《圣惠》论∶夫小儿疳痢久不瘥者，由脏腑宿挟疳气，或乳食不节，冷热相乖，肠胃既虚，逐令下痢而不瘥，
连滞日月，故名久疳痢也。
《圣惠》治小儿疳痢久不瘥，龙骨散方
龙骨 赤石脂（各半两） 诃梨勒（煨，用皮） 密陀僧 醋石榴皮（锉，微炒） 麝香（研入。各一分）
上件药捣，罗为细散。每服以粥饮调下半钱，日三、四服。量儿大小以意加减。
《圣惠》治小儿疳痢久不瘥，体瘦羸弱，皮毛干燥，发无润泽。朱砂丸方
朱砂（细研，水飞过） 青黛 田父（灰） 牛黄（各半两） 麝香 粉霜 芦荟 雄黄（各一分）
蛇蜕皮（三尺，烧灰） 胡黄连（末，三分） 虎睛（一对，酒浸一宿，炙微黄） 蟾酥（一钱）
上件药都研为末，用软饭和丸如麻子大。每服以粥饮下五丸，日三服。量儿大小以意加减。
《圣惠》治小儿疳痢久不瘥，四肢羸瘦，宜服砒霜丸方
砒霜 雄黄 朱砂 麝香 干蟾灰（各一分）
上件药，同研为末，汤浸蒸饼和丸如粟米大，每服以冷粥饮下一丸，日再服。忌热物。
《圣惠》治小儿疳痢久不瘥，肚大青脉，四肢渐瘦。芦荟丸方
芦荟（一两） 粉霜（一分）
上件药，同研为末，以日煎黄连汁至浓，和丸如绿豆大。每服食前以米粥饮下五丸。量儿大小以意加减。
《水鉴》圣丸子∶治疳痢经年不定时，似白胶。
寒水石 白矾（枯） 水蓼 雄黄 光明砂 黄丹（熬） 砒霜 鸡子皮灰（各二分） 大黄（生，四分。《圣惠》
炒，半两）
末，蟾酥丸如麻子。一月儿二丸，更量。石榴皮汤、姜汤任下。《圣惠》蟾酥（半分），面糊丸如粟。新汲水
下三丸。
《千金》治疳痢（崔氏∶晋代地多五疳，蚀人五脏，见脊骨，下脓血，手足烦疼，无力，夜卧烦躁，面失血色，肩
髀疼，面及手脚有浮气，或下血死。）
雄黄 青葙子（各二两） 苦参（三两） 矾 雌黄 铁衣 藜芦（各一两） 麝（二分）
筛，以酸枣许竹管内，吹大孔中，日一、三服，效。儿大豆许。
《圣惠》青黛散 治疳痢久不瘥，日羸。
青黛（一两） 麝 雄黄 朱砂 蚺蛇胆 黄柏（蜜炙） 苦参 桂心 白矾（枯） 杏仁（麸炒黄） 附（炮裂，
净） 莨菪子（淘，煮芽出，炒黄。各半两） 干姜（炮裂） 细辛 藜芦（各一分）
散，井华水调半钱，日三。一岁一字，三岁半钱，意裁。口疮，鼻痒，酥如绿豆大，安鼻中。头疳，下部赤烂，散
敷。
黄连散 治疳痢久不瘥，肌瘦面黄，发焦，啼叫。
胡黄连 白矾（枯） 白龙骨（各半两） 胡粉（炒，一分）
研，一岁儿米饮调一字，二岁半钱。量儿量病服。
龙胆丸 治疳痢久不瘥，体热心烦，不食。
龙胆 麝（各一分） 苦楝根皮 臭樗根皮（并炙黄） 使君子 胡黄连（各半两） 蟾酥（半钱）
罗，面糊丸如绿豆。一岁一丸，粥饮下，意加。
治久疳痢不瘥，腹胁胀满。麝香丸
麝（一分） 巴豆（半两，油煎黑净，霜）
研，烧饭丸如黍米，粥饮下一丸，空心，午后服。
芜荑丸
羊子肝一枚，切片，芜荑末半两掺肝内，线缠，米泔煮熟，糯米饭丸如麻子。粥饮下五丸，早晚各一服，量与。
《圣惠方》论述：小儿疳痢（由疳积引起的痢疾）长期不愈，是因为脏腑素来挟带疳气，或者乳食没有节制，冷热失调，导致肠胃虚弱，从而引发痢疾且久治不愈，拖延日月，所以称为久疳痢。
《圣惠方》治疗小儿疳痢长期不愈的龙骨散方剂：
龙骨、赤石脂（各半两）、诃梨勒（煨制，只用皮）、密陀僧、醋石榴皮（切碎，微炒）、麝香（研细加入，各一分）。
以上药物捣碎，过筛成细粉。每次服用半钱，用米粥汤调服，每日三到四次。根据患儿年龄大小酌情加减剂量。
《圣惠方》治疗小儿疳痢长期不愈，身体消瘦羸弱，皮毛干燥，头发缺乏润泽的朱砂丸方剂：
朱砂（细研，用水飞法处理）、青黛、田父灰、牛黄（各半两）、麝香、粉霜、芦荟、雄黄（各一分）、蛇蜕皮（三尺长，烧成灰）、胡黄连（末，三分）、虎睛（一对，酒浸一夜，炙至微黄）、蟾酥（一钱）。
以上药物都研成粉末，用软饭和药制成如麻子大小的丸剂。每次服用五丸，用米粥汤送服，每日三次。根据患儿年龄大小酌情加减剂量。
《圣惠方》治疗小儿疳痢长期不愈，四肢消瘦，适宜服用砒霜丸方剂：
砒霜、雄黄、朱砂、麝香、干蟾灰（各一分）。
