《圣惠》∶夫小儿干疳者，由乳食不调，心脾积热之所致也。其候身体壮热，或即憎寒，舌涩口干，睡多盗
汗，皮肤枯燥，发立毛焦，乳食虽多，肌肉消瘦，四肢无力，好睡昏昏。日往月来，转加虺悴，故号干疳也。
《仙人水鉴》∶小儿患疳气久不瘥，遂受旁疾，宜服此独治干疳方。
天灵盖 生鳖甲 波斯青黛 黄盐（以上各一分。陶隐居士∶北海黄盐草粒粗，以作鱼 及咸菹）
上并同研令细。日服一字，空心热水下。若是湿疳，不治。干疳治之，不过三服，神效。
《圣惠》治小儿干疳，心脏烦热，眼目赤涩，皮肤干燥，夜多盗汗，羸瘦不能乳食。天竺黄散方
天竺黄（半两） 牛黄 雄黄 朱砂 芦荟 麝香（各细研） 蟾头（炙令焦黄） 胡黄连 犀角（屑） 木香 甘
草（炙微赤，锉） 钩藤（各一分） 龙胆（一钱，细研）
上件药捣，细罗为散，都研令匀。每服以温水调半钱服，日三服。量儿大小以意加减。
《圣惠》治小儿干疳，体瘦烦热，眠卧不安，宜服此方。
牛黄 雄黄 芦荟 青黛（各细研） 丁香 黄连（去须） 熊胆（研入） 蛇蜕皮（灰） 天竺黄 天浆子（微
炒） 犀角（屑。各一分） 胡黄连（半两） 蟾酥（半钱，研入） 麝香（一分，细研）
上件药捣，罗为末，更研令匀，以炼蜜和丸如绿豆大。每服以粥饮下三丸，日三服。量儿大小以意加减。
《圣惠》治小儿干疳，肌体羸瘦，皮毛干焦，发歇寒热，昏昏多睡。青黛丸方
青黛（三分，细研） 牛黄 芦荟 朱砂 麝香 雄黄（各细研） 胡黄连 蛇蜕皮（灰） 龙胆（去芦头） 蝉
壳（微炒。各一分） 蟾（一枚，涂酥炙焦黄）
上件药捣，罗为末，都研令匀，用面糊和丸如黍米大。每服以粥饮下三丸，日三服。量儿大小临时增减。
《圣惠》治小儿干疳，面青目涩，脑热鼻疮，眼生障膜，毛发焦黄，肌卢羸瘦。蜗牛丸方
蜗牛 谷精草（各烧灰） 夜明砂（微炒。各三分） 瓜蒂（末，半两） 干蟾（一枚，涂酥炙令焦黄） 雄黄 麝
香（各一分）
上件药都研为末，用蒸饼和丸如绿豆大。每服以粥饮下三丸，日三服。量儿大小加减服之。
《圣惠》治小儿干疳，烦渴壮热，皮肤枯燥，日渐羸瘦。牛黄丸方
牛黄（半钱，细研） 雄黄（细研） 黄连（去须） 芦荟 天竺黄（各一分） 脑麝（各细研，一钱） 甘草（半
分，炙微赤，锉）
上件药捣，罗为末，都研令匀，用糯米饭和丸如绿豆大。每一岁以粥饮下一丸，日三服。
《圣惠》治小儿干疳，瘦弱不能乳食，发立脑干，肌体柴瘦。胡黄连丸方
胡黄连（末，半两） 朱砂 波斯青黛 芦荟（各三分） 麝香（一分） 蛇蜕皮（一条，烧灰） 蟾酥（一杏仁
大）
上件药都研为末，用猪胆一枚，取法酒一盏，和药末都于铫子内熬如膏，丸如绿豆大。五岁至七岁以粥饮
下五丸，日三服。三岁以下三丸。
《圣惠》治小儿干疳，乳食不成肌肤，日渐羸瘦，身体壮热，毛发干枯，四肢无力。蟾酥丸方
蟾酥 麝香 蝉壳（微炒，去足） 干地龙（微炒） 蛇蜕皮（灰，各一分） 猪胆（二枚） 青黛 龙脑 朱砂
（细研。各三分）
上件药除蟾酥外细研，以猪胆化蟾酥，和丸如粟米粒大。每以温水研五丸，吹鼻内。量儿大小以意加减。
《圣惠》治小儿干疳，日久不瘥。骨立形枯，诸治无效。青黛散方
青黛 朱砂 芦荟 地龙（微炒） 夜明砂（各微炒） 干虾蟆（灰） 熊胆（各一分） 麝香（二分）
上件药都细研为散。每服半钱，空心以粥饮调下。又用少许药吹入鼻中；后以桃枝汤看冷热浴儿，衣盖，
有虫子出为效也。
《圣惠》治小儿干疳，面色痿黄，肌体羸瘦，宜服此方。
芦荟 龙胆（去芦头） 牛黄（细研） 胡黄连（各一分） 青黛（三两，细研） 麝香（一钱，细研）
上件药捣，罗为末，都研令匀，蒸饼和丸如黄米大。每服以粥饮下五丸。量儿大小以意加减。
《圣惠》治小儿干疳，体热羸瘦，心神烦躁，少得眠卧。宜服牛黄丸方
牛黄（细研） 朱砂（细研，水飞过） 子芩 犀角（屑。各半两） 麝香（一分，细研）
上件药捣，罗为末，都研令匀，以糯米饭和丸如麻子大。每服用粥饮下三丸。量儿大小增减服之。
《王氏手集》治小儿干疳。虾蟆丸方
虾蟆（一个，烧灰，一钱） 牛黄 麝香（各一字） 蔓荆子 蝉蜕（各一钱）
上为末，粟米饭和丸如麻子大。每服二丸，陈米饮下。
*Shenghui Fang*: The so-called "Gan Syndrome of Dryness" (Gan Syndrome of Dryness, a pediatric condition characterized by malnutrition and dryness due to internal heat) in children is caused by irregular breastfeeding and dieting, leading to the accumulation of heat in the Heart and Spleen. Its manifestations include high fever, or alternatively aversion to cold, a stiff tongue with dry mouth, excessive