治小儿脾积虚痢便下五色先由呕吐后作泄泻脐腹 痛胁肋胀满受湿虚鸣脓血相杂下如豆
汁亦如瘀血日夜无度食少肌羸宜服大效至圣千金饮子良方
绵黄 （蜜炙） 甘草 陈皮 罂粟壳（炙） 木香 白芍药 地榆 川当归 枳壳（制炒）
黑豆（炒） 乌梅 淮枣 白术 诃子（炮去核秤） 黄连
上等分 咀每服二两水小盏煎至半去滓通口与服
议曰脏腑虚中加燥故患热痢或尔虚寒乃患冷痢或由暑气胃之水谷不分或受湿气临之肠胃
有作
或因食毒伤脾肺或因宿冷停积脏腑或触因表里不解或因冷热相承或因饮食过多或因饥馁不及
多食腌藏常啖鱼鲞或者母怀胞胎恣其口胶积之日久气不宣通遂令疾患有加发作无度毕竟肠胃
虚损日夜呻吟痢下频并宜服此方效验若神
治小儿虚痢作渴不止大艾煎丸良方
大艾叶（烧灰） 干葛粉 胡粉（炒） 海螵蛸 龙齿
上仵等分为末炼蜜丸鸡头子大每服一粒至二至饭饮磨化
议曰下部既虚无不作泻泻之加虚无不成痢泻痢转虚故有上盛三焦不顺所以作渴渴若不住
则泻不止痢不歇又以止渴其药性凉泻痢尤重此方两获全功扶救痢疾不致其虚亦不致热
治小儿秋痢号曰毒痢纯下白胶肚痛白饼子良方
北矾（枯白净） 腻粉（一两重） 白面（半两） 胡粉（炒各一两）
上件和匀水搜作饼如钱大每服半饼大者一饼饭饮磨化
议曰秋气金旺则母虚矣夏月火燥则子困矣夫人五脏六腑乃循四时而行故曰秋湿脾胃若胃
口有毒禁闭不食轻粉却毒次用豆蔻面与吃兼鸡青生熟饮HT 服开胃醒脾乃愈
治疗小儿脾脏积滞、虚损性痢疾，大便排出五色杂下。起初由呕吐引起，随后出现泄泻，伴有脐腹部疼痛、胁肋部胀满。因感受湿邪，肠中发出虚性鸣响，脓血混杂而下，状如豆汁，又似瘀血，日夜无节制地排泄，饮食减少，肌肉消瘦。适宜服用大效至圣千金饮子，此方出自《良方》。
药材：绵黄芪（用蜂蜜炙烤）、甘草、陈皮、罂粟壳（炙烤）、木香、白芍药、地榆、川当归、枳壳（炮制炒黄）、黑豆（炒制）、乌梅、淮枣、白术、诃子（炮制去核后称量）、黄连。
以上药物等分，切碎。每次服用二两，加水一小盏，煎煮至剩余半盏，滤去药渣，温通口服。
医家议论说：脏腑在虚损的基础上加上燥热，所以患热痢；或者因为虚寒，所以患冷痢。有的因为暑气侵袭，导致胃中水谷不分；或者受到湿气侵扰，肠胃功能失常。有的因为食物毒素损伤脾肺，或者宿寒停滞积聚在脏腑；或者因为表里之邪未解；或者因为冷热交替相承；或者因为饮食过多；或者因为饥饿过度而突然暴食；或者经常食用腌制食品、常吃鱼干；或者母亲怀孕时放纵口腹之欲，胶腻之物积存日久，气机不能宣通，从而导致疾病加重，发作无度。归根结底是肠胃虚损，日夜呻吟，痢疾频繁发作，适宜服用此方，疗效神速。
治疗小儿虚损性痢疾，口渴不止，使用大艾煎丸，此方出自《良方》。
药材：大艾叶（烧成灰）、干葛粉、胡粉（炒制）、海螵蛸、龙齿。
以上药物同等分量，研为细末，用炼蜜制成如鸡头米大小的丸剂。每次服用一粒至两粒，在饭前或饭后用温水磨化送服。
医家议论说：下部既已虚损，没有不出现泄泻的；泄泻加重了虚损，就不能不成其为痢疾。痢疾转为虚证，所以上焦盛实，三焦气机不顺，因此产生口渴。如果口渴不止，则泄泻不会停止，痢疾也不会歇止。又用止渴的药物，其药性清凉，对于治疗痢疾尤为重要。此方能同时取得双重功效，既能扶救痢疾，又不致使其更加虚损，也不致使其产生热邪。
治疗小儿秋季痢疾，号称毒痢，纯下白色胶冻样物，肚痛，使用白饼子，此方出自《良方》。
药材：北矾（枯白洁净）、腻粉（一两重）、白面（半两）、胡粉（炒制，各一两）。
以上药物混合均匀，用水调和做成如铜钱大小的饼。每次服用半块，大的服用一块，在饭前或饭后用温水磨化送服。
医家议论说：秋季金气旺盛，则母（土/脾胃）虚衰；夏季火气燥烈，则子（金/肺）困顿。人的五脏六腑是顺应四时运行的，所以说秋湿伤脾胃。如果胃中有毒邪闭阻，禁止进食，先用轻粉驱除毒邪，其次用豆蔻面和着给患儿服用，兼用鸡青生熟饮配合服用，以开胃醒脾，病即可痊愈。
To treat pediatric spleen accumulation and dysentery due to deficiency, with stool containing five colors. Initially caused by vomiting, followed by diarrhea, accompanied by pain in the umbilical and abdominal regions and distension in the hypochondriac region. Due to dampness invasion, there is borborygmus (intestinal rumbling) from deficiency, with pus and blood mixed in the stool, resembling bean juice or clotted blood. The excretion occurs incessantly day and night without control, with reduced food intake and emaciation. It is appropriate to take Da Xiao Zhi Sheng Qian Jin Yin Zi (Great Efficacy Supreme Thousand-Gold Decoction), recorded in *Liang Fang*.
