《形证论》歌曰∶五色之痢最多端,见此方知有五般,青色只因惊积聚,黄多食积在脾间,白色
冷虚肠胃患,赤为积热最难安,鸡肝隐积多成片,黑血相和不易安,唇搐胸高兼露齿,脸红筋出每居前,急
安脏腑和汤散,医者留心按古贤。又歌曰∶五色之痢莫言奇,四岁之前始有之,青色只因惊积聚,黄因食积
毒于脾,赤黑已知心肾病,白多残害是脾为,三七以前无变动,休令多睡饮餐迟。此疾,且须和五
脏,补荣卫,方渐渐安愈,如目肿,不进饮食(杨云是恶候)只与调胃散补之。
汉东王先生 汤丸 治小儿泻痢,五色脓血如烂鱼肠,并无大便,只是脓血,肠中搅痛。
粉霜 轻粉 砂(各一钱) 朱砂(抄一钱匕) 白丁香(匙抄四钱) 乳香(半钱,别研)
巴豆(七粒,去皮心,不出油)
上为末,蒸枣肉丸。每服婴孩三丸如粟米大,二三岁如大麻子大,四五岁亦如麻子大,并旋成丸,煎 汤
吞下,一日二服,间调胃气药与之。
三十六种内治下五色恶物心神烦热不止方
地榆 白茯苓 黄柏(炙各一两)
上为末。每服一钱,水一盏,煎至五分,去滓分三服。
三霜丸 治小儿赤白或五色积痢。
巴豆(去皮,拣选白色肥好者、三钱,研细,先用白绢包三二十重,次用白纸外面包定,大石压令油尽,取二钱轻
者为用) 真轻粉 粉霜(各二钱)
上三味,同研匀极细,别取好黄蜡三钱,酒煮三二十沸,取出,去酒令净,再熔入药和之,如有煮酒蜡亦堪用,
和成剂,油单内盛,如服食,旋丸如小绿豆大。
三岁以下如粟米大,每服三五丸,温熟水下,量儿大小加减。
《吉氏家传》治五色痢兼渴不止方
茯苓 宣黄连 黄柏(各等分)
上件,取黄柏末以浆水打如面糊,良久和前二味为丸,如绿豆大。三岁,米饮下七丸。杀疳,熟水下五丸。
至圣丸 治五色痢。
浓朴(去皮,姜制) 黄柏(略去皮,以鸡子白涂炙黄熟,如干、再上) 当归(酒浸)
上三味,等分,细末,炼蜜为丸,如梧桐子大。小儿,细丸。浓朴汤下,每服四十丸,加减。
定粉散 治疳痢,五色痢。
定粉 龙骨 黄丹( 过。各二钱) 诃子(三个,煨熟,取肉)
上为末。每服半钱,粥饮下,三岁以上半钱。
《形证论》中的歌诀说道:五色痢的病因最为复杂多样,见到这种症状便知道有五种不同的类型。青色多因受惊导致气机郁结;黄色多为饮食积滞停留在脾脏;白色是由于肠胃虚寒所致;红色则是由于积热内蕴,病情最难安定;鸡肝色(紫黑)是因瘀血与邪气积聚,往往成片出现;黑色是血液与毒邪相搏,也不易安宁。若伴有嘴唇抽搐、胸部高耸且牙齿外露,以及面色发红、面部青筋暴露,这些通常是病情加重的先兆。此时急需安抚脏腑功能,服用调和汤剂,医生需留心参考古代贤人的经验。
另一首歌诀说:五色痢不必觉得奇怪,四岁之前的儿童才开始出现此病。青色仍是因为受惊导致气机郁结;黄色是因为食积毒素蕴结于脾;赤色和黑色分别对应心和肾的病变;白色则多由脾脏受损引起。在三七二十一岁之前,身体没有发生大的变动,不要让患儿过多睡眠,进食和饮水要迟缓适度。治疗此疾,必须先调和五脏,补益营卫之气,这样病情才能渐渐痊愈。如果伴有眼睛肿胀、不能进食(杨氏认为是恶候),只需给予调胃散进行补益调理。
汉东王先生的汤丸方,用于治疗小儿泻痢,排出如烂鱼肠般的五色脓血,没有正常大便,只有脓血,肠道中搅动疼痛。
药材包括:粉霜、轻粉、砂(各一钱)、朱砂(用抄子取一钱匕)、白丁香(用匙子取四钱)、乳香(半钱,单独研磨)、巴豆(七粒,去皮去心,不榨出油)。
将上述药物研成细末,用蒸熟的枣肉制成丸药。每次服用时,婴儿服三丸,大小如粟米;二三岁的儿童服如大麻子大小的丸药;四五岁的儿童服如麻子大小的丸药。均随制随服,煎煮汤药送服,每日两次,中间间隔服用调理胃气的药物。
三十六种内治法中,针对五色恶物、心神烦热不止的方剂:
药材包括:地榆、白茯苓、黄柏(炙,各一两)。
将上述药物研成细末。每次服用一钱,加水一盏,煎至五分,去除药渣,分三次服用。
三霜丸,用于治疗小儿赤白痢或五色积痢。
药材包括:巴豆(去皮,挑选白色肥厚好的三钱,细细研磨,先用白绢包裹三二十层,再用白纸在外面包好,用大石头压直至油尽,取二钱较轻的部分使用)、真轻粉、粉霜(各二钱)。
将以上三味药共同研磨至极细,另外取优质黄蜡三钱,用酒煮三二十次沸腾后取出,倒掉酒液洗净,再熔化后将药粉混合其中,如果用煮过酒的蜡也可以。混合成药剂,放在油纸内保存。服用时,随制随丸,大小如小绿豆。
三岁以下儿童,丸药大小如粟米,每次服用三到五丸,温热的熟水送服,根据患儿年龄大小酌情加减。
《吉氏家传》治疗五色痢兼口渴不止的方剂:
药材包括:茯苓、宣黄连、黄柏(各等分)。
将上述药物处理,取黄柏末,用浆水调成面糊状,静置片刻后与前两味药混合制成丸药,大小如绿豆。三岁儿童,用米饮送服七丸。用于杀灭疳虫,用熟水送服五丸。
