夫伤寒病。若表实里虚。热气乘虚而入。攻于肠胃。则下赤黄汁。若湿毒瓦斯盛。则腹痛
壮热
必胀
也。
为欲
下痢
治伤寒吐下后。毒瓦斯不解。致成下痢。是阴阳二气未和。宜服黄连散方。
黄连（三分去须微炒） 人参（一两去芦头） 黄芩（三分） 干姜（半两炮裂锉）
上件药。捣筛为散。每服五钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒壮热。头痛。四肢烦疼。未经发汗。下之太早。遂令汗出。下痢不止。宜
服阿胶
阿胶（一两捣碎炒令微燥） 黄连（三分去须微炒） 葛根（一两锉） 黄芩（三分）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒夹热。腹痛下痢方。
川升麻（三分） 黄连（三分去须微炒） 当归（三分锉微炒） 赤芍药（三分） 桂
心（三分）
黄柏（三分微炙锉） 甘草（三分炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒热毒攻肠胃。下痢困绝。宜服犀角散方。
犀角屑（一两） 黄连（一两去须微炒） 龙骨（一两） 当归（一两锉微炒） 人参
（三分去
芦头） 阿胶（一两捣碎炒令黄燥）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。不计时候温服。
治伤寒下痢。腹痛不可忍。宜服赤芍药散方。
赤芍药 当归（锉微炒） 黄芩 黄连（去须微炒）（以上各三分） 伏龙肝（一两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至五分。去滓。不计时候温服。
治伤寒下痢。烦热不止。每有所往。涩滞疼痛。宜服黄 散方。
黄 （一两锉） 枳壳（半两麸炒微黄去瓤） 大腹皮（一两锉） 黄连（三分去须微
炒） 赤
茯苓（一两） 赤芍药（一两） 甘草（三分炙微赤锉） 阿胶（一两捣碎炒令黄燥）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒烦热不解。下痢困笃。宜服大青散方。
大青（一两） 甘草（一两炙微赤锉） 阿胶（一两捣碎炒令黄燥） 赤石脂（一两） 栀
子仁
（半两）
上件药。捣筛为散。每服五钱。以水一大盏。入豉五十粒。薤白三茎。煎至五分。去滓
。不计时候温服。
治伤寒泄痢。或渴不得下食。虚而烦呕方。
栀子仁（五枚擘） 薤白（一握长三寸） 豉（一合） 附子（半两炮裂去皮脐） 干
姜（半两
炮裂锉） 甘草（半两炙微赤锉） 犀角屑（三分）
上件药。捣筛为散。每服四钱。以水一中盏。入葱白五寸。煎至六分。去滓。不计时候
温服。
治伤寒。腹中微痛下痢。宜服秦皮散方。
秦皮（三分） 黄连（三分去须微炒） 白头翁（半两） 阿胶（三分捣碎炒令黄燥） 当
归（
半两锉微炒）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒暴痢腹痛。宜服豉薤汤。
豉（一合） 薤白（一握长三寸） 栀子仁（五枚擘）
上件药。以水一大盏。煎至六分。去滓。不计时候温服。
治伤寒。热毒在胃。下痢。宜服蕙草散方。
蕙草（一两） 黄连（二两去须微炒） 当归（一两锉微炒）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒下痢。荒语。心中虚热。宜服黄连散方。
黄连（一两去须微炒） 牡蛎（三分烧为粉） 龙骨（一两） 当归（三分锉微炒） 人
参（三
分去芦头） 赤石脂（一两） 甘草（半两炙微赤锉）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治伤寒壮热。下痢烦渴。宜服牡蛎散方。
牡蛎（一两烧为粉） 龙骨（一两半） 黄连（一两去须微炒） 乌梅肉（三分微炒）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
又方。
黄连（三分去须微炒） 当归（三分锉微炒） 赤石脂（二两） 子芩（三分）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以粥饮下三十丸。
治伤寒。下痢不能食。宜服此方。\x
黄连（一两去须微炒） 乌梅肉（二十枚微炒）
上件药。捣罗细。炼蜜并蜡一分为丸。如梧桐子大。每服。不计时候。以粥饮下二十丸
伤寒病，如果表实里虚，热气乘虚而入，攻冲肠胃，就会排出赤黄色的汁液。如果湿毒之气旺盛，就会出现腹痛、壮热、必然腹胀的症状。
想要治疗伤寒在催吐或泻下之后，毒气未解，导致形成痢疾的情况。这是因为阴阳二气尚未调和，适宜服用黄连散方。
黄连（三分，去除须根，微炒） 人参（一两，去除芦头） 黄芩（三分） 干姜（半两，炮裂后锉碎）
以上药物，捣碎过筛制成散剂。每次服用五钱，用水一中盏，煎煮至六分，滤去药渣，不分时候温服。
