《巢氏病源》小儿卒失音不语候∶喉咙者，气之道路；喉厌者，音声之门户。有暴寒气客喉厌，喉厌得寒即
不能发声，故卒然失音也。不能语者，语声不出，非牙关噤也。
《婴童宝鉴》小儿中风体缓痛声不出歌∶
风冷伤筋脉，四肢全不仁。痛因冷热气，缓是一边生。寒客于喉厌，啼声似哑人。温和汤药进，不尔损精神。
《千金》石膏汤 治小儿中风，恶痱、不能语，口眼了戾，四肢不随方。
石膏（一合） 麻黄（八铢，去根节） 甘草（炙） 射干 桂心 芍药 当归（各四铢） 细辛（二铢）
上八味 咀，以水三升半，先煮麻黄三沸，去上沫，纳诸药煮取一升。三岁儿分为四服，日三。
《圣惠》治小儿中风，失音不语，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，
量儿大小加减服之
《圣惠》治小儿中风，失音不语，诸药无效。通神方
乱发（烧灰） 桂心（各一两）
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。
《圣惠》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） 天南
星（生用） 半夏（汤洗七次，去滑。各一分） 腻粉（一钱，研入）
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。量儿大小加减服。
《圣惠》治小儿中风，失音不能啼。白丸子方
白僵蚕（半两，微炒） 藿香 干蝎（微炒） 桑螵蛸（微炒。各一分） 天南星（三分，生用） 腻粉（一钱，
研入）
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。量儿大小以意加减。
《圣惠》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） 防风（去芦头） 羌活 朱砂（细研，水飞过） 天麻（炙） 白附子（炮裂。各半两） 蝎梢（微
炒） 牛黄 麝香（并细研。各一分）
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，以薄荷酒研下两丸。量儿大小
以意加减。
《圣惠》治小儿中风，失音不语，舌根强硬方。
陈酱汁（半合） 人乳（二合）
上件药相和合令匀，少少与儿服之。
《圣惠》治尸厥不语。返魂丹方
生玳瑁 朱砂 雄黄 白芥子 麝香（各一分）
上件药同研如粉，于瓷器中熔安息香，和丸如绿豆大。或冲恶不语，不计时候，以小便下五丸。孩子热风只一丸。
张涣竹沥膏方 治小儿中风，失音不语，牙关紧急。
竹沥（根据法旋取） 生地黄（取汁） 蜜（各半合，以上搅匀） 桂心（为末） 石菖蒲（一寸九节者，取末。各
一两）
上件都一处调匀，慢火熬成膏，硬软得所，如皂皂大。每服一粒，取梨汁化下。
《张氏家传》救生菖阳汤 治小儿中风，昏困及醒后不语。
石菖蒲 天麻 生乌蛇肉 全蝎 白僵蚕 附子（炮，去皮脐） 羌活 人参 白附子（各半两） 半夏（洗七次，
一分）
上为粗末。每服三钱。水两盏、生姜五片、薄荷五叶，煎至一盏，滤去滓。温热，时时服。
《张氏家传》醒脾散 治小儿惊搐后不语。
防风 冬瓜子（各半两） 人参（一分） 甘草（炙，三钱）
上件为细末。每服一钱，用水一盏，入竹叶数片，灯心少许，同煎至七分，去滓。食后温服，临睡。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the condition of sudden loss of voice and inability to speak in children: The throat is the pathway for Qi; the laryngeal aperture (throat/pharynx) is the gate through which sound emerges. If sudden cold pathogenic factors invade the laryngeal aperture, the aperture becomes cold and unable to produce sound, resulting in sudden aphonia. Inability to speak refers to the failure of sound to emerge, distinct from lockjaw (trismus).
From *Ying Tong Bao Jian* (Precious Mirror for Infants and Children), a song regarding pediatric wind-stroke with flaccidity, pain, and aphonia:
Wind-cold damages the sinews and vessels, causing complete numbness and insensitivity in the four limbs. Pain arises from the conflict of cold and hot qi; flaccidity on one side is generated by wind. Cold lodges in the laryngeal aperture, making the crying voice resemble that of a mute person. Warm decoctions should be administered; otherwise, the spirit and vital energy will be damaged.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) - Shigao Tang (Gypsum Decoction): Treats pediatric wind-stroke, evil fei (a type of skin rash or heat symptom), aphonia, deviation of the mouth and eyes, and immobility of the four limbs.
