大法补虚 消积 凤髓经歌云∶脾中有积热迟留，至使终年泻不休，项软见人多哽气，更兼清水鼻中流，
少间有似黄金色，若有垂肠更不收，形证又看胸膈上，胸前深赤汗如油，唇赤生疮眼脉赤，若不调脾命即休。
《千金》七味散 治利下久不瘥。
黄连（八分） 龙骨 赤石脂 浓朴 乌梅肉（各二分） 甘草（炙，一分） 阿胶（炙，三分）
上，治下筛。浆水服二方寸匕，日二，小儿一钱匕。
华陀治老小下利，柴立不能食，入口即出，命在旦夕，久利神验方。
黄连（末） 乱发灰 醇苦酒 蜜（各半鸡子壳许） 白蜡（方寸匕） 鸡子黄（一枚）
上六味，于铜器中、炭火上，先内酒蜜蜡鸡子黄搅匀，乃内黄连末、发灰，又搅煎，视可，取出为
丸，久困者，一日一夜尽之。
《外台》疗久利无间，冷热疳痢，悉主之。
枣一枚去核，勿令皮破，内胡粉令满，于炭火中烧如炭，瓷器中研之，米饮和服。一岁以下，
分服之，不过三服，瘥。
《圣惠》治久利赤白，渐羸，胃虚不食。丁香散
丁香 浓朴（去粗皮，涂生姜汁，炙令香熟） 黄连（去须，锉微炒） 当归（锉微炒） 诃梨勒
（煨，用皮） 白术（锉，微炒） 伏龙肝（各半两） 木香（一分） 赤石脂（一两）
上件药捣，细罗为散，每服以粥饮调下半钱，日三四服。量儿大小加减。
《圣惠》黄连丸 治小儿暴利，经久不断，增减有时。
黄连（去须，微炒） 人参（去芦头） 赤石脂 龙骨 甘草（炙微赤，锉） 黄芩 浓朴（去粗
皮，涂生姜
汁、炙令香熟） 白茯苓 枳壳（去瓤，麸炒微黄。各半两） 乌梅肉（一分，微炒）
上件药，捣罗为末，炼蜜和丸，如麻子大。每服以粥饮下七丸，日三四服，量儿大小，临时加减。
〔谭氏〕斗门散 歌曰∶小儿泻利甚青黄，久患时多转滑肠，下部脱肛频努咽，朝朝焦瘦渐羸 。
诃子 枳壳 地榆（各等分）
上为末。每服一钱，米饮调下，一岁以下半钱。
《婴孺》龙骨汤 治下利不住。
龙骨 甘草（炙） 黄连（各四分） 当归 干姜（各一分）
上，以水四升，煮一升二合，食前，温分三服。
龙骨汤 治服药下后，不止。
龙骨（五分） 甘草（炙） 干姜 当归 黄连 赤石脂 附子（炮裂，去皮脐） 前胡（各三分）
上，以水四升，煮一升二合，为五服，旦服，至午令尽。
黄连煎 治冷热利，经时不止，体羸不堪，余治瘥而又发。用好黄连二两，水七升，
蜜八合，煎一升三合，绞去滓，百日儿服半合，二百日一岁服一合。
鸡骨丸 治下利经久不断，羸瘦，脾胃冷弱，食不消化。
鸡骨（宿雌鸡胸前及肋骨全用，一具） 黄连（六分） 浓朴（三分） 神曲（炒） 甘草（炙）
白术（各四分） 麦 （炒） 乌梅肉（各二分） 人参 赤石脂 黄芩 白龙骨（各五分） 桔梗（二分）
上为末，蜜丸小豆大。白饮下二十五丸，日二服。量儿大小与之。
温白丸 治久泻脾虚不食，食即泻下，米谷不化。
白术（一分，米泔浸，切焙） 丁香（半钱，炒） 半夏（一钱半，汤泡洗七遍）
上为末，生姜自然汁煮面糊为丸，如梧桐子大。半岁每服三丸，三五岁五七丸，淡生姜汤吞下，早
晚各进一服。
惺惺散 治久泻脾困，不思乳食，恐作脾风。
天麻 全蝎（炒，各半钱） 木香（炮） 糯米 人参 茯苓（各微炒） 白扁豆（炒） 山药
（焙） 甘草（炙。各一钱）
上为末。每服婴孺一字，二三岁半钱，用水一药注或半银盏，枣子半片，煎十数沸，服。
〔张涣〕治泻利久不瘥。香矾丹
木香 枯白矾（各一两） 诃梨勒皮（微炮） 酸石榴皮（炒黑。各半两）
上件捣，罗为细末，炼蜜和丸，如黍米大。每服十粒，粥饮下。量儿大小加减。
〔刘氏〕治小儿脏腑久泄泻不止。
人参 白术 茯苓 甘草 陈皮 藿香 丁香 木香 肉豆蔻
上等分，为末。每服二钱，以藿香合糯米煮粥饮调下，或姜水煎亦可。
脏腑滑泄。四君子加诃子五分，米饮调下。
