凡治小儿五痫，皆当随脏治之。每脏各有一兽所属。如犬痫，
反折上窜，犬叫，肝也。牛痫，目直视，腹满，牛叫，脾也。鸡痫，惊
跳，反折，手纵，鸡叫，肺也。猪痫，如尸吐沫，猪叫，肾也。羊痫，目
瞪吐舌，羊叫，心也。五痫重者死，病后甚者亦死，治法并用五色丸主之。
五色丸
朱砂（另研） 珍珠末（各五钱） 雄黄（一两，一作三两） 水银（二钱半，一作二两） 黑铅（二两，同水银
熬）
按∶用黑铅二两，水银当作二两者为是，无疑矣。
上炼蜜丸如麻子大，每服三、四丸，煎金银薄荷汤下。
论
《内经》曰∶数食肥，令人内热；数食甘，令人中满。盖其病因肥甘所致，故命名曰疳。若夫襁褓中之乳子，与四
五岁之孩提，乳哺未息，胃气未全，而谷气尚未充也。父母不能调摄，惟务姑息，舐犊之爱，遂令恣食肥甘，与夫瓜果
生冷，及一切烹饪调和之味，朝餐暮食，渐成积滞胶固，以致身热体瘦，面色痿黄，或肚大青筋，虫痛泻利，而诸疳之
证作矣。钱仲阳曰∶小儿病疳，多因大病后或吐泻后以药下之，致脾胃虚损亡津液而成，盖此证实由愚医之所害耳。斯
言也，特一端耳，未可悉以为然，其所谓大病吐泻，岂非饮食之所致欤？夫仲阳为儿医之祖，岂有误邪？其所论诸疳形
证治法，班班可考，学人不可不审。如疳在肝，则白膜遮睛，法当补肝，地黄丸主之。疳在心，则面颊赤，身体壮热，
法当补心，安神丸主之。疳在脾，则体黄腹大，好食泥土，法当补脾，益黄散主之，疳在肺，则气喘，口鼻生疮，亦当
补脾，益黄散主之，此虚者补其母也。疳在肾，则极瘦而身生疮疥，法当补肾，地黄丸主之。筋疳则泻血而瘦，当服补
肝地黄丸。骨疳，喜卧冷地，当服补肾地黄丸。内疳则目肿腹胀，利色无常，或沫青白，渐而瘦弱，此冷证也，宜服木
香丸。外疳，鼻下赤烂，自揉鼻头，有疮不结痂，绕耳而生，当用治疮烂兰香散、白粉散等药。法曰∶诸疳皆根据本脏而
补其母，则子自安。假令日中潮热，是心经虚热也，肝为心之母，宜先补肝，肝实而后泻心，心得母气则内平而潮热愈
矣。余皆仿此。大抵疳病当辨冷热肥瘦而治，其初病者为肥热疳，久病者为瘦冷疳，冷则用木香丸，热则当用胡黄连丸，
冷热疳并宜用如圣丸之类。惟小儿之腑脏柔弱，不可痛击大下，必亡津液而成疳证。为儿医者，常当以幼幼之心为心而
善调之，毋纵巨胆，妄为施治，以绝人之嗣续，幸甚！
脉法
（并见前总章。）
方法
地黄丸（补肝肾虚） 治肝疳白膜遮睛，筋疳泻血，肾疳身瘦疮疥，骨疳喜卧冷地。又治胃怯、不言、解颅。小
儿年长不能行者，专服神效。
熟地黄（酒洗，八钱） 山茱萸 干山药（各四钱） 泽泻 牡丹皮 白茯苓（各三钱）
上为细末，炼蜜为丸，如梧桐子大，三岁以下儿三丸至五丸，熟水空心化下。年长者，量增丸数。
安神丸 治邪热惊啼，心疳面黄颊赤壮热。（方见惊风门。）
益黄散（又名补脾散）治小儿脾胃虚寒，脾疳体黄腹大，好食泥土，肺疳气喘，口鼻生疮等证。
陈皮（一钱） 青皮 诃子皮 甘草（炙，各五分） 丁香（二分）
上作一服细切，水一盏，煎至六分，温服（愚每于本方加参、术各一钱效）。
木香丸 治瘦冷疳。
木香 青皮 槟榔 肉豆蔻（各二钱半） 麝香（一钱，另研） 续随子
（一两，去油） 虾蟆（大壮者，一名蟾酥，俗名风鸡，三个，烧存性）
上为细末，炼蜜丸如绿豆大，每服三、五丸至一、二十丸，薄荷汤送下。
胡黄连丸 治肥热疳。
胡黄连 宣黄连（各五钱） 朱砂（二钱半，另研）
上为细末和匀，填入 猪胆内，用淡浆煮，以杖子加铫子上，用线钓之，勿着底，候一炊时取出，研入芦荟、麝香
各一分，饭丸如麻子大，每服五、七丸至一、二十丸，米饮下。
一方 去足虾蟆五钱，焙干不烧。
兰香散 治外疳鼻下赤烂。
兰香叶（收二钱，烧存性） 铜青 轻粉（各五分）
上为细末，干敷之。
白粉散 治疳疮。
乌贼鱼骨末（七钱） 白芨末（三钱） 轻粉（一钱）
上为末和匀，先用清浆水洗疮，拭干敷之。
如圣丸 治冷热疳泻。
使君子（一两，去壳） 胡黄连 川黄连 白芜荑（去皮，炒，各二两） 麝香（五分，另研） 干虾蟆（五个，
酒煮捣膏）
上为细末，以虾蟆膏和丸，如麻子大，二、三岁儿五、七丸，以上十丸至十五丸，人参汤下，不拘时服。
香蟾丸 治疳消、食积、虫积、肉积，及治腹胀大。
三棱（醋浸炒） 蓬莪术（醋浸炒） 青皮（去白） 神曲（炒） 麦 曲（炒） 草龙胆（酒浸炒） 槟榔（各
五钱） 木香（二钱） 川楝子（去核，酒煮） 使君子（去壳） 胡黄连 川黄连（各四钱） 陈皮（五钱） 白术
（二两，一作一钱） 干蟾（五个）
上以白术以上药俱研为细末，以干蟾用醋煮烂，捣成膏和药，如干再加醋，糊为丸如麻子大，每服十五丸，清米汤
送下。
芦荟丸 治小儿疳气，腹胀骨热。
芦荟（另研） 木香 槟榔（各二钱半） 虾蟆（酒浸炙黄，去骨） 黄连（各
一两） 芜荑（去皮） 青皮（去白） 陈皮（各五钱） 巴豆（三七粒，去壳，同上四味炒黄，去豆）
上为细末，猪胆汁丸，如小豆大，三岁儿三十丸，米汤下。
又方 治疳积腹大。
胡黄连（去疳积、果积） 阿魏（醋浸，去肉积，各五分） 麝香（当门子四
粒） 神曲（炒，去食积） 川黄连（炒，去热积，又去酒积，各二钱）
上为细末，猪胆汁和丸，如麻子大，每服三十丸，白术汤送下。
一方有芦荟五分。
又方 治小儿疳病。
黄连 白术 山楂肉（各五钱） 胡黄连 芦荟（各三钱，另研） 芜荑（二钱五分） 神曲（炒，二钱）
上为细末，猪胆汁为丸，如麻子大，量儿大小，加减丸数与之。
（祖传方）
