(俗名痢疾,又曰积。红色属热,属血,白色属寒、属气。)
丁氏 五十八岁 滞下白积,欲便先痛,便后痛减,责之积重,脉迟而弦,甚痛,盖冷
积也,非温下不可。
熟附子(五钱) 广木香(三钱) 小枳实(三钱) 生大黄片(五钱) 广陈皮(五钱) 南楂
肉(三钱) 浓朴(五钱) 炒白芍(三钱) 良姜炭(二钱) 黄芩炭(三钱) 坚槟榔(三钱)
梁 二十八岁 滞下白积,欲便先痛,便后痛减者,责之有积,用温下法。
炒白芍(二钱) 广皮(二钱) 枳实(钱半) 黄芩(二钱,炒) 木香(一钱) 槟榔(钱半)
云连(一钱,炒) 锦纹军(三钱,酒炒黑) 浓朴(三钱) 熟附子(三钱)
五杯水,煮成两杯,分二次服。
张 三十八岁 甲子十一月十八日 先泄而后滞下,脾传肾,为难治。
大白芍(二钱) 真雅连(钱二分,吴萸炒) 黄芩炭(一钱二分) 生茅术(三钱) 猪苓(
三钱)
泽泻(三钱) 生苡仁(二钱) 广木香(钱半) 老浓朴(二钱) 川椒目(五钱) 良姜(二钱)
广皮(钱半)
水六杯,煮取二杯,渣后再煎一杯,三次服。
二十日 先泄后滞下,古云难治,非一时可了,且喜脉弱,尚有生机。
白芍(三钱,炒) 南槟榔(钱半) 木香(钱半) 当归尾(一钱) 地榆炭(三钱) 广陈皮
(二钱) 小枳实(二钱,捣碎) 红花(二钱)
煎法如前。
二十三日 脉沉有力,滞下,胀痛太甚,便后少减,片时其痛仍然,议纲开一面,用温
下法。
白芍(三钱,酒炒) 黄芩(三钱,酒炒) 真山连(二钱,酒炒黄) 大黄(五钱,酒炒)
枳实
(三钱) 浓朴(三钱) 广木香(二钱) 安边桂(二钱,去粗皮) 广皮炭(二钱) 红花(二钱)
归尾(钱半)
水五杯,煮成三杯,分三次服。一帖。
二十三日 于二十日方内加∶
两头尖(三钱)
二十四日 肾症复归于脾,用四苓合芩芍汤法。
猪苓(五钱) 泽泻(五钱) 生苡仁(五钱) 茯苓皮(五钱) 焦白芍(二钱) 黄芩(钱半
,炒) 广木香(钱半) 生白术(五钱) 广陈皮(钱半) 浓朴(二钱) 真山连(钱半,炒)
水八杯,煮取三杯,分三次服。
二十五日 于前方内加∶
白通草(二钱)
二十六日 肝郁则小便亦不能通,此徒用四苓不效,议开阴络法。
降香末(三钱) 麝香(五厘,冲) 桃仁(三钱) 归须(二钱) 琥珀(三分,冲) 猪苓(
三钱) 两头尖(一钱) 泽泻(三钱) 小茴香(三钱) 川楝子(三钱)
二十七日 已效,于前方内加∶
安边桂(三分) 生香附(三钱) 郁金(六钱)
二十八日 九窍不和,皆属胃病,用开太阳,阖阳明,兼泻心法。
半夏(六钱) 青皮(二钱) 广陈皮(二钱) 茯苓(三钱,连皮) 猪苓(三钱) 泽泻(三
钱)
黄芩(二钱) 生苡仁(三钱) 浓朴(一钱姜汁炒) 干姜(二钱) 炒山连(钱半) 广木香(一
钱)
水五杯,煮成二杯,再煮一杯,三次服。
二十九日 开太阳,阖阳明,兼法湿中之热。
半夏(六钱) 茯苓皮(三钱) 生苡仁(三钱) 广皮(二钱) 白芍(二钱) 白通草(二钱)
广木香(一钱) 茯苓(三钱) 泽泻(三钱) 黄芩炭(二钱) 真山连(钱半) 萆 (二钱)
三十日 粪后便血,加黄土汤法。
半夏(五钱) 广木香(一钱) 灶中黄土(六钱) 黄芩炭(二钱) 萆 (三钱) 炒白芍(
三钱) 茯苓皮(三钱) 广皮(二钱) 全当归(钱半) 老浓朴(二钱) 炒苍术(三钱)
水五杯,煮取二杯,渣再煮一杯,分三次服。
初一日 舌绛甚,胸中嘈杂无奈,喉且痛,粪中犹带血迹,议酸苦泄热法。
乌梅(九枚) 灶中黄土(八钱) 黄芩(二钱)
初二日 四苓合芩芍法,以小便短,口糜,犹有滞下也。
炒白芍(二钱) 半夏(三钱) 真山连(钱半) 泽泻(三钱) 炒黄芩(钱半) 猪苓(三钱)
乌梅肉(三钱) 茯苓皮(三钱) 赤苓炭(钱半) 当归(一钱) 灶中黄土(三钱)
