《巢氏病源》小儿洞泄下利候∶春伤于风,夏为洞泄。小儿有春时解脱衣服,为风冷所伤,藏在肌肉,至夏
因饮食居处不调,又被风冷,入于肠胃,先后重沓,为风邪所乘,则下利也。其冷气盛,利为洞泄,洞泄不
止为注下也。凡注下不止者,多变惊痫,所以然者,本挟风邪,因利脏虚,风邪乘之故也。亦变眼痛生障,下
焦癖冷,热结上焦,热熏于肝故也。
《五关贯真珠囊》小儿洞泄候∶洞泄者,凡风冷入肠,则下利洞泄,肛门脱,小儿则肿也。
《千金》治少小洞注下痢方。
上用蒺藜子二升,捣汁,温服,以瘥为度。
《千金》又方
上用木瓜取汁,饮之。
《千金》又方
上炒仓米末,饮服之。
《千金》又方
上用酸石榴,烧灰末,服半钱匕,日三服。
《千金》又方
上用狗头骨灰,水和服之。
《千金》又方
羊骨灰 鹿骨灰
上二味,并水和服之,随得一事,即用之。
《千金》又方
上炒豉令焦,水淋汁服之,神验。冷则酒淋服。
《千金》又方
上用五月五日百草末,吹下部。
《外台》刘氏疗小儿洞泄,水利不止方。
浓朴(炙) 黄连(各一两)
上二味切,以水一升煎取六合,分服。杂痢,此方并治之。
《子母秘录》治小儿洞下利方。
上用羊角中骨烧末,饮服方寸匕。
《子母秘录》又方
上烧虾蟆末,饮调方寸匕,服之。
《圣惠》治小儿脾胃气不和,洞泄,下利不止,羸瘦,食少,浓朴散方
浓朴(去粗皮,涂生姜汁炙令香熟) 人参(去芦头) 诃黎勒(煨,用皮) 白术 黄连(去须,微炒) 地榆
(微炙,锉。各一分) 甘草(炙微赤) 干姜(炮裂,锉。各半分) 肉豆蔻(一枚,去壳)
上件药捣,细罗为散。每服以粥饮调下半钱,日三、四服。量儿大小以意加减。
《圣惠》治小儿洞泄,下利不止,渐至羸困,密陀僧散方
密陀僧 黄丹 定粉 白矾(各一两)
上件药以新瓷瓶盛,用纸筋泥固济,以文火烧令通赤,候冷取出,入龙骨末一两,同研令细。每服以粥饮
调下半钱,日三四服。量儿大小加减服之。
《圣惠》治小儿洞泄下利,羸困,三圣散方
地榆(半两,微炙,锉) 浓朴(三分,去粗皮涂生姜汁炙令香熟) 诃黎勒(煨,用皮,半两)
上件药捣,细罗为散。每服以粥饮调下半钱,日三、四服。量儿大小临时加减。
《圣惠》又方
没石子(微煨) 诃黎勒(煨,用皮。各半两)
上件药捣,细罗为散。每服以粥饮调下半钱,日三、四服。量儿大小临时加减。
《圣惠》治小儿洞泄,下痢不瘥,乳食全少,宜服如圣散方
黄连(三分,去须,微炒) 鹿茸(去毛,涂酥,炙微黄) 浓朴(去粗皮,涂生姜汁,炙令香熟。各半两)
上件药捣,细罗为散。每服以粥饮调下半钱,日三、四服。量儿大小加减服之。
《圣惠》又方
楮叶(半两) 诃黎勒(煨,用皮,一分) 橡实(七枚,微炒)
上件药捣,细罗为散。每服以粥饮调下半钱,日三、四服。量儿大小加减服之。
《圣惠》治小儿洞泄,下利不止,黄连丸方
黄连(一两,去须,锉,微炒) 女萎(半两,微炒)
上件药捣,罗为末,炼蜜和丸如梧桐子大。每服以热水化下三丸,日三、四服。量儿大小加减服之。
《圣惠》又方
上用牛角 烧灰,细研为散。每服以粥饮调下半钱,日三、四服。量儿大小加减服之。
《婴孺》治小儿注利,肠 下重,附子丸方
附子 干姜(各炮) 前胡(炒) 芎(炒。各四分)
上为末,蜜丸大豆大。两丸,饮下,日三夜一。大人亦可服。
《婴孺》治小儿洞利,昼夜不止方。
黄芩 干姜 人参(各三分)
上为末,蜜丸如大豆大。每服三丸,饮下,日进三服。
张涣浓朴散 治洞泄注下方。
浓朴 生姜汁(制) 诃黎勒(炮,取皮) 肉豆蔻(各一两) 白术 干姜(各半两。炮)
上件捣罗为细末。每服一钱,水八分一盏,入生姜、粟米各少许,煎五分,去滓温服。
《万全方》治小儿冷热不调,时有洞泄,下利不止,龙骨丸
龙骨 黄连 白石脂 白矾(烧令汁尽) 干姜(炮) 木香(以上各半两)
上件药捣罗为末,醋煮面糊为丸如麻子大。每服以粥饮下五丸,日三、四服。量儿大小加减服之。
《刘氏家传》小儿水泻注下方。
黄连 石莲(等分,炒黄色)
上末之,每半钱。水泻,新汲水调下;白泻,粟米饮下。
