《巢氏病源·小儿蛊毒痢候》岁时寒暑不调，而有毒厉之气，小儿解脱，为其所伤，邪与血气相搏，入于
肠胃，毒瓦斯蕴积，值大肠虚者则变痢血，其痢状，血色蕴瘀如鸡鸭肝片随痢下，此是毒瓦斯盛热，食于人脏，状
如中蛊，故谓之蛊毒痢也。《石壁经》脾毒痢歌曰∶脾间有毒号纯阳，本为医人热药伤，致使大肠多结涩，多饶
滴血在枯肠，如风腹闭难开眼，身热头温脚转凉，舌赤胸高为此候，多啼喘急更如狂，先须解热并开胃，便是
明医用药良。此脾受热积，失治则伏毒，治当凉脾，次去其积，若胸前骨忽然高者，更加喘急，则不治也。《
凤髓经》歌同有注云∶宜与金华散（实热）、香连丸（即吉氏香连丸见前条）。《形证论》风毒痢歌∶八痢之中
风转难，形如青草汁多般，毒风豆汁添邪热，胃败鸡肝片片全，加赤不须先下积，闭眸食绝不堪看，若
归白痢远须下，脏腑频温得本源。
《千金》治下血状如鸡肝，腹中搅痛难忍，号蛊毒痢方
茜根 升麻 犀角（各三两） 桔梗 黄柏 黄芩（各二两） 地榆 白 荷（各四两）
上八味， 咀。以水九升，煮取二升半，分三服。此蛊痢血用之，小儿分减服。
《图经》治蛊痢方
侧柏叶（焙干，为末） 川黄连（等分）
上二味同煎为汁服之。以疗男子妇人小儿大腹下黑血，茶脚色或脓血如淀，所谓蛊痢者，治之有殊效，
又能杀五脏蛊。
《子母秘录》小儿蛊毒痢方
上用生地黄汁一升二合，分三四服。立效。
《圣惠》 荷散 治小儿蛊毒痢不止，身体壮热烦闷。
白 荷根 川升麻（各一两） 败鼓皮（一分，炙黄焦） 甘草（炙微赤、锉） 干蓝叶（各半两）
赤芍药 犀角屑（各三分）
上件药捣，粗罗为散。每服一钱，以水一小盏，入豉二七粒，煎至五分，去滓，不计时候，量儿大
小，分减温服。
《圣惠》黄连散 治小儿蛊毒痢血，体瘦。
黄连（一两，去须、微炒） 败鼓皮（炙令黄焦） 白头翁 甘草（炙微赤、锉） 蓝青（各半两）
犀角（屑） 白 荷根 黄芩 茜根（锉。各三分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓放温，不计时候，量儿大小，分减服之。
《圣惠》犀角散 治小儿蛊毒血痢，发盛心神烦闷，腹胀不欲饮食。
犀角（屑） 白 荷根 地榆（微炙，锉） 桔梗（去芦头） 苏枋木（锉。各三分）
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，分减温服。
《婴孺》 荷根汤 治小儿蛊毒痢。
白 荷根（八分） 犀角（屑） 谷皮（四寸，炙） 升麻（十分） 甘草（四分，炙） 蓝青（一
升） 豉（三合） 芍药（七分）
上，以水四升，煮一升二合，二岁儿，为三服。
《婴孺》犀角煎 治小儿谷痢，挟毒。
地脉草 黄连 葳蕤（各十二分） 黄柏 竹茹 茜草（各八分） 蜜（一升） 人参（六分） 牡蛎
（十分）
粱州榉皮（十四分） 干蓝（四分） 犀角（屑） 甘草（各五分）
上切。以水一斗，煮及二升半，绞去滓，下蜜，火上煎，余二升，三岁一合，三四岁一合半，日二夜一，量与之。
〔张涣〕白头翁散 治蛊毒痢，及肛门脱出。
白头翁 黄连（去须，微炒） 茜根（锉，焙干） 苏枋木 故旧鼓皮（炙令黄焦。各一两） 犀角（屑）
地榆（炙、锉。各半两） 甘草（一分，炙）
上件捣，罗为细末。每服一钱，水一小盏，煎六分，去滓服，量儿大小加减，乳食前。
地榆丹 消毒止痢。
地榆（炙，锉） 黄连 干蓝叶 川升麻（各一两） 川楝子 苦楝根（各半两）
上件捣，罗为细末。软饭和丸，黍米大。每服十粒，米饮下，量儿大小加减，乳食前。
宣连丸 治毒痢。
宣连（一钱，作散，用鸡子清和作饼，于瓦上烧干，再为末） 肉豆蔻（一个，去心脐，内入乳香、不拘多少、纸
裹、
火煨黄色） 朱砂 木香（各半钱） 杏仁（七粒，和皮烧） 巴豆（四粒、烧，七粒亦得）
上为末，醋糊丸，如萝卜子大。陈米饮下七粒。赤痢，槐花汤下。
宝童方 治脏毒痢，为吃诸药不愈者。
槐花（半两，炒） 白矾（一两）
上为末。每服一钱，用陈米饮下。
《孔氏家传》治蛊短剧方
取荠 根捣末，以饮服方寸匕。立瘥。一方，可入地榆、臭椿根、同服。
《巢氏病源·小儿蛊毒痢候》记载：若逢岁时寒暑失调，且有剧毒厉气存在，小儿因衣着单薄（解脱），受此邪气侵袭，邪气与人体血气相互搏结，侵入肠胃，导致毒热之气蕴积。若此时大肠虚弱，则转变为便血之痢疾。其痢疾症状表现为：血色瘀滞如鸡鸭肝片状，随粪便排出。这是因为毒热之气旺盛，侵蚀人内脏，症状如同中蛊，所以称之为“蛊毒痢”。
