〔巢〕儿自变蒸至能言，随日数、血脉骨节备，髌骨成，即能行，骨是髓养，禀
生气血不足者，髓不充强，故骨不成，数岁不能行。〔张〕凡儿生至周岁三百六十
日，膝骨成，乃能行。近世小儿多因父母气血虚弱，故令胎气不强，骨气软弱，筋
脉无力，不能行步，麝茸丹主之，曾经大效。
〔汤〕小儿禀受血气不足者，则髓不满，骨故软弱而不能行。肾主髓，治法当用
钱氏补肾地黄丸加鹿茸、五加皮、麝香，则髓生而骨强，自然行矣。外甥黄知录之
子，三岁不能行，遂合此方服之，有验。
〔张〕麝茸丹 治数岁不能行。
麝香（别研） 茄茸（酥炙黄） 生干地黄 虎胫骨（酥涂，炙黄） 当归（洗，焙干） 黄 （锉）
上件各一两，为细末，用羊髓四两煮烂和成膏，如黍米大。每服十粒，摩沉香
汤下，乳食前，日三服。
〔钱〕羚羊角丸 治小儿肾虚，或病后筋骨弱，五六岁不能行，宜补益肝肾。
羚羊角（尖细而节密者，错取末） 虎胫骨（敲破，涂酥炙黄） 生干地黄（焙） 酸枣仁（去皮秆，炒） 白茯
苓（各半两） 桂（去皮，取有味处，不见火） 防风（去芦头，切，焙） 当归（同上） 黄 （切、焙。各二钱半）
上，同为细末，炼蜜和成剂。每服一皂子大，儿大者加之，食前，温水化下，
日三四服，久服取效。
《圣惠》生干地黄丸 治儿十岁不行。
生地黄 当归（焙） 防风 酸枣仁（微炒） 赤茯苓 黄 芎 羚羊角 羌活 甘
草（炙微赤） 桂心（各等分）
上捣罗，蜜丸如绿豆大。食前温酒下十丸，量儿加减。
虎骨散
虎胫骨（酒炙） 生干地黄 酸枣仁（酒浸，去皮，炒香） 辣桂（去皮） 白茯苓（去皮） 防风（去芦叉）
当归（去芦） 川芎 牛膝（酒浸，去芦。各等分）
上，为极细末。每服一钱半，以粥饮调，次入好酒二滴，再调，食前服，日二。
一方用炼蜜丸，如黍米大。木瓜汤下。
《三因》五加皮散 治小儿三岁不能行者，由受气不足，体力虚怯，腰脊脚膝筋骨软，
足故不能行。用真五加皮为末，粥饮调，次入好酒少许，每服一栗壳许，日三服，
效。一方，五加皮二钱半，木瓜一钱二分半，为极细末。用粥饮入酒二滴，调服。
《宝鉴》儿骨热，肺脉寒，长不能行。《颅囟》儿自小伤抱，脚纤细无力，行立不得，
或骨热疳劳，肌肉消瘦。宜服柴胡饮
柴胡 鳖甲（米醋涂，炙黄） 知母 桔梗 枳壳（去穣，麸炒） 玄参 升麻
上件，各等分，细锉。三岁以下药半两，水五合，煎二合，分二服，空心食前。
后忌毒物。服后澡浴。
澡浴方
苦参 茯苓皮 苍术 桑白皮 白矾（各半两） 葱白（少许）
上锉，沸水二升，浸药一两通，与儿浴，温处避风。
《千金》治数岁不行方
葬家未开户，盗食与哺，日三，便行（翼云∶未闭户，婴孺就墓门中哺）
《宝鉴》灸两足踝各三壮。
良方左经丸 治筋骨诸疾，手足不随，不能行步运动。
草乌头（生，肉白者，去皮脐） 木鳖（去壳） 白胶香 五灵脂（各三两半） 当归（一两） 斑蝥（去翅足，
一百枚，少醋煮熟）
上为末，黑豆去皮生杵粉一斤，醋糊丸鸡头实大。酒磨下一丸，不曾针灸
伤筋络者，四五丸必效。十岁儿一丸分三服。此药能通荣卫，导经络，专治心肾
肝三经，服后小便少，淋涩，乃其验也。
按∶此方，非内有污血痼积不宜用。
丁时发治大人小儿锉骨，行步艰难，脚无力。续命丹
