（亦名肾疳）
《圣惠》∶夫小儿急疳者，由乳哺不调，甘肥过度之所致也。甘味入于脾而动于虫，但虫因甘而动，伤于脏
腑。若上蚀齿龈，则生疮出血，齿色紫黑；下蚀肠胃，则下利无常，肛门开张。生疮赤烂，皮焦发立，乳食不
消，身体羸瘦，若不早疗，便至膏肓。故曰急疳也。
《圣惠》治小儿急疳，羸瘦，下利，口内生疮，杀虫。雄黄丸方
雄黄 芦荟 青黛 朱砂（各细研） 龙胆（去芦头） 黄柏（微炙，锉） 黄矾（烧令通
赤） 当归（锉，微炒） 白矾（烧令汁尽） 细辛 莨
菪子（水淘去浮者，水煮芽出，炒令黄） 甘草（炙微赤，锉。各一分） 麝香（一钱，细研） 蚱
蝉（三、七枚，微炒，去翅、足） 干蟾（一枚，涂酥、炙令黄）
上件药捣，罗为末，入研了药令匀，以面糊和丸如绿豆大。不计时候，以粥饮下五丸。量儿大小以意加减。
《圣惠》治小儿急疳虫，口内及齿龈作疮。宜敷熊胆散方
熊胆（细研） 甜葶苈（微炒） 莨菪子（炒令微黑） 虾蟆灰 人粪灰 白矾灰 麝香（细
研） 雄黄（细研） 芦荟（细研） 硫黄（细研。以上各一分）
上件药捣，罗为散，都研令匀。如有疮处，宜薄敷之。如鼻痒，即取少许，逐日吹鼻中二、三遍，以瘥为度。
《圣惠》治小儿急疳，痒随爪作疮，瞬息大如钱，或在头面、口齿中。宜敷蚺蛇胆散方
蚺蛇胆（三大豆许） 黄矾 白矾灰 芦荟 麝香（以上各一钱）
上件药细研为散。若头面、身上有疮，以清泔洗， 干；敷一大豆许，良久水出即止。重者不过三度瘥。
如在口齿中，宜频贴之。
《圣惠》治小儿急疳疮累医未效。蜗牛灰散方
蜗牛灰 白狗粪灰 蜣螂灰 白矾灰 人粪灰 芦荟 虾蟆灰 兰香
KT灰 蚺蛇胆 蜘蛛灰 地龙灰（以上各一分）
上件药，捣细研如粉。以苇管斜批，吹少许入鼻中。如齿龈上有疮，即蜜和涂于纸上贴之∶下部有疮即纳之。
《圣惠》治小儿急疳，口生白疮，诸疳并主之方。
熊胆 蚺蛇胆 芦荟 龙脑 牛黄 麝香（以上各一分）
上件药细研，以井华水一小盏，搅和令匀，瓷器盛。重汤缓火，数以篦搅，盏四畔勿令药干着盏。欲吹鼻
时，先七日，孩子及乳母断生冷、浆豆、诸荤辛、热面、鱼肉等，兼少食盐。然后取二豆许，渐渐吹鼻及涂
口疮上。
《圣惠》治小儿急疳，瘦弱生疮。宜服天灵盖丸方
天灵盖（一两） 砒霜（半分） 胡黄连（半两） 人粪（半两） 莨菪子（一分）
上件药，都以黄泥裹，烧令通赤，去泥放冷。取药入麝香半分，同研为末，以面糊和丸如黍米大。不计时
候，以乳汁研下一丸，一岁一丸。三丸以上，不得加服。
《圣惠》治小儿急疳，虫蚀口鼻及下部生疮方。
干蟾（一两。半为末，半两烧灰） 销金银甘埚（一两） 银末（一大豆许） 人粪灰（一两） 麝香（一两）
上件药捣，罗为细散。有虫蚀处，即着药粉之。三、七日以来，勿食一切腻肥。
《圣惠》治小儿急疳，口鼻及下部皆赤烂方。
大蒜（二两） 甜葶苈（半两） 干虾蟆（一两） 干地龙（二枚） 乱发灰（一分）
上件药，细锉相和，入竹筒中，置瓦内，以 灰火烧之取沥。少少涂儿口鼻顶项及壳头等处。
《圣惠》又方
精白羊肉（二两） 芜荑仁（半两） 豉（一合） 川椒（二、七粒，去目） 酱豆（一匙）
上件药相和，烂研令细。每取一枣大，敷疮上，日三易之。
蔓菁花（盛时并根拔取，阴干）
上件根茎一握，去头尾，以大麦面并酱汁，和作团裹之，于炭火中烧令烟尽，取出候冷；入麝香一钱，同
研为末。每贴时先以米泔净洗，取帛拭干后可敷药。若儿小，恐痛甚，以意少少敷之，不过三数遍瘥。口鼻
及下部疮悉治之。
谭氏香连散
急疳频泻绿和青，好睡多饶局绿惊，才觉翻身还又泻，唇干焦渴欲烟牛。
胡黄连 熊胆（各一钱） 丁香 麝 芦荟（各半钱） 五灵脂 赤箭芝 白龙骨（各一分）
末半钱，陈米饮下。日夜五、六服。
张涣立圣膏 治急疳侵蚀。
人乳（半合） 黄盐（粟大） 白矾（枣大） 石胆（豆大）
研，绵裹，内乳汁中浸一宿，有味，慢火熬膏涂口。如鼻疮，滴入。有肿处以三棱针刺去血后涂。（《圣惠》多
青矾、升麻。）
丁时发治急疳芦荟丸
急疳频泻色偏青，多睡身黄作怒睛，芦荟杵丸多与服，莫交传久肚膨 。
芦荟 黄柏 大黄（各一钱） 朱砂（半钱） 巴豆（一粒，去油）
上件为末，用 猪胆汁调于饭上；蒸少时，入麝香少许为丸如○大。每服三、五丸，熟水吞下。
(Also known as Kidney Gan)
