茅先生∶小儿有中疳泻候，浑身瘦弱，肚膨多渴，通下 粪，凡十处种粪即移三五处，粪内有虫。此因疳
积盛，而食得物不成腹肚至此。所治者先用青金丹、（方见积聚门中。）香连散、（方见一切泄泻门中）乳香散调理（方见
一切泄泻门中）即愈。常服保童丸。（方见一切疳门中）。
《石壁经》三十六种疳泻、 泻候歌∶
唇白毛干额上青，定因有积又多惊。肚高 瘕同鸡子，泻得如糟黄色形。莫将热药令先止，泻住肠中便作
声。渴发忽看身又热，虚风肿起更惊人。
其候因不慎饮食，或食交乳，致使然也。腹中有片子，或如鸡子，又如三二子大。所以作泻，粪出如糟，毛
发硬，面无光，或青黄色，目多反视。当分水谷，乃须温和药和气即愈。若药热则作肿而死。
《凤髓经》此候歌括一同。有注云∶宜与惺惺丸（方见本门）、银白散（方见霍乱门。《玉诀》同）。
《小儿形证论》四十八候疳、泻、 泻歌一同。后云∶此候因吃食饱、惊着，唇白为候。不得止，赤不可与
热药，又不可和气，却只将惊积药与服，后服疳伤药辰砂丸（方见本门。）
《仙人水鉴》粉霜丸 治小儿疳，一切泻方。
粉霜 白丁香（各一钱） 巴豆（二个，不出油）
上为末，烂饭为丸如许○大。每服井华水下二丸。
钱乙没石子丸 治泄泻、白浊及疳痢滑肠，腹痛方。
木香 黄连（各一分） 没石子（一个） 豆蔻仁（二个） 诃子肉（三个）
上为细末，饭和丸麻子大，米饮下。量儿大小加减，食前服。
《博济》胡黄连丸 治疳疾泻痢。
胡黄连 丁香 密陀僧（各半两） 肉豆蔻（一个） 槟榔（一枚） 红雪（一两） 诃子（生一枚，煨一枚）
细研，入麝一分，绿豆末少许，水丸如麻子。三岁下一丸，上五丸。脑疳鼻痒及赤烂，黄连汤；脾虚羸瘦、
泻痢、四肢虚肿，青州枣汤；肝疳、眼涩生疮，甘草汤；骨疳冷地卧，爱食土，紫苏茶调，常服米饮；肺疳
上气喘急，橘皮汤；筋疳泻血，盐汤；疳虫及泻无定，生姜汤。
钱乙如圣丸 治冷热疳泻。
胡黄连 白芜荑（炒） 川黄连（各二两） 使君子（一两） 麝（半钱） 干虾蟆（五枚，酒熬膏）
末，膏丸麻子大，人参汤下。二三岁五七丸。无时。
《宝鉴》赤虎丸 治诸般疳泻。
朱砂 胡黄连 宣连 芦荟 腻粉（各一钱） 肉豆蔻（炮，一个） 巴豆（二十一粒，麸炒黑） 硫黄（二钱） 麝
（少许）
研，粟米糊丸如萝卜子，甘草汤化，一岁一丸。朱氏无粉黄。
《良方》治疳泻不止，日夜无度，渐羸。吴婆散
桃根白皮 黄柏（蜜炙） 黄连（各一分） 浓朴（姜炙） 木香 槟榔 丁香（各一钱） 没石子（钱半） 楝
根白皮（半分） 芜荑（一分）
末，服一字，三岁上半钱，六岁一钱，紫苏、木瓜、米饮调下，乳食前，日三。疳泻
无不验。药性小温，暴热泻或非宜。
《聚宝》治疳泻及夏末秋初泻痢。香连丸
木香（一分） 川黄连（半两） 没石子（一个） 肉豆蔻（二个） 诃皮（三个） 胡椒（四十粒）
吴茱萸一合，慢火炒紫色，去茱萸，为末，酒糊丸如麻子。秆草汤下十丸，空心食前，日三四。
刘氏治疳腹胀，多渴，频泻腥白脓血，或痢。四肢疼痛，黄瘦，疳虫咬心，常吐青水，不食。百日至十岁皆宜，
夏月疳泻，下恶物立止。麝香丸
大活蟾一个，巴豆十粒勿损，入蟾口，养罐中，候自死破取巴豆，洗灌蟾里外，去肠胃，切数段，研巴豆
如面，同水二升，蟾入银锅，文武火煎烂，去骨，入无灰酒煎。
夜明砂（一两） 宣连 大芜荑（各二两。上药同膏煎如饧，入后药） 朱砂（一分） 鹤虱（纸上炒青） 芦荟 麝
（各半两）
末，入前膏，丸绿豆大，日干。一岁儿初服一丸，五七渐加至两丸，更量。
胡黄连饮 治疳热泻无时，饮食进退，面黄髓黑，日渐瘦瘁。
胡黄连 黄药子 人参 甘草（炙） 白术（炒） 秦艽 柴胡等分， 咀服二钱，水一盏，嫩桃、柳枝各七寸，
乌梅少许，煎八分，澄清作两分，食后、卧时各一服。小便赤，验。便清止药。便成肌，进食，大抵十五岁儿宜此。
王氏治疳肚大并泻。无比丸
青橘皮一个，巴豆七粒，麻皮缚，麸炒烟出，去巴豆，罗橘皮末，醋糊丸如绿豆，朱砂衣。陈米饮下五七
丸，数日效。
吉氏治疳泻，不食腹胀。芦荟丸
丁香 肉豆蔻（去皮） 木香（各半两）面裹，慢火煨熟，入芦荟一两，使君子半两，末，稀糊丸如黍。米饮下一
二十丸。
Mr. Mao: Children suffering from the syndrome of Zhong Gan Diarrhea (Middle-type Malnutrition with Diarrhea) present with emaciation and weakness throughout the body, abdominal distension, excessive thirst, and continuous loose stools. In ten bowel movements, three to five may vary in consistency, and worms may be present in the feces. This is caused by excessive accumulation of Gan malnutrition pathogens, leading to improper digestion of food in the abdomen. Treatment should first employ Qingjin Dan (Green Gold Pill), see Accumulation Section; Xianglian San (Cinnamon and Coptis Powder), see All Diarrhea Section; and Ruxiang San (Frankincense Powder), see All Diarrhea Section for regulation, after which recovery occurs. Regularly administer Baotong Wan (Child-Protecting Pill), see All Gan Sections.
