小儿伤寒在表，乃寒邪伤表荣分也。其证身热恶寒。无汗。头痛身痛。而脉浮紧者。古法主九味羌活汤。
（如苍术、白芷、川芎、细辛、羌活、防风、生地、黄芩、生甘草，引用生姜、葱白）大便秘者加大黄。
呕逆烦渴而热甚者，古法主双解通圣汤（如麻黄、朴硝、大黄、当归、赤芍、川芎、炒白术、石膏、滑石、
桔梗、栀子、连翘、黄芩、薄荷、生甘草、荆芥、防风，引用生姜、葱白）。
服前药后，已汗下不解而传经者，古法主柴葛解肌汤（如柴胡、葛根、白芷、羌活、桔梗、石膏、黄芩、
赤芍、生甘草，引用生姜、红枣）。
兼里证者，古法主大柴胡汤（如柴胡、黄芩、赤芍、姜制半夏、枳实、大黄，引用生姜、大枣）。
〔真按〕儿体皆不宜用前药，恐其误服生变。寒初在表，邪未深入，但用紫苏叶五分，桑叶钱半，桔梗六
分，苦杏仁二钱，生姜皮三分为引，一剂可愈。若寒已化热，则又当用石斛、白芍、黄芩、淡竹等味以清之。至
失治而寒邪久恋，极易变痉，又当察其变状，对症下药，方为平稳。
小儿感寒在表，而脾胃兼有积痰者，但用桑叶一钱，苦杏仁
钱半，化橘红一钱，半夏曲五分，生姜一片为引。
小儿寒入营分，而腹中兼挟湿邪者，但用炙桑叶钱半，陈皮一钱，白蔻仁六分，茯苓二钱，炒薏米钱半，炙
甘草五分，干姜三分为引。
小儿寒邪初入，而素体兼蕴风湿者，但用桑寄生一钱，苏叶五分，苦杏仁二钱，茯苓钱半，僵蚕五分，甘草
三分为剂。
小儿外发假寒，而内蕴积热者，但用夏枯草钱半，桑叶一钱，淡黄芩八分，生白芍一钱，鲜竹茹二钱，生甘
草四分，灯芯为引。
小儿患伤寒病邪在表，这是寒邪损伤了体表的营分。其症状表现为身体发热、怕冷、无汗、头痛且全身疼痛，脉象浮紧的，古法主张使用九味羌活汤。（方药组成包括：苍术、白芷、川芎、细辛、羌活、防风、生地黄、黄芩、生甘草，煎服时加入生姜、葱白作为引经药）。如果大便秘结，则加大黄。
如果出现呕吐逆气、心烦口渴且高热严重的，古法主张使用双解通圣汤（方药组成包括：麻黄、朴硝、大黄、当归、赤芍、川芎、炒白术、石膏、滑石、桔梗、栀子、连翘、黄芩、薄荷、生甘草、荆芥、防风，煎服时加入生姜、葱白作为引经药）。
服用前面的药物后，已经通过发汗或泻下治疗但病情未解，且病邪传入他经的，古法主张使用柴葛解肌汤（方药组成包括：柴胡、葛根、白芷、羌活、桔梗、石膏、黄芩、赤芍、生甘草，煎服时加入生姜、红枣作为引经药）。
如果兼有里证（脏腑内部病变）的，古法主张使用大柴胡汤（方药组成包括：柴胡、黄芩、赤芍、姜制半夏、枳实、大黄，煎服时加入生姜、大枣作为引经药）。
〔编者按〕儿童的体质都不适宜使用前文所述的这些峻烈药物，恐怕误服后产生变证。寒邪初起在体表，邪气尚未深入，只需使用紫苏叶五分，桑叶一钱半，桔梗六分，苦杏仁二钱，生姜皮三分作为引经药，服用一剂即可痊愈。如果寒邪已经化热，则应当使用石斛、白芍、黄芩、淡竹等药材来清热。至于因失治导致寒邪久留体内，极易转变为痉病（以项背强直、四肢抽搐为特征的病症），又应当观察其变化的症状，对症用药，这才是稳妥的方法。
小儿感受寒邪在体表，而脾胃同时兼有积滞痰湿的，只需使用桑叶一钱，苦杏仁一钱半，化橘红一钱，半夏曲五分，生姜一片作为引经药。
小儿寒邪侵入营分，而腹中同时夹杂湿邪的，只需使用炙桑叶一钱半，陈皮一钱，白蔻仁六分，茯苓二钱，炒薏米一钱半，炙甘草五分，干姜三分作为引经药。
小儿寒邪刚刚入侵，而平时体质兼有风湿蕴结的，只需使用桑寄生一钱，紫苏叶五分，苦杏仁二钱，茯苓一钱半，僵蚕五分，甘草三分作为一剂的药量。
小儿外现假寒之象，而内部蕴积热邪的，只需使用夏枯草一钱半，桑叶一钱，淡黄芩八分，生白芍一钱，鲜竹茹二钱，生甘草四分，灯芯草作为引经药。
When children contract cold damage (Shanghan) with the pathogen in the exterior, it is because cold evil (Han Xie) has injured the Ying (Nutritive) level of the exterior. The symptoms include fever, aversion to cold, absence of sweating, headache, and body aches, with a floating and tight pulse. Ancient methods primarily prescribe Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygia Decoction). (Ingredients: Atractylodis Rhizoma [Cangzhu], Angelicae Dahuricae Radix [Baizhi], Chuanxiong Rhizoma [Chuanxiong], Asari Radix et Rhizoma [Xixin], Notopterygii Rhizoma et Radix [Qianghuo], Saposhnikoviae Radix [Fangfeng], Rehmanniae Radix [Shengdihuang], Scutellariae Radix [Huangqin], Glycyrrhizae Radix et Rhizoma [Shenggancao], with Zingiberis Rhizoma Recens [Shengjiang] and Allii Fistulosi Bulbus [Congbai] as guides.) If there is constipation, add Rheum Palmatum [Dahuang].
