论曰肠中宿挟痼滞,每遇饮食不节,停饮不消。即乍瘥乍发,故取名为休息痢,治疗当
加之以治饮消削陈寒痼滞之剂则愈。
治休息痢,阿胶汤方
阿胶(炙令燥) 黄连(去须炒) 龙骨(各一两) 艾叶(微炒半两) 仓米(二合
炒)
上五味,粗捣筛,每服五钱匕,以水一盏半,煎至八分,去滓空心温服,日午再服。
治休息气痢久不瘥,肉豆蔻丸方
肉豆蔻(去壳) 诃黎勒(煨去核) 乌梅肉(炒干各一两) 黄连(去须炒一两半) 白
矾(熬令汁枯半
右五味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,空心用粥饮下,或煎白梅生
姜汤下亦得,更加丸数服。
治休息痢,不能食及羸瘦,麦 丸方
大麦 (炒) 附子(炮裂去皮脐) 陈曲(炒) 桂 乌梅肉(炒) 人参 白茯苓
(以上各一两)
上七味,捣罗细末,炼蜜为丸,如梧桐子大,每服三十丸,煮枣粥饮下,不计时候。
治休息痢,诸药无效,黄丹散方
黄丹(三两炒令紫色) 枣肉(三十枚捣为一块用纸紧裹大火烧令赤候冷取出) 枳壳
(半两麸炒
上四味,捣罗为末,每服一钱,空心粥饮调下,忌油腻冷物。
治休息痢立效。栝蒌散方
栝蒌(一枚出却一半瓤) 白矾(一两) 白石英(一两)
上二味。入栝蒌中,湿纸裹,烧赤为度,候冷捣细,杵为散,每服一钱匕,食前粥饮调
下。
治休息痢、日夜频并,白茯苓丸方
白茯苓(半两) 黄连(二两半) 黄柏 羚羊角(各一两半)
上四味,捣罗为末,炼蜜和丸,如梧桐子大,每服空心以米饮下三十丸,日午再服。
治休息痢。缩砂丸方
缩砂蜜(去皮一两为末) 肉豆蔻(去壳半两为末) 羊肝(去筋膜半具细切)
上三味拌和令匀。用面和作饼子裹,又以湿纸三重裹,于 灰火内,煨令香熟,去焦面
纸,研细为丸,如梧桐子大,每服三十丸,空心用米饮下,日再服。
治休息痢,及赤白痢,附子丸方
附子(炮裂去皮脐半两) 鸡子(二枚去黄取白)
上二味,先将附子捣罗为末,以鸡子白和为丸,如梧桐子大,一时倾入沸汤内,煮数沸
漉出,分作两服,米饮下,空心日午各一服。
治休息痢,黄连汤方
黄连(去须炒) 龙骨(各半两) 艾叶(一握微炒) 阿胶(炙令燥半两)
上四味,细锉三味,以水三盏,先煎黄连等三味,至一盏半,去滓次下阿胶。再煎至一
盏,分为二服,空心一服,如人行十里再一服,每服药后,浓煎干艾叶汤饮之亦佳。
治休息痢,玉液丹方
白矾(二两熬令汁枯) 硫黄 硝石(各半两)
上三味,于乳钵内相和,研作末,即入砂瓶子内,以炭火熔成汁,取出候冷。更研令细,
用面糊为丸,如绿豆大,每服十丸,空心米饮下,兼治肠风痔漏诸疾。
治休息痢,紫金散方
定粉(研) 铅丹(各一两) 大枣(二两去核) 莨菪子(一两半) 诃黎勒(炮去
核一两)
上五味相和,捣成一团,以面重裹,于火中烧令烟尽,取出去灰土令净,捣罗为散,每
服三钱匕,空心米饮调下,日晚再服。
治休息痢,脾胃气虚冷,大肠转泄,或发或止。饮食减少。四肢无力,没石子散方
没石子(半两) 肉豆蔻(半两) 桂心(半两) 诃黎勒(一两煨用皮) 浓朴(一
两半去粗皮涂生姜汁
上七味,捣罗为末,每服一钱匕,粥饮半盏调下,食前服之。
治休息痢,发歇不定,经久不瘥。硫黄丸方
硫黄(一两) 砒黄(一两) 何首乌(一两末) 白矾(一两)
上四味相和,研令匀,入瓷瓶子中,五月五日,取不食井水,和六一泥。固济封头候干。
安瓶子向火中。烧令通赤,候冷取药细研,以面糊和丸,如绿豆大,患近者黄连汤下,久者
橘皮汤下一丸。
