《圣惠》五疳久而不瘥，则腹内有虫，肌体黄瘦，下痢不止，宜服药出之，则疳
气渐退。其虫状如丝发，或如马尾，多出于腹背及头项上，若虫色黄白及赤者，可
治，青色者，不可疗也。
朱砂丸《颅囟经》 治孩子疳痢，辨虫颜色，定吉凶。
朱砂（半石莲大） 阿魏（如朱砂大） 蝙蝠血（三两滴） 眉酥（少许）
上细和，少许口脂调。先桃柳枝煎汤浴儿，后看儿大小，以绿豆大填儿脐中，
后用纸可脐中贴之。用青衣盖儿，看虫出来，黄色轻，青黑色重。
《圣惠》干蟾丸 治小儿五疳及惊风出虫，定生死。
干蟾（一枚，五月五日者良） 蛇蜕皮（一条，火 ） 谷精草（二两，花前药同入罐子内，以盐泥固济，晒干，
烧令通赤，放冷研细） 胡黄连 瓜蒂 母丁香（三味同为末） 牛黄 龙脑 朱砂 雄黄 芦荟 天竺黄 麝香（各
一分） 青黛（半两）
上件药都入乳钵内研令极细，用 猪胆汁煎面糊和丸，如绿豆大。一二岁儿以
温米泔半合化下五丸。服药后以桃柳汤浴儿，着青衣，盖疳虫当出衣上及眉毛鬓
边，如细麸片子，或如糁面尘毒，黑色者难治，黄白色易治。仍宜粥饮下二丸，日三服。甚者，半月内瘥。
麝香丸 治小儿五疳瘦弱，毛发干焦，口鼻多痒，有虫。
麝香 芦荟 粉霜 朱砂（各一分） 蟾酥（一白豆许） 皂荚（三寸，烧灰） 蛇蜕皮（五寸，烧灰） 蝙
蝠（三个、取血，拌入药末）
上件药都细研，以油熔蜡和丸，如小豆大。先以桃柳汤洗儿，后用药一丸涂于
脐中，上以醋面封之。良久，即虫出，黄白赤者易治，黑者难疗。
芦荟丸 治小儿五疳，四肢干瘦，腹胀气粗，频揉鼻眼，宜服此出虫。
芦荟 牛黄 蝉壳（各一分） 腻粉 粉霜 硫黄 麝香（各一钱） 田父（一枚，烧烟似绝、便住）
青黛（半两） 巴豆（十粒，去皮心膜油） 蛇蜕皮（一条，烧灰）
上为极细末，令匀，以粳米饭丸，如绿豆大。每服以温水下二丸。良久，煎桃
柳水浴儿后，以青衣盖遍身，当有虫出，白黄色者可治，青黑者难治。
出虫丸 治小儿五疳久不瘥，羸瘦极甚。
朱砂 麝香 牛黄 蜗牛子（炒） 夜明砂（炒） 熊胆（各一分） 蟾酥（半钱）
上件药都细研，以面糊和丸，如绿豆大。每服，以温水下三丸。更别以水研一
丸滴向鼻中，得嚏五七声。良久，当有虫随汗出，立效。
干蟾丸 治小儿五疳出虫。
干蟾（一枚，烧灰） 天灵盖（灰半两） 麝香（半分） 蝉壳（去足，炒） 鳖甲（酥炙黄焦，去裙 ，各一分）
上件药为细末，每用烧饭和丸，如绿豆大。二岁以下以蛤粉汤下一丸，三岁已
上至五岁二丸。服药后，续以桃柳汤浴儿，后用青衣盖之，当有虫子出，赤白者
轻，黑者重。
熊胆丸 治小儿五疳出虫。
熊胆 朱砂 麝香 蚺蛇胆 蜣螂（炒） 瓜蒂（各半两）
上件药为极细末，入研了药，令匀，用 猪胆汁和丸，如绿豆大。先用桃柳汤
浴儿了，用粥饮下三丸。以青衣盖，当有虫出也。
定命散 治五疳有虫。
干虾蟆（一枚，烧灰） 蛇蜕皮（炒） 蝉壳（各一分）
上件为极细末，入麝香末半钱研匀。但是一切疳，至午时后以暖水调下半钱，
一二岁即服一字。后煎桃柳汤，放温浴儿了，便用青衣盖，当有虫出，即效。
青黛丸 治五疳体热，干瘦发立，鼻痒有虫，不欲饮乳。
青黛 芦荟 人中白（各半两） 猪牙皂角 蝉壳（各半分） 麝香（一分） 胡黄连（三分） 蟾涎
人乳汁（各少许）
上件为末，五月五日午时修合，以粽子肉、枣肉、及蟾涎、乳汁丸，如黍米大。
以桃柳汤浴儿后，以米饮下三丸。后着青衣裹儿，看身上有虫出，青黑者不堪，
白黄赤者易瘥。
〔钱乙〕胡黄连麝香丸 治疳气羸瘦，白虫作。
胡黄连 白芜荑（各一两半） 麝香（一钱） 黄连 木香（各半两） 辰砂（一分）
上末，面糊丸，如绿豆大。米饮下五七丸，至三五岁可十五丸，无时。
〔钱乙〕榆仁丸 治疳热瘦悴有虫，久服充肥。
榆仁 黄连（各一两）
上为末，用猪胆七枚，破取汁，与药同和，入碗内，甑上蒸九日，每日一次，
