《婴童宝鉴》云∶小儿咳嗽声不出,为客风伤于肺管、吸门。肺主声音故也。
《圣惠》治小儿咳嗽声不出。杏仁煎方
杏仁(汤浸,去皮尖,入水一大盏,研滤取汁,二两) 蜜酥(各一合)
上件药,先以杏仁汁于铛中,以重汤煮,减去半;入酥、蜜,又重汤煮二十沸;入贝母、紫菀末各一分,
甘草末半分,更煎搅如饧,收瓷器中。每服以清粥饮调下半钱,日三服,夜一服,嗽止为度。量儿大小以意
加减。
《圣惠》又方
贝母(半两,煨微黄) 牛黄(细研,一钱) 甘草(炙微赤,锉,一分)
上件药捣,细罗为散。每服以温水调下半钱,日三、四服。量儿大小加减服之。
《圣惠》又方
麦门冬(去心,焙) 杏仁(汤浸,去皮尖、双仁,麸炒微黄) 甘草(炙微赤,锉) 贝母(煨微
黄) 款冬花(各一分) 紫菀(半两。洗去苗土)
上件药捣,细罗为散。每服以乳汁调下半钱,日三、四服。量儿大小以意加减。
(惊瘥而嗽作)
茅先生∶小儿有惊膈嗽,因惊风候好,便此嗽,故号惊膈嗽。下金杏丸夹匀气散与服,安乐。(方并见本门。)小
儿月日内有嗽候,不治必死。气未盛而日月内嗽,所以不治。嗽如调理得变,久嗽不止,心陷胸高,渴水不进
食,死候。
茅先生金杏丸
杏仁(去皮尖) 甜葶苈 汉防己 马兜苓(去皮)
上等分为用,蜜为丸如○此大。每服十丸,用麦门冬熟水吞下。茅先生亦于前咳嗽门中已有此方。为各有
牵引不可除,故兼存之。
茅先生匀气散
桔梗(去芦头,洗净,干秤五两) 缩砂仁 茴香(洗) 陈橘皮(去瓤。各一两) 甘草(二两,炙) 白姜(一
分)
上为末。每服半钱、一钱,用霜木瓜煎汤调下。如无即用紫苏、盐煎汤下。
《婴童宝鉴》说:小儿咳嗽但声音发不出,是因为客风(外感风邪)损伤了肺管(气管)和吸门(喉部气道)。这是因为肺主管声音的缘故。
《太平圣惠方》治疗小儿咳嗽声不出。杏仁煎方
杏仁(用热水浸泡,去掉皮和尖,放入一大盏水中,研磨后过滤取汁,用量为二两) 蜜酥(各一合)
以上药物,先用杏仁汁放在铛中,隔水加热煮,减少一半水量;加入酥、蜜,再次隔水加热煮二十次沸腾;加入贝母末、紫菀末各一分,甘草末半分,继续煎煮并搅拌至像饴糖一样粘稠,装入瓷器中保存。每次服用半钱,用清粥汤调服,每日三次,夜间一次,以咳嗽停止为限度。根据孩子的大小酌情增减剂量。
《太平圣惠方》又一方
贝母(半两,煨至微黄) 牛黄(细研,一钱) 甘草(炙至微赤,锉碎,一分)
以上药物捣碎,过细筛成为散剂。每次服用半钱,用温水调服,每日三到四次。根据孩子的大小调整剂量服用。
《太平圣惠方》又一方
麦门冬(去心,焙干) 杏仁(热水浸泡,去皮尖及双仁,麸炒至微黄) 甘草(炙至微赤,锉碎) 贝母(煨至微黄) 款冬花(各一分) 紫菀(半两,洗去苗土)
以上药物捣碎,过细筛成为散剂。每次服用半钱,用乳汁调服,每日三到四次。根据孩子的大小酌情增减剂量。
(惊风痊愈后出现咳嗽)
茅先生:小儿有惊膈嗽(因惊风引起的咳嗽),因为惊风症状好转后,随即出现这种咳嗽,所以称为惊膈嗽。服用金杏丸配合匀气散,即可安乐。(两个方子均见本门类。)小儿在月日内出现咳嗽症状,如果不治疗必死无疑。因为此时小儿正气未盛,所以在月日内的咳嗽难以治愈。如果咳嗽经过调理仍未改变,久咳不止,导致心陷胸高(胸部高耸凹陷),口渴不进饮食,这是死候。
茅先生金杏丸
杏仁(去皮尖) 甜葶苈 汉防己 马兜苓(去皮)
以上药物等分为末,用蜂蜜制成如○大小的丸剂。每次服用十丸,用麦门冬熟水送下。茅先生也在前面的咳嗽门类中已有此方。因为各有侧重不可删除,所以一并保留。
茅先生匀气散
桔梗(去芦头,洗净,干秤五两) 缩砂仁 茴香(清洗) 陈橘皮(去瓤,各一两) 甘草(二两,炙) 白姜(一分)
以上药物制成粉末。每次服用半钱或一钱,用霜木瓜煎汤调服。如果没有,就用紫苏、盐煎汤送服。
*Ying Tong Bao Jian* states: When a child coughs but cannot produce sound, it is due to exogenous wind pathogen (Ke Feng) damaging the lung tube (trachea) and the inhalation gate (laryngeal airway). This is because the Lung governs voice.
