夫痢者，五脏之积浊而不散，或厌冷物，或冒寒暑失饥，不能宣发，或伤冷饱食，
或服暖药过多，郁而成痢。其病二三日则利为寒，青痢为热，误也。今人疮疖初发，刺
开乃血，多日成脓，何为先热而后寒也。
叔和云∶湿多成五泄，肠走若雷奔。愚医不悟，三日黄者乃热，青利是寒。《太素》曰∶
五泄有溏泄、 泄、飧泄、濡泄、滑泄也，此乃五泄。五泄者，青是感肝木之象，其色青，
赤者，受心火之气，其色赤，白者，得西方金肺之气，其色白，黄者，脾土之色，苍者，土
气之下肾水随之，其色苍也。三日苍曰寒，黄赤热，其三日非也。
若下利热极，频并窘痛，或久不愈，诸药不能止者，须下之，以开除湿热痞闭积滞。
而使气液宣行者，宜以逐之，兼宣利积热也。
益元散 治身热吐痢，泄泻肠癖，下痢赤白，癃闭淋痛。利小便，偏主石淋。（乃
服金石热药多，待为砂石，从小便淋出者也。）荡胃中积聚寒热，宣积气，通九窍六腑，
生津液，去留结，消蓄水，止渴宽中，除烦热心躁，腹胀痛闷。补益五脏，大养脾肾
之气，（此肾水之藏，非为主之府也。）理内伤阴痿，安魂定魄，补五劳七伤，一切
虚损。主痫 惊悸（其季切，心动貌。）
健忘，止烦满短气，藏伤咳嗽，饮食不下，肌肉疼痛，并口疮，牙齿疳蚀。明耳目，壮筋骨，
通经脉，和血气，消水谷，保元真。解百药酒食邪毒，耐劳役饥渴，宣热，僻中外诸邪所伤。
久服强志轻身，注颜延寿，及解中暑伤寒疫疠，饥饱劳损，忧愁思虑恚怒，瘟疫传染，并汗
后遗热劳复诸疾。并解两感伤寒，能令遍身结滞宣通，气和而愈，及妇人下乳催生，产后
损气血衰，阴虚热甚，一切热证，兼吹奶乳痈。此神验之仙药也。唯孕妇不宜服，滑胎也。
砂仁 滑石（各二两） 甘草（炙，四钱）
上为末，每服二钱，蜜少许，温水调下，无蜜亦得。日三服。欲冷冻饮料者，新汲水调下。
解利伤寒发热，葱白豆豉汤调下四钱。（每服水二盏，葱白五寸，豆豉五十粒，煮取汁一盏
调下。）并三服，效为度。
此药是寒凉解散郁热，若病甚不解，多服此药无害，但有益而无损。俗恶性寒，兼易得
之贱物，而不明《素问》造化之理，故不取《本草》神验之言，而多不用焉。若以随证验之，乃
凡人之仙药也，不可阙之。
伤寒当汗而不可下，当下而不可汗者，且如误服此药，则汗出自愈，里热便得宣通而愈，
或半在里、半在表，可和解而不可发汗吐下者，若服上药多愈，亦获小效。是解散怫郁，
邪热甚者，小加减凉膈散和解为佳。或人不当汗者，加苍术末二分，同葱白、豉同煎汤调服，
甚良。或孕妇不宜服，以滑石、麻黄、桂枝，要发汗，当即用甘草一两、苍术二两，同为末，
每服四钱，水一盏半，更加入葱白五寸、豆豉五十枚，同煎至六分，去滓，温服，并三服，
取微汗为度。逼毒散，非孕妇可服，太白散加入麻黄二两（去节），如法煎服，世云神
白散。或逼毒散与加麻黄（去节）、苍术各等分（称），《济众》云青龙散。或青龙散欲更加
入滑石与苍术二倍，最为发汗之妙药也。惟正可汗者，即用此服之，则转加热也，名为大逼
毒散。此解利两感同，更兼煎凉膈散调下益元散四钱。或下乳，用猪肉面羹或酒之类调下
四钱，不计时候，日三服，宜食肉面羹粥。催产，用温油浆调下三钱，并二三服，以产为
度。或死胎不下者，煎三一承气汤一服，调下五钱，须臾，更频用温油浆调服。前后俱下胎，
可活产母也。儿难产，或死胎不下者，皆由风热燥涩，坚敛结滞，不能舒缓，是故产户不
得自然开也，其药力至，则热结顿开而产矣，慎不可温补，而反生燥热也。俗未知产后损血，
日夜疼痛怖惧，以致神狂气乱，则阴气损虚，邪热太甚，而为诸证。由不明《素问》造
化，故不识证候阴阳，反以妄谓产后诸虚百损，便为虚冷，而无热也，误以热药温补。或
见渴甚者，不令饮水，本为善心，为害多矣。岂知治病之道，俱以临时审其脏腑六气虚实，
明其标本，如法治之而已矣。此药之常多用虽为效，至大俗以病异药同，将为妄行，反招侮慢。
今以若加黄丹，令桃仁色，是以名之红玉散。若加青黛，令轻粉碧色，名碧玉散。若
加薄荷叶（末，一分，同研），名鸡苏散。主疗并同，但以回避愚俗之妄侮慢耳。
玄青丸 治下痢势恶，频并窘痛，或久不愈，诸药不能止，须可下之，以开除湿热痞
闷积滞，而使气液宣行者，宜以逐之。兼宣利积热酒食积，黄瘦中满，水肿腹胀。兼疗小
儿惊疳积热乳癖诸证。唯泄泻者勿服。
黄连 黄柏 大黄 甘遂 芫花（醋拌，炒） 大戟（各半两） 牵牛（四两，草末一两。
