（附论）
夫水谷痢者。由体虚腠理开。血气虚春伤于风。邪气留连在肌肉之内。后遇脾胃大肠虚
弱。而邪气乘之。故为水谷痢也。脾与胃为表里。胃者脾之腑也。为水谷之海。脾者胃之脏
也。其候身之肌肉。而脾气主消水谷。水谷消。其精化为营卫。以养脏腑。充实肌肤。大肠
肺之腑也。为传道之官。化物出焉。水谷之精。化为血气者。行于经脉。其糟粕行于大肠也。
肺与大肠为表里。而肺主气。其候身之皮毛。春阳气虽在表。而血气尚弱。其饮食居处。运
动劳役。血气虚者。则为风邪所伤。客于肌肉之间。后因脾胃气虚风邪又乘虚而进入于肠胃。
其脾气弱者。不能克制水谷。故糟粕不结聚而变为痢也。又新食竟取风。名为胃气。其状恶
风。头多汗。膈下塞不通。饮食不下。腹胀形瘦。腹大。食物则胀满。食寒则洞泄。洞泄者
。痢无度也。若胃气竭者痢绝即死。诊其脉小。手足寒难疗。脉大手足温易疗也。下白沫。
脉沉则生。浮则死。身不热脉不悬绝滑大者生。悬绝者死。以藏期之也。脉绝而手足寒。
时脉还。手足温者生。脉不还者死。脉缓时小结者生。洪大数者死。悬绝而涩者死。细微而
涩者生。紧大而滑者死。得大绝脉者不死。
方
广济疗赤白水谷冷热等痢。
地榆（六分） 白术（五分） 浓朴（六分炙） 干姜（六分） 熟艾（四分） 赤石
脂（七分研） 龙骨（七分） 甘草（四分炙） 黄连（十分） 乌梅（六分熬） 人参（六
分） 当归（五分） 上为末蜜丸。桐子大。米饮汁服三十丸。日三服。忌海藻、菘菜、肉、
生冷等物。
浓朴散（出圣惠方）治水谷痢。腹内疼痛。两胁虚胀。不思饮食。
浓朴（一两去粗皮涂生姜汁炙令熟） 木香（半两） 人参（去芦头半两） 诃黎勒（三
分煨用皮） 干姜（半两炮） 陈橘皮（一两浸去白焙） 当归（半两锉炒） 地榆（三分
锉） 附子（一
两炮去皮脐） 上为散。每服三钱。水一中盏。煎五分去滓。不拘时稍热服。
蓝青丸 治中焦热。水谷下痢。
蓝青（汁三升） 黄连（八两） 黄柏（四两） 阿胶（五两） 白术 地榆 地肤子 乌
梅肉
（熬各三两） 上为散。用蓝汁在微火上煎服。更可为丸如杏子大。白饮进二丸。亦不得停
留。
忌猪肉、冷水、桃李、雀肉等。
诃黎勒丸 治水谷痢。腹胁虚胀。时复疼痛。不欲饮食。
诃黎勒（一两煨用皮） 干姜（三分炮锉） 当归（一两锉炒） 黄连（去须微炒） 白
术（一
两） 木香（三分） 浓朴（一两去粗皮涂生姜汁炙香熟） 上为末。炼蜜和捣二三百杵。
丸如
梧桐子大。每服不拘时。粥饮下三十丸。
龙骨丸 治水谷痢。日夜无数。腹内疼痛。
龙骨（三分） 艾叶（一两微炒） 赤石脂（三分） 白矾（一两焙令汁尽） 黄连（三
分去须
微炒） 当归（三分锉碎微炒） 附子（一两炮去皮脐） 上为末。炼蜜和捣三二百杵。丸
桐子
大。每于食前以粥饮下三十丸。
泻心汤 治老小下痢。水谷不分。肠中雷鸣。心下痞满。干呕不安。
人参 黄芩 甘草（各一两） 干姜（一两半） 黄连（一两） 半夏（三两） 大枣
（十二枚）
上
橘皮一两。痛加当归一两。渴热以生姜代干姜。
胃风汤 治胸结。下痢。风冷。水谷不化。
肉豆蔻散 治水谷痢。心腹胀满。不能饮食。
肉豆蔻（一两去壳） 木香（一两） 甘草（半两炙微赤锉） 干姜（一两炮） 浓朴
（一两去
皮涂生姜汁炙香熟） 上为散。每服三钱。水一中盏。入枣三枚。煎六分。不拘时稍热服。
附子五味散 治水谷痢久痢无度。食不消化。腹痛。每遇冷便发。
附子（炮） 细辛 白术（各五两） 干姜（四两） 神曲（一升熬） 上为散。以饮
下之。初
服方寸匕。每服渐加。稍加至二三匕良。忌猪肉生冷、油腻、桃、李、雀肉等。
草豆蔻散 治水谷痢不止。腹内疼痛。
草豆蔻（一两去皮） 白石脂（一两） 当归（一两锉微炒） 干姜（一两炮锉） 上
罗为散。
每服。不计时以粥饮调下。二钱。
四白丸 治水谷痢。脐腹疼痛。日夜数行。
白石脂（二两） 白矾（一两烧灰） 白龙骨（二两） 胡粉（二两炒黄） 上研为末。
用粳米
饭和捣一二百杵。丸如梧桐子大。每服食前粥饮下三十丸。
疗水谷痢方
干姜（三分） 鸡子（二枚） 小豆（二百粒炒令香中食） 黄连（二分） 上捣筛三
物。内鸡
子黄白中搅匀。微火上炒令可丸。一服五十丸。如小豆大。旦以饮服即瘥。忌食油腻生冷肉
鱼蒜葱。
疗热水谷下痢方
黄连 阿胶（各二两） 栀子（二十枚） 上切以水七升。煮二升分为三服。忌猪肉冷
水。
马兰散（出圣惠方）治水谷痢。日夜百度。及水痢百起。
马兰（一两微炒） 干姜（一两炮锉） 黄连（一两去须锉微炒） 上为散。不拘时以
粥饮调
下二钱。一方熟煮汤取一合许。和二方寸匕。入腹即断。冷热皆治。常服神效。不得轻之。
忌猪肉冷水。
又方
橡斗子（五枚盛莨菪子总莆炒黑） 龙骨（半两） 柿蒂（七枚） 上罗为散。不拘时。
以粥
饮下一钱。
神妙橡实散 治水谷痢无问老小。日夜百余行。
橡实（二两） 干楮叶（一两炙） 上罗为散。每服。不计时煎乌梅汤调下。
菖蒲丸 治水谷痢。及冷气腹痛虚鸣。
菖蒲（三两） 干姜（一两半炮锉） 上罗为散。用粳米饭和丸。梧桐子大。每服。食
前粥
饮下三十丸。
又方
龙骨（末三两） 巴豆（二七枚去心皮研去油） 上以粟米稠粥和丸。麻子大。每服以
陈米
粥下三丸。如微转以井花水下。
豆蔻散 治水谷痢久不止。腹胁妨闷。不思饮食。
治水谷痢久不止。
