黄帝问曰∶人若溏泄下利者何也?对曰∶春伤于风,夏生溏泄,肠 久风,亦为溏泄也。
(《
治热水谷下痢,黄连阿胶汤方。
黄连 阿胶(炙各二两) 栀子(三十枚) 乌梅(二十枚) 黄柏(一两)
上五味,切,以水七升,煮取二升半,分为再服,神良。(《外台》卷二十五)
又方
黄连(一升金色者) 陈米(五合)
上二味,以水七升,煮取二升,分再服。(《外台》卷二十五)
蜀沙门传水痢方。
以诃黎勒三颗,面裹炮赤去面,取诃黎勒皮捣末,饭和为丸,米饭空腹下三七丸、已百
人见效。(《证类本草》卷十四)
治杂下,乌梅丸方。第一下赤,二下白,三下黄,四下青,五下黑,六固病下,下如瘀
赤血,七久下,八下不可止,九连年下,十卒下,十一下少血数,十二霍乱而下,十三如舍
水,十四下已则烦,十五息下,一作一止,十六下而不欲食,十七食无数,但下去,十八下
但欲饮水,十九重下,二十下杂,错不可铭字。合二十种下,江夏下太守以此法治是下尽愈
方。
黄连(一两) 黄柏(一两) 熟艾(一两) 附子(一两炮) 甘草(一两) 干
姜(二两) 乌梅(
凡七物,合捣,下筛蜜和丸,如大豆饮服十丸,渐至二十丸,日三。(《医心方》卷十一)
黄帝问道:人如果出现大便稀溏、腹泻的症状,是什么原因呢?(医生)回答说:春季感受风邪,到了夏季就会发生大便稀溏的泄泻;肠道长期受风邪侵袭,也会形成大便稀溏的泄泻。
(《外台秘要》卷二十五记载)治疗热性水谷痢疾的黄连阿胶汤方。
黄连、阿胶(炙干,各二两)、栀子(三十枚)、乌梅(二十枚)、黄柏(一两)。
以上五味药,切碎,用水七升,煎煮至取药液二升半,分两次服用,效果神奇良好。(出自《外台秘要》卷二十五)
又一方:
黄连(一升,以金色者为佳)、陈米(五合)。
以上两味药,用水七升,煎煮至取药液二升,分两次服用。(出自《外台秘要》卷二十五)
蜀地沙门传授的治疗水样腹泻的方子。
用诃黎勒三颗,用面粉包裹后炮制至变红,去掉面粉,取诃黎勒皮捣成粉末,用米饭调和做成丸剂,空腹时送服三七丸,已有百人见效。(出自《证类本草》卷十四)
治疗各种类型腹泻的乌梅丸方。第一种是下赤痢,第二种下白痢,第三种下黄痢,第四种下青痢,第五种下黑痢,第六种是顽固性腹泻,第七种是久泻不止,第八种是腹泻无法停止,第九种是连年腹泻,第十种是突然发作的腹泻,第十一种是少量但次数频繁的腹泻,第十二种是霍乱伴腹泻,第十三种是泻下物像清水一样,第十四种是腹泻后感到心烦,第十五种是间歇性腹泻,即有时停止有时发作,第十六种是腹泻且不想进食,第十七种是饮食无度,但食物只进不出直接泻下,第十八种是腹泻只想喝水,第十九种是严重腹泻,第二十种是杂症腹泻,错杂复杂难以用文字形容。合计二十种腹泻,江夏郡前太守用此法治好了所有的这些腹泻。
黄连(一两)、黄柏(一两)、熟艾(一两)、附子(炮制,一两)、甘草(一两)、干姜(二两)、乌梅(若干,原文此处似有缺漏,通常乌梅丸中乌梅用量较大,依文意推测为方中成分之一)。
凡七味药,混合捣碎,过筛,用蜂蜜调和做成丸剂,如大豆大小,每次饮服十丸,逐渐增加至二十丸,每日三次。(出自《医心方》卷十一)
Yellow Emperor asked, saying: What is the cause of loose stools and diarrhea in humans? The response was: If one is injured by wind in spring, loose stools (diarrhea with unformed feces) will occur in summer; if the intestines are long-term affected by wind, it also results in loose stools (diarrhea with unformed feces).
(Treatments for hot-type water-and-grain dysentery, Huanglian Ejiao Tang Formula.)
Coptidis Rhizoma (Huanglian), Donkey-hide Gelatin (Ejiao) [roasted, two liang each], Gardenia Fruit (Zhizi) [thirty pieces], Mume Fruit (Wumei) [twenty pieces], Phellodendron Bark (Huangbai) [one liang].
The above five herbs are cut, boiled in seven sheng of water until reduced to two and a half sheng of decoction, divided into two doses. It is highly effective. (From *Waitai Miyao*, Vol. 25)
Another formula:
Coptidis Rhizoma (Huanglian) [one sheng, preferably golden-colored], Aged Rice (Chenmi) [five ge].
The above two ingredients are boiled in seven sheng of water until reduced to two sheng of decoction, divided into two doses. (From *Waitai Miyao*, Vol. 25)
A Buddhist monk from Shu transmitted a formula for treating watery diarrhea.
Take three fruits of Chebula Terminalia (Helile), wrap them in flour, and roast until red. Remove the flour, take the peel of Helile, pound it into powder, mix with rice paste to form pills. Take thirty-seven pills on an empty stomach with rice water. Hundreds have seen efficacy. (From *Zhenglei Bencao*, Vol. 14)
Formula for treating miscellaneous types of diarrhea, Wumei Wan (Mume Pill).
Type 1: Bloody stool; Type 2: White stool; Type 3: Yellow stool; Type 4: Green stool; Type 5: Black stool; Type 6: Stubborn/chronic diarrhea; Type 7: Long-standing diarrhea; Type 8: Incessant diarrhea that cannot stop; Type 9: Year-long diarrhea; Type 10: Sudden onset diarrhea; Type 11: Scanty but frequent stools; Type 12: Cholera-like diarrhea; Type 13: Stools like clear water; Type 14: Diarrhea accompanied by vexation; Type 15: Intermittent diarrhea (stops and starts); Type 16: Diarrhea with loss of appetite; Type 17: Indiscriminate eating followed by immediate expulsion; Type 18: Diarrhea with intense thirst for water; Type 19: Severe diarrhea; Type 20: Complex/miscellaneous diarrhea, too intricate to describe fully.
There are twenty types of diarrhea in total. The former Governor of Jiangxia Commandery cured all these conditions using this method.
Coptidis Rhizoma (Huanglian) [one liang], Phellodendron Bark (Huangbai) [one liang], Prepared Mugwort Leaf (Shuai Ai) [one liang], Aconite Root (Fuzi) [processed, one liang], Licorice Root (Gancao) [one liang], Dried Ginger (Ganjiang) [two liang], Mume Fruit (Wumei) [quantity implied].
All seven herbs are mixed, pounded, sifted, and combined with honey to form pills the size of soybeans. Take ten pills initially with warm water, gradually increasing to twenty pills, three times a day. (From *Ishinpo*, Vol. 11)