槟榔丸 小儿疳病，积气成块，腹大有虫等证，其效如神。
槟榔（一两） 三棱（煨去毛，切，醋炒） 蓬莪术（醋炒，各五钱） 青皮（去
穣，麸炒黄色） 陈皮（去白，各五钱） 雷丸（去壳，五钱） 芜荑（水洗净，二钱半）
鹤虱（三钱，略炒） 干漆（五钱，炒无烟） 木香（三钱，不见火） 砂仁（一钱） 良
姜（二钱，东壁土同炒） 麦 面（五钱，炒） 胡黄连（三钱） 甘草（三钱，炙） 神曲（五钱，炒黄色） 山楂
肉（五钱）
上为细末，醋糊为丸，如绿豆大，每服三、五十丸，空心淡姜汤送下。
凡是治疗小儿的五种痫证，都应当根据所属的脏腑进行治疗。每一脏各对应一种动物。例如犬痫，表现为身体反折向上窜动、发出狗叫声，病位在肝；牛痫，表现为眼睛直视、腹部胀满、发出牛叫声，病位在脾；鸡痫，表现为受惊跳跃、身体反折、手部松弛、发出鸡叫声，病位在肺；猪痫，表现为像尸体一样口吐白沫、发出猪叫声，病位在肾；羊痫，表现为瞪眼吐舌、发出羊叫声，病位在心。五种痫证病情严重的会死亡，病后症状加重的也会死亡，治疗方法均使用五色丸作为主方。
五色丸
朱砂（单独研磨） 珍珠末（各五钱） 雄黄（一两，一作三两） 水银（二钱半，一作二两） 黑铅（二两，与水银一同熬制）
按语：使用黑铅二两，那么水银应当用二两才是正确的，这毫无疑问。
将上述药物炼蜜制成如麻子大小的丸剂，每次服用三、四丸，用煎好的金银花、薄荷汤送服。
论述
《黄帝内经》说：经常食用肥腻食物，会导致体内生热；经常食用甘甜食物，会导致中焦气机壅滞胀满。大概疳病的病因是由肥甘厚味引起的，所以命名为疳。至于襁褓中的婴儿和四五岁的幼儿，哺乳尚未停止，胃气尚未完全健全，谷气（饮食营养之气）也尚未充足。父母不能妥善调理照顾，只一味姑息溺爱，出于舐犊情深，便任由孩子恣意食用肥甘厚味，以及瓜果生冷和一切烹饪调和的味道，早晚进食，逐渐形成积滞胶结固着，导致身体发热、形体消瘦、面色萎黄，或者肚子大且青筋暴露、虫痛腹泻，于是各种疳证的病症就出现了。钱仲阳说：小儿患疳病，多是因为大病之后或呕吐腹泻之后，医生误用攻下药，导致脾胃虚损、津液耗伤而形成的，这个实证确实是由于庸医害所致。这话只是其中一方面，不能完全认为是对的，他所说的大病吐泻，难道不是由饮食不当引起的吗？钱仲阳是儿科医生的祖师，怎么会有错误呢？他所论述的各种疳证的形态、表现和治疗法则，都有据可查，学习的人不可不仔细审察。例如疳在肝，则出现白膜遮蔽眼睛，治法应当补肝，主用地黄丸；疳在心，则面颊发红、身体壮热，治法应当补心，主用安神丸；疳在脾，则身体发黄、腹部胀大、喜欢吃泥土，治法应当补脾，主用益黄散；疳在肺，则气喘、口鼻生疮，也应当补脾，主用益黄散，这是“虚者补其母”的道理；疳在肾，则极度消瘦且身上生疮疥，治法应当补肾，主用地黄丸。筋疳则表现为便血且消瘦，应当服用补肝地黄丸；骨疳，喜欢睡在冷地上，应当服用补肾地黄丸；内疳则表现为眼睛肿胀、腹部胀大、大便颜色无常，或有泡沫青色白色，逐渐变得瘦弱，这是寒证，适宜服用木香丸；外疳，表现为鼻子下面红肿溃烂、自己揉搓鼻头、有疮口不结痂、耳朵周围生长，应当使用治疮烂兰香散、白粉散等药物。医法说：各种疳病都应根据本脏来补其母脏，那么子脏自然安宁。假如中午出现潮热，这是心经虚热，肝为心之母，应当先补肝，肝气充实后再泻心，心得母脏之气则内部平和而潮热痊愈。其余情况都仿照此理。大抵疳病应当辨别冷、热、肥、瘦来进行治疗，初患病的是肥热疳，久患病的是瘦冷疳，寒证则用木香丸，热证则当用胡黄连丸，冷热疳都适宜用如圣丸之类的药物。只有小儿的脏腑柔弱，不可以猛烈攻下，否则必然耗伤津液而形成疳证。做儿科医生的，常应当以爱护幼小之心来对待患儿并善于调理，不要放纵大胆妄为施治，从而断绝人家的后代，那就万幸了！
脉法
（并见前总章。）
方法
地黄丸（补肝肾虚） 治疗肝疳白膜遮蔽眼睛、筋疳便血、肾疳身体消瘦疮疥、骨疳喜欢睡冷地。又治疗胃气怯弱、不说话、解颅（囟门迟闭）。小儿年长还不能行走的，专门服用此药效果显著。
熟地黄（酒洗，八钱） 山茱萸 干山药（各四钱） 泽泻 牡丹皮 白茯苓（各三钱）
将上述药物研成细末，炼蜜制成如梧桐子大小的丸剂，三岁以下的儿童每次三丸至五丸，空腹用熟开水化开服用。年长的儿童，酌情增加丸数。
益黄散（又名补脾散）治疗小儿脾胃虚寒、脾疳身体发黄腹部胀大、喜欢吃泥土、肺疳气喘、口鼻生疮等证候。
陈皮（一钱） 青皮 诃子皮 甘草（炙，各五分） 丁香（二分）
将上述药物作一剂细切，用水一盏，煎至六分，温服（我每在此方中加入人参、白术各一钱，效果很好）。
木香丸 治疗瘦冷疳。
木香 青皮 槟榔 肉豆蔻（各二钱半） 麝香（一钱，单独研磨） 续随子
（一两，去油） 虾蟆（大的一个，一名蟾酥，俗名风鸡，三个，烧至存性）
将上述药物研成细末，炼蜜制成如绿豆大小的丸剂，每次服用三、五丸至一、二十丸，用薄荷汤送服。
胡黄连丸 治疗肥热疳。
胡黄连 宣黄连（各五钱） 朱砂（二钱半，单独研磨）
将上述药物研成细末混合均匀，填入猪胆内，用淡浆水煮，用杖子架在锅上，用线吊着猪胆，不要接触锅底，等候一顿饭的时间取出，研磨加入芦荟、麝香各一分，用米饭制成如麻子大小的丸剂，每次服用五、七丸至一、二十丸，用米饮送服。
另一方案：去掉足部的虾蟆五钱，焙干不烧。
兰香散 治疗外疳鼻子下面红肿溃烂。
兰香叶（收取二钱，烧至存性） 铜青 轻粉（各五分）
将上述药物研成细末，干敷患处。
