海藏治赤痢用四君子加赤芍药、当归,入粟米少许同煎。
黄连解毒汤 治时疾三日,已汗解,苦烦闷干呕,口燥呻吟,错语不得卧,亦治热痢。
黄连(三钱) 黄柏(半两) 栀子(四个,擘) 黄芩(一两)
上锉散。每服三钱,水一盏,煎六分,去滓服。
泼火散 治中暑烦躁,发渴口干,及治血痢。
青皮(去白) 赤芍药 黄连(去须) 地榆(各等分)
上为细末。每服一钱,冷水调下。如蓄热而气血妄行,加甘草。
芍药柏皮丸 治一切恶痢,窘痛脓血。
芍药 黄柏(各一两) 当归 黄连(各半两)
上为末,滴水丸,小豆大。每服二三十丸,熟水下。加枳壳。
宽肠枳壳散 顺气止痢。
甘草(六钱,炙) 枳壳(去穣、炒,二两四钱)
上,为细末。每服一钱,空心沸汤点服。
三黄熟艾汤 治积,脏腑下痢赤白,及治伤寒四五日而大下热痢,服诸药多不止,宜服之。
黄芩 黄连 黄柏(各七钱半) 熟艾(半鸡子大)
上锉散。每服三钱,水一盏,煎六分,去滓温服。
地榆散 治泻痢血痢。
地榆 诃子 甘草(各等分)
上为末。盐米汤调下。有热,加黄芩。
又方
地榆 诃子 浓朴(姜制。各等分)
上锉散。每服二钱,水一盏,姜枣煎服。
地榆饮 治冷热痢,腹痛下痢,赤白频并。
地榆 甘草 芍药 枳壳(各二钱半)
上锉散。每服二钱,白水煎。加黄连妙。
又方
地榆 乌梅 柏皮 甘草 当归(各等分)
上锉散。每服二钱,煎服。
川草散 治腹痛下痢赤白,不拘远近。
川芎 白芷 甘草(半生半炙。各七钱) 赤芍 当归(酒洗) 净黄连(各五钱)
上,锉焙为末。每服半钱至一钱。白痢,白姜汤调。赤痢,甘草汤调。赤白痢,温米清汤调。并空心服。
治热痢备急方
用井花水调腊茶蜜,磨生姜,渴则饮之。
《本事》治小儿赤痢。
捣青蓝汁二升,分四服。(《圣惠方》治小儿中蛊下血)
治小儿屎血。
甘草五分,以水六合,煎取二合,去滓,一岁儿一日服令尽。
钱氏黄柏丸 治小儿热痢下血。
黄柏(去皮,半两) 赤芍药(四钱)
上为末,饭和丸,如麻子大。每服一二十丸,食前米饮下。量儿加减。
栀子丸 治少小热痢不止。
栀子(七枚) 黄柏(三分) 黄连(五分) 矾石(四分) 大枣(四枚,炙令黑)
上五味为末,蜜丸如小豆大。服五丸,日三夜二。服不知,稍加至十丸。
《外台》子芩汤 疗小儿热痢。
子芩(十二分) 知母 女萎(各六分) 竹叶(切八分) 黄柏 甘草(炙各四分)
上六味切。以水二升,煮取一升,分服,甚妙。
《圣惠》栀子仁散 治小儿热痢腹痛,心烦口干,小便赤黄,不欲饮食。
栀子仁 当归(锉、微炒。各半两) 黄柏 地榆(微炙,锉。各三分) 黄连(一两,去须,微炒)
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。
乌梅散 治小儿热痢,但壮热多渴,而痢不止。
乌梅(二枚,微炒,去核) 黄连(去须,微炒) 蓝叶(各一分) 犀角(屑) 阿胶(捣碎,
炒令黄燥) 甘草(炙微赤,锉各半两)
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。
《形证》治赤痢开胃散
白术 茯苓 人参(各半钱) 石莲子(去皮壳心,十个)
上为末。藿香汤下半钱。
(孔氏)治赤白痢骨立。地榆一斤,水三升,煮升半,去滓,煎如饧,空腹服。
黄连例(钱氏法) 加黄柏,为二圣丸(治疳)。加橘皮,为橘连丸(治疳)。加榆仁,为榆连丸
(治疳)。加黄芩、大黄,为三黄丸(治积热)。加阿胶、茯苓,为阿胶丸(治痢)。加诃子、木香,为小香
连丸(治痢)。加豆蔻、木香,为豆蔻香连丸(治泻)。加木香、白附子,为白附子香连丸(治痢)。加阿
胶、当归、干姜,为驻车丸(治痢)。
Zhang Yuansu (styled Haizang) treated red dysentery using Sijunzi Tang (Four Gentlemen Decoction) added with Chishao Yao (Radix Paeoniae Rubra), Dang Gui (Radix Angelicae Sinensis), and a small amount of Setaria Italica, decocted together.
