暴喘传名马脾风，胸高胀满胁作坑，鼻窍扇动神闷乱，五虎一捻方最灵。
[注]
马脾风俗得之名，即暴喘是也，因寒邪容于肺俞，寒化为热，闭于肺经，
故胸高气促，肺张喘满，两□掮动，陷下作坑，鼻窍握张，神气闷乱，
初遇之急服五虎汤，继用一捻金下之，倘得气开，其喘自止，
如儿生百日内见此者病多不救。
(五虎汤) 麻黄蜜炒 杏仁炒去皮尖 甘草生 白石膏研为末 细茶
引用生姜水煎，临时用药冲石膏服。
(方歌)
五虎汤治马脾风，麻黄蜜炒杏仁从，甘草石膏细茶叶，煎服之后喘自松。
(一捻金) 方见不大便。
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痰因津液不四布，阴盛为饮阳盛痰，稠粘黄色为燥热，清稀色自乃湿寒。
[注]
痰者，水谷所化之津液不能四布，留于胸中而成者也，
多因饮食无节，
或乳食过食厚味，脾胃不能运化而生，
若阴气素盛，则化而为饮，
阳气素盛，则化而为痰，
稠粘黄色，涩滞难出，谓之燥痰，
清稀色白，滑而易出，谓之湿痰，二者或宜清润，或宜通利，治各不同也。
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痰证门
燥痰肺燥涩难出，气逆喘欬卧不舒，面红口干小便赤，清气化痰滚痰孚。
[注]
燥痰者，痰因火动也，
火盛则痰多燥粘，气逆喘咳，夜卧不宁，面赤口干，小便黄赤，
轻者用清气化痰丸清之，重者用苏葶滚痰丸下之。
(清气化痰丸) 胆南星九转 半夏各一两五钱姜制 橘红 枳实麸炒
杏仁炒去皮尖 栝蒌仁去油 黄芩酒炒 白茯苓各一两 共为细末，姜汁为丸，
淡姜汤化服。
(苏葶滚痰丸) 方见食积咳嗽。
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痰证门
暴发性气喘被称为“马脾风”，症状表现为胸部高耸、胀满，胁肋部随呼吸凹陷如坑，鼻孔扇动，神情烦闷混乱。此时使用五虎汤和一捻金方剂最为灵验。
[注释]
“马脾风”因症状而得名，即指暴发性气喘。这是由于寒邪侵入肺俞穴，寒邪转化为热邪，闭阻于肺经，导致胸部高起、气息急促，肺部扩张、喘促胀满，两胁随呼吸起伏牵动，凹陷处形成坑状，鼻孔开合张大，神气烦闷紊乱。初发时急服五虎汤，随后用一捻金攻下。如果能使气机通畅，喘息自然停止。如果是出生百天内的婴儿出现此症，病情大多难以救治。
（五虎汤）麻黄蜜炙，杏仁炒后去皮尖，甘草生用，白石膏研成粉末，细茶。引用生姜水煎煮，临服药时将药汁冲入石膏末服用。
（方歌）
五虎汤治疗马脾风，麻黄蜜炙配杏仁，甘草石膏加细茶叶，煎服之后喘息自松缓。
（一捻金）方剂见“不大便”章节。
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痰是由于津液不能正常布散全身所致。阴气偏盛则化为饮，阳气偏盛则化为痰。质地稠粘、颜色发黄属于燥热；质地清稀、颜色清白属于湿寒。
[注释]
痰，是由水谷化生的津液不能四向布散，滞留于胸中而形成的。多因饮食无节制，或乳食过量食用厚味食物，脾胃无法运化而产生。若素体阴气旺盛，则津液化为饮；若素体阳气旺盛，则津液化为痰。质地稠粘、黄色、涩滞难出的，称为燥痰；质地清稀、白色、滑利易出的，称为湿痰。这两种痰证，有的适宜清润，有的适宜通利，治疗方法各不相同。
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痰证门
燥痰因肺燥而涩滞难出，气机上逆导致喘咳，卧睡不安，面色发红，口干，小便赤黄。治疗可用清气化痰丸或滚痰丸。
[注释]
燥痰，是因火邪扰动津液所致。火邪旺盛则痰多且燥粘，气机上逆导致喘咳，夜间卧睡不宁，面红口干，小便黄赤。轻症用清气化痰丸清热化痰，重症用苏葶滚痰丸攻下逐痰。
（清气化痰丸）胆南星九转制，半夏各一两五钱姜制，橘红，枳实麸炒，杏仁炒后去皮尖，栝蒌仁去油，黄芩酒炒，白茯苓各一两。共研为细末，用姜汁泛丸，淡姜汤送服。
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痰证门
Acute asthma is named "Ma Pi Feng" (Horse Spleen Wind), characterized by a high and distended chest, hypochondriac depression resembling pits during respiration, flaring of the nasal alae, and mental restlessness. The formulas Wu Hu Tang (Five Tigers Decoction) and Yi Nian Jin (One Pinch Gold) are most effective.
