《圣惠》夫小儿脓血痢者，由热毒在脏，血得热则流溢，渗入大肠，与肠间津液相搏，积热蕴结，血
化为脓，腹虚则泄，故成脓血痢也。
《葛氏肘后》小儿毒下及赤滞，下如鱼脑。白头翁丸方
白头翁（三分） 黄连（六分，研） 石榴皮（三分，有毒、除石榴皮，用犀角屑三分）
上三物，以水二升，煮取八合，儿生四十日以五合为三服，大者，则加药。
《肘后》乳母方
扁豆茎（一升，炙令干，乃切之） 人参（三两）
上，以水三升，煎取一大升半，去滓取汁，煮粟米粥与乳母食之，良。常遍盖
覆乳勿冷，佳。又法，乳母常食粥，仍欲乳儿，先捻去少许，即当佳。
《肘后·近效方》疗小儿三岁即患痢，初患脓少血多，四日脓多血少，日夜四十余行。朱子丸方服即效。
生地黄（汁五小合） 羊肾脂（一小合）
上先温肾脂令暖，分三四服，立效。乳母须禁食，并有乳母方在前。
《千金》黄柏汤 治小儿夏月伤暴寒，寒折大热，热入胃，下赤白滞如鱼脑，壮热头痛，身热手足烦，
此太阳之气外伤于寒，使热气便入胃也，服此方良。若误以利药下之，或以温脾汤下之，则热剧。以利药下
之，便数去赤汁如烂肉者，或下之不瘥，后以涩热药断之，下既不止，倍增壮热者服之即效。或者温病热
盛，复遇暴寒折之，热入腹中，下血如鱼脑者，服之良。
黄柏 黄连 白头翁（一作白蔹） 升麻 当归 牡蛎 石榴皮 黄芩 寄生 甘草
（炙。各二分） 犀角 艾叶（各一分）
上十二味， 咀。以水三升，煮取一升二合，百日儿至二百日，一服三合，二百余日至期岁，一服三合半。
《千金》治小儿赤白滞下杂方 薤白一把，豉一升，以水三升，煮取二升，分三服。柏叶、麻子末各一升，以水
五升，煮三沸，百日儿每服三合。乱发灰、鹿角灰等分，三岁儿以水和服三钱匕，日三。牛角 灰，水和服三
方寸匕。捣石榴汁服之。烧蜂房灰，水和服之。生地黄汁、白 荷根汁各五合，微火上煎。
单服生地黄汁一合。
《圣惠》吴蓝散 治小儿脓血痢如鱼脑，腹痛。
吴蓝 川升麻 赤芍药 龙骨（各一两） 栀子仁（半两）
上件药捣，粗罗为散，每服一钱，水一小盏，入豉三七粒，煎至五分，去滓，不计时候，量儿大小，分减温服。
樗根皮散 治小儿脓血痢如鱼脑，困重。
臭樗根皮（一分，锉，炒微黄） 枳壳（去瓤，麸炒微黄） 黄连（去须，微炒） 芜荑（微炒） 赤芍药
（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入豉三十粒、葱白一茎，煎至六分，去滓，
不计时候，量儿大小，分减温服。
人参散 治小儿脓血痢，多时不瘥，腹痛羸瘦，不欲饮食。
人参（去芦头） 当归（锉，微炒） 地榆（微炙、锉） 阿胶（捣碎，炒令黄燥） 黄连（去须，
微炒） 子芩 黄柏（微炙，锉） 赤芍药 芜荑（微炒） 浓朴（去粗皮，涂生姜汁炙、令香熟，各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入薤白一茎，豉五十粒，煎至五分，去滓，不计时
候，量儿大小，分减温服。
鸡屎矾丸 治小儿脓血痢不瘥，渐加瘦弱。
鸡屎矾（烧灰） 龙骨 阿胶（捣碎，炒令黄燥） 黄连（去须，微炒。各一两） 胡粉（一分，炒微黄）
上件药捣，罗为末，煎酽醋为膏和丸，如绿豆大。每服以暖浆水下七丸，日三四服，量儿大小，以意加减。
《养生必用》黄连阿胶丸 治热痢下重，脓血疼痛，腹中痛不可忍。老人、产妇、虚劳人、小儿、并宜服。
黄连（去须，各两半） 白茯苓 白芍药 阿胶（杵碎，慢火、炒如珠子白色，别杵为细末。各半两）
上，上三物为细末，斟酌米醋多少，熬胶得所，和匀入臼，杵万下，众手丸如绿豆大。每服自二十丸为
