薛立斋治一小儿，伤风咳嗽，发热，服解表之剂，更加喘促出汗。以为脾肺气虚，欲用补中益气汤加五味
子补之。不信，乃服二陈、桑皮、杏仁、枳、桔之剂，前症益甚，又加发搐痰壅。仍用前方，加钩藤钩而愈。
陈文中治太师贾平章子宣机，三岁，头热目赤，痰 不已。医言风热盛，痰涎作。陈曰∶因脾肺虚，而风
冷寒痰所作。又一医言热即生风，冷即生气。陈曰∶不然。三冬盛寒，冷则生风；九夏炎热，热则生气。盖风
者，百病之长也。若寒得之，而谓之风寒；若热得之，而谓之风热；若燥得之，而谓之风燥；若湿得之，而谓
之风湿。此非独热而生风也。如暗风、破伤风、脐风、慢惊风及风痫、惊痫、食痫等症，而皆作搐，非但热而
生风也。宣机病始于头热目赤，便以凉药饵之，致寒凉气客于喉厌之间，与津液相搏，又生痰 症。其喉厌寒
痰冷气，壅塞不通，故头热目赤，无由得愈。治法当斡去喉厌间寒痰，令气得通，其病可愈。遂投芎蝎散一服，
用手斡去寒痰冷涎四五口，次以油珠膏，一服而愈。
曾世荣治衡州万户张侯，寓屯田日，长子三岁，六月，得患不语，手足倦缩，已经二旬日。曾至，诸医议
论不一。观外形，面垢有热，气促流涎，口眼 斜，不省人事。次则手足俱冷而倦缩，身背反张。诊六脉，沉
按而紧，独心肝脉虚而细数，余脉缓弱。曰∶面垢色，脉细数，此因中暑感风，前贤所谓暑风者是也。手足冷
缩而不伸，或服寒剂太过，寒之使然。若手足温，其效自速。乃以治暑法，分阴阳，顺中气，五苓散加宽气饮，
姜汁沸汤调下。三服。其症稍慢。次疏风和荣卫，百解散加荆芥、人参、当归、水姜煎投。随以温灰汤烧洗手
足，药一服，洗一次，至八九次，手足温则血活，活则筋舒，舒则手足运动如常。余热未除，消暑清心饮主之。
声音不全，二圣散取效。调理惟用万安饮，恰九日，前症俱减。张侯曰∶此子更生，端藉药力，不敢忘也。因
笔漫记，后有是症，仿此活人，亦快心矣。
立斋治一小儿伤风，鼻塞流涕，服药过重，发搐，呵欠顿闷，汗出气喘，久不愈。其母因劳役瘀热，用
补中益气汤，时以五七滴药汁与儿饮之，母子并愈。
一小儿伤风发搐，痰盛喘急，谓此脾肺气虚，腠理不密，而外邪所乘。用六君加柴胡、升麻、桑皮、杏仁，
一剂，痰喘悉退。又一剂，去桑、杏，加钩藤而安。乃用异功散，数剂不复发。此证若不补脾胃，实腠理，导
治痰邪，鲜有不误。
Xue Lizhai treated a pediatric patient suffering from wind-cold injury with cough and fever. After taking exterior-releasing formulas, the symptoms worsened to include panting, shortness of breath, and sweating. Xue diagnosed this as deficiency of Spleen and Lung Qi and intended to use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Wuweizi (Schisandrae Fructus). The family did not believe in this diagnosis and instead administered Erchen Tang (Two-Cured Decoction) along with Sangbaipi (Mori Cortex), Xingren (Armeniacae Semen Amarum), Zhike (Aurantii Fructus Immaturus), and Jiegeng (Platycodonis Radix). Consequently, the previous symptoms intensified, and convulsions with phlegm obstruction were added. Xue then adhered to the principle of tonification, adding Goutenggou (Uncariae Ramulus cum Uncis) to the formula, which resulted in a cure.
