夫小儿急疳者。由乳食不调。甘肥过度之所致也。甘味入于脾而动于虫。但虫因甘而动。
伤
烂
治小儿急疳。羸瘦下痢。口内生疮。杀虫。雄黄丸方。
雄黄（细研） 芦荟（细研） 青黛（细研） 朱砂（细研） 龙胆（去芦头） 黄柏
（微炙锉）
黄矾
芽出炒
令黄）
蝎（一
枚涂
上件药。捣罗为末。入研了药令匀。以面糊和丸。如绿豆大。不计时候。以粥饮下五丸。
量
治小儿急疳虫。口内及齿龈作疮。宜敷熊胆散方。
熊胆（细研） 甜葶苈（微炒） 莨菪子（炒令微黑） 虾蟆灰 人粪灰 白矾灰 麝
香（细
研）
上件药。捣罗为散。都研令匀。如有疮处。宜薄敷之。如鼻痒。即取少许逐日吹鼻中。
三两
治小儿急疳痒。量爪作疮。瞬息大如钱。或在头面口齿中。宜敷蚺蛇胆散方。
蚺蛇胆（三大豆许） 黄矾 白矾灰 芦荟 麝香（以上各一钱）
上件药。细研为散。若头面身上有疮。以清泔洗。 干。敷一大豆许。良久水出即止。
重者
治小儿急疳。虫食口内作疮。四肢瘦弱。腹大筋粗。蟾灰丸方。
蟾灰 人粪灰 地龙（微炒末） 蜗牛壳（微炒） 狗头灰 麝香 兰香根灰（以上各
一分）
上件药。同细研为散。用浆水调在纸上。时用贴疮。如鼻中有疮。以绵子裹药安在鼻内。
如
意
治小儿急疳疮。累医未效。蜗牛灰散方。
蜗牛灰 白狗粪灰 蜣螂灰 白矾灰 人粪灰 芦荟 虾蟆灰 兰香KT 灰 蚺蛇胆
蜘蛛灰
上件药。捣细研如粉。以苇管斜批。吹少许入鼻中。如齿龈上有疮。即蜜和涂于纸上贴
之。
治小儿急疳。口鼻生疮。时痒不止。宜用此方。
大麻子（一升于竹筒中烧取膏） 虾蟆灰（一分） 麝香（一分） 人粪灰（一分） 盐
绿（半
分）
上件药。细研如粉。以麻子膏和丸。如绿豆大。纳入两鼻并口中。须以水更互点之。日
夜各
治小儿急疳。口生白疮。诸疳并主之方。
熊胆 蚺蛇胆 芦荟 龙脑 牛黄 麝香（以上各一分）
上件药细研。以井华水一小盏。搅和令匀。瓷器盛。重汤缓火。数以篦搅。盏四畔勿令
药干
然
治小儿走马疳疮。宜涂粉霜散方。
粉霜（一两） 天南星（末一分） 黄丹（半两炒紫色） 麝香（半两） 定粉（一分）
上件药相和。研令细。先用盐浆水洗过。以纸捻子 药。扫在疮上。每日三四度瘥。
治小儿急疳。瘦弱生疮。宜服天灵盖丸方。
天灵盖（一两） 砒霜（半分） 胡黄连（半两） 人粪（半两） 莨菪子（一分）
上件药。都以黄泥裹。烧令通赤。去泥放冷。取药。入麝香半分。同研为末。以面糊和
丸。
治小儿急疳。虫蚀唇口。及齿龈烂疮（疼）痛方。
砒霜 人粪灰 麝香 腻粉（以上各半分） 铜绿 胡桐律 虾蟆灰（以上各一分）
上件药。都研令细。先用盐浆水洗过。后用少许药贴之。
治小儿急疳。虫蚀口鼻及下部生疮方。
干蟾（一两半为末半两烧灰） 销金银甘埚（一两） 银末（一大豆许） 人粪灰（一
两） 麝
香（
上件药。捣罗为细散。有虫蚀处。即着药粉之。三七日以来。勿食一切腻肥。
治小儿急疳。口鼻及下部。皆赤烂方。
大蒜（二两） 甜葶苈（半两） 干虾蟆（一两） 干地龙（二枚） 乱发灰（一分）
上件药。细锉相和。入竹筒中。置瓦内。以 灰火烧之。取沥。少少涂儿口鼻顶项。及
壳头
治小儿急疳。口中肿起。鼻内生疮方。
人乳汁（一合） 黄矾（一枣大） 白矾灰（一枣大） 青矾（一枣大） 石胆（一豇
豆大）
川升麻末（半分）
上件药。都细研。以绵裹纳乳汁中。浸经一宿。看汁有味。即用涂于口里。如鼻中有疮。
滴
治小儿急疳。虫蚀却口鼻牙齿方。
砒霜（一分） 麝香（一分）
上件药。先将砒霜在纸上炒过。后入麝香。同研令细。用鸡羽扫在疮上。日三二度用之。
又方。
青矾（半两烧通赤） 黄矾（半两烧通赤） 白矾（半两烧令汁尽） 麝香（一分）
上件药相和。细研如粉。有疳疮处。时用少许贴之。
又方。
精白羊肉（二两） 芜荑仁（半两） 豉（一合） 川椒（二七粒去目） 酱豆（一匙）
上件药相和。烂研令细。每取一枣大敷疮上。日三易之。
治小儿急疳疮。神效方。
蔓菁花（盛时并根拔取阴干）
