疳之新者为热疳，面黄脸赤，骨热盗汗，鼻干口臭，唇焦烦渴，心躁惊悸，情
意不乐，若疳之久者为冷疳，目肿腹胀，便利不定，泻粪肥腻，或似油珠，烦渴黄
瘦。热疳病多在外，冷疳病多在内。又有冷热二证交互，非新非久，不内外因者。
木香丸治冷疳
木香 青黛（另研） 槟榔 肉豆蔻（去皮。各一分） 麝香（另研，一钱半） 续随子（一两半，炒） 虾
蟆（三个，先用绳系、晒干，烧、存性）
上末，蜜丸如绿豆大。每服三五丸至一二十丸，薄荷汤下，食前。
汤氏云∶小儿冷疳，多渴，好卧冷地，烦躁啼叫，饮食不进，渐成羸瘦，其候
难明，有若热证，但大便滑泄，百药不效是也。因女子，百药俱试而无偶中者，
竟与钱氏木香丸，不数服而愈。自后凡有此证，无不获验。
胡黄连丸 治热疳
胡黄连 黄连（各半两） 朱砂（一分）
上，上二物为细末，研入朱砂末，都填入猪胆内，用淡浆于砂铫子内悬胎煮
一饭时久取出，研入芦荟、麝香各一分，饭丸如麻子大。每服五七丸至一二十丸，
米饮下，食后。一方，加虾蟆半两，不烧。
如圣丸 治冷热疳（方见疳泻）
巢氏∶儿面黄发直，时壮热，饮食不生肌肤，积经日月，遂致死者，谓之无辜。
言天上有鸟名无辜，昼伏夜游，洗濯小儿衣席，露之经宿，此鸟即飞从上过，
而取此衣与小儿着，并席与小儿卧，便令儿生此病。《圣惠》小儿无辜，脑后有核如弹
丸，捏之反下转是也，凡小儿有此物，如禽兽舌下有禁虫，若不速去，当损其命。
此核初生软而不痛，中有虫如米粉，得热气渐长大，大则筋结定，定即虫随血气流
散，所有停留，子母相生，侵蚀脏腑，肌肉作疮，或大便泄脓血，致使小儿渐渐黄
瘦，头大发立，手足细弱，从兹夭折也。夫小儿无辜疳痢者，大腹，泄痢脓血，毛
发皮肤枯槁，肌体日渐瘦羸，肠胃既虚，痢无时节，故名无辜疳痢也。汉东王先生
云∶小儿无辜疾者，古云天上有一鸟，名无辜，因晒小儿衣物失取过夜，遇此鸟过、
尿之，令儿啼叫，诸病所生，日渐黄瘦者非也。此盖是八邪所伤得之，其八邪者，
饥、饱、劳、役、风、惊、暑、积，谓之八邪，久则令人日渐黄瘦，吃食不长肌肉，
夜间多哭，身上或发微微壮热，多渴，吃食不知饥饱，或生疮癣是也。朱氏八片锦
歌∶孩子无辜气，多因母作为，若人能慎护，安得见 羸，惊薄成风疾，暄寒作气
痿，须交除病乳，莫更着重衣，吃食无令早，能言不怕迟，论中八不许，胸起力频
微，头皮光哲哲，毛发薄离离，肝壅侵双眼，脾黄入四肢，浑身生瘾疹，遍体是疮
痍，泻痢无休歇，憎寒少定时，绣球全罔顾，竹马岂能骑，白晕眸中现，清涎口畔
垂，斗牙须咬甲，举手要 眉，夜夜餐瓜果，朝朝食土泥，胃伤肠肚胀，肺盛喘何
疑，饮食无休歇，耽眠似醉迷。
肥儿丸 治小儿脑后项边，有物如弹子，按之转动，软而不痛，名无辜疳。久服神效。
胡黄连 神曲（炒） 麦 （各五钱） 槟榔（三钱） 木香（二钱） 肉豆蔻（面裹煨） 使君子肉（各二钱半）
上为细末，蒸饼丸如，黍米大。用米饮，食远服。
《圣惠》鳖甲散 治小儿无辜疳，项细肚大，毛发干立作穗。
鳖甲（三分，涂醋炙黄，去裙 ） 槟榔（三颗） 沉香 漏芦 牛蒡子（微炒） 使君子 赤芍药
诃梨勒皮 甘草（炙微赤，锉。各半两）
上件捣，罗为散。每服一钱，以水一小盏，煎至五分，去渣，不计时候，量儿大小分减温服。
〔张涣〕蝎虎丹 截疳祛毒。
干蝎虎（雄者，微炙，一枚） 蜗牛壳 兰香根 淀花（各一分。以上捣罗为细末，次入） 雄黄（水磨者
细研） 麝香（细研。各一分） 龙脑（半分，细研）
上件通拌匀，煎米醋打白面糊、和如黍米大。每服十粒，煎脂麻汤下，乳食后。
香甲汤 截疳辟邪。
漏芦（一两） 沉香（锉） 牛蒡子（微炒） 诃梨勒皮（微炮） 安息香 鳖甲（涂酥炙黄，去裙 ） 乳香（研。
各半两）
上件捣，罗为细末，同乳香拌匀。每服一钱，水八分，入人参少许，煎四分，
去滓放温热服，量儿大小加减。
〔张涣〕玉粉散 无辜疳痢 定痢截疳。
胡粉（一两） 白龙骨 水磨雄黄（各研，微炒） 楮木根白皮 漏芦 白马夜眼（洗净，焙干。各半两）
上件捣，罗为细末，都拌匀。每服一字至半钱，以鸡卵清调下，乳食前。
二肝丹 治无辜疳痢不止。
地胆草 菖蒲（一寸九节者） 漏芦（各一两） 胡黄连 地榆（各半两。以上捣罗为细末，次用） 鸡肝
（薄切） 猪肝（同入盐少许，用诸药煮肝熟。各一两）
上件，同于石臼中捣一二百下成膏和丸，如黍米大。每服十粒，麝香汤下，食前，量儿大小加减。
梅肉散 治无辜疳渴利不止，眼出障翳，身体浮肿。
乌梅肉（炒干） 绵黄 干葛（各一两） 川黄连 栝蒌根 干姜（炮） 甘草（炙。各半两）
上件捣，罗为细末。每服一钱，水一盏，煎至六分，去滓放温，时时与服。
蓝叶汤 治无辜疳，血痢不断。
蓝叶（一两） 地龙 人参（去芦头） 乌梅肉 冬瓜仁 黄连 赤茯苓 蜗牛壳（微炒。各半两）
