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Guibei (spinal deformity) is caused by infants sitting too early and being exposed to external wind pathogens. It manifests as a curved and elevated back, resembling a turtle. Internally, Songrui Dan should be taken for gradual treatment; externally, moxibustion should be applied, and tortoise urine should be dabbed on the affected area.

[Note] Guibei refers to a condition where an infant sits prematurely, allowing exogenous wind pathogens to invade the spine and dorsal region, resulting in kyphosis with a high, curved back resembling a turtle. This often becomes a lifelong chronic ailment. Internal treatment involves regulating with Songrui Dan. External treatment follows the acupoint moxibustion method from *Shenghui Fang*: Moxa Feishu (BL13), Xinshu (BL15), and Geshu (BL17), three to five moxa cones per point. Alternatively, dabbing tortoise urine on the joints can also yield effective results.

Songrui Dan
Ingredients: Pine pollen, Zhiqiao (Bupleuri Fructus fried with bran), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix) [each 1 liang]; Mahuang (Ephedrae Herba), Qianhu (Peucedani Radix), Chuan Dahuang (Rhei Radix et Rhizoma raw), Guixin (Cinnamomi Cortex) [each 5 qian].
Preparation and Administration: Grind all ingredients into a fine powder. Mix with refined honey to form pills the size of millet seeds. Take 10 pills per dose, swallowed with rice gruel.

Appendix: Method for obtaining tortoise urine
Place a tortoise on a lotus leaf and shine a mirror upon it; its urine will flow out naturally.

Wuruan (limb flaccidity) is a syndrome caused by congenital insufficiency, characterized by flaccidity of the head and neck, hands, feet, mouth, and muscles. Treatment utilizes Dihuang Wan and Fuyuan San, relying heavily on appropriate postnatal care.

[Note] "Wuruan" refers to flaccidity of the head and neck, hands, feet, mouth, and muscles. Head flaccidity implies weakness in the neck; hand and foot flaccidity imply weakness in the four limbs; muscle flaccidity implies loose skin and lack of muscle mass; mouth flaccidity implies thin lips and weakness. These five conditions arise from congenital insufficiency and inadequate Qi and Blood, leading to weak bones and meridians and atrophied muscles and sinews. Treatment should prioritize tonifying Qi. First, use Bugu Dihuang Wan to supplement congenital essence and Qi; then use Fuyuan San to address postnatal debility. Through gradual regulation, Wuruan will strengthen.

Bushen Dihuang Wan
Ingredients: Shudihuang (Rehmanniae Radix Preparata) [1 liang 5 qian], Shanzhuyu (Corni Fructus) [1 liang], Huai Shanyao (Dioscoreae Rhizoma stir-fried), Fuling (Poria) [each 8 qian], Mudanpi (Moutan Cortex), Zexie (Alismatis Rhizoma) [each 5 qian], Niuxi (Achyranthis Bidentatae Radix) [8 qian], Lurong (Cervi Cornus Pantotrichum roasted with butter) [5 qian].
Preparation and Administration: Grind into a fine powder. Mix with refined honey to form pills the size of phoenix seeds. Take 1 qian per dose, swallowed with salt water.

Fuyuan San
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma stir-fried with soil), Fuling (Poria), Shudihuang (Rehmanniae Radix Preparata), Fushen (Poria with Hostwood), Huangqi (Astragali Radix honey-roasted), Shanyao (Dioscoreae Rhizoma stir-fried), Zhigancao (Glycyrrhizae Radix et Rhizoma prepared with honey), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma).
Administration: Add fresh ginger and jujube, decoct in water, and take orally.

[Formula Verse] For Wuruan, Fuyuan San is worth tasting,
Ginseng, Atractylodes, Poria, and Prepared Rehmannia base.
Poria with Hostwood, Astragalus, Yam, and Licorice sweet,
Plus Angelica, White Peony, Ligusticum, and Acori root complete.