此丸清邪热,导滞气,行瘀血,为治痢之圣药,服之神效。川黄连一两二钱,广木香八
钱(不要见火),山楂肉一两二钱炒,川浓朴(去粗皮,姜汁炒)、小青皮(醋炒)各八钱,
生甘
炒)、尖
荷叶包
以上二方,须预为配制,以便随时济人,功能无量。
又,五月五日,取完好荸荠,洗净拭干,勿令损破,放瓶内入好烧酒浸之,黄泥密封收
贮,遇有患者,取一二枚令细嚼,空心食之,仍用原酒送下,极效。
用茄根烧灰存性,石榴皮等分为末,砂糖水调服,即愈。
又,阴干陈萝卜叶,煎汤服,立止。
又,生老姜、细茶叶、韭菜连根捣汁,三味温酒冲服。
油当归一两、枳壳三分、若欲速效,红痢加黄连一钱、白痢加干姜三分服之,百发百中
,神效。噤口红痢加鲜石斛三钱,噤口白痢加炒谷芽八钱,多服自愈。
按∶痢由郁而成,亦由燥而生,且总由虚而得,所以里急后重,欲下不下,与治水泻大
不相同。治泻宜止,而治痢则偏宜利。然医家每用大黄以荡涤其垢秽,而不知已剥削其脂膏
,壮者或暂能见效,变症多端,怯者必致愈重,甚是可畏!且大黄即可以治热痢实痢,而不
可以治寒痢虚痢。因轻致重,因重致危,因危致亡,余见受害者多矣。因细揣其致病之由,
在郁与燥,而静想其治病之法,宜散宜润。油当归为血中气药,其味多辛,辛则能润,品又
和平,多用无妨。《本草从新》云∶极善滑肠,便泻者勿用。兹则正取其能润也。润自痢除
,最为妙法。况痢之病本在郁,当归能散其郁,痢之病根在虚,当归能补其虚。此方治痢仙
药也。不论阴阳虚实,放胆用之,俱可见效。当归微温,便于寒痢,而热痢亦不助其火邪,
况加黄连,同力相济,万无可疑。当归能补,便于虚痢,而实痢亦不泥其外邪。且所云实者
乃症实,非人实也。症则有时而实,人则断无不虚,扶正可以去邪,更妙而又妙矣。尤恐力
不到腑,再以枳壳宽其大肠,里急后重以除,百发百中,屡试屡验。但枳壳力猛,冲墙倒壁
,不可重用以伤元气。红痢间有血虚而不由热者,白痢间有气虚而不由寒者,但血痢不加黄
连,多服自愈,气痢加白术三钱可愈。他若伤寒大便不通,用油当归一两,大麻仁八钱,再
加滋阴清补,自无不下,大黄切忌,务祈转相告喻,不费钱之功德也。
按∶治痢屡试屡验,莫如前卷七痢疾方内所载∶重用当归、白芍、萝卜子,轻用枳壳、
槟榔、车前、甘草一方,极为神效。
这丸药能清除邪热,疏导滞气,运行瘀血,是治疗痢疾的圣药,服用后效果神奇。配方为:川黄连一两二钱,广木香八钱(不要经过火炒),山楂肉一两二钱(炒制),川厚朴(去掉粗皮,用姜汁炒制)、小青皮(醋炒制)各八钱,生甘草(炙制)、尖荷叶包(此处原文似有缺漏或排版错误,依常理推测可能指某种辅料或炮制要求,但原文仅列“生甘 炒)、尖 荷叶包”,结合上下文及常见方剂,此处疑为文本残缺,暂按字面翻译:生甘草、尖...荷叶包裹)。以上两个方子,必须预先配制好,以便随时救助病人,功德无量。
另外,在五月五日,选取完好的荸荠,洗净擦干,不要让它们破损,放入瓶中倒入优质烧酒浸泡,用黄泥密封保存。遇到患者时,取一两个让患者细细咀嚼,空腹食用,仍用原来的酒送服,效果极佳。
金银花藤,煎煮浓汁服用,效果极佳。
另外,柿饼煎汤,每天饮用数次。
用茄根烧成灰但保留药性,与石榴皮等分研成末,用砂糖水调服,即可痊愈。
另外,阴干的陈年萝卜叶,煎汤服用,立即止痢。
另外,将生老姜、细茶叶、韭菜连根捣碎取汁,三味药温酒冲服。
油当归一两、枳壳三分。如果想要快速见效,红痢加黄连一钱、白痢加干姜三分服用,百发百中,神效。如果是噤口痢(不能进食的痢疾)且为红痢,加鲜石斛三钱;噤口白痢加炒谷芽八钱,多服自然痊愈。
按语:痢疾由郁结而成,也由燥而生,且总归是由虚损而得,所以出现里急后重(腹痛窘迫,时时欲泻,肛门重坠,便出不爽),想拉拉不出,这与治疗水泻大不相同。治疗腹泻适宜止泻,而治疗痢疾则偏宜通利。然而医生们常常使用大黄来荡涤肠胃垢秽,却不知道这样已经剥削了患者的脂膏(正气/津液)。身体强壮的人或许暂时能见效,但变症多端;身体虚弱的人必定导致病情加重,这非常可怕!而且大黄只能治疗热痢和实痢,不可以治疗寒痢和虚痢。因为用药轻率导致病情加重,因重致危,因危致死,我见到的受害案例很多了。因此仔细揣测致病的原因,在于郁结与燥热,静心思考治病的方法,应该发散郁结,滋润燥热。油当归是血中的气药,它的味道多辛,辛味能润,药性又平和,多用无妨。《本草从新》说:“极善于滑肠,大便泄泻者勿用。”这里正是利用它能润的特性。通过滋润使痢疾消除,是最为妙法。况且痢疾的病本在于郁结,当归能散其郁结;痢疾的病根在于虚损,当归能补其虚损。这个方子是治疗痢疾的仙药。不论阴阳虚实,放心大胆地使用,都能见效。当归微温,便于治疗寒痢,而治疗热痢也不会助长火邪,何况加了黄连,两者通力合作,万无可疑。当归能补,便于治疗虚痢,而治疗实痢也不会阻碍祛除外邪。而且所说的“实”是指症状表现为实证,并非人体本身充实。症状有时表现为实,但人体断无不虚,扶助正气可以祛除邪气,更是妙上加妙。尤其担心药力不到大肠腑,再加入枳壳宽理大肠,以消除里急后重,百发百中,屡试屡验。但枳壳药力猛烈,如冲墙倒壁,不可重用以免损伤元气。红痢中间有血虚而非由热引起的,白痢中间有气虚而非由寒引起的,只是血痢不加黄连,多服自然痊愈;气痢加白术三钱可愈。其他如伤寒导致的大便不通,用油当归一两,大麻仁八钱,再加滋阴清补的药物,自然没有不下通的,切忌使用大黄,务必转告他人,这是不费钱财的功德啊。
