（咳嗽诸疾） 凡十一门
《巢氏病源》小儿嗽候∶嗽者，由风寒伤于肺也。肺主气，候皮毛，而俞在于背。小儿解脱，风寒伤皮毛，
故因从肺俞入伤肺，肺感寒即嗽也。故小儿生须常暖背，夏月亦须生单背裆。若背冷得嗽，月内不可治，百
日内嗽者，十中一两瘥耳。
《婴孺》论曰∶嗽病所生，儿离其母，独居而啼，其气未定，因而乳之，啼时阴阳俱盛，虚实更作，肺胃受
邪，故令儿嗽。
汉东王先生《家宝》治嗽病症∶小儿发嗽，由风寒伤于肺，月内小儿不可治也。百日内嗽者，十中可一两
全活尔。宜先进麦汤散二、三服（方见伤寒发斑门中），以金花散二、三服（方见本门），间观音散二、三服（方见胃气
不和门中）。大凡小儿，尤宜慎风，不可使嗽。
钱乙论咳嗽云∶夫嗽者，肺感微寒。八、九月间，肺气大旺，病嗽者，其病必实，非久病也。其症面赤、
痰盛、身热。法当以葶苈丸下之（方未见），若久者不可下也。十一月、十二月患嗽者，乃伤风嗽也，风从背脊第三
椎肺俞穴入也，当以麻黄汤汗之（方未见）。有热证面赤、饮水涎热、咽喉不利者，宜兼甘桔汤治之（方见实热门中）。
若五、七日间，其症身热痰盛、唾粘者，以褊银丸下之（方见痰涎门中）。有肺盛者，咳而后喘、面肿，欲饮水，有不
饮水者，其身即热，以泻白散泻之（方见喘咳上气门中）。若伤风咳嗽，五、七日无热证而但嗽者，亦葶苈丸下之（方
未见），后用化痰药。有肺虚者，咳而哽气，时时长出气，喉中有声，此久病也，以阿胶散补之（方见喘咳上气门中）。
痰盛者，先实脾，从以褊银丸微下之（方见同前）。涎退即补肺，补肺如上法。有嗽而吐水，或青绿水者，以百祥丸下
之。（方见疮疹倒 门中。）有嗽而吐痰涎、乳食者，以白饼子下之（方见搐搦门中）。有嗽而略脓血者，乃肺热，食后
服甘桔汤（方见同前）。久嗽者，肺亡津液，阿胶散补之（方见同前）。咳而痰实不甚，喘而面赤、时饮水者，可褊银丸
下之（方见同前）。治嗽大法，盛即下之，久即补之，更量虚实，以意增损。
钱乙论嗽病诀死云∶东都药铺，杜氏有子五岁，自十一月病嗽至三月未止。始得嗽而吐痰，乃外风寒搐入
肺经，今肺病嗽而吐痰，风在肺中故也。宜以麻黄辈发散，后用凉药压之即愈。时医与铁粉丸、半夏丸、褊银
丸诸法下之，其肺即虚而嗽甚，至春三月间尚未愈。召钱氏视之，其候面青而光，嗽而喘促哽气，又时长出气。
钱曰∶病困十已八九，所以然者，面青而光，肝气王也。春三月者，肝之位也，肺衰之时也。嗽者肺之病，
肺自十一月至三月，久即虚痿，又曾下之，脾肺子母也。复为肝所胜，此为逆也。故嗽而喘促哽气、长出气
也。钱急与泻青丸泻之（方见惊热门中），后与阿胶散实肺（方见同前）。次日面青而不光，钱又补肺，而嗽如前。钱又
泻肝，泻肝未已，又加肺虚，唇白如练。钱曰∶此病必死，不可治也。何者？肝大王，而肺虚绝，肺病不得其时而肝
胜之。今三泻肝而肺病不退，三补肺而肺证犹虚，此不久生，故言死也。此证病于秋者，十救三四；春夏者，
十难救一。果大喘而死。
《婴童宝鉴》咳嗽死候∶嗽而眼时上视，下青黑粪。
《五关贯真珠囊》小儿咳嗽候∶因乳哺无节，伤于肺，或乳之，次与气相冲，气乳相冲于肺，故令气逆而
嗽也。
《惠眼观证》∶凡生下一月至百日，或周岁，或三、五岁以上嗽分数种∶有奶下嗽者，因吃热奶伤肺而得，
只下温肺散（方见疳嗽门中）及人参膏涂唇（方见本门中）。有 嗽，气急嗽速，早起眼肿，乃下浑金丹（方见咳嗽
作呀呷声门中）；量大小与，吐下涎，即用匀气化涎、凉心肺药服之。有疳嗽者，此因久泻，脾胃虚，上嗽发热，攻击
心气，宜先以疳药芦荟丸（方是人常服者）夹乌犀丸（方见肥疳门中）服之，后用退心热及防己丸治之（方见疳嗽门中）。
有伤寒嗽者，此因客风在肺，其肺气伏热，嗽后多吐，宜以金粉散治之（方见伤风嗽门）。上件诸般嗽，如脾胃气实，
胸膈太壅，先以鲜汤丸利之（方见急慢惊风门中。）
茅先生小儿受咳嗽死候歌∶
咳嗽胸高喘气粗，眼睛上视定还除，时时下粪青并黑，不食看看命即无。
葛氏《肘后》疗小儿咳嗽方。
紫菀（六分） 贝母（二分） 款冬花（一分）