上件根茎一握。去头尾。以大麦面并酱汁。和作团裹之。于炭火中烧令烟尽。取出候冷。
入
以
又方。
上嚼油麻令烂敷疮上。立效。
又方。
上以蚺蛇胆细研。水调涂之。
小儿急疳，是由于乳食不调、甘肥食物摄入过度所导致的。甜味入脾而引动虫邪，虫因甘味而活跃。
治疗小儿急疳，症见身体消瘦、下痢、口腔内生疮，具有杀虫功效的雄黄丸方：
雄黄（细研）、芦荟（细研）、青黛（细研）、朱砂（细研）、龙胆（去芦头）、黄柏（微炙锉）、黄矾（芽出炒令黄）、全蝎（一枚，涂）。
以上药物，捣碎过筛为末，加入已研细的药物混合均匀，用面糊和药制成如绿豆大小的丸剂。不拘时候，用米粥汤送服五丸，根据病情轻重调整剂量。
治疗小儿急疳虫蚀，症见口腔及齿龈生疮，宜外敷的熊胆散方：
熊胆（细研）、甜葶苈（微炒）、莨菪子（炒至微黑）、虾蟆灰、人粪灰、白矾灰、麝香（细研）。
以上药物，捣碎过筛为散，全部研匀。如有疮处，宜薄薄地敷上。如果鼻痒，取少许每日吹入鼻中。
治疗小儿急疳瘙痒，抓挠后成疮，瞬间大如铜钱，或在头面口齿中，宜外敷的蚺蛇胆散方：
蚺蛇胆（约三大豆大小）、黄矾、白矾灰、芦荟、麝香（以上各一钱）。
以上药物，细研为散。若头面身上有疮，用清泔水清洗患处，擦干后敷上一大豆大小的药量，待有水渗出即停止。重症者……（原文此处有缺漏或排版错误，依文意理解为重症需加强处理或重复使用）。
治疗小儿急疳，虫蚀口腔生疮，四肢瘦弱，腹部胀大且筋脉粗露，蟾灰丸方：
蟾灰、人粪灰、地龙（微炒研末）、蜗牛壳（微炒）、狗头灰、麝香、兰香根灰（以上各一分）。
以上药物，共同细研为散。用浆水调在纸上，适时贴于疮处。如果鼻中有疮，用棉团裹药放入鼻内。
治疗小儿急疳疮，屡治无效，蜗牛灰散方：
蜗牛灰、白狗粪灰、蜣螂灰、白矾灰、人粪灰、芦荟、虾蟆灰、兰香KT灰（注：疑为兰香根灰之误）、蚺蛇胆、蜘蛛灰。
以上药物，捣细研如粉状。用苇管斜剖开，取少许吹入鼻中。如果齿龈上有疮，即用蜂蜜调和涂在纸上贴敷。
治疗小儿急疳，口鼻生疮，时常瘙痒不止，宜用此方：
大麻子（一升置于竹筒中烧取膏）、虾蟆灰（一分）、麝香（一分）、人粪灰（一分）、盐绿（半分）。
以上药物，细研如粉。用麻子膏和药制成如绿豆大小的丸剂。纳入两鼻孔及口中，须用水交替点润。日夜各……（原文此处有缺漏，依文意理解为定期给药）。
治疗小儿急疳，口生白疮，各种疳病均主治的方剂：
熊胆、蚺蛇胆、芦荟、龙脑、牛黄、麝香（以上各一分）。
以上药物细研。用一小盏井华水（清晨第一次汲取的井水），搅和均匀。盛于瓷器中，隔水用缓火加热，多次用篦子搅拌，盏边不要使药液干涸。
治疗小儿走马疳疮，宜涂抹的粉霜散方：
粉霜（一两）、天南星（末一分）、黄丹（半两炒至紫色）、麝香（半两）、定粉（一分）。
以上药物混合，研细。先用盐浆水清洗患处，用纸捻蘸药，扫在疮上。每日三四次，痊愈为止。
治疗小儿急疳，身体瘦弱生疮，宜内服的“天灵盖”丸方：
天灵盖（一两）、砒霜（半分）、胡黄连（半两）、人粪（半两）、莨菪子（一分）。
以上药物，都用黄泥包裹，烧至通红。去掉泥土放冷，取出药物，加入麝香半分，共同研为末，用面糊和药制成丸剂。
治疗小儿急疳，虫蚀唇口及齿龈烂疮（疼痛）的方剂：
砒霜、人粪灰、麝香、腻粉（以上各半分）、铜绿、胡桐律、虾蟆灰（以上各一分）。
以上药物，都研细。先用盐浆水清洗患处，后用少许药贴敷。
治疗小儿急疳，虫蚀口鼻及下部生疮的方剂：
干蟾（一两半，一半研末，一半烧灰）、销金银甘埚（一两，注：指熔炼金银后的残渣或特定容器残留物，此处存疑，按原词保留）、银末（一大豆大小）、人粪灰（一两）、麝香（……原文此处剂量缺失）。
以上药物，捣碎过筛为细散。有虫蚀处，即撒上药粉。三七日以来，禁止食用一切油腻肥甘之物。
治疗小儿急疳，口鼻及下部皆赤烂的方剂：
大蒜（二两）、甜葶苈（半两）、干虾蟆（一两）、干地龙（二枚）、乱发灰（一分）。
