（附论）
夫痢后不能饮食者。由脾胃虚弱。气逆胸间之所为也。风邪入于肠胃而痢。痢则水谷减
耗。脾胃虚弱。痢断之后。脾胃尚虚。不胜于食。邪搏于气。逆上则胃弱不能食也。下痢噤
口不能饮食。虽曰脾胃。盖益热气闭隔心胸所致也。俗用木香则失之温。用山药则失之闭。
惟真料参苓白术散加石菖蒲。及以道地粳米饮。乘热调下。或用人参、茯苓、石莲子肉。入
些菖蒲与之。胸次一开。自然思食。
方
诃黎勒丸 治痢后虚羸。不下饮食。
诃黎勒（一两） 木香（半两） 肉豆蔻 当归 干姜 白芍药 白术 浓朴（各一两）
缩砂（三分） 陈橘皮（三分） 桂心（半两） 丁香（半两） 上细罗为末。煮枣瓤和捣
三二百杵。
丸
猪肝丸 治痢后脾胃虚弱。不思饮食。四肢无力。
猪肝一大叶 乌梅肉（一两） 甘草（一分） 草豆蔻 当归 荜茇 诃黎勒 肉豆蔻 桂
心浓朴 干姜（各一两） 上捣罗为末。用猪肝和捣三二百杵。丸如梧桐子大。每服不计
时
候。以粥饮下。
人参散 治痢后脾胃虚弱。不能饮食。四肢羸瘦。宜服。
人参 高良姜 白术 白茯苓 干姜 浓朴 肉豆蔻 当归（各一两） 甘草（半两） 上
捣细罗为散。每服不拘时候。煮枣粥饮下二钱。
白术散 治久冷下痢后。胃尚虚。不能饮食。四肢少力。
白术 干姜 木香 甘草 浓朴 阿胶 神曲 当归 诃黎勒（各一两） 上捣细罗为
散。每
白术散 治痢后四肢羸弱。不能饮食。
白术（二两） 神曲（一两） 肉豆蔻（一两） 干姜 当归 人参（各一两） 桂心
（半两）
木香（半两） 附子（二两炮） 上捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不
计时
候。煮枣粥下三十丸。
木香丸 治痢后脾胃气虚弱。不能饮食。四肢乏力。
木香（半两） 诃黎勒 缩砂 丁香 肉豆蔻 人参 甘草 干姜 浓朴（各一两） 上
捣
罗为末。醋煮面和为丸。如梧桐子大。每服不计时候。煮枣粥饮下。
麦 丸 治痢不能食。气虚羸瘦。
麦 曲（半个炒令黄色） 附子 桂心 乌梅肉 人参 白茯苓 上捣罗为末。炼蜜
和
丸。捣三二百杵。丸如梧桐子大。不计时候。煮枣粥饮下三十丸。一方用七月七日曲。
治老小下痢柴立。不能食。食不能化。入口即出。命在旦夕。
黄连末 乱头发灰 醇苦酒 蜜 白蜡（各一两） 鸡子黄（二枚） 上于铜器中炭火
煮。
先内苦酒、蜜、蜡、鸡子黄搅调。乃内黄连末发灰。又搅煎。视可丸即丸。久困者。一日一
夜尽服之。或二日尽之。瘥。
白术神曲丸 疗脾胃气微。不能下食。五内中冷及微下痢。
白术 神曲末 甘草 干姜 枳实 上等分捣筛。蜜和丸。空腹以温酒服。如梧桐子大。
二
治噤口痢
生姜 芥菜子 上药捣碎。用绢包之。贴于脐上。立效。
治噤口痢
用真山药一两半。生为末。米饮调服。神效。
治噤口痢
用鲫鱼一枚。不去鳞腮。不用水洗。去肠。入白矾一栗子大。纸裹煨令香熟。随意用淡
盐醋
治噤口痢甚妙
用石莲不以多少。不炒。剥去壳。将肉并心研为末。每服二钱。陈米饮调下。便觉思食。
此疾盖是毒瓦斯上冲华盖。心气不通。所以不食。服此药后。心气通利。痢当顿下而愈。未愈。
再服痢药一剂。再以日照东方壁土。炒真橘皮为末。姜枣略煎佐之。
痢疾不纳饮食者。俗谓之噤口。今人多以四柱散。理中汤。参苓散。加肉豆蔻、木香。
或震灵丹等药调之。恐非其治。当以脉证辨之。始脾胃脉不弱。问而知其头疼心烦。手足发
热。未尝多服凉药者。此乃毒瓦斯上冲心肝。所以呕而不食。宜用败毒散。每服四钱重。陈仓
米一百粒。姜三片。枣一枚。水一盏半。煎八分。温服。若其脉微弱。或心腹虚膨。手足厥
冷。初病则不呕。因服罂粟或乌梅涩药。与服凉剂太过。以致闻食先呕。此乃脾胃虚弱。用
山药一味。锉如小豆大。一半银铫内炒。一半生用。同为末。饭饮调下。陈庆长知县云。前
守官南康。其守年五十许岁。患噤口痢。水浆不入者数日矣。因阅同官一方书。载一治法。
试用之。一服而痢稍疏。三服遂索粥食。顿食半盏许。自是痢止而安。此用山药一味。神效。
噤口痢
用萝卜片不以新旧。用好蜜擦于片上。令患人口噙。觉味淡。再换令噙。渐觉思食。
却用肉煮粥。令患人闻香与食。再用平胃散为妙。
下痢湿中汤
用芍药半两。生姜一两。桂心半两。吴茱萸一百五十枚。切。以水三升。煮取一升。分
再服
又方
用附子中者一枚炮。干姜中者三块切。以水三升。煮取二升。强人尽服。弱人半服。不
过三四日愈。
又方
用木鳖子。去壳捶烂。安脐中。纸贴绢帛缚之。若能饮食。取去之。
治痢疾 不进饮食。投以痢药则不能疗。俗名噤口痢。十有九死。此乃疫气传入
脏腑。用人参败毒散。加陈糯米一百五十余粒。如常法煎服立愈。此方活人多矣。凡
卒暴注下。皆因饮食不节。脾胃伤损。湿热水谷不分。洞然下行。夏月饮冷水凉物过
多所致。不可便服止泻药及湿热之剂。服恐成里急后重。而为积痢也。得效方法如后。
肉豆蔻方 治痢腹痛不能食。
用豆蔻一两去皮。以醋面裹煨。以面熟为度。捣为散。随时粥饮下一钱。
仓廪散 治噤口痢有热。乃毒瓦斯冲心即吐。
人参 茯苓 甘草 前胡 川芎 羌活 独活 桔梗 柴胡 枳壳 陈米（各等分） 上
罗匀。姜薄荷煎热服。
参苓白术散 治胃虚口噤。
白扁豆（姜汁浸炒去皮） 茯苓 山药 人参 甘草 莲肉 砂仁 桔梗 薏苡仁（炒
各二两） 上以石菖蒲煎汤下。又宜山药半炒为末。米饮下。宜食生韭菜。
[Attached Discussion]