This pill clears pathogenic heat, guides stagnant qi, and moves blood stasis; it is the holy medicine for treating dysentery, with miraculous effects upon consumption. The prescription consists of: Chuan Huanglian (Coptidis Rhizoma) 1 liang 2 qian, Guang Muxiang (Aucklandiae Radix) 8 qian (do not stir-fry over fire), Shanzha Rou (Crataegi Fructus flesh) 1 liang 2 qian (stir-fried), Chuan Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with ginger juice), and Xiao Qingpi (Citri Reticulatae Pericarpium Viride, vinegar-fried) each 8 qian, Sheng Gancao (Glycyrrhizae Radix et Rhizoma raw), Jian... wrapped in Lotus Leaf (Note: Original text appears fragmented here). These two prescriptions must be prepared in advance to assist patients at any time, rendering boundless merit.
Additionally, on the fifth day of the fifth lunar month, select intact water chestnuts (Biqie), wash and dry them thoroughly without damaging them, place them in a bottle, immerse them in good liquor (Shaojiu), seal tightly with yellow mud, and store. When encountering patients, take one or two pieces, have them chew thoroughly, consume on an empty stomach, and still use the original liquor to swallow them down; this is extremely effective.
Jinyinhua Teng (Lonicerae Japonicae Caulis), decocted into a concentrated juice and taken orally, is extremely effective.
Alternatively, decoct dried persimmon cakes (Shibing) into soup and drink several times daily.
Burn eggplant roots (Qiegen) to ash while preserving their medicinal nature, mix equally with Shiliupi (Pomegranate Peel) into powder, and take mixed with sugar water; recovery will follow immediately.
Alternatively, decoct air-dried old radish leaves (Luobo Ye) into soup and take orally; dysentery stops immediately.
