上八味为末。每服一字,米饮下,日二服。久者五服,有效。
第二急疳∶小儿疳痢,下赤色脓血,下部脱肛。虽有精神,命在须臾。但服此沉香丸方。
沉香 人参 蝎 胡黄连 乳香(各一分) 龙骨 甘草(各一两)
上件枣肉为丸麻子大。每服三丸,米饮下,日二服。久患七服,见效。
第三风疳∶小儿手足拘拳,眼目不开,有时自笑;或嗔怒惊叫,手爪甲青,状似鬼形,色似天 。须服此金箔茯苓
散
金箔(五片) 茯苓 牛膝 胡黄连(各一两) 龙骨(一分,生) 木香 麝香(各一钱)
上件为末。每服一字,米饮下,日二服。忌油腻。
第四肉疳∶眼目常痛,饮食不下,食物不消,日渐羸瘦,服此调中丸。
鳖甲(醋炙) 当归 黄 人参 附子(炮) 桂心 胡黄连(各一两) 雄黄(少许)
上为末,枣肉为丸麻子大。每服三丸,米汤下。忌鱼、油物。
第五脊疳∶十指爪甲痒痛,头发焦干,腹肚虚鸣,脊骨如锯;时时下痢,状如青淀,或脓或血,服此朱砂丸方
天灵盖(炙,一个) 柴胡(烧) 白术 麝香(各一钱) 槟榔(一个)
上件蒸枣为丸如麻子大。每服三丸,米饮枣汤下。
第六口疳漏失
第七脑疳∶鼻下赤烂,身心烦躁,鼻内生疮,头发自落,日夜痛无休歇,状似鬼形。服此安息丸方
安息香 丁香 胡黄连 麝香 雄黄(各一两) 肉豆蔻(二钱) 金银箔(各五片)
上件炼蜜为丸麻子大。每服三丸,米饮下。
第八食疳∶小儿夜间壮热,或时憎寒,手足或冷;兼生阴汗,渐加消瘦,多饶虚肿,往往下痢。铁粉丸方
铁粉(此是熬盐 子,凡要用,将烧红或醋泼外,其盐霜色起,刮,铁粉也) 朱砂(各二钱) 木
香桔梗(各半两) 胡黄连(一钱) 青州蝎(五个)
上件为末,白米饭丸,麻子大。每服三五丸,米饮下。
第九蛔疳∶小儿合地,面无颜色,啼声乍高,状似心痛。往往口干,发动有时。医人不识,妄呼见祟。不知小
儿曾吃生肉,肉化为虫,此方大效。苦楝丸
苦楝根 鹤虱 朱砂(各一两) 槟榔(三个) 麝香(一钱)
上件为末,面糊丸小豆大。每服三丸,白汤下。日可三服,忌毒物。
第十奶疳∶由乳母胃气不足,小儿吃着冷奶,便生吐逆,渐成奶疳,宜急治。莫交肿毒,便身通黄,状似橘皮。
宜服木香散方
黄 人参 龙脑(各一分) 蝎 干姜 橘皮(去白。各一两) 附子 甘草(各一两)
上件为末。每服一字,乳香汤调服,日进二服。重者不过七服。忌毒物。
第十一脾疳∶小儿常吃泥土,日久遍身通黄。人不识,或呼为阴黄。宜服虎睛丸方
虎睛(一个) 牛黄(二钱) 桔梗 麝香 胡黄连(各一钱)
上件为末,炼蜜为丸麻子大。每服三丸,食前,米饮下。日二服。
第十二肺疳∶小儿多是吃着热味食及病奶,损伤心肺,便生喘嗽。愚医不辨冷热,以药攻之,变成黄肿,渐觉
昏沉。服此杏仁散。
杏仁(二、七个) 甘草 款冬花(各二钱) 麝香 胡黄连(各一钱) 半夏(汤洗七度,半两)
上件为末。每服一字,枣汤调下。日进二服。
将以上八味药研成细末。每次服用一字的量,用米汤送服,每日两次。病程较长者服用五次,若见效则继续。
第二种急疳:小儿患疳痢,排出赤色脓血,下部脱肛。虽然精神尚存,但生命危在旦夕。只需服用此沉香丸方。
沉香、人参、全蝎、胡黄连、乳香(各一分),龙骨、甘草(各一两)。
将上述药物用枣肉制成如麻子大小的丸剂。每次服用三丸,用米汤送服,每日两次。久病患者服用七次,即可见效。
第三种风疳:小儿手足拘挛握拳,眼睛睁不开,有时自笑;或嗔怒惊叫,手爪甲发青,形状似鬼怪,面色惨白如天光。必须服用此金箔茯苓散。
金箔(五片)、茯苓、牛膝、胡黄连(各一两),龙骨(一分,生用)、木香、麝香(各一钱)。
