痢疾，古名滞下。多因外受暑湿，内伤生冷，而伤于气者色多白，以肺与大肠相表里也
。伤于
血者色多赤，以心与小肠相表里也。里急者，腹窘痛也。后重者，频下坠也。总之，无积不
成痢，内治以宣通之法主之。
热痢，湿热熏蒸，凝结肠胃，以致腹痛，肛坠，溲短，舌赤，唇焦，烦渴迸迫，下痢鲜
红，脉象洪滑。总由暑湿积滞，内治宜清火导滞法。
推三关，(二百遍。)退六腑，(一百遍。)清心经，(一百遍。)分阴阳，(二百遍。)推大
肠，
(八十遍。)推脾土，(二百遍。)运八卦，(八十遍。)推肾水，(八十遍。)揉脐及龟尾。(各
一百遍。)
寒痢者，生冷不节，脾失转输，下痢白脓肠鸣切痛，面唇青白，渴喜热饮，脉象弦弱。
内治宜温理脾胃，佐以行气法。
分阴阳，(二百遍。)推三关，(二百遍。)退六腑，(八十遍。)运八卦，(八十遍。)推脾
土，
(一百遍。)推大肠，(一百遍。)天门入虎口，(八十遍。)揉脐及龟尾，(各一百遍。)运水入
土，(一百遍。)板门推向横纹，(五十遍。)推委中后承山。(各五十遍。)凡推用姜葱水，用
灸法，灸神阙。(见卷二，二十六页。)
赤白痢，由冷热不调。内治以驻车丸连理汤主之。
分阴阳，(二百遍。)推三关，(一百遍。)退六腑，(一百遍。)推脾土，(一百遍。)运八
卦，
(五十遍。)推大肠(二百遍。)版门推向横纹，(五十遍。)摩脐腰眼，并龟尾，(各一百二十
遍。)推委中后承山。(各五十遍。)凡推用姜葱水。
噤口痢。热毒冲胃，肠中传导皆逆阻似闭，身热，舌赤，唇红。内治以清解热毒主之。
分阴阳，(二百遍。)推三关，(一百遍。)退六腑，(一百遍。)推脾土(一百遍。)推大肠
，
(二百遍。)版门推向横门，(五十遍。)摩脐腰眼并龟尾，(各一百二十遍。)推委中并后承山
。(各五十遍。)
按∶痢疾必兼湿热停滞，气机阻逆，不得宣通，致令里急后重，小溲赤涩。宜苦寒之药
，燥
湿涤热，佐以辛温，便能开郁行气。故行血则便脓自愈，调气则后重自除。然必分初、中
、末治之。初痢，则形气尚强，胀实坚痛者，亟宜去积，积去，则痢止。此通因通用之法也
。其或有烦热，喜冷脉实，腹满，纯下鲜红血者，湿热内盛，亟宜清利，迨经久已伤，或伤
阴，或伤阳。伤阴者，精血脂液悉从痢去，多烦躁热渴之候，宜清润 养阴；伤阳者，脾肾
元阳，因痢而衰，多滑脱厥逆之候，宜温补回阳。总之，暴病多实，久病多虚，滑脱多寒，
涩滞多热。参之脉证，合之新久，庶几近之，勿徒以按摩为也。(惕厉子)
痢疾，古时候称为滞下。大多是因为外感暑湿邪气，内伤生冷食物，从而损伤气分则大便颜色多白，这是因为肺与大肠相表里；损伤血分则大便颜色多红，这是因为心与小肠相表里。所谓“里急”，是指腹部窘迫疼痛；所谓“后重”，是指频繁有下坠感。总之，没有积滞就不会形成痢疾，内治法以宣通为主。
热痢，是由于湿热熏蒸，凝结在肠胃，导致腹痛、肛门下坠、小便短少、舌质红赤、嘴唇焦干、烦躁口渴且感觉紧迫，排出鲜红色的痢疾，脉象洪大滑数。总归是暑湿积滞所致，内治宜用清火导滞法。
推拿手法：推三关（二百遍），退六腑（一百遍），清心经（一百遍），分阴阳（二百遍），推大肠（八十遍），推脾土（二百遍），运八卦（八十遍），推肾水（八十遍），揉脐部及龟尾穴（各一百遍）。
寒痢，是由于生冷饮食不节制，脾脏失去转输功能，导致下痢白色脓液、肠鸣剧烈疼痛、面色和嘴唇青白、口渴喜欢喝热水、脉象弦弱。内治宜温补调理脾胃，辅以行气法。
推拿手法：分阴阳（二百遍），推三关（二百遍），退六腑（八十遍），运八卦（八十遍），推脾土（一百遍），推大肠（一百遍），天门入虎口（八十遍），揉脐部及龟尾穴（各一百遍），运水入土（一百遍），板门推向横纹（五十遍），推委中穴及后承山穴（各五十遍）。凡推拿时均使用姜葱水，并配合灸法，灸神阙穴。（见卷二，二十六页。）
推拿手法：分阴阳（二百遍），推三关（一百遍），退六腑（一百遍），推脾土（一百遍），运八卦（五十遍），推大肠（二百遍），板门推向横纹（五十遍），摩脐部、腰眼及龟尾穴（各一百二十遍），推委中穴及后承山穴（各五十遍）。凡推拿时均使用姜葱水。
噤口痢，是由于热毒冲犯胃腑，肠道传导功能逆阻，似乎闭塞，身体发热，舌质红赤，嘴唇发红。内治以清解热毒为主。
推拿手法：分阴阳（二百遍），推三关（一百遍），退六腑（一百遍），推脾土（一百遍），推大肠（二百遍），板门推向横纹（五十遍），摩脐部、腰眼及龟尾穴（各一百二十遍），推委中穴及后承山穴（各五十遍）。
