深师治卒下血,昼夜七八行方。
黄连 黄柏(各四两)
上二味切,以淳苦酒五升,煮取一升半,分为二服,亦疗下痢。
又疗卒下血。蒲黄散方。
蒲黄(三合) 当归(一两) 鹿茸(一枚烧)
上三味捣筛为散,饮服方寸匕,先食,日三。(并出第一十六卷中)
集验疗卒下血不止方。
草龙胆(一握)
上一味切,以水五升煮,取二升半,分为五服,如不瘥更服。(出第四卷中)
葛氏疗卒下血方。
小豆(二升)
上一味捣碎,水三升和,绞取汁饮之,姚云立止。
又方
黄连(半两) 黄柏(二两) 栀子(二七枚)
上三味切,以酒二升渍一宿,去滓,煮三沸顿服之。(并出第十六卷中)
崔氏治卒下血不止方。
灶突中尘(一升) 黄连(五两) 地榆(三两)
上三味捣筛为散,粥饮服方寸匕,日再服,重者夜一。
近效治卒下血,不问丈夫妇人立效。牛角 灰散方。
黄牛角 (一具烧赤色出火即青碧)
上一味为细散,食前浓煮豉汁和二钱匕,重者日三,神验。
病源血痢者,热毒乘于血,血渗入大肠故也,血之随气循环经络,通行脏腑,当无停积
,毒热气乘之,遇肠虚者,血渗入于肠,肠虚则泄,故为血痢也,身热者死,身寒者生,诊
其关上脉芤大,便去血,暴下血数升也。(出第十七卷中)
广济疗血痢。黄连丸方。
黄连 白龙骨(炙) 禹余粮 伏龙肝(各八分) 代赭研 干姜(各六分)
上六味捣筛,蜜和丸,饮服三十丸如梧子,渐加至四十丸,差止。
又疗痢鲜血方。
茜根 黄连 地榆(各八分) 栀子(十四枚) 薤白(切) 香豉(各八分) 犀角
(屑六分)
上七味切,以水八升,煮取二升,分为三服,日再。(出第四卷中)
必效疗患热血痢方。
粳米(一升研)
上一味研碎,令米尽,取汁可一大升,于新瓷瓶中盛,取油绢密闭头,系内着井水中,
令至明饮之,敷与人无不瘥者。(出第二卷中)
古今录验疗血痢及脓血方。
黄连(三两)
上一味切,以清水三升渍一宿,旦煎取一升半,去滓,分为二服,服令须臾尽。(文仲
同)
又疗下痢鲜血方。
干地黄 犀角屑 地榆(各二两)
上三味捣筛,蜜丸如弹子大,每服一丸,水一升,煎取五合,去滓温服之。
又疗下血痢,地肤散方。
地肤(五两) 地榆根 黄芩(各二两)
上三味捣筛为散,以水服方寸匕,日三。(并出第二卷中)
深师方治疗突然下血,每天排便七八次的方剂。
黄连、黄柏(各四两)
将以上两味药切碎,用五升纯苦酒浸泡煮取一升半,分两次服用,此方也治疗下痢。
又方治疗突然下血:蒲黄散方。
蒲黄(三合)、当归(一两)、鹿茸(一枚,烧制)
将以上三味药捣碎过筛制成散剂,空腹前用米汤送服一方寸匕大小的量,每日三次。(均出自第十六卷中)
集验方治疗突然下血不止的方剂。
草龙胆(一把)
将以上一味药切碎,用水五升煮取二升半,分五次服用,如果病愈未完全,继续服用。(出自第四卷中)
葛氏方治疗突然下血的方剂。
小豆(二升)
将以上一味药捣碎,加三升水调和,绞取汁液饮用,姚氏说能立即停止出血。
又一方
黄连(半两)、黄柏(二两)、栀子(十四枚)
将以上三味药切碎,用二升酒浸泡一夜,去渣滓,煮开三沸后一次性服用。(均出自第十六卷中)
崔氏方治疗突然下血不止的方剂。
灶突中的灰尘(一升)、黄连(五两)、地榆(三两)
将以上三味药捣碎过筛制成散剂,用米粥或饮送服一方寸匕大小的量,每日两次,病情重的夜间再加服一次。
近效方治疗突然下血,无论男女立竿见影:牛角灰散方。
黄牛角(一个,烧至赤色,出火即呈青碧色)
将以上一味药研成细散,饭前用浓煮的豆汁调服二钱匕大小,病情重的每日三次,效果神奇。
《诸病源候论》认为血痢的病机是:热毒侵袭血液,血液渗入大肠所致。血液随气在经络中循环,通行于脏腑,本不应有停积。当毒热气侵袭时,遇到肠道虚弱,血液便渗入肠中,肠道虚弱则泄泻,所以形成血痢。身体发热的预后不良,身体寒凉的预后良好。诊察其关上脉象芤大,说明大量失血,突然排出数升血。(出自第十七卷中)
广济方治疗血痢:黄连丸方。
黄连、白龙骨(炙烤)、禹余粮、伏龙肝(各八分)、代赭石(研细)、干姜(各六分)
将以上六味药捣碎过筛,用蜂蜜和丸,如梧桐子大小,每次饮水送服三十丸,逐渐增加至四十丸,痊愈为止。
又方治疗痢疾下鲜血:
茜根、黄连、地榆(各八分)、栀子(十四枚)、薤白(切碎)、香豉(各八分)、犀角(屑,六分)
将以上七味药切碎,用水八升煮取二升,分三次服用,每日两次。(出自第四卷中)
必效方治疗患热血痢的方剂:
粳米(一升,研碎)
