《巢氏病源》小儿蛊疰候∶人聚虫蛇杂类，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（洗） 藜芦 代赭 桔梗 白薇 肉苁蓉（各三分） 石膏 大黄 牡蛎（熬） 丹参（各一
分） 虾蟆（灰） 乌头（炮。各四分） 野狼毒（七分） 附子（炮，三分） 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，神神。忌
猪羊肉、冷水。一方无虾蟆，有干姜四分。
《圣惠》治小儿中蛊毒，腹中坚如石，面目青黄，小便淋沥，变易无常。 羊角散方
羊角（屑） 荷（各一两） 栀子仁（七枚） 赤芍药 牡丹 黄连（去须。各一两） 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。更量儿大小加减服之。
《圣惠》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。
《圣惠》治小儿国中蛊毒，宜服升麻散方
川升麻 桔梗（去芦头） 栝蒌根（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，前至五分，去滓温服，日四、五服。量儿大小加减服之。
《圣惠》治小儿飞蛊，状如鬼气者，宜服雄黄散方
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，日四、五服。更量儿大小加减服之。
《圣惠》治小儿五种蛊毒，悉主之方。
上捣马兜苓根，细罗为散。每服一钱，以水一小盏，煎至五分，去滓，空腹顿服。当时随吐蛊出，未快吐，
即再服。
《圣惠》又方
上用败鼓皮一片，烧为灰，细研为粉。空心以粥饮调服一钱。病患须臾当呼蛊三姓名，病便愈。
《圣惠》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。
《圣惠》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。
《圣惠》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。
《圣惠》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。
《圣惠》治小儿中蛊，下血欲死方。
上取生赤雌鸡翅下血，服之立效。
《圣惠》又方
上捣青蓝汁，频频与半合服。
《圣惠》治小儿疰病、诸蛊魅，精气入心入腹，刺痛，黄瘦骨立。雄黄丸方
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。百日儿酒服黍米大三丸，日进二服，或豆大亦可。
张涣雄麝散方 专治蛊毒病。
雄黄（水磨者细研） 麝香（别研） 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。
张涣又方麝犀汤
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。
《巢氏病源》中关于小儿蛊疰的论述：人们聚集各种虫蛇，放入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，或随着饮食进入人体腹部，吞噬人的五脏。小儿如果中了蛊毒，病症表现与成人、老人没有区别，会出现心腹剧烈刺痛、心中烦闷懊恼的症状。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。蛊毒吃尽心脏后通过大便排出血液，导致心脏腐烂直至死亡。死后蛊毒又会传染给旁人，所以称为“蛊疰”。
《外台秘要》记载：范汪治疗成人和儿童的各种蛊疰疾病、瘕积聚（腹内结块）、身体消瘦如被酸蚀、大小便不通利、突然受邪气冲击、遭遇恶风导致胸腹胀满、淋证水液转注相传、全家老幼内外孙辈相继患病，医生无法治愈的情况。提供十七味紫参丸方：
紫参、人参、半夏（洗净）、藜芦、代赭石、桔梗、白薇、肉苁蓉（各三分）、石膏、大黄、牡蛎（煅烧）、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，三分）、巴豆（七十枚，去心皮，炒制）。
以上药材捣碎、过筛，用蜂蜜调和制成丸药，每次服用如小豆大小的一丸，用温水送服，每日三次。老人和儿童根据情况减量。被蜂蝎蜇伤，将药涂在患处，效果神奇。忌食猪羊肉、冷水。另一版本没有虾蟆，有四分工干姜。
《太平圣惠方》治疗小儿中蛊毒，腹部坚硬如石头，面目青黄，小便淋漓不畅，病情变化无常。羊角散方：
羊角（锉碎）、荷（各一两）、栀子仁（七枚）、赤芍药、牡丹皮、黄连（去须，各一两）、犀角（锉碎，半两）。
以上药材捣碎，粗罗为散剂。每次服用一钱，用水一小盏，煎至五分，去渣温服，每日三到四次。再根据患儿年龄大小增减剂量服用。
《太平圣惠方》又一方：
