《圣惠》五疳久而不瘥，则腹内有虫，肌体黄瘦，下痢不止，宜服药出之，则疳
气渐退。其虫状如丝发，或如马尾，多出于腹背及头项上，若虫色黄白及赤者，可
治，青色者，不可疗也。
朱砂丸《颅囟经》 治孩子疳痢，辨虫颜色，定吉凶。
朱砂（半石莲大） 阿魏（如朱砂大） 蝙蝠血（三两滴） 眉酥（少许）
上细和，少许口脂调。先桃柳枝煎汤浴儿，后看儿大小，以绿豆大填儿脐中，
后用纸可脐中贴之。用青衣盖儿，看虫出来，黄色轻，青黑色重。
《圣惠》干蟾丸 治小儿五疳及惊风出虫，定生死。
干蟾（一枚，五月五日者良） 蛇蜕皮（一条，火 ） 谷精草（二两，花前药同入罐子内，以盐泥固济，晒干，
烧令通赤，放冷研细） 胡黄连 瓜蒂 母丁香（三味同为末） 牛黄 龙脑 朱砂 雄黄 芦荟 天竺黄 麝香（各
一分） 青黛（半两）
上件药都入乳钵内研令极细，用 猪胆汁煎面糊和丸，如绿豆大。一二岁儿以
温米泔半合化下五丸。服药后以桃柳汤浴儿，着青衣，盖疳虫当出衣上及眉毛鬓
边，如细麸片子，或如糁面尘毒，黑色者难治，黄白色易治。仍宜粥饮下二丸，日三服。甚者，半月内瘥。
麝香丸 治小儿五疳瘦弱，毛发干焦，口鼻多痒，有虫。
麝香 芦荟 粉霜 朱砂（各一分） 蟾酥（一白豆许） 皂荚（三寸，烧灰） 蛇蜕皮（五寸，烧灰） 蝙
蝠（三个、取血，拌入药末）
上件药都细研，以油熔蜡和丸，如小豆大。先以桃柳汤洗儿，后用药一丸涂于
脐中，上以醋面封之。良久，即虫出，黄白赤者易治，黑者难疗。
芦荟丸 治小儿五疳，四肢干瘦，腹胀气粗，频揉鼻眼，宜服此出虫。
芦荟 牛黄 蝉壳（各一分） 腻粉 粉霜 硫黄 麝香（各一钱） 田父（一枚，烧烟似绝、便住）
青黛（半两） 巴豆（十粒，去皮心膜油） 蛇蜕皮（一条，烧灰）
上为极细末，令匀，以粳米饭丸，如绿豆大。每服以温水下二丸。良久，煎桃
柳水浴儿后，以青衣盖遍身，当有虫出，白黄色者可治，青黑者难治。
出虫丸 治小儿五疳久不瘥，羸瘦极甚。
朱砂 麝香 牛黄 蜗牛子（炒） 夜明砂（炒） 熊胆（各一分） 蟾酥（半钱）
上件药都细研，以面糊和丸，如绿豆大。每服，以温水下三丸。更别以水研一
丸滴向鼻中，得嚏五七声。良久，当有虫随汗出，立效。
干蟾丸 治小儿五疳出虫。
干蟾（一枚，烧灰） 天灵盖（灰半两） 麝香（半分） 蝉壳（去足，炒） 鳖甲（酥炙黄焦，去裙 ，各一分）
上件药为细末，每用烧饭和丸，如绿豆大。二岁以下以蛤粉汤下一丸，三岁已
上至五岁二丸。服药后，续以桃柳汤浴儿，后用青衣盖之，当有虫子出，赤白者
轻，黑者重。
熊胆丸 治小儿五疳出虫。
熊胆 朱砂 麝香 蚺蛇胆 蜣螂（炒） 瓜蒂（各半两）
上件药为极细末，入研了药，令匀，用 猪胆汁和丸，如绿豆大。先用桃柳汤
浴儿了，用粥饮下三丸。以青衣盖，当有虫出也。
定命散 治五疳有虫。
干虾蟆（一枚，烧灰） 蛇蜕皮（炒） 蝉壳（各一分）
上件为极细末，入麝香末半钱研匀。但是一切疳，至午时后以暖水调下半钱，
一二岁即服一字。后煎桃柳汤，放温浴儿了，便用青衣盖，当有虫出，即效。
青黛丸 治五疳体热，干瘦发立，鼻痒有虫，不欲饮乳。
青黛 芦荟 人中白（各半两） 猪牙皂角 蝉壳（各半分） 麝香（一分） 胡黄连（三分） 蟾涎
人乳汁（各少许）
上件为末，五月五日午时修合，以粽子肉、枣肉、及蟾涎、乳汁丸，如黍米大。
以桃柳汤浴儿后，以米饮下三丸。后着青衣裹儿，看身上有虫出，青黑者不堪，
白黄赤者易瘥。
〔钱乙〕胡黄连麝香丸 治疳气羸瘦，白虫作。
胡黄连 白芜荑（各一两半） 麝香（一钱） 黄连 木香（各半两） 辰砂（一分）
上末，面糊丸，如绿豆大。米饮下五七丸，至三五岁可十五丸，无时。
〔钱乙〕榆仁丸 治疳热瘦悴有虫，久服充肥。
榆仁 黄连（各一两）
上为末，用猪胆七枚，破取汁，与药同和，入碗内，甑上蒸九日，每日一次，
候日数足，入研麝香半钱，汤浸蒸饼和丸，绿豆大。每服五七丸至一二十丸，米饮下。
According to the *Shenghui Fang* (Holy Benefit Formulary): If the five types of Gan syndrome (childhood malnutrition with parasitic infestation) persist for a long time without healing, parasites will accumulate in the abdomen. This leads to emaciation, sallow complexion, and persistent dysentery. It is appropriate to administer medication to expel the parasites, which will gradually