上捣为散。每服如豆大，着乳头上，令儿和乳咽之，日三、四。乳母勿食大咸醋物。《圣惠》用清粥饮调
一字。
《千金》治少小嗽八味生姜煎方
生姜（七两） 干姜（四两） 桂心（二两） 甘草 款冬花 紫菀（各三两） 杏仁 蜜（各一升）
上合诸药末之，微火上煎，取如饴 ，量其大小多少，与儿含咽之。百日小儿如枣核许，日四、五服，甚
有验。
《千金》治少小十日以上至五十日，卒得声咳吐乳，呕逆、暴嗽、昼夜不得息。桂枝汤方
桂枝（半两） 甘草（二两半） 紫菀（十八铢） 麦门冬（一两十八铢）
上四味 咀，以水二升，煮取半升，以绵着汤中，捉绵滴儿口中，昼夜四、五过与之，节乳哺。
《千金》治小儿嗽，日中瘥，夜甚，初不得息，不能复啼。四物款冬丸方
款冬花 紫菀（各一两半） 桂心（半两） 伏龙肝（六铢）
上末之，蜜和如泥，取如枣核大，敷乳头上，令儿饮之，日三敷之，渐渐令儿饮之。
孙真人治小儿咳嗽方。
生姜（四两）
上锉碎，水五升，煎汤与儿沐浴。
《仙人水鉴》小儿百日内嗽逆不止方。
咳嗽不止使神攻，栀子干姜力不同，乳煎一合分三分，必定获安五脏通。
上此是五脏气不和，小孩子不宜大药。
《外台》∶《短剧》疗少小咳嗽、腹胀。七物小五味子汤方
五味子（研） 紫菀（各二分） 黄芩 甘草（炙） 麻黄（去节） 生姜 桂心（各一分）
上药 咀，以水一升，煮取七合，分五服。忌如常法。
《外台》∶《短剧》又疗少小十日以上至五十日，卒得暴咳，吐乳呕逆，昼夜不得息。四物汤方
桔梗 紫菀（各三分） 甘草（炙，一分） 麦门冬（去心，七分）
上药切，以水一升，煮取六合，去滓；分五服，以瘥为度。《千金》有桂心无桔梗，以水二升，煮取一升，
以绵着汤中，捉绵滴儿口中，昼夜四、五过与，节哺乳。
《外台》∶刘氏疗小儿咳嗽，不得卧方。
甘草（炙，六分） 桔梗（四分） 桑白皮 贝母 茯苓（各三分） 大青 吴蓝 五味子 人参（各二分）
上九味切，以水二升，煮取八合，去滓；量多少、大小与服。忌如常法。
《胜金方》治小儿咳嗽。
上以蜂房二两，净洗蜂粪及泥土，以快火烧为灰。每服一字，饭饮下。
《圣惠》治小儿心胸烦闷，体热咳嗽。天门冬散方
天门冬（去心，焙） 桑根白皮（锉） 赤茯苓 柴胡（去苗） 百合 紫菀（洗去苗土） 蓝叶 甘草（炙微赤，
锉。以上各半两）
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。量儿大小以意分减，温服。
《圣惠》治小儿咳嗽，胸中满闷，不欲乳食。陈橘皮散方
陈橘皮（汤浸、去白，焙） 桔梗（去芦头） 鸡苏 杏仁（汤浸，去皮尖，麸炒微黄） 人参（去芦头。各一分）
贝母（煨微黄，半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入灯心十茎，煎至五分，去滓温服，日三、四服。量儿大
小以意加减。
《圣惠》治小儿咳嗽，壮热，胸膈壅滞。麦门冬煎方
麦门冬（去心，一两） 生姜（半两，汁） 酥蜜（各二合） 杏仁（汤浸，去皮尖，二两）
上件药，先以水一大盏，煎麦门冬及杏仁至四分，入沙盆内研，绞取汁，却入银器中；次内生姜汁等，以
熳火熬成膏，收于瓷器中。每服以清粥饮调下半茶匙，日三服，夜一服。量儿大小以意加减。
《圣惠》治小儿卒得咳嗽，吐乳。桔梗散方
桔梗 人参（去芦头） 陈橘皮（汤浸、去白，焙。各一分） 甘草（炙略赤，锉） 麦门冬（去心，焙） 紫菀
（去苗土。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。量儿以大小，分减服之。
《圣惠》治小儿咳嗽、头热、令乳母服。百部散方
百部 贝母（煨黄） 紫菀（洗去苗土） 葛根（锉。各一两） 石膏（二两）
上件药捣，筛为散。每服三钱，以水一小盏，入竹叶二十片，煎至六分，去滓。每服食后令儿饮乳甚佳。
《博济方》治大人、小儿咳嗽大妙。犀灰散
巴豆 杏仁（去尖） 半夏（各等分）
上用一合子盛之，以赤石脂闭缝了；用三斤炭火 ，令透赤即取出，放冷，细研如粉。小儿半字，淡姜汤
