（附论）
夫下痢里急后重者。有瘕聚也。经所谓大瘕泄者里急后重。数至圊而不能便。茎中痛是
矣。法当和冷而祛蕴。则脾胃和平。饮食腐化。其脓血自消。大肠自固也。
方
木瓜饮 治下痢腹胀。里急后重。
干木瓜（焙） 白芷 白术（锉炒） 浓朴（去粗皮生姜汁炙） 木香（各一两） 桂
（去粗皮）
黄连（去须） 当归（炙锉） 龙骨 缩砂仁（去皮） 诃黎勒皮（煨各一两半） 赤石脂
（三两）
杏仁（去皮尖双仁炒十五粒） 陈橘皮（去白焙二分） 上粗捣筛。每服五钱许。以水一盏
半。
煎取八分。去滓。温服。
胜金丸 治脏寒下痢。脐腹撮痛。肠鸣胀满。里急后重。不思饮食。日渐羸瘦。
宜服之。
黄连（去须五两） 龙骨（四两） 草豆蔻（去皮） 赤芍药 当归 干姜（炮） 地
榆橡实（各
（各三两） 赤石脂 代赭（煨赤研各四两） 上捣罗为细末。醋煮面糊丸如梧桐子大。每
服二十丸至三十丸。煎艾醋汤。
空心服。
芍药汤 下血调气。凡属便脓血。知气行而血止。行血则便自愈。调气则后重除。
芍药（一两） 当归 黄连 黄芩（各半两） 桂（二钱半） 槟榔（三钱） 大黄（三
钱） 甘
草（炙） 木香（各二钱）。上罗匀。每服半两。水煎。如痢不止。再加大黄。如汗后脏毒。
加黄柏半两。根据前
服。
白术黄芩汤 服前药痢疾虽除。更宜调和。
白术（一两） 黄芩（七钱） 甘草（三钱） 上捣。罗匀。作三服。水煎。
九圣丸 治下痢赤白。日夜无度。里急后重紧痛。服之特效。
罂粟壳（去蒂膜米醋炒一两重） 川乌（去皮） 黄连（去须） 南木香 北赤石脂 枯
矾
肉豆蔻（大块） 白茯苓（去皮） 干姜（各三钱） 上为末。醋煮陈米粉糊为丸。梧桐子
大。每
服五十丸。仓米饮下。肠痛不止。当归、乳香汤下。
换肠丸 治大人小儿泻痢脓血。腹中疼痛。困倦减食。里急后重。日夜无度。此
方服之有效。
当归（切焙半两） 青皮（去白） 木香（各一分） 甘草（炒） 豆蔻（各四钱） 陈
皮（去白）
诃子皮（各七钱） 御米壳（蜜浴焙二两） 上捣细末。炼蜜和丸如弹子大。小儿樱桃大。
姜汤
化下一丸。
温脾汤 治小肠虚寒。苦头偏痛。耳烦痛。下痢赤白。肠滑腹中疼痛。里急后重。
干姜 当归（各一两） 黄柏 地榆 阿胶 茴香 石榴皮 黄连（各三钱） 上锉散。
每
服四钱。水一盏半。煎至七分。去滓。温服。
石钟乳汤 治大病后重赤白痢。腹中疼痛。
石钟乳 黄连 防风 附子 当归 黄柏 干姜 蜀椒 甘草（各一两） 上除钟乳外。
锉如麻豆。再同和匀。每服四钱。水一盏半。煎八分。去渣。温服。空心。日二服。
地榆散 治下痢纯血。脐腹疼痛。里急后重。日夜频并。
地榆 枳壳 甘草 白芍药 赤芍药 黄芩 诃子肉 罂粟壳（各等分） 上为细末。
每
服三钱。空心仓米饮调下。脾胃稍弱者不可服。
当归黄连汤 治后重下痢。赤白滞下。腹内结痛。
当归 黄连 赤茯苓 地榆 犀角屑 甘草 浓朴（各三分） 上粗捣筛。每服五钱。
水
一盏半。入生姜一片。枣一枚。同煎至八分。去滓。空心温服。日再。
诃黎勒丸 治腹痛虚滑。里急后重。心胸痞闷逆满。或伤冷暴泻。手足厥冷。脉
息沉浮。
肉豆蔻 白矾 木香 诃黎勒 龙骨 乌头 缩砂仁（各等分） 上捣罗为末。粟米粥
和
丸如梧桐子大。每服二十丸。食前米饮送下。
导气汤 治下痢脓血。里急后重。日夜无度。
芍药 当归 大黄 黄连 木香 槟榔 黄芩（各等分） 上为末。每服五钱。以水一
盏。
煎
地榆散 治五色痢。里急后重。痛不可忍者。并皆治之。
地榆 黄连 御米壳 陈皮 藿香 甘草 苍术（各等分） 上为粗末。水一盏。煎至
八
分。每服二钱。去渣。通口服。并二服。滓再服。
当归丸 治冷痢里急后重。
当归 胡椒 黄连 浓朴 阿胶 干姜（各等分） 上除阿胶外。为末。用好醋、阿胶
调
和为膏和丸。
玉粉丸 治下痢赤白。日久不瘥。里急后重。
粉霜 硫黄 腻粉 硼砂 乳香 白丁香（各等分） 上药同研匀。用生姜自然汁煮枣
肉。研作剂。每服四丸如黄豆大。临卧煎生姜枣汤下四丸。如重。每夜服十丸。老少以意加
减。
神效胡粉丸 治肠胃虚滑。下痢无度。赤白相杂。脐腹疼痛。里急后重。减食羸
瘦。或经久未瘥。并宜服之。
胡粉 乌贼鱼骨 阿胶 白矾 龙骨 密陀僧 上为末。以粟米饮为丸。如梧桐子大。
每服二十丸至三十丸止。米饮汤下。
水煮木香丸 治一切赤白脓血相杂。里急后重。或脏腑滑泄。日夜无度。或积寒
久冷。脐腹疼痛。不思饮食。
当归 诃子 木香 甘草 罂粟壳 赤皮（各等分） 上为细末。炼蜜和丸如弹子大。
每
服一丸。水八分。煎至六分。空心温服。
姜桂汤 治赤白痢里急后重。小腹疼痛不可忍者。
干姜 官桂 甘草 罂粟壳 黄柏（各等分） 上为粗散。每服十两重。泉水煎。赤加
黄
柏白加干姜空心服。
圣功散 治冷热不和。下痢赤白。脐腹作痛。里急后重。
干姜 五倍子 诃黎勒 甘草 上为细末。每服二钱。食前米饮调下。
诃黎勒汤 治肠虚冷热不和。赤白下痢。里急后重。
诃黎勒 草豆蔻 延胡索（各半两） 干姜（一分） 上捣筛。每服三钱许。水一盏。