以糊粉二两。枣肉和捣作饼子。急火中烧令赤。即出地上。以碗合之。勿令风入。待冷
细研。食前粥饮调下半钱。
治水谷痢。（出肘后方）
用韭作羹微炒。任食之。
又方
用小豆一合。和蜡三两。顿服之愈。
疗水谷痢方。
用棕榈皮烧灰研。以水和服三方寸匕。
广济疗水痢。及霍乱。冷痢。及食不化有白脓。日夜无度。但疑是冷。悉主之。
兼治泻痢。
白石脂 干姜（各八两） 上为末。以沸汤和少许面薄糊。和药并手捻作丸。如食法下。
不止加干姜八两。忌如常法。一方米饮空心下。霍乱吐泻浆水下。
疗水痢腹中气方。
茯苓（八分） 白龙骨（八分研） 诃黎勒（八分） 黄连（八分） 酸石榴皮（八分）
上为
末。蜜丸梧桐子大。空心以饮服。每服二十丸。日二服止。忌肉油腻生冷等。
疗水谷痢方
狗骨灰（牛骨灰亦得） 曲（六月六日造熬令黄） 上等分为散。空腹服一大茶匙。常
曲亦得。
主水痢方
鸡子（二枚） 黄蜡（一两） 上熬熟食之。宜空肚食。日三服。佳。
又方 主治水痢。及疗热水谷下痢。
黄连 苍术（各三两） 上作散。和鸡子七枚同煮。并捻作丸。煮赤豆作浆粥服三十丸。
日三服。若渴但饮豆浆粥。
一方以水七升煮二升分服。忌猪肉冷水。
黄芩五味散 水谷之痢。其候必腹甚痛。食无妨。但食后即痢。食皆化尽。惟变
作水。痢无期度。多食多下。少食少下。有此状者宜服。
黄芩 黄连 黄柏（各五两） 黄 （四两） 龙骨（六两） 上为散。以饮下之。初
服一大
茶匙。日二。稍加至二三匙。服瘥乃止。忌猪肉冷水等。
治水谷痢。
黄连（二两） 黄柏（二两） 阿胶（二两炙） 上为散。以苦酒蜜各半升。煎阿胶令
烊。内诸药令可丸。饮服三丸。日四。
白蒿方 治夏日暴水痢。
用白蒿叶干为末。以米和一匙。空腹食之。
疗水谷下痢方
用黄连一升。金色者打碎。陈米五合。二物以水七升。煮至二升。分为二服。
安石榴汤 疗水痢及赤白痢。笃困欲死。肠已滑。医不能疗者。
干姜 黄柏（各二两） 石榴（一枚壳小者二枚） 阿胶（二两半切炙） 上以水三升。
煮一
升二合。去渣内胶令熔。顿服即瘥。未蠲更作。老小亦良。羸瘦者少服。一方无黄柏用黄连。
治水谷痢 所下之痢。并无赤色。只下黄沫。忽时下白沫。饮食减少。肌体黄瘦。宜服此方
。诃子（面裹炮去核用皮） 舶上黄（研细各一两） 黄橘皮 白术 川芎（各半两） 甘
草（炮四株） 肉豆蔻（一枚） 上件细杵罗为末。用舶上黄末相滚令匀。用薏仁杵作粉煮
粥丸。如梧桐子大。急焙干。每服五十丸。空心米汤下。须是焙干。莫令损药气。
治水谷痢久不瘥
浓朴（三两） 黄连（三两） 上锉以水三升。煎取一升。空心服。
（附论）
所谓水谷痢，是由于体质虚弱、腠理（皮肤纹理及汗孔）开泄，气血亏虚，春季感受风邪。邪气滞留于肌肉之间，后来又遇到脾胃和大肠虚弱，邪气趁机侵入，因此形成水谷痢。脾与胃互为表里，胃是脾的腑，是水谷汇聚的海洋；脾是胃的脏，其征候反映在身体的肌肉上，脾气的功能主要是消化水谷。水谷被消化后，其中的精华转化为营气和卫气，用来滋养脏腑，充实肌肤。大肠是肺的腑，担任传导的职责，排出废物。水谷中的精华转化为血气，运行于经脉之中；而糟粕则运行于大肠。肺与大肠互为表里，肺主气，其征候反映在身体的皮毛上。春季阳气虽然浮越于体表，但体内的气血尚且虚弱。如果饮食起居不当，或者运动劳役过度，导致气血虚弱的人，就会受到风邪的伤害，风邪客居于肌肉之间。后来因为脾胃气虚，风邪又乘虚进入肠胃。脾气虚弱的人，不能制约水谷，所以糟粕不能结聚成形而变成痢疾。另外，刚吃完食物就受风，称为“胃气”病。其症状表现为怕风，头部多汗，膈下堵塞不通，饮食难以下咽，腹部胀大且形体消瘦，进食后腹胀更甚，吃寒凉食物则发生洞泄（严重的水样腹泻）。洞泄，就是痢疾无度（次数极多）。如果胃气衰竭，痢疾断绝即死亡。诊察脉象，脉小、手足寒冷者难治；脉大、手足温暖者易治。下白沫，脉沉者生，脉浮者死。身体不发热，脉象不悬绝（极度异常），滑大者生，悬绝者死。根据五脏对应的日期来推断预后。脉绝且手足寒冷，如果脉气恢复，手足转温者生；脉气不恢复者死。脉缓且偶尔细小者生，脉洪大数急者死。脉悬绝且涩者死，脉细微且涩者生，脉紧大而滑者死。得到大绝脉者不死。
方剂
广济疗赤白水谷冷热等痢方：
地榆（六分）、白术（五分）、浓朴（六分，炙）、干姜（六分）、熟艾（四分）、赤石脂（七分，研）、龙骨（七分）、甘草（四分，炙）、黄连（十分）、乌梅（六分，熬）、人参（六分）、当归（五分）。以上药物研为末，用蜂蜜制成丸药，大小如梧桐子。用米汤送服三十丸，每日三次服用。忌食海藻、菘菜（白菜类）、肉类、生冷等食物。
浓朴散（出自《圣惠方》），治疗水谷痢。症状为腹内疼痛，两胁虚胀，不想吃东西。
浓朴（一两，去粗皮，涂生姜汁，炙至熟）、木香（半两）、人参（去芦头，半两）、诃黎勒（三分，煨，用皮）、干姜（半两，炮）、陈橘皮（一两，浸去白瓤，焙）、当归（半两，锉碎炒）、地榆（三分，锉碎）、附子（一两，炮，去皮脐）。以上药物研为散剂。每次服用三钱，用水一中盏，煎至五分，去渣滓。不拘时间，稍热时服用。
蓝青丸，治疗中焦热证，水谷下痢。
