千金疗卒暴冷下部疼闷方。
烧砖令热,大酢沃之,三重布覆,坐上取瘥。
又方
黍米(二升) 腊 羊脂 胶(炙各二两)
上四味合煮作粥,一顿令尽即瘥。(并出第十五卷中)
病源夫冷热利者,由肠胃虚弱,宿有寒而为客热所伤,冷热相乘,其痢乍黄乍白是也。
若热抟于血,血渗肠间,则变为血痢也,而冷伏肠内抟津液,则变凝白,则成白滞,亦变赤
白痢也,其汤熨针石,别有正方,补养宣导,今附于后,养生方导引法云,泄下有寒者,微
一作引气以息内腹,徐吹息,以鼻引气,气足复前即愈,其有热者,微呼以去之也。(出第
十七卷中)
删繁疗下焦冷热不调,暴下赤白痢。香豉汤方。
香豉(一升) 白术(六两) 薤白(切一升) 升麻(二两)
上四味切,以水七升,煮取二升半,分为三服。(出第四卷中)
古今录验生春石榴,将疗热不调,下或滞或水或赤白青黄者方。
酸石榴(五枚)
上一味合壳舂绞,取二升汁,分服五合,稍稍服二升尽,即断,小儿以意服二三合佳。
(千金同出第十卷中)
又深师无问冷热新旧痢方。
黄连 黄柏 干姜 甘草(炙) 艾 乌梅肉(熬各八分) 附子(三枚) 腊(一鸡
子大)
上八味捣筛,以蜜和腊于铛中熔之,其着蜜须候腊熔尽,如干益蜜丸,空腹以饮服四十
丸,日二,渐加至五六十丸。
近效疗痢无问冷热,神验黄连丸方。
黄连(一两) 茯苓(二两) 阿胶(一两炙)
上三味,先捣黄连茯苓为末,以少许水熔阿胶,和为丸。众手丸之,曝干,量患轻重,
空腹以饮下三四十丸,渐渐加至六十丸,不过五六服必瘥,常用之极效。
又疗苦下,无问冷热,及脓血痢。悉主之方。
生犀角(屑) 黄柏(各二两) 黄连 苦参(各三两)
上四味捣筛为散,以糯米煮作饮,莫令生,每日空腹服一方寸匕,日再服便瘥,勿轻之
。此方于度支王郎中处得曾用极效肘后有当归云庚侍郎家方产后弥佳
崔氏治痢无问冷热赤白久新,并疳温。(刘秘监积年患痢每服此即愈方)
阿胶(二两一两炙入药一两销作清) 黄连(一两) 干姜(二两)
入黄无食子(二枚久痢肠滑甚者量加至三四枚)
上四味捣筛为末,以醋熔胶清,顿和丸如梧子,饮服二十五丸,日再,渐加至三十丸,
老小者以意斟酌,禁如常法。(一云若冷剂以酒下热痢以粥饮下出第三卷中)
文仲治无问冷热及五色痢,入口即定方。
黄连(四分) 黄柏 当归 黄芩(各一两) 阿胶(二两炙) 熟艾(一两)
上六味捣筛为散,以醋二升煮胶烊,下药煮,令可丸如大豆,饮服七八十丸,日二夜一
服,特宜老人,若产妇痢加蒲黄一两,蜜和为丸神验。(出第三卷中)
《千金方》治疗突然受寒导致下部疼痛胀闷的方剂。
将砖块烧红,用大量醋浇在上面,用三层布覆盖,坐在上面直到痊愈。
另一个方子:
黍米(二升) 腊羊脂胶(炙过,各二两)
以上四味药混合煮成粥,一顿吃完即可痊愈。(均出自第十五卷)
《病源论》说:冷热痢这种病,是由于肠胃虚弱,体内原本有寒邪,又被客热所伤,寒热相互搏结,导致下痢颜色时而黄时而白。
如果热邪聚集在血分,血液渗入肠道之间,就会变成血痢;如果寒邪潜伏在肠内凝聚津液,就会凝结成白色,形成白滞,也有的变为赤白痢。关于汤熨、针刺和砭石疗法,另有专门的方剂。补养和宣导方法,现在附在后面。《养生方导引法》说:泄泻伴有寒邪的,轻微地引导气息以平息腹内之气,慢慢地呼气,用鼻子吸气,气充足后恢复常态就会痊愈;如果有热邪的,轻微地呼气以去除它。(出自第十七卷)
删繁方治疗下焦寒热不调,突发赤白痢疾的香豉汤方。
香豉(一升) 白术(六两) 薤白(切,一升) 升麻(二两)
以上四味药切碎,用水七升,煮取二升半,分三次服用。(出自第四卷)
《古今录验》记载的生春石榴,用于治疗热邪不调,下痢或停滞、或水样、或赤白青黄色的方子。
酸石榴(五个)
将石榴连同壳一起捣碎绞汁,取汁二升,分次服用,每次五合,慢慢服完二升,痢疾即可停止,小儿酌情服用二三合较好。
(与《千金方》同出第十卷)
又深师方的不问冷热新旧痢疾的方子。
黄连 黄柏 干姜 甘草(炙) 艾叶 乌梅肉(熬制,各八分) 附子(三枚) 腊(如鸡蛋大小一块)
以上八味药捣碎过筛,用蜂蜜和腊在锅中熔化,加入蜂蜜需等到腊完全熔化,如果太干就增加蜂蜜,制成丸药。空腹时用温水送服四十丸,每天两次,逐渐增加到五六十丸。
近效方治疗痢疾不问冷热,神效的黄连丸方。
黄连(一两) 茯苓(二两) 阿胶(一两,炙)
以上三味药,先将黄连和茯苓捣成粉末,用少量水熔化阿胶,混合制成丸药。众人一起搓丸,晒干,根据病情轻重,空腹用温水送服三四十丸,逐渐增加到六十丸,不超过五六次服药必定痊愈,常用此方非常有效。
又治疗痛苦的下痢,不问冷热,以及脓血痢,都能主治的方子。
生犀角(锉屑) 黄柏(各二两) 黄连 苦参(各三两)
以上四味药捣碎过筛做成散剂,用糯米煮成稀饭,不要煮得太生,每天空腹服用一方寸匕大小的量,每天两次,痢疾即可痊愈,不可轻视这个方子。这个方子是从度支王郎中那里得到的,曾经使用非常有效。《肘后方》提到当归说庚侍郎家的方子用于产后更佳。
崔氏治疗痢疾不问冷热赤白久新,兼治疳温的方子。(刘秘监多年患痢,每次服用此方即愈)
阿胶(二两,其中一两炙入药,一两溶化成清液) 黄连(一两) 干姜(二两)
