治肾疳崩砂候良方
牛黄 大黄 生地黄 木香 青黛
上等分为末每服一两匕熟水调服
治肾溃槽候良方
肉豆蔻（炮） 胡黄连 人参 杏仁（炒） 甘草（炙）
上等分为末每服一两匕小者半两温熟水调服
治肾疳宣露候良方
木香 槟榔 人参 黄连 甘草（炙）
上等分为末每服一两小者半两熟水调服
治肾疳腐根候良方
黄 （蜜炙） 牛黄 人参 天麻 蝎（炒） 杏仁（炒） 白茯苓 川当归 生地黄（洗）
熟干地黄（洗）
上等分为末每服小者半两已煎天门冬熟水调服（麦门冬亦得）
治肾疳龈 牙齿肉烂腐臭鲜血常出良方
生干地黄（半两） 真地骨皮 细辛（各一分） 五倍子（炒令黑二两重）
上为细末每用少许敷之频与功效吃不妨
议曰本经所载疳症有五谓五脏所受故得其名今述肾疳一脏有五症候者最为要急不可同常
此疾
具陈有五种候传迅疾可畏乃知走马之号不诬初发之时儿孩口臭上干胃口气息臭爵渐进损筋龈
肉生疮或肿或烂其齿焦黑又进从牙槽肉发作疮 破溃脓烂又进热逼入脉时时血出其热注久牙
龈腐坏槽宽齿脱六七岁孩落尽不复更生岂可治疗今以妙方宜速与随其传变而理不待疾作而后
药也
治婴孩小儿肠胃虚弱糟粕不聚泻痢不止或赤或白冷热不调日夜频并愈而又发宜服 肠豆
蔻散良方
肉豆蔻（一个煨） 胡粉（炒二两） 龙骨（生一两） 白矾（枯一两）
上为末每服一两温饭饮调服不拘时薄糊圆麻子大五六十丸
议曰胡粉即真铅粉也以铅法造出韶州名韶粉定州名定粉总名光粉其性 故用之以 其肠
令不
虚滑豆蔻温脏之药安和肠胃龙骨白矾涩肠止痢所患肠虚滑下痢日夜无度者服之随时痊瘥应荤
腥之物腌藏之属悉与禁止亦治秋间白痢至效
治疗肾疳崩砂候的良方：
牛黄、大黄、生地黄、木香、青黛。
以上五味药等分研为细末，每次服用一汤匙的量，用温开水调服。
治疗肾溃槽候的良方：
肉豆蔻（炮制）、胡黄连、人参、杏仁（炒制）、甘草（炙制）。
以上五味药等分研为细末，年龄较小的患儿每次服用半汤匙的量，用温开水调服。
治疗肾疳宣露候的良方：
木香、槟榔、人参、黄连、甘草（炙制）。
以上五味药等分研为细末，年龄较大的患儿每次服用一汤匙的量，年龄较小的服用半汤匙的量，用温开水调服。
治疗肾疳腐根候的良方：
黄芪（蜜炙）、牛黄、人参、天麻、全蝎（炒制）、杏仁（炒制）、白茯苓、川当归、生地黄（洗净）、熟干地黄（洗净）。
以上十味药等分研为细末，年龄较小的患儿每次服用半汤匙的量，用煎好天门冬的温水调服（麦门冬也可以）。
治疗肾疳龈烂（牙齿牙龈腐烂发臭、经常流出鲜血）的良方：
生干地黄（半两）、真地骨皮、细辛（各一分）、五倍子（炒至黑色，重二两）。
以上四味药研成极细的粉末，每次取少量外敷患处，频繁使用效果显著，即使进食也不妨碍。
按语说：《神农本草经》记载的疳症有五种，是指五脏受邪所致，因此得名。现在论述肾疳这一脏有五种症状候象，最为紧要急迫，不能当作普通疾病看待。此病具有五种候象，传变迅速，令人畏惧，由此可知“走马疳”的称号并非虚妄。初发时，幼儿口臭上冲于胃，气息恶臭，逐渐损伤筋脉和牙龈，肌肉生疮，或肿或烂，牙齿焦黑。进而从牙槽肉发作疮疡，破溃流脓腐烂。再进一步，热邪逼迫入脉，时时出血。其热毒久注，导致牙龈腐坏，牙槽变宽，牙齿脱落。六七岁的儿童若牙齿落尽，便不再重新生长，岂能治愈？如今提供妙方，应当迅速给予治疗，随着病情的传变进行调理，不要等到疾病发作严重后才用药。
治疗婴幼儿肠胃虚弱，糟粕不聚，泻痢不止，或赤或白，冷热不调，日夜频繁发作，好了又复发，宜服用治肠豆蔻散的良方：
肉豆蔻（一个，煨制）、胡粉（炒制，二两）、龙骨（生用，一两）、白矾（枯矾，一两）。
以上四味药研为细末，每次服用一汤匙的量，用温热的米汤调服，不限时间。制成薄糊状丸剂，如麻子大小，每次服用五六十丸。
按语说：胡粉即真正的铅粉，是用铅法制造的，韶州产的名为韶粉，定州产的名为定粉，总称为光粉。其性寒凉收敛，故用它来固涩肠道，使肠道不虚滑。豆蔻是温暖脏腑的药物，能安和肠胃；龙骨和白矾能涩肠止痢。对于患肠虚滑脱下痢，日夜无度的情况，服用此方可随时痊愈。应当禁止食用荤腥之物及腌制食品。此方也治疗秋季的白痢，效果极佳。
Good prescription for treating Kidney Gan (Gan syndrome of the Kidney) with "Bengsha" manifestation:
Niu Huang (Calculus Bovis), Da Huang (Rhei Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Mu Xiang (Aucklandiae Radix), Qing Dai (Indigo Naturalis).
