〔张涣〕养肺汤 温养脾胃。
紫菀(洗去土,焙干) 半夏(汤洗七遍) 款冬花 真阿胶(炙。各一两) 人参(去芦) 桂心(各半两)
上件捣,罗为细末。每服一钱,水一小盏,入生姜二片,糯米五粒,煎至五分,
去滓放温,时时服。
菖蒲煎 治肺中风邪,喘鸣肩息。
石菖蒲(一寸九节者) 款冬花 紫菀(去土,洗,焙干) 人参(去芦) 桂心(各一两)
上件捣,罗为细末,炼蜜同石臼中捣一二百下,和如皂子大。每服一粒,煎糯米饮化下。
木香半夏丹 治胃寒咳嗽。
木香 半夏(汤洗七次,焙干) 肉豆蔻(各一两) 藿香叶 丁香 白术(各半两)
上件捣,罗为细末,取生姜自然汁和,如黍米大。每服十粒,煎人参汤下,量
儿大小加减。
顺肺汤 治心肺不利咳嗽。
紫苏叶 半夏(汤洗七遍,焙。各一两) 五味子 款冬花 陈橘皮(汤浸,去白) 桂心 木香(各半两)
上件捣,罗为细末,每服一钱,水八分,入生姜、人参各少许,煎四分,去滓温服。
《圣惠》陈橘皮散 治小儿咳嗽,胸中满闷,不欲乳食。
陈橘皮(汤浸,去白,焙) 桔梗(去芦) 鸡苏 杏仁(汤浸,去皮尖,麸炒微黄) 人参(去芦。各一分) 贝
母(煨微黄,半两)
上件捣,罗为粗散,每服一钱,以水一小盏,入灯心十茎,煎至五分,去滓温
服,日三四服,量儿大小以意加减。
麦门冬煎 治小儿咳嗽壮热,胸膈壅滞。
麦门冬(去心,一两) 生姜(半两,取汁) 酥 蜜(各二合) 杏仁(汤浸,去皮尖双仁,二两)
上件药,先以水一大盏煎麦门冬及杏仁至四分,入砂盆内研,绞取汁,却入银
器中,次纳生姜汁,以慢火熬成膏,收于瓷器中。每服以清粥饮调下半茶匙,日
三服,夜一服,量儿大小,以意加减。
〔茅先生〕奶豆膏
栝蒌穣 蜜(各半盏) 人参 铅白霜(各半两) 陈槐花(一分) 栝蒌子(百二十枚)
上将栝蒌穣及蜜炼成膏,入诸药末同为膏。每服一大黄豆大,用杏仁煎汤调服。
注唇膏 治小儿诸般咳嗽。
郁金(三个大者,锉细,用生姜汁浸一宿) 白僵蚕(直者,七条) 铅白霜(半钱,研) 脑子(一字)
上件,为细末,炼蜜为膏。用绿豆大注孩儿唇上,二三岁桐子大,十岁以上皂
子大,薄荷生姜汤化下。
蜜瓜膏 治小儿嗽。
栝蒌皮(不拘多少,用蜜涂,慢火上炙焦赤色)
上为末,每服一钱,蜜调成膏。时时抹儿口内。
生犀散 治咳嗽,解时气痰逆喘满,心忪忡惊悸,风热。
杏仁(去皮尖,炒) 桔梗(各二钱) 茯苓 甘草 人参 半夏(各一钱) 五味子 前胡(各一钱半)
上锉散。生姜、薄荷煎服。有热加羌活,或加麻黄、细辛。
保肺汤 治肺胃受风热,痰盛咳嗽,喘吐不止,及治久嗽不愈。
山药 白茯苓 紫苏叶 黄芩 防风 杏仁(去皮尖,麸炒) 五味子 桔梗 百部(六分)
藿香 百合(各五分) 白僵蚕(二钱,去丝嘴,炒)
上水煎,食后服。
天麻防风丸 治惊风咳嗽,身体壮热,多睡惊悸,手足抽掣,精神昏愦,痰涎不利,及风邪温热。
天麻 防风 人参 辰砂 雄黄 麝香 甘草(炙。各二钱半) 全蝎(炒) 僵蚕(各半两,炒)
牛黄 一方,有牛胆南星,无麝香
上为末,炼蜜丸桐子大。每服一二丸,薄荷汤下。
【张涣】养肺汤:温补滋养脾胃。
紫菀(洗净泥土,焙干) 半夏(用热水清洗七遍) 款冬花 真阿胶(炙烤。各一两) 人参(去除芦头) 桂心(各半两)
将上述药材捣碎,过筛成细末。每次服用一钱,加水一小盏,放入生姜两片、糯米五粒,煎煮至剩余五分药液,
滤去药渣,放温后,分次频服。
菖蒲煎:治疗肺受风邪,气喘有声,抬肩呼吸。
石菖蒲(选取一寸长且有九节的) 款冬花 紫菀(去土,洗净,焙干) 人参(去芦头) 桂心(各一两)
将上述药材捣碎,过筛成细末,用炼蜜同放在石臼中捣一二百下,调和得像皂角子大小。每次服用一粒,用煎好的糯米饮送服化开。
木香半夏丹:治疗胃寒引起的咳嗽。
木香 半夏(用热水清洗七次,焙干) 肉豆蔻(各一两) 藿香叶 丁香 白术(各半两)
