（第二十九）
《保幼须知》云∶言，心之声也。小儿在胎时，其母卒有惊怖，邪气乘心，故儿感受
母气，心宫不守，舌本不通。四、五岁而不能言者，菖蒲丸。
菖蒲丸
石菖蒲 人参 麦门冬 远志 当归 川芎（各三钱） 乳香 朱砂（各二钱）
上为末，炼蜜丸，麻子大。每服十丸，粳米饮下。
（第三十）
聂氏云∶禀受肾气不足者，则齿生而迟。齿乃骨之余，骨乃肾之候，肾不足故骨不
长，而齿生迟也。
芎黄散 治齿迟。
川芎（半两） 当归 白芍药 生地黄 山药 炙甘草（各二钱）
上未，白汤调，以末掺齿根。
（第三十一）
聂氏云∶儿生至周岁，三百六十日膝骨成，乃能行也。近世小儿，多因父母气血虚弱，
故胎气不强，骨髓软弱，故不能行也。
五加皮散 治行迟脚软。
五加皮 川牛膝 宣木瓜（各等分，为细末）
上米饮调服，入酒一、二滴。
虎骨丸小儿骨弱不能行者。（方见前。）
（第三十二）
小儿禀受不足，气血不充，故肌肉瘦薄，骨节呈露，状如鹤膝，抑亦肾虚得之。肾虚则
精髓内耗，肤革不
荣，易为邪气所袭，日就枯悴，其殆鹤膝之节乎？
加味地黄丸 治小儿鹤膝。
熟地黄（煮烂捣，四两） 山茱萸肉 山药（各二两） 泽泻（一两） 牡丹皮 白茯苓（各半两）
鹿茸（酥炙） 牛膝（各二钱）
上为末，面糊丸，如黍米大。三岁儿以上与十五丸。
肺俞穴、膈俞穴，以及小儿中指中节进行艾灸，艾炷大小如小麦粒，各灸三壮，用于治疗龟背。
（第二十九）
《保幼须知》中说：言语是心的声音。小儿在母胎中时，如果母亲突然受到惊吓恐惧，邪气乘虚侵入心脏，因此胎儿受母体气息影响，导致心宫不守，舌根不通畅。对于四、五岁还不能说话的小儿，使用菖蒲丸治疗。
菖蒲丸
石菖蒲、人参、麦门冬、远志、当归、川芎（各三钱）、乳香、朱砂（各二钱）
以上药物研为细末，用炼蜜制成丸剂，大小如麻子。每次服用十丸，用粳米汤送服。
（第三十）
聂氏说：禀受肾气不足的人，牙齿生长就会迟缓。牙齿是骨骼的余气所生，骨骼是肾脏功能的外候，肾气不足所以骨骼不长，因而牙齿生长迟缓。
芎黄散 治疗牙齿生长迟缓。
川芎（半两）、当归、白芍药、生地黄、山药、炙甘草（各二钱）
以上药物研为细末，用白开水调匀，将药末掺敷在齿根上。
（第三十一）
聂氏说：婴儿出生到一周岁，三百六十天膝盖骨形成，才能行走。近代的小儿，多因为父母气血虚弱，导致胎气不强，骨髓软弱，所以不能行走。
五加皮散 治疗行走迟缓、脚部软弱。
五加皮、川牛膝、宣木瓜（各等分，研为细末）
以上药物用米饮调服，加入一两滴酒。
虎骨丸 治疗小儿骨骼软弱不能行走。（方剂见前文。）
（第三十二）
小儿禀受先天之气不足，气血不充盈，所以肌肉瘦薄，骨节显露，形状像鹤的膝盖，这也是肾虚所致。肾虚则精髓内耗，皮肤筋骨得不到荣养，容易遭受邪气侵袭，日渐枯槁憔悴，这大概就是鹤膝风的症状吧？
加味地黄丸 治疗小儿鹤膝风。
熟地黄（煮烂捣泥，四两）、山茱萸肉、山药（各二两）、泽泻（一两）、牡丹皮、白茯苓（各半两）、鹿茸（酥炙）、牛膝（各二钱）
以上药物研为细末，用面糊制成丸剂，大小如黍米。三岁以上的儿童每次服用十五丸。
Feishu (BL13, Lung Shu) and Geshu (BL17, Diaphragm Shu), as well as the middle phalanx of the little finger in children, are moxibusted. The moxa cone is sized like a wheat grain, three moxa cones per acupoint, to treat torticollis with kyphosis (turtle back).
