（伤寒后咳嗽附）
《巢氏病源》小儿伤寒咳嗽候∶伤寒是寒气客于皮肤，搏于血气，使腠理闭密，气不宣泄，蕴积生热。故
头痛、体疼而壮热。其嗽者，邪在肺。肺候身之皮毛而主气，伤寒邪气先客皮肤，随气入肺，故令嗽重者有脓
血也。
《巢氏病源》∶小儿伤寒瘥后犹嗽者，是邪气犹停在肺未尽也。寒之伤人，先客皮毛。皮毛肺之候，肺主气，
寒搏于气，入五脏六腑，故表里俱热。热退之后，肺尚未和，邪犹未尽，邪随气入肺，与肺气相搏，故伤寒后
犹病嗽也。
《活人书》论伤寒小儿、大人治法∶一般但小分剂，药性差凉耳。问∶咳嗽者，何也？伤寒咳嗽有两证。有太阳证
咳嗽，小青龙、小柴胡也。有少阴证咳嗽，真武汤、四逆散、猪苓汤也。大抵热在上焦，其人必饮，水停心下，则肺为
之浮。肺主于咳，水气乘之，故咳而微喘。仲景云∶伤寒表不解，心下有水，干呕发热而咳，小青龙汤主之。（小便不
利，小腹满者，去麻黄加茯苓。）往来寒热，胸胁满痛或咳者，小柴胡汤主之。（小柴胡去人参、大枣，加五味子，干姜。）
若少阴证咳嗽，四肢沉重疼痛，小便不利，自下利而咳，真武汤主之。（真武汤加五味子、干姜。大抵伤寒水气皆因饮
水过多。古人治水气而咳者，病在阳则小青龙汤主之；病在阴则真武汤主之。）四肢厥逆，腹中痛，或泄利而咳，四逆
散主之。（四逆散加五味子、干姜。）下利六、七日，咳而呕渴，心烦不得眠，猪苓汤主之。《古今录验》橘皮汤治嗽佳。
《石壁经》三十六种内伤寒咳嗽候∶唇青（四十八候云唇白）鼻紫嗽声连，肺胃于中养毒涎。夜嗽胸高兼肚胀，汗
收髓热气难宣。食逆复翻言语重，嗽声频作岂能痊。行风发汗方为妙，定使风除绝本源。
内热蕴积，贼风所传，是致寒热相感，便生咳嗽，久则胸高如覆杯也。肚胀声重，须当发汗行风，次与调
气化涎利膈。若腹脏结，则当利动即瘥。
《凤髓经》此候歌括一同。仍注云∶（与坯煎散，方见夹惊伤寒门。次杏仁膏，方见久嗽门。）
《小儿形证》论四十八候伤寒咳嗽歌一同。后云∶此是伤寒传成吐逆咳嗽，先与解表散（方见慢惊风门中。）退伤
寒后，用疏风槟榔散（方见烦热门中。）然后用嗽药三、二服。
《千金》治少小伤寒，发热咳嗽，头面热者。麻黄汤方
麻黄 生姜 黄芩（各一两） 甘草（炙） 石膏 芍药 桂心（各半两） 杏仁（十枚，汤浸，去皮尖）
上八味 咀，以水四升，煮取一升半，分二服。儿若小以意减之。（伤寒证治，亦用此治伤寒发热咳嗽。）
《圣惠》治小儿内中冷气，及伤于外寒咳嗽，或时寒热，头痛。白术散
白术 紫菀（洗去苗土） 麻黄（去根节） 浓朴（去粗皮，涂生姜汁，炙令香熟） 人参（去芦头） 杏仁（汤
浸，去皮尖、双仁，麸炒微黄） 甘草（炙微赤，锉。各半两） 赤芍药 陈橘皮（汤浸、去白瓤，焙。各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候，量儿大小加减服之。
《圣惠》治小儿伤寒，痰逆咳嗽，不欲乳食。贝母散方
贝母（煨微黄） 桔梗（去芦头） 甘草（炙微赤，锉） 人参（去芦头） 干姜（炮裂，锉） 半夏（汤洗七遍，
去滑。各一分） 陈橘皮（汤浸，去白瓤，焙） 杏仁（汤浸，去皮尖、双仁，麸炒微黄。各半两） 桂心（一两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，煎至五分，去滓，不计时候温服。量儿大小
以意加减。
《圣惠》治小儿伤寒壮热，咳嗽呕吐。枇杷叶散方
枇杷叶（一分，拭去毛，炙微黄） 川升麻 人参（去芦头） 贝母（煨微黄。各半两） 茅根（一两，锉） 竹
茹（三分）
上件药捣，粗罗为散。每服一钱，以水一小盏，入枣一枚，掰，生姜少许，煎至五分，去滓。不计时候，看
儿大小以意加减，温服。
《圣惠》治小儿伤寒，咳嗽不瘥。杏仁散方
杏仁（汤浸，去皮尖、双仁，麸炒微黄） 贝母（煨微黄） 川升麻 甘草（炙微赤，锉） 麻黄（去根节。各半
两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，煎至五分，去滓。不计时候，量儿大小以意
加减温服。
《圣惠》治小儿伤寒，咳嗽吐逆，昼夜不息。桂心散方
