夫伤寒下脓血痢者。此由热伤于肠胃。故下脓血如鱼脑。或如烂肉汁。壮热而腹痛。此
湿毒瓦斯盛故也。
治伤寒。表实里虚。热气乘虚。攻于肠胃。下脓血。或如烂肉。或如鱼脑。腹痛
壮热。
犀角屑（半两） 黄柏（半两微炙锉） 黄芩（半两） 漏芦（一分） 川升麻（半两）
黄连（
三分
皮（半两
微炒
上件药。捣筛为散。每服四钱。以水一中盏。入薤白五寸。煎至六分。去滓。不计时候
温服。
治伤寒。毒热不解。日晚即壮热腹痛。便痢脓血。宜服地榆散方。
地榆（锉） 黄连（去须微炒） 犀角屑 茜根 黄芩（以上各一两） 栀子仁（半两）
上件药。捣筛为散。每服四钱。以水一中盏。入薤白五寸。煎至六分。去滓。不计时候
温服。
治伤寒。热毒入胃。下痢脓血方。
黄柏（一两微炙锉） 黄连（二两去须微炒） 栀子仁（半两） 阿胶（一两捣碎炒令
黄燥）
上件药。捣筛为散。每服五钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒热毒入胃。大便脓血。腹中 痛。宜服此方。
黄连（半两去须微炒） 赤石脂（一两） 当归（半两锉微炒） 干姜（一分炮裂锉） 赤
芍药
（半两） 黄芩（半两）
上件药。捣筛为散。每服三钱。以水一中盏。入粳米五十粒。煎至六分。去滓。不计时
候温服。
治伤寒痢下脓血。宜服竹茹饮子方。
竹茹 子芩 川升麻 木通（锉） 赤芍药（以上各半两） 黑木耳（一两微炒）
上件药。细锉和匀。每服半两。以水一大盏。煎至五分。去滓。入生地黄汁半合。搅令
匀。不计时候温服。
治伤寒热毒。下痢脓血。腰及脐下疼痛方。
黄连（一两去须微炒） 龙骨（一两） 当归（一两锉微炒） 牛黄（一分细研） 麝
香（一分
细研） 黄芩（半两）
上件药。捣细罗为散。每服不计时候。以粥饮调下二钱。
治伤寒热毒下脓血。或如赤小豆汁。腹痛烦闷。宜服地榆散方。
地榆（三分锉） 黄连（一两去须微炒） 柏叶（三分炙微黄） 黄柏（三分微炙锉） 黄
芩（
三分）
角屑（三
分）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱
治伤寒热毒痢下脓血。腹痛。宜服黄连散方。
黄连（去须微炒） 当归（锉微炒） 阿胶（捣碎炒令黄燥） 黄芩 赤芍药 地榆（锉）
（以
上各三分） 甘草（半两炙微赤锉）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治伤寒热毒下脓血痢。及腹痛壮热。宜服茜根散方。
茜根（一两） 龙骨（一两半） 黄连（一两去须微炒） 犀角屑（一两） 黄柏（半
两微炙锉）
黄芩（三分） 赤地利（一两） 赤鼠尾花（一两）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治伤寒热毒入胃。下痢脓血方。
龙骨（二两） 黄连（一两半去须微炒） 木香（一两）
上件药。捣细罗为散。每服不计时候。以粥饮调下二钱。
治伤寒腹痛。下痢脓血。日夜不歇。宜服赤石脂散方。
赤石脂（半两） 干姜（一分炮裂锉） 浓朴（半两去粗皮涂生姜汁炙令香熟） 诃黎
勒皮（
半两煨微黄）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治伤寒下痢腹痛。宜服乌梅丸方。\x
乌梅肉（三分微炒） 黄连（三分去须微炒） 当归（三分锉微炒） 诃黎勒皮（三分
煨微黄）
阿胶（半两捣碎炒令黄燥） 干姜（一分炮裂锉）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以粥饮下二十丸。
For cases of typhoid fever (Shanghan) complicated by dysentery with pus and blood, this is caused by heat injuring the intestines and stomach. Consequently, the discharge resembles fish brains or rotting meat juice. The patient experiences high fever and abdominal pain, which is due to the prevalence of damp-toxic qi.