至圣丸,用于治疗五色痢。
药材包括:浓朴(去皮,姜汁制)、黄柏(略去皮,用鸡蛋清涂抹后炙烤至黄熟,如果干燥了再涂上)、当归(酒浸)。
将以上三味药等分,研成细末,用炼蜜制成丸药,大小如梧桐子。小儿服用更小的丸药。用浓朴汤送服,每次四十丸,可根据情况加减。
定粉散,用于治疗疳痢、五色痢。
药材包括:定粉、龙骨、黄丹(炒过,各二钱)、诃子(三个,煨熟,取果肉)。
将上述药物研成细末。每次服用半钱,用粥饮送服,三岁以上儿童服用半钱。
The song in "Xing Zheng Lun" states: Dysentery with five colors has the most diverse causes; seeing this symptom indicates there are five types. Green color is solely due to fright causing qi stagnation and accumulation; yellow is mostly due to food stagnation in the spleen; white is caused by cold deficiency in the intestines and stomach; red is due to accumulated heat, which is hardest to stabilize; chicken liver color (purple-black) indicates hidden accumulation of blood stasis, often appearing in clumps; black involves the mixture of blood and toxins, also difficult to stabilize. If accompanied by lip twitching, chest distension, exposed teeth, facial redness, and protruding meridians, these are often precursors to worsening conditions. At this point, it is urgent to soothe the zang-fu organs and administer harmonizing decoctions; physicians should pay attention and follow the ancients' wisdom.
Another song states: Do not consider dysentery with five colors strange; it begins to appear in children before the age of four. Green is still due to fright causing qi stagnation and accumulation; yellow is due to food stagnation toxins in the spleen; red and black indicate heart and kidney diseases respectively; white is mostly due to spleen damage. Before the age of twenty-one (three sevens), the body undergoes no major changes; do not allow excessive sleep, and ensure feeding and drinking are slow and moderate. Treating this disease requires first harmonizing the five zang organs and tonifying Ying and Wei Qi, so that the condition will gradually heal. If accompanied by swollen eyes and inability to eat (Yang considered this a bad omen), simply administer Tiao Wei San for supplementation.
