五疳保童丸 治小儿乳食不择冷热,好餐肥腻,恣食甘咸,脏腑不和,生疳。
青黛 苦楝根皮 夜明砂 五倍子 芦荟 黄连 龙胆草 白芜荑 干蟾(各一分)
麝香(少许) 蝉蜕(去嘴爪,一分) 猪胆(大者、五个,拌诸药,焙)
上件,粟米煮糊为丸,如麻子大。一岁儿三丸,不拘时,米饮下,日三服。忌猪肉。
大芦荟丸 治疳杀虫,和胃止泻。
胡黄连 黄连 白芜荑(去扇) 芦荟 木香 青皮 白雷丸(破开赤者、不用) 鹤虱(微炒。
各半两) 麝香(二钱,另研)
上为末,粟米饭丸,绿豆大。每服一二十丸,米饮下。
愚按∶前方,肝脾疳积,食积发热,目生云翳,或疳热颈项结核,或耳内生
疮,肌体消瘦,发热作渴,饮食少思,肚腹膨胀,或牙龈蚀落,颊腮腐烂,或阴
囊玉茎生疮,或胸胁小腹作痛,并效。内青皮以龙胆草代之,麝香不用,尤效。
芦荟丸(曾氏)主五疳、八痢、蛔虫,脏腑虚弱,身体瘦悴,头发焦疏,腹胀青筋,小
便白浊,渴水无度,洞泄不时,谷食难化,遍身疮疥,神色干燥。此药大能养胃
壮气,止痢,除虫,长肌。
南木香 丁香(各二钱半) 诃子(去复选肉) 肉豆蔻(各半两) 使君子肉 芦荟(各四钱) 枣子肉
(一两,薄切,用瓦盛,慢火,焙干)
上,除使君子肉薄切,于乳钵内极细杵,仍将前南木香等四味湿面裹煨,至香
熟取出,地上候冷,去面锉焙,同枣肉、芦荟为细末,再入乳钵同使君子肉杵
匀,炼蜜丸作麻仁大。每服三十丸至五十五丸,温米汤送。须是空心服之。儿小,米汤化服。
万应丸 治诸疳证胃口有热,饮食不进,头发作穗,面色痿黄。
五倍子(去内虫屑) 胡黄连 青皮(去白) 陈皮(去白) 黄柏 神曲 麦芽(净洗,焙干) 三棱
(炮、锉) 莪术(炮、锉) 芜荑 槟榔 龙胆草 川楝子肉 使君子(各一两)
上,除槟榔不过火、麦芽二味外,余十二味锉碎,炒令微焦色,候冷,同前槟
榔、麦芽、研为细末,水煮面糊丸,麻仁大。每服三十丸至五十丸或七十丸,温
米清汤无时送下,或空心。儿小者丸粟谷大,粒数下法同前。
《博济方》至圣青金丹 治小儿一十五种风疾,五般疳气,变蒸寒热,便痢枣花粪,
脚细肚胀,肚上青筋,头发稀疏,多吃泥土, 眉毛,咬指甲,四肢羸瘦,疳蛔
咬心,泻痢频并,饶惊多嗽,疳蚀口鼻赤白疮,疳眼雀目,悉皆能治。
青黛(上细好者,二分,研,《良方》三分) 雄黄(二分,研细,《良方》二两) 龙脑(少许,研《局方》一字)
朱砂(一分,研、《良方》一钱) 腻粉(一分,《良方》一钱) 胡黄连(二分,《良方》二两) 熊胆(一分,用温水
化入药,《良方》一钱) 白附子(二枚,《良方》一钱,《局方》二钱) 芦荟(一分,研,《良方》一钱) 麝香(半
分研) 蟾酥(一皂子大,《局方》一字) 铅霜(少许,《良方》皆同,《局方》一字) 水银(一皂子大,《局方》一
钱,同腻粉研不见星)
上件一十三味细研杵,罗为末,后再都入乳钵内细研令匀,用 猪胆一枚取汁
熬过,浸蒸饼少许,为丸如黄米大,曝干,于瓷器内收、密封,或要,旋取。每
服二丸,各根据汤使如后。小儿患惊风天吊,戴上眼睛,手足搐搦,状候多端,但
取药一丸,用温水化破,滴入鼻中,令嚏喷三五遍后,眼睛自然放下,搐搦亦定,
更用薄荷汤下二丸。小儿久患五疳,四肢瘦小肚高, 眉吃土,咬指甲,发稀疏,
肚上青筋,粥饮下二丸。小儿变蒸寒热,薄荷汤下二丸,化破服。小儿久患泻痢,
米饮下二丸。小儿久患疳蛔咬心,苦楝子煎汤下二丸。小儿患鼻下赤烂,口齿疳
虫,并口疮等,用儿孩子奶汁研二丸,涂在患处。小儿患疳眼雀目,用白羊
子肝一枚,以竹刀批开,纳药二丸在肝内,以麻缕缠定,用淘米泔水内煮令熟,
空腹吃,仍令乳母常忌毒鱼、大蒜、鸡鸭猪肉等。此药,若小儿常隔三两日吃一
服,永无百病,不染横夭之疾,凡有患,但与服,必有功效。
《灵苑》红丸子 治五疳,肥孩儿。
郁李仁(一百粒,用温水浸,去皮尖) 坯子胭脂(一分) 麝香(半钱,别研)
上,先研郁李仁细烂,次入胭脂、麝香、同研,用粳米饭、为丸如麻子大。每
服三丸至五丸,一日三服,用薄荷汤下,量儿大小,临时加减丸数。
〔谭氏〕虾蟆丸 治五疳羸瘦,毛发稀疏,揉鼻咬甲,好食泥土,腹大颈细,痢如泔
淀,乳食不消,小便白浊。
绿矾(半斤,为末) 枣(一升半,去核)
上,先用醋五升,并矾煮枣熟后,入黄连四两、诃子去核二两、使君子二两、
