论曰凡痢色黄色赤，并热也。甚则下血汁，此由肠胃虚弱，邪热之气，乘虚入客于肠间，
故其证下痢黄赤，或血杂下。腹间热痛，小便赤涩。身热烦渴。故谓之热痢。
治热痢不止。生地黄汤方
生地黄（半两） 甘草（炙一分） 地榆（三分）
上三味。 咀如麻豆大，水二盏。煎至一盏，去滓分温二服。空心日晚再服。
治热毒痢。注下赤黄，苦参丸方
苦参 陈橘皮（汤浸去白焙） 独活（去芦头） 阿胶（生用） 蓝青 黄连去须 鬼
臼黄柏（去粗
上九味等分。除阿胶外为末，以水煮阿胶和，并手丸如梧桐子大，每服十丸。米饮下，
日三服，治卒下痢大良。
治诸热痢不差。乌梅丸方
乌梅肉（炒） 黄连（去须各四两）
上二味。捣罗为末。炼蜜和丸。如梧桐子大，每服二十丸。米饮下。日二夜一服。
治热痢无度。黄连散方
黄连（去须一两） 鸡子（二枚）
上二味。捣罗黄连为散，取鸡子白和药为饼子。烧令黑。再捣罗为细散，每服三钱匕，
空心粥饮调下，日晚再服。
治一切热痢，黄连丸方
黄连（去须二两半） 羚羊角（镑） 黄柏（去粗皮各一两半） 赤茯苓（去黑皮半两）
上四味。捣罗为末。炼蜜为丸，如梧桐子大，每服二十丸。姜蜜汤下，暑月下痢。用之
尤验。
治挟热痢，多下赤脓，黄连散方
黄连（去须） 灶突中黑尘（各一两）
上二味。捣罗为细末，每服二钱匕，温酒调空心服日再。
治夏月暴下热痢。甘草汤方
甘草（炙锉半两） 生姜（切一分） 生蜜（一合）
上三味，用浆水五协议煎至四合，去滓空心温分二服。
治热痢腹内 痛，日夜百行。气欲绝黄连汤方
黄连（去须一升） 附子（炮裂去皮脐一两） 龙骨 白术（各二两） 阿胶（炙燥） 干
姜（炮） 当归（焙）
上八味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治热痢、蒲根汤方
蒲根（锉二两） 粟米（淘二合）
上二味。以水三盏。煎取一盏半去滓。分温二服。空心日午再服。
论述说：凡是痢疾，大便颜色呈黄色或赤色，都属于热证。病情严重的会出现下血汁的情况，这是由于肠胃虚弱，邪热之气乘虚侵入肠道之间，所以症状表现为下痢黄赤，或者血液混杂而下。腹部有热痛感，小便短赤涩痛。身体发热，心烦口渴。因此称之为热痢。
治疗热痢不止的方剂：生地黄汤方
生地黄（半两） 甘草（炙一分） 地榆（三分）
以上三味药。切碎如麻豆大小，用水二盏。煎煮至一盏，滤去药渣，分两次温服。空腹时及傍晚再服用。
治疗热毒痢，泻下赤黄色便的苦参丸方
苦参 陈橘皮（用汤浸泡后去除白色部分并焙干） 独活（去除芦头） 阿胶（生用） 蓝青 黄连（去除须根） 鬼臼 黄柏（去除粗皮）
以上九味药等量分配。除阿胶外，其余药物研为细末，用水煮化阿胶调和，并用手搓成梧桐子大小的药丸，每次服用十丸。米汤送下，每日三次，治疗突然发作的下痢效果很好。
治疗各种热痢久治不愈的乌梅丸方
乌梅肉（炒） 黄连（去须，各四两）
以上两味药。捣碎过筛成为粉末。用炼蜜调和制成药丸，如梧桐子大小，每次服用二十丸。米汤送下。白天两次，夜间一次服用。
治疗热痢无度的黄连散方
黄连（去须一两） 鸡蛋（两个）
以上两味药。将黄连捣碎过筛成为散剂，取蛋清和药做成饼状。烧至黑色，再次捣碎过筛成为细散，每次服用三钱匕，空腹时用粥饮调服，傍晚再服。
治疗一切热痢的黄连丸方
黄连（去须二两半） 羚羊角（镑片） 黄柏（去粗皮，各一两半） 赤茯苓（去黑皮半两）
以上四味药。捣碎过筛成为粉末。用炼蜜制成药丸，如梧桐子大小，每次服用二十丸。姜蜜汤送下，夏季月份患痢疾时使用此方尤为灵验。
治疗挟热痢，多下赤脓的黄连散方
黄连（去须） 灶突中黑尘（各一两）
以上两味药。捣碎过筛成为细末，每次服用二钱匕，用温酒调服，空腹时服用，每日两次。
治疗夏季突发热痢的甘草汤方
甘草（炙锉半两） 生姜（切一分） 生蜜（一合）
以上三味药，用浆水五协议煎煮至四合，滤去药渣，空腹时温服，分两次服用。
治疗热痢腹内疼痛，日夜排便上百次，气欲绝的黄连汤方
黄连（去须一升） 附子（炮裂去皮脐一两） 龙骨 白术（各二两） 阿胶（炙燥） 干姜（炮） 当归（焙）
以上八味药，切碎如麻豆大小，每次服用五钱匕，用水一盏半，煎煮至八分，滤去药渣温服。
治疗热痢的蒲根汤方
蒲根（锉二两） 粟米（淘洗二合）
以上两味药。用水三盏。煎取一盏半，滤去药渣。分两次温服。空腹时及中午再服用。
Discussion states: In cases of dysentery, if the stool color is yellow or red, it indicates a heat syndrome. In severe cases, bloody fluid may be discharged. This is caused by weakness in the intestines and stomach, allowing pathogenic heat to invade the intestinal cavity due to deficiency. Consequently, symptoms include dysentery with yellow-red stool or mixed blood. There is hot pain in the abdomen, dark and scanty urination, fever, restlessness, and thirst. Therefore, this condition is termed "Heat Dysentery" (Re Li).
