论曰内经谓大肠有热便肠垢，巢氏曰，肠垢者，肠间津汁垢腻也，盖传化之腑，热气积
而为痢，痢久不已，肠间虚滑，津垢乃出，是邪热气实，真脏气虚，故有此证。
治久痢下肠垢，陟厘丸方
陟厘 绿矾 锻石（各三两） 铅丹 赤石脂 白石脂 胡粉（各一两半）
上七味，捣罗为末，入瓶子内，烧一复时，取出研极细，面糊和丸，如梧桐子大，每服
二十丸，空心食前粥饮下。
治久痢不瘥成肠垢，乌梅汤方
乌梅（二十枚椎碎）
上一味，以水一升，煎至四合，去滓空心服，未愈，日晚再煎服。
治久痢不瘥，肠垢出，石榴汁方
醋石榴（一枚大者）
上一味，捣研绞取汁，空心服之。
治久患冷痢，及休息痢，脾胃虚极，大肠滑泄，肠垢不绝，麝香丸方
麝香（细研半两） 鹿茸（去毛涂酥炙二两）
上二味，捣罗为末，煮枣肉和丸，如梧桐子大，每服三十丸，粥饮下，不拘时，日三。
治久痢肠滑，下垢不止羸困，莨菪丸方
莨菪子（淘去浮者煮令芽出曝干炒） 干姜（炮锉） 白矾（熬令汁枯各二两）
上三味，捣罗为末，醋煮面糊和丸，如梧桐子大，每服三十丸，粥饮下，不拘时，日三
治久痢不瘥、肠垢出。附子丸方
附子（炮裂去皮脐） 赤石脂 桂（去粗皮） 干姜（炮各半两）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，米饮下，空心食前日三。
论述说：《内经》提到大肠有热会导致排出肠垢，巢元方说，肠垢就是肠道间津液浑浊黏腻的物质。这属于传化之腑（指六腑中负责传导和消化食物的器官），热气积聚而形成痢疾，痢疾日久不愈，导致肠道虚弱滑脱，津液与污垢随之排出，这是邪热之气实盛，而真脏之气虚弱的表现，因此出现这种证候。
治疗久痢下出肠垢的陟厘丸方：
陟厘、绿矾、锻石（各三两）、铅丹、赤石脂、白石脂、胡粉（各一两半）。
以上七味药，捣碎过筛成粉末，放入瓶子内，烧制一个时辰（约两小时），取出后研磨至极细，用面糊调和制成丸药，大小如梧桐子，每次服用二十丸，空腹且在进食前，用米粥或饮水送服。
治疗久痢不愈发展为肠垢的乌梅汤方：
乌梅（二十枚，敲碎）。
以上一味药，用水一升，煎煮至四合，去渣滓，空腹服用，若未痊愈，傍晚时再煎一次服用。
治疗久痢不愈，肠垢排出的石榴汁方：
醋渍的大石榴（一枚大的）。
以上一味药，捣碎研磨并绞取汁液，空腹服用。
治疗长期患冷痢，以及休息痢，脾胃极度虚弱，大肠滑泄不止，肠垢不绝的麝香丸方：
麝香（细研半两）、鹿茸（去毛，涂酥炙烤二两）。
以上两味药，捣碎过筛成粉末，用枣肉煮烂调和制成丸药，大小如梧桐子，每次服用三十丸，用米粥或饮水送服，不限时间，每日三次。
治疗久痢肠道滑脱，下出污垢不止，身体消瘦困倦的莨菪丸方：
莨菪子（淘洗去掉浮起的，煮至发芽后晒干炒制）、干姜（炮制锉碎）、白矾（熬至汁液干枯，各二两）。
以上三味药，捣碎过筛成粉末，用醋煮面糊调和制成丸药，大小如梧桐子，每次服用三十丸，用米粥或饮水送服，不限时间，每日三次。
治疗久痢不愈、肠垢排出的附子丸方：
附子（炮裂去皮脐）、赤石脂、桂（去除粗皮）、干姜（炮制，各半两）。
以上四味药，捣碎过筛成粉末，用炼蜜制成丸药，大小如梧桐子，每次服用二十丸，用米饮送服，空腹且在进食前，每日三次。
Discussion: The *Neijing* (Inner Canon) states that heat in the Large Intestine leads to the discharge of intestinal mucus. Chao Yuanfang stated that "intestinal mucus" refers to turbid and greasy fluids within the intestines. These are organs of transmission and transformation, where accumulated heat forms dysentery. If dysentery persists for a long time without healing, the intestines become deficient and slippery, causing fluids and filth to be discharged. This indicates excess pathogenic heat and deficiency of the true Zang-Qi, thus resulting in this syndrome.