头煎一杯,二煎一杯,分三次服。
初三日 少腹胀痛,不小便,仍系肝郁,不主疏泄之故。
真云连(二钱,炒) 黄芩炭(二钱) 桃仁泥(三钱) 生香附(三钱) 韭白汁(三滴) 两
头尖
(三钱) 降香末(三钱) 麝香末(五厘) 小茴香(三钱,炒黑) 归须(二钱) 琥珀末(五分
,同冲)
初四日 于前方内加∶
广郁金(二钱)
初五日 苦辛淡,开下焦湿热,兼泻肝火法。
萆 (五钱) 云连(二钱,炒黑) 小茴香(三钱,炒黑) 白通草(二钱) 川楝子(三钱)
吴萸(钱半,炒黑) 黄柏炭(二钱) 生香附(三钱)
小儿滞下红积,欲便先痛,便后痛减,积滞太重,非温下不可为功,恐缠绵日久,幼孩
力不能胜!滞下为脏病也。
焦白芍(钱半,炒) 黄芩(钱半) 云连(一钱,炒黑) 神曲(钱半) 生大黄(二钱) 老
浓朴
(钱半) 广木香(八分) 广皮(七分) 枳壳(六分) 桃仁(八分) 南槟榔(八分) 归尾(一
钱) 地榆炭(一钱) 肉桂(八分)
即于前方内去大黄、肉桂,方中再去归尾、地榆、桃仁,加苍术一钱五分。
(俗名痢疾,又叫做“积”。红色属热、属血分;白色属寒、属气分。)
丁氏,五十八岁。患滞下(痢疾)白积,排便前疼痛,排便后疼痛减轻,这是因为积滞严重所致。脉象迟而弦,疼痛剧烈,这是冷积,如果不使用温通攻下的方法治疗是不行的。
熟附子(五钱) 广木香(三钱) 小枳实(三钱) 生大黄片(五钱) 广陈皮(五钱) 南楂肉(三钱) 浓朴(五钱) 炒白芍(三钱) 良姜炭(二钱) 黄芩炭(三钱) 坚槟榔(三钱)
梁,二十八岁。患滞下白积,排便前疼痛,排便后疼痛减轻,这是因为体内有积滞,采用温通攻下的治法。
炒白芍(二钱) 广皮(二钱) 枳实(一钱半) 黄芩(二钱,炒) 木香(一钱) 槟榔(一钱半) 云连(一钱,炒) 锦纹军(三钱,酒炒黑) 浓朴(三钱) 熟附子(三钱)
用水五杯,煮成两杯,分两次服用。
张,三十八岁。甲子年十一月十八日。先出现泄泻,随后转为滞下,这是脾病传肾,属于难治之症。
大白芍(二钱) 真雅连(一钱二分,吴茱萸炒) 黄芩炭(一钱二分) 生茅术(三钱) 猪苓(三钱)
泽泻(三钱) 生苡仁(二钱) 广木香(一钱半) 老浓朴(二钱) 川椒目(五钱) 良姜(二钱)
广皮(一钱半)
用水六杯,煮取两杯,药渣再煎一杯,分三次服用。
二十日。先泄泻后滞下,古人说难治,不是一时能治愈的,但庆幸的是脉象虚弱,还有生机。
白芍(三钱,炒) 南槟榔(一钱半) 木香(一钱半) 当归尾(一钱) 地榆炭(三钱) 广陈皮(二钱) 小枳实(二钱,捣碎) 红花(二钱)
煎服法同前。
二十三日。脉象沉而有力,患滞下,胀痛非常严重,排便后稍减,片刻后疼痛依旧,建议疏通气机,打开一个出路,采用温通攻下的治法。
白芍(三钱,酒炒) 黄芩(三钱,酒炒) 真山连(二钱,酒炒黄) 大黄(五钱,酒炒)
枳实(三钱) 浓朴(三钱) 广木香(二钱) 安边桂(二钱,去粗皮) 广皮炭(二钱) 红花(二钱)
归尾(一钱半)
用水五杯,煮成三杯,分三次服用。一剂。
二十三日。在二十日的方剂中加入:
两头尖(三钱)
二十四日。肾病症状重新回归于脾,采用四苓散合芩芍汤的治法。
猪苓(五钱) 泽泻(五钱) 生苡仁(五钱) 茯苓皮(五钱) 焦白芍(二钱) 黄芩(一钱半,炒) 广木香(一钱半) 生白术(五钱) 广陈皮(一钱半) 浓朴(二钱) 真山连(一钱半,炒)
用水八杯,煮取三杯,分三次服用。
二十五日。在前方中加入:
白通草(二钱)
二十六日。肝气郁结则小便也不能通畅,单纯使用四苓散无效,建议开通阴络的治法。
降香末(三钱) 麝香(五厘,冲服) 桃仁(三钱) 归须(二钱) 琥珀(三分,冲服) 猪苓(三钱) 两头尖(一钱) 泽泻(三钱) 小茴香(三钱) 川楝子(三钱)
