便安，今有人患痢，其脉微小，再三寻之，又沉而涩此之一候，若下白痢，其势虽重，庶几
可治，若是下血，切忌发热，通身发热者死，热见七日死，以上所陈，虽未足以达痢之渊源
，亦足以明其粗迹议者谓，如子所言，自甲子至于癸亥，每六十年中，未尝有一年不生痢疾
，今世人患痢疾，于数年中间，忽止有一年，其故何也，答曰，六十年中，未尝有一年无水
土相攻，未尝无土火相郁，未尝无水火相犯，但五运之政，譬如权衡，一年间五行气数更相
承制，得其平等，则其疾自然不作，忽若一气大过，一藏有余，痢疾之生，应不旋踵，予故
备陈其粗，以开后学之未悟，庶几诊疗之间，无差悟之过者矣，但毒痢伤人不一，惟水邪犯
心为重，世人初患痢时，先发寒热，投药治之，其势不退，发热太甚，食则呕逆，下痢不止
，心热如火，只要入凉处，只思吃冷水，狂走，浑身肌肉疼痛，着手不得，此候，十难治其
三四也，治疫痢方，须是子细首尾读此方论令分明，识病根源然后吃药，但毒痢初得时，先
发寒热，忽头痛，忽壮热，忽转数行便下，赤白相杂，忽止下白痢，忽先下白痢，后变成赤
痢，忽先下赤痢，后却变成白痢，宜吃此方，但初下痢时，先发寒热头痛，即是寒邪犯心，
寒气犯心，水火相战，故初得病先发寒热，水火相犯，血变于中，所以多下赤痢，如紫草水
，如苋菜水，无色泽者，寒邪犯心之重也，先发寒热，而所下之痢止白色者，寒邪犯心之未
重也，先下白痢，而后有赤痢之变者，寒邪犯心，其势渐加也，先下赤痢，而后变成白痢者
，寒邪犯心，其势渐减也。赤白相等者，□水火相犯其气相等，寒湿之气相搏而成也，忽有
赤少而白少，此寒邪之势有多少，毒痢之病有轻重，以白多为轻，以赤多为重，治之之法，
先夺其寒，则所下之药一也，以太岁分之，则丙子、丙午、甲子、甲午、庚子、庚午、丙寅
、丙申年、甲寅甲申年，庚寅、庚申并辰戌之年，运过丙申及庚运所临，其害尤甚，及丑未
之年，宜有此候，又更无问太岁，盖天地变化，其候多端，难可穷尽，今立此方，但世人亦
不必椿定太岁，但看一年中春夏之内，多有寒肃之化，阳光少见，忽寒热二气更相交争，忽
于夏月多寒湿之化，寒邪犯心，所受之痢，先发寒热，忽头痛忽先转数行，后有赤痢，忽赤
白相杂，忽止下白痢，并宜吃此通神散，吃后取壮热减退，若两三盏后，壮热不退，更不吃
此方，自别有论方在下。
麻黄（去根节） 官桂（去粗皮，各三分） 甘草（各一分，炙） 大芎
两） 细辛（八铢） 独活 桔梗
（四铢，炒）
上为细末，每服二钱，非时，热汤调下，和滓热吃，若吃三两盏后，寒热不退，更勿吃
，自别有方论在下，若吃此药后，寒热已退，赤痢已消减，便修合第二、第三方药，吃之取
安校，若寒热已退，赤痢未消减，更服三两盏，然不可多吃，一日只两盏，候赤痢消减，忽
变成白痢，渐次修合第二方吃，候出后。
度数减少，便修合第三方，吃取平安也，但六甲之年，六庚之岁，春夏之内，时气多寒
，人得痢疾，此药通神，若是六甲之年，丑未之岁，湿化偏多，人得痢疾，先发寒热，即于
方内添草豆蔻一两修合也，又，不问太岁，但一年间，春夏之内多寒，人有痢疾，先发寒热
，并宜吃此方，治毒痢初得时，先发寒热，吃前方，寒热已退，赤痢已消减，宜进此方，还
真散，若吃前方药，寒热未退，赤痢未消减，更勿进此药，但天地变化，其候非常，痢疾证
候多端，此不得不尽子细故尔。
诃子（五个，用面裹，火炮熟，不要生，不要焦，得所去面，不使，就热，咬诃子破，
去核不用，只使皮焙干。）
上细捣罗为末，每服二钱，以米汤一盏半，同药炼取一盏吃，若吐出一两口涎，便住，
如此吃经数盏，大府渐安，出后减少，便修合第三方药吃，以牢固大肠，若吃前方药，壮热
未退，血痢未减，不请进此药。
治疫毒痢，吃前两方药，病势已减，所下之痢，止余些小，忽青粪，忽如鸭粪，忽如茶
汤，如浊油，忽只余些小浅深红色，宜吃此方，以牢固大肠，还复真气，舶上硫黄丸。
舶上硫黄（一两，去沙石，细研，如飞尘。）
上以薏苡仁二两，炒熟，捣为末，与舶上硫黄相和匀，滴水相和，丸如梧子大，空心，
以米汤下五十丸。
治毒痢，初得时，先发寒热，服前面毒痢方通神散三两盏，一日，忽隔一夜，寒热不退
，下痢不减分数，通身发热，所下之痢，多是浓涕，如桃花色，如红米胶，每一次忽下一盏
半盏已来。吃此药二盏三盏，经一日，忽一夜，寒热不退，下痢不减分数，更不进此药，若
依法进药两盏，壮热便退，下痢少减分数，即请渐渐进此药，每日只两盏，候赤痢稍减，忽
