石虎生前立幼子石世為皇太子,石世繼位不久,即被兄彭城王石遵廢黜殺害,石遵自立為帝。石沖對僚佐說:「石世受先帝所命,石遵廢殺他,罪莫大焉!孤要親自討伐他。」於是留寧北將軍沐堅戍幽州,率眾五萬南下,傳檄燕、趙,檄文所到之處雲集響應;到常山時,有軍隊十餘萬,屯苑鄉。這時石遵大赦天下的赦令到,以石沖為太保。石沖說:「石世和石遵都是我的弟弟,死者不能復生,何必再自相殘殺?」便要回師。部將陳暹說:「彭城王篡弒自尊,罪過大啊!大王即使北返,臣將南向,等平定京師擒了彭城王,再奉迎大駕。」於是石沖繼續南下。石遵派將軍王擢騎馬以書信說服石沖,石沖不聽,石遵派都督中外諸軍事、輔國大將軍、武興公石閔、司空李農等率精卒十萬討之,戰於平棘,石沖大敗,在元氏縣被俘,最終得以賜死,士卒三萬餘人遭坑殺。
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