论曰小儿伤寒之病，有冬时冒犯严寒而得之者。有伤四时非节之气而得之者，所感虽不
同，然皆名伤寒，大率与大人伤寒症状无异。惟用药分剂瘥少尔。治法兼见伤寒门中。
治小儿伤寒，身热头痛，咳嗽喘鸣鼻干，不得卧。十味汤方
前胡（去芦头） 柴胡（去苗） 人参 甘草（炙锉） 独活（去芦头） 桔梗（炒） 赤
茯苓（
去黑皮） 枳壳（去瓤麸炒） 芎 羌活（去芦头各半两）
上一十味，粗捣筛。每服二钱匕，水一盏。入生姜三片，大枣二枚擘破。同煎至七分，
去滓分温三服。
治小儿伤寒，头痛肌热喘粗。白术汤方
白术 人参 麻黄（去根节） 甘草（炙锉） 葛根（锉） 藿香（去梗） 桔梗（炒
各半两）
上七味，粗捣筛。每服一钱匕，水半盏，煎至三分，去滓不计时候温服。
治小儿伤寒，外证身热脉浮。人参汤方
人参 麻黄（去根节） 赤茯苓（去黑皮） 白术 干葛（锉） 甘草（炙各半两）
上六味，粗捣筛。每服二钱匕，水一小盏，入葱白少许，同煎至六分，去滓分温二服。
治小儿伤寒，KT 喘粗，肌热烦躁作渴。茯苓汤方
白茯苓（一两） 乌梅肉（半两微炒） 干木瓜（一两）
上三味，捣筛为粗末。每服一钱匕，以水一小盏，入生姜钱子一片。煎至五分，去滓温
服，不计时候，量儿大小加减。
治小儿伤寒，壮热头痛烦渴。栝蒌根散方
栝蒌根（半两） 苦参（一分锉） 人参（一分去芦头） 寒水石（半两） 甘草（一
分炙微赤
锉） 石膏（半两）
上六味，捣筛为粗散。每服一钱匕，以水一小盏，煎至五分去滓。不计时候温服，量儿
大小。以葛根散。
治小儿伤寒，四肢烦热，心躁口干多渴。葛根散方
葛根（半两锉） 麻黄（半两去根节） 人参（半两去芦头） 甘草（一分炙微赤锉） 桂
心（
一分）
上五味，捣罗为粗散。每服一大钱匕，以水一小盏，入生姜钱子一片，枣一枚擘去核。
煎至三分，去滓温服，不拘时。
治小儿伤寒，头痛肌热，喘粗KT 。石膏汤方
石膏（碎一钱） 白术（半两） 麻黄（去根节） 桔梗（炒） 甘草（炙） 水萍（曝
干） 杏仁
（汤浸去皮尖双仁炒各一分）
上七味，粗捣筛。每服一钱匕，水半盏，葱白少许，煎至三分，去滓温服，不拘时候。
治小儿伤寒，体热面赤口干，或咳嗽。黄芩汤方
黄芩（去黑心二两） 麻黄（去根节一两） 桂（去粗皮） 甘草（炙） 石膏（碎） 芍
药（各
半两） 杏仁（十枚汤去皮尖双仁炒）
上七味，粗捣筛。每服一钱匕，水半盏。生姜三片，煎至三分去滓。量儿大小加减。
治小儿伤寒。四物汤方
芍药 黄芩（去黑心） 升麻 葛根（各半两）
上四味，粗捣筛。每服一钱匕，水半盏，煎取三分，去滓温服。量儿大小，以意加减。
治小儿四五岁伤寒，取汗。射干汤方
射干 甘草（炙锉） 升麻 芍药 石膏（捣研各半两） 杏仁（二十枚汤退去皮尖双
仁麸
炒） 麻黄（去根节三分） 桂（去粗皮一分）
上八味，粗捣筛。每服一钱匕，水一小盏。煎至五分，去滓温服后，以衣盖复出汗。更
量儿大小加减。
治小儿伤寒。葛根饮方
葛根 淡竹沥（各三合）
上二味相和，煎三五沸。二三岁儿分三服，百日儿斟酌服之。
治小儿伤寒，胃气不和，解肌。苍术散方
苍术 浓朴（去粗皮生姜汁炙锉） 陈橘皮（汤浸去白焙各一两） 干姜（炮三分） 甘
草（
炙半两）
上五味，捣罗为散。每服一钱匕，水一小盏，入生姜大枣各少许，同煎至六分，热服。
论述说：小儿伤寒病，有在冬季冒犯严寒而患上的。也有因感受四时非正常气候而患上的，虽然所感邪气不同，但都称为伤寒，大体上与成人伤寒的症状没有差异，只是用药剂量略有不同罢了。治疗方法兼见于《伤寒门》中。
治疗小儿伤寒，症见身体发热、头痛、咳嗽气喘伴有鸣音、鼻干、无法安卧。十味汤方：
前胡（去除芦头）、柴胡（去除苗）、人参、甘草（炙后锉碎）、独活（去除芦头）、桔梗（炒制）、赤茯苓（去除黑皮）、枳壳（去除瓤麸皮炒制）、川芎、羌活（去除芦头，各半两）。
以上十味药，粗捣筛过。每次服用二钱匕，用水一盏。加入生姜三片，大枣二枚掰破。一同煎煮至七分满，去渣滓，分三次温服。
治疗小儿伤寒，症见头痛、肌肤发热、呼吸急促粗重。白术汤方：
白术、人参、麻黄（去除根节）、甘草（炙后锉碎）、葛根（锉碎）、藿香（去除梗）、桔梗（炒制，各半两）。
