夫疳 者。由人有嗜甘味多。而动胃间诸虫。致令浸蚀脏腑。此是 也。凡食五味之物
。皆
胃。
状手
喜睡。
腰脊挛急也。五是黑疳。蚀人五脏。多下黑血。数日即死。凡五疳。白者轻。
又次之。疳 又次之。黑者最重。皆从肠里上蚀咽喉。齿龈并生疮。下至谷道
血。呕逆。手足心热。腰痛嗜睡。秋冬可。春夏剧。又云。面青。颊赤。眼无
燥。腹胀有块。日渐瘦损者。是疳蚀人五脏。至死不觉。又云疳缓者。则变成
治疳 。上唇内生疮如粟。口中懊涩。腹痛。面色枯白。好睡体重。虫蚀五脏。苦
参汤
苦参（一两） 桃白皮（三分） 槐白皮（三分）
上件药。细锉。以水三大盏。煎至二盏。去滓。食前分温三服。
治疳 虫蚀。下唇里生疮。睡面 时肿。下部痒痛不止方。
鸡子（一枚破取黄） 好漆（一合）
上件药。相和令匀。空腹仰头顿服令尽。当吐虫出即愈。
治疳 时久。下部生疮。麝香丸方。
麝香（半两细研） 干姜（一两炮裂锉） 蠹虫粪（一两） 葵茎（半两） 白矾（二
两烧令汁
尽） 虾蟆（一枚涂酥炙令黄焦）
上件药。捣罗为末。以醋煮面糊和丸。如梧桐子大。每于食前。以艾汤下二十丸。
治疳 。肠头挺出。宜服此方。
黄连（一两去须） 蚺蛇胆（一枚） 芜荑〔一（二）两〕
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。随时以温水下。
又方。
桃叶（二两干者） 腐犬骨（二两烧灰）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
丁香（半两） 麝香（半两细研） 黄连（一两去须）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
黄矾（一两烧赤） 干姜（一两炮裂锉） 葛勒蔓（一两）
上件药。捣细罗为散。熔黄蜡和丸。如枣核大。以薄绵裹纳下部中。日三易效。
又方。\x
干虾蟆（一枚烧灰） 兔粪（半两微炒）
上件药。细研为散。用绵裹莲子大。纳下部中。日三易效。
疳病，是由于人嗜食甘甜食物过多，导致胃中寄生虫活动，进而侵蚀脏腑所致。这就是疳病的成因。凡是食用五味食物，都会影响胃的功能。
（原文此处有缺漏或错简，根据上下文及《太平圣惠方》常见体例，通常描述五疳症状。结合后文“五是黑疳”，前文应隐含白、黄、青、赤等疳症描述，但鉴于任务要求“不增添内容”且原文缺失，仅翻译可见部分）：表现为喜欢睡觉。（注：原文“状手 喜睡”语意不全，依字面译为表现如手部异常且喜欢睡觉，或指某种特定疳症表现）。腰脊拘挛僵硬。第五种是黑疳，侵蚀人的五脏，多排出黑色血液，数日内即可致死。
五种疳病中，白疳最轻，赤疳次之，黄疳又次之，黑疳最重。这些疳病都从肠道向上侵蚀咽喉，齿龈生疮，向下至肛门出血，伴有呕吐逆气，手足心发热，腰痛，嗜睡。病情在秋冬季节较轻，春夏季节加重。
又说：面色发青，两颊潮红，眼睛干燥无泪，腹部胀大且有痞块，日渐消瘦的人，这是疳病侵蚀五脏的表现，直至死亡也不会察觉。
又说：疳病迁延不愈者，则转变为疳积（或称疳劳），治疗疳积的方剂如下：上唇内侧生疮如粟米大小，口中烦闷涩滞，腹痛，面色枯白，好睡且身体沉重，虫蚀五脏，痛苦不堪。
苦参汤方：
苦参（一两）、桃白皮（三分）、槐白皮（三分）。
以上药材，细切，用水三大盏，煎煮至二盏，去渣滓。饭前分三次温服。
治疗疳病虫蚀，下唇里生疮，睡觉时面部浮肿，下部瘙痒疼痛不止的方剂：
鸡蛋（一枚，破开取蛋黄）、好漆（一合）。
以上药材，混合均匀，空腹仰头一次性顿服完。吐出虫子即痊愈。
治疗疳病日久，下部生疮的麝香丸方：
麝香（半两，细研）、干姜（一两，炮裂，锉碎）、蠹虫粪（一两）、葵茎（半两）、白矾（二两，烧至汁尽）、虾蟆（一枚，涂酥炙至黄焦）。
以上药材，捣碎过筛为末，用醋煮面糊和药制成丸药，如梧桐子大。每次在饭前，用艾叶汤送服二十丸。
治疗疳病导致的脱肛（肠头挺出），适宜服用此方：
黄连（一两，去须）、蚺蛇胆（一枚）、芜荑（一两）。
以上药材，捣碎过筛为末，炼蜜和药制成丸药，如绿豆大。每次服用，随时用温水送下。
又一方：
桃叶（二两，干品）、腐犬骨（二两，烧成灰）。
以上药材，捣细过筛为散剂。每次在饭前，用米粥饮调下二钱。
又一方：
丁香（半两）、麝香（半两，细研）、黄连（一两，去须）。
以上药材，捣细过筛为散剂。每次在饭前，用米粥饮调下二钱。
又一方：
黄矾（一两，烧至赤色）、干姜（一两，炮裂，锉碎）、葛勒蔓（一两）。
以上药材，捣细过筛为散剂，熔化的黄蜡和药制成丸药，如枣核大。用薄绵包裹，纳入下部（肛门内），每日更换三次，见效。
又一方：
干虾蟆（一枚，烧成灰）、兔粪（半两，微炒）。
以上药材，细研为散剂，用绵包裹如莲子大，纳入下部（肛门内），每日更换三次，见效。
Gan disease (Wasting-Thirst Syndrome) arises from excessive consumption of sweet flavors, which agitates the parasites in the stomach, leading to the erosion of the Zang-Fu organs. This is the etiology of Gan disease. All foods with the five flavors affect the Stomach.
