论曰小儿挟热痢，此由邪热在于肠间，因胃气不和，乳食伤动，故令腹痛肠鸣，下痢黄
赤，名热痢。
治小儿热痢下重，或下痢如血汁。香连丸方
木香 黄连（去须各半两）
上二味，捣罗为细末，醋浸炊饼和丸，如绿豆大，每服二十丸，米饮下，不计时候。
治小儿赤痢，经时不止。犀角丸方
犀角（镑屑一两一分） 黄连（去须一两半） 女萎（一两） 白头翁（去芦头一两半）
茜根
（三分） 枳壳（去瓤麸炒黄三分） 甘草（炙半两） 赤石脂（一两一分） 黄芩（去黑
心一两）
干蓝（半两） 榉皮（炙三分） 龙骨（一两） 黄柏（去粗皮炙半两）
上一十三味，捣罗为细末。炼蜜和捣五百杵，丸如麻子大，一二岁儿，每服三丸，三岁
至六岁儿可四五丸，空心午后各一服，米饮下。
治小儿猝下热痢。赤石脂汤方
赤石脂（一两） 黄连（去须） 石膏（碎） 甘草（炙） 龙骨 知母（焙） 前胡
（去芦头）
赤茯苓（去黑皮） 桂（去粗皮） 芍药（各一分）
上一十味，粗捣筛。一二岁儿每服半钱匕，入枣一枚擘破，水七分，煎至四分，去滓分
温二服，空心午后各一服。
治小儿热毒下痢如鱼脑，手足壮热。黄连白头翁汤方
黄连（去须一两） 白头翁 酸石榴皮（炙） 犀角（镑屑各半两）
上四味，粗捣筛。一二岁儿每服半钱匕，水七分，煎至四分，去滓分温二服，空心午间
日晚，各一服。
治小儿热痢。牡蛎丸方
牡蛎（ ） 黄连（去须） 黄柏（去粗皮炙） 龙骨 赤石脂 人参 甘草（炙各一
两）
上七味，捣罗为末。炼蜜和捣千余杵，丸如麻子大，一二岁儿每服三丸，四岁至六岁儿
，五丸，米饮下，空心午后各一服。
治小儿热痢不止。栀子丸方
栀子仁（七枚） 黄柏（去粗皮炙三分） 白矾（熬汁枯一两） 枣（大者四枚烧令黑
色）
上四味，捣罗为细末，炼蜜和丸，如麻子大。一二岁儿，每服三丸，三四岁儿，每服五
丸，米饮下，空心午后，各一服。
治小儿热痢壮热，全不食乳，食乳即吐。熊胆散方
熊胆（半两） 黄连（去须三分） 马齿苋（干者炒一两） 无食子（煨一枚） 蚺蛇
胆（半两） 犀角（镑屑一两）
上六味，捣罗为细散。一二百日儿每服一字匕，新汲水调服，空心午后，各一服。
治小儿热痢不止。黄芩知母汤方
黄芩（去黑心） 知母（焙各一两） 葳蕤（三分） 黄柏（去粗皮炙半两） 甘草（炙
半两）
上五味，粗捣筛。一二岁儿每服半钱匕，水七分，煎至四分，去滓分温二服，空心午后
各一服。
治小儿热毒痢，下脓血。羚羊角汤方
羚羊角（镑屑三分） 地榆（一两） 吴蓝（三分） 黄连（去须一两） 黄芩（去黑
心半两）
茜根（三分） 当归（切焙） 阿胶（炙燥） 赤石脂（各一两） 甘草（炙半两）
上一十味，粗捣筛。一二岁儿每服半钱匕，水七分，煎至四分，去滓分温二服，空心午
后，各一服。
治小儿热毒痢下血。黄连饮方
黄连（去须一两半） 白 荷根（一两） 犀角（镑屑一两） 黄芩（去黑心一两） 白
头翁（
去芦头三分） 茜根（锉一两） 蓝青（干者三分） 甘草（炙半两）
上八味，粗捣筛。一二岁儿，每服半钱匕，水七分，煎至四分，去滓分温二服，空心午
后，各一服。
治小儿热痢，壮热多渴而痢。乌梅汤方
乌梅肉（去核二枚焙） 黄连（去须） 蓝叶（各一分） 犀角（镑屑） 阿胶（炙燥）
甘草（
炙各半两）
上六味，粗捣筛。一二岁儿，每服半钱匕，水七分，煎至四分，去滓分温二服，空心午
后，各一服。
治小儿赤痢血痢。诃黎勒散方
诃黎勒（煨去核） 栀子（去壳各一两）
上二味，捣罗为细散，一二岁儿每服半钱匕，米饮调下，空心午后，各一服。
治小儿久热痢，不下乳。三物汤方
大黄（生锉） 甘草（炙锉） 麦门冬（去心焙等分）
上三味，粗捣筛。每服二钱匕，水一盏，煎至五分，去滓分温三服，空腹，量儿大小加
减服。
It is discussed that pediatric dysentery with heat (Xiere Li) arises from pathogenic heat residing in the intestines. Due to disharmony of Stomach Qi (Stomach Energy) and injury/agitation caused by milk and food, abdominal pain and borborygmus occur, accompanied by yellowish-red purulent stools, termed Heat Dysentery (Re Li).
For treating pediatric heat dysentery with tenesmus (Li Zhong), or dysentery resembling bloody juice: Xianglian Wan Formula.
