《圣惠》论∶夫小儿疳痢者，由乳哺不节，生冷过度，伤于脾胃，致脏腑不调，冷热相搏，大肠虚弱，水
谷不聚，变为下痢也。其候面色痿黄，肌体羸瘦，盗汗壮热，皮毛干枯，嗜食酸咸，心腹虚胀，泄痢恶物，日
夜无常，故名曰疳痢也。
《宫气方》疳痢羸瘦。毛焦歌∶
孩子杂病变成疳，不问强羸女与男，恰似脊傍多变动，还如瘦疾困耽耽。
项热毛焦鼻口疳，皮肤枯槁四肢瘫；青黄赤白时时痢，泔淀稠脓涕一般；眼涩面黄鼻孔赤，谷道开张不欲
看；唇焦呕逆不哺乳，壮热僧寒卧不安。用药必须青黛散，孩儿百病服来看。
日华子 治小儿疳痢方∶
上用鸡卵醋煮，治久痢，和光粉炒干，止小儿疳痢。
《圣惠》治小儿疳痢，腹大口干，四肢羸弱，下痢不止。神圣散方
干虾蟆（一枚，五月五日取者，去足、肚肠） 独头蒜（一颗，捶碎） 川椒（半两，去目）
以上二味入虾蟆腹中，用大麦面饼子，裹烧令焦黄色，捣、罗为末。
麝香（一钱） 龙脑（半钱） 芦荟（一分） 朱砂（二钱） 雄黄（二钱）
上件药，与前药同细研为散。每服以粥饮调下半钱，日三四服。量儿大小加减服之。
《圣惠》治小儿疳痢不止。肉豆蔻丸方
肉豆蔻（一枚，去壳） 胡黄连（一分） 砒霜（半分，细研） 巴豆（十枚，去皮心，油煮色黑，纸裹压去油）
上件药捣，罗为末，用糯米饮和丸，如黍米大。每服以冷水下一丸。切忌热物。
《圣惠》治小儿疳痢，四肢干瘦，腹胁胀满，食不能消。朱砂丸方
朱砂 硫黄（各一分） 蟾头（灰，三钱） 巴豆（七粒，去皮心，研，纸裹压去油）
上件药都研如粉，以面糊和丸如黄米大。每服以甘豆汤下三丸。量儿大小以意加减。
杨大邺歌∶
疳痢形容瘦似柴，或然如乳吐虫蛔；沉沉无力多饶睡，叫哭连声目不开。丁香碎与生犀末，调治三焦恐可回。
《宫气》解疳热、疳痢、杀虫，水研青黛服。
《外台》疗疳痢晓夜无度。
樗根浓汁、粟米泔各一鸡子壳许，灌下部。亦可作丸。
《图经》地榆煮汁如饴服。
孟诜樗白皮一握，仓米五十粒，葱白一握，炙甘草二寸，豉二合，水一升煮半升，顿服，意快。叶亦可。
又常胆水服。
《经验》治疳痢肚胀。
鸡子破眼，纳巴豆一粒去皮，腻粉一钱，五十重纸裹，饭甑上蒸三度，研入少麝，添面糊丸如米。食后，
临卧温汤下二三丸。
刘氏∶三岁儿口疮壮热，及手足心烦，大便极臭，即疳痢。
黄连 黄柏 地榆（炙） 白头翁 高良姜 酸石榴皮 姜 当归（各二分） 白术（一分） 龙骨（四分）
切，水二升，煮八合，量服。口疮，芦荟末、赤地麦捣末涂；下部，蚺蛇胆、黄连、麝捣敷，兼以竹筒吹。
亦主疥疮。
龙骨丸 治疳痢日夜无度，羸瘦。
龙骨 橡实（各半两） 雄黄 麝 牛黄 白土（各一钱） 朱砂 诃皮（煨） 青黛（各一分） 蜗牛（炒微黄，
二十枚）
罗，面糊丸如绿豆。粥饮下五丸，日三。
黄连散 治疳痢不止。
黄连（炒） 白茯苓 阿胶（炒黄） 黄柏（炙） 人参 诃皮（微煨） 桃白皮（炙。各半两） 丁香（一分） 没
食子（煨、二枚）
罗，米饮调半钱，量服。
治疳痢，不食，瘦弱。肉豆蔻丸
肉豆蔻（一枚） 木香（半两） 人参 诃皮（煨） 朱砂 麝（各一分）
罗，软饭和丸如麻子。粥饮化三丸，日三四，量服。
丁香丸 治疳痢不止，渐困。
丁香 黄连 橡子 白矾（灰。各一分） 巴豆（七枚，醋浆水碗半，煮净，霜）
罗，面糊和丸如黍。冷粥饮下三丸，量加，日三。
治疳痢羸瘦麝香丸
麝（一分） 虾蟆（灰，一枚） 铁粉 黄连 鳖甲（醋炙，净。各半两）
罗，软饭丸如麻子。温水下五丸，日三，更量。
治疳痢渐瘦抵圣丸
巴豆霜（五枚） 硫黄（一钱） 粉霜（半钱） 朱砂 没石子（各一分）
研，糯米饭丸如黄米，冷水下二丸，量服。一无霜、石子，有蟾头灰，名朱砂丸
《养生》治脾受湿，泄痢不止，米谷不化，亦治疳气下痢。若散，一名戊己丸
吴茱萸 黄连 白芍药（俱锉如豆。各五两，同炒赤）
末，煮糊丸如梧子。空腹浓米饮下二十丸，日三，未知加。或散二钱，水一盏煎七分，和滓温服。忌生冷、油腻。
王氏使君子丸 治疳痢。
没石子（去壳） 使君子（面裹煨。各五个） 木香 红芍药 宣连（煨） 芦荟 麒麟竭 麝（各一分） 干蟾
（炙赤） 长槟榔（各一个） 肉豆蔻（二个）
散，研一、二百，粟米烂饭丸如麻子。不时米饮下二十丸，夏、秋常服。
丁时发水银丸 疳痢赤白，腹撮痛，时虚汗。
水银（皂子大） 墨 乳香（各少许） 百草霜（一分） 巴豆（十一粒，醋一盏，煮干，霜） 青黛（钱半） 黄
