论曰伤寒后变成脓血痢者，本病瘥之后，热毒未散，乘虚客于肠胃，与津液相搏，故下
痢脓血，毒瓦斯甚则壮热而腹痛，湿毒加之，则所下如鱼脑，或如烂肉，又伤寒未解，少阴病
下痢便脓血者，亦湿热相搏故也。
治伤寒热毒入胃，下利脓血。黄连阿胶汤方
黄连（去须炒二两） 栀子仁（半两） 阿胶（炙令燥） 黄柏（去粗皮炙各一两）
上四味，粗捣筛，每服四钱匕，水一盏，煎七分，去滓不拘时温服。
治伤寒毒热不解，日晚壮热腹痛，便利脓血。地榆汤方
地榆（锉） 黄连（去须炒） 犀角（镑） 茜根 黄芩（去黑心各一两） 栀子仁（半
两）
上六味。粗捣筛。每服三钱匕，水一盏，薤白三寸，同煎六分去滓，不拘时温服。
治少阴病二三日至四五日。腹痛小便不利，下利脓血不止。桃花汤方
赤石脂（四两） 干姜（一分炮） 粳米（二合半）
上三味。粗捣筛。每服五钱匕，水一盏半，煎米熟，去滓温服，三服得愈勿服。
治伤寒后下痢脓血疼痛。香连散方
木香（半两） 黄连（去须一两） 青橘皮（去白焙半两） 栀子仁（一分）
上四味。捣罗为散。每服二钱匕，米饮调下，不拘时。
治伤寒后湿热不除，下利脓血，昼夜无度。乌梅丸方
乌梅肉（焙） 黄连（去须炒） 当归（切焙） 诃黎勒（炮去核各三分） 阿胶（炙
令燥半两） 干姜（炮一
上六味。捣罗为末。炼蜜和丸，梧桐子大，每服二十丸，食前米饮下，加至三十丸。
治伤寒热病瘥后，下痢脓血不止。黄连汤方
黄连（去须炒一两） 黄芩（去黑心三分） 栀子仁（一分） 阿胶（炙令燥半两）
上四味。粗捣筛。每服三钱匕，水一盏，煎至六分，去滓食前温服。
治伤寒后下痢赤多白少，行住涩痛，宜服黄 汤方
黄 （一两） 枳壳（去瓤麸炒） 大腹皮（各半两） 黄连（去须三分） 白茯苓（去
黑皮） 芍药（各一两）
上七味。粗捣筛。每服五钱匕，水一盏半，煎至一盏，去滓食前温服。
治伤寒后下痢脓血方
龙骨（二两） 黄连（去须炒一两）
上二味。捣罗为散，每服二钱匕，食前米饮调下，日三夜一。
治伤寒后腹痛下痢脓血，日夜三五十行。赤石脂散方
赤石脂（半两） 干姜（炮一分） 浓朴（去粗皮姜汁炙透） 诃黎勒（炮去核各半两）
上四味捣罗为散。每服二钱匕，食前米饮调下，日三服。
治伤寒热病后，热毒下痢脓血。黄连丸方
黄连（去须炒三分） 乌梅肉（炒二两）
上二味。捣罗为末，炼蜜入少蜡，和捣五百杵，丸如梧桐子大，每服二十丸，空心米饮
下。加至三十丸。
治伤寒下痢脓血，腹痛不止。赤石脂汤方
赤石脂（一两） 干姜（炮） 附子（炮裂去皮脐） 当归（切焙各半两） 芍药（一
两）
上五味。锉如麻豆，每服五钱匕，水一盏半，煎一盏去滓，食前温服。
治伤寒后下痢脓血，时复憎寒。木瓜汤方
干木瓜（焙） 白术 白芷（各一两） 黄连（去须二两半） 附子（炮裂去皮脐） 石
膏（碎研） 赤石脂 桑根白皮（各二两） 桂（去粗皮） 芎 当归（各一两半） 白
豆蔻（去皮一分） 芍药（三分） 黄芩（去
上一十五味。 咀，每服五钱匕，以水一盏半，入生姜一分拍碎，同煎至八分，去滓温
服。
治伤寒后下痢脓血，食物不得，气胀腹满。白芷黄连汤方
白芷（一两半） 黄连（去须一两） 天雄（炮裂去皮脐一两半） 地榆（一两） 浓
朴（去粗皮生姜汁炙一两半） 桂（去粗皮一两） 当归（锉焙一两半） 黄 （细锉一两）
赤石脂（一两半） 白术（一两） 诃黎勒（皮煨一两半） 黄芩（去黑心半两） 龙骨（一
两半） 吴茱萸（洗焙炒半两） 芎 （一两半） 干姜（炮半两）
上一十六味。锉如麻豆，每服三钱匕，水一盏半，煎至八分，去滓空腹温服，日三。
Discourse states: When a typhoid disease (Shanghan) transforms into dysentery with pus and blood, it is because after the primary illness has healed, heat-toxin (Re Du) has not dissipated. It takes advantage of the deficiency to invade the stomach and intestines, where it struggles with body fluids (Jin Ye), resulting in dysentery with pus and blood. If the toxic qi (Du Wa) is severe, there will be high fever and abdominal pain; if damp-toxin (Shi Du) is added, the discharge will resemble fish brains or rotten meat. Additionally, when the pathogenic factors of typhoid have not resolved, and Shaoyin disease presents with dysentery and bloody stools, this is also due to the struggle between dampness and heat.