sleepiness accompanied by night sweats, dry and rough skin, erect and scorched hair, significant muscle wasting despite abundant food intake, weakness in the four limbs, and lethargy. Day after day and month after month, the condition worsens, resulting in emaciation and desolation; hence it is termed "Gan Syndrome of Dryness."
*Xianren Shuijian*: When a child suffers from Gan Qi (Gan Qi, general term for childhood malnutrition syndrome) that persists for a long time without healing, thereby giving rise to secondary complications, it is appropriate to administer this formula specifically for treating Gan Syndrome of Dryness.
Tianlinggai (Calvaria Bovis, dried skull cap of cattle), Sheng Biejia (Bielong Gu, dried shell of soft-shelled turtle), Boshi Qingdai (Persian Indigo Naturalis), Huangyan (Yellow Salt). (Each used in an amount of one fen. Tao Hongjing noted: Yellow salt from Beihai has coarse granules and is used for making fish paste and pickles.)
Grind all the above ingredients into a fine powder together. Administer one "yi zi" (a traditional small unit of weight/volume) daily, taken orally with warm water on an empty stomach. This method is contraindicated for Wet Gan (Shi Gan, a type of Gan syndrome with damp-heat symptoms). For Dry Gan, no more than three doses are needed to achieve miraculous efficacy.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with irritability and heat in the Heart, red and astringent eyes, dry skin, frequent night sweats, and severe emaciation preventing milk intake. Formula for Tianzhu Huang San (Tianzhu Huang Powder):
Tianzhu Huang (Natrium Boratis Crudum, half liang), Niuhuang (Calculus Bovis), Xionghuang (Realgar), Zhusha (Cinnabaris), Lvhua (Aloe), Shexiang (Moschus) (each finely ground), Chantou (Bufonis Corpus, roasted until scorched yellow), Huhuanglian (Coptidis Rhizoma alternative/Rhizoma Picrorhizae), Xi Jiao (Rhinocerotis Cornu, shaved), Muxiang (Aucklandiae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red and cut), Gouteng (Uncariae Ramulus cum Uncis) (each one fen), Longdan (Gentianae Radix, one qian, finely ground).
