杨氏云∶由乳食不调，心脏受热所致也，盖其血气未定，乳哺有伤，易生壅滞，
内有滞热，未得疏通，故心神惊郁，而作惊疳之候。外证身体壮热，脸赤唇红，口
舌生疮，胸膈烦闷，小便赤涩，五心皆热，盗汗发渴，啮齿虚惊是也。钱氏，安神
丸主之。薛氏，用安神丸以治心，异功散以补脾。杨氏，以茯苓丸、钱氏安神丸主
之。曾氏，宁心用茯神汤。
朱砂安神丸 治心疳，怔忡，心中痞闷。
朱砂（四钱） 黄连 生地黄（各半两） 生甘草（二钱半） 兰香叶（二钱，烧灰） 铜青 轻粉（各五分）
上为末。干敷上。
茯苓丸 治心疳，惊疳。
茯神 芦荟 琥珀 黄连（净） 赤茯苓（各三钱） 钓藤皮 远志肉（姜制，焙干） 虾蟆灰（各
二钱） 石菖蒲（一钱） 麝香（少许）
上为末，粟米糊、丸麻子大。每服十丸，薄荷汤下。
茯神汤 治心气不足，虚而惊悸，日常烦哭。及婴孩生下羸瘦多惊，宜子、母同服，自然有效。
茯神（去皮木根，一两） 人参（去芦） 当归（去芦尾，酒洗。各半两） 甘草（炙，二钱）
上件 咀。每服二钱，水一盏，煎七分，无时温服。有微热烦躁，入麦门冬去心同煎。
〔张涣〕参黄丹 治惊疳挟热，夜卧惊悸。
干蝎（二十一个，微炒） 天浆子（一十四个，干者，微炒） 人参 胡黄连（各一两） 天竺黄（半两，研。
以上为细末，次入） 青黛 朱砂（各一分） 龙脑（一钱。并细研）
上件一处拌匀，炼蜜和，如黍米大。每服十粒，人参汤下，量儿大小加减。
天竺黄丹
天竺黄（一两，细研） 晚蚕蛾（微炒） 白僵蚕（微炒） 川黄连（各半两。以上捣罗为细末，次用） 朱砂
青黛 麝香（各一分，并细研）
上件拌匀，粳米饮和，如黍米大。每服七粒至十粒，煎人参汤下，量儿大小加减。
《仙人水鉴》治小儿惊疳。
朱砂丸 五岁至十五岁并宜服之。
朱砂（三钱，研） 青黛（一两，研） 黄连 郁金（为末） 夜明砂（用炒焦黑。各半两） 麝香 熊胆（用
冷水一鸡子多，浸一宿。各一钱）
上，同研如粉，次入浸熊胆水和为丸，如绿豆大。空心临卧，金银薄荷汤下三丸至五丸。切忌生冷油腻神效。
《万全方》真珠散 治小儿心疳，体热黄瘦。
真珠（末） 麦门冬（去心。各半两） 天竺黄 金银箔（各研五十片，临和加入诸药末内） 牛黄 麝香
（各细研） 胡黄连 甘草（炙） 羚羊角（屑） 川大黄（炒） 当归（微炒） 朱砂 雄黄 茯神 犀
角（屑。各一分）
上，捣罗为散。每服以茵陈汤调半钱，量儿大小服之。
〔朱氏〕治小儿肚大项小，即是惊疳方
钓藤 甘草（各二分） 人参 栝蒌（各一分）
上件为末。以水一茶碗，入药二钱，煎取六合，去滓，重煎，温服。
治五疳八痢心藏热方
芦荟（半两，研） 轻粉 青黛 香墨 飞罗面（各一钱） 使君子（一个） 蜗牛（五个，和肉炒焦，细研） 麝
香（半钱）
上为末，研细，滴水为丸，芥子大。生地黄汁化下一丸至二丸，薄荷汤亦得。（庄氏第九候用此方。）
麝香丸 治小儿一切惊疳等病。
草龙胆 胡黄连（各半两） 木香 蝉蜕（上头足，洗净。各一钱） 瓜蒂 龙脑 麝香 牛黄
（各一钱并各细研）
上，猪胆为丸，如桐子及绿豆大。惊疳，或秘或泻，清米饮送下，小儿五七粒
至一二十粒。眼疳，猪肝汤下。疳渴 猪汤下，猪肉汤下亦得。惊风发搐，眼上
窜，薄荷汤下一丸，更水研一丸滴鼻中。牙疳疮，口疮，研贴。虫痛，苦楝根汤
或白芜荑汤送下。百日内小儿大小便不通，水研封脐中。有虫候，干漆、麝香各
少许，并入生油一两点，温水化下一大丸。慢惊勿服。
睡惊丸 治小儿一切惊疳、食积、风痫之证。
使君子（五十个烧） 香墨（枣大一块） 金银箔（各七片） 腻粉（二钱）
上，先将使君子存性，同墨研细，次入金银箔，乳钵内研，次入腻粉，并麝香
少许，研令极细，稀糊丸，如桐子大，阴干。每服一丸，薄荷汤磨下，一岁以下
半丸。一名青金丹。极效。
治小儿因吃着患热病奶次腹痛，并及惊风毒奶，便乃下痢吐逆，又名奶疳。
桃仁（去皮尖，炒） 胡黄连（各半两） 沉香 朱砂（别研。各一分） 金箔（五片）
上，为末，软饭丸，麻子大。米饮下五丸，奶汁下亦得。（庄氏第十一候用此方）
治小儿胃疳及进食方
