小儿蛔疳，因过食生冷油腻肥甘之物，以致湿热生蛔，腹中扰动，故有时烦躁多啼，有时肚腹搅痛，口唇或
红或白，口溢清涎，腹胀青筋，肛门湿痒诸病状，古法主先用使君子散治之〔如使君子肉（十个）、瓦上炒为末，
苦楝子五个（泡去核），白芜荑一钱，甘草节一钱，猪胆汁浸一宿，共为末，每服一钱，水调服〕。
不应，古法又主下虫丸（如苦楝根皮新白者佳酒浸焙、木香、桃仁浸去皮尖、绿包贯众、焙芜荑、鸡心槟榔
各二钱，轻粉五分，炒鹤虱一钱，干虾蟆炒黑三钱，使君子去肉三钱，共为末，面糊成丸，如麻子大，每服二十
丸，滚白水下）。
〔真按〕儿疳因积热生虫，除上述诸病状外，更有皱眉多哭，腹聚成块，摸之硬起之现象，即用前拟脊疳
本方治之，但下虫后又当调补其脾，方用西党参二钱，云茯苓三钱，炒于潜术三
钱，炒扁豆三钱，炒薏米三钱，炒山药三钱，留白陈皮三钱，苦桔梗二钱，炙甘草一钱，建莲子五钱，砂仁粉八
分，共为细末，每服一钱，老米汤调服。
小儿无辜疳，其病源有二，或因浣衣晚露，被无辜鸟落羽所污，儿着衣后致成此证；或因乳母有病，传染小
儿，致有此疾。其证颈项生疮，或项内有核如弹，按之转动，软而不疼，其中有虫如米粉，不速破之，使虫蚀脏
腑，则有便利脓血，身体羸瘦，面黄发热诸病状，古法主先用柴胡饮清其热（如柴胡、赤芍、黄连、姜制半夏、
桔梗、夏枯草、龙胆草、浙贝母、黄芩、生甘草，引用灯芯）。
继用芦荟肥儿丸消其疳（如五谷虫二两，生芦荟、炒胡黄连、姜炒川黄连各一两，炒银柴胡一两二钱，炒扁
豆、炒山药各二两，南山楂二两半， 虾蟆四个，煨肉豆蔻七钱，尖槟榔五钱，炒使君子二两半，炒神曲二两，
炒麦芽二两，炒鹤虱八钱，炒芜荑一两，飞朱砂二钱，真麝香二钱，共为细末，醋糊为丸，如黍米大，每服一钱，
米饮下）。
〔真按〕无辜疳虽有二因，其病一也。清热消疳。不必分作先后。方用使君子二钱，生芦荟一钱，干蟾蜍酥炙
钱半，炙黄 一钱，炙鳖甲研粉钱半，尖槟榔八分，姜制黄连五分，夏枯草钱半，浙贝母二钱，赤芍药钱半，苦桔
梗一钱，引用灯芯五茎。
小儿蛔疳，是因为过量食用生冷、油腻及肥甘厚味的食物，导致湿热内生并滋生蛔虫，蛔虫在腹中扰动。因此出现时而烦躁多啼哭，时而腹部绞痛，口唇颜色或红或白，口中溢出清稀涎液，腹胀且可见青筋暴露，肛门潮湿瘙痒等症状。古法主张首先使用使君子散进行治疗（配方如：使君子肉十个，在瓦上炒制后研成粉末；苦楝子五个，浸泡后去核；白芜荑一钱；甘草节一钱；用猪胆汁浸泡一夜，共同研成细末。每次服用一钱，用水调服）。
如果无效，古法又主张使用下虫丸（配方如：选用新鲜白色的苦楝根皮为佳，用酒浸泡后焙干；木香；桃仁浸泡后去皮和尖；绿苞贯众；焙过的芜荑；鸡心槟榔，各二钱；轻粉五分；炒鹤虱一钱；干蟾蜍炒至黑色三钱；去肉的使君子三钱，共同研成细末，用面糊制成丸子，大小如麻子。每次服用二十丸，用滚开的白水送服）。
〔陈守真按语〕小儿疳积因积热生虫所致，除了上述症状外，还有皱眉多哭、腹部结块、触摸时感觉硬起的现象。此时即使用前文拟定的脊疳本方进行治疗，但在驱虫之后应当调理补益脾胃，方剂选用西党参二钱、云茯苓三钱、炒于潜术三钱、炒扁豆三钱、炒薏米三钱、炒山药三钱、留白陈皮三钱、苦桔梗二钱、炙甘草一钱、建莲子五钱、砂仁粉八分，共同研成细末。每次服用一钱，用老米汤调服。
小儿无辜疳，其病因有两个方面：一是因为洗衣服太晚沾了露水，被“无辜鸟”落下的羽毛污染，婴儿穿上这种衣服后导致此证；二是因为乳母有病，传染给小儿，从而患上此疾。其症状表现为颈项部生疮，或者颈部有像弹珠大小的肿块，按压时可以转动，质地软且不疼痛，其中含有像米粉一样的虫子。如果不迅速破溃排出这些虫子，让虫子侵蚀脏腑，就会出现大便脓血、身体消瘦、面色发黄发热等症状。古法主张首先使用柴胡饮来清热（配方如：柴胡、赤芍、黄连、姜制半夏、桔梗、夏枯草、龙胆草、浙贝母、黄芩、生甘草，引用灯芯草为药引）。
随后使用芦荟肥儿丸来消除疳积（配方如：五谷虫二两，生芦荟、炒胡黄连、姜炒川黄连各一两，炒银柴胡一两二钱，炒扁豆、炒山药各二两，南山楂二两半，蟾蜍四个，煨肉豆蔻七钱，尖槟榔五钱，炒使君子二两半，炒神曲二两，炒麦芽二两，炒鹤虱八钱，炒芜荑一两，飞朱砂二钱，真麝香二钱，共同研成细末，用醋糊制成丸子，大小如黍米。每次服用一钱，用米饮送服）。
