（亦名肺疳）
《圣惠》∶夫小儿气疳者，由乳食不调，内有壅热，伤于肺也。肺主于气，其气不荣则皮毛枯燥，咳逆上气，
多涕交流，壮热憎寒；揉鼻咬甲，唇边赤痒，鼻内生疮，脑热多啼，腹胁胀满，乳食减少，下利无常，皮上粟
生，粪中米出，渐渐羸瘦。故名气疳也。
《圣惠》治小儿气疳，壮热憎寒，腹胀下利，皮肤干燥，眼涩揉鼻，乳食难化，日渐羸瘦。麝香丸方
麝香（细研） 熊胆（研入。各半钱） 赤茯苓（一钱） 胡黄连 芦荟（细研） 京三
棱（微炒） 桂心 川大黄（锉，微炒。各一分） 槟榔（一枚） 当归（锉，微炒） 木香（各半分）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服乳食前以温粥饮下三丸。量儿大小以意加减。
《圣惠》治小儿气疳，发毛干立，口无津液；或时下利，多渴，不欲饮食。芦荟丸方
芦荟 牛黄 青黛 熊胆 雄黄 麝香（各细研） 蝉壳（微炒） 人参（去芦头） 黄连（去
须） 蜣螂（去翅足，微炒。各一分） 诃梨勒皮（三分） 虾蟆（一枚，涂酥、炙微黄）
上件药捣，罗为末，都研令匀，以软饭和丸如绿豆大。每一岁以暖水下三丸，常服令儿悦泽无病。量儿大
小以意加减。
《圣惠》治小儿气疳，头发干立，心腹胀满，肌体黄瘦，乳哺不消。麝香丸方
麝香 朱砂 芦荟（各细研） 肉豆蔻（去壳） 槟榔 夜明砂（微炒） 青皮（汤浸，去白瓤，
焙。各一分） 胡黄连（半两） 干蟾（一枚，涂酥、炙微黄）
上件药捣，罗为末，都研令匀，以枣肉和丸如绿豆大。每一岁以粥饮下三丸，日三服。
《圣惠》治小儿气疳。能益颜色，长肌肤，消积滞，杀疳虫，宜常服。朱砂丸方
朱砂 麝香 熊胆 芦荟（各细研） 蜗牛（炒令微黄） 使君子 五灵脂 胡黄连（各一分）
上件药捣，罗为末，都研令匀，以烧饭和丸如绿豆大。每服以粥饮下五丸。量儿大小以意加减。
《圣惠》治小儿气疳，瘦无力。五灵脂丸方
五灵脂 蟾头（涂酥炙微黄） 蝉壳 夜明砂（各微炒） 蜗牛（湿者） 青黛（细研。各
一分） 麝香 雄黄（各细研，半分）
上件药捣，罗为末，入研了药令匀，用糯米饭并蜗牛和丸，如绿豆大。每一岁以温茶下一丸，后用藿香汤
洗儿，后以青热衣盖，令虫尽出。
《圣惠》治小儿气疳，腹胀烦热，大便难。槟榔丸方
槟榔 木香 青黛（细研。各半两） 续随子（一分） 麝香（半分，细研） 蟾
头（一枚，涂酥，炙令焦黄）
上件药捣，罗为末，入研了药令匀，炼蜜和丸如绿豆大。每服以温水下三丸。看儿大小，临时加减。
《圣惠》治小儿气疳，腹内有积恶滞结之物，宜先服搜病青黛丸方
青黛 木香（各一分） 槟榔 肉豆蔻（去壳。各一枚） 麝香（半分，细研） 黄连（一两，去须） 巴
豆川大黄（锉，微炒） 鳖甲（涂酥、炙令黄，去裙 。各半两）
上件药先取黄连、巴豆二味，以淡浆水三碗，煮令水尽；候干，取出巴豆，去皮心，研如膏，纸裹压去油，
其黄连曝干，然后与诸药都捣，罗为末，用猪胆汁和丸如麻子大。一、二岁，每服空心以粥饮下二丸；三、
四岁，每服三丸至四丸。每隔三日一服。量儿大小加减服之，取下恶物为效。次宜服诃梨勒丸补之。
取下恶物后，宜服诃梨勒丸方
诃梨勒皮 草豆蔻 人参（去芦头） 白术 陈皮（汤浸，去白瓤，焙） 白茯苓（各半两） 甘
草（炙微赤，锉） 丁香（各一分）
上件药捣，罗为末，炼蜜和丸如麻子大。一、二岁每服以粥饮下三丸、三、四岁每服五丸，空心、午后各
一服。量儿大小以意加减。
《圣惠》治小儿气疳，腹胀时痛，体瘦。代赭丸方
代赭 朱砂（各细研） 川大黄 当归（各锉，微炒） 桂心 萆 （锉） 木
香（各半两） 麝香（半分，细研） 巴豆（一分，去皮心，研，纸裹
压去油）
上件药捣，罗为末，入研了药令匀，炼蜜和丸如黄米大。一、二岁儿，每服用粥饮下三丸，三、四岁每服
五丸，空心、午后各一服。量儿大小以意加减。
《圣惠》治小儿气疳，不欲乳食，时复腹痛。木香丸方
木香 胡黄连 当归（锉，微炒） 诃梨勒（煨，用皮。各半钱） 麝香（一钱，细研） 青
橘皮（一分，汤浸，去白瓤，焙）
上件药捣，罗为末，用粟米饭和丸如绿豆大。每服不计时候，以粥饮下三丸。量儿大小以意加减。
《谭氏殊圣方》∶小儿多热积为惊，口内饶干面色青，咬甲爱盐仍吃土，时时咳嗽夜多声。气疳传脏心头痛，捣
眼揉眉不转睛，求取草龙胆一个，丁香顿服便惺惺。
龙香丸
丁香母（三个） 麝（少许） 青黛（一分） 蟾（一个，去肚，炙令黄色）