败鼓皮（三分，炙至黄色）、苦参（锉碎）、荷根（各一两）。
以上药材捣碎，粗罗为散剂。每次服用一钱，用水一小盏，煎至五分，去渣温服，每日三到四次。再根据患儿年龄大小增减剂量服用。
《太平圣惠方》治疗小儿国内蛊毒，宜服用升麻散方：
川升麻、桔梗（去芦头）、栝蒌根（各半两）。
以上药材捣碎，粗罗为散剂。每次服用一钱，用水一小盏，煎至五分，去渣温服，每日四到五次。根据患儿年龄大小增减剂量服用。
《太平圣惠方》治疗小儿飞蛊，症状像鬼气作祟者，宜服用雄黄散方：
雄黄、麝香（各细研）、犀角（末，各半两）。
以上药材混合研磨均匀，每次用温水调服半钱，每日四到五次。再根据患儿年龄大小增减剂量服用。
《太平圣惠方》治疗小儿五种蛊毒，全部主治的方子：
取马兜铃根捣碎，细罗为散剂。每次服用一钱，用水一小盏，煎至五分，去渣，空腹一次性服用。当时会随着呕吐将蛊吐出，如果未吐尽，就再次服用。
《太平圣惠方》又一方：
取败鼓皮一片，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三个蛊的名字，病就会痊愈。
《太平圣惠方》又一方：
取荠菜一两，捣罗为末，用米汤调服一钱，效果很好。根据患儿年龄大小增减剂量服用。
《太平圣惠方》治疗小儿畏惧忌讳，中蛊欲死的方法：
取甘草半两，生锉，用水一中盏，煎至五分，去渣，分为两次服用，会将蛊吐出。如果是平时预防蛊毒，宜用熟炙甘草，煮汁服用，这样会在体内消散而不呕吐，效果神奇。
《太平圣惠方》治疗小儿中蛊毒，使腹部坚硬疼痛，面目青黄，淋露骨立，病变无常的方法：
取桃株、寄生二两捣碎，细罗为散剂，像泡茶一样冲服，每日四到五次。
《太平圣惠方》又一方：
取麝香半钱，细研，空腹用温水调服，即吐出蛊毒，无效再服。
《太平圣惠方》治疗小儿中蛊，下血欲死的方法：
取生赤雌鸡翅膀下的血，服用后立即见效。
《太平圣惠方》又一方：
捣取青蓝汁，频频给予半合服用。
《太平圣惠方》治疗小儿疰病、各种蛊魅，精气进入心和腹，刺痛，黄瘦骨立。雄黄丸方：
雄黄、雌黄（各四分）、丹砂、野丈人、徐长卿（各三分）、大黄（五分）、麝香（三颗枣大小）、羚羊角（屑，五分）。
以上制成末，用青羊脂和丸。百日大的婴儿用酒送服如黍米大小的三丸，每日进服两次，或者如豆子大小也可以。
张涣的雄麝散方：专门治疗蛊毒病。
雄黄（水磨后细研）、麝香（另研）、羊角（屑）、赤芍药、败鼓皮（炙黄，各一两）、马兜铃根、荠菜、鬼臼（去毛，各半两，以上除雄黄、麝香外捣碎，罗为细末）。
以上八味药混合拌匀，研细，每次服用半钱。浓煎甘草汤调下，饭前服用。
张涣又一方麝犀汤：
犀角（屑）、鬼箭羽、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。另外取：麝香（半两，细研）。
以上混合拌匀，每次服用一钱，用水一大盏，煎至五分，去渣放温，时时服用。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the condition of pediatric Gu-zhu (parasitic infection): People gather various insects and snakes, place them in a vessel, and let them devour each other. The one remaining is named "Gu" (venomous parasite). It can transform its form or enter the abdomen through food and drink, consuming the five Zang organs. If children are infected with Gu, the symptoms are no different from those in adults or the elderly, presenting as stabbing pain in the heart and abdomen, and inner restlessness and depression. In acute cases, death occurs immediately; in chronic cases, it lasts for years, leading to gradual emaciation and weakness. After the heart is consumed, blood is passed via stool, causing the heart to rot until death. Upon death, the Gu may transmit to others, hence the term "Gu-zhu".
*Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergency Use) records: Fan Wang treated various diseases of Gu-zhu in adults and children, including Jia-ji ju-lei (abdominal masses), emaciation where flesh and bones feel eroded by acid, difficulty in urination and defecation, sudden attack by evil qi, abdominal distension due to encountering bad wind, lin syndrome with water transmission, affecting the whole household including males, females, and grandchildren, which doctors could not cure. The prescription is Seventeen-Ingredient Zishen Wan:
Zishen (Radix Codonopsis), Renshen (Radix Ginseng), Banxia (Rhizoma Pinelliae, washed), Lilu (Radix Veratri), Daizhe (Haematitum), Jiegeng (Radix Platycodonis), Baiwei (Radix Cynanchi Atrati), Rongcroung (Cortex Morindae Officinalis) (each 3 fen); Shigao (Gypsum Fibrosum), Dahuang (Radix et Rhizoma Rhei), Muli (Concha Ostreae, calcined) (each 1 fen); Xama (Bufo bufo, ash), Wutou (Radix Aconiti Lateralis Preparata, processed) (each 4 fen); Yelangdu (Radix Stellerae Chamamadelis) (7 fen); Fuzi (Radix Aconiti Lateralis Preparata, processed) (3 fen); Badou (Semen Crotonis Tiglii) (70 seeds, remove heart and skin, roasted).
Crush and sieve the above herbs, mix with honey to form pills. Take one pill the size of a small bean with warm water, three times a day. Reduce dosage for the elderly and children as appropriate. For stings from bees or scorpions, apply externally; the effect is miraculous. Avoid pork, mutton, and cold water. Another version excludes Xama and includes Ganjiang (Rhizoma Zingiberis Recens) 4 fen.
*Tai Ping Sheng Hui Fang* (Holy Prescriptions of Great Peace) treats pediatric Gu poison where the abdomen is hard as stone, complexion is greenish-yellow, urination is dribbling, and symptoms change unpredictably. Yangjiao San:
Yangjiao (Cornu Bubali), He (Folium Nelumbinis) (each 1 liang); Zhizi Ren (Semen Gardenoliae) (7 seeds); Chishaoyao (Radix Paeoniae Rubra), Mudanpi (Cortex Moutan), Huanglian (Rhizoma Coptidis, remove roots) (each 1 liang); Xijiao (Cornu Rhinocerotis, crushed) (0.5 liang).
Crush the above herbs and sieve coarsely to make a powder. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and take warm. Three to four times a day. Adjust dosage according to the child's age.
Another prescription from *Sheng Hui Fang*:
Baigu Pi (Corium Drum, roasted until yellow) (3 fen), Kushen (Radix Sophorae Flavescentis, crushed), Gen Gen (Rhizoma Nelumbinis) (each 1 liang).
Crush and sieve coarsely. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and take warm. Three to four times a day. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats domestic Gu poison in children; Shengma San is suitable:
Chuan Shengma (Radix Cimicifugae), Jiegeng (Radix Platycodonis, remove rhizome), Gualou Gen (Radix Trichosanthis) (each 0.5 liang).
Crush and sieve coarsely. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and take warm. Four to five times a day. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats Fei Gu (flying Gu) in children, resembling ghostly possession; Xionghuang San is suitable:
Xionghuang (Realgar), Shexiang (Moschus) (each finely ground); Xijiao (Cornu Rhinocerotis, powder) (each 0.5 liang).
Grind all ingredients uniformly. Take 0.5 qian mixed with warm water per dose, four to five times a day. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats five types of Gu poison in children with a general formula:
Crush Madouling Gen (Radix Aristolochiae Manshuriensis), sieve finely. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and take on an empty stomach in one go. The Gu should be vomited out immediately. If vomiting is incomplete, take again.
