(附论)
凡痢色黄色赤。并热也。甚则下血汁。此由肠虚胃弱。邪热之气乘虚入客于肠间。故其
证下痢黄赤。或血杂下。腹间热痛。小便赤涩。身热烦渴。故谓之热痢。
方
牡蛎汤 治诸热毒痢下黄汁。及如赤烂豆汁。如赤带状。又如鱼脑。壮热。
牡蛎 白头翁 当归 犀角 艾叶 甘草 桑寄生(锉各半两) 升麻 黄柏 黄连 黄
芩酸石榴(各三分) 上粗捣筛为散。每服五钱。水一盏半。煎至一盏。去渣。空心温服。
日午再服。
龙骨散 治热痢下赤黄色脓。心烦神热。腹内疼痛。而饮食减少。
龙骨(一两) 黄连(三分) 犀角屑(三分) 黄柏(半两) 赤芍药(半两) 黄
芩(半两) 当归(半两) 赤地利(三分) 黄 (三分) 茜根(三分) 鼠尾草花(三
分) 上捣细罗为散。每服不计时候。以粥饮调下二钱。
大阿胶丸 治发热下痢腹痛。甚至肛门痛欲绝者。
当归 阿胶 豆蔻 龙骨 赤石脂 大艾 黄连(各半两) 木香 乳香(各五钱) 白
矾(枯一分) 上为末。用盐梅肉丸如梧桐子大。每服三十丸。陈米饮下。
苦参丸 治热毒痢。注下赤黄。
苦参 陈橘皮 独活 阿胶 蓝青 黄连 黄柏 甘草 上等分。除阿胶外。为末。以
水煮阿胶和饼。手丸如梧桐子大。每服二十丸。饮下。日三服。治痢大良。
黄芩散 治热痢心神烦闷。小便赤涩。
黄芩(三分) 赤茯苓(一两) 川升麻(半两) 吴蓝(半两) 阿胶(三分) 鬼
臼(半两) 黄连(半两) 黄柏(三分) 甘草(半两) 上捣筛为散。每服三钱。以水
一盏。煎至六分。去滓。不计时候。温服。
结肠散 治热毒不断。不问久新悉疗之。
苦参 橘皮 独活 阿胶 芍药 干姜 黄柏 甘草 鬼臼(各四分) 上捣筛为末。
用
蜜与胶共拌以和丸。并手捻作丸如梧桐子大。曝燥。以饮服十丸。日三服。不知稍加。此方
以疗诸疰下及卒下。悉效。惟忌海藻、菘菜等。
黄 散(出圣惠方)治热痢下赤黄脓。腹疼心烦。
黄 (三分) 黄连(一两) 黄柏(半两) 生干地黄(二分) 黄芩(三分) 犀
角屑(半两) 龙骨(三分) 地榆(半两) 当归(三分) 上捣细罗为散。每服不计时
候。以粥饮调下二钱。
木香丸(出圣惠方)治冷痢腹疼痛。烦闷不食。
木香(半两) 地榆(半两) 当归(半两) 甘草(半两) 黄 (三分) 犀角屑 枳
壳(三分) 黄连(三分) 上捣罗为散。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时
候。以粥饮下
犀角散(出圣惠方)治热痢下赤黄脓血。腹痛。心烦困闷。
犀角屑(一两) 黄连(一两) 木香(三分) 当归(半两) 黄 (一两) 地榆
(一两锉)(案∶此方原缺煎法及服法)
当归散(出圣惠方)治热痢下赤黄。腹痛烦热。
当归(三分) 黄芩(三分) 地榆(一两锉) 黄连(一两) 甘草(半两) 犀角
屑(一两) 上捣
犀角煎 疗热毒下血及豆汁。
犀角屑 人参 当归(各三两) 黄连(四两) 蜜(一分) 上切。以水五升。煮取
一升。去滓
犀角散 治热毒痢并痢血。
生犀(二两) 石榴皮(三两) 黄连(三两) 干姜(二两) 地榆(三两) 上为
散。以米饮服方
黄连散 治热痢烦渴腹痛。
黄连(一两) 黄芩(一两) 当归(一两) 赤石脂(一两) 上捣细罗为散。每服
不计时候。以
黄连丸(一名羚羊角散)治一切热痢及休息痢。日夜频并。兼治下血黑如鸡
肝色。或蛊痢腹中痛。有脓血下者。
黄连(二两半) 羚羊角 黄柏(一两半) 赤茯苓(半两) 上捣罗为末。蜜丸如梧
桐子大。每服二十丸。姜蜜汤下。暑月下痢。用之尤验。一方用白茯苓。腊茶送下。
芍药柏皮丸 治一切温热恶痢。频并疼痛。无问脓血。并宜服之。
芍药 黄柏(各一两) 当归 黄连(各半两) 上为末。水丸小豆大。温水下三四十
丸。
无时。兼夜五六服。忌油腻、脂肥、发热诸物等。拔粹方不用当归、黄连二味。以醋糊
为丸。
四味阿胶丸 治协热下痢。其色黄。烦躁多渴。脐腹疼痛。小便不利。
黄连(四两) 茯苓(二两) 赤芍药(三两) 阿胶(一两) 上为细末。用醋糊丸
如梧桐子大。
乌梅丸 治热留肠胃。下痢纯血。脐腹 痛。或先经下痢未断。服热药蕴毒伏
热。渗成血
乌梅肉(二两) 黄连(四两) 当归 枳壳(各一两) 上为细末。醋糊为丸。如梧
桐子大。每
升麻汤(出直指方)治伤暑下痢 痛。
升麻 白芍药 甘草(炙各十两) 白干葛(十五两) 上为粗末。每服三钱。姜三片。
同煎吞
三黄熟艾汤(出危氏方)治伤寒四五日。大下热痢。诸药不止。宜服此。除
热痢亦作丸子
黄连丸 治一切热毒血痢。大人小儿另丸。
黄连 黄柏 槐花 枯白矾(各一钱) 上为细末。软粟米饮丸如梧桐子大。每服三十
丸。米
香连丸 治热痢。
木香 黄连 甘草 肉豆蔻 上等分。捣罗为末。沙糖为丸如梧桐子大。每服十五丸。
空心
生地黄汤 治热痢不止。
