《圣惠》论∶夫小儿疳渴者，由脏腑夙有疳热，心肺壅热之所致也。此皆乳母恣食五辛，或饮热酒，多味酸
咸，夜餐炙爆，心胸气滞，便即乳儿，致脏腑生热，热则烦躁，故令儿渴不止也。
《圣惠》治小儿疳多渴，体热烦躁，少得睡卧。宜服天竺黄散方
天竺黄（细研） 黄连 马牙硝 栀子仁 葛根（锉。各半两） 甘草（炙微赤，锉） 牛黄（细研） 款冬花 紫
菀（洗去苗土） 犀角（屑） 土瓜根（各一分）
上件药捣，细罗为散，都研令匀，不计时候，以蜜水调下半钱。量儿大小加减服。
《圣惠》治小儿疳渴，口干烦躁，体热羸瘦，不欲乳食，宜服此方。
蜗牛壳（微炒） 蟾头（涂酥，炙令焦黄） 胡黄连（各半两） 朱砂 青黛（各细研，一分）
上件药，捣细罗为散，都研令匀，每服以蜜水调下半钱，不计时候。量儿大小以意加减。
《圣惠》治小儿疳，大渴不止。铅丹丸方
铅丹 铅霜（各一分） 黄连（末） 石膏（末。各半两）
上件药，都研为末，以糯米饮和丸如绿豆大。每服用新汲水淘米泔研下五丸，日三四服。量儿大小以意加减。
《圣惠》治小儿疳渴，壮热惊悸，宜服此方。
地骨皮（细研） 龙胆（去芦头） 乌梅肉（微炒） 地龙粪 黄连（去须。各一分）
上件药捣，罗为末，以 猪胆汁和丸如绿豆大。不计时候，以新汲水化破五丸服之。量儿大小以意加减。
《圣惠》治小儿疳热烦渴，干瘦。黄连丸方
黄连（去须） 天竺黄 牛黄（各细研） 甘草（炙微赤，锉） 栀子仁 款冬花 葛根 紫菀（去苗土） 犀角
（屑。各一分） 川朴硝（半两） 竹沥（二合）
上件药捣，罗为末，先用竹沥拌和，更入熟蜜和丸如绿豆大。每服以新汲水研破五丸服之，日四五服。量
儿大小临时加减。
《圣惠》治小儿热疳渴方。
黄连（末，半两） 定粉（一两，微炒）
上件药，同细研令匀，不计时候，以熟水调下半钱，更看儿大小以意增减。
《谭氏殊圣》治小儿疳瘦羸弱，脏腑虚怯，滑泄不止，饮食减少，引饮无度。六神丸方
丁香 木香 肉豆蔻（面裹煨） 芦荟（一分） 使君子仁 诃子皮（煨。各半两）
上为末，枣肉和丸如绿豆大。每服三五丸，米饮下。
钱乙龙粉丸 治疳渴方。
草龙胆 定粉（微炒） 乌梅肉（焙，秤） 黄连（各二分）
上为细末，炼蜜丸麻子大。米饮下一二十丸，无时。
张涣《遗方》青香丸 治小儿疳渴，引饮不休，肌体羸劣。
胡黄连 青黛 朱砂 鹤虱（各等分）
上为末， 猪胆和丸如绿豆大。每服三丸，米饮下。
《吉氏家传》又方
干葛 胡黄连 甘草（炙） 黑参 麦门冬（去心，等分）
上件为末。每服一钱，水半盏，姜一片，煎四分。
庄氏治疳热青黛丸
青黛（一两） 胡黄连 天竺黄 宣连（各半两） 朱砂（飞，一分） 麝（一钱） 肉豆蔻（二个） 牛黄（半
钱） 蟾（一个，端午酥炙，酒浸，去肠肚）
末，绿豆粉煮糊丸如芥子，空心夜汤下三丸。
《玉诀》地骨皮散 治热疳，进食。
地骨皮（拣净，粗葛包洗） 黄 （焙） 柴胡（焙。各一两） 紫菀 犀角 土瓜根（各一分）
散，不时，蜜水调半钱，量加减服。
胡黄连散 治疳渴，黄瘦，壮热不乳。
胡黄连 旱莲子 龙胆 青黛 乌梅肉（微炒） 知母（各半两） 牛黄（一分）捣，罗，枣瓤丸如绿豆。甘草汤
下五丸，日三，意裁。
五胆丸 治渴疳。
猪胆 狗胆 牛胆 鲫鱼胆 胆（各一枚）
四胆汁入牛胆内，灶北后悬，候干，丸如黍。新汲水下二丸，空心、午后各一服。更量。
胡黄连丸 治疳热渴，干瘦。
胡黄连 犀角（各一分） 生地黄汁（二合） 麝（半钱） 羊子肝（一具，研取汁） 蜜（半合）
末、和汁、蜜等，竹叶汤调药汁一匙，加减。
黄连丸 治疳热烦渴，干瘦。
黄连 天竺黄 牛黄 甘草（炙赤） 栀子仁 款冬花 葛根 紫菀 犀角（各一分） 川朴硝（半两）
罗，竹沥二合和，更入熟蜜，丸如绿豆，新汲水研五丸服。更量，日四五。
又蜗牛子三五十枚，合净盘内，令行，有似银泥处，腻粉和揩，丸如黍。不时，汤下二丸。
治疳渴饮水不休麝香丸
麝 人中白（各一分） 研，药饼丸如麻子。一二岁皂荚汤下二丸，更裁。早、午各一服。
刘氏∶大猪胞一个，甘草一两寸，劈，入胞内，水一斗煮三升，去甘草，胞焙末。服三钱，汤调下。
庄氏∶活大 鱼一个，蛤粉涂顶上，刮下涎，入粉同研，丸鸡头大，服一丸；小 鱼一个，水半盏浸，涎水化
一丸止，和气散一、二服，补。
又∶
井泉石（一名石甘遂） 太阴元精石 马牙硝等分，末，入生硫黄少许，服半钱，生米泔水调。
*Shenghui Fang* discusses: The condition of pediatric gan-kese (wasting-thirst syndrome) arises from pre-existing gan-heat in the zang-fu organs, combined with heat accumulation and stagnation in the Heart and Lungs. This is often caused by the lactating mother indulging in the "Five Pungent Spices" (Wuxin), drinking hot wine, consuming excessive sour and salty foods, or eating roasted and fried foods at night. This leads to qi stagnation in the chest and heart. When she subsequently nurses the infant, it generates internal heat in the infant's zang-fu organs. Heat causes irritability, resulting in persistent thirst in the child.
