杨氏云∶由乳食不调，壅热伤肺所致也，肺主乎气，鼻乃肺所通，其气不和，
则风湿乘虚，客于皮毛，入于血脉，故鼻下两傍，赤痒疮湿，名为鼻疳，其疮不痛，
汁所流处，随即生疮，亦名疳 。外证咳嗽喘逆，壮热恶寒，皮肤粟生，鼻疮流涕，
咽喉不利，颐烂吐红，气胀毛焦，泄痢频并是也。钱氏，主补脾生肺，以益黄散主
之。杨氏，以清肺饮、化 丸、钱氏阿胶散主之。薛氏，用清肺饮以治肺，益气
汤以生金。曾氏，用补肺散。
地黄清肺饮 治肺热疳 ，咳嗽气逆，多啼，壮热恶寒。
桑白皮（炒，半两） 紫苏 北前胡 防风 赤茯苓 黄芩 当归 天门冬（去心） 连翘 桔梗 生地黄 甘草
（炙。各二钱半）
上锉散。每服二钱，井水煎，食后服。次用化 丸。
化 丸
芜荑 芦荟 青黛 川芎 白芷梢 胡黄连 川黄连 虾蟆灰（各等分）
上为末，猪胆汁浸糕糊丸，麻子大。每服二十丸，食后临卧，杏仁煎汤下。其
鼻，常用熊胆泡汤，小笔蘸洗，俟前药各进数服，却用青黛、当归、赤小豆、瓜
蒂、地榆、黄连、芦荟等分，雄黄少许，细末，入鼻敛疮。
补肺散 治久患咳嗽，肺虚气促，有痰恶心。
阿胶（一两半，锉、炒） 白茯苓 马兜铃（去老梗） 糯米（各半两） 杏仁（二十一粒，汤泡，去皮尖） 甘
草（四钱，炙）
上锉。每服二钱，水一盏，煎七分，无时温服。
〔张涣〕麝香丹 治小儿肺疳，皮毛枯燥，咳嗽上气。
胡黄连（一两） 半夏（半两，汤洗七遍） 紫苏子（微炒） 五味子（各一分） 干蟾（一枚，涂酥、炙微黄。
以
上捣罗为细末，次用） 麝香（细研） 芦荟（细研） 朱砂（细研。各一分）
上件一处拌匀，以枣肉和，如黍米大。每服五粒至七粒，米饮下，量儿大小加减。
灵砂丹 因嗽成疳，最宜服之。
人参（半两，去芦） 甜葶苈（研） 五灵脂 胡黄连（各一分。以上捣罗为细末，次用） 辰砂（半两，细研）
麝香（细研） 芦荟（细研） 杏仁（麸炒，去皮尖。各一分）
上件一处拌匀，以粳米饮和，如黍米大。每服十粒，煎人参汤下，量儿大小加减。
五灵脂丹 久嗽恐成疳，常服尤佳。
五灵脂（半两） 蟾头（一枚，涂酥炙微黄） 蝉壳（微炒） 款冬花（各半两。以上捣罗为细末，次用） 青黛
（细
研） 雄黄（细研。各一分）
上件药一处拌匀，糯米饮和，如黍米大。每服十粒，煎人参汤下，不拘时候，量儿大小加减。
《万全方》治小儿肺疳不欲乳食，时复腹痛。胡黄连丸
胡黄连 当归（焙微炒） 诃梨勒皮 木香（各半两） 青橘皮（汤浸，去白穣，焙） 紫苏子 杏仁
（汤浸，去皮尖，麸炒微黄。各一分） 麝香（一钱，研入）
上件捣，罗为末，用粟米饭和丸，绿豆大。每服三丸，以粥饮下，量儿大小加减。
〔张国材〕肺疳方
真珠（七十粒） 辰砂（半钱） 人参 甘草（各二钱） 麝香（半字） 轻粉（五钱匕） 白附子（一个）
上件，先将人参、甘草锉碎炒熟，白附子炮碾末，次研入真珠、辰砂、麝香、
轻粉匀毕。每服半钱或一字，用金银薄荷煎汤调服，日进一服，食后。只三服，其肺疳立愈。
〔庄氏〕第三候，鼻下赤烂，爱揉眼，兼血痢，是肺疳，乃因吃着乘热物或病奶所损
心肺，加之咳嗽，更以服凉冷药过多，便上热下冷，渐渐昏沉，日夜烦哭。
龙脑 朱砂（各一分） 钓藤 玄参（各一两） 胡黄连（炮，半两） 麝香（一钱）
上为末，炼蜜丸，如黄米大。米饮下三丸至五丸。
治小儿头项细，心腹胀满，皮肤干皱，毛发焦黄，鼻下赤烂，口舌生疮，泻痢不止，
日渐羸瘦。
大蟾（一个，去四足，劈开腹、去肚肠，入胡黄连一两，和在内，线缝合，以湿纸三重裹，用泥固济四面，令干，
微
火，出阴气，更用炭三斤，烧令通赤，即焦，候冷，净去泥土，细研如粉） 麝香 熊胆 芦荟（各半两）
上，一处细研如泥，面糊丸，如麻子大。米饮下三丸，乳汁亦得，三岁以上加丸。
理小儿五疳八痢，腹胀羸瘦，头发焦干，口鼻生疮。
黄连 白芜荑（与黄连同炒焦） 夜明砂（用水淘五次，焙。各一两）
上为末， 猪胆汁和丸，如绿豆大。三丸至五丸，不计时候，麦门冬熟水下。
如久患疳气服药无效，或腹胀气促不能饮食，米饮下，取出疳虫，即瘥。（庄氏第八候用此方。）