Another prescription from *Sheng Hui Fang*:
Take one piece of Baigu Pi (Corium Drum), burn to ash, grind finely into powder. Take 1 qian mixed with rice broth on an empty stomach. The patient will soon call out the names of three Gus, and the illness will be cured.
Another prescription from *Sheng Hui Fang*:
Take Jiqing (Herba Portulacae Oleraceae) 1 liang, crush and sieve into powder. Take 1 qian mixed with rice broth; very effective. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats children fearing taboos and dying from Gu poisoning:
Take Gancao (Radix Glycyrrhizae Uralensis) 0.5 liang, freshly crushed, decoct with one medium cup of water until reduced to half a cup, strain, and divide into two doses. The Gu will be vomited out. For prevention, use roasted Gancao, boil and drink the juice; this dissipates internally without vomiting, with miraculous effects.
*Tai Ping Sheng Hui Fang* treats pediatric Gu poison causing hard and painful abdomen, greenish-yellow complexion, emaciation, and unpredictable changes:
Take Tao Zhu (Ramulus Persicae) and Jisheng (Viscum Coloratum) 2 liang, crush, sieve finely. Take like tea infusion, four to five times a day.
Another prescription from *Sheng Hui Fang*:
Take Shexiang (Moschus) 0.5 qian, grind finely, take with warm water on an empty stomach. The Gu poison will be vomited out. Repeat if ineffective.
*Tai Ping Sheng Hui Fang* treats pediatric Gu poisoning with bloody diarrhea approaching death:
Take fresh blood under the wing of a red female chicken; take immediately for effect.
Another prescription from *Sheng Hui Fang*:
Crush Qinglan Zhi (Indigo Naturalis juice), administer frequently, 0.5 he per dose.
*Tai Ping Sheng Hui Fang* treats Zhu disease and various Gu demons in children, where essence enters the heart and abdomen causing stabbing pain, yellowish emaciation, and skeletal appearance. Xionghuang Wan:
Xionghuang (Realgar), Ehuang (Orpiment) (each 4 fen); Dansha (Cinnabar), Yezhangren (Radix Bupleuri), Xuchangqing (Radix et Rhizoma Cynanchi Paniculati) (each 3 fen); Dahuang (Radix et Rhizoma Rhei) (5 fen); Shexiang (Moschus) (size of three jujubes); Lingyangjiao (Cornu Saigae Tataricae, crushed) (5 fen).
Make into powder, mix with fat from a black ram to form pills. For infants under 100 days, take three pills the size of millet grains with wine, twice a day, or the size of beans.
Zhang Huan's Xiong She San: Specifically treats Gu poison disease.
Xionghuang (Realgar, water-ground and finely ground), Shexiang (Moschus, separately ground), Yangjiao (Cornu Bubali, crushed), Chishaoyao (Radix Paeoniae Rubra), Baigu Pi (Corium Drum, roasted yellow) (each 1 liang), Madouling Gen (Radix Aristolochiae Manshuriensis), Jiqing (Herba Portulacae Oleraceae), Guijiu (Radix Podophylli) (remove hairs, each 0.5 liang). Except for Xionghuang and Shexiang, crush the rest and sieve into fine powder.
Mix all eight ingredients evenly, grind finely. Take 0.5 qian per dose, taken before meals with strong decoction of Gancao (Radix Glycyrrhizae Uralensis).
Zhang Huan's another prescription, She Xi Tang:
Xijiao (Cornu Rhinocerotis, crushed), Guijianyu (Ramulus Corni), Anshixiang (Resina Benzoin), Shuimo Xionghuang (Realgar, water-ground and finely ground) (each 1 liang), Kushen (Radix Sophorae Flavescentis), Mudanpi (Cortex Moutan) (each 0.5 liang).
Crush and sieve into fine powder. Separately prepare: Shexiang (Moschus) (0.5 liang, finely ground).
Mix all ingredients evenly. Take 1 qian per dose, decoct with one large cup of water until reduced to half a cup, strain, let cool to warm, and take occasionally.