泄泻无时，当用熟乌头一两，浓朴、干姜、甘草各一分，生姜煎服。今之治痢多用驻车丸、黄连阿胶丸之类，
其中止有黄连肥肠，其性本冷，若所感积轻，及余痢休息不已，则服之取效。若病稍重，则非此可疗。
〔世〕治痢。
侧柏叶（一钱） 甘草（三钱） 御米壳（去顶穣，汤洗三次，晒干，蜜拌炒黄，一钱，久者倍之）
上 咀，水煎熟，澄清，入蜜呷服之。先服木香槟榔丸，后服此，妙。
〔《本》〕又方。
黑豆（五十粒） 陈皮（半两） 罂粟壳（十四个） 甘草
上四味，半生半炒，水煎空心服，尽此一剂，无不效者。
〔垣〕白术安胃散 治一切泻痢，无问脓血相杂，里急窘痛，日夜无度。又治男子小肠气痛，及妇人脐下虚冷，
并产后儿枕痛，虚弱寒热不止者。
御米壳（三两，去顶穣蒂，醋煮一宿） 茯苓 白术（各一两） 乌梅（取肉，一钱，炒） 车前子（一两）
五味子（半两）
上为末。每服五钱，水煎温服。
〔《经》〕治肠滑久痢神妙。以石榴一个劈破，炭火簇烧令烟尽，急取出，不令作白灰，用碗盖一宿，出
火毒，为末，用酸石榴一个，煎汤调二钱。
〔《圣》〕治痢久不止，肠垢已出。以乌梅二个，水一盏，煎取六分，去渣，食前分为二服。
〔《山》〕治痢用五倍子为丸。赤痢，甘草汤下；白痢，干姜汤下，各十丸。
〔垣〕诃子皮散 癸卯岁，冬十月小雪，天冷应时，枢密院白家一老仆，面尘脱色，神气特衰，长跪于前曰∶
病脱肛日久，服药未验，近日复下赤白脓痢，作里急后重，白多赤少，不任其苦，求予治疗。予曰∶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。
御米壳（五分，去花萼，蜜炒） 干姜（六分，炮） 陈皮（五分） 诃子皮（七分，煨，去核）
上 咀，水煎服，或为白汤调服亦可。若空心一服，减半再服，全愈。
〔罗〕养脏汤 治大人小儿肠胃虚弱，冷热不调，脏腑受寒，下痢赤白，或便脓血，有如鱼脑，里急后重，
脐腹疼痛，日夜无度，胸膈痞闷，胁肋胀满，全不思食，及脱肛坠下，酒毒湿毒便血，诸药不效者，并宜服之。
人参 当归（各六钱） 木香（一两四钱） 肉桂（八钱） 肉蔻（面裹，煨，半两） 白芍药（一两二钱）
甘草（炙，六钱） 白术（六钱） 御米壳（蜜炙，三两） 诃子皮（去核，一两二钱）
上 咀。每服二大钱，水煎去渣，食前温服。老人、孕妇、小儿暴泻，急宜服之，立愈。忌酒、面、生冷、
鱼腥、油腻物。脏腑滑泄，夜起久不瘥者，可加附子四片，煎服此药，神效不可具述。
〔《保》〕治泄痢脓血，乃至脱肛者，宜地榆芍药汤。
苍术（八两） 地榆 卷柏 芍药（各三两）
上 咀。每服二两，水煎温服，病退勿服。
〔世〕治痢，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。
〔丹〕陈伯夫，年二十岁，性急，好酒色，奉养浓。适有事多忧恐，患久疟寒热无时。忽一日大发热，大
便所下皆是积滞极臭，大孔极痛，呻吟不绝，其孔陷下，嘱付后事。予曰∶此大虚也。脉皆弦大而浮。遂以瓦
片令敲圆如铜钱状，烧红投童子小便中，急取起令干，以纸裹安痛处，其时寒，恐外寒乘虚而入也。以人参、
当归、陈皮作浓汤饮之，食淡味，至半月而安。
久下赤白，大孔痛不可忍。炒盐熨之，又炙枳实熨之。（《肘后》）
痢久大孔急痛，亦有寒热者，熟艾、黄蜡、诃子烧熏之，妙。（《日华子》）
下痢大孔痛，因热流于下，槟榔、木香、黄连、黄芩，加干姜。
运气 下血有二∶
其一，热助心血盛而血下。经云∶少阴司天，热淫所胜，民病血泄，溺色变。又云∶少阳在泉，火淫所胜，
民病溺赤，甚则便血。又云∶岁金不及，炎火乃行，民病血便注下。又云∶厥阴司天，风气下临，火纵其暴，
赤沃下注，治以咸寒是也。
其二，寒攻心血虚而下。经云∶太阴司天，寒淫所胜，血变于中，民病血泄。又云∶太阳之胜，血脉凝泣，
或为血泄。又云∶阳明司天之政，四之气，民病血便，治以诸热是也。
运气 下白皆属火。经云∶少阳司天客胜，甚则下白溺血是也。
运气 下赤白有三。
其一属火。经云∶少阳司天，火淫所胜，民病泄注赤白。又云∶少阳在泉，火淫所胜，民病泄注赤白，少
腹痛，注下赤白，治以甘清是也。
其二属风∶经云∶厥阴之胜，肠鸣飧泄，少腹注下赤白，治以酸涩是也。
其三属风湿∶经云∶太阳司天之政，四之气，风湿交争，民病注下赤白是也。
运气 里急后重有二∶
其一，湿助脾盛而重。经云∶太阴之胜，少腹满，腰 重强，内不便，善注泄是也。