《石壁经》中关于脾毒痢的歌诀写道：“脾间有毒称为纯阳，原本是因为医生误用热性药物损伤所致，致使大肠多现干结涩滞，枯肠中常有滴血流出。患儿如风邪闭阻腹部，难以睁眼，身体发热、头部温暖但脚部转凉，舌质红赤、胸部高耸为这一证候的表现，患儿多啼哭、气喘急促甚至狂躁。治疗时须先清热并开胃，这才是高明医生的用药良方。”这是指脾受热邪积聚，若失治则伏留毒邪，治疗应当先凉脾，其次消除积滞。如果患儿胸前骨骼突然高耸，且伴有气喘急促，则属于不治之症。
《凤髓经》中的歌诀相同，并有注释云：适宜使用金华散（针对实热证）、香连丸（即前文提到的吉氏香连丸）。
《形证论》中关于风毒痢的歌诀写道：“八种痢疾中，风痢最为难治，形态像青草汁液多种样，毒风豆汁增添邪热，胃气败坏出现如鸡肝片片完整的血块。若见赤痢，不必先用攻下法去积滞；若见眼睑闭合、饮食断绝，则病情不堪入目。若归入白痢范畴，则需稍后用攻下法，通过频繁温补脏腑以恢复本源。”
《千金方》治疗下血状如鸡肝，腹中绞痛难忍，名为蛊毒痢的方剂：
茜根、升麻、犀角（各三两）；桔梗、黄柏、黄芩（各二两）；地榆、白荷（各四两）。
以上八味药，切碎。用水九升，煮取二升半，分三次服用。此方用于蛊痢便血，小儿服用时需减量。
《图经》治疗蛊痢的方剂：
侧柏叶（焙干，研为粉末）、川黄连（等分）。
以上两味药同煎成汁服用。用于治疗男子、妇人及小儿大腹下黑血，颜色如茶脚色或脓血如沉淀物，所谓蛊痢者，此方有殊效，又能杀灭五脏之蛊。
《子母秘录》治疗小儿蛊毒痢的方剂：
取生地黄汁一升二合，分三至四次服用。立即见效。
《圣惠方》荷散：治疗小儿蛊毒痢不止，身体壮热烦闷。
白荷根、川升麻（各一两）；败鼓皮（一分，炙至黄焦）；甘草（炙微赤，锉碎）；干蓝叶（各半两）；赤芍药、犀角屑（各三分）。
以上药材捣碎，粗筛为散。每次服用一钱，用水一小盏，加入豉二十粒，煎至五分，去渣，不限时候，根据患儿大小，减量温服。
《圣惠方》黄连散：治疗小儿蛊毒痢血，身体消瘦。
黄连（一两，去须，微炒）；败鼓皮（炙令黄焦）；白头翁；甘草（炙微赤，锉碎）；蓝青（各半两）；犀角（屑）、白荷根、黄芩、茜根（锉碎，各三分）。
以上药材捣碎，粗筛为散。每次服用一钱，用水一小盏，煎至五分，去渣放温，不限时候，根据患儿大小，减量服用。
《圣惠方》犀角散：治疗小儿蛊毒血痢，发作时心神烦闷，腹胀不欲饮食。
犀角（屑）、白荷根、地榆（微炙，锉碎）、桔梗（去芦头）、苏枋木（锉碎，各三分）。
以上药材捣碎，粗筛为散。每次服用一钱，用水一小盏，煎至五分，去渣，不限时候，根据患儿大小，减量温服。
《婴孺方》荷根汤：治疗小儿蛊毒痢。
白荷根（八分）、犀角（屑）、谷皮（四寸，炙）、升麻（十分）、甘草（四分，炙）、蓝青（一升）、豉（三合）、芍药（七分）。
以上药材，用水四升，煮取一升二合。两岁幼儿，分三次服用。
《婴孺方》犀角煎：治疗小儿谷痢，挟带毒邪。
地脉草、黄连、葳蕤（各十二分）；黄柏、竹茹、茜草（各八分）；蜜（一升）；人参（六分）；牡蛎（十分）；粱州榉皮（十四分）；干蓝（四分）；犀角（屑）、甘草（各五分）。
以上药材切碎。用水一斗，煮至二升半，绞去渣，加入蜂蜜，在火上煎，剩余二升。三岁幼儿每次服一合，三四岁幼儿每次服一合半，每日两次夜间一次，根据情况给予。
〔张涣〕白头翁散：治疗蛊毒痢，以及肛门脱出。
白头翁、黄连（去须，微炒）、茜根（锉碎，焙干）、苏枋木、故旧鼓皮（炙令黄焦，各一两）；犀角（屑）、地榆（炙、锉碎，各半两）；甘草（一分，炙）。
以上药材捣碎，罗筛为细末。每次服用一钱，水一小盏，煎至六分，去渣服用，根据患儿大小加减，在乳食前服用。
地榆丹：消毒止痢。
地榆（炙，锉碎）、黄连、干蓝叶、川升麻（各一两）；川楝子、苦楝根（各半两）。
以上药材捣碎，罗筛为细末。用软饭和丸，如黍米大。每次服用十粒，米饮送下，根据患儿大小加减，在乳食前服用。
宣连丸：治疗毒痢。
宣连（一钱，研为散，用鸡蛋清调和做成饼，在瓦上烧干，再研为末）；肉豆蔻（一个，去心脐，内入乳香，不拘多少，用纸包裹，火煨至黄色）；朱砂、木香（各半钱）；杏仁（七粒，带皮烧）；巴豆（四粒，烧，七粒也可以）。
以上研为末，醋糊为丸，如萝卜子大。陈米饮送下七粒。赤痢，用槐花汤送下。
*Source: "Zhengzhi Zhunsheng · Pediatrics" by Wang Kentang (Ming Dynasty), Chapter: Gu Li (Gu Dysentery)*
