圣济论 证、肺经受风寒，因咳嗽，肺停冷血生痰，致使腑脏有热，睡卧不安，故成 ，咽喉间如拽锯之声。
小儿若有此候，可服通关梅花饮子并半夏丸，及保寿散、小归命散、解肌散，三两服自安。若见 如瘕证，喉间若拽
锯声者，乃肺感风邪，上气喘急，面唇青色，项下有深凹陷，痰涎粘如胶漆，口生腥臭，恶气舌缩者、皆不可治也。
梅花饮子 治婴孩惊热、潮热、虚热、积热，五脏蕴热，上焦壅热，手足心热，喉中多痰，面色或红或白，变
蒸牙，鼻流清涕，气急肝肺壅热，目赤咳嗽。或被人物所惊，夜啼睡卧不安，心中惊怖，情绪不快。或伤寒渐安，尚
有余热未除，亦宜进此，三两服，常服镇心压惊，化痰退热安神，可除未来之患，通关。
南硼砂 马牙硝（另研） 芒硝（另研） 甘草（炙、各半两） 人参（一两） 辰砂（二钱半） 片脑 麝香（一
字）
上八味为末，以瓷器收之，遇有此证，服一匙，麦门冬汤调下。气喘咳嗽，桑白皮汤调下，常服薄荷汤下。
吴子玉方
白色信石（一字、并下豆粉、研炮过、用） 生南星 枯矾（各一钱） 鹅管石 硼砂（各半钱） 绿豆粉 雄黄
（各一钱半）
上为末，糊丸如萝卜子大，临卧用冷茶清吞下五丸。
半夏丸 治肺气不调，咳嗽喘满，痰涎壅塞，心下坚满，短气烦闷，风壅痰实，头目昏眩，咽膈不利，呕吐恶
心，神思昏愦，心忪面热，涕唾稠粘，并皆治之。
白矾（枯过、二两五钱） 半夏（三两、汤洗去滑、姜汁浸一宿）
上为细末，生姜自然汁，为丸梧桐子大，每服十丸，或二十丸，食后卧时、生姜汤下。小儿丸如麻子大。
保寿散 见第五十问。
小归命散 治小儿变蒸伤寒，潮热惊热 呀，鼻流清涕咳嗽，浑身温壮，咽喉有涎，兼前项伤寒等证，及退惊
热，坠涎安神，百病不生。
白茯苓 人参 白术（各半两） 甘草（三钱） 辰砂（二钱） 片脑 麝香（各少许）
上七味为末，每服半钱，薄荷汤调下。
解肌散 治婴孩伤寒风，面部红赤 呀，浑身壮热，有前项等形证，兼服人参散，后得热退，可观患势轻重，
若患稍轻，脉候不洪数，面不大赤，不加烦躁，然须呻吟 语，此为轻可之候，但只进此。
人参 钩藤 桔梗 甘草 川芎（各三钱） 葶苈（一钱、炒） 白茯苓（一钱） 杏仁（四十九个、去皮尖） 石
膏（ ） 麻黄（去节、各四钱）
上锉散，每服二钱，枣一枚，水一盏，煎半盏服。如国中伤寒，先下此药，是须要仔细辨认形证，则面青白，耳珠
脚膝尻骨，俱冷如冰，身体温壮，亦狂躁 语，梦中惊笑，乃是此候也。若小儿伤寒等，服此解肌散、渐得热退，次第
可服大归命散、保寿散、轻粉白术散等调理。
白玉丸 利膈下痰涎，去心胸噎塞不止，并咳嗽多痰。
南星 半夏 僵蚕 白矾（生、各二钱半）
上为末，杏仁七个去皮尖，巴豆一粒，同研匀，再用去皮生姜汁为丸，如粟米大，每服一、二十丸，姜汤送下，不
拘时。
《圣济总论》指出：证候为肺经受风寒侵袭，因引发咳嗽，导致肺气停滞、冷血凝聚而生痰，致使脏腑产生内热，睡眠卧息不安，从而形成喉中发出如拉锯般的声响。
小儿若出现这种症状，可服用通关梅花饮子以及半夏丸，还有保寿散、小归命散、解肌散，服用三剂后自然安宁。如果见到类似瘕积的证状，喉间有拉锯声，这是肺感受风邪，导致上气喘促急促，面部和嘴唇发青，颈部下方出现深凹陷，痰涎粘稠如同胶漆，口中散发腥臭气味，恶气上逆且舌体收缩者，都属于不可治愈的危重证候。
梅花饮子：治疗婴儿惊热、潮热、虚热、积热，五脏蕴藏热邪，上焦壅滞发热，手足心发热，喉中多痰，面色或红或白，变蒸期出牙，鼻流清涕，气急且肝肺壅热，眼睛发红咳嗽。或因被事物惊吓，夜间啼哭睡卧不安，心中惊恐恐怖，情绪不愉快。或是伤寒病逐渐好转，尚有余热未清除，也适宜服用此方，服用三剂，常服可镇心安神、压制惊悸、化痰退热安神，能消除未来的隐患，通达咽喉关窍。
