钱氏云∶疳在外，则鼻下臭烂，自揉鼻头，上有疮，不着痂，渐绕耳生疮，今
分走马疳、口齿疳、鼻疳、眼疳，胪列诸方如下∶
走马疳，疳蚀之极也，乃五脏蒸热上攻，甚即遍沿作崩砂候，牙边肉肿烂，口
内气臭，身微有潮热，吃食不得，齿缝出鲜血，常动摇似欲脱，肉烂自漏落。治之
先以淡淡盐汤洗口内，即下紫金散掺之，一日三次，揩杀牙边肉内虫。如大假甚，
即下秋霜散掺之，然后将朱砂膏、牛黄膏、天竺黄散、夹调理（此茅先生法）。或以天竺黄
散夹地黄膏亦好，（此《惠眼》法）如此调理即安。如调理不退，先落齿一两三个，即死
不治。相次面光发，腮漏见骨而殂。《形证论》先与退脾肺风热，宜吃槟榔散五
七服后，用此药贴龈上。以大枣一个，砒少许，去枣核，入砒在内，烧灰存性，临卧
时贴龈上，数次效。〔曾〕凡得此候，多因气虚受寒，及有宿滞留而不去，积温成
热，虚热之气上蒸。或食甘酸咸腻之物，而脾虽喜甘，积滞日久，蕴热上熏于口。
致齿焦黑烂，间出清血，血聚成脓，脓臭成虫，侵蚀口齿，甚致腮颊穿破，乳食不
便，面色光浮，气喘热作，名走马疳。治之之法，先去积热，用当归散合三棱散，
水姜枣煎服，次投芦荟丸、玉露饮，及以温盐水灌漱，或软鸡翎蘸盐水拂洗，略拭
干，仍以烧盐散、内金散、密陀僧散敷之。若经久不愈者，传于唇之上下，乃成
崩砂证，或穴发满腮，齿落骨露，饮食减少，气促痰鸣，必致危矣。
紫金散（茅先生名黑铅散） 治小儿走马疳。
黄丹 蛇床子（炒，令黑） 地龙（炒令黑。各半两） 青矾（一分， 过）
上末。每服一字，揩牙龈上，一日三次揩。
秋霜散 治小儿崩砂。
好砒（半两） 白矾（四分）
上，用水三分一盏，先煎水令蟹眼沸来，便下砒 ，水干为度。即下白矾末同
干为末，取出，入好麝香少许，好坯子少许，同拌合为末。每使一字，用鹅毛
点拂牙龈上，一日三四回拂，即愈。
《惠眼》秋霜散 治崩砂齿龈欲落。
粉霜 砒霜 白矾（各一钱）
上为末，用北艾一大团裹定上件药末，以锻石渗艾上后用碗盛，发火烧尽，细
研。以手捻少许，揩齿上，用盐汤漱口。烧时，以盏子盖定，恐走了药气。
乳香丸 治走马牙疳如神。
乳香 轻粉 砒（研。各五分） 麝香（少许）
上，先将乳香研细，入轻粉麝砒，共再研匀，用薄纸一韭叶阔，去药内按过，
揉纸少许、丸如黄米大。临卧，将药填在患处，至明则愈。忌食酱醋盐等物。
〔钱乙〕龙骨散 治疳口疮，走马疳。
砒霜 蟾酥（各一字） 粉霜（半钱） 龙骨（一钱） 定粉（一钱半） 龙脑（半字）
上，先研砒粉极细，次入龙骨再研，次入定粉等同研。每用少许敷之。
上方，皆犯砒，非极不用。
《仙人水鉴》 治小儿走马疳虫透损骨者方
上，用天南星一枚，当心剜作窍子，安好雄黄一块在内，用大麦面煨，候雄黄
熔作汁，以盏子合定，出火毒一宿，去面研为末，入好麝香少许，扫在疮上，验。
《集验方》治小儿走马疳。
上，用蚕蜕纸不计多少，烧成灰存性，入麝香少许，贴患处，佳。
〔茅先生〕小儿崩砂方
鸡内金 芦荟 白矾（火 ） 乳香 地龙 麝香
上各少许为末，候小儿睡着，以药末掺牙龈上。
定命散 治小儿走马疳。
白矾 绿矾（各等分，炒一大钱）
上同研匀，用大麦面五钱，蒌葱一寸研烂，将面同搜和，软硬得所为饼子，将
研匀者药裹在中心，用文武火烧存性，于地坑内出火毒一宿，又研如粉，入铅霜
二钱同研令细。每服一剜耳许，揩牙上一二遍。
蟾灰散 治小儿走马疳。
干虾蟆（一个大者，烧存性） 五倍子（各一钱） 麝香（少许）
上同研。蜜水调涂齿根上，未止，更用之。
圣散子 治小儿走马疳。
胆矾 龙胆草（各一两）
上同于瓦瓶中 烟尽，略存性。贴疮上。
生金散 治小儿走马疳。
天南星（一个重一两者） 绿矾（一两）
上，先安排南星在干地上，用矾与南星同处，四边以灰火烧，烟尽为度，取出
后研如粉，入当门子一粒，先含浆水洗，贴之。
《刘氏家传》李琬麝香散 治小儿走马急疳，口臭牙齿损烂及攻蚀唇鼻腮颊，累治未
效者，可用此方。
麝香（一钱，真者） 黄柏（一两，去皮，杵末） 青黛（半两，上好者） 雄黄（一分，飞研）
上件，杵研极细。如有患者，先以绵缠箸，擦却齿上蚀损死肌，以软帛拭去恶
血，量疮大小干掺，日夜五次用之。或血盛并多、不定者，加定粉半两同研，用如前法。
黑神散
龙胆草（锉） 青胆矾
上等分，用甘锅子一个，先入胆矾在内，次入龙胆草，用盐黄泥固济，留一眼
子，周迥用炭火烧至眼子上烟断为度，放冷取出研细，入麝香少许。如有患人，
看疮内大小，干擦贴之立效，牙疼干擦，牙根有鲜血出并肿烂牙，擦之即愈。
〔孔氏〕无比散 治小儿走马疳。
麝香（一分，别研） 真蟾酥 绿矾（各半分） 胆矾 没药（各二分）
上四味，一同用大砖一口，凿中心作窍穴子，勿令透地，便安四味药在穴中，
周迥用红着炭三斤烧过，取出同麝香再研匀。如有患者，以鸡翎微湿沾药末，扫
于小儿齿上，立效。
《王氏手集》治小儿走马疳，口鼻生疮，牙龈肿烂，诸药不能治者。
槲叶（十片，干者） 麝香（少许）
上以芦荟为末，水调涂叶上，炙干，又涂又炙，凡涂炙数遍，为末。疮湿干掺。
安师传走马疳药方（此疳齿中不住血出多）
上用蚕蜕纸烧灰止血，时间令住，若用地骨皮中嫩处为末贴之，便永止。
〔曾氏〕烧盐散 治走马疳牙根肉溃烂黑臭。
橡斗子（不拘多少）
上每用大者两个，入盐满壳，盖作一合，或五六个至十数个，安在火内和盐烧
透，取出地上，以瓦碗盖定存性，候冷入麝香少许，乳钵内极细杵匀。每以半钱
