儿父母平常节儿饮食。从不伤脾。饮食不缺欠。又非病后。但见逐日消瘦。其症必由有所思想而难言。或二三岁四
五岁时。母又有所生。乳哺怀中。多有疼爱之声。前儿从旁窥伺。见其爱有所夺。不能入怀吮乳。惟朝思暮想。久则伤
脾。治之非药所及。此症前所未传。今不概见。
余先君在日。余妹归宁。见抱甥干瘦。审无他症。顷见妹哺次甥。长甥倚膝。觉神不在舍。因问予妹。瘦始于何日。
妹曰。自得次甥后。经今月余矣。先君命妹哺儿之时。勿令瘦甥得见。哺后阳抱入怀。以空乳喂之。且慰之曰。我只疼
你。如此一月。果不药而肥。追思先君。妙何如也。神何如也。
天柱骨倒。乃项软也。由真气虚弱。客邪入腑。传于筋骨。项则软垂下而无力。治宜祛风散。或吐久泻久病久而软
者。治宜六君子汤加肉桂。手软者。宜用薏苡仁、当归、秦艽、枣仁、防风、羌活、荆芥。等分服之。足软者。治宜六
味地黄加牛膝、五加皮、鹿茸等分。服之。
余从弟禹铎悬孙。方十个月。天柱骨倒。弟曰弱极。即要用参。余曰。客邪入内。何可遽用。弟意不果。余作色拒
之。用祛风散。作煎剂一服。项稍直。即命用六君子汤。外加防风。五剂愈。
父母平时节制孩子的饮食，从不损伤脾胃。饮食充足不缺欠，又非大病之后，只是看到孩子日渐消瘦，其症状必定是由心中有难以言说的思虑所致。或者在二三岁、四五岁时，母亲又生了二胎，怀抱中多有疼爱之声。前面的孩子从旁窥视，见母亲的爱被夺走，不能入怀吃奶，只能日夜思念，久而久之损伤了脾脏。治疗此症并非药物所能达到效果，这种病症以前未曾流传，现在也不常见。
我的先父在世时，我妹妹回娘家探亲，看见外甥干瘦，仔细检查没有其他病症。一会儿看见妹妹喂奶时，大外甥倚靠在膝盖上，觉得精神恍惚，不在状态。于是问妹妹，孩子什么时候开始瘦的？妹妹说，自从有了第二个孩子后，到现在一个多月了。先父命令妹妹喂奶时，不要让瘦弱的外甥看见。喂完后抱到怀里，用空乳头让他吸吮，并且安慰他说：“我只疼你。”如此坚持一个月，果然不用药而长胖了。回想先父，医术多么精妙啊！神机多么巧妙啊！
天柱骨倒，就是脖子软。这是由于真气虚弱，外邪侵入腑脏，传变到筋骨，导致颈部软弱下垂无力。治疗适宜用祛风散，或者是吐泻日久、久病体虚导致的颈软，治疗适宜用六君子汤加肉桂。手部软弱的，适宜用薏苡仁、当归、秦艽、枣仁、防风、羌活、荆芥，等分服用。足部软弱的，治疗适宜用六味地黄丸加牛膝、五加皮、鹿茸，等分服用。
我的堂弟禹铎的孙子，才十个月大，出现天柱骨倒的症状。弟弟说孩子极度虚弱，立即要用参类补气。我说，这是外邪入侵体内，怎么可以急于使用补药？弟弟的意思没有实现。我变色拒绝了他，使用了祛风散，做成煎剂服下一剂，脖子稍微挺直，随即命令使用六君子汤，外加防风，五剂后痊愈。
头颈手足强直如木头，这是肝脏受到风邪侵袭。治疗适宜用小续命汤。
此病是由于胎中受热而成口疮，或者是牙床疳疾生走马疳。治疗适宜用导赤散，并配合清胃汤。如果是久病之后，极度瘦弱的难治之症。
Parents usually regulate the child's diet, never damaging the Spleen. The diet is sufficient and lacking nothing, and it is not after an illness. However, seeing the child wasting away day by day, the symptoms must stem from unspoken thoughts or emotional distress. Or perhaps when the child is two to three or four to five years old, the mother gives birth to another child. There are many sounds of affection while holding the newborn. The older child peeks from the side, seeing that the mother's love has been taken away, unable to be held and breastfed. They can only think of it morning and night. Over time, this damages the Spleen. Treating this condition is beyond the reach of medicine alone. This syndrome was previously unrecorded and is rarely seen today.
When my late father was alive, my sister returned to her natal home for a visit. She saw her nephew suffering from emaciation (gan syndrome) but found no other symptoms. Shortly after, she saw my sister breastfeeding; the older nephew leaned against his knee, appearing distracted and absent-minded. I asked my sister when the thinness began. She said it started after the second child was born, about a month ago. My late father instructed my sister not to let the thin nephew see during breastfeeding. After feeding, she would hold him in her arms and offer an empty nipple to suckle, comforting him by saying, "I only love you." Doing so for a month, he indeed gained weight without medication. Reflecting on my late father, how wonderful his medical skill was! How divine his spiritual insight!
"Tiānzhùgǔ dǎo" (Collapse of the Heavenly Pillar Bone), which refers to neck flaccidity, is caused by deficiency of True Qi (Zhēnqì). Pathogenic factors enter the Fu organs and transmit to the sinews and bones, causing the neck to hang down weakly and powerlessly. Treatment should employ Qu Feng San (Wind-Expelling Powder). For cases resulting from prolonged vomiting/diarrhea or chronic illness leading to flaccidity, Liu Junzi Tang (Six Gentlemen Decoction) with Rougui (Cinnamon Bark) is appropriate. For hand flaccidity, Yiyiren (Coix Seed), Danggui (Angelicae Sinensis Radix), Qinjiao (Gentianae Macrophyllae Radix), Zaoren (Ziziphi Spinosomi Semen), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Jingjie (Schizonepetae Spica) should be used in equal parts. For foot flaccidity, Liujun Dihuang Wan (Six-Ingredient Rehmannia Pill) with Niuxi (Achyranthis Bidentatae Radix), Wujia Pi (Acanthopanacis Cortex), and Lurong (Deer Antler Velvet) in equal parts is suitable.
My younger cousin's grandson, Yu Duo, was ten months old and presented with collapse of the Heavenly Pillar Bone. His father said the child was extremely weak and insisted on using Ginseng immediately. I said, "Pathogenic factors have entered the interior; how can tonics be used hastily?" His intention was thwarted. I refused sternly and prescribed Qu Feng San as a decoction. After one dose, the neck straightened slightly. Then, I ordered Liu Junzi Tang with added Fangfeng. After five doses, he recovered.
Stiffness and rigidity of the head, neck, hands, and feet like wood indicates Liver Wind due to pathogenic Wind invading the Liver. Treatment should employ Xiao Xuming Tang (Minor Continuation of Life Decoction).
This disease arises from heat accumulated in the womb, resulting in mouth ulcers, or gingival gan syndrome progressing to Zouma Gan (gangrenous stomatitis). Treatment should employ Dao Chi San (Guide Out Red Powder) combined with Qingwei Tang (Stomach-Clearing Decoction). If it occurs after a long illness, with extreme emaciation, it is a difficult-to-treat condition.