胎中素挟风热，生下乳哺越常，头皮光急，满头饼疮，脑热如火，发结如穗，
遍身多汗，腮肿囟高是也。
《仙人水鉴》小儿三岁以下，多睡卧合面在地者，便是脑中疳气，宜服此方。
黄葵花 菊花 釜下墨 消石 柏叶（各等分）
上为散，吹入鼻中，永不合面卧地也。吹鼻中有恶物似泥泄数条，即便是脑中疳气，此是杀人之本。
小儿脑疳，乳母宜服此方。
柏叶 松叶 黄葵花 鼓子花 鳖甲 虎骨 槟榔 大黄（各二两）
上并生为末，与醋三升煎膏，丸如绿豆大。每日空心，饮下三丸，效。
《药性论》治小儿脑疳方
上，研芦荟不以多少，为细末。每用少许吹鼻中，杀脑疳鼻中痒。
《圣惠》牛黄丸 治小儿脑疳，身热发枯。
牛黄 芦荟（各细研） 熊胆（研入） 胡黄连 木香 犀角（屑。各一分） 龙脑 麝香（各细研） 蟾
酥（研入。各半分） 青黛（细研，半两）
上件药捣，罗为末，都研令匀，以面糊和丸，如黄米大。每服以温水下五丸，
日三服，量儿大小，以意加减。
龙脑丸 治小儿脑疳，羸瘦烦热。
龙脑 麝香 雄黄（各一钱） 胡黄连（末） 牛黄 朱砂 熊胆 芦荟 干虾蟆（灰。各一分）
上件药都研令如粉，以水化熊胆和丸，如麻子大。若硬，更入糯米饭同丸。每
服用薄荷温汤下三丸，日三服，量儿大小，以意加减。
吹鼻龙脑散 治小儿脑疳，鼻塞头痛，眼目昏暗，羞明怕日。
龙脑 麝香（各细研少许） 蜗牛壳（炒令黄） 虾蟆（灰） 瓜蒂 黄连（去须） 细辛（各一分）
上件药捣，细罗为散，入瓷合内贮之。每取少许，吹于鼻中，每日两上用之。
治小儿合面卧地多睡，或气急面黄，哭声高叫，或心痛口干，盖是因曾吃生肉如此，腹内有虫方。
鹤虱（二分） 茯苓（一两，煨） 木香（一分） 苦楝根（三两） 桧株根（半两）
上先将二味根，用水一斗煎成膏，然后将三味为末，搜和成丸黍粒大。每服三
五丸米饮下。（庄氏第十三候用此方）
第七脑疳，鼻下赤烂，身心烦躁，鼻内生疮，头发自落，日夜痛无休歇，状似鬼形，
安息丸
安息香 丁香 胡黄连 麝香 雄黄（各一钱） 肉豆蔻 金银箔（各五片）
上末，炼蜜丸，如麻子大。每服三丸，米汤下。
龙胆丸 治脑疳脑热疮。
龙胆草 升麻 苦楝根皮（焙） 赤茯苓 防风 芦荟 油发灰（各二钱） 青黛（干） 黄连（净。各三钱）
上为末， 猪胆汁浸糕糊、丸麻子大。薄荷汤下。仍以芦荟末入鼻。
The fetus originally harbored wind-heat within the womb. After birth, excessive breastfeeding and feeding led to a scalp that was shiny and tight, with crusty sores covering the head like cakes. The brain felt hot as if on fire, hair matted into tufts, profuse sweating over the body, swollen cheeks, and a bulging fontanelle; this is known as Brain Gan (Brain Malnutrition).
*Xianren Shuijian* records: For children under three years old, those who mostly sleep lying prone with their faces pressed against the ground have Gan Qi (malnutrition qi) in the brain. It is suitable to take this prescription.
Huang Kui Hua (Abutilon pictum flower), Ju Hua (Chrysanthemum flower), Fu Xia Mo (Soot from the pot bottom), Xiao Shi (Niter), Bai Ye (Cacumen Platycladi) (equal parts).
Grind the above into a powder and insufflate it into the nose. The child will no longer sleep face down. If foul, mud-like discharge flows out from several orifices after insufflation, this confirms Brain Gan Qi, which is the root of the disease.
When a child suffers from Brain Gan, the nursing mother should take this prescription.
Bai Ye (Cacumen Platycladi), Song Ye (Pinus needle), Huang Kui Hua (Abutilon pictum flower), Gu Zi Hua (Ipomoea nil flower), Bie Jia (Carapax et Plastrum Testudinis), Hu Gu (Os Tigris), Bing Lang (Areca Seed), Da Huang (Radix et Rhizoma Rhei) (two liang each).
Grind all ingredients raw into powder. Decoct with three sheng of vinegar to make a paste, then form pills the size of mung beans. Take three pills on an empty stomach daily with warm water for efficacy.
