小儿腹中有热，而又外冒雨露而发，为湿热证。初起发热头痛，多烦渴，小便赤涩，大便秘结，古法主柴苓汤
（如人参、柴
胡、黄芩、半夏、白术、猪苓、泽泻、茯苓、上青桂、炙甘草，引用生姜、大枣），水煎热服。
〔真按〕小儿内有伏热，外感湿邪，如肌表热无汗，只须宜通上焦，则病可解。方用薄荷尖五分，连翘壳
钱半，淡竹叶一钱，苦杏仁二钱，生薏米一钱，六一散三钱，灯芯六分为引。
如小儿元气壮实，大便多日秘结不通者，加生锦纹三分。
小儿因喜弄冷水，坐卧湿地而发为寒湿证，初起头痛身重，寒热往来。古法主胃苓汤（如漂白术、炒白术、
川朴、陈皮、茯苓、猪苓、泽泻、炙甘草、上青桂，引用生姜）。
〔真按〕小儿因受外面寒湿，二术过于呆滞，上桂过于刚猛，与童体初剂皆不相宜。但用冬桑叶一钱，赤
茯苓二钱，广橘红钱半，炒白术钱半，炙甘草五分，引用生姜皮三分。
小儿因伤寒湿而兼呕吐，照寒湿证方中，加藿香五分，砂仁三分，引亦改用干姜一片。
小儿因伤寒湿而兼泄泻，照寒湿证方中，去桑叶，加猪苓、泽泻各二钱。小儿因伤寒湿而兼浮肿者，但用大
腹皮、茯苓皮、炙桑皮、广陈皮、生姜皮各八分，炒白术二钱，车前子五分，引用灯芯十茎。
小儿中湿发黄，因坐卧湿地，为雾露阴雨所浸渍而入，又因澡浴为风所闭，郁于肌腠，则发黄。但用茵陈
蒿二钱，漂白术一钱，白茯苓钱半，结猪苓一钱，炙甘草五分，引用生姜一片。
小儿破伤之处，浸入水湿，一时口噤身强直者，但用 牡蛎为粉，敷破伤之口，仍以牡蛎粉一钱，甘草汤调服。
When a child has internal heat in the abdomen and is simultaneously exposed to external rain and dew, causing illness, it is termed Damp-Heat Syndrome (Shi Re Zheng). At the onset, there is fever and headache, often accompanied by irritability, thirst, dark and scanty or painful urination, and constipation. Ancient methods primarily prescribe Chai Ling Tang (Bupleurum and Poria Decoction), which includes Ren Shen (Ginseng Radix), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Fu Ling (Poria), Shang Qing Gui (Cinnamomi Ramulus), Zhi Gan Cao (Prepared Licorice Root), with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube) used as guides for decoction; it should be taken hot after water decoction.
[Chen Shouzhen's Note] If a child has latent heat internally and contracts dampness externally, manifesting as surface heat without sweating, it is sufficient to promote the free flow of Qi in the Upper Jiao (Upper Burner), and the disease can be resolved. The prescription uses Bo He Jian (Menthae Haplocalycis Herba) 5 fen, Lian Qiao Ke (Forsythiae Fructus) 1.5 qian, Dan Zhu Ye (Lophatheri Herba) 1 qian, Ku Xing Ren (Armeniacae Semen Amarum) 2 qian, Sheng Yi Mi (Coicis Semen) 1 qian, Liu Yi San (Six-to-One Powder) 3 qian, and Deng Xin Cao (Junci Medulla) 6 fen as guides.
If the child possesses robust Yuan Qi (Primal Qi) and suffers from prolonged constipation, add Sheng Jin Wen (Rhei Radix et Rhizoma) 3 fen.
When a child develops Cold-Damp Syndrome (Han Shi Zheng) due to playing with cold water or sitting/lying on damp ground, the initial symptoms include headache, heaviness of the body, and alternating chills and fever. Ancient methods primarily prescribe Wei Ling Tang (Stomach Regulating and Poria Decoction), which includes Bai Biao Zhu (Atractylodis Macrocephalae Rhizoma processed with bran), Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma), Chuan Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Zhi Gan Cao (Prepared Licorice Root), Shang Qing Gui (Cinnamomi Ramulus), with Sheng Jiang (Fresh Ginger) used as a guide.
[Chen Shouzhen's Note] When a child is affected by external cold-dampness, Cang Zhu (Atractylodis Rhizoma) and Bai Zhu are too cloying and stagnant, and Rou Gui (Cinnamomi Cortex) is too acrid and hot; neither is suitable for the initial treatment of children. One should only use Dong Sang Ye (Mori Folium) 1 qian, Chi Fu Ling (Red Poria) 2 qian, Guang Ju Hong (Citri Reticulatae Pericarpium Rubrum) 1.5 qian, Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) 1.5 qian, Zhi Gan Cao (Prepared Licorice Root) 5 fen, with Sheng Jiang Pi (Zingiberis Rhizoma Recens Pericarpium) 3 fen as a guide.
For children contracting cold-dampness complicated by vomiting, refer to the Cold-Dampness formula and add Huo Xiang (Agastaches Herba) 5 fen, Sha Ren (Amomi Fructus Rotundus) 3 fen, changing the guide to Gan Jiang (Zingiberis Rhizoma) one slice.
For children contracting cold-dampness complicated by diarrhea, refer to the Cold-Dampness formula, remove Sang Ye, and add Zhu Ling (Polyporus) and Ze Xie (Alismatis Rhizoma) each 2 qian.
For children contracting cold-dampness complicated by edema, use Da Fu Pi (Arecae Pericarpium), Fu Ling Pi (Poria Cocos Pericarpium), Zhi Sang Pi (Mori Cortex Preparatus), Guang Chen Pi (Citri Reticulatae Pericarpium), and Sheng Jiang Pi (Zingiberis Rhizoma Recens Pericarpium) each 8 fen, Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) 2 qian, Che Qian Zi (Plantaginis Semen) 5 fen, with Deng Xin Cao (Junci Medulla) ten stalks as a guide.
Jaundice caused by dampness in children, resulting from sitting/lying on damp ground and being soaked by fog, dew, and rainy weather, compounded by bathing where wind closes the pores, leading to dampness stagnating in the muscle and interstices, causes yellowing. Use Yin Chen Hao (Artemisiae Scopariae Herba) 2 qian, Bai Biao Zhu (Atractylodis Macrocephalae Rhizoma processed with bran) 1 qian, Bai Fu Ling (White Poria) 1.5 qian, Jie Zhu Ling (Knot Polyporus) 1 qian, Zhi Gan Cao (Prepared Licorice Root) 5 fen, with Sheng Jiang (Fresh Ginger) one slice as a guide.
If a child's wound is immersed in water and dampness, leading to trismus (lockjaw) and rigid body extension, use Mu Li (Ostreae Concha) powdered and applied to the wound. Additionally, administer Mu Li powder 1 qian mixed with Gan Cao Tang (Licorice Decoction) for oral intake.