治水谷痢诸方
夫水谷痢者。由体虚。腠理开。血气虚。春伤于风邪之气。留在肌肉之内。后遇脾胃大
肠虚弱。而邪气乘之。故为水谷痢也。胃者脾之腑也。为水谷之海。脾者胃之脏也。其候身
之肌
为传
表里
气虚者。则为风邪所伤。客在肌肉之间。后因脾胃气虚。风邪又乘虚而
弱者。不能化于水谷。故糟粕不结聚。而变为水谷痢也。
治水谷痢。腹内疼痛。两胁虚胀。不思饮食。浓朴散方。
浓朴（半两去粗皮涂生姜汁炙令香熟） 木香（半两） 人参（半两去芦头） 诃黎勒
（三分
榆（三分
锉
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候稍热服。
治水谷痢。心腹胀满。不能饮食。宜服肉豆蔻散方。
肉豆蔻（一两去壳） 木香（一两） 甘草（半两炙微赤锉） 干姜（一两炮裂锉） 浓
朴（一
两去粗皮涂生姜汁炙令香熟）
上件药。捣筛为散。每服三钱。用水一中盏。入枣三枚。煎至六分。去滓。不计时候稍
热服。
治水谷痢不止。腹内疼痛。草豆蔻散方。
草豆蔻（一两去皮） 白石脂（一两） 当归（一两锉微炒） 干姜（一两炮裂锉）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治水谷痢。无问老少。日夜百余行。神妙橡实散方。
橡实（二两） 干楮叶〔一两炒（炙）〕
上件药。捣细罗为散。每服。不计时候。煎乌梅汤调下一钱。
治水谷痢。日夜百度。马蔺散方。
马蔺子（一两微炒） 干姜（一两炮裂锉） 黄连（一两去须锉微炒）
上件药。捣细罗为散。不计时候。以粥饮调下二钱。
又方。
橡 （五枚盛莨菪子总满炒黑） 龙骨（半两） 柿蒂（七枚）
上件药。捣细罗为散。不计时候。以粥饮调下一钱。
治水谷痢。腹胁虚胀。时复疼痛。不欲饮食。诃黎勒丸方。
诃黎勒（一两煨用皮） 干姜（三分炮裂锉） 当归（一两锉微炒） 黄连（一两去须
微炒）
白术（一两） 木香（三分锉） 浓朴（一两去粗皮涂生姜汁炙令香熟）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以粥饮下三
十丸。
治水谷痢。脐腹冷痛。日夜数行。四白丸方。
白石脂（二两） 白矾灰（二两烧灰） 白龙骨（二两） 胡粉〔三（二）两炒良〕
上件药。捣研为末。用粳米饭。和捣三百杵。丸如梧桐子大。每于食前。以粥饮下三十
丸。
治水谷痢。日夜数行。腹内疼痛。龙骨丸方。
龙骨（三分） 艾叶（一两微炒） 赤石脂（三分） 白矾（三两烧令汁尽） 黄连（三
分去须
微炒） 当归（三分锉碎微炒） 附子（一两炮裂去皮脐）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
治水谷痢。及冷气。腹肚虚鸣。菖蒲丸方。
菖蒲（三两） 干姜（一两半炮裂锉）
上件药。捣罗为末。用粳米饭和丸。如梧桐子大。每于食前。以粥饮下三十丸。
又方。
龙骨末（三两） 巴豆（二七粒去心皮研压去油）
上以粟米稠粥和丸。如麻子大。每服。以陈米粥饮下三丸。如或微转。即以井华水下。
治水谷痢久不止。腹胁妨闷。不欲饮食方。
诃黎勒（二两煨用皮） 草豆蔻（二两去皮）
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候温服。
治水谷痢。久不止方。
胡粉（一两）
上以枣肉和捣。作饼子。急火中烧令赤。即出置地上。以碗合之。勿令风入。待冷细研
食前以粥饮调下半钱。
又方。
黄牛角 （用白矾填满烧为灰细研）
上件药。每于食前。以粥饮调下二钱。
治疗水谷痢的各种方剂
所谓水谷痢，是由于人体体质虚弱，腠理（皮肤毛孔）开放，气血亏虚。春季感受风邪之气，邪气停留在肌肉之内；后来遇到脾胃和大肠虚弱，邪气便乘虚而入，因此形成水谷痢。胃是脾的腑，是水谷汇聚的海；脾是胃的脏，其外在表现反映在身体的肌肤。如果气虚，就会受到风邪的伤害，邪气客居在肌肉之间；之后因为脾胃气虚，风邪又乘虚而入。如果脾气虚弱，就不能运化水谷，导致糟粕不能结聚成形，从而变成水谷痢。
治疗水谷痢，症状表现为腹部疼痛，两胁部虚胀，不想吃东西。使用浓朴散方：
浓朴（半两，去除粗皮，涂生姜汁炙烤至香熟）、木香（半两）、人参（半两，去除芦头）、诃黎勒（三分，煨用）、榆根白（三分）。
将上述药物捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎煮至五分，去渣滓。不分时候，稍热时服用。
治疗水谷痢，症状表现为心腹胀满，不能进食。适宜服用肉豆蔻散方：
肉豆蔻（一两，去除壳）、木香（一两）、甘草（半两，炙微红后切碎）、干姜（一两，炮裂后切碎）、浓朴（一两，去除粗皮，涂生姜汁炙烤至香熟）。
将上述药物捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入大枣三枚，煎煮至六分，去渣滓。不分时候，稍热时服用。
治疗水谷痢不止，症状表现为腹部疼痛。使用草豆蔻散方：
草豆蔻（一两，去皮）、白石脂（一两）、当归（一两，切碎微炒）、干姜（一两，炮裂后切碎）。
将上述药物捣细过罗制成散剂。每次服用，不分时候，用米汤调服二钱。
治疗水谷痢，不问老少，日夜腹泻百余次。使用神妙橡实散方：
橡实（二两）、干楮叶（一两，炒/炙）。
