没石子丸 治久患疳痢及酿泻。
没石子(二枚) 南木香(湿纸包,略煨) 净黄连(锉碎,姜汁炒。各二钱半) 肉豆蔻(二枚,炮)
诃子(四枚,炮、去核)
上,锉焙成末。如乌犀丸内制饭糊为丸,粟谷大。每服十丸至三十丸或五十丸,温白汤空心下,或米清汤下。
(巢氏)小儿卒利者,由肠胃虚,暴为冷热之气所伤,而为卒利,热则色黄赤,冷则色青白,若冷热相交,
则变为赤白滞利也。
《圣惠》胡黄连散 治小儿冷热气不和,忽暴下利,腹内疼痛。
胡黄连 母丁香 桂心 木香 肉豆蔻(去壳) 当归(锉,微炒) 麝香(细研。各一分) 犀角
(屑,半分)
上件药捣,细罗为散。每服以粥饮调下半钱,日三四服。量儿大小加减。
龙骨散 治小儿暴利。
龙骨 黄连(去须,微炒。各一两) 当归(锉,微炒) 枳壳(麸炒微黄,去瓤,各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓,不计时候,量儿大小,加减温服。
〔张涣〕阿胶丹 治泄利身热,及暴泻注下。
真阿胶(炙熟) 干姜(各一两) 芍药 当归(洗,焙干) 川黄连 肉豆蔻(各半两)
上件捣。罗为细末,炼蜜和丸,如黍米大。每服十粒,粟米饮下,量儿大小加减。
神仙玉粉丹 补一切虚,不热。男妇小儿皆可服,冷积暴泻,见功尤速。
精明舶上硫黄(一斤,去砂石尽,打碎)
上,用 猪肚七个,旋采桑根白皮三斤,寸锉,将猪肚一个净洗,以硫黄实之,用麻线缝合,水二斗,
先将桑根白皮一斤,同煮一伏时。其余诸肚,亦用慢火养之,不得令冷。候煮满一伏时,别以猪肚换之,
又用白皮,内一斤同煮,再一伏时,又换猪肚并桑白皮。过三伏时,不换白皮,只换猪肚。共煮七伏时,水耗,
以热汤添,不得用冷水,候满七伏时,取出,用温水淘净,研至细,候烈日中晒极热,再研,煮糯米粉
为糊、丸如梧桐子大。每服,空心米饮下十粒至十五粒。大率驱除宿冷,其功效无比,老人经久可服。
没石子丸:治疗长期患有疳痢(小儿疳积合并痢疾)及酿泻(慢性腹泻)。
没石子(两枚),南木香(用湿纸包裹,略加煨制),净黄连(切碎,用姜汁炒制。各二钱半),肉豆蔻(两枚,炮制),诃子(四枚,炮制、去核)。
以上药材,切碎焙干后研成粉末。按照乌犀丸的制法,用米饭糊作为粘合剂制成丸药,大小如粟谷。每次服用十丸至三十丸或五十丸,空腹时用温白开水送服,或用米汤送服。
(巢元方《诸病源候论》):小儿突然发生痢疾,是由于肠胃虚弱,突然受到冷热气机的伤害,从而引发突然的痢疾。热邪所致则大便色黄赤,寒邪所致则大便色青白,若冷热之气相互交争,则变为赤白相间的滞涩痢疾。
《圣惠方》胡黄连散:治疗小儿冷热之气不和,忽然暴发性下利,腹部疼痛。
胡黄连,母丁香,桂心,木香,肉豆蔻(去壳),当归(切碎,微炒),麝香(细研。各一分),犀角(锉成屑,半分)。
以上药物捣碎,过细筛成为散剂。每次服用半钱,用粥饮调服,每日三到四次。根据患儿年龄大小酌情加减。
龙骨散:治疗小儿暴发性痢疾。
龙骨,黄连(去须,微炒。各一两),当归(切碎,微炒),枳壳(麸炒至微黄,去瓤,各半两)。
以上药物捣碎,粗筛成为散剂。每次服用一钱,用水一小盏,煎煮至五分,去渣滓,不限时候,根据患儿年龄大小,酌情调整剂量温服。
〔张涣〕阿胶丹:治疗泄利身热,以及暴发性水样腹泻。
真阿胶(炙熟),干姜(各一两),芍药,当归(洗净,焙干),川黄连,肉豆蔻(各半两)。
以上药物捣碎,过筛成为细末,用炼蜜调和制成丸药,大小如黍米。每次服用十粒,用粟米饮送服,根据患儿年龄大小酌情加减。
神仙玉粉丹:补益一切虚损,性质不热。男女小儿皆可服用,对于冷积引起的暴泻,见效尤其迅速。
精明舶上硫黄(一斤,去除砂石尽净,打碎)。
以上,用猪肚七个,随时采摘桑根白皮三斤,切成寸段,将一个猪肚洗净,填入硫黄,用麻线缝合,加水二斗,先将一斤桑根白皮同煮一个时辰(两小时)。其余的猪肚,也用慢火炖养,不得令其变冷。等到煮满一个时辰,换另一个猪肚,再用一斤桑根白皮同煮,再过一个时辰,又换猪肚和桑白皮。经过三个时辰,不再换桑白皮,只换猪肚。共煮七个时辰,水分消耗,用热水添加,不得使用冷水,等到煮满七个时辰,取出,用温水淘洗干净,研磨至极细,在烈日中晒至极热,再次研磨,用煮糯米粉的汤汁为粘合剂,制成如梧桐子大小的丸药。每次服用,空腹时米饮送服十粒至十五粒。大体上能驱除体内的宿寒,其功效无与伦比,老人经久服用亦可。
Moshizi Wan (Stoneless Nut Pill): Treats chronic ganli (pediatric malnutrition complicated by dysentery) and niangxie (chronic diarrhea).