变成白痢，却修合上面还真散，吃取平安，且痢之有寒热，其证一也，前方以暖药解之，此
方以凉药投之，其说何也。答曰，水邪犯心，身能发热，土湿郁火，身亦发热，肝热刑脾，
身亦发热，惟至精者，识其秋毫之变，切恐世人未能通其妙旨，予因设此两方，以救其失，
然毒痢之伤人，惟水邪犯心最为极重，但患痢疾之人，有增寒壮热，先吃上面通神散两三服
，寒热不退，下痢不止，然后进此药，以太岁分之，惟六壬、六戊、寅申、巳亥之年，宜有
此候，而六戊之年，尚有差变，盖火盛之年，必有寒湿相犯，故然，以六气推迁不定，又不
可局定年辰，但一年之间，春夏之内，热气偏多，湿化不举，人有痢疾，肝脉弦，心脉洪，
然后吃此药，若吃两盏后，不见效验，更勿进服，盖痢之所起，切忌水之犯心，不可妄投凉
药，故此方两盏后无验，更不可服。
荆芥穗 牡丹皮（去心） 木香 白头翁
连（蜜浸一宿，火上炙干，使三分） 牵牛（炒，一分）
上为细末，每服二钱，水一盏，煎一二沸急泻出，食后温和吃之，此药少见效验，更可
进服，以安为期，然不可多吃，一日只两盏，痢才住，便得止。
治毒痢，初得时，发寒热，微有小寒，热忽止，腹痛，出后时，粪后有少胶涎，与赤痢
相杂，却自误吃凉药，渐渐下痢极多，从早至暮，但只思睡，早朝即颜色枯瘁，身体稍凉，
近晚至夜即面色赤，颜色光润，下痢极多，皆是清涎与赤痢相杂，通身发热，不思饮食，浑
身肌肉着床则痛。据此候，宜当吃此药，但身体大热如火，与人相近，则热气逼人，其脉轻
微，轻手取之，散满指下，不分部位，全无骨力，指下如风如气，重手取之，指下全无，急
用诃子五个炮制如下面法，掏罗为末，为一服先用热米汤调，和滓热服，吐出涎，脉气方生
可进下面方
白术（半两） 白芷 芍药 大芎（各一分） 甘草（四铢，炙） 诃子（五个，面裹
炮熟，
上细捣罗为末，每服三钱，热陈米汤调下和滓吃。
治毒痢初得病时，并无寒热，所下之痢，全是浓血，忽黯血，左右三部脉气，皆微细，
宜吃此方。
桑寄生（一两） 防风 芎 （各一分） 甘草（四铢，炙）
上捣罗为细末，每服二钱，水一盏，煎八分，空心和滓吃。
治赤白痢，初得时，并无寒热，忽患赤白痢，经久未较，别无增寒壮热，宜此方。
淡豉（十个） 黄连（四十九枚，每枚长一粒饭许）
上件，用新 瓶一个，安药在内，以新片瓦盖瓶口，大火 通赤后，烟绝取出，就热，
研如飞尘，每服二钱，热盐米汤调下，和滓服，应是赤白痢，无问赤多白少，但身体无增寒
壮热者，皆可吃此方。
治赤痢，或赤白相杂，初得时，并无增寒壮热，经及数日，身体不热，只闻小腹内躁热
，下血不止，或止血便暖药不见验效，宜服此方，寅申、己亥年，六壬之年，宜有此候，但
吃两盏后不见效，更不请吃此药，但唇皮赤，忽肿，黯色，小便黄白，身体凉，夜间则发热
，如此，即肝热刑脾之证也。
荆芥穗 牡丹皮（去心） 白头翁 地榆
牵牛（炒熟，三铢） 木香（三铢）
上捣罗为细末，每服二钱，水一盏，煎两沸，食后，和滓温服。须是一年之间，春夏之
内，风热太甚，分明识其痢疾，定是伏热，方可进此药。
治下赤痢，身体并无增寒壮热，此名肝心变 。
黄连（一两，蜜浸一宿，炙令香熟） 木香（三铢）
上为细末，浓煎，陈米汤调下二钱，食后，和滓服。
治赤痢不止，其脉反微小沉而又涩，其身热者死，热七日死，此候极危困，但吃上面通
神散一两盏，发热便退，亦庶几可治，便修合上面还真散，舶上黄丸，吃取安校，若吃通神
散后，发热不退，难治之也。
治患赤痢赤白，忽因先寒疟，后变成痢，忽因患痢后，却变成寒疟，但疾痢时，无问赤
白，若有增寒壮热，并宜吃上面通神散，吃了，热壮已退，便修合还真散，舶上黄丸，吃取
安校，缘此证候，乃水邪犯心，治之不可轻也。
桑寄生（半两） 地榆 芎 防风（各一两）
木香（各三铢）
上为细末，每服二钱，水一盏，煎取八分，和滓热服，经数日外，仍修合暖益脾药吃。
此方。
使君子（半两，蒸三度） 诃子（一两，面裹炮，去核使肉） 白芜荑 萆
榔肉豆蔻 木香（各一分）
上为末，每服一钱半，空心，仓米汤调下，量儿大小服之。
治小儿肝受疳气，相刑于脾，所下之痢，多是鲜血，忽是脓血，忽赤白相杂，宜此方。
防风 地榆 芎 白蒺藜（去刺，各一分）
草（各三铢，炙） 黄连（四铢，二十四铢为
上为细末，每服一钱半，非时或食后任意，煎点冷吃。 治痰嗽，益真丸。
人参 黄 吴白术（各半两） 木香（一分）
归（去苗） 白芍药
枳实（一钱，炒）
