论曰白滞痢者,冷痢之类,盖肠虚受冷,留而不去。与津液相搏,结滞如脓。或如凝脂。
腹痛而下,故为白滞痢。
治白滞痢,及小便白,人参汤方
人参 龙骨 当归(切焙) 干姜(炮裂) 白茯苓(去黑皮各半两) 甘草(炙锉半
两) 浓朴(去粗皮
上七味。粗捣筛,每服五钱匕,水一盏半。煎至一盏,去滓空心服。日晚再服,如小儿
患,量大小以意加减。
治白滞痢,及食不消化,黄柏丸方
黄柏(去粗皮炙三分) 乌梅肉(炒干一两) 熟艾(微炒一两) 甘草(炙锉半两)
上四味。捣罗为末,炼蜜和丸,如梧桐子大。每服一十五丸,空心米饮下。日午再服。
治白脓痢,赤石脂散方
赤石脂(碎一两) 干姜(炮三分)
上二味。捣罗为末,每服两钱匕。空心米饮调下。日晚再服。治白脓及诸痢。当归丸方
当归(切焙) 黄连(去须炒各三分) 乌梅肉(炒干) 阿胶(炙燥各半两)
右四味。捣罗为末,熔蜡和丸。梧桐子大。每服空心温粥饮下二十丸。日午再服。
治白滞痢。及腹痛不止。陈曲汤方
陈曲(炒黄半两) 黄连(去须炒) 浓朴(去粗皮涂姜汁炙紫色各一两) 附子(炮
裂去皮脐) 干姜
上五味。锉如麻豆,每服五钱匕,水一盏半。煎至八分,去滓空心服,日晚再服。
治白滞痢。心腹胀满,不下食。豆蔻汤方
肉豆蔻(去壳) 甘草(炙锉各半两) 浓朴(去粗皮涂生姜汁炙紫色一两半) 干姜
(炮半两)
上四味。粗捣筛,每服三钱匕,水一盏。煎至七分,去滓空心温服。日午再服。
治白滞痢。及水痢日夜一二十行。心下痛,白术汤方
白术(三分) 甘草(炙锉半两) 浓朴(去粗皮涂生姜汁炙令紫色一两) 黄柏(去
粗皮炙) 龙骨(各
上五味。粗捣筛,每服五钱匕,水一盏半,生姜三片。同煎至八分,去滓空心温服,日
晚再服。
治冷白滞痢,及腹痛,附子汤方
附子(炮裂去皮脐一两半) 赤石脂(一两) 干姜(炮一两半) 芍药 甘草(炙
锉各半两) 当归(切焙) 龙骨(各一两半) 白术(二两) 人参(三分) 牡蛎(熬
一两半)
上一十味。锉如麻豆,每服五钱匕,水一盏半。煎至八分,去滓空心温服。日晚再服。
有脓加浓朴一两,去粗皮,姜汁涂炙、紫色。若呕。加陈橘皮一两,汤浸去白焙。
治白滞痢,龙骨丸方
龙骨(一两半) 干姜(炮半两) 附子(炮裂去皮脐一两半)
上三味。捣罗为末,醋煮面糊,丸如梧桐子大。食前米饮下十五丸。
治脾胃气虚,滑泄下痢白脓。浓朴汤方
浓朴(四两去皮涂姜汁炙令紫) 干姜(炮二两)
上二味。粗捣筛,每服三钱匕,浆水一盏。煎至六分。去滓温服。食前。
治丈夫妇人久患白滞痢,如鱼脑。阿魏丸方
阿魏(别研一分) 桂(去粗皮为末半两) 木香(为末半两) 安息香(一分酒浸别
研) 独头蒜(二
上五味。再同研极细。温酒和丸,如梧桐子大。每服三十丸,空心陈米饮下,日午再服
治白滞痢,腹藏撮痛,豆蔻丸方
肉豆蔻(面裹煨熟为末) 草豆蔻(面裹煨熟为末) 缩砂仁 母丁香(各一两) 木
香沉香(锉)
上九味,捣罗为末,烧粟米饭和丸,如樱桃大。每服二丸。米饮化下,食前服。
治白痢多脓,腹中 痛。黄芩丸方
黄芩(去黑心) 黄连(去须) 黄柏(去粗皮各一两半) 吴茱萸(汤洗焙干炒一两)
诃黎勒皮(炒二
上五味,捣罗为末,炼蜜和丸,如梧桐子大。每服四十丸,食前橘皮汤下、日再。
治脏寒下痢白脓。心腹 痛,姜附散方
干姜(炮) 附子(炮裂去皮脐) 诃黎勒(煨取皮) 龙骨(各一两)
上四味。捣罗为散,每服三钱匕,煎乌梅汤,空心调下。
治白滞痢久不瘥。黄连汤方
黄连(去须炒) 浓朴(去粗皮生姜汁炙各二两)
上二味。粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓食前服。
论述说:白滞痢,属于冷痢一类,是因为肠道虚弱感受寒邪,寒气停留不去。与津液相互搏结,凝结阻滞如同脓液,或者像凝固的油脂。
腹痛并排出白色黏液,所以称为白滞痢。
治疗白滞痢,以及小便浑浊发白的人参汤方
人参、龙骨、当归(切片焙干)、干姜(炮制裂开)、白茯苓(去掉黑皮,各半两)、甘草(炙烤后锉碎,半两)、浓朴(去掉粗皮)
以上七味药。粗捣筛过,每次服用五钱匕,用水一盏半。煎煮至一盏,去渣滓,空腹服用。晚上再服一次。如果是小儿患病,根据年龄大小酌情加减剂量。
治疗白滞痢,以及食物不消化,黄柏丸方
黄柏(去掉粗皮,炙烤三分)、乌梅肉(炒干一两)、熟艾(微炒一两)、甘草(炙烤后锉碎,半两)
