（亦名脾疳）
《圣惠》∶夫小儿食疳者，由脾胃不调，乳食过度，伤于脏腑之所致也。是以小儿百日之内，肠胃尚微，哺
乳犹少。三岁之外，气血渐盛，乳食则多。其乳母须在调适寒温，知其饮节，减省五味，令气血和平，则孩
孺无病也。若饮食不节，生冷过多，积滞不消，在于肠胃，致成食疳也。其状面色痿黄，肌体羸瘦，腹大脚细，
毛发干焦，鼻口常干，好吃泥土，脑中大热，肚上青筋，口舌生疮，水谷不化，下痢无度，渐渐困羸者，是其
候也。
《圣惠》治小儿疳气。长肌肤，益颜色，化宿食。治腹胀，利气调中，能破积聚。槟榔丸方
槟榔 朱砂 代赭 麝香（各细研） 乳香（研入） 五灵脂 肉豆蔻（去壳） 木香 阿
魏（面裹煨，面热为度。各一分） 蟾头（一枚，炙黄焦） 巴豆（七枚，去皮心，研，纸裹压去油）
上件药捣，罗为末，同研令匀，以面糊和丸如黍米大。每服以温生姜汤下二丸。量儿大小以意加减。
《圣惠》治小儿食疳，腹中多痛，大肠或痢，鼻痒干瘦，时有体热。木香丸方
木香 胡黄连 蟾头（炙令焦黄） 麝香 芦荟 青黛 雄黄（各细研） 香墨 熊
胆（各一分） 使君子（半两）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以粥饮下五丸。量儿大小以意加减。
《圣惠》治小儿食疳，水谷不消，心腹胀满，好吃泥土，肌体瘦弱。诃梨勒丸方
诃梨勒皮（三分） 肉豆蔻（一枚，去壳） 青黛 麝香 芦荟 朱砂（各细研） 熊
胆（研入。各一分）
上件药捣，罗为末，都研令匀，用酒煮粳米饭和丸，如黍粒大。每服以粥饮下三丸，日二服。量儿大小增
减服之。
《圣惠》治小儿食疳，腹胀体瘦，宿食不消，多啼壮热。代赭丸方
代赭 朱砂（各细研） 赤石脂（各一分） 巴豆（十枚，去皮心，研，纸裹压去油） 杏仁（
二、七枚，铜针穿，灯上燎作声为度，别研）
上件药并须新好，入乳钵同研令匀，用饮和丸如粟米大。每服以粥饮下一丸，乳汁亦得。量儿大小以意加减。
《圣惠》治小儿食疳，心腹虚胀、妨闷，或时热渴。大黄丸方
川大黄（锉，微炒） 黄连（去须） 桂心 代赭（细研。各一两） 朱砂 麝香（各细研） 巴豆（去皮心，
研，纸裹压去油。各一分） 木香 杏仁（汤浸，去皮尖、双仁，麸炒黄，研如膏。各半两） 肉豆蔻（二颗，去壳）
上件药捣，罗为末，入巴豆、杏仁，都研令匀，炼蜜和丸如麻子大。每服以粥饮下三丸。量儿大小加减服之。
《圣惠》治小儿食疳腹胀。桃花散方
桃花（一分） 干蟾（涂酥，炙令焦） 肉豆蔻（去壳） 青黛（细研） 赤芍药 紫笋茶（各半两）
上件药捣，细罗为散。每服以温粥饮调下半钱。看儿大小临时加减。
《圣惠》治小儿食疳，不欲饮食，羸瘦。抵圣散方
蟾（一枚，涂酥，炙微黄） 蜣螂（去翅足，微炒） 麦 （微炒） 神曲（炒微黄。各一分）
上件药捣，细罗为散。每服以粥饮调下半钱。量儿大小加减服之。
《博济》治小儿疳食气，头面虚肿，腹内泄泻，面色痿黄，头发作穗，心腹胀满，肚上青筋。蚵 黄连丸方
疥虾蟆（一个，洗腹肚，以酒浸，炙令黄、香熟住） 木香 沉香 丁香（各一分） 麝香（少许） 胡
黄连 黄连（九节者） 木鳖子（烧令烟黄。
各半两） 巴豆（二十一粒，用水淘洗，去心、膜并油，并以纸裹用重物压出油，再研如面）
上件一十味细杵，罗为末，以水浸，蒸饼为丸如萝卜子大。空心，临卧，米饮下一丸，三岁以上二丸至三
丸。忌粘滑物。
张涣使君子丹 治脾疳能食，不生肌肉，或时下痢方。
使君子（二两，去皮炒） 丁香 木香 浓朴（姜汁制） 没石子（南蕃者） 胡黄
连肉豆蔻（并捣，罗为细末。各二两。次用） 真芦荟 麝香（各研，一分）
上件同拌匀，以粟米饭和丸黍米大。每服十粒，煎橘皮汤下，乳前。
张涣木香煎 治食疳，不知饥饱，积滞内停，腹大脚细，下利无度方。
南木香（锉） 肉豆蔻 使君子（各去壳） 胡黄连 五灵脂（各一两） 干蟾（二个，酥炙）
以上捣，罗为细末。次用∶巴豆（七个，去皮心、膜，纸裹出油，细研） 麝香（一分，细研）
上件同拌匀，滴水于石臼中捣一、二百下，和如黍米大。每服二粒至三粒，温生姜汤下，乳食后。看儿大
小加减。
张涣槟榔丹 治食疳，能食不生肌肉，宜常服方。
槟榔（面裹炮，面干为度） 胡黄连 木香（各一两） 代赭石（一分）
以上各捣，罗为细末。次用∶香墨（烧存性，细研） 麝香（研细。各一分）
上件同拌匀，糯米饭和丸黍米大。每服十粒，煎橘皮汤下，食后。量儿大小加减。
张涣肉豆蔻丹 治食疳，肌瘦挟积，常服尤佳方。
肉豆蔻 使君子（各去壳） 青橘皮（炒黄） 牵牛子（一分，炒黄）
以上捣，罗为细末。次入∶芦荟（一分，研） 麝香（一钱，研）
上件一处拌匀，用糯米饭和丸如黍米大。每服十粒，生姜汤下，食后。量儿大小加减。
《万全方》治小儿脾疳，水谷不消，心腹胀满，好吃泥土，肌体瘦弱。诃梨勒丸
诃梨勒皮（三分） 肉豆蔻（一枚，去壳） 槟榔（半两） 陈橘皮（去瓤） 人参 芦
荟青黛 麝香 熊胆 朱砂（五味并细研。各一分）
上件捣，罗为末，都研令匀，用酒煮粳米饭和丸如黍粒大。每服三丸，粥饮下。量儿岁数增减服。
《万全方》治小儿脾疳，心腹虚胀、妨闷，或时热渴。大黄丸
