论曰乳石之性刚猛，气多炎上，理之伤温。则火转为炽，内煎脾肺，苦热遂成。其渴饮
水过多，则溲肠胃，胃得水则吐，肠得水则寒，而肠虽寒，火炎不灭，水渐流下而为行潦，
遂变下痢。胃气虚冷，水谷不消，在阳则益热不食，在阴则肠鸣而泄也。
治乳石发动，烦热腹痛，变为下痢，不欲饮食。地榆散方
地榆（一两） 木香（半两） 葳蕤（三分） 当归（三分锉微炒） 黄芩（三分）
上五味，捣筛为散，每服四钱匕，水一中盏，煎至六分，去滓温服，不计时候。
治乳石发动，解散已，经快利，热尚不退，兼痢不断。黄连汤方
黄连（一升） 白粱米（二合）
上二味，水五升，煮取二升，分三服，一日尽。
治乳石发，下痢。栀子仁汤方
栀子仁（二十一枚） 甘草（炙令赤色锉二两） 人参（二两） 黄连（去须二两）
上四味，粗捣筛，每服四钱匕，用水二盏，煎至一盏，去滓温服，早晨日午晚后食前各
一。
治乳石发，下痢。香豉饮方
豉（五合） 葱白（一握切） 干姜（炮裂捣末一两） 甘草（微炙锉捣末一两）
上四味，先以水三盏，入甘草干姜二味末各二钱匕，煎水至二盏。去滓下碎葱一合，豉
一合，更煎至一盏，去滓分为三服，早晨午时日晚各一。
治乳石发，下痢。黄连汤方
黄连（去须一两） 豉（五合） 乌梅（取肉十枚）
上三味，锉碎，以水三盏，入童子小便一盏，薤白三茎拍碎，同煎至二盏，去滓分温三
服，空心日午晚后各一。
治乳石发，夹时行，兼有客热，下血痢，止血破棺起死。黄柏汤方
黄柏（微炙锉碎二两） 黄连（去须二两） 干姜（炮裂一两） 石榴皮（炙锉碎二两）
阿胶
（炙令燥匀半两） 芍药（二两） 栀子仁（十五枚）
上七味，粗捣筛，每服四钱匕，以水二盏，煎至一盏，去滓温服，日再。
治乳石，发散已，经快利，热尚不退，兼痢不断。粱米汤方
粱米（一合） 黄连（去须锉碎三两）
上二味，粗捣筛，以水四盏，煎至一盏半，分三服，去滓食前温服，一日令尽。
治乳石发，白痢。黄连汤方
黄连（去须绵裹一两） 蜜（一合） 童子小便（二盏）
上三味，以水二盏与小便渍药一宿，煎至一盏半。去滓分为二服，弱人三服，早晨日午
晚后温服。
治乳石发，赤白痢 兼热烦闷。栀子汤方
栀子仁（十枚） 薤白（切一握） 豉（一合）
上三味，以水三盏，煎至一盏半，去滓分温二服，弱人即分为三服，食前服。
治乳石下痢及常服压石。方
豉（三两）
上一味，炒令黄香，候冷捣筛为末，每服二钱匕，以冷水调下。
解乳石痢。方
紫笋茶（二两）
上一味，捣罗为末，每服三钱匕，以水一盏，煎至七分，和滓服之，早晨日午晚后食前
各一。
解乳石痢。方
上淡煮真好芥浓汁，服二三盏，重者三服，轻者一二服，瘥。
论述说：乳石（矿物类补益药）的性质刚烈猛烈，其气多向上炎升，按理容易损伤温热的脏腑。如果体内火邪转为炽盛，就会在内煎熬脾脏和肺脏，导致严重的热证。此时如果口渴饮水过多，水液会流注于肠胃；胃得到水液则发生呕吐，肠得到水液则变寒。虽然肠道变寒，但体内的火邪并未熄灭，水液逐渐向下流淌形成积潦，于是转变为下痢。胃气虚弱寒冷，无法消化水谷，病在阳分则更加发热且不想进食，病在阴分则肠鸣并泄泻。
治疗乳石发动引起的烦热、腹痛，转变为下痢，以及不想饮食的症状。地榆散方：
地榆（一两）、木香（半两）、葳蕤（三分）、当归（三分，锉碎后微炒）、黄芩（三分）。
以上五味药，捣碎过筛制成散剂，每次服用四钱匕，用水一中盏，煎至六分，去渣后温服，不限时间。
治疗乳石发动，发散之后，经过快速排泄，热势仍然不退，兼有痢疾不止的症状。黄连汤方：
黄连（一升）、白粱米（二合）。
以上两味药，用水五升，煮取二升，分三次服用，一天内服完。
治疗乳石发作引起的下痢。栀子仁汤方：
栀子仁（二十一枚）、甘草（炙至赤色，锉碎，二两）、人参（二两）、黄连（去须，二两）。
以上四味药，粗捣过筛，每次服用四钱匕，用水二盏，煎至一盏，去渣后温服，分别在早晨、中午、晚上饭前各服一次。
治疗乳石发作引起的下痢。香豉饮方：
豉（五合）、葱白（一把，切碎）、干姜（炮裂后捣末，一两）、甘草（微炙后锉碎捣末，一两）。
以上四味药，先用水三盏，放入甘草和干姜的粉末各二钱匕，煎水至二盏。去渣后加入碎葱一合、豉一合，再煎至一盏，去渣后分三次服用，早晨、午时、晚上各服一次。
治疗乳石发作引起的下痢。黄连汤方：
黄连（去须，一两）、豉（五合）、乌梅（取肉十枚）。
以上三味药，锉碎，用水三盏，加入童子小便一盏、薤白三茎拍碎，同煎至二盏，去渣后分三次温服，空腹、中午、晚上饭后各服一次。
