肘后若下色黄者,协毒热下也,疗之方。
栀子(十四枚去皮)
上一味捣筛,蜜和丸如梧子,饮服三丸,日再服。(出第二卷中)
千金疗热毒痢方。
苦参 橘皮 独活 阿胶(炙) 蓝青 黄连 鬼箭羽(一云鬼臼) 黄柏 甘草
上九味等分,捣筛,以蜜烊胶和,并手丸如梧子,干以饮服十丸,日三,稍加之。卒下
疰痢者大良。(出第十五卷中)
文仲治热痢久不瘥者黄连丸方。
黄连末以鸡子白和丸如梧子,饮服十丸至二十丸,日三。
广济疗热毒痢血,其痢行数甚数,痢出不多,腹中刺痛,此是热痢。宜生犀角散方。
生犀角(末) 酸石榴皮(熬) 枳实(熬令黄各三两)
上三味各异捣筛为散,以饮服两三寸匕,日再差,停热食物。
又疗热毒痢血片,脐下绞刺痛方。
升麻 地榆 茜根 黄芩(各六分) 犀角(四分) 生地黄(八分) 栀子(七枚擘)
薤白
(八分) 香豉(二合)
上九味切,以水六升,煮取一升五合,绞去滓,分温三服。日再。(并出第四卷中)
千金大热毒纯血痢,疗不可瘥者方。
黄连(六两)
上一味切,以水七升,煮取二升半,夜露着星月下,旦空腹顿服之,卧将息,不瘥,加
黄连二两,更作服之,仍不瘥者,以疳痢法疗之佳。忌如常。
又疗热毒下黑血,五内搅切痛,日夜百行,气绝欲死方。
黄连(一升) 龙骨 白术(各二两) 阿胶(炙) 干姜 当归 赤石脂(各三两) 附
子(
一两炮)
上八味切,以水一斗,煮取五升,分为五服,余以正观三年七月十二日,忽得此痢,至
于五日将绝,处此药入口即定。(并出第十五卷中)
古今录验疗热毒下血及豆汁。犀角煎方。
犀角(屑) 人参 当归(各三两) 黄连(四两) 蜜(一合)
上五味切,以水五升,煮取一升,去滓纳蜜煎三沸,分为三服,日三。忌同。(出第十
卷中)
文仲治热毒痢痢血。犀角散方。
生犀(三两) 石榴皮(三两烧) 黄连(三两) 干蓝(二两) 地榆(二两)
上五味捣筛为散,以米饮服三方寸匕,日二服。(出第三卷中)
《肘后备急方》中记载:如果大便颜色发黄,这是伴随毒热下注所致,治疗此症的方剂如下。
栀子(十四枚,去皮)
以上一味药捣碎过筛,用蜂蜜调和制成梧桐子大小的丸剂,温水送服三丸,每日服用两次。(出自第二卷中)
《千金方》治疗热毒痢的方剂。
苦参、橘皮、独活、阿胶(炙)、蓝青、黄连、鬼箭羽(一说为鬼臼)、黄柏、甘草
以上九味药等量分配,捣碎过筛,将阿胶熔化后与药末混合,用手搓成梧桐子大小的丸剂,干服,每次十丸,每日三次,逐渐增加剂量。对于突然发作的疰痢效果极佳。(出自第十五卷中)
文仲治疗热痢日久不愈的黄连丸方。
黄连末用鸡蛋清调和,制成梧桐子大小的丸剂,温水送服十丸至二十丸,每日三次。
《广济方》治疗热毒痢伴出血,痢疾次数非常频繁,但排出量少,腹中刺痛,这是热痢。适宜使用生犀角散方。
生犀角(研末)、酸石榴皮(熬制)、枳实(熬至黄色,各三两)
以上三味药分别捣碎过筛成为散剂,温水送服两三寸匕,每日两次,症状缓解后停止食用热性食物。
又治疗热毒痢便血片状,脐下绞痛刺痛的方剂。
升麻、地榆、茜根、黄芩(各六分)、犀角(四分)、生地黄(八分)、栀子(七枚掰开)、薤白(八分)、香豉(二合)
以上九味药切碎,用水六升,煮取一升五合,过滤去渣,分三次温服,每日两次。(均出自第四卷中)
《千金方》治疗大热毒纯血痢,病情严重难以治愈的方剂。
黄连(六两)
以上一味药切碎,用水七升,煮取二升半,夜间置于星月下露置,清晨空腹一次性服下,服药后卧床休息调养。若未痊愈,增加黄连二两,重新煎服;如果仍不痊愈,按照疳痢的方法治疗较好。禁忌事项如常。
又治疗热毒下黑血,五脏剧烈绞痛,日夜排便上百次,气息微弱濒临死亡的方剂。
黄连(一升)、龙骨、白术(各二两)、阿胶(炙)、干姜、当归、赤石脂(各三两)、附子(一两,炮制)
以上八味药切碎,用水一斗,煮取五升,分为五次服用。我在贞观三年七月十二日,忽然患上此痢,到了第五天气息奄奄,服用此药入口即安定。(均出自第十五卷中)
《古今录验》治疗热毒下血及像豆汁一样的痢疾的犀角煎方。
犀角(锉屑)、人参、当归(各三两)、黄连(四两)、蜜(一合)
以上五味药切碎,用水五升,煮取一升,去渣加入蜂蜜再煎煮三沸,分为三次服用,每日三次。禁忌同上。(出自第十卷中)
文仲治疗热毒痢便血的犀角散方。
生犀(三两)、石榴皮(三两烧制)、黄连(三两)、干蓝(二两)、地榆(二两)
以上五味药捣碎过筛成为散剂,用米汤送服三方寸匕,每日两次。(出自第三卷中)
According to *Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve): If the stool is yellow, it indicates the downward flow of toxic heat. The prescription for treating this condition is as follows.