桂心（半两） 甘草（炙微赤，锉） 麦门冬（去心。各一两） 紫菀（三分，洗去苗土）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，煎至五分，去滓，不计时候温服。随儿大小
以意增减。
《圣惠》治小儿伤寒，咳嗽气急。麻黄散方
麻黄（去根节） 木通（锉） 桂心（各半两） 川大黄（锉碎，微炒） 射干（各一分） 皂荚子（二十枚，煨
熟）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，不计时候温服。量儿大小以意加减。
《婴孺》治二百日，儿因伤寒得嗽，极时便呕。细辛汤方
细辛 紫菀（各一分） 人参 五味子 桂心 当归 附子（炮） 干姜 甘草（各二分）
上水二升，煮及九合。一服一合半，频频服。
《婴孺》治小儿伤寒，壮热加嗽。贝母汤方
贝母 石膏（各八分） 升麻 知母 黄芩 栀子仁 芍药（各六分） 杏仁（去皮尖） 柴胡（各五分） 羚羊
角（屑） 射干（各四分） 甘草（炙，二分）
上切，以水四升，煮一升二合，为四服。如是一、二岁儿量大小与之。
《婴孺》治小儿伤寒，嗽气喘急。麻黄汤方
竹叶（切，八合） 贝母（八分） 柴胡 升麻（各七分） 枳实（麸炒） 紫菀（各三分） 栀子仁 杏仁（去
皮尖。各六分） 甘草（炙） 麻黄（去节。各二分） 大黄（十分）
上切，以水四升，煮一升三合，期岁儿为四服，四岁儿为二服。
《婴孺》治少小伤寒后，嗽不止瘥。杏仁散方
杏仁（炒） 升麻（各六分） 贝母（八分） 甘草（四分，炙）
上为末。白饮服五分，日再。二、三岁根据岁服。小儿乳头上与之，量多少与。
张涣麦门冬汤方 治伤寒未除，咳嗽喘急。
麦门冬（去心） 款冬花 人参（去芦头） 紫菀（洗，焙干。各一两） 桂心（半两） 甘草（炙，一分）
上件捣罗为细末，入杏仁二十粒，麸炒，去皮尖，细研拌匀。每服一钱，水一钟，入生姜三片，煎至五分，
去滓，放温热，令时时服之。
张涣竹茹丹方 伤寒通肺治嗽。
竹茹 枇杷叶 人参（去芦头） 半夏（汤洗七遍） 天南星（炮） 紫菀（以上各一分）
上件捣罗为细末，生姜汁和如黍米大。每服十粒，生姜汤下，量儿大小临时加减。
《活人书》仲景小青龙汤
麻黄（一两半，微利者，去麻黄，加芫花如一弹子，熬令赤色。若噎者，去麻黄加附子半个，炮。若小便不利，小
腹满者，去麻黄加茯苓二两。若喘者，去麻黄加杏仁一两分，去皮尖） 半夏（一两一分，汤洗。若渴去半夏加栝蒌根
一两半） 芍药 桂枝 细辛 干姜 甘草（炙。各一两半） 五味子（一两一分）
上锉如麻豆大。每服抄五钱，水一盏半，煮至八分，去滓温服。
《活人书》仲景小柴胡汤方见伤寒头汗出门中。
《活人书》仲景真武汤
茯苓（三分。小便利者，去茯苓） 芍药（三分。下利者去芍药，加干姜二分） 附子（一枚，炮去皮，破八片，
用二片。呕者去附子加生姜，足煎成三两） 白术（二分。若咳者加五味子三分，细辛一分，干姜一分）
上锉如麻豆大。抄五钱匕，生姜四片，水一盏半，煎至八分。去滓温服，日三服。
《活人书》仲景猪苓汤
猪苓（去皮） 茯苓 阿胶（炙过） 泽泻 滑石（各一两）
上锉如麻豆大。每服抄五钱，以水一盏半，煮至七分，去滓温服。
《活人书》仲景四逆散
甘草（炙） 枳实（去白瓤。炒黄） 柴胡 芍药（以上各一两）
咳者加五味子、干姜各半两。下利悸者，加桂半两。小便不利者，加茯苓半两。腹中痛者，加附子半枚，
炮裂。泄利下重，先浓煎薤白汤，内药末三钱匕，再煮一二沸，温服。
上捣筛为细散。米饮下二钱，日三服。
《活人书》∶《古今录验》橘皮汤
陈橘皮 紫菀 麻黄 杏仁 当归 桂 甘草 黄芩（各半两）
上锉如麻豆大。每服抄五钱匕，用水一盏半，煎至一盏，去滓服。
《三十六种》治伤寒咳嗽。麦门冬汤
麦门冬（去心） 知母（各一两） 甘草（炙） 麻黄（去根节。各一分） 皂角（半两，沙糖或酥炙）
上为粗散。每服半钱，水五分盏，煎至三分，去滓，不计时候服。
《四十八候》治伤寒咳嗽。雄黄丸
雄黄（半分） 大黄（一分） 半夏（十粒，生） 猪牙皂角（一钱炙，去尖） 铜青（炒，一钱）
上末滴水丸如粟米大，或糊丸亦得。每服十丸，精肉汤下，大治嗽。
《吉氏家传》治伤寒嗽。
