人参败毒散
治寒邪壮热,下痢,及所下似痢非痢,似血非血,色如浊酒者,加陈米百粒煎
伤寒阳证类。)
不换金正气散
治脏腑受寒,下痢赤白,加乌梅,陈米煎。(方见时疫类。)
六和汤
治冒者伏热,致成痢疾,烦渴,小便赤涩。(方见伤暑类。)
五苓散
治同上。能分阴阳,利水道。(方见伤暑类。)
柏皮汤
治暑痢。(方见泄泻类。)
酒蒸黄连丸
治伏热泻痢不止。用香薷散,灯心二十茎,车前草二根煎,吞服,立效。(方
伤暑类。)
加味除湿汤
治一身尽痛,重着,浮黄,下痢如豆羹汁。
半夏曲 浓朴(去粗皮,姜汁制) 苍术(炒,各一两) 藿香叶 陈皮(炒) 茯苓
(各五钱)
上锉散。每服四钱,水一盏半,生姜三片,红枣二枚煎服,空心。仍以五苓散兼服,利
其小
艾姜丸
治湿冷下痢脓血,腹痛。妇人下血。
干艾叶(四两,炒焦存性) 川白姜(一两,炮)
上为末,醋煮面糊丸如梧子大。每服三十丸,温米饮下。
苦散
治脾受湿气,泄痢不止,米谷不化。
黄连(去须,锉如豆) 吴茱萸 白芍药(锉如豆。各二两,同炒令赤色)
上锉散。每服二钱,水一盏,煎至七分,去滓,温服。
小承气汤
治下痢赤黄,但烦饮冷,小便不利,得热则极,心烦躁喜渴。先服一二服荡之,
实热方可。
次用五苓散加车前子,以利小便,黄连阿胶丸佐治之,即效。(方见伤暑及咳嗽类。)
小柴胡汤
治下痢赤白,心中烦躁,潮热,加赤芍药、地榆、麦门冬、淡竹叶煎,效。(方
阳证类。)
败毒散
治同上。加陈米煎。(方见伤寒阳证类。)
乌梅丸
治下痢纯血,脐腹绞痛,脉急大数。由肠胃久虚,或先经下血,痢未止,服热药蕴
热,渗成血痢。
乌梅(二两,焙) 黄连(三两) 茱萸 当归 酸石榴皮(各一两)
上为末,醋糊丸如梧子大。每三十丸,米饮汤下。更以意加减服。
地榆散
治热留肠胃,下痢鲜血。亦名泼火散。(方见伤暑类)
柏皮汤
治热证,发热下痢。(方见泄泻类。)
芍药柏皮丸
治一切湿热恶痢,频并窘痛,无问脓血,并宜服。
芍药 黄柏(各一两) 当归 黄连(各半两)
上为末,水丸小豆大。温水下三四十丸,无时候,及夜五六服。忌油腻、脂肥、发热等
物。
三黄熟艾汤
治伤寒四五日,大下热痢,诸药不止,宜服此除热止痢。亦作丸子,熟水吞下
治时行毒痢良验。
黄芩 黄连 黄柏(各二分) 熟艾(半个鸡子大)
上锉散。每服三钱,水一盏,煎至七分,去滓温服,不拘时。
酒蒸黄连丸
治身热,下痢鲜血,烦躁多渴,或伤热物过度。
黄连(一斤,去须) 好酒(二升半)
上用酒浸,瓦器盛,置甑上蒸至烂,取出晒干,研为末,用面糊为丸如梧子大。每服三
十丸
又疗伤酒过多,脏毒下血,大便泄泻,用温米饮下,食前,一日两服。
白头翁汤
治热痢下血,连月不瘥。
白头翁(二两) 黄连 黄柏皮 秦皮(各三两)
上锉散。每服四钱,水一盏半,煎至八分,不拘时温服。
人参败毒散
治疗寒邪引起的壮热、下痢,以及所下之物似痢非痢、似血非血、颜色像浑浊酒一样的症状,煎煮时加入陈米一百粒。属于伤寒阳证类。)
不换金正气散
治疗脏腑受寒,下痢赤白相间,煎煮时加入乌梅和陈米。(方剂见时疫类。)
六和汤
治疗因伏热导致的痢疾,伴有烦渴、小便赤涩。(方剂见伤暑类。)
五苓散
治疗上述症状。能够分利阴阳,通利水道。(方剂见伤暑类。)
酒蒸黄连丸
治疗伏热导致的泻痢不止。用香薷散、二十茎灯心草、两根车前草煎汤,送服此药,立即见效。(方剂见伤暑类。)
加味除湿汤
治疗全身疼痛、沉重、浮肿发黄、下痢如豆羹汁状。
