父母之体素亏，所生之婴孩先天早为不足。若襁褓中失宜，或多病致伤，或早令强
坐，则脆嫩筋骨，易于戕损，使背中脊骨痿突。初发如梅，渐高似李，甚则伛偻。亦有
风水所召者，极其难效。每见男女，由肾虚腰痛而得者，惟久服益阴煎（方见后），保其天
年，从未见有全愈者。
虚人气血，必是两亏。若遇外感之邪，乘空横扰，正气不能抵御，任邪鸱张，直犯胞
络，神智为之不明，语言错乱，起卧无以自主，须于本症方中，略加扶正之品，（即党参、
玉竹之类。）始得载邪以出。不然正虚邪陷，未免奄奄之虑。胖人同法。
善怒多思之体，情志每不畅遂。怒则气结于肝，思则气并于脾，一染杂症，则气之
升降失度，必加呕恶胸痞胁胀烦冤。在本病应用之药，量意加入舒气解郁几味，（如佩兰、
佛手、郁金、沉香、木香、香附之类。）徒以见病治病，不求其本，焉能有效？
女子以肝为先天，肝藏血。少壮时，经水适来适去，忽然生病，其邪必陷入血室。血属
阴，搏结邪气莫出，身体必重，令人昏昏默默，不知所苦。延久不退，当于所用方内，加以向
导之品，（如桃仁、胡索、归尾之类。）破其血垒，捣其巢穴，不难迎刃而解。孕妇忌用，防其伤
胎。老姬天癸已涸，可置勿论。
父母体质素来亏虚，所生的婴儿先天禀赋早已不足。如果在襁褓期间护理不当，或因多病导致身体受损，或过早让婴儿强行坐立，那么脆弱柔嫩的筋骨就容易受到损伤，导致背部脊柱萎缩突起。初起时像梅子大小，逐渐增高似李子，严重时则出现驼背畸形。也有因感受风邪和水湿之邪引起的，治疗效果极差。常见男女患者，由肾虚腰痛发展而来的，只有长期服用益阴煎（方剂见后文），保养天赋寿命，却从未见过完全痊愈的。
气虚之人，气血必然两虚。如果遇到外感邪气，趁正气空虚横加侵扰，正气无法抵御，任由邪气猖獗，直接侵犯胞宫络脉，神志因此变得不清醒，言语错乱，起床和躺卧都无法自主控制。必须在治疗本证的方剂中，略微加入扶助正气的药物（即党参、玉竹之类），才能引导邪气排出。否则正气虚弱而邪气内陷，难免有生命垂危的忧虑。肥胖的人采用同样的治法。
容易发怒且多思虑的体质，情志往往不舒畅。发怒则气机郁结于肝，思虑过度则气机壅滞于脾，一旦染上杂病，则气机的升降失去节制，必定会出现呕吐恶心、胸膈痞闷、胁肋胀满、烦闷冤屈之感。在治疗本病的用药中，酌情加入几味舒理气机、解郁散结的药物（如佩兰、佛手、郁金、沉香、木香、香附之类）。如果只是见病治病，不探究根本原因，怎么能有效呢？
女子以肝为先天之本，肝主藏血。在年少壮盛时期，月经刚来或刚去，忽然生病，邪气必然陷入血室。血属阴，与邪气搏结难以排出，身体必定沉重，使人昏昏沉沉、沉默不语，不知道哪里痛苦。拖延日久不退，应当在所用方剂内，加入引经报使或活血导滞的药物（如桃仁、红曲、当归尾之类），攻破瘀血壁垒，捣毁病邪巢穴，不难迎刃而解。孕妇忌用，以防损伤胎儿。老年妇女天癸已枯竭，可以不予讨论。
If the parents' constitutions are inherently deficient, the infant born of them will have an innate insufficiency from early on. If improper care is given during infancy, or if frequent illnesses cause damage, or if the child is made to sit up forcibly too early, the fragile and tender bones and sinews are prone to injury, resulting in atrophy and protrusion of the spinal column. Initially appearing like a plum, it gradually rises to resemble a large plum, and in severe cases, leads to kyphosis (hunchback). There are also cases caused by wind-water pathogens, which are extremely difficult to treat effectively. I often see men and women who develop this condition from chronic kidney deficiency with lower back pain; only those who take Yiyin Decoction (see formula below) for a long time to preserve their natural lifespan survive, but I have never seen a complete cure.
In individuals with Qi deficiency, both Qi and Blood must be deficient. If they encounter external pathogenic factors that invade freely due to the void, the healthy Qi cannot resist, allowing the pathogens to flourish unchecked and directly attacking the uterine collaterals. This causes confusion of spirit and intellect, disordered speech, and an inability to independently rise or lie down. It is necessary to slightly add herbs that support healthy Qi (such as Codonopsis Root and Polygonatum Rhizome) to the prescription treating the primary syndrome, so that the pathogens can be guided out. Otherwise, with deficient healthy Qi and sinking pathogens, there is a risk of imminent death. The same method applies to obese individuals.
Individuals prone to anger and excessive thinking often experience emotional stagnation. Anger causes Qi to knot in the Liver, while excessive thinking causes Qi to congregate in the Spleen. Once complicated diseases occur, the ascending and descending of Qi loses regulation, inevitably leading to nausea, vomiting, chest oppression, hypochondriac distension, and vexation. In the herbs used for the primary disease, one should appropriately add several herbs to soothe Qi and resolve depression (such as Eupatorium Herb, Bergamot Fruit, Curcuma Tuber, Aquilaria Wood, Costus Root, and Cyperus Rhizome). If one merely treats the symptoms without seeking the root, how can effectiveness be achieved?
Women regard the Liver as their congenital foundation, and the Liver stores Blood. During youth and prime adulthood, when menstruation has just started or ended, if illness strikes suddenly, the pathogen must sink into the Blood Chamber (uterus). Blood belongs to Yin; when it knots with pathogens and cannot exit, the body becomes heavy, causing drowsiness, muteness, and an inability to identify the source of suffering. If prolonged and unresolved, one should add guiding or blood-activating herbs (such as Peach Kernel, Red Yeast Rice, and Angelica Sinensis Tail) to the prescribed formula to break the blood stasis fortress and destroy the pathogen's nest, making resolution not difficult. These are contraindicated in pregnant women to prevent fetal harm. For elderly women whose Tian Gui (menstrual essence) has dried up, this matter may be disregarded.