小儿疳伤之症，富贵之家，多生是疾，盖因父母过爱之由也。小儿如草木之萌芽难受风
日寒露之欺，且小儿五脏六腑未实，气血柔弱，怎禁油腻、煎炒及诸般荤腥。或一周半载，
纵口味食糖甜之物，及鹅鸭鸡猪牛羊等肉；或饭方了，又哺以乳；或乳方饱，又与其饭，此出
于父母至情。富贵之家，有是症焉，或贫贱之家，亦有是症何也？一食诸物不消不化先伤于
脾，致腹胀，午后发热，至夜半方退，日久头发稀疏，转作泄泻频频，泻甚则渴，至伤肝胆，
眼之白仁鲜红，羞明怕日，渐生翳膜，遮瞒黑珠，或突起如黑豆如香菰之状。治法∶先治内
，后治外。用鸡卵入轻粉一二分，使君子仁一个半，葱珠几颗，湿绵包煨与吃，宜空心连吃
五七弹止。又宜煮羊肝露宿蘸夜明沙吃，或煮猪肝亦可。切宜忌口荤腥。其白膜用阴一阳七
药调乳点，煎胡宣二连服，侧柏叶熏洗，若疳伤肝胆，眼珠突出或瞎尽，为不治之症，不独
瞎眼，甚至伤命。若声哑口干，手脚俱肿，十死八九。
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问曰∶小儿疳伤眼目，疼痛羞明不开，乌睛上青翳如黑珠子，或白膜遮睛者何也？答曰
∶此因饮乳之际，好食果子杂物油腻及热毒物，多使脾胃生疳，或泻泄不止，夜间潮热，久
则疳虫伤肝，上攻眼目，初觉红涩羞明，急疗。若乌睛上变成有黑翳如珠，泄泻不止者，多
是不治。宜服除热饮等方。
五疳丸 治小儿疳眼，面瘦皮黄，羞明怕日，食乳不消。
绿矾（成 浣净） 密陀僧（制过） 夜明砂（各一两）
上为末，用蒸枣肉，捣前药末为丸，如黍米大。每服三四十丸，量儿之大小，空心米汤
除热饮
大黄 知母 防风 黄芩各两 黑参 茺蔚子 菊花 木贼（各一两半）
上水煎，食后服三贴，用鸡蛋一个，使君子仁三个，轻粉二分，合研末入蛋内煨熟，空
心服，至二三个即去疳虫，后服五疳丸。
五疳丸
胡黄连（五钱） 牛黄（一钱） 密陀僧（一两） 夜明砂 绿矾（三两）
上用枣肉为丸，绿豆大。空心服三十丸，米汤送下。
芜夷丸 治小儿五疳。
芜夷 黄连 神曲 麦芽（炒）
上各等分为末，面糊为丸，绿豆大。每服十丸至十五丸，米汤下。
五疳陈皮汤 寒热往来，薄荷汤下。
小儿疳伤（因饮食积滞损伤脾胃并累及眼部）的病症，富贵人家的小孩多患此病，这主要是因为父母过分溺爱的缘故。小孩就像草木刚发出的嫩芽，难以承受风吹、日晒、寒冷和露水的侵袭，而且小儿五脏六腑尚未发育充实，气血柔弱，怎能经受得住油腻、煎炸炒制以及各种荤腥食物的伤害？有的孩子在一岁半到两岁之间，放纵口味吃糖等甜食，以及鹅、鸭、鸡、猪、牛、羊等肉类；或者饭刚吃完，又喂以乳汁；或者奶刚吃饱，又给吃饭，这些都是出于父母至深的关爱之情。富贵人家有这种病症，贫贱人家也有这种病症，为什么呢？因为一旦吃了各种食物不能消化，首先会损伤脾脏，导致腹部胀满，午后发热，直到半夜才退热，日子久了头发变得稀疏，进而转为频繁泄泻，泄泻严重则口渴，进一步损伤肝胆，眼睛的白色部分鲜红，畏光怕日，逐渐生出翳膜，遮蔽黑眼球，或者突起像黑豆或香菇的形状。治疗方法：先治内部，后治外部。用鸡蛋放入轻粉一二分，使君子仁一个半，葱珠几颗，用湿棉包裹煨熟给孩子吃，宜空腹连续吃五到七个即止。又适宜煮羊肝露宿蘸取夜明沙吃，或者煮猪肝也可以。务必忌口荤腥食物。对于白色的膜，用“阴一阳七”药方调乳点眼，服用胡黄连和黄连煎剂，用侧柏叶熏洗，如果是疳伤肝胆，眼珠突出或完全失明，属于不治之症，不仅瞎眼，甚至危及生命。如果声音嘶哑口干，手脚都肿胀，十个人中死八九个。
问：小儿疳伤眼目，疼痛畏光睁不开，黑眼球上有青色翳障如黑珠子，或者有白膜遮蔽眼睛的是什么原因？答：这是因为在喝奶的时候，喜欢吃果子、杂物、油腻以及热毒食物，多使脾胃产生疳积，或者泄泻不止，夜间潮热，时间久了疳虫损伤肝脏，向上攻冲眼目，起初觉得红涩畏光，需紧急治疗。如果黑眼球上变成有黑翳如珠状，泄泻不止的，大多是不治之症。适宜服用除热饮等方剂。
五疳丸：治疗小儿疳眼，面部消瘦皮肤发黄，畏光怕日，吃奶不消化。
绿矾（洗净） 密陀僧（炮制过） 夜明砂（各一两）
以上研为末，用蒸枣肉，捣碎前药末制成丸药，如黍米大小。每次服用三四十丸，根据孩子的大小决定，空腹用米汤送服。
除热饮：
大黄 知母 防风 黄芩各一两 黑参 茺蔚子 菊花 木贼（各一两半）
以上用水煎煮，饭后服用三帖。另用鸡蛋一个，使君子仁三个，轻粉二分，混合研末放入蛋内煨熟，空腹服用，吃到二三个即可去除疳虫，之后服用五疳丸。
五疳丸（另一配方）：
胡黄连（五钱） 牛黄（一钱） 密陀僧（一两） 夜明砂 绿矾（三两）
以上用枣肉制成丸药，如绿豆大小。空腹服用三十丸，米汤送下。
芜夷丸：治疗小儿五疳。
芜夷 黄连 神曲 麦芽（炒）
以上各等分为末，面糊为丸，如绿豆大小。每次服用十丸至十五丸，米汤送下。
