郭男 八岁 癸亥七月十一日 咳而呕，胃咳也，痰涎壅塞，喘满气短。
半夏（三钱） 小枳实（一钱） 陈皮（一钱） 杏仁（二钱） 苏梗（二钱） 生苡仁（三钱）
生姜（二钱） 茯苓（三钱）
即于前方内加∶
苦葶苈子（钱半） 半夏（二钱） 苏子（二钱）
去苏梗再服二帖。
二十日 小儿脾虚，湿重胃咳。
姜半夏（六钱） 焦曲（二钱） 小枳实（钱半） 杏泥（三钱） 旋复花（三钱，绢包） 苏子
霜（钱半） 茯苓（三钱） 生白扁豆（三钱） 生苡仁（五钱） 生姜汁（每次冲三小匙）
即于前方内加∶
广皮（二钱） 杏仁（二钱） 苏子霜（钱半） 去神曲
十帖。
吴三岁、吴五岁、吴八岁 三幼孩连咳数十声不止，八岁者且衄，与千金苇茎汤，加苦
葶苈子三钱。有二帖愈者，有三四帖愈者，第三四帖减葶苈之半，衄者加白茅根五钱。
文 四岁 幼孩呛咳数十日不止，百药不效，用千金苇茎汤，加苦葶苈，二帖而愈。
周女 十岁 春风呛咳，医用麻黄向外发法，又有诃子、白果、百合向内收，以致呛不
可解，吐出者皆血沫，用金沸草汤，三帖而愈。
刘 十七岁 乙酉五月二十四日 三月间春温，呛咳见吐，现下六脉弦细，五更丑寅卯
时，单声咳嗽甚，谓之木扣金，鸣风本生于木也。议辛甘化风，甘凉柔木。
苦桔梗（三钱） 连翘（三钱） 银花（二钱） 甘草（二钱） 薄荷（一钱） 鲜芦根（三钱）
桑叶（三钱） 麦冬（三钱） 细生地（三钱） 茶菊（三钱） 天冬（一钱）
二十八日 咳嗽减，食加，脉犹洪数，左大于右。效不更方，再服四五帖。
六月初二日 木扣金鸣，与柔肝清肺已效，左脉洪数已减，与前方去气分辛药，加甘润
。
沙参（三钱） 玉竹（三钱） 麦冬（三钱） 冰糖（三钱）
李女 四岁己丑二月初十日 风温夹痰饮喘咳，肚热太甚，势甚危急，勉与宣肺络，清
肺热法。
生石膏（二钱） 杏仁（五钱） 黄芩（三钱，炒） 苦葶苈（三钱） 芦根（五钱）
十二日 风温夹痰饮喘咳。
生石膏（二两） 杏仁（四钱） 冬瓜仁（三钱） 芦根（五钱） 茯苓皮（三钱） 苦葶苈（钱
半）
煮三小杯，分三次服。服二帖，烧热退。
吴 二十岁 甲子四月二十四日 六脉弦劲，有阴无阳，但嗽无痰，且清上焦气分。
桑叶（三钱） 生扁豆（三钱） 玉竹（三钱） 冰糖（三钱） 麦冬（三钱） 沙参（三钱） 杏
仁（三钱） 连翘（钱半） 茶菊（三钱）
四帖。
二十六日 于前方内，去连翘，加∶
丹皮（二钱） 地骨皮（三钱）
陈 四十岁 丙戌正月十三日 咳嗽起于前年九月，夏伤于湿，伏暑遇新凉而发之咳，
症本
不大，后因误补封固，邪已难出。又用桑皮末用地骨引邪入肾。按肾为封藏之脏，误入者永
难再出矣。身热得补药汗解，而足心之热总不解，是其确证也。现下咳而呕，六脉弦细而数
，阴阳两虚也。勉照胃咳方法，先能得谷，创建中焦，假如胃旺，或有生机。常吐血一二口
，中有瘀滞，亦系久病络伤，季胁作痛，肝经部分应加宣络降气。
姜半夏（六钱） 苏子霜（钱半） 桃仁（三钱） 云苓（八钱，呕不止可加至两许） 降香末
（二钱） 广皮炭（三钱） 姜汁（每杯冲三小杯）
煮三杯，分三次服。此症扬汤止沸而已，断难釜底抽薪。
陈 十六岁 少年而体质本弱，六脉弦细而软，五更咳嗽，时而吐血，应照阳虚夹饮吐
血论治。又劳者温之治法，与小建中汤，加茯苓、半夏。
白芍（六钱，炒） 姜半夏（三钱） 生姜（三大片） 桂枝（四钱） 云苓（五钱） 胶饴（八
钱，化入） 炙甘草（三钱） 大枣（二枚，去核）
多服为妙。
某 十三岁 五更空咳，木叩金鸣，本用柔药柔肝，兹两胁痛，中有怒郁瘀滞，法当活
络。
新绛纱（三钱） 苏子霜（二钱） 广皮（二钱，炒） 旋复花（三钱，包） 降香末（二钱）
姜半夏（五钱） 归须（三钱） 郁金（二钱） 青皮（钱半） 香附（三钱）
郭姓男孩，八岁。癸亥年七月十一日就诊。咳嗽伴有呕吐，这是胃咳（病邪影响胃腑导致的咳嗽），痰涎壅盛堵塞气道，气喘胸闷，呼吸短促。
处方：半夏（三钱）、小枳实（一钱）、陈皮（一钱）、杏仁（二钱）、苏梗（二钱）、生薏苡仁（三钱）、生姜（二钱）、茯苓（三钱）。
