《圣惠》治小儿中风失音不语，舌根强硬方
陈酱汁（半合） 人乳（二合）
上件药相和，合令匀，少少与儿服之。
〔张涣〕竹沥膏 治小儿中风，失音不语，牙关紧急。
竹沥（根据法旋取） 生地黄（取汁） 蜜（各半合。以上搅匀） 桂心（为末） 石菖蒲（一寸九节者，取末。各
一两）
上件都一处调匀，慢火熬成膏，硬软得所如皂子大。每服一粒，取梨汁化下。
〔救生〕菖阳汤 治小儿中风昏。
石菖蒲 天麻 生乌蛇肉 全蝎 白僵蚕 附子（炮，去皮脐） 羌活 人参 白附子（各半两）
上为粗末。每服三钱，水两盏，生姜五片，薄荷五叶，煎至一盏，滤去渣，温热时时与服。
醒脾散 治小儿惊搐后不语。
甘草（炙，一钱） 冬瓜子 防风（各半两） 人参（一分）
上件为细末，每服一钱，用水一盏，入竹叶数片，灯心少许，同煎至七分，去滓，
食后温服，临睡。
茅先生伤寒失音语不得方
金毛狗脊 甘草（等分）
上为末。每服一钱，用黄蜡一块，指头大，水六分，同煎四分服。
《集验方》治小儿伤寒失音不能语
桂（指面大）
上，含桂口中，渐渐声音如旧。
张涣按∶小儿肺气通于鼻，气为阳，若气受风寒，停滞鼻间则成鼻塞，气寒使
津液不收则多涕，若冷气久不散，脓涕结聚，使鼻不闻香臭则成 鼻，若挟热则鼻
干，皆妨害乳食。〔薛〕巢氏云∶鼻乃肺之窍，皮毛腠理乃肺之主，此因风邪客于
肺而鼻塞不利者，宜用消风散。或用葱白七茎，入油腻粉少许，擂摊绢帛上，掌中
护温，贴囟门。因惊仆气散，血无所羁而鼻衄者，用异功散加柴胡、山栀。左脸青
而兼赤者，先用柴胡清肝散，后用地黄丸。上脸赤，乃肺大肠实热也，用泻白散。
鼻色赤，乃脾胃实热也，用泻黄散。微赤，乃脾经虚热也，用异功散加升麻、柴胡。
色深黄，用《济生》犀角地黄汤，后用杨氏地黄散。淡白色，用六君子汤。颏间色
赤，用四物汤加山栀；赤甚，用五淋散。小便赤色，用六味丸、补中益气汤。唇色白，
用六君子汤。久不愈用麦门冬饮子。若初病元气未亏，乳食如常，发热壮热，二便
秘结，作渴饮水，卧不露睛者，悉属形病俱实，当治邪气。若病久元气已亏，食少
发热，口干饮汤，呕吐泄泻，肢体畏寒，卧而露睛者，悉属形病俱虚，当补正气为要。
《圣惠方》治疗小儿中风导致失音、不能说话的方剂：
陈醋汁（半合） 人乳（二合）
将上述药物混合，调和均匀，少量给予患儿服用。
〔张涣〕竹沥膏：治疗小儿中风，失音不语，牙关紧闭。
竹沥（按方法现取） 生地黄（取汁） 蜂蜜（各半合，以上搅拌混合均匀） 桂心（研为细末） 石菖蒲（选取一寸长且具九节的，取粉末，各一两）
将上述药物全部放在一处调匀，用慢火熬制成膏状，软硬程度适中，如皂角子大小。每次服用一粒，用梨汁化开送服。
〔救生〕菖阳汤：治疗小儿中风昏迷。
石菖蒲 天麻 生乌蛇肉 全蝎 白僵蚕 附子（炮制，去皮和脐） 羌活 人参 白附子（各半两）
将上述药物捣成粗末。每次服用三钱，加水两盏，生姜五片，薄荷五叶，煎煮至一盏，滤去药渣，温热后不时给患儿服用。
醒脾散：治疗小儿惊厥抽搐后不能说话。
甘草（炙，一钱） 冬瓜子 防风（各半两） 人参（一分）
将上述药物研为细末，每次服用一钱，用水一盏，加入竹叶数片，灯心草少许，共同煎煮至七分，去渣，饭后温服，临睡前服用。
茅先生伤寒失音、不能说话的方剂：
金毛狗脊 甘草（等分）
将上述药物研为细末。每次服用一钱，用一块指头大小的黄蜡，加水六分，共同煎煮至四分服用。
《集验方》治疗小儿伤寒失音、不能说话：
桂枝（指甲盖大小）
含在口中，声音渐渐恢复如旧。
