（诸疳余证） 凡十五门
汉东王先生论小儿发热，形瘦，多渴，吃食不长肌肉者，谓之疳热。
《颅囟经》治孩子诸疳，或热攻冲心，肺气急，昼夜有汗，日渐羸瘦，不吃乳食。调中丸方
柴胡 茯苓 人参 木香 桂心 大黄（湿纸裹煨） 枳壳（麸炒，去穣） 甘草（炙） 鳖甲（醋炙。各等分）
上件蜜丸如桐子大。每岁两丸，至五岁三丸，热熟水下，忌如常。
《博济方》治小儿疳热杀虫青黛散
青黛 芜荑仁 夜明砂（各别研） 川大黄（细锉，蒸三度，焙干为末。各半两） 黄连（一钱半，为末） 苦楝
根（三两，细切，焙干为末） 麝香（一钱匕，别研） 雄黄（透明者） 朱砂（好者，各别研，一分）
上件九味为细末。每服看小儿大小，服一钱或半钱。如要解苦，用蜜水调下、日再服。米饮调下亦可。此
宜常服。
《谭氏殊圣》治小儿疳热，身多壮热，黄瘦，久服令肥。金瓜丸方
黄连 黄柏 甘草（微炮） 青皮（去白）
上各等分为末，入麝香少许，用 猪胆一个，入药在胆内，用线系定，入石器内，用浆水煮五七沸取出，
风吊一宿取出，丸如绿豆大。每服五七丸，米饮下。加减《玉诀》方同，外以朱砂为衣，仍治脾疳。《博
济方》同，《刘氏家传方》亦同，云∶或添胡黄连，若早晨服使君子丸，（方见疳痢门中）。晚服金瓜丸，永无疾，消
食长肌肉。《庄氏家传方》同，仍加夜明砂一味，等分。《赵氏方》亦同，名凉疳药。长沙朱司理以为有神效。
茅先生∶小儿疳热，四肢如柴，不能起止。柴胡散方
柴胡 知母 贝母（去心） 茯苓 茯神 干葛 甘草（炙。各等分）
上为末。每服用小麦一匙头，药一匙头，水一盏，同煎六分，去滓服。
《婴童宝鉴》治小儿疳热。大金粟丸方
草龙胆（末） 宣连（各一两） 芦荟（末，半两） 芜荑 巴豆霜 大黄（各一分） 木香（二分）
上件为末，用猪胆为丸如粟米大。每服三丸，甘草汤下。
《玉诀》∶《手集》地骨皮散 治小儿热疳，进食方
地骨皮（拣择令净，干，用粗葛皮包洗过后，干秤） 黄 （锉，焙） 柴胡（去芦头，洗，锉、焙。三味各一两）
人参（锉，焙） 白茯苓（去黑皮、锉，焙） 甘草（炙，焙。三味各半两）
上为细末。每服一钱或半钱，白汤点服。
长沙医者丁时发传治疳热方∶疳热频传疳在心，有时膨胀气相侵；毛干直上时多渴，药效还知惜似金。惜金丸
莲心 宣连（各半钱） 芦荟 木香 柿蒂（各半钱） 巴豆霜（七粒）
上件为末，猪胆为丸粟米大。五丸，用熟水吞下。
《殊圣》治热黄疳。
虾蟆内蛆，焙，末，半钱，酒下，效。
伤寒六物黄芩汤 治腹大短气，热有进退，食不安，谷不化。
黄芩 大青 甘草（炙） 麦门冬 人参 白茯苓（焙） 甘草（炙。各半两）
末，服一钱，白汤点服。
(Other Manifestations of Various Gan Syndromes) There are fifteen categories in total.
Master Wang from Handong discusses pediatric fever, emaciation, excessive thirst, and failure to gain muscle mass despite eating, which is termed "Gan Heat" (Heat associated with the Gan syndrome).
The *Cranium and Fontanelle Classic* (*Luxin Jing*) treats various Gan syndromes in children, particularly when heat attacks the Heart, causing rapid lung Qi and sweating day and night, leading to progressive emaciation and refusal of milk and food. Formula for Regulating the Middle (*Tiaozhong Wan*):
*Bupleuri Radix* (Chaihu), *Poria* (Fuling), *Panax Ginseng Radix* (Renshen), *Aucklandiae Radix* (Muxiang), *Cinnamomi Cortex* (Guixin), *Rhei Radix et Rhizoma* (Dahuang - wrapped in wet paper and baked), *Aurantii Fructus Immaturus* (Zhike - stir-fried with bran, pith removed), *Glycyrrhizae Radix et Rhizoma* (Gancao - honey-fried), *Testudinis et Chelonis Carapax et Plastrum* (Biejia - vinegar-processed). All ingredients in equal parts.
Make honey pills the size of *Semen Sinapis Albae* (white mustard seed). For each year of age, administer two pills; up to five years old, administer three pills. Swallow with cooked water. Observe usual dietary restrictions.
The *Comprehensive Benevolent Prescriptions* (*Boji Fang*) treats pediatric Gan heat and kills parasites with *Qingdai San*:
*Indigo Naturalis* (Qingdai), *Xanthoceras Sorbifolium Seed* (Wuyi Ren), *Candor Nigrum* (Yeming Sha - separately ground), *Rhei Radix et Rhizoma* (Chuan Dahuang - finely sliced, steamed three times, dried and powdered, half tael each), *Coptidis Rhizoma* (Huanglian - one qian and a half, powdered), *Meliae Ailantoidis Cortex* (Kulian Gen - three taels, finely sliced, dried and powdered), *Moschus* (Shexiang - one qian bi, separately ground), *Realgar* (Xionghuang - transparent variety), *Cinnabaris* (Zhusha - high quality, separately ground, one fen each).
