身体壮热，或时憎寒，舌涩口干，睡多盗汗，皮肤枯燥，发立毛焦，乳食虽多，
肌肉消瘦，四肢无力，好睡昏昏，日往月来，转加 瘁，是其候也。瘦瘁少血，舌
干多啼，其病在心。目不转睛，虽啼无泪，其病在肝。身热尿干，手足清冷，其病
在肾。声焦皮燥，大便干结，其病在肺。搭口痴眠，胸脘干渴，其病在脾。
《仙人水鉴》独治干疳方
天灵盖 生鳖甲 波斯青黛 黄盐（以上各一分。陶隐居云，北海黄盐草粒粗，以作鱼 及咸菹）
上并同研令细。日服一字，空心熟水下。若是湿疳，不治，干疳，治之不过三服，神效。
《圣惠》天竺黄散 治小儿干疳，心脏烦热，眼目赤涩，皮肤干燥，夜多盗汗，羸瘦不能乳食。
天竺黄（半两） 牛黄 雄黄 朱砂 芦荟 麝香（各细研） 蟾头（炙令焦黄） 胡黄连 犀角
（屑） 木香 甘草（炙微赤，锉） 钓藤（各一分） 龙脑（一钱，细研）
上件药捣，细罗为散，都研令匀。每服，以温水调半钱，日三服，量儿大小，以意加减。
治小儿干疳体瘦烦热眠卧不安方
牛黄 雄黄 芦荟 青黛（各细研） 丁香 黄连（去须） 熊胆（研入） 蛇蜕皮（灰） 天竺黄
天浆子（微炒） 犀角（屑。各一分） 胡黄连（半两） 蟾酥（半钱，研入） 麝香（一钱，细研）
上件药捣，罗为末，更研令匀，以炼蜜和丸，如绿豆大。每服，以粥饮下三丸，
日三服，量儿大小，以意加减。
青黛丸 治小儿干疳，肌体羸瘦，皮毛干焦，发歇寒热，昏昏多睡。
青黛（三分，细研） 牛黄 芦荟 朱砂 麝香 雄黄（各细研） 胡黄连 蛇蜕皮（灰） 龙胆
（去芦头） 蝉壳（微炒。各一分） 蟾（一枚，涂酥炙焦黄）
上件药捣，罗为末，都研令匀，用面糊和丸，如黍米大。每服以粥饮下三丸，
日三服，量儿大小，临时增减。
牛黄丸 治小儿干疳，烦渴壮热，皮肤枯燥，日渐羸瘦。
牛黄（半钱，细研） 雄黄（细研） 黄连（去须） 芦荟 天竺黄（各一分） 龙脑 麝香（各一钱，细研）
甘草（半分，炙微赤，锉）
上件药捣，罗为末，都研令匀，用糯米饭和丸，如绿豆大。每一岁，以粥饮下一丸。
胡黄连丸 治小儿干疳，瘦弱不能乳食，发立脑干，肌体柴瘦。
胡黄连（末，半两） 朱砂 波斯青黛 芦荟（各三分） 麝香（一分） 蛇蜕皮（一条，烧灰） 蟾酥（一杏仁
大）
上件药，都研为末，用猪胆一枚，取法酒一盏和药末，都于铫子内熬如膏，
丸如绿豆大。五岁至七岁，以粥饮下五丸，日三服，三岁以下三丸。
青黛散 治小儿干疳，日久不瘥，骨立形枯，诸治无效者。
青黛 朱砂 芦荟 地龙 夜明砂（各微炒） 干虾蟆（灰） 熊胆（各一分） 麝香（二分）
上件药，都细研为散。每服半钱，空心以粥饮调下，更用少许药吹入鼻中。后
以桃枝汤看冷热浴儿，衣盖，有虫子出为效也。
牛黄丸 治小儿干疳，体热羸瘦，心神烦躁，少得眠卧。
牛黄（细研） 朱砂（细研，水飞过） 子芩 犀角（屑。各半两） 麝香（一分，细研）
上件药捣，罗为末，都研令匀，以糯米饭和丸，如麻子大。每服、用粥饮下三
丸，量儿大小，增减服之。
按∶干疳既是五脏之涸，则当以人参白术散、加减八味丸之类补而濡之，若
专恃以上诸丸药，恐无愈理。
The body suffers from persistent high fever, occasionally accompanied by aversion to cold. The tongue is dry and astringent with thirst in the mouth. The child sleeps excessively and sweats profusely at night (night sweating). The skin is dry and rough, hair stands erect and becomes brittle. Although milk and food intake are abundant, muscles waste away, limbs are weak, and the spirit is lethargic with excessive sleepiness. Day after day, the condition deteriorates into emaciation; this is the clinical presentation. Emaciation with blood deficiency, a dry tongue, and frequent crying indicate that the disease resides in the Heart. Fixed gaze without eye movement, and crying without tears, indicate that the disease resides in the Liver. Fever with scanty urine and cold hands and feet indicate that the disease resides in the Kidney. Hoarse voice, dry skin, and dry, hard stools indicate that the disease resides in the Lung. Perioral ulcers, drowsiness, and dryness/thirst in the chest and epigastrium indicate that the disease resides in the Spleen.
