症治见前“类搐”，身热作渴、脉数有力而能食者，为热；身凉不渴、脉沉无力而不能
食者，为寒。初起总不宜用涩药。
痢疾简便方∶干马齿苋煮烂，红痢以蜂蜜拌，白痢以砂糖拌，红白相兼蜂蜜砂糖各半拌
食，一日二次，连汤服之更妙。
益元散
白滑石（水飞，六两） 甘草（细末，一两）
用姜汁打面粉，糊丸梧桐子大，每服两钱，白汤下。白痢用益元散二钱、干姜末二分，
煎汤下。红痢每用二钱，加红曲末四分，煎汤下。红白相兼，则每服三钱，加干姜、红曲各
四分，煎汤下。又方，鸡子一个，煮熟去白用黄，擂细，以生姜汁小半盅和匀，与儿服之，
不宜吃茶，神效。
久痢不止∶红糖、白糖、饴糖各三钱，甘草一钱，陈茶叶二钱，生姜一片，同煎熟，用
纱盖住，露一宿，次早温热服，神效。
治泻痢∶土木鳖一个，母丁香四粒，麝香一分，为末，唾津调为丸如芡实大，纳脐中，
膏药盖贴即愈。
治赤白痢相兼∶净山楂肉，不拘多少，炒研为末，每服一二钱。红痢蜜拌，白痢红砂糖
拌，红白相兼蜜糖砂糖各半，拌匀，白汤调服，空心下更效。纯白痢属积寒，宜六君子汤，
见上“非搐”，加干姜一钱、木香五分。
噤口痢不思饮食∶以腊猪肉，去肉取骨，锅内煎浓汤，去油，徐徐服之，极效。又方∶
细辛五钱，牙皂一钱，葱白三根，酒药子半个，大田螺一个，共捣成泥，敷脐上，候干即去
药，自思食。又方∶活虾蟆一只，打烂，和好麝香六分同研，贴脐上，用布包紧，半日即能
饮食，一二日痊愈。又方∶于患者床前烹煮鲫鱼，加作料，使闻香味即开，便以此少与食之
《集成》至圣丹治冷痢久泻∶冷痢有一二年、五七年百药不效者，一服此即痊。鸦胆子
，用小铁锤轻敲其壳，壳破肉出，其大如米，敲碎者弃去，专取全仁用之。三五岁儿，用二
十余粒。十余岁者，三十余粒。大人则四十九粒。取桂圆肉包之，小儿一包三粒，大人一包
七粒，紧包讫，空腹温水吞下，以饭食压之，俟大便行时有白冻如鱼脑者，即冷积也。如白
冻未见，过一二日，再进一服，永不发矣。服药时忌荤酒三日，戒鸭肉一月，从此除根。倘
服后次日肚痛，用白芍一根、甘草一根，各重三钱，湿纸包火内煨熟，取起捶烂，煎服立止
。愈后宜补脾，六君子汤，见上“非搐”，加砂仁七分。
脱肛，因久痢所致者∶水煎葱头熏洗，令软送上。或以五倍子细末，渐渐托入。或用五
倍子煎汤洗亦可。或以鲜蚌肉一只，敷肛门上，即能缩入。或用团鱼头烧灰存性，加冰片二
厘，共研，每用二三分，唾津调涂即上。又方，猪脂二两，炼去渣，入蒲黄末一两调匀，涂
肛即能缩入。外治虽或有效，总宜服补中益气汤。
三仙丹 治痢疾误投涩药，闭其湿热，以此下之，有起死回生之功，勿以常方目之。若
非误投涩药闭其湿热者，勿轻用。
五灵脂（一两） 南木香（五钱） 巴豆仁（四十粒）
将灵脂、木香研为细末听用。以巴豆剥去壳，取净肉四十粒，去其肉上嫩皮，纸包水湿
，入慢火中，煨极熟，取起，另一棉纸包之，缓缓捶去其油，纸湿另换，以捶至纸上无油，
成白粉为度。与前二味和匀，醋打面糊为丸，绿豆大，以朱砂为衣，晒干收贮，每服五丸，
或七丸、九丸，量儿大小加减。合沆瀣丹二丸同研烂，茶清调服，待下后立愈。
沆瀣丹 治胎毒胎热，面赤目闭，口疮重舌喉蛾，便闭溺黄，痰食 腮，火丹风搐诸实
症。
川芎（酒洗） 庄黄（酒蒸。各九钱） 黄芩 黄柏（各酒炒、九钱） 黑牵牛（炒，取头末） 滑石
