杨氏云∶由乳食不调，心脏受热所致也，盖其血气未定，乳哺有伤，易生壅滞，
内有滞热，未得疏通，故心神惊郁，而作惊疳之候。外证身体壮热，脸赤唇红，口
舌生疮，胸膈烦闷，小便赤涩，五心皆热，盗汗发渴，啮齿虚惊是也。钱氏，安神
丸主之。薛氏，用安神丸以治心，异功散以补脾。杨氏，以茯苓丸、钱氏安神丸主
之。曾氏，宁心用茯神汤。
朱砂安神丸 治心疳，怔忡，心中痞闷。
朱砂（四钱） 黄连 生地黄（各半两） 生甘草（二钱半） 兰香叶（二钱，烧灰） 铜青 轻粉（各五分）
上为末。干敷上。
茯苓丸 治心疳，惊疳。
茯神 芦荟 琥珀 黄连（净） 赤茯苓（各三钱） 钓藤皮 远志肉（姜制，焙干） 虾蟆灰（各
二钱） 石菖蒲（一钱） 麝香（少许）
上为末，粟米糊、丸麻子大。每服十丸，薄荷汤下。
茯神汤 治心气不足，虚而惊悸，日常烦哭。及婴孩生下羸瘦多惊，宜子、母同服，自然有效。
茯神（去皮木根，一两） 人参（去芦） 当归（去芦尾，酒洗。各半两） 甘草（炙，二钱）
上件 咀。每服二钱，水一盏，煎七分，无时温服。有微热烦躁，入麦门冬去心同煎。
〔张涣〕参黄丹 治惊疳挟热，夜卧惊悸。
干蝎（二十一个，微炒） 天浆子（一十四个，干者，微炒） 人参 胡黄连（各一两） 天竺黄（半两，研。
以上为细末，次入） 青黛 朱砂（各一分） 龙脑（一钱。并细研）
上件一处拌匀，炼蜜和，如黍米大。每服十粒，人参汤下，量儿大小加减。
天竺黄丹
天竺黄（一两，细研） 晚蚕蛾（微炒） 白僵蚕（微炒） 川黄连（各半两。以上捣罗为细末，次用） 朱砂
青黛 麝香（各一分，并细研）
上件拌匀，粳米饮和，如黍米大。每服七粒至十粒，煎人参汤下，量儿大小加减。
《仙人水鉴》治小儿惊疳。
朱砂丸 五岁至十五岁并宜服之。
朱砂（三钱，研） 青黛（一两，研） 黄连 郁金（为末） 夜明砂（用炒焦黑。各半两） 麝香 熊胆（用
冷水一鸡子多，浸一宿。各一钱）
上，同研如粉，次入浸熊胆水和为丸，如绿豆大。空心临卧，金银薄荷汤下三丸至五丸。切忌生冷油腻神效。
《万全方》真珠散 治小儿心疳，体热黄瘦。
真珠（末） 麦门冬（去心。各半两） 天竺黄 金银箔（各研五十片，临和加入诸药末内） 牛黄 麝香
（各细研） 胡黄连 甘草（炙） 羚羊角（屑） 川大黄（炒） 当归（微炒） 朱砂 雄黄 茯神 犀
角（屑。各一分）
上，捣罗为散。每服以茵陈汤调半钱，量儿大小服之。
〔朱氏〕治小儿肚大项小，即是惊疳方
钓藤 甘草（各二分） 人参 栝蒌（各一分）
上件为末。以水一茶碗，入药二钱，煎取六合，去滓，重煎，温服。
治五疳八痢心藏热方
芦荟（半两，研） 轻粉 青黛 香墨 飞罗面（各一钱） 使君子（一个） 蜗牛（五个，和肉炒焦，细研） 麝
香（半钱）
上为末，研细，滴水为丸，芥子大。生地黄汁化下一丸至二丸，薄荷汤亦得。（庄氏第九候用此方。）
麝香丸 治小儿一切惊疳等病。
草龙胆 胡黄连（各半两） 木香 蝉蜕（上头足，洗净。各一钱） 瓜蒂 龙脑 麝香 牛黄
（各一钱并各细研）
上，猪胆为丸，如桐子及绿豆大。惊疳，或秘或泻，清米饮送下，小儿五七粒
至一二十粒。眼疳，猪肝汤下。疳渴 猪汤下，猪肉汤下亦得。惊风发搐，眼上
窜，薄荷汤下一丸，更水研一丸滴鼻中。牙疳疮，口疮，研贴。虫痛，苦楝根汤
或白芜荑汤送下。百日内小儿大小便不通，水研封脐中。有虫候，干漆、麝香各
少许，并入生油一两点，温水化下一大丸。慢惊勿服。
睡惊丸 治小儿一切惊疳、食积、风痫之证。
使君子（五十个烧） 香墨（枣大一块） 金银箔（各七片） 腻粉（二钱）
上，先将使君子存性，同墨研细，次入金银箔，乳钵内研，次入腻粉，并麝香
少许，研令极细，稀糊丸，如桐子大，阴干。每服一丸，薄荷汤磨下，一岁以下
半丸。一名青金丹。极效。
治小儿因吃着患热病奶次腹痛，并及惊风毒奶，便乃下痢吐逆，又名奶疳。
桃仁（去皮尖，炒） 胡黄连（各半两） 沉香 朱砂（别研。各一分） 金箔（五片）
上，为末，软饭丸，麻子大。米饮下五丸，奶汁下亦得。（庄氏第十一候用此方）
治小儿胃疳及进食方
胡黄连 芦荟（各一分） 肉豆蔻（一个） 槟榔 干蟾（炙。各半个） 夜明砂（半分，炒） 朱砂 麝香（各
半钱）
上为末，炼蜜丸，绿豆大。一岁一丸，米饮及乳汁下亦得。如是疳盛，次
加二丸至三丸，取下虫屎为验，五日一服。