Ingredients: Shigao (Gypsum Fibrosum, 1 he); Mahuang (Ephedrae Herba, 8 zhu, remove roots and joints); Gancao (Licorice Root, honey-fried); Shegan (Belamcandae Rhizoma); Guixin (Cinnamomi Cortex); Shaoyao (Paeoniae Radix); Danggui (Angelicae Sinensis Radix); Xixin (Asari Radix et Rhizoma, 2 zhu).
Preparation: The above eight herbs are cut into pieces. Add 3.5 sheng of water. First boil Mahuang for three boils, skim off the foam, then add the remaining herbs. Decoct until 1 sheng remains. For a three-year-old child, divide into four doses, taken three times daily.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulary of the Taiping Era) - Mutong San (Akebia Powder): Treats pediatric wind-stroke, aphonia, and intense heat in the four limbs.
Ingredients: Mutong (Akebiae Caulis, sliced); Fangfeng (Saposhnikoviae Radix, remove rhizome head); Chuan Shengma (Cimicifugae Rhizoma); Lingyangjiao (Saiga Tataricae Cornu, shaved); Guixin (Cinnamomi Cortex, above each ban liang); Gancao (Licorice Root, 1 fen, honey-fried until slightly red, sliced).
Preparation: Crush the above herbs and sieve them to make a coarse powder. Take 1 qian per dose. Add 1 small cup of water, decoct until 0.5 cup remains, strain, and add 0.5 he of Zhuli (Bambusae Succus). Boil once or twice more. Administer at any time, adjusting dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* - Tongshen Fang (Spirit-Connecting Formula): Treats pediatric wind-stroke, aphonia, when other medicines are ineffective.
Ingredients: Luangfa (Human Hair, burnt to ash); Guixin (Cinnamomi Cortex, each 1 liang).
Preparation: Crush and sieve the above herbs into powder. Administer 0.5 qian mixed with warm wine at any time. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* - Wuxi Wan (Black Rhinoceros Horn Pill): Treats pediatric wind-stroke, aphonia, throat discomfort, and spasms of sinews and vessels.
Ingredients: Wuxijiao (Rhinocerotis Cornu, shaved); Niuhuang (Bovis Calculus, finely ground); Baifuzi (Typhonii Rhizoma, processed until cracked); Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peel and navel removed); Baijiangcan (Bombyx Batryticatus, lightly fried); Ganxie (Scorpio, lightly fried); Tiannanxing (Arisaematis Rhizoma, used raw); Banxia (Pinelliae Rhizoma, washed seven times in boiling water to remove slipperiness, each 1 fen); Nifen (Calomel, 1 qian, ground and added).
Preparation: Crush and sieve the above herbs into 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 dosage according to the child's size.
*Tai Ping Sheng Hui Fang* - Bai Wanzi (White Pills): Treats pediatric wind-stroke, aphonia, and inability to cry.
Ingredients: Baijiangcan (Bombyx Batryticatus, ban liang, lightly fried); Huoxiang (Agastaches Herba); Ganxie (Scorpio, lightly fried); Sangpiaoxiao (Ovi Mantidis, lightly fried, above each 1 fen); Tiannanxing (Arisaematis Rhizoma, 3 fen, used raw); Nifen (Calomel, 1 qian, ground and added).
Preparation: Crush and sieve the above herbs into 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 dosage according to the child's size.
*Tai Ping Sheng Hui Fang* - Lingyangjiao Wan (Saiga Horn Pill): Treats pediatric wind-stroke, aphonia, joint stiffness, and rigidity of the waist and back.
