茅先生∶小儿有中疳泻候，浑身瘦弱，肚膨多渴，通下 粪，凡十处种粪即移三五处，粪内有虫。此因疳
积盛，而食得物不成腹肚至此。所治者先用青金丹、（方见积聚门中。）香连散、（方见一切泄泻门中）乳香散调理（方见
一切泄泻门中）即愈。常服保童丸。（方见一切疳门中）。
《石壁经》三十六种疳泻、 泻候歌∶
唇白毛干额上青，定因有积又多惊。肚高 瘕同鸡子，泻得如糟黄色形。莫将热药令先止，泻住肠中便作
声。渴发忽看身又热，虚风肿起更惊人。
其候因不慎饮食，或食交乳，致使然也。腹中有片子，或如鸡子，又如三二子大。所以作泻，粪出如糟，毛
发硬，面无光，或青黄色，目多反视。当分水谷，乃须温和药和气即愈。若药热则作肿而死。
《凤髓经》此候歌括一同。有注云∶宜与惺惺丸（方见本门）、银白散（方见霍乱门。《玉诀》同）。
《小儿形证论》四十八候疳、泻、 泻歌一同。后云∶此候因吃食饱、惊着，唇白为候。不得止，赤不可与
热药，又不可和气，却只将惊积药与服，后服疳伤药辰砂丸（方见本门。）
《仙人水鉴》粉霜丸 治小儿疳，一切泻方。
粉霜 白丁香（各一钱） 巴豆（二个，不出油）
上为末，烂饭为丸如许○大。每服井华水下二丸。
钱乙没石子丸 治泄泻、白浊及疳痢滑肠，腹痛方。
木香 黄连（各一分） 没石子（一个） 豆蔻仁（二个） 诃子肉（三个）
上为细末，饭和丸麻子大，米饮下。量儿大小加减，食前服。
《博济》胡黄连丸 治疳疾泻痢。
胡黄连 丁香 密陀僧（各半两） 肉豆蔻（一个） 槟榔（一枚） 红雪（一两） 诃子（生一枚，煨一枚）
细研，入麝一分，绿豆末少许，水丸如麻子。三岁下一丸，上五丸。脑疳鼻痒及赤烂，黄连汤；脾虚羸瘦、
泻痢、四肢虚肿，青州枣汤；肝疳、眼涩生疮，甘草汤；骨疳冷地卧，爱食土，紫苏茶调，常服米饮；肺疳
上气喘急，橘皮汤；筋疳泻血，盐汤；疳虫及泻无定，生姜汤。
钱乙如圣丸 治冷热疳泻。
胡黄连 白芜荑（炒） 川黄连（各二两） 使君子（一两） 麝（半钱） 干虾蟆（五枚，酒熬膏）
末，膏丸麻子大，人参汤下。二三岁五七丸。无时。
《宝鉴》赤虎丸 治诸般疳泻。
朱砂 胡黄连 宣连 芦荟 腻粉（各一钱） 肉豆蔻（炮，一个） 巴豆（二十一粒，麸炒黑） 硫黄（二钱） 麝
（少许）
研，粟米糊丸如萝卜子，甘草汤化，一岁一丸。朱氏无粉黄。
《良方》治疳泻不止，日夜无度，渐羸。吴婆散
桃根白皮 黄柏（蜜炙） 黄连（各一分） 浓朴（姜炙） 木香 槟榔 丁香（各一钱） 没石子（钱半） 楝
根白皮（半分） 芜荑（一分）
末，服一字，三岁上半钱，六岁一钱，紫苏、木瓜、米饮调下，乳食前，日三。疳泻
无不验。药性小温，暴热泻或非宜。
《聚宝》治疳泻及夏末秋初泻痢。香连丸
木香（一分） 川黄连（半两） 没石子（一个） 肉豆蔻（二个） 诃皮（三个） 胡椒（四十粒）
吴茱萸一合，慢火炒紫色，去茱萸，为末，酒糊丸如麻子。秆草汤下十丸，空心食前，日三四。
刘氏治疳腹胀，多渴，频泻腥白脓血，或痢。四肢疼痛，黄瘦，疳虫咬心，常吐青水，不食。百日至十岁皆宜，
夏月疳泻，下恶物立止。麝香丸
大活蟾一个，巴豆十粒勿损，入蟾口，养罐中，候自死破取巴豆，洗灌蟾里外，去肠胃，切数段，研巴豆
如面，同水二升，蟾入银锅，文武火煎烂，去骨，入无灰酒煎。
夜明砂（一两） 宣连 大芜荑（各二两。上药同膏煎如饧，入后药） 朱砂（一分） 鹤虱（纸上炒青） 芦荟 麝
（各半两）
末，入前膏，丸绿豆大，日干。一岁儿初服一丸，五七渐加至两丸，更量。
胡黄连饮 治疳热泻无时，饮食进退，面黄髓黑，日渐瘦瘁。
胡黄连 黄药子 人参 甘草（炙） 白术（炒） 秦艽 柴胡等分， 咀服二钱，水一盏，嫩桃、柳枝各七寸，
乌梅少许，煎八分，澄清作两分，食后、卧时各一服。小便赤，验。便清止药。便成肌，进食，大抵十五岁儿宜此。
王氏治疳肚大并泻。无比丸
青橘皮一个，巴豆七粒，麻皮缚，麸炒烟出，去巴豆，罗橘皮末，醋糊丸如绿豆，朱砂衣。陈米饮下五七
丸，数日效。
吉氏治疳泻，不食腹胀。芦荟丸
丁香 肉豆蔻（去皮） 木香（各半两）面裹，慢火煨熟，入芦荟一两，使君子半两，末，稀糊丸如黍。米饮下一
二十丸。