桃花丸 治小儿心藏积热生疳。
寒水石（一两，用炭火烧，熟研如面细） 朱砂（半钱，细研，合和如桃花色）
上为末，水浸蒸饼丸，如粟米大。冷水下三五丸。服旬日，自然安妙。（庄氏第二十四候用此方。）
Yang Shi stated: This condition arises from irregular breastfeeding and diet, leading to heat in the Heart. Since a child's Qi and Blood are not yet stable, improper nursing can cause injury, easily resulting in stagnation. Internal stagnant heat fails to be unblocked, causing the Heart Spirit (Shen) to be startled and depressed, thus presenting as Jing Gan (Startled Malnutrition). External manifestations include high fever, flushed face, red lips, sores in the mouth and tongue, chest and diaphragm oppression, dark and scanty urination, heat in the five centers (both palms, both soles, and the heart region), night sweats with thirst, teeth grinding, and false startles. Qian Yi advocated using Anshen Wan (Calming the Spirit Pill). Xue Ji advocated using Anshen Wan to calm the Heart and Yigong San (Extraordinary Power Powder) to tonify the Spleen. Yang Shi advocated using Fuling Wan (Poria Pill) or Qian Yi's Anshen Wan. Zeng Shirong advocated using Fushen Tang (Poria Decoction) to calm the Heart Spirit.
Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill): Treats Xin Gan (Heart Malnutrition), Zhengchong (Palpitations with a sense of fear), and chest stuffiness.
Ingredients: Zhusha (Cinnabar, 4 qian), Huanglian (Rhizoma Coptidis), Sheng Dihuang (Radix Rehmanniae Recens), each 0.5 liang; Sheng Gancao (Raw Radix Glycyrrhizae, 2.5 qian); Lanxiangye (Folium Litseae, 2 qian, burnt to ash); Tongqing (Chalcanthum); Qingfen (Calomelas), each 5 fen.
Preparation and Administration: Grind all ingredients into fine powder. Apply dry powder topically to the affected area.
Fuling Wan (Poria Pill): Treats Xin Gan (Heart Malnutrition) and Jing Gan (Startled Malnutrition).
