大黄汤 红痢初起。腹痛后重宜之。
大黄(三钱三岁以下者二钱弱者一钱) 赤芍(一钱) 当归(一钱) 槟榔 黄连 枳壳(各七分)
水姜煎服。以利为度。
芩壳汤 白痢初起。腹痛后重。用此下之。
大黄(二钱) 黄芩 枳壳 苍术 陈皮(各八分) 浓朴 槟榔 木香 莪术 水煎服。
加减黄芩芍药汤 调血和气。
白芍(二钱) 当归 黄连 浓朴 黄芩(各一钱五分) 槟榔 枳壳(各七分) 木香(五分磨入) 血痢。
加生地地榆。白痢。加青皮苍术。水煎服。
香连丸 治暑热伤脾。停积成痢。赤白相杂。里急后重。肚腹作痛。胀满恶心等症。
川黄连(二十两用吴萸十两同拌炒拣去吴萸) 广木香 川浓朴(姜汁炒) 广陈皮 陈枳壳(麸炒)
山楂(去子) 白芍药(酒炒各五两)
上为末。醋糊水法为丸。
参连散 治下利日久。胃中虚热。噤口不食。呕秽恶心。此药解毒清热。开胃进食。
人参(一钱) 老莲肉(去皮心二钱) 黄连(七分) 木香(五分)
上为末。陈米汤化下。
徐中垣先生家传香连散。通治赤白痢疾。
当归(酒洗) 苍术(米泔水浸炒) 杏仁(去皮尖) 红花(酒洗) 大黄(酒蒸晒干再蒸九次为度)
黄连(吴萸汁拌炒) 羌活(各一两) 木香(五钱)
上为末。每服一钱。白滚汤调下。胃口不开。老莲肉去心。煎汤调下。
便红散 治饮食不节。杂进无度。致伤脾阴。大便下血之症。
红曲 薏苡仁 各等分。炒为末。每用一钱。空心米汤下。
大黄汤:适用于红痢初起阶段。若出现腹痛和里急后重(排便时肛门坠胀感,想拉拉不出)的症状,适宜使用此方。
处方组成:大黄(三钱,三岁以下儿童用二钱,体质虚弱者用一钱)、赤芍(一钱)、当归(一钱)、槟榔、黄连、枳壳(各七分)。
煎服方法:加水、生姜同煎服用。以大便通畅为度。
芩壳汤:适用于白痢初起阶段。若有腹痛和里急后重的症状,可用此方攻下积滞。
处方组成:大黄(二钱)、黄芩、枳壳、苍术、陈皮(各八分)、浓朴、槟榔、木香、莪术。
煎服方法:加水浓煎服用。
加减黄芩芍药汤:用于调和气血。
处方组成:白芍(二钱)、当归、黄连、浓朴、黄芩(各一钱五分)、槟榔、枳壳(各七分)、木香(五分,磨汁兑入)。
适用症:血痢。
加减法:若是血痢,加生地黄、地榆;若是白痢,加青皮、苍术。
煎服方法:加水煎服。
香连丸:治疗暑热损伤脾胃,导致食积停滞而成痢疾。症状表现为赤白脓血相杂,里急后重,腹部疼痛,腹胀恶心等症。
处方组成:川黄连(二十两,用吴茱萸十两同拌炒,拣去吴茱萸)、广木香、川浓朴(姜汁炒)、广陈皮、陈枳壳(麸炒)、山楂(去籽)、白芍药(酒炒,各五两)。
制作与服用:将上述药材研为细末,用醋糊和水泛丸。
参连散:治疗下利(腹泻/痢疾)日久,胃中虚热,导致噤口痢(因胃气虚弱或邪热内扰而不能进食),呕吐秽浊,恶心。此药具有解毒清热、开胃进食的功效。
处方组成:人参(一钱)、老莲肉(去皮心,二钱)、黄连(七分)、木香(五分)。
制作与服用:将上述药材研为细末,用陈年米汤化开送服。
徐中垣先生家传香连散:通治赤痢和白痢。
处方组成:当归(酒洗)、苍术(米泔水浸后炒)、杏仁(去皮尖)、红花(酒洗)、大黄(酒蒸晒干后再蒸,共九次为度)、黄连(吴茱萸汁拌炒)、羌活(各一两)、木香(五钱)。
制作与服用:将上述药材研为细末。每次服用一钱,用白开水调服。若胃口不开,可用去心的老莲肉煎汤调服。
便红散:治疗因饮食不节制,杂乱无度进食,导致脾阴受损,出现大便下血的病症。
处方组成:红曲、薏苡仁,各等分。
制作与服用:炒制后研为细末。每次服用一钱,空腹时用米汤送服。
Da Huang Tang (Rhubarb Decoction): Indicated for the initial stage of red dysentery. It is suitable when abdominal pain and tenesmus (a feeling of incomplete defecation with straining) are present.