茅先生：小儿患有中疳泻证候，全身消瘦虚弱，腹部膨隆且多口渴，大便稀溏不止。凡是十次排便中会有三到五次出现变化，粪便中有虫。这是因为疳积邪气旺盛，导致食物无法在腹中正常消化所致。治疗时，先用青金丹（方剂见积聚门）、香连散（方剂见一切泄泻门）、乳香散（方剂见一切泄泻门）进行调理，即可痊愈。平时常服用保童丸（方剂见一切疳门）。
《石壁经》记载的三十六种疳泻及泻候歌诀：
嘴唇发白、毛发干枯、额头青色，必定是因为有积滞且容易受惊。腹部高高隆起，如有瘕块如鸡蛋大小，泻下的粪便像糟粕一样呈黄色。不要用热性药物强行止泻，若强行止泻，肠中便会发出声响。口渴发作时忽然发现身体又发热，虚风引起的肿胀更加令人惊恐。
这种证候是因为不慎饮食，或者食用了交乳（指乳汁与辅食交替不当或变质等），导致如此。腹中有片状积块，有的像鸡蛋，有的像两三个枣子大。所以导致腹泻，粪便排出如糟粕状，毛发坚硬，面色无光泽，或呈青黄色，眼睛经常向上翻视。应当分清水谷运化情况，需用温和的药物调和气血即可痊愈。如果用药过热，则会导致肿胀而死。
《凤髓经》对此证候的歌括内容相同。有注释说：适宜给予惺惺丸（方剂见本门）、银白散（方剂见霍乱门，《玉诀》同）。
《小儿形证论》记载的四十八种疳、泻证候及歌诀内容相同。后文又说：此证候是因为吃得太饱、受到惊吓，嘴唇发白为征候。如果腹泻不止，且伴有红色（热象），不可用热药，也不可单纯和气，却只将治惊积的药物给患儿服用，之后再服用疳伤药辰砂丸（方剂见本门）。
《仙人水鉴》粉霜丸：治疗小儿疳疾，各种腹泻的方剂。
粉霜、白丁香（各一钱）、巴豆（两个，不出油）。
以上研为细末，用烂饭做成如许○大小的丸药。每次用井华水下服二丸。
钱乙没石子丸：治疗泄泻、白浊以及疳痢滑肠、腹痛的方剂。
木香、黄连（各一分）、没石子（一个）、豆蔻仁（二个）、诃子肉（三个）。
以上研为细末，用饭和丸如麻子大小，米饮送下。根据患儿年龄大小加减剂量，饭前服用。
《博济》胡黄连丸：治疗疳疾泻痢。
胡黄连、丁香、密陀僧（各半两）、肉豆蔻（一个）、槟榔（一枚）、红雪（一两）、诃子（生用一枚，煨制一枚）。
细研，加入麝香一分、少许绿豆末，用水泛丸如麻子大小。三岁服下一丸，五岁服上五丸。若患脑疳鼻痒及红肿溃烂，用黄连汤送服；脾虚羸瘦、泻痢、四肢虚肿，用青州枣汤送服；肝疳、眼涩生疮，用甘草汤送服；骨疳喜卧冷地、爱吃泥土，用紫苏茶调服，常服米饮；肺疳上气喘急，用橘皮汤送服；筋疳泻血，用盐汤送服；疳虫及泻下无定势，用生姜汤送服。
钱乙如圣丸：治疗冷热疳泻。
胡黄连、白芜荑（炒）、川黄连（各二两）、使君子（一两）、麝香（半钱）、干虾蟆（五枚，酒熬成膏）。
研末，用膏和丸如麻子大小，人参汤送下。二三岁服五至七丸。不拘时候服用。
《宝鉴》赤虎丸：治疗各种疳泻。
朱砂、胡黄连、宣连、芦荟、腻粉（各一钱）、肉豆蔻（炮制，一个）、巴豆（二十一粒，麸炒黑）、硫黄（二钱）、麝香（少许）。
研末，用粟米糊做成如萝卜子大小的丸药，用甘草汤化开，一岁服一丸。朱氏方中没有粉黄。
《良方》治疗疳泻不止，日夜无度，逐渐消瘦。吴婆散
桃根白皮、黄柏（蜜炙）、黄连（各一分）、浓朴（姜炙）、木香、槟榔、丁香（各一钱）、没石子（钱半）、楝根白皮（半分）、芜荑（一分）。
研末，服一字量，三岁服半钱，六岁服一钱，用紫苏、木瓜、米饮调下，乳食前服用，每日三次。治疗疳泻无不灵验。药性小温，暴热泻痢则不适宜。
《聚宝》治疗疳泻及夏末秋初的泻痢。香连丸
木香（一分）、川黄连（半两）、没石子（一个）、肉豆蔻（二个）、诃皮（三个）、胡椒（四十粒）。
吴茱萸一合，慢火炒至紫色，去掉吴茱萸，将剩余药物研为细末，用酒糊做成如麻子大小的丸药。秆草汤送下十丸，空腹饭前服用，每日三至四次。
刘氏治疗疳腹胀，多口渴，频繁泻出腥白脓血，或患痢疾。四肢疼痛，发黄消瘦，疳虫咬心，经常呕吐青水，不进食。百日到十岁皆适宜，夏季疳泻，排出恶物后立即停止。麝香丸
大活蟾一个，巴豆十粒不要弄破，放入蟾口中，养在罐中，等待其自死后取出巴豆，清洗蟾内外，去除肠胃，切成数段，将巴豆研如面粉状，同水二升，蟾肉放入银锅，用文武火煎烂，去骨，加入无灰酒再煎。
