病源此由肠胃虚弱,为风邪所伤,则成痢挟热,热乘于血,则血流渗入肠,与痢相杂下
。故为赤痢也。(出第十七卷中)
集验疗下赤痢方。
秫米(一把) 鲫鱼酢(二脔细切) 薤白(一虎口细切)
上三味合煮如作粥法,啖之。(古今录验同出第四卷中)
千金疗赤带下方。
成煎猪膏(三合) 清酒(五合)
上二味以缓火煎十沸,适寒温,顿服之。取瘥止。
又论曰∶凡痢病,通忌生冷,酢滑,猪鸡鱼油,乳酪酥,干脯,酱粉,咸食。所食诸食
,皆
五卷
必效疗赤痢方。
香淡豉(半升) 黄连(一两)
上二味,以水一升半浸豉一日,滤取汁,碎黄连薄绵裹,豉汁中煎,取强半升,空腹顿
服即上,桑泉蒋尉云效。(出第二卷中)
崔氏治赤痢。黄连丸方。
陈仓米(四分) 黄连(四分) 干姜(四分)
上三味捣筛为末,缓火炒令色变,以纳二颗鸡子白中,熟和丸如梧子大,空腹服五十丸
,以好无灰酒温一盏下之,至晚间,痢赤色当变白,明旦即瘥。(出第三卷中)
病源久赤痢者,由体虚,热乘于血,血渗肠间,故痢赤。肠胃虚,不平复,其热不退,
故经久不瘥,胃气逆则变为呕哕也,胃虚谷气衰,虫动侵食,则变为 也。(出第十七卷中)
千金疗下赤连年方。
地榆 鼠尾草(各一两)
上二味切,以水二升,煮取一升,分为二服,如不瘥,取屋尘水尽去滓,服一升,日二
服,古今录验服屋尘汁一小杯,余同此,是徐平方,疗下血二十年者。若不止,重服即愈。
(肘后同)
又方
鼠尾草 蔷薇根 秦皮(用槲皮亦得)
上三味等分,水淹煎,去滓,以铜器重釜煎成,丸如梧子,服五六丸,日三,稍增瘥止
,亦可浓汁服半升。(出第十五卷中)
病因:这是由于肠胃虚弱,受到风邪侵袭,从而形成痢疾夹杂热邪。热邪侵入血分,导致血液渗入肠道,与痢疾之物混杂而下,因此出现赤痢。(出自第十七卷)
《集验方》治疗下赤痢的方剂。
秫米(一把) 鲫鱼醋(二块,切成细丝) 薤白(一虎口量,切成细丝)
以上三味药,按照煮粥的方法合在一起煎煮,食用它。(《古今录验》同样收录于第四卷)
《千金方》治疗赤带的方剂。
熬炼过的猪脂油(三合) 清酒(五合)
以上两味药,用慢火煎煮十次沸腾,待温度适宜时,一次性服下。以病愈为度。
又有论述说:凡是痢疾病人,普遍禁忌生冷、酸滑食物、猪鸡鱼油脂、乳酪酥油、干肉脯、酱粉、咸食。所吃的各种食物,都……(此处原文有缺漏或排版错误,接下文)
《必效方》治疗赤痢的方剂。
香淡豉(半升) 黄连(一两)
以上两味药,用水一升半浸泡淡豉一天,过滤取汁。将黄连捣碎,用薄绵包裹,放入淡豉汁中煎煮,取汁液约强半升,空腹一次性服下即可见效。桑泉县蒋尉说有效。(出自第二卷)
崔氏治疗赤痢的黄连丸方。
陈仓米(四分) 黄连(四分) 干姜(四分)
以上三味药捣碎过筛成粉末,用慢火炒至颜色改变,然后纳入两个鸡蛋清中,煮熟后调和,制成梧桐子大小的药丸。空腹服用五十丸,用好而无灰的酒温饮一盏送服。到了晚上,赤色痢疾应当变为白色,第二天早晨即可痊愈。(出自第三卷)
病因:久赤痢,是由于身体虚弱,热邪侵入血分,血液渗入肠间,所以痢下赤色。肠胃虚弱,不能平复,热邪不退,所以经久不愈。胃气上逆则变为呕吐呃逆。胃虚谷气衰弱,虫动侵食,则变为……(此处原文可能有缺字,通常指“蛊”或类似病症)。(出自第十七卷)
《千金方》治疗下赤痢连年不断的方剂。
地榆 鼠尾草(各一两)
以上两味药切碎,用水二升,煎煮取汁一升,分为两次服用。如果不好转,取屋檐滴下的积水,滤去杂质,服用一升,每日两次。《古今录验》服用屋檐水一小杯,其余方法相同。这是徐平方治疗下血二十年的案例。如果不止血,再次服用即可痊愈。(《肘后备急方》同)
又一方
鼠尾草 蔷薇根 秦皮(使用槲皮也可以)
以上三味药等分,用水浸泡后煎煮,滤去渣滓,用铜器在重釜中再煎浓缩,制成梧桐子大小的药丸。每次服用五六丸,每日三次,逐渐增加剂量,以病愈为度。也可以服用浓汁半升。(出自第十五卷)
Etiology: This arises from the weakness of the intestines and stomach, injured by wind-pathogens, resulting in dysentery complicated with heat. When heat invades the blood level, blood permeates into the intestines, mixing with the dysenteric discharge and being expelled downward. Thus, red dysentery occurs. (From Volume 17)
Jiyan Fang (Collected Proven Prescriptions) prescription for treating red dysentery.
