当归丸
治冷痢凄清肠鸣，所下纯白，腹痛不止，手足冷者，宜服之！
当归 白芍药 附子（炮） 白术 干姜（炮） 浓朴（制，炒） 阿胶（粉炒。各一
两） 乌梅（
上为末，醋糊丸如梧子大。每服五十丸，米饮吞下，空心服。腹痛甚，加桂半两。小便
不利
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。
此
伤暑类及见前。）
水煮木香丸
治纯下白痢，及淡红、黑痢。
罂粟壳（二两，去蒂萼穣） 诃子肉（六钱） 干姜（四两） 木香 青皮 陈皮 甘
草（各三钱）
上为末，炼蜜丸如弹子大。每服一丸，熟水空心服。
豆蔻散
治脾虚肠鸣，久痢不止。
大肉豆蔻（一枚，剜小孔子，入乳香三小块在内，以面裹煨，面熟为度，去面）
上为末。每服一钱，米饮调下。
附子理中汤
正理中汤加炮附子每料一两。术附汤、姜附汤，治同上。（方见霍乱、中湿、
玉华白丹
治脏腑久虚下痢，空心米饮下。渴者，人参汤下。亦治肠风下血。
震灵丹、橘皮煎丸 治同上。（方并见痼冷及虚损类。）
钟乳建脾丸
治男子妇人虚损羸瘦，身体沉重，脾胃冷弱，饮食不消，腹胀雷鸣，泄泻不止
虚积冷，下痢清谷，或下纯白，腹中 痛。及久痢赤白，肠滑不禁，少气羸弱，不
并宜服之。
肉桂（去粗皮） 人参（去芦） 黄连（去须） 干姜 龙骨（各一两） 蜀椒（去目
及闭口者，微
子（炮，去皮脐，五
一两） 钟乳粉（一两半）
上为末，入钟乳粉和匀，炼蜜为丸如梧桐子大。每服三十丸，食前，温米饮下，日三服。
未
木香散
治脾胃虚弱，内挟风冷，泄泻注下，水谷不化，脐下 痛，腹中雷鸣。及积寒久痢
滑不禁。
藿香叶（洗，焙，四两） 赤石脂 附子（去皮脐，醋煮切，焙。各一两） 肉豆蔻仁 木
香
上锉散。每服二钱，生姜三片，枣子二枚煎，空心服。
五积散
治内伤生冷下痢，加缩砂、木香、制粟壳、炒阿胶，大效。（方见伤寒阴证类。）椒艾丸 治
虚寒下痢不止。（方见泄泻类。）
四柱散
治下痢又复泄泻，耳鸣，手冷，腹痛，加木香、生姜、枣子、粟米煎，就调后药。
见泄泻类。）
赤石脂散
治肠胃虚弱，水谷不化，泄泻注下，腹中雷鸣。及冷热不调，下痢赤白，肠滑腹
数频多，胁肋虚满，胸膈痞闷，肢体困倦，饮食减少。
赤石脂 甘草（炙。各一两二钱半） 肉豆蔻（面裹煨令熟，十两） 缩砂仁（五两）
为末。二钱，粟米饮调。
Danggui Wan (Angelica Sinensis Pill)
Indicated for cold dysentery (dysentery caused by cold pathogen, characterized by clear bowel sounds and passage of pure white mucus), unceasing abdominal pain, and cold hands and feet.
Herbs: Danggui (Radix Angelicae Sinensis), Baishao Yao (Radix Paeoniae Alba), Fuzi (Radix Aconiti Lateralis Preparata), Baizhu (Rhizoma Atractylodis Macrocephalae), Ganjiang (Rhizoma Zingiberis Preparata), Nongpu (Cortex Magnoliae Officinalis Preparatus, stir-fried), Ejiao (Colla Corii Asini, stir-fried with powder). Each one liang. Wumei (Fructus Mume) one piece.
Grind the above herbs into fine powder, mix with vinegar paste to form pills the size of mulberry seeds. Take 50 pills each time, swallow with rice water on an empty stomach. If abdominal pain is severe, add Guizhi (Ramulus Cinnamomi) half a liang.
Xiaobian Buli (Difficulty in Urination)
Generally speaking, for dysentery, even if the constitution is cold, with cold extremities, spontaneous sweating of cold sweat, and deep and hidden pulses in all six positions, one should not lightly use Fuzi (Radix Aconiti Lateralis). This condition is often due to latent summerheat pathogen. (Such summerheat injuries and symptoms are described in the preceding text.)
Shuizhu Muxiang Wan (Water-Boiled Muxiang Pill)
Indicated for pure white dysentery, as well as pale red or black dysentery.
Herbs: Ying Susuo (Pericarpium Papaveris, two liang, remove pedicle, calyx, and pith), Hezi Rou (Sarcotesta Chebulae, six qian), Ganjiang (Rhizoma Zingiberis, four liang), Muxiang (Radix Aucklandiae), Qingpi (Pericarpium Citri Reticulatae Viride), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae Preparata, three qian each).
Grind the above herbs into fine powder, mix with refined honey to form pills the size of bullet shots. Take one pill each time, swallow with boiled water on an empty stomach.
