《茅先生方》小儿有囟风伤寒候，气急吃乳不得，身温热，鼻塞。此候因母夜间抱儿子睡，鼻孔内气冲着小
儿囟门，奈小儿子头囟未合，被热气吹着而鼻塞至此。所治者，用葱涎膏涂囟门上，然后用镇心丸（方并见于后）磨与
下之，气通即愈也。
茅先生小儿贴囟葱涎膏方
猪牙皂角 天南星 赤小豆
上件等分，为末。每服二大钱，用生葱自然汁调涂囟上两次，涂其鼻孔开即愈。
茅先生小儿诸惊镇心丸 兼治囟风、伤寒。
朱砂（别研） 白附子 白僵蚕（酒洗） 蝉蜕（去足翅，净洗，秤） 茯神（去皮。各半两） 全蝎（一分，去
尾丁） 脑麝（随意研入）
上为末，拌合薄荷自然汁为丸如○大，用银朱拌脑、麝为衣。每服一丸，金银薄荷煎汤磨下。
茅先生∶有小儿中夹食伤寒候。大热呕逆，肚膨，上渴泄泻。此候因与物食所伤，而五脏结实所得。治者，
先用青金丹与下三、四次，（方见夹惊伤寒门中，）方下醒脾散、（有二方，一方见胃气不和门中，一方见慢脾风门中。）匀气散与服（方见胃气不和门）中。如有咳嗽，即下麦汤散（方见夹惊伤寒门中），调理治之，即愈。
汉东王先生《家宝》云∶夹食伤寒并单有积证候稍异。如从膝下冷者，为单有积，必潮热，宜取之，即
补。如膝下热者，并浑身热、面色青，则是夹食伤寒，须先理伤寒，后取之。以上病证并在审度用药，无不应
验。
汉东王先生《家宝》夹食伤寒病症云∶夹食伤寒者，面青吐逆，浑身发热；或发渴、烦躁头疼，宜用水精丹取之（方
见本门），至天明须取下；准前用观音散三、二服补之（方见胃气不和门中），后下薄荷散三、二服方见本门解其寒气。
如渐有退候，恐余热未退，宜进七宝轻青丹三二服（方见单伤寒门中），间以人参散三、二服调之。（方见本门。）
《石壁经》三十六种夹食伤寒候歌∶（《凤髓经》注云∶坯煎散表，方见夹惊伤寒门中。乌犀膏取方与《玉诀》同，
见急慢惊风门中。）
夹食伤寒先自热，内中有物伤形节。面上红斑有似丹，（《凤髓经》此三句仍云∶羡自有惊身有热，邪更伤寒来相接，
面上红赤亦如丹。）开口时时生燥渴。先表方知医有功，次取赤为神妙诀。微微取动一、两行，脏腑调和自安悦。
此因气血弱，即所食物滞在脾胃，使肌肉上或面上如豆大或指面大赤斑点，主至夜间不眠，多渴。看轻重，
先取其积，次和胃气、退热，再看证候调整。
《三十六种》内夹食伤寒候云∶此候宜服白附子散。（方见夹惊伤寒门中。）
《小儿形证论》四十八候夹食伤候云∶此候面上有点子，多作疹。
《仙人水鉴》∶孩子伤寒与热不同，有三、两说。因奶寒亦号食伤寒；热气逼之为病伤寒。二途各使此方。
救疗孩子食伤寒且疗乳母法。
附子充汤煮黄鸡，肉擘细姜葱去皮，更入牙硝三二分，充汤早吃治孩儿。
上附子煎汤去滓，煮黄雌鸡肉，入葱白、姜、牙硝作羹，空心食之。
汉东王先生《家宝》治婴孩小儿夹食伤寒。又治虫积、食积、胎积、惊积，恶物、食伤。水精丹方
天南星（一钱） 滑石（各生为末二钱） 水银粉（秤半钱） 芜荑（取仁，一百片） 巴豆（五十粒，去壳，不
去油）
上先研巴豆令极细，次下芜荑仁复研，方入众药，研令极匀，以烂饭为丸如○大。每服三丸、五丸，以岁
数加减。米汤泡生葱吞下，服时须令婴孩小儿空心，不可吃乳食，稍饥方可进药。如膈上有物食，势须吐出。
如膈下有食，方得转泻。切忌生硬米实、肉食等物，近夜临卧服尤佳。
汉东王先生《家宝》治婴孩小儿夹食伤寒，又治夹惊伤寒、温壮等。薄荷散方
杜薄荷（半两，去粗梗、取嫩者） 羌活 全蝎（炒） 麻黄（去节） 僵蚕（直者去丝，炒） 天竹黄（各一分）
