《圣惠》杏仁煎 治小儿咳嗽声不出。
杏仁（汤浸，去皮尖，入水一大盏，研滤取汁，二两） 酥 蜜（各一合）
上件药，先以杏仁汁于铛中，以重汤煮，减去半，入酥蜜，又汤煮二十沸，却
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
饮下半钱，日三服，夜一服。嗽止为度，量儿大小加减。
又方
贝母（半两，煨） 牛黄（细研，一钱） 甘草（炙，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。
又方
麦门冬（去心，焙） 杏仁（去皮尖，麸炒黄） 甘草（炙） 贝母（煨） 款冬花（各一分） 紫菀（去土，半
两）
上件药捣，细罗为散。每服以乳汁调下半钱，日三四服，量儿大小加减以意。
又方
杏仁（一两，去皮尖双仁，以水一中盏，研绞取汁） 紫菀（半两末）
上以杏仁汁并紫菀末，入蜜一合，同煎如膏。每服以清粥饮调下半茶匙，量儿大小加减。
小儿患惊风，惊止而嗽作，谓之惊膈嗽。茅先生下金杏丸夹匀气散与服。
金杏丸
杏仁（去皮尖） 甜葶苈 汉防己 马兜铃（去皮）
上等分为末，用蜜为丸小豆大。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）
匀气散
桔梗（去芦头，净洗，干，五两） 甘草（二两） 缩砂仁 香（洗） 陈橘皮（各一两） 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。
《圣惠方》中的杏仁煎，用于治疗小儿咳嗽但声音出不来的症状。
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） 酥油 蜂蜜（各一合）
以上药物，先将杏仁汁放入铛中，采用隔水加热的方法煮，使药液减少一半，然后加入酥油和蜂蜜，再用隔水加热的方法煮二十次沸腾，接着加入贝母末和紫菀末各一分，甘草末半分，继续煎煮，搅拌至像饴糖一样粘稠的稠度，装入瓷器中保存。每次服用，用清淡的米汤送服半钱，每天三次，夜间一次。以咳嗽停止为限度，根据患儿的大小酌情增减剂量。
另一个方子：
贝母（半两，煨制） 牛黄（细研，一钱） 甘草（炙制，一分）
以上药物捣碎，过细筛制成散剂。每次服用，用温水调服半钱，每天三到四次，根据患儿的大小酌情增减剂量。
又一个方子：
麦门冬（去掉心，焙干） 杏仁（去掉皮和尖，用麸皮炒至黄色） 甘草（炙制） 贝母（煨制） 款冬花（各一分） 紫菀（去土，半两）
以上药物捣碎，过细筛制成散剂。每次服用，用乳汁调服半钱，每天三到四次，根据患儿的大小酌情增减剂量，凭医者心意调整。
又一个方子：
杏仁（一两，去掉皮和尖及双仁，用水一中盏，研磨绞汁取汁） 紫菀（半两，研成末）
以上将杏仁汁与紫菀末混合，加入一合蜂蜜，共同煎煮成膏状。每次服用，用清淡的米汤调服半茶匙，根据患儿的大小酌情增减剂量。
小儿患惊风，惊厥停止后出现咳嗽，称为惊膈嗽。茅先生建议服用下金杏丸配合匀气散。
下金杏丸：
杏仁（去掉皮和尖） 甜葶苈 汉防己 马兜铃（去掉皮）
以上药物等分研成末，用蜂蜜做成如小豆大小的丸剂。每次服用十丸，用麦门冬的熟水吞服。（茅先生在前面的咳嗽章节中也已有此方，因为各有侧重，不能删除，所以一并保留。）
匀气散：
桔梗（去掉芦头，洗净，晾干，五两） 甘草（二两） 缩砂仁 香附（清洗） 陈橘皮（各一两） 白姜（一分）
以上药物研成末。每次服用半钱至一钱，用霜木瓜煎汤调服，如果没有，就用紫苏加盐煎汤送服。
The Xingren Decoction (Apricot Kernel Decoction) from *Shenghui Fang* is used to treat pediatric cough with inability to produce sound.
Xingren (Apricot Kernel, *Prunus armeniaca* L.) (soaked in hot water, skin and tips removed, placed in one large cup of water, ground and filtered to extract juice, dosage: two liang) Su (Clarified Butter) Mi (Honey) (each: one he).
