暴喘传名马脾风，胸高胀满胁作坑，鼻窍煽动神闷乱，五虎一捻服最灵。
【注】马脾风俗传之名，即暴喘是也。因寒邪客于肺俞，寒化为热，闭于肺经，故胸
高气促，肺胀喘满，两胁扇动，陷下作坑，鼻窍扇张，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，煎服之后喘自宁。
一捻金（方见不大便）
痰因津液不四布，阴盛为饮阳盛痰，稠粘黄色为燥热，清稀色白乃湿寒。
【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
过食浓味，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。
燥痰肺燥涩难出，气逆喘咳卧不舒，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（姜制，各一两五钱） 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）
为细末，姜汁为丸，淡姜汤下。
苏葶滚痰丸（方见食积咳嗽）
暴发性喘息被称为“马脾风”，症状表现为胸部高耸、胀满，两胁凹陷如坑，鼻孔扇动，神情烦闷混乱。此时服用五虎汤和一捻金疗效最为显著。
【注】“马脾风”是民间俗称，指的就是暴发性喘息。这是因为寒邪侵袭肺俞穴，寒邪转化为热邪，闭塞于肺经，导致胸部高起、气短急促，肺部胀满喘息，两胁随呼吸扇动并陷入形成坑状，鼻孔张开扇动，神志昏乱。初起时急服五虎汤，随后用一捻金攻下通便，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这种情况，病情大多难以救治。
五虎汤
麻黄（蜂蜜炒制） 杏仁（炒制，去皮和尖端） 甘草（生用） 白石膏（研磨成粉末） 细茶
煎煮时加入生姜作为药引，用水煎煮，临服药时将石膏粉冲入药液中服用。
【方歌】五虎汤治疗马脾风，麻黄蜜炒配合杏仁，加上甘草、石膏和细茶叶，煎服之后喘息自能平息。
一捻金（方剂见“不大便”章节）
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、颜色发白属于湿寒。
【注】痰，是由水谷化生的津液不能四向布散，停滞在胸中形成的。多因饮食不节制，或者哺乳进食过多油腻厚味的食物，脾胃无法运化而产生。如果体内阴气素来旺盛，则津液化为饮；如果阳气素来旺盛，则津液化为痰。质地稠粘、黄色、涩滞难咳出的，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。
燥痰因肺燥而涩滞难出，伴随气逆喘咳、卧睡不安，面色发红、口干、小便赤黄，可用清气化痰丸或滚痰丸治疗。
【注】燥痰，是因为火邪扰动津液所致。火邪旺盛则痰多且燥粘，引起气逆喘咳，夜间睡眠不安，面红口干，小便黄赤。轻症用清气化痰丸清热化痰，重症用苏葶滚痰丸泻下逐痰。
清气化痰丸
胆南星（经过九次转制） 半夏（姜汁制，各一两五钱） 橘红 枳实（麸皮炒） 杏仁（炒制，去皮和尖端） 瓜蒌仁（去油） 黄芩（酒炒） 白茯苓（各一两）
研为细末，用姜汁制作成丸剂，用淡姜汤送服。
苏葶滚痰丸（方剂见“食积咳嗽”章节）
The sudden onset of wheezing is named "Ma Pi Feng" (Horse Spleen Wind), characterized by a high and distended chest, sunken areas under the ribs acting like pits, flaring of the nasal apertures, and mental restlessness. Taking Wu Hu Tang (Five Tiger Decoction) and Yi Nian Jin (One Pinch Gold) at this time yields the best efficacy.
[Note] "Ma Pi Feng" is a folk name for sudden wheezing. It occurs because cold pathogenic factors invade the Shu-stream points of the Lung, transform into heat, and obstruct the Lung Meridian. This results in a high chest, shortness of breath, lung distension with wheezing, flapping movement of the two hypochondriac regions leaving pit-like depressions, flaring nostrils, and chaotic spirit/qi. Initially, urgently administer Wu Hu Tang (Five Tiger Decoction), followed by Yi Nian Jin (One Pinch Gold) to purge downwards. If the qi mechanism opens, the wheezing will naturally cease. If infants within one hundred days of birth present with this condition, the disease is often incurable.
