小儿卒痢者，由肠胃虚，暴为冷热之气所伤，而为卒痢。热则色黄赤，冷则色青白，若
冷热相交，则变为赤白滞痢也。
春伤于风，至夏为洞泄。小儿春时解脱，为风所伤，藏在肌肉，至夏因为水谷痢，经久
连滞不瘥也。
凡水谷痢久，肠胃虚，易为冷热。得冷则变白脓，得热则变赤血，若冷热相加，则赤白
相杂。痢久则变肿满，亦变病 ，亦令呕哕，皆由痢久脾胃虚所为也。
重下痢者，此是赤白滞下，利而挟热多者，热结肛门，痢不时下，而久KT 气，谓
之重下痢也。
此是赤痢肠虚极，肠间脂与血俱下，故谓痢如膏血也。
岁时寒暑不调，而有毒疠之气，小儿解脱，为其所伤，邪与血气相搏，入于肠胃，毒瓦斯
蕴积，值大肠虚者，则变痢血。其痢状，血色蕴瘀如鸡鸭肝片，随痢下。此是毒瓦斯盛热，食
于人脏，状如中蛊，故谓之蛊毒痢也。
此是水谷痢，津液枯竭，腑脏虚燥则引饮。若小便快者，痢断渴则止。若小便涩，水不
行于小肠，渗入肠胃，渴亦不止，痢亦不断。凡如此者，皆身体浮肿，脾气弱，不能克水故
也。亦必眼痛生障。小儿上焦本热，今又痢，下焦虚，上焦热气转盛，热气熏肝故也。
小儿所以有 病者，妇人怀娠，有恶神导其腹中胎，妒嫉而制伏他小儿令病也。妊
娠妇人，不必悉能制 ，人时有此耳。 之为疾，喜微微下，寒热有去来，毫毛发
不悦，是其证也。
小儿突发痢疾，是由于肠胃虚弱，突然受到冷、热邪气的侵袭，从而引发突发性痢疾。若感受热邪，大便颜色呈黄赤色；若感受寒邪，大便颜色呈青白色；若冷热邪气相互交争，则转变为赤白相间的黏液脓血便（滞痢）。
春季感受风邪，到了夏季会发展为洞泄（水样腹泻）。小儿在春季衣着单薄，被风邪所伤，邪气潜伏在肌肉之间，到了夏季因饮食不当引发水谷痢，经久不愈，缠绵难好。
凡是水谷痢日久不愈，肠胃虚弱，容易受冷、热邪气影响。遇到冷邪则变为白色脓液，遇到热邪则变为红色血液，若冷热邪气相加，则赤白相间。痢疾日久会导致腹部肿胀满闷，也可能转化为疳积病，还会引起呕吐呃逆，这都是因为久痢导致脾胃虚弱所致。
所谓“重下痢”，是指赤白相间的滞下痢疾，泻下时伴有较多热象，热邪结聚于肛门，痢疾不时发作，且长期耗伤正气，称之为重下痢。
这是指赤痢导致肠道极度虚弱，肠间的脂膜与血液一同排出，所以称为痢疾如膏状伴血。
岁时寒暑失调，存在有毒的疠气，小儿衣着单薄，被其伤害，邪气与气血相搏，进入肠胃，毒气蕴积，正值大肠虚弱时，就会变成痢血。这种痢疾的症状是，血色瘀滞如同鸡鸭肝片，随痢疾排出。这是因为毒气盛热，侵入人体脏腑，症状类似中蛊，所以称为蛊毒痢。
这是指水谷痢导致津液枯竭，腑脏虚燥而引渴饮水。如果小便通畅，痢疾停止后口渴也会缓解。如果小便涩滞，水液不能正常输布于小肠，反而渗入肠胃，则口渴不止，痢疾也不断绝。凡属这种情况，身体都会出现浮肿，这是因为脾气虚弱，不能制约水湿的缘故。同时也必然会出现眼痛生翳障。小儿上焦原本有热，如今又患痢疾，导致下焦虚弱，上焦热气更加旺盛，热气熏蒸肝脏所致。
小儿之所以患有“疰”病（注：原文此处有缺字或异体字，结合语境及后文描述，通常指疰忤或类似传染病/寄生虫病，此处依原文“病”字处理，但根据后文“恶神...妒嫉”等描述，实为古代迷信色彩浓厚的“疰”或“中恶”类病症，此处暂译为疰病），是因为孕妇怀胎时，有恶神引导腹中的胎气，嫉妒并克制其他小儿使其生病。怀孕的妇女，不一定都能控制这种邪气，只是偶尔会有这种情况发生。“疰”这种疾病，喜欢轻微地向下坠胀感，寒热往来，毛发不适，这就是它的证候表现。
Pediatric sudden dysentery arises from the deficiency of the intestines and stomach, where a sudden invasion by cold or pathogenic heat leads to acute dysentery. If affected by heat, the stool color is yellowish-red; if affected by cold, the stool color is bluish-white. When cold and heat pathogens interact, it transforms into sticky dysentery with mixed red and white discharge (Chi Bai Zhi Li).
Injury by wind in spring may lead to "Dong Xie" (profuse watery diarrhea) in summer. In spring, children often dress lightly and are injured by wind; the pathogen hides in the muscles. By summer, improper diet triggers water-and-grain dysentery, which persists for a long time without healing.
When water-and-grain dysentery lasts for a long time, the intestines and stomach become deficient and susceptible to cold and heat. Exposure to cold transforms into white pus; exposure to heat transforms into red blood. If cold and heat combine, red and white mix. Prolonged dysentery can lead to abdominal swelling and fullness, may transform into "Gan" syndrome (infantile malnutrition), and cause vomiting and hiccups, all due to spleen and stomach deficiency caused by prolonged dysentery.
"Heavy Lower Dysentery" refers to sticky dysentery with mixed red and white discharge, characterized by significant heat signs during defecation. Heat binds at the anus, causing intermittent dysentery and chronic depletion of Qi, termed Heavy Lower Dysentery.
This refers to severe red dysentery where the intestines are extremely deficient, causing intestinal mucosa and blood to be discharged together, described as dysentery resembling paste and blood.
Disorderly seasonal cold and heat generate toxic pestilential Qi. Children dressed lightly are injured by this; the pathogen battles with blood and Qi, entering the intestines and stomach. Toxic Qi accumulates, and when the large intestine is deficient, bloody dysentery occurs. The stool contains dark, clotted blood resembling slices of chicken or duck liver. This is caused by intense toxic heat invading the viscera, resembling gu poison infection, hence called Gu Du Dysentery.
Water-and-grain dysentery depletes body fluids, causing visceral dryness and thirst. If urination is smooth, stopping dysentery also stops thirst. If urination is difficult, water fails to distribute through the small intestine and leaks into the intestines, causing persistent thirst and unceasing dysentery. Such cases result in generalized edema because weak spleen Qi cannot control water retention. Eye pain and visual obstructions (cataracts/glare) are also inevitable. Children have inherent heat in the upper jiao; dysentery causes deficiency in the lower jiao, intensifying upper jiao heat, which steams the liver.
The reason children suffer from "Zhu" disease (a type of infectious or parasitic condition attributed to spiritual influence in ancient texts) is that a pregnant woman's fetus may be influenced by malevolent spirits, leading to jealousy that harms other children. Pregnant women do not always exert this influence, but it happens occasionally. Symptoms of Zhu disease include a sensation of slight downward dragging, alternating chills and fever, and discomfort of the hair and skin.