大法补虚 消积 凤髓经歌云∶脾中有积热迟留，至使终年泻不休，项软见人多哽气，更兼清水鼻中流，
少间有似黄金色，若有垂肠更不收，形证又看胸膈上，胸前深赤汗如油，唇赤生疮眼脉赤，若不调脾命即休。
《千金》七味散 治利下久不瘥。
黄连（八分） 龙骨 赤石脂 浓朴 乌梅肉（各二分） 甘草（炙，一分） 阿胶（炙，三分）
上，治下筛。浆水服二方寸匕，日二，小儿一钱匕。
华陀治老小下利，柴立不能食，入口即出，命在旦夕，久利神验方。
黄连（末） 乱发灰 醇苦酒 蜜（各半鸡子壳许） 白蜡（方寸匕） 鸡子黄（一枚）
上六味，于铜器中、炭火上，先内酒蜜蜡鸡子黄搅匀，乃内黄连末、发灰，又搅煎，视可，取出为
丸，久困者，一日一夜尽之。
《外台》疗久利无间，冷热疳痢，悉主之。
枣一枚去核，勿令皮破，内胡粉令满，于炭火中烧如炭，瓷器中研之，米饮和服。一岁以下，
分服之，不过三服，瘥。
《圣惠》治久利赤白，渐羸，胃虚不食。丁香散
丁香 浓朴（去粗皮，涂生姜汁，炙令香熟） 黄连（去须，锉微炒） 当归（锉微炒） 诃梨勒
（煨，用皮） 白术（锉，微炒） 伏龙肝（各半两） 木香（一分） 赤石脂（一两）
上件药捣，细罗为散，每服以粥饮调下半钱，日三四服。量儿大小加减。
《圣惠》黄连丸 治小儿暴利，经久不断，增减有时。
黄连（去须，微炒） 人参（去芦头） 赤石脂 龙骨 甘草（炙微赤，锉） 黄芩 浓朴（去粗
皮，涂生姜
汁、炙令香熟） 白茯苓 枳壳（去瓤，麸炒微黄。各半两） 乌梅肉（一分，微炒）
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，临时加减。
〔谭氏〕斗门散 歌曰∶小儿泻利甚青黄，久患时多转滑肠，下部脱肛频努咽，朝朝焦瘦渐羸 。
诃子 枳壳 地榆（各等分）
上为末。每服一钱，米饮调下，一岁以下半钱。
《婴孺》龙骨汤 治下利不住。
龙骨 甘草（炙） 黄连（各四分） 当归 干姜（各一分）
上，以水四升，煮一升二合，食前，温分三服。
龙骨汤 治服药下后，不止。
龙骨（五分） 甘草（炙） 干姜 当归 黄连 赤石脂 附子（炮裂，去皮脐） 前胡（各三分）
上，以水四升，煮一升二合，为五服，旦服，至午令尽。
黄连煎 治冷热利，经时不止，体羸不堪，余治瘥而又发。用好黄连二两，水七升，
蜜八合，煎一升三合，绞去滓，百日儿服半合，二百日一岁服一合。
鸡骨丸 治下利经久不断，羸瘦，脾胃冷弱，食不消化。
鸡骨（宿雌鸡胸前及肋骨全用，一具） 黄连（六分） 浓朴（三分） 神曲（炒） 甘草（炙）
白术（各四分） 麦 （炒） 乌梅肉（各二分） 人参 赤石脂 黄芩 白龙骨（各五分） 桔梗（二分）
上为末，蜜丸小豆大。白饮下二十五丸，日二服。量儿大小与之。
温白丸 治久泻脾虚不食，食即泻下，米谷不化。
白术（一分，米泔浸，切焙） 丁香（半钱，炒） 半夏（一钱半，汤泡洗七遍）
上为末，生姜自然汁煮面糊为丸，如梧桐子大。半岁每服三丸，三五岁五七丸，淡生姜汤吞下，早
晚各进一服。
惺惺散 治久泻脾困，不思乳食，恐作脾风。
天麻 全蝎（炒，各半钱） 木香（炮） 糯米 人参 茯苓（各微炒） 白扁豆（炒） 山药
（焙） 甘草（炙。各一钱）
上为末。每服婴孺一字，二三岁半钱，用水一药注或半银盏，枣子半片，煎十数沸，服。
〔张涣〕治泻利久不瘥。香矾丹
木香 枯白矾（各一两） 诃梨勒皮（微炮） 酸石榴皮（炒黑。各半两）
上件捣，罗为细末，炼蜜和丸，如黍米大。每服十粒，粥饮下。量儿大小加减。
〔刘氏〕治小儿脏腑久泄泻不止。
人参 白术 茯苓 甘草 陈皮 藿香 丁香 木香 肉豆蔻
上等分，为末。每服二钱，以藿香合糯米煮粥饮调下，或姜水煎亦可。
脏腑滑泄。四君子加诃子五分，米饮调下。
The basic treatment principles are to tonify deficiency (tonify deficiency) and eliminate accumulation (eliminate accumulation). The song from *Fengshui Jing* states: "When heat accumulation lingers in the Spleen, it causes year-round unceasing diarrhea. The neck becomes soft, gasping occurs when seeing people, and clear fluid flows from the nose. Later, the stool resembles gold color; if intestinal prolapse occurs, it cannot be retracted. Examine the chest and diaphragm for physical signs: deep redness on the chest with sweat like oil, red lips with sores, and red eyes and pulse. If the Spleen is not regulated, life will cease."
