《惠眼》防己丸 治疳嗽不止。
汉防己 牵牛子 马兜铃（炒） 甜葶苈（别研。各等分）
上为末，煮枣肉为丸，如绿豆大。每服十丸，煎糯米饮下。与温肺散相间服。
温肺散
栝蒌根（半两） 甘草（炙，二钱半）
上为末。每服一钱，蜂蜜熟水调下。
小儿肺疳，多是吃着热米食及病奶，伤损心肺，便生喘嗽，愚医不辨冷热，以药攻
之，变成黄肿，渐觉昏沉，宜服
杏仁散
杏仁（十四粒） 甘草 款冬花（各二钱） 麝香 胡黄连（各一钱） 半夏（汤泡九次，半两）
上件为末。每服一字，枣汤调下，日进二服。
〔茅〕其候面带青黄色，身瘦，肚膨胀，头发立，身热，肚中微痛，此因疳盛而
传为此候，治之先用匀气散、醒脾散（二方并见不乳食）调理二日后，下青金丹（癖）取下疳积，
再下匀气、醒脾散补，常服保童丸（一切疳）即愈。《玉诀》云∶疳气腹胀潮热，先与调胃
气，后与取虚积药，次服疳药。
钱乙牛黄丸 治小儿疳积。
雄黄（研，水飞） 天竺黄（各二钱） 牵牛（末，一钱）
上同再研，面糊为丸，粟米大。每服三丸至五丸，食后薄荷汤下。兼治疳消积，
常服尤佳，大者加丸数。
〔张涣〕褐丸子 治小儿疳气，腹胀如鼓，及奶癖食癖。
萝卜子（一两半，炒） 黑牵牛（一两，炒） 胡椒（二钱半） 木香 莪术（湿纸裹煨，切作片子。各半两）
上为细末，面糊为丸，黍米大。每服二十丸，煎仙人骨汤下。
换骨丹
陈粟米（一合） 陈橘皮（锉） 青皮（锉） 黑牵牛（各半两） 巴豆（去壳，二钱半）
上件一处同炒令焦黄色，拣去巴豆不用，却入木香半两，为细末，面糊为丸，
黍米大。每服十丸，橘皮汤下。
庄氏参苓散 治小儿因积成疳，久致脾胃虚弱，不思饮食。
人参 茯苓 川芎（各一两） 甘草 芍药 黄 （各半两） 青皮（去白，二钱半）
上为细末，每服一钱，水一小盏，煎至五分，去滓温服。
香甲丸 治小儿积疳，潮热盗汗，羸瘦烦渴，手足心热，服之皆效，轻骨长肌。蔡
梦祥家寿翁苦黄瘦不食，多汗喜叫哭，服之效。
木香（二钱半） 鳖甲（去裙 ，醋炙） 槟榔 使君子肉 柴胡（去芦） 黄连（去须。各半两）
上为末， 猪胆汁和丸，绿豆大。每服二十丸，日中、临卧米饮下。久发潮热，
多汗无力者服之，即效。
〔赵氏〕青蒿丸 疗小儿久积疳气，日渐羸瘦，面黄头发作穗，好食土、咬指甲、捻
鼻，兼治骨蒸劳热，及取疳虫，退诸藏积热，小儿常服，遍身香为效。
白槟榔（一枚） 白芜荑（四十九个） 黄连（去须，十四茎） 夜明砂（淘净，二钱半。以上为末） 太阴玄精
石麝香 小葱子（炒） 朱砂（各半钱） 芦荟 天竺黄 青黛（各一钱）
上将后七味同研细，与前四味一处再研匀，令极细，取青蒿自然汁慢火熬浓，
仍用 猪胆一枚取汁同搜药，丸如粟米大。每服五丸至七丸，并用米饮下，酽醋
汤亦得，取疳虫煎醋石榴汤下，二十服取尽虫。
〔吉氏〕治五疳伤积方
芜荑 黄连（各一两） 神曲（半两） 使君子（连壳，十四个） 鹤虱（少许）
末之，猪胆调面糊为丸，绿豆大。每服十丸，米饮下。
青金膏 治疳积
青黛 朱砂 芦荟 蟾酥（各一钱） 麝香（半钱） 蜣螂（一枚） 蛇皮（项后，四寸）
上为末，水化酥，丸如粟米大。每服两丸，倒流水送下。又水化一丸注于鼻中，
须臾眉上白，虫出便安，青难治。
豆蔻散 治疳积或冷利，腹大脚小，身热面无颜色。
肉豆蔻（二个） 胡黄连（一钱） 使君子（四枚） 青黛 楝根 芜荑 浓朴（姜汁，炙） 甘草（炙。
各半两） 麝香（少许） 夜明砂（一钱半，别研）
上末。每服一钱或半钱，蜜水或粥饮调下。
知母散 治诸般疳积，肚胀无时泻痢，或时壮热，状如疟疾，大效。
知母 青皮（去白焙干秤） 柴胡（各二钱） 甘草（炙） 紫参（各三钱） 诃子（煨熟用肉，三枚）
上为细末。每服一钱，水五分煎至三分，温服。有热则退，有痢则除，有结则通。
《正传》经验槟榔丸 治小儿疳病，积气成块，腹大有虫等证。其效如神。
槟榔（一两） 三棱（燎去毛，切，醋炒） 蓬莪术（醋炒） 青皮（去穣，麸炒黄色） 陈皮（去白） 雷丸 干
漆（炒烟尽） 麦 面（炒） 神曲（炒黄色） 山楂肉（各半两） 鹤虱（略炒） 木香（不见火） 甘草（炙） 胡
黄连（各三钱） 芜荑（水洗净，二钱半） 良姜（陈壁土炒，二钱） 砂仁（一钱）
上为细末，醋糊为丸，如绿豆大。每服三五十丸，空心、淡姜汤下。
Fangji Wan (Stephania Tetrandra Pill) from *Huiyan*: Treats intractable gan cough (cough caused by gan syndrome).
