治肾疳宣露候良方。
木香 槟榔 人参 黄连 甘草（炙，各等分为末）
上每服一钱，小者半钱，熟水调服。
治肾疳腐根候良方。
黄 （蜜炙） 牛黄 人参 天麻 蝎（去毒） 杏仁（炒） 白茯苓 川当归 生地黄（洗）
熟干地黄（洗各等分为末）
上每服小者半匕，煎天门冬熟水调服，麦门冬亦得。
治肾疳，龈 牙齿肉烂腐臭，鲜血常出良方。
生干地黄（半两） 真地骨皮 细辛（各一分） 五倍子（炒令焦二钱）
上为末，每用少许敷之，频与功效，多不妨。议曰∶本经所载，疳证有五，谓五脏所受
得其名。今述肾疳一脏，有五证候者，最为要急，不可同常。此疾具陈有五种，候传迅疾
可畏，乃知走马之号不诬。初发之时，儿孩口臭，上干胃口，气息臭郁；渐进损筋，龈肉生
疮，或肿或烂，其齿焦黑；又进，从牙槽内发作疮 ，破溃脓烂；又进，热逼入脉，常血出
，其热注久，牙龈腐坏，槽宽齿脱，六七岁孩落尽，不复更生，岂可治疗！今以妙方，宜速
与随其传变而理，不待疾作而后药也。
治小儿走马疳，牙齿溃烂，以至硼砂出血齿落者。
轻粉 兰香（末各一钱） 密陀僧（半两，醋淬为末）
上研如粉，敷齿及龈上，立效。议曰∶婴孩受病，症候多疳，良由气郁三焦，疳分五脏
有肾经，常虚得疳，名之曰急，以走马为喻，治疗颇难。此等证∶初作口气，名曰臭息；次
第齿黑，名曰硼砂；盛则龈烂，名曰溃槽；又盛血出，名曰宣露；重则齿自脱落，名曰腐根
。其根既腐，何由理之？嗟乎！豪家育子，哺以甘肥，肾堂受之虚热，或因母在难月，恣食浓
味，令儿所招，俱非偶然而作。今将秘方述于后。
治疗肾疳宣露候的良方。
木香、槟榔、人参、黄连、甘草（炙，各等分为末）
以上药物，每次服用一钱，年幼者半钱，用熟水调服。
治疗肾疳腐根候的良方。
黄（蜜炙）、牛黄、人参、天麻、蝎（去毒）、杏仁（炒）、白茯苓、川当归、生地黄（洗）、熟干地黄（洗，各等分为末）
以上药物，每次服用年幼者半匕，煎天门冬熟水调服，麦门冬也可以。
治疗肾疳，牙龈与牙齿肉腐烂发臭，鲜血常出的良方。
生干地黄（半两）、真地骨皮、细辛（各一分）、五倍子（炒至焦黑，二钱）
以上药物研为末，每次取少许敷于患处，频繁使用功效显著，多次使用也无妨。议论说：《本经》记载，疳证有五种，是指五脏受邪而得的名。现在论述肾疳这一脏，有五种证候，最为紧要急迫，不可与普通情况等同。此病详细陈述共有五种，证候传变迅速，令人畏惧，由此可知“走马疳”的称号并非虚名。初发之时，小儿口臭，上冲胃口，气息臭郁；逐渐损伤筋脉，牙龈肉生疮，或肿或烂，牙齿焦黑；再进展，从牙槽内发作疮疡，破溃流脓腐烂；再进展，热邪逼迫入脉，经常出血，热邪久注，牙龈腐坏，牙槽变宽牙齿脱落，六七岁的小孩牙齿落尽，不再重新生长，难道还能治疗吗！现在用妙方，应当迅速给予，随着其传变而调理，不要等到疾病发作后才用药。
治疗小儿走马疳，牙齿溃烂，以至硼砂出血牙齿脱落的方剂。
轻粉、兰香（末，各一钱）、密陀僧（半两，醋淬后研为末）
以上药物研磨如粉，敷于牙齿及牙龈上，立即见效。议论说：婴儿患病，症状多为疳证，大多由于气郁三焦，疳分属于五脏，有肾经，常常因虚而得疳，命名为急，以走马为比喻，治疗颇为困难。这些证候：初起口气臭，名为臭息；接着牙齿变黑，名为硼砂；严重则牙龈腐烂，名为溃槽；更严重则出血，名为宣露；重则牙齿自行脱落，名为腐根。其根既然已经腐烂，如何能调理呢？唉！富贵人家养育子女，喂养甘肥食物，肾堂受到虚热侵袭，或者因为母亲在难产月份，恣意食用浓味食物，导致小儿招致此病，都不是偶然发生的。现在将秘方叙述在后面。
A good prescription for treating the condition of Kidney Gan (Kidney-related malnutrition syndrome) manifesting as Xuanlu (exposure/bleeding).