配方：南硼砂、马牙硝（单独研磨）、芒硝（单独研磨）、甘草（炙制，各半两）、人参（一两）、辰砂（二钱半）、片脑（冰片）、麝香（一字）。
以上八味药研成细末，用瓷器密封收藏，遇到此类证候时，服用一匙，用麦门冬汤调服。若气喘咳嗽，用桑白皮汤调服；常服则用薄荷汤调服。
吴子玉方：白色信石（一字，并加入豆粉，研磨炮制后使用）、生南星、枯矾（各一钱）、鹅管石、硼砂（各半钱）、绿豆粉、雄黄（各一钱半）。
以上药物研成细末，用糊剂制成如萝卜子大小的丸药，临睡前用冷茶送服五丸。
半夏丸：治疗肺气不调，咳嗽喘满，痰涎壅塞，心下坚硬胀满，短气烦闷，风邪壅滞痰实，头目昏眩，咽膈不利，呕吐恶心，神思昏沉困倦，心悸面热，鼻涕唾液稠粘，上述症状均可治疗。
配方：白矾（烧枯过，二两五钱）、半夏（三两，开水洗去滑腻，姜汁浸泡一夜）。
以上研成细末，用生姜自然汁，制成梧桐子大小的丸药，每次服用十丸或二十丸，饭后及睡前，用生姜汤送服。小儿丸药做成麻子大小。
保寿散：见第五十问。
小归命散：治疗小儿变蒸期间伤寒，潮热惊热，张口呼吸，鼻流清涕咳嗽，浑身温热壮热，咽喉有涎液，兼治前项伤寒等证候，以及退除惊热，坠降涎液、安神定志，使百病不生。
配方：白茯苓、人参、白术（各半两）、甘草（三钱）、辰砂（二钱）、片脑、麝香（各少许）。
以上七味药研成细末，每次服用半钱，用薄荷汤调服。
解肌散：治疗婴儿伤风受寒，面部红赤，浑身壮热，具有前项等症状，兼服人参散，之后热退，可观察病情轻重。如果患病稍轻，脉象不洪大数急，面部不太红赤，不加烦躁，然而必须呻吟谵语，这属于轻症可治的证候，只需进服此方即可。
配方：人参、钩藤、桔梗、甘草、川芎（各三钱）、葶苈子（一钱，炒制）、白茯苓（一钱）、杏仁（四十九个，去皮尖）、石膏（未注明剂量）、麻黄（去节，各四钱）。
以上切碎成散剂，每次服用二钱，加枣一枚，水一盏，煎至半盏服用。如果在国家流行伤寒期间，先服用此药，必须要仔细辨认形证，若见面色青白，耳珠、脚膝、尻骨俱冷如冰，身体温热壮热，甚至狂躁谵语，梦中惊笑，这才是此方的适用证候。如果小儿患伤寒等病，服用此解肌散后，渐渐热退，随后可以依次服用大归命散、保寿散、轻粉白术散等进行调理。
以上研成细末，取杏仁七个去皮尖，巴豆一粒，一同研磨均匀，再用去皮生姜汁制成丸药，如粟米大小，每次服用一二十丸，姜汤送服，不拘时间。
According to the *Shengji Zonglun* (General Treatise on Holy Relief): The syndrome involves the Lung Meridian being invaded by Wind-Cold, leading to coughing. This causes stagnation of Qi in the Lung, accumulation of cold blood, and generation of phlegm, resulting in internal heat within the Zang-Fu organs. Consequently, the child experiences restless sleep, manifesting as a sawing sound in the throat.