其二，风攻脾虚而重。经云∶厥阴司天，风淫所胜，民病溏泄瘕水闭是也。瘕，谓后重也。
〔《本》〕救命延年丸 治丈夫女人一切重痢。
黄连 干姜 当归 阿胶
上三件，为末；用米醋煮阿胶令消尽，不可剩，却将药搜醋丸，如桐子大。每服三十丸，饭饮吞下，甚妙。
又方 茱萸 黄连 阿胶 白术（等分同炒黄）
上为细末，面糊为丸，如桐子大。每服三十丸，陈米饮送下。小儿十丸。（陈无择无阿胶，名戊己丸。）
〔罗〕阿胶梅连丸 治下痢，无问新久、赤白、青黑、疼痛诸症。
阿胶（炒，研极细） 乌梅肉（炒） 黄柏（炒） 黄连 当归 赤芍药 干姜（炮） 赤茯苓（各等分）
上为末，入阿胶末研匀，水丸，桐子大，米饮下。
黄连丸 治赤白痢。
吴茱萸 黄连
上，用好酒同浸三日，各自为末，各自丸。白痢，茱萸丸；赤痢，黄连丸，甘草汤下。赤白痢，二丸相合服。
上四方，寒热兼施，收散兼用之剂，寒热滑滞杂合为痢者宜之。
〔崔〕治痢方。以生姜切如麻粒大，和好茶一二碗，任意呷之，愈。若热痢则留姜皮，冷则去皮炒。又
方，用陈皮、艾叶浓煎汤服。
滞下独取足太阴一经。《经》云∶脾足太阴之脉，所生病者，溏瘕泄水，视盛虚、热寒陷下取之也。
〔东〕泄痢不禁，小腹痛，后重，便脓血∶丹田（一寸半）。复溜 小肠俞（灸七壮。）不已，取∶天枢 腹哀（胃
下一寸
五分）。冷痢腹痛，泄注赤白∶关元 穷谷（各灸五十壮）。泄痢及下失气脓血∶下腰（五十壮，穴在八
魁正中央、脊骨上，灸，名三宗骨，三报之。）便脓血，久痢下重∶小肠俞（灸）。
〔世〕里急后重∶合谷 外关
〔《甲》〕便脓血，寒中，食不化，腹中痛，腹哀主之。溏瘕，腹中痛，脏痹，地机主之。
〔丹〕予族叔形色俱实， 疟又患痢，自恃强健能食，绝无忌惮。一日召予曰∶却健而能食，但苦汗出耳，
汝能止此汗否？予曰∶ 疟，非汗不能愈，可虑者止健与能食耳。此非痢也，胃热善消，脾病不化，食与积势
已甚矣。此时宜节择饮食以养胃气，省出入以避风寒，候汗透而安。叔曰∶世俗谓无饱死痢疾，我今能食，何
谓可虑？予曰∶痢而能食者，知胃气未病也，故言不死，非谓恣食不择节者。不从所言，恣口大嚼过多，又啖
水果，如此者月余，后强求治，不可着手矣，淹淹又月而死。《内经》以骄恣不伦于理为不治之病，信哉。
又周其姓者，形色俱实，患痢善食而易饥，大嚼不择者五月矣。予责之曰∶病中当调补自养，岂可恣味戕
贼。遂教其只用熟萝卜吃粥，且少与调治，半月而安。
〔罗〕如泻痢止，脾胃虚，难任饮食者，不可一概用克伐之剂，宜补养充足，自然能饮食也，宜钱氏方中
异功散。设或因嗜饮食太过，有伤脾胃，而心腹痞满，恶心呕逆，不拘此例。当权用橘皮枳术丸，一服得快，
勿再服。若饮食调节，不致有伤，则胃气自和平矣。
〔丹〕下痢久甚者，寒凉药中必兼升散并热剂，初下痢不可用参、术，唯气虚者用之。
〔《衍》〕有一男子，暑月患血痢，医妄用寒药逆制，专用木香、黄连、阿胶治之。此药始感便用则可，
倘病久肠虚者不宜服，切宜戒之。地榆性沉寒苦，惟下焦热、血痢则可用，若虚寒人及水泻白痢，未可轻使。
〔丹〕古方用浓朴、专为泻积滞之气。然浓朴性大温而散气，久服大能虚人，滞气稍行即去之。余滞未尽，
宜炒枳壳、陈皮。然枳壳亦能耗气，比浓朴虽少缓，比陈皮亦为重，若滞气退一半，亦当去之，只用陈皮以和
众药。然陈皮去白用，有补泻之兼能。若为参、术之佐，亦纯作补药用。
Diarrhea occurring at any time should be treated with one liang of prepared Aconitum carmichaelii (Shu Wu Tou), one fen each of Magnolia officinalis bark (Houpo), dried ginger (Ganjiang), and licorice root (Ganzao), decocted with fresh ginger for administration. Currently, treatments for dysentery often employ formulas such as Zhuche Wan (Parking Tent Pill) or Huanglian Ejiao Wan (Coptis and Donkey-hide Gelatin Pill). Among