生地黄(半两) 甘草(炙一分) 地榆(三分) 上 咀如麻豆大。水二盏。煎至一
盏。去滓
甘草汤 治夏月暴下热痢。
甘草(半两) 生姜(一分切) 生蜜(一合) 上同浆水五合。煎至四合。去滓。空
心温分二服
秘传香连丸(出济生方)治赤痢。大人小儿通用良方。痢初作。先服解散药
。便先服此。
木香(二两) 黄连(四两) 生姜(四两) 上先铺生姜在锅底。次铺黄连在姜上。
次又铺木香于黄连上。用新汲井水三碗煎干。不要搅动。候煎干。取出三味焙干。碾为细末。
以醋调陈仓米饮打糊丸梧桐子大。每服七十丸。空心米饮汤下。
郁金散 治一切热毒痢。下血不止。
川郁金 槐花 甘草(炒各一分) 上为细末。每服三钱。豆豉汤调下。食前服。
犀角散 治热毒痢血。其痢行数甚数。痢出不多。腹中刺痛。此是热痢。
生犀角 酸石榴皮 枳实(各三两) 上各异捣筛为末。以饮服二方寸匕。日再。瘥停。
忌热
黄连乌梅丸(出圣惠方)治诸热痢不瘥。
乌梅肉 黄连(各四两) 上为细末。炼蜜和丸如梧桐子大。每服二十丸。食前温米饮
下。日
黄连散 治挟热痢。多下赤脓杂血。
黄连 灶突中黑尘(各一两) 上为细末。每服二钱。温酒调下。空心。日再服。
粟壳散 治热痢便血无度。
罂粟壳(一两) 陈皮(半两) 上为细末。每服三钱。水一盏。乌梅一个。煎至七分。
温服。
蒲根汤 治热痢。
蒲根(锉二两) 粟米(淘二合) 上用水三盏半。去滓。分二服。空心日午服。
鲫鱼方 治夏月热痢。
上用鲫鱼食之。多益。冬月则不治也。
治热痢不止也(出圣惠方)
用捣车前叶。绞取汁一盏。入蜜一合煎。温分二服。
治热毒痢
用蓁菜研作粥。善解热毒。
除烦热下气。调胃止泄痢。治热毒痢。
用陈仓米作饭食之。一方以白粳米汁。亦主心痛止渴。
龙骨方(出肘后方)治热痢病不解。而下痢欲死。及治休息痢。饮下痢。
用龙骨半斤捣研。水一斗。煮取五升。候及冷稍饮得即愈。一方为末。米饮和丸。服十
丸。
治痢下色黄色。协热毒也。(出肘后方)
栀子(十四枚去皮) 上捣筛为末。蜜和丸。如梧桐子大。每服三丸。日再服。
治诸热痢血痢。及痛后大肠里痛方。
用萝卜截碎研细。滤清汁一小盏。蜜水相拌一盏同煎。早午食前服。日晡以米饮下黄连
阿胶丸百粒。无萝卜。以萝卜子代之。
治热痢方
用旧年白梅并好茶。蜜、水各半煎服。冷痢生姜汁蜜水各半煎服。仍兼木香生肉豆蔻为
佐。
蜜最治痢。
短剧栀子汤(出肘后方)疗温热为毒。及肠寒外热内虚。热攻肠胃。下黄赤
汁。及赤白带下
用栀子十四枚。豉一升。薤一虎口。以水四升。煮栀子并薤白菜肉豉。煮取二升。分为
三服。良。
玉粉丸 治协热下痢燥渴。
蛤粉 硫黄(等分) 上为细末。面糊丸如梧桐子大。每服十五丸。用米饮下。
禹余粮丸(出指南方)
禹余粮 赤石脂 干姜(各一两) 上为末。面糊丸如梧桐子大。米饮下三十丸。
败毒散 治下痢发热口禁。
用生姜、枣子、陈米煎服。痢后手足疼痛。败毒散加槟榔、木瓜煎服。此即所谓痢后风
水。
治热痢。(出本草)
用好井水。及土石间。新出泉水饮之。
治大热毒纯血痢。(出千金方)
用宣连六两。以水七升。煮取二升半。夜露星月下。平旦空服。
治暴热热痢止渴。(出本草)
用马通捣绞汁服之。
治热痢。(出本草)
用紫衣煮服之。
治烦热。止泄痢并渴。
用丹黍米饮食之。
治热毒痢及血痢。(出本草)
用羚羊角屑作末。再和蜂蜜服。
又方\x
用赤小豆杵末。水调下方寸匕。
【附论】
凡是痢疾颜色呈黄色或赤色,都属于热证。严重的会出现下血和脓汁的情况。这是由于肠道虚弱、胃气不足,邪热之气趁虚侵入肠道之间。因此其症状表现为下痢黄赤色,或者血液混杂而下,腹部有灼热疼痛感,小便短赤涩痛,身体发热且烦躁口渴,所以称之为热痢。
方剂:
牡蛎汤:治疗各种热毒痢疾,下出黄汁,以及像腐烂豆汁、红色带状物、又像鱼脑一样的排泄物,伴有高热。
药材:牡蛎、白头翁、当归、犀角、艾叶、甘草、桑寄生(各锉碎半两)、升麻、黄柏、黄连、黄芩、酸石榴(各三分)。
制法与服法:将上述药材粗捣筛成散剂。每次服用五钱,加水一盏半,煎煮至一盏,去渣滓。空腹时温服,中午再服一次。
龙骨散:治疗热痢下赤黄色脓液,心烦神躁,腹内疼痛,饮食减少。
药材:龙骨(一两)、黄连(三分)、犀角屑(三分)、黄柏(半两)、赤芍药(半两)、黄芩(半两)、当归(半两)、赤地利(三分)、黄芪(三分)、茜根(三分)、鼠尾草花(三分)。
制法与服法:将上述药材捣细过罗成散剂。每次服用不拘时间,用米粥汤调下二钱。
大阿胶丸:治疗发热下痢腹痛,甚至肛门疼痛难忍者。
药材:当归、阿胶、豆蔻、龙骨、赤石脂、大艾、黄连(各半两)、木香、乳香(各五钱)、白矾(枯一分)。
制法与服法:将上述药材研为末,用盐梅肉制成梧桐子大小的丸剂。每次服用三十丸,用陈米汤送服。
苦参丸:治疗热毒痢,泻下赤黄色液体。
药材:苦参、陈橘皮、独活、阿胶、蓝青、黄连、黄柏、甘草。
