小儿百 嗽，面白唇淡，白眼带青，痰不相应，此系肝风有余，肺气不足，未可以常法治之。若投疏风清肺，
适足益燥伤阴，但用川贝母五钱（淡姜汤润湿饭上蒸过），半生半炒甘草共二钱五分，研细末，每次用一钱，加
砂糖少许，米汤调服，连服七日即愈。
《经》曰∶犯贼风虚邪者阳受之，阳受则入六腑。入六腑则身热不得卧，上为喘呼。又曰∶诸气 郁，皆属
于肺。喘者即肺之 郁也。凡呼吸气出急促者，谓之喘急，外候抬肩欠肚。若更喉中有声响者，谓之哮吼。然致
病之原不一。如气粗胸满，痰稠便硬，而喘者，此实热也。
气之息微，不能续息而喘者，此虚邪也。
因风寒郁闭而喘者。因痰饮壅逆而喘者。此外，更有马脾风一证，最为危急。辨别之内，毫厘千里，因作喘解。
小儿因火邪刑金，作喘有声者，外候口干舌燥，渴甚，面赤唇红。审其脉证，属肺热者，古法主凉膈散（如
黄芩、大黄、连翘、芒硝、生甘草、栀子、薄荷，引用竹叶、生蜜）。
〔真按〕此方芒硝、薄荷可不用。
属胃热者，古法主凉膈白虎汤（如生大黄、朴硝、生甘草、连翘、栀子、生黄芩、薄荷叶、生石膏、生知母，
引用粳米）。
〔真按〕此方大黄、朴硝、薄荷三味可不用。
心火刑金者，古法主导赤散（如生地、木通、生甘草，引用灯芯、竹叶）。
〔真按〕如系心火过旺，可加黄连、滑石二味。
肾虚火来烁金者，古法主知柏地黄汤（如干生地黄、山茱萸肉、炒山药、炒知母、盐炒黄柏、牡丹皮、泽泻、
茯苓等味）。
〔真按〕此方甚佳，但分量不必过重，黄柏一味，尤宜少用为妥。
小儿出现各种咳嗽，面色苍白、嘴唇淡白，眼白部分带有青色，痰液表现与症状不相符，这属于肝风偏盛而肺气不足的情况，不能用常规方法治疗。如果投用疏风清肺的药物，反而会增加燥性并损伤阴液。只需使用川贝母五钱（用淡姜汤润湿后放在饭上蒸制），配合半生半炒的甘草共二钱五分，研成细末，每次服用一钱，加入少许砂糖，用米汤调服，连续服用七日即可痊愈。
《黄帝内经》说：“遭受贼风虚邪侵袭的人，阳经受邪；阳经受邪则病入六腑。病入六腑则身体发热、无法安卧，向上表现为喘息呼叫。”又说：“各种气机郁滞，都归属于肺。”喘证就是肺气的郁结。凡是呼吸急促者，称为喘急，外部表现为耸肩、腹部起伏。如果在喘息时喉间还有声响，则称为哮吼。然而致病的根源并不单一。例如气息粗重、胸中胀满、痰液粘稠、大便干硬而喘息的，这是实热证。气息微弱、不能接续呼吸而喘息的，这是虚证。因风寒郁闭导致的喘息，因痰饮壅逆导致的喘息，此外还有马脾风这一证候，最为危急。在辨别这些情况时，毫厘之差可能导致千里之谬，因此撰写了这篇关于喘证的解析。
小儿因火邪克制肺金，导致喘息有声的，外部表现为口干舌燥、极度口渴、面色红赤、嘴唇红润。仔细审查其脉象和症状，若属于肺热，古法主要使用凉膈散（包含黄芩、大黄、连翘、芒硝、生甘草、栀子、薄荷，引用竹叶、生蜂蜜）。〔陈守真按〕此方中的芒硝、薄荷可以不使用。若属于胃热，古法主要使用凉膈白虎汤（包含生大黄、朴硝、生甘草、连翘、栀子、生黄芩、薄荷叶、生石膏、生知母，引用粳米）。〔陈守真按〕此方中的大黄、朴硝、薄荷三味药可以不使用。若心火克制肺金，古法主要使用导赤散（包含生地、木通、生甘草，引用灯芯草、竹叶）。〔陈守真按〕如果是心火过旺，可以加入黄连、滑石两味药。若肾虚之火灼伤肺金，古法主要使用知柏地黄汤（包含干生地黄、山茱萸肉、炒山药、炒知母、盐炒黄柏、牡丹皮、泽泻、茯苓等药）。〔陈守真按〕此方非常好，但药量不必过重，其中黄柏一味药，尤其应当少用为宜。
Pediatric coughs of various types, with a pale complexion and pale lips, white of the eyes showing a bluish tint, and sputum inconsistent with symptoms, indicate an excess of Liver Wind (Liver Wind) and a deficiency of Lung Qi. This condition cannot be treated with routine methods. If dispersing wind and clearing the lungs is employed, it will only exacerbate dryness and damage Yin. One should simply use Chuan Bei Mu (Fritillariae Bulbus), five qian (steamed over rice after moistening with light ginger decoction), combined with Ban Sheng Ban Chao Gan Cao (Licorice Root, half raw and half stir-fried), totaling two qian five fen, ground into a fine powder. Each dose is one qian, mixed with a little rock sugar and taken with rice gruel. Continuous administration for seven days will result in recovery.
