小儿疰病有三。一者鬼疰。小儿神魂气弱。早晚抱持。出入无时。为鬼厉邪气所干。其候皮肤掣痛。游易
无常。或心腹刺痛。夭矫闷乱欲死。乃名中恶。甚者卒致于死。缓者延引岁月。更变沉
滞。以至于死。又疰傍人。二者尸疰。人腹中有虫。曰尸疰。小儿血气嫩弱。邪气外伤。留滞身中。尸虫移引。
相乘为病。其候沉沉嘿嘿。不知的病之处。或寒或热。或心腹闷痛。涉引岁月。遂至于死。又疰傍人。三曰
蛊毒疰。谓诸毒虫之中有一能啖其余者。即为之最。名之曰蛊。或因人作。或因引注。随饮食而入儿腹中。食人
脏腑。其候心腹刺痛。懊闷欲绝。痢下无时。或便血片。急者即死。名曰中蛊之毒。缓者涉引岁月。以至脏烂乃
死。又疰傍人。今叙诸治方于后。
虎头枕
治中鬼气。为游气为魔。以虎头骨为枕。与儿枕之。
千金汤
治小儿暴惊啼绝而死。因人从外来。邪气所逐。令儿得疾。众医不治。以蜀椒左顾牡蛎各六铢碎之，酢浆一
升。煮取五合，分服。
豆豉丸
治中恶鬼气寒热。以湿豉丸鸡子大。摩儿腮上。及手足心六七遍。又摩心腹脐上。
又方 治中恶邪鬼气。或于病间忽然而卒绝。以菖蒲根杵烂。取汁灌之。
又方 治如前。以羊屎烧烟，以熏鼻中。
又方 治如前。视其死者上唇里弦。有核子如黍米。以针挑破之。复苏。
又方 治如前。以皂荚末或生半夏末少许。吹两鼻中。
又法 治如前。凡中恶邪或魔死者。不得用灯火照之。亦不得近前急唤。或与接气。恐被注染，多致杀人。
但只与痛咬脚跟。及足指甲边。多唾其面。即活。
又方 治如前。以好酒浸绵半盏。及手 其汁。灌鼻中。
又法 治如前。以芦管吹两耳。并取病患发二七茎。捻作任子。刺鼻中。
又方 治中恶鬼邪。游痛如刀刺。或胸胁腹中绞痛急切。手不可近
而按摩。以好酒灌鼻孔。亦治中恶。吐血下血。
又方 治如前。以盐一钱。水一盏。搅和令匀服。并以冷水 之。取吐即瘥。
又方 治如前。以蓬术酒研令服。
又方 治如前。取灶下黄土。水调服之。
又方 治中恶鬼邪为祟。及鬼疰尸疰。以桃仁研细。水煮频服。当吐即瘥。不吐或吐不尽。病再作。或以桃
仁汁。煮米为粥与食。
鳖头散
治尸疰瘦瘠，时发寒热。以鳖头一枚。烧灰杵末。新汲水调下半钱。
雌黄丹
治尸疰。
雌黄（研水飞） 雄黄（研水飞） 川大黄（慢火煨黑色） 鬼臼（去毛各一两） 麝香（一分研） 桃仁
（三十个汤浸去皮尖研） 白头翁（去芦半两） 巴豆（十个去皮膜纸裹去油尽）
上为细末拌匀。以羊脂五两。熔化和药成膏。丸黍米大，每服三五粒。荆芥汤下。无时。
立效散
治尸疰。
川大黄（一两炮锉） 干桃柳叶（各一两洗焙） 栀子仁（半两） 赤芍药（半两） 朱砂（一两别研水飞）
雄黄（一分别研水飞） 麝香（一分别研）
上为细末拌匀。每服半钱。蜜汤调下。无时。
神攻散
治中蛊毒。大甘草半两生末。晋矾一两末。拌匀。新汲水调下一钱或半钱。吐出毒物。效。
雄麝散
专治蛊毒。
雄黄（一两水飞研） 麝香（一两研） 羚羊角（一两屑） 鬼臼（半两去毛） 赤芍药（一两） 荠
（去芦半两） 败鼓皮（一两炙黄焦） 马兜铃根（半两）
上除雄麝外。为细末。入二味拌匀。每服半钱。浓煎甘草汤调下，无时。
麝犀汤
治如前。
犀角（一两屑） 鬼箭（取羽一两） 安息香（一两） 苦参（半两） 牡丹皮（去心半两以上先为末）
雄黄（一两研水飞） 麝香（半两研）
上拌匀细。每服一钱。水一盏。煎至五分。去滓放温。时时服。
甘草汤
治中蛊毒欲死。以甘草半两锉碎。用水一盏。煎至五分。去
滓温服。当吐出毒物。
宝灵丹
治中蛊毒。
朱砂（一两研水飞） 雄黄（一两研水飞） 黄丹（一分研） 苦药子（一分） 续随子（一分去皮毛）
山豆根（一两生） 蜈蚣（二条一条微炙一条生用） 斑蝥（一分去头翅足半生半炒） 巴豆（二分去皮膜出
油尽） 麝香（二分研）
上为细末。拌研匀。于端午日重九日合之最佳。事急者不拘。用糯米粥和丸麻子大。若未能语儿。中毒即休。
如能语儿。但将药一粒入门。即患儿先闻其香是验。以腊茶清送下一丸。不得嚼破。须臾患儿必言心头作响声。
毒物便下。或从口鼻出。或自大便下。嫩即是血。老即如诸虫状。其形不一。药随物下。凝血中裹之。口噤者拗
灌之。
治中蛊下血欲死 以蓝捣汁。频频服半合。
治中蛊毒。腹中坚痛。面目青黄，淋露骨立。病变无常。以桃上寄生为末。茶点服。日四五。
桔梗丸
治鬼疰尸疰蛊疰皆疗。
桔梗（去芦） 藜芦（去芦） 皂荚（去皮子） 巴豆（去壳心膜） 附子（各半豆许）
上为末。炼蜜和剂。入臼杵万下。每服二丸或一丸。如黍米芥子大。仰卧勿侧眠。至食时许。病在膈上者即
吐。在膈下者即泻。取下恶物。如蝌蚪虾蟆胎。或长一二尺。下后大虚口干。但作鸡羹饮五合。与极饮。或食粥
三四日乃痊。病未除尽。再服。
Pediatric Zhu disease (Chronic infectious/parasitic disease) has three types. The first is Gui Zhu (Ghost Zhu). Children have weak Shen Hun Qi (Spirit and Soul Qi). Being held day and night, entering and exiting without regularity, they are invaded by Gui Li Xie Qi (Ghostly Malignant Pathogenic Factors). The manifestations include skin pulling pain that migrates unpredictably, or stabbing pain in the heart and abdomen, body contortion, severe distress, and a desire to die; this is called Zhong E (Sudden Evil Invasion). Severe cases lead to sudden death, while mild cases drag on for years, becoming increasingly sluggish and heavy, eventually leading to death. It can also infect others.
