泻日夜频并，脐腹冷痛，食症乳癖，
面目虚浮，不思乳食，五疳八痢，肌肉消瘦，腹鼓脚细，神色昏愦。常服调理脾胃，安和脏腑，去疳积，止泻痢，进饮
食，生肌肉，功效非常。
青皮 陈皮（各二两） 萝卜子（四两，炒） 蓬术（醋炒） 三棱（各二两） 牵牛（三两，炒） 胡椒 木香
（各五钱）
各为净末，糊丸，萝卜煎汤下。
茯神丸 治惊疳。
黄连 赤茯 茯神（各二钱） 琥珀 芦荟（各一钱） 远志（肉） 钩藤 石菖蒲（各一钱五分） 干蟾（灰，
一钱） 麝香（一分）
为末，米糊为丸，薄荷汤下。
蟾酥丸 治脾疳，杀虫退热。
胡连 宣连 川练子 陈皮 胆草 使君肉 芜荑 茴香（各一两） 木香（五钱） 干蟾（炙，一个）
巴豆肉（一钱）
为末，猪汁为丸，青黛为衣，紫苏汤下。
加味地黄丸 治肾疳。
山药 茱萸（肉） 茯苓（各一两） 熟地（二两，酒浸） 泽泻 牡丹皮 使君肉 川练肉（各七钱） 芦
荟（三钱） 胡连 银柴胡（各五钱）
为末，炼蜜丸，白滚汤下。
千金肥儿丸 小儿疳症，因脾家有积，脾土虚则肝木乘之，致积久不散，复伤生冷浓味，肚大青筋，潮热咳嗽。
此药调脾养血，消积杀虫，除疳热。
白术（八两，炒） 苍术（八两，炒） 陈皮（一斤） 浓朴（一斤。姜汁炒） 甘草（四两半，炙） 干蟾（十
个，酥炙） 川连（一斤，苦参拌炒） 神曲（一斤，炒） 牡蛎（一斤，醋 七次） 芦荟（四两） 禹余粮（一斤，
。如无，蛇含石代之） 青蒿（一斤，童便炒） 山楂肉（一斤） 胡连（八两） 鳖甲（一斤，酥炙） 夜明砂（四
两，淘净） 使君肉（四两） 小茴香（四两，炒） 鹤虱草（八两）
黄连内拣去苦参不用，共为末；黄 、当归各一斤，水煎，入红枣煮熟，去核，捣和为丸，麻子大。三岁服五十丸，
十岁百丸，清米汤下。
一乜金 治诸疳，毛发羸瘦，药不能疗者，此方神验。
青黛（即真靛花，不拘多少）
为末，小者三分，大者五分，白滚汤调下。
小黄丸 治惊疳，啼哭烦躁，面赤痰喘。
黑丑（头末，一两） 雄黄（一两） 天竺黄（二两）
为末，饭丸，粟米大。每岁五丸，入粥内与食。
小黑丸 治肝热，肚大青筋，面黄脚细，饮食不贪，或饮食倍进，此胃中火甚故也。
大黄（三两，酒浸） 黑丑（三两，炒） 百草霜（一钱） 木香（二钱） 牙皂（三钱）
为末，水叠为丸，照前用法。
小青丸 治诸疳并 病。
真青黛 黑丑 光粉（各一两）
为末，饭丸，如前用法。（铅粉即光粉、胡粉、韶粉、定粉、面粉，皆一也。）
灵鸡玛瑙膏 治疳症。此方仙授宜宝之。
鸡蛋（一个） 木鳖子（一个，油内煎过，研细入蛋内）
将蛋开一孔，银簪搅匀，入鳖末，将纸封口，饭上蒸熟食之。忌面食、油腻、生冷之物。
快活丸 治一切疳。
蒸饼（每一两加青矾一钱于内，仍用饼屑盖之，用纸包封，火灰内煨透）
焙干为末，枣肉为丸。每服三五十丸，米汤下。
玉蟾丸 治一切诸疳，诸药无效，一服虚热退，二服渴止，三服泻痢止。神效无比。
癞虾蟆（大者四个，取粪蛆三四升，同倾入坛内，任蛆食蟆，肉尽取出，入布袋内，急水浸一宿）
新瓦上焙干，研末，加麝三分，糊丸，米汤下。
桃柳汤 治一切疳，用此洗法。
桃枝 柳枝（各一握，捶碎。端午日预采，阴干，备用更好。）
用河水煎汤浴儿，洗毕用青布被盖之，疳虫自出为验。单用桃柳叶，烧热铺席上，将儿睡上，取虫更妙。
灸法 治一切疳积，痞块， 瘕。
灸十二椎下，（两傍一寸五分，灸五七壮。）
合谷一穴（在足大指、次指两骨间陷中，三壮）治肝疳眼久不愈。
翠尾穴（骨上三寸骨陷中。灸三壮）治疳痢，肛脱不收。
胃俞二穴（在十二椎下，两傍各一寸半陷中，三壮）治疳瘦，不生肌肉。
Gan syndrome (Pediatric Malnutrition Syndrome) comprises five types, with distinct etiologies, all resulting from irregular diet and excessive consumption of rich, sweet, and greasy foods. In adults, this condition is termed Lao (Consumptive Disease), while in children, it is called Gan; they share similar symptoms but differ in name. Adult Lao disease often originates from sexual exhaustion, primarily affecting the Kidney Meridian; whereas pediatric Gan disease is caused by dietary injury, primarily affecting the Spleen and Stomach. Deficiency and damage to the Spleen and Stomach lead to the depletion of body fluids. Over time, the disease transmits between organs, causing damage to all five Zang organs. Adult Lao presents with emaciated bones and depleted Qi; pediatric Gan presents with a distended abdomen and weakened spirit. Initially, it may stem from eating raw or meaty foods too early in the evening; or indulging excessively in rich, sweet, and greasy foods; or consuming large amounts of cold and raw foods, causing stagnation in the Zhongwan region; or