上为细末，炼蜜丸如梧子大，非时，清汤下三十丸，一日两服。
治气弱腹结。
白术（半两） 人参（一钱） 大芎 甘草（炙）
苓（三分）
钱，炮）
上为细末，空心，水一盏，姜三片，枣二个，破之，同煎七分，去滓服。
治心气动，肝脉亏。
桑寄生（一分） 茯苓 防风 独活
（一钱）
上为细末，每服三钱，水一盏，磨沉香少许，煎七分。
治精血皆虚，鹿茸丸。
血茸（半两，用酥微炙） 五味子 山药（各一两，以上三件为末） 青盐（三钱，令
研
上炼蜜和作一块，收瓷合中，临时丸，每服三十丸，食前温酒下。
治肝肾气虚，外应目不荣，宜服此足精丸。
好熟干地黄（须是蒸九遍，用酒制造者） 当归（去苗） 白芍药 人参 山药（各
半两） 茄茸（酥炙，去皮，七钱） 五味子（六钱）
活甘菊（各三钱）
大芎 肉苁蓉（各四铢）
上为细末，炼蜜丸如梧子大，空心，浓煎，糯米汤入盐少许，下五十丸。
又服洗肝散。
天麻（半两，酒浸一宿，湿纸裹煨） 白僵蚕（去口，去丝） 天南星（炮，各一分）
（二钱） 黄 薏苡仁 白芍药（各半两） 白蒺藜 （去刺，四分）
（炙） 人参（各三分） 木香（一钱半）
上为细末，水一盏，薄荷二叶，磨沉香少许，同煎药之时，取七分，去滓服，日进二三
服，每服二钱。
补心气人参散。
人参（七钱） 伏神 山药（各半两） 白芍药
分半） 甘草（一分，炙）
上为细末，每服二钱，水一盏，生姜枣少许，煎七分。
司业六脉满而不实，寸口倍于人迎尺脉。
血浊而气浮，宜清血，抑肺气，如此，即隔通而气归于下，不可服燥烈之药，第一方。
人参（七钱，好者） 陈橘皮（去白，一分半） 白茯苓 麦门冬（去心，三钱）
梗紫菀 防风（各一分） 黄
刺）
上为细末，每服三钱，非时或食后少时，水一盏，磨沉香少许，生姜一片，同煎八分，
初服三四服，觉膈快，便不须服，却只常服丸子，候三两日间，觉似壅，即进一服，此散子
不常服。
又方。
天麻（面裹炮） 肉苁蓉（酒浸一宿） 熟干地黄（好者） 菟丝子（酒浸一宿）
药柏子仁（各半两） 萆 茯苓
钱） 枳实（一分，面炒过）
上为细末，捣薏苡仁为粉，煮作稀糊，丸如梧子大，阴干，每日空心，浓煎，糯米汤入
盐，下五十丸，治小儿腹中有气不散，而脏腑微涩，夜有盗汗。
使君子（三钱） 京三棱 萆 白茯苓
活（二分）
上为细末，非时，水半盏，煎二钱，炼取三分，去滓服，觉气散，则已之，不可多服。
治小儿泻，本因伤水。
诃子 白术 白芍药（各一分） 甘草（炙）
连（半分，炒）
上为粗末，煎一钱许，去滓服，水七分，煎至半盏。
久便血。
黄连（一钱，炒半焦） 白蒺藜（去刺，半两） 槐花（炒焦） 独活
枳实（炒焦） 荆芥穗 蔓荆子（各一分）
钱，炙）
上为细末，食后，水一盏，煎三钱匕，取七分，和滓服，或炼蜜丸如梧子大，清汤下三
四十丸，无时日，一服或二服。
Stool becomes comfortable and smooth. Currently, there is a person suffering from dysentery (Li Ji, 痢疾), with a pulse that is minute and faint (Xiao Mai, 微小). Upon repeated palpation, it is found to be deep (Chen Mai, 沉) and choppy (Se Mai, 涩). In this condition, if the discharge is white mucus, although the severity is high, it may still be treatable; however, if blood is discharged, fever must be strictly avoided. Generalized fever indicates death; fever persisting for seven days also leads to death. The above discussion, while insufficient to fully elucidate the profound origins of dysentery, is sufficient to clarify its general manifestations.
