《巢氏病源》小儿尸疰候∶尸疰者,是五尸之中一尸疰也。人无问小大,腹内皆有尸虫,尸虫为性忌恶,多
接引外邪,共为患害。小儿血气衰弱者,精神亦羸,故尸疰因而为病。其状沉嘿不的知病之处,或寒热淋沥,
涉引岁月,遂至于死。死又疰易旁人,故名之为尸疰也。
张涣论∶小儿亦有疰病,与大人所病无是,久后疰易旁人,传染骨肉,如尸疰蛊毒之类是也。
《外台》张仲景治大人、小儿飞尸。走马汤方
巴豆(去心皮,熬) 杏仁(去皮尖。各二枚)
上二味,取绵缠,槌令极碎,投热汤二合,捻取白汁服之,须臾瘥。未瘥,更一服。老小量之。通疗鬼击
有尸疰者,常蓄此药用验。忌野猪肉、芦笋。《备急》同。
《圣惠》治小儿尸疰,心腹满胀,疼痛不可忍。木香散方
木香 鬼箭羽 桔梗(去芦头) 当归(锉,微炒) 紫苏茎叶(各半两) 槟榔(三分)
上件药捣,粗罗为散。每服一钱,以水一小盏,入生姜少许,煎至五分去滓,不计时候温服。更量儿大小,
加减服之。
《圣惠》治小儿尸疰,及中恶诸病皆主之。犀角散方
犀角 川升麻 木香 槟榔 桑白皮(锉) 川大黄(锉碎,微炒。各半两) 麝香(一钱,细研) 桃仁(二钱
七枚,汤浸去皮尖、双仁,麸炒微黄)
上件药捣,细罗为散。每服以温水调下半钱,日四、五服。更量儿大小,加减服之。
《圣惠》治小儿尸疰鬼癖,心腹往来疼痛。或加寒热恍惚,形色多般。桃仁散方
桃仁(三七枚,汤浸去皮尖、双仁,麸炒微黄) 木香 人参(去芦头) 虎头骨(涂酥炙令黄) 槟榔 京三棱
(微煨,锉) 白芥子(微炒) 麝香(细研) 桂心(各一分) 款冬花 朱砂(细研,水飞过) 干桃柳叶(各半两)
上件药捣,细罗为散。不计时候,以温水调下半钱。量儿大小临时加减。
《圣惠》治小儿尸疰,鬼癖惊痫,魍魉三十六种,无辜天行急黄。并宜服保童丸方
牛黄 麝香(各细研) 真珠(末) 甘草(炙微赤,锉。各一分) 赤芍药 光明砂(细研。水飞过) 赤茯苓 杏
仁(汤浸去皮尖、双仁,麸炒微黄。各半两) 甘遂(七分,煨令微黄) 虎睛(一对,酒浸,炙令微黄) 巴豆(五
枚,去皮心研,纸裹压出油)
上件药捣,罗为末,都研令匀,炼蜜和丸如麻子大。三、四岁儿,每服以荆芥汤下二丸。更量儿大小加减服之。
《圣惠》治小儿尸疰,及诸蛊魅。精气入心腹,使儿刺痛,黄瘦。雌黄丸方
雌黄 雄黄 朱砂(各细研) 川大黄(锉碎,微炒) 白头翁 徐长卿 羚羊角(屑。各一分) 麝香(细研,
半分)
上件药捣,罗为末,都研令匀,以青羊脂和丸如麻子大。每服以粥饮下三丸,日三服。更量儿大小加减服之。
《圣惠》治小儿尸疰,邪气入腹, 痛。立效方
雄黄(一分,细研) 栀子仁(十枚) 赤芍药(半两)
上件药捣,细罗为散,研入雄黄令匀。每服以温水调下半钱。更量儿大小加减服之。
《圣惠》治小儿尸疰,劳瘦,或时寒热。鬼臼丸方
鬼臼(半两,去毛) 川升麻(三分) 麝香(一钱,细研) 柴胡(一两,去苗)
上件药捣,罗为末,都研令匀,炼蜜和丸如绿豆大。每服以暖酒下十丸,日三服。更量儿大小加减服之。
《圣惠》又方
上以桃仁二十枚,汤浸去皮尖,生研,用水一中盏煎至五分,去滓。量儿大小,分减与服,当吐为效。如
不吐,即非是疰也。
《圣惠》又方
上用鳖头一枚,烧为灰,细研为散。每服以新汲水调下半钱。
《圣惠》又方
上以鸡子一枚打破,生吞之。已困者内入喉中,摇头令下即瘥。
张涣雌黄丹方 治尸疰病。
雌黄 雄黄(各细研) 川大黄(慢火炮黑) 鬼臼(去毛,各一两) 桃仁(三十个,汤浸去皮尖,研) 白头
翁(半两,以上并为细末,次用) 麝香(一分,别研) 巴豆(十粒,去皮心膜,纸裹出油)
上件都研匀,以羊脂五两熔和诸药成膏,如黍米大。每服三粒至五粒,荆芥汤冷下。量儿大小加减。
张涣又方立效方
川大黄(炮,锉) 干桃柳叶(洗,焙干。各一两) 栀子仁 赤芍药(各半两)
以上捣罗为细末,次用∶朱砂(细研,水飞,一两) 麝香 雄黄(各研一分)
上件都拌匀,每服一钱,用蜜汤调下。量儿大小加减。
Nash Shi Bing Yuan (Source of Diseases by Master Chao) on the Syndrome of Shi Zhu in Children: Shi Zhu is one of the Five Shi (Corpse Transmission). Regardless of age, everyone has "Shi insects" within their abdomen. These insects are inherently repelled by righteous Qi and tend to attract external pathogenic factors, causing joint harm. In children with weak blood and Qi, spirit and essence are also emaciated; thus, Shi Zhu arises as a disease. Its manifestations include taciturnity and inability to pinpoint the location of pain, alternating chills and fever, and lingering symptoms that persist for years, eventually leading to death. After death, it may transmit to others, hence the name Shi Zhu.
