肝疳面目爪甲青，眼生眵泪涩难睁，摇头揉目合面卧，耳流脓水湿疮生，腹大青筋身羸瘦，燥渴
烦急粪带青，清热柴胡同芦荟，调养逍遥抑肝灵。
【注】肝属木，色青主筋。故肝疳则见面目爪甲皆青，眼生眵泪，隐涩难睁，摇头揉
目，合面睡卧，耳疮流脓，腹大青筋，身体羸瘦，燥渴烦急，粪青如苔之证也。治宜先
清其热，用柴胡清肝散，芦荟肥儿丸主之。若病势稍退，当以逍遥散、抑肝扶脾汤调理。
柴胡清肝散
银柴胡 栀子（微炒） 连翘（去心） 胡黄连 生地黄 赤芍 龙胆草 青皮（炒） 甘草（生）
引用灯心、竹叶，水煎服。
【方歌】柴胡清肝治肝疳，银柴栀子翘胡连，生地赤芍龙胆草，青皮甘草一同煎。
芦荟肥儿丸
五谷虫（炒，二两） 芦荟（生） 胡黄连（炒） 川黄连（姜炒，各一两） 银柴胡（炒，一
两二钱） 扁豆（炒） 山药（炒，各二两） 南山楂(二两) 虾蟆（ ，四个） 肉豆蔻（煨，七钱） 槟榔（五
钱） 使君子（炒，二两半） 神曲（炒，二两） 麦芽（炒，一两六钱） 鹤虱（炒，八钱） 芜荑（炒，一两） 朱
砂（飞，二钱） 麝香（二钱）
共研细末，醋糊为丸，如黍米大，每服一钱，米饮下。
加味逍遥散
茯苓 炒白术 当归 白芍（炒） 柴胡 薄荷 炙甘草 丹皮 栀子（炒）
引用姜、枣，水煎服。
【方歌】加味逍遥散如神，茯苓白术当归身，白芍柴胡薄荷草，再加丹皮栀子仁。
抑肝扶脾汤
人参 白术（土炒） 黄连（姜炒） 柴胡（酒炒） 茯苓 青皮（醋炒） 陈皮 白芥子 龙
胆草 山楂 神曲（炒） 炙甘草
引用姜、枣，水煎服。
【方歌】调理抑肝扶脾汤，参术黄连柴苓良，青陈白芥龙胆草，山楂神曲甘草尝。
Liver Gan (Liver Malnutrition Syndrome) manifests with cyanosis of the face, eyes, and nails; ocular discharge and tearing with dryness and difficulty in opening the eyes; head shaking, eye rubbing, and prone sleeping; otorrhea with wet sores; abdominal distension with visible subcutaneous veins; emaciation; dry mouth and thirst; irritability and restlessness; and greenish stools. Treatment should employ Chaihu Qinggan Tang (Bupleurum Decoction for Clearing Liver Heat) combined with Lu Hui preparations. For regulation, Xiaoyao San (Free and Easy Wanderer Powder) and Yi Gan Ling Formula are selected.
[Note] The Liver belongs to Wood in the Five Elements, its color is Green, and it governs the Sinews. Therefore, Liver Gan presents with cyanosis of the face, eyes, and nails; ocular discharge and tearing with hidden dryness and difficulty in opening; head shaking, eye rubbing, and prone sleeping; otitis with purulent discharge; abdominal distension with exposed blue veins; emaciation; dry mouth and thirst; irritability and restlessness; and stools as green as moss. Treatment should first clear the internal Heat, using Chaihu Qinggan San (Bupleurum Powder for Clearing Liver Heat) and Lu Hui Fei Er Wan (Aloe Pill for Nourishing the Child) as primary formulas. If the pathological condition subsides slightly, Xiaoyao San (Free and Easy Wanderer Powder) and Yi Gan Fu Pi Tang (Decoction for Calming the Liver and Supporting the Spleen) should be used for regulation.
Chaihu Qinggan San (Bupleurum Powder for Clearing Liver Heat)
Ingredients: Yin Chai Hu (Stellariae Radix), Zhi Zi (Gardeniae Fructus, lightly stir-fried), Lian Qiao (Forsythiae Fructus, heart removed), Hu Huang Lian (Coptidis Rhizoma var. chinense or Coptidis Rhizoma), Sheng Di Huang (Rehmanniae Radix), Chi Shao (Paeoniae Radix Rubra), Long Dan Cao (Gentianae Radix), Qing Pi (Citri Reticulatae Pericarpium Viride, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw).