蓝青（汁液三升）、黄连（八两）、黄柏（四两）、阿胶（五两）、白术、地榆、地肤子、乌梅肉（熬，各三两）。以上药物研为散剂。用蓝靛汁在微火上煎服。也可以制成丸药，大小如杏子。用白饮送服二丸。也不得停留（指病情变化快，需及时服药或不宜久留病所，此处语境偏向及时服用或不宜拖延，结合下文“亦不得停留”，可能指药力不宜久停体内或病情紧急，通常解释为及时服用或不宜延误，但在方剂说明中有时指服药后反应，此处直译为“也不得停留/延误”）。忌食猪肉、冷水、桃李、雀肉等。
诃黎勒丸，治疗水谷痢。症状为腹胁虚胀，时常疼痛，不想吃东西。
诃黎勒（一两，煨，用皮）、干姜（三分，炮锉）、当归（一两，锉碎炒）、黄连（去须，微炒）、白术（一两）、木香（三分）、浓朴（一两，去粗皮，涂生姜汁，炙香熟）。以上药物研为末，炼蜜调和捣二三百杵。制成梧桐子大小的丸药。每次服用不拘时间，用粥饮送下三十丸。
龙骨丸，治疗水谷痢。日夜次数无数，腹内疼痛。
龙骨（三分）、艾叶（一两，微炒）、赤石脂（三分）、白矾（一两，焙至汁尽）、黄连（三分，去须，微炒）、当归（三分，锉碎微炒）、附子（一两，炮，去皮脐）。以上药物研为末，炼蜜调和捣三二百杵。制成梧桐子大小的丸药。每次在饭前用粥饮送下三十丸。
泻心汤，治疗老人小孩下痢，水谷不分，肠中雷鸣，心下痞满，干呕不安。
人参、黄芩、甘草（各一两）、干姜（一两半）、黄连（一两）、半夏（三两）、大枣（十二枚）。上方中加入橘皮一两。痛加当归一两。渴热以生姜代替干姜。
胃风汤，治疗胸中结滞，下痢，风冷，水谷不化。
（注：原文仅列方名主治，未列具体组成，故翻译时保留原意）
肉豆蔻散，治疗水谷痢。症状为心腹胀满，不能吃东西。
肉豆蔻（一两，去壳）、木香（一两）、甘草（半两，炙微赤锉）、干姜（一两，炮）、浓朴（一两，去皮，涂生姜汁，炙香熟）。以上药物研为散剂。每次服用三钱，用水一中盏，加入枣三枚，煎至六分。不拘时间，稍热时服用。
附子五味散，治疗水谷痢久痢无度，食物不消化，腹痛，每次遇冷便发作。
附子（炮）、细辛、白术（各五两）、干姜（四两）、神曲（一升，熬）。以上药物研为散剂。用饮送服。初次服用方寸匕，每次逐渐增加剂量，稍微增加到二三匕较好。忌食猪肉、生冷、油腻、桃、李、雀肉等。
草豆蔻散，治疗水谷痢不止。症状为腹内疼痛。
草豆蔻（一两，去皮）、白石脂（一两）、当归（一两，锉碎微炒）、干姜（一两，炮锉）。以上药物过筛为散剂。每次服用，不拘时间，用粥饮调下二钱。
四白丸，治疗水谷痢。症状为脐腹疼痛，日夜数次排便。
白石脂（二两）、白矾（一两，烧成灰）、白龙骨（二两）、胡粉（二两，炒黄）。以上药物研为末。用粳米饭调和捣一二百杵。制成梧桐子大小的丸药。每次在饭前用粥饮送下三十丸。
疗水谷痢方：
干姜（三分）、鸡子（二枚）、小豆（二百粒，炒令香，中食——此处疑为衍文或特定用法，暂译为“炒香食用”）、黄连（二分）。以上三种药物捣碎过筛，放入鸡蛋黄和蛋白中搅匀，在微火上炒至可制成丸药。每次服用五十丸，大小如小豆。早晨用饮送服即可痊愈。忌食油腻、生冷、肉、鱼、蒜、葱。
疗热水谷下痢方：
黄连、阿胶（各二两）、栀子（二十枚）。以上切碎，用水七升，煮取二升，分为三次服用。忌食猪肉、冷水。
马兰散（出自《圣惠方》），治疗水谷痢。日夜一百次，以及水痢百起。
马兰（一两，微炒）、干姜（一两，炮锉）、黄连（一两，去须，锉碎微炒）。以上药物研为散剂。不拘时间，用粥饮调下二钱。另一方法是将药物熟煮取汤约一合，调和方寸匕，入腹即止。冷热皆治，常服神效，不可轻视。忌食猪肉、冷水。
又方：
橡斗子（五枚，盛莨菪子、总莆炒黑）、龙骨（半两）、柿蒂（七枚）。以上药物过筛为散剂。不拘时间，用粥饮送下一钱。
神妙橡实散，治疗水谷痢，不问老少，日夜百余行。
橡实（二两）、干楮叶（一两，炙）。以上药物过筛为散剂。每次服用，不拘时间，煎乌梅汤调下。
菖蒲丸，治疗水谷痢，以及冷气腹痛虚鸣。
菖蒲（三两）、干姜（一两半，炮锉）。以上药物过筛为散剂。用粳米饭和丸，梧桐子大小。每次服用，饭前用粥饮送下三十丸。
又方：
龙骨（末三两）、巴豆（二七枚，去心皮，研，去油）。以上用粟米稠粥和丸，麻子大小。每次用陈米粥送下三丸。如果轻微转动（指药效发动或腹痛），用井花水下。
豆蔻散，治疗水谷痢久不止。症状为腹胁妨闷，不思饮食。
治水谷痢久不止：
用糊粉二两，枣肉和捣作饼子，急火中烧令赤。即出地上，以碗合之，勿令风入。待冷细研。食前粥饮调下半钱。
广济疗水痢，及霍乱，冷痢，及食不化有白脓，日夜无度，但疑是冷，悉主之。兼治泻痢。
白石脂、干姜（各八两）。以上研为末，用沸汤和少许面薄糊，和药并手捻作丸。如食法下。不止加干姜八两。忌如常法。一方米饮空心下。霍乱吐泻浆水下。
疗水痢腹中气方：
茯苓（八分）、白龙骨（八分，研）、诃黎勒（八分）、黄连（八分）、酸石榴皮（八分）。以上研为末，蜜丸梧桐子大。空心以饮服。每服二十丸，日二服止。忌肉、油腻、生冷等。
疗水谷痢方：
狗骨灰（牛骨灰亦得）、曲（六月六日造，熬令黄）。上等分为散。空腹服一大茶匙。常曲亦得。
主水痢方：
鸡子（二枚）、黄蜡（一两）。以上熬熟食之。宜空肚食。日三服，佳。
又方 主治水痢，及疗热水谷下痢：
黄连、苍术（各三两）。以上作散，和鸡子七枚同煮。并捻作丸。煮赤豆作浆粥服三十丸。日三服。若渴但饮豆浆粥。
一方以水七升煮二升分服。忌猪肉冷水。
黄芩五味散，水谷之痢，其候必腹甚痛，食无妨，但食后即痢，食皆化尽，惟变作水，痢无期度，多食多下，少食少下，有此状者宜服。