上件捣，罗为细末。每服一钱，水一小盏，煎至六分，去滓温服，乳食前。
天灵丹 治无辜疳，痢久不瘥。
天灵盖（一个） 干蟾（一两，烧灰） 胡黄连 莨菪子（水淘去浮者，炒令黑色。各半两） 砒霜（一分，同天
灵盖、湿纸三五重裹，胶泥固济，于大炭火上烧令通赤，取出候冷。以上都捣罗为细末，次入） 麝香（一分）
上件都拌匀，软饭和丸，如黍米大。每服五粒，乳汁下，量儿大小加减服之。
温脏汤 治小儿无辜疳痢久不止，手足逆冷。
肉豆蔻（去壳） 干姜（炮。各一两） 龙骨 当归 浓朴（去粗皮，涂生姜汁炙令香熟。各半两） 附子（一枚，
重半两，炮，去皮脐）
茅香（半分，锉）
上件捣，罗为细末。每服一钱，水八分一盏，入生姜三片，煎至五分，去滓温服，乳食前。
朴附丹 治无辜疳痢，赤白相杂。
浓朴（涂生姜汁炙令香熟） 诃梨勒皮（面裹、炮。各一两） 附子（一枚，炮，去皮脐） 龙骨 乌梅肉 赤
石脂（各半两）
上件捣，罗为细末，炼蜜和丸，如黍米大。每服十粒，米饮下，乳食前。
人中白散 治小儿无辜疳气，寒热积滞不化，腹肚胀痛。
人中白（一分） 麝香（半分） 虾蟆（涂酥炙焦） 芦荟（各半两）
上件药细研为散。每日空心及晚后，用熟水调下半钱。服后当下恶物。量儿大小，加减服之。
朱砂丸 治小儿一切无辜疳，黄瘦腹痛，或痢有虫，冷之与热悉主之。
朱砂（一分，细研。一方用三分） 菖蒲 漏芦（各一两） 雄黄（一分，细研。一方用三分） 干蟾（一枚，醋
炙令黄） 麝香（一两，细研。一方用一分，《万全方》亦用一分）
上件药捣，罗为末，都研令匀，用粟米饭和丸，如麻子大。每服以粥饮化下二
丸，空心午后各一服，随儿大小，以意加减。
决明子丸 治小儿冷热无辜疳，或时惊热，或时夜啼，大便青黄白汁，头热身热，
头发作穗，四肢黄瘦，不多食物。
用马蹄决明子二两，捣、罗为末，炼蜜和丸，如麻子大。每于食后，以熟水下
三丸，更量儿大小，加减服之。
漏芦散 治小儿无辜疳，肚胀或时泻痢，冷热不调。
用漏芦一两，捣细，罗为散。每以猪肝一两，散子一钱，盐少许斟酌，以水煮
熟，空心顿服，粥饮下。
漏芦丸 治小儿无辜疳痢，羸弱不欲饮食。及腹内虫动作，多吐清水。
漏芦（二两） 猪肝（爆干） 楮株根白皮（锉，各一两）
上件药捣，罗为末，炼蜜和，捣一二百杵，丸如弹子大。每服以温水研一丸，
不计时候，量儿大小，分减服之。
《圣惠》又方 用地胆子一两，捣细，罗为末，每服一钱，以猪肝一两，入盐少许煮
熟，无时，量儿大小分减食之。
治小儿无辜疳痢不止方
上用没石子二枚，炒令赤黑色，捣细，罗为散，以面半匙，和作饼子，爆熟，
却研为末。不计时候，以粥饮调下半钱，量儿大小，加减服之。
《外台·备急》治小儿无辜疳痢方
当归 龙骨 黄连 人参 没石子 甘草（炙。各一两）
上六味捣散，蜜丸。服三丸，日再，以瘥为度。大小增减量之。
《外台·救急》疗小儿瘦头干无辜兼痢方
上用马齿苋捣绞汁，服三合，以瘥止。
《子母秘录》治小儿无辜痢赤白兼成疳方
上用胡粉熟蒸，熬令色变，以饮服之。
《传验》治一岁至两岁小儿无辜病方
上用夜明砂熬捣为散，任意拌饭并吃食与吃。三岁，号干无辜。
疳病中新发的称为热疳，症状表现为面色黄而脸颊红赤，骨骼发热、夜间盗汗，鼻腔干燥、口中臭秽，嘴唇焦裂、心烦口渴，心中烦躁、惊悸不安，情绪低落不快乐。如果疳病日久则称为冷疳，症状表现为眼睑肿胀、腹部胀满，大便排泄不规律，泻下粪便肥腻，或者像油珠一样，伴有烦渴、身体发黄消瘦。热疳的病位多在外表，冷疳的病位多在体内。又有冷热两种证候交互出现，既不是新发也不是久病，属于非内因非外因的病因。木香丸用于治疗冷疳。
药材：木香、青黛（单独研磨）、槟榔、肉豆蔻（去皮，各一分）、麝香（单独研磨，一钱半）、续随子（一两半，炒制）、虾蟆（三只，先用绳子系住、晒干，烧制后存性）。
制作与服用方法：将上述药物研成细末，用蜂蜜制成如绿豆大小的丸剂。每次服用三至五丸，最多至一二十丸，用薄荷汤送服，饭前服用。
汤氏说：小儿冷疳，大多口渴，喜欢躺在凉地上，烦躁啼哭叫喊，饮食不进，逐渐形成瘦弱羸乏，其征候难以明确，看起来像热证，但大便滑泄不止，各种药物都无效。曾有一位女子，尝试了各种药物都没有一次见效，最终给予钱乙的木香丸，不到几服药就痊愈了。从此以后，凡是遇到这种证候，没有不获得疗效的。
胡黄连丸 治疗热疳
药材：胡黄连、黄连（各半两）、朱砂（一分）。
制作与服用方法：将上述两种药研成细末，把朱砂末填入猪胆内，用淡浆水在砂锅中悬挂猪胆煮一顿饭的时间，取出后，加入芦荟、麝香各一分，用米饭和药粉制成如麻子大小的丸剂。每次服用五至七丸，最多至一二十丸，用米饮送服，饭后服用。另一配方，加虾蟆半两，不烧制。
