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Gān disease due to persistent worm accumulation. Roundworm gān is characterized by emaciation, disquieted spirit, abdominal pain, knitting of the eyebrows, crying, vomiting of clear fluid, grinding of teeth at night, rapid hungering, and perverted appetite.

Medicinal therapy: Expel worms and supplement the spleen, taking care to avoid indiscriminate use of attack (offensive treatment). Initial medication can take the form of Center-Rectifying Roundworm-Quieting Decoction (理中安蛔汤 lǐ zhōng ān huí tāng), which can be followed by Worm-Transforming Pill (化虫丸 huà chóng wán) or Chubby Child Pill (肥儿丸 féi ér wán). For worms coming out of the mouth or nose, use Mume Pill (乌梅丸 wū méi wán).

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