《宫气方》解小儿疳热疳痢,杀虫。用青黛不以多少,水研服。
《外台》治疳痢晓夜无度者。取樗根浓汁,及粟米泔各一鸡子壳许,以竹筒吹入下部,再度,瘥。
治疳痢大孔开,利不止。以黄连末入麝香少许和匀,以竹筒吹入。
《图经》治疳痢。以地榆单煮汁如饴糖,与服便已。
〔孟诜〕疗小儿疳痢方
上,用樗木根取白皮一握,仓粳米五十粒,葱白一握,甘草二寸炙,豉二合,
以水一升煮取半升,顿服之。小儿以意服之。枝叶与皮,功用皆同。
《圣惠》治小儿疳痢不止,下部痒。
青黛散
青黛 蟾灰 胡粉(微炒) 黄连(去须,微炒) 麝香(细研。各二钱半) 赤石脂(半两) 诃梨勒皮(一两,
微煨)
上件药捣,罗为散。每服以乳汁调下半钱,日三四服,量儿大小加减。
杀疳丸 治疳痢不止。
雄黄 麝香 牛黄 芦荟 朱砂(各细研) 龙骨(烧令赤色) 密陀僧(烧红,细研) 胡黄连(各
二钱半) 青黛(半两,细研) 金箔(十片,细研) 肉豆蔻(二枚,去壳) 蟾酥(一钱二分半,热水化如泥)
上件药捣,罗为末,入研药及蟾酥,研令匀,汤浸蒸饼和丸,如黄米大。每以
温水下三丸。煎黄连、苦参汤洗身上,用青衣盖,出虫,便瘥。
白龙骨丸 治疳痢不止。
白龙骨 白石脂 鸡尿矾(烧令汁尽) 黄连(去须,微炒) 胡粉(微炒) 白茯苓 阿胶(捣碎,炒令黄燥。
各半两)
上捣,罗为末,炼蜜和丸,如麻子大。每服以粥饮下五丸,日三四服,量儿大小加减。
肉豆蔻丸 治小儿疳痢,不吃乳食,四肢瘦弱。
肉豆蔻(去壳,一枚) 木香(半两) 人参(去芦头) 诃子肉(煨) 朱砂 麝香(并细研。各二钱半)
上捣,罗为末,都研令匀,用软饭和丸,如麻子大。每服以米饮化下三丸,日
三四服,量儿加减。
《圣惠》黄连散 治小儿疳痢久不瘥,肌肉消瘦,面黄发焦,啼叫不常。
胡黄连(末) 白矾(烧令汁尽) 白龙骨(末。各半两) 胡粉(微炒,二钱半)
上件药,同细研为散。一岁儿每服以米饮调下一字,二岁每服半钱,随儿大小,
量病轻重加减。
芜荑丸 治小儿久疳痢不瘥。
芜荑(半两,末) 羊子肝(一具)
上先以子肝切作片子,以芜荑末掺在肝内,线缠合,米泔中煮令熟,捣烂,糯
米饭和丸,如麻子大。每以粥饮下五丸,早晨晚后各一服,量儿加减。
〔庄氏〕第一候∶泻脓血,日渐瘦,是冷热疳。宜服
八香丸方
胡黄连(一钱) 脑 麝(各半钱) 牛黄(一钱二分半) 芦荟(一钱半) 蟾酥(五捻子,作块者亦得) 白
花蛇(半两,酒浸去骨) 蝎稍(二钱半)
上为细末,猪胆丸,如黄米大。每服五丸,米饮下。如患甚,仍用生米泔调作
散,半钱服,日三服。
治小儿肠鸣泻痢,口鼻干,常有鲜血,日夜疼方
白术(炮) 硫黄(各二钱半) 枳壳(炒) 胡黄连 当归(各半两)
上为末。每服半钱,熟水调下。
张道人第二∶急疳,小儿疳痢,下赤色脓血,下部脱肛,虽有精神,命在须臾,但
服此
沉香丸方
沉香 人参 蝎 胡黄连 乳香(各一分) 龙骨 甘草(各三分)
上件,枣肉为丸,如麻子大。每服三丸,米饮下,日二服。久患,七服效。
木香丸 治疳痢。
黄连(净三钱) 木香 紫浓朴(姜制) 夜明砂(隔纸炒。各二钱) 诃子肉(炒,一钱)
上为末,饭丸麻子大。干艾、生姜煎汤,食前下。
《宫气方》治疗小儿疳热、疳痢,具有杀虫功效。取适量青黛,用水研磨后服用。
《外台秘要》治疗疳痢昼夜无休止者。取樗根(臭椿皮)浓汁和粟米泔水各约一个鸡蛋壳的量,用竹筒吹入肛门部位,每日两次,病愈即止。
治疗疳痢导致肛门松弛张开、腹泻不止的情况。将黄连末与少许麝香混合均匀,用竹筒吹入肛门内。
《图经本草》治疗疳痢。用地榆单独煎煮成如饴糖般稠度的汁液,给患儿服用即可痊愈。
〔孟诜〕治疗小儿疳痢的方剂:
以上药物,取樗木根白皮一握,仓粳米五十粒,葱白一握,炙甘草二寸,豉二合,
用水一升煎煮至半升,一次性服下。小儿根据情况酌情服用。枝叶与树皮的功效相同。
