夫赤痢者。由肠胃虚弱。风邪所伤。则夹热。热乘于血。则流渗入肠。与痢相杂下。故
为赤痢也。
治赤痢。腹中疼痛。小便涩。口干烦热。犀角散方。
犀角屑(三分) 木香(半两) 黄芩(一两半) 地榆(三分锉) 黄连(一两去须
微炒) 当
归(一两锉微炒)
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候稍热服。
治赤痢多。腹痛不可忍。赤芍药散方。
赤芍药(二两) 黄柏(二两以蜜拌合涂炙令尽锉)
上件药。捣筛为散。每服三钱。以淡浆水一中盏。煎至五分。去滓。不计时候稍热服。
治赤痢烦渴。腹痛不欲饮食。龙骨散方。
龙骨(一两) 黄连(一两去须微炒) 地榆(一两锉) 当归(一两锉微炒) 犀角
屑(半两)
黄芩(一两) 阿胶(一两捣碎炒令黄燥)
上件药。捣细罗为散。每服。不计时候。以粥饮调下一(二)钱。
治赤痢。远年不瘥方。
地榆(一两锉) 鼠尾草(一两)
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
鼠尾草(一两) 秦皮(一两) 蔷薇根(一两锉) 槲树皮(一两炙黄)
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治赤痢。腹痛不可忍。艾叶丸方。
艾叶(一两微炒) 黄连(一两去须微炒) 木香(一两) 地榆(一两锉) 伏龙肝
(一两)
阿胶(一两捣碎炒令黄燥) 当归(一两锉微炒) 赤芍药(一两) 黄芩(一两)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以粥饮下三
十丸。
又方。
寒水石(一分) 砒霜(半分)
上件药。细研如粉。以软粟米饭和丸。如绿豆大。每于食前。以冷甘草汤下三丸。忌食
热物。
又方。
上用牛角 。烧为灰。细研。每于食前。以粥饮调下二钱。
又方。
黄连(二两去须锉微炒) 当归(一两锉微炒)
上以水酒共三大盏。煎取一大盏半。去滓。食前分温三服。
赤痢这种病证,是由于肠胃虚弱,受到风邪侵袭,从而夹杂热邪。热邪侵入血分,流注并渗入肠道,与痢疾排泄物混杂而下,所以称为赤痢。
治疗赤痢,伴有腹部疼痛、小便涩痛不畅、口干且心烦发热症状的犀角散方:
犀角屑(三分) 木香(半两) 黄芩(一两半) 地榆(三分,锉碎) 黄连(一两,去须,微炒) 当归(一两,锉碎,微炒)
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至五分,滤去药渣。不分时候,稍温热后服用。
治疗赤痢严重,腹痛难以忍受的赤芍药散方:
赤芍药(二两) 黄柏(二两,用蜜拌匀涂抹炙烤至尽,锉碎)
以上药物,捣碎过筛制成散剂。每次服用三钱,用淡浆水一中盏,煎煮至五分,滤去药渣。不分时候,稍温热后服用。
治疗赤痢伴烦渴、腹痛且不想饮食的龙骨散方:
龙骨(一两) 黄连(一两,去须,微炒) 地榆(一两,锉碎) 当归(一两,锉碎,微炒) 犀角屑(半两) 黄芩(一两) 阿胶(一两,捣碎,炒至黄色干燥)
以上药物,捣细过罗制成散剂。每次服用,不分时候,用米汤调服一(或二)钱。
治疗赤痢,久治不愈的方子:
地榆(一两,锉碎) 鼠尾草(一两)
以上药物,捣细过罗制成散剂。每次在饭前,用米汤调服二钱。
另一个方子:
鼠尾草(一两) 秦皮(一两) 蔷薇根(一两,锉碎) 槲树皮(一两,炙至黄色)
以上药物,捣细过罗制成散剂。每次在饭前,用米汤调服二钱。
治疗赤痢,腹痛难以忍受的艾叶丸方:
艾叶(一两,微炒) 黄连(一两,去须,微炒) 木香(一两) 地榆(一两,锉碎) 伏龙肝(一两) 阿胶(一两,捣碎,炒至黄色干燥) 当归(一两,锉碎,微炒) 赤芍药(一两) 黄芩(一两)
以上药物,捣罗成粉末,用炼蜜调和,捣打三二百下。制成梧桐子大小的丸剂。每次服用,不分时候,用米汤送服三十丸。
另一个方子:
寒水石(一分) 砒霜(半分)
以上药物,细细研磨如粉状。用软粟米饭和丸,制成绿豆大小的丸剂。每次在饭前,用冷的甘草汤送服三丸。忌食热性食物。
另一个方子:
使用牛角,烧成灰,细细研磨。每次在饭前,用米汤调服二钱。
另一个方子:
黄连(二两,去须,锉碎,微炒) 当归(一两,锉碎,微炒)
以上药物,用水和酒共三大盏,煎取一大盏半,滤去药渣。饭前分三次温服。
Chi dysentery (red dysentery) arises from the weakness of the intestines and stomach, where wind pathogenic factors cause injury, thereby夹杂着 heat. When heat enters the blood level, it flows and infiltrates into the intestines, mixing with the dysenteric discharge to be passed down. Hence, it is called Chi dysentery.