防风 乳香 蔓荆子 牛膝 麻黄 羚羊角 酸枣仁 草乌头（去皮） 没药 白术
茯苓（各二钱半） 天麻（酒煮） 胡麻（炒） 当归 续断（各半两） 川乌头（去皮） 黄 （各四钱） 蒺藜
（一钱二分半）
上为细末，蜜丸小弹大。每服一丸，煎酒，细嚼，一日三五服，用后洗药。服
药三日方洗。
草乌头 当归 地龙 木鳖子 紫贝草 椒目 葱须 荆芥（各一两）
为末，煎汤，露脚指甲，从上淋洗。次用熏法。
熏药方
柴胡 草乌头 赤小豆 吴茱萸 羌活 晚蚕砂（各一两）
末黑豆三升，热水泡，少顷，去黑豆，入前药煮，盆盛，熏锉闪处，令出骨中汗。
【巢元方】小儿从变蒸期到能说话，随着天数的推移，血脉、骨节逐渐完备，髌骨形成，就能行走。骨骼由骨髓滋养，如果禀受的生之气血不足，骨髓就不充盈强壮，因此骨骼发育不全，导致几岁都不能行走。
【张氏】凡是小儿出生到周岁三百六十日，膝骨长成，才能行走。近代的小儿多因为父母气血虚弱，致使胎气不强，骨气软弱，筋脉无力，不能行走迈步，麝茸丹主治此症，曾经非常有效。
【汤氏】小儿禀受的血气不足的，则骨髓不满，骨骼因此软弱而不能行走。肾主骨髓，治疗方法应当使用钱乙的补肾地黄丸加入鹿茸、五加皮、麝香，这样骨髓生成而骨骼强壮，自然就能行走了。外甥黄知录的儿子，三岁还不能行走，于是服用这个方子，有疗效验证。
【张氏】麝茸丹 治疗几岁不能行走。
麝香（单独研磨） 茄茸（用酥油炙至黄色） 生干地黄 虎胫骨（涂酥油，炙至黄色） 当归（洗净，焙干） 黄芪（锉碎）
以上各一两，研成细末，用羊髓四两煮烂调和成膏，制成如黍米大小的丸剂。每次服用十粒，用磨碎的沉香汤送下，在吃奶吃饭之前服用，每天三次。
【钱乙】羚羊角丸 治疗小儿肾虚，或者病后筋骨虚弱，五六岁不能行走，适宜补益肝肾。
羚羊角（尖细且节密者，锉取粉末） 虎胫骨（敲破，涂酥油炙黄） 生干地黄（焙干） 酸枣仁（去皮壳，炒制） 白茯苓（各半两） 桂枝（去皮，取有味处，避免见火） 防风（去芦头，切段，焙干） 当归（同上处理） 黄芪（切段、焙干。各二钱半）
以上共同研为细末，炼蜜调和成药剂。每次服用一个皂荚子大小的量，年龄大的儿童酌情增加，饭前，用温水化开送下，每天三四次，久服见效。
《太平圣惠方》生干地黄丸 治疗小儿十岁仍不能行走。
生地黄 当归（焙干） 防风 酸枣仁（微炒） 赤茯苓 黄芪 川芎 羚羊角 羌活 甘草（炙至微红） 桂心（各等分）
以上捣碎过筛，炼蜜制成如绿豆大小的丸剂。饭前用温酒送下十丸，根据儿童情况加减剂量。
虎骨散
虎胫骨（酒炙） 生干地黄 酸枣仁（酒浸，去皮，炒香） 辣桂（去皮） 白茯苓（去皮） 防风（去芦叉） 当归（去芦） 川芎 牛膝（酒浸，去芦。各等分）
以上研为极细末。每次服用一钱半，用米汤调匀，再滴入好酒两滴，再次调匀，饭前服用，每天两次。
另一方法是用炼蜜制成丸剂，如黍米大小。用木瓜汤送下。
《三因极一病证方论》五加皮散 治疗小儿三岁不能行走的，是由于受气不足，体力虚怯，腰脊脚膝筋骨软弱，所以足部不能行走。用真五加皮研末，用米汤调服，再滴入少许好酒，每次服用约一个栗子壳的量，每天三次，有效。另一种方法，五加皮二钱半，木瓜一钱二分半，研为极细末。用米汤加入两滴酒，调服。
