脉∶痢脉多滑，按之虚绝，尺微无阴，涩则少血，沉细者生，洪弦者死。
痢疾不分赤白，俱作湿热治之明矣。赤属血、白属气，赤白相兼，脓血杂痢，皆因脾胃失调，饮食停滞，
积于肠胃之间多。其暑湿伤脾，故作痢疾，起于肚腹疼痛，大便里急后重，小水短赤不长，身凉脉缓者易治，身
热脉弦急者难治。痢疾初起一二日，元气壮实者，先用玄白散，虚弱者，用芍药汤疏通积滞。三四日以后，元气
渐弱，调和饮食加减治之。如不止，服参归芍药汤调理脾胃、补益元气。久不愈，方可服人参养脏汤加减治之。
切不可骤用粟壳等药，止塞太早，恐内积气未尽，成休息痢，亦恐毒攻上，胸腹饱闷作疼，恶心呕哕发呃，难治，
因毒瓦斯攻胃故也。先水泻，后脓血者，是肾传脾，难愈；先脓血，后水泻者，是脾传肾，易愈。又有痢下鲜血者，
如尘腐色者，如屋漏水者，大孔如竹筒者，呕哕发呃、烦躁身热者，俱难治也。如鱼脑髓者，身热脉数大，半生半死
也。大抵治痢疾一二日，元气未虚，治宜疏通积滞，此通因通用之法；三四日后，不可疏通，恐元气虚也，
当清热解毒、调养脾胃为主。经云∶行血则便脓自愈，调气则后重自除。若大肠积滞壅实而后重，法当疏导之，若
大肠气虚下陷而后重，法当升补之。
初下痢者，不分赤白，皆湿热也。壮盛人初痢宜利之。
玄白散 治痢疾初起，里急后重，腹痛脓血窘迫，壮盛人一剂即愈。
牵牛（赤痢用黑、白痢用白，赤白相杂，黑白兼用，半生半炒捣碎） 生地黄 赤芍 归尾 槟榔 枳壳（去瓤，
麸炒） 莪术（煨） 黄连（各一钱） 大黄（二钱） 暑月加香薷（一钱，炒）
上锉一剂，水煎，空心温服，以利二三次为度。
虚弱人初痢宜清之。
芍药汤
芍药（二钱） 木香（一钱） 当归（一钱） 枳壳（去穣，一钱） 黄芩（去朽，一钱） 槟榔（一钱）
黄连（二钱） 甘草（五分）
上锉一剂，水煎温服。
下痢稍久者，宜调和也。
调和饮
白芍（三钱） 当归（一钱） 川芎（二钱） 黄连（二钱） 黄芩（二钱） 桃仁（一钱） 升麻（五分）
上锉一剂，水煎，空心服。如红痢根据本方；如白痢，用吴茱萸一钱、芩连用酒炒，赤白痢加白术、茯苓、陈皮、香
附各一钱。
痢因热积而气滞者，宜清热顺气也。
立效散 治赤白痢疾，脓血相兼，里急后重，疼痛，一服立止。
净黄连（四两，酒洗，吴茱萸三两同炒，去茱萸不用） 陈枳壳（二两，去穣，麸炒）
上二味为细末，每服三钱，空心，黄酒调下；泄泻，米汤下；噤口痢疾，陈仓米汤送下。
下痢发热不退者，肠胃中有风邪也。
仓廪散 治痢疾赤白，发热不退，肠胃中有风邪热毒及时行瘟疫，沿门阖境，皆下痢噤口者，服之神
效。即人参败毒散加黄连、陈仓米三百粒，姜枣煎服。如痢后手足痛加槟榔、木瓜；噤口痢加陈仓米一撮、石莲
肉七枚。
下痢发热，便闭者，表里有实热也。六一顺气汤。（方见伤寒。）治痢不问赤白相杂，肚痛，里急后重，浑
身发热，口干发渴，用此通利即止。
下痢噤口不食者，脾虚胃热甚也。
参连汤
人参（五钱） 黄连（一两）
上锉一剂，水煎，终日时呷之。如吐，再强饮，但得一口呷下咽喉，即好，加石莲肉三钱尤效。外以田螺捣
烂脐中，引药下行故也。
开噤汤 治噤口痢疾。徐元济传。
砂仁（一钱，研） 砂糖（七钱） 细茶（五钱） 生姜（五片）
上锉一剂，水二钟煎至八分，露一宿，次早面北温服。外用木鳖子二钱去壳、麝香二分，共捣置脐中即思食。
一方 治噤口痢、米谷不下者神效。
用石莲肉为末，每服二三钱，用陈仓米汤调下即效。呕加生姜汁二三匙。
下痢久不止者，宜调养气血兼升涩也。
参归芍药汤 治痢久一二十日，痢多不止，用此调养气血自愈。
人参（一钱） 当归（酒洗，二钱） 茯苓 白术（一钱） 砂仁（七分） 山药（炒） 陈皮（各一钱）
甘草（五分）
上锉一剂，乌梅一个、灯草一团、莲肉七个，水煎温服，照后加减。噤口痢不食者，胃口热极故也，加炒黄
连、莲肉、
人参、炒米、乌梅，清热开胃为主。下痢腹痛、里急后重者，是热极气滞也。又云∶里急者，腹中不宽快也。
亦有虚坐而大便不行者，皆血虚也。血虚则里急后重，如四物汤之类治之，加木香、槟榔，和消积气则后重自除。
久痢后重不除者，虚气坠下也。治痢用下药挨积仍后重者，乃阳不升也，用升麻为君，加人参、当归，芍药
为君，升麻少许提气。
大凡痢作痛者，热流下也，加炒芩、芍药清之。
痢后发热不止，或积少但虚坐努力者，俱是血虚故也，倍加当归、芍药、地黄滋养阴血，其热自安。
积中有紫血者，是瘀血也，加芍药、红花生血和血，则便血自愈。
痢下如绿豆汁者，是湿也，加苍术、白术渗湿利小便。
实肠散 治久痢去多，不分赤白，用此末药换出黄粪来。
干山药（炒黄色，一两） 好莲肉（炒，去心，一两） 炒黄米（一合）
上共为细末，用砂糖调热汤和匀前药末，不干不稀。渐渐调服，后用清米汤漱口，常服之最效。
汤泡饮 治久痢不愈，无分赤白，俱可服。
粟壳（蜜水炒，三钱） 乌梅（一个，去核） 甘草（三分） 蜜（三匙）
上锉碎，用滚水一钟，泡浸一时，去渣，三次服之。
真人养脏汤 治大人小儿冷热不调，下痢赤白，或如脓血鱼脑，里急后重，脐腹疼痛，或脱肛下坠、酒毒