Chen Wenzhong treated Xuanji, the three-year-old son of Grand Councilor Jia Pingzhang. The child presented with heat in the head and red eyes, accompanied by persistent phlegm. One physician attributed this to excessive wind-heat generating phlegm-saliva. Chen stated: "This is caused by deficiency of the Spleen and Lung, leading to the production of cold-phlegm due to wind-cold." Another physician argued that heat generates wind, while cold generates qi stagnation/spasms. Chen replied: "Incorrect. In the deep winter's severe cold, cold generates wind-patterns; in the midsummer's intense heat, heat generates qi disturbances. Wind is the leader of all diseases. If combined with cold, it is called wind-cold; if with heat, wind-heat; if with dryness, wind-dryness; if with dampness, wind-dampness. It is not only heat that generates wind. Conditions such as hidden wind, broken-wound wind, umbilical wind, slow convulsive wind, wind epilepsy, fright epilepsy, and food epilepsy all present with convulsions, proving that wind is not solely generated by heat." Regarding Xuanji's case, the initial symptoms of head heat and red eyes led some to administer cooling medicines. This caused cold-cooling pathogens to lodge between the throat and epiglottis (houyan), interacting with body fluids to generate phlegm. The obstruction of cold-phlegm and cold qi at the throat prevented the resolution of head heat and red eyes. The treatment method should be to clear the cold-phlegm from the throat area to restore free flow of qi, thereby curing the disease. Chen administered one dose of Xiongxi San (Ligusticum and Scorpion Powder), manually cleared four or five mouthfuls of cold-phlegm and cold saliva, and subsequently used Youzhugao (Oil Pearl Ointment), resulting in a cure after one administration.
Zeng Shirong treated the eldest son of Marquis Zhang of Hengzhou, who was residing at a military farm. At three years old, in the sixth lunar month, the child fell ill with mutism, fatigue, and curling up of the limbs, lasting for twenty days. Upon Zeng's arrival, various physicians offered differing opinions. Observation revealed a dirty complexion with signs of heat, rapid breathing, drooling, deviation of the mouth and eyes, and unconsciousness. Subsequently, the limbs were cold and curled up, with opisthotonos (backward arching of the back). Pulse diagnosis showed six pulses that were deep and tight upon pressure, except for the Heart and Liver pulses, which were deficient, fine, and rapid, while the other pulses were slow and weak. Zeng said: "The dirty complexion and fine-rapid pulse indicate summerheat combined with wind invasion, known by former sages as 'summerheat wind' (Shu Feng). The cold and contracted limbs are likely due to excessive administration of cold-natured medicines, causing cold to constrict them. If the limbs become warm, the effect will be swift." He employed methods for treating summerheat, differentiating yin and yang, and harmonizing middle qi, using Wuling San (Five-Ingredient Poria Pill) combined with Kuanqi Yin (Broad-Qi Drink), mixed with ginger juice and boiling water. After three doses, symptoms slightly alleviated. Next, he dispersed wind and harmonized Ying and Wei (Nutritive and Defensive levels), using Baijie San (Hundred-Release Powder) with Jingjie (Schizonepetae Herba), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), and Shengjiang (Zingiberis Rhizoma Recens). Simultaneously, he washed the hands and feet with hot water prepared from warm ashes. After each dose of medicine, the washing was performed once; after eight or nine times, the limbs became warm, blood circulation improved, tendons relaxed, and limb movement returned to normal. For residual heat, Xiaoshu Qingxin Yin (Summerheat-Resolving Heart-Clearing Drink) was used. For incomplete voice, Ersheng San (Two-Sage Powder) was effective. For recovery, Wan'an Yin (Ten-Thousand-Peace Drink) was used exclusively. Within exactly nine days, all prior symptoms subsided. Marquis Zhang said: "This child's revival is entirely due to your medicinal power; I dare not forget it." Thus, he recorded this casually, hoping that future practitioners encountering similar cases could save lives by imitating this approach, bringing great satisfaction.
Xue Lizhai treated another pediatric patient with wind-cold injury presenting with nasal congestion and runny nose. Due to overly heavy medication, the child developed convulsions, yawning, chest stuffiness, sweating, and panting, which persisted for a long time. The mother suffered from stasis-heat due to overwork. Xue prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) for the mother, administering only five to seven drops of the decoction to the infant at a time. Both mother and child recovered.
In another case, a child with wind-cold injury developed convulsions, profuse phlegm, and urgent panting. Xue reasoned that this was due to deficiency of Spleen and Lung Qi and loose interstices (Couli), allowing external pathogens to invade. He used Liu Jun Zi Tang (Six-Gentlemen Decoction) with Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Sangbaipi (Mori Cortex), and Xingren (Armeniacae Semen Amarum). After one dose, phlegm and panting completely subsided. After a second dose, Sangbaipi and Xingren were removed, and Goutenggou (Uncariae Ramulus cum Uncis) was added, stabilizing the condition. Finally, Yigong San (Extraordinary Skill Powder) was administered for several doses, preventing recurrence. If this syndrome is not treated by tonifying the Spleen and Stomach, consolidating the interstices, and guiding out pathogenic phlegm, errors are rare to avoid.