夫小儿羸瘦不生肌肉者。皆为脾胃不和。不能饮食。故血气衰弱。不能荣于肌肤也。凡
小儿在胎而遇寒冷。或生出时挟伏热。皆令儿不能饮食。故羸瘦也。挟热者。则身体壮热。
肌肉微
治小儿羸瘦。脾胃气弱。挟于宿食。不欲乳食。四肢不和。诃黎勒散方。
诃黎勒皮（半两） 黄 （一分锉） 人参（一分去芦头） 白术（一分） 藿香（一
分） 陈橘
皮（
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜少许。枣一枚。煎至五分。去滓
温服
治小儿羸瘦。脾胃虚冷。四肢不和。少欲乳食。丁香散方。
丁香（一分） 桂心（一分） 白术（一分） 人参（半两去芦头） 白茯苓（半两） 高
良姜
（一分）
姜汁炙
令香熟）
上件药。捣粗罗为散。每服一钱。以水一小盏。入枣一枚。煎至五分。去滓。量儿大小。
分
治小儿羸瘦。体热。面色萎黄。不欲乳食。黄 丸方。
黄 （半两锉） 赤芍药（半两） 麦门冬（一两去心焙） 人参（半两去芦头） 柴
胡（三分
去苗）
上件药。捣罗为末。炼蜜和丸。如麻子大。不计时候。以粥饮下五丸。量儿大小。以意
加减
治小儿羸瘦。体热。心神烦闷。小便赤黄。宜服秦艽丸方。
秦艽（半两去苗） 龙胆（一分去芦头） 桑根白皮（半两锉） 地骨皮（半两） 黄
（半两
锉）
两） 犀
角屑（
上件药。捣罗为末。炼蜜和丸。如绿豆大。不计时候。用粥饮下五丸。更随儿大小增减。
治小儿虽食。不着肌肤。羸瘦骨热。小便赤黄。麦门冬丸方。
麦门冬（一两去心焙） 人参（半两去芦头） 黄 （半两锉微炒） 黄连（半两去须）
青蒿
子（
微黄去
瓤）
上件药。捣罗为末。炼蜜和丸。如绿豆大。不计时候。以熟水研五丸服。量儿大小。以
意加
治小儿羸瘦。体热。乳食全少。宜服烧黄瓜丸方。
黄瓜（大者一枚） 黄连（半两去须） 胡黄连（一两） 陈橘皮（半两汤浸去白瓤焙）
鳖甲
（一
上件药。捣细罗为散。以黄瓜切开头。去瓤纳药末令满。以切下盖子盖之。用荞麦面和
溲。
和丸
治小儿羸瘦。气 。甘草丸方。
甘草（二两炙微赤锉）
上捣罗为末。炼蜜和丸。如绿豆大。每服。以温水下五丸。日三服。量儿大小。加减服
之。
凡是小儿身体消瘦、不长肌肉的，都是因为脾胃功能不和，不能正常进食，导致血气衰弱，无法滋养肌肤。
凡是小儿在母胎中遭遇寒冷，或者出生时带有潜伏的热邪，都会导致孩子不能进食，因此出现消瘦。如果挟带热邪，则身体壮热，肌肉消瘦。
治疗小儿消瘦，因脾胃气弱，兼有宿食停滞，不想吃奶或食物，四肢不调和，用诃黎勒散方。
诃黎勒皮（半两） 黄耆（一分，锉碎） 人参（一分，去芦头） 白术（一分） 藿香（一分） 陈橘皮（一分）
以上药物，捣碎过粗罗筛成散剂。每次服用一钱，用水一小盏，加入少许生姜、一枚大枣，煎至五分水量，去药渣，温服。
治疗小儿消瘦，因脾胃虚冷，四肢不调和，少吃奶或食物，用丁香散方。
丁香（一分） 桂心（一分） 白术（一分） 人参（半两，去芦头） 白茯苓（半两） 高良姜（一分，姜汁炙令香熟）
以上药物，捣碎过粗罗筛成散剂。每次服用一钱，用水一小盏，加入一枚大枣，煎至五分水量，去药渣，根据孩子的大小，分次服用。
治疗小儿消瘦，身体发热，面色萎黄，不想吃奶或食物，用黄耆丸方。
黄耆（半两，锉碎） 赤芍药（半两） 麦门冬（一两，去心焙干） 人参（半两，去芦头） 柴胡（三分，去苗）
以上药物，捣碎过细罗筛成末，炼蜜调和做成丸药，如麻子大。不限时候，用米汤送服五丸，根据孩子的大小，酌情增减。
治疗小儿消瘦，身体发热，心神烦闷，小便赤黄，宜服用秦艽丸方。
秦艽（半两，去苗） 龙胆（一分，去芦头） 桑根白皮（半两，锉碎） 地骨皮（半两） 黄耆（半两，锉碎） 甘草（一分，炙微赤） 犀角屑（半两）
以上药物，捣碎过细罗筛成末，炼蜜调和做成丸药，如绿豆大。不限时候，用米汤送服五丸，更根据孩子的大小增减剂量。
治疗小儿虽然进食，但营养不吸收，消瘦且骨蒸潮热，小便赤黄，用麦门冬丸方。
麦门冬（一两，去心焙干） 人参（半两，去芦头） 黄耆（半两，锉碎微炒） 黄连（半两，去须） 青蒿子（半两，微黄去瓤）
以上药物，捣碎过细罗筛成末，炼蜜调和做成丸药，如绿豆大。不限时候，用熟水研化五丸服用，根据孩子的大小，酌情增减。
治疗小儿消瘦，身体发热，乳食极少，宜服用烧黄瓜丸方。
黄瓜（大者一枚） 黄连（半两，去须） 胡黄连（一两） 陈橘皮（半两，汤浸去白瓤焙干） 鳖甲（一两，醋炙去裙襕）
以上药物，捣细过罗筛成散剂。将黄瓜切开头，去掉瓤，填入药末使其充满，再用切下的盖子盖好，用荞麦面和水调和包裹。
甘草（二两，炙微赤锉碎）
以上药物，捣碎过细罗筛成末，炼蜜调和做成丸药，如绿豆大。每次服用，用温水送服五丸，每日三次，根据孩子的大小，酌情增减服用。
Whenever infants and children suffer from emaciation and failure to gain muscle mass, it is all due to disharmony of the Spleen and Stomach, inability to ingest food, leading to weakness of Blood and Qi, which fails to nourish the skin and muscles.