以上药物，细锉混合，放入竹筒中，置于瓦片内，用……灰火烧之（原文缺字，推测为草木灰等），取沥出的汁液，少量涂抹于小儿口、鼻、头顶、项部及囟门处。
治疗小儿急疳，口中肿起，鼻内生疮的方剂：
人乳汁（一合）、黄矾（一枣大小）、白矾灰（一枣大小）、青矾（一枣大小）、石胆（一豇豆大小）、川升麻末（半分）。
以上药物，都细研。用绵布包裹药粉浸入乳汁中，浸泡一夜。看汁液有味，即用来涂于口中。如果鼻中有疮，滴入……（原文此处有缺漏，依文意理解为滴入鼻中）。
治疗小儿急疳，虫蚀掉口鼻牙齿的方剂：
砒霜（一分）、麝香（一分）。
以上药物，先将砒霜在纸上炒过，后加入麝香，共同研细。用鸡羽毛扫在疮上，每日三到两次使用。
又一方：
青矾（半两烧至通红）、黄矾（半两烧至通红）、白矾（半两烧至汁尽）、麝香（一分）。
以上药物混合，细研如粉。有疳疮处，适时取少许贴敷。
又一方：
精白羊肉（二两）、芜荑仁（半两）、豉（一合）、川椒（二十七个，去目）、酱豆（一匙）。
以上药物混合，烂研细。每次取一枣大小的量敷在疮上，每日更换三次。
治疗小儿急疳疮，神效方：
蔓菁花（盛开时连同根一起拔取阴干）。
取上述根茎一握，去头尾，用大麦面和酱汁，和作团包裹之，在炭火中烧至烟尽。取出候冷，入……（原文此处有缺漏，依文意理解为研磨成粉或进一步加工）。
Pediatric acute gan (a severe wasting disease in children characterized by malnutrition, digestive disorders, and often oral ulcers) is caused by irregular breastfeeding or dieting and excessive consumption of sweet and fatty foods. Sweet flavors enter the Spleen and stir up parasites; parasites become active due to sweetness.
**Xionghuang Wan (Realgar Pill)** for treating pediatric acute gan with emaciation, dysentery, and oral ulcers, possessing the effect of killing parasites:
* Xionghuang (Realgar), finely ground
* Lushen (Aloe), finely ground
* Qingdai (Indigo Naturalis), finely ground
* Zhusha (Cinnabar), finely ground
* Longdan (Gentianae Radix et Rhizoma), removed rhizome head
* Huangbai (Phellodendri Cortex), lightly roasted and chopped
* Huangfan (Yellow Alum), sprouted and roasted until yellow
* Xia (Scorpio), one piece, coated
The above medicines are crushed, sieved into powder, mixed evenly with the already-ground medicines, and bound with wheat paste to form pills the size of mung beans. Take five pills at any time with rice broth, adjusting the dose according to the condition.
