凡疳证以加味肥儿丸、黄连肥儿丸主之，通神丸、蚵皮丸之类。热疳以木香丸。外疳耳鼻
多生疮者，烂香散。心疳以茯苓丸、钱氏安神丸。肝疳以生地黄汤、天麻丸。脾疳以钱氏益
黄散。肺疳以清肺饮、化 丸、钱氏阿胶散。肾疳以地黄丸。各以类而求之，不可妄意投药，
稍有差殊，卒致不救。
诸疳通用方
加味肥儿丸 治诸疳身黄肚大，痞块，泄泻，瘦弱。
胡黄连（半两） 川黄连 木香 槟榔 三棱 莪术（煨） 青皮 陈皮 神曲（炒）
麦芽（炒。各一两） 使君子（去壳浸去皮） 香附子（制） 芦荟（各半两）
上为末，以神曲、麦芽面打糊为丸，绿豆大。空心，米饮下三、四十丸。如小儿无热，
去胡黄连，泄泻加肉豆蔻、人参、茯苓。
大芦荟丸 治疳杀虫，和胃止泻。
芦荟 黄连 胡黄连 木香 槟榔 芜荑 雷丸（白者佳，赤者毒） 青皮（各半两）
藿香（少许另研）
上为末，用猪胆汁丸，麻仁大。每服十余丸，米饮下。
五疳保童丸 治小儿一切疳证，无不保安。
蟾头（一枚，炙令黄色） 白鳝头（炙焦黄） 龙胆草 芦荟（各二钱） 黄连 胡黄连
五倍子 苦楝根皮 夜明砂 天将子（各五钱） 麝香（五分） 青皮（五钱） 熊胆（一全）
雄黄（二钱） 青黛（三钱）
上为细末，糯米饭丸，麻子大。一岁儿二十丸，米饮下，不拘时，日进三服。
五疳消食丸 治小儿五疳八痢，肚大青筋，疗痨疳，走马牙疳，唇烂口臭。此药中和，大能
进食长肌。
使君子（去皮壳） 芜荑 黄连 橘皮 麦芽 龙胆草（各等分）
上为细末，粟米糊丸，黍米大。每服三十丸，空心，米饮下。
通神丸 治小儿冷热疳。
川黄连 胡黄连（各二钱） 芜荑 使君子 木香（各一钱） 丁香（五分） 肉豆蔻（一钱）
大虾蟆（酥炙为末）
上为末，饭丸，黍米大。每服十丸，米饮下。
肥儿丸 治诸疳多因少乳，吃食太早，或因病久，胃虚脾弱生虫 日渐黄瘦，肚大青筋，
不能行立，发竖发热，口臭牙疳。
川黄连（姜炒） 神曲（炒） 麦芽（炒。各半两） 槟榔（二枚） 木香（二钱） 肉豆蔻
使君子（煨。各半两）
上为末，曲糊丸，麻子大。每服三十丸，米饮下。
心疳剂
茯神丸 治小儿心疳热。
茯神 茯苓 远志（姜炒） 黄连（炒） 琥珀（各三钱） 钩藤 虾蟆（ 。各二钱）
菖蒲（一钱） 芦荟（五分） 麝香（二分半）
上为极细末，粟米煮糊丸，如黍米大。薄荷煎汤下一、二十丸。
安神丸 治小儿心疳惊热。（方见惊门。）
龙胆丸 治小儿心疳，颊赤面黄，鼻干心燥，口内生疮，惊悸。
龙胆草 赤茯苓 川黄连 胡黄连 朱砂（二钱） 麝香（一字）
上为极细末，蒸饼泡为丸，黍米大。每服二十丸，食远白汤下。
肝疳剂
天麻丸 治小儿肝疳、风疳、疳眼。
青黛 黄连 天麻 五灵脂 川芎 夜明砂 芦荟（各一钱） 龙胆草 防风 蝉蜕（去足。
各钱半） 全蝎（二枚焙） 麝香（少许）
上为末，猪胆汁浸糕丸，麻子大。每服十丸，薄荷汤下。
生熟地黄汤 治前证。
生干地黄 熟地黄 川芎 赤茯苓 枳壳 杏仁 黄连 半夏曲 天麻 地骨皮 甘草（炙。各二
钱半） 当归（二钱）
上咀每服二钱，姜三片、黑豆十五粒，水煎临卧服。
脾疳剂
灵脂丸 治小儿脾疳、食疳。
五灵脂（（水飞） 砂仁 白豆蔻仁 麦芽 莪术 青皮 使君子 陈皮（去白）
虾蟆（炙焦）
上为细末，面糊丸，黍米大。每服二十丸，米饮下。
捉疳丸 治小儿脾胃受疳，面黄腹胀，多睡如醉，吃生米、酒、土。
丁香 木香（各半两） 黄连 芜荑（去皮炒） 蚌粉 神曲（炒） 三棱（煨） 青皮（各二钱）
上为细末，猪胆汁煮糊丸，黍米大。食远米饮下。
肺疳剂
清肺汤 治肺疳，咳嗽多喘，揉鼻咬甲，寒热腹胀。
桑白皮 紫苏 前胡 黄芩 当归 天门冬 连翘 防风 赤茯苓 桔梗 生地黄
甘草（各二钱）
上咀，每服二钱，水煎服。
化 丸 治前证。
芜荑 芦荟 青黛 白芷梢 川芎 胡黄连 川黄连 虾蟆（ 。各一钱）
