（泻痢同）
《惠济论》小儿痢瘥后遍身肿候歌（宜与塌气散方在后∶）
冷痢日久失医治，遍身浮肿却如吹，脉洪是气化为水，沉实还因积有之，顺气肿消为上法，气平两日定多
尿，莫交食饱还忧滞，此候原因积损脾。
《惠济论》塌气散方
茴香 白牵牛 甘草（各炒） 木香（以上各一钱）
上为末。每服半钱，紫苏汤下。
《王氏手集》止渴圣效散 治小儿因吐利，气虚津液减耗生疳，烦渴饮水不休，面肿脚浮，腹大头细，小便利
白，全不吃食方。
干葛 白芷（各二两。一两炒黄，一两生用） 细墨（二两，一两火 过，一两生用） 黄丹（二两，一两炒紫色，
一两生用）
上同为细末。每服半钱，倒流水调下。
（滞痢赤白）凡十二门
茅先生∶小儿生下，周岁上至十岁以前，有中痢疾分八种，各逐一有说。赤痢脏腑积热。白痢脏腑积冷。
伤积痢其粪内一半似土色，本因奶食所伤。惊积痢其粪夹青涕色，因惊候不曾取下，惊积至此。脊沥痢时下五
色不定，不吃奶，又名五花闭口痢，此五脏积毒，孔窍不开。药毒痢所出如鱼脑浆，本因患痢久而成，医人下
药不对，故名药毒积痢。锁口痢都不下食，常引水吃，秋后脾虚，又名调泄泻。凡治得痢又泻，治得泻又痢，
此是大肠滑，脾虚热，又名脏中有积毒而成。热毒风毒痢所出，痢如青草汁，又或如赤豆汁，时时自滴沥出，
乃脾家受风热毒而成，此般痢十中无一生，系恶候。
上八般痢如见，不问色数，先用匀气散（方见胃气不和门中）夹醒脾散、（有二方∶一方见胃气不和门中，一方见
慢脾风门中。）香连散、乳香散调理二日。（二方并见一切泄泻门中。）渐有黄下来时，便下褊银丸一服，（方见积泻门中。）
取下痢积三五行。再用匀气散、醒脾散调平其气，后常服香连丸（方见一切泄泻门中）夹调中饮与服即愈。（方见胃气
不和门中。）如见大渴，都不进食，口内生疮，鼻干燥，肚膨，死候不治。
汉东王先生《家宝》∶小儿八痢者，皆因八邪而生也。或冷热不匀，风热入脏则为痢也。热痢则赤，冷痢则
白，冷热相加则杂赤白色，食痢则酸臭，惊痢则青，脾痢则吃食不消化，时行痢则有血，疳痢则曩泻不时，此
是八痢也。
《五开贯真珠囊》小儿八般痢候∶一白脓痢；二鱼脑痢；三五色痢；四血瘕痢；五水泻痢；六腹肚痢；七瘕
积痢；八赤白痢。
茅先生小儿八痢不治死候歌∶
痢频都不食，腹胀喘还粗，下粪全如墨，浑身热渴俱。
（腹泻与痢疾症状相同）
《惠济论》中关于小儿痢疾痊愈后全身浮肿的证候歌诀（宜配合后文的塌气散方使用）：
寒性痢疾日久若失治误治，全身浮肿胀满如同吹起的气球；脉象洪大说明是气机郁滞化为水湿，脉象沉实则是因为体内有积滞所致。顺气消肿是上等的治疗方法，气机平和两天后小便必然增多；不要让孩子吃得太饱以免导致停滞，此证的起因在于积滞损伤了脾脏。
《惠济论》塌气散方
茴香、白牵牛、甘草（各炒制）、木香（以上各一钱）
将上述药材研为细末。每次服用半钱，用紫苏汤送服。
《王氏手集》止渴圣效散 治疗小儿因呕吐腹泻，导致气虚津液耗损而生疳积，出现烦渴饮水不止、面部浮肿脚部肿胀、头大身小、小便清长色白、完全不肯进食的方剂。
干葛、白芷（各二两。其中一两炒至微黄，一两生用）、细墨（二两，其中一两火煅过，一两生用）、黄丹（二两，其中一两炒至紫色，一两生用）
将上述药材共同研为细末。每次服用半钱，用倒流水调服。
（赤白相间的滞痢）共有十二个门类
茅先生论述：小儿从出生到十岁以前，患有痢疾可分为八种，每种都有详细的解说。赤痢是由于脏腑内有积热。白痢是由于脏腑内有积冷。伤积痢的大便中有一半呈土色，本因奶食受伤所致。惊积痢的大便夹杂青色鼻涕状物质，因受惊吓后未及时疏导，导致惊积至此。脊沥痢时下五色不定，不吃奶，又名五花闭口痢，这是五脏积毒，孔窍不通所致。药毒痢排出的粪便如鱼脑浆，本因患痢日久，医生用药不当，故名为药毒积痢。锁口痢表现为完全无法进食，常引水喝，秋季后脾虚，又名调泄泻。凡是治疗痢疾后又腹泻，或治疗腹泻后又痢疾，这是大肠滑脱、脾虚有热，又名脏中有积毒而成。热毒风毒痢排出的痢疾如青草汁，或如赤豆汁，时时自行滴沥而出，乃脾脏受风热毒邪所致，这类痢疾十人中无一能活，属于恶候。
见到上述八种痢疾，不论颜色数量如何，先用匀气散（方剂见胃气不和门中）配合醒脾散（有两个方子：一个见胃气不和门中，一个见慢脾风门中）、香连散、乳香散调理两天。（这两个方子均见一切泄泻门中。）逐渐有黄色大便排出时，再服用褊银丸一次，（方剂见积泻门中。）排出三五行痢积。再用匀气散、醒脾散调和其气，之后常服香连丸（方剂见一切泄泻门中）配合调中饮服用即可痊愈。（调中饮方见胃气不和门中。）如果见到极度口渴，完全不进食，口腔内生疮，鼻干燥，腹部膨隆，则是死候，无法医治。
