治痰气壅塞，悉尼汁一杯，生姜汁四分之一，蜂蜜半杯，薄荷细末一两，和匀，器盛，重汤煮一时之久，
任意与食，降痰如奔马。
化痰丸 丝瓜烧存性，为细末，枣肉为丸，如弹子大。每服一丸，姜汤化下。化痰
最捷，兼能止嗽。
坠痰丸 治一切风痰、湿痰，老痰、痰火，胸痞满，气壅塞。
黑牵牛（四两，炒，止取头末一两） 大皂角（去皮弦及子，酥炙黄，四钱） 生白矾（三钱）
共为细末，米糊丸。每服一钱，儿稍大者二钱，空心姜汤服。痰涎从大便出；久病之人，五日、十日一服；
病缓者半月一服。
治醋呛成吼，用甘草二两去赤皮，每段切二寸长，两半劈开，用猪胆二枚取汁，浸甘草三日，取起，火上炙
干为末，蜜丸绿豆大。每晚临卧服二钱，茶汤送，神效！
哮喘久不止，不拘老小，一服即止，并治小儿奶哮，石膏、半夏、栝蒌仁、陈皮、麻黄各一钱五分，枳实、
杏仁各一钱，甘草七分，生姜五片，水煎，热服。
清金丹 治一切吼疾，或痰或食，遇浓味即发者尤妙。
萝卜子蒸熟，晒干，为末，猪牙皂烧存性，等分
共为细末，姜汁打面糊丸绿豆大。每服一二十丸，姜汤送下。
夫疳之为病，亦小儿恶候。十六岁以前，其病为疳，十六岁以上，其病为痨，皆真元怯弱，气血虚衰之所
致也。究其病源，莫不由于脾胃，盖胃者，水谷之海也。水谷之精气为荣，悍气为卫，荣卫丰盈，灌溉诸脏。
凡人身充皮毛、肥腠理者，气也；润皮肤、美颜色者，血也。所以水谷素强者无病，水谷减少者病，水去谷亡
则死矣。凡病疳而形不魁者，气衰也；色不华者，血弱也。气衰血弱，知其脾胃必伤。有因幼少乳食，肠胃未
坚，食物太早，耗伤真气而成者；有因甘肥肆进，饮食过餐，积滞日久，面黄肌削而成者；有因乳母寒热不调，
喜怒房劳之后，乳哺而成者；有二三岁后，谷肉果菜恣其饮啖，
因而停滞中焦，食久成积，积久成疳；复有因取积太过，耗损胃气，或因大病之后，吐泻疟痢，乳食减少，以致
脾胃失养。二者虽所因不同，然皆总归于虚也。其证头皮光急，毛发焦稀，腮缩鼻干，口馋唇白，两眼昏烂，
揉眉擦鼻，脊耸体黄，斗牙咬甲，焦渴自汗，尿白泻酸，肚胀肠鸣，癖结潮热，酷嗜瓜果、咸炭、水泥者，皆其
候也。然治寒以温，治热以凉，此用药之常法。殊不知疳之为病，皆虚所致，即热者亦虚中之热，寒者亦虚中之
寒，积者亦虚中之积。故治积不可骤攻，治寒不宜峻温，治热不可过凉。虽积为疳之母，而治疳必先于去积，然
遇极虚者而迅攻之，则积未去而疳危矣。故壮者先去积，而后扶胃气；衰者先扶胃气，而后消之。书曰∶壮人
无积，虚则有之。可见虚为积之本，积反为虚之标也。
如恶食滑泻，乳食直下，牙龈黑烂，头项软倒，四肢厥冷，下痢肿胀，面色如银，肚硬如石，肌肉青黑，
肛门如筒，口吐黑血，吐利蛔虫，并为不治。
初病者以集圣丸为主，久病者但以肥儿丸调之，以补为消可也。
凡疳之初起者，集圣丸为主方，其有五脏兼证，从权加减，不必多求方法。
治疗痰气壅塞，取鸡子（鸡蛋）汁一杯，生姜汁四分之一杯，蜂蜜半杯，薄荷细末一两，混合均匀，用器皿盛装，隔水加热煮一个小时左右，随意给患者食用，降痰效果如奔马般迅速。
化痰丸：将丝瓜烧至存性（保留药材部分炭化后的性质），研成细末，用枣肉制作成丸剂，大小如弹子。每次服用一丸，用姜汤送服并化开。化痰效果最快捷，同时也能止咳。
坠痰丸：治疗各种风痰、湿痰、老痰、痰火，以及胸膈痞满、气机壅塞的症状。
黑牵牛（四两，炒制，只取头道细粉一两）、大皂角（去皮弦及种子，用酥油炙至黄色，四钱）、生白矾（三钱）。
共同研成细末，用米糊制作成丸剂。每次服用一钱，年龄稍大的儿童服用二钱，空腹时用姜汤送服。痰涎会从大便排出；久病患者，每五日或十日服用一次；病情较轻者，每半月服用一次。
治疗因醋呛引起的喉中哮鸣声，取甘草二两，去掉赤色外皮，每段切成二寸长，从中间劈开，用两个猪胆的胆汁浸泡甘草三天，取出后在火上烤干，研成细末，用蜜制成绿豆大小的丸剂。每晚临睡前服用二钱，用茶汤送服，效果神奇！
哮喘长期不止，不论老少，服用此方即可停止，同时也治疗小儿奶哮（婴儿期哮喘）。石膏、半夏、栝蒌仁（瓜蒌籽）、陈皮、麻黄各一钱五分，枳实、杏仁各一钱，甘草七分，生姜五片，加水煎煮，热服。
清金丹：治疗各种哮吼疾病，无论是痰阻还是食积引起，尤其是遇到浓味食物即发作的情况尤为有效。
萝卜子（莱菔子）蒸熟，晒干，研成细末；猪牙皂烧至存性，与萝卜子等分。
共同研成细末，用姜汁调和面粉制成糊状丸剂，大小如绿豆。每次服用一二十丸，用姜汤送服。
