论曰∶凡石性刚烈,气多炎上,理之伤温,即火转为炽,内煎脾肺,脾肺苦热,遂成其
渴,饮水过量,即溲肠胃,胃得水则吐,肠得水即金寒,脏虽寒,火炎不灭,水渐流下而为
行潦遂变拥,肠胃虚冷,水谷不消,在阳益气不餐,在阴阳鸣而泄,久将不瘥,有成痢者,
经言呕哕发下焦之间,其斯之谓欤。疗下痢干呕,服香豉,多服之佳,如不损更发,宜服此
方。
香豉(二升) 干姜(三两) 甘草(二两炙) 葱白(切一升)
上四味切,以水五升煮,取二升去滓,温分服之甚良。
又方
干姜(五两)
上一味切,以水二升,煮取一升,去滓,顿服之。
又疗白赤痢兼热闷方。
栀子仁(十四枚) 薤白(一握切)
上二味,以水三升,煮取一升二合,去滓分服之良。
又疗白痢方。
黄连(一两碎绵裹) 白蜜(一合)
上二味,以童子小便二升渍一宿,煮取一升,去滓入蜜分服之。
又方
黄连(一两碎) 薤白(切一升) 乌梅(一握)
上三味,以水二升,煮取一升,分温服之。
又疗解散已经快利,热尚不退,兼痢不断,黄连汤方。
黄连(一两碎) 白粱米(二合)
上二味,以水五升,煮取二升,分服之。
又疗痈肿热盛,取冷过多,寒中下痢,食完出方。
甘草(炙) 干姜 附子(炮各六两) 蜀椒(二百三十枚汗)
上四味切,以水六升,煮取三升,分服之,忌如常法。
又疗天行,兼有客热下血痢,止血,破棺起死,黄连汤方。
黄连(四两) 黄柏(三两) 栀子仁(十五颗) 阿胶(一两炙)
干姜 枳实(炙) 芍药(各二两)
上七味切,以水六升,煮取三升,分服之,忌如常法。
又疗解散除热止痢,黄连汤方。
甘草(炙) 升麻(各一两) 黄连(三两) 豉(五合) 栀子仁(十四枚)
上五味切,以水三升,煮取一升,分温服之。
又解散因痢,宜服甘草汤方。
甘草(炙) 人参 黄连(各一两) 栀子仁(二十一枚)
上四味切,以水五升,煮取二升,分服之。
又疗热毒,赤白痢方。
羊肝(去膜切以水洗二十遍血尽以粟米饭拌作面饼)
上一味,以水煮熟,漉着浆水中淘之,干漉,以美蒜 候极饥食之,不过三两顿,即瘥
又疗水谷痢方。
取鲫鱼,无问多少,治如食法,以新布干拭,断血脉,切作 ,以蒜 食之取足,候至
夜要以白粥量事吃之。即得瘥,忌如常法。
Discourse states: Generally speaking, mineral drugs (Shi Yao) possess a rigid and fierce nature, with their Qi tending to flare upwards. If regulation is improper and damages the warming Yang Qi, the Fire pathogen will become blazing hot, internally scorching the Spleen and Lungs. The Spleen and Lungs suffer from heat, leading to thirst. Excessive water intake causes fluid to flow into the Intestines and Stomach. When the Stomach receives water, it vomits; when the Intestines receive water, they become cold. Although the Zang organs are cold, the flaming Fire within does not extinguish. The water gradually flows downward, becoming stagnant accumulation, resulting in deficiency-cold of the Intestines and Stomach, where water and grain cannot be digested. If the disease affects the Yang aspect, vital Qi is damaged and appetite is lost; if it affects the Yin aspect, there is borborygmus and diarrhea. If prolonged without recovery, it may develop into Dysentery (Li Ji). The Classics state: "Vomiting and hiccups originate from the Lower Jiao," which refers to this condition. To treat dysentery accompanied by dry heaves,服用 Xiang Chi (Fermented Soybean Paste); taking more is beneficial. If symptoms do not improve and recur, this formula is suitable.
Xiang Chi (Fermented Soybean Paste) (2 sheng), Gan Jiang (Dried Ginger) (3 liang), Gan Cao (Licorice Root) (2 liang, honey-fried), Cong Bai (Scallion White) (cut, 1 sheng).
Cut the above four herbs, decoct in 5 sheng of water, reduce to 2 sheng, remove dregs, take warm, divided doses. Very effective.
Another prescription:
Gan Jiang (Dried Ginger) (5 liang).
