〔巢〕儿自变蒸至能言，随日数、血脉骨节备，髌骨成，即能行，骨是髓养，禀
生气血不足者，髓不充强，故骨不成，数岁不能行。〔张〕凡儿生至周岁三百六十
日，膝骨成，乃能行。近世小儿多因父母气血虚弱，故令胎气不强，骨气软弱，筋
脉无力，不能行步，麝茸丹主之，曾经大效。
〔汤〕小儿禀受血气不足者，则髓不满，骨故软弱而不能行。肾主髓，治法当用
钱氏补肾地黄丸加鹿茸、五加皮、麝香，则髓生而骨强，自然行矣。外甥黄知录之
子，三岁不能行，遂合此方服之，有验。
〔张〕麝茸丹 治数岁不能行。
麝香（别研） 茄茸（酥炙黄） 生干地黄 虎胫骨（酥涂，炙黄） 当归（洗，焙干） 黄 （锉）
上件各一两，为细末，用羊髓四两煮烂和成膏，如黍米大。每服十粒，摩沉香
汤下，乳食前，日三服。
〔钱〕羚羊角丸 治小儿肾虚，或病后筋骨弱，五六岁不能行，宜补益肝肾。
羚羊角（尖细而节密者，错取末） 虎胫骨（敲破，涂酥炙黄） 生干地黄（焙） 酸枣仁（去皮秆，炒） 白茯
苓（各半两） 桂（去皮，取有味处，不见火） 防风（去芦头，切，焙） 当归（同上） 黄 （切、焙。各二钱半）
上，同为细末，炼蜜和成剂。每服一皂子大，儿大者加之，食前，温水化下，
日三四服，久服取效。
《圣惠》生干地黄丸 治儿十岁不行。
生地黄 当归（焙） 防风 酸枣仁（微炒） 赤茯苓 黄 芎 羚羊角 羌活 甘
草（炙微赤） 桂心（各等分）
上捣罗，蜜丸如绿豆大。食前温酒下十丸，量儿加减。
虎骨散
虎胫骨（酒炙） 生干地黄 酸枣仁（酒浸，去皮，炒香） 辣桂（去皮） 白茯苓（去皮） 防风（去芦叉）
当归（去芦） 川芎 牛膝（酒浸，去芦。各等分）
上，为极细末。每服一钱半，以粥饮调，次入好酒二滴，再调，食前服，日二。
一方用炼蜜丸，如黍米大。木瓜汤下。
《三因》五加皮散 治小儿三岁不能行者，由受气不足，体力虚怯，腰脊脚膝筋骨软，
足故不能行。用真五加皮为末，粥饮调，次入好酒少许，每服一栗壳许，日三服，
效。一方，五加皮二钱半，木瓜一钱二分半，为极细末。用粥饮入酒二滴，调服。
《宝鉴》儿骨热，肺脉寒，长不能行。《颅囟》儿自小伤抱，脚纤细无力，行立不得，
或骨热疳劳，肌肉消瘦。宜服柴胡饮
柴胡 鳖甲（米醋涂，炙黄） 知母 桔梗 枳壳（去穣，麸炒） 玄参 升麻
上件，各等分，细锉。三岁以下药半两，水五合，煎二合，分二服，空心食前。
后忌毒物。服后澡浴。
澡浴方
苦参 茯苓皮 苍术 桑白皮 白矾（各半两） 葱白（少许）
上锉，沸水二升，浸药一两通，与儿浴，温处避风。
《千金》治数岁不行方
葬家未开户，盗食与哺，日三，便行（翼云∶未闭户，婴孺就墓门中哺）
《宝鉴》灸两足踝各三壮。
良方左经丸 治筋骨诸疾，手足不随，不能行步运动。
草乌头（生，肉白者，去皮脐） 木鳖（去壳） 白胶香 五灵脂（各三两半） 当归（一两） 斑蝥（去翅足，
一百枚，少醋煮熟）
上为末，黑豆去皮生杵粉一斤，醋糊丸鸡头实大。酒磨下一丸，不曾针灸
伤筋络者，四五丸必效。十岁儿一丸分三服。此药能通荣卫，导经络，专治心肾
肝三经，服后小便少，淋涩，乃其验也。
按∶此方，非内有污血痼积不宜用。
丁时发治大人小儿锉骨，行步艰难，脚无力。续命丹
防风 乳香 蔓荆子 牛膝 麻黄 羚羊角 酸枣仁 草乌头（去皮） 没药 白术
茯苓（各二钱半） 天麻（酒煮） 胡麻（炒） 当归 续断（各半两） 川乌头（去皮） 黄 （各四钱） 蒺藜
（一钱二分半）
上为细末，蜜丸小弹大。每服一丸，煎酒，细嚼，一日三五服，用后洗药。服
药三日方洗。
草乌头 当归 地龙 木鳖子 紫贝草 椒目 葱须 荆芥（各一两）
为末，煎汤，露脚指甲，从上淋洗。次用熏法。
熏药方
柴胡 草乌头 赤小豆 吴茱萸 羌活 晚蚕砂（各一两）
末黑豆三升，热水泡，少顷，去黑豆，入前药煮，盆盛，熏锉闪处，令出骨中汗。
【巢元方】小儿从变蒸期到能够说话，随着日数增长，血脉、骨节完备，髌骨形成，就能行走。骨骼由骨髓滋养，如果禀受的气血不足，骨髓就不充盈强壮，因此骨骼不能长成，导致几岁还不能行走。
【张氏】凡是婴儿出生到周岁三百六十天，膝骨形成，才能行走。近代的小儿多因为父母气血虚弱，致使胎气不强，骨气软弱，筋脉无力，不能行走，用麝茸丹主治，曾经非常有效。
【汤氏】小儿禀受的血气不足，则骨髓不满，骨骼因此软弱而不能行走。肾主骨髓，治疗方法应当使用钱乙的补肾地黄丸，加入鹿茸、五加皮、麝香，这样骨髓生成而骨骼强壮，自然就能行走了。外甥黄知录的儿子，三岁不能行走，于是服用此方，有疗效。
【张氏】麝茸丹：治疗几岁不能行走。