白矾 甘草 知母 半夏（姜浸。各一分） 蚌粉（半两） 人参（一钱）
上末。每服二钱，生姜汁一钱，蜜一钱，同煎澄清服。临时相度用水。
《吉氏家传》治伤寒咳嗽红绵散
全蝎（一个） 麻黄（去节，半两） 破故纸（一分，炒）
上细末。每服半钱，或一字，用水一小盏，煎至半盏，将纸裹在红绵内煎，纽出汗，温服。
《吉氏家传》正神散 治小儿伏热伤寒，咳嗽喷嚏，鼻塞躁烦，呕逆不食。
麻黄（去根节，半两） 人参 甘草（炙） 白茯苓 羌活 大黄（蒸。以上各一分） 朱砂 天麻 石膏（以上
各半钱）
上为末。每服一钱半，水半钟，入葱白半寸，豆豉三粒，同煎数沸，并进三服，汗出效。
《吉氏家传》梨浆饼子 治小儿伤寒候，胸膈溢滞；痰饮，咳嗽涎多，及急惊风。
铁彻粉 朱砂（各一钱） 硼砂 轻粉 粉霜 腊茶（末） 龙脑 荆芥（末） 水银（砂） 铅白霜（各半分）
麝香（少许）
上为末，炼蜜为膏，如钱眼大一饼一服，薄荷汤、鹅梨汁下，梨枝汁亦可。下涎是效。
(Attached: Cough after Shanghan)
*Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) on the syndrome of pediatric cough after Shanghan: Shanghan is caused by cold pathogenic factors invading the skin, struggling with blood and qi, causing the couli (skin pores and texture) to become closed and dense, preventing the free discharge of qi. The stagnation generates heat. Consequently, headache, body pain, and high fever occur. The reason for coughing is that the pathogen is in the Lung. The Lung governs the skin and hair externally and controls Qi. The Shanghan pathogen first invades the skin and follows the Qi into the Lung, thus severe coughing may be accompanied by pus and blood.
*Chao Shi Bing Yuan*: If a child continues to cough after recovering from Shanghan, it is because the pathogenic factor remains lodged in the Lung and has not been fully cleared. Cold pathogens injure the body, first invading the skin and hair. Skin and hair are the external manifestations of the Lung; the Lung governs Qi. Cold struggles with Qi and enters the five Zang and six Fu organs, resulting in heat in both the exterior and interior. After the heat subsides, the Lung Qi has not yet harmonized, and the pathogen remains. The pathogen follows the Qi into the Lung and struggles with the Lung Qi, hence the persistent cough after Shanghan.