候日数足，入研麝香半钱，汤浸蒸饼和丸，绿豆大。每服五七丸至一二十丸，米饮下。
《圣惠方》记载：五疳病若长期不愈，则腹内会有寄生虫，导致肌肉消瘦、面色萎黄，并伴有持续性腹泻。此时适宜服用药物驱除虫体，使疳气逐渐消退。这些虫子的形状像丝发一样细，或者像马尾毛那样长，大多从腹部、背部以及头部和颈部排出。如果虫子的颜色是黄白色或红色，说明病情可治；如果是青色，则难以治愈。
朱砂丸（出自《颅囟经》）：治疗小儿疳积痢疾，通过辨别虫子的颜色来判断吉凶预后。
配方：朱砂（大小如半颗莲子）、阿魏（大小如朱砂）、蝙蝠血（三两滴）、眉酥（少许）。
制法与用法：将上述药物细细混合，取少量用口脂调和。先用桃枝柳枝煎汤给小儿洗澡，然后根据小儿的年龄大小，取绿豆大小的药团填入小儿肚脐中，再用纸贴在肚脐上。让小儿穿上青色的衣服覆盖身体，观察虫子是否出来。黄色虫子表示病情轻，青黑色虫子表示病情重。
《圣惠方》干蟾丸：治疗小儿五疳及惊风引起的出虫症状，以此判定生死预后。
配方：干蟾蜍（一枚，以五月五日采集的为佳）、蛇蜕皮（一条，用火烤炙）、谷精草（二两，在开花前与其他三味药一同放入罐子，用盐泥密封固济，晒干后烧至通红，放冷后研成细粉）、胡黄连、瓜蒂、母丁香（这三味药共同研成粉末）、牛黄、龙脑（冰片）、朱砂、雄黄、芦荟、天竺黄、麝香（各一分）、青黛（半两）。
制法与用法：将以上所有药物放入乳钵中研磨至极细，用猪胆汁煎煮面糊来调和药末，制成如绿豆大小的丸剂。一至两岁的患儿，用半合温米泔水化开五丸服下。服药后用桃柳汤给小儿洗澡，穿着青色衣服，盖上身体，观察疳虫是否出现在衣物上以及眉毛鬓角处。虫子像细麸皮片，或者像撒面的灰尘毒物一样，黑色的难治，黄白色的易治。仍宜用粥饮送服二丸，每日三次。病情严重的，半月内可痊愈。
麝香丸：治疗小儿五疳导致的身体瘦弱，毛发干枯焦黄，口鼻瘙痒，体内有虫。
配方：麝香、芦荟、粉霜、朱砂（各一分）、蟾酥（约一白豆大小）、皂荚（三寸，烧成灰）、蛇蜕皮（五寸，烧成灰）、蝙蝠（三个，取血拌入药末中）。
制法与用法：将以上药物全部细细研磨，用熔化的蜡调和制成如小豆大小的丸剂。先用桃柳汤清洗小儿身体，然后将一丸药涂抹在肚脐中，上面用醋调面粉封住。过一段时间后，虫子就会出来，黄白色红色的易治，黑色的难治。
芦荟丸：治疗小儿五疳，四肢干枯消瘦，腹部胀大呼吸粗重，频繁揉搓鼻子和眼睛，适宜服用此药驱虫。
配方：芦荟、牛黄、蝉壳（各一分）、腻粉、粉霜、硫黄、麝香（各一钱）、田父（一枚，烧烟似断未断时停止）、青黛（半两）、巴豆（十粒，去皮去心膜并去油）、蛇蜕皮（一条，烧成灰）。
制法与用法：将以上药物研成极细粉末并混合均匀，用粳米饭调和制成如绿豆大小的丸剂。每次服用温水送下二丸。过一段时间，煎桃柳水给小儿洗澡后，用青色衣服覆盖全身，应当有虫子出来，白黄色的可治，青黑色的难治。
出虫丸：治疗小儿五疳日久不愈，极度羸瘦。
配方：朱砂、麝香、牛黄、蜗牛子（炒制）、夜明砂（炒制）、熊胆（各一分）、蟾酥（半钱）。
制法与用法：将以上药物全部细细研磨，用面糊调和制成如绿豆大小的丸剂。每次服用温水送下三丸。另外再用水研化一丸滴入鼻孔，引起打喷嚏五到七次。过一会儿，应当有虫子随着汗水排出，立即见效。
干蟾丸：治疗小儿五疳出虫。
配方：干蟾蜍（一枚，烧成灰）、天灵盖（骨灰半两）、麝香（半分）、蝉壳（去掉足，炒制）、鳖甲（用酥炙至黄焦，去掉裙边，各一分）。
制法与用法：将以上药物研成细末，每次用烧饭调和制成如绿豆大小的丸剂。两岁以下患儿用蛤粉汤送下一丸，三岁及以上至五岁患儿送下二丸。服药后，继续用桃柳汤给小儿洗澡，然后用青色衣服覆盖，应当有虫子出来，赤白色的病情轻，黑色的病情重。
熊胆丸：治疗小儿五疳出虫。
配方：熊胆、朱砂、麝香、蚺蛇胆、蜣螂（炒制）、瓜蒂（各半两）。