基本治疗原则是补益虚损、消除积滞。《凤髓经》歌诀说：脾中有积热滞留不去，导致整年腹泻不停，颈部软弱无力，见到人多就气喘，还伴有清水从鼻中流出，稍后大便颜色似黄金色，若有直肠脱垂且无法收回，形体症状还要看胸膈部位，胸前深红且汗出如油，嘴唇赤红生疮，眼脉赤红，如果不调理脾胃，性命就会终结。
《千金方》七味散，治疗痢疾日久不愈。
黄连（八分） 龙骨 赤石脂 厚朴 乌梅肉（各二分） 甘草（炙，一分） 阿胶（炙，三分）
以上药物，捣碎过筛。用浆水送服二方寸匕，每日两次，小儿服用一方寸匕。
华佗治疗老人和小孩下利，身体直立但不能进食，吃进去就吐出来，生命危在旦夕，这是久利神验方。
黄连（研末） 乱发灰 醇苦酒 蜂蜜（各约半个鸡蛋壳的量） 白蜡（一方寸匕） 鸡蛋黄（一枚）
以上六味药，在铜器中，用炭火加热，先放入酒、蜜、蜡、鸡蛋黄搅匀，然后放入黄连末、发灰，再次搅拌煎煮，视情况合适后，取出制成丸药，病情严重的患者，一天一夜内服完。
《外台秘要》治疗久利无间断，冷热疳痢，都主治此病。
大枣一枚去核，不要弄破皮，填入胡粉使其填满，在炭火中烧成炭状，在瓷器中研磨成粉，用米汤调和服用。一岁以下患儿，分次服用，不超过三次，即可痊愈。
《圣惠方》治疗久利赤白痢，逐渐消瘦，胃虚不能进食。丁香散
丁香 厚朴（去粗皮，涂生姜汁，炙至香熟） 黄连（去须，锉碎微炒） 当归（锉碎微炒） 诃梨勒（煨，只用皮） 白术（锉碎，微炒） 伏龙肝（各半两） 木香（一分） 赤石脂（一两）
以上药物捣碎，细罗成散剂，每次服用半钱，用粥饮调服，每日三四次。根据患儿大小加减剂量。
《圣惠方》黄连丸，治疗小儿暴泻，经久不断，有时增减发作。
黄连（去须，微炒） 人参（去芦头） 赤石脂 龙骨 甘草（炙微赤，锉碎） 黄芩 厚朴（去粗皮，涂生姜汁，炙至香熟） 白茯苓 枳壳（去瓤，麸炒微黄。各半两） 乌梅肉（一分，微炒）
以上药物，捣罗成粉末，炼蜜和丸，如麻子大。每次用粥饮送服七丸，每日三四次，根据患儿大小，临时加减。
〔谭氏〕斗门散 歌诀说：小儿泻利颜色青黄，久患时常转为滑肠，下部脱肛频繁努挣，天天焦瘦逐渐羸弱。
诃子 枳壳 地榆（各等分）
以上为粉末。每次服用一钱，米汤调下，一岁以下服用半钱。
《婴孺书》龙骨汤，治疗下利不止。
龙骨 甘草（炙） 黄连（各四分） 当归 干姜（各一分）
以上药物，用水四升，煮取一升二合，饭前温服，分三次服用。
龙骨汤，治疗服药或攻下后，下利仍不止。
龙骨（五分） 甘草（炙） 干姜 当归 黄连 赤石脂 附子（炮裂，去皮脐） 前胡（各三分）
以上药物，用水四升，煮取一升二合，分为五服，早晨服用，到中午时服完。
黄连煎，治疗冷热痢，经过一段时间不止，身体羸弱不堪，其他治疗方法好后又复发。用好黄连二两，水七升，蜜八合，煎取一升三合，绞去渣滓，百日婴儿服用半合，二百日（一岁）服用一合。
鸡骨丸，治疗下利经久不断，羸瘦，脾胃冷弱，食物不消化。
鸡骨（宿雌鸡胸前及肋骨全用，一具） 黄连（六分） 厚朴（三分） 神曲（炒） 甘草（炙） 白术（各四分） 麦芽（炒） 乌梅肉（各二分） 人参 赤石脂 黄芩 白龙骨（各五分） 桔梗（二分）
以上为粉末，蜜丸如小豆大。用白饮送服二十五丸，每日两次。根据患儿大小给予剂量。
温白丸，治疗久泻脾虚不能进食，进食即泻下，米谷不化。
白术（一分，米泔水浸泡，切片焙干） 丁香（半钱，炒） 半夏（一钱半，热水泡洗七遍）
以上为粉末，用生姜自然汁煮面糊为丸，如梧桐子大。半岁每次服用三丸，三至五岁服用五至七丸，淡生姜汤吞服，早晚各进一服。
惺惺散，治疗久泻脾困，不思乳食，担心发展为脾风。
天麻 全蝎（炒，各半钱） 木香（炮） 糯米 人参 茯苓（各微炒） 白扁豆（炒） 山药（焙） 甘草（炙。各一钱）
以上为粉末。每次服用婴孺一字，二至三岁服用半钱，用水一药注或半银盏，枣子半片，煎煮十数沸，服用。
〔张涣〕治疗泻痢日久不愈。香矾丹
木香 枯白矾（各一两） 诃梨勒皮（微炮） 酸石榴皮（炒黑。各半两）