Pound the above medicines, sift through a fine sieve to make a powder, and grind uniformly. Take half a qian each time, mixed with warm water for oral administration, three times a day. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with thin body, irritability and heat, and restless sleep. It is suitable to take this formula.
Niuhuang (Calculus Bovis), Xionghuang (Realgar), Lvhua (Aloe), Qingdai (Indigo Naturalis) (each finely ground), Dingxiang (Caryophylli Flos), Huanglian (Coptidis Rhizoma, remove stamens), Xiongdan (Ursi Fel), Shetui pi (Serpentis Cutis, burnt to ash), Tianzhu Huang (Natrium Boratis Crudum), Tianjiangzi (Fructus Cnidii, slightly stir-fried), Xi Jiao (Rhinocerotis Cornu, shaved) (each one fen), Huhuanglian (Rhizoma Picrorhizae, half liang), Chansu (Toxin Bufonis, half qian, ground), Shexiang (Moschus, one fen, finely ground).
Pound the above medicines, sift into powder, and grind uniformly. Mix with refined honey to form pills the size of mung beans. Take three pills each time with rice broth, three times a day. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with emaciated body, dry and scorched hair and skin, alternating chills and fever, and lethargy with excessive sleep. Formula for Qingdai Wan (Qingdai Pill):
Qingdai (Indigo Naturalis, three fen, finely ground), Niuhuang (Calculus Bovis), Lvhua (Aloe), Zhusha (Cinnabaris), Shexiang (Moschus), Xionghuang (Realgar) (each finely ground), Huhuanglian (Rhizoma Picrorhizae), Shetui pi (Serpentis Cutis, burnt to ash), Longdan (Gentianae Radix, remove rhizome head), Chanke (Cicadae Periostracum, slightly stir-fried) (each one fen), Chan (Bufo bufo gargarizans, one piece, coated with butter and roasted until scorched yellow).
Pound the above medicines, sift into powder, and grind uniformly. Mix with flour paste to form pills the size of millet seeds. Take three pills each time with rice broth, three times a day. Adjust the dosage temporarily according to the child's age and size.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with bluish complexion, dry and astringent eyes, heat in the brain, nasal ulcers, ocular membranes, scorched yellow hair, and emaciated muscles. Formula for Wo Niu Wan (Wo Niu Pill):
Wo Niu (Arion Ater), Gujingcao (Eriocauli Flos) (each burnt to ash), Yeming sha (Luminosus Fulgur, slightly stir-fried) (each three fen), Gudi (Cucumeris Fructus, powdered, half liang), Gan Chan (Dried Bufo bufo gargarizans, one piece, coated with butter and roasted until scorched yellow), Xionghuang (Realgar), Shexiang (Moschus) (each one fen).
Grind all the above medicines into powder. Mix with steamed dough to form pills the size of mung beans. Take three pills each time with rice broth, three times a day. Adjust the dosage according to the child's age.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with irritability, thirst, high fever, dry skin, and progressive emaciation. Formula for Niuhuang Wan (Niuhuang Pill):
Niuhuang (Calculus Bovis, half qian, finely ground), Xionghuang (Realgar, finely ground), Huanglian (Coptidis Rhizoma, remove stamens), Lvhua (Aloe), Tianzhu Huang (Natrium Boratis Crudum) (each one fen), Naoshexiang (Borneolum Syntheticum and Moschus, each finely ground, one qian), Gancao (Glycyrrhizae Radix et Rhizoma, half fen, roasted until slightly red and cut).