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity): Treats epidemic febrile diseases after three days where sweating has resolved the exterior syndrome, but the patient still suffers from severe restlessness, dry retching, dry mouth, groaning, delirious speech, and inability to sleep; also treats heat dysentery.
Ingredients: Huang Lian (Coptidis Rhizoma, 3 qian), Huang Bo (Phellodendri Cortex, half liang), Zhi Zi (Gardeniae Fructus, four fruits, broken open), Huang Qin (Scutellariae Radix, 1 liang).
Preparation and Administration: Coarsely crush the ingredients into a powder. Take 3 qian per dose, add one zhan of water, decoct until reduced to six-tenths, strain, and take warm.
Pohuo San (Extinguish Fire Powder): Treats irritability and thirst due to heatstroke, as well as bloody dysentery.
Ingredients: Qing Pi (Citri Reticulatae Pericarpium Viride, pith removed), Chi Shao Yao (Radix Paeoniae Rubra), Huang Lian (Coptidis Rhizoma, fibrous roots removed), Di Yu (Sanguisorbae Radix) in equal proportions.
Preparation and Administration: Grind into a fine powder. Take 1 qian per dose, mixed with cold water. If internal heat accumulation causes reckless blood movement, add Gan Cao (Licorice Root).
Shaoyao Bapi Wan (Peony and Phellodendron Pill): Treats all types of severe dysentery characterized by tenesmus, abdominal pain, and pus-blood stools.
Ingredients: Shao Yao (Paeoniae Radix), Huang Bo (Phellodendri Cortex) each 1 liang; Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma) each half liang.
Preparation and Administration: Grind into powder, mix with water to form pills the size of adzuki beans. Take 20-30 pills per dose with cooked warm water. Zhike (Aurantii Fructus) may be added.
Kuanchang Zhike San (Intestine-Widening Aurantium Powder): Regulates qi and stops dysentery.
Ingredients: Gan Cao (Liquiritiae Radix, honey-fried, 6 qian), Zhike (Aurantii Fructus, pulp removed, stir-fried, 2 liang 4 qian).
Preparation and Administration: Grind into a fine powder. Take 1 qian per dose, taken with boiling water on an empty stomach.
Sanhuang Shuai Ai Tang (Three Yellows and Prepared Mugwort Decoction): Treats stagnation and dysentery with red and white discharge from the viscera; also treats severe heat dysentery occurring 4-5 days into a Shanghan (Cold Damage) condition, which persists despite other medications.
Ingredients: Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex) each 7.5 qian; Shuai Ai (Artemisiae Argyi Folium Praeparatum), size of half a chicken egg.
Preparation and Administration: Coarsely crush into a powder. Take 3 qian per dose, add one zhan of water, decoct until reduced to six-tenths, strain, and take warm.
Diyu San (Sanguisorba Powder): Treats diarrhea-dysentery and bloody dysentery.
Ingredients: Di Yu (Sanguisorbae Radix), He Zi (Terminalia Chebulae Fructus), Gan Cao (Liquiritiae Radix) in equal proportions.
