论曰疳有五种，久变为虫 ，一曰白疳，令人皮肤干燥，而无润泽之气，二曰赤疳，令
人毛发焦枯。三曰蛲疳，令人腰脊强重，四曰疳 ，令人下部挛急，背强不能俯仰，五曰黑
疳，患者必死，令人五脏俱损，或下瘀血，此盖肠胃虚弱，嗜甘味过度，致脾气缓弱，谷气
衰微，荣卫虚损，肠间诸虫。因虚而动。虫蚀于上。则手足烦疼，心中懊 。嘿嘿不欲饮食
。腰脊无力，食不知味。精神恍惚，夜梦颠倒。喉咽生疮，齿龈黯黑损烂。脓血俱出，胃气
逆则变呕哕，下蚀肠胃，便痢脓血，或下瘀黑，久不已，则肛门烂开，渐至危殆。
治久患疳痢不瘥，兀子矾散方
兀子矾（烧研） 黄连（去须各二两） 白矾（烧研） 龙骨（研） 云母粉（研各一
两半） 桂（去粗皮） 麝
上八味。捣研为散，空心生姜汁调下三钱匕。日再服。
治积年疳痢。羸瘦面色萎黄方
硫黄（研） 黄连（去须） 艾（各一两） 蜜（一合）
上四味，以水二升，先煮黄连艾取半升，后内硫黄末，更煮三五沸，绞去滓，又内蜜，
更煮三五沸，分三服。
治疳痢久不瘥，羸瘦欲死方。
新出羊粪（一升）
上一味，以水一升，渍经宿，明旦绞汁，顿服之，日午唯食煮饭，极重者，不过三服瘥。
治久痢赤白疳湿诸疾，五皮汤方
槐皮 桃皮 樗根白皮 柳皮 枣皮（各以患人手把外截一握）
上五味细锉，用水二盏，煎至一盏，去滓空心温服，未止再服。
治久痢变疳，下部生恶疮，恶寒壮热。二白汤方
桃白皮 槐白皮（各切一升） 苦参（切五合） 熟艾（三月三日者五合） 大枣（十
枚劈）
上五味，以水五升，煮取二升半，去滓内熊胆一枣许大，搅令匀，取二升，灌下部，余
分三服。
治久痢成疳。灌洗方
樗根白皮（一握捣绞取汁三合取时勿令见风日） 大麻油（熬如车脂） 酢泔淀（各二
合） 椒（四两
上五味，以水五升，先取椒豉煎绞取汁二升，和樗汁麻油泔淀等三味，分为两分，用一
分灌下部，隔一日更取余者复灌，其药温用，唯得食煮饭葱白烂煮蔓菁芥等。五六十日外。
以鹿铺下饭。
治丈夫妇人小儿，久痢成疳。百方不瘥方。
丁香 麝香（研） 黄连（去须各一分）
上三味。捣研为散，每以一钱匕，取竹筒，吹入下部。小儿量度减之，不过三四上瘥。
治疳痢不止方
苦参 甘草（锉） 雄黄（各二两）
上三味，捣罗为细末，先以水五升，煮葱白五寸，豉一合。蜀椒三十粒，至三升。入药
末三撮于汁中。候冷热得所，先饮少许豉汁，食一口饭。乃侧卧。徐徐灌下部讫。卧多时不
出为佳，大急乃出之于净地。当有疳湿虫如白马尾头黑。是其效也。若重者肛大难瘥。当取
桃枝绵裹头，浸前件药汁，适寒温烙之，近脊点烙一上三十度乃瘥。
治久痢成疳，便下白色，食不为肌肤，石榴丸方
石榴皮（焙锉） 橡实 附子（炮裂去皮脐各二两） 无食子（四枚） 浓朴（去粗皮
生姜汁炙锉） 干
上六味。捣罗为末，米饮和，众手丸如梧桐子大，每服三十丸。食前生姜汤下、日再。
论述说：疳病有五种，日久会演变为虫证。第一种叫白疳，使人皮肤干燥，没有润泽之气；第二种叫赤疳，使人毛发焦枯；第三种叫蛲疳（一种由蛲虫引起的疳病），使人腰脊僵硬沉重；第四种叫疳（此处指特定类型的疳病，原文缺字或泛指），使人下部拘挛紧急，背部僵硬不能俯仰；第五种叫黑疳，患者必定死亡，使人五脏俱损，或者下泄瘀血。这大概是肠胃虚弱，嗜食甜味过度，导致脾气缓弱，谷气衰微，营卫虚损，肠间诸虫因虚而动。虫子侵蚀上部，则手足烦疼，心中懊恼，沉默不欲饮食，腰脊无力，食不知味，精神恍惚，夜梦颠倒。喉咽生疮，齿龈黯黑损烂，脓血俱出。胃气上逆则变为呕吐呃逆，向下侵蚀肠胃，便痢脓血，或者下泄瘀黑之物。久治不愈，则肛门溃烂敞开，逐渐危及生命。
治疗久患疳痢不愈的兀子矾散方：
兀子矾（烧后研细）二两，黄连（去须）二两，白矾（烧后研细），龙骨（研细），云母粉（研细）各一两半，桂枝（去粗皮），麝香。
以上八味药，捣碎研成散剂，空腹时用生姜汁调服三钱匕。每日服用两次。
治疗积年疳痢、身体消瘦面色萎黄的方剂：
硫黄（研细），黄连（去须），艾叶，蜂蜜（一合）。
以上四味药，用水二升，先煮黄连和艾叶取半升，然后加入硫黄末，再煮三五沸，绞去药渣，再加入蜂蜜，再煮三五沸，分三次服用。
治疗疳痢久治不愈、身体极度消瘦濒临死亡的方剂：
新排出的羊粪（一升）。
以上一味药，用水一升，浸泡过夜，次日早晨绞取汁液，一次性服下。中午只吃煮熟的米饭。病情极重的，不超过三次即可痊愈。
治疗久痢转为疳湿的各种疾病，五皮汤方：
槐树皮，桃树皮，樗根白皮，柳树皮，枣树皮（各用患病者的手握住截断的一握量）。
以上五味药，细细切碎，用水二盏，煎至一盏，去渣，空腹温服。若未止住，再服用。
治疗久痢转为疳病，下部生恶疮，恶寒壮热的二白汤方：
桃白皮，槐白皮（各切一升），苦参（切五合），熟艾叶（三月三日采集的）五合，大枣（十枚劈开）。
以上五味药，用水五升，煮取二升半，去渣，加入如枣核大小的熊胆，搅匀，取二升，灌入下部（肛门/直肠），其余部分分三次内服。
治疗久痢成疳的灌洗方：
樗根白皮（一握捣绞取汁三合，取汁时不要让见到风日），大麻油（熬炼如车脂状），醋泔淀（各二合），花椒（四两）。
