此药性温,可以补元气之不足。
人参、白术、白茯苓、甘草。水一盅,姜三片,枣二
枚,水煎温服。
此药性温而涩,所以止滑也。
内蔻(面煨)五钱,赤石脂七钱五分,广木香二钱,
砂仁二钱,枯矾七分半,白龙骨五钱,诃子肉五钱。共
为末,水糊为丸,陈米汤送下。
此治渴之圣药也。
人参、白术、白茯苓、木香、藿香叶、甘草各一
两,干葛二钱。共为粗末,每用一、二钱,姜三片引,
水煎极。袖珍方:非干葛,乃干姜也。
此治虚热之圣药也。
黄祗、人参、甘草。如热不退,加干姜即效。
如身热手足寒者,加熟附一片,煎服。
祖转治泄泻不止,不问寒热,只用胃苓丸,兼一粒金丹。以
车前草同炒米煎汤服之。
凡久泻(23)不止,精神美好,面赤唇红者,不治。
凡久泻(24)不止,作渴不休者不治。
凡久泻(25)不止,脉沉细,遍身皮冷,不思乳食,泄滑不止
者,不治。
凡久泻(26)不止,又成惊搐者,不治。
凡久泻(27)不止,变成赤白痢疾者,不治。
凡久泻(28)不止,大肉消瘦者,不治。
凡久泻(29)不止,大孔如竹筒不收闭者,不治。
凡泄泻(30)不问轻重,只要饮食如常,不生他症着,不难于治
而易愈。
西 江 月
泄泻秘传治法,等闲不语时人,如今传授救儿婴,以积心田
一顷(31)。初次且行淡渗,温中以次施行,三升四塞救儿婴,此方
古今永定。
泄泻如何发作?只因水谷无分,所以淡渗法先行,小便长而
泄定。滑百车前赤茯,人参白术猪苓,甘草泽泻与砂仁,姜枣煎来
作引。
淡渗行而又泄,须防谷气中虚,温中丸散不须拘,断要一时
泄住。白术人参砂藿,炙姜炙草根据书,乌梅熟附泽泻猪,引用生姜
作主。
温中若还不效,中气下陷须提,人参白术与黄祗,甘草干姜
炙取。泽泻猪苓赤茯,升麻熟时乌梅,柴胡白芍与当归,引用姜枣
休弃。
以此升提未止,只因肠滑难收。塞用通用更何优,击其指
归(32)可救。参术炙姜炙草,乌梅粟壳相扶,升麻诃子芍归求,
姜枣同煎温服。
法尽泄还不止。其间吉少凶多,假饶父母不奈何,要你医时
休错。参术附陈姜枣,砂仁豆寇粟河,干蟾芦荟木香和,赤石醋丸
服可。
泄泻时常作渴,白术散子如仙,人参白术木香兼,干葛藿香
叶片,甘草茯苓七味,乌梅加上同煎,临时再用伏龙肝,此法千
金不换。
泄泻如常治法,不须别用心机,只将黑姜(33)胃苓医,三服自
然停息。如此不能取效,根据前四法支持,吾将心法教人知,才显
明医三世。
五六月间泄泻,其中寒少热多,理中丸子救沉苛,玉露散子
真可。不效四苓作引,同吞理中调和,自然泄止莫磋跎,活得人多
念我。
夏月人多泄泻,腹疼频热相攻,猪苓泽泻茯苓同,甘草干姜
炙用。白术黄连滑石,人参砂藿温中,升麻提气妙无穷,更把乌梅
煎送。
泄泻症虽各别,大要总因湿成,风寒水湿中人身,乳食过伤
为病。此由中气不足,脾胃积滞惟深,以致气脉不调匀,故成泄泻
之症。
人皆知有泄泻,当分泄泻原根,冷则滑泄故无声,热则肠结
为病。故致里急后重,如水注下有声,此名泻症热缘因,下面条
陈(34)病症。
细详冷泻病症,腹中却似雷鸣,注下清白水之形,面白肚疼
等症。甚者四肢厥逆,此由儿溺寒侵,寒气在腹刺攻人,故令儿患
此症。
热泄色多黄赤,小便不利心烦,口燥作渴定咽干,食乳必粗
可验。此由肠胃挟热,冷风乘入其间,热气相搏(35)不安然,所以
儿有此患。
冷热不均泄泻,泻色赤白不常,或水或谷病为殃,小儿如何
抵当。此由先冷后热,先热复被冷伤,肠胃宿虚亏中脏,冷热交攻
匀当。
更有伤食而泄,腹痛乳食不思,面黄寒热异常时,粪多酸臭
气味。此由乳食过度,以致脾胃伤亏,遂成泄泻病孩提,小儿多有
此疾。
又有一般暑泄,多于暑热之时,亦宜寒热症中推,庶好斟酌
用剂。若或泻穣赤白,腹大青筋发稀,或吃泥土出蛔时,此为疳泄
之疾。
又见泄多背色,亦或发热有时,睡卧不安忽惊悸,乃是惊泄
之势。此是脾受肝克,速宜及早医之,若变脾风痪疯时,就是神仙
费力。
泄泻注成黄水,或渴不渴殊途,此在风湿症中求,多病春天
时侯。如或泻下清水。腹中不作痛楚,此是纯湿病之由,病传阴
雨之侯(36]。
泄泻肠滑不止,湿伤元气陷虚,药宜升举救儿躯,才得医理
妙处。如或泄泻日久,身热仍旧不除,此为日久气多虚,调元汤剂
宜服。
丹溪治泄之法。泻水腹无痛疼,此症因受湿分明。四苓二术