治疗伤寒壮热，头痛，四肢烦痛，未经发汗，过早使用泻下法，致使出汗，痢疾不止的情况。适宜服用阿胶散方。
阿胶（一两，捣碎炒至微燥） 黄连（三分，去除须根，微炒） 葛根（一两，锉碎） 黄芩（三分）
以上药物，捣粗罗制成散剂。每次服用三钱，用水一中盏，煎煮至六分，滤去药渣，不分时候温服。
川升麻（三分） 黄连（三分，去除须根，微炒） 当归（三分，锉碎微炒） 赤芍药（三分） 桂心（三分）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，不分时候温服。
治疗伤寒热毒攻冲肠胃，下痢危重困顿的情况，适宜服用犀角散方。
犀角屑（一两） 黄连（一两，去除须根，微炒） 龙骨（一两） 当归（一两，锉碎微炒） 人参（三分，去除芦头） 阿胶（一两，捣碎炒至黄燥）
以上药物，捣粗罗制成散剂。每次服用五钱，用水一大盏，煎煮至五分，不分时候温服。
赤芍药 当归（锉碎微炒） 黄芩 黄连（去除须根，微炒）（以上各三分） 伏龙肝（一两）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至五分，滤去药渣，不分时候温服。
治疗伤寒下痢，烦热不止，每次排便时涩滞疼痛的情况，适宜服用黄芩散方。（注：原文“黄 ”结合上下文及常用方剂推测为黄芩，此处依原文字形保留或补全为黄芩，鉴于前文已有黄芩且此方含枳壳等理气药，通常指黄芩汤类变方，此处按字面翻译并标注可能缺失字，但根据WHO术语规范，若原文缺字需注明。观察原文结构，“黄”后接药材列表，极大概率为“黄芩”。为严谨起见，译文暂作“黄[芩]”或依据常识补全，此处依常见古籍校勘补为黄芩）。
黄芩（一两，锉碎） 枳壳（半两，麸炒至微黄去瓤） 大腹皮（一两，锉碎） 黄连（三分，去除须根，微炒） 赤茯苓（一两） 赤芍药（一两） 甘草（三分，炙至微红后锉碎） 阿胶（一两，捣碎炒至黄燥）
以上药物，捣粗罗制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣，不分时候温服。
大青（一两） 甘草（一两，炙至微红后锉碎） 阿胶（一两，捣碎炒至黄燥） 赤石脂（一两） 栀子仁（半两）
以上药物，捣碎过筛制成散剂。每次服用五钱，用水一大盏，加入豆豉五十粒、薤白三茎，煎煮至五分，滤去药渣，不分时候温服。
栀子仁（五枚，掰开） 薤白（一握，长三寸） 豆豉（一合） 附子（半两，炮裂去皮脐） 干姜（半两，炮裂锉碎） 甘草（半两，炙至微红后锉碎） 犀角屑（三分）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入葱白五寸，煎煮至六分，滤去药渣，不分时候温服。
秦皮（三分） 黄连（三分，去除须根，微炒） 白头翁（半两） 阿胶（三分，捣碎炒至黄燥） 当归（半两，锉碎微炒）
以上药物，捣粗罗制成散剂。每次服用三钱，用水一中盏，煎煮至六分，滤去药渣，不分时候温服。
以上药物，用水一大盏，煎煮至六分，滤去药渣，不分时候温服。
蕙草（一两） 黄连（二两，去除须根，微炒） 当归（一两，锉碎微炒）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，滤去药渣，不分时候温服。
黄连（一两，去除须根，微炒） 牡蛎（三分，烧成粉） 龙骨（一两） 当归（三分，锉碎微炒） 人参（三分，去除芦头） 赤石脂（一两） 甘草（半两，炙至微红后锉碎）
以上药物，捣细罗制成散剂。每次服用，不分时候，用米粥汤调下二钱。
牡蛎（一两，烧成粉） 龙骨（一两半） 黄连（一两，去除须根，微炒） 乌梅肉（三分，微炒）
以上药物，捣细罗制成散剂。每次服用，不分时候，用米粥汤调下二钱。
又一方。
黄连（三分，去除须根，微炒） 当归（三分，锉碎微炒） 赤石脂（二两） 子芩（三分）
以上药物，捣罗成末，炼蜜和丸，如梧桐子大小。每次服用，不分时候，用米粥汤送下三十丸。
以上药物，捣罗细，炼蜜并加蜡一分制成丸药，如梧桐子大小。每次服用，不分时候，用米粥汤送下二十丸。
Tai Ping Sheng Hui Fang (Imperial Grace Formulary of the Tai Ping Era) states: In Shang Han Bing (Cold Damage Disease), if the exterior is excess and the interior is deficient, heat qi enters through the deficiency and attacks the intestines and stomach, resulting in the discharge of red and yellow fluid. If damp-toxic qi is abundant, abdominal pain, high fever, and inevitable abdominal distension will occur.
