论曰诸疳之病，皆因肥甘所致。盖人之腑脏气血，更相荣养，逢甘则中缓，中缓则营卫
行迟，故腑脏之间，化生诸虫。状如丝发，或如马尾。蚀于腑脏，令儿病疳，以药治之，其
虫自出，或出头项，或出腹背。其虫色黄白赤者可治，青黑者不可治。
治小儿诸疳。青黛丸方
青黛（研） 芦荟（研） 干浮萍草 虾蟆（烧灰） 蝉蜕（去土） 绿豆 故皮子巾
（烧灰研） 豉（炒） 白矾（烧研） 丹砂（研） 麝香（研各一分）
上一十一味，捣研为末和匀。用粟米饭为丸，如麻子大，一岁儿每服一粒，用温熟水下。
先以桃柳汤浴儿。后与药服。服药后得睡，复面看脊骨间。必有虫出，形状不定。甚者吐出、
或嚏出、即愈。
治小儿疳。定命夜明砂丸方
夜明砂（炒） 青黛（研） 蛇蜕（炒） 蝉蜕（去土） 麝香（研） 地龙（去土炒）
干虾蟆（
烧灰研各一分） 蚱蝉（炙四十枚）
上八味，捣研为末和匀。粟米饭丸如麻子大，一二岁儿每服三丸，三四岁儿五丸。并用
米饮下，空心日午各一服，更水化一丸，滴两鼻中，又以桃柳汤浴儿，以青布裹。良久虫出
青布上。
治小儿诸疳。麝香丸方
麝香（研） 熊胆（研） 丹砂（研） 牛黄（研） 蚺蛇胆（研） 瓜蒂（各一分） 赤
小豆（七
粒） 蟾酥（二片如柳叶大）
上八味，捣研为末和匀。面糊和丸，如麻子大，每服三丸至五丸。米饮下，空心日午近
晚各一，更量儿大小加减服，后以桃柳汤浴儿，即以青衣盖复，当有虫出。
治小儿疳，出虫。瓜蒂丸方
瓜蒂（烧灰） 麝香（研） 蟾酥（各半两） 乌蛇尾（酒浸炙） 黄连（去须各一分）
蛇蜕（
烧灰） 熊胆（各半分研）
上七味，捣研为末。用粟米饭丸如麻子大，温熟水化破二丸，滴于鼻中，虫出为效。
治小儿诸疳气。麝香散方
麝香（研） 白矾（灰） 胆矾（烧过） 皂荚（烧灰各一分） 猪胆（一枚去膜熬干）
腻粉（
研十钱）
上六味，再同研令极细，每服一字匕，米饮调下，服药后，以青衣盖儿身上。良久有虫
出，即瘥。
治五疳，吐虫腹胀羸瘦。除疳散方
丁香 生犀角（末各半钱） 苦楝根（有子者良赤者不用阴干为末） 鹤虱（各半两） 密
陀
僧白槟榔（炮锉各一分）
上六味，捣罗为散。每服一钱匕，米汤调下，日三，虫自出，更量大小加减。
治小儿五疳，眼鼻多痒寒热往来。腑脏不调，或泻脓血。肌体瘦弱。饮食不化，多困少
力，眼涩饶睡。兼治惊风。月蟾丸方
干蟾（一枚大者端午取） 蛇蜕皮（大者一条） 谷精草（二两三味同入一瓶子内以盐
泥固
济烧灰） 胡黄连 甜瓜蒂 丁香（各一分） 熊胆（研） 芦荟（研） 天竺黄（研） 牛
黄（研）
丹砂（研） 龙脑（研） 麝香（研） 雄黄（研各一分） 青黛（研半两）
上一十五味，捣研为末。再研匀。用 猪胆汁，煮面糊，丸如绿豆大，每服三五丸，
米泔下，量儿大小加减服，药后以桃柳汤浴儿着青衣盖，疳虫出衣上。
治小儿疳、杀虫。芦荟丸方
芦荟（研） 芜荑（炒） 木香 鹤虱（炒各半两）
上四味，捣研为末，水浸炊饼。丸如黄米大，每服十丸，米饮下，更量儿大小加减。
治小儿疳蛔。定粉丸方
定粉 猪胆（各一分）
上二味，研和为丸，如绿豆大，每服二丸，米饮下。
治小儿疳、杀虫。雄黄散方
雄黄（研） 黄连（去须） 木香（各一分） 麝香（研半分）
上四味，捣研为散。每服半钱匕，米饮调下，量儿大小加减。
论述说：各种疳病，都是由于过食肥甘厚味所致。大概人的脏腑气血，相互滋养，遇到甘甜食物则中焦气机舒缓，中焦舒缓则营卫之气运行迟缓，所以在脏腑之间，化生出各种虫子。形状像丝发，或者像马尾。侵蚀脏腑，导致小儿患疳病，用药治疗，这些虫子自然会排出，有的从头部和颈部排出，有的从腹部和背部排出。虫子的颜色如果是黄、白、赤色的可以治愈，青黑色的则不可治愈。
治疗小儿各种疳病的青黛丸方：
青黛（研细） 芦荟（研细） 干浮萍草 虾蟆（烧成灰） 蝉蜕（去除泥土） 绿豆 旧皮子巾（烧成灰并研细） 豆豉（炒制） 白矾（烧后研细） 丹砂（研细） 麝香（研细，各一分）
以上十一味药，捣碎研细混合均匀。用粟米饭做丸剂，如麻子大小，一岁的婴儿每次服用一粒，用温热的熟水送服。先用桃柳汤给小儿洗澡，然后再给药服用。服药后孩子入睡，再查看其脊骨之间。必然有虫子排出，形状不定。病情严重的会吐出，或者通过喷嚏排出，随即痊愈。
治疗小儿疳病的定命夜明砂丸方：
夜明砂（炒制） 青黛（研细） 蛇蜕（炒制） 蝉蜕（去除泥土） 麝香（研细） 地龙（去除泥土并炒制） 干虾蟆（烧成灰研细，各一分） 蚱蝉（炙烤四十枚）
以上八味药，捣碎研细混合均匀。用粟米饭做丸剂，如麻子大小，一至两岁的婴儿每次服用三丸，三至四岁的婴儿每次服用五丸。均用米饮送服，空腹时及中午各服一次，另外用水化开一丸，滴入两个鼻孔中，再用桃柳汤给小儿洗澡，用青布包裹。过了很久，虫子会出现在青布上。
