〔茅〕先用青金丹（癖）取下疳积，后用匀气散（不乳食）香连散、乳香散（泻）调理，泻止，服
常服保童丸（一切疳）。《石壁经》云∶疳泻因不慎饮食，或食交乳致然，腹中有片子或
如鸡子，又如三二指大，所以作泻，粪出如糟，毛发硬，面无光，或青黄色，目多
仄视，当分水谷，乃须温和药和气即愈，若药热则作肿而死。〔娄〕泻而多食为虫
疳，宜杀虫药。泻而少食为冷疳，宜温药。
《仙人水鉴》粉霜丸 治小儿疳一切泻方。
粉霜 白丁香（各一钱） 巴豆（二枚，不出油）
上为末，烂饭为丸，如小绿豆大。每服，井华水下二丸。
〔钱乙〕二圣丸 治小儿脏腑或好或泻，久不愈，羸瘦成疳，宜常服此方。
川黄连（去须） 黄柏（去粗皮。各一两）
上为细末，将药末入猪胆内汤煮熟，丸如绿豆大。每服二三十丸，米饮下，量
儿大小加减，频服无时。
〔刘氏〕胡黄连饮子 治小儿疳热，作泻无时，饮食进退，面黄体黑，日渐瘦悴。
胡黄连 黄药子 人参 甘草（炙） 白术（微炒） 秦艽 柴胡（各等分）
上各味用净， 咀。每服二钱匕，水一盏，嫩桃柳枝各七寸、乌梅少许，同煎
八分，去滓澄清，分作两分，早食后少空一服，临卧再服。以小便深赤为验，候
小便清，住药，便生肌肤，能进食饮。大抵小儿羸瘦，并宜服此，十五岁以下皆可服。
〔庄氏〕黄连丸 治疳泻疳痢。
黄连（削，净洗，干碾为末） 大芜荑仁（乳钵研细。各等分）
上二末一处和匀，糯粟米相和煮稀粥为丸，小绿豆大。量儿大小，三岁七丸至
十丸，三岁以上十五丸至二十丸，空心，陈米饮下，日进三服。
〔钱乙〕如圣丸 治冷热疳泻。
胡黄连 白芜荑（去扇，炒） 川黄连（各二两） 使君子（一两，去壳秤） 麝香（别研，半钱） 干虾蟆
（五枚，锉，酒熬膏）
上前药，为末，用膏丸麻子大。每服人参汤下，二参岁者五七丸，以上者十丸
至十五丸，无时。
《博济方》胡黄连丸 治小儿疳疾泻痢。
胡黄连 丁香 密陀僧（各半两） 肉豆蔻（一个） 槟榔（一枚） 红雪（一两） 诃子（二枚，以一枚煨一枚
生用）
上件七味，同研细，入麝香二钱半和匀，次入绿豆末少许，同水和为丸如麻子
大。儿三岁以下一丸，三岁以上五丸。孩子脑疳鼻痒及赤烂，黄连汤下。脾虚羸
瘦泄痢，四肢虚肿，青州枣汤下。肝疳眼涩生疮，甘草汤下。骨疳冷地卧，爱食
土，紫苏茶汤下。常服，米饮下。肺疳上气急喘，橘皮汤下。筋疳泻血，盐汤下。
疳虫及泻无定，生姜汤下。
香蔻丸 治疳泻。
黄连（炒，三钱） 肉豆蔻 木香 诃子肉（煨） 砂仁 茯苓（各一钱）
上为末，饭为丸，麻子大。米饮下。
〔钱氏〕木香丸 治时时下利，唇口青白。
木香 青黛（另研） 槟榔 肉豆蔻（去皮，各二钱半） 麝香（另研，一钱半） 续随子（一两半，炒） 虾
蟆（三个，先用绳系晒干，烧存性）
上为末，蜜丸如绿豆大。每服三五丸至一二十丸，薄荷汤下，食前。
没石子丸（钱氏） 治泄泻白浊，及疳痢滑，儿腹痛者。
木香 黄连（各二钱半） 没石子（一个） 豆蔻仁（二个） 诃子肉（三个）
上为细末，饭和丸麻子大。米饮下，食前，量儿加减。
《聚宝方》黄龙丸 定小儿疳冷泻。
朱砂（研一钱） 龙脑（半字，研） 硫黄（一两） 雄黄（二钱半）
上，用甘锅子一只，盛雄黄在内，用盏一只，盛水半盏，坐在锅子上，炭火烧
甘锅，其药飞在盏底上，刮下，与朱砂硫黄同研，入脑子，糯米粥丸，如黄米大。
每服三丸，食前，椒汤下。
〔吉氏〕芦荟丸 治疳泻不止，不思饮食，腹胀。
丁香 肉豆蔻（去皮） 木香（锉。各半两）
上三味，用面裹，慢火中煨，熟为度，取出去面，入芦荟（一两）、使君子肉（半两），
同为细末，稀糊为丸，如黍米大。每服十丸至二十丸，米饮下。
〔汤氏〕治休息痢及疳泻痢迁延日月，百药俱试，饮食不妨，便利不止。用鸡子一枚
打破，熔黄蜡一块如指大，以鸡子和炒，空心吃尽，百医百效，无不获安。
《本事方》治小儿疳痢垂死者，取益母草炙食之，取足瘥止，甚佳。
钱氏大芦荟丸（本门通治） 胡连麝香丸 榆仁丸（并见本门出虫）
良方吴婆散 治小儿疳泻不止，日夜不计遍数渐渐羸瘦。
