暴喘而胀满也。田氏云∶暴喘，俗传为马脾风也，大小便哽，宜急下之，用牛黄
夺命散，后用白虎汤平之。马脾风在百日内者不治。
牛黄夺命散 治小儿肺胀喘满，胸膈起急，两胁扇动，陷下作坑，两鼻窍张，闷乱
嗽喝，声嗄而不鸣，痰涎潮塞，俗云马脾风，若不治，死在旦夕。
白牵牛 黑牵牛（各一两，半生半熟） 川大黄 槟榔（各一两）
上为细末。三岁儿每服二钱，冷浆水调下。涎多，加腻粉少许，无时，加蜜少许。
无价散 治风热喘促，闷乱不安，俗谓之马脾风。
辰砂（二钱半） 轻粉（五钱） 甘遂（面裹者，焙干，一钱半）
上为细末。每服一字，用温浆水少许，入滴油一点，挑药在上，沉下去，却以
浆水灌之，立效。
又一法，小儿喘胀，俗谓之马脾风，又谓之风喉者。以草茎量病儿手中指里近
掌纹至中指尖截断，如此二茎，自乳上微斜直立，两茎于稍尽头横一茎，两头尽头
点穴，灸三壮，此法多曾见愈。
《万全方》小儿有惊啼，有夜啼，有躯啼。夫惊啼者，由风邪乘心，脏腑生热，
热则精神不定，睡卧不安，故惊啼。夜啼者，脏冷也，夜则阴盛，阴盛相感，痛甚
于昼，故令夜啼。一云有犯触禁忌，亦令儿夜啼，可作法术断之。其躯啼者，由腹
中痛甚，儿身躯张，气蹙而啼也。又有胎寒而啼者，此儿在胎时已受病也，其状肠
胃虚冷，不消乳哺，腹胀下痢，颜色青白，而时或啼叫是也。〔薛〕悲哭者，肺之
声，泪者，肝之液也，若六脉弦紧者，先以温汤渍其身取汗，次以凉膈散之类清其
内热，此张子和治法如此。若因乳母怒火遗热于肝，肝火炎炽，反侮肺金，金木相
击，故悲哭有声者，宜用六君、柴胡、山栀以补脾清肝，用六味丸以壮水生木。
有因惊风，过服祛风燥血之药而致者，有因吐泻内亡津液而致者，及禀父肾阴不足
不能生肝者，治各审之。若小儿忽然大啼作声，丹溪谓必死，此禀肾阴不足，虚火
炎上故也，用六味丸多有生者。仍参览夜啼、客忤、惊啼、重舌、口疮、天钓、内钓等证。
钱氏蝉花散 治惊风夜啼，切牙咳嗽，及疗咽喉壅痛。
蝉花（和壳） 白僵蚕（直者，酒炒熟） 甘草（炙。各一分） 延胡索（半分）
上为末。一岁一字，四五岁半钱，蝉壳汤下。
《本事方》治小儿拗哭。龙齿散
龙齿 蝉壳（去翅足泥土） 钓藤（有钩子者） 羌活 茯苓 人参（各等分）
上为末。每服一大钱，煎六分，去渣，温热服。
子和治一小儿悲苦，弥日不休，两手脉弦而紧。戴人曰，心火甚则乘肺，肺不
受其屈故哭。肺主悲，王太仆云∶心烁则痛甚，故烁甚悲亦甚。先令浴，以温汤
渍形以为汗也，肺主皮毛，汗出则肺热散，浴止而啼亦止矣。仍命服凉膈散加当
归、桔梗，以竹叶、生姜、朴硝同煎服，泻膈中之邪热。
暴发性气喘并伴有胸腹胀满。田氏说：暴喘，民间俗称马脾风，大小便不通畅，应当紧急使用泻下法治疗，用牛黄夺命散，之后用白虎汤来平复病情。百日内的婴儿患马脾风者难以治愈。
牛黄夺命散 治疗小儿肺胀气喘胸满，胸膈部拘急，两胁扇动，肋间凹陷成坑，鼻孔张开，烦闷混乱，咳嗽气促，声音嘶哑不能鸣响，痰涎如潮堵塞，俗称为马脾风，如果不治疗，死亡就在旦夕之间。
白牵牛 黑牵牛（各一两，半生用半熟用） 川大黄 槟榔（各一两）
以上药物研为细末。三岁的幼儿每次服用二钱，用冷浆水调服。痰多者，加少许腻粉；无固定时间服药，可加少许蜂蜜。
无价散 治疗风热引起的气喘急促，烦闷不安，俗称为马脾风。
辰砂（二钱半） 轻粉（五钱） 甘遂（用面包裹者，焙干，一钱半）
以上药物研为细末。每次服用一字量，用少量温浆水，滴入一点油，将药挑在油上，使其沉下去，然后用浆水灌服，立即见效。
另一种方法，小儿气喘胀满，俗称为马脾风，又被称为风喉。用草茎测量患儿手中指内侧近掌纹处至中指指尖的长度并截断，取两根这样的草茎，从乳头上方微斜直立放置，两根稍尽头处横向放置一根，在两头尽头处点穴，灸三壮，此法我多次见到治愈的案例。
《万全方》记载小儿有惊啼、夜啼、躯啼。所谓惊啼，是由于风邪侵袭心脏，脏腑产生内热，热盛则精神不定，睡卧不安，所以发生惊啼。所谓夜啼，是因为内脏寒冷，夜间阴气旺盛，阴盛与脏寒相感，疼痛比白天更甚，所以导致夜啼。另一种说法是触犯禁忌，也会导致小儿夜啼，可以用法术来解除。所谓躯啼，是由于腹中剧烈疼痛，小儿身体伸展紧张，气机紧迫而啼哭。还有因胎寒而啼哭的，这是胎儿在母体内时已受病所致，其症状表现为肠胃虚冷，不能消化乳食，腹胀腹泻，面色青白，时而啼叫。〔薛〕悲哭，是肺的声音表现，泪液是肝的体液表现，如果六脉弦紧，先用温水浸泡身体取汗，再用凉膈散之类清除内部热邪，这是张子和的治疗方法。如果是由于乳母怒火将余热遗留给肝脏，肝火炎炽，反侮肺金，金木相击，所以出现悲哭有声的情况，宜用六君子汤、柴胡、山栀来补脾清肝，用六味丸来壮水以生木。有的因惊风，过服祛风燥血药物而导致，有的因吐泻导致体内津液亡失而导致，以及禀赋父亲肾阴不足不能生肝导致的，治疗时需仔细审察。如果小儿突然大声啼哭，丹溪认为必死无疑，这是因为禀赋肾阴不足，虚火上炎所致，使用六味丸多有存活者。仍参考夜啼、客忤、惊啼、重舌、口疮、天钓、内钓等证候。
钱氏蝉花散 治疗惊风夜啼，磨牙咳嗽，以及治疗咽喉壅痛。
蝉花（带壳） 白僵蚕（直挺者，酒炒熟） 甘草（炙。各一分） 延胡索（半分）
以上研为末。一岁的幼儿服用一字量，四五岁幼儿服用半钱，用蝉壳汤送服。
《本事方》治疗小儿拗哭。龙齿散
龙齿 蝉壳（去掉翅足泥土） 钩藤（有钩子者） 羌活 茯苓 人参（各等分）
