论曰痢不瘥，则肠胃虚弱，津液减耗，不能上润于咽嗌，故口舌焦干而内烦，使人引饮。
饮多则湿气淫溢，肌肉虚浮，而痢亦不瘥也。
治下痢冷热相冲，脏腑气不和顺，本来下虚，津液耗少，口干咽燥，常思饮水，人初不
许饮水，毒瓦斯更增。烦躁转甚，宜急与汤饮救之，不得令至过度，止渴，栝蒌根汤方
栝蒌根（锉） 甘草（炙锉） 白茯苓（去黑皮各半两）
上三味，粗捣筛，每服五钱匕，水一盏半，麦门冬一分去心，枣二枚劈破。同煎至七分，
去滓不拘时温服。
治久痢食即呕吐，烦渴不可忍，乌梅汤方
乌梅肉（炒半两） 黄连（去须炒三分） 白茯苓（去黑皮） 黄芩（去黑心） 龙骨
（各半两） 诃黎勒（炮
上八味，粗捣筛，每服五钱匕，浆水一盏，生姜三片，同煎至七分，去滓空心温服。日
午再服。
治痢后渴不止，石膏丸方
石膏（别研入） 麦门冬（去心焙） 栝蒌根 茯神（去木） 知母（焙） 黄连（去
须） 枸杞根皮 白茯
上九味，捣研为末，炼蜜丸如梧桐子大，每服三十丸，空心米饮下，晚食前再服，或作
散，冷熟水调二钱匕服亦得。
治下痢脏腑虚烦躁，渴不止，黄芩汤方
黄芩（三分去黑心秤） 石膏（碎） 甘草（炙锉） 枳壳（去瓤麸炒） 黄柏（去粗
皮锉） 女萎 栝蒌根（锉） 白茯苓（去黑皮各半两） 榉皮（去粗皮锉） 淡竹叶（各
三分切）
上一十味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓空心温服，未止再服。小
儿量大小服之。
治泄痢上膈虚热，烦渴引饮，口疮，不下食困劣，人参汤方
人参 白茯苓（去黑皮） 木香 麦门冬（去心焙） 葛根（锉） 前胡（去芦头） 栀
子仁 黄 （锉） 陈橘皮（汤浸去白焙） 诃黎勒（炮去核各一两） 半夏（汤洗七遍焙
二两） 甘草（炙锉半两）
上一十二味。粗捣筛，每服四钱匕，水一盏半，生姜三片，陈米一合，同煎至七分。去
滓空心温服。日晚再服。
治下痢烦渴，黄连丸方
黄连（去须炒二两） 当归（切焙一两） 乌梅肉（炒半两）
上三味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，空心米饮下，日晚再服，痢甚者，
熔蜡为丸服。
治热痢黄脓，发渴四肢烦闷，黄连丸方
黄连（去须一两半） 黄芩（去黑心） 黄柏（去粗皮各二两） 熟艾（叶炒一两）
上四味，捣罗为末，炼蜜为丸，如梧桐子大，每服二十丸，空心饭饮下，日晚再服。
治痢兼渴，麦门冬汤方
麦门冬（去心一两半） 乌梅（碎七枚）
上二味。用水二盏，煎取一盏，去滓分温二服。空心晚食前服。
治吐痢后，大渴饮水不止。陈米汤方
陈廪米（水淘净二合）
上一味，用水二盏，煎至一盏，去滓空心温服，晚食前再煎服。
治痢后渴，糯米汁方
糯米（二合）
上一味，以水一盏半，同研绞取汁，空心顿服之。
Commentary states: If dysentery does not resolve, it leads to weakness of the intestines and stomach (Chang Wei), depletion of body fluids (Jin Ye), and an inability to moisten the throat upwards. Consequently, the mouth and tongue become scorched and dry, causing internal restlessness (Fan Re) and a desire to drink.
Excessive drinking causes dampness (Shi Qi) to overflow, leading to flaccid swelling of the muscles, while the dysentery also fails to resolve.
To treat lower dysentery where cold and heat pathogens clash, with disharmony of the zang-fu qi, originally deficient lower jiao, depleted and reduced body fluids, dry mouth and throat, and constant craving for water: Initially, people may forbid drinking, which exacerbates toxic heat. Restlessness intensifies; one should urgently administer decoctions or drinks to rescue the condition, but avoid excessive intake to quench thirst.
Gualou Gen Tang (Trichosanthes Root Decoction):
Gualou Gen (Trichosanthis Radix, crushed) Gancao (Licorice Root, honey-fried and crushed) Baifuling (Poria, black skin removed, each half liang)
The above three herbs are coarsely pounded and sieved. Each dose consists of five qianbi (approx. 15-20g depending on era/measure), boiled in one dan and a half of water, with one fen of Maimendong (Ophiopogonis Radix, heart removed) and two dates (split). Simmer until reduced to seven-tenths, strain, and take warm at any time.
To treat chronic dysentery with vomiting upon eating, unbearable restlessness and thirst:
Wumei Tang (Mume Fruit Decoction):
Wumei Rou (Mume Fructus Flesh, stir-fried, half liang) Huanglian (Coptidis Rhizoma, stamens removed, stir-fried, three qian) Baifuling (Poria, black skin removed) Huangqin (Scutellariae Radix, black heart removed) Longgu (Fossilia Ossis Mastodi et Scapulae, each half liang) Helile (Chebulae Fructus, processed)
The above eight herbs are coarsely pounded and sieved. Each dose consists of five qianbi, boiled in one chan of Jiangshui (fermented rice water), with three slices of Shengjiang (Zingiberis Rhizoma Recens). Simmer until reduced to seven-tenths, strain, and take warm on an empty stomach. Take again at noon.
