喘急者，痰气盛也。
一捻金 治小儿风痰吐沫、气喘咳嗽、肚腹膨胀、不思饮食。小儿肺胀喘嗽，多人看作风喉；大
黄、槟榔、二牵牛，人参分两等求；五味研成细末，蜜水调量稀稠；每将一字下咽喉，不用神针法灸。
上其症，肺胀喘满，胸高气急，两胁摇动、陷下作坑，两鼻窍张、闷乱嗽渴，声嘎不鸣，痰涎涌
塞，俗云马脾风。若不急治，死于旦夕也。
治小儿喉中痰壅喘甚 用巴豆一粒捣烂，作一丸，以棉花包裹，男左女右塞鼻，痰即坠下，效。
一小儿患喘，服发汗之剂，汗出而喘益甚。用异功散顿愈；又用六君子汤而痊愈。（方见补益。）
一小儿有哮病，其母遇劳即发，儿饮其乳亦嗽。用六君子、桔梗、桑皮、杏仁治之，母子并愈。
（方见补益。）
小儿初生，宜先浓煎黄连甘草汤，急用软绢或丝绵包指蘸药，抠退场门中恶血。倘或不及，即以药
汤灌之，待吐出恶沫，方与乳吃。令出痘亦稀，诸毒疮亦少。
一初生三五月，宜绷缚令卧。勿竖头抱出，免致惊痫。
一乳与食，宜相远，不宜一时混吃，令儿生疳癖痞积。
一宜用七八十岁老人旧裙，旧袄改作小儿衣衫，真气相滋，令儿有寿。富贵之家，切不宜新制 丝
绫罗毡绒之类与小儿穿，不唯生病，抑且折福，必致夭殇。
一小儿生四五个月，止与乳吃；六个月以后，方与稀粥哺之；周岁以前，切不可吃荤腥并生冷之物，
令儿多疾。若待二三岁后，脏腑稍壮，才与荤腥方好。
延生第一方 小儿初生，脐带脱落，收置新瓦上，用炭火四围烧，至烟将尽，放土地上，用
瓦盏之类盖之存性，研为细末；预将朱砂透明者为极细末，水飞过，脐带若有五分重，朱砂用二分五
厘，生地黄、当归身煎浓汁一二蚬壳，调和前两味，抹儿上 间及乳母乳头上，一日之内，晚至尽；
次日，大便遗下秽污浊垢之物，终身永无疮疹及诸疾，生一子则得一子，十分妙法也。
涤秽免痘汤 用练树子一升，至正月初一日子时，父母只令一人知，将练子煎汤，待温，洗儿
全身头面上下，以去胎毒。洗后，不出痘疹。如出亦轻，或只三五颗而已。
一方 用五六月间收丝瓜小小蔓藤阴干，约重二两半收起，煎汤洗。
一方 用葫芦上藤蔓，如前法亦可。
稀痘万金丹 治婴儿未出痘时，胎毒在脏腑，因时气而发也。如在春秋二分，每服一丸，使痘
毒渐消，出时稀少。如遇出痘时气，身一发热，即磨服一丸，毒从大便而出。若有黑陷倒靥，化下一
丸，即起死回生。如痘出至七日，若服，恐泄元气。修合者不可加减，以取不效。
麻黄根 升麻（各一两半） 羌活 桦皮 茜草根 栝蒌根 鼠粘子（炒） 天麻 连翘（各一两）
当归 芍药 川芎（各七钱）
上锉作片，用水五升，煎至半升，去渣，入银器内，以汤顿成膏，入炼蜜少许，调匀，入后药∶
朱砂（五钱）、 冰片、雄黄（各五分）、虾蟆灰（一钱半）、麝香（七分）、全蝎（十四个，炙）。上
为末，入前药和匀，分作十丸，以蜡封之，如弹子大，临时用猪心血、或兔血调匀，热酒调下，温服。
凡初生小儿，口 并牙根生白点，名马牙，不能食乳。此与鹅口不同，少缓即不能救，多致夭伤。
急用针缚箸头上，将白点挑破出血，用好京墨磨薄荷汤，以手指捻母油头发蘸墨遍口 擦之。勿令乳食。
待睡一时，醒方与乳食，再擦之。
小儿不时变蒸，变者，异常也，蒸者，发热也，所以变换五脏、蒸养六腑，须要变蒸多变，气血方荣，
骨脉始长，情性有异，则后来出痘轻可。凡变蒸，不宜服药。或因伤食、因伤风、因惊吓等项夹杂，相
值而发，令人疑感，亦须守候一二日，俟病势真的，是食则消食，是风则行痰，是惊则安神。若变蒸