〔陈守真按语〕无辜疳虽然有两种成因，但病机是一样的。治疗原则是清热消疳，不必严格区分先后顺序。方剂选用：使君子二钱，生芦荟一钱，干蟾蜍酥炙钱半，炙黄芪一钱，炙鳖甲研粉钱半，尖槟榔八分，姜制黄连五分，夏枯草钱半，浙贝母二钱，赤芍药钱半，苦桔梗一钱，引用灯芯草五茎。
Pediatric Ascaris Gan (Infantile Malnutrition due to Ascaris), caused by excessive consumption of raw, cold, greasy, and rich sweet foods, leading to the generation of damp-heat and the breeding of Ascaris lumbricoides. The worms disturb the abdomen, resulting in symptoms such as occasional irritability and crying, abdominal colic, lips appearing either red or pale, overflow of clear saliva, abdominal distension with visible subcutaneous veins, and moist, itchy anus. Ancient methods primarily recommend using *Shi Junzi San* (Quisqualis Powder) first [Formula: Quisqualis fruit flesh (10 pieces), stir-fried on a tile until powdered; Toosendan fruit (5 pieces), soaked and pitted; White Melia powder (1 qian); Licorice node (1 qian); Soaked overnight in pig bile, then ground together into fine powder. Take 1 qian per dose, mixed with water].
If ineffective, ancient methods further recommend *Xia Chong Wan* (Worm-Expelling Pills) [Formula: Fresh white bark of *Melia azedarach* root (preferred), soaked in wine and dried; *Aucklandiae Radix*; Peach kernel, soaked, peeled, and de-seeded; *Cyathulae Radix* (green variety); Stir-fried *Tso-wu-yen*; Chicken-heart Areca nut, each 2 qian; Calomelas (0.5 qian); Stir-fried *Chrysanthemi Flos* (1 qian); Dried toad, stir-fried until black (3 qian); Quisqualis fruit without flesh (3 qian). Ground into fine powder, formed into pills with wheat paste, size of hemp seeds. Take 20 pills per dose, washed down with boiling plain water].
