海藏治赤痢用四君子加赤芍药、当归,入粟米少许同煎。
黄连解毒汤 治时疾三日,已汗解,苦烦闷干呕,口燥呻吟,错语不得卧,亦治热痢。
黄连(三钱) 黄柏(半两) 栀子(四个,擘) 黄芩(一两)
上锉散。每服三钱,水一盏,煎六分,去滓服。
泼火散 治中暑烦躁,发渴口干,及治血痢。
青皮(去白) 赤芍药 黄连(去须) 地榆(各等分)
上为细末。每服一钱,冷水调下。如蓄热而气血妄行,加甘草。
芍药柏皮丸 治一切恶痢,窘痛脓血。
芍药 黄柏(各一两) 当归 黄连(各半两)
上为末,滴水丸,小豆大。每服二三十丸,熟水下。加枳壳。
宽肠枳壳散 顺气止痢。
甘草(六钱,炙) 枳壳(去穣、炒,二两四钱)
上,为细末。每服一钱,空心沸汤点服。
三黄熟艾汤 治积,脏腑下痢赤白,及治伤寒四五日而大下热痢,服诸药多不止,宜服之。
黄芩 黄连 黄柏(各七钱半) 熟艾(半鸡子大)
上锉散。每服三钱,水一盏,煎六分,去滓温服。
地榆散 治泻痢血痢。
地榆 诃子 甘草(各等分)
上为末。盐米汤调下。有热,加黄芩。
又方
地榆 诃子 浓朴(姜制。各等分)
上锉散。每服二钱,水一盏,姜枣煎服。
地榆饮 治冷热痢,腹痛下痢,赤白频并。
地榆 甘草 芍药 枳壳(各二钱半)
上锉散。每服二钱,白水煎。加黄连妙。
又方
地榆 乌梅 柏皮 甘草 当归(各等分)
上锉散。每服二钱,煎服。
川草散 治腹痛下痢赤白,不拘远近。
川芎 白芷 甘草(半生半炙。各七钱) 赤芍 当归(酒洗) 净黄连(各五钱)
上,锉焙为末。每服半钱至一钱。白痢,白姜汤调。赤痢,甘草汤调。赤白痢,温米清汤调。并空心服。
治热痢备急方
用井花水调腊茶蜜,磨生姜,渴则饮之。
《本事》治小儿赤痢。
捣青蓝汁二升,分四服。(《圣惠方》治小儿中蛊下血)
治小儿屎血。
甘草五分,以水六合,煎取二合,去滓,一岁儿一日服令尽。
钱氏黄柏丸 治小儿热痢下血。
黄柏(去皮,半两) 赤芍药(四钱)
上为末,饭和丸,如麻子大。每服一二十丸,食前米饮下。量儿加减。
栀子丸 治少小热痢不止。
栀子(七枚) 黄柏(三分) 黄连(五分) 矾石(四分) 大枣(四枚,炙令黑)
上五味为末,蜜丸如小豆大。服五丸,日三夜二。服不知,稍加至十丸。
《外台》子芩汤 疗小儿热痢。
子芩(十二分) 知母 女萎(各六分) 竹叶(切八分) 黄柏 甘草(炙各四分)
上六味切。以水二升,煮取一升,分服,甚妙。
《圣惠》栀子仁散 治小儿热痢腹痛,心烦口干,小便赤黄,不欲饮食。
栀子仁 当归(锉、微炒。各半两) 黄柏 地榆(微炙,锉。各三分) 黄连(一两,去须,微炒)
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。
乌梅散 治小儿热痢,但壮热多渴,而痢不止。
乌梅(二枚,微炒,去核) 黄连(去须,微炒) 蓝叶(各一分) 犀角(屑) 阿胶(捣碎,
炒令黄燥) 甘草(炙微赤,锉各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓放温,不计时候,量儿大小分减服之。
《形证》治赤痢开胃散
白术 茯苓 人参(各半钱) 石莲子(去皮壳心,十个)
上为末。藿香汤下半钱。
(孔氏)治赤白痢骨立。地榆一斤,水三升,煮升半,去滓,煎如饧,空腹服。
黄连例(钱氏法) 加黄柏,为二圣丸(治疳)。加橘皮,为橘连丸(治疳)。加榆仁,为榆连丸
(治疳)。加黄芩、大黄,为三黄丸(治积热)。加阿胶、茯苓,为阿胶丸(治痢)。加诃子、木香,为小香
连丸(治痢)。加豆蔻、木香,为豆蔻香连丸(治泻)。加木香、白附子,为白附子香连丸(治痢)。加阿
胶、当归、干姜,为驻车丸(治痢)。
张元素(字洁古,号海藏)治疗赤痢(红色脓血便),使用四君子汤加入赤芍药、当归,并放入少许粟米一同煎煮。
黄连解毒汤:治疗时行疫病三天后,已经发汗解表,但患者仍感到烦闷干呕,口燥呻吟,胡言乱语无法安卧;也用于治疗热痢。
配方:黄连(三钱)、黄柏(半两)、栀子(四个,掰开)、黄芩(一两)。
制法:将上述药材切碎成散剂。每次服用三钱,加水一盏,煎至六分,滤去药渣后服用。
泼火散:治疗中暑引起的烦躁、口渴口干,以及治疗血痢。
配方:青皮(去白)、赤芍药、黄连(去须)、地榆(各等分)。
制法:将上述药材研为细末。每次服用一钱,用冷水调服。如果是蓄积热气导致气血妄行,可加入甘草。
芍药柏皮丸:治疗各种严重的痢疾,伴有里急后重、腹痛及脓血便。
