〔大〕若下清水其色赤黄，或米谷不化，但欲饮冷，时时呕逆，小便不利，得热则极，
心胸烦躁，脉虚大而数，此由乘虚热入于胃，凑渗下焦，津液不分，并于大肠，谓之协热
下利。先用五苓散利小便，次以玉粉丹、四味阿胶丸。
〔薛〕前证若胃气虚弱，用补中益气汤。肝木侮脾土，用六君子汤。郁结伤脾土，用
归脾汤。命门火衰，用八味地黄丸。余参各论主之。一妇人五月间患痢，日夜无度，小
腹坠痛，发热恶寒。余以为脾气虚弱，用六君子汤送香连丸，二服渐愈，仍以前汤送四
神丸，四服全愈。至七月终，怠惰嗜卧，四肢不收，体重节痛，口舌干燥，饮食无味，大
便不实，小便频数，洒淅恶寒，凄惨不乐，此肺与脾胃虚而阳气不伸也，用升阳益胃汤而痊。
玉粉丹
蛤粉 硫黄（等分）
上同研细，白面糊和丸如梧桐子大。每服五十丸，米饮下。
四味阿胶丸
黄连 赤茯苓（去皮，各一两） 芍药（三两） 阿胶（炒燥，一两）
上先将三味为末，却以好醋熬阿胶成稀膏，丸如梧桐子大，米饮下三十丸。
《补遗》协热而利，《活人书》黄芩汤、赤石脂丸，《局方》益元散皆可。
（男女痢治无异，已详《杂病准绳》，此特摭遗耳。）
〔大〕夫赤白痢疾者，古人名之滞下是也。究疾之原，皆因外感五邪之气，内伤生
硬冷热之食。其证不一，有赤有白，有赤白相杂，有冷有热，有虚有实。大抵四时皆以
胃气为本，未有不因外感寒暑燥湿风之气而伤于脾胃，脾胃既亏，而又内伤饮食，饮食
不能克化，致令积滞而成滞下。古人云∶无积不成痢者此也。经云∶春伤于风，夏生飧
泄。盖风喜伤肝，然春时肝木正旺而不受邪，反移气克于脾土。然脾既受克，又不能忌慎
口腹，恣食生冷粘硬之物，致令脾胃不能克化，因此积滞。又夏秋之间，或再感暑湿风
冷之气，发动而成痢也。其证必先脐腹 痛，洞泄水泻，里急后重，或有或无，或赤或白，
或赤白相杂，日夜无度，如有此证，不问冷热虚湿，但当先服神术散，可以发散风冷寒
湿之气，次服五苓散分利水谷，兼用加巴感应丸，温脾胃去积滞，或六神丸，未有不安
者也。或曰∶虽古人有言无积不成痢，亦不专以去积为先，岂有一岁之内，独于夏秋之
间，人皆有积而春冬无之。盖风邪入胃，木来胜土，不为暴下则为痢疾，其神术散要药
也。又有一方一郡之内，上下传染，疾状相似，或只有一家长幼皆然，或上下邻里间相
传染，或有病同而证异，亦有证异而治同，或用温剂而安，或用凉药而愈，有如此等是毒
疫痢也。治疫毒痢者，虽当察五运六气之相胜，亦不可狎泥此说，且如运气相胜，岂独
偏于一方一郡，而偏于一家一巷者乎？如有此证，当先察其虚实冷热，首以败毒散多加
人参、甘草、陈米、姜、枣煎服，及三黄熟艾汤、黄连阿胶丸，五苓散、驻车丸，可选
而用之。如下痢赤多，或纯下鲜血，里急后重，大便不通，身体壮热，手足心热，心烦
躁渴，腹胁胀痛，小便赤涩，六脉洪大，或紧而数，或沉而实，此热痢也。宜白头翁汤
及三黄熟艾汤、五苓散，可选而用之。若风痢下血太过，宜用胃风汤加木香、黑豆煎服。
若夏秋之间，下痢或赤或白，或赤白相杂，脐腹 痛，里急后重，憎寒发热，心胸烦闷，躁
渴引饮，呕逆恶心，小便不利，及五心烦热，六脉虚弱，此等脉证，正因伏暑而得此疾，宜
服香薷散加黄连、甘草、当归，酒水浓煎，沉
冷（杂病伤暑。）顿服，仍急服酒蒸黄连丸，或小柴胡汤加人参煎服必愈。（沈内翰云∶治痢之药极
多，然无如此药之妙，盖小柴胡汤能治暑毒。）如杂证一退，而痢尚未止，则以四物汤加胶，艾
煎服，以调阴阳，未有不安者也。如水谷不分，小便不利，宜用五苓散，淡竹叶煎汤调
服。如烦渴甚者，亦宜服之。若不明伏暑之证，但以脉虚而妄投硫、附、姜、桂、丹石
之药而杀之，深可叹息。若下痢纯白，状如鱼脑，脐腹冷痛，日夜无度，手足逆冷，或
有呕逆，全不入食，饮食欲温而恶冷，六脉微细，此由脏腑虚冷之极，宜木香散加服四
味理中汤及钟乳健脾丸，甚者四肢逆冷，六脉沉绝，当一味峻补，兼灸气海、丹田二穴，
更以助胃之药，此守而不攻之意也。宜四顺附子汤、三建丹、白丹、加味参附汤、姜附
汤，皆可选用。如年尊虚弱之人，或素来禀受怯弱，亦宜以此法详酌调理。然大宜开胃
进食为先，食可得入，则脾胃运化，糟粕便聚，糟粕既成垢腻，鲜血瘀滞，不患其不陨
矣。如久痢不瘥，肠滑不禁，溏泄不止，诸药无效，方可施之涩肠止痢之剂，亦宜先以
龙骨、肉豆蔻、诃子、钟乳、胡粉之药。近人多用罂粟壳、地榆之属，然此物性太紧涩，
能损胃气，如少壮之人，壮健者服之，间奏奇效。若是疫毒受暑受湿之证，及年尊之人，
或禀受怯弱，服此莫不受其大害。若以固秘涩肠为先，则风寒暑湿之邪，非惟涩而不去，
而胃管闭而不通，禁口不食。日见羸瘦，糟粕不入肠中，所患无由可除矣。若有此证，宜
以参苓白术散、四君子汤，及以石莲、山药之剂治之必愈。治痢欲投补药，必须有温通
之意在焉。如四君子汤、理中汤、十全汤加木香、白豆蔻、茯苓、官桂、浓朴之属，可
以散风邪，可以分水道，可以开胃管，可以治缠扰，可以通秘涩，此攻守之意两全也。大
抵治痢之法，虚者补之，实者泻之，滑者涩之，闭者通之，有积者推之，风则散之，暑
则涤之，湿则燥之，热则凉之，冷则温之，冷热者调之，以平为期，不可以过，此为大法。
祭酒林谦之说医人刘从周治病有功，议论殊不凡，且有验。云∶大凡痢疾，不问赤
白而为冷热之证，若手足和暖则为阳，只须服五苓散，用粟米饮调下，次服感应丸二十
丸即愈。若觉手足厥冷，则为阴，当服暖药，如已寒丸、附子之类。如此治痢，无不效。此
方亲曾用有效。有人夏月患痢，一日六七十行，用五苓散两服止。
〔薛〕东垣云∶太阴经受湿，水泻变脓血，脾传于肾者，谓之贼邪，难愈。先痢而
后泻者，谓之微邪，易痊。若厥阴经下痢，脉沉迟，手足厥逆，用麻黄小续命汤汗之。若
身冷自汗，小便自利，脉微呕吐，用浆水散温之。若脉疾身动，下迫声响，用白术芍药
汤。脉沉身静，饮食不入，用姜附汤。身体沉重，四肢不举，用术附汤。窃谓前证若饮
食停滞，用六君子汤以补脾胃，消饮食。若胃气下流，用补中益气汤以补脾胃，升元气。
若风伤肠胃，宜用神术散以补脾胃，解外邪。若痰积中焦，宜用六神丸以补脾胃，化痰滞。
大凡脾胃虚弱，宜补中气，调饮食。一老妇食后因怒患痢，里急后重，肛门脱下，此
脾气下陷，用大剂六君加附子、肉蔻、煨木香各一钱，吴茱五分，骨脂、五味各一钱五
分，二剂诸证悉退。惟小腹胀闷，此肝气滞于脾也，与调中益气加附子、木香五分，四
剂而愈。后口内觉咸，此肾虚水泛，与六味地黄丸二剂顿愈。又以饮食失宜，大便不实，
