《圣惠》∶夫小儿内疳者，由乳哺无常，伤于脏腑之所致也。其候乳食不消，心腹虚胀，眼目涩痒，体热皮
枯，肠胃不调，痢下五色，渐渐羸瘦，虫食肚肠，日月弥深，痢转不止，故号内疳也。
《圣惠》治小儿内疳，乳食不调，心腹胀满，肌肤羸瘦，下痢无常。木香丸方
木香 蝉壳（微炒，去足） 麝香（细研） 黄连（去须） 黄丹（微炒） 熊胆（研入） 夜明砂（微炒） 干
蝉（涂酥炙微焦。各一分） 亦石脂（半两） 肉豆蔻（一颗，去壳） 田父（半两，炙令微黄）
上件药捣，罗为末，用水浸蒸饼，丸如麻子大。每服以温粥饮下二丸。量儿大小以意加减。
《圣惠》治小儿内疳，四肢羸瘦，腹胀鼻痒，皮肤干燥，下痢不常。芦荟丸方
芦荟 雄黄（各细研） 没石子 蝉壳（微炒，去足） 蛇蜕皮（灰） 丁香 熊胆（研入。各一分） 麝香（细
研） 蟾酥（研入。各一钱） 黄连（半两，去须）
上件药捣，罗为末，炼蜜和丸如黄米粒大。每服以粥饮下三丸，日三服。别研一丸，吹入鼻中。量儿大小
以意加减。（《圣惠》又收治疳痢。）
《圣惠》治小儿内疳，下痢不止，体瘦食少，腹痛羸弱。杀疳丸方
雄黄 密陀僧 麝香 芦荟（各细研） 蜗牛壳 母丁香 鹤虱 白矾（灰） 没药 地龙（微炒） 熊胆（研入。
各一分） 肉豆蔻（去壳） 黄连（去须，微炒） 艾叶（炒令黄） 定粉（微炒。各半两） 蟾酥（一钱，研入）
上件药捣，罗为末，以面糊和丸如绿豆大。不计时候，以粥饮下三丸。量儿大小以意加减。
《圣惠》治小儿内疳，下痢不止，肌体消瘦，诸治未瘥，宜服麝香散方
麝香 芦荟（各细研） 蛇蜕皮（灰） 夜明砂（微炒） 蜗牛壳 黄连（去须，微炒） 没石子（各一分） 黄
丹定粉（各微炒，一两） 诃黎勒（半两，煨，用皮）
上件药捣，细罗为散，都研令匀。每服以粥饮调下半钱，早晨、午后各一服。看儿大小加减服之。
《圣惠》治小儿内疳，体瘦下痢。丁香散方
丁香 当归（锉，微炒） 朱砂 蚺蛇胆 牛黄（各细研） 白马靥（酒浸，炙黄色。各一分） 犀角（屑，半两）
上件药捣，细罗为散，都研令匀。每服以粥饮调下半钱，日三服。量儿大小以意加减。
《圣惠》治小儿内疳，下痢不止，昏沉多睡。胡粉丸方
胡粉（微炒） 青黛（细研。各半分） 黄连（末，一分，微炒） 麝香（一钱）
上件药同研令细，以猪胆一枚取汁和丸如黄米粒大。不计时候，以粥饮下五丸。量儿大小以意加减。
《圣惠》又方
丁香（末） 牛黄 黄连（末，细研） 雄黄（各一分） 蟾酥（半分）
上件药同研令细，以猪胆汁和丸如黍米粒大。不计时候，以薄荷汤下五丸。量儿大小以意加减。
《谭氏殊圣方》∶小儿脏病最难知，索出时时又要归。大抵内疳人少会，唯闻打瓦更锁龟。不求皂豆丁香白，岂
信人间有妙医。
宝命丹
皂角（一两，炙令焦黑色，去皮，为末，取三分） 巴豆（二七个，去心膜，细研，新瓦上出油了用之） 雄雀儿
粪（二钱）
上细末，以粟米饭丸绿豆大。空心，温水下三丸。
According to the *Shenghui Fang* (Sanitary Formulas of the Taiping Era): The so-called pediatric internal gan syndrome (a chronic wasting disease in children characterized by malnutrition and digestive disorders) is caused by irregular breastfeeding and feeding, which damages the zang-fu organs. Its manifestations include indigestion of milk and food, empty distension of the heart and abdomen, dryness and itching of the eyes, body heat with withered skin, dysregulation of the intestines and stomach, passage of dysentery with five colors, gradual emaciation, intestinal parasites eating away at the intestines, deepening of the condition over days and months, and persistent dysentery; hence it is called internal gan syndrome.