Ingredients: Lingyangjiao (Saiga Tataricae Cornu, shaved); Fangfeng (Saposhnikoviae Radix, remove rhizome head); Qianghuo (Notopterygii Rhizoma et Radix); Zhusha (Cinnabaris, finely ground and water-suspended); Tianma (Gastrodiae Rhizoma, roasted); Baifuzi (Typhonii Rhizoma, processed until cracked, above each ban liang); Xieshao (Scorpio tail tip, lightly fried); Niuhuang (Bovis Calculus); Shexiang (Moschus, above all finely ground, each 1 fen).
Preparation: Crush and sieve the above herbs. Add the already ground ingredients and mix uniformly. Mix with refined honey to form pills the size of mung beans. Administer two pills ground in Mint Wine at any time. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang*: Treats pediatric wind-stroke, aphonia, and rigidity of the tongue root.
Ingredients: Chen Jiangzhi (Aged Soybean Paste Juice, 0.5 he); Renru (Human Milk, 2 he).
Preparation: Mix the above ingredients evenly. Administer small amounts to the child frequently.
*Tai Ping Sheng Hui Fang* - Fanhun Dan (Resurrection Pill): Treats corpse-jue (coma/unconsciousness) with aphonia.
Ingredients: Sheng Daimei (Trionycis Carapax et Plastrum, raw); Zhusha (Cinnabaris); Xionghuang (Realgar); Baijiezi (Sinapis Semen); Shexiang (Moschus, each 1 fen).
Preparation: Grind the above herbs into powder. Melt Anxi Xiang (Benzoin Resin) in a porcelain vessel and mix with the powder to form pills the size of mung beans. For fright-induced aphonia, administer five pills with urine at any time. For pediatric wind-heat syndrome, administer only one pill.
Zhang Huan's Zhuli Gao (Bamboo Sap Ointment): Treats pediatric wind-stroke, aphonia, and tight lockjaw.
Ingredients: Zhuli (Bambusae Succus, freshly extracted according to method); Sheng Dihuang (Rehmanniae Radix, juice extracted); Mi (Honey, above each 0.5 he, mixed evenly); Guixin (Cinnamomi Cortex, powdered); Shichangpu (Acori Tatarinowii Rhizoma, one cun long with nine nodes, powdered, above each 1 liang).
Preparation: Mix all ingredients together. Simmer over low fire to form an ointment of appropriate consistency, shaped like soap pods. Take one pill per dose, dissolved in Pear Juice.
*Zhang Shi Jia Chuan* (Zhang Family Transmission) - Jiusheng Changyang Tang (Life-Saving Acorus Yang-Nourishing Decoction): Treats pediatric wind-stroke, drowsiness/coma, and aphonia after waking.
Ingredients: Shichangpu (Acori Tatarinowii Rhizoma); Tianma (Gastrodiae Rhizoma); Sheng Wu She Rou (Wagler's Pit Viper Meat, raw); Quanxie (Scorpio); Baijiangcan (Bombyx Batryticatus); Fuzi (Aconiti Lateralis Radix Praeparata, processed, peel and navel removed); Qianghuo (Notopterygii Rhizoma et Radix); Renshen (Ginseng Radix et Rhizoma); Baifuzi (Typhonii Rhizoma, each ban liang); Banxia (Pinelliae Rhizoma, washed seven times, 1 fen).
Preparation: Make into coarse powder. Take 3 qian per dose. Add 2 cups of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 5 leaves of Bohe (Menthae Haplocalycis Herba). Decoct until 1 cup remains, strain, and drink warm frequently.
*Zhang Shi Jia Chuan* - Xingpi San (Spleen-Awakening Powder): Treats aphonia following pediatric convulsions.
Ingredients: Fangfeng (Saposhnikoviae Radix); Dongguazi (Benincasae Semen, each ban liang); Renshen (Ginseng Radix et Rhizoma, 1 fen); Gancao (Licorice Root, honey-fried, 3 qian).
Preparation: Make into fine powder. Take 1 qian per dose. Add 1 cup of water, several leaves of Zhuye (Bambusae Folium), and a little Dengxincao (Junci Medulla). Decoct together until 0.7 cup remains, strain. Take warm after meals, just before sleep.