Herbs: Mian Huangqi (Astragali Radix, honey-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Yingsuqiao (Papaveris Pericarpium, fried), Muxiang (Aucklandiae Radix), Baishao Yao (Paeoniae Radix Alba), Diyu (Sanguisorbae Radix), Chuan Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus, processed and stir-fried), Heidou (Sojae Semen Nigrum, fried), Wumei (Mume Fructus), Huaizao (Jujubae Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Hezi (Chebulae Fructus, processed, pitted, and weighed).
The above herbs are taken in equal proportions, coarsely crushed. For each dose, take two liang, add one small cup of water, decoct until half a cup remains, filter out the dregs, and administer orally while warm.
Commentary: When the zang-fu organs are deficient and dryness is added, hot dysentery occurs; if it is due to deficiency-cold, cold dysentery occurs. Some cases arise from summer-heat affecting the stomach, causing failure to distinguish water and grain; or from dampness invading, disrupting intestinal and stomach function. Some result from food toxins injuring the spleen and lungs, or from retained cold accumulating in the zang-fu. Some occur because exterior and interior pathogens remain unresolved, or due to alternating cold and heat, or excessive eating, or extreme hunger followed by overeating, or frequent consumption of pickled foods and dried fish. Alternatively, if the mother indulges her palate during pregnancy, sticky substances accumulate over time, blocking qi circulation, leading to worsening and uncontrolled attacks. Ultimately, this is damage to the intestines and stomach, with groaning day and night and frequent dysentery. This formula is suitable, with miraculous efficacy.
To treat pediatric deficiency-dysentery with incessant thirst, use Da Ai Jian Wan (Great Mugwort Decoction Pill), recorded in *Liang Fang*.
Herbs: Da Ai Ye (Artemisiae Argyi Folium, burnt to ash), Gan Ge Fen (Puerariae Radix powder), Hu Fen (Lead Carbonate, stir-fried), Haipiaoxiao (Sepiae Endoconcha), Longchi (Dentis Mamuthi Fossum).
The above herbs are taken in equal amounts, ground into powder, and formed into pills using refined honey, sized like a corn kernel. Each dose consists of one to two pills, ground in water and administered before or after meals.
Commentary: Since the lower jiao is deficient, diarrhea inevitably occurs; exacerbated diarrhea leads to deficiency, resulting in dysentery. As dysentery turns into a deficiency state, the upper jiao becomes excess, and the smooth flow of the three jiao is obstructed, causing thirst. If thirst persists, diarrhea will not cease, nor will dysentery stop. Using cooling herbs to quench thirst is particularly important for treating dysentery. This formula achieves dual benefits: it supports the treatment of dysentery without exacerbating deficiency or generating heat.
To treat pediatric autumn dysentery, known as toxic dysentery, characterized by pure discharge of white mucoid material and abdominal pain, use Bai Bing Zi (White Cake), recorded in *Liang Fang*.
Herbs: Bei Fan (Alumen, dry and clean), Ni Fen (Calomelas, one liang), Bai Mian (Tritici Vulgaris Farina, half a liang), Hu Fen (Lead Carbonate, stir-fried, one liang each).
Mix the above ingredients evenly, knead with water into cakes the size of a coin. Each dose is half a cake, or one cake if large, ground in water and administered before or after meals.
Commentary: In autumn, metal qi is prosperous, causing the mother (earth/spleen-stomach) to be deficient; in summer, fire qi is dry, causing the child (metal/lungs) to be distressed. The five zang and six fu organs follow the four seasons. Thus, autumn dampness injures the spleen and stomach. If toxic pathogens block the stomach, preventing eating, first use Qingfen (Calomelas) to expel toxins, then give Doukou (Cardamomi Fructus) mixed with flour, along with Ji Qing Sheng Shu Yin (Chicken Green Raw-Cooked Drink) to open the appetite and awaken the spleen, leading to recovery.