龟背坐早被风吹，伛偻背高状如龟，内服松蕊丹缓治，外用灸法点龟尿。
【注】龟背者，因婴儿坐早，被客风吹入脊膂，遂致伛偻曲折，背高如龟，往往为终
身痼疾。内以松蕊丹调治之，外用《圣惠》灸穴法∶灸肺俞、心俞、膈俞三穴三五壮。或
以龟尿点骨节上，亦可得效。
松蕊丹
松花 枳壳（麸炒） 防风 独活（各一两） 麻黄 前胡 川大黄（生） 桂心（各五钱）
共为细末，炼蜜为丸，如黍米大，每服十丸，粥饮送下。
附∶取龟尿法
用龟放在荷叶上，用镜子照之，其尿自出。
五软禀赋不足证，头项手足口肉肌，地黄丸与扶元散，全在后天调养宜。
【注】五软者，谓头项软、手软、足软、口软、肌肉软是也。头软者，项软无力也；手
足软者，四肢无力也；肉软者，皮宽不长肌肉也；口软者，唇薄无力也。此五者，皆因
禀受不足，气血不充，故骨脉不强，筋肉痿弱，治宜补气为主，先以补骨地黄丸补其先
大精气；再以扶元散补其后天羸弱。渐次调理，而五软自强矣。
补肾地黄丸
熟地黄（一两五钱） 山萸肉（一两） 怀山药（炒） 茯苓（各八钱） 牡丹皮 泽泻（各五钱）
牛膝（八钱） 鹿茸（酥炙，五钱）
共为细末，炼蜜丸，如梧桐子大，每服一钱，用盐汤下。
扶元散
人参 白术（土炒） 茯苓 熟地黄 茯神 黄 （蜜炙） 山药（炒） 炙甘草 当归 白芍药 川
芎石菖蒲
引用姜、枣，水煎服。
【方歌】五软扶元散堪尝，参术茯苓熟地黄，茯神黄 山药草，归芍川芎及石菖。
龟背（脊柱畸形）是因为婴儿过早坐立，受到外风侵袭所致，表现为背部弯曲高耸，形状像乌龟。内服松蕊丹进行缓慢调理，外用灸法并点涂龟尿。
【注】所谓龟背，是因为婴儿坐得过早，客邪之风侵入脊膂部位，导致背部弯曲变形，高高隆起如同乌龟，这往往成为终身的顽固疾病。内治以松蕊丹调治，外用《圣惠方》中的灸穴法：灸肺俞、心俞、膈俞这三个穴位，各三至五壮。或者用龟尿点涂在骨节上，也可以取得疗效。
松蕊丹
配方：松花、枳壳（麸炒）、防风、独活（各一两），麻黄、前胡、川大黄（生用）、桂心（各五钱）。
制法与用法：共研为细末，用炼蜜制成丸药，大小如黍米，每次服用十丸，用粥汤送服。
附：取龟尿的方法
将乌龟放在荷叶上，用镜子照射它，它的尿液就会自然流出。
五软（肢体痿软无力）是由于先天禀赋不足引起的证候，涉及头项、手足、口部及肌肉的痿软。治疗使用地黄丸和扶元散，关键在于后天的调养适宜。
【注】所谓的“五软”，是指头项软、手软、足软、口软、肌肉软。头软，是指颈部软弱无力；手足软，是指四肢无力；肉软，是指皮肤松弛且不长肌肉；口软，是指嘴唇薄且无力。这五种情况，都是因为禀受不足，气血不充盈，所以骨骼经脉不强健，筋肉痿弱。治疗应以补气为主，先用补骨地黄丸补充先天的精气；再用扶元散补充后天的虚弱。逐渐调理，五软的症状自然会强健起来。
补肾地黄丸
配方：熟地黄（一两五钱）、山萸肉（一两）、怀山药（炒）、茯苓（各八钱）、牡丹皮、泽泻（各五钱）、牛膝（八钱）、鹿茸（酥炙，五钱）。
制法与用法：共研为细末，用炼蜜制成丸药，大小如梧桐子大，每次服用一钱，用盐汤送服。
扶元散
配方：人参、白术（土炒）、茯苓、熟地黄、茯神、黄芪（蜜炙）、山药（炒）、炙甘草、当归、白芍药、川芎、石菖蒲。
用法：引用生姜、大枣，水煎服。
Guibei (spinal deformity) is caused by infants sitting too early and being exposed to external wind pathogens. It manifests as a curved and elevated back, resembling a turtle. Internally, Songrui Dan should be taken for gradual treatment; externally, moxibustion should be applied, and tortoise urine should be dabbed on the affected area.