Mr. Wang from Handong's Decoction and Pills treat pediatric diarrhea and dysentery, characterized by excretion of five-colored pus and blood resembling rotten fish intestines, with no normal stool, only pus and blood, and churning pain in the intestines.
Ingredients: Fen Shuang (Lead Oxide), Qing Fen (Calomel), Sha (Realgar) (each 1 qian), Zhu Sha (Cinnabar) (1 qian bi using a scoop), Bai Ding Xiang (Stolex) (4 qian using a spoon), Ru Xiang (Frankincense) (0.5 qian, separately ground), Ba Dou (Croton Seed) (7 grains, peeled and cored, without extracting oil).
Grind the above into powder, and form pills using steamed jujube flesh. For infants, take three pills the size of millet seeds; for children aged two to three, the size of hemp seeds; for ages four to five, the size of sesame seeds. Prepare fresh for each dose, swallow with boiled water decoction, twice a day, interspersed with administration of stomach-regulating medicines.
Formula for internal treatment among the thirty-six types, for five-colored foul matter and incessant mental restlessness and heat:
Ingredients: Di Yu (Sanguisorba Root), Bai Fu Ling (Poria), Huang Bo (Phellodendron Bark) (roasted, each 1 liang).
Grind the above into powder. Take 1 qian per dose, add one cup of water, boil down to half a cup, remove dregs, and divide into three doses.
San Shuang Wan (Three Frost Pills) treats pediatric red-white or five-colored stagnant dysentery.
Ingredients: Ba Dou (Croton Seed) (peeled, select white, plump, good quality ones, 3 qian, grind finely, first wrap in white silk cloth thirty to twenty layers thick, then wrap in white paper outside, press with a large stone until oil is exhausted, use the remaining 2 qian of lighter material), Zhen Qing Fen (Pure Calomel), Fen Shuang (Lead Oxide) (each 2 qian).
Grind the above three ingredients together until extremely fine. Separately take 3 qian of good yellow beeswax, boil in wine for thirty to twenty boils, remove, drain the wine cleanly, melt again, and mix with the medicine. Wine-boiled wax is also acceptable. Form into a paste, store in oiled paper. When administering, roll into pills the size of small mung beans.
For children under three years old, pill size like millet seeds, take three to five pills per dose, swallow with warm cooked water, adjust dosage according to the child's size.
"Ji Family Transmission" formula for treating five-colored dysentery with incessant thirst:
Ingredients: Fu Ling (Poria), Xuan Huang Lian (Scutellaria), Huang Bo (Phellodendron Bark) (equal parts).
Take the Huang Bo powder, mix with Jiang Shui (fermented grain water) to form a paste like flour dough, let stand for a while, then mix with the other two ingredients to form pills the size of mung beans. For three-year-olds, take seven pills with rice drink. To kill Glandworms (Gan), take five pills with cooked water.
Zhi Sheng Wan (Supreme Sage Pill) treats five-colored dysentery.
Ingredients: Hou Po (Magnolia Bark) (peeled, ginger-processed), Huang Bo (Phellodendron Bark) (lightly peeled, coated with egg white and roasted until yellow and ripe, re-coat if dry), Dang Gui (Angelica Sinensis) (soaked in wine).
Grind the above three ingredients equally into fine powder, bind with refined honey to form pills the size of sophora seeds. For children, make smaller pills. Administer with Hou Po Tang decoction, forty pills per dose, adjust as needed.
Ding Fen San (Fixed Powder Powder) treats Gan Dysentery and five-colored dysentery.
Ingredients: Ding Fen (White Lead Powder), Long Gu (Fossilized Bones), Huang Dan (Red Lead) (calcined, each 2 qian), He Zi (Chebula Fruit) (three fruits, roasted until ripe, take the flesh).
Grind the above into powder. Take half a qian per dose, swallow with porridge drink. For children over three years old, take half a qian.