治休息痢久不瘥,四霜丸方
巴豆霜(半钱匕) 百草霜(二钱匕) 粉霜(一钱匕) 砒霜(半钱匕) 乳香末(二
钱匕)
上五味,再研细令匀,用黄蜡半两,熔汁和为丸,如绿豆大,每服一丸,新汲水下。食
前服。
治一切休息痢,日夜不止。四体倦怠,黄芩丸方
黄芩(去黑心半两) 砒霜( 研三分) 乌梅肉(炒干) 黄柏(锉各一分)
上四味,捣研为末,炼蜜和丸,如绿豆大,每服五丸,冷水下。
治冷气腹痛不止。休息气痢,劳损。消化水谷,温暖脾胃,及治冷滑下痢不禁虚羸。缩
砂丸方
缩砂蜜(去皮) 附子(炮裂去皮脐) 干姜(炮) 浓朴(去粗皮生姜汁炙) 陈橘
皮(汤浸去白焙) 肉
上六味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸。米饮下,食前服。
治下痢乍瘥乍发,病名休息,丹粉丸方
丹砂(研半两) 粉霜(三钱) 腻粉 铅丹(各四钱) 白矾灰(三钱) 硝石(研)
砒霜(研各二钱伏火
上七味,再同研匀,用水浸炊饼心为丸,如豌豆大。每服三丸,冷面汤下,看虚实加减
治多年休息痢疾,四神丸方
当归(切焙半两) 乌梅(七枚去核) 黄连(去须微炒一两) 龙骨(半两)
上四味,捣罗为细末,以薤白细研和丸,如梧桐子大,每日空心以温浆水下十五丸,至
二十丸。
治休息痢,当归丸方
当归(锉炒) 黄连(去须) 乌梅(去核焙各一两)
上三味,捣罗为细末,以生蒜汁和,众手丸如梧桐子大,焙干,每服三十丸,空心煎浓
朴汤下,加至五十丸。
治休息痢,金石散方
锻石 铅丹(各一分) 糯米(一合炒黑)
上三味,将前二味,慢火炒一炊久。入糯米同研令细,每服二钱匕,空心陈米饮调下。
论述说:肠道中原本就夹杂有顽固的积滞,每当遇到饮食不节制时,停聚的水饮无法消散。因此病情时而暂时缓解,时而再次发作,所以取名为“休息痢”。治疗时应当加入能够消除水饮、削减陈寒和顽固积滞的药物,这样就能痊愈。
治疗休息痢的阿胶汤方:
阿胶(炙烤至干燥)一两,黄连(去除须根并炒制)一两,龙骨一两,艾叶(微炒)半两,仓米(炒制)二合。
以上五味药,粗捣后过筛,每次服用五钱匕,用水一盏半,煎煮至八分满,滤去药渣,空腹温服,中午时分再服一次。
治疗休息气痢日久不愈的肉豆蔻丸方:
肉豆蔻(去壳),诃黎勒(煨制去核),乌梅肉(炒干)各一两,黄连(去须炒制)一两半,白矾(熬至汁液枯干)半两。
以上五味药,捣碎过罗成细末,用炼蜜调和制成丸药,如梧桐子大小,每次服用二十丸,空腹时用粥饮送下,或者煎白梅生姜汤送下也可以,可以根据情况增加丸数服用。
治疗休息痢,不能进食且身体消瘦的麦丸方:
大麦(炒制),附子(炮裂去皮脐),陈曲(炒制),桂枝,乌梅肉(炒制),人参,白茯苓(以上各一两)。
以上七味药,捣碎过罗成细末,用炼蜜制成丸药,如梧桐子大小,每次服用三十丸,用煮枣粥饮送下,不限时候。
治疗休息痢,其他药物无效的丹粉散方:
黄丹(三两,炒至紫色),枣肉(三十枚捣成一块,用纸紧紧包裹,在大火中烧至通红,冷却后取出),枳壳(半两,麸炒)。
以上四味药,捣碎过罗成细末,每次服用一钱,空腹时用粥饮调服,忌食油腻生冷食物。
治疗休息痢立竿见影的栝蒌散方:
栝蒌(一枚,挖去一半瓤),白矾一两,白石英一两。
以上两味药,放入栝蒌中,用湿纸包裹,烧至通红为度,冷却后捣细,杵成散剂,每次服用一钱匕,饭前用粥饮调服。
治疗休息痢,日夜频繁发作的白茯苓丸方:
白茯苓半两,黄连二两半,黄柏一两半,羚羊角一两半。
