生附子(去皮脐) 白姜(炮) 甘草 人参(各一两)
上 咀,每服四钱重。水二盏,煎至七分,去滓,空心服。吐泻、腹痛,加桂半两;小
便不利者,加茯苓半两。大凡痢疾,虽体寒、手足逆冷,冷汗自出,六脉沉伏,不宜轻用附
子。多因伏暑而得此疾,亦有冷汗自出,四肢逆冷,六脉虚弱,但背寒面垢,或面如涂油,
齿干烦冤,燥渴引饮,此伏暑证也。小柴胡汤、五苓散、酒蒸黄连丸必能奏效。学人宜精思
耳。
阳起石( ,飞,半两) 钟乳粉(一两) 大附子(炮,取末半两,一半入药,一半
作糊)
上用附子糊丸如梧桐子大。每服五丸至十丸,空心,温酒下。如渴,参汤下。
大附子(二两半,炮) 大人参(一两)
上二味 咀,每服四钱重。水二盏,姜十片,丁香十五粒,米一撮,煎至七分,空心温
服。
治禁口痢,孟公实郎中传云甚妙。
石莲肉不以多少,不炒去壳,将肉并心碾为细末,每服一钱。陈米饮调下,便觉思食。
此疾盖是毒瓦斯上冲华盖,心气不通,所以不入食。服此药之后,心气通,痢当顿下而愈。未
愈,自服痢药。
治禁口痢方,干山药不以多少,半生、半炒黄,为细末,米饮调下。
治下痢危困。
麝香(半钱,别研,临时入) 鹿茸(一两,火燎去毛,酥炙黄为末,入麝香令停)
上以灯心煮枣肉为丸,如梧桐子大,每服五十丸,空心服。
缪立夫云∶有医者,每料添滴乳香半两,尤有效。绍兴人苦痢疾,多往往而死。凡平时
所用治痢如罂粟之类,不可向口,惟服此药及没石子丸效。
刘从周痢疾口诀∶祭酒林谦之说医人刘从周治病有功,议论殊不凡。且有验云∶大凡
痢疾,不问赤白,而为冷热之证。若手足和暖则为阳,只须服五苓散,用粟米饮调下;次服
感应丸二十粒即愈。若觉手足厥冷则为阴,当服暖药,如已寒丸、附子之类。如此治痢,
无不效。此方亲曾用有效。有人夏月患痢,一日六、七十行,用五苓散两服止。
酒蒸黄连丸(《局方》治状不言治痢疾,仆尝用之良验)、姜附汤、小柴胡汤、参苓白术
散、香薷散、败毒散、理中丸、四君子汤、黄连阿胶丸、钟乳健脾丸、驻车丸、感应丸(亦
有用苏合香丸和丸服,名苏感丸。亦有外加黄蜡,丸如梧桐子大,十粒兼服)、胃风汤、四
物汤、玉华白丹、十全大补汤、斗门散、五苓散、真人养脏汤、水煮木香丸、大已寒丸。以
上诸方并出官局,不复重录。如斗门散、养脏汤、水煮木香丸、参香散、豆蔻饼,其中皆使
罂粟壳。然此药大能坏脾胃,古方不用。如脾胃壮健之人,服者多有良验,姑存于后。
生附子(去除皮和脐部) 白姜(炮制) 甘草 人参(各一两)
以上药物切碎,每次服用四钱重。加水两盏,煎煮至七分满,滤去药渣,空腹服用。若出现呕吐腹泻、腹痛症状,加桂枝半两;若小便不通利,加茯苓半两。大凡痢疾病症,虽然身体寒冷、手足逆冷、冷汗自出、六脉沉伏,也不宜轻易使用附子。多因暑热潜伏体内而得此病,也有冷汗自出、四肢逆冷、六脉虚弱,但背部怕冷、面色污浊,或面色如涂油状、牙齿干燥、心烦意乱、燥渴想喝水的情况,这是伏暑证的表现。小柴胡汤、五苓散、酒蒸黄连丸必定能奏效。学者应当深入思考。
阳起石(捣碎过筛,半两) 钟乳粉(一两) 大附子(炮制,取粉末半两,一半入药,一半做成糊状)
以上用附子糊制成梧桐子大小的药丸。每次服用五丸到十丸,空腹时,用温酒送服。如果口渴,用人参汤送服。
大附子(二两半,炮制) 大人参(一两)
以上两味药切碎,每次服用四钱重。加水两盏,生姜十片,丁香十五粒,大米一撮,煎煮至七分满,空腹温服。
治疗禁口痢,孟公实郎中传授说非常奇妙。
石莲肉不限多少,不炒制去壳,将果肉连同莲子心碾成细末,每次服用一钱。用陈米汤调服,就会觉得想吃东西。
这种病大概是因为毒气上冲侵犯肺脏(华盖),心气不通,所以无法进食。服用此药之后,心气通畅,痢疾应当立刻停止而痊愈。如果未痊愈,自行服用治痢的药物。
治疗禁口痢的方剂,干山药不限多少,一半生用、一半炒黄,研成细末,用米汤调服。
治疗下痢危重困顿。
麝香(半钱,单独研磨,临时加入) 鹿茸(一两,火烧去毛,用酥油炙烤至黄色后研末,加入麝香混合均匀)
以上用灯心草煮枣肉制成药丸,大小如梧桐子,每次服用五十丸,空腹服用。
缪立夫说:有医生每料药添加滴乳香半两,尤其有效。绍兴人苦于痢疾,大多因此死亡。凡是平时所用的治疗痢疾如罂粟壳之类的药物,不可入口,只有服用此药及没石子丸才有效。
刘从周痢疾口诀:祭酒林谦之说医生刘从周治病有功,议论很不平凡。且有验证说:大凡痢疾,不论赤白,分为寒热两种证型。如果手足温暖则为阳证,只需服用五苓散,用粟米汤调下;接着服用感应丸二十粒即可痊愈。如果感觉手足厥冷则为阴证,应当服用温热药物,如已寒丸、附子之类。这样治疗痢疾,没有不有效的。这个方子亲自使用过有效。有人夏季患痢疾,一天六七十次,服用两次五苓散就止住了。
