一个煎汤，调二钱。（以上滑脱）。东垣治一老仆，脱肛日久，近复下利，里急后重，白多赤少，不
任其苦，此非肉食膏粱者也。必多蔬食，或饮食不节，天气已寒，衣盖又薄，寒侵形体不禁，而肠头
脱下者，寒也，滑也。真气不禁，形质不收，乃血脱也。此乃
寒滑，气泄不固，故形质下脱也。当以涩去其脱而除其滑，以大热之剂除寒补阳，以补气之药升阳益
气，以微酸之味固气上收，名之曰诃子皮散，一服减半，再服全愈。养脏汤、地榆芍药汤。戴云∶脱
肛一证，最难为药，热则肛门闭，寒则肛门脱。内用磁石研末，每二钱，食前米饮调下。外用铁锈磨
汤温洗。（以上脱肛。）滞下，大便不禁，其大孔开如空洞不闭者，用葱和花椒末捣烂，塞谷道中。并服
酸涩固肠之剂收之，如御米壳、诃子皮之类是也，神效。（大孔开）。痢久大孔痛，亦有寒热者，熟
艾、黄蜡、诃子烧熏之。因热而痛，槟榔、木香、黄连、黄芩加干姜。因寒而痛，炒盐熨之。炙枳实
熨之。丹溪用瓦片敲圆如铜钱状，烧红，投童子小便中，急取起，令干纸裹安痛处，因时寒恐外寒乘
虚而入也，以人参、当归、陈皮作浓汤饮之，食淡味自安。（大孔痛）。痢疾不纳食，或汤药入口，
随即吐出者，俗名噤口。有因邪留，胃气伏而不宣，脾气涩而不布，故呕逆而食不得入者；有阳气不
足，胃中宿食因之未消，则噫而食卒不下者；有肝乘脾胃发呕，饮食不入，纵入亦反出者；有水饮所
停，气急而呕，谷不得入者；有火气炎炽，内格呕逆，而食不得入者；有胃气虚冷，食入反出者；有
胃中邪热不欲食者；有脾胃虚弱不欲食者；有秽积在下，恶气熏蒸而
呕逆，食不得入者。当各从其所因以为治。以脉证辨之，如脾胃不弱，问而知其头疼心烦，手足温热，
未尝多服凉药者，此乃毒瓦斯上冲心肺，所以呕而不食。宜用败毒散，每服四钱，陈仓米一百粒，姜三
片，枣一枚，水一盏半，煎八分，温服。若其脉微弱，或心腹膨胀，手足厥冷，初病则不呕，因服
粟壳、乌梅苦涩凉药太过，以致闻食先呕者，此乃脾胃虚弱。用山药一味，锉如小豆大，一半入银瓦
铫内炒熟，一半生用，同为末，饭饮调下。又方，用石莲捶去壳，留心并肉，碾为末。每服二钱，陈
米饮调下。此疾盖是毒瓦斯上冲心肺，借此以通心气，便觉思食效。丹溪用人参、黄连（姜汁炒）浓煎
汁，终日细细呷之，如吐再吃，但一呷下咽便开，痢亦自止神效。杨仁斋用参苓白术散，加石菖蒲末，
以道地粳米饮乘热调下。或用人参、茯苓、石莲子肉，入些菖蒲与之。戴复庵用治中汤加木香半钱，
或缩砂一钱。（以上噤口痢）。其或在下则缠滞，在上则呕食，此为毒积未化，胃气未平证。当认其
寒则温之，热则清之，虚则用参、术补之，毒解积下，食自进矣。泄痢久不安，脓血稠粘，里急后重，
日夜无度，宜大黄汤。用大黄一两，锉，用好酒两大盏，浸半日，同煮至一盏半，去渣，分为二次，
顿服之。痢止停服，未止再服，以利为度。又服芍药汤以和之，
所以彻其毒也。服前药痢已除，宜以白术黄芩汤和之。丹溪治一人患痢百余日，百法不效。六脉促急，
沉弦细弱芤，左手为甚，昼夜十行，视之秽物甚少，虽下清涕中有紫黑血丝，食全不进。此非痢也，
宜作瘀血治之。以桃仁、乳香、没药、滑石，佐以槟榔、木香、神曲糊为丸。米饮下百余粒，至夜半
不动，又根据前法下二百粒，至天明下秽如烂鱼肠者二升半，困顿终日，渐与粥食而安。按此方恐当有
大黄，无则难下。又治族叔年七十，禀壮形瘦，夏末患泄痢至秋，百方不应，视之病虽久而神不瘁，
小便涩少而不赤，两手脉俱涩而颇弦，自言胸微闷，食亦减。因悟此必多年沉积，癖在肠胃。询其平
生喜食何物，曰喜食鲤鱼，三年无日不用。此积痰在肺，肺为大肠之脏，宜大肠之不固也。当与澄其
源而流自清，以茱萸、陈皮、青葱、 苜根、生姜煎浓汤，和以砂糖，饮一碗许，自以指探喉中，至
半时吐痰半升如胶，其夜减半，次早又服，又吐半升而痢自止。又与平胃散加白术、黄连，旬日而安。
收涩用木香散、诃黎勒丸。（久痢）。休息痢，多因兜住太早，积不尽除。或因痢愈而不善调理，以
致时止时作。宜四君子汤加陈皮一钱，木香半钱，吞驻车丸。只缘兜住积滞，遂成休息。再投去积，
却用兜剂。张文仲用虎骨炙焦，捣末调服，日三匙效。
久痢、休息痢，虚滑甚者，用椿根白皮东南行者，长流水内漂三日，去黄皮切片，每一两配人参一两，
入煨木香二钱，粳米一撮，煎汤饮之。（休息痢）。劳痢，因痢久不愈，耗损精血，致肠胃空虚，变
生他证，或五心发热如劳之状。宜蓣莲饮，赤多倍莲肉，白多倍山药。痢后调补，宜四君子汤加陈皮
一钱半，即异功散。或七珍散。恶甜者，生料平胃散加人参、茯苓各半钱。诸病坏证，久下脓血，或
如死猪肝色，或五色杂下，频出无禁，有类滞下，俗名刮肠。此乃脏腑俱虚，脾气欲绝，故肠胃下脱，
若投痢药则误矣。六柱饮去附子，加益智仁、白芍药、或可冀其万一。痢后风，因痢后下虚，不善调
将，或多行，或房劳，或感外邪，致两脚痿软，若痛若痹，遂成风痢。独活寄生汤，吞虎骨四斤丸。
或用大防风汤，或多以骨碎补三分之一同研取汁，酒解服。外以杜牛膝、杉木节、白芷、南星、萆 ，
煎汤熏洗。丹溪云∶痢后风，系血入脏腑下未尽，复还经络不得行故也。松明节一两，以乳香二钱炒焦
存性，苍术、黄柏各一两，紫葳一两半，甘草半两，桃仁去皮不去尖一两，俱为末。每服三钱，生姜
同杵细，水汤起二三沸服。邻人鲍子年二十余，因患血痢，用涩药取效，后患痛风，号叫撼邻里。予
视之曰∶此恶血入经络证。血受湿热，久为凝浊，
所下未尽，留滞隧道，所以作痛，经久不治，恐成枯细。遂与四物汤、桃仁、红花、牛膝、黄芩、陈
皮、甘草煎，生姜汁研潜行散，入少酒，饮之数十帖，又与刺委中出黑血，近三合而安。《宝鉴》云∶
且如泻痢止，脾胃虚难任饮食，不可一概用克伐之剂，若补养其脾胃气足，自然能饮食。宜钱氏方中
异功散。设或喜嗜，饮食太过，有伤脾胃，而心腹痞满，呕逆恶心，则不拘此例。当权用橘皮枳实丸
一服，得快勿再服。若饮食调节无伤，则胃气和平矣。
