夫蛊注痢者。由岁时寒暑不调。则有湿毒之气伤人。随经脉血气。渐至于脏腑。大肠虚
者。
脓瘀
治蛊注痢。下血如鹅鸭肝。腹痛不止。地榆散方。
地榆（一两锉） 甘草（半两炙微赤锉） 赤芍药（一两） 柏叶（一两微炙） 茜根
（一两锉）
诃黎勒（一两煨用皮） 当归（一两锉微炒） 黄连（一两去须微炒）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎取六分。去滓。不计时候温服。
治蛊注痢。血如鸡肝者。心神烦躁。宜服此方。
犀角屑（一两） 地榆（三分锉） 荷根（一两） 马兜铃根（一两）
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。
治蛊注下血如鸡肝。体热。心腹中烦闷。茜根散方。
茜根（一两锉） 川升麻（一两） 犀角屑（一两） 地榆（一两锉） 黄芩（一两） 黄
连（一
两去须微炒）
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。
又方。
黑豆（一合） 毛桃胶（半两）
上件药。以水一大盏。煎至六分。去滓。食前分温二服。
治蛊注痢。下血如鹅鸭肝。心中烦闷。不欲饮食。升麻散方。
川升麻（一两） 茜根（一两锉） 犀角屑（一两） 桔梗（一两去芦头） 黄柏（一
两锉） 黄
芩（一两） 地榆（一两半锉） 荷根（一两半）
上件药。捣细罗为散。每服。不计时候。以温酒调下二钱。
治蛊注痢。下血。心神烦闷。腹中 痛。黄芩散方。
黄芩（一两） 地榆（一两锉） 犀角屑（一两） 茜根（一两） 柏叶（二两微炒） 甘
草（一
两炙微赤锉） 诃黎勒（一两煨用皮） 当归（一两锉微炒） 牛角 灰（一两）
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。
治蛊注热毒痢血。或如小豆汁。腹痛烦闷。犀角散方。
犀角屑（一两） 地榆（一两锉） 黄连（一两去须微炒） 柏叶（一两微炒） 黄柏
（一两微
炙锉） 黄芩（一两） 当归（一两锉微炒） 赤地利（一两） 生干地黄（一两）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
又方。
竹叶（一两锉）
上以水一大盏。煎至六分。去滓。入吴蓝汁二合。更煎三五沸。食前分温二服。
治痢。或先下白。后下赤。或先下赤后下白。此为肠蛊痢。宜服此方。
牛膝（三两去苗捣碎）
上以酒三（二）升。渍经三宿。每于食前。温饮一小盏。
Gu Zhu Li (Gu Zhu Dysentery) is caused by the imbalance of cold and heat in the four seasons, leading to pathogenic damp-toxic qi injuring the human body. The pathogen follows the meridians and blood-qi, gradually penetrating into the zang-fu organs. When the Large Intestine is deficient, pus and blood stasis occur.
To treat Gu Zhu Li with stool resembling goose or duck liver in color and unceasing abdominal pain, use Diyu San (Sanguisorba Powder).
Diyu (Radix Sanguisorbae), one liang, crushed; Gancao (Radix Glycyrrhizae Preparata), half a liang, honey-fried until slightly red and crushed; Chishao Yao (Radix Paeoniae Rubra), one liang; Bai Ye (Cacumen Platycladi), one liang, slightly fried; Qian Gen (Radix Rubiae Cordifoliae), one liang, crushed.
Helile (Fructus Chebulae Preparatus), one liang, baked, using only the peel; Danggui (Radix Angelicae Sinensis), one liang, crushed and slightly fried; Huanglian (Rhizoma Coptidis), one liang, musts removed and slightly fried.
The above herbs are coarsely ground and sieved to make a powder. Each dose consists of four qian. Boil with one zhongzhan (approx. 200ml) of water until reduced to six-tenths. Strain off the dregs. Take warm at any time.
For Gu Zhu Li where the blood resembles chicken liver, accompanied by mental restlessness and irritability, this formula is suitable.
Xijiao Xie (Hornis Rhinocerotis Cornu, processed into shavings), one liang; Diyu (Radix Sanguisorbae), three fen, crushed; He Gen (Rhizoma Nelumbinis), one liang; Madouling Gen (Radix Aristolochiae), one liang.
The above herbs are ground and sieved to make a powder. Each dose consists of four qian. Boil with one zhongzhan of water until reduced to six-tenths. Strain off the dregs. Take warm at any time.
