阳气不荣成五□，仰头取气难摇动，手足强直冷如冰，气壅胸膈牵连痛，
小续命汤最为良，乌药顺气散极应，若遇肝木乘脾经，加味六君妙无竟。
[注]
五□者，仰头取气，难以动摇，气壅疼痛，连胸膈间，手心足心冰凉而□，
皆由阳气不荣于四末，最为难治，
重者以小续命汤疏其风，轻者以乌药顺气散调其气，
若肝木乘脾，食少气弱者，加味六君子汤治之，内外交治，而证自日瘥矣。
(小续命汤) 人参 麻黄 川芎 黄芩 芍药 甘草炙 防风 官桂去皮
附子泡去皮脐 杏仁炒去皮尖 汉防己 引用姜枣水煎服。
(方歌)
小续命汤治五□，人参麻黄川芎共，黄芩芍药草防风，官桂附子防己杏。
(乌药顺气散) 麻黄 白芷 川芎 桔梗 枳壳炒 乌药 僵蚕炒 炮姜
甘草生 橘红 引用葱白水煎服。
(方歌)
乌药顺气五□轻，麻黄白芷合川芎，桔梗枳壳僵蚕炒，乌药炮姜草橘红。
(加味六君子汤) 人参 白术 炮姜 陈皮 半夏制 茯苓 炙甘草
升麻蜜炙 柴胡醋炒肉桂 水煎服。
(方歌)
加味六君虚五□，人参白术共炮姜，陈半茯苓炙甘草，升麻柴胡肉桂良。
%
杂证门
小儿禀来气血虚，筋骨软弱步难移，牙齿不生发疏薄，身坐不稳语言迟，
加味地黄为主治，补中益气继相医，邪乘心气菖蒲好，血虚发迟苣胜宜。
[注]
小儿五迟之证，多因父母气血虚弱，先天有亏，致儿生下筋骨软弱，
行步艰难，齿不速长，坐不能稳，要皆肾气不足之故，
先用加味地黄丸滋养其血，再以补中益气汤调养其气，
又足少阴为肾之经，其华在发，
若少阴之血气不足，即不能上荣于发，苣胜丹主之，
又有惊邪乘入心气，至四五岁尚不能言者，菖蒲丸主之。
(加味六味地黄丸) 熟地黄一两 山萸肉一两 怀山药炒
茯苓各八钱 泽泻 牡丹皮各五钱 鹿茸三钱炙 五加皮五钱 麝香五分
以上为细末，炼蜜丸如梧桐子大，
大儿每服二钱，小儿一钱五分，盐汤送下。
(补中益气汤) 方见飧泻。
(苣胜丹)
当归洗焙 生地黄 白芍药各一两炒 苣胜子二两碾 胡粉三钱碾
以上同研匀，炼蜜为丸如黍米大，每服十粒，煎黑豆汤下。
(菖蒲丸)
人参 石菖蒲 麦门冬去心 远志去心 川芎 当归酒洗 乳香
朱砂各一钱水飞 以上为细末，炼白蜜为丸，如黍米大，
食远用米汤送下。
%
杂证门
Yang Qi fails to nourish the extremities, resulting in **Wuchi** (Five Delays/Developmental Delays), characterized by the head tilting backward to facilitate breathing, difficulty in moving the body, stiffness and coldness of the hands and feet like ice, and qi stagnation in the chest and diaphragm causing radiating pain.
Xiaoxuming Decoction is the most effective; Wuyao Shunqi Powder yields excellent results. If Liver Wood overacts on Spleen Meridian, Jiawei Liujunzi Decoction is profoundly beneficial.
[Note]
"Wuchi" refers to the condition where the head tilts backward for breath, the body is difficult to move, qi stagnates causing pain extending to the chest and diaphragm, and the palms and soles are cold and cyanotic.
These symptoms all stem from Yang Qi failing to nourish the four extremities, making it a particularly difficult-to-treat condition.
For severe cases, Xiaoxuming Decoction is used to disperse Wind; for mild cases, Wuyao Shunqi Powder is used to regulate Qi.
If Liver Wood invades the Spleen, manifesting as poor appetite and Qi deficiency, Jiawei Liujunzi Decoction should be administered. Treating both internally and externally will lead to gradual recovery.
(Xiaoxuming Decoction) Ren Shen (Ginseng Radix), Mahuang (Ephedrae Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fangfeng (Saposhnikoviae Radix), Guian Gui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata, soaked, peeled, navel removed), Xingren (Armeniacae Semen Amarum, stir-fried, peeled, tips removed), Han Fangji (Stephaniae Tetrandrae Radix). Decoct with fresh ginger and jujube water.
