疳疾伤脾因作泻，先清后补为妙诀，初宜清热和中汤，久泻参苓白术捷。
【注】疳泻之证，多缘积热伤脾，以致水谷不分，频频作泻，法当清热渗湿，以清热
和中汤主之。若泻久不愈，当渐为调理，参苓白术散主之。
清热和中汤
白术（土炒） 陈皮 浓朴（姜炒） 赤苓 黄连 神曲（炒） 谷芽（炒） 使君子 生甘草 泽
泻
引用灯心，水煎服。
【方歌】疳久泄泻名疳泻，清热和中功甚捷，白术陈浓赤苓连，神谷使君草泽泻。
参苓白术散（方见脾疳）
疳疾肿胀面浮光，传化失宜脾肺伤，气逆喘咳胸膈满，御苑匀气服最良。
【注】疳疾肿胀之证，多因传化失宜，以致脾肺两伤。现证气逆喘咳，胸膈痞闷，肚
腹肿胀，面色浮光。宜用御苑匀气散治之，其肿胀自消矣。
御苑匀气散
桑皮（蜜炒） 桔梗 赤苓 甘草（生） 藿香 陈皮 木通
引用姜皮、灯心，水煎服。
【方歌】疳久脾虚肿胀生，御苑匀气有奇功，桑皮桔梗赤苓草，藿香陈皮合木通。
疳疾日久频下痢，多缘肠胃热凝滞，或赤或白腹窘急，香连导滞为妙剂。
【注】疳痢之由，皆因热结肠胃所致。故痢时或赤或白，腹中窘痛，急用香连导滞汤
治之，其痢自愈。
香连导滞汤
青皮（炒） 陈皮 浓朴（姜炒） 川黄连（姜炒） 生甘草 山楂 神曲（炒） 木香（煨） 槟
榔大黄
引用灯心，水煎服。
【方歌】疳久下痢名疳痢，香连导滞功最良，青陈浓朴川连草，楂曲木香槟大黄。
Gan disease (chronic malnutrition syndrome) damaging the Spleen and Stomach leads to diarrhea; clearing heat first and tonifying later is the essential principle. Initially, Qingre Hezhong Tang (Clear Heat and Harmonize the Middle Decoction) is suitable, while Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) is effective for chronic diarrhea.
[Note] The syndrome of Gan diarrhea (diarrhea associated with Gan disease) often arises from accumulated heat damaging the Spleen, resulting in the failure to separate clear turbid substances, leading to frequent diarrhea. The treatment method should be to clear heat and leach out dampness, primarily using Qingre Hezhong Tang. If the diarrhea persists for a long time without healing, gradual regulation is required, primarily using Shenling Baizhu San.
Qingre Hezhong Tang (Clear Heat and Harmonize the Middle Decoction)
Atractyodis Rhizoma Praeparatum (Bai Zhu, 白术, stir-fried with soil)
Citri Reticulatae Pericarpium (Chen Pi, 陈皮)
Magnoliae Officinalis Cortex (Nong Po, 浓朴, stir-fried with ginger juice)
Poria (Chi Ling, 赤苓)
Coptidis Rhizoma (Huang Lian, 黄连)
Medicated Leaven (Shen Qu, 神曲, stir-fried)
Setariae Fructus Germinatus (Gu Ya, 谷芽, stir-fried)
Quisqualis Indica Fructus (Shi Jun Zi, 使君子)
Glycyrrhizae Radix et Rhizoma Recens (Sheng Gan Cao, 生甘草)
Alismatis Rhizoma (Ze Xie, 泽泻)
Reference: Juncus effusus (Deng Xin, 灯心), decocted in water and taken orally.
[Formula Song] Chronic diarrhea due to Gan disease is called Gan diarrhea; Qingre Hezhong has a very rapid effect. It contains Bai Zhu, Chen Pi, Nong Po, Chi Ling, Huang Lian, Shen Qu, Gu Ya, Shi Jun Zi, Gan Cao, and Ze Xie.
Shenling Baizhu San (See formula under Pi Gan/Spleen Gan disease)
Gan disease presenting with swelling and a shiny, puffy face indicates impaired transmission and transformation, damaging both the Spleen and Lung. Qi rebellion causes wheezing and coughing with chest fullness; taking Yuyuan Yunqi San is most beneficial.
[Note] The syndrome of Gan swelling often results from impaired transmission and transformation, causing damage to both the Spleen and Lung. Current symptoms include Qi rebellion with wheezing and coughing, chest and diaphragm stuffiness, abdominal distension and swelling, and a shiny, puffy complexion. It is appropriate to treat with Yuyuan Yunqi San, after which the swelling will naturally subside.
Yuyuan Yunqi San (Imperial Garden Regulating Qi Powder)
Mori Cortex Praeparatum (Sang Pi, 桑皮, honey-stir-fried)
Platycodonis Radix (Jie Geng, 桔梗)
Poria (Chi Ling, 赤苓)
Glycyrrhizae Radix et Rhizoma Recens (Sheng Gan Cao, 生甘草)
Agastaches Herba (Huo Xiang, 藿香)
Citri Reticulatae Pericarpium (Chen Pi, 陈皮)
Akebiae Caulis (Mu Tong, 木通)
Reference: Zingiberis Pericarpium (Jiang Pi, 姜皮) and Juncus effusus (Deng Xin, 灯心), decocted in water and taken orally.
[Formula Song] Spleen deficiency due to chronic Gan disease generates swelling; Yuyuan Yunqi has miraculous efficacy. It contains Sang Pi, Jie Geng, Chi Ling, Gan Cao, Huo Xiang, Chen Pi, and Mu Tong.
Chronic Gan disease frequently presenting with dysentery is mostly due to heat coagulation and stagnation in the intestines and stomach. Stools may be red or white, accompanied by abdominal urgency and pain; Xianglian Daozhi Tang is an excellent prescription.
[Note] The cause of Gan dysentery lies in heat accumulation in the intestines and stomach. Therefore, during dysentery, stools may be red or white, with abdominal cramping and pain. Urgently use Xianglian Daozhi Tang to treat it, and the dysentery will heal itself.
Xianglian Daozhi Tang (Costus and Coptis Guiding Out Stagnation Decoction)
Citri Reticulatae Pericarpium Viride (Qing Pi, 青皮, stir-fried)
Citri Reticulatae Pericarpium (Chen Pi, 陈皮)
Magnoliae Officinalis Cortex (Nong Po, 浓朴, stir-fried with ginger juice)
Coptidis Rhizoma (Chuan Huang Lian, 川黄连, stir-fried with ginger juice)
Glycyrrhizae Radix et Rhizoma Recens (Sheng Gan Cao, 生甘草)
Crataegi Fructus (Shan Zha, 山楂)
Medicated Leaven (Shen Qu, 神曲, stir-fried)
Aucklandiae Radix (Mu Xiang, 木香, baked)
Arecae Semen (Bing Lang, 槟榔)
Rhei Radix et Rhizoma (Da Huang, 大黄)
Reference: Juncus effusus (Deng Xin, 灯心), decocted in water and taken orally.
[Formula Song] Chronic dysentery due to Gan disease is called Gan dysentery; Xianglian Daozhi has the best efficacy. It contains Qing Pi, Chen Pi, Nong Po, Chuan Huang Lian, Gan Cao, Shan Zha, Shen Qu, Mu Xiang, Bing Lang, and Da Huang.