脾胃论圣饼子治泻痢赤白脐腹撮痛久不愈
黄丹(二钱) 定粉(三钱) 密陀僧(二钱) 舶上硫黄(三钱) 轻粉(少许)
上为细末入白面四钱滴水和如指尖大捻作饼子阴干食前浆水磨化服之大便黑色为妙
元戎圣功丸专治血痢
腻粉(三钱匕) 定粉(二钱匕) 一法加蛤粉
上研匀水浸蒸饼丸绿豆大艾汤下
仲景桃花汤治下痢便脓血
赤石脂(一斤半锉一半末) 干姜(一两) 粳米(一升)
上三味以水七升煮米令熟去滓温七合纳赤石脂末方寸匕日三服若一服愈勿再服
按此方出手阳明例药也但赤治丙而白治庚也
严氏禹余粮丸治肠胃虚寒滑泄不禁
禹余粮石( ) 赤石脂( ) 龙骨 荜茇 干姜(炮) 诃子(面裹煨) 肉豆蔻(面裹煨)
附子(炮去皮脐各等分)
上为末醋糊丸桐子大每服七十丸空心米饮下
局方真人养脏汤治冷热不调下痢赤白里急后重腹痛脱肛
罂粟壳(去蒂盖蜜炙三两六钱) 人参 当归(各六钱) 肉桂(八钱) 诃子皮(一两二钱)
木
香(二两四钱) 肉豆蔻(面裹煨半两) 白芍(一两六钱) 生甘草(一两八钱) 白术(六钱)
上咀每服四钱水煎服脏寒加附子
水煮木香丸治一切下痢赤白脓血相杂里急后重
罂粟壳(去穣一两四钱) 青皮(去白二两八钱) 甘草(二两四钱) 当归(洗去芦六两)
诃子(炮去核八两) 木香(不见火六两)
上为末蜜丸如弹子大每服一丸水八分盖煎化温服
秘藏诃子散治肠胃虚寒泄泻米谷不化肠鸣腹痛脱肛及作脓血日夜无度
御米壳(去蒂盖蜜炒半两) 诃子(煨去核七分) 干姜(炮六分) 橘皮(半钱)
上为细末分作二服水煎和滓热服空心下
十剂云涩可以去脱以米壳之酸微涩上收固气去脱主用为君以诃子皮之微酸上收固血治其
形脱橘皮微苦温益真气升阳为之使以干姜大辛热除寒为臣亦为主治也
按以上诸方皆行温热之药固气止血紧涩肠胃当为肠虚感寒而成滑者设也且滞下之证多属
于热兼有积滞局方一门专主涩热似难例用
宣明香连丸
木香 诃子肉(面煨) 黄连(炒各半两) 龙骨(一钱)
上为细末饮丸黍米大每服二十丸米饮汤下
机要诃子散治泄痢腹痛渐以泄下微少宜此止之法云大势已去而宜止之
诃子皮(一两半生半熟) 木香(半两) 黄连(三钱) 甘草(炙三钱)
上为细末每服二钱以白术芍药汤下如止之不已宜归而送之加浓朴一两竭其邪气也
脾胃论诃藜勒丸治休息痢日夜无度腥臭不可近脐腹摄痛
椿根白皮 诃子肉(半两) 母丁香(三十个)
上为细末醋糊为丸如桐子大每服五十丸温米饮下
按以上诸方用温凉之药以上痢较之局方专用涩热则变法矣夫脱则用涩理所当然脱而挟寒
温之热之可也脱而挟热凉而涩之可也寒热各随所宜而用似难偏执一说
宣明三圣散治产后下血痢不止
乌鱼骨 烧绵灰 血余灰(各等分)
上细末每服一钱煎石榴皮汤调下热服
按此专主止血之剂
《脾胃论》中的圣饼子，用于治疗赤白痢疾、脐腹部拘急疼痛且久治不愈的情况。
配方：黄丹（二钱）、定粉（三钱）、密陀僧（二钱）、舶上硫黄（三钱）、轻粉（少许）。
制法与用法：将上述药物研成细末，加入四钱白面，滴入适量水调和，搓捻成如指尖大小的饼状，在阴凉处晾干。饭前用浆水磨化服用，以大便变为黑色为最佳效果。
元戎的圣功丸，专门治疗血痢。
配方：腻粉（三钱匕）、定粉（二钱），另一种方法加蛤粉。
制法与用法：将药物研匀，用水浸泡过的蒸饼制作成绿豆大小的药丸，用艾叶汤送服。
张仲景的桃花汤，用于治疗下痢便脓血。
配方：赤石脂（一斤半，一半捣碎，一半研末）、干姜（一两）、粳米（一升）。
制法与用法：将这三味药放入七升水中，煮至米熟，滤去药渣，取温热的药液七合，纳入赤石脂末一方寸匕，每日服用三次。如果一次服用后痊愈，不要再服用。
按语：此方出自《伤寒论》阳明病篇的药物示例。但赤色痢疾属丙火（热），白色痢疾属庚金（寒/燥）……（注：原文此处逻辑较晦涩，意指赤白痢疾病机不同，但此方主要用于虚寒滑脱之证）。