上为细末，猪胆汁浸，米糕丸，黍米大。杏仁煎汤，临卧服。
肾疳剂
地黄丸治小儿肾疳。
熟地黄（四钱半） 赤茯苓 山茱萸肉（焙干） 牡丹皮 山药（炒。各三钱） 使君子（略煨）
当归 川芎 川楝子（焙。各二钱）
上为末，炼蜜丸，梧桐子大。每服三十丸，空心服。
蛔疳
下虫丸 治小儿蛔疳诸虫。
新白苦楝根皮（酒浸炒） 绿色贯众 木香 桃仁（泡去皮尖） 芜荑 尖槟榔 鹤虱（炒。各二钱）
轻粉（五分） 干虾蟆（炙焦二钱） 使君子肉（微炒，五十枚）
上为末，糊丸，麻子大。每服十丸，白汤下。
香蔻丸 治小儿疳泻。
黄连（三钱炒） 肉豆蔻 木香 诃子（煨） 茯苓 砂仁（各一钱）
上为细末，粳米饭为丸，麻子大。每服十五丸，姜汤下。
痨疳
痨疳者，潮热往来，五心烦热，盗汗骨蒸，咳嗽憔悴，或泻而渴，腹硬如石，面色如熏，
此皆不治之证。
黄 汤 治痨疳。
黄 人参 当归 川芎 芍药 生地黄 虾蟆（炙去足） 鳖甲（炙焦。各钱半） 茯苓
陈皮 半夏曲 柴胡 使君子（煨。各一钱）
上咀，姜三片、枣一枚煎，作三次，食前服。
至圣丸 治冷疳，时时泄泻，虚汗不止。
木香 丁香（各一钱） 浓朴（制，三钱） 使君子（二十枚，炮） 肉豆蔻（一钱） 陈皮（三钱）
上为末，神曲糊丸，麻子大。每服七丸，食前米饮下。
蒸鸡丸 治痨疳，骨蒸潮热，面黄肌瘦，日夜啼哭，多渴少食。
黄连 柴胡 使君子 丹参 秦艽 知母 芜荑（各一两） 鹤虱（半两）
上为末，以黄雄鸡一只，重一斤者，以火麻子 之五、七日，去毛令净，于肋上开一
孔，去肚杂净，拭干，入前药于中，以线缝之。用黑豆铺甑底二寸浓，安鸡于豆上，又以豆盖
之，蒸之，自早至晚，候冷，取鸡肉和药烂捣如泥，如硬，入酒糊和之，丸如绿豆大。每一岁
儿服二十丸，米饮下，二岁三十丸。忌食猪肉、黄鸡肉。
鳖血煎 治小儿痨疳。
川黄连 胡黄连（各二两） 柴胡 川芎（各半两） 芜荑（三钱） 使君子（煨二十枚）
人参（三钱）
上用鳖血一杯，吴茱萸半两拌和二连，腌一宿，次早炒干，只用二连和前药为末，粟米糊
丸黍米大，米饮下十丸。
无辜疳
无辜疳者，脑后及项结核如弹，按之活动，软而不痛，久则肢体痈疮，便利脓血，壮
热黄瘦，头露骨高是也。一云儿衣夜露天空之下，无辜鸟羽所染，儿着此衣，感其恶气，
遂成无辜疳证。此其说之不近理者，君子
审之。
蚵 丸（一名粪蛆丸，一名五谷精） 治小儿无辜诸疳，一服退热，一服止渴，一服住泻。
蟾蜍（一枚，则癞虾蟆。六月多在沟渠园地上，不跳不鸣，腹大，身如癞皮。投于尿
桶中，取大粪蛆一杓投入，虾蟆食蛆，蛆食虾蟆，久久，蛆食之尽。然后，以布袋或密囊盛蛆于
急流水中漂一日，取起铺大石板上，于日中晒死，干燥为末，入麝少许饭和）
上捣为丸，黍米大。每服二、三十丸，米饮下。此方累有活幼之功。
《幼科发挥》中说：小儿身体消瘦细弱称为疳劳。虎口脉纹呈现青白色是疳证的表现。
凡是疳证，主要使用加味肥儿丸、黄连肥儿丸治疗，以及通神丸、蚵皮丸等方剂。热疳使用木香丸。外疳表现为耳鼻周围多生疮疡的，使用烂香散。心疳使用茯苓丸、钱氏安神丸。肝疳使用生地黄汤、天麻丸。脾疳使用钱氏益黄散。肺疳使用清肺饮、化虫丸（原文缺字，据方义补）、钱氏阿胶散。肾疳使用地黄丸。各型疳证应分类求治，不可随意乱投药物，稍有偏差，就会导致无法救治的后果。
诸疳通用方剂
加味肥儿丸 治疗各种疳证引起的面色萎黄、腹部胀大、痞块积聚、泄泻、身体瘦弱。
胡黄连（半两） 川黄连 木香 槟榔 三棱 莪术（煨制） 青皮 陈皮 神曲（炒制）
麦芽（炒制。以上各一两） 使君子（去壳浸泡去皮） 香附子（炮制） 芦荟（各半两）
以上研为细末，用神曲、麦芽粉打糊制成丸药，大小如绿豆。空腹时，米汤送服三十至四十丸。如果小儿没有热象，去掉胡黄连；如果有泄泻，加入肉豆蔻、人参、茯苓。
大芦荟丸 治疗疳证以杀虫为主，调和胃气并止泻。
