小儿中恶者，是卒中鬼邪之气也。其证先无他病，卒然心腹刺痛，闷乱欲死是
也。此必精气衰弱，而后鬼恶得以中之。若腹大而满，脉紧大而浮者死，紧细而微
者生。治之余邪不尽，留滞脏腑，更发变为疰病矣。（宜先下苏合香丸。未醒以皂角末搐鼻取嚏，
次服沉香降气汤。又宜葱刺鼻法、肘后灸法、管吹下部法。以上救客忤中恶法及一切卒死，皆可参用。）
小儿卒死者，是三虚而遇贼风，故无病仓卒而死。三虚者，乘年之衰，逢月之
空，失时之和也。（详《灵枢》岁露篇。）人因此三虚，复遇贼风，令阴气偏竭于内，阳气
阻隔于外。荣卫壅闭，阴阳不通，故暴绝而死。若脏腑未竭，良久乃苏。亦有挟鬼
神气者，皆须治令邪退乃生。若有余邪留蓄，再发则成疰病矣。其证眼合哜齿，遍
身绵软，面青黑，口鼻冷。（宜苏合香丸、千金牛舐方、熨两胁方、治卒魇方、皂角搐鼻法、鸡冠
血方、灸人中及心下之类。）
小儿鬼持者，乃神气弱，为鬼所持。其状无他疾，乃萎黄啼唤，口气常臭是也。
（宜图经治鬼持方、外台深师五邪丸之类。）
疰者，注也，亦言住也。谓风邪鬼气住人身内，又复注易傍人，无问人之大小。
若血气衰弱，则阴阳失守。风邪鬼气，因而客之。留住肌腠，连着脏腑。或皮肤掣
动，游易不常，或心腹刺痛，或体热皮肿。沉滞至死，死后注人。小儿襁褓居室，
无因触冒风邪，多缘乳母解脱之时，不避温凉暑湿，或抱持出入早晚，其神魂软弱，
为鬼气所伤故耳。（宜太乙备急散。）
Pediatric Zhong'e (Sudden Collapse due to Evil Qi) refers to a sudden invasion by the qi of ghosts and evils. The symptoms manifest as no prior illness, followed suddenly by stabbing pain in the heart and abdomen, severe restlessness, and a sensation of impending death. This condition necessarily arises because the essential qi is weak, allowing evil qi to invade. If the abdomen is distended and full, and the pulse is tight, large, and floating, the prognosis is poor (fatal); if the pulse is tight, fine, and faint, the prognosis is favorable (survival). In treatment, if residual pathogenic factors remain incomplete, stagnating in the zang-fu organs, subsequent recurrences may transform into Zhu disease (Wandering Pestilence). (It is advisable to first administer Suhe Xiang Wan (Styrax Pill). If the patient has not regained consciousness, use powder of Gleditsia sinensis (Zaojiao) insufflated into the nose to induce sneezing, followed by administration of Chenxiang Jiangqi Tang (Aucklandia Decoction for Descending Qi). Additionally, methods such as stimulating the nose with green onion, moxibustion from the Zhouhou Fang (Handbook of Prescriptions for Emergencies), and blowing air into the lower orifices via a tube are suitable. The above methods for treating Ke Wu (Guest Insult) and Zhong'e, as well as all cases of sudden death, can be referenced.)
Pediatric sudden death occurs when one encounters thief wind (pathogenic wind) while in a state of "Three Deficiencies," leading to sudden death without apparent prior disease. The "Three Deficiencies" refer to: the decline of the annual qi, the emptiness of the lunar phase, and the disharmony of the seasonal climate. (See detailed explanation in the *Suilu* chapter of *Ling Shu*). Due to these three deficiencies, encountering thief wind causes yin qi to exhaust excessively internally and yang qi to be blocked externally. Ying and Wei (Nutritive and Defensive) qi become obstructed and closed, and yin and yang fail to communicate, resulting in sudden cessation of breath and death. If the zang-fu organs have not completely exhausted, revival may occur after a long period. There are also cases involving the influence of ghostly or divine qi; in all instances, treatment must drive out the pathogen for survival. If residual pathogens remain accumulated, recurrence will result in Zhu disease. Symptoms include closed eyes, clenched teeth, flaccidity of the whole body, cyanotic-black complexion, and cold mouth and nose. (Suitable treatments include Suhe Xiang Wan, Qianjin Niu Shi Formula, warming of both hypochondria, treatment for sudden nightmare suffocation, insufflation of Zaojiao into the nose, chicken comb blood formula, and moxibustion on Renzhong (GV26) and below the heart.)
Pediatric Gui Chi (Ghost Possession/Control) results from weak spirit qi being controlled by ghostly qi. The presentation involves no other diseases, but rather sallow complexion, crying and calling out, and persistent foul breath odor. (Suitable formulas include the Gui Chi treatment formula from *Tu Jing*, and Wuxie Wan (Five Evils Pill) from *Waitai Miyao* and *Shenshi Fang*.)
Zhu (Wandering Pestilence) implies "pouring in" or "staying." It refers to wind evil and ghostly qi residing within the human body, which can then transmit to others, regardless of age. If blood and qi are weak, yin and yang lose their control. Wind evil and ghostly qi take this opportunity to lodge within. They stay in the muscle-couplings and connect to the zang-fu organs. Symptoms may include skin twitching, wandering and irregular movement, stabbing pain in the heart and abdomen, or body heat and skin swelling. The condition becomes stagnant leading to death, and transmission can occur even after death. Infants living in cradles, who contract wind evil without obvious cause, often do so because their wet nurses, during the postpartum recovery period, failed to avoid temperature changes, summer heat, and dampness, or due to carrying the infant in and out at morning and evening times. Because the infant's spirit and soul are weak, they are injured by ghostly qi. (Taiyi Beiji San (Great Unity Emergency Powder) is suitable.)