Doukou San (Cardamom Powder)
Indicated for intestinal borborygmus due to spleen deficiency and chronic dysentery that does not cease.
Herbs: Da Roudoukou (Nucis Arecae Katsumadae, one piece, hollow out a small hole, insert three small pieces of Ruxiang (Olibanum), wrap in flour, roast until the flour is cooked, then remove the flour).
Grind the above herb into powder. Take one qian each time, mix with rice water and take orally.
Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction)
Add one liang of prepared Fuzi (Radix Aconiti Lateralis Preparata) to each dose of Zheng Lizhong Tang (Regular Regulate the Middle Decoction). Shufu Tang (Atractylodes-Aconite Decoction) and Jiangfu Tang (Ginger-Aconite Decoction) have the same indications. (Formulas see Cholera and Dampness chapters.)
Yuhua Bai Dan (Jade Flower White Elixir)
Indicated for chronic dysentery due to long-term deficiency of the zang-fu organs. Take on an empty stomach with rice water. For thirst, take with Renshen Tang (Ginseng Decoction). Also indicated for wind-intestinal bleeding.
Zhenling Dan (Vibrating Spirit Elixir) and Jupi Jian Wan (Tangerine Peel Decoction Pill) have the same indications. (Formulas see Chronic Cold and Deficiency categories.)
Zhongru Jianpi Wan (Stalactite Strengthen Spleen Pill)
Indicated for men and women suffering from deficiency and emaciation, heavy body, cold and weak spleen and stomach, indigestion, abdominal distension with borborygmus, and unceasing diarrhea. Also indicated for internal accumulation of cold, dysentery with undigested food or pure white mucus, abdominal pain, chronic dysentery with red and white discharge, intestinal slippage and incontinence, shortness of breath, weakness, and frailty. All these conditions are suitable for this formula.
Herbs: Rougui (Cortex Cinnamomi, remove rough bark), Renshen (Radix Ginseng, remove rhizome), Huanglian (Rhizoma Coptidis, remove roots), Ganjiang (Rhizoma Zingiberis), Longgu (Os Draconis, one liang each). Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, slightly stir-fried), Wuweizi (Fructus Schisandrae Chinensis, prepared, remove skin and umbilicus, five liang), Zhongru Fen (Concretio Silicis, one and a half liang).
Grind the above herbs into powder, mix evenly with Zhongru Fen (Concretio Silicis), and form pills with refined honey the size of mulberry seeds. Take 30 pills before meals, swallow with warm rice water, three times a day.
Muxiang San (Aucklandia Powder)
Indicated for spleen and stomach weakness with internal wind-cold, leading to profuse diarrhea, undigested food and water, pain below the umbilicus, and intestinal borborygmus. Also indicated for chronic dysentery due to accumulated cold with intestinal slippage and incontinence.
Herbs: Huoxiang Ye (Folium Agastaches, wash, dry-roast, four liang), Chishizhi (Halloysit Rubra), Fuzi (Radix Aconiti Lateralis, remove skin and umbilicus, boil in vinegar, slice, dry-roast, one liang each), Roudoukou Ren (Nucis Arecae Katsumadae Semen), Muxiang (Radix Aucklandiae).
Cut the above herbs into coarse powder. Take two qian each time, decoct with three slices of Shengjiang (Rhizoma Zingiberis Recens) and two dates (Fructus Jujubae), take on an empty stomach.
Wuji San (Five Accumulations Powder)
Indicated for dysentery caused by internal injury from raw and cold foods. Add Suosha (Fructus Amomi Rotundus), Muxiang (Radix Aucklandiae), processed Yingsuqiao (Pericarpium Papaveris), and stir-fried Ejiao (Colla Corii Asini) for great efficacy. (Formula see Yin Syndrome of Cold Damage chapter.)
Jiaoai Wan (Pepper and Mugwort Pill)
Indicated for unceasing dysentery due to deficiency-cold. (Formula see Diarrhea category.)
Sizhu San (Four Pillars Powder)
Indicated for dysentery recurring with diarrhea, tinnitus, cold hands, and abdominal pain. Add Muxiang (Radix Aucklandiae), Shengjiang (Rhizoma Zingiberis Recens), dates (Fructus Jujubae), and millet to decoct, and use this liquid to mix with the following medicine. (Formula see Diarrhea category.)
Chishizhi San (Halloysit Rubra Powder)
Indicated for weak intestines and stomach, undigested food and water, profuse diarrhea, and intestinal borborygmus. Also indicated for imbalance of cold and heat, dysentery with red and white discharge, intestinal slippage, frequent defecation, fullness in the hypochondrium, chest and diaphragm stuffiness, limb fatigue, and reduced appetite.
Herbs: Chishizhi (Halloysit Rubra), Gancao (Radix Glycyrrhizae Preparata, one liang two qian half each). Roudoukou (Nucis Arecae Katsumadae, wrapped in flour and roasted until cooked, ten liang). Suosharen (Fructus Amomi Rotundus, five liang).
Grind into powder. Take two qian each time, mix with millet drink and take orally.