制法与服法:以上药材等分,除阿胶外,其余研为末。用水煮化阿胶调和成饼状,手工搓成梧桐子大小的丸剂。每次服用二十丸,饮水送服,每日三次。治疗痢疾效果很好。
黄芩散:治疗热痢导致的心神烦闷,小便赤涩。
药材:黄芩(三分)、赤茯苓(一两)、川升麻(半两)、吴蓝(半两)、阿胶(三分)、鬼臼(半两)、黄连(半两)、黄柏(三分)、甘草(半两)。
制法与服法:将上述药材捣筛成散剂。每次服用三钱,加水一盏,煎至六分,去渣滓。不拘时间,温服。
结肠散:治疗热毒不止,无论新旧痢疾均可治疗。
药材:苦参、橘皮、独活、阿胶、芍药、干姜、黄柏、甘草、鬼臼(各四分)。
制法与服法:将上述药材捣筛成末,用蜂蜜和胶共同拌和制成梧桐子大小的丸剂,晒干。每次服用十丸,饮水送服,每日三次。如果效果不明显可适当加量。此方治疗各种注病下痢及突发下痢均有效。忌食海藻、菘菜等。
黄芪散(出自《圣惠方》):治疗热痢下赤黄色脓液,腹痛心烦。
药材:黄芪(三分)、黄连(一两)、黄柏(半两)、生干地黄(二分)、黄芩(三分)、犀角屑(半两)、龙骨(三分)、地榆(半两)、当归(三分)。
制法与服法:将上述药材捣细过罗成散剂。每次服用不拘时间,用米粥汤调下二钱。
木香丸(出自《圣惠方》):治疗冷痢引起的腹痛,烦闷不想进食。
药材:木香(半两)、地榆(半两)、当归(半两)、甘草(半两)、黄芪(三分)、犀角屑、枳壳(三分)、黄连(三分)。
制法与服法:将上述药材捣罗成散,炼蜜调和并捣击三二百下,制成梧桐子大小的丸剂。每次服用不拘时间,用米粥汤送服。
犀角散(出自《圣惠方》):治疗热痢下赤黄色脓血,腹痛,心烦困闷。
药材:犀角屑(一两)、黄连(一两)、木香(三分)、当归(半两)、黄芪(一两)、地榆(一两,锉碎)。
注:此方原书缺少煎法和服法。
当归散(出自《圣惠方》):治疗热痢下赤黄色,腹痛烦热。
药材:当归(三分)、黄芩(三分)、地榆(一两,锉碎)、黄连(一两)、甘草(半两)、犀角屑(一两)。
制法与服法:将上述药材捣碎。
犀角煎:治疗热毒下血及如豆汁样的排泄物。
药材:犀角屑、人参、当归(各三两)、黄连(四两)、蜜(一分)。
制法与服法:将药材切碎,加水五升,煮取一升,去渣滓。
犀角散:治疗热毒痢及痢疾出血。
药材:生犀(二两)、石榴皮(三两)、黄连(三两)、干姜(二两)、地榆(三两)。
制法与服法:将上述药材制成散剂,用米饮送服。
黄连散:治疗热痢烦渴腹痛。
药材:黄连(一两)、黄芩(一两)、当归(一两)、赤石脂(一两)。
制法与服法:将上述药材捣细过罗成散剂。每次服用不拘时间。
黄连丸(又名羚羊角散):治疗一切热痢及休息痢,日夜频繁发作。兼治下血颜色黑如鸡肝色,或蛊痢腹痛,有脓血排出者。
药材:黄连(二两半)、羚羊角、黄柏(一两半)、赤茯苓(半两)。
制法与服法:将上述药材捣罗成末,蜜丸如梧桐子大小。每次服用二十丸,姜蜜汤送服。暑月下痢,使用此方尤为灵验。另一配方用白茯苓,腊茶送服。
芍药柏皮丸:治疗一切温热恶痢,频繁发作且疼痛,无论是否有脓血,都适宜服用。
药材:芍药、黄柏(各一两)、当归、黄连(各半两)。
制法与服法:将上述药材研为末,水丸如小豆大小。温水送服三四十丸,不拘时间,夜间也可服五六次。忌食油腻、脂肥、发热性食物等。《拔粹方》不用当归、黄连两味,用醋糊为丸。
四味阿胶丸:治疗协热下痢,颜色发黄,烦躁多渴,脐腹疼痛,小便不利。
药材:黄连(四两)、茯苓(二两)、赤芍药(三两)、阿胶(一两)。
制法与服法:将上述药材研为细末,用醋糊制成梧桐子大小的丸剂。
乌梅丸:治疗热邪留滞肠胃,下痢纯血,脐腹疼痛。或者先前患有痢疾未断,服用热药后蕴毒伏热,渗入成为血痢。
药材:乌梅肉(二两)、黄连(四两)、当归、枳壳(各一两)。
制法与服法:将上述药材研为细末,醋糊为丸,如梧桐子大小。
升麻汤(出自《直指方》):治疗伤暑引起的下痢腹痛。
药材:升麻、白芍药、甘草(炙,各十两)、白干葛(十五两)。
制法与服法:将上述药材制成粗末。每次服用三钱,加生姜三片,同煎吞服。
三黄熟艾汤(出自《危氏方》):治疗伤寒四五日后,出现严重热痢,诸药无效,宜服此方。除热痢也可制成丸子。
黄连丸:治疗一切热毒血痢,大人小儿另作丸剂。
药材:黄连、黄柏、槐花、枯白矾(各一钱)。
制法与服法:将上述药材研为细末,用软粟米饮制成梧桐子大小的丸剂。每次服用三十丸,米汤送服。
香连丸:治疗热痢。
药材:木香、黄连、甘草、肉豆蔻。
制法与服法:以上药材等分,捣罗成末,沙糖为丸如梧桐子大小。每次服用十五丸,空腹服。
生地黄汤:治疗热痢不止。
药材:生地黄(半两)、甘草(炙一分)、地榆(三分)。
制法与服法:将药材切碎如麻豆大小,加水二盏,煎至一盏,去渣滓。
甘草汤:治疗夏季突发热痢。
药材:甘草(半两)、生姜(一分,切)、生蜜(一合)。