(Fang Ge / Prescription Verse)
Xiaoxuming Decoction treats Wuchi, Ginseng, Ephedra, and Ligusticum together,
Scutellaria, Paeonia, Licorice, and Saposhnikovia,
Cinnamon Twig, Aconite, Stephania, and Apricot Seed.
(Wuyao Shunqi Powder) Mahuang (Ephedrae Herba), Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus Immaturus, stir-fried), Wuyao (Linderae Radix), Jiangcan (Bombyx Batryticatus, stir-fried), Paojiang (Zingiberis Rhizoma Preparatum), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Juhong (Citri Reticulatae Pericarpium Rubrum). Decoct with scallion white water.
(Fang Ge / Prescription Verse)
Wuyao Shunqi for mild Wuchi, Ephedra, Angelica, and Ligusticum combined,
Platycodon, Aurantium, stir-fried Bombyx,
Lindera, Zingiber, Licorice, and Citrus Peel.
(Jiawei Liujunzi Decoction) Ren Shen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Paojiang (Zingiberis Rhizoma Preparatum), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma Preparatum), Fuling (Poria), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shengma (Cimicifugae Rhizoma, honey-fried), Chaihu (Bupleuri Radix, vinegar-fried), Rougui (Cinnamomi Cortex). Decoct in water.
(Fang Ge / Prescription Verse)
Jiawei Liujunzi for deficient Wuchi, Ginseng, Atractylodes, and Zingiber together,
Chenpi, Pinellia, Poria, and honey-fried Licorice,
Cimicifuga, Bupleurum, and Cinnamon Twig are excellent.
Miscellaneous Diseases Section
Children with congenital Qi and Blood deficiency exhibit weak muscles and bones, difficulty walking, delayed tooth eruption, sparse and thin hair, inability to sit steadily, and delayed speech.
Treatment primarily uses Jiawei Dihuang Wan, followed by Buzhong Yiqi Tang. For pathogenic factors invading Heart Qi, Shi Changpu (Acori Tatarinowii Rhizoma) is effective; for hair growth delay due to Blood deficiency, Qusheng Dan is more suitable.
[Note]
The syndrome of Wuchi in children is mostly caused by the parents' deficiency of Qi and Blood and congenital insufficiency, resulting in the child being born with weak muscles and bones,
difficulty walking, delayed tooth eruption, and inability to sit steadily. All these are due to insufficient Kidney Qi.
First, use Jiawei Dihuang Wan to nourish the Blood, then use Buzhong Yiqi Tang to tonify the Qi.
The Foot-Shaoyin Kidney Meridian is the meridian of the Kidney, and its flourishing aspect manifests in the hair.
If the Qi and Blood of the Shaoyin are insufficient, they cannot ascend to nourish the hair; Qusheng Dan is indicated.
Additionally, if fright pathogens invade the Heart Qi, leading to an inability to speak at four or five years of age, Changpu Wan is indicated.
(Jiawei Liuwei Dihuang Wan) Shu Dihuang (Rehmanniae Radix Preparata), Shanzhuyu (Corni Fructus), Huaishanyao (Dioscoreae Hypoglaucae Rhizoma, stir-fried), Fuling (Poria) each 8 qian, Zexie (Alismatis Rhizoma), Mudanpi (Moutan Cortex) each 5 qian, Lurong (Cervi Cornus Pantotrichum Preparatum, prepared) 3 qian, Wujia Pi (Acanthopanacis Cortex) 5 qian, Shexiang (Moschus) 5 fen.
Grind into fine powder, mix with refined honey to form pills the size of sophora seeds.
Older children take 2 qian per dose; younger children take 1.5 qian per dose, taken with salt water.
(Buzhong Yiqi Tang) See section on Sundiarrhea.
(Qusheng Dan) Danggui (Angelicae Sinensis Radix, washed and dried), Shengdihuang (Rehmanniae Radix), Baishaoyao (Paeoniae Radix Alba, each 1 liang, stir-fried), Qushengzi (Phyllanthi Fructus) 2 liang (ground), Hufen (Minium) 3 qian (ground).
Grind uniformly, mix with refined honey to form pills the size of millet grains. Take 10 pills per dose, with black bean decoction.
(Changpu Wan) Ren Shen (Ginseng Radix), Shichangpu (Acori Tatarinowii Rhizoma), Maidong (Ophiopogonis Radix, heart removed), Yuanzhi (Polygalae Radix, heart removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, wine-washed), Ruxiang (Olibanum), Zhusha (Cinnabaris, each 1 qian, water-ground).
Grind into fine powder, mix with refined white honey to form pills the size of millet grains.
Take long after meals with rice water.
Miscellaneous Diseases Section