罗给事，小腹急痛，大便欲去不去，此脾胃气虚而下陷也，用补中益气送八味丸，二剂而愈。此等证候，
因痢药致损元气，肢体肿胀而死者不可枚举。
少宗伯顾东江，停食患痢，腹痛下坠，或用疏导之剂，两足肿胀，食少体倦，烦热作渴，脉洪数、按之微
细。余以六君加姜、桂各二钱，吴茱萸、五味各一钱，煎热凉服，诸证顿退，再服全退。此假热而治以假
寒也。
一老妇，因食后怒。患痢里急后重，属脾气下陷，与大剂六君子，加附子、肉蔻、煨木香各一钱，吴茱萸
五分，骨脂、五味各一钱，二剂诸证顿愈。惟小腹胀满，此肝气滞于脾也，与调中益气加附子、木香五分，
四剂而安。后口内觉咸，此肾水泛也，与六味地黄丸，二剂顿安。
先母，年八十，仲夏患痢，腹痛作呕不食，热渴引汤，手按腹痛稍止，脉鼓指而有力，真气虚而邪气
实也。急用人参五钱，白术、茯苓各三钱，陈皮、升麻、附子、炙甘草各一钱，服之睡觉索食，脉症顿退，
再剂而安。此取证不取脉也。凡暴病母论其脉，当从其症。时石阁老太夫人，年岁脉证皆同，彼专治其痢，
遂致不起。
横金陈梓园，年六十，面带赤色，吐痰口干，或时作泄
就疹余曰∶仆之症，或以为脾经湿热，痰火作泻，率用二陈、黄连、枳实、神曲、麦芽、白术、柴胡之类，
不应，何也？余脉之，左关弦紧，肾水不能生肝木也；右关弦大，肝木乘脾土也。此乃脾肾亏损，不能生克制
化，当滋化源。余谓其甥曰∶令舅不久当损于痢，后果然。
罗给事，小腹部拘急疼痛，大便有便意却排不出来，这是脾胃气虚导致中气下陷的缘故，使用补中益气汤送服八味丸，服用两剂后痊愈。这类证候，因为使用治痢疾的药物损伤了元气，导致肢体肿胀而死亡的例子不可胜数。
少宗伯顾东江，因食积停滞又患痢疾，腹痛且有肛门下坠感，有人使用疏导消导的药剂治疗，结果导致双足肿胀，饮食减少，身体疲倦，烦躁发热且口渴，脉象洪大快速，但重按之下感觉微细无力。我用六君子汤加入干姜、肉桂各二钱，吴茱萸、五味子各一钱，煎煮好后放凉服用，各种症状立刻消退，再服用一次后完全消退。这是假热证却用假寒药来治疗（指通过温补阳气以引火归元或消除格拒）。
一位老妇人，因为进食后发怒而患痢疾，出现里急后重（腹痛窘迫，时时欲泻，肛门重坠，不能自如）的症状，属于脾气下陷，给予大剂量的六君子汤，加入附子、肉豆蔻、煨木香各一钱，吴茱萸五分，补骨脂、五味子各一钱，服用两剂后各种症状立刻痊愈。只有小腹胀满，这是肝气郁滞于脾脏所致，给予调中益气汤加入附子、木香五分，服用四剂后安定。后来口中觉得咸味，这是肾水泛溢的表现，给予六味地黄丸，服用两剂后立刻安宁。
我的母亲，八十岁，在仲夏时节患痢疾，腹痛并呕吐无法进食，发热口渴想喝水，用手按压腹部疼痛稍止，脉象鼓指且有力，这是真气虚弱而邪气实盛的表现。紧急使用人参五钱，白术、茯苓各三钱，陈皮、升麻、附子、炙甘草各一钱，服用后睡了一觉醒来索要食物，脉象和症状立刻消退，再服用两剂后安定。这是依据症状而非依据脉象来诊断。凡是突发疾病不要只论脉象，应当顺从症状表现。当时石阁老太夫人，年龄、脉象和症状都与此相同，但医生专门针对痢疾进行治疗，最终导致病情恶化去世。
横金人陈梓园，六十岁，面色发红，吐痰口干，有时发生泄泻。他对我说：我的病症，有人认为属于脾经湿热，或者是痰火导致的泄泻，我通常使用二陈汤、黄连、枳实、神曲、麦芽、白术、柴胡之类的药物，却没有效果，为什么呢？我诊察他的脉象，左关脉弦紧，说明肾水不能滋养肝木；右关脉弦大，说明肝木克制脾土。这是由于脾肾亏损，不能正常进行生克制化，应当滋生化之源。我对他的外甥说：您的舅舅不久将会因痢疾而受损，后果然如此。
Lu Geishi experienced urgent pain in the lower abdomen and a sensation of defecation that could not be expelled. This was due to Spleen-Stomach Qi deficiency with sinking of middle Qi. He was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) administered alongside Bawei Wan (Eight-Ingredient Pill), and recovered after two doses. Cases where such conditions were caused by damage to Yuan Qi (Primal Qi) from using dysentery-purging medicines, leading to limb swelling and death, are too numerous to mention.