治疗小儿各种疳病的麝香丸方：
麝香（研细） 熊胆（研细） 丹砂（研细） 牛黄（研细） 蚺蛇胆（研细） 瓜蒂（各一分） 赤小豆（七粒） 蟾酥（两片，如柳叶大小）
以上八味药，捣碎研细混合均匀。用面糊调和做丸剂，如麻子大小，每次服用三丸至五丸。用米饮送服，空腹时、中午及傍晚近晚时各服一次，并根据患儿大小酌情增减剂量，服药后用桃柳汤给小儿洗澡，立即用青衣覆盖，应当会有虫子排出。
治疗小儿疳病，排虫的瓜蒂丸方：
瓜蒂（烧成灰） 麝香（研细） 蟾酥（各半两） 乌蛇尾（酒浸后炙烤） 黄连（去须，各一分） 蛇蜕（烧成灰） 熊胆（各半分，研细）
以上七味药，捣碎研细。用粟米饭做丸剂，如麻子大小，用温热熟水化开两丸，滴入鼻孔中，以虫子排出为有效。
治疗小儿各种疳气的麝香散方：
麝香（研细） 白矾（煅灰） 胆矾（烧过） 皂荚（烧成灰，各一分） 猪胆（一枚，去膜熬干） 腻粉（研细，十钱）
以上六味药，再次共同研磨至极细，每次服用一字匕的量，用米饮调下，服药后，用青衣覆盖在小儿身上。过了一会儿有虫子排出，疾病即愈。
治疗五疳，吐虫腹胀消瘦的除疳散方：
丁香 生犀角（研末，各半钱） 苦楝根（有子的较好，红色的不用，阴干后研末） 鹤虱（各半两） 密陀僧 白槟榔（炮制锉碎，各一分）
以上六味药，捣碎过筛成为散剂。每次服用一钱匕，用米汤调下，每日三次，虫子自然排出，并根据患儿大小酌情增减剂量。
治疗小儿五疳，眼鼻多痒、寒热往来、脏腑不调，或泻下脓血、肌体瘦弱、饮食不化、多困少力、眼涩嗜睡。兼治惊风的月蟾丸方：
干蟾（一枚大的，端午日采集） 蛇蜕皮（大的一条） 谷精草（二两，这三味药同入一个瓶内，用盐泥密封固济，烧成灰） 胡黄连 甜瓜蒂 丁香（各一分） 熊胆（研细） 芦荟（研细） 天竺黄（研细） 牛黄（研细） 丹砂（研细） 龙脑（研细） 麝香（研细） 雄黄（研细，各一分） 青黛（研细，半两）
以上十五味药，捣碎研细。再次研磨均匀。用猪胆汁煮面糊，做丸剂如绿豆大小，每次服用三至五丸，用米泔水送服，根据患儿大小酌情增减剂量，服药后用桃柳汤给小儿洗澡，穿上青衣覆盖，疳虫会出现在衣服上。
治疗小儿疳病、杀虫的芦荟丸方：
芦荟（研细） 芜荑（炒制） 木香 鹤虱（炒制，各半两）
以上四味药，捣碎研细，用水浸泡炊饼（蒸熟的米粉团），做丸剂如黄米大小，每次服用十丸，用米饮送服，并根据患儿大小酌情增减剂量。
治疗小儿疳蛔的定粉丸方：
定粉 猪胆（各一分）
以上两味药，研磨混合做成丸剂，如绿豆大小，每次服用二丸，用米饮送服。
治疗小儿疳病、杀虫的雄黄散方：
雄黄（研细） 黄连（去须） 木香（各一分） 麝香（研细，半分）
以上四味药，捣碎研细成为散剂。每次服用半钱匕，用米饮调下，根据患儿大小酌情增减剂量。
It is stated that all kinds of Gan diseases (pediatric malnutrition syndrome) are caused by the excessive consumption of rich and sweet foods. Generally, the Zang-Fu organs and Qi-Blood nourish each other; upon encountering sweet substances, the Middle Jiao (middle burner/central digestive system) becomes relaxed, causing the circulation of Ying (Nutritive Qi) and Wei (Defensive Qi) to slow down. Consequently, various worms are generated between the Zang-Fu organs. They resemble silk hairs or horse tails. By eroding the Zang-Fu organs, they cause pediatric Gan disease. Upon treatment with medicine, these worms will naturally be expelled, either from the head and neck or from the abdomen and back. If the worms are yellow, white, or red in color, the condition is treatable; if they are green or black, it is untreatable.