甘草（半分，炙） 白附子（半钱）
上为末。每服婴孩一字，二、三岁半钱，四、五岁一钱，以水一药注或半银盏，煎十数沸服。
汉东王先生《家宝》治夹食伤寒取下，欲补虚、调胃气、进乳食、止吐泻。人参散方
人参 莲肉（去心，焙） 茯苓（各一分） 黄 （半两，槌，蜜水拌炙） 甘草（炙，二钱）
上为末。每服婴孩一字，二、三岁半钱，四、五岁一钱，以水一药注或半银盏，入枣子半片，煎十数沸服。
《茅先生方》中记载，小儿患囟风伤寒的证候表现为：呼吸急促、无法吃奶、身体温热、鼻塞。此证候是因为母亲夜间抱着孩子睡觉时，鼻孔呼出的热气冲到了孩子的囟门（婴儿头顶骨未合处的柔软部位），由于小儿头囟尚未闭合，被热气吹袭而导致鼻塞至此。治疗时，用葱涎膏涂抹在囟门上，然后服用镇心丸（方剂见后文）磨汁送服，气机通畅后即可痊愈。
茅先生小儿贴囟葱涎膏方
猪牙皂角、天南星、赤小豆
以上药材等量，研为细末。每次取两大钱药末，用生葱自然汁调匀，涂抹于囟门处两次，待鼻孔通畅即愈。
茅先生小儿诸惊镇心丸 兼治囟风、伤寒。
朱砂（单独研磨）、白附子、白僵蚕（酒洗）、蝉蜕（去除足翅，洗净称重）、茯神（去皮，各半两）、全蝎（一分，去尾刺）、脑麝（随意加入研磨）
以上药材研为细末，拌入薄荷自然汁制成如弹子大小的丸剂，用银朱拌脑、麝香作为外衣。每次服用一丸，用金银花和薄荷煎汤磨化后送服。
茅先生：有小儿患夹食伤寒的证候。表现为大热、呕吐逆气、腹部膨隆、口渴、泄泻。此证候因饮食所伤，导致五脏结实所致。治疗时，先用青金丹攻下三到四次（方剂见夹惊伤寒门中），然后再服用醒脾散（有两个方子，一个见胃气不和门中，一个见慢脾风门中）、匀气散服用（方剂见胃气不和门）。如果有咳嗽症状，则服用麦汤散（方剂见夹惊伤寒门中），调理治疗即可痊愈。
汉东王先生《家宝》中说：夹食伤寒与单纯有积滞的证候稍有不同。如果从膝盖以下发冷的是单纯有积滞，必然伴有潮热，应当采取攻下法，随后进行补益。如果膝盖以下发热，且浑身发热、面色发青，则是夹食伤寒，必须先调理伤寒，然后再采取攻下法。以上病证都在仔细审度后用药，没有不应验的。
汉东王先生《家宝》关于夹食伤寒病症记载说：夹食伤寒者，面色青、呕吐逆气、浑身发热；或者出现口渴、烦躁、头疼，宜用水精丹攻下（方剂见本门），直到天明必须排出积滞；接着按前法服用观音散两三服以补益（方剂见胃气不和门中），之后再服用薄荷散两三服以解除寒气（方剂见本门）。如果病情逐渐消退，担心余热未清，宜进服七宝轻青丹两三服（方剂见单伤寒门中），间或服用人参散两三服进行调理（方剂见本门）。
《石壁经》三十六种夹食伤寒候歌诀：（《凤髓经》注释说：坯煎散用于解表，方剂见夹惊伤寒门中。乌犀膏取方与《玉诀》相同，见急慢惊风门中。）
夹食伤寒首先表现为发热，体内有食物损伤形体关节。面上红斑似丹毒，（《凤髓经》这三句仍说：羡慕自有惊风身有热，邪气更兼伤寒来相接，面上红赤也如丹毒。）开口时常生燥渴。先解表才能知道医生有功，随后攻下积滞为神妙诀窍。微微攻动一两行大便，脏腑调和自然安适喜悦。
这是因为气血虚弱，导致所食之物停滞在脾胃，使肌肉上或面上出现如豆子大或指面大的赤斑点，主症为夜间不眠、多渴。根据轻重程度，先攻下积滞，其次调和胃气、退热，再看证候进行调整。
《三十六种》内夹食伤寒候记载说：此证候宜服用白附子散。（方剂见夹惊伤寒门中。）
《小儿形证论》四十八候夹食伤候记载说：此证候面上有点状物，多表现为疹子。
