千金杏仁丸,主大人小儿咳逆上气方。
杏仁(三升)
上一味熟捣如膏,蜜一升分为三分,以一分内杏仁捣合强,更内一分捣之如膏,又内一
分捣熟止,先食含之咽汁,量其多少,日三,每可半方寸,不得过也。
又射干汤,主小儿咳逆喘息如水鸡声方。
射干(二两) 麻黄(去节) 紫菀 甘草(炙) 生姜(各一两) 桂心(五寸) 半
夏(五枚
洗) 大枣(二十枚去核)
上八味切,以水七升,煮取一升半,内蜜五合,去滓分温服二合,忌饧羊肉,生葱。
又方
半夏(四两洗) 生姜(三两) 桂心 紫菀 细辛 阿胶(各二两) 甘草(二两炙)
款冬
花(二合) 蜜(一合)
上九味切,以水一斗先煮半夏,取六升去滓,内诸药煮。取二升五合,去滓,两岁见饮
六合,五岁儿饮一升,量大小多少加减之。
又五味汤,主小儿风冷入肺,上气气逆,面青喘迫,昼夜不息,食则吐,不下方。
五味子(二分) 麻黄(去节一分) 当归(二分) 人参(一分) 细辛(半分) 干
姜(一分) 桂心(一分) 紫菀(一分) 款冬花(半分) 甘草(炙一分) 大黄(六
分)
上十一味切,以水二升半,煮取九合,去滓,儿六十日至百日,服二合半,百日余至二
百日,一服三合。(一方无款冬大黄有大枣三枚出第五卷中通按食则吐乃吐食也不下不大便
也故用大黄以下之气降而吐自止喘自定)
千金翼疗小儿寒热咳逆,膈中有 ,乳吐不欲食。
干地黄(四两) 麦门冬(半升去心) 五味子(五合) 大黄 硝石(各一两) 蜜
(半升)
上六味切,以水三升,煮取一升,去滓,内消石蜜,煮令沸服二合,日三,胸中当有宿
乳一升许出,儿大者服五合。又疗小儿大人咳逆短气,胸中吸吸,呵出涕唾,嗽出臭脓方。
烧淡竹沥,煮二十沸,一服一合,日五服,大人服一升。
不妨食息乳哺。(并出第十一卷中)
刘氏疗小儿上气急满,坐卧不得方。
鳖甲(一两炙令极熟捣为末) 灯心(一握)
上二味,以水二升,煎取八合,以意量之与服。
千金杏仁丸,主治大人及小儿咳嗽气逆上冲的方剂。
杏仁(三升)
以上一味药,煮熟后捣烂成膏状,蜂蜜一升分为三份,取一份加入杏仁中强力捣合,再加入一份继续捣至如膏状,最后加入剩余的一份捣熟即止。在进食前含服,让汁液慢慢咽下,根据病情轻重决定用量,每日三次,每次不超过半方寸大小。
又方射干汤,主治小儿咳嗽气逆、喘息声音像水鸡叫的方剂。
射干(二两) 麻黄(去掉节) 紫菀 甘草(炙过) 生姜(各一两) 桂心(五寸) 半夏(五枚,洗净) 大枣(二十枚,去核)
以上八味药切碎,用水七升,煮取一升半的药液,加入蜂蜜五合,滤去药渣,分次温服二合,忌食饴糖、羊肉和生葱。
又一方
半夏(四两,洗净) 生姜(三两) 桂心 紫菀 细辛 阿胶(各二两) 甘草(二两,炙过) 款冬花(二合) 蜜(一合)
以上九味药切碎,用水一斗先煮半夏,取六升药液滤去药渣,再加入其他药物同煮。取二升五合药液,滤去药渣,两岁儿童服用六合,五岁儿童服用一升,根据患儿年龄大小酌情增减剂量。
又方五味汤,主治小儿因风冷侵入肺部,导致气逆上冲,面色发青,呼吸急促,昼夜不停,进食则呕吐,大便不通的方剂。
五味子(二分) 麻黄(去节,一分) 当归(二分) 人参(一分) 细辛(半分) 干姜(一分) 桂心(一分) 紫菀(一分) 款冬花(半分) 甘草(炙,一分) 大黄(六分)
以上十一味药切碎,用水二升半,煮取九合药液,滤去药渣,六十日至百日的婴儿服用二合半,百日余至二百日的幼儿服用三合。(另一版本无款冬花和大黄,有三枚大枣,出自第五卷。按:所谓“食则吐”是指吐出食物,“不下”指不大便,因此使用大黄来降气,气降则呕吐自止,喘息自定。)
千金翼方治疗小儿寒热交替、咳嗽气逆,胸膈中有积滞,乳汁反流且不想进食。
干地黄(四两) 麦门冬(半升,去心) 五味子(五合) 大黄 硝石(各一两) 蜜(半升)
以上六味药切碎,用水三升,煮取一升药液,滤去药渣,加入溶化的硝石蜜,煮沸后服用二合,每日三次,服药后胸中应当排出约一升陈旧乳汁,年龄较大的幼儿可服用五合。又治疗大人及小儿咳嗽气逆、短气,胸部有吸气声,呵出涕唾,咳出臭脓的方剂。
烧制淡竹沥,煮二十沸,一次服用一合,每日五次,成人服用一升。
此法不影响饮食休息和哺乳。(均出自第十一卷)
刘氏方治疗小儿气急胸满,坐卧不安的方剂。
鳖甲(一两,炙至极熟后捣为粉末) 灯心草(一握)
以上两味药,用水二升,煎取八合药液,根据情况斟酌给予服用。