巢元方说：小儿面色黄、头发直竖，时常壮热，饮食不能转化为肌肤营养，经过日月积累，最终导致死亡的，称为无辜疳。传说天上有种鸟名叫无辜，白天潜伏夜晚出游，洗涤小儿的衣物席子，露水经过一夜，这只鸟就从上面飞过，取走这些衣服给小儿穿，以及席子给小儿睡，便让小儿生出此病。《太平圣惠方》记载的小儿无辜疳，脑后有核块如弹丸大小，捏它时反而向下转动，就是这种情况。凡是有小儿长有这个核块的，就像禽兽舌下有禁虫一样，如果不迅速去除，会损害性命。这个核块初生时软而不痛，里面有虫像米粉一样，得到热气后逐渐长大，大了就会筋脉结定，定了之后虫子随着气血流散，所有停留之处，母子相生，侵蚀脏腑，肌肉溃烂成疮，或者大便泄出脓血，致使小儿渐渐发黄消瘦，头发干枯直立，手足细弱，从此夭折。所谓小儿无辜疳痢，是大腹、泄痢脓血，毛发皮肤枯槁，肌体日渐瘦弱羸乏，肠胃既然虚弱，痢疾没有定时，所以叫无辜疳痢。汉东王先生说：小儿无辜疾，古时候说天上有一只鸟，名叫无辜，因为晾晒小儿衣物丢失过夜，遇到这只鸟飞过，尿在上面，让小儿啼叫，诸病丛生，日渐黄瘦的说法是不对的。这其实是八邪所伤导致的，所谓的八邪，是饥、饱、劳、役、风、惊、暑、积，称为八邪，时间久了让人日渐黄瘦，吃东西不长肌肉，夜间多哭，身上有时发微微壮热，多渴，吃东西不知饥饱，或者生疮癣等。朱氏《八片锦歌》说：孩子患无辜气，多因母亲行为不当所致。若人能谨慎保护，怎会见到瘦弱羸乏？惊恐受薄而成风疾，冷暖交替致气痿。必须除去病乳，不要更着重厚衣，吃饭不要让太早，能说话不怕迟。论中有八不许，胸起力频微，头皮光亮，毛发稀薄稀疏，肝壅侵双眼，脾黄入四肢，浑身生瘾疹，遍体是疮痍，泻痢无休歇，憎寒少定时，绣球全不顾，竹马岂能骑，白晕眸中现，清涎口畔垂，斗牙须咬甲，举手要梳眉，夜夜餐瓜果，朝朝食土泥，胃伤肠肚胀，肺盛喘何疑，饮食无休歇，耽眠似醉迷。
肥儿丸 治疗小儿脑后项边，有物如弹子，按之转动，软而不痛，名为无辜疳。长期服用神效。
药材：胡黄连、神曲（炒制）、麦麸（各五钱）、槟榔（三钱）、木香（二钱）、肉豆蔻（面裹煨制）、使君子肉（各二钱半）。
制作与服用方法：研成细末，用蒸饼和药粉制成如黍米大小的丸剂。用米饮送服，离进食时间较远时服用。
《太平圣惠方》鳖甲散 治疗小儿无辜疳，颈细肚大，毛发干枯直立成穗状。
药材：鳖甲（三分，涂醋炙黄，去裙襕）、槟榔（三颗）、沉香、漏芦、牛蒡子（微炒）、使君子、赤芍药、诃梨勒皮、甘草（炙微赤，锉碎，各半两）。
制作与服用方法：将上述药物捣碎，过筛为散剂。每次服用一钱，用水一小盏，煎至五分，去渣，不限时候，根据小儿大小减量温服。
〔张涣〕蝎虎丹 截断疳病，祛除毒邪。
药材：干蝎虎（雄性，微炙，一枚）、蜗牛壳、兰香根、淀花（各一分。以上捣罗为细末，次入）雄黄（水磨者细研）、麝香（细研，各一分）、龙脑（半分，细研）。
制作与服用方法：将上述药物通拌匀，用米醋打白面糊，调和如黍米大小。每次服用十粒，煎脂麻汤送服，乳食后服用。
香甲汤 截断疳病，辟除邪气。
药材：漏芦（一两）、沉香（锉碎）、牛蒡子（微炒）、诃梨勒皮（微炮制）、安息香、鳖甲（涂酥炙黄，去裙襕）、乳香（研碎，各半两）。
制作与服用方法：将上述药物捣碎，过筛为细末，同乳香拌匀。每次服用一钱，水八分，加入少许人参，煎至四分，去滓放温热服用，根据小儿大小加减。
〔张涣〕玉粉散 治疗无辜疳痢，止痢截疳。
药材：胡粉（一两）、白龙骨、水磨雄黄（各研碎，微炒）、楮木根白皮、漏芦、白马夜眼（洗净，焙干，各半两）。
制作与服用方法：将上述药物捣碎，过筛为细末，都拌匀。每次服用一字至半钱，用鸡卵清调下，乳食前服用。
二肝丹 治疗无辜疳痢不止。
药材：地胆草、菖蒲（一寸九节者）、漏芦（各一两）、胡黄连、地榆（各半两。以上捣罗为细末，次用）鸡肝（薄切）、猪肝（同入盐少许，用诸药煮肝熟，各一两）。
制作与服用方法：将上述药物同于石臼中捣一二百下成膏和丸，如黍米大小。每次服用十粒，麝香汤送服，饭前服用，根据小儿大小加减。
梅肉散 治疗无辜疳渴利不止，眼出障翳，身体浮肿。
药材：乌梅肉（炒干）、绵黄耆、干葛（各一两）、川黄连、栝蒌根、干姜（炮制）、甘草（炙，各半两）。
制作与服用方法：将上述药物捣碎，过筛为细末。每次服用一钱，水一盏，煎至六分，去滓放温，时时与服。
蓝叶汤 治疗无辜疳，血痢不断。
药材：蓝叶（一两）、地龙、人参（去芦头）、乌梅肉、冬瓜仁、黄连、赤茯苓、蜗牛壳（微炒，各半两）。
制作与服用方法：将上述药物捣碎，过筛为细末。每次服用一钱，水一小盏，煎至六分，去滓温服，乳食前服用。
天灵丹 治疗无辜疳，痢久不愈。
药材：天灵盖（一个）、干蟾（一两，烧灰）、胡黄连、莨菪子（水淘去浮者，炒令黑色，各半两）、砒霜（一分，同天灵盖、湿纸三五重裹，胶泥固济，于大炭火上烧令通赤，取出候冷。以上都捣罗为细末，次入）麝香（一分）。
