论曰小儿下痢，瘀血如鸡鸭肝片，随痢而下者，蛊毒痢也，此由岁时寒暑不调，有毒厉
之气，中儿肠胃，其邪与血气相搏，变而成痢，血毒瓦斯盛，热则伤损腑脏，如中蛊之状，故
名蛊毒痢。
治小儿蛊毒痢，下血体羸。黄连饮方
黄连（去须一两） 犀角（镑） 白 荷根 黄芩（去黑心） 茜根（各三分） 败鼓
皮（炙
焦） 蓝青 甘草（炙锉） 白头翁（去芦头各半两）
上九味，粗捣筛，一二百日儿，每服半钱匕，水半盏，煎至三分，去滓，分温二服，更
量儿大小加减。
治小儿蛊毒痢，下血不止。犀角饮方
犀角（镑） 地脉草（各一两）
上二味，粗捣筛，一二岁儿，每服一钱匕，水一盏，煎至五分，去滓分温二服，更量儿
大小加减。
治小儿蛊毒血痢。地榆饮方
地榆 黄柏（去粗皮炙） 黄连（去须） 马芹子（炒） 黄芩（去黑心各三分） 蔓
菁根（洗
切半两）
上六味，粗捣筛，一二岁儿，每服一钱匕，水一盏，入生姜少许，煎至五分，去滓分温
二服。
治小儿蛊毒血痢，发甚心神烦闷，腹胀不欲饮食。犀角散方
犀角屑（三分） 白 荷根（三分） 地榆（三分微炙锉） 桔梗（三分去芦头） 苏
枋木（三
分锉）
上五味，捣罗为散，每服一钱匕，水一盏，煎至五分，去滓温服，不拘时候，量儿分减
服。
又方
葱白（三两） 香豉（三合） 栀子（七枚） 黄连（一两）
上四味，捣筛为散，每服二钱匕，水一盏，煎至七分，去滓温服。
治小儿蛊毒血痢。犀角榉皮散方
梁州榉皮（二两半炙锉） 犀角屑（一两半）
上二味，锉筛令匀，每服二钱匕，水一盏，煎至五分，去滓温服，量儿大小，以意加
减。
治小儿蛊毒血痢，身体壮热烦闷。升麻散方
升麻 白 荷根（各一两） 犀角（镑） 芍药（各三分） 败豉皮（炙焦一分） 干
蓝甘草
（炙各半两）
上七味，粗捣筛，一二岁小儿，每用半钱匕，水半盏，入豉七粒，煎至三分，去滓分温
二服，空心午后各一，更量儿大小加减。
治小儿蛊毒血痢。犀角地榆汤方
犀角（镑） 地脉草（各一两） 地榆（锉三分）
上三味，粗捣筛，一二岁儿，每服半钱匕，水一小盏，入蜜半匙，煎至五分，去滓分温
二服，更量儿大小加减。
Discussion states: When infants and children present with dysentery, discharging stasis blood resembling slices of chicken or duck liver along with the stool, this is termed Gu Du Li (Gu Poison Dysentery). This condition arises from the imbalance of seasonal cold and heat, where toxic pestilential qi invades the intestines and stomach. The pathogenic factor contends with qi and blood, transforming into dysentery. When blood toxin and vital qi are abundant, excessive heat damages the zang-fu organs, resembling the effects of gu poison; hence, it is named Gu Du Li.
To treat Gu Du Li in infants and children, characterized by bloody stool and emaciation, use Huanglian Yin (Coptis Decoction):
Huanglian (Coptidis Rhizoma, 1 liang, remove mustache), Xijiao (Rhinocerotis Cornu, sliced), Baihegen (White Lotus Root Rhizome), Huangqin (Scutellariae Radix, remove black heart), Qian Gen (Madder Root, each 3 fen), Baigupi (Decayed Drum Bark, roasted until scorched), Lanqing (Indigo Naturalis), Gancao (Licorice Root, roasted and crushed), Baitouweng (Pulsatillae Radix, remove rhizome head, each half liang).
The above nine ingredients are coarsely pounded and sifted. For infants aged one day to one hundred days, administer half a qianbi per dose. Use half a zhan of water, decoct until reduced to one-third, strain, and divide into two warm doses. Adjust dosage according to the child's size.