夜明砂（一两）、宣连、大芜荑（各二两。上述药物同膏煎至如饴糖状，加入以下药物）、朱砂（一分）、鹤虱（纸上炒青）、芦荟、麝香（各半两）。
研末，加入前面的膏，做成绿豆大小的丸药，日晒干燥。一岁患儿初次服一丸，五至七岁逐渐加至两丸，更需酌情衡量。
胡黄连饮：治疗疳热泻无定时，饮食进退不定，面黄髓黑，日渐消瘦憔悴。
胡黄连、黄药子、人参、甘草（炙）、白术（炒）、秦艽、柴胡等分。切碎，服二钱，水一盏，嫩桃枝、柳枝各七寸，乌梅少许，煎至八分，澄清分为两份，饭后、睡前各服一份。小便赤者有效，便清则停药。小便变清，肌肉生长，能进食，大体上十五岁以下儿童适宜此方。
王氏治疗疳肚大并腹泻。无比丸
青橘皮一个，巴豆七粒，用麻皮捆缚，麸炒至冒烟，去掉巴豆，筛取橘皮末，用醋糊做成如绿豆大小的丸药，朱砂为衣。陈米饮送下五至七丸，数日见效。
吉氏治疗疳泻，不食腹胀。芦荟丸
丁香、肉豆蔻（去皮）、木香（各半两）。用面包裹，慢火煨熟，加入芦荟一两、使君子半两，研末，用稀糊做成如黍米大小的丸药。米饮送下一二十丸。
Mr. Mao: Children suffering from the syndrome of Zhong Gan Diarrhea (Middle-type Malnutrition with Diarrhea) present with emaciation and weakness throughout the body, abdominal distension, excessive thirst, and continuous loose stools. In ten bowel movements, three to five may vary in consistency, and worms may be present in the feces. This is caused by excessive accumulation of Gan malnutrition pathogens, leading to improper digestion of food in the abdomen. Treatment should first employ Qingjin Dan (Green Gold Pill), see Accumulation Section; Xianglian San (Cinnamon and Coptis Powder), see All Diarrhea Section; and Ruxiang San (Frankincense Powder), see All Diarrhea Section for regulation, after which recovery occurs. Regularly administer Baotong Wan (Child-Protecting Pill), see All Gan Sections.
The Song of Thirty-Six Types of Gan Diarrhea and Diarrheal Symptoms from *Shibi Jing* (Stone Wall Classic):
White lips, dry hair, and bluish forehead indicate definite accumulation and frequent fright. The abdomen protrudes high with masses like eggs; diarrhea resembles dregs with a yellowish hue. Do not use hot medicines to forcibly stop diarrhea; if stopped, sounds will arise in the intestines. When thirst strikes, fever suddenly appears; swelling from deficient wind is more alarming.