一剂煎煮成汤，调服二钱。（以上论述滑脱证）。李东垣治疗一位老仆，患脱肛日久，近期又出现腹泻，伴有里急后重，大便白色多而红色少，无法忍受其痛苦。此人并非食用肉食膏粱厚味之人，必定是蔬菜吃得过多，或者饮食不节制，此时天气已经寒冷，衣被又薄，寒气侵袭形体而不能抵御，导致直肠脱出，这是寒证、滑脱证。真气不能固摄，形质不能收引，属于血脱。此为寒滑，气泄而不固，所以形质下脱。应当用涩药去除脱出并消除滑脱，用大热之剂祛除寒邪补益阳气，用补气药物升阳益气，用微酸之味固气上收，方名诃子皮散，服用一次减半，再服全愈。也可选用养脏汤、地榆芍药汤。戴元礼说：脱肛这一病症，用药最难，热则肛门闭合，寒则肛门脱出。内服可用磁石研末，每次二钱，饭前米汤调下。外用铁锈磨水，温洗患处。（以上论述脱肛）。滞下（痢疾），大便失禁，肛门张开如空洞不闭者，用葱和花椒末捣烂，塞入肛门中。同时服用酸涩固肠的药物来收敛，如御米壳（罂粟壳）、诃子皮之类，效果神效。（以上论述大孔开）。痢疾日久导致肛门疼痛，也有寒热之分，可用熟艾、黄蜡、诃子烧烟熏治。因热而痛，用槟榔、木香、黄连、黄芩加干姜。因寒而痛，用炒盐熨烫。或用炙枳实熨烫。朱丹溪用瓦片敲圆如铜钱状，烧红，投入童子小便中，急忙取出，用干纸包裹按在痛处，因为当时寒冷，恐怕外寒乘虚而入，所以用人参、当归、陈皮煎浓汤饮用，饮食清淡自然安宁。（以上论述大孔痛）。痢疾患者不能进食，或汤药入口随即吐出者，俗名噤口痢。有因邪气留滞，胃气伏匿不能宣发，脾气涩滞不能布散，所以呕逆而食物不能进入的；有阳气不足，胃中宿食因此未消，则嗳气而食物突然不能下咽的；有肝气乘犯脾胃引发呕吐，饮食不入，即使进入也反吐出来的；有水饮停聚，气急而呕，谷物不能进入的；有火气炎炽，内部格拒呕逆，而食物不能进入的；有胃气虚冷，食物进入反而吐出的；有胃中邪热不想吃东西的；有脾胃虚弱不想吃东西的；有秽浊积滞在下方，恶气熏蒸而呕逆，食物不能进入的。应当各自根据病因进行治疗。通过脉证辨别，如果脾胃不弱，询问得知有头疼心烦，手足温热，未曾多服凉药者，这是毒瓦斯上冲心肺，所以呕吐而不进食。宜用败毒散，每服四钱，陈仓米一百粒，生姜三片，大枣一枚，水一盏半，煎至八分，温服。如果脉象微弱，或心腹膨胀，手足厥冷，初病时不呕吐，因为服用粟壳、乌梅等苦涩凉药太过，以致闻到食物先呕吐者，这是脾胃虚弱。用山药一味药，锉如小豆大小，一半放入银瓦铫内炒熟，一半生用，同为粉末，饭饮调下。另一方法，用石莲捶去壳，保留莲心和肉，碾为粉末。每服二钱，陈米饮调下。此病大概是毒瓦斯上冲心肺，借此以通心气，便觉得思食有效。朱丹溪用人参、黄连（姜汁炒）浓煎汁，终日细细呷饮，如果呕吐再吃，只要有一口咽下便开通，痢疾也自然停止，效果神效。杨仁斋用参苓白术散，加石菖蒲末，用道地粳米饮乘热调下。或者用人参、茯苓、石莲子肉，加入一些菖蒲与之。戴复庵用治中汤加木香半钱，或缩砂一钱。（以上论述噤口痢）。或者病在下则缠滞，在上则呕吐食物，这是毒积未化，胃气未平的证候。应当认清寒则温之，热则清之，虚则用人参、白术补之，毒解积下，食物自然能进。泄痢日久不安稳，脓血稠粘，里急后重，日夜无度，宜用大黄汤。用大黄一两，锉碎，用好酒两大盏，浸泡半天，同煮至一盏半，去渣，分为二次，顿服。痢止停服，未止再服，以利下为度。再服芍药汤以调和它，以此彻除毒邪。服用前药痢已除，宜用白术黄芩汤调和它。朱丹溪治疗一人患痢百余日，各种方法无效。六脉促急，沉弦细弱芤，左手为甚，昼夜十次，视之秽物甚少，虽然大便中有紫黑血丝，食物完全不进。这不是痢疾，应当作为瘀血治疗。用桃仁、乳香、没药、滑石，佐以槟榔、木香、神曲糊为丸。米饮送下百余粒，到半夜不动，又按前法下二百粒，到天明排出秽物如烂鱼肠者二升半，困顿终日，逐渐给予粥食而安。按此方恐怕应当有大黄，没有则难以下行。又治疗族叔年七十，禀赋壮实但形体消瘦，夏末患泄痢至秋，各种方法不应，视之病虽久但精神未憔悴，小便涩少而不赤，两手脉俱涩而颇弦，自言胸微闷，饮食也减少。因而领悟这必是多年沉积，癖在肠胃。询问他平生喜欢吃什么，回答说喜欢鲤鱼，三年无日不用。此积痰在肺，肺为大肠之脏，宜大肠之不固。应当澄其源而流自清，用茱萸、陈皮、青葱、苜根、生姜煎浓汤，和以砂糖，饮一碗许，自己用手指探喉中，半小时吐痰半升如胶，当晚减半，次日早晨又服，又吐半升而痢自止。又给平胃散加白术、黄连，旬日而安。收涩药用木香散、诃黎勒丸。（以上论述久痢）。休息痢，多因兜住太早，积滞未尽除。或因痢愈而不善调理，以致时止时作。宜用四君子汤加陈皮一钱，木香半钱，吞服驻车丸。只缘兜住积滞，遂成休息痢。再投去积药，却用兜剂。张文仲用虎骨炙焦，捣末调服，日三匙有效。
久痢、休息痢，虚滑甚者，用椿根白皮东南方向生长的，长流水内漂三日，去黄皮切片，每一两配人参一两，入煨木香二钱，粳米一撮，煎汤饮之。（以上论述休息痢）。劳痢，因痢久不愈，耗损精血，致肠胃空虚，变生他证，或五心发热如劳之状。宜用蓣莲饮，赤多倍莲肉，白多倍山药。痢后调补，宜用四君子汤加陈皮一钱半，即异功散。或七珍散。厌恶甜味者，用生料平胃散加人参、茯苓各半钱。诸病坏证，久下脓血，或如死猪肝色，或五色杂下，频出无禁，有类滞下，俗名刮肠。这是脏腑俱虚，脾气欲绝，所以肠胃下脱，若投痢药则误矣。六柱饮去附子，加益智仁、白芍药，或许可以冀其万一。痢后风，因痢后下虚，不善调养，或多行房事，或感外邪，致两脚痿软，若痛若痹，遂成风痢。独活寄生汤，吞服虎骨四斤丸。或者用大防风汤，或多以骨碎补三分之一同研取汁，酒解服。外用杜牛膝、杉木节、白芷、南星、萆薢，煎汤熏洗。朱丹溪说：痢后风，系血入脏腑下未尽，复还经络不得行故也。松明节一两，以乳香二钱炒焦存性，苍术、黄柏各一两，紫葳一两半，甘草半两，桃仁去皮不去尖一两，俱为末。每服三钱，生姜同杵细，水汤起二三沸服。邻居鲍子年二十余，因患血痢，用涩药取效，后患痛风，号叫撼动邻里。我视之曰：这是恶血入经络证。血受湿热，久为凝浊，所下未尽，留滞隧道，所以作痛，经久不治，恐成枯细。遂与四物汤、桃仁、红花、牛膝、黄芩、陈皮、甘草煎，生姜汁研潜行散，入少酒，饮之数十帖，又与刺委中出黑血，近三合而安。《宝鉴》说：且如泻痢止，脾胃虚难任饮食，不可一概用克伐之剂，若补养其脾胃气足，自然能饮食。宜用钱氏方中异功散。设或喜嗜，饮食太过，有伤脾胃，而心腹痞满，呕逆恶心，则不拘此例。当权用橘皮枳实丸一服，得快勿再服。若饮食调节无伤，则胃气和平矣。