以上四味药,捣碎过罗成细末,用炼蜜调和制成丸药,如梧桐子大小,每次空腹用米饮送下三十丸,中午时分再服一次。
治疗休息痢的缩砂丸方:
缩砂蜜(去皮,一两,研成末),肉豆蔻(去壳,半两,研成末),羊肝(去筋膜,半个,切细)。
以上三味药拌和均匀。用面粉做成饼子包裹住,再用三层湿纸包裹,在灰火中煨至香熟,去掉焦面和纸,研细制成丸药,如梧桐子大小,每次服用三十丸,空腹用米饮送下,每日服两次。
治疗休息痢,以及赤白痢的附子丸方:
附子(炮裂去皮脐,半两),鸡蛋(两个,去黄取清)。
以上两味药,先将附子捣碎过罗成末,用鸡蛋清调和制成丸药,如梧桐子大小,一次性倒入沸水中,煮几滚后捞出,分成两份服用,用米饮送下,空腹和中午各服一份。
治疗休息痢的黄连汤方:
黄连(去须炒制)半两,龙骨半两,艾叶(一把,微炒),阿胶(炙烤至干燥)半两。
以上四味药,将除阿胶外的三味药细锉,用水三盏,先煎煮黄连等三味药,煎至一盏半,滤去药渣,然后加入阿胶。再煎煮至一盏,分为两份服用,空腹服一份,如果人行走十里路后再服一份。每服药后,浓煎干艾叶汤饮用也很好。
治疗休息痢的玉液丹方:
白矾(二两,熬至汁液枯干),硫黄半两,硝石半两。
以上三味药,在乳钵内混合,研磨成末,立即放入砂瓶子内,用炭火熔化成汁,取出冷却。再次研磨细,用面糊制成丸药,如绿豆大小,每次服用十丸,空腹用米饮送下,兼治肠风痔漏等各种疾病。
治疗休息痢的紫金散方:
定粉(研细),铅丹(各一两),大枣(二两,去核),莨菪子(一两半),诃黎勒(炮制去核,一两)。
以上五味药混合,捣成一团,用面粉重重包裹,在火中烧至烟尽,取出除去灰土使其洁净,捣碎过罗成散剂,每次服用三钱匕,空腹用米饮调服,晚上再服一次。
治疗休息痢,脾胃气虚寒冷,大肠滑泄,或发或止,饮食减少,四肢无力的没石子散方:
没石子半两,肉豆蔻半两,桂心半两,诃黎勒(一两,煨制用皮),浓朴(一两半,去粗皮涂生姜汁炙)。
以上七味药,捣碎过罗成细末,每次服用一钱匕,用半盏粥饮调服,饭前服用。
治疗休息痢,发作间歇不定,经久不愈的硫黄丸方:
硫黄一两,砒黄一两,何首乌(一两,研末),白矾一两。
以上四味药混合,研磨均匀,放入瓷瓶子中,五月五日这天,取未喝过的井水,调和六一泥。密封瓶口等待干燥。将瓶子放在火中,烧至通红,冷却后取出药物细研,用面糊调和制成丸药,如绿豆大小,病程近的用黄连汤送下一丸,病程久的用橘皮汤送下一丸。
治疗休息痢日久不愈的四霜丸方:
巴豆霜半钱匕,百草霜二钱匕,粉霜一钱匕,砒霜半钱匕,乳香末二钱匕。
以上五味药,再次研磨细匀,用半两黄蜡,熔化汁液调和制成丸药,如绿豆大小,每次服用一丸,用新汲冷水送下。饭前服用。
治疗一切休息痢,日夜不止,四肢倦怠的黄芩丸方:
黄芩(去除黑心部分,半两),砒霜(研细,三分),乌梅肉(炒干),黄柏(锉碎,各一分)。
以上四味药,捣碎研磨成末,用炼蜜调和制成丸药,如绿豆大小,每次服用五丸,用冷水送下。
治疗冷气腹痛不止,休息气痢,劳损,消化水谷困难,温暖脾胃,以及治疗冷滑下痢不禁、身体虚弱的缩砂丸方:
缩砂蜜(去皮),附子(炮裂去皮脐),干姜(炮制),浓朴(去粗皮,生姜汁炙),陈橘皮(汤浸去白焙干),肉豆蔻。
以上六味药,捣碎过罗成细末,用炼蜜调和制成丸药,如梧桐子大小,每次服用三十丸,用米饮送下,饭前服用。
治疗下痢时而缓解时而发作,病名休息的丹粉丸方:
丹砂(研细,半两),粉霜三钱,腻粉,铅丹(各四钱),白矾灰三钱,硝石(研细),砒霜(研细,各二钱,需伏火处理)。