This condition arises from dietary indiscretion or improper feeding (Jiaoru), resulting in such symptoms. There are sheet-like masses in the abdomen, some the size of an egg, others like two or three dates. Hence diarrhea occurs, with feces resembling dregs; hair becomes stiff, complexion lacks luster, appearing blue-yellow; eyes often roll upward. One must distinguish water and grain metabolism; mild medicines harmonizing Qi will lead to recovery. If medicines are too hot, swelling ensues leading to death.
The song for this syndrome in *Fengsui Jing* (Phoenix Marrow Classic) is identical. A note states: It is suitable to administer Xingxing Wan (Awakening Pill), see this section; Yinbai San (Silver White Powder), see Cholera Section (*Yujue* agrees).
The song for forty-eight types of Gan and Diarrhea syndromes in *Xiao'er Xingzheng Lun* (Discussion on Infant Forms and Syndromes) is identical. It further states: This syndrome results from overeating or fright, with white lips as a sign. If diarrhea does not cease and redness (heat signs) is present, hot medicines are contraindicated, nor is simple Qi-harmonizing appropriate. Instead, administer medicines treating fright and accumulation, followed by Chensha Wan (Cinnabar Pill) for Gan injury, see this section.
*Xianren Shuijian* (Immortal's Water Mirror) Fenshuang Wan: Treats infant Gan and all types of diarrhea.
Fenshuang (Calomel), Baidingxiang (White Tawny Owl Dropping), each 1 qian; Badou (Croton Seed), 2 pieces (without releasing oil).
Grind into powder, mix with mashed rice to form pills of size Xu ○. Administer 2 pills per dose with well-water drawn at dawn.
Qian Yi Moshizi Wan: Treats diarrhea, white turbidity, Gan dysentery with slippery intestines, and abdominal pain.
Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), each 1 fen; Moshizi (Terminalia Chebula Retz.), 1 piece; Doukourén (Cardamomi Semen), 2 pieces; Hezirou (Myrobalani Fructus), 3 pieces.
Grind into fine powder, mix with rice to form pills the size of hemp seeds. Take with rice drink. Adjust dosage according to age; take before meals.
*Boji* Huhuanglian Wan: Treats Gan disease with diarrhea and dysentery.
Huhuanglian (Picrorhizae Rhizoma), Dingxiang (Caryophylli Flos), Miduoseng (Lithargyri), each half liang; Roudoukou (Myristicae Semen), 1 piece; Binglang (Arecae Semen), 1 piece; Hongxue (Red Snow/Saltpeter), 1 liang; Hezi (Myrobalani Fructus), 1 raw, 1 roasted.
Grind finely, add 1 fen of Shexiang (Moschus), a little Lvdoumo (Mung Bean Powder), and make water pills the size of hemp seeds. For 3-year-olds, 1 pill; for 5-year-olds, up to 5 pills. For Nao Gan (Brain Gan) with nasal itching and redness/ulceration, take with Huanglian Tang (Coptis Decoction); for Pi Xu (Spleen Deficiency) with emaciation, diarrhea/dysentery, and limb edema, take with Qingzhou Zao Tang (Qingzhou Date Decoction); for Gan Gan (Liver Gan) with dry eyes and sores, take with Gancao Tang (Licorice Decoction); for Gu Gan (Bone Gan) preferring cold floors and geophagia, take with Zisu Cha (Perilla Tea), regularly with rice drink; for Fei Gan (Lung Gan) with wheezing, take with Jupi Tang (Tangerine Peel Decoction); for Jin Gan (Sinew Gan) with bloody diarrhea, take with Yantang (Salt Water); for Gan worms and irregular diarrhea, take with Shengjiang Tang (Ginger Decoction).
Qian Yi Rusheng Wan: Treats cold-heat Gan diarrhea.
Huhuanglian (Picrorhizae Rhizoma), Bai Wuyi (Chuanbei Fructus, fried), Chuan Huanglian (Coptidis Rhizoma), each 2 liang; Shijunzi (Quisqualis Fructus), 1 liang; She (Moschus), half qian; Gan Xiaha (Dried Toad), 5 pieces (simmered in wine to paste).
Grind into powder, mix with paste to form pills the size of hemp seeds. Take with Ren Shen Tang (Ginseng Decoction). For 2-3 year olds, 5-7 pills. Take anytime.
*Baojian* Chihu Wan: Treats various types of Gan diarrhea.
Zhusha (Cinnabaris), Huhuanglian (Picrorhizae Rhizoma), Xuanlian (Coptidis Rhizoma), Lvhui (Aloe), Nifen (Calomel), each 1 qian; Roudoukou (Myristicae Semen, processed), 1 piece; Badou (Croton Seed), 21 grains (fried with bran until black); Liuhuang (Sulfur), 2 qian; She (Moschus), a little.
Grind, bind with millet paste into pills the size of radish seeds. Dissolve in Gancao Tang (Licorice Decoction). One pill for one-year-olds. Zhu’s formula lacks Fenhuang.
*Liangfang* treats persistent Gan diarrhea without day or night limits, leading to gradual emaciation. Wu Po San
Taogen Bapi (Peach Root Bark), Huangbai (Phellodendri Cortex, honey-fried), Huanglian (Coptidis Rhizoma), each 1 fen; Houpo (Magnoliae Officinalis Cortex, ginger-fried), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Dingxiang (Caryophylli Flos), each 1 qian; Moshizi (Terminalia Chebula Retz.), half qian; Lian Gen Bapi (Toona Root Bark), half fen; Wuyi (Chuanbei Fructus), 1 fen.
Grind into powder. Dose: "Yi Zi" (a measure approx. 0.5-1g); for 3 years old, half qian; for 6 years old, 1 qian. Mix with Zisu (Perillae Folium), Mugua (Chaenomelis Fructus), and rice drink. Take before milk/food, three times daily. Effective for all Gan diarrhea. Properties slightly warm; not suitable for sudden heat diarrhea.