According to *Chao Shi Bing Yuan · Pediatric Gu Poison Dysentery Syndrome*: When the seasonal cold and heat are disordered, and there is a toxic epidemic qi, children who are inadequately clothed may be injured by it. The pathogen contends with blood and qi, entering the intestines and stomach, where toxic vapors accumulate. If the large intestine is deficient, this transforms into bloody dysentery. The appearance of the dysentery is characterized by blood that is stagnant and瘀 (stasis-like), resembling slices of chicken or duck liver, discharged with the stool. This occurs because the toxic vapor is excessively hot and invades the internal organs; the condition resembles being poisoned by gu (a mythical venomous creature or poison), hence it is called "Gu Poison Dysentery."
The song in *Shi Bi Jing* regarding Spleen Toxic Dysentery states: "There is poison in the spleen called Pure Yang, originally caused by physicians' use of hot medicines injuring the body, leading to frequent constipation and dryness in the large intestine, with many drops of blood in the withered intestines. Like wind closing the abdomen, making it hard to open the eyes; body heat, warm head, but cooling feet; red tongue and high chest are signs of this syndrome. Frequent crying, panting, urgency, and even madness occur. One must first resolve heat and open the stomach; this is the good medicine of a wise physician." This refers to heat accumulation in the spleen; if untreated, latent poison remains. Treatment should cool the spleen first, then remove the accumulation. If the bones at the chest suddenly protrude and are accompanied by panting and urgency, it is incurable.
The song in *Feng Sui Jing* is the same, with notes stating: It is suitable to use Jinhua San (for excess-heat patterns) and Xianglian Wan (which is Ji's Xianglian Wan mentioned in the previous section).