随后在前方基础上加减：
加入：苦葶苈子（一钱半）、半夏（二钱）、苏子（二钱）。
去掉苏梗，再服用两剂。
二十日诊察：小儿脾气虚弱，湿气重导致胃咳。
处方：姜半夏（六钱）、焦神曲（二钱）、小枳实（一钱半）、杏仁泥（三钱）、旋复花（三钱，用绢布包裹）、苏子霜（一钱半）、茯苓（三钱）、生白扁豆（三钱）、生薏苡仁（五钱）、生姜汁（每次冲服三小匙）。
随后在前方基础上加减：
加入：广陈皮（二钱）、杏仁（二钱）、苏子霜（一钱半）。
去掉神曲。
共十剂。
吴家三岁、五岁、八岁的三个幼童连续咳嗽数十声不止，其中八岁的孩子还出现鼻衄（流鼻血）。给予千金苇茎汤，加入苦葶苈子三钱。有的孩子服用两剂痊愈，有的服用三四剂痊愈。在第三或第四剂时，将葶苈子的用量减半；对于有鼻衄症状的孩子，加入白茅根五钱。
文姓患儿，四岁。幼童呛咳数十日不止，各种药物均无效。使用千金苇茎汤，加入苦葶苈子，服用两剂后痊愈。
周姓女孩，十岁。因春风引发的呛咳，医生采用麻黄向外发散的方法治疗，又使用了诃子、白果、百合向内收敛的药物，导致呛咳无法缓解，吐出的都是血沫。使用金沸草汤，服用三剂后痊愈。
刘姓患者，十七岁。乙酉年五月二十四日就诊。三月间感受春温之邪，呛咳并见呕吐。目前六脉弦细，在五更天丑、寅、卯时，单声咳嗽剧烈，这称为“木叩金鸣”（肝木之气冲击肺金），风气本生于肝木。议定采用辛甘化风、甘凉柔肝的治疗方法。
处方：苦桔梗（三钱）、连翘（三钱）、银花（二钱）、甘草（二钱）、薄荷（一钱）、鲜芦根（三钱）、桑叶（三钱）、麦冬（三钱）、细生地（三钱）、茶菊（三钱）、天冬（一钱）。
二十八日复诊：咳嗽减轻，食欲增加，但脉象仍然洪数，左脉大于右脉。效法前方不更改，再服用四五剂。
六月初二日诊察：木叩金鸣，采用柔肝清肺法已见效，左脉洪数已减退。在前方的基础上，去掉气分用的辛散药物，加入甘润之品。
处方：沙参（三钱）、玉竹（三钱）、麦冬（三钱）、冰糖（三钱）。
李姓女孩，四岁。己丑年二月初十日就诊。风温夹带痰饮导致喘咳，腹部发热严重，病情危急。勉强采用宣通肺络、清泄肺热的方法。
处方：生石膏（二钱）、杏仁（五钱）、黄芩（三钱，炒制）、苦葶苈（三钱）、芦根（五钱）。
十二日复诊：风温夹带痰饮导致喘咳。
处方：生石膏（二两）、杏仁（四钱）、冬瓜仁（三钱）、芦根（五钱）、茯苓皮（三钱）、苦葶苈（一钱半）。
煮成三小杯，分三次服用。服用两剂后，烧热退去。
吴姓患者，二十岁。甲子年四月二十四日就诊。六脉弦劲，有阴无阳，只咳嗽没有痰，且需清上焦气分之热。
处方：桑叶（三钱）、生扁豆（三钱）、玉竹（三钱）、冰糖（三钱）、麦冬（三钱）、沙参（三钱）、杏仁（三钱）、连翘（一钱半）、茶菊（三钱）。
服用四剂。
二十六日复诊：在前方基础上，去掉连翘，加入：
丹皮（二钱）、地骨皮（三钱）。
陈姓患者，四十岁。丙戌年正月十三日就诊。咳嗽始于前年九月，夏季受伤于湿邪，伏暑遇到新凉而引发咳嗽，症状本来不大，后来因为误用补药封固，导致邪气难以排出。又用桑白皮末配合地骨皮引邪入肾。按中医理论，肾为封藏之脏，误入的邪气永远难以再排出。身体发热通过补药发汗得以解除，但足心的发热始终不解，这是确凿的证据。目前咳嗽伴有呕吐，六脉弦细而数，属于阴阳两虚。勉强按照治疗胃咳的方法，先让患者能够进食，建立中焦脾胃的功能，假如胃气旺盛，或许还有生机。经常吐血一两口，其中有瘀滞，也是久病导致络脉损伤的表现，季胁部位作痛，是肝经循行部位的问题，应当加入宣通络脉、降气的药物。
处方：姜半夏（六钱）、苏子霜（一钱半）、桃仁（三钱）、云苓（八钱，如果呕吐不止可加至一两左右）、降香末（二钱）、广皮炭（三钱）、姜汁（每杯冲服三小匙）。
煮成三杯，分三次服用。此症如同扬汤止沸，断难做到釜底抽薪（从根本上解决问题）。
陈姓患者，十六岁。少年体质原本虚弱，六脉弦细而软，五更时分咳嗽，时而吐血，应当按照阳虚夹带痰饮导致吐血的理论进行治疗。又遵循“劳者温之”的治疗原则，给予小建中汤，加入茯苓、半夏。
