《千金》射干汤 治小儿咳嗽,喘急如水鸡声。
射干 麻黄 紫菀 甘草 生姜(各半两) 半夏(三钱) 桂心(二钱) 大枣(十五枚)
上锉散。每服二钱,水一盏半煎,入蜜少许服。
梅花饮子 治小儿惊潮,五脏积热,上焦蕴热,手足心热,喉中多痰涎,面色或红
或白, 呀鼻流清涕,气急肝肺壅热,目赤咳嗽,或被人惊,夜啼不安,或伤寒
渐安,尚有余热,亦宜服化痰退热。
硼砂 马牙硝 芒硝 人参(各一两) 甘草(半两) 梅花脑子 辰砂 麝香(各一字)
上八味,为末,以瓷器收贮。遇有此证,麦门冬汤调下,气喘咳嗽,桑白皮汤
下。常服,薄荷汤调下。
二圣散 治风痰壅闭,语音不出,气促喘闷,手足动摇,似搐非搐。
诃子(十枚大者,半生半炙,去核) 大腹皮(净洗,焙干,五钱)
上锉。每服二钱,水一盏,煎七分,无时温服。
定喘饮 治夹风痰喘气促,不拘冷热二证。
人参(去芦头) 麻黄(不去根节) 防己(去黑皮) 诃子(去核) 半夏(汤洗,去滑) 甘草(六味各五钱)
上锉。每服二钱,水一盏,姜二片,煎七分,无时温服。总治十六般哮嗽。出《本事方》
阿胶(锉,炒) 马兜铃 甘草(炙) 半夏(姜汁浸三日) 杏仁(去皮尖。各一两) 人参(半两)
上锉散,每服二钱,水一盏,随病汤使,煎至七分,临卧食后服。汤使于后。
心嗽,面赤,或汗流,加干葛煎。肝嗽,眼中泪出,入乌梅一个,糯米十四
粒煎。脾嗽,不思饮食,或恶心,入生姜二片煎。胃嗽,吐逆,吐酸水,入蚌
粉煎。胆嗽,令人不睡,用药半钱,茶清调下。肺嗽,上气喘急,入桑白皮煎。
膈嗽,出痰如丸块,生姜自然汁调药咽下。劳嗽,秦艽末同煎。冷嗽,天晚
嗽甚,葱白三寸同煎。血嗽,连频不住,当归末、枣子同煎。暴嗽,涕唾稠
粘,入乌梅、生姜煎。产嗽,背甲痛,甘草三寸、黄蜡少许煎。气嗽,肚
疼胀满,青皮同煎。哮喘声如拽锯,入半夏二个同煎。肾嗽,时复三两声,
入黄 、白饴糖煎。
以上十六般嗽疾,根据法煎服,无不效验。
《千金方》中的射干汤,用于治疗小儿咳嗽,喘息急促时发出像水鸡(青蛙)一样的叫声。
药材包括:射干、麻黄、紫菀、甘草、生姜(各半两),半夏(三钱),桂心(二钱),大枣(十五枚)。
将上述药物切碎成散剂。每次服用二钱,用一盏半水煎煮,加入少许蜂蜜后服用。
梅花饮子,用于治疗小儿惊风潮作,五脏积热,上焦蕴结热气,手足心发热,喉中痰涎多,面色或红或白,鼻塞流清涕,气急且肝肺壅滞有热,眼睛发红咳嗽,或因受惊吓而夜间啼哭不安,或者伤寒病逐渐好转后仍有残余余热,也适宜服用此方以化痰退热。
药材包括:硼砂、马牙硝、芒硝、人参(各一两),甘草(半两),梅花脑子(即梅花脑/冰片类)、辰砂、麝香(各一字)。
将以上八味药研为细末,用瓷器密封保存。遇到此类证候时,用麦门冬汤送服;若伴有气喘咳嗽,用桑白皮汤送服;日常常服,则用薄荷汤送服。
二圣散,用于治疗风痰壅塞闭阻,导致声音发不出,呼吸急促胸闷,手足动摇,似抽搐而非真正抽搐。
药材包括:诃子(十个大的,一半生用一半炙用,去核),大腹皮(洗净,焙干,五钱)。
将上述药物切碎。每次服用二钱,用一盏水煎至七分满,不拘时候温服。
定喘饮,用于治疗夹带风痰导致的喘息气促,不论寒证还是热证均适用。
药材包括:人参(去芦头)、麻黄(不去根节)、防己(去黑皮)、诃子(去核)、半夏(热水洗,去滑腻)、甘草(这六味药各五钱)。
将上述药物切碎。每次服用二钱,用一盏水,加两片生姜,煎至七分满,不拘时候温服。此方总治十六种哮嗽症状,出自《本事方》。
阿胶(切碎,炒制)、马兜铃、甘草(炙)、半夏(姜汁浸泡三日)、杏仁(去皮尖,以上五味各一两)、人参(半两)。
将上述药物切碎成散剂,每次服用二钱,用一盏水,根据病情选择相应的引经汤剂,煎至七分满,睡前饭后服用。具体的汤使(引经药汤剂)如下:
心嗽,面部发红,或出汗,加葛根煎煮。
肝嗽,眼中流泪,加入乌梅一个、糯米十四粒煎煮。
脾嗽,不思饮食,或恶心,加入生姜两片煎煮。
胃嗽,呕吐逆气,吐酸水,加入蚌粉煎煮。
胆嗽,使人失眠,用药半钱,用茶清调下。
肺嗽,上气喘急,加入桑白皮煎煮。
膈嗽,咳出痰液如丸块状,用生姜自然汁调药咽下。
劳嗽(虚劳咳嗽),加入秦艽末同煎。
冷嗽,天晚时咳嗽加重,加入葱白三寸同煎。
血嗽,连续不断,加入当归末、枣子同煎。
暴嗽(突发剧烈咳嗽),鼻涕唾沫稠粘,加入乌梅、生姜煎煮。
产嗽(产后咳嗽),背部甲错疼痛,加入甘草三寸、黄蜡少许煎煮。
气嗽,肚子疼胀满,加入青皮同煎。
