巢氏云∶人聚蛇虫杂类，以器皿盛之，令相啖食，余一存者，即名为蛊，能变
化，或随饮食入腹，食人五脏。小儿有中者，病状与大人老子无异，则心腹刺痛懊
闷，急者即死，缓者涉历岁月，渐深羸困，食心脏尽，利血，心脏烂乃至死，死又
疰易旁人，故为蛊疰也。
《外台·范汪》疗大人小儿蛊疰百病， 瘕积聚，酸削骨肉，大小便不利，卒忤，遇
恶风，胪胀腹满淋水，转相注，殚门尽户，延及男女外孙，医所不能疗。更生
十七物紫参丸方
紫参 人参 半夏（汤洗） 藜芦 代赭石 桔梗 白薇 肉苁蓉（各三分） 石膏 大黄
牡蛎（熬） 丹参（各一分） 虾蟆（烧灰） 乌头（炮。各四分） 野狼毒（七分） 附子（炮，五分） 巴豆（七十
枚，去心皮，熬）
上件药捣筛，蜜和为丸。以饮下如小豆一丸，日三服，老小以意减之。蜂虿所
螫，以涂其上，神良。忌猪羊肉冷水。一方，无虾蟆，有干姜四分。
《圣惠》羚羊角散 治小儿中蛊，腹内坚如石，面目青黄，小便淋沥，变易无常。
羚羊角（屑） 荷（各一两） 栀子仁（七枚） 赤芍药 牡丹皮 黄连（去须。各一分） 犀角（屑半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓温服，日三四服，更量儿大小加减。
又方
败鼓皮（三分，炙令黄） 苦参（锉） 荷根（各一两）
上件药捣，粗罗为散，每服一钱，以水一小盏，煎至五分，去滓温服，日三四
服，更量儿大小，加减服之。
升麻散 治小儿国中蛊毒。
川升麻 桔梗（去芦头） 栝蒌根（各半两）
上捣，罗为粗散。每服一钱，以水一小盏，煎至五分，去滓温服，日四五服，量儿大小加减。
雄黄散 治小儿飞蛊，状如鬼气者，宜服。
雄黄 麝香（各细研） 犀角（末。各半两）
上件药，都研令匀。每服，以温水调下半钱匕，日四五服，量儿大小加减。
治小儿五种蛊毒悉主之方
上捣马兜铃根，细罗为散，每服一钱，以水一小盏，煎五分，去滓空腹顿服。
当时随吐蛊出，未快吐，即再服。
又方 上用败鼓皮一片，烧灰，细研为粉，空心，以粥饮调服一钱。病患须臾当呼
蛊主姓名，病便愈。
又方 上用荠 一两，捣罗为末，以粥饮调下一钱，甚效，量儿大小，加减服之。
治小儿畏忌中蛊欲死方
上用甘草半两生锉，以水一中盏，煎至五分，去滓，分为二服。当吐蛊出，若
平生预防蛊者，宜熟炙甘草煮汁服之，即内消不吐，神效。
治小儿中蛊毒，令腹内坚痛，面目青黄，淋露骨立，病变无常方
上用桃株寄生二两，捣细罗为散，如茶点服之，日四五服。
又方 上用麝香半钱，细研，空腹以温水调服。即吐出蛊毒未效，再服。
治小儿中蛊下血欲死方
上取生赤雌鸡翅下血，服之立效。
又方
上捣青蓝汁，频频与半合服。
《婴孺》雄黄丸 治小儿疰病，诸蛊魅精气入心入腹刺痛，黄瘦骨立。
雄黄 雌黄（各四分） 丹砂 野丈人 徐长卿（各三分） 大黄（五分） 麝香（三枣大） 羚羊角（屑，五分）
上为末，以青羊脂和丸。百日儿酒服黍大三丸，日进二服，或豆大，亦可。
〔张涣〕雄麝散 专治蛊毒病。
雄黄（水磨者，细研） 麝香（别研） 羚羊角（屑） 赤芍药 败鼓皮（炙黄。各一两） 马兜铃根 荠
鬼臼（去毛，各半两。以上除雄黄、麝香外，捣罗为细末）
上件八味，都一处拌匀研细。每服半钱，浓煎甘草汤调下，食前。
麝犀汤
犀角屑 鬼箭 安息香 水磨雄黄（细研。各一两） 苦参 牡丹皮（各半两） 以上捣，罗为细末，次用
麝香（半两，细研）
上件都拌匀。每服一钱，水一大盏，煎至五分，去滓放温，时时服。
Chao Yuanfang stated: People gather various snakes and insects, place them in vessels, and let them devour each other. The one remaining is named "Gu" (a venomous insect created by mutual cannibalism). It can transform its form and may enter the abdomen through food or drink, consuming the five zang organs. Children who contract Gu exhibit symptoms identical to adults, including stabbing pain in the heart and abdomen, restlessness, and oppression. Acute cases result in immediate death; chronic cases progress over years, leading to gradual emaciation and debility until the heart is consumed, bloody stools are passed, and the heart rots, causing death. Upon death, the disease transmits to others, hence termed "Gu Zhu" (infectious Gu disease).
