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Pediatric wind-cold cough easily transforms into rebellious Qi and wheezing urgency. Use only 1.5 qian of Sangye (Folium Mori), 2 qian each of Pipaye (Folium Eriobotryae) and Ku Xingren (Semen Armeniacae Amarum), 1 qian each of Chuanbei (Bulbus Fritillariae Cirrhosae) and Guang Chenpi (Pericarpium Citri Reticulatae), and 0.5 qian of Zhi Gancao (Radix Glycyrrhizae Preparata). One dose is sufficient; no further administration is needed.

Pediatric wind-cold with spontaneous diarrhea, abdominal pain, and cold hands and feet indicates Spleen deficiency. Use only 1 qian of Zhi Sangye (Folium Mori Preparatum), 2 qian each of Hua Juhong (Exocarpium Citri Grandis), Fuling (Poria), Zhuling (Polyporus), and Zexie (Rhizoma Alismatis), and 0.5 qian of Zhi Gancao (Radix Glycyrrhizae Preparata), with one slice of Shengjiang (Rhizoma Zingiberis Recens) as a guide. One dose will stop the symptoms.

Pediatric wind-cold with vomiting, indigestion of milk and food, and yellowish-white tender stools indicates Cold invading the Lung and Spleen, leading to vomiting due to inability to receive and transform. Use only 1 qian of Zhi Sangye (Folium Mori Preparatum), one flower of Houpo Hua (Flos Magnoliae Officinalis), 0.8 fen of Huoxiang Geng (Caulis Agastaches), 1.5 qian of Kuidonghua (Flos Farfarae), 0.5 qian of Zhi Gancao (Radix Glycyrrhizae Preparata), and one slice of Ganjiang (Rhizoma Zingiberis Preparatum) as a guide.

Pediatric wind-cold with hypochondriac pain, swollen eyes, excessive tearing, and cough indicates concurrent Liver syndrome. Follow the formula for wind-cold cough, adding 1 qian each of Ganjuhua (Flos Chrysanthemi Indici) and Baishao (Radix Paeoniae Alba).

Pediatric wind-cold with red face, profuse sweating, abnormal tongue coating, and cough indicates concurrent Heart syndrome. Follow the formula for wind-cold cough, adding 0.1 fen of Shichangpu (Rhizoma Acori Tatarinowii) to unblock Heart Qi.

Pediatric wind-cold with yellow complexion, swollen lips, poor appetite, and nausea indicates concurrent Spleen syndrome. Follow the formula for wind-cold spontaneous diarrhea, removing Huoxiang Geng (Caulis Agastaches) and Kuidonghua (Flos Farfarae), and adding 1.5 qian of Jiao Jianqu (Massa Medicata Fermentata Preparata) and 0.8 fen of Yinchenshao (Herba Artemisiae Scopariae).

Pediatric wind-cold with pale complexion, swollen eye orbits, and wheezing urgency indicates primary Lung disease. Follow the formula for wind-cold cough, adding 0.1 fen of Tian Tingli (Semen Lepidii seu Descurainiae).

In the Han Dynasty, Zhang Zhongjing established his theory specifically on Shanghan (Cold Damage), likely because Cold is a major pathogen among the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire). Earlier scholars stated that children under eight do not suffer from Shanghan, but the source of this claim is unclear and difficult to comprehend. However, children over eight have sufficient Qi and Blood and solid meridians; thus, Shanghan in these children is treated similarly to adults. Treatment still follows the progression from exterior to interior: first skin and hair, then muscles, then sinews, bones, and intestines/stomach. When Cold Evil initially invades the Taiyang Bladder Meridian, it causes headache, aversion to cold, fever, and floating pulse. Subsequently transmitting to the Yangming Stomach Meridian, it causes eye pain, dry nose, cracked lips without thirst. Further transmitting to the Shaoyang Gallbladder Meridian, it causes dizziness, deafness, chest fullness, hypochondriac pain, bitter taste, alternating chills and fever, head sweat, and wiry pulse. These are exterior syndromes of the Three Yang meridian transmission. If untreated, it transmits to the Three Yin meridians. Transmission to the Taiyin Spleen Meridian causes abdominal fullness and pain, diarrhea, and deep pulse. Transmission to the Shaoyin Kidney Meridian causes dry mouth, sore throat, watery diarrhea, blurred vision, which is critical. Transmission to the Jueyin Liver Meridian causes lower abdominal fullness, curled tongue, retracted scrotum, and cold extremities, which is even more critical. Some cases do not transmit to the Three Yin but to the Shaoyang Gallbladder Fu-organ, causing thirst and dark urine. Transmission to the Yangming Stomach Fu-organ causes delirium, mania, extreme thirst, constipation, flatus, spontaneous sweating, and insomnia. The above are referred to as meridian-transmitting Shanghan, where Cold transforms into Fire. In some cases, Cold Evil directly strikes the Three Yin meridians at onset, presenting with cold abdominal pain, vomiting clear fluid, undigested stool in diarrhea, curling up with cold limbs, retracted scrotum, vomiting roundworms, black and moist tongue coating, and deep-thin pulse; this is a Cold syndrome. The above describes symptoms for children over eight treated like adults. For infants in swaddling clothes to children under eight, initial Cold Evil invasion should be resolved immediately. Otherwise, children have thin constitution and undeveloped Shen (Spirit), unable to withstand meridian transmission; diseases become complex. Clinging to Shanghan treatment methods for them is indeed an error.