论曰热痢不瘥，则变血痢，由痢久肠虚，热毒留滞，血脉妄行，流渗肠间，肠虚则泄，
故为血痢也。
治小儿血痢。茜根饮方
茜根（锉一两） 地榆（根锉三分） 马蔺子（微炒一分） 黄连（去须） 黄柏（去
粗皮微炙） 黄芩（去黑心各一两半） 当归（切焙一两）
上七味，粗捣筛，一二岁儿每服一钱匕，水七分，入生姜二片，同煎至四分，去滓分温
二服，空心晚食前，各一服，更随儿大小，以意加减。
治小儿血痢无度。黄连汤方
黄连（去须一两半） 艾叶（微炒一分） 阿胶（炙令燥半两） 豉（一十粒炒令黄焦）
上四味，粗捣筛，一二岁儿，每服一钱匕，水七分，入葱白二寸并须切，同煎至四分，
去滓分温三服，空心午后各一服，量儿大小，以意加减。
治小儿血痢无度。黄连汤方
黄连（去须半两） 甘草（炙锉半两） 黄药子（一分） 吴蓝叶（一分） 栀子仁（二
枚） 犀
角屑（一分）
上六味，粗捣筛，一二岁儿，每服一钱匕，水七分，煎至三分，去滓分温二服，食前日
二，随儿大小，以意加减。
治小儿泻血不定。樗根汤方
樗根白皮（炙香锉三分） 无食子（一枚） 肉豆蔻（去壳一枚） 茜根（锉半两） 茶
末（一
分）
上五味，粗捣筛，每服一钱匕，水七分，煎至四分，去滓分温二服，早晨晚后各一，量
儿大小加减。
治小儿血痢不止。麝香散方
麝香（一钱） 鹿角（屑半两炒微焦） 乱发灰（半两）
上三味，同研为散，每服半钱匕，粥饮调下，日三四服，量儿大小加减。
治小儿血痢。地榆汤方
地榆（锉） 黄柏（去粗皮微炙） 黄连（去须） 黄芩（去黑心各一两半） 马蔺子
（微炙半
两） 茜根（锉一两）
上六味，粗捣筛，一二岁儿每服一钱匕，水半盏，入生姜一片，同煎至三分，去滓分温
二服，食前日再，随儿大小，以意增减。
治小儿血痢。薤白饮方
薤白（十茎切） 香豉（一合半） 山栀子仁（五枚） 黄连（去须半两）
上四味，除香豉薤白外，余粗捣筛，一二岁儿每服一钱匕，水七分，入香豉二七粒，薤
白一茎切，同煎至三分，去滓分温二服，量儿大小增减。
治小儿脏腑虚滑，泻血腹痛。固肠丸方
槐蛾（半两炒黄色） 肉豆蔻（三枚面裹烧香） 干姜（炮裂半两） 枯矾（一分）
上四味，捣研细为末，面糊为丸，如麻子大，乳香汤下，一二岁儿，每服十丸，日进二
服。
治小儿脾毒泻血。 皮散方
刺 皮（锉） 陈槐花 白矾 鹿角屑（各一两） 王瓜（半两）
上五味，同入沙合子内，用盐泥固济令干，烧令通赤，取出为细散，每服半钱匕，入生
姜自然汁两三点，用腊茶清调下。
治小儿肠虚腹胀，泻血不止。地榆丸方
地榆（一两） 草豆蔻（三枚炮去皮） 黄 （锉一两） 枳壳（麸炒去瓤半两）
上四味，捣罗为细末，面糊为丸，麻子大，一二岁儿每服十丸，草节汤下，日三服。
治小儿血痢不止。胡黄连丸方
胡黄连 黄连（去须各半两） 丁香 芦荟 五灵脂 干姜（炮裂） 槟榔（锉各一分）
木
香麝香（研各一钱）
右九味，捣研为末，用炊饼丸如麻子大，每服三五丸，量儿加减，温米饮下。
治小儿血痢。犀角饮方
犀角（镑末半两） 榉皮（去粗皮微炙四两）
上二味，粗捣筛，一二岁儿，每服一钱匕，水七分，煎至四分，去滓分温二服，空心午
后各一服，量儿大小加减。
治小儿毒热血痢。香豉饮方
香豉（微炒一分） 栀子（五枚去皮） 黄连（去须一分）
上三味，粗捣筛，每服一钱匕，水七分，入薤白两茎切，同煎至四分，去滓分温二服，
空心日晚各一，量儿大小加减。
治小儿血痢，腹痛减食，四肢瘦弱，渴不止。黄芩丸方
黄芩（去黑心） 地榆 龙骨 人参 白术 浓朴（去粗皮生姜汁炙锉各一两） 白茯
苓（
去黑皮） 漏芦（去芦头各一两半） 酸石榴皮（切炒三分）
右九味，捣罗为末，炼蜜和丸，如绿豆大，每服七丸空腹米饮下，日二，更量儿大小加
减服。
治小儿热痢不瘥，血脉妄行，变成血痢。青橘丸方
青橘皮（去白焙） 黄连（去须等分）
上二味，捣为末，用 猪胆汁和，即入胆内，以米泔煮熟取出，入麝香少许研匀，丸
如黍米大，每服十五丸，米饮下。
治小儿血痢烦躁方
上取蓝青汁，量儿大小，分减服之。
Commentary states: If heat-dysentery (Heat Dysentery) does not resolve, it transforms into bloody dysentery (Bloody Dysentery). This occurs because prolonged dysentery empties the intestines, allowing heat-toxin (Heat-Toxin) to stagnate. The blood vessels act recklessly, leaking into the intestinal cavity. Since the intestines are deficient, diarrhea ensues, thus forming bloody dysentery.
Qigen Yin Decoction for treating bloody dysentery in children:
Qian Gen (Radix Rubiae Millefolii, crushed, 1 liang), Di Yu (Radix Sanguisorbae, root crushed, 3 fen), Ma Lin Zi (Semen Iris Tectorii, slightly fried, 1 fen), Huang Lian (Rhizoma Coptidis, remove stamens), Huang Bo (Cortex Phellodendri, remove rough bark and slightly roast), Huang Qin (Radix Scutellariae, remove black heart, each 1.5 liang), Dang Gui (Radix Angelicae Sinensis, slice and bake, 1 liang).
The above seven herbs are coarsely pounded and sieved. For infants aged one to two years, administer one qian bi (approx. 3-5g) per dose with 7 parts water. Add 2 slices of Sheng Jiang (Rhizoma Zingiberis Recens), decoct together until 4 parts remain. Strain and divide into two warm doses. Take on an empty stomach and before evening meal, one dose each time. Adjust dosage according to the child's age and condition.
Huanglian Tang for treating unremitting bloody dysentery in children:
Huang Lian (Rhizoma Coptidis, remove stamens, 1.5 liang), Ai Ye (Folium Artemisiae Argyi, slightly fried, 1 fen), E Jiao (Colla Corii Asini, roasted until dry, 0.5 liang), Chi (Faba Fermentata, 10 grains fried until yellow and scorched).
The above four herbs are coarsely pounded and sieved. For infants aged one to two years, administer one qian bi per dose with 7 parts water. Add 2 cun of Cong Bai (Scallion White, including roots, chopped), decoct together until 4 parts remain. Strain and divide into three warm doses. Take on an empty stomach and in the afternoon, one dose each time. Adjust dosage according to the child's age and condition.
Another Huanglian Tang for treating unremitting bloody dysentery in children:
Huang Lian (Rhizoma Coptidis, remove stamens, 0.5 liang), Gan Cao (Radix Glycyrrhizae, roasted and crushed, 0.5 liang), Huang Yao Zi (Tuber Dioscoreae Hypoglaucae, 1 fen), Wu Lan Ye (Folium Isatidis, 1 fen), Zhi Zi Ren (Semen Gardenoliae, 2 pieces), Xi Jiao Xie (Cornu Rhinocerotis, shaved, 1 fen).
The above six herbs are coarsely pounded and sieved. For infants aged one to two years, administer one qian bi per dose with 7 parts water, decoct until 3 parts remain. Strain and divide into two warm doses. Take before meals, twice daily. Adjust dosage according to the child's age and condition.
