《巢氏病源》小儿马痹候∶马痹与喉痹相似，亦是风热毒瓦斯客于咽喉颔颊之间，与血气相搏，结聚肿痛，其
状从颔下肿连颊，应喉内痛肿塞，水浆不下，甚者脓溃。毒若攻心，则心烦懊闷至死。
《千金》凡喉痹深肿连颊，吐气数者，名马喉痹，治之方。
上以马衔一具，水二升，煮取一升，分三服。
《千金》又方
上以马鞭草根一握，勿中风，截去两头，捣取汁服。
《千金翼》治马喉痹方。
上烧马蔺根灰一方寸匕，烧桑枝，沥汁和服。
太医局解毒雄黄丸 解毒，治缠喉风及急喉痹，卒然倒仆，失音不语，或牙关紧急，不省人事方。
雄黄（飞） 郁金（各一钱） 巴豆（去皮，出油，二七个）
上为末，醋煮，面糊为丸如绿豆大。用热茶清下七丸，吐出顽涎，立便苏省。未吐，再服。善治缠喉风及
走马喉闭，卒死倒地，失音不语，以至牙关紧硬，不知人事。如至死者，心头犹热，灌药不下，即以刀尺铁
匙斡开口灌之，但药下喉咙，无有不活，吐泄些小无妨。及上膈壅热，痰涎不利，咽喉肿痛，赤眼痈肿，一
切毒热并宜服之。如小儿患喉咙赤肿及惊热痰涎壅塞，服二丸或三丸。量儿大小加减。
《养生必用》治缠喉风，咽中如束气不得通方。
蛇蜕（炙） 当归（切，焙，等分）
上为末，温酒一钱，得吐为良。未效再作，切忌针灸。
《张氏家传》异功散 治缠喉风，诈腮，喉闭及咽喉一切患方。
盆硝（一两） 甘草（炙，六钱） 诃子肉 白僵蚕 贯众 马勃 蛇蜕皮（点油、醋，慢火炒令黄色。各半两） 硼
砂元精石（各一两）
上为细末。每服用一字，以芦筒子吹咽喉内。缠喉风，磨刀水调下半钱，寻常置舌根下用。
《张氏家传》治缠喉风，喉闭，牙宣，牙痈，走马疳，口疮等方。
上蚕蜕纸烧存性，少入龙脑，蜜丸如鸡头大。含化，小儿减少。如牙宣痈肿，揩贴龈上，如有走马牙疳
加麝香擦贴立愈。
《庄氏家传》治小儿急喉闭及缠喉风方。
元参 鼠粘子（半生半熟，炒，为末。各一两）
上二味为末。新汲水调下立瘥。
安师传缠喉风药方。
上以火炊草一大把，舂烂，用水一钵，冲取汁漱，咽中渐宽，即下小续命汤加蔓荆子、何首乌、薄荷、
荆芥各少许，与小续命汤多少相等咽下，使一人守之，连数服，肿消乃退。
《巢氏病源》中关于小儿马痹的论述：马痹与喉痹症状相似，也是风热毒气侵袭咽喉、下颌及面颊之间，与气血相互搏结，导致局部聚集、肿胀疼痛。其表现是从下颌下方肿胀蔓延至面颊，对应咽喉内部疼痛、肿胀堵塞，导致无法进食饮水，严重的会出现化脓溃烂。如果毒邪攻心，则会导致心烦意乱、郁闷直至死亡。
《千金方》记载：凡是喉痹深重肿胀并连及面颊，呼吸急促者，称为马喉痹，治疗此病的方剂如下。
取马衔（马嚼子）一副，加水二升，煎煮至一升，分三次服用。
《千金方》又一方：
取马鞭草根一把，注意避免受风，截去两头，捣碎取汁服用。
《千金翼方》治疗马喉痹的方剂。
取马蔺根灰一方寸匕，桑枝烧成灰后沥取汁液，混合后服用。
太医局解毒雄黄丸：具有解毒功效，治疗缠喉风及急喉痹，突然昏倒仆地，失音不能言语，或者牙关紧闭，不省人事的方剂。
雄黄（飞研） 郁金（各一钱） 巴豆（去皮，去油，二十七个）
将上述药物研为细末，用醋煮，面粉糊制成如绿豆大小的丸药。用热茶送服七丸，吐出顽固痰涎后，患者立即苏醒。若未吐出痰涎，可再次服用。本方善于治疗缠喉风及走马喉闭，突然死亡倒地，失音不能言语，乃至牙关紧硬，不知人事。如果是假死状态，心头尚有余温，灌药不下，可用刀背、尺子或铁匙撬开嘴巴灌药，只要药进入喉咙，没有救不活的，出现轻微的吐泻无妨。此外，对于上焦壅滞之热，痰涎不利，咽喉肿痛，赤眼痈肿，一切毒热证候都适宜服用。如果小儿患喉咙红肿及惊热痰涎壅塞，服用两丸或三丸。根据患儿年龄大小酌情加减。
《养生必用》治疗缠喉风，感觉咽喉中有束气感导致不通畅的方剂。
蛇蜕（炙烤） 当归（切片，焙干，等量）
将上述药物研为细末，用一钱温酒调服，以能吐出痰涎为佳。若无效可再制，切忌使用针灸。
《张氏家传》异功散：治疗缠喉风，腮部肿胀，喉闭以及咽喉各类疾病的方剂。
盆硝（一两） 甘草（炙，六钱） 诃子肉 白僵蚕 贯众 马勃 蛇蜕皮（点油、醋，慢火炒至黄色。各半两） 硼砂 元精石（各一两）
将上述药物研为极细粉末。每次服用“一字”的量，用芦管筒吹入咽喉内。治疗缠喉风时，用磨刀水调服半钱，平时可置于舌根下含用。
《张氏家传》治疗缠喉风，喉闭，牙宣，牙痈，走马疳，口疮等的方剂。
将蚕蜕纸烧至存性，加入少量龙脑，蜂蜜制成如鸡头大小的丸药。含化，小儿用量减少。如果是牙宣痈肿，涂抹擦拭牙龈上；如果是走马牙疳，加麝香擦拭贴敷，立即痊愈。
《庄氏家传》治疗小儿急喉闭及缠喉风的方剂。
