总括 五疳五脏五般看，治法详推事不难；若见面黄肌肉瘦，齿焦发竖即为疳。
又曰∶凡养小儿宜戒谨，酒肉油腻偏生病；
生冷硬物凉水浆，不与自无疳癖症。
脉法 脉单细为疳劳，虎口脉纹白为疳。气关青如鱼刺，主疳痨；气关赤色如悬针，主疳病，兼肺脏积热。
《内经》曰∶数食肥，令人内热。数食甘，令人中满，其病因肥甘所致，故名曰疳。若夫小儿乳哺未息，胃气未全，
父母不能调摄，惟务姑息，舐犊之爱，遂令恣食肥甘生冷，积滞胶固，以致身热体瘦，面色萎黄，或肚大青筋，虫痛泻
痢，而诸疳之症作矣。
钱仲阳曰∶诸疳皆脾胃之病，内亡津液而作也。因大病后，或吐泻后，以药下之。脾胃虚弱，内无津液而成。且小
儿病疳，大都庸医之所坏也。小儿身发虚热，皆当根据本脏而补其母，则子自安。假令日中潮热，是心经虚热也。肝为心
之母，宜先补肝，肝实而后泻心。心得母气，则内平而潮热愈矣。医见潮热，妄谓其实，乃以诸冷药利之。利既多矣，
不能禁约，而精液内亡，即成为疳也。
又，钱仲阳曰∶肝疳，一名筋疳，白膜遮睛，或泻血而瘦，用地黄丸；心疳，面黄颊赤，身体壮热，用安神丸；脾
疳，一名肥疳，体黄瘦削，皮肤干燥，面有疮疥，腹大嗜土，用益黄散；肾疳，一名骨疳，肢体削瘦，遍生疮疥，喜卧
湿地，用地黄丸；肺疳，一名气疳，喘嗽气促，口鼻生疮，用益黄散。按仲阳此论皆补其母也，亦当参看。
又，仲阳曰∶凡小儿疳在内，目肿腹胀泻痢青白，体渐瘦弱；疳在外，鼻下赤烂，频纽鼻耳，或肢体生疮。鼻疮以
兰香散敷之。用兰香药二钱，烧存性，用青黛轻粉各五钱为细末，干敷之。又白粉散，用乌侧骨末一匙，白及末二匙，
轻粉一匙，为末和匀，用冷茶洗疮，拭干敷之，此医口外疳疮者。
又有小儿幼小缺乳，与食粥饭太早，耗伤真气，亦能成疳，其病关于五脏。因脾家一脏有积不治，传之余脏，而成
五疳之疾，故有五疳之分焉。
肝疳即风疳，其症摇头揉目，白膜遮睛，面青多泪，头焦发立，遍身疮癣是也，宜服天麻丸。
心疳即惊疳，其症壮热脸红，口舌生疮，五心烦热，盗汗发渴，切牙虚惊是也，宜用茯神丸。
脾疳即食疳，其症身面俱黄，肚大脚细，吐逆中满，水谷不消，泄下酸臭，合面困睡，减食吃泥是也，宜用灵脂丸。
肺疳即气疳，其症咳嗽喘逆，壮热恶寒，皮肤粟生，鼻痒流涕，咽喉不利，颐烂气胀，泄泻频，并毛焦吐血是也，
宜用化 丸。
肾疳即急疳，其症脑热肌削，手足如冰，寒热时来，滑泻肚腹痛，口鼻干渴，齿龈生疮，爪黑面黧，身多疮疥是也，
宜用地黄丸。
大抵疳之为症，头皮光急，毛发焦稀，面黄唇白，身汗口渴，尿白泻酸，肚胀潮热，皆其候也。
蛔虫者，失乳饭早，或食肉太早，以致停蓄积滞，化而为虫，其症皱眉多啼，呕吐清水，腹中作痛，肚胀青筋，唇
口紫黑，肠头湿痒是也，化虫丸主之。
脊疳者，虫蚀脊膂，身热羸黄，积中生热，烦渴下利，拍背如鼓鸣，脊骨如锯齿，或十指生疮，频吃爪甲是也，下
虫丸主之。
脑疳者，脑中素受风热，生下乳哺失常，头皮光急，头疮如饼，头热如火，发直如穗，遍身多汗，腮肿囟高是也。
临产多欲亦然，最易损儿眼，龙胆丸主之。
疳肿胀者，虚中有积，其毒与气并交，故令肚腹紧张，由是脾腹受湿，或冷热不调，虚中不能宣导，故令头面四肢
浮肿是也，褐子丸主之。
疳痨者，潮热往来，五心烦热，手足心及胸前热而发疮，盗汗骨蒸，嗽喘枯悴是也。其症渴而复泻，饮水恶食，肚
硬如石，面色如银，不可治矣，急服黄 汤。
无辜疳者，脑后项边有核如弹，按之转动，软而不疼，其间有虫，如米粉，宜速破而去之，免虫随热气流散，淫食
脏腑，以致肢体痈疮，便利脓血，壮热羸瘦，头露高骨是也。以针刺破膏药贴之，然后服蚵皮丸。
丁奚者，手足极细，项小骨高尻削，体痿腹大脐突，号哭胸陷，或生谷 是也。
哺露者，虚热往来，头骨分开，翻食吐虫，烦渴呕哕，柴骨瘦露是也。其候皆因脾胃久虚，不能消化水谷，以致精
