〔茅〕先用青金丹（癖）取下疳积，后用匀气散（不乳食）香连散、乳香散（泻）调理，泻止，服
常服保童丸（一切疳）。《石壁经》云∶疳泻因不慎饮食，或食交乳致然，腹中有片子或
如鸡子，又如三二指大，所以作泻，粪出如糟，毛发硬，面无光，或青黄色，目多
仄视，当分水谷，乃须温和药和气即愈，若药热则作肿而死。〔娄〕泻而多食为虫
疳，宜杀虫药。泻而少食为冷疳，宜温药。
《仙人水鉴》粉霜丸 治小儿疳一切泻方。
粉霜 白丁香（各一钱） 巴豆（二枚，不出油）
上为末，烂饭为丸，如小绿豆大。每服，井华水下二丸。
〔钱乙〕二圣丸 治小儿脏腑或好或泻，久不愈，羸瘦成疳，宜常服此方。
川黄连（去须） 黄柏（去粗皮。各一两）
上为细末，将药末入猪胆内汤煮熟，丸如绿豆大。每服二三十丸，米饮下，量
儿大小加减，频服无时。
〔刘氏〕胡黄连饮子 治小儿疳热，作泻无时，饮食进退，面黄体黑，日渐瘦悴。
胡黄连 黄药子 人参 甘草（炙） 白术（微炒） 秦艽 柴胡（各等分）
上各味用净， 咀。每服二钱匕，水一盏，嫩桃柳枝各七寸、乌梅少许，同煎
八分，去滓澄清，分作两分，早食后少空一服，临卧再服。以小便深赤为验，候
小便清，住药，便生肌肤，能进食饮。大抵小儿羸瘦，并宜服此，十五岁以下皆可服。
〔庄氏〕黄连丸 治疳泻疳痢。
黄连（削，净洗，干碾为末） 大芜荑仁（乳钵研细。各等分）
上二末一处和匀，糯粟米相和煮稀粥为丸，小绿豆大。量儿大小，三岁七丸至
十丸，三岁以上十五丸至二十丸，空心，陈米饮下，日进三服。
〔钱乙〕如圣丸 治冷热疳泻。
胡黄连 白芜荑（去扇，炒） 川黄连（各二两） 使君子（一两，去壳秤） 麝香（别研，半钱） 干虾蟆
（五枚，锉，酒熬膏）
上前药，为末，用膏丸麻子大。每服人参汤下，二参岁者五七丸，以上者十丸
至十五丸，无时。
《博济方》胡黄连丸 治小儿疳疾泻痢。
胡黄连 丁香 密陀僧（各半两） 肉豆蔻（一个） 槟榔（一枚） 红雪（一两） 诃子（二枚，以一枚煨一枚
生用）
上件七味，同研细，入麝香二钱半和匀，次入绿豆末少许，同水和为丸如麻子
大。儿三岁以下一丸，三岁以上五丸。孩子脑疳鼻痒及赤烂，黄连汤下。脾虚羸
瘦泄痢，四肢虚肿，青州枣汤下。肝疳眼涩生疮，甘草汤下。骨疳冷地卧，爱食
土，紫苏茶汤下。常服，米饮下。肺疳上气急喘，橘皮汤下。筋疳泻血，盐汤下。
疳虫及泻无定，生姜汤下。
香蔻丸 治疳泻。
黄连（炒，三钱） 肉豆蔻 木香 诃子肉（煨） 砂仁 茯苓（各一钱）
上为末，饭为丸，麻子大。米饮下。
〔钱氏〕木香丸 治时时下利，唇口青白。
木香 青黛（另研） 槟榔 肉豆蔻（去皮，各二钱半） 麝香（另研，一钱半） 续随子（一两半，炒） 虾
蟆（三个，先用绳系晒干，烧存性）
上为末，蜜丸如绿豆大。每服三五丸至一二十丸，薄荷汤下，食前。
没石子丸（钱氏） 治泄泻白浊，及疳痢滑，儿腹痛者。
木香 黄连（各二钱半） 没石子（一个） 豆蔻仁（二个） 诃子肉（三个）
上为细末，饭和丸麻子大。米饮下，食前，量儿加减。
《聚宝方》黄龙丸 定小儿疳冷泻。
朱砂（研一钱） 龙脑（半字，研） 硫黄（一两） 雄黄（二钱半）
上，用甘锅子一只，盛雄黄在内，用盏一只，盛水半盏，坐在锅子上，炭火烧
甘锅，其药飞在盏底上，刮下，与朱砂硫黄同研，入脑子，糯米粥丸，如黄米大。
每服三丸，食前，椒汤下。
〔吉氏〕芦荟丸 治疳泻不止，不思饮食，腹胀。
丁香 肉豆蔻（去皮） 木香（锉。各半两）
上三味，用面裹，慢火中煨，熟为度，取出去面，入芦荟（一两）、使君子肉（半两），
同为细末，稀糊为丸，如黍米大。每服十丸至二十丸，米饮下。
〔汤氏〕治休息痢及疳泻痢迁延日月，百药俱试，饮食不妨，便利不止。用鸡子一枚
打破，熔黄蜡一块如指大，以鸡子和炒，空心吃尽，百医百效，无不获安。
《本事方》治小儿疳痢垂死者，取益母草炙食之，取足瘥止，甚佳。
钱氏大芦荟丸（本门通治） 胡连麝香丸 榆仁丸（并见本门出虫）