these, only Coptis chinensis (Huanglian) possesses the property of "fattening the intestines" (a metaphorical term in this context likely referring to its drying dampness or potential cold nature affecting the gut), but its nature is inherently cold. If the accumulated pathogenic factors are mild, or in cases of lingering, intermittent dysentery, taking these remedies may yield results. However, if the condition is slightly more severe, these agents are insufficient for treatment.
[Worldly/Popular] Treatment for dysentery.
Platycladi Cacumen (Cebaiye, 1 qian) Licorice root (Ganzao, 3 qian) Papaveris Pericarpium (Yumiqiao, remove top and internal pith, wash three times with hot water, dry, stir-fry with honey until yellow, 1 qian; double dose for chronic cases)
Chop the above ingredients, decoct in water until cooked, clarify the liquid, add honey, and sip slowly. First administer Muxiang Binglang Wan (Aucklandia and Areca Nut Pill), then take this formula; the effect is miraculous.
[Bencao] Another prescription.
Black soybean (Heidou, 50 grains) Tangerine peel (Chenpi, half liang) Poppy capsule (Yingsuqiao, 14 pieces) Licorice root (Ganzao)
Take the four ingredients, half raw and half stir-fried, decoct in water, and take on an empty stomach. Completing one dose ensures efficacy without exception.
[Li Dongyuan] Baizhu Anwei San (Atractylodes Macrocephala Stomach-Anchoring Powder) Treats all types of diarrhea and dysentery, regardless of whether pus and blood are mixed, accompanied by tenesmus (Liji Houzhong), distressing pain, and uncontrolled frequency day and night. It also treats male Qi pain of the small intestine, female deficiency-cold below the umbilicus, postpartum "child pillow" pain (uterine lochia retention pain), and cases with weakness and persistent alternating chills and fever.
