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(Although bone heat and bone steaming vary in severity, the following prescriptions are generally applicable.)

Hanlin Daizhao Yang Daye asked: "Why does a child gradually become sallow, emaciated, weak, with skin lacking luster?" The answer is: This is due to deficiency and damage of fetal qi, and weakness of tendons and vessels. The root cause lies in forced sexual intercourse at conception, or pregnancy occurring by chance. Or the mother had pre-existing diseases, with a cold uterus and cold blood sea, leading to deficient qi and blood, emaciation, causing the fetus to be injured within the womb from the start. Upon birth and upbringing, the child naturally appears haggard. This stems from the inherited qi of the parents. Without effective treatment methods, it will eventually accumulate into chronic illness. Among these, if there is less breastfeeding and more consumption of chewed food, the intestines and stomach will gradually become dry and harsh. In infancy, this is commonly called 'Fu Gan' (Visceral Dryness); when grown up, it is called 'Bone Steaming'. This is originally a disease causing infant mortality. I, being unversed in ancient wisdom and unable to fully comprehend sage understanding, was unaware that such discussions have existed since ancient times.

Ta Yi Ju Sheng Xi San (Raw Rhinoceros Horn Powder): Treats pediatric bone steaming with muscle wasting, flushed cheeks, dry mouth, tidal fever in the late afternoon, night sweats, irritability in the five centers (palms, soles, and chest), limb fatigue, and inability to gain weight despite good appetite. It is also suitable for residual toxins after severe illness, or persistent body heat after typhoid fever caused by eating mutton.

Rhinoceronis Cornu (Bangpian) [Rhino Horn], Goubi Cortex (Digupi, de-soiled), Gastrodiae Rhizoma (Qinjiao, de-radicle and de-soiled), Ophiopogonis Radix (Maidong, de-core), Aurantii Fructus (Zhike, bran-fried, de-albedo), Rheum Radix et Rhizoma (Dahuang, steamed, sliced, dried), Bupleuri Radix (Chaihu, de-radicle), Poria (Fuling, de-bark), Paeoniae Radix Rubra (Chishao), Mori Cortex (Sangbaipi, chopped), Astragali Radix (Huangqi, chopped), Ginseng Radix (Renshen, de-stolon), Testudinis et Chelonis Carapax et Plastrum (Biejia, boiled, de-marginal scute, vinegar-fried until yellow). All ingredients in equal parts, pounded into coarse powder. Take 2 qian per dose, add one cup of water and a little Qinghao (Artemisiae Annuae Herba), decoct until six-tenths remains. Strain and take warm after meals. For infants, divide into two doses.

Ju Bao Fang Long Hu Jian (Tiger-Dragon Decoction): Treats paralysis due to wind pathogen, and bone-steaming consumptive qi in boys and girls.

Salix Matsudana Branches (Daochui Yangliuzhi - select thick-veined branches harvested from the southeast direction, finely chopped), Sophorae Fructus (Huaijiao - non-cultivated), Mori Ramulus (Sangzhi - similar thickness to willow branches. Weigh 1 jin each of these three. Harvest at the end of October or early December), Aristolochiae Vitis (Tianxianteng - 0.5 jin, finely chopped). Combine the four ingredients. Soak overnight with urine from boys under ten years old (up to 2 dou). Add one dou of river water to a clean pot, boil together with the urine. Do not let the water evaporate too much; add river water as needed. Boil until evening, pour out the clear liquid, and wring out the juice using a cloth bag. Continue boiling with alternating mild and strong fire, stirring constantly with a willow stick. When reduced by half, remove intense fire and switch to charcoal fire to boil into a paste. Store in a clean porcelain jar and seal tightly. Reserve the dregs for making Jin Zhi Wan (prescription follows).