调下。大人咳嗽，姜汤下一字。
《灵苑》治小儿咳嗽。金杏煎丸
杏仁（四十九个，去皮尖，生研） 栝萎（大者一枚） 不 皂角（一锭，捶碎） 生百部（一两。三味各用水 ，
捣碎，绞取浓汁）
以上入银石器内，慢火熬成膏。入后药∶
牵牛子（捣一味末，一两） 木香（半两，为细末）
上入煎药膏内，杵为丸如绿豆大。每服五丸至七丸，用糯米饮下。量儿大小加减丸数。
茅先生小儿咳嗽雌黄丸方
雌黄（细研） 鸡内金（是鸡粪黄） 延胡索 半夏（生用）
上件各等分，为末，用枣肉为丸如○此大。每服七丸、十丸，用灯心汤吞下。（与呀呷门《惠眼观证》内金丸同。
为各有牵引，故兼存之。）
茅先生治小儿咳嗽，金杏丸方
杏仁（去皮尖） 汉防己 甜葶苈 马兜苓（去皮）
上等分为末，用蜜和丸如○此大。每服十丸，用麦门冬汤吞下。
茅先生小儿是嗽奶。豆膏
栝萎瓤 蜜（各半盏） 人参 铅白霜（各半两） 陈槐花（一分） 栝萎子（一百二十粒）
上将栝萎瓤及蜜炼成膏，入诸药末，同为膏。每服一大黄豆大，用杏仁煎汤调服之。
《婴孺》治小儿嗽，体羸弱不堪治者。贝母煎方
贝母 杏仁（研泥。各六分） 升麻 甘草（炙） 黄芩（各三分） 紫菀（三分半） 款冬花（二分） 蜣 （五
个，去羽）
上为末，以蜜二斤和末，入铜器中沸煎，汤内煎之，不住手搅如饴，煎成拍合收，以匕抄枣核大。一岁啖
七粒，日四、五服，百日儿四、五枚，量儿与之。
《婴孺》治小儿嗽方。
紫菀 射干（各五分） 贝母 升麻（各十分） 杏仁（研成膏，别入） 柴胡 茯苓 芍药 黄芩（各八分） 甘
草（四分，炙） 枳壳（六分，炒） 竹叶（切，一升） 蜜（十合）
上以水三升，煮及一升八合，去滓；下杏膏、蜜，熳火煎取一升六合，一岁儿服一合。
《婴孺》治少小儿嗽。生姜煎方
生姜（七两） 干姜 桂心 杏仁（各二两） 甘草 紫菀（各三两） 款冬花（三合） 蜜（一升）
上微火煎如饴，含枣核大一枚，咽汁，日进四、五服；如百日儿，含半枣许。
汉东王先生《家宝》治小儿婴孩咳嗽。金花散方
郁金 防风 半夏（各一分） 巴豆（二十一粒） 皂角（一茎）
上以水一升于银器内煮，令干，去巴豆、皂角不用，以温汤泽洗，余三味焙干为末。每服婴孺一字，二、
三岁半钱或一钱，薄荷蜜熟水调下。
汉东王先生《家宝》治不因伤风得嗽，名曰胃气嗽。藿香散方
藿香（二十一叶） 枳壳（二片，用湿纸裹，煨令熟） 蚌粉（一块，如枳壳大）
上为末。每服婴孩一字，二、三岁半钱，蜜饭饮调下，不过二、三服安。
张涣马兜苓丹方 治小儿肺壅咳嗽，大便不利。
马兜苓 紫苏子 人参（去芦头。各一两） 款冬花 木香（各半两，并为细末，次用） 杏仁（一分，汤浸，去
皮尖，细研）
上件同拌匀，炼蜜和如黍米大。每服十粒，煎生姜汤下。量儿大小加减。
张涣顺肺汤方 治小儿心肺不利，咳嗽。
半夏（汤浸七次，焙干） 紫苏叶（各一两） 陈橘皮（汤浸、去白） 款冬花 桂心 木香 五味子（各半两）
上件捣，罗为细末。每服一钱，水八分一盏，入生姜、人参各少许，煎至四分，去滓，放温服。
张涣养肺汤方 治小儿嗽，温养肺胃。
紫菀（洗去土，焙干） 半夏（汤洗七次） 款冬花 真阿胶（各一两） 人参（去芦头） 桂心（各半两）
上件捣，罗为细末。每服一钱，水一小盏，入生姜二片，糯米五粒，煎至五分，去滓，放温，时时服。
张涣遗方雄黄膏 治月里儿咳嗽，并三岁以下皆可服。
雄黄（一钱，细研） 杏仁（七粒，去皮尖） 半夏（七个，童子小便浸一宿，切作片子，焙干，末）
上一处研匀，用生姜自然汁半两，蜜半两，一处入药末于罐子内，重汤内熬，用柳枝子搅成膏。每服一皂
皂大，涂奶头，与儿吮，或糯米饮调下。
《聚宝方》补肺散 治大人、小儿咳嗽，不以深浅皆效。
款冬花 钟乳石（研五日，水飞，秤） 甘草 桂心（取有末者） 白僵蚕（直者） 铅白霜（研。各半两） 白
[Various Diseases of Cough] Divided into eleven categories.
