汤丸
治休息痢。下五色脓血。如烂鱼肠。无粪。肠中搅痛。
粉霜(一钱) 轻粉(一钱) 朱砂(一钱研末) 砂(一钱研。) 白丁香(末
四钱) 乳香(半钱研) 巴豆(七个去皮心不出油)
上为末和匀。蒸去皮。枣肉为丸粟米大。婴孩二三丸。二三岁儿四五丸。旋丸。儿大者丸如麻子大。 汤送
下。日三服。及与调胃气药间服大良。亦治积痢蛊痢脏毒痢。
神安丸
治如前。
砒霜(一字) 龙骨(二字 ) 乌鱼骨(三字) 赤石脂(二字) 茯苓(三字) 黄连(去须三字)
淀粉(三字) 干姜(三字炮) 黄丹(三字火飞)
上为细末。入麝香少许拌匀。饭和丸黍米大。每服五丸。轻粉汤下。亦治诸痢。赤者甘草汤下。白者干姜汤
下。赤白杂者干姜甘草汤下。
樗根散
治积年毒痢。无休息。
樗根白皮(大眼树是也取北阴下根一截擘破用之无北阴下者亦可) 诃子(七个取皮去核)
上用河水三升。煮取一升。去滓。时时呷服。一方。二味等分为粗末。每服二钱。水一大盏。煎至半盏。去
渣温服。时时呷服。痢住。吃淡粥。饮乳将息。
龙骨散
治下痢体热烦渴。
白龙骨(一两 ) 茯神(三分) 人参(去芦三分) 胡黄连(半两) 茅根(三分锉) 麦门冬(去心
焙三分)
上为散。每服一钱。水一小盏。煎至五分。去滓服。乳食前。
青黛散
治下痢发渴不止。(时举方)
青黛(一分) 干藕节(一两) 密陀僧(半两) 汉罗(乃旱螺一分)
上为末。每服半钱。米饮调下。无时。
冬瓜汁 治如前。杵冬瓜汁饮之。
乌梅饮
治如前。
乌梅(十个去核) 麦门冬(一分去心) 蜜(二两半)
上分为五七服。用水一小盏。煎半盏。入蜜搅匀服之。无时。
楮叶汤
治下痢发渴。得水饮便呕逆不止。以楮叶炙令黄香。用浆水半升浸之。候水绿色去叶。以木瓜一个切碎。纳
汁中。煮五七沸。去木瓜。放温细细服。无时。
治婴小下痢。腹大且坚。 以衣中白鱼摩腹上。
治小儿热。下黄赤汁沫。及鱼脑杂血。肛中疮烂。坐 生虫。
黄连(去须土) 皮(炒) 苦参 鬼臼 独活(去芦) 橘皮 芍药 阿胶(蛤粉炒去蛤粉各半两)
上为末。以蓝汁及蜜和丸小豆大。日服五丸至十丸。冬时无蓝汁。用子一合为末。入药内。
治小儿久痢脓汁。湿 生疮。以艾叶一味。每服二钱。水一盏。煎至半盏,去滓温服。更量大小加减。乳
食前。
治小儿下痢。腹胀坚硬。 以故衣带多垢者切碎。水三升。煮取一升。分服。
治小儿卒暴下痢 以小鲤鱼一头。烧灰末之。米饮调下。以鸡子和黄蜡,作煎饼与服。 又以林檎楮子同
杵。取汁服。以意服之。
黄柿饼
治秋痢。以黄柿捣和米粉作饼。或作粥与食之。
治小儿洞下滑痢 以羊角中骨烧存性为末。饮调服方寸匕。
治小儿脾胃虚怯。泄痢腹痛。 拣肉豆蔻绝大好者一个。开一深窍。填乳香一块。用酵面裹了。慢火煨面
熟。将药为细末。面糊和丸绿豆大,每服二十丸。乳食前。米饮下。
养胃丹
治小儿脏寒。下痢白脓频数。
附子(一枚重半两者炮裂去皮脐) 赤石脂(一两) 川姜(一两炮) 诃黎勒皮(一两)
上为细末。粟米饭丸黍米大。每服十粒。米饮下。乳食前。
汤丸
治疗休息痢。症状表现为排出五色脓血,状如腐烂的鱼肠,无粪便,肠道内搅动疼痛。
粉霜(一钱) 轻粉(一钱) 朱砂(一钱,研成末) 砂(一钱,研细) 白丁香(末四钱) 乳香(半钱,研细) 巴豆(七个,去皮去心但不出油)
以上药物研为细末并混合均匀。蒸熟后去皮,用枣肉制成如粟米大小的丸剂。婴儿每次服用二三丸,两三岁的儿童每次服用四五丸,现制现服。年龄较大的儿童,丸剂大小如麻子。用汤水送服,每日三次。同时配合调理胃气的药物交替服用,效果极佳。也用于治疗积痢、蛊痢、脏毒痢。
神安丸
治疗同上。
砒霜(一字量) 龙骨(二字量) 乌鱼骨(三字量) 赤石脂(二字量) 茯苓(三字量) 黄连(去须,三字量)