神减损，无以荣其气血，而成此二症也，十全丹主之。
症者，因儿生后周 ，母复有孕，血气所荫，分之两端，是故胚胎渐伤，乳汁成毒，儿吻致疾，敛萃其气，郁伤
其神，令儿面黄腹胀，微微下利，寒热来去，毛发 ，日渐黄瘦，精神不悦，乃是饮母 乳故也。宜速断乳，平胃气，
和血脉可也，服龙胆汤。
〔附方〕
安神丸 麦门冬 马牙硝 白茯苓 山药 寒水石 甘草 朱砂 片脑 为丸服。
益黄散 陈皮（一钱） 青皮 诃子皮 甘草（各五分） 丁香（二分）
共为末，水煎服，加人参、白术各一钱服，效。
天麻丸 青黛 黄连 天麻 芦荟 胆草 防风 川芎 蝉壳 全蝎 麝香 五灵脂 夜明砂
茯神丸 茯神 芦荟 琥珀 赤茯苓 钩藤 麝香 远志 虾蟆 黄连 菖蒲
灵脂丸 砂仁 白蔻 麦芽 莪术 青皮 陈皮 使君子肉 虾蟆 五灵指
化 丸 芜荑 芦荟 青黛 川芎 白芷梢 虾蟆灰 胡黄连
地黄丸 熟地 赤茯苓 山药 丹皮 山茱萸 使君肉 当归 川芎 川楝子
化虫丸 芜荑 鹤虱 槟榔 虾蟆 芦荟
下虫丸 木香 桃仁 芜荑 槟榔 鹤虱 轻粉 虾蟆 使君肉 新苦楝根皮
龙胆丸 胆草 生麻 防风 赤茯苓 油发 青黛 黄连 芦荟 苦楝根
褐子丸 卜子 陈皮 青皮 槟榔 黑丑 赤茯苓 莪术 木香 五灵脂 一方用三棱、胡椒、神曲，无黑丑、
赤茯苓、灵脂。
黄 汤 黄 当归 川芎 芍药 生地 虾蟆 鳖甲 人参 茯苓 陈皮 柴胡 半夏 使君子肉
蚵皮丸 蟾蜍一个，要腹大不鸣不跳，身多癞者，取粪蛆置桶中，即将虾蟆打杀，放在蛆中，任与之食。一日
一夜，以布袋包蛆，置水流急处，浸一宿，取来瓦上炙为末，入麝香一匙，饭糊为丸，每服二十丸。
十全丹 陈皮 青皮 莪术 川芎 白蔻 槟榔 芦荟 虾蟆 五灵脂 木香 使君子
龙胆汤 胆草 钩藤 柴胡 桔梗 芍药 川芎 茯苓 人参 大黄 甘草
总括：五疳对应五脏，可从五个方面观察；治法详细推究并不困难。如果见到面色发黄、肌肉消瘦、牙齿焦枯、头发竖立，就是疳证。
又说：抚养小儿应当谨慎戒除不良习惯，嗜食酒肉油腻容易引发疾病；不吃生冷硬物及凉水，自然就不会患疳癖症。
脉法：脉象单细为疳劳，虎口脉纹发白为疳。气关处青色如鱼刺状，主疳痨；气关处赤色如悬针状，主疳病，兼有肺脏积热。
《内经》说：经常食用肥腻食物，使人内生内热；经常食用甘甜食物，使人中焦胀满。其病因由肥甘厚味所致，所以名叫疳。至于小儿乳食未断，胃气尚未健全，父母不能妥善调摄，只一味姑息迁就，出于舐犊情深，遂让孩子恣意食用肥甘生冷之物，导致积滞胶固难化，以致身体发热、形体消瘦、面色萎黄，或者腹部膨大、青筋暴露、虫痛腹泻痢疾，各种疳证的病症就发作了。
钱仲阳说：各种疳证都是脾胃的病，因体内津液亡失而发作。多因大病之后，或吐泻之后，医生误用攻下药。导致脾胃虚弱，体内缺乏津液而形成。况且小儿患疳证，大多是由庸医治疗不当造成的。小儿身体发出虚热，都应当根据本脏之虚而补其母脏，那么子脏自然安宁。假如日中潮热，这是心经虚热。肝为心之母，宜先补肝，肝气充实后再泻心火。心得到母脏之气，则内部平和而潮热痊愈。医生见潮热，妄以为是实证，就用各种寒凉药通利大便。通利过多，不能禁约，导致精液在内亡失，即成为疳证。
又，钱仲阳说：肝疳，又名筋疳，症状为白膜遮蔽眼睛，或便血而消瘦，用地黄丸；心疳，症状为面色黄两颊红，身体壮热，用安神丸；脾疳，又名肥疳，症状为身体黄瘦削，皮肤干燥，面部生疮疥，腹部膨大嗜吃泥土，用益黄散；肾疳，又名骨疳，症状为肢体削瘦，全身生疮疥，喜欢睡在湿地上，用地黄丸；肺疳，又名气疳，症状为喘咳气促，口鼻生疮，用益黄散。按钱仲阳此论皆是“补其母”的方法，也应当参考查看。
