论曰邪热客于血脉之中，肠胃虚弱。血随热行，流渗肠间。因便血下。故名血痢。其脉
见虚小者生，身热疾数者难治。
治痢下鲜血。茜根汤方
茜根 黄连（去须） 地榆（各一两） 山栀子仁（十四枚） 犀角屑（一分）
上五味。粗捣筛，每服五钱匕，入薤白香豉各少许。以水一盏半。煎至六分。去滓不拘
时温服、日再。
治血痢腹痛，芍药汤方
赤芍药 黄柏（去粗皮炙） 地榆（各一两）
上三味。粗捣筛，每服五钱匕，以浆水一盏，煎至七分，去滓不拘时温服。
治血痢不止。地榆汤方
地榆（二两） 甘草（炙锉半两）
上二味。粗捣筛。每服五钱匕。以水一盏。煎取七分。去滓温服。日二夜一。
治血痢昼夜不止。黄柏汤方
黄柏去（粗皮炙） 黄连（去须各二两） 木香（一两）
上三味。粗捣筛，每服五钱匕，以水一盏。煎至七分，去滓食前温服。日三。
治血痢茜根散方
茜根 贯众 槐花（陈者） 椿根（锉） 甘草（炙锉）
上五味等分。捣罗为散。每服一钱匕，米饮调下，食前日再服。
治一切血痢腹痛。人参散方
人参（三分） 肉豆蔻（去壳炮） 乌贼鱼骨（去甲各二两）
上三味。捣为罗散。每服一钱匕。温米饮调下。食前。
治热血痢不止。日夜频滑。地榆散方
地榆（半两） 酸石榴皮（三分） 黄芩（去黑心半两） 枳壳（去瓤麸炒三分） 赤
石脂（半两） 甘草（一
上六味。捣罗为散。每服二钱匕。以米饮调下。食前。
治血痢不止。枳壳散方
枳壳（七枚） 胡桃（七枚） 皂荚（半挺不 者）
上三味。都盛一新瓦上。炭火烧令烟尽研。每服一钱匕，临卧时用荆芥茶下。二更三更
各一服。
治血痢腹中 刺。日夜无度。通圣散方
大枣 乌梅（各七枚） 干姜（三块如枣大） 甘草（一尺各细锉）
上四味。捣筛为散，每服一钱匕，水一盏。生姜半枣大拍破。同煎至六分。去滓温服。
治血痢久不止。酸石榴皮散方
酸石榴皮（一两） 枳壳（一两麸炒微黄去瓤） 当归（二分锉微炒）
上三味。捣罗为细末。每服二钱。粥饮调下。
治血痢不止。黄连丸方
黄连（去须微炒） 黄柏（炙微赤锉） 黄芩（各一两）
上三味。捣罗为细末。炼蜜和丸。如梧桐子大，每服食前粥饮下十五丸。
治血痢里急后重，肠中疼痛。当归散方
当归（三分锉微炒） 黄连（一两去须微炒 龙骨二两）
上三味。捣罗为细散。每服二钱匕。粥饮调下。不拘时候、日二。
治血痢久不瘥。脐腹刺痛。肉豆蔻丸方
肉豆蔻（一两） 陈米（一两半） 文件子（一两）
上三味。先二味捣筛为粗散。同米拌令匀。同炒黄色去米。一分单炒，一分生用。同焙
捣为末。研粟米粥和捣为丸。如梧桐子大。每服五十丸。空心温陈米饮下。一二服效。
治血痢及妇人产后血痢。葵子散方
冬葵子（不以多少）
上一味。捣罗为散，每服二钱匕，入腊茶末一钱。以沸汤七分一盏调服。并三两服瘥。
治泻血血痢，乌金丸方
乌药（不以多少炭火烧存性）
上一味。捣罗为末。陈粟米饭丸。如梧桐子大。每服三十丸。米饮下。
治丈夫妇人便血下痢，地榆散方
地榆（一两焙干） 矾石（烧汁尽细研半两）
上二味。捣罗为散，用生猪肉二两劈开渗药一钱匕，在肉上，用炭火炙熟。细嚼米饮下。
并两服立效。
治血痢不止方
木耳（半两烧作灰研细）
上一味。以井华水一盏、调。空腹顿服之。
治肠胃虚热、血痢。地榆散方
地榆 酸石榴皮（焙锉） 木贼（各一两）
上三味。捣罗为散，每服一钱匕。煎诃黎勒汤调下。食前服。
治久虚撮痛，后重下血不止，乌头丸方
