夫冷热痢者。由肠胃虚弱。宿有寒。而为热所伤。冷热相乘。其痢乍黄乍白是也。若热
搏于血。血渗肠间。则变为血痢也。而冷伏肠内。搏于津液。则变凝白。则成赤白痢也。
治冷热痢。虚损腹痛。不能饮食。日渐乏力。木香散方。
木香(半两) 甘草(半两炙微赤锉) 干姜(半两炮裂锉) 白术(三分) 熟干地
黄(三分
)黄芩(半两) 柏叶(三分微炒) 当归(三分锉微炒) 黄连(三分去须微炒)
上件药。捣罗为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候温服。
治冷热痢不止。腹肚疼痛。心神烦闷。犀角散方。
犀角屑(一两) 白术(一两) 黄连(一两去须微炒) 当归(一两锉微炒) 地榆
(一两锉)
木香(半两)
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治冷热痢。心神烦渴。腹痛。胸膈滞闷。宜服此方。
甘草(二寸炙微赤锉) 乌梅肉(五枚微炒) 诃黎勒(五枚煨用皮)
上件药。都锉。以水一大盏。煎至六分。去滓。食前分温二服。
治冷热痢。烦闷。不欲饮食。诃黎勒散方。
诃黎勒(一两煨用皮) 当归(一两锉微炒) 黄连(一两去须微炒) 甘草(半两炙
微赤锉)
木香(半两) 干姜(半两炮裂锉)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治冷热痢。心腹 痛不止。黄连散方。
黄连(一两去须微炒) 龙骨(二两) 木香(半两) 当归(一两锉微炒) 赤芍药
(二两)
诃黎勒(一两半煨用皮) 赤石脂(二两) 甘草(半两炙微赤锉) 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。
治冷热痢。腹痛不能饮食。附子散方。
附子(一两炮裂去皮脐) 黄连(一两去须微炒) 龙骨(一两) 当归(三分锉微炒)
地榆
(一两锉) 木香(半两)
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治冷痢不调。痢下脓血不止。腹痛不可忍。阿胶丸方。
阿胶(一两捣碎炒令黄燥) 干姜(一两炮裂锉) 木香(一两) 龙骨(二两) 赤
石脂(二
两)
涂生姜汁
炙令
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以粥饮下三十丸。
治冷热痢。心神烦闷。腹中 痛。黄连丸方。
黄连(二两去须微炒) 黄柏(二两锉微炒) 羚羊角屑(一两) 当归(一两锉微炒)
艾叶
(二两微炒) 赤芍药(二两微炒)
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。
治冷热不调。下痢不止。浓朴丸方。
浓朴(一两半去粗皮涂生姜汁炙令香熟) 黄连(一两去须微炒) 干姜(半两炮裂锉)
甘
草(半两炙微赤锉) 龙骨(半两) 赤石脂(半两)
上件药。捣罗为末。炼蜜和捣百余杵。丸如梧桐子大。每服。不计时候。以粥饮下三十
丸。
治冷热气不和。腹痛。下痢不止。内补丸方。
黄连(一两去须微炒) 当归(三分锉微炒) 干姜(半两炮裂锉) 阿胶(三分捣碎
炒令黄
燥)
上件药。捣罗为末。炼蜜和捣百余杵。丸如梧桐子大。每服。不计时候。以粥饮下三十
丸。
又方。
当归(一两锉微炒) 黄连(一两去须微炒)
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
冷热痢,是由于肠胃虚弱,体内素有寒邪,又受到热邪的侵袭,寒热相互搏结所致,其症状表现为大便颜色时而发黄、时而发白。如果热邪与血相搏,血液渗入肠道之间,就会转变为血痢。而寒邪潜伏在肠内,与津液相搏,导致津液凝结变白,从而形成赤白痢(即脓血便)。
治疗冷热痢,伴有虚损、腹痛、无法进食、日渐乏力等症状,使用木香散方。
药材:木香(半两)、甘草(半两,炙至微红并切碎)、干姜(半两,炮裂后切碎)、白术(三分)、熟干地黄(三分)、黄芩(半两)、柏叶(三分,微炒)、当归(三分,切碎后微炒)、黄连(三分,去须后微炒)。
制法与用法:将上述药物捣碎过筛成散剂。每次服用三钱,加水一中盏,煎煮至五分,滤去药渣,不限时间温服。
治疗冷热痢不止,伴有腹部疼痛、心神烦闷的症状,使用犀角散方。
药材:犀角屑(一两)、白术(一两)、黄连(一两,去须后微炒)、当归(一两,切碎后微炒)、地榆(一两,切碎)、木香(半两)。
