《圣惠》天竺黄散 治小儿疳，多渴体热烦躁，少得睡卧。
天竺黄（细研） 黄连（去须） 马牙硝 栀子仁 葛根（锉，各半两） 甘草（炙微赤，锉） 牛黄（细研）
款冬花 紫菀（洗去苗土） 犀角（屑） 土瓜根（各二钱半）
上件药捣，细罗为散，都研令匀。不计时候，以蜜水调下半钱，量儿大小加减服之。
治小儿疳热烦渴不止方
干蟾头（二枚，涂酥，炙焦黄） 蜗牛壳（微炒） 胡黄连 栝蒌根（各半两。）
上件药捣，细罗为散。每服，以竹叶汤调下半钱，不计时候，量儿大小，临时
加减服之。
五胆丸（圣惠） 治小儿渴疳。
猪胆 狗胆 牛胆 鲫鱼胆 胆（以上各一枚）
上件药四胆汁，并入牛胆内，在灶北后悬，候稍干，可丸即丸如黍米大。每服，
以新汲水下二丸，以饮水足为度，空心、午后各一服，更量儿大小加减。
胡黄连散 治小儿疳，热渴干瘦。
胡黄连 犀角（屑。各二钱半） 生地黄汁（一合） 羊子肝（一具，研取汁） 麝香（半钱，细研） 蜜半合
上件药，捣胡黄连、犀角，细罗为散，入麝香研匀，以羊肝汁、地黄汁、蜜等
调令匀。每服，煎竹叶汤调下药汁一茶匙，量儿大小加减服之。
黄连丸 治小儿疳热烦渴。
黄连（去须） 天竺黄 牛黄（各细研） 甘草（炙微赤，锉） 栀子仁 款冬花 葛根（锉） 紫菀（洗，
去苗） 犀角（屑。各二钱半） 川朴硝（半两） 竹沥（二合）
上件药捣，罗为末，先用竹沥拌和，更入熟蜜和丸，如绿豆大。每服，以新汲
水研破五丸服之，日四五服，量儿大小加减。
《圣惠》又方
上用蜗牛三五十枚，净盘内以物盖，令行，即有似银泥处，以腻粉和，揩取便
丸之如黍米大。不计时候，以温汤下二丸。
又方
杏仁（汤浸，去皮尖双仁，二钱半） 腻粉（一钱）
上件药，研杏仁如膏，入腻粉相和令匀，用面糊和丸，绿豆大。空心，以粥饮下三丸。
〔钱乙〕龙粉丸 治疳渴。
草龙胆 定粉（微炒） 乌梅肉（焙秤） 黄连（各二分）
上为细末，炼蜜丸，麻子大。米饮下一二十丸，无时。
青香丸（张氏） 治小儿疳渴，引饮不休，肌体羸劣。
胡黄连 青黛 朱砂 鹤虱（各等分）
上为末， 猪胆汁和丸，绿豆大。每服三丸，米饮下。
〔刘氏〕治小儿疳渴方
猪胞（一个，大者） 甘草（一两，寸断劈破，入胞内）
上以水一斗煮至三升，去甘草，将胞焙干，末之。每服二钱或三钱，熟水调下，大人亦可服。
〔庄氏〕治小儿渴疳方
上用蛤粉，取生大 鱼一尾，以粉涂顶上，刮下涎入粉同研，丸鸡头大。每服
一丸，更用活小 鱼一尾，水半盏浸涎水一药注子，化下一丸，立止，便与和气
散（方见前）一二服补之。
又方 治疳渴不止。
井泉石（又名石甘遂） 太阴玄精石 马牙硝
上各等分为末，入生硫黄少许。每服半钱，以生米泔水调下。
《吉氏家传》方
干葛 胡黄连 甘草（炙） 黑参 麦门冬（去心。各等分）
上件为末，每服一钱，水半盏，姜一片，煎四分服。
治小儿疳渴常服五疳不生方
干虾蟆（二枚，长流水内刮去肚肠，以法酒三升，瓶内煮令烂，去骨，研如粉） 黄连（净四两，别为末） 朱砂
（一钱半） 麝香（一钱，研）
上先将虾蟆膏与黄连末同研后，更与麝香、朱砂等研匀作丸如绿豆大。每服十
丸，陈米饮下。如患疳，用黄蜡茶清下。如难丸，入些少酒、面糊不妨。
治小儿一切疳热渴方
蚧虾蟆（大者，两枚） 蜗牛虫（半升，用井水淘，洗净为度，然后用新瓦罐子一具，入二物在内，用盐泥固济了，
不得透风，更进火烧令通赤，候冷取出二物，不用罐子） 大黄 黄连（各半两） 麝香（二钱半）
上为末，面糊丸，如芥子大。每服三丸至五丸，米饮下。（庄氏第十六候用此方）
治小儿疳渴方
人参 干葛 黄芩 柴胡 甘草（炮。各二钱半）
上为末。每服一钱，水一盏，煎五分，去滓候冷，分为五服，每吃药时更点铅
白霜、寒水石共研一字服之，方治疳。（庄氏第二十候先用此止渴）
Tianzhu Huang San (Calamine Powder) from *Shenghui Fang*: Treats pediatric gan accumulation with symptoms of excessive thirst, body heat, irritability, and reduced sleep.