夜明砂二两、干虾蟆四个烧灰存性,同捣碎,入前药内搅匀,直到干焦为度,再
杵罗为末,枣肉丸,如黍米大。三四岁每服三十丸,米饮下,乳食前。
〔张涣〕夜明丹 治五疳腹胀,目涩多睡。
夜明砂(一两,微炒) 胡黄连 草龙胆 苦楝根(各半两) 干虾蟆(五个,烧存性,并为细末,后用)
芦荟 青黛 麝香(各细研,一分)
上件一处拌匀,粳米饭和丸如黍米大。每服十粒,米饮下,不拘时候,量儿大小加减。
〔刘氏〕金蟾丸 治小儿五疳羸瘦,合面卧地,筋青脑热,吐泻无度,浑身壮热,口
舌生疮,痢下脓血,心腹胀满,喘促气急,乳食全少,多啼呕逆,饮食不化,或
时憎寒,多涕咳嗽,鼻下赤烂,十指皆痒,蚀于唇齿,生疮出血,肛门不收,毛
发焦黄。但是疳疾,神效。
干虾蟆(五个,烧灰) 胡黄连 宣连 鹤虱 肉豆蔻 苦楝根白皮 雷丸 芦荟 芜荑 雄黄(一分,飞过)
上为末,面糊为丸,绿豆大,雄黄为衣。每服十五丸,饭饮下。
〔张氏〕香蟾丸 治五疳杀虫,消肚膨,止痛,住泻痢,生肌肤。
干虾蟆(酥炙黄色) 大黄连(洗,去须) 芜荑仁 芦荟
上件等分为末,猪胆面糊为丸,如桐子大。每服四十粒,用饭饮吞下,不拘时,一日二服至三服。忌生冷宿食毒物。
〔庄氏〕五疳丸
熊胆 芜荑(去皮。各一钱) 麝香(一字) 胡黄连(别杵为末,一分) 大干蟾(用上截去膊,锉碎,入在瓶
内,盐泥固济,以炭火烧通赤,取出停一夜,取药研为细末,秤一分)
上件,先将芜荑研极细,次入麝香,次入胡黄连、蟾、研末令匀,倾出,却研熊胆以沸汤
熔化,再入前四味更研令匀,糊为丸如绿豆大。每服三四岁十丸,四五岁十五丸,米饮下,食前服。
〔王氏〕保童丸 治五疳,消化宿滞,进食长肌,肥孩儿。
胡黄连 草龙胆(末,炒紫色。各半两) 使君子 木香 芦荟(细研。各一钱) 大麦 (半两,巴
豆三七个、去皮心,同麦 炒令 紫色,去巴豆不用,以 为末) 川苦楝(一分,炒紫色)
上为细末,同研令细,用醋糊为丸如绿豆大。每服十粒至十五粒,米饮下,不
计时候。此药,大治小儿疳腹胀。
〔吴氏〕黄 饮子 治小儿五疳,或伤脾腹胀,发黄,时时壮热,头上虚汗,日渐黄瘦,或泄泻。
绵黄 (一两) 人参 陈皮(微炒,不去白) 白茯苓 白槟榔(极大者) 甘草(炙。各半两) 肉豆
蔻(一个,小者)
上为粗末。每服三钱,水一大盏,慢火煎至七分,滤去滓,时时与服,温吃。
《赵氏家传》治小儿五疳,退黄,荣肌肤,解积热,压惊,消饮进食。
使君子(二十一个) 胡黄连(半两) 五灵脂 蟾头(炙令焦。各一分) 麝香(半钱,研) 芦荟 熊胆
(各研,二钱)
上为末,烧粟米饭为丸,绿豆大。每服二十丸,米饮下。
治小儿五疳,面色黄瘦,身体壮热,吃乳食不能消化,眼目涩痛,及胸膈痰涎,爱
食酸咸,常多泻痢。
胡黄连 母丁香 黄连(微炒,去毛) 芦荟 熊胆(研。各半两) 麝香(一分,细研) 蟾头(一枚,涂酥炙
焦黄)
上为末,用牛胆和丸,绿豆大。如患心藏疳,煎芜荑甘草汤下三丸。食疳泻血
或赤白痢,新汲水下三丸。吐逆不止及水泻,生姜汤下。眼疳,羊子肝血与酒和,
看多少微煎,下三丸。(庄氏第四候用此方)
脂连丸 治五疳潮热,腹胀发焦。
胡黄连(半两) 五灵脂(一两)
上为末, 猪胆汁丸麻子大,米饮下。
【五疳保童丸】治疗小儿饮食不辨冷热,喜好进食肥腻食物,放纵食用甘甜咸味之物,导致脏腑功能失调,产生疳积。
药材:青黛、苦楝根皮、夜明砂、五倍子、芦荟、黄连、龙胆草、白芜荑、干蟾(各一分);麝香(少许);蝉蜕(去除嘴和爪,一分);猪胆(大的五个,拌入上述药物,焙干)。
以上药物,用粟米煮成糊状作为粘合剂制成丸药,大小如麻子。一岁的幼儿服用三丸,不限时间,用米汤送服,每日三次。忌食猪肉。
【大芦荟丸】治疗疳积以杀虫,调和胃气并止泻。
药材:胡黄连、黄连、白芜荑(去除杂质)、芦荟、木香、青皮、白雷丸(剖开,去掉红色的部分,不使用)、鹤虱(微炒,各半两);麝香(二钱,单独研磨)。
以上药物研为细末,用粟米饭作为粘合剂制成丸药,大小如绿豆。每次服用一二十丸,用米汤送服。
我按语:前方(指五疳保童丸),对于肝脾疳积、食积发热、眼睛生云翳,或者疳热引起的颈部结核,或者耳内生疮,身体消瘦,发热口渴,食欲不振,腹部膨胀,或者牙龈溃烂脱落,面颊腮部腐烂,或者阴囊和阴茎生疮,或者胸胁和小腹疼痛,均有疗效。方中若用龙胆草代替青皮,且不用麝香,效果更佳。