The inability to eat after dysentery is caused by the deficiency of the Spleen and Stomach, and the rebellion of Qi in the chest. Wind-pathogens entering the intestines and stomach cause dysentery; dysentery leads to a significant consumption of water and grain (nutrients), causing the Spleen and Stomach to become deficient. After the dysentery stops, the Spleen and Stomach remain weak and cannot withstand the burden of food. Pathogenic factors contend with healthy Qi, causing Qi to rebel upwards, leading to weak Stomach Qi and an inability to eat. Dysentery accompanied by locked mouth and inability to eat (Jinkou Li - Locked Mouth Dysentery), although primarily located in the Spleen and Stomach, is actually caused by heat qi blocking the chest and heart. Commonly used Mugwort (Muxiang) treatment fails due to its warmth; using Yam (Shanyao) treatment fails due to its astringency. Only authentic Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) added with Acorus (Shichangpu), taken with hot decoction of high-quality rice (Jingmi), is effective. Alternatively, using Ginseng (Renshen), Poria (Fuling), and Stone Lotus Seed Flesh (Shi Lianzi Rou) with a small amount of Acorus allows the patient to take it. Once the chest Qi opens up, the desire to eat will naturally return.
Formulas
Helile Wan (Galarcha Pill): Treats weakness and emaciation after dysentery, with inability to eat.
Helile (1 liang), Muxiang (0.5 liang), Doukou (Nutmeg), Danggui, Ganjiang, Baishao, Baizhu, Houpo (each 1 liang), Shasha (0.3 fen), Chenpi (0.3 fen), Guixin (0.5 liang), Dingxiang (0.5 liang). The above herbs are finely sifted into powder, mixed with boiled date pulp, and pounded three or two hundred times.
Pills
Zhugan Wan (Pork Liver Pill): Treats Spleen and Stomach deficiency after dysentery, lack of appetite, and weakness in the four limbs.
One large leaf of pork liver, Wumei flesh (1 liang), Gancao (0.1 fen), Caodoukou, Danggui, Bibo, Helile, Doukou, Guixin, Houpo, Ganjiang (each 1 liang). The above herbs are crushed, sifted into powder, mixed with pork liver, and pounded three or two hundred times. Form pills the size of paulownia seeds. Take at any time, washed down with millet gruel.