For treating Chi dysentery accompanied by abdominal pain, astringent and painful urination, dry mouth, and vexation with fever, use the Xijiao San Formula:
Xijiao Xie (Horn of Rhinoceros Shavings), Muxiang (Costus Root), Huangqin (Scutellariae Radix), Diyu (Sanguisorbae Radix), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix).
Process these herbs by pounding and sieving them into a powder. Take three qian per dose. Add one zhong of water, decoct until reduced to five fen, remove the dregs, and take slightly warm at any time.
For treating severe Chi dysentery with unbearable abdominal pain, use the Chishaoyao San Formula:
Chishaoyao (Paeoniae Radix Rubra), Huangbai (Phellodendri Cortex).
Process these herbs by pounding and sieving them into a powder. Take three qian per dose. Add one zhong of light fermented grain water, decoct until reduced to five fen, remove the dregs, and take slightly warm at any time.
For treating Chi dysentery with vexation and thirst, abdominal pain, and loss of appetite, use the Longgu San Formula:
Longgu (Fossilized Bones), Huanglian (Coptidis Rhizoma), Diyu (Sanguisorbae Radix), Danggui (Angelicae Sinensis Radix), Xijiao Xie (Horn of Rhinoceros Shavings), Huangqin (Scutellariae Radix), Ejiao (Donkey-Hide Glue).
Process these herbs by pounding finely and sieving through a fine mesh. Take one or two qian per dose, mixed with rice broth, at any time.
For treating Chi dysentery that has persisted for years without healing:
Di Yu (Sanguisorbae Radix), Shuweicao (Salviae Miltiorrhizae Herba - *Note: Contextually likely refers to a specific local herb or typo in ancient text, often interpreted as Salvia or similar astringent herbs in modern context, but literal translation used*).
Process these herbs by pounding finely and sieving through a fine mesh. Take two qian per dose, mixed with rice broth, before meals.
Another formula:
Shuweicao (Salviae Miltiorrhizae Herba), Qinpi (Fraxini Cortex), Qiangweigen (Rosae Rugosae Radix), Hushupi (Quercus Mongolica Bark).
Process these herbs by pounding finely and sieving through a fine mesh. Take two qian per dose, mixed with rice broth, before meals.
For treating Chi dysentery with unbearable abdominal pain, use the Aiye Wan Formula:
Aiye (Artemisiae Argyi Folium), Huanglian (Coptidis Rhizoma), Muxiang (Costus Root), Diyu (Sanguisorbae Radix), Fulonggan (Dragon's Liver), Ejiao (Donkey-Hide Glue), Danggui (Angelicae Sinensis Radix), Chishaoyao (Paeoniae Radix Rubra), Huangqin (Scutellariae Radix).
Process these herbs by pounding into powder, mix with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take thirty pills per dose, with rice broth, at any time.
Another formula:
Hanshuishi (Calcitum), Pishuang (Arsenic Trioxide).
Process these herbs by grinding finely into powder. Mix with soft millet rice to form pills the size of mung beans. Take three pills per dose, with cold licorice soup, before meals. Avoid hot foods.
Another formula:
Use ox horn, burn to ash, grind finely. Take two qian per dose, mixed with rice broth, before meals.
Another formula:
Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix).
Add three large zhong of water and wine together, decoct to obtain one and a half large zhong. Remove dregs. Divide into three warm doses, taken before meals.