《圣惠方》治疗小儿疳痢不止,下部瘙痒。
青黛散
青黛 蟾灰 胡粉(微炒) 黄连(去须,微炒) 麝香(细研。各二钱半) 赤石脂(半两) 诃梨勒皮(一两,
微煨)
将上述药物捣碎,过筛制成散剂。每次服用半钱,用乳汁调服,每日三四次,根据患儿年龄大小增减剂量。
杀疳丸 治疗疳痢不止。
雄黄 麝香 牛黄 芦荟 朱砂(各细研) 龙骨(烧至红色) 密陀僧(烧红,细研) 胡黄连(各
二钱半) 青黛(半两,细研) 金箔(十片,细研) 肉豆蔻(二枚,去壳) 蟾酥(一钱二分半,热水化开如泥状)
将上述药物捣碎,过筛成粉末,加入已研细的药物及蟾酥,研磨均匀,用汤浸蒸饼和药制成丸剂,大小如黄米。每次用温水送服三丸。同时煎煮黄连、苦参汤清洗身体,用青色衣服覆盖,促使虫体排出,病即痊愈。
白龙骨丸 治疗疳痢不止。
白龙骨 白石脂 鸡尿矾(烧至汁液流尽) 黄连(去须,微炒) 胡粉(微炒) 白茯苓 阿胶(捣碎,炒至黄燥。
各半两)
将上述药物捣碎,过筛成粉末,用炼蜜和药制成丸剂,大小如麻子。每次用粥饮送服五丸,每日三四次,根据患儿年龄大小增减剂量。
肉豆蔻丸 治疗小儿疳痢,不吃乳食,四肢瘦弱。
肉豆蔻(去壳,一枚) 木香(半两) 人参(去芦头) 诃子肉(煨) 朱砂 麝香(并细研。各二钱半)
将上述药物捣碎,过筛成粉末,充分研磨均匀,用软饭和药制成丸剂,大小如麻子。每次用米饮化开送服三丸,每日三四次,根据患儿年龄增减剂量。
《圣惠方》黄连散 治疗小儿疳痢日久不愈,肌肉消瘦,面色发黄,头发焦枯,啼哭无常。
胡黄连(末) 白矾(烧至汁液流尽) 白龙骨(末。各半两) 胡粉(微炒,二钱半)
将上述药物共同细研为散剂。一岁的患儿每次用米饮调服一字量,两岁的患儿每次服用半钱,根据患儿年龄及病情轻重增减剂量。
芜荑丸 治疗小儿久患疳痢不愈。
芜荑(半两,末) 羊子肝(一具)
先将羊肝切成片,将芜荑末撒在肝内,用线缠绕固定,在米泔水中煮熟,捣烂,用糯米饭和药制成丸剂,大小如麻子。每次用粥饮送服五丸,早晚各一次,根据患儿年龄增减剂量。
〔庄氏〕第一候:泻下脓血,日渐消瘦,属于冷热疳。适宜服用
八香丸方
胡黄连(一钱) 脑 麝(各半钱) 牛黄(一钱二分半) 芦荟(一钱半) 蟾酥(五捻子,块状亦可) 白
花蛇(半两,酒浸去骨) 蝎稍(二钱半)
将上述药物研成细末,用猪胆汁和药制成丸剂,大小如黄米。每次服用五丸,用米饮送下。如果病情严重,仍可用生米泔水调成散剂,服用半钱,每日三次。
治疗小儿肠鸣泻痢,口鼻干燥,常有鲜血流出,日夜疼痛的方剂:
白术(炮制) 硫黄(各二钱半) 枳壳(炒制) 胡黄连 当归(各半两)
将上述药物研成粉末。每次服用半钱,用熟水调下。
张道人第二候:急疳,小儿疳痢,排出赤色脓血,下部脱肛,虽然精神尚存,但生命危在旦夕,只需服用此
沉香丸方
沉香 人参 蝎 胡黄连 乳香(各一分) 龙骨 甘草(各三分)
将上述药物用枣肉和药制成丸剂,大小如麻子。每次服用三丸,用米饮送下,每日两次。久病患者,服用七次可见效。
木香丸 治疗疳痢。
黄连(净选三钱) 木香 紫浓朴(姜制) 夜明砂(隔纸炒。各二钱) 诃子肉(炒,一钱)
将上述药物研成粉末,用米饭制成丸剂,大小如麻子。用干艾叶、生姜煎汤,饭前送服。
*Gongqi Fang* treats pediatric gan-heat (wasting-heat syndrome) and gan-dysentery, with the effect of killing parasites. Take an appropriate amount of Qingdai (Indigo Naturalis), grind it in water, and administer orally.