四肢逆冷，此脾胃复伤，与六君加附子五分及八味丸而愈。先太宜人仲夏患痢，腹痛
去后无度，烦渴饮汤，手按腹痛稍止，脉鼓指而有力，此真气虚而邪气实也，急用人参
五钱，白术、茯苓各三钱，陈皮、炙草、升麻、附子各一钱，服之即睡，觉而索食，脉
证顿退，再剂而安。此取证不取脉也。其时同患是证，服痢药者俱致不起，惜哉。
〔陈〕曾有一妇人病痢疾，阅四十日，服诸药不愈。召予诊之，六脉沉弱。大凡下
痢之脉宜沉宜弱，但以十全大补汤、姜枣煎成，加白蜜半匙，再煎数沸，服之愈。甲子
夏秋间，赵经略侄孙病痢甚重，召小方脉未至，命予诊之，六脉平细，以证观之，云是
血痢，其实非也，只是血水而已。予记调中汤治状，云治夏月初秋，忽有暴寒，折于盛
热，结入四肢，则壮热头痛，寒伤于胃，则下利或血、或水、或赤，壮热冥困脉数，宜
服此。遂合之，去大黄，服之而愈。又有一妇女泄泻不止，似痢非痢，似血非血，其
色如浊酒。召予诊之，则六脉沉绝，众用热药及丹药服之，则发烦闷。仆先用败毒散数
服，加陈米煎，次用胃风汤加粟米煎服愈。又调中汤去大黄，亦疗此证。
〔大〕白头翁汤 治热痢下血，连月不瘥。
白头翁（二两） 黄连 黄柏皮 秦皮（各三两）
上 咀，每服四钱，水一盏半，煎至七分，去滓无时温服。
神术散 治春伤于风，夏生飧泄。大治伤风头痛，项背拘急，鼻流清涕。
苍术（一斤） 本 川芎（各六两） 羌活（四两） 粉草（二两六钱） 细辛（一两六钱）
上为粗末，每服三钱，水一盏，姜三片，煎七分，要出汗加葱，去滓稍热服，无时候。
六神丸 治赤白痢疾。
神曲（别为末，留作糊） 麦芽 茯苓 枳壳 木香（煨，白痢倍之） 黄连（赤痢倍之，各等分）
为末，用神曲末作糊为丸桐子大。每服五十丸，赤痢甘草汤下，白痢干姜汤下，赤白痢
干姜甘草汤下。东山尧殿讲云∶是京城医官见传。予详此方有黄连可以解暑毒，和脏腑，浓肠胃。有
木香能温脾胃，逐邪气，止下利。有枳壳能宽肠胃。有茯苓能利水道，有神曲、麦芽，可以消滞。真痢门
之要药也。
三黄熟艾汤 治伤寒四五日大下，热痢时作，白通汤诸药多不止，宜服此汤除热止痢。
亦有人作丸子，熟水吞下四五十丸，治时行毒痢良验。
黄芩 黄连 黄柏（各二分） 熟艾（半个，鸡子大）
上 咀，每服三钱，水一盏，煎七分，去滓温服无时。
四顺附子汤
生附子（去皮脐） 白姜（炮） 甘草 人参（各一两）
上 咀，每服四钱，水二盏，煎至七分，去滓空心服，吐泻腹痛，加桂半两。小便不
利者，加茯苓半两。大凡痢疾虽体寒手足逆冷，冷汗自出，六脉沉伏，不宜轻用附子。多
因伏暑而得此疾，亦有冷汗自出，四肢逆冷，六脉虚弱，但背寒面垢，或面如涂油，齿干
烦冤，躁渴引饮，此伏暑证也。小柴胡汤、五苓散、酒蒸黄连丸必能奏效，学人宜精思耳。
三建丹
阳起石（ 飞，半两） 钟乳粉（一两） 大附子（炮，取末半两，入药一半，作糊一半）
上用附子糊丸如梧桐子大，每服五丸至十丸，空心温酒下。如渴，参汤下。
加味参附汤
大附子（二两半，炮） 大人参（五两）
上二味 咀，每服四钱，水二盏，姜十片，丁香十五粒，米一撮，煎至七分，空心
温服。
香茸丸 治下痢危困。
麝香（半钱，别研，临时入） 鹿茸（一两，火燎去毛，酥炙黄为末，入麝令匀）
上以灯心煮枣肉为丸，如梧桐子大，每服五十丸，空心服。缪立夫云∶有医者每
料入滴乳香半两尤有效。绍兴中，患痢疾多往往而死，凡平时所用治痢如罂粟壳之类，不
可向口，惟服此药及没石子丸愈。
调中汤
葛根 黄芩 芍药 桔梗 本 赤茯苓 白术 甘草（炙，各等分）
上 咀，每服三钱，水一盏，煎至七分，
去滓温服，移时再服。
胃风汤 治风冷乘虚客于肠胃，以致水谷不化，泄泻注下，或肠胃湿毒，下如豆汁，
或下瘀血。
人参 白茯苓 芎 肉桂 当归 白芍药（炒） 白术（炒，各等分）
上每服三二钱，入粟米数粒，水煎空心食前热服。
水煮木香丸 治久痢里急后重，日夜无度。
罂粟壳（去幅，三两） 青皮（去白） 甘草（炒，各二两四钱） 诃子（炮，去核，八两）
当归 木香（各六两）
上为末，炼蜜丸弹子大，每服一丸，水煎化空心服。
戊己丸 治胃经受热，泄痢不止，或饮食不入，腹痛不止。
黄连（炒） 吴茱萸（去梗，炒） 白芍药（各五两）
上为末，面糊丸桐子大，每服三十丸，食前米饮下。
升阳除湿防风汤 如大便闭塞，或里急后重，数至圊而不能便，或有白脓，或兼下
血，此郁结而不通也。以此汤举其阳，则阴气自降矣，慎勿利之。
苍术（米泔浸，四钱） 防风（二钱） 白术（炒） 白茯苓 白芍药（炒，各一钱）
先将苍术用水一盅半，煎至一盅，纳诸药同煎至八分，食前热服。夫饮食入胃，其
气上升，输精心肺，然后下降。若脾胃有伤，不能上升，下流肝肾而成泄利，法宜升补中
气，不可疏下。此东垣发前人所未论也。
三黄丸 治热痢腹痛，或口舌生疮，咽喉齿痛，及一切实火之证。
黄芩 黄连 黄柏（各等分）
上各另为末，水糊丸桐子大，每服七八十丸，白汤下。
芍药汤 治热痢便血后重。经曰∶溲而便脓血，此气行而血止也。行血则便脓自愈，
调气则后重自除。
芍药（炒，一两） 当归 黄连（炒，各半两） 槟榔 木香 甘草（炙，各二钱）
桂（二钱五分） 黄芩（炒，三钱）
上每服半两，水煎。如不减，加大黄。此证外有因中气虚弱，脾气郁结者。治当审察。
【戴元礼】如果下利清水，颜色赤黄，或者食物不消化，只想喝冷水，时常呕吐逆气，小便不通畅，遇到热症则病情加重，心胸烦躁，脉象虚大且数，这是因乘虚热邪侵入胃中，凑集渗入下焦，导致津液不能分清别浊，并流注于大肠，这叫做协热下利。先用五苓散通利小便，再用玉粉丹、四味阿胶丸治疗。
【薛己】上述证候如果胃气虚弱，用补中益气汤。肝木克制脾土，用六君子汤。郁结损伤脾土，用归脾汤。命门火衰，用八味地黄丸。其余参考各篇论述主治。有一位妇人在五月间患痢疾，日夜无度，小腹坠痛，发热恶寒。我认为这是脾气虚弱，用六君子汤送服香连丸，服用两剂后逐渐好转，仍然用前汤送服四神丸，服用四剂后完全痊愈。到了七月末，倦怠嗜睡，四肢无力不收，身体沉重关节疼痛，口舌干燥，饮食无味，大便不成形，小便频数，洒淅恶寒，凄惨不乐，这是肺与脾胃虚弱而阳气不能伸展，用升阳益胃汤而痊愈。
玉粉丹
蛤粉 硫黄（等分）
以上共同研细，用白面糊和药制成梧桐子大小的丸药。每次服用五十丸，米饮送下。
四味阿胶丸
黄连 赤茯苓（去皮，各一两） 芍药（三两） 阿胶（炒干，一两）
以上先将前三味药研为粉末，然后用好醋熬化阿胶成稀膏状，制成梧桐子大小的丸药，米饮送下三十丸。
