《金匮》小柴胡去半夏加栝蒌实汤(方见疟疾门) 昌按∶此方乃少阳经半表半里之的药,原用半夏之辛温,
半兼乎表。今改用栝蒌实之凉苦,半兼乎里。退而从阴则可,进而从阳,不胜其任矣。然不必更求他药,但于柴胡增一
倍二倍用之,允为进之之法也。
活人败毒散(方见三气门) 昌按∶活人此方,全不因病痢而出。但昌所为逆挽之法,推重此方,盖借人参之
大力,而后能逆挽之耳。《金匮》治下痢,未及小柴胡汤,后来方书不用,犹曰无所祖也。至活人败毒散,夏秋疫疠诸方,
莫不收用之矣。而治下痢,迥不及之者何哉?遍查方书,从无有一用表法者,惟杨子建治痢,广引运气,自逞狂能、名
其方曰万全护命汤,采用活人之半,川芎、独活、桔梗、防风、甘草,而增麻黄、官桂、 本、白芷、细辛,一派辛温
辛热之药,且杂牵牛峻下于内,百道方中,似此无知妄作,一方言表,不杀人哉。再阅洁古七方,虽为平淡无奇,而老
成全不犯手,兹特录之。其他备用诸方,亦各有取义,以俟临病采择。
大黄汤(洁古) 治泻利久不愈,脓血稠粘,里急后重,日夜无度。上用大黄一两锉碎,好酒二大盏,浸半日
许,煎至一盏半,去渣,分作二服,顿服之,痢止勿服,如未止再服,取利为度,后服芍药汤和之。痢止再服白术黄芩
汤,尽撤其毒也。
芍药汤(洁古) 行血调气,《经》曰∶溲而便脓血,知气行而血止,行血则便自愈,调气则后重除。
芍药(一两) 当归 黄连 黄芩(各半两) 大黄(三钱) 肉桂(二钱半) 甘草(炒) 槟榔(各二钱) 木
香(一钱) 如便后脏毒,加黄柏半两。 上九味, 咀,每服五钱,水二盏,煎至一盏,去渣温服。如痢不减,渐加
大黄,食后服。
白术黄芩汤(洁古) 服前药痢疾虽除,更宜调和。 白术(一两) 黄芩(七钱) 甘草(三钱) 上 咀,
作三服,水一盏半,煎一盏温服。
黄连阿胶丸(《和剂》) 治冷热不调,下痢赤白,里急后重,脐腹疼痛,口燥烦渴,小便不利。 黄连(去须
三两) 阿胶(碎炒一两) 茯苓(去皮二两) 上以连苓为细末,水熬阿胶膏,和丸如桐子大。每服三十丸,空心温
米汤下。
白头翁汤(《金匮》) 白头翁(二两) 黄连 黄柏 秦皮(各三两) 上四味,以水七升,煮取二升,去渣
温服一升。不愈,更服。
加减平胃散(洁古) 《经》云∶平时皆以胃气为本。如下血,则脾胃虚损,血水流于四肢,却入于胃,而为
血痢。宜服此方,以养脾胃。 白术(一两) 浓朴 陈皮(各一两) 木香(一两) 槟榔(三钱) 甘草(七钱) 桃
仁(一两) 人参 黄连 阿胶(炒) 茯苓(各五钱) 上 咀,每服五钱,姜三片,枣一枚,水煎,温服无时。血
多加桃仁。热泄加黄连。小便涩加茯苓、泽泻。气不下,后重加槟榔、木香。腹痛加官桂、芍药、甘草。脓多加阿胶。
湿多加白术。脉洪大加大黄。
苍术地榆汤(洁古) 治脾经受湿,下血痢。 苍术(三两) 地榆(一两) 每一两,水二盏,煎一盏温服。
槐花散(洁古) 青皮 槐花 荆芥穗(各等分) 上为末,水煎,空心温服。
犀角散 治热痢,下赤黄脓血,心腹困闷。 犀角屑(一两) 黄连(去须微炒一两) 地榆 黄 (各一两)
当归(半两炒) 木香(二钱五分) 上为散,每服三钱,以水一盏,煎至六分,去渣温服无时。
黄连丸(一名羚羊角丸。) 治一切热痢,及休息痢,日夜频并。兼治下血,黑如鸡肝色。 黄连(去须二两