明胶（炒） 五灵脂 轻粉（各半钱） 巴豆（十一粒，醋一盏，煮干霜）
末，滴水丸如黍，干柿汤吞三丸。
治五疳泻痢蚵 丸
蚵 （一个，酒半升，炙尽） 芜荑 鹤虱 川楝子 使君子 黄连（各一两） 夜明砂 朱砂 槟榔 青黛（各
半两）
猪胆汁丸，汤吞五丸。
《圣惠》∶黄帝疗疳痢脱肛，体瘦，渴饮，灸尾翠骨上二寸骨陷中，三壮，炷如麦。岐伯云∶兼三伏内有桃柳水，
浴孩子，午正时，当日灸，用青帛子拭，见疳虫随汗出，此法神效。
According to the *Shenghui Fang* (Holy Benefit Formulary): The so-called pediatric Gan-li (childhood malnutrition with dysentery) arises from irregular breastfeeding and feeding, excessive intake of raw and cold foods, which damage the Spleen and Stomach. This leads to dysfunction of the Zang-Fu organs, where cold and heat pathogens contend with each other. With the weakness of the Large Intestine, water and grain cannot be gathered and transformed, resulting in dysentery. The clinical manifestations include sallow complexion, emaciation, night sweats accompanied by high fever, dry and brittle skin and hair, craving for sour and salty tastes, false distension of the heart and abdomen, passage of foul-smelling dysenteric stools, and irregularity day and night. Hence, it is named Gan-li.
The *Gongqi Fang* records treatment for Gan-li with emaciation. There is a song regarding "Maojiao" (dry and brittle hair):
Miscellaneous diseases in children evolve into Gan syndrome, regardless of whether the boy or girl is strong or weak.
The symptoms resemble changes along the spine, and like wasting disease, they cause lethargy and debility.
Neck heat, brittle hair, and oral-nasal Gan lesions;
Skin withers and limbs become paralyzed;
Green, yellow, red, and white dysentery occurs frequently;
Thick pus and nasal discharge resemble rice water sediment;
Dry eyes, sallow face, and red nostrils;
Anal sphincter opens and refuses to close;
Cracked lips, vomiting and reflux, refusal to nurse;
High fever alternating with aversion to cold, restless sleep.