【芦荟丸】(出自《曾氏》)主治五疳、八痢、蛔虫,脏腑虚弱,身体瘦弱憔悴,头发焦枯稀疏,腹部胀大且有青筋暴露,小便浑浊色白,极度口渴想喝水,不时发生水样腹泻,谷物食物难以消化,全身疮疥,神色干燥。此药能极大地养胃气、壮元气,止住痢疾,驱除寄生虫,促进肌肉生长。
药材:南木香、丁香(各二钱半);诃子(去除果核及果肉残渣);肉豆蔻(各半两);使君子肉、芦荟(各四钱);枣子肉(一两,薄切,用瓦器盛放,慢火焙干)。
以上药物,除了使君子肉需薄切并在乳钵中捣至极细外,其余南木香等四味药需用湿面粉包裹后煨烤,至香气透出取出,在地上冷却后,去掉面粉切碎焙干,再与枣肉、芦荟一起研为细末,再次放入乳钵中与使君子肉一同捣匀,用炼蜜制成丸药,大小如麻仁。每次服用三十丸至五十五丸,用温米汤送服。必须空腹服用。幼儿较小者,可将丸药在米汤中化开后服用。
【万应丸】治疗各种疳证,胃口有热,饮食不进,头发结成穗状,面色萎黄。
药材:五倍子(去除内部虫屑)、胡黄连、青皮(去白)、陈皮(去白)、黄柏、神曲、麦芽(洗净焙干)、三棱(炮制、锉碎)、莪术(炮制、锉碎)、芜荑、槟榔、龙胆草、川楝子肉、使君子(各一两)。
以上药物,除了槟榔不过火、麦芽这两味药外,其余十二味药锉碎,炒至微焦色,待冷却后,与前文提到的槟榔、麦芽一起研为细末,用水煮面糊制成丸药,大小如麻仁。每次服用三十丸至五十丸或七十丸,随时可用温米清汤送服,或空腹服用。幼儿较小的,丸药做成粟谷大小,粒数服用方法同上。
《博济方》中的至圣青金丹:治疗小儿十五种风疾,五种疳气,变蒸期间的寒热症状,大便像枣花粪一样,脚细肚子胀,肚上青筋暴露,头发稀疏,多吃泥土,眉毛脱落,咬指甲,四肢瘦弱,疳蛔咬心,频繁泻痢,容易受惊且多咳嗽,疳蚀导致的口鼻赤白疮,疳眼雀目,这些病症都能治疗。
药材:青黛(上等细好者,二分,研磨,《良方》用三分);雄黄(二分,研细,《良方》用二两);龙脑(少许,研磨,《局方》用一字);朱砂(一分,研磨,《良方》用一钱);腻粉(一分,《良方》用一钱);胡黄连(二分,《良方》用二两);熊胆(一分,用温水化入药中,《良方》用一钱);白附子(二枚,《良方》用一钱,《局方》用二钱);芦荟(一分,研磨,《良方》用一钱);麝香(半分,研磨);蟾酥(一块皂子大小,《局方》用一字);铅霜(少许,《良方》皆同,《局方》用一字);水银(一块皂子大小,《局方》用一钱,与腻粉一同研磨至不见星点)。
以上十三味药细细研磨杵碎,过筛成粉末,然后再全部放入乳钵内细细研磨均匀,取一枚猪胆的汁液熬过后,浸泡少许蒸饼,制成丸药如黄米大小,晒干,存放在瓷器内密封,需要时随时取用。每次服用二丸,根据不同病情根据以下汤剂送服。小儿患惊风天吊症,戴上眼睛(眼球上翻),手足抽搐,症状表现多样,只需取药一丸,用温水化开,滴入鼻中,令其打喷嚏三五次后,眼睛自然放下,抽搐也会停止,再用薄荷汤送服二丸。小儿久患五疳,四肢瘦小肚子高起,吃土,咬指甲,头发稀疏,肚上青筋,用粥饮送服二丸。小儿变蒸寒热,用薄荷汤送服二丸,化开服用。小儿久患泻痢,用米饮送服二丸。小儿久患疳蛔咬心,用苦楝子煎汤送服二丸。小儿患鼻下赤烂,口齿疳虫,以及口疮等,用幼儿的奶汁研磨二丸,涂在患处。小儿患疳眼雀目,用白羊子肝一枚,用竹刀剖开,将药二丸纳入肝内,用麻线缠定,用淘米水煮熟,空腹吃下,同时让乳母常忌食毒鱼、大蒜、鸡鸭猪肉等。此药,若小儿常隔两三天吃一次,永远没有百病,不染横夭之疾,凡是有患病,只要服用,必有功效。
《灵苑》红丸子:治疗五疳,针对肥胖的孩子。
药材:郁李仁(一百粒,用温水浸泡,去皮尖);坯子胭脂(一分);麝香(半钱,另研)。
以上药物,先研磨郁李仁至细烂,其次加入胭脂、麝香,一同研磨,用粳米饭制成丸药如麻子大小。每次服用三丸至五丸,一日三次,用薄荷汤送服,根据孩子的大小,临时加减丸数。
〔谭氏〕虾蟆丸:治疗五疳羸瘦,毛发稀疏,揉鼻子咬指甲,喜欢吃泥土,肚子大脖子细,痢疾像米泔沉淀物,乳食不消化,小便浑浊。
药材:绿矾(半斤,研为末);枣(一升半,去核)。
以上药物,先用醋五升,连同矾一起煮枣熟透后,加入黄连四两、去核诃子二两、使君子二两、夜明砂二两、干虾蟆四个烧灰存性,一同捣碎,加入前面的药内搅匀,直到干焦为止,再杵碎过筛成粉末,用枣肉制成丸药如黍米大小。三四岁的孩子每次服用三十丸,米饮送服,在乳食之前服用。