*Taiping Shenghui Fang* records: Pediatric Ji Gan (Acute Malnutrition with Parasitic Infection) is caused by improper breastfeeding and feeding, specifically the excessive consumption of sweet and fatty foods. The sweet flavor enters the Spleen and stirs up parasites; parasites move due to sweetness, thereby damaging the Zang-Fu organs. If the parasites erode upwards into the gums, sores will form with bleeding, and the teeth will turn purple-black; if they erode downwards into the intestines and stomach, it leads to irregular diarrhea and an open, relaxed anus. Sores appear red and ulcerated, skin becomes dry and brittle, hair stands on end, milk and food fail to digest, and the body becomes emaciated and weak. If not treated early, the condition will progress to the critical stage of Gaohuang (deep-seated disease). Hence, it is called Ji Gan.
*Taiping Shenghui Fang* prescription for treating pediatric Ji Gan with emaciation, diarrhea, oral sores, and parasiticidal effects: Xionghuang Wan (Realgar Pill).
Ingredients: Xionghuang (Realgar), Lvhui (Aloe), Qingdai (Indigo Naturalis), Zhusha (Cinnabar) [each finely ground]; Longdan (Gentianae Radix, remove rhizome); Huangbai (Phellodendri Cortex, lightly roasted, sliced); Huangfan (Yellow Alum, fired until red-hot); Danggui (Angelicae Sinensis Radix, sliced, lightly roasted); Baifan (White Alum, fired until juices are exhausted); Xixin (Asari Radix et Rhizoma); Langdanszi (Daturae Semen, washed in water to remove floating seeds, boiled until sprouting, fried until yellow); Gancao (Licorice Root, roasted until slightly red, sliced, each 1 fen); Shexiang (Musk); Zechan (Tettigidae, 3 or 7 pieces, lightly roasted, wings and legs removed); Ganchan (Dry Bufo, 1 piece, coated with butter, roasted until yellow).
Process: Pound the ingredients, sieve into powder, mix uniformly with the finely ground drugs, bind with wheat paste, and roll into pills the size of mung beans. Administer at any time, taking five pills with rice gruel broth. Adjust dosage according to the child's age and size.
*Taiping Shenghui Fang* prescription for treating pediatric Ji Gan parasites causing sores in the mouth and gums: Xiongdan San (Bear Gallbladder Powder) for external application.
