《宝鉴》灸幼宫，三壮，又灸中指甲后一分。《万全方》灸小儿夜啼，上灯啼，鸡鸣
止者。灸中指甲后一分，中冲穴一壮，炷如小麦大。
〔薛〕经云∶舌者音声之机也，喉者音声之关也，小儿卒然无音者，乃寒气客于会
厌，则厌不能发，发不能下，致其门阖不制，故无音也。若咽喉音声如故，而舌不
能转运言语，则为舌喑，此乃风冷之邪，客于脾之络，或中于舌下廉泉穴所致也，
盖舌乃心之苗，心发声为言，风邪阻塞经络，故舌不能转运也。若舌本不能转运言
语，而喉中声嘶者，则为喉喑，此亦为风冷所客，使气道不通，故声不得发，而喉
无音也。然或风痰阻塞，或因心经气虚，或因脾之脉络受风，或因风痰滞于脾之络，
或因脾气不足，或胃中清气不升，皆足以致喑。大抵此证亦有禀父肾气不足、不能
言者，有乳母五志之火遗儿熏闭清道、不能言者，或儿病津液耗损、会厌干涸、不
能言者，或肾气不充、虚火上炎伤肺、不能言者，有惊风中风不能言者，若遗热与
津液耗者，用七味白术散。清气不升者，用补中益气汤。禀肾不足与虚火伤肺者，
用六味地黄丸。若仰首咳嗽，肢体羸瘦，目白睛多，或兼解颅，呵欠切牙等证，悉
属肾虚，非地黄丸，不能救也。
〔薛〕经云∶舌者音声之机也，喉者音声之关也，小儿卒然无音者，乃寒气客于会
厌，则厌不能发，发不能下，致其门阖不制，故无音也。若咽喉音声如故，而舌不
能转运言语，则为舌喑，此乃风冷之邪，客于脾之络，或中于舌下廉泉穴所致也，
盖舌乃心之苗，心发声为言，风邪阻塞经络，故舌不能转运也。若舌本不能转运言
语，而喉中声嘶者，则为喉喑，此亦为风冷所客，使气道不通，故声不得发，而喉
无音也。然或风痰阻塞，或因心经气虚，或因脾之脉络受风，或因风痰滞于脾之络，
或因脾气不足，或胃中清气不升，皆足以致喑。大抵此证亦有禀父肾气不足、不能
言者，有乳母五志之火遗儿熏闭清道、不能言者，或儿病津液耗损、会厌干涸、不
能言者，或肾气不充、虚火上炎伤肺、不能言者，有惊风中风不能言者，若遗热与
津液耗者，用七味白术散。清气不升者，用补中益气汤。禀肾不足与虚火伤肺者，
用六味地黄丸。若仰首咳嗽，肢体羸瘦，目白睛多，或兼解颅，呵欠切牙等证，悉
属肾虚，非地黄丸，不能救也。
《博济方》（即《宝鉴》）治疗小儿失音，艾灸幼宫穴三壮，另外再灸中指甲后方一分处。《万全方》治疗小儿夜啼，表现为点上灯后开始啼哭，直到鸡鸣时才停止的情况。艾灸中指甲后方一分处的中冲穴一壮，艾炷大小如小麦粒。
〔薛己〕医经记载：舌是发声的关键机关，喉是发声的门户关卡。小儿突然不能发声，是因为寒气侵袭会厌，导致会厌开合失常，发而不能出，收而不能下，致使门阖失去控制，所以无法发声。如果咽喉声音正常，但舌头不能灵活转动以进行言语表达，这称为“舌喑”，这是由于风冷邪气侵袭脾的络脉，或者邪气中于舌下的廉泉穴所致。因为舌是心的苗窍，心发出声音即为言语，风邪阻塞经络，所以舌头不能灵活转动。如果舌根不能灵活转动言语，同时喉咙声音嘶哑，这称为“喉喑”，这也是因为风冷邪气侵袭，使气道不通畅，所以声音发不出来，喉咙没有声音。然而，或者是风痰阻塞，或者是心经气虚，或者是脾的脉络受风邪侵袭，或者是风痰停滞在脾的络脉，或者是脾气不足，或者是胃中的清气不升，这些都足以导致失音。大体上，这种病症也有因禀受父亲肾气不足、导致不能说话的；有因乳母五志之火遗留给婴儿，熏蒸闭塞清道、导致不能说话的；或者有婴儿患病津液耗损、会厌干燥枯竭、导致不能说话的；或者有肾气不充实、虚火上炎损伤肺脏、导致不能说话的；有因惊风或中风导致不能说话的。如果是余热未清且津液耗损的，使用七味白术散。如果是清气不升的，使用补中益气汤。如果是禀赋肾不足与虚火伤肺的，使用六味地黄丸。如果出现仰头咳嗽、肢体消瘦、眼白多黑睛少，或者兼有解颅（囟门迟闭）、打哈欠、磨牙等症状，都属于肾虚，如果不是用六味地黄丸，是不能治愈的。
〔薛己〕医经记载：舌是发声的关键机关，喉是发声的门户关卡。小儿突然不能发声，是因为寒气侵袭会厌，导致会厌开合失常，发而不能出，收而不能下，致使门阖失去控制，所以无法发声。如果咽喉声音正常，但舌头不能灵活转动以进行言语表达，这称为“舌喑”，这是由于风冷邪气侵袭脾的络脉，或者邪气中于舌下的廉泉穴所致。因为舌是心的苗窍，心发出声音即为言语，风邪阻塞经络，所以舌头不能灵活转动。如果舌根不能灵活转动言语，同时喉咙声音嘶哑，这称为“喉喑”，这也是因为风冷邪气侵袭，使气道不通畅，所以声音发不出来，喉咙没有声音。然而，或者是风痰阻塞，或者是心经气虚，或者是脾的脉络受风邪侵袭，或者是风痰停滞在脾的络脉，或者是脾气不足，或者是胃中的清气不升，这些都足以导致失音。大体上，这种病症也有因禀受父亲肾气不足、导致不能说话的；有因乳母五志之火遗留给婴儿，熏蒸闭塞清道、导致不能说话的；或者有婴儿患病津液耗损、会厌干燥枯竭、导致不能说话的；或者有肾气不充实、虚火上炎损伤肺脏、导致不能说话的；有因惊风或中风导致不能说话的。如果是余热未清且津液耗损的，使用七味白术散。如果是清气不升的，使用补中益气汤。如果是禀赋肾不足与虚火伤肺的，使用六味地黄丸。如果出现仰头咳嗽、肢体消瘦、眼白多黑睛少，或者兼有解颅（囟门迟闭）、打哈欠、磨牙等症状，都属于肾虚，如果不是用六味地黄丸，是不能治愈的。
The *Baojian* (Comprehensive Mirror) prescribes moxibustion on Yougong (Infant Palace) for three moxa cones, and additionally moxibustion one fen behind the middle fingernail. The *Wanquan Fang* (Ten Thousand Prescriptions) treats infantile nocturnal crying characterized by crying after lights are lit until dawn; it prescribes moxibustion on Zhongchong (Zhongchong, PC9), located one fen behind the middle fingernail, with one moxa cone sized like a wheat grain.