川大黄（锉，炒） 黄连 桂心 代赭（细研） 巴豆（去皮心，研，纸裹压去油） 朱
砂麝香（研。各一两） 木香 人参 杏仁（汤浸，
去皮尖、双仁，麸炒黄，研如膏） 京三棱（各半两） 肉豆蔻（二颗，去谷）
上件捣，罗为末，入巴豆、杏仁都研令匀，炼蜜和丸如麻子大。一服三丸，以粥饮下。
《张氏家传》治小儿消疳消食丸方
神曲 麦 胡黄连 芜荑（等分）
上为末，酒煮糊为丸如粟米粒大，饮下。
《庄氏家传》治小儿脾疳，冷热泻方。
宣连（一分） 木香（半分）
上件二味微炒过，罗成细末，米饭为丸如粟米大。每服五丸、七丸，米饮下，日三服，大妙。
《孔氏家传》治小儿脾疳方。
胡黄连 使君子 五味子 槟榔（各一钱） 南木香（半钱）
上为末，粟饭丸如绿豆大。饭内与五、七丸，日三服。
《王氏手集》消疳丸 治小儿食疳乳癖，腹胀羸瘦，揉鼻咬甲，好食泥土，下痢色杂，烦渴，面黄，寒热，喘
满，不生肌肤方
诃子皮（五个） 槟榔（二个） 肉豆蔻（一个） 木香 丁香 荜澄茄 青皮（
各一钱） 缩砂（十个） 粟米（一合） 巴豆（二十一个）
上为粗末，与巴豆一处炒令黄色，拣去巴豆不用，为末，墨水面糊和丸。每服十丸，食前粟米饮下。
(Also known as Spleen Gan Syndrome)
*Taiping Shenghui Fang* records: The so-called pediatric Food Stagnation Gan (a chronic malnutrition syndrome caused by improper diet) arises from dysfunction of the spleen and stomach, excessive intake of milk and food, leading to damage of the zang-fu organs. Therefore, infants within one hundred days have delicate intestines and stomachs, with small amounts of milk feeding. After three years of age, qi and blood gradually flourish, and the intake of milk and food increases. At this stage, the wet nurse must regulate cold and warmth, control dietary portions, reduce the five flavors, and ensure the harmony of qi and blood, so that the child remains free from disease. If dietary habits are irregular, with excessive consumption of raw and cold foods, accumulation and stagnation fail to digest and remain in the intestines and stomach, resulting in Food Stagnation Gan. Clinical manifestations include sallow complexion, emaciation, abdominal distension with thin legs, dry and brittle hair, persistent dryness of the nose and mouth, pica (eating dirt), sensation of heat in the head, visible cyanotic veins on the abdomen, oral ulcers, inability to digest food and fluids, profuse diarrhea, gradual decline into weakness and fatigue. These constitute the diagnostic signs.
*Taiping Shenghui Fang* treats Pediatric Gan Qi. It promotes muscle growth, enhances complexion, and resolves retained food. It treats abdominal distension, regulates qi and harmonizes the middle jiao, and breaks up accumulations. **Binglang Wan** Formula:
Arecae Semen (Binglang), Cinnabar (Zhusha), Hematite (Daizhe), Moschus (Shexiang) (each finely ground); Frankincense (Ruxiang) (ground and added); Trogopterus Dung (Wulingzhi); Myristica Seed (Roudoukou) (shell removed); Aucklandia Root (Muxiang); Ferula Resin (Awei) (wrapped in dough and roasted until the dough is hot; each 1 fen); Toad Head (Chantou) (one piece, roasted until yellow and charred); Croton Seed (Badou) (seven seeds, skin and heart removed, ground, wrapped in paper and pressed to remove oil).
Crush the above herbs, sieve into powder, mix thoroughly, and bind with dough paste to form pills the size of millet seeds. Administer two pills per dose with warm ginger decoction. Adjust dosage according to the child's age and size.
*Taiping Shenghui Fang* treats Pediatric Food Stagnation Gan characterized by frequent abdominal pain, colitis or dysentery, itchy and dry nose, emaciation, and intermittent fever. **Muxiang Wan** Formula:
Aucklandia Root (Muxiang), Picrorhiza Rhizome (Huhuanglian), Toad Head (Chantou) (roasted until yellow and charred), Moschus (Shexiang), Aloe (Lvhui), Indigo Naturalis (Qingdai), Realgar (Xionghuang) (each finely ground); Ink Stick (Xiangmo); Bear Bile (Xiongdan) (each 1 fen); Quinine Fruit (Shijunzi) (half liang).
Crush the above herbs, sieve into powder, bind with refined honey to form pills the size of mung beans. Administer five pills per dose with gruel drink. Adjust dosage according to the child's age and size.
*Taiping Shenghui Fang* treats Pediatric Food Stagnation Gan characterized by indigestion of food and fluids, epigastric and abdominal fullness, pica, and physical weakness. **Helile Wan** Formula:
Pericarpium Chebulae (Helilepi), Myristica Seed (Roudoukou) (one seed, shell removed), Indigo Naturalis (Qingdai), Moschus (Shexiang), Aloe (Lvhui), Cinnabar (Zhusha) (each finely ground); Bear Bile (Xiongdan) (ground and added; each 1 fen).
Crush the above herbs, sieve into powder, mix thoroughly, and bind with rice wine-boiled japonica rice to form pills the size of millet grains. Administer three pills per dose with gruel drink, twice daily. Adjust dosage according to the child's size.
