小儿卒痢者，由肠胃虚，暴为冷热之气所伤，而为卒痢。热则色黄赤，冷则色青白，若
冷热相交，则变为赤白滞痢也。
春伤于风，至夏为洞泄。小儿春时解脱，为风所伤，藏在肌肉，至夏因为水谷痢，经久
连滞不瘥也。
凡水谷痢久，肠胃虚，易为冷热。得冷则变白脓，得热则变赤血，若冷热相加，则赤白
相杂。痢久则变肿满，亦变病 ，亦令呕哕，皆由痢久脾胃虚所为也。
重下痢者，此是赤白滞下，利而挟热多者，热结肛门，痢不时下，而久KT 气，谓
之重下痢也。
此是赤痢肠虚极，肠间脂与血俱下，故谓痢如膏血也。
岁时寒暑不调，而有毒疠之气，小儿解脱，为其所伤，邪与血气相搏，入于肠胃，毒瓦斯
蕴积，值大肠虚者，则变痢血。其痢状，血色蕴瘀如鸡鸭肝片，随痢下。此是毒瓦斯盛热，食
于人脏，状如中蛊，故谓之蛊毒痢也。
此是水谷痢，津液枯竭，腑脏虚燥则引饮。若小便快者，痢断渴则止。若小便涩，水不
行于小肠，渗入肠胃，渴亦不止，痢亦不断。凡如此者，皆身体浮肿，脾气弱，不能克水故
也。亦必眼痛生障。小儿上焦本热，今又痢，下焦虚，上焦热气转盛，热气熏肝故也。
小儿所以有 病者，妇人怀娠，有恶神导其腹中胎，妒嫉而制伏他小儿令病也。妊
娠妇人，不必悉能制 ，人时有此耳。 之为疾，喜微微下，寒热有去来，毫毛发
不悦，是其证也。
Pediatric sudden dysentery arises from the deficiency of the intestines and stomach, where a sudden invasion by cold or pathogenic heat leads to acute dysentery. If affected by heat, the stool color is yellowish-red; if affected by cold, the stool color is bluish-white. When cold and heat pathogens interact, it transforms into sticky dysentery with mixed red and white discharge (Chi Bai Zhi Li).
Injury by wind in spring may lead to "Dong Xie" (profuse watery diarrhea) in summer. In spring, children often dress lightly and are injured by wind; the pathogen hides in the muscles. By summer, improper diet triggers water-and-grain dysentery, which persists for a long time without healing.
When water-and-grain dysentery lasts for a long time, the intestines and stomach become deficient and susceptible to cold and heat. Exposure to cold transforms into white pus; exposure to heat transforms into red blood. If cold and heat combine, red and white mix. Prolonged dysentery can lead to abdominal swelling and fullness, may transform into "Gan" syndrome (infantile malnutrition), and cause vomiting and hiccups, all due to spleen and stomach deficiency caused by prolonged dysentery.
"Heavy Lower Dysentery" refers to sticky dysentery with mixed red and white discharge, characterized by significant heat signs during defecation. Heat binds at the anus, causing intermittent dysentery and chronic depletion of Qi, termed Heavy Lower Dysentery.
This refers to severe red dysentery where the intestines are extremely deficient, causing intestinal mucosa and blood to be discharged together, described as dysentery resembling paste and blood.
Disorderly seasonal cold and heat generate toxic pestilential Qi. Children dressed lightly are injured by this; the pathogen battles with blood and Qi, entering the intestines and stomach. Toxic Qi accumulates, and when the large intestine is deficient, bloody dysentery occurs. The stool contains dark, clotted blood resembling slices of chicken or duck liver. This is caused by intense toxic heat invading the viscera, resembling gu poison infection, hence called Gu Du Dysentery.
Water-and-grain dysentery depletes body fluids, causing visceral dryness and thirst. If urination is smooth, stopping dysentery also stops thirst. If urination is difficult, water fails to distribute through the small intestine and leaks into the intestines, causing persistent thirst and unceasing dysentery. Such cases result in generalized edema because weak spleen Qi cannot control water retention. Eye pain and visual obstructions (cataracts/glare) are also inevitable. Children have inherent heat in the upper jiao; dysentery causes deficiency in the lower jiao, intensifying upper jiao heat, which steams the liver.
The reason children suffer from "Zhu" disease (a type of infectious or parasitic condition attributed to spiritual influence in ancient texts) is that a pregnant woman's fetus may be influenced by malevolent spirits, leading to jealousy that harms other children. Pregnant women do not always exert this influence, but it happens occasionally. Symptoms of Zhu disease include a sensation of slight downward dragging, alternating chills and fever, and discomfort of the hair and skin.