《巢氏病源》关于小儿洞泄下利的论述:春季感受风邪,到了夏季就会发生洞泄。小儿在春季时脱去衣物,被风冷之气所伤,邪气潜伏在肌肉之间,到了夏季因为饮食起居不调,再次受到风冷侵袭,风冷进入肠胃,内外邪气相合,风邪乘虚而入,就会导致下利。如果体内冷气旺盛,就会形成洞泄;洞泄不止则发展为注下。凡是注下不止的病症,很容易转变为惊痫,之所以如此,是因为原本就挟带风邪,又因腹泻导致脏腑虚弱,风邪趁机入侵的缘故。此外,还可能转变为眼痛生障、下焦有癖积冷结,或者热邪结聚于上焦,热气熏蒸肝脏所致。
《五关贯真珠囊》关于小儿洞泄的论述:所谓洞泄,凡是风冷进入肠道,就会导致下利呈洞泄状,肛门脱出,小儿则表现为肿胀。
《千金方》治疗少小儿童洞注下痢的方剂。
取蒺藜子二升,捣取汁液,温服,以痊愈为度。
《千金方》另一个方剂
取木瓜榨汁,饮用。
《千金方》又一个方剂
将仓米炒成末,用水送服。
《千金方》又一个方剂
取酸石榴,烧成灰后研末,服用半钱匕大小,每日三次。
《千金方》又一个方剂
取狗头骨烧成的灰,用水调和后服用。
《千金方》又一个方剂
羊骨灰、鹿骨灰
以上两味药,用水调和后服用,任选其中一种有效即可使用。
《千金方》又一个方剂
将豆豉炒至焦黑,用水淋取汁液服用,效果神奇。如果是冷证,则用酒淋取汁液服用。
《千金方》又一个方剂
取五月五日采集的百草粉末,吹入肛门内。
《外台秘要》刘氏治疗小儿洞泄,水泻不止的方剂。
浓朴(炙) 黄连(各一两)
以上两味药切碎,用水一升煎取六合药液,分次服用。对于杂痢,此方也能一并治疗。
《子母秘录》治疗小儿洞泄下利的方剂。
取羊角中间的骨头烧成末,用水送服一方寸匕。
《子母秘录》另一个方剂
将虾蟆烧成末,用水调服一方寸匕。
《太平圣惠方》治疗小儿脾胃气机不和,洞泄,下利不止,身体消瘦,食欲不振,浓朴散方
浓朴(去除粗皮,涂生姜汁炙至香熟) 人参(去除芦头) 诃黎勒(煨,只用皮) 白术 黄连(去除须根,微炒) 地榆
(微炙,锉碎。各一分) 甘草(炙至微红) 干姜(炮裂,锉碎。各半分) 肉豆蔻(一枚,去壳)
以上药物捣碎,过细筛制成散剂。每次服用半钱,用米汤调服,每日三到四次。根据患儿年龄大小酌情加减。
《太平圣惠方》治疗小儿洞泄,下利不止,逐渐导致身体羸弱困倦,密陀僧散方
密陀僧 黄丹 定粉 白矾(各一两)
以上药物放入新的瓷瓶中,用纸筋泥密封固定,用小火烧至通红,冷却后取出,加入龙骨末一两,共同研磨细腻。每次服用半钱,用米汤调服,每日三到四次。根据患儿年龄大小调整剂量服用。
《太平圣惠方》治疗小儿洞泄下利,身体羸弱困倦,三圣散方
地榆(半两,微炙,锉碎) 浓朴(三分,去除粗皮涂生姜汁炙至香熟) 诃黎勒(煨,只用皮,半两)
以上药物捣碎,过细筛制成散剂。每次服用半钱,用米汤调服,每日三到四次。根据患儿年龄大小临时调整剂量。
《太平圣惠方》另一个方剂
没石子(微煨) 诃黎勒(煨,只用皮。各半两)
以上药物捣碎,过细筛制成散剂。每次服用半钱,用米汤调服,每日三到四次。根据患儿年龄大小临时调整剂量。
《太平圣惠方》治疗小儿洞泄,下痢不愈,乳食完全减少,宜服用如圣散方
黄连(三分,去除须根,微炒) 鹿茸(去除毛,涂酥油,炙至微黄) 浓朴(去除粗皮,涂生姜汁,炙至香熟。各半两)
以上药物捣碎,过细筛制成散剂。每次服用半钱,用米汤调服,每日三到四次。根据患儿年龄大小调整剂量服用。
《太平圣惠方》另一个方剂
楮叶(半两) 诃黎勒(煨,只用皮,一分) 橡实(七枚,微炒)
以上药物捣碎,过细筛制成散剂。每次服用半钱,用米汤调服,每日三到四次。根据患儿年龄大小调整剂量服用。
《太平圣惠方》治疗小儿洞泄,下利不止,黄连丸方
黄连(一两,去除须根,锉碎,微炒) 女萎(半两,微炒)
以上药物捣碎,过筛制成粉末,用炼蜜和丸,如梧桐子大小。每次用热水化开三丸服用,每日三到四次。根据患儿年龄大小调整剂量服用。
《太平圣惠方》另一个方剂
取牛角烧成灰,细细研磨成散剂。每次服用半钱,用米汤调服,每日三到四次。根据患儿年龄大小调整剂量服用。
《婴孺方》治疗小儿注利,肠澼下重,附子丸方
附子 干姜(各炮制) 前胡(炒) 芎䓖(炒。各四分)
以上药物制成粉末,用蜂蜜和丸,如大豆大小。每次两丸,饮水送下,每日三次,夜间一次。成人也可以服用。
《婴孺方》治疗小儿洞利,昼夜不止的方剂。
黄芩 干姜 人参(各三分)
以上药物制成粉末,用蜂蜜和丸,如大豆大小。每次服用三丸,饮水送下,每日进药三次。
张涣的浓朴散 治疗洞泄注下方。