白粉散 治疗疳疮。
乌贼鱼骨末（七钱） 白芨末（三钱） 轻粉（一钱）
将上述药物研末混合均匀，先用清浆水洗疮口，擦干后敷药。
如圣丸 治疗冷热疳腹泻。
使君子（一两，去壳） 胡黄连 川黄连 白芜荑（去皮，炒，各二两） 麝香（五分，单独研磨） 干虾蟆（五个，酒煮捣成膏）
将上述药物研成细末，用虾蟆膏和丸，如麻子大小，二、三岁儿童五、七丸，以上十丸至十五丸，用人参汤送服，不拘泥于固定时间服用。
香蟾丸 治疗疳消、食积、虫积、肉积，及治疗腹部胀大。
三棱（醋浸炒） 蓬莪术（醋浸炒） 青皮（去白） 神曲（炒） 麦芽（炒） 草龙胆（酒浸炒） 槟榔（各五钱） 木香（二钱） 川楝子（去核，酒煮） 使君子（去壳） 胡黄连 川黄连（各四钱） 陈皮（五钱） 白术（二两，一作一钱） 干蟾（五个）
将白术以上的药物都研为细末，将干蟾用醋煮烂，捣成膏和药，如果太干再加醋，用糊制成如麻子大小的丸剂，每次服用十五丸，用清米汤送服。
芦荟丸 治疗小儿疳气、腹部胀大、骨头发热。
芦荟（单独研磨） 木香 槟榔（各二钱半） 虾蟆（酒浸炙黄，去骨） 黄连（各一两） 芜荑（去皮） 青皮（去白） 陈皮（各五钱） 巴豆（三七粒，去壳，同上四味炒黄，去豆）
将上述药物研成细末，用猪胆汁和丸，如小豆大小，三岁儿童三十丸，用米汤送服。
又一方 治疗疳积腹部胀大。
胡黄连（去除疳积、果积） 阿魏（醋浸，去除肉积，各五分） 麝香（当门子四粒） 神曲（炒，去除食积） 川黄连（炒，去除热积，又去除酒积，各二钱）
将上述药物研成细末，用猪胆汁和丸，如麻子大小，每次服用三十丸，用白术汤送服。
另一方含有芦荟五分。
又一方 治疗小儿疳病。
黄连 白术 山楂肉（各五钱） 胡黄连 芦荟（各三钱，单独研磨） 芜荑（二钱五分） 神曲（炒，二钱）
将上述药物研成细末，用猪胆汁为丸，如麻子大小，根据儿童大小，加减丸数给予服用。
（祖传方）
槟榔丸 小儿疳病，积气成块，腹部胀大有虫等证候，其效果如神。
槟榔（一两） 三棱（煨去毛，切，醋炒） 蓬莪术（醋炒，各五钱） 青皮（去穣，麸炒黄色） 陈皮（去白，各五钱） 雷丸（去壳，五钱） 芜荑（水洗净，二钱半）
鹤虱（三钱，略炒） 干漆（五钱，炒无烟） 木香（三钱，不见火） 砂仁（一钱） 良姜（二钱，东壁土同炒） 麦面（五钱，炒） 胡黄连（三钱） 甘草（三钱，炙） 神曲（五钱，炒黄色） 山楂肉（五钱）
将上述药物研成细末，用醋糊制成如绿豆大小的丸剂，每次服用三、五十丸，空腹用淡姜汤送服。
Whenever treating the five types of epilepsy (epilepsy) in children, one should treat according to the affected Zang organ. Each Zang organ is associated with a specific animal. For instance, Canine Epilepsy (Dog-type Epilepsy), characterized by body opisthotonos and upward jumping, barking like a dog, is related to the Liver; Bovine Epilepsy (Ox-type Epilepsy), characterized by staring eyes, abdominal distension, and mooing like an ox, is related to the Spleen; Gallus Epilepsy (Chicken-type Epilepsy), characterized by startled jumping, opisthotonos, relaxed hands, and crowing like a chicken, is related to the Lung; Porcine Epilency (Pig-type Epilepsy), characterized by foaming at the mouth resembling a corpse and grunting like a pig, is related to the Kidney; Ovine Epilepsy (Sheep-type Epilepsy), characterized by staring eyes, protruding tongue, and bleating like a sheep, is related to the Heart. Severe cases of the five epilepsies result in death, as do cases where symptoms worsen after the illness; the treatment method for all involves using Wu Se Wan (Five-Color Pill) as the principal formula.
Wu Se Wan (Five-Color Pill)