To treat persistent thirst after dysentery:
Shigao Wan (Gypsum Pill):
Shigao (Gypsum Fibrosum, separately ground fine) Maimendong (Ophiopogonis Radix, heart removed, baked) Gualougen (Trichosanthis Radix) Fushen (Poria with Hostwood, wood removed) Zhimu (Anemarrhenae Rhizoma, baked) Huanglian (Coptidis Rhizoma, stamens removed) Gouqigenpi (Lycii Cortex, root bark) Baifu (Poria, white part)
The above nine herbs are pounded and ground into powder. Form pills with refined honey the size of Sophora seeds. Take thirty pills per dose with millet broth on an empty stomach, and again before evening meal. Alternatively, make into powder and take two qianbi mixed with cool, boiled water.
To treat lower dysentery with zang-fu deficiency, restlessness, and persistent thirst:
Huangqin Tang (Scutellaria Decoction):
Huangqin (Scutellariae Radix, three qian, black heart removed, weighed) Shigao (Gypsum Fibrosum, crushed) Gancao (Licorice Root, honey-fried and crushed) Zhike (Aurantii Fructus, pith and bran removed, stir-fried with bran) Huangbai (Phellodendri Cortex, coarse skin removed, crushed) Nuwei (Polygonati Odorati Rhizoma) Gualougen (Trichosanthis Radix, crushed) Baifuling (Poria, black skin removed, each half liang) Jupi (Zelkovae Cortex, coarse skin removed, crushed) Danzhuye (Lophatheri Folium, three qian, cut)
The above ten herbs are coarsely pounded and sieved. Each dose consists of five qianbi, boiled in one dan and a half of water until reduced to one dan. Strain and take warm on an empty stomach. If symptoms persist, take again. Pediatric dosage is adjusted according to age and size.
To treat diarrhea-dysentery with upper jiao deficiency-heat, restlessness, thirst, oral ulcers, inability to eat, and physical debility:
Renshen Tang (Ginseng Decoction):
Renshen (Ginseng Radix et Rhizoma) Baifuling (Poria, black skin removed) Muxiang (Aucklandiae Radix) Maimendong (Ophiopogonis Radix, heart removed, baked) Gegen (Puerariae Lobatae Radix, crushed) Qianhu (Peucedani Radix, radicle removed) Zhiziren (Gardeniae Semen, kernel) Huangqin (Scutellariae Radix, crushed) Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, baked) Helile (Chebulae Fructus, processed, core removed, each one liang) Banxia (Pinelliae Rhizoma, washed in hot water seven times, baked, two liang) Gancao (Licorice Root, honey-fried and crushed, half liang)
The above twelve herbs are coarsely pounded and sieved. Each dose consists of four qianbi, boiled in one dan and a half of water with three slices of Shengjiang (Zingiberis Rhizoma Recens) and one he of aged rice. Simmer until reduced to seven-tenths. Strain and take warm on an empty stomach. Take again in the evening.
To treat lower dysentery with restlessness and thirst:
Huanglian Wan (Coptis Pill):
Huanglian (Coptidis Rhizoma, stamens removed, stir-fried, two liang) Danggui (Angelicae Sinensis Radix, sliced and baked, one liang) Wumei Rou (Mume Fructus Flesh, stir-fried, half liang)
The above three herbs are pounded, sifted into powder, and formed into pills with refined honey the size of Sophora seeds. Take thirty pills per dose with millet broth on an empty stomach, morning and evening. For severe dysentery, form pills using melted wax.
To treat heat-dysentery with yellow pus discharge, thirst, and limb restlessness:
Huanglian Wan (Coptis Pill):
Huanglian (Coptidis Rhizoma, stamens removed, one and a half liang) Huangqin (Scutellariae Radix, black heart removed) Huangbai (Phellodendri Cortex, coarse skin removed, each two liang) Shuai Ai (Artemisiae Argyi Folium, stir-fried, one liang)
The above four herbs are pounded, sifted into powder, and formed into pills with refined honey the size of Sophora seeds. Take twenty pills per dose with rice beverage on an empty stomach, morning and evening.
To treat dysentery accompanied by thirst:
Maimendong Tang (Ophiopogon Decoction):
Maimendong (Ophiopogonis Radix, heart removed, one and a half liang) Wumei (Mume Fructus, crushed, seven pieces)
The above two herbs are boiled in two chan of water until reduced to one chan. Strain and divide into two warm doses. Take on an empty stomach and before the evening meal.
To treat post-emesis and dysentery with extreme thirst and incessant drinking:
Chenmi Tang (Aged Rice Decoction):
Chenlinmi (Aged Barnyard Rice, washed clean, two he)
The above single herb is boiled in two chan of water until reduced to one chan. Strain and take warm on an empty stomach. Boil and take again before the evening meal.
To treat thirst after dysentery:
Nuomizhi (Glutinous Rice Juice):
Nuomi (Glutinous Oryza Sativa Indica Semen, two he)
The above single herb is ground together with one dan and a half of water, squeezed to extract juice, and taken in one dose on an empty stomach.