Preparation and Administration: Grind into powder. Take with salt-rice soup. Add Huang Qin if heat signs are present.
Another Formula:
Ingredients: Di Yu (Sanguisorbae Radix), He Zi (Terminalia Chebulae Fructus), Hou Po (Magnoliae Officinalis Cortex, ginger-processed) in equal proportions.
Preparation and Administration: Coarsely crush into a powder. Take 2 qian per dose, decoct with water, fresh ginger, and jujubes.
Diyu Yin (Sanguisorba Drink): Treats cold-heat dysentery, abdominal pain with frequent red and white discharge.
Ingredients: Di Yu (Sanguisorbae Radix), Gan Cao (Liquiritiae Radix), Shao Yao (Paeoniae Radix), Zhike (Aurantii Fructus) each 2.5 qian.
Preparation and Administration: Coarsely crush into a powder. Take 2 qian per dose, decoct with plain water. Adding Huang Lian is beneficial.
Another Formula:
Ingredients: Di Yu (Sanguisorbae Radix), Wu Mei (Mume Fructus), Bai Pi (Phellodendri Cortex), Gan Cao (Liquiritiae Radix), Dang Gui (Angelicae Sinensis Radix) in equal proportions.
Preparation and Administration: Coarsely crush into a powder. Take 2 qian per dose, decoct and take.
Chucao San (Chuanxiong and Licorice Powder): Treats abdominal pain with red and white dysentery, regardless of duration.
Ingredients: Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Liquiritiae Radix, half raw half fried) each 7 qian; Chi Shao (Radix Paeoniae Rubra), Dang Gui (Angelicae Sinensis Radix, wine-washed), Jing Huang Lian (Coptidis Rhizoma, cleaned) each 5 qian.
Preparation and Administration: Cut, bake, and grind into powder. Take 0.5-1 qian per dose. For white dysentery, take with white ginger soup; for red dysentery, with licorice soup; for red-white dysentery, with warm rice clear soup. Take on an empty stomach.
Emergency Formula for Treating Heat Dysentery:
Mix well-water with honey from winter-preserved tea, grate fresh ginger, and drink when thirsty.
*Ben Shi Fang* (Formulas from the Embodied Authority) for treating pediatric red dysentery:
Crush and extract 2 sheng of Qing Lan juice (Isatis Leaf Juice), divide into four doses. (*Sheng Hui Fang* uses this for pediatric gu-poisoning with bleeding).
Treating pediatric fecal blood:
Gan Cao (Licorice Root) 5 fen, add 6 he of water, decoct to obtain 2 he, strain. A one-year-old infant should consume the entire dose within one day.
Qian Yi's Huang Bo Wan (Phellodendron Pill): Treats pediatric heat dysentery with bleeding.
Ingredients: Huang Bo (Phellodendri Cortex, bark removed, half liang), Chi Shao Yao (Radix Paeoniae Rubra, 4 qian).
Preparation and Administration: Grind into powder, mix with rice paste to form pills the size of hemp seeds. Take 10-20 pills per dose before meals with rice drink. Adjust dosage according to the child's condition.
Zhizi Wan (Gardenia Pill): Treats persistent heat dysentery in infants and young children.
Ingredients: Zhi Zi (Gardeniae Fructus, seven fruits), Huang Bo (Phellodendri Cortex, 3 fen), Huang Lian (Coptidis Rhizoma, 5 fen), Fan Shi (Alumen, 4 fen), Da Zao (Jujubae Fructus, four fruits, roasted until black).
Preparation and Administration: Grind the five ingredients into powder, mix with honey to form pills the size of adzuki beans. Take 5 pills, three times during the day and two at night. If ineffective, gradually increase to 10 pills.
*Waitai Mi Yao* (Essential Prescriptions Worth a Thousand Gold for Emergencies) Ziqin Tang: Treats pediatric heat dysentery.
