羌活散 治伤风时气,头痛发热,身体烦疼,痰壅咳嗽,失音鼻塞声重。及解时行下痢赤白。
人参(去芦) 羌活 赤茯苓(去皮) 柴胡(去芦) 前胡(去芦) 川芎 独活 桔梗(锉炒)
枳壳(去瓤,麸炒微黄色) 苍术(米泔水浸一宿,去粗皮,滤干,锉片,炒至微黄色) 甘草(各一两)
上锉。每服二钱,水一盏,姜二片,薄荷三叶,煎七分,无时温服。发散风邪,
入葱白同煎。痢证,姜、仓米煎。
〔汤〕治痢之法,若欲取积,只用《官局》进食丸(痞)甚稳,虽取积,又能治痢,万无一失。积以下,
急以四君子汤加豆蔻、诃子补之,次服浓肠香连丸得效。
〔丹〕治小儿痢疾。
黄连 黄芩 大黄 甘草
上煎服。赤痢,加红花桃仁。白痢,加滑石末。
治小儿赤白痢,多体弱不堪下,大困重者。麻子一合炒令香熟,为末,每服一钱匕,蜜浆水和服,效。
水浸丹 治泻痢,先锋之药。
黄丹(研细,一两) 巴豆(大者、二十五个,去皮膜研细、出油。或黄丹二两半)
上研匀,用黄蜡半两,熔作汁拌匀,量大小旋丸,水浸,吞下。汤使更临病随意用。一方,黄丹一两,巴
豆四十九粒,乳香二钱,麻油二钱,蜡半两熔汁和丸,名顿止丹。又,冷证,加木香二钱半。
宽肠丸 治痢后里急,大腑闭涩不通。
枳壳(水浸,去穣,锉片,麦麸、炒微黄,仍用清油浸透,一两、焙干五钱) 麻仁(去壳) 木通(去
皮节) 大黄(半生半炮) 槟榔 大腹皮(净洗,焙干。各二钱半)
上,除麻仁用乳钵极细杵,外五味,槟榔不过火,余焙,同研成末,入乳钵中与麻仁再杵匀,炼蜜丸,绿
豆大。每服三十丸至五十丸,仍以枳壳、甘草煎汤,空心送下。一二岁婴孩,温蜜汤下。
羌活散:治疗伤风及时行疫病,症状包括头痛、发热、身体烦痛、痰多壅盛咳嗽、失音、鼻塞且声音沉重。以及解除时行赤白痢疾。
人参(去除芦头) 羌活 赤茯苓(去除外皮) 柴胡(去除芦头) 前胡(去除芦头) 川芎 独活 桔梗(切碎并炒制)
枳壳(去除瓤,用麦麸炒至微黄色) 苍术(用米泔水浸泡一夜,去除粗皮,滤干水分,切碎成片,炒至微黄色) 甘草(以上药材各一两)
将上述药材切碎。每次服用二钱,加水一盏,生姜两片,薄荷三叶,煎煮至七分满,不拘时候温服。以发散风邪,
若加入葱白同煎效果更佳。治疗痢疾时,用生姜和仓米煎汤送服。
〔汤剂〕治疗痢疾的方法,如果想要攻下积滞,只使用《太平惠民和剂局方》中的进食丸(痞气丸),非常稳妥,虽然能攻下积滞,又能治疗痢疾,万无一失。积滞攻下后,
立即用四君子汤加豆蔻、诃子来补益脾胃,随后服用浓肠香连丸即可见效。
〔丹溪〕治疗小儿痢疾。
黄连 黄芩 大黄 甘草
以上药材煎煮后服用。如果是赤痢,加入红花、桃仁。如果是白痢,加入滑石粉。
治疗小儿赤白痢疾,如果患儿体质虚弱无法承受攻下药,病情严重困顿者。取麻子一合,炒至香熟,研成粉末,每次服用一钱匕,用蜜浆水调和服用,有效。
水浸丹:治疗泻痢的先锋药物。
黄丹(研细,一两) 巴豆(大的二十五个,去除皮膜研细,去油。或者用黄丹二两半)
将上述药材研匀,用黄蜡半两,熔化后拌匀,根据患者年龄大小随即制成丸剂,用水浸泡后吞服。具体使用时可根据病情灵活调整。另一配方,黄丹一两,
巴豆四十九粒,乳香二钱,麻油二钱,蜡半两熔化后和药制成丸剂,名为顿止丹。另外,如果是寒证,加入木香二钱半。
宽肠丸:治疗痢疾后出现的里急后重,大肠闭塞不通畅。
枳壳(用水浸泡,去除瓤,切碎成片,用麦麸炒至微黄,再用清油浸透,一两,焙干后为五钱) 麻仁(去除外壳) 木通(去除皮和节) 大黄(一半生用,一半炮制) 槟榔 大腹皮(洗净,焙干。以上各二钱半)
将上述药材处理,除了麻仁需用乳钵研磨至极细外,其余五味药材,槟榔不过火,其他药材焙干,共同研成粉末,放入乳钵中与麻仁再次研磨均匀,用炼蜜制成丸剂,大小如绿豆。每次服用三十丸至五十丸,仍以枳壳、甘草煎汤,空腹送服。一至两岁的婴儿,用温蜜汤送服。
Qianghuo San (Notopterygium Powder): Treats wind-cold invasion and seasonal epidemics, presenting with headache, fever, body aches and restlessness, phlegm obstruction with coughing, loss of voice, nasal congestion, and heavy voice. It also resolves seasonal dysentery with red and white discharge.