汉东王先生《家宝》论述：小儿八种痢疾，都是因八种邪气而生。或是冷热不均，风热入脏则形成痢疾。热痢则便血赤，冷痢则便白，冷热相加则赤白相间，食痢则气味酸臭，惊痢则便青，脾痢则饮食不消化，时行痢则便血，疳痢则囊泻不时，这就是八种痢疾。
《五开贯真珠囊》记载小儿八种痢疾证候：一是白脓痢；二是鱼脑痢；三是五色痢；四是血瘕痢；五是水泻痢；六是腹肚痢；七是瘕积痢；八是赤白痢。
(The symptoms are the same for diarrhea and dysentery)
From *Huiji Lun* (Treatise on Compassionate Relief), the song regarding the syndrome of generalized edema after pediatric dysentery has subsided (should be used in conjunction with the Taci San formula below):
Cold-type dysentery, if left untreated for a long time, results in generalized edema as if inflated like a balloon. A surging pulse indicates that qi stagnation has transformed into water retention, while a deep and solid pulse suggests the presence of internal accumulation. Promoting qi circulation to reduce swelling is the superior treatment method; once qi regulation is achieved, urine output will likely increase within two days. Avoid overfeeding to prevent stagnation; the root cause of this syndrome lies in accumulation damaging the Spleen.
*Taci San* (Qi-Settling Powder) from *Huiji Lun*:
Fennel Seed (Foeniculi Fructus), White Morning Glory Seed (Baiqianniu, Semen Ipomoeae Praepratae), Licorice Root (Gancao, Radix Glycyrrhizae Preparatae) [all stir-fried], Costus Root (Muxiang, Radix Aucklandiae). (Each ingredient: 1 qian).
Grind the above ingredients into fine powder. Take 0.5 qian per dose, administered with Perilla Decoction (Zisu Tang).
*Zhike Shengxiao San* (Thirst-Relieving Miraculous Effect Powder) from *Wangshi Shouji*: Treats pediatrics cases where vomiting and diarrhea lead to Qi deficiency and fluid depletion, resulting in infantile malnutrition (Gan syndrome), incessant thirst and drinking, facial and foot edema, a large head with a thin body, clear and white urination, and complete anorexia.
