没石子丸 治久患疳痢及酿泻。
没石子(二枚) 南木香(湿纸包,略煨) 净黄连(锉碎,姜汁炒。各二钱半) 肉豆蔻(二枚,炮)
诃子(四枚,炮、去核)
上,锉焙成末。如乌犀丸内制饭糊为丸,粟谷大。每服十丸至三十丸或五十丸,温白汤空心下,或米清汤下。
(巢氏)小儿卒利者,由肠胃虚,暴为冷热之气所伤,而为卒利,热则色黄赤,冷则色青白,若冷热相交,
则变为赤白滞利也。
《圣惠》胡黄连散 治小儿冷热气不和,忽暴下利,腹内疼痛。
胡黄连 母丁香 桂心 木香 肉豆蔻(去壳) 当归(锉,微炒) 麝香(细研。各一分) 犀角
(屑,半分)
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。
龙骨散 治小儿暴利。
龙骨 黄连(去须,微炒。各一两) 当归(锉,微炒) 枳壳(麸炒微黄,去瓤,各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓,不计时候,量儿大小,加减温服。
〔张涣〕阿胶丹 治泄利身热,及暴泻注下。
真阿胶(炙熟) 干姜(各一两) 芍药 当归(洗,焙干) 川黄连 肉豆蔻(各半两)
上件捣。罗为细末,炼蜜和丸,如黍米大。每服十粒,粟米饮下,量儿大小加减。
神仙玉粉丹 补一切虚,不热。男妇小儿皆可服,冷积暴泻,见功尤速。
精明舶上硫黄(一斤,去砂石尽,打碎)
上,用 猪肚七个,旋采桑根白皮三斤,寸锉,将猪肚一个净洗,以硫黄实之,用麻线缝合,水二斗,
先将桑根白皮一斤,同煮一伏时。其余诸肚,亦用慢火养之,不得令冷。候煮满一伏时,别以猪肚换之,
又用白皮,内一斤同煮,再一伏时,又换猪肚并桑白皮。过三伏时,不换白皮,只换猪肚。共煮七伏时,水耗,
以热汤添,不得用冷水,候满七伏时,取出,用温水淘净,研至细,候烈日中晒极热,再研,煮糯米粉
为糊、丸如梧桐子大。每服,空心米饮下十粒至十五粒。大率驱除宿冷,其功效无比,老人经久可服。
没石子丸:治疗长期患有疳痢以及因疳积引起的慢性腹泻。
没石子(两枚) 南木香(用湿纸包裹,略加煨制) 净黄连(切碎,用姜汁炒制。各二钱半) 肉豆蔻(两枚,炮制)
诃子(四枚,炮制、去核)
以上药材,切碎焙干后研成粉末。按照乌犀丸的制法,用米饭糊作为粘合剂制成丸药,大小如粟谷。每次服用十丸至三十丸或五十丸,空腹时用温白开水送服,或者用米汤送服。
(巢元方《诸病源候论》)小儿突然发生痢疾,是由于肠胃虚弱,突然受到冷热气机的伤害,从而引发突然的痢疾。热邪则大便颜色黄赤,寒邪则大便颜色青白,如果冷热之气相互交争,
则会变成赤白相间的滞涩痢疾。
《圣惠方》胡黄连散:治疗小儿冷热之气不和,忽然暴发性下利,腹部疼痛。
胡黄连 母丁香 桂心 木香 肉豆蔻(去壳) 当归(切碎,微炒) 麝香(细研。各一分) 犀角
(锉屑,半分)
以上药物捣碎,过细筛成为散剂。每次服用半钱,用米粥水调服,每日三到四次。根据患儿的大小增减剂量。
龙骨散:治疗小儿暴发性严重腹泻。
龙骨 黄连(去须,微炒。各一两) 当归(切碎,微炒) 枳壳(麸炒至微黄,去瓤,各半两)
以上药物捣碎,粗筛成为散剂。每次服用一钱,用水一小盏,煎煮至五分,滤去药渣,不限时候,根据患儿大小,调整剂量温服。
〔张涣〕阿胶丹:治疗泄利伴有身热,以及暴泻如水注下。
真阿胶(炙熟) 干姜(各一两) 芍药 当归(洗净,焙干) 川黄连 肉豆蔻(各半两)
以上药物捣碎。过筛成为细末,用炼蜜调和制成丸药,大小如黍米。每次服用十粒,用粟米饮送服,根据患儿大小增减剂量。
神仙玉粉丹:补益各种虚损,性质不热。男女小儿皆可服用,对于冷积导致的暴泻,见效尤其迅速。
精明舶上硫黄(一斤,去除砂石尽净,打碎)
以上,用
猪肚七个,随时采摘桑根白皮三斤,切成寸段,将一个猪肚洗净,填入硫黄,用麻线缝合,加水二斗,
先将一斤桑根白皮,同煮一个时辰(两小时)。其余各个猪肚,也用慢火炖养,不得令其变冷。等到煮满一个时辰,另外换上一个猪肚,
再用一斤白皮,一同煮,又一个时辰,再换猪肚和桑白皮。经过三个时辰,不换白皮,只换猪肚。共煮七个时辰,水分消耗,
用热水添加,不得使用冷水,等到煮满七个时辰,取出,用温水淘洗干净,研磨至极细,在烈日中晒至极热,再次研磨,用煮糯米粉
制成的糊状物,制成梧桐子大小的丸药。每次服用,空腹时米饮送服十粒至十五粒。大体上能驱除宿存的寒气,其功效无与伦比,老人经久服用亦可。
Mozishi Wan (Myrobalan Pill): Treats long-standing gan dysentery and chronic diarrhea caused by gan accumulation.