*Shenghui Fang* treats pediatric gan disease with excessive thirst, feverish body, irritability, and little sleep. It is suitable to administer Tianzhu Huang San (Bambusae Concretio Powder):
Tianzhu Huang (Bambusae Concretio, finely ground), Huanglian (Coptidis Rhizoma), Mayaoxiao (Natrii Sulfas), Zhizi Ren (Gardeniae Fructus), Gegen (Puerariae Radix, sliced; each 0.5 liang), Gancao (Licorice Root, honey-fried until slightly red, sliced), Niuhuang (Bovis Calculus, finely ground), Kuandonghua (Flos Farfarae), Ziwan (Asteris Radix, washed free of seedlings and soil), Xijiao (Rhinocerotis Cornu, shaved), Tugua Gen (Trichosanthis Radix; each 1 fen).
Crush the above herbs, sift through a fine sieve to make a powder, mix thoroughly, and grind evenly. Administer half a qian mixed with honey water at any time. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric gan-kese with dry mouth, irritability, feverish body, emaciation, and refusal to nurse or eat. It is suitable to administer this formula:
Woniu Ke (Testudo/Testudinis Carapax et Plastrum - specifically snail shell here, lightly stir-fried), Chantou (Bufo Skin/Toad head, coated with butter, stir-fried until scorched yellow), Huhuanglian (Scutellariae Barbatae Herba; each 0.5 liang), Zhusha (Cinnabaris), Qingdai (Indigo Naturalis; each finely ground, 1 fen).
Crush the above herbs, sift through a fine sieve to make a powder, mix thoroughly, and grind evenly. For each dose, mix half a qian with honey water and administer at any time. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric gan disease with unceasing severe thirst. Qian Dan Wan (Lead Carbonate Pill):
Qian Dan (Minii Oxidum Rubrum), Qianshuang (Plumbi Subcarbonas; each 1 fen), Huanglian (Coptidis Rhizoma, powdered), Shigao (Gypsum Fibrosum, powdered; each 0.5 liang).
Grind all ingredients into a powder. Mix with rice water (from glutinous rice) to form pills the size of mung beans. For each dose, wash five pills in fresh well water (rice washing liquid) and administer. Take three to four times daily. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric gan-kese with high fever and palpitations/fright. It is suitable to administer this formula:
Digupi (Lycii Cortex, finely ground), Longdan (Gentianae Radix, remove root stock), Wumei Rou (Mume Fructus pulp, lightly stir-fried), Dilong Fen (Ascaris Excrement/Feces), Huanglian (Coptidis Rhizoma, remove stamens; each 1 fen).
