论曰小儿无故吐下青黄赤白色，水谷解离。腹痛夭矫反倒，面变五色，其状似痫。但眼
不上戴者，名曰客忤。此由小儿血气未充，精神未定，忽见非常之物。或见未识之人，或为
异类触犯，暴然发作，故名客忤。诊其脉弦急数者，忤也。若乳母醉后，及房劳喘困气乏
，即便乳儿，最为切忌，剧则不可救矣。
治小儿客忤猝痛，及气满常腹痛。麝香汤方
半夏（汤洗十遍生姜汁炙） 黄 （各一两） 甘草（炒） 干姜（炮） 桂（去粗皮
各半两）
上五味，粗捣筛。一二岁儿，每一钱匕，水七分，煎至四分，去滓纳麝香少许，分温二
服，不拘时候，更随儿大小加减。
治小儿客忤吐利。白石脂汤方
白石脂（一两） 蜀漆（半两） 附子（炮制去皮脐一分） 牡蛎（ 一两）
上四味，锉如麻豆。一二岁儿，每一钱匕，水七分，煎至四分，去滓分温二服，空心
午后，更量儿大小加减。
治小儿客忤，惊啼壮热。犀角散方
犀角（镑） 麦门冬（去心焙） 钩藤 丹砂（研各一分） 牛黄（研半分） 麝香（研
三大豆
许）
上六味，捣研为散，每服半钱匕，煎金银汤调下，不计时候。
治小儿客忤腹满痛，大便不通。人参汤方
人参 龙胆 钩藤 柴胡（去苗） 黄芩（去黑心） 桔梗（炒） 赤芍药 茯神（去
木） 当
归（切焙各半两） 蜣螂（去足炙二枚） 大黄（锉炒一两）
上一十一味，粗捣筛。每一钱匕，水一盏，煎至五分，去滓分温二服，更量儿大小加减。
治小儿客忤惊啼方
牛黄（末一字） 猪乳（一栗壳许）
上二味相和，渐渐滴儿口中。
治小儿猝忤， 啼腹坚满。雀屎丸方
雀屎（一两一分） 当归（切焙半两）
上二味，捣罗为末。炼蜜丸如麻子大，五十日儿，每服一丸，以奶汁下，空心午后服，
更量儿大小加减。
治小儿中忤欲死，心腹痛。雄黄散方
雄黄 麝香（各一分）
上二味，细研为散。周 儿每服一字，用刺鸡冠血调灌之，空心午后服，更量儿大小
加减。
治小儿客忤惊邪鬼魅，安神。犀角丸方
犀角（镑） 车前子 白茯苓（去黑皮） 人参（各半两） 雄黄（研一两）
上五味，捣研为末。取桃白皮十两。桃符十两，水三升，煎一升，去滓煎成膏，和前药
丸如麻子大，每服三丸，桃柳汤下。
治小儿中客忤，吐青白沫，及食饮皆出。腹中痛气欲绝。桂参汤方
桂（去粗皮一两） 人参（一分）
上二味，粗捣筛。一二百日儿，每半钱匕，水半盏，煎至三分，去滓分温三服，儿大以
意增之。
治小儿猝中客忤，惊啼大叫。伏龙肝膏方
伏龙肝（研二两） 鸡子（去壳一枚） 地龙粪（研一两）
上三味，相和研匀，或干更入少水，调如膏，先用桃柳汤浴儿，后将药涂儿五心，及顶
门上。
治小儿中客忤，吐青白沫，及食饮皆出，腹中痛，气欲绝。桂枝汤方
桂（去粗皮一两）
上一味，粗捣筛。一二百日儿，每半钱匕，以水半盏，煎至三分，去滓分温三服，空心
午后，更量儿大小加减。
治客忤，桂汤涂之。方
上取桂浓煎去滓，涂儿五心。常令湿。
治小儿猝客忤。铜鉴鼻饮方
铜鉴鼻
上一味，烧令赤，淬酒中，以酒少许灌儿，若儿小未能饮者，令含之、亦愈。
治小儿客忤，浴方
上取马粪三升，烧令烟绝，以酒煎三五沸，去滓温温浴儿即愈。
治小儿客忤壮热。浴方
上取李叶，煎汤去滓，温温洗浴儿、瘥。
治小儿被客气忤犯，状似惊痫，但眼不上戴，耳后脉急数。龙胆饮方
龙胆 钩藤（锉） 柴胡（去苗） 黄芩（去黑心） 桔梗（锉炒） 赤芍药 茯神（去
木各一
分） 蜣螂（二枚炙去足头甲） 大黄（蒸三度炒一两）
上九味，粗捣筛。每服二钱匕，水一小盏，煎取四分，量儿大小加减。分数服。
治小儿客忤，吐沫如痫方
上青钱十四文，以水一斗五升，煎取一斗浴儿、立瘥。
论述说：小儿无故出现呕吐和下利，排泄物呈青、黄、赤、白各色，水谷分离。腹部疼痛，身体扭曲反折，面色变幻五色，症状类似癫痫。但如果眼球不上翻（吊眼），这种病称为“客忤”。这是由于小儿气血尚未充盈，精神尚未安定，突然见到不寻常的事物，或者见到不认识的人，或被异类触犯，突然发作，所以称为客忤。诊察其脉象弦急数的，就是客忤。如果乳母醉酒后，以及房事后气喘困乏、气力不足时，立即给婴儿哺乳，这是最忌讳的，病情严重的话就无法救治了。
治疗小儿客忤引起的突发腹痛，以及气滞胀满、经常腹痛的麝香汤方：
半夏（用汤洗十遍，生姜汁炙）一两，黄芩一两，甘草（炒制）半两，干姜（炮制）半两，桂枝（去除粗皮）半两。