将上述药材捣碎,过筛成细末,取生姜自然汁调和,制成像黍米大小的丸剂。每次服用十粒,用人参汤送服,根据患儿年龄大小增减剂量。
顺肺汤:治疗心肺气机不利引起的咳嗽。
紫苏叶 半夏(用热水清洗七遍,焙干。各一两) 五味子 款冬花 陈橘皮(用水浸泡,去白瓤) 桂心 木香(各半两)
将上述药材捣碎,过筛成细末,每次服用一钱,加水八分,放入少许生姜和人参,煎煮至剩余四分药液,滤去药渣温服。
《圣惠方》陈橘皮散:治疗小儿咳嗽,胸中胀满闷塞,不想吃奶进食。
陈橘皮(用水浸泡,去白瓤,焙干) 桔梗(去芦头) 鸡苏 杏仁(用水浸泡,去皮尖,麸皮炒至微黄) 人参(去芦头。各一分) 贝
母(煨至微黄,半两)
将上述药材捣碎,过筛成粗散,每次服用一钱,以水一小盏,放入灯心草十根,煎煮至剩余五分药液,滤去药渣温服,每日三四次,根据患儿年龄大小酌情增减。
麦门冬煎:治疗小儿咳嗽高热,胸膈部气机壅滞。
麦门冬(去心,一两) 生姜(半两,取汁) 酥油 蜂蜜(各二合) 杏仁(用水浸泡,去皮尖双仁,二两)
将上述药物,先用水一大盏煎煮麦门冬及杏仁至剩余四分药液,倒入砂盆内研磨,绞取汁液,再倒入银器中,接着加入生姜汁,用慢火熬制成膏状,收于瓷器中。每次用清粥饮调服半茶匙,每日三次,夜间一次,根据患儿年龄大小,酌情增减。
【茅先生】奶豆膏
栝蒌瓤 蜂蜜(各半盏) 人参 铅白霜(各半两) 陈槐花(一分) 栝蒌子(一百二十枚)
先将栝蒌瓤及蜂蜜炼成膏,加入其他药物的细末,共同制成膏剂。每次服用一大黄豆大小的量,用杏仁煎汤调服。
注唇膏:治疗小儿各种咳嗽。
郁金(三个大的,锉细,用生姜汁浸泡一夜) 白僵蚕(直条的,七条) 铅白霜(半钱,研细) 冰片(一字)
将上述药材,研成细末,用炼蜜制成膏剂。用量如绿豆大涂抹在患儿嘴唇上,二三岁患儿如桐子大,十岁以上患儿如皂角子大,用薄荷生姜汤送服化下。
蜜瓜膏:治疗小儿咳嗽。
栝蒌皮(不限多少,用蜜涂抹,在慢火上烤至焦红色)
将其研成细末,每次服用一钱,用蜜调成膏状。时时涂抹在患儿口中。
生犀散:治疗咳嗽,解除时行疫气引起的痰逆喘满,心慌惊悸,风热证。
杏仁(去皮尖,炒) 桔梗(各二钱) 茯苓 甘草 人参 半夏(各一钱) 五味子 前胡(各一钱半)
将其锉成散剂。用生姜、薄荷煎服。有热象者加羌活,或加麻黄、细辛。
保肺汤:治疗肺胃感受风热,痰多咳嗽,气喘呕吐不止,以及治疗久咳不愈。
山药 白茯苓 紫苏叶 黄芩 防风 杏仁(去皮尖,麸皮炒) 五味子 桔梗 百部(六分)
藿香 百合(各五分) 白僵蚕(二钱,去丝嘴,炒)
用水煎煮,饭后服用。
天麻防风丸:治疗惊风咳嗽,身体高热,嗜睡惊悸,手足抽搐,精神昏沉,痰涎不利,以及风邪温热证。
天麻 防风 人参 辰砂 雄黄 麝香 甘草(炙烤。各二钱半) 全蝎(炒) 僵蚕(各半两,炒)
牛黄 另一配方,含有牛胆南星,不含麝香
将上述药材研成细末,用炼蜜制成梧桐子大小的丸剂。每次服用一至二丸,用薄荷汤送服。
[Zhang Huan] Yangfei Tang (Nourishing Lung Decoction): Warms and nourishes the Spleen and Stomach.
*Asterae Radix et Rhizoma* (Ziwan, 紫菀) (washed to remove soil, baked dry) *Pinelliae Rhizoma Preparatum* (Banxia, 半夏) (washed seven times in hot water) *Farfarae Flos* (Kudonghua, 款冬花) *Eburis Colla* (Ejiao, 阿胶) (calcined; each 1 liang) *Ginseng Radix* (Renshen, 人参) (rhizome removed) *Cinnamomi Ramulus* (Guixin, 桂心) (each 0.5 liang)
