小儿痢疾，至于噤口，其证脉大身热，不能饮食，舌赤唇红，惟喜欢冷，此系火毒攻胃，而成此证，古法主
参连开噤散（如人参、姜炒川连、莲子肉各等分，共为细末，米饮调下）。
〔真按〕噤口痢乃胃虚逆气，上冲而吐，饮食不能下咽，多属虚损，不得专指火毒攻胃，而罔顾其虚损，方
用西洋参钱半，姜汁炒黄连八分，石菖蒲七分，石莲子一钱，京丹参二钱，白茯苓二钱，冬瓜仁去壳钱半，引用
老仓米一撮、鲜荷蒂一个。
小儿休息痢，皆因冷积失于急下，其积日久渐次下坠，竟至大肠下口，直肠上口交界之处，有小曲折隐匿，至
此为肠脏最深之处，药力难到，其证乍轻乍重，或愈或发，便则乍红乍白，或硬或溏，总无一定，古方有用巴豆
为丸下之者，久病神虚，不宜轻用，但以鸦蛋子（形似益智子而小，外壳苍褐色，用小锤轻敲其壳，肉出，白色
有油，其大如米，敲碎者不用，专取全仁用之）二十四粒，以龙眼肉紧包，每包三粒，空腹用米汤吞下，再以饭
食压之，以八包继续吞毕为度。
小儿先下痢，后变为泄泻者，肾传脾也，此为微邪易治，血病传入气中，以调气为主，略加养血之药，不可
一意收涩，恐毒
气留而不去，复转为痢也，方用西党参一钱，生野术钱半，白茯苓二钱，当归身七分，杭白芍一钱，炙甘草五分，
引用生姜一片，干荷蒂一个。
小儿先患泄泻，后变为痢者，脾传肾也，此为贼邪难治，气病传入血中，宜养血为主，再加调气之药，不可
误下，以伤胃气，方用白归身一钱，杭白芍一钱，怀生地钱半，白云苓钱半，正雅连一钱，南木香八分，尖槟榔
五分，炒地榆八分，引用六一散二钱。
小儿风冷客于肠胃，泄下鲜血，及肠胃湿毒，下如豆汁，或下瘀血，方用川黄连八分，东阿胶钱半，白云苓钱
半，当归身八分，广木香六分，引用旧仓米一撮。
小儿胃气下陷，后重不除，因弩挣太过，肠头脱出，法宜养血调气，加升提之品，则痢自止而肛亦自收，
方用绿升麻五分，炒党参钱半，白茯苓二钱，荆芥穗五分，白归身八分，炒白芍八分，真广皮一钱，炙甘草五分，
引用肥乌梅一粒。
外用五倍子三钱，白芒硝六分，荆芥穗一钱，煎汤熏洗，再用五倍子研末敷之，以软帛托入，则肛自收矣。
小儿痢疾，发展到噤口痢阶段，其症状表现为脉象宏大、身体发热、无法进食，舌质红赤、嘴唇鲜红，只喜欢冷饮。这是由于火毒攻冲胃部而形成的证候，古法主张使用参连开噤散（由人参、姜炒川黄连、莲子肉各等分组成，共研为细末，用米汤调服）。
〔真按〕噤口痢是由于胃气虚弱，逆气上冲导致呕吐，饮食无法咽下，多属于虚损之证，不能单纯指认为火毒攻胃，从而忽视其虚损的本质。方剂选用西洋参一钱半，姜汁炒黄连八分，石菖蒲七分，石莲子一钱，京丹参二钱，白茯苓二钱，去壳冬瓜仁一钱半，药引为老仓米一撮、鲜荷蒂一个。
小儿休息痢，都是因为寒凉积滞未能及时攻下，积滞日久逐渐下坠，最终到达大肠下端与直肠上端交界之处，此处有小曲折隐匿，是肠脏最深的位置，药力难以到达。其症状表现为病情时轻时重，或痊愈或发作，排便颜色时红时白，或干硬或稀溏，始终没有定规。古方有用巴豆制成丸药攻下的，但对于久病神气虚弱者，不宜轻易使用。建议改用鸦胆子（形状类似益智子但较小，外壳苍褐色，用小锤轻轻敲击外壳，肉质白色有油，大小如米粒，敲碎的不用，专门取完整仁）二十四粒，用龙眼肉紧紧包裹，每包三粒，空腹时用米汤吞服，再以饭食压住药力，连续吞服完八包为止。
小儿先患痢疾，后转变为泄泻的，是肾邪传脾所致，这属于微邪，容易治疗。这是血分病变传入气分，应以调理气机为主，略微加入养血药物，不可一味使用收涩药，恐怕毒气滞留不去，再次转为痢疾。方剂选用西党参一钱，生白术一钱半，白茯苓二钱，当归身七分，杭白芍一钱，炙甘草五分，药引为生姜一片，干荷蒂一个。
小儿先患泄泻，后转变为痢疾的，是脾邪传肾所致，这属于贼邪，难以治疗。这是气分病变传入血分，应以养血为主，再加调理气机的药物，不可误用攻下法，以免损伤胃气。方剂选用白归身一钱，杭白芍一钱，怀生地一钱半，白云苓一钱半，正雅连一钱，南木香八分，尖槟榔五分，炒地榆八分，药引为六一散二钱。
小儿风冷之邪客居于肠胃，导致排泄鲜血；以及肠胃湿毒，排泄物如豆汁状，或排泄瘀血，方剂选用川黄连八分，东阿胶一钱半，白云苓一钱半，当归身八分，广木香六分，药引为旧仓米一撮。
小儿胃气下陷，里急后重感不除，因用力努挣太过，导致直肠脱出，治法宜养血调气，加入升提药物，则痢疾自止，肛门亦自然收回。方剂选用绿升麻五分，炒党参一钱半，白茯苓二钱，荆芥穗五分，白归身八分，炒白芍八分，真广皮一钱，炙甘草五分，药引为肥乌梅一粒。
Pediatric dysentery progressing to "Jinkou Li" (dysentery with inability to eat) presents with a large pulse, fever, inability to ingest food, red tongue body, red lips, and a preference for cold drinks. This syndrome is caused by fire-toxin attacking the stomach. Ancient methods advocate using Shenlian Kaijin San (Ginseng and Coptis Decoction to Open the Stuck Throat), composed of equal parts of Renshen (Ginseng Root), Jiangchao Chuanlian (Coptis Rhizome fried with ginger juice), and Lianziren (Lotus Seed Endosperm), ground into fine powder and taken with rice water.
