总括
十五岁以上，大人病，则为劳；十五岁以下，小儿病，则为疳。缘所禀之气血虚弱，脏腑娇嫩，易于受伤，或因乳
食过饱，伤其脾胃。是病之原，或因肥甘失节，停滞中脘，传化迟滞，肠胃渐伤，则生积热。热盛成疳，则气血消耗，
精液被其熬煎。凡初患疳证，尿如米泔，午后潮热，即久失治，致令青筋暴露，壮大坚硬，面色青黄，肌肉消瘦，皮毛
憔悴，眼睛发HT ，则疳证成矣。
脾疳
脾属土，色黄，主肌肉。故脾疳，则见面黄，肌肉消瘦，身体发热，困倦，常喜睡眠，心下痞硬，懒进乳食，腹满
肿胀，睡卧喜冷，好食泥土，腹痛坚硬，头大颈粗，有时吐泻，口干烦渴，大便腥粘之证也。宜先攻其积，用消疳理脾
汤、肥儿丸治之。积退，然后补其脾气，以参苓白术散为先。
疳泻
疳泻之疾，多因积热伤脾，因致水谷不分而作泻也。法当先用清热渗湿，后补其脾，则为妙诀。初宜清热和中汤主
之。若久泻不愈，用参苓白术散最捷。
疳肿胀
疳疾肿胀，面色浮光者，多因传化失宜，以致脾肺两伤。现证气逆喘咳，胸膈痞闷，肚腹肿胀也。宜用御苑匀气散，
服之最良。
疳痢
疳疾日久，频频下痢者，多缘肠胃热结凝滞所致。故痢时或赤或白，腹中窘痛，急用香连导滞汤为妙剂也。
肝疳
肝属木，色青主筋，故肝疳则见面目爪甲皆青，眼生眵泪，隐涩难睁，摇头揉目，合面睡卧，耳流脓水，而湿疮生，
腹大青筋，身体羸瘦，燥渴烦急，粪如苔青也。治宜先清其热，用柴胡清肝散，同芦荟肥儿丸主之。若病势稍退，则当
调养，用逍遥散，抑肝扶脾汤最灵。
心疳
心属火，色赤，主血脉。故心疳，则见面红，脉络赤，壮热有汗，时时烦惊，切牙弄舌，口舌干燥，渴饮，口舌生
疮，小便红赤，胸膈满闷，睡喜伏卧，懒食干瘦，吐利频频也。热盛者，泻心导赤汤主之。热盛兼惊者，用珍珠散治之。
病久心虚者，茯神汤调理之，始可收功也。
疳渴
疳渴者，多因肥甘积热，煎耗脾胃，以致损伤津液。故不时大渴引饮，心神烦热，速用清热甘露饮最宜。则热减津
生，其渴自歇。
肺疳
肺属金，色白，主皮毛。故肺疳，则见面白气逆，有时咳嗽，毛发焦枯，皮上生粟，肌肤干燥，发热憎寒，常流清
涕，鼻颊生疮，号曰肺疳也。先当疏散，用生地清肺饮；继则清热，以甘露饮为先。日久肺虚者，用补肺散最效。随证
加减，莫迟延也。
肾疳
肾属水，色黑，主骨。患此疳者，初必有解颅鹤膝，齿迟行迟，乃肾气不足之证。更因肥甘失节，久则渐成肾疳。
故骨瘦如柴，面色黑黧，齿龈出血，口中臭气，足冷如冰，腹痛泄泻，哭啼不已，乃肾疳也。先用金蝉丸治其疳，继以
九味地黄丸调补之相宜。若逢禀赋肾气虚弱，用调元散进之，莫迟延也。
疳热
小儿疳疾之证，身多发热，治其轻重虚实，当分别也。若病初起多实者，用青蒿鳖甲饮最宜；日久多虚者，鳖甲散
最捷验也。
脑疳
脑疳者，多缘小儿素受风热，又兼乳哺失于调节，以致变生此证。头皮光急，脑生饼疮，头热毛焦，发如穗结，鼻
干心烦，腮囟肿硬，困倦睛暗，自汗，肢体热也。脑热生疮者，龙胆丸主之。烦热羸瘦者，龙脑丸最良。外用吹鼻龙脑
散，其效甚捷。
眼疳
疳热上攻于眼，而成眼疳之证。故发时痒涩赤烂，眼胞肿疼，白睛生翳，渐渐遮满，不时流泪羞明，目不睁开。先
要疏散，用泻肝散最妙；再用消其翳，以清热退翳汤极灵，目久不瘥，法当调补，逍遥散与羊肝散从治。
鼻疳
疳热上攻于肺，而成鼻疳。盖鼻为肺窍，故发时鼻塞赤痒，疼痛难堪，浸淫溃烂，下连唇际成疮，咳嗽气促，毛发
干枯也。如热盛者，用清金散、蒋氏化毒丹治之。疳虫蚀鼻者，用化虫丸。其外调敷，须用鼻疳散，或以吹鼻蝉壳散，
吹入鼻中，其效如神。
牙疳
牙疳者，因毒热内攻于胃而成。故毒热上发，龈血赤烂疼痛，口鼻血出，牙枯脱落，穿腮蚀唇也。此证命多倾败。
治宜急消其毒，用消疳芜荑散最效；继以芦荟肥儿丸，清除其热，最灵。外用牙疳散，时时敷上，自愈。总之此证必胃
强能食，堪胜峻药，始能有生机也。
脊疳
