论曰小儿痢下赤白，由脾胃不和，乳食所伤。留滞肠中，与津液相搏，肠虚则泄，故
为痢也。虚而有热则赤，虚而有寒则白，冷热不调，则赤白相兼，脓血杂下，故名赤白痢。
治小儿赤白痢，腹肚 痛，不思饮食羸瘦。赤石脂丸方
赤石脂 白矾（烧令汁尽） 诃黎勒皮 白术 黄 （锉） 浓朴（去粗皮生姜汁炙锉）
干
姜（炮一分）
上一十味，捣罗为末。炼蜜丸如麻子大，每服五丸，温米饮下，空心午后服，量儿大小
加减。
治小儿赤白痢不止。当归丸方
当归（切焙半两） 黄连（去须） 龙骨 人参（各一分） 无食子（炮二枚） 鹿角
（镑） 豉
（炒各一分）
上七味，捣罗为末，炼蜜丸如麻子大，每服五丸，温米饮下，空心午后服，量儿大小加
减。
治小儿下痢赤白。鹿角丸方
鹿角（镑） 芜荑仁（炒） 附子（炮裂去脐皮各一分） 赤石脂（半两）
上四味，捣罗为末，炼蜜和丸。如麻子大，每服五丸，温米饮下，空心日晚各一服，量
儿大小加减。
治小儿赤白痢，日夜三五十行。白术汤方
白术（一两一分） 干姜（炮一分） 白茯苓（去黑皮） 甘草（炙各一两） 附子（炮
裂去皮
脐半两）
上五味，粗捣筛。每服一钱匕，水半盏，煎至三分，去滓分温二服，空心食前服，量儿
大小加减。
治小儿赤白痢。人参汤方
人参（一两半） 浓朴（去粗皮生姜汁炙一两） 白茯苓（去黑心） 桔梗（锉炒各一
两一分） 榉皮（去粗皮炙二两） 甘草（炙一两一分）
上六味，粗捣筛。每服一钱匕，水半盏，煎至三分，去滓早晨午后服，量儿大小加减。
治小儿赤白痢腹痛，日夜频数。浓朴散方
浓朴（去粗皮生姜汁炙三分） 人参 赤石脂 龙骨（各一两） 地榆 干姜（炮） 当
归（
切焙各半两） 黄连（去须一两）
上八味，捣罗为散。每服半钱匕，空心米饮调下，午后再服，量儿大小加减。
治小儿赤白痢，日夜数十行，腹痛后重。犀角汤方
犀角（镑） 苦参 黄连（去须） 地榆 黄柏（去粗皮炙各一两）
上五味，粗捣筛。每服一钱匕，水半盏，煎至三分，去滓分温二服，空心午后服，量儿
大小加减。
治小儿赤白痢，久痢成疳。黄柏散方
黄柏（去粗皮炙） 黄连（去须） 桃白皮（炙锉） 胡粉（炒） 白茯苓（去黑皮各
一两） 丁
香（一分）
上六味，捣罗为散，每服半钱匕，米饮调下，空心午后服，量儿大小加减。
治小儿赤白痢，挟热多渴，宜服蓝叶汤方
蓝叶（一分） 黄连（去须半两） 白茯苓（去黑皮一分） 冬瓜子（炒半两）
上四味，粗捣筛。每服一钱匕，入蜜少许。水一小盏，煎至五分，去滓分温二服。空心
午后服，量儿大小加减。
治小儿赤白痢。鹿茸散方
鹿茸（去皮毛酥炙） 甘草（炙） 诃黎勒（煨去核各半两）
上三味，捣罗为散。每服半钱匕，食前日三，米饮调下，量儿大小加减。
治小儿赤白痢。黄连散方
黄连（去须） 槟榔（锉）
上二味，各捣罗为散。如患赤痢，黄连末二钱匕，槟榔末一钱匕，白痢黄连末一钱匕，
槟榔末二钱匕，和匀，每服半钱匕，米饮调下，量儿大小加减。
治小儿赤白痢，腹内疼痛烦渴。木香黄连散方
木香 黄连（去须各半两 诃黎勒炮去核十二枚） 肉豆蔻（去壳二枚） 甘草（炙半
两）
上五味，捣罗为散。每服半钱匕，米饮调下。
治小儿赤白痢，及水泻。麝香丸方
麝香（研半钱） 巴豆（七粒去皮水半盏用蛤粉一匙头同煮水尽去心膜细研） 丹砂（研）
硫黄（各一分研） 草乌头（炮去皮取末一钱） 砒霜（研半钱）
上六味，捣研为末。用枣肉和丸，如黍米大。每服一丸，水泻并痢，秋后蛤粉水下，夏
至后新汲水下，赤白痢。生姜汤下，更量儿大小，以意加减。
治小儿赤白痢。神捷散方
大枣（四枚） 栀子仁（五枚） 干姜（半栗子大）
上三味，并烧黑色，研为散，每服半钱匕，米饮调下。
治小儿赤白痢方
麻子（一两炒）
上一味，捣罗为散，蜜水调下半钱匕，食前，加减服。
治小儿赤白痢。龙骨散方
龙骨（研） 白石脂（研） 胡粉（炒） 白矾（枯过各一两） 诃黎勒皮（二两） 黄
连（去须） 陈橘皮（去白麸炒） 阿胶（炙燥） 当归（切焙） 人参 浓朴（去粗皮生
姜汁炙各一两半）
上一十一味，捣罗为散，每服一钱匕，空腹煮白粥饮调下，日二。
治小儿赤白痢。黄连丸方