Muxiang (Costi Rhizome), Binglang (Arecae Semen), Renshen (Ginseng Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Gancao (Licorice Radix et Rhizoma, processed with honey). All in equal parts, ground into powder.
For each dose, take one qian (approx. 3-5g); for younger children, half a qian. Mix with boiled water and take orally.
A good prescription for treating the condition of Kidney Gan manifesting as Fugen (rotting roots/tooth loss).
Huang (likely Huangqi or similar, processed with honey), Niuhuang (Calculus Bovis), Renshen (Ginseng Radix et Rhizoma), Tianma (Gastrodiae Rhizoma), Xie (Scorpio, detoxified), Xingren (Armeniacae Semen Amarum, stir-fried), Baifuling (Poria), Chuandanggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix, washed), Shugandihuang (Rehmanniae Radix Preparata, washed). All in equal parts, ground into powder.
For each dose, for younger children, take half a bi (a small spoonful). Mix with decoction of Tianmendong (Asparagi Radix) boiled water and take orally; Maidong (Ophiopogonis Radix) is also acceptable.
A good prescription for treating Kidney Gan, where the gums and gingival tissue rot and smell foul, and fresh blood frequently oozes out.
Shenggan Dihuang (Prepared Rehmanniae Radix, 0.5 liang), Zhen Digupi (Phellodendri Cortex), Xixin (Asari Radix et Rhizoma, each 1 fen), Wubeizi (Galla Chinensis, stir-fried until charred, 2 qian).
Grind all into powder. For each application, use a small amount to apply topically. Frequent application yields good results; repeated use is harmless. Commentary: The *Ben Jing* records five types of Gan syndromes, named according to the affected Zang organs. Here, we discuss Kidney Gan, which has five specific manifestations. This is the most critical and urgent type, distinct from ordinary cases. This disease presents with five stages; the progression is swift and terrifying, justifying the name "Zouma Gan" (Running Horse Gan). Initially, the child has bad breath that rises to the stomach opening, with foul and stagnant qi; gradually, the tendons are damaged, sores appear on the gingiva, swelling or rotting occurs, and teeth turn scorched black; further progression leads to sores erupting from the alveolar bone, rupturing with pus and rot; even further, heat forces its way into the vessels, causing frequent bleeding; prolonged heat causes gingival decay, widening of the alveolar sockets, and tooth loss; by age six or seven, all teeth may fall out and never regrow—how can this be treated! Now, using this excellent prescription, it should be administered promptly, adjusting treatment according to the progression of the disease, rather than waiting for severe symptoms to appear before medicating.
A prescription for pediatric Zouma Gan (Running Horse Gan), where teeth ulcerate and rot, leading to bleeding from Pengsha (borax-like discharge) and tooth loss.
Qingfen (Calomelas), Lanxiang (Litsea Cubeba Fruit, powdered, each 1 qian), Mituosen (Lithargyrum, 0.5 liang, quenched in vinegar and ground into powder).
Grind all into a fine powder and apply topically to the teeth and gums. Immediate effect is expected. Commentary: Infants suffering from illness often present with Gan syndromes, largely due to Qi stagnation in the Sanjiao (Triple Burner). Gan is categorized by the Five Zang organs; involvement of the Kidney meridian often results from deficiency, leading to a condition termed "Ji" (Urgent/Emergent), metaphorically compared to a running horse, making treatment quite difficult. These syndromes progress as follows: initially, foul breath is called "Chouxi" (Foul Breath); next, teeth turn black, called "Pengsha"; when severe, gums rot, called "Kui Cao" (Ulcerated Socket); even more severe, bleeding occurs, called "Xuanlu" (Exposure/Bleeding); critically, teeth fall out spontaneously, called "Fugen" (Rotting Roots). Once the roots have rotted, how can they be repaired? Alas! Wealthy families raising children feed them rich and fatty foods, subjecting the Kidney palace to deficient heat. Alternatively, if the mother consumed strong-flavored foods during difficult labor, the child may contract this disease. None of these occur by chance. The secret prescriptions are listed below.