白滞痢者,为肠虚而冷气客之,搏于肠间,津液凝滞成白者。宜用∶
赤石脂八两 干姜 龙骨 当归各三两 附子(炮) 牡蛎(熬)各二两 芍药 甘草
(炙)各一
先以水一斗二升,煮白术取九升,内药煮取三升,分为三服;脓者加浓朴三两;呕者加
陈皮二两。
冷热痢者,其痢乍黄乍白,由肠胃虚弱,宿有寒而为客热所伤,冷热相乘而致。方用∶
香豉一升 白术六两 薤白一升 升麻二两
以水七升,煮取二升半,分为三服。
苦参 橘皮 独活 阿胶(炙) 蓝青 黄连 鬼箭羽 黄柏 甘草
上等分捣末,蜜烊胶为丸如梧子,水下十丸,日三。
或以∶生犀角,酸石榴皮 枳实
共为末,每服二、三寸匕,日再。
香淡豉半升 黄连一升
先以水一升半,浸豉一日,滤取汁,碎黄连,薄绵裹豉汁中,煎取强半升,空腹顿服,
即止。
久患赤痢,连年不愈。以∶
地榆 鼠尾草各一两
用水二升,煮取一升,分为二服。
如不瘥,取屋尘,水尽去滓,服一升,日二服。
凡痢皆由营卫不足,肠胃虚弱,冷热之气,乘虚入于肠间,肠虚则泄,故为痢也。热乘
于血,血渗肠内,则为赤痢;冷气搏于肠间,津液凝滞,则为白痢;冷热相交,则赤白相杂。
宜
鹿茸二分 石榴皮二两 干姜二分 枣核中仁七枚 赤地利一两(烧灰)
上共捣为散,先食饮服方寸匕,日三夜一,若下数者,可五、六服。
白滞痢(大便中白色黏液为主的痢疾),是由于肠道虚弱,寒气侵袭所致。寒邪与肠间气血相搏结,导致津液凝结停滞而化为白色。适宜使用以下方剂:
赤石脂八两、干姜、龙骨、当归各三两、附子(炮制)、牡蛎(煅烧)各二两、芍药、甘草(炙烤)各一两。
先用水一斗二升,煮白术至剩余九升,再加入其他药物,煎煮取汁三升,分三次服用;若大便中有脓血,加浓朴三两;若有呕吐症状,加陈皮二两。
冷热痢(痢疾颜色忽黄忽白),其痢疾发作时颜色乍黄乍白,这是由于肠胃虚弱,体内素有寒气,又受到客热之邪的损伤,冷热之气相互交争而导致。方剂如下:
用水七升,煎煮取汁二升半,分三次服用。
苦参、橘皮、独活、阿胶(炙烤)、蓝青、黄连、鬼箭羽、黄柏、甘草。
以上药材等量混合捣碎成粉末,用蜂蜜融化阿胶后制成梧桐子大小的丸药,温水送服十丸,每日三次。
共同研为细末,每次服用二三寸匕(古代量器名),每日两次。
先用水一升半,浸泡香豉一天,过滤取汁,将黄连捣碎,用薄绵包裹黄连放入豉汁中,煎煮至剩余大半升,空腹一次性服下,痢疾即可停止。
长期患有赤痢(大便中血色为主的痢疾),连年不愈。使用以下方剂:
用水二升,煎煮取汁一升,分两次服用。
如果病情未好转,取屋檐下的灰尘,用水洗净去渣,服用一升,每日两次。
凡是痢疾,都是由于营卫之气不足,肠胃虚弱,冷热之气乘虚侵入肠间,肠道虚弱则泄泻,所以形成痢疾。热邪侵袭血液,血液渗入肠内,就形成赤痢;冷气搏击于肠间,津液凝结停滞,就形成白痢;冷热之气相互交杂,则赤白相混。适宜使用以下方剂:
鹿茸二分、石榴皮二两、干姜二分、枣核中的仁七枚、赤地利一两(烧成灰)。
以上共同捣碎为散剂,饭前服药饮送服一方寸匕(古代量器名),每日三次,夜间一次。如果腹泻次数多,可增至五到六次服用。
Bai Zhi Li (Dysentery characterized by white mucus) is caused by intestinal deficiency and the invasion of cold qi. The cold pathogen clashes with the intestines, causing body fluids to coagulate and stagnate, resulting in white discharge. The following prescription is suitable:
Chishizhi (Red Stone Lipid) 8 liang, Ganjiang (Dried Ginger), Longgu (Fossilized Bones), Danggui (Angelica Sinensis) each 3 liang, Fuzi (Prepared Aconite Root), Muli (Oyster Shell) each 2 liang, Shaoyao (Peony Root), Gancao (Licorice Root, honey-fried) each 1 liang.