当增。饮食入胃不住,宿谷不化犹存,此则气虚病之根,参术升麻
芍并。
腹内痛甚而泻,泻后痛减觉轻。此在食积症中寻,神曲大黄
推渗。一痛一泄成障,泄火更见肠鸣,火症分明用四苓,加上芩通
尤胜。
大端泄泻诸症,治法条贯分明,医人最要细详论,尤贵根据方
对症,调治只根据前法,涩药切莫先行,若然胡乱败章程,反变痢脓
重症。
泄泻不知症候,许久不止堪扰,精神美好渴无休,面赤唇红
消瘦。脉理若见沉细,滑泄不乳烦愁,变痢赤白或惊搐,大孔如
简不救。
此药性温,可以补元气之不足。
人参、白术、白茯苓、甘草。用水一盅,生姜三片,大枣二枚,加水煎煮后温服。
此药性温而涩,所以能止住滑脱(腹泻)。
内蔻(面粉煨制)五钱,赤石脂七钱五分,广木香二钱,砂仁二钱,枯矾七分半,白龙骨五钱,诃子肉五钱。共研为细末,用水糊做成丸剂,用陈米汤送服。
这是治疗口渴的圣药。
人参、白术、白茯苓、木香、藿香叶、甘草各一两,干葛二钱。共研为粗末,每次取一、二钱,以生姜三片为引,加水煎至极浓服用。《袖珍方》记载:此处非干葛,而是干姜。
这是治疗虚热的圣药。
黄祗(即黄芪)、人参、甘草。如果热势不退,加入干姜即见效。
如果出现身体发热但手足寒冷的症状,加入熟附子一片,煎煮后服用。
祖传经验治疗泄泻不止,不分寒证热证,只用胃苓丸,配合一粒金丹。用车前草同炒米煎汤送服。
凡是久泻不止,精神面貌良好,面色红赤嘴唇红润的,属于不治之症。
凡是久泻不止,口渴不停的,属于不治之症。
凡是久泻不止,脉象沉细,全身皮肤冰冷,不想吃奶进食,大便滑脱不禁的,属于不治之症。
凡是久泻不止,又出现惊风抽搐的,属于不治之症。
凡是久泻不止,变成赤白痢疾的,属于不治之症。
凡是久泻不止,大肌肉消瘦的,属于不治之症。
凡是久泻不止,肛门如竹筒般无法闭合的,属于不治之症。
凡是泄泻,无论轻重,只要饮食正常,不产生其他病症,就不难治疗且容易痊愈。
西江月词:
泄泻秘传的治法,轻易不告诉普通人,如今传授来救治婴儿,以此积德心田一顷。初次先用淡渗利湿法,随后施行温中法,三次升提四次固涩来救婴儿,此方古今永远确定。
泄泻是如何发作的?只因水谷不分,所以先采用淡渗利湿法,小便通畅则泄泻自定。滑石、车前子、赤茯苓、白术、人参、猪苓,甘草、泽泻与砂仁,加姜枣煎煮作为药引。
淡渗利湿之后仍然泄泻,须防备谷气中焦虚弱,温中丸散不必拘泥,一定要一时止住泄泻。白术、人参、砂仁、藿香,炙姜、炙甘草依据书本,乌梅、熟附子、泽泻、猪苓,引用生姜为主。
温中法如果不效,说明中气下陷需要提升,用人参、白术与黄芪,甘草、干姜炙取。泽泻、猪苓、赤茯苓,升麻、熟大黄、乌梅,柴胡、白芍与当归,引用姜枣不要抛弃。
以此升提法仍未止住,只因肠滑难以收敛。固涩通用还有什么更好,探究其指归可以挽救。人参、白术、炙姜、炙草,乌梅、粟壳相互扶持,升麻、诃子、芍药、当归寻求,姜枣同煎温服。
方法用尽泄泻仍不止,其间吉利少凶险多,假如父母无可奈何,要求你在医治时不要出错。人参、白术、附子、陈皮、姜、枣,砂仁、豆蔻、粟壳,干蟾、芦荟、木香调和,赤石脂醋丸服用有效。
泄泻时常伴有口渴,白术散子如仙方,人参、白术、木香兼有,干葛、藿香叶片,甘草、茯苓七味药,加上乌梅同煎,临时再用伏龙肝,此法千金不换。
泄泻按常法治疗,不需别用心机,只用黑姜和胃苓丸,三服药自然停息。如此不能取效,根据前面四种方法支持,我将心法教人知晓,才显明医三世传承。
五六月间泄泻,其中寒少热多,理中丸子救治重病,玉露散子真可信赖。不效时用四苓散作引,同吞理中丸调和,自然泄止莫迟疑,活人多念我恩。
夏月人多泄泻,腹痛频数热邪相攻,猪苓、泽泻、茯苓同用,甘草、干姜炙用。白术、黄连、滑石,人参、砂仁、藿香温中,升麻提气妙无穷,再把乌梅煎送。
泄泻症状虽各不相同,大要总因湿气而成,风寒水湿侵入人身,乳食过伤致病。此由中气不足,脾胃积滞深重,以致气脉不调匀,故成泄泻之症。
人皆知有泄泻,当分泄泻原根,冷则滑泄故无声,热则肠结为病。故致里急后重,如水注下有声,此名泻症热缘因,下面条陈病症。
细详冷泻病症,腹中却似雷鸣,注下清白水之形,面白肚疼等症。甚者四肢厥逆,此由儿溺寒侵,寒气在腹刺攻人,故令儿患此症。
