《圣惠》云∶小儿乳食不消，心腹虚胀，眼目涩痒，体热皮枯，肠胃不调，痢下
五色，渐渐羸瘦，虫蚀肛肠，日月弥深，痢转不止，故号内疳。钱氏云∶疳在内，
则目肿腹胀，利色无常，或沫青白，渐瘦弱，此冷证也，宜使君子丸。
使君子丸 治脏腑滑，及疳瘦下痢，腹胁胀满，不思乳食，常服安虫补胃，消疳肥肌。
浓朴（去粗皮，姜汁涂炙，半两） 使君子（去壳，一两，面裹煨） 陈皮（去白，一分） 甘草（炙，锉，半两）
诃
子（半两，半生半煨，去核） 青黛（半两，是兼惊及带热渴者，宜此方，如只脏腑不调，不用青黛）
上为细末，炼蜜和丸，如小鸡头大。每服一丸，米饮化下，儿生百日以上、三
岁以下服半丸，乳汁化下。元方，无青黛。
东垣浓肠丸 治小儿失乳，以食饲之，不能克化，或生腹胀，四肢瘦弱，或利色无常。
陈皮 半夏 苍术 人参（各三分） 麦 枳壳 曲末（各五分） 青皮 浓朴（各二分）
上为细末，面糊丸，如麻子大。每服二十丸，温汤送下。忌饱食。
张涣金粟丹 治腹大疳瘦，好吃泥土，泄利不调。
干蟾（五枚，酥炙焦黄） 川黄连（夏用二两，冬用一两） 母丁香 浓朴（姜汁制） 草龙胆（各一两） 夜
明砂（微炒） 蝉壳（洗） 诃子皮（微炮。各半两。以上捣罗为细末，次用） 好朱砂（细研，水飞） 青黛（研，
各一两） 好麝香（半两，研）
上件一处拌匀，用炼蜜一半、白面糊一半，和如黍米大。每服十粒，米饮下，
不拘时候，量儿大小加减。
《本事》芎朴丸 治小儿疳瘦，泻白水，腹胀。
芎 浓朴（各一两） 白术（半两）
上为细末，炼蜜丸，如小弹子大。每服一丸，米饮化下，三岁以下半丸。
小儿腹大泄泻，水谷不化，吃食不知饥饱，累效。
神曲（炒） 麦芽（炒） 三棱 青皮 香附 山楂 浓朴 甘草 藿香 枳实 地黄
砂仁 黄连 枣子（各等分）
上为末。白汤调下，量儿加减。
《圣惠》木香丸 治小儿内疳，乳食不调，心腹胀满，肌肤羸瘦，下痢无常。
木香 蝉壳（微炒，去足） 麝香（细研） 黄连（去须） 黄丹（微炒） 熊胆（研入） 夜明砂（微炒） 干
蟾
（涂酥，炙微焦。各一分） 赤石脂（半两） 肉豆蔻（一颗，去壳） 田父（半两，炙令微黄）
上件药捣，罗为末，用水浸蒸饼丸，如麻子大。每服，以温粥饮下二丸，量儿
大小，以意加减。
芦荟丸 治小儿内疳，四肢羸瘦，腹胀鼻痒，皮肤干燥，下痢不常。
芦荟 雄黄（各细研） 没石子 蝉壳（微炒，去足） 蛇蜕皮（灰） 丁香 熊胆（研入。各一分） 麝
香（细研） 蟾酥（研入。各一钱） 黄连（半两，去须）
上件药捣，罗为末，炼蜜、和丸如黄米粒大。每服以粥饮下三丸，日三服，别
研一丸，吹入鼻中，量儿大小，以意加减。《圣惠》又收治疳痢。
麝香散 治小儿内疳，下痢不止，肌体消瘦，诸治未瘥。
麝香 芦荟（各细研） 蛇蜕皮（灰） 夜明砂（微炒） 蜗牛壳 黄连（去须，微炒） 没石子（各一分）
黄丹 定粉（各微炒，一两） 诃梨勒（半两，煨，用皮）
上件药捣，细罗为散，都研令匀。每服以粥饮调下半钱，早辰午后各一服，看儿大小，加减服之。
胡粉丸 治小儿内疳，下痢不止，昏沉多睡。
胡粉（微炒） 青黛（细研。各半两） 黄连（末，一两，微炒） 麝香（一钱）
上件药同研令细，以猪胆一枚取汁、和丸如黄米粒大。不计时候，以粥饮下五
丸，量儿大小以意加减。
《谭氏殊圣》宝命丹 治内疳。
皂角（一两，炙令焦黑色，去皮为末，三分） 巴豆（二七个，去心膜，细研，新瓦上出油了，用之） 雄雀儿粪
（二钱）
上细末，以粟米饭丸，绿豆大。空心，温水下三丸。
According to the *Taiping Shenghui Fang* (General Principles of the Holy惠民 Bureau Formulas): When infants and children fail to digest breast milk or food, they experience empty distension in the heart and abdomen, dryness and itching of the eyes, body heat with withered skin, dysregulation of the intestines and stomach, dysentery discharging five-colored pus and blood, gradual emaciation, intestinal parasites eroding the anus and rectum, worsening condition over time, and persistent dysentery. Hence, it is termed "Nei Gan" (Internal Kwashiorkor/Gan Syndrome). Qian Yi stated: When Gan syndrome is located internally, symptoms include swollen eyelids, abdominal distension, variable stool color, or frothy greenish-white discharge, along with gradual weakness and emaciation; this is a cold pattern, suitable for treating with Shijunzi Wan (Quisqualis Pill).