涂搽患处。常收，用小瓦合盛贮，勿使纸裹，盖能作润。
内金散 治牙根肉臭烂黑色，有虫作痛。
鸡内金（即鸡膈内粗皮，阴干，一两） 白芷 铜青（各半两） 麝香（一字）
上，前三味锉晒或焙，为末，仍以麝香乳钵内同杵匀。每用一字或半钱，干擦
患处，先用温盐水灌漱后敷药。
密陀僧散 治走马疳齿焦黑烂。
密陀僧（一两） 轻粉（五十帖） 麝香（一字）
上件为细末，同轻粉、麝香乳钵内杵匀。每用半钱，擦患处。
走马牙疳神效方
干姜、白矾、枣子烧焦存性，为末。敷患处。尿桶中白焙干为末，入冰片少许。揩牙立效。
上自《水鉴方》以下不犯砒，为妥。
治走马牙疳，用溺桶中白垢、火 过，每一钱入铜绿三分、麝香一分半，敷之立愈。
红铅散 治走马疳。
绿矾不以多少，色鲜明者，入干锅，用炭火烧，锅赤倾出，以好酒洒拌匀，
再入锅，如此数遍，色红，研作细末，入麝香少许。先以温浆水洗漱净，用指蘸药，
有疳处贴之。
〔演山〕兰香散 治小儿走马疳，牙齿溃烂，以至崩砂出血齿落者。
轻粉（一钱重） 兰香子（一钱，末） 密陀僧（半两，醋淬，为末）
上研如粉。敷齿及龈上立效。
议曰∶婴孩受病，证候多端，良由气郁三焦，疳分五脏，内有肾经常虚，得疳，
名之曰急，以马走为喻，治疗颇难，此等一证，初作口气，名曰臭息。次第齿黑，
名曰崩砂。盛则龈烂，名曰溃槽。又盛血出，名曰宣露。重则齿自脱落、名曰腐
根。其根既腐，何由理之，今将秘方具述于后。
敷齿立效散
鸭嘴胆矾（一钱匙，上 红，研） 麝香（少许）
上研匀。每以少许敷牙齿龈上。又一方，用蟾酥一字，加麝和匀。敷之。
议曰∶血之流行者荣也，气之循环者卫也，变蒸足后，饮食之间，深恐有伤于
荣卫而作众疾，其或气伤于毒，血伤于热，热毒攻之，虚脏所受，何脏为虚，盖
小儿肾之一脏常主虚，不可令受热毒，攻及肾脏，伤乎筋骨，惟齿受骨之余气，
故先作疾，名曰走马，非徐徐而作。所宜服药甘露饮、地黄膏、化毒丹、消毒饮，
其外证以前件立效散，及麝酥膏敷之，切忌与食热毒之物。此疳不同常证，乃系无
辜有作，医宜深究，保全为上，若用常方，难拟愈活。
独活饮子 治肾疳臭息候。
天麻 木香 独活 防风 麝香（少许，为细末研和入）
上各二钱重，为末。每服一钱匕，小者半钱，麦门冬熟水调下。
三黄散 治肾疳崩砂候。
牛黄 大黄 生地黄 木香 青黛
上等分，为末。每服一钱匕，熟水调服。
人参散 治肾疳溃槽候
肉豆蔻（炮） 胡黄连 人参 杏仁（炒） 甘草（炙）
上件各等分，为末。每服一钱匕，小者只半钱，温熟水调服。
槟榔散 治肾疳宣露候。
木香 槟榔 人参 黄连 甘草（炙）
上等分，为末。每服一钱，小者半钱，熟水调服。
黄 散 治肾疳腐根候。
黄 （蜜炙） 牛黄 人参 天麻 全蝎（炒） 杏仁（炒） 白茯苓 川当归 生地黄（洗） 熟
干地黄（洗）
上等分，为末。每服一钱，小者半钱匕，煎天门冬熟水调服（麦门冬亦得。）
地骨皮散 治肾疳龈 牙齿肉烂腐臭，鲜血常出。
生干地黄（半两） 真地骨皮 细辛（各一分） 五倍子（炒令焦，二钱重）
上件为细末。每用少许敷之，频有功效。吃不妨。
议曰∶《本经》所载疳证有五，谓五脏所受，故得其名，今述肾疳一脏有五证
候者，最为要急，不可同常。此疾共陈有五种候敷，迅疾可畏，乃知走马之号不
诬，初发之时，儿孩口臭上干，胃口气息臭郁。渐进损筋，龈肉生疮，或肿或烂，
其齿焦黑。又进从牙槽内发作疮 ，破溃脓烂。又进热逼筋脉，时时血出，其热
注久，牙龈腐坏，槽宽齿脱。六七岁孩，落尽不复更生，岂可治疗，今以妙方，
宜速与传变而理，不待疾作而后药也。
茅先生朱砂膏 治小儿惊积惊热。
朱砂（半两） 硼砂 马牙硝（各三钱） 真珠末（一钱） 玄明粉（二钱，并别研） 龙脑 麝香（各一字）
上件各为末，于一处拌和合用，好单角起，不久其药自成膏。如小儿诸般惊，
用药一黄豆大，常用金银薄荷汤少许化开下。如遍身潮热，用甘草煎汤下。狂躁
恶叫，用生地龙自然汁化下。一腊及一月日内小儿，不便下药，可用药使乳
调，涂在奶上，令牙儿吃奶吮下。
〔茅先生〕牛黄膏 治小儿膈热及诸热，镇心解毒。
川郁金（半两，用皂角三寸、巴豆七粒、水一碗、铫内煮干，不用皂角、巴豆） 马牙硝 甘草（炙。各半两）
朱砂（一钱） 硼砂 寒水石（各一分） 龙脑 麝香（二味，随意入）
上件为末，炼蜜为膏，芡实大。每服一丸，麦门冬熟水化下。
天竺黄散 治小儿诸热。
天竺黄 川郁金（用皂角水煮干） 茯苓（去皮） 麦门冬（各半两） 蝉蜕（去足） 全蝎（去土，十四个） 白
僵蚕（各十四个） 甘草（一两，炙） 朱砂（一分） 龙脑 麝香（随意所入）
上件各净洗，研、罗为末。每服半钱、一钱，用蜜熟水调下。
三解牛黄散 治小儿潮热、实热。
白僵蚕 全蝎（去土炙） 防风 白附子 川黄芩 桔梗 川大黄 甘草（炙） 白茯苓 人参 川郁金（用皂角
水煮干）
上前件，各等分为末，各净洗细研。每服半钱、一钱，用薄荷、蜜、熟水调下。
《惠眼》地黄膏
天竺黄散（一名金朱饮子） 二方并见初生门重舌条。
《形证论》槟榔散
槟榔 大黄（蒸） 青皮（各二钱五分） 黑牵牛（一钱） 木香（少许，炮）
为细末。薄荷、蜜水调下一钱。
当归散（潮热） 三棱散（宿食） 芦荟丸（本门通治条） 玉露饮（积热）
