夫小儿嗽而呀呷作声者。由胸膈痰多。嗽动于痰。上搏于咽喉之间。痰与气相击。随嗽
动息
治小儿咳嗽。心胸痰壅。攻咽喉作呀呷声。射干散方。
射干 麻黄（去根节） 紫菀（洗去苗土） 桂心（以上各半两） 半夏（半分汤洗七
遍去滑）
甘
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。入蜜半茶匙。搅令匀。不计时候。量儿大小。分减温服。
治小儿咳嗽。咽中作呀呷声。陈橘皮散方。
陈橘皮（汤浸去白瓤焙） 杏仁（汤浸去皮尖双仁麸炒令黄） 桑根白皮（锉） 甜葶
苈（隔
纸炒
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。放温。量儿大小。加减服
治小儿咳嗽。喘急作呀呷声。萝卜子散方。
萝卜子（一分微炒） 皂荚子（十枚煨去皮） 灯芯（一束） 麻黄（一分去根节） 甘
草（半
分炙
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。以意分减温服。
治小儿咳嗽。喘急烦热。喉中作呀呷声。牛黄散方。
牛黄（一分细研） 蝉壳（半两微炒） 柴胡（一分去苗） 栝蒌子（一分）
上件药。捣细罗为散。每服。以蜜水调下一字。日三服。二岁以上加之半钱。
治小儿心胸痰壅。咳嗽。咽喉不利。乘作呀呷声。蝉壳散方。
蝉壳（一分微炒） 桔梗（半两去芦头） 陈橘皮（半皮汤浸去白瓤焙） 半夏（一分
汤洗七
遍去
上件药。捣细罗为散。每服。以生姜粥饮调下一字。一岁以上。加之半钱。
又方。
半夏（一分汤洗七遍去滑） 朱砂（半两细研水飞过） 甜葶苈（一分隔纸炒令紫色） 五
灵
脂（
上件药。捣罗为末。用生姜自然汁。煮面糊和丸。如绿豆大。每服。煎麻黄汤下三丸。
日三
又方。
甜葶苈（一分隔纸炒令紫色） 杏仁（半两汤浸去皮尖双仁麸炒微黄） 麻黄（半两去
根节）
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。放温。量儿大小。分减频服。
治小儿肺脏热多。咳嗽喘急。喉中作呀呷声。宜服郁李仁丸方。
郁李仁（三分汤浸去皮微炒研如膏） 杏仁（一分汤浸去皮尖双仁麸炒微黄烂研如膏） 川
大黄
上以大黄一味。捣细罗为散。同研令匀。入蜜少许。和丸。如梧桐子大。每服。以粥饮
研破
治小儿多咳嗽。咽中如呀呷声。桃仁丸方。
桃仁（四十九枚汤浸去皮尖双仁麸炒微黄） 琥珀末（一分） 甜葶苈（二分隔纸炒令
紫色）
上件药。先捣葶苈桃仁如泥。次下琥珀末。更捣令匀。同丸如绿豆大。每服。煎桑根白
皮汤
又方。
上用大栝蒌一枚。和面溲瓤作饼子。烧熟却。杵为末。每服。以清粥饮调下半钱。量儿
大小
凡是小儿咳嗽并伴有咽喉发出呀呷声的，是由于胸膈间痰多，咳嗽触动痰液，向上冲击到咽喉之间，痰与气相互搏击，随着咳嗽的动作和呼吸的起伏而发声。
治疗小儿咳嗽，心胸痰浊壅盛，攻冲咽喉导致发出呀呷声的方剂：射干散方。
药材：射干、麻黄（去除根和节）、紫菀（清洗去掉苗土）、桂心（以上各半两）、半夏（半分，用汤水清洗七遍以去除滑腻感）。
将上述药物捣碎并过粗筛制成散剂。每次服用一钱，用水一小盏，加入少许生姜。煎煮至剩余五分水量，滤去药渣，加入半茶匙蜂蜜，搅拌使其均匀。不分时候，根据患儿年龄大小，酌情分次温服。
治疗小儿咳嗽，咽喉中发出呀呷声的方剂：陈橘皮散方。
药材：陈橘皮（用汤水浸泡后刮去白色瓤部焙干）、杏仁（用汤水浸泡后去皮尖及双仁部分，用麸皮炒至黄色）、桑根白皮（锉碎）、甜葶苈（隔纸炒制）。
将上述药物捣碎并过粗筛制成散剂。每次服用一钱，用水一小盏。煎煮至剩余五分水量，滤去药渣，放凉至温热。根据患儿年龄大小，酌情增减剂量服用。
治疗小儿咳嗽，气喘急促并伴有呀呷声的方剂：萝卜子散方。
药材：萝卜子（一分，轻微炒制）、皂荚子（十枚，煨制后去皮）、灯芯（一束）、麻黄（一分，去除根和节）、甘草（半分，炙制）。
将上述药物捣碎并过粗筛制成散剂。每次服用一钱，用水一小盏。煎煮至剩余五分水量，滤去药渣。不分时候，根据患儿年龄大小，酌情分次温服。
治疗小儿咳嗽，气喘急促且烦躁发热，喉中发出呀呷声的方剂：牛黄散方。
药材：牛黄（一分，细研）、蝉壳（半两，轻微炒制）、柴胡（一分，去除苗头）、栝蒌子（一分）。
将上述药物捣碎并过细筛制成散剂。每次服用时，用蜜水调服“一字”量的药粉。每日三次。两岁以上的儿童，增加至半钱。
治疗小儿心胸痰浊壅盛，咳嗽，咽喉不利，乘势发出呀呷声的方剂：蝉壳散方。
药材：蝉壳（一分，轻微炒制）、桔梗（半两，去除芦头）、陈橘皮（半两，用汤水浸泡后刮去白色瓤部焙干）、半夏（一分，用汤水清洗七遍去除滑腻感）。
将上述药物捣碎并过细筛制成散剂。每次服用时，用生姜粥饮调服“一字”量的药粉。一岁以上的儿童，增加至半钱。
又一方：
药材：半夏（一分，用汤水清洗七遍去除滑腻感）、朱砂（半两，细研后用水飞法处理）、甜葶苈（一分，隔纸炒至紫色）、五灵脂。
将上述药物捣碎过筛制成粉末，用生姜自然汁煮面糊调和，制成如绿豆大小的丸剂。每次服用时，用煎好的麻黄汤送服三丸。每日三次。
又一方：
药材：甜葶苈（一分，隔纸炒至紫色）、杏仁（半两，用汤水浸泡后去皮尖及双仁部分，用麸皮炒至微黄）、麻黄（半两，去除根和节）。
将上述药物捣碎并过粗筛制成散剂。每次服用一钱，用水一小盏。煎煮至剩余五分水量，滤去药渣，放凉至温热。根据患儿年龄大小，分次频繁服用。
