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Chao Yuanfang stated: Pediatric Zhong'e (Sudden Attack by Evil Qi) is caused by the sudden invasion of ghostly or evil qi into the human body. Regardless of age, if Yin and Yang are harmonious, Ying and Wei (Defensive and Nutritive Qi) are balanced, and Shen (Spirit) is robust, then pathogenic factors cannot invade healthy Qi; however, if Jing (Essence) and Qi are weak, one will be invaded by ghostly toxins and evil qi. The manifestation is characterized by no prior illness, followed suddenly by stabbing pain in the heart and abdomen, severe distress, confusion, and a sensation of impending death. In cases of Zhong'e with abdominal distension and fullness, a pulse that is tight, large, and floating indicates a fatal prognosis; a pulse that is tight, fine, and faint indicates a survivable prognosis. If the pathogenic influence lingers and stagnates within the Zang-Fu organs, subsequent recurrences may transform into Zhu disease (a chronic, infectious, or lingering condition). The treatment method involves first administering Suhe Xiang Wan (Styrax Pill) to open the orifices; if consciousness is not restored, blow powder made from Gengjie (Gleditsia Sinensis Fruit) into the nasal cavity to induce sneezing, followed by oral administration of Chenxiang Jiangqi Tang (Aucklandia Descending Qi Decoction) supplemented with Renshen (Ginseng) and Fuling (Poria), which can also repel evil qi and is suitable for Ke Wu (sudden fright or external evil invasion).

Suhe Xiang Wan (Styrax Pill): Treats Chuanshen Guzheng (consumptive fever resembling tuberculosis), various Laozai diseases (chronic wasting conditions), regulates Qi and resolves phlegm, sudden severe chest pain, malarial fevers attributed to demonic influences, Huoluan (cholera-like syndrome with vomiting and diarrhea), dysentery with red and white discharge, and pediatric convulsions.
Ingredients: Suhe Xiang You (Styrax Oil, 5 qian, incorporated into Anshixiang paste); Anshixiang (Benzoin Resin, 1 liang, separately ground into powder, boiled with half sheng of unadulterated wine into a paste); Dingxiang (Caryophylli Flos); Qingmuxiang (Lithospermi Radix et Rhizoma); Baitanxiang (Santalum Album Lignum); Chenxiang (Aquilariae Lignum Resinatum); Bibo (Long Pepper Fruit); Xiangfumiao (Cyperi Rhizoma); Hezi (Arecae Semen, roasted for flesh extraction); Wuxi (Rhinocerotis Cornu, shaved into flakes); Zhusha (Cinnabaris, finely ground and processed by water flotation) [each 1 liang]; Xunluxiang (Olibanum); Piannao (Borneolum Syntheticum, finely ground) [each 5 qian]; Shexiang (Moschus, 7.5 qian).
Grind all ingredients into a fine powder. Mix with Anshixiang paste and refined honey to form pills the size of Euphorbia seed (Qianshi). Take on an empty stomach, dissolved in boiling water. Children take one pill; elderly take four pills. Taking with wine is also acceptable. Wrap one pill in wax paper, sized like a bullet, and carry it in a crimson silk pouch; all evil spirits dare not approach. Removing Piannao yields Moxiang Suhe Wan (Musk Styrax Pill), treating all evil influences, chest and diaphragm obstruction, intestinal rumbling, undigested food retention, and other similar conditions.

Chenxiang Jiangqi Tang (Aucklandia Descending Qi Decoction):
Ingredients: Jiangzhenxiang (Daemonorops Draco Resina); Chenxiang (Aquilariae Lignum Resinatum); Baijiaoxiang (Agarwood Resin? *Note: Likely refers to a specific resinous wood or frankincense variant, literal translation used*); Hu Jing Gu (Pantheris Os, roasted with butter); Renshen (Ginseng Radix et Rhizoma); Guijianyu (Ardisiae Caulis); Caolongdan (Gentianae Radix) [each 5 qian].
Grind into powder. Add Xionghuang (Realgar, 5 qian) and Shexiang (Moschus, 1 qian). Form pills with refined honey. Dissolve in Ruxiang Tang (Frankincense Decoction) before ingestion. Alternatively, have the child wear the medication or burn it near the sleeping area for optimal effect.

Ge Hong's *Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up One's Sleeve) methods for resuscitation from sudden death, or sudden cessation of life during rest or sleep due to Zhong'e:
Method 1: Pierce the nasal cavity with the yellow core of a scallion (Congbai). For males, use the left nostril; for females, the right. Insert approximately 7-8 cun; adjust for children. Bleeding from the eyes is considered a favorable sign. Bian Que’s method is identical. Later texts refer to this as blowing into the ears, but Ge Hong distinguishes this nasal piercing method.

Method 2: Have two assistants cover the mouth and nose with cloth, then blow air forcefully into both ears, switching persons when exhausted. A tube may be used for blowing. Support the shoulders, position oneself laterally at a distance, and avoid facing the head directly.

Method 3: Pierce the ears with a scallion leaf. Bleeding from the ears and nose is expected; lack of bleeding suggests difficult treatment, while bleeding indicates recovery. Hold both hands, then suddenly release them. The eyes should open, and hands may grasp; cease manipulation upon verbalization of pain. Alternatively, pierce the left nostril for males and right for females, inserting 7-8+ cun. Effective for hanging victims as well, consistent with Bian Que’s method. Adjust dosage/depth for children.

Method 4: Soak cotton in good wine, place in the nostrils, and press gently to allow juice entry. Hold limbs to prevent惊 (fright/spasm).

