《圣惠》夫小儿脓血痢者，由热毒在脏，血得热则流溢，渗入大肠，与肠间津液相搏，积热蕴结，血
化为脓，腹虚则泄，故成脓血痢也。
《葛氏肘后》小儿毒下及赤滞，下如鱼脑。白头翁丸方
白头翁（三分） 黄连（六分，研） 石榴皮（三分，有毒、除石榴皮，用犀角屑三分）
上三物，以水二升，煮取八合，儿生四十日以五合为三服，大者，则加药。
《肘后》乳母方
扁豆茎（一升，炙令干，乃切之） 人参（三两）
上，以水三升，煎取一大升半，去滓取汁，煮粟米粥与乳母食之，良。常遍盖
覆乳勿冷，佳。又法，乳母常食粥，仍欲乳儿，先捻去少许，即当佳。
《肘后·近效方》疗小儿三岁即患痢，初患脓少血多，四日脓多血少，日夜四十余行。朱子丸方服即效。
生地黄（汁五小合） 羊肾脂（一小合）
上先温肾脂令暖，分三四服，立效。乳母须禁食，并有乳母方在前。
《千金》黄柏汤 治小儿夏月伤暴寒，寒折大热，热入胃，下赤白滞如鱼脑，壮热头痛，身热手足烦，
此太阳之气外伤于寒，使热气便入胃也，服此方良。若误以利药下之，或以温脾汤下之，则热剧。以利药下
之，便数去赤汁如烂肉者，或下之不瘥，后以涩热药断之，下既不止，倍增壮热者服之即效。或者温病热
盛，复遇暴寒折之，热入腹中，下血如鱼脑者，服之良。
黄柏 黄连 白头翁（一作白蔹） 升麻 当归 牡蛎 石榴皮 黄芩 寄生 甘草
（炙。各二分） 犀角 艾叶（各一分）
上十二味， 咀。以水三升，煮取一升二合，百日儿至二百日，一服三合，二百余日至期岁，一服三合半。
《千金》治小儿赤白滞下杂方 薤白一把，豉一升，以水三升，煮取二升，分三服。柏叶、麻子末各一升，以水
五升，煮三沸，百日儿每服三合。乱发灰、鹿角灰等分，三岁儿以水和服三钱匕，日三。牛角 灰，水和服三
方寸匕。捣石榴汁服之。烧蜂房灰，水和服之。生地黄汁、白 荷根汁各五合，微火上煎。
单服生地黄汁一合。
《圣惠》吴蓝散 治小儿脓血痢如鱼脑，腹痛。
吴蓝 川升麻 赤芍药 龙骨（各一两） 栀子仁（半两）
上件药捣，粗罗为散，每服一钱，水一小盏，入豉三七粒，煎至五分，去滓，不计时候，量儿大小，分减温服。
樗根皮散 治小儿脓血痢如鱼脑，困重。
臭樗根皮（一分，锉，炒微黄） 枳壳（去瓤，麸炒微黄） 黄连（去须，微炒） 芜荑（微炒） 赤芍药
（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入豉三十粒、葱白一茎，煎至六分，去滓，
不计时候，量儿大小，分减温服。
人参散 治小儿脓血痢，多时不瘥，腹痛羸瘦，不欲饮食。
人参（去芦头） 当归（锉，微炒） 地榆（微炙、锉） 阿胶（捣碎，炒令黄燥） 黄连（去须，
微炒） 子芩 黄柏（微炙，锉） 赤芍药 芜荑（微炒） 浓朴（去粗皮，涂生姜汁炙、令香熟，各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入薤白一茎，豉五十粒，煎至五分，去滓，不计时
候，量儿大小，分减温服。
鸡屎矾丸 治小儿脓血痢不瘥，渐加瘦弱。
鸡屎矾（烧灰） 龙骨 阿胶（捣碎，炒令黄燥） 黄连（去须，微炒。各一两） 胡粉（一分，炒微黄）
上件药捣，罗为末，煎酽醋为膏和丸，如绿豆大。每服以暖浆水下七丸，日三四服，量儿大小，以意加减。
《养生必用》黄连阿胶丸 治热痢下重，脓血疼痛，腹中痛不可忍。老人、产妇、虚劳人、小儿、并宜服。
黄连（去须，各两半） 白茯苓 白芍药 阿胶（杵碎，慢火、炒如珠子白色，别杵为细末。各半两）
上，上三物为细末，斟酌米醋多少，熬胶得所，和匀入臼，杵万下，众手丸如绿豆大。每服自二十丸为
始，止于五十丸，食前温米饮下，日二三，以知为度，未知加药。更丸一等如黄米大，与小儿服。
燔发散 治肠 ，下脓血。
白石脂（一分） 发（烧） 甘草（炙。各二分）
上为末。米汁和二刀圭，日二服。
〔张涣〕健胃丹 治泄利兼脓血，日渐羸瘦。
黄连（一两，去须、微炒） 白矾（一分，枯令汁尽） 乌梅肉（炒） 龙骨 白石脂 神曲（炒） 干
姜（各半两）
上件捣，罗为细末。醋煮面糊和丸，黍米大，每服十粒，米饮下，量儿大小加减。
青橘丹 治冷热相交，赤白相杂脓血。
青橘皮（汤浸，去白、焙） 当归（汤洗，焙） 黄连 干姜（各一两） 浓朴（生姜制） 肉豆蔻（各半两）
上件捣，罗为细末。白面和丸，黍米大。每服十粒，米饮下，食前。
长沙医者王充传通神丸 治小儿大人痢疾下脓血，里急腰重，脐腹疼痛。
没药 五灵脂 乳香（各研细，炒，一钱） 巴豆（七枚，去皮心膜、压出油）
上四味，同研令细匀，滴水为丸，如粟米大。每服一粒，生木瓜研水下，不拘时候。
Shenghui Fang states: Pediatric dysentery with pus and blood is caused by heat-toxin accumulating in the zang-organs. Blood, when subjected to heat, flows and overflows, seeping into the large intestine, where it contends with the fluids between the intestines. Accumulated heat condenses, transforming blood into pus; due to abdominal deficiency, diarrhea occurs, thus forming dysentery with pus and blood.
Ge Shi's Zhouhou Fang treats pediatric toxic dysentery and red-dysentery with stagnation (dysentery), where excrement resembles fish brains, using the Baitouweng Wan (Baitouweng Pill) formula:
Baitouweng (Pulsatillae Radix) (3 fen) Huanglian (Coptidis Rhizoma) (6 fen, ground) Shiliupi (Punicae Pericarpium) (3 fen; if toxic, remove Shiliupi and use Xijiaoxie (Rhinocerotis Cornu Treated Slice) 3 fen instead).
The above three substances are boiled in two sheng of water until eight ge remains. For an infant born forty days old, administer five ge divided into three doses; for older children, increase the dosage accordingly.
Zhouhou Fang nursing mother prescription:
Biandoujing (Vigna umbellata Stem) (1 sheng, roasted until dry, then cut) Renshen (Ginseng Radix et Rhizoma) (3 liang).
Boil the above in three sheng of water to obtain one and a half sheng of decoction. Strain and take the juice to cook millet porridge for the nursing mother to eat; this is beneficial. Usually, cover and keep the breast milk warm, avoiding coldness, which is optimal. Another method: if the nursing mother frequently eats porridge and wishes to nurse the infant, squeeze out a small amount first, then feed; this should be effective.
Zhouhou · Jinxiao Fang treats pediatric dysentery starting at age three, initially presenting with little pus and much blood, changing after four days to much pus and little blood, with more than forty bowel movements day and night. The Zhuzi Wan (Zhuzi Pill) formula is effective upon administration:
Shengdihuang (Rehmanniae Radix) juice (5 small he) Yangshenzhi (Ovis/Capis Ren Medulla) (1 small he).
First warm the kidney fat until hot, divide into three or four doses for immediate effect. The nursing mother must observe dietary restrictions; see the nursing mother formula mentioned earlier.
Qianjin Fang Huangbai Tang (Phellodendri Decoction): Treats pediatric summer injury from sudden cold, where cold suppresses excessive internal heat, allowing heat to enter the stomach, resulting in discharge of red and white mucus resembling fish brains, high fever, headache, body heat, and restlessness in hands and feet. This occurs when Taiyang qi is externally injured by cold, causing heat to enter the stomach; taking this formula is beneficial. If mistakenly treated with purgatives or Wentai Tang (Warming Spleen Decoction), heat will intensify. If purgatives cause frequent passage of red fluid like rotten flesh, or if purgation fails to cure and subsequent use of astringent-hot medicines stops diarrhea but fails to stop flow while doubling high fever, this formula is effective. Alternatively, if warm disease heat is severe and suddenly suppressed by cold, causing heat to enter the abdomen and blood discharge resembling fish brains, this formula is beneficial.