[Note] Guibei refers to a condition where an infant sits prematurely, allowing exogenous wind pathogens to invade the spine and dorsal region, resulting in kyphosis with a high, curved back resembling a turtle. This often becomes a lifelong chronic ailment. Internal treatment involves regulating with Songrui Dan. External treatment follows the acupoint moxibustion method from *Shenghui Fang*: Moxa Feishu (BL13), Xinshu (BL15), and Geshu (BL17), three to five moxa cones per point. Alternatively, dabbing tortoise urine on the joints can also yield effective results.
Songrui Dan
Ingredients: Pine pollen, Zhiqiao (Bupleuri Fructus fried with bran), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix) [each 1 liang]; Mahuang (Ephedrae Herba), Qianhu (Peucedani Radix), Chuan Dahuang (Rhei Radix et Rhizoma raw), Guixin (Cinnamomi Cortex) [each 5 qian].
Preparation and Administration: Grind all ingredients into a fine powder. Mix with refined honey to form pills the size of millet seeds. Take 10 pills per dose, swallowed with rice gruel.
Appendix: Method for obtaining tortoise urine
Place a tortoise on a lotus leaf and shine a mirror upon it; its urine will flow out naturally.
Wuruan (limb flaccidity) is a syndrome caused by congenital insufficiency, characterized by flaccidity of the head and neck, hands, feet, mouth, and muscles. Treatment utilizes Dihuang Wan and Fuyuan San, relying heavily on appropriate postnatal care.
[Note] "Wuruan" refers to flaccidity of the head and neck, hands, feet, mouth, and muscles. Head flaccidity implies weakness in the neck; hand and foot flaccidity imply weakness in the four limbs; muscle flaccidity implies loose skin and lack of muscle mass; mouth flaccidity implies thin lips and weakness. These five conditions arise from congenital insufficiency and inadequate Qi and Blood, leading to weak bones and meridians and atrophied muscles and sinews. Treatment should prioritize tonifying Qi. First, use Bugu Dihuang Wan to supplement congenital essence and Qi; then use Fuyuan San to address postnatal debility. Through gradual regulation, Wuruan will strengthen.
Bushen Dihuang Wan
Ingredients: Shudihuang (Rehmanniae Radix Preparata) [1 liang 5 qian], Shanzhuyu (Corni Fructus) [1 liang], Huai Shanyao (Dioscoreae Rhizoma stir-fried), Fuling (Poria) [each 8 qian], Mudanpi (Moutan Cortex), Zexie (Alismatis Rhizoma) [each 5 qian], Niuxi (Achyranthis Bidentatae Radix) [8 qian], Lurong (Cervi Cornus Pantotrichum roasted with butter) [5 qian].
Preparation and Administration: Grind into a fine powder. Mix with refined honey to form pills the size of phoenix seeds. Take 1 qian per dose, swallowed with salt water.
Fuyuan San
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma stir-fried with soil), Fuling (Poria), Shudihuang (Rehmanniae Radix Preparata), Fushen (Poria with Hostwood), Huangqi (Astragali Radix honey-roasted), Shanyao (Dioscoreae Rhizoma stir-fried), Zhigancao (Glycyrrhizae Radix et Rhizoma prepared with honey), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma).
Administration: Add fresh ginger and jujube, decoct in water, and take orally.
[Formula Verse] For Wuruan, Fuyuan San is worth tasting,
Ginseng, Atractylodes, Poria, and Prepared Rehmannia base.
Poria with Hostwood, Astragalus, Yam, and Licorice sweet,
Plus Angelica, White Peony, Ligusticum, and Acori root complete.