续命汤 治小儿手足拘挛，不能屈伸。
麻黄 人参 黄芩 川芎 芍药 甘草（炙） 防风 杏仁（去皮尖炒） 官桂（去皮）
防己 附子（炮裂，去皮脐。各等分）
上锉碎。每服二钱，水一钟，生姜三片，煎至五分，不拘时服。
追风散 治小儿感冒发热，手足拘挛。
人参 茯苓 防风 川芎 柴胡 羌活 枳壳 桔梗 甘草（各等分）
上锉碎。每服二钱，水一钟，生姜三片，煎至五分，不拘时服。
张涣云∶小儿所受肝气怯弱，致筋脉挛缩，两手伸展无力。薏苡丹主之。
薏苡丹 治手拳不展。
薏苡仁（汤浸去皮，研细） 当归（洗，焙） 秦艽（去苗） 防风 酸枣仁（炒） 羌活（各等分）
上为细末，炼蜜和，如芡实大。每服一粒至二粒，麝香荆芥汤化下，不拘时候。
《圣惠方》儿在胞，母脏腑虚，为风冷所乘，儿生，肝气不足，致筋脉挛缩，不得伸展，故手拳不展。
薏苡仁散（前方，就此加减，以其平和，故列于首）
薏苡仁（七钱五分） 秦艽 防风 酸枣仁（微炒） 甘草（微炙赤。各半两） 当归（焙）
桂心（各二钱半）
为散。每一钱，水一小盏，煎五分，不计时候，量儿加减。
羚羊角散 治儿手不展，是风邪滞气所客，令荣卫不通。
羚羊角 羌活 五加皮 白藓皮 桂心（各二钱半） 麻黄（半两，去根节） 甘草（炙微增，
一钱二分半）
为散。每服一钱，水一小钟，煎五分，量儿加减，不计时，温服。
Xuming Tang (Decoction for Continuation of Life) is indicated for pediatric limb spasm and contracture, where flexion and extension are impaired.
Ephedrae Herba (Mahuang), Ginseng Radix et Rhizoma (Renshen), Scutellariae Radix (Huangqin), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao, processed with honey), Saposhnikoviae Radix (Fangfeng), Armeniacae Semen Amarum (Xingren, skin and tips removed, stir-fried), Cinnamomi Ramulus (Guiguan, bark removed), Podagric Herb (Fangji), Aconiti Lateralis Radix Praeparata (Fuzi, roasted until cracked, skin and umbilicus removed; all in equal proportions).
The above herbs are coarsely crushed. For each dose, take two qian, add one zhong of water and three slices of fresh ginger, decoct until the volume reduces to five fen, and take at any time.
Zhuifeng San (Wind-Chasing Powder) is indicated for pediatric colds accompanied by fever and limb spasm.
Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Saposhnikoviae Radix (Fangfeng), Chuanxiong Rhizoma (Chuanxiong), Bupleuri Radix (Chaihu), Notopterygii Rhizoma et Radix (Qianghuo), Aurantii Fructus Immaturus (Zhike), Platycodonis Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao; all in equal proportions).
The above herbs are coarsely crushed. For each dose, take two qian, add one zhong of water and three slices of fresh ginger, decoct until the volume reduces to five fen, and take at any time.
Zhang Huan stated: The liver qi received by infants is weak, leading to contraction of sinews and vessels, resulting in weakness when extending both hands. Yiyi Dan (Coix Pill) is the primary treatment.
Yiyi Dan (Coix Pill) is indicated for inability to extend the fists.
Coicis Semen (Yiyiren, soaked in boiling water, skin removed, ground finely), Angelicae Sinensis Radix (Danggui, washed and dried), Gentianae Macrophyllae Radix (Qinjiao, roots removed), Saposhnikoviae Radix (Fangfeng), Ziziphi Spinosae Semen (Suanzaoren, stir-fried), Notopterygii Rhizoma et Radix (Qianghuo; all in equal proportions).
Grind the above herbs into a fine powder, mix with refined honey, and form pills the size of a Chinese quince seed. Take one to two pills per dose, dissolved in a decoction of Moschus (Shexiang) and Schizonepetae Herba (Jingjie), taken at any time.
According to *Shenghui Fang* (Prescriptions from the Holy Healing Repository): While in the womb, if the mother’s zang-fu organs are deficient, wind-cold pathogens may invade. After birth, the infant’s liver qi is insufficient, causing contraction of sinews and vessels and inability to extend them, hence the fists remain clenched.
Yiyiren San (Coix Seed Powder) (This is the previous formula with modifications; it is listed first due to its mild nature.)
Coicis Semen (Yiyiren, 7 qian 5 fen), Gentianae Macrophyllae Radix (Qinjiao), Saposhnikoviae Radix (Fangfeng), Ziziphi Spinosae Semen (Suanzaoren, lightly stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, lightly roasted until reddish-brown, half liang each), Angelicae Sinensis Radix (Danggui, dried), Cinnamomi Cortex (Guixin, 2 qian 5 fen each).
Process into a powder. Take one qian per dose, add one small zhan of water, decoct until the volume reduces to five fen, take at any time, adjusting the dosage according to the child's condition.
Lingyangjiao San (Antelope Horn Powder) is indicated for infants' inability to extend their hands, caused by wind-pathogens stagnating qi flow, leading to obstruction of Ying and Wei (nutritive and defensive qi).
Saiga Tataricae Cornu (Lingyangjiao), Notopterygii Rhizoma et Radix (Qianghuo), Acanthopanacis Cortex (Wujiaopi), Phellodendri Cortex (Baixianpi), Cinnamomi Cortex (Guixin; each 2 qian 5 fen), Ephedrae Herba (Mahuang, half liang, root nodes removed), Glycyrrhizae Radix et Rhizoma (Gancao, processed until slightly darker, 1 qian 2 fen 5).
Process into a powder. Take one qian per dose, add one small zhong of water, decoct until the volume reduces to five fen, adjust according to the child's condition, take at any time, and serve warm.