〔钱〕食不消,脾胃冷,故不能消化,当补脾,益黄散主之。
〔洁〕乳食不消,初病忽然气出冷,四肢亦冷,面白无光泽,精神不定,此乃胃气不和,可以大温药
治之,使君子丸、益黄散主之。若病泄泻日久不瘥,乳食不化,是脾胃有风冷。先服益黄散二服,
后用宣风散导之,胃宜再补。
〔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。
〔汤〕治痢之法,若欲取积,只用官局进食丸甚稳,虽取积又能治痢,万无一失。积已下,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。
疳泻痢日久不瘥。(见疳门独泻不胀条。)
〔钱〕泻黄、红、赤、黑者,皆热毒。泻青、白,谷不化者,胃冷。
白附香连丸 治肠胃气暴伤,乳哺冷热相杂,渴痢赤白,里急后重,腹痛扭撮,昼夜频并,乳食
减少。
黄连 木香(各一钱) 白附尖(二个)
上末,饭丸如粟米大。每服十丸至二三十丸,米饮下,食前日夜各四五服。
豆蔻香连丸 治泄泻不拘寒热赤白,阴阳不调,腹痛,肠鸣切痛,立效如神。
黄连(炒,三分) 肉豆蔻 木香(各一钱)
上为细末,粟米饭丸如米粒大。每服十丸至二三十丸,日夜各四服,食前米饮下。
〔田〕木香丸 治小儿泄泻青白脓血相杂。
黄连(吴茱萸同炒,去茱萸,一两) 肉蔻(煨,二个) 木香(一钱)
上为细末,面糊丸,如黍米大。赤痢粟米饮下,白痢浓朴汤下,空心。
〔钱〕小香连丸 治冷热腹痛,水谷利,肠滑。
木香 诃子肉(各一分) 黄连(半两)
上为细末,米饮和丸如绿豆大。每服十丸至三五十丸,食前频服之。
〔海〕赤痢,四君子加赤芍药、当归,入粟米少许,同煎。
〔汤〕治热痢备急方。用井花水调腊茶,蜜磨生姜,渴则饮之。
〔钱〕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。
〔《本》〕治小儿赤痢。捣青蓝汁二升,分四服。(《圣惠方》治小儿中蛊下血。)
〔姚〕治小儿尿血。甘草五分,以水六合,煎取二合,去渣,一岁儿一日服令尽。
〔海〕白痢。四君子等分,加干姜减半,入粟米少许,同煎。
〔《广》〕治小儿久痢淋沥,水谷不消。枳实六分,捣末,以米饮调二钱匕。二岁儿服一钱。
〔丹〕小儿噤口痢,酿乳法。
浓朴 枳壳(各五分) 白术 芍药(各半两) 滑石(一两) 木通 陈皮 甘草(各五分)
上分四帖,细研桃仁七枚,水二盏半,煎取一盏,与母服。服时去宿乳令尽,为妙。
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。)
〔田〕小儿胁下满,泻痢体重,四肢不收, 癖积聚,腹痛不嗜食,痰疟寒热∶脾 二穴。(在背十一
椎下两旁,相去各一寸五分。)
〔《明》〕秋深,冷痢不止∶脐下二三寸间动脉中(二壮。)痢下赤白,脱肛∶十二椎下节间(三壮。)
又法∶翠尾骨上三寸骨陷间(三壮,炷如小麦大。)又法∶龟尾(一壮,脊端穹骨也。)
【钱乙】食物不消化,是因为脾胃虚寒,所以无法运化,应当补益脾气,以益黄散为主方治疗。
【张洁古】乳食不消,初起时突然呼出冷气,四肢也发凉,面色苍白无光泽,精神不安定,这是胃气不和,可以用大温性的药物治疗,以使君子丸、益黄散为主方。如果腹泻日久不愈,乳食不化,这是脾胃受风冷侵袭。先服用两剂益黄散,随后用宣风散导滞通便,之后再次补益胃气。
【朱丹溪】治疗小儿痢疾。
药材:黄连、黄芩、大黄、甘草。
以上药材煎煮后服用。赤色痢疾加红花、桃仁;白色痢疾加滑石粉。
【汤氏】治疗痢疾的方法,如果想要攻下积滞,只用官方局方的进食丸非常稳妥,既能攻下积滞又能治疗痢疾,万无一失。积滞已下,立即用四君子汤加豆蔻、诃子进行补益,接着服用浓肠香连丸即可见效。
