巢氏云∶小儿痢如膏血者，此是赤痢，肠虚极，肠间脂与血俱下故也。《圣惠》夫小儿血痢者，由热毒折
于血，血入大肠故也，血随气循环经络，通行脏腑，常无停滞，若为毒热所乘，遇肠虚，血渗入于肠，则成
血痢也。《宝鉴》小儿肠热，即痢下鲜血，一如肠风。《外台·广济》疗小儿热毒血痢方。
犀角（十分） 地榆（六分） 蜜（三分） 地麦草（五合）
上四味，切。以水三升，煮取二升，去滓，量大小服之。
又方
葱白（三两） 香豉（三合） 栀子（绵裹，七枚） 黄连（一两）
上四味，切。以水二升，煮取九合，去滓分服。
《外台·刘氏》疗小儿血痢方。
地榆 黄柏 黄连 黄芩（各六分） 马蔺子（二分） 茜根（一两） 生姜（三分）
上七味，切。以水二升，煮取一升，分服。大小量之，与一合至二合为度。
〔陈藏器〕小儿寒热丹毒中恶注忤痢血方
上，并煮草犀根汁服之。更良，生水中者，名水犀也。
《食医心鉴》治小儿血痢方
上，取生马齿苋绞汁一合，和蜜一匙匕，空心饮之。
《圣惠》治小儿血痢烦热口干腹痛。黄连散
黄连（去须，微炒） 犀角（屑） 白 荷根 黄芩 蔓青根 吴蓝（各一两） 白头翁（三分
）甘草（炙微赤，锉） 当归（锉，微炒。各半两）
上件药捣，粗罗为散，每服一钱，水一小盏，煎至五分，去滓，不计时候，量儿大小，分减服之。
《圣惠》治小儿血痢不瘥马齿菜汁粥方
马齿菜汁（一合） 蜜（半合） 粟米（一合）
上，以水一大盏煮作粥，后入二味和调，食前服之。
〔张涣〕水蓼丹 治血痢疳瘦。
蛇蜕皮（烧灰） 鸡头壳（烧灰存性。各一两） 胡黄连 水蓼（各半两。以上各捣罗为细末，次用） 朱
砂（半两） 真芦荟 牛黄 粉霜（各细研，一分）
上件都拌匀，再研细，软饭和，如黍米大。每服五粒至七粒，麝香汤下。量儿大小加减，不拘时候。
〔张涣〕治热乘于血，渗入肠胃，其病则赤。黄连丹方
黄连（去须，二两） 当归（洗，焙干，一两） 白头翁 蔓青根（汤洗，焙干。各三分） 木香 川楝子
（面裹、炮。各半两）
上件捣，罗为细末，粳米饭和丸，黍米大。每服十粒，米饮下。量儿大小加减。
〔张涣〕茜根汤 治血痢不瘥。
茜根（锉） 地榆（锉） 黄连（去须） 赤石脂 阿胶（炙熟。各一两） 甘草（炙） 黄柏（各半两）
上件药捣，罗为细末。每服一钱，水八分，煎至五分，去滓放温服。
〔张涣〕浓肠丹 治血痢肠虚。
黄连（去须） 川楝子（各一两） 木香 阿胶（炙） 吴茱萸（微炒） 当归（洗，焙干。各半两）
上件捣，罗为细末。粟米饭和丸，黍米大。每服十粒，米饮下。乳食前，量儿大小加减。
〔张涣〕圣效散 治血痢久不瘥。
赤石脂（烧赤） 白龙骨 阿胶（炙。各一两） 诃梨勒皮 木香 干姜（炮） 黄连 甘草（炙。各半两）
上件捣，罗为细末。每服半钱，煎粟米饮调下，食前。
〔张涣〕必效丹 治血痢频并。
川黄连（去须，二两） 大枣（半升） 干姜（一两） 白矾（半两）
上件，用瓦器盛，盐泥固济，留一窍子，以木炭火烧，烟息为度，取出，捣罗为末，白面糊和丸，黍米
大。每服十粒，米饮下。量儿大小加减。
〔钱乙〕附方 治小儿热痢下血。
黄柏（去皮，半两） 赤芍药（四钱）
上同为细末，饭和丸，麻子大。每服一二十粒，食前米饮送下。大者，加丸数。
《吉氏家传》治小儿血痢方
上用宣连为末，以鸡子搜作饼子，炭火 令通赤，便盖着勿令泄气，候冷，细研。空心米饮下半钱，大
人一钱。以意加减服。
又方
上，只用熟水调下好郁金末半钱。
《吉氏家传》地榆散 治小儿血痢，日久不瘥。
地榆（一分，炒） 诃子（五个，炮、去皮） 陈槐 黄连（各一钱，炒）
上为细末。每服半钱或一钱，陈米饮下。
Chao Yuanfang stated: When a child suffers from dysentery and passes stool resembling paste and blood, this is termed "red dysentery" (Chi Li). It occurs because the intestines are extremely deficient, causing the intestinal mucosa and blood to be discharged together. *Taiping Shenghui Fang* states: A child's bloody dysentery arises from heat-toxins stagnating in the blood level, with blood entering the large intestine. Blood normally circulates through the meridians along with Qi and flows through the zang-fu organs without stagnation. However, if invaded by toxic-heat and encountering intestinal deficiency, blood seeps into the intestines, resulting in bloody dysentery. *Youyou Xinshu* states: If a child's intestines have heat, they will pass bright red blood, similar to "Intestinal Wind" (Chang Feng). *Waitai Miyao · Guangji Fang* provides a formula for treating toxic-heat bloody dysentery in children.
