《巢氏病源》小儿哺露候∶小儿乳哺不调，伤于脾胃也，脾胃衰弱不能饮食，血气减损不荣肌肉，而柴辟羸
露其哺，脏腑之气不宣，则吸吸苦热，谓之哺露也。
《婴童宝鉴》小儿哺露歌∶
小儿哺露病 羸，饥饱多伤损在脾，脏腑不通身有热，如柴骨立渐枯衰。
《圣惠》治小儿哺露伤饱，手足烦热，羸瘦不生肌肉。鸡骨丸方
鸡骨（煮熟。黄雌鸡左右肋骨一具，炙黄） 赤芍药 川大黄（锉，微炒） 紫菀（洗，去苗土） 赤
茯苓 柴胡（去苗。各半两） 细辛 黄芩
桂心（各一分）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以温水下五丸。早晨、晚后各一服。量儿大小加减服之。
《圣惠》治小儿哺露，腹坚，体热，羸瘦。鳖甲丸方
鳖甲（涂醋炙令黄，去裙 ） 肉苁蓉（酒浸一宿，刮去皴皮，炙令干。各三分） 常山（半两）
上件药捣，罗为末，炼蜜和丸如麻子大。每服以粥饮下五丸，日三服。量儿大小以意加减。或下青白黑物
即愈。
《圣惠》治小儿哺露，失衣当风湿，冷水浴，苦腹大，时痢，或寒热如疟，不欲食，纵食不生肌肉或不消化，四
肢羸瘦。人参丸方
人参（去芦头） 麦门冬（去心，焙） 半夏（汤洗七遍，去滑） 黄 （锉） 川大
黄（锉碎，微炒） 白茯苓 柴胡（去苗） 黄芩（以上各三分） 诃
梨勒（煨，用皮） 甘草（炙微赤，锉） 鳖甲（涂醋炙令黄，去裙 。各一两） 芎 （半两）
上件药捣，罗为末，炼蜜和丸如麻子大。一、二岁儿每服以粥饮下三丸；四、五岁儿服五丸，日三服，量
儿大小，以意加减。
《婴孺》治少小积寒，久热，不能食，饮食不化；哺露，坚痞，大腹，下痢不禁。芍药丸方
芍药 紫菀（各三分） 桂心 茯苓 鳖甲（炙。各二分） 柴胡（一分） 大黄（五分）
上为末，蜜丸如桐子大。一岁以上每服三丸，日进三服。病甚者夜一服，三岁以上加至十丸。无忌。哺露，
气盛者加鳖甲四分。
《婴孺》治小儿哺露，腹坚热，下痢不止方。
鳖甲 常山（各一分） 肉苁蓉（半分）
上为末，蜜丸小豆大。一服二丸。便下青赤白黑，久寒自除。
《婴童宝鉴》∶小儿哺露，灸大椎穴。又，灸尺泽，（在腕内横纹中尖。）又灸九角。
According to *Chao's Pathogenesis of Diseases* regarding the condition of "Bulu" (feeding-related emaciation) in infants and children: Improper feeding damages the Spleen and Stomach. The weakness of the Spleen and Stomach leads to an inability to eat, resulting in a depletion of Qi and Blood that fails to nourish the muscles. The body becomes emaciated like firewood, manifesting as Bulu. When the Qi of the Zang-Fu organs fails to circulate freely, it presents as rapid breathing accompanied by painful heat sensation; this is termed "Bulu."
The song from *Yingtong Baojian* on pediatric Bulu:
Pediatric Bulu disease causes physical debility,
Often injuring the Spleen due to irregular hunger and fullness.
Blocked organ Qi generates bodily heat,
Emaciated like firewood, bones standing out, gradually withering away.
*Tai Ping Sheng Hui Fang* prescribes the Ji Gu Wan (Chicken Bone Pill) for treating pediatric Bulu caused by overeating, with symptoms of vexatious heat in the hands and feet, and emaciation without muscle gain:
Ji Gu (Chicken Bone): Cooked thoroughly. Use one set of left and right ribs from a yellow hen, roasted until slightly yellow.
Chi Shaoyao (Red Peony Root)
Chuan Dahuang (Rhubarb Rhizome): Chopped, lightly stir-fried.