The second is Shi Zhu (Corpse Zhu). There are worms in the human abdomen, referred to as Shi Zhu. Children have tender and weak blood and qi. External pathogenic factors invade and stagnate in the body. The Corpse Worms migrate and induce pathology through mutual aggression. The manifestations include a silent and depressed demeanor, uncertainty about the specific location of pain, alternating chills and fever, or stifling pain in the heart and abdomen. It drags on for years, eventually leading to death. It can also infect others.
The third is Gu Du Zhu (Poisonous Gu Zhu). This refers to various poisonous insects where one species consumes the others, considered the most potent, named Gu. It may be artificially created or transmitted via infusion, entering the child's abdomen with food and drink, consuming the internal organs. The manifestations include stabbing pain in the heart and abdomen, extreme restlessness and suffocation, frequent dysentery, or bloody stools. Acute cases result in immediate death, termed Gu Du Poisoning; chronic cases drag on until organ rot causes death. It can also infect others. The following treatment formulas are listed below.
Tiger Head Pillow
Treats invasion by Ghost Qi, acting as wandering Qi or demonic obstruction. Use tiger head bone as a pillow for the child to sleep on.
Qianjin Tang (Thousand Gold Decoction)
Treats pediatric sudden fright, crying, apnea, and death caused by external pathogenic factors chasing the child. When conventional physicians fail, use Sichuan Pepper (Zanthoxyli Fructus) and Left-Gazing Oyster Shell (Ostreae Concha), each 6 zhu, crushed. Boil in one sheng of vinegar juice until reduced to five he. Divide and administer.
Dou Chi Wan (Fermented Soybean Pill)
Treats cold and heat caused by Zhong E Ghost Qi. Make pills from moistened fermented soybeans (Douchi) the size of a chicken egg. Rub them on the child's cheeks, palms, and soles six to seven times each. Also rub over the heart, abdomen, and umbilicus.
Another Formula: Treats Zhong E evil ghost Qi or sudden death during remission. Pound Acorus rhizome (Shichangpu Radix) until pulpy, extract the juice, and instill it.
Another Formula: Same treatment. Burn sheep feces to produce smoke and fumigate the nose.
Another Formula: Same treatment. Inspect the inner upper lip of the deceased; if there is a nodule like a millet seed, puncture it with a needle to revive the patient.
