治痢疾,用干马齿苋煮烂,红痢以蜂蜜拌,白痢以砂糖拌,红白相兼,蜂蜜、砂糖各半拌食,一日二次,连
汤服之,更妙。按马齿苋名五方草,其叶青、梗赤、根白、花黄、子黑,五行俱备,所以寒热赤白皆治。
六一散 此方取“天一生水,地六成之”之义,为北方壬癸之精。以其清暑毒、去湿热、分阴阳、利
小便、泻丙水,从小便而出,故为治痢妙方。
白滑石研细末,以清水调飞,其重浊滓质不用,待其水清,去水,晒干,每滑石末六两,加甘草细末一两,
研匀听用。
白痢用六一散七钱,干姜末七分,红痢用六一散七钱,红曲末七分,各用姜汁打面糊为丸,梧桐子大。每
服一二钱,白汤下。
久痢不止,用红糖、白糖、饧糖各三钱,甘草一钱,陈茶叶二钱,同煎熟,露一宿,次早温热服,神效。
噤口痢不思饮食,以腊猪肉去肉取骨,锅内煎浓汤,徐徐服之,百发百中。
治赤白相兼,用山楂肉不拘多少,炒研为末,每服一二钱,红痢蜜拌,白痢红砂糖拌,红白相兼,蜜、砂糖
各半拌匀,白汤调服,空心下,更妙。此药不分虚实,不分久近,皆效,甚稳甚验。
集成至圣丹(新出) 治冷痢久泻,百方无验者,一服即痊。凡痢之初起,实热实积,易
知而易治,惟虚人冷积致痢,医多不以为意。盖实热之证,外候有身热烦躁,唇焦口渴,肚疼窘迫,里急后重,
舌上黄苔,六脉洪数。证候既急,治者亦急,轻则疏利之,重则寒下之,积去而和其阴阳,无不愈者。至于虚
人冷积致痢,外无烦热躁扰,内无肚腹急痛,有赤白相兼,无里急后重,大便流利,小便清长。此由阴性迟缓,
所以外证不急。遇此切不可姑息,但以集成三仙丹下之,以去其积,倘不急下,必致养虎贻患。其积日久,渐
次下坠,竟至大肠下口、直肠上口交界处,有小曲折隐匿于此,为肠脏最深之处,药所不到之地。证则乍轻乍
重,或愈或发,便则乍红乍白,或硬或溏,总无一定,任是神丹,分毫无济。盖此积不在腹内,而在大肠之下,
诸药至此,性力已过,尽成糠 ,安能去此沉匿之积?所以冷痢有至三五年、十数年不愈者,由此故也。古方
用巴豆为丸下之者,第恐久病神虚,未敢轻用。今以至捷至稳鸦胆子一味治之。此物出闽省、云、贵,虽诸家
本章未收,而药肆皆有。其形似益智子而小,外壳苍褐色,内肉白而有油,其味至苦,用小铁锤轻敲其壳,壳破
肉出,其大如米。敲碎者不用,专取全仁用之。三五岁儿,二十余粒,十余岁者,三十多粒,大人则四十九粒,
取天圆肉包之,小儿一包三粒,大人一包七粒,紧包空腹吞下,以饭食压之,使其下行,更藉此天圆包裹,可
以直至大肠之下也。此药并不峻厉,复不肚痛。俟大便行时,有白冻如鱼脑者,即冷积也。如白冻未见,过一二
日再进一服,或微加数粒,此后不须再服。服药时忌荤,酒三日,戒鸭肉一月,从此除根,永不再发。倘次日
肚中虚痛,用白芍一根、甘草一根,俱重三钱,纸包水湿,火内煨熟,取起捶烂,煎汤服之,立止,不忍隐秘,
笔之于书,以公世用。
To treat dysentery, use dried Portulaca oleracea (Ma Chi Xian) boiled until soft. For red dysentery, mix with honey; for white dysentery, mix with sugar; for mixed red and white dysentery, mix with half honey and half sugar. Consume twice a day, including the decoction, which is even more effective. Note: Portulaca oleracea is also known as Wu Fang Cao (Five Directions Grass). Its leaves are green, stems red, roots white, flowers yellow, and seeds black, possessing all five elements (Wu Xing), thus capable of treating both cold-heat and red-white dysentery.
Liu Yi San (Six-to-One Powder) This formula derives its meaning from "Heaven generates one water, Earth completes six," representing the essence of North Ren-Gui Water. It clears summer-heat toxicity, removes damp-heat, separates yin and yang, promotes urination, and drains Bing Water (referring to Heart Fire), discharging it through urine; hence, it is an excellent formula for treating dysentery.
Grind Bai Hua Shi (White Talcum) into fine powder, blend with clear water and float-wash it to remove heavy, turbid dregs. Wait for the water to clear, discard the water, and dry the residue. For every six liang of Bai Hua Shi powder, add one liang of finely powdered Gan Cao (Licorice Root), grind uniformly, and set aside.