Qian Yi stated: When Gan disease (nutritional deficiency syndrome) manifests externally, there is foul odor and ulceration under the nose. The child rubs the tip of the nose, sores appear on it without forming scabs, and gradually spread to the ears with sores. It is now divided into Zouma Gan (Running Horse Gan), mouth and teeth Gan, nasal Gan, and eye Gan. Various prescriptions are listed below:
Zouma Gan (Running Horse Gan) is the most severe form of Gan erosion. It is caused by steaming heat from the five internal organs attacking upwards. In severe cases, it presents as "Bengsha" (a severe gingival ulceration condition), with swelling and rotting of the flesh around the teeth, foul breath, slight tidal fever, inability to eat, bleeding from the gum margins, loose teeth that seem ready to fall out, and rotting gums that leak and shed flesh. Treatment begins by rinsing the mouth with weak salt water, then applying Zijin San (Purple Gold Powder) three times a day to kill insects in the gum tissue. If the condition is very severe, Qiushuang San (Autumn Frost Powder) should be applied first, followed by treatment with Zhusha Gao (Cinnabar Ointment), Niuhuang Gao (Calculus Bovis Ointment), Tianzhu Huang San (Taro Bamboo Resin Powder), or combined regulation methods (this is Master Mao's method). Alternatively, Tianzhu Huang San combined with Dihuang Gao (Rehmannia Root Ointment) is also good (this is the method from *Huiyan*). With such regulation, the condition will stabilize. If regulation fails and one or two teeth fall out initially, death is inevitable and untreatable. Subsequently, the face becomes shiny and swollen, the cheeks expose bone, and the patient dies. *Xingzheng Lun* advocates first using herbs to clear wind-heat from the Spleen and Lungs, recommending Binglang San (Areca Seed Powder) taken five to seven doses, followed by applying this medicine to the gums. Take one large date, place a small amount of Pi (Arsenic) inside after removing the pit, burn to ash while retaining medicinal properties, and apply to the gums before sleep; effective after several applications. [Zeng Shi] This condition often arises from Qi deficiency with cold invasion, and retained food stagnation that does not