Papaveris Pericarpium (Yumiqiao, 3 liang, remove top and pedicle, boil overnight in vinegar) Poria cocos (Fuling) Atractylodes macrocephala (Baizhu, 1 liang each) Mume fructus (Wumei, take flesh, 1 qian, stir-fried) Plantaginis Semen (Cheqianzi, 1 liang)
Schisandrae Fructus (Wuweizi, half liang)
Pulverize the above into fine powder. Take 5 qian per dose, decoct in water, and take warm.
[Jing] A divine method for treating slippery intestines and chronic dysentery. Split one pomegranate, roast it in charcoal fire until smoke ceases, quickly remove it (do not let it turn to white ash), cover with a bowl overnight to eliminate fire toxicity, pulverize into powder, and mix with decoction from one sour pomegranate to take 2 qian.
[Shengji Zonglu] For dysentery persisting for a long time where intestinal mucus has been discharged. Use two Mume fructus (Wumei), one cup of water, decoct to obtain six-tenths volume, strain, and divide into two doses taken before meals.
[Shan's Method] Treat dysentery using Myrobalan (Wubeizi) made into pills. For red dysentery, swallow with Licorice decoction; for white dysentery, swallow with Dried Ginger decoction, 10 pills each.
[Li Dongyuan] Hezi Pi San (Persimmon Peel Powder) In the winter of the Gui-Mao year, during the Minor Snow solar term, the weather was cold as expected. An old servant of the Bai family in the Privy Council presented himself kneeling, his face dull and colorless, spirit particularly weak, saying: "I have suffered from rectal prolapse for a long time, medications have failed, and recently I have passed red and white purulent dysentery with tenesmus (Liji Houzhong), predominantly white with less red, unable to bear the suffering, begging for your treatment." I said: "This person does not consume rich meat and grain foods, likely eats much vegetable food, or has irregular diet. The weather is already cold, clothing and bedding are thin, cold invades the body, leading to prolapse due to inability to withstand it. This is Cold and Slippage. True Qi cannot secure, form cannot contain, this is Blood depletion. This is Cold-Slippage with Qi leakage and insecurity, causing downward prolapse of form. One must use astringents to stop prolapse and remove slippage, use great-hot agents to remove 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. Named Hezi Pi San."
Papaveris Pericarpium (Yumiqiao, 5 fen, remove calyx, honey-fry) Dried Ginger (Ganjiang, 6 fen, processed) Tangerine peel (Chenpi, 5 fen) Persimmon peel (Hezi pi, 7 fen, baked, remove seed)
Chop the above, decoct in water and take, or mix with plain water and take. If taken on an empty stomach, take half dose first, then repeat; full recovery will occur.
[Luo Tianyi] Yangzang Tang (Nourish Viscera Decoction) Treats adults and children with weak spleen and stomach, disharmony of cold and heat, viscera affected by cold, passing red and white dysentery or pus and blood resembling fish brain, tenesmus (Liji Houzhong), abdominal pain, uncontrolled frequency day and night, chest and diaphragm oppression, hypochondriac distension, complete loss of appetite, rectal prolapse, bleeding from alcohol or damp-toxins, and cases where other medicines fail. All are suitable for this.
Ginseng Radix et Rhizoma (Renshen) Angelicae Sinensis Radix (Danggui, 6 qian each) Aucklandiae Radix (Muxiang, 1 liang 4 qian) Cinnamomi Cortex (Rougui, 8 qian) Myristicae Semen (Roukou, wrapped in flour, baked, half liang) Paeoniae Radix Alba (Baishaoyao, 1 liang 2 qian)
Licorice root (Ganzao, roasted, 6 qian) Atractylodis Macrocephalae Rhizoma (Baizhu, 6 qian) Papaveris Pericarpium (Yumiqiao, honey-roasted, 3 liang) Persimmon peel (Hezi pi, remove seed, 1 liang 2 qian)
Chop the above. Take two large qian per dose, decoct in water, strain, and take warm before meals. Elderly, pregnant women, and children with acute diarrhea should take it urgently for immediate cure. Avoid alcohol, wheat products, raw/cold items, fish/fowl, and greasy foods. For visceral slippage with nocturnal urgency and prolonged non-resolution, add four slices of Aconitum carmichaelii (Fuzi), decoct and take; the divine effect cannot be fully described.
