《形证论》歌曰∶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,唇搐胸高兼露齿,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(杨云是恶候)只与调胃散补之。
汉东王先生 汤丸 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。
粉霜 轻粉 砂(各一钱) 朱砂(抄一钱匕) 白丁香(匙抄四钱) 乳香(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。
三霜丸 治小儿赤白或五色积痢。
巴豆(去皮,拣选白色肥好者、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,取二钱轻
者为用) 真轻粉 粉霜(各二钱)
上三味,同研匀极细,别取好黄蜡三钱,酒煮三二十沸,取出,去酒令净,再熔入药和之,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,量儿大小加减。
《吉氏家传》治五色痢兼渴不止方
茯苓 宣黄连 黄柏(各等分)
上件,取黄柏末以浆水打如面糊,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。
至圣丸 治五色痢。
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)
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。
定粉散 治疳痢,五色痢。
定粉 龙骨 黄丹( 过。各二钱) 诃子(三个,煨熟,取肉)
上为末。每服半钱,粥饮下,三岁以上半钱。
《形证论》中的歌诀说道:五色痢的病因最为复杂,见到这种症状就知道有五种不同的情况。青色多是因为惊风导致的气血积聚;黄色多是脾脏内有食积;白色是肠胃受寒且虚损所致;红色是由于积热内蕴,病情最难安定;鸡肝色(紫黑)是因隐伏之积滞多成片状;黑色是血液与瘀血相混,也不易安宁。若伴有嘴唇抽搐、胸部高耸兼牙齿外露,以及面部发红、筋脉显露等症状,通常出现在疾病前期。此时急需安抚脏腑,服用和汤散治疗,医生需留心参考古代贤人的经验。
另一首歌诀说:五色痢不必觉得奇怪,四岁之前的儿童才开始出现此病。青色多因惊风积聚,黄色因食积毒素在脾脏,赤色和黑色已知涉及心肾病变,白色多由脾脏受损引起。在三七二十一岁之前没有变化,不要让患儿过多睡眠,进食和饮水要迟缓。此病,必须调和五脏,补益营卫,病情才能渐渐痊愈。如果眼睛肿胀,不能进食(杨氏认为这是恶候),只给予调胃散进行补益调理。
汉东王先生的汤丸,治疗小儿泻痢,排出如烂鱼肠般的五色脓血,没有正常大便,只有脓血,肠中搅动疼痛。
配方:粉霜、轻粉、砂(各一钱)、朱砂(抄取一钱匕)、白丁香(用匙抄取四钱)、乳香(半钱,单独研磨)、巴豆(七粒,去皮去心,不使其出油)。
以上药物研为细末,用蒸熟的枣肉制成丸剂。每次服用,婴儿三丸,大小如粟米;二三岁的儿童,大小如大麻子;四五岁的儿童,大小如麻子。并随做随服,煎汤送下,一日两次,中间间隔服用调理胃气的药物。
三十六种内治法中,针对五色恶物、心神烦热不止的方剂:
以上药物研为细末。每次服用一钱,用水一盏,煎至五分,滤去药渣,分三次服用。
三霜丸,治疗小儿赤白痢或五色积痢。
配方:巴豆(去皮,挑选白色肥好者三钱,研磨细,先用白绢包裹三二十层,再用白纸在外面包好,用大石头压至油尽,取二钱较轻的部分使用)、真轻粉、粉霜(各二钱)。
以上三味药,共同研磨均匀极细。另外取好黄蜡三钱,用酒煮三二十沸,取出,沥干酒液,再熔化后与药混合。如果有煮过酒的蜡也可以使用。混合成剂,放在油单纸内保存。如需服用,随做丸剂,大小如小绿豆。
三岁以下儿童,大小如粟米,每次服用三五丸,温熟水送下,根据患儿大小加减剂量。
以上药材,取黄柏末,用浆水调成面糊状,放置良久,与前两味药混合制成丸剂,大小如绿豆。三岁儿童,米饮送下七丸。用于杀虫消疳,熟水送下五丸。
配方:浓朴(去皮,姜制)、黄柏(略去皮,用鸡蛋清涂抹后炙烤至黄熟,如果干了再涂上去)、当归(酒浸)。
以上三味药,等分,研为细末,炼蜜为丸,大小如梧桐子。小儿服用时做成小丸。用浓朴汤送下,每次服用四十丸,根据情况加减。
配方:定粉、龙骨、黄丹(炒过,各二钱)、诃子(三个,煨熟,取肉)。
以上药物研为细末。每次服用半钱,粥饮送下,三岁以上儿童服用半钱。
The song in "Xing Zheng Lun" states: Dysentery with five colors has the most diverse causes; seeing this symptom indicates there are five distinct types. Green color is solely due to fright accumulation (Jing Ji Ju); yellow is mostly food stagnation within the Spleen; white is caused by cold deficiency affecting the intestines and stomach; red is due to accumulated heat, making it difficult to stabilize; chicken liver color (purple-black) implies hidden accumulation often forming clumps; black blood mixed with stasis is also hard to settle. If accompanied by lip twitching, chest distension, exposed teeth, facial redness, and visible meridians, these usually appear at the beginning of the disease. Urgently soothe the Zang-Fu organs and administer He Tang San (Harmonizing Decoction); physicians should pay attention to the methods of ancient sages.