*Huo Ren Shu* (Book of Saving Lives) discusses the treatment methods for pediatric and adult Shanghan cough: Generally, only a smaller dosage is needed, using herbs with slightly cooler properties. Question: Why does coughing occur? There are two types of Shanghan cough. One is Taiyang syndrome cough, treated with Xiao Qing Long Tang (Minor Blue Dragon Decoction) and Xiao Chai Hu Tang (Minor Bupleurum Decoction). The other is Shaoyin syndrome cough, treated with Zhen Wu Tang (True Warrior Decoction), Si Ni San (Frigid Extremities Powder), and Zhu Ling Tang (Polyporus Decoction). Generally, if there is heat in the Upper Jiao, the person will drink water. If water stagnates under the heart (epigastrium), the Lung floats upward. The Lung governs coughing; when water qi attacks it, coughing and slight wheezing occur. Zhang Zhongjing stated: "If the exterior syndrome of Shanghan is not resolved and there is water retention under the heart, causing dry heaving, fever, and cough, treat with Xiao Qing Long Tang." (If urination is difficult and the lower abdomen is full, remove Ma Huang and add Fu Ling.) For alternating chills and fever, chest and hypochondriac fullness/pain or cough, treat with Xiao Chai Hu Tang. (Remove Ren Shen and Da Zao from Xiao Chai Hu Tang, add Wu Wei Zi and Gan Jiang.) If it is Shaoyin syndrome cough, with heavy and painful limbs, difficult urination, spontaneous diarrhea, and cough, treat with Zhen Yu Tang. (Add Wu Wei Zi and Gan Jiang to Zhen Wu Tang. Generally, water qi in Shanghan is due to excessive drinking. Ancients treated water qi-induced cough: if the disease is in Yang channels, use Xiao Qing Long Tang; if in Yin channels, use Zhen Wu Tang.) For cold extremities, abdominal pain, or dysentery with cough, treat with Si Ni San. (Add Wu Wei Zi and Gan Jiang to Si Ni San.) For diarrhea lasting six to seven days, with cough, vomiting, thirst, irritability, and insomnia, treat with Zhu Ling Tang. *Gu Jin Lu Yan* (Ancient and Modern Verified Records) Ju Pi Tang (Tangerine Peel Decoction) is excellent for treating cough.
*Shi Bi Jing* (Stone Wall Classic) describes thirty-six types of internal Shanghan cough syndromes: Cyan lips (the 48th syndrome mentions white lips), purple nose, continuous coughing sound, toxic phlegm nourished in the Lung and Stomach. Night cough with high chest and abdominal distension, sweat collection with marrow qi contraction making heat hard to dissipate. Food regurgitation, heavy speech, frequent coughing—how can one recover? Conducting wind-releasing sweating is the best method, ensuring wind removal and cutting off the root source.
Internal heat accumulation, transmitted by thieving wind, causes cold and heat to interact, generating cough. Over time, the chest becomes high like an inverted cup. Abdominal distension and heavy voice require sweating and wind-dispelling first, followed by regulating Qi transformation, resolving phlegm, and benefiting the diaphragm. If abdominal organs are knotted, purging will lead to recovery.
*Feng Sui Jing* (Phoenix Marrow Classic) uses the same verse for this syndrome. It notes: (Use Pi Jian San, see the section on Shanghan with convulsions. Next, use Xing Ren Gao, see the section on chronic cough.)
*Xiao Er Xing Zheng* (Pediatric Manifestations) discusses the song for the 48th syndrome of Shanghan cough, identical to above. It adds: This is Shanghan transmitting to cause vomiting and cough. First use Jie Biao San (Release Exterior Powder, see Slow Convulsion section) to resolve Shanghan, then use Shu Feng Bing Lang San (Disperse Wind Areca Nut Powder, see Fever section). Then administer cough medicine for two or three doses.
*Qian Jin* (Thousand Gold Formulas) treats pediatric Shanghan with fever, cough, and heat in the head and face. Formula: Ma Huang Tang (Ephedra Decoction)
Ma Huang (Ephedrae Herba), Sheng Jiang (Zingiberis Rhizoma Recens), Huang Qin (Scutellariae Radix) (each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shi Gao (Gypsum Fibrosum), Shao Yao (Paeoniae Radix Alba), Gui Xin (Cinnamomi Ramulus), Xing Ren (Armeniacae Semen Amarum) (10 seeds, soaked in hot water, skin and tip removed).
The above eight ingredients are cut. Boil in 4 sheng of water to obtain 1.5 sheng. Divide into two doses. For infants, reduce the dose appropriately. (In Shanghan treatment, this formula is also used for fever and cough.)
