《圣惠》五疳久而不瘥，则腹内有虫，肌体黄瘦，下痢不止，宜服药出之，则疳
气渐退。其虫状如丝发，或如马尾，多出于腹背及头项上，若虫色黄白及赤者，可
治，青色者，不可疗也。
朱砂丸《颅囟经》 治孩子疳痢，辨虫颜色，定吉凶。
朱砂（半石莲大） 阿魏（如朱砂大） 蝙蝠血（三两滴） 眉酥（少许）
上细和，少许口脂调。先桃柳枝煎汤浴儿，后看儿大小，以绿豆大填儿脐中，
后用纸可脐中贴之。用青衣盖儿，看虫出来，黄色轻，青黑色重。
《圣惠》干蟾丸 治小儿五疳及惊风出虫，定生死。
干蟾（一枚，五月五日者良） 蛇蜕皮（一条，火 ） 谷精草（二两，花前药同入罐子内，以盐泥固济，晒干，
烧令通赤，放冷研细） 胡黄连 瓜蒂 母丁香（三味同为末） 牛黄 龙脑 朱砂 雄黄 芦荟 天竺黄 麝香（各
一分） 青黛（半两）
上件药都入乳钵内研令极细，用 猪胆汁煎面糊和丸，如绿豆大。一二岁儿以
温米泔半合化下五丸。服药后以桃柳汤浴儿，着青衣，盖疳虫当出衣上及眉毛鬓
边，如细麸片子，或如糁面尘毒，黑色者难治，黄白色易治。仍宜粥饮下二丸，日三服。甚者，半月内瘥。
麝香丸 治小儿五疳瘦弱，毛发干焦，口鼻多痒，有虫。
麝香 芦荟 粉霜 朱砂（各一分） 蟾酥（一白豆许） 皂荚（三寸，烧灰） 蛇蜕皮（五寸，烧灰） 蝙
蝠（三个、取血，拌入药末）
上件药都细研，以油熔蜡和丸，如小豆大。先以桃柳汤洗儿，后用药一丸涂于
脐中，上以醋面封之。良久，即虫出，黄白赤者易治，黑者难疗。
芦荟丸 治小儿五疳，四肢干瘦，腹胀气粗，频揉鼻眼，宜服此出虫。
芦荟 牛黄 蝉壳（各一分） 腻粉 粉霜 硫黄 麝香（各一钱） 田父（一枚，烧烟似绝、便住）
青黛（半两） 巴豆（十粒，去皮心膜油） 蛇蜕皮（一条，烧灰）
上为极细末，令匀，以粳米饭丸，如绿豆大。每服以温水下二丸。良久，煎桃
柳水浴儿后，以青衣盖遍身，当有虫出，白黄色者可治，青黑者难治。
出虫丸 治小儿五疳久不瘥，羸瘦极甚。
朱砂 麝香 牛黄 蜗牛子（炒） 夜明砂（炒） 熊胆（各一分） 蟾酥（半钱）
上件药都细研，以面糊和丸，如绿豆大。每服，以温水下三丸。更别以水研一
丸滴向鼻中，得嚏五七声。良久，当有虫随汗出，立效。
干蟾丸 治小儿五疳出虫。
干蟾（一枚，烧灰） 天灵盖（灰半两） 麝香（半分） 蝉壳（去足，炒） 鳖甲（酥炙黄焦，去裙 ，各一分）
上件药为细末，每用烧饭和丸，如绿豆大。二岁以下以蛤粉汤下一丸，三岁已
上至五岁二丸。服药后，续以桃柳汤浴儿，后用青衣盖之，当有虫子出，赤白者
轻，黑者重。
熊胆丸 治小儿五疳出虫。
熊胆 朱砂 麝香 蚺蛇胆 蜣螂（炒） 瓜蒂（各半两）
上件药为极细末，入研了药，令匀，用 猪胆汁和丸，如绿豆大。先用桃柳汤
浴儿了，用粥饮下三丸。以青衣盖，当有虫出也。
定命散 治五疳有虫。
干虾蟆（一枚，烧灰） 蛇蜕皮（炒） 蝉壳（各一分）
上件为极细末，入麝香末半钱研匀。但是一切疳，至午时后以暖水调下半钱，
一二岁即服一字。后煎桃柳汤，放温浴儿了，便用青衣盖，当有虫出，即效。
青黛丸 治五疳体热，干瘦发立，鼻痒有虫，不欲饮乳。
青黛 芦荟 人中白（各半两） 猪牙皂角 蝉壳（各半分） 麝香（一分） 胡黄连（三分） 蟾涎
人乳汁（各少许）
上件为末，五月五日午时修合，以粽子肉、枣肉、及蟾涎、乳汁丸，如黍米大。
以桃柳汤浴儿后，以米饮下三丸。后着青衣裹儿，看身上有虫出，青黑者不堪，
白黄赤者易瘥。
〔钱乙〕胡黄连麝香丸 治疳气羸瘦，白虫作。
胡黄连 白芜荑（各一两半） 麝香（一钱） 黄连 木香（各半两） 辰砂（一分）
上末，面糊丸，如绿豆大。米饮下五七丸，至三五岁可十五丸，无时。
〔钱乙〕榆仁丸 治疳热瘦悴有虫，久服充肥。
榆仁 黄连（各一两）
上为末，用猪胆七枚，破取汁，与药同和，入碗内，甑上蒸九日，每日一次，
候日数足，入研麝香半钱，汤浸蒸饼和丸，绿豆大。每服五七丸至一二十丸，米饮下。
Taiping Shenghui Fang records: If the five kinds of Gan syndrome (a group of pediatric disorders characterized by malnutrition and digestive dysfunction) persists for a long time without healing, parasites will accumulate in the abdomen. The body becomes emaciated with sallow complexion, and dysentery continues incessantly. It is appropriate to administer medicine to expel the parasites, so that the pathogenic Qi of Gan will gradually recede. These parasites resemble silk hairs or horse tails, mostly emerging from the abdomen, back, head, and neck. If the parasites are yellowish-white or reddish, they can be treated; if they are bluish-green, they are incurable.