Qianjin Xingren Wan (Apricot Kernel Pill from the Essential Prescriptions for a Thousand Gold Years) is indicated for cough with rebellious Qi in adults and children.
Xingren (Bitter Apricot Seed, Semen Armeniacae Amarum), three sheng.
The above single herb is cooked, pounded into a paste. One sheng of honey is divided into three parts. Add one part to the Xingren paste and pound vigorously. Add another part and pound until it forms a paste. Finally, add the last part and pound until well mixed. Before meals, hold it in the mouth and swallow the juice slowly. The dosage should be adjusted according to the condition. Take three times daily; each dose should not exceed half a fangcun (square inch).
Another formula, Shegan Tang (Belamcanda Decoction), is indicated for pediatric cough with rebellious Qi and wheezing that sounds like a water frog.
Shegan (Belamcanda Rhizome, Rhizoma Belamcandae), two liang.
Mahuang (Ephedra Herb, Herba Ephedrae), nodes removed.
Ziwan (Aster Root, Radix Asteris).
Gancao (Licorice Root, Radix Glycyrrhizae), roasted.
Shengjiang (Fresh Ginger Rhizome, Rhizoma Zingiberis Recens), each one liang.
Guixin (Cinnamon Twig, Ramulus Cinnamomi), five cun.
Banxia (Pinellia Tuber, Rhizoma Pinelliae), five pieces, washed.
Dazao (Jujube Fruit, Fructus Jujubae), twenty pieces, pits removed.
The above eight herbs are cut. Boil in seven sheng of water to obtain one and a half sheng of decoction. Add five he of honey, strain, and take two he warm in divided doses. Avoid eating malt sugar, mutton, and raw green onions.
Another prescription:
Banxia (Pinellia Tuber, Rhizoma Pinelliae), four liang, washed.
Shengjiang (Fresh Ginger Rhizome, Rhizoma Zingiberis Recens), three liang.
Guixin (Cinnamon Twig, Ramulus Cinnamomi).
Ziwan (Aster Root, Radix Asteris).
Xixin (Asarum Root, Radix Asari).
Ejiao (Donkey-Hide Gelatin, Colla Corii Asini), each two liang.