Crush the above ingredients and sieve into a fine powder. Take 1 qian per dose, add one small cup of water, two slices of fresh ginger, and five grains of glutinous rice. Decoct until only 0.5 cup remains. Strain the dregs, allow to cool to warm temperature, and administer frequently in small amounts.
Changpu Jian (Acorus Paste): Treats lung affected by wind-pathogen, characterized by wheezing with audible sounds and shoulder breathing.
*Acori Tatarinowii Rhizoma* (Shichangpu, 石菖蒲) (select those one cun long with nine nodes) *Farfarae Flos* (Kudonghua, 款冬花) *Asterae Radix et Rhizoma* (Ziwan, 紫菀) (soil removed, washed, baked dry) *Ginseng Radix* (Renshen, 人参) (rhizome removed) *Cinnamomi Ramulus* (Guixin, 桂心) (each 1 liang)
Crush the above ingredients and sieve into a fine powder. Mix with refined honey and pound in a stone mortar for 100–200 strokes. Form pills the size of soap pods. Take one pill per dose, dissolve and swallow using decocted glutinous rice drink.
Muxiang Banxia Dan (Costus and Pinellia Pills): Treats cough due to stomach cold.
*Costi Radix* (Muxiang, 木香) *Pinelliae Rhizoma Preparatum* (Banxia, 半夏) (washed seven times in hot water, baked dry) *Myristicae Semen* (Roudoukou, 肉豆蔻) (each 1 liang) *Agastachis Folium* (Huoxiangye, 藿香叶) *Syzygii Flos* (Dingxiang, 丁香) *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) (each 0.5 liang)
Crush the above ingredients and sieve into a fine powder. Mix with natural juice of fresh ginger to form pills the size of millet grains. Take ten pills per dose, swallow with Ginseng decoction. Adjust dosage according to the child's age and size.