〔张涣〕夜明丹:治疗五疳腹胀,眼睛干涩多睡。
药材:夜明砂(一两,微炒);胡黄连、草龙胆、苦楝根(各半两);干虾蟆(五个,烧存性,并研为细末,备用);芦荟、青黛、麝香(各细研,一分)。
以上药物一处拌匀,用粳米饭和丸如黍米大小。每次服用十粒,米饮送服,不限时候,根据孩子大小加减。
〔刘氏〕金蟾丸:治疗小儿五疳羸瘦,趴着睡觉,筋脉青紫脑部发热,吐泻无度,浑身高热,口舌生疮,痢下脓血,心腹胀满,喘促气急,乳食极少,多啼哭呕吐逆乱,饮食不化,有时怕冷,多涕咳嗽,鼻下赤烂,十指皆痒,侵蚀唇齿,生疮出血,肛门不收,毛发焦黄。只要是疳疾,都有神效。
药材:干虾蟆(五个,烧灰);胡黄连、宣连、鹤虱、肉豆蔻、苦楝根白皮、雷丸、芦荟、芜荑、雄黄(一分,飞过处理)。
以上药物研为细末,面糊为丸,大小如绿豆,雄黄为衣。每次服用十五丸,饭饮送服。
〔张氏〕香蟾丸:治疗五疳杀虫,消除肚子膨隆,止痛,止住泻痢,生发肌肤。
药材:干虾蟆(酥炙黄色);大黄连(洗,去须);芜荑仁、芦荟。
以上药物等分为末,猪胆面糊为丸,如桐子大小。每次服用四十粒,用饭饮吞下,不限时间,一日二服至三服。忌生冷宿食毒物。
〔庄氏〕五疳丸
药材:熊胆、芜荑(去皮,各一钱);麝香(一字);胡黄连(另杵为末,一分);大干蟾(用上截去膊,锉碎,放入瓶内,用盐泥密封固济,以炭火烧至通赤,取出停放一夜,取药研为细末,称取一分)。
以上药物,先将芜荑研极细,其次加入麝香,其次加入胡黄连、蟾,研末令均匀,倒出,再将熊胆用沸汤熔化,再次加入前四味更研令均匀,糊为丸如绿豆大小。每次服用三四岁十丸,四五岁十五丸,米饮送服,食前服。
〔王氏〕保童丸:治疗五疳,消化宿滞,增进食欲长肌,使孩子肥胖。
药材:胡黄连、草龙胆(末,炒紫色,各半两);使君子、木香、芦荟(细研,各一钱);大麦(半两,巴豆三七个,去皮心,同麦炒令紫色,去巴豆不用,以此大麦为末);川苦楝(一分,炒紫色)。
以上药物为细末,同研令细,用醋糊为丸如绿豆大小。每次服用十粒至十五粒,米饮送服,不计较时间。此药,大治小儿疳腹胀。
〔吴氏〕黄耆饮子:治疗小儿五疳,或者伤脾腹胀,发黄,时时壮热,头上虚汗,日渐黄瘦,或者泄泻。
药材:绵黄耆(一两);人参、陈皮(微炒,不去白)、白茯苓、白槟榔(极大者)、甘草(炙,各半两);肉豆蔻(一个,小者)。
以上药物为粗末。每次服用三钱,水一大盏,慢火煎至七分,滤去滓,时时与服,温吃。
《赵氏家传》治小儿五疳,退黄,荣肌肤,解积热,压惊,消饮进食。
药材:使君子(二十一个);胡黄连(半两);五灵脂、蟾头(炙令焦,各一分);麝香(半钱,研);芦荟、熊胆(各研,二钱)。
以上药物为末,烧粟米饭为丸,绿豆大小。每次服用二十丸,米饮送服。
治小儿五疳,面色黄瘦,身体壮热,吃乳食不能消化,眼目涩痛,及胸膈痰涎,爱吃酸咸,常多泻痢。
药材:胡黄连、母丁香、黄连(微炒,去毛)、芦荟、熊胆(研,各半两);麝香(一分,细研);蟾头(一枚,涂酥炙焦黄)。
以上药物为末,用牛胆和丸,绿豆大小。如果患心脏疳,煎芜荑甘草汤送服三丸。食疳泻血或赤白痢,新汲水下三丸。吐逆不止及水泻,生姜汤下。眼疳,羊子肝血与酒和,看多少微煎,下三丸。(庄氏第四候用此方)
[Wugan Baotong Wan] Treats infants and children who do not distinguish between hot and cold in their diet, have a preference for greasy foods, indulge in sweet and salty tastes, leading to dysfunction of the Zang-Fu organs and the generation of Gan syndrome (malnutrition due to digestive disorder).