*Qianjin Fang* Qiwei San treats chronic dysentery that does not heal.
Coptidis Rhizoma (Huanglian, 8 fen) Longgu (Dragon Bone) Shizhizhi (Red Halloysite) Houpo (Magnolia Bark) Wu Mei Rou (Mume Fruit Flesh) (each 2 fen) Gancao (Licorice Root, honey-fried, 1 fen) Ejiao (Donkey-hide Gelatin, honey-fried, 3 fen)
Grind the above herbs and sieve. Administer two *fangcunbi* doses with Jiangshui (fermented grain water), twice daily. For children, administer one *qianbi* dose.
Huato's prescription for elderly and pediatric patients with diarrhea who stand upright but cannot eat, vomiting immediately after ingestion, with life in imminent danger. This is a miraculous formula for chronic diarrhea.
Coptidis Rhizoma (Huanglian, powdered) Luangfa Hui (Ash of Human Hair) Chun Kujiu (Pure Vinegar) Fengmi (Honey) (each approx. half an eggshell volume) Bala (White Beeswax) (one *fangcunbi*) Jizihuang (Chicken Egg Yolk) (one piece)
Combine the above six ingredients in a copper vessel over charcoal fire. First add vinegar, honey, beeswax, and egg yolk, stirring until uniform. Then add Huanglian powder and hair ash, stir and decoct again. When ready, remove and form into pills. For severe cases, consume within one day and night.
*Waitai Mi Yao* treats chronic diarrhea without interruption, including cold-heat Ganyin (infantile malnutrition due to parasitic infection/dysentery) and dysentery.
One Jujube (Zao Ren) pitted without breaking the skin, filled with Fuhua (Lead Carbonate), roasted in charcoal fire until charred, ground in a porcelain vessel. Mix with rice drink and administer. For infants under one year, divide the dose; no more than three doses until healed.
*Shenghui Fang* treats chronic dysentery with red and white discharge, progressive emaciation, and gastric deficiency with loss of appetite. Dingxiang San
Dingxiang (Caryophylli Flos) Houpo (Magnolia Bark, coarse bark removed, coated with fresh Ginger Juice, fried until fragrant) Huanglian (Coptidis Rhizoma, mustards removed, chopped and lightly fried) Danggui (Angelicae Sinensis Radix, chopped and lightly fried) Helile (Chebulae Fructus, baked, use only the peel) Baizhu (Atractylodis Macrocephalae Rhizoma, chopped and lightly fried) Fulonggan (Long-stove Earth) (each 0.5 liang) Muxiang (Costi Radix) (1 fen) Shizhizhi (Red Halloysite) (1 liang)
Pulverize the above herbs, sift finely. Take half a *qian* per dose, mixed with porridge drink, 3-4 times daily. Adjust dosage according to the child's size.
*Shenghui Fang* Huanglian Wan treats acute pediatric diarrhea persisting for a long time, recurring intermittently.
Huanglian (Coptidis Rhizoma, mustards removed, lightly fried) Renshen (Ginseng Radix, rhizome removed) Shizhizhi (Red Halloysite) Longgu (Dragon Bone) Gancao (Licorice Root, honey-fried until slightly red, chopped) Huangqin (Scutellariae Radix) Houpo (Magnolia Bark, coarse bark removed, coated with fresh Ginger Juice, fried until fragrant) Baifuling (Poria) Zhike (Aurantii Fructus, pulp removed, bran-fried until slightly yellow, each 0.5 liang) Wu Mei Rou (Mume Fruit Flesh) (1 fen, lightly fried)
Pulverize the above herbs, mix with refined honey to form pills the size of hemp seeds. Take seven pills with porridge drink, 3-4 times daily. Adjust dosage according to the child's size.
[Tan Shi] Doumen San. Song: "Pediatric diarrhea with greenish-yellow stool, chronic cases often turning into slippery intestines. Lower body anal prolapse with frequent straining, daily emaciation and wasting."
Hezi (Chebulic Myrobalan) Zhike (Aurantii Fructus) Diyu (Sanguisorbae Radix) (equal parts)
Pulverize the above. Take one *qian* per dose, mixed with rice drink. For infants under one year, take half a *qian*.
*Yingru Shu* Longgu Tang treats persistent diarrhea.