处方：白芍（六钱，炒制）、姜半夏（三钱）、生姜（三大片）、桂枝（四钱）、云苓（五钱）、胶饴（八钱，溶化后加入）、炙甘草（三钱）、大枣（两枚，去核）。
多服用效果更佳。
某姓患者，十三岁。五更时分干咳，木叩金鸣，本应用柔润药物柔养肝木，现在两胁疼痛，中间有怒郁导致的瘀滞，治法应当活血通络。
处方：新绛纱（三钱）、苏子霜（二钱）、广陈皮（二钱，炒制）、旋复花（三钱，包煎）、降香末（二钱）、姜半夏（五钱）、归须（三钱）、郁金（二钱）、青皮（一钱半）、香附（三钱）。
Mr. Guo, male, eight years old. On the 11th day of the 7th lunar month in the Guihai year, he presented with cough accompanied by vomiting, which is Stomach Cough (cough caused by pathogenic factors affecting the Stomach organ). There was excessive phlegm and saliva obstructing the airways, wheezing, chest fullness, and shortness of breath.
Prescription: Banxia (Pinelliae Rhizoma, 3 qian), Xiao Zhishi (Immature Bitter Orange, 1 qian), Chenpi (Aged Tangerine Peel, 1 qian), Xingren (Apricot Seed, 2 qian), Sugeng (Perilla Stem, 2 qian), Sheng Yiyiren (Coix Seed, 3 qian), Shengjiang (Fresh Ginger, 2 qian), Fuling (Poria, 3 qian).
Subsequently, modifications were made to the above prescription:
Added: Ku Tinglizi (Lepidium Seed, 1.5 qian), Banxia (Pinelliae Rhizoma, 2 qian), Suzi (Perilla Fruit, 2 qian).
Removed Sugeng, administered for two more doses.
On the 20th day: The child has Spleen deficiency with heavy dampness leading to Stomach Cough.
Prescription: Jiang Banxia (Ginger-processed Pinellia, 6 qian), Jiao Qu (Charred Medicated Leaven, 2 qian), Xiao Zhishi (Immature Bitter Orange, 1.5 qian), Xingni (Apricot Paste, 3 qian), Xuanfuhua (Inula Flower, 3 qian, wrapped in silk), Suzishuang (Perilla Frost, 1.5 qian), Fuling (Poria, 3 qian), Sheng Baibian Dou (Raw White Hyacinth Bean, 3 qian), Sheng Yiyiren (Coix Seed, 5 qian), Shengjiangzhi (Fresh Ginger Juice, three small spoons mixed each time).