小儿积热生虫，上蚀脊膂，以手击其背，必空若鼓鸣，脊骨羸瘦，如锯齿状，始为脊疳。外证亦身体发热，下利烦
渴加增，十指皆疮，频啮爪甲，此名脊疳，其病甚凶。须先以芦荟丸杀其虫，再合金蝉散消其疳，则急急调治，莫从容
也。
蛔疳
蛔疳者，因过食油腻生冷，并肥甘之物，以致湿热生蛔，腹内缠扰，故有时烦躁多啼，有时肚腹搅痛，口唇色变，
或红或白，口溢清涎，腹胀青筋，肛门湿痒也。急用使君子散治之，莫迟延也。如不愈，用下虫丸极效。若蛔退，又当
调补其脾，以肥儿丸主之。
无辜疳
无辜疳者，其病原有二焉。或因浣衣夜露，被无辜鸟落羽所污，衣着儿身，致成此证。或缘乳母有病，传染小儿，
以有此疾。其证颈项生疮，或项内有核如弹，按之转动，软而不疼。其中有虫，如米粉，不速破之，使虫蚀脏腑，便利
脓血，身体羸瘦，面黄发热，致疳病生也。治宜先清其热，宜用柴胡饮；再消其疳，以芦荟肥儿丸继之，其效如神。
丁奚疳
遍身骨露，其状似丁，故号丁奚也。其证肌肉干涩，昼夜啼哭不止，手足枯细，面色黧黑，项细腹大，突出肚脐，
尻削身软，精神倦怠，骨蒸潮热，燥渴烦急也。先化其滞，用五疳消积丸治之；继用理脾补养，以人参启脾丸最宜。
哺露疳
哺露者，因乳食有不节，大伤脾胃也。羸瘦如薪，吐食吐虫，心烦口渴，头骨开张，日脯热蒸也。先用集圣丸消其
积滞，继用肥儿丸清理其脾，极灵。若哺露日久，还腹大青筋现者，又宜清补兼施，以人参丸服之，莫从容也。
总括
十五岁以上，成人患病，称为“劳”；十五岁以下，小儿患病，称为“疳”。这是因为小儿先天禀赋的气血虚弱，脏腑娇嫩，容易受到损伤。病因或因哺乳饮食过饱，损伤了脾胃。这种病的根源，往往是因为肥甘厚味摄入失节，停滞在中脘（胃脘部），导致消化传导迟缓，肠胃逐渐受损，从而产生积热。热势亢盛形成疳证，就会消耗气血，煎熬精液。凡是初患疳证时，尿液像米泔水一样浑浊，午后出现潮热；如果长期失治，就会导致青筋暴露，腹部胀大坚硬，面色青黄，肌肉消瘦，皮毛憔悴，眼睛发红或干涩，此时疳证就形成了。
脾疳
脾属土，颜色为黄，主司肌肉。所以脾疳的症状，表现为面色发黄，肌肉消瘦，身体发热，疲倦乏力，经常想睡觉，心下（胃脘部）痞塞硬满，懒得吃奶进食，腹部胀满肿胀，睡觉喜欢凉席，喜欢吃泥土，腹痛且腹部按之坚硬，头大颈粗，有时呕吐腹泻，口干烦躁口渴，大便腥臭粘腻。治疗应当先用攻法消除积滞，使用消疳理脾汤、肥儿丸来治疗。积滞消退后，再补益脾气，以参苓白术散为首选。
疳泻
疳泻这种病，多因积热损伤脾胃，导致水谷不能分别而引发腹泻。治疗方法应当先用清热渗湿的方法，然后再补脾，这是妙诀。初期适宜用清热和中汤主治。如果久泻不愈，使用参苓白术散最为快捷有效。
疳肿胀
疳疾引起的肿胀，面色浮肿光亮者，多因传化功能失常，导致脾肺两伤。现症见气逆喘咳，胸膈痞闷，肚腹肿胀。适宜使用御苑匀气散，服用效果最好。
疳痢
疳疾日久，频繁下痢者，多因为肠胃热结凝滞所致。所以痢疾发作时大便或赤或白，腹部拘急疼痛，急需使用香连导滞汤作为妙剂。
肝疳
肝属木，颜色为青，主司筋脉。所以肝疳的症状，表现为面目爪甲皆呈青色，眼睛分泌物多且流泪，眼睑隐涩难以睁开，摇头揉眼，侧卧睡眠，耳朵流出脓水，并生湿疮，腹部胀大可见青筋，身体瘦弱，燥渴烦躁急躁，粪便如苔藓般青绿。治疗应当先清其热，使用柴胡清肝散，配合芦荟肥儿丸主治。如果病势稍退，则应当调养，使用逍遥散、抑肝扶脾汤最为灵验。
心疳
心属火，颜色为赤，主司血脉。所以心疳的症状，表现为面色红赤，脉络红赤，高热有汗，时时烦躁惊悸，咬牙弄舌，口舌干燥，口渴饮水，口舌生疮，小便红赤，胸膈满闷，睡觉喜欢伏卧，懒食且身体干瘦，呕吐腹泻频繁。热势盛者，用泻心导赤汤主治。热盛兼有惊悸者，用珍珠散治疗。病程长久导致心虚者，用茯神汤调理，才能收效。
疳渴
疳渴这种病，多因肥甘积热，煎熬耗损脾胃，以致损伤津液。所以不时感到大渴引饮，心神烦躁发热，速用清热甘露饮最为适宜。这样热减津生，口渴自然停止。