Grind the above five herbs into fine powder in equal parts. Take one tablespoonful each time, mixed with warm water.
Good prescription for treating Kidney Gan with "Kui Cao" (ulcerated alveolus) manifestation:
Rou Dou Kou (Myristicae Semen, processed), Hu Huang Lian (Coptidis Rhizoma alternative/Phellodendri Cortex alternative - *Note: Historically distinct from Coptis*, but often treated similarly in context; here kept as Hu Huang Lian), Ren Shen (Ginseng Radix), Xing Ren (Armeniacae Semen Amarum, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Grind the above five herbs into fine powder in equal parts. For younger children, take half a tablespoonful each time, mixed with warm water.
Good prescription for treating Kidney Gan with "Xuan Lu" (exposed root/tooth exposure) manifestation:
Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Ren Shen (Ginseng Radix), Huang Lian (Coptidis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Grind the above five herbs into fine powder in equal parts. For older children, take one tablespoonful each time; for younger children, take half a tablespoonful, mixed with warm water.
Good prescription for treating Kidney Gan with "Fu Gen" (rotten root) manifestation:
Huang Qi (Astragali Radix, honey-fried), Niu Huang (Calculus Bovis), Ren Shen (Ginseng Radix), Tian Ma (Gastrodiae Rhizoma), Xi (Scorpio, stir-fried), Xing Ren (Armeniacae Semen Amarum, stir-fried), Bai Fu Ling (Poria), Chuan Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix, washed), Shu Gan Di Huang (Prepared Rehmanniae Radix, washed).
Grind the above ten herbs into fine powder in equal parts. For younger children, take half a tablespoonful each time, mixed with warm water prepared by decocting Tian Dong (Asparagi Radix) (Men Dong [Ophiopogonis Radix] is also acceptable).
Good prescription for treating Kidney Gan Yin Lan (gum and tooth rot, foul odor, frequent bleeding):
Sheng Gan Di Huang (Dried Rehmanniae Radix, 0.5 liang), Zhen Di Gu Pi (Lycii Cortex), Xi Xin (Asari Radix et Rhizoma, 1 fen each), Wu Bei Zi (Galla Chinensis, stir-fried until black, 2 liang).
Grind the above four herbs into extremely fine powder. Apply a small amount externally to the affected area frequently. It is effective even if the child eats afterwards.
Commentary: The *Shennong Bencao Jing* records five types of Gan syndromes, named according to the five Zang organs affected. Here, we discuss the five manifestations of Kidney Gan, which are the most critical and urgent, and cannot be treated as ordinary diseases. This disease presents with five manifestations and spreads rapidly, which is terrifying. Thus, the name "Zou Ma Gan" (Running Horse Gan) is not unfounded. At the initial stage, the infant has bad breath rising to the stomach, with foul-smelling respiration. Gradually, it damages the tendons and gums, causing sores on the flesh, either swelling or ulcerating. The teeth become scorched and black. Progressively, sores erupt from the gum tissue, breaking down and discharging pus. Further on, heat forces its way into the vessels, causing intermittent bleeding. Prolonged heat accumulation causes gum decay, widening of the alveolar bone, and tooth loss. If a six- or seven-year-old child loses all their teeth, they will never grow back; how can this be cured? Now, providing excellent prescriptions, treatment should be administered promptly, adjusting according to the progression of the disease, rather than waiting for the illness to manifest severely before medicating.
For infants and young children with weak spleen and stomach, inability to consolidate waste, persistent diarrhea and dysentery (red or white), imbalance of cold and heat, frequent episodes day and night, recurring after remission, the Li Chang Dou Kou San (Intestine Cardamom Powder) is suitable:
Rou Dou Kou (Myristicae Semen, one nut, baked), Hu Fen (Lead Subcarbonate, stir-fried, 2 liang), Long Gu (Fossilia Ossis Mastodi, raw, 1 liang), Bai Fan (Alumen, calcined, 1 liang).
Grind the above four herbs into powder. Take one tablespoonful each time, mixed with warm rice gruel, at any time. Alternatively, make thin paste pills the size of hemp seeds, taking 50–60 pills each time.
Commentary: Hu Fen is true lead powder, manufactured using lead methods. Produced in Shaozhou, it is called Shao Fen; produced in Dingzhou, it is called Ding Fen; collectively known as Guang Fen. Its nature is astringent and cold, thus used to secure the intestines and prevent deficiency-slipperiness. Dou Kou is a herb that warms the viscera and harmonizes the spleen and stomach; Long Gu and Bai Fan astringe the intestines and stop dysentery. For patients suffering from intestinal deficiency, slippery discharge, and severe dysentery occurring day and night without control, taking this remedy leads to timely recovery. All meat, fish, and pickled foods must be strictly prohibited. This formula is also highly effective for treating autumnal white dysentery.