Subsequently, modifications were made to the above prescription:
Added: Guangpi (Broad-leaved Aged Tangerine Peel, 2 qian), Xingren (Apricot Seed, 2 qian), Suzishuang (Perilla Frost, 1.5 qian).
Removed Shenqu (Medicated Leaven).
Total ten doses.
The three young children of the Wu family, aged three, five, and eight, suffered from continuous coughing spells lasting dozens of times. The eight-year-old also experienced epistaxis (nosebleed). Qianjin Weijing Tang (Decoction for Thousand Gold Willow Stem) was prescribed with added Ku Tinglizi (Lepidium Seed, 3 qian). Some recovered after two doses, others after three or four doses. In the third or fourth dose, the amount of Tinglizi was halved; for those with epistaxis, Baimaogen (Imperata Rhizome, 5 qian) was added.
Patient Wen, four years old. A young child suffered from choking cough for dozens of days without effect from various medicines. Qianjin Weijing Tang (Decoction for Thousand Gold Willow Stem) with added Ku Tinglizi (Lepidium Seed) was used, resulting in recovery after two doses.
Ms. Zhou, ten years old. Choking cough induced by spring wind. The physician had used Mahuang (Ephedra) for outward dispersal, combined with Hezi (Chebula Fruit), Baiguo (Ginkgo Seed), and Baihe (Lily Bulb) for inward astringency, causing unresolvable choking cough. The expectorated material consisted entirely of bloody foam. Jinfeicao Tang (Decoction for Golden Fern Grass) was prescribed, resulting in recovery after three doses.
Patient Liu, seventeen years old. On the 24th day of the 5th lunar month in the Yiyu year. In March, Spring Warmth pathogen invaded, causing choking cough and vomiting. Currently, the six pulses are wiry and fine. During the early morning hours of Chou, Yin, and Mao (1:00 AM - 7:00 AM), single-burst coughing is severe, termed "Wood striking Metal" (Liver Wood Qi impacting Lung Metal). Wind originates from Liver Wood. The proposed treatment is to transform wind using acrid-sweet methods and soften the Liver using sweet-cool methods.
Prescription: Ku Jiegeng (Bitter Platycodon Root, 3 qian), Lianqiao (Forsythia Fruit, 3 qian), Yinhua (Honeysuckle Flower, 2 qian), Gancao (Licorice Root, 2 qian), Bohe (Mint, 1 qian), Xian Lugeng (Fresh Reed Rhizome, 3 qian), Sangye (Mulberry Leaf, 3 qian), Maidong (Ophiopogon Tuber, 3 qian), Xi Shengdi (Fine Rehmannia Root, 3 qian), Chaju (Tea Chrysanthemum, 3 qian), Tiandong (Asparagus Tuber, 1 qian).
On the 28th day: Cough decreased, appetite increased, but the pulse remains surging and rapid, with the left pulse larger than the right. Efficacy confirms the method; do not change the formula, administer another four to five doses.
On the 2nd day of the 6th lunar month: Wood striking Metal ringing, treatment with softening Liver and clearing Lung has been effective. The surging and rapid left pulse has decreased. Remove acrid herbs acting on the Qi level from the previous formula, add sweet-moistening agents.
Prescription: Shashen (Glehnia Root, 3 qian), Yuzhu (Polygonatum Rhizome, 3 qian), Maidong (Ophiopogon Tuber, 3 qian), Bingtang (Rock Sugar, 3 qian).
Ms. Li, four years old. On the 10th day of the 2nd lunar month in the Jichou year. Wind-Warmth complicated by Phlegm-Fluids causing wheezing and cough. Abdominal heat is severe, condition critical. Tentatively applied methods to diffuse Lung collaterals and clear Lung heat.
Prescription: Sheng Shigao (Raw Gypsum, 2 qian), Xingren (Apricot Seed, 5 qian), Huangqin (Scutellaria Root, 3 qian, stir-fried), Ku Tingli (Lepidium Seed, 3 qian), Lugeng (Reed Rhizome, 5 qian).
On the 12th day: Wind-Warmth complicated by Phlegm-Fluids causing wheezing and cough.
Prescription: Sheng Shigao (Raw Gypsum, 2 liang), Xingren (Apricot Seed, 4 qian), Dongguaren (Winter Melon Seed, 3 qian), Lugeng (Reed Rhizome, 5 qian), Fulingpi (Poria Skin, 3 qian), Ku Tingli (Lepidium Seed, 1.5 qian).
Boil into three small cups, divide into three doses. After two doses, fever subsided.