便血并皆治之。
肉桂（五分） 人参（去芦） 当归 诃子（煨去核） 木香 甘草（炙） 肉豆蔻（面裹煨，各一钱）
芍药 白术（各一钱） 枳壳（蜜炙，一钱）
上锉一剂，水煎，食前温服。脏寒者加附子一钱制。
痢疾日久不愈，不能起床，不思饮食，瘦弱之甚者，用补中益气汤去柴胡，加炒芍、泽泻、木香、砂仁、白
蔻、地榆、米壳醋炒。
大抵久痢不止，多属血气虚弱，宜用八珍汤。若脾气虚而血弱者，用四君子汤；若胃气虚而血弱者，用补中
益气汤。大凡此症久而不愈，或变症百出，但守前法，久之自愈。一血痢及下血久不止，用六味丸加地榆、阿胶、
黄连、黄芩、生地黄。（以上四方俱见补益。）
补遗方
狗皮膏 贴泻痢如神。
乳香（五钱） 没药（五钱） 木鳖子（十个） 杏仁（四十九个） 桃枝（四十九节，二指长） 柳枝
（四十九节，如箸大）
上用香油七两，将木鳖子以下四味入油炸，浮捞起渣，下好黄丹飞过三两，熬将成膏，用槐枝不住手搅，滴水
成珠退火，再入乳香、没药，加麝香一分搅匀。退火毒以狗皮摊膏贴脐上。
泻痢膏
赤石脂（四两） 诃子（四两） 罂粟壳（四两） 干姜（五两）
上以上为细末，用真麻油二斤四两，熬去四两，止吊二斤，再熬滚入上好飞黄丹一斤，熬黑色，滴水成珠，方入
后四味药∶龙骨二两、乳香五钱、没药五钱、麝香一钱，俱为细末，入内搅匀退火。出火毒，摊贴脐上，每一个
重三钱。冬月可加肉蔻五钱。
秘方 治痢久不愈者，用白萝卜取汁一钟，蜜一钟，共煎滚调匀，温服立止。
又方
用阴干陈久萝卜英煎汤服之，止痢如神。
又方
用大团鱼一个，水煮去肠甲，加生姜七片、砂糖一小块，不用盐酱，少入米粉作羹吃一二碗，其痢立止。
大司寇春冈刘公，年近古稀，患痢脓血腹痛，诸医弗效。余诊六脉微数，此肥甘太过，内有积热，当服酒
蒸大黄一两清利之。公曰∶吾衰老恐不能，唯滋补、平和之剂可也。余再四宽释，公意始从，遂服之，逾日而愈。
通府竹峰何公，患痢赤白，昼夜无度，遍身瘙痒，心中烦躁。予诊六脉大数，人迎偏盛，此风邪热毒也。
以人参败毒散加防风、荆芥、黄连，去人参，二服即愈。又诊六脉仍前大数，余曰∶数则心烦，大则病进，将来
必有痰喘之患不起。后逾月，果如其言。
一人痢后两足浮肿、胸膈胀满、小便短少。用分利之剂，遍身肿兼气喘。余曰∶两足浮肿，脾气下陷也，
胸膈胀满，脾虚作痞也；小便短少，肺不能生肾也；身肿气喘，脾不能生肺也。用补中益气加附子而愈。半载后，
因酒食劳倦两目浮肿、小便短少，仍服前药顿愈。（方见补益。）
脉象：痢疾的脉象多呈滑象，重按则感觉虚弱甚至断绝；尺部脉微弱提示阴液不足；脉涩表示血少；脉沉细者预后良好，脉洪大弦急者预后不良。
痢疾不分赤白，都按照湿热证来治疗，这是明确的。红色属血分，白色属气分，赤白相兼、脓血混杂的痢疾，都是因为脾胃功能失调，饮食停滞，积聚在肠胃之间过多所致。暑湿之邪损伤脾脏，所以发生痢疾。症状表现为肚腹疼痛，大便里急后重（想拉拉不出，拉完还想拉），小便短少且颜色深红。身体凉爽、脉象缓和的容易治疗；身体发热、脉象弦急的难以治疗。痢疾初起的一两天内，元气壮实的人，先用玄白散；体质虚弱的人，用芍药汤来疏通积滞。三四天以后，元气逐渐减弱，通过调和饮食并加减药物来治疗。如果痢疾不止，服用参归芍药汤来调理脾胃、补益元气。如果久治不愈，才可以服用人参养脏汤加减治疗。切不可突然使用罂粟壳等收敛止泻的药物，过早止塞，恐怕体内的积滞之气没有排尽，会形成休息痢（慢性痢疾）；也恐怕毒邪攻冲向上，导致胸腹胀闷疼痛，恶心呕吐呃逆，这就难治了，这是因为毒瓦斯攻犯胃部的缘故。先出现水样腹泻，随后出现脓血便的，是肾传脾，难以痊愈；先出现脓血便，随后出现水样腹泻的，是脾传肾，容易痊愈。又有下痢排出鲜血的，粪便像尘土腐烂颜色的，像屋顶漏水颜色的，肛门像竹筒一样直开的，伴有恶心呕吐呃逆、烦躁身热的，都属于难治之症。粪便像鱼脑髓一样的，身体发热、脉象数而大的，属于半生半死的危重症。大抵治疗痢疾一两天，元气尚未虚弱时，治疗应当以疏通积滞为主，这是“通因通用”的治疗方法；三四天后，不可再强行疏通，恐怕损伤元气，应当以清热解毒、调养脾胃为主。《内经》说：“行血则便脓自愈，调气则后重自除。”如果大肠积滞壅实导致的里急后重，法度上应当疏导它；如果大肠气虚下陷导致的里急后重，法度上应当升提补益。
刚开始下痢时，不分赤白，都是湿热证。体质强壮的人初患痢疾适宜用利法。
玄白散：治疗痢疾初起，里急后重，腹痛脓血窘迫，体质壮实的人服用一剂即可痊愈。
牵牛子（赤痢用黑牵牛，白痢用白牵牛，赤白相杂则黑白兼用，半生半炒后捣碎）、生地黄、赤芍药、当归尾、槟榔、枳壳（去瓤，麸炒）、莪术（煨）、黄连（各一钱）、大黄（二钱）。暑热月份加香薷（一钱，炒）。
以上锉为一剂，用水煎煮，空腹温服，以排便两三次为限度。
体质虚弱的人初患痢疾适宜用清法。
芍药汤：
芍药（二钱）、木香（一钱）、当归（一钱）、枳壳（去瓤，一钱）、黄芩（去朽坏部分，一钱）、槟榔（一钱）、黄连（二钱）、甘草（五分）。
以上锉为一剂，用水煎煮温服。