桃根白皮 黄柏（蜜炙） 芜荑（去皮） 黄连（微炒。以上各二钱半） 浓朴（姜汁炙） 木香 槟榔 丁
香（各一钱） 没石子（一钱半） 楝根白根（一钱二分半）
上为末。每服一字，三岁以上半钱，五六岁一钱，用紫苏、木瓜，米饮调下，
乳食前，一日三服。予家小儿，曾有患泻百余日，瘦余皮骨，万方不瘥，有监兵
钟离君见之曰，何不服吴婆散，立可瘥也。乃求方合与两三服，便效。又孙男亦
疳泻势甚危困，两服遂定。若病深者，服一两日间决瘥，此药若是疳泻，无不验
者，药性小温，暴热泻者，或不相当。
丹溪治一富家子年十四岁，面黄善啖易饥，非肉不饱，泄泻一月，来求治。脉
之两手皆大，怪不甚瘦倦，以为湿热当脾困而食少，今反形健而多食，且不渴，予
意其疾必疳虫作痢也，取大便视之，果蛔虫所为。适往他处，有一小儿医在侧，教
其用治虫药治之，禁其勿用去积药，约回途当为一看诊而止痢也。偶勿果。至次年
春夏之交，其泻复作，腹不痛而口干。予曰，此去年治虫而不治疳故也，遂以去疳
热之药，浓煎白术汤下，三日而泻止。半月后，偶过其家，见其子甚瘦，予教以白
术为君，芍药为臣，川芎、陈皮、黄连、胡黄连入少芦荟为丸，白术汤服之，半
月而止，禁其勿食肉物，三年当自愈。
《斗门经》治小儿疳泻方
上，用赤石脂杵罗为末，极细如面。以粥饮调半钱服，立瘥。或以京芎等分同服，更妙。
《庄氏家传》治疳泻久不瘥方
赤石脂 绿矾 锻石（各二两） 硫黄（半两）
上研匀，入罐子内烧令焰碧，去火放冷，取研。每服一字或半钱，煎小黄米饮，
放冷调下，食前服。
又方
使君子（炮） 五倍子（瓦上炒黄） 没石子（各等分）
上为末。每服半钱，陈米饮调下。
[Mao] First, use Qingjin Dan (Piyi) to purge the Gan accumulation. Subsequently, regulate with Yunqi San (for refusal of milk/food), Xianglian San, and Ruxiang San (for diarrhea). Once the diarrhea stops, administer Changfu Baotong Wan (for all types of Gan syndrome). The *Shibi Jing* states: Gan diarrhea arises from careless diet or improper feeding practices. There are sheet-like masses in the abdomen, or masses the size of an egg, or two to three fingers wide, which cause diarrhea. The stool is like dregs, hair is stiff, complexion lacks luster, appearing greenish-yellow, and eyes often gaze askance. One must separate water and grain; only mild medicines that harmonize Qi can bring recovery. If hot medicines are used, swelling will occur leading to death. [Lou] Diarrhea accompanied by excessive eating indicates Chong Gan (Worm Gan); insecticidal medicines are appropriate. Diarrhea accompanied by poor appetite indicates Leng Gan (Cold Gan); warm medicines are appropriate.
