《病源》此由热气在肠胃，挟毒则下黄赤汁也。又热毒伤于肠胃，故下脓血如鱼脑，或
烂肉汁，壮热而腹绞痛，此温毒热气所为也。（并出第九卷中）
《深师》疗天行毒病，酷热下痢。七物升麻汤方。
升麻 当归 黄连（去毛） 甘草（炙） 芍药 桂心 黄柏（各半两）
上药切，以水三升，煮取一升，顿服之。忌海藻、菘菜、猪肉、冷水、生葱等物。
又天行诸下悉主。黄连汤方。
黄连（三两去毛） 黄柏（二两） 当归（二两）
上三味，以水六升，煮取三升，去滓，纳蜜一合，微火煎取二升半，分三服，良验。忌
猪肉、冷水。（并出第十四卷中。一方有龙骨一两）
范汪疗天行热毒，下痢赤白，久下脓血，及下部毒瓦斯，当下细虫如布丝缕大，或长四五
寸，黑头锐尾。麝香丸方。
麝香（一分） 附子（二分炮） 雄黄 丹砂 干姜（各二分）
上五味，各捣下筛讫，复更合治之，蜜和为丸，如小豆大。饮下一丸，老少半之，效验
。忌猪肉、生血等。（出第三十三卷中）
《甲乙方》疗天行热病瘥后，痢脓血不止方。
龙骨（一两）
上一味，捣研为末。米饮下一钱，不计时节，日三服，佳。
《病源》毒热结在腹内，谷气衰，毒瓦斯盛，三虫动作，食人五脏，多令泄痢，下部疮痒
，若下唇内生疮，但欲寐者，此虫食下部也，重者肛烂，见五脏。（出第九卷中）
《深师》疗天行下部疮烂方。
乌梅（二七枚去核） 大蒜（二七枚） 屋尘（半升筛取细者）
上三味，捣筛为散，苦酒一升，和调于铜器中，煎成丸，作长挺，纳下部。（《范汪》
同，出第十四卷中）
《范汪》疗人下部中痒方。
蒸枣取膏，以水银熟研丸之，令相得，长二三寸，以绵薄裹，纳大孔中，虫出瘥。
又疗谷道中疮方。
以水中荇叶细捣，绵裹，纳下部，日三。（《肘后》同）
又疗天行 虫食下部生疮。雄黄兑散方。
雄黄（半两） 青葙子（三两） 苦参 黄连（各三两） 桃仁（一两半去皮、尖及两
仁，熬
）
上五味，合捣筛，绵裹如半枣核大。内下部。亦可米汁服方寸匕，日三服。忌猪肉、冷
水及热面、炙肉、蒜等物。
又桂枝汤 疗天行 病方。
桂心（二两） 小蓝（二两）
上二味， 咀，以水一斗，煮取二升半，纳猪肝十两，去上膜，细研，着汤中，和令相
得，临时小温。若毒悉在腹内，尽服之。在下部者，三分药中用一分，竹筒纳下部中，服药
一时间，当下细虫如发大五六升，小儿半作之。忌生葱。（并出第三十三卷中）
文仲、姚氏疗天行病 ，下部生疮方。
浓煮桃皮煎如糖，以绵合导下部中。若口中生疮，含之。（《肘后》、《范汪》同，出第
二卷中）
《甲乙方》疗天行病有 虫，蚀下部生疮。青葙子散方。
青葙子（一两） 芦（二两） 野狼牙（一两） 橘皮（一两） 苦参（三两）
上五味，捣筛为散。米饮和服方寸匕，日三服。未瘥更服，以瘥为度。
又疗天行痢脓血，下部生 虫。黄连丸方。
黄连（二两末，生用） 蜡（一两） 乌梅肉（三两熬，末）
上三味，熔蜡和蜜为丸，如梧子大。空心米饮下三十丸，再服加至四十丸，瘥。忌猪肉
、冷水。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), this condition arises from heat qi in the intestines and stomach; when accompanied by toxic pathogens, yellowish-red discharge occurs. Furthermore, heat-toxin damages the intestines and stomach, resulting in the passage of pus and blood resembling fish brains, or fluid resembling rotting meat, accompanied by high fever and severe abdominal cramping. This is caused by warm-toxic heat qi. (All cited from Volume 9)
*Shen Shi Fang* (Prescriptions from Master Shen) treats epidemic toxic diseases characterized by dysentery due to extreme heat. The Seven-Ingredient Shengma Decoction formula:
Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma, removed hairs), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shaoyao (Paeoniae Radix), Guixin (Cinnamomi Cortex), Huangbai (Phellodendri Cortex) (each half liang).
Cut the above herbs, add three sheng of water, decoct to obtain one sheng, and take in a single dose. Avoid kelp, Songcai (Brassica rapa var. pekinensis), pork, cold water, raw green onions, etc.
Another formula for treating various types of epidemic dysentery: Huanglian Tang (Coptis Decoction).
Huanglian (Coptidis Rhizoma, three liang, removed hairs), Huangbai (Phellodendri Cortex, two liang), Danggui (Angelicae Sinensis Radix, two liang).
Take the above three ingredients, add six sheng of water, decoct to obtain three sheng, filter out the dregs, add one he of honey, and simmer over low heat to obtain two and a half sheng. Divide into three doses. It is highly effective. Avoid pork and cold water. (All cited from Volume 14. Another version includes one liang of Longgu [Fossilized Bones]).