以上同为末） 轻粉（二钱） 青黛（二两）
上为末，洒水为丸，小豆大，初服十丸，每服加十丸，空腹，清晨用酒送下。以快
利为度。后常服十五、二十丸，数日后得食。久病未径除者，再加，取利。利后却常服，随
意消息，病去为度，后随证止之，小儿丸如黍米或麻子大，退惊疳热积不下者，须常服十丸。
阿胶梅连丸 治下痢，无问久新赤白青黑疼痛诸证。
金井阿胶（净草灰炒透明，臼别研，不细者，再炒，研细） 乌梅肉（去核，炒）
黄柏（锉，炒） 黄连 当归（焙） 赤芍药 干姜（炮） 赤茯苓
（去皮）。各等分
上为末，入阿胶，研匀，水丸，桐子大，温米饮下十丸，食前，兼夜五六服。小儿丸如绿豆
大。忌油腻脂肥诸物也。
牛黄神金丸 治大人小儿呕吐泻痢，无问新久赤白诸色，或渴或不渴，小便涩或不涩，并
小儿惊疳积热， 癖坚积，腹满硬痛，作发往来，亦能宽膈消食。
轻粉 粉霜 砂（以上别研） 雄黄（研） 朱砂 信砒 巴豆（去皮。各一钱）
黄丹 蜡（各三钱）
上先研粉霜，次旋入 砂，研细，下雄黄、朱砂、信砒，再研，下丹粉，研匀，别研巴豆
烂为油，与前药研匀，近火上炙，控热，别研蜡软，入药，匀，搓成剂，旋丸小豆大，新汲
水下一丸。小儿黍米、麻子大。
或止吐泻痢疾，调甘露散，（即桂苓甘露饮。）或益元散亦得。
芍药柏皮丸 治一切湿热恶痢，气升窘痛，无问脓血，并宜服之。
芍药 柏皮（各三两） 当归 黄连（各半两）
上为末，水丸，如小豆大，温水下三四十丸，无时，兼夜五六服。忌油腻脂肥发热等物。
二胜丸 治泄痢虚损，不问新久者。
盐豉 紫蒜（去皮。各等分）
上同杵为膏，丸如桐子大，每服三丸至九丸，米饮汤下。
如未愈，及赤白痢，腹满胁痛，更与杏仁丸。
杏仁丸 治一切赤白泻痢，腹痛里急后重者。
杏仁（四十九个） 巴豆（四十九个，去皮）
上二药同烧存性，研细如泥，用蜡熔和，旋丸如桐子大，每服一二丸，煎大黄汤下，间
日一服。
白术圣散子 治一切泻痢久不瘥，并妇人产后利亦治。
御米壳（二两，蜜炒） 当归 肉豆蔻 缩砂仁 石榴皮 诃子 干姜（炮） 陈皮（去白）
白术 甘草 芍药（各一两）
上为细末，每服二钱，水一大盏，入乳香同煎，和滓服。
胜金膏 治一切泻痢不已，胃脉浮洪者，反多日不已者。泻小者，立止。
巴豆皮 楮实（同烧存性）
上为末，熔蜡丸如绿豆大，每服五丸，煎甘草汤下。
大圣真金散 治一切寒热溏泻，赤白等痢疾。
御米壳（半斤，炒） 甘草（一两，炙） 干姜（半两，炮） 当归（一两） 酸石榴皮（一两，炒）
陈皮（去白） 白茯苓（去皮。各一两）
上为末，每服二钱，水一盏，（小儿半盏。）乳香同煎至七分，食前。忌油腻生冷毒物等。
车前子散（一名断痢散。） 治一切痢不止。
车前子（不以多少，炒香）
上为末，每服二钱，米饮调下，食前空心。
象骨散 治脾胃虚弱，心腹胀满，水谷不消，噫气吞酸，食辄呕吐，霍乱，泄泻脓血，四
肢沉重，脐腹疼痛里急，夜起频并，不思饮食，皆可治之。
象骨（四两，炒） 诃子（取肉，二两） 肉豆蔻（一两） 甘草（二两） 干姜（半两）
上为末，每服三钱，水一盏半，煎至八分，和滓热服，食前，日三服。
海蛤玉粉散 治血痢，解脏中积热毒。
海蛤（不以多少）
上为末，每服二钱，入蜜少许，冷水调下，不计时候。
痢疾，是五脏中积滞的污浊之气无法消散所致。有的因为厌恶冷食，有的因为冒犯寒暑或饮食饥饱无常，导致气机不能宣发；有的因为过食生冷或暴饮暴食，或者服用过多温热药物，导致气机郁结而形成痢疾。发病两三天后，如果腹泻表现为寒证，却用清热药治疗青色脓血便（热证），这是错误的。现在的人疮疖初起时，刺破后流出的是血液，过了多天才化脓，为什么说是先有热而后有寒呢？
王叔和说：“湿气重容易形成五种泄泻，肠道鸣响如雷奔。”愚昧的医生不明白，认为三天后出现黄色大便才是热证，青色腹泻才是寒证。《太素》中说：五种泄泻包括溏泄、飧泄、濡泄、滑泄等，这就是五泄。所谓五泄，青色对应感受肝木之象，其色青；红色对应受心火之气，其色赤；白色对应得西方肺金之气，其色白；黄色对应脾土之色；苍色（青黄相间）对应土气之下肾水随之，其色苍。三天后出现苍色为寒，黄赤色为热，这种说法是不对的。
