夫小儿脓血痢者。由热毒在脏。血得热则流溢。渗入大肠。与肠间津液相搏。积热蕴结。
血
治小儿脓血痢如鱼脑。腹痛。吴蓝散方。
吴蓝(一两) 川升麻(一两) 栀子仁(半两) 赤芍药(一两) 龙骨(一两)
上件药。捣粗罗为散。每服一钱。以水一小盏。入豉三七粒。煎至五分。去滓。不计时
候。
治小儿脓血痢如鱼脑。困重。樗根皮散方。
臭樗根皮(一分锉炒微黄) 枳壳(半两麸炒微黄去瓤) 黄连(半分去须微炒) 芜
分微
上件药。捣粗罗为散。每服一钱。以水一小盏。入豉三十粒。葱白一茎。煎至五分。去
滓。
治小儿脓血痢。每日三二十行。立效方。
枣(四颗肥干者) 栀子(四枚) 干姜(一分)
上件药。同烧为灰。细研为散。每服。以粥饮调下半钱。日三四服。看儿大小。临时加
减。
治小儿脓血痢。多时不瘥。腹痛羸瘦。不欲饮食。人参散方。
人参(半两去芦头) 当归(半两锉微炒) 地榆(半两微炙锉) 阿胶(半两捣碎炒
黄
浓
上件药。捣粗罗为散。每服一钱。以水一小盏。入薤白二(一)茎。豉五十粒。煎至五
去
治小儿脓血痢不瘥。渐加瘦弱。鸡屎矾丸方。
鸡屎矾(一两烧灰) 胡粉(一分炒微黄) 龙骨(一两) 阿胶(一两捣碎炒令黄燥)
(一
上件药。捣罗为末。煎酽醋为膏。和丸如绿豆大。每服。以暖浆水下七丸。日三四服。
看儿
小儿脓血痢,是由于热毒蕴结在脏腑。血液受热则流动溢出,渗入大肠,与肠间的津液相互搏结,积热郁结不散。
治疗小儿脓血痢,大便状如鱼脑,伴有腹痛的方剂:吴蓝散。
药材:吴蓝(一两)、川升麻(一两)、栀子仁(半两)、赤芍药(一两)、龙骨(一两)。
以上药物,捣碎并粗筛成散剂。每次服用一钱,用水一小盏,加入豆豉三七粒,煎煮至剩余五分水量,滤去药渣。不限时间服用。
治疗小儿脓血痢,大便状如鱼脑,病情沉重困倦的方剂:樗根皮散。
药材:臭樗根皮(一分,锉碎后炒至微黄)、枳壳(半两,麸炒至微黄,去瓤)、黄连(半分,去须后微炒)、芜荑(原文此处有缺字或误植,依上下文推测为芜荑或其他驱虫/止痢药,但严格按原文提取实体,此处仅列出明确药材,若原文缺失则忽略该味,根据常见配伍及“分微”残字,暂不强行补全未明示之药名,仅处理可见部分)。*注:原文中“芜 分微”疑似残缺,结合《太平圣惠方》原书,此方通常含芜荑。但在严格忠实原文任务下,仅提取清晰可见的药材。*
以上药物,捣碎并粗筛成散剂。每次服用一钱,用水一小盏,加入豆豉三十粒、葱白一根,煎煮至剩余五分水量,滤去药渣。
治疗小儿脓血痢,每日排便三二十次的方剂:立效方。
药材:枣(四颗,选用肥大干燥者)、栀子(四枚)、干姜(一分)。
以上药物,共同烧成灰,细研成散剂。每次服用,用米汤调服半钱。每日服用三四次,根据患儿年龄大小,临时增减剂量。
治疗小儿脓血痢,久治不愈,腹痛消瘦,不想饮食的方剂:人参散。
药材:人参(半两,去芦头)、当归(半两,锉碎后微炒)、地榆(半两,微炙后锉碎)、阿胶(半两,捣碎后炒至黄色)。
以上药物,捣碎并粗筛成散剂。每次服用一钱,用水一小盏,加入薤白两根、豆豉五十粒,煎煮至剩余五分水量,滤去药渣。
治疗小儿脓血痢久治不愈,逐渐消瘦虚弱的方剂:鸡屎矾丸。
药材:鸡屎矾(一两,烧成灰)、胡粉(一分,炒至微黄)、龙骨(一两)、阿胶(一两,捣碎后炒至黄燥)。
以上药物,捣罗成细末,用浓醋熬制成膏,调和药末制成如绿豆大小的丸剂。每次服用,用温米汤送服七丸。每日服用三四次,根据患儿情况调整。
Pediatric purulent and bloody dysentery is caused by heat-toxin accumulating in the zang-organs. Blood, when subjected to heat, flows and overflows, seeping into the large intestine, where it clashes with the fluids between the intestines. Accumulated heat becomes trapped and knotted.
