论曰下痢身体浮肿者，久痢所致也，痢久则胃气弱而肠虚，胃者土也。所以化水谷而充
肌肉，若胃土气衰，不能胜湿，则水气妄行，流溢皮肤，故痢而兼肿也。得小便利者乃愈。
治夏月暴冷或壮热，泄痢引饮。变遍身浮肿，脉沉细小数，泽漆汤方
泽漆（炒一两半） 吴茱萸（汤洗焙干炒） 赤茯苓（去黑皮） 白术 桔梗（锉炒） 当
归（切焙） 犀角
上一十一味，锉如麻豆，每服以水二盏，煎药五钱匕，取八分，去滓温服，下后休息五
六日，可与女曲散。
治利后虚肿水肿者，服此药小便利肿亦消，女曲散方
女曲（二两） 干姜（炮） 细辛（去苗叶） 椒目（微炒） 附子（炮裂去皮脐） 桂
（去粗皮各一两）
上六味。捣罗为散，酒服一钱匕。不知加至三钱匕。日三。若妇人产后虚满，服此大良
治痢后肿满，气急喘嗽。小便如血。泽漆汤方
泽漆叶（微炒五两） 桑根白皮（炙令黄色锉） 郁李仁（汤浸去皮尖炒熟各三两） 杏
仁（汤浸去皮尖及双仁者炒香） 人参（各一两半） 白术（锉炒） 陈橘皮（汤浸去白焙
干各一两）
上七味，粗捣筛，每服五钱匕，水一盏。入生姜三片，煎取八分，去滓温服，后半时辰
再服，取下黄水数升，或小便利为度。
治下痢后，脾胃虚弱，不能制输水气，致身肿胀满，桑白皮汤方
桑根白皮（炙令黄色锉） 赤茯苓（去黑皮） 郁李仁（汤浸去皮尖麸炒研各二两） 陈
橘皮（汤浸去
上六味。粗捣筛，每服五钱匕。用水一盏半，煎取八分。去滓温服。日三。
治痢后遍身浮肿，茯苓汤方
赤茯苓（去黑皮） 白术（锉微炒各一两） 防己 黄芩（去黑心） 射干 泽泻（各
三两） 桑根（白皮
上八味，粗捣筛。每用五钱匕。先以水三盏。煮大豆一合，取二盏，去滓内药。煎取一
盏，分为二服。未瘥频服两料。
治下痢身肿，香菽散方
大豆（炒熟挞去黑皮用一合）
上一味。捣罗为散，用粥清调一钱匕、服日二
治虚劳下痢，心胸壅闷喘促，四肢肿满。细辛饮方
细辛（去苗叶） 防己 桂（去粗皮） 当归（切炒各半两） 枳壳（去瓤麸炒） 白
术赤茯苓（去黑皮
上九味，粗捣筛，每服三钱匕，以水一盏，入生姜三片，煎至七分，去滓温服不拘时。
治痢后四肢浮肿，喘息促急。坐卧不安，小便不利，防己汤方
防己 猪苓（去黑皮） 桑根白皮（锉） 赤茯苓（去黑皮各三分） 海蛤 陈橘皮（汤
浸去白焙） 槟
上一十一味，粗捣筛，每服三钱匕，以水一盏，入生姜三片，煎至七分，去滓温服不拘
时。
治下痢后虚损，脐下痛，四肢浮肿，木香汤方
木香 五加皮（锉） 桑根白皮（锉） 槟榔（煨锉） 桃仁（汤浸去皮尖及双仁微炒）
郁李仁（汤去皮
上九味。粗捣筛，每服三钱匕，以水一盏，煎至六分，去滓不拘时候稍热服。
治痢后四肢浮肿，麻仁汤方
大麻仁 商陆 防风（去叉） 附子（炮裂去皮脐） 陈橘皮（汤浸去白焙） 防己（各
一两）
上六味，锉如麻豆，每服五钱匕，以水一盏半，入赤小豆一百粒，同煎至八分，去滓食
前服。
Commentary states: Dysentery accompanied by generalized edema is caused by chronic dysentery. Prolonged dysentery weakens Stomach Qi and empties the Intestines; the Stomach corresponds to Earth. It is responsible for transforming food and fluids and nourishing muscles. If Stomach Earth Qi declines and cannot overcome dampness, Water Qi moves recklessly and overflows into the skin, thus causing dysentery with concomitant edema. Recovery occurs when urination becomes free.