**Xiongdan San (Bear Bile Powder)** for treating pediatric acute gan parasites causing ulcers in the mouth and gums, suitable for external application:
* Xiongdan (Ursi Fel), finely ground
* Tiantingli (Semen Lepidii seu Descurainiae), lightly fried
* Langdanszi (Semen Daturae), fried until slightly black
* Xiamahui (Ash of Toad)
* Renfenhui (Ash of Human Feces)
* Baijianhui (Ash of White Alum)
* Shexiang (Moschus), finely ground
The above medicines are crushed, sieved into powder, and thoroughly mixed. If there are ulcers, apply a thin layer. If the nose itches, take a small amount and insufflate into the nose daily.
**Ranshedan San (Python Gallbladder Powder)** for treating pediatric acute gan itching, where scratching causes ulcers instantly as large as a coin, located on the head, face, mouth, or teeth, suitable for external application:
* Ranshedan (Gall Bladder of Python bivittatus), size of three large mung beans
* Huangfan (Yellow Alum)
* Baijianhui (Ash of White Alum)
* Lushen (Aloe)
* Shexiang (Moschus) (Each of the above: 1 qian)
The above medicines are finely ground into powder. If there are ulcers on the head, face, or body, wash with clear starch water, dry, and apply an amount the size of one mung bean. Stop when fluid exudes. For severe cases... [text fragment].
**Chanhui Wan (Toad Ash Pill)** for treating pediatric acute gan where parasites eat the mouth causing ulcers, with weak limbs, distended abdomen, and coarse veins:
* Chanhui (Ash of Toad)
* Renfenhui (Ash of Human Feces)
* Dilong (Pheretima), lightly fried and powdered
* Woniuqiao (Shell of Snail), lightly fried
* Goutouhui (Ash of Dog Head)
* Shexiang (Moschus)
* Lanxianggenhui (Ash of Costus Root) (Each of the above: 1 fen)
The above medicines are finely ground together into powder. Mix with fermented grain water on paper and apply to the ulcer at appropriate times. If there are ulcers in the nose, wrap the medicine in cotton and place it inside the nose.
**Woniu Hui San (Snail Ash Powder)** for treating pediatric acute gan ulcers unresponsive to previous treatments:
* Woniu Hui (Ash of Snail)
* Bai Gou Fen Hui (Ash of White Dog Feces)
* Qianglang Hui (Ash of Dung Beetle)
* Bai Jian Hui (Ash of White Alum)
* Ren Fen Hui (Ash of Human Feces)
* Lushen (Aloe)
* Xiamahui (Ash of Toad)
* Lanxiang KT Hui (Ash of Costus - *Note: likely typo for Lanxianggen*)
* Ranshedan (Gall Bladder of Python)
* Zhizhu Hui (Ash of Spider)
The above medicines are crushed and ground finely like powder. Using a reed tube cut obliquely, insufflate a small amount into the nose. If there are ulcers on the gums, mix with honey, apply to paper, and patch.
**Formula for Pediatric Acute Gan with Oral/Nasal Ulcers and Persistent Itching:**
* Damaizi (Semen Cannabis), one sheng burned in a bamboo tube to extract oil/paste
* Xiamahui (Ash of Toad), 1 fen
* Shexiang (Moschus), 1 fen
* Renfenhui (Ash of Human Feces), 1 fen
* Yánlǜ (Malachite), half fen
The above medicines are finely ground like powder. Bind with hemp seed paste to form pills the size of mung beans. Insert into both nostrils and mouth, alternating with water drops. Day and night... [text fragment].
**Formula for Pediatric Acute Gan with White Oral Ulcers, Mainly for Various Gan Diseases:**
* Xiongdan (Ursi Fel)
* Ranshedan (Gall Bladder of Python)
* Lushen (Aloe)
* Longnao (Borneolum Syntheticum)
* Niuhuang (Calculus Bovis)
* Shexiang (Moschus) (Each of the above: 1 fen)
The above medicines are finely ground. Mix with one small cup of Jinghua Water (first drawn well water from dawn) until uniform. Store in a porcelain vessel, heat gently over a double boiler, stirring frequently with a comb, ensuring the liquid does not dry out at the edges.
**Fenshuang San (Powder Frost Powder)** for applying to Pediatric Running Horse Gan Ulcers:
* Fenshuang (Sublimated Arsenic Oxide), 1 liang
* Tiannanxing (Arisaematis Rhizoma), 1 fen powder
* Huangdan (Lithargyrum), half liang, fried until purple
* Shexiang (Moschus), half liang
* Dingfen (White Lead Powder), 1 fen
Mix the above medicines and grind finely. First wash the ulcer with salt brine. Use a paper twist to dip the medicine and sweep it onto the ulcer. Apply 3-4 times daily until healed.