以上药物捣碎，罗成细末，炼蜜和丸，如黍米大。每次服用十粒，粥饮送下。根据患儿大小加减。
〔刘氏〕治疗小儿脏腑久泄泻不止。
人参 白术 茯苓 甘草 陈皮 藿香 丁香 木香 肉豆蔻
以上等分，为粉末。每次服用二钱，用藿香合糯米煮粥饮调下，或用姜水煎服也可。
The basic treatment principle is to tonify deficiency and eliminate accumulation. The song from *Fengshui Jing* states: "When heat accumulation lingers in the Spleen, it causes unceasing diarrhea throughout the year; the neck becomes soft, gasping occurs when seeing people, and clear fluid flows from the nose. Later, the stool resembles gold color; if there is rectal prolapse that cannot be retracted, examine the chest and diaphragm for physical signs: deep redness on the chest with sweat like oil, red lips with sores, and red eye vessels. If the Spleen is not regulated, life will end."
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) Seven-Ingredient Powder treats chronic dysentery that does not heal.
Coptidis Rhizoma (8 fen), Long Gu (Dragon Bone), Hongshizhi (Red Halloysite), Magnoliae Officinalis Cortex (Houpo), Prunus Mume Seed (Wumei Rou) (each 2 fen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, 1 fen), Euphorbiae Concretio (Ejiao, honey-fried, 3 fen).
Process the above ingredients by crushing and sieving. Administer two *fangcunbi* (a traditional measure) with *jiangshui* (fermented grain water), twice daily. For children, administer one *fangcunbi*.
Hua Tuo treated elderly and pediatric patients with lower purging (diarrhea/dysentery), who stood upright but could not eat, vomiting immediately after ingestion, with life hanging in the balance. This is the "Shenyan Fang" (Miraculously Effective Formula for Chronic Purging).
