《圣惠》天竺黄散 治小儿疳，多渴体热烦躁，少得睡卧。
天竺黄（细研） 黄连（去须） 马牙硝 栀子仁 葛根（锉，各半两） 甘草（炙微赤，锉） 牛黄（细研）
款冬花 紫菀（洗去苗土） 犀角（屑） 土瓜根（各二钱半）
上件药捣，细罗为散，都研令匀。不计时候，以蜜水调下半钱，量儿大小加减服之。
治小儿疳热烦渴不止方
干蟾头（二枚，涂酥，炙焦黄） 蜗牛壳（微炒） 胡黄连 栝蒌根（各半两。）
上件药捣，细罗为散。每服，以竹叶汤调下半钱，不计时候，量儿大小，临时
加减服之。
五胆丸（圣惠） 治小儿渴疳。
猪胆 狗胆 牛胆 鲫鱼胆 胆（以上各一枚）
上件药四胆汁，并入牛胆内，在灶北后悬，候稍干，可丸即丸如黍米大。每服，
以新汲水下二丸，以饮水足为度，空心、午后各一服，更量儿大小加减。
胡黄连散 治小儿疳，热渴干瘦。
胡黄连 犀角（屑。各二钱半） 生地黄汁（一合） 羊子肝（一具，研取汁） 麝香（半钱，细研） 蜜半合
上件药，捣胡黄连、犀角，细罗为散，入麝香研匀，以羊肝汁、地黄汁、蜜等
调令匀。每服，煎竹叶汤调下药汁一茶匙，量儿大小加减服之。
黄连丸 治小儿疳热烦渴。
黄连（去须） 天竺黄 牛黄（各细研） 甘草（炙微赤，锉） 栀子仁 款冬花 葛根（锉） 紫菀（洗，
去苗） 犀角（屑。各二钱半） 川朴硝（半两） 竹沥（二合）
上件药捣，罗为末，先用竹沥拌和，更入熟蜜和丸，如绿豆大。每服，以新汲
水研破五丸服之，日四五服，量儿大小加减。
《圣惠》又方
上用蜗牛三五十枚，净盘内以物盖，令行，即有似银泥处，以腻粉和，揩取便
丸之如黍米大。不计时候，以温汤下二丸。
又方
杏仁（汤浸，去皮尖双仁，二钱半） 腻粉（一钱）
上件药，研杏仁如膏，入腻粉相和令匀，用面糊和丸，绿豆大。空心，以粥饮下三丸。
〔钱乙〕龙粉丸 治疳渴。
草龙胆 定粉（微炒） 乌梅肉（焙秤） 黄连（各二分）
上为细末，炼蜜丸，麻子大。米饮下一二十丸，无时。
青香丸（张氏） 治小儿疳渴，引饮不休，肌体羸劣。
胡黄连 青黛 朱砂 鹤虱（各等分）
上为末， 猪胆汁和丸，绿豆大。每服三丸，米饮下。
〔刘氏〕治小儿疳渴方
猪胞（一个，大者） 甘草（一两，寸断劈破，入胞内）
上以水一斗煮至三升，去甘草，将胞焙干，末之。每服二钱或三钱，熟水调下，大人亦可服。
〔庄氏〕治小儿渴疳方
上用蛤粉，取生大 鱼一尾，以粉涂顶上，刮下涎入粉同研，丸鸡头大。每服
一丸，更用活小 鱼一尾，水半盏浸涎水一药注子，化下一丸，立止，便与和气
散（方见前）一二服补之。
又方 治疳渴不止。
井泉石（又名石甘遂） 太阴玄精石 马牙硝
上各等分为末，入生硫黄少许。每服半钱，以生米泔水调下。
《吉氏家传》方
干葛 胡黄连 甘草（炙） 黑参 麦门冬（去心。各等分）
上件为末，每服一钱，水半盏，姜一片，煎四分服。
治小儿疳渴常服五疳不生方
干虾蟆（二枚，长流水内刮去肚肠，以法酒三升，瓶内煮令烂，去骨，研如粉） 黄连（净四两，别为末） 朱砂
（一钱半） 麝香（一钱，研）
上先将虾蟆膏与黄连末同研后，更与麝香、朱砂等研匀作丸如绿豆大。每服十
丸，陈米饮下。如患疳，用黄蜡茶清下。如难丸，入些少酒、面糊不妨。
治小儿一切疳热渴方
蚧虾蟆（大者，两枚） 蜗牛虫（半升，用井水淘，洗净为度，然后用新瓦罐子一具，入二物在内，用盐泥固济了，
不得透风，更进火烧令通赤，候冷取出二物，不用罐子） 大黄 黄连（各半两） 麝香（二钱半）
上为末，面糊丸，如芥子大。每服三丸至五丸，米饮下。（庄氏第十六候用此方）
治小儿疳渴方
人参 干葛 黄芩 柴胡 甘草（炮。各二钱半）
上为末。每服一钱，水一盏，煎五分，去滓候冷，分为五服，每吃药时更点铅
白霜、寒水石共研一字服之，方治疳。（庄氏第二十候先用此止渴）
The Tianzhu Huang San (Calamine Powder) from *Taiping Shenghui Fang* is used to treat pediatric gan accumulation (chronic malnutrition syndrome in children), characterized by excessive thirst, body heat, irritability, and reduced sleep.
