变蒸者，阴阳水火蒸于血气，而使形体成就，是五脏之变气，而七情之所由生
也。盖儿生之日，至三十二日一变，每变蒸毕，即觉性情有异于前，何者？长生脏
腑意智故也。何谓三十二日长骨添精神？人有三百六十五骨，以象天数，以应期岁，
以分十二经络，故初生至三十二日一变生癸，属足少阴肾，脏精与志。六十四日二
变一蒸生壬，属足太阳膀胱，其发耳与 冷。至九十六日三变生丁，属手少阴心经，
心藏神，其性为喜。一百二十八日四变二蒸生丙，属手太阳小肠，其发汗出而微惊。
一百六十日五变生乙，属足厥阴肝，肝藏魂，喜哭。一百九十二日六变三蒸生甲，
属足少阳胆，其发目不闭而赤。二百二十四日七变生辛，属手太阴肺，肺藏魄，生
声。二百五十六日八变四蒸生庚，属手阳明大肠，其发肤热而汗，或不汗。二百八
十八日九变生已，属足太阴脾，脾藏意智。至三百二十日十变五蒸生戊，属足阳明
胃，其发不食，肠痛而吐乳。又手厥阴心包络，手少阳三焦，此二经俱无形状，故
不变而不蒸也。前十变五蒸，乃天地之数以生成之，然后始生齿，能言，知喜怒，
故云始全也。太仓云∶气入四肢，长碎骨。于十变后六十四日为一大蒸，计三百八
十四日，长其经脉手足，手受血故能持握，足受血故能行立，经云∶变且蒸。谓蒸
毕而足一岁之日有余也。师曰∶不汗而热者发其汗，大吐者微止，不可别治。又六
十四日为二大蒸，计四百四十八日，又六十四日三大蒸，计五百一十二日，共五百
七十六日，变蒸既毕，儿乃成人也。变者，变生五脏也，蒸者，蒸养六腑也，所以
成人。变者上气，蒸者体热，每经一变一蒸，情能既异，轻则发热微汗，其状似惊，
重则壮热脉乱而数，或吐或汗，或烦啼躁渴，轻者五日解，重者七八日解，其候，
与伤寒相似。亦有变蒸之余，续感寒邪者，但变蒸则耳冷 冷，上唇发泡，状如泡
珠，若寒邪搏之，则寒热交争，腹中作痛，而啼叫之声，日夜不绝。变者，易也，
蒸于肝则目眩微赤，蒸于肺则嚏嗽毛耸，凡五脏六腑筋脉骨节，循环各有证应，其
治法，和平之剂微表之，热实者，微利之，或不治亦自愈。〔汤〕《千金》变蒸论
云∶凡儿生三十二日一变，六十四日再变，变且蒸，九十六日三变，一百二十八日
四变，变且蒸，一百六十日五变，一百九十二日六变，变且蒸，二百二十四日七变，
二百五十六日八变，变且蒸，二百八十八日九变，三百二十日十变，变且蒸，积三
百二十日，小蒸毕，后六十四日大蒸，蒸后六十四日复大蒸，蒸后一百二十八日复
大蒸，凡小儿自生三十二日一变，再变为一蒸，凡十变而五小蒸，又三大蒸，积五
百七十六日，大小蒸都毕，乃成人。小儿所以变蒸者，是荣其血脉，改其五脏，故
一变竟，辄觉情态有异，其变蒸之候，变者上气，蒸者体热，变蒸有轻重，其轻者
体热而微惊，耳冷尻冷，上唇头白泡起如鱼目珠子，微汗出，重者体壮热而脉乱，
或汗或不汗，不欲食，食辄吐 ，目白睛微赤，黑睛微白。又云∶目白者重，赤黑
者微，变蒸毕，自精明矣，此其证也。单变小微，兼蒸小剧，凡蒸，平者五日而衰，
远者十日而衰，先期五日，后期五日，为十日之中，热乃除耳，或违日数不歇，切
不可妄治及灸剌。（海藏云∶言变蒸通一十八次，盖前三百二十日为十小蒸，后二百
五十六日为十大蒸也。 ，乎典切，不呕而吐也。）〔无〕若身热、耳热、尻亦热，
此乃他病，可作别治。〔薛〕变蒸治法，平和者，微表之，实热者，微利之，古方紫
霜丸、黑散子、柴胡汤、皆可。有寒无热，并吐泻不乳多啼者，当归散、调气散主之。
前证，盖小儿所不免者，虽勿药亦可也，前药峻厉，非惟脏腑不胜，亦且反伤气血，
余尝见一小儿至一变发热
有痰，投抱龙丸一粒，卒至不救，慎之慎之！其有不热不惊，略无证候，而暗变者，
盖受胎气壮实故也。
紫阳黑散 治小儿变蒸壮热，亦治伤寒发热。
麻黄（二钱半，去节） 大黄（一钱，同锉，炒黑，为末） 杏仁（去皮尖，二钱半）
上件，同一处捣和，并略烧，存性，再以杏仁研膏和之，密器盛。每服一豆许，
乳汁调和灌之。
紫霜丸（癖积）
柴胡汤 治变蒸骨热心烦，啼叫不已。
人参 甘草（微炙） 麦门冬（去心。各二钱） 龙胆草（酒炒黑） 防风（各一钱）
柴胡（五分）
上，每服一钱，水煎。
当归散 治变蒸，有寒无热。
当归（二钱） 木香 官桂（辣者） 甘草（炙） 人参（各一钱）
上，每服一钱，姜枣水煎。
调气散 治变蒸，吐泻、不乳、多啼，欲发慢惊。
木香 香附子 人参 橘皮 藿香 甘草（炙。各一钱）
上为末。每服一钱，姜枣水煎服。（《幼科类萃》此方，有制浓朴一钱）
平和饮子 治婴儿变蒸，于三日后三日进一服，可免百病，百日内宜服。
人参（去芦） 甘草（炙，冬半钱） 白茯苓（一钱，去皮） 升麻（二分，煨）
上 咀。用水煎，不以时候服。禀受弱者，加白术一钱。肥大壮实者不用。
参杏膏 治小儿变蒸潮热。
人参（去芦） 杏仁（去皮尖） 川升麻（煨。各半钱） 甘草（二钱，炙）
上为极细末。百日以前，每服一字，用麦门冬去心煎汤，食远，调服。
变蒸，是指阴阳水火在血气中蒸腾，从而使形体发育成熟，这是五脏之气的变化，也是七情产生的根源。大概婴儿出生之日起，每过三十二日发生一次“变”，每次变蒸结束后，就会发觉性情与之前有所不同，为什么呢？这是因为脏腑、意念和智慧得以生长的缘故。什么是“三十二日长骨添精神”？人体有三百六十五块骨头，以象征天数的三百六十五日，以对应一年的周期，并分属十二条经络。所以从初生到三十二日为第一次变，生出癸水，归属于足少阴肾经，肾藏精与志。六十四日为第二次变兼第一次蒸，生出壬水，归属于足太阳膀胱经，其表现是耳朵发冷和臀部发冷。九十六日为第三次变，生出丁火，归属于手少阴心经，心藏神，其情志为喜。一百二十八日为第四次变兼第二次蒸，生出丙火，归属于手太阳小肠经，其表现为出汗且轻微惊悸。一百六十日为第五次变，生出乙木，归属于足厥阴肝经，肝藏魂，表现为喜欢哭泣。一百九十二日为第六次变兼第三次蒸，生出甲木，归属于足少阳胆经，其表现为眼睛不闭合且发红。二百二十四日为第七次变，生出辛金，归属于手太阴肺经，肺藏魄，表现为发声。二百五十六日为第八次变兼第四次蒸，生出庚金，归属于手阳明大肠经，其表现为皮肤发热出汗，或者无汗。二百八十八日为第九次变，生出己土，归属于足太阴脾经，脾藏意智。至三百二十日为第十次变兼第五次蒸，生出戊土，归属于足阳明胃经，其表现为不吃奶、肠痛并吐乳。另外，手厥阴心包络和手少阳三焦这两条经络都没有具体的形状，所以不发生变也不发生蒸。前十次变和五次小蒸，是按照天地之数来生成发育的，然后才开始长牙齿，能说话，知道喜怒，所以说此时身体才算完整。太仓公说：气进入四肢，生长细小的骨骼。