火嗽面赤咽干燥,痰黄气秽带稠粘,便软加味泻白散便硬加味凉膈煎。
【注】火嗽一证,乃火热熏扰肺金,遂致频频咳嗽,面赤咽干,痰黄气秽,多带稠粘
也。便软者,加味泻白散主之;便硬者,凉膈散加桔梗、桑皮煎服,则热退气清而嗽自止矣。
加味泻白散
桑皮(蜜炙) 地骨皮 甘草(生) 桔梗 川贝母(去心碾) 麦冬(去心) 黄芩 知母(生)
薄荷
水煎服。
【方歌】加味泻白治火咳,桑皮地骨甘草合,贝母麦冬生知母,桔梗黄芩同薄荷。
凉膈散
食积生痰热熏蒸,气促痰壅咳嗽频,便溏曲麦二陈治,便燥苏葶滚痰攻。
【注】积嗽者,因小儿食积生痰,热气熏蒸肺气,气促痰壅,频频咳嗽。便溏者,以
曲麦二陈汤消导之;便秘者,以苏葶滚痰丸攻下之。
曲麦二陈汤
陈皮 半夏(姜制) 茯苓 甘草(生) 黄连(姜制) 山楂 麦芽(炒) 神曲(炒) 栝
蒌仁 枳实(麸炒)
引用生姜、红枣,水煎服。
【方歌】曲麦二陈食积嗽,陈半苓草川黄连,山楂麦芽神曲炒,栝蒌枳实一同煎。
苏葶滚痰丸
苏子(炒,一两) 苦葶苈(微炒,一两) 大黄(酒蒸一次,四两) 沉香(五钱) 黄芩
(四两) 青礞石(火 如金为度,五钱)
上为末,水为丸,量儿虚实服之,姜汤送下。
火咳表现为面部发红、咽喉干燥,痰液呈黄色、气味秽浊且质地稠粘。若大便稀软,使用加味泻白散;若大便干硬,使用加味凉膈煎。
【注】火咳这一证候,是由于火热之邪熏扰肺金,导致频繁咳嗽,出现面红咽干、痰黄气秽且多带稠粘的症状。大便稀软的,以加味泻白散为主治方;大便干硬的,用凉膈散加入桔梗、桑白皮煎服,则热退气清,咳嗽自然停止。
加味泻白散
桑白皮(蜜炙) 地骨皮 甘草(生用) 桔梗 川贝母(去心捣碎) 麦冬(去心) 黄芩 知母(生用) 薄荷
水煎服。
【方歌】加味泻白散治疗火咳,由桑白皮、地骨皮、甘草组成,加上贝母、麦冬、生知母,再配桔梗、黄芩和薄荷一同使用。
食积生痰,热气熏蒸,导致气促、痰壅、咳嗽频繁。若大便溏薄,用曲麦二陈汤治疗;若大便燥结,用苏葶滚痰丸攻下。
【注】积嗽,是因为小儿食积生痰,热气熏蒸肺气,导致气促痰壅,频频咳嗽。大便溏薄的,用曲麦二陈汤消食导滞;便秘的,用苏葶滚痰丸攻下通便。
曲麦二陈汤
陈皮 半夏(姜制) 茯苓 甘草(生用) 黄连(姜制) 山楂 麦芽(炒) 神曲(炒) 瓜蒌仁 枳实(麸炒)
【方歌】曲麦二陈汤治疗食积咳嗽,由陈皮、半夏、茯苓、甘草、川黄连组成,加上炒山楂、炒麦芽、炒神曲,以及瓜蒌、枳实一同煎煮。
苏葶滚痰丸
紫苏子(炒,一两) 苦葶苈(微炒,一两) 大黄(酒蒸一次,四两) 沉香(五钱) 黄芩(四两) 青礞石(火烧至金黄色为度,五钱)
以上药物研为细末,用水泛丸,根据患儿的虚实情况服用,用姜汤送服。
Fire cough presents with a red face and dry throat; the sputum is yellow, foul-smelling, and thick and sticky. If the stool is loose, Jiawei Xiebai San (Modified Baidi Decoction) is indicated; if the stool is hard, Jiawei Liangge Jian (Modified Liangge Decoction) is indicated.
