《病源论》云∶肠胃虚弱,为风邪所伤,则挟热,热乘于血,血流渗入腹,与利相杂下,
故为赤利。
《医门方》疗赤利,腹中绞痛,下部疼重方∶
黄连 当归 黄柏 干姜(各二两)
上,捣筛为散,煮乌梅汁,服方寸匕,日二。
《如意方》治下赤利术∶
金色黄连(一升,去毛) 黄柏(一斤) 犀角(二两)
凡三物,切,以水五升,煮取三升,去滓,纳白蜜一升,又煎三升,平旦服,至日中令
尽,勿间食也。
《救治单验方》治赤利方∶
黄连(三两) 黄柏(三两) 栀子仁(二两)
凡三物,以水九升,煮取三升分三服。
又方∶捣黄连末,和水服一匕,以瘥为度。
《病源论》云∶血利者,热毒折于血,入大肠故也,身热者死,身寒者生。
《千金方》治大热毒纯血利治不可瘥者方∶
黄连六两,一味,以水七升,煮取二升半,夜露着日星下,旦空腹顿服之,卧息。
《极要方》疗血痢方∶
真生犀角末(五两) 阿胶(四两,炙) 干姜(三两) 艾叶(三两,熬) 黄柏(四
两)
上五物,捣筛为散,服方寸匕。
《广利方》理血痢方∶酸石榴一颗,和皮捣取汁,蜜一大匙和,暖顿服之。
《病源论》云∶其利而赤白者,是热乘于血,血渗(所禁反)肠内则赤也,冷气入肠间,
搏肠
脉薄
《本草经》治赤白利方∶鲫鱼作脍食之。
《录验方》腊蜜丸,治赤白利方∶
朴硝(二两) 黄芩(一两) 大黄(一两) 代甘草(一两) 黄连(一两) 豉(一
两) 腊巴豆(
上七物,丸如梧子,空腹服三丸,日三。
又云∶赤白痢赤多热方∶
犀角(六分,屑多个) 黄芩(六分) 地榆(六分) 黄连(八分) 甘草(四分,
炙)
切,以水二大升,煎取八合,去滓,空腹分三服。
《千金方》治赤白利黄连汤方∶
黄连(三两) 甘草(一两) 当归(二两) 黄柏(三两) 干姜(二两) 石榴皮
(三两) 阿胶(
七味,水七升,煮取二升,分二服。
《集验方》治暴下赤白方∶
香豉(一升) 薤白(一把)
凡二物,以水三升,煮取二升,顿服之。
《传信方》疗赤白痢如鹅鸭肝方∶
黄芩 黄连(各八分)
上二味,以水二升,煎取一升,分二分。
《广利方》治赤白痢白多冷痛方∶
黄连(八分) 浓朴(五分,炙) 当归(四分) 茯苓(六分) 干姜(三分)
切,以水一大升七合,煎取七合,去滓空腹分两服。忌猪肉生冷。
又云∶赤白痢赤多热方∶
犀角(六分,屑) 黄芩(六分) 地榆(六分) 黄连(八分) 甘草(四分,炙)
切,以水二大升,煎取八合,去滓,空腹分三服。
《医门方》疗赤白利腹中绞痛无问远近方∶
黄连(八分) 五色龙骨(十分) 黄芩(六分)
上,为散,以清饮空腹服方寸匕。
《崔禹食经》赤白利方∶ 、云雀、鹎等任意食之。
又方∶通草子食之。
《龙门方》治赤白痢方∶煮韭,空腹顿服一碗,不过再,验。
又方∶手熟 乌豆服一大抄,不过二三。
又方∶取鼠尾草花,曝干末,服方寸匕,验。
《诸病源候论》说:肠胃虚弱,被风邪侵袭,就会夹杂热邪;热邪侵扰血液,导致血液流动渗入腹部,与腹泻物混杂而下,所以称为赤痢(便下脓血)。
《医门方》治疗赤痢,伴有腹中绞痛、下部疼痛沉重的方剂:
黄连、当归、黄柏、干姜(各二两)
以上药物,捣碎过筛制成散剂,用乌梅汁煮后服用一方寸匕大小的量,每日两次。
《如意方》治疗下赤痢的方法:
金色黄连(一升,去毛)、黄柏(一斤)、犀角(二两)
这三种药,切碎,用水五升,煮取三升药液,去掉药渣,加入白蜜一升,再煎至三升,清晨空腹服用,直到中午服完,期间不要进食其他食物。
《救治单验方》治疗赤痢的方剂:
黄连(三两)、黄柏(三两)、栀子仁(二两)
这三种药,用水九升,煮取三升,分三次服用。