《幼幼新书》小儿骨热，肺脉寒，长期不能行走。《颅囟经》小儿从小被不当抱持，脚纤细无力，无法站立行走，或者骨热疳劳，肌肉消瘦。适宜服用柴胡饮。
柴胡 鳖甲（米醋涂，炙黄） 知母 桔梗 枳壳（去瓤，麸炒） 玄参 升麻
以上各等分，细锉。三岁以下用药半两，水五合，煎至二合，分两次服用，空腹饭前。
服药后忌食毒物。服药后洗澡。
澡浴方
苦参 茯苓皮 苍术 桑白皮 白矾（各半两） 葱白（少许）
以上锉碎，用沸水二升，浸泡药一两一整夜，给小儿洗浴，在温暖处避风。
《千金方》治疗几岁不能行走的方子
葬家未开启的门板，盗贼偷吃剩下的食物喂给孩子，每天三次，孩子就能行走。（翼云说：未关闭的门，婴儿在墓门中喂食）
《幼幼新书》灸两侧足踝各三壮。
良方左经丸 治疗筋骨各种疾病，手足不遂，不能行走运动。
草乌头（生用，肉质白色者，去皮脐） 木鳖子（去壳） 白胶香 五灵脂（各三两半） 当归（一两） 斑蝥（去翅足，一百枚，少醋煮熟）
以上研为末，黑豆去皮生杵粉一斤，醋糊制成鸡头实大小的丸剂。用酒磨下一丸服用，未曾针灸伤及筋络的，四五丸必效。十岁儿童一丸分三次服用。此药能通营卫，导经络，专治心、肾、肝三经，服药后小便量少，淋涩，这是药效的验证。
按语：此方，非体内有瘀血痼积者不宜使用。
丁时发治疗大人小儿锉骨，行走艰难，脚无力。续命丹
防风 乳香 蔓荆子 牛膝 麻黄 羚羊角 酸枣仁 草乌头（去皮） 没药 白术 茯苓（各二钱半） 天麻（酒煮） 胡麻（炒） 当归 续断（各半两） 川乌头（去皮） 黄芪（各四钱） 蒺藜（一钱二分半）
以上研为细末，蜜丸如小弹丸大小。每次服用一丸，煎酒，细细咀嚼，一天三五次，配合后面的洗药使用。服药三天后才洗。
洗药方
草乌头 当归 地龙 木鳖子 紫贝草 椒目 葱须 荆芥（各一两）
研为末，煎汤，露出脚指甲，从上往下淋洗。接着用熏法。
熏药方
柴胡 草乌头 赤小豆 吴茱萸 羌活 晚蚕砂（各一两）
末黑豆三升，热水泡，一会儿，去掉黑豆，放入前面的药煮，盆盛放，熏烫锉闪受伤的地方，令其排出骨中的汗。
[Chao Yuanfang] From the period of Bianzheng (periodic physiological changes in infants) to the ability to speak, as days pass, the blood vessels, bone joints, and patella gradually develop completely, enabling the child to walk. Bones are nourished by bone marrow; if the innate vital Qi and Blood are insufficient, the bone marrow will not be full and strong, leading to incomplete bone development and resulting in an inability to walk for several years.