*Xianren Shuijian* Fenshuang Wan: Formula for treating various diarrheas in children with Gan syndrome.
Fenshuang (Lead Oxide) and Baidingxiang (Stork Nest) (each 1 qian); Badou (Crotonis Fructus, Mahuang, 2 seeds, oil not removed).
Grind into fine powder, mix with soft rice to form pills the size of small mung beans. Take 2 pills per dose with well-water drawn at dawn.
[Qian Yi] Ersheng Wan: For children with organ dysfunction, alternating health and diarrhea, persisting long-term, leading to emaciation and Gan syndrome. Suitable for regular use.
Chuan Huanglian (Coptidis Rhizoma, remove stamens) and Huangbai (Phellodendri Cortex, remove rough bark) (each 1 liang).
Grind into fine powder. Place the powder inside a pig gallbladder and cook in water until done. Form pills the size of mung beans. Take 20-30 pills per dose with rice drink. Adjust dosage according to the child's age; take frequently without fixed times.
[Liu Shi] Huhuanglian Yinzi: For pediatric Gan heat, causing intermittent diarrhea, fluctuating appetite, yellow face with dark body, and progressive emaciation.
Huhuanglian (Coptidis Rhizoma alternative), Huangyaozi (Dioscoreae Bulbilis), Renshen (Ginseng Radix et Rhizoma), Zhigancao (Prepared Licorice Root), Baizhu (Atractylodis Macrocephalae Rhizoma, lightly stir-fried), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix) (equal parts).
Clean each herb and cut into pieces. Take 2 qianbi per dose with 1 sheng of water, add 7 cun of tender peach and willow branches, and a few Wu Mei (Mume Fructus). Decoct to 8 fen. Filter and clarify. Divide into two doses: take one after early breakfast when stomach is slightly empty, and the other before bed. Deep red urine indicates efficacy. Stop medication when urine clears; muscle growth and appetite will return. Generally, emaciated children should take this formula; it is suitable for those under 15 years old.
[Zhuang Shi] Huanglian Wan: For Gan diarrhea and Gan dysentery.
Huanglian (Coptidis Rhizoma, peeled, washed clean, dried and ground) and Da Wuyi Ren (Toosendan Fructus seed, ground fine in mortar) (equal parts).
Mix the two powders evenly. Cook with glutinous millet to make a thin porridge, then form pills the size of small mung beans. Dosage by age: 7-10 pills for 3-year-olds; 15-20 pills for older than 3 years. Take on an empty stomach with aged rice drink, 3 times daily.
[Qian Yi] Rusheng Wan: For cold-heat Gan diarrhea.
Huhuanglian (Picrorhizae Rhizoma), Bai Wuyi (Toosendan Fructus, remove wings, stir-fry), Chuan Huanglian (Coptidis Rhizoma) (each 2 liang); Shijunzi (Quisqualis Fructus, 1 liang, shell removed, weighed); Shexiang (Moschus, separately ground, half qian); Gan Hamad (Dried Bufo, 5 specimens, chopped, boiled in wine to make paste).
Grind the above herbs into powder. Use the paste to form pills the size of hemp seeds. Take with Ginseng decoction: 5-7 pills for 2-3 year olds; 10-15 pills for older children. Take without fixed times.
*Boji Fang* Huhuanglian Wan: For pediatric Gan disease causing diarrhea and dysentery.