杨氏说：肺疳是由于乳食不调，导致积热损伤肺脏所致。肺主气，鼻是肺的外窍，肺气不和，则风湿之邪乘虚而入，客居皮毛，深入血脉，因此鼻下两侧出现红痒、疮疡湿烂，称为鼻疳。这种疮不痛，流出的汁液所到之处随即又生新疮，也称为疳（指因疳疾引起的眼部病变）。外证表现为咳嗽气喘、高热恶寒、皮肤起粟粒状疹子、鼻部疮疡流涕、咽喉不利、面颊溃烂吐血、腹部胀满毛发枯焦、泄泻痢疾频繁发作等。钱乙主张补脾以生肺金，用益黄散主治。杨氏主张用清肺饮、化虫丸、钱乙的阿胶散主治。薛己主张用清肺饮治疗肺热，用益气汤来补土生金。曾世荣主张用补肺散。
地黄清肺饮：治疗肺热疳疾，症状为咳嗽气逆、多啼哭、高热恶寒。
药材：桑白皮（炒，半两）、紫苏、北前胡、防风、赤茯苓、黄芩、当归、天门冬（去心）、连翘、桔梗、生地黄、甘草（炙，各二钱半）。
制法与用法：将上述药物捣碎成粗散。每次服用二钱，用井水煎煮，饭后服用。随后接着服用化虫丸。
化虫丸：
药材：芜荑、芦荟、青黛、川芎、白芷梢、胡黄连、川黄连、虾蟆灰（以上各等分）。
制法与用法：将上述药物研为细末，用猪胆汁浸泡米糕制成糊状，搓丸如麻子大。每次服用二十丸，饭后及临睡前，用杏仁煎汤送服。对于鼻疳，常用熊胆泡汤，用小笔蘸取清洗，待前述药物各进服几剂后，再用青黛、当归、赤小豆、瓜蒂、地榆、黄连、芦荟等分，加少许雄黄，研为细末，吹入鼻腔以收敛疮口。
补肺散：治疗久患咳嗽，肺虚气短，有痰且恶心。
药材：阿胶（一两半，切碎、炒）、白茯苓、马兜铃（去老梗）、糯米（各半两）、杏仁（二十一粒，热水泡，去皮尖）、甘草（四钱，炙）。
制法与用法：将上述药物捣碎。每次服用二钱，用水一盏，煎至七分，随时温服。
〔张涣〕麝香丹：治疗小儿肺疳，皮毛干枯粗糙，咳嗽上气。
药材：胡黄连（一两）、半夏（半两，热水洗七遍）、紫苏子（微炒）、五味子（各一分，以上捣罗为细末，备用）、干蟾（一枚，涂酥油、炙微黄，以上捣罗为细末，备用）、麝香（细研）、芦荟（细研）、朱砂（细研，各一分）。
制法与用法：将上述药物拌匀，用枣肉调和，制成如黍米大小的丸药。每次服用五至七粒，用米饮送服，根据患儿年龄大小增减剂量。
灵砂丹：因咳嗽日久而成疳疾，最适宜服用此方。
药材：人参（半两，去芦头）、甜葶苈（研碎）、五灵脂、胡黄连（各一分，以上捣罗为细末，备用）、辰砂（半两，细研）、麝香（细研）、芦荟（细研）、杏仁（麸炒，去皮尖，各一分）。
制法与用法：将上述药物拌匀，用粳米饮调和，制成如黍米大小的丸药。每次服用十粒，用人参煎汤送服，根据患儿年龄大小增减剂量。
五灵脂丹：久咳恐成疳疾，常服效果尤佳。
药材：五灵脂（半两）、蟾头（一枚，涂酥油炙微黄）、蝉壳（微炒）、款冬花（各半两，以上捣罗为细末，备用）、青黛（细研）、雄黄（细研，各一分）。
制法与用法：将上述药物拌匀，用糯米饮调和，制成如黍米大小的丸药。每次服用十粒，用人参煎汤送服，不拘时候，根据患儿年龄大小增减剂量。
《万全方》治疗小儿肺疳不欲吃奶进食，时常腹痛的胡黄连丸：
药材：胡黄连、当归（焙微炒）、诃梨勒皮、木香（各半两）、青橘皮（热水浸，去白瓤，焙干）、紫苏子、杏仁（热水浸，去皮尖，麸炒微黄，各一分）、麝香（一钱，研入）。
制法与用法：将上述药物捣碎，过筛为末，用粟米饭调和，制成如绿豆大小的丸药。每次服用三丸，用粥饮送服，根据患儿年龄大小增减剂量。
〔张国材〕肺疳方：
药材：真珠（七十粒）、辰砂（半钱）、人参、甘草（各二钱）、麝香（半字）、轻粉（五钱匕）、白附子（一个）。
制法与用法：先将人参、甘草切碎炒熟，白附子炮制后碾成细末，再依次研入真珠、辰砂、麝香、轻粉，搅拌均匀。每次服用半钱或一字，用金银花、薄荷煎汤调服，每日一次，饭后服用。仅服三次，肺疳即可痊愈。
〔庄氏〕第三候：鼻下红烂，喜欢揉眼睛，兼有血痢，这是肺疳。这是由于饮食时吃了过热食物或病态乳汁损伤心肺，加之咳嗽，又因服用过多凉冷药物，导致上热下冷，逐渐昏沉，日夜烦躁哭闹。
药材：龙脑、朱砂（各一分）、钓藤、玄参（各一两）、胡黄连（炮制，半两）、麝香（一钱）。
制法与用法：将上述药物研为细末，炼蜜为丸，如黄米大小。用米饮送服三至五丸。
治疗小儿头项细小，心腹胀满，皮肤干皱，毛发焦黄，鼻下红烂，口舌生疮，泻痢不止，日渐消瘦。
药材：大蟾蜍（一个，去掉四足，剖开腹部，去除内脏，放入胡黄连一两，缝合在内，用湿纸三层包裹，用泥封固四面，晾干，先用微火除去阴气，再用三斤炭火烧至通红变黑，冷却后，洗净泥土，细研如粉）、麝香、熊胆、芦荟（各半两）。
制法与用法：将上述药物一处细研如泥，用面糊制成如麻子大小的丸药。用米饮送服三丸，乳汁送服亦可，三岁以上儿童增加丸数。
