(佚)
丹溪云∶痰嗽、痰喘,并用涌法吐之,重剂瓜蒂散,轻剂苦参、赤小豆末,须
虾齑汁调服。
生白丸 治小儿痰涎不利,上喘咳嗽。
白附子(新罗者) 天南星(各半两) 半夏(一两)
上为末,用生姜汁打面糊为丸,如绿豆大。每服二十丸至三十丸,生姜汤下,量大小加减。
枳实汤 主伤风伤寒,胸满气促,咳嗽不活,食多夹痰吐出。
枳实(去瓤,锉片,麸炒微黄) 赤茯苓(去皮。各半两) 甘草(六钱) 半夏(七钱,汤煮透,滤,仍锉,焙
干)
桔梗(七钱半,锉,炒)
上件 咀。每服二钱,水一盏,姜三片,煎七分,无时。
如意膏(见前 )
半夏丸 治肺气不调,咳嗽喘满,痰涎壅塞,心下坚满。及风痰呕吐,恶心涕唾稠粘。
白矾(一两半,焙) 半夏(三两,汤泡七次,生姜汁制一宿)
上为末,生姜自然汁丸赤豆大。每服十丸,姜汤下。
《经验后方》大人小儿定喘化痰
上用猪蹄四十九个,净洗控干,每个指甲内半夏、白矾各一字,入罐子内封闭,
勿令烟出,火 通赤,去火,细研,入麝香一钱。人有上喘咳嗽,用糯米饮下,小儿半钱,至妙。
大效雄朱化痰定喘丸 治小儿因惊发喘,逆触心肺,暴急张口,虚烦神困。
雄黄 朱砂(各一钱,研) 蝉蜕 全蝎(炒) 地龙 白僵蚕 天南星 白附子(炮。各二钱半) 轻粉(半钱)
上为末,面糊丸如麻子大。每服三十丸,薄荷、茶清送下,食后服。
天麻定喘饮 治小儿喘嗽惊风。
天麻 防风 羌活 甘草 人参 桔梗 白术 川芎 半夏曲(各等分)
上锉散。每服二钱,水一盏,麦门冬十四粒,煎至七分,食后服。有热去白术,加芍药、枳壳。
云岐说:小儿体内积热,导致气逆上冲、喘息急促的,使用四顺清凉饮子。
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朱丹溪说:对于痰嗽、痰喘,都应当采用涌吐法使其吐出。重剂使用瓜蒂散,轻剂使用苦参和赤小豆的粉末,必须用虾酱汁调匀后服用。
生白丸:治疗小儿痰涎不利,气逆上喘咳嗽。
处方组成:白附子(选用新罗产的)、天南星(各半两),半夏(一两)。
制法与用法:将上述药物研为细末,用生姜汁调和面糊制成丸药,大小如绿豆。每次服用二十至三十丸,用生姜汤送服,根据患儿年龄大小酌情增减剂量。
枳实汤:主治因伤风或伤寒引起的胸中胀满、气息短促、咳嗽不畅,以及进食过多夹杂痰液吐出。
处方组成:枳实(去除瓤,切片,用麦麸炒至微黄)、赤茯苓(去皮,各半两),甘草(六钱),半夏(七钱,用水煮透后滤出,再切碎,焙干),桔梗(七钱半,切碎,炒制)。
制法与用法:将上述药物捣碎成粗末。每次取二钱,加水一盏,生姜三片,煎煮至七分水量,不拘时候服用。
如意膏(见前文)。
半夏丸:治疗肺气不调引起的咳嗽、气喘胸满,痰涎壅塞,心下坚硬胀满。以及风痰引起的呕吐、恶心、鼻涕和唾液稠厚粘稠。
处方组成:白矾(一两半,焙干),半夏(三两,用水浸泡七次,用生姜汁浸泡一夜)。
制法与用法:将上述药物研为细末,用生姜自然汁制成如赤豆大小的丸药。每次服用十丸,用姜汤送服。
《经验后方》大人小儿定喘化痰方:
取猪蹄四十九个,洗净控干水分,在每个指甲内放入半夏和白矾各“一字”的量,放入罐子内封闭,不要让烟气冒出,用火煨烧至通体通红,去掉火源,研磨成细粉,加入麝香一钱。若有人出现上喘咳嗽,用糯米饮送服,小儿用量为半钱,效果极佳。
大效雄朱化痰定喘丸:治疗小儿因受惊引发的喘息,气逆冲击心肺,突然急促张口呼吸,虚烦神疲困倦。
处方组成:雄黄、朱砂(各一钱,研细),蝉蜕、全蝎(炒制)、地龙、白僵蚕、天南星、白附子(炮制,各二钱半),轻粉(半钱)。
制法与用法:将上述药物研为细末,用面糊制成如麻子大小的丸药。每次服用三十丸,用薄荷水、茶清送服,饭后服用。
天麻定喘饮:治疗小儿喘嗽惊风。
处方组成:天麻、防风、羌活、甘草、人参、桔梗、白术、川芎、半夏曲(各等分)。
制法与用法:将上述药物切碎成散剂。每次取二钱,加水一盏,麦门冬十四粒,煎煮至七分水量,饭后服用。若有热象,去掉白术,加入芍药、枳壳。
Yun Qi stated: For infants and children with accumulated heat causing rebellious qi, panting, and rapid breathing, Si Shun Qing Liang Yin Zi (Four-Compliance Cooling and Clearing Decoction) should be used.