制法与用法：将以上药物研成极细粉末，加入已研磨好的药物中混合均匀，用猪胆汁调和制成如绿豆大小的丸剂。先用桃柳汤给小儿洗澡，然后用粥饮送下三丸。用青色衣服覆盖，应当有虫子出来。
定命散：治疗五疳有虫。
配方：干虾蟆（一枚，烧成灰）、蛇蜕皮（炒制）、蝉壳（各一分）。
制法与用法：将以上药物研成极细粉末，加入半钱麝香粉末研磨均匀。凡是各种疳积，在午时之后用温水调服半钱，一至两岁幼儿服一字量。随后煎桃柳汤，待温度适宜后给小儿洗澡，随即用青色衣服覆盖，应当有虫子出来，即见效效。
青黛丸：治疗五疳导致的身体发热，干枯消瘦毛发竖立，鼻痒有虫，不想吃奶。
配方：青黛、芦荟、人中白（各半两）、猪牙皂角、蝉壳（各半分）、麝香（一分）、胡黄连（三分）、蟾涎、人乳汁（各少许）。
制法与用法：将以上药物研成粉末，在五月五日午时制作，用粽子肉、枣肉以及蟾涎、乳汁调和制成如黍米大小的丸剂。用桃柳汤给小儿洗澡后，用米饮送下三丸。之后用青色衣服包裹小儿，观察身上是否有虫子出来，青黑色的不可治，白黄红色的容易痊愈。
〔钱乙〕胡黄连麝香丸：治疗疳气导致的身体羸瘦，白虫发作。
配方：胡黄连、白芜荑（各一两半）、麝香（一钱）、黄连、木香（各半两）、辰砂（一分）。
制法与用法：将药物研成粉末，用面糊调和制成如绿豆大小的丸剂。用米饮送服五到七丸，三到五岁儿童可服十五丸，不限时间。
〔钱乙〕榆仁丸：治疗疳热导致的身体瘦弱憔悴且有虫，长期服用可使身体丰满健壮。
配方：榆仁、黄连（各一两）。
制法与用法：将药物研成粉末，取七个猪胆，打破取汁，与药物混合，放入碗中，在蒸笼上蒸九日，每天一次，等到天数满足后，加入半钱研磨好的麝香，用热水浸湿的蒸饼调和制成绿豆大小的丸剂。每次服用五到七丸至一二十丸，用米饮送下。
According to the *Shenghui Fang* (Holy Benefit Formulary): If the five types of Gan syndrome (childhood malnutrition with parasitic infestation) persist for a long time without healing, parasites will accumulate in the abdomen. This leads to emaciation, sallow complexion, and persistent dysentery. It is appropriate to administer medication to expel the parasites, which will gradually alleviate the Gan qi (pathogenic factor associated with childhood malnutrition). These worms resemble fine silk hairs or horse tail bristles and are mostly expelled from the abdomen, back, head, and neck. If the worms are yellowish-white or red, the condition is treatable; if they are greenish-blue, it is difficult to cure.
Zhusha Wan (Cinnabar Pill) [from *Luxin Jing*]: Treats pediatric Gan dysentery; determines prognosis based on worm color.