以上五味药，用水五升，先取花椒和豆豉煎煮绞取汁二升，混合樗根汁、麻油、泔淀这三味药，分为两份，用一份灌入下部，隔一天再用剩下的那份重新灌入。药物要温热使用，只能吃煮熟的米饭、葱白、烂煮的蔓菁芥菜等。五十到六十天以后，可以用鹿肉铺底做饭食用。
治疗男子、妇人、小儿，久痢成疳，百方不愈的方剂：
丁香，麝香（研细），黄连（去须）各一分。
以上三味药，捣碎研成散剂，每次取一钱匕，用竹筒吹入下部（肛门）。小儿根据情况减量，不超过三四次即可痊愈。
治疗疳痢不止的方剂：
苦参，甘草（切碎），雄黄（各二两）。
以上三味药，捣罗为细末。先用水五升，煮葱白五寸，豆豉一合，蜀椒三十粒，煮至三升。将三撮药末放入汁中。待温度适宜，先喝少许豆豉汁，吃一口饭，然后侧卧，慢慢灌入下部。躺很久不排出为佳，如果非常急迫才排出，排在干净的地面上。应当会有疳湿虫像白马尾头那样黑色，这是有效的征象。如果病情重者肛门松弛难愈，应当取桃枝绵裹头部，浸在前述药汁中，适寒温后烙之，靠近脊柱部位点烙三十次即可痊愈。
治疗久痢成疳，大便下白色物质，食物不能转化为肌肤营养的石榴丸方：
石榴皮（焙干切碎），橡实，附子（炮裂去皮脐）各二两，无食子（四枚），厚朴（去粗皮，用生姜汁炙后切碎），干姜。
以上六味药，捣罗为末，用米饮调和，众人手工搓丸如梧桐子大，每次服用三十丸，饭前用生姜汤送下，每日两次。
Discourse states: Gan disease (wasting-accumulation syndrome) has five types, which may transform into worm infestation over time. The first is called Bai Gan (White Gan), causing dry skin lacking moisture and luster; the second is Chi Gan (Red Gan), causing brittle and withered hair; the third is Nao Gan (Pinworm Gan), causing stiffness and heaviness in the waist and spine; the fourth is Gan (a specific type of Gan disease, character missing in original text), causing spasms and urgency in the lower body, and back stiffness preventing flexion and extension; the fifth is Hei Gan (Black Gan), which is fatal to patients, damaging all five Zang organs, or causing passage of stagnant blood. This is likely due to weakness of the intestines and stomach, excessive consumption of sweet flavors, leading to sluggish Spleen Qi, decline of Grain Qi, deficiency and damage of Ying and Wei (Nutritive and Defensive Qi), and movement of various worms in the intestines due to deficiency. When worms erode the upper part, there is vexing pain in the hands and feet, mental restlessness (Ao Nu), silence with loss of appetite, weakness in the waist and spine, food tasting tasteless, absent-mindedness, and inverted dreams at night. Sores appear in the throat and pharynx, gums become dark, damaged, and rotten, with pus and blood discharge. Reversal of Stomach Qi leads to vomiting and hiccups; downward erosion of the intestines and stomach causes dysentery with pus and blood, or passage of black stagnant blood. If not cured for a long time, the anus becomes ulcerated and open, gradually becoming critical.