《补遗》协热下利，《活人书》中的黄芩汤、赤石脂丸，《局方》中的益元散都可以使用。
（男女痢疾治疗没有不同，已在《杂病准绳》中详细说明，这里只是摘录遗漏的内容罢了。）
【戴元礼】所谓赤白痢疾，古人称之为滞下。探究疾病的根源，都是由于外感五邪之气，内伤生冷硬热的食物。其症状不一，有赤色，有白色，有赤白相杂，有冷证，有热证，有虚证，有实证。大抵四季都以胃气为本，没有不因外感寒暑燥湿风之气而损伤脾胃的，脾胃既然亏损，又内伤饮食，饮食不能消化，导致积滞而成滞下。古人说：“没有积滞就不会形成痢疾”，就是这个道理。经书说：“春天伤于风，夏天产生飧泄。”大概风邪容易伤害肝脏，然而春季肝木正当旺盛而不受邪气侵犯，反而将气转移克制脾土。既然脾土受到克制，又不能谨慎饮食，恣意吃生冷粘硬之物，导致脾胃不能消化，因此产生积滞。又在夏秋之间，如果再感受暑湿风寒之气，发动而成痢疾。其症状必定先出现脐腹疼痛，洞泄水泻，里急后重，或有或无，或赤或白，或赤白相杂，日夜无度，如果有这些症状，不论冷热虚实湿，都应当先服用神术散，可以发散风寒湿之气，再服用五苓散分利水谷，兼用加巴感应丸，温补脾胃去除积滞，或者六神丸，没有不安稳的。有人说：虽然古人说有积滞才成痢疾，但也不专门以去积为先，难道一年之内，唯独在夏秋之间，人人都有积滞而春冬没有吗？大概风邪入胃，木来胜土，不是暴下就是痢疾，神术散是主要药物。又有一种情况，一方一郡之内，上下传染，疾病状况相似，或者只有一家长幼皆然，或者上下邻里间相互传染，或者有病同而证异，也有证异而治同，或者用温剂而安，或用凉药而愈，有如此等的是毒疫痢。治疗疫毒痢，虽然应当观察五运六气的相胜关系，也不可拘泥于此说，况且运气相胜，难道只偏于一方一郡，而偏于一家一巷吗？如果有这种证候，应当先观察其虚实冷热，首先用败毒散多加人参、甘草、陈米、姜、枣煎服，以及三黄熟艾汤、黄连阿胶丸，五苓散、驻车丸，可以选择使用。如下痢赤多，或纯下鲜血，里急后重，大便不通，身体壮热，手足心热，心烦躁渴，腹胁胀痛，小便赤涩，六脉洪大，或紧而数，或沉而实，这是热痢。宜白头翁汤及三黄熟艾汤、五苓散，可以选择使用。如果风痢下血太过，宜用胃风汤加木香、黑豆煎服。如果在夏秋之间，下痢或赤或白，或赤白相杂，脐腹疼痛，里急后重，憎寒发热，心胸烦闷，躁渴引饮，呕逆恶心，小便不利，及五心烦热，六脉虚弱，这些脉证，正是因伏暑而得此疾，宜服用香薷散加黄连、甘草、当归，酒水浓煎，冷却顿服，仍急服酒蒸黄连丸，或小柴胡汤加人参煎服必愈。（沈内翰说：治痢的药极多，然而没有像此药之妙，盖小柴胡汤能治暑毒。）如果杂证一退，而痢尚未止，则以四物汤加胶、艾煎服，以调阴阳，没有不安稳的。如果水谷不分，小便不利，宜用五苓散，淡竹叶煎汤调服。如果烦渴甚者，也宜服用。如果不明白伏暑的证候，仅以脉虚而妄投硫磺、附子、干姜、肉桂、丹石之药而致死，深可叹息。如果下痢纯白，状如鱼脑，脐腹冷痛，日夜无度，手足逆冷，或有呕逆，全不入食，饮食欲温而恶冷，六脉微细，这是由脏腑虚冷之极，宜木香散加服四味理中汤及钟乳健脾丸，甚则四肢逆冷，六脉沉绝，当一味峻补，兼灸气海、丹田二穴，更以助胃之药，这是守而不攻的意思。宜四顺附子汤、三建丹、白丹、加味参附汤、姜附汤，皆可选用。如果年高体弱之人，或素来禀受怯弱，也宜以此法详细斟酌调理。然而大宜开胃进食为先，食物可得入，则脾胃运化，糟粕便聚，糟粕既成垢腻，鲜血瘀滞，不愁其不陨落。如果久痢不愈，肠滑不禁，溏泄不止，诸药无效，方可施以涩肠止痢之剂，也宜先用龙骨、肉豆蔻、诃子、钟乳、胡粉之药。近人多用罂粟壳、地榆之类，然而此物性太紧涩，能损胃气，如少壮之人，壮健者服之，间奏奇效。如果是疫毒受暑受湿之证，及年高之人，或禀受怯弱，服此莫不受其大害。如果以固秘涩肠为先，则风寒暑湿之邪，非惟涩而不去，而胃管闭而不通，禁口不食。日见羸瘦，糟粕不入肠中，所患无由可除矣。如果有此证候，宜以参苓白术散、四君子汤，及以石莲、山药之剂治之必愈。治痢欲投补药，必须有温通之意在焉。如四君子汤、理中汤、十全汤加木香、白豆蔻、茯苓、官桂、浓朴之类，可以散风邪，可以分水道，可以开胃管，可以治缠扰，可以通秘涩，这是攻守之意两全也。大抵治痢之法，虚者补之，实者泻之，滑者涩之，闭者通之，有积者推之，风则散之，暑则涤之，湿则燥之，热则凉之，冷则温之，冷热者调之，以平为期，不可以过，这是大法。
祭酒林谦之说医人刘从周治病有功，议论殊不凡，且有验。他说：大凡痢疾，不问赤白而为冷热之证，若手足和暖则为阳，只须服五苓散，用粟米饮调下，次服感应丸二十丸即愈。若觉手足厥冷，则为阴，当服暖药，如已寒丸、附子之类。如此治痢，无不效。此方亲曾用有效。有人夏月患痢，一日六七十行，用五苓散两服止。
【薛己】东垣说：太阴经受湿，水泻变脓血，脾传于肾者，谓之贼邪，难愈。先痢而后泻者，谓之微邪，易痊。若厥阴经下痢，脉沉迟，手足厥逆，用麻黄小续命汤汗之。若身冷自汗，小便自利，脉微呕吐，用浆水散温之。若脉疾身动，下迫声响，用白术芍药汤。脉沉身静，饮食不入，用姜附汤。身体沉重，四肢不举，用术附汤。我窃认为上述证候如果饮食停滞，用六君子汤以补脾胃，消饮食。如果胃气下流，用补中益气汤以补脾胃，升元气。如果风伤肠胃，宜用神术散以补脾胃，解外邪。如果痰积中焦，宜用六神丸以补脾胃，化痰滞。大凡脾胃虚弱，宜补中气，调饮食。一位老妇人食后因怒患痢，里急后重，肛门脱下，这是脾气下陷，用大剂六君加附子、肉蔻、煨木香各一钱，吴茱五分，骨脂、五味各一钱五分，二剂诸证悉退。惟小腹胀闷，这是肝气滞于脾也，与调中益气加附子、木香五分，四剂而愈。后口内觉咸，这是肾虚水泛，与六味地黄丸二剂顿愈。又以饮食失宜，大便不实，四肢逆冷，这是脾胃复伤，与六君加附子五分及八味丸而愈。先太宜人仲夏患痢，腹痛去后无度，烦渴饮汤，手按腹痛稍止，脉鼓指而有力，这是真气虚而邪气实也，急用人参五钱，白术、茯苓各三钱，陈皮、炙草、升麻、附子各一钱，服之即睡，觉而索食，脉证顿退，再剂而安。这是取证不取脉也。其时同患是证，服痢药者俱致不起，惜哉。
【陈文中】曾有一位妇人患痢疾，经过四十天，服诸药不愈。召我去诊脉，六脉沉弱。大凡下痢之脉宜沉宜弱，但以十全大补汤、姜枣煎成，加白蜜半匙，再煎数沸，服之愈。甲子年夏秋间，赵经略侄孙患痢甚重，召小方脉未到，命我去诊脉，六脉平细，以证观之，说是血痢，其实不是，只是血水而已。我记得调中汤治状，说治夏月初秋，忽有暴寒，折于盛热，结入四肢，则壮热头痛，寒伤于胃，则下利或血、或水、或赤，壮热冥困脉数，宜服此。遂合之，去大黄，服之而愈。又有一位妇女泄泻不止，似痢非痢，似血非血，其色如浊酒。召我去诊脉，则六脉沉绝，众人用热药及丹药服之，则发烦闷。我先用败毒散数服，加陈米煎，次用胃风汤加粟米煎服愈。又调中汤去大黄，亦疗此证。