The syndrome of pediatric Gan injury (damage to the spleen and stomach due to food stagnation affecting the eyes) is common in children from wealthy families, primarily due to excessive indulgence by parents. Children are like tender sprouts of grass and trees, unable to withstand wind, sun, cold, and dew. Moreover, their five zang organs and six fu organs are not yet solid, and their qi and blood are weak; how can they endure greasy, fried, stir-fried foods, and various animal products? Some children, between one and a half to two years old, indulge in sweets and meats such as goose, duck, chicken, pig, cow, and sheep; or after finishing a meal, they are fed milk; or after being full on milk, they are given rice. These actions stem from the deep love of parents. Wealthy families have this syndrome, but do poor families also have it? Why? Because once various foods are consumed and cannot be digested, the spleen is injured first, leading to abdominal distension, afternoon fever that subsides only around midnight, sparse hair over time, and subsequently frequent diarrhea. Severe diarrhea causes thirst, further injuring the liver and gallbladder. The sclera becomes bright red, with photophobia and aversion to sunlight. Gradually, nebulae form, obscuring the cornea/pupil, or protrude like black beans or mushrooms. Treatment method: Treat the interior first, then the exterior. Use an egg with 1-2 fen of Calomelas (Qingfen), 1.5 Renis Semen Quinqueglandulosae (Shijunzi), and several scallion bulbs, wrap in wet cotton, bake, and feed to the child. It is advisable to consume 5-7 eggs consecutively on an empty stomach until stopped. Alternatively, boil lamb liver, leave overnight, dip in Nux Lucidae (Yeming Sha) for consumption, or boil pork liver. Strictly avoid animal products. For the white membrane, use the "Yin-Yang Seven" formula mixed with milk for eye drops, decoct Hu Huang Lian (Coptidis Rhizoma) and Huang Lian (Coptidis Rhizoma) for oral administration, and fumigate/wash with Platycladi Cacumen (Ce Bai Ye). If Gan injury affects the liver and gallbladder, causing proptosis or total blindness, it is an incurable syndrome, not only causing blindness but even endangering life. If hoarseness, dry mouth, and swelling of hands and feet occur, eight or nine out of ten will die.