以上四味药。捣碎过罗成粉末,用炼蜜调和做成丸药,如梧桐子大小。每次服用十五丸,空腹时用米汤送服。中午再服一次。
治疗白脓痢,赤石脂散方
赤石脂(捣碎一两)、干姜(炮制三分)
以上两味药。捣碎过罗成粉末,每次服用两钱匕。空腹时用米汤调服。晚上再服一次。治疗白脓痢及各种痢疾。当归丸方
当归(切片焙干)、黄连(去掉须根,炒制,各三分)、乌梅肉(炒干)、阿胶(炙烤干燥,各半两)
以上四味药。捣碎过罗成粉末,用熔化的蜡调和做成丸药。如梧桐子大小。每次空腹用温粥饮送服二十丸。中午再服一次。
治疗白滞痢,以及腹痛不止,陈曲汤方
陈曲(炒黄半两)、黄连(去掉须根,炒制)、浓朴(去掉粗皮,涂姜汁炙烤至紫色,各一两)、附子(炮制裂开,去皮和脐)、干姜
以上五味药。锉碎如麻豆大小,每次服用五钱匕,用水一盏半。煎煮至八分,去渣滓空腹服用,晚上再服一次。
治疗白滞痢,心腹胀满,不能进食,豆蔻汤方
肉豆蔻(去掉壳)、甘草(炙烤后锉碎,各半两)、浓朴(去掉粗皮,涂生姜汁炙烤至紫色一两半)、干姜(炮制半两)
以上四味药。粗捣筛过,每次服用三钱匕,用水一盏。煎煮至七分,去渣滓空腹温服。中午再服一次。
治疗白滞痢,以及水样腹泻,每天一二十次,心下疼痛,白术汤方
白术(三分)、甘草(炙烤后锉碎,半两)、浓朴(去掉粗皮,涂生姜汁炙烤令其紫色一两)、黄柏(去掉粗皮,炙烤)、龙骨(各...原文此处似有缺漏,依前文格式推测为各半两或等量,但严格按原文提取)
以上五味药。粗捣筛过,每次服用五钱匕,用水一盏半,生姜三片。同煎至八分,去渣滓空腹温服,晚上再服一次。
治疗冷白滞痢,以及腹痛,附子汤方
附子(炮制裂开,去皮和脐一两半)、赤石脂(一两)、干姜(炮制一两半)、芍药、甘草(炙烤后锉碎,各半两)、当归(切片焙干)、龙骨(各一两半)、白术(二两)、人参(三分)、牡蛎(熬制一两半)
以上十味药。锉碎如麻豆大小,每次服用五钱匕,用水一盏半。煎煮至八分,去渣滓空腹温服。晚上再服一次。
如果有脓液,加浓朴一两,去掉粗皮,涂姜汁炙烤至紫色。如果呕吐,加陈橘皮一两,热水浸泡去掉白瓤后焙干。
治疗白滞痢,龙骨丸方
龙骨(一两半)、干姜(炮制半两)、附子(炮制裂开,去皮和脐一两半)
以上三味药。捣碎过罗成粉末,用醋煮面糊,做成如梧桐子大小的丸药。饭前用米汤送服十五丸。
治疗脾胃气虚,滑泄导致下痢出白脓,浓朴汤方
浓朴(四两,去皮涂姜汁炙烤令其紫色)、干姜(炮制二两)
以上两味药。粗捣筛过,每次服用三钱匕,浆水一盏。煎煮至六分。去渣滓温服。饭前服用。
治疗男子妇人久患白滞痢,大便状如鱼脑,阿魏丸方
阿魏(单独研磨一分)、桂(去掉粗皮研末半两)、木香(研末半两)、安息香(一分,酒浸后单独研磨)、独头蒜(二...原文此处截断,依上下文推测为数量单位)
以上五味药。再次共同研磨极细。用温酒调和做成丸药,如梧桐子大小。每次服用三十丸,空腹用陈米汤送服,中午再服一次。
治疗白滞痢,腹部脏腑拘急疼痛,豆蔻丸方
肉豆蔻(面粉包裹煨熟后研末)、草豆蔻(面粉包裹煨熟后研末)、缩砂仁、母丁香(各一两)、木香、沉香(锉碎)
以上九味药,捣碎过罗成粉末,用烧熟的粟米饭调和做成丸药,如樱桃大小。每次服用二丸。用米汤化开送服,饭前服用。
治疗白痢多脓,腹中...痛(原文此处可能有缺字,通常指绞痛或刺痛),黄芩丸方
黄芩(去掉黑心)、黄连(去掉须根)、黄柏(去掉粗皮,各一两半)、吴茱萸(热水洗后焙干炒制一两)、诃黎勒皮(炒制二...原文此处截断,依前文推测为二两或类似单位)
以上五味药,捣碎过罗成粉末,用炼蜜调和做成丸药,如梧桐子大小。每次服用四十丸,饭前用橘皮汤送服,每天两次。
治疗脏寒导致下痢出白脓,心腹...痛(原文此处可能有缺字),姜附散方
干姜(炮制)、附子(炮制裂开,去皮和脐)、诃黎勒(煨后取皮)、龙骨(各一两)
以上四味药。捣碎过罗成散剂,每次服用三钱匕,煎乌梅汤,空腹调服。
治疗白滞痢日久不愈,黄连汤方
黄连(去掉须根,炒制)、浓朴(去掉粗皮,生姜汁炙烤,各二两)
以上两味药。粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至八分,去渣滓饭前服用。
