《圣惠》夫小儿脓血痢者，由热毒在脏，血得热则流溢，渗入大肠，与肠间津液相搏，积热蕴结，血
化为脓，腹虚则泄，故成脓血痢也。
《葛氏肘后》小儿毒下及赤滞，下如鱼脑。白头翁丸方
白头翁（三分） 黄连（六分，研） 石榴皮（三分，有毒、除石榴皮，用犀角屑三分）
上三物，以水二升，煮取八合，儿生四十日以五合为三服，大者，则加药。
《肘后》乳母方
扁豆茎（一升，炙令干，乃切之） 人参（三两）
上，以水三升，煎取一大升半，去滓取汁，煮粟米粥与乳母食之，良。常遍盖
覆乳勿冷，佳。又法，乳母常食粥，仍欲乳儿，先捻去少许，即当佳。
《肘后·近效方》疗小儿三岁即患痢，初患脓少血多，四日脓多血少，日夜四十余行。朱子丸方服即效。
生地黄（汁五小合） 羊肾脂（一小合）
上先温肾脂令暖，分三四服，立效。乳母须禁食，并有乳母方在前。
《千金》黄柏汤 治小儿夏月伤暴寒，寒折大热，热入胃，下赤白滞如鱼脑，壮热头痛，身热手足烦，
此太阳之气外伤于寒，使热气便入胃也，服此方良。若误以利药下之，或以温脾汤下之，则热剧。以利药下
之，便数去赤汁如烂肉者，或下之不瘥，后以涩热药断之，下既不止，倍增壮热者服之即效。或者温病热
盛，复遇暴寒折之，热入腹中，下血如鱼脑者，服之良。
黄柏 黄连 白头翁（一作白蔹） 升麻 当归 牡蛎 石榴皮 黄芩 寄生 甘草
（炙。各二分） 犀角 艾叶（各一分）
上十二味， 咀。以水三升，煮取一升二合，百日儿至二百日，一服三合，二百余日至期岁，一服三合半。
《千金》治小儿赤白滞下杂方 薤白一把，豉一升，以水三升，煮取二升，分三服。柏叶、麻子末各一升，以水
五升，煮三沸，百日儿每服三合。乱发灰、鹿角灰等分，三岁儿以水和服三钱匕，日三。牛角 灰，水和服三
方寸匕。捣石榴汁服之。烧蜂房灰，水和服之。生地黄汁、白 荷根汁各五合，微火上煎。
单服生地黄汁一合。
《圣惠》吴蓝散 治小儿脓血痢如鱼脑，腹痛。
吴蓝 川升麻 赤芍药 龙骨（各一两） 栀子仁（半两）
上件药捣，粗罗为散，每服一钱，水一小盏，入豉三七粒，煎至五分，去滓，不计时候，量儿大小，分减温服。
樗根皮散 治小儿脓血痢如鱼脑，困重。
臭樗根皮（一分，锉，炒微黄） 枳壳（去瓤，麸炒微黄） 黄连（去须，微炒） 芜荑（微炒） 赤芍药
（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入豉三十粒、葱白一茎，煎至六分，去滓，
不计时候，量儿大小，分减温服。
人参散 治小儿脓血痢，多时不瘥，腹痛羸瘦，不欲饮食。
人参（去芦头） 当归（锉，微炒） 地榆（微炙、锉） 阿胶（捣碎，炒令黄燥） 黄连（去须，
微炒） 子芩 黄柏（微炙，锉） 赤芍药 芜荑（微炒） 浓朴（去粗皮，涂生姜汁炙、令香熟，各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入薤白一茎，豉五十粒，煎至五分，去滓，不计时
候，量儿大小，分减温服。
鸡屎矾丸 治小儿脓血痢不瘥，渐加瘦弱。
鸡屎矾（烧灰） 龙骨 阿胶（捣碎，炒令黄燥） 黄连（去须，微炒。各一两） 胡粉（一分，炒微黄）
上件药捣，罗为末，煎酽醋为膏和丸，如绿豆大。每服以暖浆水下七丸，日三四服，量儿大小，以意加减。
《养生必用》黄连阿胶丸 治热痢下重，脓血疼痛，腹中痛不可忍。老人、产妇、虚劳人、小儿、并宜服。
黄连（去须，各两半） 白茯苓 白芍药 阿胶（杵碎，慢火、炒如珠子白色，别杵为细末。各半两）
上，上三物为细末，斟酌米醋多少，熬胶得所，和匀入臼，杵万下，众手丸如绿豆大。每服自二十丸为
始，止于五十丸，食前温米饮下，日二三，以知为度，未知加药。更丸一等如黄米大，与小儿服。