resolve, leading to accumulated warmth turning into heat, with deficient heat steaming upwards. Or, consuming sweet, sour, salty, and greasy foods; although the Spleen likes sweetness, long-term stagnation causes accumulated heat to熏 (smoke/attack) the mouth. This leads to blackened and rotten teeth, occasional clear blood discharge, blood gathering into pus, pus becoming foul and generating "worms" (pathogenic factors), eroding the mouth and teeth, even causing cheek perforation, difficulty in nursing, shiny and swollen complexion, panting, and fever attacks, named Zouma Gan. The treatment method is to first remove accumulated heat using Danggui San (Angelica Sinensis Powder) combined with Sanleng San (Curcuma Longa Powder), decocted with water, ginger, and dates. Then administer Lushui Wan (Aloe Pill), Yulu Yin (Jade Dew Drink), and rinse with warm salt water, or gently wash with soft chicken feathers dipped in salt water. After wiping dry, apply Shaoyan San (Burnt Salt Powder), Neijin San (Chicken Gizzard Lining Powder), or Miduoseng San (Litharge Powder). If it persists and spreads to the upper and lower lips, it becomes Bengsha syndrome, or fills the cheeks with sores, teeth fall out exposing bone, food intake decreases, breathing becomes rapid with phlegm rattle, inevitably leading to critical danger.
Zijin San (Master Mao called it Heiqian San / Black Lead Powder) treats pediatric Zouma Gan.
Huangdan (Lead Tetroxide) Shechuangzi (Cnidium Fruit, stir-fried until black) Dilong (Earthworm, stir-fried until black, each half liang) Qingfan (Green Vitriol, one fen, calcined)
Grind into powder. Each dose is one zi (a small measure), rubbed onto the gums three times a day.
Qiushuang San treats pediatric Bengsha.
Hao Pi (Good Arsenic, half liang) Baifan (White Alum, four fen)
Take three parts water per cup, boil until crab-eye bubbles appear, add Pi, boil until water is dry. Add Baifan powder, boil until dry, grind into powder. Remove, add a little Hao Muxiang (Good Musk) and Hao Pizi (Good substrate material), mix well into powder. Use one zi dose, apply to gums with goose feather three to four times a day until cured.
*Huiyan* Qiushuang San treats Bengsha with falling gums and teeth.
