According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of pediatric Gu poison dysentery: When the seasonal cold and heat are disordered, there exists toxic and pestilential Qi. Children with loose pores are injured by it. The pathogenic factor contends with blood and Qi, entering the intestines and stomach. Toxic heat accumulates; when the large intestine is deficient, it transforms into bloody dysentery. The appearance of the dysentery involves blood clots resembling slices of chicken or duck liver, which are passed with the stool. This occurs because toxic heat is abundant and attacks the zang organs, presenting symptoms similar to being poisoned by Gu, hence it is called Gu poison dysentery.

The song from *Shi Bi Jing* (Book of Stone Walls) regarding the thirty-six types of internal spleen poison dysentery:
Poison in the spleen is called Pure Yang, originally caused by physicians' use of hot medicines. This leads to frequent constipation and dryness in the large intestine, with much dripping blood in the withered intestines. It resembles wind causing abdominal closure and difficulty opening eyes, body heat, warm head, and cooling feet. Red tongue and high chest indicate this syndrome; frequent crying and rapid breathing require careful examination. (Forty-eight syndromes state: even resembling madness.)
First, one must clear heat and open the stomach; this is the good medication of a wise physician. This syndrome arises from spleen heat accumulation and lack of treatment; latent poison should be treated by cooling the spleen, followed by removing accumulation. If the bone above the chest suddenly protrudes, accompanied by urgent crying, it is incurable.

The song in *Feng Sui Jing* (Phoenix Marrow Classic) is identical. A note states: It is suitable to administer Jinhua San (Golden Flower Powder) and Xianglian Wan (Cinnamon and Coptis Pill). (Xianglian Wan formula is seen in the Cold-Heat Dysentery section, same as Ji's formula. Jinhua San formula is seen in the Excess Heat section.)

The forty-eight syndromes spleen poison dysentery song in *Xiao Er Xing Zheng Lun* (Discussion on Pediatric Signs and Symptoms) is also identical. It further states: This syndrome involves accumulation in the zang-fu organs, or red dysentery; hot medicines are not suitable. One should use Ka Wei San (Stomach-Opening Powder) (formula seen in the Red Dysentery section) combined with purgatives, assessing deficiency and excess, slightly inducing evacuation, generally aiming for unblocking and rotation.

The forty-eight syndromes wind poison dysentery song in *Xiao Er Xing Zheng Lun*:
Among eight types of dysentery, wind type is hardest to treat, appearing like various shades of green grass juice. Poisonous wind and bean juice add evil heat, stomach failure results in complete pieces like chicken liver. Adding red does not require prior evacuation of accumulation; closed eyes and no food intake are unbearable to look at. If returning to white dysentery, evacuation is still needed; frequently warming the zang-fu organs retrieves the source.

*Qian Jin* (Thousand Gold Formulas) treats lower bleeding resembling chicken liver, with unbearable abdominal cramping pain, named Gu poison dysentery formula (This formula is what people call Ba Wu Qian Gen Tang / Eight-Ingredient Qian Gen Decoction).
Qian Gen (Radix Rubiae), Sheng Ma (Rhizoma Cimicifugae), Xi Jiao (Cornu Rhinocerotis) (each 3 liang); Jie Geng (Radix Platycodi), Huang Bo (Cortex Phellodendri), Huang Qin (Radix Scutellariae) (each 2 liang); Di Yu (Radix Sanguisorbae), Bai He (Bulbus Nelumbinis) (each 4 liang).
The above eight ingredients are cut, boiled in 9 sheng of water to obtain 2.5 sheng, divided into three doses. This is used for Gu dysentery with blood. Children take reduced doses.

*Qian Jin* treats pediatric Gu poison dysentery formula.
Use Lan Qing Zhi (Blue Green Juice) 1 sheng 2 he, divided into four doses.

*TU Jing* (Illustrated Materia Medica) treats Gu dysentery formula.
Ce Bai Ye (Folium Platycladi, dried and powdered), Chuan Da Huang (Rhei Radix et Rhizoma) (equal parts).
The above two ingredients are decocted together into juice and taken, treating men, women, and children with large abdomen passing black blood like tea dregs, or pus and blood like sediment, so-called Gu dysentery; it has special efficacy. It can also kill five-zang Gu poison.