如果下利热势极盛，频繁发作且伴有窘迫疼痛，或者久治不愈，各种药物都无法止住者，必须使用攻下法，以清除湿热、痞满闭塞和积滞，使气液得以宣通运行。适宜用逐邪之法，兼以宣散利导积热。
益元散：治疗身体发热、呕吐痢疾、泄泻肠癖、下痢赤白、小便不通及淋痛。能通利小便，主要治疗石淋。（这是由于服用过多金石类热性药物，凝结成砂石，从小便淋出所致。）它能荡涤胃中积聚的寒热之气，宣散积滞之气，通畅九窍六腑，生津液，去除留结，消除蓄水，止渴宽中，除烦热心躁，缓解腹胀痛闷。补益五脏，大养脾肾之气。（此处指肾为水脏，并非主司水液的府库。）调理内伤引起的阳痿，安神定魄，补益五劳七伤及一切虚损。主治癫痫、惊悸（季切，心跳不安的样子）、健忘，止烦闷短气，治疗脏腑损伤引起的咳嗽、饮食不下、肌肉疼痛，以及口疮、牙齿虫蚀。明耳目，壮筋骨，通经脉，调和气血，消化水谷，保全元气。解除各种药物、酒食及邪毒，耐受劳累饥渴，宣散热邪，抵御内外各种邪气伤害。长期服用可增强意志、轻身延年、美容驻颜，并能解除中暑、伤寒、疫疠，以及饥饱劳损、忧愁思虑愤怒、瘟疫传染，还有汗后余热、劳复等各种疾病。还能解除两感伤寒，能使周身结滞宣通，气机和顺而痊愈，以及妇女催乳催生，产后气血亏损衰败、阴虚热盛及一切热证，兼治吹乳、乳痈。这是神验的仙药。只有孕妇不宜服用，因为它会滑胎。
砂仁、滑石（各二两），甘草（炙，四钱）。
以上研为细末，每次服用二钱，加少许蜂蜜，温水调服，没有蜂蜜也可以。每日三次。想要喝冷饮的人，可用新汲凉水调服。
解利伤寒发热，用葱白豆豉汤调服四钱。（每次用水两盏，葱白五寸，豆豉五十粒，煮取汁一盏来调服。）共服三次，见效为止。
此药是寒凉解散郁热的方剂，如果病情严重未解，多服此药无害，只有益处而无损害。世俗之人厌恶其性寒，又因其是易得的廉价之物，而不明白《素问》造化之理，所以不采纳《本草》中关于它神验的说法，大多不使用它。如果根据症状验证，这其实是凡人的仙药，不可缺失。
伤寒应当发汗而不可攻下，应当攻下而不可发汗的情况，如果误服此药，则汗出而自愈，里热得以宣通而痊愈。或者病邪半在里、半在表，可以和解而不可发汗、吐、下者，若服用上述药物大多痊愈，也能获得小效。这是解散怫郁，对于邪热甚者，用小加减凉膈散和解为佳。对于不应当发汗的人，加入苍术末二分，同葱白、豆豉一起煎汤调服，效果很好。或者孕妇不宜服用，因滑石、麻黄、桂枝需要发汗，应立即用甘草一两、苍术二两，同为细末，每次服用四钱，水一盏半，再加入葱白五寸、豆豉五十枚，同煎至六分，去渣，温服，共服三次，以微汗为度。逼毒散，非孕妇可服；太白散加入麻黄二两（去节），依法煎服，世人称为神白散。或者逼毒散与加麻黄（去节）、苍术各等分（称量），《济众方》称为青龙散。或者青龙散欲更加入滑石与苍术两倍量，是最为发汗的妙药。只有正适合发汗者，即用此药服用，则会转为加热，名为大逼毒散。此药解利两感伤寒，更兼煎凉膈散调服益元散四钱。或者用于催乳，用猪肉面羹或酒之类调服四钱，不限时候，每日三次，宜吃肉面羹粥。催产，用温油浆调服三钱，并服二三剂，以分娩为度。如果是死胎不下者，煎三一承气汤一服，调服五钱，片刻后，再用温油浆频频调服。前后都能排出胎儿，可保住产妇性命。婴儿难产，或死胎不下者，皆由风热燥涩，坚敛结滞，不能舒缓，因此产户不得自然张开。药力到达，则热结顿开而分娩。千万不可温补，反而会产生燥热。世俗之人不知道产后耗损血液，日夜疼痛恐怖，以致神志狂乱、气机紊乱，从而阴气受损虚弱，邪热太甚，而出现各种证候。由于不明白《素问》造化之理，所以不识证候阴阳，反而妄称产后诸虚百损就是虚冷，而没有热邪，误用热药温补。或者见到口渴严重的，不让饮水，本是好心，但危害很大。哪里知道治病之道，都要临时审查脏腑六气的虚实，明确标本，依法治疗罢了。此药平常多用虽然有效，但世俗之人认为病异药同，认为是妄行，反而招致轻慢。如今如果加入黄丹，令其呈桃仁色，就命名为红玉散。如果加入青黛，令其呈轻粉碧色，命名为碧玉散。如果加入薄荷叶（末，一分，同研），命名为鸡苏散。主治功效相同，只是为了回避愚俗之人的妄自轻慢罢了。
玄青丸：治疗下痢势头凶恶，频繁发作且伴有窘迫疼痛，或者久治不愈，各种药物无法止住，必须可以使用攻下法，以清除湿热、痞闷积滞，使气液得以宣通运行，适宜用逐邪之法。兼治宣散利导积热、酒食积滞，面色萎黄消瘦、胸腹满闷，水肿腹胀。兼治小儿惊疳、积热、乳癖等各种证候。唯独泄泻者勿服。