又，钱仲阳说：凡小儿疳证在内，表现为目肿腹胀、泻痢青白色、身体逐渐瘦弱；疳证在外，表现为鼻下红肿溃烂，频繁揉捏鼻耳，或肢体生疮。鼻疮用兰香散外敷。取兰香药二钱，烧至存性，与青黛、轻粉各五钱研为细末，干敷患处。又有白粉散，用乌贼骨末一匙，白及末二匙，轻粉一匙，研匀混合，用冷茶清洗疮面，拭干后敷上，这是医治口外疳疮的方法。
又有小儿年幼缺乳，过早喂食粥饭，耗伤真气，也能形成疳证，其病涉及五脏。因为脾脏这一脏有积滞不治疗，传变给其余四脏，而成五疳之疾，所以有五疳的区分。
肝疳即风疳，症状为摇头揉眼，白膜遮蔽眼睛，面色青多泪，头发焦枯竖立，遍身生疮癣，宜服用天麻丸。
心疳即惊疳，症状为壮热脸红，口舌生疮，五心烦热，盗汗口渴，磨牙虚惊，宜用茯神丸。
脾疳即食疳，症状为身面俱黄，肚子大脚细，呕吐逆气、胸中胀满，水谷不消化，排泄物酸臭，趴着困睡，食欲减退甚至吃泥，宜用灵脂丸。
肺疳即气疳，症状为咳嗽喘逆，壮热恶寒，皮肤起粟粒，鼻痒流涕，咽喉不利，下巴溃烂气胀，泄泻频繁，并伴有毛发焦枯吐血，宜用化（阙）丸。
肾疳即急疳，症状为头脑热肌肉削瘦，手足冰冷，寒热交替发作，滑泻腹痛，口鼻干渴，齿龈生疮，指甲黑面色黧黑，身上多生疮疥，宜用地黄丸。
大抵疳证的征候，头皮光亮紧绷，毛发焦稀，面色黄嘴唇白，身体出汗口渴，尿色白排泄酸臭，肚胀潮热，都是其表现。
蛔虫病者，因断奶晚吃饭早，或吃肉太早，导致停蓄积滞，化而为虫，症状为皱眉多啼哭，呕吐清水，腹中作痛，肚胀青筋暴露，唇口紫黑，肛门潮湿瘙痒，宜用化虫丸主治。
脊疳者，虫蚀脊柱，身体发热羸黄，积滞中生热，烦渴下利，拍背如鼓鸣响，脊骨如锯齿状，或十指生疮，频繁啃咬指甲，宜用下虫丸主治。
脑疳者，脑中素来受风热侵袭，出生后乳哺失常，头皮光亮紧绷，头疮如饼状，头热如火，头发直竖如穗状，遍身多汗，腮肿囟门高突是也。临产时母亲多欲也会导致此病，最易损伤小儿眼睛，宜用龙胆丸主治。
疳肿胀者，虚中有积滞，毒邪与气交结，所以令肚腹紧张，由此脾腹受湿，或冷热不调，虚中不能宣导，所以令头面四肢浮肿，宜用褐子丸主治。
疳痨者，潮热往来，五心烦热，手足心及胸前热而生疮，盗汗骨蒸，嗽喘枯悴。其症渴而复泻，饮水恶食，肚硬如石，面色如银白，不可治愈了，急服黄（阙）汤。
无辜疳者，脑后项边有核如弹丸大小，按压转动，软而不疼，其中有虫，如米粉状，宜速破去之，以免虫随热气流散，淫食脏腑，以致肢体痈疮，便利脓血，壮热羸瘦，头露高骨是也。以针刺破后用膏药贴之，然后服蚵皮丸。
丁奚者，手足极细，项小骨高尻削，体痿腹大脐突，号哭时胸陷，或生谷（阙）是也。
哺露者，虚热往来，头骨分开，翻食吐虫，烦渴呕哕，柴骨瘦露是也。其候皆因脾胃久虚，不能消化水谷，以致精神减损，无以荣养气血，而成此二症也，宜用十全丹主治。
痘疹（注：原文此处可能有脱字，结合语境推测为某种特定病症或泛指小儿疾患，但原文仅显示“症者”，前文有“痘”之意象缺失，依原文翻译）：因儿生后一周岁左右，母亲再次怀孕，血气所荫，分之两端，因此胚胎渐伤，乳汁成毒，婴儿吮吸致病，收敛萃集其气，郁伤其神，令儿面黄腹胀，微微下利，寒热来去，毛发脱落，日渐黄瘦，精神不悦，乃是饮母孕期间之乳故也。宜速断乳，平胃气，和血脉即可，服龙胆汤。
〔附方〕
安神丸：麦门冬、马牙硝、白茯苓、山药、寒水石、甘草、朱砂、片脑，研为丸服用。
益黄散：陈皮（一钱）、青皮、诃子皮、甘草（各五分）、丁香（二分），共为末，水煎服，加人参、白术各一钱服，有效。
天麻丸：青黛、黄连、天麻、芦荟、胆草、防风、川芎、蝉壳、全蝎、麝香、五灵脂、夜明砂。
茯神丸：茯神、芦荟、琥珀、赤茯苓、钩藤、麝香、远志、虾蟆、黄连、菖蒲。
灵脂丸：砂仁、白蔻、麦芽、莪术、青皮、陈皮、使君子肉、虾蟆、五灵脂。
化（阙）丸：芜荑、芦荟、青黛、川芎、白芷梢、虾蟆灰、胡黄连。
地黄丸：熟地、赤茯苓、山药、丹皮、山茱萸、使君肉、当归、川芎、川楝子。