以上七味药,再次共同研磨均匀,用水浸泡蒸饼的心部制成丸药,如豌豆大小。每次服用三丸,用冷面汤送下,根据虚实情况加减剂量。
治疗多年休息痢疾的四神丸方:
当归(切后焙干,半两),乌梅(七枚,去核),黄连(去须微炒,一两),龙骨半两。
以上四味药,捣碎过罗成细末,用薤白细研后调和制成丸药,如梧桐子大小,每天空腹用温浆水送下十五丸,加至二十丸。
治疗休息痢的当归丸方:
当归(锉碎炒制),黄连(去须),乌梅(去核焙干,各一两)。
以上三味药,捣碎过罗成细末,用生蒜汁调和,众人用手搓成如梧桐子大小的丸药,焙干,每次服用三十丸,空腹煎浓朴汤送下,可加至五十丸。
治疗休息痢的金石散方:
锻石,铅丹(各一分),糯米(一合,炒黑)。
以上三味药,将前两种药,用慢火炒一顿饭的时间,加入糯米一同研磨细,每次服用二钱匕,空腹用陈米饮调服。
Discussion: The intestines originally harbor stubborn stagnation. Whenever dietary habits are irregular, retained fluids fail to dissipate. Consequently, the condition alternates between temporary remission and recurrence, hence the name "Resting Dysentery" (Xiuxi Li). Treatment should incorporate agents that eliminate fluid retention, reduce chronic cold, and resolve stubborn stagnation, leading to recovery.
Decoction of Ejiao for Resting Dysentery:
Ejiao (scorified until dry) 1 liang, Huanglian (Stem removed, stir-fried) 1 liang, Longgu 1 liang, Aye (lightly stir-fried) 0.5 liang, Cangmi (stir-fried) 2 he.
The above five ingredients are coarsely crushed and sieved. Each dose consists of 5 qianbi, decocted in 1.5 zhan of water until reduced to 0.8 zhan. Strain the dregs and take warm on an empty stomach; administer again at noon.
Pill of Nutmeg for Chronic Resting Qi Dysentery:
Roudoukou (shelled), Helile (roasted, pitted), Wumei Rou (stir-fried until dry) each 1 liang, Huanglian (stem removed, stir-fried) 1.5 liang, Baifan (boiled until juice is dry) 0.5 liang.