酒蒸黄连丸(《局方》记载的症状未提及治疗痢疾,我曾用之效果很好)、姜附汤、小柴胡汤、参苓白术散、香薷散、败毒散、理中丸、四君子汤、黄连阿胶丸、钟乳健脾丸、驻车丸、感应丸(也有用苏合香丸混合制成丸剂服用,名为苏感丸。也有外加黄蜡,制成梧桐子大小的药丸,十粒兼服)、胃风汤、四物汤、玉华白丹、十全大补汤、斗门散、五苓散、真人养脏汤、水煮木香丸、大已寒丸。以上各方均出自官方药局,不再重复收录。如斗门散、养脏汤、水煮木香丸、参香散、豆蔻饼,其中都使用了罂粟壳。然而此药极大损伤脾胃,古方不用。如果是脾胃壮健的人,服用者多有良好疗效,暂且保留在后面。
Raw Aconiti Lateralis Radix (remove skin and umbilicus) Zingiberis Rhizoma Album (processed) Glycyrrhizae Radix et Rhizoma Ginseng Radix (each one liang)
Crush the above herbs. For each dose, take four qian. Add two zhan of water, decoct until seven parts remain, remove the dregs, and take on an empty stomach. If vomiting, diarrhea, or abdominal pain occurs, add Cinnamomi Ramulus half a liang; if urination is difficult, add Poria half a liang. Generally speaking, for dysentery, even if the body is cold, extremities are reversedly cold, cold sweat pours out, and all six pulses are deep and hidden, it is not advisable to lightly use Aconiti Radix Preparata. This disease is often caused by latent summerheat. There are also cases with cold sweat pouring out, extremities reversedly cold, weak six pulses, but cold back, dirty complexion, or face like painted oil, dry teeth, vexation, dry thirst with desire to drink; this is a latent summerheat syndrome. Xiao Chai Hu Tang (Minor Bupleurum Decoction), Wu Ling San (Five-Ingredient Powder with Poria), and Jiuzheng Huanglian Wan (Wine-Steamed Coptis Pill) will surely be effective. Scholars should ponder deeply.
Yangqishi (crushed and flown/sifted, half a liang) Zhongru Fen (Calcii Carbonis Pulvis, one liang) Dafu Zi (Processed Aconiti Lateralis Radix Preparata, take half a liang of powder, half for medicine, half for paste)
Use the Aconiti Lateralis Radix Preparata paste to make pills the size of Sophora japonica seeds. Take five to ten pills per dose, on an empty stomach, with warm wine. If thirsty, take with Ginseng Radix decoction.