哮喘声如拉锯,加入半夏二个同煎。
肾嗽,时常反复咳嗽三两声,加入黄糖、白饴糖煎煮。
以上十六种咳嗽疾病,按照上述方法煎服,没有不有效的。
Shegan Decoction from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) is used to treat pediatric cough with wheezing that sounds like a water hen (frog).
Herbs: Belamcandae Rhizoma (Shegan), Ephedrae Herba (Mahuang), Asteris Radix et Rhizoma (Ziwan), Glycyrrhizae Radix et Rhizoma (Gancao), Zingiberis Rhizoma Recens (Shengjiang) (each 0.5 liang), Pinelliae Rhizoma Preparatum (Banxia) (3 qian), Cinnamomi Cortex (Guixin) (2 qian), Jujubae Fructus (Dazao) (15 pieces).
Crush the herbs into a powder. Take 2 qian per dose, decoct in 1.5 cups of water, add a small amount of honey, and take orally.
Meihua Yinzi (Plum Blossom Drink) is indicated for pediatric convulsive fever, accumulation of heat in the five zang organs, stagnation of heat in the upper jiao, heat in the palms and soles, excessive phlegm-saliva in the throat, facial complexion alternating between red and white, nasal congestion with clear discharge, rapid breathing with liver and lung qi stagnation and heat, red eyes with cough, restlessness and night crying due to fright, or residual heat after gradual recovery from cold damage. It is also suitable for resolving phlegm and reducing fever.
Herbs: Borax (Pengsha), Natrii Sulfas Crystallisatus (Mayaxiao), Natrii Sulfas (Mangxiao), Ginseng Radix et Rhizoma (Renshen) (each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang), Plumbaginis Flos Brain (Meihua Naozi), Cinnabaris (Chensha), Moschus (Shexiang) (each 1 zi).
Grind the above eight herbs into powder and store in a porcelain vessel. When this syndrome occurs, administer with Ophiopogonis Decoction (Maidong Tang); if accompanied by wheezing and cough, administer with Morus Cortex Decoction (Sangbaipi Tang); for regular maintenance, administer with Mentha Decoction (Bohe Tang).