Ren Shen (Ginseng Radix et Rhizoma) (remove rhizome), Qiang Huo (Notopterygii Rhizoma et Radix), Chi Fu Ling (Poria Cocos with Red Skin) (remove outer skin), Chai Hu (Bupleuri Radix) (remove rhizome), Qian Hu (Peucedani Radix) (remove rhizome), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Du Huo (Angelicae Pubescentis Radix), Jie Geng (Platycodonis Radix) (cut and stir-fry),
Zhi Ke (Aurantii Fructus) (remove albedo, stir-fry with bran until slightly yellow), Cang Zhu (Atractylodis Rhizoma) (soak in rice-washing water overnight, remove coarse skin, filter dry, cut into slices, stir-fry until slightly yellow), Gan Cao (Licorice Radix et Rhizoma) (each one tael).
Coarsely crush the above herbs. For each dose, use two qian, add one zhan of water, two slices of fresh ginger, and three leaves of bohe (Mentha haplocalyx), decoct until reduced to seven-tenths, and take warm at any time. To disperse wind-pathogens,
decoct together with scallion whites. For dysentery cases, decoct with ginger and cang mi (aged rice).
[Tang Ji] Regarding the method for treating dysentery, if the intention is to purge accumulation, simply using Jin Shi Wan (Digestion-Enhancing Pill) from the *Official Formulary* (Tai Ping Hui Min He Ji Ju Fang) is very stable and reliable; although it purges accumulation, it can also treat dysentery, ensuring no failure. After the accumulation is purged,
immediately tonify with Si Jun Zi Tang (Four Gentlemen Decoction) added with Dou Kou (Cardamomi Fructus) and He Zi (Terminalia Chebulae Fructus), followed by taking Nong Chang Xiang Lian Wan (Thick Intestine Coptis Pill) to achieve efficacy.
[Dan Xi] Treating pediatric dysentery.
Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Da Huang (Rhei Radix et Rhizoma), Gan Cao (Licorice Radix et Rhizoma).
Decoct and take the above herbs. For red dysentery, add Hong Hua (Carthami Flos) and Tao Ren (Persicae Semen). For white dysentery, add Hua Shi (Talcum) powder.
For treating pediatric red and white dysentery, when the patient's constitution is too weak to tolerate purgatives, or in severe cases of exhaustion: Take one he of hemp seeds (Hu Ma Zi, Cannabis Fructus), stir-fry until fragrant and ripe, grind into powder. Each dose is one qian bi, taken mixed with honey-water solution. Effective.
Shui Jin Dan (Water-Soaked Pill): The vanguard medicine for treating diarrhea and dysentery.
Huang Dan (Lead Oxide) (finely ground, one tael), Ba Dou (Crotonis Fructus) (large ones, twenty-five, remove skin and membrane, finely grind, remove oil. Or use two taels and a half of Huang Dan).
Grind the above uniformly, melt half a tael of Huang La (Beeswax), mix well, roll into pills according to age/size, soak in water, and swallow. Usage can be adjusted flexibly based on the specific disease condition. Another prescription: Huang Dan one tael, Ba Dou forty-nine grains, Ru Xiang (Olibanum) two qian, Ma You (Sesame Oil) two qian, melt half a tael of wax and mix to form pills, named Dun Zhi Dan (Instant Stop Pill). Additionally, for cold syndromes, add Mu Xiang (Aucklandiae Radix) two taels and a half.
Kuan Chang Wan (Intestine-Widening Pill): Treats tenesmus after dysentery and constipation/blockage of the large intestine.
Zhi Ke (Aurantii Fructus) (soak in water, remove albedo, cut into slices, stir-fry with bran until slightly yellow, then soak in clear sesame oil thoroughly, one tael, dried by baking becomes five qian), Ma Ren (Cannabis Fructus) (remove shell), Mu Tong (Akebiae Caulis), Da Huang (Rhei Radix et Rhizoma) (half raw, half processed), Bing Lang (Arecae Semen), Da Fu Pi (Arecae Pericarpium) (cleanly washed, dried by baking. Each two qian and a half).
Process the above herbs: except for Ma Ren which must be pounded extremely fine in a mortar, the other five herbs—Bing Lang should not be over-heated, while others are baked—then grind together into powder. Put into the mortar and pound evenly with Ma Ren. Use refined honey to make pills, size of mung beans. Each dose is thirty to fifty pills, taken on an empty stomach with decoction of Zhi Ke and Gan Cao. Infants aged one to two years take with warm honey-water.