制法与用法:将上述药物捣粗罗成散剂。每次服用三钱,加水一中盏,煎煮至六分,滤去药渣,不限时间温服。
治疗冷热痢,伴有心神烦渴、腹痛、胸膈部滞闷不适,适宜服用此方。
药材:甘草(二寸,炙至微红并切碎)、乌梅肉(五枚,微炒)、诃黎勒(五枚,煨制后使用果皮)。
制法与用法:将上述药物都切碎,加水一大盏,煎煮至六分,滤去药渣,饭前分两次温服。
治疗冷热痢,伴有烦闷、不想吃东西的症状,使用诃黎勒散方。
药材:诃黎勒(一两,煨制后使用果皮)、当归(一两,切碎后微炒)、黄连(一两,去须后微炒)、甘草(半两,炙至微红并切碎)、木香(半两)、干姜(半两,炮裂后切碎)。
制法与用法:将上述药物捣筛成散剂。每次服用四钱,加水一中盏,煎煮至六分,滤去药渣,不限时间温服。
治疗冷热痢,心腹疼痛不止,使用黄连散方。
药材:黄连(一两,去须后微炒)、龙骨(二两)、木香(半两)、当归(一两,切碎后微炒)、赤芍药(二两)、诃黎勒(一两半,煨制后使用果皮)、赤石脂(二两)、甘草(半两,炙至微红并切碎)、干姜(一两,炮裂后切碎)。
制法与用法:将上述药物捣细罗成散剂。每次服用,不限时间,用米汤调服二钱。
治疗冷热痢,腹痛且无法进食,使用附子散方。
药材:附子(一两,炮裂后去皮和脐)、黄连(一两,去须后微炒)、龙骨(一两)、当归(三分,切碎后微炒)、地榆(一两,切碎)、木香(半两)。
制法与用法:将上述药物捣细罗成散剂。每次服用,不限时间,用米汤调服二钱。
治疗冷痢不调,下痢脓血不止,腹痛难以忍受,使用阿胶丸方。
药材:阿胶(一两,捣碎后炒至黄燥)、干姜(一两,炮裂后切碎)、木香(一两)、龙骨(二两)、赤石脂(二两)。
制法与用法:将上述药物捣罗成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用,不限时间,用米汤送服三十丸。
治疗冷热痢,心神烦闷,腹部疼痛,使用黄连丸方。
药材:黄连(二两,去须后微炒)、黄柏(二两,切碎后微炒)、羚羊角屑(一两)、当归(一两,切碎后微炒)、艾叶(二两,微炒)、赤芍药(二两,微炒)。
制法与用法:将上述药物捣罗成粉末,用炼蜜调和并捣击三四百下,制成丸药,大小如梧桐子。每次服用,不限时间,用米汤送服三十丸。
治疗冷热不调,下痢不止,使用浓朴丸方。
药材:浓朴(一两半,去除粗皮,涂生姜汁炙至香熟)、黄连(一两,去须后微炒)、干姜(半两,炮裂后切碎)、甘草(半两,炙至微红并切碎)、龙骨(半两)、赤石脂(半两)。
制法与用法:将上述药物捣罗成粉末,用炼蜜调和并捣击百余下,制成丸药,大小如梧桐子。每次服用,不限时间,用米汤送服三十丸。
治疗冷热气不和,腹痛,下痢不止,使用内补丸方。
药材:黄连(一两,去须后微炒)、当归(三分,切碎后微炒)、干姜(半两,炮裂后切碎)、阿胶(三分,捣碎后炒至黄燥)。
制法与用法:将上述药物捣罗成粉末,用炼蜜调和并捣击百余下,制成丸药,大小如梧桐子。每次服用,不限时间,用米汤送服三十丸。
又一方。
药材:当归(一两,切碎后微炒)、黄连(一两,去须后微炒)。
制法与用法:将上述药物捣细罗成散剂。每次服用,不限时间,用米汤调服二钱。
Dysentery of cold and heat arises from the weakness of the intestines and stomach, where pre-existing cold is injured by heat. The mutual interaction of cold and heat results in dysentery with stools that are alternately yellow and white. If heat combats blood, causing blood to seep into the intestinal cavity, it transforms into bloody dysentery. Conversely, if cold lingers within the intestines and combats body fluids (Jinye), causing them to coagulate into a white substance, it becomes dysentery with both pus and blood (Chi Bai Li).
