阿胶散 治小儿久嗽无津液
明阿胶(一两半面炒) 黍粘子(一分炒) 马兜铃(半两) 甘草(一钱) 杏仁(七个去皮)
糯米(一两)
上为末每服一字或一钱水一盏煎六分食后温服
泻白散 治咳嗽而后喘面赤身热
桑白皮(炒黄一两) 甘草(炒半两) 地骨皮(去土一两)
上件每服一二钱水一盏入糯米百粒同煎温服
甘桔汤 治涎热咽喉不利
甘草(二两) 桔梗(二两)
上为末每服二大钱水一盏入阿胶半钱炒过煎温服
白饼子 治腹中有癖但饮乳嗽而吐痰涎
滑石 轻粉 半夏 南星(各一钱) 巴豆(二十四个去皮水一升煎水尽为度)
上研匀巴豆后入众药以糯米饭为丸绿豆大捏作饼子三岁以上五饼子以下三饼子煎葱白汤
下临卧服
褊银丸 治风涎膈实上热及乳食不消腹胀痰喘等疾
巴豆(去皮心油) 水银(各半两) 好墨(八钱火烧醋淬) 黑铅(二钱半同水银结沙子)
麝香(半钱研)
上将巴豆黑铅研匀和入砂子麝香陈米糊丸绿豆大捻褊一岁一丸五岁以上五六丸薄荷汤放
冷送下不得化破更量虚实增减食后服
百部丸 治小儿肺寒壅嗽微喘
百部 麻黄(各三钱) 杏仁(四十个去皮尖以水略煮)
上和匀熟蜜丸皂子大温水下二三丸
葶苈丸 治乳食冲脾伤风咳嗽面赤身热痰盛喘促者
甜葶苈(去土炒) 黑牵牛(炒) 杏仁(去皮尖炒黄另研) 汉防己(各一两)
上为末入杏膏蒸陈枣肉和捣为剂丸如麻子大每服五丸至七丸淡生姜汤下乳食后或临卧服
量儿加减
小儿咳嗽日久不愈,可灸肺俞穴五壮。该穴位位于第三椎骨下方两侧,距离中线各一寸半处。
阿胶散:治疗小儿久咳导致津液枯竭的病症。
处方组成:明胶(一两半,用面粉炒制)、黍粘子(一分,炒制)、马兜铃(半两)、甘草(一钱)、杏仁(七个,去皮)、糯米(一两)。
用法用量:将上述药材研为细末,每次服用一字或一钱,加水一盏,煎至六分,饭后温服。
泻白散:治疗咳嗽后出现气喘、面红、身体发热的症状。
处方组成:桑白皮(炒至微黄,一两)、甘草(炒制,半两)、地骨皮(去土,一两)。
用法用量:取上述药材一二钱,加水一盏,加入糯米一百粒,共同煎煮,温服。
甘桔汤:治疗痰热导致咽喉不利顺畅的病症。
处方组成:甘草(二两)、桔梗(二两)。
用法用量:将上述药材研为细末,每次服用两大钱,加水一盏,加入半钱炒过的明胶,煎煮后温服。
白饼子:治疗腹中有积块癖疾,仅因饮奶而咳嗽并吐出痰涎的病症。
处方组成:滑石、轻粉、半夏、南星(各一钱);巴豆(二十四个,去皮,用水一升煎至水尽为止)。
用法用量:先将巴豆与其他药物研匀,以糯米饭为粘合剂制成如绿豆大小的药丸,再捏成饼状。三岁以上儿童每次服五饼,三岁以下每次服三饼,用葱白汤煎送下,临睡前服用。
褊银丸:治疗风痰膈实、上焦有热以及乳食不消、腹胀、痰喘等疾患。
处方组成:巴豆(去皮心,去油)、水银(各半两);好墨(八钱,火烧后用醋淬炼);黑铅(二钱半,与水银同炼结成砂子状);麝香(半钱,研细)。
用法用量:先将巴豆和黑铅研匀,再加入砂子和麝香,用陈米糊作为粘合剂制成如绿豆大小的药丸,捻成扁平状。一岁儿童每次服一丸,五岁以上每次服五六丸,待薄荷汤放冷后送服,不可让药丸在口中化开,需根据患儿虚实情况增减剂量,饭后服用。
百部丸:治疗小儿肺寒壅滞引起的咳嗽及轻微气喘。
处方组成:百部、麻黄(各三钱);杏仁(四十个,去皮尖,用水略煮)。
用法用量:将上述药物混合均匀,用熟蜜制成如皂角子大小的药丸,每次温水送服二三丸。
葶苈丸:治疗因乳食冲犯脾脏、伤风引起的咳嗽,症见面红身热、痰多、气喘急促者。
处方组成:甜葶苈(去土炒制)、黑牵牛(炒制)、杏仁(去皮尖,炒黄后另研)、汉防己(各一两)。
用法用量:将上述药材研为细末,加入杏膏,蒸熟后的枣肉调和捣烂制成丸剂,大小如麻子。每次服用五至七丸,用淡生姜汤送下,于乳食之后或临睡前服用,需根据患儿年龄和体质酌情加减。
Moxibustion for prolonged cough in children: Apply five moxa cones to Feishu (BL13, Lung Shu), located 1.5 cun lateral to the lower border of the spinous process of the third thoracic vertebra.