Critics argue: As you stated, from the Jiazi year to the Guihai year, within every sixty-year cycle, there is not a single year without dysentery. Yet nowadays, among people suffering from dysentery, it suddenly occurs in only one year out of several years. What is the reason? The answer is: Within a sixty-year cycle, there is never a year without the conflict between Water and Earth, nor a year without the stagnation of Earth and Fire, nor a year without the violation between Water and Fire. However, the governance of the Five Movements (Wu Yun, 五运) is like the balance of a scale. Throughout the year, the Qi numbers of the Five Elements mutually restrain each other; when they achieve equilibrium, diseases naturally do not arise. If suddenly one Qi becomes excessive and one Zang organ has surplus, the onset of dysentery will occur instantaneously. Therefore, I have detailed these general principles to enlighten those who are yet to understand, hoping that in diagnosis and treatment, there will be no errors or misunderstandings.
However, the injury caused by toxic dysentery varies; the most severe case is when Pathogenic Water invades the Heart. When people first contract dysentery, they initially present with alternating chills and fever (Han Re, 寒热). After medication, the condition does not subside; the fever becomes extreme, eating causes vomiting and reflux, and dysentery continues incessantly. The heart feels hot as fire, the patient desires cool places, craves cold water, runs wildly, suffers from generalized muscle pain, and cannot tolerate touch. In this condition, three or four out of ten cases are difficult to treat.
For the prescription treating epidemic dysentery (Yi Li, 疫痢), one must carefully read the entire treatise from beginning to end to understand it clearly, identify the root cause of the disease, and then take medicine. When toxic dysentery is first contracted, it initially presents with alternating chills and fever, sudden headache, sudden high fever, or frequent bowel movements with mixed red and white discharge. Sometimes only white mucus is discharged; sometimes white mucus is discharged first and later turns into bloody dysentery; sometimes bloody dysentery is discharged first and later turns into white mucus. This prescription is suitable. However, when dysentery first appears with alternating chills, fever, and headache, it indicates Cold Pathogen invading the Heart. Cold Qi invading the Heart causes a battle between Water and Fire, hence the initial alternating chills and fever. The violation of Water and Fire alters the blood internally, leading to frequent bloody discharge resembling purple grass water or amaranth water. Lack of luster indicates severe invasion of the Heart by Cold Pathogen. If alternating chills and fever appear first, but the discharge is purely white, it indicates mild invasion of the Heart by Cold Pathogen. If white mucus is discharged first, followed by bloody changes, the invasion of the Heart by Cold Pathogen is gradually intensifying. If bloody dysentery is discharged first, followed by a change to white mucus, the invasion of the Heart by Cold Pathogen is gradually diminishing. Equal amounts of red and white indicate that the Qi of Water and Fire are equal, formed by the struggle of Cold-Dampness Qi. Sudden occurrence of less red and less white indicates varying degrees of Cold Pathogen and varying severity of toxic dysentery. White predominance is mild; red predominance is severe. The treatment method involves first overcoming the Cold, so the prescribed medicine remains the same.
According to the Tai Sui (Grand Duke Jupiter) cycles, specifically in Bing Zi, Bing Wu, Jia Zi, Jia Wu, Geng Zi, Geng Wu, Bing Yin, Bing Shen, Jia Yin, Jia Shen, Geng Yin, Geng Shen, Chen Xu years, where the movement passes through Bing Shen and Geng positions, the harm is particularly severe. Also in Chou Wei years, this condition is likely. Furthermore, one need not strictly rely on the Tai Sui, as heavenly and earthly changes manifest in diverse ways, which are hard to exhaust. Now, this prescription is established, but people need not rigidly adhere to the Tai Sui. One should observe if, during spring and summer of a given year, there is much cold and austere transformation with little sunshine, and if cold and heat Qi suddenly contend. Or if, in mid-summer, there is much Cold-Damp transformation, and Cold Pathogen invades the Heart causing dysentery with initial alternating chills and fever, sudden headache, frequent bowel movements followed by bloody dysentery, mixed red and white discharge, or pure white discharge. In all these cases, Tong Shen San (Spirit-Passing Powder) is suitable. After taking it, if high fever subsides, good. But if after two or three doses, high fever persists, do not take this prescription further; see the separate treatise below.
Ephedrae Herba (Mahuang, 麻黄) [roots and joints removed], Cinnamon Twig (Guizhi, 官桂) [bark removed, 3 fen each], Licorice Root (Gancao, 甘草) [1 fen each, roasted], Ligusticum Rhizome (Daxiong, 大芎) [2 qian], Asarum Root (Xixin, 细辛) [8 zhu], Angelica Pubescens Root (Duhuo, 独活), Platycodon Root (Jiegeng, 桔梗) [4 zhu, stir-fried].
Grind all ingredients into fine powder. Take 2 qian each time, at any time, mixed with hot water. Consume the dregs while hot. If after two or three doses, chills and fever persist, stop taking it; see the separate treatise below. If after taking this medicine, chills and fever subside and bloody dysentery decreases, proceed to prepare and take the second or third prescriptions to achieve recovery. If chills and fever subside but bloody dysentery does not decrease, take two or three more doses, but do not overconsume; limit to two doses per day. Wait until bloody dysentery decreases and suddenly turns into white mucus, then gradually prepare and take the second prescription. As symptoms diminish, prepare and take the third prescription to ensure safety.