将上述药物捣细过罗制成散剂。每次服用，不分时候，用乌梅汤煎好后调服一钱。
治疗水谷痢，日夜腹泻数十次。使用马蔺散方：
马蔺子（一两，微炒）、干姜（一两，炮裂后切碎）、黄连（一两，去除须后切碎微炒）。
将上述药物捣细过罗制成散剂。不分时候，用米汤调服二钱。
另一个方子：
橡树果实（五枚，装满莨菪子后一起炒黑）、龙骨（半两）、柿蒂（七枚）。
将上述药物捣细过罗制成散剂。不分时候，用米汤调服一钱。
治疗水谷痢，症状表现为腹部和胁部虚胀，时常疼痛，不想吃东西。使用诃黎勒丸方：
诃黎勒（一两，煨后用皮）、干姜（三分，炮裂后切碎）、当归（一两，切碎微炒）、黄连（一两，去除须微炒）、白术（一两）、木香（三分，切碎）、浓朴（一两，去除粗皮，涂生姜汁炙烤至香熟）。
将上述药物捣罗成末，用炼蜜调和并捣杵三二百下，制成梧桐子大小的丸药。每次服用，不分时候，用米汤送服三十丸。
治疗水谷痢，症状表现为脐腹冷痛，日夜数次腹泻。使用四白丸方：
白石脂（二两）、白矾灰（二两，烧成灰）、白龙骨（二两）、胡粉（三两，炒制良好）。
将上述药物捣研成末，用粳米饭调和并捣杵三百下，制成梧桐子大小的丸药。每次在饭前，用米汤送服三十丸。
治疗水谷痢，日夜数次腹泻，腹部疼痛。使用龙骨丸方：
龙骨（三分）、艾叶（一两，微炒）、赤石脂（三分）、白矾（三两，烧至汁液耗尽）、黄连（三分，去除须微炒）、当归（三分，切碎微炒）、附子（一两，炮裂后去皮脐）。
将上述药物捣罗成末，用炼蜜调和并捣杵三二百下，制成梧桐子大小的丸药。每次在饭前，用米汤送服三十丸。
治疗水谷痢，以及冷气，腹部虚鸣。使用菖蒲丸方：
菖蒲（三两）、干姜（一两半，炮裂后切碎）。
将上述药物捣罗成末，用粳米饭和丸，制成梧桐子大小的丸药。每次在饭前，用米汤送服三十丸。
另一个方子：
龙骨末（三两）、巴豆（十四粒，去除心皮，研磨压榨去油）。
以上药物用粟米稠粥和丸，制成麻子大小的丸药。每次服用，用陈年米汤送服三丸。如果出现轻微肠鸣转动，立即用井华水下服。
治疗水谷痢久治不愈，腹部和胁部憋闷不适，不想吃东西的方子：
诃黎勒（二两，煨后用皮）、草豆蔻（二两，去皮）。
将上述药物捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎煮至五分，去渣滓。不分时候温服。
治疗水谷痢，久治不愈的方子：
胡粉（一两）。
以上药物用枣肉调和捣烂，做成饼子，在急火中烧至通红，取出放在地上，用碗扣住，不要让风吹入。待冷却后细细研磨。饭前用米汤调服半钱。
Formulas for Treating Shuigu Dysentery (Dysentery with Undigested Food and Water)
Shuigu dysentery arises from physical deficiency, open couli (skin pores), and deficiency of blood and qi. In spring, one is injured by wind pathogenic factors, which remain within the muscles. Later, when the spleen, stomach, large intestine, and rectum become weak, the pathogenic factors take advantage of this deficiency to invade, resulting in shuigu dysentery. The Stomach is the fu organ of the Spleen and serves as the sea of water and grain. The Spleen is the zang organ of the Stomach, and its manifestation reflects on the body's muscles. If qi is deficient, it is injured by wind pathogens that lodge between the muscles; subsequently, due to spleen and stomach qi deficiency, wind pathogens invade again taking advantage of the emptiness. If spleen qi is weak, it cannot transform water and grain, causing waste matter to fail to consolidate, thereby transforming into shuigu dysentery.
For treating shuigu dysentery characterized by abdominal pain, distension in both hypochondria, and loss of appetite, use Nongpo San (Magnolia Bark Powder):
