龟背坐早被风吹，伛偻背高状如龟，内服松蕊丹缓治，外用灸法点龟尿。
[注]
龟背者，因婴儿坐旱被客风吹入脊膂，遂致伛偻曲折，背高如龟，
往往为终身痼疾，
内以松蕊丹调治之，外用圣惠灸穴法，灸肺俞心俞膈俞三穴三五壮，
或以龟尿点骨节上，亦可得效。
(松蕊丹) 松花 枳实麸炒 防风 独活各一两 麻黄 前胡 川大黄生
桂心各五钱 以上为细末，炼蜜丸如黍米大，每服十丸，粥饮送下。
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杂证门
五软禀赋不足证，头项手足口肉肌，地黄丸与扶元散，全在后天调养宜。
[注]
五软者，为头项软，手软，足软，口软，肌肉软，是也，
头软者，项软无力，
手足软者，四肢无力也，
肉软者，皮宽不长肌肉也，
口软者，唇薄无力也，
此五者，皆因禀受不足,气血不充，故骨脉不强，筋肉痿弱，
治宜补气为主，
先以补肾地黄丸补其先天精气，再以扶元散补其后天羸弱，
渐次调理，而五软自强矣。
(补肾地黄丸) 熟地黄一两五钱 山萸肉一两 怀山药炒 茯苓各八钱
牡丹皮 泽泻各五钱 牛膝八钱 鹿茸五钱酥炙
以上为细末，炼蜜丸如梧桐子大，每服二钱，用盐汤下
(扶元散) 人参 白术土炒 茯苓 熟地黄 茯神 黄耆蜜炙 山药炒
炙甘草 当归 白芍药 川芎 石菖蒲 引用姜枣水煎服。
(方歌)
五软扶元散堪尝，参术茯苓熟地黄，茯神黄耆山药草，归芍川芎及石菖。
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杂证门
龟背是由于婴儿过早坐立，被风邪吹袭所致，表现为身体弯曲、背部高耸，形状像乌龟。内服松蕊丹进行缓慢调理，外用灸法并点涂龟尿。
[注]
所谓龟背，是因为婴儿过早坐立，导致外来的风邪侵入脊膂（脊柱及周围组织），从而造成身体弯曲变形，背部高耸如同乌龟。这往往成为终身的顽固疾病。
内治以松蕊丹调治，外用《圣惠方》中的灸穴法，艾灸肺俞、心俞、膈俞这三个穴位，每个穴位灸三至五壮；
或者用龟尿点涂在骨节上，也可以取得疗效。
（松蕊丹配方）松花、麸炒枳实、防风、独活各一两；麻黄、前胡、生川大黄、桂心各五钱。以上药材研成细末，用炼蜜制成如黍米大小的丸药，每次服用十丸，用粥汤送服。
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杂证门
五软是由于先天禀赋不足引起的病证，表现为头项、手足、口唇及肌肉软弱无力。治疗可用地黄丸与扶元散，关键在于后天的调养适宜。
[注]
所谓五软，是指头项软、手软、足软、口软、肌肉软。
头软，是指颈部软弱无力；
手足软，是指四肢无力；
肉软，是指皮肤松弛、不长肌肉；
口软，是指嘴唇薄且无力。
这五种情况，都是因为先天禀受不足，气血不充盈，导致骨骼经脉不强健，筋肉痿弱。
治疗应以补气为主，
先使用补肾地黄丸来补充先天的精气，再使用扶元散来补益后天的虚弱，
逐渐调理，五软的症状自然就会强健起来。
（补肾地黄丸配方）熟地黄一两五钱、山萸肉一两、炒怀山药、茯苓各八钱；牡丹皮、泽泻各五钱；牛膝八钱；鹿茸五钱（酥炙）。
以上药材研成细末，用炼蜜制成如梧桐子大小的丸药，每次服用二钱，用盐汤送服。
（扶元散配方）人参、土炒白术、茯苓、熟地黄、茯神、蜜炙黄耆、炒山药、炙甘草、当归、白芍药、川芎、石菖蒲。引用姜枣水煎服。
（方歌）
五软扶元散堪尝，参术茯苓熟地黄，茯神黄耆山药草，归芍川芎及石菖。
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杂证门
Kui Bei (Turtle Back) is caused by infants sitting too early and being exposed to wind pathogens. It presents with a stooped posture and a high, convex back resembling a turtle. Internally, Song Rui Dan (Pine Stamen Pill) should be taken for gradual treatment; externally, moxibustion should be applied, and turtle urine should be dabbed on the affected areas.