Discourse states: Bai Zhi Li (White Stagnant Dysentery) belongs to the category of Cold Li (Cold Dysentery). It arises because the intestines are deficient and vulnerable to cold pathogens, which remain stagnant without being expelled. The cold pathogen contends with body fluids, causing them to coagulate and stagnate like pus or congealed fat.
Abdominal pain occurs accompanied by the discharge of white mucus, hence it is termed Bai Zhi Li (White Stagnant Dysentery).
Ren Shen Tang (Ginseng Decoction) for treating Bai Zhi Li (White Stagnant Dysentery) and turbid white urine
Ren Shen (Panax Ginseng Radix), Long Gu (Fossilized Bones), Dang Gui (Angelicae Sinensis Radix, sliced and roasted), Gan Jiang (Zingiberis Rhizoma, processed until cracked), Bai Fu Ling (Poria, black skin removed, each half liang), Zhi Gan Cao (Honey-fried Licorice Root, crushed, half liang), Hou Po (Magnolia Bark, coarse bark removed).
The above seven herbs are coarsely crushed and sifted. Each dose consists of five qian bi (approx. 5-10g depending on era/measure), boiled in one dan and a half of water until reduced to one dan. Strain and take on an empty stomach. Take again in the evening. For pediatric cases, adjust dosage according to age and condition.
Huang Bo Wan (Phellodendron Pill) for treating Bai Zhi Li (White Stagnant Dysentery) and indigestion
Zhi Huang Bo (Honey-fried Phellodendri Cortex, three fen), Chao Wu Mei Rou (Stir-fried Mume Fruit Flesh, one liang), Shu Ai Ye (Processed Mugwort Leaf, lightly stir-fried, one liang), Zhi Gan Cao (Honey-fried Licorice Root, crushed, half liang).
The above four herbs are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take fifteen pills per dose on an empty stomach with rice water. Take again at noon.
Chi Shi Zhi San (Red Halloysite Powder) for treating Bai Nong Li (White Pus Dysentery)
Sui Chi Shi Zhi (Crushed Halloysitum Rubrum, one liang), Pao Gan Jiang (Processed Zingiberis Rhizoma, three fen).