将上述药物研成细末。每次服用一字的量,用米汤送服,每日两次。忌食油腻食物。
第四种肉疳:眼目经常疼痛,饮食难下,食物不消化,日渐消瘦,服用此调中丸。
鳖甲(醋炙)、当归、黄芪、人参、附子(炮制)、桂心、胡黄连(各一两),雄黄(少许)。
将上述药物研成细末,用枣肉制成如麻子大小的丸剂。每次服用三丸,用米汤送服。忌食鱼和油腻食物。
第五种脊疳:十指指甲痒痛,头发焦干枯黄,腹部虚鸣作响,脊骨疼痛如被锯割;时时腹泻,大便状如青淀,或为脓或为血,服用此朱砂丸方。
天灵盖(炙,一个)、柴胡(烧过)、白术、麝香(各一钱),槟榔(一个)。
将上述药物用蒸枣制成如麻子大小的丸剂。每次服用三丸,用米汤加枣汤送服。
第六种口疳漏失(原文此处仅列标题,无具体描述及方药)。
第七种脑疳:鼻下红肿溃烂,身心烦躁,鼻内生疮,头发脱落,日夜疼痛无休止,形状似鬼怪。服用此安息丸方。
安息香、丁香、胡黄连、麝香、雄黄(各一两),肉豆蔻(二钱),金银箔(各五片)。
将上述药物用炼蜜制成如麻子大小的丸剂。每次服用三丸,用米汤送服。
第八种食疳:小儿夜间高热,时而恶寒,手足发冷;兼有阴部出汗,逐渐消瘦,多有虚肿,往往伴有腹泻。使用铁粉丸方。
铁粉(这是熬盐剩下的渣滓,凡要使用时,将其烧红或用醋泼洒,待其表面泛起盐霜色后刮取,即为铁粉)、朱砂(各二钱),木香、桔梗(各半两),胡黄连(一钱),青州蝎(五个)。
将上述药物研成细末,用白米饭制成如麻子大小的丸剂。每次服用三至五丸,用米汤送服。
第九种蛔疳:小儿面色晦暗无华,啼哭声忽高忽低,状似心痛。往往口干,发作有时。医生不认识此症,妄称是见鬼祟。不知是小儿曾吃过生肉,肉化为虫所致,此方效果显著。使用苦楝丸。
苦楝根皮、鹤虱、朱砂(各一两),槟榔(三个),麝香(一钱)。
将上述药物研成细末,用面糊制成如小豆大小的丸剂。每次服用三丸,用白开水送服。每日可服用三次,忌食有毒食物。
第十种奶疳:由于乳母胃气不足,小儿吃了冷奶,便产生呕吐逆气,逐渐形成奶疳,应当紧急治疗。不要让病情发展为肿毒,导致全身发黄,皮肤状似橘皮。宜服用木香散方。
黄芪、人参、龙脑(各一分),全蝎、干姜、橘皮(去白瓤,各一两),附子、甘草(各一两)。
将上述药物研成细末。每次服用一字的量,用乳香汤调服,每日进服两次。重症患者不超过七次即可痊愈。忌食有毒食物。
第十一种脾疳:小儿常吃泥土,日久全身发黄。人们不认识,有的称之为阴黄。宜服用虎睛丸方。
虎睛(一个)、牛黄(二钱),桔梗、麝香、胡黄连(各一钱)。
将上述药物研成细末,用炼蜜制成如麻子大小的丸剂。每次服用三丸,饭前,用米汤送服。每日两次。
第十二种肺疳:小儿多是吃了热性食物及病态乳汁,损伤心肺,便发生喘咳。愚医不辨别冷热,用药攻伐,变成黄肿,逐渐感到昏沉。服用此杏仁散。
杏仁(二七个)、甘草、款冬花(各二钱),麝香、胡黄连(各一钱),半夏(汤洗七次,半两)。
将上述药物研成细末。每次服用一字的量,用枣汤调下。每日进服两次。
Grind the aforementioned eight ingredients into powder. Take one *zi* (a traditional Chinese unit of weight, approximately 0.5-1 gram) per dose, administered with rice water, twice daily. For chronic cases, five doses may be taken; efficacy is observed upon improvement.
