小儿痰喘。痰或作喘。彼不知吐。须用法取之。若不取吐。痰老难治。肺虚喘声短。实则喘声
长。虚补实泄。法用分阴阳。运八卦。运五经。掐四横纹。干离重推。补脾土。小便赤。清天河。退六
腑。飞金走气。嘴唇红。按弦走搓摩。揉脐及肩井。曲池。气喘。合阴阳。又总筋。清天河立止。气吼
发热。揉承山。天门入虎口。揉 肘。赤凤摇头。飞金走气。痰盛。眼欲上窜。头往上昂。掐两乳下
一指期门穴。即止。痰迷心。清心经。清肺经。揉外牢宫。揉向导。掐五指节。天门虎口 肘。
分阴阳。运八卦。清心经。大陵推至外牢。左转三来右一摩。如不吐。口念咒云。无凡火不成
天火。无凡水不成仙水。用生矾。（儿小三厘、大用五厘。）将滚水冲之。左手三叉诀托水盅。右手用剑
诀向水碗上。书涤痰大将军 令。书毕。书符\r图\p03-b30b1.bmp\r。有食写食字。无食写火字。将水与小儿
饮之。半个时辰其痰即吐。止吐法。分阴阳。运八卦。掐心经。左转揉之。揉干离。掐外牢宫。左转。推三
关。掐大陵位。左转。清肺经。补脾土。掐涌泉。左转。其吐即止。如再吐。是火热。宜补脾土。运八卦。干
离重推。将手掌搓热。揉小儿心窝左转。即止。化痰。多掐五指节。痰壅。揉涌泉穴。左揉肺气盛。
右揉心火泄。
小儿出现痰喘症状，或者因痰而引发喘息。患儿自己不知道通过呕吐来排出痰液，必须使用手法促使他们吐出。如果不采用催吐的方法，老痰难以治愈。肺虚引起的喘息，声音短促；实证引起的喘息，声音悠长。治疗原则是虚证用补法，实证用泻法。具体手法包括：分阴阳、运八卦、运五经、掐四横纹。对于干症（燥热），要重推离卦；脾土虚弱需补益脾土。若小便颜色深红，则清天河水、退六腑，并运用“飞金走气”法。若嘴唇发红，则按弦走搓摩，揉脐部及肩井穴、曲池穴以缓解气喘。再行合阴阳、总筋操作，清天河水可立即止喘。若伴有气吼和发热，则揉承山穴，进行天门入虎口操作，揉肘部，施赤凤摇头法和飞金走气法。若痰盛且眼睛有上翻趋势，头部后仰，掐两乳下一指处的期门穴，症状即可停止。若痰迷心窍，则清心经、清肺经，揉外劳宫穴，揉向导穴，掐五指节，进行天门入虎口及揉肘操作。
分阴阳、运八卦、清心经。从大陵穴推至外劳宫，左转三次，右转一次按摩。如果仍不呕吐，口中念咒语：“无凡火不成天火，无凡水不成仙水。”使用生矾（幼儿用量三厘，成人或较大儿童用量五厘），用滚开水冲化。左手结三叉诀托住水盅，右手结剑诀在水碗上方书写“涤痰大将军令”。写完命令后，画符图。如果有积食，写“食”字；若无积食，写“火”字。将水给小儿喝下，半个时辰后痰即会吐出。
止吐的手法：分阴阳、运八卦、掐心经并左转揉动，揉干离穴，掐外劳宫穴并左转，推三关，掐大陵穴并左转，清肺经，补脾土，掐涌泉穴并左转，呕吐即可停止。如果再次呕吐，说明体内有火热之邪，宜补脾土、运八卦、重推干离穴。将手掌搓热，顺时针揉小儿心窝部位，呕吐即可停止。
Pediatric phlegm-wheezing occurs, or wheezing is induced by phlegm. The child does not know how to expectorate (spit out) the phlegm; specific techniques must be employed to induce vomiting. If expectoration is not induced, old phlegm becomes difficult to treat. Wheezing due to Lung deficiency presents with short breath sounds, while wheezing due to excess presents with long breath sounds. The therapeutic principle is tonification for deficiency and purgation for excess. Techniques include: Fen Yin Yang (Dividing Yin and Yang), Yun Ba Gua (Moving the Eight Trigrams), Yun Wu Jing (Moving the Five Meridians), and Qia Si Heng Wen (Pinching the Four Horizontal Lines). For dryness-heat conditions, heavy pushing on the Li trigram is applied; Tonify Spleen Earth if the Spleen is deficient. If urine is dark red, clear He Tian He (River of Heaven), push back Liu Fu (Six Bowels), and apply Fei Jin Zou Qi (Flying Metal Moving Qi). If lips are red, perform An Xian Zuo Cuo Mo (Pressing the String and Rubbing), rub the navel, Jian Jing (GB21), and Qu Chi (LI11) to relieve asthma. Then perform He Yin Yang (Combining Yin and Yang) and Zong Jin (General Tendon); clearing He Tian He can immediately stop wheezing. If accompanied by noisy breathing and fever, rub Cheng Shan (BL57), perform Tian Men Ru Hu Kou (Heaven's Gate Entering Tiger's Mouth), rub the elbow, apply Chi Feng Yao Tou (Red Phoenix Shaking Head), and Fei Jin Zou Qi. If phlegm is abundant with eyes rolling upward and head tilted back, pinch Qi Men (LR14), located one finger-width below both nipples, to stop symptoms. If phlegm confuses the Heart, clear Xin Jing (Heart Meridian), clear Fei Jing (Lung Meridian), rub Wai Lao Gong (EX-UE8), rub Xiao Dao (Guide Point), and pinch Wu Zhi Jie (Five Finger Joints); perform Tian Men Ru Hu Kou and elbow rubbing.
Perform Fen Yin Yang, Yun Ba Gua, and clear Xin Jing. Push from Da Ling (PC7) to Wai Lao Gong, rotate left three times, then rotate right once while massaging. If vomiting does not occur, recite the spell: "Without mundane fire, there is no heavenly fire; without mundane water, there is no immortal water." Use Alum (Sheng Fan): 3 li for infants, 5 li for older children. Dissolve in boiling water. Hold the cup with the left hand forming the Three-Forked Seal, and use the Sword Seal with the right hand to write the command "Da Jiang Jun Ling of Phlegm-Detoxifying General" over the bowl. After writing the command, draw a talisman. Write the character "Shi" (Food) if there is food retention; write "Huo" (Fire) if there is none. Give the water to the child to drink. Within half an hour, the phlegm will be vomited up.
To stop vomiting: Perform Fen Yin Yang, Yun Ba Gua, pinch Xin Jing and rotate left while rubbing, rub Gan Li points, pinch Wai Lao Gong and rotate left, push San Guan (Three Passes), pinch Da Ling and rotate left, clear Fei Jing, tonify Pi Tu (Spleen Earth), pinch Yong Quan (KI1) and rotate left. Vomiting will cease. If vomiting recurs, it indicates internal heat-fire; tonify Pi Tu, Yun Ba Gua, and heavily push Gan Li. Rub the palms until warm, then clockwise rub the child's epigastrium (heart pit) to stop vomiting.
For resolving phlegm: Frequently pinch Wu Zhi Jie. If phlegm is obstructive, rub Yong Quan. Rubbing left dissipates excessive Lung Qi; rubbing right dissipates Heart Fire.