汉东王先生《家宝》治小儿下痢，肠虚胃冷，或毒瓦斯蕴积。其大肠虚者则变血痢，其痢状血色，蕴瘀如鸡
鸭肝，随痢下是也。宜服 汤丸。（方见本门。）
《小儿形证论》四十八候五色痢歌∶
五色之痢最多端，见此方知有五般。青色只因惊积聚，黄多食积在脾间。白色冷虚肠胃患，赤为积热最难
安。鸡肝隐积多成片，黑血相和不易安。肤搐胸高兼露齿，脸红筋出每居前。急安脏腑和汤散，医者留心按古贤。
又歌曰∶
五色之痢莫言奇，四岁之前始有之。青色只因惊积聚，黄因食积毒于脾。赤黑已知心肾病，白多残害是脾
为。三七以前无变动，休令多睡饮餐迟。
此疾且须和五脏，补荣卫方，渐渐安愈。如目肿不进饮食，只与调胃散补之（方见积热门中）。
翰林待诏杨大邺小儿五色痢候歌∶
痢色原因有五般，治患先须仔细看。青色只因惊积聚，黄多有毒在脾间。赤色还知心肾病，白多应是肺家
寒。二七以前无变动，莫交绝食命倾残。
此候须是安和五脏，调其荣卫，始得安然。如目肿不吃食，乃恶候也。先调荣卫，后随形候用药，勿令瘥
误，切须用意，况十中不得三、五再生。
汉东王先生《家宝》治小儿泻痢，五色脓血如烂鱼肠，并无大便，只是脓血，肠中搅痛。 汤丸方
粉霜 轻粉 砂（各秤一钱） 朱砂（炒，一钱匕） 白丁香（匙炒四钱） 乳香（秤半钱，别研） 巴豆（七
粒，去皮、心，不出油）
上为末，蒸枣肉丸。每服婴孩三丸如粟米大。二、三岁如大麻子大。四、五岁亦如麻子大，并旋HT 成丸，
煎汤吞下，一日二服，间调胃气药与之。
《三十六种》内治下五色恶物，心神烦热不止方。
地榆 白茯苓 黄柏（炙。各一两）
上为末。每服一钱，水一盏煎至五分，去滓，分三服。
《张氏家传》治小儿赤白，或五色积痢。三霜丸方
巴豆（去皮，拣选白色肥好者秤三钱，研细，先用白绢包三、二十重，次用白纸外面包定，大石压令油尽，秤取二
钱，轻者为用） 真轻粉（名水银粉，又名腻粉） 粉霜（各秤一钱）
上三味同研匀极细，别取好黄蜡三钱，调煮三、二十沸，取出去酒令净，再溶，入药和之。如有煮酒蜡，
亦堪用，和成剂，油单内盛。如服食旋丸如小绿豆大。三岁以下如粟米大。每服三、五丸，温熟水下。此方
西京龙门山文太师药寮内真珠泉南壁石上刻。量儿子大小加减服之。
《吉氏家传》治五色痢，兼渴不止方。
茯苓 宣连 黄柏（各等分）
上件取黄柏末，以浆水如面糊良久，和前二味为丸如绿豆大。三岁，米饮下七丸。杀疳，熟水下五丸。
《吉氏家传》治五色痢至圣丸方
浓朴（去皮，姜制） 黄柏（略去皮，以鸡子白涂，炙黄熟，如干再上） 当归（酒浸一宿）
上三味等分细末，炼蜜为丸如梧桐子大。小儿细丸，浓朴汤下。每服四十丸加减。
长沙医者郑愈传 治疳痢，五色痢。定粉散方
定粉 龙骨 黄丹（ 过。各二钱） 诃子（三个， 熟取肉）
上为末，每服半钱，粥饮下。三岁以上半钱。
汉东王先生的《家宝》治疗小儿痢疾，因肠道虚弱、胃部寒冷，或者毒气蕴结积聚所致。如果大肠虚弱，就会转变为血痢，其痢疾性状表现为血色，瘀积凝结如同鸡鸭肝脏一样，随痢疾排出体外。适宜服用汤剂或丸剂。（方剂见本门。）
《小儿形证论》中关于四十八种候症五色痢的歌诀：
五色痢的成因最为复杂多样，见到此症便知有五种类型。青色多因受惊导致气机郁结积聚；黄色多为饮食积滞停留在脾脏之间；白色是肠胃虚寒引起的病症；红色为积热所致，最难安抚；痢色如鸡肝般隐伏的积滞多成片状；黑色血液相混则难以安宁。若伴有皮肤抽搐、胸部高耸兼露齿，以及脸颊发红、筋脉显露，往往是病情先兆。急需安定脏腑并调和气血，服用汤散，医者需留心参考古代贤人的经验。
又一首歌诀说：
五色痢不必觉得奇怪，四岁之前的儿童才会出现。青色只因受惊导致气机郁结，黄色因饮食积滞毒素在脾脏。赤色和黑色已知涉及心和肾脏病变，白色过多则是脾脏受损严重。三岁半（七个月×3.5? 注：原文“三七”通常指21天或特定年龄阶段，此处结合上下文“四岁之前”，可能指婴幼儿期，但字面为“三七以前无变动”，暂译为“三岁半以前”或保留数字“三七”即21个单位时间/月，鉴于儿科语境，常指婴儿早期，此处直译“三七以前”）没有明显变化，不要让患儿多睡，进食和饮水不要延迟。
这种疾病首先必须调和五脏，使用补益营卫的方剂，逐渐才能痊愈。如果出现眼睛肿胀且不能进食的情况，只给予调胃散来补益（方剂见积热门中）。
翰林待诏杨大邺关于小儿五色痢候症的歌诀：
痢疾的颜色原因有五种，治疗病患必须先仔细查看。青色只因受惊导致气机郁结，黄色多有毒素在脾脏之间。赤色还可知晓心和肾脏的病变，白色过多应是肺家寒凉。两岁半（二七）以前若无明显变化，不要让患儿绝食以免性命倾覆残损。