以上七味药，粗捣筛过。每次服用一钱匕，用水半盏，煎煮至三分满，去渣滓，不分时候温服。
治疗小儿伤寒，外证表现为身体发热、脉象浮。人参汤方：
人参、麻黄（去除根节）、赤茯苓（去除黑皮）、白术、干葛（锉碎）、甘草（炙制，各半两）。
以上六味药，粗捣筛过。每次服用二钱匕，用水一小盏，加入少许葱白，一同煎煮至六分满，去渣滓，分两次温服。
治疗小儿伤寒，症见喘息粗重，肌肤发热、烦躁口渴。茯苓汤方：
白茯苓（一两）、乌梅肉（半两微炒）、干木瓜（一两）。
以上三味药，捣筛成粗末。每次服用一钱匕，用水一小盏，加入生姜一片（如钱币大小）。煎煮至五分满，去渣滓温服，不分时候，根据患儿年龄大小增减剂量。
治疗小儿伤寒，症见高热、头痛、烦渴。栝蒌根散方：
栝蒌根（半两）、苦参（一分锉碎）、人参（一分去除芦头）、寒水石（半两）、甘草（一分炙至微红锉碎）、石膏（半两）。
以上六味药，捣筛成粗散。每次服用一钱匕，用水一小盏，煎煮至五分满去渣滓。不分时候温服，根据患儿年龄大小调整剂量，参考葛根散的用法。
治疗小儿伤寒，症见四肢烦热、心中烦躁、口干多渴。葛根散方：
葛根（半两锉碎）、麻黄（半两去除根节）、人参（半两去除芦头）、甘草（一分炙至微红锉碎）、桂心（一分）。
以上五味药，捣罗成粗散。每次服用一大钱匕，用水一小盏，加入生姜一片（如钱币大小），大枣一枚掰去核。煎煮至三分满，去渣滓温服，不拘时间。
治疗小儿伤寒，症见头痛、肌肤发热、呼吸急促粗重。石膏汤方：
石膏（碎末一钱）、白术（半两）、麻黄（去除根节）、桔梗（炒制）、甘草（炙制）、水萍（晒干）、杏仁（汤浸去皮尖双仁炒制，各一分）。
以上七味药，粗捣筛过。每次服用一钱匕，用水半盏，少许葱白，煎煮至三分满，去渣滓温服，不拘时间。
治疗小儿伤寒，症见身体发热、面色红润、口干，或伴有咳嗽。黄芩汤方：
黄芩（去除黑心二两）、麻黄（去除根节一两）、桂枝（去除粗皮）、甘草（炙制）、石膏（碎末）、芍药（各半两）、杏仁（十枚汤浸去皮尖双仁炒制）。
以上七味药，粗捣筛过。每次服用一钱匕，用水半盏。加入生姜三片，煎煮至三分满去渣滓。根据患儿年龄大小增减剂量。
治疗小儿伤寒。四物汤方：
芍药、黄芩（去除黑心）、升麻、葛根（各半两）。
以上四味药，粗捣筛过。每次服用一钱匕，用水半盏，煎取三分，去渣滓温服。根据患儿年龄大小，酌情增减剂量。
治疗四五岁小儿伤寒，旨在发汗。射干汤方：
射干、甘草（炙后锉碎）、升麻、芍药、石膏（捣研，各半两）、杏仁（二十枚汤退去皮尖双仁麸皮炒制）、麻黄（去除根节三分）、桂枝（去除粗皮一分）。
以上八味药，粗捣筛过。每次服用一钱匕，用水一小盏。煎煮至五分满，去渣滓温服后，用衣物覆盖以促使出汗。再根据患儿年龄大小增减剂量。
治疗小儿伤寒。葛根饮方：
葛根、淡竹沥（各三合）。
以上两味药混合，煎煮三五沸。二三岁的幼儿分三次服用，百日大的婴儿斟酌服用。
治疗小儿伤寒，胃气不和，旨在解肌。苍术散方：
苍术、浓朴（去除粗皮用生姜汁炙后锉碎）、陈橘皮（汤浸去白焙干，各一两）、干姜（炮制三分）、甘草（炙制半两）。
以上五味药，捣罗成散剂。每次服用一钱匕，用水一小盏，加入少许生姜和大枣，一同煎煮至六分满，热服。
Discourse states: Pediatric cold damage disease may be contracted by exposure to severe cold in winter, or by contracting the irregular qi of the four seasons. Although the pathogenic factors differ, all are termed "cold damage" (Shanghan), and generally present symptoms similar to those in adults, with only slight differences in medication dosages. Treatment methods are also detailed in the section on Cold Damage.