*Sheng Hui Fang* (Holy Relief Formulas) treats pediatric internal cold qi, external cold invasion causing cough, intermittent chills/fever, and headache. Formula: Bai Zhu San (Atractylodis Macrocephalae Powder)
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zi Wan (Adenophorae Radix, washed to remove soil), Ma Huang (Ephedrae Herba, roots and joints removed), Hou Po (Magnoliae Officinalis Cortex, bark removed, coated with ginger juice, fried until fragrant), Ren Shen (Ginseng Radix, rhizome removed), Xing Ren (Armeniacae Semen Amarum, soaked, skins/tips/double kernels removed, bran-fried light yellow), Gan Cao (Glycyrrhizae Radix et Rhizoma, fried light red, cut) (each 0.5 liang), Chi Shao Yao (Paeoniae Radix Rubra), Chen Pi (Citri Reticulatae Pericarpium, soaked, albedo removed, dried) (each 1 fen).
Crush the above herbs and sieve coarsely. Take 1 qian per dose, boil in a small cup of water to 0.5 cup, strain. Administer at any time, adjusting dose according to the child's size.
*Sheng Hui Fang* treats pediatric Shanghan with phlegm reversal cough and loss of appetite. Formula: Bei Mu San (Fritillariae Bulbus Powder)
Bei Mu (Fritillariae Bulbus, roasted light yellow), Jie Geng (Platycodonis Radix, rhizome removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, fried light red, cut), Ren Shen (Ginseng Radix, rhizome removed), Gan Jiang (Zingiberis Rhizoma, processed and cut), Ban Xia (Pinelliae Rhizoma, washed 7 times in hot water to remove slipperiness) (each 1 fen), Chen Pi (Citri Reticulatae Pericarpium, soaked, albedo removed, dried), Xing Ren (Armeniacae Semen Amarum, soaked, skins/tips/double kernels removed, bran-fried light yellow) (each 0.5 liang), Gui Xin (Cinnamomi Ramulus) (1 liang).
Crush and sieve coarsely. Take 1 qian per dose, boil in a small cup of water with a little ginger to 0.5 cup, strain. Warm take at any time, adjusting dose according to the child's size.
*Sheng Hui Fang* treats pediatric Shanghan with high fever, cough, and vomiting. Formula: Pi Pa Ye San (Loquat Leaf Powder)
Pi Pa Ye (Loquati Folium) (1 fen, brushed clean of hairs, roasted light yellow), Chuan Sheng Ma (Bupleuri Radix), Ren Shen (Ginseng Radix, rhizome removed), Bei Mu (Fritillariae Bulbus, roasted light yellow) (each 0.5 liang), Mao Gen (Imperatae Rhizoma) (1 liang, cut), Zhu Ru (Bambusae Caulis in Taenia) (3 fen).
Crush and sieve coarsely. Take 1 qian per dose, boil in a small cup of water with one split jujube and a little ginger to 0.5 cup, strain. Warm take at any time, adjusting dose according to the child's size.
*Sheng Hui Fang* treats pediatric Shanghan where cough persists. Formula: Xing Ren San (Apricot Kernel Powder)
Xing Ren (Armeniacae Semen Amarum, soaked, skins/tips/double kernels removed, bran-fried light yellow), Bei Mu (Fritillariae Bulbus, roasted light yellow), Chuan Sheng Ma (Bupleuri Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, fried light red, cut), Ma Huang (Ephedrae Herba, roots/joints removed) (each 0.5 liang).
Crush and sieve coarsely. Take 1 qian per dose, boil in a small cup of water with a little ginger to 0.5 cup, strain. Warm take at any time, adjusting dose according to the child's size.
*Sheng Hui Fang* treats pediatric Shanghan with cough, vomiting, day and night without cessation. Formula: Gui Xin San (Cinnamon Twig Powder)
Gui Xin (Cinnamomi Ramulus) (0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, fried light red, cut), Mai Men Dong (Ophiopogonis Tuber, core removed) (each 1 liang), Zi Wan (Adenophorae Radix) (3 fen, washed to remove soil).
Crush and sieve coarsely. Take 1 qian per dose, boil in a small cup of water with a little ginger to 0.5 cup, strain. Warm take at any time, adjusting dose according to the child's size.
