痢疾古云滞下，多行于夏末秋初，其故何也？然内为生冷所积，外为暑湿相搏，其得病之由也。脾胃不和，生冷过
度，停积于肠胃之间，不得克化；又为风寒暑湿之气相干，淹留日久，而成斯疾。大抵痢疾无积不成。所谓痢者，利也。
乘病初起，必先用 利之药，荡涤肠胃，使毒瓦斯外泄。切不可先用补涩之药，使积停滞，不得外泄，则热毒固闭，恶症
生矣。所谓痢不可止，此也。当下不下，日久脾胃益虚，尤不可下矣。其证有八∶曰冷、曰热、曰疳、曰惊、曰冷热不
调、曰休息痢、曰蛊毒、曰 痢。冷痢则去白，热痢则去红。余谓不然，当辨手足温暖则为热；厥冷则为寒。以此分别
治之，则不误矣。疳症，痢兼黄白，下无时度；惊痢去青，乍寒乍热；冷热不调，则赤白相杂；休息痢，粪黑如鱼肠，
愈而复作； 痢，停积失于不下，大便秘涩，疼痛啼叫，恶食粪臭；蛊毒下痢紫黑。又有三恶症∶曰禁口痢者，毒瓦斯侵
胃，干呕不食；二曰刮肠痢，肠头鲜血频滴，肛门深黑，开张可畏，肚腹 痛，里急后重；三曰滑肠痢，日夜频并，饮
食直过，完谷不化。如遇此症，非尽诚医治，十中难全一二。久痢渴而思酒，是肠胃精液耗竭故也。治之之法∶冷者温
之，热者清之，和胃温脾，宽肠顺气。下痢身凉，脉微细者生；身热脉浮大者死；舌黑汗出者死。
感应丸 治一切食积，下痢赤白，肚腹 痛，里急后重，不拘男妇，此药乃斩关夺营之将，定祸乱而致太平，
真有起死回生之功，用之得宜神效。
茅术（一两五钱，炒） 浓朴（一两，姜制） 陈皮（一两二钱） 甘草（五钱） 干姜（五钱） 百草霜（三钱）
巴豆（五钱，制）
制巴豆法∶如用，先于三月之前，去壳，取仁，去枯油者不用。研细，用纸包裹．压去油。再研，再压。仍置泥地，
任其上梅，去毒，方可合药，否则伤人。为末，次人百草霜、巴豆，HT 细和匀。面糊为丸，麻子大，周岁十二三丸，大
人四五十丸。
小儿七八朝，恶露内蓄，腹胀不乳。黄连甘草汤服六七丸，甚效。
脾积丸 治脏腑一切寒食积聚。
三棱（一两，醋炒） 蓬术（一两，醋炒） 青皮（一两，醋炒） 良姜（醋炒） 木香（各五钱） 丁香（三钱）
皂荚（三条，烧灰） 巴豆（五钱，制） 百草霜（三钱）
为末，面糊为丸，麻子大，姜汤量大小服。
导滞汤 痢疾初起，必下，此方视大小承气最稳当。
黄芩（酒炒） 黄连（姜汁炒） 当归 赤芍（炒） 枳壳（麸炒） 槟榔（各一钱） 木香（五分） 大黄（小
者二三钱，大人六钱，酒摆过，晒干候用）
水钟半，煎三滚，入大黄再煎一滚，置水中候冷，再上火顿热服。渣再煎服效。
加味胃苓汤 内伤生冷之食，外感暑湿之气，肚腹 痛，里急后重，一切痢疾泄泻，脾胃不和，并效。
猪苓 泽泻 白术 茯苓 苍术（炒） 浓朴（制） 陈皮（各一钱） 甘草（五分） 枳壳 槟榔 黄连 姜汁
（炒） 黄芩（七分） 木香 官桂（各三分）
生姜三片，枣一枚，水煎。夏月加香薷、扁豆，去官桂；腹痛甚加生姜、雨茶；久泻加诃子、肉果；久痢加乌梅、
粟壳，便血加槐花、荆芥、当归；小便不利加木通、滑石；口渴加干葛、麦冬、五味，去桂。
调中汤 治症同前。
黄连（姜汁炒） 黄芩（酒炒。各一钱五分） 当归（一钱） 白芍（酒炒） 槟榔（各八分） 水香（三分）
生姜五片，雨茶一撮，水煎。
加味调中汤，有苍术、白术、滑石、生地。
胃风汤 治风冷乘虚客于肠胃，腹痛肠鸣，水谷不化，下注豆汁，或下瘀血。
人参 白术 当归 川芎 茯苓 芍药 羌活 防风（各等分） 官桂（少）
粟米一撮，水煎。
神效散 下痢赤白，里急后重，肚腹 痛，不拘新久，并效。
苍术（一钱） 浓朴 陈皮（各七分） 甘草（五分） 当归 川芎（各七分） 黄连（一钱五分） 枳壳 升麻
（各六分） 木香（三分） 白芍（一钱） 人参（五分）
乌梅一个，黑枣二枚，水煎。
真人养脏汤 治冷热不调，下痢赤白，脐腹搅痛，里急后重，泻痢已久。
人参 白术（炒） 当归 芍药（炒） 诃子 肉蔻（煨） 甘草 粟壳（蜜炒。各八分） 肉桂 木香（各三分）
生姜三片，水煎。手足厥冷加附子。
解毒香薷饮 治暑毒，下痢纯血，身热口渴，心烦面赤，脐腹 痛，里急后重，小便赤涩。
黄芩 黄连 黄柏（各一钱） 香薷（二钱） 浓朴 扁豆（炒研。各八分）
水煎服。大人酒毒便血，加当归 阿胶（蛤粉炒。各一钱）
三黄熟艾汤 本方加祁艾（一钱醋炒）
生熟饮 治痢日久，肚腹绞痛，里急后重，日夜无度。
粟壳（四个） 陈皮（二片） 甘草（一寸，两破） 乌梅（二个） 黑枣（二个） 生姜（二片） 木香（一钱，