另一个方子:将黄连捣成粉末,加水调服一方寸匕大小,以病愈为度。
《诸病源候论》说:血利(纯下鲜血),是因为热毒郁结于血,进入大肠的缘故;身体发热的预后不良,身体寒凉的预后良好。
《千金方》治疗大热毒引起的纯血痢且久治不愈的方剂:
黄连六两,单味药,用水七升,煮取二升半,夜间放置在星光下露宿,次日清晨空腹一次性服下,然后静卧休息。
《极要方》治疗血痢的方剂:
真生犀角末(五两)、阿胶(四两,炙烤)、干姜(三两)、艾叶(三两,熬制)、黄柏(四两)
以上五味药,捣碎过筛制成散剂,服用一方寸匕大小的量。
《广利方》调理血痢的方剂:酸石榴一颗,带皮捣碎取汁,加入一大匙蜂蜜调和,温热后一次性服下。
《诸病源候论》说:大便下赤白相杂的痢疾,是热邪侵扰血液,血液渗入肠内则呈红色;寒气进入肠间,搏结于肠脉……
《本草经》治疗赤白痢的方剂:将鲫鱼做成鱼脍食用。
《录验方》腊蜜丸,治疗赤白痢的方剂:
朴硝(二两)、黄芩(一两)、大黄(一两)、代甘草(一两)、黄连(一两)、豉(一两)、腊巴豆(适量)
以上七味药,制成梧桐子大小的丸剂,空腹服用三丸,每日三次。
又说:赤白痢中红色多属热证的方剂:
犀角(六分,锉碎或磨粉)、黄芩(六分)、地榆(六分)、黄连(八分)、甘草(四分,炙烤)
切碎,用水两大升,煎取八合药液,去掉药渣,空腹分三次服用。
《千金方》治疗赤白痢的黄连汤方剂:
黄连(三两)、甘草(一两)、当归(二两)、黄柏(三两)、干姜(二两)、石榴皮(三两)、阿胶(适量)
以上七味药,用水七升,煮取二升,分两次服用。
《集验方》治疗突然发作的下赤白痢的方剂:
香豉(一升)、薤白(一把)
以上两种药,用水三升,煮取二升,一次性服下。
《传信方》治疗赤白痢如鹅鸭肝状的方剂:
黄芩、黄连(各八分)
以上两味药,用水二升,煎取一升药液,分两次服用。
《广利方》治疗赤白痢白色多且冷痛的方剂:
黄连(八分)、浓朴(五分,炙烤)、当归(四分)、茯苓(六分)、干姜(三分)
切碎,用水一大升七合,煎取七合药液,去掉药渣,空腹分两次服用。忌食猪肉和生冷食物。
又说:赤白痢中红色多属热证的方剂:
犀角(六分,锉碎)、黄芩(六分)、地榆(六分)、黄连(八分)、甘草(四分,炙烤)
切碎,用水两大升,煎取八合药液,去掉药渣,空腹分三次服用。
《医门方》治疗赤白痢伴有腹中绞痛,无论病程长短的方剂:
黄连(八分)、五色龙骨(十分)、黄芩(六分)
以上药物,制成散剂,用清饮送服,空腹服用一方寸匕大小的量。
《崔禹食经》治疗赤白痢的方剂:蛇、云雀、鹎等任意食用。
另一个方子:食用通草子。
《龙门方》治疗赤白痢的方剂:煮韭菜,空腹一次性服下一碗,不超过两次,有效。
另一个方子:用手揉熟黑豆,服用一大勺,不超过两三次。
另一个方子:取鼠尾草花,晒干研末,服用一方寸匕大小的量,有效。
*Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: When the intestines and stomach are weak and injured by wind pathogens, heat is retained. Heat enters the blood, causing blood to flow and seep into the abdomen, mixing with diarrhea and being discharged. Thus, it is called Chi Li (dysentery with bloody stool).