Ingredients: Zhusha (Cinnabaris, amount size of half a lotus seed), Awèi (Ferulae Resina, amount size of Cinnabar), Bianfu Xue (Blood of Bat, three drops), Meisu (Brow Butter, a small amount).
Preparation and Administration: Finely mix the above ingredients. Take a small amount and blend with lip balm. First, bathe the child in decoction made from peach and willow branches. Then, depending on the child's age, place a pill the size of a mung bean into the umbilicus. Cover the umbilicus with paper. Have the child wear green clothing to cover the body. Observe if worms emerge. Yellow worms indicate mild condition; green-black worms indicate severe condition.
*Shenghui Fang* Ganchan Wan (Dried Toad Pill): Treats pediatric five-type Gan syndrome and convulsions causing worm expulsion; determines life or death prognosis.
Ingredients: Ganchan (Dry Toad, one piece, preferably collected on the fifth day of the fifth lunar month), Shetuipi (Ophichthidis Cutis, one strip, roasted), Gujingcao (Panicum miliaceum Flower, two taels; harvested before flowering, placed in a jar with other three herbs, sealed with salt mud, dried, fired until red-hot, cooled, and ground finely), Huhuanglian (Scutellariae Barbatae Radix), Gudi (Melonis Fructus), Mudingxiang (Eugeniae Caryophyllati Flos); these three are ground together into powder; Niuhuang (Calculus Bovis), Longnao (Borneolum Syntheticum), Zhusha (Cinnabaris), Xionghuang (Realgar), Lulü (Aloe), Tianzhuhuang (Bambusae Caulis in Taeniam), Muxiang (Moschus); each one fen; Qingdai (Indigo Naturalis, half liang).