制作与服用方法：将上述药物都拌匀，软饭和丸，如黍米大小。每次服用五粒，乳汁送服，根据小儿大小加减服用。
温脏汤 治疗小儿无辜疳痢久不止，手足逆冷。
药材：肉豆蔻（去壳）、干姜（炮制，各一两）、龙骨、当归、浓朴（去粗皮，涂生姜汁炙令香熟，各半两）、附子（一枚，重半两，炮制，去皮脐）、茅香（半分，锉碎）。
制作与服用方法：将上述药物捣碎，过筛为细末。每次服用一钱，水八分一盏，加入生姜三片，煎至五分，去滓温服，乳食前服用。
朴附丹 治疗无辜疳痢，赤白相杂。
药材：浓朴（涂生姜汁炙令香熟）、诃梨勒皮（面裹、炮制，各一两）、附子（一枚，炮制，去皮脐）、龙骨、乌梅肉、赤石脂（各半两）。
制作与服用方法：将上述药物捣碎，过筛为细末，炼蜜和丸，如黍米大小。每次服用十粒，米饮送服，乳食前服用。
人中白散 治疗小儿无辜疳气，寒热积滞不化，腹肚胀痛。
药材：人中白（一分）、麝香（半分）、虾蟆（涂酥炙焦）、芦荟（各半两）。
制作与服用方法：将上述药物细研为散剂。每日空腹及晚后，用熟水调下半钱。服后当下恶物。根据小儿大小，加减服用。
朱砂丸 治疗小儿一切无辜疳，黄瘦腹痛，或痢有虫，冷之与热悉主之。
药材：朱砂（一分，细研。一方用三分）、菖蒲、漏芦（各一两）、雄黄（一分，细研。一方用三分）、干蟾（一枚，醋炙令黄）、麝香（一两，细研。一方用一分，《万全方》亦用一分）。
制作与服用方法：将上述药物捣碎，过筛为末，都研令匀，用粟米饭和丸，如麻子大小。每次以粥饮化下二丸，空心午后各一服，随儿大小，以意加减。
决明子丸 治疗小儿冷热无辜疳，或时惊热，或时夜啼，大便青黄白汁，头热身热，头发作穗，四肢黄瘦，不多食物。
药材：马蹄决明子二两。
制作与服用方法：捣碎、过筛为末，炼蜜和丸，如麻子大小。每于食后，以熟水下三丸，更量儿大小，加减服用。
漏芦散 治疗小儿无辜疳，肚胀或时泻痢，冷热不调。
药材：漏芦一两。
制作与服用方法：捣细，过筛为散剂。每次以猪肝一两，散子一钱，盐少许斟酌，以水煮熟，空心顿服，粥饮送下。
漏芦丸 治疗小儿无辜疳痢，羸弱不欲饮食。及腹内虫动作，多吐清水。
药材：漏芦（二两）、猪肝（爆干）、楮株根白皮（锉碎，各一两）。
制作与服用方法：将上述药物捣碎，过筛为末，炼蜜和，捣一二百杵，丸如弹子大小。每次以温水研一丸，不计时候，根据小儿大小，分减服用。
《太平圣惠方》又方 用地胆子一两，捣细，过筛为末，每次服用一钱，以猪肝一两，入盐少许煮熟，无时，根据小儿大小分减食用。
治小儿无辜疳痢不止方
药材：没石子二枚。
制作与服用方法：炒令赤黑色，捣细，过筛为散剂，以面半匙，和作饼子，爆熟，却研为末。不计时候，以粥饮调下半钱，根据小儿大小，加减服用。
《外台·备急》治小儿无辜疳痢方
药材：当归、龙骨、黄连、人参、没石子、甘草（炙，各一两）。
制作与服用方法：将上述六味药捣散，蜜丸。服用三丸，日再，以瘥为度。大小增减量之。
《外台·救急》疗小儿瘦头干无辜兼痢方
药材：马齿苋。
制作与服用方法：捣绞汁，服三合，以瘥止。
New-onset Gan disease is called Heat Gan, with symptoms of yellowish complexion and red cheeks, bone heat and night sweats, dry nose and foul breath, cracked lips, irritability and thirst, mental restlessness, palpitations, and low mood. If Gan disease persists for a long time, it is called Cold Gan, characterized by swollen eyelids, abdominal distension, irregular bowel movements, greasy stools or those resembling oil droplets, accompanied by irritability, thirst, yellowish skin, and emaciation. Heat Gan typically involves the exterior, while Cold Gan involves the interior. There are also cases where cold and heat syndromes interact, neither new nor old, caused by factors that are neither internal nor external. Muxiang Wan (Bark of Aucklandia Decoction Pill) treats Cold Gan.