乌头（生用去皮脐） 蛤粉（各半两）
上二味。捣为细末。用面糊为丸。梧桐子大，用盐豉汤下十五丸。食前。
治血痢、腹中 痛。犀角丸方
犀角（镑） 地榆 黄芩（去黑心） 黄柏（去粗皮） 甘草（炙锉各一两半） 茜根
（二两） 柏叶（炙三两
上七味。捣罗为末。炼蜜和丸。如梧桐子大。每服三十丸。米饮下，食前服。
治藏毒下血。脏腑 痛。日夜五七十行。及血痢甚者。黄连饮方
黄连（去须） 阿胶（炙燥） 当归（切焙） 赤石脂（各四两） 附子（炮裂去皮脐
一两） 龙骨 白术（各
上七味。 咀如麻豆，每服五钱匕，水二盏。煎至一盏。去滓温服。空心食前。
治血痢，黄连丸方
黄连（去须） 龙骨 禹余粮（ 醋淬） 伏龙肝（各二两） 代赭（ 醋淬） 干姜
（炮各一半）
上六味。捣罗为末。炼蜜和丸，如梧桐子大，每服三十丸。米饮下，空心食前、日二服
治血痢不止。少腹 痛。艾叶饮方
艾叶（焙） 当归（切焙） 黄连（去须） 龙骨 诃黎勒皮（各一两半）
上五味。粗捣筛，每服三钱匕，水一盏。煎至七分。去滓温服。
治久患血痢。诃黎勒散方
诃黎勒（一枚不去核炮） 干姜（炮一块） 高良姜（一指节大炮） 甘草（一寸炙） 白
矾（一块烧灰如
上五味。捣罗为散，先吃好茶一盏，后用乌梅一枚椎破。以水一盏。煎至六分。调药二
钱匕。微利即瘥。
治血痢不止。及积毒泻血，地榆汤方
地榆（锉焙） 樗根（锉焙各一两） 酸石榴皮（干者半两）
上三味。粗捣筛，每服三钱匕，浆水一盏，煎至七分，去滓温服，不拘时候。
治血痢方
上取盐水梅除核研一枚。合腊茶加醋汤沃服之。一服瘥。
治痢血三物散方
胡黄连 乌梅肉（焙） 灶下土（各等分）
上三味。捣罗为散，每服二钱匕。腊茶清调下。空腹服。
治血痢日夜数十行。葛粉饮方
葛粉 白蜜（各一两）
上二味相和。新汲水四合调，空腹服之。
治痢下脓血，里急后重，肠中疼痛，磨化虚积，丹砂礞石丸方
丹砂（研末四钱匕） 青礞石（研末一钱匕） 砒霜（研末二钱匕） 黄连（捣罗末三
钱匕） 肉豆蔻（捣
上七味。同研匀。煮糯米粥和丸。如麻子大，每服十丸。温熟水下，临寝服。妊妇不宜
服。
治血痢不止。蛇含散方
蛇含二枚
上一味 醋淬十数度，研如面，每服三钱匕，陈米饮调下，兼止肠风泻血，妇人血伤等
Discussion states: Pathogenic heat lodges within the blood vessels, while the intestines and stomach are deficient and weak. Blood follows the heat's movement, flowing and seeping into the intestinal cavity, resulting in bloody stool and dysentery; hence it is named "Blood Dysentery" (Xue Li). If the pulse appears deficient and small, prognosis is good (survival is likely); if the body is hot and the pulse is rapid and frequent, treatment is difficult.