Coptidis Rhizoma (powder), hair ash, strong vinegar, honey (each about half an eggshell volume), white beeswax (one *fangcunbi*), chicken egg yolk (one).
Take the above six ingredients in a copper vessel over charcoal fire. First add vinegar, honey, wax, and egg yolk, stirring until uniform. Then add Coptidis Rhizoma powder and hair ash, stirring and decocting again. When ready, remove and form into pills. For severe cases, consume within one day and night.
*Waitai Miyao* (Essential Prescriptions of the Outer Treasury) treats continuous chronic purging without interruption, including cold-heat *Gan* dysentery, indicating this as the primary treatment.
One date stone removed, skin intact, filled with lead carbonate (Hufen), burned in charcoal fire until carbonized, ground in a porcelain vessel. Mix with rice drink and administer. For infants under one year, divide the dose; no more than three doses are needed for recovery.
*Shenghui Fang* (Holy Healing Formulary) treats chronic dysentery with red and white discharge, gradual emaciation, and gastric deficiency preventing eating. Dingxiang San (Clove Powder).
Caryophylli Flos (Dingxiang), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, coated with Zingiberis Rhizoma juice, fried until fragrant), Coptidis Rhizoma (Huotie removed, chopped and slightly fried), Angelicae Sinensis Radix (Danggui, chopped and slightly fried), Terminalia Chebula Fruit (Helile, baked, using only the peel), Atractylodis Macrocephalae Rhizoma (Baizhu, chopped and slightly fried), Caolin (Fulonggan) (each 0.5 liang), Aucklandiae Radix (Muxiang, 1 fen), Hongshizhi (Red Halloysite, 1 liang).
Crush the above medicines, sieve finely into powder. Each dose is half a *qian*, mixed with porridge drink, taken three to four times daily. Adjust dosage according to the child's size.
*Shenghui Fang* Huanglian Wan (Coptis Pill) treats sudden severe diarrhea in children, lasting long without cessation, varying in intensity.
Coptidis Rhizoma (Huotie removed, slightly fried), Ginseng Radix (Renshen, rhizome removed), Hongshizhi (Red Halloysite), Long Gu (Dragon Bone), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red, chopped), Scutellariae Radix (Huangqin), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, coated with Zingiberis Rhizoma juice, fried until fragrant), Poria (Fuling), Aurantii Fructus (Zhike, pulp removed, bran-fried until slightly yellow. Each 0.5 liang), Prunus Mume Seed (Wumei Rou, 1 fen, slightly fried).
Crush and sieve the above medicines into powder. Mix with refined honey to form pills the size of hemp seeds. Each dose is seven pills, taken with porridge drink, three to four times daily. Adjust temporarily according to the child's size.
[Tan Shi] Doumen San. The song says: "Pediatric diarrhea with greenish-yellow stool, chronic cases often turning into slippery intestines; frequent straining with rectal prolapse at the lower part, becoming increasingly emaciated and thin day by day."
Terminalia Chebula Fruit (Hezi), Aurantii Fructus (Zhike), Sanguisorbae Radix (Diyu) (equal parts).
Grind into powder. Each dose is one *qian*, taken with rice drink. For infants under one year, take half a *qian*.
*Yingru Shu* Longgu Tang (Dragon Bone Decoction) treats unceasing lower purging.
Long Gu (Dragon Bone), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Coptidis Rhizoma (each 4 fen), Angelicae Sinensis Radix (Danggui), Zingiberis Rhizoma Recens (Ganjiang) (each 1 fen).
Take the above ingredients, decoct in four *sheng* of water to obtain one *sheng* and two *he*. Take warm before meals, divided into three doses.
Longgu Tang treats persistent lower purging even after taking medication or undergoing purgative therapy.
Long Gu (Dragon Bone, 5 fen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Zingiberis Rhizoma Recens (Ganjiang), Angelicae Sinensis Radix (Danggui), Coptidis Rhizoma (Huanglian), Hongshizhi (Red Halloysite), Aconiti Lateralis Radix Praeparata (Fuzi, processed until cracked, skin and navel removed), Peucedani Radix (Qianhu) (each 3 fen).