化虫丸：芜荑、鹤虱、槟榔、虾蟆、芦荟。
下虫丸：木香、桃仁、芜荑、槟榔、鹤虱、轻粉、虾蟆、使君肉、新苦楝根皮。
龙胆丸：胆草、生麻、防风、赤茯苓、油发、青黛、黄连、芦荟、苦楝根。
褐子丸：卜子、陈皮、青皮、槟榔、黑丑、赤茯苓、莪术、木香、五灵脂。一方用三棱、胡椒、神曲，无黑丑、赤茯苓、灵脂。
黄（阙）汤：黄（阙）、当归、川芎、芍药、生地、虾蟆、鳖甲、人参、茯苓、陈皮、柴胡、半夏、使君子肉。
蚵皮丸：蟾蜍一个，要腹大不鸣不跳，身上多癞者，取粪蛆置桶中，即将虾蟆打杀，放在蛆中，任其与食。一日一夜，以布袋包蛆，置水流急处，浸一宿，取来瓦上炙为末，入麝香一匙，饭糊为丸，每服二十丸。
十全丹：陈皮、青皮、莪术、川芎、白蔻、槟榔、芦荟、虾蟆、五灵脂、木香、使君子。
龙胆汤：胆草、钩藤、柴胡、桔梗、芍药、川芎、茯苓、人参、大黄、甘草。
General Overview: The five types of Gan (Gan Syndrome, a childhood wasting disorder) correspond to the five Zang organs and can be observed from five aspects; detailed deduction of treatment methods is not difficult. If one observes sallow complexion, emaciated muscles, scorched teeth, and erect hair, it is Gan syndrome.
It is also said: When raising children, one should be cautious and avoid bad habits; indulgence in alcohol, meat, and greasy foods easily induces disease. By avoiding cold, raw, hard substances and cold water, one will naturally not suffer from Gan Pi (Gan with accumulation) disorders.
Pulse Diagnosis: A single and fine pulse indicates Gan Lao (Gan consumption); white vein patterns on the Tiger's Mouth (at the base of the thumb) indicate Gan. Cyan color at the Qi Gate resembling a fish bone primarily indicates Gan Lao; red color at the Qi Gate resembling a hanging needle primarily indicates Gan disease, accompanied by accumulated heat in the Lung organ.
