小儿疳疾身发热，轻重虚实当分别，初用青蒿饮为宜，日久鳖甲散最捷。
【注】疳疾之证，身多发热。治者宜分别轻重、虚实治之。病初起多实者，鳖甲青蒿
饮主之；日久多虚者，鳖甲散主之。
鳖甲青蒿饮
银柴胡 鳖甲（炙） 青蒿 生甘草 生地黄 胡黄连 赤芍 知母（炒） 地骨皮
引用灯心，水煎服。
【方歌】疳疾血虚身发热，鳖甲青蒿药有功，银柴鳖蒿草地芍，胡连知母地骨同。
鳖甲散
人参 黄 （炙） 鳖甲（炙） 生地 熟地 当归 白芍（炒） 地骨皮
水煎服。
【方歌】疳疾日久骨热蒸，鳖甲散治效从容，参 鳖甲生熟地，当归白芍地骨同。
脑疳多缘受风热，又兼乳哺失调节，头皮光急生饼疮，头热发焦如穗结，鼻干心烦腮囟肿，困倦睛暗身汗热，龙胆
龙脑丸甚良，吹鼻龙脑效甚捷。
【注】脑疳者，因儿素受风热，又兼乳哺失调，以致变生此证。头皮光急，脑生饼疮，
头热毛焦，发结如穗，鼻干心烦，腮囟肿硬，困倦睛暗，自汗身热也。脑热生疮者，龙胆
丸主之；烦热羸瘦者，龙脑丸主之。外用吹鼻龙脑散吹之，其证自愈。
龙胆丸
龙胆草 升麻 苦楝根皮（焙） 防风 赤茯苓 芦荟 油发灰（各二钱） 青黛 黄连（各三钱）
上为细末，猪胆汁浸糕糊丸，如麻子大，薄荷汤下，量儿大小与之。
龙脑丸
龙脑 麝香（各五分） 雄黄（二钱） 胡黄连（三钱） 牛黄（一钱） 朱砂（一钱五分） 芦荟
（生，三钱） 干虾蟆（灰，四钱）
上为细末，熊胆合丸，如麻子大，每服三丸，薄荷汤下。
吹鼻龙脑散
龙脑 麝香（少许各研细末） 蜗牛壳（炒黄） 虾蟆灰 瓜蒂 黄连 细辛 桔梗（各等分）
上为细末，入瓷盒内贮之，每取少许吹入鼻中，日吹二次。
Pediatric patients suffering from Gan disease (nutritional impairment) present with body fever; the severity and deficiency-excess nature must be differentiated. Qinghao Yin (Artemisia Annua Decoction) is suitable for the initial stage, while Biejia San (Turtle Shell Powder) is most effective for prolonged illness.
[Note] The syndrome of Gan disease often involves body fever. Practitioners should treat based on differentiation of severity and deficiency-excess patterns. Early-stage cases, mostly excess in nature, are primarily treated with Biejia Qinghao Yin (Turtle Shell and Artemisia Annua Decoction); long-standing cases, mostly deficiency in nature, are primarily treated with Biejia San (Turtle Shell Powder).
Biejia Qinghao Yin (Turtle Shell and Artemisia Annua Decoction)
Ingredients: Yin Chai Hu (Stellariae Radix), Bie Jia (Testudinis Carapax et Plastrum, stir-baked), Qing Hao (Artemisiae Annuae Herba), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, raw), Sheng Di Huang (Rehmanniae Radix, raw), Hu Huang Lian (Coptidis Rhizoma, specifically Coptis chinensis var. chinensis or related species used for heat-clearing), Chi Shao (Paeoniae Radix Rubra), Zhi Mu (Anemarrhenae Rhizoma, stir-fried), Di Gu Pi (Lycii Cortex).
Add Deng Xin Cao (Junci Medulla) as a guide drug, decoct with water, and take orally.
[Prescription Verse] Gan disease with blood deficiency causes body fever; Bie Jia and Qing Hao exert meritorious effects. The formula contains Yin Chai Hu, Bie Jia, Qing Hao, Gan Cao, Sheng Di, Chi Shao, combined with Hu Lian, Zhi Mu, and Di Gu Pi.