Crush the above herbs, sift into powder. Mix with pig bile to form pills the size of mung beans. At any time, dissolve five pills in fresh well water and administer. Adjust the dosage according to the child's age and size.
*Shenghui Fang* treats pediatric gan-heat with irritability and thirst, dryness, and emaciation. Huanglian Wan (Coptis Pill):
Huanglian (Coptidis Rhizoma, remove stamens), Tianzhu Huang (Bambusae Concretio), Niuhuang (Bovis Calculus; each finely ground), Gancao (Licorice Root, honey-fried until slightly red, sliced), Zhizi Ren (Gardeniae Fructus), Kuandonghua (Flos Farfarae), Gegen (Puerariae Radix), Ziwan (Asteris Radix, remove seedlings and soil), Xijiao (Rhinocerotis Cornu, shaved; each 1 fen), Chuan Pu Xiao (Natrii Sulfas, 0.5 liang), Zhuli (Bambusae Sap; 2 he).
Crush the above herbs, sift into powder. First mix with bamboo sap, then add refined honey to form pills the size of mung beans. For each dose, dissolve five pills in fresh well water and administer. Take four to five times daily. Adjust the dosage temporarily according to the child's age and size.
*Shenghui Fang* treats pediatric heat-gan-kese:
Huanglian (Coptidis Rhizoma, powdered, 0.5 liang), Dingfen (Cerussae Pulvis, 1 liang, lightly stir-fried).
Grind both ingredients finely and mix evenly. Administer half a qian mixed with warm water at any time. Adjust the dosage according to the child's age and size.
*Tan Shi Shu Sheng* treats pediatric gan with emaciation and weakness, deficiency and timidity of the zang-fu, continuous loose stools, reduced food intake, and excessive drinking. Liushen Wan (Six Spirits Pill):
Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Roudoukou (Myristicae Semen, baked in flour), Lvhui (Aloe), Shijunzi Ren (Quisqualis Fructus seed), Hezi Pi (Terminaliae Chebulae Pericarpium, baked; each 0.5 liang).
Grind into powder. Mix with jujube pulp to form pills the size of mung beans. Take three to five pills per dose, swallowed with rice drink.
Qian Yi's Longfen Wan (Dragon Powder Pill) treats gan-kese:
Caolongdan (Gentianae Radix), Dingfen (Cerussae Pulvis, lightly stir-fried), Wumei Rou (Mume Fructus pulp, dried and weighed), Huanglian (Coptidis Rhizoma; each 2 fen).
Grind into fine powder. Mix with refined honey to form pills the size of hemp seeds. Swallow ten to twenty pills with rice drink at any time.
Zhang Huan's *Yi Fang* Qingxiang Wan (Green Fragrance Pill) treats pediatric gan-kese with unceasing thirst and physical emaciation:
Huhuanglian (Scutellariae Barbatae Herba), Qingdai (Indigo Naturalis), Zhusha (Cinnabaris), Heshi (Nardostachyos Radix et Rhizoma); equal parts.
Grind into powder. Mix with pig bile to form pills the size of mung beans. Take three pills per dose, swallowed with rice drink.
*Ji Shi Jia Chuan* (Ji Family Transmission) another prescription:
Gegen (Puerariae Radix), Huhuanglian (Scutellariae Barbatae Herba), Gancao (Licorice Root, honey-fried), Heishen (Scrophulariae Radix - black variety), Maidong (Ophiopogonis Radix, core removed); equal parts.
Grind into powder. Take one qian per dose with half a zhan of water and one slice of ginger, decoct until reduced to four-tenths.
Zhuang's Qingdai Wan (Indigo Pill) for treating gan-heat:
Qingdai (Indigo Naturalis, 1 liang), Huhuanglian (Scutellariae Barbatae Herba), Tianzhu Huang (Bambusae Concretio), Xuanlian (Coptidis Rhizoma); each 0.5 liang. Zhusha (Cinnabaris, purified, 1 fen), Shexiang (Moschus, 1 qian), Roudoukou (Myristicae Semen, two pieces), Niuhuang (Bovis Calculus, half a qian), Chan (Bufonis Venenum/Skin, one piece, stir-fried with butter on the fifth day of the fifth lunar month, soaked in wine, intestines removed).
Grind into powder. Use mung bean starch paste to form pills the size of mustard seeds. Take three pills on an empty stomach and at night with soup/water.
*Yu Jue* Digupi San (Lycii Cortex Powder) treats heat-gan and promotes appetite:
Digupi (Lycii Cortex, selected clean, wrapped in coarse kudzu root and washed), Huangqi (Astragali Radix, dried), Chaihu (Bupleuri Radix, dried; each 1 liang). Ziwan (Asteris Radix), Xijiao (Rhinocerotis Cornu), Tugua Gen (Trichosanthis Radix); each 1 fen.