*Sheng Hui Fang* treats pediatric Shanghan with cough and rapid breathing. Formula: Ma Huang San (Ephedra Powder)
Ma Huang (Ephedrae Herba, roots/joints removed), Mu Tong (Akebiae Caulis, cut), Gui Xin (Cinnamomi Ramulus) (each 0.5 liang), Chuan Da Huang (Rhei Radix et Rhizoma, cut and lightly fried), She Ye (Belamcandae Rhizoma) (each 1 fen), Zao Jia Zi (Gleditsiae Sinensis Spina) (20 seeds, roasted).
Crush and sieve coarsely. Take 1 qian per dose, boil in a small cup of water to 0.5 cup, strain. Warm take at any time, adjusting dose according to the child's size.
*Ying Ru Fang* treats infants under 200 days old who develop cough due to Shanghan, vomiting severely. Formula: Xi Xin Tang (Asari Decoction)
Xi Xin (Asari Radix et Rhizoma), Zi Wan (Adenophorae Radix) (each 1 fen), Ren Shen (Ginseng Radix), Wu Wei Zi (Schisandrae Fructus), Gui Xin (Cinnamomi Ramulus), Dang Gui (Angelicae Sinensis Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, processed), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 2 fen).
Add 2 sheng of water, boil to 9 he. Take 1.5 he per dose, administer frequently.
*Ying Ru Fang* treats pediatric Shanghan with high fever and worsening cough. Formula: Bei Mu Tang (Fritillaria Decoction)
Bei Mu (Fritillariae Bulbus), Shi Gao (Gypsum Fibrosum) (each 8 fen), Sheng Ma (Cimicifugae Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Huang Qin (Scutellariae Radix), Zhi Zi Ren (Gardeniae Fructus), Shao Yao (Paeoniae Radix Alba) (each 6 fen), Xing Ren (Armeniacae Semen Amarum, skins/tips removed), Chai Hu (Bupleuri Radix) (each 5 fen), Ling Yang Jiao (Saigae Tataricae Cornu, powdered), She Ye (Belamcandae Rhizoma) (each 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (2 fen).
Cut the above. Boil in 4 sheng of water to obtain 1.2 sheng. Divide into four doses. For one- or two-year-old children, adjust according to size.
*Ying Ru Fang* treats pediatric Shanghan with cough and wheezing. Formula: Ma Huang Tang (Ephedra Decoction)
Zhu Ye (Phyllostachys Viridis Folium, cut) (8 he), Bei Mu (Fritillariae Bulbus) (8 fen), Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma) (each 7 fen), Zhi Shi (Aurantii Fructus Immaturus, bran-fried), Zi Wan (Adenophorae Radix) (each 3 fen), Zhi Zi Ren (Gardeniae Fructus), Xing Ren (Armeniacae Semen Amarum, skins/tips removed) (each 6 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ma Huang (Ephedrae Herba, joints removed) (each 2 fen), Da Huang (Rhei Radix et Rhizoma) (10 fen).
Cut the above. Boil in 4 sheng of water to obtain 1.3 sheng. For one-year-olds, divide into four doses; for four-year-olds, divide into two doses.
*Ying Ru Fang* treats pediatric Shanghan where cough persists and does not heal. Formula: Xing Ren San (Apricot Kernel Powder)
Xing Ren (Armeniacae Semen Amarum, fried), Sheng Ma (Cimicifugae Rhizoma) (each 6 fen), Bei Mu (Fritillariae Bulbus) (8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (4 fen).
Grind into powder. Take 5 fen with rice water, twice daily. For two- or three-year-olds, adjust according to age. Apply to infant's nipple for sucking, adjusting amount as needed.
Zhang Huan's Mai Men Dong Tang (Ophiopogon Decoction) treats unresolved Shanghan with cough and wheezing.
Mai Men Dong (Ophiopogonis Tuber, core removed), Kuan Dong Hua (Farfarae Flos), Ren Shen (Ginseng Radix, rhizome removed), Zi Wan (Adenophorae Radix, washed and dried) (each 1 liang), Gui Xin (Cinnamomi Ramulus) (0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (1 fen).
Grind into fine powder. Add 20 Xing Ren (Armeniacae Semen Amarum), bran-fried, skins/tips removed, finely ground and mixed. Take 1 qian per dose, boil in one cup of water with three slices of ginger to 0.5 cup, strain. Let cool to warm temperature and sip frequently.
Zhang Huan's Zhu Ru Dan (Bamboo Dalia) treats Shanghan affecting the Lung to stop cough.