良方吴婆散 治小儿疳泻不止，日夜不计遍数渐渐羸瘦。
桃根白皮 黄柏（蜜炙） 芜荑（去皮） 黄连（微炒。以上各二钱半） 浓朴（姜汁炙） 木香 槟榔 丁
香（各一钱） 没石子（一钱半） 楝根白根（一钱二分半）
上为末。每服一字，三岁以上半钱，五六岁一钱，用紫苏、木瓜，米饮调下，
乳食前，一日三服。予家小儿，曾有患泻百余日，瘦余皮骨，万方不瘥，有监兵
钟离君见之曰，何不服吴婆散，立可瘥也。乃求方合与两三服，便效。又孙男亦
疳泻势甚危困，两服遂定。若病深者，服一两日间决瘥，此药若是疳泻，无不验
者，药性小温，暴热泻者，或不相当。
丹溪治一富家子年十四岁，面黄善啖易饥，非肉不饱，泄泻一月，来求治。脉
之两手皆大，怪不甚瘦倦，以为湿热当脾困而食少，今反形健而多食，且不渴，予
意其疾必疳虫作痢也，取大便视之，果蛔虫所为。适往他处，有一小儿医在侧，教
其用治虫药治之，禁其勿用去积药，约回途当为一看诊而止痢也。偶勿果。至次年
春夏之交，其泻复作，腹不痛而口干。予曰，此去年治虫而不治疳故也，遂以去疳
热之药，浓煎白术汤下，三日而泻止。半月后，偶过其家，见其子甚瘦，予教以白
术为君，芍药为臣，川芎、陈皮、黄连、胡黄连入少芦荟为丸，白术汤服之，半
月而止，禁其勿食肉物，三年当自愈。
《斗门经》治小儿疳泻方
上，用赤石脂杵罗为末，极细如面。以粥饮调半钱服，立瘥。或以京芎等分同服，更妙。
《庄氏家传》治疳泻久不瘥方
赤石脂 绿矾 锻石（各二两） 硫黄（半两）
上研匀，入罐子内烧令焰碧，去火放冷，取研。每服一字或半钱，煎小黄米饮，
放冷调下，食前服。
又方
使君子（炮） 五倍子（瓦上炒黄） 没石子（各等分）
上为末。每服半钱，陈米饮调下。
[Mao] First, use Qingjin Dan (Piyi) to purge the Gan accumulation. Subsequently, regulate with Yunqi San (for refusal of milk/food), Xianglian San, and Ruxiang San (for diarrhea). Once diarrhea ceases, administer Changfu Baotong Wan (for all types of Gan). The *Shibi Jing* states: Gan diarrhea arises from careless diet or improper feeding practices. There are lumps in the abdomen, either like an egg or two to three fingers wide, causing diarrhea; the stool is like dregs, hair is stiff and dry, complexion lacks luster or appears greenish-yellow, eyes often gaze askance. One must separate water and grain; mild medicines that harmonize Qi will lead to recovery. If medicines are too hot, swelling will occur leading to death. [Lou] Diarrhea with excessive eating indicates Chong Gan (Worm Gan), suitable for vermifuge medicines. Diarrhea with poor appetite indicates Leng Gan (Cold Gan), suitable for warm medicines.