[Baoming Ji] For diarrhea/dysentery with pus and blood, even rectal prolapse, use Diyug Shaoyao Tang (Sanguisorba and Peony Decoction).
Atractylodis Rhizoma Cangzhu (Cangzhu, 8 liang) Sanguisorbae Radix (Diyu) Selaginellae Herba (Juanbai) Paeoniae Radix (Shaoyao, 3 liang each)
Chop the above. Take 2 liang per dose, decoct in water, take warm. Stop when illness recedes.
[Worldly/Popular] For dysentery with involuntary bowel movements, anus open like a hollow cavity, mix scallion and Sichuan pepper powder, mash, and pack into the anal canal (Gudao). Also take astringent intestinal-strengthening agents like Papaveris Pericarpium (Yumiqiao) or Persimmon peel (Hezi pi); miraculous effect.
[Zhu Danxi] Chen Bofu, age twenty, impatient nature, fond of wine and sex, lived luxuriously. Due to worry and fear from affairs, he suffered from chronic malaria with chills and fever without fixed timing. Suddenly, one day he had high fever, passed extremely foul-smelling stagnant matter, anus extremely painful, groaning incessantly, anus sunken, making final arrangements. I said: "This is extreme deficiency. Pulse is wiry, large, and floating." I had tiles knocked round like copper coins, heated red, plunged into child's urine, quickly removed, dried, wrapped in paper, and applied to the painful area. As it was cold, fearing external cold invading deficiency, I gave a strong decoction of Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui), and Tangerine peel (Chenpi), advised a bland diet, and he recovered in half a month.
Chronic passage of red and white discharge, unbearable anal pain. Apply fried salt with heat, or apply roasted Fructus Aurantii Immaturus (Zhishi) with heat. (Zhouhou Beiji Fang)
Chronic dysentery with urgent anal pain, sometimes with chills and fever. Smoke with prepared Artemisia argyi (Shuai), yellow wax, and Persimmon peel (Hezi); miraculous. (Rihua Bencao)
Anal pain from dysentery due to heat flowing downward: Arecae Semen (Binglang), Aucklandiae Radix (Muxiang), Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), add Dried Ginger (Ganjiang).
Yunqi (Five Movements and Six Qi) - Lower Bleeding has two types:
First, Heat assists Heart Blood excess leading to bleeding. Classic says: When Shaoyin governs the sky, excessive Heat causes people to suffer blood discharge, urine color changes. Also: When Shaoyang is in the spring, excessive Fire causes people to suffer red urine, severe cases bloody stool. Also: When Metal of the year is deficient,炎火 (flames/fire) prevails, people suffer bloody stool discharge. Also: When Jueyin governs the sky, Wind descends, Fire acts violently, red fluids flow down, treat with Salty-Cold methods.
Second, Cold attacks Heart Blood deficiency leading to bleeding. Classic says: When Taiyin governs the sky, excessive Cold causes blood changes internally, people suffer blood discharge. Also: Victory of Taiyang causes blood vessels to coagulate and stagnate, or result in blood discharge. Also: During Yangming governance, fourth Qi period, people suffer bloody stool, treat with various Hot methods.
Yunqi - White discharge belongs to Fire. Classic says: When Shaoyang governs the sky, guest victory leads to severe white discharge and hematuria.
Yunqi - Red and White discharge has three types.
First belongs to Fire. Classic says: When Shaoyang governs the sky, excessive Fire causes people to suffer discharge of red and white. Also: When Shaoyang is in the spring, excessive Fire causes people to suffer discharge of red and white, lower abdominal pain, discharge of red and white, treat with Sweet-Clear methods.