配方:芍药、黄柏(各一两)、当归、黄连(各半两)。
制法:将上述药材研为末,滴入清水制成丸剂,大小如小豆。每次服用二三十丸,用温开水送服。可加枳壳。
宽肠枳壳散:顺气止痢。
配方:甘草(六钱,炙)、枳壳(去瓤、炒,二两四钱)。
制法:将上述药材研为细末。每次服用一钱,空腹时用沸水冲服。
三黄熟艾汤:治疗积滞,脏腑下痢赤白相间,以及治疗伤寒四五日后出现的大热痢,服用其他药物多不能止住者,适宜服用此方。
配方:黄芩、黄连、黄柏(各七钱半)、熟艾(半个鸡蛋大小)。
制法:将上述药材切碎成散剂。每次服用三钱,加水一盏,煎至六分,滤去药渣后温服。
地榆散:治疗泻痢和血痢。
配方:地榆、诃子、甘草(各等分)。
制法:将上述药材研为末。用盐米汤调服。如果有热象,可加黄芩。
又一方:
配方:地榆、诃子、浓朴(姜制,各等分)。
制法:将上述药材切碎成散剂。每次服用二钱,加水一盏,加生姜、大枣煎服。
地榆饮:治疗冷热痢,腹痛下痢,赤白相兼且频繁发作。
配方:地榆、甘草、芍药、枳壳(各二钱半)。
制法:将上述药材切碎成散剂。每次服用二钱,用白水煎服。加入黄连效果更佳。
又一方:
配方:地榆、乌梅、柏皮、甘草、当归(各等分)。
制法:将上述药材切碎成散剂。每次服用二钱,煎服。
川草散:治疗腹痛下痢赤白相间,不论病程长短。
配方:川芎、白芷、甘草(半生半炙,各七钱)、赤芍、当归(酒洗)、净黄连(各五钱)。
制法:将上述药材切碎焙干后研为末。每次服用半钱至一钱。白痢用白姜汤调服,赤痢用甘草汤调服,赤白痢用温米清汤调服。均空腹服用。
《本事方》治疗小儿赤痢:
捣取青蓝汁二升,分四次服用。(《圣惠方》治疗小儿中蛊毒下血)
治疗小儿大便带血:
甘草五分,用水六合,煎取二合,滤去药渣,一岁幼儿一日服完。
钱乙的黄柏丸:治疗小儿热痢下血。
配方:黄柏(去皮,半两)、赤芍药(四钱)。
制法:将上述药材研为末,用米饭和丸,大小如麻子。每次服用一二十丸,饭前用米饮送服。根据患儿情况加减剂量。
栀子丸:治疗婴幼儿热痢不止。
配方:栀子(七枚)、黄柏(三分)、黄连(五分)、矾石(四分)、大枣(四枚,炙至黑)。
制法:将上述五味药材研为末,蜂蜜和丸,大小如小豆。每次服用五丸,白天三次,夜间两次。如果无效,稍增加至十丸。
《外台秘要》子芩汤:治疗小儿热痢。
配方:子芩(十二分)、知母、女萎(各六分)、竹叶(切,八分)、黄柏、甘草(炙,各四分)。
制法:将上述六味药材切碎。用水二升,煮取一升,分次服用,效果很好。
《圣惠方》栀子仁散:治疗小儿热痢腹痛,心烦口干,小便赤黄,不欲饮食。
配方:栀子仁、当归(锉碎、微炒,各半两)、黄柏、地榆(微炙,锉碎,各三分)、黄连(一两,去须,微炒)。
制法:将上述药材捣碎,过细筛成为散剂。每次服用半钱,用粥饮调服,每日三四次,根据患儿年龄大小调整剂量。
乌梅散:治疗小儿热痢,表现为壮热多渴,但痢疾不止。
配方:乌梅(二枚,微炒,去核)、黄连(去须,微炒)、蓝叶(各一分)、犀角(屑)、阿胶(捣碎,炒至黄燥)、甘草(炙微赤,锉碎,各半两)。
制法:将上述药材捣碎,粗筛成为散剂。每次服用一钱,用水一小盏,煎至五分,滤去药渣放温,不限时候,根据患儿年龄大小调整剂量服用。
《形证》治疗赤痢开胃散:
配方:白术、茯苓、人参(各半钱)、石莲子(去皮壳心,十个)。
制法:将上述药材研为末。用藿香汤调服半钱。
(孔氏)治疗赤白痢导致身体消瘦如骨立者:
用地榆一斤,水三升,煮至剩升半,滤去药渣,煎至如饴糖状,空腹服用。
黄连例(钱乙的方法):
加黄柏,制成二圣丸(治疗疳积)。加橘皮,制成橘连丸(治疗疳积)。加榆仁,制成榆连丸(治疗疳积)。加黄芩、大黄,制成三黄丸(治疗积热)。加阿胶、茯苓,制成阿胶丸(治疗痢疾)。加诃子、木香,制成小香连丸(治疗痢疾)。加豆蔻、木香,制成豆蔻香连丸(治疗泄泻)。加木香、白附子,制成白附子香连丸(治疗痢疾)。加阿胶、当归、干姜,制成驻车丸(治疗痢疾)。
Zhang Yuansu (courtesy name Jiegu, pseudonym Haicang) treated red dysentery (dysentery with bloody stools) using Sijunzi Tang (Four Gentlemen Decoction) added with Chishao Yao (Red Peony Root), Danggui (Angelica Sinensis), and a small amount of Setaria Italica (Millet) for simultaneous decoction.