Wu Hu Tang (Five Tiger Decoction)
Ephedrae Herba (Stir-fried with honey) [Mahuang, 麻黄]
Armeniacae Semen Amarum (Stir-fried, skin and tips removed) [Xingren, 杏仁]
Glycyrrhizae Radix et Rhizoma (Raw) [Gancao, 甘草]
Gypsum Fibrosum (Ground into powder) [Baishigao, 白石膏]
Fine Tea Leaves [Xicha, 细茶]
Add Zingiberis Rhizoma Recens (Fresh Ginger) as a guide, decoct in water. Mix the Gypsum Fibrosum powder into the liquid just before administration.
[Prescription Song] Wu Hu Tang treats Ma Pi Feng, Ephedra stir-fried with honey follows Armeniacae Semen; Combined with Glycyrrhiza, Gypsum, and Fine Tea leaves, after decoction and ingestion, the wheezing calms itself.
Yi Nian Jin (One Pinch Gold) (See formula under "Constipation")
Phlegm arises when body fluids fail to distribute throughout the four directions; excess Yin transforms into fluid retention (Yin), while excess Yang transforms into phlegm. Thick, sticky, and yellow indicates dry-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 and remain stagnant in the chest. It is mostly caused by irregular diet, or excessive consumption of rich and greasy foods during breastfeeding or eating, leading to the spleen and stomach's inability to transport and transform. If Yin qi is inherently abundant, it transforms into fluid retention; if Yang qi is inherently abundant, it transforms into phlegm. Thick, sticky, yellow, and difficult to expectorate is called Dry Phlegm; clear, thin, white, slippery, and easy to expectorate is called Damp Phlegm. These two types require different treatments: some are suitable for clearing and moistening, others for promoting unblocking and draining.
Dry Phlegm due to Lung dryness is sticky and hard to expel, accompanied by rebellious Qi causing wheezing and coughing, discomfort in lying down, red face, dry mouth, and dark urine. Qing Qi Hua Tan Wan (Clear Qi Transform Phlegl Pill) or Gun Tan Wan (Rolling Phlegm Pill) can be used.
[Note] Dry Phlegm is caused by Fire disturbing the fluids. Excessive Fire leads to abundant, dry, and sticky phlegm, rebellious Qi causing wheezing and coughing, restless sleep at night, red face, dry mouth, and yellow-dark urine. For mild cases, use Qing Qi Hua Tan Wan (Clear Qi Transform Phlegm Pill) to clear them; for severe cases, use Su Ting Gun Tan Wan (Perilla and Lepidium Rolling Phlegm Pill) to purge them.
Qing Qi Hua Tan Wan (Clear Qi Transform Phlegm Pill)
Arisaematis Cum Bile (Nine-times processed) [Dannanxing, 胆南星]
Pinelliae Rhizoma Preparatum (Processed with ginger juice, each 1 liang 5 qian) [Banxia, 半夏]
Citri Reticulatae Pericarpium [Juhong, 橘红]
Immaturus Citri Grandis Fructus (Stir-fried with bran) [Zhishi, 枳实]
Armeniacae Semen Amarum (Stir-fried, skin and tips removed) [Xingren, 杏仁]
Trichosanthis Semen (Oil removed) [Gualouren, 瓜蒌仁]
Scutellariae Radix (Stir-fried with wine) [Huangqin, 黄芩]
Poria [Baifuling, 白茯苓] (each 1 liang)
Grind into fine powder, make pills with ginger juice, and take with light ginger soup.
Su Ting Gun Tan Wan (Perilla and Lepidium Rolling Phlegm Pill) (See formula under "Food Stagnation Cough")