一论小儿语迟者。心气不足也。
菖蒲丸
石菖蒲 人参 麦门冬（去心） 川芎 远志（甘草水泡去心） 当归 乳香 朱砂（另研
各一钱）
上为末。炼蜜为丸。黍米大。每服十丸。食远。粳米饮送下。
一论小儿齿迟者。肾不足也。
芎 散
川芎 干山药 当归 白芍（炒） 甘草（炙各二钱半）
上为细末。每服二钱。白汤调下。食后服。将此干药末擦牙龈。即生。
一论小儿行迟齿迟。解颅囟陷。五软鹤膝。肾疳齿豁。睛白多愁。凡此皆因禀受肾气不
足。
当以六味丸加鹿茸补之。若因精气未满。而御女以通。多致头目眩晕。作渴吐痰。或发热作
热。腰腿酸软。或自汗盗汗。二便涩痛。变生诸疾。难以名状。余尝用八味丸或六味丸。及
补中益气之剂。加减用之。方见补益剂。无不奏效。
一小儿五岁不能言。咸以为废人矣。但其形瘦痿。乃肺肾不足。遂用六味丸。加五味、
鹿
茸。及补中益气汤加五味。两月余形气渐健。将半载能发一二言。至年许始声音朗朗。
一论小儿龟胸者。因肺热胀满。攻于胸膈。即成龟胸也。又云。由乳母食面热物五辛。
转使胸高起也。
龟胸丸
川大黄（糠火煨） 天门冬（去心） 百合 杏仁（去皮尖麸炒） 木通（去节） 枳壳（麸炒）
桑白皮（蜜炙） 甜葶苈（隔纸炒） 软石膏（各一钱）
上为细末。炼蜜为丸。绿豆大。每服五丸。温水化下。食后临卧服。仍宜灸两耳前各一
寸半。上两行三骨罅间六处。各灸三壮。春夏从下灸起。秋冬从上灸起。根据法灸之。
Discussion on children with delayed speech: This is due to insufficiency of Heart Qi (Heart energy).
Shangpu Wan (Acorus Pill)
Shichangpu (Rhizoma Acori Tatarinowii), Renshen (Radix Ginseng), Maidong (Radix Ophiopogonis, heart removed), Chuanxiong (Rhizoma Chuanxiong), Yuanzhi (Radix Polygalae, soaked in licorice water and heart removed), Danggui (Radix Angelicae Sinensis), Xurong (Resina Draconis), Zhusha (Cinnabar, separately ground). Each ingredient one qian.
Grind the above ingredients into fine powder. Form pills using refined honey, sized like millet seeds. Take ten pills per dose, after meals, washed down with rice gruel.
Discussion on children with delayed dentition: This is due to insufficiency of Kidney Qi (Kidney energy).
Chuanxiong San (Chuanxiong Powder)
Chuanxiong (Rhizoma Chuanxiong), Shanyao (Rhizoma Dioscoreae), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba, stir-fried), Gancao (Radix Glycyrrhizae, honey-fried). Each ingredient two qian and half.
Grind the above ingredients into fine powder. Take two qian per dose, mixed with plain boiled water, taken after meals. Apply this dry powder directly to the gums to promote tooth eruption.
Discussion on children with delayed walking and dentition, open fontanelle (Jielu), sunken fontanelle, the Five Softs (weakness of head/neck, mouth, hands, feet, and muscles), criss-cross knee (He Xi), kidney rickets with sparse teeth, eyes showing excessive white with a sorrowful expression. All these conditions are caused by congenital insufficiency of Kidney Qi (Kidney energy).
One should use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) supplemented with Lurong (Cornu Cervi Pantotrichum). If it is due to incomplete essence and qi, yet engaging in sexual intercourse prematurely, it often leads to dizziness and vertigo, thirst with expectoration, fever, soreness and weakness of the waist and legs, spontaneous or night sweating, painful and difficult urination and defecation, and various other ailments that are hard to describe. I have used Bawei Wan (Eight-Ingredient Pill) or Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), as well as Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), with modifications, as detailed in the Tonification Formulas section, all of which have been effective.
A five-year-old child who could not speak was considered useless by many. However, his body was thin and flaccid, indicating insufficiency of Lung and Kidney Qi. Therefore, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was used, added with Wuweizi (Fructus Schisandrae) and Lurong (Cornu Cervi Pantotrichum), along with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Wuweizi (Fructus Schisandrae). After more than two months, his physique and vitality gradually improved. By nearly half a year, he could utter one or two syllables. By about a year old, his voice became clear and loud.
Discussion on tortoise chest (Guixiong): This is caused by Lung Heat (Lung heat) leading to distension and fullness, attacking the chest and diaphragm, resulting in tortoise chest. It is also said that this arises from the wet nurse consuming wheat products, hot-natured foods, and the "Five Pungents" (five pungent spices), causing the chest to protrude high.
Guixiong Wan (Tortoise Chest Pill)
Dahuang (Radix et Rhizoma Rhei, baked in bran fire), Tiandongmen (Herba Asparagi), Baihe (Bulbus Lilii), Xingren (Semen Armeniacae Amarum, skin and tip removed, stir-fried with bran), Mutong (Caulis Akebiae, nodes removed), Zhiqiao (Fructus Aurantii, stir-fried with bran), Sangbaipi (Cortex Mori, honey-fried), Tingli (Semen Lepidii seu Descurainiae, stir-fried between papers), Shigao (Gypsum Fibrosum). Each ingredient one qian.
Grind the above ingredients into fine powder. Form pills using refined honey, sized like mung beans. Take five pills per dose, dissolved in warm water, taken after meals before bedtime. Moxibustion is also recommended on six points located one and a half cun anterior to both ears, in the gaps between the three bones of the upper two rows. Moxa cones (zhuang) should be applied three times at each point. In spring and summer, start moxibustion from the lower points upwards; in autumn and winter, start from the upper points downwards. Follow this method for application.