Nongpo (Cortex Magnoliae Officinalis, 0.5 liang, remove coarse bark, apply ginger juice, roast until fragrant); Muxiang (Radix Aucklandiae, 0.5 liang); Renshen (Radix Ginseng, 0.5 liang, remove radicle); Helile (Fructus Chebulae, 3 fen, roast); Yugenbai (Cortex Ulmi Japonicae, 3 fen).
Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water, decoct until reduced to 0.5 zhong, strain. Drink slightly warm at any time.
For treating shuigu dysentery characterized by epigastric and abdominal fullness and inability to eat, use Roudoukou San (Myristica Seed Powder):
Roudoukou (Semen Myristicae, 1 liang, remove shell); Muxiang (Radix Aucklandiae, 1 liang); Gancao (Radix Glycyrrhizae, 0.5 liang, roast until slightly red and crush); Jiangjiang (Rhizoma Zingiberis Recens, 1 liang, process until cracked and crush); Nongpo (Cortex Magnoliae Officinalis, 1 liang, remove coarse bark, apply ginger juice, roast until fragrant).
Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water and 3 dates, decoct until reduced to 0.6 zhong, strain. Drink slightly warm at any time.
For treating persistent shuigu dysentery with abdominal pain, use Caodoukou San (Cardamom Seed Powder):
Caodoukou (Semen Cardamomi, 1 liang, remove skin); Baishizhi (Alumen Rubrum, 1 liang); Danggui (Radix Angelicae Sinensis, 1 liang, crush and lightly stir-fry); Jiangjiang (Rhizoma Zingiberis Recens, 1 liang, process until cracked and crush).
Pound and sieve the above ingredients finely into a powder. Take 2 qian per dose, mixed with rice broth, at any time.
For treating shuigu dysentery regardless of age or sex, with over a hundred bowel movements day and night, use Shenmiao Xianshi San (Wonderful Acorn Powder):
Xianshi (Fructus Quercus, 2 liang); Ganchuye (Folium Morii Cathayanae, 1 liang, stir-fry/roast).
Pound and sieve the above ingredients finely into a powder. Take 1 qian per dose, mixed with sour plum decoction, at any time.
For treating shuigu dysentery with dozens of bowel movements day and night, use Malin San (Iris Seed Powder):
Malinzi (Semen Iris Tectorii, 1 liang, lightly stir-fry); Jiangjiang (Rhizoma Zingiberis Recens, 1 liang, process until cracked and crush); Huanglian (Rhizoma Coptidis, 1 liang, remove stamens, crush and lightly stir-fry).