【戴元礼】白头翁汤 治热痢下血，连月不瘥。
白头翁（二两） 黄连 黄柏皮 秦皮（各三两）
以上切碎，每服四钱，水一盏半，煎至七分，去滓无时温服。
神术散 治春伤于风，夏生飧泄。大治伤风头痛，项背拘急，鼻流清涕。
苍术（一斤） 本 川芎（各六两） 羌活（四两） 粉草（二两六钱） 细辛（一两六钱）
以上为粗末，每服三钱，水一盏，姜三片，煎七分，要出汗加葱，去滓稍热服，无时候。
六神丸 治赤白痢疾。
神曲（别为末，留作糊） 麦芽 茯苓 枳壳 木香（煨，白痢倍之） 黄连（赤痢倍之，各等分）
为末，用神曲末作糊为丸桐子大。每服五十丸，赤痢甘草汤下，白痢干姜汤下，赤白痢干姜甘草汤下。东山尧殿讲云：是京城医官见传。我详此方有黄连可以解暑毒，和脏腑，浓肠胃。有木香能温脾胃，逐邪气，止下利。有枳壳能宽肠胃。有茯苓能利水道，有神曲、麦芽，可以消滞。真痢门之要药也。
三黄熟艾汤 治伤寒四五日大下，热痢时作，白通汤诸药多不止，宜服此汤除热止痢。也有人作丸子，熟水吞下四五十丸，治时行毒痢良验。
黄芩 黄连 黄柏（各二分） 熟艾（半个，鸡子大）
以上切碎，每服三钱，水一盏，煎七分，去滓温服无时。
四顺附子汤
生附子（去皮脐） 白姜（炮） 甘草 人参（各一两）
以上切碎，每服四钱，水二盏，煎至七分，去滓空心服，吐泻腹痛，加桂半两。小便不利者，加茯苓半两。大凡痢疾虽体寒手足逆冷，冷汗自出，六脉沉伏，不宜轻用附子。多因伏暑而得此疾，亦有冷汗自出，四肢逆冷，六脉虚弱，但背寒面垢，或面如涂油，齿干烦冤，躁渴引饮，此伏暑证也。小柴胡汤、五苓散、酒蒸黄连丸必能奏效，学人宜精思耳。
三建丹
阳起石（飞，半两） 钟乳粉（一两） 大附子（炮，取末半两，入药一半，作糊一半）
上用附子糊丸如梧桐子大，每服五丸至十丸，空心温酒下。如渴，参汤下。
加味参附汤
大附子（二两半，炮） 大人参（五两）
以上两味切碎，每服四钱，水二盏，姜十片，丁香十五粒，米一撮，煎至七分，空心温服。
香茸丸 治下痢危困。
麝香（半钱，别研，临时入） 鹿茸（一两，火燎去毛，酥炙黄为末，入麝令匀）
以上以灯心煮枣肉为丸，如梧桐子大，每服五十丸，空心服。缪立夫说：有医者每料入滴乳香半两尤有效。绍兴中，患痢疾多往往而死，凡平时所用治痢如罂粟壳之类，不可向口，惟服此药及没石子丸愈。
调中汤
葛根 黄芩 芍药 桔梗 本 赤茯苓 白术 甘草（炙，各等分）
以上切碎，每服三钱，水一盏，煎至七分，去滓温服，移时再服。
胃风汤 治风冷乘虚客于肠胃，以致水谷不化，泄泻注下，或肠胃湿毒，下如豆汁，或下瘀血。
人参 白茯苓 芎 肉桂 当归 白芍药（炒） 白术（炒，各等分）
以上每服三二钱，入粟米数粒，水煎空心食前热服。
水煮木香丸 治久痢里急后重，日夜无度。
罂粟壳（去幅，三两） 青皮（去白） 甘草（炒，各二两四钱） 诃子（炮，去核，八两） 当归 木香（各六两）
以上为末，炼蜜丸弹子大，每服一丸，水煎化空心服。
戊己丸 治胃经受热，泄痢不止，或饮食不入，腹痛不止。
黄连（炒） 吴茱萸（去梗，炒） 白芍药（各五两）
以上为末，面糊丸桐子大，每服三十丸，食前米饮下。
升阳除湿防风汤 如大便闭塞，或里急后重，数至圊而不能便，或有白脓，或兼下血，此郁结而不通也。以此汤举其阳，则阴气自降矣，慎勿利之。
苍术（米泔浸，四钱） 防风（二钱） 白术（炒） 白茯苓 白芍药（炒，各一钱）
先将苍术用水一盅半，煎至一盅，纳诸药同煎至八分，食前热服。夫饮食入胃，其气上升，输精心肺，然后下降。若脾胃有伤，不能上升，下流肝肾而成泄利，法宜升补中气，不可疏下。此东垣发前人所未论也。
三黄丸 治热痢腹痛，或口舌生疮，咽喉齿痛，及一切实火之证。
黄芩 黄连 黄柏（各等分）
以上各另为末，水糊丸桐子大，每服七八十丸，白汤下。
芍药汤 治热痢便血后重。经曰：溲而便脓血，此气行而血止也。行血则便脓自愈，调气则后重自除。
芍药（炒，一两） 当归 黄连（炒，各半两） 槟榔 木香 甘草（炙，各二钱） 桂（二钱五分） 黄芩（炒，三钱）
以上每服半两，水煎。如不减，加大黄。此证外有因中气虚弱，脾气郁结者。治当审察。
[Dai Yuanli] If the diarrhea consists of clear water with a reddish-yellow color, or undigested food, and there is a strong desire to drink cold water, frequent vomiting and regurgitation, difficult urination, exacerbation upon exposure to heat, irritability in the chest and heart, and a pulse that is deficient, large, and rapid, this is due to heat pathogen entering the stomach while the body is deficient, gathering and infiltrating the lower jiao, causing fluids to fail in separating the clear from the turbid, and flowing into the large intestine. This is called "Xie Re Xia Li" (Diarrhea accompanying fever). First use Wu Ling San (Five-Ingredient Powder with Poria) to promote urination, then treat with Yu Fen Dan (Jade Powder Pill) and Si Wei E Jiao Wan (Four-Ingredient Donkey-Hide Gelatin Pill).