肺疳
肺属金，颜色为白，主司皮毛。所以肺疳的症状，表现为面色苍白气逆，有时咳嗽，毛发焦枯，皮肤上生粟粒状皮疹，肌肤干燥，发热恶寒，经常流清鼻涕，鼻颊生疮，这叫做肺疳。首先应当疏散邪气，使用生地清肺饮；接着清热，以甘露饮为先。日久导致肺虚者，使用补肺散最有效。随证加减，不要拖延。
肾疳
肾属水，颜色为黑，主司骨骼。患此疳证的人，起初必然有解颅（囟门迟闭）、鹤膝（膝关节肿大）的表现，牙齿生长迟缓，行走迟缓，这是肾气不足的证候。再加上肥甘饮食失节，久而久之渐渐形成肾疳。所以骨瘦如柴，面色黑黧，齿龈出血，口中臭气，脚冷如冰，腹痛泄泻，哭啼不止，这就是肾疳。先用金蝉丸治疗疳疾，继以九味地黄丸调补为宜。如果遇到先天禀赋肾气虚弱者，使用调元散进服，不要拖延。
疳热
小儿疳疾的证候，身体多发热，治疗需根据病情的轻重虚实进行区分。如果病初起多属实证，用青蒿鳖甲饮最为适宜；日久多属虚证，用鳖甲散最为快捷灵验。
脑疳
脑疳这种病，多因为小儿素来感受风热，又加上乳哺喂养不当，以致变生此证。头皮光急，脑部生饼疮，头部发热毛发焦枯，头发结成穗状，鼻子干燥心烦，腮部和囟门肿硬，疲倦眼神暗淡，自汗，肢体发热。脑热生疮者，用龙胆丸主治。烦躁发热身体瘦弱者，用龙脑丸最好。外用吹鼻龙脑散，效果非常快捷。
眼疳
疳热上攻于眼，而成眼疳的证候。所以发作时眼痒涩红烂，眼睑肿痛，白睛生翳，渐渐遮盖瞳孔，不时流泪怕光，眼睛无法睁开。首先要疏散邪气，用泻肝散最妙；再用药物消除翳障，以清热退翳汤极灵验。如果日久不愈，方法应当调补，逍遥散与羊肝散从本论治。
鼻疳
疳热上攻于肺，而成鼻疳。因为鼻是肺的窍道，所以发作时鼻塞赤痒，疼痛难忍，浸淫溃烂，向下连接唇际成疮，咳嗽气促，毛发干枯。如果热势盛者，用清金散、蒋氏化毒丹治疗。疳虫侵蚀鼻腔者，用化虫丸。外部调敷，必须用鼻疳散，或者用吹鼻蝉壳散，吹入鼻中，效果如神。
牙疳
牙疳这种病，因为毒热内攻于胃而成。所以毒热向上发散，牙龈出血红烂疼痛，口鼻出血，牙齿枯槁脱落，穿腮蚀唇。这个证候性命多危殆。治疗应当紧急消除毒邪，用消疳芜荑散最有效；继以芦荟肥儿丸，清除其热，最为灵验。外用牙疳散，时时敷上，自愈。总之这个证候必须是胃强能食，能够承受峻猛药物，才可能有生机。
脊疳
小儿积热生虫，向上侵蚀脊柱，用手敲击背部，必定空响如鼓鸣，脊骨瘦削，如锯齿状，这才称为脊疳。外证也见身体发热，下利烦渴加重，十个手指都生疮，频繁咬指甲，这叫脊疳，病情非常凶险。必须先以芦荟丸杀灭其虫，再合金蝉散消除疳疾，必须急急调治，不可从容缓慢。
蛔疳
蛔疳这种病，因为过食油腻生冷以及肥甘之物，以致湿热生蛔，在腹内缠扰，所以有时烦躁多啼哭，有时肚腹搅痛，口唇颜色改变，或红或白，口溢清涎，腹胀青筋显露，肛门湿痒。急需使用使君子散治疗，不要拖延。如果不愈，用下虫丸极有效。如果蛔虫退去，又应当调补其脾，以肥儿丸主治。
无辜疳
无辜疳这种病，其病原有二种。或者因为洗衣服夜间露宿，被无辜鸟落下的羽毛污染，衣服接触小儿身体，导致形成此证。或者因为乳母有病，传染给小儿，因而有此疾病。其症状是颈项生疮，或者项内有核如弹丸大小，按压转动，软而不疼。其中有虫，如米粉状，不迅速破开它，让虫子侵蚀脏腑，排出脓血，身体瘦弱，面色黄发热，导致疳病发生。治疗应当先清其热，宜用柴胡饮；再消其疳，以芦荟肥儿丸继之，效果如神。
丁奚疳
遍身骨头外露，形状似“丁”字，所以叫丁奚。其症状肌肉干涩，昼夜啼哭不止，手足枯细，面色黧黑，脖子细肚子大，肚脐突出，臀部削瘦身体软弱，精神倦怠，骨蒸潮热，燥渴烦躁急躁。先化解其积滞，用五疳消积丸治疗；继用理脾补养，以人参启脾丸最为适宜。
哺露疳