煎至
七分。去滓。食前温服。
匀气汤 治脏气不调。里急后重。
苍术 浓朴（各四两） 甘草（二两） 干姜（三分） 上捣筛。每服三钱许。水一盏。
煎至
六分。去滓。食前温服。
通神丸 治脓血杂痢。后重疼痛。日久不瘥。
没药 五灵脂 乳香（各一钱） 巴豆（半钱） 上各研细。再同研匀。滴水丸如黄米
大。
服七丸。煎生木瓜汤下。
丹砂丸 治冷痢赤白。里急后重。大肠虚滑。
丹砂 草乌头 乳香（各一钱） 巴豆（七粒） 上药同研令匀细。用醋面糊丸。如梧
桐子
大。每服一丸。冷乳香汤下。
和胃散 治冷热不调。泻泄脓血。后重腹痛。米谷不化。
南青皮 车前子 甘草（各一两） 御米壳（三两） 上为细末。每服二钱。食前橘皮、
蜜
汤调下。
小圣散 治赤白冷痢。腹痛后重。
陈皮 干姜 甘草（各一两） 御米壳（三两） 上为粗末。每服三钱。水一盏半。煎
至七
分。去滓。入蜜少许。食前温服。一方不用蜜。治泻痢绝白者。
姜桂散 治洞泄飧泄。里急后重。
干姜（炮三两） 甘草（一两） 桂（一分） 上捣罗为散。每服二钱许。水白汤调下。
兼治
腹痛。止虚渴。
芍药黄芩汤 治泄痢腹痛。或后重身热久不愈。脉洪疾者。乃下痢脓血稠粘。
黄芩 芍药（各一两） 甘草（半两） 上罗匀。每服半两。水一盏半。煎一盏。温服。
无
时。如痛加桂少许。
三奇散 治痢后。里急后重。
枳壳 黄 防风 上等分为末。每服二钱。蜜汤下。米饮亦得。
如圣散 治后重下脓血。
臭橘 萆 （各一两） 上捣碎。炒令烟出。放冷为细末。每服二钱至三钱。茶清调下。
治里急后重好蛤粉
穿山甲（各等分） 上为细末。每服一钱。好酒空心调服。
又方 治里急后重。
枳壳 皂荚子 上等分。炒令干燥为末。米饮为丸。如梧桐子大。每服三十丸。空心米
饮下
大黄汤 治泄痢久不愈。脓血稠粘。里急后重。日夜无度。久不愈者。
用大黄一两锉细。以好酒二大盏。同浸半日许。煎至一盏半。去大黄不用。将酒分二服。
顿服之。如未止再服。以瘥为度。腹痛芍药汤和之。痢止。再服黄芩芍药汤和之。以彻其毒
也。
白术黄 汤 服前药痢疾虽除。宜此和之。
白术（一两） 黄 （七钱） 甘草（二钱） 上捣。罗匀。作三服。水煎服。一方无
黄。
用黄芩半两。
疗重下方 病源云。此谓赤白滞下也。令人下部疼重。故名重下。去脓血如鸡子白
。日夜数十行。绕脐痛也。
用豉熬令少焦。捣。服一合。日夜三服愈。又方熬豉令焦。水一升。淋取汁服。冷则用
酒淋。日三服。一方煎服。
治重下下赤者方
取獭赤粪 上以酒。清旦空腹服一小杯。三旦饮即愈。
赤白下久。谷道疼痛不可忍。宜服温汤药。
用熬豉熨之。又炙枳实熨之。
治里急后重。不能安快。
人参消风散 黑神散 小平胃散（各等分） 上和匀。用干艾并陈米五十粒。煎汤去滓。
只用
灵砂丹 治脏腑怯弱。内有积滞。脐腹撮痛。下痢脓血。日夜无度。里急后重。
肠鸣腹胀。米谷不化。少气困倦。不思饮食。时发寒热。身渐羸瘦。
硝石 砒霜 腻粉 粉霜（各半两） 黄丹 枯矾（各一两半） 朱砂 乳香 滑石（各
一
分） 上为末。用蒸饼二两四钱。和为丸如梧桐子大。每服五丸。温粟米饮下。未愈。加丸
数再服。如小儿可服一丸。
浓肠丸 治脏虚气寒。下痢不止。里急后重。脐腹疼痛。
钟乳粉（二两） 宣黄连 人参 白术 诃子 肉豆蔻 浓朴 茴香 阿胶 白茯苓 上
件为细末。入钟乳粉同研匀。汤浸蒸饼为丸。如梧桐子大。每服一百丸。糯米饮下。空心服。
【附论】
所谓下痢伴有里急后重症状的，是因为体内有瘕聚（腹内结块）。医经中所说的“大瘕泄”，指的就是这种里急后重、频繁去厕所却排便不畅、尿道疼痛的情况。治疗方法应当调和寒热以祛除体内的积滞蕴结，从而使脾胃功能恢复平和，饮食得以正常消化腐熟，脓血自然消除，大肠功能自然稳固。
方剂：
木瓜饮
治疗下痢伴腹胀、里急后重。
干木瓜（焙干）一两，白芷一两，白术（锉碎炒制）一两，浓朴（去除粗皮，用生姜汁炙烤）一两，木香（各一两），桂枝（去除粗皮），黄连（去除须根），当归（炙烤后锉碎），龙骨，缩砂仁（去皮），诃黎勒皮（煨制，各一两半），赤石脂三两，杏仁（去皮尖及双仁者，炒制十五粒），陈橘皮（去除白色内层，焙干，二分）。以上药材粗捣筛过。每次服用五钱左右，加水一盏半，煎煮至八分满，滤去药渣，温服。
胜金丸
治疗脏寒引起的下痢，脐腹部拘挛疼痛，肠鸣胀满，里急后重，不想进食，日渐消瘦。适宜服用此药。
黄连（去除须根）五两，龙骨四两，草豆蔻（去皮），赤芍药，当归，干姜（炮制），地榆，橡实（各三两），赤石脂，代赭石（煨至红透后研细，各四两）。以上药材捣碎过罗成细末，用醋煮面糊制成梧桐子大小的丸药。每次服用二十至三十丸，煎艾叶醋汤送服，空腹服用。
芍药汤
治疗便血调气。凡是出现便脓血的情况，要知道气行则血止，行血则便脓自愈，调气则后重感消除。
芍药一两，当归，黄连，黄芩（各半两），桂枝二钱半，槟榔三钱，大黄三钱，甘草（炙烤），木香（各二钱）。以上药材过罗拌匀。每次服用半两，水煎服。如果痢疾不止，再加加大黄；如果是发汗后出现的脏毒，加黄柏半两。按照前述方法服用。