Second type: Acute Gan Syndrome (Chronic Malnutrition Syndrome). The infant suffers from Gan dysentery, passing bloody purulent stool, accompanied by rectal prolapse. Although mental spirit remains intact, life hangs in the balance. Administer only this *Chenxiang Wan* (Agarwood Pill) formula.
*Chenxiang* (Aquilaria Lignum), *Renshen* (Ginseng Radix et Rhizoma), *Xie* (Scorpio), *Huhuanglian* (Coptidis Rhizoma processed with honey), *Ruxiang* (Olibanum) (each 1 fen); *Longgu* (Fossilized Mammalian Bones), *Gancao* (Licorice Root) (each 1 liang).
Make pills using jujube flesh, sized like hemp seeds. Take three pills per dose, administered with rice water, twice daily. For long-standing illness, seven doses are required to see results.
Third type: Wind Gan Syndrome. The infant exhibits flexion contracture of hands and feet, inability to open eyes, and occasional spontaneous smiling; or displays irritability, fright, and screaming, with cyanotic fingernails and toenails. The appearance resembles that of a ghost, with a pale complexion resembling daylight. Must administer this *Jinbo Fuling San* (Gold Foil Poria Powder).
*Jinbo* (Gold Foil) (five pieces); *Fuling* (Poria), *Niuxi* (Achyranthes Root), *Huhuanglian* (Coptidis Rhizoma processed with honey) (each 1 liang); *Longgu* (Fossilized Mammalian Bones, raw) (1 fen); *Muxiang* (Aucklandiae Radix), *Shexiang* (Moschus) (each 1 qian).
Grind the aforementioned ingredients into powder. Take one *zi* per dose, administered with rice water, twice daily. Avoid greasy foods.
Fourth type: Flesh Gan Syndrome. Frequent eye pain, difficulty swallowing food, indigestion, progressive emaciation. Administer this *Tiaozhong Wan* (Regulate Middle Pill).
*Biejia* (Testudinis Carapax et Plastrum, vinegar-fried), *Danggui* (Angelicae Sinensis Radix), *Huangqi* (Astragali Radix), *Renshen* (Ginseng Radix et Rhizoma), *Fuzi* (Aconiti Lateralis Radix Praeparata, roasted), *Guixin* (Cinnamomi Cortex), *Huhuanglian* (Coptidis Rhizoma processed with honey) (each 1 liang); *Xionghuang* (Realgar) (a small amount).
Grind into powder, make pills with jujube flesh, sized like hemp seeds. Take three pills per dose, administered with rice soup. Avoid fish and oily foods.
Fifth type: Spine Gan Syndrome. Itching and pain in the ten fingernails and toenails, scorched and dry hair, abdominal borborygmus due to deficiency, spine pain feeling like being sawed; frequent diarrhea, stool resembling blue precipitate, or containing pus or blood. Administer this *Zhusha Wan* (Cinnabar Pill) formula.
*Tianlinggai* (Cranii Os, roasted, one piece); *Chaihu* (Bupleuri Radix, burnt), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Shexiang* (Moschus) (each 1 qian); *Binglang* (Arecae Semen) (one piece).
Steam jujubes and make pills sized like hemp seeds. Take three pills per dose, administered with rice water mixed with jujube decoction.
Sixth type: Oral Gan Fistula/Leakage (Original text lists title only, no description or prescription provided).
Seventh type: Brain Gan Syndrome. Redness and ulceration below the nose, physical and mental restlessness, sores inside the nose, hair loss, ceaseless day and night pain, appearance resembling a ghost. Administer this *Anxi Wan* (Benzoin Pill) formula.
*Anxi Xiang* (Benzoin), *Dingxiang* (Caryophylli Flos), *Huhuanglian* (Coptidis Rhizoma processed with honey), *Shexiang* (Moschus), *Xionghuang* (Realgar) (each 1 liang); *Roudoukou* (Myristicae Semen) (2 qian); *Jinyinbo* (Silver and Gold Foil) (five pieces each).
