泄痢食不消不作肌肤,灸脾俞,随年壮。
泄注五痢便脓血重下腹痛,灸小肠俞百壮。
泄痢久下失气劳冷,灸下腰百壮,三报穴在八魁正中央脊骨上,灸数多尤佳。三宗骨是
忌针。
泄痢不禁小腹绞痛,灸丹田百壮,三报穴在脐下二寸,针入五分。泄痢不嗜食,虽食不
消,灸长谷五十壮,三报穴在挟脐相去五寸,一名循际。
泄痢赤白漏,灸足太阴五十壮,三报。
久泄痢百治不瘥,灸足阳明下一寸高骨上陷中,去大趾歧三寸,随年壮。
又屈竹量正当两胯脊上点讫,下量一寸点两旁各一寸,复下量一寸,当脊上合三处,
一灸三十壮,灸百壮以上。
一切痢皆断,亦治湿 冷,脊上当胯点处不灸。
又灸脐中稍稍二三百壮。
又灸关元三百壮,十日灸,并治冷痢腹痛,在脐下三寸。
赤白下痢灸穷骨,以灸数多为佳
(论一首 方三十二首)
论曰∶旧治痢于贵胜用建脾丸,多效,今治积久冷痢,先以温脾汤下讫,后以建脾丸补
之,未有不效者。贫家难以克办,亦无可将息也。
治积久冷热赤白痢方。
大黄 桂心(各三两) 附子 干姜 人参(各一两)
上五味 咀,以水七升煮取二升半,分三服。(与前温脾汤小异)。
治虚劳羸瘦身体重,脾胃冷,饮食不消,雷鸣腹胀,泄痢不止方。
钟乳粉(三两) 赤石脂 好曲 大麦 当归 黄连 人参 细辛 龙骨 干姜 茯
苓石斛 桂心(各二两) 附子(一两) 蜀椒(六两)
上十五味为末,白蜜丸如梧子大,酒服十丸,日三,加至三十丸。弱者饮服此方,男女
通治。(《集验》无细辛、龙骨)。
泄泻痢疾,饮食不消化,身体消瘦不长肌肉,灸脾俞穴,剂量根据患者年龄决定壮数。
泄泻急迫如注,五种痢疾导致大便脓血,里急后重,腹痛,灸小肠俞穴一百壮。
久泻痢疾,长期腹泻失气,感受劳损寒冷,灸下腰穴一百壮。“三报穴”位于八魁穴正中央的脊骨上,灸治壮数多效果更好。“三宗骨”部位禁止针刺。
泄泻痢疾无法控制,小腹绞痛,灸丹田穴一百壮。“三报穴”位于脐下二寸处,针刺深度五分。泄泻痢疾食欲不振,即使进食也无法消化,灸长谷穴五十壮。“三报穴”位于挟脐两侧各五寸处,又名循际穴。
赤白痢疾漏下不止,灸足太阴经穴位五十壮,“三报”即重复施灸三次。
久泻痢疾,经过多种治疗无效,灸足阳明经穴位,位置在下一寸高骨上的凹陷中,距离大趾分叉处三寸,剂量根据患者年龄决定壮数。
又法:用弯曲的竹子测量,正当两胯脊上方的点标记好后,向下量一寸,在两旁各点一个标记;再向下量一寸,当脊上的三点重合处,一处灸三十壮,灸一百壮以上效果更佳。
所有痢疾皆可截断,也能治疗湿冷之证,但脊骨上与胯部标记点重合的地方不要灸。
又法:灸关元穴三百壮,连续十天施灸,并用于治疗冷痢腹痛,关元穴位于脐下三寸。
(论述一首,方剂三十二首)
论述说:以往治疗痢疾,对权贵阶层使用建脾丸,大多有效。如今治疗积久形成的冷痢,先用温脾汤攻下,再用建脾丸补益,没有无效的。但贫寒之家难以置办药材,也没有条件调养。
治疗积久冷热赤白痢的方剂。
大黄、桂心(各三两)、附子、干姜、人参(各一两)。
以上五味药,切碎,用水七升煮取二升半,分三次服用。(与前文提到的温脾汤略有不同)。
治疗虚劳羸瘦、身体沉重、脾胃寒冷、饮食不消化、肠鸣腹胀、泄泻痢疾不止的方剂。
钟乳粉(三两)、赤石脂、好曲、大麦、当归、黄连、人参、细辛、龙骨、干姜、茯苓、石斛、桂心(各二两)、附子(一两)、蜀椒(六两)。
以上十五味药研成末,用白蜜制成梧桐子大小的丸药,酒送服十丸,每日三次,可加至三十丸。体弱者饮用此方药液也可,男女通用。(《集验方》中没有细辛、龙骨)。
For diarrhea and dysentery with indigestion, emaciation, and failure to build flesh, moxibustion is applied to the Pishu (BL20) acupoint. The number of moxa cones should correspond to the patient's age in years.