Moshizi (Semecarpi Fructus, 2 pieces), Nanmuxiang (Aucklandiae Radix, wrapped in wet paper and slightly roasted), Jing Huanglian (Coptidis Rhizoma, chopped and stir-fried with ginger juice, each 2.5 qian), Roudoukou (Myristicae Semen, 2 pieces, processed), Hezi (Chebulae Fructus, 4 pieces, processed and pitted).
The above herbs are chopped, baked, and ground into powder. Form pills using rice paste as a binder, similar to the preparation of Wuxi Wan, with pill size comparable to millet grains. Take 10 to 30 or 50 pills per dose, administered on an empty stomach with warm plain water or rice soup.
(Chao Yuanfang's *Zhubing Yuanhou Lun*): Sudden dysentery in children arises from deficiency and weakness of the intestines and stomach, suddenly injured by cold or heat pathogens, resulting in sudden dysentery. If caused by heat, the stool is yellowish-red; if caused by cold, it is bluish-white. If cold and heat pathogens interact, it transforms into bloody and purulent sticky dysentery.
Shenghui Fang Huhuanglian San: Treats disharmony between cold and heat qi in children, sudden onset of profuse diarrhea, and abdominal pain.
Huhuanglian (Picrorhizae Rhizoma), Mudingxiang (Elettaria Cardamomum Seed), Guixin (Cinnamomi Cortex), Muxiang (Aucklandiae Radix), Roudoukou (Myristicae Semen, shelled), Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried), Shexiang (Moschus, finely ground, each 1 fen), Xijiao (Rhinocerotis Cornu, shaved, 0.5 fen).
The above herbs are pounded, sifted through a fine sieve to make a powder. Take half a qian per dose, mixed with gruel drink, three to four times daily. Adjust dosage according to the child's age and size.
Longgu San: Treats sudden severe dysentery in children.
Longgu (Fossilia Ossis Mastodi et Scapulae), Huanglian (Coptidis Rhizoma, remove roots, slightly stir-fried, each 1 liang), Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried), Zhike (Aurantii Fructus Pericarpium, stir-fried with bran until slightly yellow, remove pulp, each 0.5 liang).
The above herbs are pounded and coarsely sifted to make a powder. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and take warm at any time, adjusting the dose according to the child's age and size.
[Zhang Huan] Ejiao Dan: Treats diarrhea accompanied by fever, and sudden profuse watery diarrhea.
Zhen Ejiao (Colla Corii Asini, roasted), Ganjiang (Zingiberis Rhizoma, each 1 liang), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix, washed and dried), Chuan Huanglian (Coptidis Rhizoma), Roudoukou (Myristicae Semen, each 0.5 liang).
The above herbs are pounded and sifted into a fine powder. Mix with refined honey to form pills, sized like broomcorn millet seeds. Take 10 pills per dose, with broomcorn millet drink, adjusting according to the child's age and size.
Shenxian Yufen Dan: Tonifies all types of deficiency without causing heat. Suitable for men, women, and children. Particularly effective for sudden diarrhea caused by cold accumulation.
Jingming Boshang Liuhuang (Sulfur, 1 jin, free of sand and gravel, crushed).
Take seven pig stomachs. Harvest fresh mulberry root bark (San Gen Bai Pi, Mori Cortex, 3 jin), cut into inch-long segments. Clean one pig stomach thoroughly, fill it with sulfur, and sew it shut with hemp thread. Add two dou of water and one jin of mulberry root bark, and boil for one shichen (two hours). The remaining stomachs are also kept warm over low heat, ensuring they do not cool down. After one shichen, replace the stomach, add another jin of mulberry root bark, and boil for another shichen. Repeat this process, replacing only the stomach but keeping the mulberry root bark, for three shichen. Continue boiling for a total of seven shichen, replacing the stomach every hour after the third shichen while retaining the same mulberry root bark. Refill with hot water as needed to prevent evaporation loss; do not use cold water. After seven shichen, remove the contents, wash thoroughly with warm water, grind to an extremely fine powder, dry under intense sunlight until very hot, and grind again. Use glutinous rice flour paste as a binder to form pills the size of paulownia seeds. Take 10 to 15 pills per dose on an empty stomach with rice drink. Generally, this formula expels entrenched cold from the body, with unparalleled efficacy, suitable for long-term use by the elderly.