赤芍 连翘（各六钱） 薄荷 枳壳（面炒。各四钱半） 槟榔（切，童便洗，七钱半）
共焙干，研末，蜜丸芡实大，茶汤下。月内之儿，每服一丸，稍大者二丸。
症状与治疗见前文“类搐”章节。若身体发热、口渴、脉象数而有力且能进食的，属于热证；若身体发凉、不渴、脉象沉而无力且不能进食的，属于寒证。痢疾初起时，总不宜使用收敛固涩的药物。
治疗痢疾的简便方：将干马齿苋煮烂，红痢用蜂蜜拌食，白痢用砂糖拌食，红白相兼则蜂蜜和砂糖各半拌食，每日两次，连同汤汁一起服用效果更佳。
益元散
配方：白滑石（水飞法处理，六两）、甘草（研成细末，一两）。
制法与用法：用姜汁调和面粉，制成梧桐子大小的丸剂。每次服用两钱，用白开水送服。若是白痢，用益元散二钱、干姜末二分，煎汤送服。若是红痢，每次用二钱，加红曲末四分，煎汤送服。若是红白相兼，每次服用三钱，加干姜、红曲各四分，煎汤送服。另一个方子：鸡蛋一个，煮熟后去掉蛋白只用蛋黄，捣碎，加入小半盅生姜汁拌匀，给患儿服用，服药期间不宜喝茶，疗效神奇。
久痢不止：红糖、白糖、饴糖各三钱，甘草一钱，陈茶叶二钱，生姜一片，一同煎熟，用纱布盖住，露天放置一夜，次日清晨温热服用，疗效神奇。
治疗泄泻痢疾：土木鳖一个，母丁香四粒，麝香一分，研成细末，用唾液调成如芡实大小的丸剂，纳入肚脐中，用膏药覆盖贴敷即可痊愈。
治疗赤白痢相兼：净山楂肉，不限数量，炒后研成细末。每次服用一二钱。红痢用蜜拌，白痢用红糖拌，红白相兼则蜜和糖各半，拌匀后用白开水调服，空腹服用效果更好。纯白痢属于积寒，适宜用六君子汤（见上文“非搐”章节），加干姜一钱、木香五分。
噤口痢（不思饮食）：取腊肉，去肉留骨，在锅内煎浓汤，撇去浮油，慢慢服用，效果极佳。另一个方子：细辛五钱，牙皂一钱，葱白三根，酒药子半个，大田螺一个，共同捣成泥状，敷在肚脐上，待药干后即除去药物，患者自然会产生食欲。又一个方子：活虾蟆一只，打烂，和好麝香六分一同研磨，贴在肚脐上，用布包紧，半天后即可进食，一两天内痊愈。又一个方子：在患者床前烹煮鲫鱼，加入调料，让患者闻香味，胃口就会打开，然后少量给予食用。
《集成》至圣丹治疗冷痢久泻：冷痢有一两年、五七年百药无效的，服用此药即痊愈。鸦胆子，用小铁锤轻轻敲击其壳，壳破肉出，大小如米粒，敲碎的弃去，专门取完整的仁使用。三岁到五岁的儿童，用二十余粒。十岁以上的儿童，用三十余粒。成人则用四十九粒。取桂圆肉包裹，小儿一包三粒，成人一包七粒，包紧后，空腹用温水吞下，并用饭食压住药力，等到排便时有白色冻状物如鱼脑样排出时，即为冷积。如果未见白色冻状物，过一两天再进服一次，从此永不复发。服药期间忌荤腥酒类三天，戒鸭肉一个月，从此除根。倘若服药后第二天肚子痛，用白芍一根、甘草一根，各重三钱，用湿纸包裹在火内煨熟，取出捣烂，煎服后立即停止疼痛。痊愈后宜补脾，用六君子汤（见上文“非搐”），加砂仁七分。
脱肛，因久痢导致的：用水煎葱头熏洗肛门，待其变软后推回。或者用五倍子细末，渐渐托入肛门。或者用五倍子煎汤清洗也可以。或者用鲜蚌肉一只，敷在肛门上，即可缩回。或者用团鱼头烧灰存性，加冰片二厘，共同研磨，每次用二三钱，用唾液调涂即可推入。又一个方子，猪脂二两，炼去渣滓，加入蒲黄末一两调匀，涂抹肛门即可缩回。外治法虽然可能有效，但总宜服用补中益气汤。
