〔钱〕虚羸，脾胃不和，不能食乳，致肌瘦，亦因大病，或吐泻后，脾胃尚弱，不能传化谷气。有冷者，
时时下痢，唇口青白。有热者身壮热，肌肉微黄，此冷热虚羸也。冷者，木香丸主之，夏月不可服，如
有证则少服之。热者胡黄连丸。冬月不可服，如有证则少服之。（虚羸与疳门同治也。木香丸、胡黄连丸方
并见疳条。）
〔汤〕小儿疳积，其状渐黄瘦，拍背如鼓鸣，脊骨如锯，乃积而生热成疳也，宜服芦荟丸、露星膏。
芦荟丸
龙胆草 黄连 芜荑（去皮，先炒黄色，次入前二味，一处炒赤色。各一两）
上为末，另入芦荟一分，和匀，烂饭丸如黍米大。三岁儿服三十丸，空心，米饮送下。
露星膏
黄 （蜜水炙） 胡黄连 地骨皮 柴胡（各等分）
上为末，炼蜜丸如芡实大。隔宿酒浸，露一宿，次日澄去酒，薄荷汤浸服之。
〔钱〕橘连丸 治疳瘦，久服消食和气，长肌肉。
橘皮（一两） 黄连（米泔浸一宿，一两半）
上为细末。另研入麝香五分，用猪胆七个，分药入胆内，浆水煮，候临熟，以针微刺破，以熟为度，
煮粟米粥，和丸如绿豆大。每服十丸至二三十丸，米饮下，量儿加减，无时。（海藏云∶黄连苦燥可以泻
脾火，长肌肉。）
二圣丸 治小儿脏腑，或好或泻，久不愈，羸瘦，宜常服。
黄连（去须） 黄柏（去粗皮。各一两）
上为细末，入猪胆内，重汤煮熟，丸如绿豆大。每服二三十丸，米饮下，量儿加减，频服无妨。
〔洁〕小儿疳病，肌羸，血气不足，同大人劳瘵之疾治之。
上以洁古此言论之，不拘冷热虚羸，皆用四君子、地黄丸与前药相兼服为得也。
〔圣〕又方 治小儿尸疰劳瘦，或时寒热。方用鳖头一枚，烧灰杵末，新汲水下五分匕，立可。
〔《明》〕羸瘦不生肌肤∶胃 （灸一壮。）
〔田〕小儿疳瘦。于胸下骨尖上灸三壮，次于脊下端尾翠骨尖上灸三壮。
小儿疳瘦脱肛，体瘦渴饮，形容瘦悴，诸方不瘥者，取尾翠骨上三寸骨陷中灸三壮。
小儿身羸瘦，贲豚腹肿，四肢懈惰，肩背不举，章门二穴，各灸七壮。
〔世〕母气不足，则羸瘦肉极。
【钱乙】虚羸证，因脾胃不和，不能进食乳食，导致肌肉消瘦；也常因大病之后，或吐泻之后，脾胃依然虚弱，无法运化水谷精微。其中属寒证的，时常腹泻下痢，嘴唇和口色青白；属热证的，身体高热，肌肉微黄，这称为冷热型虚羸。寒证用木香丸主治，夏季不宜服用，若有相应症状则少量服用；热证用胡黄连丸主治，冬季不宜服用，若有相应症状则少量服用。（虚羸与疳积门的治疗原则相同。木香丸、胡黄连丸的方剂详见疳条。）
【汤氏】小儿疳积，其症状逐渐表现为面色萎黄、身体消瘦，拍打背部声音如鼓鸣，脊骨突出如锯齿状，这是由积滞产生内热而成疳，适宜服用芦荟丸、露星膏。
芦荟丸
龙胆草、黄连、芜荑（去皮，先炒至黄色，再与前两味药一起炒至赤色。各一两）
以上药物研为细末，另加入一分芦荟粉，混合均匀，用烂饭制成如黍米大小的丸剂。三岁的儿童每次服用三十丸，空腹时以米汤送服。
露星膏
黄芪（用蜜水炙）、胡黄连、地骨皮、柴胡（各等分）
以上药物研为细末，用炼蜜制成如芡实大小的丸剂。隔宿用酒浸泡，露天放置一夜，次日澄清去掉酒液，用薄荷汤浸服。
【钱乙】橘连丸，治疗疳积消瘦，长期服用可消食和气，促进肌肉生长。
橘皮（一两）、黄连（用米泔水浸泡一夜，一两半）
以上药物研为细末。另外研磨入五分麝香，取七个猪胆，将药粉分装入胆内，在浆水中煮，等到快要煮熟时，用针微微刺破，以煮熟为标准。煮粟米粥，调和药丸如绿豆大小。每次服用十丸至二三十丸，以米汤送服，根据患儿情况增减剂量，不拘时间。（张元素云：黄连苦燥可以清泻脾火，促进肌肉生长。）
二圣丸，治疗小儿脏腑功能紊乱，或便秘或腹泻，久治不愈，身体消瘦，适宜经常服用。
黄连（去须）、黄柏（去粗皮。各一两）
以上药物研为细末，放入猪胆内，隔水炖熟，制成如绿豆大小的丸剂。每次服用二三十丸，以米汤送服，根据患儿情况增减剂量，频繁服用无妨。
【李杲】小儿疳病，肌肉消瘦，血气不足，应参照成人劳瘵病的治法进行治疗。
上述引用洁古（李杲）此言论，认为不论冷热虚羸，都使用四君子汤、地黄丸与前文所述药物配合服用最为得当。
【圣济经】又一方，治疗小儿尸疰劳瘦，或时有寒热症状。方用鳖头一枚，烧成灰后捣碎成末，用新汲取的冷水送服五分匕，立刻见效。
【田氏】小儿疳瘦。在胸下骨尖上灸三壮，接着在脊柱下端尾骶骨尖上灸三壮。
小儿疳瘦并伴有脱肛，身体消瘦口渴，面容憔悴，各种方药无效者，取尾骶骨上三寸处的骨陷中灸三壮。
小儿身体羸瘦，贲豚腹肿，四肢懈怠无力，肩背难以抬起，取章门穴，每穴各灸七壮。
【世医】母体气不足，则会导致婴儿羸瘦肉极。
[Qian Yi] Xu Lei (Emaciation and debility) syndrome arises from disharmony of the Spleen and Stomach, inability to digest milk and food, leading to emaciated muscles. It may also result from after a severe illness, or following vomiting and diarrhea, where the Spleen and Stomach remain weak and fail to transform and transport grain qi (nutritive essence). In cold-type cases, there is frequent dysentery/diarrhea, with blue-white lips and mouth. In heat-type cases, there is high fever and slightly yellowish muscles; this is termed Cold-Heat Xu Lei. For cold type, Muxiang Wan (Aucklandia Pill) is the primary treatment; it should not be taken in summer, but if symptoms arise, take a small dose. For heat type, Huhuanglian Wan (Coptis Pill) is used; it should not be be taken in winter, but if symptoms arise, take a small dose. (Xu Lei is treated similarly to Gan Ji [Infantile Malnutrition]. The formulas for Muxiang Wan and Huhuanglian Wan are found under the Gan Ji section.)