Herbs: Qingdai (Indigo Naturalis), Kuanlian Genpi (Cinchona Bark or related root bark), Yeming Sha (Feces Vespertilionis), Wubeizi (Galla Chinensis), Lvhui (Aloe), Huanglian (Rhizoma Coptidis), Longdancao (Radix Gentianae), Bai Wuyi (Fructus Tsoongopodii), Ganchan (Dry Toad Skin) (each 1 fen); Shexiang (Musk) (a small amount); Chantui (Periostracum Cicadae) (remove mouthparts and claws, 1 fen); Zhudan (Porcine Bile) (five large ones, mixed with the above herbs, baked dry).
The above ingredients are processed into pills using millet paste as a binder, sized like hemp seeds. One-year-old infants take three pills at any time, administered with rice water, three times a day. Avoid pork.
[Da Luhui Wan] Treats Gan syndrome by killing parasites, harmonizing the Stomach, and stopping diarrhea.
Herbs: Huhuanglian (Rhizoma Coptidis or similar bitter herb, likely Picrorhizae Rhizoma), Huanglian (Rhizoma Coptidis), Bai Wuyi (Fructus Tsoongopodii) (remove impurities), Lvhui (Aloe), Muxiang (Radix Aucklandiae), Qingpi (Pericarpium Citri Reticulatae), Bai Leiwuan (Semen Arisaematis) (split open, remove red parts, do not use), Qieshi (Semen Carpesii) (lightly stir-fried, each half liang); Shexiang (Musk) (2 qian, separately ground).
The above ingredients are ground into powder, formed into pills using millet rice, sized like mung beans. Take 10-20 pills per dose, administered with rice water.
My commentary: The preceding formula (Wugan Baotong Wan) is effective for Liver-Spleen Gan accumulation, food stagnation with fever, cloudiness over the eyes, or neck lymph node swelling due to Gan heat, ear sores, emaciation, fever with thirst, poor appetite, abdominal distension, gum erosion, cheek rot, sores on the scrotum and penis, or pain in the chest, hypochondrium, and lower abdomen. Substituting Qingpi with Longdancao and omitting Shexiang yields even better results.