alleviate the Gan qi (pathogenic factor associated with childhood malnutrition). These worms resemble fine silk hairs or horse tail bristles and are mostly expelled from the abdomen, back, head, and neck. If the worms are yellowish-white or red, the condition is treatable; if they are greenish-blue, it is difficult to cure.
Zhusha Wan (Cinnabar Pill) [from *Luxin Jing*]: Treats pediatric Gan dysentery; determines prognosis based on worm color.
Ingredients: Zhusha (Cinnabaris, amount size of half a lotus seed), Awèi (Ferulae Resina, amount size of Cinnabar), Bianfu Xue (Blood of Bat, three drops), Meisu (Brow Butter, a small amount).
Preparation and Administration: Finely mix the above ingredients. Take a small amount and blend with lip balm. First, bathe the child in decoction made from peach and willow branches. Then, depending on the child's age, place a pill the size of a mung bean into the umbilicus. Cover the umbilicus with paper. Have the child wear green clothing to cover the body. Observe if worms emerge. Yellow worms indicate mild condition; green-black worms indicate severe condition.
*Shenghui Fang* Ganchan Wan (Dried Toad Pill): Treats pediatric five-type Gan syndrome and convulsions causing worm expulsion; determines life or death prognosis.
Ingredients: Ganchan (Dry Toad, one piece, preferably collected on the fifth day of the fifth lunar month), Shetuipi (Ophichthidis Cutis, one strip, roasted), Gujingcao (Panicum miliaceum Flower, two taels; harvested before flowering, placed in a jar with other three herbs, sealed with salt mud, dried, fired until red-hot, cooled, and ground finely), Huhuanglian (Scutellariae Barbatae Radix), Gudi (Melonis Fructus), Mudingxiang (Eugeniae Caryophyllati Flos); these three are ground together into powder; Niuhuang (Calculus Bovis), Longnao (Borneolum Syntheticum), Zhusha (Cinnabaris), Xionghuang (Realgar), Lulü (Aloe), Tianzhuhuang (Bambusae Caulis in Taeniam), Muxiang (Moschus); each one fen; Qingdai (Indigo Naturalis, half liang).