Medication must use Qingdai San (Indigo Naturalis Powder); after administering to children with various ailments, efficacy can be observed.
Ri Hua Zi's prescription for pediatric Gan-li:
Boil the above ingredients with egg and vinegar. Treat chronic dysentery; combine with Guangfen (calcined gypsum powder) and stir-fry until dry to stop pediatric Gan-li.
*Shenghui Fang* treats pediatric Gan-li with abdominal distension, dry mouth, weak limbs, and persistent dysentery. Prescription for Shensheng San (Divine Holy Powder):
Gan Xiamá (Dried Toad, one piece, collected on the fifth day of the fifth lunar month, remove feet, stomach, and intestines).
Du Tou Suan (Single-clove Garlic, one clove, crushed).
Put the above two herbs into the toad's abdomen. Wrap in a barley flour cake and roast until scorched yellow. Pound and sieve into powder.
She Xiang (Musk, one qian), Long Nao (Borneol, half qian), Lu Hui (Aloe, one fen), Zhu Sha (Cinnabar, two qian), Xiong Huang (Realgar, two qian).
Grind all these medicines finely together with the previous powder to make a dispersion. Take half a qian each time, mixed with rice gruel broth. Administer three to four times daily. Adjust dosage according to the child's age and size.
*Shenghui Fang* treats persistent pediatric Gan-li. Prescription for Roudoukou Wan (Nutmeg Pill):
Rou Dou Kou (Nutmeg, one piece, remove shell), Hu Huang Lian (Picrorhiza Root, one fen), Pi Shuang (Arsenic Trioxide, half fen, finely ground), Ba Dou (Croton Seed, ten seeds, remove shell and heart, boil in oil until black, wrap in paper and press to remove oil).
Pound and sieve the above medicines into powder. Mix with glutinous rice drink to form pills the size of millet seeds. Take one pill each time with cold water. Strictly avoid hot/nature-warming foods.
*Shenghui Fang* treats pediatric Gan-li with dry and thin limbs, abdominal and hypochondriac fullness, and indigestion. Prescription for Zhusha Wan (Cinnabar Pill):
Zhu Sha (Cinnabar), Liu Huang (Sulfur, one fen each), Chan Tou Hui (Toad Head Ash, three qian), Ba Dou (Croton Seed, seven seeds, remove shell and heart, grind, wrap in paper and press to remove oil).
Grind all ingredients into powder. Mix with wheat paste to form pills the size of yellow millet. Take three pills each time with Gandou Tang (Sweet Bean Decoction). Adjust dosage according to the child's age.
Yang Daye's Song:
Gan-li presents with emaciation like firewood; sometimes milk-like vomit contains roundworms.
Profound weakness and excessive sleepiness; crying continuously with eyes unable to open.
Ding Xiang Sui (Cloves, crushed) and Sheng Xi Mo (Raw Rhinoceros Horn Powder, fine) are blended to regulate the Triple Burner, hoping to restore health.
*Gongqi Fang* resolves Gan-heat, Gan-dysentery, and kills parasites. Grind Qingdai (Indigo Naturalis) in water and administer.
*Waitai Mi Yao* (External Cabinet Secret Essentials) treats Gan-dysentery occurring day and night without limit.
Pour thick juice from Chugen (Bark of Chinese Tallow Tree) and Su Mi Gan (Rice Wash Water), approximately one eggshell volume each, into the lower orifice (anus). Can also be made into pills.
*Tujing Bencao* (Illustrated Materia Medica): Boil Diyu (Sanguisorba Root) juice until syrupy and take.
Meng Shen's Prescription: A handful of Chubai Pi (Bark of Chinese Tallow Tree), fifty grains of Cangmi (Stored Rice), a handful of Congbai (White Part of Scallion), two cun of Zhi Gancao (Honey-fried Licorice Root), two he of Chi (Fermented Soybeans). Boil in one sheng of water until half remains. Take in one dose when feeling comfortable. Leaves may also be used.