胡黄连 芦荟（各一分） 肉豆蔻（一个） 槟榔 干蟾（炙。各半个） 夜明砂（半分，炒） 朱砂 麝香（各
半钱）
上为末，炼蜜丸，绿豆大。一岁一丸，米饮及乳汁下亦得。如是疳盛，次
加二丸至三丸，取下虫屎为验，五日一服。
桃花丸 治小儿心藏积热生疳。
寒水石（一两，用炭火烧，熟研如面细） 朱砂（半钱，细研，合和如桃花色）
上为末，水浸蒸饼丸，如粟米大。冷水下三五丸。服旬日，自然安妙。（庄氏第二十四候用此方。）
Yang Shi stated: Xin Gan (Heart-type Infantile Malnutrition) is caused by irregular breastfeeding and diet, leading to heat in the Heart. Since a child's Qi and Blood are not yet stabilized, improper nursing can cause injury, easily resulting in stagnation. Internal stagnant heat fails to diffuse, causing the Shen (Spirit) to be startled and depressed, manifesting as symptoms of Jing Gan (Startled Infantile Malnutrition). External signs include high fever, flushed face and red lips, sores in the mouth and tongue, chest and diaphragm oppression, dark and scanty urination, heat in the five centers (both palms, both soles, and the heart), night sweats with thirst, teeth grinding, and false palpitations. Qian Yi advocated using Anshen Wan (Calming the Spirit Pill) for treatment. Xue Ji advocated using Anshen Wan to treat the Heart and Yigong San (Extraordinary Power Powder) to tonify the Spleen. Yang Shi advocated using Fuling Wan (Poria Pill) and Qian Yi's Anshen Wan. Zeng Shirong advocated Ningxin Tang (Calm the Heart Decoction) for calming the Heart.
Zhusha Anshen Wan: Treats Xin Gan (Heart-type Infantile Malnutrition), Zhengchong (Palpitations), and epigastric fullness/stuffiness.
Ingredients: Cinnabar (Zhu Sha, 4 qian), Rhizoma Coptidis (Huanglian), Radix Rehmanniae Preparata (Sheng Dihuang) (each 0.5 liang), Raw Radix Glycyrrhizae (Sheng Gancao, 2.5 qian), Leaves of Elsholtzia (Lanxiangye, 2 qian, burnt to ash), Cuprum Carbonicum Viride (Tongqing), Calomelas (Qingfen) (each 5 fen).
