钱氏曰伤风贪睡口中气热呵欠顿闷当发散与大青膏解不散有下证当下大黄丸大饮水不止
善食
者可微下余不可下也 伤风手足冷脾脏怯也当先和脾后发散和解伤风自利脾虚怯也 伤风腹
胀脾虚也补脾必不喘后发散仍补脾去胀蹋气丸 伤风兼脏兼心则惊悸兼肺则闷乱喘息哽气长
出气嗽兼肾则畏明各随补母脏虚见故也 肝外感风呵欠顿闷口中气热当发散若能食饮水不止
当微下之余不可下
谨按伤风亦有六经不止详见伤风门
洁古曰小儿外伤于风秋冬用温热药春夏用凉寒药若大热饮水能食不大便用大黄丸作散子
服之
如身表无大热而小便不利是为有湿热结膀胱仍用胜湿药白术茯苓之类利小便则其热自退如清
便自调慎不可妄下恐外热逐于内而变结胸危证多矣
又曰伤寒根据四时阴阳升降顺刚柔而施治气升则顺发之气收则下之有汗发热恶风脉浮缓者
风
伤卫桂枝汤无汗发热恶寒不当风而自增寒脉浮紧者寒伤荣麻黄汤有汗发热恶风脉浮紧无汗恶
寒脉
浮缓谓之荣卫俱伤青龙汤桂枝麻黄各半汤无汗发热不恶风寒脉沉洪者可下之更详认其厥与不
厥量寒热浅深而治之有汗四肢厥脉沉微者名阴厥四逆汤无汗四肢厥脉沉滑者名阳厥大承气汤
加腻粉如四肢不厥身热内外皆阳不动凉药三五服下之
钱乙说：伤风导致嗜睡、口中气息发热、呵欠、头目昏闷，应当使用发散法治疗，给予大青膏；若不能发散解表，且有里实证的，应当用下法，给予大黄丸。如果饮水不止且食欲尚可的，可以轻微攻下，其余情况不可攻下。
伤风导致手足发冷，是脾脏虚弱怯懦的表现，应当先调和脾胃，然后再进行发散解表。
伤风导致腹胀，是脾虚的表现，应当补益脾胃，这样必然不会气喘，之后再发散解表，同时继续补脾以消除胀气，可使用去胀蹋气丸。
伤风兼及心脏则出现惊悸，兼及肺脏则出现胸闷烦乱、喘息、叹气（哽气）、长出气、咳嗽，兼及肾脏则出现畏光，这都是因为母脏虚弱而出现的症状，应当根据具体情况补益相应的母脏。
肝受外感风邪，出现呵欠、头目昏闷、口中气息发热，应当使用发散法。如果能进食但饮水不止，应当轻微攻下，其余情况不可攻下。
张元素（洁古）说：小儿外伤于风，秋冬季节使用温热药，春夏季节使用凉寒药。如果出现高热、饮水多、能进食、不大便的情况，使用大黄丸制成散剂服用。
如果体表没有大热，但小便不利，这是湿热结聚在膀胱，仍然使用胜湿药如白术、茯苓之类，通过利小便使热邪自然消退。如果大小便正常调和，千万不要妄用下法，恐怕外热内陷而导致变生结胸等危重证候，这种情况很多。
又说：伤寒的治疗要根据四季阴阳的升降，顺应刚柔来施治。气机上升则顺势发散，气机收敛则使用下法。有汗、发热、恶风、脉浮缓的，是风邪伤了卫分，用桂枝汤；无汗、发热、恶寒，不因受风而寒气自增、脉浮紧的，是寒邪伤了营分，用麻黄汤；有汗、发热、恶风、脉浮紧，或者无汗、恶寒、脉浮缓的，称为营卫俱伤，用青龙汤或桂枝麻黄各半汤；无汗、发热、不恶风寒、脉沉洪的，可以用下法，更详细地辨认是否有厥逆，衡量寒热的深浅来治疗。有汗、四肢厥冷、脉沉微的，名为阴厥，用四逆汤；无汗、四肢厥冷、脉沉滑的，名为阳厥，用大承气汤加腻粉。如果四肢不厥冷，身体发热，内外皆属阳证，不使用凉药，服用三五剂后，热邪自下。
Qian Yi stated: Wind-cold injury (Shang Feng) causing lethargy, hot breath from the mouth, yawning, and dizziness should be treated with dispersing methods, administering Daqing Gao (Great Blue Paste). If it cannot be dispersed and there are excess syndromes in the interior, purgation should be used, administering Dahuang Wan (Rhubarb Pill). If there is excessive thirst and good appetite, mild purgation may be used; otherwise, purgation is contraindicated.