始，止于五十丸，食前温米饮下，日二三，以知为度，未知加药。更丸一等如黄米大，与小儿服。
燔发散 治肠 ，下脓血。
白石脂（一分） 发（烧） 甘草（炙。各二分）
上为末。米汁和二刀圭，日二服。
〔张涣〕健胃丹 治泄利兼脓血，日渐羸瘦。
黄连（一两，去须、微炒） 白矾（一分，枯令汁尽） 乌梅肉（炒） 龙骨 白石脂 神曲（炒） 干
姜（各半两）
上件捣，罗为细末。醋煮面糊和丸，黍米大，每服十粒，米饮下，量儿大小加减。
青橘丹 治冷热相交，赤白相杂脓血。
青橘皮（汤浸，去白、焙） 当归（汤洗，焙） 黄连 干姜（各一两） 浓朴（生姜制） 肉豆蔻（各半两）
上件捣，罗为细末。白面和丸，黍米大。每服十粒，米饮下，食前。
长沙医者王充传通神丸 治小儿大人痢疾下脓血，里急腰重，脐腹疼痛。
没药 五灵脂 乳香（各研细，炒，一钱） 巴豆（七枚，去皮心膜、压出油）
上四味，同研令细匀，滴水为丸，如粟米大。每服一粒，生木瓜研水下，不拘时候。
《圣惠方》论述：小儿脓血痢的成因，是由于热毒蕴结在脏腑。血液受热则流动溢出，渗入大肠，与肠间的津液相互搏结，积热郁结，血液化为脓液；腹部虚弱则导致泄泻，因此形成脓血痢。
《葛氏肘后方》记载小儿毒痢及赤白滞下（痢疾），大便状如鱼脑。白头翁丸方：
白头翁（三分） 黄连（六分，研碎） 石榴皮（三分，若有毒，可去除石榴皮，改用犀角屑三分）
以上三味药，用水二升，煎煮取八合药液。出生四十天的婴儿，每次服五合，分三次服用；年龄较大的儿童，则增加药量。
《肘后方》乳母服药方：
扁豆茎（一升，炙烤至干，然后切碎） 人参（三两）
以上药物，用水三升，煎煮取一大升半药汁，去渣取汁，用来煮粟米粥给乳母食用，效果良好。平时要注意经常覆盖保暖乳汁，使其不冷却，这样更好。另一种方法，让乳母常食粥，仍要哺乳婴儿时，先挤掉少许乳汁，即当见效。
《肘后·近效方》治疗小儿三岁即患痢疾，初起时脓少血多，四日后脓多血少，日夜排便四十余次。朱子丸方，服用后即见效。
生地黄（取汁五小合） 羊肾脂（一小合）
先将肾脂温热令其融化，分三四次服用，立即见效。乳母必须禁食某些食物，另有乳母方在前面已述。
《千金方》黄柏汤：治疗小儿夏季受暴寒侵袭，寒气遏制体内大热，热气入胃，导致下赤白滞下如鱼脑，壮热头痛，身体发热且手足烦扰。这是太阳之气外受寒邪，使热气便入于胃的缘故，服用此方良好。如果误用利下药攻下，或用温脾汤攻下，则热势更剧。若用利下药攻下，导致频繁排出赤色汁液如烂肉者，或者攻下后病未愈，后来再用涩热药止泻，腹泻既不止，反而倍增壮热者，服用此方即效。或者是温病热盛，又遇暴寒遏制，热气入腹中，下血如鱼脑者，服用此方良好。
黄柏 黄连 白头翁（一作白蔹） 升麻 当归 牡蛎 石榴皮 黄芩 寄生 甘草（炙。各二分） 犀角 艾叶（各一分）
以上十二味药，切碎。用水三升，煎煮取一升二合药液。一百天至二百天的婴儿，一次服三合；二百余天至一岁，一次服三合半。
《千金方》治疗小儿赤白滞下杂方：
薤白一把，豉一升，用水三升，煎煮取二升，分三次服用。柏叶、麻子末各一升，用水五升，煮三沸，百日大的婴儿每服三合。乱发灰、鹿角灰等分，三岁大的婴儿用水调和服三钱匕，每日三次。牛角灰，用水调和服三方寸匕。捣石榴汁服用。烧蜂房灰，用水调和服用。生地黄汁、白荷根汁各五合，在微火上煎煮。单独服用生地黄汁一合。
《圣惠方》吴蓝散：治疗小儿脓血痢如鱼脑，腹痛。
吴蓝 川升麻 赤芍药 龙骨（各一两） 栀子仁（半两）