Zhang Huan discusses: Children can also suffer from Zhu diseases, which differ from those in adults. Over time, these diseases can transmit to others, affecting bones and flesh, similar to Shi Zhu and Gu Du (Poisonous Worm) conditions.
Wai Tai Mi Yao (Essential Prescriptions from the Imperial Library), citing Zhang Zhongjing, treats Fei Shi (Flying Corpse) in adults and children with Zou Ma Tang (Running Horse Decoction):
Ingredients: Ba Dou (Crotonis Fructus, remove heart and skin, stir-fry); Xing Ren (Pruni Semen, remove skin and tips, two each).
Preparation and Administration: Wrap the two ingredients in cotton cloth, pound them until extremely fine, add two he (approx. 200ml) of hot water, squeeze out the white juice, and administer. The patient should recover shortly. If not recovered, administer another dose. Dosage for elderly and children should be adjusted accordingly. This formula generally treats Gui Ji (Ghost Strike); those with Shi Zhu should keep this medicine for effective use. Avoid wild boar meat and reed shoots. Bei Ji Qian Jin Yao Fang agrees.
Tai Ping Sheng Hui Fang (Imperial Grace Formulary of the Taiping Era) treats Shi Zhu in children with abdominal distension and unbearable pain with Mu Xiang San (Costus Powder):
Ingredients: Mu Xiang (Aucklandiae Radix), Gui Jian Yu (Strychni Nux-vomicae Ramulus), Jie Geng (Platycodonis Radix, remove rhizome), Dang Gui (Angelicae Sinensis Radix, sliced, lightly stir-fried), Zi Su Jing Ye (Perillae Caulis et Folium, half liang each), Bing Lang (Arecae Semen, three qian).
Preparation and Administration: Pound the above herbs, sieve coarsely into powder. Take one qian per dose, add one small zhan (approx. 100ml) of water and a little fresh ginger, decoct until five fen (approx. 50ml) remains, strain, and take warm at any time. Adjust dosage based on the child's age and size.
