疟疾痰饮多呕逆，面黄目肿胸膈膨，痰盛清脾加橘半，饮盛加苍倍人苓。
[注]
小儿素有痰饮，复因外邪凝结脾胃，故呕逆也，
若疟疾或经汗下之后，表裹无证，宜用清脾饮以和之，
痰盛者，本方加橘红倍半夏，饮盛者，加苍术倍茯苓，
若儿气已虚弱，更当加人参以扶其正。
(加减清脾饮) 柴胡 黄芩 半夏姜制 甘草炙 厚朴姜制 青皮醋炒
槟榔 茯苓 草果人参 白术土炒 橘红 南苍术炒 引用生姜水煎服。
(方歌)
清脾治疟兼痰饮，柴苓半朴青榔，苓果气虚参术入，痰盛加橘饮盛苍。
%
肺病咳嗽有痰声，有声无痰咳之名，有痰无声谓之嗽，为病寒热食与风。
[注]
病机式要云：咳嗽谓有声有痰，因肺气受伤，动乎脾湿而然也，
咳谓无痰而有声，肺气伤而不清也，
嗽谓无声而有痰，脾湿动而为痰也，
二者虽俱属肺病，然又有肺寒肺热之分，食积风寒之别，医者宜详辨之。
%
咳嗽门
肺虚饮冷致咳嗽，面色垙白痰涕清，圣惠橘皮宜初进，补肺阿胶久嗽灵。
[注]
寒嗽者，因平素肺虚喜啖生冷，以致寒邪伤肺，发为咳嗽，
其证面色□白，痰多清稀，鼻流清涕，初宜圣惠橘皮散主之，
若日久不愈者，须以补肺阿胶散主之，则气顺痰清而嗽自止矣。
(圣惠橘皮散)
人参 贝母 苏叶 陈皮 桔梗 杏仁去皮尖炒 引用红枣水煎服。
(方歌)
肺虚受寒频咳嗽，橘皮散治效通仙，参贝苏叶陈皮桔，杏仁微炒去皮尖。
(补肺阿胶散)
人参 阿胶麸炒 牛蒡子炒 杏仁去皮尖炒 糯米 甘草炙
马兜铃 水煎食后服。
(方歌)
小儿肺寒时时嗽，补肺阿胶效若衶，人参阿胶牛蒡子，杏仁糯米草兜铃。
%
咳嗽门
Malaria accompanied by phlegm-fluid retention often presents with vomiting and hiccups, sallow complexion, swollen eyes, and distension/fullness in the chest and diaphragm. If phlegm is predominant, add Ju Hong (Exocarpium Citri Reticulatae Rubrum) and Ban Xia (Pinelliae Rhizoma) to Qing Pi Yin (Clear the Spleen Decoction); if fluid retention is predominant, add Cang Zhu (Atractylodis Rhizoma) and double the dosage of Fu Ling (Poria).
[Note]
Children who inherently have phlegm-fluid retention, when complicated by external pathogens condensing in the spleen and stomach, will manifest vomiting and hiccups.
If malaria has occurred, or after sweating or purging therapies have been applied, and there are no exterior or interior syndromes remaining, one should use Qing Pi Yin (Clear the Spleen Decoction) to harmonize the body.
For cases where phlegm is predominant, add Ju Hong (Exocarpium Citri Reticulatae Rubrum) to the base formula and double the dosage of Ban Xia (Pinelliae Rhizoma); for cases where fluid retention is predominant, add Cang Zhu (Atractylodis Rhizoma) and double the dosage of Fu Ling (Poria).
If the child's healthy qi (Zheng Qi) is already deficient, Ren Shen (Ginseng Radix et Rhizoma) should be added to support the healthy qi.
(Jia Jian Qing Pi Yin / Modified Clear the Spleen Decoction): Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma) processed with ginger, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex) processed with ginger, Qing Pi (Citri Reticulatae Pericarpium Viride) stir-fried with vinegar, Bing Lang (Arecae Semen), Fu Ling (Poria), Cao Guo (Tsaoko Fructus), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma) stir-fried with earth, Ju Hong (Exocarpium Citri Reticulatae Rubrum), Nan Cang Zhu (Atractylodis Rhizoma) stir-fried. Reference: Ginger, decoct in water and take orally.