Herbs: Xiangmu (Aucklandiae Radix), Qingdai (Indigo Naturalis, ground separately), Binglang (Arecae Semen), Roudoukou (Myristicae Semen, peeled; each 1 fen), Shexiang (Moschus, ground separately, 1.5 qian), Xusuisi (Euphorbiae Pekinensis Radix, 1.5 liang, stir-fried), Hamo (Bufo bufo bufo, three toads, tied with string, dried, roasted until carbonized).
Preparation and Administration: Grind the above herbs into fine powder, mix with honey to form pills the size of mung beans. Take 3-5 pills up to 10-20 pills per dose, washed down with Bohe Tang (Mentha Decoction), before meals.
Mr. Tang stated: Children with Cold Gan often have excessive thirst, prefer lying on cool ground, are irritable and crying, refuse food, and gradually become emaciated. The signs are difficult to clarify, resembling Heat syndrome, but with slippery diarrhea unresponsive to various medicines. A woman tried all medicines without success, but was finally cured with Qian Yi's Muxiang Wan after just a few doses. Since then, this formula has been effective for such cases.
Huhuanglian Wan (Rhizoma Coptidis and Rhizoma Picrorhizae Pill) treats Heat Gan.
Herbs: Huhuanglian (Picrorhizae Rhizoma), Huanglian (Coptidis Rhizoma; each 0.5 liang), Zhusha (Cinnabar, 1 fen).
Preparation and Administration: Grind the first two herbs into fine powder, insert the Cinnabar powder into pig gallbladders, suspend the gallbladders in light grain water in a clay pot, and boil for the duration of one meal. Remove, add Lulü (Aloe) and Shexiang (Moschus, each 1 fen), mix with rice flour to form pills the size of hemp seeds. Take 5-7 pills up to 10-20 pills per dose, washed down with Mi Yin (Rice Drink), after meals. Another prescription adds Hamo (Bufo bufo bufo, 0.5 liang) without roasting.
Rusheng Wan (Like-Sage Pill) treats Cold-Heat Gan (see "Gan Diarrhea" section).