Shunfei Tang (Smooth Lung Decoction): Treats cough due to dysfunction of Heart and Lung qi.
*Perillae Folium* (Zisuye, 紫苏叶) *Pinelliae Rhizoma Preparatum* (Banxia, 半夏) (washed seven times in hot water, baked; each 1 liang) *Schisandrae Fructus* (Wuweizi, 五味子) *Farfarae Flos* (Kudonghua, 款冬花) *Citri Reticulatae Pericarpium* (Chenjuapi, 陈橘皮) (soaked in water, white pith removed) *Cinnamomi Ramulus* (Guixin, 桂心) *Costi Radix* (Muxiang, 木香) (each 0.5 liang)
Crush the above ingredients and sieve into a fine powder. Take 1 qian per dose, add 0.8 cup of water, and a small amount of fresh ginger and Ginseng. Decoct until 0.4 cup remains. Strain and take warm.
*Shenghui Fang* Chenjuapi San (Tangerine Peel Powder): Treats pediatric cough, chest fullness and oppression, and anorexia/refusal to nurse or eat.
*Citri Reticulatae Pericarpium* (Chenjuapi, 陈橘皮) (soaked in water, white pith removed, baked) *Platycodonis Radix* (Jiegeng, 桔梗) (rhizome removed) *Elsholtziae Herba* (Jisu, 鸡苏) *Pruni Semen* (Xingren, 杏仁) (soaked in water, skin and tips removed, stir-fried with bran until slightly yellow) *Ginseng Radix* (Renshen, 人参) (rhizome removed; each 1 fen) *Fritillariae Thunbergii Bulbus* (Beimu, 贝母) (baked until slightly yellow, 0.5 liang)
Crush the above ingredients and sieve into a coarse powder. Take 1 qian per dose, add one small cup of water and ten stems of Juncus effusus (Dengxincao, 灯心). Decoct until 0.5 cup remains. Strain and take warm. Administer three to four times daily. Adjust dosage according to the child's age and condition.
Mendong Jian (Ophiopogon Paste): Treats pediatric cough with high fever and stagnation in the chest and diaphragm.
*Ophiopogonis Radix* (Mendong, 麦门冬) (heart removed, 1 liang) *Zingiberis Rhizoma Recens* (Shengjiang, 生姜) (0.5 liang, juice extracted) *Butyrum* (Su, 酥) *Mel* (Mi, 蜜) (each 2 he) *Pruni Semen* (Xingren, 杏仁) (soaked in water, skin and tips removed, double-kernel, 2 liang)
First, decoct Ophiopogon and Pruni seeds in one large cup of water until 0.4 cup remains. Grind in a mortar, strain to extract juice, then transfer to a silver vessel. Add ginger juice and slowly simmer into a paste. Store in porcelain. Take half a tea spoon mixed with clear rice soup per dose. Administer three times daily and once at night. Adjust dosage according to the child's age and condition.
[Mao Xiansheng] Naidou Gao (Milk Bean Paste)
*Trichosanthis Pericarpium* (Gualourang, 栝蒌瓤) *Mel* (Mi, 蜜) (each half cup) *Ginseng Radix* (Renshen, 人参) *Plumbum Subcarbonas* (Qianbaishuang, 铅白霜) (each 0.5 liang) *Sophorae Flos* (Chenhua, 陈槐花) (1 fen) *Trichosanthis Semen* (Gualouzi, 栝蒌子) (120 seeds)
Refine Gualou pulp and honey into a paste. Add the powders of other herbs and mix thoroughly to form the paste. Take a dose the size of a large soybean, mixed with Apricot seed decoction.
Zhuchun Gao (Lip-Applying Paste): Treats various types of pediatric cough.