The *Shenghui Fang* treats pediatric internal gan syndrome with symptoms of irregular digestion, abdominal distension, emaciated skin and flesh, and irregular dysentery. Mu Xiang Wan (Musk Root Pill) Formula:
Mu Xiang (Aucklandiae Radix), Chan Qiao (Cicadae Periostracum, slightly fried, feet removed), She Xiang (Moschus, finely ground), Huang Lian (Coptidis Rhizoma, mustards removed), Huang Dan (Minium, slightly fried), Xiong Dan (Ursi Bile, ground into powder), Ye Ming Sha (Pharisiis Semen, slightly fried), Gan Chan (dried cicada, coated with butter and roasted until slightly scorched; each of the above one fen), Chi Shi Zhi (Halloysit Rubrum, half liang), Rou Dou Kou (Myristicae Semen, one kernel, shell removed), Tian Fu (likely a typo for Tian Hua Fen or similar, but kept as Tian Fu / Trichosanthis Radix contextually implied or local herb, half liang, roasted until slightly yellow).
Crush the above herbs, sieve them into powder. Soak steamed wheat cake in water, mix with the powder to form pills the size of hemp seeds. Administer two pills per dose with warm porridge water. Adjust dosage according to the child's age and size.
The *Shenghui Fang* treats pediatric internal gan syndrome with symptoms of emaciated limbs, abdominal distension with nasal itching, dry skin, and irregular dysentery. Lu Hui Wan (Aloe Pill) Formula:
Lu Hui (Aloes), Xiong Huang (Realgar, each finely ground), Mo Shi Zi (Terminalia Chebula Retz. fruit), Chan Qiao (Cicadae Periostracum, slightly fried, feet removed), She Tui Pi (Bombyx Batryticatus ash), Ding Xiang (Caryophylli Flos), Xiong Dan (Ursi Bile, ground into powder; each one fen), She Xiang (Moschus, finely ground), Chan Su (Toad Venom, ground into powder; each one qian), Huang Lian (Coptidis Rhizoma, half liang, mustards removed).
Crush the above herbs, sieve them into powder. Mix with refined honey to form pills the size of millet grains. Administer three pills per dose with porridge water, three times daily. Grind one pill separately and insufflate it into the nose. Adjust dosage according to the child's age and size. (The *Shenghui Fang* also records treatments for gan-dysentery.)
The *Shenghui Fang* treats pediatric internal gan syndrome with symptoms of persistent dysentery, emaciation, poor appetite, abdominal pain, and weakness. Sha Gan Wan (Kill Gan Pill) Formula:
Xiong Huang (Realgar), Mi Duo Seng (Lithargyrum), She Xiang (Moschus), Lu Hui (Aloes; each finely ground), Wo Niu Ke (Helicis Shell), Mu Ding Xiang (Caryophylli Flos), He Shi (Hedysari Semen), Bai Fan (Alumen, ash), Mo Yao (Myrrha), Di Long (Pheretima, slightly fried), Xiong Dan (Ursi Bile, ground into powder; each one fen), Rou Dou Kou (Myristicae Semen, shell removed), Huang Lian (Coptidis Rhizoma, mustards removed, slightly fried), Ai Ye (Artemisiae Argyi Folium, roasted until yellow), Ding Fen (Cerussa, slightly fried; each half liang), Chan Su (Toad Venom, one qian, ground into powder).