哺露这种病，因为乳食没有节制，大大损伤了脾胃。身体瘦弱如柴，吐食吐虫，心烦口渴，头骨开张，下午热势蒸腾。先用集圣丸消除其积滞，继用肥儿丸清理其脾，极灵验。如果哺露日久，还出现肚子大青筋显露者，又应当清补兼施，以人参丸服用，不可从容缓慢。
General Overview
For individuals over fifteen years of age, adult illnesses are termed "Lao" (Consumption/Chronic Deficiency); for children under fifteen, pediatric illnesses are termed "Gan" (Malnutrition Syndrome). This is because children possess congenital deficiency in Qi and Blood, with delicate Zang-Fu organs that are easily injured. Etiology may involve excessive feeding causing damage to the Spleen and Stomach. The root of this disease often lies in irregular consumption of rich and sweet foods, leading to stagnation in the Zhongwan (Epigastrium), delayed digestion and transportation, gradual injury to the intestines and stomach, and subsequent generation of accumulated heat. Excessive heat forms Gan syndrome, consuming Qi and Blood and boiling down Essence and Fluids. Initially, Gan syndrome presents with urine turbid like rice wash water and tidal fever in the afternoon. If left untreated for a long time, it leads to exposed subcutaneous veins, abdominal distension and hardness, bluish-yellow complexion, emaciation, withered skin and hair, and red or dry eyes; at this stage, Gan syndrome is fully established.
Spleen Gan
The Spleen belongs to Earth, its color is yellow, and it governs muscles. Therefore, Spleen Gan manifests as sallow complexion, muscle emaciation, body fever, fatigue, frequent desire to sleep, epigastric fullness and hardness, reluctance to nurse or eat, abdominal distension and swelling, preference for cool surfaces during sleep, pica (eating dirt), abdominal pain with