在十次变之后，再过六十四日进行一次大蒸，共计三百八十四日，此时生长手足的经脉，手得到血液滋养故能持握，脚得到血液滋养故能行走站立。医经说：变且蒸。意思是蒸腾结束后，就超过了一岁的天数。老师说：不出汗而发热的要发汗，剧烈呕吐的要轻微止呕，不可进行其他特殊治疗。又过六十四日为第二次大蒸，共计四百四十八日；再过一个六十四日为第三次大蒸，共计五百一十二日；总共五百七十六日，变蒸既已结束，婴儿才算是成人。所谓“变”，是变化生成五脏；所谓“蒸”，是蒸腾养育六腑，以此来成就成人。“变”表现为上焦气机变动，“蒸”表现为身体发热。每一经的一次变和一次蒸，性情都会发生变化，轻则发热微汗，症状类似惊风；重则高热脉象紊乱且数，或者呕吐或者出汗，或者烦躁啼哭躁动口渴，轻者五日缓解，重者七八日缓解，其征候与伤寒相似。也有在变蒸之余，继续感受寒邪的，但变蒸时耳朵和臀部发冷，上唇起水泡，状如珍珠，如果寒邪与之相搏结，则寒热交争，腹中作痛，啼叫之声日夜不停。所谓“变”，就是改变的意思，蒸于肝则目眩微红，蒸于肺则喷嚏咳嗽毫毛竖起，凡五脏六腑筋脉骨节，循环往复各有证候反应，其治疗方法，平和的用轻微解表的药剂，热实的用轻微通下的药剂，或者不治也能自愈。〔汤〕《千金方》变蒸论中说：凡是婴儿出生三十二日一变，六十四日再变，变且蒸，九十六日三变，一百二十八日四变，变且蒸，一百六十日五变，一百九十二日六变，变且蒸，二百二十四日七变，二百五十六日八变，变且蒸，二百八十八日九变，三百二十日十变，变且蒸，累计三百二十日，小蒸结束，之后再过六十四日大蒸，蒸后再过六十四日复行大蒸，蒸后再过一百二十八日复行大蒸。凡是小儿自出生三十二日一变，两次变为一次蒸，共十变而五次小蒸，加上三次大蒸，累计五百七十六日，大小蒸都结束，才成为成人。小儿之所以变蒸，是为了荣养血脉，改换五脏，所以每一次变结束，就觉得情态有异。其变蒸的征候，变表现为上焦气机变动，蒸表现为身体发热。变蒸有轻重之分，轻者身体发热且轻微惊悸，耳朵和臀部发冷，上唇头起白泡如鱼目珠子，微汗出；重者身体壮热且脉象紊乱，或者出汗或者无汗，不想吃东西，吃了就吐，眼白睛微红，黑睛微白。又说：眼白重的为重，赤黑相间为轻，变蒸结束后，自然眼神精明，这就是其证候。单变较轻，兼蒸较重。凡是蒸，平和者五日衰退，迟者十日衰退，提前五天或推后五天，在十日之内热才会消除，如果违背日数不退，切不可妄加治疗和灸刺。（海藏说：言变蒸通共十八次，大概前三百二十日为十次小蒸，后二百五十六日为十次大蒸也。 ，音典，指不呕而吐。）〔无〕如果身体热、耳朵热、臀部也热，这是其他疾病，可以按别病治疗。〔薛〕变蒸的治疗方法，平和的用轻微解表药，实热的用轻微通下药，古方紫霜丸、黑散子、柴胡汤都可以。如果有寒无热，并伴有吐泻、不吃奶、多啼哭的，用当归散、调气散主治。前述证候，大概是小儿所难免的，即使不用药也可以痊愈，前述药物峻烈，不仅脏腑承受不住，而且反而损伤气血，我曾经见过一个婴儿到一次变时发热且有痰，投服一粒抱龙丸，最终导致死亡，务必谨慎！那些不热不惊，几乎没有证候，而暗中变蒸的，是因为受胎气壮实的缘故。
紫阳黑散 治疗小儿变蒸壮热，也治疗伤寒发热。
麻黄（二钱半，去节） 大黄（一钱，同锉，炒黑，研末） 杏仁（去皮尖，二钱半）
以上药材，放在同一处捣碎混合，并略加烧制，保留药性，再用杏仁研成膏调和它，用密封容器盛装。每次服用一粒豆大小的量，用乳汁调和灌服。
柴胡汤 治疗变蒸骨热心烦，啼叫不止。
人参 甘草（微炙） 麦门冬（去心，各二钱） 龙胆草（酒炒黑） 防风（各一钱） 柴胡（五分）
以上药材，每次取一钱，用水煎煮。
当归散 治疗变蒸，有寒无热。
当归（二钱） 木香 官桂（辛辣者） 甘草（炙） 人参（各一钱）
以上药材，每次取一钱，用姜枣水煎煮。
调气散 治疗变蒸，吐泻、不吃奶、多啼哭，欲发慢惊风。
木香 香附子 人参 橘皮 藿香 甘草（炙，各一钱）
以上药材研为细末。每次取一钱，用姜枣水煎服。（《幼科类萃》此方，含有制厚朴一钱）
平和饮子 治疗婴儿变蒸，在三日后每隔三日进服一剂，可免除百病，百日内适宜服用。
人参（去芦） 甘草（炙，冬季半钱） 白茯苓（一钱，去皮） 升麻（二分，煨）
以上药材切碎。用水煎煮，不拘时候服用。禀赋虚弱者，加白术一钱。肥大壮实者不用。
参杏膏 治疗小儿变蒸潮热。
人参（去芦） 杏仁（去皮尖） 川升麻（煨，各半钱） 甘草（二钱，炙）
以上药材研为极细末。百日以前，每次服用一字量，用麦门冬去心煎汤，在饭后远隔时间调服。
Bianzheng (Periodic Growth and Development) refers to the steaming of Yin and Yang, Water and Fire within the Blood and Qi, which leads to the maturation of the physical form. It represents the transformational Qi of the Five Zang organs and is the origin of the Seven Emotions. Generally, starting from birth, a child undergoes one "Bian" (transformation) every thirty-two days. Upon the completion of each Bianzheng, one notices that the child's temperament differs from before. Why is this? It is because the Zang-Fu organs, intentions, and wisdom are growing. What does "thirty-two days for bone growth and spirit enrichment" mean? The human body has three hundred and sixty-five bones, symbolizing the three hundred and sixty-five days of the heavenly cycle, corresponding to the annual period, and dividing into the twelve meridians. Thus, from birth to