*The Treatise on Pathogenesis and Symptomatology of Diseases* (Chao Shi Bing Yuan) on the syndrome of pediatric cough: Cough arises from wind-cold damaging the Lung. The Lung governs Qi, corresponds to the skin and hair externally, and its Back-Shu point is located on the back. If infants are undressed and exposed to cold, wind-cold invades the skin and hair, subsequently entering through the Lung Back-Shu point to damage the Lung. When the Lung is affected by cold, cough ensues. Therefore, after birth, an infant's back must be kept warm constantly; even in summer, a single-layer garment covering the back should be worn. If cough is induced by a cold back, it is untreatable in infants under one month old. For infants within one hundred days, only one or two out of ten may recover.
*Ying Ru Shu* discusses: The origin of cough disease lies in the infant being separated from the mother, living alone and crying. At this time, the child's Qi is unsettled. Feeding during crying causes both Yin and Yang energies to surge simultaneously, alternating between deficiency and excess, leading to pathogenic invasion of the Lung and Stomach, thus causing infant cough.
Mr. Wang of Handong's *Jia Bao* records treatments for cough syndromes: Infantile cough is caused by wind-cold damaging the Lung; it is untreatable in infants under one month. For those within one hundred days, only one or two out of ten survive completely. It is advisable to first administer Mai Tang San (Wheat Decoction Powder) two or three doses (formula see section on Cold Damage with Macules), followed by Jin Hua San (Golden Flower Powder) two or three doses (formula see this section), interspersed with Guanyin San (Guanyin Powder) two or three doses (formula see section on Disharmony of Stomach Qi). Generally, infants should be particularly cautious about avoiding wind to prevent inducing cough.
Qian Yi discusses cough: Cough results from the Lung being affected by slight cold. Between the eighth and ninth months, Lung Qi is vigorous; coughs occurring then are likely excess patterns, not chronic conditions. Symptoms include red face, profuse phlegm, and fever. The method is to purge using Ting Li Wan (Descurainia Seed Pill) (formula not seen); if chronic, purging is contraindicated. Coughs occurring in the eleventh and twelfth months are wind-invasion coughs, where wind enters via the Feishu (BL13) acupoint at the third thoracic vertebra on the back; these should be treated with Ma Huang Tang (Ephedra Decoction) to induce sweating (formula not seen). For cases with heat signs such as red face, hot saliva after drinking water, and throat discomfort, Gan Jie Tang (Licorice and Platycodon Decoction) should be added (formula see section on Excess Heat). Within five to seven days, if symptoms include fever, profuse phlegm, and sticky sputum, Pian Yin Wan (Pianyin Pill) should be used to purge (formula see section on Phlegm-Fluids). In cases of Lung excess, characterized by cough followed by wheezing, facial edema, desire for water or lack thereof, and body heat, Xie Bai San (Bai Du San/Bark-Purging Powder) should be used to drain (formula see section on Wheezing and Cough). For wind-invasion cough without heat signs after five to seven days, Ting Li Wan may also be used to purge (formula not seen), followed by phlegm-resolving medicines. In cases of Lung deficiency, characterized by cough with choking sensations, frequent deep sighs, and sounds in the throat—indicating chronic illness—E Jiao San (Donkey-Hide Gelatin Powder) should be used to tonify (formula see section on Wheezing and Cough). For profuse phlegm, strengthen the Spleen first, then mildly purge with Pian Yin Wan (formula see above). Once saliva subsides, tonify the Lung as described above. For cough accompanied by vomiting water or green-blue fluid, Baixiang Wan (Baixiang Pill) is used to purge (formula see section on Smallpox/Chickenpox Inversion). For cough with vomiting of phlegm-fluids or milk/food, Bai Bing Zi (White Cake Pill) is used to purge (formula see section on Convulsions). For cough with slight pus and blood, indicating Lung heat, Gan Jie Tang is taken after meals (formula see above). For chronic cough where Lung fluids are depleted, E Jiao San is used to tonify (formula see above). For cough with moderate phlegm-solidity, wheezing, red face, and frequent thirst, Pian Yin Wan may be used to purge (formula see above). The general principle for treating cough is: purge excess, tonify chronic deficiency, and adjust based on deficiency/excess judgment.