上为散，煮浆水饭为丸如粟米大，温水下三丸。
张涣麝香丹 治小儿肺疳，皮毛枯燥，咳嗽上气方。
紫苏子（微炒） 五味子（各一分） 半夏（半两，汤洗七次） 胡黄连（一两） 干
蟾（一枚，涂酥、炙微黄。以上捣，罗为细末。次用∶）
麝香 芦荟 朱砂（各细研）
上件一处拌匀，以枣肉和丸如黍米大。每服五粒至七粒，米饮下。量儿大小加减。
张涣灵砂丹 因嗽成疳，最宜服之。
人参（半两，去芦头） 甜葶苈（研） 五灵脂 胡黄连（并为细末） 麝香 芦荟（各细研） 杏
仁（麸炒，去皮尖。各一分） 辰砂（半两，细研）
上件一处拌匀，以粳米饭和丸如黍米大。每服十粒，煎人参汤下。量儿大小加减。
张涣五灵脂丹 久嗽恐成疳，常服尤佳方。
五灵脂 蝉壳（微炒） 款冬花（各半两） 蟾头（一枚，涂酥、炙微黄。以上并为细末，
次用∶） 青黛（细研） 雄黄（细研。各一分）
上件药一处拌匀，糯米饭和丸如黍米大。每服十粒，煎人参汤下，不拘时候。量儿大小加减。
《万全方》治小儿肺疳，壮热憎寒，腹胀下利，皮肤干燥，眼涩揉鼻，乳食难化，日渐羸瘦。麝香丸
麝香（细研） 熊胆（研入。各半钱） 赤茯苓（一钱） 款冬花 杏仁（麸炒微黄） 胡黄
连芦荟（研） 京三棱（微炮） 桂心 川大黄（微炒。各一分） 当归（微炒） 木香（各半分） 槟榔（三枚）
上件捣，罗为末，炼蜜和丸如绿豆大。每服五丸，乳食前以温粥饮下。量儿大小以意增减。
《万全方》治小儿肺疳，不欲乳食，时复腹痛。胡黄连丸
胡黄连 当归（锉，微炒） 诃梨勒皮 木香（各半两） 青橘皮（汤浸，去白瓤，焙） 紫苏
子杏仁（汤浸，去皮尖，麸炒微黄。各一分） 麝香（研入，一钱）
上件捣，罗为末，用粟米饭和丸如绿豆大。每服三丸，以粥饮下。量儿加减服。
张国林小儿肺疳方 安师云∶此方救人甚多，渠家见单卖此药。
真珠（七十粒） 辰砂（半钱） 人参 甘草（各二钱） 麝香（半字） 轻粉（五钱匕） 白附子（一个）
上件先将人参、甘草锉碎、炒熟，白附子炮、碾末，次研入真珠、辰砂、麝香、轻粉匀毕。每服半钱或一
字，用金银薄荷煎汤调服。日进一服，食后。只三服，其肺疳立愈。
长沙医者郑愈传治腹胀似鼓，兼日晚肚热，名为气疳。木香散方
木香（一钱） 牛蒡子（瓦上焙，炒） 陈皮（各二钱） 腻粉（一字）
上件为末。每服半钱，陈橘皮汤调下。
(Also known as Lung Gan)
*Shenghui Fang* records: The so-called pediatric Qi Gan (Qi-type malnutrition syndrome) is caused by improper regulation of milk and food, leading to internal accumulation of heat that damages the Lungs. The Lung governs Qi; if Lung Qi fails to nourish the body, it results in dry and rough skin and hair, cough with rebellious Qi, excessive nasal discharge, high fever with aversion to cold; the child rubs the nose and bites nails, lips become red and itchy, sores grow inside the nose, head feels hot with frequent crying, abdominal and hypochondriac distension, reduced milk and food intake, irregular diarrhea, millet-like rashes appear on the skin, feces contain undigested rice-like particles, and the body gradually emaciates. Hence it is called Qi Gan.