[Annotation]
Kui Bei (Turtle Back) occurs when external wind pathogens invade the spine and surrounding tissues due to infants sitting prematurely. This leads to spinal curvature and a humpbacked appearance resembling a turtle. It often becomes a chronic, lifelong condition.
Internal treatment involves regulating with Song Rui Dan (Pine Stamen Pill). Externally, apply the acupuncture points from the *Sheng Hui Fang* (Holy Grace Formulas): moxa moxibustion on Fei Shu (BL13, Lung Shu), Xin Shu (BL15, Heart Shu), and Ge Shu (BL17, Diaphragm Shu), three to five moxa cones per point.
Alternatively, dabbing bone joints with turtle urine can also yield effective results.
(Song Rui Dan / Pine Stamen Pill Formula)
Song Hua (Pinus Massoniana Pollen), Zhi Shi (Immature Bitter Orange, stir-fried with bran), Fang Feng (Saposhnikovia Root), Du Huo (Angelica Pubescens Root) each 1 liang; Ma Huang (Ephedrae Herba), Qian Hu (Peucedani Radix), Chuan Da Huang (Rhei Radix et Rhizoma, raw), Gui Xin (Cinnamomi Cortex) each 5 qian. Grind the above into fine powder, mix with refined honey to form pills the size of millet seeds. Take 10 pills per dose, swallowed with gruel broth.
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Miscellaneous Diseases Section
Wu Ruan (Five Softnesses) is a syndrome caused by congenital insufficiency, characterized by softness of the head/neck, hands, feet, mouth, and muscles. Treatment utilizes Dihuang Wan (Rehmannia Pill) and Fuyuan San (Support Origin Powder); success depends entirely on appropriate postnatal care and nourishment.
[Annotation]
Wu Ruan (Five Softnesses) refers to softness of the head and neck, hands, feet, mouth, and muscles.
Head softness implies weakness in the neck;
Hand and foot softness imply weakness in the four limbs;
Muscle softness implies loose skin and lack of muscle mass;
Mouth softness implies thin lips and lack of strength.
These five conditions all result from insufficient congenital endowment and deficient Qi and Blood, leading to weak bones and meridians, and flaccid sinews and muscles.
Treatment should prioritize tonifying Qi.
First, use Bushen Dihuang Wan (Kidney-Tonifying Rehmannia Pill) to replenish congenital Essence and Qi; subsequently, use Fuyuan San (Support Origin Powder) to strengthen postnatal debility.
Through gradual regulation, the Five Softnesses will naturally become robust.
(Bushen Dihuang Wan / Kidney-Tonifying Rehmannia Pill Formula)
Shu Di Huang (Prepared Rehmanniae Radix) 1.5 liang; Shan Yu Rou (Corni Fructus) 1 liang; Huai Shan Yao (Dioscoreae Hypoglaucae Rhizoma, stir-fried) and Fu Ling (Poria) each 8 qian; Mu Dan Pi (Moutan Cortex) and Ze Xie (Alismatis Rhizoma) each 5 qian; Niu Xi (Achyranthis Bidentatae Radix) 8 qian; Lu Rong (Cervi Cornu Pantotrichum, processed with butter) 5 qian.
Grind the above into fine powder, mix with refined honey to form pills the size of sophora seeds. Take 2 qian per dose, swallowed with salt water decoction.
(Fuyuan San / Support Origin Powder Formula)
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Fu Ling (Poria), Shu Di Huang (Prepared Rehmanniae Radix), Fu Shen (Poria with Hostwood), Huang Qi (Astragali Radix, honey-fried), Shan Yao (Dioscoreae Rhizoma, stir-fried), Zhi Gan Cao (Licorice Root, roasted), Dang Gui (Angelica Sinensis Radix), Bai Shao Yao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shi Chang Pu (Acori Tatarinowii Rhizoma). Decoct with fresh ginger and jujube water.
(Formula Verse)
For Wu Ruan (Five Softnesses), Fuyuan San is worthy of trial;
Ginseng, Atractylodes, Poria, and Prepared Rehmannia prevail.
Fu Shen, Astragalus, Yam, and Licorice combine well,
Along with Angelica, White Peony, Ligusticum, and Acorus, they excel.
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Miscellaneous Diseases Section