The *Neijing* states: Frequent consumption of fatty foods causes internal heat; frequent consumption of sweet foods causes fullness in the middle jiao. The etiology stems from rich and sweet foods, hence named "Gan." As for infants whose milk-feeding has not ceased and whose Stomach Qi is not yet fully developed, if parents fail to provide proper care and instead indulge them out of affection, allowing them to eat freely rich, sweet, cold, and raw foods, stagnation becomes fixed and solidified. This leads to fever, emaciation, sallow complexion, or abdominal distension with visible veins, worm pain, diarrhea, and dysentery, causing various Gan syndromes to manifest.
Qian Zhongyang stated: All types of Gan are diseases of the Spleen and Stomach, arising from the loss of body fluids internally. They often occur after severe illness or following vomiting and diarrhea, when physicians mistakenly use purgatives. This weakens the Spleen and Stomach and depletes internal fluids. Moreover, most cases of pediatric Gan are caused by incompetent physicians. When children present with deficiency heat, one should tonify the mother organ according to the deficient child organ, ensuring the child organ remains peaceful. For instance, tidal fever at noon indicates deficiency heat in the Heart channel. Since the Liver is the mother of the Heart, one should first tonify the Liver; once the Liver is substantial, then drain the Heart. With maternal Qi supporting the Heart, internal balance is restored, and tidal fever resolves. Physicians who see tidal fever may wrongly assume it is excess and use various cold medicines to purge bowels. Excessive purging leads to inability to retain fluids, resulting in the loss of essence and fluids internally, thus forming Gan.