芦荟 黄连 胡黄连 木香 槟榔 芜荑 雷丸（白色者佳，红色者有毒） 青皮（各半两）
藿香（少许，单独研磨）
以上研为细末，用猪胆汁泛丸，大小如麻仁。每次服用十余丸，米汤送服。
五疳保童丸 治疗小儿各种疳证，无不保全安康。
蟾头（一枚，炙至黄色） 白鳝头（炙至焦黄） 龙胆草 芦荟（各二钱） 黄连 胡黄连
五倍子 苦楝根皮 夜明砂 天将子（各五钱） 麝香（五分） 青皮（五钱） 熊胆（一个全量）
雄黄（二钱） 青黛（三钱）
以上研为极细末，用糯米饭和丸，大小如麻子。一岁的儿童服用二十丸，米汤送服，不限时间，每日进服三次。
五疳消食丸 治疗小儿五疳及八种痢疾，腹部胀大且可见青筋，治疗虚劳疳证，走马牙疳，嘴唇溃烂口臭。此药性质平和，非常能促进食欲和肌肉生长。
使君子（去皮壳） 芜荑 黄连 橘皮 麦芽 龙胆草（各等分）
以上研为细末，用粟米糊和丸，大小如黍米。每次服用三十丸，空腹时，米汤送服。
通神丸 治疗小儿冷热疳。
川黄连 胡黄连（各二钱） 芜荑 使君子 木香（各一钱） 丁香（五分） 肉豆蔻（一钱）
大虾蟆（酥炙后研为细末）
以上研为细末，用米饭和丸，大小如黍米。每次服用十丸，米汤送服。
肥儿丸 治疗各种疳证多因乳汁不足，进食过早，或因久病导致胃虚脾弱而生虫，日渐面色萎黄消瘦，腹部胀大可见青筋，不能行走站立，头发竖起发热，口臭牙疳。
川黄连（姜汁炒） 神曲（炒制） 麦芽（炒制。以上各半两） 槟榔（二枚） 木香（二钱） 肉豆蔻
使君子（煨制。以上各半两）
以上研为细末，用曲糊和丸，大小如麻子。每次服用三十丸，米汤送服。
心疳专用方剂
茯神丸 治疗小儿心疳热。
茯神 茯苓 远志（姜汁炒） 黄连（炒制） 琥珀（各三钱） 钩藤 虾蟆（焙干。以上各二钱）
石菖蒲（一钱） 芦荟（五分） 麝香（二分半）
以上研为极细末，用粟米煮糊和丸，大小如黍米。用薄荷煎汤送服一至二十丸。
龙胆丸 治疗小儿心疳，脸颊红赤面色发黄，鼻干心烦，口内生疮，惊悸不安。
龙胆草 赤茯苓 川黄连 胡黄连 朱砂（二钱） 麝香（一字量）
以上研为极细末，用蒸饼泡软和丸，大小如黍米。每次服用二十丸，饭后稍后用白开水送服。
肝疳专用方剂
天麻丸 治疗小儿肝疳、风疳、疳眼。
青黛 黄连 天麻 五灵脂 川芎 夜明砂 芦荟（各一钱） 龙胆草 防风 蝉蜕（去足。以上各钱半）
全蝎（二枚，焙干） 麝香（少许）
以上研为细末，用猪胆汁浸透米糕和丸，大小如麻子。每次服用十丸，薄荷汤送服。
生熟地黄汤 治疗上述证候。
生干地黄 熟地黄 川芎 赤茯苓 枳壳 杏仁 黄连 半夏曲 天麻 地骨皮 甘草（炙制。以上各二钱半） 当归（二钱）
以上切碎，每次服用二钱，加生姜三片、黑豆十五粒，水煎，临睡前服用。
脾疳专用方剂
灵脂丸 治疗小儿脾疳、食疳。
五灵脂（水飞法处理） 砂仁 白豆蔻仁 麦芽 莪术 青皮 使君子 陈皮（去白）
虾蟆（炙至焦黄）
以上研为细末，用面糊和丸，大小如黍米。每次服用二十丸，米汤送服。
捉疳丸 治疗小儿脾胃受疳邪侵袭，面色萎黄腹胀，嗜睡如醉，吃生米、酒、泥土。
丁香 木香（各半两） 黄连 芜荑（去皮炒制） 蚌粉 神曲（炒制） 三棱（煨制） 青皮（各二钱）
以上研为细末，用猪胆汁煮糊和丸，大小如黍米。饭后稍后用米汤送服。
肺疳专用方剂
清肺汤 治疗肺疳，咳嗽气喘多，揉鼻子咬指甲，寒热交替，腹部胀满。
桑白皮 紫苏 前胡 黄芩 当归 天门冬 连翘 防风 赤茯苓 桔梗 生地黄
甘草（各二钱）
以上切碎，每次服用二钱，水煎服。
化虫丸 治疗上述证候。
芜荑 芦荟 青黛 白芷梢 川芎 胡黄连 川黄连 虾蟆（焙干。以上各一钱）
以上研为细末，用猪胆汁浸透，米糕和丸，大小如黍米。用杏仁煎汤，临睡前服用。
肾疳专用方剂
地黄丸 治疗小儿肾疳。
熟地黄（四钱半） 赤茯苓 山茱萸肉（焙干） 牡丹皮 山药（炒制。以上各三钱） 使君子（略煨）