【朱丹溪】治疗小儿赤白痢疾较多,体质虚弱不能耐受攻下,病情沉重困顿者。取麻子一合,炒至香熟,研为粉末,每次服用一钱匕,用蜜浆水调和送服,有效。
疳泻痢疾日久不愈。(参见“疳门”中“独泻不胀”条目。)
【钱乙】大便呈黄色、红色、赤色、黑色的,都是热毒所致;大便呈青色、白色的,夹杂未消化谷物的,是胃寒。
白附香连丸:治疗肠胃之气突然受伤,乳哺冷热混杂,导致口渴、痢疾赤白、里急后重、腹痛绞痛,昼夜频繁发作,乳食减少。
药材:黄连、木香(各一钱),白附尖(二个)。
以上研为细末,用米饭做丸,如粟米大小。每次服用十丸至二三十丸,用米饮送下,饭前早晚各服四五次。
豆蔻香连丸:治疗泄泻不分寒热赤白,阴阳不调,腹痛,肠鸣切痛,立竿见影。
药材:黄连(炒,三分)、肉豆蔻、木香(各一钱)。
以上研为细末,用粟米饭做丸,如米粒大小。每次服用十丸至二三十丸,早晚各服四次,饭前用米饮送下。
【田氏】木香丸:治疗小儿泄泻,青白脓血混杂。
药材:黄连(与吴茱萸同炒,去吴茱萸,一两)、肉豆蔻(煨,二个)、木香(一钱)。
以上研为细末,用面糊做丸,如黍米大小。赤色痢疾用粟米饮送下,白色痢疾用厚朴汤送下,空腹服用。
【钱乙】小香连丸:治疗冷热引起的腹痛,水谷利,肠滑不禁。
药材:木香、诃子肉(各一分),黄连(半两)。
以上研为细末,用米饮和丸,如绿豆大小。每次服用十丸至三五十丸,饭前频繁服用。
【海藏】赤色痢疾:四君子汤加赤芍药、当归,加入少许粟米,共同煎煮。
【汤氏】治疗热痢的备急方。用井花水调服腊茶,用蜂蜜磨生姜汁,口渴时饮用。
【钱乙】黄柏丸:治疗小儿热痢下血。
药材:黄柏(去皮,半两)、赤芍药(四钱)。
以上研为末,用米饭和丸,如麻子大小。每次服用一二十丸,饭前用米饮送下,根据患儿情况增减剂量。
【《本草》】治疗小儿赤痢。捣取青蓝汁二升,分四次服用。(《圣惠方》治疗小儿中蛊下血。)
【姚氏】治疗小儿尿血。甘草五分,用水六合,煎取二合,去渣,一岁婴儿一日服完。
【海藏】白色痢疾:四君子汤等量,干姜减半,加入少许粟米,共同煎煮。
【《广济方》】治疗小儿久痢淋沥不尽,水谷不消化。枳实六分,研为末,用米饮调服二钱匕。两岁幼儿服一钱。
【朱丹溪】小儿噤口痢,酿乳法(通过母亲服药经乳汁传给宝宝)。
药材:厚朴、枳壳(各五分),白术、芍药(各半两),滑石(一两),木通、陈皮、甘草(各五分)。
以上分为四帖,将七枚桃仁细研,加水二盏半,煎取一盏,让母亲服用。服药时排空宿乳为佳。
黄连类方例(钱乙之法):
加黄柏成为二圣丸。(治疗疳积。)
加橘皮成为橘连丸。(治疗疳积。)
加榆仁成为榆连丸。(治疗疳积。)
加黄芩、大黄成为三黄丸。(治疗积热。)
加阿胶、茯苓成为阿胶丸。(治疗痢疾。)
加诃子、木香成为小香连丸。(治疗痢疾。)
加豆蔻、木香成为豆蔻香连丸。(治疗泄泻。)
加木香、白附子成为白附子香连丸。(治疗痢疾。)
加阿胶、当归、干姜成为驻车丸。(治疗痢疾。)
【田氏】小儿胁下胀满,泻痢体重,四肢无力不收,癖积聚,腹痛不想吃东西,痰疟寒热:针刺脾俞穴。(位于背部第十一椎下两旁,距离中线各一寸五分。)
【《明堂》】深秋,冷痢不止:灸脐下二三寸间的动脉中(二壮)。痢下赤白,脱肛:灸第十二椎下节间(三壮)。
又一种方法:灸尾骨上三寸的骨陷间(三壮,艾炷如小麦大小)。
又一种方法:灸龟尾穴(一壮,即脊端穹隆之骨处)。
[Qian] Food indigestion is caused by cold deficiency in the Spleen and Stomach, hence the inability to transform and transport. Treatment should tonify the Spleen Qi, primarily using Yihuang San (Benefiting Yellow Powder).