下痢时间稍长的，适宜用调和法。
调和饮：
白芍药（三钱）、当归（一钱）、川芎（二钱）、黄连（二钱）、黄芩（二钱）、桃仁（一钱）、升麻（五分）。
以上锉为一剂，用水煎煮，空腹服用。如果是红痢，依据本方；如果是白痢，用吴茱萸一钱、黄芩黄连用酒炒制；赤白痢加白术、茯苓、陈皮、香附各一钱。
立效散：治疗赤白痢疾，脓血相兼，里急后重，疼痛，服用一次立即停止。
净黄连（四两，酒洗，与吴茱萸三两同炒，去掉吴茱萸不用）、陈枳壳（二两，去瓤，麸炒）。
以上两味药研成细末，每次服用三钱，空腹时用黄酒送服；如果是泄泻，用米汤送服；如果是噤口痢（不能进食的痢疾），用陈仓米汤送服。
下痢发热不退的，是肠胃中有风邪。
仓廪散：治疗痢疾赤白，发热不退，肠胃中有风邪热毒以及流行瘟疫，导致满门阖境都患上痢疾且不能进食的，服用此药神效。即人参败毒散加黄连、陈仓米三百粒，加生姜大枣煎服。如果痢疾后手足疼痛，加槟榔、木瓜；噤口痢加陈仓米一撮、石莲子肉七枚。
下痢发热，大便闭塞的，是表里有实热。六一顺气汤。（方剂见伤寒章节。）治疗痢疾不问赤白相杂，肚痛，里急后重，浑身发热，口干发渴，用此药通利后即可停止。
参连汤：
人参（五钱）、黄连（一两）。
以上锉为一剂，用水煎煮，整天时分次小口饮用。如果呕吐，再勉强灌服，只要得一口咽下咽喉，就会好转，加石莲子肉三钱尤其有效。外用田螺捣烂敷于脐中，以引药下行。
开噤汤：治疗噤口痢疾。由徐元济传授。
砂仁（一钱，研碎）、砂糖（七钱）、细茶（五钱）、生姜（五片）。
以上锉为一剂，用水两钟煎至八分，露天放置一夜，次日早晨面向北方温服。外用木鳖子二钱去壳、麝香二分，共同捣烂置于脐中，即可思食。
另一秘方：治疗噤口痢、米谷不能下咽的神效方。
用石莲子肉研末，每次服用二三钱，用陈仓米汤调下即见效。如果呕吐，加生姜汁二三匙。
下痢久治不止的，适宜调养气血兼用升提收敛之法。
参归芍药汤：治疗痢疾持续一二十天，痢疾多次不止，用此药调养气血即可自愈。
人参（一钱）、当归（酒洗，二钱）、茯苓、白术（一钱）、砂仁（七分）、山药（炒）、陈皮（各一钱）、甘草（五分）。
以上锉为一剂，加乌梅一个、灯心草一团、莲子肉七个，用水煎煮温服，参照以下方法进行加减。噤口痢不能进食的，是因为胃口热极，加炒黄连、莲肉、人参、炒米、乌梅，以清热开胃为主。下痢腹痛、里急后重的，是热极气滞。又说：里急，是指腹中不宽快舒畅。也有虚坐努责但大便不行的，都是血虚。血虚则里急后重，用四物汤之类治疗，加木香、槟榔，调和消除积滞之气则后重自然消除。
久痢后重不除的，是虚气下坠。治疗痢疾用下药推荡积滞仍然后重的，是阳气不升，用升麻为君药，加人参、当归；以芍药为君药，加少许升麻提气。
痢疾后发热不止，或者积滞少但只有虚坐努责的，都是血虚的缘故，加倍加入当归、芍药、地黄以滋养阴血，其热自安。
积滞中有紫血的，是瘀血，加芍药、红花以生血和血，则便血自愈。
实肠散：治疗久痢去失过多，不分赤白，用此散剂换出黄色粪便。
干山药（炒至黄色，一两）、好莲子肉（炒，去心，一两）、炒黄米（一合）。
以上共研为细末，用砂糖调热汤与前药末混合均匀，不干不稀。渐渐调服，之后用清米汤漱口，常服效果最佳。
汤泡饮：治疗久痢不愈，不分赤白，均可服用。
罂粟壳（蜜水炒，三钱）、乌梅（一个，去核）、甘草（三分）、蜂蜜（三匙）。
以上切碎，用开水一钟，浸泡一时辰，去渣，分三次服用。
真人养脏汤：治疗大人小儿冷热不调，下痢赤白，或如脓血鱼脑，里急后重，脐腹疼痛，或脱肛下坠、酒毒便血等均能治疗。
肉桂（五分）、人参（去芦头）、当归、诃子（煨去核）、木香、甘草（炙）、肉豆蔻（面裹煨，各一钱）、芍药、白术（各一钱）、枳壳（蜜炙，一钱）。
以上锉为一剂，用水煎煮，饭前温服。脏寒者加制附子一钱。
痢疾日久不愈，不能起床，不思饮食，瘦弱严重的，用补中益气汤去掉柴胡，加炒芍药、泽泻、木香、砂仁、白蔻、地榆、米壳醋炒。
大抵久痢不止，多属于血气虚弱，宜用八珍汤。如果脾气虚而血弱的，用四君子汤；如果胃气虚而血弱的，用补中益气汤。大凡此症久而不愈，或变症百出，只要坚守前面的方法，久了自然会痊愈。有一例血痢及下血久不止的，用六味丸加地榆、阿胶、黄连、黄芩、生地黄。（以上四方均见补益章节。）
补遗方
狗皮膏：贴敷治疗泻痢如神。
乳香（五钱）、没药（五钱）、木鳖子（十个）、杏仁（四十九个）、桃枝（四十九节，二指长）、柳枝（四十九节，如筷子粗细）。
以上用香油七两，将木鳖子以下四味放入油炸，浮起后捞起药渣，下飞过的好黄丹三两，熬制成膏，用槐枝不停手搅拌，滴水成珠退火毒，再加入乳香、没药，加麝香一分搅匀。退火毒后以狗皮摊膏贴于脐上。
泻痢膏：
赤石脂（四两）、诃子（四两）、罂粟壳（四两）、干姜（五两）。
以上研为细末，用真麻油二斤四两，熬去四两，剩二斤，再熬滚入上好飞黄丹一斤，熬至黑色，滴水成珠，才加入后四味药：龙骨二两、乳香五钱、没药五钱、麝香一钱，均为细末，加入内搅匀退火。出火毒后，摊贴脐上，每一个重三钱。冬季可加肉豆蔻五钱。