**Tianlinggai Wan (Human Skull Cap Pill)** for internal use in Pediatric Acute Gan with emaciation and ulcers:
* Tianlinggai (Os Cranium Humanum), 1 liang
* Pishuang (Arsenic Trioxide), half fen
* Huhuanglian (Picrorhizae Rhizoma), half liang
* Renfen (Human Feces), half liang
* Langdanszi (Semen Daturae), 1 fen
Wrap all medicines in yellow mud and fire until red hot. Remove mud, let cool, retrieve the medicine. Add half fen of Shexiang (Moschus), grind together into powder, and bind with wheat paste to form pills.
**Formula for Pediatric Acute Gan where Parasites Erode Lips/Mouth and Cause Painful Gum Ulcers:**
* Pishuang (Arsenic Trioxide)
* Renfenhui (Ash of Human Feces)
* Shexiang (Moschus)
* Ninifen (Calomel) (Each of the above: half fen)
* Tonglü (Malachite)
* Hutonglü (Tetrastigminis Caulis)
* Xiamahui (Ash of Toad) (Each of the above: 1 fen)
Grind all medicines finely. First wash with salt brine, then apply a small amount of medicine to the affected area.
**Formula for Pediatric Acute Gan where Parasites Erode Mouth/Nose and Lower Parts Causing Ulcers:**
* Ganchan (Dry Bufo), 1.5 liang (half powdered, half ash)
* Xiaojinyin Ganguo (Residue from melting gold/silver), 1 liang
* Yinmo (Silver Powder), size of one large mung bean
* Renfenhui (Ash of Human Feces), 1 liang
* Shexiang (Moschus) [dose missing in text]
Crush and sieve into fine powder. Apply powder to areas eroded by parasites. For 21 days, avoid all greasy and rich foods.
**Formula for Pediatric Acute Gan with Red and Erosive Ulcers in Mouth/Nose and Lower Parts:**
* Dasuan (Allium Sativum), 2 liang
* Tiantingli (Semen Lepidii seu Descurainiae), half liang
* Gan Xiamá (Dry Toad), 1 liang
* Gan Dilong (Dry Pheretima), 2 pieces
* Luánfà Hui (Ash of Ragged Hair), 1 fen
Finely chop and mix. Place in a bamboo tube, set on a tile, and burn with... [missing fuel type] ash. Collect the distilled liquid and apply sparingly to the child's mouth, nose, crown, nape, and fontanelle.
**Formula for Pediatric Acute Gan with Oral Swelling and Nasal Ulcers:**
* Ren Ru Zhi (Human Breast Milk), 1 he
* Huangfan (Yellow Alum), size of one date
* Baijianhui (Ash of White Alum), size of one date
* Qingfan (Green Alum), size of one date
* Shidan (Melanterite), size of one cowpea
* Chuanshengma Mo (Rhizoma Cimicifugae Powder), half fen
Grind all medicines finely. Wrap in cotton and soak in breast milk overnight. When the liquid has flavor, apply to the mouth. If there are nasal ulcers, drip... [text fragment].
**Formula for Pediatric Acute Gan where Parasites Erode Mouth/Nose/Teeth:**
* Pishuang (Arsenic Trioxide), 1 fen
* Shexiang (Moschus), 1 fen
First fry the Pishuang on paper, then add Shexiang and grind finely. Sweep onto the ulcer with a chicken feather. Use 2-3 times daily.
**Another Formula:**
* Qingfan (Green Alum), half liang, fired until red hot
* Huangfan (Yellow Alum), half liang, fired until red hot
* Baijian (White Alum), half liang, fired until juice is exhausted
* Shexiang (Moschus), 1 fen
Mix and grind finely like powder. Apply a small amount to gan ulcers as needed.
**Another Formula:**
* Jing Baiyangrou (Lean White Mutton), 2 liang
* Wuyiren (Semen Choerospondidis), half liang
* Chi (Fermented Soybeans), 1 he
* Chuanjiao (Zanthoxyli Pericarpium), 27 grains, remove eyes
* Jiangdou (Soybean Paste), 1 spoon
Mix and grind thoroughly. Apply an amount the size of a jujube to the ulcer three times daily.
**Miraculous Formula for Pediatric Acute Gan Ulcers:**
* Manjinghua (Flower of Turnip), harvested with roots when in full bloom and dried in shade.
Take a handful of the above roots and stems, remove heads and tails, wrap in barley flour and soy sauce paste, and burn in charcoal fire until smoke ceases. Let cool... [text fragment].
**Another Formula:**
Chew Sesame (Youma) until soft and apply to the ulcer for immediate effect.
**Another Formula:**
Grind Ranshedan (Python Gallbladder) finely, mix with water, and apply.