To treat dysentery caused by Shang Han Bing after vomiting or purging, where toxic qi has not resolved, leading to dysentery. This is due to the disharmony of Yin and Yang Qi. It is suitable to take Huang Lian San (Coptis Powder).
Huang Lian (Rhizoma Coptidis, 3 fen, remove roots, slightly stir-fried) Ren Shen (Radix Ginseng, 1 liang, remove rhizome) Huang Qin (Radix Scutellariae, 3 fen) Gan Jiang (Rhizoma Zingiberis Preparatum, 0.5 liang, processed until cracked, chopped)
The above medicines are crushed, sifted, and made into a powder. Each dose is 5 qian. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing with high fever, headache, and painful limbs, which has not been induced to sweat, but was purged too early, causing sweating and continuous dysentery. It is suitable to take E Jiao Tang/Powder (Donkey-hide Gelatin Formula).
E Jiao (Corium Asini, 1 liang, crushed and stir-fried until slightly dry) Huang Lian (Rhizoma Coptidis, 3 fen, remove roots, slightly stir-fried) Ge Gen (Puerariae Lobatae Radix, 1 liang, chopped) Huang Qin (Radix Scutellariae, 3 fen)
The above medicines are coarsely ground and made into a powder. Each dose is 3 qian. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
Formula for treating Shang Han Bing complicated with heat, abdominal pain, and dysentery.
Chuan Sheng Ma (Cimicifugae Rhizoma, 3 fen) Huang Lian (Rhizoma Coptidis, 3 fen, remove roots, slightly stir-fried) Dang Gui (Radix Angelicae Sinensis, 3 fen, chopped and slightly stir-fried) Chi Shao Yao (Radix Paeoniae Rubra, 3 fen) Gui Xin (Cortex Cinnamomi, 3 fen)
Huang Bo (Cortex Phellodendri, 3 fen, slightly roasted and chopped) Gan Cao (Radix Glycyrrhizae Preparata, 3 fen, honey-roasted until slightly red and chopped)
The above medicines are crushed, sifted, and made into a powder. Each dose is 4 qian. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing where heat-toxin attacks the intestines and stomach, causing severe and critical dysentery. It is suitable to take Xi Jiao San (Rhinoceros Horn Powder).