麝香（单独研磨）、茄茸（用酥油炙至黄色）、生干地黄、虎胫骨（涂酥油，炙至黄色）、当归（洗净，焙干）、黄芪（锉碎）。
以上各一两，研成细末，用羊髓四两煮烂调和成膏，制成如黍米大小的丸剂。每次服用十粒，用摩沉香汤送服，在吃乳食之前，每天三次。
【钱乙】羚羊角丸：治疗小儿肾虚，或者病后筋骨虚弱，五六岁不能行走，适宜补益肝肾。
羚羊角（尖细且节密的，锉取粉末）、虎胫骨（敲破，涂酥油炙黄）、生干地黄（焙干）、酸枣仁（去皮壳，炒）、白茯苓（各半两）、桂枝（去皮，取有味处，不经过火烤）、防风（去芦头，切，焙干）、当归（同上处理）、黄芪（切，焙干，各二钱半）。
以上共同研成细末，炼蜜调和成药剂。每次服用一皂荚子大小的量，年龄大的儿童增加剂量，饭前，温水化开送下，每天三四次，久服见效。
《太平圣惠方》生干地黄丸：治疗儿童十岁仍不能行走。
生地黄、当归（焙干）、防风、酸枣仁（微炒）、赤茯苓、黄芪、川芎、羚羊角、羌活、甘草（炙至微红）、桂心（各等分）。
以上捣碎过筛，炼蜜制成如绿豆大小的丸剂。饭前温酒送下十丸，根据儿童情况加减剂量。
虎骨散：
虎胫骨（酒炙）、生干地黄、酸枣仁（酒浸，去皮，炒香）、辣桂（去皮）、白茯苓（去皮）、防风（去芦叉）、当归（去芦）、川芎、牛膝（酒浸，去芦。各等分）。
以上研成极细末。每次服用一钱半，用粥饮调服，再滴入好酒两滴，再次调匀，饭前服用，每天两次。
另一方法用炼蜜制成丸剂，如黍米大小，用木瓜汤送服。
《三因极一病证方论》五加皮散：治疗小儿三岁不能行走的，是由于受气不足，体力虚怯，腰脊脚膝筋骨软弱，所以足不能行走。用真五加皮研末，粥饮调服，再滴入少许好酒，每次服用一栗壳许的量，每天三次，有效。另一种方法，五加皮二钱半，木瓜一钱二分半，研成极细末。用粥饮加入两滴酒，调服。
《幼幼新书》记载：小儿骨热，肺脉寒，长期不能行走。《颅囟经》记载：小儿从小被抱伤，脚纤细无力，不能行立，或者骨热疳劳，肌肉消瘦。适宜服用柴胡饮。
柴胡、鳖甲（米醋涂，炙黄）、知母、桔梗、枳壳（去瓤，麸炒）、玄参、升麻。
以上各等分，细锉。三岁以下用药半两，水五合，煎至二合，分两次服用，空腹饭前。
服药后忌食毒物。服药后洗澡。
澡浴方：
苦参、茯苓皮、苍术、桑白皮、白矾（各半两）、葱白（少许）。
以上锉碎，沸水二升，浸泡药一两一整夜，给小儿洗浴，在温暖处避风。
《千金方》治疗几岁不能行走的方子：
葬家未开户时，盗食喂养婴儿，每天三次，便能行走。（翼云注：未闭户，婴孺就墓门中哺）
《幼幼新书》灸两足踝各三壮。
良方左经丸：治疗筋骨各种疾病，手足不遂，不能行走运动。
草乌头（生，肉白色者，去皮脐）、木鳖子（去壳）、白胶香、五灵脂（各三两半）、当归（一两）、斑蝥（去翅足，一百枚，少醋煮熟）。
以上研末，黑豆去皮生杵粉一斤，醋糊制成鸡头实大小的丸剂。酒磨下一丸，未曾针灸伤及筋络者，四五丸必效。十岁儿童一丸分三次服。此药能通营卫，导经络，专治心、肾、肝三经，服药后小便减少，淋涩，是其验征。
按语：此方，非内有污血痼积不宜使用。
丁时发治疗大人小儿锉骨，行走艰难，脚无力。续命丹：
防风、乳香、蔓荆子、牛膝、麻黄、羚羊角、酸枣仁、草乌头（去皮）、没药、白术、茯苓（各二钱半）、天麻（酒煮）、胡麻（炒）、当归、续断（各半两）、川乌头（去皮）、黄芪（各四钱）、蒺藜（一钱二分半）。
以上研成细末，蜜丸如小弹丸大。每次服用一丸，煎酒，细嚼，一天三五次，配合后面的洗药使用。服药三天后才洗。
洗药方：
草乌头、当归、地龙、木鳖子、紫贝草、椒目、葱须、荆芥（各一两）。
研末，煎汤，露出脚指甲，从上淋洗。其次用熏法。
熏药方：
柴胡、草乌头、赤小豆、吴茱萸、羌活、晚蚕砂（各一两）。
末黑豆三升，热水泡，一会儿，去掉黑豆，放入前面的药煮，盆盛，熏锉闪处，令出骨中汗。
[Chao Yuanfang] From the period of bianzheng (periodic physiological changes in infants) to the ability to speak, as days pass, the blood vessels, bone joints become complete, and the patella forms, enabling walking. Bones are nourished by marrow; if the innate Qi and Blood are insufficient, the marrow will not be full and strong, thus bones fail to develop properly, resulting in an inability to walk even after several years.
