（论二首 方二十七首 灸法一首）
论曰∶少小所以有客忤病者，是外人来气息忤之，一名中人，是为客忤也。虽是家人，
或别房异户，虽是乳母及父母或从外还，衣服经履鬼神粗恶暴气，或牛马之气，皆为忤也。
执作喘息乳气未定者，皆为客忤。其乳母遇醉或房劳，喘后乳儿最剧，能杀儿也，不可不慎。
凡诸乘马行，得马汗气臭，未盥洗易衣装便向儿边，令儿中马客忤。儿卒见马来，及闻
马鸣惊，及马上衣物马气，皆令小儿中马客忤。慎护之，特重一岁儿也。
凡小儿衣，布帛绵中不得有头发，履中亦尔，白衣青带，青衣白带，皆令中忤。
凡非常人及诸物从外来，亦能惊小儿至致病。欲防之法，诸有从外来人及有异物入户，
当将儿避之，勿令见也，若不避者，烧牛屎，令常有烟气置户前，则善。
小儿中客为病者，无时不有此病也。而秋初一切小儿皆病者，岂是一切小儿悉中客邪。
夫小儿所以春冬少病，秋夏多病者，秋夏小儿阳气在外，血脉嫩弱，秋初夏末，晨夕时有暴
冷，小儿嫩弱，其外则易伤，暴冷折其阳，阳结则壮热，胃冷则下痢，是故夏末秋初，小儿
多壮热而下痢，未必皆是中客及魃也。若治少小法，夏末秋初常宜候天气温凉也。有暴寒
卒冷者，其少小则多患壮热而下痢也，慎不可先下之，皆先杀毒后下之耳。
《玄中记》云，天下有女鸟，名曰姑获（《肘后》、《子母秘录》作乌获），一名天帝女，
一名隐飞鸟，一名夜行游女，又名钓星鬼，喜以阴雨夜过飞鸣，徘徊人村里，唤得来者是也。
鸟纯雌无雄不产，阴气毒化生，喜落毛羽于人中庭，置儿衣中，便令儿作痫，病必死，即化
为其儿也。是以小儿生至十岁，衣被不可露也，七八月尤忌。
凡中客忤之为病，类皆吐下青黄白色，水谷解离腹痛天纠，面色变易，其候似痫，但眼
不上插耳，其脉急数者是也，宜与龙胆汤下之，加人参当归，各如龙胆称分等多少也。
小儿中客，急视其口中悬雍左右，当有青黑肿脉核如麻豆大，或赤或白或青，如此便宜
用针速刺溃去之，亦可爪摘决之，并以绵缠钗头拭去血也。
少小中客之为病，吐下青黄赤白汁，腹中痛，及反倒偃侧，喘似痫状，但目不上插少睡
耳，面变五色，其脉弦急，若失时不治，小久则难治矣。欲疗之方∶
用豉数合，水拌令湿，捣熟丸如鸡子大，以摩儿囟及手足心，各五六遍毕，以丸摩儿心
及
治少小中客忤，项强欲死方∶
取衣中白鱼十枚，为末以敷母乳头上，令儿饮之，入咽立愈。（一方二枚着儿母手，掩
儿脐中，儿吐下愈，亦以摩儿项及脊强处。）
又方 吞麝香大豆许，立愈。
治小儿卒中忤方∶
剪取驴前膊胛上旋毛，大如弹子，以乳汁煎之，令毛消药成，着乳头饮之，下喉即愈。
又方 烧母衣带三寸，并发合乳汁，服之。
又方 取牛鼻津服之。或牛口沫敷乳头，饮之。
（论述两篇，方剂二十七首，灸法一首）
论述说：婴幼儿之所以会患客忤病，是因为外人的气息冲撞了孩子，这也被称为“中人”，这就是所谓的客忤。即使是家人，如果住在别的房间或不同的门户；即使是乳母或父母，如果是从外面回来，衣服上沾染了鬼神、粗恶暴戾之气，或者牛马的气味，这些都算是冲撞。从事体力劳动后喘息未定、乳汁气息尚未平复时哺乳，都可能导致客忤。如果乳母遇到醉酒或房事劳累之后，在喘息未定时给婴儿喂奶，病情最为严重，甚至能导致婴儿死亡，不可不谨慎。凡是乘坐马匹出行，沾染了马汗的臭气，没有洗手换衣就靠近婴儿，会让婴儿遭受马客忤。婴儿突然看到马匹，听到马叫受惊，以及接触马上衣物上的马气，都会让小儿患上马客忤。要谨慎保护，尤其是一岁以内的婴儿更要重视。
凡是小儿的衣服，布料和绵絮中不能有头发，鞋子里也是如此。白衣配青带，青衣配白带，都会导致中忤。
凡是非正常的人和各种物品从外面进来，也能惊吓小儿以至于致病。预防的方法是，凡是有从外面来的人或有异物进入屋内，应当带着婴儿避开，不要让他看见。如果不避开，可以烧牛粪，使门前常有烟气，这样就好。
小儿患客忤这类病，任何时候都可能发生。但为什么初秋时节所有小儿都生病呢？难道是所有小儿都中了客邪吗？小儿之所以春冬少病，秋夏多病，是因为在秋夏季节，小儿的阳气在外，血脉嫩弱。初夏末、秋初时，早晚常有突然的寒冷，小儿体质嫩弱，外部容易受伤，突然的寒冷折损其阳气，阳气郁结则出现高热，胃寒则导致下痢。因此，夏末秋初，小儿多出现高热和下痢，未必都是中了客邪或被魃所害。如果要治疗婴幼儿疾病，在夏末秋初时常应观察天气的温凉变化。如果有突然的寒冷，小儿就容易患高热并伴有下痢，千万不要先用泻下法，都应该先杀毒（解毒/祛邪），然后再用泻下法。
《玄中记》记载，天下有一种鸟，名叫姑获（《肘后备急方》、《子母秘录》写作乌获），又名天帝女，一名隐飞鸟，一名夜行游女，又名钓星鬼，喜欢在阴雨之夜飞过鸣叫，徘徊在人村里，呼唤名字就会飞来。这种鸟纯雌无雄，不能产卵，由阴气毒化而生，喜欢将羽毛落在人家庭院中，放在婴儿衣服里，就会让婴儿发作痫病，病必死，随即化为婴儿。所以婴儿出生到十岁，衣被不可暴露，七八月份尤其忌讳。
凡是中客忤引起的病症，大多表现为呕吐腹泻青黄白色物质，水谷分离，腹痛剧烈如绞，面色改变，症状类似痫病，只是眼睛不上翻而已，脉象急数就是这种情况，适宜用龙胆汤泻下，加入人参、当归，用量与龙胆草的比例相等或多或少。