For summer sudden cold or high fever, diarrhea-dysentery with excessive thirst, resulting in generalized edema, with a deep, fine, and slightly rapid pulse, use Zeqi Tang (Ze Qi Decoction):
Zeqi (Stellariae Herba, 泽漆) (stir-fried, 1.5 liang), Wuzhuyu (Evodiae Fructus, 吴茱萸) (washed with water, dried, stir-fried), Chifuling (Polyporus, 赤茯苓) (remove black skin), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Jiegeng (Platycodonis Radix, 桔梗) (cut and stir-fried), Danggui (Angelicae Sinensis Radix, 当归) (cut and dried), Xijiao (Rhinocerotis Cornu, 犀角).
The above eleven ingredients are cut like hemp seeds. Each dose uses five qianbi of herbs, boiled in two zhan of water until reduced to eight parts. Strain and take warm. Rest for five to six days after taking, then one may administer Nuqu San.
For deficiency edema following dysentery, this medicine promotes urination and reduces swelling, use Nuqu San (Nu Qu Powder):
Nuqu (Fermented Dough, 女曲) (2 liang), Ganjiang (Zingiberis Rhizoma, 干姜) (pao), Xixin (Asari Radix et Rhizoma, 细辛) (remove roots and leaves), Jiaomu (Sichuan Pepper Seed, 椒目) (lightly stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (pao, split, remove skin and bud), Gui (Cinnamomi Ramulus, 桂) (remove rough bark, each 1 liang).
The above six ingredients are pounded and sifted into powder. Take one qianbi with wine. If ineffective, increase to three qianbi. Three times daily. For postpartum women with deficiency fullness, this medicine is highly effective.
For post-dysentery edema and fullness, shortness of breath with coughing, and hematuria, use Zeqi Tang (Ze Qi Decoction):
Zeqieye (Folium Stellariae, 泽漆叶) (lightly stir-fried, 5 liang), Sangbaipipi (Mori Cortex, 桑根白皮) (roasted until yellow, cut), Yuliren (Prunus Armeniacae Semen, 郁李仁) (soaked in water, peel removed, kernel removed, stir-fried cooked, each 3 liang), Xingren (Armeniacae Semen Amarum, 杏仁) (soaked in water, peel removed, twin kernels removed, stir-fried fragrant), Renshen (Ginseng Radix et Rhizoma, 人参) (each 1.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (cut and stir-fried), Chenjupi (Citri Reticulatae Pericarpium, 陈橘皮) (soaked in water, white part removed, dried, each 1 liang).
The above seven ingredients are coarsely crushed and sieved. Each dose uses five qianbi, boiled in one zhan of water. Add three slices of Shengjiang (Zingiberis Rhizoma Recens, 生姜), boil until reduced to eight parts, strain and take warm. Take again after half a shichen (one hour). The goal is to discharge several sheng of yellow fluid or until urination becomes free.
For post-dysentery Spleen and Stomach weakness, inability to control and transport Water Qi, leading to body swelling and fullness, use Sangbaipipi Tang (Mulberry Bark Decoction):
Sangbaipipi (Mori Cortex, 桑根白皮) (roasted until yellow, cut), Chifuling (Polyporus, 赤茯苓) (remove black skin), Yuliren (Prunus Armeniacae Semen, 郁李仁) (soaked in water, peel removed, kernel removed, bran-stir-fried and ground, each 2 liang), Chenjupi (Citri Reticulatae Pericarpium, 陈橘皮) (soaked in water, white part removed, dried, each 1 liang).
The above six ingredients are coarsely crushed and sieved. Each dose uses five qianbi, boiled in one and a half zhan of water until reduced to eight parts. Strain and take warm. Three times daily.
For post-dysentery generalized edema, use Fuling Tang (Poria Decoction):
Chifuling (Polyporus, 赤茯苓) (remove black skin), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (cut and lightly stir-fried, each 1 liang), Fangji (Stephaniae Tetrandrae Radix, 防己), Huangqin (Scutellariae Radix, 黄芩) (remove black heart), Shegan (Belamcandae Rhizoma, 射干), Zexie (Alismatis Rhizoma, 泽泻) (each 3 liang), Sanggenbaipipi (Mori Cortex, 桑根白皮).
