仲阳曰∶龟胸者，肺热胀满，攻于胸膈，或乳母多食五辛，及儿食宿乳而成。当用龟胸丸，
或松蕊丹、百合丹之类治之。龟背者，令儿早坐，因客风吹脊，入于骨髓所致。以龟尿点背
间骨节（取龟尿之法∶当置龟于荷叶上，候龟眼四顾，急用镜照之，其尿自出）。又法当灸肺俞
穴（在第三椎骨下两傍各开一寸五分）、心俞穴在第五椎骨下两傍各开一寸五分）、膈俞穴（在第
七椎骨下两傍各开一寸五分），用艾如小豆大，灸二五壮。此多因小儿元气未充，腠理不密，
风邪所乘，或痰饮蕴结，风热交攻而致。法当调补脾肺为主，而以清热消痰佐之。若因乳儿
膏粱浓味者，当以清胃散治其母，子亦服少许。
龟胸丸
大黄（一钱，煨） 天门冬（去心焙） 百合 杏仁（麸炒） 木通 枳壳（麸炒） 桑白皮（蜜炒） 甜葶苈
（炒
上为末，炼蜜丸，芡实大。每服一丸，温水食后化下。
枳壳防风丸
枳壳（麸炒） 防风 独活 大黄（煨） 前胡 当归（酒洗） 麻黄（去节。各一钱）
上为末，面糊丸，黍米大。每服十丸，食后米汤下
松蕊丹 治龟背
花松 枳壳 防风 独活（各一两） 麻黄 大黄 前胡 桂心（各半两）
上为末，蜜丸，黍米大。每服数丸，粥饮下。量儿加减（添加）
百合丸 治龟胸背
百合（一两） 木通 朴硝 桑白皮（蜜炙） 杏仁（去皮尖炒，双仁不用） 大黄（煨） 天门冬（各半两）
上为末，炼蜜丸，绿豆大。每服十丸，食前温酒化下。
Xue Ji (courtesy name Zhongyang) stated: "Guixiong" (Turtle Chest) is caused by lung heat leading to distension and fullness, with pathogenic factors attacking the chest and diaphragm; it may also result from the nursing mother consuming excessive amounts of "Five Pungent Spices" (Wuxin, referring to pungent vegetables like garlic, scallions, etc.), or from the infant retaining undigested milk. It should be treated with Guixiong Wan (Turtle Chest Pill), or formulas such as Songrui Dan (Pine Stamen Elixir) and Baihe Dan (Lily Bulb Elixir).
"Guibei" (Turtle Back) is caused by allowing infants to sit too early, resulting in external wind invading the spine and penetrating into the bone marrow. One method is to apply turtle urine to the intervertebral joints on the back. (The method for obtaining turtle urine: Place a turtle on a lotus leaf; wait until its eyes look around, then quickly shine a mirror upon it, causing the urine to flow out.) Another method involves moxibustion at Feishu (BL13, Lung Shu) acupoint (located 1.5 cun lateral to the lower border of the third thoracic vertebra), Xinshu (BL15, Heart Shu) acupoint (located 1.5 cun lateral to the lower border of the fifth thoracic vertebra), and Geshu (BL17, Diaphragm Shu) acupoint (located 1.5 cun lateral to the lower border of the seventh thoracic vertebra). Use moxa cones the size of a small bean, applying two to five moxibustion sessions (Zhuang) per point. This condition often arises because the infant's primordial Qi (Yuanqi) is not yet sufficient, and the interstices (Couli) are not tight, allowing wind pathogens to invade. Alternatively, it may be due to the accumulation of phlegm-fluids, where wind and heat attack each other. The treatment principle should primarily focus on regulating and tonifying the Spleen and Lungs, supplemented by clearing heat and resolving phlegm. If the cause is the nursing mother consuming rich and greasy foods (Gaoliang Houwei), Qingwei San (Stomach-Clearing Powder) should be administered to the mother, while the infant takes a small amount.
Guixiong Wan (Turtle Chest Pill)
Dahuang (Rhubarb Root and Rhizome, 1 qian, roasted in ash) Tianmendong (Asparagus Fern Tuber, heart removed and dried) Baihe (Lily Bulb) Xingren (Apricot Seed, stir-fried with bran) Mutong (Akebia Stem) Zhiqiao (Bitter Orange, stir-fried with bran) Sangbaipi (Mulberry Root Bark, honey-fried) Tiantingli (Descurainia Seed, fried)
Grind the above ingredients into fine powder, mix with refined honey to make pills the size of an Indian corn seed. Take one pill per dose, dissolved in warm water after meals.
Zhike Fangfeng Wan (Bitter Orange and Saposhnikovia Pill)
Zhiqiao (Bitter Orange, stir-fried with bran) Fangfeng (Saposhnikovia Root) Duhuo (Angelica Pubescens Root) Dahuang (Rhubarb Root and Rhizome, roasted in ash) Qianhu (Peucedanum Root) Danggui (Chinese Angelica Root, washed with wine) Mahuang (Ephedra Stem, nodes removed, each 1 qian)
Grind the above ingredients into fine powder, mix with wheat paste to make pills the size of millet seeds. Take ten pills per dose, taken with rice soup after meals.
Songrui Dan (Pine Stamen Elixir) - Treats Turtle Back
Huasong (Flowering Pine Stamen) Zhiqiao (Bitter Orange) Fangfeng (Saposhnikovia Root) Duhuo (Angelica Pubescens Root, each 1 liang) Mahuang (Ephedra Stem) Dahuang (Rhubarb Root and Rhizome) Qianhu (Peucedanum Root) Guixin (Cinnamon Twig, each 0.5 liang)
Grind the above ingredients into fine powder, mix with honey to make pills the size of millet seeds. Take several pills per dose, taken with gruel broth. Adjust dosage according to the infant's age and condition.
Baihe Wan (Lily Bulb Pill) - Treats Turtle Chest and Turtle Back
Baihe (Lily Bulb, 1 liang) Mutong (Akebia Stem) Poxiao (Mirabilite) Sangbaipi (Mulberry Root Bark, honey-roasted) Xingren (Apricot Seed, skin and tip removed, stir-fried; double-kernel seeds are not used) Dahuang (Rhubarb Root and Rhizome, roasted in ash) Tianmendong (Asparagus Fern Tuber, each 0.5 liang)
Grind the above ingredients into fine powder, mix with refined honey to make pills the size of mung beans. Take ten pills per dose, dissolved in warm wine before meals.