Cinnabar (Zhu Sha, ground separately) Pearl Powder (Zhen Zhu Mo, each 5 qian) Realgar (Xiong Huang, 1 liang, alternatively 3 liang) Mercury (Shui Yin, 2.5 qian, alternatively 2 liang) Black Lead (Hei Qian, 2 liang, boiled together with mercury)
Note: Using 2 liang of Black Lead implies that 2 liang of Mercury should be used, which is undoubtedly correct.
The above ingredients are processed with refined honey into pills the size of hemp seeds. Each dose consists of 3 or 4 pills, taken down with a decoction of Honeysuckle (Jin Yin Hua) and Mint (Bo He).
Discussion
The *Huang Di Nei Jing* (Yellow Emperor's Inner Canon) states: Frequent consumption of fatty foods causes internal heat; frequent consumption of sweet foods causes fullness in the middle jiao. The etiology of Gan syndrome (malnutrition syndrome) is attributed to rich and sweet foods, hence its name. Regarding infants in swaddling clothes and toddlers aged four or five, breastfeeding has not ceased, Stomach Qi (Stomach energy) is not fully mature, and Gu Qi (Grain Qi/nutritional essence from food) is not yet abundant. Parents fail to regulate their care, indulging excessive affection, allowing children to consume freely fatty and sweet foods, raw fruits and vegetables, and all kinds of cooked and seasoned flavors. Morning meals and evening snacks gradually lead to stagnation becoming fixed and consolidated, resulting in fever, emaciation, sallow complexion, or large abdomen with visible blue veins, intestinal colic, and diarrhea. Thus, various manifestations of Gan syndrome arise. Qian Zhongyang stated: Children suffering from Gan syndrome often do so because after a major illness or vomiting/diarrhea, physicians mistakenly use purgatives, leading to deficiency and damage of the Spleen and Stomach and loss of Jin Ye (body fluids). This reality is indeed harmed by ignorant physicians. This statement covers only one aspect and cannot be accepted entirely; were the major illnesses and vomiting/diarrhea he mentioned not caused by dietary indiscretion? Qian Zhongyang is the ancestor of pediatric medicine; how could he be mistaken? His discussions on the forms, symptoms, and treatments of various Gan syndromes are well-documented; students must examine them carefully. For example, Gan in the Liver presents