论曰肠中宿挟痼滞,每遇饮食不节,停饮不消。即乍瘥乍发,故取名为休息痢,治疗当
加之以治饮消削陈寒痼滞之剂则愈。
治休息痢,阿胶汤方
阿胶(炙令燥) 黄连(去须炒) 龙骨(各一两) 艾叶(微炒半两) 仓米(二合
炒)
上五味,粗捣筛,每服五钱匕,以水一盏半,煎至八分,去滓空心温服,日午再服。
治休息气痢久不瘥,肉豆蔻丸方
肉豆蔻(去壳) 诃黎勒(煨去核) 乌梅肉(炒干各一两) 黄连(去须炒一两半) 白
矾(熬令汁枯半
右五味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,空心用粥饮下,或煎白梅生
姜汤下亦得,更加丸数服。
治休息痢,不能食及羸瘦,麦 丸方
大麦 (炒) 附子(炮裂去皮脐) 陈曲(炒) 桂 乌梅肉(炒) 人参 白茯苓
(以上各一两)
上七味,捣罗细末,炼蜜为丸,如梧桐子大,每服三十丸,煮枣粥饮下,不计时候。
治休息痢,诸药无效,黄丹散方
黄丹(三两炒令紫色) 枣肉(三十枚捣为一块用纸紧裹大火烧令赤候冷取出) 枳壳
(半两麸炒
上四味,捣罗为末,每服一钱,空心粥饮调下,忌油腻冷物。
治休息痢立效。栝蒌散方
栝蒌(一枚出却一半瓤) 白矾(一两) 白石英(一两)
上二味。入栝蒌中,湿纸裹,烧赤为度,候冷捣细,杵为散,每服一钱匕,食前粥饮调
下。
治休息痢、日夜频并,白茯苓丸方
白茯苓(半两) 黄连(二两半) 黄柏 羚羊角(各一两半)
上四味,捣罗为末,炼蜜和丸,如梧桐子大,每服空心以米饮下三十丸,日午再服。
治休息痢。缩砂丸方
缩砂蜜(去皮一两为末) 肉豆蔻(去壳半两为末) 羊肝(去筋膜半具细切)
上三味拌和令匀。用面和作饼子裹,又以湿纸三重裹,于 灰火内,煨令香熟,去焦面
纸,研细为丸,如梧桐子大,每服三十丸,空心用米饮下,日再服。
治休息痢,及赤白痢,附子丸方
附子(炮裂去皮脐半两) 鸡子(二枚去黄取白)
上二味,先将附子捣罗为末,以鸡子白和为丸,如梧桐子大,一时倾入沸汤内,煮数沸
漉出,分作两服,米饮下,空心日午各一服。
治休息痢,黄连汤方
黄连(去须炒) 龙骨(各半两) 艾叶(一握微炒) 阿胶(炙令燥半两)
上四味,细锉三味,以水三盏,先煎黄连等三味,至一盏半,去滓次下阿胶。再煎至一
盏,分为二服,空心一服,如人行十里再一服,每服药后,浓煎干艾叶汤饮之亦佳。
治休息痢,玉液丹方
白矾(二两熬令汁枯) 硫黄 硝石(各半两)
上三味,于乳钵内相和,研作末,即入砂瓶子内,以炭火熔成汁,取出候冷。更研令细,
用面糊为丸,如绿豆大,每服十丸,空心米饮下,兼治肠风痔漏诸疾。
治休息痢,紫金散方
定粉(研) 铅丹(各一两) 大枣(二两去核) 莨菪子(一两半) 诃黎勒(炮去
核一两)
上五味相和,捣成一团,以面重裹,于火中烧令烟尽,取出去灰土令净,捣罗为散,每
服三钱匕,空心米饮调下,日晚再服。
治休息痢,脾胃气虚冷,大肠转泄,或发或止。饮食减少。四肢无力,没石子散方
没石子(半两) 肉豆蔻(半两) 桂心(半两) 诃黎勒(一两煨用皮) 浓朴(一
两半去粗皮涂生姜汁
上七味,捣罗为末,每服一钱匕,粥饮半盏调下,食前服之。
治休息痢,发歇不定,经久不瘥。硫黄丸方
硫黄(一两) 砒黄(一两) 何首乌(一两末) 白矾(一两)
上四味相和,研令匀,入瓷瓶子中,五月五日,取不食井水,和六一泥。固济封头候干。
安瓶子向火中。烧令通赤,候冷取药细研,以面糊和丸,如绿豆大,患近者黄连汤下,久者
橘皮汤下一丸。
治休息痢久不瘥,四霜丸方
巴豆霜(半钱匕) 百草霜(二钱匕) 粉霜(一钱匕) 砒霜(半钱匕) 乳香末(二
钱匕)
上五味,再研细令匀,用黄蜡半两,熔汁和为丸,如绿豆大,每服一丸,新汲水下。食
前服。
治一切休息痢,日夜不止。四体倦怠,黄芩丸方
黄芩(去黑心半两) 砒霜( 研三分) 乌梅肉(炒干) 黄柏(锉各一分)
上四味,捣研为末,炼蜜和丸,如绿豆大,每服五丸,冷水下。
治冷气腹痛不止。休息气痢,劳损。消化水谷,温暖脾胃,及治冷滑下痢不禁虚羸。缩
砂丸方
缩砂蜜(去皮) 附子(炮裂去皮脐) 干姜(炮) 浓朴(去粗皮生姜汁炙) 陈橘
皮(汤浸去白焙) 肉