热泄色多黄赤,小便不利心烦,口燥作渴定咽干,食乳必粗可验。此由肠胃挟热,冷风乘入其间,热气相搏不安然,所以儿有此患。
冷热不均泄泻,泻色赤白不常,或水或谷病为殃,小儿如何抵当。此由先冷后热,先热复被冷伤,肠胃宿虚亏中脏,冷热交攻匀当。
更有伤食而泄,腹痛乳食不思,面黄寒热异常时,粪多酸臭气味。此由乳食过度,以致脾胃伤亏,遂成泄泻病孩提,小儿多有此疾。
又有一般暑泄,多于暑热之时,亦宜寒热症中推,庶好斟酌用剂。若或泻穣赤白,腹大青筋发稀,或吃泥土出蛔时,此为疳泄之疾。
又见泄多背色,亦或发热有时,睡卧不安忽惊悸,乃是惊泄之势。此是脾受肝克,速宜及早医之,若变脾风痪疯时,就是神仙费力。
泄泻注成黄水,或渴不渴殊途,此在风湿症中求,多病春天时侯。如或泻下清水。腹中不作痛楚,此是纯湿病之由,病传阴雨之侯。
泄泻肠滑不止,湿伤元气陷虚,药宜升举救儿躯,才得医理妙处。如或泄泻日久,身热仍旧不除,此为日久气多虚,调元汤剂宜服。
丹溪治疗泄泻的方法。泻水腹部无痛疼,此症因受湿分明。四苓散加二术应当增加。饮食入胃不住,宿谷不化犹存,此则气虚病之根,人参、白术、升麻、芍药并用。
腹内痛甚而泻,泻后痛减觉轻。此在食积症中寻,神曲、大黄推渗。一痛一泄成障,泄火更见肠鸣,火症分明用四苓,加上芩通尤胜。
大端泄泻诸症,治法条贯分明,医人最要细详论,尤贵根据方对症,调治只根据前法,涩药切莫先行,若然胡乱败章程,反变痢脓重症。
泄泻不知症候,许久不止堪扰,精神美好渴无休,面赤唇红消瘦。脉理若见沉细,滑泄不乳烦愁,变痢赤白或惊搐,大孔如简不救。
Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Houpo), Polyporus (Zuling), Alismatis Rhizoma (Zexie), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Baifuling), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Cinnamomi Ramulus (Guangui).
The nature of this medicine is warm; it can tonify the deficiency of Yuan Qi (Original Qi).
Panax Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Baifuling), Glycyrrhizae Radix et Rhizoma (Gancao). Use one cup of water, three slices of Zingiberis Rhizoma Recens (Shengjiang), and two dates (Zao), decoct with water and take warm.
The nature of this medicine is warm and astringent; thus it stops sliding diarrhea (prolapse/loose stools).
Cardamomi Fructus (Neikou) (stir-baked with flour) 5 qian, Halloysit Rubra (Chishizhi) 7.5 qian, Aucklandiae Radix (Guangmuxiang) 2 qian, Amomi Fructus (Sharen) 2 qian, Alum (Kufan) 0.75 qian, Os Draconis (Bailonggu) 5 qian, Terminaliae Chebulae Fructus (Hezi) 5 qian. Grind all into fine powder, make pills with rice paste, and swallow with aged rice soup.
This is the sacred medicine for treating thirst.