To treat typhoid fever characterized by exterior excess and interior deficiency, where heat pathogens take advantage of the deficiency to attack the intestines and stomach, resulting in dysentery with pus and blood (resembling rotting meat or fish brains), accompanied by abdominal pain and high fever:
Rhino Horn (Xijiao) sliced (half liang), Phellodendron Bark (Huangbai) half liang, slightly roasted and crushed; Scutellaria Root (Huangqin) half liang; Leuzea Rhizome (Loulu) one fen; Cimicifuga Rhizome (Chuan Shengma) half liang; Coptis Rhizome (Huanglian) three fen; [Text fragment "Pi" likely refers to a missing herb name or is an error, omitted for clarity as per strict translation rules]; Cortex (Banliang), slightly fried.
The above herbs are pounded, sifted into a powder. Each dose consists of four qian. Boil with one zhong of water and five cun of Allium Macrostemon Bulb (Xiebai) until reduced to six parts. Strain and remove the dregs. Take warm at any time.
To treat typhoid fever where toxic heat is unresolved, manifesting as high fever and abdominal pain in the evening, with dysentery of pus and blood, the Diyu San formula is indicated:
Sanguisorba Root (Diyu) crushed; Coptis Rhizome (Huanglian) de-veined and slightly fried; Rhino Horn (Xijiao) slices; Rubia Root (Qian Gen); Scutellaria Root (Huangqin) (one liang each); Gardenia Seed (Zhizi Ren) half liang.
The above herbs are pounded, sifted into a powder. Each dose consists of four qian. Boil with one zhong of water and five cun of Allium Macrostemon Bulb (Xiebai) until reduced to six parts. Strain and remove the dregs. Take warm at any time.
To treat typhoid fever where heat-toxin enters the stomach, causing dysentery with pus and blood:
Phellodendron Bark (Huangbai) one liang, slightly roasted and crushed; Coptis Rhizome (Huanglian) two liang, de-veined and slightly fried; Gardenia Seed (Zhizi Ren) half liang; Donkey-Hide Gelatin (Ejiao) one liang, crushed and fried until yellow and dry.
The above herbs are pounded, sifted into a powder. Each dose consists of five qian. Boil with one zhong of water until reduced to six parts. Strain and remove the dregs. Take warm at any time.
To treat typhoid fever where heat-toxin enters the stomach, causing bloody purulent stools and abdominal pain, this formula is suitable:
Coptis Rhizome (Huanglian) half liang, de-veined and slightly fried; Red Halloysite (Chishizhi) one liang; Angelica Sinensis Root (Danggui) half liang, crushed and slightly fried; Dried Ginger (Ganjiang) one fen, processed until cracked and crushed; Red Peony Root (Chishaoyao) half liang; Scutellaria Root (Huangqin) half liang.
The above herbs are pounded, sifted into a powder. Each dose consists of three qian. Boil with one zhong of water and fifty grains of Rice (Jingmi) until reduced to six parts. Strain and remove the dregs. Take warm at any time.
To treat typhoid fever with dysentery of pus and blood, the Zhuru Yinzi formula is indicated:
Bamboo Shavings (Zhuru); Scutellaria Root (Ziqin); Cimicifuga Rhizome (Chuan Shengma); Akebia Caulis (Mutong) crushed; Red Peony Root (Chishaoyao) (half liang each); Black Wood Ear (Hei Mu'er) one liang, slightly fried.
The above herbs are finely crushed and mixed evenly. Each dose consists of half liang. Boil with one large zhong of water until reduced to five parts. Strain and remove the dregs. Add half he of fresh Rehmannia Juice (Sheng Dihuang Zhi), stir well. Take warm at any time.
To treat typhoid fever where heat-toxin causes dysentery with pus and blood, and pain in the waist and below the navel:
Coptis Rhizome (Huanglian) one liang, de-veined and slightly fried; Dragon Bone (Longgu) one liang; Angelica Sinensis Root (Danggui) one liang, crushed and slightly fried; Calculus Bovis (Niuhuang) one fen, finely ground; Moschus (Shexiang) one fen, finely ground; Scutellaria Root (Huangqin) half liang.