以上药物捣碎，粗筛为散剂。每次服一钱，水一小盏，加入豉三七粒，煎至五分，去渣，不限时候，根据婴儿大小，减量温服。
樗根皮散：治疗小儿脓血痢如鱼脑，病情困重。
臭樗根皮（一分，锉碎，炒至微黄） 枳壳（去瓤，麸炒微黄） 黄连（去须，微炒） 芜荑（微炒） 赤芍药（各半两）
以上药物捣碎，粗筛为散剂。每次服一钱，用水一小盏，加入豉三十粒、葱白一茎，煎至六分，去渣，不限时候，根据婴儿大小，减量温服。
人参散：治疗小儿脓血痢，久治不愈，腹痛消瘦，不欲饮食。
人参（去芦头） 当归（锉碎，微炒） 地榆（微炙、锉碎） 阿胶（捣碎，炒至黄燥） 黄连（去须，微炒） 子芩 黄柏（微炙，锉碎） 赤芍药 芜荑（微炒） 浓朴（去粗皮，涂生姜汁炙、令香熟，各半两）
以上药物捣碎，粗筛为散剂。每次服一钱，用水一小盏，加入薤白一茎，豉五十粒，煎至五分，去渣，不限时候，根据婴儿大小，减量温服。
鸡屎矾丸：治疗小儿脓血痢不愈，逐渐消瘦虚弱。
鸡屎矾（烧成灰） 龙骨 阿胶（捣碎，炒至黄燥） 黄连（去须，微炒。各一两） 胡粉（一分，炒微黄）
以上药物捣碎，过筛为末，煎浓醋为膏和丸，如绿豆大。每次用暖浆水下七丸，每日三四次，根据婴儿大小，酌情加减。
《养生必用方》黄连阿胶丸：治疗热痢下重（里急后重），脓血疼痛，腹中痛不可忍。老人、产妇、虚劳人、小儿，都适宜服用。
黄连（去须，各两半） 白茯苓 白芍药 阿胶（杵碎，慢火炒如珠子白色，另杵为细末。各半两）
以上三味药为细末，斟酌米醋多少，熬胶得法，和匀放入臼中，杵一万下，众人手搓丸如绿豆大。每次从二十丸开始，最多五十丸，饭前温米饮送下，每日二三次，以见效为度，未见效则加药。再制一等如黄米大的丸剂，给小儿服用。
燔发散：治疗肠澼（痢疾），下脓血。
白石脂（一分） 发（烧灰） 甘草（炙。各二分）
以上为末。用米汁和二刀圭药末，每日二次服用。
〔张涣〕健胃丹：治疗泄利兼脓血，日渐消瘦。
黄连（一两，去须、微炒） 白矾（一分，枯令汁尽） 乌梅肉（炒） 龙骨 白石脂 神曲（炒） 干姜（各半两）
以上药物捣碎，过筛为细末。醋煮面糊和丸，黍米大，每次服十粒，米饮送下，根据婴儿大小加减。
青橘丹：治疗冷热相交，赤白相杂脓血。
青橘皮（汤浸，去白、焙干） 当归（汤洗，焙干） 黄连 干姜（各一两） 浓朴（生姜制） 肉豆蔻（各半两）
以上药物捣碎，过筛为细末。白面和丸，黍米大。每次服十粒，米饮送下，饭前服用。
长沙医者王充传通神丸：治疗小儿大人痢疾下脓血，里急腰重，脐腹疼痛。
没药 五灵脂 乳香（各研细，炒，一钱） 巴豆（七枚，去皮心膜、压出油）
以上四味药，同研令细匀，滴水为丸，如粟米大。每次服一粒，生木瓜研水送下，不拘时候。
*Shenghui Fang* discusses: The etiology of pediatric pus-and-blood dysentery lies in heat-toxin accumulating within the zang-organs. Blood, when heated, flows and overflows, seeping into the large intestine, where it clashes with intestinal fluids. Accumulated heat condenses, transforming blood into pus; abdominal deficiency leads to diarrhea, thus forming pus-and-blood dysentery.
