即疳热而骨蒸，兼诸咳嗽、盗汗等证是也。汤氏鳖甲散、猪肚丸皆对证之药。
干地黄煎（颅囟） 治小儿疳劳，肺气热咳嗽，四肢渐瘦，心脉干。
生地黄汁（五两） 酥 生姜汁 蜜（各一两） 鹿角胶（半两）
上，先以地黄汁入铛内，慢火煎，手不住搅，约五六沸下酥，又五六沸下蜜，
次下胶，又下姜汁，慢火煎，后如稀饧，即住火。每食后两度共与一匙头。忌诸毒物。
〔王先生〕鸡肉煎丸 治小儿十岁以上，疳劳壮热形瘦。
宣连（去须，二两） 银柴胡（去芦，洗净） 秦艽（去土净） 知母 使君子（肉） 子芩（各一两） 芜荑（去
衣） 川鹤虱（各半两）
上为末，以黄雌鸡一只重一斤许，笼之，专以大麻子饲之，至五日后宰，去毛
令净，于臀后开孔去肠肚，净洗拭干，入前药末于鸡腹内，以线缝之，取小甑，
先以黑豆铺甑底，浓三寸，安鸡在甑中，四傍以黑豆围裹，上亦以黑豆盖之，自
日出蒸至晚，候温冷，取鸡，去腹中药及筋骨头翅，以净肉研匀，和得所，如干
入酒，面糊为丸，如大麻子及小绿豆大。每服十丸、十五、二十丸，以意加减，空
心临卧，麦门冬熟水吞下。如小儿疳劳骨热，十五岁以上温酒下。忌猪肉。
〔张氏〕三和饮子 治三焦膈塞，五脏涩滞，气逆痰涎，米食后恶涎，太阳昏痛，及
治山岚瘴气，吐逆不美饮食，面色浮黄，指甲青黑，小儿疳劳吐乳，及大人小儿
久病乍安，神气未复，寒热往来，并皆救疗。
紫团人参（三两半，洗，锉） 甘草（一两半，炙，锉） 绵黄 （五两，酒浸一宿，洗净，锉）
上件三味，同入木臼内用木杵捣为粗散，每服三大钱，生姜三片，水二盏，枣
三枚，同煎八分，去滓服。不拘时候。
犀角散 治小儿骨热，解毒。
银州柴胡 川大黄 甘草（炙） 川芎 茯苓 芍药 面葛 桑白皮 地骨皮 山栀子仁 黄芩 贝母（各半两）
上为末。每服一大钱，水一盏，入青蒿一枝，小麦十粒，煎七分，温温服之。
大段有患，更入麻黄、连翘、二味，与前药等分为末，煎服之效。（庄氏第二十一候用此方。）
鳖血煎 治疳劳。
芜荑 柴胡 川芎（各一两） 人参（半两） 使君子（二十一枚，去壳） 胡黄连 宣黄连（各七钱）
上用鳖血一盏，吴茱萸一两，和二黄连淹一宿，次早炒干，去茱萸并血，用二
连入余药末，粟米粉糊丸，麻子大。食前，熟水下。
黄连丸 治疳劳。
黄连（半两，净， 胆汁，浸晒） 石莲子 栝蒌根 杏仁（汤浸去皮，焙） 乌梅肉（各二钱）
上为末，牛胆汁浸糕糊丸，麻子大。煎乌梅姜蜜汤下。
This refers to bone-steaming fever caused by Gan-heat (nutritional deficiency fever), accompanied by various symptoms such as coughing and night sweats. Tang Shi Bie Jia San (Tang's Turtle Shell Powder) and Zhu Du Wan (Pig Stomach Pills) are both appropriate remedies for these conditions.
Gan Di Huang Jian (Dried Rehmannia Decoction) [Source: *Lu Xun Jing*]: Treats pediatric Gan-lao (chronic nutritional deficiency with wasting), pulmonary heat-induced cough, gradual emaciation of the four limbs, and dry heart pulse.
Ingredients: Fresh Rehmanniae Radix Juice 5 liang; Su (Clarified Butter), Sheng Jiang Zhi (Fresh Ginger Juice), Mi (Honey) each 1 liang; Lu Jiao Jiao (Deer Horn Gelatin) 0.5 liang.
Preparation and Administration: First, place the Fresh Rehmanniae Radix Juice in a pan. Simmer over low heat while stirring continuously with your hand. After approximately five or six boils, add the Su. After another five or six boils, add the Mi. Then add the Lu Jiao Jiao, followed by the Sheng Jiang Zhi. Continue simmering over low heat until the consistency resembles thin syrup, then remove from heat. Administer one spoonful in two doses after meals. Avoid all toxic or irritating foods.
[Mr. Wang] Ji Rou Jian Wan (Chicken Meat Fried Pills): Treats children over ten years old suffering from Gan-lao with high fever and emaciation.
Ingredients: Xuan Lian (Coptidis Rhizoma, stamens removed) 2 liang; Yin Chai Hu (Stellariae Radix, rhizome removed, washed); Qin Jiao (Gentianae Macrophyllae Radix, soil removed and cleaned); Zhi Mu (Anemarrhenae Rhizoma); Shi Jun Zi (Quisqualis Fructus, flesh only); Zi Qin (Scutellariae Radix) each 1 liang; Wu Yi (Cantharii Fructus, skin removed); Chuan He Shi (Necleae Semen) each 0.5 liang.