For treating dysentery of cold and heat accompanied by deficiency damage, abdominal pain, inability to eat, and progressive fatigue, use the Muxiang San Formula.
Ingredients: Mugwort Wood (Muxiang, 0.5 liang), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and chopped), Dried Ginger (Ganjiang, 0.5 liang, processed until cracked and chopped), Atractylodes Rhizome (Baizhu, 3 fen), Prepared Rehmannia Root (Shu Dihuang, 3 fen), Scutellaria Root (Huangqin, 0.5 liang), Biota Leaf (Baiye, 3 fen, lightly stir-fried), Angelica Sinensis Root (Danggui, 3 fen, chopped and lightly stir-fried), Coptis Rhizome (Huanglian, 3 fen, de-stemmed and lightly stir-fried).
Preparation and Administration: Pulverize the above ingredients into a powder. Take 3 qian per dose, decoct with one zhongzhan of water until reduced to five fen, filter out the dregs, and take warm at any time.
For treating persistent dysentery of cold and heat accompanied by abdominal pain and mental restlessness, use the Xijiao San Formula.
Ingredients: Rhinoceros Horn (Xijiao, 1 liang), Atractylodes Rhizome (Baizhu, 1 liang), Coptis Rhizome (Huanglian, 1 liang, de-stemmed and lightly stir-fried), Angelica Sinensis Root (Danggui, 1 liang, chopped and lightly stir-fried), Sanguisorba Root (Diyu, 1 liang, chopped), Mugwort Wood (Muxiang, 0.5 liang).
Preparation and Administration: Coarsely pulverize the above ingredients into a powder. Take 3 qian per dose, decoct with one zhongzhan of water until reduced to six fen, filter out the dregs, and take warm at any time.
For treating dysentery of cold and heat accompanied by mental restlessness, thirst, abdominal pain, and chest diaphragm stagnation, this formula is suitable.
Ingredients: Licorice Root (Gancao, 2 cun, honey-fried until slightly red and chopped), Dark Plum Flesh (Wumei, 5 pieces, lightly stir-fried), Chebula Fruit (Helile, 5 pieces, baked and used with peel).
Preparation and Administration: Chop all ingredients, decoct with one large zhan of water until reduced to six fen, filter out the dregs, and divide into two warm doses before meals.
For treating dysentery of cold and heat accompanied by restlessness and loss of appetite, use the Helile San Formula.
Ingredients: Chebula Fruit (Helile, 1 liang, baked and used with peel), Angelica Sinensis Root (Danggui, 1 liang, chopped and lightly stir-fried), Coptis Rhizome (Huanglian, 1 liang, de-stemmed and lightly stir-fried), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and chopped), Mugwort Wood (Muxiang, 0.5 liang), Dried Ginger (Ganjiang, 0.5 liang, processed until cracked and chopped).
Preparation and Administration: Sieve the above ingredients into a powder. Take 4 qian per dose, decoct with one zhongzhan of water until reduced to six fen, filter out the dregs, and take warm at any time.
For treating persistent heart and abdominal pain due to dysentery of cold and heat, use the Huanglian San Formula.
Ingredients: Coptis Rhizome (Huanglian, 1 liang, de-stemmed and lightly stir-fried), Dragon Bone (Longgu, 2 liang), Mugwort Wood (Muxiang, 0.5 liang), Angelica Sinensis Root (Danggui, 1 liang, chopped and lightly stir-fried), Red Peony Root (Chishaoyao, 2 liang), Chebula Fruit (Helile, 1.5 liang, baked and used with peel), Red Kaolin (Chishizhi, 2 liang), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and chopped), Dried Ginger (Ganjiang, 1 liang, processed until cracked and chopped).