improper regulation of warmth and cold; or breastfeeding after maternal sexual activity; or transmission of Lao qi from mother to child, among various other causes. Manifestations of Gan include: shiny and tight scalp, scorched and sparse hair, shrunken cheeks and dry nose, dry mouth and cracked lips, dim and rotting eyes, rubbing nose and eyebrows, emaciated muscles, sour-smelling diarrhea, urine as white as rice water, abdominal borborygmus and pain, tidal fever, formation of Zheng Pi (abdominal masses), nail-biting, craving for cold water, or pica such as eating charcoal, rice, dirt, tea, cloth, salty or sour fruits, etc. Such symptoms are all signs of Gan. The so-called "Five Gans" differ in external progression but internally relate to the five Zang organs.
First is Liver Gan, also known as Wind Gan. Symptoms include head shaking and eye rubbing, white membrane obscuring the pupil, profuse sweating over the body, preference for sleeping face down, dry and itchy eyes, upright and scorched hair, visible blue veins and hot brain, abdominal accumulation, frequent dysentery, and gradual emaciation.
Second is Heart Gan, also known as Startled Gan. Symptoms include high fever throughout the body, red cheeks and yellow complexion, irritability in the heart and diaphragm, sores in the mouth and tongue, dark and scanty urination, night sweats with frequent fright, dysentery with pus and blood, or pure purple-black decaying blood, and loss of vitality.
Third is Spleen Gan, also known as Food Gan. Symptoms include dull yellow skin, distended abdomen with thin legs, prominent blue veins on the belly, shortness of breath due to Qi deficiency, crying with vomiting, inability to digest food and water, sour-smelling diarrhea, reduced appetite, craving for dirt, unhappiness, aversion to light preferring darkness, emaciated muscles and withered form.
Fourth is Lung Gan, also known as Qi Gan. Symptoms include coughing and rebellious Qi, scorched and dry skin and hair, gooseflesh with aversion to cold, nasal erosion with runny nose, ulcerated chin with hemoptysis, throat discomfort, loose stools, and irregular diarrhea and dysentery.
Fifth is Kidney Gan, also known as Urgent Gan. Symptoms include upper heat and lower cold, alternating chills and fever, gum sores, scorched ears and chest heat, cold extremities, slippery diarrhea with cold limbs, black nails and sallow complexion, numerous sores and scabies on the body, hemorrhoids in the lower part, rectal prolapse that does not retract, gradual exhaustion, and bone weakness leading to collapse.