白术黄芩汤
服用前面的药物后痢疾虽然消除，但仍宜调和脾胃。
白术一两，黄芩七钱，甘草三钱。以上药材捣碎过罗拌匀，分为三次服用，水煎服。
九圣丸
治疗下痢赤白相间，日夜无度，里急后重且剧烈疼痛，服用此药效果显著。
罂粟壳（去除蒂和内膜，用米醋炒至一两重），川乌（去皮），黄连（去除须根），南木香，北赤石脂，枯矾，肉豆蔻（大块），白茯苓（去皮），干姜（各三钱）。以上药材研成细末，用醋煮陈米粉糊制成梧桐子大小的丸药。每次服用五十丸，仓米饮送服。如果肠痛不止，用当归、乳香汤送服。
换肠丸
治疗大人小儿泻痢脓血，腹中疼痛，困倦食欲减退，里急后重，日夜无度。此方服用有效。
当归（切后焙干）半两，青皮（去除白色内层），木香（各一分），甘草（炒制），豆蔻（各四钱），陈皮（去除白色内层），诃子皮（各七钱），御米壳（蜜炙焙干）二两。以上药材捣成细末，炼蜜和丸如弹子大小，小儿丸如樱桃大小。用姜汤化开一丸服用。
温脾汤
治疗小肠虚寒，头部偏侧疼痛，耳部烦痛，下痢赤白，肠滑腹中疼痛，里急后重。
干姜，当归（各一两），黄柏，地榆，阿胶，茴香，石榴皮，黄连（各三钱）。以上药材锉散。每次服用四钱，加水一盏半，煎至七分，滤去药渣，温服。
石钟乳汤
治疗大病后出现的赤白痢疾，伴有腹部疼痛。
石钟乳，黄连，防风，附子，当归，黄柏，干姜，蜀椒，甘草（各一两）。以上药材除石钟乳外，其余锉如麻豆大小，再与石钟乳混合均匀。每次服用四钱，加水一盏半，煎至八分，滤去药渣，空腹温服，每日两次。
地榆散
治疗下痢纯血，脐腹疼痛，里急后重，日夜频繁发作。
地榆，枳壳，甘草，白芍药，赤芍药，黄芩，诃子肉，罂粟壳（各等分）。以上药材研成细末。每次服用三钱，空腹用仓米饮调服。脾胃稍弱者不可服用。
当归黄连汤
治疗后重下痢，赤白滞下，腹内结聚疼痛。
当归，黄连，赤茯苓，地榆，犀角屑，甘草，浓朴（各三分）。以上药材粗捣筛过。每次服用五钱，加水一盏半，放入生姜一片、大枣一枚，同煎至八分，滤去药渣，空腹温服，每日两次。
诃黎勒丸
治疗腹痛虚滑，里急后重，心胸痞闷逆满，或因受冷突然腹泻，手足厥冷，脉象沉浮不定。
肉豆蔻，白矾，木香，诃黎勒，龙骨，乌头，缩砂仁（各等分）。以上药材捣碎过罗成末，用粟米粥和丸如梧桐子大小。每次服用二十丸，饭前用米饮送下。
导气汤
治疗下痢脓血，里急后重，日夜无度。
芍药，当归，大黄，黄连，木香，槟榔，黄芩（各等分）。以上药材研成细末。每次服用五钱，加水一盏，煎……（原文此处似有缺漏或排版错误，结合下文地榆散格式推测为煎服法，但依原文忠实翻译）
地榆散
治疗五色痢，里急后重，疼痛难忍。皆能治疗。
地榆，黄连，御米壳，陈皮，藿香，甘草，苍术（各等分）。以上药材切成粗末，加水一盏，煎至八分。每次服用二钱，滤去药渣，通口服，并服两次，药渣再煎一次服用。
当归丸
治疗冷痢里急后重。
当归，胡椒，黄连，浓朴，阿胶，干姜（各等分）。以上药材除阿胶外，研成细末，用好醋和阿胶调和成膏状，再制成丸药。
玉粉丸
治疗下痢赤白，日久不愈，里急后重。
粉霜，硫黄，腻粉，硼砂，乳香，白丁香（各等分）。以上药材共同研匀，用生姜自然汁煮枣肉，研作剂型。每次服用四丸如黄豆大小，临睡前煎生姜枣汤送服四丸。如果病情重，每晚服用十丸。老少根据情况加减。
神效胡粉丸
治疗肠胃虚滑，下痢无度，赤白相杂，脐腹疼痛，里急后重，食欲减退身体消瘦，或者经久未愈。都适宜服用。
胡粉，乌贼鱼骨，阿胶，白矾，龙骨，密陀僧。以上药材研成细末，用粟米饮和丸如梧桐子大小。每次服用二十至三十丸，米饮汤送服。
水煮木香丸
治疗一切赤白脓血相杂，里急后重，或者脏腑滑泄，日夜无度，或者积寒久冷，脐腹疼痛，不思饮食。
当归，诃子，木香，甘草，罂粟壳，赤皮（各等分）。以上药材研成细末，炼蜜和丸如弹子大小。每次服用一丸，加水八分，煎至六分，空腹温服。
姜桂汤
治疗赤白痢里急后重，小腹疼痛难忍。
干姜，官桂，甘草，罂粟壳，黄柏（各等分）。以上药材研成粗散。每次服用十两重（注：此处原文“十两”疑为笔误，通常为一两或数钱，但依原文直译），泉水煎服。赤痢加黄柏，白痢加干姜，空腹服用。
圣功散
治疗冷热不和，下痢赤白，脐腹作痛，里急后重。
干姜，五倍子，诃黎勒，甘草。以上药材研成细末。每次服用二钱，饭前用米饮调服。
诃黎勒汤
治疗肠虚冷热不和，赤白下痢，里急后重。
诃黎勒，草豆蔻，延胡索（各半两），干姜（一分）。以上药材捣碎过筛。每次服用三钱左右，加水一盏，煎至七分，滤去药渣，饭前温服。
匀气汤
治疗脏气不调，里急后重。
苍术，浓朴（各四两），甘草（二两），干姜（三分）。以上药材捣碎过筛。每次服用三钱左右，加水一盏，煎至六分，滤去药渣，饭前温服。
通神丸
治疗脓血杂痢，后重疼痛，日久不愈。
没药，五灵脂，乳香（各一钱），巴豆（半钱）。以上药材分别研细，再共同研匀，滴水丸如黄米大小。服用七丸，煎生木瓜汤送服。
丹砂丸
治疗冷痢赤白，里急后重，大肠虚滑。