The above herbs are pounded through a fine sieve into a powder. Take two qian at any time, mixed with gruel broth.
To treat typhoid fever where heat-toxin causes dysentery resembling red adzuki bean juice, with abdominal pain and restlessness, the Diyu San formula is indicated:
Sanguisorba Root (Diyu) three fen, crushed; Coptis Rhizome (Huanglian) one liang, de-veined and slightly fried; Leaf of Chinese Tallow Tree (Boye) three fen, roasted until slightly yellow; Phellodendron Bark (Huangbai) three fen, slightly roasted and crushed; Scutellaria Root (Huangqin) three fen; Rhino Horn (Xijiao) slices three fen.
The above herbs are pounded through a fine sieve into a powder. Take two qian at any time, mixed with gruel broth.
To treat typhoid fever where heat-toxin causes dysentery with pus and blood and abdominal pain, the Huanglian San formula is indicated:
Coptis Rhizome (Huanglian) de-veined and slightly fried; Angelica Sinensis Root (Danggui) crushed and slightly fried; Donkey-Hide Gelatin (Ejiao) crushed and fried until yellow and dry; Scutellaria Root (Huangqin); Red Peony Root (Chishaoyao); Sanguisorba Root (Diyu) crushed (three fen each); Licorice Root (Gancao) half liang, roasted until slightly red and crushed.
The above herbs are pounded through a fine sieve into a powder. Take two qian at any time, mixed with gruel broth.
To treat typhoid fever where heat-toxin causes dysentery with pus and blood, along with abdominal pain and high fever, the Qian Gen San formula is indicated:
Rubia Root (Qian Gen) one liang; Dragon Bone (Longgu) one and a half liang; Coptis Rhizome (Huanglian) one liang, de-veined and slightly fried; Rhino Horn (Xijiao) slices one liang; Phellodendron Bark (Huangbai) half liang, slightly roasted and crushed; Scutellaria Root (Huangqin) three fen; Polygonum Multiflorum Vine (Chidili) one liang; Flower of Salvia Miltiorrhiza (Chishuwei Hua) one liang.
The above herbs are pounded through a fine sieve into a powder. Take two qian at any time, mixed with gruel broth.
To treat typhoid fever where heat-toxin enters the stomach, causing dysentery with pus and blood:
Dragon Bone (Longgu) two liang; Coptis Rhizome (Huanglian) one and a half liang, de-veined and slightly fried; Aucklandia Root (Muxiang) one liang.
The above herbs are pounded through a fine sieve into a powder. Take two qian at any time, mixed with gruel broth.
To treat typhoid fever with abdominal pain and dysentery of pus and blood that persists day and night, the Chishizhi San formula is indicated:
Red Halloysite (Chishizhi) half liang; Dried Ginger (Ganjiang) one fen, processed until cracked and crushed; Magnolia Bark (Noupo) half liang, coarse bark removed, coated with ginger juice, roasted until fragrant; Chebulic Myrobalan Peel (Helile Pi) half liang, baked until slightly yellow.
The above herbs are pounded through a fine sieve into a powder. Take two qian at any time, mixed with gruel broth.
To treat typhoid fever with dysentery and abdominal pain, the Wumei Wan formula is indicated:
Flesh of Dark Plum (Wumei Rou) three fen, slightly fried; Coptis Rhizome (Huanglian) three fen, de-veined and slightly fried; Angelica Sinensis Root (Danggui) three fen, crushed and slightly fried; Chebulic Myrobalan Peel (Helile Pi) three fen, baked until slightly yellow; Donkey-Hide Gelatin (Ejiao) half liang, crushed and fried until yellow and dry; Dried Ginger (Ganjiang) one fen, processed until cracked and crushed.
The above herbs are pounded through a sieve into a powder, mixed with refined honey to form pills the size of paulownia seeds. Take twenty pills at any time, washed down with gruel broth.