[Note] Fire cough is a syndrome caused by fire-heat harassing the Lung Metal, resulting in frequent coughing, redness of the face, dryness of the throat, yellow and foul-smelling sputum that is often thick and sticky. For cases with loose stools, Jiawei Xiebai San is the primary formula; for cases with hard stools, Liangge San (Liangge Powder) combined with Jiegeng (Platycodon Root) and Sangbai Pi (Morus Bark) decocted and taken orally will clear the heat, purify the qi, and stop the cough naturally.
Jiawei Xiebai San (Modified Baidi Decoction)
Sangbai Pi (Honey-fried Morus Bark) [Bark of Morus alba root]
Digupi (Groundcherry Root Bark) [Root bark of Lycium chinense]
Gancao (Raw Licorice Root) [Radix Glycyrrhizae uralensis]
Jiegeng (Platycodon Root) [Radix Platycodonis grandiflori]
Chuanbeimu (Heartless Fritillaria Bulb) [Bulbus Fritillariae cirrhosae]
Maidong (Heartless Ophiopogon Tuber) [Tuber Ophiopogonis japonici]
Huangqin (Scutellaria Root) [Radix Scutellariae baicalensis]
Zhimu (Raw Anemarrhena Rhizome) [Rhizoma Anemarrhenae asphodeloides]
Bohe (Peppermint Herb) [Herba Menthae haplocalycis]
Decoct in water and take orally.
[Fang Ge - Formula Song] Jiawei Xiebai treats fire cough, combining Sangbai Pi, Digupi, and Gancao; Beimu, Maidong, and raw Zhimu are added, along with Jiegeng, Huangqin, and Bohe.
Liangge San (Liangge Powder)
Food stagnation generates phlegm and heat steams upward, causing shortness of breath, phlegm obstruction, and frequent coughing. If the stool is loose, Qumai Erchen Tang is used for treatment; if the stool is dry and constipated, Suteng Guntan Wan is used to purge downward.
[Note] Accumulation cough arises from food stagnation generating phlegm in children, where heat steams the Lung Qi, leading to shortness of breath, phlegm obstruction, and frequent coughing. For loose stools, Qumai Erchen Tang is used to digest food and guide out stagnation; for constipation, Suteng Guntan Wan is used to purge downwards.
Qumai Erchen Tang (Qumai Erchen Decoction)
Chenpi (Aged Tangerine Peel) [Pericarpium Citri reticulatae]
Banxia (Ginger-processed Pinellia Tuber) [Rhizoma Pinelliae ternatae prepared with ginger]
Fuling (Poria Sclerotium) [Sclerotium Poria cocos]
Gancao (Raw Licorice Root) [Radix Glycyrrhizae uralensis]
Huanglian (Ginger-processed Coptis Rhizome) [Rhizoma Coptidis chinensis prepared with ginger]
Shanzha (Hawthorn Fruit) [Fructus Crataegi]
Maiya (Fried Malt) [Fructus Hordei germinatus]
Shenqu (Fried Medicated Leaven) [Massa Medicata Fermentata]
Gualouren (Trichosanthes Seed) [Semen Trichosanthis]
Zhishi (Bran-fried Immature Bitter Orange) [Fructus Aurantii immaturus prepared with bran]
Add fresh ginger and red dates, decoct in water, and take orally.
[Fang Ge - Formula Song] Qumai Erchen treats accumulation cough, consisting of Chenpi, Banxia, Fuling, Gancao, and Chuan Huanglian; fried Shanzha, fried Maiya, and fried Shenqu are added, along with Gualou and Zhishi, all decocted together.
Suteng Guntan Wan (Suteng Guntan Pill)
Suzi (Fried Perilla Seed) [Semen Perillae frutescentis], 1 liang
Kutingli (Lightly Fried Lepidium Seed) [Semen Lepidii seu Descurainiae], 1 liang
Dahuang (Wine-steamed Rhubarb Rhizome) [Radix et Rhizoma Rhei], 4 liang
Chenxiang (Aquilaria Wood) [Lignum Aquilariae resinae], 5 qian
Huangqin (Scutellaria Root) [Radix Scutellariae baicalensis], 4 liang
Qingmengshi (Blue Calamine Ore fired until golden-yellow), 5 qian
Grind the above ingredients into fine powder, form pills using water, and administer according to the child's deficiency or excess condition, taken down with ginger soup.