二十七日。已经见效,在前方中加入:
安边桂(三分) 生香附(三钱) 郁金(六钱)
二十八日。九窍不和,都归属于胃病,采用开太阳经、阖阳明经,兼清泻心火的治法。
半夏(六钱) 青皮(二钱) 广陈皮(二钱) 茯苓(三钱,带皮) 猪苓(三钱) 泽泻(三钱)
黄芩(二钱) 生苡仁(三钱) 浓朴(一钱,姜汁炒) 干姜(二钱) 炒山连(一钱半) 广木香(一钱)
用水五杯,煮成两杯,再煎一杯,分三次服用。
二十九日。开太阳经,阖阳明经,兼除湿中之热。
半夏(六钱) 茯苓皮(三钱) 生苡仁(三钱) 广皮(二钱) 白芍(二钱) 白通草(二钱)
广木香(一钱) 茯苓(三钱) 泽泻(三钱) 黄芩炭(二钱) 真山连(一钱半) 萆薢(二钱)
三十日。粪便后便血,加入黄土汤的治法。
半夏(五钱) 广木香(一钱) 灶中黄土(六钱) 黄芩炭(二钱) 萆薢(三钱) 炒白芍(三钱)
茯苓皮(三钱) 广皮(二钱) 全当归(一钱半) 老浓朴(二钱) 炒苍术(三钱)
用水五杯,煮取两杯,药渣再煎一杯,分三次服用。
初一日。舌质深红,胸中嘈杂难受,喉咙且痛,粪便中仍带有血迹,建议用酸苦泄热的治法。
乌梅(九枚) 灶中黄土(八钱) 黄芩(二钱)
初二日。采用四苓散合芩芍汤的治法,因为小便短少,口腔糜烂,仍有滞下症状。
炒白芍(二钱) 半夏(三钱) 真山连(一钱半) 泽泻(三钱) 炒黄芩(一钱半) 猪苓(三钱)
乌梅肉(三钱) 茯苓皮(三钱) 赤苓炭(一钱半) 当归(一钱) 灶中黄土(三钱)
头煎一杯,二煎一杯,分三次服用。
初三日。小腹胀痛,小便不通,仍然是肝气郁结,不能主司疏泄的缘故。
真云连(二钱,炒) 黄芩炭(二钱) 桃仁泥(三钱) 生香附(三钱) 韭白汁(三滴) 两头尖(三钱)
降香末(三钱) 麝香末(五厘) 小茴香(三钱,炒黑) 归须(二钱) 琥珀末(五分,同冲服)
初四日。在前方中加入:
广郁金(二钱)
初五日。用苦辛淡渗之法,开通下焦湿热,兼清泻肝火。
萆薢(五钱) 云连(二钱,炒黑) 小茴香(三钱,炒黑) 白通草(二钱) 川楝子(三钱)
吴茱萸(一钱半,炒黑) 黄柏炭(二钱) 生香附(三钱)
小儿患滞下红积,排便前疼痛,排便后疼痛减轻,积滞太重,非温通攻下不能奏效,恐怕缠绵日久,幼童体力不能胜任!滞下是脏器的疾病。
焦白芍(一钱半,炒) 黄芩(一钱半) 云连(一钱,炒黑) 神曲(一钱半) 生大黄(二钱) 老浓朴(一钱半)
广木香(八分) 广皮(七分) 枳壳(六分) 桃仁(八分) 南槟榔(八分) 归尾(一钱) 地榆炭(一钱) 肉桂(八分)
随即在前方中去掉大黄、肉桂,方中再去掉归尾、地榆、桃仁,加入苍术一钱五分。
(Sometimes called dysentery, also referred to as "Ji" [accumulation]. Red color indicates Heat and Blood involvement; white color indicates Cold and Qi involvement.)
Patient Ding, female, 58 years old. Suffering from Bai Ji (white dysenteric exudate), experiencing pain before defecation which alleviates after defecation. This is attributed to severe accumulation. The pulse is slow and wiry, with severe pain, indicating Cold Accumulation. It cannot be treated without Warm Purging methods.