以上研为末。每次服用一大钱，煎煮至六分，去渣，温热服用。
张子和治疗一个悲伤痛苦的小儿，整天不停啼哭，两手脉象弦而紧。戴人说，心火极盛会乘袭肺脏，肺不接受这种委屈所以哭泣。肺主悲，王太仆说：心被灼烁则疼痛剧烈，所以灼烁严重则悲伤也严重。先让患儿洗澡，用温水浸泡身体使出汗，肺主皮毛，汗出则肺热消散，洗澡停止后啼哭也就停止了。仍然命令服用凉膈散加当归、桔梗，用竹叶、生姜、朴硝同煎服用，以泻除膈中的邪热。
Sudden onset of panting accompanied by chest and abdominal distension. Tian stated: Sudden panting, commonly known in folk medicine as Ma Pi Feng (Horse Spleen Wind), with obstruction of urination and defecation, requires urgent purgation using Niuhuang Huoming San (Calculus Bovis Decoction to Seize Life). Subsequently, Baihu Tang (White Tiger Decoction) should be used to calm the condition. Infants under one hundred days old suffering from Ma Pi Feng are considered incurable.
Niuhuang Huoming San (Calculus Bovis Decoction to Seize Life) treats pediatric lung distension with panting and fullness, urgency in the chest and diaphragm, flapping of the two hypochondria, sunken intercostal spaces forming pits, dilated nostrils, mental restlessness, coughing with dyspnea, hoarse voice without sound, and tidal accumulation of phlegm-fluid obstructing the airways. Commonly called Ma Pi Feng (Horse Spleen Wind); if untreated, death occurs within a day or night.
Bai Qian Niu (Radix et Semen Phytolaccae, White) Hei Qian Niu (Radix et Semen Phytolaccae, Black) [each 1 liang, half raw and half cooked] Chuan Da Huang (Radix et Rhizoma Rhei, Sichuan) Bing Lang (Areca Seed) [each 1 liang]
Grind all into fine powder. For a three-year-old child, administer 2 qian per dose, mixed with cold Jiang Shui (fermented rice water). If there is excessive phlegm, add a small amount of Ni Fen (Calomel); take at any time, adding a little honey.
Wujia San (Priceless Powder) treats panting and rapid breathing caused by wind-heat, with mental restlessness and unease, commonly called Ma Pi Feng (Horse Spleen Wind).
Chen Sha (Cinnabar) [2.5 qian] Qing Fen (Calomel) [5 qian] Gan Sui (Radix Euphorbiae Kansui, wrapped in flour, baked dry) [1.5 qian]
Grind all into fine powder. Administer 1 zi (a very small measure) per dose. Use a small amount of warm Jiang Shui (fermented rice water), add one drop of You (oil), place the medicine on top of the oil so it sinks, then pour in the Jiang Shui. Effect is immediate.