治疗乳石发作，夹杂时行疫病，兼有客热，出现血痢，具有止血、破棺起死功效的黄柏汤方：
黄柏（微炙后锉碎，二两）、黄连（去须，二两）、干姜（炮裂，一两）、石榴皮（炙后锉碎，二两）、阿胶（炙至干燥均匀，半两）、芍药（二两）、栀子仁（十五枚）。
以上七味药，粗捣过筛，每次服用四钱匕，用水二盏，煎至一盏，去渣后温服，每天两次。
治疗乳石，发散之后，经过快速排泄，热势仍然不退，兼有痢疾不止的症状。粱米汤方：
粱米（一合）、黄连（去须锉碎，三两）。
以上两味药，粗捣过筛，用水四盏，煎至一盏半，分三次服用，去渣后饭前温服，一天内服完。
治疗乳石发作引起的白痢。黄连汤方：
黄连（去须绵裹，一两）、蜜（一合）、童子小便（二盏）。
以上三味药，用水二盏与小便浸泡药物一夜，煎至一盏半。去渣后分两次服用，体弱者分三次服用，早晨、中午、晚上饭后温服。
治疗乳石发作引起的赤白痢，兼有热烦闷。栀子汤方：
栀子仁（十枚）、薤白（切一把）、豉（一合）。
以上三味药，用水三盏，煎至一盏半，去渣后分两次温服，体弱者即分为三次服用，饭前服。
治疗乳石下痢及常服压石（压制乳石毒性的药物）的方子：
豉（三两）。
以上一味药，炒至黄色有香气，冷却后捣碎过筛为末，每次服用二钱匕，用冷水调服。
解除乳石引起的痢疾的方子：
紫笋茶（二两）。
以上一味药，捣罗为末，每次服用三钱匕，用水一盏，煎至七分，连同药渣一起服下，早晨、中午、晚上饭前各服一次。
Commentary states: The nature of Rushi (mineral-based tonic) is rigid and fierce, with its qi tending to flare upward. According to principle, it easily damages the warming organs. If fire turns blazing, it internally scorches the Spleen and Lung, resulting in severe heat. If excessive thirst leads to drinking too much water, the fluid flows into the intestines and stomach; when the Stomach receives water, vomiting occurs; when the Intestines receive water, they become cold. Although the Intestines are cold, the internal fire remains unextinguished. As water gradually flows downward forming puddles, dysentery ensues. With deficiency-cold of Stomach Qi, food and fluids fail to digest: if the pathology is in the Yang aspect, fever increases and appetite is lost; if in the Yin aspect, borborygmus and diarrhea occur.
To treat Rushi activation causing irritability, heat, abdominal pain, transformation into dysentery, and loss of appetite. Diyü San Formula:
Diyu (1 liang), Muxiang (0.5 liang), Weirui (3 fen), Danggui (3 fen, sliced and lightly stir-fried), Huangqin (3 fen).
The above five herbs are crushed, sifted into a powder. Each dose is 4 qianbi, decocted in one zhongzhan of water until reduced to six parts. Strain and take warm, at any time.