Make pills using refined honey, sized like hemp seeds. Take three pills per dose, administered with rice water.
Eighth type: Food Gan Syndrome. High fever at night in infants, alternating chills, cold hands and feet; accompanied by sweating in the genital area, gradual emaciation, frequent edema, and often diarrhea. Use this *Tiefen Wan* (Iron Powder Pill) formula.
*Tiefen* (Ferrum Pulveratum - derived from salt residue: heat until red-hot or splash with vinegar until salt frost appears, then scrape off); *Zhusha* (Cinnabar) (each 2 qian); *Muxiang* (Aucklandiae Radix), *Jiegeng* (Platycodonis Radix) (each 0.5 liang); *Huhuanglian* (Coptidis Rhizoma processed with honey) (1 qian); *Qingzhou Xie* (Scorpio from Qingzhou) (five pieces).
Grind into powder, make pills using white rice paste, sized like hemp seeds. Take three to five pills per dose, administered with rice water.
Ninth type: Roundworm Gan Syndrome. Infant has a dull complexion without luster, crying voice fluctuating in pitch, symptoms resembling heart pain. Often dry mouth, attacks occurring at specific times. Physicians unfamiliar with this condition may mistakenly attribute it to demonic influence. This occurs because the infant consumed raw meat which transformed into parasites. This formula is highly effective. Use *Kelian Wan* (Toosendan Pill).
*Kelian Genpi* (Toosendan Radicis Cortex), *Heshi* (Chrysanthemi Indici Flos), *Zhusha* (Cinnabar) (each 1 liang); *Binglang* (Arecae Semen) (three pieces); *Shexiang* (Moschus) (1 qian).
Grind into powder, make pills using wheat flour paste, sized like mung beans. Take three pills per dose, administered with plain warm water. Can be taken three times daily. Avoid toxic foods.
Tenth type: Milk Gan Syndrome. Caused by insufficient stomach qi in the nursing mother; when the infant consumes cold milk, vomiting and regurgitation occur, gradually developing into Milk Gan. Urgent treatment is required. Prevent progression to swelling and toxicity, leading to generalized jaundice with skin texture resembling orange peel. Administer this *Muxiang San* (Aucklandia Powder).
*Huangqi* (Astragali Radix), *Renshen* (Ginseng Radix et Rhizoma), *Longnao* (Borneolum Syntheticum) (each 1 fen); *Xie* (Scorpio), *Ganjiang* (Zingiberis Rhizoma), *Juapi* (Citri Reticulatae Pericarpium, pith removed) (each 1 liang); *Fuzi* (Aconiti Lateralis Radix Praeparata), *Gancao* (Licorice Root) (each 1 liang).
Grind into powder. Take one *zi* per dose, mixed with *Ruxiang Tang* (Frankincense Decoction), administered twice daily. Severe cases resolve within seven doses. Avoid toxic foods.
Eleventh type: Spleen Gan Syndrome. Infants who habitually eat dirt develop generalized yellowing over time. Unrecognized by laypeople, sometimes called Yin Jaundice. Administer this *Hujing Wan* (Tiger Eye Pill).
*Hujing* (Tiger Eye) (one piece); *Niuhuang* (Calculus Bovis) (2 qian); *Jiegeng* (Platycodonis Radix), *Shexiang* (Moschus), *Huhuanglian* (Coptidis Rhizoma processed with honey) (each 1 qian).
Grind into powder, make pills using refined honey, sized like hemp seeds. Take three pills per dose, before meals, administered with rice water. Twice daily.
Twelfth type: Lung Gan Syndrome. Infants often consume spicy/hot foods and milk from mothers with pathological conditions, damaging the Heart and Lungs, leading to wheezing and coughing. Ignorant physicians fail to distinguish between cold and heat patterns and use attacking drugs, resulting in yellowish edema and gradual lethargy. Administer this *Xingren San* (Apricot Kernel Powder).
*Xingren* (Armeniacae Semen Amarum) (27 pieces); *Gancao* (Licorice Root), *Kuandonghua* (Farfarae Flos) (each 2 qian); *Shexiang* (Moschus), *Huhuanglian* (Coptidis Rhizoma processed with honey) (each 1 qian); *Banxia* (Pinelliae Rhizoma, washed seven times in hot water) (0.5 liang).
Grind into powder. Take one *zi* per dose, mixed with jujube decoction. Administer twice daily.