淀粉(三字量) 干姜(三字量,炮制) 黄丹(三字量,火飞处理)
以上药物研为细末,加入少许麝香拌匀。用米饭和药制成如黍米大小的丸剂。每次服用五丸,用轻粉汤送下。也用于治疗各种痢疾。便色红者用甘草汤送下;便色白者用干姜汤送下;赤白相杂者用干姜甘草汤送下。
樗根散
治疗多年的毒痢,无休止。
樗根白皮(即大眼树,取背阴面下的根部一段,劈开使用,若无背阴面下的根也可) 诃子(七个,取皮去核)
以上两味药,用河水三升,煮取一升,去渣滓。时时小口呷服。另一方法:将两味药等分为粗末,每次服用二钱,用水一大盏,煎至半盏,去渣温服,时时小口呷服。痢疾停止后,吃淡粥,喝乳汁以调养身体。
龙骨散
治疗下痢伴有身体发热、烦躁口渴。
白龙骨(一两) 茯神(三分) 人参(去芦头,三分) 胡黄连(半两) 茅根(三分,锉碎) 麦门冬(去心,焙干,三分)
以上药物研为散剂。每次服用一钱,用水一小盏,煎至五分,去渣服用。在哺乳或进食前服用。
青黛散
治疗下痢导致口渴不止。(此方出自其他章节)
青黛(一分) 干藕节(一两) 密陀僧(半两) 汉罗(即旱螺,一分)
以上药物研为细末。每次服用半钱,用米饮调服,不限时间。
乌梅饮
治疗同上。
乌梅(十个,去核) 麦门冬(一分,去心) 蜜(二两半)
以上药物分为五到七次服用。用水一小盏,煎至半盏,加入蜂蜜搅匀服用,不限时间。
楮叶汤
治疗下痢导致口渴,喝水后随即呕吐不止。将楮叶炙烤至发出黄色香气,用浆水半升浸泡。待水变绿色后去掉叶子,将一个木瓜切碎放入汁中,煮沸五到七次,去掉木瓜,放温后细细服用,不限时间。
治疗小儿热证,排出黄赤色汁沫,以及像鱼脑混杂血液的排泄物,肛门生疮溃烂,坐卧时有虫爬动。
黄连(去须土) 皮(炒制) 苦参 鬼臼 独活(去芦头) 橘皮 芍药 阿胶(蛤粉炒,去蛤粉,各半两)
以上药物研为细末,用蓝汁及蜂蜜调和,制成如小豆大小的丸剂。每日服用五丸至十丸。冬季没有蓝汁时,用子一合研为末,加入药中。
治疗小儿久痢脓汁,湿气浸淫生疮。只用艾叶一味药,每次服用二钱,用水一盏,煎至半盏,去渣温服。根据患儿年龄大小酌情加减剂量。在哺乳或进食前服用。
治疗小儿下痢,腹胀坚硬。用旧衣带中污垢较多者切碎,用水三升,煮取一升,分次服用。
治疗小儿突发暴烈下痢。用小鲤鱼一条,烧成灰研末,用米饮调服。再用鸡蛋黄和蜡,做成煎饼给患儿服用。又用林檎(苹果)和楮子一同捣碎,取汁服用。根据情况灵活服用。
黄柿饼
治疗秋季痢疾。将黄柿捣烂,混合米粉做成饼,或者做成粥给患儿食用。
治疗小儿洞泄下滑痢。取羊角中的骨头,烧存性后研为细末,用饮水调服一方寸匕。
治疗小儿脾胃虚弱怯懦,泄痢腹痛。挑选一个极好品质的肉豆蔻,挖一个深孔,填入一块乳香,用发酵面团包裹,用慢火煨至面熟。将药物研为细末,用面糊调和制成如绿豆大小的丸剂,每次服用二十丸,在哺乳或进食前,用米饮送服。
养胃丹
治疗小儿脏腑虚寒,下痢白色脓液频繁次数多。
附子(一枚,重半两者,炮裂,去皮去脐) 赤石脂(一两) 川姜(一两,炮制) 诃黎勒皮(一两)
以上药物研为细末,用粟米饭调和制成如黍米大小的丸剂。每次服用十粒,用米饮送服,在哺乳或进食前服用。
Tang Wan (Decoction Pill)
Treats Xie Xi Li (Resting Dysentery). Symptoms include the passage of pus and blood of five colors, resembling rotting fish intestines, without feces, accompanied by stirring pain in the intestines.