with white membrane covering the eyes; the treatment principle is to tonify the Liver, primarily using Di Huang Wan (Rehmannia Pill). Gan in the Heart presents with red cheeks and high fever; the treatment principle is to tonify the Heart, primarily using An Shen Wan (Calming the Spirit Pill). Gan in the Spleen presents with yellowish body, abdominal distension, and craving for eating dirt; the treatment principle is to tonify the Spleen, primarily using Yi Huang San (Benefit Yellow Powder). Gan in the Lung presents with asthma and sores in the mouth and nose; it also requires tonifying the Spleen, using Yi Huang San, following the principle of "tonifying the mother when the child is deficient." Gan in the Kidney presents with extreme emaciation and skin sores/scabies; the treatment principle is to tonify the Kidney, primarily using Di Huang Wan. Jin Gan (Sinew Gan) presents with bloody stools and emaciation; one should take Bu Gan Di Huang Wan (Tonify Liver Rehmannia Pill). Gu Gan (Bone Gan) prefers lying on cold ground; one should take Bu Shen Di Huang Wan (Tonify Kidney Rehmannia Pill). Nei Gan (Internal Gan) presents with swollen eyes, abdominal distension, variable stool color, or frothy green/white stools, gradually leading to weakness; this is a Cold pattern, suitable for Mu Xiang Wan (Aucklandia Pill). Wai Gan (External Gan) presents with redness and erosion under the nose, rubbing the nose tip, non-healing sores, and growths around the ears; one should use Zhi Chuang Lan Lan Xiang San (Treat Sores Orchid Fragrance Powder) or Bai Fen San (White Powder). The medical law states: All Gan syndromes should be treated by tonifying the mother organ of the affected Zang, so the child organ becomes peaceful. For instance, tidal fever at noon indicates Deficient Heat in the Heart channel; since the Liver is the mother of the Heart, one should first tonify the Liver, then drain the Heart after the Liver is sufficient. The Heart receives the Qi of its mother, becoming internally balanced, and the tidal fever resolves. The rest follow this logic. Generally, Gan disease should be treated by distinguishing between Cold, Heat, Fat, and Thin. Early-stage disease is Fat-Heat Gan; late-stage disease is Thin-Cold