Chao Yuanfang stated: Children with yellowish faces, straight hair, frequent high fever, inability of food to nourish muscles and flesh, who eventually die after prolonged suffering, are said to have Wugu Gan (Innocent Gan). Legend says there is a bird in heaven named Wugu, which hides by day and roams by night, washing children's clothes and mats. After dew falls overnight, the bird flies over, takes these clothes for children to wear and mats for them to sleep on, causing this disease. *Taiping Shenghui Fang* records that children with Wugu Gan have a lump behind the head like a bean, which moves downward when pressed. This is similar to the forbidden worm under the tongue of birds and beasts. If not removed quickly, it will endanger life. Initially soft and painless, containing worms like rice flour, these grow larger with heat, eventually binding tendons. Once bound, the worms disperse with Qi and Blood, multiplying and eroding Zang-Fu organs, causing sores on muscles, or bloody purulent diarrhea, leading to gradual emaciation, dry upright hair, weak limbs, and premature death. Wugu Gan Li (Dysentery) presents with large abdomen, bloody purulent diarrhea, withered hair and skin, daily emaciation, deficient intestines and stomach, and irregular dysentery. Mr. Wang from Handong stated that the ancient belief about the Wugu bird urinating on clothes causing illness is incorrect. This condition is actually caused by Eight Evils: hunger, fullness, fatigue, labor, wind, fright, summerheat, and accumulation. Prolonged exposure leads to emaciation, failure to gain muscle from food, night crying, slight fever, thirst, lack of appetite control, or skin sores. Zhu's *Eight Piece Brocade Song* states: Child's Wugu Qi is often due to maternal misconduct. If cared for carefully, emaciation is avoided. Fright and thinness cause Wind diseases; warmth and cold cause Qi flaccidity. Must remove sick milk, do not dress too warmly; do not feed too early, speaking late is not feared. There are eight prohibitions in theory: chest strength is weak, scalp is shiny, hair is sparse. Liver congestion invades eyes; Spleen yellow enters limbs. Whole body has rashes, covered in sores. Dysentery does not cease, aversion to cold is frequent. Cannot look at embroidered balls, cannot ride bamboo horses. White halos appear in eyes, clear saliva drips from mouth. Grinding teeth requires biting nails, raising hands to comb eyebrows. Nightly eating fruits and melons, morning eating soil and mud. Stomach injury causes intestinal bloating, Lung excess causes wheezing. Food intake never stops, sleeping deeply like drunken confusion.
Fei'er Wan (Flesh-Nourishing Pill) treats Wugu Gan in children, where a lump like a bean appears behind the neck, movable upon pressure, soft and painless. Long-term use is miraculous.
Herbs: Huhuanglian (Picrorhizae Rhizoma), Shenqu (Massa Medicata Fermentata, stir-fried), Mai Fu (Wheat Bran; each 5 qian), Binglang (Arecae Semen, 3 qian), Muxiang (Aucklandiae Radix, 2 qian), Roudoukou (Myristicae Semen, baked in flour), Shijunzi Rou (Quisqualis Semen, 2.5 qian each).
Preparation and Administration: Grind into fine powder, mix with steamed dough to form pills the size of millet grains. Take with Rice Drink, far from meals.
*Taiping Shenghui Fang* Biejia San (Softshell Turtle Powder) treats pediatric Wugu Gan, with thin neck and large belly, dry upright hair forming tufts.
Herbs: Biejia (Testudinis Carapax et Plastrum, 3 fen, brushed with vinegar, roasted yellow, remove skirt), Binglang (Arecae Semen, 3 pieces), Chenxiang (Aquilariae Lignum Resinatum), Loulu (Radix Euphorbiae Humifusae), Niubangzi (Arctii Fructus, slightly stir-fried), Shijunzi (Quisqualis Semen), Chishaoyao (Paeoniae Radix Rubra), Helile Pi (Terminaliae Chebulae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma, roasted slightly red, cut; each 0.5 liang).
Preparation and Administration: Crush and sieve into powder. Take 1 qian per dose, decoct with one small cup of water until half remains, strain, and take warm according to child's age.
[Zhang Huan] Xiehu Dan (Scorpion Tiger Pill) cuts Gan and removes toxicity.
Herbs: Gan Xiehu (Dry Scorpion Tiger, male, slightly roasted, 1 piece), Woniu Ke (Helicis Pomatia Shell), Lanxiang Gen (Costi Radix), Dianhua (Indigo Flower; each 1 fen. Crush and sieve into fine powder, then add) Xionghuang (Realgar, water-ground and finely ground), Shexiang (Moschus, finely ground; each 1 fen), Longnao (Borneolum Syntheticum, 0.5 fen, finely ground).
Preparation and Administration: Mix thoroughly, make paste with rice vinegar and wheat flour, form pills the size of millet grains. Take 10 pills per dose, washed down with Sesame Decoction, after milk/food.
Xiangjia Tang (Aucklandia and Turtle Decoction) cuts Gan and dispels evil.
Herbs: Loulu (Radix Euphorbiae Humifusae, 1 liang), Chenxiang (Aquilariae Lignum Resinatum, cut), Niubangzi (Arctii Fructus, slightly stir-fried), Helile Pi (Terminaliae Chebulae Pericarpium, slightly roasted), Anshixiang (Styrax), Biejia (Testudinis Carapax et Plastrum, brushed with butter, roasted yellow, remove skirt), Ruxiang (Olibanum, ground; each 0.5 liang).