If there is vomiting, retching, restlessness, thirst, and severe heat, ancient methods primarily prescribe Shuangjie Tongsheng Tang (Double-Resolving Universal Salvation Decoction). (Ingredients: Ephedrae Herba [Mahuang], Mirabilite [Puxiao], Rheum Palmatum [Dahuang], Angelicae Sinensis Radix [Danggui], Paeoniae Radix Rubra [Chishao], Chuanxiong Rhizoma [Chuanxiong], Atractylodis Macrocephalae Rhizoma [Chaobaizhu], Gypsum Fibrosum [Shigao], Talcum [Huashi], Platycodonis Radix [Jiegeng], Gardeniae Fructus [Zhizi], Forsythiae Fructus [Lianqiao], Scutellariae Radix [Huangqin], Menthae Haplocalycis Herba [Bohe], Glycyrrhizae Radix et Rhizoma [Shenggancao], Schizonepetae Spica [Jingjie], Saposhnikoviae Radix [Fangfeng], with Zingiberis Rhizoma Recens [Shengjiang] and Allii Fistulosi Bulbus [Congbai] as guides.)
After taking the previous medicines, if sweating or purging fails to resolve the condition and the pathogen transmits to other meridians, ancient methods primarily prescribe Chaige Jieji Tang (Bupleurum and Kudzu Decoction to Release the Muscles). (Ingredients: Bupleuri Radix [Chaihu], Puerariae Lobatae Radix [Gegen], Angelicae Dahuricae Radix [Baizhi], Notopterygii Rhizoma et Radix [Qianghuo], Platycodonis Radix [Jiegeng], Gypsum Fibrosum [Shigao], Scutellariae Radix [Huangqin], Paeoniae Radix Rubra [Chishao], Glycyrrhizae Radix et Rhizoma [Shenggancao], with Zingiberis Rhizoma Recens [Shengjiang] and Jujubae Fructus [Hongzao] as guides.)
If there are concurrent interior syndromes, ancient methods primarily prescribe Da Chaihu Tang (Major Bupleurum Decoction). (Ingredients: Bupleuri Radix [Chaihu], Scutellariae Radix [Huangqin], Paeoniae Radix Rubra [Chishao], Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine [Jiangzhibanxia], Aurantii Fructus Immaturus [Zhishi], Rheum Palmatum [Dahuang], with Zingiberis Rhizoma Recens [Shengjiang] and Jujubae Fructus [Dazao] as guides.)
[Editor's Note]: Children's constitutions are generally unsuitable for the aforementioned strong medicines, lest misadministration cause complications. When cold is initially in the exterior and the evil has not deeply penetrated, simply use Perillae Folium [Zisuye] 5 fen, Mori Folium [Sangye] 1.5 qian, Platycodonis Radix [Jiegeng] 6 fen, Armeniacae Semen Amarum [Kuxingren] 2 qian, and Zingiberis Pericarpium [Shengjiangpi] 3 fen as guides; one dose can cure it. If the cold has transformed into heat, then one should use Dendrobii Caulis [Shihu], Paeoniae Radix Alba [Baishao], Scutellariae Radix [Huangqin], and Bambusa Textilis var. Multiplex [Dan Zhu] etc. to clear the heat. Regarding cases where neglect leads to prolonged retention of cold evil, which easily transforms into Jing disease (spasm), one must observe the changed symptoms and prescribe medicine accordingly, which is the steady approach.
When children contract cold in the exterior while the Spleen and Stomach concurrently have accumulated phlegm-dampness, simply use Mori Folium [Sangye] 1 qian, Armeniacae Semen Amarum [Kuxingren] 1.5 qian, Citri Reticulatae Pericarpium Viride [Huajuhong] 1 qian, and Massa Medicata Fermentata Chinensis [Banxiaqu] 5 fen, with Zingiberis Rhizoma Recens [Shengjiang] 1 slice as a guide.
When children's cold enters the Ying level while dampness is simultaneously entangled in the abdomen, simply use Mori Folium [Sangye] 1.5 qian (processed), Citri Reticulatae Pericarpium [Chenpi] 1 qian, Amomi Fructus Rotundus [Baikouren] 6 fen, Poria [Fuling] 2 qian, Coicis Semen [Chaoyimi] 1.5 qian, and Glycyrrhizae Radix et Rhizoma [Zhigancao] 5 fen, with Zingiberis Rhizoma [Ganjiang] 3 fen as a guide.
When children's cold evil has just entered, while their constitution inherently contains wind-dampness accumulation, simply use Eucommiae Cortex [Sangjisheng] 1 qian, Perillae Folium [Zisuye] 5 fen, Armeniacae Semen Amarum [Kuxingren] 2 qian, Poria [Fuling] 1.5 qian, Bombyx Batryticatus [Jiangcan], and Glycyrrhizae Radix et Rhizoma [Gancao] 3 fen as a single dose.
When children present with false cold externally while internal accumulated heat is retained, simply use Prunellae Spica [Xiakucao] 1.5 qian, Mori Folium [Sangye] 1 qian, Scutellariae Radix [Dan Huangqin] 8 fen, Paeoniae Radix Alba [Baishao] 1 qian, Bambusa Textilis var. Multiplex [Xian Zhuru] 2 qian, and Glycyrrhizae Radix et Rhizoma [Sheng Gancao] 4 fen, with Thyrsopteridis Medulla [Dengxin] as a guide.