当归 川芎 川楝子（焙制。以上各二钱）
以上研为细末，用炼蜜和丸，大小如梧桐子。每次服用三十丸，空腹服用。
蛔疳专用方剂
下虫丸 治疗小儿蛔疳及各种寄生虫。
新白苦楝根皮（酒浸炒制） 绿色贯众 木香 桃仁（泡去皮尖） 芜荑 尖槟榔 鹤虱（炒制。以上各二钱）
轻粉（五分） 干虾蟆（炙至焦黄二钱） 使君子肉（微炒，五十枚）
以上研为细末，糊丸，大小如麻子。每次服用十丸，白开水送服。
香蔻丸 治疗小儿疳泻。
黄连（三钱炒制） 肉豆蔻 木香 诃子（煨制） 茯苓 砂仁（各一钱）
以上研为细末，用粳米饭和丸，大小如麻子。每次服用十五丸，姜汤送服。
痨疳专用方剂
痨疳的症状是：潮热往来，五心烦热，盗汗骨蒸，咳嗽憔悴，或者腹泻口渴，腹部坚硬如石，面色如烟熏，这些都是难以治愈的证候。
黄芪汤 治疗痨疳。
黄芪 人参 当归 川芎 芍药 生地黄 虾蟆（炙去足） 鳖甲（炙至焦黄。以上各钱半） 茯苓
陈皮 半夏曲 柴胡 使君子（煨制。以上各一钱）
以上切碎，加生姜三片、大枣一枚煎煮，分三次服用，饭前服用。
至圣丸 治疗冷疳，时时泄泻，虚汗不止。
木香 丁香（各一钱） 浓朴（炮制，三钱） 使君子（二十枚，炮制） 肉豆蔻（一钱） 陈皮（三钱）
以上研为细末，用神曲糊和丸，大小如麻子。每次服用七丸，饭前米汤送服。
蒸鸡丸 治疗痨疳，骨蒸潮热，面色萎黄肌肉消瘦，日夜啼哭，多渴少食。
黄连 柴胡 使君子 丹参 秦艽 知母 芜荑（各一两） 鹤虱（半两）
以上研为细末，取一只重一斤的黄雄鸡，用火麻子填充其体内五到七日，去毛洗净，在肋骨上开一孔，去除内脏洗净擦干，将上述药物放入鸡腹中，用线缝合。用黑豆铺在蒸笼底厚约二寸，将鸡放在豆上，再用豆子覆盖，蒸煮，从早到晚，待冷却后，取出鸡肉与药物一起捣烂如泥，如果太硬，加入酒糊调和，制成如绿豆大的丸药。每岁儿童服用二十丸，米汤送服，两岁儿童服用三十丸。忌食猪肉、黄鸡肉。
鳖血煎 治疗小儿痨疳。
川黄连 胡黄连（各二两） 柴胡 川芎（各半两） 芜荑（三钱） 使君子（煨制二十枚）
人参（三钱）
以上用一杯鳖血，拌入半两吴茱萸，与黄连混合，腌制一夜，次日早晨炒干，只用这两味黄连与其他药物研为细末，粟米糊和丸，大小如黍米，米汤送服十丸。
无辜疳专用方剂
无辜疳的症状是：脑后及颈部淋巴结肿大如弹丸，按压活动，柔软不痛，日久则肢体出现痈疮，大小便脓血，高热黄瘦，头骨突出高耸。有一种说法是婴儿衣物夜间露宿天空之下，被无辜鸟羽毛沾染，婴儿穿上此衣，感受其恶气，遂成无辜疳证。这种说法不合情理，君子应当审慎辨别。
蚵皮丸（一名粪蛆丸，一名五谷精） 治疗小儿无辜疳及其他各种疳证，服用一次退热，服用一次止渴，服用一次止泻。
蟾蜍（一枚，即癞蛤蟆。六月多在沟渠园地上，不跳不鸣，腹部大，皮肤如癞皮。投入尿桶中，取一大勺大粪蛆投入，蛤蟆吃蛆，蛆吃蛤蟆，久而久之，蛆将蛤蟆吃尽。然后，用布袋或密囊盛装蛆虫在急流水中漂洗一日，取出铺在大石板上，在阳光下晒死，干燥后研为细末，加入少许麝香，用米饭调和）
以上捣烂制成丸药，大小如黍米。每次服用二三十丸，米汤送服。此方屡次有救活幼儿的功绩。
According to *Youke Fa Hui* (Enlightenment for Pediatrics): In children, extreme emaciation and thinness are termed "Gan Lao" (Wasting-Thirst Syndrome). A bluish-white coloration of the pulse pattern on the tiger's mouth (the radial aspect of the thumb) indicates Gan syndrome.