Gu Dongjiang, Shaoboin (Vice Minister of Ceremonies), suffered from food stagnation complicated by dysentery, presenting with abdominal pain and a bearing-down sensation in the anus. After being treated with draining and promoting agents, his legs became swollen, he had poor appetite and fatigue, irritability, fever, thirst, and a pulse that was large and rapid but felt faint and thin upon deep pressure. I prescribed Liujunzi Tang (Six-Gentlemen Decoction) with Ganjiang (Dried Ginger) and Rougui (Cinnamon Bark), each 2 qian, plus Wuzhuyu (Evodia Fruit) and Wuweizi (Schisandra Berry), each 1 qian. The decoction was prepared hot and taken cool. All symptoms subsided immediately, and completely resolved after a second dose. This is an example of treating false heat with false cold (using warming herbs to treat apparent heat signs caused by Yang deficiency).
An elderly woman developed dysentery with tenesmus (urgent need to defecate with heavy sensation in the rectum) after becoming angry post-prandially. This belonged to Spleen Qi sinking. She was given a large dose of Liujunzi Tang (Six-Gentlemen Decoction) supplemented with Fuzi (Prepared Aconite Root), Roudoukou (Nutmeg), and Wei Muxiang (Baked Aucklandia Root), each 1 qian, Wuzhuyu (Evodia Fruit) 0.5 qian, Guboli (Psoralea Fruit) and Wuweizi (Schisandra Berry), each 1 qian. Symptoms resolved after two doses. However, she retained lower abdominal fullness, indicating Liver Qi stagnation affecting the Spleen. She was treated with Tiaozhong Yiqi Tang (Regulate the Middle and Augment the Qi Decoction) with Fuzi (Prepared Aconite Root) and Muxiang (Aucklandia Root), each 0.5 qian, and stabilized after four doses. Later, she perceived a salty taste in her mouth, indicating flooding of Kidney Water. She was given Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), and felt well after two doses.
My mother, aged eighty, contracted dysentery in midsummer. She presented with abdominal pain, vomiting, inability to eat, fever, thirst, and desire for fluids. Abdominal pain alleviated slightly upon pressure. Her pulse was forceful and striking against the fingers. This indicated deficiency of True Qi and excess of Pathogenic Qi. Urgently, I used Renshen (Ginseng Root) 5 qian, Baizhu (Atractylodes Macrocephala Rhizome) and Fuling (Poria), each 3 qian, Chenpi (Tangerine Peel), Shengma (Cimicifuga Rhizome), Fuzi (Prepared Aconite Root), and Zhi Gancao (Honey-fried Licorice Root), each 1 qian. After taking it, she slept, woke up asking for food, and her pulse and symptoms subsided. She stabilized after two more doses. This case relied on symptoms rather than the pulse. In acute diseases, one should not rely solely on the pulse but follow the symptoms. At that time, Lady Shi Ge had the same age, pulse, and symptoms, but the physician treated only the dysentery, leading to her demise.
Chen Ziyuan from Hengjin, aged sixty, had a red complexion, expectorated phlegm, dry mouth, and occasional diarrhea. He asked me: "My condition is sometimes attributed to Damp-Heat in the Spleen Meridian or diarrhea caused by Phlegm-Fire. I usually use Erchen Tang (Two-Aged Decoction), Huanglian (Coptis Rhizome), Zhishi (Immature Bitter Orange), Shenqu (Medicated Leaven), Maiya (Germinated Hordeum Fruit), Baizhu (Atractylodes Macrocephala Rhizome), and Chaihu (Bupleurum Root), etc., but there is no effect. Why?" Upon palpating his pulse, the Left Guan position was wiry and tight, indicating Kidney Water failing to nourish Liver Wood; the Right Guan position was wiry and large, indicating Liver Wood overacting on Spleen Earth. This was due to Spleen-Kidney deficiency, failing to maintain normal generation and restriction cycles. The source of transformation needed to be nourished. I told his nephew: "Your uncle will soon suffer from dysentery," which indeed came to pass.