[Zhang Shi] For infants, upon reaching one year of age (360 days), the knee bones form, enabling them to walk. In recent times, many children suffer from weak fetal Qi due to their parents' deficiency of Qi and Blood, leading to weak bone Qi, softness of bones, and powerless sinews and vessels, preventing them from walking. She Xiang Rong Dan (Musk and Deer Antler Pill) is indicated for this condition and has proven highly effective.
[Tang Shi] When children have insufficient innate Qi and Blood, the marrow is not full, causing bones to be soft and unable to support walking. The Kidney governs the marrow; therefore, treatment should employ Qian Yi's Bu Shen Di Huang Wan (Kidney-Nourishing Rehmannia Pill) supplemented with Lu Rong (Deer Antler), Wu Jia Pi (Acanthopanacis Cortex), and She Xiang (Musk). This promotes marrow generation and strengthens bones, naturally restoring the ability to walk. My nephew Huang Zhilu’s son could not walk at three years old; upon administering this formula, there was a verified effect.
[Zhang Shi] She Xiang Rong Dan (Musk and Deer Antler Pill): Treats inability to walk after several years.
She Xiang (Musk, separately ground), Qie Rong (Deer Antler, fried with butter until yellow), Sheng Gan Di Huang (Dried Raw Rehmanniae Radix), Hu Jing Gu (Tigri Tarsi, coated with butter and fried until yellow), Dang Gui (Angelicae Sinensis Radix, washed and dried), Huang Qi (Astragali Radix, sliced).
Each ingredient above is taken in equal amounts (one liang), ground into fine powder. Mix with four liang of sheep marrow boiled until soft to form a paste, shaped into pills the size of millet seeds. Take ten pills per dose, administered with Mo Chen Xiang Tang (Agarwood Decoction), before milk or food intake, three times daily.