The above five ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 20 pills, taken on an empty stomach with gruel drink, or alternatively with a decoction of Wumei and Shengjiang. The dosage may be increased as needed.
Mai Pill for Resting Dysentery with Anorexia and Emaciation:
Damai (stir-fried), Fuzi (processed, cracked, skin and navel removed), Chenqu (stir-fried), Guizhi, Wumei Rou (stir-fired), Renshen, Baifuling (each 1 liang).
The above seven ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken with cooked jujube gruel drink, at any time.
San of Huangdan for Refractory Resting Dysentery:
Huangdan (3 liang, stir-fried until purple), Zaorou (30 jujubes mashed into a block, tightly wrapped in paper, roasted over high fire until red, cooled and removed), Zhike (0.5 liang, bran-stir-fried).
The above four ingredients are crushed, sieved into fine powder. Each dose is 1 qian, taken on an empty stomach with gruel drink. Avoid greasy and cold foods.
San of Gualou for Immediate Effect in Resting Dysentery:
Gualou (1 fruit, half of the pulp removed), Baifan 1 liang, Bai Shiyong 1 liang.
The above two ingredients are placed inside the Gualou, wrapped in wet paper, and roasted until thoroughly red. After cooling, they are finely ground into a powder. Each dose is 1 qianbi, taken before meals with gruel drink.
Pill of Baifuling for Frequent Day-and-Night Resting Dysentery:
Baifuling 0.5 liang, Huanglian 2.5 liang, Huangbai 1.5 liang, Lingyangjiao 1.5 liang.
The above four ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken on an empty stomach with rice drink; administer again at noon.
Pill of Suosha for Resting Dysentery:
Suoshami (peeled, 1 liang, powdered), Roudoukou (shelled, 0.5 liang, powdered), Yanggan (sinews and fascia removed, half liver, finely chopped).
The above three ingredients are mixed evenly. Wrap in dough, then wrap in three layers of wet paper. Roast in ash fire until fragrant and cooked. Remove charred dough and paper, grind finely, and form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken on an empty stomach with rice drink, twice daily.
Pill of Fuzi for Resting Dysentery and Red-White Dysentery:
Fuzi (processed, cracked, skin and navel removed, 0.5 liang), Ji Zi (2 eggs, whites separated from yolks).
First, crush Fuzi into powder. Mix with egg white to form pills the size of Sophora japonica seeds. Pour all at once into boiling water, boil briefly, remove, and divide into two doses. Take with rice drink, one dose on an empty stomach and one at noon.
Decoction of Huanglian for Resting Dysentery:
Huanglian (stem removed, stir-fried) 0.5 liang, Longgu 0.5 liang, Aye (a handful, lightly stir-fried), Ejiao (scorified until dry) 0.5 liang.
Finely chop the first three ingredients. Decoct in 3 zhan of water until reduced to 1.5 zhan. Strain, then add Ejiao. Decoct again until reduced to 1 zhan. Divide into two doses. Take one dose on an empty stomach; if the patient walks ten li, take the second dose. It is beneficial to drink a strong decoction of Gan Aye after taking the medicine.
Dan of Yuye for Resting Dysentery:
Baifan (2 liang, boiled until juice is dry), Liuhuang 0.5 liang, Xiaoshi 0.5 liang.
Mix the three ingredients in a mortar, grind into powder, and place in a clay bottle. Melt with charcoal fire until liquid, remove, and cool. Grind finely again, mix with paste to form pills the size of mung beans. Each dose is 10 pills, taken on an empty stomach with rice drink. Also treats intestinal wind, hemorrhoids, and fistulas.
San of Zijin for Resting Dysentery:
Dingfen (ground), Qiandan (each 1 liang), Dazao (2 liang, pitted), Langdangzi (1.5 liang), Helile (roasted, pitted, 1 liang).
Mix the five ingredients, pound into a mass, wrap heavily in dough, and roast in fire until smoke ceases. Remove, clean off ash and soil, crush, and sieve into powder. Each dose is 3 qianbi, taken on an empty stomach with rice drink; administer again in the evening.