*Ge Shi Zhou Hou Fang* records pediatric toxic dysentery and red-dysentery (Chi Li) with tenesmus, where stool resembles fish brains. Baitouweng Wan Formula:
Baitouweng (3 fen) Huanglian (6 fen, ground) Shiliupi (3 fen; if toxic, remove Shiliupi and substitute Xijiao Xie 3 fen)
The above three herbs are boiled in two sheng of water to yield eight ge of decoction. For infants born forty days old, administer five ge per dose, divided into three servings; for older children, increase the dosage accordingly.
*Zhou Hou Fang* Lactating Mother's Prescription:
Biandou Jing (1 sheng, roasted until dry, then chopped) Renshen (3 liang)
Boil the above herbs in three sheng of water to obtain one and a half sheng of liquid. Strain and use this liquid to cook millet porridge for the lactating mother to consume, which is beneficial. Ensure the breast milk is kept covered and warm, preventing it from cooling, which is optimal. Alternatively, have the mother regularly consume porridge; before nursing, express and discard a small amount of milk, which will be effective.
*Zhou Hou · Jin Xiao Fang* Treats pediatric dysentery occurring at age three. Initially, there is little pus and much blood; after four days, there is much pus and little blood, with more than forty bowel movements day and night. Zhuzi Wan is effective upon administration.
Sheng Dihuang (juice, five small he) Yangshen Zhi (one small he)
First, warm the kidney fat until melted. Divide into three or four doses for immediate effect. The lactating mother must observe dietary restrictions; see the lactating mother's prescription mentioned earlier.
*Qianjin Fang* Huangbai Tang: Treats pediatric summer exposure to sudden cold, where cold constrains internal excessive heat, causing heat to enter the stomach. Symptoms include passage of red and white mucus resembling fish brains, high fever, headache, body heat, and restlessness of hands and feet. This occurs because Taiyang qi is externally invaded by cold, allowing heat to enter the stomach. This formula is beneficial. If mistakenly treated with purgatives that promote urination/diarrhea, or with Wentai Tang, heat will intensify. If purgatives cause frequent passage of red fluid resembling rotting meat, or if purgation fails to cure, and subsequent use of astringent-hot drugs fails to stop diarrhea while increasing high fever, this formula is effective. Similarly, if warm disease heat is excessive and suddenly constrained by cold, causing heat to enter the abdomen and resulting in bloody stools resembling fish brains, this formula is beneficial.
Huangbai Huanglian Baitouweng (or Bailian) Shengma Danggui Muli Shiliupi Huangqin Jisheng Gancao (roasted, each 2 fen) Xijiao Aiye (each 1 fen)
Crush the above twelve herbs. Boil in three sheng of water to obtain one sheng and two ge of decoction. For infants aged 100-200 days, administer three ge per dose; for those aged over 200 days up to one year, administer three and a half ge per dose.
*Qianjin Fang* Miscellaneous Formulas for Pediatric Red and White Dysentery:
Xiebai (one bunch), Chi (one sheng). Boil in three sheng of water to obtain two sheng, divide into three doses. Baiye and Maziren Mo (each one sheng). Boil in five sheng of water for three boils. For infants under 100 days, administer three ge per dose. Luantou Hui and Lujiao Hui in equal parts. For three-year-olds, mix with water and administer three Qianbi, three times daily. Niujiao Hui. Mix with water and administer three Fangcunbi. Crush and administer Shiliu juice. Burn Fengfang to ash, mix with water, and administer. Sheng Dihuang juice and Baihe Gen juice (each five he). Simmer over low heat. Administer Sheng Dihuang juice alone, one he.
*Shenghui Fang* Wulan San: Treats pediatric pus-and-blood dysentery resembling fish brains with abdominal pain.
Wulan Chuan Shengma Chishaoyao Longgu (each 1 liang) Zhizi Ren (half liang)
Pulverize the above herbs into a coarse powder. Administer one Qian per dose with one small cup of water, adding seven to nine grains of Chi. Decoct until reduced to five fen. Strain and administer warm according to the infant's size, without time restriction.
Chugenpi San: Treats pediatric pus-and-blood dysentery resembling fish brains with severe condition.