Formula for Treating Bloody Stool in Dysentery: Qian Gen Tang (Cinnamon Root Decoction)
Qian Gen (Rubiae Radix), Huang Lian (Coptidis Rhizoma, remove stamens), Di Yu (Sanguisorbae Radix) (each 1 liang), Shan Zhi Zi Ren (Gardeniae Fructus seed, 14 pieces), Xi Jiao Xie (Rhinocerotis Cornu powder, 1 fen).
The above five herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi (approx. 5-7 grams), with a small amount of Xie Bai (Allii Macrostemonis Bulbus) and Xiang Chi (Fermented Soybean) added. Use 1 zhan 1/2 (approx. 300ml) of water, decoct until 6 fen remains. Remove dregs and take warm at any time, twice daily.
Formula for Treating Abdominal Pain in Blood Dysentery: Shao Yao Tang (Peony Decoction)
Chi Shao Yao (Paeoniae Radix Rubra), Huang Bo (Phellodendri Cortex, remove coarse bark and stir-fry), Di Yu (Sanguisorbae Radix) (each 1 liang).
The above three herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi, using 1 zhan of Jiang Shui (fermented grain water), decoct until 7 fen remains. Remove dregs and take warm at any time.
Formula for Treating Incessant Blood Dysentery: Di Yu Tang (Sanguisorba Decoction)
Di Yu (Sanguisorbae Radix, 2 liang), Gan Cao (Licorice Root, stir-fried and cut, 0.5 liang).
The above two herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi. Use 1 zhan of water, decoct until 7 fen remains. Remove dregs and take warm. Twice during the day, once at night.
Formula for Treating Day-and-Night Incessant Blood Dysentery: Huang Bo Tang (Phellodendron Decoction)
Huang Bo (Phellodendri Cortex, remove coarse bark and stir-fry), Huang Lian (Coptidis Rhizoma, remove stamens, each 2 liang), Mu Xiang (Aucklandiae Radix, 1 liang).
The above three herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi. Use 1 zhan of water, decoct until 7 fen remains. Remove dregs and take warm before meals. Three times daily.
Formula for Treating Blood Dysentery: Qian Gen San (Rubia Powder)
Qian Gen (Rubiae Radix), Guan Zhong (Cyrtomii Rhizoma), Huai Hua (Sophorae Flos, aged ones), Chun Gen (Toonae Radix, cut), Gan Cao (Licorice Root, stir-fried and cut).
The above five herbs are used in equal parts, pounded and sieved into a powder. Each dose is 1 qian bi, taken with Mi Yin (rice drink) before meals, twice daily.
Formula for Treating All Types of Blood Dysentery with Abdominal Pain: Ren Shen San (Ginseng Powder)
Ren Shen (Ginseng Radix et Rhizoma, 3 fen), Rou Dou Kou (Myristicae Semen, remove shell and roast), Ou Mei Yu Gu (Sepiae Endoconcha, remove nail, each 2 liang).
The above three herbs are pounded and sieved into a powder. Each dose is 1 qian bi, taken with warm rice drink before meals.
Formula for Treating Hot Blood Dysentery with Incessant Frequent Slippage: Di Yu San (Sanguisorba Powder)
Di Yu (Sanguisorbae Radix, 0.5 liang), Suan Shi Liu Pi (Punicae Granati Pericarpium, 3 fen), Huang Qin (Scutellariae Radix, remove black heart, 0.5 liang), Zhi Ke (Aurantii Fructus, remove pulp and bran-fry, 3 fen), Chi Shi Zhi (Halloysit Rubrum, 0.5 liang), Gan Cao (Licorice Root, 1 liang).
The above six herbs are pounded and sieved into a powder. Each dose is 2 qian bi, taken with rice drink before meals.
Formula for Treating Incessant Blood Dysentery: Zhi Ke San (Aurantii Fructus Powder)
Zhi Ke (Aurantii Fructus, 7 pieces), Hu Tao (Juglandis Semen, 7 pieces), Zao Jia (Gleditsiae Sinensis Spina, half a stalk, not worm-eaten).