黄连、黄柏、大黄、甘遂、芫花（醋拌，炒）、大戟（各半两）、牵牛（四两，草末一两。以上同为细末）、轻粉（二钱）、青黛（二两）。
以上研为细末，洒水泛丸，如小豆大。初次服用十丸，每次增加十丸，空腹，清晨用酒送下。以大便畅快通利为度。之后常服十五、二十丸，数日后开始进食。久病未彻底清除者，再加量，以求通利。通利后却常服，随意斟酌，病去为止，之后随证停药。小儿丸如黍米或麻子大，退除惊疳热积不下者，须常服十丸。
阿胶梅连丸：治疗下痢，不论新旧、赤白青黑疼痛等各种证候。
金井阿胶（净草灰炒至透明，臼中另研，不细的再炒，研细）、乌梅肉（去核，炒）、黄柏（锉，炒）、黄连、当归（焙）、赤芍药、干姜（炮）、赤茯苓（去皮）。各等分。
以上研为细末，加入阿胶，研匀，水泛丸，如梧桐子大，温米饮送下十丸，饭前服用，兼夜间五六次。小儿丸如绿豆大。忌食油腻脂肥等物。
牛黄神金丸：治疗大人小儿呕吐泻痢，不论新旧、赤白各种颜色，或者口渴或不渴，小便涩或不涩，以及小儿惊疳、积热、癖块坚积，腹满硬痛，发作往来，也能宽膈消食。
轻粉、粉霜、砒（以上另研）、雄黄（研）、朱砂、信砒、巴豆（去皮。各一钱）、黄丹、蜡（各三钱）。
以上先研粉霜，其次旋入砒，研细，下雄黄、朱砂、信砒，再研，下丹粉，研匀，另研巴豆烂为油，与前药研匀，靠近火上炙烤，控去热气，另研软蜡，入药，拌匀，搓成剂，旋丸如小豆大，新汲凉水送下一丸。小儿如黍米、麻子大。
如果要止吐泻痢疾，调服甘露散（即桂苓甘露饮），或者益元散也可以。
芍药柏皮丸：治疗一切湿热恶痢，气机上逆窘迫疼痛，不论脓血，都适宜服用。
芍药、柏皮（各三两）、当归、黄连（各半两）。
以上研为细末，水泛丸，如小豆大，温水送下三四十丸，不拘时候，兼夜间五六次。忌食油腻脂肥发热等物。
二胜丸：治疗泄痢虚损，不论新旧。
盐豉、紫蒜（去皮。各等分）。
以上同捣为膏，丸如梧桐子大，每次服用三丸至九丸，米饮汤送下。
如果未愈，以及赤白痢，腹满胁痛，再给予杏仁丸。
杏仁丸：治疗一切赤白泻痢，腹痛里急后重者。
杏仁（四十九个）、巴豆（四十九个，去皮）。
以上二药同烧存性，研细如泥，用熔化的蜡调和，旋丸如梧桐子大，每次服用一二丸，煎大黄汤送下，间日一服。
白术圣散子：治疗一切泻痢久治不愈，以及妇人产后痢疾也治疗。
御米壳（二两，蜜炒）、当归、肉豆蔻、缩砂仁、石榴皮、诃子、干姜（炮）、陈皮（去白）、白术、甘草、芍药（各一两）。
以上为细末，每次服用二钱，水一大盏，加入乳香同煎，连渣服用。
胜金膏：治疗一切泻痢不已，胃脉浮洪者，反多日不已者。泻下量少者，立止。
巴豆皮、楮实（同烧存性）。
以上为细末，熔化蜡丸如绿豆大，每次服用五丸，煎甘草汤送下。
大圣真金散：治疗一切寒热溏泻，赤白等痢疾。
御米壳（半斤，炒）、甘草（一两，炙）、干姜（半两，炮）、当归（一两）、酸石榴皮（一两，炒）、陈皮（去白）、白茯苓（去皮。各一两）。
以上为细末，每次服用二钱，水一盏，（小儿半盏。）加入乳香同煎至七分，饭前服用。忌食油腻生冷毒物等。
车前子散（一名断痢散。）：治疗一切痢不止。
车前子（不以多少，炒香）。
以上为细末，每次服用二钱，米饮调服，饭前空心。
象骨散：治疗脾胃虚弱，心腹胀满，水谷不消，噫气吞酸，食辄呕吐，霍乱，泄泻脓血，四肢沉重，脐腹疼痛里急，夜起频繁，不思饮食，皆可治疗。
象骨（四两，炒）、诃子（取肉，二两）、肉豆蔻（一两）、甘草（二两）、干姜（半两）。
以上为细末，每次服用三钱，水一盏半，煎至八分，连渣热服，饭前，每日三次。
Dysentery is caused by the accumulation and failure to disperse of turbid qi in the five zang organs. It may result from aversion to cold foods, exposure to cold or heat, irregular eating habits (fasting or overeating), leading to an inability of qi mechanism to circulate freely; it may