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、鼻塞且声音重浊。以及解除时行赤白痢疾。
配方组成: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,切碎成薄片,炒至微黄色)、甘草(以上药材各一两)。
煎服方法: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。此方具有发散风邪的作用。若需增强发散效果,可加入葱白同煎。若是痢疾病证,则用生姜和仓米煎汤送服。
〔汤剂论述〕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。待积滞攻下后,立即用四君子汤加豆蔻、诃子进行补益,随后服用浓肠香连丸即可见效。
〔丹溪论述〕治疗小儿痢疾。
配方组成:黄连、黄芩、大黄、甘草。
煎服方法:以上药材煎煮后服用。若是赤痢,加入红花、桃仁。若是白痢,加入滑石末。
另外,治疗小儿赤白痢疾,如果患儿体质虚弱不能耐受攻下法,病情严重困顿者,可用麻子一合,炒至香熟,研为细末,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。
配方组成:黄丹(研磨细,一两)、巴豆(大的二十五个,去除皮膜研磨细,去油。或者用黄丹二两半)。
制作与服用方法: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。具体使用时更应根据病情随意调整。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。此外,若是寒证,加入木香二钱半。
宽肠丸:治疗痢疾后出现的里急后重,大肠闭塞涩滞不通。
配方组成:枳壳(用水浸泡,去除瓤,切碎成片,用麦麸炒至微黄,仍需用清油浸透,一两,焙干后剩五钱)、麻仁(去除外壳)、木通(去除皮节)、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)。
制作与服用方法:以上药材中,除麻仁需用乳钵极细研磨外,其余五味药材,槟榔不过火,其他药材焙干,共同研成细末,放入乳钵中与麻仁再次杵匀,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 and epidemic febrile diseases, presenting with headache, fever, body aches and irritability, phlegm obstruction with cough, loss of voice, nasal congestion, and heavy voice. It also resolves epidemic dysentery with red and white discharge.
Ingredients: Renshen (Ginseng Radix et Rhizoma) (remove rhizome), Qianghuo (Notopterygii Rhizoma et Radix), Chi Fuling (Poria cum Ramis et Ligno Rubra) (remove skin), Chaihu (Bupleuri Radix) (remove rhizome), Qianhu (Peucedani Radix) (remove rhizome), Chuanxiong (Ligustici Chuanxiong Rhizoma), Duhuo (Angelicae Pubescentis Radix), Jiegeng (Platycodonis Radix) (cut and stir-fried), Zhike (Aurantii Fructus Immaturus) (remove pith, stir-fried with bran to light yellow), Cangzhu (Atractylodis Rhizoma) (soaked in rice wash water overnight, remove coarse skin, filter dry, cut into slices, stir-fried to light yellow), Gancao (Licorice Radix et Rhizoma) (each 1 liang).
Preparation and Administration: Coarsely crush the above herbs. Take 2 qian per dose, add 1 zhan of water, 2 slices of Shengjiang (Zingiberis Rhizoma Recens), and 3 leaves of Bohe (Menthae Haplocalycis Herba). Decoct until 70% remains. Take warm at any time. This formula disperses wind-pathogens. For enhanced dispersion, decoct together with Congbai (Allii Fistulosi Bulbus). For dysentery cases, decoct with Shengjiang (Zingiberis Rhizoma Recens) and Cangmi (Oryza Sativa Germ).
[Decoction Theory] In treating dysentery, if the aim is to purge accumulation, using Jinshi Wan (Digestion-Enhancing Pill) from the *Guiju* (Imperial Bureau Formulary) is very stable. Although it purges accumulation, it can also treat dysentery, ensuring success without failure. After the accumulation is purged, immediately tonify with Sijunzi Tang (Four Gentlemen Decoction) added with Doukou (Amomi Fructus Rotundus) and Hezi (Terminaliae Chebulae Fructus). Subsequently, take Nouchang Xianglian Wan (Intestine-Thickening Coptis and Frankincense Pill) for efficacy.
[Danxi's Discussion] Treating pediatric dysentery.
Ingredients: Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Gancao (Licorice Radix et Rhizoma).
Administration: Decoct and take orally. For red dysentery, add Honghua (Carthami Flos) and Taoren (Persicae Semen). For white dysentery, add Huashi powder (Talcum).
Additionally, for pediatric red and white dysentery where patients are too weak to tolerate purgatives and are severely debilitated, use 1 he of Hemp Seed (Cannabis Fructus), stir-fried until fragrant and ripe, ground into powder. Take 1 qian bi per dose, mixed with honey water. Effective.
Shuijin Dan (Water-Soaked Pill): A vanguard medicine for treating diarrhea and dysentery.
Ingredients: Huangdan (Mineral Lead Oxide) (finely ground, 1 liang), Badou (Crotonis Fructus) (large ones, 25 pieces, remove skin and membrane, grind finely, remove oil. Or use 2.5 liang of Huangdan).
Preparation and Administration: Grind evenly. Melt 0.5 liang of Huangla (Beeswax), mix well with the powder. Roll into pills according to age size. Soak in water and swallow. Use flexibly based on the disease condition. Another prescription: Huangdan (Mineral Lead Oxide) 1 liang, Badou (Crotonis Fructus) 49 grains, Ruxiang (Olibanum) 2 qian, Mayou (Sesame Oil) 2 qian, melt 0.5 liang of wax and mix to form pills, named Dunzhi Dan (Instant Stop Pill). Furthermore, for cold syndromes, add Muxiang (Aucklandiae Radix) 2.5 qian.
Kuanchang Wan (Intestine-Widening Pill): Treats tenesmus after dysentery and constipation with fecal impaction.
Ingredients: Zhike (Aurantii Fructus Immaturus) (soaked in water, remove pith, cut into slices, stir-fried with bran to light yellow, then soaked in clear sesame oil, 1 liang, dried by baking yields 5 qian), Maren (Cannabis Fructus) (remove shell), Mutong (Akebiae Caulis), Dahuang (Rhei Radix et Rhizoma) (half raw, half processed), Binglang (Arecae Semen), Dafupi (Arecae Pericarpium) (cleanly washed, dried by baking; each 2.5 qian).
Preparation and Administration: Except for Maren (Cannabis Fructus) which must be ground extremely fine in a mortar, the other five herbs: do not overheat Binglang (Arecae Semen), bake the rest. Grind all into powder together. Put into the mortar and mix thoroughly with the fine Maren (Cannabis Fructus). Form pills with refined honey, size of Mung Bean (Vigna Radiata Semen). Take 30 to 50 pills per dose. Send down with a decoction of Zhike (Aurantii Fructus Immaturus) and Gancao (Licorice Radix et Rhizoma) on an empty stomach. Infants aged one to two years should take with warm honey water.