The *Classic* states: "Those who suffer from thieving winds and empty evils are affected by the Yang meridians; when affected by Yang, the pathogen enters the Six Fu Organs. Entering the Six Fu Organs leads to fever and inability to lie down, manifesting upwards as panting and calling out." It also states: "All qi stagnations belong to the Lung." Panting is essentially the stagnation of Lung Qi. Any condition characterized by rapid and urgent exhalation is called "Panting Urgency" (Chuan Ji), presenting externally with shoulder lifting and abdominal heaving. If there is also sound in the throat during breathing, it is called "Wheezing Roar" (Xiao Hou). However, the origins of disease are not uniform. For instance, coarse breath, chest fullness, thick sputum, hard stool, and panting indicate Excess Heat. Weak respiration, inability to sustain breath, and panting indicate Deficiency Evil. Panting caused by cold and wind constraint, and panting caused by phlegm-fluid obstruction and rebellion are other causes. Furthermore, there is the syndrome of "Ma Pi Feng" (Horse Spleen Wind), which is most critical. The distinction between these conditions can lead to errors of a thousand miles if mistaken by a hair's breadth; therefore, this analysis on panting is composed.
When children develop panting with sound due to Fire Evil suppressing Metal (Lung), external signs include dry mouth and tongue, extreme thirst, red face, and red lips. Upon careful examination of pulse and symptoms, if it belongs to Lung Heat, ancient methods primarily prescribe Liang Ge San (Cool the Chest Powder) [containing Huang Qin (Scutellariae Radix), Da Huang (Rhei Radix et Rhizoma), Lian Qiao (Forsythiae Fructus), Mang Xiao (Natrii Sulfas), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Zhi Zi (Gardeniae Fructus), Bo He (Menthae Haplocalycis Herba), with Zhu Ye (Bambusae Folium) and Sheng Mi (Raw Honey) as guides]. [Chen Shouzhen's Note: Mang Xiao and Bo He may be omitted in this formula.] If it belongs to Stomach Heat, ancient methods primarily prescribe Liang Ge Bai Hu Tang (Cool the Chest White Tiger Decoction) [containing Sheng Da Huang (Raw Rhei Radix et Rhizoma), Pu Xiao (Natrii Sulfas), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Lian Qiao (Forsythiae Fructus), Zhi Zi (Gardeniae Fructus), Sheng Huang Qin (Raw Scutellariae Radix), Bo He Ye (Menthae Haplocalycis Folium), Sheng Shi Gao (Gypsum Fibrosum), Sheng Zhi Mu (Anemarrhenae Rhizoma), with Jing Mi (Oryzae Semen) as a guide]. [Chen Shouzhen's Note: Da Huang, Pu Xiao, and Bo He in this formula may be omitted.] If Heart Fire suppresses Metal, ancient methods primarily prescribe Dao Chi San (Guide Out Red Powder) [containing Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), with Deng Xin Cao (Junci Medullia) and Zhu Ye (Bambusae Folium) as guides]. [Chen Shouzhen's Note: If Heart Fire is excessively strong, Huang Lian (Coptidis Rhizoma) and Hua Shi (Talcum) may be added.] If Kidney Deficiency Fire scorches Metal, ancient methods primarily prescribe Zhi Bai Di Huang Tang (Anemarrhena, Phellodendron, and Rehmannia Decoction) [containing Gan Sheng Di Huang (Dried Raw Rehmanniae Radix), Shan Zhu Yu (Corni Fructus), Chao Shan Yao (Stir-fried Dioscoreae Rhizoma), Chao Zhi Mu (Stir-fried Anemarrhenae Rhizoma), Yan Chao Huang Bai (Salt-stir-fried Phellodendri Cortex), Mu Dan Pi (Moutan Cortex), Ze Xie (Alismatis Rhizoma), Fu Ling (Poria), etc.]. [Chen Shouzhen's Note: This formula is excellent, but dosages need not be heavy; particularly, Huang Bai should be used sparingly for safety.]