(附论)
夫疟痢者。疟久不瘥。寒热邪气内传肠胃也。其病寒热往来。痢下脓血。赤白相杂。腹
中切
方
前胡丸 治疟气急黄。并痢。
前胡(去芦头) 赤茯苓(去黑皮) 芍药 枳壳(去瓤麸炒) 黄芩(去黑心各半两)
大黄(生
食前以米饮
虻虫(去翅足炒二十枚) 黄 (薄切) 天门冬(去心焙各一两) 鳖甲(去裙 醋
炙) 生干
相和。炼蜜丸。如梧
黄连丸 治疟痢无度。赤白相杂。
黄连(去须) 黄柏(去粗皮锉炒) 羚羊角(屑) 艾叶(炒) 赤芍药(各二两) 当
归(切
焙一
地榆汤 治疟痢挟热。下血腹痛。
地榆(锉) 黄连(去须) 黄芩(去黑心) 犀角屑(各一两) 升麻 茜根(各半
两) 上粗
捣筛
黄连犀角丸(出肘后方)治疟兼痢。无问赤白。水谷鲜血皆主之。
黄连(去须) 犀角屑 豉(炒各二两) 龙骨(四两) 牡蛎(熬半两) 上为细末。
炼蜜丸。如
常山丸 治疟兼痢不止。
乌梅饮 治疟痢苦渴。
黄连散(一名黄连汤)治疟痢。
桂枝散(出广南四时传方)治时疾疟痢。
官桂 甘草 青橘皮(去瓤) 干姜(炮) 牵牛子(生用以上各等分) 上为散。每
服一钱。水
莫忌频频
【附论】
所谓疟痢,是指疟疾日久不愈,寒热邪气内传至肠胃所致。其病症表现为寒热往来交替,下痢脓血,红色与白色混杂,腹部剧烈疼痛。
【方剂】
前胡丸:治疗疟气急黄,以及痢疾。
处方组成:前胡(去除芦头)、赤茯苓(去除黑皮)、芍药、枳壳(去除瓤麸后炒制)、黄芩(去除黑心,各半两)、大黄(生用)、虻虫(去除翅足,炒制,二十枚)、黄芪(薄切)、天门冬(去除心焙干,各一两)、鳖甲(去除裙边,醋炙)、生干地黄(等分)。将上述药材混合,炼蜜为丸,如梧桐子大。饭前以米汤送服。
黄连丸:治疗疟痢无度,赤白相杂。
处方组成:黄连(去除须)、黄柏(去除粗皮锉碎炒制)、羚羊角(捣碎)、艾叶(炒制)、赤芍药(各二两)、当归(切片焙干)。
地榆汤:治疗疟痢挟热,下血腹痛。
处方组成:地榆(锉碎)、黄连(去除须)、黄芩(去除黑心)、犀角屑(各一两)、升麻、茜根(各半两)。将上述药材粗捣筛过。
黄连犀角丸(出自《肘后方》):治疗疟疾兼痢疾,不论赤白,水谷鲜血皆主治。
处方组成:黄连(去除须)、犀角屑、豆豉(炒制,各二两)、龙骨(四两)、牡蛎(煅制,半两)。将上述药材研为细末,炼蜜为丸。
桂枝散(出自《广南四时传方》):治疗时行疾病疟痢。
处方组成:官桂、甘草、青橘皮(去除瓤)、干姜(炮制)、牵牛子(生用,以上各等分)。将上述药材研为散剂。每次服用一钱,用水煎服。服药期间需频繁忌口(莫忌频频,意指严格忌口或注意饮食禁忌)。
[Attached Discussion]
The condition known as "Malaria-Enteritis" (Nü Li) refers to malaria that has persisted for a long time without resolution, where the pathogenic factors of cold and heat have transmitted internally to the intestines and stomach. The symptoms manifest as alternating chills and fever, dysentery with pus and blood, mixed red and white discharge, and severe abdominal pain.
[Formulas]
Qianhu Wan (Peucedanum Pill): Treats acute malaria with jaundice and dysentery.
Ingredients: Qian Hu (Radix Peucedani, removed rhizome), Chi Fu Ling (Poria Cocos with Red Skin, removed black skin), Shao Yao (Radix Paeoniae Rubra or Radix Paeoniae Alba), Zhi Ke (Fructus Aurantii, removed pith and bran, stir-fried), Huang Qin (Radix Scutellariae, removed black heart, each 0.5 liang), Da Huang (Radix et Rhizoma Rhei, raw), Meng Chong (Blatta Orientalis or similar insect, removed wings and feet, stir-fried, 20 pieces), Huang Qi (Radix Astragali, thinly sliced), Tian Men Dong (Herba Asparagi, removed heart, baked), Bie Jia (Carapax et Plastrum Testudinis, removed skirt edge, vinegar-fired), Sheng Gan Di Huang (Radix Rehmanniae Preparata, equal parts). Mix the above ingredients, refine honey, and make pills the size of wu zi (small pellets). Take before meals with rice water.
Huanglian Wan (Coptis Pill): Treats severe malaria-enteritis with mixed red and white dysenteric stool.
Ingredients: Huang Lian (Rhizoma Coptidis, removed roots), Huang Bo (Cortex Phellodendri, removed coarse bark, cut and stir-fried), Ling Yang Jiao (Cornu Saigae Tataricae, crushed), Ai Ye (Folium Artemisiae Argyi, stir-fried), Chi Shao Yao (Radix Paeoniae Rubra, each 2 liang), Dang Gui (Radix Angelicae Sinensis, sliced and baked).
Diyu Tang (Sanguisorba Decoction): Treats malaria-enteritis complicated by heat, with bloody stool and abdominal pain.
Ingredients: Di Yu (Radix Sanguisorbae, cut), Huang Lian (Rhizoma Coptidis, removed roots), Huang Qin (Radix Scutellariae, removed black heart), Xi Jiao Xie (Cornu Rhinocerotis, shaved, each 1 liang), Sheng Ma (Rhizoma Cimicifugae), Qian Gen (Radix Rubiae Cordifoliae, each 0.5 liang). Coarsely crush and sieve the above ingredients.
Huanglian Xi Jiao Wan (Coptis and Rhino Horn Pill) (from *Zhou Hou Fang*): Treats malaria combined with dysentery, regardless of red or white color; effective for watery, grainy, or bloody stools.
Ingredients: Huang Lian (Rhizoma Coptidis, removed roots), Xi Jiao Xie (Cornu Rhinocerotis, shaved), Chi Dou (Semina Glycines Preparata, stir-fried, each 2 liang), Long Gu (Os Draconis, 4 liang), Mu Li (Concha Ostreae, calcined, 0.5 liang). Grind the above ingredients into fine powder, refine honey, and make pills.
Changshan Wan ( Dichroa Pill): Treats persistent malaria combined with dysentery.
Wumei Yin (Mume Drink): Treats extreme thirst caused by malaria-enteritis.
Huanglian San (Coptis Powder) (also known as Huanglian Tang): Treats malaria-enteritis.
Guizhi San (Cinnamon Twig Powder) (from *Guangnan Sishi Chuanfang*): Treats epidemic malaria-enteritis.
Ingredients: Guan Gui (Cortex Cinnamomi Cassiae), Gan Cao (Radix Glycyrrhizae), Qing Ju Pi (Pericarpium Citri Reticulatae Viride, removed pith), Gan Jiang (Rhizoma Zingiberis Preparatum, processed), Qian Niu Zi (Semen Pharbitidis, raw, all in equal proportions). Grind the above ingredients into powder. Take 1 qian per dose, decocted in water. Strict dietary restrictions should be observed frequently during treatment.