调理小儿五疳八痢，腹胀消瘦，头发焦干，口鼻生疮。
药材：黄连、白芜荑（与黄连同炒焦）、夜明砂（用水淘洗五次，焙干，各一两）。
制法与用法：将上述药物研为细末，用猪胆汁和丸，如绿豆大小。每次三至五丸，不计时间，用麦门冬熟水送服。
如果久患疳气服药无效，或腹胀气促不能饮食，用米饮送服，可排出疳虫，病即痊愈。（庄氏第八候使用此方。）
Yang Shi stated: Lung glandular disease (Fei Gan) is caused by irregular breastfeeding and diet, leading to accumulated heat that injures the Lungs. The Lungs govern Qi, and the nose is the external orifice of the Lungs. When Lung Qi is disharmonious, Wind-Dampness pathogens take advantage of the deficiency, lodging in the skin and hair, and entering the blood vessels. Consequently, redness, itching, sores, and dampness appear on both sides below the nose, named Nasal Glandular Disease (Bi Gan). These sores are painless; where the exudate flows, new sores immediately arise, also referred to as "Gan" (referring to ocular lesions caused by glandular disease). External manifestations include coughing and wheezing, high fever with aversion to cold, skin eruptions resembling millet grains, nasal sores with runny nose, throat obstruction, ulceration of the cheeks with vomiting of blood, abdominal distension with dry and brittle hair, and frequent diarrhea and dysentery. Qian Yi advocated tonifying the Spleen to generate Lung Metal, treating it primarily with Yihuang San (Benefit Yellow Powder). Yang Shi advocated using Qingfei Yin (Clear the Lungs Decoction), Huachong Wan (Eliminate Parasites Pill), and Qian Yi's Ejiao San (Donkey-Hide Gelatin Powder). Xue Ji advocated using Qingfei Yin to treat Lung heat, and Yiqi Tang (Benefit Qi Decoction) to generate Metal (via Earth). Zeng Shirong advocated using Bufei San (Tonify the Lungs Powder).
Dihuang Qingfei Yin (Rehmannia Clear-Lungs Decoction): Treats Lung-heat glandular disease, characterized by coughing, rebellious Qi, excessive crying, high fever, and aversion to cold.