Preparation and Administration: Grind all ingredients in a mortar until extremely fine. Use pig bile decocted with flour paste to form pills the size of mung beans. For children aged one to two years, dissolve five pills in half he of warm rice water. After medication, bathe the child in peach-willow soup, dress in green clothes, and cover the body. Observe if Gan worms appear on the clothing, eyebrows, or temples, resembling fine bran flakes or dust. Black worms are difficult to treat; yellow-white worms are easy to treat. Continue administering two pills with porridge drink, three times daily. Severe cases may heal within half a month.
Muxiang Wan (Musk Pill): Treats pediatric five-type Gan syndrome characterized by emaciation, dry and scorched hair, itching of mouth and nose, and presence of worms.
Ingredients: Muxiang (Moschus), Lulü (Aloe), Fen shuang (Calomelas), Zhusha (Cinnabaris); each one fen; Chansu (Venenum Bufonis, size of one white bean), Zaojiao (Gleditsiae Sinensis Fructus, three cun, burned to ash), Shetuipi (Ophichthidis Cutis, five cun, burned to ash), Bianfu (Bat, three pieces, blood taken and mixed into powder).
Preparation and Administration: Grind all ingredients finely. Blend with melted wax to form pills the size of small beans. First wash the child with peach-willow soup. Apply one pill to the umbilicus and seal with vinegar-flour paste. After some time, worms will emerge. Yellow-white-red worms are easy to treat; black worms are difficult.
Lulü Wan (Aloe Pill): Treats pediatric five-type Gan syndrome with dry and thin limbs, abdominal distension, coarse breathing, frequent rubbing of nose and eyes; suitable for expelling worms.
Ingredients: Lulü (Aloe), Niuhuang (Calculus Bovis), Chanqiao (Cicadae Periostracum); each one fen; Nifen (Calomelas), Fenshuang (Calomelas), Liuhuang (Sulfur), Muxiang (Moschus); each one qian; Tianfu (Snail, one piece, smoked until smoke nearly stops), Qingdai (Indigo Naturalis, half liang), Badou (Crotonis Fructus, ten seeds, peeled, de-seeded, de-oiled), Shetuipi (Ophichthidis Cutis, one strip, burned to ash).
Preparation and Administration: Grind into extremely fine powder and mix evenly. Form pills the size of mung beans using glutinous rice paste. Administer two pills with warm water. After some time, bathe the child in peach-willow water and cover the body with green clothing. Worms should emerge; white-yellow ones are treatable, green-black ones are difficult.
Chuchong Wan (Worm-Expelling Pill): Treats pediatric five-type Gan syndrome that has persisted for a long time, resulting in extreme emaciation.
Ingredients: Zhusha (Cinnabaris), Muxiang (Moschus), Niuhuang (Calculus Bovis), Wo niuzi (Helicis Costatae Concha, stir-fried), Yeming sha (Asturi Excrementum, stir-fried), Xiong dan (Ursi Fel, each one fen), Chansu (Venenum Bufonis, half qian).
Preparation and Administration: Grind all ingredients finely. Mix with flour paste to form pills the size of mung beans. Administer three pills with warm water. Additionally, dissolve one pill in water and drip into the nostrils to induce sneezing five to seven times. After a while, worms should be expelled with sweat, yielding immediate effect.
Ganchan Wan (Dried Toad Pill): Treats pediatric five-type Gan syndrome with worm expulsion.
Ingredients: Ganchan (Dry Toad, one piece, burned to ash), Tianlinggai (Cranii Humanis Os, ash half liang), Muxiang (Moschus, half fen), Chanqiao (Cicadae Periostracum, remove legs, stir-fried), Biejia (Trionycis Carapax, fried with butter until yellow and charred, remove skirt-like edges, each one fen).