Longgu (Dragon Bone) Gancao (Licorice Root, honey-fried) Huanglian (Coptidis Rhizoma) (each 4 fen) Danggui (Angelicae Sinensis Radix) Ganjiang (Zingiberis Rhizoma) (each 1 fen)
Decoct the above in four sheng of water to obtain 1.2 sheng. Warm and divide into three doses before meals.
Longgu Tang treats diarrhea persisting after taking purgatives or other medications.
Longgu (Dragon Bone) (5 fen) Gancao (Licorice Root, honey-fried) Ganjiang (Zingiberis Rhizoma) Danggui (Angelicae Sinensis Radix) Huanglian (Coptidis Rhizoma) Shizhizhi (Red Halloysite) Fuzi (Aconiti Lateralis Radix Praeparata, cracked, peeled and navel removed) Qianhu (Peucedani Radix) (each 3 fen)
Decoct the above in four sheng of water to obtain 1.2 sheng. Divide into five doses. Take in the morning, finish by noon.
Huanglian Jian treats cold-heat dysentery persisting for a long time, with severe emaciation, and recurrence after other symptoms have resolved. Use 2 liang of high-quality Huanglian, 7 sheng of water, and 8 he of honey. Decoct to 1.3 sheng, strain. Infants under 100 days take 0.5 he; infants aged 200 days (one year) take 1 he.
Jigu Wan treats chronic diarrhea, emaciation, cold weakness of Spleen and Stomach, and indigestion.
Jigu (Chicken Breastbone and Ribs from an old hen, one whole set) Huanglian (Coptidis Rhizoma) (6 fen) Houpo (Magnolia Bark) (3 fen) Shenqu (Medicated Leaven, fried) Gancao (Licorice Root, honey-fried) Baizhu (Atractylodis Macrocephalae Rhizoma) (each 4 fen) Maiya (Hordei Fructus Germinatus, fried) Wu Mei Rou (Mume Fruit Flesh) (each 2 fen) Renshen (Ginseng Radix) Shizhizhi (Red Halloysite) Huangqin (Scutellariae Radix) Bailonggu (White Dragon Bone) (each 5 fen) Jiegeng (Platycodonis Radix) (2 fen)
Pulverize the above, mix with honey to form pills the size of adzuki beans. Take 25 pills with plain water, twice daily. Adjust dosage according to the child's size.
Wenbai Wan treats chronic diarrhea due to Spleen deficiency with anorexia, immediate diarrhea after eating, and undigested food in stool.
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 fen, soaked in rice wash water, sliced and dried) Dingxiang (Caryophylli Flos) (half a qian, fried) Banxia (Pinelliae Tuber) (1.5 qian, washed seven times in boiling water)
Pulverize the above, make pills using natural fresh Ginger Juice and wheat paste, sized like paulownia seeds. For half-year-olds, take 3 pills; for 3-5 year olds, take 5-7 pills. Swallow with light ginger tea, once in the morning and once in the evening.
Xingxing San treats chronic diarrhea with Spleen fatigue, refusal of milk/food, preventing the onset of Spleen Wind.
Tianma (Gastrodiae Rhizoma) Quanxie (Scorpio, fried) (each half a qian) Muxiang (Costi Radix, processed) Nuomi (Glutinous Rice) Renshen (Ginseng Radix) Fuling (Poria) (each lightly fried) Baibiandou (Lablab Bean, fried) Shanyao (Dioscoreae Rhizoma, baked) Gancao (Licorice Root, honey-fried) (each 1 qian)
Pulverize the above. For infants, take one *zi*; for 2-3 year olds, take half a *qian*. Add one medicinal measure or half a silver cup of water, half a jujube slice, boil for ten boils, and administer.
[Zhang Huan] Treats chronic diarrhea that does not heal. Xiangfan Dan
Muxiang (Costi Radix) Kubai Fan (Alumen Calcined) (each 1 liang) Helile Pi (Chebulae Fructus Peel, lightly processed) Suan Shiliu Pi (Punica Granatum Pericarpium, fried until black) (each 0.5 liang)
Pulverize the above, sift finely, mix with refined honey to form pills the size of millet seeds. Take ten pills with porridge drink. Adjust dosage according to the child's size.
[Liu Shi] Treats chronic diarrhea in pediatric Zang-Fu organs.
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Gancao (Licorice Root) Chenpi (Citri Reticulatae Pericarpium) Huoxiang (Agastaches Herba) Dingxiang (Caryophylli Flos) Muxiang (Costi Radix) Roudoukou (Myristicae Semen)
Equal parts, pulverized. Take 2 qian per dose, mixed with porridge drink made from Huoxiang and glutinous rice, or decocted with ginger water.
For Zang-Fu sliding diarrhea (slippery evacuation), add Hezi (Chebulic Myrobalan) 5 fen to Sijunzi Tang, mixed with rice drink.