浓朴 生姜汁(炮制) 诃黎勒(炮制,取皮) 肉豆蔻(各一两) 白术 干姜(各半两。炮制)
以上药物捣罗成细末。每次服用一钱,用水八分一盏,加入少许生姜和粟米,煎至五分,去渣温服。
《万全方》治疗小儿冷热不调,时有洞泄,下利不止,龙骨丸
龙骨 黄连 白石脂 白矾(烧至汁尽) 干姜(炮制) 木香(以上各半两)
以上药物捣罗成粉末,用醋煮面糊为丸,如麻子大小。每次用米汤送下五丸,每日三到四次。根据患儿年龄大小调整剂量服用。
《刘氏家传》小儿水泻注下方。
黄连 石莲(等分,炒至黄色)
以上药物研成粉末,每次半钱。如果是水泻,用新汲水调服;如果是白泻,用粟米饮调服。
*Chao Shi Bing Yuan* on the condition of infantile dongxie (profuse diarrhea) and li (dysentery): Injury by wind in spring leads to dongxie in summer. Infants who remove clothing during spring may be injured by wind-cold, which hides within the muscles. By summer, due to irregular diet and living conditions, combined with renewed exposure to wind-cold entering the intestines and stomach, the pathogenic factors accumulate. When wind-pathogen takes advantage of this deficiency, diarrhea occurs. If cold qi is abundant, it manifests as dongxie; if dongxie does not cease, it develops into zhuxia (flux). Whenever zhuxia persists, it often transforms into jingxian (convulsions and epilepsy). This is because the condition originally involves wind-pathogen, and prolonged diarrhea weakens the zang-organs, allowing wind-pathogen to invade further. It may also transform into eye pain with opacity, cold masses in the lower jiao, or heat accumulation in the upper jiao, where heat steams the Liver.
*Wuguan Guanzhenzhunang* on infantile dongxie: Dongxie refers to diarrhea caused by wind-cold entering the intestines, characterized by profuse discharge, anal prolapse, and swelling in infants.
*Qianjin Fang* prescription for treating young children with dongzhu (flux-like diarrhea) and dysentery.
Take two sheng of Tribulus seeds, crush them to extract juice, take warm, until cured.
*Qianjin Fang*, another prescription
Extract juice from Chaenomelis Fructus (Quince), drink it.