Ingredients: Tianzhu Huang (Calamine, finely ground), Huanglian (Coptis Rhizome, de-veined), Mayaxiao (Mirabilite, sodium sulfate), Zhizi Ren (Gardenia Seed), Gegen (Pueraria Root, sliced), Gancao (Licorice Root, honey-fried until slightly red, sliced), Niuhuang (Calculus Bovis, finely ground), Kuandonghua (Coltsfoot Flower), Ziwan (Aster Root, washed to remove seedlings and soil), Xijiao (Rhinoceros Horn, shaved), Tugua Gen (Trichosanthes Root, each 2.5 qian).
Preparation and Administration: The above herbs are crushed, passed through a fine sieve to make a powder, and then thoroughly mixed. It can be taken at any time; half a qian is mixed with honey water for administration, with dosage adjusted according to the child's age and size.
Formula for treating persistent heat and thirst due to pediatric gan accumulation:
Ingredients: Ganchan Tou (Dry Toad Head, two pieces, coated with butter and roasted until golden brown), Woniu Ke (Snail Shell, lightly stir-fried), Huhuanglian (Coptidis Rhizoma et Anemarrhenae Asphodeloidis Rhizoma compound or specifically Huhuanglian), Gualou Gen (Trichosanthes Root, each 0.5 liang).
Preparation and Administration: The above herbs are crushed and passed through a fine sieve to make a powder. Each dose consists of half a qian mixed with Zhu Ye Tang (Bamboo Leaf Decoction), taken at any time, with dosage adjusted according to the child's age and size.
Wudan Wan (Five Gall Bladder Pills) (*Taiping Shenghui Fang*), used to treat pediatric thirst-gan.
Ingredients: Zhu Dan (Pig Gallbladder), Gou Dan (Dog Gallbladder), Niu Dan (Ox Gallbladder), Jiyu Dan (Crucian Carp Gallbladder), She Dan (Snake Gallbladder, one of each).
Preparation and Administration: The four types of gallbladder juices are combined into the ox gallbladder and hung behind the north side of the stove. When slightly dried, they are formed into pills the size of millet seeds. Each dose consists of two pills taken with fresh cool water, ensuring adequate hydration. Administered on an empty stomach and in the afternoon, with dosage adjusted according to the child's age and size.
Huhuanglian San (Anemarrhena Powder), used to treat pediatric gan with heat-thirst, dryness, and emaciation.
Ingredients: Huhuanglian (Anemarrhenae Rhizoma), Xijiao (Rhinoceros Horn, shaved, each 2.5 qian), Sheng Dihuang Zhi (Fresh Rehmannia Juice, one he), Yangzi Gan (Lamb Liver, one piece, juice extracted), Shexiang (Musk, 0.5 qian, finely ground), Honey (0.5 he).
Preparation and Administration: Huhuanglian and Xijiao are crushed and passed through a fine sieve to make a powder. Musk is added and mixed evenly. The powder is then mixed with lamb liver juice, Rehmannia juice, and honey. Each dose consists of one tea spoon of this mixture mixed with Zhu Ye Tang (Bamboo Leaf Decoction), with dosage adjusted according to the child's age and size.
Huanglian Wan (Coptis Pills), used to treat pediatric gan with heat, irritability, and thirst.
Ingredients: Huanglian (Coptis Rhizome, de-veined), Tianzhu Huang (Calamine), Niuhuang (Calculus Bovis, finely ground, each), Gancao (Licorice Root, honey-fried until slightly red, sliced), Zhizi Ren (Gardenia Seed), Kuandonghua (Coltsfoot Flower), Gegen (Pueraria Root, sliced), Ziwan (Aster Root, washed, seedlings removed), Xijiao (Rhinoceros Horn, shaved, each 2.5 qian), Chuan Puxiao (Natrii Sulfas, 0.5 liang), Zhuli (Bamboo Sap, two he).
Preparation and Administration: The above herbs are crushed and passed through a sieve to make a powder. First, mix with Zhuli (Bamboo Sap), then add cooked honey to form pills the size of mung beans. Each dose consists of five pills dissolved in fresh cool water, taken four to five times a day, with dosage adjusted according to the child's age and size.
Another formula from *Taiping Shenghui Fang*:
Take 30-50 live snails, place them in a clean dish covered, allowing them to crawl. Collect the silver-like slime excreted, mix it with Nifen (Calomel), and form pills the size of millet seeds. Take two pills with warm water at any time.
Another formula:
Xingren (Apricot Kernel, soaked in hot water, skin and twin kernels removed, 2.5 qian), Nifen (Calomel, 1 qian).