Fenshuang (Calomel) Pisuan (Arsenic Trioxide) Baifan (White Alum, each one qian)
Grind into powder. Wrap tightly in a large bundle of Bei Ai (Northern Mugwort), sprinkle Duan Shi (Calcined Lime) on the mugwort, place in a bowl, burn completely, and grind finely. Rub a small amount onto teeth, rinse with salt water. Cover with a cup during burning to prevent loss of medicinal vapor.
Ruxiang Wan (Frankincense Pill) treats Running Horse Dental Gangrene with divine efficacy.
Ruxiang (Frankincense) Qingfen (Calomel) Pi (Arsenic, ground, each five fen) Muxiang (Musk, a little)
First grind Ruxiang finely, add Qingfen, Muxiang, and Pi, grind together uniformly. Place on a thin paper strip width of a leek leaf, press out impurities, knead slightly, roll into pills the size of yellow millet. Before sleep, fill the affected area with the pill; healed by morning. Avoid soy sauce, vinegar, and salt.
[Qian Yi] Longgu San (Dragon Bone Powder) treats Gan mouth ulcers and Zouma Gan.
Pisuan (Arsenic Trioxide) Chansu (Toad Venom, each one zi) Fenshuang (Calomel, half qian) Longgu (Dragon Bone, one qian) Dingfen (Minium, one and a half qian) Longnao (Borneol, half zi)
First grind Pi and Fenshuang extremely fine, then add Longgu and grind again, then add Dingfen and grind together. Apply a small amount each time.
The above formulas all contain Arsenic; do not use unless absolutely necessary for severe cases.
*Xianren Shuijian* prescription for pediatric Zouma Gan where worms penetrate and damage bone:
Use one Tian Nan Xing (Arisaema Rhizome), dig a hole in the center, place a piece of Xionghuang (Realgar) inside, bake with barley flour dough. Wait until Xionghuang melts into liquid, cover with a cup, let sit overnight to remove fire toxicity, remove dough, grind into powder, add a little good Muxiang (Musk), sprinkle on sores. Effective.
*Jiyan Fang* treats pediatric Zouma Gan:
Use any amount of Can Tui Zhi (Silkworm Cast Skin), burn to ash retaining properties, add a little Muxiang (Musk), apply to affected area. Good.
[Master Mao] Pediatric Bengsha Prescription:
Ji Nei Jin (Chicken Gizzard Lining) Lushui (Aloe) Baifan (White Alum, calcined) Ruxiang (Frankincense) Dilong (Earthworm) Muxiang (Musk)
Grind each into powder. When the child is asleep, sprinkle powder on gums.
Dingming San (Life-Determining Powder) treats pediatric Zouma Gan.
Baifan (White Alum) Lüfan (Green Vitriol, equal parts, stir-fry one da qian)
Grind together uniformly. Mix with five qian of barley flour and one cun of Lou Cong (likely Allium or similar), mash into a paste, form into cakes. Wrap the powdered medicine in the center. Fire-roast until properties are retained, bury in earth overnight to remove fire toxicity, grind to powder, add two qian of Qianshuang (Lead Frost), grind finely. Each dose is an ear-scoop amount, rub on teeth one or two times.
Chanhui San (Toad Ash Powder) treats pediatric Zouma Gan.
Gan Xama (Dried Toad, one large, calcined) Wubeizi (Chinese Gall, each one qian) Muxiang (Musk, a little)
Grind together. Mix with honey water, apply to tooth roots. Repeat if bleeding stops.
Sheng San Zi treats pediatric Zouma Gan.
Danfan (Blue Vitriol) Longdan Cao (Gentian Root, each one liang)
Place in a clay pot, smoke until exhausted, retain slight properties. Apply to sores.
Shengjin San treats pediatric Zouma Gan.
Tian Nan Xing (Arisaema Rhizome, one weighing one liang) Lüfan (Green Vitriol, one liang)
Place Nan Xing on dry ground, surround with Lüfan, burn edges with ash fire until smoke exhausts. Remove, grind to powder, add one Danmen Zi (Musk), rinse with saliva-water first, then apply.
*Liu Shi Jia Chuan* Li Wan Muxiang San treats pediatric acute Zouma Gan, bad breath, damaged and rotten teeth, and erosion of lips, nose, cheeks, when previous treatments failed.
Muxiang (Musk, one qian, authentic) Huangbai (Phellodendron Bark, one liang, peeled and pounded) Qingdai (Indigo Naturalis, half liang, high quality) Xionghuang (Realgar, one fen, purified and ground)
Pound and grind extremely fine. For patients, first wrap cotton around a chopstick, wipe away necrotic tissue on teeth, wipe away bad blood with soft cloth. Sprinkle dry powder according to sore size, use five times day and night. If bleeding is heavy and unstable, add half liang of Dingfen (Minium), grind together, use as before.