而妄投药饵，则为药引入各经，症遂难识，而且缠绵不脱，反药有所误也。
一小儿月内发搐鼻塞，乃风邪所伤。以六君子汤加桔梗、细辛，子母俱服；更以葱头七茎、生姜一
片，细擂摊纸上，合置掌中，令热急贴囟门，少顷，鼻利搐止。
一小儿未盈月发搐呕乳、腹胀作泻，此乳伤脾胃。用五味异功散加漏芦，令母服之，儿亦
服匙许，遂愈。
一捻金方剂治疗小儿风痰引起的吐沫、气喘咳嗽、腹部胀满、食欲不振。小儿肺胀导致的喘咳，常被误认为是喉风；处方用大黄、槟榔、牵牛子（包括黑丑和白丑），人参用量与之相等；将五味子研成细末，用蜜水调制成适宜稀稠度；每次取一字量的药粉送服咽喉，无需使用神针法进行艾灸。
上述症状表现为肺胀喘满，胸部高耸，呼吸急促，两胁随呼吸摇动并凹陷如坑，鼻孔张开，胸闷烦乱，咳嗽口渴，声音嘶哑甚至失音，痰涎涌塞咽喉，俗称“马脾风”。若不紧急治疗，患儿将在早晚之间死亡。
治疗小儿喉中痰壅导致严重喘息：用巴豆一粒捣烂，做成一丸，用棉花包裹，男孩塞入左鼻孔，女孩塞入右鼻孔，痰液即可下行排出，疗效显著。
有一个小儿患喘症，服用发汗药物后，出汗但喘息更加严重。使用异功散顿服即愈；随后又用六君子汤彻底痊愈。（方剂见补益篇。）
有一个小儿患有哮病，其母亲劳累后即发作，婴儿吸吮母乳也会咳嗽。使用六君子汤加桔梗、桑白皮、杏仁治疗，母子同时痊愈。（方剂见补益篇。）
小儿刚出生时，宜先浓煎黄连甘草汤，迅速用软绢或丝绵包裹手指蘸取药液，抠出肛门中的恶血。如果来不及这样做，就用药汤灌服，待吐出恶浊泡沫后，再给予哺乳。这样能使出痘疹稀少，各种毒疮也少。
初生三到五个月的小儿，宜用布带束缚使其平卧。不要竖头抱起，以免引起惊痫。
喂奶与喂辅食应分开，不宜同时混吃，以免导致小儿患疳积痞块等病症。
宜使用七八十岁老人的旧裙、旧袄改制为小儿衣衫，借老人真气滋养，使小儿长寿。富贵人家切忌给小儿穿新制的丝绫罗毡绒等衣物，不仅会导致生病，而且折损福报，必然导致夭折。
小儿出生四到五个月，只给吃奶；六个月以后，才给稀粥哺养；周岁以前，切不可吃荤腥及生冷食物，以免导致小儿多病。等到两三岁后，脏腑稍强壮，才可以吃荤腥食物。
延生第一方：小儿初生，脐带脱落后，收集放在新瓦上，用炭火在四周焚烧，直到烟将尽时，放在土地上，用瓦盏之类盖住以保留药性，研为细末；预先将透明朱砂磨成极细末，用水飞法处理，若脐带重五分，朱砂用二分五厘，用生地黄、当归身煎浓汁一二蚬壳量，调和前两味药，涂抹在婴儿身上及乳母乳头处，一天之内，晚上涂至结束；第二天，大便排出秽污浊垢之物，终身永无疮疹及各种疾病，生一个儿子就得到一个儿子的保护，是非常奇妙的办法。
涤秽免痘汤：用楝树子一升，到正月初一子时，父母中只让一人知道，将楝子煎汤，待温度适宜，清洗婴儿全身头面上下，以去除胎毒。洗后，不出痘疹。即使出痘也很轻微，或者只有三五颗而已。
另一方：用五六月间收集的丝瓜小藤蔓阴干，约重二两半收起，煎汤清洗。
另一方：用葫芦上的藤蔓，按前法也可以。
稀痘万金丹：治疗婴儿未出痘时，胎毒在脏腑，因时气而引发。如果在春秋分时节，每服一丸，使痘毒逐渐消退，出痘时稀少。如果遇到出痘时气，身体一发热，立即磨服一丸，毒邪从大便排出。如果有黑陷倒靥（痘疹内陷不起），化开下一丸，即可起死回生。如果痘出至七日，若再服用，恐怕泄耗元气。配制者不可加减药味，以确保有效。