Preparation and Administration: Grind all ingredients in a mortar until extremely fine. Use pig bile decocted with flour paste to form pills the size of mung beans. For children aged one to two years, dissolve five pills in half he of warm rice water. After medication, bathe the child in peach-willow soup, dress in green clothes, and cover the body. Observe if Gan worms appear on the clothing, eyebrows, or temples, resembling fine bran flakes or dust. Black worms are difficult to treat; yellow-white worms are easy to treat. Continue administering two pills with porridge drink, three times daily. Severe cases may heal within half a month.
Muxiang Wan (Musk Pill): Treats pediatric five-type Gan syndrome characterized by emaciation, dry and scorched hair, itching of mouth and nose, and presence of worms.
Ingredients: Muxiang (Moschus), Lulü (Aloe), Fen shuang (Calomelas), Zhusha (Cinnabaris); each one fen; Chansu (Venenum Bufonis, size of one white bean), Zaojiao (Gleditsiae Sinensis Fructus, three cun, burned to ash), Shetuipi (Ophichthidis Cutis, five cun, burned to ash), Bianfu (Bat, three pieces, blood taken and mixed into powder).
Preparation and Administration: Grind all ingredients finely. Blend with melted wax to form pills the size of small beans. First wash the child with peach-willow soup. Apply one pill to the umbilicus and seal with vinegar-flour paste. After some time, worms will emerge. Yellow-white-red worms are easy to treat; black worms are difficult.
Lulü Wan (Aloe Pill): Treats pediatric five-type Gan syndrome with dry and thin limbs, abdominal distension, coarse breathing, frequent rubbing of nose and eyes; suitable for expelling worms.
Ingredients: Lulü (Aloe), Niuhuang (Calculus Bovis), Chanqiao (Cicadae Periostracum); each one fen; Nifen (Calomelas), Fenshuang (Calomelas), Liuhuang (Sulfur), Muxiang (Moschus); each one qian; Tianfu (Snail, one piece, smoked until smoke nearly stops), Qingdai (Indigo Naturalis, half liang), Badou (Crotonis Fructus, ten seeds, peeled, de-seeded, de-oiled), Shetuipi (Ophichthidis Cutis, one strip, burned to ash).
Preparation and Administration: Grind into extremely fine powder and mix evenly. Form pills the size of mung beans using glutinous rice paste. Administer two pills with warm water. After some time, bathe the child in peach-willow water and cover the body with green clothing. Worms should emerge; white-yellow ones are treatable, green-black ones are difficult.
Chuchong Wan (Worm-Expelling Pill): Treats pediatric five-type Gan syndrome that has persisted for a long time, resulting in extreme emaciation.
Ingredients: Zhusha (Cinnabaris), Muxiang (Moschus), Niuhuang (Calculus Bovis), Wo niuzi (Helicis Costatae Concha, stir-fried), Yeming sha (Asturi Excrementum, stir-fried), Xiong dan (Ursi Fel, each one fen), Chansu (Venenum Bufonis, half qian).
Preparation and Administration: Grind all ingredients finely. Mix with flour paste to form pills the size of mung beans. Administer three pills with warm water. Additionally, dissolve one pill in water and drip into the nostrils to induce sneezing five to seven times. After a while, worms should be expelled with sweat, yielding immediate effect.
Ganchan Wan (Dried Toad Pill): Treats pediatric five-type Gan syndrome with worm expulsion.
Ingredients: Ganchan (Dry Toad, one piece, burned to ash), Tianlinggai (Cranii Humanis Os, ash half liang), Muxiang (Moschus, half fen), Chanqiao (Cicadae Periostracum, remove legs, stir-fried), Biejia (Trionycis Carapax, fried with butter until yellow and charred, remove skirt-like edges, each one fen).