Gan. For Cold patterns, use Mu Xiang Wan; for Heat patterns, use Hu Huang Lian Wan (Picrorhiza Pill); for both Cold and Heat Gans, use Ru Sheng Wan (Like Sage Pill) and similar formulas. Only because children's Zang-Fu organs are delicate should one not use harsh purgatives, lest Jin Ye be lost and Gan syndrome form. Pediatricians must always treat with a heart of caring for the young and manage them well, avoiding reckless boldness in treatment to prevent cutting off human lineage; this would be fortunate!
Pulse Diagnosis
(See the General Chapter above.)
Formulas
Di Huang Wan (Rehmannia Pill) (Tonifies Liver and Kidney Deficiency) Treats Liver Gan with white membrane covering eyes, Jin Gan with bloody stools, Kidney Gan with emaciation and sores, Bone Gan preferring cold ground. Also treats weak Stomach Qi, mutism, and Jie Lu (delayed closure of fontanelles). For children who cannot walk due to old age, exclusive use yields miraculous effects.
Prepared Rehmannia Root (Shu Di Huang, wine-washed, 8 qian) Cornus Fruit (Shan Zhu Yu) Dried Yam (Gan Shan Yao, each 4 qian) Alisma Rhizome (Ze Xie) Moutan Bark (Mu Dan Pi) White Poria (Bai Fu Ling, each 3 qian)
The above are ground into fine powder, mixed with refined honey into pills the size of Chinese wolfberry seeds. Children under three years old take 3 to 5 pills, dissolved in warm water on an empty stomach. Older children increase the dosage accordingly.
An Shen Wan (Calming the Spirit Pill) Treats evil heat causing startled crying, Heart Gan with yellow face, red cheeks, and high fever. (Formula see in Convulsion Section.)
Yi Huang San (Benefit Yellow Powder) (Also known as Bu Pi San / Tonify Spleen Powder) Treats pediatric Spleen-Stomach deficiency-cold, Spleen Gan with yellowish body and abdominal distension, craving for dirt, Lung Gan with asthma and sores in mouth/nose.
Tangerine Peel (Chen Pi, 1 qian) Green Tangerine Peel (Qing Pi) Chebula Fruit Peel (He Zi Pi) Licorice Root (Gan Cao, roasted, each 5 fen) Clove Bud (Ding Xiang, 2 fen)
The above are cut finely as one dose, decocted in one cup of water until reduced to 60%, taken warm. (I usually add Codonopsis and Atractylodes Macrocephala Rhizome, each 1 qian, to this formula for better effect.)