制法与服法:以上药材同浆水五合,煎至四合,去渣滓。空腹时分两次温服。
秘传香连丸(出自《济生方》):治疗赤痢,大人小儿通用的良方。痢疾初起,先服解散药,然后便先服此方。
药材:木香(二两)、黄连(四两)、生姜(四两)。
制法与服法:先在锅底铺生姜,其次铺黄连在姜上,再次铺木香于黄连上。用新汲井水三碗煎干,不要搅动。待煎干后,取出三味药材焙干,碾为细末。用醋调陈仓米饮打糊制成梧桐子大小的丸剂。每次服用七十丸,空腹米饮汤送服。
郁金散:治疗一切热毒痢,下血不止。
药材:川郁金、槐花、甘草(炒,各一分)。
制法与服法:将上述药材研为细末。每次服用三钱,豆豉汤调下,食前服。
犀角散:治疗热毒痢血,痢疾次数很多但排便不多,腹中刺痛,这是热痢。
药材:生犀角、酸石榴皮、枳实(各三两)。
制法与服法:将上述药材分别捣筛成末。每次服用二方寸匕,饮水送服,每日两次。病愈停药。忌热物。
黄连乌梅丸(出自《圣惠方》):治疗各种热痢不愈。
药材:乌梅肉、黄连(各四两)。
制法与服法:将上述药材研为细末,炼蜜和丸如梧桐子大小。每次服用二十丸,食前温米饮送服,每日。
黄连散:治疗挟热痢,多下赤脓杂血。
药材:黄连、灶突中黑尘(各一两)。
制法与服法:将上述药材研为细末。每次服用二钱,温酒调下,空腹,每日两次。
粟壳散:治疗热痢便血无度。
药材:罂粟壳(一两)、陈皮(半两)。
制法与服法:将上述药材研为细末。每次服用三钱,加水一盏,乌梅一个,煎至七分,温服。
蒲根汤:治疗热痢。
药材:蒲根(锉二两)、粟米(淘二合)。
制法与服法:以上药材用水三盏半,去渣滓。分两次服,空腹及中午服。
鲫鱼方:治疗夏月热痢。
用法:食用鲫鱼,多吃有益。冬季则不适用。
治热痢不止(出自《圣惠方》):
用法:捣车前叶,绞取汁一盏,入蜜一合煎,温时分两次服。
治热毒痢:
用法:用蓁菜研作粥,善解热毒。除烦热下气,调胃止泄痢,治热毒痢。
龙骨方(出自《肘后方》):治疗热痢病不解,而下痢欲死,及治休息痢,饮下痢。
用法:用龙骨半斤捣研,水一斗,煮取五升,候凉稍饮得即愈。一方为末,米饮和丸,服十丸。
治痢下色黄色,协热毒也。(出自《肘后方》):
用法:栀子(十四枚去皮),捣筛为末,蜜和丸,如梧桐子大。每服三丸,日再服。
治诸热痢血痢,及痛后大肠里痛方:
用法:用萝卜截碎研细,滤清汁一小盏,蜜水相拌一盏同煎,早午食前服。日晡以米饮下黄连阿胶丸百粒,无萝卜,以萝卜子代之。
治热痢方:
用法:用旧年白梅并好茶,蜜、水各半煎服。冷痢生姜汁蜜水各半煎服。仍兼木香生肉豆蔻为佐。
蜜最治痢。
短剧栀子汤(出自《肘后方》):疗温热为毒,及肠寒外热内虚,热攻肠胃,下黄赤汁,及赤白带下。
用法:用栀子十四枚,豉一升,薤一虎口,以水四升,煮栀子并薤白菜肉豉,煮取二升,分为三服,良。
玉粉丸:治疗协热下痢燥渴。
药材:蛤粉、硫黄(等分)。
制法与服法:将上述药材研为细末,面糊丸如梧桐子大。每服十五丸,用米饮下。
禹余粮丸(出自《指南方》):
药材:禹余粮、赤石脂、干姜(各一两)。
制法与服法:上为末,面糊丸如梧桐子大,米饮下三十丸。
败毒散:治疗下痢发热口禁。
用法:用生姜、枣子、陈米煎服。痢后手足疼痛,败毒散加槟榔、木瓜煎服。此即所谓痢后风水。
治热痢。(出自《本草》):
用法:用好井水,及土石间新出泉水饮之。
治大热毒纯血痢。(出自《千金方》):
用法:用宣连六两,以水七升,煮取二升半,夜露星月下,平旦空服。
治热毒痢及血痢。(出自《本草》):
用法:用羚羊角屑作末,再和蜂蜜服。
又方:
用法:用赤小豆杵末,水调下方寸匕。
[Attached Discussion]
Dysentery with yellow or red stool color indicates a heat syndrome. In severe cases, blood and pus may be discharged. This is caused by deficiency in the intestines and weakness of the stomach, allowing pathogenic heat to invade the intestinal cavity due to this deficiency. Consequently, symptoms include dysentery with yellow-red stool, mixed blood discharge, burning abdominal pain, dark and scanty urination, fever, irritability, and thirst; hence it is termed "Heat Dysentery" (Re Li).
