夫热病。热毒瓦斯盛。攻于肠胃。内乘于血。血性得热则流散。因其大肠虚。血渗入肠。
内与津液相搏。积热蕴结。血化为脓。故成脓血痢也。
治热病。毒瓦斯不解。日晚即壮热。便痢鲜血。痢无期度。不下饮食。宜服犀角散方
。
犀角屑（一两） 黄连〔一（二）两去须〕 地榆（一两半） 茜根（一两锉） 黄芩
（一两）
栀子仁（半两）
上件药。捣粗罗为散。每服四钱。以水一盏。入薤白一（二）茎。煎至六分。去滓。不
计
时候。温服。
治热病。便痢无度。烦愤不安。宜服黄连饮子方。
黄连（一两去须微炒） 栀子仁（二十枚捶碎） 豉（二合） 薤白（二合切）
上都以水二大盏。煎至一盏三分。去滓。不计时候。分温三服。
治热病热毒。痢下赤白。腹中 痛。宜服当归散方。
当归（二两锉炒） 甘草（一两炙微赤锉） 黄连（二两去须微炒） 黄柏（一两微炙
炒） 干
姜（一两炮裂锉） 阿胶（二两捣碎炒令黄燥） 醋石榴皮（二两）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治热病。毒瓦斯攻肠胃。大便或时泻血。烦闷妄语。宜服升麻散方。
川升麻（一两） 川大黄（半两锉碎微炒） 地榆（半两锉） 当归（三分） 赤芍药
（半两）
枳壳（半两麸炒微黄去瓤） 黄芩（半两） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候。温服。
治热病。下痢脓血不止。宜服茜根散方。
茜根（一两） 黄芩（三分） 栀子仁（一分） 阿胶（半两捣碎炒令黄燥）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治热病后。热毒入肠胃。下黄赤汁。及烂肉等方。
赤石脂（二两捣碎） 豉（一合） 薤白（三茎切） 栀子仁（七枚）
上以水二大盏。煎至一盏三分。去滓。不计时候。分温三服。
治热病。卒下脓血无度方。
黄连（二两去须微炒） 鼠尾草（二两） 地榆（二两锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治热病下痢脓血。宜服石脂散方。
白石脂（一两烧过） 乌梅肉（半两微炒） 黄连（半两去须微炒） 胡粉（半两炒令
微黄）
槟榔（半两） 诃黎勒（半两炒用皮） 甘草（半两炙微赤锉）
上件药。捣细罗为散。每服。以粥饮调下二钱。不计时候服。
治热病六七日后。毒瓦斯不散。下脓血不止。宜服鹿角胶散方。
鹿角胶（一两捣碎炒令黄燥） 黄芩（半两去须微炒） 黄连（半两去须微炒） 胡粉
（半两
炒令黄色） 栀子仁（一两） 龙骨（半两） 甘草（半两炙微赤锉）
上件药。捣细罗为散。每服。以冷粥饮调下二钱。不计时候服。
治热病毒痢。下脓血。腰脐下痛。宜服黄连散方。
黄连（一两去须微炒） 龙骨（一两） 当归（一两锉微炒） 牛黄（一两细研） 麝
香（一钱
细研）
上件药。捣细罗为散。每服。以粥饮调下二钱。不计时候服。
治热病。壮热头痛。四肢烦疼。下痢黄赤色。日夜十余行。及呕吐。不下食。宜
服地榆
地榆（一两） 龙骨（一两） 陈橘皮（一两汤浸去白瓤焙） 人参（一两去芦头） 醋
石榴皮
（一两） 黄芩（一两） 浓朴（二两去粗皮涂生姜汁炙令香熟）
上件药。捣细罗为散。每服。以粥饮调下二钱。不计时候服。
治热病。热毒攻脏腑。痢下杂脓血。烦渴不止。宜服犀角散方。
犀角屑（三分） 黄连（三分去须微炒） 赤芍药（三分） 黄芩（三分） 侧柏叶（三
分） 阿
胶（三分捣碎炒令黄燥） 乌梅肉（三分微炒） 甘草（三分炙微赤锉）
上件药。捣罗为散。每服。以粥饮调下二钱。不计时候。温服。
治热病。卒痢脓血无度方。
黄连（三分去须） 龙骨（四两） 阿胶（一两捣碎炒令黄燥）
上件药。捣细罗为散。每服。以粥饮调下一钱。不计时候。温服。
治热病。热毒攻肠胃。下黄赤汁。及烂肉。壮热腹痛方。\x
栀子仁（三七枚） 豉（二合） 薤白（一握切）
上件药。以水二大盏。煎至一盏。去滓。不计时候。分为二服。
Heat disease is caused by the flourishing of heat-toxic qi, which attacks the stomach and intestines and penetrates into the blood level. Blood naturally flows and scatters when heated; combined with the deficiency of the large intestine, blood seeps into the intestinal tract, where it struggles with body fluids. Accumulated heat becomes trapped, transforming blood into pus, thereby forming dysentery with pus and blood.