Another Formula: Same treatment. Blow a small amount of Sophora flower (Zaojiao Fructus) powder or raw Pinellia tuber (Banxia Rhizoma) powder into both nostrils.
Another Method: Same treatment. For those dead from Zhong E evil or demons, do not illuminate with lamps, nor call out urgently nearby, nor exchange breath, to avoid contagion which often causes death. Instead, bite the heels firmly, the edges of the toenails, and spit saliva onto the face to revive.
Another Formula: Same treatment. Soak cotton wool in good wine for half a cup, squeeze the juice, and instill into the nose.
Another Method: Same treatment. Blow into both ears using a reed tube. Take fourteen strands of the patient's hair, twist them into a thread, and insert into the nose.
Another Formula: Treats Zhong E ghost evil causing wandering stabbing pain, or urgent cramping pain in the chest, hypochondrium, and abdomen, intolerable to touch or massage. Instill good wine into the nostrils. Also treats Zhong E with hematemesis and hematochezia.
Another Formula: Same treatment. Mix one qian of salt with one cup of water, stir well, and ingest. Splash with cold water to induce vomiting for cure.
Another Formula: Same treatment. Ingest Curcuma phaeocaulis (Pengzhu Rhizoma) prepared with wine.
Another Formula: Same treatment. Ingest loess soil from under the stove mixed with water.
Another Formula: Treats Zhong E ghost evil afflictions, as well as Gui Zhu and Shi Zhu. Grind peach kernels (Persicae Semen) finely, boil in water, and administer frequently. Cure occurs upon vomiting. If vomiting does not occur or is incomplete, the disease recurs. Alternatively, use peach kernel juice to cook rice porridge for feeding.
Bie Tou San (Softshell Turtle Head Powder)
Treats Shi Zhu with emaciation and intermittent chills and fever. Burn one softshell turtle head (Testudinis Carapax et Plastrum) to ash, grind to powder, mix with fresh drawn water, and take half a qian.
Ci Huang Dan (Realgar Cinnabar Pill)
Treats Shi Zhu.
Realgar (Yuhuang, 雄黄, ground and washed with water) Orpiment (Xionghuang, 雌黄, ground and washed with water) Rhubarb (Dahuang, 大黄, slow-fire roasted to black) White Peony Root (Baishao, 白芍 - *Note: Text says Guijiu/Guijiu usually refers to Podophyllum, but context implies standard ingredients. Text says "Guijiu" (Podophylli Radix)* Podophyllum Root (Guijiu, 鬼臼, de-haired, 1 liang each) Musk (Shexiang, 麝香, 1 fen, ground) Peach Kernel (Taoren, 桃仁, 30 seeds, soaked in water, peeled, core removed, ground) Pulsatilla Root (Baitouweng, 白头翁, de-stalked, 0.5 liang) Croton Seed (Badou, 巴豆, 10 seeds, de-husked, wrapped in paper to remove oil completely)
Grind all into fine powder and mix well. Melt 5 liang of mutton fat, mix with the medicine to form a paste. Roll into pills the size of millet seeds. Take 3-5 pills at any time, administered with Schizonepeta tea (Jingjie Tang).
Lixiao San (Instant Effect Powder)
Treats Shi Zhu.
Rhubarb (Dahuang, 大黄, 1 liang, processed and chopped) Dried Peach and Willow Leaves (Gan Taoliuye, 干桃柳叶, 1 liang each, washed and dried) Gardenia Fruit (Zhizi, 栀子, 0.5 liang) Red Peony Root (Chishaoyao, 赤芍药, 0.5 liang) Cinnabar (Zhusha, 朱砂, 1 liang, separately ground and washed with water) Realgar (Xionghuang, 雄黄, 1 fen, separately ground and washed with water) Musk (Shexiang, 麝香, 1 fen, separately ground)
Grind all into fine powder and mix well. Take half a qian at any time, administered with honey water.
Shen Gong San (Divine Attack Powder)
Treats Gu Du Poisoning. Licorice Root (Gancao, 甘草, 0.5 liang, raw, ground) Alum (Jinfan, 晋矾, 1 liang, ground). Mix well. Administer 1 qian or half a qian with fresh drawn water. Vomiting up toxic material indicates efficacy.
Xiong She San (Realgar Musk Powder)
Specifically treats Gu Du Poisoning.