Shu Fuzi (Prepared Aconite Root) (5 qian) Guang Muxiang (Costus Root) (3 qian) Xiao Zhishi (Immature Bitter Orange Fruit) (3 qian) Sheng Dahuang Pian (Raw Rhubarb Slice) (5 qian) Guang Chenpi (Aged Tangerine Peel) (5 qian) Nan Zha Rou ( Hawthorn Flesh) (3 qian) Nong Po (Magnolia Bark) (5 qian) Chao Baishao (Fried White Peony Root) (3 qian) Liangjiang Tan (Charred Galangal Rhizome) (2 qian) Huangqin Tan (Charred Scutellaria Root) (3 qian) Jian Binglang (Solid Areca Nut) (3 qian)
Patient Liang, male, 28 years old. Suffering from Bai Ji (white dysenteric exudate), experiencing pain before defecation which alleviates after defecation. This is due to the presence of accumulation. Treatment employs Warm Purging method.
Chao Baishao (Fried White Peony Root) (2 qian) Guang Pi (Tangerine Peel) (2 qian) Zhishi (Immature Bitter Orange Fruit) (1.5 qian) Huangqin (Scutellaria Root) (2 qian, fried) Muxiang (Costus Root) (1 qian) Binglang (Areca Nut) (1.5 qian) Yunlian (Yunnan Coptis Rhizome) (1 qian, fried) Jinwen Jun (Brocade-patterned Army/Rhubarb) (3 qian, stir-fried with wine until black) Nong Po (Magnolia Bark) (3 qian) Shu Fuzi (Prepared Aconite Root) (3 qian)
Boil in five cups of water until two cups remain. Divide into two doses.
Patient Zhang, male, 38 years old. On the 18th day of the 11th month in the Jiazi year. Initially suffered from diarrhea, subsequently developing into Zhixia (dysentery). This represents the transmission of disease from the Spleen to the Kidney, making it difficult to treat.