Mu Xiang (Costi Radix), Huang Lian (Coptidis Rhizoma) (remove the whiskers, each 0.5 liang).
The above two ingredients are pounded and sieved into fine powder. Soak in vinegar, mix with steamed dough pills, sized like mung beans. Administer 20 pills per dose, taken with rice drink, at any time.
For treating pediatric red dysentery persisting for a long time: Xijiao Wan Formula.
Xi Jiao (Rhino Horn) (shaved into flakes, 1.1 liang), Huang Lian (Coptidis Rhizoma) (remove the whiskers, 1.5 liang), Nu Wei (Anemarrhenae Rhizoma? Note: Traditional text 'Nuwei' usually refers to Smilacis Glabrae Rhizoma or similar, here kept as Nu Wei), Bai Tou Weng (Pulsatillae Radix) (remove the root head, 1.5 liang), Qian Gen (Moutan Cortex? Note: Text says Qian Gen, likely Rubiae Radix et Rhizoma or Moutan, WHO standard for Qian Gen is often associated with Rubiae Radix Dan Shen if distinct, but typically Qian Cao Hong. Here strictly transliterated as Qian Gen), Zhi Ke (Aurantii Fructus) (remove pulp, stir-fried with bran until yellow, 3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 0.5 liang), Chi Shi Zhi (Halloysitum Rubrum), Huang Qin (Scutellariae Radix) (remove black heart, 1 liang), Gan Lan (Isatidis Folium? Text says Gan Lan, likely Isatis Leaf), Ju Pi (Zelkovae Cortex? Text says Ju Pi, likely Phellodendri Cortex or similar bark, kept as Ju Pi), Long Gu (Fossilia Ossis Mastodi et Scapulae), Huang Bo (Phellodendri Cortex) (remove rough bark, honey-fried, 0.5 liang).
The above thirteen ingredients are pounded and sieved into fine powder. Mix with refined honey, pound 500 times, form pills sized like hemp seeds. For infants aged 1-2 years, administer 3 pills per dose; for children aged 3-6 years, 4-5 pills. Take on an empty stomach and in the afternoon, with rice drink.
For treating sudden onset of heat dysentery in children: Chishi Zhi Tang Formula.