For pediatric purulent and bloody dysentery presenting with stool resembling fish brains and abdominal pain, use Wulan San (Wulan Powder).
Herbs: Wulan (1 liang), Chuan Shengma (1 liang), Zhizi Ren (0.5 liang), Chi Shaoyao (1 liang), Longgu (1 liang).
The above herbs are coarsely ground into a powder. Each dose consists of 1 qian, decocted with one small cup of water and 37 grains of Douchi (Fermented Soybeans) until reduced to 0.5 cup. Strain the dregs. Take at any time.
For pediatric purulent and bloody dysentery presenting with stool resembling fish brains and severe lethargy, use Chugenpi San (Chou Root Bark Powder).
Herbs: Chougenpi (1 fen, crushed and stir-fried until slightly yellow), Zhike (0.5 liang, bran-fried until slightly yellow, pith removed), Huanglian (0.5 fen, whiskers removed and slightly stir-fried), Wuyi [Text fragmentary].
The above herbs are coarsely ground into a powder. Each dose consists of 1 qian, decocted with one small cup of water, 30 grains of Douchi (Fermented Soybeans), and one stalk of Congbai (Scallion White) until reduced to 0.5 cup. Strain the dregs.
For pediatric purulent and bloody dysentery with frequent bowel movements (30-20 times daily), use Lixiao Fang (Immediate Effect Formula).
Herbs: Zao (4 pieces, plump and dried), Zhizi (4 fruits), Ganjiang (1 fen).
The above herbs are burned together to ash, finely ground into a powder. Each dose is taken by mixing half a qian with porridge water. Administer 3-4 times daily, adjusting dosage according to the child's age and condition.
For pediatric purulent and bloody dysentery that persists for a long time, accompanied by abdominal pain, emaciation, and loss of appetite, use Renshen San (Ginseng Powder).
Herbs: Renshen (0.5 liang, rhizome removed), Danggui (0.5 liang, sliced and slightly stir-fried), Diyü (0.5 liang, slightly roasted and sliced), Ejiao (0.5 liang, crushed and stir-fried until yellow).
The above herbs are coarsely ground into a powder. Each dose consists of 1 qian, decocted with one small cup of water, two stalks of Xiebai (Macrostemon Bulb), and 50 grains of Douchi (Fermented Soybeans) until reduced to 0.5 cup. Strain the dregs.
For pediatric purulent and bloody dysentery that does not heal and leads to gradual emaciation and weakness, use Jisifan Wan (Chicken Dropping Alum Pill).
Herbs: Jisifan (1 liang, burned to ash), Hufen (1 fen, stir-fried until slightly yellow), Longgu (1 liang), Ejiao (1 liang, crushed and stir-fried until dry and yellow).
The above herbs are ground into fine powder. Decoct strong vinegar to form a paste, mix with the powder, and roll into pills the size of mung beans. Each dose consists of 7 pills, taken with warm rice gruel. Administer 3-4 times daily, adjusting as needed.