*Zi Mu Mi Lu* (Secret Record of Mother and Child) treats pediatric Gu poison dysentery formula.
Use Sheng Di Huang Zhi (Fresh Rehmannia Root Juice) 1 sheng 2 he, divided into three or four doses, effective immediately. (*Qian Jin* treats pus-blood dysentery.)

*Sheng Hui Fang* (Holy Grace Formulas) treats pediatric Gu poison dysentery that does not stop, with strong fever and restlessness. He San (Lotus Powder) formula.
Bai He Gen (Rhizoma Nelumbinis), Chuan Sheng Ma (Rhizoma Cimicifugae) (each 1 liang); Bai Gu Pi (Corium Equi, burned yellow and charred) (1 fen); Gan Cao (Radix Glycyrrhizae, roasted slightly red, cut) (half liang); Gan Lan Ye (Folium Isatidis) (half liang); Chi Shao Yao (Radix Paeoniae Rubra), Xi Jiao Fen (Cornu Rhinocerotis powder) (each 3 qian).
The above medicines are pounded, coarsely sieved into powder. Each dose is 1 qian, boiled in a small cup of water with 2-7 grains of Chi Dou (Vigna angularis), reduced to half a cup, strained, taken at any time. Adjust temperature and dose according to child's size.

*Sheng Hui Fang* treats pediatric Gu poison dysentery with blood, emaciation. Huang Lian San (Coptis Powder) formula.
Huang Lian (Rhizoma Coptidis, 1 liang, remove roots, slightly stir-fried); Bai Tou Weng (Herba Pulsatillae); Gan Cao (Radix Glycyrrhizae, roasted slightly red, cut); Lan Qing (Indigo Naturalis) (each half liang); Xi Jiao (Cornu Rhinocerotis, powder); Bai He Gen (Rhizoma Nelumbinis); Huang Qin (Radix Scutellariae); Qian Gen (Radix Rubiae, cut) (each 3 qian).
The above medicines are pounded, coarsely sieved into powder. Each dose is 1 qian. Boiled in a small cup of water to half a cup, strained, cooled, taken at any time. Adjust dose according to child's size.

*Sheng Hui Fang* treats pediatric Gu poison bloody dysentery with severe onset, mental restlessness, abdominal distension, and loss of appetite. Xi Jiao San (Rhinoceros Horn Powder) formula.
Xi Jiao (Cornu Rhinocerotis, powder); Bai He Gen (Rhizoma Nelumbinis); Di Yu (Radix Sanguisorbae, slightly roasted, cut); Jie Geng (Radix Platycodi, remove rhizome); Su Mu (Lignum Sappan) (cut, equal parts).
The above medicines are pounded, coarsely sieved into powder. Each dose is 1 qian. Boiled in a small cup of water to half a cup, strained, taken at any time. Adjust temperature and dose according to child's size.

*Ying Ru* (Infant and Child Book) treats pediatric Gu poison dysentery. He Gen Tang (Lotus Root Decoction) formula.
Bai He Gen (Rhizoma Nelumbinis) (8 fen); Xi Jiao (Cornu Rhinocerotis); Gu Pi (Pericarpium Oryzae, 4 cun, roasted); Sheng Ma (Rhizoma Cimicifugae) (10 fen); Gan Cao (Radix Glycyrrhizae, 4 fen, roasted); Lan Qing (Indigo Naturalis) (1 sheng); Chi Dou (Vigna angularis) (3 he); Shao Yao (Radix Paeoniae) (7 fen).
Boil the above in 4 sheng of water to obtain 1.2 sheng. For a two-year-old child, divide into three doses.

