内经曰。脓血稠粘。皆属于火。夫太阴主泻。少阴主痢。是先泄而亡津液。火就燥。肾恶燥。
居下焦血分。其受邪者。故便脓血也。然青白为寒。赤黄为热。宜须两审。治热以坚中丸、豆蔻香
连丸。治寒以白胶香散。或多热少寒。水煮木香膏。虚滑频数。宜止滑。宜养脏汤。病气大退。正
气未复。当补脾。且如泻痢止。脾胃虚。难任饮食。不可一概用克伐之剂。若补养其脾。胃气足。
自然能饮食。宜钱氏方中异功散。设或喜嗜饮食太过。有伤脾胃。而心腹痞满。呕逆恶心。则不拘
此例。当权用橘皮枳术丸。一服得快勿再服。若饮食调节无伤。则胃气和平矣。
【坚中丸】治脾胃受湿。滑泄注下。
黄连（去须） 黄柏 赤茯苓（去皮） 泽泻
白术（各一两） 陈皮 肉豆蔻 人参
白芍药 官桂 半夏曲（各半两）
上十一味为末。汤浸蒸饼丸如桐子大。每服五七十丸。温米饮送下。食前。
【纯阳真人养脏汤】治下痢赤白。
人参 当归 白术（各六钱） 官桂
甘草（各八钱） 肉豆蔻（半两） 木香（一两六钱） 诃子（一两二钱）
白芍药（一两六钱） 罂粟壳（三两六钱）
上 咀。每服四钱。水一盏半。煎至八分。去渣。食前温服。
【水煮木香膏】治脾胃受湿。脏腑滑泄。腹中疼痛。日夜无度。肠鸣水声。不思饮食。每
欲痢时。里急后重。或下赤白。或便脓血。并皆治之。
御米壳（蜜水浸湿炒黄。六两） 乳香（研） 肉豆蔻
缩砂（各一两半） 当归 白芍药 木香
丁香 诃子皮 藿香 黄连（去须）
青皮（去白。各一两） 干姜（炮。半两） 甘草（炙） 浓朴（姜制）
陈皮（各一两） 枳实（麸炒。半两）
上十七味为细末。炼蜜丸如弹子大。每服一丸。水一盏。枣一枚擘开。煎至七分。和渣。稍热
。食前服。
丁巳年八月。从军过邓。时值霖雨。民多痢疾。遂得白术安胃散、圣饼子。于高仲宽处传之。用
之多效。故录于此。
【白术安胃散】治一切泻痢。无问脓血相杂。里急后重。窘痛。日夜无度。及治小肠气痛
。妇人脐下虚冷。并产后儿枕块痛。亦治产后虚弱。寒热不止者。
御米壳（三两。去顶带。蜜拌炒） 茯苓（去皮） 车前子
白术（各一两） 乌梅肉 五味子（各半两）
上六味为粗末。每服五钱。水二盏。煎至一盏。去渣。空心温服之。
【圣饼子】治泻痢赤白。脐腹撮痛。久不愈者。
定粉 密陀僧 舶上硫黄（各三钱） 黄丹（二钱） 轻粉（少许）
上五味为末。入白面四钱匕。滴水丸如指头大。捻成饼。阴干。食前温浆水磨下。大便黑色为
效。
【南白胶香散】治脾胃虚寒。滑肠久泻。脐腹疼痛无休止时。
御米壳（四两。醋炒） 龙骨 南白胶香（各三两） 甘草（七钱。炙）
干姜（半两。炮）
上五味为粗末。每服五钱。水一盏半。煎至一盏。去渣。温服。食前。忌冷物伤胃。
【豆蔻燥肠丸】治沉寒涸冷泄痢。腹痛后重。
附子（炮。去皮） 赤石脂（各一两） 舶上硫黄 良姜（切炒）
肉豆蔻 干姜（各半两。炮）
上六味为末。酷糊丸如桐子大。每服三十丸。米汤下。食前。忌生冷硬物及油腻物。
【玉粉散】治冷极泄泻久作。滑肠不禁。不思饮食。服之神效。
红豆（拣净） 大附子（炮。去皮脐） 干姜（炮。各半两） 舶上硫黄（另研。二钱
半）
上四味为末。入研药匀。每服二钱。空心半稀半稠粟米饮下。至晚又一服。重者十服必效。轻
者三五服安。
【玉粉丹】逐化虚中积。止脓血痢。撮痛。里急后重。并皆治之。
定粉（半两） 粉霜（三钱） 延胡（三钱） 腻粉（一钱）
石燕子（一个半）
上先杵石燕、延胡为末。入乳钵内。共粉霜等一处。研如粉。鸡清丸如豌豆大。每服三丸至五
丸。温米饮下。食前临卧。不论老弱妊妇产人。皆可服之。粥饮下五丸。或另丸一等麻子大。量小
儿大小。夜卧温米饮下五七丸。渐服十丸。忌油腻粘滑冷硬等物
【桃花丸】治肠胃虚弱。冷气乘之。脐腹搅痛。下痢赤白。
赤石脂 干姜（炮。各等分）
上为末。面糊丸桐子大。每服三十丸。温米饮下。空心食前。日三服。一方治禁口痢。验。梨
一枚去心。入好蜜一匙。煨过食。
【玄青丸】治下痢势恶。频并窘痛。或久不愈。诸药不止。须吐下之。以开除湿热。痞闷
积滞。而使气液宣行者。宜以逐之。兼宣利积热。酒食积。黄瘦中满。水气肿。腹胀。兼治小儿惊
疳、积热、乳癖等证。
牵牛（头末二两） 青黛（一两） 黄连 黄柏
大黄 甘遂 芫花（醋拌炒） 大戟（各半两）
轻粉（二钱）
上九味为末。研匀。水丸小豆大。初服十丸。再服加十丸。空心日午临卧三服。以快利为度。
后常服十五丸。数日后得食力。痢病未痊者。徐加。再取利。利后却常服。以意消息。病去为度。
后随证止之。小儿丸如黍米大。退惊疳积热。不须下者。常服十丸。
【阿胶梅连丸】治下痢。无问久新赤白青黑疼痛诸证。
阿胶（净草灰炒透研。如研不细者。再炒研细尽）乌梅肉（炒） 黄连
黄柏（炒） 赤芍药 当归（炒） 赤茯苓（去皮）
干姜（炮。各等分）
上八味为末。入阿胶末和匀。水丸如桐子大。每服十丸。温米饮送下。食前。
The *Neijing* (Yellow Emperor's Inner Canon) states: Pus and blood that are thick and sticky all belong to Fire. The Taiyin meridian governs diarrhea, while the Shaoyin meridian governs dysentery; this indicates that diarrhea occurs first, leading to the depletion of body fluids. Fire tends towards dryness, and the Kidney dislikes dryness. When pathogenic factors