沈（右） 痛泄者久。今年风木在泉，秋冬以来，正当旺气在木，痛痢日剧。自夏徂冬，泄痢辄带鲜血，五日
来腹痛尤甚，痛起之时，竟有不能支撑之势。饮食入胃，上则痞阻，下则欲泄，心中怔悸，有难以名言之
苦，其尤甚之时，似觉心神蒙混，耳鸣头晕。其痛于少腹为重。脉细而两关俱弦。按少腹两旁属肝，居中
为冲脉。今冲气不和，肝木偏亢，其横暴之气，郁怒冲突于中，所以一痛而其重若此也。夫抑而下者为
气，升而上者为阳，阳气鼓荡，则心神为之摇撼，所以有懊 莫名之状也。惟于夏秋之间，便中带血，此
必有湿热参杂其间。此时痛势剧盛若是，惟有伐肝和营，或足以制其暴戾之性。向有喉证，药难飞渡。
仿徐氏上下分治之法，汤丸并进，冀其不致痛极发厥为幸。
杭白芍（二钱甘草三分煎收） 白蒺藜（三钱） 甜广皮（一钱） 炒当归（二钱） 醋炒青皮（一钱） 黄柏炭
（八分） 川连炭（三分） 上徭桂（五分后三味研细米饮为丸烘干开水下）
二诊 昨投温脏清腑，伐肝和营，自夜间至午，痛稍和平，而不能大定。其痛甚之时，以手按之，则势稍
缓，显不在实痛之列。大便自利，犹然带血，心中热辣，时有难名之苦， 杂而不能食。脉两关俱弦，左寸
虚微，尺部细涩，苔白浮糙。良以血去太多，木失涵养，致虚肝肆横，下克脾土，上撼神舍，中流渐无砥柱，
木乘土位，久而不复，延致入损之症也。再拟柔肝之体，而以和胃兼之。
清阿胶（二钱） 乌梅肉（五分） 半夏曲（二钱） 茯苓（三钱） 淮小麦（五钱） 生地炭（四钱）
淮山药（四钱） 当归炭（二钱） 橘白（一钱） 大枣（劈开四枚） 川雅连（三分吴萸汤炒） 杭白芍
（二钱炙草三分煎汁炒）
三诊 投阿胶梅连汤出入，痛势减轻，利下较爽，圊数亦疏。苔虽稠浓，而苔上之糙尽化，脉缓热退。其
为脾阴亏损，肝木势横，可以概见。药既应手，再扩充之。
清阿胶（二钱） 茯苓神（各二钱） 炙乌梅（五分） 生熟谷芽（各一钱五分） 当归炭（二钱）
川雅连（醋炒三分） 炒山药（四钱） 石榴皮（炙一钱五分） 牡蛎（三钱） 泽泻（一钱五分） 龙眼肉
（四枚） 杭白芍（二钱炙草三分煎汁炒） 橘白（一钱）
四诊 投药之后，下利已减至二次，然未及二日，圊数又至五七次之多，色仍紫赤。良以湿热之邪，留
恋于肠腑屈曲之处，不能得楚，而脾阴早已暗伤。差幸肆横之木渐平，剧痛大定。惟心中一痛，辄下鲜
赤，心脾兼亏，致营液渗溢。再参补益心脾。
吉林参（七分） 广木香（三分） 半夏曲（盐水炒二钱） 盐水炒橘白（一钱） 朱茯神（三
钱） 炙乌梅（三分） 远志肉（甘草汤炒五分） 生熟谷芽（各二钱） 当归炭（二钱） 酸枣仁（二
钱炒） 真阿胶（一钱五分） 土炒白芍（二钱）
五诊 叠进补益脾阴，柔和肝木，下痢顿止，痛亦若失，胃亦渐开。半截病魔，却于旬日，殊出望外，可庆
可庆。惟舌苔未化，心中仍似有烦热之意，脉细弦微数。还是湿热未清之象。再从育阴之中，兼清湿热。
炒丹皮（二钱） 黑豆衣（三钱） 炒女贞子（三钱） 蔷薇露（一两） 茯苓（四钱） 金石斛（四
钱） 广橘红（一钱） 炒半夏曲（二钱） 鲜谷露（温冲一两） 川雅连（四分干姜二分煎汁炒）
金（左） 疹回之后，饮食过节，致腹痛泄泻，身复发热。转痢则重。
淡黄芩（一钱五分） 煨葛根（八分） 桔梗（五分） 生甘草（四分） 南楂炭（三钱） 枳壳炭（一