*Ying Ru* treats pediatric Gu dysentery with toxin. Xi Jiao Jian (Rhinoceros Horn Decoction) formula.
Di Mai Cao (Herba Ecliptae), Huang Lian (Rhizoma Coptidis), Wei Ruo (Radix Polygonati Odorati) (each 12 fen); Huang Bo (Cortex Phellodendri), Zhu Ru (Caulis Bambusae in Taenia), Qian Cao (Radix Rubiae) (each 8 fen); Mi (Mel) (1 sheng); Ren Shen (Radix Ginseng) (6 fen); Mu Li (Concha Ostreae) (10 fen); Liang Zhou Ju Pi (Cortex Zelkovae) (14 fen); Gan Lan (Folium Isatidis) (4 fen); Xi Jiao (Cornu Rhinocerotis, powder); Gan Cao (Radix Glycyrrhizae) (each 5 fen).
Cut the above, boil in 1 dou of water until 2.5 sheng remain, strain, add honey, boil on fire until 2 sheng remain. For a three-year-old, 1 he per dose. For three-to-four-year-olds, 1.5 he per dose, twice daily and once at night. Administer according to condition.

Zhang Huan notes: In children, seasonal cold and heat are disordered, and toxic pestilential Qi enters the intestines. The dysentery appears like chicken or duck liver slices, passed with the stool, named Gu poison dysentery. If anus prolapse occurs, use Bai Tou Weng San (Pulsatilla Powder) to dispel toxin and stop dysentery.
Bai Tou Weng (Herba Pulsatillae); Huang Lian (Rhizoma Coptidis, remove roots, slightly stir-fried); Qian Gen (Radix Rubiae, cut, dried); Su Fang Mu (Lignum Sappan); Gu Jiu Chi Pi (Old Fermented Soybean Skin, roasted yellow and charred) (each 1 liang); Xi Jiao (Cornu Rhinocerotis, powder); Di Yu (Radix Sanguisorbae, roasted, cut) (each half liang); Gan Cao (Radix Glycyrrhizae, roasted, 1 fen).
The above are pounded, sieved into fine powder. Each dose is 1 qian. Boiled in a small cup of water to six-tenths, strained, taken. Adjust according to child's size, before milk/food.

Zhang Huan's Di Yu Dan (Sanguisorba Pill) for detoxification and stopping dysentery.
Di Yu (Radix Sanguisorbae, roasted, cut); Huang Lian (Rhizoma Coptidis); Gan Lan Ye (Folium Isatidis); Chuan Sheng Ma (Rhizoma Cimicifugae) (each 1 liang); Chuan Lian Zi (Fructus Toosendan); Ku Lian Gen (Cortex Meliae) (each half liang).
The above are pounded, sieved into fine powder, mixed with soft rice paste to make pills the size of millet seeds. Each dose is ten pills, taken with rice drink. Adjust according to child's size, before milk/food.

*Forty-Eight Syndromes* treats toxic dysentery. Xuan Lian Wan (Coptis Pill) formula.
Xuan Lian (Rhizoma Coptidis, 1 qian, made into powder, mixed with egg white to form cakes, baked on tiles until dry, then powdered); Rou Dou Kou (Nucis Arecae Condita, one, remove heart and navel, insert Ru Xiang (Olibanum) inside, wrap in paper, roast until yellow); Zhu Sha (Cinnabaris); Mu Xiang (Radix Aucklandiae) (each half qian); Xing Ren (Semen Armeniacae Amarum, seven grains, roast with skin); Ba Dou (Fructus Crotonis, four grains, roasting seven grains is also acceptable).
Make into powder, bind with vinegar paste into pills the size of radish seeds. Take seven pills with aged rice drink. For red dysentery, take with Huai Hua Tang (Sophora Flower Decoction).

*Bao Tong Fang* treats Zang Du dysentery, for those who have eaten various medicines without cure.
Huai Hua (Flos Sophorae, half liang, stir-fried); Bai Fan (Alumen, 1 liang).
Make into powder. Each dose is 1 qian, taken with aged rice drink.

*Kong Shi Jia Chuan* (Kong Family Tradition) treats Gu short-circuiting formula.
Take Ji Ni Gen (Radix Glehniae) powder, take with water using a square-inch spoon, immediate recovery. One formula can add Di Yu (Radix Sanguisorbae) and Chou Chun Gen (Cortex Ailanthi) to take together.