For all types of Gan syndrome, the primary treatments include Jiawei Fei'er Wan (Modified Fattening Child Pill), Huanglian Fei'er Wan (Coptis Fattening Child Pill), Tongshen Wan (Spirit-Connecting Pill), and Kepi Wan (Toad Skin Pill). For Re Gan (Heat Gan), Muxiang Wan (Aucklandia Pill) is used. For Wai Gan (External Gan), characterized by sores around the ears and nose, Lanxiang San (Rotting Incense Powder) is applied. For Xin Gan (Heart Gan), Fushen Wan (Poria Spirit Pill) and Qianshi Anshen Wan (Master Qian's Calming Spirit Pill) are prescribed. For Gan Gan (Liver Gan), Shengdi Huang Tang (Rehmannia Decoction) and Tianma Wan (Gastrodia Pill) are used. For Pi Gan (Spleen Gan), Qianshi Yihuang San (Master Qian's Spleen-Strengthening Powder) is indicated. For Fei Gan (Lung Gan), Qingfei Yin (Lung-Clearing Drink), Huachong Wan (Worm-Transforming Pill), and Qianshi Ejiao San (Master Qian's Donkey-Hide Gelatin Powder) are employed. For Shen Gan (Kidney Gan), Dihuang Wan (Rehmannia Pill) is used. Each type should be treated according to its specific category; one must not prescribe medications arbitrarily. Even a slight deviation can lead to untreatable consequences.
**General Formulas for All Gan Syndromes**
**Jiawei Fei'er Wan (Modified Fattening Child Pill)**
Indications: Various Gan syndromes presenting with sallow complexion, abdominal distension, palpable masses, diarrhea, and emaciation.
Ingredients: *Hydrastis Rhizoma* (Banliang), *Coptidis Rhizoma* (Chuan Huanglian), *Aucklandiae Radix* (Muxiang), *Arecae Semen* (Binglang), *Sparganii Rhizoma* (Sanleng), *Curcumae Rhizoma* (Ezhu, baked), *Aurantii Fructus Immaturus* (Qingpi), *Aurantii Fructus* (Chenpi), *Schisandrae Fructus Fermentatus* (Shenqu, stir-fried), *Hordei Fructus Germinatus* (Maiya, stir-fried; each 1 liang), *Quisqualis Fructus* (Shijunzi, shelled and soaked to remove skin), *Cyperi Rhizoma* (Xiangfuzi, processed), *Aloe* (Luhui; each banliang).
Preparation: Grind into fine powder. Use dough made from Shenqu and Maiya to bind into pills the size of mung beans. Take 30–40 pills on an empty stomach with rice water. If the child has no heat signs, remove Hydrastis Rhizoma. If diarrhea is present, add *Myristicae Semen* (Roudoukou), *Ginseng Radix* (Renshen), and *Poria* (Fuling).
**Da Luhui Wan (Large Aloe Pill)**
Indications: Gan syndrome; expels parasites, harmonizes the stomach, and stops diarrhea.
Ingredients: *Aloe*, *Coptidis Rhizoma*, *Hydrastis Rhizoma*, *Aucklandiae Radix*, *Arecae Semen*, *Pruni Semen* (Wuyi), *Omphalia Lapidea* (Leiluan; white ones are preferred, red ones are toxic), *Aurantii Fructus Immaturus* (each banliang), *Agastaches Herba* (Huoxiang, a small amount, ground separately).
Preparation: Grind into fine powder. Bind with pig bile into pills the size of hemp seeds. Take over ten pills per dose with rice water.
**Wu Gan Bao Tong Wan (Five Gan Child-Protection Pill)**
Indications: All types of pediatric Gan syndrome, ensuring safety and health.
Ingredients: *Bufo Bufo* head (one piece, baked until yellow), *Monopterus albus* head (baked until dark yellow), *Gentianae Radix* (Longdancao), *Aloe*, *Coptidis Rhizoma*, *Hydrastis Rhizoma* (each 2 qian), *Terminaliae Fructus* (Wubeizi), *Meliae Cortex Radicis* (Kulian Genpi), *Nyctibiidae Excrementum* (Yemingsha), *Tianjiangzi* (each 5 qian), *Moschus* (Shexiang, 5 fen), *Aurantii Fructus Immaturus* (5 qian), *Ursi Bile* (Xiongdan, one whole unit), *Realgar* (Xionghuang, 2 qian), *Indicum* (Qingdai, 3 qian).
Preparation: Grind into fine powder. Bind with glutinous rice paste into pills the size of hemp seeds. One-year-old infants take 20 pills with rice water at any time, three times daily.
**Wu Gan Xiaoshi Wan (Five Gan Digestion-Relieving Pill)**
Indications: Five Gan syndromes and eight types of dysentery in children, abdominal distension with visible veins, consumptive Gan syndrome, rapid-onset gum disease (Zouma Yagan), lip ulceration, and foul breath. This formula is balanced and greatly promotes appetite and muscle growth.
Ingredients: *Quisqualis Fructus* (shelled), *Pruni Semen*, *Coptidis Rhizoma*, *Citri Reticulatae Pericarpium* (Juapi), *Hordei Fructus Germinatus*, *Gentianae Radix* (equal parts).
