小儿风寒头痛，因太阳经受邪也。其候恶寒发热，上及巅
顶，下连额角，不时作痛，古法主清空膏以取汗（如羌洁、防风、柴胡、川芎、黄芩、黄连、生甘草，引用生姜）。
痛甚，加细辛；便秘，加川大黄。
〔真按〕小儿因感受风寒而发头痛，羌防柴芎并用，过于表散。但以苏薄荷八分，嫩桑芽一钱，连须葱白二
寸，淡黄芩一钱，生甘草五分，引用生姜二片。一剂痛定，不必再剂。
小儿胃热头痛，病在阳明，因平日肥甘无节，胃火上炎，故发时鼻干目痛，上至头，下至齿颊，痛无定时，
古法主加味茶调散清之（如荆芥穗、薄荷、黄芩、青茶叶、生石膏、白芷、川芎，引用生姜）。便秘者加川大黄。
〔真按〕小儿因胃腑内热，而发头痛，但宜清解。方用薄荷尖五分， 石膏二钱，盐知母一钱，炒牛膝八分，
麦冬（去心）钱半，宣泽泻一钱，炙甘草五分，引用鲜竹叶十五片。痛甚加粉葛根一钱，灯芯三十寸；便结加
清宁丸钱半。
《经》曰∶劳役过甚，饮食失节，中气受伤，寒邪乘虚入客，阳气不通所致，故腹卒然而痛。然小儿本无劳役，
惟饮食不节则有之。中腕痛属太阴，脐腹痛属少阴，小腹痛属厥阴，皆非所论于小儿之腹痛。惟食痛、寒痛、
虫痛，更有因内食外寒而痛，其证不出四者之外。因作腹痛解。
小儿风寒头痛，是由于太阳经受邪所致。其症状表现为恶寒发热，疼痛部位上至头顶，下连额角，不时发作疼痛。古法主要使用清空膏来发汗解表（药物组成如羌活、防风、柴胡、川芎、黄芩、黄连、生甘草，煎服时加入生姜作为药引）。如果疼痛剧烈，加用细辛；如果大便秘结，加用川大黄。
〔陈守真按语〕小儿因感受风寒而引发头痛，若同时使用羌活、防风、柴胡、川芎，发散之力过于猛烈。不如改用苏薄荷八分，嫩桑芽一钱，带须的葱白二寸，淡黄芩一钱，生甘草五分，煎服时加入生姜两片。服用一剂后疼痛即可平息，不必再服第二剂。
小儿胃热头痛，病位在阳明经，是因为平日饮食肥甘厚味没有节制，导致胃火向上炎蒸，所以发病时出现鼻干、目痛，疼痛从上头部延伸至牙齿和面颊，疼痛没有固定时间。古法主要使用加味茶调散来清热（药物组成如荆芥穗、薄荷、黄芩、青茶叶、生石膏、白芷、川芎，煎服时加入生姜作为药引）。大便秘结者加用川大黄。
〔陈守真按语〕小儿因胃腑内部有热而引发头痛，应当采用清解的方法。方剂使用薄荷尖五分，石膏二钱，盐知母一钱，炒牛膝八分，麦冬（去心）一钱半，宣泽泻一钱，炙甘草五分，煎服时加入鲜竹叶十五片。疼痛剧烈者加粉葛根一钱，灯芯草三十寸；大便干结者加清宁丸一钱半。
《黄帝内经》说：过度劳累，饮食失节，损伤了中气，寒邪乘虚侵入体内，阳气运行不通畅，从而导致腹部突然疼痛。然而小儿本来没有过度的劳役，只有饮食不节制这一情况。中脘部疼痛属于太阴脾经病变，脐周腹痛属于少阴肾经病变，小腹部疼痛属于厥阴肝经病变，这些都不在讨论的小儿常见腹痛范围内。只有食积痛、寒痛、虫痛，以及因内伤饮食兼外感寒邪而导致的疼痛，这些证候不出这四种类型之外。因此专门撰写了“腹痛解”这一章节。
Pediatric headache due to wind-cold is caused by pathogenic invasion of the Taiyang channel (Taiyang channel disease). The manifestations include aversion to cold and fever, with pain extending from the vertex down to the frontal angle, occurring intermittently. Ancient methods primarily prescribe Qingkong Gao (Clear Sky Paste) to induce sweating for exterior release (ingredients include Qianghuo [Notopterygii Rhizoma et Radix], Fangfeng [Saposhnikoviae Radix], Chaihu [Bupleuri Radix], Chuanxiong [Ligustici Chuanxiong Rhizoma], Huangqin [Scutellariae Radix], Huanglian [Coptidis Rhizoma], Sheng Gancao [Raw Glycyrrhizae Radix et Rhizoma], with Shengjiang [Fresh Zingiberis Rhizoma] as a guide drug). If the pain is severe, add Xixin [Asari Radix et Rhizoma]; if constipation is present, add Chuan Dahuang [Rhei Radix et Rhizoma].