Shumi (Sorghum Grain, Setaria italica) (one handful)
Jiyu cu (Crucian carp vinegar) (two pieces, finely chopped)
Xiebai (Allium macrostemon bulb) (a tiger's mouthful, finely chopped)
Combine the above three ingredients and decoct them as if making porridge, then consume. (Gujin Luyan [Records of Antiquity and Modern Times] also records this in Volume 4)
Qianjin Fang (Essential Prescriptions Worth a Thousand Gold) prescription for treating red leukorrhea.
Chengjian zhigao (Refined lard) (three he)
Qingjiu (Clear wine) (five he)
Decoct the above two ingredients over gentle heat for ten boils. Take once when the temperature is suitable. Discontinue when cured.
Furthermore, it is discussed that: For all dysentery cases, one must generally avoid raw and cold foods, sour and slippery foods, fats from pork, chicken, fish, dairy products like milk, cheese, and butter, dried meat jerky, sauces and powders, and salty foods. All consumed foods... (Text fragment follows)
Bixiao Fang (Prescriptions of Certain Efficacy) prescription for treating red dysentery.
Xiangdanchi (Fragrant fermented soybean paste) (half sheng)
Huanglian (Coptis Rhizome, Coptis chinensis) (one liang)
Soak the Xiangdanchi in one and a half sheng of water for one day. Filter to obtain the juice. Crush the Huanglian, wrap it in thin silk, and decoct it in the danchi juice until reduced to slightly more than half a sheng. Take on an empty stomach in one dose; it will be effective immediately. Jiang Wei, Magistrate of Sangquan, stated it was effective. (From Volume 2)
Cui Shi's prescription for treating red dysentery: Huanglian Wan (Coptis Pill).
Chencangmi (Aged rice stored in granaries) (four fen)
Huanglian (Coptis Rhizome, Coptis chinensis) (four fen)
Ganjiang (Dried Ginger, Zingiber officinale) (four fen)
Pulverize the above three ingredients and sieve them. Stir-fry gently over low heat until the color changes. Mix into the whites of two eggs, cook thoroughly, and blend to form pills the size of mulberry seeds. Take fifty pills on an empty stomach, washing down with a warm cup of good unadulterated wine. By evening, the red dysentery should turn white, and recovery will occur the next morning. (From Volume 3)
Etiology: Chronic red dysentery results from bodily deficiency, where heat invades the blood, causing blood to seep into the intestines, hence the red stool. The intestines and stomach are weak and fail to return to normal; the heat does not subside, leading to chronic non-resolution. If stomach qi rebels upward, it transforms into vomiting and hiccups. If stomach deficiency leads to衰弱的 grain qi, parasites move and invade the flesh, transforming into... (Text fragment). (From Volume 17)
Qianjin Fang prescription for treating persistent red dysentery lasting for years.
Diyu (Sanguisorba Root, Sanguisorba officinalis)
Shuweicao (Salvia Miltiorrhiza or similar herb, likely Salvia miltiorrhiza or Prunella vulgaris depending on context, here translated as Salvia/Prunella Herb) (each one liang)
Chop the above two ingredients. Decoct in two sheng of water to obtain one sheng of liquid. Divide into two doses. If not cured, take rainwater dripping from the eaves, filter out impurities, and drink one sheng, twice daily. Gujin Luyan prescribes drinking a small cup of eaves water, with the rest of the method being the same. This refers to Xu Pingfang's treatment of hematochezia lasting twenty years. If bleeding does not stop, repeat the dose for cure. (Zhouhou Beiji Fang [Emergency Prescriptions Kept Up One's Sleeve] concurs)
Another prescription
Shuweicao (Salvia/Prunella Herb)
Qiangweigen (Rose Root, Rosa rugosa)
Qinpi (Ash Bark, Fraxinus rhynchophylla) (using Huqi [Oak Bark] is also acceptable)
Divide the above three ingredients equally. Soak in water and decoct. Strain the dregs. Further concentrate the liquid using a copper vessel placed in a double boiler. Form pills the size of mulberry seeds. Take five or six pills, three times daily. Gradually increase the dosage until cured. Alternatively, take half a sheng of concentrated juice. (From Volume 15)