中恶小儿之危恶也。其病有二。如中恶毒之气者。病自外至。其证眩仆。四肢厥冷。两
手握拳。不能喘息。先用霹雳散。
踯躅花（一分半） 雄黄（三分） 麝香（少许） 上为末。用灯心三寸长。蘸药少许。插入
鼻孔。得嚏即醒。苏合丸灌之。或摄生饮。
南星（煨一钱半） 半夏（洗一钱半） 木香（一钱半） 生苍术（一钱） 生甘草（一钱） 石
菖蒲（一钱） 上锉入生姜。用水煎服。尽一剂以平为期。
如内生中恶毒之物。病自内生。其证心腹刺痛。腹皮青黑。闷乱欲死。宜急攻之。雄黄
解毒丸主之。
白虎证乃流年白虎岁前九位之神。儿触犯之。则不精爽。而目视不转。手如数物。
宜服至圣保命丹。取太阳真土。伏龙肝杵碎。煎汤送下。取龙虎相制之义。
或问。客忤中恶白虎三证。何气使然。曰。皆客气也。客气不正之气也。儿之所禀。谓
气。为之忤者。谓之客气。经云。邪之所凑。其气必虚。故儿之主气强者。虽有客气。不能
忤也。主气弱者。稍有所忤。则成病矣。客忤者病之总名也。中恶则客忤之重者。白虎则客
忤之轻者。治法皆以辟邪养正。安神和胃为主。苏合香丸治三病之圣药也。
虫病乃蛔虫攻其心痛也。发则目直视。口噤不言。或大叫哭。口中流沫涎水。面色
或青或白。手足强直。宜急攻之。雄黄解毒丸。苦楝根皮煎汤下。
中恶证在儿科中属于危重恶性的病证。这种病主要有两种情况。一种是感受了外界的恶毒之气，病邪从外部侵入，症状表现为眩晕跌倒、四肢厥冷、双手紧握成拳、呼吸困难甚至无法喘息。治疗时先用霹雳散：踯躅花（一分半）、雄黄（三分）、麝香（少许），将上述药物研成细末。取三寸长的灯心草，蘸取少量药粉，插入患儿鼻孔，使其打喷嚏后即刻苏醒。随后灌服苏合丸，或者服用摄生饮：南星（煨制一钱半）、半夏（洗净一钱半）、木香（一钱半）、生苍术（一钱）、生甘草（一钱）、石菖蒲（一钱）。将上述药物切碎，加入生姜，用水煎煮服用。以服完一剂药且病情平稳为度。
另一种是体内内生恶毒之物，病邪从内部产生，症状表现为心腹部刺痛、腹部皮肤呈现青黑色、烦闷混乱似要死去。这种情况应当紧急攻逐邪气，主方使用雄黄解毒丸。
白虎证是指流年中的“白虎”神煞位于岁前第九位，小儿触犯此神煞，导致精神恍惚、目光呆滞不转动、手部动作如同数物一般。适宜服用至圣保命丹。取太阳真土（即伏龙肝）捣碎，煎汤送服药丸，取龙虎相制约的含义。
有人问：客忤、中恶、白虎这三种证候，是什么气造成的？回答说：都是客气所致。客气是不正之气。小儿所禀受的气称为正气，侵犯它的称为客气。《内经》说：“邪气聚集的地方，正气必然虚弱。”所以如果小儿的正气强盛，即使有客气侵袭，也不能造成忤逆伤害；如果正气虚弱，稍有忤逆就会生病。客忤是这类疾病的总称。中恶是客忤中较重的类型，白虎是客忤中较轻的类型。治疗方法都以辟除邪气、扶助正气、安神和胃为主。苏合香丸是治疗这三种病的圣药。
虫病是指蛔虫攻冲引起的心痛。发作时眼睛直视、牙关紧闭不能说话，或者大声哭叫、口中流涎沫，面色或青或白，手足强直。应当紧急攻逐，使用雄黄解毒丸，并用苦楝根皮煎汤送服。
Zhong'e (Sudden Collapse due to Evil Qi) is a critical and malignant condition in pediatrics. There are two types of this disease. One type involves contracting toxic evil qi from the exterior, where the pathogen enters from outside. Symptoms include dizziness and collapse, cold limbs, clenched fists, and dyspnea or inability to breathe. Initially, Pili San (Thunderbolt Powder) should be used: Rhododendri Mollis Flos (Zhi Zhu Hua, 1.5 fen), Realgar (Xiong Huang, 3 fen), and Moschus (She Xiang, a small amount). These are ground into powder. A three-cun long rush pith (Deng Xin Cao) is dipped into the powder and inserted into the nostril; the patient will regain consciousness immediately after sneezing. Subsequently, Suhe Wan (Styrax Pill) should be administered orally, or Shengsheng Yin (Life-Preserving Decoction) may be given: Pinelliae Tuber Preparatum (Nan Xing, roasted, 1.5 qian), Pinelliae Tuber (Ban Xia, washed, 1.5 qian), Aquilariae Lignum (Mu Xiang, 1.5 qian), Atractylodis Rhizoma (Cang Zhu, raw, 1 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, raw, 1 qian), and Acori Tatarinowii Rhizoma (Shi Chang Pu, 1 qian). The herbs are cut into pieces, cooked with fresh ginger root in water, and taken orally. Treatment continues until one dose is consumed and the condition stabilizes.
The other type involves internally generated toxic substances, where the pathogen arises from within. Symptoms include stabbing pain in the heart and abdomen, cyanotic or blackish discoloration of the abdominal skin, and severe restlessness resembling impending death. This requires urgent purgation, primarily treated with Xionghuang Jiedu Wan (Realgar Detoxification Pill).
Baihu Syndrome (White Tiger Syndrome) refers to the influence of the "White Tiger" deity located at the ninth position preceding the annual branch. If a child offends this deity, they suffer from mental confusion, fixed gaze without eye movement, and hand movements resembling counting objects. Zhisheng Baoming Dan (Supreme Sacred Life-Preserving Pill) is indicated. Take Fus Long Gan (Vermilion Dragon Liver, i.e., sediment from the bottom of a clay cooking stove), crush it, decoct it in water, and use the liquid to swallow the pill, adhering to the principle of mutual restraint between the Dragon and the Tiger.
A question was raised: What qi causes the conditions of Kewu (Guest Invasion), Zhong'e, and Baihu? The answer is that all are caused by Keqi (Guest Qi), which is aberrant qi. The qi inherent in the child is called Zhengqi (Upright Qi); what invades it is called Keqi. As stated in the classics: "Where pathogenic factors gather, upright qi must be deficient." Therefore, if a child's Zhengqi is strong, even if exposed to Keqi, it cannot cause invasion. If Zhengqi is weak, slight invasion leads to disease. Kewu is the general term for such diseases. Zhong'e is the severe form of Kewu, while Baihu is the mild form. The treatment principles focus on expelling evil, supporting upright qi, calming the spirit, and harmonizing the stomach. Suhe Xiang Wan (Styrax Pill) is considered the miraculous medicine for treating these three conditions.
Chongbing (Parasitic Disease) refers to cardiac pain caused by Ascaris attacking the heart region. During an attack, symptoms include staring eyes, locked jaw preventing speech, loud crying, salivation, pale or bluish complexion, and rigid limbs. Urgent purgation is required. Use Xionghuang Jiedu Wan (Realgar Detoxification Pill), taken with a decoction of Cortex Radicail Celi (Kulian Gen Pi).