Preparation and Administration: Finely pulverize the above ingredients into a powder. Take 2 qian per dose, mixed with rice broth, at any time.
For treating dysentery of cold and heat with abdominal pain and inability to eat, use the Fuzi San Formula.
Ingredients: Processed Aconite Root (Fuzi, 1 liang, processed until cracked, peeled, and navel removed), Coptis Rhizome (Huanglian, 1 liang, de-stemmed and lightly stir-fried), Dragon Bone (Longgu, 1 liang), Angelica Sinensis Root (Danggui, 3 fen, chopped and lightly stir-fried), Sanguisorba Root (Diyu, 1 liang, chopped), Mugwort Wood (Muxiang, 0.5 liang).
Preparation and Administration: Finely pulverize the above ingredients into a powder. Take 2 qian per dose, mixed with rice broth, at any time.
For treating irregular cold dysentery with persistent passage of pus and blood in stool and unbearable abdominal pain, use the Ejiao Wan Formula.
Ingredients: Donkey-hide Gelatin (Ejiao, 1 liang, crushed and fried until yellow and dry), Dried Ginger (Ganjiang, 1 liang, processed until cracked and chopped), Mugwort Wood (Muxiang, 1 liang), Dragon Bone (Longgu, 2 liang), Red Kaolin (Chishizhi, 2 liang).
Preparation and Administration: Pulverize the above ingredients into powder. Mix with refined honey to form pills the size of sophora seeds. Take 30 pills per dose, washed down with rice broth, at any time.
For treating dysentery of cold and heat with mental restlessness and abdominal pain, use the Huanglian Wan Formula.
Ingredients: Coptis Rhizome (Huanglian, 2 liang, de-stemmed and lightly stir-fried), Phellodendron Bark (Huangbai, 2 liang, chopped and lightly stir-fried), Antelope Horn (Lingyangjiao, 1 liang), Angelica Sinensis Root (Danggui, 1 liang, chopped and lightly stir-fried), Mugwort Leaf (Aiye, 2 liang, lightly stir-fried), Red Peony Root (Chishaoyao, 2 liang, lightly stir-fried).
Preparation and Administration: Pulverize the above ingredients into powder. Mix with refined honey and pound for three or four hundred strokes to form pills the size of sophora seeds. Take 30 pills per dose, washed down with rice broth, at any time.
For treating irregular cold and heat with persistent diarrhea, use the Houpo Wan Formula.
Ingredients: Magnolia Bark (Houpo, 1.5 liang, remove rough bark, coat with ginger juice, and roast until fragrant), Coptis Rhizome (Huanglian, 1 liang, de-stemmed and lightly stir-fried), Dried Ginger (Ganjiang, 0.5 liang, processed until cracked and chopped), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and chopped), Dragon Bone (Longgu, 0.5 liang), Red Kaolin (Chishizhi, 0.5 liang).
Preparation and Administration: Pulverize the above ingredients into powder. Mix with refined honey and pound for over one hundred strokes to form pills the size of sophora seeds. Take 30 pills per dose, washed down with rice broth, at any time.
For treating disharmony of cold and hot qi with abdominal pain and persistent diarrhea, use the Neibu Wan Formula.
Ingredients: Coptis Rhizome (Huanglian, 1 liang, de-stemmed and lightly stir-fried), Angelica Sinensis Root (Danggui, 3 fen, chopped and lightly stir-fried), Dried Ginger (Ganjiang, 0.5 liang, processed until cracked and chopped), Donkey-hide Gelatin (Ejiao, 3 fen, crushed and fried until yellow and dry).
Preparation and Administration: Pulverize the above ingredients into powder. Mix with refined honey and pound for over one hundred strokes to form pills the size of sophora seeds. Take 30 pills per dose, washed down with rice broth, at any time.
Another prescription.
Ingredients: Angelica Sinensis Root (Danggui, 1 liang, chopped and lightly stir-fried), Coptis Rhizome (Huanglian, 1 liang, de-stemmed and lightly stir-fried).
Preparation and Administration: Finely pulverize the above ingredients into a powder. Take 2 qian per dose, mixed with rice broth, at any time.