《巢氏病源》小儿蛊毒痢候∶岁时寒暑不调，而有毒厉之气。小儿解脱，为其所伤。邪与血气相搏，入于
肠胃，毒瓦斯蕴积，值大肠虚者，则变痢血。其痢状血色，蕴瘀如鸡鸭肝片，随利下。此是毒瓦斯盛热，食于入脏，
状如中蛊，故谓之蛊毒痢也。
《石壁经》三十六种内脾毒痢候歌∶
脾间有毒号纯阳，本为医人热药伤。致使大肠多结涩，多饶滴血在枯肠。如风腹闭难开眼，身热头温脚转
凉。舌赤胸高为此候，多啼喘急细消详。（四十八候云∶更如狂。）
先须解热并开胃，便是明医用药良。此脾受热积失治，伏毒治当以凉脾，次去其积。若胸前骨忽然高者，
更加啼急则不治也。
《凤髓经》歌括同。有注云∶宜与金华散、香连丸。（香连丸方见冷热痢门，吉氏方同。金华散方见实热门中。）
《小儿形证论》四十八候脾毒痢歌一同。后云∶此候脏腑有积，或痢赤，不宜热药，宜用开胃散 （方见赤痢门中）
兼利药，量虚实，微取大抵当宣转。
《小儿形证论》四十八候风毒痢歌∶
八痢之中风转难，形如青草汁多般。毒风豆汁添邪热，胃败鸡肝片片全。加赤不须先下积，闭眸食绝不堪
看。若归白痢还须下，脏腑频温得本源。
《千金》治下血状如鸡肝，腹中搅痛难忍，号蛊毒痢方（此方乃人以谓八物茜根汤者。）
茜根 升麻 犀角（各三两） 桔梗 黄柏 黄芩（各二两） 地榆 白 荷（各四两）
上八味 咀，以水九升煮取二升半，分三服。此蛊痢血用之。小儿分减服。
《千金》治小儿蛊毒痢方。
上用蓝青汁一升二合分为四服。
《图经》治蛊痢方。
侧柏叶（焙干为末） 川大黄（等分）
上二味同煎为汁服之，以疗男子、妇人、小儿大腹下黑血茶脚色，或脓血如淀，所谓蛊痢者，治之有殊效。
又能杀五脏蛊。
《子母秘录》小儿蛊毒痢方。
上用生地黄汁一升二合，分三、四服，立效。（《千金》收治脓血痢。）
《圣惠》治小儿蛊毒痢不止，身体壮热烦闷。 荷散方
白 荷根 川升麻（各一两） 败鼓皮（一分，烧黄焦） 甘草（炙微赤，锉） 干蓝叶（各半两） 赤芍药 犀
角屑（各三分）
上件药捣，粗罗为散。每服一钱，以水一小盏入豉二、七粒，煎至五分，去滓，不计时候。量儿大小分减温服。
《圣惠》治小儿蛊毒痢血，体瘦。黄连散方
黄连（一两去须微炒） 败鼓皮（炙令黄焦） 白头翁 甘草（炙微赤，锉） 蓝青（各半两） 犀角（屑） 白
荷根 黄芩 茜根（锉。各三分）
上件药捣，粗罗为散。每服一钱。以水一小盏煎至五分，去滓，放温，不计时候。量儿大小分减服之。
《圣惠》治小儿蛊毒血痢发盛，心神烦闷，腹胀，不欲饮食。犀角散方
犀角（屑） 白 荷根 地榆（微炙，锉） 桔梗（去芦头） 苏木（锉。各等分）
上件药捣，粗罗为散。每服一钱。以水一小盏煎至五分，去滓，不计时候。量儿大小分减温服。
《婴孺》治小儿蛊毒痢 荷根汤方
白 荷根（八分） 犀角 谷皮（四寸，炙） 升麻（十分） 甘草（四分，炙） 蓝青（一升） 豉（三合） 芍
药（七分）
上以水四升煮一升二合。二岁儿为三服。
《婴孺》治小儿谷痢挟毒，犀角煎方
地脉草 黄连 葳蕤（各十二分） 黄柏 竹茹 茜草（各八分） 蜜（一升） 人参（六分） 牡蛎（十分） 梁
州榉皮（十四分） 干蓝（四分） 犀角（屑） 甘草（各五分）
上切，以水一斗煮及二升半，绞去滓，下蜜，火上煎，余二升。三岁一合。三、四岁一合半，日二夜一。量与之。
张涣谨按∶小儿岁时，寒暑不调，而有毒厉之气入于肠间，其痢状如鸡鸭肝片，随痢而下，乃名蛊毒痢。及肛
门脱出，宜白头翁散祛毒止痢方。
白头翁 黄连（去须，微炒） 茜根（锉，焙干） 苏枋木 故旧豉皮（炙令黄焦。各一两） 犀角（屑） 地榆
（炙，锉。各半两） 甘草（炙，一分）
上件捣，罗为细末。每服一钱。水一小盏煎六分，去滓服。量儿大小加减，乳食前。
张涣地榆丹 消毒止痢方。
地榆（炙，锉） 黄连 干蓝叶 川升麻（各一两） 川楝子 苦楝根（各半两）
上件捣，罗为细末，软饭和丸黍米大。每服十粒，米饮下。量儿大小加减，乳食前。
《四十八候》治毒痢宣连丸方
宣连（一钱，作散，用鸡子清和作饼，于瓦上烧干，再为末） 肉豆蔻（一个，去心脐，内入乳香，不拘多少，纸
裹，火煨黄色） 朱砂 木香（各半钱） 杏仁（七粒，和皮烧） 巴豆（四粒，烧七粒亦得）
上为末，醋糊丸如萝卜子大，陈米饮下七粒。赤痢，槐花汤下。
《宝童方》治脏毒痢，为吃诸药不愈者。
槐花（半两，炒） 白矾（一两）
上为末。每服一钱，用陈米饮下。
《孔氏家传》治蛊短剧方。
上取荠 根捣末，以饮服方寸匕，立瘥。一方可入地榆、臭椿根同服。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of pediatric Gu poison dysentery: When the seasonal cold and heat are disordered, there exists toxic and pestilential Qi. Children with loose pores are injured by it. The pathogenic factor contends with blood and Qi, entering the intestines and stomach. Toxic heat accumulates; when the large intestine is deficient, it transforms into bloody dysentery. The appearance of the dysentery involves blood clots resembling slices of chicken or duck liver, which are passed with the stool. This occurs because toxic heat is abundant and attacks the zang organs, presenting symptoms similar to being poisoned by Gu, hence it is called Gu poison dysentery.