黄连（去须） 龙骨 赤石脂 当归（锉炒各三分） 白石脂 乌梅肉（炒） 黄芩（去
黑心
各半两）
上七味，捣罗为末，炼蜜丸如梧桐子大，每服五丸，空腹煮白粥饮研下，日二服，渐加
至十丸。
治小儿赤白痢，里急后重。诃黎勒丸方
诃黎勒（煨去核） 地榆（去苗微炙） 酸石榴皮（炙焦） 高良姜 赤石脂（各半两）
吴茱
萸（汤洗焙干炒一分） 黄连（去须三分）
上七味，捣罗为末，炼蜜和丸，如麻子大，每服七丸，温米饮下，空心午后各一，看儿
大小，以意加减。
治小儿下痢赤白，乳食减少，腹痛满闷。中黄散方
定粉 铅丹（二味银器内同炒令赤） 海螵蛸 龙骨（各一钱） 诃黎勒（炮去核二钱）
上五味，捣罗为散，每服半钱匕，紫苏木瓜汤调下，量儿大小，加减服。
治小儿赤白痢，腹痛。黄连汤方
黄连（去须一两） 干姜（炮） 艾叶（炒各半两） 乌梅肉（三枚）
上四味 咀，每服二钱匕，以水八分一盏，煎去滓取三分，空腹温服。
Commentary states: Pediatric dysentery with passage of red and white stool results from disharmony of the Spleen and Stomach, caused by injury from milk and food. Pathogenic factors stagnate in the intestines, struggling with body fluids; intestinal deficiency leads to diarrhea, thus forming dysentery. Deficiency combined with heat manifests as red stool; deficiency combined with cold manifests as white stool. When cold and heat are unbalanced, red and white mix, and pus and blood descend together, hence named "Red-White Dysentery" (Chi Bai Li).
Formula for treating pediatric red-white dysentery accompanied by abdominal pain, anorexia, and emaciation: Chishizhi Wan (Red Halloysite Pill)
Ingredients include: Chishizhi (Red Halloysite), Baifan (Alum, calcined until juices run out), Helilepi (Pericarpium Chebulae), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix, sliced), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with ginger juice and sliced), Ganjiang (Dried Ginger, processed, 1 fen).
The above ten ingredients are crushed, sifted into powder. Refined honey is used to form pills the size of hemp seeds. Each dose consists of five pills, taken with warm rice water, on an empty stomach and in the afternoon. Dosage should be adjusted according to the child's age and size.