For pediatric cold damage presenting with fever, headache, coughing with wheezing, dry nose, and inability to sleep, use the Ten-Ingredient Decoction (Shiwei Tang):
Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Radix et Rhizoma, honey-fried and crushed), Duhuo (Angelicae Pubescentis Radix), Jiegeng (Platycodonis Radix), Chi Fuling (Poria with Red Hosta Root, black skin removed), Zhike (Aurantii Fructus, pith removed and stir-fried with bran), Xiongqiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix, rhizome tip removed; each 0.5 liang).
The above ten herbs are coarsely pounded and sieved. For each dose, take two qianbi (approx. 2-3 grams), add one zhan (approx. 200 ml) of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and two broken Zao (Jujubae Fructus). Simmer until reduced to 70%, strain, and divide into three warm doses.
For pediatric cold damage presenting with headache, hot skin, and coarse breathing, use the Atractylodes Macrocephala Decoction (Baizhu Tang):
Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Mahuang (Ephedrae Herba, roots and joints removed), Gancao (Licorice Radix et Rhizoma, honey-fried and crushed), Gegen (Puerariae Lobatae Radix, crushed), Huoxiang (Agastaches Herba, stems removed), Jiegeng (Platycodonis Radix, stir-fried; each 0.5 liang).
The above seven herbs are coarsely pounded and sieved. For each dose, take one qianbi, add half a zhan of water, simmer until reduced to 30%, strain, and take warm at any time.
For pediatric cold damage with exterior signs of fever and floating pulse, use the Ginseng Decoction (Renshen Tang):
Renshen (Ginseng Radix et Rhizoma), Mahuang (Ephedrae Herba, roots and joints removed), Chi Fuling (Poria with Red Hosta Root, black skin removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Gange (Puerariae Lobatae Radix, crushed), Gancao (Licorice Radix et Rhizoma, honey-fried; each 0.5 liang).
The above six herbs are coarsely pounded and sieved. For each dose, take two qianbi, add a small zhan of water, a little Congbai (Allii Fistulosi Bulbus), simmer until reduced to 60%, strain, and divide into two warm doses.
For pediatric cold damage presenting with coarse wheezing, hot skin, irritability, and thirst, use the Poria Decoction (Fuling Tang):
Bai Fuling (Poria, 1 liang), Wumei Rou (Mume Fructus pulp, 0.5 liang, lightly stir-fried), Gan Mugua (Chaenomelis Fructum dried, 1 liang).
The above three herbs are pounded and sieved into coarse powder. For each dose, take one qianbi, add a small zhan of water, and one slice of Shengjiang (Zingiberis Rhizoma Recens) the size of a coin. Simmer until reduced to 50%, strain, and take warm at any time, adjusting dosage according to the child's age.
For pediatric cold damage presenting with high fever, headache, irritability, and thirst, use the Trichosanthes Root Powder (Gualougen San):
Gualougen (Trichosanthis Radix, 0.5 liang), Kushen (Sophorae Flavescentis Radix, 1 fen, crushed), Renshen (Ginseng Radix et Rhizoma, 1 fen, rhizome tip removed), Hanshuishi (Calcitum, 0.5 liang), Gancao (Licorice Radix et Rhizoma, 1 fen, honey-fried until slightly red and crushed), Shigao (Gypsum Fibrosum, 0.5 liang).
The above six herbs are pounded and sieved into coarse powder. For each dose, take one qianbi, add a small zhan of water, simmer until reduced to 50%, and strain. Take warm at any time, adjusting dosage according to the child's age, referring to the usage of Gegen San.