Preparation and Administration: Grind into fine powder. Mix with cooked rice to form pills the size of mung beans. For children under two years, administer one pill with clam powder soup; for children aged three to five years, administer two pills. After medication, continue bathing the child in peach-willow soup and cover with green clothing. Worms should emerge; red-white ones indicate mild condition, black ones indicate severe condition.
Xiong dan Wan (Bear Gallbladder Pill): Treats pediatric five-type Gan syndrome with worm expulsion.
Ingredients: Xiong dan (Ursi Fel), Zhusha (Cinnabaris), Muxiang (Moschus), Ran she dan (Pythonis Fel), Qianglang (Scarabaei Scaurus, stir-fried), Gudi (Melonis Fructus); each half liang.
Preparation and Administration: Grind into extremely fine powder. Mix with pig bile to form pills the size of mung beans. First bathe the child in peach-willow soup, then administer three pills with porridge drink. Cover with green clothing; worms should emerge.
Dingming San (Life-Determining Powder): Treats five-type Gan syndrome with worms.
Ingredients: Gan xama (Dry Toad, one piece, burned to ash), Shetuipi (Ophichthidis Cutis, stir-fried), Chanqiao (Cicadae Periostracum); each one fen.
Preparation and Administration: Grind into extremely fine powder. Mix with half qian of powdered Muxiang (Moschus). For any type of Gan syndrome, after noon, mix half qian with warm water and ingest. Children aged one to two years take a "yi zi" dose. Subsequently, bathe the child in warm peach-willow soup and cover with green clothing. Worms should emerge, indicating efficacy.
Qingdai Wan (Indigo Naturalis Pill): Treats five-type Gan syndrome with body heat, dry emaciation, erect hair, nasal itching with worms, and refusal to nurse.
Ingredients: Qingdai (Indigo Naturalis), Lulü (Aloe), Renzhong bai (Natrii Urotidas, each half liang), Zhu ya zao jiao (Gleditsiae Sinensis Fructus spinous), Chanqiao (Cicadae Periostracum); each half fen, Muxiang (Moschus, one fen), Huhuanglian (Scutellariae Barbatae Radix, three fen), Chansyan (Toad Saliva), Ren ru zhi (Human Milk); each a small amount.
Preparation and Administration: Grind into powder. Prepare on the fifth day of the fifth lunar month at noon. Form pills the size of millet grains using zongzi meat, jujube meat, toad saliva, and human milk. After bathing the child in peach-willow soup, administer three pills with rice drink. Wrap the child in green clothing and observe for emerging worms. Green-black worms are untreatable; white-yellow-red worms are easy to cure.
[Qian Yi] Huhuanglian Muxiang Wan (Scutellaria Barbata and Musk Pill): Treats Gan qi emaciation and occurrence of white worms.
Ingredients: Huhuanglian (Scutellariae Barbatae Radix), Bai wuyi (Alpiniae Oxyphyllae Fructus); each one tael and half, Muxiang (Moschus, one qian), Huanglian (Coptidis Rhizoma), Muxiang (Aucklandiae Radix); each half liang, Chen sha (Cinnabaris, one fen).
Preparation and Administration: Grind into powder. Form pills the size of mung beans using flour paste. Administer five to seven pills with rice drink; for children aged three to five years, fifteen pills. Take at any time.
[Qian Yi] Yuren Wan (Elsholtzia Seed Pill): Treats Gan heat-induced emaciation and憔悴 (emaciation/frailty) with worms; long-term use promotes weight gain and robustness.
Ingredients: Yuren (Elsholtziae Semen), Huanglian (Coptidis Rhizoma); each one tael.
Preparation and Administration: Grind into powder. Take juice from seven pig gallbladders, mix with medicine, place in a bowl, and steam over a steamer for nine days, once daily. When the duration is complete, add half qian of ground Muxiang (Moschus). Mix with steamed bun dough soaked in hot water to form pills the size of mung beans. Administer five to seven pills up to twenty pills, with rice drink.