Formulas:
Muli Tang (Oyster Shell Decoction): Treats various heat-toxin dysenteries discharging yellow fluid, resembling rotten bean juice, red strips, or fish brains, accompanied by high fever.
Ingredients: Muli (Oyster Shell), Baitouweng (Pulsatilla Root), Danggui (Angelica Sinensis), Xijiao (Rhinoceros Horn), Aiye (Mugwort Leaf), Gancao (Licorice Root), Sangjisheng (Taxillus Branches) (each coarsely crushed, 1.5 liang); Shengma (Cimicifuga Rhizome), Huangbai (Phellodendron Bark), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Suan Shiliu (Sour Pomegranate) (each 3 fen).
Preparation and Administration: Coarsely crush and sieve the ingredients into a powder. Take 5 qian per dose, add 1.5 sheng of water, decoct until 1 sheng remains, remove dregs, and take warm on an empty stomach. Repeat at noon.
Longgu San (Dragon Bone Powder): Treats heat dysentery discharging red-yellow pus, mental restlessness, internal abdominal pain, and reduced appetite.
Ingredients: Longgu (Fossilized Bones) (1 liang), Huanglian (Coptis Rhizome) (3 fen), Xijiao Xie (Shaved Rhinoceros Horn) (3 fen), Huangbai (Phellodendron Bark) (0.5 liang), Chi Shaoyao (Red Peony Root) (0.5 liang), Huangqin (Scutellaria Root) (0.5 liang), Danggui (Angelica Sinensis) (0.5 liang), Chidili (Agrimonia Pilosa) (3 fen), Huangqi (Astragalus Root) (3 fen), Qiangen (Qian Cao Gen) (3 fen), Shuweicao Hua (Salvia Flower) (3 fen).
Preparation and Administration: Finely grind and sieve the ingredients into a powder. Take 2 qian per dose at any time, mixed with rice gruel.
Da Ejiao Wan (Large Donkey-Hide Gelatin Pill): Treats fever with dysentery and abdominal pain, even unbearable anal pain.
Ingredients: Danggui (Angelica Sinensis), Ejiao (Donkey-Hide Gelatin), Doukou (Cardamom), Longgu (Fossilized Bones), Chishizhi (Red Kaolin), Da Ai (Mugwort), Huanglian (Coptis Rhizome) (each 0.5 liang); Muxiang (Aucklandia Root), Ruxiang (Frankincense) (each 5 qian); Baifan (Alum) (calcined, 1 fen).
Preparation and Administration: Grind into powder, mix with salted plum flesh to form pills the size of paulownia seeds. Take 30 pills per dose with aged rice drink.
Kushen Wan (Sophora Root Pill): Treats heat-toxin dysentery discharging red-yellow fluid.
Ingredients: Kushen (Sophora Root), Chen Jupi (Aged Tangerine Peel), Duhuo (Angelica Pubescens), Ejiao (Donkey-Hide Gelatin), Lanqing (Indigo Naturalis), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Gancao (Licorice Root).
Preparation and Administration: Equal parts. Except for Ejiao, grind the rest into powder. Dissolve Ejiao in water to make a paste, hand-roll into pills the size of paulownia seeds. Take 20 pills per dose with water, three times daily. Highly effective for dysentery.
Huangqin San (Scutellaria Powder): Treats heat dysentery causing mental irritability and dark, scanty urination.
Ingredients: Huangqin (Scutellaria Root) (3 fen), Chi Fuling (Red Poria) (1 liang), Chuan Shengma (Cimicifuga Rhizome) (0.5 liang), Wu Lan (Isatis Leaf), Ejiao (Donkey-Hide Gelatin) (3 fen), Guijiu (Podophyllum Rhizome) (0.5 liang), Huanglian (Coptis Rhizome) (0.5 liang), Huangbai (Phellodendron Bark) (3 fen), Gancao (Licorice Root) (0.5 liang).
Preparation and Administration: Crush and sieve into powder. Take 3 qian per dose, add 1 sheng of water, decoct until 0.6 sheng remains, remove dregs, and take warm at any time.
Jiechang San (Colon-Connecting Powder): Treats persistent heat-toxin dysentery, effective for both chronic and acute cases.
Ingredients: Kushen (Sophora Root), Jupi (Tangerine Peel), Duhuo (Angelica Pubescens), Ejiao (Donkey-Hide Gelatin), Shaoyao (Peony Root), Ganjiang (Dried Ginger), Huangbai (Phellodendron Bark), Gancao (Licorice Root), Guijiu (Podophyllum Rhizome) (each 4 fen).
Preparation and Administration: Crush and sieve into powder, mix with honey and gelatin to form pills the size of paulownia seeds, dry them. Take 10 pills per dose with water, three times daily. Increase dosage if necessary. Effective for various infectious dysenteries and sudden onset. Avoid seaweed and cabbage.