分二块） 诃子（二个） 黑豆（六十粒） 黄 （二寸） 白术（二块） 当归（二寸，两破）
俱要半生半熟，不用锉碎，水二碗，煎一碗，徐徐服。此方按君臣佐使，调阴阳，和脾胃，顺益三焦，安调五脏。
日久泄痢，无不神效，不可忽之。
五圣散 治一切泻痢日久，诸药不效，恹恹欲绝，可转危就安。
乌梅（七个，捶碎） 黑枣（七个，捣） 粟壳（七个，蜜炙） 甘草（七寸，炙） 莲肉（七粒，捣）
生姜七片，雨茶七分，水煎，露一宿。天明顿温，徐徐服。酒煎尤妙。小儿分二日服。
香连丸 治一切泻痢，肚腹不和，胸膈痞闷，气痛，并效。
黄连（净，一斤，吴茱萸四两，同炒） 肉豆蔻（二两，面煨） 木香（二两） 茅术（六两，炒） 浓朴（三两，
姜汁炒） 陈皮（四两） 甘草（一两五钱）
为末，醋糊为丸，量大小，米汤、醋汤，随意服。
惊粟丸 治症同前。未经行过不可用。
粟壳（四而，醋炒） 青皮 陈皮 当归 诃子 白芍（各二两） 甘草 木香 干姜（各一两）
为末，炼蜜为○大。每服一丸，蜜汤磨化，顿热服。
豆蔻丸 泻痢日久，肠胃虚寒，肠滑，糟粕不聚，此方主之。
肉豆蔻（煨） 胡粉（炒） 龙骨（ ） 白矾（ ）
各等分，为末，糊丸。量大小，米汤下。
百中散 治症如前。
粟壳（蜜炒） 浓朴（姜汁炒）
等分，为末。每服一钱，白痢赤砂糖汤；赤痢蜜汤，调下。
海藏仙方 治受暑毒，久泻、久痢、久疟，并效如神。
雄黄（透明者）
不拘多少，为末，蒸饼为丸，绿豆大。甘草汤下。
端午日制更效。
铁门栓 治赤白痢疾，五种泄泻。
文蛤（一两炒） 白矾（三钱半，生） 黄丹（二钱，炒）
为末，黄蜡一两为丸，生姜、雨茶泡汤下。
参连饮 治禁口痢。
人参 黄连（各一钱）
水煎频频呷之。
附禁口痢诸方∶
精猪肉切片，将面粉搽上，频炙，频搽，香熟食之。不吃，鼻下闻之。
宁波白鲞炙香，食之。
凤尾草煎汤露一宿，顿温，徐徐服。
川乌三两，光圆者。一两生用，一两煨，一两烧存性。同为末，糊丸，每服十丸，甘草汤下。
五爪龙草阴干，为末，每服一钱，酒下。
封脐膏
陈小粉（五钱） 乳香 没药（各一钱）
研末，醋调敷脐。
黄瓜藤经霜者，晒干，烧灰存性，香油调敷脐中。
熏痢秘方 泻痢日久，用此熏之。
地骨皮（新鲜者，煎百沸）
倾入陈马桶内，乘热坐上熏之。亦治脓窠疮。
灸法 治泻痢日久。
关元穴 翠尾穴（各灸，三壮。）
痢疾在古代被称为“滞下”，多发生在夏末秋初，这是什么原因呢？这是因为体内有生冷食物积滞，体外受暑湿邪气侵袭，内外合邪而致病。脾胃功能失调，过食生冷，导致食物停积在肠胃之间，无法消化；再加上风寒暑湿等外邪干扰，病邪滞留日久，从而形成此病。大抵来说，痢疾没有积滞就不会发生。所谓“痢”，通“利”。在疾病初起时，必须先用通利药物，荡涤肠胃，使毒邪向外排泄。切不可一开始就用补益收敛的药物，否则会导致积滞停滞，毒邪无法外泄，致使热毒内闭，产生恶症。这就是所说的“痢疾不可止住”的道理。如果该用攻下法却未用，日久脾胃更加虚弱，此时就不可再轻易攻下了。
痢疾的症状主要有八种：冷痢、热痢、疳痢、惊痢、冷热不调痢、休息痢、蛊毒痢、噤口痢（原文缺字，据义补）。冷痢表现为大便白色为主，热痢表现为大便红色为主。我认为这种说法不对，应当辨别手足温暖者为热证，手足厥冷者为寒证。据此分别治疗，就不会出错。疳痢，大便夹杂黄白色，排便无定时；惊痢大便发青，忽冷忽热；冷热不调痢，大便赤白相杂；休息痢，大便黑如鱼肠，好了又复发；[锁肛/里急]痢，积滞未能排出，大便秘结涩痛，腹痛啼叫，厌食且粪便恶臭；蛊毒痢，大便紫黑色。
还有三种恶症：一是禁口痢，毒邪侵犯胃腑，干呕不能进食；二是刮肠痢，肛门滴鲜血，肛门口色深黑，张开令人畏惧，腹部疼痛，里急后重；三是滑肠痢，日夜频繁腹泻，饮食直进直出，完谷不化。如果遇到这些症状，如果不尽心医治，十个人中难得救活一两个。久痢口渴想喝酒，是因为肠胃精液耗竭所致。治疗方法是：寒者温之，热者清之，调和胃气，温补脾阳，宽畅肠道，顺降气机。下痢身凉，脉象微细的预后良好；身热脉象浮大的预后不良；舌黑汗出的预后不良。
感应丸：治疗各种食积，下痢赤白，腹部疼痛，里急后重，不论男女皆可用。此药犹如斩关夺营的将领，平定祸乱致太平，真有起死回生之功，使用得当极为神效。
处方：苍术（一两五钱，炒）、厚朴（一两，姜制）、陈皮（一两二钱）、甘草（五钱）、干姜（五钱）、百草霜（三钱）、巴豆（五钱，制）。