To treat Gu Du Li in infants and children with incessant bloody stool, use Xijiao Yin (Rhinoceros Horn Decoction):
Xijiao (Rhinocerotis Cornu, sliced), Dimaicai (Herba Siegesbeckiae Orientalis, each 1 liang).
The above two ingredients are coarsely pounded and sifted. For toddlers aged one to two years, administer one qianbi per dose. Use one zhan of water, decoct until reduced to five parts out of ten, strain, and divide into two warm doses. Adjust dosage according to the child's size.
To treat Gu Du Blood Dysentery in infants and children, use Diyú Yin (Sanguisorba Decoction):
Diyu (Sanguisorbae Radix), Huangbai (Phellodendri Cortex, remove rough bark and roast), Huanglian (Coptidis Rhizoma, remove mustache), Maqinzi (Fructus Cnidii, stir-fried), Huangqin (Scutellariae Radix, remove black heart, each 3 fen), Manjinggen (Radix Turnip, washed and cut, half liang).
The above six ingredients are coarsely pounded and sifted. For toddlers aged one to two years, administer one qianbi per dose. Use one zhan of water, add a small amount of Shengjiang (Fresh Ginger), decoct until reduced to five parts out of ten, strain, and divide into two warm doses.
To treat Gu Du Blood Dysentery in infants and children, presenting with severe onset, mental restlessness, abdominal distension, and loss of appetite, use Xijiao San (Rhinoceros Horn Powder):
Xijiaoxie (Rhinocerotis Cornu, shaved, 3 fen), Baihegen (White Lotus Root Rhizome, 3 fen), Diyü (Sanguisorbae Radix, 3 fen, lightly roasted and crushed), Jiegeng (Platycodonis Radix, 3 fen, remove rhizome head), Sufangmu (Lignum Saposhnikoviae, 3 fen, crushed).
The above five ingredients are pounded, sieved into powder. Administer one qianbi per dose. Use one zhan of water, decoct until reduced to five parts out of ten, strain, and take warm. No specific timing is required; reduce the dose according to the child's capacity.
Another prescription:
Congbai (Scallion White, 3 liang), Xiangchi (Prepared Soybean, 3 he), Zhizi (Gardeniae Fructus, 7 pieces), Huanglian (Coptidis Rhizoma, 1 liang).
The above four ingredients are pounded and sieved into powder. Administer two qianbi per dose. Use one zhan of water, decoct until reduced to seven parts out of ten, strain, and take warm.
To treat Gu Du Blood Dysentery in infants and children, use Xijiao Jupi San (Rhinoceros Horn Zelkova Bark Powder):
Liangzhou Jupí (Zelkovae Cortex from Liangzhou, 2.5 liang, roasted and crushed), Xijiaoxie (Rhinocerotis Cornu, shaved, 1.5 liang).
The above two ingredients are crushed and sifted evenly. Administer two qianbi per dose. Use one zhan of water, decoct until reduced to five parts out of ten, strain, and take warm. Adjust dosage according to the child's size.
To treat Gu Du Blood Dysentery in infants and children, presenting with high fever and mental restlessness, use Shengma San (Cimicifugae Powder):
Shengma (Cimicifugae Rhizoma), Baihegen (White Lotus Root Rhizome, each 1 liang), Xijiao (Rhinocerotis Cornu, sliced), Shaoyao (Paeoniae Radix, each 3 fen), Baichi pi (Decayed Fermented Soybean Skin, roasted until scorched, 1 fen), Ganlan Gancao (Licorice Root with Indigo, roasted, each half liang).
The above seven ingredients are coarsely pounded and sifted. For toddlers aged one to two years, use half a qianbi per dose. Use half a zhan of water, add seven grains of Chi (Fermented Soybean), decoct until reduced to one-third, strain, and divide into two warm doses. Take once on an empty stomach and once in the afternoon. Adjust dosage according to the child's size.
To treat Gu Du Blood Dysentery in infants and children, use Xijiao Dìyú Tang (Rhinoceros Horn and Sanguisorba Decoction):
Xijiao (Rhinocerotis Cornu, sliced), Dimaicai (Herba Siegesbeckiae Orientalis, each 1 liang), Diyü (Sanguisorbae Radix, crushed, 3 fen).
The above three ingredients are coarsely pounded and sifted. For toddlers aged one to two years, administer half a qianbi per dose. Use a small zhan of water, add half a spoonful of honey, decoct until reduced to five parts out of ten, strain, and divide into two warm doses. Adjust dosage according to the child's size.