Heishen San (Black Divine Powder):
Longdan Cao (Gentian Root, chopped) Qing Danfan (Blue Vitriol)
Equal parts. Use one sweet pot, put Danfan inside first, then Longdan Cao. Seal with salt-yellow mud, leave one opening. Burn surrounding charcoal until smoke stops at the opening. Cool, remove, grind fine, add a little Muxiang (Musk). For patients, check sore size, apply dry powder directly for immediate effect. For toothache, apply dry powder. For bleeding, swollen, and rotten gums, rubbing heals immediately.
[Kong Shi] Wubi San (Peerless Powder) treats pediatric Zouma Gan.
Muxiang (Musk, one fen, separately ground) Zhen Chansu (Authentic Toad Venom) Lüfan (Green Vitriol, each half fen) Danfan (Blue Vitriol) Moyao (Myrrh, each two fen)
Take these four ingredients, use a large brick, carve a hole in the center (do not pierce through). Place the four medicines in the hole. Surround with three jin of red-hot charcoal, burn, remove, grind together with Muxiang. For patients, moisten chicken feather slightly, dip in powder, sweep onto children's teeth. Immediate effect.
*Wang Shi Shou Ji* treats pediatric Zouma Gan, sores in mouth and nose, swollen and rotten gums, unresponsive to other medicines.
Hu Ye (Oak Leaf, ten pieces, dried) Muxiang (Musk, a little)
Grind Lushui (Aloe) into powder, mix with water, paint on leaves, roast until dry. Repeat painting and roasting several times, then grind into powder. Apply dry powder to wet sores.
An Shi's Transmitted Zouma Gan Prescription (for Gan with continuous heavy bleeding from teeth):
Burn Can Tui Zhi (Silkworm Cast Skin) to ash to stop bleeding temporarily. If using Di Gu Pi (Wolfberry Bark) tender part ground into powder and applied, it stops permanently.
[Zeng Shi] Shaoyan San (Burnt Salt Powder) treats Zouma Gan with rotten, black, and foul-smelling gum flesh.
Xiang Dou Zi (Oak Apple Gall, any amount)
Take two large ones, fill shells with salt, close like a box. Put five to ten pairs in fire with salt, burn thoroughly. Remove to ground, cover with clay bowl to retain properties. Cool, add a little Muxiang (Musk), pound extremely fine in mortar. Apply half qian to affected area. Store in small clay boxes, do not wrap in paper as it retains moisture.
Neijin San treats rotten, black, foul-smelling gum flesh with painful worms.
Ji Nei Jin (Chicken Gizzard Lining, dried, one liang) Baizhi (Angelica Dahurica) Tongqing (Malachite, each half liang) Muxiang (Musk, one zi)
Chop, dry, or roast the first three ingredients, grind into powder. Pound Muxiang in mortar with them. Use one zi or half qian, dry rub on affected area. Rinse with warm salt water first, then apply medicine.
Miduoseng San (Litharge Powder) treats Zouma Gan with blackened and rotten teeth.
Miduoseng (Litharge, one liang) Qingfen (Calomel, fifty tie) Muxiang (Musk, one zi)
Grind into fine powder, pound with Qingfen and Muxiang in mortar. Use half qian, rub on affected area.
Zouma Yagan Shenxiao Fang (Divine Efficacy Formula for Running Horse Dental Gangrene):
Gan Jiang (Dried Ginger), Baifan (White Alum), Zaozi (Dates) burnt to char retaining properties, grind into powder. Apply to affected area. White scale from urine bucket baked dry, grind into powder, add a little Bingpian (Borneol). Rub teeth for immediate effect.
From *Shuijian Fang* downwards, these do not contain Arsenic, which is safer.
Treating Zouma Yagan: Use white scale from urine bucket, calcined. One qian mixed with three fen Tonglü (Malachite) and one and a half fen Muxiang (Musk). Apply for immediate cure.
Hongqian San (Red Lead Powder) treats Zouma Gan.
Lüfan (Green Vitriol, any amount, bright color). Put in dry pot, burn with charcoal until pot is red, pour out. Sprinkle with good wine, mix, return to pot. Repeat several times until red. Grind to fine powder, add a little Muxiang (Musk). First rinse mouth with warm grain water. Dip finger in medicine, apply to Gan areas.
[Yan Shan] Lanxiang San treats pediatric Zouma Gan, rotten teeth, leading to Bengsha bleeding and tooth loss.