**Qingdai Wan (Indigo Naturalis Pill)** for treating various pediatric Gan diseases:
* Qingdai (Indigo Naturalis, ground)
* Lushen (Aloe, ground)
* Gan Fuping Cao (Dry *Lemna minor*, Duckweed)
* Xama (Toad, calcined to ash)
* Chantui (Cicada Slough, cleaned of soil)
* Lv Dou (Mung Bean)
* Gu Pi Zi Jin (Old cloth strips, calcined to ash and ground)
* Chi Shao Dou Chi (Stir-fried Black Soybean Fermented Product)
* Bai Fan (Alum, calcined and ground)
* Dan Sha (Cinnabar, ground)
* She Xiang (Musk, ground, 1 fen each)
The above eleven ingredients are crushed, ground into powder, and mixed uniformly. Form pills using millet rice paste, sized like hemp seeds. For a one-year-old infant, administer one pill per dose, taken with warm cooked water. First, bathe the child in a decoction of peach and willow branches, then administer the medicine. After taking the medicine, when the child falls asleep, examine the area between the spinous processes of the spine. Worms will inevitably be expelled, with indefinite shapes. In severe cases, they may be vomited out or sneezed out, leading to recovery.
**Dingming Yeming Sha Wan (Life-Determining Night-Shining Sand Pill)** for treating pediatric Gan disease:
* Ye Ming Sha (Night-Shining Sand, stir-fried)
* Qingdai (Indigo Naturalis, ground)
* She Tui (Snake Slough, stir-fried)
* Chantui (Cicada Slough, cleaned of soil)
* She Xiang (Musk, ground)
* Di Long (Earthworm, cleaned of soil and stir-fried)
* Gan Xama (Dry Toad, calcined to ash and ground, 1 fen each)
* Zha Chan (Grasshopper Cicada, roasted, 40 pieces)
The above eight ingredients are crushed, ground into powder, and mixed uniformly. Form pills using millet rice paste, sized like hemp seeds. For children aged one to two years, administer three pills per dose; for children aged three to four years, administer five pills per dose. Take with rice drink, once on an empty stomach and once at noon. Additionally, dissolve one pill in water and drip into both nostrils. Bathe the child in a peach and willow branch decoction, then wrap them in green cloth. After a while, the worms will appear on the green cloth.
**Shexiang Wan (Musk Pill)** for treating various pediatric Gan diseases:
* She Xiang (Musk, ground)
* Xiong Dan (Bear Bile, ground)
* Dan Sha (Cinnabar, ground)
* Niu Huang (Calculus Bovis, ground)
* Ran She Dan (Python Bile, ground)
* Gua Di (Melon Stalk, 1 fen each)
* Chi Xiao Dou (Red Adzuki Bean, 7 grains)
* Chan Su (Toad Venom, 2 pieces, size of willow leaves)
The above eight ingredients are crushed, ground into powder, and mixed uniformly. Bind with wheat flour paste to form pills sized like hemp seeds. Administer three to five pills per dose with rice drink. Take on an empty stomach, at noon, and near evening. Adjust dosage according to the child's size. After medication, bathe the child in a peach and willow branch decoction and immediately cover them with green clothing; worms should be expelled.