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity): Treats epidemic febrile diseases after three days, where sweating has resolved the exterior syndrome, but the patient still suffers from vexation, dry retching, dry mouth, groaning, delirious speech, and inability to lie down; also treats heat dysentery.
Ingredients: Huanglian (Rhizoma Coptidis, 3 qian), Huangbai (Cortex Phellodendri, half liang), Zhizi (Fructus Gardeniae, four fruits, broken apart), Huangqin (Radix Scutellariae, 1 liang).
Preparation: Coarsely crush into a powder. Take 3 qian per dose, add one zhan of water, decoct until reduced to six-tenths, strain, and take.
Pohuo San (Extinguish Fire Powder): Treats irritability and thirst due to heatstroke, as well as blood dysentery.
Ingredients: Qingpi (Pericarpium Citri Reticulatae, white pith removed), Chishao Yao (Red Peony Root), Huanglian (Rhizoma Coptidis,须 removed), Diyü (Radix Sanguisorbae, equal parts).
Preparation: Grind into a fine powder. Take 1 qian per dose, mix with cold water. If heat accumulation causes reckless movement of qi and blood, add Gancao (Licorice Root).
Shaoyao Bapi Wan (Peony and Phellodendron Pill): Treats all types of severe dysentery characterized by tenesmus, abdominal pain, and pus-blood stools.
Ingredients: Shaoyao (Peony Root), Huangbai (Cortex Phellodendri, each 1 liang), Danggui (Angelica Sinensis), Huanglian (Rhizoma Coptidis, each half liang).
Preparation: Grind into powder, mix with drops of water to form pills the size of adzuki beans. Take 20-30 pills per dose, swallow with warm water. Zhiqiao (Bitter Orange Fruit) may be added.
Kuanchang Zhiqiao San (Intestine-Widening Bitter Orange Powder): Smooths qi flow and stops dysentery.