按语：痢疾必定兼有湿热停滞，气机阻滞逆乱，不能宣通，从而导致里急后重、小便赤涩。适宜使用苦寒药物，燥湿清热，佐以辛温药物，便能开郁行气。所以，调和血液则便脓自然痊愈，调理气机则后重感自然消除。然而必须分为初、中、末三个阶段来治疗。初痢阶段，患者形体正气尚强，腹胀坚实疼痛的，急需去除积滞，积滞去除，则痢疾停止。这是“通因通用”的治疗方法。如果有烦热、喜冷、脉实、腹部胀满、纯下鲜红色血的情况，说明湿热内盛，急需清利湿热。等到病程长久已经受伤，或伤阴，或伤阳。伤阴的，精血津液都随痢疾流失，多有烦躁、热渴的症状，宜用清润养阴法；伤阳的，脾肾元阳因痢疾而衰败，多有滑脱不禁、四肢厥冷的症状，宜用温补回阳法。总之，急性病多实证，慢性病多虚证，滑脱不禁多寒证，涩滞不通多热证。参考脉象和证候，结合病程的新久，才差不多接近真理，不要仅仅依靠按摩疗法。（惕厉子）
Dysentery, anciently known as "Zhi Xia" (Stagnant Downward Flow), is mostly caused by external contraction of summer-heat and dampness, and internal injury from raw and cold foods. When the Qi is injured, the stool color tends to be white, because the Lung and Large Intestine are exterior-interior related. When the Blood is injured, the stool color tends to be red, because the Heart and Small Intestine are exterior-interior related. "Li Ji" (Tenesmus/Urge) refers to abdominal urgency and pain. "Hou Zhong" (Heaviness in the rectum) refers to frequent bearing-down sensations. In summary, without stagnation, dysentery cannot form; internal treatment should primarily employ methods to promote circulation and unblocking.
Hot Dysentery: Caused by steaming and condensation of damp-heat in the stomach and intestines, leading to abdominal pain, anal bearing-down sensation, short urine, red tongue, dry lips, irritability, thirst with a sense of urgency, passage of fresh red dysenteric stools, and a surging and slippery pulse. This is generally due to summer-heat and dampness stagnation; internal treatment should use methods to clear fire and guide out stagnation.
Massage techniques: Push San Guan (Three Gates) (200 times), Retreat Liu Fu (Six Palaces) (100 times), Clear Xin Jing (Heart Meridian) (100 times), Divide Yin and Yang (200 times), Push Da Chang (Large Intestine) (80 times), Push Pi Tu (Spleen Earth) (200 times), Move Ba Gua (Eight Trigrams) (80 times), Push Shen Shui (Kidney Water) (80 times), Rub Qi (Navel) and Gui Wei (Turtle Tail) (100 times each).