Additionally, commonly taken with Dan Shui (Bile Water).
*Jingyan Fang* (Experience Formula) treats Gan-li with abdominal distension.
Break an egg eye, insert one peeled Ba Dou (Croton Seed) and one qian Ni Fen (Calomel). Wrap in fifty layers of paper. Steam over a rice steamer three times. Grind and add a little She Xiang (Musk). Add wheat paste to form pills the size of rice grains. After meals, before bed, take two or three pills with warm water.
Liu Shi records: A three-year-old child presenting with mouth ulcers, high fever, and heat sensation in palms and soles, with extremely foul-smelling stool, suffers from Gan-li.
Huang Lian (Coptis Rhizome), Huang Bai (Phellodendron Bark), Diyu (Sanguisorba Root, fried), Bai Tou Weng (Pulsatilla Root), Gao Liang Jiang (Galangal Root), Suan Shiliu Pi (Acid Pomegranate Peel), Jiang (Ginger), Dang Gui (Angelica Sinensis, each two fen), Bai Zhu (Atractylodes Macrocephala, one fen), Long Gu (Fossilized Bones, four fen).
Slice, boil in two sheng of water until eight ge remain. Take according to tolerance. For mouth ulcers, apply Lu Hui (Aloe) powder and Chi Di Mai (Red Earth Wheat) powder. For lower orifices, apply Ran She Dan (Python Bile), Huang Lian, and She Xiang; also blow into the area using a bamboo tube. Also treats scabies.
Longgu Wan (Dragon Bone Pill): Treats Gan-dysentery day and night without limit, causing emaciation.
Long Gu (Fossilized Bones), Xiang Shi (Oak Gall, half liang each), Xiong Huang (Realgar), She Xiang (Musk), Niu Huang (Calculus Bovis), Bai Tu (White Clay, one qian each), Zhu Sha (Cinnabar), He Pi (Chebula Pericarpium, roasted), Qing Dai (Indigo Naturalis, one fen each), Wo Niu (Garden Snail, stir-fried until slightly yellow, twenty pieces).
Sieve, mix with wheat paste to form pills the size of mung beans. Take five pills with rice gruel broth, three times daily.
Huanglian San (Coptis Powder): Treats persistent Gan-dysentery.
Huang Lian (Coptis Rhizome, fried), Bai Fu Ling (Poria, half liang each), E Jiao (Donkey-hide Gelatin, fried yellow), Huang Bai (Phellodendron Bark, fried), Ren Shen (Ginseng), He Pi (Chebula Pericarpium, lightly roasted), Tao Bai Pi (Peach Inner Bark, fried), Ding Xiang (Clove, one fen), Mei Shi Zi (Myrobalan, roasted, two pieces).
Sieve, take half a qian mixed with rice drink, adjust dosage as needed.
Treats Gan-li with anorexia and emaciation. Roudoukou Wan (Nutmeg Pill):
Rou Dou Kou (Nutmeg, one piece), Mu Xiang (Costus Root, half liang), Ren Shen (Ginseng), He Pi (Chebula Pericarpium, roasted), Zhu Sha (Cinnabar), She Xiang (Musk, one fen each).
Sieve, mix with soft rice to form pills the size of hemp seeds. Dissolve three pills in rice gruel, three to four times daily, adjust dosage.
Dingxiang Wan (Clove Pill): Treats persistent Gan-li with gradual debility.
Ding Xiang (Clove), Huang Lian (Coptis Rhizome), Xiang Zi (Oak Acorn), Bai Fan (Alum Ash, one fen each), Ba Dou (Croton Seed, seven seeds, boiled in vinegar bean slurry until dry, becoming frost/rasp).
Sieve, mix with wheat paste to form pills the size of millet. Take three pills with cold rice gruel, increase dosage as needed, three times daily.
Muxiang Wan (Musk Pill) treating Gan-li with emaciation:
She Xiang (Musk, one fen), Xia Ma (Toad, ash, one piece), Tie Fen (Iron Powder), Huang Lian (Coptis Rhizome), Bie Jia (Turtle Shell, vinegar-fried and cleaned, half liang each).