Ingredients: Gancao (Licorice Root, 6 qian, honey-fried), Zhiqiao (Bitter Orange Fruit, pulp removed, stir-fried, 2 liang 4 qian).
Preparation: Grind into a fine powder. Take 1 qian per dose, mix with boiling water and take on an empty stomach.
Sanhuang Shuai Ai Tang (Three Yellows and Prepared Mugwort Decoction): Treats stagnation and dysentery with mixed red and white discharge from the viscera; also treats severe heat dysentery occurring four to five days after contraction of Cold Damage (Shanghan), which persists despite other medications.
Ingredients: Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri, each 7.5 qian), Shuai Ai (Prepared Artemisia Argyi Herb, size of half a chicken egg).
Preparation: Coarsely crush into a powder. Take 3 qian per dose, add one zhan of water, decoct until reduced to six-tenths, strain, and take warm.
Diyü San (Sanguisorba Powder): Treats diarrhea-dysentery and bloody dysentery.
Ingredients: Diyü (Radix Sanguisorbae), Hezi (Chebula Fruit), Gancao (Licorice Root, equal parts).
Preparation: Grind into powder. Mix with salted rice soup for administration. Add Huangqin if there is heat.
Another Prescription:
Ingredients: Diyü (Radix Sanguisorbae), Hezi (Chebula Fruit), Houpo (Magnolia Bark, ginger-processed, equal parts).
Preparation: Coarsely crush into a powder. Take 2 qian per dose, add one zhan of water, decoct with fresh ginger and jujube, and take.
Diyü Yin (Sanguisorba Drink): Treats cold-heat dysentery, abdominal pain with frequent mixed red and white dysenteric stools.
Ingredients: Diyü (Radix Sanguisorbae), Gancao (Licorice Root), Shaoyao (Peony Root), Zhiqiao (Bitter Orange Fruit, each 2.5 qian).
Preparation: Coarsely crush into a powder. Take 2 qian per dose, decoct in plain water. Adding Huanglian is excellent.
Another Prescription:
Ingredients: Diyü (Radix Sanguisorbae), Wumei (Mume Fruit), Bapi (Phellodendron Bark), Gancao (Licorice Root), Danggui (Angelica Sinensis, equal parts).
Preparation: Coarsely crush into a powder. Take 2 qian per dose, decoct and take.
Chuancao San (Ligusticum and Licorice Powder): Treats abdominal pain with mixed red and white dysenteric stools, regardless of duration.
Ingredients: Chuanxiong (Rhizoma Ligustici), Baizhi (Radix Angelicae Dahuricae), Gancao (Licorice Root, half raw half fried, each 7 qian), Chishao (Red Peony Root), Danggui (Angelica Sinensis, wine-washed), Jing Huanglian (Pure Rhizoma Coptidis, each 5 qian).
Preparation: Crush, bake, and grind into powder. Take 0.5 to 1 qian per dose. For white dysentery, mix with white ginger soup; for red dysentery, mix with licorice soup; for mixed dysentery, mix with warm clear rice soup. Take on an empty stomach.
Emergency Prescription for Treating Heat Dysentery:
Mix well-water with aged tea honey, grate fresh ginger, and drink when thirsty.
*Ben Shi Fang* (Formulas of Worth) for treating pediatric red dysentery:
Crush and extract two sheng of Qinglan juice (Indigofera tinctoria juice), divide into four doses. (*Sheng Hui Fang* treats pediatric hematochezia due to gu poison).
Treating pediatric hematochezia:
Gancao (Licorice Root, 5 fen), decoct in 6 he of water until 2 he remains, strain, and have a one-year-old infant consume it all in one day.
Qian Yi's Huangbai Wan (Phellodendron Pill): Treats pediatric heat dysentery with bloody stools.
Ingredients: Huangbai (Cortex Phellodendri, bark removed, half liang), Chishao Yao (Red Peony Root, 4 qian).
Preparation: Grind into powder, mix with cooked rice to form pills the size of sesame seeds. Take 10-20 pills per dose before meals with rice drink. Adjust dosage according to the child.
Zhizi Wan (Gardenia Pill): Treats persistent heat dysentery in infants and young children.
Ingredients: Zhizi (Fructus Gardeniae, seven fruits), Huangbai (Cortex Phellodendri, 3 fen), Huanglian (Rhizoma Coptidis, 5 fen), Fanshi (Alumen, 4 fen), Dazao (Jujube, four fruits, roasted until black).
