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Treatment of dysentery.
Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix) (soaked in wine), Xiangdouzi (Quercus variabilis fruit), Qinghaozi (Artemisiae Annuae Semen) (charred to retain its nature, 4 liang), Wumei (Prunus mume fructus) (roasted dry), Huanglian (Coptidis Rhizoma) (soaked in wine).
Grind the above herbs into a fine powder, use Shenqu (Massa Medicata Fermentata) paste to make pills, sized like Sophora japonica seeds. Take 100 pills per dose, swallowed with rice soup on an empty stomach, two to three times daily. Prior to this, take Dingxiang Pi Ji Wan (Dingxiang Spleen Accumulation Pill), followed by Lixiao Wan (Lixiao Pill).

Treatment for dysentery with pus and blood, tenesmus (里急后重), showing miraculous efficacy.
Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), Chuan Mutong (Akebiae Caulis), Chuan Huangbo (Phellodendri Chinensis Cortex), Zhike (Aurantii Fructus) (stir-fried with bran), Chenpi (Citri Reticulatae Pericarpium) (each 4 qian 5 fen), Dahuang (Rhei Radix et Rhizoma) (3 qian).
Cut the herbs into pieces, divide into two doses. Add two cups of water, decoct until one cup remains, remove dregs, and take warm before meals.

Treatment for dysentery with severe condition, distressing pain, frequent pus and blood, or chronic non-healing cases; purgation is appropriate.
Huanglian (Coptidis Rhizoma), Huangbo (Phellodendri Chinensis Cortex), Dahuang (Rhei Radix et Rhizoma), Gansui (Kansui Radix), Daji (Euphorbiae Pekinensis Radix), Yuanhua (Genkwa Flos) (vinegar-fried, each 5 qian), Qingfen (Calomelas, 2 qian), Qingdai (Indigo Naturalis, 1 liang), Qianniu (Pharbitidis Semen) [dose omitted in source].
Grind the above herbs into a fine powder, add drops of water to make pills, sized like beans. Start with 10 pills, increasing by 10 pills each time. Take three times: on an empty stomach, before noon, and before sleep. Stop when bowel movement is achieved.

The *Suwen* states: "If wind pathogen is contracted in spring, suncie (飧泄 - diarrhea with undigested food) will inevitably occur in summer. If the pathogen lingers, it becomes dongxie (洞泄 - watery diarrhea)." Wang Shuhe stated: "Excess dampness leads to five types of diarrhea. Borborygmus sounds like thunder rushing, caused by deficiency of qi and blood, loose skin pores, where pathogenic factors clash with the intestines and stomach, invading due to deficiency, thus forming this syndrome." However, people generally regard diarrhea as a single syndrome. They do not realize that "xie" (泄) implies leakage, referring to frequent loose stools that come and go; whereas "xie" (泻) refers to sudden gushing discharge of water. There are five names for diarrhea: Weixie (Stomach Diarrhea), Pixie (Spleen Diarrhea), Dachangxie (Large Intestine Diarrhea), Xiaochangxie (Small Intestine Diarrhea), and Dajiaxie (Large Mass Diarrhea). Weixie symptoms include undigested food in stool and yellow color; Pixie symptoms include abdominal fullness, pouring diarrhea, and vomiting after eating; Dachangxie symptoms include postprandial urgency, white stool, and sharp intestinal pain; Xiaochangxie symptoms include painful urination with pus and blood in stool, and lower abdominal pain; Dajiaxie symptoms include tenesmus, frequent trips to the toilet without ability to defecate, and penile pain. Other types include suncie, shenxie (Kidney Diarrhea), dongxie, zhixie (Stagnant Diarrhea), weihan changre xie (Stomach Cold Intestine Heat Diarrhea), and rutie (Damp Diarrhea). Suncie occurs in early spring when wind-wood qi prevails, attacking spleen-earth. In summer, yin cold lurks inside. Exposure to wind/coolness or overconsumption of raw/cold foods further damages the spleen and stomach, failing to transform food, resulting in complete excretion of undigested food with wiry-thin pulse, named suncie. Shenxie results from kidney deficiency, causing loose stools once or twice at dawn (fifth watch), persisting for months or years. Shuixie (Water Diarrhea) indicates internal cold of zang-fu, cold limbs, and sudden watery diarrhea. Dongxie presents with cold extremities, heart-abdominal pain, and calf cramps. Rutie presents with cold in the lower abdomen. The Spleen is the extreme yin within yin. When spleen-stomach is weak and overcome by wind-cold, yin qi becomes excessive. Excess yin causes cold in the zang organs. Zang cold prevents transformation of waste, leading to black stool resembling rutie. Large intestine cold syndromes present similarly. It is also said: "Turbid cold qi above, clearing heat qi below" leads to fullness and diarrhea. The Large Intestine is the official of transmission; the Stomach is the sea of water and grain. Essence circulates to nourish the five zang organs, while waste is transmitted to the Large Intestine. For example, food stagnation syndrome, caused by irregular eating, leads to stomach inability to digest, causing fullness and sour-smelling feces; this should be treated with draining and guiding digestion. Regarding previous diarrhea syndromes, analyzed by pulse, diarrhea is not limited to the spleen-stomach meridians but may require treatment according to other categories. Therapeutic methods prioritize separating and draining (urination), strengthening the spleen earth, and benefiting yuan qi. With such medication, efficacy is assured.