Although the five Gans have different origins, they transmit to one another, eventually damaging all five Zang organs. The Classics state the five levels of damage: First damage affects skin and hair, where skin gathers and hair falls; second damage affects muscles, where muscles waste away and food cannot nourish the flesh; third damage affects blood vessels, where vessels become deficient and cannot nourish the six Fu organs and five Zang organs; fourth damage affects sinews, where sinews relax and cannot support the body; fifth damage affects bones, where bone weakness prevents rising from bed, which is fatal. The five Gans also involve five parasites: Liver parasite tails scatter like horsehair; Heart parasite is a blood leech; Lung parasite is tapeworm, feeding between the lungs; Spleen parasite is Enterobius vermicularis (pinworm); Kidney parasite is like fine hair, feeding downwards into the anus. If untreated for long, each parasite attaches to its corresponding Zang organ, consuming essence and blood, depleting Yuan Qi; when essence and blood are exhausted, death ensues.
There is also Ding Xi Breastfeeding Gan, which corresponds to modern smallpox. It refers to a situation where a pregnant mother's milk is sucked by the infant; the infant drinking this milk causes muscle wasting, sallow complexion, distended abdomen with blue veins, constant diarrhea, scorched hair, and symptoms resembling Gan, though it is not true Gan. It is named so because the fetus inherits from the placenta, and the child inherits from the prenatal state. Though severe, it is not fatal; weaning and regulation will allow the child to recover naturally after birth.
Another view describes Fen Liu Gan (Powder Tumor Gan). Initially, a nodule like a bean appears behind the neck, movable upon pressure, soft and painless, growing larger day by day. Parasites inside resemble white stars in flour powder. If not promptly ruptured, the parasites disperse with heat flow, invading organs, causing widespread sores, ulcers, scabies, and leprosy, rendering it incurable.
Another view describes Wu Gu Gan (Innocent Gan). This occurs when clothes worn by children are sun-dried but not collected at night. A bird named "Wu Gu" leaves filth and feathers on the clothes. When the child wears these clothes, this syndrome develops. This statement is considered superstitious; such birds may exist in Fujian and Guangdong regions, recorded here for reference.
**Effective Formula for Five Gans**: Treats all Gan heat and accumulated heat, with dark and scanty urination.
Atractylodis Macrocephalae Rhizoma, Poria, Polyporus, Alismatis Rhizoma, Bupleuri Radix (each 1 qian); Scutellariae Radix, Coptidis Rhizoma, Coptidis Rhizoma (Hu Lian), Artemisiae Dahuricae Radix (Yin Chai Hu) (each 0.7 qian); Glycyrrhizae Radix et Rhizoma, Gentianae Radix, Citri Reticulatae Pericarpium Viride (Qing Pi) (each 0.6 qian).
Add three slices of Zingiberis Rhizoma Recens (Fresh Ginger) and three peach heads. Decoct in water and take in the morning.
**Five Gans Decoction**: Treats all Gan syndromes, Gan accumulation and heat, Gan diarrhea and dysentery, facial and ocular edema, and abdominal distension effectively.
Panax Ginseng, Atractylodis Macrocephalae Rhizoma, Poria (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Citri Reticulatae Pericarpium, Curcumae Zedoariae Rhizoma, Arecae Semen, Maltum, Crataegi Fructus (each 0.8 qian); Aucklandiae Radix (0.3 qian).
Modify according to symptoms, decoct in water.