Preparation and Administration: Grind the above ingredients into fine powder. Apply dry powder topically to the affected area.
Fuling Wan: Treats Xin Gan (Heart-type Infantile Malnutrition) and Jing Gan (Startled Infantile Malnutrition).
Ingredients: Radix Poria Cum Wood (Fushen), Fructus Aloe (Lvhui), Succinum (Hupo), Rhizoma Coptidis (Jing Huanglian), Radix Poria Rubra (Chi Fuling) (each 3 qian), Cortex Uncariae cum Uncis (Diaotengpi), Radix Polygalae Tenuifoliae (Yuanzhi Rou, processed with ginger juice and baked dried), Ash of Toad (Xiamahui) (each 2 qian), Rhizoma Acori Tatarinowii (Shichangpu, 1 qian), Moschus (Shexiang, a small amount).
Preparation and Administration: Grind the above ingredients into fine powder. Use millet paste to form pills the size of hemp seeds. Take 10 pills each time, administered with Mint Decoction (Bohe Tang).
Fushen Tang: Treats deficiency of Heart Qi, palpitations due to deficiency, daily irritability and crying. Also suitable for infants born weak and prone to fright; mother and infant should take it together for natural efficacy.
Ingredients: Radix Poria Cum Wood (Fushen, peeled of wood root, 1 liang), Radix Ginseng (Renshen, radix removed), Radix Angelicae Sinensis (Danggui, radix and tail removed, washed with wine) (each 0.5 liang), Radix Glycyrrhizae Preparata (Zhi Gancao, 2 qian).
Preparation and Administration: Cut the above herbs into pieces. Take 2 qian per dose, add one cup of water, decoct until three-tenths remains. Take warm at any time. If there is slight heat and irritability, add Ophiopogon Japonicus (Mendong, heart removed) and decoct together.
[Zhang Huan] Canhuang Dan: Treats Jing Gan complicated with heat, nighttime sleep disturbance and palpitations.
Ingredients: Dry Scorpion (Ganxie, 21 pieces, slightly stir-fried), Tianjiangzi (14 pieces, dried, slightly stir-fried), Radix Ginseng (Renshen), Rhizoma Coptidis Chinensis (Huhuanglian) (each 1 liang), Calamina (Tianzhuhuang, 0.5 liang, ground. The above are made into fine powder, then added): Indigo Naturalis (Qingdai), Cinnabar (Zhusha) (each 1 fen), Borneol (Longnao, 1 qian. All finely ground).
Preparation and Administration: Mix all ingredients thoroughly. Blend with refined honey to form pills the size of millet seeds. Take 10 pills each time, administered with Ginseng Decoction. Adjust dosage according to the child's age and size.
Tianzhuhuang Dan:
Ingredients: Calamina (Tianzhuhuang, 1 liang, finely ground), Bombyx Batryticatus (Wancang'e, slightly stir-fried), Bombyx Batryticatus Albus (Bai Jiangcan, slightly stir-fried), Rhizoma Coptidis Chinesis (Chuan Huanglian) (each 0.5 liang. The above are pounded and sifted into fine powder, then added): Cinnabar (Zhusha), Indigo Naturalis (Qingdai), Moschus (Shexiang) (each 1 fen, all finely ground).
Preparation and Administration: Mix all ingredients thoroughly. Blend with Rice Decoction (Jingmi Yin) to form pills the size of millet seeds. Take 7 to 10 pills each time, administered with decocted Ginseng Decoction. Adjust dosage according to the child's age and size.
*Xianren Shuijian* treats pediatric Jing Gan (Startled Infantile Malnutrition).
Zhusha Wan: Suitable for children aged five to fifteen.
Ingredients: Cinnabar (Zhusha, 3 qian, ground), Indigo Naturalis (Qingdai, 1 liang, ground), Rhizoma Coptidis (Huanglian), Rhizoma Curcumae Longae (Yujin) (made into powder), Geum Urbanum Faex (Yemingcha, stir-fried until charred black) (each 0.5 liang), Moschus (Shexiang), Bear Gallbladder (Xiongdan, soaked overnight in cold water equivalent to one chicken egg) (each 1 qian).