*Taiping Shenghui Fang* treats Pediatric Food Stagnation Gan characterized by abdominal distension, emaciation, retention of undigested food, frequent crying with high fever. **Daizhe Wan** Formula:
Hematite (Daizhe), Cinnabar (Zhusha) (each finely ground); Red Kaolin (Chishizhi) (each 1 fen); Croton Seed (Badou) (ten seeds, skin and heart removed, ground, wrapped in paper and pressed to remove oil); Apricot Kernel (Xingren) (two to seven seeds, pierced with a copper needle, roasted over a lamp until crackling sounds occur, then separately ground).
Ensure all ingredients are fresh and high quality. Grind together in a mortar until uniform. Bind with water to form pills the size of broomcorn millet. Administer one pill per dose with gruel drink; breast milk may also be used. Adjust dosage according to the child's size.
*Taiping Shenghui Fang* treats Pediatric Food Stagnation Gan characterized by deficiency-type epigastric/abdominal distension, oppression, and occasional fever with thirst. **Dahuang Wan** Formula:
Radix et Rhizoma Rhei (Chuan Dahuang) (scraped, lightly stir-fried); Coptis Rhizome (Huanglian) (whiskers removed); Cinnamon Twig (Guixin); Hematite (Daizhe) (finely ground; each 1 liang); Cinnabar (Zhusha), Moschus (Shexiang) (each finely ground); Croton Seed (Badou) (skin and heart removed, ground, wrapped in paper and pressed to remove oil; each 1 fen); Aucklandia Root (Muxiang); Apricot Kernel (Xingren) (soaked in water, skin and tip removed, double-kernel removed, bran-roasted until yellow, ground into paste; each half liang); Myristica Seed (Roudoukou) (two seeds, shell removed).
Crush the above herbs, sieve into powder. Add Croton Seed and Apricot Kernel, grind thoroughly until uniform. Bind with refined honey to form pills the size of sesame seeds. Administer three pills per dose with gruel drink. Adjust dosage according to the child's size.
*Taiping Shenghui Fang* treats Pediatric Food Stagnation Gan with abdominal distension. **Taohua San** Powder:
Peach Blossom (Taohua) (1 fen); Dried Toad (Ganchan) (coated with butter, roasted until charred); Myristica Seed (Roudoukou) (shell removed); Indigo Naturalis (Qingdai) (finely ground); Red Peony Root (Chishaoyao); Purple Bamboo Shoot Tea (Zisuncha) (each half liang).
Crush the above herbs, sieve finely into powder. Administer half qian per dose, mixed with warm gruel drink. Adjust dosage temporarily based on the child's size.
*Taiping Shenghui Fang* treats Pediatric Food Stagnation Gan with anorexia and emaciation. **Diseng San** Powder:
Toad (Chan) (one piece, coated with butter, roasted until slightly yellow); Dung Beetle (Qianglang) (wings and legs removed, lightly stir-fried); Hordeum Vulgare (Mai) (lightly stir-fried); Medicated Leaven (Shenqu) (stir-fried until slightly yellow; each 1 fen).
Crush the above herbs, sieve finely into powder. Administer half qian per dose, mixed with gruel drink. Adjust dosage according to the child's size.
*Boji Fang* treats Pediatric Gan-Shi Qi characterized by puffiness of the face and head, intra-abdominal diarrhea, sallow complexion, hair forming tufts, epigastric/abdominal fullness, and visible cyanotic veins on the abdomen. **Emo Huanglian Wan** Formula:
Scabies Toad (Jie Hamatu) (one piece, wash the belly, soak in wine, roast until yellow and fragrant); Aucklandia Root (Muxiang); Aquilaria Wood (Chenxiang); Clove (Dingxiang) (each 1 fen); Moschus (Shexiang) (a little); Picrorhiza Rhizome (Huhuanglian); Coptis Rhizome (Huanglian) (nine-jointed variety); Momordica Seed (Mubiezi) (burned until smoke turns yellow; each half liang); Croton Seed (Badou) (twenty-one grains, washed with water, remove heart, membrane, and oil, wrap in paper, press with heavy object to extract oil, then grind like flour).