Take the above ingredients, decoct in four *sheng* of water to obtain one *sheng* and two *he*. Divide into five doses. Take in the morning, finishing all by noon.
Huanglian Jian (Coptis Decoction) treats cold-heat dysentery persisting for a long time, causing severe emaciation, and relapsing after other treatments have healed it. Use good quality Coptidis Rhizoma (2 liang), water (7 sheng), honey (8 he). Decoct to obtain one *sheng* and three *he*, strain to remove dregs. Infants of 100 days take half a *he*; infants of 200 days (one year old) take one *he*.
Jigu Wan (Chicken Bone Pill) treats chronic unceasing lower purging, emaciation, cold weakness of Spleen and Stomach, and indigestion.
Chicken bone (from the breast and ribs of an old hen, one whole set), Coptidis Rhizoma (6 fen), Magnoliae Officinalis Cortex (Houpo, 3 fen), Massa Medicata Fermentata (Shenqu, fried), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 4 fen), Hordeum Vulgare (Maiya, fried), Prunus Mume Seed (Wumei Rou) (each 2 fen), Ginseng Radix (Renshen), Hongshizhi (Red Halloysite), Scutellariae Radix (Huangqin), Bai Longgu (White Dragon Bone) (each 5 fen), Platycodonis Radix (Jiegeng, 2 fen).
Grind into powder, mix with honey to form pills the size of mung beans. Take twenty-five pills with white drink, twice daily. Adjust dosage according to the child's size.
Wenbai Wan (Warm White Pill) treats chronic diarrhea due to Spleen deficiency with anorexia, immediate postprandial diarrhea, and undigested food in stool.
Atractylodis Macrocephalae Rhizoma (Baizhu, 1 fen, soaked in rice wash water, sliced and dried), Caryophylli Flos (Dingxiang, half a qian, fried), Pinelliae Rhizoma (Banxia, one and a half qian, washed seven times in hot water).
Grind into powder. Cook wheat paste with fresh ginger juice to form pills the size of Chinese honeylocust seeds. For half-year-old infants, take three pills each time; for three to five-year-olds, take five to seven pills. Swallow with light ginger soup, once in the morning and once in the evening.
Xingxing San treats chronic diarrhea with Spleen fatigue, lack of appetite for milk/food, and fear of developing Spleen Wind.
Gastrodiae Rhizoma (Tianma), Scorpio (Quanxie, fried, each half a qian), Aucklandiae Radix (Muxiang, processed), Glutinous Rice (Nuomi), Ginseng Radix (Renshen), Poria (Fuling) (each slightly fried), Dolichos Lablab Seed (Baibian dou, fried), Dioscoreae Rhizoma (Shanyao, baked), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried. Each 1 qian).
Grind into powder. For infants, take one *zi*; for two to three years old, take half a *qian*. Decoct with one medicinal measure or half a silver cup of water, plus half a jujube, boil for ten boils, then administer.
[Zhang Huan] Treats chronic diarrhea and dysentery that do not heal. Xiangfan Dan.
Aucklandiae Radix (Muxiang), Dried Alum (Kubai fan) (each 1 liang), Terminalia Chebula Peel (Helile pi, slightly roasted), Punicis Granati Pericarpium (Suan Shiliupi, stir-fried until black. Each 0.5 liang).
Crush the above ingredients, sieve into fine powder. Mix with refined honey to form pills the size of millet seeds. Take ten pills each time, with porridge drink. Adjust dosage according to the child's size.
[Liu Shi] Treats chronic unceasing diarrhea in pediatric organs and bowels.
Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Agastaches Herba (Huoxiang), Caryophylli Flos (Dingxiang), Aucklandiae Radix (Muxiang), Myristicae Semen (Roudoukou).
Equal parts, grind into powder. Each dose is two *qian*, taken with porridge drink made from Agastaches Herba and glutinous rice, or decocted with ginger water.
For organ and bowel slippery diarrhea (slippage), add Terminalia Chebula Fruit (Hezi, 5 fen) to Sijunzi Tang (Four Gentlemen Decoction), taken with rice drink.