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。
Niao Yuanfang stated: When children with dysentery pass stool resembling paste and blood, this is termed Red Dysentery (Chi Li). It occurs because the intestines are extremely deficient, causing the intestinal mucosa/fat and blood to be discharged together. *Shenghui Fang* posits that pediatric bloody dysentery arises from heat-toxin damaging the blood vessels, allowing blood to enter the Large Intestine. Blood normally circulates through the meridians with Qi and flows through the Zang-Fu organs without stagnation; however, if invaded by toxic heat while the intestines are weak, blood seeps into the intestines, resulting in bloody dysentery. *Baojian* notes that when a child's intestines have heat, they will pass fresh red blood in their stool, similar to Intestinal Wind (Chang Feng). *Waitai Miyao · Guangji Fang* records a formula for treating pediatric heat-toxin bloody dysentery.
Rhinoceros Horn (Xijiao, 10 fen) [Note: Modern substitutes like Water Buffalo Horn should be used]
Sanguisorbae Radix (Diyu, 6 fen)
Honey (Fengmi, 3 fen)
Dimai Cao (5 he)
The above four herbs are cut. Boil in three sheng of water until two sheng remain. Strain the dregs and administer according to the child's age and size.
Another prescription:
Scallion White (Congbai, 3 liang)
Prepared Soybean (Xiangchi, 3 he)
Gardenia Fruit (Zhizi, wrapped in cotton, 7 pieces)
Coptidis Rhizoma (Huanglian, 1 liang)
The above four herbs are cut. Boil in two sheng of water until nine he remain. Strain the dregs and divide into doses.
*Waitai Miyao · Liu Shi* treats pediatric bloody dysentery.
Sanguisorbae Radix (Diyu)
Phellodendri Cortex (Huangbai)
Coptidis Rhizoma (Huanglian)
Scutellariae Radix (Huangqin) [Each 6 fen]
Iris Tectori Semen (Malinzi, 2 fen)
Qiancao Radix et Rhizoma (Qian Gen, 1 liang)
Zingiberis Rhizoma Recens (Shengjiang, 3 fen)
The above seven herbs are cut. Boil in two sheng of water until one sheng remains. Divide into doses. Administer one to two he based on the child's size.
[Chen Cangqi] Treats bloody dysentery in children caused by alternating cold and heat, erysipelas, evil invasion, or fright:
Boil all herbs to extract the juice of Caoxi Gen (Grass Rhinoceros Root) and administer. This is more effective; those growing in water are called Shuixi (Water Rhinoceros).
*Shiyi Xinjian* treats pediatric bloody dysentery:
Take fresh Portulacae Herba (Machixian), squeeze out one he of juice, mix with one spoonful of honey, and drink on an empty stomach.
*Shenghui Fang* treats pediatric bloody dysentery accompanied by vexation, heat, dry mouth, and abdominal pain. Huanglian San:
Coptidis Rhizoma (Huanglian, remove roots, lightly stir-fried)
Rhinoceros Horn (Xijiao, crushed)
White Nelumbinis Nuciferae Rhizoma (Baihe Gen)
Scutellariae Radix (Huangqin)
Brassicae Pekinensis Radix (Manqing Gen)
Isatidis Radix (Wulan) [Each 1 liang]
Pulsatillae Radix (Baitouweng, 3 fen)
Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red, crushed)
Angelicae Sinensis Radix (Danggui, crushed, lightly stir-fried, each half liang)
Crush the above medicines, sift coarsely to make a powder. Take one qian per dose, add one small cup of water, boil down to five fen, strain, and administer at any time, adjusting the dose according to the child's size.
*Shenghui Fang* treats persistent pediatric bloody dysentery. Machixian Juice Porridge:
Portulacae Herba Juice (Machicai Zhi, 1 he)
Honey (Fengmi, half he)
Setaria Italica (Sumi, 1 he)
Boil the above in one large cup of water to make porridge. Add the other two ingredients, mix well, and take before meals.
[Zhang Huan] Shuiliao Dan: Treats bloody dysentery and malnutrition emaciation.
Ophichthidis Cutis Coriacea (Shetui Pi, burnt to ash)
Trapa Bispinosae Pericarpium (Jitou Qiao, burnt to ash retaining nature, each 1 liang)
Coptidis Rhizoma (Huhuanglian)
Polygoni Hydropiperis Herba (Shuiliao) [Each half liang. Crush and sift these into fine powder first.]
