《病源论》云∶杂利谓利色无定,水谷或脓或血,或青或黄,或赤或白,变杂无常,或
杂色
热不
《短剧方》治杂下方,第一下赤,二下白,三下黄,四下青,五下黑,六固病下,下如
瘀赤
如舍水,十四下已则烦,十五息下一作一止,十六而不欲食,十七食无数但下者,十八下但
欲饮
黄连(一两) 黄柏(一两) 熟艾(一两) 附子(一两) 甘草(一两) 干姜(二
两) 乌梅(二
凡七物,合捣下筛,蜜和丸如大豆,饮服十丸,渐至二十丸,日三。(今按∶《葛氏方》
云
《范汪方》乌梅丸,治万种下利方∶
干姜 黄连 黄柏(炙) 黄芩 艾(各一两) 乌梅(二十枚,取肉)
上六物,丸如梧子,服十丸,日三,老少半,良验。
又云∶治下利日百行、师所不治方∶曲末服一方寸匕,日三,以食愈为度,当以粟米粥
服
《令李方》治下利一日百起、黄连散方∶
黄连(二两) 甘草(二两)
凡二物,冶筛,酒服方寸匕,日三,立愈。
《极要方》疗冷热不调,或滞或水、或五色血者方∶醋石榴五枚合壳、子捣,绞取二升
汁,
《广济方》疗百千种杂痢黄连汤方∶
黄连(一两) 干姜(一两) 熟艾(一两) 附子(一枚,炮) 蜀椒(十四粒) 阿
胶〔如手(指)
切,以水五升,煮取二升五合,绞去滓,纳胶更上火煎胶烊,分温三服。忌生冷猪鱼蒜。
《传信方》云∶一切利神效方∶
黄连(二两半) 黄柏(一两半) 羚羊角(半两) 茯苓(半两)
上四味,为散,蜜和丸,用姜蜜汤下。
灸诸利方∶
《经心方》云∶灸脐中,稍至二三百壮。
又灸关元三百壮,并治冷腹痛。(关元脐下三寸是也。)
《新录方》云∶灸脊中三百壮。(脊中,从大椎度至穷骨中折,则是也。)
又方∶灸脾俞百壮。(第十一椎两旁名脾俞。)
又方∶灸大肠俞百壮。(第十六椎两旁名大肠俞。)
今按∶《石论》云∶金液丹,十种水谷赤白等利,此丹皆治疗。
《诸病源候论》说:杂利是指排泄物的颜色没有定规,水谷或化为脓血,或呈青色、黄色、红色、白色,变化杂乱无常。
《短剧方》治疗下利的方剂中,第一种治下赤痢,第二种治下白痢,第三种治下黄痢,第四种治下青痢,第五种治下黑痢,第六种固涩止泻,第七种下利如屋漏水状,第八种下利如瘀血状,第九种下利如清水状,第十种下利已则心烦,第十一种下利一次后停止,第十二种下利且不想进食,第十三种饮食无度但只下利者,第十四种下利只想饮水,第十五种……(原文此处有缺漏或断句不清,依文意推测为后续症状描述),黄连(一两)、黄柏(一两)、熟艾(一两)、附子(一两)、甘草(一两)、干姜(二两)、乌梅(二枚)。
以上共七味药,混合捣碎过筛,用蜂蜜调和制成如大豆大小的丸剂,用温水送服十丸,逐渐增加至二十丸,每日三次。(按语:《葛氏方》云……)
《范汪方》中的乌梅丸,治疗各种类型的下利方:
干姜、黄连、黄柏(炙)、黄芩、艾叶(各一两)、乌梅(二十枚,取果肉)。
以上六味药,制成如梧桐子大小的丸剂,每次服十丸,每日三次,老人儿童减半,疗效显著。
又说:治疗一天下利百余次、医生所不能治愈的方剂:服用曲末一方寸匕,每日三次,以大便恢复正常为限度,应当用粟米粥送服。
《令李方》治疗一天下利百余起、黄连散方:
黄连(二两)、甘草(二两)。
以上两味药,研磨过筛,用酒送服一方寸匕,每日三次,立即痊愈。
《极要方》治疗冷热不调,或停滞或如水样、或五色血样的方剂:醋石榴五个带壳和籽一起捣碎,绞取汁液二升。
《广济方》治疗千百种杂痢的黄连汤方:
黄连(一两)、干姜(一两)、熟艾(一两)、附子(一枚,炮制)、蜀椒(十四粒)、阿胶(如手指大小)。
切碎,用水五升,煮取二升五合,过滤去渣,加入阿胶再次上火煎煮至胶融化,分三次温服。忌食生冷、猪肉、鱼类、大蒜。
《传信方》说:一切下利的神效方:
黄连(二两半)、黄柏(一两半)、羚羊角(半两)、茯苓(半两)。
以上四味药,研成散剂,用蜂蜜调和成丸,用姜蜜汤送服。
灸法治疗各种下利的方剂:
《经心方》说:灸脐中穴,稍多可灸二三百壮。
又灸关元穴三百壮,并治疗冷性腹痛。(关元穴位于脐下三寸处。)
《新录方》说:灸脊中穴三百壮。(脊中穴,从大椎穴量至尾骨中间折断处,即是此穴。)
按语:《石论》说:金液丹,对于十种水谷、赤白等下利,此丹药都能治疗。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: "Za Li" (Miscellaneous Dysentery/Loose Stools) refers to excrement with no fixed color; water and grain may turn into pus or blood, or appear green, yellow, red, or white. The changes are chaotic and irregular.
