论曰小儿无故猝然心腹刺痛，闷乱欲绝者，中恶也，由儿阴阳气血不调，神守不强，
故鬼毒恶气得以中之。凡腹大而满，脉紧大而浮者死，紧细而微者生，若余势久留，再发则
变为注。
治小儿中恶，心腹猝痛。鬼箭羽汤方
鬼箭羽（半两） 真珠（末一分） 羚羊角（镑） 桔梗（炒） 朴硝（细研） 升麻 芍
药柴
胡（去苗各一两） 桃仁（三十枚去双仁皮尖麸炒） 黄芩（去黑心） 大黄（锉炒） 鬼
臼（各一
两半）
上一十二味，粗捣筛。一二岁儿，每一钱匕，以水一小盏，煎至六分，去滓分温二服，
空心午后各一服，量儿大小，以意加减。
治小儿中恶心痛，辟邪气。雄黄丸方
雄黄（研） 真珠（研各一两） 麝香（研半钱） 牛黄（如枣大研） 巴豆（四十枚
去皮膜心
研去油尽） 大枣（十四枚蒸熟去皮核研膏）
上六味，除枣外，同研为末。入枣膏，和少许蜜，涂臼中，捣一千杵，丸如粟米大，一
二岁儿每服三丸，薄荷汤下，空心午后各一服，量儿大小，以意加减。
治小儿中恶，心腹坚胀痛，颜色青黑，大便不通。芍药汤方
芍药 桔梗（炒） 桃仁（七枚去皮尖双仁炒） 黄芩（去黑心） 柴胡（去苗） 升
麻（各一
两） 大黄（锉炒二两） 鬼臼（一两） 甘草（炙半两） 杏仁（四十枚汤浸去皮尖双仁
炒） 麝
香（半钱研）
上一十一味，纳十味粗捣筛。入麝香和匀，一二岁儿每一钱匕，以水一小盏，煎至六分
，去滓分温二服，空心午后各一服，以利为度，随儿大小加减。
Discourse states: When a child suddenly experiences stabbing pain in the heart and abdomen without apparent cause, accompanied by severe distress and near-fainting, this is termed Zhong E (Sudden Collapse due to Evil Qi). This condition arises from the disharmony of Yin and Yang, Qi, and Blood in the child, coupled with a weak Shen (Spirit) that fails to guard firmly, thereby allowing Gui Du (Ghost Toxins) and 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 good (survival). If residual pathogenic factors linger for a long time and recur, it may transform into Zhu Bing (Clinging Disease/Chronic Infectious Disease).
Treatment for pediatric Zhong E with sudden heart and abdominal pain. Gui Jian Yu Tang (Arrowwood Decoction):
Gui Jian Yu (Sangjianyu, *Ilex cornuta* branch), half liang; Zhen Zhu (Pearl), one fen, powdered; Ling Yang Jiao (Antelope Horn), shaved; Jie Geng (Platycodon Root), stir-fried; Po Xiao (Mirabilite), finely ground; Sheng Ma (Cimicifuga Rhizome); Shao Yao (Peony Root); Chai Hu (Bupleurum Root), de-radicled, each one liang; Tao Ren (Peach Seed), thirty seeds, remove double kernels, skin, and pointed ends, stir-fried with bran; Huang Qin (Scutellaria Root), remove black heart; Da Huang (Rhubarb Root and Rhizome), cut and stir-fried; Gui Jiu (Arisaema Rhizome), each one and a half liang.
The above twelve ingredients are coarsely pounded and sieved. For infants aged one to two years, take one qian bi (measure) of the powder, add one small cup of water, decoct until reduced to six-tenths, strain, and divide into two warm doses. Administer once on an empty stomach and once in the afternoon, adjusting the dosage according to the child's size and discretion.
Treatment for pediatric Zhong E with heart pain, to repel evil qi. Xiong Huang Wan (Realgar Pill):
Xiong Huang (Realgar), powdered; Zhen Zhu (Pearl), powdered, each one liang; She Xiang (Musk), powdered, half qian; Niu Huang (Calculus Bovis), powdered equivalent to the size of a jujube; Ba Dou (Croton Seed), forty seeds, remove skin, membrane, and core, grind until oil is completely removed; Da Zao (Jujube Fruit), fourteen fruits, steamed until ripe, remove skin and pits, grind into paste.
The above six ingredients, except for the jujube paste, are ground together into a fine powder. Mix with the jujube paste and a small amount of honey, coat the mortar, and pound for one thousand strokes. Form pills the size of millet grains. For infants aged one to two years, administer three pills per dose, taken down with Bo He Tang (Mint Decoction). Give once on an empty stomach and once in the afternoon, adjusting the dosage according to the child's size and discretion.
Treatment for pediatric Zhong E with hard and distending pain in the heart and abdomen, cyanotic or dark complexion, and constipation. Shao Yao Tang (Peony Decoction):
Shao Yao (Peony Root); Jie Geng (Platycodon Root), stir-fried; Tao Ren (Peach Seed), seven seeds, remove skin, pointed ends, and double kernels, stir-fried; Huang Qin (Scutellaria Root), remove black heart; Chai Hu (Bupleurum Root), de-radicled; Sheng Ma (Cimicifuga Rhizome), each one liang; Da Huang (Rhubarb Root and Rhizome), cut and stir-fried, two liang; Gui Jiu (Arisaema Rhizome), one liang; Gan Cao (Licorice Root), honey-fried, half liang; Xing Ren (Apricot Seed), forty seeds, soaked in hot water, remove skin, pointed ends, and double kernels, stir-fried; She Xiang (Musk), half qian, powdered.
The above eleven ingredients: coarsely pound and sieve the ten ingredients excluding Musk. Mix evenly with the Musk. For infants aged one to two years, take one qian bi of the powder, add one small cup of water, decoct until reduced to six-tenths, strain, and divide into two warm doses. Administer once on an empty stomach and once in the afternoon, stopping when bowel movement is restored, and adjust the dosage according to the child's size.