hardness, large head and thick neck, occasional vomiting and diarrhea, dry mouth with irritability and thirst, and foul-smelling sticky stools. Treatment should first focus on eliminating accumulation using Xiaogan Lipi Tang (Gan-Resolving Spleen-Regulating Decoction) or Fei'er Wan (Child-Nourishing Pill). After accumulation subsides, tonify Spleen Qi, prioritizing Shenling Baizhu San (Poria, Atractylodes Macrocephala and Licorice Powder).
Gan Diarrhea
Gan diarrhea often results from accumulated heat injuring the Spleen, causing failure to separate clear from turbid fluids, leading to diarrhea. The method should first employ clearing heat and leaching out dampness, followed by tonifying the Spleen, which is the key principle. Initially, Qingre Hezhong Tang (Heat-Clearing and Middle-Regulating Decoction) is indicated. For chronic diarrhea unresponsive to treatment, Shenling Baizhu San is most effective.
Gan Edema
Edema caused by Gan disease, characterized by a puffy and lustrous complexion, often results from impaired transportation leading to dual injury of the Spleen and Lung. Symptoms include rebellious Qi with wheezing and cough, chest and diaphragm stuffiness, and abdominal distension. Yu Yuan Yunqi San (Imperial Garden Qi-Regulating Powder) is recommended for best results.
Gan Dysentery
Long-standing Gan disease with frequent dysentery is often due to heat binding and stagnation in the intestines and stomach. Stools may be red or white, accompanied by urgent abdominal pain. Xianglian Daozhi Tang (Coptis and Aucklandia Stagnation-Guiding Decoction) is an excellent prescription.
