痢为险恶之症，生死所关，不惟时医治之失宜，而古今治法千家，多不得其道，是以不能速收全效。今
立方何以为奇，不湿成法故奇也。立论何以为妙，不胶成说，故妙也。然其药品又不外乎常用，而已有识者，
切不可更张，勿为庸医所误，遵而用之，百试百效者也。
初起煎方
川黄连（去芦，一钱二分） 条黄芩（一钱二分） 白芍药（一钱二分） 山楂肉（一钱二分） 陈
枳壳（去穣，八分） 紫浓朴（去皮八分，姜汁拌炒） 坚槟榔（八分） 浓青皮（去穣，八分） 当归（五分
）甘草（五分） 地榆（五分） 红花（酒炒，三分） 桃仁（去皮尖，一钱，研如粉） 南木香（二分）
上咀片，如法炮制，用水二碗煎
一碗，空心服。渣再煎服。此中或红或白，里急后重，身热腹痛者俱可服。如单白者，去地榆、桃仁，加
橘红四分，木香三分；如滞涩甚，或大黄二钱，用酒拌炒，服一二剂仍除之。若用一剂，滞涩已
去，不必又用二剂矣。用大黄于年幼之人，又不可拘用二钱也。上方用之三五日神效，用之于旬日亦效，
惟十日半月外，则当加减矣。另详于下。
加减煎方
川黄连（酒炒，六分，生用四分） 条黄芩（酒炒，六分，生用四分） 山楂肉（一钱） 大白芍药（酒炒，
六分，生用四分） 广橘红（四分） 浓青皮（四分） 坚槟榔（四分） 甘草（炙，三分，生二分） 当归（五
分） 地榆（四分） 桃仁粉（六分） 红花（三分） 木香（二分）
上咀片，如法炮制，用水二碗煎一碗，空心服。渣再煎
服。如延至月余觉脾胃弱而虚滑者，法当补理，具法如下∶
补理煎方
川黄连（酒炒，六分） 条黄芩（酒炒，六分） 大白芍
（酒炒，四分） 广橘红（六分） 当归（五分） 人参（五分） 白术（土炒，五分） 炙甘草（五分）
上咀片，如法炮制，用水煎，空心服。渣再煎服。以上三方，如妇人有胎者，去桃仁、红花、槟榔。以
上三方，随用辄效。其有不效者，必初时投参术等补剂太早，补塞邪气在内，久而正气己虚，邪气益盛缠绵不
已，欲补而涩之则助邪，欲清而疏之则愈滑，遂至于不可救。药虽有奇方，无如之何！则初投温补杀之也。
Dysentery is a perilous and severe condition, concerning life and death. Not only do contemporary physicians often treat it inappropriately, but among the myriad treatment methods from ancient to modern times, most fail to grasp the essential principles, thus failing to achieve rapid and complete recovery. Why are the formulas established here considered "extraordinary" (Qi)? Because they do not adhere rigidly to conventional standard practices. Why are the theoretical arguments considered "wonderful" (Miao)? Because they do not stick dogmatically to established doctrines. However, the medicinal materials used are none other than commonly available ones. Those with insight must not arbitrarily alter them, nor be misled by mediocre physicians; following and applying these prescriptions will yield hundred-percent efficacy.