Ingredients: Tianzhu Huang (Calamine, finely ground), Huanglian (Coptis Rhizome, de-veined), Mayaxiao (Mirabilite, sodium sulfate), Zhizi Ren (Gardenia Seed), Gegen (Puerariae Radix, sliced), Gancao (Licorice Root, honey-fried until slightly red, sliced), Niuhuang (Calculus Bovis, finely ground), Kuandonghua (Flos Farfarae), Ziwan (Radix Asteris, washed to remove seedlings and soil), Xijiao (Cornu Rhinocerotis, shaved), Tugua Gen (Radix Trichosanthis Kirilowii, each 2.5 qian).
Preparation and Administration: Pound the above ingredients, sift through a fine sieve to make a powder, and grind thoroughly to ensure uniformity. Administer at any time by mixing half a qian with honey water. Adjust dosage according to the child's age and size.
Formula for treating persistent heat and irritability-thirst in pediatric gan accumulation:
Ingredients: Ganchan Tou (Head of Dry Bufo, two pieces, coated with butter, fried until scorched yellow), Woniu Ke (Snail Shell, lightly stir-fried), Huhuanglian (Coptidis Rhizoma et Chuanxiong Rhizoma mixture or specifically Coptidis Rhizoma in some contexts, here likely referring to a specific preparation or typo for Huhuanglian/Coptis, treated as Huhuanglian/Coptis based on context), Gualou Gen (Trichosanthis Radix, each 0.5 liang).
Preparation and Administration: Pound the above ingredients, sift through a fine sieve to make a powder. For each dose, mix half a qian with Zhu Ye Tang (Bamboo Leaf Decoction). Administer at any time, adjusting dosage according to the child's age and size.
Wudan Wan (Five Gall Bladder Pills) from *Shenghui Fang*: Treats pediatric thirst-gan.
Ingredients: Zhu Dan (Porcine Gallbladder), Gou Dan (Canine Gallbladder), Niu Dan (Bovine Gallbladder), Jiyu Dan (Crucian Carp Gallbladder), She Dan (Boa Gallbladder, one of each).
Preparation and Administration: Collect the bile from the first four gallbladders and mix it into the bovine gallbladder. Hang it behind the north side of the stove. When slightly dry, form pills the size of millet seeds. Take two pills with fresh cold water per dose. Ensure adequate fluid intake. Administer on an empty stomach and in the afternoon. Adjust dosage according to the child's age and size.
Huhuanglian San (Coptis Powder): Treats pediatric gan accumulation with heat-thirst, dryness, and emaciation.
Ingredients: Huhuanglian (Coptidis Rhizoma), Xijiao (Cornu Rhinocerotis, shaved, each 2.5 qian), Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice, one he), Yangzi Gan (Lamb Liver, one piece, pressed for juice), Shexiang (Musk, half a qian, finely ground), Honey (half a he).
Preparation and Administration: Pound Huhuanglian and Xijiao, sift through a fine sieve to make a powder. Add Shexiang and grind uniformly. Mix with Yangzi Gan juice, Sheng Dihuang Zhi, and honey until uniform. For each dose, take one tea spoon of the medicine juice mixed with Zhu Ye Tang (Bamboo Leaf Decoction). Adjust dosage according to the child's age and size.
Huanglian Wan (Coptis Pills): Treats pediatric gan accumulation with heat, irritability, and thirst.
Ingredients: Huanglian (Coptis Rhizome, de-veined), Tianzhu Huang (Calamine), Niuhuang (Calculus Bovis, each finely ground), Gancao (Licorice Root, honey-fried until slightly red, sliced), Zhizi Ren (Gardenia Seed), Kuandonghua (Flos Farfarae), Gegen (Puerariae Radix, sliced), Ziwan (Radix Asteris, washed, de-seedled), Xijiao (Cornu Rhinocerotis, shaved, each 2.5 qian), Chuan Puxiao (Natrii Sulfas, 0.5 liang), Zhuli (Bamboo Sap, two he).
Preparation and Administration: Pound the above ingredients, sift into powder. First mix with Zhuli (Bamboo Sap), then add cooked honey to form pills the size of mung beans. Take five pills crushed in fresh cold water per dose. Administer four to five times daily. Adjust dosage according to the child's age and size.
Another formula from *Shenghui Fang*:
Take thirty to fifty live snails. Place them in a clean dish and cover them. Allow them to move; they will excrete a substance resembling silver mud. Mix this with Nifen (Calomel) and form pills the size of millet seeds. Administer two pills with warm water at any time.
Another formula:
Ingredients: Xingren (Apricot Kernel, soaked in water, skin and twin kernels removed, 2.5 qian), Nifen (Calomel, 1 qian).