*Shenghui Fang* treats pediatric Qi Gan with symptoms of high fever and aversion to cold, abdominal distension and diarrhea, dry skin, dry eyes with rubbing, difficulty digesting milk and food, and gradual emaciation. Musk Pill Formula (Shexiang Wan):
Musk (fine powder), Bear Bile (powdered, each half qian), Red Poria (one qian), Picrorhiza Rhizome (Huhuanglian), Aloe (fine powder), Sparganium Tuber (Jingsanleng, slightly fried), Cinnamon Twig (Guixin), Rhubarb Root and Rhizome (Chuan Dahuang, chopped, slightly fried, each one fen), Areca Seed (Binglang, one piece), Angelica Sinensis Root (Danggui, chopped, slightly fried), Aucklandia Root (Muxiang, each half fen).
The above herbs are crushed, sieved into powder, mixed with refined honey to form pills the size of mung beans. Each time, take three pills before feeding or eating, administered with warm porridge water. Adjust dosage according to the child's age and condition.
*Shenghui Fang* treats pediatric Qi Gan with symptoms of dry and erect hair, lack of saliva in the mouth; occasional diarrhea, severe thirst, and anorexia. Aloe Pill Formula (Lushui Wan):
Aloe, Calculus Bovis (Niuhuang), Indigo Naturalis (Qingdai), Bear Bile, Realgar (Xionghuang), Musk (each fine powder), Cicada Slough (Chanke, slightly fried), Ginseng Root (Renshen, remove rhizome), Coptis Rhizome (Huanglian, remove fibers), Dung Beetle (Qianglang, remove wings and feet, slightly fried, each one fen), Chebula Fruit Pericarp (Helilepi, three fen), Toad (Xiamu, one piece, coated with butter, roasted until slightly yellow).
The above herbs are crushed, sieved into powder, mixed thoroughly, and combined with soft rice to form pills the size of mung beans. For each year of age, administer three pills with warm water. Regular use makes the child radiant and disease-free. Adjust dosage according to the child's age and condition.