San of Moshizi for Resting Dysentery with Spleen-Stomach Qi Deficiency and Cold:
Moshizi 0.5 liang, Roudoukou 0.5 liang, Guixin 0.5 liang, Helile (1 liang, roasted, use peel), Houpo (1.5 liang, bark removed, brushed with ginger juice).
The above seven ingredients are crushed, sieved into fine powder. Each dose is 1 qianbi, taken with half a zhan of gruel drink before meals.
Pill of Liuhuang for Irregularly Intermittent Resting Dysentery:
Liuhuang 1 liang, Pi Huang 1 liang, Heshouwu (1 liang, powdered), Baifan 1 liang.
Mix and grind uniformly. Place in a porcelain bottle. On the fifth day of the fifth lunar month, mix with well water and Liu Yi Ni. Seal the bottle mouth and let dry. Place the bottle in fire and roast until thoroughly red. Cool, retrieve medicine, grind finely, and mix with paste to form pills the size of mung beans. For recent onset, take one pill with Huanglian Tang; for chronic cases, take one pill with Jupi Tang.
Wan of Si Shuang for Chronic Resting Dysentery:
Badoushuang 0.5 qianbi, Baicaoshuang 2 qian, Fenshuang 1 qian, Pishuang 0.5 qian, Ruxiangmo 2 qian.
Grind the five ingredients finely and uniformly. Melt 0.5 liang of Huangla and mix to form pills the size of mung beans. Take one pill per dose with fresh cold water. Take before meals.
Pill of Huangqin for All Resting Dysentery with Day-and-Night Continuation and Limb Fatigue:
Huangqin (remove black heart, 0.5 liang), Pishuang (ground, 3 fen), Wumei Rou (stir-fried until dry), Huangbai (chopped, 1 fen each).
Crush and grind the four ingredients into powder. Mix with refined honey to form pills the size of mung beans. Take 5 pills per dose with cold water.
Pill of Suosha for Cold Abdominal Pain, Resting Qi Dysentery, Asthenia, and Digestive Issues:
Suoshami (peeled), Fuzi (processed, cracked, skin and navel removed), Jiangtan (processed), Houpo (bark removed, ginger juice-roasted), Chenjupi (soaked in water, white pith removed, baked), Roudoukou.
The above six ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose with rice drink before meals.
Wan of Dan Fen for Alternating Remission and Recurrence Known as Resting Dysentery:
Dansha (ground, 0.5 liang), Fenshuang 3 qian, Nifen, Qiandan (each 4 qian), Baifanhui 3 qian, Xiaoshi (ground), Pishuang (ground, each 2 qian, must undergo fu huo treatment).
Grind the seven ingredients uniformly. Use water-soaked steamed bun center to form pills the size of peas. Take 3 pills per dose with cold noodle soup, adjusting dosage based on deficiency or excess.
Wan of Si Shen for Chronic Resting Dysentery:
Danggui (cut and baked, 0.5 liang), Wumei (7 fruits, pitted), Huanglian (stem removed, lightly stir-fried, 1 liang), Longgu 0.5 liang.
Crush and sieve the four ingredients into fine powder. Mix with finely ground Xiebai to form pills the size of Sophora japonica seeds. Take 15-20 pills on an empty stomach daily with warm fermented rice water.
Wan of Danggui for Resting Dysentery:
Danggui (chopped and stir-fried), Huanglian (stem removed), Wumei (pitted and baked, each 1 liang).
Crush and sieve the three ingredients into fine powder. Mix with raw garlic juice. Roll into pills the size of Sophora japonica seeds by hand, bake until dry. Take 30 pills per dose on an empty stomach with Houpo decoction; increase to 50 pills if necessary.
San of Jinshi for Resting Dysentery:
Duanshi, Qiandan (each 1 fen), Nuomi (1 he, stir-fried until black).
Slowly stir-fry the first two ingredients for the duration of cooking a meal. Add Nuomi and grind together finely. Take 2 qianbi per dose on an empty stomach with aged rice drink.