Kudzu Root (Gegen, Radix Puerariae Lobatae), Angelica Dahurica (Baizhi, Radix Angelicae Dahuricae) [each 2 liang; 1 liang stir-fried until yellow, 1 liang raw]. Fine Ink Stick (Ximo, Mo), Yellow Lead Oxide (Huandan, Minium). (Each 2 liang; for both Ximo and Huandan, 1 liang is calcined/fire-treated, 1 liang is raw).
Grind all ingredients together into fine powder. Take 0.5 qian per dose, mixed with "flowing-back" water (Dao Liu Shui).
(Stagnant Dysentery with Red and White Stool) - Twelve Categories
Mr. Mao states: Children from birth up to ten years old may suffer from eight types of dysentery, each described individually. Red dysentery is caused by accumulated heat in the Zang-Fu organs. White dysentery is caused by accumulated cold in the Zang-Fu organs. Accumulation-injury dysentery presents with stool half resembling soil color, originally due to injury from milk or food. Shock-accumulation dysentery features stool mixed with green mucus-like substance, occurring when shock was not addressed promptly, leading to shock accumulation. Spinal drip dysentery presents with unpredictable colors of five hues, refusal to nurse, also known as Five-Flower Closed-Mouth Dysentery; this is due to accumulated toxins in the Five Zang organs blocking the orifices. Medicinal toxicity dysentery discharges stool resembling fish brain paste, resulting from prolonged dysentery treated incorrectly by physicians, hence named medicinal toxicity accumulation dysentery. Lock-mouth dysentery involves total inability to eat, constant craving for water, and post-autumn Spleen deficiency, also known as Regulated Diarrhea. Whenever treating dysentery leads to diarrhea, or treating diarrhea leads back to dysentery, this indicates slipping of the Large Intestine and Spleen deficiency with heat, also known as accumulation toxins in the Zang organs. Heat-toxin and Wind-toxin dysentery discharges resemble grass juice or red bean juice, dripping continuously; this is caused by the Spleen receiving wind-heat toxins. Such dysentery has a mortality rate of nearly 100%, representing a malignant prognosis.
Upon observing any of these eight types of dysentery, regardless of color or quantity, first regulate Qi using Yunqi San (see Section on Disharmony of Stomach Qi) combined with Xingpi San (two formulas available: one in Section on Disharmony of Stomach Qi, one in Section on Slow Spleen Wind), Xianglian San, and Ruxiang San for two days. (Both formulas seen in Section on All Diarrheas.) Once yellow stool begins to appear, administer Pianyin Wan once (see Section on Accumulation Diarrhea) to expel three to five movements of dysenteric accumulation. Then use Yunqi San and Xingpi San to harmonize Qi. Subsequently, regularly take Xianglian Wan (see Section on All Diarrheas) combined with Tiaozhong Yin to achieve recovery. (Tiaozhong Yin see Section on Disharmony of Stomach Qi.) If extreme thirst, refusal to eat, oral ulcers, dry nose, and abdominal distension occur, it is a death sign and untreatable.
Mr. Wang Handong in *Jiabao* states: The eight types of pediatric dysentery arise from eight pathogenic factors. Uneven cold and heat, or wind-heat entering the Zang organs, causes dysentery. Heat dysentery presents with red stool, cold dysentery with white stool, mixed cold and heat with red and white stool, food dysentery with sour odor, shock dysentery with green stool, Spleen dysentery with undigested food in stool, epidemic dysentery with blood in stool, and Gan dysentery with intermittent scrotal discharge. These constitute the eight dysenteries.
*Wukai Guan Zhenzhunang* records eight pediatric dysentery syndromes: 1. White pus dysentery; 2. Fish brain dysentery; 3. Five-color dysentery; 4. Blood mass dysentery; 5. Watery diarrhea dysentery; 6. Abdominal distension dysentery; 7. Mass accumulation dysentery; 8. Red and white dysentery.
Mr. Mao’s Song on Untreatable Death Signs for Eight Pediatric Dysenteries:
Frequent dysentery with complete anorexia, abdominal distension with coarse panting, stool completely black as ink, whole-body fever accompanied by extreme thirst.