For urgent diarrhea resembling a stream, five types of dysentery resulting in pus and blood in the stool, tenesmus, and abdominal pain, moxibustion is applied to the Xiaochangshu (BL27) acupoint for one hundred moxa cones.
For chronic diarrhea and dysentery with frequent passage of flatus, fatigue, and cold injury due to overwork, moxibustion is applied to the Xiayao acupoint for one hundred moxa cones. The "Sanbao" point is located on the spinal bone exactly in the center of the Ba Kui area; applying more moxa cones is particularly beneficial. The "Sanzong" bones are contraindicated for acupuncture.
For uncontrollable diarrhea and dysentery with severe colic in the lower abdomen, moxibustion is applied to the Dantian acupoint for one hundred moxa cones. The "Sanbao" point is located two cun below the umbilicus; if needling, insert five fen deep. For diarrhea and dysentery with loss of appetite and inability to digest food even after eating, moxibustion is applied to the Changgu acupoint for fifty moxa cones. The "Sanbao" point is located five cun lateral to the umbilicus, also known as the Xunjia acupoint.
For bloody and white discharge from dysentery, moxibustion is applied to an acupoint of the Foot-Taiyin channel for fifty moxa cones, repeated three times ("Sanbao").
For chronic diarrhea and dysentery unresponsive to various treatments, moxibustion is applied to an acupoint of the Foot-Yangming channel, located one cun below the previous point, in the depression above the prominent bone, three cun away from the bifurcation of the big toe. The number of moxa cones should correspond to the patient's age in years.
Alternatively, use a bent bamboo strip to measure: mark the point directly above the junction of the two hips on the spine. Measure down one cun and mark both sides one cun apart. Measure down another inch; where these three points align on the spine, apply thirty moxa cones to one point, or up to one hundred or more moxa cones for better efficacy.
This method can arrest all types of dysentery and also treat damp-cold conditions. However, do not apply moxibustion at the point on the spine that coincides with the hip marking.
Alternatively, moxibustion is applied to the Qizhong (CV8) acupoint, gradually increasing to two or three hundred moxa cones.
Alternatively, moxibustion is applied to the Guanyuan (CV4) acupoint for three hundred moxa cones, administered daily for ten days. This also treats cold dysentery with abdominal pain. Guanyuan is located three cun below the umbilicus.
For bloody and white dysentery, moxibustion is applied to the Qionggu (coccyx), with a higher number of moxa cones being preferable.
(One Treatise, Thirty-two Formulas)
The treatise states: Previously, Jianpi Wan (Spleen-Constructing Pill) was used to treat dysentery among the nobility and was often effective. Now, for chronic cold dysentery, it is recommended to first administer Wenpi Tang (Warm the Spleen Decoction) to purge, followed by Jianpi Wan to tonify. There has been no case of ineffectiveness. However, poor families find it difficult to procure the ingredients and lack the means for proper recuperation.
Formula for treating chronic mixed hot and cold bloody and white dysentery.
Dahuang (Rhei Radix et Rhizoma), Guixin (Cinnamomi Cortex) (each 3 liang); Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), Renshen (Ginseng Radix) (each 1 liang).
The above five herbs are coarsely crushed, boiled in seven sheng of water until two and a half sheng remain. Divide into three doses. (This differs slightly from the previously mentioned Wenpi Tang).
Formula for treating deficiency-wasting with emaciation, heavy body, cold spleen and stomach, indigestion, borborygmus, abdominal distension, and intractable diarrhea and dysentery.
Zhongru Fen (Gypsum Fibrosum Pulvis) (3 liang); Chishizhi (Halloysit Rubra), Haoqu (Good Fermented Wheat Mass), Damai (Hordei Fructus Germinatus), Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma), Longgu (Fossilia Ossis Mastodi et Scapulae), Ganjiang (Zingiberis Rhizoma), Fuling (Poria), Shihu (Dendrobii Caulis), Guixin (Cinnamomi Cortex) (each 2 liang); Fuzi (Aconiti Lateralis Radix Praeparata) (1 liang); Shujiao (Zanthoxyli Pericarpium) (6 liang).
The above fifteen herbs are ground into powder. Mix with white honey to make pills the size of wutong seeds. Take ten pills with wine, three times a day, increasing up to thirty pills. This formula can be taken as a decoction for weak patients and is suitable for both men and women. (The Jiyi Fang does not contain Xixin or Longgu).