[Xue Ji] For the aforementioned syndrome, if the Stomach Qi is deficient, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If Liver Wood overacts on Spleen Earth, use Liu Jun Zi Tang (Six-Gentlemen Decoction). If depression injures Spleen Earth, use Gui Pi Tang (Restore the Spleen Decoction). if the Fire of the Gate of Vitality is deficient, use Ba Wei Di Huang Wan (Eight-Ingredient Pill from the Kidney Chamber). For other cases, refer to the respective discussions for treatment. A woman suffered from dysentery in May, with no limit to the frequency day and night, distending pain in the lower abdomen, fever, and aversion to cold. I considered this to be Spleen Qi deficiency, and used Liu Jun Zi Tang (Six-Gentlemen Decoction) administered with Xiang Lian Wan (Fragrant Coptis Pill). After two doses, she gradually improved; subsequently, the previous decoction was administered with Si Shen Wan (Four-Spirit Pill), and after four doses, she was completely cured. By the end of July, she experienced lethargy and a desire to sleep, weakness and inability to hold the limbs, heavy body and joint pain, dry mouth and tongue, loss of taste, loose stools, frequent urination, chills, and a despondent mood. This indicated deficiency of the Lung and Spleen-Stomach with Yang Qi failing to extend. She recovered using Sheng Yang Yi Wei Tang (Raise the Yang and Benefit the Stomach Decoction).
Yu Fen Dan (Jade Powder Pill)
Ge Fen (Dried Clam Shell Powder) and Liu Huang (Sulfur) in equal parts.
Grind together finely, mix with wheat flour paste to form pills the size of Sophora seeds. Take 50 pills per dose, washed down with rice water.
Si Wei E Jiao Wan (Four-Ingredient Donkey-Hide Gelatin Pill)
Huang Lian (Coptidis Rhizoma), Chi Fu Ling (Red Poria with Skin Removed, each 1 liang), Bai Shao (White Peony Root, 3 liang), E Jiao (Donkey-Hide Gelatin, stir-fried until dry, 1 liang).
First, grind the first three ingredients into powder. Then, dissolve the E Jiao in good vinegar to form a thick paste. Form pills the size of Sophora seeds. Take 30 pills per dose, washed down with rice water.
*Supplement*: For diarrhea accompanying fever, Huang Qin Tang (Scutellaria Decoction) and Chi Shi Zhi Wan (Red Halloysite Pill) from *Huoren Shu*, and Yi Yuan San (Benefit Primordial Powder) from *Ju Fang* are all applicable.
(The treatment of dysentery is no different for men and women, as detailed in *Za Bing Zhun Sheng*; this section merely collects omissions.)
[Dai Yuanli] The so-called red and white dysentery was named "Zhi Xia" (Stagnant Downward Flowing) by the ancients. Investigating the origin of the disease, it is caused by external contraction of the five pathogenic factors and internal injury from raw, hard, cold, or hot foods. The symptoms vary: there may be red discharge, white discharge, a mixture of red and white, cold syndromes, heat syndromes, deficiency syndromes, or excess syndromes. Generally, throughout the four seasons, Stomach Qi is the foundation. No one escapes injury to the Spleen and Stomach from external contraction of cold, heat, dryness, dampness, or wind. Once the Spleen and Stomach are depleted, and dietary intake further injures them, the food cannot be digested, leading to stagnation and forming "Zhi Xia". As the ancients said, "Without stagnation, there is no dysentery." The Classics state: "If injured by wind in spring, sunken stool occurs in summer." Wind tends to injure the Liver, but in spring, when Liver Wood is flourishing, it does not easily accept pathogens; instead, the qi transfers to overact on Spleen Earth. Once Spleen Earth is overacted upon, if one fails to be cautious with diet and indulges in raw, cold, sticky, or hard foods, the Spleen and Stomach cannot digest them, resulting in stagnation. Furthermore, during summer and autumn, if one contracts summerheat, dampness, wind, or cold again, it triggers dysentery. The symptoms must initially include umbilical and abdominal pain, watery diarrhea, tenesmus (feeling of incomplete defecation), which may or may not be present, with discharge that may be red, white, or mixed, occurring day and night without limit. If such symptoms appear, regardless of whether it is cold, heat, deficiency, or dampness, one should first administer Shen Zhu San (Divine Atractylodes Powder) to disperse wind, cold, and dampness. Subsequently, administer Wu Ling San (Five-Ingredient Powder with Poria) to separate the clear from the turbid and promote urination, and simultaneously use Jia Ba Ying Gan Wan (Enhanced Responsive Pill) to warm the Spleen and Stomach and remove stagnation, or Liu Shen Wan (Six-God Pill). There will be no case that does not settle. Some say: Although the ancients stated that stagnation leads to dysentery, treatment does not exclusively focus on removing stagnation first. Is it true that within a year, only in summer and autumn do people have stagnation, while in spring and winter they do not? It is because wind pathogen enters the Stomach, and Wood overacts on Earth; the result is either violent diarrhea or dysentery. Shen Zhu San is the key formula. Another scenario involves transmission within a region or commandery, where symptoms are similar, affecting an entire family or neighbors. There may be same disease with different symptoms, or different symptoms with same treatment, some recovering with warming agents and others with cooling medicines. Such cases are termed "Du Yi Li" (Plague-toxin Dysentery). When treating plague-toxin dysentery, although one should observe the mutual overcoming of the Five Movements and Six Qi, one must not rigidly adhere to this theory. After all, if the movements and qi overcome each other, how could it be biased only towards one region or commandery, let alone one family or alley? If such symptoms occur, first assess deficiency/excess and cold/heat. Initially, use Bai Du San (Eliminate Toxicity Powder) with added Ren Shen (Ginseng Radix), Zhi Gan Cao (Honey-fried Licorice Root), Chen Mi (Aged Rice), Sheng Jiang (Fresh Ginger), and Da Zao (Jujube Fruit) decocted and taken. Also, San Huang Shu Ai Tang (Three-Yellow Cooked Mugwort Decoction), Huang Lian E Jiao Wan (Coptis Donkey-Hide Gelatin Pill), Wu Ling San (Five-Ingredient Powder with Poria), and Zhu Che Wan (Chariot-Stopper Pill) can be selected. If the dysentery has more red discharge, or pure fresh blood, with tenesmus, constipation, high fever, heat in the palms and soles, irritability and thirst, distending pain in the abdomen and hypochondrium, dark and scanty urine, and a pulse that is flooding, or tight and rapid, or