Huangqi San (Astragalus Powder) (from *Shenghui Fang*): Treats heat dysentery discharging red-yellow pus, abdominal pain, and mental irritability.
Ingredients: Huangqi (Astragalus Root) (3 fen), Huanglian (Coptis Rhizome) (1 liang), Huangbai (Phellodendron Bark) (0.5 liang), Sheng Ganhudi (Raw Dried Rehmannia Root) (2 fen), Huangqin (Scutellaria Root) (3 fen), Xijiao Xie (Shaved Rhinoceros Horn) (0.5 liang), Longgu (Fossilized Bones) (3 fen), Diyu (Sanguisorba Root) (0.5 liang), Danggui (Angelica Sinensis) (3 fen).
Preparation and Administration: Finely grind and sieve into powder. Take 2 qian per dose at any time, mixed with rice gruel.
Muxiang Wan (Aucklandia Pill) (from *Shenghui Fang*): Treats cold dysentery with abdominal pain, irritability, and loss of appetite.
Ingredients: Muxiang (Aucklandia Root) (0.5 liang), Diyu (Sanguisorba Root) (0.5 liang), Danggui (Angelica Sinensis) (0.5 liang), Gancao (Licorice Root) (0.5 liang), Huangqi (Astragalus Root) (3 fen), Xijiao Xie (Shaved Rhinoceros Horn), Zhike (Bitter Orange) (3 fen), Huanglian (Coptis Rhizome) (3 fen).
Preparation and Administration: Grind into powder, mix with refined honey, pound 200-300 times, form pills the size of paulownia seeds. Take at any time with rice gruel.
Xijiao San (Rhinoceros Horn Powder) (from *Shenghui Fang*): Treats heat dysentery discharging red-yellow pus and blood, abdominal pain, and mental distress.
Ingredients: Xijiao Xie (Shaved Rhinoceros Horn) (1 liang), Huanglian (Coptis Rhizome) (1 liang), Muxiang (Aucklandia Root) (3 fen), Danggui (Angelica Sinensis) (0.5 liang), Huangqi (Astragalus Root) (1 liang), Diyu (Sanguisorba Root) (1 liang, crushed).
Note: The original text lacks decoction and administration instructions for this formula.
Danggui San (Angelica Powder) (from *Shenghui Fang*): Treats heat dysentery discharging red-yellow stool, abdominal pain, and irritability.
Ingredients: Danggui (Angelica Sinensis) (3 fen), Huangqin (Scutellaria Root) (3 fen), Diyu (Sanguisorba Root) (1 liang, crushed), Huanglian (Coptis Rhizome) (1 liang), Gancao (Licorice Root) (0.5 liang), Xijiao Xie (Shaved Rhinoceros Horn) (1 liang).
Preparation and Administration: Crush the ingredients.
Xijiao Jian (Rhinoceros Horn Decoction): Treats heat-toxin bleeding and discharge resembling bean juice.
Ingredients: Xijiao Xie (Shaved Rhinoceros Horn), Renshen (Ginseng Root), Danggui (Angelica Sinensis) (each 3 liang), Huanglian (Coptis Rhizome) (4 liang), Mi (Honey) (1 fen).
Preparation and Administration: Cut ingredients, add 5 sheng of water, decoct to 1 sheng, remove dregs.
Xijiao San (Rhinoceros Horn Powder): Treats heat-toxin dysentery and bloody dysentery.
Ingredients: Sheng Xi (Fresh Rhinoceros Horn) (2 liang), Shiliupi (Pomegranate Peel) (3 liang), Huanglian (Coptis Rhizome) (3 liang), Ganjiang (Dried Ginger) (2 liang), Diyu (Sanguisorba Root) (3 liang).
Preparation and Administration: Make into powder, take with rice drink.
Huanglian San (Coptis Powder): Treats heat dysentery with irritability, thirst, and abdominal pain.
Ingredients: Huanglian (Coptis Rhizome) (1 liang), Huangqin (Scutellaria Root) (1 liang), Danggui (Angelica Sinensis) (1 liang), Chishizhi (Red Kaolin) (1 liang).
Preparation and Administration: Finely grind and sieve into powder. Take at any time.
Huanglian Wan (Coptis Pill) (also known as Lingyangjiao San): Treats all types of heat dysentery and lingering dysentery, frequent day and night. Also treats black stool like chicken liver, or gu-dysentery with abdominal pain and pus/blood discharge.
Ingredients: Huanglian (Coptis Rhizome) (2.5 liang), Lingyangjiao (Antelope Horn), Huangbai (Phellodendron Bark) (1.5 liang), Chi Fuling (Red Poria) (0.5 liang).
Preparation and Administration: Grind into powder, honey-pill the size of paulownia seeds. Take 20 pills per dose with ginger-honey soup. Especially effective for summer dysentery. Alternative: use Baifuling (White Poria) with winter tea.
Shaoyao Bapi Wan (Peony and Phellodendron Pill): Treats all types of hot-heat malignant dysentery with frequent painful attacks, regardless of pus or blood presence.
Ingredients: Shaoyao (Peony Root), Huangbai (Phellodendron Bark) (each 1 liang), Danggui (Angelica Sinensis), Huanglian (Coptis Rhizome) (each 0.5 liang).
Preparation and Administration: Grind into powder, water-pill the size of soybeans. Take 30-40 pills with warm water at any time, including 5-6 doses at night. Avoid greasy, fatty, and heating foods. *Bacui Fang* omits Danggui and Huanglian, using vinegar paste instead.
Siwei Ejiao Wan (Four-Ingredient Donkey-Hide Gelatin Pill): Treats dysentery with concurrent heat, yellow stool, irritability, excessive thirst, umbilical/abdominal pain, and difficult urination.
Ingredients: Huanglian (Coptis Rhizome) (4 liang), Fuling (Poria) (2 liang), Chi Shaoyao (Red Peony Root) (3 liang), Ejiao (Donkey-Hide Gelatin) (1 liang).