Da Baishao (Large White Peony Root) (2 qian) Zhen Yalian (Authentic Ya-style Coptis Rhizome) (1.2 qian, stir-fried with Evodia Fruit) Huangqin Tan (Charred Scutellaria Root) (1.2 qian) Sheng Maoshu (Raw Atractylodes Rhizome) (3 qian) Zhuling (Polyporus) (3 qian)
Zexie (Alisma Rhizome) (3 qian) Sheng Yiren (Raw Coix Seed) (2 qian) Guang Muxiang (Costus Root) (1.5 qian) Lao Nong Po (Old Magnolia Bark) (2 qian) Chuan Jiaomu (Sichuan Pepper Seed) (5 qian) Liangjiang (Galangal Rhizome) (2 qian)
Guang Pi (Tangerine Peel) (1.5 qian)
Boil in six cups of water to obtain two cups. Decoct the dregs again to obtain one cup. Divide into three doses.
On the 20th day. Initial diarrhea followed by dysentery. Ancient texts state this is difficult to treat and not something that can be resolved quickly. Fortunately, the pulse is weak, indicating there is still vitality.
Baishao (White Peony Root) (3 qian, fried) Nan Binglang (Southern Areca Nut) (1.5 qian) Muxiang (Costus Root) (1.5 qian) Danggui Wei (Dangel Root Tail) (1 qian) Diyutan (Charred Sanguisorba Root) (3 qian) Guang Chenpi (Aged Tangerine Peel) (2 qian) Xiao Zhishi (Immature Bitter Orange Fruit) (2 qian, crushed) Honghua (Safflower) (2 qian)
Decoction method as before.
On the 23rd day. The pulse is deep and forceful. Suffering from dysentery, with severe distension and pain. Pain reduces slightly after defecation but returns shortly after. Proposal: Open a pathway for Qi circulation, employing Warm Purging method.
Baishao (White Peony Root) (3 qian, wine-fried) Huangqin (Scutellaria Root) (3 qian, wine-fried) Zhen Shanlian (Authentic Mountain Coptis Rhizome) (2 qian, wine-fried yellow) Dahuang (Rhubarb Root) (5 qian, wine-fried)
Zhishi (Immature Bitter Orange Fruit) (3 qian) Nong Po (Magnolia Bark) (3 qian) Guang Muxiang (Costus Root) (2 qian) Anbian Gui (Anbian Cinnamon Twig) (2 qian, remove coarse bark) Guang Pi Tan (Charred Tangerine Peel) (2 qian) Honghua (Safflower) (2 qian)
Guiwei (Angelica Sinensis Root Tail) (1.5 qian)
Boil in five cups of water until three cups remain. Divide into three doses. One prescription.
On the 23rd day. Add to the formula from the 20th day:
Liangtoujian (Asparagus Fern Rhizome) (3 qian)
On the 24th day. Kidney pathology returns to the Spleen. Employ the method of Si Ling San combined with Qin Shao Tang.
Zhuling (Polyporus) (5 qian) Zexie (Alisma Rhizome) (5 qian) Sheng Yiren (Raw Coix Seed) (5 qian) Fuling Pi (Poria Skin) (5 qian) Jiao Baishao (Charred White Peony Root) (2 qian) Huangqin (Scutellaria Root) (1.5 qian, fried) Guang Muxiang (Costus Root) (1.5 qian) Sheng Baizhu (Raw Atractylodes Macrocephala Rhizome) (5 qian) Guang Chenpi (Aged Tangerine Peel) (1.5 qian) Nong Po (Magnolia Bark) (2 qian) Zhen Shanlian (Authentic Mountain Coptis Rhizome) (1.5 qian, fried)
Boil in eight cups of water to obtain three cups. Divide into three doses.
On the 25th day. Add to the previous formula:
Bai Tongcao (White Tetrapanax Pith) (2 qian)
On the 26th day. Liver Qi stagnation causes urinary obstruction. Using only Si Ling San is ineffective. Proposal: Method to open Yin Collaterals.
