治下痢赤白，无问久近长幼，皆可服。
罂粟壳(炙，十四个，去瓣) 草果（一个，不去皮炒) 白术（一钱） 甘草(炙，半钱） 茯苓（一钱)
上为锉散。作一剂，水一大碗，姜七片，枣七个，煎至一大盏，分二服，空腹。或下纯
赤，加黑豆二十七粒；白则加炮干姜一钱。
治下痢赤白
罂粟壳（八两，锉炒) 地榆（六两） 白术 紫苏叶 木瓜干（各二两）
上为锉散。每服四钱，水盏半，姜七片，枣二个，煎七分，去滓，空腹服。
治肠胃虚弱，风湿进袭，泄泻水谷，滞下脓血， 刺疼痛，里急后重，日夜无度。
当归(洗) 芍药 甘草(炙) 诃子(去核，各半两） 浓朴(去粗皮，切，姜制) 青皮 陈
皮（各一两） 缩砂仁 木香(炮，各一分） 罂粟壳(切醋淹炒，五两)
上为末，蜜丸一两作五丸。每服一丸，水一盏，煎七分，食前温服。
凡血得热则淖溢，故鲜；得寒则凝泣，故瘀。当审其风热风冷二证，与蛊利大别，外有
血痔、血枯、内衄、酒利、肺疽、肠胃蓄瘀、远近血等，各有门类，不可混杂。古方云∶积
冷积热，及水谷实而下利者，并以大黄汤下之。《养生方》亦云∶大则疏涤之。更不知有
寒热风湿虚实之不同，后人寻即妄用，被害者多矣。吁，可伤哉。
Treat dysentery with passage of red and white pus and blood; it can be taken regardless of the duration of the disease or the age of the patient.
*Papaeveris Pericarpium* (Yingsuqiao, 罂粟壳) [roasted, 14 pieces, remove septa], *Tsaoko Fructus* (Caoguo, 草果) [one piece, stir-fry without removing peel], *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) [1 qian], *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) [roasted, 0.5 qian], *Poria* (Fuling, 茯苓) [1 qian].
Crush the above into a coarse powder. For one dose, add one large bowl of water, seven slices of ginger, and seven dates; decoct until reduced to one small cup; divide into two doses and take on an empty stomach. If the stool is purely red, add 27 black beans; if purely white, add 1 qian of roasted *Zingiberis Rhizoma* (Ganjiang, 干姜).
Treat dysentery with passage of red and white pus and blood.
*Papaeveris Pericarpium* (Yingsuqiao, 罂粟壳) [8 liang, crush and stir-fry], *Sanguisorbae Radix* (Diyu, 地榆) [6 liang], *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Perillae Folium* (Zisuye, 紫苏叶), *Chaenomelis Fructum* (Mugugan, 木瓜干) [each 2 liang].
Crush the above into a coarse powder. Take 4 qian per dose with one and a half cups of water, seven slices of ginger, and two dates; decoct until reduced to 70%; strain and take on an empty stomach.
Treat weakness of the spleen and stomach, invasion by wind-dampness, resulting in diarrhea with undigested food, dysentery with pus and blood, stabbing abdominal pain, tenesmus, occurring day and night without limit.
*Angelicae Sinensis Radix* (Danggui, 当归) [wash], *Paeoniae Radix Alba* (Shaoyao, 芍药), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) [roasted], *Terminalia Chebulae Fructus* (Hezi, 诃子) [remove pits, each 0.5 liang], *Magnoliae Officinalis Cortex* (Houpo, 厚朴) [remove rough bark, slice, process with ginger juice], *Citri Reticulatae Pericarpium Viride* (Qingpi, 青皮), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮) [each 1 liang], *Amomi Fructus Rotundus* (Suosharen, 缩砂仁), *Aquilariae Lignum Resinatum* (Muxiang, 木香) [roasted, each 1 fen], *Papaeveris Pericarpium* (Yingsuqiao, 罂粟壳) [slice, soak in vinegar and stir-fry, 5 liang].
Grind the above into fine powder and make pills with honey, forming five pills from one liang of powder. Take one pill per dose with one cup of water, decoct until reduced to 70%, and take warm before meals.
Generally, when blood is heated, it becomes fluid and overflows, thus appearing fresh red; when cooled, it coagulates and stagnates, thus appearing dark purple. One must carefully distinguish between wind-heat and wind-cold syndromes, which are significantly different from gu-dysentery (parasitic dysentery). Additionally, there are external hemorrhoids, blood exhaustion, internal epistaxis, wine-induced dysentery, lung abscess, accumulation of stasis in the intestines and stomach, and distant/near bloody stools, each having its own category and should not be mixed up. Ancient formulas state: for dysentery caused by accumulated cold, accumulated heat, or solid food retention, use *Dahuang Tang* (Rhubarb Decoction) to purge. The *Yangsheng Fang* also states: for severe conditions, use purgative methods. However, they fail to recognize the differences among cold, heat, wind-damp, deficiency, and excess. Later generations blindly applied these methods, causing much harm. Alas, this is truly lamentable.