*Xianren Shuijian* Fenshuang Wan: Formula for treating various pediatric Gan diarrheas.
Fenshuang (Lead Oxide) Bai Dingxiang (White Starling Droppings) (each 1 qian) Badou (Castor Seed) (2 seeds, oil not removed)
Grind the above into fine powder, mix with porridge to form pills the size of small mung beans. Each dose: 2 pills, taken with well-water drawn at dawn.
[Qian Yi] Ersheng Wan: For pediatric organ dysfunction, alternating constipation and diarrhea, chronic non-healing, emaciation forming Gan syndrome; suitable for long-term administration.
Chuan Huanglian (Coptis Rhizome, remove stamens) Huangbai (Phellodendron Bark, remove rough bark) (each 1 liang)
Grind the above into fine powder. Place the powder inside a pig gallbladder and cook in boiling water. Form pills the size of mung beans. Each dose: 20-30 pills, taken with rice drink. Adjust dosage based on child's age; frequent administration without fixed time.
[Liu Shi] Huhuanglian Yinzi: For pediatric Gan heat, intermittent diarrhea, fluctuating appetite, yellowish-black complexion, progressive emaciation.
Huhuanglian (Picrorhiza Rhizome) Huangyaozi (Dioscorea Bulbil) Renshen (Ginseng Root) Gancao (Licorice Root, honey-fried) Baizhu (Atractylodes Rhizome, lightly stir-fried) Qinjiao (Gentiana Macrophylla Root) Chaihu (Bupleurum Root) (each equal parts)
Clean each herb, cut into pieces. Each dose: 2 qianbi, with 1 sheng water, 7 cun tender peach and willow branches, a few Wu Mei (Mume Fruit). Decoct to 8 fen, filter clear liquid, divide into two doses. Take one dose after early meal when stomach is slightly empty; take another dose before sleep. Efficacy indicated by deep red urine; stop medication when urine clears, skin regenerates, and appetite returns. Generally, emaciated children should take this formula; suitable for those under 15 years old.
[Zhuang Shi] Huanglian Wan: For Gan diarrhea and Gan dysentery.
Huanglian (Coptis Rhizome, peeled, washed clean, dried and ground) Dayu'ti Ren (Toosendan Seed Kernel, ground in mortar) (each equal parts)
Mix the two powders evenly. Cook with glutinous millet to make a thin porridge, then form pills the size of small mung beans. Dosage by age: 3 years old, 7-10 pills; over 3 years old, 15-20 pills. Take on an empty stomach with aged rice drink, 3 times daily.
[Qian Yi] Rusheng Wan: For cold-heat Gan diarrhea.
Huhuanglian (Picrorhiza Rhizome) Bai Yu'ti (Toosendan Seed, remove wings, stir-fry) Chuan Huanglian (Coptis Rhizome) (each 2 liang) Shijunzi (Quisqualis Fruit, 1 liang, shell removed, weighed) Shexiang (Musk, separately ground, half qian) Gan Xia'ma (Dried Toad, 5 pieces, chopped, boiled in wine to make paste)
Grind the above herbs into powder, use the paste to form pills the size of hemp seeds. Each dose: taken with Ginseng decoction. For 2-3 year olds, 5-7 pills; older children, 10-15 pills. Take as needed.
*Boji Fang* Huhuanglian Wan: For pediatric Gan disease with diarrhea and dysentery.