If a child presents with these symptoms, they may administer Tongguan Meihua Yinzi (Pass-Through Plum Blossom Decoction), Banxia Wan (Pinellia Pill), Baoshou San (Longevity-Preserving Powder), Xiaoguiming San (Little Return-to-Life Powder), and Ji Ji San (Muscle-Releasing Powder). After three doses, peace will naturally be restored. However, if signs resembling Jia masses (abdominal masses) are observed, accompanied by a sawing sound in the throat, this indicates the Lung has been affected by Wind pathogenic factors. Symptoms include rapid upper-body panting, cyanosis of the face and lips, deep depression under the neck, sticky phlegm saliva resembling glue or lacquer, foul腥 odor in the mouth, upward reversal of foul qi, and retraction of the tongue. These are all considered incurable critical conditions.
Meihua Yinzi (Plum Blossom Decoction): Treats infantile Jing Re (Startling Heat), Chao Re (Tidal Heat), Xu Re (Deficiency Heat), and Ji Re (Accumulation Heat); heat harbored in the Five Viscera; excess heat in the Upper Jiao; heat in the palms and soles; excessive phlegm in the throat; complexion that is either red or white; teething during Bian Zheng (Transformation and Evaporation); runny clear nose; rapid breathing with Liver-Lung heat congestion; red eyes and coughing. It also treats cases where the infant is startled by objects, causing night crying, restless sleep, mental fright, fear, and irritability. Furthermore, it is suitable for cases where Shang Han (Cold Damage) has gradually improved but residual heat remains uneliminated. Administer three doses. Regular use calms the Heart, suppresses startling, transforms phlegm, reduces fever, calms the spirit, eliminates future hazards, and opens the throat passages.
Ingredients: Nan Penglsha (Southern Borax), Mayaxiao (Sodium Nitrate, separately ground), Mangxiao (Mirabilite, separately ground), Gancao (Licorice Root, honey-fried, each 0.5 liang), Renshen (Ginseng Root, 1 liang), Chen Sha (Cinnabar, 2.5 qian), Pian Nao (Borneol), Shexiang (Musk, 1 zi).
Grind the above eight ingredients into fine powder, store in a porcelain vessel. When encountering this syndrome, take one spoonful, mixed with Maidong Tang (Ophiopogon Decoction). For panting and coughing, mix with Sangbaipi Tang (Morus Bark Decoction); for regular maintenance, mix with Bohe Tang (Mint Decoction).
Wu Ziyu Formula: Baixinshi (White Arsenic Stone, 1 zi, processed with bean flour by grinding and roasting), Sheng Nanxing (Arisaema Rhizome, raw), Kufan (Alum, calcined, each 1 qian), Eguan Shi (Calcareous Sinter), Pengsha (Borax, each 0.5 qian), Lv Dou Fen (Mung Bean Starch), Xionghuang (Realgar, each 1.5 qian).
Grind into powder, make pills the size of radish seeds using paste. Swallow five pills before bed with cold tea.
