夫小儿卒失音不能语者。由喉咽是气之道路也。喉厌者。音声之门户。若有暴风寒气。
客于
治小儿中风失音不能语。四肢壮热。木通散方。
木通（锉） 防风（去芦头） 川升麻 羚羊角屑 桂心（以上各半两） 甘草（一分
炙微赤
锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。入竹沥半合。更煎一两沸。不计时候。量儿大小。分减服之。
治小儿中风失音不语。手脚不能转动。心神烦热。荆沥饮子方。
荆沥（二合） 生葛根汁（一合） 蜜（一匙） 竹沥（二合） 生地黄汁（一合）
上件药。相和令匀。不计时候。温半合服之。量儿大小。以意加减。
治小儿中风。失音不语。昏沉不识人。竹沥饮子方。
竹沥 荆沥 消梨汁（各二合） 陈酱汁（半合）
上件药相和。微暖。量儿大小。增减服之。
治小儿中风。失音不语。诸药无效。通神散方。
乱发（一两烧灰） 桂心（一两）
上件药。捣罗为末。不计时候。以温酒调下半钱。量儿大小。加减服之。
治小儿中风。失音不语。咽中不利。筋脉拘急。乌犀丸方。
乌犀角屑 牛黄（细研） 白附子（炮裂） 附子（炮裂去皮脐） 白僵蚕（微炒） 干
蝎（微
炒）
上件药。捣罗为末。用软饭和丸。如黍米大。不计时候。以薄荷生姜汤。研下三丸。量
儿大
治小儿中风。失音不能啼。白丸子方。
白僵蚕（半两微炒） 藿香（一分） 天南星（三分生用） 腻粉（一钱研入） 干蝎
（一分微
炒）
上件药。捣罗为末。炼蜜和丸。如黄米大。不计时候。用薄荷汤入酒少许。研五丸服之。
量
治小儿中风。失音不语。四肢拘急。牛黄丸方。
牛黄（细研） 天竹黄（细研） 羌活 麝香（细研） 干蝎（微炒以上各一分）
上件药。捣罗为末。入研了药令匀。炼蜜和丸。如绿豆大。不计时候。以薄荷酒研下五
丸
治小儿中风。失音不语。肢节拘急。腰背强直。羚羊角丸方。
羚羊角屑（半两） 防风（半两去芦头） 羌活（半两） 牛黄（一分细研） 朱砂（半
两细研
水飞
上件药。捣罗为末。入研了药。都研令匀。炼蜜和丸。如绿豆大。不计时候。以薄荷酒
研下
治小儿中风。失音不语。舌根强硬方。
陈酱汁（半合） 人乳（二合）
上件药。相和令匀。少少与儿服之。
Sudden loss of voice and inability to speak in infants and children is caused by the fact that the throat and pharynx are the pathways for Qi (vital energy). The epiglottis (Houyan) serves as the gatehouse for sound production. If violent wind-cold pathogenic factors invade...
For treating infantile stroke with loss of voice, inability to speak, accompanied by high fever in the four limbs, use Mutong San Formula.
Ingredients: Tongao Root (Mutong, *Akebiae Caulis*), prepared with a chopper; Saposhnikovia Root (Fangfeng, *Saposhnikoviae Radix*), de-radicled; Cockscomb Root (Chuan Shengma, *Cimicifugae Rhizoma*); Antelope Horn Flakes (Lingyangjiao Xie, *Saigae Tataricae Cornu*); Cassia Twig Heart (Guixin, *Cinnamomi Ramulus*), all half tael each; Licorice Root (Gancao, *Glycyrrhizae Radix et Rhizoma*), one fen, roasted until slightly reddish-brown and chopped.
Preparation and Administration: Pulverize the above ingredients into a coarse powder. Take one qian per dose, decoct with one small cup of water until reduced to five-fen volume, filter out the dregs, add half he of Bamboo Juice (Zhuli, *Bambusae Caulis in Taedia*), and boil for one or two more boils. Administer at any time, adjusting the dosage according to the child's age and size.
For treating infantile stroke with loss of voice, inability to speak, immobility of hands and feet, and mental restlessness with heat, use Jingli Yinzi Formula.
Ingredients: Ampelopsis Juice (Jingli, *Ampelopsis Japonicae Caulis Succus*), two he; Fresh Kudzu Juice (Sheng Gegen Zhi, *Puerariae Lobatae Radix Succus*), one he; Honey (Mi, *Mel*), one spoon; Bamboo Juice (Zhuli, *Bambusae Caulis in Taedia*), two he; Fresh Rehmannia Juice (Sheng Dihuang Zhi, *Rehmanniae Radix Succus*), one he.
Preparation and Administration: Mix the above ingredients evenly. Warm half he and administer at any time. Adjust the dosage based on the child's age and size.
For treating infantile stroke with loss of voice, inability to speak, lethargy, and failure to recognize people, use Zhuli Yinzi Formula.
