严氏乌梅丸治热留肠胃下痢纯血脐腹 痛
乌梅肉(二两) 当归 枳壳(各一两) 黄连(二两)
上为细末醋糊丸桐子大每服七十丸食前米饮下元戎乌梅散治下痢津少大渴引饮不休
乌梅(焙干半两) 茯苓(一两) 木爪(一两) 一法加桂(三钱半)
上咀每服五钱生姜三片煎
按仲景乌梅丸治伤寒吐蛔后人用治下痢此皆酸收之义出太阳桂苓例药也
局方胃风汤治风冷乘虚入客肠胃水谷不化泄泻注下及肠胃湿毒如下豆汁或下瘀血日夜无
度
人参 白茯苓 芎 桂 当归 白芍 白术(各等分)
上粗散每服二钱入粟米数粒同煎食前服
按此方名为治风而实非治风乃补血和血益胃气之药下血痢而挟虚者实可倚仗出太阳桂苓
例药也
良方加味四物汤治血痢
四物加阿胶艾叶
保命集一方四物内加槐花黄连御米壳等分
按此补血温血之药出厥阴例药也
宣明白术汤治孕妇痢脓血
白术 黄芩 当归(各等分)
上为末每服三二钱水煎食前服
良方十全大补汤治一切妇人病痢四十日诸药不愈六脉沉弱大凡痢脉宜沉宜弱但服此药而
愈(方见补剂)
上姜枣煎成加白蜜半匙再煎数沸服
良方治妊娠下痢腹痛小便涩
糯米(一合) 当归(炒) 黄 (各一两)
上细切和匀水煎服
按此二方不分经络补血之剂今人治痢而用此者盖鲜矣殊不知血气虚脱之人与夫胎前产后
之证此法不可无也故特立条目以表章之
严氏乌梅丸用于治疗热邪滞留肠胃导致的下痢纯血、脐腹部疼痛。
配方：乌梅肉（二两）、当归、枳壳（各一两）、黄连（二两）。
制法与用法：将上述药材研为细末，用醋调糊制成梧桐子大小的药丸。每次服用七十丸，饭前用米汤送服。
元戎乌梅散用于治疗下痢导致津液亏损、大渴引饮不止的症状。
配方：乌梅（焙干半两）、茯苓（一两）、木瓜（一两）。另一种方法加入桂枝（三钱半）。
制法与用法：将药材切碎，每次服用五钱，加生姜三片，水煎服。
按语：张仲景的乌梅丸用于治疗伤寒吐蛔虫，后人将其用于治疗下痢，这都是利用酸味收敛的作用，其理法出自太阳病的桂苓类方剂。
局方胃风汤用于治疗风冷乘虚侵入肠胃，导致水谷不化、泄泻注下，以及肠胃湿毒表现为排出如豆汁样的脓血或瘀血，日夜无度。
配方：人参、白茯苓、川芎、桂枝、当归、白芍、白术（各等分）。
制法与用法：将药材制成粗散，每次服用二钱，加入几粒粟米同煎，饭前服用。
按语：此方名为治风，实则并非祛风，而是补血和血、益胃气的药物。对于下血痢且兼有虚证的患者，确实可以倚仗此方，其理法出自太阳病的桂苓类方剂。
《保命集》一方：在四物汤中加入槐花、黄连、御米壳（罂粟壳）等量。
宣明白术汤用于治疗孕妇患痢疾，排出脓血。
配方：白术、黄芩、当归（各等分）。
制法与用法：将药材研为末，每次服用二三钱，水煎，饭前服用。
良方十全大补汤用于治疗所有妇人患痢疾四十日，诸药无效，六脉沉弱。大凡痢疾的脉象宜沉宜弱，但服用此药而痊愈。（方剂见补剂章节）
制法与用法：加生姜、大枣煎成，加入半匙白蜜，再煮沸数沸后服用。
良方治疗妊娠期间下痢腹痛、小便涩滞。
配方：糯米（一合）、当归（炒）、黄芪（各一两）。
制法与用法：将药材细切和匀，水煎服。
按语：这两个方剂不分经络，属于补血之剂。如今人治疗痢疾使用此方的情况很少。殊不知对于气血虚脱之人，以及胎前产后之证，此法是不可缺少的。因此特别设立条目以表彰其价值。
Yan's Wumei Wan (Mume Pill) is used to treat dysentery with pure blood, and pain in the umbilical and abdominal regions caused by heat lingering in the intestines and stomach.