Preparation and Administration: Grind into fine powder, vinegar-paste pill the size of paulownia seeds.
Wumei Wan (Dark Plum Pill): Treats heat lingering in the stomach and intestines, pure bloody dysentery, umbilical/abdominal pain. Or previous dysentery not resolved, where heat medicines caused toxin accumulation and heat entrapment leading to bloody dysentery.
Ingredients: Wumei Rou (Dark Plum Flesh) (2 liang), Huanglian (Coptis Rhizome) (4 liang), Danggui (Angelica Sinensis), Zhike (Bitter Orange) (each 1 liang).
Preparation and Administration: Grind into fine powder, vinegar-paste pill the size of paulownia seeds.
Shengma Tang (Cimicifuga Decoction) (from *Zhizhi Fang*): Treats dysentery and abdominal pain due to summerheat injury.
Ingredients: Shengma (Cimicifuga Rhizome), Baishaoyao (White Peony Root), Gancao (Licorice Root, roasted) (each 10 liang), Bai Gange (White Kudzu Root) (15 liang).
Preparation and Administration: Make coarse powder. Take 3 qian per dose with 3 slices of ginger, decoct together.
Sanhuang Shuai Ai Tang (Three-Yellow Cooked Mugwort Decoction) (from *Wei Shi Fang*): Treats severe heat dysentery appearing 4-5 days after cold damage, unresponsive to other medicines. Can also be made into pills.
Huanglian Wan (Coptis Pill): Treats all heat-toxin bloody dysentery, for adults and children separately.
Ingredients: Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Huaihua (Sophora Flower), Ku Baifan (Calcined Alum) (each 1 qian).
Preparation and Administration: Grind into fine powder, soft millet drink-pill the size of paulownia seeds. Take 30 pills per dose with rice drink.
Xianglian Wan (Aucklandia-Coptis Pill): Treats heat dysentery.
Ingredients: Muxiang (Aucklandia Root), Huanglian (Coptis Rhizome), Gancao (Licorice Root), Roudoukou (Nutmeg).
Preparation and Administration: Equal parts, grind into powder, sugar-pill the size of paulownia seeds. Take 15 pills per dose on an empty stomach.
Sheng Dihuang Tang (Fresh Rehmannia Decoction): Treats persistent heat dysentery.
Ingredients: Sheng Dihuang (Fresh Rehmannia Root) (0.5 liang), Gancao (Licorice Root, roasted) (1 fen), Diyu (Sanguisorba Root) (3 fen).
Preparation and Administration: Cut into hemp-seed sized pieces, add 2 sheng of water, decoct to 1 sheng, remove dregs.
Gancao Tang (Licorice Decoction): Treats sudden summer heat dysentery.
Ingredients: Gancao (Licorice Root) (0.5 liang), Shengjiang (Fresh Ginger) (1 fen, sliced), Sheng Mi (Raw Honey) (1 he).
Preparation and Administration: Decoct with 5 he of Jiangshui (fermented grain water) to 4 he, remove dregs. Take warm in two divided doses on an empty stomach.
Michuan Xianglian Wan (Secretly Transmitted Aucklandia-Coptis Pill) (from *Jisheng Fang*): Treats red dysentery, a good prescription for adults and children. For early-stage dysentery, first take dispersing medicine, then take this.
Ingredients: Muxiang (Aucklandia Root) (2 liang), Huanglian (Coptis Rhizome) (4 liang), Shengjiang (Fresh Ginger) (4 liang).
Preparation and Administration: Layer ginger at the bottom of the pot, then Coptis, then Aucklandia. Add 3 bowls of fresh well water, boil until dry without stirring. Dry the ingredients, grind to fine powder. Mix with vinegar and aged rice drink paste to form paulownia seed-sized pills. Take 70 pills per dose with rice drink on an empty stomach.
Yujin San (Curcuma Powder): Treats all heat-toxin dysenteries with continuous bleeding.
Ingredients: Chuan Yujin (Curcuma Aromatica Root), Huaihua (Sophora Flower), Gancao (Licorice Root, roasted) (each 1 fen).
Preparation and Administration: Grind into fine powder. Take 3 qian per dose with fermented soybean soup, before meals.
Xijiao San (Rhinoceros Horn Powder): Treats heat-toxin dysentery with blood, frequent urges but small volume, stabbing abdominal pain, indicating heat dysentery.
Ingredients: Sheng Xijiao (Fresh Rhinoceros Horn), Suan Shili Pi (Sour Pomegranate Peel), Zhishi (Immature Bitter Orange) (each 3 liang).
Preparation and Administration: Grind each separately into powder. Take 2 fangcun bi (measure) per dose with water, twice daily. Stop when cured. Avoid heat-inducing foods.
Huanglian Wumei Wan (Coptis-Dark Plum Pill) (from *Shenghui Fang*): Treats persistent heat dysentery.
Ingredients: Wumei Rou (Dark Plum Flesh), Huanglian (Coptis Rhizome) (each 4 liang).
Preparation and Administration: Grind into fine powder, refined honey-pill the size of paulownia seeds. Take 20 pills per dose before meals with warm rice drink.
Huanglian San (Coptis Powder): Treats dysentery with concurrent heat, discharging much red pus and mixed blood.
Ingredients: Huanglian (Coptis Rhizome), Zaotu Zhong Heichen (Black Dust from Chimney Flue) (each 1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose with warm wine, on an empty stomach, twice daily.
Suke San (Poppy Shell Powder): Treats heat dysentery with unlimited bloody stools.
Ingredients: Ying Susuke (Poppy Shell) (1 liang), Chenpi (Aged Tangerine Peel) (0.5 liang).