Chugen Tang for treating indefinite bleeding from defecation in children:
Chu Gen Bai Pi (Cortex Ailanthi, roasted fragrant and crushed, 3 fen), Wu Shi Zi (Galla Chinensis, 1 piece), Rou Dou Kou (Semen Myristicae, remove shell, 1 piece), Qian Gen (Radix Rubiae Millefolii, crushed, 0.5 liang), Cha Mo (Tea Powder, 1 fen).
The above five herbs are coarsely pounded and sieved. Administer one qian bi per dose with 7 parts water, decoct until 4 parts remain. Strain and divide into two warm doses, once in the morning and once in the evening. Adjust dosage according to the child's age and condition.
Shexiang San for treating unremitting bloody dysentery in children:
She Xiang (Moschus, 1 qian), Lu Jiao (Cornu Cervi, shaved, 0.5 liang, slightly fried until scorched), Luan Fa Hui (Ash of tangled hair, 0.5 liang).
The above three ingredients are ground together into a powder. Administer half a qian bi per dose, mixed with millet gruel liquid. Take three to four times daily. Adjust dosage according to the child's age and condition.
Diyu Tang for treating bloody dysentery in children:
Di Yu (Radix Sanguisorbae, crushed), Huang Bo (Cortex Phellodendri, remove rough bark and slightly roast), Huang Lian (Rhizoma Coptidis, remove stamens), Huang Qin (Radix Scutellariae, remove black heart, each 1.5 liang), Ma Lin Zi (Semen Iris Tectorii, slightly roasted, 0.5 liang), Qian Gen (Radix Rubiae Millefolii, crushed, 1 liang).
The above six herbs are coarsely pounded and sieved. For infants aged one to two years, administer one qian bi per dose with half a zhan (cup) of water. Add 1 slice of Sheng Jiang (Rhizoma Zingiberis Recens), decoct together until 3 parts remain. Strain and divide into two warm doses. Take before meals, twice daily. Adjust dosage according to the child's age and condition.
Xiebai Yin for treating bloody dysentery in children:
Xie Bai (Bulbus Allii Macrostemonis, 10 stems, chopped), Xiang Chi (Faba Fermentata, 1 he), Shan Zhi Zi Ren (Semen Gardenoliae, 5 pieces), Huang Lian (Rhizoma Coptidis, remove stamens, 0.5 liang).
For the above four herbs, except for Xiang Chi and Xie Bai, coarsely pound and sieve the rest. For infants aged one to two years, administer one qian bi per dose with 7 parts water. Add 14 grains of Xiang Chi and 1 stem of Xie Bai (chopped), decoct together until 3 parts remain. Strain and divide into two warm doses. Adjust dosage according to the child's age and condition.
Guchang Wan for treating deficiency-cold slipping of the viscera, bloody diarrhea, and abdominal pain in children:
Huai E (Papilio Butea, 0.5 liang, fried until yellow), Rou Dou Kou (Semen Myristicae, 3 pieces wrapped in flour and roasted until fragrant), Gan Jiang (Rhizoma Zingiberis Preparatum, processed until cracked, 0.5 liang), Ku Fan (Alumen, 1 fen).
The above four herbs are pounded and ground into fine powder. Form pills using wheat paste, sized like hemp seeds. Administer with Ru Xiang Tang (Frankincense Decoction). For infants aged one to two years, administer ten pills per dose, twice daily.
Pi San for treating spleen-toxin bloody diarrhea in children:
Ci Pi (Cortex Magnoliae Officinalis, crushed), Chen Huai Hua (Flos Sophorae, aged), Bai Fan (Alumen), Lu Jiao Xie (Cornu Cervi, shaved, each 1 liang), Wang Gua (Fructus Trichosanthis, 0.5 liang).
The above five herbs are placed in a clay pot, sealed with salt mud until dry, and fired until red hot. Remove and grind into a fine powder. Administer half a qian bi per dose, mixed with 2-3 drops of fresh Sheng Jiang juice (Rhizoma Zingiberis Recens) and La Cha Qing (Winter Tea Infusion).