三仙丹：治疗痢疾误投收敛涩药，导致湿热闭阻，以此药攻下，有起死回生之功，不要把它当作普通方剂看待。如果不是误投涩药导致湿热闭阻者，不要轻易使用。
配方：五灵脂（一两）、南木香（五钱）、巴豆仁（四十粒）。
制法：将五灵脂、木香研为细末备用。将巴豆剥去壳，取净肉四十粒，去掉肉上的嫩皮，用纸包裹并沾湿水，放入慢火中，煨至极熟，取出，再用棉纸包裹，缓缓捶打以去除油脂，纸湿了另换，直到捶打至纸上无油，成为白粉为止。与前两种药味混合均匀，用醋打面糊制成绿豆大小的丸剂，以朱砂为衣，晒干收贮。每次服用五丸，或七丸、九丸，根据患儿年龄大小加减。配合沆瀣丹二丸同研烂，茶清调服，待排泄后立愈。
沆瀣丹：治疗胎毒胎热，面色红赤眼睛闭合，口疮重舌喉蛾，便秘尿黄，痰食积滞腮部，火丹风搐等各种实证。
配方：川芎（酒洗）、庄黄（酒蒸，各九钱）、黄芩、黄柏（各酒炒、九钱）、黑牵牛（炒，取头末）、滑石、赤芍、连翘（各六钱）、薄荷、枳壳（面炒，各四钱半）、槟榔（切，童便洗，七钱半）。
制法与用法：共同焙干，研成细末，蜜丸如芡实大小，茶汤送服。月内的婴儿，每次服用一丸，稍大的服用二丸。
Symptoms and treatment are described in the preceding "Lei Chu" (Similar to Convulsions) section. If there is fever, thirst, a rapid and forceful pulse, and the ability to eat, it is classified as a Heat syndrome; if there is coolness of the body, no thirst, a deep and weak pulse, and inability to eat, it is classified as a Cold syndrome. In the early stage of dysentery, astringent drugs should generally not be used.
Simple prescription for dysentery: Boil dried Portulaca oleracea (Machi Xian) until soft. For red dysentery, mix with honey; for white dysentery, mix with sugar; for mixed red and white dysentery, mix with half honey and half sugar. Take twice a day, preferably swallowing the decoction along with the medicine.
Yiyuan San (Benefit and Element Powder)
Ingredients: Talcum (Bai Huashi, 滑石), water-flown (6 liang); Licorice Root (Gancao, 甘草), finely powdered (1 liang).