(29)
"Bao You Xu Zhi" (Prerequisites for Preserving and Nurturing Infants) states: Speech is the voice of the Heart. When a fetus is in the womb, if the mother suddenly experiences fright or terror, pathogenic qi enters the Heart. Consequently, the fetus is affected by the maternal qi, causing the Heart Palace to lose its guardianship and the root of the tongue to become obstructed. For children aged four or five who cannot yet speak, Changpu Wan (Acorus Pill) is used.
Changpu Wan (Acorus Pill)
Shi Changpu (Rhizoma Acori Tatarinowii), Renshen (Radix Ginseng), Maidong (Radix Ophiopogonis), Yuanzhi (Radix Polygalae), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong) (each 3 qian), Xurxiang (Resina Frankincense), Zhusha (Cinnabaris) (each 2 qian).
Grind all ingredients into fine powder. Mix with refined honey to make pills, sized like hemp seeds. Take ten pills each time, swallowed with rice gruel.
(30)
Nie Shi said: Those with insufficient congenital Kidney Qi will experience delayed tooth eruption. Teeth are considered the surplus of bones, and bones are the manifestation of the Kidneys. Due to Kidney deficiency, bones do not grow properly, resulting in delayed tooth eruption.
Xionghuang San (Ligusticum and Rhubarb Powder) treats delayed tooth eruption.
Chuanxiong (Rhizoma Chuanxiong) (0.5 liang), Danggui (Radix Angelicae Sinensis), Baishaoyao (Radix Paeoniae Lactiflorae), Shengdihuang (Radix Rehmanniae Preparata), Shanyao (Rhizoma Dioscoreae), Zhi Gancao (Radix Glycyrrhizae Preparata) (each 2 qian).
Grind all ingredients into fine powder. Mix with warm water and apply the powder directly to the gum roots.
(31)
Nie Shi said: By one year of age (360 days), the knee bones of an infant form, enabling them to walk. In recent times, many children cannot walk because their parents have weak Qi and Blood, leading to weak fetal Qi and soft bone marrow.
Wujiapi San (Acanthopanacis Cortex Powder) treats delayed walking and weak legs.
Wujiapi (Cortex Acanthopanacis Senticosi), Chuan Niuxi (Radix Achyranthis Bidentatae), Xuan Mugua (Fructus Chaenomelis) (equal parts, ground into fine powder).
Take mixed with rice drink, adding one or two drops of wine.
Hugu Wan (Tiger Bone Pill) treats children with weak bones unable to walk. (Formula see previous section.)
(32)
Children with insufficient congenital endowment lack sufficient Qi and Blood, resulting in thin muscles and exposed joints, resembling the knee of a crane. This is also caused by Kidney deficiency. Kidney deficiency leads to internal depletion of essence and marrow, causing the skin and integument to lose nourishment. They are easily attacked by pathogenic qi, becoming increasingly emaciated and withered; this condition is likely what is referred to as "crane knee" (rickets with joint deformity).
Jiawei Dihuang Wan (Modified Rehmannia Pill) treats pediatric crane knee.
Shudihuang (Radix Rehmanniae Preparata) (boiled until soft and mashed, 4 liang), Shanzhuyu (Fructus Corni Officinalis), Shanyao (Rhizoma Dioscoreae) (each 2 liang), Zexie (Rhizoma Alismatis), Mudanpi (Cortex Moutan Radicis), Bai Fuling (Poria) (each 0.5 liang), Lurong (Cornu Cervi Pantotrichum) (roasted with butter), Niuxi (Radix Achyranthis Bidentatae) (each 2 qian).
Grind all ingredients into fine powder. Mix with flour paste to make pills, sized like millet grains. Children over three years old take fifteen pills each time.