Pound the above medicines, sift into powder, and grind uniformly. Mix with glutinous rice to form pills the size of mung beans. For every year of age, take one pill with rice broth, three times a day.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with weakness preventing milk intake, erect hair, dry scalp, and emaciated body. Formula for Huhuanglian Wan (Huhuanglian Pill):
Huhuanglian (Rhizoma Picrorhizae, powdered, half liang), Zhusha (Cinnabaris), Boshi Qingdai (Persian Indigo Naturalis), Lvhua (Aloe) (each three fen), Shexiang (Moschus, one fen), Shetui pi (Serpentis Cutis, one strip, burnt to ash), Chansu (Toxin Bufonis, size of an almond kernel).
Grind all the above medicines into powder. Use one pig gallbladder and one cup of medicinal wine. Place the powder in a pot and boil into a paste. Form pills the size of mung beans. Children aged five to seven take five pills with rice broth, three times a day. Children under three years old take three pills.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness where lack of milk and food prevents flesh growth, leading to progressive emaciation, high fever, dry and brittle hair, and limb weakness. Formula for Chansu Wan (Chansu Pill):
Chansu (Toxin Bufonis), Shexiang (Moschus), Chanke (Cicadae Periostracum, slightly stir-fried, remove feet), Gan Dilong (Pheretima, slightly stir-fried), Shetui pi (Serpentis Cutis, burnt to ash) (each one fen), Zhu Dan (Porci Fel, two pieces), Qingdai (Indigo Naturalis), Longnao (Borneolum Syntheticum), Zhusha (Cinnabaris, finely ground) (each three fen).
Finely grind all medicines except Chansu. Dissolve Chansu in pig gallbladder juice. Mix with the powder to form pills the size of millet grains. Each time, dissolve five pills in warm water and insufflate into the nostrils. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness that persists for a long time without healing. The patient is skeletal and withered, and other treatments have failed. Formula for Qingdai San (Qingdai Powder):
Qingdai (Indigo Naturalis), Zhusha (Cinnabaris), Lvhua (Aloe), Dilong (Pheretima, slightly stir-fried), Yeming sha (Luminosus Fulgur) (each slightly stir-fried), Gan Xama (Dired Toad, burnt to ash), Xiongdan (Ursi Fel) (each one fen), Shexiang (Moschus, two fen).
Grind all the above medicines finely into a powder. Take half a qian each time, mixed with rice broth on an empty stomach. Additionally, insufflate a small amount of the powder into the nose. Afterwards, bathe the child in peach branch decoction at a comfortable temperature, cover with clothes, and if parasites are expelled, it indicates efficacy.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with sallow complexion and emaciated body. It is suitable to take this formula.
Lvhua (Aloe), Longdan (Gentianae Radix, remove rhizome head), Niuhuang (Calculus Bovis, finely ground), Huhuanglian (Rhizoma Picrorhizae) (each one fen), Qingdai (Indigo Naturalis, three liang, finely ground), Shexiang (Moschus, one qian, finely ground).
Pound the above medicines, sift into powder, and grind uniformly. Mix with steamed dough to form pills the size of yellow millet. Take five pills each time with rice broth. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric Gan Syndrome of Dryness with body heat, emaciation, mental restlessness, and insomnia. It is suitable to take the Niuhuang Wan formula.
Niuhuang (Calculus Bovis, finely ground), Zhusha (Cinnabaris, finely ground, water-floted), Zixin (Scutellariae Radix), Xi Jiao (Rhinocerotis Cornu, shaved) (each half liang), Shexiang (Moschus, one fen, finely ground).
Pound the above medicines, sift into powder, and grind uniformly. Mix with glutinous rice to form pills the size of sesame seeds. Take three pills each time with rice broth. Adjust the dosage according to the child's age and size.
*Wangshi Shouji* treats pediatric Gan Syndrome of Dryness. Formula for Xia Ma Wan (Xia Ma Pill):
Xia Ma (Toad, one piece, burnt to ash, one qian), Niuhuang (Calculus Bovis), Shexiang (Moschus) (each one yi zi), Manjingzi (Viticis Fructus), Chantui (Cicadae Periostracum) (each one qian).
Grind the above medicines into powder. Mix with millet rice to form pills the size of sesame seeds. Take two pills each time, washed down with aged rice drink.