If an infant encounters cold while in the womb, or carries latent heat at birth, it will cause the child to be unable to eat, resulting in emaciation. If accompanied by heat, the body will have high fever and thin muscles.
To treat pediatric emaciation caused by weak Spleen and Stomach Qi with retained food stagnation, loss of appetite for milk or food, and disharmony of the four limbs, use Heheli San (Chebula Powder).
Heheli Pi (Chebula Pericarpium, half liang) Huangqi (Astragali Radix, one fen, sliced) Renshen (Ginseng Radix, one fen, radix removed) Baizhu (Atractylodis Macrocephalae Rhizoma, one fen) Huoxiang (Agastaches Herba, one fen) Chenpi (Citri Reticulatae Pericarpium, one fen)
The above herbs are coarsely ground and sieved into a powder. Take one qian per dose, add one small cup of water, a little fresh ginger, and one jujube. Decoct until five-fen volume remains, strain, and take warm.
To treat pediatric emaciation caused by deficiency-cold of the Spleen and Stomach, disharmony of the four limbs, and reduced desire for milk or food, use Dingxiang San (Caryophylli Flos Powder).
Dingxiang (Caryophylli Flos, one fen) Guixin (Cinnamomi Cortex Ramulus, one fen) Baizhu (Atractylodis Macrocephalae Rhizoma, one fen) Renshen (Ginseng Radix, half liang, radix removed) Baifuling (Poria, half liang) Gaoliangjiang (Alpiniae Officinarum Rhizoma, one fen, stir-fried with ginger juice until fragrant and cooked)
The above herbs are coarsely ground and sieved into a powder. Take one qian per dose, add one small cup of water and one jujube. Decoct until five-fen volume remains, strain, and divide according to the child's age and size for administration.
To treat pediatric emaciation with body heat, sallow complexion, and loss of appetite for milk or food, use Huangqi Wan (Astragali Pill).
Huangqi (Astragali Radix, half liang, sliced) Chishaoyao (Paeoniae Radix Rubra, half liang) Maimendong (Ophiopogonis Tuber, one liang, heart removed and roasted) Renshen (Ginseng Radix, half liang, radix removed) Chaihu (Bupleuri Radix, three fen, radix removed)
The above herbs are finely ground and sieved into powder. Mix with refined honey to form pills the size of hemp seeds. Take five pills with millet broth at any time, adjusting dosage according to the child's size.
To treat pediatric emaciation with body heat, mental restlessness, and dark yellow urine, Qinjiu Wan (Gentianae Macrophyllae Radix Pill) is suitable.
Qinjiao (Gentianae Macrophyllae Radix, half liang, radix removed) Longdan (Gentianae Radix, one fen, radix removed) Sangbaipipi (Mori Cortex, half liang, sliced) Digupi (Lycii Cortex, half liang) Huangqi (Astragali Radix, half liang, sliced) Gancao (Glycyrrhizae Radix et Rhizoma, one fen, stir-fried until slightly red) Xijiaoxie (Rhinocerotis Cornu, half liang, shaved)
The above herbs are finely ground and sieved into powder. Mix with refined honey to form pills the size of mung beans. Take five pills with millet broth at any time, adjusting dosage according to the child's size.
To treat pediatric emaciation where food intake does not translate to weight gain, bone-steaming fever, and dark yellow urine, use Maimendong Wan (Ophiopogonis Pill).
Maimendong (Ophiopogonis Tuber, one liang, heart removed and roasted) Renshen (Ginseng Radix, half liang, radix removed) Huangqi (Astragali Radix, half liang, sliced and lightly stir-fried) Huanglian (Coptidis Rhizoma, half liang, fibrous roots removed) Qinghaozi (Artemisiae Annuae Semen, half liang, lightly yellowed and pulp removed)
The above herbs are finely ground and sieved into powder. Mix with refined honey to form pills the size of mung beans. Take five pills dissolved in warm water at any time, adjusting dosage according to the child's size.
To treat pediatric emaciation with body heat and very poor milk/food intake, Shao Huanggua Wan (Roasted Cucumber Pill) is suitable.
Huanggua (Cucumis Melo, one large fruit) Huanglian (Coptidis Rhizoma, half liang, fibrous roots removed) Huhuanglian (Scutellariae Barbatae Herba, one liang) Chenpi (Citri Reticulatae Pericarpium, half liang, soaked in hot water, white pith removed, and roasted) Biejia (Testudinis Carapax et Plastrum, one liang, vinegar-processed and skirt removed)
The above herbs are finely ground and sieved into powder. Cut off the top of the cucumber, remove the pulp, fill with the herb powder, replace the top, and wrap with dough made from buckwheat flour and water.
To treat pediatric emaciation with Qi stagnation, use Gancao Wan (Glycyrrhizae Pill).
Gancao (Glycyrrhizae Radix et Rhizoma, two liang, stir-fried until slightly red and sliced)
The above herb is finely ground and sieved into powder. Mix with refined honey to form pills the size of mung beans. Take five pills with warm water per dose, three times daily, adjusting dosage according to the child's size.