The song from *Shi Bi Jing* (Book of Stone Walls) regarding the thirty-six types of internal spleen poison dysentery:
Poison in the spleen is called Pure Yang, originally caused by physicians' use of hot medicines. This leads to frequent constipation and dryness in the large intestine, with much dripping blood in the withered intestines. It resembles wind causing abdominal closure and difficulty opening eyes, body heat, warm head, and cooling feet. Red tongue and high chest indicate this syndrome; frequent crying and rapid breathing require careful examination. (Forty-eight syndromes state: even resembling madness.)
First, one must clear heat and open the stomach; this is the good medication of a wise physician. This syndrome arises from spleen heat accumulation and lack of treatment; latent poison should be treated by cooling the spleen, followed by removing accumulation. If the bone above the chest suddenly protrudes, accompanied by urgent crying, it is incurable.
The song in *Feng Sui Jing* (Phoenix Marrow Classic) is identical. A note states: It is suitable to administer Jinhua San (Golden Flower Powder) and Xianglian Wan (Cinnamon and Coptis Pill). (Xianglian Wan formula is seen in the Cold-Heat Dysentery section, same as Ji's formula. Jinhua San formula is seen in the Excess Heat section.)
The forty-eight syndromes spleen poison dysentery song in *Xiao Er Xing Zheng Lun* (Discussion on Pediatric Signs and Symptoms) is also identical. It further states: This syndrome involves accumulation in the zang-fu organs, or red dysentery; hot medicines are not suitable. One should use Ka Wei San (Stomach-Opening Powder) (formula seen in the Red Dysentery section) combined with purgatives, assessing deficiency and excess, slightly inducing evacuation, generally aiming for unblocking and rotation.
The forty-eight syndromes wind poison dysentery song in *Xiao Er Xing Zheng Lun*:
Among eight types of dysentery, wind type is hardest to treat, appearing like various shades of green grass juice. Poisonous wind and bean juice add evil heat, stomach failure results in complete pieces like chicken liver. Adding red does not require prior evacuation of accumulation; closed eyes and no food intake are unbearable to look at. If returning to white dysentery, evacuation is still needed; frequently warming the zang-fu organs retrieves the source.
*Qian Jin* (Thousand Gold Formulas) treats lower bleeding resembling chicken liver, with unbearable abdominal cramping pain, named Gu poison dysentery formula (This formula is what people call Ba Wu Qian Gen Tang / Eight-Ingredient Qian Gen Decoction).