Formula for treating persistent pediatric red-white dysentery: Danggui Wan (Angelica Sinensis Pill)
Ingredients include: Danggui (Radix Angelicae Sinensis, cut and dried, half liang), Huanglian (Coptidis Rhizoma, remove stamens), Longgu (Fossilized Bones, 1 fen each), Renshen (Ginseng Radix, 1 fen each), Wushizi (Fructus Quisqualis, processed, two pieces), Lujiao (Deer Antler, shaved), Chi (Fermented Soybean, stir-fried, 1 fen each).
The above seven ingredients are crushed, sifted into powder. Refined honey is used to form pills the size of hemp seeds. Each dose consists of five pills, taken with warm rice water, on an empty stomach and in the afternoon. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric dysentery with red and white stool: Lujiao Wan (Deer Antler Pill)
Ingredients include: Lujiao (Deer Antler, shaved), Wuyiren (Semen Xanthocormatis, stir-fried), Fuzi (Prepared Aconiti Lateralis Radix, processed until cracked, navel and skin removed, 1 fen each), Chishizhi (Red Halloysite, half liang).
The above four ingredients are crushed, sifted into powder. Refined honey is used to bind and form pills the size of hemp seeds. Each dose consists of five pills, taken with warm rice water, once on an empty stomach and once in the evening. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery with thirty to fifty bowel movements per day: Baizhu Tang (Atractylodes Decoction)
Ingredients include: Baizhu (Atractylodis Macrocephalae Rhizoma, one liang and one fen), Ganjiang (Dried Ginger, processed, 1 fen), Baifuling (Poria, remove black skin), Gancao (Licorice Root, honey-fried, one liang each), Fuzi (Prepared Aconiti Lateralis Radix, processed until cracked, skin and navel removed, half liang).
The above five ingredients are coarsely crushed and sieved. Each dose uses one qianbi (approx. 3-5g) of powder, added to half zhan (approx. 100ml) of water, decocted until one-third remains. Strain and divide into two warm doses. Take on an empty stomach and before meals. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery: Renshen Tang (Ginseng Decoction)
Ingredients include: Renshen (Ginseng Radix, one liang and half), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with ginger juice, one liang), Baifuling (Poria, remove black heart), Jiegeng (Platycodonis Radix, sliced and stir-fried, one liang and one fen each), Jupipi (Celtis Cortex, coarse skin removed, stir-fried, two liang), Gancao (Licorice Root, honey-fried, one liang and one fen).
The above six ingredients are coarsely crushed and sieved. Each dose uses one qianbi of powder, added to half zhan of water, decocted until one-third remains. Strain and take in the morning and afternoon. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery with abdominal pain and frequent daily episodes: Houpo San (Magnolia Powder)
Ingredients include: Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with ginger juice, 3 fen), Renshen (Ginseng Radix), Chishizhi (Red Halloysite), Longgu (Fossilized Bones, one liang each), Diyü (Sanguisorbae Radix), Ganjiang (Dried Ginger, processed), Danggui (Radix Angelicae Sinensis, cut and dried, half liang each), Huanglian (Coptidis Rhizoma, remove stamens, one liang).
The above eight ingredients are crushed, sifted into powder. Each dose uses half a qianbi, taken on an empty stomach mixed with rice water, and again at noon. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery with dozens of bowel movements daily, abdominal pain, and tenesmus: Xijiao Tang (Rhinoceros Horn Decoction)
Ingredients include: Xijiao (Rhinoceros Horn, shaved), Kushen (Sophorae Flavescentis Radix), Huanglian (Coptidis Rhizoma, remove stamens), Diyü (Sanguisorbae Radix), Huangbai (Phellodendri Cortex, coarse skin removed, stir-fried, one liang each).