*Yimen Fang* (Medical Gate Formulas) treats Chi Li with severe abdominal colic and heavy pain in the lower part:
Coptidis Rhizoma (Huanglian), Angelicae Sinensis Radix (Danggui), Phellodendri Cortex (Huangbai), Zingiberis Rhizoma (Ganjiang) (each 2 liang).
The above ingredients are crushed, sifted into a powder, boiled in juice from dried plums (Wumei), and one fangcun bi (a measure equivalent to a square inch spoonful) is taken orally twice daily.
*Ruyi Fang* (Formulas as Desired) treats lower Chi Li:
Golden Coptidis Rhizoma (1 sheng, hairs removed), Phellodendri Cortex (1 jin), Cornu Rhinocerotis (Xijiao) (2 liang).
These three substances are sliced, boiled in 5 sheng of water until reduced to 3 sheng, the dregs are removed, and 1 sheng of white honey is added. It is further boiled until it reaches 3 sheng. It is taken on an empty stomach in the morning and finished by noon, without eating anything else in between.
*Jiuzhi Dan Yan Fang* (Emergency Single Effective Formulas) treats Chi Li:
Coptidis Rhizoma (Huanglian) (3 liang), Phellodendri Cortex (Huangbai) (3 liang), Gardeniae Semen (Zhizi Ren) (2 liang).
These three substances are boiled in 9 sheng of water until reduced to 3 sheng, which is divided into three doses.
Another formula: Coptidis Rhizoma is ground into powder, mixed with water, and one fangcun bi is taken orally until recovery.
*Zhubing Yuanhou Lun* states: Xue Li (bloody dysentery) occurs because heat-toxins stagnate in the blood and enter the large intestine. If the body has fever, the prognosis is poor; if the body is cold, the prognosis is good.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats severe heat-toxin pure bloody dysentery that is difficult to cure:
Coptidis Rhizoma (6 liang), used alone, is boiled in 7 sheng of water until reduced to 2.5 sheng. It is exposed to starlight overnight, and taken orally in one dose on an empty stomach the next morning, followed by rest.
*Jiyao Fang* (Essential Formulas) treats bloody dysentery:
Fresh Rhinoceros Horn Powder (5 liang), Ejiao (4 liang, roasted), Zingiberis Rhizoma (3 liang), Folium Artemisiae Argyi (Aye) (3 liang, processed), Phellodendri Cortex (4 liang).
The above five substances are crushed, sifted into a powder, and one fangcun bi is taken orally.
*Guangli Fang* (Beneficial Formulas for All) regulates bloody dysentery: One sour pomegranate, crushed with its peel to extract juice, mixed with one large spoonful of honey, and taken orally warm in one dose.
*Zhubing Yuanhou Lun* states: Dysentery with both red and white discharge occurs when heat invades the blood, causing blood to seep into the intestines resulting in redness; when cold qi enters the intestines, it clashes with the intestinal vessels...
*Bencao Jing* (Divine Farmer's Materia Medica) treats Chi Bai Li (dysentery with red and white discharge): Eat crucian carp prepared as sashimi (Kuai).
