某 感暑致痢，热渴烦冤，里迫后重，红白稠粘，此湿热蕴结也。用六一散加花粉、薏仁、薄荷梗、枳
壳、赤苓、赤芍、丹皮。热退，后重亦减，去花粉、薄荷、丹皮，加黄芩、白芍（俱酒炒）、煨木香、陈皮。
数服愈。
幼子 噤口秋痢，身热小腹坠痛，初痢稠红，次下血水，日夜无度，此热邪阻脘，气滞下焦，迫伤营分。
初用枳壳、栝蒌仁（俱炒）、黑山栀、赤苓、苏梗、木香以导热而通逆。继用白芍、甘草（炙黑）、茴香、炮姜、
黑楂肉以缓中而温下。后用石莲、潞参、茯神、砂仁、薏仁、熟地炭、山药、红枣、粳米以扶阳而和阴，
渐次调理获痊。
包氏 春雨连旬，感湿成痢，脘闷食减，其治在脾。用平陈汤去甘草，加神曲、谷芽（俱炒）、薏米
煎汤，一服便减。再加炮姜、砂仁，服愈。
堂弟 初秋患痢，因热渴多服梨、藕、莱菔，上吐下痢，口噤不食，奄卧昏沉，脉细欲绝，肢厥目瞑齿噤，
汤药难下，急用附子理中汤去参、草。制川附（二钱）、炮姜（二钱）、制半夏（三钱）、白蔻仁（八分），
煎汤，用箸启齿，以匙挑与之。尽剂手足渐温，与粥汤不吐矣。前方加陈皮、茯苓、炙草、谷芽，再剂痢渐止。
嗣用香砂六君子汤而安。
孙 数年久痢，必伤肾阴，但知健脾，不节腥腻，恐脾阳不复，肾阴益亏。用缪仲淳脾肾双补丸，人参、
茯苓、山药、山萸、
菟丝饼、砂仁、肉蔻、补骨脂、炮姜、南烛子、莲实，糊丸，一服而效。
王 痢久鲜红，里急肛坠，兼患三阴疟发，皆暑湿热之邪留恋经腑。但久痢伤肾，久疟伤脾，痢疟合邪，足
三阴交损，势必支离困顿。根据经旨热淫于内，以酸收，以苦发。用制浓朴、酒黄连（各五分）、乌梅（二枚）、
甘草（炙黑，一钱）、白芍、赤苓、陈皮、黑荆芥（各钱半）、鲜夜交藤（五钱）、二服痢俱止。
李氏 滞下自秋入冬，脉缓能食，前用升提止涩两不效者，以症非气滑脱陷也。今小腹痛辄下稠垢，非温通
不愈，勿以休息痢混，行补摄治。小茴香（炒，八分）、干姜（八分）、煨木香（五分）、广皮、炙草（各六分）、
砂仁（一钱）、地榆（酒炒，八分）、数服止。
张氏女 冬初胸脘热痛，食后胀痢血，脉小数，左关尺为甚，阴阳两伤，天癸将至之年得此，惧延损怯。
栝蒌仁（炒，钱二分）、枳壳、黄芩、白芍（俱炒，钱半）、浓朴（制，五分）、地榆（酒炒，八分）、生
地炭（钱半）、诸症渐减，去栝蒌、黄芩、浓朴，加当归（醋炒）、香附（便制。各钱半）、红曲（一钱）、
血痢亦稀，后服六味丸而安。
朱 少年血痢，由初春迄冬未瘳，阴络久损，中间秋凉感疟，经邪或夹食滞。治者不分经络，妄投大黄、
枳实、延胡等，通降理瘀，元气益削，脉沉弱少神。今冬怯寒食少，日夜利血十数行，腹不痛而滑泄，治取温
涩以摄真元。潞参、茯苓、黑甘草、炮姜、肉蔻、牡蛎（醋 ）、山药（炒）、诃子肉，一服已减，十数服全
止。
族某 初春痛痢，痢后鲜血点滴，腹痛后重，脉大，口燥怯冷，动则气急。六旬以上，痢久阴伤及阳，
大忌发热。仿驻车丸，去黄连，用乌梅、阿胶（煨冲）、当归、白芍、熟地（俱炒）、五味、木香（煨）、炙
草，粳米汤煎。三服痢稀血止，去乌梅、木香，加参、 、陈、苓、莲、姜，十数服而平。
谭氏 六旬外，下痢旬余，犹然腹痛后重，溺涩脉洪，目赤颧红，寤烦口干。忽而香连丸，忽而粟壳汤，
忽而大黄，忽而肉桂，用药前后不伦，失于疏理。先以荸荠粉、山栀、石斛、丹皮、赤苓、麦冬、白芍、木
香汁、枳壳、地榆、灯心，一啜诸症减，纳粥糜矣。转方，用煨木香、陈皮、白芍、当归、茯苓、地榆、车前