药材:半夏曲、浓朴(去除粗皮,用姜汁炮制)、苍术(炒制,各一两)、藿香叶、陈皮(炒制)、茯苓(各五钱)。
以上药物锉成散剂。每次服用四钱,加水一盏半、生姜三片、红枣二枚煎服,空腹服用。同时兼服五苓散,以通利小便。
艾姜丸
治疗湿冷引起的下痢脓血、腹痛。妇女下部出血。
药材:干艾叶(四两,炒焦存性)、川白姜(一两,炮制)。
以上药物研为末,用醋煮面糊制成梧桐子大小的丸剂。每次服用三十丸,用温热的米饮送下。
苦散
治疗脾脏受湿气影响,泄痢不止,食物不消化。
药材:黄连(去须,锉碎如豆大)、吴茱萸、白芍药(锉碎如豆大。各二两,同炒至红色)。
以上药物锉成散剂。每次服用二钱,加水一盏,煎至七分,去渣,温服。
小承气汤
治疗下痢赤黄色,只是烦躁想喝冷水,小便不利,受热则极度不适,心中烦躁喜渴。先服用一二服以荡涤实热方可。
随后用五苓散加车前子,以通利小便,配合黄连阿胶丸辅助治疗,即可见效。(方剂见伤暑及咳嗽类。)
小柴胡汤
治疗下痢赤白,心中烦躁,潮热,加入赤芍药、地榆、麦门冬、淡竹叶煎服,有效。(方剂见阳证类。)
乌梅丸
治疗下痢纯血,脐腹部绞痛,脉象急大数。这是由于肠胃久虚,或先前有过下血,痢疾未止,又服用热药蕴积热气,渗透而成血痢。
药材:乌梅(二两,焙干)、黄连(三两)、茱萸、当归、酸石榴皮(各一两)。
以上药物研为末,用醋糊制成梧桐子大小的丸剂。每次三十丸,用米饮汤送下。更可根据病情意旨加减服用。
地榆散
治疗热邪留滞肠胃,下痢鲜血。又名泼火散。(方剂见伤暑类)
芍药柏皮丸
治疗一切湿热恶痢,频繁发作且窘迫疼痛,无论是否有脓血,都适宜服用。
药材:芍药、黄柏(各一两)、当归、黄连(各半两)。
以上药物研为末,用水泛丸如小豆大小。温水送服三四十丸,不限时候,夜间服用五六次。忌食油腻、脂肥、发热等食物。
三黄熟艾汤
治疗伤寒四五日后,严重热痢,其他药物无效,宜服用此药以除热止痢。也可制成丸剂,用熟水吞服。治疗时行毒痢疗效良好。
药材:黄芩、黄连、黄柏(各二分)、熟艾(半个鸡蛋大小)。
以上药物锉成散剂。每次服用三钱,加水一盏,煎至七分,去渣温服,不拘时间。
酒蒸黄连丸
治疗身体发热,下痢鲜血,烦躁多渴,或因过度食用热物所致。
药材:黄连(一斤,去须)、好酒(二升半)。
以上用酒浸泡,盛于瓦器中,置于甑上蒸至烂熟,取出晒干,研为末,用面糊制成梧桐子大小的丸剂。每次服用三十丸。
另外治疗饮酒过多、脏毒下血、大便泄泻,用温米饮送下,饭前服用,一日两次。
白头翁汤
治疗热痢下血,持续数月不愈。
药材:白头翁(二两)、黄连、黄柏皮、秦皮(各三两)。
以上药物锉成散剂。每次服用四钱,加水一盏半,煎至八分,不拘时间温服。
Renshen Baidu San (Ginseng Decoction to Overcome Toxicity)
Indicated for high fever caused by cold pathogenic factors, dysentery, and stools that resemble dysentery but are not, resemble blood but are not, with a color like turbid wine. Add one hundred grains of aged rice when decocting. (Categorized under Yang Syndromes of Cold Damage.)