reside in the blood level of the lower jiao, it results in stools containing pus and blood. However, green and white colors indicate Cold, while red and yellow colors indicate Heat; therefore, careful examination is required during treatment. For Heat patterns, Jianzhong Wan (Firm the Middle Pill) or Doukou Xianglian Wan (Cardamom and Coptis Pill) should be used. For Cold patterns, Baijiaoxiang San (White Amber Powder) should be used. If there is more Heat than Cold, Shuizhu Muxiang Gao (Water-Boiled Agarwood Paste) is indicated. For deficiency-type slippery discharge with frequent occurrences, astringents should be employed, such as Yangzang Tang (Nourish the Viscera Decoction). When the pathogenic qi has largely subsided but the healthy qi has not yet recovered, the Spleen should be tonified. Just as after diarrhea and dysentery cease, if the Spleen and Stomach are weak and unable to tolerate food, one must not indiscriminately use harsh purgative agents. By nourishing the Spleen Qi, once Stomach Qi is sufficient, appetite will naturally return. It is advisable to use Yigong San (Extraordinary Power Powder) from Qian Yi’s formulas. If, however, excessive indulgence in food damages the Spleen and Stomach, leading to epigastric and abdominal fullness, vomiting, and nausea, this rule does not apply rigidly. Instead, Jupi Zhizhu Wan (Tangerine Peel and Immature Bitter Orange Pill) should be used flexibly; take one dose until relief is achieved, then stop. If dietary regulation causes no damage, the Stomach Qi will become harmonious.
[Jianzhong Wan] Treats dampness affecting the Spleen and Stomach, causing slippery diarrhea and profuse loose stools.
Coptidis Rhizoma (Chuanlianjie), Phellodendri Cortex (Huangbai), Poria (Fuling), Alismatis Rhizoma (Zexie), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 1 liang), Citri Reticulatae Pericarpium (Chenpi), Myristicae Semen (Roudoukou), Ginseng Radix et Rhizoma (Renshen), Paeoniae Radix Alba (Baishaoyao), Cinnamomi Ramulus (Guangui), Massae Medicament Fermentatae Sinensis (Banxiaqu) (each 0.5 liang).
Grind the above eleven herbs into powder. Soak steamed dough cakes in decoction to form pills the size of paulownia seeds. Take 50–70 pills per dose, washed down with warm rice drink, before meals.
[Chunyang Zhenren Yangzang Tang] Treats dysentery with red and white discharge.
Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 6 qian), Cinnamomi Ramulus (Guangui), Glycyrrhizae Radix et Rhizoma (Gancao) (each 8 qian), Myristicae Semen (Roudoukou) (0.5 liang), Aucklandiae Radix (Muxiang) (1.6 liang), Chebulae Fructus (Hezi) (1.2 liang), Paeoniae Radix Alba (Baishaoyao) (1.6 liang), Papaveris Pericarpium (Yingsuke) (3.6 liang).
Cut the herbs. Take 4 qian per dose, add 1.5 cups of water, boil to 0.8 cup, strain, and take warm before meals.
[Shuizhu Muxiang Gao] Treats dampness affecting the Spleen and Stomach, causing slippery discharge of the zang-fu organs, abdominal pain without day-night limit, borborygmus with water sounds, loss of appetite, tenesmus when defecation is desired, red and white discharge, or pus and blood in stool.
Papaveris Pericarpium (Yu mi ke) (soaked in honey water, wet, stir-fried until yellow, 6 liang), Boswelliae Resina (Ruxiang) (ground), Myristicae Semen (Roudoukou), Amomi Fructus Rotundus (Suosha) (each 1.5 liang), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishaoyao), Aucklandiae Radix (Muxiang), Caryophylli Flos (Dingxiang), Chebulae Pericarpium (Hezipi), Agastaches Herba (Huoxiang), Coptidis Rhizoma (Chuanlianjie) (deveined), Citri Reticulatae Pericarpium (Qingpi) (peel removed, each 1 liang), Zingiberis Rhizoma Recens (Ganjiang) (processed, 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted), Magnoliae Officinalis Cortex (N Houpu) (prepared with ginger juice), Citri Reticulatae Pericarpium (Chenpi) (each 1 liang), Aurantii Fructus Immaturus (Zhishi) (bran-fried, 0.5 liang).
Grind the above seventeen herbs into fine powder. Mix with refined honey to form pills the size of bullet shots. Take one pill per dose with one cup of water and one split jujube, boil to 0.7 cup, consume with dregs slightly warm, before meals.
In the eighth month of the Ding Si year, traveling with the army through Dengzhou, continuous rain prevailed, and many people suffered from dysentery. I obtained Baizhu Angwei San (Atractylodes Stomach-Calming Powder) and Shengbingzi (Holy Pills) from Gao Zhongkuan. They proved highly effective, so I record them here.
[Baizhu Angwei San] Treats all types of diarrhea and dysentery, regardless of mixed pus and blood, tenesmus, severe pain, and frequency day and night. Also treats intestinal Qi pain, cold deficiency below the umbilicus in women, postpartum uterine mass pain, and postpartum weakness with persistent chills and fever.
Papaveris Pericarpium (Yu mi ke) (3 liang, remove top and tail, mix with honey and stir-fry), Poria (Fuling) (peeled), Plantaginis Semen (Cheqianzi), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 1 liang), Pruni Mume Fructus (Wumei rou), Schisandrae Fructus (Wuweizi) (each 0.5 liang).
Grind the above six herbs into coarse powder. Take 5 qian per dose with two cups of water, boil to one cup, strain, and take warm on an empty stomach.
[Shengbingzi] Treats dysentery with red and white discharge, cramping abdominal pain, and chronic cases unhealed.
Cerussa (Dingfen), Lithargyrum (Miduoseng), Sulfur (Boshang Liuhuang) (each 3 qian), Minium (Huangdan), Calomelas (Qingfen) (a small amount).
Grind the above five herbs into powder. Add 4 qian of white flour, mix with drops of water to form pills the size of fingers, shape into cakes, and dry in shade. Before meals, grind with warm sour rice water and take. Effectiveness is indicated by black stools.
[Nan Baijiaoxiang San] Treats Spleen and Stomach deficiency-cold, slippery intestines with chronic diarrhea, and ceaseless abdominal pain.
Papaveris Pericarpium (Yu mi ke) (4 liang, vinegar-fried), Longgu (Longgu), Nan Baijiaoxiang (Nan Baijiaoxiang) (each 3 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (7 qian, roasted), Zingiberis Rhizoma Recens (Ganjiang) (0.5 liang, processed).
Grind the above five herbs into coarse powder. Take 5 qian per dose with 1.5 cups of water, boil to one cup, strain, and take warm before meals. Avoid cold foods that damage the Stomach.
[Doukou Zaochang Wan] Treats deep cold and extreme cold diarrhea/dysentery, abdominal pain, and tenesmus.
Aconiti Lateralis Radix Praeparata (Fuzi) (processed, peeled), Halloysit Rubra (Chishizhi) (each 1 liang), Sulfur (Boshang Liuhuang), Galangalis Rhizoma (Liangjiang) (cut and fried), Myristicae Semen (Roudoukou), Zingiberis Rhizoma Recens (Ganjiang) (each 0.5 liang, processed).