以上五味药，捣碎并筛过。一至两岁的幼儿，每次取一钱匕的药量，加水七分，煎煮至四分，滤去药渣，加入少许麝香，分两次温服，不限时间，并根据幼儿的大小酌情增减剂量。
治疗小儿客忤引起的呕吐腹泻的白石脂汤方：
白石脂一两，蜀漆半两，附子（炮制后去皮脐）一分，牡蛎一两。
以上四味药，锉碎如麻豆大小。一至两岁的幼儿，每次取一钱匕的药量，加水七分，煎煮至四分，滤去药渣，分两次温服，分别在空腹和午后服用，并根据幼儿的大小酌情增减剂量。
治疗小儿客忤引起的惊啼和高热的犀角散方：
犀角（镑片），麦门冬（去心焙干），钩藤，丹砂（研细），牛黄（研细）。其中犀角、麦门冬、钩藤、丹砂各一分，牛黄半分，麝香（研细）约三大豆许。
以上六味药，捣碎研成散剂。每次服用半钱匕，用金银煎汤调服，不限时间。
治疗小儿客忤引起的腹满痛、大便不通的人参汤方：
人参，龙胆，钩藤，柴胡（去苗），黄芩（去黑心），桔梗（炒制），赤芍药，茯神（去木），当归（切后焙干），蜣螂（去足炙烤）二枚，大黄（锉碎炒制）一两。以上药材中，除大黄一两外，其余各半两。
以上十一味药，捣碎并筛过。每次取一钱匕的药量，加水一盏，煎煮至五分，滤去药渣，分两次温服，并根据幼儿的大小酌情增减剂量。
治疗小儿客忤惊啼的方子：
牛黄（末）一字，猪乳约一栗壳许。
以上两味药混合，慢慢滴入幼儿口中。
治疗小儿猝然受客忤，啼哭且腹部坚硬胀满的雀屎丸方：
雀屎一两一分，当归（切后焙干）半两。
以上两味药，捣碎过筛为末。用炼蜜制成如麻子大小的丸剂。五十天大的婴儿，每次服用一丸，用奶汁送下，在空腹和午后服用，并根据幼儿的大小酌情增减剂量。
治疗小儿中客忤欲死，心腹疼痛的雄黄散方：
雄黄一分，麝香一分。
以上两味药，细研为散剂。周岁左右的婴儿，每次服用一字，用刺鸡冠血调和灌服，在空腹和午后服用，并根据幼儿的大小酌情增减剂量。
治疗小儿客忤惊邪鬼魅，具有安神作用的犀角丸方：
犀角（镑片），车前子，白茯苓（去黑皮），人参，雄黄（研细）。其中犀角、车前子、白茯苓、人参各半两，雄黄一两。
以上五味药，捣碎研成末。取桃白皮十两，桃符十两，加水三升，煎煮至一升，滤去药渣，再煎浓缩成膏，与前面的药末混合，制成如麻子大小的丸剂。每次服用三丸，用桃柳汤送下。
治疗小儿中客忤，呕吐青白色泡沫，以及饮食全部吐出。腹中疼痛，气息微弱欲绝的桂参汤方：
桂枝（去除粗皮）一两，人参一分。
以上两味药，捣碎并筛过。一至百天的婴儿，每次取半钱匕的药量，加水半盏，煎煮至三分，滤去药渣，分三次温服，幼儿较大时酌情增加剂量。
治疗小儿猝然中客忤，惊啼大叫的伏龙肝膏方：
伏龙肝（研细）二两，鸡蛋（去壳）一枚，地龙粪（研细）一两。
以上三味药，混合研匀，如果太干可加少量水，调成膏状。先用桃柳汤给幼儿洗澡，然后将药涂抹在幼儿的五个手心脚心（五心）及头顶门上。
治疗小儿中客忤，呕吐青白色泡沫，以及饮食全部吐出，腹中疼痛，气息微弱欲绝的桂枝汤方：
桂枝（去除粗皮）一两。
以上一味药，捣碎并筛过。一至百天的婴儿，每次取半钱匕的药量，加水半盏，煎煮至三分，滤去药渣，分三次温服，在空腹和午后服用，并根据幼儿的大小酌情增减剂量。
治疗客忤，用桂汤涂抹的方法。方：
取桂枝浓煎去渣，涂抹在幼儿的五个手心脚心。常保持湿润。
治疗小儿猝然客忤的铜鉴鼻饮方：
铜鉴鼻（即铜镜上的锈迹或铜屑）。
以上一味药，烧至通红，淬入酒中，用少许酒灌喂幼儿。如果幼儿太小不能饮用，令其含在口中，也能痊愈。
治疗小儿客忤的浴方：
取马粪三升，烧至烟尽，用酒煎煮三五沸，滤去药渣，温热洗浴幼儿即可痊愈。
治疗小儿客忤高热的浴方：
取李叶，煎汤去渣，温热洗浴幼儿，病愈。
治疗小儿被客气忤犯，症状类似惊痫，但眼球不上翻，耳后脉搏急数。龙胆饮方：
龙胆，钩藤（锉碎），柴胡（去苗），黄芩（去黑心），桔梗（锉碎炒制），赤芍药，茯神（去木），蜣螂（炙烤去足头甲），大黄（蒸三次炒制）。以上药材中，龙胆、钩藤、柴胡、黄芩、桔梗、赤芍药、茯神各一分，蜣螂二枚，大黄一两。
以上九味药，捣碎并筛过。每次服用二钱匕，加水一小盏，煎取四分，根据幼儿大小加减剂量，分次服用。