燔发散 治肠 ，下脓血。
白石脂（一分） 发（烧） 甘草（炙。各二分）
上为末。米汁和二刀圭，日二服。
〔张涣〕健胃丹 治泄利兼脓血，日渐羸瘦。
黄连（一两，去须、微炒） 白矾（一分，枯令汁尽） 乌梅肉（炒） 龙骨 白石脂 神曲（炒） 干
姜（各半两）
上件捣，罗为细末。醋煮面糊和丸，黍米大，每服十粒，米饮下，量儿大小加减。
青橘丹 治冷热相交，赤白相杂脓血。
青橘皮（汤浸，去白、焙） 当归（汤洗，焙） 黄连 干姜（各一两） 浓朴（生姜制） 肉豆蔻（各半两）
上件捣，罗为细末。白面和丸，黍米大。每服十粒，米饮下，食前。
长沙医者王充传通神丸 治小儿大人痢疾下脓血，里急腰重，脐腹疼痛。
没药 五灵脂 乳香（各研细，炒，一钱） 巴豆（七枚，去皮心膜、压出油）
上四味，同研令细匀，滴水为丸，如粟米大。每服一粒，生木瓜研水下，不拘时候。
《圣惠方》论述：小儿脓血痢，是由于热毒蕴结在脏腑，血液受热则流动溢出，渗入大肠，与肠道间的津液相互搏结，积热郁结，血液化为脓液；腹部虚弱则导致泄泻，因此形成脓血痢。
《葛氏肘后方》治疗小儿毒痢及赤白滞下（痢疾），排泄物状如鱼脑的白头翁丸方：
白头翁（三分） 黄连（六分，研碎） 石榴皮（三分，若有毒性，可去除石榴皮，改用犀角屑三分）
以上三味药，用水二升，煎煮至八合，出生四十天的婴儿每次服用五合，分为三次服完；年龄较大的儿童，则增加药量。
《肘后方》乳母服药方：
扁豆茎（一升，炙烤至干，然后切碎） 人参（三两）
以上药物，用水三升，煎取一大升半的药汁，去渣取汁，用来煮粟米粥给乳母食用，效果良好。平时要注意经常覆盖保暖乳汁，使其不冷，这样更好。另一种方法，乳母常喝粥，并且想要哺乳婴儿时，先挤掉少许乳汁，随后再喂，应当会有好效果。
《肘后·近效方》治疗小儿三岁即患痢疾，初起时脓少血多，四日后脓多血少，日夜排便四十多次的朱子丸方，服用后即见效。
生地黄（取汁五小合） 羊肾脂（一小合）
先将羊肾脂加热使其变暖，分为三到四次服用，立即见效。乳母必须禁食某些食物，另有乳母方在前面记载。
《千金方》黄柏汤：治疗小儿夏季因突发寒邪损伤，寒气遏制了体内大热，热气进入胃中，导致排泄赤白黏液状如鱼脑，高热头痛，身体发热且手足烦扰。这是太阳之气在外受寒邪侵袭，使热气便进入胃中，服用此方良好。如果误用泻下药攻下，或用温脾汤攻下，则热势加剧。若用泻下药攻下，导致频繁排出赤色汁液如烂肉者，或者泻下后病未愈，后来再用涩肠止泻的热药断绝，但腹泻仍不止，反而倍增壮热的情况，服用此方即见效。或者是温病热盛，又遇突发寒邪遏制，热气进入腹中，导致下血状如鱼脑的情况，服用此方良好。
黄柏 黄连 白头翁（一作白蔹） 升麻 当归 牡蛎 石榴皮 黄芩 桑寄生 甘草（炙。各二分） 犀角 艾叶（各一分）
以上十二味药，切碎。用水三升，煎煮取一升二合，一百天至二百天的婴儿，每次服用三合；二百多天至一岁，每次服用三合半。
《千金方》治疗小儿赤白滞下杂方：
薤白一把，豉一升，用水三升，煎煮取二升，分三次服用。柏叶、麻子末各一升，用水五升，煮沸三沸，百日大的婴儿每次服用三合。乱发灰、鹿角灰等分，三岁大的儿童用水调和服用三钱匕，每日三次。牛角灰，用水调和服用三方寸匕。捣石榴汁服用。烧蜂房灰，用水调和服用。生地黄汁、白荷花根汁各五合，在微火上煎煮。单独服用生地黄汁一合。
《圣惠方》吴蓝散：治疗小儿脓血痢状如鱼脑，腹痛。
吴蓝 川升麻 赤芍药 龙骨（各一两） 栀子仁（半两）
以上药物捣碎，粗筛为散剂，每次服用一钱，水一小盏，加入豉三七粒，煎至五分，去渣，不限时候，根据孩子大小，减量温热服用。
樗根皮散：治疗小儿脓血痢状如鱼脑，病情沉重。