《仙人水鉴》说：孩子伤寒与热病不同，有三两种说法。因为乳汁寒凉也称为食伤寒；热气逼迫致病称为伤寒。两条途径分别使用此方。
救治孩子食伤寒，先治疗乳母的方法。
附子煮汤煮黄鸡，肉撕碎加姜葱去皮，再加入牙硝二三分，趁热早吃可治孩儿。
以上将附子煎汤去渣，煮黄雌鸡肉，加入葱白、姜、牙硝做成羹，空腹食用。
汉东王先生《家宝》治疗婴孩小儿夹食伤寒。又治疗虫积、食积、胎积、惊积，恶物、食伤。水精丹方
天南星（一钱）、滑石（各生研为末二钱）、水银粉（称半钱）、芜荑（取仁，一百片）、巴豆（五十粒，去壳，不去油）
以上先研磨巴豆令其极细，再放入芜荑仁继续研磨，然后加入其他药物，研磨至极均匀，以烂饭为粘合剂制成如弹子大小的丸剂。每次服用三丸或五丸，根据岁数加减。用米汤泡生葱吞服，服药时必须让婴孩小儿空腹，不可吃乳食，稍感饥饿方可进药。如果膈上有食物，势必会吐出。如果膈下有食物，才会转泻。切忌吃生硬米实、肉食等物，临近夜晚临卧时服用尤其好。
汉东王先生《家宝》治疗婴孩小儿夹食伤寒，又治疗夹惊伤寒、温壮等。薄荷散方
杜薄荷（半两，去粗梗、取嫩者）、羌活、全蝎（炒）、麻黄（去节）、僵蚕（直者去丝，炒）、天竹黄（各一分）、甘草（半分，炙）、白附子（半钱）
以上研为细末。每次服用婴孩一字量，二、三岁半钱量，四、五岁一钱量，用水一药注或半银盏，煎煮十余沸后服用。
汉东王先生《家宝》治疗夹食伤寒攻下后，欲补虚、调胃气、进乳食、止吐泻。人参散方
人参、莲肉（去心，焙）、茯苓（各一分）、黄芪（半两，捣碎，蜜水拌炙）、甘草（炙，二钱）
以上研为细末。每次服用婴孩一字量，二、三岁半钱量，四、五岁一钱量，用水一药注或半银盏，加入枣子半片，煎煮十余沸后服用。
According to *Mao Xiansheng Fang*, the syndrome of fontanelle wind and cold damage in infants is characterized by rapid breathing, inability to nurse, body warmth, and nasal congestion. This condition arises because the mother breathes warm air from her nostrils directly onto the infant's fontanelle (the soft spot on an infant's head where the bones have not yet fused) while sleeping with the child at night. Since the infant's fontanelle is not yet closed, exposure to this warm air causes nasal congestion. Treatment involves applying scallion juice ointment to the fontanelle, followed by administering Zhenxin Wan (see formula below) ground in liquid; once the qi mechanism flows freely, recovery occurs.