For pediatric cold damage presenting with irritability and heat in the four limbs, mental restlessness, dry mouth, and excessive thirst, use the Kudzu Root Powder (Gegen San):
Gegen (Puerariae Lobatae Radix, 0.5 liang, crushed), Mahuang (Ephedrae Herba, 0.5 liang, roots and joints removed), Renshen (Ginseng Radix et Rhizoma, 0.5 liang, rhizome tip removed), Gancao (Licorice Radix et Rhizoma, 1 fen, honey-fried until slightly red and crushed), Guixin (Cinnamomi Ramulus, 1 fen).
The above five herbs are pounded and sieved into coarse powder. For each dose, take one large qianbi, add a small zhan of water, one slice of Shengjiang (Zingiberis Rhizoma Recens) the size of a coin, and one Zao (Jujubae Fructus) pitted and broken. Simmer until reduced to 30%, strain, and take warm at any time.
For pediatric cold damage presenting with headache, hot skin, and coarse wheezing, use the Gypsum Decoction (Shigao Tang):
Shigao (Gypsum Fibrosum, crushed, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Mahuang (Ephedrae Herba, roots and joints removed), Jiegeng (Platycodonis Radix, stir-fried), Gancao (Licorice Radix et Rhizoma, honey-fried), Shuiping (Lemna minor, sun-dried), Xingren (Prunus Armeniacae Semen, soaked in water, skin and tips removed, double-kernel, stir-fried; each 1 fen).
The above seven herbs are coarsely pounded and sieved. For each dose, take one qianbi, add half a zhan of water and a little Congbai (Allii Fistulosi Bulbus), simmer until reduced to 30%, strain, and take warm at any time.
For pediatric cold damage presenting with body heat, flushed face, dry mouth, or cough, use the Scutellaria Decoction (Huangqin Tang):
Huangqin (Scutellariae Radix, black heart removed, 2 liang), Mahuang (Ephedrae Herba, roots and joints removed, 1 liang), Gui (Cinnamomi Ramulus, bark removed), Gancao (Licorice Radix et Rhizoma, honey-fried), Shigao (Gypsum Fibrosum, crushed), Shaoyao (Paeoniae Radix Alba, each 0.5 liang), Xingren (Prunus Armeniacae Semen, ten pieces, soaked in water, skin and tips removed, double-kernel, stir-fried).
The above seven herbs are coarsely pounded and sieved. For each dose, take one qianbi, add half a zhan of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), simmer until reduced to 30% and strain. Adjust dosage according to the child's age.
For pediatric cold damage, use the Four-Ingredient Decoction (Siwu Tang):
Shaoyao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix, black heart removed), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix; each 0.5 liang).
The above four herbs are coarsely pounded and sieved. For each dose, take one qianbi, add half a zhan of water, simmer until reduced to 30%, strain, and take warm. Adjust dosage according to the child's age.
To induce sweating in four-to-five-year-old children with cold damage, use the Belamcanda Decoction (Shegan Tang):
Shegan (Belamcandae Rhizoma), Gancao (Licorice Radix et Rhizoma, honey-fried and crushed), Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix Alba), Shigao (Gypsum Fibrosum, pounded and ground; each 0.5 liang), Xingren (Prunus Armeniacae Semen, twenty pieces, soaked in water, skin and tips removed, double-kernel, stir-fried with bran), Mahuang (Ephedrae Herba, roots and joints removed, 3 fen), Gui (Cinnamomi Ramulus, bark removed, 1 fen).
The above eight herbs are coarsely pounded and sieved. For each dose, take one qianbi, add a small zhan of water, simmer until reduced to 50%, strain, and take warm. After taking, cover with clothing to induce sweating. Adjust dosage according to the child's age.
For pediatric cold damage, use the Kudzu Drink (Gegen Yin):
Gegen (Puerariae Lobatae Radix), Danzhuli (Bambusa Textilis Caulis juice, clear; each 3 he).
Mix the above two ingredients, boil for three to five boils. Children aged two to three years should divide this into three doses; infants under one hundred days should take it with caution.
For pediatric cold damage with disharmony of stomach qi, aiming to resolve the muscle layer, use the Atractylodis Lancea Powder (Cangzhu San):
Cangzhu (Atractylodis Lanceae Rhizoma), Houpo (Magnoliae Officinalis Cortex, bark removed, stir-fried with ginger juice and crushed), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, baked; each 1 liang), Ganjiang (Zingiberis Rhizoma, processed, 3 fen), Gancao (Licorice Radix et Rhizoma, honey-fried, 0.5 liang).
The above five herbs are pounded and sieved into powder. For each dose, take one qianbi, add a small zhan of water, a little Shengjiang (Zingiberis Rhizoma Recens) and Zao (Jujubae Fructus), simmer together until reduced to 60%, and take hot.