Ejiao San (Donkey-hide Gelatin Powder): Indicated for prolonged cough in children resulting in depletion of body fluids.
Ingredients: Ming Ejiao (Donkey-hide Gelatin) (1.5 liang, stir-fried with flour), Arctii Fructus (Niu Bang Zi, 1 fen, stir-fried), Aristolochiae Fructus (Lou Guan Ling, 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian), Armeniacae Semen Amarum (Xing Ren, 7 seeds, peeled), Oryza Glutinosa (Nuomi, 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take one "zi" or one qian per dose. Add one zhan of water, decoct until reduced to six-tenths, and take warm after meals.
Xiebai San (Drain White Powder): Indicated for cough followed by wheezing, flushed face, and fever.
Ingredients: Mori Cortex (Sangbaipi, 1 liang, stir-fried until yellow), Glycyrrhizae Radix et Rhizoma (Gan Cao, 0.5 liang, stir-fried), Lycii Cortex (Gugubpi, 1 liang, cleaned of soil).
Preparation and Administration: Take 1-2 qian of the above ingredients. Add one zhan of water and 100 grains of glutinous rice. Decoct together and take warm.
Ganjie Tang (Licorice and Platycodon Decoction): Indicated for phlegm-heat causing obstruction and discomfort in the throat.
Ingredients: Glycyrrhizae Radix et Rhizoma (Gan Cao, 2 liang), Platycodi Radix (Jiegeng, 2 liang).
Preparation and Administration: Grind into a fine powder. Take two large qian per dose. Add one zhan of water and half a qian of stir-fried Ejiao. Decoct and take warm.
Baibing Zi (White Pill/Cake): Indicated for abdominal masses (Pi disease), where coughing and expectoration of phlegm occur solely due to breastfeeding.
Ingredients: Talcum (Huashi), Calomelas (Qingfen), Pinelliae Rhizoma Preparatum (Banxia), Acori Tatarinowii Rhizoma (Tian Nanxing) (each 1 qian); Crotonis Fructus (Badou, 24 seeds, peeled, decocted in one sheng of water until the water is completely evaporated).
Preparation and Administration: Grind Badou with the other medicines evenly. Use glutinous rice paste as a binder to form pills the size of mung beans, then shape them into cakes. For children over three years old, administer five cakes per dose; for children under three, administer three cakes. Decoct with white scallions and administer before bedtime.
Bianyín Wan (Flat Silver Pill): Indicated for wind-phlegm, chest fullness, upper jiao heat, indigestion of milk and food, abdominal distension, and phlegm-wheezing.
Ingredients: Crotonis Fructus (Badou, peeled, heart removed, oil extracted) and Hydrargyrum (Shuiyin) (each 0.5 liang); Hao Mo (Good Ink Stick, 8 qian, burned and quenched in vinegar); Nigrum Plumbum (Heiqian, 2.5 qian, smelted with Hydrargyrum to form sand-like particles); Moschus (Shexiang, 0.5 qian, ground).
Preparation and Administration: Grind Badou and Heiqian evenly, then mix in the "sand" particles and Shexiang. Use aged rice paste as a binder to form pills the size of mung beans, flattening them. One pill per dose for one-year-olds; 5-6 pills per dose for children over five years old. Administer with cooled Bohe Tang (Mint Decoction). Do not allow the pill to dissolve in the mouth. Adjust dosage based on deficiency or excess conditions; take after meals.
Baibu Wan (Stemona Pill): Indicated for lung-cold stagnation causing cough and slight wheezing in children.
Ingredients: Stemona Radix (Baibu), Ephedrae Herba (Mahuang) (each 3 qian); Armeniacae Semen Amarum (Xingren, 40 seeds, peeled, tips removed, briefly boiled in water).
Preparation and Administration: Mix evenly and bind with refined honey to form pills the size of soap pods. Take 2-3 pills with warm water.
Tingli Wan (Descurainia Pill): Indicated for cough caused by milk/food attacking the spleen and wind-pathogen invasion, presenting with flushed face, fever, abundant phlegm, and rapid breathing.
Ingredients: Descurainiae Semen (Tingli, cleaned of soil and stir-fried), Pharbitidis Semen (Qian Niu, stir-fried), Armeniacae Semen Amarum (Xingren, peeled, tips removed, stir-fried and separately ground), Stephaniae Tetrandrae Radix (Han Fangji) (each 1 liang).
Preparation and Administration: Grind into a fine powder. Add Xing Gao (Apricot Paste) and steamed flesh of Ziziphi Jujubae (Red Date) to knead into a mass. Form pills the size of sesame seeds. Take 5-7 pills per dose with light ginger-infused water. Administer after feeding or before bedtime. Adjust dosage according to the child's condition.