The above five ingredients are coarsely crushed and sieved. Each dose uses one qianbi of powder, added to half zhan of water, decocted until one-third remains. Strain and divide into two warm doses. Take on an empty stomach and in the afternoon. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery that has become chronic leading to infantile malnutrition (Gan syndrome): Huangbai San (Phellodendron Powder)
Ingredients include: Huangbai (Phellodendri Cortex, coarse skin removed, stir-fried), Huanglian (Coptidis Rhizoma, remove stamens), Taobaipi (Bark of Peach Tree White Layer, stir-fried and sliced), Hufen (Lead Carbonate, stir-fried), Baifuling (Poria, remove black skin, one liang each), Dingxiang (Caryophylli Flos, 1 fen).
The above six ingredients are crushed, sifted into powder. Each dose uses half a qianbi, taken mixed with rice water on an empty stomach and in the afternoon. Dosage should be adjusted according to the child's age and size.
For pediatric red-white dysentery complicated by excess heat and excessive thirst, Lan Ye Tang (Isatis Leaf Decoction) is suitable:
Ingredients include: Lan Ye (Isatis Leaf, 1 fen), Huanglian (Coptidis Rhizoma, remove stamens, half liang), Baifuling (Poria, remove black skin, 1 fen), Dongguazi (Benincasae Semen, stir-fried, half liang).
The above four ingredients are coarsely crushed and sieved. Each dose uses one qianbi of powder, add a small amount of honey, add one small zhan of water, decoct until two-fifths remain. Strain and divide into two warm doses. Take on an empty stomach and in the afternoon. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery: Lurong San (Deer Antler Velvet Powder)
Ingredients include: Lurong (Deer Antler Velvet, remove hair and skin, stir-fried with butter), Gancao (Licorice Root, honey-fried), Helile (Fructus Chebulae, baked, remove pits, half liang each).
The above three ingredients are crushed, sifted into powder. Each dose uses half a qianbi, taken before meals three times a day, mixed with rice water. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery: Huanglian San (Coptis Powder)
Ingredients include: Huanglian (Coptidis Rhizoma, remove stamens), Binglang (Arecae Semen, sliced).
The above two ingredients are separately crushed and sifted into powder. For red dysentery, use two qianbi of Huanglian powder and one qianbi of Binglang powder; for white dysentery, use one qianbi of Huanglian powder and two qianbi of Binglang powder. Mix evenly. Each dose uses half a qianbi, taken mixed with rice water. Dosage should be adjusted according to the child's age and size.
Formula for treating pediatric red-white dysentery with internal abdominal pain, restlessness, and thirst: Muxiang Huanglian San (Costus and Coptis Powder)
Ingredients include: Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma, remove stamens, half liang each), Helile (Fructus Chebulae, processed, remove pits, twelve pieces), Roudoukou (Myristicae Semen, remove shell, two pieces), Gancao (Licorice Root, honey-fried, half liang).
The above five ingredients are crushed, sifted into powder. Each dose uses half a qianbi, taken mixed with rice water.
Formula for treating pediatric red-white dysentery and watery diarrhea: Shexiang Wan (Musk Pill)
Ingredients include: Shexiang (Moschus, ground, half qian), Badou (Crotonis Fructus, seven grains, remove skin, boil in half zhan of water with one spoonful of Ge Fen [Clam Powder] until water evaporates, remove heart and membrane, finely ground), Dansha (Cinnabar, ground), Liuhuang (Sulfur, 1 fen each, ground), Caowutou (Aconiti Kusnezoffii Radix, processed, remove skin, take powder, one qian), Pishuang (Arsenic Trioxide, ground, half qian).
The above six ingredients are crushed and ground into powder. Mix with jujube flesh to form pills the size of millet seeds. Each dose is one pill. For watery diarrhea and dysentery, take with Ge Fen water after autumn, or fresh well water after Summer Solstice; for red-white dysentery, take with Ginger Decoction. Adjust dosage according to the child's age and size.
Formula for treating pediatric red-white dysentery: Shenjie San (Divine Swift Powder)
Ingredients include: Dazao (Jujube, four pieces), Zhiziren (Gardeniae Semen, five pieces), Ganjiang (Dried Ginger, size of half a chestnut).
The above three ingredients are all charred black, ground into powder. Each dose uses half a qianbi, taken mixed with rice water.