严氏的禹余粮丸，用于治疗肠胃虚寒导致的滑泄不禁。
配方：禹余粮石（缺剂量）、赤石脂（缺剂量）、龙骨、荜茇、干姜（炮制）、诃子（面粉包裹煨烤）、肉豆蔻（面粉包裹煨烤）、附子（炮制，去皮去脐，各等分）。
制法与用法：将药物研成粉末，用醋糊制作成梧桐子大小的药丸。每次服用七十丸，空腹时米饮送服。
《局方》真人养脏汤，用于治疗冷热不调引起的下痢赤白、里急后重、腹痛及脱肛。
配方：罂粟壳（去蒂盖，蜜炙，三两六钱）、人参、当归（各六钱）、肉桂（八钱）、诃子皮（一两二钱）、木香（二两四钱）、肉豆蔻（面粉包裹煨，半两）、白芍（一两六钱）、生甘草（一两八钱）、白术（六钱）。
制法与用法：将药物切碎，每次服用四钱，加水煎服。若脏腑虚寒明显，可加入附子。
水煮木香丸，用于治疗各种下痢赤白、脓血混杂、里急后重。
配方：罂粟壳（去瓤，一两四钱）、青皮（去白，二两八钱）、甘草（二两四钱）、当归（洗去芦头，六两）、诃子（炮制去核，八两）、木香（不见火，六两）。
制法与用法：将药物研成粉末，用蜂蜜制成如弹子大小的药丸。每次服用一丸，用八分水煎化，温服。
《秘藏》诃子散，用于治疗肠胃虚寒引起的泄泻、米谷不化、肠鸣腹痛、脱肛以及便脓血、日夜无度。
配方：御米壳（即罂粟壳，去蒂盖，蜜炒，半两）、诃子（煨去核，七分）、干姜（炮制，六分）、橘皮（半钱）。
制法与用法：将药物研成细末，分为两次服用，加水煎煮，连渣一起热服，空腹服用。
按语：《十剂》云：“涩可以去脱”，以御米壳的酸微涩之性，上行收敛固气，去除滑脱，作为君药；以诃子皮的微酸之性，上行收敛固血，治疗形体滑脱；橘皮微苦温，有益真气、升阳的作用，作为使药；干姜大辛热，能除寒，作为臣药，也为主治药物。
按语：以上各方均使用温热药物，旨在固气止血，紧涩肠胃，这是针对因肠虚感寒而形成的滑泄证候设立的。而且滞下（痢疾）之证多属于热证，兼有积滞，《局方》中这一类专主涩热的方法，似乎难以普遍适用。
《宣明》香连丸
配方：木香、诃子肉（面粉煨）、黄连（炒，各半两）、龙骨（一钱）。
制法与用法：将药物研成细末，用水泛丸如黍米大小。每次服用二十丸，米饮汤送服。
《机要》诃子散，用于治疗泄痢腹痛，逐渐减少腹泻次数，适宜采用止涩之法。云：“大势已去，宜止之”。
配方：诃子皮（一两半，生用和熟用各半）、木香（半两）、黄连（三钱）、甘草（炙，三钱）。
制法与用法：将药物研成细末，每次服用二钱，用白术芍药汤送服。如果止泻无效，应当“归而送之”（意为补益并疏导），加入浓朴一两，以竭尽邪气。
《脾胃论》诃藜勒丸，用于治疗休息痢，日夜无度，气味腥臭不可近人，脐腹部拘急疼痛。
配方：椿根白皮、诃子肉（半两）、母丁香（三十个）。
制法与用法：将药物研成细末，用醋糊制作成梧桐子大小的药丸。每次服用五十丸，温米饮送服。
按语：以上各方使用温凉药物，与《局方》专用涩热的方法相比，是变法。如果是滑脱，使用涩法理所当然；滑脱兼有寒证，可用温涩或热涩；滑脱兼有热证，可用凉涩。寒热各随其适宜情况使用，似乎难以偏执于一种说法。
《宣明》三圣散，用于治疗产后下血痢不止。
配方：乌鱼骨、烧绵灰、血余灰（各等分）。
制法与用法：研成细末，每次服用一钱，用石榴皮汤调服，热服。
按语：此方专门主治止血。
The Shengbing Zi (Holy Cake) from *Pi Wei Lun* (Treatise on the Spleen and Stomach) treats dysentery with red and white discharge, cramping pain in the umbilical and abdominal regions that persists for a long time without healing.