Ziwan (Aster Root): Washed, roots and soil removed.
Chi Fuling (Red Poria)
Chaihu (Bupleurum Root): Aerial parts removed. (Each: half liang)
Xixin (Asarum)
Huangqin (Scutellaria Root)
Guixin (Cinnamon Twig) (Each: one fen)
Crush the above ingredients, sieve into powder, mix with refined honey to form pills the size of mung beans. Administer five pills per dose with warm water. Take once in the morning and once in the evening. Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* prescribes the Biejia Wan (Turtle Shell Pill) for treating pediatric Bulu with a hard abdomen, bodily heat, and emaciation:
Biejia (Turtle Plastron): Coated with vinegar, roasted until yellow, skirt edges removed.
Roucongrong (Cistanche Stem): Soaked in wine overnight, wrinkled skin scraped off, roasted dry. (Each: three qian)
Changshan (Dichroa Root): Half liang.
Crush the above ingredients, sieve into powder, mix with refined honey to form pills the size of hemp seeds. Administer five pills per dose with gruel broth, three times daily. Adjust dosage according to the child's age and size. Recovery is indicated if green, white, or black excrement is discharged.
*Tai Ping Sheng Hui Fang* prescribes the Renshen Wan (Ginseng Pill) for treating pediatric Bulu caused by exposure to wind-dampness after undressing or bathing in cold water, characterized by abdominal distension, frequent dysentery, alternating chills and fever resembling malaria, anorexia, failure to gain muscle or digest food even when eating, and emaciated limbs:
Renshen (Ginseng Root): Radicle removed.
Mendong (Ophiopogon Tuber): Heart removed, baked.
Banxia (Pinellia Tuber): Washed seven times in boiling water to remove slipperiness.
Huangqi (Astragalus Root): Chopped.
Chuan Dahuang (Rhubarb Rhizome): Chopped, lightly stir-fried.
Baifuling (White Poria)
Chaihu (Bupleurum Root): Aerial parts removed.
Huangqin (Scutellaria Root) (Above three: each three qian)
Helile (Chebula Fruit): Roasted, use only the peel.
Gancao (Licorice Root): Roasted until slightly red, chopped.
Biejia (Turtle Plastron): Coated with vinegar, roasted until yellow, skirt edges removed. (Each: one liang)
Xiong (Ligusticum Rhizome): Half liang.
Crush the above ingredients, sieve into powder, mix with refined honey to form pills the size of hemp seeds. For children aged one to two years, administer three pills per dose with gruel broth; for children aged four to five years, administer five pills. Take three times daily. Adjust dosage according to the child's age and size.
*Yingru Shu* prescribes the Shaoyao Wan (Peony Pill) for treating young children with accumulated cold, prolonged fever, inability to eat, indigestion, Bulu, abdominal hardness and masses, large abdomen, and incontinence of diarrhea:
Shaoyao (Peony Root)
Ziwan (Aster Root) (Each: three qian)
Guixin (Cinnamon Twig)
Fuling (Poria)
Biejia (Turtle Plastron): Roasted. (Each: two qian)
Chaihu (Bupleurum Root): One qian
Dahuang (Rhubarb Rhizome): Five qian
Grind the above into powder, mix with honey to form pills the size of paulownia seeds. For children over one year old, administer three pills per dose, three times daily. For severe cases, add one dose at night. For children over three years old, increase to ten pills. No dietary restrictions. If the condition is Bulu with excess Qi, add four qian of Biejia.
*Yingru Shu* prescribes a formula for treating pediatric Bulu with a hard, hot abdomen and persistent diarrhea:
Biejia (Turtle Plastron)
Changshan (Dichroa Root) (Each: one qian)
Roucongrong (Cistanche Stem): Half qian
Grind the above into powder, mix with honey to form pills the size of adzuki beans. Administer two pills per dose. Discharge of green, red, white, or black matter indicates the removal of chronic cold.
*Yingtong Baojian* states: For pediatric Bulu, moxa the Dazhui point (GV14). Additionally, moxa the Chize point (LU5), located at the midpoint of the transverse cubital crease. Also moxa the Jiu Jiao point.