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Treats yin-yang disharmony in men, women, and children, where cold and heat contend with each other, accumulating to form dysentery. Stools may be red, white, or a mixture of both, occurring day and night without limit, accompanied by tenesmus (里急后重) and severe pain in the umbilical and abdominal regions that is unbearable. It is also indicated for persistent watery diarrhea with borborygmus (肠鸣) and abdominal pain. Whether caused by injury from heat-toxins or long-standing accumulation of cold pathogen, this formula is suitable for treatment.

Papaveris Pericarpium (Yingsuqiao, 罂粟壳) [prepared], Citri Reticulatae Pericarpium (Chenpi, 陈皮) [pith removed], Glycyrrhizae Radix et Rhizoma (Fengcao, 粉草) [each 1 liang], Magnoliae Officinalis Cortex (Nongpu, 浓朴) [0.5 liang], Aurantii Fructus Immaturus (Qingpi, 青皮), Zingiberis Rhizoma Recens (Baijiang, 白姜) [each 1 fen].
Grind the above into powder. Take 2 qian per dose. For red dysentery, mix with Licorice Decoction; for white dysentery, mix with aged rice water; for mixed red and white dysentery, mix with Perilla Decoction. For cold-type diarrhea, mix with aged rice water; for heat-type diarrhea, mix with fresh well water. Take on an empty stomach. This medicine regulates the Spleen and Stomach, eliminates accumulations, harmonizes Qi, and regulates the Middle Jiao. Avoid raw, cold, greasy, oily flour foods, and pickled items.

Treats red and white dysentery with stabbing pain in the umbilical and abdominal regions, persisting for a long time without healing. Particularly effective for cold dysentery.

Papaveris Pericarpium (Yingsuqiao, 罂粟壳) [prepared, 1 liang], Paeoniae Radix Alba (Baishaoyao, 白芍药), Astragali Radix (Huangqi, 黄芪) [each 3 qian], Citri Reticulatae Pericarpium (Chenpi, 陈皮), Aurantii Fructus Immaturus (Qingpi, 青皮), Aucklandiae Radix (Muxiang, 木香), Chebulae Fructus (Hezi, 诃子), Myristicae Semen (Roudoukou, 肉豆蔻), Ginseng Radix et Rhizoma (Renshen, 人参) [each 1.5 qian], Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Sinensis Radix (Danggui, 当归) [each 1 qian].
Grind the above into powder. Make pills using refined honey, size of a bullet. Take 2 pills per dose. Decoct in one small cup of water until reduced to 0.7 cup, take warm. (These two formulas are from Mr. Tu Mingzhong.)

Once, a woman suffered from dysentery for forty days and did not recover after taking various medicines. I was summoned to diagnose her pulse, which was deep and weak in all six positions. Generally, the pulse in lower jiao dysentery should be deep and weak. However, it is recommended to take Shiquan Dabu Tang (Ten Great Tonifying Decoction), decocted with Ginger and Jujube, add half a spoonful of white honey, boil for a few more times, and take it. She recovered.

In the summer and autumn of the Jiazi year, at the residence of Military Commissioner Zhao, his nine-year-old great-nephew suffered severely from dysentery. The pediatrician had not yet arrived, so I was asked to diagnose him. The six pulses were level and fine. Based on the symptoms, it was diagnosed as bloody dysentery. In fact, it was not true, but merely blood-tinged water. I said: I recall the indications for Tiaozhong Tang (Regulate the Middle Decoction): it treats cases in early summer or early autumn where sudden cold attacks intense heat, knotting in the four limbs, causing high fever and headache. If cold injures the Stomach, it leads to dysentery, with stools containing blood, water, or being red, accompanied by high fever, drowsiness, and rapid pulse. This formula is appropriate. I prepared the formula, removed Rheum Palmatum (Dahuang, 大黄), and she recovered after taking it.