Renshen San (Ginseng Powder): Treats Spleen and Stomach deficiency after dysentery, inability to eat, and emaciation of the four limbs. Suitable for use.
Renshen, Gaoliangjiang, Baizhu, Fuling, Ganjiang, Houpo, Doukou, Danggui (each 1 liang), Gancao (0.5 liang). The above herbs are finely crushed and sifted into powder. Take at any time, washed down with two qian of date gruel.
Baizhu San (Atractylodes Powder): Treats chronic cold dysentery where the Stomach remains weak, unable to eat, with slight strength in the four limbs.
Baizhu, Ganjiang, Muxiang, Gancao, Houpo, Ejiao, Shenqu, Danggui, Helile (each 1 liang). The above herbs are finely crushed and sifted into powder. Take...
Baizhu San (Atractylodes Powder): Treats weakness of the four limbs after dysentery, with inability to eat.
Baizhu (2 liang), Shenqu (1 liang), Doukou (1 liang), Ganjiang, Danggui, Renshen (each 1 liang), Guixin (0.5 liang), Muxiang (0.5 liang), Fuzi (2 liang, processed). The above herbs are crushed and sifted into powder, mixed with refined honey, and pounded three or two hundred times. Form pills the size of paulownia seeds. Take at any time, washed down with thirty pills using date gruel.
Muxiang Wan (Aucklandia Pill): Treats Spleen and Stomach Qi deficiency after dysentery, inability to eat, and weakness in the four limbs.
Muxiang (0.5 liang), Helile, Shasha, Dingxiang, Doukou, Renshen, Gancao, Ganjiang, Houpo (each 1 liang). The above herbs are crushed and sifted into powder, mixed with vinegar-boiled flour dough to form pills. Form pills the size of paulownia seeds. Take at any time, washed down with date gruel.
Mai Qu Wan (Wheat Leaven Pill): Treats dysentery with inability to eat, Qi deficiency, and emaciation.
Mai Qu (half, fried until yellow), Fuzi, Guixin, Wumei flesh, Renshen, Fuling. The above herbs are crushed and sifted into powder, mixed with refined honey to form pills. Pounded three or two hundred times. Form pills the size of paulownia seeds. Take at any time, washed down with thirty pills using date gruel. Another method uses leaven made on the seventh day of the seventh lunar month.
Treats elderly and children with severe dysentery, standing unsteadily, unable to eat, food not digesting, vomiting immediately upon entry, life hanging by a thread.
Huanglian powder, ash from tangled hair, strong vinegar, honey, Baila (white beeswax) (each 1 liang), Jizi Huang (egg yolk) (2 pieces). Boil the above ingredients in a copper vessel over charcoal fire. First add vinegar, honey, wax, and egg yolks, stirring well. Then add Huanglian powder and hair ash, stirring and boiling again. When ready, form into pills. For critically ill patients, consume within one day and night, or within two days. Cured.
Baizhu Shenqu Wan (Atractylodes and Leaven Pill): Treats weak Spleen and Stomach Qi, inability to eat, coldness in the five viscera, and mild dysentery.
Baizhu, Shenqu powder, Gancao, Ganjiang, Zhishi. The above ingredients are equal parts, crushed and sifted, mixed with honey to form pills. Take on an empty stomach with warm wine. Form pills the size of paulownia seeds. Take...
Treating Locked Mouth Dysentery
Shengjiang (Fresh Ginger), Jiecaizi (Mustard Seeds). Crush the above herbs, wrap in silk cloth, apply to the umbilicus. Immediate effect.
Treating Locked Mouth Dysentery
Use 1.5 liang of genuine Shanyao (Dioscorea Opposita), grind raw into powder, mix with rice drink. Divine effect.
Treating Locked Mouth Dysentery
Use one crucian carp, do not remove scales or gills, do not wash with water, remove entrails. Insert a piece of Bai Fan (Alum) the size of a chestnut, wrap in paper, roast until fragrant and cooked. Use freely with light salt and vinegar...
Treating Locked Mouth Dysentery is very effective
Use Shilian (Stone Lotus Seed) in any quantity, do not fry, remove shell, grind the flesh and heart into powder. Take 2 qian each time, mixed with aged rice drink. One will feel the desire to eat. This disease is caused by toxic vapors rushing upward to the Huagai (Heart and Lungs), blocking Heart Qi, hence the inability to eat. After taking this medicine, Heart Qi becomes smooth, dysentery should be expelled immediately and cured. If not cured, take another dose of dysentery medicine. Also, use soil from the eastern wall exposed to sunlight, fry Zhen Jupi (True Tangerine Peel) into powder, decoct slightly with Jiang (Ginger) and Zao (Date) as an adjunct.