秘方：治疗痢疾久治不愈者，用白萝卜取汁一钟，蜂蜜一钟，共同煎滚调匀，温服立即停止。
又一方：
用阴干陈久的萝卜缨煎汤服用，止痢如神。
又一方：
用大团鱼一个，水煮去肠甲，加生姜七片、砂糖一小块，不用盐酱，少入米粉作羹吃一二碗，其痢疾立即停止。
大司寇春冈刘公，年龄接近七十岁，患痢疾脓血腹痛，众医无效。我诊察六脉微数，这是肥甘太过，内有积热，应当服用酒蒸大黄一两以清利。刘公说：“我衰老恐怕承受不住，只有滋补、平和的药剂才行。”我再四宽慰解释，刘公心意才听从，于是服药，过日而愈。
通府竹峰何公，患痢疾赤白，昼夜无度，遍身瘙痒，心中烦躁。我诊察六脉大数，人迎脉偏盛，这是风邪热毒。用人参败毒散加防风、荆芥、黄连，去掉人参，服用两剂即愈。后又诊察六脉仍前大数，我说：“数则心烦，大则病进，将来必有痰喘之患而不能起。”后来过月，果然如其所言。
一人痢疾后两足浮肿、胸膈胀满、小便短少。用分利之剂治疗后，遍身肿兼气喘。我说：“两足浮肿，是脾气下陷；胸膈胀满，是脾虚作痞；小便短少，是肺不能生肾；身肿气喘，是脾不能生肺。”用补中益气汤加附子而愈。半年后，因酒食劳倦导致两目浮肿、小便短少，仍服前药顿愈。（方剂见补益章节。）
Pulse: The pulse in dysentery is often slippery; when pressed deeply, it feels weak or even imperceptible. A faint pulse at the Chi position indicates Yin deficiency; a choppy pulse suggests blood deficiency. A deep and fine pulse indicates a favorable prognosis, while a surging and wiry pulse indicates an unfavorable one.
Dysentery, regardless of whether it presents with red (blood) or white (mucus) discharge, should be treated as damp-heat. This is clear. Red corresponds to the Blood level, white to the Qi level. Dysentery with mixed red and white discharge, containing pus and blood, is caused by dysfunction of the Spleen and Stomach, food stagnation, and excessive accumulation in the intestines and stomach. Summer-dampness injuring the Spleen causes dysentery. Symptoms include abdominal pain, tenesmus (feeling of incomplete defecation), short and dark urine. Cases with cool body temperature and a slow pulse are easy to treat; those with fever and a wiry, rapid pulse are difficult to treat. In the first one or two days of onset, if the patient's Yuan Qi (Original Qi) is strong, use Xuanbai San (Mysterious White Powder) initially; for weak patients, use Shaoyao Tang (Peony Decoction) to unblock stagnation. After three or four days, as Yuan Qi gradually weakens, treatment should focus on regulating diet and modifying prescriptions. If dysentery persists, administer Shengui Shaoyao Tang (Ginseng and Angelica Peony Decoction) to regulate the Spleen and Stomach and tonify Yuan Qi. For chronic cases that do not resolve, Ren Shen Yang Zang Tang (Ginseng Nourishing