Preparation and Administration: Grind all ingredients together into powder. Then add the water used to soak the bear gallbladder to form pills the size of mung beans. Take 3 to 5 pills on an empty stomach and before bed, administered with Gold-Silver Mint Decoction (Jinyin Bohe Tang). Strictly avoid raw, cold, and greasy foods. This formula is highly effective.
*Wanquan Fang* Zhenzhu San: Treats pediatric Xin Gan (Heart-type Infantile Malnutrition), characterized by body heat, yellowish complexion, and emaciation.
Ingredients: Pearl (Zhenzhu, powdered), Ophiopogon Japonicus (Mendong, heart removed) (each 0.5 liang), Calamina (Tianzhuhuang), Gold and Silver Foil (Jinyinbo) (each 50 sheets, added to the herbal powder just before use), Calculus Bovis (Niuhuang), Moschus (Shexiang) (all finely ground), Rhizoma Coptidis Chinensis (Huhuanglian), Radix Glycyrrhizae Preparata (Zhi Gancao), Cornu Saigae Tataricae (Lingyangjiao, shaved), Radix Rheomi Preparata (Chuan Dahuang, stir-fried), Radix Angelicae Sinensis (Danggui, slightly stir-fried), Cinnabar (Zhusha), Realgar (Xionghuang), Radix Poria Cum Wood (Fushen), Cornu Rhinocerotis (Xijiao, shaved) (each 1 fen).
Preparation and Administration: Pounded and sifted into a powder. Take half a qian each time, mixed with Artemisia Capillaris Decoction (Yinchén Tang). Adjust dosage according to the child's age and size.
[Zhu Shi] Formula for treating pediatric abdominal distension with a thin neck, which indicates Jing Gan (Startled Infantile Malnutrition):
Ingredients: Cortex Uncariae cum Uncis (Diaoteng), Radix Glycyrrhizae Preparata (Gancao) (each 2 fen), Radix Ginseng (Renshen), Fructus Trichosanthis (Gualou) (each 1 fen).
Preparation and Administration: Grind the above ingredients into fine powder. Add two qian of medicine to one tea bowl of water. Decoct to obtain six ge. Strain the dregs, re-decoct, and take warm.
Formula for treating Heat in the Heart Organ from the Five Gan and Eight Dysenteries:
Ingredients: Fructus Aloe (Lvhui, 0.5 liang, ground), Calomelas (Qingfen), Indigo Naturalis (Qingdai), Ink Stick (Xiangmo), Fine Wheat Flour (Feiluo mian) (each 1 qian), Fructus Quisqualis (Shijunzi, 1 piece), Snail (Woniu, 5 pieces, stir-fried with meat until charred and ground), Moschus (Shexiang, 0.5 qian).
Preparation and Administration: Grind all ingredients into fine powder. Add drops of water to form pills the size of mustard seeds. Dissolve one to two pills in Juice of Rehmannia Root (Sheng Dihuang Zhi) or administer with Mint Decoction (Bohe Tang). (Used in Zhuang Shi's Ninth Observation.)
Shexiang Wan: Treats all types of pediatric Jing Gan and related diseases.
Ingredients: Radix Gentianae Macrophyllae (Caolongdan), Rhizoma Coptidis Chinensis (Huhuanglian) (each 0.5 liang), Radix Aucklandiae (Muxiang), Periostracum Cicadae (Chantui, head and feet intact, cleaned) (each 1 qian), Fructus Cocculi (Goudi), Borneol (Longnao), Moschus (Shexiang), Calculus Bovis (Niuhuang) (each 1 qian, all finely ground).