Zhu Ru (Bambusae Caulis in Taenia), Pi Pa Ye (Loquati Folium), Ren Shen (Ginseng Radix, rhizome removed), Ban Xia (Pinelliae Rhizoma, washed 7 times in hot water), Tian Nan Xing (Arisaematis Rhizoma, processed), Zi Wan (Adenophorae Radix) (each 1 fen).
Grind into fine powder. Mix with ginger juice to form pills the size of millet seeds. Take 10 pills per dose with ginger decoction, adjusting according to the child's size.
*Huo Ren Shu* Zhang Zhongjing's Xiao Qing Long Tang (Minor Blue Dragon Decoction)
Ma Huang (Ephedrae Herba) (1.5 liang; if loose stools, remove Ma Huang, add Yuan Hua (Daphnes Genkwa Flos) the size of a bullet, roasted red. If choking sensation, remove Ma Huang, add half a Fu Zi (Aconiti Lateralis Radix Praeparata, processed). If difficult urination and lower abdominal fullness, remove Ma Huang, add 2 liang Fu Ling (Poria). If wheezing, remove Ma Huang, add 1.1 liang Xing Ren (Armeniacae Semen Amarum, skins/tips removed)), Ban Xia (Pinelliae Rhizoma) (1.1 liang, washed in hot water; if thirsty, remove Ban Xia, add Gua Lou Gen (Trichosanthis Radix) 1.5 liang), Shao Yao (Paeoniae Radix Alba), Gui Zhi (Cinnamomi Ramulus), Xi Xin (Asari Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 1.5 liang), Wu Wei Zi (Schisandrae Fructus) (1.1 liang).
Cut like hemp seeds. Take 5 qian per dose, boil in 1.5 cups of water to 0.8 cup, strain and take warm.
*Huo Ren Shu* Zhang Zhongjing's Xiao Chai Hu Tang (Minor Bupleurum Decoction) - See section on Shanghan with head sweating.
*Huo Ren Shu* Zhang Zhongjing's Zhen Wu Tang (True Warrior Decoction)
Fu Ling (Poria) (3 fen; if urination is normal, remove Fu Ling), Shao Yao (Paeoniae Radix Alba) (3 fen; if diarrhea, remove Shao Yao, add 2 fen Gan Jiang (Zingiberis Rhizoma)), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin removed, broken into 8 pieces, use 2 pieces) (1 piece; if vomiting, remove Fu Zi, add Sheng Jiang (Zingiberis Rhizoma Recens), cook sufficiently to yield 3 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2 fen; if cough, add 3 fen Wu Wei Zi (Schisandrae Fructus), 1 fen Xi Xin (Asari Radix et Rhizoma), 1 fen Gan Jiang (Zingiberis Rhizoma)).
Cut like hemp seeds. Take 5 qian bi, 4 slices of ginger, 1.5 cups of water, boil to 0.8 cup. Strain and take warm, three times daily.
*Huo Ren Shu* Zhang Zhongjing's Zhu Ling Tang (Polyporus Decoction)
Zhu Ling (Polyporus), Fu Ling (Poria), E Jiao (Colla Corii Asini, roasted), Ze Xie (Alismatis Rhizoma), Hua Shi (Talcum) (each 1 liang).
Cut like hemp seeds. Take 5 qian per dose, boil in 1.5 cups of water to 0.7 cup, strain and take warm.
*Huo Ren Shu* Zhang Zhongjing's Si Ni San (Frigid Extremities Powder)
Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhi Shi (Aurantii Fructus Immaturus, albedo removed, fried yellow), Chai Hu (Bupleuri Radix), Shao Yao (Paeoniae Radix Alba) (each 1 liang).
If cough, add 0.5 liang each of Wu Wei Zi (Schisandrae Fructus) and Gan Jiang (Zingiberis Rhizoma). If diarrhea with palpitations, add 0.5 liang Gui (Cinnamomi Ramulus). If difficult urination, add 0.5 liang Fu Ling (Poria). If abdominal pain, add half a Fu Zi (Aconiti Lateralis Radix Praeparata, processed). If dysentery with heaviness in the rectum, first decoct Xie Bai (Allii Macrostemonis Bulbus) strongly, add 3 qian bi of herb powder, boil briefly, and take warm.
Sift into fine powder. Take 2 qian with rice water, three times daily.
*Huo Ren Shu*: *Gu Jin Lu Yan* Ju Pi Tang (Tangerine Peel Decoction)
Chen Pi (Citri Reticulatae Pericarpium), Zi Wan (Adenophorae Radix), Ma Huang (Ephedrae Herba), Xing Ren (Armeniacae Semen Amarum), Dang Gui (Angelicae Sinensis Radix), Gui (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix) (each 0.5 liang).