半) 羚羊角(镑) 黄柏(去粗皮各一两半) 赤茯苓(去皮半两) 上为细末,蜜和丸如桐子大。每服二十丸,姜
蜜汤下。暑月下痢,用之尤验。一方用白茯苓,腊茶送下。
生地黄汤 治热利不止。 生地黄(半两) 地榆(七钱半) 甘草(二钱半炙) 上 咀,如麻豆大,以水
二盏,煎至一盏,去渣,分温二服。空心,日晚再服。
郁金散 治一切热毒痢,下血不止。川郁金 槐花(炒各半两) 甘草(炙二钱半) 上为细末,每服一二盏,
食前用豆豉汤调下。
茜根散 治血痢,心神烦热,腹中痛,不纳饮食。 茜根(一两) 地榆(一两) 生干地黄 当归(炒各一
两) 犀角(屑) 黄芩(各一两) 栀子(半两) 黄连(二两去须微炒) 上 咀,每服四钱,以水一盏,入豆豉
五十粒、薤白七寸,煎至六分∶去渣,不拘时温服。
十宝汤 治冷痢如鱼脑者,三服见效甚捷。 黄 (四两) 熟地(酒浸) 白茯苓 人参 当归(酒浸) 白
术半夏 白芍药 五味子 官桂(各一两) 甘草(半两) 上为粗末,每服二钱,水一盏,生姜三片,乌梅一个,
煎至七分,食前温服。
芍药黄芩汤(东垣) 治泄利腹痛,或后重身热,久不愈,脉洪疾者,及下痢脓血稠粘。 黄芩 芍药(各一
两) 甘草(五钱) 上 咀,每服一两,水一盏半,煎一盏温服无时。如痛加桂少许。
香连丸(《直指》) 治下痢赤白,里急后重。 黄连(去芦二十两用吴茱萸十两同炒令赤去茱萸不用) 木香
(四两八钱八分不见火) 上为细末,醋糊丸如桐子大。每服三十丸,空心饭饮下。
大承气汤(方见三气门)
小承气汤(方见三气门)
进承气法,治太阴证不能食是也。当先补而后泻,乃进药法也。先锉浓朴(半两)姜制,水一盏,煎至半盏服。若
二三服未已,胃有宿食不消,加枳实(二钱)同煎服。二三服,泄又未已,如不加食,尚有热毒,又加大黄(三钱)服
过,泄未止者,为肠胃久有尘垢滑粘,加芒硝(半合),垢去尽则安矣。后重兼无虚证者宜之。若力倦气少,脉虚
不能食者,不宜此法。盖浓朴、枳实,大泻元气也。退承气法,治阳明证能食是也。当先泻而后补,乃退药法也。先用
大承气(五钱)水一盏,根据前法煎至七分,稍热服。如泻未止,去芒硝,减大黄一半,煎二服。如热气虽已,其人心腹
满,又减去大黄,但与枳实浓朴汤,又煎二三服。如腹胀满退,泄亦自安,后服浓朴汤,数服则已。
地榆芍药汤(《保命》) 治泄痢脓血脱肛。 苍术(八两) 地榆 卷柏 芍药(酒炒各三两) 上 咀,每
服二两,水煎温服,病退勿服。
败毒散(方见三气门) 治壮热下痢,及似痢非痢,似血非血如浊酒。 上锉,每服五钱,水煎,生姜三片,
薄荷五叶煎服。热多则温服,寒多则热服。伤湿加白术。头痛加天麻。
参苓白术散(《和剂》) 治久泻,及大病后痢后,调理消渴者尤宜。人参 干山药 莲肉(去心) 白扁豆(去
皮姜汁浸炒各一斤半) 白术(于潜者二斤) 桔梗(炒令黄色) 砂仁 白茯苓(去皮) 薏苡仁 炙甘草(各一斤)
上为细末,每服二钱,米汤调下,或加姜枣煎服,或枣肉和药丸如桐子大,每服七十丸。空心米汤送下,或炼蜜丸如弹
子大,汤化下。
仓廪汤 治噤口痢有热,乃毒瓦斯冲心,食即吐出。 人参 茯苓 甘草(炙) 前胡 川芎 羌活 独活 桔
梗柴胡 枳壳 陈仓米(等分) 上 咀,每服五钱,水一盏半,生姜三片,煎至七分,去渣,无时热服。
蓣莲饮 莲肉 干山药(各等分) 上为细末,生姜茶煎汤调下三钱。
