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。
巢元方说：人们聚集蛇、虫等杂类，放在器皿中让它们互相吞食，最后剩下的那一只，就称为“蛊”。它能变化形态，有时随着饮食进入人的腹部，吞噬人的五脏。小儿如果中了蛊毒，病症表现与成人没有不同，会出现心腹刺痛、烦闷懊恼的症状；病情急重的会立即死亡，病情缓慢的则历经岁月，逐渐消瘦困顿，直到心脏被吃尽，排出血液，心脏腐烂而死。死后，这种病又会传染给旁人，所以称为“蛊疰”（具有传染性的蛊毒病）。
《外台秘要》引用范汪的记载，治疗成人和小儿的蛊疰百病，以及瘕积聚（腹内结块）、肌肉消瘦、大小便不通、突然受惊或遇恶风、身体肿胀腹满、饮水即吐、相互传染、满门患病、延及男女外孙，这是医生难以治愈的情况。列出“更生十七物紫参丸”方：
紫参、人参、半夏（用汤水洗过）、藜芦、代赭石、桔梗、白薇、肉苁蓉（各三分）、石膏、大黄、牡蛎（熬制）、丹参（各一分）、虾蟆（烧成灰）、乌头（炮制，各四分）、野狼毒（七分）、附子（炮制，五分）、巴豆（七十枚，去心皮，炒制）。
以上药物捣碎筛粉，用蜂蜜和成药丸。每次服用如小豆大小的一丸，用饮送服，每日三次，老人和小孩酌情减量。被蜂蝎蜇伤，将药涂在患处，效果极佳。忌食猪羊肉和冷水。另一版本，无虾蟆，加干姜四分。
《太平圣惠方》羚羊角散：治疗小儿中蛊，腹部坚硬如石头，面目青黄，小便淋漓不畅，病情变化无常。
羚羊角（锉屑）、荷（各一两）、栀子仁（七枚）、赤芍药、牡丹皮、黄连（去须，各一分）、犀角（锉屑，半两）。
以上药物捣碎，粗罗为散剂。每次服用一钱，用水一小盏，煎至五分，去渣温服，每日三四次，再根据患儿年龄大小加减剂量。
又一方：
败鼓皮（三分，炙至黄色）、苦参（锉碎）、荷根（各一两）。
以上药物捣碎，粗罗为散剂，每次服用一钱，用水一小盏，煎至五分，去渣温服，每日三四次，再根据患儿年龄大小加减服用。
升麻散：治疗小儿国内感染的蛊毒。
川升麻、桔梗（去芦头）、栝蒌根（各半两）。
以上捣碎，罗为粗散。每次服用一钱，用水一小盏，煎至五分，去渣温服，每日四五次，根据患儿年龄大小加减。
雄黄散：治疗小儿飞蛊，症状类似鬼气作祟者，适宜服用。
雄黄、麝香（各细研）、犀角（末，各半两）。
以上药物，一起研磨均匀。每次服用，用温水调下半钱匕，每日四五次，根据患儿年龄大小加减。
治疗小儿五种蛊毒都主治的方子：
以上捣马兜铃根，细罗为散剂，每次服用一钱，用水一小盏，煎五分，去渣空腹顿服。当时随呕吐物吐出蛊毒，如果未完全吐出，就再次服用。
又一方：
用上方的败鼓皮一片，烧成灰，细研为粉，空腹时，用米汤调服一钱。病人片刻后会呼喊出蛊主的姓名，病就好了。
又一方：
用上方的荠菜一两，捣罗为末，用米汤调下一钱，效果很好，根据患儿年龄大小，加减服用。
治疗小儿畏惧忌惮中蛊欲死的方子：
上方取生甘草半两，生锉，用水一中盏，煎至五分，去渣，分为两次服用。应当吐出蛊毒，如果是平时预防蛊毒的人，宜用熟炙甘草煮汁服用，这样毒素会在体内消散而不呕吐，效果神奇。
治疗小儿中蛊毒，导致腹部坚硬疼痛，面目青黄，淋露骨立（极度消瘦），病变无常的方子：
上方取桃树寄生二两，捣细罗为散剂，像喝茶一样点服，每日四五次。
又一方：
上方取麝香半钱，细研，空腹时用温水调服。如果吐出蛊毒无效，再服用。
治疗小儿中蛊下血欲死的方子：
上方取生赤雌鸡翅下的血，服用后立即见效。
又一方：
上方捣青蓝汁，频频给予半合服用。
《婴孺书》雄黄丸：治疗小儿疰病，各种蛊魅精气进入心腹引起刺痛，面色萎黄，瘦骨嶙峋。
雄黄、雌黄（各四分）、丹砂、野丈人、徐长卿（各三分）、大黄（五分）、麝香（三颗枣的大小）、羚羊角（屑，五分）。
以上为末，用青羊脂和成药丸。百日大的婴儿用酒送服如黍米大小的三丸，每日进两次，或者如豆大小也可以。
〔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）。
以上八味药，放在一起拌匀研细。每次服用半钱，浓煎甘草汤调下，饭前服用。
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）。以上捣碎，罗为细末，其次用麝香（半两，细研）。
以上全部拌匀。每次服用一钱，用水一大盏，煎至五分，去渣放温，时时服用。
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.