Xiangjiao Mo (Powdered Aquilaria Wood) (3 qian) Shexiang (Musk) (5 li, taken with liquid) Taoren (Peach Kernel) (3 qian) Guixu (Angelica Sinensis Root Tip) (2 qian) Hupo (Amber) (3 fen, taken with liquid) Zhuling (Polyporus) (3 qian) Liangtoujian (Asparagus Fern Rhizome) (1 qian) Zexie (Alisma Rhizome) (3 qian) Xiaohuixiang (Small Fennel Fruit) (3 qian) Chuan Lianzi (Sichuan Chinaberry Seed) (3 qian)
On the 27th day. Effective. Add to the previous formula:
Anbian Gui (Anbian Cinnamon Twig) (3 fen) Sheng Xiangfu (Fresh Cyperus Rhizome) (3 qian) Yujin (Turmeric Tuber) (6 qian)
On the 28th day. Disharmony of the nine orifices all belongs to Stomach disease. Employ method to open Taiyang, close Yangming, and simultaneously purge Heart Fire.
Banxia (Pinellia Tuber) (6 qian) Qingpi (Green Tangerine Peel) (2 qian) Guang Chenpi (Aged Tangerine Peel) (2 qian) Fuling (Poria) (3 qian, with skin) Zhuling (Polyporus) (3 qian) Zexie (Alisma Rhizome) (3 qian)
Huangqin (Scutellaria Root) (2 qian) Sheng Yiren (Raw Coix Seed) (3 qian) Nong Po (Magnolia Bark) (1 qian, stir-fried with Ginger Juice) Ganjiang (Dried Ginger Rhizome) (2 qian) Chao Shanlian (Stir-fried Mountain Coptis Rhizome) (1.5 qian) Guang Muxiang (Costus Root) (1 qian)
Boil in five cups of water until two cups remain. Decoct again to obtain one cup. Divide into three doses.
On the 29th day. Open Taiyang, close Yangming, simultaneously eliminate damp-heat within dampness.
Banxia (Pinellia Tuber) (6 qian) Fuling Pi (Poria Skin) (3 qian) Sheng Yiren (Raw Coix Seed) (3 qian) Guang Pi (Tangerine Peel) (2 qian) Baishao (White Peony Root) (2 qian) Bai Tongcao (White Tetrapanax Pith) (2 qian)
Guang Muxiang (Costus Root) (1 qian) Fuling (Poria) (3 qian) Zexie (Alisma Rhizome) (3 qian) Huangqin Tan (Charred Scutellaria Root) (2 qian) Zhen Shanlian (Authentic Mountain Coptis Rhizome) (1.5 qian) Bi Xie (Dioscorea Hypoglauca Rhizome) (2 qian)
On the 30th day. Blood in stool after defecation. Add method of Huangtu Tang.
Banxia (Pinellia Tuber) (5 qian) Guang Muxiang (Costus Root) (1 qian) Zaozhong Huangtu (Yellow Earth from Hearth) (6 qian) Huangqin Tan (Charred Scutellaria Root) (2 qian) Bi Xie (Dioscorea Hypoglauca Rhizome) (3 qian) Chao Baishao (Fried White Peony Root) (3 qian)
Fuling Pi (Poria Skin) (3 qian) Guang Pi (Tangerine Peel) (2 qian) Quan Danggui (Whole Angelica Sinensis Root) (1.5 qian) Lao Nong Po (Old Magnolia Bark) (2 qian) Chao Cangzhu (Fried Atractylodes Rhizome) (3 qian)
Boil in five cups of water to obtain two cups. Decoct dregs again to obtain one cup. Divide into three doses.
On the 1st day (next month). Tongue is deeply crimson. Chest feels hot and uncomfortable. Throat is painful. Stool still contains blood traces. Proposal: Sour and Bitter method to drain Heat.
Wumei (Dark Plum) (9 pieces) Zaozhong Huangtu (Yellow Earth from Hearth) (8 qian) Huangqin (Scutellaria Root) (2 qian)
On the 2nd day. Use Si Ling San combined with Qin Shao method, because urine is scanty, mouth has ulcers, and dysentery persists.