In Jia years and Geng years, during spring and summer, seasonal Qi is often cold. If people contract dysentery, this Tong Shen prescription is effective. In Jia years and Chou/Wei years, Damp transformation is predominant. If people contract dysentery with initial alternating chills and fever, add 1 liang of Cardamom Seed (Caodoukou, 草豆蔻) to the prescription. Regardless of the Tai Sui, if during spring and summer of a year, Cold is prevalent, and people contract dysentery with initial alternating chills and fever, this prescription is suitable. For toxic dysentery initially presenting with alternating chills and fever, take the previous prescription. Once chills and fever subside and bloody dysentery decreases, advance to Zhen Huan San (True Return Powder). If after the previous prescription, chills and fever persist and bloody dysentery does not decrease, do not advance to this medicine. Heavenly and earthly changes are extraordinary, and dysentery symptoms are manifold; thus, careful attention is necessary.
Terminalia Chebula Fruit (Hezi, 诃子) [5 fruits, wrapped in flour, fire-roasted until cooked, not raw, not burnt. Remove flour. While warm, bite open, remove core, use only the peel, bake dry].
Grind finely and sieve. Take 2 qian each time, with 1.5 cups of rice soup, boiled down to 1 cup. If one or two mouthfuls of saliva are vomited, stop. After consuming several doses, bowel function improves, and frequency decreases. Then prepare and take the third prescription to strengthen the large intestine. If after the previous prescription, high fever persists and bloody dysentery does not decrease, do not take this medicine.
For epidemic toxic dysentery, after taking the first two prescriptions, if the condition has reduced and only small amounts remain, appearing suddenly as green stool, duck-like stool, tea-colored liquid, turbid oil, or slight shallow/deep red color, take this prescription to strengthen the large intestine and restore true Qi: Bo Shang Liu Huang Wan (Sulfur Pill from the Ships).
Bo Shang Liu Huang (Ship-sourced Sulfur, 舶上硫黄) [1 liang, remove sand and stones, grind finely like flying dust].
Mix with 2 liang of Coix Seed (Yiyiren, 薏苡仁), stir-fried until cooked and ground into powder. Combine evenly with the sulfur. Add drops of water to form pills the size of wu zi (Chinese quince seeds). Take 50 pills on an empty stomach with rice soup.
For toxic dysentery, initially presenting with alternating chills and fever, take three doses of Tong Shen San over one day. If overnight chills and fever persist, dysentery frequency does not decrease, generalized fever occurs, and discharge resembles thick nasal mucus, peach blossom color, or red rice glue, with each episode yielding about one and a half cups. Take two or three doses of this medicine. If after one day or overnight, chills and fever persist and dysentery does not decrease, stop this medicine. If taken according to method for two doses, high fever subsides and dysentery slightly decreases, then gradually continue, limiting to two doses daily. Wait until bloody dysentery slightly decreases and suddenly turns white, then prepare and take Zhen Huan San above to ensure safety. Regarding dysentery with chills and fever, the syndrome is one, but the former prescription uses warming medicines to resolve it, while this one uses cooling medicines. Why? Answer: Pathogenic Water invading the Heart causes body fever; Dampness of Earth stagnating Fire causes body fever; Liver Heat punishing Spleen causes body fever. Only the most refined practitioners can recognize these subtle changes. Fearing that common people cannot grasp these profound principles, I have set up these two prescriptions to remedy deficiencies. However, among injuries from toxic dysentery, Water Pathogen invading the Heart is the most severe. Patients with dysentery experiencing increased chills and high fever should first take two or three doses of Tong Shen San above. If chills and fever persist and dysentery continues, then advance to this medicine. According to Tai Sui, this condition is suitable in Ren years, Wu years, Yin/Shen years, and Si/Hai years. In Wu years, there may be variations, as in Fire-dominant years, Cold-Dampness inevitably violates, hence this. Due to the shifting Six Qi, one cannot rigidly fix the year. Simply, if during spring and summer of a year, Heat Qi is predominant, Damp transformation fails to rise, and people contract dysentery with wiry Liver pulse and flooding Heart pulse, then take this medicine. If after two doses, no effect is seen, do not take further. Since dysentery arises, one must fear Water invading the Heart; do not recklessly administer cooling medicines. Thus, if this prescription shows no effect after two doses, do not take it further.
Schizonepeta Spike (Jingjie Sui, 荆芥穗), Moutan Bark (Mudan Pi, 牡丹皮) [remove heart], Aucklandia Root (Muxiang, 木香), Pulsatilla Root (Baitouweng, 白头翁), Coptis Rhizome (Huanglian, 黄连) [honey-soaked overnight, roasted on fire until dry, use 3 parts], Morning Glory Seed (Qianniu, 牵牛) [stir-fried, 1 fen].
Grind into fine powder. Take 2 qian each time, with 1 cup of water, boil for one or two boils, strain immediately. Take warm after meals. If this medicine shows slight effect, it can be continued until peace is achieved. Do not overconsume; limit to two doses per day. Stop once dysentery ceases.