丹砂，草乌头，乳香（各一钱），巴豆（七粒）。以上药材共同研令匀细，用醋面糊丸如梧桐子大小。每次服用一丸，冷乳香汤送服。
和胃散
治疗冷热不调，泻泄脓血，后重腹痛，米谷不化。
南青皮，车前子，甘草（各一两），御米壳（三两）。以上药材研成细末。每次服用二钱，饭前用橘皮、蜜汤调服。
小圣散
治疗赤白冷痢，腹痛后重。
陈皮，干姜，甘草（各一两），御米壳（三两）。以上药材切成粗末。每次服用三钱，加水一盏半，煎至七分，滤去药渣，加入少许蜂蜜，饭前温服。另一方不用蜂蜜，治疗泻痢绝白者。
姜桂散
治疗洞泄飧泄，里急后重。兼治腹痛，止虚渴。
干姜（炮制三两），甘草（一两），桂枝（一分）。以上药材捣罗成散。每次服用二钱左右，用水或白汤调服。
芍药黄芩汤
治疗泄痢腹痛，或者后重身热久不愈，脉象洪疾者，这是下痢脓血稠粘的表现。
黄芩，芍药（各一两），甘草（半两）。以上药材过罗拌匀。每次服用半两，加水一盏半，煎至一盏，温服，不拘时候。如果疼痛，加少许桂枝。
三奇散
治疗痢疾后，里急后重。
枳壳，黄芪，防风。以上药材等分为末。每次服用二钱，蜜汤送服，米饮也可以。
如圣散
治疗后重下脓血。
臭橘，萆薢（各一两）。以上药材捣碎，炒至冒烟，放冷后研成细末。每次服用二至三钱，茶清调服。
治里急后重好蛤粉穿山甲方
穿山甲（各等分）。以上药材研成细末。每次服用一钱，好酒空腹调服。
又方
治疗里急后重。
枳壳，皂荚子。以上药材等分，炒至干燥研成末，米饮和丸如梧桐子大小。每次服用三十丸，空腹米饮送服。
大黄汤
治疗泄痢久不愈，脓血稠粘，里急后重，日夜无度，久不愈者。
用大黄一两锉细，用好酒两大盏，同浸约半天，煎至一盏半，去掉大黄不用，将酒分两次服用，顿服。如果未止，再服用，以痊愈为度。腹痛用芍药汤调和它。痢止后，再服黄芩芍药汤调和它，以彻底清除毒素。
白术黄芩汤
服用前面的药物痢疾虽除，宜用此方调和。
白术（一两），黄芩（七钱），甘草（二钱）。以上药材捣碎，过罗拌匀，分为三次服用，水煎服。另一方没有黄芩，用黄芩半两。
疗重下方
病源说：这叫做赤白滞下。使人下部疼痛沉重，所以叫重下。排出脓血像鸡子白一样，一天几十次，绕脐疼痛。
用豉熬至微焦，捣碎，服用一合，一天三次服完即愈。又一方：熬豉令焦，用水一升，淋取汁液服用，冷则用酒淋。一天三次服用。另一方煎服。
治重下下赤者方
取獭赤粪。以上药材用酒，清晨空腹服用一小杯，三天饮用即愈。
赤白下久，谷道疼痛不可忍，宜服温汤药。
用熬豉熨之。又炙枳实熨之。
治里急后重，不能安快。
人参消风散，黑神散，小平胃散（各等分）。以上药材和匀，用干艾和陈米五十粒，煎汤去滓，只用……（原文此处似乎缺失后续用法，仅列出方名）
灵砂丹
治疗脏腑怯弱，内有积滞，脐腹拘挛疼痛，下痢脓血，日夜无度，里急后重，肠鸣腹胀，米谷不化，少气困倦，不思饮食，时发寒热，身体日渐消瘦。
硝石，砒霜，腻粉，粉霜（各半两），黄丹，枯矾（各一两半），朱砂，乳香，滑石（各一分）。以上药材研成细末，用蒸饼二两四钱，和为丸如梧桐子大小。每次服用五丸，温粟米饮送服。未愈，增加丸数再服。如小儿可服用一丸。
浓肠丸
治疗脏虚气寒，下痢不止，里急后重，脐腹疼痛。
钟乳粉（二两），宣黄连，人参，白术，诃子，肉豆蔻，浓朴，茴香，阿胶，白茯苓。以上药材为细末，入钟乳粉同研匀，汤浸蒸饼为丸，如梧桐子大。每次服用一百丸，糯米饮下，空心服。
[Attached Discussion]
Regarding dysentery accompanied by tenesmus (a feeling of incomplete defecation with urgent need to pass stool), it is caused by "Jia Ju" (abdominal masses). The classic texts refer to this as "Da Jia Xie," characterized by tenesmus, frequent visits to the toilet with difficulty in passing stool, and pain in the urethra. The treatment method should harmonize cold and heat to dispel internal stagnation and accumulation, thereby restoring harmony to the Spleen and Stomach, allowing for normal digestion and transformation of food. Consequently, pus and blood will naturally dissipate, and the Large Intestine function will stabilize.