Discussion states: Infants may experience vomiting and diarrhea without apparent cause, with excrement appearing in green, yellow, red, or white colors, where water and grain separate. They suffer from abdominal pain, body twisting and turning, and facial complexion changing among five colors, resembling epilepsy (epilepsy). However, if the eyes do not roll upward (upward deviation of eyes), this condition is named "Ke Wu" (Guest Intoxication/Startle). This occurs because an infant's blood and qi are not yet full, and their spirit is not yet settled; suddenly seeing unusual objects, unfamiliar people, or being offended by strange entities causes a sudden onset, hence the name "Ke Wu". Palpating the pulse as wiry, rapid, and frequent indicates "Wu" (Intoxication/Startle). It is strictly forbidden for a wet nurse to breastfeed immediately after intoxication or after sexual intercourse when she is panting, exhausted, and lacking qi; if the condition becomes severe, it cannot be saved.
**Shexiang Tang (Musk Decoction)** for treating sudden abdominal pain caused by infant Ke Wu, as well as Qi stagnation causing distension and frequent abdominal pain.
Ingredients: Banxia (Pinelliae Rhizoma, washed ten times with decoction, processed with fresh Zingiberis Rhizoma Juice) 1 liang, Huang Qin (Scutellariae Radix) 1 liang, Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) 0.5 liang, Ganjiang (Zingiberis Rhizoma, processed) 0.5 liang, Guizhi (Cinnamomi Ramulus, remove coarse bark) 0.5 liang.
Procedure: Coarsely crush and sieve the above five herbs. For infants aged one to two years, take one qian bi (a spoonful measure) of the powder, add seven parts water, boil until four parts remain, filter out the dregs, add a small amount of Shexiang (Moschus), and divide into two warm doses. Take at any time, adjusting dosage according to the infant's size.