Administration: Add Deng Xin Cao (Junci Medullia) and Zhu Ye (Phyllostachys Folium), decoct in water, and take orally.
[Formula Song] Chaihu Qinggan treats Liver Gan, containing Yin Chai Hu, Zhi Zi, Lian Qiao, and Hu Huang Lian; Sheng Di Huang, Chi Shao, Long Dan Cao, along with Qing Pi and Gan Cao, are decocted together.
Lu Hui Fei Er Wan (Aloe Pill for Nourishing the Child)
Ingredients: Wu Gu Chong (Trogoderma Larva, stir-fried, 2 liang), Lu Hui (Aloe, raw), Hu Huang Lian (Coptidis Rhizoma var. chinense or Coptidis Rhizoma, stir-fried), Chuan Huang Lian (Coptidis Rhizoma, ginger-stir-fried, each 1 liang), Yin Chai Hu (Stellariae Radix, stir-fried, 1 liang 2 qian), Bian Dou (Dolichoris Semen, stir-fried), Shan Yao (Dioscoreae Rhizoma, stir-fried, each 2 liang), Nan Shan Zha (Crataegi Fructus, 2 liang), Xia Ma (Toad, 4 pieces), Rou Dou Kou (Myristicae Semen, baked, 7 qian), Bing Lang (Arecae Semen, 5 qian), Shi Jun Zi (Quisqualis Fructus, stir-fried, 2 liang 5 qian), Shen Qu (Massa Medicata Fermentata, stir-fried, 2 liang), Mai Ya (Hordei Fructus Germinatus, stir-fried, 1 liang 6 qian), He Shi (Carthami Flos? Note: Text says He Shi, likely a typo for He Shi Ni or similar, but strictly translating entity "He Shi" - Carthami Flos is Hong Hua, He Shi is Kaolin. In pediatric context, often refers to specific insect or mineral. Given "He Shi" usually means Kaolinite, but here might be a specific term. I will use the pinyin/latin provided in standard texts if available, otherwise literal. Actually, "He Shi" in this list likely refers to *Heshi* (Kaolin) or potentially a typo for *He Shi Ni*. However, looking at standard Lu Hui Fei Er Wan, it often contains *Wu Gu Chong*, *Lu Hui*, etc. Some versions include *He Shi*. I will translate as Kaolin.), Bai Qi (not present, wait, text says He Shi), Wu Yi (Terminaliae Chebulae Fructus, stir-fried, 1 liang), Zhu Sha (Cinnabar, washed, 2 qian), She Xiang (Moschus, 2 qian).
Preparation and Administration: Grind all ingredients into fine powder, bind with vinegar paste to form pills the size of millet seeds. Take 1 qian per dose, administered with rice drink.
Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder)
Ingredients: Fu Ling (Poria), Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Dang Gui (Angelicae Sinensis Radix), Chao Bai Shao (Paeoniae Radix Alba, stir-fried), Chai Hu (Bupleuri Radix), Bo He (Menthae Haplocalycis Herba), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Dan Pi (Moutan Cortex), Zhi Zi (Gardeniae Fructus, stir-fried).
Administration: Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus), decoct in water, and take orally.
[Formula Song] Jia Wei Xiao Yao San is miraculous, containing Fu Ling, Bai Zhu, and Dang Gui Shen; Bai Shao, Chai Hu, Bo He, and Gan Cao, plus Dan Pi and Zhi Zi Ren.
Yi Gan Fu Pi Tang (Decoction for Calming the Liver and Supporting the Spleen)
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried), Huang Lian (Coptidis Rhizoma, ginger-stir-fried), Chai Hu (Bupleuri Radix, wine-stir-fried), Fu Ling (Poria), Qing Pi (Citri Reticulatae Pericarpium Viride, vinegar-stir-fried), Chen Pi (Citri Reticulatae Pericarpium), Bai Jie Zi (Sinapis Semen), Long Dan Cao (Gentianae Radix), Shan Zha (Crataegi Fructus), Shen Qu (Massa Medicata Fermentata, stir-fried), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Administration: Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus), decoct in water, and take orally.
[Formula Song] Yi Gan Fu Pi Tang for regulation, Ren Shen, Bai Zhu, Huang Lian, Chai Hu, and Fu Ling are excellent; Qing Pi, Chen Pi, Bai Jie Zi, Long Dan Cao, Shan Zha, Shen Qu, and Gan Cao are tasted.