薛立斋治一小儿，头患白疮，皮光且急，诸药不应，名曰脑疳疮，乃胎毒挟风热而成也。服以龙胆丸，及
吹芦荟末于鼻内，兼搽解毒散而愈。若重者，发结如穗，脑热如火，遍身出汗，腮肿胸高，尤当服此药。
一小儿咳嗽喘逆，壮热恶寒，皮肤如粟，鼻痒流涕，咽喉不利，颐烂吐红，气胀毛焦，是名曰肺疳，以地
黄清肺饮，及化虫丸治之而愈。
一小儿眉皱多啼，呕吐清沫，腹中作痛，肚胀筋青，唇口紫黑，肛门作痒，名曰蛔疳，以大芦荟丸治之而
愈。有虫食脊膂，身热黄瘦，烦温小利，拍背如鸣鼓，脊骨如锯齿，十指生疮，常啮，此脊疳也，当以前丸治之。
一小儿鼻外生疮，不时揉擦，延及两耳，诸药不效，以芦荟丸，及搽松香绿豆末而愈。
一小儿十岁，患疮疥，久不愈，肌体羸瘦，寒热时作，脑热足冷，滑泻肚痛，龈烂口臭，干渴，爪黑面黧，
此肾疳也。服六味地黄丸，更搽解毒散而愈。
一小儿十五岁，遍身似疥，脓水淋漓，身热口热，口干，形体骨立，四年矣。此肾疳之症，用六味丸而愈。
后阴茎作痒，小便澄白，疥疮如大风，用芦荟四味肥儿丸，诸症渐愈，又用大芜荑汤而全安。
一小儿项结一核，坚硬如粟，面色萎黄，饮食不甘，服托里药不应，此无辜疳毒也，以蟾蜍丸治之而愈。
若数服不消，按之转动，软而不痛者，内有虫如粉，宜急针去之。若不速去，则虫随气走，内蚀脏腑不治。丸
用蟾蜍一枚，夏月沟渠中，取腹大不跳不鸣者。先取粪蛆，蟾蜍扑死，投在蛆中，任与蛆食。次以新布袋系之，
置丸如麻子大。每服二三十丸，空心米饮下。
一小儿遍身生疮，头发成穗，眉毛脱落，肌肉消瘦，大便酸臭，小便不调，颈间结核，肚大青筋，先用五
味异功散。月余后，用四味肥儿丸，又用大芜荑汤、异功散而痊。
一小儿面黄颊赤，作渴惊悸，兼手心发热，遍身如疥，此心惊内外疳症，用肥儿丸为主，佐以《秘旨》安
神丸而愈。
史少参幼子二岁，项后结核，不时仰首。或以为热疮内溃，用针决之，服消毒之药，后曲腰啼哭。谓此
无辜疳，外吊症也；曲腰而哭，内吊症也。果殁。
一小儿数岁，脑后并结二核，肉色如故而不 肿，正属膀胱经。观其形状，审其粪色，兼属肝脾肾三经。
用九味芦荟丸以清肝脾，地黄丸以补肾水，形体渐健，不两月而消。
一小儿遍身如疮，或痒或痛，肌体消瘦，日夜发热，口干作渴，大便不调，年余不愈，用芦荟丸以治肝，
兼五味异功散以补脾而愈。
Dr. Xue Lizhai treated a pediatric patient suffering from white sores on the head, with shiny and tight skin, unresponsive to various medications. This condition is named "Nao Gan Chuang" (Brain Malnutrition Sore), caused by fetal toxins combined with wind-heat. The patient recovered after taking Longdan Wan (Gentian Pill), having Lu Hui powder (Aloe Powder) insufflated into the nose, and applying Jiedu San (Detoxification Powder) externally. In severe cases, where hair matts into tufts, the head feels hot as fire, the whole body sweats, cheeks swell, and the chest protrudes, this medication should definitely be administered.
Another pediatric patient presented with coughing, wheezing, high fever, aversion to cold, skin resembling millet grains, itchy nose with runny discharge, throat discomfort, ulceration of the chin with blood spitting, abdominal distension, and scorched hair. This is termed "Fei Gan" (Lung Malnutrition). The patient was cured using Dihuang Qingfei Yin (Rehmannia Lung-Clearing Decoction) and Huachong Wan (Worm-Dissolving Pill).