The song in *Xing Zheng Lun* regarding Wind Toxic Dysentery states: "Among the eight types of dysentery, wind dysentery is difficult to treat. The form is like green grass juice in various ways; toxic wind and bean-juice add to the evil heat. With stomach failure, pieces complete like chicken liver appear. For red dysentery, do not first purge the accumulation; for closed eyelids and loss of appetite, the condition is unbearable. If it returns to white dysentery, one must later purge; frequently warming the zang-fu organs retrieves the source."
*Qian Jin Fang* treats lower bleeding resembling chicken liver, with unbearable abdominal twisting pain, named Gu Poison Dysentery Formula:
Qian Gen (Radix Rubiae Cordifoliae), Sheng Ma (Rhizoma Cimicifugae), Xi Jiao (Cornu Rhinocerotis) (each 3 liang); Jie Geng (Radix Platycodonis), Huang Bo (Cortex Phellodendri), Huang Qin (Radix Scutellariae) (each 2 liang); Di Yu (Radix Sanguisorbae), Bai He (Bulbus Lilii) (each 4 liang).
These eight ingredients are cut. Boil in 9 sheng of water to obtain 2.5 sheng, divided into three doses. This is used for Gu dysentery with blood; pediatric doses should be reduced.
*TU Jing* treats Gu Dysentery Formula:
Ce Bai Ye (Cacumen Platycladi, baked dry and powdered), Chuan Huang Lian (Rhizoma Coptidis) (equal parts).
Boil these two ingredients together to make a decoction to drink. It treats men, women, and children with large abdominal black blood discharge, color like tea dregs or pus-blood like sediment, known as Gu Dysentery. This formula has special efficacy and can also kill five-zang gu poison.
*Zi Mu Mi Lu* treats pediatric Gu Poison Dysentery Formula:
Take 1 sheng 2 he of fresh Sheng Di Huang juice (Radix Rehmanniae Preparata), divided into 3-4 doses. Immediate effect.
*Sheng Hui Fang* He San treats pediatric Gu Poison Dysentery that does not stop, with severe body heat and restlessness.
Bai He Gen (Rhizoma Nymphaeae), Chuan Sheng Ma (Rhizoma Cimicifugae) (each 1 liang); Bai Gu Pi (Cortex Cruris Bubali, roasted until yellow and charred), Gan Cao (Radix Glycyrrhizae, roasted slightly red and cut), Gan Lan Ye (Folium Isatidis) (each half liang); Chi Shao Yao (Radix Paeoniae Rubra), Xi Jiao Xie (Cornu Rhinocerotis, shaved) (each 3 fen).
Crush the above herbs, sieve coarsely into powder. Take 1 qian per dose, with one small cup of water, add 14 grains of Chi Dou (Faber Semen), boil to 0.5 cup, strain, take at any time, adjust temperature and dose according to the child's size.
*Sheng Hui Fang* Huang Lian San treats pediatric Gu Poison Dysentery with blood, emaciation.
Huang Lian (Rhizoma Coptidis, 1 liang, remove roots, lightly stir-fried); Bai Tou Weng (Herba Pulsatillae), Gan Cao (Radix Glycyrrhizae, roasted slightly red and cut), Lan Qing (Folium Isatidis) (each half liang); Bai Gu Pi (roasted until yellow and charred), Xi Jiao (Cornu Rhinocerotis, shaved), Bai He Gen (Rhizoma Nymphaeae), Huang Qin (Radix Scutellariae), Qian Gen (Radix Rubiae Cordifoliae, cut) (each 3 fen).
Crush the above herbs, sieve coarsely into powder. Take 1 qian per dose, with one small cup of water, boil to 0.5 cup, strain, let cool to warm, take at any time, adjust dose according to the child's size.
*Sheng Hui Fang* Xi Jiao San treats pediatric Gu Poison Bloody Dysentery, with onset of mental restlessness, abdominal distension, and loss of appetite.
Xi Jiao (Cornu Rhinocerotis, shaved), Bai He Gen (Rhizoma Nymphaeae), Di Yu (Radix Sanguisorbae, lightly roasted and cut), Jie Geng (Radix Platycodonis, remove rhizome head), Su Fang Mu (Lignum Dalbergiae Odoriferae, cut) (each 3 fen).
Crush the above herbs, sieve coarsely into powder. Take 1 qian per dose, with one small cup of water, boil to 0.5 cup, strain, take at any time, adjust temperature and dose according to the child's size.
*Ying Ru Fang* He Gen Tang treats pediatric Gu Poison Dysentery.