[Commentary by Chen Shouzhen]: Infantile Gan due to accumulated heat generating worms presents, in addition to the aforementioned symptoms, with frowning and frequent crying, abdominal masses that feel hard upon palpation. In such cases, use the previously proposed *Ji Gan Ben Fang* (Primary Formula for Spinal Gan). However, after expelling worms, the Spleen must be regulated and tonified. The formula consists of Western Codonopsis (2 qian), Cloud Poria (3 qian), Stir-fried Yuqian Atractylodes (3 qian), Stir-fried Lablab bean (3 qian), Stir-fried Coix seed (3 qian), Stir-fried Chinese Yam (3 qian), Tangerine peel with white pith retained (3 qian), Bitter Platycodon root (2 qian), Honey-fried Licorice (1 qian), Jian Lotus seed (5 qian), Amomum powder (0.8 fen). Ground into fine powder. Take 1 qian per dose, mixed with old rice soup.
Pediatric Wugu Gan (Innocent Gan), has two etiological sources: one is due to laundry being exposed to late dew, contaminated by feathers from the "Wugu bird"; when the infant wears these clothes, this condition arises. The other is transmission from a sick wet nurse to the infant. Symptoms include sores on the neck or elastic-sized nodules within the neck that are movable upon pressure, soft but painless, containing worm-like substances resembling rice flour. If not promptly ruptured and expelled, allowing the worms to erode the viscera, it leads to purulent bloody stools, emaciation, sallow complexion, and fever. Ancient methods primarily recommend using *Chaihu Yin* (Bupleurum Decoction) to clear heat first [Formula: Bupleurum, Red Peony Root, Coptis, Ginger-processed Pinellia, Platycodon, Prunella vulgaris, Gentian, Zhejiang Fritillary Bulb, Scutellaria, Raw Licorice, with Rapeseed stem as an adjuvant].
Subsequently, use *Lushui Fei'er Wan* (Aloe Child-Nourishing Pills) to eliminate Gan [Formula: Five-grain insect (2 liang), Raw Aloe, Stir-fried Picrorhiza, Ginger-stir-fried Coptis, each 1 liang; Stir-fried Silver Chaihu (1.2 liang); Stir-fried Lablab bean, Stir-fried Chinese Yam, each 2 liang; Southern Hawthorn (2.5 liang); Four toads; Baked Nutmeg (0.7 qian); Pointed Areca nut (0.5 qian); Stir-fried Quisqualis (2.5 liang); Stir-fried Medicated Leaven (2 liang); Stir-fried Malt (2 liang); Stir-fried Chrysanthemi Flos (0.8 qian); Stir-fried Tso-wu-yen (1 liang); Calcined Cinnabar (0.2 qian); Real Musk (0.2 qian). Ground into fine powder, formed into pills with vinegar paste, size of millet grains. Take 1 qian per dose, taken with rice drink].
[Commentary by Chen Shouzhen]: Although Wugu Gan has two causes, the pathology is identical. The treatment principle is to clear heat and eliminate Gan; there is no need to strictly separate the steps. The formula uses: Quisqualis (2 qian), Raw Aloe (1 qian), Dried Toad,酥-roasted (1.5 qian), Honey-fried Astragalus (1 qian), Honey-fried Turtle Shell, powdered (1.5 qian), Pointed Areca nut (0.8 fen), Ginger-processed Coptis (0.5 fen), Prunella vulgaris (1.5 qian), Zhejiang Fritillary Bulb (2 qian), Red Peony Root (1.5 qian), Bitter Platycodon root (1 qian), with five Rapeseed stems as an adjuvant.