For Gan heat, add Artemisiae Dahuricae Radix, Xiao Chai Hu Tang (Minor Bupleurum Decoction), Coptidis Rhizoma (Hu Lian); for deficiency heat, add Xiao Chai Hu Tang, Scutellariae Radix, Mume Fructus; for abdominal distension, add Aurantii Fructus Immaturus, Maltum, Amomi Fructus, Citri Reticulatae Pericarpium Viride; for diarrhea, add Coptidis Rhizoma, Terminalia Chebulae Fructus, Myristicae Semen; for difficult urination, Polyporus, Alismatis Rhizoma, Ophiopogonis Radix, Rehmanniae Radix Preparata; for Yin deficiency heat, Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Anemarrhenae Rhizoma, Bupleuri Radix; for Jia Ju (masses), Sparganii Rhizoma, Cinnamomi Cortex; for thirst, Puerariae Radix, Ophiopogonis Radix, Schisandrae Fructus; for Gan dysentery, Aurantii Fructus, Paeoniae Radix Alba, Coptidis Rhizoma; for anorexia, Cardamomi Fructus Albus, Amomi Fructus; for edema, Atractylodis Rhizoma, Magnoliae Cortex, Gentianae Macrophyllae Radix, Arecae Pericarpium, Herba Siegesbeckiae; for worm pain, Meliae Radix Cortex, Quisqualis Fructus; for cough, Fritillariae Bulbus, Armeniacae Semen Amarum, Anemarrhenae Rhizoma; for wheezing urgency, Armeniacae Semen Amarum, Morus Cortex, Lepidii Semen, Perillae Fructus, Aurantii Fructus; for [symptom missing], add Gentianae Radix, Bupleuri Radix, Scutellariae Radix.
**Gentian Decoction**: Treats Liver Gan and [symptom missing].
Bupleuri Radix, Scutellariae Radix, Gentianae Radix, Poria, Paeoniae Radix Alba, Platycodonis Radix, Uncariae Ramulus cum Uncis, Angelicae Sinensis Radix (each 0.8 qian); Panax Ginseng, Glycyrrhizae Radix et Rhizoma (each 0.4 qian).
Add three slices of Fresh Ginger. Decoct in water. For constipation, add Rheum Palmatum Radix et Rhizoma.
**Modified Weiling Decoction**: Treats Five Gans and Eight Dysenteries, Spleen-Stomach disharmony, and chest fullness. Effective for hundreds of infant diseases with symptom-based modification.
Atractylodis Rhizoma, Magnoliae Cortex, Citri Reticulatae Pericarpium, Glycyrrhizae Radix et Rhizoma, Polyporus, Atractylodis Macrocephalae Rhizoma, Alismatis Rhizoma, Poria, Arecae Semen, Coptidis Rhizoma.
Add three slices of Fresh Ginger and twenty inches of Junci Medulla. Decoct in water. For fever, add Bupleuri Radix, Puerariae Radix; for Gan heat, Artemisiae Dahuricae Radix, Coptidis Rhizoma (Hu Lian); for food stagnation, Maltum, Maltum, Aucklandiae Radix; for pain from food accumulation, Crataegi Fructus, Maltum, Zingiberis Rhizoma Aridum, Aucklandiae Radix; for vomiting, Agastaches Herba, Amomi Fructus; for Zheng Pi, add Sparganii Rhizoma, Curcumae Zedoariae Rhizoma, Aurantii Fructus Immaturus, Aucklandiae Radix; for [pain], Quisqualis Fructus, Meliae Radix Cortex; for dysentery, Angelicae Sinensis Radix, Paeoniae Radix Alba, Aurantii Fructus; for daytime fever due to Yang deficiency, Panax Ginseng; for nighttime fever due to Yin deficiency, Angelicae Sinensis Radix, Rehmanniae Radix Preparata; for thirst, Ophiopogonis Radix, Puerariae Radix, Schisandrae Fructus; for scanty dark urination, Gentianae Radix, Gardeniae Fructus; for cough, Armeniacae Semen Amarum, Pinelliae Rhizoma, Scutellariae Radix; for phlegm-wheezing, add Trichosanthis Fructus, Fritillariae Bulbus.
**Aloe Child-Protecting Pill**: Treats Five Gans and Eight Dysenteries, visceral weakness, emaciation, scorched and sparse hair, blue veins on the abdomen, turbid white urine, internal heat with thirst, profuse watery diarrhea with undigested food, widespread sores and scabies, and withered spirit and color. This medicine nourishes Spleen and Stomach, strengthens Yuan Qi, stops diarrhea and dysentery, and eliminates all worm accumulations.