Grind the above ten ingredients finely, sieve into powder. Soak steamed bread dough in water, bind to form pills the size of radish seeds. Take one pill on an empty stomach and before bed with rice drink. Children over three years old take two to three pills. Avoid sticky and slippery foods.
Zhang Huan’s **Shijunzi Dan**: Treats Spleen Gan where the child eats well but fails to gain muscle mass, or experiences occasional dysentery.
Quinine Fruit (Shijunzi) (2 liang, skin removed, stir-fried); Clove (Dingxiang); Aucklandia Root (Muxiang); Magnolia Bark (Nongpu) (processed with ginger juice); Myrobalan (Meishizi) (from Southern regions); Picrorhiza Rhizome (Huhuanglian); Myristica Seed (Roudoukou) (both crushed and sieved into fine powder; each 2 liang, added subsequently); True Aloe (Zhen Lvhui); Moschus (Shexiang) (each ground; 1 fen).
Mix evenly, bind with millet rice to form pills the size of millet seeds. Administer ten pills per dose with boiled tangerine peel decoction, before breastfeeding.
Zhang Huan’s **Muxiang Jian**: Treats Food Stagnation Gan characterized by lack of hunger/satiety awareness, internal stagnation, abdominal distension with thin legs, and profuse diarrhea.
Southern Aucklandia Root (Nan Muxiang) (scraped); Myristica Seed (Roudoukou); Quinine Fruit (Shijunzi) (shells removed for both); Picrorhiza Rhizome (Huhuanglian); Trogopterus Dung (Wulingzhi) (each 1 liang); Dried Toad (Ganchan) (two pieces, roasted with butter).
Crush and sieve into fine powder. Subsequently add: Croton Seed (Badou) (seven seeds, skin, heart, and membrane removed, oil extracted via paper wrapping, finely ground); Moschus (Shexiang) (1 fen, finely ground).
Mix evenly, add drops of water to a stone mortar, pound 100-200 times, bind to form pills the size of millet seeds. Administer two to three pills per dose with warm ginger decoction, after milk/food intake. Adjust dosage based on child's size.
Zhang Huan’s **Binglang Dan**: Treats Food Stagnation Gan where the child eats well but fails to gain muscle mass; suitable for long-term use.
Arecae Semen (Binglang) (wrapped in dough and roasted until dough is dry); Picrorhiza Rhizome (Huhuanglian); Aucklandia Root (Muxiang) (each 1 liang); Hematite Stone (Daizheshi) (1 fen).
Crush each separately and sieve into fine powder. Subsequently add: Ink Stick (Xiangmo) (burned to retain properties, finely ground); Moschus (Shexiang) (finely ground; each 1 fen).
Mix evenly, bind with glutinous rice to form pills the size of millet seeds. Administer ten pills per dose with boiled tangerine peel decoction, after meals. Adjust dosage based on child's size.
Zhang Huan’s **Roudoukou Dan**: Treats Food Stagnation Gan with emaciation and accompanying stagnation; especially effective with regular use.
Myristica Seed (Roudoukou); Quinine Fruit (Shijunzi) (shells removed for both); Green Tangerine Peel (Qingjupi) (stir-fried until yellow); Morning Glory Seed (Qianniuzi) (1 fen, stir-fried until yellow).
Crush and sieve into fine powder. Subsequently add: Aloe (Lvhui) (1 fen, ground); Moschus (Shexiang) (1 qian, ground).
Mix thoroughly, bind with glutinous rice to form pills the size of millet seeds. Administer ten pills per dose with ginger decoction, after meals. Adjust dosage based on child's size.
*Wanquan Fang* treats Pediatric Spleen Gan characterized by indigestion of food and fluids, epigastric/abdominal fullness, pica, and physical weakness. **Helile Wan**:
Pericarpium Chebulae (Helilepi) (3 fen); Myristica Seed (Roudoukou) (one seed, shell removed); Arecae Semen (Binglang) (half liang); Aged Tangerine Peel (Chenjuapi) (pith removed); Ginseng Root (Renshen); Aloe (Lvhui); Indigo Naturalis (Qingdai); Moschus (Shexiang); Bear Bile (Xiongdan); Cinnabar (Zhusha) (these five items finely ground; each 1 fen).
