Library

Mao Xiansheng’s Prescription for Loss of Voice Due to Cold Damage, Inability to Speak:
*Glehniae Radix* (Guizhi, 狗脊) and *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) in equal parts.
Pulverize the above ingredients. Take one qian per dose. Boil a piece of yellow beeswax (size of a fingertip) with six parts water until reduced to four parts, then administer the decoction.

*Jiyan Fang* (Collection of Proven Prescriptions) Treatment for Pediatric Cold Damage with Loss of Voice and Inability to Speak:
*Cinnamomi Ramulus* (Guizhi, 桂), size resembling the face of a coin.
Hold the cinnamon twig in the mouth; gradually, the voice will return to normal.

Zhang Huan’s Commentary: The lung qi of children connects with the nose. Qi belongs to Yang. If Qi is affected by wind-cold and stagnates in the nasal cavity, it results in nasal congestion. Coldness prevents the retention of body fluids, leading to excessive rhinorrhea. If cold qi lingers for a long time, purulent nasal discharge accumulates, causing anosmia (loss of smell), resulting in nasal disease. If accompanied by heat, it causes dryness of the nose. All these conditions interfere with suckling and eating. [Xue] Chao Shi stated: The nose is the orifice of the Lung, and the skin, hair, and interstices are governed by the Lung. Nasal congestion due to wind-pathogen lodging in the Lung should be treated with Xiaofeng San (Wind-Expelling Powder). Alternatively, use seven stalks of scallion white mixed with a small amount of greasy flour, ground and spread on silk fabric. Warm it in the palm and apply it to the fontanelle. For epistaxis caused by fright or falling, leading to scattered Qi and uncontrolled blood flow, use Yigong San (Extraordinary Efficacy Powder) added with Bupleuri Radix (Chaihu, 柴胡) and Gardeniae Fructus (Shanzhi, 山栀). If the left cheek is blue-green and reddish, first use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder), followed by Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Redness on the upper face indicates excess heat in the Lung and Large Intestine; treat with Xiebai San (Drain White Powder). Redness of the nose indicates excess heat in the Spleen and Stomach; treat with Xiehuang San (Drain Yellow Powder). Slight redness indicates deficiency heat in the Spleen channel; treat with Yigong San added with Cimicifugae Rhizoma (Shengma, 升麻) and Bupleuri Radix (Chaihu, 柴胡). Deep yellow color indicates treatment with Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) from *Jisheng Fang*, followed by Yangshi Dihuang San (Yang’s Rehmannia Powder). Pale white color indicates use of Liujunzi Tang (Six-Gentlemen Decoction). Redness between the chin indicates use of Siwu Tang (Four-Agent Decoction) added with Gardeniae Fructus (Shanzhi, 山栀); if very red, use Wulin San (Five-Dampness Powder). Red urine indicates use of Liuwei Wan (Six-Ingredient Pill) and Buzhong Yiqi Tang (Middle-Warming and Qi-Supplementing Decoction). White lips indicate use of Liujunzi Tang (Six-Gentlemen Decoction). For chronic cases not healing, use Maidong Yinzi (Ophiopogon Drink). If at the onset of illness, Yuan Qi (Original Qi) is not depleted, suckling and eating are normal, fever or high fever is present, bowel movements and urination are constipated, thirst with desire to drink water exists, and eyes do not protrude during sleep, all belong to patterns where both form and pathogen are excess; treat by expelling the pathogen. If the illness has lasted long, Yuan Qi is depleted, food intake is low with fever, mouth is dry with desire for warm drinks, vomiting and diarrhea occur, limbs feel cold, and eyes protrude during sleep, all belong to patterns where both form and pathogen are deficiency; tonifying Zheng Qi (Upright Qi) is essential.