[Xue Ji] The classics state: "The tongue is the mechanism of voice, and the throat is the gate of voice." Sudden aphonia in infants is caused by cold pathogenic factors invading the epiglottis, causing the epiglottis to fail to open and close properly, leading to uncontrolled closure of the glottis, thus resulting in aphonia. If the voice in the throat remains normal but the tongue cannot move to articulate speech, this is termed "tongue aphonia" (She Yin). This is caused by wind-cold pathogens invading the collaterals of the Spleen or affecting the Lianquan (Lianquan, REN23) acupoint under the tongue. Since the tongue is the sprout of the Heart, and the Heart produces speech, wind pathogens blocking the meridians cause the tongue to be immobile. If the root of the tongue cannot move to articulate speech, accompanied by hoarseness in the throat, this is termed "throat aphonia" (Hou Yin). This is also caused by wind-cold invasion obstructing the airway, preventing sound emission and resulting in a voiceless throat. However, aphonia can also result from wind-phlegm obstruction, Qi deficiency of the Heart Meridian, wind invading the Spleen's collaterals, wind-phlegm stagnating in the Spleen's collaterals, Spleen Qi deficiency, or failure of clear Yang to ascend from the Stomach. Generally, this condition may also stem from congenital insufficiency of Kidney Qi inherited from the father, causing inability to speak; or from the mother's emotional fire (Five Zang passions) passing to the infant, steaming and closing the clear pathways; or from the infant's illness depleting body fluids, drying up the epiglottis; or from insufficient Kidney Qi with deficient fire flaming upward damaging the Lung; or from convulsive wind or stroke. For cases with residual heat and fluid depletion, use Qiwu Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder). For cases with failure of clear Yang to ascend, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). For cases of congenital Kidney deficiency and deficient fire damaging the Lung, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If symptoms include coughing with the head tilted back, emaciation of limbs, prominent whites of the eyes (leukocoria), or combined with open fontanelles (Jie Lu), yawning, and teeth grinding, all belong to Kidney deficiency. Without Dihuang Wan (Rehmannia Pill), recovery is impossible.
[Xue Ji] The classics state: "The tongue is the mechanism of voice, and the throat is the gate of voice." Sudden aphonia in infants is caused by cold pathogenic factors invading the epiglottis, causing the epiglottis to fail to open and close properly, leading to uncontrolled closure of the glottis, thus resulting in aphonia. If the voice in the throat remains normal but the tongue cannot move to articulate speech, this is termed "tongue aphonia" (She Yin). This is caused by wind-cold pathogens invading the collaterals of the Spleen or affecting the Lianquan (Lianquan, REN23) acupoint under the tongue. Since the tongue is the sprout of the Heart, and the Heart produces speech, wind pathogens blocking the meridians cause the tongue to be immobile. If the root of the tongue cannot move to articulate speech, accompanied by hoarseness in the throat, this is termed "throat aphonia" (Hou Yin). This is also caused by wind-cold invasion obstructing the airway, preventing sound emission and resulting in a voiceless throat. However, aphonia can also result from wind-phlegm obstruction, Qi deficiency of the Heart Meridian, wind invading the Spleen's collaterals, wind-phlegm stagnating in the Spleen's collaterals, Spleen Qi deficiency, or failure of clear Yang to ascend from the Stomach. Generally, this condition may also stem from congenital insufficiency of Kidney Qi inherited from the father, causing inability to speak; or from the mother's emotional fire (Five Zang passions) passing to the infant, steaming and closing the clear pathways; or from the infant's illness depleting body fluids, drying up the epiglottis; or from insufficient Kidney Qi with deficient fire flaming upward damaging the Lung; or from convulsive wind or stroke. For cases with residual heat and fluid depletion, use Qiwu Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder). For cases with failure of clear Yang to ascend, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). For cases of congenital Kidney deficiency and deficient fire damaging the Lung, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If symptoms include coughing with the head tilted back, emaciation of limbs, prominent whites of the eyes (leukocoria), or combined with open fontanelles (Jie Lu), yawning, and teeth grinding, all belong to Kidney deficiency. Without Dihuang Wan (Rehmannia Pill), recovery is impossible.