Rhinoceros Horn (Xi Jiao) [10 fen]
Sanguisorba Root (Di Yu) [6 fen]
Honey (Mi) [3 fen]
Dimaic Grass (Di Mai Cao) [5 he]
Cut the above four ingredients. Boil in three sheng of water until reduced to two sheng. Strain the dregs and administer according to the child's age and size.
Another prescription:
Green Onion White Part (Cong Bai) [3 liang]
Prepared Soybean (Xiang Chi) [3 he]
Gardenia Fruit (Zhi Zi) [wrapped in cotton, 7 pieces]
Coptis Rhizome (Huang Lian) [1 liang]
Cut the above four ingredients. Boil in two sheng of water until reduced to nine he. Strain the dregs and divide into doses for administration.
*Waitai Miyao · Liu Shi* provides a prescription for treating bloody dysentery in children.
Sanguisorba Root (Di Yu)
Phellodendron Bark (Huang Bo)
Coptis Rhizome (Huang Lian)
Scutellaria Root (Huang Qin) [each 6 fen]
Iris Tuber (Ma Lin Zi) [2 fen]
Madder Root (Qian Gen) [1 liang]
Fresh Ginger (Sheng Jiang) [3 fen]
Cut the above seven ingredients. Boil in two sheng of water until reduced to one sheng. Divide into doses. Adjust dosage based on age; one to two he per dose is appropriate.
[Chen Cangqi] Prescription for treating cold-heat, erysipelas, evil invasion, fright-stroke, and bloody dysentery in children.
Boil the juice of Caoxi Gen (Grass Rhinoceros Root) and administer it. This is more effective; those growing in water are called "Water Rhinoceros."
*Shiyi Xinjian* provides a prescription for treating bloody dysentery in children.
Take fresh Purslane (Ma Chi Xian), squeeze out one he of juice, mix with one spoonful of honey, and drink on an empty stomach.
*Taiping Shenghui Fang* provides Huanglian San (Coptis Powder) for treating bloody dysentery in children accompanied by irritability, heat, dry mouth, and abdominal pain.
Coptis Rhizome (Huang Lian) [remove roots, lightly stir-fried]
Rhinoceros Horn (Xi Jiao) [crushed]
White Lotus Root (Bai He Gen)
Scutellaria Root (Huang Qin)
Turnip Root (Man Qing Gen)
Isatis Root (Wu Lan) [each 1 liang]
Pulsatilla Root (Bai Tou Weng) [3 fen]
Licorice Root (Gan Cao) [stir-fried until slightly red, crushed]
Angelica Sinensis Root (Dang Gui) [crushed, lightly stir-fried] [each half liang]
Pound the above herbs, sieve coarsely to make a powder. Take one qian per dose, add one small cup of water, boil until reduced to five fen, strain, and administer at any time, adjusting the dose according to the child's age and size.
*Taiping Shenghui Fang* provides Mache Cai Zhi Zhou (Purslane Juice Porridge) for treating persistent bloody dysentery in children.
Purslane Juice (Ma Chi Cai Zhi) [1 he]
Honey (Mi) [half he]
Millet (Su Mi) [1 he]
Boil the millet in one large cup of water to make porridge. Then add the other two ingredients, mix well, and take before meals.
[Zhang Huan] Shuiliao Dan (Polygonum Hydropiper Pill) treats bloody dysentery with malnutrition and emaciation.
Snake Slough (She Tui Pi) [burned to ash]
Chicken Gizzard Lining (Ji Tou Ke) [burned to ash, preserving properties] [each 1 liang]
Picrorhiza Rhizome (Hu Huang Lian)
Polygonum Hydropiper (Shui Liao) [each half liang. Pound and sieve the above into fine powder, set aside.]
Cinnabar (Zhu Sha) [half liang]
Real Aloe (Zhen Lu Hui)
Calves' Gallstone (Niu Huang)
Frost Powder (Fen Shuang) [each finely ground, 1 fen]
Mix all ingredients evenly, grind again until fine. Blend with soft rice to form pills the size of millet seeds. Take five to seven pills per dose, washed down with Moschus Decoction (She Xiang Tang). Adjust dosage according to age; no specific timing required.
