Symptoms and treatment of wind-heat cold in children

Written by Huang Kun Mei
Pediatrics
Updated on March 29, 2025
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The symptoms of wind-heat cold in children mainly include coughing, coughing up purulent sputum, yellow sputum, or having a runny nose with yellow discharge. The child's tongue coating tends to be yellow and thick. This condition is considered a wind-heat cold. It is suggested to give the child some heat-clearing and detoxifying patent Chinese medicines for treatment. The diet should be light and easy to digest, avoiding overly greasy and spicy foods. The child's diet should include more fresh vegetables and fruits. In terms of treatment, the child should drink plenty of warm water and take some heat-clearing and detoxifying patent Chinese medicines. If the condition persists for more than three days, it is recommended to perform a routine blood test. If the white blood cell count is high, it is necessary to administer antibiotics to the child.

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Which department should a child visit for a cold?

If a child has a cold and is being seen at a general hospital, it is advisable to visit the pediatrics department. However, if the child has a persistent high fever and the condition is urgent, a visit to the pediatric emergency department is recommended. If it's a children's specialty hospital, it would be advisable to visit the pediatric respiratory department, the emergency department, or the fever clinic. Generally, colds are caused by viral infections, though some are caused by bacterial infections. Most fevers can last from three to five days. Therefore, we should not be too hasty and should focus on symptomatic treatment.

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What is the matter with children feeling unwell in the stomach when they have a cold?

In Chinese medicine, common colds in children are categorized as cold-induced, heat-induced, damp-heat, and epidemic colds. Within the context of colds, complications often arise in three forms: phlegm retention, food retention, and particularly startle retention. Colds in children that result in difficulty with food retention are caused by damage due to food retention. This is because children inherently have a weak spleen that cannot hold substances well; they lack self-restraint in eating and drinking. After being affected by external pathogenic factors, the spleen fails to transport and transform food effectively, leading to stagnation in the middle burner, impeding the flow of vital energy, and causing symptoms such as abdominal distension, pain, loss of appetite, and even vomiting.

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What medicine should a child take for cough and cold?

If children develop a cough due to a cold, like occasional mild coughing, slight nasal congestion, and runny nose, without obvious fever, and they maintain a good spirit and appetite, parents do not need to worry too much. Let the children rest appropriately, drink more warm water, and eat a light, easily digestible, and nutritious diet. A common viral cold generally has a certain self-healing capability. However, if the cough is more severe with noticeable phlegm, a significant decline in spirits, or if high fever occurs, it is then essential to visit a hospital promptly for doctors to treat the child based on their condition. Typically, children should not take cold medicines that are meant for adults, as these can have significant side effects on children. A usual viral cold infection tends to be self-limiting, so parents should closely monitor the progress of the illness, and seek medical attention promptly if the condition worsens.

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How to treat a child's cold and cough?

For upper respiratory infections in children causing colds and coughs, the treatment approach should vary based on the child's age, as well as the severity and duration of the illness. For mild cases with less severe symptoms, treatment can be administered at home including frequent hydration, drinking plenty of water, and symptomatic oral administration of expectorants and cough suppressants. If the child's cold and cough symptoms are more severe, with significant coughing and phlegm, and are even affecting the child's sleep, it is typically recommended for parents to take their child to the hospital for blood tests. These tests may include a complete blood count, Mycoplasma testing, or a C-reactive protein test, to identify the specific cause of the cold and cough, and to enable targeted treatment. (Note: The use of medication should be under the guidance of a professional doctor.)

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What to do if a child has a cold and is short of breath?

There are two common causes of shortness of breath in children with colds, and the corresponding treatments are as follows: First, shortness of breath in children with colds is mainly due to respiratory obstruction caused by cold symptoms, leading to blockages in the nasal mucosa. This can easily lead to breathing difficulties, so shortness of breath occurs. We can use warm, damp towels or drop vitamin AD drops into the nasal cavity, among other methods. A warm, damp towel can be placed near the nasal cavity, and the principle of water vapor evaporation can effectively alleviate the blockage of the nasal mucosa. Dropping vitamin AD drops into the nasal cavity can also effectively moisten and lubricate the nasal mucosa, relieving nasal blockages and thus improving symptoms of shortness of breath from a cold. The second cause of shortness of breath from a cold is due to myocarditis or cardiac damage following a viral cold. For mild cases, oral medications that nourish the heart muscle should be administered for treatment, and children must ensure they rest and avoid strenuous activity. For severe cases, intravenous infusions and medications that nourish the heart muscle are needed for treatment. (Please follow medical advice when using medications.)