小儿平日饮食无节,内伤停滞,外复为风寒所袭,症见发热憎寒,头痛恶食,嗳臭吐酸,便秘尿涩,腹热
膨胀。热盛者,古法主双解通圣汤,双解之法(如麻黄、朴硝等十七味,引用生姜、葱白);无热者,古法主藿
香正气汤,和解之法(如藿香、苏叶等十味,引用生姜、红枣);表邪即解之后,古法又主平胃散加山楂、神曲、
麦芽以消导之。
〔真按〕既系感冒,当然混身皆热,朝夕无间。若无热,则但谓之伤食,不得谓感冒又夹食。此症固宜双解,
惟立方以感冒为主,夹食之药,只兼一二味足矣。方用薄荷尖一钱,紫苏叶八分,广陈皮钱半,焦建曲一钱,连
翘壳八分,加生萝卜五片为引。
小儿脏腑素禀多热,今复为风寒所伤,风热相搏,则火邪愈盛。症见面赤唇焦,口鼻干燥,憎寒壮热,口渴
饮冷,心神烦躁,谵语狂妄,二便秘涩,古法亦主双解通圣汤(方见前)。如服药后汗出便利,病虽少减,热犹
不退,古法又主凉膈散合天水散,引用灯芯煎服。
〔真按〕感冒夹热,先受风寒而起,须知风寒一变,即化为热,一切温药,在所必禁。但用净连翘钱半,
淡竹叶钱半,霜桑叶钱半,枯黄芩五分,飞滑石三钱,生甘草五分,引用灯芯十五寸为剂。
小儿感冒,邪气未解,复为惊异所触,故见心惊胆怯,睡卧不安,身热烦躁,面色青赤之证,古法主疏解散
(如羌活、苏叶等十一味,生姜为引),次主凉惊丸(如龙胆草、防风、青黛、钩藤、黄连,引用生姜),煎服。
〔真按〕感冒兼受惊吓,入手即须清解,勿令由感起惊,为第一要义。但用连翘壳二钱,竹卷心二钱,天竺
黄钱半,小枳实五分,润玄参五分,制胆星三分,海浮石钱半,生甘草三分,引用淡海哲三钱、生荸荠三个为剂。
Children who have irregular dietary habits in daily life suffer from internal food stagnation and injury, while simultaneously being attacked by external wind-cold pathogens. The symptoms manifest as fever with aversion to cold, headache, anorexia, belching with a foul odor, vomiting of sour fluid, constipation, dysuria, abdominal heat, and distension. For cases with prominent heat signs, the ancient method advocates using Shuangjie Tongsheng Tang (Double-Resolution Tongsheng Decoction), which employs a double-resolution strategy (containing seventeen herbs such as Ephedrae Herba (Mahuang, 麻黄) and Natrii Sulfas (Piaoxiao, 朴硝), with Zingiberis Rhizoma Recens (Shengjiang, 生姜) and Allii Fistulosi Bulbus (Congbai, 葱白) as guides). For cases without heat signs, the ancient method advocates using Huoxiang Zhengqi Tang (Agastache Decoction for Rectifying the Qi), employing a harmonizing strategy (containing ten herbs such as Agastachis Herba (Huoxiang, 藿香) and Perillae Folium (Suye, 苏叶), with Zingiberis Rhizoma Recens (Shengjiang, 生姜) and Jujubae Fructus (Hongzao, 红枣) as guides). After the exterior pathogen is resolved, the ancient method further advocates using Pingwei San (Calm the Stomach Powder) supplemented with Crataegi Fructus (Shanzha, 山楂), Medicated Leaven (Shenqu, 神曲), and Malto (Maiya, 麦芽) to promote digestion and resolve stagnation.