臭樗根皮（一分，锉碎，炒至微黄） 枳壳（去瓤，麸炒微黄） 黄连（去须，微炒） 芜荑（微炒） 赤芍药（各半两）
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，加入豉三十粒、葱白一茎，煎至六分，去渣，不限时候，根据孩子大小，减量温热服用。
人参散：治疗小儿脓血痢，久治不愈，腹痛消瘦，不想饮食。
人参（去芦头） 当归（锉碎，微炒） 地榆（微炙、锉碎） 阿胶（捣碎，炒至黄燥） 黄连（去须，微炒） 子芩 黄柏（微炙，锉碎） 赤芍药 芜荑（微炒） 浓朴（去粗皮，涂生姜汁炙、令香熟，各半两）
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，加入薤白一茎，豉五十粒，煎至五分，去渣，不限时候，根据孩子大小，减量温热服用。
鸡屎矾丸：治疗小儿脓血痢久治不愈，逐渐消瘦虚弱。
鸡屎矾（烧成灰） 龙骨 阿胶（捣碎，炒至黄燥） 黄连（去须，微炒。各一两） 胡粉（一分，炒微黄）
以上药物捣碎，过筛为粉末，煎浓醋为膏调和制成丸药，如绿豆大。每次用暖浆水送服七丸，每日三到四次，根据孩子大小，酌情加减。
《养生必用方》黄连阿胶丸：治疗热痢里急后重，脓血疼痛，腹中痛不可忍。老人、产妇、虚劳人、小儿，都适宜服用。
黄连（去须，各两半） 白茯苓 白芍药 阿胶（杵碎，慢火炒如珠子白色，另杵为细末。各半两）
以上三味药为细末，斟酌米醋多少，熬胶得当，混合均匀放入臼中，杵一万下，众人手搓成如绿豆大的丸药。每次从二十丸开始，最多五十丸，饭前用温米饮送服，每日二三次，以见效为度，未见效则增加药量。再制作一等如黄米大的丸药，给小儿服用。
燔发散：治疗肠澼（痢疾），下脓血。
白石脂（一分） 头发（烧成灰） 甘草（炙。各二分）
以上为粉末。用米汁调和二刀圭，每日两次服用。
〔张涣〕健胃丹：治疗泄利兼有脓血，日渐消瘦。
黄连（一两，去须、微炒） 白矾（一分，枯令汁尽） 乌梅肉（炒） 龙骨 白石脂 神曲（炒） 干姜（各半两）
以上药物捣碎，过筛为细末。醋煮面糊调和制成丸药，如黍米大，每次服用十粒，米饮送服，根据孩子大小加减。
青橘丹：治疗冷热相交，赤白相杂脓血。
青橘皮（汤浸，去白、焙干） 当归（汤洗，焙干） 黄连 干姜（各一两） 浓朴（生姜制） 肉豆蔻（各半两）
以上药物捣碎，过筛为细末。白面和丸，如黍米大。每次服用十粒，米饮送服，饭前服用。
长沙医者王充传通神丸：治疗小儿大人痢疾下脓血，里急腰重，脐腹疼痛。
没药 五灵脂 乳香（各研细，炒，一钱） 巴豆（七枚，去皮心膜、压出油）
以上四味药，同研令细匀，滴水为丸，如粟米大。每次服用一粒，生木瓜研碎用水送下，不拘时候。
Shenghui Fang states: Pediatric dysentery with pus and blood is caused by heat-toxin accumulating in the zang-organs. Blood, when subjected to heat, flows and overflows, seeping into the large intestine, where it contends with the fluids between the intestines. Accumulated heat condenses, transforming blood into pus; due to abdominal deficiency, diarrhea occurs, thus forming dysentery with pus and blood.