Ingredients: Sangbaipi (Cortex Mori Radicis, stir-fried, 15g), Zisu (Perilla Folium), Bei Qianhu (Radix Peucedani), Fangfeng (Radix Saposhnikoviae), Chi Fuling (Poria with Red Heart), Huangqin (Radix Scutellariae), Danggui (Radix Angelicae Sinensis), Tiandongmu (Flos Asari, heart removed), Lianqiao (Fructus Forsythiae), Jiegeng (Radix Platycodonis), Shengdihuang (Radix Rehmanniae Recens), Gancao (Radix Glycyrrhizae, honey-fried, each 7.5g).
Preparation and Administration: Coarsely crush the above herbs into a powder. Take 6g per dose, decoct well water, and administer after meals. Subsequently, administer Huachong Wan (Eliminate Parasites Pill).
Huachong Wan (Eliminate Parasites Pill):
Ingredients: Wuyi (Fructus Tsooshoos), Lvhui (Aloe), Qingdai (Indigo Naturalis), Chuanxiong (Rhizoma Chuanxiong), Baizhi Shao (Radix Angelicae Dahuricae, tip), Huhuanglian (Rhizoma Coptidis Chinensis var. Wutai), Chuanhuilian (Rhizoma Coptidis), Xiama Hui (Ash of Bufo bufo gargarizans, equal parts).
Preparation and Administration: Grind the above herbs into fine powder. Soak rice cake paste in Pig Bile (Chol Porcum), form pills the size of hemp seeds. Take 20 pills per dose, after meals and before bedtime, with decoction of Apricot Kernels (Xiren). For Nasal Glandular Disease, commonly soak Bear Gallbladder (Xiongdan) in water, dip a small brush to wash the area. After administering the aforementioned medicines for several doses, use Qingdai (Indigo Naturalis), Danggui (Angelicae Sinensis Radix), Xiaohongdou (Phaseoli Semen Rubrum), Gudi (Fructus Cucumeris Mollis), Diyü (Radix Sanguisorbae), Huanglian (Rhizoma Coptidis), Lvhui (Aloe) in equal parts, with a small amount of Xionghuang (Realgar), grind into fine powder, and insufflate into the nose to astringe the sores.