钱） 范志曲（二钱） 木香（五分） 白茯苓（三钱） 炙内金（一钱五分） 广皮（一钱）
二诊 升泄陷里之邪，痛痢仍然不止，里结后重，色白如冻，间带赤腻，脐下拒按不纳不饥，热退不楚。
脉象滑数，舌红苔白。停食阻气，遂令风邪湿热，尽趋于下，转成痢疾。两次病伤，何堪经此波折。再拟苦
辛开通法。
淡芩（一钱五分） 白芍（一钱五分） 广郁金（磨冲二分） 真建曲（三钱） 楂炭（三钱） 枳实（一钱）
茯苓（三钱） 磨木香（三分） 生草（三分） 香连丸（七分先服分二次）
三诊 疏通府气，兼清湿热，解出碎杂散粪。有形之积，已得疏化，理应痛止痢减。乃痢稍减疏，而少腹
作痛，有加无已，且从白转红，粘腻之血，鲜紫杂下，火升颧红，唇色如朱，神情委顿，谷粒不食。脉滑数转
为细弱，舌红苔黄，近根脱液。有形之积虽化，而风湿热从气入血，血液耗残，木失柔养，虚肝肆横，所以
少腹作痛更甚，以少腹居中为冲脉，两旁属肝也。拟酸甘柔润养血。
生地炭（四钱） 当归炭（二钱） 阿胶珠（一钱五分） 生熟草（各三分） 川连炭（五分） 丹皮炭（二钱）
金银花（各一钱五分） 杭白芍（三钱） 隔年香稻根须（五钱如无隔年者用香粳米百粒煎汤代水）
四诊 酸甘柔润养血，痛势稍缓，而下利不减。每交阴分，辄后重气坠，频痢不爽，其营液耗残，略见一
斑。然不纳不饥，红积之外，复有深黑如酱之物杂下，营液既亏，而肠胃湿热郁阻，不克宣通。前法再参
苦辛开通，以冀湿热宣化，而肠胃怫郁开通是幸。
当归炭（二钱） 炒丹皮（二钱） 淡黄芩（一钱五分） 赤白苓（各三钱） 杭白芍（二钱） 炒川连（五分）
炒红曲（一钱五分） 香粳稻须（五钱） 滑石块（三钱） 上徭桂（研后入二分）
五诊 开通大肠怫郁，痢数稍减，红腻略退。但临圊仍然腹痛，后重气坠，不纳不饥。脉数不爽，舌红苔
黄，唇口糜碎。肠胃湿热郁阻，胃浊蒸腾于上，所以不思纳谷。肠中屈曲之处，亦为湿热所阻，府气不能
宣通，所以后重气坠不爽也。再苦辛通以开肠胃怫郁。
川朴（七分） 广皮（八分） 枳壳（一钱） 淡芩（一钱五分） 香稻根须（五钱） 木香（五分）
槟榔（八分） 茯苓（三钱） 川连（酒炒五分）
六诊 疏通肠胃，胸中闭结之浊稍开，渐思纳食，痢亦减疏。然仍腹痛后重，色赤仍如膏冻。脉象细数。
厥阴伏热乘脾，肠胃气机皆阻。再拟苦辛开通，而泄厥阴伏热。必得逐步退轻，方为顺象也。
上广皮（一钱五分） 上川朴（七分） 炮姜炭（二分） 杭白芍（一钱甘草煎汁炒） 制半夏（一钱半）
炒丹皮（二钱） 淡黄芩（一钱五分） 川雅连（姜汁炒五分） 茯苓（三钱） 槟榔（六分磨）
七诊 赤积大退，痛坠略减。所下黄腻起沫者居多，沫属于气，黄属于湿，还是湿热怫郁，欲开不开，蒸
腾于胃。发热颧红，小溲混浊。脉数，舌红苔黄。泄化湿热，疏通肠胃怫郁，是目前之定局也。
川雅连（五分） 制半夏（一钱） 广木香（五分） 淡干姜（二分） 苦桔梗（一钱） 淡芩（一钱五分）
葛根（一钱五分） 杭白芍（酒炒一钱五分） 赤白苓（各一钱五分） 豆卷（三钱） 炒红曲（一钱五分） 六一散
（三
钱包） 鲜荷叶边（炒黄三钱）
八诊 赤积渐退，腹痛稍轻，痢数略减，后重气坠亦松，胃气苏醒，颇思饮食，山根青色亦退，皆属转轻