Huhuanglian (Picrorhiza Rhizome) Dingxiang (Clove) Mituosen (Litharge) (each half liang) Roudoukou (Nutmeg) (1 piece) Binglang (Areca Seed) (1 piece) Hongxue (Red Snow/Saltpeter) (1 liang) Hezi (Chebula Fruit) (2 pieces, one roasted, one raw)
Grind the seven ingredients finely. Add 2.5 qian Musk, mix evenly. Add a little mung bean powder. Mix with water to form pills the size of hemp seeds. Under 3 years: 1 pill; over 3 years: 5 pills. For Brain Gan with nasal itching/redness/ulceration, take with Huanglian decoction. For Spleen deficiency/emaciation/dysentery/pitting edema, take with Qingzhou Jujube decoction. For Liver Gan with dry eyes/ulcers, take with Gancao decoction. For Bone Gan preferring cold floors/eating dirt, take with Zisu Tea decoction. Daily maintenance: take with rice drink. For Lung Gan with shortness of breath/wheezing, take with Jupi decoction. For Sinew Gan with bloody diarrhea, take with Salt water. For Gan worms/unstable diarrhea, take with Ginger decoction.
Xiangkou Wan: For Gan diarrhea.
Huanglian (Coptis Rhizome, stir-fried, 3 qian) Roudoukou (Nutmeg) Muxiang (Aucklandia Root) Hezi Rou (Chebula Flesh, roasted) Sharen (Amomum Fruit) Fuling (Poria) (each 1 qian)
Grind into powder, mix with rice to form pills the size of hemp seeds. Take with rice drink.
[Qian Shi] Muxiang Wan: For frequent loose stools, blue-white lips/mouth.
Muxiang (Aucklandia Root) Qingdai (Indigo Naturalis, separately ground) Binglang (Areca Seed) Roudoukou (Nutmeg, peeled) (each 2.5 qian) Shexiang (Musk, separately ground, 1.5 qian) Xuisui Zi (Euphorbia Lathyris Seed, stir-fried, 1.5 liang) Xia'ma (Toad, 3 pieces, tied with string, sun-dried, charred to retain property)
Grind into powder, honey-form pills the size of mung beans. Each dose: 3-5 to 10-20 pills, taken with Mint decoction, before meals.
Meishizi Wan (Qian Shi): For leukorrheal diarrhea, slippery Gan dysentery, abdominal pain in children.
Muxiang (Aucklandia Root) Huanglian (Coptis Rhizome) (each 2.5 qian) Meishizi (Terminalia Chebula Fruit) Doukou Ren (Cardamom Seed) Hezi Rou (Chebula Flesh) (3 pieces)
Grind into fine powder, mix with rice to form pills the size of hemp seeds. Take with rice drink, before meals, adjust dosage according to child.
*Jubao Fang* Huanglong Wan: Stabilizes pediatric cold Gan diarrhea.
Zhusha (Cinnabar, ground, 1 qian) Longnao (Borneol, ground, half zi) Liuhuang (Sulfur, 1 liang) Xionghuang (Realgar, 2.5 qian)
Place Realgar in a clay pot. Place a bowl with half sheng water on top of the pot. Heat the pot with charcoal until the medicine sublimates onto the bottom of the bowl. Scrape off, mix with Cinnabar and Sulfur. Add Borneol. Form pills with glutinous rice porridge, size of millet grains. Each dose: 3 pills, before meals, taken with Pepper decoction.
[Ji Shi] Lushui Wan: For persistent Gan diarrhea, anorexia, abdominal distension.
Dingxiang (Clove) Roudoukou (Nutmeg, peeled) Muxiang (Aucklandia Root, chopped) (each half liang)
Wrap the three herbs in dough, roast slowly over low fire until cooked. Remove dough. Add Lushui (Aloe) (1 liang), Shijunzi Meat (Quisqualis Kernel) (half liang). Grind finely, form pills with thin starch paste, size of millet grains. Each dose: 10-20 pills, taken with rice drink.