Huhuanglian (Picrorhizae Rhizoma), Dingxiang (Caryophylli Flos), Miduoseng (Lithargyrum) (each half liang); Roudoukou (Myristicae Semen), Binglang (Arecae Semen) (each 1 piece); Hongxue (Red Snow/Saltpeter variant, 1 liang); Hezi (Chebulae Fructus, 2 pieces, one roasted, one raw).
Grind the seven ingredients finely. Mix with 2.5 qian of Moschus. Add a little mung bean powder. Mix with water to form pills the size of hemp seeds. Under 3 years: 1 pill; over 3 years: 5 pills.
For brain Gan with nasal itching and redness/ulceration: take with Huanglian Tang.
For Spleen deficiency with emaciation/dysentery and limb edema: take with Qingzhou Jujube Tang.
For Liver Gan with dry eyes and sores: take with Gancao Tang.
For Bone Gan preferring cold floors and geophagia: take with Zisu Cha Tang.
For general maintenance: take with rice drink.
For Lung Gan with asthma/wheezing: take with Chupi Tang.
For Sinew Gan with bloody diarrhea: take with Salt Water.
For Gan worms and indefinite diarrhea: take with Shengjiang Tang.
Xiangkou Wan: For Gan diarrhea.
Huanglian (Coptidis Rhizoma, stir-fried, 3 qian); Roudoukou (Myristicae Semen), Muxiang (Aucklandiae Radix), Hezi Rou (Chebulae Mesocarp, roasted), Sharen (Amomi Fructus), Fuling (Poria) (each 1 qian).
Grind into powder. Form pills with rice, size of hemp seeds. Take with rice drink.
[Qian Shi] Muxiang Wan: For frequent loose stools, blue-white lips and mouth.
Muxiang (Aucklandiae Radix), Qingdai (Indigo Naturalis, separately ground), Binglang (Arecae Semen), Roudoukou (Myristicae Semen, peeled) (each 2.5 qian); Shexiang (Moschus, separately ground, 1.5 qian); Xuisizi (Euphorbiae Lathyridis Semen, 1.5 liang, stir-fried); Hamad (Bufo, 3 specimens, tied with string, dried, charred to retain nature).
Grind into powder. Honey-form pills the size of mung beans. Take 3-5 to 10-20 pills with Mint Decoction, before meals.
Meishi Zi Wan (Qian Shi): For leukorrheal diarrhea, slippery Gan dysentery, and abdominal pain in children.
Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma) (each 2.5 qian); Meishi Zi (Terminalia Chebula Resin), Doukou Ren (Cardamomi Semen), Hezi Rou (Chebulae Mesocarp) (1, 2, and 3 pieces respectively).
Grind into fine powder. Mix with rice to form pills the size of hemp seeds. Take with rice drink, before meals, adjusting dosage by age.
*Jubao Fang* Huanglong Wan: Stabilizes pediatric cold Gan diarrhea.
Zhusha (Cinnabar, ground, 1 qian); Longnao (Borneolum Syntheticum, ground, half zi); Liuhuang (Sulfur, 1 liang); Xionghuang (Realgar, 2.5 qian).
Place Xionghuang in a clay pot. Place a bowl with half a sheng of water on top of the pot. Heat the pot with charcoal until the sublimated medicine collects at the bottom of the bowl. Scrape it down. Grind together with Zhusha and Liuhuang. Add Longnao. Form pills with glutinous rice porridge, size of yellow millet. Take 3 pills before meals with Pepper Decoction.
[Ji Shi] Lvhuan Wan: For persistent Gan diarrhea, loss of appetite, and abdominal distension.
Dingxiang (Caryophylli Flos), Roudoukou (Myristicae Semen, peeled), Muxiang (Aucklandiae Radix, cut) (each half liang).
Wrap the three herbs in dough and bake slowly over low fire until cooked. Remove dough. Add Lvhuan (Aloe), Shijunzi Ren (Quisqualis Seed) (half liang). Grind into fine powder. Form pills with thin starch paste, size of broomcorn millet. Take 10-20 pills with rice drink.