Viscera Decoction) may be used with modifications. One must absolutely avoid using astringents like Ying Su Ke (Poppy Shell) abruptly too early; premature astringency may prevent the expulsion of internal stagnation, leading to Resting Dysentery (chronic/recurrent dysentery), or cause toxic heat to attack upward, resulting in chest and abdominal fullness, pain, nausea, vomiting, and hiccups, which becomes difficult to treat due to toxic vapors attacking the Stomach. If watery diarrhea precedes pus and blood, it indicates transmission from Kidney to Spleen and is hard to cure; if pus and blood precede watery diarrhea, it indicates transmission from Spleen to Kidney and is easier to cure. Other severe signs include passing bright red blood, stool resembling rotten dust or leaking roof water, a rectum open like a bamboo tube, accompanied by vomiting, hiccups, restlessness, and fever—all are difficult to treat. Stool resembling fish brain matter, with fever and a large, rapid pulse, indicates a critical condition with half chance of survival. Generally, in the first one or two days of dysentery, before Yuan Qi is depleted, treatment should focus on unblocking stagnation, following the principle of "treating obstruction with unblocking methods" (Tong Yin Tong Yong). After three or four days, forcing unblocking should be avoided to prevent damaging Yuan Qi; instead, clearing heat and detoxifying, along with nourishing the Spleen and Stomach, should be the main approach. The Classic states: "Moving blood heals pus and blood in stools; regulating Qi eliminates tenesmus." If tenesmus is caused by excess accumulation in the Large Intestine, it should be guided out; if caused by Qi deficiency and sinking in the Large Intestine, it should be lifted and tonified.
In initial dysentery, regardless of color, it is damp-heat. Strong individuals with initial dysentery should be treated with draining methods.
Xuanbai San (Mysterious White Powder): Treats initial dysentery with tenesmus, abdominal pain, and urgent pus/blood discharge. One dose cures strong individuals.