Ge Shi's Zhouhou Fang treats pediatric toxic dysentery and red-dysentery with stagnation (dysentery), where excrement resembles fish brains, using the Baitouweng Wan (Baitouweng Pill) formula:
Baitouweng (Pulsatillae Radix) (3 fen) Huanglian (Coptidis Rhizoma) (6 fen, ground) Shiliupi (Punicae Pericarpium) (3 fen; if toxic, remove Shiliupi and use Xijiaoxie (Rhinocerotis Cornu Treated Slice) 3 fen instead).
The above three substances are boiled in two sheng of water until eight ge remains. For an infant born forty days old, administer five ge divided into three doses; for older children, increase the dosage accordingly.
Zhouhou Fang nursing mother prescription:
Biandoujing (Vigna umbellata Stem) (1 sheng, roasted until dry, then cut) Renshen (Ginseng Radix et Rhizoma) (3 liang).
Boil the above in three sheng of water to obtain one and a half sheng of decoction. Strain and take the juice to cook millet porridge for the nursing mother to eat; this is beneficial. Usually, cover and keep the breast milk warm, avoiding coldness, which is optimal. Another method: if the nursing mother frequently eats porridge and wishes to nurse the infant, squeeze out a small amount first, then feed; this should be effective.
Zhouhou · Jinxiao Fang treats pediatric dysentery starting at age three, initially presenting with little pus and much blood, changing after four days to much pus and little blood, with more than forty bowel movements day and night. The Zhuzi Wan (Zhuzi Pill) formula is effective upon administration:
Shengdihuang (Rehmanniae Radix) juice (5 small he) Yangshenzhi (Ovis/Capis Ren Medulla) (1 small he).
First warm the kidney fat until hot, divide into three or four doses for immediate effect. The nursing mother must observe dietary restrictions; see the nursing mother formula mentioned earlier.
Qianjin Fang Huangbai Tang (Phellodendri Decoction): Treats pediatric summer injury from sudden cold, where cold suppresses excessive internal heat, allowing heat to enter the stomach, resulting in discharge of red and white mucus resembling fish brains, high fever, headache, body heat, and restlessness in hands and feet. This occurs when Taiyang qi is externally injured by cold, causing heat to enter the stomach; taking this formula is beneficial. If mistakenly treated with purgatives or Wentai Tang (Warming Spleen Decoction), heat will intensify. If purgatives cause frequent passage of red fluid like rotten flesh, or if purgation fails to cure and subsequent use of astringent-hot medicines stops diarrhea but fails to stop flow while doubling high fever, this formula is effective. Alternatively, if warm disease heat is severe and suddenly suppressed by cold, causing heat to enter the abdomen and blood discharge resembling fish brains, this formula is beneficial.