Chao Baishao (Fried White Peony Root) (2 qian) Banxia (Pinellia Tuber) (3 qian) Zhen Shanlian (Authentic Mountain Coptis Rhizome) (1.5 qian) Zexie (Alisma Rhizome) (3 qian) Chao Huangqin (Stir-fried Scutellaria Root) (1.5 qian) Zhuling (Polyporus) (3 qian)
Wumei Rou (Dark Plum Flesh) (3 qian) Fuling Pi (Poria Skin) (3 qian) Chiling Tan (Charred Red Poria) (1.5 qian) Danggui (Angelica Sinensis Root) (1 qian) Zaozhong Huangtu (Yellow Earth from Hearth) (3 qian)
First decoction one cup, second decoction one cup. Divide into three doses.
On the 3rd day. Lower abdomen distends and hurts. Urine does not flow. Still due to Liver Qi stagnation, failure to govern free flow and drainage.
Zhen Yunlian (Authentic Yunnan Coptis Rhizome) (2 qian, fried) Huangqin Tan (Charred Scutellaria Root) (2 qian) Taoren Ni (Peach Kernel Paste) (3 qian) Sheng Xiangfu (Fresh Cyperus Rhizome) (3 qian) Jiu Bai Zhi (Juice of Leek White Part) (3 drops) Liangtoujian (Asparagus Fern Rhizome) (3 qian)
Xiangjiao Mo (Powdered Aquilaria Wood) (3 qian) Shexiang Mo (Powdered Musk) (5 li) Xiaohuixiang (Small Fennel Fruit) (3 qian, stir-fried black) Guixu (Angelica Sinensis Root Tip) (2 qian) Hupo Mo (Powdered Amber) (5 fen, mixed and taken together)
On the 4th day. Add to the previous formula:
Guang Yujin (Broad-spectrum Turmeric Tuber) (2 qian)
On the 5th day. Bitter, Acrid, and Light/Drip method to open Lower Jiao Damp-Heat, simultaneously purging Liver Fire.
Bi Xie (Dioscorea Hypoglauca Rhizome) (5 qian) Yunlian (Yunnan Coptis Rhizome) (2 qian, stir-fried black) Xiaohuixiang (Small Fennel Fruit) (3 qian, stir-fried black) Bai Tongcao (White Tetrapanax Pith) (2 qian) Chuan Lianzi (Sichuan Chinaberry Seed) (3 qian)
Wuyu (Evodia Fruit) (1.5 qian, stir-fried black) Huangbai Tan (Charred Phellodendron Bark) (2 qian) Sheng Xiangfu (Fresh Cyperus Rhizome) (3 qian)
Pediatric patient suffering from Hong Ji (red dysenteric exudate), pain before defecation, pain alleviates after defecation. Accumulation is too heavy. Only Warm Purging can achieve efficacy. Fear it will linger for a long time, and the child's strength cannot withstand it! Dysentery is an internal organ disease.
Jiao Baishao (Charred White Peony Root) (1.5 qian, fried) Huangqin (Scutellaria Root) (1.5 qian) Yunlian (Yunnan Coptis Rhizome) (1 qian, stir-fried black) Shenqu (Medicated Leaven) (1.5 qian) Sheng Dahuang (Raw Rhubarb Root) (2 qian) Lao Nong Po (Old Magnolia Bark) (1.5 qian)
Guang Muxiang (Costus Root) (8 fen) Guang Pi (Tangerine Peel) (7 fen) Zhike (Aurantium Fruit) (6 fen) Taoren (Peach Kernel) (8 fen) Nan Binglang (Southern Areca Nut) (8 fen) Guiwei (Angelica Sinensis Root Tail) (1 qian) Diyutan (Charred Sanguisorba Root) (1 qian) Rougui (Cinnamon Bark) (8 fen)
Immediately remove Dahuang and Rougui from the previous formula. Then remove Guiwei, Diyutan, and Taoren from the formula. Add Cangzhu (Atractylodes Rhizome) 1.5 qian.