此候症必须安定调和五脏，调理其营卫，才能安然无恙。如果出现眼睛肿胀不吃食物，这是恶候。先调理营卫，随后根据具体症状用药，不要让误治导致病情恶化，务必用心对待，况且十人中救不活三五个，再生希望渺茫。
汉东王先生的《家宝》治疗小儿泻痢，排出五色脓血如同烂鱼肠，并没有正常大便，只有脓血，肠中搅动疼痛。汤丸方：
粉霜、轻粉、砂（各称一钱）、朱砂（炒制，一钱匕）、白丁香（匙炒四钱）、乳香（称半钱，单独研细）、巴豆（七粒，去皮、去心，不出油）。
以上药物研为细末，用蒸枣肉制成丸剂。每次服用，婴儿三丸如粟米大小。二、三岁如大麻子大小。四、五岁如麻子大小，均现做现成丸剂，煎汤吞服，一日两次，期间配合调胃气的药物一起服用。
《三十六种》内治疗下痢五色恶物，心神烦热不止的方剂：
地榆、白茯苓、黄柏（炙。各一两）。
以上药物研为细末。每次服用一钱，用水一盏煎至五分，去除药渣，分三次服用。
《张氏家传》治疗小儿赤白痢，或五色积痢的三霜丸方：
巴豆（去皮，挑选白色肥好者称三钱，研细，先用白绢包裹三、二十层，再用白纸外面包定，用大石压令油尽，称取二钱，轻者为用）、真轻粉（名水银粉，又名腻粉）、粉霜（各称一钱）。
以上三味药共同研磨均匀极细，另外取好黄蜡三钱，调入煮酒中煮沸三、二十次，取出沥干酒液，再次熔化，加入药物混合。如果有煮过酒的蜡，也可以使用，和成药剂，盛放在油单纸内。如需服用，现做成如小绿豆大小的丸剂。三岁以下如粟米大小。每次服用三、五丸，温熟水送下。此方刻在西京龙门山文太师药寮内的真珠泉南壁石上。根据儿子的大小加减服用剂量。
《吉氏家传》治疗五色痢，兼口渴不止的方剂：
茯苓、宣连、黄柏（各等分）。
以上取黄柏末，用浆水像面糊一样浸泡良久，与前两味药混合制成如绿豆大小的丸剂。三岁患儿，米饮送下七丸。治疗疳积，熟水送下五丸。
《吉氏家传》治疗五色痢的至圣丸方：
浓朴（去皮，姜制）、黄柏（略去皮，以鸡蛋清涂抹，炙黄熟，如果干了再涂上）、当归（酒浸一夜）。
以上三味药等分研为细末，炼蜜制成如梧桐子大小的丸剂。小儿服用细丸，用浓朴汤送下。每次服用四十丸，酌情加减。
长沙医者郑愈传授的治疗疳痢、五色痢的定粉散方：
定粉、龙骨、黄丹（煅过。各二钱）、诃子（三个，煨熟取肉）。
以上研为细末，每次服用半钱，粥饮送下。三岁以上服用半钱。
Mr. Wang of Handong's *Jiabao* treats pediatric dysentery caused by intestinal deficiency, stomach coldness, or the accumulation and retention of toxic qi. If the large intestine is deficient, it transforms into bloody dysentery; the stool appears bloody, with clotted blood resembling chicken or duck liver, discharged along with the dysentery. It is suitable to take decoctions or pills (see formula in this section).
The rhyme from *Xiao'er Xingzheng Lun* regarding the forty-eight types of five-colored dysentery:
Five-colored dysentery has the most diverse causes; seeing this indicates there are five types. Green color is solely due to fright causing qi stagnation and accumulation; yellow color mostly indicates food retention in the spleen. White color is a disorder of cold deficiency in the intestines and stomach; red color is due to accumulated heat, which is hardest to soothe. Dysentery resembling chicken liver implies hidden accumulation often in chunks; black blood mixed together is difficult