Another song states: Do not consider dysentery with five colors strange; it begins to occur in children before four years old. Green is solely due to fright accumulation; yellow is due to food stagnation toxins in the Spleen; red and black indicate Heart and Kidney pathology; white is mostly harm to the Spleen. Before the age of twenty-one (3x7), there is no change; do not allow excessive sleep, and delay feeding and drinking. For this disease, one must harmonize the Five Zang organs and tonify Ying and Wei (Nutritive and Defensive Qi) for gradual recovery. If eyes are swollen and appetite is lost (Yang considers this a bad omen), only administer Tiao Wei San (Stomach-Regulating Powder) to tonify.
Mr. Wang from Handong's Decoction and Pills treat pediatric diarrhea and dysentery, where excrement resembles rotten fish intestines with five-colored pus and blood, without normal stool, only pus and blood, causing churning pain in the intestines.
Ingredients: Fen Shuang (Calomel), Qing Fen (Calomel), Sha (Realgar, each 1 qian), Zhu Sha (Cinnabar, measured with a scoop as 1 qian bi), Bai Ding Xiang (Stolex, measured with a spoon as 4 qian), Ru Xiang (Frankincense, 0.5 qian, separately ground), Ba Dou (Croton Seed, 7 grains, peeled and cored, without releasing oil).
Grind the above into powder, and form pills using steamed jujube flesh. For infants, take 3 pills the size of millet seeds; for children aged 2-3, the size of hemp seeds; for ages 4-5, the size of sesame seeds. Prepare fresh for each dose, swallow with decocted water, twice a day, interspersed with administration of Stomach-Qi regulating medicines.
Formula for internal treatment among the thirty-six types, for five-colored foul matter and incessant mental restlessness and heat:
Ingredients: Di Yu (Sanguisorba Root), Bai Fu Ling (Poria), Huang Bo (Phellodendron Bark, processed with heat, each 1 liang).
Grind the above into powder. Take 1 qian per dose, add one cup of water, decoct until reduced to half a cup, remove dregs, and divide into three doses.
San Shuang Wan (Three Frost Pills) treats pediatric red-white or five-colored stagnant dysentery.
Ingredients: Ba Dou (Croton Seed, peeled, selected for white and plump quality, 3 qian, finely ground, first wrapped in white silk cloth 30-20 layers thick, then wrapped in white paper outside, pressed with a large stone until oil is exhausted, use the remaining 2 qian of lighter material), Zhen Qing Fen (Pure Calomel), Fen Shuang (Calomel, each 2 qian).
Grind the above three ingredients together until extremely fine. Separately take 3 qian of good yellow beeswax, boil in wine for 30-20 boils, remove, drain the wine completely, melt again, and mix with the medicine. Beeswax previously boiled in wine can also be used. Form into a paste, store in oiled paper. When needed, roll into pills the size of small mung beans.
For children under three years old, size of millet seeds, take 3-5 pills per dose, swallow with warm cooked water, adjust dosage according to the child's size.
"Ji Family Collection" formula for five-colored dysentery with incessant thirst:
Ingredients: Fu Ling (Poria), Xuan Huang Lian (Scutellaria Root from Xuan), Huang Bo (Phellodendron Bark, equal parts).
Take the Huang Bo powder, mix with Jiang Shui (fermented grain liquid) to form a paste like flour dough, let stand for a while, then mix with the other two ingredients to form pills the size of mung beans. For three-year-olds, swallow seven pills with rice drink. To eliminate parasites and treat malnutrition (Gan), swallow five pills with cooked water.
Zhi Sheng Wan (Supreme Sage Pill) treats five-colored dysentery.
Ingredients: Hou Po (Magnolia Bark, peeled, ginger-processed), Huang Bo (Phellodendron Bark, slightly peeled, coated with egg white and roasted until yellow and cooked, re-coat if dry), Dang Gui (Angelica Sinensis, soaked in wine).
Take the above three ingredients in equal parts, grind into fine powder, and form pills using refined honey, the size of Sophora seeds. For children, make smaller pills. Swallow forty pills per dose with Hou Po decoction, adjust as needed.
Ding Fen San (Fixed Powder Powder) treats Gan dysentery and five-colored dysentery.
Ingredients: Ding Fen (Lead Carbonate), Long Gu (Fossilized Bones), Huang Dan (Minium, calcined, each 2 qian), He Zi (Chebula Fruit, three pieces, roasted until cooked, take the flesh).
Grind the above into powder. Take 0.5 qian per dose, swallow with gruel drink; for children over three years old, take 0.5 qian.