患儿，男,2岁。发热烦躁，咳嗽喘促，气急鼻扇，喉间痰鸣，口唇发绀，咽部红肿，面色红赤，大便干结，小便短黄，舌红苔黄，指纹紫滞，显于气关。若患儿病情反复，咳喘日久，痰稀白易咯，多汗易感，纳呆便溏，面白少华，神疲乏力，指纹淡。此时用药首选

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