Qingfen (Calomel, one qian weight) Lanxiang Zi (Perilla Seed, one qian, ground) Miduoseng (Litharge, half liang, quenched in vinegar, ground)
Grind to powder. Apply to teeth and gums for immediate effect.
Discussion: Infants suffer from diseases with various symptoms, largely due to Qi stagnation in the Triple Burner and Gan dividing among the Five Zang organs. Internally, the Kidney channel is often deficient. Contracting Gan is named "Acute," compared to a running horse, making treatment difficult. This syndrome starts with bad breath, named "Chou Xi." Next, teeth turn black, named "Bengsha." Severe gum rotting is named "Kui Cao." Further bleeding is named "Xuan Lu." Heavy cases see teeth falling out, named "Fu Gen." Once roots rot, how can they be treated? Secret formulas are described below.
Fuchi Lixiao San (Immediate Efficacy Powder for Teeth):
Yazui Danfan (Duck-bill Blue Vitriol, one qian spoon, heated red, ground) Muxiang (Musk, a little)
Grind uniformly. Apply a small amount to teeth and gums. Another formula: Use one zi of Chansu (Toad Venom), mix with Muxiang. Apply.
Discussion: Blood circulation is Ying (Nutrient Qi), Qi circulation is Wei (Defensive Qi). After complete development and steaming, during diet changes, fear of damaging Ying and Wei causing various diseases. If Qi is injured by toxins and Blood by heat, heat-toxin attacks, affecting deficient organs. Which organ is deficient? The Child's Kidney is always prone to deficiency. Do not allow heat-toxin to attack the Kidney, damaging sinews and bones. Teeth receive residual Qi from bone, so they manifest disease first, named "Running Horse," not developing slowly. Suitable medicines include Ganlu Yin (Sweet Dew Drink), Dihuang Gao (Rehmannia Ointment), Huadu Dan (Detoxification Pill), Xiaodu Yin (Disinfection Drink). Externally, apply the aforementioned Lixiao San and Musu Gao (Musk-Toad Ointment). Strictly avoid hot-toxic foods. This Gan differs from common syndromes; it involves innocent causes. Physicians must investigate deeply; preservation is paramount. Using common formulas makes recovery unlikely.
Duhuo Yinzi (Angelica Pubescens Decoction) treats Kidney Gan with foul breath.
Tianma (Gastrodia Rhizome) Muxiang (Costus Root) Duhuo (Angelica Pubescens) Fangfeng (Saposhnikovia Root) Muxiang (Musk, a little, ground fine and mixed)
Each two qian weight, grind into powder. Each dose one qian bi (spoonful), half qian for smaller children, taken with prepared Ophiopogon water.
Sanhuang San (Three Yellow Powder) treats Kidney Gan with Bengsha.
Niuhuang (Calculus Bovis) Dahuang (Rhubarb) Sheng Dihuang (Fresh Rehmannia Root) Muxiang (Costus Root) Qingdai (Indigo Naturalis)
Equal parts, grind into powder. Each dose one qian bi, taken with prepared water.
Renshen San (Ginseng Powder) treats Kidney Gan with Kui Cao.
Roudoukou (Nutmeg, roasted) Huhuanglian (Indian Barberry) Renshen (Ginseng) Xingren (Apricot Kernel, stir-fried) Gancao (Licorice, honey-fried)
Equal parts, grind into powder. Each dose one qian bi, half qian for smaller children, taken with warm prepared water.
Binglang San (Areca Seed Powder) treats Kidney Gan with Xuan Lu.
Muxiang (Costus Root) Binglang (Areca Seed) Renshen (Ginseng) Huanglian (Coptis) Gancao (Licorice, honey-fried)
Equal parts, grind into powder. Each dose one qian, half qian for smaller children, taken with prepared water.
Huangqi San (Astragalus Powder) treats Kidney Gan with Fu Gen.
Huangqi (Astragalus, honey-fried) Niuhuang (Calculus Bovis) Renshen (Ginseng) Tianma (Gastrodia) Quanxie (Scorpion, stir-fried) Xingren (Apricot Kernel, stir-fried) Baifuling (Poria) Chuandanggui (Sichuan Angelica) Sheng Dihuang (Fresh Rehmannia, washed) Shu Dihuang (Prepared Rehmannia, washed)
Equal parts, grind into powder. Each dose one qian, half qian bi for smaller children, taken with decocted Asparagus water (Ophiopogon is also acceptable).
Digupi San (Wolfberry Bark Powder) treats Kidney Gan with rotten, foul-smelling gum and tooth flesh, frequent fresh blood discharge.
Sheng Gan Dihuang (Dried Fresh Rehmannia, half liang) Zhen Digupi (True Wolfberry Bark) Xixin (Asarum, each one fen) Wubeizi (Chinese Gall, stir-fried until scorched, two qian weight)
Grind into fine powder. Apply a small amount frequently for efficacy. Safe to ingest.