黄芩、黄连、黄柏（各五两）、黄（缺字，疑为黄芪或黄丹，据上下文多为补益或收敛，此处保留“黄”）、龙骨（六两）。以上研为散，以饮下之。初服一大茶匙，日二。稍加至二三匙。服瘥乃止。忌猪肉冷水等。
治水谷痢：
黄连（二两）、黄柏（二两）、阿胶（二两，炙）。以上研为散，以苦酒蜜各半升，煎阿胶令烊。内诸药令可丸。饮服三丸，日四。
白蒿方，治夏日暴水痢：
用白蒿叶干为末，以米和一匙，空腹食之。
疗水谷下痢方：
用黄连一升，金色者打碎。陈米五合。二物以水七升，煮至二升，分为二服。
安石榴汤，疗水痢及赤白痢，笃困欲死，肠已滑，医不能疗者。
干姜、黄柏（各二两）、石榴（一枚，壳小者二枚）、阿胶（二两半，切，炙）。以上以水三升，煮一升二合，去渣内胶令熔。顿服即瘥。未蠲更作。老小亦良。羸瘦者少服。一方无黄柏用黄连。
治水谷痢：所下之痢，并无赤色，只下黄沫，忽时下白沫，饮食减少，肌体黄瘦，宜服此方。
诃子（面裹炮去核用皮）、舶上黄（研细，各一两）、黄橘皮、白术、川芎（各半两）、甘草（炮四株）、肉豆蔻（一枚）。上件细杵罗为末，用舶上黄末相滚令匀，用薏仁杵作粉煮粥丸，如梧桐子大，急焙干。每服五十丸，空心米汤下。须是焙干，莫令损药气。
(Attached Discussion)
The condition known as Shuigu Li (Water and Grain Dysentery) arises from a weak constitution with open Couli (skin texture and pores), deficient Qi and Blood, and injury by Wind in spring. The pathogenic factor lingers within the muscles. Later, encountering deficiency and weakness of the Spleen, Stomach, and Large Intestine, the pathogen takes advantage to invade, thus causing Shuigu Li. The Spleen and Stomach are exterior-interior partners; the Stomach is the Fu organ of the Spleen and serves as the Sea of Water and Grain. The Spleen is the Zang organ of the Stomach, its signs manifesting in the body's muscles, and its function primarily involves digesting water and grain. Once digested, the essence transforms into Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) to nourish the Zang-Fu organs and fill the muscles. The Large Intestine is the Fu organ of the Lung, acting as the official of transmission, expelling waste. The essence of water and grain transforms into Blood and Qi, circulating in the meridians, while the dregs circulate in the Large Intestine. The Lung and Large Intestine are exterior-interior partners; the Lung governs Qi, and its signs manifest in the body's skin and hair. In spring, although Yang Qi floats on the surface, internal Qi and Blood remain weak. If diet and lifestyle are improper, or if physical labor and exertion are excessive, leading to Qi and Blood deficiency, one becomes injured by Wind pathogen, which lodges between the muscles. Subsequently, due to Spleen-Stomach Qi deficiency, the Wind pathogen enters the intestines and stomach vacuously. Those with weak Spleen Qi cannot control water and grain, so the dregs