Cinnabaris (Zhusha, half liang)
Aloe (Zhen Lushen)
Bovis Calculus (Niuhuang)
Frost Powder (Fenshuang) [Each finely ground, 1 fen]
Mix the above thoroughly, 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 Tang (Musk decoction). Adjust dosage according to the child's size; no specific timing required.
[Zhang Huan] Treats heat invading the blood and seeping into the intestines and stomach, presenting as red stools. Huanglian Dan:
Coptidis Rhizoma (Huanglian, remove roots, 2 liang)
Angelicae Sinensis Radix (Danggui, wash, dry by baking, 1 liang)
Pulsatillae Radix (Baitouweng)
Brassicae Pekinensis Radix (Manqing Gen, wash with water, dry by baking, each 3 fen)
Aquilegiae Radix (Muxiang)
Toosendan Fructus (Chuanlianzi, wrapped in flour, processed, each half liang)
Crush and sift the above 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 the child's size.
[Zhang Huan] Qian Gen Tang: Treats persistent bloody dysentery.
Qiancao Radix et Rhizoma (Qian Gen, crushed)
Sanguisorbae Radix (Diyu, crushed)
Coptidis Rhizoma (Huanglian, remove roots)
Halloysit Rubrum (Chishizhi)
Asini Corii Colla (Ejiao, roasted熟, each 1 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, roasted)
Phellodendri Cortex (Huangbai) [Each half liang]
Crush and sift the above into fine powder. Take one qian per dose, add eight fen of water, boil to five fen, strain, let cool to warm, and take.
[Zhang Huan] Nongchang Dan: Treats bloody dysentery with intestinal deficiency.
Coptidis Rhizoma (Huanglian, remove roots)
Toosendan Fructus (Chuanlianzi) [Each 1 liang]
Aquilegiae Radix (Muxiang)
Asini Corii Colla (Ejiao, roasted)
Evodiae Fructus (Wuzhuyu, lightly stir-fried)
Angelicae Sinensis Radix (Danggui, wash, dry by baking, each half liang)
Crush and sift the above 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 milk/food intake, adjusting dosage according to the child's size.
[Zhang Huan] Shengxiao San: Treats long-standing bloody dysentery that does not heal.
Halloysit Rubrum (Chishizhi, burnt red)
Os Draconis (Bailonggu)
Asini Corii Colla (Ejiao, roasted, each 1 liang)
Terminaliae Chebulae Pericarpium (Helile Pi)
Aquilegiae Radix (Muxiang)
Zingiberis Rhizoma (Ganjiang, processed)
Coptidis Rhizoma (Huanglian)
Glycyrrhizae Radix et Rhizoma (Gancao, roasted, each half liang)
Crush and sift the above into fine powder. Take half a qian per dose, mix with boiled millet drink, and take before meals.
[Zhang Huan] Bixiao Dan: Treats frequent episodes of bloody dysentery.
Coptidis Rhizoma (Huanglian, remove roots, 2 liang)
Jujubae Fructus (Dazao, half sheng)
Zingiberis Rhizoma (Ganjiang, 1 liang)
Alumen Bai (Banfan, half liang)
Place the above in a clay vessel, seal tightly with salt mud, leaving one small hole. Burn with charcoal until smoke ceases. Remove, crush and sift into powder. Blend with white flour paste to form pills the size of millet seeds. Take ten pills per dose, washed down with rice drink. Adjust dosage according to the child's size.
[Qian Yi] Supplementary Formula: Treats pediatric heat dysentery with bloody stool.
Phellodendri Cortex (Huangbai, peel removed, half liang)
Paeoniae Radix Rubra (Chishaoyao, 4 qian)
Grind both 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 adults, increase the number of pills.
*Jishi Jiachuan* treats pediatric bloody dysentery:
Take Xuanlian (high-quality Coptis) as powder. Mix with egg white to form cakes. Roast over charcoal until completely red. Cover immediately to prevent gas escape. Once cooled, grind finely. Take half a qian on an empty stomach with rice drink; adults take one qian. Adjust dosage as needed.
Another prescription:
Take the above, simply mix good Turmericis Rhizoma (Yujin) powder half a qian with cooked water and take.
*Jishi Jiachuan* Diyü San: Treats pediatric bloody dysentery, long-standing and unhealed.
Sanguisorbae Radix (Diyu, 1 fen, stir-fried)
Terminaliae Chebulae Fructus (Hezi, five pieces, processed, peeled)
Sophorae Tonkinensis Ramulus et Folium (Chenhua i.e., Sophora japonica buds/flowers)
Coptidis Rhizoma (Huanglian) [Each 1 qian, stir-fried]
Grind into fine powder. Take half a qian or one qian per dose, washed down with aged rice drink.