Formulas:
Mu Gua Yin (Papaya Decoction)
Treats dysentery with abdominal distension and tenesmus.
Dried Papaya Fruit (dried over fire) 1 liang, Bai Zhi (Angelicae Dahuricae Radix) 1 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma, crushed and stir-fried) 1 liang, Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice) 1 liang, Mu Xiang (Aucklandiae Radix) 1 liang, Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Huang Lian (Coptidis Rhizoma, mustache removed), Dang Gui (Angelicae Sinensis Radix, stir-fried and crushed), Long Gu (Fossi Mamuti Os), Sha Ren (Amomi Fructus Rotundus, peel removed), He Le Pi (Terminaliae Chebulae Pericarpium, baked) 1.5 liang each, Chi Shi Zhi (Halloysitum Rubrum) 3 liang, Xing Ren (Armeniacae Semen Amarum, peel and tip removed, double-kernel ones discarded, stir-fried) 15 grains, Chen Pi (Citri Reticulatae Pericarpium, white pith removed, dried) 2 fen. Coarsely crush and sieve the above herbs. Take approximately 5 qian per dose, add 1.5 sheng of water, decoct until reduced to 0.8 sheng, strain, and take warm.
Sheng Jin Wan (Winning Gold Pill)
Treats dysentery due to visceral cold, cramping pain in the umbilical and abdominal region, borborygmus and distension, tenesmus, anorexia, and progressive emaciation. It is suitable for taking this medicine.
Huang Lian (Coptidis Rhizoma, mustache removed) 5 liang, Long Gu (Fossi Mamuti Os) 4 liang, Cao Dou Kou (Cardamomi Fructus, peel removed), Chi Shao Yao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix), Gan Jiang (Zingiberis Rhizoma, processed), Di Yu (Sanguisorbae Radix), Xiang Shi (Quercus Acutissima Glans) 3 liang each, Chi Shi Zhi (Halloysitum Rubrum), Dai Zhe Shi (Haematitum, baked red and ground) 4 liang each. Grind the above herbs into a fine powder, mix with vinegar and wheat paste to form pills the size of paulownia seeds. Take 20-30 pills per dose, decoct mugwort and vinegar soup to swallow, taken on an empty stomach.
Shao Yao Tang (Peony Decoction)
Regulates Qi to treat bloody stools. For cases of pus and blood in the stool, one must understand that when Qi moves, bleeding stops; when Blood moves, dysentery heals; when Qi is regulated, tenesmus is relieved.
Bai Shao Yao (Paeoniae Radix Alba) 1 liang, Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix) 0.5 liang each, Gui Zhi (Cinnamomi Ramulus) 2.5 qian, Bing Lang (Arecae Semen) 3 qian, Da Huang (Rhei Radix et Rhizoma) 3 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma, stir-fried), Mu Xiang (Aucklandiae Radix) 2 qian each. Sieve and mix evenly. Take 0.5 liang per dose, decoct in water. If dysentery does not stop, increase Da Huang. If it occurs after sweating (visceral toxin), add Huang Bo (Phellodendri Cortex) 0.5 liang. Take according to the aforementioned method.
Bai Zhu Huang Qin Tang (Atractylodes and Scutellaria Decoction)
After taking previous medicines, if dysentery is eliminated but regulation is still needed.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Huang Qin (Scutellariae Radix) 7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 3 qian. Crush and sieve evenly. Divide into three doses, decoct in water.
Jiu Sheng Wan (Nine Saints Pill)
Treats dysentery with mixed red and white discharge, occurring day and night without limit, with severe tenesmus and pain. Effective upon taking.
Ying Su Ke (Papaveris Pericarpium, stalk and membrane removed, stir-fried with rice vinegar to weigh 1 liang), Chuan Wu (Aconiti Radix, peel removed), Huang Lian (Coptidis Rhizoma, mustache removed), Nan Mu Xiang (Aucklandiae Radix), Bei Chi Shi Zhi (Halloysitum Rubrum), Ku Fan (Alumen), Rou Dou Kou (Myristicae Semen, large pieces), Bai Fu Ling (Poria, peel removed), Gan Jiang (Zingiberis Rhizoma) 3 qian each. Grind into powder, mix with vinegar-boiled old rice flour paste to form pills the size of paulownia seeds. Take 50 pills per dose, swallow with warehouse rice drink. If intestinal pain persists, swallow with Dang Gui and Ru Xiang (Olibanum) soup.
Huan Chang Wan (Intestine Replacing Pill)
Treats adults and children with diarrhea and dysentery containing pus and blood, abdominal pain, fatigue, loss of appetite, tenesmus, occurring day and night without limit. This formula is effective.