巴豆炮制方法：如果要使用，先在三月之前，去掉外壳，取仁，去除枯油的不使用。研细，用纸包裹，压榨去油。再研，再压。然后放置在泥地上，任其吸收湿气，以去毒性，才可以入药，否则会伤人。研为细末，加入百草霜、巴豆，仔细混合均匀。用面糊做成丸子，大小如麻子，周岁婴儿服十二三丸，成人服四五十丸。
小儿出生七八天，恶露内蓄，腹胀不吃奶。服用黄连甘草汤配合此药六七丸，效果很好。
脾积丸：治疗脏腑一切寒食积聚。
处方：三棱（一两，醋炒）、蓬术（即莪术，一两，醋炒）、青皮（一两，醋炒）、良姜（醋炒）、木香（各五钱）、丁香（三钱）、皂荚（三条，烧灰）、巴豆（五钱，制）、百草霜（三钱）。
研为细末，用面糊做成丸子，大小如麻子，用姜汤根据年龄大小送服。
导滞汤：痢疾初起，必须通下，此方比大小承气汤最为稳妥。
处方：黄芩（酒炒）、黄连（姜汁炒）、当归、赤芍（炒）、枳壳（麸炒）、槟榔（各一钱）、木香（五分）、大黄（小者二三钱，成人六钱，酒拌过，晒干备用）。
用水半钟，煎煮至沸腾三次，放入大黄再煎一沸，置于水中冷却，再上火加热后服用。药渣再煎服用也有效。
加味胃苓汤：内伤生冷食物，外感暑湿之气，腹部疼痛，里急后重，各种痢疾泄泻，脾胃不和，均有效。
处方：猪苓、泽泻、白术、茯苓、苍术（炒）、厚朴（制）、陈皮（各一钱）、甘草（五分）、枳壳、槟榔、黄连、姜汁（炒）、黄芩（七分）、木香、官桂（各三分）。
生姜三片，大枣一枚，水煎。夏季加香薷、扁豆，去掉官桂；腹痛严重加生姜、雨茶（此处疑为茶叶或特定草药，保留原名）；久泻加诃子、肉果；久痢加乌梅、粟壳（罂粟壳）；便血加槐花、荆芥、当归；小便不利加木通、滑石；口渴加干葛、麦冬、五味子，去掉桂枝。
调中汤：治疗症状同上。
处方：黄连（姜汁炒）、黄芩（酒炒，各一钱五分）、当归（一钱）、白芍（酒炒）、槟榔（各八分）、木香（三分）。
生姜五片，雨茶一撮，水煎。
胃风汤：治疗风冷乘虚侵入肠胃，腹痛肠鸣，水谷不化，下注如豆汁，或下瘀血。
处方：人参、白术、当归、川芎、茯苓、芍药、羌活、防风（各等分）、官桂（少量）。
粟米一撮，水煎。
神效散：下痢赤白，里急后重，腹部疼痛，不论新久，均有效。
处方：苍术（一钱）、厚朴、陈皮（各七分）、甘草（五分）、当归、川芎（各七分）、黄连（一钱五分）、枳壳、升麻（各六分）、木香（三分）、白芍（一钱）、人参（五分）。
乌梅一个，黑枣二枚，水煎。
真人养脏汤：治疗冷热不调，下痢赤白，脐腹绞痛，里急后重，泻痢已久。
处方：人参、白术（炒）、当归、芍药（炒）、诃子、肉蔻（煨）、甘草、粟壳（蜜炒，各八分）、肉桂、木香（各三分）。
生姜三片，水煎。手足厥冷加附子。
解毒香薷饮：治疗暑毒，下痢纯血，身热口渴，心烦面赤，脐腹疼痛，里急后重，小便赤涩。
处方：黄芩、黄连、黄柏（各一钱）、香薷（二钱）、厚朴、扁豆（炒研，各八分）。
水煎服。成人因酒毒便血，加当归、阿胶（蛤粉炒，各一钱）。
生熟饮：治疗痢疾日久，腹部绞痛，里急后重，日夜无度。
处方：粟壳（四个）、陈皮（二片）、甘草（一寸，剖开）、乌梅（二个）、黑枣（二个）、生姜（二片）、木香（一钱，分两块）、诃子（二个）、黑豆（六十粒）、黄芪（二寸）、白术（二块）、当归（二寸，剖开）。
药材都要半生半熟，不用锉碎，水两碗，煎成一碗，慢慢服用。此方按君臣佐使配伍，调理阴阳，调和脾胃，顺益三焦，安调五脏。久日泄痢，无不神效，不可忽视。
五圣散：治疗各种泻痢日久，诸药无效，精神萎靡欲绝，可转危为安。
处方：乌梅（七个，捶碎）、黑枣（七个，捣烂）、粟壳（七个，蜜炙）、甘草（七寸，炙）、莲肉（七粒，捣烂）。
生姜七片，雨茶七分，水煎，露天放置一夜。天明时温热顿服，慢慢喝。用酒煎煮尤其好。小儿分两天服用。
香连丸：治疗各种泻痢，腹部不和，胸膈痞闷，气痛，均有效。
处方：黄连（净，一斤，与吴茱萸四两同炒）、肉豆蔻（二两，面煨）、木香（二两）、苍术（六两，炒）、厚朴（三两，姜汁炒）、陈皮（四两）、甘草（一两五钱）。
研为细末，用醋糊做成丸子，根据年龄大小，用米汤或醋汤随意送服。
惊粟丸：治疗症状同上。未经行经的女性不可用。
处方：粟壳（四两，醋炒）、青皮、陈皮、当归、诃子、白芍（各二两）、甘草、木香、干姜（各一两）。
研为细末，炼蜜做成梧桐子大小的丸子。每服一丸，用蜜汤磨化，温热顿服。
豆蔻丸：泻痢日久，肠胃虚寒，肠滑，糟粕不聚，此方主治。
处方：肉豆蔻（煨）、胡粉（炒）、龙骨（ ）、白矾（ ）。