**Mao Xiansheng Infant Fontanelle Scallion Juice Ointment Formula**
* *Zhiya Zhaojiao* (Gleditsia Sinensis Fruit), *Tiannanxing* (Arisaema Rhizome), *Chixiaodou* (Adzuki Bean)
All ingredients are used in equal parts and ground into fine powder. Take two large qian of the powder per dose, mix with natural juice of fresh scallions, and apply to the fontanelle twice. Recovery occurs when nasal patency is restored.
**Mao Xiansheng Infant Anticonvulsant Heart-Calming Pill**, also treats fontanelle wind and cold damage.
* *Zhusha* (Cinnabar, separately ground), *Baifuzi* (Typhonii Rhizoma), *Baijiangcan* (Bombyx Batryticatus, washed with wine), *Chantui* (Cicada Slough, feet and wings removed, cleaned, weighed), *Fushen* (Poria with Hostwood, skin removed; each half liang), *Quanxie* (Scorpio, one fen, tail tip removed), *Nao She* (Borneol and Moschus, added as desired and ground).
Grind all ingredients into powder, mix with natural juice of Mentha to form pills the size of a bullet. Coat with Yin Zhu mixed with Borneol and Moschus. Administer one pill per dose, ground in decoction of Lonicerae Flos and Mentha for oral administration.
**Mao Xiansheng**: There is a syndrome of food-complicated cold damage in infants. Symptoms include high fever, vomiting and regurgitation, abdominal distension, thirst, and diarrhea. This syndrome results from dietary injury causing stagnation and fullness in the five zang organs. Treatment begins with Qingjin Dan administered three to four times to purge (see formula in Food-Complicated Convulsive Cold Damage section), followed by Xingpi San (two formulas available: one in Stomach Qi Disharmony section, one in Slow Liver Wind section) and Yunqi San (see Stomach Qi Disharmony section). If cough is present, Maitang San is administered (see formula in Food-Complicated Convulsive Cold Damage section); after regulation and treatment, recovery ensues.
**Han Dong Wang Xiansheng's *Jiabao*** states: The presentation of food-complicated cold damage differs slightly from that of simple accumulation. If coldness extends below the knees, it indicates simple accumulation, accompanied by tidal fever; purgation should be employed, followed by tonification. If heat is present below the knees, along with generalized fever and a bluish complexion, it is food-complicated cold damage; cold damage must be regulated first, then purgation employed. For these syndromes, careful assessment and medication selection yield consistent efficacy.
**Han Dong Wang Xiansheng's *Jiabao*** on food-complicated cold damage symptoms: Patients exhibit bluish complexion, vomiting and regurgitation, and generalized fever; or may present with thirst, irritability, and headache. Shuijing Dan should be used to purge (see formula in this section); evacuation must occur by dawn. Subsequently, Guanyin San should be administered in two or three doses to tonify (see formula in Stomach Qi Disharmony section), followed by Bohe San in two or three doses to resolve cold qi (see formula in this section). As symptoms subside, if residual heat persists, Qibao Qingqing Dan should be given in two or three doses (see formula in Simple Cold Damage section), interspersed with Renshen San in two or three doses for regulation (see formula in this section).
**Song Verse on Thirty-Six Types of Food-Complicated Cold Damage from *Shibi Jing***: (*Fengsui Jing* notes: Pijian San is used to release the exterior, see formula in Food-Complicated Convulsive Cold Damage section. Wuxi Gao formula is identical to *Yujue*, see Acute and Chronic Convulsive Wind section.)
Food-complicated cold damage initially presents with fever; internal food retention damages the body's joints. Red spots appear on the face resembling erysipelas, (*Fengsui Jing* reiterates: Envy having convulsions with fever, evil combines with cold damage, redness on face like erysipelas*). Frequent opening of the mouth generates dry thirst. Releasing the exterior first demonstrates medical merit; subsequently purging the interior is the divine secret. Gently inducing one or two bowel movements harmonizes the zang-fu, leading to peace and joy.