Zhusha Wan (Cinnabar Pill), from *Luxin Jing*: Treats pediatric Gan dysentery. By distinguishing the color of the parasites, one can determine the prognosis (auspicious or inauspicious).
Ingredients: Zhusha (Cinnabaris, amount the size of half a lotus seed), Awèi (Ferulae Resina, amount the size of Cinnabar), Fubian Xue (Blood of Bat, three drops), Meisu (Brow Butter, a small amount).
Preparation and Administration: Finely mix the above ingredients, and blend with a small amount of Kouzhi (lip balm/oil). First, bathe the child in a decoction of peach and willow branches. Then, depending on the child's size, fill the umbilicus with a pill-sized amount (size of a mung bean) of the mixture. Cover the umbilicus with paper. Have the child wear green clothing to cover the body. Observe if parasites emerge; yellow indicates mild condition, while blue-black indicates severe condition.
Taiping Shenghui Fang Ganchan Wan (Toad Pill): Treats pediatric five kinds of Gan syndrome and convulsions to expel parasites, determining life or death prognosis.
Ingredients: Ganchan (Dried Toad Skin, one piece, preferably collected on the fifth day of the fifth lunar month), Shetuipi (Ophichthys Shed Skin, one strip, roasted by fire), Gujingcao (Glehniae Radix, two liang, harvested before flowering, placed in a jar with other herbs, sealed with salt mud, dried, fired until red-hot, cooled, and finely ground), Huhuanglian (Coptidis Rhizoma), Gudi (Melonis Fructus), Mudingxiang (Eugeniae Caryophyllata Flos, these three ground together into powder), Niuhuang (Calculus Bovis), Longnao (Borneolum Syntheticum), Zhusha (Cinnabaris), Xionghuang (Realgar), Lvhui (Aloe), Tianzhuhuang (Calamus Tuber), Shexiang (Moschus, each 1 fen), Qingdai (Indigo Naturalis, 0.5 liang).