Ju Bao Fang Jin Zhi Wan (Golden Branch Pill):

Aconiti Lateralis Radix Praeparata (Chuan Wutou, processed, de-skin and navel), Epimedii Folium (Xianlingpi, finely chopped), Saposhnikoviae Radix (Fangfeng), Achyranthis Bidentatae Radix (Niuxi, de-radicle all in equal parts), Bombyx Batryticatus (Wan Can Sha, lightly fried), Phellodendri Cortex (Sanghuang, chopped), Persicae Gummi (Taojiao), Daboia Munroi (Wushe, soaked in wine overnight, roasted and used with bones), Pruni Semen (Taoren - 1 liang each. Taoren must be stir-fried with 2 liang of Corni Fructus (Shanzhuyu). Place Taoren and Shanzhuyu in a clay pot, seal tightly with thick paper for 24 hours. Remove Shanzhuyu, use only Taoren), Dregs of previous medicine, Morus Alba Fruit (Gan Hei Sangshen - 2 liang, unsalted). Pound eleven ingredients into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take one spoon-tip of the previous medicine dregs mixed with 20 pills, dissolved in warm wine. Take on an empty stomach, at noon, and before bed daily.

Ju Bao Fang Gu Lao San (National Elder Powder): Treats long-standing bone steaming, clearing stagnation and deficient heat in the Triple Burner, and loss of appetite. Suitable for adults and children.

Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), Bupleuri Radix Yinzhouensis (Yinzhou Chaihu, de-radicle), Gastrodiae Rhizoma (Qinjiao, de-soiled), Pruni Mume Fructus (Da Wumei - take flesh and bake. Each 2 liang). Pound four ingredients into fine powder. Take after meals with hot water daily. Avoid roasted and fried foods.

Ju Bao Fang Renshen Chaihu Tang (Ginseng and Bupleurum Decoction): Resolves pediatric muscular steaming heat, promotes muscle growth and appetite.

Ginseng Radix (Renshen), Bupleuri Radix (Chaihu, de-radicle), Poria (Baifuling), Ligusticum Chuanxiong Rhizoma (Chuanxiong) - each 1 liang, Anemarrhenae Rhizoma (Zhimu), Cimicifugae Rhizoma (Chuan Shengma), Libanotis Rhizoma (Benluo, de-soiled), Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), Asparagi Radix (Tianmendong, de-core) - each 0.5 liang, Angelicae Pubescentis Radix (Duohuo), Biota Semen (Baiziren) - each 1 fen, crushed. Pound eleven ingredients into fine powder. Take 1 qian per dose, add half cup of water, a little fresh ginger and green onion. Decoct until three-tenths remains. Strain and take warm after meals. For children aged 5-15, add 0.5 liang of vinegar-fried Testudinis et Chelonis Carapax et Plastrum (Biejia), pound together into powder, add 2 qian, add one cup of water, decoct until six-tenths remains.

Hui Yan Guan Zheng Chaihu Wan (Bupleurum Pill): Treats childhood malnutrition consumption (Gan Lao), bone-steaming fever, and excessive thirst in the Upper Jiao.

Bupleuri Radix (Chaihu), Poria (Fuling) - each 1 liang, Aucklandiae Radix (Muxiang), Cinnamomi Cortex (Guixin) - 1 fen, Aurantii Fructus (Zhike, bran-fried, de-albedo), Rheum Radix et Rhizoma (Dahuang, lightly roasted) - 1 fen each. Pound into powder. Mix with refined honey to make pills the size of a bullet. Take 7 pills with warm water. Powder form is also acceptable.

Liu Shi Jia Chuan Ba Xian Yin Zi (Eight Immortals Infusion): Treats male youth steaming heat.

Ginseng Radix (Renshen), Lycii Cortex (Digupi), Poria (Fuling), Achyranthis Bidentatae Radix (Niuxi, wine-soaked), Chrysanthemi Flos (Juhua) - each 1 liang, Ophiopogonis Radix (Maidong, 3 liang, de-core), Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), Polygalae Radix (Yuanzhi, de-core) - each 0.5 liang. Cut ingredients evenly. Take 5 qian per dose, add two cups of water, decoct until one cup remains. Strain and take warm. No specific timing, take twice daily.

Zhang Shi Jia Chuan Dihuang San (Rehmannia Powder): Treats pediatric bone steaming heat leading to consumptive fatigue.

Prepared Rehmanniae Radix (Shu Dihuang, de-soiled, washed), Angelicae Sinensis Radix (Danggui), Lycii Cortex (Digupi, washed), Aurantii Fructus (Zhike, de-albedo, bran-fried), Bupleuri Radix (Chaihu), Gastrodiae Rhizoma (Qinjiao, de-radicle all in equal parts), Anemarrhenae Rhizoma (Zhimu), Testudinis et Chelonis Carapax et Plastrum (Biejia, remove black skin completely, vinegar-fried until yellow). Pound into powder. Take 1.5 qian per dose, add one cup of water and half a Pruni Mume Fructus (Wumei). Decoct until seven-tenths remains. Take hot with the plum.