[Chen Shouzhen’s Note] Since it is a common cold, there should naturally be whole-body heat, uninterrupted day and night. If there is no heat, it should only be termed food injury, not common cold complicated by food stagnation. Although this condition is indeed suitable for double resolution, the prescription should primarily address the common cold, with only one or two herbs addressing the food stagnation being sufficient. The formula uses Mint Tip (Bohe Jian) 1 qian, Perilla Leaf (Zisu Ye) 8 fen, Tangerine Peel (Guang Chenpi) 1.5 qian, Charred Medicated Leaven (Jiao Jianqu) 1 qian, Forsythia Fruit (Lianqiao Qiao) 8 fen, with five slices of fresh Radish (Sheng Luobo) as a guide.
Children’s zang-fu organs are constitutionally prone to heat. Now, having been injured by wind-cold, wind and heat pathogens contend with each other, causing fire pathogens to become even more vigorous. Symptoms include flushed face and cracked lips, dryness of the mouth and nose, severe aversion to cold with high fever, thirst with desire for cold drinks, mental restlessness, delirium and mania, and difficulty in urination and defecation. The ancient method also advocates using Shuangjie Tongsheng Tang (Double-Resolution Tongsheng Decoction) (formula seen previously). If after taking the medicine sweating occurs and bowel/bladder functions normalize, and although the illness slightly subsides, the heat remains unreduced, the ancient method further advocates using Liangge San (Cool the Diaphragm Powder) combined with Tianshui San (Heavenly Water Powder), decocted with Spargani (Dengxincao, 灯芯) as a guide.
[Chen Shouzhen’s Note] Common cold complicated by heat originates from initial wind-cold invasion. It must be understood that once wind-cold transforms, it becomes heat; therefore, all warming herbs are strictly contraindicated. One should use only Clean Forsythia Fruit (Jing Lianqiao) 1.5 qian, Light Bamboo Leaf (Dan Zhuye) 1.5 qian, Frost-treated Mulberry Leaf (Shuang Sangye) 1.5 qian, Dried Scutellaria Root (Ku Huangqin) 5 fen, Calcined Talcum (Fei Huashi) 3 qian, Raw Licorice Root (Sheng Gancao) 5 fen, with fifteen cun of Spargani (Dengxincao, 灯芯) as the dosage form.
In children with common cold, if the pathogenic factor has not yet resolved and they are subsequently startled by fright, symptoms such as heart palpitations and timidity, restless sleep, body heat with irritability, and bluish-red complexion appear. The ancient method advocates using Shusan San (Disperse Exterior Powder) (containing eleven herbs such as Notopterygii Rhizoma et Radix (Qianghuo, 羌活) and Perillae Folium (Suye, 苏叶), with Zingiberis Rhizoma Recens (Shengjiang, 生姜) as a guide), followed by Liangjing Wan (Cool Fright Pill) (containing Gentiana Root (Longdancao, 龙胆草), Saposhnikoviae Radix (Fangfeng, 防风), Indigo Naturalis (Qingdai, 青黛), Uncaria Ramulus cum Uncis (Gouteng, 钩藤), and Scutellaria Root (Huanglian, 黄连), with Zingiberis Rhizoma Recens (Shengjiang, 生姜) as a guide), to be decocted and taken orally.
[Chen Shouzhen’s Note] For common cold complicated by fright, immediate clearing and resolving are required at the onset to prevent the cold from triggering fright; this is the primary principle. One should use only Forsythia Fruit (Lianqiao Qiao) 2 qian, Bamboo Heart (Zhuanjuanxin, 竹卷心) 2 qian, Tibetan Amber (Tianzhuhuang, 天竺黄) 1.5 qian, Small Immature Bitter Orange (Xiao Zhishi, 小枳实) 5 fen, Moisten Rehmannia Root (Run Xuanshen, 润玄参) 5 fen, Processed Arisaema Cum Bile (Zhi Danning, 制胆星) 3 fen, Pumice Stone (Haifushi, 海浮石) 1.5 qian, Raw Licorice Root (Sheng Gancao) 3 fen, with three qian of Sea Cucumber (Dan Haizhe, 淡海哲) and three fresh Water Chestnuts (Sheng Biqi, 生荸荠) as guides.