The above three herbs are placed on a new tile and burned with charcoal until smoke ceases, then ground fine. Each dose is 1 qian bi, taken with Jing Jie Cha (Schizonepeta Tea) before sleep. One dose at the second watch, one dose at the third watch.
Formula for Treating Blood Dysentery with Stabbing Abdominal Pain, Day and Night Without Limit: Tong Sheng San (Universal Salvation Powder)
Da Zao (Jujubae Fructus), Wu Mei (Mume Fructus) (each 7 pieces), Gan Jiang (Zingiberis Rhizoma, three pieces size of dates), Gan Cao (Licorice Root, one chi, all finely cut).
The above four herbs are pounded and sifted into a powder. Each dose is 1 qian bi. Use 1 zhan of water, add Sheng Jiang (Zingiberis Rhizoma, half date size, smashed), decoct together until 6 fen remains. Remove dregs and take warm.
Formula for Treating Long-standing Incessant Blood Dysentery: Suan Shi Liu Pi San (Pomegranate Peel Powder)
Suan Shi Liu Pi (Punicae Granati Pericarpium, 1 liang), Zhi Ke (Aurantii Fructus, 1 liang, bran-fried slightly yellow, remove pulp), Dang Gui (Angelicae Sinensis Radix, 2 fen, cut and slightly fried).
The above three herbs are pounded and sieved into a fine powder. Each dose is 2 qian, taken with porridge drink.
Formula for Treating Incessant Blood Dysentery: Huang Lian Wan (Coptis Pill)
Huang Lian (Coptidis Rhizoma, remove stamens and slightly fry), Huang Bo (Phellodendri Cortex, stir-fried slightly red and cut), Huang Qin (Scutellariae Radix) (each 1 liang).
The above three herbs are pounded and sieved into a fine powder. Mix with refined honey to make pills the size of Sophora seeds. Each dose is 15 pills, taken with porridge drink before meals.
Formula for Treating Blood Dysentery with Tenesmus and Intestinal Pain: Dang Gui San (Angelica Powder)
Dang Gui (Angelicae Sinensis Radix, 3 fen, cut and slightly fried), Huang Lian (Coptidis Rhizoma, 1 liang, remove stamens and slightly fry), Long Gu (Fossilia Ossis Mastodi et Scapulae, 2 liang).
The above three herbs are pounded and sieved into a fine powder. Each dose is 2 qian bi, taken with porridge drink. At any time, twice daily.
Formula for Treating Long-standing Non-healing Blood Dysentery with Umbilical and Abdominal Stabbing Pain: Rou Dou Kou Wan (Myristica Pill)
Rou Dou Kou (Myristicae Semen, 1 liang), Chen Mi (Aged Rice, 1.5 liang), Wen Jian Zi (Seed of Wen Jian plant, 1 liang).
The above three herbs: First, pound and sieve the first two into a coarse powder, mix evenly with rice, and stir-fry together until yellow. Remove the rice. Fry one part separately, keep one part raw. Roast them together, pound into powder. Mix with millet porridge and knead into pills the size of Sophora seeds. Each dose is 50 pills, taken on an empty stomach with warm aged rice drink. Effective after one or two doses.
Formula for Treating Blood Dysentery and Postpartum Blood Dysentery in Women: Kui Zi San (Malva Seed Powder)
Dong Kui Zi (Malvae Semen, as needed).
The above single herb is pounded and sieved into a powder. Each dose is 2 qian bi, mixed with 1 qian of La Cha Mo (Winter Tea Powder). Mix with 7 fen of boiling water from 1 zhan. Cure after taking a total of 3 liang.
Formula for Treating Hematochezia and Blood Dysentery: Wu Jin Wan (Black Gold Pill)
Wu Yao (Linderae Radix, as needed, burned by charcoal to retain nature).
The above single herb is pounded and sieved into a powder. Form pills with aged millet rice, size of Sophora seeds. Each dose is 30 pills, taken with rice drink.
