病源水谷痢者,由体虚腠理开,血气虚,春伤于风,邪气留连在肌肉之间,后遇脾胃大
肠虚
之脏
大肠
肠也
处,
入于
胃风
洞
疗
脉
涩
气
外
成
广济疗赤白水谷冷热等痢方。
地榆(六分) 白术(五分) 赤石脂(七分研) 浓朴(六分炙) 干姜(六分) 熟
艾(四分) 龙骨(七分) 甘草(四分炙) 黄连(十分) 乌梅(六分熬) 人参(六
分) 当归(五分)
上十二味捣筛为末,蜜丸以米饮汁服二十丸如梧桐子大,日三服,加至三十丸。(出第
四卷中)
集验论黄帝问曰∶人若溏泄下痢者,何也。对曰∶春伤于风,夏生溏泄,肠 久风,亦
为溏泄也。
又疗热水谷下痢。黄连阿胶汤方。
黄连 阿胶(炙各二两) 栀子(三十枚) 乌梅(二十枚) 黄柏(一两)
上五味切,以水七升,煮取二升半,分为再服神良。(备急同肘后名乌梅汤疗热下 )
又方
黄连(一升金色者) 陈米(五合)
上二味,以水七升,煮取二升,分再服。(肘后文仲同并出第四卷中)
删繁疗中焦热水谷下痢。蓝青丸方。
蓝青(汁三升) 黄连(八两) 黄柏(四两) 阿胶(五两) 白术 地榆 地肤子 乌
梅肉
(各三两)
上八味捣筛为散,用蓝汁和,微火上煎取可为丸,丸如杏子大,饮进三丸。(出第四卷
中)
崔氏疗水谷痢方。
干姜(三分) 鸡子(二枚) 小豆(二百粒炒令香) 黄连(三分)
上四味,捣筛三味,纳鸡子黄白中,熟搅令相得,微火上炒,令可丸。一服五十丸如小
豆大,旦以饮服,瘥即停。(出第三卷中)
文仲疗因仲夏热多,令人发水谷痢,肠中鸣转,一泻五六升水方。
黄连(去毛) 浓朴(各三两)
上二味切,以水三升,煮取一升顿服之。(出第三卷中)
必效疗水谷痢方。
小豆(一升煮) 腊(二两煮)
上三味和,顿服之即愈。
又方
棕 皮(烧灰)
上一味研,以水和服三方寸匕。(并出第二卷中)
古今录验疗热水谷下痢方。
黄连 阿胶(各二两) 栀子(二十枚)
上三味切,以水七升,煮取二升,分为三服。
又方
黄连 当归 甘草(炙各二两) 酸石榴皮(三两)
上四味切,以水三升,煮取一升半,分为三服。(并出第十卷中)
The *Bing Yuan* (Source of Diseases) discusses Shuigu Dysentery (Water and Grain Dysentery), stating that it arises from a weak constitution with open Cou Li (skin texture and pores), deficiency of Blood and Qi, contracting Wind pathogen in spring. The pathogenic factor lingers between the muscles. Subsequently, encountering deficiency in the Spleen, Stomach, and Large Intestine organs, the pathogen enters these areas.
Guangji Fang (Broad Aid Formula) for treating various types of dysentery including red-and-white, water-and-grain, cold, and hot patterns:
Di Yu (Sanguisorbae Radix, 6 fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 fen) Chi Shi Zhi (Halloysit Rubrum, 7 fen, ground) Hou Po (Magnoliae Officinalis Cortex, 6 fen, processed with heat) Gan Jiang (Zingiberis Rhizoma, 6 fen) Shu Ai Ye (Artemisiae Argyi Folium, cooked, 4 fen) Long Gu (Fossilia Ossis Mastodi et Scapulae, 7 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen, processed with heat) Huang Lian (Coptidis Rhizoma, 10 fen) Wu Mei (Mume Fructus, 6 fen, boiled) Ren Shen (Ginseng Radix, 6 fen) Dang Gui (Angelicae Sinensis Radix, 5 fen).
Crush and sieve the above twelve herbs into powder. Mix with honey to form pills the size of Sophora japonica seeds. Take 20 pills with rice water decoction three times daily, increasing up to 30 pills. (From Volume IV)
Ji Yan Lun (Collected Proven Experiences): The Yellow Emperor asked, "What causes loose stools and dysentery?" The response was, "Contracting Wind in spring leads to loose stools in summer; chronic Wind in the intestines also results in loose stools."