*Waitai Miyao*, citing Fan Wang, treats adult and pediatric Gu Zhu and myriad diseases, as well as Jia Ji Ju Lei (abdominal masses), emaciation of flesh and bone, difficulty in urination and defecation, sudden fright, exposure to evil wind, abdominal distension with water retention, mutual transmission, affecting entire households, extending to male and female grandchildren, which physicians find difficult to cure. The formula "Gengsheng Seventeen-Ingredient Zishen Pill" is prescribed:
Zishen (Radix Pseudostellariae), Renshen (Radix Ginseng), Banxia (Rhizoma Pinelliae, washed with decoction), Lilu (Rhizoma Veratri), Daizheshi (Haematitum), Jiegeng (Radix Platycodonis), Baiwei (Radix Cynanchi Atrati), Rongcrouong (Cortex Cibotii) (each 3 fen); Shigao (Gypsum Fibrosum), Dahuang (Radix et Rhizoma Rhei), Muli (Concha Ostreae, processed), Danshen (Radix Salviae Miltiorrhizae) (each 1 fen); Xama (Bufo vulgaris skin, burnt to ash), Wutou (Radix Aconiti Lateralis Preparata, each 4 fen); Yelangdu (Radix Stellerae Chamaejasme, 7 fen); Fuzi (Radix Aconiti Lateralis Preparata, 5 fen); Badou (Semen Crotonis, 70 seeds, de-heart and peel, roasted).
The above herbs are crushed, sifted, and mixed with honey to form pills. Administer one pill the size of a small bean with liquid, three times daily. Dosage for elderly and children should be adjusted accordingly. For stings from bees or scorpions, apply topically for excellent efficacy. Avoid pork, mutton, and cold water. An alternative version excludes Xama and adds Ganjiang (Rhizoma Zingiberis Preparata, 4 fen).
Taiping Shenghui Fang Lingyangjiao San: Treats pediatric Gu, characterized by an abdomen hard as stone, cyan-yellow complexion, dribbling urine, and unpredictable symptom variations.
Lingyangjiao (Cornu Saigae Tataricae, shaved), He (Nelumbinis Folium, each 1 liang); Zhizi Ren (Semen Gardeniae, 7 seeds); Chishaoyao (Radix Paeoniae Rubra), Mudanpi (Cortex Moutan), Huanglian (Rhizoma Coptidis, de-stamen, each 1 fen); Xijiao (Cornu Rhinocerotis, shaved, 0.5 liang).
Crush the above herbs, sieve into a coarse powder. Take 1 qian per dose, decoct in one small cup of water until reduced to half a cup, strain, and take warm. Three to four times daily, adjusting dosage based on the child's age and size.
Another prescription:
Baigupi (Corium Equi Ustutum, 3 fen, roasted until yellow), Kushen (Radix Sophorae Flavescentis, sliced), Hegen (Rhizoma Nelumbinis, each 1 liang).
Crush and sieve into a coarse powder. Take 1 qian per dose, decoct in one small cup of water until reduced to half a cup, strain, and take warm. Three to four times daily, adjusting dosage based on the child's age and size.
Shengma San: Treats Gu poison contracted within the region.
Chuan Shengma (Radix Cimicifugae), Jiegeng (Radix Platycodonis, de-radicle), Gualougen (Radix Trichosanthis, each 0.5 liang).
Crush and sieve into a coarse powder. Take 1 qian per dose, decoct in one small cup of water until reduced to half a cup, strain, and take warm. Four to five times daily, adjusting dosage based on the child's age and size.
Xionghuang San: Treats Fei Gu (flying Gu) in children, presenting like ghostly possession.