Grind the above six herbs into powder. Use vinegar paste to form pills the size of paulownia seeds. Take 30 pills per dose with rice soup, before meals. Avoid raw, cold, hard, and greasy foods.
[Yufen San] Treats chronic diarrhea due to extreme cold, uncontrollable slippery intestines, and loss of appetite. Highly effective.
Vigna Angularis Seed (Hongdou) (cleaned), Aconiti Lateralis Radix Praeparata (Da Fuzi) (processed, peel and navel removed), Zingiberis Rhizoma Recens (Ganjiang) (processed, each 0.5 liang), Sulfur (Boshang Liuhuang) (separately ground, 2.5 qian).
Grind the above four herbs into powder, mix evenly. Take 2 qian per dose on an empty stomach with semi-thick millet drink. Take another dose late at night. Severe cases require ten doses for effect; mild cases resolve in three to five doses.
[Yufen Dan] Dissipates accumulation in deficiency, stops dysentery with pus and blood, cramping pain, and tenesmus.
Cerussa (Dingfen) (0.5 liang), Calomelas (Fenshuang) (3 qian), Corydalis Rhizoma (Yanhu) (3 qian), Calomelas (Nifen) (1 qian), Hirundo Nidus (Shiyanzi) (one and a half).
First grind Hirundo Nidus and Corydalis Rhizoma into powder. Place in a mortar with Calomelas and other ingredients, grind into fine powder. Form pills the size of mung beans using egg white. Take 3–5 pills per dose with warm rice drink, before meals and before sleep. Suitable for old, weak, pregnant, and postpartum individuals. Take 5 pills with porridge drink, or make smaller sesame-sized pills for children. Give 5–7 pills with warm rice drink before sleep, gradually increasing to 10 pills. Avoid greasy, sticky, cold, and hard foods.
[Taohua Wan] Treats weak intestines and stomach invaded by cold Qi, causing twisting abdominal pain and dysentery with red and white discharge.
Halloysit Rubra (Chishizhi), Zingiberis Rhizoma Recens (Ganjiang) (processed, equal parts).
Grind into powder, form pills the size of paulownia seeds using wheat paste. Take 30 pills per dose with warm rice drink, on an empty stomach before meals, three times daily. Another formula for anorexic dysentery (Jinkou Li) is verified effective: Remove the core of one pear, add one spoonful of good honey, roast/steam until cooked, and eat.
[Xuanqing Wan] Treats severe dysentery with frequent severe pain, chronic unhealed cases where other medicines fail. Requires emesis and purgation to expel damp-heat, relieve stagnation and fullness, and promote circulation of Qi and fluids. Also clears accumulated heat, food stagnation from alcohol/meat, sallow emaciation with abdominal fullness, edema from water Qi, abdominal distension, and pediatric convulsive malnutrition (Jinggan), accumulated heat, and breast lumps.
Semen Kochiae (Qianniuzi) (first powder, 2 liang), Indigo Naturalis (Qingdai) (1 liang), Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Rheii Radix et Rhizoma (Dahuang), Kansui Radix (Gansui), Genkwa Flos (Yuanhua) (vinegar-fried), Mirabilite Radix (Daji) (each 0.5 liang), Calomelas (Qingfen) (2 qian).
Grind the above nine herbs into powder, mix evenly. Form bean-sized pills with water. Initial dose: 10 pills. Increase by 10 pills for subsequent doses. Take three times daily (empty stomach, midday, before sleep) until brisk purgation is achieved. Maintain with 15 pills daily. After several days, if digestion improves but dysentery persists, slowly increase dose to induce purgation again. After purgation, resume maintenance dose, adjusting according to condition until disease resolves. Then stop based on symptoms. For children, make mustard-seed-sized pills. To treat convulsive malnutrition and accumulated heat without purgation, maintain 10 pills daily.
[Ejiao Meilian Wan] Treats dysentery, regardless of duration, color (red, white, green, black), or associated pain.
Colla Corii Asini (Ejiao) (stir-fried thoroughly in grass ash, ground finely; re-fry and grind if not fine enough), Pruni Mume Fructus (Wumei rou) (fried), Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai) (fried), Paeoniae Radix Rubra (Chishaoyao), Angelicae Sinensis Radix (Danggui) (fried), Poria (Chifuling) (peeled), Zingiberis Rhizoma Recens (Ganjiang) (processed, equal parts).
Grind the above eight herbs into powder, mix evenly with Ejiao powder. Form paulownia-seed-sized pills with water. Take 10 pills per dose with warm rice drink, before meals.