Ingredients: Fushen (Sclerotium Poriae cum Radice), Lvhui (Aloe), Hupo (Amber), Huanglian (Rhizoma Coptidis, cleaned), Chi Fuling (Red Poria), each 3 qian; Diaotengpi (Cortex Uncariae cum Uncis), Yuanzhi Rou (Medullus Polygalae, processed with ginger juice and baked), Xiama hui (Ash of Toad, each 2 qian); Shichangpu (Rhizoma Acori Tatarinowii, 1 qian); Shexiang (Moschus, a small amount).
Preparation and Administration: Grind all ingredients into fine powder. Use millet paste to form pills the size of hemp seeds. Take 10 pills per dose, washed down with Bohe Tang (Mint Decoction).
Fushen Tang (Poria Decoction): Treats deficiency of Heart Qi, palpitations due to deficiency, daily irritability and crying. Also suitable for infants born weak and prone to startles; mother and infant should take it together for natural efficacy.
Ingredients: Fushen (Sclerotium Poriae cum Radice, peeled of wood and roots, 1 liang); Renshen (Radix Ginseng, removed rhizome); Danggui (Radix Angelicae Sinensis, removed rhizome and tail, washed with wine), each 0.5 liang; Gancao (Radix Glycyrrhizae, honey-fried, 2 qian).
Preparation and Administration: Cut the above herbs into pieces. Take 2 qian per dose, add one cup of water, decoct until 0.7 cups remain. Take warm at any time. If there is slight fever and irritability, add Maidong (Fructus Ophiopogonis, dehearted) and decoct together.
[Zhang Huan] Shenhuang Dan (Ginseng and Gold-Containing Pill): Treats Jing Gan complicated by heat, with nighttime sleep startles.
Ingredients: Ganxie (Dry Scorpion, 21 pieces, slightly fried); Tianjiangzi (Seed of Melothria scandens, 14 pieces, dried, slightly fried); Renshen (Radix Ginseng); Huhuanglian (Rhizoma Coptidis Chinensis), each 1 liang; Tianzhuhuang (Concretio Silicea Bambusae, 0.5 liang, ground; these four are made into fine powder first, then added): Qingdai (Indigo Naturalis), Zhusha (Cinnabar), each 1 fen; Longnao (Borneolum Syntheticum, 1 qian, finely ground).
Preparation and Administration: Mix all ingredients thoroughly. Blend with refined honey to form pills the size of millet seeds. Take 10 pills per dose, washed down with Renshen Tang (Ginseng Decoction). Adjust dosage according to the child's age and size.
Tianzhuhuang Dan (Bamboo Concretion Pill):
Ingredients: Tianzhuhuang (Concretio Silicea Bambusae, 1 liang, finely ground); Wancang'e (Silkworm Moth, slightly fried); Baijiangcan (Bombyx Batryticatus, slightly fried); Chuan Huanglian (Rhizoma Coptidis Chinensis), each 0.5 liang (these four are pounded and sieved into fine powder first, then added): Zhusha (Cinnabar), Qingdai (Indigo Naturalis), Shexiang (Moschus), each 1 fen (finely ground).
Preparation and Administration: Mix all ingredients thoroughly. Blend with Rice Decoction to form pills the size of millet seeds. Take 7 to 10 pills per dose, washed down with decocted Renshen Tang (Ginseng Decoction). Adjust dosage according to the child's age and size.
Xianren Shuijian (Mirror of Water from the Immortal) treats pediatric Jing Gan (Startled Malnutrition).
Zhusha Wan (Cinnabar Pill): Suitable for children aged five to fifteen.
Ingredients: Zhusha (Cinnabar, 3 qian, ground); Qingdai (Indigo Naturalis, 1 liang, ground); Huanglian (Rhizoma Coptidis), Yujin (Rhizoma Curcumae Longae) (ground into powder); Yemingsha (Stool of Owl, stir-fried until black), each 0.5 liang; Shexiang (Moschus), Xiongdan (Bear Bile, soaked overnight in cold water equivalent to one chicken egg, each 1 qian).