To treat Rushi activation where, after dispersing, rapid purging has occurred but heat persists, accompanied by continuous dysentery. Huanglian Tang Formula:
Huanglian (1 sheng), Bai Liangmi (2 he).
The above two ingredients are boiled in five sheng of water until two sheng remain. Divide into three doses, consumed within one day.
To treat Rushi onset with dysentery. Zhiziren Tang Formula:
Zhiziren (21 seeds), Gancao (roasted until reddish-brown, sliced, 2 liang), Renshen (2 liang), Huanglian (stamen removed, 2 liang).
The above four herbs are coarsely crushed and sifted. Each dose is 4 qianbi, decocted in two zhan of water until reduced to one zhan. Strain and take warm, once each before meals in the morning, noon, and evening.
To treat Rushi onset with dysentery. Xiangchi Yin Formula:
Chi (5 he), Congbai (one handful, chopped), Ganjiang (pao-cracked and powdered, 1 liang), Gancao (lightly roasted, sliced and powdered, 1 liang).
The above four herbs: First, add two qianbi each of Gancao and Ganjiang powders to three zhan of water, boil until two zhan remain. Strain, then add one he of chopped Congbai and one he of Chi. Boil again until one zhan remains. Strain and divide into three doses, taken at morning, noon, and evening.
To treat Rushi onset with dysentery. Huanglian Tang Formula:
Huanglian (stamen removed, 1 liang), Chi (5 he), Wumei (flesh of 10 fruits).
The above three herbs are sliced. Add one zhan of Tongzi Xiaoshui (child's urine) and three stems of Xiebai (smashed) to three zhan of water. Decoct until two zhan remain. Strain and divide into three warm doses, taken on an empty stomach, at noon, and in the evening after meals.
To treat Rushi onset complicated by epidemic pathogens, with external heat, bloody dysentery, possessing hemostatic and life-restoring properties. Huangbai Tang Formula:
Huangbai (lightly roasted and sliced, 2 liang), Huanglian (stamen removed, 2 liang), Ganjiang (pao-cracked, 1 liang), Shiliupi (roasted and sliced, 2 liang), Ejiao (roasted until dry and uniform, 0.5 liang), Shaoyao (2 liang), Zhiziren (15 seeds).
The above seven herbs are coarsely crushed and sifted. Each dose is 4 qianbi, decocted in two zhan of water until reduced to one zhan. Strain and take warm, twice daily.
To treat Rushi where, after dispersing and rapid purging, heat persists and dysentery continues. Liangmi Tang Formula:
Liangmi (1 he), Huanglian (stamen removed and sliced, 3 liang).
The above two herbs are coarsely crushed and sifted. Decoct in four zhan of water until one and a half zhan remain. Divide into three doses, strain and take warm before meals, completing within one day.
To treat Rushi onset with white dysentery. Huanglian Tang Formula:
Huanglian (wrapped in cotton, stamen removed, 1 liang), Honey (1 he), Tongzi Xiaoshui (2 zhan).
The above three ingredients: Soak the herbs in two zhan of water and Tongzi Xiaoshui overnight. Decoct until one and a half zhan remain. Strain and divide into two doses; for weak patients, divide into three doses. Take warm before meals in the morning, noon, and evening.
To treat Rushi onset with red and white dysentery, accompanied by heat, irritability, and oppression. Zhizi Tang Formula:
Zhiziren (10 seeds), Xiebai (chopped, one handful), Chi (1 he).
The above three herbs are decocted in three zhan of water until one and a half zhan remain. Strain and divide into two warm doses; for weak patients, divide into three doses. Take before meals.
Formula for treating Rushi-induced dysentery and for those who regularly take Yashi (medicaments to suppress Rushi toxicity):
Chi (3 liang).
The above single herb is stir-fried until yellow and fragrant. After cooling, crush and sift into powder. Each dose is 2 qianbi, taken mixed with cold water.
Formula to resolve Rushi-induced dysentery:
Zisun Cha (2 liang).
The above single herb is crushed and sifted into powder. Each dose is 3 qianbi, decocted in one zhan of water until seven parts remain. Consume with the dregs, taken before meals in the morning, noon, and evening.
Formula to resolve Rushi-induced dysentery:
Concentrated juice from well-boiled high-quality mustard greens. Take 2-3 zhan. For severe cases, take three doses; for mild cases, one or two doses. Recovery will follow.