Aloe (5 qian), Arecae Semen, Coptidis Rhizoma, Corni Fructus (flesh), Citri Reticulatae Pericarpium, Citri Reticulatae Pericarpium Viride (stir-fried), Maltum (stir-fried), Myrabolanae Fructus, Nyctanthes Semen (Ming Sha), Maltum (stir-fried) (each 1 liang); Myristicae Semen (6 qian); Aucklandiae Radix (3 qian); Coptidis Rhizoma (Hu Lian), Quisqualis Fructus (flesh) (each 7 qian).
Grind into powder, make pills with pig bile, size of rapeseed seeds. Take 100 pills per dose with clear rice soup.
**Aloe Fat-Enlarging Child Pill**: Treats same symptoms as above, very effective.
Panax Ginseng (5 qian), Atractylodis Macrocephalae Rhizoma (1 liang 2 qian), Poria (1 liang 2 qian), Glycyrrhizae Radix et Rhizoma (5 qian), Coptidis Rhizoma (Hu Lian), Coptidis Rhizoma (Xuan Lian), Quisqualis Fructus (flesh), Maltum (stir-fried), Maltum (stir-fried), Crataegi Fructus (each 8 qian); Aloe (5 qian); Aucklandiae Radix (5 qian); Arecae Semen, Indigo Naturalis (Qing Dai) (each 7 qian); Dry Toad (2 pieces, roasted).
Make pills with pig bile, take with rice soup.
**Aloe Pill**: Treats all Gan syndromes, regulates Spleen and Stomach. From Prefect Lin Zhen of the West.
Panax Ginseng (5 qian), Atractylodis Macrocephalae Rhizoma (1 liang 5 qian, stir-fried), Poria (1 liang), Glycyrrhizae Radix et Rhizoma (4 qian), Corni Fructus (1 liang 5 qian), Crataegi Fructus (flesh), Maltum (stir-fried), Maltum (stir-fried), Citri Reticulatae Pericarpium (each 1 liang); Aloe (5 qian), Quisqualis Fructus (flesh) (8 qian), Coptidis Rhizoma, Coptidis Rhizoma (Hu Lian), Arecae Semen (each 8 qian); Aucklandiae Radix (3 qian).
Grind into powder, make pills with refined honey, size of a bullet. Take one pill per dose with rice soup.
**Large Aloe Pill**: Treats Gan, kills parasites, harmonizes Stomach, stops diarrhea.
Coptidis Rhizoma (Hu Lian) (1 liang), Coptidis Rhizoma (Xuan Lian), Myrabolanae Fructus, Citri Reticulatae Pericarpium Viride (each 7 qian); Omphalia Lapidea, Euphorbiae Humifusa Herba, Aloe, Aucklandiae Radix (each 5 qian); Moschus (1 qian).
Grind into powder, make pills with pig bile, take with rice soup.
**Ten Perfection Pill**: Treats various Gans and [symptom missing], Qi and Blood deficiency, emaciation with fever.
Citri Reticulatae Pericarpium Viride, Citri Reticulatae Pericarpium (each 1 liang); Cardamomi Fructus Albus (5 qian); Curcumae Zedoariae Rhizoma (7 qian), Arecae Semen (7 qian), Aloe (5 qian), Quisqualis Fructus (flesh), Aucklandiae Radix, Dry Toad (roasted), Amomi Fructus, Trogopterori Faeces (stir-fried) (each 5 qian); Cyperi Rhizoma (1 liang); Oriza Sativa Vermis (1 liang, stir-fried).
Grind into powder, make pills with pig bile. Take 4-5 fen per dose with rice soup.
**Child-Protecting Pill**: Treats Liver Gan, effective for all Gans. Above formulas are sacred medicines for treating Gan.
Coptidis Rhizoma, Coptidis Rhizoma (Hu Lian), Gentianae Radix (each 1 liang); Myrabolanae Fructus, Indigo Naturalis, Arecae Semen (each 7 qian); Aloe (5 qian); Aucklandiae Radix (3 qian); Quisqualis Fructus (flesh) (6 qian).
Grind into powder, make pills with male pig bile, take with rice soup.