also arise from excessive consumption of cold/raw foods or binge eating, or from taking too many warm/hot medicines, causing qi stagnation that transforms into dysentery. If diarrhea occurs within two or three days and presents as a cold syndrome, yet blue/green purulent stools (indicating heat) are treated with cooling methods, this is erroneous. Consider skin sores: initially, puncturing them yields blood; only after many days do they suppurate. Why is it said that heat precedes cold?
Wang Shuhe stated: "Excess dampness easily leads to five types of diarrhea, with intestinal sounds like thunder rushing." Ignorant physicians fail to understand that yellow stool appearing after three days indicates heat, while green diarrhea indicates cold. The *Tai Su* states: The five types of diarrhea include loose stool (*tang xie*), undigested food diarrhea (*sun xie*), soft/wet diarrhea (*ru xie*), and slippery diarrhea (*hua xie*). These constitute the five diarrheas. Regarding colors: blue/green corresponds to the image of Liver Wood; red corresponds to Heart Fire; white corresponds to Lung Metal of the West; yellow corresponds to Spleen Earth; and cyan/blue-green corresponds to Kidney Water following beneath Earth Qi. Stool becoming cyan after three days indicates cold; yellow/red indicates heat. Thus, the notion that "three days later" determines the nature is incorrect.
If lower discharge involves extreme heat, frequent episodes with distressing pain, or chronic persistence unresponsive to various medications, purgative methods must be employed to expel damp-heat, obstruction, and accumulated stagnation, thereby allowing qi and fluids to circulate freely. One should use draining methods to simultaneously dissipate and promote the flow of accumulated heat.
