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Jiang Zhongfang treated a child of two or three years old who presented with fever and palpitations (fright and palpitations). After consulting six or seven other physicians without any effect, the child suddenly began to make sounds like a crow. Shortly after, his voice became hoarse, and his mouth opened like a fish's gills.

Upon examination, the child appeared to want to cry, with slightly furrowed brows, but no sound came out. Jiang inserted his finger into the child's mouth and found dry lips and a parched tongue. He said, "This is heart heat desiring to speak but unable to do so; is this indeed the case?" He then prescribed a large dose composed of Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Shigao (Gypsum Fibrosum), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Shanzhi (Gardeniae Fructus), Xuanshen (Scrophulariae Radix), Huafen (Puerariae Radix), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Bohe (Menthae Haplocalycis Herba), Dengxincao (Junci Medullia), and Zhuye (Bambusae Folium). These were coarsely chopped, decocted into a thin paste, and administered frequently. Within one day and night, the crow-like sounds reappeared, and after another day, the voice fully recovered. This method was subsequently used to save countless people. For cases where bowel movements did not occur for three to four days, Yuanmingfen (Mirabilite) two to three qian was added, which proved particularly effective. For severe palpitations, Jinbo (Gold Leaf) was added to the decoction. Alas! In cases of aphonia and fright wind encountered in the world, treatment is often abandoned. Who would have known that dry lips and a parched tongue ultimately indicate a Yang syndrome? This method is excellent, and thus it is recorded.

Yu Jiayan treated the son of Yuan Zhongqing, who had fallen into water while catching Pengqi (a type of aquatic creature). After being rescued by his family, the child soon developed high fever and groaning. Others administered pills and powders for calming fright and clearing heat. Two days later, the child fell into a coma, with the chest protruding three cun high, the neck soft and head tilted, and breath nearly absent, showing no signs of life. The pulse was felt only as fine as a spider's thread, completely imperceptible under the fingers. When two spoonfuls of decoction were entered into the mouth, there was only a faint swallowing reflex. Yu said, "The severity of the external symptoms is not to be feared, but since the pulse has lost its root, it is incurable." One physician remarked, "The nose looks like smoke-stained coal, indicating the lung qi is exhausted; even if divine medicine were available, what could be done?" Yu pondered why the illness had reached such an extreme state. He asked the host and guests to step back so he could sit alone and contemplate the cause. (In families with critically ill patients, having relatives and friends crowded around discussing matters only confuses the mind; this should be known.) After a long time, he said, "I understand. The condition of 'fright wind' is a baseless fabrication by predecessors, causing harm to countless children in later generations. I once argued with pediatricians without evidence. Later, I saw Fang Zhongxing's *Shanghan Tiaobian* (*Differentiation of Cold Damage Diseases*) with an attached booklet *Jingshu* (*Book on Spasm*), which specifically addressed this matter. I realized that ancient sages had anticipated my thoughts. This case, though triggered by fright, actually resulted from falling into water and contracting cold-dampness, constituting an external contraction fever disease. Food in the stomach failed to digest due to this. It should be treated according to the pattern of cold damage with retained food, using Wuji San (Five Accumulations Powder). The physicians, lacking understanding, used heavy, cold minerals to suppress and descend, allowing the external pathogen to penetrate deeply into the zang-fu organs, thereby clouding the spirit. The food stagnating in the stomach, encountering cold medicines, failed to transform. The administered drugs remained above the stomach gate, unable to penetrate inward, accumulating more and more, leading to the protrusion of the chest. Li Zhong Tang (Regulate the Middle Decoction) should be used to mobilize the previous medications. If symptoms subside and the pulse returns, treatment can proceed according to the cold damage protocols, and there may still be hope." Someone asked, "If the nose resembling smoke-stained coal indicates exhausted lung qi, does using Li Zhong Tang not worsen this exhaustion?" Yu replied, "The reason I sat alone in deep thought was precisely for this. Smoke-stained coal is merely a sign of intestinal dryness and constipation. If lung qi were truly exhausted, there would be profuse sweating and severe panting. How could there be fever without sweat? How could the chest be high and protruding without oppressive breathing, and how could the tip of the nose remain slightly moist? These are why I hoped for recovery." He then poured a cup of Li Zhong Tang into the child's mouth. The child let out a loud belch, expelling all the previously ingested medicines. The chest protrusion flattened instantly, and the neck became slightly firmer. However, the pulse remained undetectable, and the child did not regain consciousness, because the food had not yet moved, blocking the orifices. A small amount of the same decoction was administered again. The fever gradually subsided, and symptoms improved. Following the protocol for purging in cold damage, Yuanmingfen (Mirabilite) alone was dissolved in water and administered continuously three times. That night, a large amount of black stool was passed. The next morning, the child suddenly said, "I want to drink wine." Although he remained unconscious, frequent administration of fluids-generating medicines led to recovery within a day. (Xu Lingtai's note: Using Li Zhong Tang here must include Zhishi (Aurantii Fructus Immaturus). The so-called suppressing and descending medicines are heavy and downward in nature. Although the drugs stayed at the stomach gate, the pathogen could not resolve outwardly and instead penetrated deeply.)