Formula for Treating Hematochezia and Dysentery in Men and Women: Di Yu San (Sanguisorba Powder)
Di Yu (Sanguisorbae Radix, 1 liang, baked dry), Fan Shi (Alumen, burned until juice is gone, finely ground, 0.5 liang).
The above two herbs are pounded and sieved into a powder. Take 2 liang of fresh pork, split open, insert 1 qian bi of medicine into the meat. Roast熟 over charcoal. Chew thoroughly and swallow with rice drink. Effective immediately after two doses.
Formula for Treating Incessant Blood Dysentery: Mu Er (Wood Ear Mushroom, 0.5 liang, burned to ash and ground fine).
The above single herb is mixed with 1 zhan of well water (Jing Hua Shui). Take on an empty stomach in one dose.
Formula for Treating Deficient Heat in Intestines and Stomach, Blood Dysentery: Di Yu San (Sanguisorba Powder)
Di Yu (Sanguisorbae Radix), Suan Shi Liu Pi (Punicae Granati Pericarpium, baked and cut), Mu Zei (Equiseti Herba) (each 1 liang).
The above three herbs are pounded and sieved into a powder. Each dose is 1 qian bi, taken with He Le Li Tang (Chebulae Fructus Decoction) before meals.
Formula for Treating Long-term Deficiency with Cramping Pain, Tenesmus and Incessant Bleeding: Wu Tou Wan (Aconite Pill)
Wu Tou (Aconiti Lateralis Radix Praeparata, raw use, remove skin and navel), Ge Fen (Calcitum, each 0.5 liang).
The above two herbs are pounded into a fine powder. Form pills with flour paste, size of Sophora seeds. Take 15 pills with Yan Chi Tang (Salted Fermented Soybean Decoction) before meals.
Formula for Treating Blood Dysentery with Abdominal Cramping Pain: Xi Jiao Wan (Rhinoceros Horn Pill)
Xi Jiao (Rhinocerotis Cornu, shaved), Di Yu (Sanguisorbae Radix), Huang Qin (Scutellariae Radix, remove black heart), Huang Bo (Phellodendri Cortex, remove coarse bark), Gan Cao (Licorice Root, stir-fried and cut, each 1.5 liang), Qian Gen (Rubiae Radix, 2 liang), Bai Ye (Tomentosella Leaf, stir-fried, 3 liang).
The above seven herbs are pounded and sieved into a powder. Mix with refined honey to make pills the size of Sophora seeds. Each dose is 30 pills, taken with rice drink before meals.
Formula for Treating Internal Toxin Bleeding, Visceral Cramping Pain, Day and Night Fifty to Seventy Times, and Severe Blood Dysentery: Huang Lian Yin (Coptis Drink)
Huang Lian (Coptidis Rhizoma, remove stamens), E Jiao (Colla Corii Asini, stir-fried dry), Dang Gui (Angelicae Sinensis Radix, cut and roasted), Chi Shi Zhi (Halloysit Rubrum, each 4 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked, remove skin and navel, 1 liang), Long Gu (Fossilia Ossis Mastodi et Scapulae), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (weights missing in text).
The above seven herbs are chewed/crushed like hemp beans. Each dose is 5 qian bi. Use 2 zhan of water, decoct until 1 zhan remains. Remove dregs and take warm on an empty stomach before meals.
Formula for Treating Blood Dysentery: Huang Lian Wan (Coptis Pill)
Huang Lian (Coptidis Rhizoma, remove stamens), Long Gu (Fossilia Ossis Mastodi et Scapulae), Yu Yu Liang (Haematitum, quenched in vinegar), Fu Long Gan (Caulis Argillae Ustus) (each 2 liang), Dai Zhe (Haematitum, quenched in vinegar), Gan Jiang (Zingiberis Rhizoma Praeparatum, each half...) [Text unclear].
The above six herbs are pounded and sieved into a powder. Mix with refined honey to make pills the size of Sophora seeds. Each dose is 30 pills, taken with rice drink on an empty stomach before meals, twice daily.