Bai He Gen (Rhizoma Nymphaeae, 8 fen), Xi Jiao (Cornu Rhinocerotis, shaved), Gu Pi (Pericarpium Oryzae Sativae, 4 cun, roasted), Sheng Ma (Rhizoma Cimicifugae, 10 fen), Gan Cao (Radix Glycyrrhizae, 4 fen, roasted), Lan Qing (Folium Isatidis, 1 sheng), Chi Dou (Faber Semen, 3 he), Shao Yao (Radix Paeoniae, 7 fen).
Boil these in 4 sheng of water to obtain 1 sheng 2 he. For a two-year-old child, divide into three doses.
*Ying Ru Fang* Xi Jiao Jian treats pediatric Gu Dysentery complicated by toxin.
Di Mai Cao (Herba Ecliptae), Huang Lian (Rhizoma Coptidis), Wei Rui (Rhizoma Polygonati Odorati) (each 12 fen); Huang Bo (Cortex Phellodendri), Zhu Ru (Caulis Bambusae in Taenia), Qian Cao (Radix Rubiae Cordifoliae) (each 8 fen); Mi (Mel, 1 sheng); Ren Shen (Radix Ginseng, 6 fen); Mu Li (Concha Ostreae, 10 fen); Liang Zhou Ju Pi (Cortex Zelkovae Liaotungensis, 14 fen); Gan Lan (Folium Isatidis, 4 fen); Xi Jiao (Cornu Rhinocerotis, shaved), Gan Cao (Radix Glycyrrhizae) (each 5 fen).
Cut the above. Boil in 1 dou of water until 2.5 sheng remain, strain, add honey, boil on fire until 2 sheng remain. For a three-year-old, give 1 he per dose; for four-to-five-year-olds, 1.5 he per dose. Twice daily, once at night, administer according to need.
[Zhang Huan] Bai Tou Weng San treats Gu Poison Dysentery and prolapse of the anus.
Bai Tou Weng (Herba Pulsatillae), Huang Lian (Rhizoma Coptidis, remove roots, lightly stir-fried), Qian Gen (Radix Rubiae Cordifoliae, cut, bake dry), Su Fang Mu (Lignum Dalbergiae Odoriferae), Gu Jiu Gu Pi (Cortex Cruris Bubali, roasted until yellow and charred) (each 1 liang); Xi Jiao (Cornu Rhinocerotis, shaved), Di Yu (Radix Sanguisorbae, roasted, cut) (each half liang); Gan Cao (Radix Glycyrrhizae, 1 fen, roasted).
Crush the above, sieve into fine powder. Take 1 qian per dose, with one small cup of water, boil to 0.6 cup, strain and take, adjust according to child's size, before milk/food.
Di Yu Dan dispels toxicity and stops dysentery.
Di Yu (Radix Sanguisorbae, roasted, cut), Huang Lian (Rhizoma Coptidis), Gan Lan Ye (Folium Isatidis), Chuan Sheng Ma (Rhizoma Cimicifugae) (each 1 liang); Chuan Lian Zi (Fructus Toosendan), Ku Lian Gen (Cortex Meliae) (each half liang).
Crush the above, sieve into fine powder. Mix with soft rice to form pills the size of millet seeds. Take 10 pills per dose, with rice water, adjust according to child's size, before milk/food.
Xuan Lian Wan treats toxic dysentery.
Xuan Lian (Rhizoma Coptidis, 1 qian, made into powder, mixed with egg white to make cakes, dried on tiles, then powdered again); Rou Dou Kou (Semen Myristicae, one, remove heart and navel, insert Ru Xiang (Olibanum) as desired, wrap in paper, roast until yellow); Zhu Sha (Cinnabaris), Mu Xiang (Radix Aucklandoniae) (each half qian); Xing Ren (Semen Armeniacae Amarum, seven grains, roast with skin); Ba Dou (Semen Crotonis, four grains, roast, seven grains also acceptable).
Make into powder, bind with vinegar paste into pills the size of radish seeds. Take 7 pills with aged rice water. For red dysentery, take with Huai Hua Tang (Sophora Flower Decoction).
Bao Tong Fang treats Zang Du Dysentery for those who have not recovered after taking various medicines.
Huai Hua (Flos Sophorae, half liang, stir-fried), Bai Fan (Alumen, 1 liang).
Make into powder. Take 1 qian per dose, with aged rice water.
*Kong Shi Jia Chuan* treats Gu Short Episode Formula:
Take Qi Ni Gen (Radix Sonchi) root, crush into powder, take with water using a square-inch spoon. Immediate cure. Another method: add Di Yu (Radix Sanguisorbae) and Chou Chun Gen (Cortex Ailanthi), take together.