Mu Xiang Wan (Aucklandia Pill) Treats Thin-Cold Gan.
Aucklandia Root (Mu Xiang) Green Tangerine Peel (Qing Pi) Areca Seed (Bing Lang) Nutmeg (Rou Dou Kou, each 2.5 qian) Musk (She Xiang, 1 qian, ground separately) Croton Seed (Xu Sui Zi, 1 liang, oil removed) Toad (Xia Ma, large ones, also called Chan Su, common name Feng Ji, 3 pieces, burned to retain nature)
The above are ground into fine powder, mixed with refined honey into pills the size of mung beans. Each dose is 3 to 5 pills up to 10-20 pills, taken down with Mint Tea.
Hu Huang Lian Wan (Picrorhiza Pill) Treats Fat-Heat Gan.
Picrorhiza Rhizome (Hu Huang Lian) Scutellaria Baicalensis Root (Xuan Huang Lian, each 5 qian) Cinnabar (Zhu Sha, 2.5 qian, ground separately)
The above are ground into fine powder and mixed evenly, stuffed inside Pig Gallbladders. Boil in thin rice wash water. Hang the gallbladder with a thread over a pot supported by a stick, ensuring it does not touch the bottom. After the time it takes to cook a meal, remove it, grind it, and add Aloe Vera (Lu Hui) and Musk (She Xiang), each 1 fen. Form into pills the size of hemp seeds using rice paste. Each dose is 5 to 7 pills up to 10-20 pills, taken down with rice drink.
Alternative prescription: Remove feet from Toads, dry them by roasting without burning (5 qian).
Lan Xiang San (Orchid Fragrance Powder) Treats External Gan with redness and erosion under the nose.
Orchid Leaves (Lan Xiang Ye, collected 2 qian, burned to retain nature) Copper Verdigris (Tong Qing) Calomel (Qing Fen, each 5 fen)
The above are ground into fine powder and applied dry to the lesion.
Bai Fen San (White Powder) Treats Gan sores.
Cuttlefish Bone Powder (Wu Zei Yu Gu Mo, 7 qian) Bletilla Rhizome Powder (Bai Ji Mo, 3 qian) Calomel (Qing Fen, 1 qian)
The above are mixed into powder. First wash the sore with clear rice wash water, dry it, and apply the powder.
Ru Sheng Wan (Like Sage Pill) Treats Cold-Heat Gan diarrhea.
Quinine Tree Fruit (Shi Jun Zi, 1 liang, shelled) Picrorhiza Rhizome (Hu Huang Lian) Scutellaria Baicalensis Root (Chuan Huang Lian) Elaeagnus Seed (Bai Wu Ti, peeled, roasted, each 2 liang) Musk (She Xiang, 5 fen, ground separately) Dried Toad (Gan Xia Ma, 5 pieces, boiled in wine and pounded into paste)
The above are ground into fine powder, mixed with Toad paste into pills the size of hemp seeds. For 2-3 year olds, 5-7 pills; for older children, 10-15 pills, taken down with Codonopsis Decoction. Take at any time.
Xiang Chan Wan (Orchid-Toad Pill) Treats Gan wasting, Food Stagnation, Parasite Accumulation, Flesh Accumulation, and abdominal distension.
Burreed Tuber (San Leng, soaked in vinegar and roasted) Curcuma Longa Rhizome (Peng E Zhu, soaked in vinegar and roasted) Green Tangerine Peel (Qing Pi, pith removed) Medicated Leaven (Shen Qu, roasted) Wheat Sprouts (Mai Ya, roasted) Gentiana Scabra Root (Cao Long Dan, soaked in wine and roasted) Areca Seed (Bing Lang, each 5 qian) Aucklandia Root (Mu Xiang, 2 qian) Prunus Armeniaca Kernel (Chuan Liu Zi, pith removed, boiled in wine) Quinine Tree Fruit (Shi Jun Zi, shelled) Picrorhiza Rhizome (Hu Huang Lian) Scutellaria Baicalensis Root (Chuan Huang Lian, each 4 qian) Tangerine Peel (Chen Pi, 5 qian) Atractylodes Macrocephala Rhizome (Bai Zhu, 2 liang, alternatively 1 qian) Dried Toad (Gan Chan, 5 pieces)
All herbs above Bai Zhu are ground into fine powder. Boil Dried Toad in vinegar until soft, pound into paste, and mix with the powder. If too dry, add more vinegar. Form into pills the size of hemp seeds using paste. Each dose is 15 pills, taken down with clear rice soup.