*Waitai Miyao* treats cases of gan-dysentery that persist day and night without cessation. Take a thick decoction of Chugen (Catechu or Broussonetia papyrifera root bark, here specifically referring to *Bianzhou* / *Ailanthus altissima* root bark) and rice washing water, each about the volume of one eggshell. Use a bamboo tube to insufflate this mixture into the anus. Apply twice daily until recovery.
To treat gan-dysentery resulting in prolapse of the anus and continuous diarrhea: Mix Huanglian powder (Coptidis Rhizoma) with a small amount of Shexiang (Musk) evenly. Use a bamboo tube to insufflate the mixture into the anus.
*Tujing Bencao* treats gan-dysentery. Decoct Diyü (Sanguisorbae Radix) alone until the liquid becomes as viscous as maltose syrup, and administer to the patient for cure.
[Meng Shen] Prescription for treating pediatric gan-dysentery:
Take one handful of the white inner bark of Chunmu (Ailanthus altissima root), 50 grains of Cangjingmi (stored rice), one handful of Congbai (Scallion White), two cun of Zhigancao (Prepared Licorice Root), and two he of Chi (Fermented Soybean).
Decoct these in one sheng of water until half a sheng remains. Administer in one dose. For children, adjust the dosage according to their condition. The leaves and branches have the same efficacy as the bark.
*Shenghui Fang* treats pediatric gan-dysentery that does not cease, accompanied by itching in the lower body.
Qingdai San (Indigo Powder)
Qingdai (Indigo Naturalis), Chanhu (Toad Ash), Hufen (Lead Carbonate) (lightly stir-fried), Huanglian (Coptidis Rhizoma) (remove whiskers, lightly stir-fried), Shexiang (Musk) (finely ground; each 2.5 qian), Chishizhi (Halloysitum Rubrum) (0.5 liang), Helilepi (Pericarpium Chebulae) (1 liang, lightly roasted).
Pulverize the above ingredients and sieve them to make a powder. Each dose consists of half a qian, mixed with milk for administration. Administer three to four times daily, adjusting the dose according to the child's age.
Shagan Wan (Parasite-Killing Pill) Treats persistent gan-dysentery.
Xionghuang (Realgar), Shexiang (Musk), Niuhuang (Calculus Bovis), Lvhui (Aloe), Zhusha (Cinnabar) (each finely ground), Longgu (Fossilized Bones) (calcined until red), Mituosen (Litharge) (calcined red, finely ground), Huhuanglian (Picrorhizae Rhizoma) (each 2.5 qian), Qingdai (Indigo Naturalis) (0.5 liang, finely ground), Jinbo (Gold Leaf) (ten pieces, finely ground), Roudoukou (Myristica Seed) (two seeds, shell removed), Chansu (Toad Venom) (1.25 qian, dissolved in hot water into a paste).
Pulverize the above ingredients and sieve them into a fine powder. Add the finely ground medicines and toad venom, and grind thoroughly until uniform. Mix with steamed dough soaked in water to form pills the size of yellow millet. Administer three pills per dose with warm water. Simultaneously, wash the body with a decoction of Huanglian (Coptidis Rhizoma) and Kushen (Sophorae Flavescentis Radix), cover the child with green clothing, and allow parasites to be expelled; the disease will then resolve.
Bailonggu Wan (White Fossil Bone Pill) Treats persistent gan-dysentery.
Bailonggu (Fossilized Bones), Baishizhi (Halloysitum Album), Jiniaofan (Alum calcined from chicken urine) (calcined until liquid drains out), Huanglian (Coptidis Rhizoma) (remove whiskers, lightly stir-fried), Hufen (Lead Carbonate) (lightly stir-fried), BaiFuling (Poria), Ejiao (Donkey-Hide Gelatin) (crushed, stir-fried until yellow and dry; each 0.5 liang).
Pulverize the above ingredients and sieve them into a fine powder. Mix with refined honey to form pills the size of sesame seeds. Administer five pills per dose with gruel broth. Take three to four times daily, adjusting the dose according to the child's age.