治疗小儿肺脏热盛，咳嗽气喘急促，喉中发出呀呷声的，适宜服用郁李仁丸方。
药材：郁李仁（三分，用汤水浸泡后去皮轻微炒制，研磨成膏状）、杏仁（一分，用汤水浸泡后去皮尖及双仁部分，用麸皮炒至微黄烂熟，研磨成膏状）、川大黄。
以上仅取大黄一味药，捣碎过细筛制成散剂，与前述药膏混合研磨均匀，加入少许蜂蜜，调和制成如梧桐子大小的丸剂。每次服用时，用粥饮送服并将药丸研破。
治疗小儿多发性咳嗽，咽喉中如有呀呷声的方剂：桃仁丸方。
药材：桃仁（四十九枚，用汤水浸泡后去皮尖及双仁部分，用麸皮炒至微黄）、琥珀末（一分）、甜葶苈（二分隔纸炒至紫色）。
将上述药物先将葶苈子和桃仁捣碎如泥状，再加入琥珀末，继续捣匀，制成如绿豆大小的丸剂。每次服用时，用煎好的桑根白皮汤送服。
又一方：
使用大栝蒌一枚，用面粉调和其瓤部做成饼子，烧熟后杵碎为粉末。每次服用时，用清粥饮调服半钱。根据患儿年龄大小调整剂量。
For pediatric cases where coughing is accompanied by a rattling sound in the throat (Ya Xia Sheng), this condition arises from excessive phlegm in the chest and diaphragm. Coughing agitates the phlegm, which then rushes upward to strike against the throat. The phlegm and Qi (vital energy) collide with each other, producing sounds synchronized with the movements of coughing and breathing.
Treatment for pediatric cough with phlegm turbidity obstructing the heart and chest, attacking the throat and causing a rattling sound: Shegan San Formula.
Ingredients: Belamcanda Rhizome (Shegan), Ephedra Herb (Mahuang, 麻黄 - removed roots and nodes), Aster Root (Ziwan, 紫菀 - washed to remove seedlings and soil), Cinnamon Twig (Guixin, 桂心 - all above half liang), Pinellia Tuber (Banxia, 半夏 - half fen, washed seven times in decoction to remove slipperiness).
Crush the aforementioned herbs into a coarse powder. Take one qian per dose. Add a small cup of water and a little fresh ginger. Decoct until five-fen volume remains. Strain the dregs. Add half a tea spoon of honey and stir until uniform. Administer warm at any time, adjusting the dosage according to the child's age and size.
Treatment for pediatric cough with a rattling sound in the throat: Chenjupi San Formula.
Ingredients: Aged Tangerine Peel (Chenjupi, 陈橘皮 - soaked in hot water, white pith removed, dried), Apricot Seed (Xingren, 杏仁 - soaked in hot water, skin and pointed ends removed, double-kernel bran-fried until yellow), Mulberry Root Bark (Sangganbaipi, 桑根白皮 - chopped), Thlaspi Seed (Tinglizi, 甜葶苈 - fried between papers).
Crush the aforementioned herbs into a coarse powder. Take one qian per dose. Add a small cup of water. Decoct until five-fen volume remains. Strain the dregs. Allow to cool to warm. Adjust the dosage according to the child's age and size.