麻黄根、升麻（各一两半）、羌活、桦皮、茜草根、栝蒌根、鼠粘子（炒）、天麻、连翘（各一两）、当归、芍药、川芎（各七钱）。
以上药材锉成片，用水五升，煎至半升，去渣，放入银器内，用热水熬成膏，加入少许炼蜜，调匀，加入以下药物：朱砂（五钱）、冰片、雄黄（各五分）、虾蟆灰（一钱半）、麝香（七分）、全蝎（十四个，炙）。以上研为细末，与前药和匀，分成十丸，用蜡封好，如弹子大小，临时用猪心血或兔血调匀，热酒送下，温服。
凡是初生小儿，口唇及牙根生白点，名叫“马牙”，不能吸吮乳汁。这与鹅口疮不同，稍缓片刻就不能救治，多导致夭折。
紧急用针绑在筷头上，将白点挑破出血，用好京墨磨薄荷汤，用手指捻着母亲的头发蘸墨遍擦口腔。不要让吃乳食。等待睡一个小时，醒来后再给乳食，再擦拭一次。
小儿不时发生变蒸，变是指异常变化，蒸是指发热，所以变换五脏、蒸养六腑，必须变蒸多次，气血才能繁荣，骨脉才开始生长，性情会有差异，那么后来出痘就会较轻。凡变蒸期间，不宜服药。如果因为伤食、伤风、惊吓等夹杂，相值而发，令人疑惑，也必须守候一两天，等病情明确，是食则消食，是风则化痰，是惊则安神。若在变蒸时妄投药物，则会将药引入各经，症状难以识别，而且缠绵不愈，反而因药物误事。
一个小月龄内婴儿出现抽搐鼻塞，这是风邪所伤。用六君子汤加桔梗、细辛，母子同服；再用葱头七茎、生姜一片，细细研磨摊在纸上，合置掌中加热，急贴囟门，片刻后，鼻通搐止。
一个小月龄未满的婴儿出现抽搐呕乳、腹胀作泻，这是乳食损伤脾胃。用五味异功散加漏芦，令母亲服用，婴儿也服一勺许，于是痊愈。
Asthma and urgency are caused by the abundance of phlegm and qi.
Yinian Jin (One-Grain Gold) treats infants with wind-phlegm causing foaming at the mouth, asthma, cough, abdominal distension, and loss of appetite. Infantile lung distension with asthma and cough is often mistaken for throat wind (Houfeng); the prescription uses Dahuang (Rhubarb Rhizome), Binglang (Areca Seed), Qian Niu Zi (Morning Glory Seed, including both black and white varieties), and Renshen (Ginseng Root) in equal weights; Wuweizi (Schisandra Berry) is ground into a fine powder, mixed with honey water to an appropriate consistency; each time, one "yi" (a traditional unit of weight, approx. 0.5g) is administered down the throat, without needing to use Shen Zhen Fa (Divine Needle Method) moxibustion.