张涣按语：小儿的肺气与鼻相通，气属阳，如果气受到风寒侵袭，停滞在鼻间就会形成鼻塞；寒气使津液无法收摄则多涕；如果冷气久久不散，脓涕结聚，导致鼻子闻不到香臭，就形成了鼻窒（鼻塞不通）；如果夹杂热邪则鼻干，这些都妨害吃奶进食。〔薛己〕引用巢元方的话：鼻是肺的窍道，皮毛腠理是肺的主管，这是因为风邪客居于肺而导致鼻塞不利，适宜使用消风散。或者用葱白七茎，加入少许油腻粉，研磨后摊在绢帛上，用手掌护住使其温暖，贴在囟门处。因惊吓跌倒导致气散，血液无所约束而流鼻衄的，使用异功散加柴胡、山栀。左脸发青兼带红色的，先用柴胡清肝散，后用六味地黄丸。上脸发红，是肺和大肠实热，使用泻白散。鼻色发红，是脾胃实热，使用泻黄散。微红，是脾经虚热，使用异功散加升麻、柴胡。颜色深黄，使用《济生方》犀角地黄汤，后用杨氏地黄散。淡白色，使用六君子汤。下巴间发红，使用四物汤加山栀；红得厉害，使用五淋散。小便赤色，使用六味丸、补中益气汤。唇色白，使用六君子汤。久治不愈使用麦门冬饮子。如果初病时元气未亏损，吃奶进食如常，发热或壮热，二便秘结，口渴想喝水，睡觉时眼睛不露出的，都属于形证和病证都属实，应当治疗邪气。如果病久元气已亏损，吃得少且发热，口干想喝热水，呕吐泄泻，肢体畏寒，睡觉时眼睛露出的，都属于形证和病证都属虚，应当以补益正气为要。
The *Shenghui Fang* treats infantile wind-stroke resulting in aphonia and inability to speak:
Chenjiang Zhi (Aged Vinegar Juice) (Banhe, half he) Renru (Human Milk) (Erhe, two he)
Mix the above ingredients thoroughly and evenly. Administer a small amount to the infant.
[Zhang Huan] Zhuli Gao (Bamboo Sap Ointment): Treats infantile wind-stroke, aphonia, inability to speak, and trismus (lockjaw).
Zhuli (Bamboo Sap) (Freshly extracted as per method) Shengdihuang (Fresh Rehmanniae Radix) (Juice extracted) Fengmi (Honey) (Each Banhe, half he; mix the above evenly) Guixin (Cinnamon Twig Heart) (Powdered) Shichangpu (Acori Tatarinowii Rhizoma) (Select pieces one cun long with nine nodes, take powder; each Liang, one tael)
Place all ingredients together, mix uniformly, and simmer slowly over low heat until it forms an ointment of appropriate consistency, sized like a soap bean. Take one pill per dose, dissolve in Lizhi (Pear Juice) and swallow.
[Jiusheng] Changyang Tang (Acorus Decoction): Treats infantile wind-stroke with coma.