Crush and sieve into powder, mix thoroughly. Bind with rice wine-boiled japonica rice to form pills the size of millet grains. Administer three pills per dose with gruel drink. Adjust dosage based on the child's age.
*Wanquan Fang* treats Pediatric Spleen Gan characterized by deficiency-type epigastric/abdominal distension, oppression, and occasional fever with thirst. **Dahuang Wan**:
Radix et Rhizoma Rhei (Chuan Dahuang) (scraped, stir-fried); Coptis Rhizome (Huanglian); Cinnamon Twig (Guixin); Hematite (Daizhe) (finely ground); Croton Seed (Badou) (skin and heart removed, ground, wrapped in paper and pressed to remove oil); Cinnabar (Zhusha); Moschus (Shexiang) (ground; each 1 liang); Aucklandia Root (Muxiang); Ginseng Root (Renshen); Apricot Kernel (Xingren) (soaked in water, skin and tip removed, double-kernel removed, bran-roasted until yellow, ground into paste); Bupleurum Root? No, *Bupleuri Radix* is Chaihu, here likely *Sanleng* (Rhizoma Sparganii/Jingsanleng) (each half liang); Myristica Seed (Roudoukou) (two seeds, remove grain content).
Crush and sieve into powder. Add Croton Seed and Apricot Kernel, grind thoroughly until uniform. Bind with refined honey to form pills the size of sesame seeds. Administer three pills per dose with gruel drink.
*Zhang Family Collection* treats Pediatric Xiao-Gan and Digestion Promoting Pill Formula:
Medicated Leaven (Shenqu); Hordeum Vulgare (Maiya); Picrorhiza Rhizome (Huhuanglian); Xanthium Fruit? No, *Xanthii Fructus* is Cang'erli, here *Wuyi* (Terminalia Chebula Retzii Fruit? No, *Wuyi* usually refers to *Xanthium* or similar, but in Gan context often *Xanthii Fructus* or *Terminalia*. Given "Xiao Gan", likely *Xanthii Fructus* or *Terminalia*. Let's stick to literal: Wuyi).
Grind into powder. Boil with wine to make paste, bind to form pills the size of broomcorn millet seeds. Take with water.
*Zhuang Family Collection* treats Pediatric Spleen Gan with cold-heat diarrhea.
Coptis Rhizome (Xuanlian) (1 fen); Aucklandia Root (Muxiang) (half fen).
Lightly stir-fry these two ingredients, sieve into fine powder. Bind with rice to form pills the size of broomcorn millet seeds. Administer five to seven pills per dose with rice drink, three times daily. Highly effective.
*Kong Family Collection* treats Pediatric Spleen Gan Formula:
Picrorhiza Rhizome (Huhuanglian); Quinine Fruit (Shijunzi); Schisandra Berry (Wuweizi); Arecae Semen (Binglang) (each 1 qian); Southern Aucklandia Root (Nan Muxiang) (half qian).
Grind into powder. Bind with millet rice to form pills the size of mung beans. Give five to seven pills mixed in rice, three times daily.
*Wang Family Manual* **Xiao-Gan Wan**: Treats Pediatric Food Stagnation Gan with lactation癖 (accumulation), abdominal distension, emaciation, nose rubbing, nail biting, pica, mixed-color dysentery, irritability and thirst, sallow complexion, alternating chills and fever, wheezing and fullness, failure to develop muscle mass.
Pericarpium Chebulae (Hezipi) (five pieces); Arecae Semen (Binglang) (two pieces); Myristica Seed (Roudoukou) (one piece); Aucklandia Root (Muxiang); Clove (Dingxiang); Galangal Fruit (Bichengqie); Green Tangerine Peel (Qingpi) (each 1 qian); Amomum Fruit (Suosha) (ten pieces); Broomcorn Millet (Sumi) (one he); Croton Seed (Badou) (twenty-one pieces).
Grind into coarse powder. Stir-fry together with Croton Seed until yellow. Remove Croton Seed. Grind remaining powder into fine powder. Bind with ink-water and dough paste. Administer ten pills per dose with broomcorn millet drink before meals.