Wind-cold injury causing cold hands and feet indicates Spleen deficiency and timidity; one should first harmonize the Spleen and then disperse. Wind-cold injury causing spontaneous diarrhea indicates Spleen deficiency and timidity; one should harmonize the Spleen.
Wind-cold injury causing abdominal distension indicates Spleen deficiency; tonifying the Spleen will prevent panting. Afterward, disperse the exterior while continuing to tonify the Spleen to remove distension, using Quzhang Taqi Wan (Remove Distension and Regulate Qi Pill).
If wind-cold injury involves the Heart, palpitations and fright occur; if it involves the Lung, chest stuffiness, restlessness, panting, sighing (Geng Qi), long exhalations, and cough occur; if it involves the Kidney, photophobia occurs. These are manifestations of the mother organ's deficiency, so one should tonify the respective mother organ according to the case.
Liver affected by external wind causes yawning, dizziness, and hot breath; dispersing methods should be used. If the patient can eat but drinks excessively, mild purgation should be used; otherwise, purgation is contraindicated.
Note: Wind-cold injury also involves the Six Channels (Liu Jing), not limited to this; see the "Wind-cold Injury" section for details.
Zhang Yuansu (Jiegu) stated: For children externally injured by wind, use warm-hot herbs in autumn and winter, and cool-cold herbs in spring and summer. If there is high fever, polydipsia, good appetite, and constipation, administer Dahuang Wan (Rhubarb Pill) as a powder.
If there is no significant heat on the body surface but urination is difficult, this indicates damp-heat binding in the Bladder. Use damp-dispelling herbs such as Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria) to promote urination, and the heat will recede naturally. If stool and urine are normal and harmonious, do not recklessly use purgatives, lest external heat sink inward and transform into Jie Xiong (Chest Binding), a critical condition, which happens frequently.
Furthermore, treatment of Shang Han (Cold Damage) should follow the rising and falling of Yin and Yang across the four seasons, applying therapy according to rigid and soft principles. When Qi rises, disperse it following its course; when Qi gathers, purge it. With sweating, fever, aversion to wind, and floating-slow pulse, wind has injured the Wei (Defensive) level; use Guizhi Tang (Cinnamon Twig Decoction). Without sweating, with fever, aversion to cold, increased chilliness without exposure to wind, and floating-tight pulse, cold has injured the Ying (Nutritive) level; use Mahuang Tang (Ephedra Decoction). With sweating, fever, aversion to wind, and floating-tight pulse, or without sweating, with aversion to cold, and floating-slow pulse, this is called simultaneous injury to Ying and Wei; use Qinglong Tang (Azure Dragon Decoction) or Guizhi Mahuang Ban Tang (Cinnamon Twig and Ephedra Half-Pill). Without sweating, with fever, no aversion to wind or cold, and deep-rapid pulse, purgation may be used. More carefully identify the presence or absence of Jue (Reversal/Cold Extremities) and treat based on the depth of cold and heat. With sweating, cold extremities, and deep-micro pulse, this is named Yin Jue (Yin Reversal); use Sini Tang (Frigid Extremities Decoction). Without sweating, with cold extremities and deep-sliding pulse, this is named Yang Jue (Yang Reversal); use Dachengqi Tang (Major Order the Qi Decoction) plus Nifen (Calomel/Basic Mercury Chloride). If extremities are not cold, body is hot, and both interior and exterior are Yang patterns, avoid cooling herbs; after taking three to five doses, [the heat] will descend.