Panax Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Baifuling), Aucklandiae Radix (Muxiang), Agastaches Herba (Huoxiangye), Glycyrrhizae Radix et Rhizoma (Gancao) each 1 liang, Puerariae Lobatae Radix (Gange) 2 qian. Grind into coarse powder, use 1-2 qian per dose, guide with three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct with water until very concentrated. *Xiuzhen Fang* records: here refers to not Puerariae Lobatae Radix (Gange), but Zingiberis Rhizoma (Shengjiang).
This is the sacred medicine for treating deficiency heat.
Astragali Membranacei Radix (Huangqi), Panax Ginseng Radix (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao). If the heat does not subside, add Zingiberis Rhizoma (Shengjiang) for effect.
If there is body heat with cold hands and feet, add one piece of Prepared Aconiti Lateralis Radix (Shu Fuzi), decoct and take.
Ancestral experience treats persistent diarrhea regardless of cold or heat patterns, using only Weiling Wan (Stomach and Cold Pill) combined with Yili Jin Dan (One Pill Golden Elixir). Take with decoction of Plantaginis Herba (Cheqiancao) stir-fried with rice.
For chronic diarrhea that does not stop, if the spirit is good, face is red, and lips are pink, it is incurable.
For chronic diarrhea that does not stop, if thirst persists without relief, it is incurable.
For chronic diarrhea that does not stop, if the pulse is deep and fine, skin is cold all over, appetite for milk/food is absent, and loose stools slide uncontrollably, it is incurable.
For chronic diarrhea that does not stop, accompanied by fright and convulsions, it is incurable.
For chronic diarrhea that does not stop, transforming into dysentery with red and white discharge, it is incurable.