Diyu Wan for treating intestinal deficiency with abdominal distension and unremitting bloody diarrhea in children:
Di Yu (Radix Sanguisorbae, 1 liang), Cao Dou Kou (Semen Cardamomi, 3 pieces, processed and peeled), Huang (Radix Astragali, crushed, 1 liang), Zhi Ke (Fructus Aurantii, bran-fried, remove pith, 0.5 liang).
The above four herbs are pounded and sifted into fine powder. Form pills using wheat paste, sized like hemp seeds. For infants aged one to two years, administer ten pills per dose, taken with Cao Jie Tang (Grass Joint Decoction), three times daily.
Huhuanglian Wan for treating unremitting bloody dysentery in children:
Hu Huang Lian (Rhizoma Coptidis Chinensis), Huang Lian (Rhizoma Coptidis, remove stamens, each 0.5 liang), Ding Xiang (Flos Caryophylli), Lu Hui (Resina Aloes), Wu Ling Zhi (Faeces Trogopterori), Gan Jiang (Rhizoma Zingiberis Preparatum, processed until cracked), Bing Lang (Semen Arecae, crushed, each 1 fen), Mu Xiang (Radix Aucklandiae), She Xiang (Moschus, ground, each 1 qian).
The above nine herbs are pounded and ground into powder. Form pills using cooked dough (Chui Bing), sized like hemp seeds. Administer three to five pills per dose, adjusting according to the child's condition, taken with warm rice drink.
Xijiao Yin for treating bloody dysentery in children:
Xi Jiao (Cornu Rhinocerotis, sliced into powder, 0.5 liang), Ju Pi (Cortex Zelkovae, remove rough bark and slightly roast, 4 liang).
The above two herbs are coarsely pounded and sieved. For infants aged one to two years, administer one qian bi per dose with 7 parts water, decoct until 4 parts remain. Strain and divide into two warm doses. Take on an empty stomach and in the afternoon, one dose each time. Adjust dosage according to the child's age and condition.
Xiangchi Yin for treating toxic heat-blood dysentery in children:
Xiang Chi (Faba Fermentata, slightly fried, 1 fen), Zhi Zi (Fructus Gardenoliae, 5 pieces, remove skin), Huang Lian (Rhizoma Coptidis, remove stamens, 1 fen).
The above three herbs are coarsely pounded and sieved. Administer one qian bi per dose with 7 parts water. Add 2 stems of Xie Bai (Bulbus Allii Macrostemonis, chopped), decoct together until 4 parts remain. Strain and divide into two warm doses. Take on an empty stomach and in the morning/evening, one dose each time. Adjust dosage according to the child's age and condition.
Huangqin Wan for treating bloody dysentery, abdominal pain, reduced appetite, emaciated limbs, and unquenchable thirst in children:
Huang Qin (Radix Scutellariae, remove black heart), Di Yu (Radix Sanguisorbae), Long Gu (Os Draconis), Ren Shen (Radix Ginseng), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Nong Po (Cortex Magnoliae Officinalis, remove rough bark, ginger-juice roasted and crushed, each 1 liang), Bai Fu Ling (Poria, remove black skin), Lou Lu (Radix Raddeantherae, remove root head, each 1.5 liang), Suan Shi Liu Pi (Pericarpium Granati, chopped and fried, 3 fen).
The above nine herbs are pounded and sifted into powder. Mix with refined honey to form pills, sized like mung beans. Administer seven pills per dose with rice drink on an empty stomach, twice daily. Adjust dosage according to the child's age and condition.
Qingju Wan for treating unresolved heat-dysentery, reckless blood flow, and transformation into bloody dysentery in children:
Qing Ju Pi (Pericarpium Citri Reticulatae Viride, remove white pith and bake), Huang Lian (Rhizoma Coptidis, remove stamens, equal parts).
The above two herbs are pounded into powder. Mix with Pig Dan Huang (Bilis Suilla). Place back into the gallbladder, cook in rice wash water until done, then remove. Add a small amount of She Xiang (Moschus), grind evenly, and form pills sized like millet seeds. Administer fifteen pills per dose with rice drink.
Formula for treating bloody dysentery and irritability in children:
Obtain Lan Qing Zhi (Indigo Naturalis Juice). Administer in divided doses according to the child's age and condition.