The aforementioned symptoms manifest as lung distension with fullness and asthma, high chest, rapid breathing, shaking of both hypochondria with depressions forming pits, open nostrils, chest oppression and confusion, cough and thirst, hoarse voice or aphonia, surging phlegm obstructing the throat, commonly known as Ma Pi Feng (Horse Spleen Wind). If not treated urgently, death will occur within a day or night.
To treat severe asthma due to phlegm obstruction in the throat of infants: Use one Ba Dou (Croton Seed), crush it into a pill, wrap it in cotton, and insert it into the left nostril for boys or the right nostril for girls; the phlegm will descend immediately, which is effective.
An infant suffered from asthma; after taking diaphoretic agents, sweating occurred but the asthma worsened. Using Yigong San (Extraordinary Power Powder) taken in one dose resulted in immediate recovery; subsequently, Liu Junzi Tang (Six Gentlemen Decoction) led to complete cure. (See Formulas under Tonification.)
An infant had asthma disease; when the mother exerted herself, it would flare up, and the infant would also cough upon breastfeeding. Treating with Liu Junzi Tang (Six Gentlemen Decoction) plus Jiegeng (Platycodon Root), Sangbai Pi (Mulberry Bark), and Xingren (Apricot Seed) cured both mother and child. (See Formulas under Tonification.)
For newborns, it is advisable to first decoct Huanglian Gancao Tang (Coptis and Licorice Decoction) strongly. Quickly wrap a finger with soft silk or cotton, dip it in the medicine, and scrape out the evil blood from the anus. If this is not done in time, administer the medicinal soup orally; wait until the evil foam is vomited out before giving breast milk. This will result in fewer smallpox eruptions and fewer various toxic sores.
Infants aged three to five months should be bound to lie flat. Do not hold them upright by the head to avoid inducing epilepsy (Jing Xian).
Breastfeeding and solid food should be separated, not mixed together at one time, to prevent the infant from developing malnutrition syndromes (Gan Pi) and accumulations.
It is advisable to use old skirts and jackets from seventy-to-eighty-year-old elders to make clothes for infants, allowing the elder's true qi to nourish the child, promoting longevity. Wealthy families must not dress infants in newly made silk, satin, velvet, or wool; this not only causes illness but also diminishes fortune, inevitably leading to premature death.
Infants aged four to five months should only receive breast milk; after six months, thin porridge can be introduced; before one year of age, meat and raw/cold foods must strictly be avoided to prevent frequent illness. Only after two or three years, when the zang-fu organs are slightly stronger, can meat be introduced.
Yansheng First Formula: After the umbilical cord falls off in a newborn, collect it, place it on a new tile, and burn it with charcoal fire around it until the smoke nearly ceases. Place it on the earth, cover it with a tile bowl to preserve its nature, and grind it into a fine powder. Prepare Zhusha (Cinnabar) that is transparent, ground to an extremely fine powder and washed with water. If the umbilical cord weighs 5 fen, use 2.5 fen of Cinnabar. Decoct Shengdihuang (Rehmannia Root) and Danggui (Angelica Sinensis Root) body to make a strong juice (1-2 shell measures), mix with the previous two powders, and apply to the infant's body and the nursing mother's nipples. Apply within one day, finishing by night; the next day, feces will discharge turbid filth. The child will be free from sores, rashes, and various diseases throughout life. This is a wonderful method where each son born is protected.
Dihui Mian Dou Tang (Purifying Filth and Avoiding Smallpox Decoction): Use one sheng (approx. 1 liter) of Lian Shu Zi (Chinaberry Fruit). On the first day of the first lunar month at Zi hour, only one parent should know. Decoct the fruits, let it cool to warm temperature, and wash the infant's entire body and face to remove fetal toxins. After washing, no smallpox rash will appear. If it does appear, it will be mild, perhaps only three to five spots.