*Qianjin Fang*, another prescription
Take roasted Cangmi (aged rice powder), mix with water and ingest.
*Qianjin Fang*, another prescription
Take sour pomegranate, burn to ash, grind into powder, take half a qianbi dose, three times daily.
*Qianjin Fang*, another prescription
Take dog skull bone ash, mix with water and ingest.
*Qianjin Fang*, another prescription
Sheep bone ash, Deer bone ash
Mix the above two ingredients with water and ingest. Use whichever one proves effective.
*Qianjin Fang*, another prescription
Roast Fermented Soybean (Douchi) until charred, pour water over it to extract juice, drink. Highly effective. For cold patterns, use wine to extract the juice.
*Qianjin Fang*, another prescription
Take powder made from hundred herbs collected on the fifth day of the fifth lunar month, blow it into the anus.
*Waitai Mi Yao*, Liu's prescription for treating infantile dongxie with unceasing watery diarrhea.
Cortex Magnoliae Officinalis (Noumu, 厚朴) (processed with heat) Coptidis Rhizoma (Huanglian, 黄连) (each 1 liang)
Cut the above two ingredients, decoct in one sheng of water to obtain six he of liquid, divide and administer. This formula also treats miscellaneous dysentery.
*Zimu Milu* prescription for treating infantile dongxia (profuse downward discharge) and li.
Take the bone from inside sheep horn, burn to ash, mix with water and ingest a fangcunbi dose.
*Zimu Milu*, another prescription
Burn Bufo bufo gargarizans (Xiamahua, 虾蟆) to powder, mix with water, ingest a fangcunbi dose.
*Taiping Shenghui Fang* prescription for treating infantile spleen and stomach qi disharmony, dongxie, unceasing diarrhea, emaciation, and poor appetite, Noumu San formula.
Cortex Magnoliae Officinalis (Noumu, 厚朴) (remove coarse bark, coat with Zingiberis Recens Juice [Shengjiangzhi, 生姜汁], roast until fragrant and cooked) Ginseng Radix et Rhizoma (Renshen, 人参) (remove rhizome head) Chebulae Fructus (Helile, 诃黎勒) (roast, use only the skin) Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) Coptidis Rhizoma (Huanglian, 黄连) (remove roots, lightly stir-fry) Sanguisorbae Radix (Diyu, 地榆) (lightly roast, chop. Each 1 fen) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roast until slightly red) Zingiberis Rhizoma (Ganjiang, 干姜) (pao-crackled, chop. Each 0.5 fen) Myristicae Semen (Roudoukou, 肉豆蔻) (one fruit, remove shell)
Pound the above medicines, sift finely to make a powder. Each time, take half a qian, mix with porridge drink, administer three to four times daily. Adjust according to the child's age and size.
*Taiping Shenghui Fang* prescription for treating infantile dongxie, unceasing diarrhea, gradually leading to emaciation and fatigue, Miduoseng San formula.
Lithargyri (Miduoseng, 密陀僧) Minii Rubrum (Huandan, 黄丹) Cerussa (Dingfen, 定粉) Alumen (Baifan, 白矾) (each 1 liang)
Place the above medicines in a new porcelain bottle, seal with paper-clay mud, roast over gentle fire until thoroughly red. After cooling, remove, add one liang of Longgu powder (Fossilia Osseum), grind together until fine. Each time, take half a qian, mix with porridge drink, administer three to four times daily. Adjust dosage according to the child's age and size.
*Taiping Shenghui Fang* prescription for treating infantile dongxie and li, emaciation and fatigue, Sansheng San formula.
Sanguisorbae Radix (Diyu, 地榆) (half liang, lightly roast, chop) Cortex Magnoliae Officinalis (Noumu, 厚朴) (3 fen, remove coarse bark, coat with ginger juice, roast until fragrant) Chebulae Fructus (Helile, 诃黎勒) (roast, use skin, half liang)
Pound the above medicines, sift finely to make a powder. Each time, take half a qian, mix with porridge drink, administer three to four times daily. Adjust dosage temporarily according to the child's age and size.
*Taiping Shenghui Fang*, another prescription
Myrobalani Fructus Immutatus (Meishizi, 没石子) (lightly roast) Chebulae Fructus (Helile, 诃黎勒) (roast, use skin. Each half liang)
Pound the above medicines, sift finely to make a powder. Each time, take half a qian, mix with porridge drink, administer three to four times daily. Adjust dosage temporarily according to the child's age and size.