Gong Zicai treated an eight-year-old child suffering from cold damage, presenting with headache, body pain, fever, dry mouth, red face, and absence of sweating. Treatment for cold damage was ineffective. After ten days, Long'an Anshen Wan (Dragon Brain Calming Spirit Pill) was given. After one dose, the child sweated profusely like rain and recovered immediately.

Another child was silent, drowsy, with cold limbs and palpitations. The fingerprint curved inward like a bow, indicating deficiency of stomach qi and external contraction of cold pathogens. Xingxing San (Wonderful Awakening Powder) was first used to release the exterior pathogens, resolving all symptoms. However, since the hands and feet remained cold, Liu Junzi Tang (Six Gentlemen Decoction) was used to tonify primordial qi, leading to stability.

A third child with cold damage presented with vomiting and fever. After taking digestive and heat-clearing agents, the food digestion resumed, but the fever persisted. Liu Junzi Tang combined with Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) was administered for four doses, resulting in recovery.

Gao Gufeng treated the son of Wu Weishi, aged ten, who had fever, thirst, and distending pain in the chest and abdomen. Gao diagnosed this as Shaoyang-Yangming syndrome and prescribed Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction). That night, the child experienced severe dizziness for over an hour, causing great alarm to the Wu family. Gao said, "There is no harm. However, this disease will either transmit to malaria or dysentery." Three days later, when the fever subsided, the child indeed complained of lower abdominal pain, passing numerous black stools first, followed by pus and blood, developing into dysentery. Danggui Jiedu Wan (Angelica Detoxification Pill) was used for five or six doses to eliminate the dysentery. Subsequently, Liu Junzi Tang (Six Gentlemen Decoction) was used for regulation, leading to stability. (Xu Lingtai's note: Severe dizziness after taking Xiao Chaihu Tang indicates heat stirring causing jue (collapse). Since Xiao Chaihu Tang was insufficient to harmonize, the form and qi must manifest before recovery. Manifestation in Shaoyang leads to malaria; manifestation in Yangming leads to dysentery.)

Ma Yuanyi treated the son of Zhang Boqing, aged twelve, who suffered from cold damage, delirious speech, fever, and loss of consciousness for five to six days. Pediatric treatments had failed, and the condition progressed to fixed gaze and coma. The pulse was wiry and rapid, resisting pressure. Due to fright, food and phlegm had accumulated and bound together, obstructing the flow and causing disease. Stomach qi generated heat, internal fluids were depleted, leading to delirium. The meridians of Yangming connect to the eyes; when meridian qi is excessive, collateral qi is also excessive, causing fixed gaze. With excess heat in the stomach, Chengqi Tang (Downward Directing Decoction) should be used to regulate, allowing obstructed qi to return to harmony, preserving fluids, and eliminating both diseases. Bao Long Wan (Embracing Dragon Pill) was additionally taken to resolve phlegm and treat fright. After administration, bowel movements occurred two or three times, heat significantly decreased, and full recovery was achieved the next day.

Jiang Zhongfang treated the cousin-brother of Chen Shoutian, aged eleven. Having suffered from cold damage for nearly two hundred days, he could not eat a single grain of rice; eating caused immediate distension. Various medicines failed. Only daily decoction of Renshen (Ginseng Radix et Rhizoma) three qian was consumed. The child was emaciated, with deep and fine pulses in all six positions. While Ginseng and Baizhu (Atractylodis Macrocephalae Rhizoma) seemed appropriate, palpation of the chest, abdomen, and lower abdomen revealed hard masses filling the area, painful to touch. Jiang said, "Based on the pulse, purgatives are difficult to use, but without them, there is no hope." He prescribed Danggui (Angelicae Sinensis Radix) and Yuanmingfen (Mirabilite) each three qian, Jiudahuang (Wine-processed Rheum Palmatum Radix et Rhizoma) two qian, and Xingren (Armeniacae Semen Amarum), Haren (Cannabis Fructus), Suzi (Perillae Fructus), and Taoren (Persicae Semen) each one qian, all stir-fried and powdered. Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Jiegeng (Platycodonis Radix) were each 0.7 fen. The mixture was decocted in water and taken. Immediately after ingestion, twenty to thirty black clumps were expelled, and the hardness below the Zhongwan point reduced by about one cun. However, the patient was extremely deficient. The next day, Dahuang and Yuanmingfen were removed, and Renshen (Ginseng Radix et Rhizoma) two qian was added, taken for one dose. On the following day, the original formula was used again, expelling another ten to twenty black clumps. Alternating these two formulas over half a month, the black clumps were completely eliminated, and the patient recovered.