*Shenghui Fang* treats pediatric Qi Gan with symptoms of dry and erect hair, abdominal and epigastric distension, sallow and emaciated muscles, and indigestion of milk. Musk Pill Formula (Shexiang Wan):
Musk, Cinnabar (Zhusha), Aloe (each fine powder), Nutmeg Seed (Roudoukou, remove shell), Areca Seed (Binglang), Nyctibiidae Droppings (Yemingcha, slightly fried), Green Tangerine Peel (Qingpi, soaked in water, remove white pith, dried, each one fen), Picrorhiza Rhizome (Huhuanglian, half liang), Dried Toad (Ganchan, one piece, coated with butter, roasted until slightly yellow).
The above herbs are crushed, sieved into powder, mixed thoroughly, and combined with jujube flesh to form pills the size of mung beans. For each year of age, administer three pills with porridge water, three times daily.
*Shenghui Fang* treats pediatric Qi Gan. This formula improves complexion, promotes muscle growth, eliminates stagnation, kills parasitic worms, and is suitable for regular use. Cinnabar Pill Formula (Zhusha Wan):
Cinnabar, Musk, Bear Bile, Aloe (each fine powder), Snail (roasted until slightly yellow), Quinine Tree Fruit (Shijunzi), Trogopterus Dung (Wulingzhi), Picrorhiza Rhizome (Huhuanglian, each one fen).
The above herbs are crushed, sieved into powder, mixed thoroughly, and combined with cooked rice to form pills the size of mung beans. Each time, take five pills with porridge water. Adjust dosage according to the child's age and condition.
*Shenghui Fang* treats pediatric Qi Gan with weakness and emaciation. Trogopterus Dung Pill Formula (Wulingzhi Wan):
Trogopterus Dung (Wulingzhi), Toad Head (coated with butter, roasted until slightly yellow), Cicada Slough, Nyctibiidae Droppings (Yemingcha, each slightly fried), Snail (fresh), Indigo Naturalis (Qingdai, fine powder, each one fen), Musk, Realgar (Xionghuang, each fine powder, half fen).
The above herbs are crushed, sieved into powder, mixed with the previously ground ingredients, and combined with glutinous rice and snails to form pills the size of mung beans. For each year of age, take one pill with warm tea. Afterwards, wash the child with Huoxiang (Agastache) decoction, cover with a green hot cloth, and allow parasites to exit.
*Shenghui Fang* treats pediatric Qi Gan with abdominal distension, irritability, heat, and difficult defecation. Areca Seed Pill Formula (Binglang Wan):
Areca Seed (Binglang), Aucklandia Root (Muxiang), Indigo Naturalis (Qingdai, fine powder, each half liang), Euphorbia Lathyris Seed (Xuisuiizi, one fen), Musk (half fen, fine powder), Toad Head (one piece, coated with butter, roasted until scorched yellow).
The above herbs are crushed, sieved into powder, mixed with the previously ground ingredients, and combined with refined honey to form pills the size of mung beans. Each time, take three pills with warm water. Adjust dosage temporarily based on the child's age and condition.
*Shenghui Fang* treats pediatric Qi Gan with intra-abdominal accumulation of evil stagnant matter. It is advisable to first take the Search-Disease Qingdai Pill Formula (Soubing Qingdai Wan):
Indigo Naturalis (Qingdai), Aucklandia Root (Muxiang, each one fen), Areca Seed (Binglang), Nutmeg Seed (Roudoukou, remove shell, each one piece), Musk (half fen, fine powder), Coptis Rhizome (Huanglian, one liang, remove fibers), Croton Seed (Badou), Rhubarb Root and Rhizome (Chuan Dahuang, chopped, slightly fried), Softshell Turtle Shell (Biejia, coated with butter, roasted until yellow, remove skirt edges, each half liang).
First, take Huanglian and Badou, boil in three bowls of light sour water until water is exhausted. When dry, remove Badou, peel and remove heart, grind into paste, wrap in paper to press out oil. Dry the Huanglian. Then crush all other herbs, sieve into powder, and combine with pig bile to form pills the size of hemp seeds. For one- to two-year-olds, take two pills on an empty stomach with porridge water; for three- to four-year-olds, take three to four pills. Take every three days. Adjust dosage based on age. Effectiveness is indicated by the expulsion of foul matter. Subsequently, take Helile Pill for tonification.