Qian Niu Zi (Pharbitis Seed - Black for red dysentery, White for white dysentery, both for mixed; half raw, half stir-fried and crushed), Sheng Di Huang (Rehmannia Root), Chi Shao (Red Peony Root), Gui Wei (Angelica Tail), Bing Lang (Areca Nut), Zhi Qiao (Bitter Orange, pith removed, bran-fried), E Zhu (Curcuma Rhizome, baked), Huang Lian (Coptis Rhizome) (each 1 qian), Da Huang (Rhubarb Root and Rhizome) (2 qian). Add Xiang Ru (Mosla Herb) (1 qian, stir-fried) in summer months.
Decoct one dose in water, take warm on an empty stomach. Stop when bowel movements occur two or three times.
Weak individuals with initial dysentery should be treated with clearing methods.
Shaoyao Tang (Peony Decoction):
Shao Yao (Peony Root) (2 qian), Mu Xiang (Aucklandia Root) (1 qian), Dang Gui (Angelica Sinensis) (1 qian), Zhi Qiao (Bitter Orange, pith removed) (1 qian), Huang Qin (Scutellaria Root) (remove rotten parts, 1 qian), Bing Lang (Areca Nut) (1 qian), Huang Lian (Coptis Rhizome) (2 qian), Gan Cao (Licorice Root) (0.5 qian).
Decoct one dose in water, take warm.
For dysentery lasting a short while, harmonization is appropriate.
Tiao He Yin (Harmonizing Drink):
Bai Shao (White Peony Root) (3 qian), Dang Gui (Angelica Sinensis) (1 qian), Chuan Xiong (Ligusticum Rhizome) (2 qian), Huang Lian (Coptis Rhizome) (2 qian), Huang Qin (Scutellaria Root) (2 qian), Tao Ren (Peach Kernel) (1 qian), Sheng Ma (Cimicifuga Rhizome) (0.5 qian).
Decoct one dose in water, take on an empty stomach. For red dysentery, follow this formula. For white dysentery, add Wu Zhu Yu (Evodia Fruit) (1 qian), and stir-fry Huang Qin and Huang Lian with wine. For mixed dysentery, add Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Chen Pi (Tangerine Peel), and Xiang Fu (Cyperus Rhizome) (each 1 qian).
For dysentery caused by heat accumulation leading to Qi stagnation, clearing heat and smoothing Qi is appropriate.
Li Xiao San (Instant Effect Powder): Treats red and white dysentery with mixed pus and blood, tenesmus, and pain. Stops after one dose.
Jing Huang Lian (Pure Coptis Rhizome) (4 liang, washed with wine, stir-fried with 3 liang Wu Zhu Yu [Evodia Fruit], discard Evodia), Chen Zhi Qiao (Aged Bitter Orange, pith removed, bran-fried) (2 liang).
Grind into fine powder. Take 3 qian per dose on an empty stomach, mixed with yellow wine. For diarrhea, use rice soup. For Jin Kou Li (Silent Mouth Dysentery), use aged rice soup.
For dysentery with persistent fever, wind pathogen exists in the intestines and stomach.
Cang Lin San (Granary Powder): Treats red and white dysentery with persistent fever, wind-pathogen heat toxin in intestines/stomach, and epidemic dysentery causing widespread silent mouth dysentery. Highly effective. It is Ren Shen Bai Du San (Ginseng Detoxifying Decoction) plus Huang Lian (Coptis Rhizome) and 300 grains of Chen Cang Mi (Aged Rice), decocted with Ginger and Jujube. Add Bing Lang (Areca Nut) and Mu Gua (Chaenomeles Fruit) if hands/feet hurt after dysentery. Add Chen Cang Mi (Aged Rice) and Shi Lian Rou (Stone Lotus Seed Flesh) for silent mouth dysentery.
For dysentery with fever and constipation, there is excess heat in both exterior and interior. Liu Yi Shun Qi Tang (Six-to-One Smooth Qi Decoction). (Formula see Shang Han section.) Treats dysentery regardless of red/white mix, abdominal pain, tenesmus, whole-body fever, dry mouth/thirst. Unblocking stops symptoms.
For silent mouth dysentery (inability to eat), Spleen deficiency and severe Stomach heat are present.
Shen Lian Tang (Ginseng and Coptis Decoction):
Ren Shen (Ginseng Root) (5 qian), Huang Lian (Coptis Rhizome) (1 liang).
Decoct one dose in water, sip throughout the day. If vomiting occurs, force drink again; even one sip down the throat brings improvement. Adding Shi Lian Rou (Stone Lotus Seed Flesh) (3 qian) is especially effective. Externally, apply mashed Field Snail to the umbilicus to guide medicine downward.
Kai Jin Tang (Open Silencing Decoction): Treats silent mouth dysentery. Passed down by Xu Yuanji.
Sha Ren (Amomum Fruit) (1 qian, ground), Sha Tang (Rock Sugar) (7 qian), Xi Cha (Fine Tea) (5 qian), Sheng Jiang (Fresh Ginger) (5 slices).
Decoct one dose in 2 zhong of water until 0.8 zhong remains. Leave exposed overnight. Take warm facing North next morning. Externally, grind Mu Bie Zi (Momordica Seed) (2 qian, shelled) and She Xiang (Musk) (0.2 fen), paste onto umbilicus to stimulate appetite.