Dysentery with inability to accept food is commonly called "Locked Mouth". Nowadays, people often use Sizhu San, Lizhong Tang, Shenling San, adding Doukou and Muxiang, or Zhenling Dan, etc., to regulate. This is likely incorrect treatment. One must differentiate based on pulse and symptoms. If initially the Spleen/Stomach pulse is not weak, and inquiry reveals headache, irritability, fever in hands and feet, and no history of excessive cooling medicine intake, this is toxic vapors rushing to the Heart and Liver, causing vomiting and refusal to eat. It is suitable to use Baidu San (Detoxification Powder). Take 4 qian per dose, add 100 grains of aged Cangmi (Storehouse Rice), 3 slices of Ginger, 1 Date, 1.5 cups of water, decoct to 0.8 cup, take warm. If the pulse is weak and thready, or there is abdominal distension and fullness, cold extremities, no vomiting initially, but vomiting at the smell of food due to excessive use of astringents like Yingsu (Poppy) or Wumei (Myrobalan), or excessive cooling agents, this is Spleen and Stomach deficiency. Use only Shanyao, cut into bean-sized pieces, half stir-fried in a silver pot, half raw, ground together into powder, taken with rice drink. Chen Qingchang, Magistrate, said: Previously serving as Prefect in Nankang, a fifty-year-old official suffered from Locked Mouth Dysentery, unable to take fluids for several days. He consulted a medical book from a colleague, found a treatment method, and tried it. After one dose, dysentery eased slightly; after three doses, he asked for porridge, eating about half a bowl. From then on, dysentery stopped and he recovered. Using only Shanyao has divine effects.
Locked Mouth Dysentery
Use Luobo (Radish) slices, regardless of new or old. Rub good honey onto the slices. Let the patient hold them in the mouth. When the taste fades, replace with a new slice. Gradually, the desire to eat returns. Then cook meat porridge, let the patient smell the aroma and eat. Follow up with Pingwei San (Calm the Stomach Powder) for best results.
Xiali Shizhong Tang (Dampness-Resolving Decoction for Dysentery)
Use Shaoyao (Peony Root) 0.5 liang, Shengjiang (Ginger) 1 liang, Guixin (Cinnamon Twig) 0.5 liang, Wuzhuyu (Evodia Fruit) 150 pieces, sliced. Add 3 sheng of water, boil to obtain 1 sheng. Divide into two doses.
Another Prescription
Use one medium-sized processed Fuzi (Aconite Root), three medium-sized pieces of sliced Ganjiang (Dried Ginger). Add 3 sheng of water, boil to obtain 2 sheng. Strong individuals take the whole dose; weak individuals take half. Cure within three to four days.
Another Prescription
Use Mugua (Mugua Fruit/Monkfruit), remove shell, crush thoroughly, apply to the umbilicus. Cover with paper and bind with silk cloth. Remove when able to eat.
Treating Dysentery with Inability to Eat: Administering dysentery medicines is ineffective. Commonly known as Locked Mouth Dysentery, nine out of ten cases are fatal. This is because epidemic pathogens have entered the viscera. Use Renshen Baidu San (Ginseng Detoxification Powder), add 150+ grains of aged Nuomi (Sticky Rice), decoct and take according to standard method. Immediate cure. This prescription has saved many lives. All sudden acute watery diarrhea is caused by irregular diet damaging the Spleen and Stomach, leading to indistinguishable damp-heat and food/water, flowing down violently. It is often caused by excessive consumption of cold water and cool foods in summer. Do not immediately administer antidiarrheal or damp-heat clearing agents, as this may lead to tenesmus and formation of accumulated dysentery. Effective methods are as follows.
Doukou Fang (Nutmeg Formula): Treats dysentery with abdominal pain and inability to eat.
Use 1 liang of Doukou (Nutmeg), remove skin, wrap in vinegar-dough, roast until dough is cooked. Grind into powder. Take 1 qian with gruel as needed.
Canglin San (Granary Powder): Treats Locked Mouth Dysentery with heat, where toxic vapors rush to the Heart causing vomiting.
Renshen, Fuling, Gancao, Qianhu, Chuanxiong, Qianghuo, Duhuo, Jiegeng, Chaihu, Zhike, Chenmi (equal parts). Sift evenly. Decoct with Ginger and Mint, take hot.
Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder): Treats Stomach deficiency with locked mouth.
Baibian Dou (White Hyacinth Bean, soaked in Ginger juice, fried, peeled), Fuling, Shanyao, Renshen, Gancao, Lianrou (Lotus Seed Flesh), Sharen (Amomum Fruit), Jiegeng, Yiyiren (Coix Seed, fried, each 2 liang). Decoct Shichangpu (Acorus) in water to take the medicine. Alternatively, use half-fried Shanyao ground into powder, taken with rice drink. Eating raw Chinese chives is beneficial.