Formula for Yuan Zi Fan San to treat chronic Gan dysentery that does not heal:
Yuan Zi Fan (calcined and ground) 2 liang, Huang Lian (Coptidis Rhizoma, remove stamens) 2 liang, Bai Fan (Alumen, calcined and ground), Long Gu (Fossilia Os Mastodi et Ossis Parietalis, ground), Yun Mu Fen (Muscovite Powder, ground) each 1.5 liang, Gui Zhi (Ramulus Cinnamomi, remove rough bark), She Xiang (Moschus).
The above eight ingredients are crushed and ground into powder. Take 3 qian bi (approx. 3 grams) mixed with fresh ginger juice on an empty stomach. Take twice daily.
Formula for treating chronic Gan dysentery, emaciation, and sallow complexion:
Liu Huang (Sulfur, ground), Huang Lian (Coptidis Rhizoma, remove stamens), Ai Ye (Artemisiae Argyi Folium), Mi (Honey) 1 he.
The above four ingredients are boiled in 2 sheng of water. First boil Huang Lian and Ai Ye to obtain half a sheng, then add Liu Huang powder, boil for three to five boils, strain to remove dregs, add honey, and boil for three to five more boils. Divide into three doses.
Formula for treating Gan dysentery that does not heal for a long time, with extreme emaciation approaching death:
Xin Chu Yang Fen (Freshly excreted sheep feces) 1 sheng.
The above single ingredient is soaked in 1 sheng of water overnight. In the morning, squeeze out the juice and take it in one dose. At noon, eat only cooked rice. For severe cases, it will heal within no more than three doses.
Wu Pi Tang (Five Barks Decoction) for treating various diseases where chronic dysentery transforms into Gan dampness:
Huai Pi (Cortex Sophorae Flavescentis), Tao Pi (Cortex Persicae), Chu Gen Bai Pi (Cortex Ailanthi Alti Radicis), Liu Pi (Cortex Salicis), Zao Pi (Cortex Ziziphi Jujubae) (each measured by the patient's hand holding a fistful).
The above five ingredients are finely chopped, boiled in 2 zhan of water until reduced to 1 zhan, strained, and taken warm on an empty stomach. If symptoms do not cease, take again.