Method 5: Inspect the inner upper lip for white spots resembling millet grains. Puncture and remove if present.

Method 6: Pour urine over the face repeatedly until speech resumes. This is Bian Que’s method.

Method 7: Grind Gengjie (Gleditsia Sinensis Fruit) into powder the size of soybeans. Blow into both nostrils. Sneezing indicates restoration of Qi flow.

Method 8: Cut the neck of a male rooster, apply blood to the face repeatedly until dry. Surround the body with ash.

Method 9: Use a tube to blow into the lower orifice (anus). Multiple persons may alternate. Restoration of Qi leads to revival.

Qianjin Fang (Prescriptions Worth a Thousand Gold) for Cu Wu (Sudden Violation): This condition corresponds to modern Zhong'e, similar to Sudden Death and Guiji (Ghost Strike). Treatments are integrated.
Method: Boil 8 he of salt in 3 sheng of water until reduced to 1.5 sheng. Divide into two doses. Vomiting indicates cure.

Beiji Fang (Emergency Prescriptions) states: For Guiji (Ghost Strike) with urinary retention, burn 7 pen tips to ash, grind, and administer orally to restore urination.

Shenghui Fang Taonuo San (Peach Slave Powder): Treats pediatric Zhong'e with hard, distended, painful abdomen, cyanotic/black complexion, and constipation.
Ingredients: Taonuo (Dried Peach Fruit, 5 pieces); Gancao (Licorice Root, 1 fen, roasted slightly red, cut); Shexiang (Moschus, 1 qian, finely ground); Xingren (Apricot Seed, 20 pieces, soaked, peeled, split, bran-roasted); Jiegeng (Platycodon Root, de-radicle); Chishao (Red Peony Root); Huangqin (Scutellaria Root); Chaihu (Bupleurum Root, de-radicle); Chuan Shengma (Cimicifugae Rhizoma); Chuan Dahuang (Rhei Radix et Rhizoma, cut, lightly roasted); Guijiu (Podophylli Fructus, de-hair) [each 0.5 liang].
Crush and sieve coarsely. Take 1 qian per dose, decoct in 1 small cup of water until 0.5 cup remains. Strain and take warm at any time. Stop when bowel movement occurs. Adjust based on child’s size and discretion.

Shenghui Fang Guijianyu San (Ardisia Caulis Powder): Treats pediatric Zhong'e with hard heart region, sudden severe pain, and dizziness.
Ingredients: Guijianyu (Ardisiae Caulis); Zhenzhu (Pearl, powdered, each 1 fen); Lingyangjiao (Saiga Tataricae Cornu, shaved); Jiegeng (Platycodon Root, de-radicle); Chuan Puxiao (Natrii Sulfas); Chuan Shengma (Cimicifugae Rhizoma); Chishao (Red Peony Root); Chaihu (Bupleurum Root, de-radicle); Huangqin (Scutellaria Root) [each 0.5 liang]; Taoren (Peach Seed, 10 pieces, soaked, peeled, split, bran-roasted); Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, cut, lightly roasted).
Preparation and administration same as above.

Shenghui Fang Xionghuang Wan (Realgar Pill): Treats pediatric Zhong'e with heart pain, expelling evil qi.
Ingredients: Xionghuang (Realgar, finely ground); Zhenzhu (Pearl, powdered, each 0.5 liang); Shexiang (Moschus); Niuhuang (Calculus Bovis, finely ground, each 1 qian); Badou (Crotonis Fructus, 20 seeds, peeled, heart removed, ground, wrapped in paper, pressed to remove oil).
Grind uniformly. Mix with date pulp and refined honey to form pills the size of millet seeds. Administer 3 pills per dose with Bohe Tang (Mint Decoction). Adjust based on child’s size.

Yingru Book Guijianyu Tang (Ardisia Caulis Decoction): Treats pediatric Zhong'e with hard heart/abdomen, sudden severe pain, and dizziness.
Ingredients: Guijianyu (Ardisiae Caulis, 3 fen); Zhusha (Cinnabaris, 1 fen); Lingyangjiao (Saiga Tataricae Cornu, shaved); Jiegeng (Platycodon Root); Guijiu (Podophylli Fructus); Puxiao (Natrii Sulfas, add when decoction is ready, each 0.5 fen); Shengma (Cimicifugae Rhizoma); Shaoyao (Paeoniae Radix); Chaihu (Bupleurum Root, each 5 fen); Huangqin (Scutellaria Root, 6 fen); Dahuang (Rhei Radix et Rhizoma, 8 fen); Taoren (Peach Seed, 49 pieces, roasted, peeled, split).
Decoct in 4 sheng of water until 1.2 sheng remains. For a two-year-old, divide into four doses. Adjust according to child’s size.

Ge Hong's *Zhouhou Beiji Fang* Moxibustion Method: Measure the circumference of the wrist with a string (left for males, right for females). Extend the string from the Dazhui (GV14) acupoint down the back. Mark horizontal points half the string length from the center. Moxibustiate these three points, three times each, to revive. Additionally, press the Renzhong (GV26) acupoint. If unresponsive, roll the arm and moxibustiate the Wenrou point (near wrist crease) according to age in moxa cones (Zhuang). Also moxibustiate the nasal tip (3 Zhuang), Chengjiang (CV24) in the chin depression (10 Zhuang), and the junction of hair on the big toenails (7 Zhuang, Hua Tuo’s method, or 3x7 Zhuang). Finally, moxibustiate the umbilicus (100 Zhuang).