子、甘草梢，痢大减，惟腹痛不定一处，则虚气滞也。用葱姜末炒麦麸，绢包热熨，痛已，服调理药而安。
某患者因感受暑邪导致痢疾，出现发热、口渴、心烦郁闷的症状，腹部有急迫感且肛门坠胀（里急后重），排泄物为红白相间、质地稠厚黏腻，这是湿热蕴结于体内的表现。使用六一散加天花粉、薏苡仁、薄荷梗、枳壳、赤茯苓、赤芍、牡丹皮治疗。热退后，肛门坠胀感也减轻，去掉天花粉、薄荷、牡丹皮，加入黄芩、白芍（均用酒炒）、煨木香、陈皮。服用数剂后痊愈。
幼童患有噤口痢（指痢疾伴见呕吐不能进食者）且发病于秋季，身体发热，小腹坠痛，初起下痢稠厚带红，随后排出血水，日夜无节制，这是热邪阻滞胃脘，气机滞留在下焦，逼迫损伤营分所致。起初使用枳壳、瓜蒌仁（均炒制）、黑山栀、赤茯苓、苏梗、木香以引导热邪下行并疏通逆乱之气。接着使用白芍、甘草（炙黑）、小茴香、炮姜、黑山楂肉以缓和中焦并温补下焦。后来使用石莲子、党参、茯神、砂仁、薏苡仁、熟地黄炭、山药、红枣、粳米以扶助阳气并调和阴液，逐渐调理后康复。
包姓患者春雨连绵十余日，感受湿邪而成痢疾，胃脘闷胀、食欲减退，治疗重点在脾脏。使用平陈汤去掉甘草，加入神曲、谷芽（均炒制），用薏米煎汤送服，一服药后症状即减轻。再加炮姜、砂仁，服用后痊愈。
堂弟在初秋患痢疾，因口渴多食梨、藕、莱菔（萝卜），导致上吐下痢，口噤不能进食，昏睡不醒，脉象细弱几乎摸不到，四肢厥冷、闭目、牙关紧闭，汤药难以喂入，紧急使用附子理中汤去掉人参、甘草。制成川附子（二钱）、炮姜（二钱）、制半夏（三钱）、白蔻仁（八分），煎成汤剂，用筷子撬开牙齿，用勺子挑着喂服。服完一剂后手足逐渐回暖，喝粥汤也不再呕吐。前方加入陈皮、茯苓、炙甘草、谷芽，再服两剂后痢疾逐渐停止。随后使用香砂六君子汤而安定康复。
孙姓患者多年久痢，必然损伤肾阴，但如果只知道健脾，又不节制食用腥膻油腻食物，恐怕脾阳无法恢复，肾阴会更加亏损。使用缪仲淳的脾肾双补丸，含有人参、茯苓、山药、山茱萸、菟丝饼、砂仁、肉豆蔻、补骨脂、炮姜、南烛子、莲子，糊丸制作，服用一剂即见效。
王姓患者痢疾日久，血色鲜红，里急后重，同时患有三阴疟疾发作，这都是暑湿热之邪留恋于经络和脏腑所致。但久痢损伤肾脏，久疟损伤脾脏，痢疾与疟疾合邪，足三阴经受损严重，势必导致身体支离破碎、困顿不堪。根据经典理论“热淫于内”，采用酸味收敛、苦味发散的方法。使用制厚朴、酒黄连（各五分）、乌梅（两枚）、甘草（炙黑，一钱）、白芍、赤茯苓、陈皮、黑荆芥（各钱半）、鲜夜交藤（五钱），服用两剂后痢疾全部停止。
李氏患者痢疾从秋季持续到冬季，脉象缓弱但能进食，之前使用升提止涩法无效，是因为病症并非气虚滑脱陷下所致。如今小腹痛时则排出稠厚污秽物，不用温通之法不能痊愈，不要将其混同为休息痢而采用补摄治法。使用小茴香（炒，八分）、干姜（八分）、煨木香（五分）、广陈皮、炙甘草（各六分）、砂仁（一钱）、地榆（酒炒，八分），服用数剂后停止。
张姓女子初冬时节胸脘部热痛，进食后腹胀、下痢带血，脉象细数，左侧关部和尺部尤为明显，阴阳两伤，在天癸（月经）将至之年得此病，担心延转为虚损劳怯之症。使用瓜蒌仁（炒，钱二分）、枳壳、黄芩、白芍（均炒，钱半）、厚朴（制，五分）、地榆（酒炒，八分）、生地黄炭（钱半），诸症逐渐减轻，去掉瓜蒌、黄芩、厚朴，加入当归（醋炒）、香附（便制，各钱半）、红曲（一钱），血痢也变得稀少，后来服用六味丸而安定康复。
