《病源论》云∶赤白利是冷热不调,热乘于血,血渗肠间,与肠间津液相杂而下,甚者,
肠
《千金方》治下久赤白连年不止,及霍乱冷实不消温脾汤方∶
大黄(四两) 人参(二两) 甘草(二两) 干姜(二两) 附子(一枚大者)
五味,水六升,煮取二升半,分三服。
又云∶治积三十年常下神方∶赤松树皮去上苍皮一升为散,面粥和一升服之,日三,不
过服一
《录验方》治久赤白下利蒲黄二钱匕方∶
蒲黄(二钱匕) 干姜(二钱匕)
二物,合以酒一升热服,不过四五服,断,良有验。
《极要方》三十年痢不止方∶
黄连(五两) 浓朴(二两) 干姜(二两) 阿胶(二两) 石榴皮(二两) 艾叶
(三两)
上,以水七升,煮取二升,分二服。
《随时方》治赤白痢连年不瘥,腹中如刀搅,或血行下,无问赤白谷痢,并主之∶
白茯苓(四大两) 黄连(四大两) 黄柏(四大两) 羚羊角屑(三两,熬)
上,捣筛,蜜和丸如梧子,冷酒服之五十丸,渐至百丸,日再。
《病源论》云∶肠虚而冷气客之,搏于肠间,津液凝滞成滞白,故为白滞利也。
《千金方》治白滞利方∶
仓米三升,水六升,煮取三升,米烂绞取稠汁,服二升。
《范汪方》治赤白滞下昼夜数十行方∶
乌梅〔(割取皮)三两,火熬令干〕 黄连(三两)
凡二物,冶合下筛,和蜜丸如梧子,晨服十丸,不知稍增,可至二三十丸,昼夜可六七
服,
《短剧方》治冷微赤白滞下不断,变成赤黑血汁如烂鱼肠,腹痛枯瘦不能饮食方∶
黄连(四两) 吴茱萸(三两) 当归(三两) 石榴壳(二两)
凡四物,以水三升渍
黄连一夕,
《僧深方》治赤白滞下久不断,谷道疼痛不可忍方∶宜服温药,熬盐熨之。
又方∶炙枳实熨之。
《葛氏方》治赤白杂滞下方∶
赤石脂(一升) 乌梅(三十枚) 干姜(三两)
合粳米一升,水七升,煮取米熟,去滓,一服七合。
又方∶鼠尾草浓煮,煎如薄饴,服五合至一升,日三。赤下用赤花者,白下用白花者,
佳。
《诸病源候论》说:赤白痢疾是由于寒热失调,热气侵入血分,血液渗入肠道之间,与肠间的津液混合后一同排出体外。病情严重的,会导致……
《千金方》治疗长期患有赤白痢疾、连续多年不止,以及霍乱导致冷积无法消散的温脾汤方:
大黄(四两) 人参(二两) 甘草(二两) 干姜(二两) 附子(一枚大的)
以上五味药,用水六升,煎煮至剩余二升半,分三次服用。
又说:治疗积聚三十年常发下利的神效方:取赤松树皮,去掉外层苍老的树皮,取一升研成散剂,用面粥调和,每次服用一升,每日三次,不超过服药一次……
《录验方》治疗长期赤白下利的蒲黄二钱匕方:
蒲黄(二钱匕) 干姜(二钱匕)
将这两味药合在一起,用一升酒加热送服,最多四五次即可痊愈,疗效确实显著。
《极要方》治疗三十年痢疾不止的方子:
黄连(五两) 厚朴(二两) 干姜(二两) 阿胶(二两) 石榴皮(二两) 艾叶(三两)
以上药物,用水七升,煎煮至剩余二升,分两次服用。
《随时方》治疗赤白痢疾连续多年不愈,腹中疼痛如刀绞,或者便血下行,无论赤白谷痢,都主治此症:
白茯苓(四大两) 黄连(四大两) 黄柏(四大两) 羚羊角屑(三两,炒制)
以上药物,捣碎过筛,用蜂蜜和丸,制成梧桐子大小的药丸,用冷酒送服五十丸,逐渐增加至一百丸,每日两次。
《诸病源候论》说:肠道虚弱而冷气侵袭,搏结于肠道之间,津液凝滞形成白色的黏液,所以称为白滞痢。
《千金方》治疗白滞痢的方子:
仓米三升,水六升,煎煮至剩余三升,待米粒烂熟后过滤取浓汁,服用二升。
《范汪方》治疗赤白滞下,昼夜发作数十次的方子:
乌梅〔(割取果皮)三两,火烤至干燥〕 黄连(三两)
共两味药,研磨混合过筛,用蜂蜜和丸,制成梧桐子大小的药丸,早晨服用十丸,若无效则稍加剂量,可增至二三十丸,昼夜可服用六七次。
《短剧方》治疗轻微冷证导致的赤白滞下不断,变成赤黑血汁如同腐烂的鱼肠,腹痛消瘦不能饮食的方子:
黄连(四两) 吴茱萸(三两) 当归(三两) 石榴壳(二两)
共四味药,用水三升浸泡……
黄连浸泡一夜,
《僧深方》治疗赤白滞下长期不止,肛门疼痛难以忍受的方子:适宜服用温热性质的药物,并用炒热的盐熨烫患处。
另一个方子:用炙过的枳实熨烫患处。
《葛氏方》治疗赤白杂滞下的方子:
赤石脂(一升) 乌梅(三十枚) 干姜(三两)
配合粳米一升,水七升,煎煮至米熟,滤去药渣,一次服用七合。
另一个方子:鼠尾草浓煎,熬制成稀薄的饴糖状,服用五合至一升,每日三次。赤色下利用红色的花,白色下利用白色的花,效果更佳。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Dysentery with red and white discharge is caused by a disharmony of cold and heat. Heat invades the blood level, causing blood to seep into the intestinal cavity, where it mixes with intestinal fluids and is discharged together. In severe cases...