以上药物共同研成粉末，用汤浸泡蒸饼和药制成如粟米大小的丸剂。每次服用一丸，用冷米粥汤送服，每日两次。忌食热性食物。
《圣惠方》治疗小儿疳痢长期不愈，腹部胀大且有青色脉络显现，四肢逐渐消瘦的芦荟丸方剂：
芦荟（一两）、粉霜（一分）。
以上药物共同研成粉末，用煎煮浓缩的黄连汁和药，制成如绿豆大小的丸剂。每次饭前用米粥汤送服五丸。根据患儿年龄大小酌情加减剂量。
《水鉴》圣丸子：治疗疳痢经年不定时发作，大便状似白胶。
寒水石、白矾（枯矾）、水蓼、雄黄、光明砂、黄丹（熬制）、砒霜、鸡子皮灰（各二分）、大黄（生用，四分。《圣惠方》中为炒用，半两）。
研成粉末，用蟾酥和药制成如麻子大小的丸剂。一个月大的婴儿服二丸，需酌情增减。可用石榴皮汤或姜汤送服。《圣惠方》中用蟾酥（半分），面糊和药制成如粟米大小的丸剂。用新汲冷水送服三丸。
《千金方》治疗疳痢（崔氏注：晋代地区多患五种疳病，侵蚀人五脏，可见脊骨突出，下脓血，手足烦痛，无力，夜间睡眠烦躁，面色无血色，肩部和髀部疼痛，面部及手脚有浮肿，或便血而死。）
雄黄、青葙子（各二两）、苦参（三两）、矾、雌黄、铁衣、藜芦（各一两）、麝（二分）。
筛成粉末，装入许竹管中，吹入鼻孔大孔内，每日一次到三次，有效。用量如大豆大小给幼儿使用。
《圣惠方》青黛散：治疗疳痢长期不愈，日渐消瘦。
青黛（一两）、麝、雄黄、朱砂、蚺蛇胆、黄柏（蜜炙）、苦参、桂心、白矾（枯矾）、杏仁（麸炒至黄）、附子（炮裂，净）、莨菪子（淘洗，煮至芽出，炒黄。各半两）、干姜（炮裂）、细辛、藜芦（各一分）。
研成散剂，用井华水调服半钱，每日三次。一岁的儿童服一字量，三岁服半钱，酌情裁定。若患口疮、鼻痒，取如绿豆大的酥油，放入鼻中。若患头疳、下部红肿溃烂，将散剂外敷。
黄连散：治疗疳痢长期不愈，肌肉消瘦面色发黄，头发焦枯，啼哭叫喊。
胡黄连、白矾（枯矾）、白龙骨（各半两）、胡粉（炒，一分）。
研成粉末，一岁的儿童用米饮调服一字量，两岁服半钱。根据患儿体质和病情服药。
龙胆丸：治疗疳痢长期不愈，身体发热心烦，食欲不振。
龙胆、麝（各一分）、苦楝根皮、臭樗根皮（均炙至黄）、使君子、胡黄连（各半两）、蟾酥（半钱）。
过筛，用面糊和药制成如绿豆大小的丸剂。一岁的儿童服一丸，用粥饮送服，酌情增加。
治疗久疳痢不愈，腹部胁肋胀满的麝香丸：
麝（一分）、巴豆（半两，油炸至黑净，去油成霜）。
研成粉末，用烧饭和药制成如黍米大小的丸剂，空腹时或午后用粥饮送服一丸。
芜荑丸：
取羊肝一枚，切片，将半两芜荑末掺入肝片内，用线缠绕，在米泔水中煮熟，再用糯米饭和药制成如麻子大小的丸剂。每次用粥饮送服五丸，早晚各一次，酌情给予。
According to the *Shenghui Fang* (Prescriptions from the Holy Healer): In cases where pediatric gan-lin (dysentery caused by gan syndrome) persists for a long time without healing, it is due to the internal organs harboring pre-existing gan qi (pathogenic factors associated with malnutrition and parasitic infection), or irregular intake of milk and food, leading to a disharmony of cold and heat. Once the intestines and stomach are deficient, this results in dysentery that fails to resolve, dragging on for days and months; hence it is named chronic gan-lin.