Cold Dysentery: Caused by irregular consumption of raw and cold foods, leading to Spleen failure in transformation and transportation, resulting in passage of white purulent stools, loud borborygmus with severe pain, blue-white complexion and lips, thirst preferring hot drinks, and a string-taut and weak pulse. Internal treatment should warm and regulate the Spleen and Stomach, assisted by methods to move Qi.
Massage techniques: Divide Yin and Yang (200 times), Push San Guan (200 times), Retreat Liu Fu (80 times), Move Ba Gua (80 times), Push Pi Tu (100 times), Push Da Chang (100 times), Tian Men Ru Hu Kou (Heaven's Gate Entering Tiger's Mouth) (80 times), Rub Qi and Gui Wei (100 times each), Yun Shui Ru Tu (Move Water into Earth) (100 times), Ban Men Tui Xiang Heng Wen (Push Ban Men towards Transverse Crease) (50 times), Push Wei Zhong and Hou Cheng Shan (50 times each). For all pushing techniques, use ginger and scallion water, and apply moxibustion on Shen Que (CV8). (See Volume 2, page 26.)
Red and White Dysentery: Caused by imbalance of cold and heat. Internal treatment primarily uses Zhu Che Wan (Chariot-Stopping Pill) and Lian Li Tang (Licorice-Linked Decoction).
Massage techniques: Divide Yin and Yang (200 times), Push San Guan (100 times), Retreat Liu Fu (100 times), Push Pi Tu (100 times), Move Ba Gua (50 times), Push Da Chang (200 times), Ban Men Tui Xiang Heng Wen (50 times), Mo Qi, Yao Yan, and Gui Wei (120 times each), Push Wei Zhong and Hou Cheng Shan (50 times each). Use ginger and scallion water for all pushing techniques.
Jin Kou Li (Mouth-Closing Dysentery): Caused by heat-toxin rushing to the Stomach, reversing and obstructing intestinal transmission, resembling closure, accompanied by fever, red tongue, and red lips. Internal treatment primarily focuses on clearing and resolving heat-toxin.
Massage techniques: Divide Yin and Yang (200 times), Push San Guan (100 times), Retreat Liu Fu (100 times), Push Pi Tu (100 times), Push Da Chang (200 times), Ban Men Tui Xiang Heng Wen (50 times), Mo Qi, Yao Yan, and Gui Wei (120 times each), Push Wei Zhong and Hou Cheng Shan (50 times each).
Commentary: Dysentery must involve stagnation of damp-heat, obstruction and reversal of Qi mechanism, preventing free flow, leading to tenesmus, heaviness in the rectum, and dark, astringent urine. Bitter-cold herbs should be used to dry dampness and purge heat, assisted by acrid-warm herbs to open depression and move Qi. Therefore, regulating blood heals pus in stools naturally, and regulating Qi eliminates heaviness in the rectum naturally. However, treatment must be divided into early, middle, and late stages. In early dysentery, if physical strength and Qi are still strong, with distension, fullness, hardness, and pain, it is urgent to remove stagnation; once stagnation is removed, dysentery stops. This is the method of "using unblocking to treat unblocking." If there is irritability and heat, preference for cold, solid pulse, abdominal fullness, and pure passage of fresh red blood, it indicates excess damp-heat internally, requiring urgent clearing and draining. After prolonged illness causing injury, either Yin or Yang may be damaged. Injury to Yin involves loss of essence, blood, and fluids through dysentery, presenting with irritability, heat, and thirst; clear-moistening and nourishing Yin methods are suitable. Injury to Yang involves decline of Spleen and Kidney original Yang due to dysentery, presenting with slipping/diarrhea and cold extremities; warming and tonifying to restore Yang is suitable. In general, acute diseases are mostly excess, chronic diseases are mostly deficiency, slipping/diarrhea is mostly cold, and astringency/stagnation is mostly heat. Referencing pulse and symptoms, combined with newness or duration of disease, one approaches the truth; do not rely solely on massage therapy. (Ti Li Zi)