病源久赤白痢者，是冷热乘于血，血渗肠间，与津液相杂而下，甚者肠虚不复，故赤白
连滞
之不
心懊
（出
崔氏马蔺子散，疗赤白痢，腹内 痛，并久水谷痢，色白如泔淀，悉主之，极重者不过
三四日，必瘥方。
马兰子（一升熬） 地榆根皮（八分） 浓朴（炙八分） 熟艾（八分） 赤石脂（一
升） 龙骨
（十分） 茯苓（十分） 当归（十分）
上八味捣筛为散，一服方寸匕，加至四五匕，日再夜一，白饮服。（出第三卷中）
文仲疗赤白痢五六年者方。
烧大荆
上一味取沥服五六合，即瘥。（肘后同）
又卒腹痛下赤白，数日不绝方。
鸡子（一枚扣头取黄去白） 胡粉末（令满壳烧焦成剂）
上二味以酒服之。（肘后同并出第三卷中）
近效疗赤白痢日数十行，无问老小方。
甘草（二两炙）
上一味切，以浆水四升，煮取一升，去滓，顿服之。
必效疗冷疳痢方。
取莨菪子（熬令黄色）
上一味捣为末，和腊月猪脂，更捣令熟为丸，绵裹如枣许大，以内下部，因痢出，即更
纳新者，不过三度即瘥。（出第二卷中）
古今录验疗五疳蒸下痢方。
苦参（三两） 青葙 甘草（炙各三两）
上三味切，以水四升，煮取二升半，分三灌即愈。凡蒸但服生地黄汁即瘥。
又方
青黛 丁香 黄连（各等分）
上三味捣筛，用泔淀和为丸，口中有疮含之。若下部有疮，以绵裹纳下部，日服五六十
丸，含之令下瘥。
又方
丁香 麝香（别研） 石黛 石盐 山榆仁 小柏皮 桂心 干姜 青矾石（烧） 头
发灰
上十味捣为散，着疮上，干者和腊月猪膏暖着，疗时行病后食羊肉，及肥腻，或酒或房
，而得久蒸络变为疳，必须攻下部，不可轻之。
又疗疳湿痢方。
青葙 雄黄（研） 石硫黄（研） 芜荑 雷丸（各二两） 苦参 野狼牙（各三两） 藜
芦（一
两炮）
上八味捣筛为散，取如杏仁大，纳下部中。
又疗疳湿痢神效方。
黄连（三两） 零陵香（一两半） 犀角（屑一分） 丁香（三十枚） 麝香（一大豆）
牛黄（
一大豆）
上六味，以水洗黄连零陵香丁香，澄取清水去滓，更以水添满九升，纳黄连零陵丁香犀
角煮两沸，然后着牛黄麝香煎一沸，取一升，分作三服，如一日服不尽，二日服。（又深师
以九升先以一升煮添尽九升取一大升分为三服并出第十卷中）
The etiology of chronic bloody and purulent dysentery lies in cold and heat pathogens invading the blood, causing blood to seep into the intestines, mixing with body fluids and discharging downwards. In severe cases, intestinal deficiency fails to recover, resulting in continuous discharge of red and white matter without relief.
(Cited from) Cui Shi's Malinzi San (Campion Seed Powder), treating bloody and purulent dysentery, abdominal pain, and long-standing watery and grain dysentery with color white like rice wash sediment; it is indicated for all these conditions. For extremely severe cases, recovery is expected within three to four days.
Malan Zi (Campion Seed, *Iris lactea* var. *chinensis*) (1 sheng, stir-fried) Diyugenpi (Bark of *Sanguisorba officinalis* root, 8 fen) Houpo (Processed *Magnolia officinalis* bark, 8 fen) Shuai (Prepared *Artemisia argyi* leaf, 8 fen) Chishizhi (Red Kaolin, 1 sheng) Longgu (Fossilized mammal bones, 10 fen) Fuling (Poria, 10 fen) Danggui (Angelica sinensis root, 10 fen)
Crush and sieve the above eight herbs into a powder. Take one fangcun bi (a measure equivalent to a square inch spoonful) per dose, increasing to four or five bi. Administer twice daily and once at night, taken with plain water. (From Volume III)
Wen Zhong's prescription for bloody and purulent dysentery lasting five or six years.
Shao Dajing (Burned *Elaeagnus angustifolia* branches).