After expelling foul matter, take Helile Pill Formula (Helile Wan):
Chebula Fruit Pericarp (Helilepi), Cardamom Seed (Caodoukou), Ginseng Root (Renshen, remove rhizome), Atractylodes Macrocephala Rhizome (Baizhu), Tangerine Peel (Chenpi, soaked in water, remove white pith, dried), White Poria (Baifuling, each half liang), Licorice Root (Gancao, roasted until slightly red, chopped), Clove (Dingxiang, each one fen).
The above herbs are crushed, sieved into powder, and combined with refined honey to form pills the size of hemp seeds. For one- to two-year-olds, take three pills with porridge water; for three- to four-year-olds, take five pills. Take once on an empty stomach and once in the afternoon. Adjust dosage based on age and condition.
*Shenghui Fang* treats pediatric Qi Gan with abdominal distension and intermittent pain, and emaciation. Hematite Pill Formula (Daizhe Wan):
Hematite (Daizhe), Cinnabar (Zhusha, each fine powder), Rhubarb Root and Rhizome (Chuan Dahuang), Angelica Sinensis Root (Danggui, each chopped, slightly fried), Cinnamon Twig (Guixin), Dioscorea Hypoglauca Rhizome (Bixie, chopped), Aucklandia Root (Muxiang, each half liang), Musk (half fen, fine powder), Croton Seed (Badou, one fen, remove peel and heart, grind, wrap in paper to press out oil).
The above herbs are crushed, sieved into powder, mixed with the previously ground ingredients, and combined with refined honey to form pills the size of millet grains. For one- to two-year-olds, take three pills with porridge water; for three- to four-year-olds, take five pills. Take once on an empty stomach and once in the afternoon. Adjust dosage based on age and condition.
*Shenghui Fang* treats pediatric Qi Gan with anorexia and intermittent abdominal pain. Aucklandia Pill Formula (Muxiang Wan):
Aucklandia Root (Muxiang), Picrorhiza Rhizome (Huhuanglian), Angelica Sinensis Root (Danggui, chopped, slightly fried), Chebula Fruit (Helile, baked, use pericarp, each half qian), Musk (one qian, fine powder), Green Tangerine Peel (Qingjupi, one fen, soaked in water, remove white pith, dried).
The above herbs are crushed, sieved into powder, and combined with millet rice to form pills the size of mung beans. Take three pills at any time with porridge water. Adjust dosage based on age and condition.
*Tan Shi Shu Sheng Fang* records: Children often have heat accumulation causing fright, dry mouth, bluish complexion, nail-biting, craving salt and geophagia, frequent coughing, and noisy breathing at night. Qi Gan transmitting to the Heart causes headache, eye-rubbing, brow-rubbing, and fixed gaze. Seek one Caulis Gentianae (Caolongdan), take with Dingxiang in one dose to regain consciousness.
Longxiang Pill:
Cloves (Dingxiangmu, three pieces), Musk (small amount), Indigo Naturalis (Qingdai, one fen), Toad (one piece, remove guts, roast until yellow).
Grind into powder, mix with boiled sour water rice to form pills the size of millet seeds. Administer three pills with warm water.
Zhang Huan's Musk Dan treats pediatric Lung Gan with dry skin and hair, cough, and rebellious Qi.
Perilla Seed (Zisuzi, slightly fried), Schisandra Berry (Wuweizi, each one fen), Pinellia Tuber (Banxia, half liang, washed seven times in water), Picrorhiza Rhizome (Huhuanglian, one liang), Dried Toad (Ganchan, one piece, coated with butter, roasted until slightly yellow. Crush and sieve these into fine powder. Next add:)
Musk, Aloe, Cinnabar (each fine powder).
Mix well, combine with jujube flesh to form pills the size of broomcorn millet. Take five to seven pills with rice drink. Adjust dosage based on age.
Zhang Huan's Ling Sha Dan is most suitable for Gan caused by cough.
