小儿中客忤者。小儿神气嫩弱。忽有非常之物。或未经识见之人。偶然触而见之。其客气与儿神气相忤以生
病。谓之客忤。其候吐下青黄白色。水谷解离。腹痛夭矫。面颜变易。五色不常。状似惊痫。但目不上视。其脉
弦急数者是也。若不即治。久则难疗。圣济经曰。出处不时。而为客忤。戒其恐见非常人物为病也。千金曰。小
儿衣帛绵絮及鞋袜中。皆不得令有头发。诸不识人物外来者。并当令儿避之勿见。若误有触犯。并令儿患客忤。
或有犯而患者。急视其儿口中悬壅左右。有肿核如麻豆大者。便须刺摘令溃之。用绵缠钗缋头。展去其血。兼服
诸药为治。
治小儿客忤腹痛夭矫。面色变易。 以香豉数合。水拌令湿。捣熟作
丸子。如鸡子大。用摩儿囟上。及手足心各七遍。及摩儿心脐。上下行转摩之。食顷。即弃掷丸于道中。痛乃便
止。
治小儿卒中客忤。涂法。 灶中黄土蚯蚓粪等分。研细。水调涂儿头上。及五心中大良。
又浴法 治如前。以马粪三升。烧令烟绝,用酒三升,煮数沸去滓。以浆浴儿。以 猪粪二升。热汤灌搅。
适温暖浴儿。
又方 治小儿客忤服法。以牛口沫涂乳上饲儿。
又方 以铜镜鼻烧令赤。纳酒中。能饮者令自饮。不能饮者含而灌之。
治小儿中客忤。吐青白沫。及乳食皆出。腹中痛。气欲绝者。以桂心一两为末。一二百日儿以半钱。用水一
小盏,煎至五分。去滓。温分四服。不拘时候。量儿大小加减。
又方 治小儿客忤。以白僵蚕七枚为末。酒调服半钱至一钱。
又方 治如前。取书中白鱼十枚。敷乳头。令儿吮服。(今人呼为衣鱼)
又方 治如前。取驴乳汁。少少与服。或以热马屎一块。绞汁饮。咽下即愈。
麝香乳
治客忤项强欲死。以麝香少许研细。用乳汁调抹儿口中。如大豆许。良。
又方 治如前。以桔梗烧末半钱调服。量大小加减。
治马毒客忤 以马尾于见面前烧。令儿咽其烟气。每日用之。取瘥。
辟邪膏
治客忤。及治中恶邪厉鬼气。其候似痫。但目不上视倒视。脉弦急。中之卒暴者。立至苏省。
真降香(锉) 白胶香(别研) 沉香 虎头骨(酥炙黄) 鬼臼(去毛) 龙胆草(去芦) 人参
(去芦) 白茯神(去心内木各半两)
上为细末。次入研飞过雄黄末半两。研细麝香一钱。拌匀。炼蜜和丸鸡头子大。每服一粒,煎乳香汤化下。
及丸一弹子大。用绿绢袋盛之。带儿衣上。
Pediatric patients suffering from *Ke Wu* (Guest Hostility) do so because their *Shen Qi* (Spiritual Energy) is tender and weak. Suddenly encountering unusual objects or unfamiliar people, and accidentally being touched by or seeing them, causes external *Ke Qi* (Guest Energy) to clash with the child's *Shen Qi*, thereby generating disease. This is called *Ke Wu*. The manifestations include vomiting and purging of green, yellow, or white substances, separation of water and grain, abdominal pain with twisting and writhing (*Yao Jiao*), alteration of facial complexion, irregularity of the five colors, a condition resembling *Jing Xian* (Startled Epilepsy), but without upward deviation of the eyes. The pulse is wiry, rapid, and tense; this is *Ke Wu*. If not treated immediately, it becomes difficult to cure after a long time. *Sheng Ji Jing* states: "Irregular daily routines lead to *Ke Wu*," warning against illness caused by seeing unusual figures. *Qian Jin Fang* states: "Children's clothing, silk floss, and shoes/socks must not contain hair. All unfamiliar persons coming from outside should be kept away from the child's sight. Accidental contact will cause *Ke Wu*." If a child falls ill due to such contact, one must urgently examine the left and right sides of the *Xuan Yong* (Uvula) in the child's mouth. If there are swollen nodules the size of hemp seeds or beans, they must be pricked to induce suppuration. Wrap the head of a hairpin with cotton, wipe away the blood, and administer various herbal medicines for treatment.