[Qian Yi] Ling Yang Jiao Wan (Antelope Horn Pill): Treats pediatric Kidney deficiency or post-illness weakness of sinews and bones, where children aged five or six cannot walk. It is suitable for tonifying the Liver and Kidney.
Ling Yang Jiao (Antelopi Cornu, use tips that are fine and dense, grind into powder), Hu Jing Gu (Tigri Tarsi, cracked, coated with butter and fried until yellow), Sheng Gan Di Huang (Dried Raw Rehmanniae Radix, dried), Suan Zao Ren (Ziziphi Spinosae Semen, skin and kernel removed, stir-fried), Bai Fu Ling (Poria, half liang each), Gui Zhi (Cinnamomi Ramulus, bark removed, take aromatic parts, avoid direct fire), Fang Feng (Saposhnikoviae Radix, remove radicle tip, slice, dry), Dang Gui (Angelicae Sinensis Radix, same processing as above), Huang Qi (Astragali Radix, slice and dry, two qian half each).
Grind all together into fine powder, mix with refined honey to form pills. Take a dose the size of a soap pod; increase for older children. Administer before meals, dissolved in warm water, three to four times daily. Long-term use yields results.
*Taiping Shenghui Fang* Sheng Gan Di Huang Wan (Dried Raw Rehmannia Pill): Treats children who cannot walk up to ten years of age.
Sheng Di Huang (Raw Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix, dried), Fang Feng (Saposhnikoviae Radix), Suan Zao Ren (Ziziphi Spinosae Semen, lightly stir-fried), Chi Fu Ling (Red Poria), Huang Qi (Astragali Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ling Yang Jiao (Antelopi Cornu), Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red), Gui Xin (Cinnamomi Cortex, equal parts).
Pulverize and sieve, mix with refined honey to form pills the size of mung beans. Take ten pills before meals with warm wine, adjusting dosage according to the child's condition.
Hu Gu San (Tiger Bone Powder):
Hu Jing Gu (Tigri Tarsi, wine-fried), Sheng Gan Di Huang (Dried Raw Rehmanniae Radix), Suan Zao Ren (Ziziphi Spinosae Semen, soaked in wine, skin removed, fried until fragrant), La Gui (Cinnamomi Cortex, bark removed), Bai Fu Ling (Poria, skin removed), Fang Feng (Saposhnikoviae Radix, remove radicle fork), Dang Gui (Angelicae Sinensis Radix, remove radicle), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, remove radicle, equal parts).
Grind into extremely fine powder. Take 1.5 qian per dose, mixed with porridge drink, add two drops of good wine, mix well, take before meals, twice daily.
Alternative method: Form pills with refined honey, size of millet seeds, administer with Mu Gua Tang (Papaya Decoction).
*Sanyin Fang* Wu Jia Pi San (Acanthopanacis Cortex Powder): Treats children aged three who cannot walk, caused by insufficient reception of Qi, physical weakness, and softness of sinews and bones in the waist, spine, legs, and knees. Use genuine Wu Jia Pi (Acanthopanacis Cortex) ground into powder, mixed with porridge drink and a small amount of good wine. Take an amount equivalent to a walnut shell per dose, three times daily. Effective.
Alternative: Wu Jia Pi (Acanthopanacis Cortex) 2.5 qian, Mu Gua (Chaenomelis Fructus) 1.25 qian, ground into extremely fine powder. Mix with porridge drink and two drops of wine, administer.
*You You Xin Shu* records: Pediatric bone heat with Lung pulse cold leads to long-term inability to walk. *Lun Xin Jing* records: Infants injured by improper holding since birth have slender, weak legs and cannot stand or walk, or suffer from bone heat, Guan syndrome (malnutrition), and emaciation. Chai Hu Yin (Bupleurum Decoction) is indicated.
Chai Hu (Bupleuri Radix), Bie Jia (Testudinis Carapax et Plastrum, coated with rice vinegar and fried until yellow), Zhi Mu (Anemarrhenae Rhizoma), Jie Geng (Platycodonis Radix), Zhi Ke (Aurantii Fructus Immaturus, pulp removed, bran-fried), Xuan Shen (Scrophulariae Radix), Sheng Ma ( Cimicifugae Rhizoma, equal parts).
Cut finely. For children under three years, use half a liang of herbs, boil in five he of water until reduced to two he. Divide into two doses, taken on an empty stomach before meals.