do not consolidate but transform into dysentery. Additionally, contracting Wind immediately after eating is called "Stomach Qi" disease. Its symptoms include aversion to wind, profuse sweating on the head, blockage below the diaphragm, inability to swallow food, abdominal distension with emaciation, worsened distension after eating, and Dongxie (profuse watery diarrhea) after consuming cold foods. Dongxie refers to dysentery with no limit (extreme frequency). If Stomach Qi exhausts and dysentery ceases abruptly, death ensues. Diagnosis: Pulse small, cold hands and feet indicate difficult treatment; pulse large, warm hands and feet indicate easy treatment. Discharging white foam: pulse deep indicates survival, floating indicates death. Body not hot, pulse not Xuanjue (extremely abnormal), slippery and large indicates survival, Xuanjue indicates death. Prognosis is determined by the cycle of the Zang organs. Pulse absent with cold hands and feet: if pulse returns and hands/feet warm, survival; if pulse does not return, death. Pulse slow with occasional smallness indicates survival; surging, large, and rapid indicates death. Xuanjue and choppy indicates death; fine, minute, and choppy indicates survival; tight, large, and slippery indicates death. Obtaining Da Jue Mai (Great Absent Pulse) does not necessarily mean death.
Formulas
Guangji Formula for Red and White, Cold and Hot Water and Grain Dysentery:
Di Yu (Sanguisorbae Radix, 6 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 fen), Hou Po (Magnoliae Officinalis Cortex, 6 fen, processed with heat), Gan Jiang (Zingiberis Rhizoma, 6 fen), Shu Ai Ye (Artemisiae Argyi Folium, cooked, 4 fen), Chi Shi Zhi (Halloysit Rubrum, ground, 7 fen), Long Gu (Fossilia Ossis Mastodi et Scapulae, 7 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen, processed with heat), Huang Lian (Coptidis Rhizoma, 10 fen), Wu Mei (Mume Fructus, 6 fen, boiled), Ren Shen (Ginseng Radix, 6 fen), Dang Gui (Angelicae Sinensis Radix, 5 fen). Grind all into powder, mix with honey to make pills the size of Sophora seeds. Take 30 pills with rice water, three times daily. Avoid seaweed, Song Cai (Brassica vegetables), meat, and raw/cold foods.
