无辜疳传有二因，鸟羽污衣着儿身，或缘乳母病传染。颈项疮核便利脓，虫蚀脏腑身羸瘦，面黄发热致疳生。清热
宜用柴胡饮，消疳肥儿效如神。
【注】无辜疳者，其病原有二∶或因浣衣夜露，被无辜鸟落羽所污，儿着衣后，致成
此证；或因乳母有病，传染小儿，以有此疾。
其证颈项生疮，或项内有核如弹，按之转动，软而不疼，其中有虫如米粉，不速破之，使
虫蚀脏腑，便利脓血，身体羸瘦，面黄发热也。治宜先清其热，柴胡饮主之；再消其疳，
以芦荟肥儿丸主之。
柴胡饮
赤芍药 柴胡 黄连 半夏（姜制） 桔梗 夏枯草 龙胆草 浙贝母 黄芩 甘草（生）
引用灯心，水煎服。
【方歌】柴胡饮治无辜疳，赤芍柴胡川黄连，半夏桔梗夏枯草，龙胆浙贝芩草煎。
芦荟肥儿丸（方见肝疳）
偏身骨露号丁奚，肌肉干涩昼夜啼，手足枯细面黧黑，项细腹大突出脐，尻削身软精神倦，骨蒸潮热渴烦急，化滞
五疳消积治，补养人参启脾宜。
【注】丁奚者，遍身骨露，其状似丁，故名曰丁奚也。其证肌肉干涩，啼哭不已，手
足枯细，面色黧黑，项细腹大，肚脐突出，尻削身软，精神倦怠，骨蒸潮热，燥渴烦急也。
先用五疳消积丸化其滞，继用人参启脾丸理其脾病，可渐愈矣。
五疳消积丸
使君子肉（炒，五钱） 麦芽（炒） 陈皮 神曲（炒） 山楂（各一两） 白芜荑 黄连 胆
草（各三钱）
上为末，陈米饭为丸，每服一钱，米饮下。
人参启脾丸
人参（五钱） 白术（土炒，五钱） 白茯苓（五钱） 陈皮（四钱） 扁豆（炒，五钱） 山
药（炒，五钱） 木香（煨，二钱） 谷芽（炒，三钱） 神曲（炒，三钱） 炙甘草（二钱）
上研细末，炼蜜为丸，重一钱，用建莲汤化下。
The transmission of Wugu Gan (Innocent Malnutrition) has two causes: it may result from bird feathers or dirty clothes coming into contact with the infant's body, or it may be transmitted from a sick wet nurse. Symptoms include sores and lymph node swelling in the neck region, purulent discharge during defecation, emaciation due to parasitic erosion of the internal organs, yellowish complexion, fever, leading to the development of Gan syndrome. For clearing heat, Chaihu Yin (Bupleurum Decoction) is appropriate; for eliminating Gan, Fei'er Wan (Child-Nourishing Pill) is as effective as a miracle.
[Note] The etiology of Wugu Gan involves two aspects: one is exposure to night dew during laundry, where feathers from the "Wugu Bird" (a legendary toxic bird) contaminate the clothes, causing the disease when worn by the infant; the other is transmission from a sick wet nurse to the child.
Clinical manifestations include sores on the neck or elastic-sized nodules within the neck that are movable upon palpation, soft in texture, painless, containing worm-like substances resembling rice flour. If not promptly drained, these worms may erode the viscera, resulting in pus and blood in stool and urine, severe emaciation, yellowish complexion, and fever. Treatment should first focus on clearing heat, primarily using Chaihu Yin (Bupleurum Decoction); subsequently, to eliminate Gan accumulation, Lu Hui Fei'er Wan (Aloe Child-Nourishing Pill) is indicated.
Chaihu Yin (Bupleurum Decoction)
Chi Shao Yao (Radix Paeoniae Rubra), Chai Hu (Radix Bupleuri), Huang Lian (Rhizoma Coptidis), Ban Xia (Rhizoma Pinelliae Praeparatum cum Zingibere et Alumine), Jie Geng (Radix Platycodonis), Xia Ku Cao (Spica Prunellae), Long Dan Cao (Radix Gentianae), Zhe Bei Mu (Bulbus Fritillariae Thunbergii), Huang Qin (Radix Scutellariae), Gan Cao (Radix Glycyrrhizae Preparata).
Add Deng Xin Cao (Medulla Junci) as an adjuvant, decoct in water, and take orally.
[Prescription Song] Chaihu Yin treats Wugu Gan, Chi Shao, Chai Hu, and Chuan Huang Lian; Ban Xia, Jie Geng, and Xia Ku Cao, along with Long Dan, Zhe Bei, Huang Qin, and Gan Cao are decocted together.
Lu Hui Fei'er Wan (See Liver Gan section for formula details).
When bones protrude all over the body, it is called Dingxi Gan (Dingxi Malnutrition). Muscles are dry and rough, with incessant crying day and night. Hands and feet are withered and thin, complexion is dark and sallow. The neck is thin while the abdomen is distended with umbilical hernia. The buttocks are wasted, the body is flaccid, and spirit is fatigued. There is bone-steaming tidal fever, thirst, irritability, and urgency. Treatment requires resolving stagnation and eliminating accumulation; for nourishment and spleen regulation, Ren Shen Qi Pi Wan (Ginseng Spleen-Initiating Pill) is suitable.
[Note] Dingxi refers to the condition where bones are exposed throughout the body, resembling the character "Ding," hence the name. Symptoms include dry and rough muscles, continuous crying, withered hands and feet, dark sallow complexion, thin neck with distended abdomen and protruding umbilicus, wasted buttocks, flaccid body, mental fatigue, bone-steaming tidal fever, dry mouth, thirst, irritability, and urgency. Initially, Wu Gan Xiao Ji Wan (Five-Gan Accumulation-Resolving Pill) is used to resolve stagnation, followed by Ren Shen Qi Pi Wan (Ginseng Spleen-Initiating Pill) to regulate the spleen, leading to gradual recovery.
Wu Gan Xiao Ji Wan (Five-Gan Accumulation-Resolving Pill)
Shi Jun Zi Rou (Arillus Quisqualis, stir-fried, 5 qian), Mai Ya (Frumentum Germinatum Hordei, stir-fried), Chen Pi (Pericarpium Citri Reticulatae), Shen Qu (Massa Medicata Fermentata, stir-fried), Shan Zha (Fructus Crataegi, each 1 liang), Bai Wu Ti (Semen Meliae Toosendan), Huang Lian (Rhizoma Coptidis), Dan Cao (Radix Gentianae, each 3 qian).
Grind into fine powder, form pills with aged rice paste. Take 1 qian per dose, washed down with rice water.
Ren Shen Qi Pi Wan (Ginseng Spleen-Initiating Pill)
Ren Shen (Radix Ginseng, 5 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, soil-stir-fried, 5 qian), Bai Fu Ling (Sclerotium Poriae Cocos, 5 qian), Chen Pi (Pericarpium Citri Reticulatae, 4 qian), Bian Dou (Semen Dolichoris Lablabis, stir-fried, 5 qian), Shan Yao (Rhizoma Dioscoreae, stir-fried, 5 qian), Mu Xiang (Radix Aucklandiae, baked, 2 qian), Gu Ya (Frumentum Germinatum Milii, stir-fried, 3 qian), Shen Qu (Massa Medicata Fermentata, stir-fried, 3 qian), Zhi Gan Cao (Radix Glycyrrhizae Preparata, 2 qian).
Grind into fine powder, bind with refined honey to make pills weighing 1 qian each. Dissolve in Jian Lian Tang (Euryale Seed Decoction) before administration.