Another prescription: Highly effective for silent mouth dysentery where grain cannot pass.
Grind Shi Lian Rou (Stone Lotus Seed Flesh) into powder. Take 2-3 qian per dose, mixed with Chen Cang Mi Tang (Aged Rice Soup). Effective immediately. Add 2-3 spoons of Sheng Jiang Zhi (Fresh Ginger Juice) if vomiting.
For chronic dysentery not stopping, tonifying Qi and Blood with lifting and astringing is appropriate.
Shen Gui Shaoyao Tang (Ginseng, Angelica, and Peony Decoction): Treats dysentery lasting 10-20 days, frequent and unceasing. Tonifies Qi and Blood for self-healing.
Ren Shen (Ginseng Root) (1 qian), Dang Gui (Angelica Sinensis, wine-washed) (2 qian), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome) (1 qian), Sha Ren (Amomum Fruit) (0.7 fen), Shan Yao (Chinese Yam, stir-fried), Chen Pi (Tangerine Peel) (each 1 qian), Gan Cao (Licorice Root) (0.5 qian).
Decoct one dose with 1 W Mei (Smoked Plum), a bundle of Deng Cao (Juncus Effusus Stem), and 7 Lian Rou (Lotus Seeds) in water. Take warm. Modify as follows: For silent mouth dysentery due to extreme Stomach heat, add stir-fried Huang Lian, Lotus Seeds, Ginseng, stir-fried Rice, and Smoked Plum to clear heat and open the stomach. For abdominal pain and tenesmus due to extreme heat and Qi stagnation: Tenesmus implies abdominal discomfort. Also, false urge to defecate without passage indicates Blood deficiency. Blood deficiency causes tenesmus; treat with Si Wu Tang (Four Substances Decoction) type formulas, adding Mu Xiang and Bing Lang to harmonize and eliminate stagnant Qi, resolving tenesmus.
Chronic tenesmus due to deficient Qi sinking: If purgatives fail to relieve tenesmus, it is Yang failing to rise. Use Sheng Ma (Cimicifuga Rhizome) as Sovereign herb, add Ren Shen and Dang Gui. Or use Shao Yao (Peony Root) as Sovereign, add a little Sheng Ma to lift Qi.
Generally, pain in dysentery indicates heat flowing downward; add stir-fried Huang Qin and Shao Yao to clear it.
Post-dysentery persistent fever, or only false urging with little stagnation, indicates Blood deficiency. Double Dang Gui, Shao Yao, and Di Huang (Rehmannia Root) to nourish Yin and Blood; fever will subside.
Purple blood in stool indicates Blood stasis; add Shao Yao and Hong Hua (Safflower) to generate and harmonize Blood; hematochezia will heal.
Stool resembling mung bean juice indicates Dampness; add Cang Zhu (Atractylodes Lancea Rhizome) and Bai Zhu to leach out Dampness and promote urination.
Shi Chang San (Intestinal Solidifying Powder): Treats chronic dysentery with excessive loss, any color. Changes stool to yellow.
Gan Shan Yao (Chinese Yam, stir-fried yellow) (1 liang), Hao Lian Rou (Good Lotus Seed Flesh, stir-fried, heart removed) (1 liang), Chao Huang Mi (Stir-fried Yellow Rice) (1 he).
Grind into fine powder. Mix with Rock Sugar and hot water to form a paste. Take gradually. Rinse mouth with clear rice soup afterward. Regular use is most effective.
Tang Pao Yin (Soup Soaking Drink): Treats chronic dysentery, any color.
Ying Su Ke (Poppy Shell, honey-water stir-fried) (3 qian), Wu Mei (Smoked Plum, pitted) (1), Gan Cao (Licorice Root) (0.3 qian), Mi (Honey) (3 spoons).
Crush, soak in 1 zhong boiling water for 1 hour. Strain. Take in three doses.
Zhen Ren Yang Zang Tang (True Person Nourishing Viscera Decoction): Treats adults and children with cold-heat imbalance, red/white dysentery, pus/blood/fish-brain-like stool, tenesmus, umbilical/abdominal pain, prolapse, or alcohol-induced hematochezia.
Rou Gui (Cinnamon Bark) (0.5 qian), Ren Shen (Ginseng Root, remove rhizome), Dang Gui (Angelica Sinensis), He Zi (Chebula Fruit, baked, pitted), Mu Xiang (Aucklandia Root), Gan Cao (Licorice Root, honey-fried), Rou Dou Kou (Nutmeg, flour-baked) (each 1 qian), Shao Yao (Peony Root), Bai Zhu (Atractylodes Macrocephala Rhizome) (each 1 qian), Zhi Qiao (Bitter Orange, honey-fried) (1 qian).
Decoct one dose in water. Take warm before meals. For Cold Viscera, add Zhi Fu Zi (Prepared Aconite Root) (1 qian).
For chronic dysentery unable to get up, anorexia, severe emaciation: Use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) minus Chai Hu (Bupleurum Root), add stir-fried Shao Yao, Ze Xie (Alisma Rhizome), Mu Xiang, Sha Ren, Bai Kou (Cardamom), Di Yu (Sanguisorba Root), and Vinegar-stir-fried Mi Ke (Poppy Shell).