诃黎勒(二枚,久痢肠滑严重的酌情增加到三四枚)
以上四味药捣碎过筛成粉末,用醋熔化胶清,一次性混合制成梧桐子大小的丸药,用温水送服二十五丸,每天两次,逐渐增加到三十丸,老人小孩酌情斟酌,禁忌事项如常法。(另一种说法是:如果是冷剂用酒送服,热痢用粥饮送服,出自第三卷)
文仲治疗不问冷热及五色痢,入口即定的方子。
黄连(四分) 黄柏 当归 黄芩(各一两) 阿胶(二两,炙) 熟艾(一两)
以上六味药捣碎过筛做成散剂,用二升醋煮化阿胶,再加入其他药物煮,使其能制成如大豆大小的丸药,用温水送服七八十丸,白天两次晚上一次服用,特别适合老年人,如果是产妇痢疾加蒲黄一两,用蜜和为丸,效果神验。(出自第三卷)
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides a formula for treating sudden cold-induced pain and distension in the lower part of the body.
Burn bricks until hot, pour abundant vinegar on them, cover with three layers of cloth, and sit on it until recovery.
Another formula:
Panicum miliaceum grain (2 sheng), rendered sheep fat from winter (latter month) (2 liang, prepared by roasting).
Combine the above four ingredients to cook into a porridge; consume it all in one meal for recovery. (Both extracted from Volume 15)
According to the *Bing Yuan* (Source of Diseases): Cold-heat dysentery arises from weakness of the intestines and stomach, where pre-existing internal cold is injured by external heat. The interplay of cold and heat causes the dysenteric stool to alternate between yellow and white colors.
If heat aggregates in the blood level, causing blood to seep into the intestinal tract, it transforms into bloody dysentery. If cold lingers within the intestines, condensing body fluids, it coagulates into white matter, forming "white stagnation," which may also manifest as red-and-white dysentery. Regarding moxibustion, cupping, acupuncture, and stone therapy, there are separate specific formulas. For nourishing and guiding therapies, they are attached below. The *Yangsheng Fang Dao Yin Fa* (Health Preservation Guide and Exercises) states: For diarrhea accompanied by cold, gently guide the qi to calm the abdomen, exhale slowly, inhale through the nose; when qi is sufficient and returns to normal, recovery occurs. For cases with heat, gently exhale to dispel it. (Extracted from Volume 17)
The *Shanfan* text provides the Xiangchi Tang (Fermented Soybean Decoction) for treating disharmony of cold and heat in the lower jiao, presenting as sudden red-and-white dysentery.