to stabilize. If accompanied by skin twitching, chest protrusion, and exposed teeth, along with red cheeks and visible meridians, these are often precursors. Urgently settle the zang-fu organs and harmonize the tang-san (powder/decoction); physicians must pay attention and follow the ancients' wisdom.
Another rhyme states:
Do not consider five-colored dysentery strange; it begins before the age of four. Green color is solely due to fright causing qi stagnation; yellow is due to food retention toxins in the spleen. Red and black indicate heart and kidney diseases; white color excessively harms the spleen. Before three-seven [months/units], there are no changes; do not allow excessive sleep, and delay in feeding/drinking should be avoided.
This disease requires first harmonizing the five zang organs, using formulas to tonify Ying and Wei (nutritive and defensive qi), so that gradual recovery occurs. If eyes swell and the child refuses food, only administer Tiaowei San (Stomach-Harmonizing Powder) to tonify (see formula in the Food Retention section).
Yang Daye, Hanlin Daizhao, on the prognosis of pediatric five-colored dysentery:
The causes of dysentery colors have five types; treating the patient requires careful observation. Green color is solely due to fright causing qi stagnation; yellow color often has toxins in the spleen. Red color indicates heart and kidney diseases; white color suggests lung cold. Before two-seven [months/units], if there are no changes, do not let the child fast, lest life be endangered.
This condition requires settling and harmonizing the five zang organs, regulating Ying and Wei, to achieve peace. If eyes swell and the child does not eat, it is a malignant sign. First regulate Ying and Wei, then medicate according to specific symptoms. Do not let misdiagnosis lead to error; one must apply oneself diligently, as among ten cases, three or five may survive, and regeneration is rare.