Grind into powder. Administer half a qian mixed with honey water at any time. Adjust the dosage as needed.
Huhuanglian San (Scutellariae Barbatae Powder) treats gan-kese, yellowish emaciation, high fever, and refusal to nurse:
Huhuanglian (Scutellariae Barbatae Herba), Hanlianzi (Elaeagnus Fructus), Longdan (Gentianae Radix), Qingdai (Indigo Naturalis), Wumei Rou (Mume Fructus pulp, lightly stir-fried), Zhimu (Anemarrhenae Rhizoma); each 0.5 liang. Niuhuang (Bovis Calculus, 1 fen). Crush, sift, and mix with jujube pulp to form pills the size of mung beans. Swallow five pills with licorice decoction, three times daily. Adjust the dosage as appropriate.
Wudan Wan (Five Gall Bladders Pill) treats kesi (thirst-wasting):
Zhudan (Porci Bile), Goudan (Canis Bile), Niudan (Bovis Bile), Jiyudian (Carassii Aurati Vesica Fellis), Shendan (Serpentis Bile); one gall bladder each.
Combine the four bile fluids into the bovine gall bladder. Hang it behind the north side of the stove until dry. Form pills the size of millet grains. Swallow two pills with fresh well water. Take once on an empty stomach and once in the afternoon. Adjust the dosage as needed.
Huhuanglian Wan (Scutellariae Barbatae Pill) treats gan-heat thirst, dryness, and emaciation:
Huhuanglian (Scutellariae Barbatae Herba), Xijiao (Rhinocerotis Cornu); each 1 fen. Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice, 2 he), Shexiang (Moschus, half a qian), Yangzi Gan (Ovis/Caprae Foetus Liver, one piece, crushed to extract juice), Mi (Honey, half he).
Grind into powder. Mix with the juice and honey. Take one spoonful of the medicinal juice mixed with bamboo leaf decoction. Adjust the dosage as needed.
Huanglian Wan (Coptis Pill) treats gan-heat irritability and thirst, dryness, and emaciation:
Huanglian (Coptidis Rhizoma), Tianzhu Huang (Bambusae Concretio), Niuhuang (Bovis Calculus), Gancao (Licorice Root, honey-fried until red), Zhizi Ren (Gardeniae Fructus), Kuandonghua (Flos Farfarae), Gegen (Puerariae Radix), Ziwan (Asteris Radix), Xijiao (Rhinocerotis Cornu); each 1 fen. Chuan Pu Xiao (Natrii Sulfas, 0.5 liang).
Sift, mix with two he of Zhuli (Bambusae Sap), add refined honey, and form pills the size of mung beans. Dissolve five pills in fresh well water and administer. Adjust the dosage as needed. Take four to five times daily.
Another method: Take thirty to fifty Woniu Zi (Snails), place them in a clean plate, allow them to move, collect the silver-like slime they leave, mix with Nifen (Calomel/Mercurous Chloride), and form pills the size of millet grains. Swallow two pills with water at any time.
Shexiang Wan (Musk Pill) for treating gan-kese with unceasing drinking:
Shexiang (Moschus), Renzhongbai (Urinae Humanis Concretio); each 1 fen. Grind into powder, form pill cakes the size of hemp seeds. For children aged one to two years, swallow two pills with Sophora tonkinensis pod decoction. Adjust the dosage as needed. Take once in the morning and once at noon.
Liu's Prescription: One large pig bladder, one cun length of Gancao (Licorice Root), split open and placed inside the bladder. Boil in one dou of water until reduced to three sheng. Remove the licorice root, bake the bladder until dry, and grind into powder. Take three qian, mixed with water/soup.
Zhuang's Prescription: One live large fish, coat the top with Ge Fen (Armeniacae Semen Amarum powder/scaly powder), scrape off the saliva/mucus, mix with powder and grind. Form pills the size of a cocklebur fruit. Take one pill. For a small fish, soak in half a zhan of water; use the saline water to dissolve one pill. Combine with Heqi San (Harmonizing Qi Powder) for one or two doses to tonify.
Another prescription:
Jingquanshi (Well Spring Stone, also known as Shigan Sui), Taiyin Yuanjingshi (Taiyin Crystal Stone), Mayaoxiao (Natrii Sulfas); equal parts. Grind into powder. Add a small amount of Sheng Liuhuang (Native Sulfur). Take half a qian, mixed with raw rice washing water.