Pound and sieve the above ingredients finely into a powder. Take 2 qian per dose, mixed with rice broth, at any time.
Another formula:
Xianshi (Acorns, 5 pieces, filled with seeds of Datura metel, stir-fried until black); Longgu (Os Draconis, 0.5 liang); Shidi (Calyx Persicae, 7 pieces).
Pound and sieve the above ingredients finely into a powder. Take 1 qian per dose, mixed with rice broth, at any time.
For treating shuigu dysentery characterized by abdominal and hypochondriac distension, intermittent pain, and loss of appetite, use Helile Wan (Chebula Pill):
Helile (Fructus Chebulae, 1 liang, roast and use the peel); Jiangjiang (Rhizoma Zingiberis Recens, 3 fen, process until cracked and crush); Danggui (Radix Angelicae Sinensis, 1 liang, crush and lightly stir-fry); Huanglian (Rhizoma Coptidis, 1 liang, remove stamens and lightly stir-fry); Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang); Muxiang (Radix Aucklandiae, 3 fen, crush); Nongpo (Cortex Magnoliae Officinalis, 1 liang, remove coarse bark, apply ginger juice, roast until fragrant).
Pound and sieve the above ingredients into fine powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take 30 pills per dose, with rice broth, at any time.
For treating shuigu dysentery characterized by cold pain around the umbilicus and abdomen, and several bowel movements day and night, use Sibai Wan (Four Whites Pill):
Baishizhi (Alumen Rubrum, 2 liang); Baijianhui (Alumen Calcined, 2 liang, calcined to ash); Bailonggu (Os Draconis, 2 liang); Hufen (Cerussa, 2 liang, processed well).
Pound and grind the above ingredients into powder. Mix with glutinous rice paste and pound 300 times. Form pills the size of paulownia seeds. Take 30 pills per dose before meals, with rice broth.
For treating shuigu dysentery with several bowel movements day and night and abdominal pain, use Longgu Wan (Dragon Bone Pill):
Longgu (Os Draconis, 3 fen); Aiye (Folium Artemisiae Argyi, 1 liang, lightly stir-fry); Chishizhi (Halloysitum Rubrum, 3 fen); Baijian (Alumen, 3 liang, calcined until liquid is exhausted); Huanglian (Rhizoma Coptidis, 3 fen, remove stamens and lightly stir-fry); Danggui (Radix Angelicae Sinensis, 3 fen, crush and lightly stir-fry); Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, process until cracked, remove skin and bud).
Pound and sieve the above ingredients into fine powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take 30 pills per dose before meals, with rice broth.
For treating shuigu dysentery accompanied by cold qi and abdominal borborygmus, use Changpu Wan (Acorus Pill):
Changpu (Rhizoma Acori Tatarinowii, 3 liang); Jiangjiang (Rhizoma Zingiberis Recens, 1.5 liang, process until cracked and crush).
Pound and sieve the above ingredients into fine powder. Mix with glutinous rice paste to form pills the size of paulownia seeds. Take 30 pills per dose before meals, with rice broth.
Another formula:
Longgumo (Powdered Os Draconis, 3 liang); Badou (Semen Crotonis, 14 grains, remove heart and skin, grind and press to remove oil).
Mix the above with thick millet porridge to form pills the size of hemp seeds. Take 3 pills per dose with aged rice broth. If slight intestinal movement occurs, immediately administer well water.
For treating chronic shuigu dysentery that does not stop, accompanied by abdominal and hypochondriac oppression and loss of appetite:
Helile (Fructus Chebulae, 2 liang, roast and use the peel); Caodoukou (Semen Cardamomi, 2 liang, remove skin).
Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water, decoct until reduced to 0.5 zhong, strain. Drink warm at any time.
For treating chronic shuigu dysentery that does not stop:
Hufen (Cerussa, 1 liang).
Mix the above with date flesh, pound into a paste, and form cakes. Roast quickly over high fire until red hot. Remove and place on the ground, cover with a bowl to prevent wind exposure. Wait until cool, then grind finely. Take half a qian per dose before meals, mixed with rice broth.
Another formula:
Niuhuangjiao (Horn of Bos taurus domesticus, fill with alumen, calcine to ash, grind finely).
Take 2 qian per dose before meals, mixed with rice broth.