Preparation and Administration: Crush and sieve into fine powder, mix with Ruxiang. Take 1 qian per dose, with 0.8 cup water, add a little Renshen (Ginseng Radix), decoct until 0.4 cup remains, strain, take warm, adjust dosage by age.
[Zhang Huan] Yufen San (Jade Powder) treats Wugu Gan Li, stops diarrhea and cuts Gan.
Heravs: Hufen (Lead Carbonate, 1 liang), Bailonggu (Fossilia Ossis Mastodi, water-ground Xionghuang, each ground and slightly roasted), Chumu Gen Baipi (Broussonetiae Albas Cortex), Loulu (Radix Euphorbiae Humifusae), Baima Yeye (White Horse Eye, cleaned and dried; each 0.5 liang).
Preparation and Administration: Crush and sieve into fine powder, mix well. Take 1 zi to 0.5 qian per dose, mixed with egg white, before milk/food.
Er Gan Dan (Two Liver Pills) treats persistent Wugu Gan Li.
Herbs: Dichang Cao (Radix Euphorbiae Kansui), Changpu (Acori Tatarinowii Rhizoma, 1 cun with 9 nodes), Loulu (Radix Euphorbiae Humifusae; each 1 liang), Huhuanglian (Picrorhizae Rhizoma), Diyü (Sanguisorbae Radix; each 0.5 liang. Crush and sieve into fine powder, then use) Jigan (Chicken Liver, thinly sliced), Zhugan (Pork Liver, with a little salt, boiled with other herbs until cooked; each 1 liang).
Preparation and Administration: Pound in a stone mortar 100-200 times to form a paste, mix with honey to form pills the size of millet grains. Take 10 pills per dose, washed down with Shexiang Tang (Moschus Decoction), before meals, adjust by age.
Meirou San (Plum Meat Powder) treats Wugu Gan with persistent thirst and diarrhea, eye cataracts, and body edema.
Herbs: Wumei Rou (Mume Fructus, stir-fried dry), Mian Huangqi (Astragali Radix, dried Ge), Gange (Puerariae Radix, processed Ganjiang), Huanglian (Coptidis Rhizoma), Gualou Gen (Trichosanthis Radix), Ganjiang (Zingiberis Rhizoma, processed), Gancao (Glycyrrhizae Radix et Rhizoma, roasted; each 0.5 liang).
Preparation and Administration: Crush and sieve into fine powder. Take 1 qian per dose, with one cup of water, decoct until 0.6 cup remains, strain, take warm frequently.
Lanye Tang (Isatis Leaf Decoction) treats Wugu Gan with continuous bloody dysentery.
Herbs: Lanye (Isatidis Folium, 1 liang), Dilong (Pheretima), Renshen (Panacis Ginseng Radix, remove rhizome), Wumei Rou (Mume Fructus), Donggua Ren (Benincasae Semen), Huanglian (Coptidis Rhizoma), Chifuling (Poria cum Ligno Rosellum), Woniu Ke (Helicis Pomatia Shell, slightly stir-fried; each 0.5 liang).
Preparation and Administration: Crush and sieve into fine powder. Take 1 qian per dose, with one small cup of water, decoct until 0.6 cup remains, strain, take warm, before milk/food.
Tianling Dan (Heavenly Spirit Pill) treats Wugu Gan with chronic dysentery not healing.
Herbs: Tianlinggai (Cranii Humanis Os, 1 piece), Ganchan (Bufo Viridis, 1 liang, burned to ash), Huhuanglian (Picrorhizae Rhizoma), Langdanszi (Daturae Semen, washed to remove floating ones, roasted black; each 0.5 liang), Pishuang (Arsenic Trioxide, 1 fen, wrapped with Tianlinggai in wet paper and mud, roasted red over charcoal fire, cooled. Crush and sieve into fine powder, then add) Shexiang (Moschus, 1 fen).
Preparation and Administration: Mix well, form pills with soft rice the size of millet grains. Take 5 pills per dose, washed down with breast milk, adjust by age.
Wenzang Tang (Warm Viscera Decoction) treats pediatric Wugu Gan Li persisting for a long time with cold extremities.
Herbs: Roudoukou (Myristicae Semen, shelled), Ganjiang (Zingiberis Rhizoma, processed; each 1 liang), Longgu (Fossilia Ossis Mastodi), Danggui (Angelicae Sinensis Radix), Houpo (Magnoliae Officinalis Cortex, remove bark, brush with ginger juice, roast until fragrant; each 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, 0.5 liang, processed, remove skin and bud), Maoxiang (Vetiveriae Radix, 0.5 fen, cut).
Preparation and Administration: Crush and sieve into fine powder. Take 1 qian per dose, with 0.8 cup water, add 3 slices of fresh ginger, decoct until 0.5 cup remains, strain, take warm, before milk/food.
Pu Fu Dan (Magnolia and Aconite Pill) treats Wugu Gan Li with mixed red and white discharge.
Herbs: Houpo (Magnoliae Officinalis Cortex, brush with ginger juice, roast until fragrant), Helile Pi (Terminaliae Chebulae Pericarpium, baked in flour, roasted; each 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed, remove skin and bud), Longgu (Fossilia Ossis Mastodi), Wumei Rou (Mume Fructus), Chishizhi (Halloysit Rubrum; each 0.5 liang).
