（第二十五）
五软证，名曰胎怯。良由父精不足，母血气衰而得。有因母血气弱而孕者，有受胎而
母多疾者，或其父母
贪色，体气虚弱，或年纪已迈而复见子，有日月不足而生者，或服坠胎之剂不去而竟成胎者。
耗伤真气及降生之后，精气不充，筋骨痿弱，肌肉虚瘦，神色昏慢，致使头、项、手、足、身
体软弱，名为五软。歌曰∶禀气元虚髓不充，六淫之气易来攻。头兼手足身羸弱，此证名为五
软同。
五硬证，头哽不能俯视，气壅胸膈，手足心冷如冰而硬，名曰五硬。又有肚大青筋而不宽，
宜去积之剂，心腹硬者亦是。
泻青丸 治五软五硬。（方见前。）
贴项散贴五软。
附子（制） 南星（制。各二钱）
为末，姜汁调，摊贴患处。
五加皮散 治项软，三岁不能行。
五加皮
为末，酒调敷头骨上，以酒服治行迟。
虎骨丸 治脚软行迟。
虎胫骨（酥炙） 生地黄 酸枣仁 茯苓 防风 川芎 牛膝 肉桂（各等分）
上为末，炼蜜丸，如麻子大。每服十丸，酒送下或木瓜汤下。
牛膝散 治小儿三岁不能行。
五加皮（六钱） 牛膝 木瓜（半两）
上为末，每服一钱，米饮调，次入酒二、三滴服。
For infantile rectal prolapse, moxibustion is applied to the Baihui acupoint (GV20), located in the center of the vertex where the hair whorls meet. Three moxa cones, each the size of a wheat grain, are burned, and the condition stops immediately.
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The "Five Flaccidities" syndrome, also known as fetal deficiency (Tai Qie), is primarily caused by insufficient seminal essence of the father and declining qi and blood of the mother. It may result from conception when the mother's qi and blood are weak; from maternal illness during pregnancy; from excessive sexual indulgence by parents leading to physical weakness; from advanced parental age at conception; from prematurity (insufficient gestational months); or from surviving an attempted abortion with abortifacient herbs. These factors deplete true qi. After birth, the essence and qi are not充盈 (full), leading to flaccid sinews and bones, emaciated muscles, dull spirit and slow demeanor, resulting in weakness of the head, neck, hands, feet, and body, termed the "Five Flaccidities." The verse states: Innate qi is deficient and marrow is unfulfilled, making one susceptible to attack by the Six Exogenous Pathogens (Liu Yin). Weakness of the head, hands, feet, and body characterizes this syndrome, collectively named Five Flaccidities.
The "Five Stiffnesses" syndrome presents with a stiff neck unable to look down, qi stagnation in the chest and diaphragm, and cold, hard soles of the hands and feet, termed the "Five Stiffnesses." Another presentation involves a distended abdomen with visible blue veins and lack of flexibility, for which accumulation-resolving formulas are appropriate; hardness in the heart and abdomen also falls under this category.
Xie Qing Wan (Drain Blue Pill) treats the Five Flaccidities and Five Stiffnesses. (Formula seen previously.)
Tie Xiang San (Neck-Attaching Powder) is applied externally to treat the Five Flaccidities.
Zhi Fuzi (Prepared Rhizoma Aconiti Lateralis) Zhi Nanting (Prepared Rhizoma Arisaematis). Each: 2 qian.
Pulverized into powder, mixed with ginger juice, and applied as a plaster to the affected area.
Wujia Pi San (Acanthopanacis Cortex Powder) treats neck flaccidity and inability to walk by age three.
Wujia Pi (Cortex Acanthopanacis)
Pulverized into powder, applied to the cranial bones with wine, and taken internally with wine to treat delayed walking.
Hugu Wan (Tiger Bone Pill) treats leg flaccidity and delayed walking.
Su Zhi Hujinggu (Succus Ossis Tigris prepared with butter) Sheng Dihuang (Radix Rehmanniae Recens) Suanzaoren (Semen Ziziphi Spinosae) Fuling (Poria) Fangfeng (Radix Saposhnikoviae) Chuanxiong (Rhizoma Chuanxiong) Niuxi (Radix Achyranthis Bidentatae) Rougui (Cortex Cinnamomi). Equal parts.
Pulverized into powder, mixed with refined honey to form pills the size of hemp seeds. Take ten pills per dose, swallowed with wine or Huagua Tang (Quince Decoction).
Niuxi San (Achyranthes Powder) treats infants unable to walk by age three.
Wujia Pi (Cortex Acanthopanacis): 6 qian. Niuxi (Radix Achyranthis Bidentatae) Huagua (Fructus Chaenomelis): 0.5 liang.
Pulverized into powder. Take 1 qian per dose, mixed with rice drink, followed by two or three drops of wine.