*Taiping Shenghui Fang* prescription for treating infantile dongxie, dysentery not healing, complete loss of milk and food intake, Rusheng San formula suitable for taking.
Coptidis Rhizoma (Huanglian, 黄连) (3 fen, remove roots, lightly stir-fry) Cervi Cornu Pantotrichum (Lurong, 鹿茸) (remove hair, coat with butter, roast until slightly yellow) Cortex Magnoliae Officinalis (Noumu, 厚朴) (remove coarse bark, coat with ginger juice, roast until fragrant and cooked. Each half liang)
Pound the above medicines, sift finely to make a powder. Each time, take half a qian, mix with porridge drink, administer three to four times daily. Adjust dosage according to the child's age and size.
*Taiping Shenghui Fang*, another prescription
Broussonetiae Folium (Chuye, 楮叶) (half liang) Chebulae Fructus (Helile, 诃黎勒) (roast, use skin, 1 fen) Quercus Galls (Xiangshi, 橡实) (seven fruits, lightly stir-fry)
Pound the above medicines, sift finely to make a powder. Each time, take half a qian, mix with porridge drink, administer three to four times daily. Adjust dosage according to the child's age and size.
*Taiping Shenghui Fang* prescription for treating infantile dongxie, unceasing diarrhea, Huanglian Wan formula.
Coptidis Rhizoma (Huanglian, 黄连) (1 liang, remove roots, chop, lightly stir-fry) Anemarrhenae Rhizoma (Nüwei, 女萎) (half liang, lightly stir-fry)
Pound the above medicines, sieve into powder, mix with refined honey to form pills the size of Sophora seeds. Each time, dissolve three pills in hot water and ingest, three to four times daily. Adjust dosage according to the child's age and size.
*Taiping Shenghui Fang*, another prescription
Take cow horn, burn to ash, grind finely into powder. Each time, take half a qian, mix with porridge drink, administer three to four times daily. Adjust dosage according to the child's age and size.
*Yingru Fang* prescription for treating infantile zhuli (flux diarrhea), changpi (intestinal heaviness/tenesmus), Fuzi Wan formula.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) Zingiberis Rhizoma (Ganjiang, 干姜) (both processed) Peucedani Radix (Qianhu, 前胡) (stir-fried) Chuanxiong Rhizoma (Xiong, 芎䓖) (stir-fried. Each 4 fen)
Make into powder, mix with honey to form pills the size of soybeans. Two pills, taken with water, three times daily, once at night. Adults may also take this.
*Yingru Fang* prescription for treating infantile dongli (profuse diarrhea), unceasing day and night.
Scutellariae Radix (Huangqin, 黄芩) Zingiberis Rhizoma (Ganjiang, 干姜) Ginseng Radix et Rhizoma (Renshen, 人参) (each 3 fen)
Make into powder, mix with honey to form pills the size of soybeans. Each time, take three pills, taken with water, three doses daily.
Zhang Huan's Noumu San prescription for treating dongxie and zhuxia.
Cortex Magnoliae Officinalis (Noumu, 厚朴) Ginger Juice (prepared) Chebulae Fructus (Helile, 诃黎勒) (processed, use skin) Myristicae Semen (Roudoukou, 肉豆蔻) (each 1 liang) Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) Zingiberis Rhizoma (Ganjiang, 干姜) (each half liang. Processed)
Pound and sieve the above into fine powder. Each time, take one qian, with eight fen of water (one cup), add a little ginger and millet grain, decoct to five fen, remove dregs, take warm.
*Wanquan Fang* prescription for treating infantile cold-heat disharmony, occasional dongxie, unceasing diarrhea, Longgu Wan.
Longgu (Fossilia Osseum, 龙骨) Coptidis Rhizoma (Huanglian, 黄连) Halloysit Alba (Baishizhi, 白石脂) Alumen (Baifan, 白矾) (burn until juice is exhausted) Zingiberis Rhizoma (Ganjiang, 干姜) (processed) Aucklandiae Radix (Muxiang, 木香) (above each half liang)
Pound and sieve the above into powder, boil vinegar and wheat paste to form pills the size of sesame seeds. Each time, take five pills with porridge drink, three to four times daily. Adjust dosage according to the child's age and size.
*Liu Shi Jia Chuan* prescription for infantile watery flux diarrhea.
Coptidis Rhizoma (Huanglian, 黄连) Nelumbinis Semen (Shilian, 石莲) (equal parts, stir-fry until yellow)
Grind into powder, take half a qian each time. For watery diarrhea, mix with fresh well water; for white discharge, mix with millet drink.