Boil one dose into a decoction, and mix with two qian for oral administration. (The above discusses Slippage Syndrome). Li Dongyuan treated an old servant who had suffered from rectal prolapse for a long time, and recently developed diarrhea with tenesmus, where the stool was predominantly white with little red, unable to bear the suffering. This person did not consume meat or rich foods, but likely ate excessive vegetables or had irregular diet. The weather was already cold, and clothing/bedding was thin, allowing cold pathogenic factors to invade the body without resistance, causing the rectum to prolapse. This is a Cold syndrome and a Slippery syndrome. The True Qi fails to secure, and the physical form fails to retract, constituting Blood depletion. This is Cold-Slipperiness, with Qi leakage and insecurity, hence the physical form descends and prolapses. One should use astringent herbs to remove the prolapse and eliminate slipperiness, use large-hot agents to dispel cold and tonify Yang, use Qi-tonifying herbs to raise Yang and benefit Qi, and use slightly sour flavors to secure Qi and draw it upward. The formula is named Hezi Pi San (Persimmon Sepal Powder). Take half the usual dose for the first administration, and full recovery after the second dose. Other options include Yangzang Tang (Nourish the Viscera Decoction) and Diyü Shaoyao Tang (Sanguisorba and Peony Decoction). Dai Yuanli stated: Rectal prolapse is difficult to treat with medicine; Heat causes anal closure, while Cold causes anal prolapse. Internally, grind Magnetitum (Cishi) into powder, take two qian each time, mixed with rice water before meals. Externally, grind rust of iron (Tiexiu) into water and wash the area with warm solution. (The above discusses Rectal Prolapse). In Dripping Down (Dysentery), if there is fecal incontinence and the anus opens like a hollow cavity that does not close, crush Scallion (Congbai) and Sichuan Pepper (Huajiao) into powder and insert into the anus. Simultaneously administer astringent and intestinal-firming agents to consolidate, such as Yumiqiao (Pericarpium Papaveris Rubrum) and Hezi Pi (Pericarpium Diospyrotis), which are highly effective. (The above discusses Open Anus). If dysentery persists for a long time causing anal pain, it can be either Cold or Heat. Smoke-treat with prepared Mugwort (Shuai Ai), yellow wax, and