Another formula for treating Hot Water-and-Grain Dysentery: Huanglian Ejiao Tang (Coptidis Rhizoma and Donkey-Hide Gelatin Decoction).
Huang Lian (Coptidis Rhizoma) Ejiao (Asini Corii Colla, processed with heat, 2 liang each) Zhi Zi (Gardeniae Fructus, 30 pieces) Wu Mei (Mume Fructus, 20 pieces) Huang Bo (Phellodendri Cortex, 1 liang).
Chop the above five herbs. Boil in 7 sheng of water until reduced to 2.5 sheng. Divide into two doses. Highly effective. (Named Wumei Tang in Bei Ji Qian Jin Yao Fang and Zhou Hou Bei Ji Fang for treating hot dysentery).
Another formula:
Huang Lian (Coptidis Rhizoma, 1 sheng, golden variety) Chen Mi (Old Rice, 5 he).
Boil the above two herbs in 7 sheng of water until reduced to 2 sheng. Divide into two doses. (Identical to Wen Zhong's version in Zhou Hou Bei Ji Fang, from Volume IV).
Shan Fan (Eliminating Redundancy) formula for Middle Jiao Damp-Heat causing Water-and-Grain Dysentery: Lan Qing Wan (Indigo Plant Juice Pills).
Lan Qing (Indigo Plant Juice, 3 sheng) Huang Lian (Coptidis Rhizoma, 8 liang) Huang Bo (Phellodendri Cortex, 4 liang) Ejiao (Asini Corii Colla, 5 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Di Yu (Sanguisorbae Radix) Di Fu Zi (Kochiae Fructus) Wu Mei Rou (Mume Fructus Pulp, 3 liang each).
Pulverize the above eight herbs. Mix with Indigo juice and simmer over low heat until moldable. Form pills the size of apricot seeds. Take 3 pills with drinking water. (From Volume IV).
Cui Shi's formula for Water-and-Grain Dysentery:
Gan Jiang (Zingiberis Rhizoma, 3 fen) Ji Zi (Chicken Egg, 2 pieces) Xiao Dou (Adzuki Bean, 200 grains, fried until fragrant) Huang Lian (Coptidis Rhizoma, 3 fen).
Pulverize the first three herbs. Mix with the whole chicken egg (yolk and white). Stir well and stir-fry over low heat until moldable. Take 50 pills the size of adzuki beans in the morning with water. Stop when cured. (From Volume III).
Wen Zhong's formula for Water-and-Grain Dysentery caused by excessive heat and humidity in midsummer, characterized by borborygmus and diarrhea of 5-6 sheng of watery stool:
Huang Lian (Coptidis Rhizoma, de-haired) Hou Po (Magnoliae Officinalis Cortex, 3 liang each).
Chop the above two herbs. Boil in 3 sheng of water until reduced to 1 sheng. Take all at once. (From Volume III).
Bi Xiao (Immediate Effect) formula for Water-and-Grain Dysentery:
Xiao Dou (Adzuki Bean, 1 sheng, boiled) La (Cured Meat, 2 liang, boiled).
Mix the above ingredients and take all at once for immediate cure.
Another formula:
Zong Lu Pi (Livistona Chinensis Fruit Husk, burnt to ash).
Grind the single herb. Mix with water and take one Fang Cun Bi (square inch spoonful). (From Volume II).
Gu Jin Lu Yan (Recorded Experiences of Past and Present) formula for Hot Water-and-Grain Dysentery:
Huang Lian (Coptidis Rhizoma) Ejiao (Asini Corii Colla, 2 liang each) Zhi Zi (Gardeniae Fructus, 20 pieces).
Chop the above three herbs. Boil in 7 sheng of water until reduced to 2 sheng. Divide into three doses.
Another formula:
Huang Lian (Coptidis Rhizoma) Dang Gui (Angelicae Sinensis Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma, processed with heat, 2 liang each) Suan Shi Liu Pi (Punica Granatum Pericarpium, 3 liang).
Chop the above four herbs. Boil in 3 sheng of water until reduced to 1.5 sheng. Divide into three doses. (From Volume X).