For toxic dysentery, initially presenting with chills and fever, slight cold, sudden cessation of heat, abdominal pain. During defecation, small amount of gelatinous saliva follows stool, mixed with bloody dysentery. Mistakenly taking cooling medicines causes gradual extreme dysentery from morning to night. Patient only desires sleep. Early morning complexion is withered, body slightly cool. Late evening to night, face is red and lustrous. Extreme dysentery consists of clear saliva mixed with bloody dysentery. Generalized fever, loss of appetite, generalized muscle pain upon touching the bed. Based on this condition, this medicine is suitable. If body is extremely hot like fire, radiating heat to others, pulse is slight and faint. Light palpation reveals dispersion filling the fingers, lacking structure, no bone strength, feeling like wind or Qi. Heavy palpation reveals nothing. Urgently use 5 Terminalia Chebula fruits (Hezi, 诃子) prepared as follows: roast, grind, and sieve. For one dose, mix with hot rice soup, consume dregs hot. Vomiting saliva allows pulse Qi to regenerate, then advance to the following prescription.
Atractylodes Macrocephala Rhizome (Baizhu, 白术) [0.5 liang], Angelica Dahurica Root (Baizhi, 白芷), Peony Root (Shaoyao, 芍药), Ligusticum Rhizome (Daxiong, 大芎) [1 fen each], Licorice Root (Gancao, 甘草) [4 zhu, roasted], Terminalia Chebula Fruit (Hezi, 诃子) [5 fruits, flour-wrapped, fire-roasted].
Grind finely and sieve. Take 3 qian each time, mixed with hot aged rice soup, consume dregs.
For toxic dysentery initially contracting without chills or fever, discharge is entirely thick blood or dark blood. Pulse Qi in left and right three positions is minute and fine. Take this prescription.
Mulberry Mistletoe (Sangjisheng, 桑寄生) [1 liang], Saposhnikovia Root (Fangfeng, 防风), Ligusticum Rhizome (Xiong, 芎) [1 fen each], Licorice Root (Gancao, 甘草) [4 zhu, roasted].
Grind into fine powder. Take 2 qian each time, with 1 cup of water, boil to 0.8 cup. Take on empty stomach with dregs.
For red and white dysentery, initially contracting without chills or fever, suddenly developing red and white dysentery, enduring long without worsening, no additional chills or high fever. Take this prescription.
Fermented Soybean (Danshi, 淡豉) [10 pieces], Coptis Rhizome (Huanglian, 黄连) [49 pieces, each the length of a grain of rice].
Place herbs in a new bottle, cover mouth with new tile, fire until red, smoke disappears. Take out, grind while hot like flying dust. Take 2 qian each time, mixed with hot salted rice soup, consume dregs. For all red and white dysentery, regardless of red or white predominance, if body has no added chills or high fever, this prescription is suitable.
For red dysentery, or mixed red and white, initially no added chills or high fever. After several days, body is not hot, only internal restlessness and heat in lower abdomen. Unceasing blood discharge. Warming medicines for hemostasis show no effect. Take this prescription. Suitable in Yin/Shen, Ji/Hai years, and Ren years. If after two doses no effect, do not take further. If lips are red, suddenly swollen, dark colored, urine yellow-white, body cool, fever at night, this indicates Liver Heat punishing Spleen.
Schizonepeta Spike (Jingjie Sui, 荆芥穗), Moutan Bark (Mudan Pi, 牡丹皮) [remove heart], Pulsatilla Root (Baitouweng, 白头翁), Sanguisorba Root (Diyu, 地榆), Morning Glory Seed (Qianniu, 牵牛) [roasted, 3 zhu], Aucklandia Root (Muxiang, 木香) [3 zhu].
Grind into fine powder. Take 2 qian each time, with 1 cup of water, boil two boils. Take warm with dregs after meals. Must be during spring and summer when Wind-Heat is excessive. Clearly identify dysentery as latent Heat before taking this medicine.
For red dysentery, body has no added chills or high fever, named Liver-Heart Transformation.
Coptis Rhizome (Huanglian, 黄连) [1 liang, honey-soaked overnight, roasted until fragrant], Aucklandia Root (Muxiang, 木香) [3 zhu].
Grind into fine powder. Decoct strongly, mix 2 qian with aged rice soup, take with dregs after meals.
For unceasing red dysentery, pulse is minute, faint, deep, and choppy. Body fever indicates death; fever for seven days indicates death. This condition is extremely critical. Take one dose of Tong Shen San above; if fever subsides, it may be treatable. Then prepare and take Zhen Huan San and Bo Shang Huang Wan above to ensure safety. If after Tong Shen San, fever persists, it is difficult to treat.
For patients with red or mixed dysentery, suddenly due to prior cold malaria turning into dysentery, or due to dysentery turning into cold malaria. During acute dysentery, regardless of red or white, if there is added chills and high fever, take Tong Shen San above. After taking, if heat and severity subside, prepare and take Zhen Huan San and Bo Shang Huang Wan to ensure safety. This syndrome is Water Pathogen invading the Heart; treatment must not be light.
Mulberry Mistletoe (Sangjisheng, 桑寄生) [0.5 liang], Sanguisorba Root (Diyu, 地榆), Ligusticum Rhizome (Xiong, 芎), Saposhnikovia Root (Fangfeng, 防风) [1 liang each], Aucklandia Root (Muxiang, 木香) [3 zhu each].