Persimmon Sepal (Hezi Pi). If painful due to Heat, use Areca Seed (Binglang), Aucklandia (Muxiang), Coptis (Huanglian), and Scutellaria (Huangqin) plus dried Ginger (Ganjiang). If painful due to Cold, apply fried salt with heat compression. Or apply roasted Ziziphus Spinosae Semen (Zhishi). Zhu Danxi used a tile fragment rounded like a copper coin, heated until red, then dipped into child's urine. Quickly retrieve, wrap in dry paper, and place on the painful area. Because the external cold might invade deficiency at that time, drink a strong decoction of Ginseng (Renshen), Angelica Sinensis (Danggui), and Tangerine Peel (Chenpi), and maintain a bland diet for natural peace. (The above discusses Anal Pain). Dysentery patients who cannot eat, or vomit immediately after swallowing liquids/medicines, are commonly known as Jin Kou Li (Jin Kou Dysentery). Etiologies include: pathogens lingering, causing Stomach Qi to stagnate and fail to diffuse, and Spleen Qi to be obstructed and fail to distribute, leading to vomiting and inability to ingest food; insufficient Yang Qi, causing retained food in the Stomach to remain undigested, resulting in belching and sudden inability to swallow food; Liver Qi invading the Spleen and Stomach triggering vomiting, preventing food intake or causing regurgitation; retention of fluid-retention, causing急促 breathing and vomiting, preventing grain intake; blazing Fire Qi causing internal rejection and vomiting, preventing food intake; deficient-cold Stomach Qi causing food to be regurgitated after ingestion; evil-heat in the Stomach causing lack of appetite; weak Spleen and Stomach causing lack of appetite; foul accumulation below, with malignant Qi steaming upwards causing vomiting and inability to ingest food. Treatment must follow the specific cause. Differentiate by pulse and symptoms: if Spleen and Stomach are not weak, and the patient reports headache, vexation, warm hands and feet, and has not taken many cooling medicines, this is toxic vapors rushing up to the Heart and Lungs, causing vomiting and anorexia. Use Baidu San (Eliminate Toxics Powder), four qian per dose, with one hundred grains of aged stored rice, three slices of ginger, and one jujube, boiled in 1.5 cups of water to 0.8 cups, taken warm. If the pulse is weak/faint, or there is abdominal distension, cold extremities, no initial vomiting, but vomiting upon smelling food after excessive use of astringent-cool-bitter medicines like Pericarpium Papaveris Rubrum