小儿有龟胸者。因乳母有宿乳恶汁。不捻去之。仍以乳儿。忽遇风热邪毒相干乘。伤于肺经。致肺气滞停。
重壅胸膈。骨渐高起。状如龟壳。故曰龟胸。
百合丸
治小儿龟胸。
百合（一两） 川朴硝（半两） 木通（半两） 桑白皮（半两） 川大黄（半两） 天门冬（去心半两）
杏仁（半两汤浸去皮尖）
上为细末。共蜜和丸黍米大。每服十丸，米饮下。
又方 治如前。以龟尿擦摩胸骨。取龟尿法。以莲叶内顿一物。安龟在上。用镜照之。则尿自出流莲叶。以
物盛用之。甚佳。
小儿有龟背者。由儿在婴小时 骨未成。强令独坐。则背隆阜。而偶为风邪干袭。与血气相搏，入骨髓壅
滞不散。致背高隆起。若龟壳之状。故曰龟背。又名隆背。若如驼有峰块起者。是名驼背。乃胎
孕之病。不可治。
松药丹
治儿龟背。
松花（一两焙干） 枳壳（麸炒去穣一两） 独活（去芦一两） 防风（去芦并叉枝一两） 前胡（去芦
半两） 麻黄（去根节半两） 桂心（半两） 川大黄（半两炮）
上为细末。炼蜜和丸黍米大。每服十粒。米饮下。
又方 治如前。以龟尿摩背脊骨。取尿法在前。
小儿有手脚拳挛者。由本气不强。筋骨力弱。血气不荣。而为风邪所乘。搏于经络。则筋脉缩急。骨本无
力。则手拳而不能展开。脚挛而不能伸举也。若生下便拳挛者。此胎孕中病。不可治也。
薏苡仁丸
治手拳不能展开。
薏苡仁（一两汤浸洗净去皮） 当归（去芦一两洗焙干） 秦艽（去苗一两） 防风（去芦叉枝一两） 羌
活（去芦一两） 酸枣仁（去皮一两）
上为细末。炼蜜和丸鸡头实大。每服一丸。麝香荆芥汤化下。儿大增之。
海桐皮散
治脚挛不能伸举。
海桐皮 当归（去芦洗净焙干） 牡丹皮（去心） 熟干地黄 牛膝（去芦酒浸焙干各一两） 山茱萸 补
骨脂（各半两）
上为细末。每服一钱。水八分。入葱白二寸。煎至五分。去滓温服。
Infants presenting with "tortoise chest" (Guixiong, a deformity of the chest resembling a tortoise shell) are affected because the wet nurse has retained milk and foul fluids that were not expressed and removed before breastfeeding. Suddenly encountering wind-heat pathogenic factors and toxic influences, the Lung Meridian is injured, causing Qi stagnation in the lungs. This severe congestion obstructs the chest and diaphragm, leading to gradual elevation of the bones, resembling a tortoise shell; hence it is called "tortoise chest."
Baihe Wan (Lily Bulb Pill)
Treats infant tortoise chest.
Baihe (Lilii Bulbus, 1 liang), Chuan Poxiao (Natrii Sulfas, 0.5 liang), Mutong (Akebiae Caulis, 0.5 liang), Sangbaipi (Mori Cortex, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang), Tianmendong (Asparagi Radix, 0.5 liang, heart removed), Xingren (Armeniacae Semen Amarum, 0.5 liang, soaked in hot water, skin and tips removed).
Grind all ingredients into fine powder. Mix with honey to form pills the size of millet seeds. Administer 10 pills per dose, taken down with rice water.
Another prescription: Treatment as above. Apply turtle urine to rub and massage the sternum. Method for obtaining turtle urine: Place an object inside a lotus leaf, position the turtle on top, and shine a mirror upon it. The urine will naturally flow onto the lotus leaf. Collect it in a vessel for use; this method is highly effective.
Infants presenting with "tortoise back" (Guibei, a spinal deformity resembling a tortoise shell) occur because the infant's bones are not yet fully formed during early infancy. Forcing the child to sit alone causes the back to bulge like a mound. Occasionally, wind-pathogens invade and contend with blood and Qi, penetrating the bone marrow and causing stagnation that does not disperse. This results in the back rising high, resembling a tortoise shell; hence it is called "tortoise back," also known as "long back." If the deformity resembles a camel's hump with raised blocks, it is called "hunchback" (Tuobei), which is a congenital disease originating from pregnancy and is incurable.
Songyao Dan (Pine Medicine Pill)
Treats infant tortoise back.
Songhua (Pinii Pollen, 1 liang, baked dry), Zhiqiao (Aurantii Fructus, stir-bran fried, core removed, 1 liang), Duhuo (Angelicae Pubescentis Radix, radix tip removed, 1 liang), Fangfeng (Saposhnikoviae Radix, radix tip and forked branches removed, 1 liang), Qianhu (Peucedani Radix, radix tip removed, 0.5 liang), Mahuang (Ephedrae Herba, roots and joints removed, 0.5 liang), Guixin (Cinnamomi Ramulus/Core, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, processed).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of millet seeds. Administer 10 pills per dose, taken down with rice water.
Another prescription: Treatment as above. Rub the spine with turtle urine. The method for obtaining urine is described previously.
Infants presenting with curled and contracted hands and feet are affected by weak constitutional Qi, weak sinews and bones, and lack of nourishment from blood and Qi. Consequently, wind-pathogens invade and contend within the meridians, causing sinews and vessels to contract and tighten. With skeletal weakness, the hands remain clenched and cannot be extended, and the legs are contracted and cannot be stretched or lifted. If the condition exists at birth, it is a congenital disease from pregnancy and is incurable.
Yiyi Ren Wan (Coix Seed Pill)
Treats hands clenched and unable to extend.
Yiyiren (Coicis Semen, 1 liang, soaked in hot water, washed clean, skin removed), Danggui (Angelicae Sinensis Radix, radix tip removed, 1 liang, washed and baked dry), Qinjiao (Gentianae Macrophyllae Radix, sprouts removed, 1 liang), Fangfeng (Saposhnikoviae Radix, radix tip and forked branches removed, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, radix tip removed, 1 liang), Suanzaoren (Ziziphi Spinosae Semen, skin removed, 1 liang).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of Euryale seed. Administer one pill per dose, dissolved and taken down with a decoction of Moschus and Schizonepeta. Significant improvement is expected in infants.
Haitongpi San (Sea Poplar Bark Powder)
Treats legs contracted and unable to stretch or lift.
Haitongpi (Spatholobi Caulis), Danggui (Angelicae Sinensis Radix, radix tip removed, washed clean, baked dry), Mudanpi (Moutan Cortex, heart removed), Shudihuang (Rehmanniae Radix Praeparata), Niuxi (Achyranthis Bidentatae Radix, radix tip removed, wine-soaked and baked dry, each 1 liang), Shanzhuyu (Corni Fructus), Buguzhi (Psoraleae Fructus, each 0.5 liang).
Grind all ingredients into fine powder. Administer 1 qian per dose. Add 8 fen of water and 2 cun of scallion white (Congbai). Decoct until 5 fen remains. Strain the dregs and take warm.