治赤滞下血连月不瘥方。
白头翁 浓朴 阿胶 黄连 秦皮 附子 黄柏 茯苓 芍药各二两) 干姜 当归
赤石脂 甘草 龙骨(各三两) 大枣(三十枚) 粳米(一升)
上十六味 咀,以水一斗二升先煮米令熟,出米纳药,煮取三升,分四服。
治下血日夜七八十行方∶
黄连 黄柏(各四两)
上二味 咀,以醇醋五升煮取一升半,分再服。
治大热毒纯血痢不可瘥者方∶
黄连六两 咀,以水七升煮取二升半,夜露置星月下,旦起空腹顿服,卧将息即止
。不瘥加黄芩二两,更作服之。仍不瘥者,以疳痢法治之。
治下赤连年方∶
地榆 鼠尾草(各一两)
上二味 咀,以水二升煮取一升,分二服。如不止,取屋尘水渍,去滓,一升分二服
。(《古今录验》云服屋尘汁一小杯)。
又方 秦皮(如无以槲皮代之) 鼠尾草 蔷薇根
上三味等分 咀,以水淹、煎,去滓,铜器中重釜煎成丸如梧子大,服五六丸,日三
。稍增瘥止。亦可浓汁服半升。
治下痢绞痛肠滑不可瘥方∶
黄连(六两) 阿胶 鼠尾草 当归 干姜(各三两)
上五味 咀,若大冷白多以清酒一斗煮取三升,分三服。若热及不痛者,去干姜、当
归以水煮之。
治热痢水谷方∶
黄连 阿胶(各二两) 黄柏(一两) 乌梅(四十枚) 栀子(三十枚)
上五味 咀,以水五升煮取二升半,分三服。亦治 神良。
治疗赤色痢疾,下血持续数月不愈的方剂。
白头翁、厚朴、阿胶、黄连、秦皮、附子、黄柏、茯苓、芍药(各二两);干姜、当归、赤石脂、甘草、龙骨(各三两);大枣(三十枚);粳米(一升)。
以上十六味药,切碎,用水一斗二升先煮粳米至熟,捞出米粒后放入药物,煎煮取汁三升,分四次服用。
治疗下血,每日夜间发作七八十次的方剂:
黄连、黄柏(各四两)。
以上两味药,切碎,用优质醋五升煎煮取汁一升半,分两次服用。
治疗大热毒邪所致纯血痢疾,久治不愈的方剂:
黄连六两,切碎,用水七升煎煮取汁二升半,夜间置于星月之下露置,次日清晨空腹一次性服下,服药后卧床休息调养即可停止。若未痊愈,加黄芩二两,重新煎煮服用。如果仍然不愈,按照疳痢病的方法治疗。
治疗下赤色痢疾连年不愈的方剂:
地榆、鼠尾草(各一两)。
以上两味药,切碎,用水二升煎煮取汁一升,分两次服用。如果不止血,取屋檐滴下的积水浸泡(屋尘水),滤去渣滓,取一升分两次服用。(《古今录验》记载服用屋檐滴水一小杯)。
又一方:
秦皮(如果没有可用槲皮代替)、鼠尾草、蔷薇根。
以上三味药等量,切碎,用水浸泡、煎煮,滤去渣滓,在铜器中隔水重煎浓缩制成梧桐子大小的丸药,每次服用五六丸,每日三次。逐渐增加剂量,以痊愈为度。也可以将浓汁服用半升。
治疗下痢伴有绞痛、肠道滑脱久治不愈的方剂:
黄连(六两)、阿胶、鼠尾草、当归、干姜(各三两)。
以上五味药,切碎,如果是大寒证且白色分泌物多,用清酒一斗煎煮取汁三升,分三次服用。如果是热证及不疼痛者,去掉干姜、当归,用水煎煮服用。
治疗热痢兼有水谷不化的方剂:
黄连、阿胶(各二两)、黄柏(一两)、乌梅(四十枚)、栀子(三十枚)。
以上五味药,切碎,用水五升煎煮取汁二升半,分三次服用。此方也治疗[此处原文可能有缺字,推测为某种病症,如“泄泻”或类似症状,但依原文仅保留“亦治 神良”,疑为衍文或脱漏,按字面翻译]神效良好。
Formula for treating dysentery with blood, lasting for months without healing.