Chi Shi Zhi (Halloysitum Rubrum, 1 liang), Huang Lian (Coptidis Rhizoma) (remove whiskers), Shi Gao (Gypsum Fibrosum) (crushed), Gan Cao (Glycyrrhizae Radix et Rhizoma) (fried), Long Gu (Fossilia Ossis Mastodi et Scapulae), Zhi Mu (Anemarrhenae Rhizoma) (baked), Qian Hu (Peucedani Radix) (remove root head), Chi Fu Ling (Poria Cocos with Red Hosta Root) (remove black skin), Gui Zhi (Cinnamomi Ramulus) (remove rough bark), Bai Shao (Paeoniae Radix Alba) (each 1 fen).
The above ten ingredients are coarsely pounded and sieved. For infants aged 1-2 years, administer half a qian bi dose. Add one cracked jujube. Use 7 parts water, decoct to 4 parts. Remove dregs, divide into two warm doses. Take on an empty stomach and in the afternoon.
For treating pediatric heat-toxin dysentery resembling fish brains, with high fever in hands and feet: Huang Lian Bai Tou Weng Tang Formula.
Huang Lian (Coptidis Rhizoma) (remove whiskers, 1 liang), Bai Tou Weng (Pulsatillae Radix), Suan Shi Liu Pi (Pericarpium Granati) (fried), Xi Jiao (Rhino Horn) (shaved into flakes, each 0.5 liang).
The above four ingredients are coarsely pounded and sieved. For infants aged 1-2 years, administer half a qian bi dose. Use 7 parts water, decoct to 4 parts. Remove dregs, divide into two warm doses. Take on an empty stomach, at noon, and in the evening.
For treating pediatric heat dysentery: Mu Li Wan Formula.
Mu Li (Ostrea Shell), Huang Lian (Coptidis Rhizoma) (remove whiskers), Huang Bo (Phellodendri Cortex) (remove rough bark, fried), Long Gu (Fossilia Ossis Mastodi et Scapulae), Chi Shi Zhi (Halloysitum Rubrum), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (fried, each 1 liang).
The above seven ingredients are pounded and sieved into powder. Mix with refined honey, pound over 1000 times, form pills sized like hemp seeds. For infants aged 1-2 years, administer 3 pills; for children aged 4-6 years, 5 pills. Take with rice drink, on an empty stomach and in the afternoon.
For treating persistent pediatric heat dysentery: Zhi Zi Wan Formula.
Zhi Zi Ren (Gardeniae Semen), Huang Bo (Phellodendri Cortex) (remove rough bark, fried, 3 fen), Bai Fan (Alumen) (boiled until dry/crude, 1 liang), Zao Da (Jujubae Fructus) (large ones, 4 pieces, burned until black).
The above four ingredients are pounded and sieved into fine powder. Mix with refined honey, form pills sized like hemp seeds. For infants aged 1-2 years, administer 3 pills; for children aged 3-4 years, 5 pills. Take with rice drink, on an empty stomach and in the afternoon.
For treating pediatric heat dysentery with high fever, refusal to nurse, and vomiting upon nursing: Xiong Dan San Formula.
Xiong Dan (Ursi Bile), Huang Lian (Coptidis Rhizoma) (remove whiskers, 3 fen), Ma Chi Xian (Portulacae Herba) (dried, stir-fried, 1 liang), Wu Shi Zi (Myrobalan), Ran She Dan (Python Bile), Xi Jiao (Rhino Horn) (shaved into flakes, 1 liang).
The above six ingredients are pounded and sieved into fine powder. For infants aged 1-100 days, administer one zi bi dose, mixed with fresh drawn water. Take on an empty stomach and in the afternoon.
For treating persistent pediatric heat dysentery: Huang Qin Zhi Mu Tang Formula.
Huang Qin (Scutellariae Radix) (remove black heart), Zhi Mu (Anemarrhenae Rhizoma) (baked, each 1 liang), Wei Yu (Polygonati Odorati Rhizoma), Huang Bo (Phellodendri Cortex) (remove rough bark, fried, 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (fried, 0.5 liang).
The above five ingredients are coarsely pounded and sieved. For infants aged 1-2 years, administer half a qian bi dose. Use 7 parts water, decoct to 4 parts. Remove dregs, divide into two warm doses. Take on an empty stomach and in the afternoon.
