治痢久郁热生毒，肠中腐烂，时时切疼，后重，所下多似烂炙，且有腐败之臭。
金银花（一两） 生杭芍（六钱） 粉甘草（三钱） 三七（二钱捣细） 鸭蛋子（六十粒，去皮拣成实者）
上药五味，先将三七、鸭蛋子，用白沙糖化水送服。次将余药煎汤服。病重者，一日须服两剂始能见效。
此证，乃痢之最重者。若初起之时，气血未亏，用拙拟化滞汤，或加大黄、朴硝下之即愈。若未全愈，继
服燮理汤数剂，亦可全愈。若失治迁延日久，气血两亏，浸至肠中腐烂，生机日减，致所下之物，色臭皆腐败，
非前二方所能愈矣。此方则重在化腐生肌，以救肠中之腐烂，故服之能建奇效也。
一人，年五十二，因大怒之后，中有郁热，又寝于冷屋之中，内热为外寒所束，愈郁而不散，大便下血。
延医调治，医者因其得于寒凉屋中，谓系脾寒下陷，投以参、 温补之药，又加升麻提之。服药两剂，病益增
重，腹中切疼，常常后重，所便之物，多如烂炙。更延他医，又以为下元虚寒，而投以八味地黄丸，作汤服之，
病益加重。后愚诊视，其脉数而有力，两尺愈甚。确知其毒热郁于肠中，以致肠中腐烂也。为拟此方，两剂而愈。
一妇人，年五十许，素吸鸦片。又当恼怒之余，初患赤痢，滞下无度。因治疗失宜，渐至血液腐败，间如
烂炙，恶心懒食，少腹切疼。其脉洪数，纯是热象。亦治以此汤，加知母、白头翁各四钱，煎汤服。又另取鸭
蛋子六十粒、三七二钱，送服。每
日如此服药两次，三日全愈。
To treat dysentery that has persisted for a long time, where stagnant heat generates toxins, causing putrefaction in the intestines. Symptoms include frequent severe colic, tenesmus (a feeling of incomplete defecation), and stools resembling burnt flesh, accompanied by a foul, putrid odor.
Jinyinhua (Lonicerae Japonicae Flos) (1 liang) Sheng Hangshao (Paeoniae Radix Alba) (6 qian) Fen Gancao (Glycyrrhizae Radix et Rhizoma Preparatum cum Melle) (3 qian) Sanqi (Notoginseng Radix et Rhizoma) (2 qian, finely ground) Yadanzi (Strychni Semen) (60 grains, peeled and selected for plumpness).
Take the above five herbs. First, administer Sanqi and Yadanzi with water sweetened by Baishatang (white rock sugar). Then, decoct the remaining herbs and take the soup orally. For severe cases, two doses per day are required to see efficacy.
This syndrome represents the most severe form of dysentery. If treated at the onset when Qi and Blood are not yet depleted, using my formulated Huazhi Tang (Stasis-Transforming Decoction), or adding Dahuang (Rhei Radix et Rhizoma) and Puxiao (Natrii Sulfas) to purge downward will lead to recovery. If not fully cured, continuing with Xieli Tang (Harmonizing Decoction) for several doses can also result in complete recovery. However, if treatment is delayed and the condition persists for a long time, leading to depletion of both Qi and Blood, progressing to intestinal putrefaction and diminishing vitality, resulting in stools that are both discolored and odorous due to putrefaction, the previous two formulas will no longer be effective. This formula focuses on resolving putrefaction and generating tissue to save the rotting intestines; thus, it achieves remarkable effects.
A fifty-two-year-old man suffered from bloody stools after a fit of anger caused internal stagnant heat. Sleeping in a cold room, this internal heat was constrained by external cold, becoming more stagnant and unable to dissipate. He sought medical treatment. The physician, attributing the illness to the cold environment, diagnosed it as Spleen Cold sinking downward and prescribed warming and tonifying herbs such as Renshen (Ginseng Radix et Rhizoma), along with Shengma (Cimicifugae Rhizoma) to lift Yang. After two doses, the condition worsened: severe abdominal pain, frequent tenesmus, and stools resembling burnt flesh. Another physician was consulted, who diagnosed Kidney-Yang deficiency and Cold in the lower burner, prescribing Bawei Dihuang Wan (Eight-Ingredient Pill with Rehmannia) as a decoction. The condition aggravated further. Upon my examination, his pulse was rapid and forceful, especially pronounced at the Chi position (cun-kou pulse location corresponding to the kidneys/lower jiao). I confirmed that toxic heat was stagnant in the intestines, causing putrefaction. I prescribed this formula, and he recovered after two doses.
A woman, approximately fifty years old, had a habit of smoking opium. Following a period of anger, she initially developed red dysentery with uncontrolled frequency. Due to improper treatment, her blood gradually became putrid, with stools intermittently resembling burnt flesh. She experienced nausea, loss of appetite, and severe pain in the lower abdomen. Her pulse was surging and rapid, indicating pure Heat syndromes. This case was also treated with the aforementioned formula, modified by adding Zhimu (Anemarrhenae Rhizoma) and Baitouweng (Pulsatillae Radix), each 4 qian, decocted and taken orally. Additionally, 60 grains of Yadanzi and 2 qian of Sanqi were administered with water. Taking this medication twice daily resulted in full recovery within three days.