To treat Gu Zhu Li with stool resembling chicken liver, bodily heat, and mental/abdominal stuffiness and irritability, use Qian Gen San (Rubiae Powder).
Qian Gen (Radix Rubiae Cordifoliae), one liang, crushed; Chuan Shengma (Rhizoma Cimicifugae), one liang; Xijiao Xie (Hornis Rhinocerotis Cornu, processed into shavings), one liang; Diyu (Radix Sanguisorbae), one liang, crushed; Huangqin (Radix Scutellariae), one liang; Huanglian (Rhizoma Coptidis), one liang, musts removed and slightly fried.
The above herbs are ground and sieved to make a powder. Each dose consists of four qian. Boil with one zhongzhan of water until reduced to six-tenths. Strain off the dregs. Take warm at any time.
Another prescription:
Heidou (Faba Preparata), one he; Mao Tao Jiao (Gum Persicae), half a liang.
The above herbs are boiled with one dazhan (approx. 300ml) of water until reduced to six-tenths. Strain off the dregs. Divide into two warm doses before meals.
To treat Gu Zhu Li with stool resembling goose or duck liver, mental stuffiness, and loss of appetite, use Shengma San (Cimicifugae Powder).
Chuan Shengma (Rhizoma Cimicifugae), one liang; Qian Gen (Radix Rubiae Cordifoliae), one liang, crushed; Xijiao Xie (Hornis Rhinocerotis Cornu, processed into shavings), one liang; Jiegeng (Radix Platycodonis), one liang, radix tip removed; Huangbai (Cortex Phellodendri), one liang, crushed; Huangqin (Radix Scutellariae), one liang; Diyu (Radix Sanguisorbae), one and a half liang, crushed; He Gen (Rhizoma Nelumbinis), one and a half liang.
The above herbs are finely ground and sieved to make a powder. Each dose consists of two qian, taken with warm wine at any time.
To treat Gu Zhu Li with bloody stool, mental restlessness, and abdominal pain, use Huangqin San (Scutellariae Powder).
Huangqin (Radix Scutellariae), one liang; Diyu (Radix Sanguisorbae), one liang, crushed; Xijiao Xie (Hornis Rhinocerotis Cornu, processed into shavings), one liang; Qian Gen (Radix Rubiae Cordifoliae), one liang; Bai Ye (Cacumen Platycladi), two liang, slightly fried; Gancao (Radix Glycyrrhizae Preparata), one liang, honey-fried until slightly red and crushed; Helile (Fructus Chebulae Preparatus), one liang, baked, using only the peel; Danggui (Radix Angelicae Sinensis), one liang, crushed and slightly fried; Niujiao Hui (Corneus Bubali Cinis), one liang.
The above herbs are ground and sieved to make a powder. Each dose consists of four qian. Boil with one zhongzhan of water until reduced to six-tenths. Strain off the dregs. Take warm at any time.
To treat Gu Zhu Heat-Toxic Dysentery with bloody stool resembling mung bean juice, abdominal pain, and irritability, use Xijiao San (Rhinoceros Horn Powder).
Xijiao Xie (Hornis Rhinocerotis Cornu, processed into shavings), one liang; Diyu (Radix Sanguisorbae), one liang, crushed; Huanglian (Rhizoma Coptidis), one liang, musts removed and slightly fried; Bai Ye (Cacumen Platycladi), one liang, slightly fried; Huangbai (Cortex Phellodendri), one liang, lightly fried and crushed; Huangqin (Radix Scutellariae), one liang; Danggui (Radix Angelicae Sinensis), one liang, crushed and slightly fried; Chidi Li (Radix Achyranthis Bidentatae), one liang; Sheng Gan Dihuang (Radix Rehmanniae Preparata), one liang.
The above herbs are finely ground and sieved to make a powder. Each dose consists of two qian, taken with rice broth at any time.
Another prescription:
Zhuye (Folium Bambusae), one liang, crushed.
Boil the above herb with one dazhan of water until reduced to six-tenths. Strain off the dregs. Add Erhe (approx. 60ml) of Wulan Juice. Boil for three to five boils. Divide into two warm doses before meals.
To treat dysentery where white discharge appears first followed by red blood, or red blood first followed by white discharge. This is Chang Gu Li (Intestinal Gu Dysentery). This formula is suitable.
Niuxi (Radix Achyranthis Bidentatae), three liang, sprouts removed and crushed.
Soak the above herb in three (or two) sheng (approx. 600-800ml) of wine for three nights. Drink one small zhongzhan warm before each meal.