Gancao (Licorice Root, Radix Glycyrrhizae), two liang, roasted.
Kudonghua (Winter Flower Bud, Flos Farfarae), two he.
Mi (Honey, Mel), one he.
The above nine herbs are cut. Boil Banxia first in ten dou of water to obtain six sheng of decoction, then strain. Add the remaining herbs and boil to obtain two and a half sheng of decoction. Strain. For a two-year-old child, administer six he; for a five-year-old, administer one sheng. Adjust the dosage according to the child's age and size.
Another formula, Wuwei Tang (Schisandra Decoction), is indicated for pediatric cold-wind invading the Lung, causing rebellious Qi, cyanosis of the face, rapid breathing day and night, vomiting after eating, and constipation.
Wuweizi (Schisandra Fruit, Fructus Schisandrae Chinensis), two fen.
Mahuang (Ephedra Herb, Herba Ephedrae), nodes removed, one fen.
Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis), two fen.
Renshen (Ginseng Root, Radix Ginseng), one fen.
Xixin (Asarum Root, Radix Asari), half fen.
Ganjiang (Dried Ginger Rhizome, Rhizoma Zingiberis Secatum), one fen.
Guixin (Cinnamon Twig, Ramulus Cinnamomi), one fen.
Ziwan (Aster Root, Radix Asteris), one fen.
Kudonghua (Winter Flower Bud, Flos Farfarae), half fen.
Gancao (Licorice Root, Radix Glycyrrhizae), one fen, roasted.
Dahuang (Rhubarb Root, Radix et Rhizoma Rhei), six fen.
The above eleven herbs are cut. Boil in two and a half sheng of water to obtain nine he of decoction. Strain. For infants aged sixty days to one hundred days, administer two and a half he. For toddlers aged over one hundred days to two hundred days, administer three he per dose. (In another version, Kudonghua and Dahuang are omitted, and three pieces of Dazao are added; see Volume 5. Note: "Vomiting after eating" refers to regurgitation of food; "not passing stool" refers to constipation. Therefore, Dahuang is used to descend Qi. Once Qi descends, vomiting stops and wheezing settles.)
Qianjin Yi Fang treats pediatric alternating chills and fever, cough with rebellious Qi, stagnation in the chest-diaphragm, regurgitation of milk, and anorexia.
Gan Dihuang (Rehmannia Root, Radix Rehmanniae Preparata), four liang.
Mendong (Ophiopogon Tuber, Rhizoma Ophiopogonis), half sheng, heart removed.
Wuweizi (Schisandra Fruit, Fructus Schisandrae Chinensis), five he.
Dahuang (Rhubarb Root, Radix et Rhizoma Rhei).
Xiaoshi (Niter, Natrii Sulfas), each one liang.
Mi (Honey, Mel), half sheng.
The above six herbs are cut. Boil in three sheng of water to obtain one sheng of decoction. Strain. Add dissolved Xiaoshi and honey, boil until bubbling, and take two he. Take three times daily. After administration, approximately one sheng of old milk should be expelled from the chest. Older children may take five he. It also treats cough with rebellious Qi and shortness of breath in adults and children, inspiratory stridor, expulsion of nasal discharge and saliva, and expectoration of foul-smelling pus.
Burn Danzhuli (Bamboo Sap, Succus Bambusae), boil for twenty boils. Administer one he per dose, five times daily. Adults take one sheng.
This does not interfere with eating, resting, or breastfeeding. (All from Volume 11)
Liu Shi's Formula treats pediatric urgent Qi and chest fullness, making sitting and lying down uncomfortable.
Biejia (Turtle Shell, Carapax et Plastrum Testudinis), one liang, roasted until thoroughly cooked and pounded into powder.
Dengxin (Juncus Pith, Medulla Junci).
The above two ingredients are boiled in two sheng of water to obtain eight he of decoction. Administer according to judgment.