Preparation and Administration: Grind into fine powder. Take 3 qian per dose with 1 sheng of water and 1 dark plum, decoct to 0.7 sheng, take warm.
Pu Gen Tang (Iris Root Decoction): Treats heat dysentery.
Ingredients: Pu Gen (Iris Root, crushed) (2 liang), Sumi (Millet, washed) (2 he).
Preparation and Administration: Add 3.5 sheng of water, remove dregs. Divide into two doses, take on empty stomach and at noon.
Jiyu Fang (Crucian Carp Prescription): Treats summer heat dysentery.
Usage: Eat crucian carp; more is beneficial. Not applicable in winter.
Zhi Re Li Bu Zhi Ye (Treatment for Persistent Heat Dysentery) (from *Shenghui Fang*):
Usage: Crush plantain leaves, squeeze out 1 sheng of juice, add 1 he of honey, decoct, take warm in two divided doses.
Zhi Re Du Li (Treatment for Heat-Toxin Dysentery):
Usage: Make porridge from Zhen Cai (Herb name unclear, possibly Purslane or similar), which effectively clears heat-toxin, relieves irritability, directs qi downward, harmonizes the stomach, stops diarrhea, and treats heat-toxin dysentery.
Usage: Eat rice made from aged warehouse rice. Another method uses white glutinous rice juice to treat heart pain and thirst.
Longgu Fang (Dragon Bone Prescription) (from *Zhouhou Fang*): Treats unresolved heat dysentery with near-fatal diarrhea, lingering dysentery, and drinking-induced dysentery.
Usage: Use 0.5 jin of Dragon Bone, finely ground, boiled in 1 dou of water until 5 sheng remain. Drink slowly when cool for recovery. Alternative: grind to powder, mix with rice drink to form pills, take 10 pills.
Zhi Li Xia Se Huang Se, Xie Re Du Ye (Treatment for Yellow Stool Dysentery with Concurrent Heat-Toxin) (from *Zhouhou Fang*):
Usage: Gardenia (14 fruits, peeled), grind to powder, mix with honey to form paulownia seed-sized pills. Take 3 pills per dose, twice daily.
Zhi Zhu Re Li Xue Li, Ji Tong Hou Da Chang Li Tong Fang (Treatment for Heat/Bloody Dysentery and Post-Stool Large Intestine Pain):
Usage: Chop radish finely, grind, filter 1 small cup of clear juice, mix with 1 cup of honey-water, decoct together. Take before morning and noon meals. At dusk, take 100 pills of Huanglian Ejiao Wan with rice drink. If no radish, use radish seeds.
Zhi Re Li Fang (Treatment for Heat Dysentery):
Usage: Boil old-year white plums and good tea with half honey and half water. For cold dysentery, boil fresh ginger juice with half honey and half water. Add Muxiang (Aucklandia) and raw Roudoukou (Nutmeg) as adjuvants.
Honey is best for treating dysentery.
Duanju Zhizi Tang (Short Drama Gardenia Decoction) (from *Zhouhou Fang*): Treats heat-toxin, cold intestines with external heat and internal deficiency, heat attacking stomach/intestines causing yellow-red discharge, and red-white leukorrhea.
Usage: Gardenia (14 fruits), Fermented Soybean (1 sheng), Scallion White (one tiger's mouthful). Add 4 sheng of water, decoct gardenia, scallion, cabbage, meat, and fermented soybean until 2 sheng remain. Divide into three doses. Effective.
Yufen Wan (Jade Powder Pill): Treats dysentery with concurrent heat, dryness, and thirst.
Ingredients: Hafan (Clam Powder), Liuhuang (Sulfur) (equal parts).
Preparation and Administration: Grind into fine powder, flour-paste pill the size of paulownia seeds. Take 15 pills per dose with rice drink.
Yuyuliang Wan (Illite Pill) (from *Zhinan Fang*):
Ingredients: Yuyuliang (Illite), Chishizhi (Red Kaolin), Ganjiang (Dried Ginger) (each 1 liang).
Preparation and Administration: Grind into powder, flour-paste pill the size of paulownia seeds. Take 30 pills per dose with rice drink.
Baidu San (Deficiency-Resolving Powder): Treats dysentery with fever and jaw lock.
Usage: Decoct fresh ginger, dates, and aged rice. For post-dysentery limb pain, add Binglang (Areca Seed) and Mugua (Chaenomeles Fruit) to Baidu San and decoct. This is known as post-dysentery wind-water.
Zhi Re Li (Treatment for Heat Dysentery) (from *Bencao*):
Usage: Drink good well water or new spring water from between rocks and soil.
Zhi Da Re Du Chun Xue Li (Treatment for Severe Heat-Toxin Pure Bloody Dysentery) (from *Qianjin Fang*):
Usage: Use Xuanlian (Coptis) 6 liang, add 7 sheng of water, decoct to 2.5 sheng. Expose under stars at night, take on an empty stomach at dawn.
Zhi Bao Re Re Li Zhi Ke (Treatment for Sudden Heat Dysentery and Thirst) (from *Bencao*):
Usage: Crush and squeeze juice from Matong (Cow Dung), take orally.
Zhi Re Li (Treatment for Heat Dysentery) (from *Bencao*):
Usage: Boil and drink Zi Yi (Purple Skin/Rind, likely referring to a specific herb skin).
Zhi Fan Re, Zhi Xie Li Bing Ke (Treatment for Irritability, Diarrhea, and Thirst):
Usage: Eat Dan Shumi (Red Millet).
Zhi Re Du Li Ji Xue Li (Treatment for Heat-Toxin and Bloody Dysentery) (from *Bencao*):
Usage: Grind Lingyangjiao Xie (Antelope Horn Shavings) to powder, mix with honey and take.
Another Formula:
Usage: Grind Chixiaodou (Adzuki Bean) to powder, mix with water and take one fangcun bi.