玄参 鼠粘子（一半生用一半熟用，炒后研为细末。各一两）
将这两味药研为细末。用新汲取的凉水调服，立即可愈。
安师传授的治疗缠喉风的药方。
取一大把火炊草，捣烂，用一钵水冲取汁液漱口，咽喉逐渐宽松后，再服用小续命汤，并加入蔓荆子、何首乌、薄荷、荆芥各少许，小续命汤与添加药物的分量相等，一并咽下。需派人看护，连续服用数剂，待肿胀消退后方可停药。
*Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) on the syndrome of pediatric Ma Bi (Horse Bi): Ma Bi is similar to Hou Bi (Throat Bi). It is also caused by wind-heat toxic qi lodging between the throat, mandible, and cheeks, clashing with blood and qi, leading to accumulation, swelling, and pain. The manifestation involves swelling from below the mandible extending to the cheeks, corresponding to pain, swelling, and blockage inside the throat, preventing the intake of water or fluids. In severe cases, pus may form and ulcerate. If the toxin attacks the heart, it causes mental restlessness and oppression, potentially leading to death.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) records: Whenever Hou Bi is deep and swollen, extending to the cheeks, accompanied by rapid breathing, it is named Ma Hou Bi (Horse Throat Bi). The prescription for treating this condition is as follows.
Take one horse bit (Ma Xian), add two sheng of water, boil until one sheng remains, and divide into three doses for oral administration.
Another prescription in *Qian Jin Fang*:
Take a handful of Rhizoma Patriniae (Mabiancao), avoid exposure to wind, cut off both ends, crush to extract juice, and administer orally.
A prescription from *Qian Jin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold) for treating Ma Hou Bi.
Take one cun-bi of ash from burned Radix Iridis Tectorii (Malin), burn mulberry branches, squeeze out the juice, mix, and administer orally.
Taiyi Ju Jiedu Xionghuang Wan (Imperial Medical Bureau Detoxifying Realgar Pill): Has detoxifying effects; treats Chan Hou Feng (Coiling Throat Wind) and Ji Hou Bi (Acute Throat Bi), sudden collapse, aphonia, or trismus with loss of consciousness.