For heat disease where toxic qi remains unresolved, characterized by high fever in the evening, passage of fresh blood in stool, continuous dysentery without respite, and inability to eat, the Rhinoceros Horn Powder (Xijiao San) is indicated.
Rhinoceros horn shavings (1 liang), Coptis chinensis Rhizome (Huanglian, 1 or 2 liang, remove stamens), Sanguisorbae Radix (Diyu, 1.5 liang), Rubia cordifolia Root (Qiangen, 1 liang, cut), Scutellariae Radix (Huangqin, 1 liang), Gardeniae Fructus (Zhizi ren, 0.5 liang).
Crush the above herbs and sieve them coarsely to make a powder. Take 4 qian per dose, decoct with one cup of water and 1-2 stalks of Allium macrostemon (Xiebai) until reduced to 60%. Strain and take warm at any time.
For heat disease with uncontrolled dysentery, mental restlessness, and irritability, the Coptis Decoction (Huanglian Yinzi) is indicated.
Coptis chinensis Rhizome (Huanglian, 1 liang, remove stamens, slightly stir-fry), Gardeniae Fructus (Zhizi ren, 20 seeds, crushed), Glycine max Seed (Chi, 2 he), Allium macrostemon (Xiebai, 2 he, cut).
Decoct the above herbs in two large cups of water until reduced to 1.3 cups. Strain and divide into three warm doses, taken at any time.
For heat disease toxic syndrome presenting with dysentery of red and white discharge and abdominal pain, the Angelica Sinensis Powder (Danggui San) is indicated.
Angelica sinensis Radix (Danggui, 2 liang, cut and stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang, honey-fried until slightly reddish, cut), Coptis chinensis Rhizome (Huanglian, 2 liang, remove stamens, slightly stir-fried), Phellodendri Cortex (Huangbai, 1 liang, slightly roasted and stir-fried), Zingiberis Rhizoma Exsiccatum (Ganjiang, 1 liang, processed until cracked, cut), Colla Corii Asini (Ejiao, 2 liang, crushed and stir-fried until yellow and dry), Punicis Pericarpium (Cu Shiliupi, 2 liang).
Crush the above herbs and sieve them coarsely to make a powder. Take 5 qian per dose, decoct with one large cup of water until reduced to 40%. Strain and take warm at any time.
For heat disease where toxic qi attacks the stomach and intestines, causing occasional bloody diarrhea, mental confusion, and delirious speech, the Cimicifugae Rhizoma Powder (Shengma San) is indicated.
Cimicifugae Rhizoma (Chuan Shengma, 1 liang), Rheum Palmatum Radix (Chuan Dahuang, 0.5 liang, cut, crushed, and slightly stir-fried), Sanguisorbae Radix (Diyu, 0.5 liang, cut), Angelica sinensis Radix (Danggui, 3 fen), Paeoniae Radix Rubra (Chishaoyao, 0.5 liang), Aurantii Fructus Immaturus (Zhiqiao, 0.5 liang, bran-fried until slightly yellow, remove pith), Scutellariae Radix (Huangqin, 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly reddish, cut).
Crush the above herbs and sieve them coarsely to make a powder. Take 3 qian per dose, decoct with one medium cup of water until reduced to 40%. Strain and take warm at any time.
For heat disease with persistent dysentery of pus and blood, the Madder Root Powder (Qiangen San) is indicated.
Rubia cordifolia Root (Qiangen, 1 liang), Scutellariae Radix (Huangqin, 3 fen), Gardeniae Fructus (Zhizi ren, 1 fen), Colla Corii Asini (Ejiao, 0.5 liang, crushed and stir-fried until yellow and dry).
Sieve the above herbs finely to make a powder. Take 4 qian per dose, decoct with one medium cup of water until reduced to 60%. Strain and take warm at any time.
For post-heat disease where heat-toxin enters the stomach and intestines, resulting in the passage of yellow-red fluid and putrid flesh-like matter:
Red Halloysite (Chishizhi, 2 liang, crushed), Glycine max Seed (Chi, 1 he), Allium macrostemon (Xiebai, 3 stalks, cut), Gardeniae Fructus (Zhizi ren, 7 seeds).
Decoct the above herbs in two large cups of water until reduced to 1.3 cups. Strain and divide into three warm doses, taken at any time.
For acute heat disease with sudden, uncontrolled passage of pus and blood:
Coptis chinensis Rhizome (Huanglian, 2 liang, remove stamens, slightly stir-fried), Salvia miltiorrhiza Radix (Shuweicao, 2 liang), Sanguisorbae Radix (Diyu, 2 liang, cut).