上六味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸。米饮下,食前服。
治下痢乍瘥乍发,病名休息,丹粉丸方
丹砂(研半两) 粉霜(三钱) 腻粉 铅丹(各四钱) 白矾灰(三钱) 硝石(研)
砒霜(研各二钱伏火
上七味,再同研匀,用水浸炊饼心为丸,如豌豆大。每服三丸,冷面汤下,看虚实加减
治多年休息痢疾,四神丸方
当归(切焙半两) 乌梅(七枚去核) 黄连(去须微炒一两) 龙骨(半两)
上四味,捣罗为细末,以薤白细研和丸,如梧桐子大,每日空心以温浆水下十五丸,至
二十丸。
治休息痢,当归丸方
当归(锉炒) 黄连(去须) 乌梅(去核焙各一两)
上三味,捣罗为细末,以生蒜汁和,众手丸如梧桐子大,焙干,每服三十丸,空心煎浓
朴汤下,加至五十丸。
治休息痢,金石散方
锻石 铅丹(各一分) 糯米(一合炒黑)
上三味,将前二味,慢火炒一炊久。入糯米同研令细,每服二钱匕,空心陈米饮调下。
Discussion: The intestines originally harbor stubborn stagnation. Whenever dietary habits are irregular, retained fluids fail to dissipate. Consequently, the condition alternates between temporary remission and recurrence, hence the name "Resting Dysentery" (Xiuxi Li). Treatment should incorporate agents that eliminate fluid retention, reduce chronic cold, and resolve stubborn stagnation, leading to recovery.
Decoction of Ejiao for Resting Dysentery:
Ejiao (scorified until dry) 1 liang, Huanglian (Stem removed, stir-fried) 1 liang, Longgu 1 liang, Aye (lightly stir-fried) 0.5 liang, Cangmi (stir-fried) 2 he.
The above five ingredients are coarsely crushed and sieved. Each dose consists of 5 qianbi, decocted in 1.5 zhan of water until reduced to 0.8 zhan. Strain the dregs and take warm on an empty stomach; administer again at noon.
Pill of Nutmeg for Chronic Resting Qi Dysentery:
Roudoukou (shelled), Helile (roasted, pitted), Wumei Rou (stir-fried until dry) each 1 liang, Huanglian (stem removed, stir-fried) 1.5 liang, Baifan (boiled until juice is dry) 0.5 liang.
The above five ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 20 pills, taken on an empty stomach with gruel drink, or alternatively with a decoction of Wumei and Shengjiang. The dosage may be increased as needed.