[Jie] Milk and food indigestion, initially presenting with sudden expulsion of cold breath, cold limbs, pale lusterless complexion, and unsettled spirit, indicates disharmony of Stomach Qi. It can be treated with strongly warming medicines, primarily using Shijunzi Wan (Tao Jia Pill) or Yihuang San. If diarrhea persists for a long time without resolution, accompanied by milk/food indigestion, it indicates Wind-Cold in the Spleen and Stomach. First, administer two doses of Yihuang San; subsequently, use Xuanfeng San (Dispersing Wind Powder) to guide out stagnation, and then re-tonify the Stomach Qi.
[Dan] Treating pediatric dysentery.
Herbs: Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Rhei Radix et Rhizoma (Dahuang), Glycyrrhizae Radix et Rhizoma (Gancao).
Decoct and take orally. For red dysentery, add Carthami Flos (Honghua) and Persicae Semen (Taoren). For white dysentery, add Talcum (Huashi) powder.
[Tang] The method for treating dysentery: if one wishes to purge accumulation, simply using the Official Bureau's Jinishi Wan (Appetizing Pill) is very stable; it both purges accumulation and treats dysentery, ensuring no failure. Once accumulation is purged, immediately tonify with Sizijunzi Tang (Four Gentlemen Decoction) added with Myristicae Semen (Roudoukou) and Terminaliae Fructus (Hezi). Subsequently, taking Nouchang Xianglian Wan (Thick Intestine Atractylodes and Coptis Pill) yields effective results.
[Dan] Treating pediatric red and white dysentery where the patient is too weak to tolerate purgatives and is severely distressed. Take one he of Cannabis Fructus (Mazi), stir-fry until fragrant and cooked, grind into powder. Each dose is one qianbi (approx. 3-5g), taken mixed with honey water. Effective.
Gan-xie (Malnutrition diarrhea/dysentery) persisting for a long time without resolution. (See "Gan Section" under "Diarrhea without distension").
[Qian] Stools that are yellow, red, crimson, or black are all due to Heat-Toxin. Stools that are green or white, containing undigested grains, indicate Cold in the Stomach.
Baifu Xianglian Wan: Treats sudden injury to intestinal and gastric Qi, mixing of cold and hot in milk feeding, leading to thirst, red and white dysentery, tenesmus, abdominal pain and cramping, frequent episodes day and night, and reduced milk intake.
Herbs: Coptidis Rhizoma (Huanglian), Aucklandiae Radix (Muxiang) (each 1 qian); Baifutou (Aconiti Kusnezoffii Radix Preparata) (2 pieces).
Grind into fine powder, make pills with rice flour the size of millet seeds. Each dose 10 to 20-30 pills, taken with rice drink before meals, 4-5 times day and night.
Doukou Xianglian Wan: Treats diarrhea regardless of cold/heat or red/white nature, imbalance of Yin and Yang, abdominal pain, borborygmus with cutting pain, with immediate and miraculous effect.
Herbs: Coptidis Rhizoma (Huanglian) (stir-fried, 3 fen), Myristicae Semen (Roudoukou), Aucklandiae Radix (Muxiang) (each 1 qian).
Grind into fine powder, make pills with millet rice flour the size of rice grains. Each dose 10 to 20-30 pills, 4 times day and night, taken with rice drink before meals.
[Tian] Muxiang Wan: Treats pediatric diarrhea with mixed green-white pus and blood.
Herbs: Coptidis Rhizoma (Huanglian) (stir-fried with Evodiae Fructus, remove Evodiae, 1 liang), Myristicae Semen (Roudoukou) (roasted, 2 pieces), Aucklandiae Radix (Muxiang) (1 qian).
Grind into fine powder, make pills with wheat paste the size of broomcorn millet. For red dysentery, take with millet drink; for white dysentery, take with Magnoliae Officinalis Cortex Decoction (Houpo Tang), on an empty stomach.
[Qian] Xiao Xianglian Wan: Treats abdominal pain due to cold and heat, watery stool with undigested food, and slippery intestines.
Herbs: Aucklandiae Radix (Muxiang), Terminaliae Fructus Meat (Hezi Rou) (each 1 fen); Coptidis Rhizoma (Huanglian) (half liang).
Grind into fine powder, mix with rice drink to make pills the size of mung beans. Each dose 10 to 30-50 pills, taken frequently before meals.
[Hai] Red dysentery: Sizijunzi Tang (Four Gentlemen Decoction) added with Paeoniae Radix Rubra (Chishao) and Angelicae Sinensis Radix (Danggui), with a small amount of Coicis Semen (Yimi/millet), decocted together.