朱姓少年患血痢，从初春持续到冬季未愈，阴络长期受损，中间秋季受凉感染疟疾，外邪可能夹杂食滞。治疗者不分经络，妄投大黄、枳实、延胡索等药，试图通降理瘀，导致元气更加削弱，脉象沉弱少神。今年冬天畏寒、食量减少，日夜拉血十多次，腹部不痛但滑泄不止，治疗采取温涩法以固摄真元。使用党参、茯苓、黑甘草、炮姜、肉豆蔻、牡蛎（醋制）、山药（炒）、诃子肉，服用一剂已减轻，服用十数剂后完全停止。
同族某人初春患痛痢，痢后鲜血点滴而出，腹痛且肛门坠胀，脉象大，口干怕冷，活动则气短急促。六十岁以上，久痢导致阴伤及阳，非常忌讳发热。仿照驻车丸方，去掉黄连，使用乌梅、阿胶（煨后冲服）、当归、白芍、熟地黄（均炒）、五味子、木香（煨）、炙甘草，用粳米汤煎服。服用三剂后痢疾变稀、血止，去掉乌梅、木香，加入人参、[原文缺字，推测为黄芪或类似补气药]、陈皮、茯苓、莲子、生姜，服用十数剂后平稳。
谭氏患者六十多岁，下痢十余天，仍然腹痛且肛门坠胀，小便涩痛、脉象洪大，眼睛发红、颧骨潮红，夜间烦躁、口干。忽而使用香连丸，忽而使用粟壳汤，忽而使用大黄，忽而使用肉桂，用药前后杂乱无章，失于疏理。先用荸荠粉、山栀、石斛、丹皮、赤茯苓、麦冬、白芍、木香汁、枳壳、地榆、灯心草，一服药后诸症减轻，能够吃粥糜了。转换方剂，使用煨木香、陈皮、白芍、当归、茯苓、地榆、车前子、甘草梢，痢疾大幅减轻，只是腹痛位置不定，这是虚气滞留所致。用葱姜末炒麦麸，用绢布包好热敷，疼痛消失后，服用调理药物而安定。
A patient contracted dysentery due to summerheat, presenting with fever, thirst, and mental restlessness. There was a sense of urgency in the abdomen and tenesmus (里急后重), with discharge that was red and white, thick, and sticky; this indicates damp-heat accumulation. Liu Yi San (Six-to-One Powder) was used with added Trichosanthis Radix (Huafen), Coicis Semen (Yiren), Menthae Haplocalycis Caulis (Bohegeng), Aurantii Fructus (Zhike), Poria Cocos with Red Cortex (Chiling), Paeoniae Radix Rubra (Chishao), and Moutan Cortex (Danpi). After the fever subsided and tenesmus decreased, Huafen, Bohe, and Danpi were removed, and Scutellariae Radix (Huangqin), Paeoniae Radix Alba (Baishao) [both wine-fried], Aquilae Lignum Preparatum (Weimuxiang), and Citri Reticulatae Pericarpium (Chenpi) were added. After several doses, the condition resolved.