Preparation and Administration: Mix flour with ginger juice to make a paste, form pills the size of Chinese quince seeds (Wutongzi). Take 2 qian per dose, washed down with plain warm water. For white dysentery, take 2 qian of Yiyuan San and 2 fen of dried Ginger (Ganjiang, 干姜) powder, taken with a decoction. For red dysentery, take 2 qian per dose, add 4 fen of Red Yeast Rice (Hongqu, 红曲) powder, taken with a decoction. For mixed red and white dysentery, take 3 qian per dose, add 4 fen each of dried Ginger (Ganjiang, 干姜) and Red Yeast Rice (Hongqu, 红曲), taken with a decoction. Another method: Take one chicken egg, boil it, remove the white, use only the yolk, grind it finely, mix with a small half cup of ginger juice, and administer to the child. Tea should be avoided during this time; the effect is miraculous.
For chronic dysentery that does not stop: Take 3 qian each of brown sugar, white sugar, and maltose (Yitang, 饴糖); 1 qian of Licorice Root (Gancao, 甘草); 2 qian of aged tea leaves; and one slice of fresh ginger. Decoct together until cooked. Cover with gauze and leave exposed overnight. Drink warm the next morning; the effect is miraculous.
Treatment for diarrhea and dysentery: Take one Earth Mucuna (Tumu Bie, 土木鳖), four cloves (Mudingxiang, 母丁香), and 1 fen of Musk (Shexiang, 麝香). Grind into powder, mix with saliva to form pills the size of a Chinese quince seed. Insert into the umbilicus and cover with a plaster; it will heal immediately.
Treatment for mixed red and white dysentery: Use clean Hawthorn flesh (Shanzha Rou, 山楂肉), quantity不拘 (unlimited). Stir-fry and grind into powder. Take 1-2 qian per dose. For red dysentery, mix with honey; for white dysentery, mix with brown sugar; for mixed red and white, mix with half honey and half sugar. Take with plain warm water; taking on an empty stomach is more effective. Pure white dysentery belongs to accumulated cold; Six Gentlemen Decoction (Liujunzi Tang, 六君子汤) is suitable (see "Fei Chu" above), add 1 qian of dried Ginger (Ganjiang, 干姜) and 5 fen of Aucklandia Root (Muxiang, 木香).
Jinkou Li (Dysentery with inability to eat): Take cured pork, remove the meat and keep the bones. Boil the bones in a pot to make a thick soup, skim off the oil, and drink slowly. The effect is extreme. Another method: Take 5 qian of Asarum (Xixin, 细辛), 1 qian of Gleditsia Sinensis Fruit (Yazao, 牙皂), three green onion whites (Congbai, 葱白), half a piece of yeast cake (Jiuyaozi, 酒药子), and one large pond snail. Pound together into a paste, apply to the umbilicus. Remove the medicine when dry; appetite will return naturally. Another method: Take one live toad, pound it, mix well with 6 fen of Musk (Shexiang, 麝香), grind together, and apply to the umbilicus. Wrap tightly with cloth. Eating can resume after half a day, and recovery occurs within one to two days. Another method: Cook crucian carp in front of the patient's bed with seasonings. Let the patient smell the aroma to stimulate appetite, then give a small amount of food.
Zhisheng Dan (Supreme Pill) from *Jicheng* treats cold dysentery and chronic diarrhea: For cold dysentery lasting one or two years, or five or seven years, where hundreds of medicines have failed, one dose of this pill brings cure. Brucea javanica (Yadanzi, 鸦胆子): Gently crack the shell with a small iron hammer. The kernel comes out, size like rice. Discard crushed ones; use only whole kernels. For children aged 3-5, use over 20 kernels. For those over 10 years old, use over 30 kernels. Adults use 49 kernels. Wrap in Longan aril (Guiyuan Rou, 桂圆肉). Children: 3 kernels per packet; Adults: 7 kernels per packet. Wrap tightly, swallow with warm water on an empty stomach, and press down with a meal. When stool passes with white jelly-like substance resembling fish brain, this indicates cold accumulation. If white jelly is not seen, take another dose after one or two days; it will never recur. Avoid meat and alcohol for three days during medication, and duck meat for one month, to eradicate the root. If abdominal pain occurs the day after taking the medicine, take one root of White Peony Root (Baishao, 白芍) and one root of Licorice Root (Gancao, 甘草), each weighing 3 qian. Wrap in wet paper and roast in fire until cooked. Take out, pound, decoct, and drink; pain stops immediately. After recovery, tonify the Spleen using Six Gentlemen Decoction (Liujunzi Tang, 六君子汤) (see "Fei Chu" above), add 7 fen of Amomum Fruit (Sharen, 砂仁).