or Chinese Olive (Wumei), this indicates Spleen-Stomach weakness. Use single herb Dioscorea Opposita (Shanyao), cut into mung-bean-sized pieces, half stir-fried in a silver pot until cooked, half raw, ground together, taken with rice gruel. Another method: use Stone Lotus (Shilian), remove shell, keep heart and flesh, grind to powder. Take two qian, mixed with aged rice water. This disease is likely toxic vapors rushing to Heart/Lungs; this remedy helps open Heart Qi, inducing appetite. Zhu Danxi used Ginseng (Renshen) and Scutellaria (Huanglian) stir-fried with ginger juice, decocted strongly, sipped slowly throughout the day. If vomiting occurs, take again. If even one sip goes down, the throat opens, and dysentery stops spontaneously. Yang Renzhai used Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) with powder of Acorus Tatarinowii (Shichangpu), mixed hot with high-quality japonica rice water. Or use Ginseng, Poria, and Stone Lotus flesh with some Acorus. Dai Fu'an used Zhizhong Tang (Regulate the Middle Decoction) with half a qian of Aucklandia (Muxiang) or one qian of Amomum Villosum (Suisha). (The above discusses Jin Kou Dysentery). If pathology is below causing stagnation, and above causing vomiting of food, this indicates untransformed toxic accumulation and unpacified Stomach Qi. Identify Cold and warm it, Heat and clear it, Deficiency and tonify with Ginseng and Atractylodes. Once toxins resolve and accumulations descend, appetite returns. For chronic loose stools/dysentery with pus/blood, thick/sticky stool, tenesmus, occurring day and night without limit, use Dahuang Tang (Rhubarb Decoction). Use one liang of Rhubarb (Dahuang), cut, soak in two large cups of good wine for half a day, boil together to 1.5 cups, strain, divide into two doses, take all at once. Stop if dysentery ceases, continue if not, stopping when purgation occurs. Then take Shaoyao Tang (Peony Decoction) to harmonize and thoroughly eliminate toxins. After the previous medicine clears dysentery, use Baizhu Huangqin Tang (Atractylodes and Scutellaria Decoction) to harmonize. Zhu Danxi treated a man with dysentery for over 100 days with no effect from various methods. Six pulses were rapid/hurried, deep, wiry, fine, weak, and hollow, more pronounced on the left. Ten bowel movements day and night, with very little excrement, though purple-black blood streaks appeared in clear mucus. Food was completely refused. This was not dysentery but Blood Stasis. Treat with