[Luhui Wan] (From *Zeng Shi*) Mainly treats Wugan (Five Types of Gan), Balixie (Eight Dysenteries), roundworms, weakness of the Zang-Fu organs, emaciation, brittle and sparse hair, abdominal distension with visible veins, turbid white urine, excessive thirst, frequent watery diarrhea, indigestion of grains, body-wide sores and scabies, and dry complexion. This medicine greatly nourishes the Stomach Qi, strengthens vital energy, stops dysentery, expels parasites, and promotes muscle growth.
Herbs: Nanmuxiang (Lithospermi Radix et Rhizoma), Dingxiang (Flos Caryophylli) (each 2.5 qian); Hezi (Fructus Chebulae) (remove pit and flesh residue); Roudoukou (Nucis Arecae Catalpae Semen); Shijunzirou (Semen Quisqualis); Lvhui (Aloe) (each 4 qian); Zaourou (Pulp Jujubae) (1 liang, thinly sliced, dried slowly in a clay vessel).
Except for the Shijunzirou which must be thinly sliced and pounded extremely fine in a mortar, the other four herbs (Nanmuxiang, etc.) are wrapped in wet flour and roasted until fragrant, then cooled on the ground, the flour removed, chopped, and dried. They are then ground into fine powder together with the Zao Rou and Lvhui, and again pounded evenly with the Shijunzirou in a mortar. Honey pills are made, sized like hemp seeds. Take 30-55 pills per dose, administered with warm rice soup. Must be taken on an empty stomach. For smaller children, dissolve the pills in rice soup before administration.
[Wanying Wan] Treats various Gan syndromes characterized by heat in the Stomach aperture, loss of appetite, hair tufting, and sallow complexion.
Herbs: Wubeizi (Galla Chinensis) (remove insect debris), Huhuanglian (Picrorhizae Rhizoma), Qingpi (Pericarpium Citri Reticulatae) (remove albedo), Chenpi (Pericarpium Citri Reticulatae) (remove albedo), Huangbai (Cortex Phellodendri), Shenqu (Massa Medicata Fermentata), Maiya (Fructus Hordei Germinatus) (cleaned and dried), Sanleng (Rhizoma Sparganii), Ezhu (Rhizoma Curcumae), Wuyi (Fructus Tsoongopodii), Binglang (Semen Arecae), Longdancao (Radix Gentianae), Chuanlianzi Rou (Semen Toosendan), Shijunzi (Semen Quisqualis) (each 1 liang).
Except for Binglang (not overheated) and Maiya, the remaining twelve herbs are chopped, stir-fried until slightly charred, cooled, and then ground into fine powder together with the Binglang and Maiya. Pills are made using wheat starch paste, sized like hemp seeds. Take 30-50 or 70 pills per dose, administered with warm clear rice soup at any time, or on an empty stomach. For smaller children, make pills sized like millet grains, with the same dosage method.
*Bo Ji Fang*'s Zhisheng Qingjin Dan: Treats fifteen types of wind diseases in children, five types of Gan qi, febrile sensations during Bianzheng (physiological fever in infants), stool resembling date-paste feces, thin legs with abdominal distension, visible abdominal veins, sparse hair, pica (eating dirt), eyebrow loss, nail-biting, emaciated limbs, Gan roundworms biting the heart, frequent dysentery, susceptibility to fright with cough, Gan erosion causing red/white sores in mouth/nose, and Gan eye (night blindness). All these conditions can be treated.
Herbs: Qingdai (Indigo Naturalis) (high quality, fine, 2 fen, ground; *Liang Fang* uses 3 fen); Xionghuang (Realgar) (2 fen, finely ground; *Liang Fang* uses 2 liang); Longnao (Borneolum Syntheticum) (a small amount, ground; *Ju Fang* uses 1 zi); Zhusha (Cinnabaris) (1 fen, ground; *Liang Fang* uses 1 qian); Nifen (Calomel) (1 fen; *Liang Fang* uses 1 qian); Huhuanglian (Picrorhizae Rhizoma) (2 fen; *Liang Fang* uses 2 liang); Xiongdan (Ursi Bile) (1 fen, dissolved in warm water into the medicine; *Liang Fang* uses 1 qian); Baifuzi (Rhizoma Typhonii) (2 pieces; *Liang Fang* uses 1 qian; *Ju Fang* uses 2 qian); Lvhui (Aloe) (1 fen, ground; *Liang Fang* uses 1 qian); Shexiang (Musk) (0.5 fen, ground); Chansu (Toad Venom) (size of a soap bean; *Ju Fang* uses 1 zi); Qianshuang (Plumbum Subacetatum) (a small amount; *Liang Fang* same; *Ju Fang* uses 1 zi); Shuiyin (Hydrargyrum) (size of a soap bean; *Ju Fang* uses 1 qian, ground with Nifen until no shiny spots remain).