Grind into fine powder. Take 2 qian each time, with 1 cup of water, boil to 0.8 cup. Take hot with dregs. After several days, still prepare and take warming Spleen-benefiting medicines. This prescription.
Quisqualis Fruit (Shijunzi, 使君子) [0.5 liang, steamed three times], Terminalia Chebula Fruit (Hezi, 诃子) [1 liang, flour-wrapped, roasted, remove core, use flesh], White Melia Seed (Baiwuyi, 白芜荑), Dioscorea Rhizome (Biehe, 萆), Areca Seed (Langrou, 榔肉), Nutmeg (Roudoukou, 肉豆蔻), Aucklandia Root (Muxiang, 木香) [1 fen each].
Grind into powder. Take 1.5 qian each time, on empty stomach, mixed with warehouse rice soup. Adjust dosage according to child's size.
For children whose Liver receives Gu Qi (parasitic malnutrition), punishing the Spleen, discharge is mostly fresh blood, sometimes pus-blood, sometimes mixed red and white. Take this prescription.
Saposhnikovia Root (Fangfeng, 防风), Sanguisorba Root (Diyu, 地榆), Ligusticum Rhizome (Xiong, 芎), Tribulus Fruit (Bajili, 白蒺藜) [remove spines, 1 fen each], Grass (Cao, 草) [3 zhu each, roasted], Coptis Rhizome (Huanglian, 黄连) [4 zhu, 24 zhu total].
Grind into fine powder. Take 1.5 qian each time, at any time or after meals, decoct and drink cold. Treat Phlegm-Cough, Yi Zhen Wan (Benefit Truth Pill).
Ginseng Root (Renshen, 人参), Astragalus Root (Huangqi, 黄芪), Atractylodes Macrocephala Rhizome (Baizhu, 白术) [0.5 liang each], Aucklandia Root (Muxiang, 木香) [1 fen], Angelica Sinensis Root (Danggui, 当归) [remove sprouts], White Peony Root (Baishaoyao, 白芍药), Immature Bitter Orange (Zhishi, 枳实) [1 qian, stir-fried].
Grind into fine powder, mix with refined honey, form pills size of wu zi. Take 30 pills with clear soup at any time, twice daily.
Treat Qi deficiency and abdominal knotting.
Atractylodes Macrocephala Rhizome (Baizhu, 白术) [0.5 liang], Ginseng Root (Renshen, 人参) [1 qian], Ligusticum Rhizome (Daxiong, 大芎), Licorice Root (Gancao, 甘草) [roasted], Poria (Fuling, 茯苓) [3 fen], Qian (Qian, 钱) [roasted].
Grind into fine powder. On empty stomach, with 1 cup of water, 3 slices of ginger, 2 dates (broken), decoct to 0.7 cup. Strain and take.
Treat Heart Qi agitation and Liver Pulse deficiency.
Mulberry Mistletoe (Sangjisheng, 桑寄生) [1 fen], Poria (Fuling, 茯苓), Saposhnikovia Root (Fangfeng, 防风), Angelica Pubescens Root (Duhuo, 独活) [1 qian].
Grind into fine powder. Take 3 qian each time, with 1 cup of water, grind a little Agarwood (Chenxiang, 沉香), decoct to 0.7 cup.
Treat Essence and Blood deficiency, Lurong Wan (Deer Antler Pill).
Blood Antler (Xuerong, 血茸) [0.5 liang, lightly roasted with butter], Schisandra Berry (Wuweizi, 五味子), Chinese Yam (Shanyao, 山药) [1 liang each, grind these three into powder], Green Salt (Qingyan, 青盐) [3 qian, grind well].
Mix with refined honey into a block, store in porcelain jar. Form pills as needed. Take 30 pills before meals with warm wine.
Treat Liver-Kidney Qi deficiency, externally manifested as dull eyes. Take Zu Jing Wan (Nourish Essence Pill).
Well-cooked Prepared Rehmannia Root (Shudihuang, 熟干地黄) [must be steamed nine times, made with wine], Angelica Sinensis Root (Danggui, 当归) [remove sprouts], White Peony Root (Baishaoyao, 白芍药), Ginseng Root (Renshen, 人参), Chinese Yam (Shanyao, 山药) [0.5 liang each], Eggplant Stamen (Qiarong, 茄茸) [roasted with butter, skin removed, 7 qian], Schisandra Berry (Wuweizi, 五味子) [6 qian], Fresh Chrysanthemum Flower (Huoganju, 活甘菊) [3 qian each], Ligusticum Rhizome (Daxiong, 大芎), Cistanche Stem (Roucongrong, 肉苁蓉) [4 zhu each].
Grind into fine powder, mix with refined honey, form pills size of wu zi. On empty stomach, decoct strongly, add little salt to glutinous rice soup, take 50 pills.
Also take Xi Gan San (Wash Liver Powder).