Preparation and Administration: Form pills using Pig Bile (Zhu Dan) the size of Sophora Seeds (Tongzi) or Mung Beans. For Jing Gan, whether constipated or having diarrhea, administer with clear Rice Drink. Children take 5-7 pills up to 10-20 pills. For Yan Gan (Eye-type Malnutrition), administer with Pork Liver Decoction. For Gan Ke (Malnutrition Thirst), administer with Pork Meat Decoction. For Jing Feng convulsions with eyes rolling upward, administer one pill with Mint Decoction, and additionally dissolve one pill in water and drip into the nose. For Ya Gan sores and mouth ulcers, apply ground powder externally. For worm pain, administer with Melia Azedarach Root Bark Decoction (Kuliantang) or White Melia Seed Decoction (Bai Wuyitang). For infants within 100 days with urinary and fecal retention, dissolve in water and apply to the umbilicus. If worms are present, add small amounts of Dry Lacquer (Ganqi) and Moschus (Shexiang), mix with 1-2 drops of Sesame Oil, and dissolve one large pill in warm water to ingest. Do not use for Man Jing (Slow Convulsion).
Shuijing Wan: Treats all types of pediatric Jing Gan, Food Accumulation, and Feng Xian (Wind Epilepsy).
Ingredients: Fructus Quisqualis (Shijunzi, 50 pieces, stir-fried to retain nature), Ink Stick (Xiangmo, size of a date), Gold and Silver Foil (Jinyinbo) (each 7 sheets), Calomelas (Nifen, 2 qian).
Preparation and Administration: First, stir-fry the Fructus Quisqualis to retain its nature, grind together with ink until fine. Then add gold and silver foil, grind in a mortar until fine. Add calomelas and a small amount of Moschus (Shexiang), grind extremely fine. Form pills with thin starch paste the size of Sophora Seeds. Dry in shade. Take one pill each time, ground and taken with Mint Decoction. Infants under one year take half a pill. Also known as Qingjin Dan. Extremely effective.
Formula for treating pediatric abdominal pain due to hot milk disease from feeding, and toxic milk from wind-stroke fright, leading to dysentery and vomiting, also known as Nai Gan (Milk Malnutrition):
Ingredients: Semen Persicae (Taoren, peel and pit removed, stir-fried), Rhizoma Coptidis Chinensis (Huhuanglian) (each 0.5 liang), Lignum Aquilariae Resinatum (Chenxiang), Cinnabar (Zhusha, separately ground) (each 1 fen), Gold Foil (Jinbo, 5 sheets).
Preparation and Administration: Grind into powder. Form pills with soft rice the size of hemp seeds. Take 5 pills with Rice Drink, or administer with Milk. (Used in Zhuang Shi's Eleventh Observation.)
Formula for treating pediatric Wei Gan (Stomach-type Malnutrition) and promoting appetite:
Ingredients: Rhizoma Coptidis Chinensis (Huhuanglian), Fructus Aloe (Lvhui) (each 1 fen), Semen Myristicae (Roudoukou, 1 piece), Fructus Arecae (Binglang), Bufonis Venenum (Gan Chan, roasted) (each half a piece), Geum Urbanum Faex (Yemingcha, 0.5 fen, stir-fried), Cinnabar (Zhusha), Moschus (Shexiang) (each 0.5 qian).
Preparation and Administration: Grind into powder. Form pills with refined honey the size of mung beans. One-year-olds take one pill, administered with Rice Drink or Breast Milk. If the Gan condition is severe, increase to 2-3 pills next time. Efficacy is confirmed when worm feces are expelled. Take once every five days.
Taohua Wan: Treats Xin Gan (Heart-type Infantile Malnutrition) caused by accumulated heat in the Heart.
Ingredients: Arsenite Calcium (Han Shui Shi, 1 liang, fired in charcoal until cooked, ground as fine as flour), Cinnabar (Zhusha, 0.5 qian, finely ground, mixed to resemble peach blossom color).
Preparation and Administration: Grind into powder. Form pills with steamed bread dough soaked in water the size of millet seeds. Take 3-5 pills with cold water. After ten days of administration, the condition will naturally resolve pleasantly. (Used in Zhuang Shi's Twenty-fourth Observation.)