治赤痢初起
芍药 当归 黄芩 黄连 木香 槟榔 甘草 陈皮 大黄
水二钟煎八分不拘时服
治白痢初起
芍药 当归 黄芩 黄连 肉桂 槟榔 甘草 木香 大黄
不用引煎服
当归 芍药 陈皮 茯苓 苍术 白术 猪苓 泽泻 浓朴 甘草
不用引煎服
治白痢
苍术 芍药 官桂 陈皮 甘草 浓朴 当归 茯苓
不用引
芍药汤 主药
芍药 当归 黄连 槟榔 木香 官桂 大黄 黄芩 甘草
治病久挟虚滋补收涩之药加减用
罂粟壳 人参 当归 肉桂 诃子皮 木香 肉豆蔻 白术 白芍 生甘草
治痢初起不问阴阳赤白加减用
陈皮 苍术 浓朴 甘草 猪苓 泽泻 白术 茯苓 官桂
治因风下痢清血
防风 当归 羌活 川芎 芍药 白术 茯苓 黄连 泰米
治因湿痢如黑豆汁或如浊酒加味用
当归 川芎 炒白芍 人参 白术 茯苓 肉桂
The formula is found in the "Han Men" (Cold Gate) section. It is indicated for dysentery occurring within one or two days, where the healthy qi (Zheng Qi, 正气) has not yet become deficient.
Treatment for early-stage red dysentery:
Shao Yao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Da Huang (Rhei Radix et Rhizoma).
Add two zhong of water, decoct until reduced to eight fen, and take at any time without restriction.
Treatment for early-stage white dysentery:
Shao Yao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Rou Gui (Cinnamomi Cortex), Bing Lang (Arecae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Xiang (Aucklandiae Radix), Da Huang (Rhei Radix et Rhizoma).
Decoct without using a guiding herb (Yin Jing Yao, 引经药).
(Another formula):
Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Decoct without using a guiding herb.
Treatment for white dysentery:
Cang Zhu (Atractylodis Rhizoma), Shao Yao (Paeoniae Radix), Guan Gui (Cinnamomi Ramulus), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria).
No guiding herb.
Shaoyao Tang (Peony Decoction) as the main formula:
Shao Yao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma), Bing Lang (Arecae Semen), Mu Xiang (Aucklandiae Radix), Guan Gui (Cinnamomi Ramulus), Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma).
For dysentery of long duration complicated by deficiency, use tonifying and astringent herbs with modifications:
Ying Su Qiao (Papaveris Pericarpium), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Rou Gui (Cinnamomi Cortex), He Zi Pi (Terminaliae Chebulae Pericarpium), Mu Xiang (Aucklandiae Radix), Dou Kou (Myristicae Semen), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Shao (Paeoniae Radix Alba), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma).
For early-stage dysentery, regardless of yin/yang or red/white type, use with modifications:
Chen Pi (Citri Reticulatae Pericarpium), Cang Zhu (Atractylodis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Guan Gui (Cinnamomi Ramulus).
For dysentery caused by summerheat injury with a faint and thin pulse, use with modifications:
Xiang Ru (Elsholtziae Herba), Nong Po (Magnoliae Officinalis Cortex), Huang Lian (Coptidis Rhizoma), Bian Dou (Dolichoris Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma).
For dysentery with clear blood due to wind pathogen:
Fang Feng (Saposhnikoviae Radix), Dang Gui (Angelicae Sinensis Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Huang Lian (Coptidis Rhizoma), Tai Mi (Oryzae Fructus).
For dysentery due to dampness, where stool resembles black bean juice or turbid wine, add ingredients and use:
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chao Bai Shao (Stir-fried Paeoniae Radix Alba), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Rou Gui (Cinnamomi Cortex).
For dysentery due to cold pathogen, characterized by stool resembling fish brains, abdominal pain, and cold limbs, use with modifications:
Ren Shen (Ginseng Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
For dysentery that has not been treated with astringents, presenting with inability to eat (Jin Kou Bu Shi, 噤口不食):
Chai Hu (Bupleuri Radix), Qian Hu (Peucedani Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jie Geng (Platycodonis Radix), Ren Shen (Ginseng Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fu Ling (Poria), Zhi Ke (Aurantii Fructus Immaturus), Cang Mi (Oryzae Fructus).
Add three slices of fresh ginger, decoct and take.
Treatment for red dysentery:
Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Huang Lian (Coptidis Rhizoma), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Danggui Daoqi Tang (Angelica Guiding Qi Decoction):
Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), Huai Hua (Sophorae Flos), Sheng Di Huang (Rehmanniae Radix).
Decoct without using a guiding herb.