Treatment for pediatric cough with rapid panting and a rattling sound: Luobozhi San Formula.
Ingredients: Radish Seed (Luobozhi, 萝卜子 - one fen, lightly fried), Gleditsia Sinensis Fruit (Zaojiazi, 皂荚子 - ten pods, roasted and skin removed), Juncus Effusus Stem (Dengxin, 灯芯 - one bundle), Ephedra Herb (Mahuang, 麻黄 - one fen, removed roots and nodes), Licorice Root (Gancao, 甘草 - half fen, honey-fried).
Crush the aforementioned herbs into a coarse powder. Take one qian per dose. Add a small cup of water. Decoct until five-fen volume remains. Strain the dregs. Administer warm at any time, adjusting the dosage according to the child's age and size.
Treatment for pediatric cough with rapid panting, irritability, fever, and a rattling sound in the throat: Niuhuang San Formula.
Ingredients: Calculus Bovis (Niuhuang, 牛黄 - one fen, finely ground), Cicada Slough (Chanke, 蝉壳 - half liang, lightly fried), Bupleurum Root (Chaihu, 柴胡 - one fen, removed seedlings), Trichosanthes Seed (Gualouzi, 栝蒌子 - one fen).
Grind the aforementioned herbs into a fine powder. For each dose, mix with honey water and administer an amount equivalent to "one character" (a traditional small measure). Three times daily. For children over two years old, increase the dose to half a qian.
Treatment for pediatric phlegm turbidity obstructing the heart and chest, cough, throat discomfort, and subsequent rattling sound: Chanke San Formula.
Ingredients: Cicada Slough (Chanke, 蝉壳 - one fen, lightly fried), Platycodon Root (Jiegeng, 桔梗 - half liang, removed root head), Aged Tangerine Peel (Chenjupi, 陈橘皮 - half liang, soaked in hot water, white pith removed, dried), Pinellia Tuber (Banxia, 半夏 - one fen, washed seven times in decoction to remove slipperiness).
Grind the aforementioned herbs into a fine powder. For each dose, mix with ginger porridge drink and administer an amount equivalent to "one character". For children over one year old, increase the dose to half a qian.
Another prescription:
Ingredients: Pinellia Tuber (Banxia, 半夏 - one fen, washed seven times in decoction to remove slipperiness), Cinnabar (Zhusha, 朱砂 - half liang, finely ground and purified by water flotation), Thlaspi Seed (Tinglizi, 甜葶苈 - one fen, fried between papers until purple), Trogopterus Dung (Wulingzhi, 五灵脂).
Pulverize the aforementioned herbs. Use natural juice of fresh ginger to boil wheat paste for binding. Form pills the size of mung beans. For each dose, take three pills with a decoction of Mahuang Tang (Cinnamon Twig Decoction). Three times daily.
Another prescription:
Ingredients: Thlaspi Seed (Tinglizi, 甜葶苈 - one fen, fried between papers until purple), Apricot Seed (Xingren, 杏仁 - half liang, soaked in hot water, skin and pointed ends removed, double-kernel bran-fried until slightly yellow), Ephedra Herb (Mahuang, 麻黄 - half liang, removed roots and nodes).
Crush the aforementioned herbs into a coarse powder. Take one qian per dose. Add a small cup of water. Decoct until five-fen volume remains. Strain the dregs. Allow to cool to warm. Administer frequently in divided doses according to the child's age and size.
For pediatric lung heat excess causing cough, rapid panting, and a rattling sound in the throat, Yuliren Wan (Prunus japonica Pill) is suitable.
Ingredients: Prunus japonica Seed (Yuliren, 郁李仁 - three fen, soaked in hot water, skin removed, lightly fried, ground into paste), Apricot Seed (Xingren, 杏仁 - one fen, soaked in hot water, skin and pointed ends removed, double-kernel bran-fried until soft and yellow, ground into paste), Rhubarb Rhizome (Dahuang, 川大黄).
Take only the Rhubarb Rhizome, grind it into a fine powder, mix uniformly with the pastes mentioned above, add a little honey, and form pills the size of sophora seeds. For each dose, crush the pill with porridge drink before swallowing.
Treatment for frequent pediatric cough with a rattling sound in the throat: Taoren Wan (Peach Kernel Pill).
Ingredients: Peach Kernel (Taoren, 桃仁 - forty-nine kernels, soaked in hot water, skin and pointed ends removed, double-kernel bran-fried until slightly yellow), Powdered Succinite (Hupo, 琥珀末 - one fen), Thlaspi Seed (Tinglizi, 甜葶苈 - two fen, fried between papers until purple).
First, crush the Tinglizi and Taoren into a mud-like consistency. Then add the Hupo powder and grind evenly. Form pills the size of mung beans. For each dose, take with a decoction of Sanggen Baipi (Mulberry Root Bark).
Another prescription:
Take one large Trichosanthes fruit (Gualou, 栝蒌). Mix its pulp with flour to make cakes. Bake thoroughly, then pound into powder. For each dose, mix half a qian with clear porridge drink. Adjust the dosage according to the child's age and size.