Treatment for typhoid heat-toxin entering the stomach, causing dysentery with pus and blood. Huanglian Ejiao Decoction (Coptis and Donkey-Hide Gelatin Decoction):
Huanglian (Coptidis Rhizoma, remove mustards, stir-fry, 2 liang), Zhizi Ren (Gardeniae Fructus, 0.5 liang), Ejiao (Asini Corii Colla, roasted until dry), Huangbai (Phellodendri Cortex, remove rough bark, roast, each 1 liang).
The above four herbs are coarsely crushed and sifted. Each dose consists of 4 qianbi (approx. 12-15g), boiled in 1 zhen (approx. 200ml) of water until reduced to 7/10 volume. Strain and take warm at any time.
Treatment for unresolved typhoid toxic heat, evening and night high fever, abdominal pain, and passage of pus and blood in stool. Diyü Decoction (Sanguisorbae Radix Decoction):
Diyü (Sanguisorbae Radix, chopped), Huanglian (Coptidis Rhizoma, remove mustards, stir-fry), Xijiao (Rhinocerotis Cornu, shaved), Qiangen (Rubiae Radix), Huangqin (Scutellariae Radix, remove black heart, each 1 liang), Zhizi Ren (Gardeniae Fructus, 0.5 liang).
The above six herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 zhen of water along with 3 cun of Xiebai (Allii Macrostemi Bulbus) until reduced to 6/10 volume. Strain and take warm at any time.
Treatment for Shaoyin disease from day 2-3 to day 4-5, presenting with abdominal pain, difficult urination, and continuous dysentery with pus and blood. Taohua Decoction (Peach Kernel Decoction):
Chishizhi (Halloysit Rubra, 4 liang), Ganjiang (Zingiberis Rhizoma, 1 fen, processed), Jingmi (Oryza Sativa Var. Glutinosa, 2 he 0.5 sheng).
The above three herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 zhen of water until the rice is cooked. Strain and take warm. Stop medication once cured after three doses.
Treatment for post-typhoid dysentery with pus and blood and pain. Xianglian San (Aucklandia and Coptis Powder):
Muxiang (Aucklandiae Radix, 0.5 liang), Huanglian (Coptidis Rhizoma, remove mustards, 1 liang), Qingju Pi (Citri Reticulatae Pericarpium Viride, remove white pith, baked, 0.5 liang), Zhizi Ren (Gardeniae Fructus, 1 fen).
The above four herbs are crushed and ground into powder. Each dose consists of 2 qianbi, taken with rice drink (Mi Yin) at any time.
Treatment for persistent post-typhoid damp-heat, dysentery with pus and blood, day and night without limit. Wumei Wan (Mume Pill):
Wumei Rou (Fructus Mume, baked), Huanglian (Coptidis Rhizoma, remove mustards, stir-fried), Danggui (Angelicae Sinensis Radix, sliced, baked), Helile (Chebulae Fructus, processed, pitted, each 3 fen), Ejiao (Asini Corii Colla, roasted until dry, 0.5 liang), Ganjiang (Zingiberis Rhizoma, processed, 1 fen).
The above six herbs are crushed and ground into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills before meals with rice drink, increasing up to 30 pills.
Treatment for continuous dysentery with pus and blood after recovery from typhoid febrile disease. Huanglian Tang (Coptis Decoction):
Huanglian (Coptidis Rhizoma, remove mustards, stir-fried, 1 liang), Huangqin (Scutellariae Radix, remove black heart, 3 fen), Zhizi Ren (Gardeniae Fructus, 1 fen), Ejiao (Asini Corii Colla, roasted until dry, 0.5 liang).
The above four herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 zhen of water until reduced to 6/10 volume. Strain and take warm before meals.
Treatment for post-typhoid dysentery with more red than white,涩痛 (astringent pain during movement). [Formula Name Missing in Text, likely containing Huangqin] Decoction:
Huangqin (Scutellariae Radix, 1 liang), Zhiqiao (Aurantii Fructus, remove pulp, bran-fried), Dafupi (Arecae Pericarpium, each 0.5 liang), Huanglian (Coptidis Rhizoma, remove mustards, 3 fen), Baifuling (Poria, remove black skin), Shaoyao (Paeoniae Radix Alba, each 1 liang).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 zhen of water until reduced to 1 zhen. Strain and take warm before meals.