**Longgu San (Dragon Bone Powder)** from *Shenghui Fang*, treating persistent pediatric gan-lin:
Long Gu (Fossilized Bones, half tael), Chishi Zhi (Red Halloysite, half tael), Helile (Chebula Fruit, roasted, peel only used), Mituosen (Lead Monoxide), Cu Shiliu Pi (Vinegar-treated Pomegranate Peel, chopped and lightly stir-fried), She Xiang (Musk, ground and added, each one fen).
Grind the above ingredients into a fine powder. Take half a qian per dose, mixed with rice gruel broth, administered three to four times daily. Adjust the dosage according to the child's age and size.
**Zhusha Wan (Cinnabar Pill)** from *Shenghui Fang*, treating persistent pediatric gan-lin accompanied by emaciation, dry skin and hair, and lackluster hair:
Zhu Sha (Cinnabar, finely ground and washed with water), Qing Dai (Indigo Naturalis), Tianfu Hui (Ash of Tianfu), Niu Huang (Calculus Bovis, each half tael), She Xiang (Musk), Fen Shuang (Sublimated Arsenic Sulfide), Lu Hui (Aloe), Xiong Huang (Realgar, each one fen), She Tui Pi (Snake Slough, three chi long, burned to ash), Hu Huang Lian (Picrorhiza Rhizome, powdered, three fen), Hu Jing (Tiger Eye, one pair, soaked in wine overnight, roasted until slightly yellow), Chan Su (Toad Venom, one qian).
Grind all ingredients into powder. Mix with soft cooked rice to form pills the size of hemp seeds. Take five pills per dose with rice gruel broth, three times daily. Adjust dosage according to the child's age and size.
**Pishuang Wan (Arsenic Trioxide Pill)** from *Shenghui Fang*, treating persistent pediatric gan-lin with emaciated limbs:
Pi Shuang (Arsenic Trioxide), Xiong Huang (Realgar), Zhu Sha (Cinnabar), She Xiang (Musk), Gan Chan Hui (Ash of Dried Toad, each one fen).
Grind the above ingredients together into powder. Mix with steamed dough soaked in decoction to form pills the size of millet grains. Take one pill per dose with cold rice gruel broth, twice daily. Avoid hot foods.
**Luhui Wan (Aloe Pill)** from *Shenghui Fang*, treating persistent pediatric gan-lin with abdominal distension showing blue veins and gradually emaciated limbs:
Lu Hui (Aloe, one tael), Fen Shuang (Sublimated Arsenic Sulfide, one fen).
Grind the above ingredients together into powder. Mix with concentrated decoction of Huang Lian (Coptis Rhizome) boiled down to a thick consistency to form pills the size of mung beans. Take five pills per dose before meals with rice gruel broth. Adjust dosage according to the child's age and size.
**Shengwan Zi (Holy Pill)** from *Shuijian*: Treating gan-lin lasting for years with irregular onset, resembling white gum in stool.
Han Shui Shi (Calcitum), Bai Fan (Alumen, calcined), Shui Liao (Polygonum Hydropiper), Xiong Huang (Realgar), Guang Ming Sha (Bright Cinnabar), Huang Dan (Minium, roasted), Pi Shuang (Arsenic Trioxide), Ji Zi Pi Hui (Ash of Chicken Eggshell, each two fen), Da Huang (Rhubarb Root, raw, four fen; *Shenghui Fang* uses stir-fried, half tael).