**Yiyuan San (Benefit Prime Powder):** Treats fever, vomiting, dysentery, diarrhea, intestinal disorders, bloody/purulent dysentery, urinary retention, and painful dribbling. It promotes urination and primarily treats stone strangury (caused by excessive intake of mineral hot medicines, which condense into sand/stones passed via urine). It clears cold/heat accumulations in the stomach, disperses stagnant qi, unblocks the nine orifices and six fu organs, generates body fluids, removes retained clumps, resolves water retention, quenches thirst, relieves chest fullness, eliminates irritability and restlessness, and alleviates abdominal distension and pain. It tonifies the five zang organs, greatly nourishes Spleen and Kidney qi (note: the Kidney is the storehouse of water, not the primary organ governing water metabolism). It regulates internal injury-induced impotence, calms the soul and stabilizes the spirit, tonifies the five labors and seven injuries, and addresses all deficiencies. It treats epilepsy, palpitations (rapid heartbeat), forgetfulness, irritability, shortness of breath, cough due to organ damage, difficulty swallowing, muscle pain, mouth ulcers, and dental caries. It brightens the eyes and ears, strengthens sinews and bones, unblocks meridians, harmonizes blood and qi, aids digestion of food and water, preserves primordial essence, resolves toxicity from drugs, alcohol, and food, enhances tolerance to labor and hunger/thirst, dissipates heat, and protects against external and internal pathogenic invasions. Long-term use strengthens willpower, lightens the body, rejuvenates complexion, and extends lifespan. It resolves summerheat, cold damage, epidemics, damage from hunger/fullness/labor, emotional disturbances (worry, thought, anger), infectious plagues, residual heat after sweating, and relapse from overexertion. It resolves simultaneous cold damage of exterior and interior, unblocks systemic stagnation, harmonizes qi for recovery, assists lactation and childbirth, treats postpartum qi/blood deficiency, yin deficiency with severe heat, and all heat syndromes. It also treats breast engorgement and mastitis. This is a miraculous immortal medicine. However, pregnant women should not take it, as it causes miscarriage.
Ingredients: Amomum fruit (Sharen), Talcum (Huashi) (each 2 liang); Licorice root (Gancao), honey-fried (4 qian).
Process: Grind into powder. Take 2 qian per dose, mixed with a little honey and warm water (honey is optional). Take three times daily. For those desiring cold drinks, mix with fresh cool water.
For cold damage with fever, mix 4 qian with Scallion White and Fermented Soybean Decoction. (Recipe for decoction: 2 cups water, 5 cun scallion whites, 50 grains fermented soybeans; boil to 1 cup.) Take three doses until effective.
This formula is cold and cooling, resolving depressed heat. Even if the condition is severe and unresolved, taking more of this medicine is harmless, beneficial rather than detrimental. Laypeople dislike its cold nature and consider it a cheap, common substance. Unaware of the principles of creation in the *Su Wen*, they ignore the miraculous efficacy recorded in the *Ben Cao* and rarely use it. Verified by symptoms, it is indeed an immortal medicine for ordinary people and should not be omitted.
In cases of cold damage where sweating is indicated but purgation is contraindicated, or vice versa, accidental ingestion of this medicine may induce sweating and cure the disease, or clear interior heat. For half-exterior/half-interior conditions suitable for harmonization rather than sweating, vomiting, or purging, this medicine often cures or provides slight relief. It resolves constraint. For severe heat, a modified Liangge San is better for harmonization. For those who should not sweat, add 2 fen of Atractylodes macrocephala powder, decocted with scallion whites and fermented soybeans. For pregnant women who should not take the standard formula (due to Talcum, Ephedra, and Cinnamon Twig promoting sweating), use Licorice root (1 liang) and Atractylodes macrocephala (2 liang) ground together. Take 4 qian with 1.5 cups water, plus 5 cun scallion whites and 50 fermented soybeans; decoct to 0.6 cups, strain, and drink warm. Three doses, aiming for mild sweating.