The Song of Thirty-Six Types of Gan Diarrhea and Diarrheal Symptoms from *Shibi Jing* (Stone Wall Classic):
White lips, dry hair, and bluish forehead indicate definite accumulation and frequent fright. The abdomen protrudes high with masses like eggs; diarrhea resembles dregs with a yellowish hue. Do not use hot medicines to forcibly stop diarrhea; if stopped, sounds will arise in the intestines. When thirst strikes, fever suddenly appears; swelling from deficient wind is more alarming.
This condition arises from dietary indiscretion or improper feeding (Jiaoru), resulting in such symptoms. There are sheet-like masses in the abdomen, some the size of an egg, others like two or three dates. Hence diarrhea occurs, with feces resembling dregs; hair becomes stiff, complexion lacks luster, appearing blue-yellow; eyes often roll upward. One must distinguish water and grain metabolism; mild medicines harmonizing Qi will lead to recovery. If medicines are too hot, swelling ensues leading to death.
The song for this syndrome in *Fengsui Jing* (Phoenix Marrow Classic) is identical. A note states: It is suitable to administer Xingxing Wan (Awakening Pill), see this section; Yinbai San (Silver White Powder), see Cholera Section (*Yujue* agrees).
The song for forty-eight types of Gan and Diarrhea syndromes in *Xiao'er Xingzheng Lun* (Discussion on Infant Forms and Syndromes) is identical. It further states: This syndrome results from overeating or fright, with white lips as a sign. If diarrhea does not cease and redness (heat signs) is present, hot medicines are contraindicated, nor is simple Qi-harmonizing appropriate. Instead, administer medicines treating fright and accumulation, followed by Chensha Wan (Cinnabar Pill) for Gan injury, see this section.
*Xianren Shuijian* (Immortal's Water Mirror) Fenshuang Wan: Treats infant Gan and all types of diarrhea.