Formula for treating chronic dysentery with discharge of intestinal mucus: Zhili Wan (Zhili Pill)
Ingredients: Zhili (Ferri Sulfas), Lvfan (Chalcanthite), Duanshi (Calcined Alumen), Qiandan (Minium), Chishizhi (Halloysitum Rubrum), Baishizhi (Halloysitum Album), Hufen (Cerussa). Each of the first three ingredients is 3 liang; each of the remaining four is 1.5 liang.
Preparation: The above seven herbs are crushed, sifted into powder, placed in a bottle, and calcined for one shi (approx. 2 hours). After cooling, they are ground to an extremely fine powder, mixed with wheat paste to form pills the size of Sophora japonica seeds. Dosage: 20 pills per administration, taken on an empty stomach before meals with congee or water.
Formula for treating chronic dysentery that fails to heal and develops into intestinal mucus: Wu Mei Tang (Mume Decoction)
Ingredients: Wu Mei (Fructus Mume), 20 pieces, crushed.
Preparation: The single herb is decocted in 1 sheng of water until reduced to 4 he. The dregs are removed, and the liquid is taken on an empty stomach. If not cured, it is decocted and taken again in the evening.
Formula for treating chronic dysentery that fails to heal with discharge of intestinal mucus: Shiliu Zhi (Pomegranate Juice)
Ingredients: Cu Shiliu (Vinegar-treated Fructus Punicae Granati), one large fruit.
Preparation: The fruit is crushed, ground, and pressed to extract the juice. It is taken on an empty stomach.
Formula for treating long-standing cold dysentery, intermittent dysentery, extreme deficiency of the Spleen and Stomach, slipping and leakage of the Large Intestine, and continuous discharge of intestinal mucus: Shexiang Wan (Musk Pill)
Ingredients: Shexiang (Moschus), finely ground, 0.5 liang; Lurong (Cornu Cervi Pantotrichum), hair removed, coated with butter and roasted, 2 liang.
Preparation: The two herbs are crushed, sifted into powder, and mixed with boiled jujube flesh to form pills the size of Sophora japonica seeds. Dosage: 30 pills per administration, taken with congee or water at any time, three times daily.
Formula for treating chronic dysentery with intestinal slipping, continuous discharge of filth, emaciation, and exhaustion: Langdang Wan (Datura Pill)
Ingredients: Langdangzi (Semen Daturae Metelii), washed to remove floating ones, boiled until sprouts emerge, dried, and roasted; Ganjiang (Rhizoma Zingiberis Preparatum), processed and chopped; Baifan (Alumen), boiled until dry. Each ingredient is 2 liang.
Preparation: The three herbs are crushed, sifted into powder, and mixed with vinegar-boiled wheat paste to form pills the size of Sophora japonica seeds. Dosage: 30 pills per administration, taken with congee or water at any time, three times daily.
Formula for treating chronic dysentery that fails to heal with discharge of intestinal mucus: Fuzi Wan (Aconite Pill)
Ingredients: Fuzi (Radix Aconiti Lateralis Preparata), processed, cracked, skin and umbilicus removed; Chishizhi (Halloysitum Rubrum); Gui (Cortex Cinnamomi), coarse bark removed; Ganjiang (Rhizoma Zingiberis Preparatum), processed. Each ingredient is 0.5 liang.
Preparation: The four herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Dosage: 20 pills per administration, taken with rice drink on an empty stomach before meals, three times daily.