Preparation and Administration: Grind Xingren into a paste. Mix with Nifen uniformly. Form pills with wheat starch paste the size of mung beans. Take three pills on an empty stomach with porridge drink.
Longfen Wan (Dragon Powder Pills) by Qian Yi: Treats gan-thirst.
Ingredients: Caolongdan ( Gentiana Scabra Root ), Dingfen (Lead White, lightly stir-fried), Wumei Rou (Mume Fruit Flesh, baked and weighed), Huanglian (Coptis Rhizome, each 2 fen).
Preparation and Administration: Grind into fine powder. Form pills with refined honey the size of hemp seeds. Take ten to twenty pills with rice drink at any time.
Qingxiang Wan (Green Fragrant Pills) by Zhang Shi: Treats pediatric gan-thirst with incessant drinking and emaciated physique.
Ingredients: Huhuanglian (Coptidis Rhizoma), Qingdai (Indigo Naturalis), Zhusha (Cinnabar), Heshi (Nansha Parasol Tree Seed, equal parts).
Preparation and Administration: Grind into powder. Form pills with pig bile the size of mung beans. Take three pills with rice drink.
Formula for treating pediatric gan-thirst by Liu Shi:
Ingredients: Zhu Bao (Porcine Bladder, one large), Gancao (Licorice Root, 1 liang, cut into inches and split, placed inside the bladder).
Preparation and Administration: Boil in ten dou of water until reduced to three sheng. Remove the Gancao. Bake the Zhu Bao until dry and grind into powder. Take two or three qian per dose with hot water. Adults may also take this.
Formula for treating pediatric thirst-gan by Zhuang Shi:
Take Ge Fen (Concha Meretricis). Take one live large fish. Apply the powder to the top of the fish head. Scrape down the saliva and mix with the powder. Form pills the size of cockle seeds. Take one pill per dose. Additionally, take one live small fish, soak in half a zhan of water to extract saliva in a medicine dropper, dissolve one pill in this liquid, and administer. Thirst will stop immediately. Subsequently, administer Heqi San (Harmonizing Qi Powder, see previous section) one or two doses to tonify.
Another formula for persistent gan-thirst:
Ingredients: Jingquanshi (Well Spring Stone, also known as Shigan Sui), Taiyin Xuanjingshi (Taiyin Crystal Stone), Mayaxiao (Mirabilite).
Preparation and Administration: Grind equal parts into powder. Add a small amount of Sheng Liuhuang (Native Sulfur). Take half a qian per dose mixed with raw rice washing water.
Formula from *Ji Family Collection*:
Ingredients: Gan Ge (Dried Puerariae Radix), Huhuanglian (Coptidis Rhizoma), Gancao (Licorice Root, honey-fried), Heishen (Black Ginseng), Maimendong (Ophiopogonis Radix, de-core, equal parts).
Preparation and Administration: Grind into powder. Take one qian per dose with half a zhan of water and one slice of ginger. Decoct until four-tenths remain and consume.
Formula for regular use in pediatric gan-thirst to prevent the five types of gan:
Ingredients: Gan Xia Ma (Dry Toad, two pieces, scraped clean of entrails in running water, boiled in three sheng of method wine in a bottle until soft, bones removed, ground to powder), Huanglian (Pure Coptis Rhizome, 4 liang, ground separately to powder), Zhusha (Cinnabar, 1.5 qian), Shexiang (Musk, 1 qian, ground).
Preparation and Administration: First grind the Xia Ma paste with Huanglian powder. Then add Shexiang and Zhusha and grind uniformly. Form pills the size of mung beans. Take ten pills with aged rice drink. If suffering from gan, take with Huang La Cha Qing (Yellow Wax Tea Clear Liquid). If difficult to form pills, adding a little wine or starch paste is acceptable.
Formula for treating all types of pediatric gan heat-thirst:
Ingredients: Jie Xia Ma (Toad, large, two pieces), Woniu Chong (Snail, half a sheng, washed clean with well water), Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptis Rhizome, each 0.5 liang), Shexiang (Musk, 2.5 qian).
Preparation and Administration: Place the two toads and snails in a new clay pot. Seal tightly with salt mud to prevent air leakage. Fire until red hot. Cool down and remove the contents (discard the pot). Grind everything into powder. Form pills with wheat starch paste the size of mustard seeds. Take three to five pills with rice drink. (Zhuang Shi uses this formula in the 16th condition).
Formula for treating pediatric gan-thirst:
Ingredients: Renshen (Ginseng Radix et Rhizoma), Gan Ge (Dried Puerariae Radix), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Gancao (Licorice Root, processed, each 2.5 qian).
Preparation and Administration: Grind into powder. Take one qian per dose with one zhan of water. Decoct until five-tenths remain. Strain and let cool. Divide into five doses. When taking the medicine, additionally take Qian Baishuang (Basic Lead Carbonate) and Hanshuishi (Aragonite), ground together to the measure of "yi zi", administered with the medicine. This effectively treats gan. (Zhuang Shi uses this formula first to stop thirst in the 20th condition).