犀角丸 但是痢病,服之无不瘥者。 犀角屑(取黑色文理粗者产后用弥佳) 宣州黄连 苦参(多买轻捣)
金州黄柏(赤色坚薄者) 川当归(五味俱取细末) 各末等分和匀,空腹,烂煮糯米饮调方寸匕服之。日再服,忌粘
滑油腻生菜。
葛根汤 专治酒痢。 葛根 枳壳 半夏 生地 杏仁(去皮尖) 茯苓(各三钱四分) 黄芩(一钱二分)
甘草(炙半钱) 上分作二帖,水二盏,黑豆百粒,生姜五片,白梅一个;煎至一盏,去渣,食前温服。
栝蒌根汤 治下痢冷热相冲,气不和顺,本因下虚,津液耗少,口干咽燥,常思饮水,毒瓦斯更增,烦躁转甚,
宜服此药救之。 栝蒌根 白茯苓 甘草(炙各半两) 麦门冬(去心二钱二分) 上 咀,每服五钱,水一盏半,枣
二枚劈破,煎至七分,去渣服,不拘时。
陈米汤 治吐痢后大渴,饮水不止。 上用陈仓米二合,水淘净,以水二盏,煎至一盏,去渣,空心温服。晚
食前再煎服。
治痢后渴 上用粳米二合,以水一盏半,同煮研,绞汁空心顿服之。
泽漆汤 治痢后肿满,气急喘嗽,小便如血。 泽漆叶(微炒五两) 桑根白皮(炙黄) 郁李仁(汤浸去皮
尖炒熟各三两) 陈皮(去白) 白术(炒) 杏仁(汤浸去皮尖仁炒各一两) 人参(一两半) 上 咀,每服五钱,
水二盏,生姜三片,煎取八分,去渣温服。候半时辰再服。取下黄水数升,或小便利为度。
茯苓汤 治痢后遍身微肿。 赤茯苓(去黑皮) 泽漆叶(微炒) 白术(微炒各一两) 桑白皮(炙黄) 黄
芩射干 防己 泽泻(各三两) 上 咀,每服五钱匕,先以水三盏煮大豆一合,取二盏,去渣,内药煎至
一盏,分为二服。未瘥,频服二料。
Xiaochaihu Decoction without Banxia plus Gualou Fruit (Formula seen in the Malaria Chapter): Yu Chang's commentary: This formula is a specific medicine for treating Shaoyang channel disorders located half-exterior and half-interior. Originally, it used the acrid-warm nature of Banxia (Pinelliae Rhizoma), which partially addresses the exterior syndrome. Now, by replacing it with the cool-bitter nature of Gualou Fruit (Trichosanthis Fructus), it partially addresses the interior syndrome. Retreating to the Yin aspect is bearable, but advancing to the Yang aspect exceeds its capacity. However, there is no need to seek other medicines; simply doubling or tripling the dosage of Chaihu (Bupleuri Radix) is the method of advancement.