[Note]
"Ma Pi Feng" derives its name from these symptoms, referring to acute asthma. It occurs when cold pathogenic factors invade the Lung Shu point (BL13), transforming into heat and obstructing the Lung meridian. This results in a high chest, rapid breathing, lung expansion with wheezing and fullness, movement of the two hypochondria causing depressions like pits, flaring of the nasal apertures, and disturbed spirit and qi. Initially, Wu Hu Tang should be taken urgently, followed by Yi Nian Jin to purge accumulation. If the qi mechanism opens, the asthma will cease naturally. However, if infants within one hundred days of birth exhibit this condition, the prognosis is generally poor.
(Wu Hu Tang) Ephedrae Herba processed with honey, Semen Armeniacae Amarum stir-fried and skin/pit removed, Raw Glycyrrhizae Radix et Rhizoma, Gypsum Fibrosum ground into powder, Fine tea. Decoct with fresh ginger water; mix the decoction with gypsum powder immediately before administration.
(Formula Song)
Wu Hu Tang treats Ma Pi Feng,
With honey-processed Ephedra and Apricot Seeds along.
Licorice, Gypsum, and fine tea leaves too,
After decoction and ingestion, asthma loosens anew.
(Yi Nian Jin) See the section on Constipation for the formula.
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Phlegm arises because body fluids fail to distribute properly throughout the body. Excess Yin transforms into fluid retention (Yin), while excess Yang transforms into phlegm (Tan). Thick, sticky, and yellow indicates dryness-heat; clear, thin, and white indicates damp-cold.
[Note]
Phlegm is formed when the body fluids derived from food and drink fail to distribute in all directions, stagnating in the chest. It often results from irregular diet or excessive consumption of rich foods, leading to the spleen and stomach's inability to transport and transform. If one has a constitution of abundant Yin, fluids transform into retention; if one has a constitution of abundant Yang, fluids transform into phlegm. Thick, sticky, yellow, and difficult to expectorate phlegm is called Dry Phlegm (Zao Tan); clear, thin, white, slippery, and easy to expectorate phlegm is called Damp Phlegm (Shi Tan). These two types require different treatments: some need moistening and clearing, while others need promoting drainage and unblocking.
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Category of Phlegm Syndromes
Dry Phlegm, due to Lung dryness, is sticky and difficult to expel, accompanied by rebellious Qi causing asthma and cough, discomfort in lying down, red face, dry mouth, and dark urine. Qing Qi Hua Tan Wan (Clear Qi Transform Phlegm Pill) or Gun Tan Wan (Rolling Phlegm Pill) may be used.
[Note]
Dry Phlegm is caused by fire disturbing the fluids. When fire is excessive, there is much dry and sticky phlegm, rebellious Qi causing asthma and cough, restless sleep at night, red face, dry mouth, and yellow-dark urine. Mild cases are treated with Qing Qi Hua Tan Wan to clear heat and transform phlegm; severe cases are treated with Su Ting Gun Tan Wan to purge phlegm downward.
(Qing Qi Hua Tan Wan) Dan Nan Xing (Arisaematis Cum Bile Rhizoma) processed nine times, Ban Xia (Pinelliae Rhizoma) 1 liang 5 qian each, processed with ginger, Ju Hong (Citri Reticulatae Pericarpium), Zhi Shi (Aurantii Fructus Immaturus) bran-fried, Xing Ren (Semen Armeniacae Amarum) stir-fried and skin/pit removed, Gua Lou Ren (Trichosanthis Semen) oil-extracted, Huang Qin (Scutellariae Radix) wine-fried, Bai Fu Ling (Poria) 1 liang each. Grind into fine powder, form pills with ginger juice, and take dissolved in light ginger soup.
(Su Ting Gun Tan Wan) See the section on Food Stagnation Cough for the formula.
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Category of Phlegm Syndromes