Peach Kernel (Taoren), Frankincense (Ruxiang), Myrrh (Moyao), and Talcum (Huashi), assisted by Areca Seed (Binglang), Aucklandia (Muxiang), and Medicated Leaven (Shenqu) made into pills with paste. Take over one hundred pills with rice water. At midnight, no movement. Administer another two hundred pills according to the previous method. By dawn, excreted two and a half sheng of filth resembling rotten fish intestines. Exhausted all day, gradually given congee for recovery. Note: This formula likely contains Rhubarb; without it, expulsion would be difficult. He also treated his paternal uncle, age 70, constitutionally robust but emaciated, suffering from loose stools/dysentery from late summer to autumn. Various treatments failed. Though ill for a long time, spirit was not exhausted. Urination was scant and not red. Both wrists showed slippery/wiry pulses. Patient reported slight chest stuffiness and reduced appetite. Realized this must be long-standing accumulation, located in intestines/stomach. Asked about dietary preferences: replied he loved carp, eating it daily for three years. This phlegm accumulation is in the Lung. Since Lung is the exterior organ of the Large Intestine, it affects Large Intestine security. Clear the source, and the flow will naturally clarify. Decoct Cornus (Zhuyu), Tangerine Peel (Chenpi), Green Onion (Qingcong), Millet Root (Mugen), and Ginger (Shengjiang) into a strong decoction, mix with brown sugar, drink about one bowl. Induce vomiting by stimulating the throat with finger. Half a sheng of glue-like phlegm was vomited in half an hour. Symptoms halved that night. Took again next morning, vomited another half sheng, and dysentery stopped spontaneously. Then prescribed Pingwei San (Calm the Stomach Powder) plus Atractylodes (Baizhu) and Scutellaria (Huanglian), recovered in ten days. For astringency, use Muxiang San or Helile Wan. (The above discusses Chronic Dysentery). Resting Dysentery often results from premature astringency, leaving residual accumulation. Or poor management after recovery, causing intermittent onset. Use Sijunzi Tang (Four Gentlemen Decoction) plus one qian Tangerine Peel (Chenpi) and half a qian Aucklandia (Muxiang), swallowing Zhuche Wan. It arises because astringents trapped the accumulation, creating resting dysentery. Re-administer elimination formulas, then use astringents. Zhang Wenzhong used roasted Tiger Bone (Hugu) ground to powder, mixed and taken orally, three spoons daily, effective.