Zhuang Shi Jia Chuan Qinghao Wan (Artemisia Pill): Treats pediatric bone-steaming heat, emaciation, desire for food, night sweats, and various Gan fevers.

Ginseng Radix (Renshen), Poria (Fuling), Testudinis et Chelonis Carapax et Plastrum (Biejia, soaked, de-marginal scute, vinegar-fried), Bupleuri Radix (Chaihu), Gastrodiae Rhizoma (Qinjiao, de-radicle all in equal parts), Astragali Radix (Mian Huangqi) - each 1 liang. Wash Qinghao (Artemisiae Annuae Herba), grind and filter to obtain 1 sheng of natural juice. Boil in a silver/copper vessel to reduce to 3 he. Add 4 liang of honey and boil appropriately. Pound and sieve medicinal powder, mix in, and beat 1000 times. Make pills the size of mung beans. Take 10 pills with rice drink or Ophiopogon熟水, on an empty stomach, with rice drink, at noon.

Zhuang Shi Jia Chuan Zhu Ji Wan (Boiled Chicken Pill): Treats pediatric bone steaming and all Gan diseases.

Yellow-legged hen (one, plucked and eviscerated), Bupleuri Radix (Chaihu), Coptidis Rhizoma (Huanglian) - each 4 liang. Pound two ingredients into coarse powder. Place in a raw silk bag, insert into chicken stomach, sew shut. Boil until very soft, strain, remove bones, take medicine, mix and bake dry. Pound into powder. Use wine and flour paste to make pills the size of mung beans. Adjust dosage from 20 pills based on child's size. Take with warm water, no specific timing.

Zhuang Shi Jia Chuan Zhu Du Wan (Pig Stomach Pill): Treats bone steaming with red lips, flushed cheeks, rough breathing, dry mouth, generalized high fever, frequent spontaneous sweating, constipation, dark yellow urine, and poor appetite. (From Bo Ji Fang).

Testudinis et Chelonis Carapax et Plastrum (Biejia, vinegar-fried until yellow), Bupleuri Radix (Chaihu - Yinzhou variety), Aucklandiae Radix (Muxiang), Artemisiae Annuae Herba (Qinghao), Rehmanniae Radix (Sheng Gan Dihuang) - each 1 liang, Coptidis Rhizoma (Huanglian, de-fibers) - 2 liang, Citri Reticulatae Pericarpium Viride (Qing Ju Pi, de-albedo) - 0.5 liang. Pound seven ingredients into fine powder. Take one young pig stomach, clean and remove fat. Insert powder inside, tie securely. Steam until soft like mud. Grind into pills the size of mung beans. Take 15 pills with warm water. Before meals, at noon, before bed. Three times daily. Avoid wet noodles and toxic foods.

Zhuang Shi Jia Chuan Hu Lian Wan (Picrorhiza Pill): Treats bone-steaming tidal fever, emaciation, promoting muscle growth, resolving Gan jaundice.

Picrorhizae Rhizoma (Huhuanglian), Coptidis Rhizoma (Huanglian - large ones, de-fibers, weighed), Bupleuri Radix (Chaihu, de-radicle, weighed) - each 1 liang, Rhinoceronis Cornu (Wuxi, ground), Polyporus (Chifuling), Quisqualis Fructus (Shijunzi, de-skin, weighed), Scutellariae Radix (Huangqin - thin ones), Testudinis et Chelonis Carapax et Plastrum (Biejia, roasted until yellow) - each 0.5 liang. Pound into fine powder. Use pig bile and flour paste to make pills the size of mung beans. Take 10-20 pills with warm water.

Zhuang Shi Jia Chuan Zhusha Chaihu Wan (Cinnabar and Bupleurum Pill): Treats pediatric bone-steaming fever, body feeling like fire, sallow emaciation with spontaneous sweating, cough, palpitations, lasting long without cure. One dose of good medicine can settle it.