[Zhang Shi] For any infant, upon reaching one year of age (360 days), when the knee bones mature, they can begin to walk. In recent times, many children suffer from weak fetal Qi due to their parents' deficiency of Qi and Blood, resulting in weak bone Qi, soft bones, and powerless sinews and vessels, making it difficult to walk. She Rong Dan (Musk and Deer Antler Pill) is indicated for this condition and has proven highly effective.
[Tang Shi] Children with insufficient innate Qi and Blood have inadequate bone marrow, causing soft bones and an inability to walk. The Kidney governs bone marrow; therefore, the treatment method should employ Qian Yi's Bushen Dihuang Wan (Kidney-Nourishing Rehmannia Pill) supplemented with Lu Rong (Deer Antler), Wu Jia Pi (Acanthopanacis Cortex), and She Xiang (Musk). This promotes marrow generation and strengthens bones, naturally restoring the ability to walk. The son of my nephew, Huang Zhilu, could not walk at age three; after administering this formula, there was a verified effect.
[Zhang Shi] She Rong Dan (Musk and Deer Antler Pill) treats the inability to walk after several years of age.
She Xiang (Musk, processed separately) [Moschus], Rong (Deer Antler, fried with lard until yellow) [Cervi Cornu Degelatinatum], Sheng Gan Di Huang (Raw Dried Rehmanniae Radix) [Rehmanniae Radix], Hu Jing Gu (Tiger Tibia Bone, coated with lard and fried until yellow) [Tigris Ossis Tibiae], Dang Gui (Angelicae Sinensis Radix, washed and dried) [Angelicae Sinensis Radix], Huang Qi (Astragali Radix, sliced).
Each ingredient is taken in equal amounts (one liang). Grind into fine powder. Boil four liang of sheep marrow until soft and mix with the powder to form a paste. Shape into pills the size of millet seeds. Take ten pills each time, administered with Chen Xiang Tang (Agarwood Decoction) prepared by grinding agarwood. Take before nursing or eating, three times daily.
[Qian Yi] Ling Yang Jiao Wan (Antelope Horn Pill) treats Kidney deficiency in children, or weak sinews and bones after illness, where the child cannot walk at five or six years of age. It is suitable for tonifying the Liver and Kidney.
Ling Yang Jiao (Antelope Horn, fine tip with dense nodes, ground to powder) [Saiga Tataricae Cornu], Hu Jing Gu (Tiger Tibia Bone, cracked, coated with lard and fried until yellow) [Tigris Ossis Tibiae], Sheng Gan Di Huang (Raw Dried Rehmanniae Radix, dried) [Rehmanniae Radix], Suan Zao Ren (Ziziphi Spinosae Semen, skin removed, fried) [Ziziphi Spinosae Semen], Bai Fu Ling (Poria Cocos, half liang each) [Poria], Gui Zhi (Cinnamon Twig, bark removed, use aromatic parts, avoid fire) [Cinnamomi Ramulus], Fang Feng (Saposhnikoviae Radix, radix removed, sliced, dried) [Saposhnikoviae Radix], Dang Gui (Angelicae Sinensis Radix, same preparation as above) [Angelicae Sinensis Radix], Huang Qi (Astragali Radix, sliced and dried, two qian half each) [Astragali Radix].
Grind all ingredients into fine powder. Mix with refined honey to form pills. Take an amount the size of a soap pod each time, increasing dosage for older children. Take before meals, dissolved in warm water, three to four times daily. Long-term administration yields results.
*Taiping Shenghui Fang* Sheng Gan Di Huang Wan (Raw Dried Rehmannia Pill) treats children who cannot walk even at ten years of age.
Sheng Di Huang (Raw Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix, dried), Fang Feng (Saposhnikoviae Radix), Suan Zao Ren (Ziziphi Spinosae Semen, lightly fried), Chi Fu Ling (Red Poria Cocos), Huang Qi (Astragali Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ling Yang Jiao (Antelope Horn) [Saiga Tataricae Cornu], Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Licorice Root, fried until slightly red), Gui Xin (Cinnamon Bark Heart) [Cinnamomi Cortex]. All in equal proportions.
