伏暑痢久不止，肛脱腹垂，腰酸足萎，食入作
胀，此脾肾两伤，气虚下陷。宜用景岳补阴益气煎(1)，
(1)补阴益气煎：注解中所列诸药。系该方之加减原方中无祗、术。尚有
陈皮。
加杜仲、菟丝等味，升阳摄阴也。
痢虽脾病，久必伤肾。今肛垂腰酸足萎，食入作胀，系
肾虚不撮，脾亏不运，若不两顾，病难问愈。故用景岳补阴
益气煎之参、祗、术、甘以健脾，熟地，山药、归身、杜仲
以补肾，兼升麻、柴胡以升清阳之气，俾阳升阴摄，而痢自
止矣。
伏暑痢久，或止或作，色染不一，面黄腹胀，
此名休息痢。宜用缪仲脾肾双补丸，兼补二天也。
痢久面黄腹胀，已见脾虚之象，若仍或作或止，不特脾
虚气陷，肾脏亦少摄纳之权，非用仲淳之脾肾双补丸，兼补
先后二天，则脾肾亏，痢无已时也。
伏暑痢赤，身热口渴，腹痛窘迫，肛门如火，
脉数弦滑，此湿火奔迫。宜用白头翁汤，苦味坚阴
也。
此条热迫下注，邪火消烁，故腹痛下坠，窘迫无度，常
如里急之状。且肛门如烙，而身热口渴，脉得滑数，若非白
头翁汤之苦以坚阴，寒以清热，则痢必不止。如热甚者，再
加大黄以涤之;若热不甚，而脉虚数，舌干少津，咽燥口
干，乃阴虚火炽，宜用黄连阿胶汤养阴清热为要。
伏暑痢疾日久不止，出现肛门脱出、腹部下垂，腰部酸痛、双腿萎软无力，进食后感到腹胀，这是脾肾两脏受损，气虚导致中气下陷。适宜使用景岳补阴益气煎，并加入杜仲、菟丝子等药物，以升举阳气、固摄阴液。
痢疾虽然病位在脾，但日久必然伤及肾脏。如今出现肛门下垂、腰部酸痛、双腿萎软、进食腹胀，这是由于肾虚不能收摄，脾虚不能运化，如果不脾肾同治，疾病难以痊愈。因此使用景岳补阴益气煎中的人参、枸杞、白术、甘草来健脾，用熟地黄、山药、当归身、杜仲来补肾，同时配合升麻、柴胡来提升清阳之气，使得阳气上升、阴液内摄，痢疾自然停止。
伏暑痢疾日久，有时停止有时发作，大便颜色不一，面色发黄、腹部胀满，这称为休息痢。适宜使用缪仲淳的脾肾双补丸，同时补益先天和后天之本。
痢疾日久面色发黄、腹部胀满，已经显示出脾虚的症状，如果仍然时好时坏，不仅脾气虚弱下陷，肾脏也缺乏摄纳的功能，如果不使用缪仲淳的脾肾双补丸，同时补益先后天二脏，那么脾肾亏损，痢疾就不会停止。
伏暑痢疾便下赤色（脓血），身体发热、口渴，腹痛且窘迫急迫，肛门感觉如火烧灼，脉象数、弦而滑，这是湿火奔迫所致。适宜使用白头翁汤，利用苦味药物坚阴。
这一条是热邪逼迫向下注泄，邪火消烁津液，所以腹痛下坠，窘迫无度，常常像有里急后重的症状。而且肛门如被烙铁烫过，加上身体发热、口渴，脉象滑数，如果不是用白头翁汤的苦味来坚阴，寒性来清热，痢疾必定不会停止。如果热势严重，再加大黄来涤荡积滞；如果热势不重，但脉象虚数，舌干少津，咽喉干燥、口中发干，这是阴虚火旺，适宜使用黄连阿胶汤滋养阴液、清除热邪作为关键。
Dysentery due to latent summerheat persisting for a long time without cessation, accompanied by prolapse of the anus and sagging of the abdomen, soreness and weakness of the lower back, atrophy and weakness of the legs, and abdominal distension after eating, indicates damage to both the Spleen and Kidney with Qi deficiency leading to sinking of the middle Qi. It is appropriate to use Jingyue Buyin Yiqi Decoction (Zhang Jingyue's Yin-Nourishing and Qi-Boosting Decoction), adding Eucommiae Cortex (Duzhong) and Cuscutae Semen (Tusizi) among other herbs, to raise Yang Qi and secure Yin fluids.
Although dysentery originates from Spleen pathology, prolonged duration inevitably injures the Kidney. The current symptoms of anal prolapse, lumbar soreness, leg atrophy, and postprandial distension are due to Kidney deficiency failing to grasp and retain, and Spleen deficiency failing to transport and transform. If both organs are not treated simultaneously, recovery will be difficult. Therefore, Ren Shen (Ginseng Radix et Rhizoma), Gouqi (Lycii Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma) in Jingyue Buyin Yiqi Decoction are used to strengthen the Spleen; Shudi (Rehmanniae Radix Preparata), Shanyao (Dioscoreae Rhizoma), Danggui (Angelicae Sinensis Radix), and Duzhong (Eucommiae Cortex) are used to tonify the Kidney; while Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) are added to ascend clear Yang Qi, allowing Yang to rise and Yin to be retained, thereby stopping the dysentery.
Prolonged dysentery from latent summerheat may cease intermittently or recur, with varying stool colors, yellowish complexion, and abdominal distension; this is termed "Rest Dysentery" (Xiuxi Li). It is appropriate to use Mi Zhongchun's Pishen Shuangbu Wan (Spleen-Kidney Dual Tonifying Pill) to tonify both the Pre-heaven and Post-heaven foundations.
Prolonged dysentery presenting with a sallow complexion and abdominal distension already reveals signs of Spleen deficiency. If it continues to fluctuate between remission and exacerbation, it indicates not only Spleen Qi deficiency with sinking but also a lack of grasping power in the Kidneys. Without using Mi Zhongchun's Pishen Shuangbu Wan to tonify both the Pre-heaven and Post-heaven sources, the Spleen and Kidney deficiency will persist, and the dysentery will not cease.
Dysentery from latent summerheat presenting with bloody stools, fever, thirst, abdominal pain with urgency and tenesmus, burning sensation in the anus, and a rapid, wiry, and slippery pulse indicates rushing damp-fire. It is appropriate to use Baitouweng Tang (Pulsatilla Decoction), utilizing bitter flavors to firm the Yin.
This pattern involves heat forcing downward flow and evil fire consuming fluids, resulting in abdominal pain with bearing down, extreme urgency, and frequent sensations of tenesmus. Additionally, the anus feels as if scorched, accompanied by fever, thirst, and a slippery-rapid pulse. Unless Baitouweng Tang is used for its bitter nature to firm the Yin and cold nature to clear heat, the dysentery will not stop. If the heat is severe, add Dahuang (Rhei Radix et Rhizoma) to purge accumulation; if the heat is mild but the pulse is deficient and rapid, with a dry tongue lacking fluids, dry throat, and dry mouth, indicating Yin deficiency with blazing fire, Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction) should be used to nourish Yin and clear heat as the primary treatment.