（东垣）
治痔疮痔漏有脓血，大便燥结，痛不可忍（手阳明大肠，庚金也，清燥主收，司行津液，
以从
阴之
胃湿也
秦艽 白术 归尾（酒洗） 桃仁（研。一两） 枳实（麸炒） 皂角子（烧存性） 泽
泻（五
此手足阳明药也。李东垣曰∶秦艽、归尾、桃仁润燥和血（秦艽为风药中润剂），皂角
仁以除风燥，地榆以破血止血，枳实苦寒，以补肾而泄胃实，泽泻淡渗，使气归于前阴，以
补清燥受胃之湿邪也（清燥，谓大肠也），白术之苦以补燥气之不足，其味甘以泻火而益元
气，故曰甘寒泻火，乃假枳实之寒也，大便秘涩，以大黄推之，其津液益不足，用当归和血，
加油润之剂，
本方除白术、枳实、地榆，加苍术、黄柏、大黄、槟榔、防风，名秦艽苍术汤∶治同（李
东垣
合邪，当去四者，以破气药兼之，治法全矣）。本方除皂角、枳实、地榆，加防风、升麻、
柴胡、陈皮、大黄、黄柏、红花、炙草，名秦艽防风汤∶治痔漏大便时疼痛（东垣曰∶如无
痛者，非痔漏也）。本方用秦艽一味，加羌活、防风、麻黄、升麻、柴胡、 本、细辛、黄
、炙草、红花，名秦艽羌活汤∶治痔漏成块下垂，不任其痒。本方除地榆，加大黄、红花，
名秦艽当
（洁古）
治下痢脓血稠粘，腹痛后重（下痢皆属湿热，赤为伤血，白为伤气，脓血稠粘，气血两
伤
芍药（一两） 归尾 黄芩 黄连（五钱） 大黄（三钱） 木香 槟榔 甘草（炙。
二钱）
此足太阴、手足阳明药也。芍药酸寒，泻肝火，敛阴气，和营卫，故以为君；大黄、归
尾破积
不得
者，
本方除桂、甘草，加枳壳，名导滞汤（一作导气汤）∶治前证兼渴者此方今人多用。大
法治痢以甘芍和中止腹痛，热痛加芩连，寒痛加姜桂，以木香、槟榔行气除后重，气分加枳
壳、滑石宽肠，血分加当归、桃仁和血，以秦艽、皂子祛肠风，黄芩、黄连清热毒，以白术、
陈皮调胃，茯苓、泽泻渗湿，枳实、大黄破积，呕吐加石膏、姜汁，气虚加黄 、参、术，
血虚加
（李东垣）
治疗痔疮、痔漏伴有脓血，大便干燥坚硬，疼痛难以忍受。手阳明大肠经属于庚金，性质清燥而主收敛，负责运行津液，以顺应胃的湿性。
秦艽、白术、当归尾（用酒清洗）、桃仁（研磨。一两）、枳实（麸皮炒）、皂角子（烧至存性）、泽泻（五钱）。
这是手足阳明经的药物。李东垣说：秦艽、当归尾、桃仁能润燥和血（秦艽是风药中的润剂），皂角仁用来祛除风燥，地榆用来破血止血，枳实味苦性寒，用来补肾并泄除胃实的积滞，泽泻味甘淡而渗利，使气机归于前阴，以补充因清燥受胃湿邪影响的部分（清燥，指大肠），白术的苦味用来补益燥气的不足，其甘味用来泻火并益元气，所以说是“甘寒泻火”，这其实是借助枳实的寒性。大便秘结涩滞，用大黄推荡排出，津液更加不足时，用当归调和血液，加入油润的药物。
本方除去白术、枳实、地榆，加入苍术、黄柏、大黄、槟榔、防风，名为秦艽苍术汤：治疗同样的病症（李东垣认为：如果兼有合邪，应当去掉这四味药，改用破气药配合，治疗方法就完备了）。本方除去皂角、枳实、地榆，加入防风、升麻、柴胡、陈皮、大黄、黄柏、红花、炙甘草，名为秦艽防风汤：治疗痔疮漏管在大便时疼痛（东垣说：如果没有疼痛，就不是痔疮漏管）。本方只用秦艽一味药，加入羌活、防风、麻黄、升麻、柴胡、藁本、细辛、黄芩、炙甘草、红花，名为秦艽羌活汤：治疗痔疮漏管形成肿块下垂，无法忍受瘙痒。本方除去地榆，加入大黄、红花，名为秦艽当...（原文此处截断）
（张洁古）
治疗下痢脓血稠粘，腹痛且肛门重坠感（下痢都属于湿热，红色为伤血，白色为伤气，脓血稠粘说明气血两伤）。
芍药（一两）、当归尾、黄芩、黄连（五钱）、大黄（三钱）、木香、槟榔、甘草（炙。二钱）。
这是足太阴经及手足阳明经的药物。芍药味酸性寒，能泻肝火，敛阴气，调和营卫，所以作为君药；大黄、当归尾破除积滞...（原文此处截断，后续内容不完整）
本方除去桂枝、甘草，加入枳壳，名为导滞汤（一作导气汤）：治疗上述症状兼有口渴者，此方现在人多使用。治疗痢疾的大法是用甘缓的芍药和中止腹痛，热痛加黄芩、黄连，寒痛加干姜、桂枝，用木香、槟榔行气消除后重感，气分病加枳壳、滑石宽肠，血分病加当归、桃仁活血，用秦艽、皂角子祛除肠风，黄芩、黄连清热解毒，用白术、陈皮调理胃气，茯苓、泽泻渗湿，枳实、大黄破除积滞，呕吐加石膏、姜汁，气虚加黄芪、人参、白术，血虚加...（原文此处截断）
(Li Dongyuan)
Treats hemorrhoids and fistulae with pus and blood, dry and hard stools, and unbearable pain. The Hand-Yangming Large Intestine channel belongs to Geng Metal; its nature is clear and dry, governing contraction, and responsible for transporting body fluids to comply with the dampness of the Stomach.