Ginseng Root (Renshen, half liang, remove rhizome), Sweet Descurainia Seed (Tiantingli, ground), Trogopterus Dung (Wulingzhi), Picrorhiza Rhizome (Huhuanglian, both ground into fine powder), Musk, Aloe (each fine powder), Apricot Seed (Xingren, bran-fried, remove peel and tip, each one fen), Cinnabar (Chensha, half liang, fine powder).
Mix well, combine with japonica rice to form pills the size of broomcorn millet. Take ten pills with decoction of Ginseng Root. Adjust dosage based on age.
Zhang Huan's Wulingzhi Dan is good for chronic cough fearing progression to Gan, especially for regular use.
Trogopterus Dung (Wulingzhi), Cicada Slough (Chanke, slightly fried), Farfolium Flower (Kuandonghua, each half liang), Toad Head (one piece, coated with butter, roasted until slightly yellow. Both ground into fine powder. Next add:)
Indigo Naturalis (Qingdai, fine powder), Realgar (Xionghuang, fine powder, each one fen).
Mix well, combine with glutinous rice to form pills the size of broomcorn millet. Take ten pills with decoction of Ginseng Root, at any time. Adjust dosage based on age.
*Wan Quan Fang* treats pediatric Lung Gan with high fever and aversion to cold, abdominal distension and diarrhea, dry skin, dry eyes with rubbing, difficulty digesting milk and food, and gradual emaciation. Musk Pill:
Musk (fine powder), Bear Bile (powdered, each half qian), Red Poria (one qian), Farfolium Flower (Kuandonghua), Apricot Seed (Xingren, bran-fried until slightly yellow), Picrorhiza Rhizome (Huhuanglian), Aloe (ground), Sparganium Tuber (Jingsanleng, slightly roasted), Cinnamon Twig (Guixin), Rhubarb Root and Rhizome (Chuan Dahuang, slightly fried, each one fen), Angelica Sinensis Root (Danggui, slightly fried), Aucklandia Root (Muxiang, each half fen), Areca Seed (Binglang, three pieces).
Crush and sieve into powder, combine with refined honey to form pills the size of mung beans. Take five pills before feeding or eating with warm porridge water. Adjust dosage based on age and condition.
*Wan Quan Fang* treats pediatric Lung Gan with anorexia and intermittent abdominal pain. Picrorhiza Pill:
Picrorhiza Rhizome (Huhuanglian), Angelica Sinensis Root (Danggui, chopped, slightly fried), Chebula Fruit Pericarp (Helilepi), Aucklandia Root (Muxiang, each half liang), Green Tangerine Peel (Qingjupi, soaked in water, remove white pith, dried), Perilla Seed (Zisuzi), Apricot Seed (Xingren, soaked in water, remove peel and tip, bran-fried until slightly yellow, each one fen), Musk (powdered, one qian).
Crush and sieve into powder, combine with millet rice to form pills the size of mung beans. Take three pills with porridge water. Adjust dosage based on age.
Zhang Guolin's Pediatric Lung Gan Formula. Master An said: This formula has saved many lives; his family sells this medicine separately.
Pearl (Zhenzhu, seventy grains), Cinnabar (Chensha, half qian), Ginseng Root (Renshen), Licorice Root (Gancao, each two qian), Musk (half zi), Calomelas (Qingfen, five qian bi), Typhoniae Rhizoma (Baifuzi, one piece).
First, chop and stir-fry Renshen and Gancao until cooked. Process Baifuzi and grind into powder. Then grind in Zhenzhu, Chensha, Musk, and Qingfen uniformly. Take half qian or one zi each time, mixed with decoction of Gold/Silver and Mint. Take once daily after meals. After only three doses, Lung Gan is immediately cured.
Zheng Yuchuan, a physician from Changsha, treats abdominal distension like a drum, accompanied by evening abdominal heat, named Qi Gan. Muxiang Powder:
Aucklandia Root (Muxiang, one qian), Arctium Fruit (Niubangzi, roasted on tile), Tangerine Peel (Chenpi, each two qian), Calomelas (Nifen, one zi).
Grind into powder. Take half qian each time, mixed with aged tangerine peel decoction.