此名乳嗽，实难调理，亦恶症也。当审虚实而施治焉，实者散之，虚者补之。其症气粗痰盛，口疮眼热，发散后，
可利之，比金丸等药主之，散其实也。其症呕吐后惊悸，困倦自汗，当用补肺散、益黄散、天麻散、补其虚也。大抵治
惊嗽琥珀散主之。天麻丸乃要药也，用天麻、蝉蜕、僵蚕、人参、川芎、甘草、硼砂、天竺黄、牛胆南星、白附子、坯、
雄黄、末之，炼蜜丸如芡实大，金箔为衣，每服一丸，薄荷汤化下，治未满百 咳嗽不止，远胜诸药。
补肺散（又名阿胶散） 治小儿久患咳嗽，气急有痰，恶心可服。
阿胶（炒、一两半） 鼠粘子（一两） 马兜铃（半两） 杏仁（七个、去皮尖） 糯米（一盒） 甘草（半两）
上 咀，三岁一钱，水半盏，煎至三分，去滓温服。
比金丸 见第十九问。
天麻散 治婴儿咳嗽有痰，气壅面红。
天麻（三钱） 朱砂（一钱） 麝香（一字） 南星（水浸、春秋五日、冬七日、夏三日、半两）
上为末，每服一字，用杏仁汤调下。人参汤亦可。
琥珀散 见第十五问。
天麻丸 治小儿未满百 咳嗽不止，名曰乳嗽。
天麻（一两） 蝉蜕（一两） 僵蚕（一两） 人参（一两） 川芎（一两半） 甘草（二两） 硼砂（半两） 辰
砂（一两） 天竺黄（一两） 胆星（二钱） 白附子（一两） 坯（一两） 雄黄（一两） 金箔（五片）
上为末，炼蜜丸如芡实大，金箔为衣，每服一丸，薄荷汤下。
这种病症称为乳嗽（婴儿因吃奶引起的咳嗽），确实难以调理，也属于恶症。应当审察虚实而施治：实证用发散法，虚证用补益法。如果症状表现为气粗痰盛、口疮眼热，在发散治疗后，可以使用利下法，以比金丸等药物为主，以消散其实邪。如果症状表现为呕吐后出现惊悸、困倦自汗，应当使用补肺散、益黄散、天麻散，以补其虚。大抵治疗惊嗽以琥珀散为主。天麻丸是重要的药物，由天麻、蝉蜕、僵蚕、人参、川芎、甘草、硼砂、天竺黄、牛胆南星、白附子、坯、雄黄组成，研为细末，炼蜜制成如芡实大小的丸剂，用金箔包裹衣面，每次服用一丸，用薄荷汤送服，治疗未满百日的婴儿咳嗽不止，效果远胜于其他药物。
补肺散（又名阿胶散）：治疗小儿长期患有咳嗽，气急有痰，恶心时可服用。
药材及剂量：阿胶（炒制，一两半）、鼠粘子（一两）、马兜铃（半两）、杏仁（七个，去皮尖）、糯米（一盒）、甘草（半两）。
用法：将上述药材切碎，三岁的儿童每次服用一钱，加水半盏，煎至三分，去渣温服。
比金丸：详见第十九问。
天麻散：治疗婴儿咳嗽有痰，气壅面红。
药材及剂量：天麻（三钱）、朱砂（一钱）、麝香（一字）、南星（水浸，春秋五日、冬七日、夏三日，半两）。
用法：研为细末，每次服用一字，用杏仁汤调服。用人参汤也可以。
琥珀散：详见第十五问。
天麻丸：治疗小儿未满百日咳嗽不止，名为乳嗽。
药材及剂量：天麻（一两）、蝉蜕（一两）、僵蚕（一两）、人参（一两）、川芎（一两半）、甘草（二两）、硼砂（半两）、辰砂（一两）、天竺黄（一两）、胆星（二钱）、白附子（一两）、坯（一两）、雄黄（一两）、金箔（五片）。
用法：研为细末，炼蜜制成如芡实大小的丸剂，用金箔包裹衣面，每次服用一丸，用薄荷汤送服。
This condition is named Ru Sou (infant cough caused by breastfeeding), which is indeed difficult to manage and is also considered a malignant syndrome. Treatment should be based on the differentiation of deficiency and excess: for excess patterns, disperse them; for deficiency patterns, tonify them. If symptoms include rough breathing with abundant phlegm, mouth ulcers, and heat in the eyes, after dispersing treatment, purgation may be applied, primarily using medicines such as Bijin Wan (Golden Pill) to dissipate the excess pathogen. If symptoms manifest as palpitations and fright following vomiting, accompanied by fatigue and spontaneous sweating, Bufeisan (Lung-Tonifying Powder), Yihuangsan (Spleen-Strengthening Powder), or Tianma San (Gastrodia Powder) should be used to tonify the deficiency. Generally, for treating cough due to fright, Hupo San (Amber Powder) is the primary prescription. Tianma Wan (Gastrodia Pill) is an essential medicine, composed of Gastrodiae Rhizoma (Tianma), Bombyx Batryticatus (Chantui), Bombyx Batryticatus (Jiangcan), Ginseng Radix et Rhizoma (Renshen), Chuanxiong