Preparation and Administration: Grind all ingredients together into powder. Then add the water used to soak the bear bile to form pills the size of mung beans. Take 3 to 5 pills on an empty stomach and before bed, washed down with Yinjin Bohe Tang (Silver and Mint Decoction). Strictly avoid raw, cold, and greasy foods. The effect is miraculous.
Wanquan Fang (Prescriptions for Universal Well-being) Zhenzhu San (Pearl Powder): Treats pediatric Xin Gan (Heart Malnutrition), characterized by body heat, yellow complexion, and emaciation.
Ingredients: Zhenzhu (Pearl, powdered); Maidong (Fructus Ophiopogonis, dehearted), each 0.5 liang; Tianzhuhuang (Concretio Silicea Bambusae); Yinjinbo (Gold Leaf), each 50 pieces (grind separately and add to other powders just before use); Niuhuang (Calculus Bovis), Shexiang (Moschus) (each finely ground); Huhuanglian (Rhizoma Coptidis Chinensis); Gancao (Radix Glycyrrhizae, honey-fried); Lingyangjiao (Cornu Saigae Tataricae, shaved); Chuan Dahuang (Radix et Rhizoma Rhei Palmati, stir-fried); Danggui (Radix Angelicae Sinensis, slightly fried); Zhusha (Cinnabar); Xionghuang (Realgar); Fushen (Sclerotium Poriae cum Radice); Xijiao (Cornu Rhinocerotis, shaved), each 1 fen.
Preparation and Administration: Pound and sieve all ingredients into a powder. Take half a qian per dose, mixed with Yinchen Tang (Artemisia Decoction). Adjust dosage according to the child's age and size.
[Zhu Shi] Prescription for treating pediatric abdominal distension with a thin neck, which indicates Jing Gan (Startled Malnutrition):
Ingredients: Diaoteng (Uncaria Cum Uncis), Gancao (Radix Glycyrrhizae), each 2 fen; Renshen (Radix Ginseng), Gualou (Fructus Trichosanthis), each 1 fen.
Preparation and Administration: Grind all ingredients into fine powder. Add two qian of medicine to one tea bowl of water. Decoct to obtain six ge of liquid. Remove dregs, re-decoct, and take warm.
Prescription for treating Heat in the Heart Organ associated with the Five Malnutritions and Eight Dysenteries:
Ingredients: Lvhui (Aloe, 0.5 liang, ground); Qingfen (Calomelas); Qingdai (Indigo Naturalis); Xiangmo (Incense Ink); Feiluo Mian (Fine Wheat Flour), each 1 qian; Shijunzi (Fructus Quisqualis, one piece); Woniu (Snail, five pieces, stir-fried with meat until charred, finely ground); Shexiang (Moschus, 0.5 qian).
Preparation and Administration: Grind all ingredients into fine powder. Add drops of water to form pills the size of mustard seeds. Dissolve one to two pills in Sheng Dihuang Jiang (Juice of Raw Rehmannia Root). Alternatively, wash down with Bohe Tang (Mint Decoction). (Zhuang Shi's Ninth Observation uses this prescription.)
Shexiang Wan (Moschus Pill): Treats all kinds of pediatric Jing Gan (Startled Malnutrition) and other diseases.
Ingredients: Caolongdan (Radix Gentianae Macrophyllae), Huhuanglian (Rhizoma Coptidis Chinensis), each 0.5 liang; Muxiang (Radix Aucklandiae); Chantui (Periostracum Cicadae, head and feet intact, washed clean), each 1 qian; Gudi (Fructus Cucumeris); Longnao (Borneolum Syntheticum); Shexiang (Moschus); Niuhuang (Calculus Bovis), each 1 qian (all finely ground).