Discussion: *Ben Jing* records five types of Gan syndromes, named after the Five Zang organs. Now describing five syndromes of Kidney Gan is most urgent and different from common ones. These five presentations are swift and terrifying, confirming the name "Running Horse." Initially, infant bad breath affects the stomach Qi. Progressively damaging sinews, gum sores appear, swelling or rotting, teeth turn black. Further, sores erupt from tooth sockets, bursting with pus. Further, heat forces vessels, causing intermittent bleeding. Long-standing heat rots gums, widens sockets, teeth fall out. By age six or seven, if all teeth fall out and do not regrow, treatment is impossible. Now providing excellent formulas to transmit and treat quickly, not waiting for disease to manifest before medicating.
Master Mao Zhusha Gao (Cinnabar Ointment) treats pediatric fright accumulation and fright heat.
Zhusha (Cinnabar, half liang) Pengsha (Borax) Mayaxiao (Mirabilite, each three qian) Zhenzhumo (Pearl Powder, one qian) Xuanmingfen (Thenardite, two qian, separately ground) Longnao (Borneol) Muxiang (Musk, each one zi)
Grind each into powder, mix together. In a good single-horn container, the medicine will naturally become ointment soon. For various pediatric frights, use a bean-sized dose, dissolve in a little Yinchen Bohe Tang (Silver Vine and Mint Decoction) and give. For whole-body tidal fever, take with Licorice decoction. For mania and screaming, dissolve in natural juice of fresh Dilong (Earthworm). For infants within one month or one lunar year, giving medicine is inconvenient; mix medicine with milk, apply to nipple, let baby suckle.
[Master Mao] Niuhuang Gao (Calculus Bovis Ointment) treats pediatric diaphragm heat and various heats, calming heart and detoxifying.
Chuan Yujin (Curcuma Aromatica, half liang, boiled with three cun of Zaojiao (Tamarisk Pod), seven Baidu (Croton Seeds), one bowl water until dry, discard pod and seed) Mayaxiao (Mirabilite) Gancao (Licorice, honey-fried, each half liang)
Zhusha (Cinnabar, one qian) Pengsha (Borax) Hanshuishi (Aragonite, each one fen) Longnao (Borneol) Muxiang (Musk, two ingredients, added as needed)
Grind into powder, refine honey into ointment, size of Euryale Seed. Each dose one pill, dissolve in Ophiopogon prepared water.
Tianzhu Huang San (Taro Bamboo Resin Powder) treats pediatric various heats.
Tianzhu Huang (Taro Bamboo Resin) Chuan Yujin (Curcuma Aromatica, boiled in Tamarisk water until dry) Fuling (Poria, peeled) Maidong (Ophiopogon, each half liang) Chantui (Cicada Slough, feet removed) Quanxie (Scorpion, soil removed, fourteen) Baijiangcan (White Silkworm, fourteen) Gancao (Licorice, honey-fried, one liang) Zhusha (Cinnabar, one fen) Longnao (Borneol) Muxiang (Musk, added as needed)
Clean, grind, and sieve each ingredient. Each dose half qian or one qian, taken with honey and prepared water.
Sanjie Niuhuang San (Three-Resolving Calculus Bovis Powder) treats pediatric tidal fever and excess heat.
Baijiangcan (White Silkworm) Quanxie (Scorpion, soil removed and stir-fried) Fangfeng (Saposhnikovia) Baifuzi (Typhonium) Chuan Huangqin (Scutellaria) Jiegeng (Platycodon) Chuan Dahuang (Rhubarb) Gancao (Licorice, honey-fried) Baifuling (Poria) Renshen (Ginseng) Chuan Yujin (Curcuma Aromatica, boiled in Tamarisk water until dry)
Equal parts, grind into powder, clean and grind fine. Each dose half qian or one qian, taken with Mint, Honey, and prepared water.
*Huiyan* Dihuang Gao (Rehmannia Ointment):
Tianzhu Huang San (also known as Jin Zhu Yin Zi) Both formulas are seen in the Newborn Section under Double Tongue条目.
*Xingzheng Lun* Binglang San (Areca Seed Powder):
Binglang (Areca Seed) Dahuang (Rhubarb, steamed) Qingpi (Citrus Peel, each two qian five fen) Hei Qianniu (Black Morning Glory Seed, one qian) Muxiang (Costus Root, a little, roasted)
Grind into fine powder. Take one qian with Mint and Honey water.
Danggui San (Tidal Fever) Sanleng San (Retained Food) Lushui Wan (General Treatment in this Section) Yulu Yin (Accumulated Heat)