Ingredients: Xiongdan (Bear Bile), Tiantingli (Lepidii Fructus, lightly roasted), Langdanszi (Daturae Semen, fried until slightly black), Xiaha Hui (Toad Ash), Renfen Hui (Human Feces Ash), Baifan Hui (White Alum Ash), Shexiang (Musk, finely ground), Xionghuang (Realgar, finely ground), Lvhui (Aloe, finely ground), Liuhuang (Sulfur, finely ground) [each 1 fen].
Process: Pound the ingredients, sieve into powder, and grind uniformly. Apply thinly to affected areas. If the nose itches, take a small amount and insufflate into the nostrils two to three times daily until cured.
*Taiping Shenghui Fang* prescription for treating pediatric Ji Gan where itching leads to sores upon scratching, instantly enlarging to the size of a coin, occurring on the head, face, or mouth/teeth: Ranshedan San (Rattlesnake Gallbladder Powder) for external application.
Ingredients: Ranshedan (Rattlesnake Gallbladder, approx. three large soybean sizes), Huangfan (Yellow Alum), Baifan Hui (White Alum Ash), Lvhui (Aloe), Shexiang (Musk) [each 1 qian].
Process: Finely grind into powder. For sores on the head, face, or body, wash with clear starch water, dry, and apply a dose the size of one soybean; stop when fluid exudes. Severe cases may require no more than three applications to cure. For sores in the mouth/teeth, apply frequently.
*Taiping Shenghui Fang* prescription for pediatric Ji Gan sores unresponsive to previous treatments: Woniu Hui San (Snail Ash Powder).
Ingredients: Woniu Hui (Snail Ash), Bai Gou Fen Hui (White Dog Feces Ash), Qianglang Hui (Dung Beetle Ash), Baifan Hui (White Alum Ash), Renfen Hui (Human Feces Ash), Lvhui (Aloe), Xiaha Hui (Toad Ash), Lanxiang (Costus Root), KT Hui (Herb Ash, text unclear), Ranshedan (Rattlesnake Gallbladder), Zhizhu Hui (Spider Ash), Dilong Hui (Earthworm Ash) [each 1 fen].
Process: Pound and grind finely into powder. Using a slanted reed tube, insufflate a small amount into the nose. For sores on the gums, mix with honey, spread on paper, and apply as a patch; for sores in the lower body, insert into the lesion.
*Taiping Shenghui Fang* prescription for pediatric Ji Gan with white sores in the mouth, applicable to various types of Gan:
Ingredients: Xiongdan (Bear Bile), Ranshedan (Rattlesnake Gallbladder), Lvhui (Aloe), Longnao (Borneol), Niuhuang (Calculus Bovis), Shexiang (Musk) [each 1 fen].
Process: Finely grind the ingredients. Mix with one small cup of well-water (Jinghua Shui) until uniform. Store in a porcelain vessel. Heat gently over a double boiler, stirring frequently with a comb-like tool, ensuring the medicine does not stick to the sides. Seven days prior to administration, the child and nursing mother must avoid raw/cold foods, legumes, pungent meats, hot noodles, fish, and meat, and reduce salt intake. Then, take a dose the size of two beans, gradually insufflate into the nose, and apply to oral sores.
*Taiping Shenghui Fang* prescription for pediatric Ji Gan with emaciation and sores, for internal use: Tianlinggai Wan (Human Skull Cap Pill).
Ingredients: Tianlinggai (Human Calvaria, 1 liang), Pishuang (Arsenic Trioxide, 0.5 fen), Huhuanglian (Picrorhizae Rhizoma, 0.5 liang), Renfen (Human Feces, 0.5 liang), Langdanszi (Daturae Semen, 1 fen).
Process: Wrap all ingredients in yellow clay, fire until red-hot, remove clay, and let cool. Add 0.5 fen of Musk, grind together into powder, bind with wheat paste, and roll into pills the size of millet grains. Administer at any time, dissolving one pill in breast milk. One-year-old children take one pill. Do not exceed three pills.