Ingredients: Sarcocarpa Mume Flesh (Wumei Rou, 2 liang), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus Immaturus, each 1 liang), Huanglian (Coptidis Rhizoma, 2 liang).
Preparation and Administration: Grind the above ingredients into a fine powder, use vinegar paste to form pills the size of paulownia seeds. Take 70 pills per dose before meals, washed down with rice water.
Yuanrong's Wumei San (Mume Powder) is used to treat dysentery resulting in fluid deficiency, excessive thirst, and unceasing desire to drink.
Ingredients: Sarcocarpa Mume (Wumei, roasted dry, half liang), Poria (Fuling, 1 liang), Chaenomelis Fructus (Mu Gua, 1 liang). Another method adds Cinnamomi Ramulus (Guizhi, 3 qian half).
Preparation and Administration: Cut the ingredients coarsely. Take 5 qian per dose, add 3 slices of Zingiberis Recens Rhizoma (Shengjiang), decoct in water.
Note: Zhang Zhongjing's Wumei Wan treats vomiting of roundworms due to Cold Damage (Shanghan). Later generations used it to treat dysentery. This all relies on the principle of sour astringency, derived from the Guiling category of formulas for Taiyang disease.
Ju Fang Weifeng Tang (Stomach Wind Decoction from the Bureau Formulary) is used when wind-cold invades the intestines and stomach due to deficiency, causing undigested food and water to pass through, diarrhea, and intestinal damp-heat toxins manifesting as discharge resembling bean curd juice or dark blood, day and night without limit.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria Cum Ligno Quercus, equal parts), Xiong (Chuanxiong Rhizoma), Guizhi (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma, equal parts).
Preparation and Administration: Make into a coarse powder. Take 2 qian per dose, add a few grains of Setaria Italica (Sumi), decoct together, take before meals.
Note: Although this formula is named for treating wind, it does not actually dispel wind; rather, it is a medicine that tonifies blood, harmonizes blood, and benefits stomach qi. For bloody dysentery complicated by deficiency, it is indeed reliable. Its theoretical basis comes from the Guiling category of formulas for Taiyang disease.
Liang Fang Jiawei Siwu Tang (Modified Four Substances Decoction from Good Prescriptions) is used to treat bloody dysentery.
Ingredients: Siwu Tang (Four Substances Decoction) plus Ejiao (Donkey-hide Gelatin) and Aiyè (Artemisiae Argyi Folium).
Baoming Ji Formula: In Siwu Tang, add equal parts of Huaihua (Sophorae Flos), Huanglian (Coptidis Rhizoma), and Yumike (Papaveris Pericarpium).
Note: These are medicines that tonify blood and warm blood, derived from the Jueyin category of formulas.
Xuanming Baizhu Tang (Baizhu Decoction from Xuanming) is used to treat pregnant women suffering from dysentery with pus and blood.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix, equal parts).
Preparation and Administration: Grind into powder. Take 2-3 qian per dose, decoct in water, take before meals.
Liang Fang Shiquan Dabu Tang (Complete Great Tonifying Decoction from Good Prescriptions) is used for all women's diseases involving dysentery lasting forty days, where other medicines have failed, and the six pulses are deep and weak. Generally, the pulse in dysentery should be deep and weak, but recovery occurs after taking this medicine. (See Tonifying Formulas section for the formula).
Preparation and Administration: Decoct with Shengjiang (Zingiberis Recens Rhizoma) and Dazao (Jujubae Fructus), add half spoon of Apis Mellifica (Baimi), boil a few more times, then take.
Liang Fang treats dysentery with abdominal pain and difficult urination during pregnancy.
Ingredients: Nuomi (Oryza Sativa Glutinosa Semen, one he), Danggui (Angelicae Sinensis Radix, stir-fried), Huangqi (Astragali Radix, equal parts).
Preparation and Administration: Cut finely, mix evenly, decoct in water, and take.
Note: These two formulas do not distinguish by meridians; they are blood-tonifying agents. It is rare nowadays to use these for treating dysentery. However, one must not ignore that for patients with depletion of qi and blood, or conditions before and after childbirth, this method is indispensable. Therefore, specific entries are established to highlight their value.