溲而便脓血者。小肠泄也。脉若五至以上洪大者。宜以七宣丸。脉平和者。立秋至春分宜香连
丸。春分至立秋宜芍药柏皮丸。四时皆宜加减平胃散。如有七宣丸证候者。亦宜服此药。去其余邪
。兼平胃气。
【芍药柏皮丸】
芍药 黄柏（各等分）
上为末。醋糊丸如桐子大。每服五七十丸。温米饮送下。食前。
【加减平胃散】经云。四时皆以胃气为本。久下血则脾胃虚损。而血不流于四肢。却入于
胃中而为血痢。宜服此滋养脾胃。
木香 槟椰（各三钱） 白术 浓朴（制）
陈皮（各一两） 甘草（七钱） 人参 黄连
白茯苓 阿胶（炒） 桃仁（各半两）
上十一味为末。每服五钱。水二盏。生姜三片。枣子一个。煎至一盏。去渣。温服无时。
加减法 ○血多加桃仁。○气不下后重。加槟榔、木香。脓多加阿胶。○腹痛加官桂、芍药、
甘草。○湿多加
白术。○脉洪大加大黄。○热泄加黄连。○小便涩加茯苓、泽泻。
【黄连阿胶丸】治痢。
阿胶（碎炒。一两） 黄连（三两） 茯苓（二两）
上各为末。以水调阿胶末。为丸桐子大。每服三十丸。温水下。食前服。
【诃黎勒丸】治休息痢日夜无度。腥臭不可近。脐腹撮痛。诸药不效者。
诃子（去核半两） 母丁香（三十个） 椿根白皮（一两）
上为末。醋糊丸如桐子大。每服五十丸。陈米饮送下。空心食前。
【鞠 丸】治中风或中风湿。脏腑滑泻。
附子 芎 白术 神曲（各等分）
上四味为末。面糊丸如桐子大。每服三五十丸。温米饮送下。此药亦治飧泄甚妙。素问云。春
伤于风。夏必飧泄。米谷不化。盖春木旺。肝生风邪。淫于脾经。夏饮冷当风。故多飧泄也。
【陈曲丸】磨积止泻痢。治腹中冷疼。
陈曲（一两半） 官桂 人参 干姜
白术 当归 甘草（炙） 浓朴（各半两）
上八味为末。炼蜜丸如桐子大。每服三五十丸。温酒或淡醋汤任下。食前。日二服。
【曲术丸】治时暑暴泻。壮脾温胃。及治饮食所伤。胸膈痞闷。
神曲（炒） 苍术（泔浸一宿。炒。各等分）
上为细末。面糊丸桐子大。每服三十丸。温米饮下。不拘时。
【胃风汤】治风冷虚气。入客肠胃。水谷不化。泄泻注下。腹痛虚满。肠鸣疼痛。及肠胃
湿毒。下如豆汁。或下瘀血。
白术 川芎 白芍药 人参
当归 官桂 茯苓（各等分）
上七味锉。每服二钱。水一盏。粟米百粒。同煎至七分。热服。室心食前。量小儿加减服之。
【当归和血散】治肠癖下血。及湿毒下血。
升麻 当归身（各一钱） 槐花 青皮
熟地黄 白术（各六分） 川芎 荆芥（各四钱）
上八味为末。每服二钱。清米饮调下。空心食前。
小便排出脓血者，属于小肠泄泻。若脉象在五次搏动以上且呈现洪大之象，适宜使用七宣丸；若脉象平和，从立秋到春分期间适宜服用香连丸，从春分到立秋期间适宜服用芍药柏皮丸，四季皆适宜服用加减平胃散。如果具备七宣丸的证候，也适宜服用此药，以祛除其余留的病邪，同时调和胃气。
【芍药柏皮丸】
芍药、黄柏（各等分）
将上述药物研为细末，用醋调糊制成如梧桐子大小的丸剂。每次服用五七十丸，饭前用温热的米汤送服。
【加减平胃散】经文中说：四季养生都以胃气为本。长期下痢便血会导致脾胃虚弱受损，血液不能流注于四肢，反而进入胃中形成血痢。适宜服用此方以滋养脾胃。
木香、槟榔（各三钱）、白术、厚朴（炮制）、陈皮（各一两）、甘草（七钱）、人参、黄连、白茯苓、阿胶（炒）、桃仁（各半两）。
将以上十一味药研为细末。每次服用五钱，加水两盏，生姜三片，大枣一个，煎煮至一盏量，去渣滓，随时温热服用。
加减法：○出血多者加桃仁；○气机不畅伴有后重感者，加槟榔、木香；○脓液多者加阿胶；○腹痛者加官桂、芍药、甘草；○湿邪重者加白术；○脉象洪大者加大黄；○热性泄泻者加黄连；○小便涩痛者加茯苓、泽泻。
【黄连阿胶丸】治疗痢疾。
阿胶（捣碎炒制，一两）、黄连（三两）、茯苓（二两）。
将各药分别研为细末，用水调和阿胶末，制成如梧桐子大小的丸剂。每次服用三十丸，温水送服，饭前服用。
【诃黎勒丸】治疗休息痢，日夜无度，气味腥臭令人难以靠近，脐腹部拘急疼痛，其他药物无效者。
诃子（去核，半两）、母丁香（三十个）、椿根白皮（一两）。
将上述药物研为细末，用醋调糊制成如梧桐子大小的丸剂。每次服用五十丸，空腹饭前用陈年米汤送服。
【鞠丸】治疗中风或中风湿，导致脏腑滑脱泄泻。
附子、川芎、白术、神曲（各等分）。
将以上四味药研为细末，用面糊制成如梧桐子大小的丸剂。每次服用三五十丸，用温热的米汤送服。此药治疗飧泄也非常巧妙。《素问》说：春季伤于风邪，夏季必定发生飧泄，食物不消化。这是因为春季木气旺盛，肝生风邪，淫溢侵犯脾经，加上夏季贪凉饮冷、当风受寒，所以多发生飧泄。
【陈曲丸】磨消积滞，止住泄痢，治疗腹中冷痛。
陈曲（一两半）、官桂、人参、干姜、白术、当归、甘草（炙）、厚朴（各半两）。
将以上八味药研为细末，用炼蜜制成如梧桐子大小的丸剂。每次服用三五十丸，饭前服用，每日两次，可用温酒或淡醋汤任一种送服。
【曲术丸】治疗暑天暴发性泄泻，强壮脾胃，温暖胃腑，以及治疗饮食所伤导致的胸膈痞闷。
