治下血调气,溲而便浓血。知气行而血止则便自愈,调气则后重除。
白芍(一两) 当归 黄连 黄芩(各五钱) 官桂(二钱半) 槟榔 大黄(各三钱)
甘草(炙)
木香(各二钱)
每服五钱,水煎。如痢不减,渐加大黄。如汗后脏毒,加黄柏。
一方 噤口痢,百发百中。
鹿角二两, 存性,为末,大人三钱,小人一钱,酒调送下,不过一时即食。
一方 治赤痢及噤口痢,阳毒太甚。酒一碗,黄连三钱姜炒过煎,空心温服。
脐法治毒热痢久不止,呕恶不食,热气上攻,噤口不食。用田螺一个,连壳捣烂,入
麝香少许, 脐内,外川膏药封之。
木香(三钱) 青皮(去穣,六钱) 砂仁(二十四个) 巴豆(二十一个,针穿灯上
烧存性) 杏
上为末,巴豆、杏仁另研,和匀,溶蜡为剂,临用旋丸麻子大。每十丸至二十五丸,量
大小虚实用。红痢甘草汤下,白痢干姜汤下,赤白痢甘草干姜汤下。忌腥冷油腻。
黄连(去须净锉碎) 二十两,用吴茱萸十两同拌,以沸汤少许,闷掩一伏时,同炒香
熟,去
末之搜匀,用鸡子清少入醋,糊丸如桐子大,每服五十丸,白汤送下。
无汗者要有汗,散邪为主带补;有汗要无汗,正气为主带散。疟脉多弦,弦数多热,弦
迟多寒。亦有病久脉极虚,微之中少见弦,但不搏手,细察可见也。弦如刀刃者死,弦小者
生。
Treats bloody dysentery and regulates Qi, addressing painful urination and stools containing pus and blood. Understanding that when Qi moves, blood stops flowing abnormally, the stool will naturally heal; regulating Qi eliminates the sensation of tenesmus (feeling of incomplete defecation).
Bai Shao (Paeoniae Radix Alba) (1 liang), Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix) (each 5 qian), Guan Gui (Cinnamomi Cortex) (2.5 qian), Bing Lang (Arecae Semen), Da Huang (Rhei Radix et Rhizoma) (each 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted), Mu Xiang (Aucklandiae Radix) (each 2 qian).
Take 5 qian per dose, decoct in water. If dysentery does not subside, gradually increase the dosage of Da Huang. If it is Zang Du (visceral toxin, referring to dysentery caused by damp-heat and toxic pathogens accumulating in the viscera) after sweating, add Huang Bo (Phellodendri Cortex).
Another prescription: Treats Jin Kou Li (Jin Kou Dysentery, a type of dysentery where the patient cannot eat due to rebellious Stomach Qi), with reliable efficacy.
Lu Jiao (Cervi Cornus Degelatinati) 2 liang, calcined to retain its nature, ground into powder. Adults take 3 qian, children take 1 qian, mixed with wine and taken orally. One can eat within one shi (two hours).
Another prescription: Treats Chi Li (red dysentery) and Jin Kou Li, suitable for cases with excessive Yang toxicity. Use one bowl of wine, add 3 qian of Huang Lian stir-fried with ginger, decoct, and take warm on an empty stomach.
Umbilical therapy treats chronic toxic heat dysentery that persists, accompanied by vomiting, nausea, inability to eat, rising hot qi, leading to an inability to eat (Jin Kou). Take one field snail, crush it whole with the shell, add a small amount of She Xiang (Moschus), apply inside the umbilicus, and seal externally with a plaster.
Mu Xiang (3 qian), Qing Pi (Citri Reticulatae Pericarpium Viride) (remove pith, 6 qian), Sha Ren (Amomi Fructus) (24 grains), Ba Dou (Crotonis Fructus) (21 grains, pierced with a needle and burned over a lamp until retaining its nature), Xing Ren (Armeniacae Semen Amarum).
Grind the above herbs into powder. Ba Dou and Xing Ren are ground separately, then mixed evenly. Melted wax is used to form pills. When needed, roll them into pills the size of hemp seeds. Take 10 to 25 pills per dose, adjusting according to the patient's age and deficiency/excess condition. For red dysentery, take with Gan Cao Tang (Licorice Decoction); for white dysentery, take with Gan Jiang Tang (Dried Ginger Decoction); for both red and white dysentery, take with Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction). Avoid raw, cold, greasy, and oily foods.
Huang Lian (Coptidis Rhizoma) (remove roots, clean, and finely chopped) 20 liang, mix with 10 liang of Wu Zhu Yu (Evodiae Fructus), cover with a small amount of boiling water and let stand for one fu shi (four hours), then stir-fry together until fragrant and cooked. Remove from heat,
grind into fine powder and mix evenly. Use egg white with a little vinegar as a binder to make pills the size of paulownia seeds. Take 50 pills per dose, with plain boiled water.
For those without sweat, induce sweating; the primary method is to disperse pathogenic factors, supplemented by tonification. For those with sweat, stop sweating; the primary method is to support healthy Qi, supplemented by dispersing. The pulse in malaria is mostly wiry (Xian). A wiry and rapid pulse indicates heat; a wiry and slow pulse indicates cold. In prolonged illness, the pulse may be extremely deficient, appearing slightly wiry but not striking the fingers upon palpation, though careful observation may reveal it. A wiry pulse like the edge of a knife indicates death (poor prognosis); a wiry and small pulse indicates life (good prognosis).