deep and solid, this is Heat Dysentery. Bai Tou Weng Tang (Pulsatilla Decoction), San Huang Shu Ai Tang (Three-Yellow Cooked Mugwort Decoction), and Wu Ling San (Five-Ingredient Powder with Poria) can be selected. If Wind Dysentery causes excessive bleeding, use Wei Feng Tang (Stomach-Wind Decoction) with added Mu Xiang (Aucklandiae Radix) and Hei Dou (Black Soybean) decocted and taken. If during summer and autumn, dysentery presents with red, white, or mixed discharge, umbilical and abdominal pain, tenesmus, aversion to cold and fever, irritability in the chest, restlessness and thirst with desire to drink, vomiting and nausea, difficult urination, heat in the five centers, and a weak pulse, these pulse and symptom patterns indicate the disease was obtained due to latent summerheat. Use Xiang Ru San (Elsholtzia Powder) with added Huang Lian (Coptidis Rhizoma), Zhi Gan Cao (Honey-fried Licorice Root), and Dang Gui (Angelicae Sinensis Radix), decocted strongly with wine and water, cooled, and taken in one dose. Simultaneously, urgently take Jiu Zheng Huang Lian Wan (Wine-Steamed Coptis Pill), or Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Ren Shen (Ginseng Radix) decocted and taken; recovery is certain. (Shen Nei Han said: There are many medicines for treating dysentery, but none are as effective as this one, for Xiao Chai Hu Tang (Minor Bupleurum Decoction) can treat summerheat toxin.) If miscellaneous symptoms subside but dysentery persists, use Si Wu Tang (Four-Substance Decoction) with added E Jiao (Donkey-Hide Gelatin) and Ai Ye (Mugwort Leaf) decocted and taken to harmonize Yin and Yang; there will be no case that does not settle. If water and grain are not separated and urination is difficult, use Wu Ling San (Five-Ingredient Powder with Poria), adjusted with Dan Zhu Ye (Lophatherum Herb) decoction. If thirst and irritability are severe, it is also suitable. If one does not understand the syndrome of latent summerheat and rashly administers sulfur, aconite, ginger, cinnamon, or mineral drugs based solely on a deficient pulse, death results, which is deeply lamentable. If the dysentery is purely white, resembling fish brain, with cold pain in the umbilical and abdominal regions, occurring day and night without limit, cold extremities, possibly vomiting, complete loss of appetite, preference for warm food and aversion to cold, and a minute and fine pulse, this is due to extreme deficiency-cold of the Zang-Fu organs. Use Mu Xiang San (Aucklandia Powder) with added Si Wei Li Zhong Tang (Four-Ingredient Regulate the Middle Decoction) and Zhong Lu Jian Pi Wan (Calcium Carbonate Strengthen Spleen Pill). In severe cases with cold extremities and a deep and absent pulse, employ a single potent tonifying method, combined with moxibustion on Qi Hai (CV6) and Dan Tian (CV8) acupoints, along with herbs that assist the Stomach. This represents the strategy of defense without attack. Si Shun Fu Zi Tang (Four-Compliant Aconite Decoction), San Jian Dan (Three-Eminent Pill), Bai Dan (White Pill), Jia Wei Shen Fu Tang (Modified Ginseng-Aconite Decoction), and Jiang Fu Tang (Ginger-Aconite Decoction) can be selected. For elderly and weak individuals, or those constitutionally frail, this method should be carefully considered for regulation. However, opening the appetite and promoting food intake is paramount. Once food can enter, the Spleen and Stomach transform and transport, waste accumulates, and once waste becomes turbid and bloody stasis forms, one need not worry about its resolution. If chronic dysentery does not heal, with intestinal slipping and incontinence, loose stools persisting, and all medicines ineffective, only then should astringent intestines and stop-dysentery agents be applied. These should initially include Long Gu (Fossilized Bones), Rou Dou Kou (Nutmeg), He Zi (Chebula Fruit), Zhong Lu (Calcium Carbonate), and Hu Fen (Lead White). Recently, people often use Ying Su Ke (Poppy Capsule) and Di Yu (Sanguisorba Root), but these substances are too astringent and damage Stomach Qi. If taken by young and robust individuals, occasional miraculous effects may occur. However, for cases of plague-toxin contracted from summerheat and dampness, the elderly, or those constitutionally frail, taking these will surely cause great harm. If prioritizing astringency and intestinal closure, the wind, cold, summerheat, and dampness pathogens will not only fail to exit but also close the gastric passage, leading to anorexia. Daily emaciation ensues, waste does not enter the intestines, and the disease cannot be eradicated. If such symptoms occur, use Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), Si Jun Zi Tang (Four-Gentlemen Decoction), or formulas containing Shi Lian (Nelumbinis Semen) and Shan Yao (Dioscorea Rhizome); recovery is certain. When administering tonics for dysentery, there must be an intention of warming and unblocking. Formulas like Si Jun Zi Tang (Four-Gentlemen Decoction), Li Zhong Tang (Regulate the Middle Decoction), and Shi Quan Tang (Complete Ten-Thousand Decoction) with added Mu Xiang (Aucklandiae Radix), Bai Dou Kou (Cardamom Seed), Fu Ling (Poria), Guan Gui (Cinnamon Bark), and Hou Po (Magnolia Bark) can disperse wind pathogens, separate water passages, open the gastric passage, treat entanglement, and unblock constipation. This achieves both attack and defense. Generally, the method for treating dysentery is: tonify deficiency, purge excess, astringe slipping, unblock closure, push out stagnation, disperse wind, wash away summerheat, dry dampness, cool heat, warm cold, and regulate cold-heat combinations. Aim for balance, do not exceed limits; this is the great principle.
Lin Qianzhi, the Sacrificial Wine Official, praised the physician Liu Congzhou for his merit in treating diseases, noting his extraordinary and effective theories. He said: Generally for dysentery, regardless of red or white, if it is a cold or heat syndrome, if the hands and feet are warm, it is Yang; simply take Wu Ling San (Five-Ingredient Powder with Poria), adjusted with millet drink, followed by 20 Ying Gan Wan (Responsive Pills), and it will cure. If the hands and feet feel cold, it is Yin; one should take warming medicines, such as Yi Han Wan (Already-Cold Pill) or Fu Zi (Aconite Lateralis Radix Preparata). Treating dysentery in this manner yields infallible results. I personally used this formula with effectiveness. Someone suffered from dysentery in summer, passing stool 60-70 times a day; two doses of Wu Ling San (Five-Ingredient Powder with Poria) stopped it.