Ersheng San (Two-Sage Powder) is used for wind-phlegm obstruction causing aphonia, shortness of breath, chest oppression, trembling of hands and feet, resembling convulsions but not true convulsions.
Herbs: Terminalia Chebula Retz. Fruit (Hezi) (10 large fruits, half raw, half roasted, pitted), Arecae Pericarpium (Dafupi) (washed clean, dried, 5 qian).
Crush the herbs. Take 2 qian per dose, decoct in 1 cup of water until reduced to 0.7 cup, and take warm at any time.
Dingchuan Yin (Asthma-Calming Drink) treats wheezing and shortness of breath caused by wind-phlegm, applicable to both cold and heat syndromes.
Herbs: Ginseng Radix et Rhizoma (Renshen) (remove rhizome), Ephedrae Herba (Mahuang) (do not remove roots and nodes), Stephaniae Tetrandrae Radix (Fangji) (remove black skin), Terminalia Chebula Retz. Fruit (Hezi) (pitted), Pinelliae Rhizoma Preparatum (Banxia) (wash with hot water, remove slipperiness), Glycyrrhizae Radix et Rhizoma (Gancao) (each of these six herbs 5 qian).
Crush the herbs. Take 2 qian per dose, decoct in 1 cup of water with two slices of ginger until reduced to 0.7 cup, and take warm at any time. This formula treats sixteen types of asthma and cough, originating from *Benshi Fang*.
Columbae Corium Preparatum (Ejiao) (crushed, stir-fried), Aristolochiae Fructus (Madouling), Glycyrrhizae Radix et Rhizoma Preparata (Gancao, roasted), Pinelliae Rhizoma Preparatum (Banxia) (soaked in Zingiberis Rhizoma Recens juice for three days), Armeniacae Semen Amarum (Xingren) (skin and tip removed, each of these five herbs 1 liang), Ginseng Radix et Rhizoma (Renshen) (0.5 liang).
Crush into powder. Take 2 qian per dose, decoct in 1 cup of water using specific decoctions as guides according to the disease, reduce to 0.7 cup, and take after meals before sleep. The guiding decoctions are as follows:
For Heart Cough (Xin Sou), characterized by red face or sweating, add Puerariae Radix (Gegen) for decoction.
For Liver Cough (Gan Sou), characterized by tearing from eyes, add one unripe plum (Wumei) and fourteen grains of glutinous rice (Nuomi) for decoction.
For Spleen Cough (Pi Sou), characterized by loss of appetite or nausea, add two slices of fresh ginger (Shengjiang) for decoction.
For Stomach Cough (Wei Sou), characterized by vomiting or acid regurgitation, add Concha Margaritifera (Bangfen) for decoction.
For Gallbladder Cough (Dan Sou), causing insomnia, take 0.5 qian of the powder mixed with tea liquor (Chaqing).
For Lung Cough (Fei Sou), characterized by upper body wheezing and urgency, add Morus Cortex (Sangbaipi) for decoction.
For Diaphragm Cough (Ge Sou), where sputum comes out in pill-like lumps, swallow the medicine mixed with fresh juice of Zingiberis Rhizoma Recens (Shengjiang).
For Laborious Cough (Lao Sou), decoct together with Gentianae Macrophyllae Radix (Qinjiao) powder.
For Cold Cough (Leng Sou), where cough worsens at night, decoct together with three cun of Allii Fistulosi Bulbus (Congbai).
For Blood Cough (Xue Sou), continuous and frequent, decoct together with Angelicae Sinensis Radix (Danggui) powder and dates (Zaozi).
For Acute Cough (Bao Sou), with thick and sticky sputum, decoct together with Wumei and Shengjiang.
For Postpartum Cough (Chan Sou), characterized by back pain, decoct together with three cun of Gancao and a little yellow beeswax (Huangla).
For Qi Cough (Qi Sou), characterized by abdominal pain and distension, decoct together with Aurantii Fructus Viridis (Qingpi).
For Asthma with sawing sound, decoct together with two Banxia.
For Kidney Cough (Shen Sou), recurring with three or four coughs, decoct together with brown sugar (Huangtang) and maltose (Yitang).
The above sixteen types of cough diseases, when treated according to these methods, are invariably effective.