《婴童宝鉴》∶小儿胎中受毒热，流于骨髓之间，生下百日后仍有惊疾，便服冷药，过剂则利，利而腹冷，
骨中热，谓疳劳也。
《惠济》小儿疳劳候歌∶
好餐时果好餐甜，此疾成疳不在占。腹有青筋时胀起，满皮黄色病厌厌。口疮眼肿盘为面，渴饮无时泻作
泔。那更全身虽瘦弱，试将手触火炎炎。此患只须先取转，虚中疳积是名谈。
《颅囟经》治孩子疳劳，肺气热咳嗽，四肢渐瘦，心肺干。地黄煎方
生地黄汁（五两） 蟾酥 鹿角胶（半两） 生三汁 蜜（各一两）
上先将地黄汁安铛内慢火煎，手不住搅，约五六沸下蜜，次下胶，又下姜汁，慢火煎后如稀饧，即住火。
每食后两度共与一匙头。忌毒物。
《张氏家传》治三焦膈寒，五脏涩滞，气逆痰涎。米食后恶涎，太阳昏痛；及治山岚瘴气，吐逆，不美饮食，面
色浮黄，指甲青黑。小儿疳劳吐乳；及大人小儿久病乍安，神气未复，寒热往来，并皆救疗。三和饮子（惠海长老
方）
紫团人参（三两半，洗，锉） 甘草（一两半，炙，锉） 绵黄 （五两，酒浸一宿，洗净，锉）
上件三味同入木臼内，用木杵捣碎为散。每服三大钱，生姜三片，水二盏，枣三个，同煎去滓，取八分，不拘时候。
《吉氏家传》金瓜散 治小儿疳劳，黄瘦骨热，盗汗方。
宣连 黄柏（炙，去皮） 甘草（炒） 青皮（去白，炒）
上等分为末， 猪胆汁调成膏，盛入胆袋内，麻绵紧缚，汤内煮数沸取出。当风悬一宿，去胆袋，入麝香
少许，研，为丸如此○大。每服五丸，麦门冬水吞下。
《吉氏家传》芦荟丸 治小儿疳劳羸瘦，骨热盗汗方。
芦荟 丁香 使君子肉（炒） 胡黄连 朱砂 肉豆蔻 安息香 熊胆（以上各一分） 轻粉（半钱） 麝香（少
许）
上研为末，猪胆汁煮糊为丸，如此○大。每服五丸或七丸，熟水下。
汉东王先生治十岁上疳劳壮热，形瘦。鸡肉煎丸
宣连（二两） 银柴胡（一两） 芜荑 鹤虱（川。各半两） 秦艽（净） 知母 使君子 子芩（各一两）
末，黄雌鸡一只，重一斤，专以大麻子饲五日，开臀后去肠肚，洗，拭干入药，线缝。黑豆铺甑底，浓
三寸，安鸡四旁及上，又以豆裹，日出时蒸，至晚取药。用鸡净肉和研，如干，入酒糊丸如麻子大，如绿豆。
空心麦门冬汤一二十丸。意裁。十五外，温酒下。忌猪肉。
According to *Yingtong Baojian*: When a child receives toxic heat in the womb, which flows into the interstices of the bone marrow, and still suffers from convulsive diseases (Jing Ji) within one hundred days after birth, if cold-natured medicines are administered excessively causing diarrhea, leading to a cold abdomen and heat within the bones, this condition is termed Gan Lao (Gan Consumption).
The song verse regarding the signs of Gan Lao in children from *Huiji* states:
Loving seasonal fruits and sweets leads inevitably to the formation of Gan accumulation. Green veins appear on the abdomen with frequent distension; the skin turns yellow and the spirit listless. Mouth ulcers and swollen eyes manifest as facial discoloration; thirst drives unregulated drinking, while diarrhea produces turbid stools like rice wash water. Even though the whole body is emaciated, touching it reveals burning heat. Treatment requires first promoting movement and transformation; "Gan accumulation amidst deficiency" is the discussed pathology.