Treatment for post-typhoid dysentery with pus and blood.
Longgu (Fossilia Ossis Mastodi et Scapulae, 2 liang), Huanglian (Coptidis Rhizoma, remove mustards, stir-fried, 1 liang).
The above two herbs are crushed and ground into powder. Each dose consists of 2 qianbi, taken with rice drink before meals, three times daily and once at night.
Treatment for post-typhoid abdominal pain and dysentery with pus and blood, occurring 30-50 times day and night. Chishizhi San (Halloysit Rubra Powder):
Chishizhi (Halloysit Rubra, 0.5 liang), Ganjiang (Zingiberis Rhizoma, processed, 1 fen), Houpo (Magnoliae Officinalis Cortex, remove rough bark, roasted through with ginger juice), Helile (Chebulae Fructus, processed, pitted, each 0.5 liang).
The above four herbs are crushed and ground into powder. Each dose consists of 2 qianbi, taken with rice drink before meals, three times daily.
Treatment for post-typhoid febrile disease heat-toxin causing dysentery with pus and blood. Huanglian Wan (Coptis Pill):
Huanglian (Coptidis Rhizoma, remove mustards, stir-fried, 3 fen), Wumei Rou (Fructus Mume, stir-fried, 2 liang).
The above two herbs are crushed and ground into powder. Mix with refined honey and a small amount of beeswax, pound 500 times, and form pills the size of paulownia seeds. Take 20 pills on an empty stomach with rice drink, increasing up to 30 pills.
Treatment for typhoid dysentery with pus and blood and unceasing abdominal pain. Chishizhi Tang (Halloysit Rubra Decoction):
Chishizhi (Halloysit Rubra, 1 liang), Ganjiang (Zingiberis Rhizoma, processed), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, peel and umbilicus removed), Danggui (Angelicae Sinensis Radix, sliced, baked, each 0.5 liang), Shaoyao (Paeoniae Radix Alba, 1 liang).
The above five herbs are chopped like hemp beans. Each dose consists of 5 qianbi, boiled in 1.5 zhen of water until reduced to 1 zhen. Strain and take warm before meals.
Treatment for post-typhoid dysentery with pus and blood, accompanied by periodic aversion to cold. Mugua Tang (Chaenomelis Fructus Decoction):
Gan Mugua (Chaenomelis Fructus, baked), Baizhu (Atractylodis Macrocephalae Rhizoma), Baizhi (Angelicae Dahuricae Radix, each 1 liang), Huanglian (Coptidis Rhizoma, remove mustards, 2.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, peel and umbilicus removed), Shigao (Gypsum Fibrosum, crushed and ground), Chishizhi (Halloysit Rubra), Sangbaipi (Mori Cortex, each 2 liang), Gui (Cinnamomi Ramulus, remove rough bark), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, each 1.5 liang), Baidoukou (Cardamomi Fructus Rotundus, peeled, 1 fen), Shaoyao (Paeoniae Radix Alba, 3 fen), Huangqin (Scutellariae Radix, remove black heart).
The above fifteen herbs are chopped. Each dose consists of 5 qianbi, boiled in 1.5 zhen of water with 1 fen of crushed fresh ginger until reduced to 8/10 volume. Strain and take warm.
Treatment for post-typhoid dysentery with pus and blood, inability to eat, Qi distension and abdominal fullness. Baizhi Huanglian Tang (Angelicae Dahuricae and Coptis Decoction):
Baizhi (Angelicae Dahuricae Radix, 1.5 liang), Huanglian (Coptidis Rhizoma, remove mustards, 1 liang), Tianxiong (Aconiti Radix, processed, cracked, peel and umbilicus removed, 1.5 liang), Diyü (Sanguisorbae Radix, 1 liang), Houpo (Magnoliae Officinalis Cortex, remove rough bark, roasted with ginger juice, 1.5 liang), Gui (Cinnamomi Ramulus, remove rough bark, 1 liang), Danggui (Angelicae Sinensis Radix, chopped, baked, 1.5 liang), Huangqin (Scutellariae Radix, finely chopped, 1 liang), Chishizhi (Halloysit Rubra, 1.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Helile (Chebulae Fructus, skin roasted, 1.5 liang), Huangqin (Scutellariae Radix, remove black heart, 0.5 liang), Longgu (Fossilia Ossis Mastodi et Scapulae, 1.5 liang), Wuzhuyu (Evodiae Fructus, washed, baked, stir-fried, 0.5 liang), Xiong (Ligustici Chuanxiong Rhizoma, 1.5 liang), Ganjiang (Zingiberis Rhizoma, processed, 0.5 liang).
The above sixteen herbs are chopped like hemp beans. Each dose consists of 3 qianbi, boiled in 1.5 zhen of water until reduced to 8/10 volume. Strain and take warm on an empty stomach, three times daily.