Han Fangji (*Stephiae Radix*), Qianniu Zi (*Pharbitidis Semen*), Madouling (*Aristolochiae Manshuriensis Fructus* [stir-fried], Tian Tingli (*Lepidii Semen*). Process the latter two separately by grinding. Use equal parts of each.
Grind the above into powder, use boiled jujube flesh as a binder to make pills the size of mung beans. Take ten pills per dose, administered with decoction of glutinous rice. Alternate administration with Wenfei San (Warm the Lungs Powder).
Wenfei San (Warm the Lungs Powder):
Gualou Gen (*Trichosanthis Radix*, half tael), Gancao (*Glycyrrhizae Radix et Rhizoma* [roasted], two qian and a half).
Grind into powder. Take one qian per dose, mixed with honey and warm water.
Pediatric Lung Gan (Lung involvement in gan syndrome) often results from consuming hot rice or milk from a sick cow, damaging the Heart and Lungs, leading to wheezing and coughing. Incompetent physicians fail to distinguish between cold and heat patterns and use purgative drugs, resulting in yellow edema and gradual lethargy. It is appropriate to administer Xingren San (Apricot Seed Powder).
Xingren (*Armeniacae Semen Amarum*, fourteen grains), Gancao (*Glycyrrhizae Radix et Rhizoma*), Kuandonghua (*Farfarae Flos*) (two qian each), Shexiang (*Moschus*, one qian), Huhuanglian (*Coptidis Rhizoma* [specifically *Coptis chinensis* var. *teetae* or similar regional variant known as Huhuanglian], one qian), Banxia (*Pinelliae Rhizoma* [soaked in boiling water nine times], half tael).
Grind the above into powder. Take a dose equivalent to "one zi" (a traditional small weight measure), mixed with jujube tea. Administer twice daily.
[Mao]: The symptoms include a bluish-yellow complexion, emaciation, abdominal distension, erect hair, fever, and mild abdominal pain. This condition arises when gan syndrome becomes severe and transmits to this state. Treatment should first involve regulating qi with Yunqi San (Regulate Qi Powder) and Xingpi San (Awaken the Spleen Powder) (both formulas are found under the section "Refusal to Nurse") for two days. Then, administer Qingjin Dan (Green Gold Pill) to purge gan accumulation. Follow up with Yunqi San and Xingpi San to tonify. Regular consumption of Baotong Wan (Protect the Child Pill) will lead to recovery. *Yu Jue* states: For gan qi with abdominal distension and tidal fever, first administer medications to regulate stomach qi, then medications to remove deficiency accumulation, and finally medications to treat gan.
Qian Yi's Niuhuang Wan (Calculus Bovis Pill): Treats pediatric gan accumulation.
Xionghuang (*Realgar* [ground and processed by water flotation], Tianzhuhu (*Tianshuihuang* [Calculus Bovis]) (two qian each), Qianniu (*Pharbitidis Semen* [powdered], one qian).
Grind together again, use wheat paste to form pills the size of millet seeds. Take three to five pills per dose after meals, administered with mint tea. Also treats gan-induced wasting and accumulation; regular use is particularly beneficial. Increase the number of pills for older children or adults.
[Zhang Huan]: He Wan (Brown Pill): Treats pediatric gan qi, abdominal distension like a drum, as well as milk stasis and food stasis.
Luobozi (*Brassicae Chinensis Semen* [stir-fried], one tael and a half), Hei Qianniu (*Pharbitidis Semen* [black variety, stir-fried], one tael), Hujiao (*Piperis Longi Fructus* [two qian and a half]), Muxiang (*Aucklandiae Radix*), Ezhu (*Curcumae Rhizoma* [wrapped in wet paper and roasted, sliced]). Use half a tael of each of the latter two.