Formula for treating pediatric red-white dysentery: Maziren (Hemp Seed)
Ingredient: Maziren (Cannabis Fructus, one liang, stir-fried).
The above single ingredient is crushed, sifted into powder. Take half a qianbi mixed with honey water before meals. Adjust dosage as needed.
Formula for treating pediatric red-white dysentery: Longgu San (Fossil Bone Powder)
Ingredients include: Longgu (Fossilized Bones, ground), Baishizhi (White Halloysite, ground), Hufen (Lead Carbonate, stir-fried), Baifan (Alum, calcined, one liang each), Helilepi (Pericarpium Chebulae, two liang), Huanglian (Coptidis Rhizoma, remove stamens), Chenjupi (Citri Reticulatae Pericarpium, remove white pith, stir-fried with bran), Ejiao (Donkey-hide Gelatin, stir-fried until dry), Danggui (Radix Angelicae Sinensis, cut and dried), Renshen (Ginseng Radix), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with ginger juice, one liang and half each).
The above eleven ingredients are crushed, sifted into powder. Each dose uses one qianbi, taken on an empty stomach mixed with boiled white rice water, twice daily.
Formula for treating pediatric red-white dysentery: Huanglian Wan (Coptis Pill)
Ingredients include: Huanglian (Coptidis Rhizoma, remove stamens), Longgu (Fossilized Bones), Chishizhi (Red Halloysite), Danggui (Radix Angelicae Sinensis, sliced and stir-fried, 3 fen each), Baishizhi (White Halloysite), Wumei Rou (Fructus Mume, stir-fried), Huangqin (Scutellariae Radix, remove black heart, half liang each).
The above seven ingredients are crushed, sifted into powder. Refined honey is used to form pills the size of Sophora seeds. Each dose uses five pills, taken on an empty stomach mixed with boiled white rice water, twice daily. Gradually increase to ten pills.
Formula for treating pediatric red-white dysentery with tenesmus: Helile Wan (Chebulae Fruit Pill)
Ingredients include: Helile (Fructus Chebulae, baked, remove pits), Diyü (Sanguisorbae Radix, remove roots, slightly stir-fried), Suan Shiliupi (Pericarpium Punicae, stir-fried until charred), Gaoliangjiang (Alpiniae Katsumadai Rhizoma), Chishizhi (Red Halloysite, half liang each), Wuzhuyu (Evodiae Fructus, washed with water, dried, stir-fried, 1 fen), Huanglian (Coptidis Rhizoma, remove stamens, 3 fen).
The above seven ingredients are crushed, sifted into powder. Refined honey is used to bind and form pills the size of hemp seeds. Each dose uses seven pills, taken with warm rice water, once on an empty stomach and once in the afternoon. Observe the child's condition and adjust dosage accordingly.
Formula for treating pediatric dysentery with red and white stool, reduced milk/food intake, and abdominal distension/pain: Zhonghuang San (Middle Yellow Powder)
Ingredients include: Dingfen (Basic Lead Carbonate), Qiandan (Red Lead) (These two ingredients are stir-fried together in a silver vessel until red), Haipiaoxiao (Sepiae Endoconcha), Longgu (Fossilized Bones, one qian each), Helile (Fructus Chebulae, processed, remove pits, two qian).
The above five ingredients are crushed, sifted into powder. Each dose uses half a qianbi, taken mixed with Perilla and Papaya Decoction. Adjust dosage according to the child's age and size.
Formula for treating pediatric red-white dysentery with abdominal pain: Huanglian Tang (Coptis Decoction)
Ingredients include: Huanglian (Coptidis Rhizoma, remove stamens, one liang), Ganjiang (Dried Ginger, processed), Aiye (Artemisiae Argyi Folium, stir-fried, half liang each), Wumei Rou (Fructus Mume, three pieces).
The above four ingredients are chopped. Each dose uses two qianbi, added to eight-tenths of a zhan of water, decocted to remove dregs and obtain three-tenths of liquid. Take warm on an empty stomach.