Biejia San (Turtle Shell Powder)
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix, stir-baked), Bie Jia (Testudinis Carapax et Plastrum, stir-baked), Sheng Di Huang (Rehmanniae Radix, raw), Shu Di Huang (Rehmanniae Radix, prepared), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba, stir-fried), Di Gu Pi (Lycii Cortex).
Decoct with water and take orally.
[Prescription Verse] Prolonged Gan disease leads to bone-steaming fever; Bie Jia San treats it with effective and steady results. The formula consists of Ren Shen, Bie Jia, Sheng Di Huang, Shu Di Huang, combined with Dang Gui, Bai Shao, and Di Gu Pi.
Nao Gan (Brain Gan) often arises from contracting wind-heat pathogens, compounded by improper breastfeeding or feeding regulation. Symptoms include shiny and tight scalp with "pancake sores" (bi chuang), hot head with dry, matted hair resembling grain ears, dry nose, irritability, swelling of cheeks and fontanelles, fatigue, dim vision, sweating, and body heat. Long Dan Wan (Gentian Pill) and Long Nao Wan (Borneol Pill) are highly effective; blowing Long Nao San (Borneol Powder) into the nose yields rapid results.
[Note] Nao Gan occurs because the child has previously been affected by wind-heat, combined with irregular feeding, leading to this syndrome. Manifestations include shiny and tight scalp, pancake sores on the brain/head area, hot head with dry hair, hair matted like tufts, dry nose, irritability, hardness and swelling of cheeks and fontanelles, fatigue, dim eyes, spontaneous sweating, and body heat. For brain heat causing sores, Long Dan Wan is indicated; for irritability, fever, and emaciation, Long Nao Wan is indicated. Externally, apply Long Nao San via nasal insufflation, and the condition will resolve spontaneously.
Long Dan Wan (Gentian Pill)
Ingredients: Long Dan Cao (Gentianae Radix et Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Ku Lian Gen Pi (Meliae Cortex), Fang Feng (Saposhnikoviae Radix), Chi Fu Ling (Poria cum Ramo et ligno, red-colored), Lu Hui (Aloe), You Fa Hui (Ash of human hair burned with oil, 2 qian each for the last two), Qing Dai (Indicum), Huang Lian (Coptidis Rhizoma, 3 qian each for the last two).
Grind all ingredients into fine powder. Soak rice cake paste in pig bile to form pills the size of hemp seeds. Take with Bo He Tang (Mint Decoction), adjusting dosage according to the child's age and size.
Long Nao Wan (Borneol Pill)
Ingredients: Long Nao (Borneolum Syntheticum or Naturalis, 5 fen each with She Xiang), She Xiang (Moschus, 5 fen), Xiong Huang (Realgar, 2 qian), Hu Huang Lian (Coptidis Rhizoma, 3 qian), Niu Huang (Bovis Calculus, 1 qian), Zhu Sha (Cinnabaris, 1.5 qian), Lu Hui (Aloe, raw, 3 qian), Gan Xia Ma (Dried Bufo, ash, 4 qian).
Grind all ingredients into fine powder. Mix with Xiong Dan (Ursi Fel) to form pills the size of hemp seeds. Take three pills per dose with Bo He Tang (Mint Decoction).
Chui Bi Long Nao San (Nasal Insufflation Borneol Powder)
Ingredients: Long Nao (Borneolum Syntheticum or Naturalis, small amount, separately ground fine), She Xiang (Moschus, small amount, separately ground fine), Wo Niu Ke (Cochleae Concha, stir-fried until yellow), Xia Ma Hui (Ash of Bufo), Gua Di (Thladianthae Fructus), Huang Lian (Coptidis Rhizoma), Xi Xin (Asari Radix et Rhizoma), Jie Geng (Platycodonis Radix, equal parts).
Grind all ingredients into fine powder. Store in a porcelain box. Take a small amount and insufflate into the nose twice daily.