Qian Yi discusses fatal prognoses for cough: A five-year-old son of the Du family in Luoyang suffered from cough from November until March without cessation. Initially coughing up phlegm, it was due to external wind-cold invading the Lung meridian. Now, with lung disease causing cough and phlegm, the wind remains in the lungs. Treatment should have involved dispersing with Ma Huang-type herbs, followed by cooling medicines. However, contemporary physicians used purgatives like Tie Fen Wan (Iron Powder Pill), Ban Xia Wan (Pinellia Pill), and Pian Yin Wan, which depleted Lung Qi and worsened the cough. By spring, it remained unresolved. Qian Yi examined the patient and observed a blue, lustrous complexion, cough with rapid breathing, choking, and frequent deep sighs. Qian Yi stated: "The condition is critical, nine-tenths gone. The reason is the blue, lustrous face indicates hyperactive Liver Qi. Spring is the season of the Liver and the time of Lung decline. Cough is a Lung disease; prolonged illness from Nov to Mar leads to Lung deficiency and flaccidity. Furthermore, purging has damaged the Mother (Spleen) and Child (Lung) relationship. The Liver now overacts upon the Lung, creating a counterproductive pattern. Hence the cough, wheezing, choking, and sighing." Qian Yi urgently prescribed Xie Qing Wan (Drain Green Pill) to drain the Liver (formula see section on Wind-Fire/Convulsions), followed by E Jiao San to solidify the Lung (formula see above). The next day, the face was blue but not lustrous. Qian Yi tonified the Lung again, but cough persisted. He drained the Liver again; before the effect was complete, Lung deficiency worsened, and lips became white as silk. Qian Yi said: "This case is fatal and untreatable. Why? Liver Qi is excessively strong while Lung Qi is exhausted. The Lung disease occurs when it is weak, yet the Liver overacts. Having drained the Liver three times without resolving the Lung pathology, and tonified the Lung three times without improving Lung signs, death is imminent." He noted that autumn-onset cases had a 30-40% survival rate, whereas spring/summer cases had less than 10%. The child indeed died of severe dyspnea.
*Tong Ying Bao Jian* lists fatal signs of cough: Cough with eyes rolling upward and black-green stool.
*Wu Guan Guan Zhen Zhu Nang* on pediatric cough syndrome: Caused by irregular feeding damaging the Lung, or by speaking while feeding, causing Qi and milk to clash in the Lung, leading to rebellious Qi and cough.
*Hui Yan Guan Zheng*: Cough in infants from one month to one year, or older, is categorized into types:
1. Milk-induced cough: Caused by hot milk damaging the Lung. Treat only with Wen Fei San (Warm Lung Powder) (formula see section on Malnutrition Cough) and apply Ren Shen Gao (Ginseng Paste) to the lips (formula see this section).
2. Ah-Jia cough (wheezing cough): Rapid breathing and cough, morning eyelid edema. Administer Hun Jin Dan (Complete Golden Pill) (formula see section on Cough with Wheezing Sounds); dose according to size. After vomiting/phlegm discharge, administer Yun Qi Hua Xian (Regulate Qi and Transform Phlegm) and cool Heart/Lung medicines.
3. Malnutrition cough (Gan Sou): Due to chronic diarrhea causing Spleen/Stomach deficiency, upper cough with fever attacking Heart Qi. First use Gan Yao Lu Hui Wan (Malnutrition Aloe Pill) (commonly taken formula) combined with Wu Xi Wan (Black Rhinoceros Horn Pill) (formula see section on Fatty Malnutrition), followed by Heart-heat clearing and Fang Ji Wan (formula see section on Malnutrition Cough).
4. Cold Damage cough: Due to exogenous wind in the Lung with latent heat; frequent vomiting after cough. Treat with Jin Fen San (Gold Powder Powder) (formula see section on Wind-Cold Cough).
For all above types, if Spleen/Stomach Qi is excess and chest/diaphragm is severely congested, first use Xian Tang Wan (Fresh Decoction Pill) to promote drainage (formula see section on Acute/Chronic Convulsions).
Mr. Mao's Song on Fatal Signs of Pediatric Cough:
Cough with high chest and coarse breathing,
Eyes fixed looking upward, never returning.
Frequent passage of green and black stool,
Refusal to eat signals imminent death.
Ge Hong's *Zhou Hou Bei Ji Fang* (Emergency Prescriptions Kept Up the Sleeve) for pediatric cough:
Zi Wan (Asteris Radix) 6 fen, Bei Mu (Fritillariae Bulbus) 2 fen, Kuan Dong Hua (Farflos) 1 fen.
Grind into powder. Dose size of a bean, apply to nipple for infant to swallow with milk, 3-4 times daily. Nursing mother should avoid salty/vinegar foods. *Tai Ping Sheng Hui Fang* suggests mixing with clear rice gruel.
*Qian Jin Fang* (Essential Thousand Gold Formulas) Eight-Ingredient Ginger Decoction for Infant Cough:
Sheng Jiang (Fresh Ginger Root) 7 liang, Gan Jiang (Dried Ginger Rhizome) 4 liang, Gui Xin (Cinnamon Twig Center) 2 liang, Gan Cao (Licorice Root), Kuan Dong Hua, Zi Wan (each 3 liang), Xing Ren (Apricot Seed), Mi (Honey) (each 1 sheng).