Preparation: Grind into fine powder. Bind with millet paste into pills the size of broomcorn millet. Take 30 pills per dose on an empty stomach with rice water.
**Tongshen Wan (Spirit-Connecting Pill)**
Indications: Cold and Heat Gan syndromes in children.
Ingredients: *Coptidis Rhizoma*, *Hydrastis Rhizoma* (each 2 qian), *Pruni Semen*, *Quisqualis Fructus*, *Aucklandiae Radix* (each 1 qian), *Symplocos Fructus* (Dingxiang, 5 fen), *Myristicae Semen* (1 qian), *Bufo Bufo* (large toad, baked in butter and ground).
Preparation: Grind into fine powder. Bind with rice paste into pills the size of broomcorn millet. Take 10 pills per dose with rice water.
**Fei'er Wan (Fattening Child Pill)**
Indications: Various Gan syndromes often caused by insufficient breast milk, early introduction of solid food, or chronic illness leading to weak stomach and spleen, resulting in parasitic infestation. Symptoms include gradual sallow emaciation, abdominal distension with visible veins, inability to walk or stand, erect hair, fever, foul breath, and gum disease.
Ingredients: *Coptidis Rhizoma* (stir-fried with ginger juice), *Schisandrae Fructus Fermentatus* (stir-fried), *Hordei Fructus Germinatus* (stir-fried; each banliang), *Arecae Semen* (two pieces), *Aucklandiae Radix* (2 qian), *Myristicae Semen*, *Quisqualis Fructus* (baked; each banliang).
Preparation: Grind into fine powder. Bind with fermented grain paste into pills the size of hemp seeds. Take 30 pills per dose with rice water.
**Formulas for Heart Gan**
**Fushen Wan (Poria Spirit Pill)**
Indications: Heart Gan heat in children.
Ingredients: *Poria Cum Radix Xylomi* (Fushen), *Poria* (Fuling), *Polygalae Radix* (Yuanzhi, stir-fried with ginger juice), *Coptidis Rhizoma* (stir-fried), *Electroplachi Carapax et Plastrum* (Hupo; each 3 qian), *Uncariae Ramulus cum Uncis* (Gouteng), *Bufo Bufo* (baked; each 2 qian), *Acori Tatarinowii Rhizoma* (Changpu, 1 qian), *Aloe* (5 fen), *Moschus* (Shexiang, 2.5 fen).
Preparation: Grind into extremely fine powder. Bind with millet paste cooked into a glue-like consistency into pills the size of broomcorn millet. Take 10–20 pills with decoction of *Menthae Haplocalycis Herba* (Bohe).
**Anshen Wan (Calming Spirit Pill)**
Indications: Heart Gan with fright and heat. (Formula see Jing Men chapter.)
**Longdan Wan (Gentian Pill)**
Indications: Heart Gan in children, presenting with reddish cheeks, sallow face, dry nose, mental restlessness, oral ulcers, and palpitations/fright.
Ingredients: *Gentianae Radix*, *Poria* (Chifuling), *Coptidis Rhizoma*, *Hydrastis Rhizoma*, *Cinnabaris* (Zhusha, 2 qian), *Moschus* (Shexiang, one character weight).
Preparation: Grind into extremely fine powder. Bind with steamed wheat cake paste into pills the size of broomcorn millet. Take 20 pills per dose with warm water long after meals.
**Formulas for Liver Gan**
**Tianma Wan (Gastrodia Pill)**
Indications: Liver Gan, Wind Gan, and Gan eyes in children.
Ingredients: *Indicum*, *Coptidis Rhizoma*, *Gastrodiae Rhizoma* (Tianma), *Trogopterori Faeces* (Wulingzhi), *Chuanxiong Rhizoma*, *Nyctibiidae Excrementum* (Yemingsha), *Aloe* (each 1 qian), *Gentianae Radix*, *Saposhnikoviae Radix* (Fangfeng), *Cicadae Molitio* (Chantui, feet removed; each 1.5 qian), *Scorpio* (Quanxie, two pieces, baked), *Moschus* (Shexiang, a small amount).
Preparation: Grind into fine powder. Soak rice cake in pig bile and bind into pills the size of hemp seeds. Take 10 pills per dose with mint tea.
**Sheng Shu Dihuang Tang (Raw and Cooked Rehmannia Decoction)**
Indications: Treats the aforementioned conditions.
Ingredients: *Rehmanniae Radix Recens* (Sheng Dihuang), *Rehmanniae Radix Praeparata* (Shu Dihuang), *Chuanxiong Rhizoma*, *Poria* (Chifuling), *Aurantii Fructus* (Zhiqiao), *Amygdalus Semen* (Xingren), *Coptidis Rhizoma*, *Pinelliae Praeparata* (Banxia Qu), *Gastrodiae Rhizoma*, *Phellodendri Cortex* (Digupi), *Glycyrrhizae Radix et Rhizoma* (Gancao, baked; each 2.5 qian), *Angelicae Sinensis Radix* (2 qian).
Preparation: Cut into pieces. Take 2 qian per dose, add three slices of ginger and fifteen black soybeans, decoct in water, and take before bed.