Shichangpu (Acori Tatarinowii Rhizoma) Tianma (Gastrodiae Rhizoma) Shengwushe Rou (Raw Dendrotobiopsis Meat) Quanxie (Scorpio) Baijiangcan (Bombyx Batryticatus) Fuzi (Prepared Aconiti Lateralis Radix) (Processed, skin and umbilicus removed) Qianghuo (Notopterygii Rhizoma et Radix) Renshen (Ginseng Radix) Baifuzi (Typhonii Rhizoma) (Each Banliang, half tael)
Grind into coarse powder. Take Sanqian (three qian) per dose, add Shui (Water) two zhan (two cups), Shengjiang (Fresh Ginger) five slices, Bohe (Menthae Haplocalycis Herba) five leaves. Decoct until one zhan remains, filter out dregs, and administer warm intermittently.
Xingpi San (Spleen-Awakening Powder): Treats inability to speak after infantile convulsions.
Gancao (Processed Licorice Root) (Zhi, roasted, one qian) Dongguazi (Benincasae Semen) Fangfeng (Saposhnikoviae Radix) (Each Banliang, half tael) Renshen (Ginseng Radix) (Yifen, one fen)
Grind into fine powder. Take Yiqian (one qian) per dose, add Shui (Water) one zhan, Zhu Ye (Bambusae Folium) several leaves, Dengxincao (Junci Medulla) a little. Decoct together until seven-tenths remain, filter dregs, and take warm after meals, just before sleep.
Mr. Mao’s formula for cold damage resulting in aphonia and inability to speak:
Jinmaogouji (Polypodi Rhizoma) Gancao (Licorice Root) (Equal parts)
Grind into powder. Take Yiqian (one qian) per dose, add Huangla (Yellow Beeswax) one piece, size of a fingertip, Shui (Water) six fen (six parts). Decoct together until four fen remain, then take.
The *Jiyan Fang* treats infantile cold damage resulting in aphonia and inability to speak:
Gui (Cinnamon Twig) (Size of a fingernail)
Hold Gui in the mouth; gradually the voice will return to normal.
Commentary by Zhang Huan: The lung qi of infants connects with the nose. Qi belongs to Yang. If Qi is invaded by wind-cold and stagnates in the nasal cavity, it results in nasal congestion (Bi Sai). Cold Qi prevents the retention of body fluids, leading to excessive rhinorrhea. If cold qi lingers for a long time, purulent mucus accumulates, causing anosmia (loss of smell), resulting in Bi Zhi (nasal obstruction). If accompanied by heat, the nose becomes dry. All these conditions interfere with breastfeeding and eating. [Xue Ji] cites Chao Yuanfang: The nose is the orifice of the Lung; skin, hair, and pores 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 Qiongbai (Scallion White) seven stalks, mixed with a small amount of greasy flour, ground and spread on silk fabric. Warm it in the palm and apply to the Fontanelle (Ximen). For epistaxis caused by fright and falling, leading to scattered Qi and uncontrolled blood flow, use Yigong San (Wonderful Function Powder) added with Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus). If the left cheek is blueish-green with redness, first use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder), followed by Dihuang Wan (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 Meridian; treat with Yigong San added with Shengma (Cimicifugae Rhizoma) and Chaihu. 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 treatment with Liu Junzi Tang (Six Gentlemen Decoction). Redness at the chin indicates treatment with Siwu Tang (Four Substances Decoction) added with Shanzhi; if very red, use Wulin San (Five Dampnesses Powder). Red urine indicates treatment with Liuwei Wan (Six Flavor Pill) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). White lips indicate treatment with Liu Junzi Tang. If chronic and unhealed, use Maidong Yinzi (Ophiopogon Drink). If in the initial stage, Yuanqi (Primal Qi) is not depleted, feeding is normal, fever or high fever is present, bowel movements and urination are constipated, thirst with desire to drink water occurs, and eyes do not protrude during sleep, all belong to Excess patterns of both Form and Disease; treat by expelling pathogenic factors. If the disease has persisted, Yuanqi is depleted, appetite is poor with fever, mouth is dry with desire for hot drinks, vomiting and diarrhea occur, limbs feel cold, and eyes protrude during sleep, all belong to Deficiency patterns of both Form and Disease; tonifying Zhengqi (Upright Qi) is essential.