[Xue Ji] Dong Yuan said: When the Taiyin Meridian accepts dampness, watery diarrhea turns to pus and blood; when the Spleen transmits to the Kidney, it is called "Ze Xie" (Robber Evil), which is difficult to cure. If dysentery precedes diarrhea, it is called "Wei Xie" (Minor Evil), which is easy to recover from. If Jueyin Meridian dysentery presents with a deep and slow pulse and cold extremities, use Ma Huang Xiao Xu Ming Tang (Ephedra Minor Continuation of Life Decoction) to induce sweating. If the body is cold with spontaneous sweating, free urination, minute pulse, and vomiting, use Jiang Shui San (Fermented Grain Water Powder) to warm. If the pulse is rapid with body movement and loud sounds of straining, use Bai Zhu Shao Yao Tang (Atractylodes Macrocephala and Peony Decoction). If the pulse is deep with stillness and inability to eat, use Jiang Fu Tang (Ginger-Aconite Decoction). If the body is heavy and limbs cannot move, use Zhu Fu Tang (Atractylodes-Aconite Decoction). I opine that for the aforementioned syndromes, if there is food stagnation, use Liu Jun Zi Tang (Six-Gentlemen Decoction) to tonify the Spleen and Stomach and digest food. If Stomach Qi sinks, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to tonify the Spleen and Stomach and raise Yuan Qi. If wind injures the intestines and stomach, use Shen Zhu San (Divine Atractylodes Powder) to tonify the Spleen and Stomach and resolve exterior pathogens. If phlegm stagnates in the middle jiao, use Liu Shen Wan (Six-God Pill) to tonify the Spleen and Stomach and transform phlegm stagnation. Generally, for Spleen and Stomach deficiency, one should tonify Middle Qi and regulate diet. An elderly woman developed dysentery after eating due to anger, with tenesmus and prolapse of the anus. This was Spleen Qi sinking. I used a large dose of Liu Jun Zi Tang (Six-Gentlemen Decoction) with added Fu Zi (Aconite Lateralis Radix Preparata), Rou Dou Kou (Nutmeg), and Wei Mu Xiang (Baked Aucklandiae Radix), each 1 qian, Wu Zhu Yu (Evodia Fruit) 5 fen, Gu Zhi (Drynorrhiae Rhizoma) and Wu Wei Zi (Schisandrae Fructus) each 1.5 qian. After two doses, all symptoms receded. Only slight abdominal fullness remained, indicating Liver Qi stagnation in the Spleen. I administered Tiao Zhong Yi Qi Tang (Regulate the Middle and Augment the Qi Decoction) with added Fu Zi (Aconite Lateralis Radix Preparata) and 5 fen Mu Xiang (Aucklandiae Radix). After four doses, she recovered. Later, she felt saltiness in her mouth, indicating Kidney deficiency with water overflowing. Two doses of Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) cured it immediately. Due to improper diet, loose stools, and cold extremities, this indicated re-injury to the Spleen and Stomach. I administered Liu Jun Zi Tang (Six-Gentlemen Decoction) with added 5 fen Fu Zi (Aconite Lateralis Radix Preparata) and Ba Wei Wan (Eight-Ingredient Pill) to cure her. My late mother-in-law suffered from dysentery in midsummer, with abdominal pain and endless defecation, irritability and thirst for soup, relief of pain upon pressure, and a forceful pulse striking the finger. This indicated deficiency of True Qi and excess of pathogenic factor. Urgently, I administered 5 qian of Ren Shen (Ginseng Radix), 3 qian each of Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Fu Ling (Poria), and 1 qian each of Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Honey-fried Licorice Root), Sheng Ma (Cimicifugae Rhizoma), and Fu Zi (Aconite Lateralis Radix Preparata). She slept immediately after taking it, woke up asking for food, and her pulse and symptoms subsided. After another dose, she was safe. This is relying on symptoms rather than pulse. At that time, others suffering from the same condition who took dysentery medicines all died; what a pity.
[Chen Wenzhong] Once, a woman suffered from dysentery for forty days, and various medicines failed to cure her. Upon my diagnosis, the six pulses were deep and weak. Generally, the pulse for dysentery should be deep and weak. I used Shi Quan Da Bu Tang (Complete Great Tonifying Decoction) decocted with Ginger and Jujube, added half a spoon of white honey, boiled a few more times, and she recovered after taking it. In the summer and autumn of the Jiazi year, the nephew of Marshal Zhao suffered severely from dysentery. Before the pediatrician arrived, I diagnosed him. The six pulses were level and fine. Observing the symptoms, he claimed it was blood dysentery, but it was actually just bloody water. I recalled the indications for Tiao Zhong Tang (Regulate the Middle Decoction), which states: Treat early summer to early autumn, sudden cold striking intense heat, knotting in the four limbs causing high fever and headache; cold injuring the Stomach causing diarrhea with blood, water, or redness, high fever, drowsiness, and rapid pulse. One should take this. I compounded it, removed Da Huang (Rhei Radix et Rhizoma), and she recovered. Another woman suffered from persistent diarrhea, resembling dysentery but not quite, resembling blood but not quite, with a color like cloudy wine. Upon diagnosis, the six pulses were deep and absent. Others used hot medicines and mineral pills, causing irritability. I first used Bai Du San (Eliminate Toxicity Powder) several doses, decocted with aged rice, then used Wei Feng Tang (Stomach-Wind Decoction) with millet decocted and taken, and she recovered. Tiao Zhong Tang (Regulate the Middle Decoction) without Da Huang (Rhei Radix et Rhizoma) also treats this syndrome.
[Dai Yuanli] Bai Tou Weng Tang (Pulsatilla Decoction) treats heat dysentery with bleeding, lasting months without healing.
Bai Tou Weng (Pulsatillae Radix, 2 liang), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Qin Pi (Fraxini Cortex) (each 3 liang).
Cut into pieces. Take 4 qian per dose, add 1.5 cups of water, decoct to 0.7 cup, strain, and take warm at any time.
Shen Zhu San (Divine Atractylodes Powder) treats wind injury in spring leading to sunken stool in summer. It greatly treats wind-cold headache, stiffness of the neck and back, and runny nose.
Cang Zhu (Atractylodis Rhizoma, 1 jin), Ben Cao (Ligustici Wallichii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 6 liang), Qiang Huo (Notopterygii Rhizoma et Radix, 4 liang), Fen Cao (Licorice Root, 2.6 qian), Xi Xin (Asari Radix et Rhizoma, 1.6 qian).
Grind into coarse powder. Take 3 qian per dose, add 1 cup of water and 3 slices of ginger, decoct to 0.7 cup. To induce sweating, add scallion. Strain and take slightly warm at any time.
Liu Shen Wan (Six-God Pill) treats red and white dysentery.
Shen Qu (Massa Medicata Fermentata, ground separately, reserved for paste), Mai Ya (Hordei Fructus Germinatus), Fu Ling (Poria), Zhi Ke (Aurantii Fructus), Mu Xiang (Aucklandiae Radix, baked, doubled for white dysentery), Huang Lian (Coptidis Rhizoma, doubled for red dysentery) (equal parts).
Grind into powder, use Shen Qu powder paste to form pills the size of Sophora seeds. Take 50 pills per dose. For red dysentery, wash down with Licorice Decoction; for white dysentery, with Dry Ginger Decoction; for mixed, with Dry Ginger-Licorice Decoction. Dongshan Yaodian Lecture says: This was transmitted by capital physicians. I detail that this formula contains Huang Lian (Coptidis Rhizoma) to resolve summerheat toxin, harmonize Zang-Fu, and thicken intestines/stomach. Mu Xiang (Aucklandiae Radix) warms Spleen/Stomach, expels pathogens, and stops diarrhea. Zhi Ke (Aurantii Fructus) expands intestines/stomach. Fu Ling (Poria) promotes water pathways. Shen Qu (Massa Medicata Fermentata) and Mai Ya (Hordei Fructus Germinatus) digest stagnation. It is truly a key medicine for the dysentery category.
San Huang Shu Ai Tang (Three-Yellow Cooked Mugwort Decoction) treats severe purging after 4-5 days of Shang Han (Cold Damage), with intermittent heat dysentery, where Bai Tong Tang (White Connection Decoction) and other medicines often fail to stop it. Take this decoction to remove heat and stop dysentery. Some make it into pills, swallowing 40-50 pills with cooked water; it is effective for epidemic toxic dysentery.
Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex) (each 2 fen), Shu Ai (Cooked Mugwort Leaf, half the size of a chicken egg).
Cut into pieces. Take 3 qian per dose, add 1 cup of water, decoct to 0.7 cup, strain, and take warm at any time.