各等分，研为细末，糊丸。根据年龄大小，米汤送服。
百中散：治疗症状如上。
处方：粟壳（蜜炒）、厚朴（姜汁炒）。
等分，研为细末。每服一钱，白痢用赤砂糖汤送服；赤痢用蜜汤送服。
海藏仙方：治疗受暑毒，久泻、久痢、久疟，均有效如神。
处方：雄黄（透明者）。
不拘多少，研为细末，蒸饼做成丸子，绿豆大小。甘草汤送服。
端午节制作效果更好。
铁门栓：治疗赤白痢疾，五种泄泻。
处方：文蛤（一两炒）、白矾（三钱半，生）、黄丹（二钱，炒）。
研为细末，用黄蜡一两做成丸子，生姜、雨茶泡汤送服。
参连饮：治疗禁口痢。
处方：人参、黄连（各一钱）。
水煎频频呷服。
附禁口痢各方：
精猪肉切片，将面粉搽在上面，频繁烤炙，频繁搽抹，香熟食之。若吃不下，闻鼻下气味也可。
宁波白鲞烤香，食用。
凤尾草煎汤露天放置一夜，温热顿服，慢慢喝。
川乌三两，选光圆者。一两生用，一两煨，一两烧存性。同为细末，糊丸，每服十丸，甘草汤送服。
五爪龙草阴干，研为细末，每服一钱，酒送服。
封脐膏
陈小粉（五钱）、乳香、没药（各一钱）。
研末，醋调敷脐。
黄瓜藤经霜者，晒干，烧灰存性，香油调敷脐中。
Dysentery was anciently called "Zhi Xia" (Stagnant Downward Flow), and it mostly occurs at the end of summer and early autumn. What is the reason for this? It is because internally there is accumulation from raw and cold foods, and externally there is conflict between summer-heat and dampness; this is how the disease arises. When the Spleen and Stomach are disharmonious, excessive consumption of raw and cold items causes stagnation in the intestines and stomach, preventing digestion; furthermore, interference from wind-cold, summer-heat, and dampness pathogens leads to prolonged retention, resulting in this illness. Generally speaking, dysentery cannot occur without stagnation. The term "Li" (Dysentery) implies "Li" (To promote flow). In the early stage of the disease, one must first use purgative medicines to cleanse the intestines and stomach, allowing toxic factors to be excreted outward. One must absolutely not use tonifying or astringent medicines initially, as this would cause stagnation to remain and prevent the expulsion of toxins, leading to the solidification of heat-toxins and the generation of malignant symptoms. This is why it is said that "dysentery should not be stopped." If purgation is indicated but not performed, the Spleen and Stomach will become increasingly deficient over time, making further purgation inadvisable.