Preparation and Administration: Crush and sieve into fine powder, mix with refined honey to form pills the size of millet grains. Take 10 pills per dose, washed down with Rice Drink, before milk/food.
Renzhongbai San (Human Urine Deposit Powder) treats pediatric Wuggy Qi, cold-heat stagnation not transforming, abdominal distension and pain.
Herbs: Renzhongbai (Calcinatus Uris Hominis, 1 fen), Shexiang (Moschus, 0.5 fen), Hamo (Bufo bufo bufo, brushed with butter, roasted scorched), Lulü (Aloe; each 0.5 liang).
Preparation and Administration: Grind finely into powder. Take 0.5 qian mixed with warm water on an empty stomach and in the evening. Evil matter should be discharged after taking. Adjust dosage by age.
Zhusha Wan (Cinnabar Pill) treats all types of pediatric Wugu Gan, yellowish emaciation and abdominal pain, or dysentery with parasites, treating both cold and heat.
Herbs: Zhusha (Cinnabar, 1 fen, finely ground. Another prescription uses 3 fen), Changpu (Acori Tatarinowii Rhizoma), Loulu (Radix Euphorbiae Humifusae; each 1 liang), Xionghuang (Realgar, 1 fen, finely ground. Another prescription uses 3 fen), Ganchan (Bufo Viridis, 1 piece, roasted in vinegar until yellow), Shexiang (Moschus, 1 liang, finely ground. Another prescription uses 1 fen, *Wanquan Fang* also uses 1 fen).
Preparation and Administration: Crush and sieve into powder, grind evenly, mix with millet rice to form pills the size of hemp seeds. Dissolve 2 pills in porridge drink, take once on an empty stomach and once in the afternoon, adjust by age.
Juemingzi Wan (Cassia Seed Pill) treats pediatric cold-heat Wugu Gan, occasional fright-heat, night crying, green-yellow-white stool, hot head and body, hair forming tufts, yellowish emaciated limbs, poor appetite.
Herbs: Matijuemingzi (Cassiae Semen, 2 liang).
Preparation and Administration: Crush and sieve into powder, mix with refined honey to form pills the size of hemp seeds. Take 3 pills washed down with warm water after meals, adjust by age.
Loulu San (Euphorbia Humifusa Powder) treats pediatric Wugu Gan, abdominal distension or intermittent dysentery, cold-heat imbalance.
Herbs: Loulu (Radix Euphorbiae Humifusae, 1 liang).
Preparation and Administration: Grind finely, sieve into powder. Take 1 qian of powder with 1 liang of pork liver and a little salt, boil until cooked, take on an empty stomach in one dose, washed down with porridge drink.
Loulu Wan (Euphorbia Humifusa Pill) treats pediatric Wugu Gan Li, emaciation and loss of appetite, abdominal worms moving, frequent vomiting of clear fluid.
Herbs: Loulu (Radix Euphorbiae Humifusae, 2 liang), Zhugan (Pork Liver, dried), Chuzhu Gen Baipi (Broussonetiae Albas Cortex, cut; each 1 liang).
Preparation and Administration: Crush and sieve into powder, mix with refined honey, pound 100-200 times, form pills the size of beans. Dissolve one pill in warm water, take anytime, adjust by age.
*Taiping Shenghui Fang* Another Prescription: Use Dizidan (Evodiae Fructus) 1 liang, grind finely, sieve into powder. Take 1 qian per dose, with 1 liang of pork liver and a little salt, boiled until cooked, eat anytime, adjust by age.
Prescription for Persistent Pediatric Wugu Gan Li:
Herbs: Meishizi (Chebulae Reticulatae Fructus, 2 pieces).
Preparation and Administration: Roast until dark red-black, grind finely, sieve into powder, mix with half spoon of flour, make into cakes, bake until cooked, grind into powder. Take 0.5 qian mixed with porridge drink anytime, adjust by age.
*Waitai Beiji* Prescription for Pediatric Wugu Gan Li:
Herbs: Danggui (Angelicae Sinensis Radix), Longgu (Fossilia Ossis Mastodi), Huanglian (Coptidis Rhizoma), Renshen (Panacis Ginseng Radix), Meishizi (Chebulae Reticulatae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, roasted; each 1 liang).
Preparation and Administration: Crush six ingredients into powder, mix with honey to form pills. Take 3 pills twice daily, stop when healed. Adjust size by age.
*Waitai Jiuj* Treatment for Emaciated Head Dry Wugu with Dysentery:
Herbs: Machixian (Portulacae Herba).
Preparation and Administration: Crush and squeeze juice, take 3 he, stop when healed.
*Zimu Milu* Prescription for Red-White Wugu Dysentery Complicated by Gan:
Herbs: Hufen (Lead Carbonate).
Preparation and Administration: Steam thoroughly, roast until color changes, take with drink.
*Chuanyan* Prescription for Wugu Disease in One-to-Two-Year-Olds:
Herbs: Yeming Sha (Guttae Intestinalis Felis).
Preparation and Administration: Roast and grind into powder, mix arbitrarily with rice and food. At three years old, it is called Dry Wugu.