*Tai Ping Sheng Hui Fang* treats pediatric cough with inability to produce sound. Xing Ren Decoction (Almond Decoction)
Xing Ren (Apricot Seed, *Prunus armeniaca* L.) (soaked in hot water, remove skin and tips, place in one large cup of water, grind and filter to extract juice, quantity: two liang) Mi Su (Honey and butter/ghee, each: one he)
Take the above medicines. First, put the apricot seed juice into a pan, boil over a double boiler until the volume reduces by half; add butter and honey, continue boiling over a double boiler for twenty boils; add Bei Mu powder (Fritillariae Bulbus), Zi Wan powder (Asteris Radix), each one fen, Gan Cao powder (Glycyrrhizae Radix et Rhizoma) half a fen. Continue boiling and stirring until it resembles maltose syrup. Store in a porcelain vessel. Each dose consists of half a qian, mixed with clear rice soup for administration. Take three times daily and once at night, until the cough stops. Adjust the dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang*, another prescription
Bei Mu (Fritillariae Bulbus, half a liang, roasted until slightly yellow) Niu Huang (Calculus Bovis, finely ground, one qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red, cut into small pieces, one fen)
Grind the above medicines into a fine powder through a sieve. Each dose consists of half a qian, taken with warm water. Administer three to four times daily. Adjust the dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang*, another prescription
Mai Men Dong (Ophiopogonis Radix, remove heart, roast dry) Xing Ren (Apricot Seed, *Prunus armeniaca* L., soaked in hot water, remove skin and tips including double kernels, stir-fried with bran until slightly yellow) Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red, cut into small pieces) Bei Mu (Fritillariae Bulbus, roasted until slightly yellow) Kuan Dong Hua (Farfarae Flos, each: one fen) Zi Wan (Asteris Radix, half a liang, wash away roots and soil)
Grind the above medicines into a fine powder through a sieve. Each dose consists of half a qian, taken with milk. Administer three to four times daily. Adjust the dosage according to the child's age and size.
(Cough appearing after convulsions have subsided)
Mr. Mao: Children suffering from Jing Ge Sou (convulsion-induced cough) experience this cough immediately after the symptoms of wind-stroke or convulsions subside, hence the name. Administer Jin Xing Wan (Golden Apricot Pill) combined with Yun Qi San (Qi-Regulating Powder) to restore peace and health. (Both prescriptions are found in this category.) If a child develops a cough within the first month of life, it is fatal if untreated. Because the child's vital qi is not yet robust, coughs occurring within the first month are difficult to cure. If the cough persists despite regulation, leading to sunken heart and protruding chest, thirst without desire to eat or drink, these are signs of impending death.
Mr. Mao's Jin Xing Wan (Golden Apricot Pill)
Xing Ren (Apricot Seed, *Prunus armeniaca* L., remove skin and tips) Ting Li Zi (Semen Lepidii seu Descurainiae, sweet variety) Fang Ji (Radix Stephaniae Tetrandrae) Lou Gen (Radix Aristolochiae, remove skin)
Grind the above medicines into equal parts. Form pills using honey, sized like ○. Each dose is ten pills, swallowed with cooked Mai Men Dong (Ophiopogonis Radix) water. Mr. Mao also included this prescription in the previous cough category. Since each has its specific indications and cannot be deleted, both are retained.
Mr. Mao's Yun Qi San (Qi-Regulating Powder)
Jie Geng (Platycodonis Radix, remove rhizome head, wash clean, dried weight five liang) Sha Ren (Amomi Fructus Rotundus) Hui Xiang (Foeniculi Fructus, washed) Chen Pi (Citri Reticulatae Pericarpium, remove pith, each: one liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, two liang, roasted) Bai Jiang (Zingiberis Rhizoma Album, one fen)
Grind the above medicines into powder. Each dose is half a qian or one qian, taken with decoction of Shuang Mu Gua (Chaenomeles Fruit with Frost). If unavailable, take with decoction of Zi Su (Perillae Folium) and salt.