治下痢赤白,无问久近长幼,皆可服。
罂粟壳(炙,十四个,去瓣) 草果(一个,不去皮炒) 白术(一钱) 甘草(炙,半钱) 茯苓(一钱)
上为锉散。作一剂,水一大碗,姜七片,枣七个,煎至一大盏,分二服,空腹。或下纯
赤,加黑豆二十七粒;白则加炮干姜一钱。
治下痢赤白
罂粟壳(八两,锉炒) 地榆(六两) 白术 紫苏叶 木瓜干(各二两)
上为锉散。每服四钱,水盏半,姜七片,枣二个,煎七分,去滓,空腹服。
治肠胃虚弱,风湿进袭,泄泻水谷,滞下脓血, 刺疼痛,里急后重,日夜无度。
当归(洗) 芍药 甘草(炙) 诃子(去核,各半两) 浓朴(去粗皮,切,姜制) 青皮 陈
皮(各一两) 缩砂仁 木香(炮,各一分) 罂粟壳(切醋淹炒,五两)
上为末,蜜丸一两作五丸。每服一丸,水一盏,煎七分,食前温服。
凡血得热则淖溢,故鲜;得寒则凝泣,故瘀。当审其风热风冷二证,与蛊利大别,外有
血痔、血枯、内衄、酒利、肺疽、肠胃蓄瘀、远近血等,各有门类,不可混杂。古方云∶积
冷积热,及水谷实而下利者,并以大黄汤下之。《养生方》亦云∶大则疏涤之。更不知有
寒热风湿虚实之不同,后人寻即妄用,被害者多矣。吁,可伤哉。
治疗下痢便下赤白脓血,无论病程长短、患者年龄大小,均可服用。
罂粟壳(经炙烤,十四枚,去除内膜),草果(一枚,不去皮炒制),白术(一钱),甘草(经炙烤,半钱),茯苓(一钱)。
以上药物捣碎成散剂。取一剂药量,加水一大碗,生姜七片,大枣七个,煎煮至一大盏,分两次空腹服用。若大便纯为红色,加黑豆二十七粒;若大便纯为白色,加炮干姜一钱。
治疗下痢便下赤白脓血。
罂粟壳(八两,捣碎炒制),地榆(六两),白术,紫苏叶,木瓜干(各二两)。
以上药物捣碎成散剂。每次服用四钱,加水一盏半,生姜七片,大枣二个,煎煮至七分满,滤去药渣,空腹服用。
治疗肠胃虚弱,风湿之邪侵袭,导致泄泻完谷不化,痢疾脓血便,腹部刺痛,里急后重,日夜无度。
当归(洗净),芍药,甘草(经炙烤),诃子(去核,各半两),厚朴(去除粗皮,切片,用姜汁炮制),青皮,陈皮(各一两),缩砂仁,木香(炮制,各一分),罂粟壳(切片,醋浸炒制,五两)。
以上药物研为细末,用蜂蜜制成丸药,每两药粉做成五丸。每次服用一丸,加水一盏,煎煮至七分满,饭前温服。
大凡血液受热则流动滑利溢出,所以颜色鲜红;受寒则凝结涩滞,所以颜色瘀暗。应当仔细辨别风热与风冷两种证候,这与蛊毒痢疾有显著区别。此外还有外部的血痔、血枯、内鼻衄、酒痢、肺痈、肠胃蓄积瘀血、远血近血等,各有专门门类,不可混杂混淆。古方说:因积冷、积热以及水谷实邪导致的下利,都用大黄汤攻下。《养生方》也说:病势盛大则用疏涤法。更不知道有寒热、风湿、虚实的不同,后人随即妄加使用,受害的人很多了。唉,真是令人伤感啊。
Treat dysentery with passage of red and white pus and blood; it can be taken regardless of the duration of the disease or the age of the patient.
*Papaeveris Pericarpium* (Yingsuqiao, 罂粟壳) [roasted, 14 pieces, remove septa], *Tsaoko Fructus* (Caoguo, 草果) [one piece, stir-fry without removing peel], *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) [1 qian], *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) [roasted, 0.5 qian], *Poria* (Fuling, 茯苓) [1 qian].
Crush the above into a coarse powder. For one dose, add one large bowl of water, seven slices of ginger, and seven dates; decoct until reduced to one small cup; divide into two doses and take on an empty stomach. If the stool is purely red, add 27 black beans; if purely white, add 1 qian of roasted *Zingiberis Rhizoma* (Ganjiang, 干姜).
Treat dysentery with passage of red and white pus and blood.
*Papaeveris Pericarpium* (Yingsuqiao, 罂粟壳) [8 liang, crush and stir-fry], *Sanguisorbae Radix* (Diyu, 地榆) [6 liang], *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Perillae Folium* (Zisuye, 紫苏叶), *Chaenomelis Fructum* (Mugugan, 木瓜干) [each 2 liang].
Crush the above into a coarse powder. Take 4 qian per dose with one and a half cups of water, seven slices of ginger, and two dates; decoct until reduced to 70%; strain and take on an empty stomach.
Treat weakness of the spleen and stomach, invasion by wind-dampness, resulting in diarrhea with undigested food, dysentery with pus and blood, stabbing abdominal pain, tenesmus, occurring day and night without limit.
*Angelicae Sinensis Radix* (Danggui, 当归) [wash], *Paeoniae Radix Alba* (Shaoyao, 芍药), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) [roasted], *Terminalia Chebulae Fructus* (Hezi, 诃子) [remove pits, each 0.5 liang], *Magnoliae Officinalis Cortex* (Houpo, 厚朴) [remove rough bark, slice, process with ginger juice], *Citri Reticulatae Pericarpium Viride* (Qingpi, 青皮), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮) [each 1 liang], *Amomi Fructus Rotundus* (Suosharen, 缩砂仁), *Aquilariae Lignum Resinatum* (Muxiang, 木香) [roasted, each 1 fen], *Papaeveris Pericarpium* (Yingsuqiao, 罂粟壳) [slice, soak in vinegar and stir-fry, 5 liang].
Grind the above into fine powder and make pills with honey, forming five pills from one liang of powder. Take one pill per dose with one cup of water, decoct until reduced to 70%, and take warm before meals.
Generally, when blood is heated, it becomes fluid and overflows, thus appearing fresh red; when cooled, it coagulates and stagnates, thus appearing dark purple. One must carefully distinguish between wind-heat and wind-cold syndromes, which are significantly different from gu-dysentery (parasitic dysentery). Additionally, there are external hemorrhoids, blood exhaustion, internal epistaxis, wine-induced dysentery, lung abscess, accumulation of stasis in the intestines and stomach, and distant/near bloody stools, each having its own category and should not be mixed up. Ancient formulas state: for dysentery caused by accumulated cold, accumulated heat, or solid food retention, use *Dahuang Tang* (Rhubarb Decoction) to purge. The *Yangsheng Fang* also states: for severe conditions, use purgative methods. However, they fail to recognize the differences among cold, heat, wind-damp, deficiency, and excess. Later generations blindly applied these methods, causing much harm. Alas, this is truly lamentable.