Cut like hemp seeds. Take 5 qian bi per dose, boil in 1.5 cups of water to 1 cup, strain and take.
*San Shi Liu Zhong* treats Shanghan cough. Mai Men Dong Tang (Ophiopogon Decoction)
Mai Men Dong (Ophiopogonis Tuber, core removed), Zhi Mu (Anemarrhenae Rhizoma) (each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ma Huang (Ephedrae Herba, roots/joints removed) (each 1 fen), Zao Jiao (Gleditsiae Sinensis Fructus) (0.5 liang, roasted with rock sugar or lard).
Make coarse powder. Take 0.5 qian per dose, boil in 0.5 cup of water to 0.3 cup, strain and take at any time.
*Si Shi Ba Hou* treats Shanghan cough. Xiong Huang Wan (Realgar Pill)
Xiong Huang (Realgar) (0.5 fen), Da Huang (Rhei Radix et Rhizoma) (1 fen), Ban Xia (Pinelliae Rhizoma) (10 seeds, raw), Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus, roasted 1 qian, tip removed), Tong Qing (Azurite) (fried, 1 qian).
Grind into powder. Add drops of water to make pills the size of millet seeds, or use paste pills. Take 10 pills per dose with lean meat broth. Highly effective for cough.
*Ji Shi Jia Chuan* treats Shanghan cough.
Bai Fan (Alumen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Ban Xia (Pinelliae Rhizoma, soaked in ginger juice) (each 1 fen), Bang Fen (Concha Tridacnae) (0.5 liang), Ren Shen (Ginseng Radix) (1 qian).
Grind into powder. Take 2 qian per dose, decoct with 1 qian ginger juice and 1 qian honey until clear. Adjust water amount as needed.
*Ji Shi Jia Chuan* Hong Mian San (Red Cotton Powder) treats Shanghan cough.
Quan Xie (Scorpio), Ma Huang (Ephedrae Herba, joints removed, 0.5 liang), Po Gu Zhi (Psoraleae Fructus, 1 fen, fried).
Grind into fine powder. Take 0.5 qian or 1 zi amount. Boil in a small cup of water to half a cup. Wrap in red cotton, squeeze out the juice, and take warm.
*Ji Shi Jia Chuan* Zheng Shen San (Divine Spirit Powder) treats pediatric latent heat Shanghan with cough, sneezing, nasal congestion, irritability, vomiting, and anorexia.
Ma Huang (Ephedrae Herba, roots/joints removed, 0.5 liang), Ren Shen (Ginseng Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Bai Fu Ling (Poria), Qiang Huo (Notopterygii Rhizoma et Radix), Da Huang (Rhei Radix et Rhizoma, steamed) (each 1 fen), Zhu Sha (Cinnabaris), Tian Ma (Gastrodiae Rhizoma), Shi Gao (Gypsum Fibrosum) (each 0.5 qian).
Grind into powder. Take 1.5 qian per dose, boil in half a cup of water with half an inch of Cong Bai (Allii Fistulosi Bulbus) and three grains of Dou Chi (Sojae Semen Praeparatum) for a few boils. Take all three doses together. Effective when sweat appears.
*Ji Shi Jia Chuan* Li Jiang Bing Zi (Pear Paste Cake) treats pediatric Shanghan with chest/diaphragm stagnation, phlegm-fluid retention, copious salivary phlegm from cough, and acute convulsions.
Tie Che Fen (Iron Oxide Powder), Zhu Sha (Cinnabaris) (each 1 qian), Peng Sha (Borax), Qing Fen (Calomelas), Fen Shuang (Sublimated White Mercury Compound), La Cha Mo (Winter Tea Powder), Long Nao (Borneolum Syntheticum), Jing Jie Mo (Schizonepetae Spica Powder), Shui Yin (Hydrargyrum), Qian Bai Shuang (Basic Lead Carbonate) (each 0.5 fen), She Xiang (Moschus) (a little).
Grind into powder. Make paste with refined honey. Form cakes the size of a coin hole, one cake per dose. Take with Bo He Tang (Menthae Haplocalycis Herba decoction) or E Li Zhi (Pyrus communis var. pyrifolia juice); Li Zhi Zhi (Pyrus communis var. pyrifolia branch juice) is also acceptable. Effective for reducing phlegm.