Patient Wu, twenty years old. On the 24th day of the 4th lunar month in the Jiazi year. Six pulses are wiry and forceful, showing Yin without Yang. Only coughing without phlegm. Clear Upper Jiao Qi-level heat.
Prescription: Sangye (Mulberry Leaf, 3 qian), Sheng Bian Dou (Raw Broad Bean, 3 qian), Yuzhu (Polygonatum Rhizome, 3 qian), Bingtang (Rock Sugar, 3 qian), Maidong (Ophiopogon Tuber, 3 qian), Shashen (Glehnia Root, 3 qian), Xingren (Apricot Seed, 3 qian), Lianqiao (Forsythia Fruit, 1.5 qian), Chaju (Tea Chrysanthemum, 3 qian).
Four doses.
On the 26th day: From the previous formula, remove Lianqiao (Forsythia Fruit), add:
Danpi (Moutan Bark, 2 qian), Digupi (Cortex Lycii, 3 qian).
Patient Chen, forty years old. On the 13th day of the 1st lunar month in the Bingxu year. Cough started in September of the previous year. Summer injury by dampness, latent Summer-Heat triggered by new coolness caused the cough. The symptoms were originally mild, but later due to mistaken tonification sealing the exterior, pathogens became difficult to expel. Then Sangbai Pi (Morus Bark) powder was used with Digupi (Cortex Lycii) to guide pathogens into the Kidney. According to theory, the Kidney is an organ of storage; pathogens guided in erroneously can never be expelled again. Body heat resolved through sweating induced by tonifying drugs, but heat in the soles of the feet remained unresolved, which is definitive evidence. Currently, cough with vomiting, six pulses wiry, fine, and rapid, indicating both Yin and Yang deficiency. Tentatively follow the method for treating Stomach Cough, first allowing the patient to eat, establishing Middle Jiao function. If Stomach Qi becomes robust, there may be hope for life. Frequent expectoration of one or two mouthfuls of blood containing stasis indicates collateral damage from long-term illness. Pain in the hypochondriac region corresponds to the Liver meridian area; should add methods to diffuse collaterals and descend Qi.
Prescription: Jiang Banxia (Ginger-processed Pinellia, 6 qian), Suzishuang (Perilla Frost, 1.5 qian), Taoren (Peach Kernel, 3 qian), Yunling (Poria, 8 qian, can increase to 1 liang if vomiting persists), Jiangxiangmo (Aquilaria Wood Powder, 2 qian), Guangpitan (Charred Broad-leaved Aged Tangerine Peel, 3 qian), Jiangzhi (Ginger Juice, three small spoons mixed per cup).
Boil into three cups, divide into three doses. This condition is like stirring boiling water to stop it from boiling; it is impossible to remove firewood from under the pot (address the root cause).
Patient Chen, sixteen years old. A youth with inherently weak constitution. Six pulses are wiry, fine, and soft. Coughing at dawn, occasional hemoptysis (coughing up blood). Should be treated according to the theory of Yang deficiency complicated by Phlegm-Fluids causing hemoptysis. Following the principle "depletion should be warmed," Xiaojianzhong Tang (Minor Construct the Middle Decoction) with added Fuling (Poria) and Banxia (Pinellia) was given.
Prescription: Baishao (White Peony Root, 6 qian, stir-fried), Jiang Banxia (Ginger-processed Pinellia, 3 qian), Shengjiang (Fresh Ginger, three large slices), Guizhi (Cinnamon Twig, 4 qian), Yunling (Poria, 5 qian), Jiaoyi (Maltose, 8 qian, dissolved), Zhi Gancao (Honey-processed Licorice Root, 3 qian), Dazao (Jujube, two pieces, pitted).
Taking more is beneficial.
Patient Mou, thirteen years old. Dry cough at dawn, Wood striking Metal ringing. Originally intended to use softening medicine to soften the Liver. Now with pain in both hypochondria, indicating anger-induced depression and stasis. The method should be to invigorate collaterals.
Prescription: Xinjiangsha (New Crimson Gauze, 3 qian), Suzishuang (Perilla Frost, 2 qian), Guangpi (Broad-leaved Aged Tangerine Peel, 2 qian, stir-fried), Xuanfuhua (Inula Flower, 3 qian, wrapped), Jiangxiangmo (Aquilaria Wood Powder, 2 qian), Jiang Banxia (Ginger-processed Pinellia, 5 qian), Guixu (Angelica Sinensis Tail, 3 qian), Yujin (Curcuma Tuber, 2 qian), Qingpi (Green Tangerine Peel, 1.5 qian), Xiangfu (Cyperus Rhizome, 3 qian).