Huangbai (Phellodendri Cortex) Huanglian (Coptidis Rhizoma) Baitouweng (Pulsatillae Radix) [or Bailian (Ampelopsis Radix)] Shengma ( Cimicifugae Rhizoma) Danggui (Angelicae Sinensis Radix) Muli (Concha Ostreae) Shiliupi (Punicae Pericarpium) Huangqin (Scutellariae Radix) Sangjisheng (Taxilli Caulis) Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 2 fen) Xijiao (Rhinocerotis Cornu) Aiye (Artemisiae Argyi Folium) (each 1 fen).
Twelve ingredients are chopped. Boil in three sheng of water to obtain one sheng and two ge. For infants aged 100-200 days, administer 3 ge per dose; for those aged over 200 days up to one year, administer 3.5 ge per dose.
Qianjin Fang miscellaneous formulas for pediatric red-white dysentery:
Xiebai (Allii Macrostemonis Bulbus) one bunch, Chi (Sojae Semen Praeparatum) one sheng, boil in three sheng of water to obtain two sheng, divide into three doses. Baiye (Platycladi Cacumen) and Mazimo (Cannabis Fructus) powder, one sheng each, boil in five sheng of water for three boils; for 100-day-old infants, administer 3 ge per dose. Luofahui (Hair Ash) and Lujiaohui (Cervi Cornu Colla Ash) in equal parts, mix with water for 3-year-old children to take 3 qianbi, three times daily. Niujiaohui (Bovis Cornu Ash), mix with water to take 3 fangcunbi. Drink crushed Pomegranate juice. Take ash of burned Beehive (Fengfang), mixed with water. Shengdihuang juice and Baihegen (Nymphaeae Rhizoma) juice, each 5 he, simmer on low heat. Take Shengdihuang juice alone, 1 he.
Shenghui Fang Wulan San (Isatidis Powder): Treats pediatric dysentery with pus and blood resembling fish brains, and abdominal pain.
Wulan (Israditis Folium et Radix) Chuan Shengma (Cimicifugae Rhizoma) Chishaoyao (Paeoniae Radix Rubra) Longgu (Os Draconis) (each 1 liang) Zhizi Ren (Gardeniae Fructus) (0.5 liang).
Grind the above herbs into a coarse powder. Take 1 qian per dose with one small cup of water, add 7-8 grains of Chi, boil to 0.5 portion, strain, and take warm according to the child's size at any time.
Chugenpi San (Akebiae Cortex Powder): Treats pediatric dysentery with pus and blood resembling fish brains, severe condition.
Chou Chugenpi (Akebiae Caulis Cortex) (1 fen, chopped, roasted slightly yellow) Zhiqiao (Aurantii Fructus) (pith removed, bran-roasted slightly yellow) Huanglian (Coptidis Rhizoma) (fibers removed, slightly roasted) Wuyi (Myricae Fructus) (slightly roasted) Chishaoyao (Paeoniae Radix Rubra) (each 0.5 liang).
Grind the above herbs into a coarse powder. Take 1 qian per dose with one small cup of water, add 30 grains of Chi and one stem of Congbai (Allii Fistulosi Bulbus), boil to 0.6 portion, strain, and take warm according to the child's size at any time.
Renshen San (Ginseng Powder): Treats pediatric dysentery with pus and blood that persists for a long time without healing, abdominal pain, emaciation, and loss of appetite.
Renshen (Ginseng Radix et Rhizoma) (rhizome removed) Danggui (Angelicae Sinensis Radix) (chopped, slightly roasted) Diyü (Sanguisorbae Radix) (slightly roasted, chopped) Ejiao (Colla Corii Asini) (crushed, roasted until yellow and dry) Huanglian (Coptidis Rhizoma) (fibers removed, slightly roasted) Zixin (Scutellariae Radix) Huangbai (Phellodendri Cortex) (slightly roasted, chopped) Chishaoyao (Paeoniae Radix Rubra) Wuyi (Myricae Fructus) (slightly roasted) Houpo (Magnoliae Officinalis Cortex) (bark removed, coated with ginger juice, roasted until fragrant, each 0.5 liang).
Grind the above herbs into a coarse powder. Take 1 qian per dose with one small cup of water, add one stem of Xiebai and 50 grains of Chi, boil to 0.5 portion, strain, and take warm according to the child's size at any time.