Xionghuang (Realgar, washed/ground) and Yujin (Radix Curcumae Longae) (each 1 qian); Badou (Fructus Crotonis Tiglii, peeled, oil removed, 27 seeds).
Grind the above into powder, cook with vinegar, and bind with wheat paste to make pills the size of mung beans. Administer seven pills with warm clear tea. Vomiting out stubborn phlegm will lead to immediate recovery. If vomiting does not occur, administer again. This formula is effective for Chan Hou Feng and Zouma Hou Bi (Running Horse Throat Closure), sudden collapse resembling death, aphonia, trismus, and unconsciousness. In cases of apparent death where warmth remains at the heart region and oral administration is difficult, use a knife handle, ruler, or iron spoon to pry open the mouth and instill the medicine. Once the medicine enters the throat, survival is assured; slight vomiting or diarrhea is acceptable. It is also suitable for upper jiao heat congestion, difficult phlegm discharge, sore throat and swelling, red eyes, carbuncles, and all toxic heat conditions. For children suffering from red and swollen throat, fright-heat, and phlegm congestion, administer two or three pills, adjusting dosage according to age and size.
*Tang Sheng Bi Yong* (Must-Haves for Health Preservation) for treating Chan Hou Feng, where the throat feels constricted like a band preventing passage.
Shetui (Ophichus Skin, roasted) and Danggui (Radix Angelicae Sinensis, sliced, dried) in equal parts.
Grind into powder, take 1 qian with warm wine. Efficacy is indicated by vomiting. If ineffective, prepare another dose. Acupuncture and moxibustion are strictly contraindicated.
Zhang Shi Jia Chuan Yigong San (Zhang Family Transmission Miracle Power Powder): Treats Chan Hou Feng, parotid swelling, Hou Bi, and all throat diseases.
Penxiao (Saltpeter, 1 liang); Gancao (Radix Glycyrrhizae, roasted, 6 qian); Hezi Rou (Endocarpium Chebulae); Baijiangcan (Bombyx Batryticatus); Guanzhong (Rhizoma Cyperi Rotundi); Mabo (Pulvis Phallusi Imperialis); Shetupi (Ophichus Skin, treated with oil and vinegar, slow-roasted until yellow, each 0.5 liang); Pengsha (Borax); Yuanjingshi (Yuanjing Stone) (each 1 liang).
Grind into fine powder. For each dose, use an amount equivalent to "one character" (approx. 0.3-0.5g), and insufflate into the throat using a reed tube. For Chan Hou Feng, mix with whetstone water and take half a qian; otherwise, place under the tongue root for routine use.
Zhang Shi Jia Chuan prescription for Chan Hou Feng, Hou Bi, Ya Xuan (Gum Recession), Ya Yong (Dental Abscess), Zouma Gan (Running Horse Gangrene), and Kou Chuang (Oral Ulcers).
Burn Can Tuizhi (Paper made from silkworm cast skins) until carbonized but retaining properties, add a small amount of Longnao (Borneolum Syntheticum), and bind with honey to make pills the size of a chestnut. Hold in mouth to dissolve; reduce dosage for children. For Ya Xuan and abscesses, apply externally to the gums. For Zouma Ya Gan, add Shexiang (Moschus) for external application, which leads to immediate cure.
Zhuang Shi Jia Chuan prescription for pediatric Ji Hou Bi (Acute Throat Closure) and Chan Hou Feng.
Xuanshen (Radix Scrophulariae Ningpoensis); Niuzi (Fructus Arctii Lappaee, half raw half cooked, roasted, ground, each 1 liang).
Grind these two ingredients into powder. Mix with fresh well water and administer orally for immediate recovery.
An Shi's transmitted prescription for Chan Hou Feng.
Take a large handful of Huochui Cao (Fire-cooking Grass), pound until mashed, mix with one bowl of water, squeeze out juice, and gargle. As the throat gradually loosens, administer Xiao Xuming Tang (Minor Continuation of Life Decoction) supplemented with Manjingzi (Fructus Viticis Negundo), Heshouwu (Radix Polygoni Multiflori), Bohe (Herba Menthae haplocalycis), and Jingjie (Herba Schizonepetae), each in small amounts. The quantity of Xiao Xuming Tang should be equal to the added herbs. Swallow together while being monitored. Continue for several doses until swelling subsides before stopping.