*Culun Jing* records the Dihuang Decoction for treating pediatric Gan Lao, cough due to Lung Qi Heat, gradual emaciation of the four limbs, and dryness of the Heart and Lungs:
Fresh Radix Rehmanniae Juice (Wu Liang), Toad Venom (Chansu), Deer Antler Glue (Ban Liang), three types of fresh juices, Honey (each Yi Liang).
First, place the Fresh Radix Rehmanniae Juice in a pan and simmer slowly, stirring continuously. After approximately five or six boils, add the Honey, then the Glue, followed by Ginger Juice. Simmer slowly until the consistency resembles thin syrup, then remove from fire. Administer half a spoonful twice after meals. Avoid toxic foods.
*Zhang Family Tradition* records Sanhe Yinzi (a formula by Elder Huihai) for treating Cold in the San Jiao and diaphragm, stagnation of the Five Zang organs, rebellious Qi and phlegm-saliva; aversion to saliva after eating rice, headache in the Taiyang region; mountain miasma causing vomiting and retching, poor appetite, sallow floating complexion, and cyanotic-black fingernails; pediatric Gan Lao with milk vomiting; and alternating chills and fever with incomplete recovery of Shen Qi after prolonged illness in adults and children. It treats all these conditions:
Purple Tuan Ginseng Root (San Liang Ban, washed, sliced), Prepared Licorice Root (Liang Liang Ban, honey-fried, sliced), Mian Huangqi (Wu Liang, soaked in wine overnight, washed, sliced).
Place the above three ingredients in a wooden mortar and pound them into a powder. Take three Qian per dose, with three slices of Fresh Ginger, two Zhan of water, and three Jujubes. Decoct together, strain, and take eight parts of the liquid. Take at any time.
*Ji Family Tradition* Jin Gua San for treating pediatric Gan Lao, sallow emaciation, bone-steaming fever, and night sweats:
Xuan Lian (Coptis Chinensis Rhizoma), Huangbai (Phellodendri Cortex, fried, peeled), Fried Licorice Root, Qingpi (Citri Reticulatae Pericarpium, white pith removed, fried).
Grind the above into powder equally. Mix with Pig Bile to form a paste, store inside a gallbladder bag, tie tightly with hemp and cotton, boil in water for several times, then remove. Hang in the wind overnight, remove the gallbladder bag, add a small amount of Moschus (Shexiang), grind well, and make pills the size of a wutong seed. Take five pills per dose, swallowed with Ophiopogon Decoction (Maidong Shui).
*Ji Family Tradition* Luhui Wan for treating pediatric Gan Lao, emaciation, bone-steaming fever, and night sweats:
Luhui (Aloe), Dingxiang (Caryophylli Flos), Chao Shi Junzi Ren (Fried Semen Quisqualis), Huhuanglian (Picrorhizae Rhizoma), Zhusha (Cinnabar), Roudoukou (Myristicae Semen), Anshixiang (Styrax), Xiongdan (Ursi Fel), each Yi Fen; Qingfen (Calomelas, Ban Qian); Shexiang (Moschus, a little).
Grind all into powder. Use Pig Bile cooked into a paste to bind and make pills the size of a wutong seed. Take five or seven pills per dose, swallowed with warm water.
Mr. Wang from Handong treated Gan Lao with high fever and emaciation in children over ten years old using Rouji Jian Wan:
Xuan Lian (Er Liang), Yinchaihu (Radix Stellariae), Wuyi, Heshi (Sichuan origin, each Ban Liang), Qinjiao (Cleaned), Zhimu (Rhizoma Anemarrhenae), Shi Junzi, Ziqin (Radix Scutellariae, each Yi Liang).
Grind into powder. Take one yellow hen weighing one Jin, feed exclusively with hemp seeds for five days. Open the vent, remove intestines and viscera, wash and dry. Insert the medicine into the cavity and sew with thread. Place black beans at the bottom of the steamer, about three Cun thick. Place the chicken around and on top, cover with beans again. Steam from sunrise until evening, then retrieve the medicine. Grind the clean meat of the chicken with the medicine. If too dry, add wine paste. Make pills the size of hemp seeds or mung beans. Take ten to twenty pills on an empty stomach with Maidong Tang. Adjust dosage according to circumstances. For those over fifteen, take with warm wine. Avoid pork.