Fenshuang (Calomel), Baidingxiang (White Tawny Owl Dropping), each 1 qian; Badou (Croton Seed), 2 pieces (without releasing oil).
Grind into powder, mix with mashed rice to form pills of size Xu ○. Administer 2 pills per dose with well-water drawn at dawn.
Qian Yi Moshizi Wan: Treats diarrhea, white turbidity, Gan dysentery with slippery intestines, and abdominal pain.
Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), each 1 fen; Moshizi (Terminalia Chebula Retz.), 1 piece; Doukourén (Cardamomi Semen), 2 pieces; Hezirou (Myrobalani Fructus), 3 pieces.
Grind into fine powder, mix with rice to form pills the size of hemp seeds. Take with rice drink. Adjust dosage according to age; take before meals.
*Boji* Huhuanglian Wan: Treats Gan disease with diarrhea and dysentery.
Huhuanglian (Picrorhizae Rhizoma), Dingxiang (Caryophylli Flos), Miduoseng (Lithargyri), each half liang; Roudoukou (Myristicae Semen), 1 piece; Binglang (Arecae Semen), 1 piece; Hongxue (Red Snow/Saltpeter), 1 liang; Hezi (Myrobalani Fructus), 1 raw, 1 roasted.
Grind finely, add 1 fen of Shexiang (Moschus), a little Lvdoumo (Mung Bean Powder), and make water pills the size of hemp seeds. For 3-year-olds, 1 pill; for 5-year-olds, up to 5 pills. For Nao Gan (Brain Gan) with nasal itching and redness/ulceration, take with Huanglian Tang (Coptis Decoction); for Pi Xu (Spleen Deficiency) with emaciation, diarrhea/dysentery, and limb edema, take with Qingzhou Zao Tang (Qingzhou Date Decoction); for Gan Gan (Liver Gan) with dry eyes and sores, take with Gancao Tang (Licorice Decoction); for Gu Gan (Bone Gan) preferring cold floors and geophagia, take with Zisu Cha (Perilla Tea), regularly with rice drink; for Fei Gan (Lung Gan) with wheezing, take with Jupi Tang (Tangerine Peel Decoction); for Jin Gan (Sinew Gan) with bloody diarrhea, take with Yantang (Salt Water); for Gan worms and irregular diarrhea, take with Shengjiang Tang (Ginger Decoction).
Qian Yi Rusheng Wan: Treats cold-heat Gan diarrhea.
Huhuanglian (Picrorhizae Rhizoma), Bai Wuyi (Chuanbei Fructus, fried), Chuan Huanglian (Coptidis Rhizoma), each 2 liang; Shijunzi (Quisqualis Fructus), 1 liang; She (Moschus), half qian; Gan Xiaha (Dried Toad), 5 pieces (simmered in wine to paste).
Grind into powder, mix with paste to form pills the size of hemp seeds. Take with Ren Shen Tang (Ginseng Decoction). For 2-3 year olds, 5-7 pills. Take anytime.
*Baojian* Chihu Wan: Treats various types of Gan diarrhea.
Zhusha (Cinnabaris), Huhuanglian (Picrorhizae Rhizoma), Xuanlian (Coptidis Rhizoma), Lvhui (Aloe), Nifen (Calomel), each 1 qian; Roudoukou (Myristicae Semen, processed), 1 piece; Badou (Croton Seed), 21 grains (fried with bran until black); Liuhuang (Sulfur), 2 qian; She (Moschus), a little.
Grind, bind with millet paste into pills the size of radish seeds. Dissolve in Gancao Tang (Licorice Decoction). One pill for one-year-olds. Zhu’s formula lacks Fenhuang.
*Liangfang* treats persistent Gan diarrhea without day or night limits, leading to gradual emaciation. Wu Po San
Taogen Bapi (Peach Root Bark), Huangbai (Phellodendri Cortex, honey-fried), Huanglian (Coptidis Rhizoma), each 1 fen; Houpo (Magnoliae Officinalis Cortex, ginger-fried), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Dingxiang (Caryophylli Flos), each 1 qian; Moshizi (Terminalia Chebula Retz.), half qian; Lian Gen Bapi (Toona Root Bark), half fen; Wuyi (Chuanbei Fructus), 1 fen.