疳病这种病症，也是小儿的危重证候。十六岁以前，这种病称为疳；十六岁以上，这种病称为痨（虚劳），都是由于真元怯弱、气血虚衰所导致的。探究其病因，无不源于脾胃，因为胃是水谷汇聚的海。水谷的精微物质化为荣气（营气），剽悍滑利的物质化为卫气，荣卫充盈，灌溉滋养各个脏腑。凡是人体皮毛充实、腠理致密的，是气的表现；滋润皮肤、面色红润的，是血的表现。所以水谷充足的人无病，水谷减少的人生病，水谷耗尽则死亡。凡是患疳病而形体不魁梧的，是气衰；面色不华美的，是血弱。气衰血弱，可知其脾胃必然受损。有的因为年幼时乳食不当，肠胃尚未坚固，过早进食固体食物，耗伤真气而形成；有的因为甘肥厚味肆意进补，饮食过量，积滞日久，导致面黄肌瘦而形成；有的因为乳母寒热不调，或在喜怒、房劳之后哺乳，导致乳汁异常而形成；有的在三四岁以后，恣意饮用谷物肉类水果蔬菜，因而停滞在中焦，食物久留成为积滞，积滞日久形成疳病；还有因为消积太过，耗损胃气，或者因为大病之后，吐泻疟痢，乳食减少，导致脾胃失去滋养。这两种情况虽然起因不同，但总归都归于虚证。其症状表现为头皮光亮紧绷，毛发焦枯稀疏，腮部收缩鼻干，口馋唇白，两眼昏花溃烂，揉眉擦鼻，脊背耸起身体发黄，磨牙咬指甲，焦渴自汗，尿白便酸，肚胀肠鸣，癖块结聚潮热，特别嗜好瓜果、咸炭、水泥等异物的，都是其征候。然而治疗寒证用温法，治疗热证用凉法，这是用药的常规法则。殊不知疳病这种病症，都是由虚所致，即使是热证，也是虚中的热；即使是寒证，也是虚中的寒；即使是积滞，也是虚中的积。因此治疗积滞不可骤然攻伐，治疗寒证不宜峻猛温补，治疗热证不可过于寒凉。虽然积滞是疳病的根源，但治疗疳病必须先去除积滞，然而如果遇到极度虚弱的患者而迅速攻伐，那么积滞未去，疳病反而危急了。所以体质壮实者先去积滞，然后扶助胃气；体质衰弱者先扶助胃气，然后消除积滞。书上说：“壮人无积，虚则有之。”可见虚是积滞的根本，积滞反而是虚的表现。
如果出现厌恶食物、滑泄不止，乳食直下，牙龈黑烂，头项软弱倒伏，四肢厥冷，下痢肿胀，面色苍白如银，腹部坚硬如石，肌肉青黑，肛门松弛如筒，口吐黑血，呕吐腹泻蛔虫，这些都属于不治之症。
To treat phlegm and qi obstruction, take one cup of chicken egg juice (Jizi), one-quarter cup of fresh ginger juice (Shengjiang Zhi), half a cup of honey (Fengmi), and one tael of fine peppermint powder (Bohe Ximo). Mix evenly, place in a vessel, and simmer in hot water for about one hour. Administer freely with food; it reduces phlegm as swiftly as a galloping horse.
Huatan Wan (Phlegm-Resolving Pill): Burn loofah (Sigua) until carbonized but retaining its nature, grind into fine powder, and bind with jujube pulp (Zaorou) to form pills the size of a marble. Take one pill per dose, dissolving it with ginger decoction (Jiangtang). It resolves phlegm most rapidly and also stops coughing.
Zhuitan Wan (Phlegm-Sinking Pill): Treats all types of wind-phlegm, damp-phlegm, old-phlegm, and phlegm-fire, as well as chest stuffiness/fullness and qi obstruction.