Grind into fine powder, use wheat paste to form pills the size of broomcorn millet. Take twenty pills per dose, administered with Xianren Gu Tang (Immortal Bone Decoction).
Huangu Dan (Bone-Changing Pill):
Chen Sumi (*Setariae Italicae Fructus* [aged], one he), Chen Jupi (*Citri Reticulatae Pericarpium* [cut]), Qingpi (*Citri Reticulatae Pericarpium Viride* [cut]), Hei Qianniu (*Pharbitidis Semen* [black variety]) (half tael each), Badou (*Crotonis Fructus* [shelled], two qian and a half).
Stir-fry all ingredients together until scorched yellow. Remove and discard the Badou. Add Muxiang (*Aucklandiae Radix*, half tael). Grind into fine powder, use wheat paste to form pills the size of broomcorn millet. Take ten pills per dose, administered with tangerine peel tea.
Zhuang Shi Shenling San (Zhuang's Ginseng and Poria Powder): Treats pediatric gan resulting from accumulation, leading to long-term spleen and stomach weakness and loss of appetite.
Renshen (*Ginseng Radix et Rhizoma*), Fuling (*Poria*), Chuanxiong (*Ligustici Chuanxiong Rhizoma*) (one tael each), Gancao (*Glycyrrhizae Radix et Rhizoma*), Shaoyao (*Paeoniae Radix Alba*), Huangqi (*Astragali Radix*) (half tael each), Qingpi (*Citri Reticulatae Pericarpium Viride* [white pith removed], two qian and a half).
Grind into fine powder. Take one qian per dose, decoct with one small cup of water until reduced to half a cup. Strain and take warm.
Xiangjia Wan (Wood and Turtle Shell Pill): Treats pediatric ji-gan (accumulation-gan), tidal fever, night sweats, emaciation with irritability and thirst, and heat in the palms and soles. It is effective for these conditions, promoting leanness and muscle growth. Shouweng of the Cai Mengxiang family suffered from jaundice, thinness, anorexia, excessive sweating, and crying. Administration of this pill was effective.
Muxiang (*Aucklandiae Radix*, two qian and a half), Biejia (*Testudinis Carapax et Plastrum* [remove skirt edge, roast with vinegar], Binglang (*Arecae Semen*), Shijunzi (*Quisqualis Fructus* [meat]), Chaihu (*Bupleuri Radix* [remove radix]), Huanglian (*Coptidis Rhizoma* [remove stamens]) (half tael each).
Grind into powder, mix with pig bile to form pills the size of mung beans. Take twenty pills per dose at noon and before bed, administered with rice drink. Effective for prolonged tidal fever, excessive sweating, and weakness.
[Zhao]: Qinghao Wan (Artemisia Annua Pill): Treats pediatric chronic gan qi, progressive emaciation, yellowish complexion with hair forming tufts, geophagia (eating earth), nail-biting, and nose-picking. Also treats bone-steaming tidal fever, expels gan parasites, clears accumulated heat in various organs. Regular use by children results in a fragrant body odor, which indicates efficacy.
Bai Binglang (*Arecae Semen* [white variety], one piece), Bai Wuyi (*Descurainiae Semen Lepidii Semen* [white variety], forty-nine pieces), Huanglian (*Coptidis Rhizoma* [remove stamens], fourteen stems), Yeming Sha (*Nyctibi Corneum* [washed clean], two qian and a half). Grind the above four into powder. Taiyin Xuanjing Shi (*Nephritus* [also known as Gypsum Fibrosum or specific mineral salt]), Shexiang (*Moschus*), Xiaocongzi (*Allii Fistulosi Semen* [stir-fried]), Zhusha (*Cinnabaris*) (half qian each), Lvhui (*Aloe*), Tianzhuhu (*Calculus Bovis*), Qingdai (*Indigo Naturalis*) (one qian each).
First grind the latter seven ingredients finely, then mix with the previous four ingredients and grind thoroughly until extremely fine. Extract natural juice from Qinghao (*Artemisiae Annuae Herba*), simmer slowly until concentrated. Mix with juice from one pig gallbladder to bind the powder into pills the size of millet seeds. Take five to seven pills per dose, administered with rice drink. Strong vinegar water is also acceptable. To expel gan parasites, administer with vinegar pomegranate bark decoction. Twenty doses will eliminate the parasites completely.
[Ji]: Formula for treating Five Gans injuring accumulation:
Wuyi (*Descurainiae Semen Lepidii Semen*), Huanglian (*Coptidis Rhizoma*) (one tael each), Shenqu (*Massae Medicatae Fermentatae*) (half tael), Shijunzi (*Quisqualis Fructus* [with shell], fourteen pieces), Qieshi (*Carthami Fructus* [small amount]).