Er Bai Tang (Two Whites Decoction) for treating chronic dysentery transforming into Gan disease, with malignant sores in the lower body, aversion to cold, and high fever:
Tao Bai Pi (Inner Bark of Peach Twig), Huai Bai Pi (Inner Bark of Sophora Root) each cut to 1 sheng, Ku Shen (Radix Sophorae Flavescentis) cut to 5 he, Shu Ai (Prepared Mugwort Leaf) collected on March 3rd 5 he, Da Zao (Fructus Jujubae) 10 pieces split.
The above five ingredients are boiled in 5 sheng of water until reduced to 2.5 sheng. Strain, add Bear Gallbladder (Xiong Dan) the size of a date pit, stir well, take 2 sheng to irrigate the lower part (anus/rectum), and take the remainder in three oral doses.
Irrigation Formula for treating chronic dysentery forming Gan disease:
Chu Gen Bai Pi (Cortex Ailanthi Radicis Albae) (one handful, crushed and squeezed to obtain 3 he of juice; avoid exposure to wind and sun when extracting), Da Ma You (Cannabis Sativa Oil) (boiled until like axle grease), Cu Gan Dian (Acidic Rice Wash Sediment) each 2 he, Jiao (Zanthoxyli Fructus) 4 liang.
The above five ingredients are boiled in 5 sheng of water. First boil Jiao and Chi Dou (Fermented Soybean) to extract 2 sheng of juice. Mix this juice with the three ingredients: Chu juice, Hemp oil, and Acidic rice wash sediment. Divide into two portions. Use one portion to irrigate the lower part. After one day, use the remaining portion to irrigate again. The medicine should be used warm. Diet should consist only of cooked rice, white parts of green onions, and well-cooked turnips and mustard greens. After fifty to sixty days, deer meat can be used as a base for cooking rice.
Formula for men, women, and children suffering from chronic dysentery forming Gan disease, unresponsive to hundreds of treatments:
Ding Xiang (Caryophylli Flos), She Xiang (Moschus, ground), Huang Lian (Coptidis Rhizoma, remove stamens) each 1 fen.
The above three ingredients are crushed and ground into powder. Each time, take 1 qian bi, use a bamboo tube to blow it into the lower part (anus). Reduce dosage for children. It will heal within no more than three to four applications.
Formula for stopping persistent Gan dysentery:
Ku Shen (Radix Sophorae Flavescentis), Gan Cao (Radix Glycyrrhizae, chopped), Xiong Huang (Realgar) each 2 liang.
The above three ingredients are pounded and sifted into fine powder. First, boil 5 cun of scallion whites, 1 he of fermented soybeans, and 30 grains of Shu Jiao (Sichuan Pepper) in 5 sheng of water until reduced to 3 sheng. Add three pinches of the medicine powder to the liquid. When the temperature is suitable, drink a little fermented bean soup first, eat a mouthful of rice, then lie on your side. Slowly irrigate the lower part. It is best if the contents are retained for a long time; if urgent evacuation occurs, do so on clean ground. There should appear Gan dampness worms resembling the black head of a white horse's tail; this indicates efficacy. If the case is severe with flaccid anus difficult to heal, take a peach branch wrapped in cotton, dip it in the aforementioned medicinal liquid, adjust to appropriate temperature, and cauterize. Cauterize near the spine thirty times to achieve healing.
Shi Liu Wan (Pomegranate Pill) for treating chronic dysentery forming Gan disease, passing white matter, where food fails to nourish muscles and flesh:
Shi Liu Pi (Cortex Granati, baked and chopped), Xiang Shi (Quercus Conk), Fu Zi (Radix Aconiti Lateralis Preparata, cracked, peeled, navel removed) each 2 liang, Wu Shi Zi (Galae Chinensis), Hou Po (Cortex Magnoliae Officinalis, remove rough bark, stir-fried with ginger juice and chopped), Gan Jiang (Rhizoma Zingiberis).
The above six ingredients are pounded and sifted into powder. Mix with rice beverage (Mi Yin) and roll into pills the size of paulownia seeds by multiple hands. Take 30 pills per dose before meals, washed down with ginger soup. Take twice daily.