Ingredients: Da Huang (Rhei Radix et Rhizoma, 3 qian; use 2 qian for children under three years old, or 1 qian for those with weak constitution), Chi Shao (Paeviae Radix Rubra, 1 qian), Dang Gui (Angelicae Sinensis Radix, 1 qian), Bing Lang (Arecae Semen), Huang Lian (Coptidis Rhizoma), Zhi Ke (Aurantii Fructus Immaturus, each 7 fen).
Preparation and Administration: Decoct with water and fresh ginger. Administer until bowel movements become unobstructed.
Qin Qiao Tang (Scutellaria and Aurantium Decoction): Indicated for the initial stage of white dysentery. Use this formula to purge accumulation when accompanied by abdominal pain and tenesmus.
Ingredients: Da Huang (Rhei Radix et Rhizoma, 2 qian), Huang Qin (Scutellariae Radix), Zhi Ke (Aurantii Fructus Immaturus), Cang Zhu (Atractylodis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium, each 8 fen), Nong Po (Magnoliae Officinalis Cortex), Bing Lang (Arecae Semen), Mu Xiang (Aucklandiae Radix), E Zhu (Curcumae Rhizoma).
Preparation and Administration: Decoct with a concentrated amount of water.
Jia Jian Huang Qin Shao Yao Tang (Modified Scutellaria and Peony Decoction): Used to harmonize blood and qi.
Ingredients: Bai Shao (Paeoniae Radix Alba, 2 qian), Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Huang Qin (Scutellariae Radix, each 1 qian 5 fen), Bing Lang (Arecae Semen), Zhi Ke (Aurantii Fructus Immaturus, each 7 fen), Mu Xiang (Aucklandiae Radix, 5 fen, ground into juice and added).
Indications: Bloody dysentery.
Modifications: For bloody dysentery, add Sheng Di Huang (Rehmanniae Radix) and Di Yu (Sanguisorbae Radix); for white dysentery, add Qing Pi (Citri Reticulatae Pericarpium Viride) and Cang Zhu (Atractylodis Rhizoma).
Preparation and Administration: Decoct with water.
Xiang Lian Wan (Costus and Coptis Pill): Treats spleen injury caused by summer-heat and dampness, leading to food stagnation and dysentery. Symptoms include mixed red and white pus and blood in stool, tenesmus, abdominal pain, distension, and nausea.
Ingredients: Chuan Huang Lian (Coptidis Rhizoma, 20 liang, stir-fried together with Wu Zhu Yu 10 liang, then remove Wu Zhu Yu), Guang Mu Xiang (Aucklandiae Radix), Chuan Nong Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Guang Chen Pi (Citri Reticulatae Pericarpium), Chen Zhi Ke (Aurantii Fructus Immaturus, stir-baked with bran), Shan Zha (Crataegi Fructus, seeds removed), Bai Shao Yao (Paeoniae Radix Alba, wine-fried, each 5 liang).
Preparation and Administration: Grind into fine powder. Form pills using vinegar paste and water.
Shen Lian San (Ginseng and Lotus Seed Powder): Treats prolonged diarrhea/dysentery resulting in deficiency-heat in the stomach, causing "Jin Kou Li" (dysentery with inability to eat due to stomach weakness or pathogenic heat), vomiting of foul matter, and nausea. This formula has the effects of detoxifying, clearing heat, opening the appetite, and promoting food intake.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Lao Lian Rou (Nelumbinis Nuciferae Semen, peeled and deheartened, 2 qian), Huang Lian (Coptidis Rhizoma, 7 fen), Mu Xiang (Aucklandiae Radix, 5 fen).
Preparation and Administration: Grind into fine powder. Dissolve and administer with aged rice soup.
Xu Zhongyuan's Family Inherited Xiang Lian San: Universally treats both red and white dysentery.
Ingredients: Dang Gui (Angelicae Sinensis Radix, washed with wine), Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water and stir-fried), Xing Ren (Armeniacae Semen Amarum, peeled and dekernelled), Hong Hua (Carthami Flos, washed with wine), Da Huang (Rhei Radix et Rhizoma, steamed with wine, dried, and steamed again nine times as the standard), Huang Lian (Coptidis Rhizoma, stir-fried with Wu Zhu Yu juice), Qiang Huo (Notopterygii Rhizoma et Radix, each 1 liang), Mu Xiang (Aucklandiae Radix, 5 qian).
Preparation and Administration: Grind into fine powder. Take 1 qian per dose, mixed with plain boiled water. If appetite is poor, decoct Nelumbinis Nuciferae Semen (deheartened) in water and mix with the powder for administration.
Bian Hong San (Red Stool Powder): Treats symptoms of blood in the stool caused by irregular diet and excessive consumption, which damages Spleen Yin.
Ingredients: Hong Qu (Monascus Fermented Rice), Yi Yi Ren (Coicis Semen), equal parts.
Preparation and Administration: Stir-fry and grind into fine powder. Take 1 qian per dose, administered on an empty stomach with rice soup.