Yet another pediatric patient exhibited furrowed eyebrows, frequent crying, vomiting of clear foam, abdominal pain, abdominal distension with visible blue veins, purple-black lips and mouth, and anal itching. This is named "Hui Gan" (Roundworm Malnutrition), treated successfully with Da Lu Hui Wan (Large Aloe Pill). If parasites eat into the spine, causing fever, jaundice, emaciation, irritability, warmth, and frequent urination; if patting the back produces a drum-like sound; if the spinal bones protrude like saw teeth; and if sores appear on the ten fingers with constant gnawing, this is "Ji Gan" (Spinal Malnutrition), which should also be treated with the aforementioned pill.
In another case, a pediatric patient developed sores outside the nostrils, frequently rubbing and scratching them, spreading to both ears, unresponsive to other drugs. Recovery occurred using Lu Hui Wan (Aloe Pill) and an external application of Song Xiang Lv Dou Mo (Pine Resin and Mung Bean Powder).
A ten-year-old pediatric patient suffered from chronic tinea and scabies, resulting in emaciation, alternating chills and fever, heat in the head but coldness in the feet, loose diarrhea with abdominal pain, gingival ulceration with foul breath, dry thirst, black nails, and sallow complexion. This is identified as "Shen Gan" (Kidney Malnutrition). The patient recovered after taking Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and applying Jiedu San (Detoxification Powder) externally.
A fifteen-year-old pediatric patient presented with generalized scabies-like lesions, dripping pus, body heat, oral heat, dry mouth, and extreme emaciation ("bone-standing"), lasting for four years. Diagnosed as Kidney Malnutrition, the patient recovered using Liuwei Wan (Six-Ingredient Pill). Later, penile itching and cloudy white urine appeared, and the scabies resembled "Da Feng" (Great Wind/Leprosy). Using Luhu Siwei Fei'er Wan (Aloe Four-Ingredient Child-Nourishing Pill), symptoms gradually improved, followed by full recovery using Dawuyi Tang (Large Cnidium Decoction).
A pediatric patient had a hard nodule in the neck, resembling a millet grain, with sallow complexion and poor appetite, unresponsive to Toli medicines (Supporting Interior Medications). This was diagnosed as "Wugu Gan Du" (Gu-less Toxin Malnutrition), cured by Chanshu Wan (Toad Pill). If repeated doses fail to reduce the swelling, and upon palpation the mass moves, is soft, and painless, indicating worms inside like powder, they should be punctured and removed immediately. If not removed quickly, the worms will travel with Qi and erode internal organs, leading to untreatable conditions. The preparation method for the pill involves: taking one toad from summer ditches, selecting those with large abdomens that do not jump or croak. First, collect maggots from feces, crush the toad, and throw it into the maggots for them to consume. Then, place the mixture in a new cloth bag and form pills the size of hemp seeds. Administer 20-30 pills per dose, taken on an empty stomach with rice water.
Another pediatric patient presented with generalized sores, matted hair, fallen eyebrows, muscle wasting, sour-smelling stool, irregular urination, cervical lymphadenopathy, abdominal distension with prominent veins. Initially treated with Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder). After more than a month, treated with Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill), followed by Dawuyi Tang (Large Cnidium Decoction) and Yigong San, resulting in recovery.
A pediatric patient with sallow face, red cheeks, thirst, palpitations, and heat in the palms, along with generalized scabies-like rash, was diagnosed with Xin Jing Nei Wai Gan Zheng (Heart-Fright Internal and External Malnutrition Syndrome). The patient recovered using Fei'er Wan (Child-Nourishing Pill) as the main formula, assisted by Anshen Wan (Calming Spirit Pill) from *Mizhi* (Secret Instructions).
The two-year-old son of Vice Minister Shi presented with a nodule behind the neck and frequent head tilting backward. It was initially mistaken for an internal rupture of a hot sore and treated with needle drainage and detoxifying herbs. Subsequently, the child cried while bending his waist. This was identified as Wugu Gan (Gu-less Malnutrition): bending the waist while crying indicates "Nei Diao" (Internal Hanging); looking upward indicates "Wai Diao" (External Hanging). The child unfortunately died.
A few-year-old pediatric patient had two nodules behind the head, with normal skin color and no swelling, corresponding to the Bladder Meridian. Observing the shape and examining stool color indicated involvement of the Liver, Spleen, and Kidney meridians. Treated with Jiwei Lu Hui Wan (Nine-Ingredient Aloe Pill) to clear the Liver and Spleen, and Dihuang Wan (Rehmannia Pill) to tonify Kidney Water. The physical condition gradually strengthened, and the nodules disappeared within two months.
Another pediatric patient presented with generalized sores, either itchy or painful, emaciation, day-and-night fever, dry mouth and thirst, and irregular stools, persisting for over a year. Treated with Lu Hui Wan (Aloe Pill) to regulate the Liver, combined with Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder) to tonify the Spleen, resulting in recovery.