thirty-two days constitutes the first Bian, generating Gui water, belonging to the Foot Shaoyin Kidney meridian; the Kidney stores Essence and Will. At sixty-four days, the second Bian and first Zheng (steaming) occur, generating Ren water, belonging to the Foot Taiyang Bladder meridian; its manifestation is cold ears and cold buttocks. At ninety-six days, the third Bian occurs, generating Ding fire, belonging to the Hand Shaoyin Heart meridian; the Heart stores Spirit, and its emotion is Joy. At one hundred and twenty-eight days, the fourth Bian and second Zheng occur, generating Bing fire, belonging to the Hand Taiyang Small Intestine meridian; its manifestations are sweating and slight fright. At one hundred and sixty days, the fifth Bian occurs, generating Yi wood, belonging to the Foot Jueyin Liver meridian; the Liver stores Hun (Ethereal Soul), and the manifestation is crying. At one hundred and ninety-two days, the sixth Bian and third Zheng occur, generating Jia wood, belonging to the Foot Shaoyang Gallbladder meridian; its manifestations are eyes remaining open and redness. At two hundred and twenty-four days, the seventh Bian occurs, generating Xin metal, belonging to the Hand Taiyin Lung meridian; the Lung stores Po (Corporeal Soul), and the manifestation is vocalization. At two hundred and fifty-six days, the eighth Bian and fourth Zheng occur, generating Geng metal, belonging to the Hand Yangming Large Intestine meridian; its manifestations are skin heat and sweating, or absence of sweating. At two hundred and eighty-eight days, the ninth Bian occurs, generating Ji earth, belonging to the Foot Taiyin Spleen meridian; the Spleen stores Yi (Intellect). By three hundred and twenty days, the tenth Bian and fifth Zheng occur, generating Wu earth, belonging to the Foot Yangming Stomach meridian; its manifestations are refusal to eat, abdominal pain, and vomiting milk. Additionally, the Hand Jueyin Pericardium meridian and the Hand Shaoyang Sanjiao (Triple Burner) meridian have no specific shape, so they do not undergo Bian or Zheng. The first ten Bians and five minor Zhengs follow the numbers of Heaven and Earth for generation and development; only then do teeth begin to grow, speech emerges, and emotions like joy and anger are known, thus it is said that the body becomes complete. Taicanggong stated: Qi enters the four limbs, growing the small bones. After the ten Bians, another sixty-four days pass for a major Zheng, totaling three hundred and eighty-four days; at this stage, the meridians of the hands and feet grow. When the hands receive blood, they can grasp; when the feet receive blood, they can walk and stand. The classics state: "Bian and Zheng." This means that after