Fen Shuang (Arsenic Trioxide, 1 qian) Qing Fen (Calomel, 1 qian) Zhu Sha (Cinnabar, 1 qian, ground to powder) Sha (Realgar, 1 qian, ground fine) Bai Ding Xiang (Stercus Corvi, 4 qian, powder) Ru Xiang (Frankincense, 0.5 qian, ground fine) Ba Dou (Croton Seed, 7 seeds, peeled, core removed, oil not expressed)
Grind the above ingredients into a fine powder and mix evenly. Steam them, remove the peel, and form pills with date paste, sized like millet grains. Infants take 2-3 pills per dose; children aged 2-3 take 4-5 pills. Prepare fresh for each use. For older children, size the pills like hemp seeds. Administer with decoction water, three times daily. Concurrently administer stomach-regulating medicines alternately for excellent results. Also treats Ji Li (Accumulation Dysentery), Gu Li (Parasitic Dysentery), and Zang Du Li (Visceral Toxin Dysentery).
Shen An Wan (Spirit-Calming Pill)
Treats as described above.
Pi Shuang (Arsenic Trioxide, 1 zi weight) Long Gu (Fossilized Bone, 2 zi weight) Wu Yu Gu (Cuttlefish Bone, 3 zi weight) Chi Shi Zhi (Red Kaolin, 2 zi weight) Fu Ling (Poria, 3 zi weight) Huang Lian (Coptis Rhizome, de-veined, 3 zi weight)
Dian Fen (Starch, 3 zi weight) Gan Jiang (Dried Ginger, 3 zi weight, processed) Huang Dan (Lead Tetroxide, 3 zi weight, fire-refined)
Grind the above ingredients into a fine powder, add a small amount of She Xiang (Musk), and mix well. Form pills with rice, sized like broomcorn millet. Take 5 pills per dose, administered with Qing Fen (Calomel) decoction water. Also treats various types of dysentery. For red stools, administer with Gan Cao (Licorice) decoction water; for white stools, with Gan Jiang (Dried Ginger) decoction water; for mixed red and white stools, with Gan Jiang (Dried Ginger) and Gan Cao (Licorice) decoction water.
Chu Gen San (Bitter Prickly Ash Root Powder)
Treats chronic toxic dysentery that does not cease.
Chu Gen Bai Pi (Bark of Ailanthus Altissima root, specifically from the north-facing shaded side, split open; if unavailable, other roots may be used) He Zi (Chebulic Myrobalan, 7 fruits, bark taken, pits removed)
Boil the above two ingredients in 3 sheng of river water until reduced to 1 sheng. Strain and discard the dregs. Sip slowly at intervals. Alternative method: Grind both ingredients into coarse powder. Take 2 qian per dose, boil in 1 large cup of water until reduced to half a cup. Strain and take warm, sipping slowly at intervals. Once dysentery stops, consume plain congee and drink milk to nourish the body.
Long Gu San (Dragon Bone Powder)
Treats dysentery accompanied by fever, restlessness, and thirst.
Bai Long Gu (White Fossilized Bone, 1 liang) Fu Shen (Poria with Hostwood, 3 fen) Ren Shen (Ginseng Root, de-rhizome, 3 fen) Hu Huang Lian (Picrorhiza Rhizome, 0.5 liang) Mao Gen (Imperata Rhizome, 3 fen, chopped) Mai Men Dong (Ophiopogon Tuber, de-heart, dried, 3 fen)
Grind the above ingredients into a powder. Take 1 qian per dose, boil in a small cup of water until reduced to 0.5 cup. Strain and take. Administer before breastfeeding or meals.
Qing Dai San (Indigo Naturalis Powder)
Treats dysentery causing unceasing thirst. (Source: Other chapters)
Qing Dai (Indigo Naturalis, 1 fen) Gan Ou Jie (Dried Lotus Root Node, 1 liang) Mi Duo Seng (Litharge, 0.5 liang) Han Luo (Dry Snail Shell, 1 fen)
Grind the above ingredients into a fine powder. Take 0.5 qian per dose, mix with rice beverage and take. No fixed time.