[Commentary] Jinkou Li is due to stomach deficiency with rebellious qi rushing upward, causing vomiting and inability to swallow food or drink; it mostly belongs to deficiency and exhaustion patterns. One must not solely attribute it to fire-toxin attacking the stomach while neglecting the underlying deficiency. The prescription uses Xiyangshen (American Ginseng Root) 1.5 qian, Jiangzhi Chao Huanglian (Coptis Rhizome fried with ginger juice) 8 fen, Shichangpu (Acori Tatarinowii Rhizoma) 7 fen, Shilianzi (Stone Lotus Seed) 1 qian, Jingshenshen (Salvia Miltiorrhiza Root) 2 qian, Baifuling (Poria) 2 qian, Dongguaren (Winter Melon Seed, shelled) 1.5 qian, with Lao Cangmi (Old Stored Rice) 1 zhua and Xian Hedi (Fresh Lotus Petiole Base) 1 as guides.
Pediatric Xiexi Li (chronic intermittent dysentery) occurs because cold accumulation was not purged urgently in time. Over time, the accumulation descends gradually until it reaches the junction of the lower end of the large intestine and the upper end of the rectum. This area has small twists and hidden spaces, being the deepest part of the intestinal organs where medicinal power is difficult to reach. Symptoms fluctuate between mild and severe, remission and recurrence; stools vary between red and white, hard and loose, without consistency. Ancient formulas used Badou (Croton Seed) pills for purgation, but this is unsuitable for prolonged illness with depleted spirit/qi. Instead, Yadanzi (Chaulmoogra Seed/Baccaurea Ramiflora Seed - *Note: Context implies Chaulmoogra or similar antiparasitic seed, often identified as Bruguiera sexangula or similar in modern TCM context for dysentery, here translated descriptively based on text*) 24 grains are recommended. The seeds resemble Yi Zhizi (Yi Zhi Ren) but are smaller, with a grayish-brown shell. Gently crack the shell with a small hammer; the kernel is white, oily, and rice-sized. Do not use cracked kernels; use only whole kernels. Wrap three seeds tightly in Longyanrou (Longan Aril). Swallow one packet with rice water on an empty stomach, then cover with a meal to suppress the drug's action. Continue swallowing eight packets in total.