Tai Ping Sheng Hui Fang treats Shi Zhu in children and various cases of Zhong E (Sudden Evil Invasion) with Xi Jiao San (Rhinoceros Horn Powder):
Ingredients: Xi Jiao (Rhinocerotis Cornu), Chuan Sheng Ma (Bupleuri Radix var. chinense or Cimicifugae Rhizoma), Mu Xiang, Bing Lang, Sang Bai Pi (Mori Cortex, sliced), Chuan Da Huang (Rhei Radix et Rhizoma, sliced, lightly stir-fried, half liang each), She Xiang (Moschus, one qian, finely ground), Tao Ren (Persicae Semen, two qian, seven kernels, soak in hot water, remove skin and tips, double-kernel ones removed, bran-fried until slightly yellow).
Preparation and Administration: Pound the above herbs, sieve finely into powder. Mix half a qian with warm water per dose, administer four to five times daily. Adjust dosage based on the child's age and size.
Tai Ping Sheng Hui Fang treats Shi Zhu and Gui Pi (Ghost Stagnation) in children, characterized by wandering pain in the heart and abdomen, possibly accompanied by chills, fever, confusion, and varied physical appearances, with Tao Ren San (Peach Kernel Powder):
Ingredients: Tao Ren (Persicae Semen, thirty-seven kernels, soak in hot water, remove skin and tips, double-kernel ones removed, bran-fried until slightly yellow), Mu Xiang, Ren Shen (Ginseng Radix, remove rhizome), Hu Tou Gu (Tigris Ossis, coated with butter, roasted until yellow), Bing Lang, Jing San Leng (Sparganii Rhizoma, lightly baked, sliced), Bai Jie Zi (Sinapis Semen, lightly stir-fried), She Xiang (finely ground), Gui Xin (Cinnamomi Cortex, one fen each), Kuan Dong Hua (Flos Farfarae), Zhu Sha (Cinnabar, finely ground, washed with water), Gan Tao Liu Ye (Dried Peach and Willow Leaves, half liang each).
Preparation and Administration: Pound the above herbs, sieve finely into powder. Mix half a qian with warm water per dose at any time. Adjust dosage based on the child's age and size.
Tai Ping Sheng Hui Fang treats Shi Zhu, Gui Pi, Jing Xian (Convulsions), thirty-six types of Wang Liang (Demons), Wu Gu Tian Xing Ji Huang (Innocent Epidemic Acute Jaundice) in children, recommending Bao Tong Wan (Child-Protecting Pill):
Ingredients: Niu Huang (Bovaris Calculus), She Xiang (finely ground each), Zhen Zhu (Margarita, powdered), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red, sliced, one fen each), Chi Shao Yao (Paeoniae Radix Rubra), Guang Ming Sha (Cinnabar, finely ground, washed with water), Chi Fu Ling (Poria cum Ligno Rubrum), Xing Ren (Pruni Semen, soak in hot water, remove skin and tips, double-kernel ones removed, bran-fried until slightly yellow, half liang each), Gan Sui (Euphorbiae Pekinensis Radix, seven fen, baked until slightly yellow), Hu Jing (Tigris Bulbus/Oculus, one pair, soaked in wine, roasted until slightly yellow), Ba Dou (Crotonis Fructus, five kernels, remove skin and heart, grind, wrap in paper and press out oil).
Preparation and Administration: Pound the above herbs, sieve into powder, mix thoroughly, and knead with refined honey into pills the size of hemp seeds. For children aged three to four, administer two pills with Jing Jie Tang (Schizonepeta Decoction). Adjust dosage based on the child's age and size.
Tai Ping Sheng Hui Fang treats Shi Zhu in children and various Gu Mei (Gu Demons). When evil qi enters the heart and abdomen causing stabbing pain, sallow complexion, and emaciation, use Ci Huang Wan (Realgar Orpiment Pill):
Ingredients: Ci Huang (Orpiment), Xiong Huang (Realgar), Zhu Sha (Cinnabar, finely ground each), Chuan Da Huang (sliced, lightly stir-fried), Bai Tou Weng (Pulsatillae Radix), Xu Chang Qing (Cynanchi Paniculati Radix), Ling Yang Jiao (Saigae Tataricae Cornu, shaved, one fen each), She Xiang (finely ground, half fen).