Sieve, mix with soft rice to form pills the size of hemp seeds. Take five pills with warm water, three times daily, adjust dosage.
Disheng Wan (Miracle-Saving Pill) treating progressive emaciation in Gan-li:
Ba Dou Shuang (Croton Frost, five seeds), Liu Huang (Sulfur, one qian), Fen Shuang (Calomel Frost, half qian), Zhu Sha (Cinnabar), Mei Shi Zi (Myrobalan, one fen each).
Grind, mix with glutinous rice to form pills the size of yellow millet. Take two pills with cold water, adjust dosage. If no frost or myrobalan, use Chan Tou Hui (Toad Head Ash); this variant is named Zhusha Wan (Cinnabar Pill).
*Yangsheng Fang* treats Spleen dampness causing persistent diarrhea with undigested food; also treats Gan-Qi dysentery. If prepared as powder, it is named Wuji Wan (Wuji Pill):
Wu Zhu Yu (Evodia Fruit), Huang Lian (Coptis Rhizome), Bai Shao Yao (White Peony Root, all cut like beans, five liang each, stir-fried together until red).
Grind into powder, mix with cooked paste to form pills the size of wutong seeds. Take twenty pills on an empty stomach with thick rice gruel, three times daily; increase if ineffective. Or take two qian of powder, boil in one cup of water until七分 (70%) remains, take warm including dregs. Avoid raw/cold and greasy foods.
Wang Shi's Shijunzi Wan (Quinine Pill) treating Gan-li:
Mei Shi Zi (Myrobalan, remove shell), Shi Jun Zi (Quinine Fruit, wrapped in flour and roasted, five each), Mu Xiang (Costus Root), Hong Shao Yao (Red Peony Root), Xuan Lian (Coptis, roasted), Lu Hui (Aloe), Qilin Jie (Dragon's Blood), She Xiang (Musk, one fen each), Gan Chan (Dried Toad, roasted red), Chang Bing Lang (Areca Nut, one each), Rou Dou Kou (Nutmeg, two pieces).
Grind into powder, sift one hundred to two hundred times. Mix with well-cooked millet rice to form pills the size of hemp seeds. Take twenty pills with rice drink at any time; commonly taken in summer and autumn.
Ding Shifa's Shuiyin Wan (Mercury Pill) treating Gan-li with red and white stools, abdominal cramping pain, and spontaneous sweating:
Shui Yin (Mercury, size of soapberry), Mo (Ink Stick), Ru Xiang (Frankincense, small amount each), Bai Cao Shuang (Plant Ash, one fen), Ba Dou (Croton Seed, eleven seeds, boiled in one cup of vinegar until dry, becoming frost), Qing Dai (Indigo Naturalis, half qian), Huang Ming Jiao (Yellow Clear Gelatin, fried), Wu Ling Zhi (Trogopterus Dung), Qing Fen (Calomel, half qian each), Ba Dou (Croton Seed, eleven seeds, boiled in one cup of vinegar until dry, becoming frost).
Grind into powder, drop water to form pills the size of millet. Swallow three pills with dried persimmon soup.
He Wan (Clam Pill) treating Five Gan syndromes with diarrhea and dysentery:
He (Clam, one piece, roasted in half sheng of wine until dry), Wu Ti (Chrysanthemum Seedling), He Shi (Nardostachys Root), Chuan Lian Zi (Sichuan Chinaberry Seed), Shi Jun Zi (Quinine Fruit), Huang Lian (Coptis Rhizome, one liang each), Ye Ming Sha (Bat Droppings), Zhu Sha (Cinnabar), Bin Lang (Areca Nut), Qing Dai (Indigo Naturalis, half liang each).
Form pills with pig bile. Swallow five pills with decoction.
*Shenghui Fang*: The Yellow Emperor treats Gan-li with rectal prolapse, emaciation, and thirst for drinking. Moxibustion on the acupoint two cun above the coccyx bone depression, three moxa cones, cone size like wheat grain. Qi Bo states: During the Sanfu (Dog Days) period, bathe the child in Peach and Willow water. At noon (Wu Zheng hour), perform moxibustion on the same day. Wipe with green silk cloth; Gan parasites will exit with sweat. This method is miraculous.