There are eight types of dysentery symptoms: Cold Dysentery, Heat Dysentery, Gan Dysentery, Jing Dysentery, Mixed Cold-Heat Dysentery, Resting Dysentery, Gu Du Dysentery, and Jin Kou Dysentery (Throat-Sealing Dysentery). Cold dysentery presents primarily with white discharge, while heat dysentery presents primarily with red discharge. I believe this distinction is insufficient; one should differentiate based on whether the hands and feet are warm (indicating Heat) or cold (indicating Cold). Treating according to this differentiation ensures accuracy. Gan dysentery involves yellow and white stool with irregular bowel movements; Jing dysentery presents with green stool and alternating chills and fever; mixed cold-heat dysentery features intermingled red and white stool; resting dysentery presents with black stool resembling fish entrails, recurring after remission; [Locking Anus] dysentery involves retained stagnation failing to pass, constipation, painful straining, crying, anorexia, and foul-smelling feces; Gu Du dysentery presents with purple-black stool.
There are also three malignant syndromes: First, Jin Kou Dysentery (Throat-Sealing Dysentery), where toxins invade the Stomach causing dry retching and inability to eat; second, Gua Chang Dysentery (Intestine-Scraping Dysentery), characterized by frequent dripping of fresh blood from the anus, deep black discoloration of the anal opening which appears terrifying upon dilation, abdominal pain, tenesmus, and rectal prolapse sensation; third, Hua Chang Dysentery (Slippery Intestine Dysentery), featuring frequent day and night diarrhea where food passes straight through undigested. If these conditions arise, unless treated with utmost sincerity and skill, fewer than one or two out of ten may survive. Thirst and craving for alcohol in chronic dysentery indicates exhaustion of intestinal and stomach fluids. The treatment principle is: warm the cold, clear the heat, harmonize the Stomach, warm the Spleen, widen the intestines, and regulate Qi. Prognosis: survival if body temperature is normal and pulse is fine and minute; death if body is hot and pulse is floating and large; death if the tongue is black and sweating occurs.
Ganying Wan (Miracle Response Pill): Treats all forms of food stagnation, bloody and non-bloody dysentery, abdominal pain, and tenesmus. Suitable for both men and women. This medicine acts like a general breaking through enemy lines to quell chaos and restore peace, possessing the power to revive the dying. Used appropriately, it is miraculous.
Ingredients: Cang Zhu (Atractylodis Rhizoma, 1.5 liang, stir-fried), Hou Po (Magnoliae Officinalis Cortex, 1 liang, ginger-processed), Chen Pi (Citri Reticulatae Pericarpium, 1.2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), Gan Jiang (Zingiberis Rhizoma, 0.5 liang), Baicao Shuang (Carbonized Herb Ash, 0.3 qian), Ba Dou (Crotonis Fructus, 0.5 liang, processed).
Processing of Ba Dou: Before March, remove shells, take the kernels, discard those with dried oil. Grind finely, wrap in paper, and press to remove oil. Grind again, press again. Then place on mud ground to absorb moisture and reduce toxicity before combining into the formula; otherwise, it harms people. Grind to powder, mix thoroughly with Baicao Shuang and Ba Dou. Form pills with wheat paste, size of hemp seeds. Infants (one year old) take 12-13 pills; adults take 40-50 pills.
For infants aged seven to eight days with internal retention of lochia, abdominal distension, and refusal to nurse, administer Huanglian Gancao Tang (Coptidis and Licorice Decoction) along with 6-7 pills of this medicine for excellent effect.
