火嗽面赤咽干燥,痰贲气秽带稠粘,便软加味泻白散,便硬加味凉膈煎。
[注]
火嗽一证,乃火热熏扰肺金,遂致频频咳嗽,面赤咽干,
痰黄气秽,多带稠粘也,
便软者加味泻白散主之,便硬者凉膈散加枯梗桑皮煎服,
则热退气清而嗽自止矣。
(加味泻白散)
桑皮蜜炙 地骨皮 甘草生 川贝母去心碾 麦冬去心
知母生 桔梗 黄芩 薄荷 水煎服。
(方歌)
加味泻自治火欬,桑皮地骨甘草合,贝母麦冬生知母,桔梗黄芩同薄荷。
(凉膈散)方见急惊风
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咳嗽门
食积生痰热熏蒸,气促痰壅咳嗽频,便溏麴麦二陈治,便燥苏葶滚痰攻。
[注]
积嗽者,因小儿食积生痰,热气熏蒸肺气,气促痰壅,频频咳嗽,
便溏者以麴麦二陈汤消导之,
便柲者以苏葶滚痰丸攻下之。
(麴麦二陈汤) 陈皮 半夏姜制 茯苓 甘草生 黄连姜制 山查
麦芽炒 神麴炒 栝蒌仁 枳实麸炒 引用生姜红枣水煎服。
(方歌)
麴麦二陈食积嗽,陈半苓草川黄连,山查麦芽衶麴炒,栝蒌枳实一同煎。
(苏葶滚痰丸)
苏子一两炒 苦葶苈一两微炒 大黄四两酒蒸一次
沈香五钱 黄芩四两 青礞石五钱火煆如金为度
以上为末,水为丸,量儿虚实服之,姜汤送下。
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咳嗽门
Fire cough (cough caused by fire-heat pathogen) presents with a red face and dry throat; the phlegm surges upward, has a foul odor, and is thick and sticky. If the stool is soft, Jiawei Xiebai San (Modified Baidi Decoction) is used; if the stool is hard, Jiawei Liangge Jian (Modified Liangge Decoction) is used.
[Note]
The syndrome of Fire cough arises from fire-heat steaming and disturbing the Metal of the Lung, leading to frequent coughing, a red face, dry throat, yellow and foul-smelling phlegm that is often thick and sticky. For cases with soft stools, Jiawei Xiebai San (Modified Baidi Decoction) is the primary formula; for cases with hard stools, Liangge San (Liangge Powder) combined with Jiegeng (Platycodon Root) and Sangbaipi (Morus Bark) decocted and taken orally will clear the heat, purify the Qi, and stop the cough naturally.
(Jiawei Xiebai San / Modified Baidi Decoction)
Sangbaipi (Morus Bark), honey-fried; Digupi (Lycium Root Bark); Gancao (Licorice Root), raw; Chuanbeimu (Fritillaria Bulb), heart removed and ground; Maidong (Ophiopogon Tuber), heart removed; Zhimu (Anemarrhena Rhizome), raw; Jiegeng (Platycodon Root); Huangqin (Scutellaria Root); Bohe (Mentha Haplocalyx). Decoct in water and take orally.
(Formula Song)
Jiawei Xiebai treats fire cough; Sangbaipi, Digupi, and Gancao combine; Beimu, Maidong, and raw Zhimu are added; Jiegeng, Huangqin, and Bohe are used together.
(Liangge San / Liangge Powder) See "Acute Convulsive Wind" section.
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Cough Section
Food stagnation generates phlegm, and heat steams upward, causing rapid breathing, phlegm obstruction, and frequent coughing. If the stool is loose, Qumai Erchen Tang (Qu-Mai Erchen Decoction) is used; if the stool is dry, Suting Guntan Wan (Suting Guntan Pills) is used to purge downward.
[Note]
Jisu cough (cough due to food stagnation) occurs because pediatric food stagnation generates phlegm, and heat steams the Lung Qi, resulting in rapid breathing, phlegm obstruction, and frequent coughing. For cases with loose stools, Qumai Erchen Tang (Qu-Mai Erchen Decoction) is used to digest food and guide out stagnation; for cases with hard stools, Suting Guntan Wan (Suting Guntan Pills) is used to purge downward and expel phlegm.
(Qumai Erchen Tang / Qu-Mai Erchen Decoction)
Chenpi (Aged Tangerine Peel); Banxia (Pinellia Tuber), prepared with ginger; Fuling (Poria); Gancao (Licorice Root), raw; Huanglian (Coptis Rhizome), prepared with ginger; Shanzha (Hawthorn Fruit); Maiya (Barley Sprout), fried; Shenqu (Medicated Leaven), fried; Gualouren (Trichosanthes Seed); Zhishi (Immature Bitter Orange), bran-fried. Use Shengjiang (Fresh Ginger) and Hongzao (Jujube) as guides, decoct in water, and take orally.
(Formula Song)
Qumai Erchen treats food stagnation cough; Chenpi, Banxia, Ling, and Cao [Gancao], plus Chuan Huanglian; Shanzha, Maiya, and Zhong Qu [Shenqu] are fried; Gualou and Zhishi are decocted together.
(Suting Guntan Wan / Suting Guntan Pills)
Zisuzi (Perilla Fruit), 1 liang, fried; Kutingli (Descurainia Seed), 1 liang, slightly fried; Dahuang (Rhubarb Root), 4 liang, steamed once with wine; Chenxiang (Aquilaria Wood), 5 qian; Huangqin (Scutellaria Root), 4 liang; Qingmengshi (Green Calamine), 5 qian, calcined until golden. Grind all into powder, form pills with water, and administer according to the child’s deficiency or excess condition. Take down with ginger soup.
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Cough Section