To treat pediatric *Ke Wu* causing abdominal pain, twisting/writhing, and altered complexion: Take several *He* (a unit of volume) of fermented soybeans (*Xiang Chi*), moisten them with water, pound until cooked/soft, and form into pills the size of chicken eggs. Rub these on the child's fontanelle (anterior fontanelle), as well as on the palms of hands and soles of feet, seven times each. Also rub the child's chest (heart area) and umbilicus, moving up and down. After the duration of a meal, discard the pill on the road; the pain will then cease.
For treating sudden onset of *Ke Wu* in children, apply the following paste: Mix equal parts of loess soil from the hearth and earthworm feces. Grind into fine powder, mix with water, and apply to the child's head and the "five centers" (two palms, two soles, and chest). This is highly effective.
Another bathing method: Treat as above. Use three *Sheng* (a unit of volume) of horse manure, burn until smoke ceases, add three *Sheng* of wine, boil several times, strain. Bathe the child with this liquid. Alternatively, use two *Sheng* of pig manure, pour hot water over it and stir. When warm enough, bathe the child.
Another prescription for administering treatment for pediatric *Ke Wu*: Apply saliva from a cow's mouth onto breast milk and feed the child.
Another prescription: Heat the nose/boss of a bronze mirror until red-hot, place it in wine. Let the child drink if able; otherwise, hold the liquid in the mouth and force-feed.
To treat pediatric *Ke Wu* where the child vomits green and white foam, expels all milk and food, suffers abdominal pain, and has breath nearly failing: Take one *Liang* (unit of weight) of *Gui Xin* (Cinnamon Heart/Cortex Cinnamomi), grind into powder. For infants aged one to one hundred days, take half a *Qian* (unit of weight). Add one small cup of water, decoct until reduced to five *Fen* (units of volume), strain. Warm and divide into four doses. Administer at any time, adjusting dosage according to the child's age and size.
Another prescription for pediatric *Ke Wu*: Take seven dried silkworms (*Bai Jiang Can*), grind into powder, and take half to one *Qian* mixed with wine.
Another prescription: Treat as above. Take ten booklice (white fish found in books, now known as *Yi Yu*), apply to the nipple, and let the child suck and swallow.
Another prescription: Treat as above. Give donkey milk in small amounts. Or, take a piece of hot horse dung, squeeze out the juice, and have the child drink it; healing occurs upon swallowing.
*Moxiang Ru* (Musk Milk):
Treats *Ke Wu* causing neck stiffness and extreme distress. Take a small amount of *Mo Xiang* (Musk), grind finely, mix with milk, and smear inside the child's mouth, about the size of a soybean. Effective.
Another prescription: Treat as above. Burn *Jie Geng* (Platycodon Root) to ash, take half a *Qian*, mix with wine and administer. Adjust dosage based on age.
Treating Horse-Toxin *Ke Wu*: Burn horse tail hairs in front of the child's face. Let the child inhale the smoke. Use daily until recovered.
*Bixie Gao* (Evil-Expelling Ointment):
Treats *Ke Wu*, as well as *Zhong E* (Sudden Evil Attack) caused by malevolent spirits. Symptoms resemble epilepsy but without upward or backward deviation of the eyes; the pulse is wiry and tense. In cases of sudden attack, it restores consciousness immediately.
Ingredients: *Zhen Jiang Xiang* (Agarwood/Dalbergia Odorifera - sliced), *Bai Jiao Xiang* (Benzoin Resin - ground separately), *Chen Xiang* (Aquilaria Wood), *Hu Tou Gu* (Tiger Skull Bone - fried with butter until yellow), *Gui Jiu* (Podophyllum Peltatum - de-haired), *Long Dan Cao* (Gentiana Root - de-rhizome), *Ren Shen* (Ginseng Root - de-rhizome), *Bai Fu Shen* (Poria with Hostwood - de-heart and internal wood, 0.5 *Liang* each).
Grind the above into fine powder. Then add 0.5 *Liang* of refined and sieved *Xiong Huang* (Realgar Powder) and 1 *Qian* of finely ground *Mo Xiang* (Musk). Mix well. Blend with refined honey to form pills the size of a cockle seed. Take one pill per dose, dissolve in decoction of *Ru Xiang* (Frankincense) soup. Additionally, make pills the size of a bullet, store in a green silk bag, and carry on the child's clothing.