Bufei San (Tonify-Lungs Powder): Treats chronic cough due to Lung deficiency, shortness of breath, phlegm, and nausea.
Ingredients: Ejiao (Colla Corii Asini, 45g, crushed, fried), Bai Fuling (Poria, 15g), Madouling (Fructus Aristolochiae, remove old stems), Nuomi (Oryza Sativa Glutinosa, 15g), Xingren (Semen Pruni Armeniacae, 21 kernels, soaked in hot water, peel and remove tips), Gancao (Radix Glycyrrhizae, 12g, honey-fried).
Preparation and Administration: Coarsely crush the above herbs. Take 6g per dose, decoct with one cup of water until reduced to 70%, warm and take at any time.
[Zhang Huan] Shexiang Dan (Musk Pellet): Treats pediatric lung glandular disease, dry and rough skin and hair, coughing with rebellious Qi.
Ingredients: Huhuanglian (Rhizoma Coptidis Chinensis var. Wutai, 30g), Banxia (Rhizoma Pinelliae, 15g, washed seven times in hot water), Zisuzi (Fructus Perillae, slightly stir-fried), Wuweizi (Fructus Schisandrae, each 0.3g, above ground into fine powder, set aside), Ganchan (Dry Toad, one piece, coated with butter, stir-fried until slightly yellow, above ground into fine powder, set aside), Shexiang (Moschus, finely ground), Lvhui (Aloe, finely ground), Zhusha (Cinnabar, finely ground, each 0.3g).
Preparation and Administration: Mix all ingredients evenly, bind with date flesh, form pills the size of millet seeds. Take 5 to 7 pills per dose, with rice drink, adjusting dosage according to the child's age and size.
Lingsha Dan (Spirit Mercury Pellet): Most suitable for glandular disease resulting from prolonged coughing.
Ingredients: Renshen (Radix Ginseng, 15g, remove rhizome), Tiantingli (Semen Lepidii et Descurainiae, pounded), Wulingzhi (Trogopterori Faeces), Huhuanglian (Rhizoma Coptidis Chinensis var. Wutai, each 0.3g, above ground into fine powder, set aside), Chensha (Cinnabar, 15g, finely ground), Shexiang (Moschus, finely ground), Lvhui (Aloe, finely ground), Xingren (Semen Pruni Armeniacae, bran-stir-fried, peel and remove tips, each 0.3g).
Preparation and Administration: Mix all ingredients evenly, bind with glutinous rice drink, form pills the size of millet seeds. Take 10 pills per dose, with Ginseng decoction, adjusting dosage according to the child's age and size.
Wulingzhi Dan (Trogopterori Faeces Pellet): Useful for preventing glandular disease from prolonged coughing; regular administration is especially beneficial.
Ingredients: Wulingzhi (Trogopterori Faeces, 15g), Chantou (Toad Head, one piece, coated with butter, stir-fried until slightly yellow), Chanke (Periostracum Cicadae, slightly stir-fried), Kuandonghua (Flos Farfarae, each 15g, above ground into fine powder, set aside), Qingdai (Indigo Naturalis, finely ground), Xionghuang (Realgar, finely ground, each 0.3g).
Preparation and Administration: Mix all ingredients evenly, bind with glutinous rice drink, form pills the size of millet seeds. Take 10 pills per dose, with Ginseng decoction, at any time, adjusting dosage according to the child's age and size.
"Wan Quan Fang" treats pediatric lung glandular disease with loss of appetite for milk and food, and intermittent abdominal pain. Huhuanglian Wan (Coptis Chinensis Pill):
Ingredients: Huhuanglian (Rhizoma Coptidis Chinensis var. Wutai), Danggui (Radix Angelicae Sinensis, baked and slightly stir-fried), Helile Pi (Pericarpium Chebulae), Muxiang (Radix Aucklandoniae, each 15g), Qingju Pi (Pericarpium Citri Reticulatae, soaked in hot water, remove white pith, baked), Zisuzi (Fructus Perillae), Xingren (Semen Pruni Armeniacae, soaked in hot water, peel and remove tips, bran-stir-fried until slightly yellow, each 0.3g), Shexiang (Moschus, 3g, ground and added).
