五疳五脏五般看。治法详推事不难。若见面黄肌肉瘦。齿焦发竖即为疳。
大抵疳之为病。皆因过餐饮食。于脾家一脏。有积不治。传之余脏而成五疳之疾。若脾家病去。则余脏皆安。苟
失其治。日久必有传变。而成无辜之疾。多致不救。可不慎哉。
治宜推三关 六腑 脾土 运八卦 大肠 五经 心经 清天河水 门 运水入土
头疼身热腹微胀。足冷神昏只爱眠。因食所伤脾气弱。下宜迟缓表宜先。
夫儿所患积症。皆因乳哺不节。过餐生冷坚硬之物。脾胃不能克化。积滞中脘。外为风寒所袭。或因夜卧失盖。
致头疼面黄身热。眼胞微肿。肚腹膨胀。足冷肚热。喜睡神昏。饮食不思。或呕或哕。口噫酸气。大便酸臭。此为
陈积所伤。先宜发表。后宜攻积。
治宜推三关 六腑 多补脾土 掏四横纹 补肾水 分阴阳 掏大肠 揉 门 小横纹
运八卦（退艮重） 三扇门 天门入虎口 发热腹痛。加水里捞明月 大便秘结。多推六腑 小横纹 揉
掏肾水 腹痛泄泻。掏一窝风 揉脐及龟尾
本因积久成顽结。男左女右居腹胁。俗云龟痨不须听。化癖调脾自安贴。
夫痞与否同。不通一也。小儿乳哺不节。久停于脾。不能克化。结成痞癖。突于胁下。或左或右。俗云龟痨。其疾
皆因积滞蕴作。致有寒热肚腹疼痛。昼凉夜热。气实者先攻其痞。后投补益。气虚者先与调固脾胃。神色稍正。
饮食进多。再宜攻之。若面黄唇白。发竖肌瘦。乃为虚极不可轻下。但徐徐调理为上。
治宜推三关 脾土 大肠 肺经 四横纹 门 精宁 二扇门 清肾水 运五经 小横纹
运八卦 小天心 黄蜂入洞 赤凤摇头 久揉脾土
Five types of Gan (malnutrition syndrome) are observed according to the five Zang organs. The treatment methods, when carefully deduced, are not difficult. If one observes sallow complexion and emaciated muscles, scorched teeth, and erect hair, it is identified as Gan syndrome.
Generally speaking, Gan syndrome arises from overeating. Accumulation in the Spleen organ, if left untreated, transmits to other Zang organs, resulting in the five types of Gan diseases. If the pathology in the Spleen is resolved, the other Zang organs will be at peace. However, if treatment is neglected, transmission will inevitably occur over time, leading to Wu Gu Gan (a severe form of malnutrition), often resulting in untreatable conditions. Can one not be cautious?
Treatment should include: Pushing San Guan (Three Gates), Retreating Liu Fu (Six Channels), Tonifying Pi Tu (Spleen Earth), Moving Ba Gua (Eight Trigrams), Clearing Da Chang (Large Intestine), Clearing Wu Jing (Five Meridians), Clearing Xin Jing (Heart Meridian), Clearing Tian He Shui (River Water), and Moving Water into Earth.
Headache, fever, slight abdominal distension, cold feet, lethargy, and excessive sleepiness. Due to dietary injury causing weak Spleen Qi, purgative methods should be slow, while exterior-releasing methods should be applied first.
The accumulation syndromes suffered by children result from irregular breastfeeding or feeding, consuming excessive amounts of raw, cold, hard, or tough foods. The Spleen and Stomach fail to digest them, leading to stagnation in the Zhong Wan (Middle Jiao). Externally, they are attacked by Wind-Cold, or due to uncovered sleeping at night, causing headache, sallow complexion, fever, slightly swollen eyelids, abdominal distension, cold feet with a hot abdomen, preference for sleep, lethargy, anorexia, vomiting or hiccups, sour belching, and sour-smelling stools. This is caused by old accumulation. First, release the exterior; subsequently, attack the accumulation.
Treatment should include: Pushing San Guan, Retreating Liu Fu, heavily tonifying Pi Tu (Spleen Earth), Digging Si Heng Wen (Four Horizontal Lines), Tonifying Shen Shui (Kidney Water), Dividing Yin and Yang, Clearing Da Chang, Rubbing Ban Men (Ban Gate), Moving Xiao Heng Wen (Small Horizontal Lines), Moving Ba Gua (heavily pushing towards Gen trigram), Pushing San Men Shan (Three Door Mountain), Tian Men Ru Hu Kou (Heaven's Gate Entering Tiger's Mouth); for fever and abdominal pain, add Shui Li Lao Ming Yue (Fishing the Bright Moon from Water); for constipation, heavily push Liu Fu, Xiao Heng Wen, rub Qi (Navel), and dig Shen Shui; for abdominal pain and diarrhea, dig Yi Wo Feng (One Nest of Wind), rub Qi (Navel), and Gui Wei (Turtle Tail).
This originates from long-standing accumulation forming stubborn knots. In males, it resides on the left; in females, on the right, located in the abdomen and hypochondrium. Folk sayings about "Gui Lao" (Tuberculosis-like wasting) need not be heeded; resolving Pi (masses) and regulating the Spleen ensures safety.
Pi (stagnation) and Fou (blockage) are synonymous, both meaning obstruction. Irregular feeding in children causes food to remain in the Spleen for a long time, failing to digest, forming Pi and Xi (accumulated masses) that protrude under the hypochondrium, either on the left or right. Folk sayings refer to this as "Gui Lao." The disease arises from accumulated stagnation fermenting, causing alternating chills and fever, abdominal pain, coolness during the day and heat at night. For excess Qi patterns, first attack the Pi mass, then administer tonics. For deficient Qi patterns, first regulate and consolidate the Spleen and Stomach. Once the spirit and color improve and food intake increases, then proceed to attack. If the complexion is sallow, lips pale, hair erect, and muscles emaciated, it indicates extreme deficiency; gentle purgatives should not be used lightly. Gradual regulation is the superior approach.
Treatment should include: Pushing San Guan, Tonifying Pi Tu, Clearing Da Chang, Clearing Fei Jing (Lung Meridian), Clearing Si Heng Wen, Rubbing Jing Ning (Jing Ning Point), Pushing Er Men Shan (Two Door Mountain), Clearing Shen Shui, Moving Wu Jing, Moving Xiao Heng Wen, Moving Ba Gua, Rubding Xiao Tian Xin (Small Heavenly Heart), Huang Feng Ru Dong (Yellow Bee Entering Cave), Chi Feng Yao Tou (Red Phoenix Shaking Head), and long-term rubbing of Pi Tu.