Da Fu Zi (two liang and half, processed) Da Ren Shen (one liang)
Crush the above two herbs. For each dose, take four qian. Add two zhan of water, ten slices of Zingiberis Rhizoma Freshum, fifteen buds of Caryophylli Flos, and a pinch of Oryza Sativa Fructus. Decoct until seven parts remain, and take warm on an empty stomach.
Treating anorexic dysentery (Jinkou Li). Meng Gongshi Langzhong transmitted that it is very wonderful.
Shilian Rou (Nelumbinis Semen) regardless of quantity, do not roast or remove the shell. Grind the flesh together with the plumule into fine powder. Take one qian per dose, mixed with old rice decoction. One will feel the desire to eat.
This disease is likely due to toxic qi rushing up to attack the Lung (Huagai), causing Heart Qi blockage, thus preventing food intake. After taking this medicine, Heart Qi becomes unblocked, and dysentery should stop immediately and heal. If not healed, take dysentery medicines on one's own.
Formula for treating anorexic dysentery: Shanyao (Dioscoreae Rhizoma) regardless of quantity, half raw, half roasted yellow, grind into fine powder, mix with rice decoction and take.
Treating critical and distressed lower dysentery.
Shexiang (Moschus, half qian, separately ground, added at the time of use) Lurong (Cervi Cornu Pantotrichum, one liang, fire-burned to remove hair, roasted with butter until yellow, then ground into powder, mixed with Moschus)
Boil Junci Medulla in date flesh to make pills the size of Sophora japonica seeds. Take fifty pills per dose, on an empty stomach.
Miu Lifu said: Some physicians add Banxiong (Boswelliae Resina) half a liang per batch, which is especially effective. People in Shaoxing suffering from dysentery often die. Medicines commonly used for dysentery such as Popaveris Pericarpium should not be taken orally; only this medicine and Meishizi Wan (Arecae Semens Preparata Pill) are effective.
Liu Congzhou Dysentery Mantra: Lin Qianshuo, the Jijiu (Imperial Tutor), said that physician Liu Congzhou was meritorious in treating diseases and his discussions were extraordinary. There is verification saying: Generally, dysentery, whether red or white, is classified into cold and heat syndromes. If hands and feet are warm, it is a Yang syndrome; simply take Wu Ling San (Five-Ingredient Powder with Poria), mixed with millet decoction; then take twenty Gan Ying Wan (Gan Ying Pill) and it will heal. If hands and feet are cold, it is a Yin syndrome; one should take warming medicines, such as Yi Han Wan (Yi Han Pill) or Aconiti Radix Preparata. Treating dysentery in this way is invariably effective. I have personally used this formula with success. Someone suffered from dysentery in summer, going sixty to seventy times a day; after two doses of Wu Ling San, it stopped.
Jiuzheng Huanglian Wan (Wine-Steamed Coptis Pill) (The "Ju Fang" description does not mention treating dysentery, but I have used it with good results), Jiang Fu Tang (Ginger and Aconite Decoction), Xiao Chai Hu Tang (Minor Bupleurum Decoction), Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), Xiang Ru San (Elsholtzia Powder), Bai Du San (Detoxification Powder), Li Zhong Wan (Regulate the Middle Pill), Si Jun Zi Tang (Four Gentlemen Decoction), Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill), Zhongru Jian Pi Wan (Calcium Carbonite Spleen-Strengthening Pill), Zhu Che Wan (Chariot Park Pill), Gan Ying Wan (Gan Ying Pill) (also sometimes made into pills mixed with Su He Xiang Wan (Styrax Pill), named Su Gan Wan. Also sometimes with added beeswax, made into Sophora japonica seed-sized pills, ten pills taken together), Wei Feng Tang (Stomach Wind Decoction), Si Wu Tang (Four Substances Decoction), Yu Hua Bai Dan (Yu Hua White Elixir), Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction), Dou Men San (Dou Men Powder), Wu Ling San (Five-Ingredient Powder with Poria), Zhen Ren Yang Zang Tang (True Human Nourishing Viscera Decoction), Shui Zhu Mu Xiang Wan (Water-Boiled Costus Pill), Da Yi Han Wan (Great Warming Cold Pill). All the above formulas come from the official bureau, so they are not recorded again. Such as Dou Men San, Yang Zang Tang, Shui Zhu Mu Xiang Wan, Shen Xiang San, Doukou Bing, all contain Popaveris Pericarpium. However, this drug greatly damages the Spleen and Stomach, and ancient formulas did not use it. For people with strong Spleen and Stomach, those who take it often have good effects; I tentatively keep it here.