汉东王先生《家宝》治小儿下痢，肠虚胃冷，或毒瓦斯蕴积。其大肠虚者则变血痢，其痢状血色，蕴瘀如鸡
鸭肝，随痢下是也。宜服 汤丸。（方见本门。）
《小儿形证论》四十八候五色痢歌∶
五色之痢最多端，见此方知有五般。青色只因惊积聚，黄多食积在脾间。白色冷虚肠胃患，赤为积热最难
安。鸡肝隐积多成片，黑血相和不易安。肤搐胸高兼露齿，脸红筋出每居前。急安脏腑和汤散，医者留心按古贤。
又歌曰∶
五色之痢莫言奇，四岁之前始有之。青色只因惊积聚，黄因食积毒于脾。赤黑已知心肾病，白多残害是脾
为。三七以前无变动，休令多睡饮餐迟。
此疾且须和五脏，补荣卫方，渐渐安愈。如目肿不进饮食，只与调胃散补之（方见积热门中）。
翰林待诏杨大邺小儿五色痢候歌∶
痢色原因有五般，治患先须仔细看。青色只因惊积聚，黄多有毒在脾间。赤色还知心肾病，白多应是肺家
寒。二七以前无变动，莫交绝食命倾残。
此候须是安和五脏，调其荣卫，始得安然。如目肿不吃食，乃恶候也。先调荣卫，后随形候用药，勿令瘥
误，切须用意，况十中不得三、五再生。
汉东王先生《家宝》治小儿泻痢，五色脓血如烂鱼肠，并无大便，只是脓血，肠中搅痛。 汤丸方
粉霜 轻粉 砂（各秤一钱） 朱砂（炒，一钱匕） 白丁香（匙炒四钱） 乳香（秤半钱，别研） 巴豆（七
粒，去皮、心，不出油）
上为末，蒸枣肉丸。每服婴孩三丸如粟米大。二、三岁如大麻子大。四、五岁亦如麻子大，并旋HT 成丸，
煎汤吞下，一日二服，间调胃气药与之。
《三十六种》内治下五色恶物，心神烦热不止方。
地榆 白茯苓 黄柏（炙。各一两）
上为末。每服一钱，水一盏煎至五分，去滓，分三服。
《张氏家传》治小儿赤白，或五色积痢。三霜丸方
巴豆（去皮，拣选白色肥好者秤三钱，研细，先用白绢包三、二十重，次用白纸外面包定，大石压令油尽，秤取二
钱，轻者为用） 真轻粉（名水银粉，又名腻粉） 粉霜（各秤一钱）
上三味同研匀极细，别取好黄蜡三钱，调煮三、二十沸，取出去酒令净，再溶，入药和之。如有煮酒蜡，
亦堪用，和成剂，油单内盛。如服食旋丸如小绿豆大。三岁以下如粟米大。每服三、五丸，温熟水下。此方
西京龙门山文太师药寮内真珠泉南壁石上刻。量儿子大小加减服之。
《吉氏家传》治五色痢，兼渴不止方。
茯苓 宣连 黄柏（各等分）
上件取黄柏末，以浆水如面糊良久，和前二味为丸如绿豆大。三岁，米饮下七丸。杀疳，熟水下五丸。
《吉氏家传》治五色痢至圣丸方
浓朴（去皮，姜制） 黄柏（略去皮，以鸡子白涂，炙黄熟，如干再上） 当归（酒浸一宿）
上三味等分细末，炼蜜为丸如梧桐子大。小儿细丸，浓朴汤下。每服四十丸加减。
长沙医者郑愈传 治疳痢，五色痢。定粉散方
定粉 龙骨 黄丹（ 过。各二钱） 诃子（三个， 熟取肉）
上为末，每服半钱，粥饮下。三岁以上半钱。
Mr. Wang of Handong's *Jiabao* treats pediatric dysentery caused by intestinal deficiency, stomach coldness, or the accumulation and retention of toxic qi. If the large intestine is deficient, it transforms into bloody dysentery; the stool appears bloody, with clotted blood resembling chicken or duck liver, discharged along with the dysentery. It is suitable to take decoctions or pills (see formula in this section).
The rhyme from *Xiao'er Xingzheng Lun* regarding the forty-eight types of five-colored dysentery:
Five-colored dysentery has the most diverse causes; seeing this indicates there are five types. Green color is solely due to fright causing qi stagnation and accumulation; yellow color mostly indicates food retention in the spleen. White color is a disorder of cold deficiency in the intestines and stomach; red color is due to accumulated heat, which is hardest to soothe. Dysentery resembling chicken liver implies hidden accumulation often in chunks; black blood mixed together is difficult to stabilize. If accompanied by skin twitching, chest protrusion, and exposed teeth, along with red cheeks and visible meridians, these are often precursors. Urgently settle the zang-fu organs and harmonize the tang-san (powder/decoction); physicians must pay attention and follow the ancients' wisdom.
Another rhyme states:
Do not consider five-colored dysentery strange; it begins before the age of four. Green color is solely due to fright causing qi stagnation; yellow is due to food retention toxins in the spleen. Red and black indicate heart and kidney diseases; white color excessively harms the spleen. Before three-seven [months/units], there are no changes; do not allow excessive sleep, and delay in feeding/drinking should be avoided.