Crush the above herbs and sieve them coarsely to make a powder. Take 4 qian per dose, decoct with one medium cup of water until reduced to 60%. Strain and take warm at any time.
For heat disease with dysentery of pus and blood, the Halloysite Powder (Shizhi San) is indicated.
White Halloysite (Baishizhi, 1 liang, calcined), Prunus mume Semen (Wumei rou, 0.5 liang, slightly stir-fried), Coptis chinensis Rhizome (Huanglian, 0.5 liang, remove stamens, slightly stir-fried), Plumbum Bismuthicum (Hufen, 0.5 liang, stir-fried until slightly yellow), Arecae Semen (Binglang), Chebulae Fructus (Helile, 0.5 liang, stir-fried, use peel only), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly reddish, cut).
Sieve the above herbs finely to make a powder. Take 2 qian per dose, mixed with rice broth. Take at any time.
For heat disease occurring six or seven days later, where toxic qi does not dissipate and dysentery of pus and blood persists, the Deer Antler Gelatin Powder (Lujiaojiao San) is indicated.
Deer Antler Gelatin (Lujiaojiao, 1 liang, crushed and stir-fried until yellow and dry), Scutellariae Radix (Huangqin, 0.5 liang, remove stamens, slightly stir-fried), Coptis chinensis Rhizome (Huanglian, 0.5 liang, remove stamens, slightly stir-fried), Plumbum Bismuthicum (Hufen, 0.5 liang, stir-fried until yellow), Gardeniae Fructus (Zhizi ren, 1 liang), Os Draconis (Longgu, 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly reddish, cut).
Sieve the above herbs finely to make a powder. Take 2 qian per dose, mixed with cold rice broth. Take at any time.
For heat disease toxic dysentery with passage of pus and blood and pain below the waist and umbilicus, the Coptis Powder (Huanglian San) is indicated.
Coptis chinensis Rhizome (Huanglian, 1 liang, remove stamens, slightly stir-fried), Os Draconis (Longgu, 1 liang), Angelica sinensis Radix (Danggui, 1 liang, cut and slightly stir-fried), Bovaris Calculus (Niuhuang, 1 liang, finely ground), Moschus (Shexiang, 1 qian, finely ground).
Sieve the above herbs finely to make a powder. Take 2 qian per dose, mixed with rice broth. Take at any time.
For heat disease presenting with high fever, headache, painful limbs, yellow-red dysentery occurring more than ten times day and night, vomiting, and anorexia, the Sanguisorbae Radix Powder (Diyu San) is indicated.
Sanguisorbae Radix (Diyu, 1 liang), Os Draconis (Longgu, 1 liang), Citrus reticulata Pericarpium (Chenju pi, 1 liang, soaked in water, remove white pith, baked), Ginseng Radix (Renshen, 1 liang, remove rhizome), Punicis Pericarpium (Cu Shiliupi, 1 liang), Scutellariae Radix (Huangqin, 1 liang), Magnoliae Officinalis Cortex (Houpo, 2 liang, remove rough bark, brushed with ginger juice, roasted until fragrant).
Sieve the above herbs finely to make a powder. Take 2 qian per dose, mixed with rice broth. Take at any time.
For heat disease where heat-toxin attacks the zang-fu organs, causing dysentery with mixed pus and blood, and persistent thirst and irritability, the Rhinoceros Horn Powder (Xijiao San) is indicated.
Rhinoceros horn shavings (3 fen), Coptis chinensis Rhizome (Huanglian, 3 fen, remove stamens, slightly stir-fried), Paeoniae Radix Rubra (Chishaoyao, 3 fen), Scutellariae Radix (Huangqin, 3 fen), Platycladi Cacumen (Ce Baiye, 3 fen), Colla Corii Asini (Ejiao, 3 fen, crushed and stir-fried until yellow and dry), Prunus mume Semen (Wumei rou, 3 fen, slightly stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, 3 fen, honey-fried until slightly reddish, cut).
Sieve the above herbs to make a powder. Take 2 qian per dose, mixed with rice broth. Take warm at any time.
For acute heat disease with sudden, uncontrolled dysentery of pus and blood:
Coptis chinensis Rhizome (Huanglian, 3 fen, remove stamens), Os Draconis (Longgu, 4 liang), Colla Corii Asini (Ejiao, 1 liang, crushed and stir-fried until yellow and dry).
Sieve the above herbs finely to make a powder. Take 1 qian per dose, mixed with rice broth. Take warm at any time.
For heat disease where heat-toxin attacks the stomach and intestines, resulting in passage of yellow-red fluid and putrid flesh-like matter, accompanied by high fever and abdominal pain:
Gardeniae Fructus (Zhizi ren, 37 seeds), Glycine max Seed (Chi, 2 he), Allium macrostemon (Xiebai, one handful, cut).
Decoct the above herbs in two large cups of water until reduced to one cup. Strain and divide into two doses, taken at any time.