The above two herbs are crushed, sieved into powder. Take two qian bi per dose on an empty stomach, mixed with rice water. Take again in the evening. This treats Bai Nong Li (White Pus Dysentery) and various types of dysentery. Dang Gui Wan (Angelica Pill)
Chao Bei Dang Gui (Roasted Angelicae Sinensis Radix, sliced), Qu Xu Chao Huang Lian (Stir-fried Coptidis Rhizoma, mustards removed, each three fen), Chao Wu Mei Rou (Stir-fried Mume Fruit Flesh), Zhi Ao Jiao (Dry-fried Donkey-hide Gelatin, each half liang).
The above four herbs are crushed, sieved into powder, and mixed with melted beeswax to form pills the size of Sophora seeds. Take twenty pills per dose on an empty stomach with warm porridge water. Take again at noon.
Chen Qu Tang (Aged Fermented Dough Decoction) for treating Bai Zhi Li (White Stagnant Dysentery) and unceasing abdominal pain
Chao Huang Chen Qu (Stir-fried Yellow Aged Fermented Dough, half liang), Qu Xu Chao Huang Lian (Stir-fried Coptidis Rhizoma, mustards removed), Zhi Zi Se Hou Po (Ginger-juice fried Magnolia Bark turned purple, each one liang), Pao Lie Fu Zi (Processed Processed Aconiti Lateralis Radix, skin and umbilicus removed), Gan Jiang (Zingiberis Rhizoma).
The above five herbs are cut like hemp seeds. Take five qian bi per dose, boiled in one dan and a half of water until reduced to eight parts. Strain and take on an empty stomach. Take again in the evening.
Dou Kou Tang (Cardamom Decoction) for treating Bai Zhi Li (White Stagnant Dysentery), epigastric and abdominal fullness, and inability to eat
Qu Qiao Rou Dou Kou (Shelled Nutmeg), Zhi Cu Gan Cao (Honey-fried and crushed Licorice Root, each half liang), Zhi Zi Se Hou Po (Ginger-juice fried Magnolia Bark turned purple, one and a half liang), Pao Gan Jiang (Processed Zingiberis Rhizoma, half liang).
The above four herbs are coarsely crushed and sifted. Take three qian bi per dose, boiled in one dan of water until reduced to seven parts. Strain and take warm on an empty stomach. Take again at noon.
Bai Zhu Tang (Atractylodes Macrocephala Decoction) for treating Bai Zhi Li (White Stagnant Dysentery), watery diarrhea occurring twenty times day and night, and subcardiac pain
San Fen Bai Zhu (Three fen Atractylodis Macrocephalae Rhizoma), Zhi Cu Gan Cao (Honey-fried and crushed Licorice Root, half liang), Zhi Zi Se Hou Po (Ginger-juice fried Magnolia Bark turned purple, one liang), Zhi Huang Bo (Phellodendri Cortex, processed), Long Gu (Fossilized Bones, each...).
The above five herbs are coarsely crushed and sifted. Take five qian bi per dose, boiled with three slices of fresh ginger in one dan and a half of water until reduced to eight parts. Strain and take warm on an empty stomach. Take again in the evening.
Fu Zi Tang (Aconite Decoction) for treating Cold Bai Zhi Li (White Stagnant Dysentery) and abdominal pain
Pao Lie Qu Qi Fu Zi (Processed Processed Aconiti Lateralis Radix, skin and umbilicus removed, one and a half liang), Chi Shi Zhi (Halloysitum Rubrum, one liang), Pao Gan Jiang (Processed Zingiberis Rhizoma, one and a half liang), Shao Yao (Paeoniae Radix), Zhi Cu Gan Cao (Honey-fried and crushed Licorice Root, each half liang), Chao Bei Dang Gui (Roasted Angelicae Sinensis Radix, sliced), Long Gu (Fossilized Bones, each one and a half liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, two liang), Ren Shen (Panax Ginseng Radix, three fen), Ao Mu Li (Calcined Oyster Shell, one and a half liang).
The above ten herbs are cut like hemp seeds. Take five qian bi per dose, boiled in one dan and a half of water until reduced to eight parts. Strain and take warm on an empty stomach. Take again in the evening.
If pus is present, add one liang of Hou Po (Magnolia Bark), remove coarse bark, apply ginger juice, and fry until purple. If vomiting occurs, add one liang of Chen Pi (Dried Tangerine Peel), soak in hot water, remove white pith, and dry.