**Baishizhi Tang (White Halloysite Decoction)** for treating infant Ke Wu with vomiting and diarrhea.
Ingredients: Baishizhi (Halloysitum Rubrum) 1 liang, Shuqi (Pteridis Massaiensis Herba) 0.5 liang, Fuzi (Aconiti Lateralis Radix Praeparata, processed, remove skin and umbilicus) 1 fen, Muli (Ostreae Concha) 1 liang.
Procedure: Cut the above four herbs into pieces the size of hemp seeds. For infants aged one to two years, take one qian bi of the powder, add seven parts water, boil until four parts remain, filter out the dregs, and divide into two warm doses. Take on an empty stomach and in the afternoon, adjusting dosage according to the infant's size.
**Xijiao San (Rhinoceros Horn Powder)** for treating infant Ke Wu with fright crying and high fever.
Ingredients: Xijiao (Rhinocerotis Cornu, shaved), Maidong (Ophiopogonis Radix, remove heart and roast), Gouteng (Uncariae Ramulus cum Uncis), Dansha (Cinnabaris), Niuhuang (Bovis Calculus). Dosages: Xijiao, Maidong, Gouteng, Dansha each 1 fen; Niuhuang 0.5 fen; Shexiang (Moschus, ground) approximately three large soybeans.
Procedure: Crush and grind the above six herbs into a powder. Take half a qian bi per dose, mix with decoction of gold and silver, and administer. No specific timing required.
**Renshen Tang (Ginseng Decoction)** for treating infant Ke Wu with abdominal fullness and pain, and constipation.
Ingredients: Renshen (Panacis Ginseng Radix), Longdan (Gentianae Radix), Gouteng (Uncariae Ramulus cum Uncis), Chaihu (Bupleuri Radix, remove seedlings), Huangqin (Scutellariae Radix, remove black heart), Jiegeng (Platycodonis Radix, stir-fried), Chi Shaoyao (Paeoniae Radix Rubra), Fushen (Poria Cum Radix Pini, remove wood), Danggui (Angelicae Sinensis Radix, cut and roast), Qianglang (Sphodri Manli Fly, remove feet and roast) 2 pieces, Dahuang (Rhei Radix et Rhizoma, cut and stir-fry) 1 liang. Dosages: Except for Dahuang (1 liang), all others are 0.5 liang.
Procedure: Coarsely crush and sieve the above eleven herbs. Take one qian bi of the powder, add one zhan (cup) of water, boil until five parts remain, filter out the dregs, and divide into two warm doses. Adjust dosage according to the infant's size.
Formula for treating infant Ke Wu with fright crying:
Niuhuang (Bovis Calculus, powdered) one zi (measure), Zhu Ru (Porcine Milk) approximately one chestnut shell.
Procedure: Mix the two ingredients and slowly drip into the infant's mouth.
**Que Shi Wan (Bird Dropping Pills)** for treating infant sudden Ke Wu with crying and hard, full abdomen.
Ingredients: Que Shi (Passeris Faeces) 1 liang 1 fen, Danggui (Angelicae Sinensis Radix, cut and roast) 0.5 liang.
Procedure: Crush and sieve the above two herbs into powder. Make pills using refined honey, sized like hemp seeds. For infants fifty days old, take one pill per dose, administered with milk juice, on an empty stomach and in the afternoon. Adjust dosage according to the infant's size.
**Xionghuang San (Realgar Powder)** for treating infant struck by Ke Wu to the point of near death, with heart and abdominal pain.
Ingredients: Xionghuang (Realgar) 1 fen, Shexiang (Moschus) 1 fen.
Procedure: Finely grind the above two herbs into powder. For infants around one year old, take one zi per dose, mix with blood from pierced rooster comb, and灌 (administer). Take on an empty stomach and in the afternoon. Adjust dosage according to the infant's size.
**Xijiao Wan (Rhinoceros Horn Pills)** for treating infant Ke Wu with fright, evil spirits, and ghostly influences, calming the spirit.
Ingredients: Xijiao (Rhinocerotis Cornu, shaved), Cheqianzi (Plantaginis Semen), Baifuling (Poria Cocos, remove black skin), Renshen (Panacis Ginseng Radix), Xionghuang (Realgar, ground). Dosages: Xijiao, Cheqianzi, Baifuling, Renshen each 0.5 liang; Xionghuang 1 liang.