Gastrodia Tuber (Tianma, 天麻) [0.5 liang, wine-soaked overnight, wrapped in wet paper, baked], White Silkworm (Baijiangcan, 白僵蚕) [remove mouth, remove silk], Arisaema Rhizome (Tiannanxing, 天南星) [roasted, 1 fen each], Er (Er, 耳) [2 qian], Huang (Huang, 黄) [likely Huangqi or similar], Coix Seed (Yiyiren, 薏苡仁), White Peony Root (Baishaoyao, 白芍药) [0.5 liang each], Tribulus Fruit (Bajili, 白蒺藜) [remove spines, 4 fen], Roasted (Zhi, 炙), Ginseng Root (Renshen, 人参) [3 fen each], Aucklandia Root (Muxiang, 木香) [1.5 qian].
Grind into fine powder. With 1 cup of water, 2 leaves of Mint (Bohe, 薄荷), grind little Agarwood (Chenxiang, 沉香). Decoct together, take 0.7 cup, strain and take. Advance 2-3 times daily, 2 qian per dose.
Renshen San (Ginseng Powder) to Tonify Heart Qi.
Ginseng Root (Renshen, 人参) [7 qian], Poria (Fushen, 茯神), Chinese Yam (Shanyao, 山药) [0.5 liang each], White Peony Root (Baishaoyao, 白芍药), Fenban (Fenban, 分半 - likely typo for part of herb), Licorice Root (Gancao, 甘草) [1 fen, roasted].
Grind into fine powder. Take 2 qian each time, with 1 cup of water, little ginger and date, decoct to 0.7 cup.
The Director of Studies has six pulses full but not solid, Cun Kou (Cun position) double Ren Ying (Ren Ying position), Chi Pulse (Chi position).
Blood is turbid and Qi floats. Clear Blood, suppress Lung Qi. Thus, diaphragm opens and Qi returns downward. Do not take drying and acrid medicines. First Prescription.
Ginseng Root (Renshen, 人参) [7 qian, good quality], Aged Tangerine Peel (Chenpi, 陈橘皮) [remove white, 1.5 fen], Poria (Baifuling, 白茯苓), Ophiopogon Tuber (Mendong, 麦门冬) [remove heart, 3 qian], Aster Root (Ziwan, 紫菀), Saposhnikovia Root (Fangfeng, 防风) [1 fen each], Huang (Huang, 黄) [likely Huangqi], Ci (Ci, 刺) [likely Cici or similar thorny herb].
Grind into fine powder. Take 3 qian each time, at any time or shortly after meals, with 1 cup of water, grind little Agarwood (Chenxiang, 沉香), 1 slice of ginger, decoct to 0.8 cup. Initial 3-4 doses, feel diaphragm relaxed, then stop. Continue taking pills regularly. After 2-3 days, if feeling congested, take one dose. This powder is not for regular use.
Another Prescription.
Gastrodia Tuber (Tianma, 天麻) [flour-wrapped, roasted], Cistanche Stem (Roucongrong, 肉苁蓉) [wine-soaked overnight], Prepared Rehmannia Root (Shudihuang, 熟干地黄) [good quality], Dodder Seed (Tusizi, 菟丝子) [wine-soaked overnight], Biota Seed (Bairen, 柏子仁) [0.5 liang each], Biehe (Biehe, 萆), Poria (Fuling, 茯苓) [qian], Immature Bitter Orange (Zhishi, 枳实) [1 fen, flour-stir-fried].
Grind into fine powder, grind Coix Seed (Yiyiren, 薏苡仁) into powder, cook into thin paste, form pills size of wu zi. Dry in shade. Daily on empty stomach, decoct strongly, add salt to glutinous rice soup, take 50 pills. Treat children with stagnant Qi in abdomen, slight stagnation of Zang-Fu, night sweats.
Quisqualis Fruit (Shijunzi, 使君子) [3 qian], Curcuma Zedoaria Rhizome (Jingsanleng, 京三棱), Biehe (Biehe, 萆), Poria (Baifuling, 白茯苓), Huo (Huo, 活) [2 fen].
Grind into fine powder. At any time, with half cup of water, decoct 2 qian, refine to 0.3 cup, strain and take. When Qi disperses, stop. Do not overconsume.
Treat children's diarrhea, originally due to Water injury.
Terminalia Chebula Fruit (Hezi, 诃子), Atractylodes Macrocephala Rhizome (Baizhu, 白术), White Peony Root (Baishaoyao, 白芍药) [1 fen each], Licorice Root (Gancao, 甘草) [roasted], Lian (Lian, 连) [0.5 fen, stir-fried].
Make coarse powder. Decoct 1 qian, strain and take. Use 0.7 cup water, decoct to half cup.
Chronic rectal bleeding.
Coptis Rhizome (Huanglian, 黄连) [1 qian, stir-fried half-charred], Tribulus Fruit (Bajili, 白蒺藜) [remove spines, 0.5 liang], Sophora Flower (Huaihua, 槐花) [stir-fried charred], Angelica Pubescens Root (Duhuo, 独活), Immature Bitter Orange (Zhishi, 枳实) [stir-fried charred], Schizonepeta Spike (Jingjie Sui, 荆芥穗), Vitex Fruit (Manjingzi, 蔓荆子) [1 fen each], Qian (Qian, 钱) [roasted].
Grind into fine powder. After meals, with 1 cup of water, decoct 3 qian bi, take 0.7 cup, consume with dregs. Or mix with refined honey, form pills size of wu zi, take 30-40 pills with clear soup. No fixed time, one or two doses.