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Zhu Danxi stated: For phlegm-induced cough and wheezing, the method of inducing vomiting should be employed to expel the pathogen. A heavy dosage uses Gua Di San (Melon Seed Powder), while a light dosage uses powder of Sophora flavescens root (Ku Shen) and red adzuki bean, which must be taken mixed with shrimp paste juice.
Sheng Bai Wan (Life-Generating Pill): Treats infants and children with obstructed phlegm-fluids, rebellious qi causing wheezing, and cough.
Ingredients: Bai Fu Zi (Aconiti Kusnezoffii Radix Praeparata, preferably from Xinluo), Tian Nan Xing (Arisaematis Rhizoma) (each 0.5 liang), Ban Xia (Pinelliae Rhizoma) (1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Use ginger juice to mix with wheat flour paste to form pills the size of mung beans. Administer 20 to 30 pills per dose, washed down with ginger decoction. Adjust the dosage according to the child's age and constitution.
Zhi Shi Tang (Immature Bitter Orange Decoction): Primarily treats chest fullness, shortness of breath, unproductive cough, and vomiting of food mixed with phlegm caused by wind-cold or cold damage.
Ingredients: Zhi Shi (Aurantii Fructus Immaturus) (pulp removed, sliced, stir-fried with bran until slightly yellow), Chi Fu Ling (Poria with Red Core) (peeled, each 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (6 qian), Ban Xia (Pinelliae Rhizoma) (7 qian, boiled thoroughly, filtered, chopped again, and dried), Jie Geng (Platycodonis Radix) (7.5 qian, chopped, stir-fried).
Preparation and Administration: Coarsely crush the above ingredients. Take 2 qian per dose, add one cup of water and three slices of ginger, decoct until reduced to 0.7 cups. Take at any time.
Ru Yi Gao (Ruyi Ointment) (see previous section).
Ban Xia Wan (Pinellia Pill): Treats disordered lung qi causing cough, wheezing, chest fullness, accumulation of phlegm-fluids, hardness and fullness below the heart. Also treats vomiting, nausea, and thick, sticky nasal discharge and saliva caused by wind-phlegm.
Ingredients: Bai Fan (Alumen) (1.5 liang, roasted), Ban Xia (Pinelliae Rhizoma) (3 liang, soaked in water seven times, processed with ginger juice overnight).
Preparation and Administration: Grind into fine powder. Use natural ginger juice to form pills the size of red adzuki beans. Administer 10 pills per dose, washed down with ginger decoction.
"Experience Later Formulas" Adult and Child Anti-Wheezing and Phlegm-Resolving Formula:
Take 49 pig trotters, wash clean and drain dry. Place a "yi zi" amount of Ban Xia (Pinelliae Rhizoma) and Bai Fan (Alumen) into the nail bed of each trotter. Seal them in a jar, ensuring no smoke escapes. Roast over fire until the jar glows red. Remove from fire, grind into fine powder, and add 1 qian of Moschus (She Xiang). For adults or children with upper respiratory wheezing and cough, administer with rice gruel. Children take 0.5 qian. This is highly effective.
Da Xiao Xiong Zhu Hua Tan Ding Chuan Wan (Great Efficacy Realgar-Cinnabar Phlegm-Resolving and Anti-Wheezing Pill): Treats infants and children whose wheezing is triggered by fright, with rebellious qi striking the heart and lungs, sudden urgent open-mouth breathing, emptiness with vexation, and mental fatigue.
Ingredients: Xiong Huang (Realgar), Zhu Sha (Cinnabaris) (each 1 qian, ground); Chan Tui (Cicadae Periostracum), Quan Xie (Scorpio) (stir-fried); Di Long (Pheretima); Bai Jiang Can (Bombyx Batryticatus); Tian Nan Xing (Arisaematis Rhizoma); Bai Fu Zi (Aconiti Kusnezoffii Radix Praeparata) (processed, each 2.5 qian); Qing Fen (Calomelas) (0.5 qian).
Preparation and Administration: Grind into fine powder. Use wheat flour paste to form pills the size of sesame seeds. Administer 30 pills per dose, taken after meals with mint water or clear tea infusion.
Tian Ma Ding Chuan Yin (Gastrodia Anti-Wheezing Decoction): Treats infantile wheezing, cough, and convulsive wind.
Ingredients: Tian Ma (Gastrodiae Rhizoma), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Jie Geng (Platycodonis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chuan Xiong (Chuanxiong Rhizoma), Ban Xia Qu (Fermented Pinellia Paste) (equal parts).
Preparation and Administration: Coarsely chop into a loose powder. Take 2 qian per dose, add one cup of water and 14 seeds of Mai Men Dong (Ophiopogonis Tuber), decoct until reduced to 0.7 cups. Take after meals. If there is heat, remove Bai Zhu (Atractylodis Macrocephalae Rhizoma) and add Shao Yao (Paeoniae Radix Alba) and Zhi Ke (Aurantii Fructus).