（第二十五）
五软证，名曰胎怯。良由父精不足，母血气衰而得。有因母血气弱而孕者，有受胎而
母多疾者，或其父母
贪色，体气虚弱，或年纪已迈而复见子，有日月不足而生者，或服坠胎之剂不去而竟成胎者。
耗伤真气及降生之后，精气不充，筋骨痿弱，肌肉虚瘦，神色昏慢，致使头、项、手、足、身
体软弱，名为五软。歌曰∶禀气元虚髓不充，六淫之气易来攻。头兼手足身羸弱，此证名为五
软同。
五硬证，头哽不能俯视，气壅胸膈，手足心冷如冰而硬，名曰五硬。又有肚大青筋而不宽，
宜去积之剂，心腹硬者亦是。
泻青丸 治五软五硬。（方见前。）
贴项散贴五软。
附子（制） 南星（制。各二钱）
为末，姜汁调，摊贴患处。
五加皮散 治项软，三岁不能行。
五加皮
为末，酒调敷头骨上，以酒服治行迟。
虎骨丸 治脚软行迟。
虎胫骨（酥炙） 生地黄 酸枣仁 茯苓 防风 川芎 牛膝 肉桂（各等分）
上为末，炼蜜丸，如麻子大。每服十丸，酒送下或木瓜汤下。
牛膝散 治小儿三岁不能行。
五加皮（六钱） 牛膝 木瓜（半两）
上为末，每服一钱，米饮调，次入酒二、三滴服。
小儿脱肛，可灸百会穴，该穴位位于头顶旋毛之间。施灸三壮，每壮大小如小麦粒，即可立即止住。
（第二十五）
五软证，又称胎怯。多因父亲精气不足、母亲气血衰弱所致。有的因为母亲气血虚弱而受孕；有的在受孕后母亲患有多病；有的因父母纵欲过度，导致体质虚弱；有的因父母年事已高才得子；有的早产（日月不足）而生；有的服用堕胎药未遂而最终成胎。这些情况都会耗伤真气，出生后精气不充盈，筋骨痿弱，肌肉虚瘦，神色昏沉迟钝，致使头、项、手、足、身体软弱无力，称为五软。歌诀说：禀受元气虚弱髓海不充，六淫邪气容易侵袭。头部兼手足及身体羸弱，此证名为五软。
五硬证，表现为颈部僵硬不能低头俯视，胸膈气机壅滞，手足心冰冷且坚硬，称为五硬。又有腹部膨大、青筋暴露而不舒展的情况，适宜使用消积的方剂；心腹部硬满的也是此类证候。
泻青丸 治疗五软五硬。（方剂见前文。）
贴项散 贴敷治疗五软。
附子（制） 南星（制。各二钱）
研为细末，用姜汁调匀，摊贴于患处。
五加皮散 治疗颈项软弱，三岁还不能行走。
五加皮
研为细末，用酒调敷头部骨骼上，同时内服酒以治疗行走迟缓。
虎骨丸 治疗脚部软弱、行走迟缓。
虎胫骨（酥炙） 生地黄 酸枣仁 茯苓 防风 川芎 牛膝 肉桂（各等分）
以上药材研为细末，用炼蜜制成丸药，如麻子大小。每次服用十丸，用酒送下或用木瓜汤送下。
牛膝散 治疗小儿三岁还不能行走。
五加皮（六钱） 牛膝 木瓜（半两）
以上药材研为细末，每次服用一钱，用米饮调服，随后加入二、三滴酒服用。
For infantile rectal prolapse, moxibustion is applied to the Baihui acupoint (GV20), located in the center of the vertex where the hair whorls meet. Three moxa cones, each the size of a wheat grain, are burned, and the condition stops immediately.
(25)
The "Five Flaccidities" syndrome, also known as fetal deficiency (Tai Qie), is primarily caused by insufficient seminal essence of the father and declining qi and blood of the mother. It may result from conception when the mother's qi and blood are weak; from maternal illness during pregnancy; from excessive sexual indulgence by parents leading to physical weakness; from advanced parental age at conception; from prematurity (insufficient gestational months); or from surviving an attempted abortion with abortifacient herbs. These factors deplete true qi. After birth, the essence and qi are not充盈 (full), leading to flaccid sinews and bones, emaciated muscles, dull spirit and slow demeanor, resulting in weakness of the head, neck, hands, feet, and body, termed the "Five Flaccidities." The verse states: Innate qi is deficient and marrow is unfulfilled, making one susceptible to attack by the Six Exogenous Pathogens (Liu Yin). Weakness of the head, hands, feet, and body characterizes this syndrome, collectively named Five Flaccidities.
The "Five Stiffnesses" syndrome presents with a stiff neck unable to look down, qi stagnation in the chest and diaphragm, and cold, hard soles of the hands and feet, termed the "Five Stiffnesses." Another presentation involves a distended abdomen with visible blue veins and lack of flexibility, for which accumulation-resolving formulas are appropriate; hardness in the heart and abdomen also falls under this category.
Xie Qing Wan (Drain Blue Pill) treats the Five Flaccidities and Five Stiffnesses. (Formula seen previously.)
Tie Xiang San (Neck-Attaching Powder) is applied externally to treat the Five Flaccidities.
Zhi Fuzi (Prepared Rhizoma Aconiti Lateralis) Zhi Nanting (Prepared Rhizoma Arisaematis). Each: 2 qian.
Pulverized into powder, mixed with ginger juice, and applied as a plaster to the affected area.
Wujia Pi San (Acanthopanacis Cortex Powder) treats neck flaccidity and inability to walk by age three.
Wujia Pi (Cortex Acanthopanacis)
Pulverized into powder, applied to the cranial bones with wine, and taken internally with wine to treat delayed walking.
Hugu Wan (Tiger Bone Pill) treats leg flaccidity and delayed walking.
Su Zhi Hujinggu (Succus Ossis Tigris prepared with butter) Sheng Dihuang (Radix Rehmanniae Recens) Suanzaoren (Semen Ziziphi Spinosae) Fuling (Poria) Fangfeng (Radix Saposhnikoviae) Chuanxiong (Rhizoma Chuanxiong) Niuxi (Radix Achyranthis Bidentatae) Rougui (Cortex Cinnamomi). Equal parts.
Pulverized into powder, mixed with refined honey to form pills the size of hemp seeds. Take ten pills per dose, swallowed with wine or Huagua Tang (Quince Decoction).
Niuxi San (Achyranthes Powder) treats infants unable to walk by age three.
Wujia Pi (Cortex Acanthopanacis): 6 qian. Niuxi (Radix Achyranthis Bidentatae) Huagua (Fructus Chaenomelis): 0.5 liang.
Pulverized into powder. Take 1 qian per dose, mixed with rice drink, followed by two or three drops of wine.