Avoid toxic foods after administration. Bathe after taking the medicine.
Bathing Formula:
Ku Shen (Sophorae Flavescentis Radix), Fu Ling Pi (Poria Peridium), Cang Zhu (Atractylodis Rhizoma), Sang Bai Pi (Mori Cortex), Bai Fan (Alumen, half liang each), Cong Bai (Allii Fistulosi Bulbus, small amount).
Cut coarsely, steep one liang of herbs in two sheng of boiling water overnight. Bathe the child in the solution, keeping warm and avoiding wind.
*Qian Jin Fang* Prescription for inability to walk after several years:
Feed the infant stolen food from a funeral house before the door is opened, three times a day, and they will begin to walk. (Yi Yun notes: Before closing the door, feed the infant at the tomb gate.)
*You You Xin Shu* Moxibustion: Three moxa cones on each ankle.
Liang Fang Zuo Jing Wan (Left Meridian Pill): Treats various sinew and bone diseases, hemiplegia, and inability to walk or move.
Cao Wu Tou (Aconiti Kusnezoffii Radix, raw, white flesh, remove skin and umbilicus), Mu Bie Zi (Momordicae Semen, remove shell), Bai Jiao Xiang (Elemi Resina), Wu Ling Zhi (Trogopterori Faeces, three liang half each), Dang Gui (Angelicae Sinensis Radix, one liang), Ban Mao (Mylabris, remove wings and feet, 100 pieces, cooked with little vinegar).
Grind into powder, mix with one jin of black bean powder (raw, pounded), use vinegar paste to form pills the size of corn kernels. Dissolve one pill in wine and take. For those without meridian injury from acupuncture/moxibustion, four to five pills are definitely effective. For a ten-year-old, divide one pill into three doses. This medicine unites Ying and Wei, guides meridians, and specifically treats the Heart, Kidney, and Liver meridians. A decrease in urination and dysuria after administration indicates efficacy.
Note: This formula is not suitable unless there is internal stagnant blood or chronic accumulation.
Ding Shifa treated adults and children with "cracked bones" (severe joint pain/weakness), difficulty walking, and leg weakness using Xu Ming Dan (Life-Prolonging Pill):
Fang Feng (Saposhnikoviae Radix), Ru Xiang (Olibanum), Man Jing Zi (Vittariae Spora), Niu Xi (Achyranthis Bidentatae Radix), Ma Huang (Ephedrae Herba), Ling Yang Jiao (Antelopi Cornu), Suan Zao Ren (Ziziphi Spinosae Semen), Cao Wu Tou (Aconiti Kusnezoffii Radix, remove skin), Mo Yao (Myrrha), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria, two qian half each), Tian Ma (Gastrodiae Rhizoma, wine-boiled), Hu Ma (Sesami Fructus, fried), Dang Gui (Angelicae Sinensis Radix), Xu Duan (Dipsaci Radix, half liang each), Chuan Wu Tou (Aconiti Radix Preparata, remove skin), Huang Qi (Astragali Radix, four qian each), Ji Li (Tribuli Fructus, 1.25 qian).
Grind into fine powder, form pills with honey the size of small bullets. Take one pill per dose, chew thoroughly with decocted wine, three to five times daily. Follow with the external wash prescription. Wash only after three days of medication.
Wash Prescription:
Cao Wu Tou (Aconiti Kusnezoffii Radix), Dang Gui (Angelicae Sinensis Radix), Di Long (Pheretima), Mu Bie Zi (Momordicae Semen), Zi Bei Cao (Commelinae Herba), Jiao Mu (Zanthoxyli Semen), Cong Xu (Allii Fistulosi Caulis), Jing Jie (Schizonepetae Spica, one liang each).
Grind into powder, decoct in water. Expose toenails and pour the liquid over them from top to bottom. Follow with fumigation.
Fumigation Prescription:
Chai Hu (Bupleuri Radix), Cao Wu Tou (Aconiti Kusnezoffii Radix), Chi Xiao Dou (Adzuki Bean), Wu Zhu Yu (Evodiae Fructus), Qiang Huo (Notopterygii Rhizoma et Radix), Wan Can Sha (Bombyx Batryticatus, one liang each).
Three sheng of black bean powder, soak in hot water. After a short while, remove beans, add the aforementioned herbs, boil. Place in a basin and fumigate the area of sprain/fracture to induce sweating from the bones.