Mai Pill for Resting Dysentery with Anorexia and Emaciation:
Damai (stir-fried), Fuzi (processed, cracked, skin and navel removed), Chenqu (stir-fried), Guizhi, Wumei Rou (stir-fired), Renshen, Baifuling (each 1 liang).
The above seven ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken with cooked jujube gruel drink, at any time.
San of Huangdan for Refractory Resting Dysentery:
Huangdan (3 liang, stir-fried until purple), Zaorou (30 jujubes mashed into a block, tightly wrapped in paper, roasted over high fire until red, cooled and removed), Zhike (0.5 liang, bran-stir-fried).
The above four ingredients are crushed, sieved into fine powder. Each dose is 1 qian, taken on an empty stomach with gruel drink. Avoid greasy and cold foods.
San of Gualou for Immediate Effect in Resting Dysentery:
Gualou (1 fruit, half of the pulp removed), Baifan 1 liang, Bai Shiyong 1 liang.
The above two ingredients are placed inside the Gualou, wrapped in wet paper, and roasted until thoroughly red. After cooling, they are finely ground into a powder. Each dose is 1 qianbi, taken before meals with gruel drink.
Pill of Baifuling for Frequent Day-and-Night Resting Dysentery:
Baifuling 0.5 liang, Huanglian 2.5 liang, Huangbai 1.5 liang, Lingyangjiao 1.5 liang.
The above four ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken on an empty stomach with rice drink; administer again at noon.
Pill of Suosha for Resting Dysentery:
Suoshami (peeled, 1 liang, powdered), Roudoukou (shelled, 0.5 liang, powdered), Yanggan (sinews and fascia removed, half liver, finely chopped).
The above three ingredients are mixed evenly. Wrap in dough, then wrap in three layers of wet paper. Roast in ash fire until fragrant and cooked. Remove charred dough and paper, grind finely, and form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken on an empty stomach with rice drink, twice daily.
Pill of Fuzi for Resting Dysentery and Red-White Dysentery:
Fuzi (processed, cracked, skin and navel removed, 0.5 liang), Ji Zi (2 eggs, whites separated from yolks).
First, crush Fuzi into powder. Mix with egg white to form pills the size of Sophora japonica seeds. Pour all at once into boiling water, boil briefly, remove, and divide into two doses. Take with rice drink, one dose on an empty stomach and one at noon.
Decoction of Huanglian for Resting Dysentery:
Huanglian (stem removed, stir-fried) 0.5 liang, Longgu 0.5 liang, Aye (a handful, lightly stir-fried), Ejiao (scorified until dry) 0.5 liang.
Finely chop the first three ingredients. Decoct in 3 zhan of water until reduced to 1.5 zhan. Strain, then add Ejiao. Decoct again until reduced to 1 zhan. Divide into two doses. Take one dose on an empty stomach; if the patient walks ten li, take the second dose. It is beneficial to drink a strong decoction of Gan Aye after taking the medicine.
Dan of Yuye for Resting Dysentery:
Baifan (2 liang, boiled until juice is dry), Liuhuang 0.5 liang, Xiaoshi 0.5 liang.
Mix the three ingredients in a mortar, grind into powder, and place in a clay bottle. Melt with charcoal fire until liquid, remove, and cool. Grind finely again, mix with paste to form pills the size of mung beans. Each dose is 10 pills, taken on an empty stomach with rice drink. Also treats intestinal wind, hemorrhoids, and fistulas.
San of Zijin for Resting Dysentery:
Dingfen (ground), Qiandan (each 1 liang), Dazao (2 liang, pitted), Langdangzi (1.5 liang), Helile (roasted, pitted, 1 liang).
Mix the five ingredients, pound into a mass, wrap heavily in dough, and roast in fire until smoke ceases. Remove, clean off ash and soil, crush, and sieve into powder. Each dose is 3 qianbi, taken on an empty stomach with rice drink; administer again in the evening.