Qian Gen (Radix Rubiae), Sheng Ma (Rhizoma Cimicifugae), Xi Jiao (Cornu Rhinocerotis) (each 3 liang); Jie Geng (Radix Platycodi), Huang Bo (Cortex Phellodendri), Huang Qin (Radix Scutellariae) (each 2 liang); Di Yu (Radix Sanguisorbae), Bai He (Bulbus Nelumbinis) (each 4 liang).
The above eight ingredients are cut, boiled in 9 sheng of water to obtain 2.5 sheng, divided into three doses. This is used for Gu dysentery with blood. Children take reduced doses.
*Qian Jin* treats pediatric Gu poison dysentery formula.
Use Lan Qing Zhi (Blue Green Juice) 1 sheng 2 he, divided into four doses.
*TU Jing* (Illustrated Materia Medica) treats Gu dysentery formula.
Ce Bai Ye (Folium Platycladi, dried and powdered), Chuan Da Huang (Rhei Radix et Rhizoma) (equal parts).
The above two ingredients are decocted together into juice and taken, treating men, women, and children with large abdomen passing black blood like tea dregs, or pus and blood like sediment, so-called Gu dysentery; it has special efficacy. It can also kill five-zang Gu poison.
*Zi Mu Mi Lu* (Secret Record of Mother and Child) treats pediatric Gu poison dysentery formula.
Use Sheng Di Huang Zhi (Fresh Rehmannia Root Juice) 1 sheng 2 he, divided into three or four doses, effective immediately. (*Qian Jin* treats pus-blood dysentery.)
*Sheng Hui Fang* (Holy Grace Formulas) treats pediatric Gu poison dysentery that does not stop, with strong fever and restlessness. He San (Lotus Powder) formula.
Bai He Gen (Rhizoma Nelumbinis), Chuan Sheng Ma (Rhizoma Cimicifugae) (each 1 liang); Bai Gu Pi (Corium Equi, burned yellow and charred) (1 fen); Gan Cao (Radix Glycyrrhizae, roasted slightly red, cut) (half liang); Gan Lan Ye (Folium Isatidis) (half liang); Chi Shao Yao (Radix Paeoniae Rubra), Xi Jiao Fen (Cornu Rhinocerotis powder) (each 3 qian).
The above medicines are pounded, coarsely sieved into powder. Each dose is 1 qian, boiled in a small cup of water with 2-7 grains of Chi Dou (Vigna angularis), reduced to half a cup, strained, taken at any time. Adjust temperature and dose according to child's size.
*Sheng Hui Fang* treats pediatric Gu poison dysentery with blood, emaciation. Huang Lian San (Coptis Powder) formula.
Huang Lian (Rhizoma Coptidis, 1 liang, remove roots, slightly stir-fried); Bai Tou Weng (Herba Pulsatillae); Gan Cao (Radix Glycyrrhizae, roasted slightly red, cut); Lan Qing (Indigo Naturalis) (each half liang); Xi Jiao (Cornu Rhinocerotis, powder); Bai He Gen (Rhizoma Nelumbinis); Huang Qin (Radix Scutellariae); Qian Gen (Radix Rubiae, cut) (each 3 qian).
The above medicines are pounded, coarsely sieved into powder. Each dose is 1 qian. Boiled in a small cup of water to half a cup, strained, cooled, taken at any time. Adjust dose according to child's size.
*Sheng Hui Fang* treats pediatric Gu poison bloody dysentery with severe onset, mental restlessness, abdominal distension, and loss of appetite. Xi Jiao San (Rhinoceros Horn Powder) formula.
Xi Jiao (Cornu Rhinocerotis, powder); Bai He Gen (Rhizoma Nelumbinis); Di Yu (Radix Sanguisorbae, slightly roasted, cut); Jie Geng (Radix Platycodi, remove rhizome); Su Mu (Lignum Sappan) (cut, equal parts).
The above medicines are pounded, coarsely sieved into powder. Each dose is 1 qian. Boiled in a small cup of water to half a cup, strained, taken at any time. Adjust temperature and dose according to child's size.
*Ying Ru* (Infant and Child Book) treats pediatric Gu poison dysentery. He Gen Tang (Lotus Root Decoction) formula.
Bai He Gen (Rhizoma Nelumbinis) (8 fen); Xi Jiao (Cornu Rhinocerotis); Gu Pi (Pericarpium Oryzae, 4 cun, roasted); Sheng Ma (Rhizoma Cimicifugae) (10 fen); Gan Cao (Radix Glycyrrhizae, 4 fen, roasted); Lan Qing (Indigo Naturalis) (1 sheng); Chi Dou (Vigna angularis) (3 he); Shao Yao (Radix Paeoniae) (7 fen).