Myrobalan (two pieces) Nanmuxiang (Indonesian Bitterwood Root Bark, wrapped in wet paper, slightly roasted) Jing Huanglian (Coptis Rhizome, crushed, stir-fried with ginger juice. Each 2.5 qian) Roudoukou (Nutmeg, two pieces, processed)
Hezi (Chebula Fruit, four pieces, processed, pitted)
The above herbs are crushed, dried, and ground into powder. Prepared according to the method for Wuxi Wan (Rhinoceros Horn Pill), using rice paste as a binder to form pills, sized like millet grains. Take 10 to 30 or 50 pills each time, swallowed with warm plain water on an empty stomach, or with rice soup.
(Chao Yuanfang's *Zhubing Yuanhou Lun*) Sudden dysentery in children arises from deficiency of the intestines and stomach, where sudden injury by cold or heat qi causes acute dysentery. Heat manifests as yellow-red stool, while cold manifests as green-white stool. If cold and heat qi interact, it transforms into bloody and white mucoid dysentery.
*Shenghui Fang* Huhuanglian San (Picrorhiza Powder): Treats disharmony of cold and heat qi in children, causing sudden acute diarrhea and abdominal pain.
Huhuanglian (Picrorhiza Rhizome) Mudingxiang (Mother Clove Bud) Guixin (Cinnamon Twig) Muxiang (Aucklandia Root) Roudoukou (Nutmeg, shelled) Danggui (Angelica Sinensis Root, crushed, lightly stir-fried) Shexiang (Musk, finely ground. Each 1 fen) Xijiao (Rhinoceros Horn, shaved, 0.5 fen)
The above medicines are pounded, sifted finely to make a powder. Each dose is half a qian, taken mixed with gruel water, three to four times daily. Adjust dosage according to the child's age and size.
Longgu San (Dragon Bone Powder): Treats acute severe diarrhea in children.
Longgu (Fossilized Bones, 1 liang) Huanglian (Coptis Rhizome, remove roots, lightly stir-fried. 1 liang) Danggui (Angelica Sinensis Root, crushed, lightly stir-fried) Zhike (Bitter Orange Fruit, bran-stir-fried until slightly yellow, pulp removed. 0.5 liang)
The above medicines are pounded and coarsely sifted to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup, strained, and taken warm at any time, with dosage adjusted according to the child's size.
[Zhang Huan] Ejiao Dan (Donkey-hide Gelatin Pill): Treats dysentery with body heat, and acute watery diarrhea.
Zhen Ejiao (True Donkey-hide Gelatin, roasted) Ganjiang (Dried Ginger, each 1 liang) Shaoyao (Peony Root) Danggui (Angelica Sinensis Root, washed, dried) Chuan Huanglian (Sichuan Coptis Rhizome) Roudoukou (Nutmeg, each 0.5 liang)
The above are pounded and sifted into fine powder. Mixed with refined honey to form pills, sized like broomcorn millet seeds. Take ten pills each time, swallowed with millet drink, adjusting dosage according to the child's size.
Shenxian Yufen Dan (Immortal Jade Powder Pill): Tonifies all types of deficiency without generating heat. Suitable for men, women, and children. Particularly effective for acute diarrhea caused by cold accumulation.
Jingming Bobo Suhuang (Refined Imported Sulfur, 1 jin, free of sand and stones, crushed)
The above, using
seven pig stomachs, freshly harvested Sanggen Baipi (Mulberry Root Bark, 3 jin), cut into inch-long segments. Wash one pig stomach thoroughly, fill it with sulfur, sew shut with hemp thread, and add two dou of water.
First, boil together with one jin of mulberry root bark for one shichen (two hours). The remaining stomachs are also kept warm over slow fire, ensuring they do not cool down. After one shichen, replace with another pig stomach,
add another jin of mulberry root bark, and boil for another shichen. Then replace both the stomach and the mulberry bark. After three shichen, stop replacing the bark, only replacing the stomachs. Boil for a total of seven shichen. As water evaporates,
add hot water, never cold water. After seven shichen, remove, wash thoroughly with warm water, grind to extreme fineness, dry in the scorching sun until extremely hot, grind again, and use cooked glutinous rice flour paste to bind into pills sized like paulownia seeds. Take ten to fifteen pills each time, swallowed with rice drink on an empty stomach. Generally, it expels retained cold; its efficacy is unparalleled, and it can be taken long-term by the elderly.