The thirteen ingredients are finely ground and sifted into powder, then thoroughly mixed in a mortar. Juice from one porcine bile is boiled, used to soak a small amount of steamed cake dough, and formed into pills sized like yellow millet. Dried and stored in sealed ceramic jars for later use. Take two pills per dose, administered according to the following decoctions based on the condition. For infantile convulsions with upward gaze and limb spasms, dissolve one pill in warm water, drip into the nose to induce sneezing 3-5 times; the eyes will return to normal and spasms will cease, followed by administering two pills with Mint Decoction. For chronic Wugan with thin limbs, distended abdomen, pica, nail-biting, sparse hair, and visible abdominal veins, administer two pills with porridge water. For Bianzheng fever/chills, administer two pills with Mint Decoction, dissolved. For chronic diarrhea/dysentery, administer two pills with rice water. For Gan roundworms biting the heart, administer two pills with Fructus Toosendan decoction. For nasal erosion, dental Gan worms, and mouth ulcers, grind two pills with infant's milk and apply to the affected area. For Gan eye/night blindness, cut open one white lamb liver with a bamboo knife, insert two pills inside, tie with hemp thread, boil in rice-washing water until cooked, and eat on an empty stomach. The nursing mother must avoid toxic fish, garlic, chicken, duck, and pork. Regular consumption every few days prevents all diseases and premature death; it is effective for any ailment.
*Ling Yuan*'s Hong Wan Zi: Treats Wugan, specifically for obese children.
Herbs: Yuliren (Semen Pruni Armeniacae) (100 grains, soaked in warm water, skin and tip removed); Hongyanzhi (Vermilion Rouge/Pigment); Shexiang (Musk) (0.5 qian, separately ground).
Grind Yuliren finely, then mix with Hongyanzhi and Shexiang. Form pills using glutinous rice, sized like hemp seeds. Take 3-5 pills, three times daily, with Mint Decoction. Adjust dosage according to the child's size.
[Tan Shi] Xia Wa Wan: Treats Wugan with emaciation, sparse hair, nose-rubbing, nail-biting, pica, large abdomen with thin neck, rice-water-like dysentery, indigestion of milk/food, and turbid urine.
Herbs: Lvfan (Chalcanthite) (half jin, ground); Dates (1.5 sheng, pitted).
Boil dates in 5 sheng of vinegar with the Lvfan until soft. Add Huanglian (4 liang), pitted Hezi (2 liang), Shijunzi (2 liang), Yeming Sha (2 liang), and four dried toads calcined to ash. Pound together, mix with previous ingredients, and cook until dry and charred. Grind into powder, form pills with date pulp, sized like broomcorn millet. Children aged 3-4 take 30 pills with rice water, before meals.
[Zhang Huan] Yeming Dan: Treats Wugan abdominal distension, dry eyes, and somnolence.
Herbs: Yeming Sha (Feces Vespertilionis) (1 liang, lightly fried); Huhuanglian (Picrorhizae Rhizoma), Caolongdan (Radix Gentianae Scabrae), Kuanlian Gen (Root Bark of Chinaberry) (each half liang); Dried Toads (5, calcined to ash, ground fine, reserved); Lvhui (Aloe), Qingdai (Indigo Naturalis), Shexiang (Musk) (each finely ground, 1 fen).
Mix well, form pills with glutinous rice, sized like broomcorn millet. Take 10 pills with rice water at any time, adjusting for age.
[Liu Shi] Jin Chan Wan: Treats infantile Wugan with emaciation, prone sleeping, cyanotic veins, hot brain, uncontrolled vomiting/diarrhea, high fever, oral ulcers, bloody/purulent dysentery, abdominal fullness, panting, poor feeding, crying/vomiting, indigestion, chills, runny nose/cough, nasal erosion, itchy fingers, lip/tooth erosion, bleeding sores, anal prolapse, and brittle yellow hair. Effective for all Gan diseases.
Herbs: Dried Toads (5, calcined to ash); Huhuanglian (Picrorhizae Rhizoma), Xuanlian (Rhizoma Coptidis), Qieshi (Semen Carpesii), Roudoukou (Nucis Arecae Catalpae Semen), Kuanlian Genbaipi (Root Bark of Chinaberry), Leiwan (Semen Arisaematis), Lvhui (Aloe), Wuyi (Fructus Tsoongopodii), Xionghuang (Realgar) (1 fen, purified).
Grind into powder, form pills with wheat starch paste, sized like mung beans, coated with Xionghuang. Take 15 pills with rice wine/water.
[Zhang Shi] Xiang Chan Wan: Treats Wugan by killing parasites, reducing abdominal distension, relieving pain, stopping dysentery, and promoting tissue regeneration.
Herbs: Dried Toads (fried in lard until yellow), Da Huanglian (Rhizoma Coptidis) (washed, roots removed), Wuyi Ren (Fructus Tsoongopodii), Lvhui (Aloe).