神曲（炒）、苍术（淘米水浸泡一夜，炒制，各等分）。
将上述药物研为细末，用面糊制成梧桐子大小的丸剂。每次服用三十丸，随时用温热的米汤送服。
【胃风汤】治疗风冷虚气侵入肠胃，导致水谷不化，泄泻如水注下，腹痛虚满，肠鸣疼痛，以及肠胃湿毒，排泄物如豆汁样，或排出瘀血。
白术、川芎、白芍药、人参、当归、官桂、茯苓（各等分）。
将以上七味药切碎。每次服用二钱，加水一盏，粟米一百粒，同煎至七分量，趁热服用，空心时饭前服用，根据小儿年龄大小酌情加减服用。
【当归和血散】治疗肠癖下血，以及湿毒引起的下血。
升麻、当归身（各一钱）、槐花、青皮、熟地黄、白术（各六分）、川芎、荆芥（各四钱）。
将以上八味药研为细末。每次服用二钱，用清米汤调服，空腹饭前服用。
Passing pus and blood in urine or stool indicates Small Intestine Leakage (Xiaochang Xie). If the pulse is rapid (more than five beats per breath) and surging (Hong Da), Qixuan Wan (Seven Promoting Pills) is appropriate. If the pulse is harmonious, from Start of Autumn to Spring Equinox, Xianglian Wan (Fragrant Coptis Pills) is appropriate; from Spring Equinox to Start of Autumn, Shaoyao Bapi Wan (Peony and Phellodendron Bark Pills) is appropriate. Throughout the four seasons, Jiajian Pingwei San (Modified Stomach-Pacifying Powder) is appropriate. Even if the syndrome matches that of Qixuan Wan, this medicine should also be taken to eliminate residual pathogens and harmonize Stomach Qi.
[Shaoyao Bapi Wan]
Baishao (Radix Paeoniae Alba), Huangbai (Cortex Phellodendri Amurensis) [equal parts].
Grind into powder, mix with vinegar paste to form pills the size of paulownia seeds. Take 50-70 pills each time, swallowed with warm rice water before meals.
[Jiajian Pingwei San] The Classics state: "The Stomach Qi is the foundation for all four seasons." Chronic bloody diarrhea damages the Spleen and Stomach, causing blood to fail flowing to the four limbs and instead entering the Stomach, resulting in bloody dysentery. This formula is suitable to nourish the Spleen and Stomach.
Muxiang (Aucklandiae Radix), Binglang (Arecae Semen) [3 qian each], Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Cortex Magnoliae Officinalis, processed) [1 liang each], Chenpi (Pericarpium Citri Reticulatae), Gancao (Glycyrrhizae Radix et Rhizoma) [7 qian], Renshen (Ginseng Radix), Huanglian (Coptidis Rhizoma), Bai Fuling (Poria), Ejiao (Colla Corii Asini, fried), Taoren (Persicae Semen) [0.5 liang each].