[Tang Shi] Infantile Gan Ji (accumulation transforming into malnutrition), characterized by gradual sallow complexion and emaciation, a drum-like sound upon patting the back, and a spine protruding like a saw, results from accumulation generating heat that transforms into Gan. It is suitable to administer Lushui Wan (Aloe Pill) and Luxing Gao (Luxing Ointment/Pill).
Lushui Wan
Longdan Cao (Gentianae Radix), Huanglian (Coptidis Rhizoma), Wuyi (Pruni Semen) (peeled, first stir-fried until yellow, then stir-fried together with the previous two ingredients until red. Each 1 liang).
Grind the above into powder, add 1 fen of Lushui (Aloeswood), mix evenly, and form pills using mushy rice, sized like millet grains. Children aged three years should take 30 pills on an empty stomach, delivered with rice water.
Luxing Gao
Huangqi (Astragali Radix) (honey-fried), Huhuanglian (Coptidis Rhizoma), Digupi (Lycii Cortex), Chaihu (Bupleuri Radix) (each in equal proportions).
Grind the above into powder, form pills using refined honey, sized like quinoa seeds. Soak overnight in wine, leave exposed to dew overnight, clarify and remove the wine the next day, and take infused in mint decoction.
[Qian Yi] Julian Wan treats Gan emaciation; long-term use aids digestion, harmonizes qi, and promotes muscle growth.
Jupi (Citri Reticulatae Pericarpium) (1 liang), Huanglian (Coptidis Rhizoma) (soaked in rice wash water overnight, 1.5 liang).
Grind the above into fine powder. Separately grind 5 fen of Shexiang (Moschus), place seven pig gallbladders, divide the medicine into the gallbladders, boil in starch water. When nearly cooked, pierce slightly with a needle, until fully cooked. Mix with millet porridge to form pills sized like mung beans. Take 10 to 20-30 pills each time, delivered with rice water, adjusting dosage according to the child's condition, at any time. (Zhang Yuansu stated: Huanglian's bitter dryness can clear Spleen fire and promote muscle growth.)
Ersheng Wan treats infantile organ dysfunction, whether constipation or diarrhea, persisting without cure, accompanied by emaciation; suitable for regular use.
Huanglian (Coptidis Rhizoma) (remove stamens), Huangbai (Phellodendri Cortex) (remove rough bark. Each 1 liang).
Grind the above into fine powder, place inside a pig gallbladder, cook thoroughly in double-boiled water, form pills sized like mung beans. Take 20-30 pills each time, delivered with rice water, adjusting dosage according to the child's condition; frequent administration is permissible.
[Liu Wansu/Li Dongyuan context - Note: Text attributes to Jie [Li Dongyuan/Gujie]] Infantile Gan disease, with emaciated muscles and insufficient blood and qi, should be treated similarly to adult Lao Zhai (consumption/chronic wasting disease).
Based on Gujie's aforementioned discussion, regardless of Cold-Heat Xu Lei, combining Sizijunzi Tang (Four Gentlemen Decoction), Dihuang Wan (Rehmannia Pill) with the aforementioned medicines is considered appropriate.
[Shengji Jing] Another prescription treats infantile Shizhu (corpse transmission/wasting disease) and Lao Shou (wasting emaciation), or intermittent chills and fever. Use one turtle head, burn to ash, grind to powder, deliver 5 fenzhi (a traditional measure) with fresh drawn water; effect is immediate.
[Mingtang] Emaciation and failure to generate flesh/muscle: Moxibustion on Weishu (Stomach Shu, BL21) (one moxa cone).
[Tian Shi] Infantile Gan emaciation. Moxibustion three cones on the sharp bone below the chest, followed by three cones on the sharp bone at the lower end of the spine (coccyx tip).
For infantile Gan emaciation with rectal prolapse, emaciation, thirst, haggard appearance, and unresponsive to various prescriptions: Moxibustion three cones in the bony depression three cun above the coccyx tip.
For infantile body emaciation, Ben Tun (fleeing gas) with abdominal swelling, flaccid limbs, inability to raise shoulders and back: Moxibustion Qimen (LR14) acupoint, seven cones on each side.
[Worldly Physicians] If the mother's qi is insufficient, it leads to extreme emaciation of the infant's flesh.