Preparation and Administration: Grind Xingren into a paste, mix evenly with Nifen, and form pills with wheat flour paste the size of mung beans. Take three pills on an empty stomach with rice drink.
Longfen Wan (Dragon Powder Pills) [Qian Yi], used to treat gan-thirst.
Ingredients: Caolongdan (Gentiana Radix), Dingfen (Minium, lightly stir-fried), Wumei Rou (Mume Fruit Flesh, baked and weighed), Huanglian (Coptis Rhizome, each 2 fen).
Preparation and Administration: Grind into fine powder, mix with refined honey to form pills the size of hemp seeds. Take 10-20 pills with rice drink at any time.
Qingxiang Wan (Blue Fragrance Pills) [Zhang Shi], used to treat pediatric gan-thirst with incessant drinking and emaciated physique.
Ingredients: Huhuanglian (Anemarrhenae Rhizoma), Qingdai (Indigo Naturalis), Zhusha (Cinnabar), Heshi (Nardostachys Radix, equal parts).
Preparation and Administration: Grind into powder, mix with pig bile to form pills the size of mung beans. Take three pills with rice drink.
[Liu Shi] Formula for treating pediatric gan-thirst:
Zhu Bao (Pig Urinary Bladder, one large), Gancao (Licorice Root, 1 liang, cut into inch-length segments and split, placed inside the bladder).
Preparation and Administration: Boil in 10 dou of water until reduced to 3 sheng. Remove the licorice root, bake the bladder until dry, and grind into powder. Take 2-3 qian mixed with boiled water. Adults may also take this.
[Zhuang Shi] Formula for treating pediatric thirst-gan:
Take Ge Fen (Concha Meretricis), one large live fish. Apply powder to the top of the fish head, scrape down the saliva, mix with powder, and form pills the size of corn kernels. Take one pill per dose. Additionally, take one small live fish, soak in half a zhan of water to extract saliva, use a medicine dropper to administer, dissolving one pill. Thirst will stop immediately. Follow up with Heqi San (Harmonizing Qi Powder, see previous section) for 1-2 doses to tonify.
Another formula for persistent gan-thirst:
Jingquanshi (Well Spring Stone, also known as Shigan Sui), Taiyin Xuanjingshi (Taiyin Crystal Stone), Mayaxiao (Mirabilite).
Preparation and Administration: Grind equal parts into powder, add a small amount of Sheng Liuhuang (Native Sulfur). Take half a qian mixed with raw rice washing water.
[Ji Shi Jiachuan] Formula:
Gegen (Pueraria Root), Huhuanglian (Anemarrhenae Rhizoma), Gancao (Licorice Root, honey-fried), Heishen (Black Ginseng), Maidong (Ophiopogon Tuber, heart removed, equal parts).
Preparation and Administration: Grind into powder. Take 1 qian with half a zhan of water and one slice of ginger, decoct until 4/5 remains, and consume.
Formula for regular use in pediatric gan-thirst to prevent the five types of gan:
Gan Xiaha (Dried Toad, two pieces, scraped clean of entrails in flowing water, boiled in 3 sheng of medicinal wine until soft, bones removed, ground into powder), Huanglian (Coptis Rhizome, pure 4 liang, ground separately into powder), Zhusha (Cinnabar, 1.5 qian), Shexiang (Musk, 1 qian, ground).
Preparation and Administration: First grind the toad paste with Huanglian powder, then mix evenly with Shexiang and Zhusha to form pills the size of mung beans. Take ten pills with aged rice drink. If suffering from gan, take with yellow wax tea clear. If difficult to form pills, adding a little wine or flour paste is acceptable.
Formula for all types of pediatric gan-heat-thirst:
Jie Xiaha (Large Toad, two pieces), Woniu Chong (Snail, half sheng, washed clean with well water). Place both in a new clay pot, seal tightly with salt mud to prevent air leakage, fire-roast until red hot, cool down, and remove the contents (discard the pot). Add Dahuang (Rhubarb Root), Huanglian (Coptis Rhizome, each 0.5 liang), Shexiang (Musk, 2.5 qian).
Preparation and Administration: Grind into powder, form pills with wheat flour paste the size of mustard seeds. Take 3-5 pills with rice drink. ([Zhuang Shi's 16th condition uses this formula])
Formula for pediatric gan-thirst:
Renshen (Ginseng Root), Gegen (Pueraria Root), Huangqin (Scutellaria Root), Chaihu (Bupleurum Root), Gancao (Licorice Root, processed, each 2.5 qian).
Preparation and Administration: Grind into powder. Take 1 qian with one zhan of water, decoct until 0.5 zhan remains, filter, and cool. Divide into five doses. When taking the medicine, additionally ingest Qianbaishuang (Lead White Frost) and Hanshuishi (Aragonite), ground together to the amount of "one zi", to effectively treat gan. ([Zhuang Shi's 20th condition first uses this to stop thirst])