Shijunzi Wan treats organ slippage, as well as Gan syndrome with emaciation and dysentery, abdominal and hypochondriac fullness, and loss of appetite for milk and food. Regular use calms parasites, tonifies the stomach, eliminates Gan syndrome, and promotes muscle gain.
Cortex Magnoliae Officinalis (Noumu, 厚朴) (remove coarse bark, coat with ginger juice and roast, half tael) Fructus Quisqualis (Shijunzi, 使君子) (remove shell, one tael, wrap in flour and roast) Pericarpium Citri Reticulatae (Chenpi, 陈皮) (remove white pith, one fen) Radix Glycyrrhizae Preparata (Zhigancao, 甘草) (roast, chop, half tael)
Fructus Chebulae (Hezi, 诃子) (half tael, half raw, half roasted, remove seed) Indigo Naturalis (Qingdai, 青黛) (half tael; if accompanied by fright and heat-thirst, this formula is suitable; if only organ dysregulation exists, do not use Qingdai)
Grind the above into fine powder, mix with refined honey to form pills the size of a small chicken's head. Take one pill per dose, dissolved in rice water. For infants over 100 days old and under three years old, take half a pill, dissolved in breast milk. The original formula does not contain Qingdai.
Li Dongyuan's Nouchang Wan treats infants who have been weaned and fed solid foods they cannot digest, resulting in abdominal distension, weak limbs, or variable stool color.
Pericarpium Citri Reticulatae (Chenpi, 陈皮) Rhizoma Pinelliae Preparatum (Banxia, 半夏) Rhizoma Atractylodis Macrocephalae (Cangzhu, 苍术) Radix Ginseng (Renshen, 人参) (each three qian) Fructus Hordei Germinatus (Maiya, 麦芽) Fructus Aurantii Immaturus (Zhike, 枳壳) Endothelium Mesenterii Sorbi Fermentatum (Qumo, 曲末) (each five qian) Exocarpium Citri Reticulatae Viride (Qingpi, 青皮) Cortex Magnoliae Officinalis (Noumu, 厚朴) (each two qian)
Grind the above into fine powder, mix with paste made from wheat flour to form pills the size of hemp seeds. Take twenty pills per dose, washed down with warm water. Avoid overeating.