Formula for Treating Incessant Blood Dysentery with Lower Abdominal Cramping Pain: Ai Ye Yin (Mugwort Drink)
Ai Ye (Artemisiae Argyi Folium, baked), Dang Gui (Angelicae Sinensis Radix, cut and roasted), Huang Lian (Coptidis Rhizoma, remove stamens), Long Gu (Fossilia Ossis Mastodi et Scapulae), He Le Li Pi (Chebulae Pericarpium) (each 1.5 liang).
The above five herbs are coarsely crushed and sifted. Each dose is 3 qian bi. Use 1 zhan of water, decoct until 7 fen remains. Remove dregs and take warm.
Formula for Treating Long-standing Blood Dysentery: He Le Li San (Chebula Powder)
He Le Li (Chebulae Fructus, 1 piece, do not remove core, roast), Gan Jiang (Zingiberis Rhizoma Praeparatum, 1 piece), Gao Liang Jiang (Galangal Rhizome, 1 finger-joint size, heavily roasted), Gan Cao (Licorice Root, 1 cun, stir-fried), Bai Fan (Alumen, 1 piece, burned to ash...).
The above five herbs are pounded and sieved into a powder. First, drink 1 zhan of good tea. Then, crush 1 Wu Mei (Mume Fructus) with a pestle. Use 1 zhan of water, decoct until 6 fen remains. Mix with 2 qian bi of medicine. Mild diarrhea indicates cure.
Formula for Treating Incessant Blood Dysentery and Accumulated Toxin Hematochezia: Di Yu Tang (Sanguisorba Decoction)
Di Yu (Sanguisorbae Radix, cut and baked), Chu Gen (Toonae Radix, cut and baked, each 1 liang), Suan Shi Liu Pi (Punicae Granati Pericarpium, dried, 0.5 liang).
The above three herbs are coarsely crushed and sifted. Each dose is 3 qian bi. Use 1 zhan of Jiang Shui (fermented grain water), decoct until 7 fen remains. Remove dregs and take warm at any time.
Formula for Treating Blood Dysentery:
Take 1 Salted Plum (Yan Shui Mei), remove core and grind. Mix with La Cha (Winter Tea) and vinegar soup, brew and drink. Cured after one dose.
Formula for Treating Dysenteric Blood: San Wu San (Three Substance Powder)
Hu Huang Lian (Picrorhizae Rhizoma), Wu Mei Rou (Mume Fructus flesh, baked), Zao Xia Tu (Soot from stove bottom) (equal parts).
The above three herbs are pounded and sieved into a powder. Each dose is 2 qian bi, taken with clear winter tea on an empty stomach.
Formula for Treating Blood Dysentery Dozens of Times Day and Night: Ge Fen Yin (Kudzu Drink)
Ge Fen (Puerariae Lobatae Radix Starch), Bai Mi (White Honey) (each 1 liang).
Mix the above two ingredients. Blend with 4 he of fresh drawn water. Take on an empty stomach.
Formula for Treating Pus and Blood in Dysentery, Tenesmus, Intestinal Pain, Grinding Away Empty Accumulation: Dan Sha Meng Shi Wan (Cinnabar and Qingmeng Stone Pill)
Dan Sha (Cinnabar, ground powder, 4 qian bi), Qing Meng Shi (Calcareous Schist, ground powder, 1 qian bi), Pi Shuang (Arsenic Trioxide, ground powder, 2 qian bi), Huang Lian (Coptidis Rhizoma, ground powder, 3 qian bi), Rou Dou Kou (Myristicae Semen, ground...) [Text truncated].
The above seven herbs are ground uniformly together. Mix with cooked glutinous rice porridge to form pills the size of sesame seeds. Each dose is 10 pills, taken with warm boiled water before sleep. Pregnant women should not take this.
Formula for Treating Incessant Blood Dysentery: She Han San (Snake Containing Powder)
She Han (Ophicalcitum, 2 pieces).
The above single herb is quenched in vinegar more than ten times, ground like flour. Each dose is 3 qian bi, taken with aged rice drink. Also stops Chang Feng (Intestinal Wind) hematochezia and women's blood injury, etc.