即疳热而骨蒸，兼诸咳嗽、盗汗等证是也。汤氏鳖甲散、猪肚丸皆对证之药。
干地黄煎（颅囟） 治小儿疳劳，肺气热咳嗽，四肢渐瘦，心脉干。
生地黄汁（五两） 酥 生姜汁 蜜（各一两） 鹿角胶（半两）
上，先以地黄汁入铛内，慢火煎，手不住搅，约五六沸下酥，又五六沸下蜜，
次下胶，又下姜汁，慢火煎，后如稀饧，即住火。每食后两度共与一匙头。忌诸毒物。
〔王先生〕鸡肉煎丸 治小儿十岁以上，疳劳壮热形瘦。
宣连（去须，二两） 银柴胡（去芦，洗净） 秦艽（去土净） 知母 使君子（肉） 子芩（各一两） 芜荑（去
衣） 川鹤虱（各半两）
上为末，以黄雌鸡一只重一斤许，笼之，专以大麻子饲之，至五日后宰，去毛
令净，于臀后开孔去肠肚，净洗拭干，入前药末于鸡腹内，以线缝之，取小甑，
先以黑豆铺甑底，浓三寸，安鸡在甑中，四傍以黑豆围裹，上亦以黑豆盖之，自
日出蒸至晚，候温冷，取鸡，去腹中药及筋骨头翅，以净肉研匀，和得所，如干
入酒，面糊为丸，如大麻子及小绿豆大。每服十丸、十五、二十丸，以意加减，空
心临卧，麦门冬熟水吞下。如小儿疳劳骨热，十五岁以上温酒下。忌猪肉。
〔张氏〕三和饮子 治三焦膈塞，五脏涩滞，气逆痰涎，米食后恶涎，太阳昏痛，及
治山岚瘴气，吐逆不美饮食，面色浮黄，指甲青黑，小儿疳劳吐乳，及大人小儿
久病乍安，神气未复，寒热往来，并皆救疗。
紫团人参（三两半，洗，锉） 甘草（一两半，炙，锉） 绵黄 （五两，酒浸一宿，洗净，锉）
上件三味，同入木臼内用木杵捣为粗散，每服三大钱，生姜三片，水二盏，枣
三枚，同煎八分，去滓服。不拘时候。
犀角散 治小儿骨热，解毒。
银州柴胡 川大黄 甘草（炙） 川芎 茯苓 芍药 面葛 桑白皮 地骨皮 山栀子仁 黄芩 贝母（各半两）
上为末。每服一大钱，水一盏，入青蒿一枝，小麦十粒，煎七分，温温服之。
大段有患，更入麻黄、连翘、二味，与前药等分为末，煎服之效。（庄氏第二十一候用此方。）
鳖血煎 治疳劳。
芜荑 柴胡 川芎（各一两） 人参（半两） 使君子（二十一枚，去壳） 胡黄连 宣黄连（各七钱）
上用鳖血一盏，吴茱萸一两，和二黄连淹一宿，次早炒干，去茱萸并血，用二
连入余药末，粟米粉糊丸，麻子大。食前，熟水下。
黄连丸 治疳劳。
黄连（半两，净， 胆汁，浸晒） 石莲子 栝蒌根 杏仁（汤浸去皮，焙） 乌梅肉（各二钱）
上为末，牛胆汁浸糕糊丸，麻子大。煎乌梅姜蜜汤下。
This refers to bone-steaming fever caused by infantile malnutrition heat (Gan Re), accompanied by various symptoms such as coughing and night sweats. Tang Shi Bie Jia San (Tang's Turtle Shell Powder) and Zhu Du Wan (Pig Stomach Pills) are both appropriate remedies for these conditions.
Gan Di Huang Jian (Dried Rehmannia Decoction) [from *Lu Xin Jing*]: Treats infantile malnutrition consumption (Gan Lao) in children, characterized by lung-heat cough, gradual emaciation of the four limbs, and dry heart pulse.
Raw Dried Rehmannia Juice (Sheng Di Huang Zhi, 5 liang) Butter (Su) Ginger Juice (Sheng Jiang Zhi) Honey (Mi, each 1 liang) Deer Antler Glue (Lu Jiao Jiao, 0.5 liang)
Take the above ingredients. First, place the Raw Dried Rehmannia Juice into a cauldron and simmer slowly over low heat, stirring continuously with your hand. After approximately five or six boils, add the butter. After another five or six boils, add the honey. Then add the glue, followed by the ginger juice. Simmer slowly until the mixture resembles thin syrup, then remove from heat. Administer half a spoonful twice after meals. Avoid all toxic foods.
[Mr. Wang] Chicken Decoction Pills (Ji Rou Jian Wan): Treats children over ten years old suffering from severe heat due to infantile malnutrition consumption (Gan Lao) and emaciation.