Huangbai (Phellodendri Cortex) Huanglian (Coptidis Rhizoma) Baitouweng (Pulsatillae Radix) [or Bailian (Ampelopsis Radix)] Shengma ( Cimicifugae Rhizoma) Danggui (Angelicae Sinensis Radix) Muli (Concha Ostreae) Shiliupi (Punicae Pericarpium) Huangqin (Scutellariae Radix) Sangjisheng (Taxilli Caulis) Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 2 fen) Xijiao (Rhinocerotis Cornu) Aiye (Artemisiae Argyi Folium) (each 1 fen).
Twelve ingredients are chopped. Boil in three sheng of water to obtain one sheng and two ge. For infants aged 100-200 days, administer 3 ge per dose; for those aged over 200 days up to one year, administer 3.5 ge per dose.
Qianjin Fang miscellaneous formulas for pediatric red-white dysentery:
Xiebai (Allii Macrostemonis Bulbus) one bunch, Chi (Sojae Semen Praeparatum) one sheng, boil in three sheng of water to obtain two sheng, divide into three doses. Baiye (Platycladi Cacumen) and Mazimo (Cannabis Fructus) powder, one sheng each, boil in five sheng of water for three boils; for 100-day-old infants, administer 3 ge per dose. Luofahui (Hair Ash) and Lujiaohui (Cervi Cornu Colla Ash) in equal parts, mix with water for 3-year-old children to take 3 qianbi, three times daily. Niujiaohui (Bovis Cornu Ash), mix with water to take 3 fangcunbi. Drink crushed Pomegranate juice. Take ash of burned Beehive (Fengfang), mixed with water. Shengdihuang juice and Baihegen (Nymphaeae Rhizoma) juice, each 5 he, simmer on low heat. Take Shengdihuang juice alone, 1 he.
Shenghui Fang Wulan San (Isatidis Powder): Treats pediatric dysentery with pus and blood resembling fish brains, and abdominal pain.
Wulan (Israditis Folium et Radix) Chuan Shengma (Cimicifugae Rhizoma) Chishaoyao (Paeoniae Radix Rubra) Longgu (Os Draconis) (each 1 liang) Zhizi Ren (Gardeniae Fructus) (0.5 liang).
Grind the above herbs into a coarse powder. Take 1 qian per dose with one small cup of water, add 7-8 grains of Chi, boil to 0.5 portion, strain, and take warm according to the child's size at any time.
Chugenpi San (Akebiae Cortex Powder): Treats pediatric dysentery with pus and blood resembling fish brains, severe condition.
Chou Chugenpi (Akebiae Caulis Cortex) (1 fen, chopped, roasted slightly yellow) Zhiqiao (Aurantii Fructus) (pith removed, bran-roasted slightly yellow) Huanglian (Coptidis Rhizoma) (fibers removed, slightly roasted) Wuyi (Myricae Fructus) (slightly roasted) Chishaoyao (Paeoniae Radix Rubra) (each 0.5 liang).
Grind the above herbs into a coarse powder. Take 1 qian per dose with one small cup of water, add 30 grains of Chi and one stem of Congbai (Allii Fistulosi Bulbus), boil to 0.6 portion, strain, and take warm according to the child's size at any time.
Renshen San (Ginseng Powder): Treats pediatric dysentery with pus and blood that persists for a long time without healing, abdominal pain, emaciation, and loss of appetite.
Renshen (Ginseng Radix et Rhizoma) (rhizome removed) Danggui (Angelicae Sinensis Radix) (chopped, slightly roasted) Diyü (Sanguisorbae Radix) (slightly roasted, chopped) Ejiao (Colla Corii Asini) (crushed, roasted until yellow and dry) Huanglian (Coptidis Rhizoma) (fibers removed, slightly roasted) Zixin (Scutellariae Radix) Huangbai (Phellodendri Cortex) (slightly roasted, chopped) Chishaoyao (Paeoniae Radix Rubra) Wuyi (Myricae Fructus) (slightly roasted) Houpo (Magnoliae Officinalis Cortex) (bark removed, coated with ginger juice, roasted until fragrant, each 0.5 liang).
