痰者风之苗。热生于心。痰生于火。火者痰之根。静则伏于脾土动则发于肺金。水澄则
清。
水沸则浑。小儿痰嗽。乃心火克制肺金。或寒邪停留肺 。寒化为热。必生痰喘。咳逆上气
肺胀 。俗为马脾风。又为喉风。若不速治。立见危殆。
夺命丹 治小儿风涎灌膈。利痰去风。
青礞石 为末。炼蜜为丸。如绿豆大。每七八丸。薄荷汤下。
一小儿风痰吐沫。气喘咳嗽。肚腹膨胀。不思饮食。
小儿肺胀喘嗽。人多看作风喉。大黄槟榔二牵牛。人参分两等匀。五味研成细末
蜜水调量稀稠。每将一字着咽喉。不用神针法灸。
上其证肺胀喘满。膈高气急。两胁煽动。陷下作坑。两鼻窍张。闷乱嗽渴。声嗄不鸣。
痰涎壅塞。俗云马脾风。若不急治。死于旦夕也。
定喘汤 治 喘气急。
麻黄（六分） 杏仁（一钱） 半夏（六分甘草水泡七次） 黄芩（微炒三分） 苏子（一钱）
款冬花（一钱） 甘草（二分） 白果（五枚去壳打碎炒黄） 桑白皮（蜜炙五分）
上锉。水煎。温服。不必用生姜。
一论小儿脾胃虚寒。久嗽不已。咽膈满闷。咳嗽痰涎。呕逆恶心。肚腹膨胀。腰背倦痛
虚劳冷嗽。诸药无效者。服
人参款冬花膏
人参（八钱） 紫菀（一钱） 款冬花（去梗八钱） 桑白皮（炒一两） 贝母（二钱半） 桔梗
（炒
二钱半） 紫苏（五钱） 槟榔（五钱） 木香（五钱） 杏仁（去皮炒八钱） 五味子（八钱） 马
兜铃（二钱半）
上为末。炼蜜为丸。如龙眼大。每服一丸。姜汤化下。
一论小儿喉中痰壅喘甚。神效方。用巴豆捣烂作一丸。以棉花包裹。男左女右塞鼻。痰
即坠。
Tan (Phlegm) is the sprout of Feng (Wind). Re (Heat) arises from Xin (Heart). Tan (Phlegm) is generated by Huo (Fire). Huo (Fire) is the root of Tan (Phlegm). When static, it lies dormant in Pi (Spleen) Earth; when active, it erupts in Fei (Lung) Metal. Water that is clarified becomes clear; water that boils becomes turbid. Xiao'er (Pediatric) Tan Sou (Phlegmatic Cough) results from Xin Fire controlling Fei Metal, or from Han (Cold) pathogen lingering in the Fei (Lung), transforming into Re (Heat), inevitably generating Tan Chuan (Phlegmic Asthma), Ke Ni Shang Qi (Cough with rebellious Qi ascending), and Fei Zhang (Lung Distension). This is colloquially known as Ma Pi Feng (Horse Spleen Wind) or Hou Feng (Throat Wind). If not treated promptly, danger will appear immediately.
Ming Dan (Life-Saving Pill) treats Xiao'er (Pediatric) Feng Xian (Wind-Phlegm) flooding the Ge (Diaphragm). Its action is to promote Phlegm discharge and expel Wind.
Qing Meng Shi (Fluorite) is ground into powder. Honey pills are prepared, sized like mung beans. Take seven or eight pills each time, washed down with Bo He Tang (Mint Decoction).
A child presented with wind-phlegm causing foaming at the mouth, asthmatic cough, abdominal distension, and loss of appetite.
Xiao'er (Pediatric) Fei Zhang (Lung Distension) with asthmatic cough is often viewed by people as Feng Hou (Wind Throat). Da Huang (Rhubarb Rhizome), Bing Lang (Areca Seed), and Er Qian Niu (Morning Glory Seed) are used, along with Ren Shen (Ginseng Root) in equal proportions. The five ingredients are ground into fine powder. Mix with honey water to a suitable consistency. Apply an amount equivalent to "one character" (approx. 0.5-1g) to the throat. Shen Zhen Fa Jiu (Divine Needle Moxibustion) is not required.
The symptoms described above include Fei Zhang (Lung Distension), asthmatic fullness, high chest Qi with rapid breathing, flaring of the two costal regions leaving depressions, dilation of the two nasal apertures, mental confusion, cough with thirst, hoarse voice unable to speak, and obstruction by phlegm-saliva. Colloquially called Ma Pi Feng (Horse Spleen Wind). If not treated urgently, death may occur within a day or night.
Ding Chuan Tang (Asthma-Calming Decoction) treats Chuan Qi Ji (rapid asthmatic breathing).
Ma Huang (Ephedrae Herba) (6 fen) Xing Ren (Prunus Armeniaca Seed) (1 qian) Ban Xia (Pinelliae Tuber) (6 fen, soaked seven times in Gan Cao water) Huang Qin (Scutellariae Radix) (3 fen, lightly stir-fried) Su Zi (Perillae Fructus) (1 qian)
Kuan Dong Hua (Farflos) (1 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 fen) Bai Guo (Ginkgo Semen) (5 pieces, shell removed, crushed, stir-fried until yellow) Sang Bai Pi (Mori Cortex) (5 fen, honey-fried)
Cut the herbs. Decoct in water. Take warm. Do not use Sheng Jiang (Zingiberis Rhizoma Recens).
One discussion addresses Xiao'er (Pediatric) Pi Wei Xu Han (Spleen-Stomach Deficiency-Cold), chronic cough that does not cease, fullness and stuffiness in the throat and diaphragm, cough with phlegm-saliva, vomiting and nausea, abdominal distension, and fatigue/pain in the waist and back. This belongs to Xu Lao Leng Sou (Deficiency-Wasting Cold Cough). For cases where various medicines are ineffective, take:
Ren Shen Kuan Dong Hua Gao (Ginseng and Farflos Paste)
Ren Shen (Ginseng Root) (8 qian) Zi Wan (Asteris Radix) (1 qian) Kuan Dong Hua (Farflos) (stem removed, 8 qian) Sang Bai Pi (Mori Cortex) (stir-fried, 1 liang) Bei Mu (Fritillariae Bulbus) (2.5 qian) Jie Geng (Platycodonis Radix)
(stir-fried, 2.5 qian) Zi Su (Perillae Folium) (5 qian) Bing Lang (Areca Seed) (5 qian) Mu Xiang (Aucklandiae Radix) (5 qian) Xing Ren (Prunus Armeniaca Seed) (skin removed, stir-fried, 8 qian) Wu Wei Zi (Schisandrae Chinensis Fructus) (8 qian) Ma Dou Ling (Aristolochiae Manshuriensis Caulis) (2.5 qian)
Grind all into powder. Prepare honey pills, sized like longan seeds. Take one pill per dose, dissolved and taken with Jiang Tang (Ginger Decoction).
One discussion presents a miraculous formula for Xiao'er (Pediatric) throat obstruction by phlegm causing severe asthma. Use Ba Dou (Crotonis Fructus), pounded into a paste to form one pill. Wrap in cotton. Insert into the left nostril for males, right nostril for females. The phlegm will immediately descend.