This occurs due to weak qi and blood, causing ingested food to stagnate in the spleen and stomach, resulting in bean-sized or finger-nail-sized red spots on muscles or face. Main symptoms include insomnia at night and excessive thirst. Assess severity: first purge accumulation, then harmonize stomach qi and reduce fever, adjusting based on subsequent presentations.
The entry on food-complicated cold damage within the *Thirty-Six Types* states: This syndrome is suitable for Baifuzi San (see formula in Food-Complicated Convulsive Cold Damage section).
The entry on forty-eight types of food-damage syndromes in *Xiao'er Xingzheng Lun* states: This syndrome presents with spots on the face, often manifesting as rashes.
*Xianren Shuijian* states: Infant cold damage differs from heat diseases, with three or two explanations. Cold milk is termed food-complicated cold damage; heat forcing pathology is termed cold damage. Each pathway utilizes its respective formula.
To treat infant food-complicated cold damage, first treat the nursing mother.
Decoct Fuzi in water to cook yellow chicken; shred meat, add ginger and scallions with skins removed, plus 2-3 fen of Yaxiao (Mirabilite). Consume hot early to treat the child.
Decoct Fuzi, strain, and use the decoction to cook yellow hen meat. Add scallion whites, ginger, and Mirabilite to make a soup/congee. Consume on an empty stomach.
**Han Dong Wang Xiansheng's *Jiabao*** treats infant food-complicated cold damage, as well as worm accumulation, food accumulation, fetal accumulation, convulsive accumulation, noxious substances, and dietary injury. **Shuijing Dan Formula**
* *Tiannanxing* (one qian), *Huashi* (each raw-ground to two qian), *Shuiyinfen* (Mercurii Subsulphati Rubra, weighed half qian), *Wuyi* (kernel, one hundred pieces), *Badou* (Fricae Semen, fifty grains, husked, oil not removed).
First grind Badou until extremely fine, then add Wuyi kernel and grind again. Add remaining drugs and grind until perfectly uniform. Form pills using mushy rice, sized like bullets. Administer three to five pills per dose, adjusted by age. Swallow with rice water soaked with fresh scallions. Administration requires the infant to be fasting; do not nurse or feed before medication. Slight hunger is acceptable before dosing. If food is above the diaphragm, vomiting will likely occur. If food is below the diaphragm, diarrhea will result. Strictly avoid raw, hard grains and meats. Best administered near bedtime.
**Han Dong Wang Xiansheng's *Jiabao*** treats infant food-complicated cold damage, as well as convulsive-cold damage and warm fevers. **Bohe San Formula**
* *Du Bohe* (Mentha Haplocalyx, half liang, remove coarse stems, use tender parts), *Qianghuo* (Notopterygii Rhizoma et Radix), *Quanxie* (Scorpio, fried), *Mahuang* (Ephedrae Herba, remove nodes), *Jiangcan* (Bombyx Batryticatus, straight ones, remove silk, fried), *Tianzhuhuang* (Calami Tuber, each one fen), *Gancao* (Glycyrrhizae Radix et Rhizoma, half fen, honey-fried), *Baifuzi* (Typhonii Rhizoma, half qian).
Grind into powder. Dose for infants: one zi; ages 2-3: half qian; ages 4-5: one qian. Decoct in one medicinal measure or half silver cup of water, boil for ten boils, then administer.
**Han Dong Wang Xiansheng's *Jiabao*** post-purge for food-complicated cold damage, aiming to tonify deficiency, regulate stomach qi, promote milk intake, and stop vomiting/diarrhea. **Renshen San Formula**
* *Renshen* (Ginseng Radix), *Lianrou* (Nelumbinis Semen, heart removed, baked), *Fuling* (Poria, each one fen), *Huangqi* (Astragali Radix, half liang, pounded, honey-water fried), *Gancao* (Glycyrrhizae Radix et Rhizoma, two qian, honey-fried).
Grind into powder. Dose for infants: one zi; ages 2-3: half qian; ages 4-5: one qian. Decoct in one medicinal measure or half silver cup of water, add half a jujube slice, boil for ten boils, then administer.