The above eight ingredients are coarsely crushed and sieved. Use five qianbi per dose. First, boil one he of Da Dou (Sojae Semen, 大豆) in three zhan of water until reduced to two zhan. Strain, add herbs, boil until reduced to one zhan. Divide into two doses. If not cured, take frequently using two batches.
For dysentery with body swelling, use Xiangshu San (Fragrant Legume Powder):
Da Dou (Sojae Semen, 大豆) (stir-fried cooked, beaten to remove black skin, use one he).
The above single ingredient is pounded and sifted into powder. Mix one qianbi with rice gruel liquid. Take twice daily.
For consumptive disease with dysentery, chest and heart oppression with panting, and limb swelling and fullness, use Xixin Yin (Asari Infusion):
Xixin (Asari Radix et Rhizoma, 细辛) (remove roots and leaves), Fangji (Stephaniae Tetrandrae Radix, 防己), Gui (Cinnamomi Ramulus, 桂) (remove rough bark), Danggui (Angelicae Sinensis Radix, 当归) (cut and stir-fried, each banliang), Zhike (Aurantii Fructus Immaturus, 枳壳) (remove pith, bran-stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Chifuling (Polyporus, 赤茯苓) (remove black skin).
The above nine ingredients are coarsely crushed and sieved. Each dose uses three qianbi, boiled in one zhan of water with three slices of Shengjiang (Zingiberis Rhizoma Recens, 生姜) until reduced to seven parts. Strain and take warm at any time.
For post-dysentery limb edema,急促 panting, restlessness in sitting and lying, and difficult urination, use Fangji Tang (Stephania Decoction):
Fangji (Stephaniae Tetrandrae Radix, 防己), Zhuling (Polyporus, 猪苓) (remove black skin), Sanggenbaipipi (Mori Cortex, 桑根白皮) (cut), Chifuling (Polyporus, 赤茯苓) (remove black skin, each sanfen), Hai Ge (Concha Arcae, 海蛤), Chenjupi (Citri Reticulatae Pericarpium, 陈橘皮) (soaked in water, white part removed, dried), Binglang (Arecae Semen, 槟榔).
The above eleven ingredients are coarsely crushed and sieved. Each dose uses three qianbi, boiled in one zhan of water with three slices of Shengjiang (Zingiberis Rhizoma Recens, 生姜) until reduced to seven parts. Strain and take warm at any time.
For post-dysentery deficiency damage, pain below the umbilicus, and limb edema, use Muxiang Tang (Costus Decoction):
Muxiang (Aucklandiae Radix, 木香), Wujia pi (Acanthopanacis Cortex, 五加皮) (cut), Sanggenbaipipi (Mori Cortex, 桑根白皮) (cut), Binglang (Arecae Semen, 槟榔) (baked and cut), Taoren (Persicae Semen, 桃仁) (soaked in water, peel removed, kernel removed, twin kernels removed, lightly stir-fried), Yuliren (Prunus Armeniacae Semen, 郁李仁) (soaked in water, peel removed).
The above nine ingredients are coarsely crushed and sieved. Each dose uses three qianbi, boiled in one zhan of water until reduced to six parts. Strain and take slightly warm at any time.
For post-dysentery limb edema, use Mahan Tang (Hemp Seed Decoction):
Dama ren (Cannabis Semen, 大麻仁), Shanglu (Phytolaccae Radix, 商陆), Fangfeng (Saposhnikoviae Radix, 防风) (remove forks), Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (pao, split, remove skin and bud), Chenjupi (Citri Reticulatae Pericarpium, 陈橘皮) (soaked in water, white part removed, dried), Fangji (Stephaniae Tetrandrae Radix, 防己) (each 1 liang).
The above six ingredients are cut like hemp seeds. Each dose uses five qianbi, boiled in one and a half zhan of water with one hundred Chi Xiaodou (Vigna Angularis, 赤小豆). Boil until reduced to eight parts, strain and take before meals.