Hou Po San (from *Shenghui Fang*), treats Water and Grain Dysentery. Symptoms: abdominal pain, empty distension in both hypochondria, loss of appetite.
Hou Po (Magnoliae Officinalis Cortex, 1 liang, remove rough bark, coat with fresh ginger juice, roast until cooked), Mu Xiang (Aucklandiae Radix, 0.5 liang), Ren Shen (Ginseng Radix, remove rhizome, 0.5 liang), He Li Le (Chebulae Fructus, 3 fen, roasted, use peel), Gan Jiang (Zingiberis Rhizoma, 0.5 liang, processed), Chen Pi (Citri Reticulatae Pericarpium, 1 liang, soak to remove white pith, dry), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, cut and stir-fried), Di Yu (Sanguisorbae Radix, 3 fen, cut), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, remove skin and root end). Grind into powder. Take 3 qian per dose, decoct with one zhàn of water until reduced to 0.5 zhàn, strain. Drink slightly warm at any time.
Lan Qing Wan, treats Middle Jiao Heat, Water and Grain Diarrhea/Dysentery.
Lan Qing (Indigo Naturalis juice, 3 sheng), Huang Lian (Coptidis Rhizoma, 8 liang), Huang Bo (Phellodendri Cortex, 4 liang), E Jiao (Colla Corii Asini, 5 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Di Yu (Sanguisorbae Radix), Di Fu Zi (Kochiae Fructus), Wu Mei Rou (Mume Fructus pulp, boiled, each 3 liang). Grind into powder. Decoct with Indigo juice over low heat to take. Alternatively, make pills the size of apricot seeds. Take 2 pills with plain drink. Do not delay. Avoid pork, cold water, plums, peaches, sparrow meat.
He Li Le Wan, treats Water and Grain Dysentery. Symptoms: empty distension in abdomen and hypochondria, intermittent pain, loss of appetite.
He Li Le (Chebulae Fructus, 1 liang, roasted, use peel), Gan Jiang (Zingiberis Rhizoma, 3 fen, processed and cut), Dang Gui (Angelicae Sinensis Radix, 1 liang, cut and stir-fried), Huang Lian (Coptidis Rhizoma, remove roots, slight stir-fry), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Mu Xiang (Aucklandiae Radix, 3 fen), Hou Po (Magnoliae Officinalis Cortex, 1 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked). Grind into powder, mix with refined honey and pound 200-300 times. Make pills the size of Sophora seeds. Take 30 pills with porridge water at any time.
Long Gu Wan, treats Water and Grain Dysentery. Symptoms: numerous bowel movements day and night, abdominal pain.
Long Gu (Fossilia Ossis Mastodi et Scapulae, 3 fen), Ai Ye (Artemisiae Argyi Folium, 1 liang, slight stir-fry), Chi Shi Zhi (Halloysit Rubrum, 3 fen), Bai Fan (Alumen, 1 liang, bake until juice evaporates), Huang Lian (Coptidis Rhizoma, 3 fen, remove roots, slight stir-fry), Dang Gui (Angelicae Sinensis Radix, 3 fen, cut, slight stir-fry), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, remove skin and root end). Grind into powder, mix with refined honey and pound 200-300 times. Make pills the size of Sophora seeds. Take 30 pills with porridge water before meals.
Xie Xin Tang, treats dysentery in elderly and children, indistinguishable water and grain, borborygmus in intestines, epigastric fullness and stuffiness, dry retching, restlessness.
Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 1 liang), Gan Jiang (Zingiberis Rhizoma, 1.5 liang), Huang Lian (Coptidis Rhizoma, 1 liang), Ban Xia (Pinelliae Tuber, 3 liang), Da Zao (Jujubae Fructus, 12 pieces). Add Ju Pi (Citri Reticulatae Pericarpium, 1 liang) to the above formula. For pain, add Dang Gui (Angelicae Sinensis Radix, 1 liang). For thirst and heat, replace Gan Jiang with Sheng Jiang (Zingiberis Rhizoma Recens).
Wei Feng Tang, treats chest constriction, dysentery, wind-cold, undigested food and water.
(Raw text lists only name and indications, no ingredients provided.)
Rou Dou Kou San, treats Water and Grain Dysentery. Symptoms: epigastric and abdominal fullness, inability to eat.
Rou Dou Kou (Myristicae Semen, 1 liang, remove shell), Mu Xiang (Aucklandiae Radix, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, processed with heat until slightly red, cut), Gan Jiang (Zingiberis Rhizoma, 1 liang, processed), Hou Po (Magnoliae Officinalis Cortex, 1 liang, remove bark, coat with fresh ginger juice, roast until fragrant and cooked). Grind into powder. Take 3 qian per dose, decoct with one zhàn of water and 3 dates until reduced to 0.6 zhàn. Drink slightly warm at any time.
Fu Zi Wu Wei San, treats chronic Water and Grain Dysentery with no limit, undigested food, abdominal pain, triggered by cold.