Black morning glory seed (Hei Qianniu, *Semen Convolvuli*) four taels, stir-fried, taking only the finest powder (one tael); large soap pod (Da Zaojiao, *Gleditsiae Fructus*) peeled of skin, strings, and seeds, fried with lard until yellow (four qian); raw alum (Sheng Baifan, *Alumen*) three qian.
Grind all into fine powder, bind with rice paste to form pills. Take one qian per dose, two qian for slightly older children, taken on an empty stomach with ginger decoction. Phlegm and saliva will be discharged via the stool; for chronic patients, take once every five or ten days; for mild cases, take once every half month.
To treat wheezing caused by vinegar inhalation, take two taels of licorice root (Gancao, *Radix Glycyrrhizae*), remove the reddish skin, cut each segment into two-cun lengths, split them in half, and soak in the juice of two pig gallbladders (Zhudan) for three days. Remove, dry over fire, grind into powder, and form pills the size of mung beans with honey. Take two qian every night before bed, washed down with tea water; miraculous effect!
For persistent asthma regardless of age, one dose stops it immediately; it also treats infantile asthma (Naixiao). Shih Gao (Gypsum Fibrosum), Ban Xia (Pinelliae Rhizoma), Gualou Ren (Trichosanthis Semen), Chenpi (Citri Reticulatae Pericarpium), and Ma Huang (Ephedrae Herba) each 1.5 qian; Zhishi (Aurantii Fructus Immaturus) and Xingren (Armeniacae Semen Amarum) each 1 qian; Gancao (Licorice Root) 0.7 qian; five slices of fresh ginger (Shengjiang). Decoct in water and take hot.
Qingjin Dan (Clear Golden Pill): Treats all wheezing disorders, whether due to phlegm or food stagnation, especially effective when triggered by rich flavors.
Steamed radish seed (Luobozi/Laifuzi, *Semen Raphani*), dried and ground into powder; pig tooth soap pod (Zhuyazao, *Gleditsiae Sinensis Fructus*) burned until carbonized, in equal proportions.