Rhizoma (Chuanxiong), Glycyrrhizae Radix et Rhizoma (Gancao), Borax (Pengsha), Tianshu Huang (Tianzhuhuang), Cow Gallbladder Star Aconite (Niudan Nanxing), Typhonii Rhizoma (Baifuzi), Pi (Pi), Realgar (Xionghuang). These are ground into fine powder, mixed with refined honey to form pills the size of Euphorbia lathyris seeds (Qianshi), coated with gold leaf. Each dose consists of one pill, dissolved and taken down with mint decoction. It treats persistent cough in infants under one hundred days old, surpassing other medicines significantly.
Bufeisan (also known as Ejiao San): Treats long-term cough in children with rapid breathing, phlegm, and nausea.
Ingredients: Colla Corii Asini (Ejiao, stir-fried, 1.5 liang), Arctii Fructus (Shuniuzi, 1 liang), Aristolochiae Fructus (Madouling), Prunus Armeniaca Semen (Xingren, 7 pieces, skin and tip removed), Oryza Sativa Glutinosa (Nuomi, one box), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang).
Preparation: Cut the herbs into small pieces. For a three-year-old child, take 1 qian, add half zhan of water, decoct until reduced to three fen, remove dregs, and take warm.
Bijin Wan: See Question 19.
Tianma San: Treats infant cough with phlegm, qi stagnation, and red face.
Ingredients: Gastrodiae Rhizoma (Tianma, 3 qian), Cinnabar (Zhusha, 1 qian), Moschus (Shexiang, 1 zi), Arisaema Cum Bile (Nanxing, soaked in water: spring/autumn 5 days, winter 7 days, summer 3 days, 0.5 liang).
Preparation: Grind into fine powder. Take 1 zi per dose, mixed with Apricot Kernel Decoction. Ginseng Decoction is also acceptable.
Hupo San: See Question 15.
Tianma Wan: Treats persistent cough in infants under one hundred days old, named Ru Sou.
Ingredients: Gastrodiae Rhizoma (Tianma, 1 liang), Bombyx Batryticatus (Chantui, 1 liang), Bombyx Batryticatus (Jiangcan, 1 liang), Ginseng Radix et Rhizoma (Renshen, 1 liang), Chuanxiong Rhizoma (Chuanxiong, 1.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang), Borax (Pengsha, 0.5 liang), Cinnabar (Chensha, 1 liang), Tianshu Huang (Tianzhuhuang, 1 liang), Arisaema Cum Bile (Danning, 2 qian), Typhonii Rhizoma (Baifuzi, 1 liang), Pi (Pi, 1 liang), Realgar (Xionghuang, 1 liang), Folium Aurum (Jinbo, 5 pieces).
Preparation: Grind into fine powder, mix with refined honey to form pills the size of Euphorbia lathyris seeds, coat with gold leaf. Take one pill per dose with mint decoction.