Qinjiao (Gentianae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guiwei (Radix Angelicae Sinensis Cauda, washed with wine), Taoren (Semen Persicae, ground. 1 liang), Zhishi (Fructus Aurantii Immaturus, stir-fried with bran), Zaojiazi (Fructus Gleditsiae Sinensis, burnt to retain character), Zexie (Alismatis Rhizoma. 5 qian).
These are herbs for the Hand and Foot Yangming channels. Li Dongyuan stated: Qinjiao, Guiwei, and Taoren moisten dryness and harmonize blood (Qinjiao is a moistening agent among wind-dispelling herbs); Zaojia ren removes wind-dryness; Diyu stops bleeding by breaking blood stasis; Zhishi is bitter and cold, tonifying the Kidney and draining excess in the Stomach; Zexie is bland and permeating, directing Qi to the anterior yin, thereby supplementing the part affected by damp-evil due to the clear-dry nature of the Large Intestine (clear-dry refers to the Large Intestine); the bitterness of Baizhu tonifies the insufficiency of dry-Qi, and its sweetness drains fire and benefits primordial Qi, hence it is called "sweet-cold draining fire," which actually borrows the cold nature of Zhishi. For constipation and涩滞 (roughness/stagnation), Dahuang pushes them out; when body fluids are further insufficient, Danggui harmonizes blood, and oily lubricating agents are added.
This formula, excluding Baizhu, Zhishi, and Diyu, plus Cangzhu, Huangbai, Dahuang, Binglang, and Fangfeng, is named Qinjiao Cangzhu Tang: treating the same condition (Li Dongyuan said: if there is combined pathogenic factors, these four should be removed and replaced with Qi-breaking herbs, making the treatment method complete). This formula, excluding Zaojiao, Zhishi, and Diyu, plus Fangfeng, Shengma, Chaihu, Chenpi, Dahuang, Huangbai, Honghua, and Zhigancao, is named Qinjiao Fangfeng Tang: treating hemorrhoidal fistulae with pain during defecation (Dongyuan said: if there is no pain, it is not a hemorrhoidal fistula). Using only Qinjiao from this formula, plus Qianghuo, Fangfeng, Mahuang, Shengma, Chaihu, Gaoben, Xixin, Huangqin, Zhigancao, and Honghua, is named Qinjiao Qianghuo Tang: treating hemorrhoidal fistulae forming masses that prolapse and cause intolerable itching. This formula, excluding Diyu, plus Dahuang and Honghua, is named Qinjiao Dang... (text truncated here)
(Zhang Jiegu)
Treats dysentery with thick and sticky pus and blood, abdominal pain, and tenesmus (dysentery all belongs to damp-heat; red indicates blood injury, white indicates Qi injury; thick and sticky pus and blood indicate both Qi and Blood are injured).
Shaoyao (1 liang), Guiwei, Huangqin, Huanglian (5 qian), Dahuang (3 qian), Muxiang, Binglang, Gancao (stir-fried with honey. 2 qian).
These are herbs for the Foot-Taiyin channel and the Hand and Foot Yangming channels. Shaoyao is sour and cold, draining Liver Fire, astringing Yin Qi, and harmonizing Ying and Wei, thus serving as the Sovereign herb; Dahuang and Guiwei break up accumulations... (text truncated here)
This formula, excluding Guizhi and Gancao, plus Zhike, is named Daozhi Tang (also known as Daoqi Tang): treating the aforementioned symptoms accompanied by thirst; this formula is widely used today. The general principle for treating dysentery is using sweet Shaoyao to harmonize the middle and stop abdominal pain; for heat-pain, add Huangqin and Huanglian; for cold-pain, add Ganjiang and Guizhi; use Muxiang and Binglang to move Qi and relieve tenesmus; for Qi-level involvement, add Zhike and Huashi to widen the intestines; for Blood-level involvement, add Danggui and Taoren to harmonize blood; use Qinjiao and Zaojizi to dispel intestinal wind; Huangqin and Huanglian clear heat-toxins; Baizhu and Chenpi regulate the Stomach; Fuling and Zexie promote dampness drainage; Zhishi and Dahuang break up accumulations; for vomiting, add Shigao and Jiangzhi; for Qi-deficiency, add Huangqi, Renshen, and Baizhu; for Blood-deficiency, add... (text truncated here)