Ingredients: Huang Dan (Lead Oxide, 2 qian), Ding Fen (Calomel, 3 qian), Mi Tuo Seng (Litharge, 2 qian), Bo Shang Liu Huang (Imported Sulfur, 3 qian), Qing Fen (Calomel, a small amount).
Preparation and Administration: Grind the above ingredients into a fine powder, add 4 qian of wheat flour, mix with a few drops of water, roll into cakes the size of a fingertip, and dry in the shade. Before meals, grind one cake in Jiang Shui (fermented rice water) to dissolve and take orally. It is ideal if the stool turns black.
Yuan Rong’s Sheng Gong Wan (Holy Merit Pill) specializes in treating bloody dysentery.
Ingredients: Ni Fen (Calomel, 3 qian bi), Ding Fen (Calomel, 2 qian bi); another method adds Ge Fen (Clam Shell Powder).
Preparation and Administration: Grind evenly, moisten with water-steamed steamed dough pills to the size of mung beans, and administer with Ai Tang (Mugwort Decoction).
Zhang Zhongjing’s Taohua Tang (Peach Kernel Decoction) treats lower dysentery with pus and blood in the stool.
Ingredients: Chishi Zhi (Red Halloysite, 1 jin 1.5 liang, half crushed, half powdered), Gan Jiang (Dried Ginger, 1 liang), Jing Mi (Rice, 1 sheng).
Preparation and Administration: Take these three ingredients, boil in 7 sheng of water until the rice is cooked, strain the dregs, take 7 he of the warm liquid, add 1 fang cun bi of Chishi Zhi powder, and take three times a day. If cured after one dose, do not take more.
Note: This formula originates from the examples of Yangming channel medications in *Shang Han Lun*. However, red dysentery relates to Bing Fire (Heat), while white dysentery relates to Geng Metal (Cold/Dryness)... (Note: The original text's logic here is obscure, implying different pathogenesis for red and white dysentery, but this formula is primarily used for deficiency-cold slipping-depletion patterns.)
Yan Shi’s Yu Yu Liang Wan (Yu Yu Liang Stone Pill) treats slippery diarrhea due to deficiency-cold of the intestines and stomach.
Ingredients: Yu Yu Liang Shi (Hematite, dosage missing), Chishi Zhi (Red Halloysite, dosage missing), Long Gu (Dragon Bone), Bi Bo (Long Pepper), Gan Jiang (Dried Ginger, processed), He Zi (Chebula Fruit, baked in flour), Rou Dou Kou (Nutmeg, baked in flour), Fu Zi (Aconite Root, processed, skin and navel removed, equal parts).
Preparation and Administration: Grind into powder, make pills with vinegar paste the size of tung tree seeds. Take 70 pills per dose, empty stomach, with Mi Yin (rice drink).
Ju Fang’s Zhen Ren Yang Zang Tang (True Person Nourishing Viscera Decoction) treats dysentery with red and white discharge, tenesmus, abdominal pain, and rectal prolapse due to disharmony of cold and heat.
Ingredients: Ying Su Ke (Poppy Shell, remove stem and cap, honey-fried, 3 liang 6 qian), Ren Shen (Ginseng), Dang Gui (Angelica Sinensis, each 6 qian), Rou Gui (Cinnamon Bark, 8 qian), He Zi Pi (Chebula Peel, 1 liang 2 qian), Mu Xiang (Costus Root, 2 liang 4 qian), Rou Dou Kou (Nutmeg, baked in flour, half liang), Bai Shao (White Peony Root, 1 liang 6 qian), Sheng Gan Cao (Raw Licorice Root, 1 liang 8 qian), Bai Zhu (Atractylodes Macrocephala, 6 qian).
Preparation and Administration: Cut the herbs, take 4 qian per dose, decoct in water. If visceral cold is prominent, add Fu Zi (Aconite Root).
Shui Zhu Mu Xiang Wan (Water-Boiled Costus Pill) treats all types of dysentery with red and white discharge, mixed pus and blood, and tenesmus.
Ingredients: Ying Su Ke (Poppy Shell, remove pulp, 1 liang 4 qian), Qing Pi (Green Tangerine Peel, remove white pith, 2 liang 8 qian), Gan Cao (Licorice Root, 2 liang 4 qian), Dang Gui (Angelica Sinensis, washed and de-rhizomed, 6 liang), He Zi (Chebula Fruit, processed and pitted, 8 liang), Mu Xiang (Costus Root, not exposed to direct fire, 6 liang).