Procedure: Crush and grind the above five herbs into powder. Take Taobai Pi (Pericarpium Persicae albus cortex) 10 liang and Taofu (Talisman made of peach wood) 10 liang, add three sheng (liters) of water, boil down to one sheng, filter out dregs, and further boil into a paste. Mix with the herbal powder to make pills sized like hemp seeds. Take three pills per dose, administered with Tao Liu Tang (Peach and Willow Twig Decoction).
**Guishen Tang (Cinnamon and Ginseng Decoction)** for treating infant struck by Ke Wu, vomiting green and white foam, expelling all food and drink. Abdominal pain, qi weak and nearly exhausted.
Ingredients: Guizhi (Cinnamomi Ramulus, remove coarse bark) 1 liang, Renshen (Panacis Ginseng Radix) 1 fen.
Procedure: Coarsely crush and sieve the above two herbs. For infants one to one hundred days old, take half a qian bi per dose, add half a zhan of water, boil until three parts remain, filter out dregs, and divide into three warm doses. Increase dosage appropriately as the infant grows.
**Fulonggan Gao (Dragon Sitting Earth Ointment)** for treating infant sudden Ke Wu with fright crying and loud screaming.
Ingredients: Fulonggan (Caulis Bambusae in Taenia, ground) 2 liang, Jizi (Galli Ovum, remove shell) 1 piece, Dilong Fen (Ascaris Excrement, ground) 1 liang.
Procedure: Mix and grind the above three herbs evenly. If too dry, add a little water to form a paste. First bathe the infant with Tao Liu Tang (Peach and Willow Twig Decoction), then apply the medicine to the infant's five centers (palms and soles) and the top of the head (Baihui area).
**Guizhi Tang (Cinnamon Twig Decoction)** for treating infant struck by Ke Wu, vomiting green and white foam, expelling all food and drink. Abdominal pain, qi weak and nearly exhausted.
Ingredients: Guizhi (Cinnamomi Ramulus, remove coarse bark) 1 liang.
Procedure: Coarsely crush and sieve the above herb. For infants one to one hundred days old, take half a qian bi per dose, add half a zhan of water, boil until three parts remain, filter out dregs, and divide into three warm doses. Take on an empty stomach and in the afternoon. Adjust dosage according to the infant's size.
Method for treating Ke Wu by applying Gui Tang:
Take Guizhi, boil thickly, filter out dregs, and apply to the infant's five centers. Keep it moist constantly.
**Tongjian Bi Yin (Bronze Mirror Nasal Drink)** for treating infant sudden Ke Wu.
Ingredients: Tongjian Bi (Bronze mirror rust/scrapings).
Procedure: Heat the ingredient until red hot, quench it in wine. Administer a small amount of this wine to the infant. If the infant is too small to drink, let them hold it in their mouth; it will also cure the condition.
Bath formula for treating infant Ke Wu:
Take San Sheng (three sheng) of horse manure, burn until smoke ceases, boil in wine for three to five boils, filter out dregs, and use the warm liquid to bathe the infant. The infant will recover.
Bath formula for treating infant Ke Wu with high fever:
Take Li Ye (Pruni Persicae Folium), boil in water, filter out dregs, and use the warm liquid to bathe the infant. The illness will heal.
**Longdan Yin (Gentian Drink)** for treating infant offended by guest Qi, resembling fright epilepsy, but eyes do not roll upward, and pulse behind the ear is rapid and frequent.
Ingredients: Longdan (Gentianae Radix), Gouteng (Uncariae Ramulus cum Uncis, cut), Chaihu (Bupleuri Radix, remove seedlings), Huangqin (Scutellariae Radix, remove black heart), Jiegeng (Platycodonis Radix, cut and stir-fry), Chi Shaoyao (Paeoniae Radix Rubra), Fushen (Poria Cum Radix Pini, remove wood), Qianglang (Sphodri Manli Fly, roasted, remove feet, head, and shell), Dahuang (Rhei Radix et Rhizoma, steamed three times and stir-fried). Dosages: Longdan, Gouteng, Chaihu, Huangqin, Jiegeng, Chi Shaoyao, Fushen each 1 fen; Qianglang 2 pieces; Dahuang 1 liang.
Procedure: Coarsely crush and sieve the above nine herbs. Take two qian bi per dose, add one small zhan of water, boil until four parts remain. Adjust dosage according to the infant's size and divide into multiple doses.
Formula for treating infant Ke Wu with foaming similar to epilepsy:
Take fourteen ancient copper coins (Qingqian), add fifteen dou (approx. 15 liters) of water, boil down to one dou. Use this liquid to bathe the infant; recovery will be immediate.