Mr. Wang of Handong's *Jiabao* treats pediatric diarrhea and dysentery where five-colored pus and blood resemble rotten fish intestines, with no normal stool, only pus and blood, and churning pain in the intestines. Pill Formula:
Fenshuang (Lead Subcarbonate), Qingfen (Calomel), Sha (Realgar, each weighed 1 qian), Zhusha (Cinnabar, stir-fried, 1 qian bi), Baidingxiang (Vomit Stone, stir-fried with spoon, 4 qian), Ruxiang (Frankincense, weighed 0.5 qian, separately ground), Badou (Croton Seed, 7 grains, peeled, core removed, without oil release).
Grind the above into powder, mix with steamed jujube pulp to make pills. For infants, take 3 pills the size of millet seeds. For 2-3 years old, the size of hemp seeds. For 4-5 years old, the size of sesame seeds. Make fresh pills, swallow with decoction, twice a day, intermittently administering Stomach-Harmonizing Qi medicines alongside.
From *San Shi Liu Zhong*, a formula for lower dysentery with five-colored foul matter and incessant mental restlessness and heat:
Diyu (Sanguisorba Root), Baifuling (Poria with Hostwood), Huangbai (Phellodendron Bark, processed with fire. Each 1 liang).
Grind the above into powder. Take 1 qian per dose, decoct with one cup of water until reduced to half a cup, remove dregs, divide into three doses.
Zhang Family Tradition, Three-Frost Pills for pediatric red-white dysentery or five-colored accumulated dysentery:
Badou (Croton Seed, peeled, select white and plump ones, weigh 3 qian, grind finely, wrap first in white silk 30-20 layers, then outer layer of white paper, press with heavy stone until oil is gone, take 2 qian of the light substance), Zhenqingfen (True Calomel, also known as Mercury Powder or Ni Fen), Fenshuang (Lead Subcarbonate, each weighed 1 qian).
Grind the three ingredients together extremely finely. Separately take 3 qian of good yellow beeswax, boil in wine for 30-20 boils, remove and drain the wine completely, melt again, add medicine and mix. Wine-boiled wax can also be used. Form into paste, store in oiled paper. When taking, form fresh pills the size of small mung beans. For under 3 years, size of millet seeds. Take 3-5 pills per dose, wash down with warm cooked water. This formula was carved on the south wall stone of the Zhenzhu Spring in Master Wen Tai's Medicine Pavilion at Longmen Mountain, Xijing. Adjust dosage according to the son's size.
Ji Family Tradition, for five-colored dysentery with incessant thirst:
Fuling (Poria), Xuanlian (Scutellaria Baicalensis), Huangbai (Phellodendron Bark, equal parts).
Take the Huangbai powder, soak in fermented rice water like batter for a long time, mix with the other two ingredients to form pills the size of mung beans. For 3 years old, take 7 pills with rice drink. To treat Gan syndrome (childhood malnutrition/digestive disorder), take 5 pills with cooked water.
Ji Family Tradition, Supreme Holy Pills for five-colored dysentery:
Houpo (Magnolia Bark, peeled, ginger-processed), Huangbai (Phellodendron Bark, slightly peeled, coated with egg white, roasted until yellow and cooked, re-coat if dry), Danggui (Angelica Sinensis, soaked in wine overnight).
Grind the three ingredients equally into fine powder, refine honey to form pills the size of paulownia seeds. For children, make smaller pills, take with Houpo decoction. Take 40 pills per dose, adjust as needed.
Zheng Yu, a physician from Changsha, passed down Dingfen San for Gan dysentery and five-colored dysentery:
Dingfen (Minium/Red Lead), Longgu (Fossilized Bone), Huangdan (Red Lead, calcined. Each 2 qian), Hezi (Chebula Fruit, 3 pieces, roasted and flesh taken).
Grind into powder. Take 0.5 qian per dose, wash down with porridge drink. For over 3 years, take 0.5 qian.