![6+girls back-to-back chibi dual_persona flandre_scarlet futatsuki_hisame highres hong_meiling izayoi_sakuya koakuma minigirl multiple_girls outstretched_hand patchouli_knowledge remilia_scarlet sparkle touhou upside-down younger rating:s score:7 post #699134](/cdn_image/preview/c0/ae/c0ae2bf636c2d1947a1d926cf729567e.jpg)
Original title: 七日月咲夜
Artist: Futatsuki Hisame
The title is a play on Izayoi Sakuya's name and Japanese names for phases of the moon[1].
Nanokagetsu (七日月) is the 7th day of the lunar phase, i.e. the first quarter moon.
Izayoi (十六夜) refers to the 16th day -- the first day of the waning moon after the full moon.
This might also have something to do with Sakuya being a child in the comic.
[1] Wikipedia(JP): Moon#Names of Lunar Periods