大人为劳小儿疳，乳食伤脾是病原，甘肥失节生积热，气血津液被熬煎，
初患尿泔午潮热，日久青筋肚大坚，面色青黄肌肉瘦，皮毛憔悴眼睛晛．
[注]
大人者十五岁以上也，病则为劳，
若十五岁以下者，皆名为疳，
缘所禀之气血虚弱，藏府娇嫩，易于受伤，
或因乳食过饱，或因肥甘无节，
停滞中脘，传化迟滞，肠胃渐伤，则生积热，热盛成疳，
则消耗气血，前灼津液，
凡疳病初起，尿如米泔，午后潮热，
日久失治，致令青筋暴露，肚大坚硬，面色青黄，肌肉消瘦，
皮毛憔悴，眼睛发晛，而疳证成矣，
然当分其所属而治之，庶不致有误也。
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疳证门
脾疳面黄肌消瘦，身热困倦喜睡眠，心下痞硬满肿胀，卧冷食泥腹痛坚，
头大颈细食懒进，吐泻烦渴便腥粘，攻积消疳肥儿治，补脾参苓白术先。
[注]
脾属土，色黄主肌肉，
故脾疳则见面黄肌肉消瘦，身体发热，困倦喜睡，
心下痞硬乳食懒进，睡卧喜冷，好食泥土，肚腹坚硬疼痛，
头大颈细，有时吐泻，口干烦渴，大便腥粘之证也，
宜先攻其积，用消疳理脾汤肥儿丸主之，
积退然后调理其脾，以参苓白术散主之。
(消疳理脾汤) 芜荑 三棱 莪术 青皮炒 陈皮 芦荟 槟榔
史君子肉 甘草生 川黄连 胡黄连 麦芽炒 神麴炒 引用灯心水煎服。
(方歌)
消疳理脾用芜荑，三棱莪术青陈皮 芦荟槟榔史君草， 连胡连麦芽麴。
(肥儿丸) 人参二钱半 白术五钱土炒 茯苓三钱 黄连二钱
胡黄连五钱 史君子肉四钱神麴炒 麦芽炒 山查肉各三钱半
甘草钱半炙 芦荟二钱半煆 以上为末，黄米糊丸，如黍米大，
每服二三十丸，米汤化下。
(参苓白术散) 人参二钱 茯苓 白术土炒 扁豆炒 薏米炒
山药各五钱炒 陈皮三钱 缩砂 桔梗各二钱 甘草一钱炙 建莲子五钱去心
以上共为细末 每服一钱，老米汤调服。
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疳证门
大人在十五岁以上，若患病称为“劳”；十五岁以下者，均称为“疳”。这是因为小儿先天禀赋的气血虚弱，脏腑娇嫩，容易受到损伤。如果因为乳食过量，或者肥甘厚味没有节制，导致食物停滞在中脘（胃脘部），传导消化迟缓，肠胃逐渐受损，从而产生积热。热盛则形成疳证，进而消耗气血，灼烧津液。
凡是疳病初起时，小便像米泔水一样浑浊，午后出现潮热；日久不治疗，会导致青筋暴露，腹部胀大坚硬，面色青黄，肌肉消瘦，皮毛憔悴，眼睛昏暗无神，这样疳证就形成了。然而应当根据疳证所属的脏腑进行辨证治疗，才不会出错。
脾疳的症状包括：面色发黄，肌肉消瘦，身体发热，困倦乏力，喜欢睡觉，心下（胃脘部）痞塞硬满肿胀，喜欢睡凉处，想吃泥土，腹痛且腹部坚硬，头大颈细，食欲减退，呕吐腹泻，心烦口渴，大便腥臭粘腻。治疗上应先攻逐积滞、消除疳积，使用肥儿丸治疗；补脾则先用参苓白术散。
[注]
脾属土，颜色为黄，主司肌肉，所以脾疳会出现面色发黄、肌肉消瘦，身体发热，困倦嗜睡，心下痞塞硬满、乳食不进，睡卧喜冷，爱吃泥土，肚腹坚硬疼痛，头大颈细，有时呕吐腹泻，口干心烦口渴，大便腥粘等症状。适宜先攻除积滞，用消疳理脾汤或肥儿丸主治；积滞消退后，再调理脾胃，以参苓白术散主治。
(消疳理脾汤) 组成：芜荑、三棱、莪术、炒青皮、陈皮、芦荟、槟榔、史君子肉、生甘草、川黄连、胡黄连、炒麦芽、炒神麴。引用灯心草煎服。
(方歌)
消疳理脾用芜荑，三棱莪术青陈皮。芦荟槟榔史君草，连胡连麦芽麴。
(肥儿丸) 组成：人参二钱半，白术五钱（土炒），茯苓三钱，黄连二钱，胡黄连五钱，史君子肉四钱，炒神麴、炒麦芽、山楂肉各三钱半，炙甘草一钱半，煅芦荟二钱半。以上药物研为细末，用黄米糊制成丸药，大小如黍米。每次服用二三十丸，用米汤送服化开。
(参苓白术散) 组成：人参二钱，茯苓，土炒白术，炒扁豆，炒薏米，炒山药各五钱，陈皮三钱，缩砂仁、桔梗各二钱，炙甘草一钱，去心建莲子五钱。以上共研为细末。每次服用一钱，用老米汤调服。
An adult refers to a person over fifteen years of age; if they fall ill, it is termed "Lao" (Consumptive Disease). Those under fifteen are all termed "Gan" (Infantile Malnutrition). This is because children possess deficient Qi and Blood from congenital endowment, and their Zang-Fu organs are delicate and susceptible to injury. If caused by excessive intake of milk and food, or unregulated consumption of rich and sweet foods, the food stagnates in the Zhongwan (epigastrium), leading to sluggish digestion and transmission. The intestines and stomach are gradually damaged, generating accumulated heat. Excessive heat transforms into Gan syndrome, which then consumes Qi and Blood and scorches Body Fluids.