Dong Gua Zhi (Winter Melon Juice)
Treats as described above. Crush winter melon and drink the juice.
Wu Mei Yin (Dark Plum Drink)
Treats as described above.
Wu Mei (Dark Plum, 10 fruits, de-pitted) Mai Men Dong (Ophiopogon Tuber, 1 fen, de-heart) Honey (2.5 liang)
Divide into 5-7 doses. Boil each dose in a small cup of water until reduced to half a cup. Add honey, mix well, and take. No fixed time.
Chu Ye Tang (Paper Mulberry Leaf Decoction)
Treats dysentery causing thirst, where drinking water immediately triggers incessant vomiting. Roast Chu Ye (Paper Mulberry Leaf) until yellow and fragrant. Soak in 0.5 sheng of sour water. When the water turns green, remove the leaves. Chop one Mu Gua (Chaenomeles Fruit) finely and add it to the liquid. Boil for 5-7 boils. Remove the Chaenomeles Fruit. Let cool to warm temperature and sip slowly. No fixed time.
For infants with dysentery presenting with a distended and hard abdomen: Rub Yi Zhong Bai Yu (Silverfish found in clothes) on the abdomen.
For pediatric heat syndrome presenting with yellow-red frothy discharge, stool resembling fish brain mixed with blood, anal sores and ulceration, and sensation of insects crawling during sitting/lying:
Huang Lian (Coptis Rhizome, de-veined and soil-free) Pi (Bark, stir-fried) Ku Shen (Sophora Root) Gui Jiu (Aristolochia Root) Du Huo (Angelica Pubescens Root, de-rhizome) Ju Pi (Citrus Peel) Shao Yao (Peony Root) E Jiao (Donkey-Hide Gelatin, stir-fried with蛤粉 [Clam Shell Powder], then remove clam shell powder, 0.5 liang each)
Grind the above ingredients into a fine powder. Mix with Lan Zhi (Indigo Juice) and honey to form pills sized like soybeans. Take 5-10 pills daily. In winter when Indigo Juice is unavailable, use 1 he of seeds, grind to powder, and add to the medicine.
For pediatric chronic dysentery with purulent discharge and dampness-induced sores: Use Ai Ye (Mugwort Leaf) alone. Take 2 qian per dose, boil in 1 cup of water until reduced to half a cup. Strain and take warm. Adjust dosage according to age. Administer before breastfeeding or meals.
For pediatric dysentery with abdominal distension and hardness: Take old belt fragments with significant dirt/grime, chop finely. Boil in 3 sheng of water until reduced to 1 sheng. Divide and take.
For sudden acute pediatric dysentery: Burn 1 small carp to ash, grind to powder. Mix with rice beverage and take. Also prepare pancakes using egg yolk and beeswax for consumption. Alternatively, crush Lin Qin (Malus/Pomelo) and Chu Zi (Paper Mulberry Fruit) together, extract juice, and take. Administer flexibly based on condition.
Huang Shi Bing (Yellow Persimmon Cake)
Treats autumnal dysentery. Mash yellow persimmons, mix with rice flour to make cakes, or cook into congee for consumption.
For pediatric profuse sliding dysentery: Burn bone from sheep horn until charred but retaining nature, grind to powder. Mix with drinking water and take 1 fang cun bi (square-inch spoonful).
For pediatric spleen-stomach deficiency and weakness presenting with diarrhea, dysentery, and abdominal pain: Select an excellent Rou Dou Kou (Nutmeg). Make a deep cavity, fill with a piece of Ru Xiang (Frankincense). Wrap in fermented dough. Slow-roast over low heat until dough is cooked. Grind medicine to fine powder. Mix with dough paste to form pills sized like mung beans. Take 20 pills per dose, before breastfeeding or meals, with rice beverage.
Yang Wei Dan (Stomach-Nourishing Pill)
Treats pediatric internal cold presenting with frequent passage of white purulent dysentery.
Fu Zi (Prepared Aconite Root, 1 piece weighing 0.5 liang, cracked, peeled, navel removed) Chi Shi Zhi (Red Kaolin, 1 liang) Chuan Jiang (Sichuan Ginger, 1 liang, processed) He Li Le Pi (Pericarp of Chebulic Myrobalan, 1 liang)
Grind the above ingredients into a fine powder. Mix with millet rice porridge to form pills sized like broomcorn millet. Take 10 pills per dose, with rice beverage, before breastfeeding or meals.