Baodu San (Detoxifying Powder) from *Ren Shu* (Formula seen in the Sanjiao Chapter): Yu Chang's commentary: This formula in *Ren Shu* was not originally created specifically for dysentery. However, I highly recommend this formula as a "counter-current rescue" method, largely because it relies on the powerful effect of Renshen (Ginseng Radix et Rhizoma) to achieve this counter-current rescue. *Jin Gui Yao Lue* does not mention Xiaochaihu Tang for treating lower dysentery, and later formularies do not use it, claiming it lacks ancestral lineage. In contrast, Baodu San is included in almost all summer-autumn epidemic formulas. Yet, when treating lower dysentery, it far surpasses others. Why? Scanning formularies, one never finds a formula using exterior-releasing methods for dysentery. Only Yang Zijian, in treating dysentery, extensively cited the theory of Five Movements and Six Qi, displaying arrogant capability, naming his formula Wanquan Humin Tang. It adopted half the ingredients of Ren Shu's Baodu San (Chuanxiong Rhizome, Angelicae Pubescentis Radix, Platycodonis Radix, Saposhnikoviae Radix, Glycyrrhizae Radix et Rhizoma) and added Ephedrae Herba, Cinnamomi Cortex (Guigui), Libanotis Rhizome, Angelicae Dahuricae Radix, and Asari Radix et Rhizoma. This is a batch of acrid-warm and acrid-hot medicines, mixed with Qian Niu Zi (Pharbitidis Semen), a harsh purgative. Among hundreds of formulas, such ignorant and reckless creation, once mentioning exterior release, would surely be fatal. Reviewing Jiugong's Seven Formulas, although plain and unremarkable, they are mature and cautious, never acting rashly. I record them here. Other备用 formulas also have their own rationale, to be selected during clinical practice.
Dahuang Tang (Jiugong's Formula): Treats chronic diarrhea and dysentery that do not heal, with thick sticky pus and blood, tenesmus, occurring day and night without limit. Use Dahuang (Rhei Radix et Rhizoma) one liang, crushed, soaked in good wine two large cups for about half a day, decocted to one and a half cups, dregs removed, divided into two doses, taken at once. Stop if dysentery ceases; if not, take again. Take until purgation occurs, then follow with Shaoyao Tang to harmonize. After dysentery stops, take Baizhu Huangqin Tang to completely eliminate residual toxins.
Shaoyao Tang (Jiugong's Formula): Moves blood and regulates qi. The Classic states: "Urine with pus and blood indicates that regulating qi stops bleeding; moving blood heals dysentery, regulating qi eliminates tenesmus."
Shaoyao (Paeoniae Radix Alba) (one liang) Danggui (Angelicae Sinensis Radix) Huanglian (Coptidis Rhizoma) Huangqin (Scutellariae Radix) (each half liang) Dahuang (Rhei Radix et Rhizoma) (three qian) Rougui (Cinnamomi Cortex) (two qian and half) Gancao (Glycyrrhizae Radix et Rhizoma) (stir-fried) Binglang (Arecae Semen) (each two qian) Muxiang (Aucklandiae Radix) (one qian). If there is intestinal toxin after defecation, add Huangbai (Phellodendri Cortex) half liang. The above nine herbs, crushed, each dose five qian, water two cups, decocted to one cup, dregs removed, taken warm. If dysentery does not decrease, gradually increase Dahuang, taken after meals.
Baizhu Huangqin Tang (Jiugong's Formula): Although the previous medicines have cured dysentery, harmonization is still appropriate.
Baizhu (Atractylodis Macrocephalae Rhizoma) (one liang) Huangqin (Scutellariae Radix) (seven qian) Gancao (Glycyrrhizae Radix et Rhizoma) (three qian). The above herbs, crushed, divided into three doses, water one and a half cups, decocted to one cup, taken warm.
Huanglian Ejiao Wan (from *Heji Jufang*): Treats disharmony of cold and heat, dysentery with red and white discharge, tenesmus, umbilical and abdominal pain, dry mouth with irritability and thirst, and difficult urination.
Huanglian (Coptidis Rhizoma) (deveined three liang) Ejiao (Colla Corii Asini) (crushed and stir-fried one liang) Fuling (Poria) (peeled two liang). Grind Huanglian and Fuling into fine powder, boil Ejiao into a paste, mix to form pills the size of paulownia seeds. Each dose thirty pills, taken with warm rice soup on an empty stomach.