*Jubao* treats Gan diarrhea and diarrhea/dysentery in late summer/early autumn. Xianglian Wan
Muxiang (Aucklandiae Radix), 1 fen; Chuan Huanglian (Coptidis Rhizoma), half liang; Moshizi (Terminalia Chebula Retz.), 1 piece; Roudoukou (Myristicae Semen), 2 pieces; Hepi (Myrobalani Pericarpium), 3 pieces; Hujiao (Piperis Longi Fructus), 40 grains.
Wuzhuyu (Evodiae Fructus), 1 he, stir-fry slowly until purple, remove Wuzhuyu. Grind remaining ingredients into powder, bind with wine paste into pills the size of hemp seeds. Take 10 pills with Gancao Tang (Reed Catkin Decoction), empty stomach before meals, three to four times daily.
Liu Shi treats Gan abdominal distension, excessive thirst, frequent passage of foul white purulent blood or dysentery. Limb pain, yellowish emaciation, Gan worms biting the heart, frequent vomiting of green fluid, anorexia. Suitable for infants to ten years old. For summer Gan diarrhea, expels evil substances immediately stopping symptoms. Shexiang Wan
One large live Bufo (Toad), 10 Badou (Croton Seeds) intact. Place Badou in Bufo's mouth, keep in jar until Bufo dies naturally. Remove Badou, wash Bufo inside and out, remove viscera, cut into segments. Grind Badou into flour-like powder. Combine with 2 sheng water and Bufo segments in a silver pot. Simmer on gentle fire until soft. Remove bones, add non-grain alcohol and simmer.
Yeming Sha (Nyctibiidae Excrement), 1 liang; Xuanlian (Coptidis Rhizoma), Da Wuyi (Chuanbei Fructus), each 2 liang. (Simmer these with the paste until syrupy, then add following herbs): Zhusha (Cinnabaris), 1 fen; Heshi (Carpesii Fructus, fried on paper until green); Lvhui (Aloe); She (Moschus), each half liang.
Grind into powder, mix with previous paste, form pills the size of mung beans. Dry in sun. For 1-year-old, start with 1 pill, gradually increase to 2 pills for older children, adjust accordingly.
Huhuanglian Yin: Treats intermittent Gan-heat diarrhea, fluctuating appetite, yellow face, dark marrow, progressive emaciation.
Huhuanglian (Picrorhizae Rhizoma), Huang Yaozi (Dioscoreae Hypoglaucae Rhizoma), Renshen (Ginseng Radix), Gancao (Licorice Root, roasted), Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix), equal parts. Cut into pieces, dose 2 qian. Add 1 sheng water, 7 cun tender peach branch, 7 cun willow branch, a few Wumei (Mume Fructus). Decoct to 8 fen. Clarify, divide into two doses. Take after meals and before bed. Effective if urine is red; stop when urine clears. Promotes muscle growth and appetite. Generally suitable for children under fifteen.
Wang Shi treats Gan abdominal distension and diarrhea. Wubi Wan
Qingjupi (Citri Reticulatae Pericarpium Viride), 1 piece; Badou (Croton Seed), 7 grains. Tie with hemp skin, fry with bran until smoke appears, remove Badou. Sieve Qingjupi into powder, bind with vinegar paste into pills the size of mung beans, coat with Zhusha (Cinnabaris). Take 5-7 pills with aged rice drink. Effective within several days.
Ji Shi treats Gan diarrhea, anorexia, and abdominal distension. Lvhui Wan
Dingxiang (Caryophylli Flos), Roudoukou (Myristicae Semen, peeled), Muxiang (Aucklandiae Radix), each half liang. Wrap in dough, bake slowly until cooked. Add Lvhui (Aloe), 1 liang; Shijunzi (Quisqualis Fructus), half liang. Grind into powder, bind with thin paste into pills the size of millet seeds. Take 10-20 pills with rice drink.