(Fang Ge / Formula Song):
Qing Pi Yin treats malaria and concurrently addresses phlegm-fluid retention;
It contains Chai Hu, Fu Ling, Ban Xia, Hou Po, Qing Pi, and Bing Lang;
For qi deficiency, add Ren Shen and Bai Zhu;
For predominant phlegm, add Ju Hong; for predominant fluid retention, add Cang Zhu.
Lung disease causing cough with phlegm sounds: "Ke" (Cough without phlegm) refers to having sound but no phlegm; "Sou" (Sputtering/Cough with phlegm) refers to having phlegm but no sound. The etiologies involve cold, heat, food stagnation, and wind.
[Note]:
The *Bing Ji Shi Yao* states: "Ke-Sou" (cough with both sound and phlegm) occurs due to lung qi injury activating spleen dampness;
"Ke" (cough without phlegm but with sound) indicates lung qi injury and lack of clarity;
"Sou" (cough with phlegm but without sound) indicates spleen dampness moving to generate phlegm;
Although both belong to lung diseases, they are differentiated into lung cold and lung heat, as well as distinctions between food stagnation and wind-cold/wind-heat. Physicians must distinguish them carefully.
Section on Cough
Lung deficiency combined with drinking cold fluids causes cough, presenting with a pale or sallow complexion, clear thin phlegm, and clear nasal discharge. Initially, Sheng Hui Ju Pi San (Holy Benefit Tangerina Peel Powder) is suitable; for chronic coughs, Bu Fei E Jiao San (Tonify Lung Donkey-Hide Gelatin Powder) is effective.
[Note]:
Cold-type cough arises from inherent lung deficiency and a preference for raw/cold foods, leading to cold pathogens injuring the lungs and triggering cough.
Symptoms include a pale complexion, profuse clear-thin phlegm, and clear nasal discharge. Initially, treat with Sheng Hui Ju Pi San (Holy Benefit Tangerina Peel Powder).
If it persists for a long time, treat with Bu Fei E Jiao San (Tonify Lung Donkey-Hide Gelatin Powder); this will smooth the qi, clear the phlegm, and stop the cough naturally.
(Sheng Hui Ju Pi San / Holy Benefit Tangerina Peel Powder): Ren Shen (Ginseng Radix et Rhizoma), Bei Mu (Fritillariae Bulbus), Su Ye (Perilla Folium), Chen Pi (Citri Reticulatae Pericarpium), Jie Geng (Platycodonis Radix), Xing Ren (Armeniacae Semen Amarum) de-husked, de-veined, and stir-fried. Reference: Red dates, decoct in water and take orally.
(Fang Ge / Formula Song):
Lung deficiency suffering from cold causes frequent coughing;
Ju Pi San treats it with efficacy surpassing immortals;
Contains Ren Shen, Bei Mu, Su Ye, Chen Pi, Jie Geng;
Xing Ren is lightly stir-fried, de-husked, and de-veined.
(Bu Fei E Jiao San / Tonify Lung Donkey-Hide Gelatin Powder): Ren Shen (Ginseng Radix et Rhizoma), E Jiao (Colla Corii Asini) stir-fried with bran, Niu Bang Zi (Arctii Fructus) stir-fried, Xing Ren (Armeniacae Semen Amarum) de-husked, de-veined, and stir-fried, Nuomi (Oryza Sativa Glutinosa), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Ma Dou Ling (Aristolochiae Fructus). Decoct in water, take after meals.
(Fang Ge / Formula Song):
Children with lung cold experience intermittent coughing;
Bu Fei E Jiao San yields miraculous effects;
Contains Ren Shen, E Jiao, Niu Bang Zi;
Xing Ren, Nuomi, Gan Cao, and Ma Dou Ling.
Section on Cough