Formula for treating persistent Heat Dysentery: Shengdi Huang Tang (Raw Rehmannia Decoction)
Sheng Di Huang (Radix Rehmanniae Preparata, half liang), Gan Cao (Radix Glycyrrhizae Preparata, one fen, roasted), Di Yu (Herba Sanguisorbae, three fen).
The above three herbs are crushed to the size of hemp seeds. Add two zhan of water, decoct until one zhan remains, strain, and take warm in two doses. Take on an empty stomach and again in the evening.
Formula for treating Toxic Heat Dysentery with discharge of red-yellow stool: Kushen Wan (Sophora Pill)
Kushen (Radix Sophorae Flavescentis), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried), Du Huo (Radix Angelicae Pubescentis, radicle removed), E Jiao (Colla Corii Asini, used raw), Lan Qing (Indigo Naturalis), Huang Lian (Rhizoma Coptidis, mustards removed), Gui Bai (Radix Akebiae), Huang Bo (Cortex Phellodendri, coarse bark removed).
The above nine herbs are measured in equal parts. Except for E Jiao, grind the others into powder. Dissolve E Jiao in water and mix with the powder, kneading by hand into pills the size of sophora seeds. Take ten pills per dose, washed down with rice drink, three times daily. It is highly effective for sudden onset dysentery.
Formula for treating various Heat Dysentery that does not improve: Wumei Wan (Mume Pill)
Wu Mei Rou (Sarcocarp Pruni Mume, stir-fried), Huang Lian (Rhizoma Coptidis, mustards removed, four liang each).
The above two herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of sophora seeds. Take twenty pills per dose, washed down with rice drink. Take twice during the day and once at night.
Formula for treating unceasing Heat Dysentery: Huanglian San (Coptis Powder)
Huang Lian (Rhizoma Coptidis, mustards removed, one liang), Ji Zi (Egg, two pieces).
The above two ingredients: Pound and sift Huang Lian into powder. Use egg white to mix the medicine into cakes. Burn until black, then pound and sift into fine powder. Take three qian bi per dose, mixed with porridge drink on an empty stomach, and again in the evening.
Formula for treating all types of Heat Dysentery: Huanglian Wan (Coptis Pill)
Huang Lian (Rhizoma Coptidis, mustards removed, two and a half liang), Ling Yang Jiao (Cornu Saigae Tataricae, sliced), Huang Bo (Cortex Phellodendri, coarse bark removed, one and a half liang each), Chi Fu Ling (Poria with Red Host, black skin removed, half liang).
The above four herbs are pounded and sifted into powder. Form pills with refined honey, the size of sophora seeds. Take twenty pills per dose, washed down with ginger-honey soup. It is particularly effective for dysentery occurring in summer months.
Formula for treating Heat-Clasping Dysentery with frequent discharge of red pus: Huanglian San (Coptis Powder)
Huang Lian (Rhizoma Coptidis, mustards removed), Zao Tu Zhong Hei Chen (Black dust from the chimney flue, one liang each).
The above two herbs are pounded and sifted into fine powder. Take two qian bi per dose, mixed with warm wine, taken on an empty stomach, twice daily.
Formula for treating sudden summer Heat Dysentery: Gancao Tang (Licorice Decoction)
Gan Cao (Radix Glycyrrhizae Preparata, roasted and cut, half liang), Sheng Jiang (Rhizoma Zingiberis Recens, sliced, one fen), Sheng Mi (Raw Honey, one he).
The above three ingredients are decocted together in five he of Jiang Shui (fermented grain water) until four he remain. Strain and take warm on an empty stomach in two divided doses.
Formula for treating Heat Dysentery with abdominal pain, defecating over a hundred times day and night, with vital qi nearly exhausted: Huanglian Tang (Coptis Decoction)
Huang Lian (Rhizoma Coptidis, mustards removed, one sheng), Fu Zi (Radix Aconiti Lateralis Preparata, roasted, cracked, skin and umbilicus removed, one liang), Long Gu (Os Draconis), Bai Zhu (Rhizoma Atractylodis Macrocephalae, two liang each), E Jiao (Colla Corii Asini, roasted dry), Gan Jiang (Rhizoma Zingiberis Secatum, roasted), Dang Gui (Radix Angelicae Sinensis, baked).
The above eight herbs are crushed to the size of hemp seeds. Take five qian bi per dose, add one and a half zhan of water, decoct until eight fen remain, strain, and take warm.
Formula for treating Heat Dysentery: Pugeng Tang (Iris Root Decoction)
Pu Gen (Rhizoma Iris Tectorii, cut, two liang), Su Mi (Millets, washed, two he).
The above two ingredients are decocted in three zhan of water until one and a half zhan remain. Strain and take warm in two divided doses. Take on an empty stomach and again at noon.