"Biodu San" (Expel Toxin Powder) can be taken by non-pregnant women. "Taibai San" adds 2 liang of Ephedra stem (Mahuang, removed joints) to the base, decocted normally; known as "Shenbai San" (Divine White Powder). Alternatively, Biodu San combined with equal parts Ephedra and Atractylodes is called "Qinglong San" (Green Dragon Powder) in the *Jizhong Fang*. Adding double amounts of Talcum and Atractylodes to Qinglong San makes it an excellent diaphoretic. For cases correctly indicated for sweating, using this results in increased heat, named "Da Biodu San" (Great Expel Toxin Powder). This resolves simultaneous exterior-interior cold damage; combine with decocted Liangge San and 4 qian of Yiyuan San. For lactation, take 4 qian with pork noodle soup or wine, three times daily, accompanied by meat/noodle porridge. For inducing labor, take 3 qian with warm oil water, two to three doses, until delivery. For retained dead fetus, take 5 qian of Yiyuan San mixed with one dose of Sanyi Chengqi Tang; repeat with warm oil water frequently. Both anterior and posterior expulsion of the fetus saves the mother. Dystocia or retained dead fetus is caused by wind-heat dryness/astringency, causing tight stagnation preventing natural dilation. When the medicine's power arrives, heat stagnation opens, facilitating birth. Do not use warm tonics, which generate dryness-heat. Laypeople mistakenly believe postpartum weakness is purely cold-deficiency, ignoring heat signs, and wrongly use hot tonics. They also deny water to thirsty patients, causing harm. Treatment requires assessing zang-fu and six qi excess/deficiency, identifying root and branch, and treating accordingly. While this medicine is commonly effective, laypeople criticize its versatility as reckless. Variants include adding Lead tetroxide (Huangdan) for "Hongyu San" (Red Jade Powder), Indigo naturalis (Qingdai) for "Biyu San" (Jasper Powder), or Mint leaves (Boheye) for "Jisu San" (Chicken Mint Powder). Efficacy remains the same, merely to avoid lay criticism.
**Xuanqing Wan (Black-Green Pill):** Treats severe dysentery with frequent distressing pain, chronic cases unresponsive to other drugs. Requires purgation to clear damp-heat, obstruction, and stagnation, promoting qi/fluid circulation. Also treats accumulated heat from alcohol/food, sallow emaciation, abdominal fullness, edema, and pediatric convulsive malnutrition, heat accumulation, and breast lumps. Contraindicated in diarrhea.
Ingredients: Coptis rhizome (Huanglian), Phellodendron bark (Huangbai), Rhubarb (Dahuang), Kansui root (Gansui), Genkwa flower (Yuanhua - vinegar-soaked, fried), Large Spurge root (Daji) (each 0.5 liang); Morning Glory seed (Qianniu) (4 liang, 1 liang grass powder); Calomel (Qingfen) (2 qian); Indigo naturalis (Qingdai) (2 liang).
Process: Grind all to powder, sprinkle water to make pills size of small beans. Initial dose: 10 pills, increasing by 10 per dose. Take on empty stomach in morning with wine. Stop when bowels move freely. Maintenance: 15-20 pills. Resume eating after several days. For chronic cases, increase dose to achieve purgation. After purgation, resume maintenance dosage based on condition. Pediatric pills: millet/mustard seed size. For persistent pediatric heat/convulsions, take 10 pills regularly.
**Ejiao Meilian Wan (Donkey-hide Gelatin and Smoked Plum Pill):** Treats dysentery regardless of duration or color (red, white, blue, black) or pain.
Ingredients: Donkey-hide gelatin (Ejiao, fried in clean ash until transparent, pounded separately), Smoked plum flesh (Wumei, pitted, fried), Phellodendron bark (Huangbai, chopped, fried), Coptis rhizome (Huanglian), Angelica sinensis root (Danggui, baked), Red Peony root (Chishaoyao), Ginger (Ganjiang, roasted), Red Poria (Chifuling, peeled). Equal parts.
Process: Grind to powder, mix with Ejiao, water-pelletize to wisteria seed size. Take 10 pills with warm rice broth before meals, and 5-6 times at night. Pediatric pills: mung bean size. Avoid greasy/fatty foods.
**Niuhuang Shenjin Wan (Calculus Bovis Divine Gold Pill):** Treats vomiting/diarrhea-dysentery in adults and children, new or old, any color, with or without thirst, with or without difficult urination. Also treats pediatric convulsive malnutrition, heat accumulation, fixed masses, abdominal fullness/hardness/pain, and promotes digestion.
Ingredients: Calomel (Qingfen), Sublimated Arsenic Oxide (Fenshuang), Realgar (Xionghuang), Cinnabar (Zhusha), Arsenolite (Xinpi), Croton seed (Badou, peeled) (each 1 qian); Lead tetroxide (Huangdan), Beeswax (Lazhi) (each 3 qian). Note: Arsenic compounds require careful handling.
Process: Grind Fenshuang first, then add arsenic compound, grind fine. Add Xionghuang, Zhusha, Xinpi, grind again. Add Huangdan powder, mix well. Separate Badou, crush to oil, mix with previous powders. Heat gently, remove heat, soften wax, mix in, roll into pills size of small beans. Adult dose: 1 pill with fresh cool water. Pediatric dose: millet/mustard seed size.
For stopping vomiting/diarrhea-dysentery, mix with Ganlu San (Guiling Ganlu Yin) or Yiyuan San.