Chou Chugenpi (1 fen, crushed, roasted until slightly yellow) Zhike (pith removed, bran-roasted until slightly yellow) Huanglian (stems removed, slightly roasted) Wuyi (slightly roasted) Chishaoyao (each half liang)
Pulverize the above herbs into a coarse powder. Administer one Qian per dose with one small cup of water, adding thirty grains of Chi and one stem of Congbai. Decoct until reduced to six fen. Strain and administer warm according to the infant's size, without time restriction.
Renshen San: Treats pediatric pus-and-blood dysentery that persists for a long time, accompanied by abdominal pain, emaciation, and anorexia.
Renshen (rhizome removed) Danggui (crushed, slightly roasted) Diyü (slightly roasted, crushed) Ejiao (crushed, roasted until yellow and dry) Huanglian (stems removed, slightly roasted) Ziqin Huangbai (slightly roasted, crushed) Chishaoyao Wuyi (slightly roasted) Houpo (bark removed, brushed with ginger juice, roasted until fragrant, each half liang)
Pulverize the above herbs into a coarse powder. Administer one Qian per dose with one small cup of water, adding one stem of Xiebai and fifty grains of Chi. Decoct until reduced to five fen. Strain and administer warm according to the infant's size, without time restriction.
Jisifan Wan: Treats persistent pediatric pus-and-blood dysentery leading to gradual emaciation and weakness.
Jisifan (burned to ash) Longgu Ejiao (crushed, roasted until yellow and dry) Huanglian (stems removed, slightly roasted, each 1 liang) Hufen (1 fen, roasted until slightly yellow)
Pulverize the above herbs into fine powder. Prepare a paste using thick vinegar and decoct to form pills the size of mung beans. Administer seven pills per dose with warm rice gruel, three to four times daily, adjusting based on the infant's size.
*Yangsheng Biyong Fang* Huanglian Ejiao Wan: Treats heat-dysentery with tenesmus, painful passage of pus and blood, and unbearable abdominal pain. Suitable for the elderly, postpartum women, patients with deficiency-labor, and children.
Huanglian (stems removed, each half liang) Baifuling Baishaoyao Ejiao (pounded, slow-roasted until white like pearls, separately ground to fine powder, each half liang)
Grind the above three ingredients into fine powder. Add appropriate amount of rice vinegar, melt the Ejiao properly, mix evenly, pound in a mortar ten thousand times, and roll into pills the size of mung beans by multiple people. Start with twenty pills, up to fifty pills, taken warm with rice drink before meals, two to three times daily. Adjust dosage based on efficacy; if ineffective, increase dosage. Prepare another batch of pills the size of millet grains for children.
Fasan San: Treats Chang Pi (dysentery) with passage of pus and blood.
Baishizhi (1 fen) Fa (burned) Gancao (roasted, each 2 fen)
Grind into powder. Mix with rice juice and administer two Dao Gui twice daily.
[Zhang Huan] Jianwei Dan: Treats diarrhea with pus and blood, leading to gradual emaciation.
Huanglian (1 liang, stems removed, slightly roasted) Baifan (1 fen, calcined until dry) Wumei Rou (roasted) Longgu Baishizhi Shenqu (roasted) Jiangjiang (each half liang)
Pulverize the above herbs into fine powder. Mix with vinegar-boiled wheat paste to form pills the size of millet seeds. Administer ten pills per dose with rice drink, adjusting based on the infant's size.
Qingju Dan: Treats mixed cold and heat, with mixed red and white pus and blood.
Qingjupi (soaked in hot water, pith removed, dried) Danggui (washed in hot water, dried) Huanglian Jiangjiang (each 1 liang) Houpo (prepared with ginger) Roudoukou (each half liang)
Pulverize the above herbs into fine powder. Mix with white flour to form pills the size of millet seeds. Administer ten pills per dose with rice drink, before meals.
Tongshen Wan, transmitted by Wang Chong, a physician from Changsha: Treats dysentery with pus and blood in both children and adults, characterized by tenesmus, heavy lower back, and umbilical/abdominal pain.
Moyao Wulingzhi Rushen (each finely ground, roasted, 1 Qian) Badou (seven kernels, skin and heart membrane removed, oil pressed out)
Grind the above four ingredients together until fine and uniform. Add drops of water to form pills the size of millet seeds. Administer one pill per dose with raw Papaya paste/water, at any time.