In the *Duanju Fang* (Short Drama Formulas), the formulas for treating loose stools/dysentery are as follows: The first treats bloody discharge; the second treats whitish discharge; the third treats yellowish discharge; the fourth treats greenish discharge; the fifth treats blackish discharge; the sixth secures and stops diarrhea; the seventh describes discharge resembling leaking roof water; the eighth resembles clotted blood; the ninth resembles clear water; the tenth is followed by irritability; the eleventh involves one episode of discharge followed by cessation; the twelfth involves loss of appetite; the thirteenth involves excessive eating but only passing stool; the fourteenth involves thirst; [text fragment missing]; Huanglian (Coptidis Rhizoma, 1 liang); Huangbai (Phellodendri Cortex, 1 liang); Shuai Ai (Prepared Mugwort Leaf, 1 liang); Fuzi (Prepared Aconiti Lateralis Radix, 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang); Ganjiang (Zingiberis Rhizoma, 2 liang); Wumei (Mume Fructus, 2 pieces).
These seven herbs are mixed, pounded, and sifted. Honey is added to form pills the size of soybeans. Take ten pills with warm water, gradually increasing to twenty pills, three times a day. (Note: The *Ge Shi Fang* says...)
The Wumei Wan (Mume Pill) in the *Fan Wang Fang* treats myriad types of dysentery/loose stools:
Ganjiang (Zingiberis Rhizoma), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex, processed), Huangqin (Scutellariae Radix), Ai Ye (Artemisiae Argyi Folium) (each 1 liang); Wumei (Mume Fructus, 20 pieces, flesh only).
These six ingredients are made into pills the size of wu-tzu seeds. Take ten pills, three times a day. Elderly and children take half. It is highly effective.
It also states: For treating cases where there are over a hundred bowel movements per day, which physicians cannot cure: Take Qu Mo (Fermented Grain Powder) equal to one cun-bi (measure), three times a day. Continue until digestion normalizes. It should be taken with millet porridge.
The *Ling Li Fang* formula for Chihuang San (Coptis Powder) to treat dysentery occurring a hundred times a day:
Huanglian (Coptidis Rhizoma, 2 liang); Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang).
These two ingredients are ground and sifted. Take one cun-bi with wine, three times a day. Cure is immediate.
The *Jiyao Fang* formula for treating imbalance of cold and heat, stagnation, watery stools, or five-colored bloody stools: Crush five vinegar pomegranates (with shell and seeds), squeeze out two sheng (volume unit) of juice.
The *Guangji Fang* formula for Chihuang Tang (Coptis Decoction) to treat hundreds of thousands of miscellaneous dysentery cases:
Huanglian (Coptidis Rhizoma, 1 liang); Ganjiang (Zingiberis Rhizoma, 1 liang); Shuai Ai (Prepared Mugwort Leaf, 1 liang); Fuzi (Prepared Aconiti Lateralis Radix, one piece, processed); Shujiao (Sichuan Pepper, 14 grains); Ejiao (Donkey-hide Gelatin, size of a finger).
Chop finely, add five sheng of water, boil to obtain two sheng and five he. Strain to remove dregs, add the gelatin, and heat again until melted. Divide into three warm doses. Avoid raw/cold foods, pork, fish, and garlic.
The *Chuanxin Fang* states: A miraculous formula for all types of loose stools/dysentery:
Huanglian (Coptidis Rhizoma, 2.5 liang); Huangbai (Phellodendri Cortex, 1.5 liang); Lingyangjiao (Saiga Tataricae Cornu, 0.5 liang); Fuling (Poria, 0.5 liang).
These four ingredients are made into powder, mixed with honey into pills, and taken with ginger-honey decoction.
Moxibustion formulas for various types of loose stools/dysentery:
The *Jingxin Fang* states: Moxibustion at Shenque (CV-8, Umbilicus), slightly up to 200-300 moxa cones.
Also moxibustion at Guanyuan (CV-4, 3 cun below the umbilicus) for 300 cones, which also treats cold abdominal pain.
The *Xinlu Fang* states: Moxibustion at Jizhong (GV-7, 3 cun below the spinous process of the 7th thoracic vertebra) for 300 cones. (Jizhong is located midway between Dazhui (GV-14) and the coccyx.)
Another formula: Moxibustion at Pishu (BL-20, 1.5 cun lateral to the lower border of the spinous process of the 11th thoracic vertebra) for 100 cones.
Another formula: Moxibustion at Dachangshu (BL-25, 1.5 cun lateral to the lower border of the spinous process of the 16th thoracic vertebra) for 100 cones.
Note: The *Shi Lun* states: Jin Ye Dan (Golden Liquid Pill) treats all ten types of water-grain, red, and white dysentery/loose stools.