Grind together into fine powder, bind with ginger juice and wheat flour paste to form pills the size of mung beans. Take 10–20 pills per dose, washed down with ginger decoction.
The disease of Gan (Infantile Malnutrition) is also a severe condition in children. Before the age of sixteen, this disease is called Gan; after sixteen, it is called Lao (Consumption/Deficiency Syndrome). Both result from weakness of true yuan (vital energy) and deficiency of qi and blood. Investigating the source of the disease, it invariably stems from the Spleen and Stomach, for the Stomach is the sea of water and grain. The essence of water and grain becomes Ying Qi (Nutritive Qi), and the vigorous qi becomes Wei Qi (Defensive Qi). When Ying and Wei are abundant, they irrigate the zang-fu organs. Those whose body hair/skin is full and pores are dense possess strong Qi; those whose skin is moistened and complexion beautiful possess strong Blood. Therefore, those with ample water and grain have no disease; those with reduced water and grain become ill; when water and grain are exhausted, death occurs. In Gan disease, if the physique is not robust, it indicates Qi deficiency; if the complexion is not lustrous, it indicates Blood weakness. Qi deficiency and Blood weakness imply that the Spleen and Stomach must be damaged. Some cases arise from improper breastfeeding or early solid food intake in infancy, damaging true qi due to immature intestines and stomach; some from excessive consumption of sweet and fatty foods, leading to long-term stagnation, yellow face, and emaciation; some from abnormal milk due to the mother’s imbalance of cold/heat or emotional/sexual excess during lactation; some from indiscriminate eating of grains, meats, fruits, and vegetables after age two or three, causing stagnation in the middle jiao, which turns into accumulation and then into Gan; others result from overly aggressive removal of accumulation, damaging stomach qi, or from reduced intake after severe illness, vomiting, diarrhea, malaria, or dysentery, leading to malnourishment of the Spleen and Stomach. Although the causes differ, all ultimately归结 to deficiency. Symptoms include shiny/tight scalp, scorched/scanty hair, retracted cheeks/dry nose, craving mouth/pale lips, dim/ulcerated eyes, rubbing eyebrows/nose, hunched spine/yellowish body, grinding teeth/biting nails, scorching thirst/spontaneous sweating, white urine/sour feces, abdominal distension/bowel sounds, masses with tidal fever, and intense cravings for fruits, salted charcoal, or cement. These are all signs. However, treating cold with warmth and heat with coolness is the standard method. One must not realize that Gan disease is caused by deficiency; even heat is deficiency-heat, even cold is deficiency-cold, and even accumulation is deficiency-accumulation. Thus, treating accumulation should not involve sudden attack; treating cold should not involve harsh warming; treating heat should not involve excessive cooling. Although accumulation is the mother of Gan, treating Gan requires removing accumulation first. However, if one attacks rapidly in extremely deficient patients, the accumulation may remain while Gan becomes critical. Therefore, in robust patients, remove accumulation first, then support Stomach qi; in weak patients, support Stomach qi first, then eliminate accumulation. The text states: "Robust people have no accumulation; only the deficient do." This shows that deficiency is the root of accumulation, and accumulation is merely the branch manifestation of deficiency.
If there is aversion to food, slippery diarrhea where milk/food passes directly through, black/rotten gums, soft/head-nodding, cold limbs, dysentery with swelling, pale face like silver, hard abdomen like stone, blue-black muscles, flaccid anus like a tube, vomiting black blood, vomiting/diarrhea with roundworms—these are all incurable.
For early-stage disease, Jisheng Wan (Accumulation-Saint Pill) is the main formula; for chronic disease, use Fei'er Wan (Child-Nourishing Pill) for regulation, using tonification to achieve elimination.
For initial onset of Gan, Jisheng Wan is the primary formula. If there are concurrent symptoms of the five zang organs, adjust flexibly without seeking too many other methods.