Piji Wan (Spleen Accumulation Pill): Treats all cold-food accumulations in the Zang-Fu organs.
Ingredients: San Leng (Curcumae Radix, 1 liang, vinegar-fried), E Zhu (Curcumae Rhizoma, 1 liang, vinegar-fried), Qing Pi (Citri Reticulatae Pericarpium Viride, 1 liang, vinegar-fried), Liang Jiang (Alpiniae Katsumadai Rhizoma, vinegar-fried), Mu Xiang (Vladimiriae Radix, 0.5 liang each), Ding Xiang (Caryophylli Flos, 0.3 qian), Zao Jia (Gleditsiae Sinensis Spina, 3 strips, burnt to ash), Ba Dou (Crotonis Fructus, 0.5 liang, processed), Baicao Shuang (Carbonized Herb Ash, 0.3 qian).
Grind to powder, form pills with wheat paste, size of hemp seeds. Administer with Ginger Decoction according to age.
Daozhi Tang (Guide Stagnation Decoction): For early-stage dysentery requiring purgation; this formula is safer than Da Cheng Qi Tang or Xiao Cheng Qi Tang.
Ingredients: Huang Qin (Scutellariae Radix, wine-fried), Huang Lian (Coptidis Rhizoma, ginger juice-fried), Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra, fried), Zhi Ke (Aurantii Fructus, bran-fried), Bing Lang (Arecae Semen, 1 qian each), Mu Xiang (Vladimiriae Radix, 0.5 fen), Da Huang (Rhei Radix et Rhizoma, small ones 2-3 qian, adults 6 qian, soaked in wine, dried for use).
Decoct half a zhong of water until boiling three times, add Da Huang, boil once more, cool in water, then reheat and take. Decoction residue can be decocted again for effectiveness.
Jiawei Weiling Tang (Modified Weiling Decoction): For internal injury from raw/cold food and external contraction of summer-heat/dampness, abdominal pain, tenesmus, all types of dysentery and diarrhea, and Spleen-Stomach disharmony.
Ingredients: Zhu Ling (Polypori Umbilicati Sclerotium), Ze Xie (Alismatis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Cang Zhu (Atractylodis Rhizoma, fried), Hou Po (Magnoliae Officinalis Cortex, processed), Chen Pi (Citri Reticulatae Pericarpium, 1 qian each), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 fen), Zhi Ke (Aurantii Fructus), Bing Lang (Arecae Semen), Huang Lian (Coptidis Rhizoma), Jiang Zhi (Ginger Juice, fried), Huang Qin (Scutellariae Radix, 0.7 fen), Mu Xiang (Vladimiriae Radix), Guan Gui (Cinnamomi Cortex, 0.3 fen each).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma) and 1 Zao (Jujubae Fructus), decoct in water. In summer, add Xiang Ru (Moslae Herba) and Bian Dou (Dolichoris Semen), remove Guan Gui. For severe abdominal pain, add Sheng Jiang and Yu Cha (Tea Leaves). For chronic diarrhea, add He Zi (Terminaliae Chebulae Fructus) and Rou Guo (Myristicae Semen). For chronic dysentery, add Wu Mei (Mume Fructus) and Su Ke (Papaveris Pericarpium). For bloody stool, add Huai Hua (Sophorae Flos), Jing Jie (Schizonepetae Herba), and Dang Gui (Angelicae Sinensis Radix). For difficult urination, add Mu Tong (Akebiae Caulis) and Hua Shi (Talcum). For thirst, add Gan Ge (Puerariae Radix), Mai Dong (Ophiopogonis Tuber), and Wu Wei Zi (Schisandrae Fructus), remove Gui.
Tiaozhong Tang (Regulate Middle Decoction): Treats symptoms as above.
Ingredients: Huang Lian (Coptidis Rhizoma, ginger juice-fried), Huang Qin (Scutellariae Radix, wine-fried, 1.5 qian each), Dang Gui (Angelicae Sinensis Radix, 1 qian), Bai Shao (Paeoniae Radix Alba, wine-fried), Bing Lang (Arecae Semen, 0.8 fen each), Mu Xiang (Vladimiriae Radix, 0.3 fen).
Add 5 slices of Sheng Jiang (Zingiberis Rhizoma) and a pinch of Yu Cha (Tea Leaves), decoct in water.
Jiawei Tiaozhong Tang (Modified Regulate Middle Decoction) contains Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Hua Shi (Talcum), and Sheng Di Huang (Rehmanniae Radix).
Weifeng Tang (Stomach Wind Decoction): Treats wind-cold invading the intestines and stomach due to deficiency, causing abdominal pain, borborygmus, indigestion of food and water, passage of bean-water-like stool, or passage of clotted blood.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fu Ling (Poria), Shao Yao (Paeoniae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix, equal parts), Guan Gui (Cinnamomi Cortex, small amount).