For chronic/resting dysentery with severe deficiency-slipperiness, use White Bark of Toona Sinensis (Chungen) from the southeast direction, soaked in running water for three days, remove yellow bark, slice. Match one liang with one liang Ginseng (Renshen), add two qian baked Aucklandia (Muxiang), and a pinch of japonica rice (Jingmi). Decoct and drink. (The above discusses Resting Dysentery). Labor Dysentery results from prolonged dysentery consuming essence and blood, emptying intestines/stomach, generating other syndromes, or five-palm heat resembling consumption. Use Yulian Yin (Dioscorea and Lotus Decoction); double Lotus Seed (Lianrou) if red predominates, double Dioscorea (Shanyao) if white predominates. Post-dysentery regulation/tonification: use Sijunzi Tang plus 1.5 qian Tangerine Peel (Chenpi), i.e., Yigong San. Or Qizhen San. Those aversive to sweetness: use Shengliao Pingwei San plus half a qian each of Ginseng (Renshen) and Poria (Fuling). For deteriorated syndromes from various diseases, prolonged passage of pus/blood, or stool like dead pig liver color, or mixed five colors, frequent uncontrollable discharge resembling dripping down, commonly called "Scraping Intestines." This is deficiency of all viscera, impending failure of Spleen Qi, causing intestinal prolapse. Using dysentery medicines would be a mistake. Use Liuzhu Yin minus Aconite (Fuzi), plus Alpinia Oxyphylla (Yizhiren) and White Peony Root (Baishao), perhaps offering a slim chance. Post-dysentery Wind results from post-dysentery lower deficiency, poor nursing, excessive sexual activity, or external pathogen invasion, causing flaccidity of both legs, painful or numb, becoming Wind-Dysentery. Use Duhuo Jisheng Tang, swallowing Hugu Sijin Wan. Or use Dafangfeng Tang. Or grind one-third Gynura Segetum (Gusuibu) to extract juice, taken with wine. Externally, fumigate/wash with Achyranthes Bidentata (Niuxi), Bamboo Joint (Shanjiejie), Angelica Dahurica (Baizhi), Arisaema (Nanxing), and Dioscorea Hypoglauca (Bixie) decoction. Zhu Danxi said: Post-dysentery wind is due to blood entering viscera, not fully expelled, returning to meridians and failing to circulate. Use Pine Knot (Songmingjie) one liang, stir-fried with two qian Frankincense (Ruxiang) until charred but retaining nature, Atractylodes Lancea (Cangzhu) and Phellodendron (Huangbo) one liang each, Tecoma Stans (Ziwei) one and a half liang, Licorice (Gancao) half liang, Peach Kernel (Taoren) peeled but tip kept one liang. All ground to powder. Take three qian each time, pounded finely with ginger, boiled in water for two-three boils, then taken. Neighbor Bao Zi, over twenty years old, suffered bloody dysentery, cured with astringents, later developed gouty pain, screaming shaking neighbors. I examined him and said: This is Evil Blood entering meridians. Blood affected by damp-heat, long-term turbid coagulation, incomplete expulsion, remaining in tunnels, thus causing pain. If untreated long-term, fear wasting/emaciation. Prescribed Siwu Tang plus Peach Kernel (Taoren), Safflower (Honghua), Achyranthes (Niuxi), Scutellaria (Huangqin), Tangerine Peel (Chenpi), Licorice (Gancao) decoction. Grind Qianxing San with ginger juice, add little wine, drink dozens of doses. Also punctured Weizhong (BL40) to release black blood, nearly three he, and recovered. *Baojian* states: Even if diarrhea/dysentery stops, if Spleen/Stomach are weak and cannot tolerate food, do not uniformly use attacking/clearing agents. If Spleen/Stomach Qi is sufficient through tonification, appetite will naturally return. Use Qian Yi Gong San from Qian's formulas. If indulgence leads to excessive eating, damaging Spleen/Stomach, causing epigastric/ch abdominal fullness, vomiting, nausea, this exception applies. Temporarily use JuPi Zhishi Wan (Tangerine Peel and Immature Bitter Orange Pill) one dose, stop if rapid relief occurs. If diet is regulated without injury, Stomach Qi becomes peaceful.