Furthermore, Qian Zhongyang stated: Gan of the Liver, also known as Sinew Gan, presents with white membrane obscuring the eyes or bloody stools with emaciation; treat with Dihuang Wan. Gan of the Heart presents with sallow face, red cheeks, and robust fever; treat with Anshen Wan. Gan of the Spleen, also known as Fat Gan, presents with yellow, thin body, dry skin, facial sores, abdominal distension, and pica (craving earth); treat with Yihuang San. Gan of the Kidney, also known as Bone Gan, presents with emaciated limbs, widespread sores, and preference for lying on wet ground; treat with Dihuang Wan. Gan of the Lung, also known as Qi Gan, presents with wheezing, cough, shortness of breath, and sores in mouth and nose; treat with Yihuang San. Note that Qian Zhongyang's discussion here all employs the method of "tonifying the mother," which should also be referenced.
Additionally, Qian Zhongyang stated: When Gan is internal, symptoms include swollen eyes, abdominal distension, greenish-white diarrhea, and gradual emaciation. When Gan is external, symptoms include redness and erosion under the nose, frequent rubbing of nose and ears, or sores on limbs. For nasal sores, apply Lanxiang San. Take two qian of Lanxiang herb, calcined until carbonized but retaining its nature, mixed with five qian each of Qingdai (Indigo Naturalis) and Qingfen (Calomel), ground into fine powder, and applied dry. Another formula, Baifen San, uses one spoonful of cuttlefish bone powder, two spoonfuls of Biji (Bletilla Rhizome) powder, and one spoonful of Qingfen, mixed evenly. Wash the sore with cold tea, dry it, and apply. This treats external Gan sores.
Infants lacking breast milk and fed porridge or rice too early consume their True Qi, leading to Gan, affecting the five Zang organs. Because stagnation in the Spleen, if untreated, transmits to other organs, forming the five types of Gan, hence the distinction.
Liver Gan, also called Wind Gan, presents with head shaking, eye rubbing, white membrane obscuring vision, cyan face with excessive tearing, scorced and erect hair, and widespread skin sores/ringworm; treat with Tianma Wan.
Heart Gan, also called Fright Gan, presents with high fever, red face, sores in mouth and tongue, heat in palms, soles, and chest (Five Hearts Heat), night sweats, thirst, bruxism, and fright; treat with Fushen Wan.
Spleen Gan, also called Food Gan, presents with yellow face and body, large abdomen with thin legs, vomiting, epigastric fullness, indigestion, sour-smelling stool, prone sleeping, reduced appetite, and eating dirt; treat with Wulingzhi Wan.
Lung Gan, also called Qi Gan, presents with cough, wheezing, high fever with aversion to cold, pruritic skin, nasal itching with runny nose, throat obstruction, chin erosion with bloating, frequent diarrhea, scorced hair, and hemoptysis; treat with Hua [Missing Character] Wan.
Kidney Gan, also called Urgent Gan, presents with hot head and emaciated flesh, ice-cold hands and feet, alternating chills and fever, slippery diarrhea with abdominal pain, dry mouth and nose, gingival sores, black nails, dark complexion, and widespread sores; treat with Dihuang Wan.
Generally, signs of Gan include shiny and tight scalp, scorced and sparse hair, sallow face with white lips, sweating, thirst, white urine with sour stool, abdominal distension, and tidal fever.
Ascaris disease results from late weaning or early introduction of meat, causing stagnation that transforms into worms. Symptoms include frowning and crying, vomiting clear fluid, abdominal pain, distended abdomen with visible veins, purple-black lips and mouth, and moist, itchy anus; treat with Huachong Wan.
Spine Gan involves worms eroding the spine, presenting with fever, jaundice and emaciation, heat from stagnation, irritability, thirst, and diarrhea. Back patting sounds like drumming, spine feels like sawteeth, or sores on ten fingers with nail-biting; treat with Xiachong Wan.
Brain Gan arises from prior wind-heat in the brain and irregular feeding after birth. Symptoms include shiny/tight scalp, pancake-like head sores, burning head heat, straight hair like tassels, profuse sweating, swollen cheeks, and bulging fontanelle. Maternal excessive desire during labor can also cause this, easily damaging the infant's eyes; treat with Longdan Wan.