In the initial stage of Gan disease, the urine is turbid like rice wash water, and there is tidal fever in the afternoon. If left untreated for a long time, superficial veins become exposed, the abdomen becomes distended and hard, the complexion is greenish-yellow, muscles emaciate, skin and hair become withered, and the eyes appear dim. Thus, Gan syndrome is established. However, treatment must be differentiated according to the affected organ to avoid errors.
Spleen Gan presents with yellowish complexion, muscle emaciation, body heat, fatigue, and a preference for sleep. There is epigastric fullness, hardness, and swelling; a preference for sleeping on cool surfaces and eating dirt; abdominal pain with a hard abdomen; a large head with a thin neck; poor appetite; vomiting and diarrhea; irritability and thirst; and foul-smelling, sticky stools. Treatment should first attack the accumulation and eliminate Gan using Fei'er Wan (Fetus-Enriching Pill); to tonify the Spleen, Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) is used first.
[Note]
The Spleen belongs to Earth, its color is yellow, and it governs muscles. Therefore, Spleen Gan manifests as yellowish complexion and muscle emaciation, body heat, fatigue, and somnolence; epigastric stuffiness and hardness with anorexia; a preference for cool sleeping surfaces and geophagia; abdominal pain with a hard abdomen; macrocephaly with cervical thinning; occasional vomiting and diarrhea; dry mouth with irritability and thirst; and foul, sticky stools. It is appropriate to first purge the accumulation, treating with Xiaogan Lipi Tang (Accumulation-Eliminating and Spleen-Regulating Decoction) or Fei'er Wan (Fetus-Enriching Pill). After the accumulation recedes, regulate the Spleen and Stomach using Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder).
(Xiaogan Lipi Tang / Accumulation-Eliminating and Spleen-Regulating Decoction): Ingredients include: Trogopterus Dung (Wuyi), Burreed Tuber (Sanleng), Curcuma Rhizome (Ezhu), Fried Green Tangerine Peel (Qingpi), Tangerine Peel (Chenpi), Aloe (Luhui), Areca Seed (Binglang), Jujube Kernel (Shijunzi), Raw Licorice Root (Gancao), Coptis Rhizome (Chuan Huanglian), Picrorhiza Rhizome (Hu Huanglian), Fried Malt (Maiya), and Fried Medicated Leaven (Shenqu). Decoct with Centella Herb (Dengxincao) as a guide.
(Fang Ge / Formula Song):
Xiaogan Lipi yong Wuyi, Sanleng Ezhu Qing Chenpi.
Luhui Binglang Shijun cao, Lian Hu Lian Maiya Qu.
(Fei'er Wan / Fetus-Enriching Pill): Ginseng (Renshen) 2.5 qian, Atractylodes Macrocephala Rhizome (Baizhu) 5 qian (soil-fried), Poria (Fuling) 3 qian, Coptis Rhizome (Huanglian) 2 qian, Picrorhiza Rhizome (Hu Huanglian) 5 qian, Jujube Kernel (Shijunzi Rou) 4 qian, Fried Medicated Leaven (Shenqu Chao), Fried Malt (Maiya Chao), Hawthorn Fruit (Shanzha Rou) each 3.5 qian, Honey-fried Licorice Root (Gancao) 1.5 qian, Calcined Aloe (Luhui) 2.5 qian. Grind the above into fine powder, mix with yellow millet paste to form pills the size of mustard seeds. Take 20-30 pills per dose, dissolved in rice soup.
(Shenling Baizhu San / Ginseng, Poria, and Atractylodes Macrocephala Powder): Ginseng (Renshen) 2 qian, Poria (Fuling), Soil-fried Atractylodes Macrocephala Rhizome (Baizhu), Fried Coix Seed (Bian Dou), Fried Coix Seed (Yimi), Fried Chinese Yam (Shanyao) each 5 qian, Tangerine Peel (Chenpi) 3 qian, Amomum Fruit (Suosha), Platycodon Root (Jiegeng) each 2 qian, Honey-fried Licorice Root (Gancao) 1 qian, Heartless Lotus Seed (Jiansu Lianzi) 5 qian. Grind the above into fine powder. Take 1 qian per dose, mixed with old rice soup.