For white dysentery, use seven qian of Liu Yi San and seven fen of Gan Jiang (Dried Ginger) powder. For red dysentery, use seven qian of Liu Yi San and seven fen of Hong Qu (Red Yeast Rice) powder. Mix each with ginger juice and wheat flour paste to form pills the size of Sophora japonica seeds. Take one or two qian per dose, washed down with warm water.
For chronic dysentery that does not cease, use three qian each of Hong Tang (Brown Sugar), Bai Tang (White Sugar), and Xi Tang (Maltose), one qian of Gan Cao (Licorice Root), and two qian of aged tea leaves. Boil together until cooked, leave exposed overnight, and take warm the next morning for miraculous effect.
For Jin Kou Li (Jin Kou Dysentery, characterized by inability to eat due to nausea/vomiting), take pork preserved in the twelfth lunar month, remove the meat, and keep only the bones. Boil the bones in a pot to make a thick broth, and drink it slowly. This method is highly effective.
To treat mixed red and white dysentery, use Shan Zha Rou (Hawthorn Flesh) in any amount, stir-fry, and grind into powder. Take one or two qian per dose. For red dysentery, mix with honey; for white dysentery, mix with brown sugar; for mixed red and white, mix with half honey and half brown sugar. Take with warm water on an empty stomach for better results. This medicine is effective regardless of deficiency or excess conditions, and regardless of whether the disease is recent or chronic. It is very stable and reliable.
Ji Cheng Zhi Sheng Dan (Integrated Supreme Pill - New Formula) Treats cold dysentery and chronic diarrhea unresponsive to other methods; recovery occurs after a single dose. When dysentery first begins, if it is due to excess heat and accumulation, it is easy to identify and treat. However, dysentery caused by cold accumulation in deficient individuals is often overlooked by physicians. Generally, excess heat syndromes present externally with fever, restlessness, dry lips, thirst, abdominal pain and urgency, tenesmus, yellow tongue coating, and surging-rapid pulse. Since the syndrome is urgent, treatment must be prompt: mild cases require purgation/drainage, severe cases require cold purgation. Once the accumulation is removed and yin-yang harmonized, cure is assured. In contrast, cold accumulation dysentery in deficient individuals presents without external fever/restlessness or internal acute abdominal pain. There may be mixed red and white stool, but no tenesmus; bowel movements are smooth, and urine is clear and profuse. This is because yin nature is slow, so external symptoms are not urgent. Do not condone this condition; instead, use Ji Cheng San Xian Dan (Three Immortals Pill) to purge and remove the accumulation. If not purged urgently, it will lead to serious complications. This accumulation, over time, sinks downward and lodges at the junction of the lower large intestine and upper rectum, in a hidden fold, the deepest part of the intestinal organs where drugs cannot reach. Symptoms fluctuate between light and heavy, remission and recurrence; stools vary between red and white, hard and loose, with no fixed pattern. Even divine pills are useless here. Because this accumulation is not in the abdomen but below the large intestine, by the time drugs reach this area, their potency has exhausted, turning them into chaff. How can they remove such deep-seated accumulation? This explains why cold dysentery may persist for three to five years or even ten-plus years. Ancient formulas used Ba Dou (Croton Seed) pills for purgation, but feared using them lightly in patients with long-term illness and depleted spirit. Now, using Ya Dan Zi (Brucea javanica) alone offers a rapid and safe solution. This herb originates from Fujian, Yunnan, and Guizhou provinces. Although not recorded in many materia medica, it is available in pharmacies. It resembles Yi Zhi Ren (Alpinia oxyphylla fruit) but is smaller. The shell is grayish-brown, the inner flesh white and oily, with an extremely bitter taste. Gently crack the shell with a small iron hammer; the kernel emerges, sized like a rice grain. Discard crushed kernels; use only whole kernels. For children aged three to five, use twenty-some kernels; for those over ten, thirty-some kernels; for adults, forty-nine kernels. Wrap each dose in Tian Yuan Rou (likely referring to a specific fruit pulp or wrapper, contextually implied as a protective coating). Children: three kernels per packet; Adults: seven kernels per packet. Swallow tightly wrapped packets on an empty stomach, followed by a meal to aid downward movement. The Tian Yuan wrapping helps the drug reach the lower large intestine. This medicine is not harsh and does not cause abdominal pain. When bowel movements occur, if white mucus resembling fish brain appears, this indicates cold accumulation. If no white mucus is seen, administer another dose after one or two days, or slightly increase the number of kernels. No further doses are needed thereafter. During medication, avoid meat and alcohol for three days, and duck meat for one month. This cures the root cause permanently. If the next day brings dull abdominal pain, use one root of Bai Shao (White Peony Root) and one root of Gan Cao (Licorice Root), each weighing three qian. Wrap in paper, moisten with water, roast in fire until cooked, remove, pound, decoct in water, and drink to stop pain immediately. I dare not keep this secret; I write it down to share with the world.