Crush the above herbs, sieve them into powder. Mix with flour paste to form pills the size of mung beans. Administer three pills with porridge water at any time. Adjust dosage according to the child's age and size.
The *Shenghui Fang* treats pediatric internal gan syndrome with symptoms of persistent dysentery, emaciation, and failure of other treatments. It is suitable to take She Xiang San (Musk Powder):
She Xiang (Moschus), Lu Hui (Aloes; each finely ground), She Tui Pi (Bombyx Batryticatus ash), Ye Ming Sha (Pharisiis Semen, slightly fried), Wo Niu Ke (Helicis Shell), Huang Lian (Coptidis Rhizoma, mustards removed, slightly fried), Mo Shi Zi (Terminalia Chebula Retz. fruit; each one fen), Huang Dan Ding Fen (Minium and Cerussa, each slightly fried, one liang), He Li Le (Terminalia Chebula Retz., half liang, baked, using only the peel).
Crush the above herbs, sieve finely into powder, and mix uniformly. Administer half a qian per dose, mixed with porridge water, once in the morning and once in the afternoon. Adjust dosage based on the child's size.
The *Shenghui Fang* treats pediatric internal gan syndrome with symptoms of emaciation and dysentery. Ding Xiang San (Clove Powder):
Ding Xiang (Caryophylli Flos), Dang Gui (Angelicae Sinensis Radix, cut, slightly fried), Zhu Sha (Cinnabaris), Ran She Dan (Pythonis Bile), Niu Huang (Bovis Calculus; each finely ground), Bai Ma Ye (Equi Cornea, soaked in wine, roasted until yellow; each one fen), Xi Jiao (Rhinocerotis Cornu, shaved, half liang).
Crush the above herbs, sieve finely into powder, and mix uniformly. Administer half a qian per dose, mixed with porridge water, three times daily. Adjust dosage according to the child's age and size.
The *Shenghui Fang* treats pediatric internal gan syndrome with symptoms of persistent dysentery, lethargy, and excessive sleepiness. Hu Fen Wan (Lead Carbonate Pill) Formula:
Hu Fen (Cerussa, slightly fried), Qing Dai (Indicum, finely ground; each half fen), Huang Lian (Coptidis Rhizoma, powdered, one fen, slightly fried), She Xiang (Moschus, one qian).
Grind the above herbs together until fine. Take the juice from one pig gallbladder to mix and form pills the size of millet grains. Administer five pills with porridge water at any time. Adjust dosage according to the child's age and size.
Another formula from the *Shenghui Fang*:
Ding Xiang (Clove, powdered), Niu Huang (Bovis Calculus), Huang Lian (Coptidis Rhizoma, powdered, finely ground), Xiong Huang (Realgar; each one fen), Chan Su (Toad Venom, half fen).
Grind the above herbs together until fine. Mix with pig bile juice to form pills the size of broomcorn millet grains. Administer five pills with mint decoction at any time. Adjust dosage according to the child's age and size.
The *Tan Shi Shu Sheng Fang* states: Pediatric organ diseases are the hardest to diagnose; seeking causes often requires returning to the root. Few understand internal gan syndrome; they merely hear of hitting tiles and locking turtles (metaphors for obscure practices). Without seeking soap pods, beans, and cloves, how could one believe there are miraculous doctors in the world?
Bao Ming Dan (Precious Life Pill):
Zao Jiao (Gleditsiae Fructus, one liang, roasted until charred black, peel removed, powdered, take three fen), Ba Dou (Crotonis Semen, twenty-seven kernels, remove heart membrane, grind finely, remove oil on new tile), Xiong Que Er Fen (Male Sparrow Droppings, two qian).
Grind all into fine powder. Mix with millet rice paste to form pills the size of mung beans. On an empty stomach, administer three pills with warm water.