Fan Wang treats epidemic heat-toxin causing dysentery with red and white discharge, chronic passage of pus and blood, and toxic vapors in the lower jiao, resulting in the passage of small worms like threads of cloth, or worms four to five cun long with black heads and sharp tails. Shexiang Wan (Musk Pill) formula:
Shexiang (Moschus), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Xionghuang (Realgar), Dansha (Cinnabar), Jiangjiang (Zingiberis Rhizoma) (each two fen).
Pulverize each of the five ingredients separately, sieve them, then mix and grind together. Blend with honey to form pills the size of small beans. Take one pill with warm water; elderly and children should take half. It is effective. Avoid pork and raw blood products. (Cited from Volume 33)
*Jia Yi Fang* (Prescriptions by Jia and Yi) treats post-epidemic febrile disease where dysenteric pus and blood do not cease:
Longgu (Fossilized Bones, one liang).
Pulverize this single ingredient into powder. Take one qian with rice drink at any time, three times daily. This is optimal.
*Zhu Bing Yuan Hou Lun* states that toxic heat accumulates internally, weakening grain qi while toxic vapors flourish. The three parasites become active, consuming the five zang organs, often leading to diarrhea and dysentery. Sores and itching occur in the lower orifices. If sores appear inside the lower lip and the patient desires sleep excessively, it indicates worms are consuming the lower body. In severe cases, the anus rots, and the five zang organs may be visible. (Cited from Volume 9)
*Shen Shi Fang* treats sores and ulceration in the lower orifices due to epidemic disease:
Wumei (Mume Fructus, fourteen seeds, pitted), Dasuan (Allium Sativum, fourteen cloves), Wuchen (House Dust, half sheng, sifted for fine particles).
Pulverize the above three ingredients into a powder. Mix with one sheng of vinegar (Ku Jiu) in a copper vessel, decoct until forming pills, shape into long sticks, and insert into the lower orifice. (*Fan Wang Fang* is identical; Cited from Volume 14)
*Fan Wang Fang* treats itching in the lower orifices:
Extract paste from steamed dates. Grind mercury thoroughly and mix to form pills, ensuring they blend well. Shape into cylinders two to three cun long, wrap thinly in cotton, and insert into the anus. When the worms exit, the condition heals.
Another formula for sores in the du chang (anus):
Finely pulverize water plantain leaves (Xingye), wrap in cotton, and insert into the lower orifice, three times daily. (Identical to *Zhou Hou Bei Ji Fang*)
Another formula for epidemic worms eating the lower orifices causing sores: Xionghuang Dui San (Realgar Powder):
Xionghuang (Realgar, half liang), Qingxiangzi (Celosiae Semen, three liang), Kushen (Sophorae Flavescentis Radix), Huanglian (Coptidis Rhizoma, each three liang), Taoren (Persicae Semen, one and a half liang, skin and tips removed, stir-fried).
Grind and sieve the five ingredients together. Wrap in cotton to the size of half a date pit. Insert into the lower orifice. Alternatively, take one fang cun bi with rice juice, three times daily. Avoid pork, cold water, hot noodles, roasted meat, garlic, etc.
Another formula, Guizhi Tang (Cinnamon Twig Decoction), for treating epidemic disease:
Guixin (Cinnamomi Cortex, two liang), Xiaolan (Isatidis Folium, two liang).
Cut the two ingredients, add ten dou of water, decoct to obtain two and a half sheng. Add ten liang of pig liver, remove the membrane, finely grind, and place in the decoction. Mix well and warm slightly before use. If the toxin is entirely in the abdomen, consume all. If located in the lower orifice, use one-third of the medicine. Insert into the lower orifice using a bamboo tube. After one shichen (two hours) of taking the medicine, expect the passage of five to six sheng of hair-thin worms. For children, halve the dosage. Avoid raw green onions. (All cited from Volume 33)
Wen Zhong and Yao Shi treat sores in the lower orifices due to epidemic disease:
Concentrated decoction of peach bark boiled down to a syrup consistency. Wrap in cotton and insert as a suppository into the lower orifice. If sores are in the mouth, hold in the mouth. (*Zhou Hou Bei Ji Fang*, *Fan Wang Fang* are identical; Cited from Volume 2)
*Jia Yi Fang* treats epidemic disease with worms eroding the lower orifices causing sores: Qingxiangzi San (Celosiae Seed Powder):
Qingxiangzi (Celosiae Semen, one liang), Lu (Reed Rhizome, two liang), Ye Langya (Sanguisorbae Radix, one liang), Ju Pi (Citri Reticulatae Pericarpium, one liang), Kushen (Sophorae Flavescentis Radix, three liang).
Pulverize and sieve the five ingredients into a powder. Mix with rice juice and take one fang cun bi, three times daily. Continue if not healed, until cured.
Another formula for epidemic dysentery with pus and blood, and worms in the lower orifice: Huanglian Wan (Coptis Pill):
Huanglian (Coptidis Rhizoma, two liang powder, raw), La (Beeswax, one liang), Wumei Rou (Mume Fructus pulp, three liang, stewed and powdered).
Melt the beeswax and blend with honey to form pills the size of wutong seeds. Take thirty pills on an empty stomach with rice juice; increase to forty pills for the second dose. The condition will heal. Avoid pork and cold water.