Zhang Huan's Jinshu Dan treats abdominal distension with Gan emaciation, craving for eating dirt, and irregular diarrhea/dysentery.
Bufo bufo gargarizans (Ganchan, 干蟾) (five specimens, roast with butter until golden brown) Radix Coptidis Chinensis (Chuanhuanglian, 川黄连) (two taels in summer, one tael in winter) Flos Caryophylli (Mudingxiang, 母丁香) Cortex Magnoliae Officinalis (Noumu, 厚朴) (process with ginger juice) Radix Gentiana Scabra (Caolongdan, 草龙胆) (each one tael) Sanguis Fuliginis (Yemingsha, 夜明砂) (lightly stir-fried) Periostracum Cicadae (Chanqiao, 蝉壳) (wash) Pericarpium Chebulae (Hezipi, 诃子皮) (lightly baked. Each half tael. Grind and sieve the above into fine powder for later use) Cinnabaris (Zhusha, 朱砂) (fine grind, wet pulverization method) Indigo Naturalis (Qingdai, 青黛) (grind fine, each one tael) Moschus (Shexiang, 麝香) (half tael, grind fine)
Mix all ingredients thoroughly, combine with half refined honey and half wheat flour paste to form pills the size of millet grains. Take ten pills per dose, washed down with rice water, at any time, adjusting dosage according to the child's size.
Jisheng Fang's Xiongpou Wan treats Gan emaciation in children, watery diarrhea, and abdominal distension.
Radix Ligustici Chuanxiong (Xiong, 川芎) Cortex Magnoliae Officinalis (Noumu, 厚朴) (each one tael) Rhizoma Atractylodis Macrocephalae (Baizhu, 白术) (half tael)
Grind the above into fine powder, mix with refined honey to form pills the size of small marbles. Take one pill per dose, dissolved in rice water; half a pill for children under three years old.
Effective for children with abdominal distension and diarrhea, undigested food and water in stool, and lack of satiety awareness after eating.
Endothelium Mesenterii Sorbi Fermentatum (Shenqu, 神曲) (stir-fried) Fructus Hordei Germinatus (Maiya, 麦芽) (stir-fried) Rhizoma Sparganii (Sanleng, 三棱) Exocarpium Citri Reticulatae Viride (Qingpi, 青皮) Rhizoma Cyperi Rotundi (Xiangfu, 香附) Fructus Crataegi (Shanzha, 山楂) Cortex Magnoliae Officinalis (Noumu, 厚朴) Radix Glycyrrhizae Preparata (Gancao, 甘草) Herba Agastaches Rugosae (Huoxiang, 藿香) Fructus Aurantii Immaturus (Zhishi, 枳实) Radix Rehmanniae Praeparata (Dihuang, 地黄)
Fructus Amomi (Sharen, 砂仁) Radix Coptidis Chinensis (Huanglian, 黄连) Fructus Jujubae (Zaozi, 枣子) (equal parts)
Grind the above into powder. Mix with boiling water for administration, adjusting dosage according to age.
Taiping Shenghui Fang's Muxiang Wan treats internal Gan syndrome in children, indigestion of milk and food, cardiac and abdominal fullness, emaciated skin and muscles, and irregular dysentery.
Lignum Aucklandiae (Muxiang, 木香) Periostracum Cicadae (Chanqiao, 蝉壳) (lightly stir-fried, remove legs) Moschus (Shexiang, 麝香) (fine grind) Radix Coptidis Chinensis (Huanglian, 黄连) (remove rootlets) Minium (Huandan, 黄丹) (lightly stir-fried) Ursi Bile (Xiongdan, 熊胆) (grind in) Sanguis Fuliginis (Yemingsha, 夜明砂) (lightly stir-fried) Bufo bufo gargarizans (Ganchan, 干蟾)
(Coat with butter, roast until slightly charred. Each one fen) Halloysit Rubra (Chishizhi, 赤石脂) (half tael) Semen Myristicae (Roudoukou, 肉豆蔻) (one seed, remove shell) Tianfu (Tianfu, 田父) (half tael, roast until slightly yellow)
Pound the above herbs, sieve into powder, soak steamed dough cakes in water to form pills the size of hemp seeds. Take two pills per dose with warm porridge water, adjusting according to the child's size.