Grind into powder. Mix with Chan Su (Toad Venom) to form pills the size of hemp seeds. For one-month-old infants, administer two pills, adjusting as necessary. Can be taken with Shiliu Pi Tang (Pomegranate Peel Decoction) or Jiang Tang (Ginger Decoction). In *Shenghui Fang*, Chan Su (half fen) is used, mixed with flour paste to form pills the size of millet grains. Take three pills with fresh well water.
**Qianjin Fang** treating gan-lin (Note by Cui: In the Jin dynasty, many regions suffered from five types of gan diseases, which erode the five zang organs, causing visible spinal bones, passage of pus and blood, restlessness and pain in hands and feet, weakness, irritability during sleep at night, loss of blood color in the face, pain in shoulders and thighs, edema in the face and extremities, or death due to hematochezia.)
Xiong Huang (Realgar), Qingxiang Zi (Celosia Seed, each two liang), Ku Shen (Sophora Root, three liang), Fan (Alumen), Ci Huang (Orpiment), Tie Yi (Iron Rust), Li Lu (Veratrum Root, each one liang), She (Musk, two fen).
Sift into powder. Insert into a bamboo tube approximately the size of a sour jujube seed, and blow into the nostril's large opening. Administer once to three times daily; effective. Dosage for children should be like a soybean.
**Qingdai San (Indigo Powder)** from *Shenghui Fang*: Treating persistent gan-lin with progressive emaciation.
Qing Dai (Indigo Naturalis, one tael), She Xiang (Musk), Xiong Huang (Realgar), Zhu Sha (Cinnabar), Ran She Dan (Python Gallbladder), Huang Bo (Phellodendron Bark, honey-roasted), Ku Shen (Sophora Root), Gui Xin (Cinnamon Twig Heart), Bai Fan (Alumen, calcined), Xing Ren (Apricot Seed, bran-roasted until yellow), Fu (Aconite Root, cracked by roasting, cleaned), Lang Dang Zi (Datura Seed, washed, boiled until sprouting, roasted until yellow, each half tael), Gan Jiang (Dried Ginger, cracked by roasting), Xi Xin (Asarum), Li Lu (Veratrum Root, each one fen).
Grind into powder. Take half a qian mixed with Jing Hua Shui (first-drawn well water), three times daily. For one-year-olds, take a "zi" amount; for three-year-olds, half a qian, adjust as appropriate. For mouth sores or nasal itching, apply su (butter/ghee) the size of a mung bean into the nose. For head gan or redness/ulceration in the lower body, apply the powder externally.
**Huanglian San (Coptis Powder)**: Treating persistent gan-lin with emaciation, sallow complexion, brittle hair, and crying/wailing.
Hu Huang Lian (Picrorhiza Rhizome), Bai Fan (Alumen, calcined), Bai Long Gu (White Fossilized Bones, each half tael), Hu Fen (Lead Carbonate, roasted, one fen).
Grind into powder. For one-year-olds, mix with rice drink and take a "zi" amount; for two-year-olds, half a qian. Administer based on the child's constitution and condition.
**Longdan Wan (Gentian Pill)**: Treating persistent gan-lin with fever, irritability, and anorexia.
Long Dan (Gentian Root), She (Musk, each one fen), Koushen Gen Pi (Prunus Root Bark), Chou Chu Gen Pi (Stewartia Root Bark, both roasted until yellow), Shi Jun Zi (Quisqualis Fruit), Hu Huang Lian (Picrorhiza Rhizome, each half tael), Chan Su (Toad Venom, half qian).
Sift through a sieve. Mix with flour paste to form pills the size of mung beans. One pill per year of age, taken with gruel broth, adjust as needed.
**She Xiang Wan (Musk Pill)**: Treating chronic gan-lin unhealed, with abdominal and hypochondriac fullness/distension.
She (Musk, one fen), Ba Dou (Croton Seed, half tael, fried in oil until black and clean, processed into paste).
Grind into powder. Mix with cooked rice to form pills the size of broomcorn millet. Take one pill with gruel broth on an empty stomach or in the afternoon.
**Wuyi Wan (Chrysanthemum Seed Pill)**:
Take one lamb liver, slice it. Sprinkle half a tael of Wuyi powder inside the slices. Tie with thread, cook thoroughly in rice washing water. Mix with glutinous rice flour to form pills the size of hemp seeds. Take five pills with gruel broth, morning and evening, adjust dosage as appropriate.