Preparation: Grind the five ingredients into powder, mix with honey to form pills the size of adzuki beans. Take five pills per dose, three times during the day and twice at night. If ineffective, slightly increase to ten pills.
*Waitai Mi Yao* (Essential Prescriptions Worth a Thousand Gold for Emergencies) Ziqin Tang (Seed Scutellaria Decoction): Treats pediatric heat dysentery.
Ingredients: Ziqin (Radix Scutellariae, 12 fen), Zhimu (Rhizoma Anemarrhenae), Nuwei (Herba Polygoni Avicularis, each 6 fen), Zhuye (Bamboo Leaf, cut, 8 fen), Huangbai (Cortex Phellodendri), Gancao (Licorice Root, honey-fried, each 4 fen).
Preparation: Cut the six ingredients. Boil in two sheng of water until one sheng remains, divide and take. Very effective.
*Sheng Hui Fang* (Holy Healing Formulas) Zhiren San (Gardenia Kernel Powder): Treats pediatric heat dysentery with abdominal pain, vexation, dry mouth, dark yellow urine, and loss of appetite.
Ingredients: Zhiren (Gardenia Kernel), Danggui (Angelica Sinensis, crushed, lightly stir-fried, each half liang), Huangbai (Cortex Phellodendri), Diyü (Radix Sanguisorbae, lightly roasted, crushed, each 3 fen), Huanglian (Rhizoma Coptidis, 1 liang, must removed, lightly stir-fried).
Preparation: Pound the ingredients, sift finely into a powder. Take half a qian per dose, mixed with porridge drink, three to four times daily. Adjust based on the child's age.
Wumei San (Mume Powder): Treats pediatric heat dysentery characterized by high fever, excessive thirst, and persistent dysentery.
Ingredients: Wumei (Mume Fruit, two fruits, lightly stir-fried, pits removed), Huanglian (Rhizoma Coptidis, must removed, lightly stir-fried), Lanye (Isatis Leaf, each 1 fen), Xijiao (Rhinoceros Horn, shaved), Ejiao (Donkey-Hide Gelatin, crushed, stir-fried until yellow and dry), Gancao (Licorice Root, honey-roasted until reddish, crushed, each half liang).
Preparation: Pound the ingredients, sieve coarsely into a powder. Take 1 qian per dose, add one small zhan of water, decoct until five-tenths remain, strain, let cool to warm, and take at any time, adjusting dosage according to the child's age.
*Xing Zheng* (Symptom Manifestations) Ka Wei San (Appetite-Opening Powder) for treating red dysentery:
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Renshen (Ginseng Radix, each half qian), Shilianzi (Nelumbo Nucifera Seed, shell and heart removed, ten fruits).
Preparation: Grind into powder. Take half a qian, mixed with Huoxiang Tang (Patchouli Decoction).
(Kong Shi) Treating red-white dysentery leading to emaciation (body like bone structure):
Use one jin of Diyü (Radix Sanguisorbae), three sheng of water, boil until half a sheng remains, strain, decoct until syrupy consistency, and take on an empty stomach.
Huanglian Examples (Method of Qian Yi):
Add Huangbai to make Ersheng Wan (Two Sages Pill) (treats gan syndrome); add Jupi (Tangerine Peel) to make Julian Wan (Orange-Coptis Pill) (treats gan syndrome); add Yuren (Elm Kernel) to make Yulian Wan (Elm-Coptis Pill) (treats gan syndrome); add Huangqin and Dahuang to make Sanhuang Wan (Three Yellows Pill) (treats accumulated heat); add Ejiao and Fuling to make Ejiao Wan (Donkey-Hide Gelatin Pill) (treats dysentery); add Hezi and Muxiang to make Xiaoxianglian Wan (Minor Muxiang-Coptis Pill) (treats dysentery); add Doukou and Muxiang to make Doukou Xianglian Wan (Cardamom-Muxiang-Coptis Pill) (treats diarrhea); add Muxiang and Baifuzi to make Baifuzi Xianglian Wan (Baifuzi-Muxiang-Coptis Pill) (treats dysentery); add Ejiao, Danggui, and Ganjiang to make Zhuche Wan (Park the Carriage Pill) (treats dysentery).