Grind herbs, simmer gently to obtain a maltose-like consistency. Dose according to age/size. For 100-day infants, dose size of a jujube pit, 4-5 times daily. Highly effective.
*Qian Jin Fang* Gui Zhi Tang for Infants 10-50 Days Old with Sudden Cough, Vomiting Milk, and Dyspnea:
Gui Zhi (Cinnamon Twig) 0.5 liang, Gan Cao (Licorice Root) 2.5 liang, Zi Wan 18 zhu, Mai Men Dong (Ophiopogon Tuber) 1 liang 18 zhu.
Chop four ingredients, boil in 2 sheng water to reduce to 0.5 sheng. Dip cotton in decoction, drip into infant's mouth 4-5 times day and night. Regulate breastfeeding.
*Qian Jin Fang* Si Wu Kuan Dong Wan (Four-Ingredient Kuan Dong Pill) for Cough Worsening at Night:
Kuan Dong Hua, Zi Wan (each 1.5 liang), Gui Xin 0.5 liang, Fu Long Gan (Dragon's House Soil) 6 zhu.
Grind, mix with honey to paste. Dose size of jujube pit, apply to nipple. Apply 3 times daily, gradually increasing intake.
Sun Simiao's Formula for Pediatric Cough:
Sheng Jiang (Fresh Ginger Root) 4 liang.
Chop, boil in 5 sheng water. Use decoction for bathing infant.
*Xian Ren Shui Jian* for Cough Persisting in Infants Under 100 Days:
"Cough persists requiring divine intervention; Gardenia and Dried Ginger differ in power. Boil in milk, divide into thirds, surely pacifying the Five Zang organs."
This addresses disharmony of Five Zang Qi; infants should not receive strong medicines.
*Wai Tai Mi Yao* citing *Duan Ju*: Seven-Ingredient Minor Schisandra Decoction for Infant Cough and Abdominal Distension:
Wu Wei Zi (Schisandra Berry, ground), Zi Wan (each 2 fen), Huang Qin (Scutellaria Root), Zhi Gan Cao (Prepared Licorice Root), Qu Jie Ma Huang (Ephedra Stem, nodes removed), Sheng Jiang, Gui Xin (each 1 fen).
Chop, boil in 1 sheng water to 0.7 sheng. Divide into 5 doses. Observe standard dietary restrictions.
*Wai Tai Mi Yao* citing *Duan Ju*: Four-Ingredient Decoction for Sudden Violent Cough in Infants 10-50 Days Old:
Jie Geng (Platycodon Root), Zi Wan (each 3 fen), Zhi Gan Cao (1 fen), Qu Xin Mai Men Dong (Ophiopogon Tuber, heart removed) (7 fen).
Chop, boil in 1 sheng water to 0.6 sheng. Strain. Divide into 5 doses. Stop when cured. (*Note: Qian Jin Fang includes Gui Xin, omits Jie Geng, uses 2 sheng water to yield 1 sheng, drips via cotton*).
*Wai Tai Mi Yao* Liu Shi's Formula for Infant Cough Preventing Supine Position:
Zhi Gan Cao (6 fen), Jie Geng (4 fen), Sang Bai Pi (Mulberry Root Bark), Bei Mu, Fu Ling (Poria) (each 3 fen), Da Qing (Isatis Leaf), Wu Lan (Persicaria), Wu Wei Zi, Ren Shen (Panax Ginseng) (each 2 fen).
Chop nine ingredients, boil in 2 sheng water to 0.8 sheng. Strain. Dose according to size. Observe restrictions.
*Sheng Jin Fang* for Pediatric Cough:
Use 2 liang of Beehive (Feng Fang). Clean thoroughly, burn to ash with strong fire. Dose "yi zi" (a measure approx. 0.5-1g), take with rice drink.
*Sheng Hui Fang* Tian Men Dong San for Chest Agitation, Fever, and Cough:
Qu Xin Bei Bei Mu (Tianmen Dong Tuber, heart removed, dried), Sang Gen Bai Pi (Mulberry Root Bark, chopped), Chi Fu Ling (Red Poria), Chu Hu (Bupleurum Root, buds removed), Bai He (Lily Bulb), Xi Qu Zi Wan (Cleaned Aster Root), Lan Ye (Isatis Leaf), Zhi Wei Chi Gan Cao (Lightly Prepared Licorice, chopped) (each 0.5 liang).
Grind, sieve coarsely. Dose 1 qian, boil in small cup of water with little ginger to 0.5 portion. Strain. Adjust dose by age. Take warm.
*Sheng Hui Fang* Chen Ju Pi San for Cough, Chest Fullness, and Anorexia:
Tang Jin Chen Ju Pi (Tangerine Peel, soaked, pith removed, dried), Qu Lu Jie Geng (Platycodon, radix end removed), Ji Su (Elsholtzia), Tang Jin Xing Ren (Apricot Seed, blanched, skin/kernel tip removed, bran-fried light yellow), Qu Lu Ren Shen (Ginseng, radix end removed) (each 1 fen), Wei Huang Bei Mu (Baked Fritillaria) (0.5 liang).