Grind these eleven herbs into powder. Take 5 qian each time with two cups of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and one Zaozi (Jujubae Fructus). Decoct until one cup remains, strain, and take warm at any time.
Modifications: ○ For heavy bleeding, add Taoren; ○ For Qi stagnation with tenesmus, add Binglang and Muxiang; ○ For excessive pus, add Ejiao; ○ For abdominal pain, add Guigui (Cinnamomi Cortex), Baishao, and Gancao; ○ For heavy dampness, add Baizhu; ○ For surging pulse, add Dahuang (Rhei Radix et Rhizoma); ○ For heat-induced diarrhea, add Huanglian; ○ For astringent urination, add Fuling and Zexie (Alismatis Rhizoma).
[Huanglian Ejiao Wan] Treats dysentery.
Ejiao (Crushed and fried, 1 liang), Huanglian (3 liang), Fuling (2 liang).
Grind each herb separately into powder. Mix the Ejiao powder with water to form pills the size of paulownia seeds. Take 30 pills each time with warm water before meals.
[Helile Wan] Treats chronic intermittent dysentery (Xiuxi Li) occurring day and night without limit, with a foul odor that is unbearable, and cramping pain in the umbilical and abdominal regions, when other medicines are ineffective.
Hezi (Chebulae Fructus, pitted, 0.5 liang), Mudingxiang (Cardamomi Fructus, 30 pieces), Chun Genbaipi (Cortex Ailanthi Altissimi Radicis, 1 liang).
Grind into powder, mix with vinegar paste to form pills the size of paulownia seeds. Take 50 pills each time on an empty stomach before meals with aged rice water.
[Juw Wan] Treats Wind Stroke or Wind-Dampness invasion causing slippery diarrhea due to organ deficiency.
Fuzi (Aconiti Lateralis Radix Praeparata), Xiong (Ligustici Chuanxiong Rhizoma), Baizhu, Shenqu (Massa Medicata Fermentata) [equal parts].
Grind these four herbs into powder, mix with flour paste to form pills the size of paulownia seeds. Take 30-50 pills each time with warm rice water. This medicine is also excellent for treating Sundry Diarrhea (Sunxie). The Suwen states: "Wind injury in spring leads to Sundry Diarrhea in summer," characterized by undigested food in stool. This is because Wood Qi is prosperous in spring, generating Wind Evil in the Liver, which invades the Spleen Meridian. Summer consumption of cold drinks and exposure to wind often causes Sundry Diarrhea.
[Chenqu Wan] Resolves accumulation, stops diarrhea and dysentery, treats cold pain in the abdomen.
Chenqu (Fermented Mass, 1.5 liang), Guigui (Cinnamomi Cortex), Renshen, Ganjiang (Zingiberis Rhizoma), Baizhu, Danggui (Angelicae Sinensis Radix), Gancao (Honey-fried), Houpo [0.5 liang each].
Grind these eight herbs into powder, mix with refined honey to form pills the size of paulownia seeds. Take 30-50 pills each time before meals, twice daily, with warm wine or light vinegar soup.
[Quzhu Wan] Treats acute summerheat diarrhea, strengthens the Spleen and warms the Stomach, and treats injuries from diet causing chest and diaphragm fullness and oppression.
Shenqu (Fried), Cangzhu (Imperatae Rhizoma, soaked in rice wash overnight, fried) [equal parts].
Grind into fine powder, mix with flour paste to form pills the size of paulownia seeds. Take 30 pills each time with warm rice water at any time.
[Weifeng Tang] Treats deficiency-Qi invaded by Wind-Cold entering the intestines and stomach, causing undigested food, pouring diarrhea, abdominal pain with false fullness, borborygmus, and pain, as well as intestinal-stomach damp-toxin causing discharge resembling bean curd dregs or bruised blood.
Baizhu, Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baishaoyao (Paeoniae Radix Alba), Renshen, Danggui, Guigui, Fuling [equal parts].
Cut these seven herbs. Take 2 qian each time with one cup of water and 100 grains of Sumi (Setaria Italica). Decoct until 0.7 cup remains, take hot before meals on an empty stomach. Adjust dosage for children accordingly.
[Danggui Hexue San] Treats intestinal dysentery with bleeding and lower bleeding caused by damp-toxin.
Shengma (Cimicifugae Rhizoma), Dangguishen (Angelicae Sinensis Radix) [1 qian each], Huaihua (Sophorae Flos), Qingpi (Pericarpium Citri Reticulatae Viride), Shudihuang (Rehmanniae Radix Praeparata), Baizhu [6 fen each], Chuanxiong, Jingjie (Schizonepetae Herba) [4 qian each].
Grind these eight herbs into powder. Take 2 qian each time mixed with clear rice water on an empty stomach before meals.