Roudoukou Wan (Myristica Pill) Treats pediatric gan-dysentery, characterized by refusal of milk/food and emaciation of the limbs.
Roudoukou (Myristica Seed) (shelled, one seed), Muxiang (Aucklandiae Radix) (0.5 liang), Renshen (Ginseng Radix) (remove rhizome), Hezirou (Pericarpium Chebulae) (roasted), Zhusha (Cinnabar), Shexiang (Musk) (all finely ground; each 2.5 qian).
Pulverize the above ingredients and sieve them into a fine powder. Grind thoroughly until uniform. Mix with soft cooked rice to form pills the size of sesame seeds. Administer three pills per dose, dissolved in rice drink. Take three to four times daily, adjusting the dose according to the child's age.
*Shenghui Fang* Huanglian San (Coptis Powder) Treats pediatric gan-dysentery that has persisted for a long time without resolution, characterized by muscle wasting, sallow complexion, brittle hair, and irregular crying.
Huhuanglian (Picrorhizae Rhizoma) (powder), Baijian (Alum) (calcined until liquid drains out), Bailonggu (Fossilized Bones) (powder; each 0.5 liang), Hufen (Lead Carbonate) (lightly stir-fried, 2.5 qian).
Grind the above ingredients together into a fine powder. For a one-year-old child, mix one "zi" measure with rice drink per dose; for a two-year-old, use half a qian per dose. Adjust according to the child's age and severity of the illness.
Wuyi Wan (Torreya Pill) Treats prolonged pediatric gan-dysentery that does not resolve.
Wuyi (Torreya Seed) (0.5 liang, powdered), Yangzigan (Sheep Liver) (one piece).
First, slice the sheep liver. Sprinkle the Wuyi powder inside the liver slices, tie them securely with thread, and boil in rice washing water until cooked. Mash the mixture and combine with glutinous rice flour to form pills the size of sesame seeds. Administer five pills per dose with gruel broth, once in the morning and once in the evening, adjusting according to the child's age.
[Zhuang Shi] First Stage: Diarrhea with pus and blood, progressive emaciation, indicates Cold-Heat Gan. It is suitable to take the Baxiang Wan (Eight Fragrances Pill) prescription:
Huhuanglian (Picrorhizae Rhizoma) (1 qian), Naoshexiang (Brain Musk) (0.5 qian each), Niuhuang (Calculus Bovis) (1.25 qian), Lvhui (Aloe) (1.5 qian), Chansu (Toad Venom) (five twists, lumps are acceptable), Baihuashe (Bungarus multicinctus) (0.5 liang, soaked in wine, bones removed), Xieshao (Scorpion tail tip) (2.5 qian).
Grind the above ingredients into a fine powder. Form pills using pig bile, sized like yellow millet. Administer five pills per dose with rice drink. If the condition is severe, still use raw rice washing water to mix the powder into a suspension, administer half a qian, three times daily.
Prescription for pediatric borborygmus and dysentery, dry mouth and nose, frequent fresh blood discharge, and pain day and night:
Baizhu (Atractylodis Macrocephalae Radix) (processed), Liuhuang (Sulfur) (each 2.5 qian), Zhiqiao (Aurantii Fructus) (stir-fried), Huhuanglian (Picrorhizae Rhizoma), Danggui (Angelicae Sinensis Radix) (each 0.5 liang).
Grind into powder. Administer half a qian per dose, mixed with boiled water.
Zhang Daoren Second Stage: Acute Gan, pediatric gan-dysentery with passage of red purulent blood, rectal prolapse of the lower body. Although spirit is present, life is imminent danger. Only take this Chenxiang Wan (Agarwood Pill) prescription:
Chenxiang (Aquilariae Lignum Resinatum), Renshen (Ginseng Radix), Xie (Scorpion), Huhuanglian (Picrorhizae Rhizoma), Rushi (Boswelliae Resin) (each 1 fen), Longgu (Fossilized Bones), Gancao (Licorice Root) (each 3 fen).
Mix the above ingredients with jujube flesh to form pills the size of sesame seeds. Administer three pills per dose with rice drink, twice daily. For chronic cases, seven doses yield efficacy.
Muxiang Wan (Aucklandia Pill) Treats gan-dysentery.
Huanglian (Coptidis Rhizoma) (cleaned, 3 qian), Muxiang (Aucklandiae Radix), Zinongpo (Magnoliae Officinalis Cortex) (prepared with ginger), Yemingsha (Stercoris Tadaridae) (stir-fried between papers; each 2 qian), Hezirou (Pericarpium Chebulae) (stir-fried, 1 qian).
Grind into powder. Form pills with rice, sized like sesame seeds. Decoct dried mugwort (Aiye) and fresh ginger in water, and administer before meals.