Grind the above nine ingredients into fine powder. The dose depends on the child's size: one qian or half a qian per administration. To mitigate bitterness, mix with honey water. Administer twice daily. Mixing with rice drink is also acceptable. This formula is suitable for regular use.
*Tan Shi Shu Sheng* treats pediatric Gan heat characterized by frequent high fever, sallow emaciation, and long-term use promotes weight gain. Formula for Golden Melon Pill (*Jingua Wan*):
*Coptidis Rhizoma* (Huanglian), *Phellodendri Cortex* (Huangbai), *Glycyrrhizae Radix et Rhizoma* (Gancao - lightly roasted), *Citri Reticulatae Pericarpium* (Qingpi - white pith removed).
Grind all ingredients into powder in equal parts. Add a small amount of *Moschus*. Take one pig gallbladder, place the medicine inside, tie it securely with thread, put it in a stone vessel, and boil in starch water for five to seven boils. Remove and hang in the wind overnight. Then form pills the size of mung beans. Administer five to seven pills per dose with rice drink. Modifications follow the *Yu Jue* formula; coat externally with *Cinnabaris*. It also treats Spleen Gan. The *Boji Fang* is identical. The *Liu Family Prescribed Formulas* are also identical, stating: Alternatively, add *Coptidis Rhizoma* (Huhuanglian). If administered *Semen Juglandis* pill (see Gan Dysentery category) in the morning and *Jingua Wan* in the evening, diseases will cease permanently, digestion will improve, and muscles will grow. The *Zhuang Family Prescribed Formulas* are identical but add *Candor Nigrum* in equal parts. The *Zhao Family Formulas* are also identical, named "Cooling Gan Medicine." Zhu Siligong of Changsha believed it had miraculous effects.
Mr. Mao: Pediatric Gan heat causes limbs to become dry as firewood, unable to stand or walk. Formula for Bupleurum Powder (*Chaihu San*):
*Bupleuri Radix* (Chaihu), *Anemarrhenae Rhizoma* (Zhimu), *Fritillariae Thunbergii Bulbus* (Beimu - heart removed), *Poria* (Fuling), *Poria Cum Ramo Pinus* (Fushen), *Puerariae Lobatae Radix* (Gange), *Glycyrrhizae Radix et Rhizoma* (Gancao - honey-fried). All ingredients in equal parts.
Grind into powder. For each dose, take one spoonful of wheat and one spoonful of medicine, add one cup of water, decoct until reduced to six-tenths, strain, and administer.
The *Infant and Child Treasure Mirror* (*Yingtong Baojian*) treats pediatric Gan heat. Formula for Large Golden Millet Pill (*Da Jin Su Wan*):
*Gentianae Radix* (Caolongdan - powdered), *Coptidis Rhizoma* (Xuanlian - one tael each), *Aloe* (Luhui - powdered, half tael), *Xanthoceras Sorbifolium Seed* (Wuyi), *Crotonis Fructus* (Badoushuang), *Rhei Radix et Rhizoma* (Dahuang - one fen each), *Aucklandiae Radix* (Muxiang - two fen).
Grind into powder. Use pig bile to form pills the size of millet grains. Administer three pills per dose with licorice soup.
*Yu Jue*: *Shou Ji* *Digupi San* treats pediatric heat Gan and promotes appetite:
*Cortices Lycii Radicis* (Digupi - select clean, dry, wrap in coarse kudzu root skin, wash, dry, and weigh), *Astragali Radix* (Huangqi - sliced, dried), *Bupleuri Radix* (Chaihu - remove rhizome head, wash, slice, dry. These three ingredients one tael each), *Panax Ginseng Radix* (Renshen - sliced, dried), *Poria* (Baifuling - remove black skin, slice, dry), *Glycyrrhizae Radix et Rhizoma* (Gancao - honey-fried, dried. These three ingredients half tael each).
Grind into fine powder. Administer one qian or half a qian per dose, taken with plain hot water.
Ding Shifa, a physician from Changsha, transmitted a formula for treating Gan heat: "Gan heat frequently transmits to the Heart; sometimes abdominal distension invades with Qi; hair becomes dry and stands upright, accompanied by frequent thirst. Efficacy is precious, cherish it like gold." Formula for Cherishing Gold Pill (*Xijin Wan*):
*Nelumbinis Plumula* (Lianxin), *Coptidis Rhizoma* (Xuanlian - half qian each), *Aloe* (Luhui), *Aucklandiae Radix* (Muxiang), *Diospyros Kaki Calyx* (Shidi - half qian each), *Crotonis Fructus* (Badoushuang - seven seeds).
Grind into powder. Use pig bile to form pills the size of millet grains. Swallow five pills with cooked water.
*Shu Sheng* treats Heat-Yellow Gan.
Grub inside the toad, bake, grind to powder, half a qian, taken with wine. Effective.
*Shanghan Liuwu Huangqin Tang* treats abdominal distension, shortness of breath, fluctuating fever, restlessness during meals, and indigestion.
*Scutellariae Radix* (Huangqin), *Isatidis Folium* (Daqing), *Glycyrrhizae Radix et Rhizoma* (Gancao - honey-fried), *Ophiopogonis Tuber* (Maimendong), *Panax Ginseng Radix* (Renshen), *Poria* (Baifuling - dried), *Glycyrrhizae Radix et Rhizoma* (Gancao - honey-fried. Half tael each).
Grind into powder. Administer one qian, taken with plain hot water.