Si Shun Fu Zi Tang (Four-Compliant Aconite Decoction)
Sheng Fu Zi (Raw Aconiti Lateralis Radix, skin and umbilicus removed), Bai Jiang (White Ginger/Rhizoma Zingiberis Recens), Gan Cao (Licorice Root), Ren Shen (Ginseng Radix) (each 1 liang).
Cut into pieces. Take 4 qian per dose, add 2 cups of water, decoct to 0.7 cup, strain, and take on an empty stomach. For vomiting, diarrhea, and abdominal pain, add Gui (Cinnamon Twig) 0.5 liang. For difficult urination, add Fu Ling (Poria) 0.5 liang. Generally, even if dysentery presents with cold body, cold extremities, cold sweat, and deep-hidden pulse, one should not lightly use Fu Zi (Aconite Lateralis Radix Preparata). Most cases are due to latent summerheat. There are also cases with cold sweat, cold extremities, weak pulse, but cold back, dirty face, or oily face, dry teeth, irritability, and thirst with desire to drink; this is latent summerheat syndrome. Xiao Chai Hu Tang (Minor Bupleurum Decoction), Wu Ling San (Five-Ingredient Powder with Poria), and Jiu Zheng Huang Lian Wan (Wine-Steamed Coptis Pill) will surely be effective. Students should ponder carefully.
San Jian Dan (Three-Eminent Pill)
Yang Qi Shi (Aquinitis Semen, flown, 0.5 liang), Zhong Lu Fen (Calcium Carbonatum, 1 liang), Da Fu Zi (Large Aconiti Lateralis Radix Preparata, baked, half a liang of powder used, half for medicine, half for paste).
Use Fu Zi paste to form pills the size of Sophora seeds. Take 5-10 pills per dose on an empty stomach with warm wine. If thirsty, take with Ginseng Decoction.
Jia Wei Shen Fu Tang (Modified Ginseng-Aconite Decoction)
Da Fu Zi (Large Aconiti Lateralis Radix Preparata, 2.5 liang), Da Ren Shen (Great Ginseng Radix, 5 liang).
Cut the two ingredients. Take 4 qian per dose, add 2 cups of water, 10 slices of ginger, 15 cloves, and a pinch of rice, decoct to 0.7 cup, and take warm on an empty stomach.
Xiang Rong Wan (Musk and Deer Horn Pill) treats critical dysentery.
She Xiang (Musk, 0.5 qian, ground separately, added temporarily), Lu Rong (Deer Antler without Hair, scorched, baked with butter until yellow, ground, mixed with musk) (1 liang).
Boil dates with rapeseed stem to form pills the size of Sophora seeds. Take 50 pills per dose on an empty stomach. Miu Lifu said: Physicians adding 0.5 liang of Ru Xiang (Olibanum Resin) per batch are especially effective. During the Shaoxing era, many died from dysentery. Any usual dysentery treatments like Ying Su Ke (Poppy Capsule) should not be taken orally; only taking this medicine and Mo Shi Zi Wan (Terminalia Chebula Pill) cured them.
Tiao Zhong Tang (Regulate the Middle Decoction)
Ge Gen (Puerariae Lobatae Radix), Huang Qin (Scutellariae Radix), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix), Ben Cao (Ligustici Wallichii Rhizoma et Radix), Chi Fu Ling (Red Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Gan Cao (Honey-fried Licorice Root) (equal parts).
Cut into pieces. Take 3 qian per dose, add 1 cup of water, decoct to 0.7 cup, strain, take warm, and take again after a while.
Wei Feng Tang (Stomach-Wind Decoction) treats wind-cold invading the intestines and stomach due to deficiency, causing undigested food, watery diarrhea, or damp-toxin in intestines/stomach causing discharge like bean curd dregs or bloody stasis.
Ren Shen (Ginseng Radix), Bai Fu Ling (White Poria), Xiong (Ligustici Chuanxiong Rhizoma), Rou Gui (Cinnamon Bark), Dang Gui (Angelicae Sinensis Radix), Bai Shao Yao (White Peony Root, stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried) (equal parts).
Take 2-3 qian per dose, add a few millet grains, decoct in water, and take hot on an empty stomach before meals.
Shui Zhu Mu Xiang Wan (Water-Boiled Aucklandia Pill) treats chronic dysentery with tenesmus, occurring day and night without limit.
Ying Su Ke (Poppy Capsule, stripped, 3 liang), Qing Pi (Citri Reticulatae Pericarpium Viride, pith removed), Zhi Gan Cao (Honey-fried Licorice Root) (each 2.4 liang), He Zi (Chebulae Fructus, baked, pitted, 8 liang), Dang Gui (Angelicae Sinensis Radix), Mu Xiang (Aucklandiae Radix) (each 6 liang).
Grind into powder, refine honey to form pills the size of quail eggs. Take one pill per dose, dissolve in water, and take on an empty stomach.
Wu Ji Wan (Five-Extreme Pill) treats heat in the Stomach Meridian, persistent diarrhea/dysentery, inability to eat, or persistent abdominal pain.
Huang Lian (Coptidis Rhizoma, stir-fried), Wu Zhu Yu (Evodiae Fructus, stems removed, stir-fried), Bai Shao Yao (White Peony Root) (each 5 liang).
Grind into powder, form pills with flour paste the size of Sophora seeds. Take 30 pills per dose before meals with rice water.
Sheng Yang Chu Shi Fang Feng Tang (Raise Yang, Remove Dampness, and Saposhnikovia Decoction) treats fecal impaction, tenesmus, frequent visits to the toilet without ability to defecate, presence of white pus, or accompanying blood. This is stagnation and blockage. This decoction raises Yang, causing Yin Qi to descend naturally. Do not use purgatives.
Cang Zhu (Atractylodis Rhizoma, soaked in rice water, 4 qian), Fang Feng (Saposhnikoviae Radix, 2 qian), Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (White Poria), Chao Bai Shao Yao (Stir-fried White Peony Root) (each 1 qian).
First, decoct Cang Zhu (Atractylodis Rhizoma) in 1.5 cups of water until reduced to 1 cup. Add other herbs and decoct to 0.8 cup. Take hot before meals. Food entering the Stomach, its Qi rises, transmitting to Heart and Lungs, then descends. If Spleen and Stomach are injured and cannot rise, it flows down to Liver and Kidneys causing diarrhea. The method should be to raise and tonify Middle Qi, not to drain downward. This is Dong Yuan's development of previously untheorized concepts.
San Huang Wan (Three-Yellow Pill) treats heat dysentery with abdominal pain, mouth/tongue ulcers, throat/tooth pain, and all excess fire syndromes.
Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex) (equal parts).
Grind each separately into powder, form pills with water paste the size of Sophora seeds. Take 70-80 pills per dose with plain water.
Shao Yao Tang (Peony Decoction) treats heat dysentery with bloody stool and tenesmus. The Classics say: "Urine and stool contain pus and blood; this means Qi moves and Blood stops." Moving Blood makes pus and blood heal naturally; regulating Qi removes tenesmus.
Chao Shao Yao (Stir-fried White Peony Root, 1 liang), Dang Gui (Angelicae Sinensis Radix), Chao Huang Lian (Stir-fried Coptidis Rhizoma) (each 0.5 liang), Bing Lang (Arecae Semen), Mu Xiang (Aucklandiae Radix), Zhi Gan Cao (Honey-fried Licorice Root) (each 2 qian), Gui (Cinnamon Twig, 2.5 qian), Chao Huang Qin (Stir-fried Scutellariae Radix, 3 qian).
Take 0.5 liang per dose, decoct in water. If symptoms do not subside, add Da Huang (Rhei Radix et Rhizoma). Besides this syndrome, there are cases due to Middle Qi deficiency and Spleen Qi stagnation. Treatment requires careful examination.