Xi Jiao Xie (Cornu Rhinocerotis Tritum, 1 liang) Huang Lian (Rhizoma Coptidis, 1 liang, remove roots, slightly stir-fried) Long Gu (Os Draconis, 1 liang) Dang Gui (Radix Angelicae Sinensis, 1 liang, chopped and slightly stir-fried) Ren Shen (Radix Ginseng, 3 fen, remove rhizome) E Jiao (Corium Asini, 1 liang, crushed and stir-fried until yellow and dry)
The above medicines are coarsely ground and made into a powder. Each dose is 5 qian. Add 1 da zhan of water, decoct until reduced to 5 fen. Take warm at any time.
To treat Shang Han Bing with dysentery and unbearable abdominal pain. It is suitable to take Chi Shao Yao San (Red Peony Root Powder).
Chi Shao Yao (Radix Paeoniae Rubra) Dang Gui (Radix Angelicae Sinensis, chopped and slightly stir-fried) Huang Qin (Radix Scutellariae) Huang Lian (Rhizoma Coptidis, remove roots, slightly stir-fried) (Above four each 3 fen) Fu Long Gan (Terra Flavus Caulis, 1 liang)
The above medicines are crushed, sifted, and made into a powder. Each dose is 4 qian. Add 1 zhong zhan of water, decoct until reduced to 5 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing with dysentery, incessant irritability and heat, and painful, obstructive defecation. It is suitable to take Huang Qin San (Scutellaria Powder). *Note: Original text "Huang [missing character]" is inferred as Huang Qin based on context.*
Huang Qin (Radix Scutellariae, 1 liang, chopped) Zhi Ke (Aurantii Fructus, 0.5 liang, bran-fried until slightly yellow, pith removed) Da Fu Pi (Arecae Pericarpium, 1 liang, chopped) Huang Lian (Rhizoma Coptidis, 3 fen, remove roots, slightly stir-fried) Chi Fu Ling (Poria Cocos cum Ligno Rubra, 1 liang) Chi Shao Yao (Radix Paeoniae Rubra, 1 liang) Gan Cao (Radix Glycyrrhizae Preparata, 3 fen, honey-roasted until slightly red and chopped) E Jiao (Corium Asini, 1 liang, crushed and stir-fried until yellow and dry)
The above medicines are coarsely ground and made into a powder. Each dose is 4 qian. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing with unresolved irritability and heat, and worsening dysentery. It is suitable to take Da Qing San (Baphicacanthus Powder).
Da Qing (Folium Baphicacanthi Cassiae, 1 liang) Gan Cao (Radix Glycyrrhizae Preparata, 1 liang, honey-roasted until slightly red and chopped) E Jiao (Corium Asini, 1 liang, crushed and stir-fried until yellow and dry) Chi Shi Zhi (Lapis Kaolinis Ruber, 1 liang) Zhi Zi Ren (Gardeniae Semen, 0.5 liang)
The above medicines are crushed, sifted, and made into a powder. Each dose is 5 qian. Add 1 da zhan of water, along with 50 grains of Chi Dou (Fermented Soybean) and 3 stalks of Xie Bai (Allium Macrostemon Bulb). Decoct until reduced to 5 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing with diarrhea and dysentery, thirst, inability to eat, deficiency, irritability, and vomiting.
Zhi Zi Ren (Gardeniae Semen, 5 pieces, broken open) Xie Bai (Allii Macrostemonis Bulbus, one handful, 3 cun long) Chi Dou (Faber Fabae Fermentata, 1 he) Fu Zi (Radix Aconiti Lateralis Preparata, 0.5 liang, processed until cracked, skin and umbilicus removed) Gan Jiang (Rhizoma Zingiberis Preparatum, 0.5 liang, processed until cracked and chopped) Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-roasted until slightly red and chopped) Xi Jiao Xie (Cornu Rhinocerotis Tritum, 3 fen)
The above medicines are crushed, sifted, and made into a powder. Each dose is 4 qian. Add 1 zhong zhan of water, along with 5 cun of Cong Bai (Allii Fistulosi Bulbus). Decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing with slight abdominal pain and dysentery. It is suitable to take Qin Pi San (Eucommia Bark Powder).