Equal parts ground into powder, formed into pills with pig bile and wheat starch paste, sized like tung seeds. Take 40 pills with rice wine/water at any time, 2-3 times daily. Avoid raw, cold, leftover, or toxic foods.
[Zhuang Shi] Wugan Wan
Herbs: Xiongdan (Ursi Bile), Wuyi (Fructus Tsoongopodii) (skin removed, each 1 qian); Shexiang (Musk) (1 zi); Huhuanglian (Picrorhizae Rhizoma) (separately ground, 1 fen); Large Dried Toad (upper part, shoulders removed, chopped, sealed in bottle with salt mud, fired red-hot, cooled overnight, ground to fine powder, weighed 1 fen).
First grind Wuyi finely, add Shexiang, then Huhuanglian and Toad powder, mix evenly. Dissolve Xiongdan in boiling water, add to the mixture, and grind evenly. Form pills with paste, sized like mung beans. Ages 3-4: 10 pills; Ages 4-5: 15 pills. Take with rice water before meals.
[Wang Shi] Baotong Wan: Treats Wugan, digests retained food, improves appetite, promotes muscle growth, and fattens children.
Herbs: Huhuanglian (Picrorhizae Rhizoma), Caolongdan (Radix Gentianae Scabrae) (ground, stir-fried purple, each half liang); Shijunzi (Semen Quisqualis), Muxiang (Radix Aucklandiae), Lvhui (Aloe) (finely ground, each 1 qian); Big Barley (half liang, stir-fried with 3-7 peeled/cored Badou (Ephedrae Herba? No, likely Semen Phaseoli or similar, text says Badou but context suggests grain processing, actually Badou is Ephedra, here likely Semen Phaseoli or similar legume for frying, text says "Ba Dou" which usually means Badou/Ephedra but in grain frying context might be a typo for another seed, assuming standard Badou if literal, but Badou is toxic. Text says "Ba Dou 3-7, peel core, fry with barley until purple, remove Badou"). Chuan Kunlian (Root Bark of Chinaberry) (1 fen, stir-fried purple).
Grind into fine powder, mix well. Form pills with vinegar paste, sized like mung beans. Take 10-15 pills with rice water at any time. Highly effective for pediatric Gan abdominal distension.
[Wu Shi] Huangqi Yinzi: Treats pediatric Wugan, Spleen injury with abdominal distension, jaundice, intermittent high fever, head sweating, progressive emaciation/jaundice, or diarrhea.
Herbs: Mian Huangqi (Radix Astragali Membranacei) (1 liang); Renshen (Radix Ginseng), Chenpi (Pericarpium Citri Reticulatae) (lightly fried, albedo retained), Baifuling (Poria), Bai Binglang (Semen Arecae) (large ones), Gancao (Radix Glycyrrhizae) (roasted, each half liang); Roudoukou (Nucis Arecae Catalpae Semen) (one small nut).
Coarse powder. Take 3 qian, decoct in one large cup of water over low heat to 70%, filter, and drink warm frequently.
*Zhao Shi Family Prescription*: Treats pediatric Wugan, reduces jaundice, nourishes skin, clears accumulated heat, calms fright, aids digestion.
Herbs: Shijunzi (Semen Quisqualis) (21 pieces); Huhuanglian (Picrorhizae Rhizoma) (half liang); Wulingzhi (Trogopterori Faeces), Chan Tou (Toad Head) (roasted until charred, each 1 fen); Shexiang (Musk) (0.5 qian, ground); Lvhui (Aloe), Xiongdan (Ursi Bile) (each ground, 2 qian).
Grind into powder, form pills with burnt millet rice, sized like mung beans. Take 20 pills with rice water.
For pediatric Wugan with sallow/emaciated face, high fever, indigestion, dry/painful eyes, phlegm in chest/diaphragm, craving sour/salty, frequent diarrhea/dysentery.
Herbs: Huhuanglian (Picrorhizae Rhizoma), Mudingxiang (Flos Caryophylli), Huanglian (Rhizoma Coptidis) (lightly fried, hairs removed), Lvhui (Aloe), Xiongdan (Ursi Bile) (ground, each half liang); Shexiang (Musk) (1 fen, finely ground); Chan Tou (Toad Head) (one piece, coated in lard, roasted yellow).
Grind into powder, form pills with bovine bile, sized like mung beans. If Heart Gan: administer 3 pills with Wuyi-Gancao decoction. If Food Gan with bloody/red-white dysentery: administer 3 pills with fresh well water. If persistent vomiting/watery diarrhea: administer with Ginger Decoction. If Eye Gan: mix with sheep liver blood and wine, slightly warm, administer 3 pills. (Used by Zhuang Shi for the 4th type).
[Zhilian Wan] Treats Wugan tidal fever and abdominal distension with burning sensation.
Herbs: Huhuanglian (Picrorhizae Rhizoma) (half liang); Wulingzhi (Trogopterori Faeces) (1 liang).
Grind into powder, form pills with pig bile, sized like hemp seeds. Take with rice water.