Nash Shi Bing Yuan (Source of Diseases by Master Chao) on the Syndrome of Shi Zhu in Children: Shi Zhu is one of the Five Shi (Corpse Transmission). Regardless of age, everyone has "Shi insects" within their abdomen. These insects are inherently repelled by righteous Qi and tend to attract external pathogenic factors, causing joint harm. In children with weak blood and Qi, spirit and essence are also emaciated; thus, Shi Zhu arises as a disease. Its manifestations include taciturnity and inability to pinpoint the location of pain, alternating chills and fever, and lingering symptoms that persist for years, eventually leading to death. After death, it may transmit to others, hence the name Shi Zhu.

Zhang Huan discusses: Children can also suffer from Zhu diseases, which differ from those in adults. Over time, these diseases can transmit to others, affecting bones and flesh, similar to Shi Zhu and Gu Du (Poisonous Worm) conditions.

Wai Tai Mi Yao (Essential Prescriptions from the Imperial Library), citing Zhang Zhongjing, treats Fei Shi (Flying Corpse) in adults and children with Zou Ma Tang (Running Horse Decoction):
Ingredients: Ba Dou (Crotonis Fructus, remove heart and skin, stir-fry); Xing Ren (Pruni Semen, remove skin and tips, two each).
Preparation and Administration: Wrap the two ingredients in cotton cloth, pound them until extremely fine, add two he (approx. 200ml) of hot water, squeeze out the white juice, and administer. The patient should recover shortly. If not recovered, administer another dose. Dosage for elderly and children should be adjusted accordingly. This formula generally treats Gui Ji (Ghost Strike); those with Shi Zhu should keep this medicine for effective use. Avoid wild boar meat and reed shoots. Bei Ji Qian Jin Yao Fang agrees.

Tai Ping Sheng Hui Fang (Imperial Grace Formulary of the Taiping Era) treats Shi Zhu in children with abdominal distension and unbearable pain with Mu Xiang San (Costus Powder):
Ingredients: Mu Xiang (Aucklandiae Radix), Gui Jian Yu (Strychni Nux-vomicae Ramulus), Jie Geng (Platycodonis Radix, remove rhizome), Dang Gui (Angelicae Sinensis Radix, sliced, lightly stir-fried), Zi Su Jing Ye (Perillae Caulis et Folium, half liang each), Bing Lang (Arecae Semen, three qian).
Preparation and Administration: Pound the above herbs, sieve coarsely into powder. Take one qian per dose, add one small zhan (approx. 100ml) of water and a little fresh ginger, decoct until five fen (approx. 50ml) remains, strain, and take warm at any time. Adjust dosage based on the child's age and size.

Tai Ping Sheng Hui Fang treats Shi Zhu in children and various cases of Zhong E (Sudden Evil Invasion) with Xi Jiao San (Rhinoceros Horn Powder):
Ingredients: Xi Jiao (Rhinocerotis Cornu), Chuan Sheng Ma (Bupleuri Radix var. chinense or Cimicifugae Rhizoma), Mu Xiang, Bing Lang, Sang Bai Pi (Mori Cortex, sliced), Chuan Da Huang (Rhei Radix et Rhizoma, sliced, lightly stir-fried, half liang each), She Xiang (Moschus, one qian, finely ground), Tao Ren (Persicae Semen, two qian, seven kernels, soak in hot water, remove skin and tips, double-kernel ones removed, bran-fried until slightly yellow).
Preparation and Administration: Pound the above herbs, sieve finely into powder. Mix half a qian with warm water per dose, administer four to five times daily. Adjust dosage based on the child's age and size.

Tai Ping Sheng Hui Fang treats Shi Zhu and Gui Pi (Ghost Stagnation) in children, characterized by wandering pain in the heart and abdomen, possibly accompanied by chills, fever, confusion, and varied physical appearances, with Tao Ren San (Peach Kernel Powder):
Ingredients: Tao Ren (Persicae Semen, thirty-seven kernels, soak in hot water, remove skin and tips, double-kernel ones removed, bran-fried until slightly yellow), Mu Xiang, Ren Shen (Ginseng Radix, remove rhizome), Hu Tou Gu (Tigris Ossis, coated with butter, roasted until yellow), Bing Lang, Jing San Leng (Sparganii Rhizoma, lightly baked, sliced), Bai Jie Zi (Sinapis Semen, lightly stir-fried), She Xiang (finely ground), Gui Xin (Cinnamomi Cortex, one fen each), Kuan Dong Hua (Flos Farfarae), Zhu Sha (Cinnabar, finely ground, washed with water), Gan Tao Liu Ye (Dried Peach and Willow Leaves, half liang each).
Preparation and Administration: Pound the above herbs, sieve finely into powder. Mix half a qian with warm water per dose at any time. Adjust dosage based on the child's age and size.