High-quality Cinnabar (Zhusha - 1 liang, finely ground, water-washed, sun-dried), Bupleuri Radix (Chaihu - de-radicle and soil, clean wash, powdered, 2 liang). Mix evenly. Moisten with pig bile. Place in a porcelain box and cover. Steam over a rice cooker until rice is cooked. Remove and quickly make pills the size of small beans. Take 10 pills on an empty stomach and before bed, with cooled Peach Kernel and Pruni Mume Fructus decoction.

Tang Dynasty Zhongshu Shilang Cui Zhit Ti's Moxibustion Method for 22 Types of Bone Steaming:

All living beings receive Qi from the Five Elements. Improper health management leads to six diseases. Referencing Qi Bo and Huang Di's records, there are established classics. Combining attack and moxibustion highlights this technique. Bone steaming is also called Chuan Shi (Transmitting Corpse), Gui Zhu (Ghost Note), Fu Lian (Repeated Connection), or Wu Gu (Innocent). Men root in Pi Qi (accumulated mass), women root in Blood and Qi. Regardless of age, many contract this disease; infants suffer more from transmission. Symptoms include dry, erect hair, clustered or scattered nodules, abdominal masses, or small knots on both sides of the back of the head, up to five or six. Night sweats, dreams of ghost intercourse, clear vision but weak limbs, upward Qi rebellion, poor appetite, gradual decline into severe emaciation. Even if prolonged, it ends in exhaustion. I once served as Sima of Luozhou, saving 13 people in 30 days through moxibustion, with over 200 cured previously. Tales of狸骨 (Fox Bone) and 獭肝 (Otter Liver) are heard, but Gold Teeth and Copper Noses rarely show efficacy. This method is superior for critical rescue. It treats not just bone steaming, but also Qi disorders, Wind, Miasma, Consumption, Evil, and Pi masses. The conditions are broad, and those saved by moxibustion cannot be fully recorded. Briefly stating the outline, fearing transmission errors misleading future generations, I provide diagrams for clarity. Let it circulate widely. With home secrets, no need to seek famous doctors or expensive drugs. Reviving the dead is easy. Should not those with disease strive for this?

Acupoint Location Method: First two points. Have patient stand upright. Take a thin string (waxed to prevent stretching/shrinking). Place flat against sole (Male Left, Female Right). Front end aligns with big toe tip. Back end aligns with center of heel. Pull string backward along calf紧贴 skin, straight up to the popliteal crease (QuKT - likely referring to Weizhong BL40 area). Cut string. Have patient untie hair, parting sides to see midline. From Fontanelle (Xinmen), divide equally to back of head. Sit upright. Take one end of cut string, align with nose tip. Pull string up along midline to back of head, hang down紧贴 skin along spine to end of string. Mark spine with ink at string end (Mark is NOT moxa site). Take another string. Have patient close mouth, place string across mouth. Ends reach corners of mouth. Hook center of string up to base of nasal bridge forming a triangle shape. Cut at corners of mouth. Straighten this string. Measure horizontally from previous spine mark. Keep level. (Fold string in middle, mark center. Unfold and measure horizontally. Center mark presses exactly on spine mark. Ends level). Mark ends with white circles (White circle IS moxa site). These are the first two points.

Second two points. Patient sits upright, arms slightly tucked. String around neck hanging forward to Jiuwei (CV15) level. Jiuwei is xiphoid process. If absent, measure 1 cun below xiphisternal junction. Cut double. Flip string back behind neck. Center aligns with heart. Ends hang down neck,紧贴 spine. Mark spine with ink (Mark is NOT moxa site). Take another string. Patient closes mouth, measures across corners of mouth. Cut. Measure horizontally on spine mark again. Mark ends with white circles (White circle IS moxa site). These are the second two points. Total four points. Moxa simultaneously. 7-14 moxa cones per session. Accumulate to 100-150 cones. When sores heal, follow next method for two more points.

Next two points. Use the mouth-measuring string from the second step. At the end marks of the double string from the second step on the spine, draw a vertical line up and down. Center of string on mark. Mark ends with white circles (White circle IS moxa site). These are the third two points, called Si Hua (Four Flowers). Moxa 100 cones per point. Total six points. Measure distance from sun. Apply fire immediately after measurement. Best date is March 3rd. After cure, avoid heavy diet and sex for 100 days. Rest quietly. If not cured after one month, re-moxa original points. These six points are called Liu Hua (Six Flowers).