Fu Zi (Aconiti Lateralis Radix Praeparata, processed), Xi Xin (Asari Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 5 liang), Gan Jiang (Zingiberis Rhizoma, 4 liang), Shen Qu (Massa Medicata Fermentata, 1 sheng, roasted). Grind into powder. Take with drink. Initial dose: 1 fang cun bi (square-inch spoonful). Gradually increase dose, up to 2-3 bi is good. Avoid pork, raw/cold, greasy, plums, peaches, sparrow meat.
Cao Dou Kou San, treats persistent Water and Grain Dysentery. Symptoms: abdominal pain.
Cao Dou Kou (Bacca Litseae, 1 liang, remove skin), Bai Shi Zhi (Halloysit Albus, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, cut, slight stir-fry), Gan Jiang (Zingiberis Rhizoma, 1 liang, processed and cut). Sieve into powder. Take 2 qian mixed with porridge water at any time.
Si Bai Wan, treats Water and Grain Dysentery. Symptoms: umbilical and abdominal pain, frequent bowel movements day and night.
Bai Shi Zhi (Halloysit Albus, 2 liang), Bai Fan (Alumen, 1 liang, burned to ash), Bai Long Gu (Fossilia Ossis Mastodi et Scapulae, 2 liang), Hu Fen (Lead Carbonate, 2 liang, stir-fried yellow). Grind into powder. Mix with glutinous rice paste and pound 100-200 times. Make pills the size of Sophora seeds. Take 30 pills with porridge water before meals.
Formula for Treating Water and Grain Dysentery:
Gan Jiang (Zingiberis Rhizoma, 3 fen), Ji Zi (Galli Ovum, 2 eggs), Xiao Dou (Sojae Semen Preparatum, 200 grains, roasted until fragrant), Huang Lian (Coptidis Rhizoma, 2 fen). Grind the three substances, mix with egg yolk and white, stir evenly. Stir-fry over low heat until moldable. Take 50 pills the size of soybeans in the morning with drink. Cure expected. Avoid greasy, raw/cold, meat, fish, garlic, scallions.
Formula for Treating Hot Water and Grain Diarrhea:
Huang Lian (Coptidis Rhizoma), E Jiao (Colla Corii Asini, each 2 liang), Zhi Zi (Gardeniae Fructus, 20 pieces). Cut, decoct in 7 sheng of water until reduced to 2 sheng. Divide into three doses. Avoid pork, cold water.
Ma Lan San (from *Shenghui Fang*), treats Water and Grain Dysentery. Symptoms: 100+ bowel movements day and night, and 100+ episodes of watery diarrhea.
Ma Lan (Kalimeris Indica, 1 liang, slight stir-fry), Gan Jiang (Zingiberis Rhizoma, 1 liang, processed and cut), Huang Lian (Coptidis Rhizoma, 1 liang, remove roots, cut, slight stir-fry). Grind into powder. Take 2 qian mixed with porridge water at any time. Alternative method: boil thoroughly, take about 1 he of soup, mix with 1 fang cun bi of powder. Stops upon entering stomach. Treats both cold and hot types. Regular use is miraculous. Do not underestimate. Avoid pork, cold water.
Another Formula:
Xiang Dou Zi (Quercus infectoria gall, 5 pieces, filled with Cang Er Zi and Tong Pu, roasted black), Long Gu (Fossilia Ossis Mastodi et Scapulae, 0.5 liang), Shi Di (Datiscae Caulis, 7 pieces). Sieve into powder. Take 1 qian with porridge water at any time.
Shen Miao Xiang Shi San, treats Water and Grain Dysentery regardless of age, 100+ bowel movements day and night.
Xiang Shi (Quercus acorn, 2 liang), Gan Chu Ye (Morus alba leaf, dried, 1 liang, roasted). Sieve into powder. Take at any time, mixed with Wumei (Mume) decoction.
Chang Pu Wan, treats Water and Grain Dysentery, and cold qi abdominal pain with empty rumbling.
Chang Pu (Acori Tatarinowii Rhizoma, 3 liang), Gan Jiang (Zingiberis Rhizoma, 1.5 liang, processed and cut). Sieve into powder. Mix with glutinous rice paste to make pills the size of Sophora seeds. Take 30 pills with porridge water before meals.
Another Formula:
Long Gu (Fossilia Ossis Mastodi et Scapulae, powder, 3 liang), Ba Dou (Crotonis Fructus, 14 pieces, remove heart and skin, grind, remove oil). Mix with millet congee to make pills the size of hemp seeds. Take 3 pills with aged rice congee. If mild movement occurs, wash down with well water.
Dou Kou San, treats persistent Water and Grain Dysentery. Symptoms: abdominal and hypochondrial oppression, loss of appetite.
For persistent Water and Grain Dysentery:
Use 2 liang of flour-like powder, mix with jujube flesh, pound into cakes. Roast over high fire until red. Remove from ground, cover with bowl, prevent wind entry. Grind finely when cool. Take half qian mixed with porridge water before meals.
Treating Water and Grain Dysentery (from *Zhouhou Fang*):
Make leek soup, slight stir-fry, eat as desired.
Another Formula:
Take 1 he of soybeans and 3 liang of beeswax together in one dose to cure.
Formula for Treating Water and Grain Dysentery:
Burn palm bark to ash, grind, mix with water, take 3 fang cun bi.
Guangji treats Water Diarrhea, Cholera, Cold Dysentery, undigested food with white pus, unlimited frequency day and night, suspected cold type. Also treats diarrhea and dysentery.