Preparation and Administration: Pound and sieve the above herbs into powder, bind with millet rice, form pills the size of mung beans. Take 3 pills per dose, with porridge drink, adjusting dosage according to the child's age and size.
[Zhang Guocai] Lung Glandular Disease Formula:
Ingredients: Zhenzhu (Concha Margaritifera, 70 pearls), Chensha (Cinnabar, 1.5g), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae, each 6g), Shexiang (Moschus, 0.15g), Qingfen (Calomelas, 15g), Baifuzi (Rhizoma Typhonii, one piece).
Preparation and Administration: First, coarsely crush and bake Renshen (Radix Ginseng) and Gancao (Radix Glycyrrhizae). Process Baifuzi (Rhizoma Typhonii) by calcining and grinding into powder. Then, sequentially grind and mix in Zhenzhu (Concha Margaritifera), Chensha (Cinnabar), Shexiang (Moschus), and Qingfen (Calomelas) until uniform. Take 1.5g or 0.15g per dose, mix with decoction of Silver Flower (Jinyinhua) and Mint (Bohe), administer once daily after meals. Only three doses are needed, and lung glandular disease will be cured immediately.
[Zhuang Shi] Third Stage: Redness and ulceration below the nose, preference for rubbing eyes, accompanied by bloody dysentery, indicates lung glandular disease. This is caused by consuming overly hot foods or diseased breast milk damaging the Heart and Lungs, compounded by coughing, and excessive intake of cooling/cold medicines, leading to upper heat and lower cold, gradually causing lethargy, restlessness, and crying day and night.
Ingredients: Longnao (Borneolum Syntheticum), Zhusha (Cinnabar, each 0.3g), Diaoteng (Uncariae Ramulus cum Uncis), Xuanshen (Radix Scrophulariae, each 30g), Huhuanglian (Rhizoma Coptidis Chinensis var. Wutai, processed, 15g), Shexiang (Moschus, 3g).
Preparation and Administration: Grind into powder, bind with refined honey, form pills the size of yellow millet. Take 3 to 5 pills with rice drink.
Treats pediatric small head and neck, abdominal distension and fullness, dry and wrinkled skin, dry and yellow hair, redness and ulceration below the nose, mouth and tongue sores, persistent diarrhea and dysentery, and gradual emaciation.
Ingredients: Da Chan (Bufo bufo gargarizans, one piece, remove four feet, split abdomen, remove entrails, insert 30g Huhuanglian, sew shut, wrap in three layers of wet paper, seal with mud around all sides, dry, first use mild fire to remove yin qi, then burn with three jin of charcoal until red-hot and charred, cool, clean off mud, grind finely into powder), Shexiang (Moschus), Xiongdan (Gallus Bladder), Lvhui (Aloe, each 15g).
Preparation and Administration: Grind all ingredients finely into a paste, bind with wheat flour paste, form pills the size of hemp seeds. Take 3 pills with rice drink; breast milk is also acceptable. Increase pill count for children over three years old.
Regulates pediatric five glandular diseases and eight dysenteries, abdominal distension, emaciation, dry and brittle hair, and sores in mouth and nose.
Ingredients: Huanglian (Rhizoma Coptidis), Bai Wuyi (Fructus Tsooshoos, stir-fried with Huanglian until scorched), Yeming Sha (Stool Vespertilionis, washed five times with water, baked, each 30g).
Preparation and Administration: Grind into powder, bind with Pig Bile, form pills the size of mung beans. Take 3 to 5 pills, regardless of time, with熟水 (cooked water) of Ophiopogonis Radix (Mendong).
If long-standing glandular qi disease does not respond to medication, or if there is abdominal distension, shortness of breath, and inability to eat, take with rice drink to expel glandular worms, and the disease will heal. (Zhuang Shi's Eighth Stage uses this formula.)