Preparation and Administration: Grind into powder, make honey pills the size of bullet seeds. Take one pill per dose, dissolve in 8 fen of water, and take warm.
Mi Zang’s He Zi San (Chebula Powder) from *Mi Zang* treats diarrhea due to deficiency-cold of the intestines and stomach, undigested food in stool, borborygmus, abdominal pain, rectal prolapse, pus and blood in stool, occurring day and night without limit.
Ingredients: Yu Mi Qiao (Poppy Shell, remove stem and cap, honey-fried, half liang), He Zi (Chebula Fruit, baked and pitted, 7 fen), Gan Jiang (Dried Ginger, processed, 6 fen), Ju Pi (Tangerine Peel, half qian).
Preparation and Administration: Grind into fine powder, divide into two doses, decoct in water, take hot with the dregs, empty stomach.
Note: *Shi Ji* (Ten Categories) states: "Astringents can treat slipping depletion." Using the sour and slightly astringent nature of Yu Mi Qiao (Poppy Shell) to ascend and consolidate Qi to stop slipping is the Sovereign herb; using the slightly sour nature of He Zi Pi (Chebula Peel) to ascend and consolidate Blood to treat physical slipping is part of the treatment; Ju Pi (Tangerine Peel) is slightly bitter and warm, benefiting true Qi and ascending Yang, serving as the Envoy; Gan Jiang (Dried Ginger) is greatly pungent and hot, dispelling cold, serving as the Minister, also addressing the main pathology.
Note: All the above formulas use warming and hot herbs to consolidate Qi, stop bleeding, and tightly astringe the intestines. They are designed for cases of intestinal deficiency with cold invasion leading to slipping. Moreover, dysentery (Zhi Xia) is mostly a Heat pattern accompanied by stagnation. The Ju Fang category specializing in astringing and heating seems difficult to apply universally.
Xuan Ming’s Xiang Lian Wan (Fragrant Coptis Pill) from *Xuan Ming*
Ingredients: Mu Xiang (Costus Root), He Zi Rou (Chebula Flesh, baked in flour), Huang Lian (Coptis Rhizome, fried, each half liang), Long Gu (Dragon Bone, 1 qian).
Preparation and Administration: Grind into fine powder, make pills with water the size of millet seeds. Take 20 pills per dose, with Mi Yin Tang (Rice Drink Decoction).
Ji Yao’s He Zi San (Chebula Powder) from *Ji Yao* treats dysentery with abdominal pain, where diarrhea gradually decreases, making it suitable for this stopping method. It says: "When the major trend has passed, it is appropriate to stop it."
Ingredients: He Zi Pi (Chebula Peel, 1 liang 5 qian, half raw half cooked), Mu Xiang (Costus Root, half liang), Huang Lian (Coptis Rhizome, 3 qian), Gan Cao (Licorice Root, honey-fried, 3 qian).
Preparation and Administration: Grind into fine powder, take 2 qian per dose, with Bai Zhu Shao Yao Tang (Atractylodes and Peony Decoction). If stopping does not work, one should "Gui Er Song Zhi" (tonify and guide out), adding Hou Po (Magnolia Bark, 1 liang) to exhaust the pathogenic qi.
Pi Wei Lun’s He Li Le Wan (Chebulic Myrobalan Pill) from *Pi Wei Lun* treats intermittent dysentery occurring day and night without limit, with a foul odor that cannot be approached, and cramping pain in the umbilical and abdominal regions.
Ingredients: Chun Gen Bai Pi (Toona Root Bark), He Zi Rou (Chebula Flesh, half liang), Mu Ding Xiang (Cloves, 30 pieces).
Preparation and Administration: Grind into fine powder, make pills with vinegar paste the size of tung tree seeds. Take 50 pills per dose, with warm rice drink.
Note: The above formulas use warming and cooling herbs. Compared to the Ju Fang’s exclusive use of astringing and heating, this is a modified method. For slipping, using astringents is logical; for slipping with cold, warming and astringing or heating and astringing is appropriate; for slipping with heat, cooling and astringing is appropriate. Cold and heat should be used according to suitability, and it seems inappropriate to adhere rigidly to one theory.
Xuan Ming’s San Sheng San (Three Saints Powder) from *Xuan Ming* treats postpartum bloody dysentery that does not stop.
Ingredients: Wu Yu Gu (Cuttlefish Bone), Shao Mian Hui (Burned Cotton Ash), Xue Yu Hui (Scalp Hair Ash, equal parts).
Preparation and Administration: Grind into fine powder, take 1 qian per dose, mix with Shi Liu Pi Tang (Pomegranate Peel Decoction), take hot.
Note: This formula specifically focuses on stopping bleeding.