[Chen Shouzhen's Note:] For pediatric headache caused by wind-cold invasion, using Qianghuo, Fangfeng, Chaihu, and Chuanxiong together results in excessive dispersal of the exterior. Instead, it is better to use Subohe [Menthae Haplocalycis Herba] 8 fen, Nensangya [Mulci Ramulus] 1 qian, Lianxu Congbai [Allii Fistulosi Bulbus cum radicula] 2 cun, Dan Huangqin [Scutellariae Radix] 1 qian, and Sheng Gancao [Raw Glycyrrhizae Radix et Rhizoma] 5 fen, with two slices of Shengjiang [Fresh Zingiberis Rhizoma] as a guide drug. After one dose, the pain subsides, and no further doses are necessary.
Pediatric headache due to stomach heat is located in the Yangming channel (Yangming channel disease), caused by unregulated consumption of rich and sweet foods in daily life, leading to stomach fire flaring upward. Consequently, upon onset, symptoms include dry nose and eye pain, with pain extending from the head down to the teeth and cheeks, occurring at irregular intervals. Ancient methods primarily use Jiawei Chatiao San (Modified Tea-Powder Powder) to clear heat (ingredients include Jingjie Sui [Schizonepetae Spica], Bohe [Menthae Haplocalycis Herba], Huangqin [Scutellariae Radix], Qing Chaye [Camelliae Sinensis Folium], Sheng Shigao [Gypsum Fibrosum], Baizhi [Angelicae Dahuricae Radix], Chuanxiong [Ligustici Chuanxiong Rhizoma], with Shengjiang [Fresh Zingiberis Rhizoma] as a guide drug). For those with constipation, add Chuan Dahuang [Rhei Radix et Rhizoma].
[Chen Shouzhen's Note:] For pediatric headache caused by internal heat in the stomach fu-organ, clearing and resolving methods should be employed. The formula uses Bohe Jian [Menthae Haplocalycis Herba tip] 5 fen, Shigao [Gypsum Fibrosum] 2 qian, Yan Zhimu [Anemarrhenae Rhizoma processed with salt] 1 qian, Chao Niuxi [Achyranthis Bidentatae Radix stir-fried] 8 fen, Maidong [Ophiopogonis Radix] (heart removed) 1.5 qian, Xuan Zexie [Alismatis Rhizoma] 1 qian, and Zhi Gancao [Honey-processed Glycyrrhizae Radix et Rhizoma] 5 fen, with fifteen fresh leaves of Zhu Ye [Bambusae Folium] as a guide drug. If the pain is severe, add Fengegen [Puerariae Lobatae Radix] 1 qian and Dengxin [Junci Medulla] 30 cun; if stool is dry and difficult to pass, add Qingning Wan (Clear Peace Pill) 1.5 qian.
The *Classic* states: Excessive labor and irregular diet damage the Middle Qi (Middle Jiao energy), allowing cold pathogens to invade when deficiency exists, causing obstruction of Yang qi flow, thus resulting in sudden abdominal pain. However, children do not typically suffer from excessive labor, but only from irregular diet. Pain in the Zhongwan region belongs to the Taiyin spleen channel (Taiyin syndrome); periumbilical pain belongs to the Shaoyin kidney channel (Shaoyin syndrome); hypogastric pain belongs to the Jueyin liver channel (Jueyin syndrome). These are not discussed in the context of common pediatric abdominal pain. Only food stagnation pain, cold pain, and worm pain, as well as pain caused by internal food retention combined with external cold, fall within these four categories. Therefore, this chapter on "Abdominal Pain" is presented.