**Formulas for Spleen Gan**
**Lingzhi Wan (Trogopterorus Pill)**
Indications: Spleen Gan and Food Stagnation Gan in children.
Ingredients: *Trogopterori Faeces* (water-flown), *Amomi Fructus* (Sharen), *Amomi Fructus Rotundus* (Baidoukou Ren), *Hordei Fructus Germinatus*, *Curcumae Rhizoma*, *Aurantii Fructus Immaturus*, *Quisqualis Fructus*, *Citri Reticulatae Pericarpium* (peeled), *Bufo Bufo* (baked until dark yellow).
Preparation: Grind into fine powder. Bind with flour paste into pills the size of broomcorn millet. Take 20 pills per dose with rice water.
**Zhuo Gan Wan (Grasping Gan Pill)**
Indications: Spleen and Stomach affected by Gan pathogen, presenting with sallow complexion, abdominal distension, excessive sleepiness resembling drunkenness, and pica (eating raw rice, wine, or soil).
Ingredients: *Symplocos Fructus* (Dingxiang), *Aucklandiae Radix* (each banliang), *Coptidis Rhizoma*, *Pruni Semen* (peeled and stir-fried), *Concha Margaritifera Interior* (Bangfen), *Schisandrae Fructus Fermentatus* (stir-fried), *Sparganii Rhizoma* (baked), *Aurantii Fructus Immaturus* (each 2 qian).
Preparation: Grind into fine powder. Bind with pig bile paste into pills the size of broomcorn millet. Take long after meals with rice water.
**Formulas for Lung Gan**
**Qingfei Tang (Lung-Clearing Decoction)**
Indications: Lung Gan, presenting with frequent coughing and wheezing, rubbing nose, biting nails, alternating chills and fever, and abdominal distension.
Ingredients: *Morus Albae Cortex Radicis* (Sangbaipi), *Perillae Folium* (Zisu), *Peucedani Radix* (Qianhu), *Scutellariae Radix* (Huangqin), *Angelicae Sinensis Radix*, *Asparagi Radix* (Tiandong), *Forsythiae Fructum* (Lianqiao), *Saposhnikoviae Radix*, *Poria* (Chifuling), *Platycodonis Radix* (Jiegeng), *Rehmanniae Radix Recens* (Shengdihuang), *Glycyrrhizae Radix et Rhizoma* (Gancao; each 2 qian).
Preparation: Cut into pieces. Take 2 qian per dose, decoct in water, and take orally.
**Huachong Wan (Worm-Transforming Pill)**
Indications: Treats the aforementioned condition.
Ingredients: *Pruni Semen*, *Aloe*, *Indicum*, *Angelicae Dahuricae Radix* (Baizhi Shao), *Chuanxiong Rhizoma*, *Hydrastis Rhizoma*, *Coptidis Rhizoma*, *Bufo Bufo* (baked; each 1 qian).
Preparation: Grind into fine powder. Soak in pig bile, bind with rice cake into pills the size of broomcorn millet. Take with apricot kernel decoction before bed.
**Formulas for Kidney Gan**
**Dihuang Wan (Rehmannia Pill)**
Indications: Kidney Gan in children.
Ingredients: *Rehmanniae Radix Praeparata* (4.5 qian), *Poria* (Chifuling), *Corni Fructus* (Shanzhuyu, dried by baking), *Moutan Cortex* (Mudanpi), *Dioscoreae Rhizoma* (Shanyao, stir-fried; each 3 qian), *Quisqualis Fructus* (lightly baked), *Angelicae Sinensis Radix*, *Chuanxiong Rhizoma*, *Toosendan Fructus* (Chuanlianzi, baked; each 2 qian).
Preparation: Grind into fine powder. Bind with refined honey into pills the size of golden rain tree seeds. Take 30 pills per dose on an empty stomach.
**Formulas for Roundworm Gan**
**Xiachong Wan (Parasite-Expelling Pill)**
Indications: Roundworm Gan and various parasites in children.
Ingredients: *Meliae Cortex Radicis* (fresh white bark, soaked in wine and stir-fried), *Cyathulae Radix* (green Guanzhong), *Aucklandiae Radix*, *Persicae Semen* (soaked, skin and tip removed), *Pruni Semen*, *Arecae Semen* (sharp end), *Pyrethri Flos* (Chao Loushi; each 2 qian), *Calomel* (Qingfen, 5 fen), *Dry Bufo Bufo* (baked until dark yellow, 2 qian), *Quisqualis Fructus Meat* (lightly stir-fried, 50 pieces).
Preparation: Grind into fine powder. Bind with paste into pills the size of hemp seeds. Take 10 pills per dose with plain boiled water.
**Xiangkou Wan (Amomum Pill)**
Indications: Gan-related diarrhea in children.
Ingredients: *Coptidis Rhizoma* (3 qian, stir-fried), *Myristicae Semen*, *Aucklandiae Radix*, *Terminalia Chebula Retzii Fructus* (Hezi, baked), *Poria*, *Amomi Fructus* (Sharen; each 1 qian).
Preparation: Grind into fine powder. Bind with japonica rice paste into pills the size of hemp seeds. Take 15 pills per dose with ginger soup.