Ingredients: Zi Qin (Scutellariae Radix, 12 fen), Zhi Mu (Anemarrhenae Rhizoma), Nu Wei (Polygoni Multiflori Caulis) each 6 fen; Zhu Ye (Bambusae Folium, cut, 8 fen); Huang Bo (Phellodendri Cortex), Gan Cao (Liquiritiae Radix, fried) each 4 fen.
Preparation and Administration: Cut the six ingredients. Add 2 sheng of water, boil down to 1 sheng, divide and take. Very effective.
*Sheng Hui Fang* Zhizi Ren San (Gardenia Kernel Powder): Treats pediatric heat dysentery with abdominal pain, restlessness, dry mouth, dark yellow urine, and loss of appetite.
Ingredients: Zhizi Ren (Gardeniae Semen, processed kernel), Dang Gui (Angelicae Sinensis Radix, cut, slightly stir-fried) each half liang; Huang Bo (Phellodendri Cortex), Di Yu (Sanguisorbae Radix, slightly roasted, cut) each 3 fen; Huang Lian (Coptidis Rhizoma, 1 liang, fibrous roots removed, slightly stir-fried).
Preparation and Administration: Pound the ingredients, sift finely into a powder. Take half a qian per dose, mixed with porridge drink, three to four times daily. Adjust based on the child's age and size.
Wumei San (Mume Powder): Treats pediatric heat dysentery characterized by high fever, excessive thirst, and persistent dysentery.
Ingredients: Wu Mei (Mume Fructus, two fruits, slightly stir-fried, pits removed), Huang Lian (Coptidis Rhizoma, fibrous roots removed, slightly stir-fried), Lan Ye (Isatidis Folium) each 1 fen; Xi Jiao (Rhinocerotis Cornu, shaved), E Jiao (Colla Corii Asini, crushed, fried until yellow and dry), Gan Cao (Liquiritiae Radix, fried until slightly reddish, cut) each half liang.
Preparation and Administration: Pound the ingredients, sieve coarsely into a powder. Take 1 qian per dose, add a small zhan of water, decoct until reduced to five-tenths, strain, and let cool to warm. Take at any time, adjusting the dose according to the child's age and size.
*Xing Zheng* Kaiwei San (Appetite-Opening Powder) for treating red dysentery:
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Ren Shen (Ginseng Radix) each half qian; Shi Lian Zi (Nelumbinis Nuculus, husk and heart removed), ten fruits.
Preparation and Administration: Grind into powder. Take half a qian, mixed with Huoxiang Tang (Agastache Decoction).
(Kong Shi) Treating red-white dysentery leading to emaciation:
Di Yu (Sanguisorbae Radix) 1 jin, add 3 sheng of water, boil down to 1.5 sheng, strain, and decoct until thick like syrup. Take on an empty stomach.
Huanglian Examples (Method of Qian Yi):
Add Huang Bo to make Ersheng Wan (Two Sages Pill) for treating gan syndrome (malnutrition). Add Ju Pi to make Julian Wan (Tangerine-Coptis Pill) for treating gan syndrome. Add Yu Ren to make Yulian Wan (Elm-Coptis Pill) for treating gan syndrome. Add Huang Qin and Da Huang to make Sanhuang Wan (Three Yellows Pill) for treating accumulated heat. Add E Jiao and Fu Ling to make Ejiao Wan (Donkey-Hide Gelatin Pill) for treating dysentery. Add He Zi and Mu Xiang to make Xiaoxianglian Wan (Minor Mu-Xiang-Coptis Pill) for treating dysentery. Add Dou Kou and Mu Xiang to make Doukou Xianglian Wan (Cardamom-Mu-Xiang-Coptis Pill) for treating diarrhea. Add Mu Xiang and Bai Fu Zi to make Baifuzi Xianglian Wan (Bai Fu Zi-Mu-Xiang-Coptis Pill) for treating dysentery. Add E Jiao, Dang Gui, and Gan Jiang to make Zhuche Wan (Park the Carriage Pill) for treating dysentery.