Jishifan Wan (Chicken Dropping Alum Pill): Treats pediatric dysentery with pus and blood that does not heal, leading to gradual emaciation and weakness.
Jishifan (Alumen Preparatum) Longgu (Os Draconis) Ejiao (Colla Corii Asini) (crushed, roasted until yellow and dry) Huanglian (Coptidis Rhizoma) (fibers removed, slightly roasted, each 1 liang) Hufen (Cerussa) (1 fen, roasted slightly yellow).
Grind the above herbs into fine powder, boil strong vinegar into a paste to bind into pills the size of mung beans. Administer seven pills per dose with warm rice gruel, three to four times daily, adjusting according to the child's size.
Yangsheng Biyong Fang Huanglian Ejiao Wan (Coptidis and Donkey-hide Gelatin Pill): Treats heat-dysentery with tenesmus, painful pus and blood, and unbearable abdominal pain. Suitable for elderly, postpartum women, consumptive patients, and children.
Huanglian (Coptidis Rhizoma) (fibers removed, 1.5 liang each) Baifuling (Poria) Baishaoyao (Paeoniae Radix Alba) Ejiao (Colla Corii Asini) (pounded, slow-roasted until white like beads, pounded separately into fine powder, each 0.5 liang).
Make the above three ingredients into fine powder. Add appropriate amount of rice vinegar, melt gelatin properly, mix evenly, pound in mortar ten thousand times, and roll into pills the size of mung beans by hand. Start with twenty pills, up to fifty pills, taken warm with rice drink before meals, two to three times daily. Stop when effective; if not effective, increase dosage. Make another batch of pills the size of millet seeds for children.
Fafen San (Burned Powder): Treats Changpi (intestinal dysentery) with pus and blood discharge.
Baishizhi (Halloysitum Rubrum) (1 fen) Fa (Hair) (burned) Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 2 fen).
Grind into powder. Mix with rice juice to form two Dao Gui, take twice daily.
[Zhang Huan] Jianwei Dan (Stomach-Strengthening Pill): Treats diarrhea with pus and blood, leading to gradual emaciation.
Huanglian (Coptidis Rhizoma) (1 liang, fibers removed, slightly roasted) Baifan (Alumen) (1 fen, calcined until dry) Wumei Rou (Mume Fructus) (roasted) Longgu (Os Draconis) Baishizhi (Halloysitum Rubrum) Shenqu (Massa Medicata Fermentata) (roasted) Jiangjiang (Zingiberis Rhizoma) (each 0.5 liang).
Grind and sieve into fine powder. Bind with vinegar-boiled flour paste into pills the size of millet seeds. Take ten pills per dose with rice drink, adjusting according to the child's size.
Qingju Dan (Green Tangerine Pill): Treats cold-heat intermingling, mixed red and white pus and blood.
Qingjupi (Citri Reticulatae Pericarpium) (soaked in boiling water, pith removed, dried) Danggui (Angelicae Sinensis Radix) (washed in boiling water, dried) Huanglian (Coptidis Rhizoma) Jiangjiang (Zingiberis Rhizoma) (each 1 liang) Houpo (Magnoliae Officinalis Cortex) (prepared with ginger) Roudoukou (Myristicae Semen) (each 0.5 liang).
Grind and sieve into fine powder. Bind with white flour into pills the size of millet seeds. Take ten pills per dose with rice drink before meals.
Tongshen Wan (Miracle Spirit Pill) transmitted by Wang Chong, a physician from Changsha: Treats dysentery with pus and blood in children and adults, tenesmus, heavy waist, and umbilical/abdominal pain.
Moyao (Myrrha) Wulingzhi (Trogopterori Excrement) Rushiang (Boswelliae Resina) (each finely ground, roasted, 1 qian) Badou (Crotonis Fructus) (seven seeds, skin and heart membrane removed, oil pressed out).
Grind the four ingredients together until fine and uniform. Form pills with drops of water, the size of millet seeds. Take one pill per dose with raw Papaya ground in water, at any time.