Douchi (Fermented Soybean) (1 sheng), Atractylodis Rhizoma (6 liang), Scallion White (cut, 1 sheng), Cimicifugae Rhizoma (2 liang).
Cut the above four ingredients, boil in 7 sheng of water until reduced to 2.5 sheng, divide into three doses. (Extracted from Volume 4)
The *Gujin Luyan* records the Raw Spring Pomegranate formula for treating heat-induced disharmony, presenting as dysentery that is stagnant, watery, or red-white/yellow-green.
Sour Pomegranate (5 fruits).
Crush the pomegranates including the shell, extract 2 sheng of juice. Divide into doses of 0.5 sheng, gradually consuming the full 2 sheng to stop the dysentery. For children, administer 2-3 he according to discretion. (Same as Qianjin Fang, extracted from Volume 10)
Another formula from Shen Shi for dysentery regardless of cold/heat or new/old onset.
Coptidis Rhizoma, Phellodendri Cortex, Dried Ginger, Licorice Root (prepared by roasting), Mugwort Leaf, Seed of Prunus mume (roasted, each 8 fen), Aconiti Lateralis Radix Preparata (3 pieces), Winter-rendered fat (size of a chicken egg).
Grind the above eight ingredients into powder. Melt the wax/fat with honey in a pan; add honey only after the wax is fully melted. If too dry, add more honey. Form pills. Take 40 pills on an empty stomach with water, twice daily, gradually increasing to 50-60 pills.
The *Jin Xiao* text provides the Huanglian Wan (Coptis Pill) for dysentery regardless of cold/heat, claiming divine efficacy.
Coptidis Rhizoma (1 liang), Poria (2 liang), Donkey-hide Gelatin (1 liang, prepared by roasting).
First grind Coptidis Rhizoma and Poria into powder. Melt Donkey-hide Gelatin with a small amount of water. Mix to form pills. Roll into balls by hand, dry in the sun. Based on severity, take 30-40 pills on an empty stomach with water, gradually increasing to 60 pills. Recovery is certain within 5-6 doses; this commonly used formula is highly effective.
Another formula for painful dysentery, regardless of cold/heat, including pus-and-blood dysentery.
Raw Rhinoceros Horn (crushed/shredded), Phellodendri Cortex (each 2 liang), Coptidis Rhizoma, Sophorae Flavescentis Radix (each 3 liang).
Grind the above four ingredients into powder. Boil glutinous rice to make a drink (do not overcook). Take one fang cun bi (measure of volume) on an empty stomach daily, twice daily, for recovery. Do not underestimate this formula. This formula was obtained from Director Wang of the Board of Revenue and proved extremely effective. The *Zhou Hou Bei Ji Fang* mentions Dang Gui, noting that the formula from Official Geng's family is particularly good for postpartum conditions.
Dr. Cui’s formula for dysentery regardless of cold/heat, red/white, chronic/new, including infantile malnutrition fever. (Official Liu Mi suffered from chronic dysentery for years; every time he took this formula, he recovered.)
Donkey-hide Gelatin (2 liang; 1 liang prepared by roasting for medicine, 1 liang melted into clear liquid), Coptidis Rhizoma (1 liang), Dried Ginger (2 liang), Terminalia Chebula Retz. Fruit (2 pieces; increase to 3-4 pieces if chronic dysentery with severe intestinal slippage).
Grind the above four ingredients into powder. Melt the gelatin clear with vinegar, mix thoroughly, and form pills the size of mulberry seeds. Take 25 pills with water, twice daily, gradually increasing to 30 pills. Adjust dosage for elderly and children according to discretion. Observe usual dietary restrictions. (Note: If using cold-natured agents, take with wine; for heat-dysentery, take with gruel broth. Extracted from Volume 3)
Wen Zhong’s formula for dysentery regardless of cold/heat and five-color dysentery, effective immediately upon ingestion.
Coptidis Rhizoma (4 fen), Phellodendri Cortex, Angelicae Sinensis Radix, Scutellariae Radix (each 1 liang), Donkey-hide Gelatin (2 liang, prepared by roasting), Prepared Mugwort (1 liang).
Grind the above six ingredients into powder. Dissolve the gelatin in 2 sheng of vinegar, then add other herbs and boil until suitable for forming pills the size of soybeans. Take 70-80 pills with water, twice during the day and once at night. Particularly suitable for the elderly. For postpartum dysentery, add Polygonati Multiflori Rhizoma (Huangbo/Polygonatum? Note: Text says Pu Huang - Typhae Pollen) 1 liang, mix with honey to form pills for divine efficacy. (Extracted from Volume 3)