[Tang Shi] Treats lingering dysentery and Gan dysentery lasting months, unresponsive to many medicines, normal diet but continuous loose stools. Break one egg, melt a piece of yellow beeswax finger-sized. Stir-fry egg and wax together. Eat completely on an empty stomach. Highly effective.
*Benshi Fang* Treats critically ill pediatric Gan dysentery. Roast Motherwort (Yimucao) and eat it. Continue until cured. Very good effect.
Qian Shi Da Lushui Wan (General treatment in this section) Huliang Muxiang Wan Yuren Wan (See section on expelling worms)
Liangfang Wupo San: For persistent pediatric Gan diarrhea, countless episodes daily, progressive emaciation.
Taogen Baipi (Peach Root White Bark) Huangbai (Phellodendron Bark, honey-fried) Wuti (Toosendan Fruit, peeled) Huanglian (Coptis Rhizome, lightly stir-fried) (each 2.5 qian above) Houpo (Magnolia Bark, ginger juice-fried) Muxiang (Aucklandia Root) Binglang (Areca Seed) Dingxiang (Clove) (each 1 qian) Meishizi (Terminalia Chebula Fruit) (1.5 qian) Ligen Baigen (Chinaberry Root White Bark) (1.25 qian)
Grind into powder. Each dose: 1 zi (under 3 years), half qian (over 3 years), 1 qian (5-6 years). Mix with Perilla and Papaya, take with rice drink, before milk/meals, 3 times daily. My family child suffered diarrhea for over 100 days, emaciated to skin and bones, unresponsive to myriad methods. Official Zhongli Jun saw him and asked, "Why not take Wupo San? It will cure immediately." I obtained the formula, prepared it, gave 2-3 doses, and it worked. My grandson also had severe Gan diarrhea; two doses stabilized him. For deep-seated illness, recovery within 1-2 days. This medicine is effective for Gan diarrhea; its nature is slightly warm, so it may not suit sudden hot diarrhea.
Danxi treated a wealthy boy, 14 years old, yellow face, voracious appetite, craves meat, diarrhea for one month. Pulse large in both hands. Surprisingly not weak/tired. Initially suspected damp-heat spleen stagnation with poor appetite, but he was robust, ate much, and was not thirsty. I suspected Gan worms causing dysentery. Examined stool: confirmed Ascaris. While away, a pediatrician advised using vermifuges and forbidding accumulation-resolving drugs, promising to check pulse upon return to stop diarrhea. Accidentally did not follow through. Next spring/summer, diarrhea recurred, no abdominal pain but dry mouth. I said, "This is due to treating worms last year but not Gan." Prescribed Gan-heat-clearing medicines, taken with concentrated Atractylodes decoction. Diarrhea stopped in 3 days. Half a month later, visited his home, saw him very thin. Advised: Atractylodes as Sovereign, Paeonia as Minister, plus Ligusticum, Citrus Peel, Coptis, Picrorhiza, and small amount of Aloe, formed into pills, taken with Atractylodes decoction. Stopped in half a month. Forbidden meat consumption; self-healing in 3 years.
*Doumen Jing* Formula for pediatric Gan diarrhea.
Use Chishizhi (Red Halloysite), grind/sieve to fine powder like flour. Mix with porridge drink, take half qian. Immediate cure. Or mix with Jingxiong (Ligusticum) in equal parts, even better.
*Zhuang Shi Family Collection* Formula for chronic Gan diarrhea unhealed.
Chishizhi (Red Halloysite) Lvfan (Green Vitriol) Duanshi (Calcined Lime) (each 2 liang) Liuhuang (Sulfur) (half liang)
Grind evenly. Put in jar, burn until flame turns green. Cool, remove, grind. Each dose: 1 zi or half qian. Mix with cooled millet drink, take before meals.
Another Formula
Shijunzi (Quisqualis Fruit, processed) Wubeizi (Chinese Gall) Meishizi (Terminalia Chebula Fruit) (equal parts)
Grind into powder. Each dose: half qian, mixed with aged rice drink.