[Tang] Emergency prescription for treating Heat Dysentery. Mix aged tea with well-water, rub fresh ginger with honey, and drink when thirsty.
[Qian] Huangbai Wan: Treats pediatric heat dysentery with bloody stool.
Herbs: Phellodendri Cortex (Huangbai) (peeled, half liang), Paeoniae Radix Rubra (Chishao) (4 qian).
Grind into powder, mix with rice to make pills the size of hemp seeds. Each dose 10-20 pills, taken with rice drink before meals, adjust dosage according to the child's condition.
[Ben Cao] Treating pediatric red dysentery. Crush and extract juice from Indigofera Tinctoria Leaves (Qinglan) two sheng, divide into four doses. (Shenghui Fang treats pediatric hematochezia due to gu poison.)
[Yao] Treating pediatric hematuria. Licorice Root (Gancao) 5 fen, decoct in 6 he of water to obtain 2 he, strain, one-year-old infant takes all within one day.
[Hai] White dysentery: Sizijunzi Tang (Four Gentlemen Decoction) in equal parts, Gingeris Rhizoma (Ganjiang) halved, add a small amount of Coicis Semen (Yimi), decoct together.
[Guangji Fang] Treating pediatric chronic dysentery with dripping discharge and indigestion of water and grain. Zhi Shi (Immature Bitter Orange) 6 fen, grind into powder, mix with rice drink to take 2 qianbi. Two-year-old child takes 1 qian.
[Dan] Pediatric Jin Kou Li (Anorexic Dysentery), nursing method (mother takes medicine, transmitted via breast milk).
Herbs: Magnoliae Officinalis Cortex (Houpo), Aurantii Fructus (Zhiqiao) (each 5 fen), Atractylodis Macrocephalae Rhizoma (Baizhu), Paeoniae Radix (Shaoyao) (each half liang), Talcum (Huashi) (1 liang), Akebiae Caulis (Mutong), Chenpi (Tangerine Peel), Glycyrrhizae Radix et Rhizoma (Gancao) (each 5 fen).
Divide into four doses. Grind seven Peach Kernels (Taoren) finely, add 2.5 zhan of water, decoct to obtain 1 zhan. Mother takes it. It is best to empty residual milk before administration.
Examples of Coptis Formulas (Method of Qian):
Add Phellodendri Cortex (Huangbai) to form Ersheng Wan (Two Sages Pill). (Treats Gan malnutrition.)
Add Citri Reticulatae Pericarpium (Jupi) to form Julian Wan. (Treats Gan malnutrition.)
Add Ulmi Semen (Yuren) to form Yulian Wan. (Treats Gan malnutrition.)
Add Scutellariae Radix (Huangqin) and Rhei Radix et Rhizoma (Dahuang) to form Sanhuang Wan (Three Yellows Pill). (Treats accumulated heat.)
Add Ecorii Asini Colla (Ejiao) and Poria (Fuling) to form Ejiao Wan. (Treats dysentery.)
Add Terminaliae Fructus (Hezi) and Aucklandiae Radix (Muxiang) to form Xiao Xianglian Wan. (Treats dysentery.)
Add Myristicae Semen (Doukou) and Aucklandiae Radix (Muxiang) to form Doukou Xianglian Wan. (Treats diarrhea.)
Add Aucklandiae Radix (Muxiang) and Baifuzi (Aconitum carmichaelii preparatum) to form Baifuzi Xianglian Wan. (Treats dysentery.)
Add Ecorii Asini Colla (Ejiao), Angelicae Sinensis Radix (Danggui), and Zingiberis Rhizoma (Ganjiang) to form Zhuche Wan. (Treats dysentery.)
[Tian] Pediatric fullness under hypochondrium, weightiness from diarrhea/dysentery, flaccidity of limbs, Pi-Ji accumulations, abdominal pain, anorexia, phlegm-malaria with chills and fever: Acupoint Pi Shu (BL20). (Located below the 11th thoracic vertebra, on both sides, 1.5 cun lateral to the midline.)
[Mingtang] Late autumn, persistent cold dysentery: Moxibustion on the pulsating artery between 2-3 cun below the umbilicus (2 moxa cones). Dysentery with red and white discharge, rectal prolapse: Moxibustion at the interspace below the 12th thoracic vertebra (3 moxa cones).
Another method: Moxibustion in the bony depression 3 cun above the coccyx tail bone (3 moxa cones, cone size like wheat grain).
Another method: Moxibustion on Guiwei (GV1) (1 moxa cone, located at the apex of the sacral spine).