Question: What is the cause of pediatric Gan injury to the eyes, characterized by pain, photophobia, inability to open the eyes, green nebulae on the cornea like black beads, or white membranes covering the eyes? Answer: This is caused by consuming fruits, miscellaneous items, greasy foods, and heat-toxic substances while nursing, which generates Gan accumulation in the spleen and stomach, or causes persistent diarrhea and night tidal fevers. Over time, Gan worms injure the liver, attacking upwards to the eyes. Initially, there is redness, roughness, and photophobia, requiring urgent treatment. If black nebulae like beads appear on the cornea accompanied by persistent diarrhea, it is mostly incurable. It is suitable to take Chu Re Yin (Heat-Removing Decoction) and other formulas.
Wu Gan Wan (Five Gan Pills): Treats pediatric Gan eye syndrome, emaciated face, yellowish skin, photophobia, and indigestion of milk.
Lv Fan (Calamites Mineral, cleaned) Mituo Seng (Litharge, processed) Yeming Sha (Nux Lucidae, each 1 liang)
Grind into powder. Use steamed jujube flesh to mix the powder and form pills the size of millet seeds. Take 30-40 pills per dose, adjusted for the child's age, on an empty stomach with rice gruel.
Chu Re Yin (Heat-Removing Decoction):
Da Huang (Rhei Radix et Rhizoma) Zhi Mu (Anemarrhenae Rhizoma) Fang Feng (Saposhnikoviae Radix) Huang Qin (Scutellariae Radix, each 1 liang) Hei Shen (Ginseng Radix Rubra) Chong Wei Zi (Eryngii Fructus) Ju Hua (Chrysanthemi Flos) Mu Zei (Equiseti Herba, each 1.5 liang)
Decoct in water. Take three doses after meals. Additionally, use one egg, three Renis Semen Quinqueglandulosae (Shijunzi), and 2 fen of Calomelas (Qingfen), grind into powder, place inside the egg, bake until cooked, and take on an empty stomach. Consuming 2-3 eggs eliminates Gan worms, followed by Wu Gan Wan.
Wu Gan Wan (Another Formula):
Hu Huang Lian (Picrorhizae Rhizoma, 5 qian) Niu Huang (Bovis Calculus, 1 qian) Mituo Seng (Litharge, 1 liang) Yeming Sha (Nux Lucidae) Lv Fan (Calamites Mineral, 3 liang)
Form pills using jujube flesh, size of mung beans. Take 30 pills on an empty stomach, washed down with rice gruel.
Wu Yi Wan: Treats pediatric Five Gan syndromes.
Wu Yi (likely referring to a specific herb, contextually similar to Yuan Zhi or similar aromatic herbs, kept as Wu Yi) Huang Lian (Coptidis Rhizoma) Shen Qu (Massa Medicata Fermentata) Mai Ya (Hordei Fructus Germinatus, stir-fried)
Grind equal parts into powder, bind with wheat paste to form pills the size of mung beans. Take 10-15 pills per dose, washed down with rice gruel.
Wu Gan Chen Pi Tang: Treats alternating chills and fever, taken with Bo He Tang (Menthae Haplocalycis Decoction).