This disease requires first harmonizing the five zang organs, using formulas to tonify Ying and Wei (nutritive and defensive qi), so that gradual recovery occurs. If eyes swell and the child refuses food, only administer Tiaowei San (Stomach-Harmonizing Powder) to tonify (see formula in the Food Retention section).
Yang Daye, Hanlin Daizhao, on the prognosis of pediatric five-colored dysentery:
The causes of dysentery colors have five types; treating the patient requires careful observation. Green color is solely due to fright causing qi stagnation; yellow color often has toxins in the spleen. Red color indicates heart and kidney diseases; white color suggests lung cold. Before two-seven [months/units], if there are no changes, do not let the child fast, lest life be endangered.
This condition requires settling and harmonizing the five zang organs, regulating Ying and Wei, to achieve peace. If eyes swell and the child does not eat, it is a malignant sign. First regulate Ying and Wei, then medicate according to specific symptoms. Do not let misdiagnosis lead to error; one must apply oneself diligently, as among ten cases, three or five may survive, and regeneration is rare.
Mr. Wang of Handong's *Jiabao* treats pediatric diarrhea and dysentery where five-colored pus and blood resemble rotten fish intestines, with no normal stool, only pus and blood, and churning pain in the intestines. Pill Formula:
Fenshuang (Lead Subcarbonate), Qingfen (Calomel), Sha (Realgar, each weighed 1 qian), Zhusha (Cinnabar, stir-fried, 1 qian bi), Baidingxiang (Vomit Stone, stir-fried with spoon, 4 qian), Ruxiang (Frankincense, weighed 0.5 qian, separately ground), Badou (Croton Seed, 7 grains, peeled, core removed, without oil release).
Grind the above into powder, mix with steamed jujube pulp to make pills. For infants, take 3 pills the size of millet seeds. For 2-3 years old, the size of hemp seeds. For 4-5 years old, the size of sesame seeds. Make fresh pills, swallow with decoction, twice a day, intermittently administering Stomach-Harmonizing Qi medicines alongside.
From *San Shi Liu Zhong*, a formula for lower dysentery with five-colored foul matter and incessant mental restlessness and heat:
Diyu (Sanguisorba Root), Baifuling (Poria with Hostwood), Huangbai (Phellodendron Bark, processed with fire. Each 1 liang).
Grind the above into powder. Take 1 qian per dose, decoct with one cup of water until reduced to half a cup, remove dregs, divide into three doses.
Zhang Family Tradition, Three-Frost Pills for pediatric red-white dysentery or five-colored accumulated dysentery:
Badou (Croton Seed, peeled, select white and plump ones, weigh 3 qian, grind finely, wrap first in white silk 30-20 layers, then outer layer of white paper, press with heavy stone until oil is gone, take 2 qian of the light substance), Zhenqingfen (True Calomel, also known as Mercury Powder or Ni Fen), Fenshuang (Lead Subcarbonate, each weighed 1 qian).
Grind the three ingredients together extremely finely. Separately take 3 qian of good yellow beeswax, boil in wine for 30-20 boils, remove and drain the wine completely, melt again, add medicine and mix. Wine-boiled wax can also be used. Form into paste, store in oiled paper. When taking, form fresh pills the size of small mung beans. For under 3 years, size of millet seeds. Take 3-5 pills per dose, wash down with warm cooked water. This formula was carved on the south wall stone of the Zhenzhu Spring in Master Wen Tai's Medicine Pavilion at Longmen Mountain, Xijing. Adjust dosage according to the son's size.
Ji Family Tradition, for five-colored dysentery with incessant thirst:
Fuling (Poria), Xuanlian (Scutellaria Baicalensis), Huangbai (Phellodendron Bark, equal parts).
Take the Huangbai powder, soak in fermented rice water like batter for a long time, mix with the other two ingredients to form pills the size of mung beans. For 3 years old, take 7 pills with rice drink. To treat Gan syndrome (childhood malnutrition/digestive disorder), take 5 pills with cooked water.
Ji Family Tradition, Supreme Holy Pills for five-colored dysentery:
Houpo (Magnolia Bark, peeled, ginger-processed), Huangbai (Phellodendron Bark, slightly peeled, coated with egg white, roasted until yellow and cooked, re-coat if dry), Danggui (Angelica Sinensis, soaked in wine overnight).
Grind the three ingredients equally into fine powder, refine honey to form pills the size of paulownia seeds. For children, make smaller pills, take with Houpo decoction. Take 40 pills per dose, adjust as needed.
Zheng Yu, a physician from Changsha, passed down Dingfen San for Gan dysentery and five-colored dysentery:
Dingfen (Minium/Red Lead), Longgu (Fossilized Bone), Huangdan (Red Lead, calcined. Each 2 qian), Hezi (Chebula Fruit, 3 pieces, roasted and flesh taken).
Grind into powder. Take 0.5 qian per dose, wash down with porridge drink. For over 3 years, take 0.5 qian.