Generally, chronic dysentery stems from Qi and Blood deficiency; Ba Zhen Tang (Eight Treasures Decoction) is suitable. For Spleen Qi deficiency with Blood weakness, use Si Jun Zi Tang (Four Gentlemen Decoction); for Stomach Qi deficiency with Blood weakness, use Bu Zhong Yi Qi Tang. If this condition persists or manifests various complications, adhering to previous methods leads to recovery over time. For Hematochezia and prolonged bleeding: Liu Wei Wan (Six-Ingredient Pill) plus Di Yu, E Jiao (Donkey-Hide Gelatin), Huang Lian, Huang Qin, and Sheng Di Huang. (The above four formulas are seen in the Tonification section.)
Supplementary Formulas
Gou Pi Gao (Dog Skin Plaster): Applied for dysentery/diarrhea with miraculous effect.
Ru Xiang (Frankincense Resin) (5 qian), Mo Yao (Myrrh Resin) (5 qian), Mu Bie Zi (Momordica Seed) (10), Xing Ren (Apricot Kernel) (49), Tao Zhi (Peach Twig, 2-cun segments) (49 joints), Liu Zhi (Willow Twig, chopstick-thick segments) (49 joints).
Use 7 liang Sesame Oil. Deep-fry the four ingredients below Mu Bie Zi. Remove dregs when floating. Add 3 liang refined Huang Dan (Lead Monoxide). Boil into plaster, stirring constantly with Huai Zhi (Locust Twig) until drops form pearls. Remove fire toxicity. Add Ru Xiang, Mo Yao, and She Xiang (Musk) (1 fen). Stir evenly. Apply dog skin plaster to umbilicus after removing fire toxicity.
Xie Li Gao (Diarrhea-Dysentery Plaster):
Chi Shi Zhi (Halloysitum Rubrum) (4 liang), He Zi (Chebula Fruit) (4 liang), Ying Su Ke (Poppy Shell) (4 liang), Gan Jiang (Dried Ginger) (5 liang).
Grind into fine powder. Use 2 jin 4 liang True Sesame Oil. Boil down to 2 jin. Boil vigorously, add 1 jin refined Huang Dan. Boil until black, drop forms pearl. Then add: Long Gu (Fossilized Bones) (2 liang), Ru Xiang (5 qian), Mo Yao (5 qian), She Xiang (1 qian). All finely ground. Mix evenly, remove fire toxicity. Apply to umbilicus. Each plaster weighs 3 qian. In winter, add Rou Dou Kou (Nutmeg) (5 qian).
Secret Recipe: For chronic dysentery. Extract 1 zhong juice from White Radish, mix with 1 zhong Honey. Boil together, mix well, take warm. Stops immediately.
Another Method:
Decoct dried, aged Radish Tops (Luobo Ying) in water. Stops dysentery miraculously.
Another Method:
Take one large Softshell Turtle. Boil in water, remove intestines and shell. Add 7 slices Ginger, small piece Rock Sugar. No salt or soy sauce. Add small amount Rice Flour to make soup/congee. Eat 1-2 bowls. Dysentery stops immediately.
Grand Minister Chun Gang, Mr. Liu, nearly 70 years old, suffered from dysentery with pus, blood, and abdominal pain. Physicians failed. I diagnosed a slightly rapid pulse in all six positions. This was due to excessive rich/sweet foods causing internal heat accumulation. I prescribed 1 liang of Wine-steamed Da Huang (Rhubarb) to clear and drain. Mr. Liu said, "I am old and frail, I fear I cannot tolerate it. Only tonifying and mild agents are acceptable." I explained repeatedly. He finally agreed. He took it and recovered the next day.
Prefect Zhufeng, Mr. He, suffered from red/white dysentery day and night, generalized itching, and irritability. I diagnosed a large, rapid pulse in all six positions, with the Ren Ying (Carotid) pulse being predominant. This was Wind-Pathogen Heat Toxin. I prescribed Ren Shen Bai Du San (Ginseng Detoxifying Decoction) plus Fang Feng (Saposhnikovia Root), Jing Jie (Schizonepeta Spike), and Huang Lian, removing Ren Shen. Two doses cured him. Later, his pulse remained large and rapid. I said, "Rapid indicates irritability; large indicates disease progression. He will likely suffer from Phlegm-Wheezing and not recover." Over a month later, it happened exactly as predicted.
A patient had swollen feet, chest fullness, and scanty urine after dysentery. Using diuretic agents caused generalized edema and wheezing. I said, "Swollen feet indicate Spleen Qi sinking; chest fullness indicates Spleen deficiency forming痞 (Pi syndrome); scanty urine indicates Lung failing to generate Kidney; generalized edema/wheezing indicates Spleen failing to generate Lung." Treated with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Fu Zi (Aconite Root). Recovered. Half a year later, due to alcohol, food, and fatigue, he had swollen eyes and scanty urine. Taking the previous prescription cured him instantly. (Formula see Tonification section.)