**Brown Pill**: Treats Yin-Yang disharmony, visceral weakness, indigestion of milk and food, heart and abdominal distension, vomiting and急促 breathing, borborygmus with frequent day-and-night diarrhea, cold pain in umbilical and abdominal regions, food and milk masses, facial edema, lack of desire for milk and food, Five Gans and Eight Dysenteries, muscle emaciation, distended abdomen with thin legs, and confused spirit. Regular use regulates Spleen and Stomach, harmonizes viscera, removes Gan accumulation, stops diarrhea and dysentery, promotes appetite, generates muscle, with extraordinary efficacy.
Citri Reticulatae Pericarpium Viride, Citri Reticulatae Pericarpium (each 2 liang); Raphani Semen (4 liang, stir-fried); Curcumae Zedoariae Rhizoma (vinegar-fried), Sparganii Rhizoma (each 2 liang); Pharbitidis Semen (3 liang, stir-fried); Piperis Fructus, Aucklandiae Radix (each 5 qian).
Grind each into fine powder, make pills with paste, take with radish decoction.
**Poria Spirit Pill**: Treats Startled Gan.
Coptidis Rhizoma, Red Poria, Poria (each 2 qian); Succinum, Aloe (each 1 qian); Polygalae Radix (flesh), Uncariae Ramulus cum Uncis, Acori Tatarinowii Rhizoma (each 1.5 qian); Dry Toad (ash, 1 qian); Moschus (1 fen).
Grind into powder, make pills with rice paste, take with mint decoction.
**Toad Venom Pill**: Treats Spleen Gan, kills parasites, reduces fever.
Coptidis Rhizoma (Hu Lian), Coptidis Rhizoma (Xuan Lian), Corni Fructus, Citri Reticulatae Pericarpium, Gentianae Radix, Quisqualis Fructus (flesh), Myrabolanae Fructus, Foeniculi Fructus (each 1 liang); Aucklandiae Radix (5 qian); Dry Toad (roasted, 1 piece); Crotonis Fructus (flesh) (1 qian).
Grind into powder, make pills with pig juice, coat with Indigo Naturalis, take with Perilla decoction.
**Modified Rehmannia Pill**: Treats Kidney Gan.
Dioscoreae Rhizoma, Corni Fructus (flesh), Poria (each 1 liang); Rehmanniae Radix Preparata (2 liang, soaked in wine); Alismatis Rhizoma, Moutan Cortex, Quisqualis Fructus (flesh), Corni Fructus (flesh) (each 7 qian); Aloe (3 qian); Coptidis Rhizoma (Hu Lian), Artemisiae Dahuricae Radix (each 5 qian).
Grind into powder, make pills with refined honey, take with boiling water.
**Thousand Gold Fat-Enlarging Child Pill**: Pediatric Gan syndrome caused by Spleen accumulation. When Spleen Earth is weak, Liver Wood overacts, causing long-standing accumulation. Further injury from cold/raw and strong flavors leads to distended abdomen with blue veins, tidal fever, and cough. This medicine tonifies Spleen, nourishes Blood, resolves accumulation, kills parasites, and clears Gan heat.
Atractylodis Macrocephalae Rhizoma (8 liang, stir-fried), Atractylodis Rhizoma (8 liang, stir-fried), Citri Reticulatae Pericarpium (1 jin), Magnoliae Cortex (1 jin, stir-fried with ginger juice), Glycyrrhizae Radix et Rhizoma (4.5 liang, roasted), Dry Toad (10 pieces, fried with butter), Coptidis Rhizoma (1 jin, stir-fried with Sophorae Flavescentis Radix), Maltum (1 jin, stir-fried), Ostrea Concha (1 jin, vinegar-treated seven times), Aloe (4 liang), Limonitum (1 jin, [missing processing]; if unavailable, replace with Ophite); Artemisiae Annuae Herba (1 jin, stir-fried with child's urine), Crataegi Fructus (flesh) (1 jin), Coptidis Rhizoma (Hu Lian) (8 liang), Testudinis et Testudinis Carapax et Plastrum (1 jin, fried with butter), Nyctanthes Semen (4 liang, washed clean), Quisqualis Fructus (flesh) (4 liang), Foeniculi Fructus (4 liang, stir-fried), Pyrethri Chinensis Herba (8 liang).