Crush and sieve. Mix with refined honey to form pills the size of mung beans. Take ten pills before meals with warm wine, adjusting dosage according to the child's condition.
Hu Gu San (Tiger Bone Powder)
Hu Jing Gu (Tiger Tibia Bone, wine-fried) [Tigris Ossis Tibiae], Sheng Gan Di Huang (Raw Dried Rehmanniae Radix) [Rehmanniae Radix], Suan Zao Ren (Ziziphi Spinosae Semen, soaked in wine, skin removed, fried until fragrant) [Ziziphi Spinosae Semen], La Gui (Spicy Cinnamon Bark, peeled) [Cinnamomi Cortex], Bai Fu Ling (Poria Cocos, peeled) [Poria], Fang Feng (Saposhnikoviae Radix, radix removed) [Saposhnikoviae Radix], Dang Gui (Angelicae Sinensis Radix, radix removed) [Angelicae Sinensis Radix], Chuan Xiong (Ligustici Chuanxiong Rhizoma) [Ligustici Chuanxiong Rhizoma], Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, radix removed). All in equal proportions.
Grind into extremely fine powder. Take one qian half each time, mixed with rice drink (congee water), add two drops of good wine, mix well, and take before meals, twice daily.
Alternative method: Form pills with refined honey, size of millet seeds. Administer with Mu Gua Tang (Papaya Decoction).
*Sanyin Fang* Wu Jia Pi San (Acanthopanax Powder) treats children unable to walk at age three, caused by insufficient received Qi, physical weakness, and soft sinews, bones, waist, spine, legs, and knees. Use genuine Wu Jia Pi (Acanthopanacis Cortex) ground to powder, mixed with rice drink, adding a little good wine. Take approximately the volume of a chestnut shell each time, three times daily, which is effective. Alternative: Wu Jia Pi (two qian half), Mu Gua (Papaya Fruit, one qian two fen half), ground to extremely fine powder. Mix with rice drink and two drops of wine, then administer.
*You You Xin Shu* Children with "bone heat" and cold Lung pulse may have long-term inability to walk. *Lun Xin Jing* notes that improper holding of infants from birth leads to thin, powerless legs and inability to stand or walk, or conditions such as bone heat, Guan syndrome (malnutrition), and consumption, with emaciated muscles. Chai Hu Yin (Bupleurum Drink) is appropriate.
Chai Hu (Bupleuri Radix) [Bupleuri Radix], Bie Jia (Softshell Turtle Shell, coated with rice vinegar and fried until yellow) [Trionycis Carapax et Plastrum], Zhi Mu (Anemarrhenae Rhizoma) [Anemarrhenae Rhizoma], Jie Geng (Platycodonis Radix) [Platycodonis Radix], Zhi Ke (Aurantii Fructus, pith removed, bran-fried) [Aurantii Fructus Pericarpium], Xuan Shen (Scrophulariae Radix) [Scrophulariae Radix], Sheng Ma (Cimicifugae Rhizoma) [Cimicifugae Rhizoma].
All in equal proportions, finely sliced. For children under three years, use half liang of herbs, boil in five he of water until reduced to two he. Divide into two doses, take on an empty stomach before meals.
Avoid toxic foods after taking medicine. Bathe after administration.
Bath Formula
Ku Shen (Sophorae Flavescentis Radix), Fu Ling Pi (Poria Cocos Peel), Cang Zhu (Atractylodis Rhizoma), Sang Bai Pi (Mori Cortex), Bai Fan (Alumen), Cong Bai (Scallion White). Ku Shen, Fu Ling Pi, Cang Zhu, Sang Bai Pi, Bai Fan each half liang; Cong Bai a small amount.
Slice and soak one liang of herbs in two sheng of boiling water overnight. Bathe the child in the solution, keeping them warm and away from wind.