Baitouweng Tang (from *Jin Gui Yao Lue*): Baitouweng ( Pulsatillae Radix) (two liang) Huanglian (Coptidis Rhizoma) Huangbai (Phellodendri Cortex) Qinpi (Fraxini Cortex) (each three liang). The above four herbs, with seven sheng of water, boiled down to two sheng, dregs removed, one sheng taken warm. If not healed, take again.
Jiajian Pingwei San (Modified Pingwei Powder, Jiugong's Formula): The Classic says: "Normally, Stomach Qi is the foundation." If there is bloody stool, it is due to deficiency and damage of Spleen and Stomach, where blood flows to the limbs but enters the Stomach, forming bloody dysentery. It is suitable to take this formula to nourish Spleen and Stomach.
Baizhu (Atractylodis Macrocephalae Rhizoma) (one liang) Houpo (Magnoliae Officinalis Cortex) Chenpi (Citri Reticulatae Pericarpium) (each one liang) Muxiang (Aucklandiae Radix) (one liang) Binglang (Arecae Semen) (three qian) Gancao (Glycyrrhizae Radix et Rhizoma) (seven qian) Taoren (Persicae Semen) (one liang) Renshen (Ginseng Radix et Rhizoma) Huanglian (Coptidis Rhizoma) Ejiao (Colla Corii Asini) (stir-fried) Fuling (Poria) (each five qian). The above herbs, crushed, each dose five qian, three slices of ginger, one jujube, decocted in water, taken warm at any time. Add more Taoren if blood increases. Add Huanglian for hot diarrhea. Add Fuling and Zexie (Alismatis Rhizoma) for astringent urination. Add Binglang and Muxiang for stagnation and tenesmus. Add Guigui (Cinnamomi Cortex), Shaoyao (Paeoniae Radix Alba), and Gancao (Glycyrrhizae Radix et Rhizoma) for abdominal pain. Add Ejiao (Colla Corii Asini) if pus increases. Add Baizhu (Atractylodis Macrocephalae Rhizoma) if dampness increases. Add Dahuang (Rhei Radix et Rhizoma) if pulse is flooding and rapid.
Cangzhu Diyü Tang (Jiugong's Formula): Treats dampness invading the Spleen meridian, resulting in bloody dysentery.
Cangzhu (Atractylodis Rhizoma) (three liang) Diyü (Sanguisorbae Radix) (one liang). For every one liang of herbs, use two cups of water, decocted to one cup, taken warm.
Huaihua San (Jiugong's Formula): Qingpi (Citri Reticulatae Pericarpium Viride) Huaihua (Sophorae Flos) Jingjie Sui (Schizonepetae Spica) (equal parts). Grind into powder, decoct in water, taken warm on an empty stomach.
Xijiao San: Treats hot dysentery, discharging red-yellow pus and blood, with chest and abdominal oppression.
Xijiao Xie (Rhinocerotis Cornu) (one liang) Huanglian (Coptidis Rhizoma) (deveined, slightly stir-fried one liang) Diyü (Sanguisorbae Radix) Huangqin (Scutellariae Radix) (each one liang) Danggui (Angelicae Sinensis Radix) (half liang, stir-fried) Muxiang (Aucklandiae Radix) (two qian and half). Grind into powder, each dose three qian, with one cup of water, decocted to six fen, dregs removed, taken warm at any time.
Huanglian Wan (also known as Lingyangjiao Wan): Treats all types of hot dysentery and lingering dysentery, frequent day and night. Also treats lower bleeding, black like chicken liver color.
Huanglian (Coptidis Rhizoma) (deveined two liang and half) Lingyangjiao (Saigae Tataricae Cornu) (shaved) Huangbai (Phellodendri Cortex) (deprived of rough bark, each one liang and half) Chi Fuling (Poria) (peeled half liang). Grind into fine powder, mix with honey to form pills the size of paulownia seeds. Each dose twenty pills, taken with ginger-honey soup. Especially effective for dysentery in summer months. Another prescription uses Bai Fuling (Poria) with winter tea.
Shengdihuang Tang: Treats persistent hot diarrhea.