*Taiping Shenghui Fang* prescription for pediatric Ji Gan with parasites eroding the mouth/nose and sores in the lower body:
Ingredients: Ganchan (Dry Bufo, 1 liang; half powdered, half ash); Xiaojin Yin Gan Guo (Smelted Gold/Silver Crucible Residue, 1 liang); Yinmo (Silver Powder, one large bean size); Renfen Hui (Human Feces Ash, 1 liang); Shexiang (Musk, 1 liang).
Process: Pound, sieve into fine powder. Apply powder to areas eroded by parasites. For three to seven days, avoid all greasy and rich foods.
*Taiping Shenghui Fang* prescription for pediatric Ji Gan with red, ulcerated sores in the mouth, nose, and lower body:
Ingredients: Dasuan (Garlic, 2 liang), Tiantingli (Lepidii Fructus, 0.5 liang), Gan Xiaha (Dry Toad, 1 liang), Gan Dilong (Dry Earthworm, 2 pieces), Luankua Hui (Scalp Hair Ash, 1 fen).
Process: Finely slice and mix. Place in a bamboo tube, set on tile, and roast over stove ash to extract the distillate. Apply sparingly to the child's mouth, nose, crown, neck, and scrotum.
*Taiping Shenghui Fang* Alternative Prescription:
Jing Baiyangrou (Lean White Mutton, 2 liang), Wuyi Ren (Chrysanthemi Fructus, 0.5 liang), Chi (Fermented Soybeans, 1 he), Chuanjiao (Sichuan Pepper, 3-7 grains, remove seeds), Jiangdou (Soybean Paste, 1 spoon).
Process: Mix and grind thoroughly. Take a date-sized amount, apply to sores, changing three times daily.
Manjing Hua (Turnip Flower, harvested with roots during full bloom, dried in shade).
Process: Take a handful of roots/stems, remove ends, wrap in barley flour and soybean paste, roast in charcoal until smoke ceases, cool, add 1 qian of Musk, and grind to powder. Before application, wash with rice water, dry with cloth, then apply. For young children prone to pain, apply sparingly; usually cures within three to four applications. Treats sores in mouth, nose, and lower body.
Tan Shi Xianglian San (Tan’s Fragrant Coptis Powder):
Symptoms: Frequent greenish diarrhea in Ji Gan, excessive sleepiness with frequent startles/restlessness, diarrhea immediately after turning over, dry scorched lips with intense thirst resembling smoking craving.
Ingredients: Huhuanglian (Picrorhizae Rhizoma), Xiongdan (Bear Bile) [each 1 qian]; Dingxiang (Caryophylli Flos), Shexiang (Musk), Lvhui (Aloe) [each 0.5 qian]; Wulingzhi (Trogopterori Faeces), Chijianzhi (Atractylodis Macrocephalae Rhizoma), Bailonggu (Fossilized Bone) [each 1 fen].
Process: Grind to powder. Take 0.5 qian, administer with aged rice gruel. Five to six doses per day and night.
Zhang Huan’s Lisheng Gao (Establishing Sage Ointment): Treating erosive Ji Gan.
Ingredients: Renru (Human Breast Milk, 0.5 he), Huangyan (Yellow Salt, grain-of-millet size), Baifan (White Alum, date-pit size), Shidan (Melanterite, bean-size).
Process: Grind fine, wrap in cotton, soak in breast milk overnight. Once flavored, simmer slowly into an ointment and apply to the mouth. For nasal sores, drip in. For swollen areas, puncture with a triangular needle to drain blood before applying. (*Note: Taiping Shenghui Fang uses Qingfan and Shengma*).
Ding Shifa’s Lvhui Wan (Aloe Pill for Ji Gan):
Symptoms: Frequent greenish diarrhea in Ji Gan, excessive sleepiness, yellowish complexion, angry/red eyes. Frequent administration of Aloe Pills prevents prolonged progression leading to abdominal distension.
Ingredients: Lvhui (Aloe), Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma) [each 1 qian]; Zhusha (Cinnabar, 0.5 qian); Badou (Crotonis Fructus, 1 grain, oil removed).
Process: Grind to powder. Mix with pig bile on rice steam; steam briefly. Add a little Musk and roll into pills of size ○. Take 3-5 pills per dose, swallowed with warm water.