For chronic diarrhea that does not stop, with emaciation of large muscles, it is incurable.
For chronic diarrhea that does not stop, with the anus like a bamboo tube unable to close, it is incurable.
For diarrhea, regardless of severity, as long as diet is normal and no other symptoms arise, it is not difficult to treat and easy to cure.
Xijiang Yue (Song Ci):
Secret methods for treating diarrhea are rarely told to ordinary people; now transmitted to save infants, accumulating merit in the heart's field. Initially employ mild diuresis (Dan Shen), then implement warming the middle (Wen Zhong); three times lifting, four times securing to save the infant; this formula is eternally fixed since ancient times.
How does diarrhea occur? Simply because fluids and food grains are not separated, so mild diuresis (Dan Shen) is applied first; when urination increases, diarrhea settles. Shi Huajie (Halloysit), Cheqianzi (Plantaginis Semen), Chifuling (Poria with Red Sand), Baizhu, Renshen, Zuling, Gancao, Zexie, and Sharen; decoct with Jiang (Ginger) and Zao (Date) as guides.
After mild diuresis, if diarrhea continues, guard against deficiency of Gu Qi (Grain Qi) in the middle; Wen Zhong (Warming Middle) pills/powders need not be rigidly adhered to, but must stop diarrhea at once. Baizhu, Renshen, Sharen, Huoxiang, Zhi Jiang (Roasted Ginger), Zhi Cao (Roasted Licorice) according to books; Wumei (Terminalia), Shu Fuzi (Prepared Aconite), Zexie, Zuling; use Shengjiang (Fresh Ginger) as main guide.
If Warming Middle fails, consider sinking of Zhong Qi (Middle Qi) requiring lifting; use Renshen, Baizhu, Huangqi, Gancao, Zhi Ganjiang (Roasted Dried Ginger). Zexie, Zuling, Chifuling, Shengma (Cimicifugae Rhizoma), Shu Dahuang (Prepared Rheum), Wumei, Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix); do not discard Jiang and Zao as guides.
If lifting fails to stop, it is due to intestinal sliding hard to retain; general astringency offers no better option, explore its direction to save. Renshen, Baizhu, Zhi Jiang, Zhi Cao, Wumei, Susuke (Poppy Shell) support each other; Shengma, Hezi, Shaoyao, Danggui sought; decoct with Jiang and Zao, take warm.
Methods exhausted yet diarrhea persists; luck is scarce, misfortune abundant. If parents are helpless, you must not err in treatment. Renshen, Baizhu, Fuzi, Chenpi, Jiang, Zao, Sharen, Doukou (Cardamom), Susuke, Ganchan (Dry Toad), Lushen (Aloe), Muxiang harmonized; Chishi (Halloysit) vinegar pill taken effectively.
Diarrhea often accompanied by thirst; Baizhu San (Powder) is like an immortal prescription. Renshen, Baizhu, Muxiang, Gange, Huoxiang leaves, Gancao, Fuling seven flavors; add Wumei and decoct together; temporarily use Fulonggan (Dragon's House Earth), this method is worth a thousand gold.
For standard diarrhea treatment, no need for special schemes; just use Heijiang (Black Ginger) and Weiling Wan, naturally stops after three doses. If this takes no effect, support according to the previous four methods; I teach the heart method to others, revealing the bright physician's three generations.
In May and June, diarrhea has less cold and more heat; Lizhong Wan (Regulate the Middle Pill) saves severe cases, Yulu San (Jade Dew Powder) is truly reliable. If ineffective, use Siling San (Four-Poria Powder) as guide, swallow Lizhong Wan to harmonize; naturally diarrhea stops, do not hesitate, saving many people will remember me.
In summer, many suffer diarrhea, frequent abdominal pain attacked by heat; Zuling, Zexie, Fuling used together, Gancao, Zhi Ganjiang (Roasted Dried Ginger) used. Baizhu, Huanglian (Coptidis Rhizoma), Huashi (Talcum), Renshen, Sharen, Huoxiang warm the middle; Shengma lifts Qi wonderfully, send down with Wumei decoction.