Shengdihuang (Rehmanniae Radix) (half liang) Diyü (Sanguisorbae Radix) (seven qian and half) Gancao (Glycyrrhizae Radix et Rhizoma) (two qian and half, roasted). Crush like hemp or bean sizes, with two cups of water, decocted to one cup, dregs removed, divided into two warm doses. On an empty stomach, take again in the evening.
Yujin San: Treats all types of hot toxic dysentery with continuous bleeding.
Chuan Yujin (Curcumae Radix) Huaihua (Sophorae Flos) (stir-fried, each half liang) Gancao (Glycyrrhizae Radix et Rhizoma) (roasted two qian and half). Grind into fine powder, each dose one or two cups, taken before meals with fermented soybean soup.
Qianggen San: Treats bloody dysentery, mental restlessness and heat, abdominal pain, and loss of appetite.
Qianggen (Lithospermi Radix) (one liang) Diyü (Sanguisorbae Radix) (one liang) Sheng Gan Dihuang (Rehmanniae Radix) Danggui (Angelicae Sinensis Radix) (stir-fried, each one liang) Xijiao (Rhinocerotis Cornu) (shavings) Huangqin (Scutellariae Radix) (each one liang) Zhizi (Gardeniae Fructus) (half liang) Huanglian (Coptidis Rhizoma) (two liang, deveined, slightly stir-fried). Crush, each dose four qian, with one cup of water, add fifty fermented soybeans and seven cun of Allii Tuberosi Bulbus, decocted to six fen, dregs removed, taken warm at any time.
Shibao Tang: Treats cold dysentery resembling fish brain, showing quick results after three doses.
Huangqi (Astragali Radix) (four liang) Shudi (Rehmanniae Radix Preparata) (soaked in wine) Baifuling (Poria) Renshen (Ginseng Radix et Rhizoma) Danggui (Angelicae Sinensis Radix) (soaked in wine) Baizhu (Atractylodis Macrocephalae Rhizoma) Banxia (Pinelliae Rhizoma) Shaoyao (Paeoniae Radix Alba) Wuweizi (Schisandrae Chinensis Fructus) Guigui (Cinnamomi Cortex) (each one liang) Gancao (Glycyrrhizae Radix et Rhizoma) (half liang). Coarsely ground, each dose two qian, one cup of water, three slices of ginger, one dark plum, decocted to seven fen, taken warm before meals.
Shaoyao Huangqin Tang (Dongyuan's Formula): Treats diarrhea with abdominal pain, or tenesmus with fever, persisting for a long time with a flooding and rapid pulse, and dysentery with thick sticky pus and blood.
Huangqin (Scutellariae Radix) Shaoyao (Paeoniae Radix Alba) (each one liang) Gancao (Glycyrrhizae Radix et Rhizoma) (five qian). Crush, each dose one liang, one and a half cups of water, decocted to one cup, taken warm at any time. Add a little Guigui (Cinnamomi Cortex) if painful.
Xianglian Wan (from *Zhizhi Fang*): Treats dysentery with red and white discharge, tenesmus.
Huanglian (Coptidis Rhizoma) (deprived of rhizome twenty liang, stir-fried together with ten liang of Wuzhuyu (Evodiae Fructus) until red, remove Wuzhuyu) Muxiang (Aucklandiae Radix) (four liang, eight qian, eight fen, avoid fire). Grind into fine powder, make pills with vinegar paste the size of paulownia seeds. Each dose thirty pills, taken with rice drink on an empty stomach.
Da Chengqi Tang (Formula seen in the Sanjiao Chapter)
Xiao Chengqi Tang (Formula seen in the Sanjiao Chapter)
Method of Advancing with Chengqi: Treats Taiyin syndrome where eating is impossible. One should tonify first and then purge; this is the method of advancing medicine. First, crush Houpo (Magnoliae Officinalis Cortex) (half liang), processed with ginger, one cup of water, decocted to half a cup and taken. If after two or three doses it has not stopped, and there is undigested food in the stomach, add Zhishi (Aurantii Fructus) (two qian) and decoct together. After two or three doses, if diarrhea continues, and there is no intake of food but heat toxin remains, add Dahuang (Rhei Radix et Rhizoma) (three qian). If diarrhea persists after taking it, it is due to long-standing filth and slipperiness in the intestines and stomach; add Mangxiao (Natri Sulfas) (half he). Once the filth is gone, peace is restored. This is suitable for tenesmus without deficiency signs. If one is weak, short of breath, with a deficient pulse and inability to eat, this method is not suitable. Because Houpo (Magnoliae Officinalis Cortex) and Zhishi (Aurantii Fructus) greatly deplete Yuan Qi.