Grind, sieve coarsely. Dose 1 qian, boil in small cup of water with 10 stems of Deng Xin Cao (Juncus Medulla) to 0.5 portion. Strain, take warm, 3-4 times daily. Adjust by age.
*Sheng Hui Fang* Mai Men Dong Jian for High Fever and Chest Congestion:
Qu Xin Mai Men Dong (1 liang), Sheng Jiang Juice (0.5 liang), Su Mi (Butter/Honey) (each 2 he). Tang Jin Xing Ren (Apricot Seed, blanched, skin/kernel tip removed) (2 liang).
Boil Mai Men Dong and Xing Ren in large cup of water to 0.25 portion. Grind in mortar, strain juice. Return silver vessel, add ginger juice, simmer slowly to paste. Store in porcelain. Dose half tea spoon mixed with rice gruel, 3 times daily, 1 at night. Adjust by age.
*Sheng Hui Fang* Jie Geng San for Sudden Cough and Vomiting Milk:
Qu Lu Ren Shen, Tang Jin Chen Ju Pi (each 1 fen), Zhi Lue Chi Gan Cao (Slightly Prepared Licorice, chopped), Bei Bei Mu (Heart Removed, Dried), Qu Miao Tu Zi Wan (each 0.5 liang).
Grind, sieve coarsely. Dose 1 qian, boil in small cup of water to 0.5 portion. Strain. Adjust dose by age.
*Sheng Hui Fang* Bai Bu San for Cough, Head Heat (Administered to Nursing Mother):
Bai Bu (Stemona Root), Wei Huang Bei Mu (Baked Fritillaria), Xi Qu Miao Tu Zi Wan (Cleaned Aster Root), Ge Gen (Pueraria Root, chopped) (each 1 liang), Shi Gao (Gypsum) (2 liang).
Grind, sieve. Dose 3 qian, boil in small cup of water with 20 Zhu Ye (Bamboo Leaf) to 0.6 portion. Strain. Best given after meals while nursing.
*Bo Ji Fang* Xi Hui San for Adult/Infant Cough:
Ba Dou (Croton Seed), Qu Jian Xing Ren (Apricot Seed), Ban Xia (Pinellia Tuber) (equal parts).
Place in box, seal with Chi Shi Zhi (Red Halloysite). Roast over 3 jin charcoal until red-hot. Cool, grind to fine powder. Infant dose: ban zi (half measure) with light ginger soup. Adult dose: yi zi with ginger soup.
*Ling Yuan Fang* Jin Xing Jian Wan (Golden Apricot Decoction Pill):
Qu Jian Sheng Yan Xing Ren (49 raw Apricot Seeds), Gua Lou (Trichosanthes Fruit, large one), Chui Sui Zao Jiao (Crushed Soap Pod), Sheng Bai Bu (Raw Stemona) (1 liang). First three ingredients pounded with water, strained for thick juice.
Simmer juices in silver/copper vessel to paste. Add: Niu Zi (Morning Glory Seed, powdered 1 liang), Mu Xiang (Costus Root, powdered 0.5 liang). Mix into paste, roll into mung-bean sized pills. Dose 5-7 pills with glutinous rice drink. Adjust by age.
Mao Shi Er Huang Wan (Realgar Pill) for Cough:
Xi Yan Er Huang (Fine Realgar), Ji Nei Jin (Chicken Gizzard Lining), Yan Hu Suo (Corydalis Rhizome), Sheng Ban Xia (Raw Pinellia) (equal parts).
Grind, bind with Jujube Flesh into pills size ○. Dose 7-10 pills with Deng Xin Tang (Juncus Decoction).
Mao Shi Jin Xing Wan (Golden Apricot Pill) for Cough:
Qu Jian Xing Ren, Han Fang Ji (Stephania Root), Tian Ting Li (Descurainia Seed), Qu Pi Ma Dou Ling (Aristolochia Root/Bark) (equal parts).
Grind, bind with Honey into pills size ○. Dose 10 pills with Mai Men Dong Tang.
Mao Shi Dou Gao for Infant Cough/Milk Issues:
Gua Lou Rang (Trichosanthes Pulp), Mi (Honey) (each 0.5 zhan), Ren Shen, Qian Bai Shuang (Lead White Frost) (each 0.5 liang), Chen Huai Hua (Old Locust Flower) (1 fen), Gua Lou Zi (Trichosanthes Seed) (120 grains).
Refine pulp and honey into paste, mix with powders. Dose size of large soybean with Apricot Decoction.
*Ying Ru Shu* Bei Mu Jian for Frail Infants with Cough:
Bei Mu, Yan Ni Xing Ren (Ground Apricot Seed) (each 6 fen), Sheng Ma (Cimicifuga Root), Zhi Gan Cao, Huang Qin (each 3 fen), Zi Wan (3.5 fen), Kuan Dong Hua (2 fen), Qiang Chong (Silkworm Beetle, 5 pieces, wings removed).