Lu Hui Wan (Aloe Vera Pill) Treats pediatric Gan Qi, abdominal distension, and bone heat.
Aloe Vera (Lu Hui, ground separately) Aucklandia Root (Mu Xiang) Areca Seed (Bing Lang, each 2.5 qian) Toad (Xia Ma, soaked in wine, roasted yellow, bones removed) Scutellaria Baicalensis Root (Huang Lian, each 1 liang) Elaeagnus Seed (Wu Ti, peeled) Green Tangerine Peel (Qing Pi, pith removed) Tangerine Peel (Chen Pi, each 5 qian) Croton Seed (Ba Dou, 3-7 grains, shelled, roasted yellow with the previous four ingredients, remove beans)
The above are ground into fine powder, formed into pills the size of small beans using Pig Gallbladder juice. For three-year-olds, 30 pills, taken down with rice soup.
Another Prescription Treats Gan accumulation with abdominal distension.
Picrorhiza Rhizome (Hu Huang Lian, removes Gan accumulation and fruit accumulation) Asafetida (A Wei, soaked in vinegar, removes meat accumulation, each 5 fen) Musk (She Xiang, 4 grains of Dang Men Zi) Medicated Leaven (Shen Qu, roasted, removes food accumulation) Scutellaria Baicalensis Root (Chuan Huang Lian, roasted, removes heat accumulation and alcohol accumulation, each 2 qian)
The above are ground into fine powder, formed into pills the size of hemp seeds using Pig Gallbladder juice. Each dose is 30 pills, taken down with Atractylodes Macrocephala Rhizome Decoction.
Another version contains 5 fen of Aloe Vera.
Another Prescription Treats pediatric Gan disease.
Scutellaria Baicalensis Root (Huang Lian) Atractylodes Macrocephala Rhizome (Bai Zhu) Hawthorn Flesh (Shan Zha Rou, each 5 qian) Picrorhiza Rhizome (Hu Huang Lian) Aloe Vera (Lu Hui, each 3 qian, ground separately) Elaeagnus Seed (Wu Ti, 2.5 qian) Medicated Leaven (Shen Qu, roasted, 2 qian)
The above are ground into fine powder, formed into pills the size of hemp seeds using Pig Gallbladder juice. Adjust the number of pills based on the child's size.
(Ancestral Prescription)
Bing Lang Wan (Areca Seed Pill) For pediatric Gan disease, Qi accumulation forming masses, abdominal distension with parasites, etc., its efficacy is miraculous.
Areca Seed (Bing Lang, 1 liang) Burreed Tuber (San Leng, baked to remove hairs, sliced, vinegar-roasted) Curcuma Longa Rhizome (Peng E Zhu, vinegar-roasted, each 5 qian) Green Tangerine Peel (Qing Pi, pith removed, bran-roasted to yellow) Tangerine Peel (Chen Pi, pith removed, each 5 qian) Omphalia Lapidea (Lei Wan, shelled, 5 qian) Elaeagnus Seed (Wu Ti, washed with water, 2.5 qian)
Chrysanthemum Carpesium Fruit (He Shi, 3 qian, lightly roasted) Dry Lacquer (Gan Qi, 5 qian, roasted until no smoke) Aucklandia Root (Mu Xiang, 3 qian, avoid fire) Amomum Fructus (Sha Ren, 1 qian) Galangal (Liang Jiang, 2 qian, roasted with earth from east-facing wall) Wheat Flour (Mai Mian, 5 qian, roasted) Picrorhiza Rhizome (Hu Huang Lian, 3 qian) Licorice Root (Gan Cao, roasted, 3 qian) Medicated Leaven (Shen Qu, roasted to yellow, 5 qian) Hawthorn Flesh (Shan Zha Rou, 5 qian)
The above are ground into fine powder, formed into pills the size of mung beans using vinegar paste. Each dose is 30-50 pills, taken on an empty stomach with light Ginger Decoction.