Luhui Wan treats internal Gan syndrome in children, emaciated limbs, abdominal distension with nasal itching, dry skin, and irregular dysentery.
Rhizoma Aloe (Luhui, 芦荟) Realgar (Xionghuang, 雄黄) (each fine grind) Galla Chinensis (Meishizi, 没石子) Periostracum Cicadae (Chanqiao, 蝉壳) (lightly stir-fried, remove legs) Ophibolus (Shetuipi, 蛇蜕皮) (ash) Flos Caryophylli (Dingxiang, 丁香) Ursi Bile (Xiongdan, 熊胆) (grind in. Each one fen) Moschus (Shexiang, 麝香) (fine grind) Bufonis Venenum (Chansu, 蟾酥) (grind in. Each one qian) Radix Coptidis Chinensis (Huanglian, 黄连) (half tael, remove rootlets)
Pound the above herbs, sieve into powder, mix with refined honey to form pills the size of yellow rice grains. Take three pills per dose with porridge water, three times daily. Additionally, grind one pill finely and insufflate into the nose, adjusting dosage according to the child's size. *Taiping Shenghui Fang* also records treatments for Gan dysentery.
Shexiang San treats internal Gan syndrome in children, persistent dysentery, emaciation, and failure of other treatments to cure.
Moschus (Shexiang, 麝香) Rhizoma Aloe (Luhui, 芦荟) (each fine grind) Ophibolus (Shetuipi, 蛇蜕皮) (ash) Sanguis Fuliginis (Yemingsha, 夜明砂) (lightly stir-fried) Testudo Cochlidia (Woniuqiao, 蜗牛壳) Radix Coptidis Chinensis (Huanglian, 黄连) (remove rootlets, lightly stir-fried) Galla Chinensis (Meishizi, 没石子) (each one fen) Minium (Huandan, 黄丹) Calamina (Dingfen, 定粉) (each lightly stir-fried, one tael) Fructus Chebulae (Helile, 诃梨勒) (half tael, roasted, use peel only)
Pound the above herbs, sieve into a fine powder, and grind uniformly. Take half a qian per dose mixed with porridge water, once in the morning and once in the afternoon, adjusting dosage based on the child's size.
Hufen Wan treats internal Gan syndrome in children, persistent dysentery, lethargy, and excessive sleepiness.
Plumbum Subacetatum (Hufen, 胡粉) (lightly stir-fried) Indigo Naturalis (Qingdai, 青黛) (fine grind. Each half tael) Radix Coptidis Chinensis (Huanglian, 黄连) (powder, one tael, lightly stir-fried) Moschus (Shexiang, 麝香) (one qian)
Grind all ingredients together finely, extract juice from one pig gallbladder, and mix to form pills the size of yellow rice grains. Take five pills per dose with porridge water at any time, adjusting dosage according to the child's size.
Tan Shi Shusheng Fang's Baoming Dan treats internal Gan syndrome.
Fructus Gleditsiae Sinensis (Zaojiao, 皂角) (one tael, roast until charred black, remove skin and make into powder, take three fen) Semen Crotonis Tiglii (Badou, 巴豆) (27 seeds, remove heart and membrane, grind finely, remove oil on new tile, then use) Droppings of male sparrow (Xiongque'er fen, 雄雀儿粪) (two qian)
Grind into fine powder, form pills with millet rice, the size of mung beans. Take three pills on an empty stomach with warm water.