the steaming concludes, more than one year has passed. The Master said: For fever without sweating, induce sweating; for severe vomiting, mildly stop vomiting; do not apply other special treatments. Another sixty-four days later is the second major Zheng, totaling four hundred and forty-eight days; another sixty-four days later is the third major Zheng, totaling five hundred and twelve days; altogether five hundred and seventy-six days. Once Bianzheng is completed, the child becomes an adult. "Bian" refers to the transformation and generation of the Five Zang organs; "Zheng" refers to the steaming and nourishment of the Six Fu organs, thereby achieving adulthood. "Bian" manifests as upper Jiao Qi movement; "Zheng" manifests as body heat. With each Bian and Zheng of a meridian, the temperament changes. Mild cases present with low-grade fever and slight sweating, resembling fright; severe cases present with high fever, chaotic and rapid pulse, vomiting, sweating, irritability, crying, restlessness, and thirst. Mild cases resolve in five days; severe cases in seven to eight days. The signs resemble Taiyang disease (Exterior Syndrome). There are also cases where, during the remainder of Bianzheng, cold pathogen is contracted. However, during Bianzheng, the ears and buttocks are cold, and blisters appear on the upper lip like pearls. If cold pathogen combats this, cold and heat struggle, causing abdominal pain and ceaseless crying day and night. "Bian" means change. Steaming in the Liver causes dizziness and slight redness of the eyes; steaming in the Lung causes sneezing, coughing, and erecting of hair. All Five Zang and Six Fu organs, sinews, vessels, bones, and joints have cyclical corresponding syndromes. The treatment method involves mild releasing agents for harmonious conditions, and mild purgatives for heat-excess conditions; alternatively, it may resolve spontaneously. [Tang] The *Qianjin Fang* treatise on Bianzheng states: A newborn undergoes one Bian at thirty-two days, a second at sixty-four days (Bian and Zheng), three Bians at ninety-six days, four Bians at one hundred and twenty-eight days (Bian and Zheng), five Bians at one hundred and sixty days, six Bians at one hundred and ninety-two days (Bian and Zheng), seven Bians at two hundred and twenty-four days, eight Bians at two hundred and fifty-six days (Bian and Zheng), nine Bians at two hundred and eighty-eight days, and ten Bians at three hundred and twenty days (Bian and Zheng). Accumulating three hundred and twenty days, the minor Zhengs conclude. Then, after sixty-four days, a major Zheng occurs; after another sixty-four days, another major Zheng; and after another one hundred and twenty-eight days, yet another