Preparation and Administration: Grind all ingredients in a mortar until extremely fine. Use pig bile to decoct wheat flour paste to bind the pills, making them the size of mung beans. For children aged one to two years, dissolve five pills in half he of warm rice water. After medication, bathe the child in peach and willow branch soup. Wear green clothing and cover the body. Gan parasites should emerge onto the clothing, eyebrows, and temples, resembling fine bran flakes or dust particles. Black color indicates difficult treatment; yellowish-white indicates easy treatment. Continue to administer two pills with porridge drink, three times daily. Severe cases may heal within half a month.
Shexiang Wan (Musk Pill): Treats pediatric five kinds of Gan syndrome causing emaciation, dry and brittle hair, itching around the mouth and nose, and presence of parasites.
Ingredients: Shexiang (Moschus), Lvhui (Aloe), Fen shuang (Calomelas), Zhusha (Cinnabaris, each 1 fen), Chansu (Bufonis Venenum, approx. size of a white bean), Zaojia (Gleditsiae Sinensis Fructus, three cun, burned to ash), Shetuipi (Ophichthys Shed Skin, five cun, burned to ash), Bianfu (Bat, three pieces, blood taken and mixed into the powder).
Preparation and Administration: Finely grind all ingredients. Blend with melted wax to form pills the size of small beans. First, wash the child with peach and willow branch water. Apply one pill to the umbilicus, then seal it with vinegar-flour paste. After some time, parasites will emerge. Yellowish-white and reddish colors indicate easy treatment; black indicates difficult treatment.
Lvhui Wan (Aloe Pill): Treats pediatric five kinds of Gan syndrome, characterized by dry and thin limbs, abdominal distension with coarse breathing, frequent rubbing of nose and eyes. Suitable for expelling parasites.
Ingredients: Lvhui (Aloe), Niuhuang (Calculus Bovis), Chanqiao (Cicadae Periostracum, each 1 fen), Nifen (Calomelas), Fen shuang (Calomelas), Liuhuang (Sulfur), Shexiang (Moschus, each 1 qian), Tianfu (Land Snail, one piece, smoked until smoke nearly stops), Qingdai (Indigo Naturalis, 0.5 liang), Badou (Crotonis Fructus, ten seeds, peeled, heart and membrane removed, oil pressed out), Shetuipi (Ophichthys Shed Skin, one strip, burned to ash).
Preparation and Administration: Make into an extremely fine, uniform powder. Bind with glutinous rice flour to form pills the size of mung beans. Administer two pills with warm water each time. After a while, bathe the child in peach and willow water, then cover the whole body with green clothing. Parasites should emerge; white-yellow indicates treatable, blue-black indicates difficult.
Chuchong Wan (Parasite Expelling Pill): Treats pediatric five kinds of Gan syndrome persisting for a long time, resulting in extreme emaciation.
Ingredients: Zhusha (Cinnabaris), Shexiang (Moschus), Niuhuang (Calculus Bovis), Woniusi (Land Snail Egg, stir-fried), Yemingsha (Nyctibiidae Faeces, stir-fried), Xiongdan (Ursi Bile, each 1 fen), Chansu (Bufonis Venenum, 0.5 qian).
Preparation and Administration: Finely grind all ingredients. Bind with flour paste to form pills the size of mung beans. Administer three pills with warm water each time. Additionally, dissolve one pill in water and drip into the nostrils to induce sneezing five to seven times. After a while, parasites should exit with sweat, showing immediate effect.
Ganchan Wan (Toad Pill): Treats pediatric five kinds of Gan syndrome to expel parasites.
Ingredients: Ganchan (Dried Toad Skin, one piece, burned to ash), Tianlinggai (Skull of Human Infant, ash 0.5 liang), Shexiang (Moschus, 0.5 fen), Chanqiao (Cicadae Periostracum, feet removed, stir-fried), Biejia (Trionycis Carapax, fried with butter until yellow and scorched, skirt removed, each 1 fen).