[Tang Shi] Treats chronic dysentery and lingering Gan dysentery where many medicines have failed, diet is normal, but defecation persists. Break one chicken egg. Melt a piece of yellow beeswax the size of a finger. Stir-fry the egg with the wax. Eat completely on an empty stomach. This method is effective for all doctors and ensures recovery.
*Baoshi Fang* For pediatric Gan dysentery near death: Roar and eat Motherwort Herb (Yimucao). Take sufficient amount until cure. Very effective.
Qian Shi Daluhuan Wan (General treatment for this section), Hulian Shexiang Wan, Yuren Wan (See "Expelling Worms" section in this chapter).
Liangfang Wupo San: For persistent pediatric Gan diarrhea, occurring countless times day and night, leading to gradual emaciation.
Tao Gen Baipi (Peach Root Bark), Huangbai (Phellodendri Cortex, honey-fried), Wuyi (Toosendan Fructus, peeled), Huanglian (Coptidis Rhizoma, lightly stir-fried) (each 2.5 qian); Houpo (Magnoliae Officinalis Cortex, ginger juice-fried), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Dingxiang (Caryophylli Flos) (each 1 qian); Meishi Zi (Terminalia Chebula Resin, 1.5 qian); Lian Gen Baigen (Chinaberry Root Bark, 1.25 qian).
Grind into powder. Dosage: 1 zi for young children, half qian for over 3 years, 1 qian for 5-6 years. Mix with Perilla and Papaya, take with rice drink, before milk/food meals, 3 times daily. My family child suffered diarrhea for over 100 days, reduced to skin and bones, unresponsive to myriad methods. Official Zhongli Jun advised taking Wupo San, promising immediate cure. I obtained the formula and administered 2-3 doses, resulting in efficacy. Another grandson also had severe Gan diarrhea; two doses stabilized him. For deep-seated illness, cure occurs within 1-2 days. This medicine is highly effective for Gan diarrhea. Its nature is mildly warm; it may not suit acute hot diarrhea.
Danxi treated a 14-year-old son of a wealthy family. Yellow face, voracious appetite, easily hungry, required meat to feel full. Diarrhea for one month. Pulse was large in both hands. Surprisingly not emaciated or fatigued. Initially suspected damp-heat causing Spleen stagnation and poor appetite, but the patient was robust and ate much, without thirst. I deduced it was likely Gan worms causing dysentery. Examined stool: confirmed Ascaris lumbricoides. While away, a pediatrician advised using anthelmintics and forbidding purgatives for accumulation, promising to check upon return to stop diarrhea. The plan was not followed. Next spring/summer, diarrhea recurred, no abdominal pain but dry mouth. I said: "This is due to treating worms last year but not Gan." Prescribed clearing Gan heat medicines, taken with strong White Atractylodes Decoction. Diarrhea stopped in 3 days. Half a month later, visited his home, saw the son was very thin. Advised: White Atractylodes as Sovereign, Paeonia as Minister, plus Chuanxiong, Chenpi, Huanglian, Huhuanglian, and a little Aloe, formed into pills. Take with White Atractylodes Decoction. Stopped in half a month. Forbidden meat consumption; self-healing expected in 3 years.
*Doumen Jing* Formula for pediatric Gan diarrhea.
Grind Chishizhi (Halloysitum Rubrum) into extremely fine powder like flour. Take half qian mixed with gruel. Cures immediately. Alternatively, mix with equal parts Jingxiong (Ligusticum Chuanxiong) for better effect.
*Zhuang Shi Family Collection* Formula for chronic Gan diarrhea not healing.
Chishizhi (Halloysitum Rubrum), Lvfan (Melanterite), Duanshi (Burnt Lime) (each 2 liang); Liuhuang (Sulfur, half liang).
Grind evenly. Put in jar, burn until flame turns green. Remove from fire, cool, and grind again. Take 1 zi or half qian. Mix with cooled millet gruel. Take before meals.
Another Formula:
Shijunzi (Quisqualis Fructus, roasted), Wubeizi (Galae Chinensis), Meishi Zi (Terminalia Chebula Resin) (equal parts).
Grind into powder. Take half qian with aged rice drink.