Alternatively, crush fresh old ginger (La Jiang), fine tea leaves (Cha Ye), and Chinese chives with roots (Jiucai) together to extract juice; the three ingredients are taken by flushing with warm wine.
You Danggui (Angelica sinensis oil-treated) 1 liang, Zhike (Aurantii Fructus) 3 fen. If rapid effect is desired, add Huanglian (Coptidis Rhizoma) 1 qian for red dysentery, or Ganjiang (Zingiberis Rhizoma) 3 fen for white dysentery; this method is infallible and miraculous. For Jin Kou Li (dysentery with inability to eat) presenting as red dysentery, add Xian Shihu (Dendrobii Caulis) 3 qian; for Jin Kou Bai Li, add Chao Guya (Hordei Fructus Germinatus, stir-fried) 8 qian; taking more will lead to self-healing.
Commentary: Dysentery arises from stagnation (Yu) and dryness, and ultimately stems from deficiency (Xu). Hence, there is tenesmus (Li Ji Hou Zhong - urgent desire to defecate with heavy sensation in the anus but difficulty passing stool), wanting to pass stool but unable to do so. This differs significantly from treating watery diarrhea. Treating diarrhea favors astringency/stopping, whereas treating dysentery favors purgation/drainage. However, physicians often use Dahuang (Rhei Radix et Rhizoma) to scour away filth, unaware that this depletes the patient's essence and fluids (Zhigao). Those robust may see temporary relief, but complications arise frequently; those frail will inevitably suffer worsening conditions, which is terrifying! Moreover, Dahuang can only treat Heat Dysentery and Excess Dysentery, not Cold Dysentery or Deficiency Dysentery. Negligence leads to worsening, worsening leads to danger, and danger leads to death; I have witnessed many victims. Thus, carefully pondering the cause of disease lies in stagnation and dryness, and contemplating the treatment method should involve dispersing stagnation and moistening dryness. You Danggui is a Qi-moving herb within Blood herbs; its taste is pungent, and pungency can moisten. Its nature is mild and peaceful, so excessive use is permissible. *Bencao Congxin* states: "It excels at lubricating the intestines; avoid if diarrhea exists." Here, we precisely utilize its moistening property. Moistening eliminates dysentery, which is a superb method. Furthermore, the root of dysentery pathology is stagnation; Danggui can disperse this stagnation. The root of dysentery pathology is deficiency; Danggui can tonify this deficiency. This prescription is a fairy medicine for treating dysentery. Regardless of Yin/Yang or Excess/Deficiency patterns, use it boldly, and efficacy will be seen. Danggui is slightly warm, suitable for Cold Dysentery, yet for Heat Dysentery, it does not aid Fire pathogens, especially when combined with Huanglian, where they assist each other, leaving no doubt. Danggui tonifies, suitable for Deficiency Dysentery, yet for Excess Dysentery, it does not hinder the expulsion of external pathogens. The term "Excess" refers to symptomatic excess, not constitutional fullness. Symptoms may occasionally present as excess, but the human body is invariably deficient. Supporting the Righteous Qi (Zheng Qi) eliminates Pathogenic Factors (Xie Qi), which is even more wonderful. Fearing the force may not reach the Fu organs, add Zhike to widen the Large Intestine, thereby eliminating tenesmus; this is infallible and repeatedly tested. However, Zhike has a potent force, like crashing through walls; do not use heavily to avoid damaging Yuan Qi. Red dysentery sometimes involves Blood Deficiency rather than Heat; White dysentery sometimes involves Qi Deficiency rather than Cold. Simply omit Huanglian for Blood Dysentery, and taking more leads to self-healing; add Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian for Qi Dysentery to cure. Regarding other cases such as constipation due to Shanghan (Cold Damage), use You Danggui 1 liang and Damaren (Cannabis Semen) 8 qian, plus yin-nourishing and clearing tonics; bowel movement will naturally occur. Avoid Dahuang strictly. Please inform others; this is a merit that costs no money.
Commentary: For treating dysentery with repeated success, none surpasses the formula recorded in Volume 7 of Dysentery Formulas: Heavily use Danggui, Shaoyao (Paeoniae Radix Alba), Luobozzi (Brassicae Rapae Fructus); lightly use Zhike, Binglang (Arecae Semen), Cheqian (Plantaginis Semen), and Gancao. This formula is extremely miraculous.