Xionghuang (Realgar), Shexiang (Moschus) (each finely ground); Xijiao (Cornu Rhinocerotis, powdered, each 0.5 liang).
Grind all ingredients uniformly. Mix half a qian bi (spoonful) with warm water for administration. Four to five times daily, adjusting dosage based on the child's age and size.
Formula treating all five types of Gu poison in children:
Crush Madouling Gen (Radix Aristolochiae Manshuriensis), sieve into a fine powder. Take 1 qian per dose, decoct in one small cup of water for five minutes, strain, and take on an empty stomach in one go. Gu should be vomited out immediately. If vomiting is incomplete, administer again.
Another prescription:
Take one piece of Baigupi (Corium Equi Ustutum), burn to ash, grind finely. Take 1 qian with rice broth on an empty stomach. The patient will shortly call out the name of the Gu master, and the illness will resolve.
Another prescription:
Take Qicai (Herba Portulacae Oleraceae, 1 liang), grind into powder. Take 1 qian with rice broth. Highly effective. Adjust dosage based on the child's age and size.
Formula for pediatric fear of Gu poisoning approaching death:
Take raw Gancao (Radix Glycyrrhizae Preparata, 0.5 liang), slice raw. Decoct in one medium cup of water until reduced to half a cup, strain, and divide into two doses. Gu should be vomited out. For prophylaxis against Gu, use roasted Gancao boiled in water; this dissipates toxins internally without vomiting, showing miraculous efficacy.
Formula for pediatric Gu poison causing abdominal hardness and pain, cyan-yellow complexion, extreme emaciation, and variable lesions:
Take Tao Zhu Ji Sheng (Ramulus Taxilli, 2 liang), crush and sieve into a fine powder. Take like tea, four to five times daily.
Another prescription:
Take Shexiang (Moschus, 0.5 qian), grind finely. Take with warm water on an empty stomach. If vomiting Gu poison is ineffective, administer again.
Formula for pediatric Gu poison causing hematochezia approaching death:
Take blood from the ventral side of a live red hen. Ingest immediately for effect.
Another prescription:
Crush Qinglan Zhi (Indigo Naturalis juice), administer half he frequently.
Yingru Shu Xionghuang Wan: Treats pediatric Zhu disease, where Gu spirits' essence enters the heart and abdomen causing stabbing pain, sallow complexion, and extreme emaciation.
Xionghuang (Realgar), Cihuang (Orpiment) (each 4 fen); Dansha (Cinnabaris), Ye Zhangren (Radix Bupleuri Divaricati), Xuchangqing (Herba Cynanchi Paniculati) (each 3 fen); Dahuang (Radix et Rhizoma Rhei, 5 fen); Shexiang (Moschus, size of three jujubes); Lingyangjiao (Cornu Saigae Tataricae, shaved, 5 fen).
Grind into powder, mix with fat from a black ram to form pills. Infants of 100 days old take three pills the size of millet grains with wine, twice daily. Pills the size of beans are also acceptable.
[Zhang Huan] Xiongshi San: Specifically treats Gu poison disease.
Xionghuang (Realgar, water-ground and finely ground), Shexiang (Moschus, separately ground), Lingyangjiao (Cornu Saigae Tataricae, shaved), Chishaoyao (Radix Paeoniae Rubra), Baigupi (Corium Equi Ustutum, roasted yellow, each 1 liang), Madouling Gen (Radix Aristolochiae Manshuriensis), Qicai (Herba Portulacae Oleraceae), Guijiu (Radix Podophylli Emodi, de-hair, each 0.5 liang). (All except Xionghuang and Shexiang are crushed and sieved into fine powder).
Mix all eight ingredients thoroughly and grind finely. Take half a qian per dose, mixed with strong decoction of Gancao (Radix Glycyrrhizae Preparata), taken before meals.
Shexi Tang:
Xijiao Xie (Cornu Rhinocerotis, shaved), Guijian (Ramulus Corni), Anxi Xiang (Benzoinum), Shuimo Xionghuang (Realgar, water-ground and finely ground, each 1 liang), Kushen (Radix Sophorae Flavescentis), Mudanpi (Cortex Moutan, each 0.5 liang). (Above are crushed and sieved into fine powder). Then add Shexiang (Moschus, 0.5 liang, finely ground).
Mix all ingredients thoroughly. Take 1 qian per dose, decoct in one large cup of water until reduced to half a cup, strain, cool to warm temperature, and take frequently.