Liver Gan
The Liver belongs to Wood, its color is green, and it governs tendons. Thus, Liver Gan presents with greenish hue on the face, eyes, and nails, excessive eye discharge and tearing, gritty sensation making eyes hard to open, head shaking and eye rubbing, sleeping on the side, purulent otorrhea, wet sores, abdominal distension with visible blue veins, emaciation, dry thirst with irritability, and greenish moss-like stools. Treatment should first clear heat using Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) combined with Lushen Fei'er Wan (Aloe Child-Nourishing Pill). As the condition improves, regulate with Xiaoyao San (Free and Easy Wanderer Powder) and Yi Gan Fu Pi Tang (Suppress-Liver Strengthen-Spleen Decoction).
Heart Gan
The Heart belongs to Fire, its color is red, and it governs blood vessels. Heart Gan manifests as ruddy complexion, red meridians, high fever with sweating, frequent irritability and fright, teeth grinding and tongue protrusion, dry mouth and tongue, thirst, oral ulcers, dark red urine, chest stuffiness, preference for prone sleeping, anorexia with emaciation, and frequent vomiting and diarrhea. For excess heat, Xiexin Daochi Tang (Drain-Heart Guide-to-Red Decoction) is used. For heat with fright, Zhenzhu San (Pearl Powder) is applied. For chronic deficiency of the Heart, Fushen Tang (Poria Spirit Decoction) is used for regulation to achieve success.
Gan Thirst
Gan thirst arises from accumulated heat from rich foods frying and consuming the Spleen and Stomach, damaging Body Fluids. It presents with sudden intense thirst and drinking, mental irritability and heat. Qingre Ganlu Yin (Heat-Clearing Sweet Dew Drink) is most appropriate. As heat decreases and fluids regenerate, thirst ceases naturally.
Lung Gan
The Lung belongs to Metal, its color is white, and it governs skin and hair. Lung Gan presents with pale complexion and rebellious Qi, occasional cough, withered and brittle hair, millet-grain-like papules on skin, dry skin, fever and aversion to cold, frequent clear nasal discharge, and sores on nose and cheeks. First, disperse pathogenic factors using Shengdi Qingfei Yin (Rehmannia Lung-Clearing Drink); subsequently clear heat with Ganlu Yin (Sweet Dew Drink). For chronic Lung deficiency, Bufeisan (Lung-Tonifying Powder) is most effective. Adjust according to symptoms without delay.
Kidney Gan
The Kidney belongs to Water, its color is black, and it governs bones. Patients initially present with Jiechu (delayed closure of fontanelles) and Hexian (crane-knee deformity), delayed tooth eruption and walking, indicating Kidney Qi deficiency. Combined with irregular diet, this gradually becomes Kidney Gan. Symptoms include skeletal emaciation, dark complexion, bleeding gums, foul breath, cold feet, abdominal pain and diarrhea, and incessant crying. Use Jinchan Wan (Golden Cicada Pill) first to treat Gan, followed by Jiwei Dihuang Wan (Eight-Ingredient Rehmannia Pill with Additions) for tonification. For congenital Kidney Qi weakness, Tiaoyuan San (Regulate-Origin Powder) is indicated without delay.
Gan Fever
Pediatric Gan disease often presents with body fever. Treatment must distinguish severity and deficiency/excess. For early-stage excess patterns, Qinghao Biejia Yin (Artemisia Annua and Turtle Shell Drink) is suitable. For long-term deficiency patterns, Biejia San (Turtle Shell Powder) is most effective.
Brain Gan
Brain Gan often stems from innate wind-heat susceptibility combined with improper feeding. Symptoms include tight shiny scalp, brain sores resembling cakes, hot head with withered hair, matted hair, dry nose with irritability, swollen and hard cheeks and fontanelles, fatigue with dull eyes, spontaneous sweating, and limb heat. For brain heat sores, Longdan Wan (Gentian Pill) is used. For irritability, fever, and emaciation, Longnao Wan (Borneol Pill) is best. Externally, apply Longnao San (Borneol Powder) via nasal insufflation for rapid effect.