Preparation and Administration: Grind into fine powder. Mix with cooked rice to form pills the size of mung beans. For children under two years, administer one pill with clam powder soup; for children aged three to five years, administer two pills. After medication, continue bathing the child in peach-willow soup and cover with green clothing. Worms should emerge; red-white ones indicate mild condition, black ones indicate severe condition.
Xiong dan Wan (Bear Gallbladder Pill): Treats pediatric five-type Gan syndrome with worm expulsion.
Ingredients: Xiong dan (Ursi Fel), Zhusha (Cinnabaris), Muxiang (Moschus), Ran she dan (Pythonis Fel), Qianglang (Scarabaei Scaurus, stir-fried), Gudi (Melonis Fructus); each half liang.
Preparation and Administration: Grind into extremely fine powder. Mix with pig bile to form pills the size of mung beans. First bathe the child in peach-willow soup, then administer three pills with porridge drink. Cover with green clothing; worms should emerge.
Dingming San (Life-Determining Powder): Treats five-type Gan syndrome with worms.
Ingredients: Gan xama (Dry Toad, one piece, burned to ash), Shetuipi (Ophichthidis Cutis, stir-fried), Chanqiao (Cicadae Periostracum); each one fen.
Preparation and Administration: Grind into extremely fine powder. Mix with half qian of powdered Muxiang (Moschus). For any type of Gan syndrome, after noon, mix half qian with warm water and ingest. Children aged one to two years take a "yi zi" dose. Subsequently, bathe the child in warm peach-willow soup and cover with green clothing. Worms should emerge, indicating efficacy.
Qingdai Wan (Indigo Naturalis Pill): Treats five-type Gan syndrome with body heat, dry emaciation, erect hair, nasal itching with worms, and refusal to nurse.
Ingredients: Qingdai (Indigo Naturalis), Lulü (Aloe), Renzhong bai (Natrii Urotidas, each half liang), Zhu ya zao jiao (Gleditsiae Sinensis Fructus spinous), Chanqiao (Cicadae Periostracum); each half fen, Muxiang (Moschus, one fen), Huhuanglian (Scutellariae Barbatae Radix, three fen), Chansyan (Toad Saliva), Ren ru zhi (Human Milk); each a small amount.
Preparation and Administration: Grind into powder. Prepare on the fifth day of the fifth lunar month at noon. Form pills the size of millet grains using zongzi meat, jujube meat, toad saliva, and human milk. After bathing the child in peach-willow soup, administer three pills with rice drink. Wrap the child in green clothing and observe for emerging worms. Green-black worms are untreatable; white-yellow-red worms are easy to cure.
[Qian Yi] Huhuanglian Muxiang Wan (Scutellaria Barbata and Musk Pill): Treats Gan qi emaciation and occurrence of white worms.
Ingredients: Huhuanglian (Scutellariae Barbatae Radix), Bai wuyi (Alpiniae Oxyphyllae Fructus); each one tael and half, Muxiang (Moschus, one qian), Huanglian (Coptidis Rhizoma), Muxiang (Aucklandiae Radix); each half liang, Chen sha (Cinnabaris, one fen).
Preparation and Administration: Grind into powder. Form pills the size of mung beans using flour paste. Administer five to seven pills with rice drink; for children aged three to five years, fifteen pills. Take at any time.
[Qian Yi] Yuren Wan (Elsholtzia Seed Pill): Treats Gan heat-induced emaciation and憔悴 (emaciation/frailty) with worms; long-term use promotes weight gain and robustness.
Ingredients: Yuren (Elsholtziae Semen), Huanglian (Coptidis Rhizoma); each one tael.
Preparation and Administration: Grind into powder. Take juice from seven pig gallbladders, mix with medicine, place in a bowl, and steam over a steamer for nine days, once daily. When the duration is complete, add half qian of ground Muxiang (Moschus). Mix with steamed bun dough soaked in hot water to form pills the size of mung beans. Administer five to seven pills up to twenty pills, with rice drink.