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Emaciated body, palpable masses in the hypochondrium, five-palm heat (heat sensation in the palms, soles, and chest) with night sweats; although the child is pure of essence (pre-pubertal), prolonged duration has led to *Gan* Lao (Childhood Malnutrition and Consumption).
Prescription: *Qianshi Junzi* (Fructus Quisqualis), *Guangpi* (Exocarpium Citri Reticulatae), *Hulian* (Rhizoma Coptidis / Cortex Coptidis - Note: Context implies Huhuanglian), *Zharou* (Sarcocarpus Crataegi), *Sharen* (Fructus Amomi Rotundus), *Baizhu* (Rhizoma Atractylodis Macrocephalae), *Fuling* (Poria), *Baishao* (Radix Paeoniae Alba), *Nongpo* (Cortex Magnoliae Officinalis), *Jizhenpi* (Endothelium Corneum Gigeriae Galli).

Abdominal distension after long-term illness, purplish discoloration under the eye orbits; this indicates Spleen deficiency with retained food accumulation, i.e., *Gan* Heat syndrome.
Prescription: *Ganchan Wan* (Dry Toad Pill).

Post-dysenteric injury to Yin, manifesting as five-palm heat. In young children, there is fear of progression to *Gan* disease; light diet is most suitable for nourishment. In summer and winter, formulas such as *Qingre Fei'er Wan* (Heat-Clearing Child-Nourishing Pill) may be used.
Prescription: *Baishao* (Radix Paeoniae Alba), *Huhuanglian* (Rhizoma Coptidis), *Nanqiao Zhazha* (Fructus Crataegi), *Ganheyedie* (Folium Nelumbinis), *Fuling* (Poria), *Mudanpi* (Cortex Moutan), *Chao Zexie* (Rhizoma Alismatis).

Diarrhea persists after sweating, not due to exterior or interior pathogenic factors. Initially vomiting and diarrhea; now belching still smells foul, indicating habitual overindulgence in mixed foods. Repeated damage to the Spleen and Stomach, unresolved for twenty days, constitutes pediatric *Gan* erosion, emaciation, and steaming consumption. Sweet milk risks generating heat and phlegm; subsequent vomiting may trigger convulsions.
Prescription: *Huhuanglian* (Rhizoma Coptidis), *Zhishi* (Fructus Aurantii Immaturus), *Zhuling* (Poria), *Guangpi Bai* (Albedo Exocarpium Citri Reticulatae), *Zharou* (Sarcocarpus Crataegi), *Zexie* (Rhizoma Alismatis), *Xijiaojian* (Cornu Rhinocerotis - Note: Substitute often used in modern context, e.g., Water Buffalo Horn), *Baijin Zhi* (Platinum Water Juice), *Xian Shichangpu* (Rhizoma Acori Tatarinowii), *Lianqiao Xin* (Flos Forsythiae), *Xian Shengdi* (Radix Rehmanniae Preparata), *Jinyinhua* (Flos Lonicerae Japonicae).

Warm pathogens enter the Lung; the Lung transmits heat to the Large Intestine causing diarrhea. Using *Xiebai San* (White Powder for Draining the Lung) to clear the source of disease is appropriate. However, upper Jiao Qi stagnation and heat aggregation cause Qi rebellion leading to cough and vomiting. Young children are most afraid of spasm and convulsion. Administer acrid-cold herbs to resolve pathogens; hold upright to lie down, avoiding excessive expansion of lung lobes, facilitating recovery. This is a tried-and-true method.
Prescription: *Xingren* (Semen Pruni Armeniacae), *Yiyiren* (Semen Coicis), *Heyegeng* (Petiole Nelumbinis), *Lianqiao* (Flos Forsythiae), *Juhong* (Pericarpium Citri Reticulatae Chienpiao) (honey-fried).

Dietary irregularity in childhood damages Stomach Earth; heat steams internally, Liver-Gallbladder Wood-Fire transforms into Wind, resulting in epilepsy and convulsion. Mouth deviation and limb traction indicate wind-fire dryness affecting collaterals. If dietary indiscretion continues, convulsions will persist, leading to untreatable severe forms of the five epilepsies.
Prescription: *Chuanlian* (Rhizoma Coptidis), *Danning* (Spilanthus Nodulus / Arisaema cum Bile), *Yuanzhi* (Radix Polygalae), *Zhishi* (Fructus Aurantii Immaturus), *Heizhi* (Fructus Gardeniae Praeparatus), *Juhong* (Pericarpium Citri Reticulatae Chienpiao), *Jiegeng* (Radix Platycodonis), *Laifuzi* (Semen Raphani).

Childhood emaciation with fine pulse, decreasing food intake, evening fever with morning coolness, sweating; this is consumptive labor, difficult to treat. Pediatric consumption originates from damage to skin, hair, flesh, and blood. Proposal: Regulate Ying and Wei (Nutritive and Defensive Qi).
Prescription: *Huangqi* (Radix Astragali Membranacei), *Guishen* (Radix Angelicae Sinensis), *Mitang* (Saccharum officinarum juice/crystal), *Nanzao* (Fructus Jujubae).

In early youth, during winter, shortness of breath and irritability, muscle twitching during sleep occur due to incomplete development and floating Yang. Use *Liuyun Wan* (Six-Ingredient Pill with Rehmannia) plus *Maidong* (Radix Ophiopogonis) and *Wuweizi* (Fructus Schisandrae Chinensis).

In childhood, weak Spleen-Stomach Qi; malaria and dysentery in summer/autumn require protecting the Middle Earth. Physicians ignorant of this principle use only dispersing and digesting methods, depleting Yuan Qi (Original Qi), causing internal drumming of Liver Wind, resulting in Slow Spleen Wind convulsions, ultimately incurable. Tentatively propose a formula.
Prescription: *Xijiaojian* (Cornu Rhinocerotis), *Baijin Zhi* (Platinum Water Juice), *Xian Shichangpu* (Rhizoma Acori Tatarinowii), *Lianqiao Xin* (Flos Forsythiae), *Xian Shengdi* (Radix Rehmanniae Preparata), *Jinyinhua* (Flos Lonicerae Japonicae).