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides the Wenspi Tang (Warming Spleen Decoction) for treating chronic dysentery with red and white discharge persisting for years, as well as cholera-like conditions with cold accumulation that fails to dissipate:
Dahuang (Rhei Radix et Rhizoma, 4 liang), Renshen (Ginseng Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Jiangjiang (Zingiberis Rhizoma, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, one large piece).
These five ingredients are decocted in six sheng of water until two and a half sheng remain. The decoction is divided into three doses.
It further states: A miraculous prescription for treating chronic dysentery persisting for thirty years: Take the bark of Pinus densiflora (Chisongpishui), remove the outer rough bark, take one sheng, grind into powder, mix with one sheng of millet gruel, and take orally. Administer three times daily; do not exceed one dose per administration...
The *Lu Yan Fang* provides a formula using Puhuang (Lygodii Spora, 2 qianbi) and Jiangjiang (Zingiberis Rhizoma, 2 qianbi) for treating chronic red and white dysentery.
Combine these two herbs and take orally with one sheng of heated wine. Recovery typically occurs within four or five doses; this method has proven highly effective.
The *Ji Yao Fang* offers a prescription for dysentery persisting for thirty years:
Huanglian (Coptidis Rhizoma, 5 liang), Houpo (Magnoliae Officinalis Cortex, 2 liang), Jiangjiang (Zingiberis Rhizoma, 2 liang), Ejiao (Asini Corii Colla, 2 liang), Shiliupi (Punicae Granati Pericarpium, 2 liang), Aiye (Artemisiae Argyi Folium, 3 liang).
Decoct these ingredients in seven sheng of water until two sheng remain. Divide into two doses.
The *Suishi Fang* treats chronic red and white dysentery lasting years without healing, characterized by abdominal pain as if twisted by knives, or hematochezia, regardless of whether it is red, white, or grain-type dysentery:
Baifuling (Poria, 4 da liang), Huanglian (Coptidis Rhizoma, 4 da liang), Huangbai (Phellodendri Cortex, 4 da liang), Lingyangjiaoxie (Antilopis Cornu, 3 liang, stir-fried).
Grind and sieve the above ingredients, mix with honey to form pills the size of wutong seeds. Take fifty pills orally with cold wine, gradually increasing to one hundred pills, twice daily.
The *Zhubing Yuanhou Lun* states: When the intestines are deficient and cold qi invades, it clashes within the intestinal cavity, causing fluids to coagulate and stagnate, forming white mucus. This condition is termed "Bai Zhi Li" (White Stagnant Dysentery).
The *Qianjin Fang* provides a prescription for Bai Zhi Li:
Cangmi (Common Rice, 3 sheng), water six sheng. Decoct until three sheng remain. When the rice is thoroughly cooked, strain to obtain the thick juice, and take two sheng.
The *Fan Wang Fang* treats red and white stagnant dysentery occurring dozens of times day and night:
Wumei (Mume Fructus) [peel obtained by cutting, 3 liang, roasted over fire until dry], Huanglian (Coptidis Rhizoma, 3 liang).
Grind these two ingredients together and sieve. Mix with honey to form pills the size of wutong seeds. Take ten pills in the morning. If ineffective, slightly increase the dose up to twenty or thirty pills. It may be taken six or seven times day and night.
The *Duan Ju Fang* treats persistent mild cold-type red and white stagnant dysentery that turns into black-red bloody fluid resembling rotten fish intestines, accompanied by abdominal pain, emaciation, and inability to eat:
Huanglian (Coptidis Rhizoma, 4 liang), Wuzhuyu (Evodiae Fructus, 3 liang), Danggui (Angelicae Sinensis Radix, 3 liang), Shiliqiao (Punicae Granati Pericarpium, 2 liang).
Soak these four ingredients in three sheng of water...
Soak Huanglian overnight.
The *Seng Shen Fang* treats chronic red and white stagnant dysentery that does not cease, accompanied by unbearable anal pain. It is advisable to take warm-natured medicines and apply hot salt compresses.
Another prescription: Apply compresses with stir-fried Zhishi (Aurantii Fructus Immaturus).
The *Ge Shi Fang* treats mixed red and white stagnant dysentery:
Chishizhi (Halloysit Rubra, 1 sheng), Wumei (Mume Fructus, 30 pieces), Jiangjiang (Zingiberis Rhizoma, 3 liang).
Cook together with one sheng of Jingmi (Oryza Sativa Japonica Group) in seven sheng of water until the rice is cooked. Strain off the dregs and take seven he at one time.
Another prescription: Decoct Caulis Salviae Miltiorrhizae (Shuweicao) strongly until it resembles thin maltose syrup. Take five he to one sheng, three times daily. For red dysentery, use red flowers; for white dysentery, use white flowers, which is preferable.