Banxia Wan (Pinellia Pill): Treats disordered Lung Qi, coughing with panting and fullness, obstruction by phlegm saliva, hardness and fullness below the heart, shortness of breath and stifling sensation, wind-stagnation with phlegm-excess, dizziness of head and eyes, difficulty in swallowing and throat, vomiting and nausea, mental confusion, palpitations with facial heat, and thick sticky nasal discharge and sputum. All these symptoms are treated by this formula.
Ingredients: Bai Fan (Alum, calcined, 2.5 liang 5 qian), Banxia (Pinellia Tuber, 3 liang, washed with boiling water to remove slipperiness, soaked in ginger juice overnight).
Grind into fine powder, use natural ginger juice to make pills the size of Sophora seeds. Take ten to twenty pills per dose, after meals and before sleep, with Ginger Decoction. For children, make pills the size of hemp seeds.
Baoshou San (Longevity-Preserving Powder): See Question 50.
Xiaoguiming San (Little Return-to-Life Powder): Treats infantile Shang Han during Bian Zheng, tidal heat, startling heat, open-mouth breathing, runny clear nose, coughing, generalized warm-fever, phlegm in the throat. It addresses the aforementioned Shang Han syndromes, reduces startling heat, settles phlegm, calms the spirit, and prevents various diseases.
Ingredients: Baifuling (Poria, white), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome, each 0.5 liang), Gancao (Licorice Root, 3 qian), Chen Sha (Cinnabar, 2 qian), Pian Nao (Borneol), Shexiang (Musk, each a small amount).
Grind the above seven ingredients into powder. Take half a qian per dose, mixed with Bohe Tang (Mint Decoction).
Ji Ji San (Muscle-Releasing Powder): Treats infantile Shang Feng (Wind Cold) with facial redness and generalized high fever, presenting with the aforementioned symptoms. Combined with Ren Shen San (Ginseng Powder), the fever subsides. Observe the severity of the condition. If the illness is mild, the pulse is not surging and rapid, the face is not deeply red, and there is no aggravation of irritability, yet the child moans and speaks deliriously, this is a mild, treatable syndrome. Simply administer this formula.
Ingredients: Renshen (Ginseng Root), Gouteng (Uncaria Rhynchophylla), Jiegeng (Platycodon Root), Gancao (Licorice Root), Chuanxiong (Ligusticum Chuanxiong Rhizome, each 3 qian), Tingli (Descurainia Seed, 1 qian, stir-fried), Baifuling (Poria, white, 1 qian), Xingren (Apricot Seed, 49 pieces, peeled and de-husked), Shigao (Gypsum Fibrosum, dosage unspecified), Mahuang (Ephedra Stem, nodes removed, each 4 qian).
Cut into coarse powder. Take two qian per dose, with one jujube, one cup of water, decocted to half a cup. In times of epidemic Shang Han, if administering this medicine first, one must carefully distinguish the syndrome. If the face is cyanotic and pale, the earlobes, knees, feet, and sacrum are cold as ice, the body is warm-feverish, and there is maniacal restlessness, delirious speech, and laughing in dreams, this is the applicable syndrome. If children suffer from Shang Han etc., and after taking Ji Ji San the fever gradually subsides, subsequently one may sequentially administer Da Guiming San (Great Return-to-Life Powder), Baoshou San (Longevity-Preserving Powder), Qingfen Baizhu San (Calomel and Atractylodes Powder), etc., for regulation.
Baiyu Wan (White Jade Pill): Benefits the diaphragm, descends phlegm saliva, removes persistent chest and heart oppression, and treats coughing with excessive phlegm.
Ingredients: Nanxing (Arisaema Rhizome), Banxia (Pinellia Tuber), Jiangcan (Bombyx Batryticatus), Baifan (Alum, raw, each 2.5 qian).
Grind into powder. Take seven apricot seeds (peeled and de-husked) and one croton seed (Badou), grind together uniformly. Use peeled ginger juice to make pills the size of millet grains. Take ten to twenty pills per dose, with Ginger Decoction, at any time.