Grind, mix with 2 jin Honey, boil in copper vessel over water bath, stirring constantly until maltose-like. Cool, store. Dose size of jujube pit. 1-year-old: 7 pills, 4-5 times daily. 100-day-old: 4-5 pills. Adjust by age.
*Ying Ru Shu* Cough Formula:
Zi Wan, She Gan (Belamcanda Rhizome) (each 5 fen), Bei Mu, Sheng Ma (each 10 fen), Yan Cheng Gao Xing Ren (Ground Apricot Paste, added separately), Chai Hu, Fu Ling, Shao Yao, Huang Qin (each 8 fen), Zhi Gan Cao (4 fen), Chao Zhi Ke (Fried Aurantium Fruit) (6 fen), Qie Zhu Ye (Cut Bamboo Leaf) (1 sheng), Mi (Honey) (10 he).
Boil in 3 sheng water to 1.8 sheng. Strain. Add apricot paste and honey, simmer slowly to 1.6 sheng. 1-year-old dose: 1 he.
*Ying Ru Shu* Sheng Jiang Jian (Ginger Decoction) for Young Children:
Sheng Jiang (7 liang), Gan Jiang, Gui Xin, Xing Ren (each 2 liang), Gan Cao, Zi Wan (each 3 liang), Kuan Dong Hua (3 he), Mi (1 sheng).
Simmer slowly to maltose consistency. Hold jujube-pit size in mouth, swallow juice, 4-5 times daily. For 100-day infants, hold half-jujube size.
Handong Wang Shi *Jia Bao* Jin Hua San for Infant Cough:
Yu Jin (Curcuma Tuber), Fang Feng (Saposhnikovia Root), Ban Xia (each 1 fen), Ba Dou (21 seeds), Zao Jiao (1 pod).
Boil in 1 sheng water in silver vessel until dry. Remove Ba Dou and Zao Jiao, wash residue with warm water, dry remaining three herbs, grind to powder. Infant dose: yi zi. 2-3 year old: ban qian or 1 qian. Mix with Mint Honey Water.
Handong Wang Shi *Jia Bao* Huo Xiang San for "Stomach Qi Cough" (Non-wind-cold):
Huo Xiang (Patchouli Leaf) (21 leaves), Zhi Ke (Aurantium Fruit, 2 slices wrapped in wet paper, baked熟), Bang Fen (Concha Margaritifera) (piece size of Zhi Ke).
Grind to powder. Infant dose: yi zi. 2-3 year old: ban qian. Mix with Honey Rice Drink. 2-3 doses usually suffice.
Zhang Huan Ma Dou Ling Dan for Lung Congestion Cough with Constipation:
Ma Dou Ling, Zi Su Zi (Perilla Seed), Qu Lu Ren Shen (each 1 liang), Kuan Dong Hua, Mu Xiang (each 0.5 liang, powdered). Tang Jin Qu Jian Xi Yan Xing Ren (0.1 fen).
Mix well, bind with refined Honey into millet-sized pills. Dose 10 pills with Ginger Decoction. Adjust by age.
Zhang Huan Shun Fei Tang for Poor Heart/Lung Qi and Cough:
Ban Xia (Soaked 7 times in boiling water, dried), Zi Su Ye (Perilla Leaf) (each 1 liang), Tang Jin Qu Bai Chen Ju Pi (Tangerine Peel), Kuan Dong Hua, Gui Xin, Mu Xiang, Wu Wei Zi (each 0.5 liang).
Grind, sieve fine. Dose 1 qian, boil in 0.8 cup water with little Ginger and Ginseng to 0.4 portion. Strain, take warm.
Zhang Huan Yang Fei Tang for Warming Lung/Stomach in Cough:
Xi Qu Tu Bei Gan Zi Wan (Cleaned/Dried Aster), Ban Xia (Washed 7 times in boiling water), Kuan Dong Hua, Zhen E Jiao (Pure Donkey-Hide Gelatin) (each 1 liang), Qu Lu Ren Shen, Gui Xin (each 0.5 liang).
Grind, sieve fine. Dose 1 qian, boil in small cup water with 2 Ginger slices and 5 Glutinous Rice grains to 0.5 portion. Strain, take warm occasionally.
Zhang Huan Yu Fang Xiong Huang Gao for Monthly Infants and Under-3s:
Xi Yan Xiong Huang (Realgar, 1 qian), Qu Jian Xing Ren (7 seeds), Ban Xia (7 pieces, soaked in boy's urine overnight, sliced, dried, powdered).
Grind together. Mix with 0.5 liang Fresh Ginger Juice and 0.5 liang Honey. Simmer in double boiler, stir with willow twig to paste. Dose size of soap bean, apply to nipple for sucking, or mix with Glutinous Rice Drink.
*Ju Bao Fang* Bu Fei San (Tonify Lung Powder) for Adult/Infant Cough:
Kuan Dong Hua, Zhong Ru Shi (Stalactite, ground 5 days, water-classified, weighed), Gan Cao, Gui Xin (with powder), Bai Jiang Can (Straight Silkworm), Yan Qian Bai Shuang (Lead White Frost, ground) (each 0.5 liang), Bai... [Text cuts off]