Add a pinch of Su Mi (Setaria Italica), decoct in water.
Shenxiao San (Divine Effect Powder): Treats bloody and non-bloody dysentery, tenesmus, and abdominal pain, effective for both new and chronic cases.
Ingredients: Cang Zhu (Atractylodis Rhizoma, 1 qian), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium, 0.7 fen each), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 fen), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 0.7 fen each), Huang Lian (Coptidis Rhizoma, 1.5 qian), Zhi Ke (Aurantii Fructus), Sheng Ma (Cimicifugae Rhizoma, 0.6 fen each), Mu Xiang (Vladimiriae Radix, 0.3 fen), Bai Shao (Paeoniae Radix Alba, 1 qian), Ren Shen (Ginseng Radix et Rhizoma, 0.5 fen).
Add 1 Wu Mei (Mume Fructus) and 2 Hei Zao (Black Jujubes), decoct in water.
Zhenren Yangzang Tang (True Man Nourishing Viscera Decoction): Treats mixed cold-heat, bloody and non-bloody dysentery, umbilical and abdominal cramping pain, tenesmus, and long-standing diarrhea/dysentery.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, fried), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix, fried), He Zi (Terminaliae Chebulae Fructus), Rou Kou (Myristicae Semen, baked), Gan Cao (Glycyrrhizae Radix et Rhizoma), Su Ke (Papaveris Pericarpium, honey-fried, 0.8 fen each), Rou Gui (Cinnamomi Cortex), Mu Xiang (Vladimiriae Radix, 0.3 fen each).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma), decoct in water. Add Fu Zi (Aconiti Lateralis Radix Praeparata) if hands and feet are cold.
Jiedu Xiangru Yin (Detoxifying Mosla Drink): Treats summer-heat toxin, pure bloody dysentery, fever, thirst, irritability, red face, umbilical/abdominal pain, tenesmus, and dark/scanty urination.
Ingredients: Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex, 1 qian each), Xiang Ru (Moslae Herba, 2 qian), Hou Po (Magnoliae Officinalis Cortex), Bian Dou (Dolichoris Semen, fried and ground, 0.8 fen each).
Decoct in water. For adults with alcohol-induced bloody stool, add Dang Gui (Angelicae Sinensis Radix) and E Jiao (Colla Corii Asini, fried with clam powder, 1 qian each).
Sanhuang Shuai Ai Tang (Three Yellows and Cooked Mugwort Decoction): This formula adds Qi Ai (Artemisiae Argyi Folium, 1 qian, vinegar-fried).
Shengshu Yin (Raw-Cooked Drink): Treats chronic dysentery with severe abdominal cramping, tenesmus, and unceasing day and night frequency.
Ingredients: Su Ke (Papaveris Pericarpium, 4 pieces), Chen Pi (Citri Reticulatae Pericarpium, 2 slices), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 cun, split), Wu Mei (Mume Fructus, 2 pieces), Hei Zao (Black Jujubes, 2 pieces), Sheng Jiang (Zingiberis Rhizoma, 2 slices), Mu Xiang (Vladimiriae Radix, 1 qian, split into two), He Zi (Terminaliae Chebulae Fructus, 2 pieces), Hei Dou (Sojae Semen Nigrum, 60 grains), Huang Qi (Astragali Radix, 2 cun), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 pieces), Dang Gui (Angelicae Sinensis Radix, 2 cun, split).
All herbs should be half-raw and half-cooked, not chopped. Decoct in 2 bowls of water until 1 bowl remains. Take slowly. This formula follows Sovereign-Minister-Assistant-Courier principles to balance Yin-Yang, harmonize Spleen-Stomach, benefit San Jiao, and stabilize Five Zang. Effective for chronic diarrhea/dysentery; do not neglect.
Wusheng San (Five Saints Powder): Treats chronic diarrhea/dysentery unresponsive to other medicines, presenting with lethargy and near-death state, turning danger to safety.
Ingredients: Wu Mei (Mume Fructus, 7 pieces, crushed), Hei Zao (Black Jujubes, 7 pieces, pounded), Su Ke (Papaveris Pericarpium, 7 pieces, honey-roasted), Gan Cao (Glycyrrhizae Radix et Rhizoma, 7 cun, roasted), Lian Rou (Nelumbinis Semen, 7 pieces, pounded).
Add 7 slices of Sheng Jiang (Zingiberis Rhizoma) and 0.7 fen of Yu Cha (Tea Leaves), decoct in water, leave exposed overnight. Warm and take slowly at dawn. Brewing with wine is superior. Infants divide dose over two days.
Xianglian Wan (Mu-Xiang-Huang-Lian Pill): Treats all diarrhea/dysentery, abdominal discomfort, chest/epigastric oppression, and Qi pain.