将以上一味药研碎,直到米粒尽碎,取汁约一大升,盛放在新瓷瓶中,用油绢严密封住瓶口,悬挂放入井水中,直到第二天早晨饮用,敷治给人使用没有不痊愈的。(出自第二卷中)
古今录验方治疗血痢及脓血便的方剂:
黄连(三两)
将以上一味药切碎,用清水三升浸泡一夜,早晨煎取一升半,去渣滓,分两次服用,要求短时间内服完。(文仲方相同)
又方治疗下痢下鲜血:
干地黄、犀角屑、地榆(各二两)
将以上三味药捣碎过筛,蜜丸如弹子大小,每次服用一丸,加水一升,煎取五合,去渣滓温服。
又方治疗下血痢:地肤散方。
地肤、地榆根、黄芩(各二两)
将以上三味药捣碎过筛制成散剂,用水送服一方寸匕大小的量,每日三次。(均出自第二卷中)
Shen Shi's formula for treating sudden hematochezia, with seven to eight bowel movements per day.
Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai) (each 4 liang).
Cut the above two herbs, boil in 5 sheng of pure sour vinegar until reduced to 1.5 sheng, divide into two doses. This formula also treats dysentery.
Another formula for treating sudden hematochezia: Puhuang Powder.
Pumex (Puhuang) (3 he), Angelicae Sinensis Radix (Danggui) (1 liang), Cervi Cornu Pantotrichum (Lurong) (one piece, calcined).
Pulverize and sieve the above three herbs to make a powder. Take one fangcun bi (a square-inch measure) with warm water before meals, three times a day. (All from Volume 16)
Ji Yan's formula for treating persistent sudden hematochezia.
Gentianae Radix et Rhizoma Caolongdan (Caolongdan) (one handful).
Cut the above single herb, boil in 5 sheng of water until reduced to 2.5 sheng, divide into five doses. If not fully cured, continue taking it. (From Volume 4)
Ge Shi's formula for treating sudden hematochezia.
Vigna Angularis Semen (Xiaodou) (2 sheng).
Crush the above single herb, mix with 3 sheng of water, squeeze out the juice and drink it. Yao stated that bleeding stops immediately.
Another formula:
Coptidis Rhizoma (Huanglian) (0.5 liang), Phellodendri Cortex (Huangbai) (2 liang), Gardeniae Fructus (Zhizi) (14 pieces).
Cut the above three herbs, soak in 2 sheng of wine overnight, remove dregs, boil for three boils, and take all at once. (All from Volume 16)
Cui Shi's formula for treating persistent sudden hematochezia.