*Yao Xing Lun* prescription for treating pediatric Brain Gan:
Take Lu Hui (Resina Aloes) in any amount, grind into fine powder. Insufflate a small amount into the nose to kill the itching caused by Brain Gan in the nasal cavity.
*Shenghui Fang* Niu Huang Wan (Calculus Bovis Pill): Treats pediatric Brain Gan with body heat and dry, brittle hair.
Niu Huang (Calculus Bovis), Lu Hui (Resina Aloes) (both finely ground); Xiong Dan (Bile Ursi) (ground in); Hu Huang Lian (Rhizoma Coptidis Chinensis var. angustissimae); Mu Xiang (Radix Aucklandiae); Xi Jiao (Cornu Rhinocerotis) (shredded, one fen each); Long Nao (Borneolum Syntheticum); She Xiang (Moschus) (both finely ground); Chan Su (Venenum Bufonis) (ground in, half fen each); Qing Dai (Indicum) (finely ground, half liang).
Pound the above medicines, sieve into powder, mix evenly, and bind with wheat paste to form pills the size of yellow millet grains. Take five pills with warm water per dose, three times daily. Adjust dosage according to the child's age and condition.
Long Nao Wan (Borneol Pill): Treats pediatric Brain Gan characterized by emaciation and irritability with heat.
Long Nao (Borneolum Syntheticum), She Xiang (Moschus), Xiong Huang (Realgar) (one qian each); Hu Huang Lian (Rhizoma Coptidis Chinensis var. angustissimae) (powder); Niu Huang (Calculus Bovis), Zhu Sha (Cinnabaris), Xiong Dan (Bile Ursi), Lu Hui (Resina Aloes), Gan Xia Ma (Ash of Dried Bufo bufo gargarizans) (one fen each).
Grind all ingredients into a powder. Dissolve Xiong Dan (Bile Ursi) in water to bind the pills, forming them the size of sesame seeds. If too hard, add glutinous rice flour during processing. Take three pills per dose with warm mint decoction, three times daily. Adjust dosage according to the child's age and condition.
Chui Bi Long Nao San (Insufflation Borneol Powder): Treats pediatric Brain Gan with nasal congestion, headache, dim vision, photophobia, and fear of sunlight.
Long Nao (Borneolum Syntheticum), She Xiang (Moschus) (small amounts, finely ground each); Wo Niu Ke (Shell of Helix Aspersa) (stir-fried until yellow); Xia Ma (Ash of Bufo bufo gargarizans); Gua Di (Fructus Cucumeris); Huang Lian (Rhizoma Coptidis) (remove roots); Xi Xin (Herba Asari) (one fen each).
Pound the above medicines, sieve finely into powder, and store in a porcelain container. Insufflate a small amount into the nose twice daily.
Prescription for children sleeping prone, lethargic, or presenting with rapid breathing, sallow complexion, loud crying, heart pain, or dry mouth due to consuming raw meat and intestinal parasites.
He Shi (Semen Carpesii Abrotanoidis) (two fen); Fu Ling (Poria) (one liang, baked); Mu Xiang (Radix Aucklandiae) (one fen); Ku Lian Gen (Cortex Meliae Toosendan); Gui Zhu Gen (Root bark of Juniperus chinensis) (half liang).
First, decoct the two root materials in ten dou of water until reduced to a paste. Then, grind the remaining three herbs into powder and mix with the paste to form pills the size of millet grains. Take three to five pills per dose with rice drink. (Recommended by Zhu Shi's Thirteenth Protocol).
Seventh type of Brain Gan: redness and erosion below the nose, mental restlessness, nasal sores, hair loss, ceaseless day-and-night pain, and bizarre appearances resembling ghosts. An Xi Wan (Styrax Pill).
An Xi Xiang (Styrax), Ding Xiang (Flos Caryophylli), Hu Huang Lian (Rhizoma Coptidis Chinensis var. angustissimae), She Xiang (Moschus), Xiong Huang (Realgar) (one qian each); Rou Dou Kou (Nux Arecae Condita); Jin Yin Bo (Gold and Silver Leaf) (five pieces each).
Grind into powder, bind with refined honey to form pills the size of sesame seeds. Take three pills per dose with rice soup.
Long Dan Wan (Gentian Pill): Treats Brain Gan with brain heat and sores.
Long Dan Cao (Radix Gentianae Macrophyllae), Sheng Ma (Rhizoma Cimicifugae), Ku Lian Gen Pi (Cortex Meliae Toosendan) (baked), Chi Fu Ling (Poria cum Rubro), Fang Feng (Radix Saposhnikoviae), Lu Hui (Resina Aloes), You Fa Hui (Ash of Oiled Hair) (two qian each); Qing Dai (Indicum) (dry); Huang Lian (Rhizoma Coptidis) (cleaned, three qian each).
Grind into powder. Soak cake paste in Pig Bile (Bile Sus Scrofae Domesticae), bind to form pills the size of sesame seeds. Take with mint decoction. Additionally, insufflate Lu Hui (Resina Aloes) powder into the nose.