First, boil Baizhu (Atractylodes Macrocephala Rhizome) in 12 sheng of water until reduced to 9 sheng. Add the remaining herbs and decoct to obtain 3 sheng of liquid. Divide into three doses. If pus is present, add Houpo (Magnolia Bark) 3 liang; if vomiting occurs, add Chenpi (Tangerine Peel) 2 liang.
Leng Re Li (Cold-Heat Dysentery), where the stool alternates between yellow and white, results from weak spleen and stomach, pre-existing internal cold, and injury by external heat. The interaction of cold and heat causes this condition. The prescription is as follows:
Xiangchi (Prepared Soybean), Baizhu (Atractylodes Macrocephala Rhizome) 6 liang, Xiebai (Allium Macrostemon Bulb), Shengma (Cimicifuga Rhizome) 2 liang.
Boil in 7 sheng of water until reduced to 2.5 sheng. Divide into three doses.
Kushen (Sophora Flavescens Root), Jupi (Tangerine Peel), Duhuo (Angelica Pubescens Root), Ejiao (Donkey-hide Gelatin, fried), Lanqing (Indigo Naturalis), Huanglian (Coptis Rhizome), Guijianyu (Euonymus Ramulus), Huangbai (Phellodendron Bark), Gancao (Licorice Root).
Grind these equal parts into powder. Melt Ejiao with honey and form pills the size of a wu zi (cherry seed). Take 10 pills with warm water, three times daily.
Alternatively, use: Sheng Xijiao (Unprocessed Rhinoceros Horn), Suan Shiliupi (Acid Pomegranate Peel), Zhishi (Immature Bitter Orange).
Grind together into powder. Take 2-3 cun bi (ancient measuring spoon) per dose, twice daily.
Xiang Danshi (Lightly Fermented Soybean) 0.5 sheng, Huanglian (Coptis Rhizome) 1 sheng.
Soak Danshi in 1.5 sheng of water for one day, filter to obtain the juice. Crush Huanglian, wrap it in thin silk, and steep it in the Danshi juice. Decoct until slightly more than half a sheng remains. Take on an empty stomach in one dose; dysentery will cease immediately.
For chronic Chi Li (Dysentery characterized by blood) persisting for years without cure, use:
Diyu (Sanguisorba Root), Shuweicao (Agrimony) each 1 liang.
Boil in 2 sheng of water until reduced to 1 sheng. Divide into two doses.
If not cured, collect dust from the eaves, wash with water to remove impurities, and take 1 sheng, twice daily.
All forms of dysentery arise from insufficiency of Ying and Wei (Nutritive and Defensive Qi) and weakness of the spleen and stomach. Cold and heat pathogens invade the intestines through the deficiency. Intestinal weakness leads to diarrhea, thus forming dysentery. Heat invading the blood causes blood to渗 (seep) into the intestines, resulting in Chi Li (blood dysentery); cold qi clashing in the intestines causes body fluids to coagulate, resulting in Bai Zhi Li (white mucus dysentery); when cold and heat interact, red and white mix. The following prescription is suitable:
Lurong (Deer Antler Velvet), Shiliupi (Pomegranate Peel) 2 liang, Ganjiang (Dried Ginger), Zaohezhongren (Kernel within Date Pit) 7 pieces, Chidili (Polygonum Multiflorum Root, burnt to ash) 1 liang.
Grind all ingredients into a powder. Take 1 cun bi with food before meals, three times daily and once at night. If frequent defecation occurs, increase to five or six doses.