Dang Gui (Angelicae Sinensis Radix, sliced and dried) 0.5 liang, Qing Pi (Citri Reticulatae Pericarpium Viride, white pith removed), Mu Xiang (Aucklandiae Radix) 1 fen each, Gan Cao (Glycyrrhizae Radix et Rhizoma, stir-fried), Dou Kou (Cardamomi Fructus) 4 qian each, Chen Pi (Citri Reticulatae Pericarpium, white pith removed), He Zi Pi (Terminaliae Chebulae Pericarpium) 7 qian each, Yu Mi Qiao (Papaveris Pericarpium, honey-baked) 2 liang. Grind into fine powder, mix with refined honey to form pills the size of a bullet, or cherry-sized for children. Dissolve one pill in ginger soup and take.
Wen Pi Tang (Warm Spleen Decoction)
Treats deficiency-cold of the Small Intestine, unilateral headache, ear discomfort/pain, dysentery with red and white discharge, loose bowels with abdominal pain, and tenesmus.
Gan Jiang (Zingiberis Rhizoma), Dang Gui (Angelicae Sinensis Radix) 1 liang each, Huang Bo (Phellodendri Cortex), Di Yu (Sanguisorbae Radix), E Jiao (Colla Corii Asini), Hui Xiang (Foeniculi Fructus), Shi Liu Pi (Punicae Granati Cortex), Huang Lian (Coptidis Rhizoma) 3 qian each. Coarsely chop. Take 4 qian per dose, add 1.5 sheng of water, decoct until reduced to 0.7 sheng, strain, and take warm.
Shi Zhong Ru Tang (Fluorspar Decoction)
Treats red and white dysentery following serious illness, accompanied by abdominal pain.
Shi Zhong Ru (Fluorspar), Huang Lian (Coptidis Rhizoma), Fang Feng (Saposhnikoviae Radix), Fu Zi (Aconiti Lateralis Radix Praeparata), Dang Gui (Angelicae Sinensis Radix), Huang Bo (Phellodendri Cortex), Gan Jiang (Zingiberis Rhizoma), Shu Jiao (Zanthoxyli Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang each. Except for Shi Zhong Ru, chop the others like hemp seeds, then mix evenly with Shi Zhong Ru. Take 4 qian per dose, add 1.5 sheng of water, decoct until reduced to 0.8 sheng, strain, and take warm on an empty stomach, twice daily.
Di Yu San (Sanguisorba Powder)
Treats pure blood in dysentery, umbilical and abdominal pain, tenesmus, occurring frequently day and night.
Di Yu (Sanguisorbae Radix), Zhi Qiao (Aurantii Fructus Immaturus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Chi Shao Yao (Paeoniae Radix Rubra), Huang Qin (Scutellariae Radix), He Zi Rou (Terminaliae Chebulae Fructus Pulpa), Ying Su Ke (Papaveris Pericarpium) equal parts. Grind into fine powder. Take 3 qian per dose, mix with warehouse rice drink on an empty stomach. Not suitable for those with weak Spleen and Stomach.
Dang Gui Huang Lian Tang (Angelica and Coptis Decoction)
Treats tenesmus and dysentery, sticky red and white discharge, internal knotty pain.
Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma), Chi Fu Ling (Poria cum Rubro), Di Yu (Sanguisorbae Radix), Xi Jiao (Rhinocerotis Cornu, now typically substituted), Gan Cao (Glycyrrhizae Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex) 3 fen each. Coarsely crush and sieve. Take 5 qian per dose, add 1.5 sheng of water, one slice of fresh ginger, one jujube, decoct together until reduced to 0.8 sheng, strain, and take warm on an empty stomach, twice daily.
He Li Le Wan (Terminalia Pill)
Treats abdominal pain with deficiency and slippery discharge, tenesmus, chest and heart stuffiness and fullness, or sudden diarrhea due to cold injury, cold limbs, and fluctuating pulse.
Rou Dou Kou (Myristicae Semen), Bai Fan (Alumen), Mu Xiang (Aucklandiae Radix), He Li Le (Terminaliae Chebulae Fructus), Long Gu (Fossi Mamuti Os), Wu Tou (Aconiti Radix), Suo Sha Ren (Amomi Fructus Rotundus) equal parts. Grind into powder, mix with millet porridge to form pills the size of paulownia seeds. Take 20 pills per dose, swallow with rice drink before meals.
Dao Qi Tang (Guiding Qi Decoction)
Treats dysentery with pus and blood, tenesmus, occurring day and night without limit.
Shao Yao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix), Da Huang (Rhei Radix et Rhizoma), Huang Lian (Coptidis Rhizoma), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Huang Qin (Scutellariae Radix) equal parts. Grind into powder. Take 5 qian per dose, add 1 sheng of water, decoct... [Text appears truncated here in original].
Di Yu San (Sanguisorba Powder)
Treats five-color dysentery, tenesmus, unbearable pain. Treats all such conditions.
Di Yu (Sanguisorbae Radix), Huang Lian (Coptidis Rhizoma), Yu Mi Qiao (Papaveris Pericarpium), Chen Pi (Citri Reticulatae Pericarpium), Huo Xiang (Pogostemonis Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Cang Zhu (Atractylodis Rhizoma) equal parts. Cut into coarse pieces. Add 1 sheng of water, decoct until reduced to 0.8 sheng. Take 2 qian per dose, strain, and take orally. Take two doses, then re-decoct the dregs.
Dang Gui Wan (Angelica Pill)
Treats cold dysentery with tenesmus.
Dang Gui (Angelicae Sinensis Radix), Hu Jiao (Piperis Longi Fructus), Huang Lian (Coptidis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), E Jiao (Colla Corii Asini), Gan Jiang (Zingiberis Rhizoma) equal parts. Except for E Jiao, grind into powder. Mix well with good vinegar and E Jiao to form a paste, then make pills.
Yu Fen Wan (Jade Powder Pill)
Treats dysentery with red and white discharge, chronic and unhealed, with tenesmus.