Ingredients: Huang Lian (Coptidis Rhizoma, purified, 1 jin, stir-fried with 4 liang of Wu Zhu Yu), Rou Dou Kou (Myristicae Semen, 2 liang, baked in flour), Mu Xiang (Vladimiriae Radix, 2 liang), Mao Zhu (Atractylodis Rhizoma, 6 liang, fried), Hou Po (Magnoliae Officinalis Cortex, 3 liang, ginger juice-fried), Chen Pi (Citri Reticulatae Pericarpium, 4 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1.5 liang).
Grind to powder, form pills with vinegar paste. Take according to age with rice soup or vinegar soup.
Jingsu Wan (Jing-Su Pill): Treats symptoms as above. Not for use in menstruating women.
Ingredients: Su Ke (Papaveris Pericarpium, 4 liang, vinegar-fried), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui (Angelicae Sinensis Radix), He Zi (Terminaliae Chebulae Fructus), Bai Shao (Paeoniae Radix Alba, 2 liang each), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Xiang (Vladimiriae Radix), Gan Jiang (Zingiberis Rhizoma, 1 liang each).
Grind to powder, form pills with refined honey. Take one pill per dose, grind in honey soup, take warm.
Doukou Wan (Doukou Pill): For chronic diarrhea/dysentery with Spleen-Stomach deficiency-cold, slippery intestines, and loose stools.
Ingredients: Rou Dou Kou (Myristicae Semen, baked), Hu Fen (Lead Carbonate, fried), Long Gu (Fossilia Ossis Mastodi, ), Bai Fan (Alumen, ).
Equal parts, grind to powder, form pills with paste. Take according to age with rice soup.
Baizhong San (Hundred-Accurate Powder): Treats symptoms as above.
Ingredients: Su Ke (Papaveris Pericarpium, honey-fried), Hou Po (Magnoliae Officinalis Cortex, ginger juice-fried).
Equal parts, grind to powder. Take 1 qian per dose. For white dysentery, take with brown sugar soup; for red dysentery, take with honey soup.
Haizang Xianfang (Sea Storehouse Immortal Formula): Treats summer-heat toxin, chronic diarrhea, chronic dysentery, and chronic malaria, effective as a miracle.
Ingredients: Xiong Huang (Realgar, transparent).
Any amount, grind to powder, form pills with steamed dough, size of mung beans. Take with Gan Cao (Licorice) soup.
More effective if prepared on Dragon Boat Festival Day.
Ti Menshuan (Iron Gate Bolt): Treats bloody/non-bloody dysentery and five types of diarrhea.
Ingredients: Wen Ge (Clam Shell, 1 liang, fried), Bai Fan (Alumen, 3.5 qian, raw), Huang Dan (Minium, 2 qian, fried).
Grind to powder, form pills with 1 liang of Yellow Beeswax. Take with Sheng Jiang (Zingiberis Rhizoma) and Yu Cha (Tea Leaves) infused water.
Shenlian Yin (Ginseng-Coptis Drink): Treats Jin Kou Dysentery (Throat-Sealing Dysentery).
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Huang Lian (Coptidis Rhizoma, 1 qian each).
Decoct in water, sip frequently.
Appendix: Various Formulas for Jin Kou Dysentery (Throat-Sealing Dysentery):
Slice lean pork, rub with flour, roast frequently, rub frequently, eat when fragrant. If unable to eat, smell under the nose.
Roast Ningbo White Salted Fish until fragrant and eat.
Decoct Fengwei Cao (Pteridii Multifidi Herba), leave exposed overnight, warm and take slowly.
Chuan Wu (Aconiti Radix), 3 liang, select smooth and round ones. Use 1 liang raw, 1 liang baked, 1 liang charred (preserving nature). Grind to powder, form pills with paste. Take 10 pills with Gan Cao (Licorice) soup.
Dry Wuzhao Long Cao (Paederiae Scandentis Herba) in shade, grind to powder. Take 1 qian with wine.
Feng Qi Gao (Umbilicus-Sealing Ointment)
Chen Xiao Fen (Rice Starch, 5 qian), Ru Xiang (Olibanum), Mo Yao (Myrrha, 1 qian each).
Grind to powder, mix with vinegar, apply to umbilicus.
Use frost-exposed Cucumber Vine, dry, burn to ash (preserving nature), mix with sesame oil, apply to umbilicus.
Xun Li Mifang (Secret Smoke-Bathing Formula for Dysentery): For chronic diarrhea/dysentery, use for fumigation.
Di Gu Pi (Lycii Cortex, fresh, boil vigorously).
Pour into an old toilet, sit over the heat to fumigate. Also treats pustular sores.
Moxibustion Method: For chronic diarrhea/dysentery.
Points: Guan Yuan (CV4), Cui Wei (Extra point, tailbone tip).
Moxibustion: 3 moxa cones per point.