小儿春月受风，其气已温，肺位受邪在先，此手太阴气分先病，失治则入手厥阴心包络血分，气血两伤，
古法多主荆、防、
柴、葛，加入枳、朴、杏、苏之属，发散消导，变证甚速。
〔真按〕风温肺病，治在上焦，初起发热喘嗽，但用薄荷叶一钱，栝蒌皮钱半，北沙参三钱，霜桑叶二钱，
川贝母一钱，牛蒡八分，连翘钱半，热重加生石膏二钱，鲜竹叶十五片，上焦得开，则邪自解矣。
经云∶先夏至病温，后夏至病暑。长夏湿令，暑必兼湿，暑伤气分，湿亦伤气，汗则耗气伤阳，胃汁大受劫
炼，变症由此而多。然暑病古之专方甚少，皆以白虎汤为主，次亦主香薷散（如香薷、扁豆、浓朴、甘草四味）。
〔真按〕香薷辛温气升，热伏易吐，古方大顺散，香薷必佐杏仁，取杏仁苦降泄气，以监香薷。然治小儿
暑湿之症，仍不适用。初起但用鲜竹叶三十片，六一散三钱，苏薄荷六分，连翘心钱半，鲜荷叶一角，光杏仁钱
半为剂。热甚烦渴无湿者，前方除去六一散不用，加 石膏三钱，炒知母钱半。
秋疫因秋令感伤，恰值夏热发泄之后，小儿体质虚实不同，往往混投发散，津液被劫，喘急告危，古法多
用荆、防、前胡、葛根之属，发散解肌为主。
〔真按〕秋疫一症，气分先受，治肺为急，勿使热郁内蒸，逆传膻中，至天君震动，状若痫症。一切苦寒
沉降及腻滞阴药，俱在禁例。但用西瓜翠衣钱半，鲜石菖蒲五分，薄荷尖八分，嫩桑叶二钱，薏米仁钱半，白茯
苓二钱，川郁金八分，淡竹叶二钱，忍冬藤钱半，服后肺气清肃，则营卫两和。
In spring, when children are affected by wind pathogens, the climate is already warm. The Lung position is invaded first; this constitutes an initial disease of the Qi level of the Hand-Taiyin (Lung) meridian. If mismanaged, it progresses to the Blood level of the Hand-Jueyin (Pericardium), resulting in damage to both Qi and Blood.
Ancient methods often advocated using Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), and Gegen (Puerariae Lobatae Radix), added with Zhishi (Aurantii Fructus Immaturus), Houpo (Magnoliae Officinalis Cortex), Xingren (Armeniacae Semen Amarum), and Zisu (Perillae Folium), to release the exterior and promote digestion. However, pathological changes occur very rapidly.
[Chen Shouzhen's Note:] For Wind-Warmth affecting the Lung, treatment focuses on the Upper Jiao (Upper Burner). In the initial stage presenting with fever, wheezing, and cough, only use Bohe Ye (Menthae Haplocalycis Folium) 3g, Gualou Pi (Trichosanthis Pericarpium) 4.5g, Beishashen (Glehniae Radix) 9g, Shuang Sangye (Mori Folium Frost-treated) 6g, Chuanbeimu (Fritillariae Cirrhosae Bulbus) 3g, Niubangzi (Arctii Fructus) 2.4g, Lianqiao (Forsythiae Fructus) 4.5g. If heat is severe, add Sheng Shigao (Gypsum Fibrosum) 6g and Xian Zhuye (Phyllostachidis Viridis Folium) 15 leaves. Once the Upper Jiao is opened, the pathogen will resolve spontaneously.
The Classic states: "Warmth occurring before the Summer Solstice is called Warm Disease; that occurring after the Summer Solstice is called Summerheat." During the Late Summer, Dampness commands the season, so Summerheat inevitably combines with Dampness. Summerheat damages the Qi level, and Dampness also damages the Qi level. Sweating consumes Qi and injures Yang, severely depleting Stomach fluids, leading to numerous complications. However, ancient specialized formulas for treating Summerheat are few; most prioritize Baihu Tang (White Tiger Decoction), followed by Xiangru San (Elsholtzia Powder, composed of Xiangru, Bian Dou, Houpo, Gancao).
[Chen Shouzhen's Note:] Xiangru is acrid-warm and its Qi ascends; if Heat is latent, it easily induces vomiting. In the ancient formula Dashun San, Xiangru must be assisted with Xingren, utilizing Xingren’s bitter-descending property to drain Qi and supervise/restrain Xiangru’s ascending nature. However, this is still not applicable for treating pediatric Summerheat-Dampness. In the initial stage, use only Xian Zhuye 30 leaves, Liuyi San (Six-to-One Powder) 9g, Su Bohe (Menthae Haplocalycis Herba) 1.8g, Lianqiao Xin (Forsythiae Fructus Cor) 4.5g, Xian Heye (Nelumbinis Folium) one corner, Guang Xingren (Armeniacae Semen Amarum) 4.5g as a decoction. If heat is intense with thirst and restlessness but without Dampness, remove Liuyi San from the previous formula and add Shigao 9g and Chao Zhimu (Anemarrhenae Rhizoma Stir-fried) 4.5g.
Autumn Epidemic arises from contracting pathogens during Autumn, precisely after the venting of Summer heat. Children have varying constitutions of deficiency or excess; often, dispersing agents are indiscriminately administered,劫ting Body Fluids, leading to urgent wheezing and critical danger. Ancient methods mostly used Jingjie, Fangfeng, Qianhu (Peucedani Radix), and Gegen to primarily disperse the exterior and release the muscle layer.
[Chen Shouzhen's Note:] Regarding the syndrome of Autumn Epidemic, the Qi level is affected first, making the treatment of the Lung urgent. One must prevent Heat from stagnating internally and steaming, which could reverse-transmit to the Danzhong (Conception Vessel/Pericardium region), causing agitation of the Heavenly Ruler (Heart/Mind), resembling Epilepsy (Xian Syndrome). All bitter-cold, sinking-depressing, and cloying-stagnant Yin-nourishing herbs are contraindicated. Use only Xigua Cuiyi (Citrulli Lanati Exocarpium) 4.5g, Xian Shichangpu (Acori Tatarinowii Rhizoma Fresh) 1.5g, Bohe Jian (Menthae Haplocalycis Apiculus) 2.4g, Nen Sangye (Mori Folium Tender) 6g, Yimiren (Coicis Semen) 4.5g, Baifuling (Poria) 6g, Chuan Yujin (Curcumae Radix) 2.4g, Dan Zhuye (Phyllostachidis Viridis Folium) 6g, Rendongteng (Lonicerae Japonicae Caulis et Folium) 4.5g. After administration, if Lung Qi becomes clear and descending, Ying (Nutritive) and Wei (Defensive) harmonize.