Grind into powder, mix with pig bile and wheat paste to form pills the size of mung beans. Take ten pills per dose, administered with rice drink.
Qingjin Gao (Blue-Gold Ointment/Pill): Treats gan accumulation.
Qingdai (*Indigo Naturalis*), Zhusha (*Cinnabaris*), Lvhui (*Aloe*), Chansu (*Bufonis Venenum*) (one qian each), Shexiang (*Moschus*, half qian), Qianglang (*Scarabaeus*), Shepi (*Ophichthidis Cutis* [from the neck, four cun]).
Grind into powder, dissolve butter in water, form pills the size of millet seeds. Take two pills per dose, administered with flowing water. Alternatively, dissolve one pill in water and instill into the nostril. Within moments, white substance appears on the eyebrows, indicating parasite expulsion, bringing relief. If blue pigment persists, it is difficult to treat.
Doukou San (Cardamom Powder): Treats gan accumulation or cold diarrhea, large abdomen with small legs, fever, and pale complexion.
Roudoukou (*Myristicae Semen*, two pieces), Huhuanglian (*Coptidis Rhizoma* [regional variant], one qian), Shijunzi (*Quisqualis Fructus*, four pieces), Qingdai (*Indigo Naturalis*), Lian Gen (*Meliae Radix*), Wuyi (*Descurainiae Semen Lepidii Semen*), Houpo (*Magnoliae Officinalis Cortex* [roast with ginger juice]), Gancao (*Glycyrrhizae Radix et Rhizoma* [roast]) (half tael each), Shexiang (*Moschus* [small amount]), Yeming Sha (*Nyctibi Corneum* [one qian and a half, grind separately]).
Grind into powder. Take one qian or half a qian per dose, mixed with honey water or gruel.
Zhimu San (Anemarrhenae Powder): Treats various types of gan accumulation, intermittent abdominal distension and dysentery, occasional high fever resembling malaria. Highly effective.
Zhimu (*Anemarrhenae Rhizoma*), Qingpi (*Citri Reticulatae Pericarpium Viride* [remove white pith, bake dry]), Chaihu (*Bupleuri Radix*) (two qian each), Gancao (*Glycyrrhizae Radix et Rhizoma* [roast]), Zishen (*Scutellariae Barbatae Herba* [or similar local herb referred to as Zishen here, likely *Scutellariae Barbatae* or *Polygoni Cuspidati Rhizoma et Radix* depending on context, but literally Purple参] (three qian each), Hezi (*Terminaliae Chebulae Fructus* [roasted, use flesh], three pieces).
Grind into fine powder. Take one qian per dose, decoct with five fen of water until reduced to three fen. Take warm. Clears heat if present, stops dysentery if present, unblocks stagnation if present.
*Zhengchuan* Empirical Binglang Wan (Betel Nut Pill): Treats pediatric gan disease, accumulation qi forming masses, abdominal distension with worms, etc. Its efficacy is miraculous.
Binglang (*Arecae Semen*, one tael), Sanleng (*Kyllingiae Rhizoma* [scorch off hairs, slice, stir-fry with vinegar], Peng Ezhu (*Curcumae Rhizoma* [stir-fry with vinegar]), Qingpi (*Citri Reticulatae Pericarpium Viride* [remove albedo, stir-fry with bran until yellow]), Chenpi (*Citri Reticulatae Pericarpium* [remove white pith]), Leiwan (*Polyporus Umbellatus* [actually *Omphalia Lapidea* or similar vermifuge, traditionally Leiwan refers to *Polyporus* but in this context likely a specific anthelmintic]), Ganqi (*Periplocae Semen* [stir-fry until smoke ceases)), Maibianmian (*Triticum aestivum bran* [stir-fry]), Shenqu (*Massae Medicatae Fermentatae* [stir-fry yellow]), Shanzha Rou (*Crataegi Fructus* [flesh]) (half tael each), Qieshi (*Carthami Fructus* [slightly stir-fry]), Muxiang (*Aucklandiae Radix* [do not expose to fire]), Gancao (*Glycyrrhizae Radix et Rhizoma* [roast]), Huhuanglian (*Coptidis Rhizoma* [regional variant]) (three qian each), Wuyi (*Descurainiae Semen Lepidii Semen* [wash with water, two qian and a half]), Liangjiang (*Alpiniae Officinarum Rhizoma* [stir-fry with old wall soil, two qian]), Sharen (*Amomi Fructus Rotundus* [one qian]).
Grind into fine powder, use vinegar paste to form pills the size of mung beans. Take thirty to fifty pills per dose on an empty stomach, administered with light ginger soup.