Bai Shi Zhi (Halloysit Albus), Gan Jiang (Zingiberis Rhizoma, each 8 liang). Grind into powder. Mix with boiling water and a little thin flour paste, knead into pills. Take as needed. If ineffective, add 8 liang of Gan Jiang. Avoid usual taboos. Alternative: take with rice water on empty stomach. For cholera vomiting and purging with watery stool.
Formula for Treating Water Diarrhea with Abdominal Gas:
Fu Ling (Poria, 8 fen), Bai Long Gu (Fossilia Ossis Mastodi et Scapulae, 8 fen, ground), He Li Le (Chebulae Fructus, 8 fen), Huang Lian (Coptidis Rhizoma, 8 fen), Suan Shi Liu Pi (Punica Granati Cortex, 8 fen). Grind into powder, mix with honey to make pills the size of Sophora seeds. Take with drink on empty stomach. 20 pills per dose, twice daily until stopped. Avoid meat, greasy, raw/cold foods.
Formula for Treating Water and Grain Dysentery:
Gou Gu Hui (Dog bone ash, cow bone ash acceptable), Qu (Medicated Leaven, made on June 6th, roasted yellow). Equal parts, grind into powder. Take one large tea spoon on empty stomach. Common Qu is also acceptable.
Main Formula for Water Diarrhea:
Ji Zi (Galli Ovum, 2 eggs), Huang La (Beeswax, 1 liang). Cook and eat. Best taken on empty stomach. Three times daily is ideal.
Another Formula, mainly treating Water Diarrhea and Hot Water and Grain Diarrhea:
Huang Lian (Coptidis Rhizoma), Cang Zhu (Atractylodis Rhizoma, each 3 liang). Grind into powder, cook together with 7 eggs. Knead into pills. Serve 30 pills with red bean porridge. Three times daily. If thirsty, drink red bean porridge soup alone.
Alternative: Decoct in 7 sheng of water until reduced to 2 sheng, divide into doses. Avoid pork, cold water.
Huang Qin Wu Wei San, for Water and Grain Dysentery. Signs: severe abdominal pain, no obstruction to eating, but dysentery immediately after eating, food fully digested but turns to water, unlimited frequency, more food leads to more discharge, less food leads to less discharge. Suitable for these symptoms.
Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex, each 5 liang), Huang [Missing Character, likely Huang Qi or similar], Long Gu (Fossilia Ossis Mastodi et Scapulae, 6 liang). Grind into powder, take with drink. Initial dose: one large tea spoon, twice daily. Gradually increase to 2-3 spoons. Stop when cured. Avoid pork, cold water, etc.
Treating Water and Grain Dysentery:
Huang Lian (Coptidis Rhizoma, 2 liang), Huang Bo (Phellodendri Cortex, 2 liang), E Jiao (Colla Corii Asini, 2 liang, processed). Grind into powder. Dissolve E Jiao in half sheng of vinegar and half sheng of honey. Mix in other drugs to form pills. Take 3 pills with drink, four times daily.
Bai Hao Fang, treats sudden summer Water Diarrhea:
Dry Bai Hao Ye (Artemisiae argyi folium? Or specific Artemisia species, literally "White Mugwort Leaf"), grind to powder. Mix with rice, one spoonful, eat on empty stomach.
Formula for Treating Water and Grain Diarrhea:
Take 1 sheng of Huang Lian (Coptidis Rhizoma), select golden ones, crush. Mix with 5 he of aged rice. Decoct in 7 sheng of water until reduced to 2 sheng. Divide into two doses.
An Shi Liu Tang, treats Water Diarrhea and Red-White Dysentery, critical condition nearing death, intestinal slippage, untreatable by doctors.
Gan Jiang (Zingiberis Rhizoma), Huang Bo (Phellodendri Cortex, each 2 liang), Shi Liu (Punica granatum, 1 fruit, or 2 small shells), E Jiao (Colla Corii Asini, 2.5 liang, cut, processed). Decoct in 3 sheng of water until reduced to 1.2 sheng. Strain, melt gelatin. Take in one dose for cure. If not resolved, repeat. Good for elderly and children. Reduce dose for emaciated. Alternative: omit Huang Bo, use Huang Lian.
Treating Water and Grain Dysentery: Discharge has no red color, only yellow foam, occasionally white foam, decreased appetite, sallow and emaciated body. This formula is suitable.
He Zi (Chebulae Fructus, wrapped in flour, roasted, remove pit, use peel), Bo Shang Huang [Specific Coptis or similar, literally "Shipborne Yellow"], Huang Ju Pi (Citri Reticulatae Pericarpium), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma, each 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 stalks, processed), Rou Dou Kou (Myristicae Semen, 1 piece). Fine grind and sieve. Roll in Bo Shang Huang powder to mix evenly. Use Coix Seed powder and congee to make pills the size of Sophora seeds. Bake dry quickly. Take 50 pills with rice water on empty stomach. Must be baked dry to preserve medicinal energy.
Treating Persistent Water and Grain Dysentery Not Healing:
Hou Po (Magnoliae Officinalis Cortex, 3 liang), Huang Lian (Coptidis Rhizoma, 3 liang). Cut, decoct in 3 sheng of water until reduced to 1 sheng. Take on empty stomach.