Cut the single herb, decoct in 2 sheng of water, reduce to 1 sheng, remove dregs, take all at once.
Another prescription for treating white and bloody dysentery accompanied by heat and oppression:
Zhi Zi Ren (Gardenia Seed) (14 pieces), Xie Bai (Allium Macrostemon Bulb) (one handful, cut).
Decoct the above two herbs in 3 sheng of water, reduce to 1.2 sheng, remove dregs, take divided doses. Effective.
Another prescription for treating white dysentery:
Huang Lian (Coptis Rhizome) (1 liang, crushed, wrapped in silk), Bai Mi (White Honey) (1 he).
Soak the above two herbs in 2 sheng of urine from an uncircumcised boy overnight, decoct to obtain 1 sheng, remove dregs, add honey, take divided doses.
Another prescription:
Huang Lian (Coptis Rhizome) (1 liang, crushed), Xie Bai (Allium Macrostemon Bulb) (cut, 1 sheng), Wu Mei (Mume Fruit) (one handful).
Decoct the above three herbs in 2 sheng of water, reduce to 1 sheng, take warm, divided doses.
Another prescription for Huang Lian Tang, used when exterior syndrome has been resolved, stool has already flowed freely, but heat persists, accompanied by unceasing dysentery:
Huang Lian (Coptis Rhizome) (1 liang, crushed), Bai Liang Mi (White Millet Grain) (2 he).
Decoct the above two herbs in 5 sheng of water, reduce to 2 sheng, take divided doses.
Another prescription for treating dysentery with undigested food due to excessive cold ingestion caused by severe heat from carbuncles and swellings:
Gan Cao (Licorice Root, fried), Gan Jiang (Dried Ginger), Fu Zi (Prepared Aconite Root) (each 6 liang), Shu Jiao (Sichuan Pepper) (230 pieces, stir-fried until oily sweat appears).
Cut the above four herbs, decoct in 6 sheng of water, reduce to 3 sheng, take divided doses. Observe usual dietary restrictions.
Another prescription for Huang Lian Tang, used to treat epidemic diseases accompanied by external heat causing bloody dysentery, capable of stopping bleeding and reviving the dead:
Huang Lian (Coptis Rhizome) (4 liang), Huang Bo (Phellodendron Bark) (3 liang), Zhi Zi Ren (Gardenia Seed) (15 pieces), E Jiao (Donkey-hide Gelatin) (1 liang, fried), Gan Jiang (Dried Ginger), Zhi Shi (Immature Bitter Orange, fried), Shao Yao (Peony Root) (each 2 liang).
Cut the above seven herbs, decoct in 6 sheng of water, reduce to 3 sheng, take divided doses. Observe usual dietary restrictions.
Another prescription for Huang Lian Tang, used to resolve exterior syndrome, clear heat, and stop dysentery:
Gan Cao (Licorice Root, fried), Sheng Ma (Cimicifuga Rhizome) (each 1 liang), Huang Lian (Coptis Rhizome) (3 liang), Chi (Perilla Leaf/Fermented Bean, context implies fermented soybean or perilla, here likely fermented bean given previous context, but literal is 'Chi') (5 he), Zhi Zi Ren (Gardenia Seed) (14 pieces).
Cut the above five herbs, decoct in 3 sheng of water, reduce to 1 sheng, take warm, divided doses.
Another prescription for Gan Cao Tang, suitable for treating unresolved exterior syndrome due to dysentery:
Gan Cao (Licorice Root, fried), Ren Shen (Ginseng Root), Huang Lian (Coptis Rhizome) (each 1 liang), Zhi Zi Ren (Gardenia Seed) (21 pieces).
Cut the above four herbs, decoct in 5 sheng of water, reduce to 2 sheng, take divided doses.
Another prescription for treating red and white dysentery caused by heat toxicity:
Yang Gan (Sheep Liver) (remove membrane, cut, wash with water twenty times until blood is gone, mix with millet rice to form a cake-like shape).
Boil this single ingredient in water until cooked, remove and rinse in starch water, drain dry. Eat with delicious minced garlic when extremely hungry. Within two or three doses, it will heal.
Another prescription for treating water-and-grain dysentery:
Take Crucian Carp (Ji Yu), regardless of quantity, prepare as for food, wipe dry with new cloth, sever blood vessels, cut into pieces. Eat with minced garlic until satisfied. At night, eat an appropriate amount of white porridge. This will lead to recovery. Observe usual dietary restrictions.