小儿中客，紧急时查看其口中悬雍垂左右，应该有青黑肿胀的脉络结节，大小如麻豆，颜色或赤或白或青，这种情况下应该立即用针刺破排出血液，也可以用指甲掐破挤出，并用棉絮包裹钗头擦拭干净血迹。
婴幼儿中客忤引起的病症，呕吐腹泻青黄赤白汁液，腹中疼痛，以及身体反张仰卧侧卧，喘息类似痫病状，只是眼睛不上翻且睡眠较少，面色变幻五色，脉象弦急，如果错过时间不治疗，时间久了就难治了。治疗的方法如下：
用豆豉几合，用水拌湿，捣烂做成如鸡蛋大小的丸药，用来按摩婴儿囟门及手足心，各五六遍完毕，再用丸药按摩婴儿心口部位。
治疗婴幼儿中客忤，项背强直欲死的方剂：
取衣中的白鱼十枚，研成粉末敷在母乳头上，让婴儿喝下去，咽下后立即痊愈。（另一方法是用两枚敷在母亲手上，覆盖在婴儿肚脐中，婴儿吐泻后痊愈，也可以按摩婴儿项部及脊背强直处。）
又一方：吞服麝香如大豆大小，立即痊愈。
治疗小儿卒中客忤的方剂：
剪取驴前腿肩胛骨上的旋毛，大小如弹子，用乳汁煎煮，直到毛发消失药成，涂在乳头让婴儿吸吮，下喉即愈。
又一方：烧母亲衣带三寸，混合头发和乳汁，服用。
又一方：取牛鼻津液服用。或者用牛口沫涂抹乳头，让婴儿吸吮。
(Two Discourses, Twenty-Seven Prescriptions, One Moxibustion Method)
Discourse: The reason why infants and young children suffer from Ke Wu (Guest Assault) disease is that the breath of outsiders assaults them. It is also called Zhong Ren (Hitting Person), which is referred to as Ke Wu. Even if it is family members, if they live in separate rooms or different households; even if it is the wet nurse or parents, if they return from outside, their clothes may be contaminated with spirits, coarse and violent qi, or the odor of cattle and horses, all of these constitute an assault. When one engages in physical labor and breathes heavily, or when the milk qi has not yet settled before nursing, it can lead to Ke Wu. If the wet nurse encounters drunkenness or sexual exhaustion, and nurses the infant while still panting, the condition will be most severe and can even kill the infant; this must not be taken lightly. Whenever one rides a horse and gets covered in the foul smell of horse sweat, without washing hands and changing clothes before approaching the infant, it causes the infant to suffer from Ma Ke Wu (Horse Guest Assault). When an infant suddenly sees a horse, is startled by the neighing of horses, or comes into contact with the horse odor on items from the horse, it causes the child to suffer from Horse Guest Assault. Careful protection is required, especially for one-year-old infants.
For infants' clothing, there should be no human hair in the fabric or cotton padding, nor in the shoes. White clothes paired with green belts, or green clothes paired with white belts, can all cause Zhong Wu (Assault).