Remove Sophorae Flavescentis Radix from Coptidis Rhizoma, grind together into powder; Huang Qin (Scutellariae Radix) and Angelicae Sinensis Radix (each 1 jin), decoct in water, add red dates, boil until cooked, remove pits, mash and mix to make pills, size of hemp seeds. Children aged 3 take 50 pills, aged 10 take 100 pills, with clear rice soup.
**One Eye Gold**: Treats all Gans, emaciated hair and body, cases where medicine fails. This formula is miraculous.
Indigo Naturalis (Qing Dai) (true indigo flower, any amount).
Grind into powder. Small dose 3 fen, large dose 5 fen, mix with boiling water and take.
**Small Yellow Pill**: Treats Startled Gan, crying and irritability, red face with phlegm-wheezing.
Pharbitidis Semen (head powder, 1 liang), Realgar (1 liang), Pandani Flos (Tian Zhu Huang) (2 liang).
Grind into powder, make pills with steamed bun, size of millet seeds. Five pills per year of age, mixed into porridge for feeding.
**Small Black Pill**: Treats Liver Heat, distended abdomen with blue veins, yellow face with thin legs, lack of appetite or excessive eating due to strong stomach fire.
Rhei Radix et Rhizoma (3 liang, soaked in wine), Pharbitidis Semen (3 liang, stir-fried), Bai Cao Shuang (soot from kitchen chimney, 1 qian), Aucklandiae Radix (2 qian), Gleditsiae Sinensis Spina (Ya Zao) (3 qian).
Grind into powder, make pills with water stacking, use as previously described.
**Small Green Pill**: Treats all Gans and [symptom missing].
True Indigo Naturalis, Pharbitidis Semen, Lead Powder (Guang Fen) (each 1 liang).
Grind into powder, make pills with steamed bun, use as previously described. (Lead powder is also known as Guang Fen, Hu Fen, Shao Fen, Ding Fen, Mian Fen, all are the same.)
**Spirit Chicken Agate Ointment**: Treats Gan syndrome. This formula was passed down by immortals and should be treasured.
Egg (one), Momordicae Semen (Mu Bie Zi) (one, fried in oil, ground fine and added to egg).
Make a hole in the egg, stir evenly with a silver hairpin, add Turtle Shell powder, seal with paper, steam and eat with rice. Avoid wheat products, greasy, and cold/raw foods.
**Happy Pill**: Treats all Gans.
Steamed Bun (add 1 qian of Green Vitriol per 1 liang of bun, cover with bun crumbs, wrap in paper, bake thoroughly in fire ash).
Dry and grind into powder, make pills with jujube flesh. Take 30-50 pills per dose with rice soup.
**Jade Toad Pill**: Treats all Gans, ineffective with other medicines. One dose reduces deficiency heat, two doses stop thirst, three doses stop diarrhea and dysentery. Extremely miraculous.
Toad (large ones, four), collect 3-4 sheng of maggots from dung, pour into jar together, let maggots eat the toad, take out when flesh is gone, put in cloth bag, soak quickly in water overnight.
Dry on new tile, grind into powder, add 3 fen of Moschus, make pills with paste, take with rice soup.
**Peach Willow Decoction**: Treats all Gans, use for washing.
Peach Branch, Willow Branch (each one handful, crushed. Collect in advance on Dragon Boat Festival, dry in shade, better for preparation).
Decoct in river water to bathe the child. After washing, cover with a green cloth quilt; emergence of Gan worms is a sign of efficacy. Alternatively, heat Peach and Willow leaves, spread on mat, let child sleep on it to extract worms, which is even better.
**Moxibustion Method**: Treats all Gan accumulation,痞块 (痞 mass), and 瘕 masses.
Moxa below the 12th thoracic vertebra (1.5 cun lateral to both sides, 5-7 moxa cones).
Hegu point (in the depression between the first and second metacarpal bones, 3 moxa cones) treats Liver Gan eye conditions that do not heal for a long time.
Cuiwei point (3 cun above the bone, in the depression, 3 moxa cones) treats Gan dysentery and rectal prolapse that does not retract.
Weishu points (below the 12th thoracic vertebra, 1.5 cun lateral to both sides, in the depression, 3 moxa cones) treat Gan emaciation and failure to generate muscle.