San of Moshizi for Resting Dysentery with Spleen-Stomach Qi Deficiency and Cold:
Moshizi 0.5 liang, Roudoukou 0.5 liang, Guixin 0.5 liang, Helile (1 liang, roasted, use peel), Houpo (1.5 liang, bark removed, brushed with ginger juice).
The above seven ingredients are crushed, sieved into fine powder. Each dose is 1 qianbi, taken with half a zhan of gruel drink before meals.
Pill of Liuhuang for Irregularly Intermittent Resting Dysentery:
Liuhuang 1 liang, Pi Huang 1 liang, Heshouwu (1 liang, powdered), Baifan 1 liang.
Mix and grind uniformly. Place in a porcelain bottle. On the fifth day of the fifth lunar month, mix with well water and Liu Yi Ni. Seal the bottle mouth and let dry. Place the bottle in fire and roast until thoroughly red. Cool, retrieve medicine, grind finely, and mix with paste to form pills the size of mung beans. For recent onset, take one pill with Huanglian Tang; for chronic cases, take one pill with Jupi Tang.
Wan of Si Shuang for Chronic Resting Dysentery:
Badoushuang 0.5 qianbi, Baicaoshuang 2 qian, Fenshuang 1 qian, Pishuang 0.5 qian, Ruxiangmo 2 qian.
Grind the five ingredients finely and uniformly. Melt 0.5 liang of Huangla and mix to form pills the size of mung beans. Take one pill per dose with fresh cold water. Take before meals.
Pill of Huangqin for All Resting Dysentery with Day-and-Night Continuation and Limb Fatigue:
Huangqin (remove black heart, 0.5 liang), Pishuang (ground, 3 fen), Wumei Rou (stir-fried until dry), Huangbai (chopped, 1 fen each).
Crush and grind the four ingredients into powder. Mix with refined honey to form pills the size of mung beans. Take 5 pills per dose with cold water.
Pill of Suosha for Cold Abdominal Pain, Resting Qi Dysentery, Asthenia, and Digestive Issues:
Suoshami (peeled), Fuzi (processed, cracked, skin and navel removed), Jiangtan (processed), Houpo (bark removed, ginger juice-roasted), Chenjupi (soaked in water, white pith removed, baked), Roudoukou.
The above six ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose with rice drink before meals.
Wan of Dan Fen for Alternating Remission and Recurrence Known as Resting Dysentery:
Dansha (ground, 0.5 liang), Fenshuang 3 qian, Nifen, Qiandan (each 4 qian), Baifanhui 3 qian, Xiaoshi (ground), Pishuang (ground, each 2 qian, must undergo fu huo treatment).
Grind the seven ingredients uniformly. Use water-soaked steamed bun center to form pills the size of peas. Take 3 pills per dose with cold noodle soup, adjusting dosage based on deficiency or excess.
Wan of Si Shen for Chronic Resting Dysentery:
Danggui (cut and baked, 0.5 liang), Wumei (7 fruits, pitted), Huanglian (stem removed, lightly stir-fried, 1 liang), Longgu 0.5 liang.
Crush and sieve the four ingredients into fine powder. Mix with finely ground Xiebai to form pills the size of Sophora japonica seeds. Take 15-20 pills on an empty stomach daily with warm fermented rice water.
Wan of Danggui for Resting Dysentery:
Danggui (chopped and stir-fried), Huanglian (stem removed), Wumei (pitted and baked, each 1 liang).
Crush and sieve the three ingredients into fine powder. Mix with raw garlic juice. Roll into pills the size of Sophora japonica seeds by hand, bake until dry. Take 30 pills per dose on an empty stomach with Houpo decoction; increase to 50 pills if necessary.
San of Jinshi for Resting Dysentery:
Duanshi, Qiandan (each 1 fen), Nuomi (1 he, stir-fried until black).
Slowly stir-fry the first two ingredients for the duration of cooking a meal. Add Nuomi and grind together finely. Take 2 qianbi per dose on an empty stomach with aged rice drink.