**Gua Di Wan (Melon Stalk Pill)** for treating pediatric Gan disease and expelling worms:
* Gua Di (Melon Stalk, calcined to ash)
* She Xiang (Musk, ground)
* Chan Su (Toad Venom, half liang each)
* Wu She Wei (Black Snake Tail, soaked in wine and roasted)
* Huang Lian (Coptis Rhizome, de-stamened, 1 fen each)
* She Tui (Snake Slough, calcined to ash)
* Xiong Dan (Bear Bile, half fen each, ground)
The above seven ingredients are crushed and ground into powder. Form pills using millet rice paste, sized like hemp seeds. Dissolve two pills in warm cooked water and drip into the nostrils. Efficacy is indicated by the expulsion of worms.
**Shexiang San (Musk Powder)** for treating various pediatric Gan Qi:
* She Xiang (Musk, ground)
* Bai Fan (Alum, calcined to ash)
* Dan Fan (Blue Vitriol, calcined)
* Zao Jia (Tamarind Fruit, calcined to ash, 1 fen each)
* Zhu Dan (Pig Gallbladder, one piece, membrane removed and dried by simmering)
* Ni Fen (Calomel, ground, 10 qian)
The above six ingredients are re-ground until extremely fine. Administer one "zi" (a small measure, approx. 0.5-1g) per dose, mixed with rice drink. After administration, cover the child with green clothing. After a while, if worms are expelled, the disease will heal.
**Chugan San (Eliminate-Gan Powder)** for treating the Five Gans with symptoms of vomiting worms, abdominal distension, emaciation:
* Ding Xiang (Clove)
* Sheng Xi Jiao (Raw Rhinoceros Horn, powdered, half qian each)
* Ku Lian Gen (Khaya Bark, those with seeds are preferred; red ones are not used; dried in shade and powdered)
* He Shi (Hersperis Maturus/Night Phlox Seed, half liang each)
* Mi Duo Seng (Lead Monoxide)
* Bai Bing Lang (Areca Seed, processed and chopped, 1 fen each)
The above six ingredients are crushed, sifted, and made into a powder. Administer one qian per dose, mixed with rice soup, three times daily. Worms will be naturally expelled. Adjust dosage according to the child's size.
**Yuechan Wan (Moon-Toad Pill)** for treating pediatric Five Gans with symptoms such as itching of eyes and nose, alternating chills and fever, disharmony of Zang-Fu organs, purulent bloody diarrhea, emaciation, indigestion, lethargy, weakness, dry eyes, and excessive sleepiness. Also treats convulsions:
* Gan Chan (Dried Toad, one large piece, collected on Dragon Boat Festival day)
* She Tui Pi (Snake Slough, one large piece)
* Gu Jing Cao (Sparganium Herb, 2 liang; these three ingredients are placed in a bottle, sealed with salt mud, calcined to ash)
* Hu Huang Lian (Picrorhiza Rhizome)
* Tian Gua Di (Sweet Melon Stalk)
* Ding Xiang (Clove, 1 fen each)
* Xiong Dan (Bear Bile, ground)
* Lushen (Aloe, ground)
* Tian Zhu Huang (Bambusa Textilis Sap, ground)
* Niu Huang (Calculus Bovis, ground)
* Dan Sha (Cinnabar, ground)
* Long Nao (Borneol, ground)
* She Xiang (Musk, ground)
* Xiong Huang (Realgar, ground, 1 fen each)
* Qingdai (Indigo Naturalis, ground, half liang)
The above fifteen ingredients are crushed, ground into powder, and mixed thoroughly. Use pig bile to cook wheat flour paste to bind the pills, sized like mung beans. Administer three to five pills per dose with rice wash water. Adjust dosage according to the child's size. After medication, bathe the child in a peach and willow branch decoction and have them wear green clothing; Gan worms will appear on the clothes.
**Lushen Wan (Aloe Pill)** for treating pediatric Gan disease and killing parasites:
* Lushen (Aloe, ground)
* Wu Yi (Xanthocercis Seed, stir-fried)
* Mu Xiang (Costus Root)
* He Shi (Hersperis Maturus/Night Phlox Seed, stir-fried, half liang each)
The above four ingredients are crushed and ground into powder. Soak steamed rice dough in water. Form pills sized like yellow millet. Administer ten pills per dose with rice drink. Adjust dosage according to the child's size.
**Dingfen Wan (Fixed Powder Pill)** for treating pediatric Gan roundworms:
* Ding Fen (White Lead Powder)
* Zhu Dan (Pig Gallbladder, 1 fen each)
The above two ingredients are ground and mixed to form pills sized like mung beans. Administer two pills per dose with rice drink.
**Xionghuang San (Realgar Powder)** for treating pediatric Gan disease and killing parasites:
* Xiong Huang (Realgar, ground)
* Huang Lian (Coptis Rhizome, de-stamened)
* Mu Xiang (Costus Root, 1 fen each)
* She Xiang (Musk, ground, half fen)
The above four ingredients are crushed and ground into a powder. Administer half a qian per dose, mixed with rice drink. Adjust dosage according to the child's size.