A young child suffered from Jin Kou Dysentery (thirstless dysentery with inability to eat) in autumn, accompanied by fever and lower abdominal dragging pain. Initially, the stool was thick and red, followed by bloody water, occurring day and night without restraint. This was caused by heat pathogen obstructing the epigastrium, qi stagnation in the lower jiao, and forcing damage to the Ying (Nutritive) level. Initially, Zhike, Trichosanthis Semen (Gualouren) [both fried], Gardeniae Fructus Nigra (Heishanzhi), Chiling, Perillae Caulis (Sugeng), and Muxiang were used to guide heat downward and unblock rebellious qi. Subsequently, Baishao, Glycyrrhizae Radix et Rhizoma (Gancao) [charred black], Foeniculi Fructus (Huixiang), Zingiberis Rhizoma Preparatum (Paojiang), and Zizyphi Fructus Nigra (Heizharou) were used to soothe the middle and warm the lower jiao. Later, Nelumbinis Plumula (Shilian), Codonopsis Radix (Lushen), Poria Cocos (Fushen), Amomi Fructus (Sharen), Yiren, Rehmanniae Radix Preparata (Shuditan), Dioscoreae Rhizoma (Shanyao), Jujubae Fructus (Hongzao), and Oryza Sativa (Jingmi) were used to support Yang and harmonize Yin. Gradual regulation led to recovery.
Mr. Bao suffered from dampness-induced dysentery after continuous spring rain for over ten days, presenting with epigastric fullness and reduced appetite; the treatment focused on the Spleen. Ping Chen Tang was used with Gancao removed, adding Shenqu, Setariae Fructus (Guyaya) [both fried], decocted with Yimi. One dose brought relief. Paojiang and Sharen were then added, leading to cure.
The author's cousin developed dysentery in early autumn. Due to excessive consumption of Pear, Lotus Root, and Raphani Fructus (Laifu) for thirst, he experienced vomiting and diarrhea, mouth closure preventing eating, lethargy, and faint consciousness. The pulse was fine and nearly imperceptible, limbs were cold, eyes closed, and teeth clenched, making oral medication difficult. Fuzi Lizhong Tang was urgently administered, removing Renshen and Gancao. Prepared Chuan Fuzi (2 qian), Paojiang (2 qian), Banxia Preparata (3 qian), and Amomi Fructus Baikou (8 fen) were decocted. Using chopsticks to open the teeth and a spoon to administer, one full dose warmed the limbs, and porridge could be taken without vomiting. Zhike, Fuling, Zhigancao, and Guya were added to the previous formula. Two more doses stopped the dysentery. Xiangsha Liujunzi Tang was subsequently used for stabilization.
Sun suffered from chronic dysentery for years, inevitably damaging Kidney Yin. If only the Spleen is tonified without avoiding greasy and fishy foods, Spleen Yang may not recover, and Kidney Yin will further decline. Miuzhongchun's Pi Shen Shuangbu Wan was used, containing Renshen, Fuling, Shanyao, Corni Fructus (Shanyu), Cuscutae Semen Biscuit (Tusibing), Sharen, Myristicae Semen (Roukou), Psoraleae Fructus (Buguzhi), Paojiang, Photiniaefolii Fructus (Nanzhu), and Nelumbinis Semen (Lianshi), made into pills with paste. One dose showed effect.
Wang had chronic dysentery with fresh red blood and tenesmus, complicated by San Yin Malaria attacks. These were lingering Summerheat-Damp-Heat pathogens in meridians and fu-organs. Chronic dysentery damages the Kidney, and chronic malaria damages the Spleen. With both pathogens combined, the three Yin meridians of the foot are severely impaired, leading to debility. According to classic principles for "Heat rampant within," sour astringents and bitter dispersants were used. Prepared Magnoliae Officinalis Cortex (Zhinoupo), Scutellariae Radix Wine-processed (Jiu Huanglian) [each 5 fen], Mume Fructus (Wumei) [2 pieces], Gancao [charred black, 1 qian], Baishao, Chiling, Chenpi, Schizonepetae Spica Nigra (Heijingjie) [each 1.5 qian], and Polygoni Multiflori Caulis Recens (Xian Yejiaoteng) [5 qian] were used. Two doses stopped the dysentery completely.