Buhuanjin Zhengqi San (Decoction That Does Not Change the Golden Righteousness)
Indicated for cold invasion of the Zang-Fu organs, presenting with dysentery containing both red and white matter. Add dried plum (Wumei) and aged rice when decocting. (See Formulas under Epidemic Diseases.)
Liuhe Tang (Six Harmonies Decoction)
Indicated for dysentery resulting from latent heat, accompanied by irritability, thirst, and dark, scanty urination. (See Formulas under Summerheat Injury.)
Wuling San (Five-Ingredient Powder with Poria)
Indicated for the above conditions. It can differentiate Yin and Yang and promote water passage. (See Formulas under Summerheat Injury.)
Baipi Tang (Phellodendron Bark Decoction)
Indicated for summerheat-induced dysentery. (See Formulas under Loose Stools.)
Jiu Zheng Huanglian Wan (Alcohol-Steamed Coptis Pill)
Indicated for intractable diarrhea and dysentery due to latent heat. Take with a decoction of Xiangru San (Elsholtzia Decoction), twenty stalks of Jiaxin (Centella asiatica stem), and two roots of Cheqiancao (Plantago Leaf). Immediate effect is expected. (See Formulas under Summerheat Injury.)
Jiawei Chushi Tang (Modified Dampness-Expelling Decoction)
Indicated for generalized body pain, heaviness, edema with yellowish discoloration, and dysentery resembling bean curd residue juice.
Ingredients: Banxia Qu (Pinellia Fermented Curd), Houpo (Magnolia Bark, coarse skin removed, processed with ginger juice), Cangzhu (Atractylodes Rhizome, stir-fried, each 1 liang), Huoxiang Ye (Patchouli Leaf), Chenpi (Tangerine Peel, stir-fried), Fuling (Poria, each 5 qian).
Grind into powder. Take 4 qian per dose, decoct with 1.5 cups of water, three slices of Shengjiang (Fresh Ginger), and two Hongzao (Jujube). Take on an empty stomach. Concurrently take Wuling San (Five-Ingredient Powder with Poria) to promote urination.
Ai Jiang Wan (Mugwort and Ginger Pill)
Indicated for damp-cold dysentery with pus and blood, abdominal pain. Also for uterine bleeding in women.
Ingredients: Aiye (Artemisia argyi Leaf, 4 liang, stir-fried until charred but retaining nature), Baijiang (Zingiber officinale Rhizome, 1 liang, processed).
Grind into powder, mix with vinegar and wheat paste to form pills the size of mulberry seeds. Take 30 pills per dose with warm millet drink.
Ku San (Bitter Powder)
Indicated for spleen affected by dampness, intractable diarrhea and dysentery, undigested food in stool.
Ingredients: Huanglian (Coptis Rhizome, remove stamens, cut to bean size), Zhuyu (Evodia Fruit), Shaoyao (Peony Root, cut to bean size. Each 2 liang, stir-fry together until red).
Grind into powder. Take 2 qian per dose, decoct with 1 cup of water until reduced to 70%, strain, and take warm.
Xiao Chengqi Tang (Minor Order the Qi Decoction)
Indicated for dysentery with red-yellow stools, irritability with desire for cold drinks, difficult urination, extreme discomfort upon heating, mental restlessness, and excessive thirst. First, take one or two doses to purge excess heat. This is suitable only for excess-heat patterns.
Subsequently, use Wuling San (Five-Ingredient Powder with Poria) added with Cheqianzi (Plantago Seed) to promote urination, assisted by Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill) for efficacy. (See Formulas under Summerheat Injury and Cough.)