*Curcumae Radix* (Yujin, 郁金) (three large pieces, finely chopped, soaked overnight in fresh ginger juice) *Bombyx Batryticatus* (Baijiangcan, 白僵蚕) (straight ones, seven strands) *Plumbum Subcarbonas* (Qianbaishuang, 铅白霜) (0.5 qian, ground) *Borneolum Syntheticum* (Naozhi, 脑子) (one zi)
Grind all ingredients into a fine powder. Mix with refined honey to form a paste. Apply a dose the size of a mung bean to the child's lips. For children aged 2–3 years, use a size similar to a tung nut; for those over 10 years, use a size similar to a soap pod. Dissolve and swallow with Mint and Ginger decoction.
Migua Gao (Melon Paste): Treats pediatric cough.
*Trichosanthis Pericarpium* (Gualoupi, 栝蒌皮) (any quantity, coated with honey, roasted over slow fire until scorched red)
Grind into a fine powder. Take 1 qian per dose, mix with honey to form a paste. Apply to the inside of the child's mouth frequently.
Shengxi San (Raw Rhinoceros Horn Powder): Treats cough, resolves phlegm-reversal and wheezing/fullness caused by seasonal epidemic pathogens, palpitations and fright, and wind-heat.
*Pruni Semen* (Xingren, 杏仁) (skin and tips removed, stir-fried) *Platycodonis Radix* (Jiegeng, 桔梗) (each 2 qian) *Poria* (Fuling, 茯苓) *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) *Ginseng Radix* (Renshen, 人参) *Pinelliae Rhizoma Preparatum* (Banxia, 半夏) (each 1 qian) *Schisandrae Fructus* (Wuweizi, 五味子) *Peucedani Radix* (Qianhu, 前胡) (each 1.5 qian)
Cut into coarse pieces. Decoct with fresh ginger and Mint. If heat signs are present, add Notopterygii Rhizoma (Qianghuo, 羌活), or add Ephedrae Herba (Mahuang, 麻黄) and Asari Radix et Rhizoma (Xixin, 细辛).
Baofei Tang (Protect Lung Decoction): Treats Lung and Stomach affected by wind-heat, profuse phlegm and cough, incessant wheezing and vomiting, as well as chronic cough that fails to heal.
*Dioscoreae Rhizoma* (Shanyao, 山药) *Poria* (Baifuling, 白茯苓) *Perillae Folium* (Zisuye, 紫苏叶) *Scutellariae Radix* (Huangqin, 黄芩) *Saposhnikoviae Radix* (Fangfeng, 防风) *Pruni Semen* (Xingren, 杏仁) (skin and tips removed, stir-fried with bran) *Schisandrae Fructus* (Wuweizi, 五味子) *Platycodonis Radix* (Jiegeng, 桔梗) *Stemonae Radix* (Baibu, 百部) (6 fen) *Agastachis Folium* (Huoxiang, 藿香) *Lilii Bulbus* (Baihe, 百合) (each 5 fen) *Bombyx Batryticatus* (Baijiangcan, 白僵蚕) (2 qian, remove silk and head, stir-fried)
Decoct in water. Take after meals.
Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pills): Treats convulsive cough, high fever, excessive sleepiness with palpitations, limb spasms, mental confusion, difficulty expectorating phlegm, and wind-pathogen with warmth.
*Tianmae Rhizoma* (Tianma, 天麻) *Saposhnikoviae Radix* (Fangfeng, 防风) *Ginseng Radix* (Renshen, 人参) *Cinnabaris* (Chensha, 辰砂) *Realgar* (Xionghuang, 雄黄) *Moschus* (Shexiang, 麝香) *Glycyrrhizae Radix et Rhizoma Preparata* (Gancao, 甘草) (calcined; each 2.5 qian) *Scorpio* (Quanxie, 全蝎) (stir-fried) *Bombyx Batryticatus* (Jiangcan, 僵蚕) (each 0.5 liang, stir-fried)
*Bovis Calculus* (Niuhuang, 牛黄)
Alternative prescription: Contains Bovis Calculus and Arisaema cum Bile (Nandouxing, 胆南星); does not contain Moschus.
Grind into powder. Mix with refined honey to form pills the size of tung nuts. Take 1–2 pills per dose, swallow with Mint decoction.