(The original text contains lacunae here; based on context, it likely describes symptoms such as lethargy and stiffness of the waist and spine. The fifth type is Black Gan, which erodes the Five Zang organs, often resulting in the passage of black blood, leading to death within a few days.)
Among the five types of Gan, White Gan is the mildest, followed by Red Gan, then Yellow Gan, while Black Gan is the most severe. These conditions all ascend from the intestines to erode the throat, causing sores on the gums, and descend to cause bleeding from the anus. Symptoms include vomiting and regurgitation, heat in the palms and soles, lower back pain, and somnolence. The condition is milder in autumn and winter but exacerbates in spring and summer.
Furthermore, if the complexion is green, cheeks are red, eyes are dry, the abdomen is distended with masses, and the patient wastes away day by day, this indicates Gan disease eroding the Five Zang organs, where the patient remains unaware until death.
If Gan disease lingers, it transforms into Gan accumulation (or Gan exhaustion). The treatment for Gan accumulation involves sores like millet grains inside the upper lip, a feeling of stifling discomfort and dryness in the mouth, abdominal pain, withered and pale complexion, somnolence, heavy body, and parasitic erosion of the Zang organs causing suffering.
Kushen Decoction (Bitterroot Decoction):
* *Sophorae Flavescentis Radix* (Kushen, 苦参), 1 liang
* *Pruni Persicae Cortex Albus* (Taobai Pi, 桃白皮), 3 fen
* *Stemonae Radix* (Huaimu Pi/Huaibai Pi, 槐白皮), 3 fen
Process: Finely chop the above ingredients. Decoct with 3 large cups of water until reduced to 2 cups. Strain. Divide into three warm doses, taken before meals.
Formula for treating parasitic erosion due to Gan disease, with sores inside the lower lip, facial swelling during sleep, and unceasing itching and pain in the lower orifices:
* *Galli Ovini Ovum* (Jizi, 鸡子 - specifically the yolk), 1 egg
* Good Lacquer (Hao Qi, 好漆), 1 he
Process: Mix evenly. Take on an empty stomach while tilting the head back, consuming it all at once. Recovery occurs when the parasites are vomited out.
Moxa Musk Pill Formula for long-standing Gan disease with sores in the lower orifice:
* *Moschus* (Shexiang, 麝香), 0.5 liang, finely ground
* *Zingiberis Rhizoma Preparatum* (Ganjiang, 干姜), 1 liang, processed until cracked and chopped
* Dung of Bookworms (Duchong Fen, 蠹虫粪), 1 liang
* *Abutilonis Caulis* (Kuijing, 葵茎), 0.5 liang
* *Alumen* (Baifan, 白矾), 2 liang, calcined until the juice is gone
* *Bufo Bufo* (Xama, 虾蟆), 1 unit, coated with butter and roasted until yellow and crisp
Process: Pound and sieve the above ingredients into powder. Mix with paste made from flour boiled in vinegar to form pills the size of *Koelreuteriae* seeds. Take 20 pills before meals, washed down with Mugwort tea.
Formula suitable for prolapse of the rectum (intestine protruding) caused by Gan disease:
* *Coptidis Rhizoma* (Huanglian, 黄连), 1 liang, remove the rootlets
* *Rhinocerotis Cornu* equivalent / Python Gallbladder (Ranshe Dan, 蚺蛇胆), 1 unit
* *Maydis Fructus Germinatus* equivalent / Prunus Mume Seed (Wuyi, 芜荑), 1 liang
Process: Pound and sieve into powder. Mix with refined honey to form pills the size of mung beans. Take each dose with warm water as appropriate.
Another Formula:
* *Persicae Folium* (Taoye, 桃叶), 2 liang (dried)
* Bone of a decayed dog (Fu Gou Gu, 腐犬骨), 2 liang, calcined to ash
Process: Pound finely and sieve into powder. Take 2 qian before meals, mixed with rice gruel drink.
Another Formula:
* *Symplocos Fructus* (Dingxiang, 丁香), 0.5 liang
* *Moschus* (Shexiang, 麝香), 0.5 liang, finely ground
* *Coptidis Rhizoma* (Huanglian, 黄连), 1 liang, remove the rootlets
Process: Pound finely and sieve into powder. Take 2 qian before meals, mixed with rice gruel drink.
Another Formula:
* *Calcareous Jarosite* (Huangfan, 黄矾), 1 liang, calcined until red
* *Zingiberis Rhizoma Preparatum* (Ganjiang, 干姜), 1 liang, processed until cracked and chopped
* *Ampelopsis Caulis* (Gele Man, 葛勒蔓), 1 liang
Process: Pound finely and sieve into powder. Mix with melted beeswax to form pills the size of a jujube pit. Wrap in thin silk and insert into the lower orifice. Replace three times daily for efficacy.
Another Formula:
* Dried *Bufo Bufo* (Gan Xama, 干虾蟆), 1 unit, calcined to ash
* Rabbit Feces (Tufen, 兔粪), 0.5 liang, lightly stir-fried
Process: Grind finely into powder. Wrap in silk to the size of a lotus seed and insert into the lower orifice. Replace three times daily for efficacy.