*Luyan Fang* (Recorded Verified Formulas) La Mi Wan (Winter Honey Pills) treats Chi Bai Li:
Natrii Sulfas (Puxiao), Scutellariae Radix (Huangqin), Rhei Radix et Rhizoma (Dahuang), Glycyrrhizae Radix et Rhizoma (Daiganscao - substitute for licorice), Coptidis Rhizoma (Huanglian), Sojae Semens Preparatum (Chi), La Badou (Winter Croton Seed).
The above seven substances are made into pills the size of mulberry seeds. Three pills are taken on an empty stomach, three times daily.
It also states: For Chi Bai Li where red predominates indicating heat:
Rhinoceros Horn (Xijiao) (6 fen, powdered), Scutellariae Radix (Huangqin) (6 fen), Sanguisorbae Radix (Diyu) (6 fen), Coptidis Rhizoma (Huanglian) (8 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (4 fen, roasted).
Sliced, boiled in two large sheng of water until reduced to 8 he, the dregs are removed, and it is divided into three doses taken on an empty stomach.
*Qianjin Fang* Huanglian Tang (Coptis Decoction) treats Chi Bai Li:
Coptidis Rhizoma (Huanglian) (3 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (1 liang), Angelicae Sinensis Radix (Danggui) (2 liang), Phellodendri Cortex (Huangbai) (3 liang), Zingiberis Rhizoma (Ganjiang) (2 liang), Pomegranate Peel (Shiliupi), Ejiao.
The above seven substances are boiled in 7 sheng of water until reduced to 2 sheng, divided into two doses.
*Jiyan Fang* (Collected Proven Formulas) treats sudden onset of red and white dysentery:
Sojae Semens Preparatum (Xiangchi), Allii Macrostemonis Bulbus (Xiebai).
The above two substances are boiled in 3 sheng of water until reduced to 2 sheng, and taken orally in one dose.
*Chuanxin Fang* (Trustworthy Formulas) treats Chi Bai Li resembling goose or duck liver:
Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian) (each 8 fen).
The above two substances are boiled in 2 sheng of water until reduced to 1 sheng, divided into two doses.
*Guangli Fang* treats Chi Bai Li where white predominates with cold pain:
Coptidis Rhizoma (Huanglian) (8 fen), Magnoliae Officinalis Cortex (Nongpou/Muhua), Angelicae Sinensis Radix (Danggui) (4 fen), Poria (Fuling), Zingiberis Rhizoma (Ganjiang) (3 fen).
Sliced, boiled in 1.7 sheng of water until reduced to 0.7 sheng, the dregs are removed, and it is divided into two doses taken on an empty stomach. Avoid pork and raw/cold foods.
It also states: For Chi Bai Li where red predominates indicating heat:
Rhinoceros Horn (Xijiao) (6 fen, powdered), Scutellariae Radix (Huangqin) (6 fen), Sanguisorbae Radix (Diyu) (6 fen), Coptidis Rhizoma (Huanglian) (8 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (4 fen, roasted).
Sliced, boiled in two large sheng of water until reduced to 8 he, the dregs are removed, and it is divided into three doses taken on an empty stomach.
*Yimen Fang* treats Chi Bai Li with severe abdominal colic, regardless of duration:
Coptidis Rhizoma (Huanglian) (8 fen), Five-Color Dragon Bone (Wuse Longgu), Scutellariae Radix (Huangqin) (6 fen).
Processed into a powder, taken orally with clear drink on an empty stomach, one fangcun bi at a time.
*Caiyu Shijing* (Cai Yu's Food Classic) treats Chi Bai Li: Snakes, skylarks, bulbuls, etc., can be eaten at will.
Another formula: Eat stems of *Reynoutria japonica* (Tongcaozi).
*Longmen Fang* (Dragon Gate Formulas) treats Chi Bai Li: Boil Chinese chives, take one bowl orally on an empty stomach in one dose. It will not exceed two doses to be effective.
Another formula: Hand-mashed black soybeans, take one large scoop orally. It will not exceed two or three doses.
Another formula: Take flowers of *Salvia miltiorrhiza* (Shuweicao), dry them, grind into powder, and take one fangcun bi orally. It is effective.