**Formulas for Consumptive Gan (Lao Gan)**
Lao Gan is characterized by tidal fever, heat in the five hearts, night sweats, bone-steaming fever, coughing with emaciation, diarrhea with thirst, abdomen hard as stone, and a smoky-yellow complexion. These are generally considered untreatable conditions.
**Huangqi Tang (Astragalus Decoction)**
Indications: Consumptive Gan.
Ingredients: *Astragali Radix* (Huangqi), *Ginseng Radix* (Renshen), *Angelicae Sinensis Radix*, *Chuanxiong Rhizoma*, *Paeoniae Radix Rubra* (Shaoyao), *Rehmanniae Radix Recens* (Shengdihuang), *Bufo Bufo* (baked, feet removed), *Trionycis Carapax et Plastrum* (Biejia, baked until dark yellow; each 1.5 qian), *Poria*, *Citri Reticulatae Pericarpium*, *Pinelliae Praeparata* (Banxia Qu), *Bupleuri Radix* (Chaihu), *Quisqualis Fructus* (baked; each 1 qian).
Preparation: Cut into pieces. Add three slices of ginger and one jujube, decoct, and divide into three doses. Take before meals.
**Zhisheng Wan (Supreme Sage Pill)**
Indications: Cold Gan, frequent diarrhea, and incessant deficiency sweating.
Ingredients: *Aucklandiae Radix*, *Symplocos Fructus* (Dingxiang; each 1 qian), *Magnoliae Officinalis Cortex* (N Houpo, processed, 3 qian), *Quisqualis Fructus* (20 pieces, roasted), *Myristicae Semen* (1 qian), *Citri Reticulatae Pericarpium* (3 qian).
Preparation: Grind into fine powder. Bind with Schisandra paste into pills the size of hemp seeds. Take 7 pills per dose before meals with rice water.
**Zhengji Wan (Steamed Chicken Pill)**
Indications: Consumptive Gan, bone-steaming tidal fever, sallow complexion with emaciation, crying day and night, excessive thirst, and poor appetite.
Ingredients: *Coptidis Rhizoma*, *Bupleuri Radix*, *Quisqualis Fructus*, *Salviae Miltiorrhizae Radix* (Danshen), *Gentianae Macrophyllae Radix* (Qinjiao), *Anemarrhenae Rhizoma* (Zhimu), *Pruni Semen* (each 1 liang), *Pyrethri Flos* (Banliang).
Preparation: Grind into fine powder. Take one yellow rooster weighing one jin. Stuff it with hemp seeds for 5–7 days. Remove feathers, make an incision on the rib side, clean out the viscera, and dry. Insert the powdered herbs into the cavity and sew it up. Place two cun of thick black beans at the bottom of a steamer, put the chicken on top, cover with more beans, and steam from morning till evening. After cooling, remove the chicken meat and mash it thoroughly with the herbs into a paste. If too hard, add wine paste. Form into mung bean-sized pills. Infants take 20 pills per year of age with rice water (e.g., 30 pills for a two-year-old). Avoid pork and yellow chicken meat.
**Bixue Jian (Softshell Turtle Blood Decoction)**
Indications: Pediatric Consumptive Gan.
Ingredients: *Coptidis Rhizoma*, *Hydrastis Rhizoma* (each 2 liang), *Bupleuri Radix*, *Chuanxiong Rhizoma* (each banliang), *Pruni Semen* (3 qian), *Quisqualis Fructus* (20 pieces, baked), *Ginseng Radix* (3 qian).
Preparation: Mix one cup of softshell turtle blood with half a liang of *Evodiae Fructus* (Wuzhuyu). Stir-fry the Coptis and Hydrastis with this mixture overnight until dry. Grind these two herbs together with the other ingredients into fine powder. Bind with millet paste into broomcorn millet-sized pills. Take 10 pills with rice water.
**Formulas for Wugu Gan (Innocent Gan)**
Wugu Gan is characterized by lymph node swelling behind the ears and neck like peas, which are movable, soft, and painless. Over time, it leads to limb abscesses, pus and blood in stool/urine, high fever, sallow emaciation, and prominent skull bones. Some claim that if a child's clothing is exposed to the night sky and touched by the feathers of the "Wugu" bird, the child contracts the evil qi upon wearing it, causing Wugu Gan. This explanation is unreasonable; gentlemen should examine it critically.
**Kepi Wan (Toad Skin Pill)**
Also known as Fenju Wan (Fecal Maggot Pill) or Wugu Jing (Essence of Five Grains).
Indications: Wugu Gan and other Gan syndromes in children. One dose reduces fever, one dose stops thirst, one dose stops diarrhea.
Ingredients: *Bufo Bufo* (one piece, i.e., toad. In June, they are often found in ditches or gardens, unable to jump or croak, with large bellies and leathery skin. Throw them into a urine bucket. Add a scoop of large fecal maggots. The toad eats the maggots, and the maggots eat the toad. Eventually, the maggots consume the toad completely. Then, place the maggots in a cloth bag or mesh sack and rinse them in fast-flowing water for one day. Take them out, spread them on a large stone slab, and dry them in the sun until dead. Grind into powder and mix with a small amount of Moschus and rice paste).
Preparation: Mash and form into pills the size of broomcorn millet. Take 20–30 pills per dose with rice water. This formula has repeatedly demonstrated efficacy in saving young children.