夫小儿曩痢者。由秋夏晨朝。多中暴冷之气。冷气折其四肢。则热不可泄。热气入腹。
则变为痢。或作赤白。小腹胀痛。肌体壮热。其脉洪大急数。皆由冷热气相并。连滞不瘥。
故为
治小儿曩痢不止。腹痛。肉豆蔻散方。
肉豆蔻（一分去壳） 干姜（一分炮裂锉） 浓朴（一分去粗皮涂生姜汁炙令香熟） 朱
砂（一分细研） 龙骨（一分） 诃黎勒（一分煨用皮） 茅香（一分锉） 枳壳（一分麸炒
上件药。细罗为散。每服。以温浆水调下半钱。日三四服。量儿大小。加减服之。
治小儿曩痢。两胁虚胀。腹痛。不欲饮食。浓朴散方。
浓朴（一分去粗皮涂生姜汁炙令香熟） 枳壳（一分麸炒微黄去瓤） 诃黎勒（一分煨
当
上件药。捣细罗为散。每服。以米饮调下半钱。日三四服。量儿大小。加减服之。
治小儿曩痢。经久不断。增减有时。黄连丸方。
黄连（半两去须微炒） 甘草（半两炙微赤锉） 人参（半两去芦头） 赤石脂（半两）
乌梅肉（一分微炒） 龙骨（半两） 浓朴（半两去粗皮涂生姜汁炙令香熟） 枳壳（半两麸炒
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以粥饮下七丸。日三四服。量儿大小。
临
治小儿曩痢久不瘥。腹多鼓胀。痢如枣花。宜服通玄丹方。
巴豆（一两） 油（一升） 麝香（一钱细研）
上件药。先将油于铛内。以急火煎巴豆。看爆出者收之。去皮心。纸裹压去油。入麝香
研。
Pediatric nang dysentery arises from frequent exposure to sudden cold qi in the mornings during summer and autumn. The cold qi obstructs the four limbs, preventing the release of internal heat. When this heat qi enters the abdomen, it transforms into dysentery. Stools may appear red or white, accompanied by distension and pain in the lower abdomen, and high fever. The pulse is surging (Hong), rapid, and urgent. These conditions result from the binding of cold and heat qi, leading to chronic persistence without recovery.
Therefore, for treating persistent pediatric nang dysentery with abdominal pain: Rou Dou Kou San Formula.
Ingredients: Myristicae Semen (Rou Dou Kou) (1 fen, shell removed); Zingiberis Rhizoma Preparatum (Gan Jiang) (1 fen, processed until cracked and sliced); Magnoliae Officinalis Cortex (Nong Pu) (1 fen, outer bark removed, brushed with fresh ginger juice, roasted until fragrant and cooked); Cinnabaris (Zhu Sha) (1 fen, finely ground); Os Draconis (Long Gu) (1 fen); Terminaliae Chebulae Fructus (He Li Le) (1 fen, roasted, using the peel); Acori Tatarinowii Rhizoma (Mao Xiang) (1 fen, sliced); Aurantii Fructus Immaturus (Zhi Ke) (1 fen, bran-fried).
The above ingredients are finely sifted to make a powder. Each dose consists of half qian, mixed with warm fermented grain water (jiang shui), taken three to four times daily. Dosage should be adjusted according to the child's age.
For treating pediatric nang dysentery with empty distension in both hypochondria, abdominal pain, and loss of appetite: Nong Pu San Formula.
Ingredients: Magnoliae Officinalis Cortex (Nong Pu) (1 fen, outer bark removed, brushed with fresh ginger juice, roasted until fragrant and cooked); Aurantii Fructus Immaturus (Zhi Ke) (1 fen, bran-fried until slightly yellow, pith removed); Terminaliae Chebulae Fructus (He Li Le) (1 fen, roasted).
The above ingredients are crushed and finely sifted to make a powder. Each dose consists of half qian, mixed with rice drink (mi yin), taken three to four times daily. Dosage should be adjusted according to the child's age.
For treating pediatric nang dysentery that persists for a long time with fluctuating severity: Huang Lian Wan Formula.
Ingredients: Coptidis Rhizoma (Huang Lian) (0.5 liang, mustache roots removed, lightly fried); Glycyrrhizae Radix et Rhizoma (Gan Cao) (0.5 liang, honey-fried until slightly red and sliced); Ginseng Radix (Ren Shen) (0.5 liang, radix tip removed); Halloysit Rubrum (Chi Shi Zhi) (0.5 liang); Pruni Mume Carnis (Wu Mei Rou) (1 fen, lightly fried); Os Draconis (Long Gu) (0.5 liang); Magnoliae Officinalis Cortex (Nong Pu) (0.5 liang, outer bark removed, brushed with fresh ginger juice, roasted until fragrant and cooked); Aurantii Fructus Immaturus (Zhi Ke) (0.5 liang, bran-fried).
The above ingredients are crushed, sifted into powder, and mixed with refined honey to form pills the size of sesame seeds. Each dose consists of seven pills, taken with porridge drink, three to four times daily. Dosage should be adjusted according to the child's age.
For treating prolonged pediatric nang dysentery not recovering, with frequent abdominal drum-like distension and stools resembling date blossoms, the suitable prescription is Tong Xuan Dan Formula.
Ingredients: Crotonis Fructus (Ba Dou) (1 liang); Oil (You) (1 sheng); Moschus (She Xiang) (1 qian, finely ground).
First, place the oil in a pan and fry the Ba Dou over high heat. Collect those that pop out. Remove the skin and heart, wrap in paper, and press to remove excess oil. Then mix with the ground She Xiang.