Preparation and Administration: Form pills using Pig Gallbladder Juice, sized like sophora seeds or mung beans. For Jing Gan, whether constipated or having diarrhea, send down with clear Rice Drink. Dosage for children is 5-7 pills up to 10-20 pills. For Yan Gan (Eye Malnutrition), send down with Pig Liver Soup. For Gan Ke (Malnutrition Thirst), send down with Pork Soup (or Meat Soup). For Jing Feng convulsions with upward rolling of eyes, send down one pill with Bohe Tang (Mint Decoction), and grind another pill with water to drip into the nose. For Ya Gan Chuang (Tooth Malnutrition Sores) and Kou Chuang (Oral Sores), grind and apply externally. For Chong Tong (Worm Pain), send down with Kulian Gen Tang (Melia Decoction) or Bai Wuyi Tang (White Melia Decoction). For infants within 100 days with urinary and fecal retention, grind with water and apply to the umbilicus. If worm symptoms are present, add a small amount of Ganqi (Resina Quebrachini) and Shexiang (Moschus), mix with 1-2 drops of Raw Sesame Oil, and dissolve one large pill in warm water. Do not use for Man Jing Feng (Slow Convulsion).
Shuijing Wan (Sleeping Startle Pill): Treats all kinds of pediatric Jing Gan (Startled Malnutrition), Food Accumulation, and Feng Xian (Wind Epilepsy).
Ingredients: Shijunzi (Fructus Quisqualis, 50 pieces, stir-fried to retain properties); Xiangmo (Incense Ink, size of a jujube); Yinjinbo (Gold Leaf), Jinfubo (Silver Leaf), each 7 pieces; Nifen (Calomelas, 2 qian).
Preparation and Administration: First, keep the properties of the stir-fried Shijunzi and grind it finely with the ink. Then add gold and silver leaves and grind in a mortar. Next, add Nifen and a small amount of Shexiang (Moschus), grinding until extremely fine. Form pills with thin starch paste, sized like sophora seeds. Dry in shade. Take one pill per dose, ground and taken with Bohe Tang (Mint Decoction). Infants under one year old take half a pill. Also known as Qingjin Dan (Green Gold Pill). Extremely effective.
Prescription for treating pediatric abdominal pain caused by drinking milk while suffering from heat disease, as well as toxic milk from wind-strike, leading to dysentery, vomiting, and regurgitation, also known as Nai Gan (Milk Malnutrition):
Ingredients: Taoren (Semen Persicae, peeled and pitted, stir-fried), Huhuanglian (Rhizoma Coptidis Chinensis), each 0.5 liang; Chenxiang (Lignum Aquilariae Resinatum); Zhusha (Cinnabar, ground separately), Jinbo (Gold Leaf, 5 pieces), each 1 fen.
Preparation and Administration: Grind all ingredients into fine powder. Form pills using soft rice, sized like hemp seeds. Send down with five pills using Mi Yin (Rice Drink). Alternatively, send down with Milk. (Zhuang Shi's Eleventh Observation uses this prescription.)
Prescription for treating pediatric Wei Gan (Stomach Malnutrition) and difficulty eating:
Ingredients: Huhuanglian (Rhizoma Coptidis Chinensis), Lvhui (Aloe), each 1 fen; Roudoukou (Nucis Arecae Semimature); Binglang (Fructus Arecae); Ganchan (Bufo Viridis, roasted), each half a piece; Yemingsha (Stool of Owl, 0.5 fen, stir-fried); Zhusha (Cinnabar); Shexiang (Moschus), each 0.5 qian.
Preparation and Administration: Grind all ingredients into fine powder. Form pills with refined honey, sized like mung beans. One-year-old children take one pill, sent down with Rice Drink or Breast Milk. If the malnutrition is severe, increase gradually to two or three pills. The sign of efficacy is the expulsion of worm feces. Take once every five days.
Taohua Wan (Peach Blossom Pill): Treats pediatric Xin Zang Ji Re Sheng Gan (Heat Accumulation in the Heart Organ Generating Malnutrition).
Ingredients: Hanshuishi (Halloysitum Rubrum, 1 liang, fired in charcoal until cooked, ground as fine as flour); Zhusha (Cinnabar, 0.5 qian, finely ground, mixed to resemble the color of peach blossoms).
Preparation and Administration: Grind all ingredients into fine powder. Form pills using steamed dough soaked in water, sized like millet seeds. Send down with cold water, 3-5 pills. After ten days of administration, the condition will naturally become peaceful and wonderful. (Zhuang Shi's Twenty-fourth Observation uses this prescription.)