Gan Edema involves deficiency with stagnation, where toxicity and Qi interact, causing tense abdomen. Due to Spleen/Abdomen dampness or cold-heat imbalance, deficiency prevents dissemination, leading to edema of head, face, and limbs; treat with Hezi Wan.
Gan Consumption involves tidal fever, Five Hearts Heat, sores on palms, soles, and chest, night sweats, bone-steaming fever, cough, wheezing, and emaciation. Signs include thirst with diarrhea, aversion to food despite drinking, stone-hard abdomen, and silver-white face, indicating untreatable condition; urgently administer Huang [Missing Character] Tang.
Wugou Gan presents with nodules behind the ear/neck like beans, movable upon pressure, soft and painless, containing worms like rice flour. These must be quickly ruptured and removed to prevent worms from dispersing with heat flow and damaging organs, causing limb abscesses, pus/blood in stool, high fever, emaciation, and prominent skull bones. Puncture with needle, apply plaster, then take Mapi Wan.
Dingxi presents with extremely thin limbs, small neck with high bones, wasted buttocks, flaccid body with large abdomen and protruding umbilicus, chest depression when crying, or grain-like accumulations.
Bulu presents with alternating deficiency heat, separated cranial sutures, regurgitation of worms, irritability, thirst, vomiting, and exposed ribs/emaciation. These result from chronic Spleen/Stomach deficiency failing to digest food/water, depleting spirit and failing to nourish Qi/Blood; treat with Shiquan Dan.
[Regarding specific infant illness]: After birth, if the mother becomes pregnant again, blood and Qi are divided, injuring the fetus and turning milk toxic. The infant suckling becomes ill, qi gathers and郁 (stagnates), injuring spirit. Symptoms include sallow face, abdominal distension, mild diarrhea, alternating chills/fever, hair loss, progressive emaciation, and low spirits due to drinking milk while mother is pregnant. Wean immediately, harmonize Stomach Qi and Blood vessels; treat with Longdan Tang.
[Attached Formulas]
Anshen Wan: Ophiopogonis Radix (Maidong), Natrii Sulfas (Mayaxiao), Poria (Fuling), Dioscoreae Rhizoma (Shanyao), Calcitum (Hanshuishi), Glycyrrhizae Radix et Rhizoma (Gancao), Cinnabar (Zhusha), Borneolum Syntheticum (Pian Nao). Grind and form pills.
Yihuang San: Citri Reticulatae Pericarpium (Chenpi, 1 qian), Citri Reticulatae Viride (Qingpi), Terminalia Chebulae Fructus (Heqizi), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 qian each), Saussureae Radix (Dingxiang, 0.2 qian). Grind to powder, decoct in water. Add Ginseng Radix (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu, 1 qian each) for better effect.
Tianma Wan: Indigo Naturalis (Qingdai), Coptidis Rhizoma (Huanglian), Gastrodiae Rhizoma (Tianma), Aloe (Luhui), Gentianae Radix (Dancao), Saposhnikoviae Radix (Fangfeng), Chuanxiong Rhizoma (Chuanxiong), Cicadae Periostracum (Chanqiao), Scorpio (Quanxie), Moschus (Shexiang), Trogopterori Faeces (Wulingzhi), Phalaenopsis Residue (Yeming Sha).
Fushen Wan: Poria Cum Radix Xylomi (Fushen), Aloe (Luhui), Succinum (Hupo), Polyporus (Chifuling), Uncariae Ramulus cum Uncis (Gouteng), Moschus (Shexiang), Polygalae Radix (Yuanzhi), Bufo vulgaris (Xama), Coptidis Rhizoma (Huanglian), Acori Tatarinowii Rhizoma (Changpu).
Wulingzhi Wan: Amomi Fructus Rotundus (Sharen), Cardamomi Fructus (Baiko), Hordeum Vulgare (Maiya), Curcumae Zedoariae Rhizoma (Ezhu), Citri Reticulatae Viride (Qingpi), Citri Reticulatae Pericarpium (Chenpi), Quisqualis Fructus (Shijunzi), Bufo vulgaris (Xama), Trogopterori Faeces (Wulingzhi).