Realgar (Xionghuang, 雄黄, 1 liang, ground and washed with water) Musk (Shexiang, 麝香, 1 liang, ground) Antelope Horn (Lingyangjiao, 羚羊角, 1 liang, shaved) Podophyllum Root (Guijiu, 鬼臼, 0.5 liang, de-haired) Red Peony Root (Chishaoyao, 赤芍药, 1 liang) Shepherd's Purse (Jicai, 荠, de-stalked, 0.5 liang) Roasted Drum Skin (Baigupi, 败鼓皮, 1 liang, roasted yellow and charred) Aristolochia Root (Madanglinggen, 马兜铃根, 0.5 liang)
Except for Realgar and Musk, grind the rest into fine powder. Add the two remaining ingredients and mix well. Take half a qian at any time, administered with strong decocted Licorice tea.
She Xi Tang (Musk Rhinoceros Horn Decoction)
Same treatment.
Rhinoceros Horn (Xijiao, 犀角, 1 liang, shaved) Arrowwood Twig (Jian (Guijian), 鬼箭, 1 liang, feathers taken) Benzoin (Anxi Xiang, 安息香, 1 liang) Sophora Root (Kushen, 苦参, 0.5 liang) Tree Peony Bark (Mudanpi, 牡丹皮, 0.5 liang de-heart, pre-ground) Realgar (Xionghuang, 雄黄, 1 liang, ground and washed with water) Musk (Shexiang, 麝香, 0.5 liang, ground)
Mix well into fine powder. Take 1 qian per dose. Boil in one cup of water until reduced to 0.5 cup. Strain and warm. Administer frequently.
Gancao Tang (Licorice Decoction)
Treats fatal Gu Du Poisoning. Chop 0.5 liang of Licorice Root (Gancao, 甘草), boil in one cup of water until reduced to 0.5 cup. Strain and take warm. Vomiting up toxic material is expected.
Baoling Dan (Precious Spirit Pill)
Treats Gu Du Poisoning.
Cinnabar (Zhusha, 朱砂, 1 liang, ground and washed with water) Realgar (Xionghuang, 雄黄, 1 liang, ground and washed with water) Lead Tetroxide (Huandan, 黄丹, 1 fen, ground) Bitter Medicine Seed (Kuyaoshi, 苦药子, 1 fen) Spurge Seed (Xuisui Zi, 续随子, 1 fen, de-husked and de-haired) Kidney Vetch Root (Shandougen, 山豆根, 1 liang, raw) Centipede (Wugong, 蜈蚣, 2 specimens: one lightly roasted, one raw) Mylabris (Banmao, 斑蝥, 1 fen, de-head, wings, feet; half raw, half roasted) Croton Seed (Badou, 巴豆, 2 fen, de-husked, de-oiled) Musk (Shexiang, 麝香, 2 fen, ground)
Grind all into fine powder and mix thoroughly. Best compounded on the Double Ninth Day of the Dragon Boat Festival. In emergencies, timing is flexible. Form pills the size of hemp seeds using glutinous rice porridge. If the infant cannot speak, stop medication upon poisoning. If the child can speak, place one pill in the mouth; smelling the fragrance confirms efficacy. Swallow one pill with aged tea clear. Do not chew. Soon, the child will report a ringing sound in the heart, and toxins will be expelled via mouth, nose, or stool. Fresh expulsion appears as blood; old expulsion resembles various worms of different shapes. The medicine accompanies the expelled matter, wrapped in coagulated blood. For trismus, force open and灌 (instill).
Treatment for fatal bleeding due to Gu Du: Crush Isatis Leaf (Lan, 蓝) to extract juice. Administer half he frequently.
Treatment for Gu Du Poisoning with hard abdominal pain, cyanotic-yellow complexion, emaciation, and unpredictable changes: Grind Mistletoe growing on peach trees (Taosheng, 桃上寄生) into powder. Take with tea, 4-5 times daily.
Jiegeng Wan (Platycodon Pill)
Treats Gui Zhu, Shi Zhu, and Gu Zhu effectively.
Platycodon Root (Jiegeng, 桔梗, de-stalked) Veratrum Root (Lilu, 藜芦, de-stalked) Sophora Fruit (Zaojiao, 皂荚, de-skin and seeds) Croton Seed (Badou, 巴豆, de-shell, core, and membrane) Aconite Root (Fuzi, 附子, each piece the size of half a bean)
Grind into powder. Mix with refined honey. Pounded in a mortar ten thousand times. Take 1-2 pills, size of millet or mustard seeds. Lie supine, do not turn sideways. Around mealtime, if the disease is above the diaphragm, vomiting occurs; if below, diarrhea occurs. Expel malignant substances resembling tadpoles, toads, fetuses, or long worms (1-2 chi). Post-evacuation, the body is severely deficient and dry-mouthed. Drink 5 he of chicken soup, drinking as much as possible. Or eat porridge for 3-4 days until recovery. If disease persists, administer again.