治便血腹中痛,谓之热毒。
芍药 黄连 当归(各二钱半) 淡竹叶 大黄(各一钱) 甘草(炙,一钱) 腹痛
甚,调木香
治便血。腹中不痛,谓之湿毒下血。
黄连 当归(各五钱) 甘草(炙,一钱半)
空心,水煎服。
治肠胃有湿,胀满,下血。
苍术 浓朴 陈皮 当归 枳壳(各一两) 槐花(炒,二两) 甘草 乌梅(各半两)
上水二钟,煎至一钟,空心温服。
治肠癖下血,湿毒下血。
槐花 青皮(各六钱) 归身 升麻(各二钱) 荆芥穗 熟地 白术(各六分) 川
芎(四分)
治肠癖下血作派,其血唧出,有力而远射,四散如筛,春二月中下行,腹中大作痛,乃
阳明气冲热毒所作也。当去湿毒,和血而愈也。
生地 牡丹皮 生甘草(各五分) 熟甘草 黄 (各一钱) 归身 熟地 苍术 秦
艽肉桂(各三分) 陈皮 升麻(各七分) 白芍(一钱半) 上作一服,水四钟,煎至
二钟,作二次服。
一方 加白术、地榆。
治饮食不节,起居不时,阴受之。阴受则入五脏,入五脏则填满闭塞,下为飧泄,久为
肠癖,水谷与血另作一派唧出也。时值夏,湿热太盛,正当客气盛而主气弱也。故肠癖之证
甚,以此主之。
熟地 当归 青皮 槐花(炒。各五分) 知母(去毛,炒) 黄柏(炒。各一钱)
上作一服,水煎服。如小便涩,脐下闷,或大便后重,调木香、槟榔末,各五分,空心
服。
治疗便血且伴有腹部疼痛的,称为热毒。
芍药、黄连、当归(各二钱半)、淡竹叶、大黄(各一钱)、甘草(炙用,一钱)。如果腹痛严重,调入木香粉服用。
治疗便血但腹部不痛的,称为湿毒下血。
黄连、当归(各五钱)、甘草(炙用,一钱半)。空腹时,用水煎服。
治疗肠胃有湿气,导致腹胀满闷,大便下血。
苍术、浓朴、陈皮、当归、枳壳(各一两)、槐花(炒制,二两)、甘草、乌梅(各半两)。以上药材加水两钟,煎煮至一钟,空腹温服。
治疗肠癖下血,以及湿毒下血。
槐花、青皮(各六钱)、归身、升麻(各二钱)、荆芥穗、熟地、白术(各六分)、川芎(四分)。
治疗肠癖下血呈喷射状,血液喷出有力且射程远,四散如筛孔般分布,多在春二月间下行发作,腹部剧烈疼痛,这是阳明经气冲盛、热毒所致。应当去除湿毒,调和血液即可痊愈。
生地、牡丹皮、生甘草(各五分)、熟甘草、黄芩(各一钱)、归身、熟地、苍术、秦艽、肉桂(各三分)、陈皮、升麻(各七分)、白芍(一钱半)。以上作为一剂,加水四钟,煎煮至二钟,分两次服用。
另一配方:加入白术、地榆。
治疗因饮食不节制、起居无规律,导致阴经受邪。阴经受邪则病入五脏,五脏充满闭塞,向下表现为完谷不化的泄泻,日久发展为肠癖,水谷与血液分开呈喷射状排出。此时正值夏季,湿热之气过盛,正是客气(外感邪气)强盛而主气(当令之气)虚弱的时候。所以肠癖的症状严重,以此方主治。
熟地、当归、青皮、槐花(炒制,各五分)、知母(去毛,炒制)、黄柏(炒制,各一钱)。以上作为一剂,用水煎服。如果小便涩痛,脐下闷胀,或者大便后有重坠感,调入木香、槟榔末(各五分),空腹服用。
Treats hematochezia (blood in stool) accompanied by abdominal pain, which is termed "Heat-Toxin" (Re Du).
Shaoyao (Paeoniae Radix), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix) (each 2.5 qian), Danzhuyez (Lophatheri Herba), Dahuang (Rhei Radix et Rhizoma) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian). If abdominal pain is severe, mix with Muxiang (Aucklandiae Radix) powder and take.
Treats hematochezia without abdominal pain, which is termed "Damp-Toxin Lower Bleeding" (Shi Du Xia Xue).
Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix) (each 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1.5 qian). Decoct in water and take on an empty stomach.
Treats dampness in the intestines and stomach causing distension and fullness, with lower bleeding.
Cangzhu (Atractylodis Rhizoma), Nongpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Zhiqiao (Aurantii Fructus) (each 1 liang), Huaihua (Sophorae Flos, stir-fried, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Wumei (Mume Fructus) (each 0.5 liang). Add two zhong of water, decoct to one zhong, and take warm on an empty stomach.
Treats Changpi (dysentery-like condition) with lower bleeding, and Damp-Toxin Lower Bleeding.
Huaihua (Sophorae Flos), Qingpi (Citri Reticulatae Pericarpium Viride) (each 6 qian), Guishen (Radix Angelicae Sinensis), Shengma (Cimicifugae Rhizoma) (each 2 qian), Jingjiesui (Schizonepetae Spica), Shudi (Rehmanniae Radix Preparata), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 6 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma) (4 fen).
Treats Changpi with lower bleeding presenting as a jet stream; the blood spurts out with force and shoots far, scattering like a sieve. This often occurs downward in the second month of spring, with severe abdominal pain. This is caused by Qi rushing in the Yangming channel and Heat-Toxin. One should eliminate Damp-Toxin and harmonize the Blood to achieve recovery.
Shengdi (Rehmanniae Radix), Mudanpi (Moutan Cortex), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, raw) (each 5 fen), Shu Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqin (Scutellariae Radix) (each 1 qian), Guishen (Radix Angelicae Sinensis), Shudi (Rehmanniae Radix Preparata), Cangzhu (Atractylodis Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Rougui (Cinnamomi Cortex) (each 3 fen), Chenpi (Citri Reticulatae Pericarpium), Shengma (Cimicifugae Rhizoma) (each 7 fen), Baishao (Paeoniae Radix Alba) (1.5 qian). Combine as one dose, add four zhong of water, decoct to two zhong, and divide into two doses for administration.
Another prescription: Add Baizhu (Atractylodis Macrocephalae Rhizoma) and Diyü (Sanguisorbae Radix).
Treats conditions where improper diet and irregular daily life cause Yin channels to be affected. When Yin is affected, pathogens enter the Five Zang organs. If they fill and obstruct the Zang organs, it manifests downward as Sundxie (undigested food in stool); prolonged, it becomes Changpi, where water, grain, and blood are expelled separately in a jetting manner. At this time, summer arrives with excessive Damp-Heat, when pathogenic Qi (Ke Qi) is strong and host Qi (Zhu Qi) is weak. Thus, the symptoms of Changpi are severe, and this formula governs them.
Shudi (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Huaihua (Sophorae Flos, stir-fried) (each 5 fen), Zhimu (Anemarrhenae Rhizoma, de-haired, stir-fried), Huangbai (Phellodendri Cortex, stir-fried) (each 1 qian). Combine as one dose, decoct in water and take. If there is astringency in urination, oppression below the umbilicus, or a sensation of heaviness after defecation, mix with Muxiang (Aucklandiae Radix) and Binglang (Arecae Semen) powder (each 5 fen) and take on an empty stomach.