Method of Retreating with Chengqi: Treats Yangming syndrome where eating is possible. One should purge first and then tonify; this is the method of retreating medicine. First use Da Chengqi Tang (five qian), one cup of water, decoct according to the previous method to seven fen, taken slightly warm. If diarrhea does not stop, remove Mangxiao (Natri Sulfas), reduce Dahuang (Rhei Radix et Rhizoma) by half, decoct for two doses. If heat is cleared but the person feels fullness in the heart and abdomen, further reduce Dahuang (Rhei Radix et Rhizoma), and only use Zhishi (Aurantii Fructus) and Houpo (Magnoliae Officinalis Cortex) decoction, decoct for two or three doses. If abdominal fullness recedes and diarrhea calms down, follow with Houpo (Magnoliae Officinalis Cortex) decoction; a few doses will suffice.
Diyu Shaoyao Tang (from *Baoming Shu*): Treats diarrhea and dysentery with pus and blood, and rectal prolapse.
Cangzhu (Atractylodis Rhizoma) (eight liang) Diyü (Sanguisorbae Radix) Juanbai (Selaginellae Herba) Shaoyao (Paeoniae Radix Alba) (wine-stir-fried, each three liang). Crush, each dose two liang, decocted in water, taken warm. Stop if the disease recedes.
Baodu San (Formula seen in the Sanjiao Chapter): Treats high fever with dysentery, and conditions resembling dysentery but not dysentery, resembling blood but not blood like turbid wine. Coarsely cut, each dose five qian, decocted in water, three slices of ginger, five leaves of Bohe (Menthae Haplocalycis Herba). Take warm if heat predominates, hot if cold predominates. Add Baizhu (Atractylodis Macrocephalae Rhizoma) for damp injury. Add Tianma (Gastrodiae Rhizoma) for headache.
Shenling Baizhu San (from *Heji Jufang*): Particularly suitable for chronic diarrhea, and for regulating Xiao Ke (Wasting and Thirsting Syndrome) after severe illness or dysentery.
Renshen (Ginseng Radix et Rhizoma) Dry Shanyao (Dioscoreae Rhizoma) Lianrou (Nelumbinis Semen) (deprived of heart) Baibiandou (Phaseoli Semen Albicans) (peeled, soaked in ginger juice, stir-fried, each one jin and half) Baizhu (Atractylodis Macrocephalae Rhizoma) (from Qianjiang, two jin) Jiegeng (Platycodonis Radix) (stir-fried until yellow) Sharen (Amomi Fructus) Baifuling (Poria) (peeled) Yiyiren (Coicis Semen) Zhi Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each one jin). Grind into fine powder, each dose two qian, mixed with rice soup, or decocted with ginger and jujube, or mixed with jujube flesh into pills the size of paulownia seeds, each dose seventy pills. Taken with rice soup on an empty stomach, or made into honey pills the size of a bullet, dissolved in water.
Canglin Tang: Treats Jin Kou Li (Anorexic Dysentery) with heat, where toxic vapors rush to the Heart, causing vomiting immediately after eating.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Zhi Gancao (Glycyrrhizae Radix et Rhizoma) (roasted) Qianhu (Peucedani Radix) Chuanxiong (Chuanxiong Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Duohuo (Angelicae Pubescentis Radix) Jiegeng (Platycodonis Radix) Chaihu (Bupleuri Radix) Zhike (Aurantii Fructus) Chen Cangmi (Oryza Sativa, aged grain) (equal parts). Crush, each dose five qian, one and a half cups of water, three slices of ginger, decocted to seven fen, dregs removed, taken hot at any time.