Although diarrhea symptoms vary, the main cause is always dampness; Wind-Cold-Water-Damp invade the body, excessive milk/food injury causes disease. This stems from insufficient Middle Qi, deep accumulation in Spleen/Stomach, causing uneven Qi and pulses, thus forming diarrhea.
Everyone knows of diarrhea, but should distinguish its root; Cold causes sliding diarrhea without sound, Heat causes intestinal knotting as disease. Thus leading to tenesmus, flowing water with sound, this is named Heat-originating Diarrhea; below details the diseases.
Detailing Cold Diarrhea symptoms: abdomen sounds like thunder, discharging clear watery form, pale face, abdominal pain etc. Severe cases have cold limbs; this is caused by children drowning in cold invasion, cold qi piercing the abdomen, thus causing this disease in children.
Heat Diarrhea color is mostly yellow-red, difficult urination, vexation, dry mouth/thirst, definite dry throat, rough feeding confirms it. This is due to intestines/stomach harboring heat, cold wind entering between, heat qi clashing uncomfortably, thus children suffer this.
Uneven Cold-Heat diarrhea, discharge color red-white irregular, either water or grain disaster, how can children withstand. This is due to first cold then heat, first heat then re-injured by cold, intestines/stomach originally deficient in middle organs, cold and heat attack evenly.
Furthermore, Food Injury diarrhea: abdominal pain, no desire for milk/food, yellow face, abnormal cold/heat times, feces have sour foul smell. This is due to excessive milk/food, injuring Spleen/Stomach, thus becoming diarrhea in infants, children often have this disease.
Also there is Summerheat Diarrhea, mostly during hot summer times, also deduced from cold/heat patterns, so as to carefully decide dosage. If discharge is red-white, big belly with blue veins, sparse hair, or eating dirt/expelling roundworms, this is Kan Diarrhea (Malnutrition Diarrhea).
Also see diarrhea with back color changes, or periodic fever, restless sleep sudden fright, this is Jing Diarrhea (Fright Diarrhea) trend. This is Spleen overcome by Liver, must treat early; if transforming into Pi Feng (Spleen Wind) convulsions, even immortals struggle.
Diarrhea pouring yellow water, thirst or no thirst different paths, seek in Wind-Damp patterns, mostly sick in spring times. If discharging clear water, abdomen not painful, this is pure Dampness disease origin, disease transmits in rainy weather.
Intestinal sliding diarrhea unceasing, Dampness injures Yuan Qi sinking into deficiency, medicines should lift to save child's body, only then grasp medical principles' wonder. If diarrhea lasts long, body heat remains unremoved, this is long-duration Qi much deficient, Tiaoyuan Tang (Regulate Origin Decoction) should be taken.
Danyu's method for treating diarrhea: Water diarrhea with no abdominal pain, this syndrome clearly due to Dampness. Siling San (Four-Poria Powder) plus Er Zhu (Two Atractylodises) should be increased. Food entering stomach not staying, undigested grain remains, this is the root of Qi deficiency disease, Renshen, Baizhu, Shengma, Shaoyao combined.
Severe abdominal pain with diarrhea, pain reduces feeling light after diarrhea. Seek in Food Stagnation syndrome, Shenqu (Massa Medicata Fermentata), Dahuang push and drain. One pain one diarrhea becomes obstacle, draining Fire sees more bowel sounds, Fire syndrome clear use Siling San, adding Qin (Scutellaria) Tong (Unblocking) is superior.
Major diarrhea syndromes, treatment methods orderly clear, physicians must detail discussion, especially value matching formula to syndrome. Treatment only follows previous methods, Astringent drugs must not go first; if randomly ruining regulations, instead transform into Dysentery Pus severe illness.
Diarrhea unknown syndrome, long time unceasing disturbing, spirit good thirst unceasing, face red lips red emaciated. Pulse logic sees deep fine, sliding diarrhea no milk vexation, transforming dysentery red-white or fright convulsion, anus like tube unrecoverable.