Ms. Li suffered from dysentery from autumn to winter. The pulse was slow, and she could eat. Previous lifting and astringent treatments failed because the syndrome was not Qi sinking or slipping. Now, lower abdominal pain triggers discharge of thick filth; only warming and unblocking can cure it. Do not confuse it with Resting Dysentery (Xiuxi Li) and treat with tonification and retention. Fried Foeniculum Vulgare Fructus (Xiaohuixiang) [8 fen], Gingeris Rhizoma (Ganjiang) [8 fen], Aquilae Lignum Preparatum (Weimuxiang) [5 fen], Guangpi, Zhigancao [each 6 fen], Sharen [1 qian], Sanguisorbae Radix (Diuyu) [wine-fried, 8 fen] were used. Several doses stopped the symptoms.
Miss Zhang suffered from epigastric heat and pain in early winter, with bloating and bloody dysentery after eating. The pulse was fine and rapid, especially at the left Guan and Chi positions. Both Yin and Yang were injured. At an age when Tian Gui (menstruation) was approaching, this condition feared progression to consumptive weakness. Fried Trichosanthis Semen (Gualouren) [1.2 qian], Zhike, Huangqin, Baishao [both fried, 1.5 qian], Prepared Magnoliae Officinalis Cortex (Noupo) [5 fen], Diuyu [wine-fried, 8 fen], Rehmanniae Radix Preparata (Shengditantan) [1.5 qian] were used. Symptoms gradually decreased. Gualou, Huangqin, and Noupo were removed. Danggui [vinegar-fried], Cyperi Rhizoma (Xiangfu) [both 1.5 qian], and Red Yeast Rice (Hongqu) [1 qian] were added. Bloody dysentery became sparse. Liuwei Wan was taken later for stability.
Zhu, a youth, suffered from bloody dysentery from early spring to winter without cure. The Yin collaterals were long damaged. During autumn coolness, he caught malaria, where external pathogens may have mixed with food stagnation. Practitioners ignored meridians and recklessly administered Dahuang, Zhishi, and Corydalis Rhizoma (Yanhusu) to promote descending and resolve stasis, further depleting Yuan Qi. The pulse was deep, weak, and lacking spirit. In winter, he felt cold, ate little, and passed blood ten-plus times daily. The abdomen did not hurt, but there was slippery incontinence. Treatment adopted warming and astringing to secure True Yuan. Lushen, Fuling, Hei Gancao, Paojiang, Roukou, Ostreae Concha (Muli) [vinegar-processed], Shanyao [fried], and Terminalia Chebula Fructus Meat (Hezire) were used. One dose reduced symptoms; ten-plus doses stopped them completely.
A clan member suffered from painful dysentery in early spring, with fresh blood dripping after defecation, abdominal pain, and tenesmus. The pulse was large, mouth dry, and aversion to cold; exertion caused shortness of breath. Over sixty years old, chronic dysentery damaged Yin affecting Yang. Fever is strictly contraindicated. Following the Chuche Wan formula, Huanglian was removed. Wumei, Ejiao [roasted and dissolved], Danggui, Baishao, Shudi [all fried], Wuweizi, Muxiang [roasted], Zhigancao were decocted in Jingmi soup. Three doses thinned the dysentery and stopped bleeding. Wumei and Muxiang were removed. Renshen, [missing character, likely Huangqi], Chenpi, Fuling, Lianzi, Jiang were added. Ten-plus doses stabilized the condition.
Ms. Tan, over sixty, suffered from dysentery for over ten days, with persistent abdominal pain and tenesmus. Urination was difficult, pulse was surging, eyes were red, malar flush was present, and she suffered nighttime irritability and dry mouth. Treatments alternated randomly between Xianglian Wan, Sukeshang Tang, Dahuang, and Rougui, showing lack of coherence. Initially, Marantis Pulvis (Biqifen), Gardeniae Fructus (Shanzhi), Dendrobii Caulis (Shihu), Danpi, Chiling, Ophiopogonis Radix (Maidong), Baishao, Muxiang Juice, Zhike, Diuyu, and Juncus Effusus (Dengxin) were used. One drink reduced symptoms, and she could eat porridge. The formula was changed to Weimuxiang, Chenpi, Baishao, Danggui, Fuling, Diuyu, Plantaginis Semen (Cheqianzi), and Gancao Shao. Dysentery greatly reduced. However, abdominal pain moved to different locations, indicating stagnant deficient Qi. Wheat bran fried with Jiang and Congbai was wrapped in silk and applied hot. Pain ceased, and regulating medicine restored health.