Decoction for Early Stage
Chuan Lianlian (Coptidis Rhizoma, remove rhizome base, 1.2 qian) Tiao Huangqin (Scutellariae Radix, 1.2 qian) Baishao Yao (Paeoniae Radix Alba, 1.2 qian) Shanzha Rou (Crataegi Fructus pulp, 1.2 qian) Chen Zhike (Aurantii Fructus Pericarpium aged, remove pith, 0.8 fen) Zi Nongpu (Magnoliae Officinalis Cortex, purple variety, remove bark surface 0.8 fen, stir-fry with ginger juice) Jian Binglang (Arecae Semen, firm variety, 0.8 fen) Nong Qingpi (Citri Reticulatae Pericarpium Viride, dense variety, remove pith, 0.8 fen) Danggui (Angelicae Sinensis Radix, 0.5 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian) Dyu (Sanguisorbae Radix, 0.5 qian) Honghua (Carthami Flos, wine-fried, 0.3 fen) Taoren (Persicae Semen, remove skin and pointed end, 1 qian, grind into powder) Nan Muxiang (Aucklandiae Radix, 0.2 fen)
Cut the above ingredients into slices, process according to standard methods. Decoct with two bowls of water until one bowl remains. Take on an empty stomach. Decoct the dregs again and take. This formula is suitable for dysentery presenting with red or white discharge, tenesmus (Li Ji Hou Zhong), fever, and abdominal pain. If the discharge is purely white, remove Dyu and Taoren, add Juhong (Citri Reticulatae Pericarpium Rubrum, 0.4 fen) and Muxiang (0.3 fen); if stagnation and obstruction are severe, add Dahuang (Rhei Radix et Rhizoma, 2 qian), stir-fried with wine. Take for one or two doses; once the stagnation is cleared, discontinue use. If after one dose the stagnation is cleared, there is no need to take a second dose. When using Dahuang for young children, do not rigidly adhere to the 2 qian dosage. The above formula yields miraculous effects when used for three to five days, and is also effective when used for ten days. However, for conditions persisting beyond ten days or half a month, modifications are necessary. These are detailed below.
Modified Decoction
Chuan Lianlian (Coptidis Rhizoma, wine-fried, 0.6 fen; raw use 0.4 fen) Tiao Huangqin (Scutellariae Radix, wine-fried, 0.6 fen; raw use 0.4 fen) Shanzha Rou (Crataegi Fructus pulp, 1 qian) Da Baishao Yao (Paeoniae Radix Alba, large variety, wine-fried, 0.6 fen; raw use 0.4 fen) Guang Juhong (Citri Reticulatae Pericarpium Rubrum, broad variety, 0.4 fen) Nong Qingpi (Citri Reticulatae Pericarpium Viride, dense variety, 0.4 fen) Jian Binglang (Arecae Semen, firm variety, 0.4 fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.3 fen; raw 0.2 fen) Danggui (Angelicae Sinensis Radix, 0.5 qian) Dyu (Sanguisorbae Radix, 0.4 fen) Taoren Fen (Persicae Semen powder, 0.6 fen) Honghua (Carthami Flos, 0.3 fen) Muxiang (Aucklandiae Radix, 0.2 fen)
Cut the above ingredients into slices, process according to standard methods. Decoct with two bowls of water until one bowl remains. Take on an empty stomach. Decoct the dregs again and take. If the condition persists for over a month and the Spleen and Stomach feel weak with loose, slippery stools, the treatment method should shift to tonification and regulation. The specific method is as follows:
Tonifying and Regulating Decoction
Chuan Lianlian (Coptidis Rhizoma, wine-fried, 0.6 fen) Tiao Huangqin (Scutellariae Radix, wine-fried, 0.6 fen) Da Baishao (Paeoniae Radix Alba, large variety, wine-fried, 0.4 fen) Guang Juhong (Citri Reticulatae Pericarpium Rubrum, broad variety, 0.6 fen) Danggui (Angelicae Sinensis Radix, 0.5 qian) Renshen (Ginseng Radix et Rhizoma, 0.5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried, 0.5 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 fen)
Cut the above ingredients into slices, process according to standard methods. Decoct with water. Take on an empty stomach. Decoct the dregs again and take. For the above three formulas, if the patient is pregnant, remove Taoren, Honghua, and Binglang. The above three formulas are effective whenever used. Cases where they are ineffective are invariably due to the premature administration of tonifying agents such as Renshen and Baizhu in the early stages, which seals the pathogenic factor inside. Over time, the healthy Qi becomes deficient while the pathogenic factor becomes more vigorous, leading to lingering and persistent illness. At this stage, attempting to tonify and astringe will aid the pathogen, while attempting to clear and drain will worsen the looseness, eventually leading to incurable states. Even with extraordinary formulas, nothing can be done! This results from the initial misuse of warm-tonifying therapies.