Second belongs to Wind: Classic says: Victory of Jueyin causes borborygmus and undigested stool diarrhea, lower abdomen discharges red and white, treat with Sour-Astringent methods.
Third belongs to Wind-Damp: Classic says: During Taiyang governance, fourth Qi period, Wind and Damp contend, people suffer discharge of red and white.
Yunqi - Tenesmus (Liji Houzhong) has two types:
First, Damp assists Spleen excess causing heaviness. Classic says: Victory of Taiyin causes lower abdominal fullness, heavy and stiff waist, internal discomfort, prone to watery diarrhea.
Second, Wind attacks Spleen deficiency causing heaviness. Classic says: When Jueyin governs the sky, excessive Wind causes people to suffer loose stools, masses, and urinary obstruction. "Mass" refers to tenesmus (Houzhong).
[Bencao] Jiuming Yannian Wan (Life-Saving Longevity Pill) Treats severe dysentery in men and women.
Coptidis Rhizoma (Huanglian) Dried Ginger (Ganjiang) Angelicae Sinensis Radix (Danggui) Colla Corii Asini (Ejiao)
Pulverize the above three items; boil Colla Corii Asini (Ejiao) in rice vinegar until completely dissolved, do not leave residue, then mix medicine with vinegar to make pills the size of paulownia seeds. Take 30 pills per dose, swallow with rice drink; very effective.
Another formula: Corni Fructus (Zhuyu), Coptidis Rhizoma (Huanglian), Colla Corii Asini (Ejiao), Atractylodis Macrocephalae Rhizoma (Baizhu) (equal parts, stir-fry together until yellow)
Pulverize into fine powder, make pills with wheat paste, size of paulownia seeds. Take 30 pills per dose, send down with aged rice drink. Children take 10 pills. (Chen Wuyue's version without Ejiao is named Wuji Wan.)
[Luo Tianyi] Ejiao Meilian Wan (Colla and Plum-Linked Pill) Treats dysentery, regardless of new or old, red or white, green or black, pain, etc.
Colla Corii Asini (Ejiao, stir-fry, grind extremely fine) Mume Fructus Carpel (Wumei Rou, stir-fry) Phellodendri Cortex (Huangbai, stir-fry) Coptidis Rhizoma (Huanglian) Angelicae Sinensis Radix (Danggui) Paeoniae Radix Rubra (Chishaoyao) Dried Ginger (Ganjiang, processed) Poria cocos with Red Core (Chifuling, equal parts each)
Pulverize, mix with Ejiao powder evenly, make water pills, size of paulownia seeds, take with rice drink.
Huanglian Wan (Coptis Pill) Treats red and white dysentery.
Evodiae Fructus (Wuzhuyu) Coptidis Rhizoma (Huanglian)
Soak both in good wine for three days, pulverize separately, make pills separately. For white dysentery, Evodia pill; for red dysentery, Coptis pill, take with Licorice decoction. For red and white dysentery, take both pills combined.
The above four formulas combine Cold and Hot, Astringent and Dispersing actions, suitable for dysentery mixed with Cold, Heat, Slippage, and Stagnation.
[Cui's Method] Dysentery prescription. Cut fresh ginger into hemp-seed sized pieces, mix with one or two bowls of tea, sip as desired until cured. For heat dysentery, keep ginger skin; for cold, remove skin and stir-fry. Another method: decoct Tangerine peel (Chenpi) and Artemisia argyi folium (Aiye) strongly and take.
For Zhixia (Dysentery), solely select the Foot-Taiyin channel. Classic says: The Spleen Foot-Taiyin meridian diseases include loose stools, masses, and watery diarrhea; treat based on excess/deficiency, heat/cold, sinking/depression.
[Zhang Yuansu] Involuntary diarrhea/dysentery, lower abdominal pain, tenesmus, pus and blood in stool: Dantian (1.5 cun). Fuliuxiao (KI7) Xiaochangshu (BL27) (Moxibustion 7 cones). If not resolved, take Tianshu (ST25) Fu'ai (ST26) (below Stomach 1 cun 5 fen). Cold dysentery abdominal pain, discharge of red and white: Guanyuan (CV4) Qionggu (BL29) (Moxibustion 50 cones each). Diarrhea/dysentery with flatus and pus/blood: Xiayao (50 cones, point located in center of Baku, on spine, moxa, named Sanzonggu, apply three times). Pus/blood, chronic dysentery with heaviness: Xiaochangshu (BL27) (Moxibustion).