Xiao Chaihu Tang (Minor Bupleurum Decoction)
Indicated for dysentery with red and white matter, mental restlessness, tidal fever. Add Chi Shao Yao (Red Peony Root), Diyü (Sanguisorba Root), Maidong (Ophiopogon Tuber), and Dan Zhuye (Bamboo Leaf) when decocting. Effective. (See Formulas under Yang Syndromes.)
Baidu San (Toxicity-Overcoming Powder)
Indicated for the above conditions. Add aged rice when decocting. (See Formulas under Yang Syndromes of Cold Damage.)
Wumei Wan (Dried Plum Pill)
Indicated for pure blood in dysentery, colicky pain in the umbilical and abdominal region, rapid and large pulse. Caused by long-term deficiency of the intestines and stomach, or prior hematochezia where dysentery did not cease, followed by administration of hot medicines causing heat accumulation, leading to bloody dysentery.
Ingredients: Wumei (Dried Plum, 2 liang, baked), Huanglian (Coptis Rhizome, 3 liang), Zhuyu (Evodia Fruit), Danggui (Angelica Sinensis Root), Suan Shiliupi (Acid Pomegranate Rind, each 1 liang).
Grind into powder, mix with vinegar paste to form pills the size of mulberry seeds. Take 30 pills per dose with millet drink soup. Adjust dosage according to clinical judgment.
Diyu San (Sanguisorba Powder)
Indicated for heat lingering in the intestines and stomach, causing fresh blood in dysentery. Also known as Pohuo San (Extinguish Fire Powder). (See Formulas under Summerheat Injury.)
Baipi Tang (Phellodendron Bark Decoction)
Indicated for heat syndromes, fever with dysentery. (See Formulas under Loose Stools.)
Shaoyao Baipi Wan (Peony and Phellodendron Pill)
Indicated for all types of severe damp-heat dysentery, frequent attacks with urgency and painful tenesmus, regardless of presence of pus or blood.
Ingredients: Shaoyao (Peony Root), Huangbai (Phellodendron Bark, each 1 liang), Danggui (Angelica Sinensis Root), Huanglian (Coptis Rhizome, each 0.5 liang).
Grind into powder, make water-habituated pills the size of adzuki beans. Take 30-40 pills with warm water, at any time, and 5-6 times at night. Avoid greasy, fatty, and heating foods.
Sanhuang Shuai Ai Tang (Three Yellows and Cooked Mugwort Decoction)
Indicated for severe heat dysentery after four to five days of Cold Damage, unresponsive to other medicines. Use this to clear heat and stop dysentery. Can also be made into pills, taken with cooked water. Highly effective for epidemic toxic dysentery.
Ingredients: Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark, each 2 fen), Shuai Ai (Cooked Artemisia argyi Leaf, size of half a chicken egg).
Grind into powder. Take 3 qian per dose, decoct with 1 cup of water until reduced to 70%, strain, and take warm. Time is not restricted.
Jiu Zheng Huanglian Wan (Alcohol-Steamed Coptis Pill)
Indicated for body heat, fresh blood in dysentery, irritability and excessive thirst, or caused by excessive consumption of heating foods.
Ingredients: Huanglian (Coptis Rhizome, 1 jin, remove stamens), Haojiu (Good Rice Wine, 2.5 sheng).
Soak in wine, place in a ceramic vessel, steam over a steamer until soft, take out, dry, grind into powder, and make into pills the size of mulberry seeds using wheat paste. Take 30 pills per dose.
Additionally treats excessive alcohol consumption, visceral toxin causing hematochezia, and loose stools. Take with warm millet drink before meals, twice daily.
Baitouweng Tang (Pulsatilla Decoction)
Indicated for heat dysentery with blood, persisting for months without healing.
Ingredients: Baitouweng (Pulsatilla Root, 2 liang), Huanglian (Coptis Rhizome), Huangbapi (Phellodendron Bark), Qinpi (Ash Bark, each 3 liang).
Grind into powder. Take 4 qian per dose, decoct with 1.5 cups of water until reduced to 80%, take warm at any time.