Another formula: Collect small vines of loofah harvested in May or June, dry them in the shade, weigh about 2.5 liang, decoct in water, and wash.
Another formula: Vines from gourds can be used in the same manner.
Xidou Wanjindan (Rare Smallpox Golden Pill): Treats infants before smallpox eruption, where fetal toxin resides in the zang-fu and erupts due to seasonal qi. If taken during the spring and autumn equinoxes, one pill per dose gradually reduces the toxin, resulting in sparse eruptions. If during the smallpox season, upon the first sign of fever, grind and take one pill; the toxin exits via the large intestine. If there is black depression or inverted crusts, dissolve another pill, which can revive the dying. If smallpox has erupted for seven days, further ingestion may leak vital qi. Compilers must not alter the formula to ensure efficacy.
Mahuang Gen (Ephedra Root), Shengma (Cimicifuga Rhizome) (each 1.5 liang), Qianghuo (Notopterygium Rhizome), Huapi (Birch Bark), Qiancao Gen (Madder Root), Gualou Gen (Trichosanthes Root), Niuzi (Arctium Seed, stir-fried), Tianma (Gastrodia Rhizome), Lianqiao (Forsythia Fruit) (each 1 liang), Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Chuanxiong (Ligusticum Rhizome) (each 7 qian).
Cut these into slices, decoct in 5 sheng (approx. 2.5 liters) of water until reduced to half a sheng (approx. 250 ml), strain, put into a silver vessel, boil into a paste using hot water, add a little refined honey, mix well, then add the following herbs: Zhusha (Cinnabar) (5 qian), Bingpian (Borneol), Xionghuang (Realgar) (each 5 fen), Xia Ma Hui (Toad Ash) (1.5 qian), Shexiang (Musk) (7 fen), Quanxie (Scorpion, roasted) (14 pieces). Grind all into powder, mix evenly with the previous paste, divide into ten pills, seal with wax, size like a bullet. When needed, mix with pig heart blood or rabbit blood, take with warm wine, and consume warm.
For any newborn, if white spots named "Ma Ya" (Horse Teeth) appear on the lips and gum roots, preventing breastfeeding. This differs from E Kou (Goat Mouth/Thrush). Delay leads to inability to save, often causing death. Urgently bind a needle to a chopstick tip, prick the white spots to bleed. Grind good Beijing ink in mint soup, dip a finger wrapped in the mother's hair into the ink, and wipe the entire mouth. Withhold milk and food. Wait for one hour of sleep, wake up, give milk/food, and wipe again.
Infants undergo periodic "Bian Zheng" (Transformation and Steaming). "Bian" means abnormal change; "Zheng" means fever. This transforms the five zang organs and steams/nourishes the six fu organs. Frequent Bian Zheng promotes flourishing qi and blood, growth of bones and vessels, and changes in temperament, leading to milder smallpox later. During Bian Zheng, medication is inappropriate. If complicated by food stagnation, wind-cold, or fright, wait one or two days for the condition to clarify: resolve food stagnation if food-related, transform phlegm if wind-related, calm spirit if fright-related. Prescribing blindly during Bian Zheng introduces drugs into meridians, obscures symptoms, causes lingering illness, and results in medical error.
An infant within the first month developed convulsions and nasal congestion due to wind pathogen invasion. Administer Liu Junzi Tang (Six Gentlemen Decoction) plus Jiegeng (Platycodon Root) and Xixin (Asarum Root) to both mother and child. Additionally, grind seven scallion heads and one slice of ginger finely, spread on paper, heat in palms, and apply urgently to the fontanelle. Soon, nasal passage clears and convulsions stop.
An infant未满 one month developed convulsions, vomiting milk, abdominal distension, and diarrhea due to milk damaging the spleen and stomach. Administer Wuyi Yigong San (Five-Ingredient Extraordinary Power Powder) plus Loulu (Euphorbia Root) to the mother, and have the infant take a spoonful. Recovery ensued.