Soot from the kitchen chimney (Zaotu Zhong Chen) (1 sheng), Coptidis Rhizoma (Huanglian) (5 liang), Sanguisorbae Radix (Diyu) (3 liang).
Pulverize and sieve the above three herbs to make a powder. Take one fangcun bi with rice gruel or water, twice a day. For severe cases, add one dose at night.
Jin Xiao's formula for treating sudden hematochezia, effective immediately regardless of gender. Niujiao Hui San (Buffalo Horn Ash Powder).
Bos Taurus Domesticus Cornu (Niu Jiao) (one horn, calcined until red-hot, then turns blue-green upon removal from fire).
Grind the above single herb into fine powder. Before meals, mix with thick decoction of Sojae Preparata (Douzhi) and take two qian bi. For severe cases, take three times a day. It is miraculous.
According to *Zhu Bing Yuan Hou Lun* (Source Book of All Diseases and Syndromes), blood dysentery occurs when heat-toxin invades the blood, causing blood to seep into the large intestine. Blood circulates through the meridians with Qi and passes through the Zang-Fu organs, where it should not stagnate. When toxic heat attacks, if the intestines are deficient, blood seeps into the intestines; intestinal deficiency leads to diarrhea, thus forming blood dysentery. A feverish body indicates a poor prognosis, while a cold body indicates survival. Palpation reveals a large and hollow pulse at the Guan position, indicating massive blood loss, with sudden expulsion of several sheng of blood. (From Volume 17)
Guang Ji's formula for treating blood dysentery: Huanglian Pill.
Coptidis Rhizoma (Huanglian), Os Draconis (Bailonggu) (calcined), Yuyuli Lithops (Yuyuliang), Longan Fici Cortex (Fulonggan) (each 8 fen), Haematitum (Daizhe) (ground), Zingiberis Rhizoma (Ganjiang) (each 6 fen).
Pulverize and sieve the above six herbs, mix with honey to form pills the size of wutong seeds. Take 30 pills with water, gradually increasing to 40 pills until cured.
Another formula for treating bloody stool in dysentery:
Qiancaogen (Qiancao), Coptidis Rhizoma (Huanglian), Sanguisorbae Radix (Diyu) (each 8 fen), Gardeniae Fructus (Zhizi) (14 pieces), Allii Macrostemonis Bulbus (Xiebai) (cut), Fermented Sojae Semen (Xiangchi) (each 8 fen), Rhinocerotis Cornu (Xijiao) (shredded, 6 fen).
Cut the above seven herbs, boil in 8 sheng of water until reduced to 2 sheng, divide into three doses, twice a day. (From Volume 4)
Bi Xiao's formula for treating hot-blooded dysentery.
Oryza Sativa Glutinosa Semen (Jingmi) (1 sheng, ground).
Grind the above single herb until completely powdered, extract about 1 sheng of juice. Store in a new porcelain bottle, seal tightly with oiled silk, and suspend in well water until the next morning. Drink it. No patient fails to recover. (From Volume 2)
Gu Jin Lu Yan's formula for treating blood dysentery and pus-blood stool.
Coptidis Rhizoma (Huanglian) (3 liang).
Cut the above single herb, soak in 3 sheng of clear water overnight. In the morning, decoct to obtain 1.5 sheng, remove dregs, and divide into two doses. Finish each dose quickly. (Wen Zhong's formula is identical).
Another formula for treating bloody stool in dysentery:
Rehmanniae Radix Preparata (Gadihuang), Rhinocerotis Cornu (Xijiao) (shredded), Sanguisorbae Radix (Diyu) (each 2 liang).
Pulverize and sieve the above three herbs, mix with honey to form pills the size of a bullet. Take one pill per dose, decoct with 1 sheng of water until reduced to 0.5 sheng, remove dregs, and take warm.
Another formula for treating bloody stool in dysentery: Difuk San (Difuku Powder).
Kochiae Fructus (Difu), Sanguisorbae Radix (Diyugen), Scutellariae Radix (Huangqin) (each 2 liang).
Pulverize and sieve the above three herbs to make a powder. Take one fangcun bi with water, three times a day. (All from Volume 2)