*Immortal Water Mirror* Formula for Treating Dry Gan Syndrome:
Calvaria Humana (Tianlinggai), Testudinis Carapax et Plastrum Preparatum (Sheng Biejia), Indicum Atramentum (Bosi Qingdai), Sal Marina (Huangyan) (each 1 fen. Tao Hongjing stated that Huangyan from the North Sea has coarse granules and is used for making fish paste and pickled vegetables).
Grind all ingredients together into a fine powder. Take one "yi zi" dose daily on an empty stomach, washed down with warm water. If it is Wet Gan syndrome, it is incurable; if it is Dry Gan syndrome, treatment requires no more than three doses for miraculous efficacy.
*Tianzhu Huang San* from *Shenghui Fang*, treating pediatric Dry Gan syndrome characterized by cardiac irritability and heat, red and gritty eyes, dry skin, profuse night sweating, emaciation, and inability to feed or eat.
Tianzhu Huang (Half liang), Niuhuang, Xionghuang, Zhusha, Lvhui, Shexiang (each finely ground), Chan Tou (roasted until scorched yellow), Huhuanglian, Xi Jiao (shredded), Muxiang, Gancao (roasted slightly red, cut), Gouteng (each 1 fen), Longnao (1 qian, finely ground).
Pound the above herbs, sift through a fine sieve to make a powder, and grind uniformly. Each dose consists of half a qian, mixed with warm water, taken three times daily. Adjust the dosage according to the child's age and size.
Formula for Treating Pediatric Dry Gan Syndrome with Emaciation, Irritability, Heat, and Restless Sleep:
Niuhuang, Xionghuang, Lvhui, Qingdai (each finely ground), Dingxiang, Huanglian (remove stamens), Xiongdan (ground in), She Tuipi (calcined to ash), Tianzhu Huang, Tianjiangzi (lightly stir-fried), Xi Jiao (shredded, each 1 fen), Huhuanglian (Half liang), Chansu (Half qian, ground in), Shexiang (1 qian, finely ground).
Pound the above herbs, sift into powder, and grind uniformly. Mix with refined honey to form pills the size of mung beans. Take three pills per dose with rice broth, three times daily. Adjust dosage according to the child's size.
Qingdai Wan, treating pediatric Dry Gan syndrome with emaciated body, dry and brittle hair and skin, alternating chills and fever, and lethargic sleep.
Qingdai (3 fen, finely ground), Niuhuang, Lvhui, Zhusha, Shexiang, Xionghuang (each finely ground), Huhuanglian, She Tuipi (calcined to ash), Longdan (remove rhizome head), Chanqiao (lightly stir-fried, each 1 fen), Chan (one piece, coated with butter and roasted until scorched yellow).
Pound the above herbs, sift into powder, and grind uniformly. Mix with wheat paste to form pills the size of millet seeds. Take three pills per dose with rice broth, three times daily. Adjust dosage according to the child's size.
Niuhuang Wan, treating pediatric Dry Gan syndrome with irritability, thirst, high fever, dry and rough skin, and progressive emaciation.
Niuhuang (Half qian, finely ground), Xionghuang (finely ground), Huanglian (remove stamens), Lvhui, Tianzhu Huang (each 1 fen), Longnao, Shexiang (each 1 qian, finely ground), Gancao (Half qian, roasted slightly red, cut).
Pound the above herbs, sift into powder, and grind uniformly. Mix with glutinous rice to form pills the size of mung beans. For every year of age, take one pill with rice broth.
Huhuanglian Wan, treating pediatric Dry Gan syndrome with emaciation, inability to feed or eat, erect hair, dry scalp, and wasted body.
Huhuanglian (powder, Half liang), Zhusha, Bosi Qingdai, Lvhui (each 3 fen), Shexiang (1 fen), She Tuipi (one strip, calcined to ash), Chansu (size of an almond).
Grind all ingredients into powder. Use one pig gallbladder and one cup of Fa Jiu to mix with the powder, boil in a pot until it forms a paste, and shape into pills the size of mung beans. For children aged five to seven, take five pills with rice broth, three times daily; for children under three, take three pills.
Qingdai San, treating pediatric Dry Gan syndrome that has persisted for a long time without improvement, resulting in skeletal emaciation, where other treatments have failed.
Qingdai, Zhusha, Lvhui, Dilong, Yeming Sha (each lightly stir-fried), Gan Xiamatu (calcined to ash), Xiongdan (each 1 fen), Shexiang (2 fen).
Grind all ingredients into a fine powder. Take half a qian per dose on an empty stomach, mixed with rice broth. Additionally, blow a small amount of the powder into the nose. Afterwards, bathe the child in Peach Branch Decoction (adjusted to appropriate temperature) and keep them covered. The emergence of parasites indicates efficacy.
Niuhuang Wan, treating pediatric Dry Gan syndrome with body heat, emaciation, mental restlessness, and insomnia.
Niuhuang (finely ground), Zhusha (finely ground, water-washed), Zixin, Xi Jiao (shredded, each Half liang), Shexiang (1 fen, finely ground).
Pound the above herbs, sift into powder, and grind uniformly. Mix with glutinous rice to form pills the size of sesame seeds. Take three pills per dose with rice broth. Adjust dosage according to the child's size.
Commentary: Since Dry Gan syndrome involves the depletion of the Five Zang organs, it should be treated with tonifying and moistening formulas such as Renshen Baizhu San or Jiaban Bawei Wan. Relying solely on the aforementioned pill formulas is unlikely to lead to a cure.