Eye Gan
Gan heat attacking the eyes causes Eye Gan. Symptoms include itching, grittiness, redness, and ulceration, swollen and painful eyelids, corneal opacity gradually covering the pupil, tearing, photophobia, and inability to open eyes. First, disperse using Xiegan San (Drain-Liver Powder); then eliminate opacity with Qingretuiyi Tang (Heat-Clearing Opacity-Removing Decoction). For chronic cases, regulate and tonify with Xiaoyao San and Yanggan San (Sheep Liver Powder).
Nose Gan
Gan heat attacking the Lung causes Nose Gan, as the nose is the opening of the Lung. Symptoms include nasal congestion, redness, itching, unbearable pain, oozing ulcers extending to lips, cough, shortness of breath, and dry hair. For excess heat, use Qingjin San (Metal-Clearing Powder) or Jiangshi Huadu Dan (Jiang's Toxin-Resolving Pellet). For Gan worms eroding the nose, use Huachong Wan (Worm-Expelling Pill). Externally, apply Bi'gan San (Nose Gan Powder) or Chuanke San (Cicada Molt Powder) via insufflation for miraculous effects.
Tooth Gan
Tooth Gan results from toxic heat attacking the Stomach internally. Toxic heat rises, causing bleeding, redness, ulceration, and pain in gums, bleeding from mouth and nose, withered and loose teeth, and cheek/lip erosion. This condition is often fatal. Urgently eliminate toxicity using Xiaogan Wuyi San (Gan-Resolving Melia Powder); follow with Lushen Fei'er Wan to clear heat. Externally apply Yagan San (Tooth Gan Powder) frequently for self-healing. This condition requires strong Stomach function to tolerate harsh medicines for survival.
Spine Gan
Pediatric accumulated heat generates worms that erode the spine upward. Percussion of the back produces a hollow drum-like sound. The spine is emaciated and serrated. External signs include fever, worsening diarrhea and thirst, sores on all ten fingers, and frequent nail-biting. This is Spine Gan, a severe condition. First, kill worms with Lushen Wan (Aloe Pill), then combine with Jinchan San (Golden Cicada Powder) to resolve Gan. Treat urgently without delay.
Ascaris Gan
Ascaris Gan results from excessive intake of greasy, raw, cold, and rich foods, generating damp-heat and roundworms that disturb the abdomen. Symptoms include intermittent irritability and crying, abdominal colic, changing lip color (red or white), drooling, abdominal distension with visible veins, and anal itching. Use Shijunzi San (Quince Seed Powder) urgently. If ineffective, use Xiachong Wan (Worm-Expelling Pill). After worm expulsion, tonify the Spleen with Fei'er Wan.
Wugou Gan
Wugou Gan has two etiologies: contamination by feathers from "Wugou" birds falling on laundry worn by infants, or transmission from sick wet nurses. Symptoms include neck sores or movable, soft, non-tender nodules containing rice-flake-like worms. If not promptly treated, worms erode viscera, causing bloody/purulent stool, emaciation, sallow feverish complexion, and Gan disease. Clear heat first with Chaihu Yin (Bupleurum Drink); then resolve Gan with Lushen Fei'er Wan for miraculous effects.
Dingxi Gan
Characterized by prominent bones resembling the character "Ding," hence the name. Symptoms include dry rough skin, incessant day-and-night crying, thin limbs, dark complexion, thin neck with distended abdomen and umbilical hernia, flat buttocks, weak body, fatigue, bone-steaming tidal fever, dry thirst, and irritability. Resolve stagnation first with Wugan Xiaoji Wan (Five-Gan Accumulation-Resolving Pill); then regulate Spleen and tonify with Renshen Qipi Wan (Ginseng Spleen-Initiating Pill).
Bulu Gan
Caused by irregular feeding severely damaging Spleen and Stomach. Presents with extreme emaciation, vomiting food and worms, irritability and thirst, open cranial sutures, and afternoon fever. Use Jisheng Wan (Saintly Collection Pill) to resolve accumulation first; follow with Fei'er Wan to clear and regulate the Spleen. For chronic Bulu Gan with abdominal distension and visible veins, employ simultaneous clearing and tonifying with Renshen Wan (Ginseng Pill).