Fen Shuang (Hydrargyri Oxydum Flavum), Liu Huang (Sulfur), Ni Fen (Calamina), Peng Sha (Borax), Ru Xiang (Olibanum), Bai Ding Xiang (Streptopeliae Turtur Faeces) equal parts. Grind herbs together evenly. Use natural ginger juice to boil jujube flesh, grind into a mass. Take 4 pills the size of soybeans per dose. Before sleep, decoct ginger and jujube soup to swallow 4 pills. If severe, take 10 pills nightly. Adjust dosage for young and old as appropriate.
Shen Xiao Hu Fen Wan (Divine Effect Lead White Pill)
Treats deficiency-slipperiness of intestines and stomach, dysentery without limit, mixed red and white, umbilical and abdominal pain, tenesmus, loss of appetite and emaciation, or chronic non-healing. Suitable for all these conditions.
Hu Fen (Plumbi Carbonas), Ou Zei Gu (Sepiae Endoconcha), E Jiao (Colla Corii Asini), Bai Fan (Alumen), Long Gu (Fossi Mamuti Os), Mi Duo Seng (Litharge). Grind into powder. Mix with millet drink to form pills the size of paulownia seeds. Take 20-30 pills per dose, swallow with rice drink soup.
Shui Zhu Mu Xiang Wan (Boiled Water Aucklandia Pill)
Treats all mixed red and white pus-blood dysentery, tenesmus, or organ slipperiness without limit day and night, or accumulated cold and long-term chill, umbilical and abdominal pain, anorexia.
Dang Gui (Angelicae Sinensis Radix), He Zi (Terminaliae Chebulae Fructus), Mu Xiang (Aucklandiae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ying Su Ke (Papaveris Pericarpium), Chi Pi (Pericarpium Citri Reticulatae) equal parts. Grind into fine powder. Mix with refined honey to form pills the size of a bullet. Take one pill per dose, add 0.8 sheng of water, decoct until reduced to 0.6 sheng, take warm on an empty stomach.
Jiang Gui Tang (Ginger and Cinnamon Decoction)
Treats red and white dysentery with tenesmus, unbearable lower abdominal pain.
Gan Jiang (Zingiberis Rhizoma), Guan Gui (Cinnamomi Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ying Su Ke (Papaveris Pericarpium), Huang Bo (Phellodendri Cortex) equal parts. Grind into coarse powder. Take 10 liang per dose (Note: likely a textual error for smaller quantity), decoct in spring water. For red dysentery add Huang Bo; for white dysentery add Gan Jiang. Take on an empty stomach.
Sheng Gong San (Holy Merit Powder)
Treats disharmony of cold and heat, dysentery with red and white discharge, umbilical and abdominal pain, tenesmus.
Gan Jiang (Zingiberis Rhizoma), Wu Bei Zi (Galla Chinensis), He Li Le (Terminaliae Chebulae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma). Grind into fine powder. Take 2 qian per dose, mix with rice drink before meals.
He Li Le Tang (Terminalia Decoction)
Treats intestinal deficiency with disharmony of cold and heat, red and white dysentery, tenesmus.
He Li Le (Terminaliae Chebulae Fructus), Cao Dou Kou (Cardamomi Fructus), Yan Hu Suo (Corydalis Rhizoma) 0.5 liang each, Gan Jiang (Zingiberis Rhizoma) 1 fen. Crush and sieve. Take approximately 3 qian per dose, add 1 sheng of water, decoct until reduced to 0.7 sheng, strain, and take warm before meals.
Yun Qi Tang (Harmonizing Qi Decoction)
Treats disharmony of visceral Qi, tenesmus.
Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex) 4 liang each, Gan Cao (Glycyrrhizae Radix et Rhizoma) 2 liang, Gan Jiang (Zingiberis Rhizoma) 3 fen. Crush and sieve. Take approximately 3 qian per dose, add 1 sheng of water, decoct until reduced to 0.6 sheng, strain, and take warm before meals.
Tong Shen Wan (Spirit-Penetrating Pill)
Treats mixed pus-blood dysentery, tenesmus and pain, chronic and unhealed.
Mo Yao (Myrrha), Wu Ling Zhi (Trogopterori Faeces), Ru Xiang (Olibanum) 1 qian each, Ba Dou (Crotonis Fructus) 0.5 qian. Grind each finely separately, then mix evenly. Add drops of water to form pills the size of yellow millet. Take 7 pills, swallow with decocted fresh papaya soup.
Dan Sha Wan (Cinnabar Pill)
Treats cold dysentery with red and white discharge, tenesmus, Large Intestine deficiency slipperiness.
Dan Sha (Cinnabaris), Cao Wu Tou (Aconiti Kusnezoffii Radix), Ru Xiang (Olibanum) 1 qian each, Ba Dou (Crotonis Fructus) 7 grains. Grind herbs together finely and evenly. Mix with vinegar-wheat paste to form pills the size of paulownia seeds. Take one pill per dose, swallow with cold Ru Xiang (Olibanum) soup.
He Wei San (Stomach-Harmonizing Powder)
Treats disharmony of cold and heat, diarrhea with pus and blood, tenesmus and abdominal pain, undigested food.
Nan Qing Pi (Citri Reticulatae Pericarpium Viride), Che Qian Zi (Plantaginis Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang each, Yu Mi Qiao (Papaveris Pericarpium) 3 liang. Grind into fine powder. Take 2 qian per dose, mix with orange peel and honey soup before meals.
Xiao Sheng San (Little Saint Powder)
Treats red and white cold dysentery, abdominal pain and tenesmus.
Chen Pi (Citri Reticulatae Pericarpium), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang each, Yu Mi Qiao (Papaveris Pericarpium) 3 liang. Cut into coarse pieces. Take 3 qian per dose, add 1.5 sheng of water, decoct until reduced to 0.7 sheng, strain, add a little honey, and take warm before meals. Another version does not use honey, treating diarrhea and dysentery with pure white discharge.
Jiang Gui San (Ginger and Cinnamon Powder)
Treats profuse watery diarrhea and undigested food evacuation, tenesmus. Also treats abdominal pain and stops deficiency thirst.