Xuan Lian (Coptis Chinensis Rhizome, remove stamens, 2 liang) Yin Chai Hu (Stellaria Root, remove rhizome, wash clean) Qin Jiao (Gentiana Macrophylla Root, remove soil and impurities) Zhi Mu (Anemarrhena Rhizome) Shi Jun Zi (Quisqualis Fruit, flesh only) Zi Qin (Scutellaria Baicalensis Root, each 1 liang) Wu Yi (Torreya Seed, remove skin) Chuan He Shi (Necator Asianus, 0.5 liang each)
Grind the above ingredients into powder. Take one yellow hen weighing about one jin, confine it in a cage, and feed it exclusively with hemp seeds for five days. Then slaughter it, remove feathers thoroughly, make an incision at the rear buttocks to remove intestines and viscera, wash clean, and dry. Stuff the powdered medicine into the chicken's cavity and sew it shut with thread. Place a small steamer basket, line the bottom with black beans three inches thick, place the chicken inside, surround it with black beans on all sides, and cover with more black beans on top. Steam from sunrise until evening. When cool, remove the chicken, discard the medicine residue, tendons, bones, head, and wings, retaining only the clean meat. Grind the meat evenly and mix with the powder. If too dry, add wine; otherwise, use flour paste to form pills the size of hemp seeds or small mung beans. Take 10, 15, or 20 pills per dose, adjusting according to circumstances. Take on an empty stomach or before bed, swallowed with prepared water of Ophiopogon Japonicus Radix (Mai Men Dong). For children with bone-heat due to Gan Lao, those over fifteen should take it with warm wine. Avoid pork.
[Zhang Shi] San He Yin Zi: Treats obstruction in the Triple Burner (San Jiao), stagnation in the five zang organs, rebellious qi with phlegm-saliva, aversion to saliva after eating rice, pain and dizziness in the Taiyang region, mountainous miasma (Shan Lan Zhang Qi), vomiting and poor appetite, sallow floating complexion, blue-black fingernails, infantile malnutrition consumption with vomiting of milk in children, and alternating chills and fever in adults and children who have recovered temporarily from prolonged illness but whose spirit has not yet restored. It serves as a rescue treatment for all these conditions.
Zi Tuan Ren Shen (Purple Group Ginseng Radix et Rhizoma, 3.5 liang, wash, chop) Gan Cao (Licorice Root, 1.5 liang, honey-fry, chop) Mian Huang Qi (Astragalus Membranaceus Root, 5 liang, soak in wine overnight, wash clean, chop)
Place the above three ingredients together in a wooden mortar and pound with a wooden pestle into a coarse powder. Take three qian per dose, with three slices of fresh ginger, two cups of water, and three jujubes. Decoct until reduced to 0.8 cup, strain, and drink. Take at any time.
Xi Jiao San: Treats bone-heat in children and detoxifies.
Yin Zhou Chai Hu (Bupleurum Root from Yinzhou) Chuan Da Huang (Rhubarb Root from Sichuan) Gan Cao (Licorice Root, honey-fried) Chuan Xiong (Ligusticum Chuanxiong Rhizome) Fu Ling (Poria) Shao Yao (Peony Root) Mian Ge (Kudzu Root) Sang Bai Pi (Mulberry Root Bark) Di Gu Pi (Lycium Bark) Shan Zhi Zi Ren (Gardeniae Fructus seed) Huang Qin (Scutellaria Root) Bei Mu (Fritillaria Bulb, each 0.5 liang)
Grind into powder. Take one qian per dose, with one cup of water, one branch of Qing Hao (Artemisia Annua Herba), and ten grains of Xiao Mai (Wheat). Decoct to 0.7 cup and take warm. If the condition is severe, add Ma Huang (Ephedrae Herba) and Lian Qiao (Forsythiae Fructus) in equal amounts to the previous powder, decoct and take for efficacy. (Used by Zhu Shi in Case 21.)
Die Xue Jian: Treats infantile malnutrition consumption (Gan Lao).
Wu Yi (Torreya Seed) Chai Hu (Bupleurum Root) Chuan Xiong (Ligusticum Chuanxiong Rhizome, each 1 liang) Ren Shen (Ginseng Radix et Rhizoma, 0.5 liang) Shi Jun Zi (Quisqualis Fruit, 21 pieces, remove shell) Hu Huang Lian (Coptis chinensis var. paucipetala Rhizome) Xuan Huang Lian (Coptis chinensis Rhizome, each 7 qian)
Soak the two types of Huang Lian (Coptis Rhizome) in one cup of turtle blood and one liang of Wu Zhu Yu (Evodiae Fructus) overnight. The next morning, stir-fry until dry, remove the Wu Zhu Yu and blood. Mix the two types of Huang Lian with the other powdered medicines. Form pills using millet flour paste, sized like hemp seeds. Take before meals with warm water.
Huang Lian Wan: Treats infantile malnutrition consumption (Gan Lao).
Huang Lian (Coptis Rhizome, 0.5 liang, clean, soaked in bile and dried) Shi Lian Zi (Nelumbinis Semen) Gua Lou Gen (Trichosanthes Radix) Xing Ren (Prunus Armeniaca Seed, soaked in water, peel removed, baked) Wu Mei Rou (Mume Fruit Flesh, each 2 qian)
Grind into powder. Form pills using cake paste soaked in ox bile, sized like hemp seeds. Take with decoction of Mume Fruit, ginger, and honey.