[Worldly/Popular] Tenesmus (Liji Houzhong): Hegu (LI4) Waiguan (TE5)
[Jiayi Jing) Pus and blood in stool, cold in middle, undigested food, abdominal pain: Fu'ai (ST26) governs. Loose stools/masses, abdominal pain, organ bi, Dijī (SP8) governs.
[Zhu Danxi] My clan uncle had solid constitution, suffered malaria and dysentery, relied on strength and ability to eat, showing no caution. One day he summoned me: "Though healthy and able to eat, I suffer from sweating. Can you stop this sweat?" I said: "Malaria requires sweating to heal; the concern is only his robustness and appetite. This is not dysentery; it is Stomach Heat consuming rapidly, Spleen disease failing to transform, food and stagnation power is excessive. At this time, regulate diet to nourish Stomach Qi, reduce going out/in to avoid wind-cold, wait for sweat to penetrate and settle." Uncle said: "Secular belief is no one dies of fullness from dysentery; I can eat now, why worry?" I said: "Being able to eat in dysentery means Stomach Qi is not diseased, hence 'not dying', but does not mean one can eat indiscriminately without restraint." He did not listen, ate excessively, consumed fruits, for over a month. Later forced to seek treatment, impossible to handle, languished for another month and died. Neijing considers arrogant and unreasonable behavior as incurable disease, truly so.
Another Zhou surname patient, solid constitution, suffered dysentery, ate well and got hungry easily, ate indiscriminately for five months. I reprimanded him: "During illness, one should regulate and nourish oneself, how can one indulge flavors and harm the body?" I taught him to only eat熟 radish congee, provide mild treatment, and he recovered in half a month.
[Luo Tianyi] If diarrhea/dysentery stops, Spleen/Stomach is weak, difficult to tolerate food/drink, do not uniformly use attacking/draining agents; instead, tonify and nourish sufficiently, naturally appetite returns. Use Yigong San (Extraordinary Power Powder) from Qian Yi's formulas. However, if excessive indulgence in food damages Spleen/Stomach, causing epigastric/abdominal fullness, nausea, vomiting, this case is excluded. Temporarily use Jupi Zhizhu Wan (Tangerine Peel and Atractylodes Pill), one dose brings relief, do not take again. If diet is regulated without damage, Stomach Qi will naturally harmonize.
[Zhu Danxi] For severe chronic dysentery, cold-cooling medicines must be combined with ascending/dispersing and hot agents. In initial dysentery, do not use Ginseng (Renshen) or Atractylodes (Baizhu), except for Qi-deficient patients.
[Yanyi] A man suffered bloody dysentery in summer, doctor wrongly used cold medicines to counteract, specifically using Aucklandiae Radix (Muxiang), Coptidis Rhizoma (Huanglian), and Colla Corii Asini (Ejiao). These drugs are acceptable if used at onset, but if illness is prolonged and intestines are empty/weak, they are unsuitable; strictly beware. Sanguisorbae Radix (Diyu) is deep, cold, bitter; usable only for lower jiao heat and bloody dysentery. For deficiency-cold persons and watery white dysentery, do not use lightly.
[Zhu Danxi] Ancient formulas use Magnolia officinalis bark (Houpo) specifically to drain Qi of stagnation. However, Houpo is greatly warm and disperses Qi; long-term use greatly weakens the person. Remove once stagnant Qi moves slightly. If residual stagnation remains, use stir-fried Aurantii Fructus Immaturus (Zhike) and Tangerine peel (Chenpi). However, Zhike also consumes Qi; though slower than Houpo, it is heavier than Chenpi. If stagnant Qi retreats by half, remove it, use only Chenpi to harmonize other drugs. However, Chenpi without white pith has both tonifying and draining capabilities. If used as assistant to Renshen/Baizhu, it acts purely as a tonifying drug.