Gardenia Fruit (*Zhizi*, 14 pods, peel removed)
The above single herb is crushed and sifted. Mix with honey to form pills the size of a wu zi (seed of Chinese olives). Take three pills with warm water, twice daily. (From Volume II)
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) prescription for treating toxic-heat dysentery.
Sophora Root (*Kushen*), Tangerine Peel (*Jupi*), Angelica Pubescens (*Duhuo*), Donkey-hide Gelatin (*Ejiao*, prepared), Indigo Naturalis (*Lanqing*), Coptis Rhizome (*Huanglian*), Aralia Chinensis Stem (*Guijianyu*, also known as Aconitum Lateralis Preparatum *Guijiu*), Phellodendron Bark (*Huangbai*), Licorice Root (*Gancao*)
The above nine herbs are taken in equal proportions, crushed, and sifted. Melt the Ejiao and mix with the powder. Form pills by hand the size of a wu zi. Take ten pills dry with water, three times daily, gradually increasing the dose. This is highly effective for sudden onset of zhu-dysentery. (From Volume XV)
Wen Zhong's Huanglian Wan prescription for treating chronic dysentery that does not heal.
Coptis Rhizome (*Huanglian*) powder mixed with egg white to form pills the size of a wu zi. Take ten to twenty pills with water, three times daily.
*Guangji Fang* prescription for treating toxic-heat dysentery with blood. The patient has very frequent urges to defecate but passes little amount, accompanied by stabbing pain in the abdomen; this is heat dysentery. It is suitable to use Sheng Xijiao San prescription.
Fresh Rhinoceros Horn (*Sheng Xijiao*, powdered), Sour Pomegranate Peel (*Suan Shiliupi*, roasted), Immature Bitter Orange (*Zhishi*, roasted until yellow, each 3 liang)
The above three herbs are separately crushed and sifted into a powder. Take two or three cun bi (spoonfuls) with water, twice daily. Discontinue hot-natured foods once symptoms improve.
Another prescription for treating toxic-heat dysentery with bloody fragments and twisting, stabbing pain below the umbilicus.
Cimicifuga Rhizome (*Shengma*), Sanguisorba Root (*Diyu*), Rubia Root (*Qiangen*), Scutellaria Root (*Huangqin*, each 6 fen), Rhinoceros Horn (*Xijiao*, 4 fen), Rehmannia Root (*Shengdihuang*, 8 fen), Gardenia Fruit (*Zhizi*, 7 pods, split), Allium Macrostemon Bulb (*Xiebai*, 8 fen), Prepared Soybean (*Xiangchi*, 2 he)
The above nine herbs are cut, boiled in six sheng of water to obtain one sheng five he. Strain and remove dregs. Divide into three warm doses, twice daily. (All from Volume IV)
*Qianjin Fang* prescription for treating severe pure-blood dysentery caused by extreme toxic-heat, which is difficult to cure.
Coptis Rhizome (*Huanglian*, 6 liang)
The above single herb is cut, boiled in seven sheng of water to obtain two sheng half. Expose overnight under the starry moon. Take on an empty stomach in the morning in one dose. Rest in bed afterwards. If not cured, add two liang of Huanglian and decoct again. If still not cured, treat according to the method for gan-dysentery. Dietary restrictions apply as usual.
Another prescription for treating toxic-heat causing passage of black blood, severe internal twisting pain, defecating over a hundred times a day, with breath failing and near death.
Coptis Rhizome (*Huanglian*, 1 sheng), Dragon Bone (*Longgu), Atractylodes Rhizome (*Baizhu*, each 2 liang), Donkey-hide Gelatin (*Ejiao*, prepared), Dried Ginger (*Ganjiang*), Angelica Sinensis (*Danggui*), Red Kaolin (*Chishizhi*, each 3 liang), Aconite Lateralis Preparatum (*Fuzi*, 1 liang, processed)
The above eight herbs are cut, boiled in ten dou of water to obtain five sheng. Divide into five doses. I suddenly contracted this dysentery on July 12 of the Zhenguan 3rd year. By the fifth day, my breath was failing. After taking this medicine, I stabilized immediately upon ingestion. (All from Volume XV)
*Gujin Lu Yan* prescription for treating toxic-heat bleeding and dysentery resembling bean curd residue: Xijiao Jian.
Rhinoceros Horn (*Xijiao*, shaved), Ginseng Root (*Renshen*), Angelica Sinensis (*Danggui*, each 3 liang), Coptis Rhizome (*Huanglian*, 4 liang), Honey (*Mi*, 1 he)
The above five herbs are cut, boiled in five sheng of water to obtain one sheng. Strain and add honey, boil for three boils. Divide into three doses, three times daily. Dietary restrictions are the same. (From Volume X)
Wen Zhong's Xijiao San prescription for treating toxic-heat dysentery with blood.
Fresh Rhinoceros Horn (*Shengxi*, 3 liang), Pomegranate Peel (*Shiliupi*, burned/roasted, 3 liang), Coptis Rhizome (*Huanglian*, 3 liang), Dried Indigo (*Ganlan*, 2 liang), Sanguisorba Root (*Diyu*, 2 liang)
The above five herbs are crushed and sifted into a powder. Take three fang cun bi (square-inch spoonfuls) with rice drink, twice daily. (From Volume III)