Pediatric fever accompanied by exterior syndrome resulting from food stagnation. Due to their immature spleen function and limited digestive capabilities, children are prone to illnesses caused by overeating. Food stagnation harms the internal organs, particularly the spleen and stomach, leading to disruptions in the balance of Qi and blood, as well as disharmony in nutritive blood, which increases their susceptibility to exogenous pathogens. Therefore, the treatment of pediatric fever with exterior syndrome resulting from food accumulation should focus primarily on eliminating food stagnation and promoting digestion, while also clearing and transforming dampness and turbidity as a secondary measure. The therapeutic strategy should integrate the elimination of stagnation with the clearing of dampness and turbidity, while also incorporating external therapies to address both the lung and spleen simultaneously.