[Cui Zhit Ti Acupoint Diagrams]
[Image] From big toe to heel to popliteal crease center.
[Image] From nose tip up along midline to back of head (Moxa Naomen GV19).
[Image] Along spine down to string end, mark spine with ink.
[Image] Close mouth, string across mouth, hook center to nasal base, cut at corners.
[Image] Straighten mouth-string, measure horizontally on spine mark, mark ends with white circles (Circle IS site, Ink is NOT). First two points.
[Image] String around neck hanging to Jiuwei level.
[Image] Flip string back behind neck, hang down spine, mark ends with ink.
[Image] String across closed mouth, cut at corners.
[Image] Mouth-string horizontal on spine mark, mark ends with white circles (Circle IS site, Ink is NOT).
[Image] Second mouth-string vertical on second spine mark, extend to end, mark with white circle.
[Image] Second two points. This forms Four Flowers.

There are 22 types of bone steaming symptoms to distinguish and treat with the above moxibustion:
1. Bladder Steaming (Dark yellow urine)
2. Jade Chamber Steaming (Nocturnal emission/incontinence in men, irregular menstruation in women)
3. Brain Steaming (Dizziness, heat, stuffiness)
4. Marrow Steaming (Feeling marrow boiling heat)
5. Bone Steaming (Black teeth)
6. Tendon Steaming (Hot nails)
7. Blood Steaming (Red hair)
8. Pulse Steaming (Irregular pulse)
9. Liver Steaming (Blurred vision)
10. Heart Steaming (Dry/scaly tongue or ulcers, chest fullness)
11. Spleen Steaming (Dry/hot lips or mouth ulcers)
12. Lung Steaming (Dry mouth, ulcers)
13. Kidney Steaming (Dry/scaly ears)
14. Bladder Steaming (Right ear scaly)
15. Gallbladder Steaming (Loss of eyesight)
16. Stomach Steaming (Pain under tongue)
17. Small Intestine Steaming (Uncontrollable diarrhea)
18. Large Intestine Steaming (Right nostril pain)
19. Triple Burner Steaming (Alternating chills and fever)
20. Flesh Steaming (Others feel heat, patient feels cold)
21. Skin Steaming (Skin/muscle looks like chicken skin)
22. Qi Steaming (Generalized high fever, restlessness)

Measurement Method: Acupoint sizes depend on body size. Male Left, Female Right. Measure one segment of finger center, between two transverse creases = 1 cun.

Moxa Cone Size: Cones must be 3 fen thick. If thinner, coverage is insufficient, meridian Qi won't flow, failing to expel evil and attract righteous Qi. Even for children, use middle finger for measurement.

Moxa Material: On Dragon Boat Festival (Duanwu), before sunrise, find mugwort resembling human form. Moxa is highly effective. A book mentioned finding human-like mugwort is doubtful; it's merely imaginative. Most methods are false.

Fire Method: Huang Di said: Do not use wood from Pine, Cypress, Persimmon, Mulberry, Date, Elm, Willow, Bamboo for moxa fire; it harms muscles and blood. Use flint or crystal mirror to catch sunlight. On cloudy days, use Locust wood.

After moxibustion, take Diligence Rehmannia Pill (Zhi Lao Dihuang Wan).

Dihuang Wan Formula:
Fresh Rehmanniae Radix Juice (Sheng Dihuang Zhi), Artemisiae Annuae Herba Juice (Qinghao Zhi), Menthae Haplocalycis Herba Juice (Bohe Zhi), Boy's Urine, Good Wine (Each 2 sheng, decoct into paste). Bupleuri Radix (Chaihu, de-stolon), Testudinis et Chelonis Carapax et Plastrum (Biejia, vinegar-fried), Gastrodiae Rhizoma (Qinjiao) - each 1 liang, Cinnabar (Zhusha), Moschus (Shexiang) - each 0.5 liang, ground. Pound five ingredients into powder. Mix with paste to make paulownia seed-sized pills. Take 15-20 pills with warm wine. Strictly avoid cold/raw foods.