Hua [Missing] Wan: Myrobalanus Chebulae (Wuyi), Aloe (Luhui), Indigo Naturalis (Qingdai), Chuanxiong Rhizoma (Chuanxiong), Angelicae Dahuricae Radix (Baizhi), Bufo vulgaris ash (Xama hui), Picrorhizae Rhizoma (Huhuanglian).
Dihuang Wan: Rehmanniae Radix Preparata (Shudi), Polyporus (Chifuling), Dioscoreae Rhizoma (Shanyao), Moutan Cortex (Danpi), Corni Fructus (Shanzhuyu), Quisqualis Fructus (Shijunrou), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Toosendan Fructus (Chuanlianzi).
Huachong Wan: Myrobalanus Chebulae (Wuyi), Pyrethri Flos (Heshi), Arecae Semen (Binglang), Bufo vulgaris (Xama), Aloe (Luhui).
Xiachong Wan: Aucklandiae Radix (Muxiang), Persicae Semen (Taoren), Myrobalanus Chebulae (Wuyi), Arecae Semen (Binglang), Pyrethri Flos (Heshi), Calomel (Qingfen), Bufo vulgaris (Xama), Quisqualis Fructus (Shijunrou), new Meliae Cortex (Kualgenpi).
Longdan Wan: Gentianae Radix (Dancao), Ephedrae Herba (Shengma), Saposhnikoviae Radix (Fangfeng), Polyporus (Chifuling), Human Hair Charcoal (Youfa), Indigo Naturalis (Qingdai), Coptidis Rhizoma (Huanglian), Aloe (Luhui), Meliae Cortex (Kuilangen).
Hezi Wan: Raphani Semen (Bozi), Citri Reticulatae Pericarpium (Chenpi), Citri Reticulatae Viride (Qingpi), Arecae Semen (Binglang), Morning Glory Seed (Heichou), Polyporus (Chifuling), Curcumae Zedoariae Rhizoma (Ezhu), Aucklandiae Radix (Muxiang), Trogopterori Faeces (Wulingzhi). Alternative: Sanleng, Huajiao, Shenqu, without Heichou, Chifuling, Wulingzhi.
Huang [Missing] Tang: Huang [Missing], Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Shaoyao), Rehmanniae Radix (Shengdi), Bufo vulgaris (Xama), Testudinis Carapax et Plastrum (Biejia), Ginseng Radix (Renshen), Poria (Fuling), Citri Reticulatae Pericarpium (Chenpi), Bupleuri Radix (Chaihu), Pinelliae Rhizoma (Banxia), Quisqualis Fructus (Shijunrou).
Mapi Wan: One Bufo vulgaris (large belly, non-singing, non-jumping, warty). Collect maggots in a bucket, kill the toad, place in maggots to feed for one day and night. Wrap maggots in cloth bag, soak in fast-flowing water overnight. Roast on tile to powder, add one spoonful of Moschus (Shexiang), mix with rice paste to form pills. Take 20 pills per dose.
Shiquan Dan: Citri Reticulatae Pericarpium (Chenpi), Citri Reticulatae Viride (Qingpi), Curcumae Zedoariae Rhizoma (Ezhu), Chuanxiong Rhizoma (Chuanxiong), Cardamomi Fructus (Baiko), Arecae Semen (Binglang), Aloe (Luhui), Bufo vulgaris (Xama), Trogopterori Faeces (Wulingzhi), Aucklandiae Radix (Muxiang), Quisqualis Fructus (Shijunzi).
Longdan Tang: Gentianae Radix (Dancao), Uncariae Ramulus cum Uncis (Gouteng), Bupleuri Radix (Chaihu), Platycodonis Radix (Jiegeng), Paeoniae Radix Alba (Shaoyao), Chuanxiong Rhizoma (Chuanxiong), Poria (Fuling), Ginseng Radix (Renshen), Rheii Radix et Rhizoma (Dahuang), Glycyrrhizae Radix et Rhizoma (Gancao).