Preparation and Administration: Pound the above herbs, sieve into powder, mix thoroughly, and knead with green ram fat into pills the size of hemp seeds. Administer three pills per dose with millet gruel drink, three times daily. Adjust dosage based on the child's age and size.
Tai Ping Sheng Hui Fang treats Shi Zhu in children where evil qi enters the abdomen causing abdominal pain, an Immediate Effect Formula:
Ingredients: Xiong Huang (Realgar, one fen, finely ground), Zhi Zi Ren (Gardeniae Semen, ten kernels), Chi Shao Yao (half liang).
Preparation and Administration: Pound the above herbs, sieve finely into powder, mix evenly with Xiong Huang. Administer half a qian per dose mixed with warm water. Adjust dosage based on the child's age and size.
Tai Ping Sheng Hui Fang treats Shi Zhu in children, chronic emaciation, or intermittent chills and fever, with Gui Jiu Wan (Podophylli Fructus Pill):
Ingredients: Gui Jiu (Podophylli Fructus, half liang, remove hairs), Chuan Sheng Ma (three qian), She Xiang (one qian, finely ground), Chai Hu (Bupleuri Radix, one liang, remove stems).
Preparation and Administration: Pound the above herbs, sieve into powder, mix thoroughly, and knead with refined honey into pills the size of mung beans. Administer ten pills per dose with warm wine, three times daily. Adjust dosage based on the child's age and size.
Tai Ping Sheng Hui Fang, Another Formula:
Take twenty Tao Ren (Peach Kernels), soak in hot water, remove skin and tips, grind raw. Decoct in one zhong (approx. 200ml) of water until five fen (approx. 50ml) remains, strain. Divide according to the child's age and size for administration. Vomiting indicates efficacy. If no vomiting occurs, it is not a Zhu disease.
Tai Ping Sheng Hui Fang, Another Formula:
Take one Bie Tou (Testudinis Carapax Caput), burn to ash, grind finely into powder. Administer half a qian per dose mixed with fresh well water.
Tai Ping Sheng Hui Fang, Another Formula:
Break one Ji Zi (Galli Ovum), swallow raw. For severely ill children, insert into the throat, shake the head to facilitate swallowing, and the condition will improve.
Zhang Huan's Ci Huang Dan (Realgar Orpiment Pellet): Treats Shi Zhu disease.
Ingredients: Ci Huang (Orpiment), Xiong Huang (Realgar, finely ground each), Chuan Da Huang (slow-fire roasted until black), Gui Jiu (remove hairs, one liang each), Tao Ren (thirty kernels, soak in hot water, remove skin and tips, grind), Bai Tou Weng (half liang, all above made into fine powder, next use), She Xiang (one fen, separately ground), Ba Dou (ten kernels, remove skin, heart, and membrane, wrap in paper and press out oil).
Preparation and Administration: Grind all ingredients uniformly, melt five liang of sheep fat, and mix with the herbs to form a paste, shaping into pellets the size of millet grains. Administer three to five pellets per dose with cold Jing Jie Tang (Schizonepeta Decoction). Adjust dosage based on the child's age and size.
Zhang Huan, Another Immediate Effect Formula:
Ingredients: Chuan Da Huang (roasted, sliced), Gan Tao Liu Ye (washed, dried, one liang each), Zhi Zi Ren (Gardeniae Semen), Chi Shao Yao (Paeoniae Radix Rubra, half liang each).
Make the above into fine powder. Next, use: Zhu Sha (Cinnabar, finely ground, water-washed, one liang), She Xiang (Moschus), Xiong Huang (Realgar, ground one fen each).
Preparation and Administration: Mix all ingredients evenly. Administer one qian per dose mixed with honey water. Adjust dosage based on the child's age and size.