For treating pediatric heat-toxin dysentery with pus and blood discharge: Ling Yang Jiao Tang Formula.
Ling Yang Jiao (Saiga Antelope Horn) (shaved into flakes, 3 fen), Di Yu (Sanguisorbae Radix, 1 liang), Wu Lan (Isatidis Folium? Text Wu Lan), Huang Lian (Coptidis Rhizoma) (remove whiskers, 1 liang), Huang Qin (Scutellariae Radix) (remove black heart, 0.5 liang), Qian Gen (Rubiae Radix et Rhizoma? Or Moutan, kept as Qian Gen, 3 fen), Dang Gui (Angelicae Sinensis Radix) (sliced and baked), E Jiao (Colla Corii Asini) (fried until dry), Chi Shi Zhi (Halloysitum Rubrum, each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (fried, 0.5 liang).
The above ten ingredients are coarsely pounded and sieved. For infants aged 1-2 years, administer half a qian bi dose. Use 7 parts water, decoct to 4 parts. Remove dregs, divide into two warm doses. Take on an empty stomach and in the afternoon.
For treating pediatric heat-toxin dysentery with blood discharge: Huang Lian Yin Formula.
Huang Lian (Coptidis Rhizoma) (remove whiskers, 1.5 liang), Bai He Gen (Lilii Bulbus, text says Bai He Gen, likely Lilii Bulbus or similar root, kept as Bai He Gen, 1 liang), Xi Jiao (Rhino Horn) (shaved into flakes, 1 liang), Huang Qin (Scutellariae Radix) (remove black heart, 1 liang), Bai Tou Weng (Pulsatillae Radix) (remove root head, 3 fen), Qian Gen (Rubiae Radix et Rhizoma? Or Moutan, kept as Qian Gen, crushed, 1 liang), Lan Qing (Indigo Naturalis? Or Isatis Leaf extract, kept as Lan Qing, dried, 3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (fried, 0.5 liang).
The above eight ingredients are coarsely pounded and sieved. For infants aged 1-2 years, administer half a qian bi dose. Use 7 parts water, decoct to 4 parts. Remove dregs, divide into two warm doses. Take on an empty stomach and in the afternoon.
For treating pediatric heat dysentery with high fever, excessive thirst, and dysentery: Wu Mei Tang Formula.
Wu Mei Rou (Fructus Mume) (remove pits, 2 pieces, baked), Huang Lian (Coptidis Rhizoma) (remove whiskers), Lan Ye (Isatidis Folium) (each 1 fen), Xi Jiao (Rhino Horn) (shaved into flakes), E Jiao (Colla Corii Asini) (fried until dry), Gan Cao (Glycyrrhizae Radix et Rhizoma) (fried, each 0.5 liang).
The above six ingredients are coarsely pounded and sieved. For infants aged 1-2 years, administer half a qian bi dose. Use 7 parts water, decoct to 4 parts. Remove dregs, divide into two warm doses. Take on an empty stomach and in the afternoon.
For treating pediatric red dysentery and bloody dysentery: He Li Le San Formula.
He Li Le (Chebulae Fructus) (roasted, remove pits), Zhi Zi (Gardeniae Fructus) (remove shell, each 1 liang).
The above two ingredients are pounded and sieved into fine powder. For infants aged 1-2 years, administer half a qian bi dose, mixed with rice drink. Take on an empty stomach and in the afternoon.
For treating prolonged pediatric heat dysentery with inability to nurse: San Wu Tang Formula.
Da Huang (Rhei Radix et Rhizoma) (freshly chopped), Gan Cao (Glycyrrhizae Radix et Rhizoma) (fried and chopped), Mai Men Dong (Ophiopogonis Tuber) (remove heart, baked, equal parts).
The above three ingredients are coarsely pounded and sieved. Administer 2 qian bi doses per serving. Use one zhan of water, decoct to 5 fen. Remove dregs, divide into three warm doses. Take on an empty stomach, adjusting dosage according to the child's size.