If a child first suffers from dysentery and later transforms into diarrhea, it indicates the transmission of pathogenic factors from the Kidney to the Spleen. This is considered a minor pathogen and is easy to treat. It represents blood-level pathology transmitting to the qi level; treatment should focus on regulating qi, slightly adding blood-nourishing herbs. One must not rely solely on astringents, lest the toxin remain and transform back into dysentery. The formula uses Xidangshen (Codonopsis Root) 1 qian, Sheng Baizhu (Atractylodes Macrocephala Rhizoma, raw) 1.5 qian, Baifuling (Poria) 2 qian, Dangguishen (Angelica Sinensis Root Body) 7 fen, Hangbaishao (White Peony Root) 1 qian, Zhigancao (Licorice Root, honey-fried) 5 fen, with Shengjiang (Fresh Ginger) 1 slice and Gan Hedi (Dried Lotus Petiole Base) 1 as guides.
If a child first suffers from diarrhea and later transforms into dysentery, it indicates the transmission from the Spleen to the Kidney. This is considered a "robber pathogen" and is difficult to treat. It represents qi-level pathology transmitting to the blood level; treatment should focus on nourishing blood, further adding qi-regulating herbs. One must not mistakenly use purgatives, which would damage stomach qi. The formula uses Bai Guishen (Angelica Sinensis Root Body) 1 qian, Hangbaishao (White Peony Root) 1 qian, Huai Shengdi (Rehmannia Glutinosa Root, prepared) 1.5 qian, Bai Yunling (Poria) 1.5 qian, Zheng Yalian (Coptis Rhizome) 1 qian, Nan Muxiang (Vladimiria Root) 8 fen, Jian Binglang (Areca Seed) 5 fen, Chao Diyü (Sanguisorba Officinalis Root, fried) 8 fen, with Liuyisan (Six-Ingredient Powder) 2 qian as a guide.
When wind-cold pathogens lodge in the intestines and stomach, resulting in the passage of bright red blood; or when intestinal-stomach damp-toxin causes discharge resembling bean curd dregs, or passage of stasis-blood, the formula uses Chuan Huanglian (Coptis Rhizome) 8 fen, Dong Ejiao (Donkey-Hide Gelatin) 1.5 qian, Bai Yunling (Poria) 1.5 qian, Dangguishen (Angelica Sinensis Root Body) 8 fen, Guang Muxiang (Costus Root) 6 fen, with Jiu Cangmi (Old Stored Rice) 1 zhua as a guide.
In cases of pediatric sinking of stomach qi, where tenesmus persists, excessive straining may cause prolapse of the rectum. The method should involve nourishing blood and regulating qi, adding lifting herbs. Then the dysentery will cease naturally, and the anus will retract. The formula uses Lv Shengma (Ephedra-like Bupleurum/Cimicifuga - *Note: Luoshengma is Cimicifuga, Lvshengma often refers to specific grade or type, here translated as Cimicifuga Rhizoma* ) 5 fen, Chao Dangshen (Codonopsis Root, fried) 1.5 qian, Baifuling (Poria) 2 qian, Jingjie Sui (Schizonepeta Spike) 5 fen, Bai Guishen (Angelica Sinensis Root Body) 8 fen, Chao Baishao (White Peony Root, fried) 8 fen, Zhen Guangpi (Tangerine Peel) 1 qian, Zhigancao (Licorice Root, honey-fried) 5 fen, with Fei Wumei (Smoked Plum) 1 grain as a guide.
Externally, use Wubeizi (Chinese Gall) 3 qian, Bai Mangxiao (Mirabilite) 6 fen, Jingjie Sui (Schizonepeta Spike) 1 qian. Decoct for fumigation and washing. Then apply powdered Wubeizi externally. Support the prolapsed tissue with soft cloth to facilitate natural retraction.