Take the juice from this single herb and drink 5-6 he. Recovery will be immediate. (Same as *Zhouhou Fang*)
Another prescription for sudden abdominal pain with bloody and purulent stools persisting for several days.
Jizi (Chicken egg, 1 unit: crack the head, remove yolk, discard white) Humei (Pepper powder, fill the empty shell and burn until charred and solidified).
Administer the above two ingredients with wine. (Same as *Zhouhou Fang*, both from Volume III)
Recently effective prescription for bloody and purulent dysentery with dozens of bowel movements per day, suitable for all ages.
Gancao (Licorice root, 2 liang, processed by frying).
Slice the single herb, boil in 4 sheng of Jiangshui (fermented grain water) until reduced to 1 sheng. Remove dregs and take in one dose.
Bixiao prescription for cold Gan-type dysentery.
Take Liangdang Zi (Datura seed, stir-fry until yellow).
Grind the single herb into powder, mix with pig lard from the twelfth lunar month, pound thoroughly to form pills wrapped in silk, sized like a jujube. Insert into the lower orifice (anus). As the pill is expelled due to dysentery, immediately insert a new one. Cure is expected within no more than three applications. (From Volume II)
Gujin Luyan prescription for Five Gans steaming downward dysentery.
Kushen (Sophora flavescens root, 3 liang) Qingxiang (Seed of *Celosia argentea*) Gancao (Licorice root, processed by frying, each 3 liang).
Slice the above three herbs, boil in 4 sheng of water until reduced to 2.5 sheng. Divide into three enemas/doses for cure. For steaming symptoms alone, consuming fresh Shengdihuang juice (Rehmannia glutinosa root juice) leads to recovery.
Another formula
Qingdai (Indigo naturalis) Dingxiang (Clove) Huanglian (Coptis chinensis rhizome) (equal parts).
Grind and sieve the above three herbs. Mix with rice wash sediment to form pills. Hold in mouth if there are sores in the oral cavity. If there are sores in the lower orifice, wrap in silk and insert into the lower orifice. Take 50-60 pills daily, holding them to allow downward action for cure.
Another formula
Dingxiang (Clove) Shexiang (Musk, separately ground) Shidai (Mineral indigo) Shiyan (Rock salt) Shanyuren (Kernel of *Prunus humilis*) Xiaobapi (Bark of *Platycladus orientalis*) Guixin (Cinnamon twig) Ganjiang (Dried ginger) Qingfanshi (Green Alum stone, calcined) Toufa hui (Ash of human hair).
Grind the above ten herbs into powder. Apply to sores. If dry, mix with pig lard from the twelfth lunar month and apply warmly. This treats post-epidemic conditions where consumption of mutton, fatty/greasy foods, alcohol, or sexual activity leads to prolonged steaming transforming into Gan disease. It is necessary to attack the lower orifice; do not neglect this.
Another prescription for Gan damp dysentery.
Qingxiang (Seed of *Celosia argentea*) Xionghuang (Realgar, finely ground) Shiliuhuang (Elemental sulfur, finely ground) Wuyi (Chrysanthemum indicum fruit) Leiwan (Polyporus umbellatus fungus, each 2 liang) Kushen (Sophora flavescens root) Yelangya (Root of *Acanthopanax sessiliflorus*, each 3 liang) Lilu (Veratrum nigrum rhizome, 1 liang, processed).
Grind and sieve the above eight herbs into powder. Form pellets the size of an apricot kernel and insert into the lower orifice.
Another miraculous prescription for Gan damp dysentery.
Huanglian (Coptis chinensis rhizome, 3 liang) Linglingxiang (Lingling fragrant herb, 1.5 liang) Xijiao (Rhinoceros horn, shaved, 1 fen) Dingxiang (Clove, 30 units) Shexiang (Musk, size of a large soybean) Niuhuang (Calculus bovis, size of a large soybean).
Wash Huanglian, Linglingxiang, and Dingxiang with water. Clarify and remove dregs. Add water to fill 9 sheng. Boil Huanglian, Linglingxiang, Dingxiang, and Xijiao for two boils. Then add Niuhuang and Shexiang and boil for one more boil. Obtain 1 sheng of liquid. Divide into three doses. If not finished in one day, finish on the second day. (Also *Shenshi Fang*: boil 1 sheng of the 9 sheng first, then top up to 9 sheng, reduce to 1 sheng, divide into three doses. Both from Volume X)