Another method: For pediatric panting and distension, commonly called Ma Pi Feng (Horse Spleen Wind) or also referred to as Feng Hou (Wind Throat). Measure a grass stem from the proximal palmar crease near the middle finger base to the tip of the middle finger of the sick child, and cut it. Take two such stems. Place them slightly obliquely and upright starting from above the nipple. At the upper ends of these two stems, place a third stem horizontally. Point acupoints at both ends of this horizontal stem and apply moxibustion for three zhu (cones). This method has been seen to cure many cases.
The Wan Quan Fang records that children have Jing Ti (Frightened Crying), Ye Ti (Night Crying), and Qu Ti (Body Crying). Jing Ti (Frightened Crying) arises when wind-pathogen invades the Heart, generating heat in the zang-fu organs. Heat causes instability of spirit and restless sleep, leading to frightened crying. Ye Ti (Night Crying) is due to cold in the viscera; at night, yin is abundant. Yin abundance resonates with visceral cold, causing pain worse than during the day, thus leading to night crying. Another view suggests that violating taboos can also cause night crying, which can be resolved through ritual magic. Qu Ti (Body Crying) results from severe abdominal pain, where the child stretches the body tightly, qi becomes constrained, and cries. There is also crying due to Tai Han (Fetal Cold), meaning the child contracted illness while in the womb. Symptoms include deficiency-cold of the intestines and stomach, inability to digest milk and food, abdominal distension, diarrhea, bluish-white complexion, and intermittent crying. [Xue] Bei Ku (Sad Crying) is the vocal expression of the Lung; tears are the fluid of the Liver. If the six pulses are wiry and tight, first soak the body in warm water to induce sweating, then clear internal heat using formulas like Liang Ge San (Cool the Diaphragm Powder). This is the treatment method of Zhang Zihe. If caused by the nursing mother's anger leaving residual heat in the Liver, causing Liver fire to blaze and counter-rebelling against Lung Metal, with Metal and Wood clashing, resulting in sad crying with sound, use Liu Jun Zi Tang (Six Gentlemen Decoction), Chai Hu (Bupleurum Root), and Shan Zhi (Gardenia Fruit) to tonify the Spleen and clear the Liver, and use Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) to strengthen Water to generate Wood. Some cases result from overuse of wind-dispelling and blood-drying drugs for convulsions; some from loss of body fluids due to vomiting and diarrhea; and some from congenital insufficiency of the Father's Kidney Yin failing to generate Liver Wood. Treatment must be carefully examined. If a child suddenly cries loudly, Danxi considered it a sign of impending death, attributed to congenital Kidney Yin insufficiency causing deficient fire to flare upward. Using Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) often leads to survival. Refer also to syndromes such as Ye Ti (Night Crying), Ke Wu (Guest Malevolent Influence), Jing Ti (Frightened Crying), Chong She (Double Tongue), Kou Chuang (Mouth Sores), Tian Diao (Heavenly Angling/Convulsion), and Nei Diao (Internal Angling/Colic).
Qian Shi Chan Hua San (Chanhua Powder by Qian Yi) treats convulsions with night crying, teeth grinding and coughing, and also treats throat obstruction and pain.
Chan Hua (Cordyceps Militaris with Shell) Bai Jiang Can (Bombyx Batryticatus, straight ones, stir-fried with wine until cooked) Gan Cao (Licorice Root, honey-fried) [each 1 fen] Yan Hu Suo (Corydalis Rhizome) [0.5 fen]
Grind into powder. For a one-year-old, administer 1 zi; for four- to five-year-olds, administer 0.5 qian. Take down with Chan Ke Tang (Shell of Cicada Decoction).
Ben Shi Fang treats stubborn crying in children. Long Chi San (Dragon Tooth Powder)
Long Chi (Dental Fossils) Chan Ke (Periostracum Cicadae, remove wings, feet, and dirt) Gou Teng (Uncaria Rhynchophylla, those with hooks) Qiang Huo (Notopterygium Rhizome) Fu Ling (Poria) Ren Shen (Ginseng Root) [each equal parts]
Grind into powder. Administer 1 da qian per dose. Decoct with sufficient water to yield 6 fen, strain, and take warm.
Zhang Zihe treated a child who was bitterly crying ceaselessly throughout the day. The pulses in both hands were wiry and tight. Dai Ren said: Excessive Heart Fire attacks the Lung. The Lung does not accept this oppression, hence the crying. The Lung governs grief. Wang Taipu stated: When the Heart is scorched, pain is severe; thus, when scorching is severe, grief is also severe. First, instruct the patient to bathe, soaking the body in warm water to induce sweat. The Lung governs the skin and hair; when sweat is released, Lung heat dissipates. Once bathing stops, crying also ceases. Instruct the administration of Liang Ge San (Cool the Diaphragm Powder) added with Dang Gui (Angelica Sinensis Root) and Jie Geng (Platycodon Root), decocted together with Zhu Ye (Bamboo Leaf), Sheng Jiang (Fresh Ginger), and Po Xiao (Mirabilite) to drain pathogenic heat from the diaphragm.