Any abnormal person or object coming from outside can also startle infants to the point of causing disease. To prevent this, whenever people come from outside or strange objects enter the house, one should take the infant away to avoid letting them see these things. If avoidance is not possible, burning cow dung to maintain smoke at the entrance is beneficial.
Infants suffering from Ke Wu-like diseases can occur at any time. However, why do all infants fall ill in early autumn? Is it because all infants are assaulted by guest pathogens? Infants have fewer illnesses in spring and winter but more in autumn and summer because, during autumn and summer, the infant's Yang Qi is external, and their blood vessels are tender and weak. In late early summer and early autumn, there is often sudden cold in the morning and evening. Due to their tender constitution, infants are easily injured externally. Sudden cold damages their Yang Qi; when Yang Qi becomes constrained, high fever occurs; when the stomach becomes cold, diarrhea ensues. Therefore, in late summer and early autumn, infants often present with high fever and diarrhea, which are not necessarily caused by Ke Wu or Ba (a mythical demon). When treating pediatric conditions, one should always monitor the temperature changes in late summer and early autumn. If there is sudden cold, infants are prone to high fever accompanied by diarrhea. One must not use purgatives first; instead, one should first detoxify (eliminate pathogenic factors) and then use purgatives.
The *Xuanzhong Ji* records that there is a bird under heaven named Gu Huo (written as Wu Hu in *Zhouhou Beiji Fang* and *Zimu Milu*), also known as Tian Di Nu (Heavenly Emperor's Daughter), Yin Fei Niao (Hidden Flying Bird), Ye Xing You Nu (Night-Walking Wandering Woman), or Diao Xing Gui (Hook-Star Ghost). It likes to fly and cry on rainy nights, lingering in villages, and comes when called. This bird is purely female with no males and cannot lay eggs; it is born from the transformation of toxic Yin Qi. It likes to drop its feathers in people's courtyards and place them in infants' clothes, causing the infant to develop Epilepsy (Xian Bing), which leads to death, after which it transforms into the infant itself. Therefore, from birth until ten years old, infants' clothing and bedding should not be exposed, especially in the seventh and eighth lunar months.
Illnesses caused by Ke Wu typically manifest as vomiting and diarrhea of blue, yellow, white, or mixed substances, separation of water and grain, severe abdominal pain like twisting, and changes in facial complexion. The symptoms resemble Epilepsy, except that the eyes do not roll upward, and the pulse is rapid and urgent. This condition should be treated with Long Dan Tang (Gentian Decoction) to purge, adding Ren Shen (Ginseng Root) and Dang Gui (Angelica Sinensis Root), in proportions equal to or varying slightly from the dosage of Long Dan Cao (Gentian Root).
For infants suffering from Ke Wu, urgently examine the left and right sides of the Xuan Yong Chui (Uvula) in the mouth. There should be swollen, dark blue or black vascular nodules, about the size of hemp seeds or beans, colored red, white, or blue. In such cases, one should immediately puncture them with a needle to drain the blood, or pinch them open with fingernails, and wipe away the blood using a cotton-wrapped hairpin head.
Pediatric Ke Wu presents with vomiting and diarrhea of blue, yellow, red, and white fluids, abdominal pain, opisthotonos (backward arching of the body), supine or lateral posturing, panting resembling epilepsy, though the eyes do not roll upward and sleep is reduced. The complexion changes among five colors, and the pulse is wiry and urgent. If treatment is delayed, the longer it goes untreated, the harder it becomes to cure. The prescription for treatment is as follows:
Take several he of Dou Chi (Fermented Soybean Pills), moisten them with water, pound them into a paste, and form pills the size of chicken eggs. Use these to massage the infant's Fontanelle (Baihui area) and the palms and soles of the hands and feet, repeating each area five to six times. Then, use the pill to massage the infant's chest area.
Prescription for Infantile Ke Wu with Stiff Neck Approaching Death:
Take ten Bai Yu (White Fish found in books/clothes), grind them into powder, and apply to the mother's nipple so the infant can suckle it. Relief comes immediately upon swallowing. (Another method uses two pieces applied to the mother's hand, covering the infant's umbilicus; the infant recovers after vomiting and diarrhea. Alternatively, massage the infant's neck and stiff areas of the spine.)
Another Prescription: Swallow a amount of She Xiang (Musk) the size of a soybean, and relief is immediate.
Prescription for Pediatric Acute Ke Wu:
Shear spiral hair from the shoulder blade of the donkey's front leg, about the size of a marble. Decoct it in milk until the hair dissolves and the medicine is ready. Apply to the nipple for the infant to suckle; relief occurs as soon as it enters the throat.
Another Prescription: Burn three cun of the mother's girdle, mix with hair and milk, and administer orally.
Another Prescription: Consume Niu Bi Jin (Cow Nasal Mucus). Or, apply Niu Kou Mo (Cow Saliva) to the nipple for the infant to suckle.