Boil the above in 4 sheng of water to obtain 1.2 sheng. For a two-year-old child, divide into three doses.
*Ying Ru* treats pediatric Gu dysentery with toxin. Xi Jiao Jian (Rhinoceros Horn Decoction) formula.
Di Mai Cao (Herba Ecliptae), Huang Lian (Rhizoma Coptidis), Wei Ruo (Radix Polygonati Odorati) (each 12 fen); Huang Bo (Cortex Phellodendri), Zhu Ru (Caulis Bambusae in Taenia), Qian Cao (Radix Rubiae) (each 8 fen); Mi (Mel) (1 sheng); Ren Shen (Radix Ginseng) (6 fen); Mu Li (Concha Ostreae) (10 fen); Liang Zhou Ju Pi (Cortex Zelkovae) (14 fen); Gan Lan (Folium Isatidis) (4 fen); Xi Jiao (Cornu Rhinocerotis, powder); Gan Cao (Radix Glycyrrhizae) (each 5 fen).
Cut the above, boil in 1 dou of water until 2.5 sheng remain, strain, add honey, boil on fire until 2 sheng remain. For a three-year-old, 1 he per dose. For three-to-four-year-olds, 1.5 he per dose, twice daily and once at night. Administer according to condition.
Zhang Huan notes: In children, seasonal cold and heat are disordered, and toxic pestilential Qi enters the intestines. The dysentery appears like chicken or duck liver slices, passed with the stool, named Gu poison dysentery. If anus prolapse occurs, use Bai Tou Weng San (Pulsatilla Powder) to dispel toxin and stop dysentery.
Bai Tou Weng (Herba Pulsatillae); Huang Lian (Rhizoma Coptidis, remove roots, slightly stir-fried); Qian Gen (Radix Rubiae, cut, dried); Su Fang Mu (Lignum Sappan); Gu Jiu Chi Pi (Old Fermented Soybean Skin, roasted yellow and charred) (each 1 liang); Xi Jiao (Cornu Rhinocerotis, powder); Di Yu (Radix Sanguisorbae, roasted, cut) (each half liang); Gan Cao (Radix Glycyrrhizae, roasted, 1 fen).
The above are pounded, sieved into fine powder. Each dose is 1 qian. Boiled in a small cup of water to six-tenths, strained, taken. Adjust according to child's size, before milk/food.
Zhang Huan's Di Yu Dan (Sanguisorba Pill) for detoxification and stopping dysentery.
Di Yu (Radix Sanguisorbae, roasted, cut); Huang Lian (Rhizoma Coptidis); Gan Lan Ye (Folium Isatidis); Chuan Sheng Ma (Rhizoma Cimicifugae) (each 1 liang); Chuan Lian Zi (Fructus Toosendan); Ku Lian Gen (Cortex Meliae) (each half liang).
The above are pounded, sieved into fine powder, mixed with soft rice paste to make pills the size of millet seeds. Each dose is ten pills, taken with rice drink. Adjust according to child's size, before milk/food.
*Forty-Eight Syndromes* treats toxic dysentery. Xuan Lian Wan (Coptis Pill) formula.
Xuan Lian (Rhizoma Coptidis, 1 qian, made into powder, mixed with egg white to form cakes, baked on tiles until dry, then powdered); Rou Dou Kou (Nucis Arecae Condita, one, remove heart and navel, insert Ru Xiang (Olibanum) inside, wrap in paper, roast until yellow); Zhu Sha (Cinnabaris); Mu Xiang (Radix Aucklandiae) (each half qian); Xing Ren (Semen Armeniacae Amarum, seven grains, roast with skin); Ba Dou (Fructus Crotonis, four grains, roasting seven grains is also acceptable).
Make into powder, bind with vinegar paste into pills the size of radish seeds. Take seven pills with aged rice drink. For red dysentery, take with Huai Hua Tang (Sophora Flower Decoction).
*Bao Tong Fang* treats Zang Du dysentery, for those who have eaten various medicines without cure.
Huai Hua (Flos Sophorae, half liang, stir-fried); Bai Fan (Alumen, 1 liang).
Make into powder. Each dose is 1 qian, taken with aged rice drink.
*Kong Shi Jia Chuan* (Kong Family Tradition) treats Gu short-circuiting formula.
Take Ji Ni Gen (Radix Glehniae) powder, take with water using a square-inch spoon, immediate recovery. One formula can add Di Yu (Radix Sanguisorbae) and Chou Chun Gen (Cortex Ailanthi) to take together.