major Zheng. In total, from birth, every thirty-two days is one Bian, every two Bians constitute one Zheng. Ten Bians and five minor Zhengs, plus three major Zhengs, accumulate to five hundred and seventy-six days. When all minor and major Zhengs are complete, the child becomes an adult. The reason for Bianzheng in children is to nourish the Blood and Vessels and transform the Five Zang organs. Hence, after each Bian, the temperament appears different. The signs of Bianzheng: Bian manifests as upper Jiao Qi movement; Zheng manifests as body heat. Bianzheng has mild and severe forms. Mild cases present with body heat and slight fright, cold ears and buttocks, white blisters on the upper lip like fish-eye pearls, and slight sweating. Severe cases present with high fever and chaotic pulse, sweating or no sweating, anorexia, vomiting upon eating, slightly red whites of the eyes, and slightly white irises. It is further stated: White whites indicate severity; red and black indicate mildness. After Bianzheng concludes, the eyes naturally become bright and clear; this is the syndrome. Single Bian is milder; combined Zheng is more intense. Generally, for Zheng, harmony resolves in five days, delay resolves in ten days. Within ten days (five days early or late), the heat subsides. If the heat persists beyond the days, do not recklessly treat or moxa/puncture. [Haizang] stated: Bianzheng totals eighteen times; roughly, the first three hundred and twenty days are ten minor Zhengs, and the subsequent two hundred and fifty-six days are ten major Zhengs. ( , pronounced dian, refers to vomiting without retching.) [Wu] If the body, ears, and buttocks are all hot, this is another disease and should be treated differently. [Xue] The treatment for Bianzheng: for harmonious conditions, use mild releasing agents; for heat-excess conditions, use mild purgatives. Ancient formulas such as Zishuang Wan (Purple Frost Pill), Heisanzi (Black Powder), and Chaihu Tang (Bupleurum Decoction) are applicable. For cold without heat, accompanied by vomiting, diarrhea, refusal to nurse, and excessive crying, Danggui San (Angelica Powder) and Tiaoqi San (Regulating Qi Powder) are indicated. The aforementioned syndromes are inevitable in infants; even without medication, they may heal. The aforementioned drugs are harsh; not only will the Zang-Fu organs not withstand them, but they will also damage Qi and Blood. I once saw an infant who, during a Bian episode with fever and phlegm, was given one pill of Baolong Wan (Pill for Embracing the Dragon), resulting in death. Be extremely cautious! Those who do not have fever or fright, with almost no symptoms, undergoing secret Bianzheng, do so because of strong prenatal Qi.