*Qian Jin Fang* Formula for treating inability to walk after several years.
Feed the child scraps eaten by thieves from the doorboards of unopened graves of burial workers, three times a day, and the child will walk. (Yi Yun states: Feed the infant at the grave gate where the door is not closed.)
*You You Xin Shu* Moxibustion: Three moxa cones on each ankle.
Liang Fang Zuo Jing Wan (Left Meridian Pill) treats various sinew and bone diseases, paralysis of hands and feet, and inability to walk or move.
Cao Wu Tou (Aconitum Kusnezoffii Root, raw, white flesh, skin and navel removed), Mu Bie Zi (Momordicae Semen, shell removed), Bai Jiao Xiang (Liquidambar Resin), Wu Ling Zhi (Trogopterori Faeces), each three liang half; Dang Gui (Angelicae Sinensis Radix), one liang; Ban Mao (Mylabris, wings and feet removed, one hundred pieces, boiled briefly in vinegar).
Grind into powder. Use one jin of powder from raw black beans (skin removed, pounded). Make pills with vinegar paste, size of corn kernels. Dissolve one pill in wine and take. For those without meridian injury from acupuncture/moxibustion, four to five pills are effective. For a ten-year-old, divide one pill into three doses. This herb circulates Ying and Wei, guides meridians, and specifically treats the Heart, Kidney, and Liver meridians. A sign of efficacy is decreased urine output and dysuria after administration.
Note: This formula is not suitable for those without internal stagnant blood or chronic accumulation.
Ding Shifa treated adults and children with "filed bones" (deformity/atrophy), difficulty walking, and leg weakness. Xu Ming Dan (Continuing Life Pill)
Fang Feng (Saposhnikoviae Radix), Ru Xiang (Olibanum), Man Jing Zi (Vittariae Fructus), Niu Xi (Achyranthis Bidentatae Radix), Ma Huang (Ephedrae Herba), Ling Yang Jiao (Antelope Horn) [Saiga Tataricae Cornu], Suan Zao Ren (Ziziphi Spinosae Semen), Cao Wu Tou (Aconitum Kusnezoffii Root, peeled), Mo Yao (Myrrha), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria Cocos), each two qian half; Tian Ma (Gastrodiae Rhizoma, wine-boiled) [Gastrodiae Rhizoma], Hu Ma (Sesami Semen, fried) [Sesami Semen], Dang Gui (Angelicae Sinensis Radix), Xu Duan (Dipsaci Radix), each half liang; Chuan Wu Tou (Aconitum Carmichaelii Root, peeled), Huang Qi (Astragali Radix), each four qian; Ji Li (Tribuli Fructus), one qian two fen half.
Grind into fine powder. Form pills with honey, size of small bullets. Take one pill each time, chew thoroughly with decocted wine, three to five times daily. Follow with the external wash prescription. Wash only after three days of medication.
External Wash Prescription
Cao Wu Tou (Aconitum Kusnezoffii Root), Dang Gui (Angelicae Sinensis Radix), Di Long (Pheretima), Mu Bie Zi (Momordicae Semen), Zi Bei Cao (Violaris Herb), Jiao Mu (Zanthoxyli Semen), Cong Xu (Scallion Roots), Jing Jie (Schizonepetae Herba), each one liang.
Grind to powder, decoct in water. Expose toenails and pour the liquid over them from top to bottom. Follow with fumigation.
Fumigation Prescription
Chai Hu (Bupleuri Radix), Cao Wu Tou (Aconitum Kusnezoffii Root), Chi Xiao Dou (Adzuki Bean), Wu Zhu Yu (Evodiae Fructus), Qiang Huo (Notopterygii Rhizoma et Radix), Wan Can Sha (Bombyx Batryticatus), each one liang.
Take three sheng of black bean powder, soak in hot water. After a short while, remove the beans. Add the aforementioned herbs and boil. Place in a basin and fumigate the injured area (from sprains/fractures) to induce sweating from the bones.