For the above ingredients, first place the Apricot Kernel juice in a pan, boil using a double-boiler method until the liquid reduces by half, then add Su and Mi. Boil again using a double-boiler method for twenty boiling cycles. Then, add Bei Mu (Fritillaria Bulb, *Fritillaria cirrhosa* D. Don) powder and Zi Wan (Aster Root, *Aster tataricus* L. f.) powder, each one fen, and Gan Cao (Licorice Root, *Glycyrrhiza uralensis* Fisch.) powder, half a fen. Continue decocting, stirring until it reaches a viscous consistency similar to maltose syrup. Store in a porcelain vessel. For each dose, administer half a qian mixed with clear rice gruel, three times daily and once at night. Continue until the cough ceases; adjust the dosage according to the child's age and size.
Another prescription:
Bei Mu (Fritillaria Bulb, *Fritillaria cirrhosa* D. Don) (half a liang, roasted) Niu Huang (Calculus Bovis, *Bovis Calculus*) (finely ground, one qian) Gan Cao (Licorice Root, *Glycyrrhiza uralensis* Fisch.) (roasted, one fen).
Grind the above ingredients into a fine powder through a sieve. For each dose, mix half a qian with warm water and administer, three to four times daily. Adjust dosage according to the child's age and size.
Yet another prescription:
Maimendong (Ophiopogon Tuber, *Ophiopogon japonicus* (L. f.) Ker-Gawl.) (remove heart, roast) Xingren (Apricot Kernel, *Prunus armeniaca* L.) (remove skin and tips, stir-fry with bran until yellow) Gan Cao (Licorice Root, *Glycyrrhiza uralensis* Fisch.) (roasted) Bei Mu (Fritillaria Bulb, *Fritillaria cirrhosa* D. Don) (roasted) Kuandonghua (Coltsfoot Flower, *Tussilago farfara* L.) (each: one fen) Zi Wan (Aster Root, *Aster tataricus* L. f.) (remove soil, half a liang).
Grind the above ingredients into a fine powder through a sieve. For each dose, mix half a qian with milk and administer, three to four times daily. Adjust dosage according to the child's age and size, at the practitioner's discretion.
Yet another prescription:
Xingren (Apricot Kernel, *Prunus armeniaca* L.) (one liang, remove skin, tips, and twin kernels, use one medium cup of water, grind and squeeze to extract juice) Zi Wan (Aster Root, *Aster tataricus* L. f.) (half a liang, powdered).
Mix the Apricot Kernel juice with the Aster Root powder, add one he of honey, and decoct together until it forms a paste. For each dose, administer half a tea spoon mixed with clear rice gruel. Adjust dosage according to the child's age and size.
When a child suffers from Jing Feng (Convulsive Disorder), and coughing begins after the convulsions cease, this condition is termed Jing Ge Sou (Startle-Obstruction Cough). Master Mao recommends administering Xia Jin Xing Wan (Lower Metal Apricot Pill) combined with Yun Qi San (Harmonize Qi Powder).
Xia Jin Xing Wan (Lower Metal Apricot Pill):
Xingren (Apricot Kernel, *Prunus armeniaca* L.) (remove skin and tips) Tian Tingli (Semen Lepidii seu Descurainiae, *Lepidium apetalum* Willd. or *Descurainia sophia* (L.) Webb ex Prantl) Han Fangji (Radix Stephaniae Tetrandrae, *Stephania tetrandra* S. Moore) Madouling (Fructus Aristolochiae, *Aristolochia debilis* Sieb. et Zucc.) (remove skin).
Grind the above ingredients equally into powder, form pills using honey, sized like small beans. Administer ten pills per dose, swallowed with prepared water made from Maimendong (Ophiopogon Tuber, *Ophiopogon japonicus* (L. f.) Ker-Gawl.). (Master Mao also included this prescription in the previous chapter on coughs; since each has its specific indications and cannot be omitted, both are retained here.)
Yun Qi San (Harmonize Qi Powder):
Jie Geng (Platycodon Root, *Platycodon grandiflorus* (Jacq.) A. DC.) (remove rhizome, wash clean, dry, five liang) Gan Cao (Licorice Root, *Glycyrrhiza uralensis* Fisch.) (two liang) Suo Sha Ren (Amomum Fruit, *Amomum villosum* Lour.) Xiang Fu (Cyperus Rhizome, *Cyperus rotundus* L.) (wash) Chen Ju Pi (Aged Tangerine Peel, *Citrus reticulata* Blanco) (each: one liang) Bai Jiang (White Ginger, *Zingiber officinale* Rosc.) (one fen).
Grind the above ingredients into powder. Administer half a qian to one qian per dose, mixed with decoction of Shuang Mugua (Frost-dried Quince Fruit, *Chaenomeles speciosa* (Sweet) Nakai). If unavailable, use decoction of Zi Su (Perilla Leaf, *Perilla frutescens* (L.) Britt.) with salt.