Grind the above herbs into a coarse powder. Take 1 qian per dose with one small cup of water, add one stem of Xiebai and 50 grains of Chi, boil to 0.5 portion, strain, and take warm according to the child's size at any time.
Jishifan Wan (Chicken Dropping Alum Pill): Treats pediatric dysentery with pus and blood that does not heal, leading to gradual emaciation and weakness.
Jishifan (Alumen Preparatum) Longgu (Os Draconis) Ejiao (Colla Corii Asini) (crushed, roasted until yellow and dry) Huanglian (Coptidis Rhizoma) (fibers removed, slightly roasted, each 1 liang) Hufen (Cerussa) (1 fen, roasted slightly yellow).
Grind the above herbs into fine powder, boil strong vinegar into a paste to bind into pills the size of mung beans. Administer seven pills per dose with warm rice gruel, three to four times daily, adjusting according to the child's size.
Yangsheng Biyong Fang Huanglian Ejiao Wan (Coptidis and Donkey-hide Gelatin Pill): Treats heat-dysentery with tenesmus, painful pus and blood, and unbearable abdominal pain. Suitable for elderly, postpartum women, consumptive patients, and children.
Huanglian (Coptidis Rhizoma) (fibers removed, 1.5 liang each) Baifuling (Poria) Baishaoyao (Paeoniae Radix Alba) Ejiao (Colla Corii Asini) (pounded, slow-roasted until white like beads, pounded separately into fine powder, each 0.5 liang).
Make the above three ingredients into fine powder. Add appropriate amount of rice vinegar, melt gelatin properly, mix evenly, pound in mortar ten thousand times, and roll into pills the size of mung beans by hand. Start with twenty pills, up to fifty pills, taken warm with rice drink before meals, two to three times daily. Stop when effective; if not effective, increase dosage. Make another batch of pills the size of millet seeds for children.
Fafen San (Burned Powder): Treats Changpi (intestinal dysentery) with pus and blood discharge.
Baishizhi (Halloysitum Rubrum) (1 fen) Fa (Hair) (burned) Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 2 fen).
Grind into powder. Mix with rice juice to form two Dao Gui, take twice daily.
[Zhang Huan] Jianwei Dan (Stomach-Strengthening Pill): Treats diarrhea with pus and blood, leading to gradual emaciation.
Huanglian (Coptidis Rhizoma) (1 liang, fibers removed, slightly roasted) Baifan (Alumen) (1 fen, calcined until dry) Wumei Rou (Mume Fructus) (roasted) Longgu (Os Draconis) Baishizhi (Halloysitum Rubrum) Shenqu (Massa Medicata Fermentata) (roasted) Jiangjiang (Zingiberis Rhizoma) (each 0.5 liang).
Grind and sieve into fine powder. Bind with vinegar-boiled flour paste into pills the size of millet seeds. Take ten pills per dose with rice drink, adjusting according to the child's size.
Qingju Dan (Green Tangerine Pill): Treats cold-heat intermingling, mixed red and white pus and blood.
Qingjupi (Citri Reticulatae Pericarpium) (soaked in boiling water, pith removed, dried) Danggui (Angelicae Sinensis Radix) (washed in boiling water, dried) Huanglian (Coptidis Rhizoma) Jiangjiang (Zingiberis Rhizoma) (each 1 liang) Houpo (Magnoliae Officinalis Cortex) (prepared with ginger) Roudoukou (Myristicae Semen) (each 0.5 liang).
Grind and sieve into fine powder. Bind with white flour into pills the size of millet seeds. Take ten pills per dose with rice drink before meals.
Tongshen Wan (Miracle Spirit Pill) transmitted by Wang Chong, a physician from Changsha: Treats dysentery with pus and blood in children and adults, tenesmus, heavy waist, and umbilical/abdominal pain.
Moyao (Myrrha) Wulingzhi (Trogopterori Excrement) Rushiang (Boswelliae Resina) (each finely ground, roasted, 1 qian) Badou (Crotonis Fructus) (seven seeds, skin and heart membrane removed, oil pressed out).
Grind the four ingredients together until fine and uniform. Form pills with drops of water, the size of millet seeds. Take one pill per dose with raw Papaya ground in water, at any time.