痢因暑月食冷,及湿热太过,损伤脾胃而致。若伤气则成白痢,服如圣饼、全真丹、金液丹亦可;若伤血
则成赤痢,服阿胶丸、黄芩芍药汤。初起腹痛者,亦服如圣饼,下积血而愈,此其轻者也;若下五色鱼脑,延
绵日久,饮食不进者,此休息痢也,最重,不早治,十日半月,害人性命。
治法∶先灸命关二百壮,服草神丹、霹雳汤三日便愈,过服寒凉下药必死。(痢至休息无已者,非处治之
瘥,即调理之误,或饮食之过,所以止作频仍,延绵不已,然欲
使其竟止亦颇费手。有肺气虚陷者,有肾阴不足者,有脾肾两亏者,有经脉内陷者,有肝木乘脾者,有腐秽不
清者,有固涩太早者,有三焦失运者,有湿热伤脾者,有生阳不足者,有孤阴注下者,有暑毒未清者,有阴积
肠蛊者,有风邪陷入者,一一体察,得其病情,审治的当,自能应手取效。)
治验
一人病休息痢已半年,元气将脱,六脉将绝,十分危笃。余为灸命关三百壮,关元三百壮,六脉已平,痢
已止,两胁刺痛,再服草神丹、霹雳汤方愈,一月后大便二日一次矣。
一人病休息痢,余令灸命关二百壮病愈。二日,变泄下,一时五七次,令服霹雳汤二服,立止。后四肢浮
肿,乃脾虚欲成水胀也,又灸关元二百壮,服金液丹十两,一月而愈。
痢疾是因为在暑热月份食用生冷食物,以及湿热之气过重,损伤了脾胃而导致的。如果损伤了气分,就会形成白痢,可以服用如圣饼、全真丹、金液丹;如果损伤了血分,就会形成赤痢,可以服用阿胶丸、黄芩芍药汤。初起时伴有腹痛的,也服用如圣饼,排出积滞的血便后痊愈,这是病情较轻的情况;如果排出五色混杂如鱼脑般的脓血,病程绵延日久,饮食无法进服的,这就是休息痢(一种反复发作、迁延难愈的痢疾),属于最严重的类型,如果不尽早治疗,十天半月内就会危及生命。
治疗方法:先对命关穴(即章门穴)施灸二百壮,服用草神丹、霹雳汤,三天即可痊愈,如果错误地过度服用寒凉性质的下药,必然导致死亡。(对于这种反复发作、无止息迹象的休息痢,如果不是处方用药不当导致病情未愈,就是调理有误,或者是饮食不慎所致,所以痢疾虽然暂时停止但频繁发作,绵延不断。然而想要让它彻底停止也很棘手。有的属于肺气虚陷,有的属于肾阴不足,有的属于脾肾两亏,有的属于经脉内陷,有的属于肝木乘脾,有的属于腐秽不清,有的属于固涩太早,有的属于三焦失运,有的属于湿热伤脾,有的属于生阳不足,有的属于孤阴注下,有的属于暑毒未清,有的属于阴积肠蛊,有的属于风邪陷入,需要一一仔细体察,掌握病情,审慎治疗得当,自然能够应手取效。)
治验案例:
有一人患休息痢已经半年,元气即将脱失,六脉即将断绝,病情十分危重。我为他艾灸命关穴三百壮,关元穴三百壮,六脉随即平稳,痢疾停止,但两胁出现刺痛,再服用草神丹、霹雳汤方得痊愈,一个月后大便变为两天一次。
另一人患休息痢,我令其艾灸命关穴二百壮,病即痊愈。两天后,转变为泄泻,一时辰内腹泻五到七次,令其服用霹雳汤两剂,立即止住。后来四肢出现浮肿,这是脾虚将要形成水胀(水肿)的迹象,又艾灸关元穴二百壮,服用金液丹十两,一个月后痊愈。
Dysentery is caused by consuming cold and raw food during the hot summer months, as well as excessive damp-heat damaging the Spleen and Stomach. If the Qi is damaged, it results in white dysentery; one may take Rusheng Bing (Like-Sage Cake), Quanzhen Dan (Complete Truth Pill), or Jin Ye Dan (Golden Fluid Pill). If the Blood is damaged, it results in red dysentery; one may take Ejiao Wan (Donkey-Hide Gelatin Pill) or Huangqin Shaoyao Tang (Scutellaria and White Peony Decoction). If abdominal pain occurs at the onset, one should also take Rusheng Bing to expel accumulated blood and achieve recovery; this represents a mild case. However, if one passes stool mixed with five colors resembling fish brains, with a prolonged course and inability to eat, this is Xiuxi Li (Resting Dysentery/Chronic Recurrent Dysentery), which is the most severe type. If not treated early, it will endanger life within ten days to half a month.
Treatment Method: First, moxa the Mingguan acupoint (Zhangmen, LR13) for 200 moxa cones, and administer Caoshen Dan (Grass Spirit Pill) and Pili Tang (Thunderbolt Decoction); recovery will occur within three days. Overuse of cold-natured purgatives will certainly lead to death. (For resting dysentery that recurs endlessly without cessation, if it does not improve due to improper prescription, it is due to incorrect conditioning or dietary errors, causing frequent relapses and prolonged duration. However, achieving complete cessation is quite challenging. Causes include: deficiency and sinking of Lung Qi, insufficiency of Kidney Yin, dual deficiency of Spleen and Kidney, sinking of meridians, Liver Wood overacting on the Spleen, retention of foul turbidity, premature use of astringents, dysfunction of the Triple Burner, damp-heat injuring the Spleen, insufficiency of generating Yang, solitary Yin descending, uneliminated summer-toxicity, Yin accumulation in the intestines, and invasion of Wind pathogen. Each must be carefully examined to ascertain the condition, treat accurately, and ensure effective results.)
Clinical Cases:
One patient suffered from resting dysentery for half a year, with Yuan Qi (Primal Qi) nearly depleted and the six pulses nearly absent, presenting a critical condition. I applied moxibustion to Mingguan for 300 cones and Guanyuan for 300 cones. The six pulses stabilized, and the dysentery stopped. However, sharp stabbing pain occurred in both hypochondria. Subsequently, taking Caoshen Dan and Pili Tang led to full recovery. After one month, bowel movements occurred once every two days.
Another patient suffered from resting dysentery. I instructed him to moxa Mingguan for 200 cones, after which the illness resolved. Two days later, the condition transformed into diarrhea, occurring five to seven times in one shichen (two-hour period). He was prescribed two doses of Pili Tang, which stopped the diarrhea immediately. Later, edema appeared in the four limbs, indicating Spleen deficiency progressing toward Shuizhang (Water Swelling/Edema). I then moxaed Guanyuan for 200 cones and administered Jin Ye Dan (Golden Fluid Pill) totaling ten taels. Recovery was achieved within one month.