Ingredients: Bamboo Juice (Zhuli, *Bambusae Caulis in Taedia*), Ampelopsis Juice (Jingli, *Ampelopsis Japonicae Caulis Succus*), Pear Juice (Xiaoli Zhi, *Pyrus bretschneideri Fructus Succus*), each two he; Aged Soy Sauce (Chen Jiangzhi, *Glycines Max Semen Preparatum Succus*), half he.
Preparation and Administration: Mix the above ingredients and warm them slightly. Adjust the dosage up or down according to the child's age and size.
For treating infantile stroke with loss of voice, inability to speak, when other medicines are ineffective, use Tongshen San Formula.
Ingredients: Tangled Hair (Luansha, *Capilli Humani*), one tael, burned to ash; Cassia Twig Heart (Guixin, *Cinnamomi Ramulus*), one tael.
Preparation and Administration: Pulverize the above ingredients into a fine powder. Administer half a qian mixed with warm wine at any time. Adjust the dosage according to the child's age and size.
For treating infantile stroke with loss of voice, inability to speak, throat discomfort, and tendon and vessel spasms, use Wuxi Wan Formula.
Ingredients: Black Rhinoceros Horn Flakes (Wuxijiao Xie, *Rhinocerotis Cornu*; note: modern practice substitutes with Buffalo Horn), Bull Calculus (Niuhuang, *Bovis Calculus*), finely ground; White Typhonium Tuber (Baifuzi, *Typhonii Rhizoma*), processed until cracked; Aconite Root (Fuzi, *Aconiti Lateralis Radix Praeparata*), processed until cracked, skin and umbilicus removed; White Silkworm (Baijiangcan, *Bombyx Batryticatus*), lightly fried; Dried Scorpion (Ganxie, *Scorpio*), lightly fried.
Preparation and Administration: Pulverize the above ingredients into a fine powder. Mix with soft rice paste to form pills the size of millet seeds. Administer three pills with Mint and Ginger Decoction at any time. Adjust according to the child's age and size...
For treating infantile stroke with loss of voice and inability to cry, use Baiwanzi Formula.
Ingredients: White Silkworm (Baijiangcan, *Bombyx Batryticatus*), half tael, lightly fried; Agastache Herb (Huoxiang, *Pogostemonis Herba*), one fen; Arisaema Tuber (Tian Nán Xīng, *Arisaematis Rhizoma*), three fen, used raw; Calomel (Nifen, *Hydrargyri Chloridum Corrosivum*), one qian, ground in; Dried Scorpion (Ganxie, *Scorpio*), one fen, lightly fried.
Preparation and Administration: Pulverize the above ingredients into a fine powder. Mix with refined honey to form pills the size of yellow millet seeds. Administer five pills ground in Mint Decoction with a little wine at any time. Adjust according to the child's age...
For treating infantile stroke with loss of voice, inability to speak, and limb spasms, use Niuhuang Wan Formula.
Ingredients: Bull Calculus (Niuhuang, *Bovis Calculus*), finely ground; Tianshu Huang (Tianzhuhuang, *Bambusae Massa Spongiae*), finely ground; Notopterygium Root (Qianghuo, *Notopterygii Rhizoma et Radix*); Musk (Shexiang, *Moschi Fermentum*), finely ground; Dried Scorpion (Ganxie, *Scorpio*), lightly fried, each one fen.
Preparation and Administration: Pulverize the above ingredients into a fine powder. Mix thoroughly with the previously ground ingredients. Form pills with refined honey, sized like mung beans. Administer five pills ground in Mint Wine at any time.
For treating infantile stroke with loss of voice, inability to speak, joint spasms, and stiffness of the waist and back, use Lingyangjiao Wan Formula.
Ingredients: Antelope Horn Flakes (Lingyangjiao Xie, *Saigae Tataricae Cornu*), half tael; Saposhnikovia Root (Fangfeng, *Saposhnikoviae Radix*), half tael, de-radicled; Notopterygium Root (Qianghuo, *Notopterygii Rhizoma et Radix*), half tael; Bull Calculus (Niuhuang, *Bovis Calculus*), one fen, finely ground; Cinnabar (Zhusha, *Cinnabaris*), half tael, finely ground and wet-processed (Shuifei).
Preparation and Administration: Pulverize the above ingredients into a fine powder. Mix with the ground ingredients until uniform. Form pills with refined honey, sized like mung beans. Administer... ground in Mint Wine at any time.
For treating infantile stroke with loss of voice, inability to speak, and rigidity of the tongue root, use this formula.
Ingredients: Aged Soy Sauce (Chen Jiangzhi, *Glycines Max Semen Preparatum Succus*), half he; Human Milk (Renru, *Mater Humana Lac*), two he.
Preparation and Administration: Mix the above ingredients evenly. Administer small amounts to the child.