[Zhang Huan] Huanglian Dan (Coptis Pill) treats conditions where heat enters the blood and seeps into the intestines and stomach, presenting with redness.
Coptis Rhizome (Huang Lian) [remove roots, 2 liang]
Angelica Sinensis Root (Dang Gui) [washed, dried, 1 liang]
Pulsatilla Root (Bai Tou Weng)
Turnip Root (Man Qing Gen) [washed with water, dried] [each 3 fen]
Costus Root (Mu Xiang)
Chinese Quince Fruit (Chuan Liann Zi) [wrapped in flour, processed] [each half liang]
Pound the above herbs, sieve into fine powder. Blend with glutinous rice meal to form pills the size of millet seeds. Take ten pills per dose, washed down with rice drink. Adjust dosage according to age.
[Zhang Huan] Qian Gen Tang (Madder Root Decoction) treats persistent bloody dysentery.
Madder Root (Qian Gen) [crushed]
Sanguisorba Root (Di Yu) [crushed]
Coptis Rhizome (Huang Lian) [remove roots]
Red Kaolin (Chi Shi Zhi)
Donkey-Hide Gelatin (E Jiao) [roasted熟] [each 1 liang]
Licorice Root (Gan Cao) [roasted]
Phellodendron Bark (Huang Bo) [each half liang]
Pound the above herbs, sieve into fine powder. Take one qian per dose, add eight fen of water, boil until reduced to five fen, strain, let cool to warm temperature, and take.
[Zhang Huan] Nong Chang Dan (Thick Intestine Pill) treats bloody dysentery with intestinal deficiency.
Coptis Rhizome (Huang Lian) [remove roots]
Chinese Quince Fruit (Chuan Liann Zi) [each 1 liang]
Costus Root (Mu Xiang)
Donkey-Hide Gelatin (E Jiao) [roasted]
Evodia Fruit (Wu Zhu Yu) [lightly stir-fried]
Angelica Sinensis Root (Dang Gui) [washed, dried] [each half liang]
Pound the above herbs, sieve into fine powder. Blend with millet rice meal to form pills the size of millet seeds. Take ten pills per dose, washed down with rice drink. Take before nursing or eating, adjusting dosage according to age.
[Zhang Huan] Sheng Xiao San (Holy Efficacy Powder) treats long-standing bloody dysentery that does not heal.
Red Kaolin (Chi Shi Zhi) [burned red]
White Dragon Bone (Bai Long Gu)
Donkey-Hide Gelatin (E Jiao) [roasted] [each 1 liang]
Chebula Pericarpium (He Li Le Pi)
Costus Root (Mu Xiang)
Dried Ginger (Gan Jiang) [processed]
Coptis Rhizome (Huang Lian)
Licorice Root (Gan Cao) [roasted] [each half liang]
Pound the above herbs, sieve into fine powder. Take half a qian per dose, mix with boiled millet drink, and take before meals.
[Zhang Huan] Bi Xiao Dan (Certain Efficacy Pill) treats frequent episodes of bloody dysentery.
Chuan Coptis Rhizome (Chuan Huang Lian) [remove roots, 2 liang]
Jujube (Da Zao) [half sheng]
Dried Ginger (Gan Jiang) [1 liang]
Alum (Bai Fan) [half liang]
Place the above ingredients in a clay vessel, seal tightly with salt mud, leaving one small hole. Burn with charcoal until smoke ceases. Remove, pound into powder, blend with wheat flour paste to form pills the size of millet seeds. Take ten pills per dose, washed down with rice drink. Adjust dosage according to age.
[Qian Yi] Supplementary Formula for treating hot dysentery with bleeding in children.
Phellodendron Bark (Huang Bo) [peeled, half liang]
Red Peony Root (Chi Shao Yao) [4 qian]
Pound together into fine powder. Blend with rice to form pills the size of hemp seeds. Take ten to twenty pills per dose, washed down with rice drink before meals. For older children, increase the number of pills.
*Ji Shi Jia Chuan* provides a prescription for treating bloody dysentery in children.
Use Xuan Huang Lian (Premium Coptis) as powder. Mix with egg white to form cakes. Roast over charcoal until thoroughly red. Cover immediately to prevent gas escape. Cool, grind finely. Take half a qian on an empty stomach with rice drink; adults take one qian. Adjust dosage as needed.
Another prescription:
Simply take good Turmeric Rhizome (Yu Jin) powder, half a qian, mixed with cooked water.
*Ji Shi Jia Chuan* Diyu San (Sanguisorba Powder) treats bloody dysentery in children that persists for a long time.
Sanguisorba Root (Di Yu) [1 fen, stir-fried]
Chebula Fruit (He Zi) [5 pieces, processed, peeled]
Old Locust Tree Wood (Chen Huai)
Coptis Rhizome (Huang Lian) [each 1 qian, stir-fried]
Grind into fine powder. Take half a qian or one qian per dose, washed down with aged rice drink.