**Shaoyao Bapi Wan (Peony and Phellodendron Bark Pill):** Treats all damp-heat malignant dysentery with rising qi and distressing pain, with or without pus/blood.
Ingredients: White Peony root (Shaoyao), Phellodendron bark (Bapi) (each 3 liang); Angelica sinensis root (Danggui), Coptis rhizome (Huanglian) (each 0.5 liang).
Process: Grind to powder, water-pelletize to small bean size. Take 30-40 pills with warm water, anytime, including 5-6 times at night. Avoid greasy/fatty/spicy foods.
**Ersheng Wan (Two Victories Pill):** Treats diarrhea-dysentery with deficiency/exhaustion, new or old.
Ingredients: Salted fermented soybeans (Yanchi), Purple garlic (Zisuan, peeled). Equal parts.
Process: Pound into paste, pelletize to wisteria seed size. Take 3-9 pills with rice broth.
If unresolved, or for bloody/purulent dysentery with abdominal/flank pain, switch to Xingren Wan.
**Xingren Wan (Apricot Kernel Pill):** Treats all bloody/purulent diarrhea-dysentery with abdominal pain and tenesmus.
Ingredients: Apricot kernel (Xingren) (49 pieces), Croton seed (Badou) (49 pieces, peeled).
Process: Char both until carbonized but retaining properties, grind to mud-like consistency, mix with melted wax, pelletize to wisteria seed size. Take 1-2 pills with decocted Rhubarb tea, every other day.
**Baizhu Sheng Sanzi (White Atractylodes Holy Powder):** Treats chronic diarrhea-dysentery unresponsive to treatment, and postpartum dysentery.
Ingredients: Poppy shell (Yumiqiao, 2 liang, honey-fried), Angelica sinensis root (Danggui), Nutmeg (Roudoukou), Cardamom (Suosharen), Pomegranate peel (Shiliupi), Chebula fruit (Hezi), Ginger (Ganjiang, roasted), Tangerine peel (Chenpi, peeled), White Atractylodes rhizome (Baizhu), Licorice root (Gancao), Peony root (Shaoyao) (each 1 liang).
Process: Grind to fine powder. Take 2 qian, decoct with 1 large cup water and Frankincense (Ruxiang), drink with dregs.
**Shengjin Gao (Victory Gold Ointment/Paste):** Treats persistent diarrhea-dysentery with floating/hyperactive stomach pulse, lasting many days. Stops small-volume diarrhea immediately.
Ingredients: Croton peel (Badoupi), Mulberry fruit (Chushi) (charred together).
Process: Grind to powder, mix with melted wax, pelletize to mung bean size. Take 5 pills with decocted Licorice tea.
**Dasheng Zhenjin San (Great Sage True Gold Powder):** Treats all cold-heat loose stools, bloody/purulent dysentery.
Ingredients: Poppy shell (Yumiqiao, 0.5 jin, fried), Licorice root (Gancao, 1 liang, honey-fried), Ginger (Ganjiang, 0.5 liang, roasted), Angelica sinensis root (Danggui, 1 liang), Sour Pomegranate peel (Suan Shiliupi, 1 liang, fried), Tangerine peel (Chenpi, peeled), White Poria (Baifuling, peeled) (each 1 liang).
Process: Grind to powder. Take 2 qian, decoct with 1 cup water (0.5 cup for children) and Frankincense to 0.7 cup volume. Take before meals. Avoid greasy/cold/toxic foods.
**Cheqianzi San (Plantago Seed Powder) (aka Duanni San):** Treats all persistent dysentery.
Ingredients: Plantago seed (Cheqianzi, amount unspecified, fried until fragrant).
Process: Grind to powder. Take 2 qian with rice broth, before meals on empty stomach.
**Xianggu San (Elephant Bone Powder):** Treats Spleen/Stomach deficiency, chest/abdominal fullness, indigestion, belching/acid regurgitation, vomiting after eating, cholera, bloody/purulent diarrhea, heavy limbs, umbilical/abdominal pain with tenesmus, frequent nocturnal urges, loss of appetite.
Ingredients: Elephant bone (Xianggu, 4 liang, fried), Chebula fruit flesh (Hezi, 2 liang), Nutmeg (Roudoukou, 1 liang), Licorice root (Gancao, 2 liang), Ginger (Ganjiang, 0.5 liang).
Process: Grind to powder. Take 3 qian, decoct with 1.5 cups water to 0.8 cup volume. Drink hot with dregs, before meals, three times daily.
**Haige Yufen San (Clam Shell Jade Powder):** Treats bloody dysentery, clearing visceral accumulated heat/toxins.
Ingredients: Clam shell (Haige, amount unspecified).
Process: Grind to powder. Take 2 qian, mix with a little honey, dissolve in cold water. Take anytime.