Yulian Yin: Lianrou (Nelumbinis Semen) Dry Shanyao (Dioscoreae Rhizoma) (equal parts). Grind into powder, mix with ginger-tea decoction, take three qian.
Xijiao Wan: For any dysentery, taking this ensures recovery.
Xijiao Xie (Rhinocerotis Cornu) (choose those with coarse black texture, especially good postpartum) Xuanzhou Huanglian (Coptidis Rhizoma) Kushen (Sophorae Flavescentis Radix) (buy more, lightly pounded) Jinzhou Huangbai (Phellodendri Cortex) (red, hard, and thin) Chuan Danggui (Angelicae Sinensis Radix). Mix equal parts of powders, on an empty stomach, mix with well-cooked glutinous rice drink, take one square inch spoonful. Take twice a day. Avoid sticky, greasy, and raw vegetables.
Gegen Tang: Specifically treats Jiu Li (Alcoholic Dysentery).
Gegen (Puerariae Lobatae Radix) Zhike (Aurantii Fructus) Banxia (Pinelliae Rhizoma) Shengdi (Rehmanniae Radix) Xingren (Armeniacae Semen Amarum) (deprived of skin and tip) Fuling (Poria) (each three qian and four fen) Huangqin (Scutellariae Radix) (one qian and two fen) Zhi Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, half qian). Divide into two doses, two cups of water, one hundred black beans, five slices of ginger, one white plum; decocted to one cup, dregs removed, taken warm before meals.
Gualou Gen Tang: Treats dysentery with conflicting cold and heat, disharmonious qi, originally due to lower deficiency, consumption of fluids, dry mouth and throat, constant desire to drink water, increased toxic vapors, worsening irritability. It is suitable to take this medicine to save the situation.
Gualou Gen (Trichosanthis Radix) Baifuling (Poria) Zhi Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each half liang) Maidong (Ophiopogonis Radix) (deprived of heart, two qian and two fen). Crush, each dose five qian, one and a half cups of water, two cracked jujubes, decocted to seven fen, dregs removed, taken at any time.
Chen Mi Tang: Treats extreme thirst after vomiting and dysentery, unable to stop drinking water.
Use two he of aged grain rice, wash clean, with two cups of water, decocted to one cup, dregs removed, taken warm on an empty stomach. Decoct and take again before evening meal.
Treating Thirst after Dysentery: Use two he of japonica rice, with one and a half cups of water, cook and grind together, squeeze out juice, take at once on an empty stomach.
Zeqi Tang: Treats swelling and fullness after dysentery,急促 breathing and coughing, urine resembling blood.
Zeqi Ye (Euphorbiae Pekinensis Folium) (slightly stir-fried five liang) Sangbaidi (Mori Cortex) (roasted yellow) Yuliren (Pruni Semen) (soaked in water, deprived of skin and tip, stir-fried cooked, each three liang) Chenpi (Citri Reticulatae Pericarpium) (deprived of white pith) Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried) Xingren (Armeniacae Semen Amarum) (soaked in water, deprived of skin and tip, kernels stir-fried, each one liang) Renshen (Ginseng Radix et Rhizoma) (one liang and half). Crush, each dose five qian, two cups of water, three slices of ginger, decocted to eight fen, dregs removed, taken warm. Take again after half an hour. Discharge several sheng of yellow water, or until urination becomes smooth.
Fuling Tang: Treats slight swelling all over the body after dysentery.
Chi Fuling (Poria) (deprived of black skin) Zeqi Ye (Euphorbiae Pekinensis Folium) (slightly stir-fried) Baizhu (Atractylodis Macrocephalae Rhizoma) (slightly stir-fried, each one liang) Sangbaidi (Mori Cortex) (roasted yellow) Huangqin (Scutellariae Radix) Shegan (Belamcandae Rhizoma) Fangji (Stephaniae Tetrandrae Radix) Zexie (Alismatis Rhizoma) (each three liang). Crush, each dose five qian bi, first boil one he of soybeans in three cups of water, obtain two cups, remove dregs, add herbs, decoct to one cup, divide into two doses. If not healed, frequently take two doses.