Rectal prolapse caused by chronic dysentery: Decoct scallion heads, fumigate and wash the anus until soft, then push back. Or use fine powder of Chinese Gallnut (Wubeizi, 五倍子), gently push in. Or wash with decoction of Chinese Gallnut (Wubeizi, 五倍子). Or apply one fresh clam meat to the anus, which will retract immediately. Or burn Softshell Turtle head (Tuan Yu Tou, 团鱼头) to ash retaining its nature, add 2 li of Borneol (Bingpian, 冰片), grind together. Take 2-3 qian, mix with saliva, apply to push it back. Another method: Take 2 liang of lard, refine to remove dregs, mix with 1 liang of Polygonum Multiflorum Spore (Puhuang, 蒲黄) powder. Apply to the anus to retract it. Although external treatments may be effective, it is always advisable to take Tonifying the Middle and Augmenting Qi Decoction (Buzhong Yiqi Tang, 补中益气汤).
Sanxian Dan (Three Immortals Pill): Treats dysentery where astringent drugs were mistakenly administered, closing heat and dampness. This formula purges them, having the power to revive the dying. Do not regard it as an ordinary formula. Do not use lightly unless heat and dampness are closed due to mistaken use of astringents.
Ingredients: Trogopterus Dung (Wulingzhi, 五灵脂) (1 liang); Costus Root (Nanmuxiang, 南木香) (5 qian); Bean Sprout Seed Kernel (Badou Ren, 巴豆仁) (40 kernels).
Preparation: Grind Wulingzhi and Nanmuxiang into fine powder for later use. Peel Badou, take 40 clean kernels, remove tender skin. Wrap in paper, moisten with water, roast slowly over low heat until very cooked. Take out, wrap in cotton paper, and slowly pound to remove oil. Change paper when wet, pound until no oil remains on paper, becoming white powder. Mix evenly with the previous two ingredients. Make pills with vinegar and wheat flour paste, size of mung beans. Coat with Cinnabar (Zhusha, 朱砂). Dry and store. Take 5, 7, or 9 pills per dose, adjusting according to the child's age. Crush 2 pills of Hangxie Dan (Hanging Dew Pill) together, mix with clear tea water to take. Recovery follows immediately after evacuation.
Hangxie Dan (Hanging Dew Pill): Treats fetal toxin and fetal heat, red face with closed eyes, mouth sores, thick tongue, throat swelling, constipation, yellow urine, phlegm-food retention in cheeks, fire carbuncle, wind convulsions, and other excess syndromes.
Ingredients: Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎), wine-washed; Polygonum Multiflorum Radix (Zhuanghuang, 庄黄 - likely referring to He Shou Wu processed), wine-steamed (each 9 qian); Scutellaria Baicalensis Root (Huangqin, 黄芩); Phellodendron Bark (Huangbai, 黄柏) (each wine-fried, 9 qian); Black Morning Glory Seed (Hei Qianniu, 黑牵牛), fried, take first powder; Talcum (Huashi, 滑石); Red Peony Root (Chishao, 赤芍); Forsythia Fruit (Lianqiao, 连翘) (each 6 qian); Mint (Bohe, 薄荷); Aurantium Fructus (Zhike, 枳壳), flour-fried (each 4.5 qian); Areca Seed (Binglang, 槟榔), sliced, washed with child's urine (7.5 qian).
Preparation and Administration: Roast dry, grind into powder. Form pills with honey, size of Chinese quince seed. Take with tea broth. Infants within one month: take 1 pill per dose. Older infants: take 2 pills.