Preparation and Administration: Grind the above ingredients into fine powder. Take one yellow hen weighing about one jin. Keep it in a cage and feed it exclusively with hemp seeds for five days. Then slaughter it, remove feathers thoroughly, make an incision at the rear buttocks to remove intestines and viscera, wash clean, and dry. Place the powdered herbs inside the chicken cavity and sew it shut with thread. Take a small steamer, line the bottom with black beans three cun thick, place the chicken in the steamer, surround it with black beans on all sides, and cover the top with black beans. Steam from sunrise until evening. When cool, remove the chicken, discard the herbs and bones/tendons/wings from the cavity, and grind the clean meat evenly. If too dry, add wine; otherwise, use flour paste to form pills the size of hemp seeds or small mung beans. Take 10, 15, or 20 pills per dose, adjusting according to circumstances. Swallow with prepared Ophiopogonis Decoction on an empty stomach or before bed. For pediatric Gan-lao with bone-heat in children over fifteen, swallow with warm wine. Avoid pork.
[Zhang Shi] San He Yin Zi (Three-Harmony Infusion): Treats obstruction in the San Jiao (Triple Burner), stagnation in the five Zang organs, rebellious Qi with phlegm-saliva, nausea and vomiting of saliva after eating rice, headache and dizziness in the Taiyang region, as well as mountainous miasma (shān lán zhàng qì) causing vomiting, poor appetite, sallow complexion, and cyanotic-black fingernails. It also treats pediatric Gan-lao with milk vomiting, and in adults and children who have recovered briefly from prolonged illness but lack spiritual vitality, experiencing alternating chills and fever. It provides rescue treatment for all these conditions.
Ingredients: Zi Tuan Ren Shen (Purple Cluster Ginseng Radix et Rhizoma) 3.5 liang (washed, sliced); Gan Cao (Licorice Radix et Rhizoma) 1.5 liang (honey-fried, sliced); Mian Huang Qi (Astragali Radix) 5 liang (soaked in wine overnight, washed, sliced).
Preparation and Administration: Place the three ingredients together in a wooden mortar and pound with a wooden pestle into a coarse powder. Take three qian per dose, with three slices of fresh ginger, two cups of water, and three jujubes. Decoct until reduced to 80%, strain, and drink. Take at any time.
Xi Jiao San (Rhinoceros Horn Powder): Treats pediatric bone-heat and detoxifies.
Ingredients: Yin Zhou Chai Hu (Bupleuri Radix from Yinzhou); Chuan Da Huang (Rhei Radix et Rhizoma); Gan Cao (Licorice Radix et Rhizoma, honey-fried); Chuan Xiong (Ligustici Chuanxiong Rhizoma); Fu Ling (Poria); Shao Yao (Paeoniae Radix); Ge Gen (Puerariae Lobatae Radix); Sang Bai Pi (Mori Cortex); Di Gu Pi (Lycii Cortex); Shan Zhi Zi Ren (Gardeniae Semen); Huang Qin (Scutellariae Radix); Bei Mu (Fritillariae Cirrhosae Bulbus) each 0.5 liang.
Preparation and Administration: Grind into fine powder. Take one qian per dose, with one cup of water, one branch of Qing Hao (Artemisiae Annuae Herba), and ten wheat grains. Decoct until reduced to 70%, and take warm. If the condition is severe, add Ma Huang (Ephedrae Herba) and Lian Qiao (Forsythiae Fructus) in equal amounts to the previous formula, grind into powder, and decoct for administration. (Zhu Shi uses this formula for the twenty-first syndrome.)
Die Xue Jian (Turtle Blood Decoction): Treats Gan-lao.
Ingredients: Wu Yi (Cantharii Fructus); Chai Hu (Bupleuri Radix); Chuan Xiong (Ligustici Chuanxiong Rhizoma) each 1 liang; Ren Shen (Ginseng Radix et Rhizoma) 0.5 liang; Shi Jun Zi (Quisqualis Fructus) 21 pieces (shelled); Hu Huang Lian (Coptidis Rhizoma); Xuan Huang Lian (Coptidis Rhizoma) each 7 qian.
Preparation and Administration: Soak the two types of Huang Lian in one cup of Die Xue (Turtle Blood) and 1 liang of Wu Zhu Yu (Evodiae Fructus) overnight. The next morning, stir-fry until dry, then discard the Wu Zhu Yu and turtle blood. Mix the two types of Huang Lian with the remaining herb powders, use millet flour paste to form pills the size of hemp seeds. Take before meals with warm water.
Huang Lian Wan (Coptis Pill): Treats Gan-lao.
Ingredients: Huang Lian (Coptidis Rhizoma) 0.5 liang (cleaned, soaked in bile and sun-dried); Shi Lian Zi (Nelumbinis Nuciferae Semen); Gua Lou Gen (Trichosanthis Radix); Xing Ren (Armeniacae Semen Amarum, soaked in water, skin removed, baked); Wu Mei Rou (Mume Fructus Flesh) each 2 qian.
Preparation and Administration: Grind into fine powder. Use Niu Dan Zhi (Bovis Gallae Extract) soaked cake paste to form pills the size of hemp seeds. Take with a decoction of Wu Mei (Mume Fructus), Sheng Jiang (Zingiberis Rhizoma), and Mi (Honey).