Preparation and Administration: Grind into fine powder. Bind with cooked rice to form pills the size of mung beans. For children under two years, administer one pill with clam powder soup; for ages three to five, administer two pills. After medication, continue bathing the child in peach and willow soup, then cover with green clothing. Parasites should emerge; red-white indicates mild condition, black indicates severe.
Xiongdan Wan (Bear Bile Pill): Treats pediatric five kinds of Gan syndrome to expel parasites.
Ingredients: Xiongdan (Ursi Bile), Zhusha (Cinnabaris), Shexiang (Moschus), Ranshedan (Python Bile), Qianglang (Scarabaeus, stir-fried), Gudi (Melonis Fructus, each 0.5 liang).
Preparation and Administration: Grind into extremely fine powder, mix uniformly. Bind with pig bile to form pills the size of mung beans. First, bathe the child in peach and willow soup. Then, administer three pills with porridge drink. Cover with green clothing; parasites should emerge.
Dingming San (Life-Determining Powder): Treats five kinds of Gan syndrome with parasites.
Ingredients: Gan Xiaha (Dried Toad, one piece, burned to ash), Shetuipi (Ophichthys Shed Skin, stir-fried), Chanqiao (Cicadae Periostracum, each 1 fen).
Preparation and Administration: Grind into extremely fine powder. Mix with 0.5 qian of Shexiang powder. For any type of Gan syndrome, after noon, mix half a qian with warm water and administer. Children aged one to two years take a "yi zi" amount. Afterwards, prepare peach and willow soup, let it cool to warm temperature, bathe the child, and immediately cover with green clothing. Parasites should emerge, showing immediate effect.
Qingdai Wan (Indigo Pill): Treats five kinds of Gan syndrome causing body heat, dry emaciation with erect hair, nasal itching with parasites, and refusal to suckle.
Ingredients: Qingdai (Indigo Naturalis), Lvhui (Aloe), Renzhongbai (Human Excrement Deposit, each 0.5 liang), Zhuya Zaojiao (Gleditsiae Sinensis Fructus with spines), Chanqiao (Cicadae Periostracum, each 0.5 fen), Shexiang (Moschus, 1 fen), Huhuanglian (Coptidis Rhizoma, 3 fen), Chansyan (Toad Saliva), Renruzi (Human Breast Milk, small amounts of each).
Preparation and Administration: Grind into powder. Prepare on the fifth day of the fifth lunar month at noon. Bind with zongzi leaf meat, jujube meat, toad saliva, and breast milk to form pills the size of millet grains. After bathing the child in peach and willow soup, administer three pills with rice drink. Wrap the child in green clothing and observe for emerging parasites. Blue-black indicates untreatable; white-yellow-red indicates easy recovery.
[Qian Yi] Huhuanglian Shexiang Wan (Coptis and Musk Pill): Treats Gan Qi causing emaciation and proliferation of white worms.
Ingredients: Huhuanglian (Coptidis Rhizoma), Bai Wuti (Albiziae Semen, each 1.5 liang), Shexiang (Moschus, 1 qian), Huanglian (Coptidis Rhizoma), Muxiang (Aucklandiae Radix, each 0.5 liang), Chen sha (Cinnabaris, 1 fen).
Preparation and Administration: Make into fine powder. Bind with flour paste to form pills the size of mung beans. Administer five to seven pills with rice drink. For ages three to five, fifteen pills may be given. No fixed time.
[Qian Yi] Yuren Wan (Elm Seed Pill): Treats Gan heat causing emaciation and憔悴 (haggardness) with parasites. Long-term use promotes weight gain and robustness.
Ingredients: Yuren (Ulmus Seed), Huanglian (Coptidis Rhizoma, each 1 liang).
Preparation and Administration: Grind into powder. Take juice from seven pig gallbladders, mix with the powder. Place in a bowl and steam over a steamer for nine days, once daily. When the duration is complete, add 0.5 qian of ground Shexiang. Bind with steamed cake soaked in hot water to form pills the size of mung beans. Administer five to seven pills up to twenty pills, with rice drink.