Tai Ping Sheng Hui Fang treats Shi Zhu, Gui Pi, Jing Xian (Convulsions), thirty-six types of Wang Liang (Demons), Wu Gu Tian Xing Ji Huang (Innocent Epidemic Acute Jaundice) in children, recommending Bao Tong Wan (Child-Protecting Pill):
Ingredients: Niu Huang (Bovaris Calculus), She Xiang (finely ground each), Zhen Zhu (Margarita, powdered), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red, sliced, one fen each), Chi Shao Yao (Paeoniae Radix Rubra), Guang Ming Sha (Cinnabar, finely ground, washed with water), Chi Fu Ling (Poria cum Ligno Rubrum), Xing Ren (Pruni Semen, soak in hot water, remove skin and tips, double-kernel ones removed, bran-fried until slightly yellow, half liang each), Gan Sui (Euphorbiae Pekinensis Radix, seven fen, baked until slightly yellow), Hu Jing (Tigris Bulbus/Oculus, one pair, soaked in wine, roasted until slightly yellow), Ba Dou (Crotonis Fructus, five kernels, remove skin and heart, grind, wrap in paper and press out oil).
Preparation and Administration: Pound the above herbs, sieve into powder, mix thoroughly, and knead with refined honey into pills the size of hemp seeds. For children aged three to four, administer two pills with Jing Jie Tang (Schizonepeta Decoction). Adjust dosage based on the child's age and size.

Tai Ping Sheng Hui Fang treats Shi Zhu in children and various Gu Mei (Gu Demons). When evil qi enters the heart and abdomen causing stabbing pain, sallow complexion, and emaciation, use Ci Huang Wan (Realgar Orpiment Pill):
Ingredients: Ci Huang (Orpiment), Xiong Huang (Realgar), Zhu Sha (Cinnabar, finely ground each), Chuan Da Huang (sliced, lightly stir-fried), Bai Tou Weng (Pulsatillae Radix), Xu Chang Qing (Cynanchi Paniculati Radix), Ling Yang Jiao (Saigae Tataricae Cornu, shaved, one fen each), She Xiang (finely ground, half fen).
Preparation and Administration: Pound the above herbs, sieve into powder, mix thoroughly, and knead with green ram fat into pills the size of hemp seeds. Administer three pills per dose with millet gruel drink, three times daily. Adjust dosage based on the child's age and size.

Tai Ping Sheng Hui Fang treats Shi Zhu in children where evil qi enters the abdomen causing abdominal pain, an Immediate Effect Formula:
Ingredients: Xiong Huang (Realgar, one fen, finely ground), Zhi Zi Ren (Gardeniae Semen, ten kernels), Chi Shao Yao (half liang).
Preparation and Administration: Pound the above herbs, sieve finely into powder, mix evenly with Xiong Huang. Administer half a qian per dose mixed with warm water. Adjust dosage based on the child's age and size.

Tai Ping Sheng Hui Fang treats Shi Zhu in children, chronic emaciation, or intermittent chills and fever, with Gui Jiu Wan (Podophylli Fructus Pill):
Ingredients: Gui Jiu (Podophylli Fructus, half liang, remove hairs), Chuan Sheng Ma (three qian), She Xiang (one qian, finely ground), Chai Hu (Bupleuri Radix, one liang, remove stems).
Preparation and Administration: Pound the above herbs, sieve into powder, mix thoroughly, and knead with refined honey into pills the size of mung beans. Administer ten pills per dose with warm wine, three times daily. Adjust dosage based on the child's age and size.

Tai Ping Sheng Hui Fang, Another Formula:
Take twenty Tao Ren (Peach Kernels), soak in hot water, remove skin and tips, grind raw. Decoct in one zhong (approx. 200ml) of water until five fen (approx. 50ml) remains, strain. Divide according to the child's age and size for administration. Vomiting indicates efficacy. If no vomiting occurs, it is not a Zhu disease.

Tai Ping Sheng Hui Fang, Another Formula:
Take one Bie Tou (Testudinis Carapax Caput), burn to ash, grind finely into powder. Administer half a qian per dose mixed with fresh well water.

Tai Ping Sheng Hui Fang, Another Formula:
Break one Ji Zi (Galli Ovum), swallow raw. For severely ill children, insert into the throat, shake the head to facilitate swallowing, and the condition will improve.

Zhang Huan's Ci Huang Dan (Realgar Orpiment Pellet): Treats Shi Zhu disease.
Ingredients: Ci Huang (Orpiment), Xiong Huang (Realgar, finely ground each), Chuan Da Huang (slow-fire roasted until black), Gui Jiu (remove hairs, one liang each), Tao Ren (thirty kernels, soak in hot water, remove skin and tips, grind), Bai Tou Weng (half liang, all above made into fine powder, next use), She Xiang (one fen, separately ground), Ba Dou (ten kernels, remove skin, heart, and membrane, wrap in paper and press out oil).
Preparation and Administration: Grind all ingredients uniformly, melt five liang of sheep fat, and mix with the herbs to form a paste, shaping into pellets the size of millet grains. Administer three to five pellets per dose with cold Jing Jie Tang (Schizonepeta Decoction). Adjust dosage based on the child's age and size.

Zhang Huan, Another Immediate Effect Formula:
Ingredients: Chuan Da Huang (roasted, sliced), Gan Tao Liu Ye (washed, dried, one liang each), Zhi Zi Ren (Gardeniae Semen), Chi Shao Yao (Paeoniae Radix Rubra, half liang each).
Make the above into fine powder. Next, use: Zhu Sha (Cinnabar, finely ground, water-washed, one liang), She Xiang (Moschus), Xiong Huang (Realgar, ground one fen each).
Preparation and Administration: Mix all ingredients evenly. Administer one qian per dose mixed with honey water. Adjust dosage based on the child's age and size.