Gan Jiang (Zingiberis Rhizoma, processed) 3 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang, Gui Zhi (Cinnamomi Ramulus) 1 fen. Grind into powder. Take approximately 2 qian per dose, mix with water or plain hot water.
Shao Yao Huang Qin Tang (Peony and Scutellaria Decoction)
Treats diarrhea/dysentery with abdominal pain, or tenesmus with fever persisting long, with surging and rapid pulse, indicating thick and sticky pus-blood dysentery.
Huang Qin (Scutellariae Radix), Shao Yao (Paeoniae Radix) 1 liang each, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 liang. Sieve and mix evenly. Take 0.5 liang per dose, add 1.5 sheng of water, decoct until reduced to 1 sheng, take warm at any time. If painful, add a small amount of Gui Zhi.
San Qi San (Three Wonders Powder)
Treats post-dysentery tenesmus.
Zhi Qiao (Aurantii Fructus Immaturus), Huang Qi (Astragali Radix), Fang Feng (Saposhnikoviae Radix). Equal parts ground into powder. Take 2 qian per dose, swallow with honey soup or rice drink.
Ru Sheng San (Like Sage Powder)
Treats tenesmus with pus-blood discharge.
Chou Ju (Fortunellae Fructus), Bi Xie (Dioscoreae Hypoglaucae Rhizoma) 1 liang each. Crush, stir-fry until smoke appears, cool, and grind into fine powder. Take 2-3 qian per dose, mix with clear tea.
Good Clam Powder and Pangolin Scale Formula for Tenesmus
Chuan Shan Jia (Manis Squama) equal parts. Grind into fine powder. Take 1 qian per dose, mix with good wine and take on an empty stomach.
Another Formula for Tenesmus
Zhi Qiao (Aurantii Fructus Immaturus), Zao Jia Zi (Gleditsiae Sinensis Spina) equal parts. Stir-fry until dry, grind into powder, mix with rice drink to form pills the size of paulownia seeds. Take 30 pills per dose, swallow with rice drink on an empty stomach.
Da Huang Tang (Rhubarb Decoction)
Treats chronic diarrhea/dysentery not healing, thick and sticky pus-blood, tenesmus, occurring day and night without limit, chronic non-healing.
Take 1 liang of Da Huang (Rhei Radix et Rhizoma), finely chopped. Soak in 2 large sheng of good wine for half a day. Decoct until reduced to 1.5 sheng. Remove Da Huang and do not consume it. Divide the wine into two doses and take immediately. If not stopped, take again. Continue until healed. For abdominal pain, harmonize with Shao Yao Tang. After dysentery stops, take Huang Qin Shao Yao Tang to harmonize and eliminate toxins.
Bai Zhu Huang Qin Tang (Atractylodes and Scutellaria Decoction)
After taking previous medicines, if dysentery is eliminated, use this to harmonize.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Huang Qin (Scutellariae Radix) 7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 2 qian. Crush and sieve evenly. Divide into three doses, decoct in water. Another version has no Huang Qin, using 0.5 liang of Huang Qin instead.
Formula for Treating Heavy Lower Dysentery
The disease source states: This is called "Chi Bai Zhi Xia" (sticky red and white discharge). It causes heaviness and pain in the lower body, hence named "Zhong Xia." Discharge of pus and blood resembles egg whites, occurring dozens of times a day, with pain around the navel.
Use fermented soybeans (Chi) roasted until slightly charred, crushed, and taken 1 he per dose, three times a day until cured. Another method: Roast Chi until charred, pour 1 sheng of water over it, strain and drink the juice. If cold, use wine to strain. Take three times a day. Another method: Decoct and take.
Formula for Red Heavy Lower Dysentery
Take red dung from a wild cat (Ta Chi Fen). Use wine, take a small cup on an empty stomach in the early morning. Drink for three mornings until cured.
For chronic red and white discharge with unbearable anal pain, take warm decoctions.
Apply roasted Chi compresses. Also apply roasted Zhi Shi (Immature Bitter Orange) compresses.
Treatment for Tenesmus causing discomfort.
Ren Shen Xiao Feng San (Ginseng Wind-Dispersing Powder), Hei Shen San (Black Divine Powder), Xiao Ping Wei San (Minor Stomach-Harmonizing Powder) equal parts. Mix evenly. Use dried mugwort and 50 grains of old rice, decoct in soup, strain, and use only... [Text cuts off].
Ling Sha Dan (Spirit Sand Pellet)
Treats weakness of viscera, internal stagnation, cramping umbilical/abdominal pain, dysentery with pus and blood, occurring day and night without limit, tenesmus, borborygmus and distension, undigested food, shortness of breath and fatigue, anorexia, intermittent chills and fever, progressive emaciation.
Xiao Shi (Nitrums), Pi Shuang (Arsenic Trioxide), Ni Fen (Calamina), Fen Shuang (Hydrargyri Oxydum Flavum) 0.5 liang each, Huang Dan (Litharge), Ku Fan (Alumen) 1.5 liang each, Zhu Sha (Cinnabaris), Ru Xiang (Olibanum), Hua Shi (Talcum) 1 fen each. Grind into powder. Mix with 2.4 liang of steamed dough to form pills the size of paulownia seeds. Take 5 pills per dose, swallow with warm millet drink. If not cured, increase number of pills and take again. Children may take 1 pill.
Nong Chang Wan (Thickening Intestine Pill)
Treats visceral deficiency and cold Qi, persistent dysentery, tenesmus, umbilical and abdominal pain.
Zhong Ru Fen (Fluorspar Powder) 2 liang, Xuan Huang Lian (Coptidis Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), He Zi (Terminaliae Chebulae Fructus), Rou Dou Kou (Myristicae Semen), Hou Po (Magnoliae Officinalis Cortex), Hui Xiang (Foeniculi Fructus), E Jiao (Colla Corii Asini), Bai Fu Ling (Poria) equal parts. Grind all into fine powder, mix evenly with Zhong Ru Fen. Soak steamed dough in water to form pills the size of paulownia seeds. Take 100 pills per dose, swallow with glutinous rice drink on an empty stomach.