Ziyang Heisan (Purple Sun Black Powder) treats severe fever in pediatric Bianzheng, and also treats fever from Taiyang disease.
Mahuang (Ephedrae Herba, 2.5 qian, remove nodes) Dahuang (Rhei Radix et Rhizoma, 1 qian, cut together, stir-fried until black, powdered) Xingren (Prunus Armeniacae Semen, 2.5 qian, remove skin and tips)
Grind the above ingredients together, lightly roast to retain efficacy, then mix with paste made from ground Xingren. Store in a sealed container. Administer a dose the size of a bean, mixed with breast milk.
Zishuang Wan (Purple Frost Pill) (treats Pi accumulation)
Chaihu Tang (Bupleurum Decoction) treats bone-heat and irritability during Bianzheng, with incessant crying.
Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma, lightly roasted) Maidong (Ophiopogonis Tuber, removed heart, 2 qian each) Longdancao (Gentianae Radix, wine-roasted until black) Fangfeng (Saposhnikoviae Radix, 1 qian each) Chaihu (Bupleuri Radix, 0.5 fen)
Take 1 qian per dose, decoct in water.
Danggui San (Angelica Powder) treats Bianzheng with cold but no heat.
Danggui (Angelicae Sinensis Radix, 2 qian) Muxiang (Aucklandiae Radix) Guigui (Cinnamomi Cortex, pungent variety) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Renshen (Ginseng Radix, 1 qian each)
Take 1 qian per dose, decoct in ginger and jujube water.
Tiaoqi San (Regulating Qi Powder) treats Bianzheng with vomiting, diarrhea, refusal to nurse, excessive crying, and impending slow convulsion.
Muxiang (Aucklandiae Radix) Xiangfuzi (Cyperi Rhizoma) Renshen (Ginseng Radix) Jupi (Citri Reticulatae Pericarpium) Huoxiang (Agastaches Herba) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 qian each)
Powder the above. Take 1 qian per dose, decoct in ginger and jujube water. (In *Youke Leicui*, this formula includes 1 qian of processed Houpo.)
Pinghe Yinzi (Harmonizing Decoction) treats infant Bianzheng. Administer one dose every three days starting from the third day post-Bianzheng onset to prevent various diseases; suitable for use within the first hundred days.
Renshen (Ginseng Radix, remove rhizome) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, half a qian in winter) Baifuling (Poria, 1 qian, remove skin) Shengma (Cimicifugae Rhizoma, 2 fen, roasted)
Cut the above. Decoct in water. Administer at any time. For those with weak constitution, add Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian). Do not use for those who are fat and robust.
Shenxing Gao (Ginseng and Apricot Paste) treats tidal fever in pediatric Bianzheng.
Renshen (Ginseng Radix, remove rhizome) Xingren (Prunus Armeniacae Semen, remove skin and tips) Chuanshengma (Cimicifugae Rhizoma, roasted, half a qian each) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 2 qian)
Grind into an extremely fine powder. Before one hundred days of age, administer one zi measure. Mix with decoction of Maidong (Ophiopogonis Tuber, removed heart) and take far from meals.