Long Gu Wan (Fossilized Bone Pill) for treating Bai Zhi Li (White Stagnant Dysentery)
Long Gu (Fossilized Bones, one and a half liang), Pao Gan Jiang (Processed Zingiberis Rhizoma, half liang), Pao Lie Qu Qi Fu Zi (Processed Processed Aconiti Lateralis Radix, skin and umbilicus removed, one and a half liang).
The above three herbs are crushed, sieved into powder, and mixed with paste made from boiling flour in vinegar to form pills the size of Sophora seeds. Take fifteen pills before meals with rice water.
Hou Po Tang (Magnolia Bark Decoction) for treating Spleen and Stomach Qi deficiency leading to slippery diarrhea with white pus discharge
Si Liang Qu Pi Zhi Zi Se Hou Po (Four liang Magnolia Bark, skin removed, ginger juice applied, fried until purple), Pao Er Liang Gan Jiang (Two liang Processed Zingiberis Rhizoma).
The above two herbs are coarsely crushed and sifted. Take three qian bi per dose, boiled in one dan of jiang shui (fermented grain water) until reduced to six parts. Strain and take warm before meals.
A Wei Wan (Asafoetida Pill) for treating men and women suffering from chronic Bai Zhi Li (White Stagnant Dysentery) resembling fish brains
Yi Yan A Wei (Separately ground Asafoetida, one fen), Qu Pi Mo Gui (Cinnamon Bark, coarse bark removed, ground to powder, half liang), Mo Xiang (Wood Fragrance/Patchouli Oil, ground to powder, half liang), An Xi Xiang (Benzoin Resin, one fen, soaked in wine and separately ground), Du Tou Suan (Single-clove Garlic, two...).
The above five herbs are ground together extremely finely. Mix with warm wine to form pills the size of Sophora seeds. Take thirty pills per dose on an empty stomach with aged rice water. Take again at noon.
Dou Kou Wan (Cardamom Pill) for treating Bai Zhi Li (White Stagnant Dysentery) and cramping abdominal pain
Mian Bao Wei Shu Rou Dou Kou (Nutmeg wrapped in flour and baked熟, ground), Mian Bao Wei Shu Cao Dou Kou (Greater Cardamom wrapped in flour and baked熟, ground), Suo Sha Ren (Amomi Fructus Rotundus), Mu Ding Xiang (Mother Clove, each one liang), Mu Xiang (Costusbark), Chen Xiang (Aquilaria Wood, cut).
The above nine herbs are crushed, sieved into powder, and mixed with cooked millet rice to form pills the size of cherries. Take two pills per dose, dissolved in rice water, before meals.
Huang Qin Wan (Scutellaria Pill) for treating White Dysentery with abundant pus and abdominal... pain
Qu Hei Xin Huang Qin (Scutellariae Radix, black heart removed), Qu Xu Huang Lian (Coptidis Rhizoma, mustards removed), Qu Pi Huang Bo (Phellodendri Cortex, coarse bark removed, each one and a half liang), Xi Gan Chao Wu Zhu Yu (Washed, dried, and stir-fried Evodiae Fructus, one liang), Chao He Li Le Pi (Stir-fried Terminalia Chebula Pericarpium, two...).
The above five herbs are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take forty pills per dose before meals with tangerine peel decoction. Twice daily.
Jiang Fu San (Ginger and Aconite Powder) for treating internal cold causing dysentery with white pus and subcardiac/abdominal... pain
Pao Gan Jiang (Processed Zingiberis Rhizoma), Pao Lie Qu Qi Fu Zi (Processed Processed Aconiti Lateralis Radix, skin and umbilicus removed), Wei Qu Pi He Li Le (Baked Terminalia Chebula Pericarpium), Long Gu (Fossilized Bones, each one liang).
The above four herbs are crushed, sieved into powder. Take three qian bi per dose, mixed with boiled Mume fruit decoction, taken on an empty stomach.
Huang Lian Tang (Coptis Decoction) for treating chronic Bai Zhi Li (White Stagnant Dysentery) that does not heal
Qu Xu Chao Huang Lian (Stir-fried Coptidis Rhizoma, mustards removed), Sheng Jiang Zhi Qu Pi Hou Po (Ginger-juice fried Magnolia Bark, coarse bark removed, each two liang).
The above two herbs are coarsely crushed and sifted. Take five qian bi per dose, boiled in one dan and a half of water until reduced to eight parts. Strain and take before meals.