*Polygalae Radix* (Baitouweng), *Magnoliae Officinalis Cortex* (Nongpu), *Asini Corii Colla* (Ejiao), *Coptidis Rhizoma* (Huanglian), *Pseudolaricis Cortex* (Qinpi), *Aconiti Lateralis Radix Praeparata* (Fuzi), *Phellodendri Cortex* (Huangbai), *Poria* (Fuling), *Paeoniae Radix Alba* (Shaoyao) (each 2 liang); *Zingiberis Rhizoma* (Ganjiang), *Angelicae Sinensis Radix* (Danggui), *Halloysit Rubrum* (Chishizhi), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Ossis Femoris* (Longgu) (each 3 liang); *Jujubae Fructus* (Dazao) (30 pieces); *Oryza Sativa* (Jingmi) (1 sheng).
The above sixteen ingredients are coarsely crushed. Boil the rice in 12 sheng of water until cooked, remove the rice, add the herbs, and decoct to obtain 3 sheng of liquid. Divide into four doses.
Formula for treating bloody stool occurring seven or eight times daily:
*Coptidis Rhizoma* (Huanglian), *Phellodendri Cortex* (Huangbai) (each 4 liang).
The above two ingredients are coarsely crushed. Decoct in 5 sheng of strong vinegar to obtain 1.5 sheng of liquid. Divide into two doses.
Formula for treating severe heat-toxin pure bloody dysentery that does not heal:
*Coptidis Rhizoma* (Huanglian) 6 liang, coarsely crushed. Decoct in 7 sheng of water to obtain 2.5 sheng of liquid. Leave exposed under the stars and moon at night. Take on an empty stomach in the morning in one dose. Rest in bed to stop the symptoms. If not healed, add *Scutellariae Radix* (Huangqin) 2 liang, decoct again, and take. If still not healed, treat according to the method for gan dysentery.
Formula for treating chronic bloody dysentery lasting years:
*Sanguisorbae Radix* (Diyu), *Salviae Miltiorrhizae Herba* (Shuweicao - note: likely referring to a specific local herb or typo in original text, translated as Salvia based on common usage but context implies astringent herb) (each 1 liang).
The above two ingredients are coarsely crushed. Decoct in 2 sheng of water to obtain 1 sheng of liquid. Divide into two doses. If bleeding does not stop, soak roof dust in water, filter out the residue, take 1 sheng divided into two doses. (*Gu Jin Lu Yan* states to drink a small cup of roof drip water).
Another formula:
*Pseudolaricis Cortex* (Qinpi) (if unavailable, substitute with *Quercus Cortex* (Hupu)), *Salviae Miltiorrhizae Herba* (Shuweicao), *Rosa Rugosa Root* (Qiangweigen).
Equal parts of the above three ingredients are coarsely crushed. Soak and decoct in water, filter out the residue, and further concentrate by double-boiling in a copper vessel to make pills the size of wu zi seeds. Take 5-6 pills, three times a day. Gradually increase the dose until healed. Alternatively, take half a sheng of the concentrated decoction.
Formula for treating dysentery with colic pain and intestinal slippage that does not heal:
*Coptidis Rhizoma* (Huanglian) (6 liang), *Asini Corii Colla* (Ejiao), *Salviae Miltiorrhizae Herba* (Shuweicao), *Angelicae Sinensis Radix* (Danggui), *Zingiberis Rhizoma* (Ganjiang) (each 3 liang).
The above five ingredients are coarsely crushed. If it is a severe cold pattern with much white discharge, decoct in 1 dou of clear wine to obtain 3 sheng of liquid. Divide into three doses. If it is a heat pattern and there is no pain, remove *Zingiberis Rhizoma* (Ganjiang) and *Angelicae Sinensis Radix* (Danggui), and decoct in water.
Formula for treating heat dysentery with undigested food and water:
*Coptidis Rhizoma* (Huanglian), *Asini Corii Colla* (Ejiao) (each 2 liang), *Phellodendri Cortex* (Huangbai) (1 liang), *Pruni Mume Fructus* (Wumei) (40 pieces), *Gardeniae Fructus* (Zhizi) (30 pieces).
The above five ingredients are coarsely crushed. Decoct in 5 sheng of water to obtain 2.5 sheng of liquid. Divide into three doses. Also treats [text unclear/missing character] with excellent efficacy.