Qin Pi (Cortex Fraxini, 3 fen) Huang Lian (Rhizoma Coptidis, 3 fen, remove roots, slightly stir-fried) Bai Tou Weng (Pulsatillae Radix, 0.5 liang) E Jiao (Corium Asini, 3 fen, crushed and stir-fried until yellow and dry) Dang Gui (Radix Angelicae Sinensis, 0.5 liang, chopped and slightly stir-fried)
The above medicines are coarsely ground and made into a powder. Each dose is 3 qian. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
To treat acute onset of dysentery and abdominal pain in Shang Han Bing. It is suitable to take Chi Xie Tang (Bean and Shallot Decoction).
Chi Dou (Faber Fabae Fermentata, 1 he) Xie Bai (Allii Macrostemonis Bulbus, one handful, 3 cun long) Zhi Zi Ren (Gardeniae Semen, 5 pieces, broken open)
The above medicines are decocted in 1 da zhan of water until reduced to 6 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing where heat-toxin is in the stomach, causing dysentery. It is suitable to take Hui Cao San (Melilotus Powder). *Note: Hui Cao usually refers to Melilotus officinalis or similar aromatic herbs in ancient texts.*
Hui Cao (Herba Meliloti, 1 liang) Huang Lian (Rhizoma Coptidis, 2 liang, remove roots, slightly stir-fried) Dang Gui (Radix Angelicae Sinensis, 1 liang, chopped and slightly stir-fried)
The above medicines are crushed, sifted, and made into a powder. Each dose is 3 qian. Add 1 zhong zhan of water, decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
To treat Shang Han Bing with dysentery, delirium (Zhen Yu), and empty heat in the heart. It is suitable to take Huang Lian San (Coptis Powder).
Huang Lian (Rhizoma Coptidis, 1 liang, remove roots, slightly stir-fried) Mu Li (Concha Ostreae, 3 fen, calcined to powder) Long Gu (Os Draconis, 1 liang) Dang Gui (Radix Angelicae Sinensis, 3 fen, chopped and slightly stir-fried) Ren Shen (Radix Ginseng, 3 fen, remove rhizome) Chi Shi Zhi (Lapis Kaolinis Ruber, 1 liang) Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-roasted until slightly red and chopped)
The above medicines are finely ground and made into a powder. Each dose is taken at any time, mixed with millet gruel drink, and 2 qian is administered orally.
To treat Shang Han Bing with high fever, dysentery, irritability, and thirst. It is suitable to take Mu Li San (Oyster Shell Powder).
Mu Li (Concha Ostreae, 1 liang, calcined to powder) Long Gu (Os Draconis, 1.5 liang) Huang Lian (Rhizoma Coptidis, 1 liang, remove roots, slightly stir-fried) Wu Mei Rou (Semen Pruni Mume, 3 fen, slightly stir-fried)
The above medicines are finely ground and made into a powder. Each dose is taken at any time, mixed with millet gruel drink, and 2 qian is administered orally.
Another formula.
Huang Lian (Rhizoma Coptidis, 3 fen, remove roots, slightly stir-fried) Dang Gui (Radix Angelicae Sinensis, 3 fen, chopped and slightly stir-fried) Chi Shi Zhi (Lapis Kaolinis Ruber, 2 liang) Zi Qin (Radix Scutellariae, 3 fen)
The above medicines are ground into fine powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Each dose is taken at any time, washed down with millet gruel drink, 30 pills.
To treat Shang Han Bing with dysentery and inability to eat. It is suitable to take this formula.
Huang Lian (Rhizoma Coptidis, 1 liang, remove roots, slightly stir-fried) Wu Mei Rou (Semen Pruni Mume, 20 pieces, slightly stir-fried)
The above medicines are finely ground. Mixed with refined honey and one part wax, formed into pills the size of paulownia seeds. Each dose is taken at any time, washed down with millet gruel drink, 20 pills.