Grind into powder. Dose: "Yi Zi" (a measure approx. 0.5-1g); for 3 years old, half qian; for 6 years old, 1 qian. Mix with Zisu (Perillae Folium), Mugua (Chaenomelis Fructus), and rice drink. Take before milk/food, three times daily. Effective for all Gan diarrhea. Properties slightly warm; not suitable for sudden heat diarrhea.
*Jubao* treats Gan diarrhea and diarrhea/dysentery in late summer/early autumn. Xianglian Wan
Muxiang (Aucklandiae Radix), 1 fen; Chuan Huanglian (Coptidis Rhizoma), half liang; Moshizi (Terminalia Chebula Retz.), 1 piece; Roudoukou (Myristicae Semen), 2 pieces; Hepi (Myrobalani Pericarpium), 3 pieces; Hujiao (Piperis Longi Fructus), 40 grains.
Wuzhuyu (Evodiae Fructus), 1 he, stir-fry slowly until purple, remove Wuzhuyu. Grind remaining ingredients into powder, bind with wine paste into pills the size of hemp seeds. Take 10 pills with Gancao Tang (Reed Catkin Decoction), empty stomach before meals, three to four times daily.
Liu Shi treats Gan abdominal distension, excessive thirst, frequent passage of foul white purulent blood or dysentery. Limb pain, yellowish emaciation, Gan worms biting the heart, frequent vomiting of green fluid, anorexia. Suitable for infants to ten years old. For summer Gan diarrhea, expels evil substances immediately stopping symptoms. Shexiang Wan
One large live Bufo (Toad), 10 Badou (Croton Seeds) intact. Place Badou in Bufo's mouth, keep in jar until Bufo dies naturally. Remove Badou, wash Bufo inside and out, remove viscera, cut into segments. Grind Badou into flour-like powder. Combine with 2 sheng water and Bufo segments in a silver pot. Simmer on gentle fire until soft. Remove bones, add non-grain alcohol and simmer.
Yeming Sha (Nyctibiidae Excrement), 1 liang; Xuanlian (Coptidis Rhizoma), Da Wuyi (Chuanbei Fructus), each 2 liang. (Simmer these with the paste until syrupy, then add following herbs): Zhusha (Cinnabaris), 1 fen; Heshi (Carpesii Fructus, fried on paper until green); Lvhui (Aloe); She (Moschus), each half liang.
Grind into powder, mix with previous paste, form pills the size of mung beans. Dry in sun. For 1-year-old, start with 1 pill, gradually increase to 2 pills for older children, adjust accordingly.
Huhuanglian Yin: Treats intermittent Gan-heat diarrhea, fluctuating appetite, yellow face, dark marrow, progressive emaciation.
Huhuanglian (Picrorhizae Rhizoma), Huang Yaozi (Dioscoreae Hypoglaucae Rhizoma), Renshen (Ginseng Radix), Gancao (Licorice Root, roasted), Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix), equal parts. Cut into pieces, dose 2 qian. Add 1 sheng water, 7 cun tender peach branch, 7 cun willow branch, a few Wumei (Mume Fructus). Decoct to 8 fen. Clarify, divide into two doses. Take after meals and before bed. Effective if urine is red; stop when urine clears. Promotes muscle growth and appetite. Generally suitable for children under fifteen.
Wang Shi treats Gan abdominal distension and diarrhea. Wubi Wan
Qingjupi (Citri Reticulatae Pericarpium Viride), 1 piece; Badou (Croton Seed), 7 grains. Tie with hemp skin, fry with bran until smoke appears, remove Badou. Sieve Qingjupi into powder, bind with vinegar paste into pills the size of mung beans, coat with Zhusha (Cinnabaris). Take 5-7 pills with aged rice drink. Effective within several days.
Ji Shi treats Gan diarrhea, anorexia, and abdominal distension. Lvhui Wan
Dingxiang (Caryophylli Flos), Roudoukou (Myristicae Semen, peeled), Muxiang (Aucklandiae Radix), each half liang. Wrap in dough, bake slowly until cooked. Add Lvhui (Aloe), 1 liang; Shijunzi (Quisqualis Fructus), half liang. Grind into powder, bind with thin paste into pills the size of millet seeds. Take 10-20 pills with rice drink.