之象。然痢虽减轻，身复发热，一昼夜不能熟寐。脉数右大，舌红苔黄。痧后少腹先觉不舒，山根色青，遂
借饮食过节而成下痢，厥阴必有伏热，其上中湿热，因内虚而陷入于下。今肠胃怫郁稍开，而湿热充
斥于三焦，所以熏蒸为热。再仿协热下痢治之。
白头翁（二钱） 北秦皮（一钱五分） 朱茯神（三钱） 益元散（包一钱五分） 杭白芍（一钱） 川黄柏（
一钱五分） 川雅连（四分） 淡黄芩（一钱五分） 辰灯心（三尺）
九诊 邪从上中陷入于下，仍使邪还上中，不表而汗，热势因而大退，痢亦大减，后重已松，腹痛渐止，
胃纳大起。种属转机。守效方再望应手。
白头翁（二钱） 川雅连（五分） 淡芩（一钱五分） 川黄柏（一钱五分） 茯神（三钱） 生薏仁（三钱）
辰灯心（三尺） 益元散（三钱包） 北秦皮（一钱五分） 白芍（八分）
左 便利虽止，而肛门如坠，迸迫不舒。服升补之药，下坠不退，脉濡且滑。此湿热压滞，府气下坠。宜苦
泄法。
台白术 枳壳 赤白苓 泽泻 桔梗 防风 制半夏 猪苓 上徭桂（三分）
炒黄柏（七分） 川连（三分三味研末为丸服）
章（左） 痢经数月，而临圊仍然腹痛，当脐动跃，足厥不温，痢色虽赤，而殷淡不鲜。良以脾阳暗伤，湿积
未楚。拟补脏疏腑。
于术 白芍 炙草 奎党参 木猪苓 当归炭 枳实 茯苓 炮姜 木香 泽泻 木香槟榔丸
冯（右） 下痢稍疏，而腹痛仍甚。气湿郁阻将成噤口。
川朴 砂仁 炒红曲 六一散 赤砂糖（炒枯研细入煎） 木香 白芍 广皮 乌药 茯苓 泽泻 荷叶
此方专治血痢，妙在赤砂糖。师云、小肠火府，砂糖入之糖性粘滞，故炒枯用之。（正蒙志）
赵（左） 下痢气坠后重略松，右脉结代较和。其色犹带赤腻。的属湿热之邪尚盛。虽见转机，尚不足恃。
台参须 滑石 白芍 淡干姜 川连 香稻根须
当归（炒） 淡芩 猪苓 砂仁 木香
席（左） 疏补兼施，百次以外之痢，渐减至二十余行，脐下按痛，已得全化，不可不谓起色。无如气怯懒
言，频频哕恶，不能饮食。脉细无神，大有雀啄之意。良以食滞通行，而暑湿热冲斥三焦，致胃气遏伏不
宣，脾气因而涩滞。较昨虽有起色，正虚病实，犹于大局无裨。
台参条（一钱） 炒川连（五分） 广陈皮（一钱） 水炒竹茹（一钱） 广木香（五分） 生姜汁（一匙）
茯苓（三钱） 藕汁（一两隔汤炖热冲） 白粳米一撮，煎汤代水。呕恶甚，先用石莲川连以止呕。
二诊 病稍起色。用生姜泻心汤。
三诊 痢渐减疏，肛门涩滞，亦已爽利，里急亦松，恶心亦定，脉亦起。
川雅连（五分） 半夏（一钱五分） 砂仁（七分） 鲜竹茹（一钱） 赤白苓（各二钱） 甜广皮（一钱）
淡芩（一钱五分） 滑石（三钱） 鲜生姜（四钱） 香稻根（一两五钱） 藕（一两五钱煎汤代水）
此证至后痛痢均减，竟仍不起，正虚也。（清儒附注）
邱（左） 向有痔坠里急，兹则下痢不爽。此暑湿热郁阻肠中，而成滞下，癖染紫霞，未可与寻常并论。
广皮 砂仁 枳壳 白芍 生草 香连丸
木香 滑石 川朴 黄芩 生薏仁
袁（左） 下痢伤阴，湿热尽行化燥。便利虽不甚盛，而口舌糜腐满布。将至虚脱。拟救阴之中，兼清湿热。
清阿胶 炒松生地 金石斛 茯苓 橘红 川雅连 水炒竹茹 白荷花露 佛手露（各温热过
口） 上濂珠（三分） 川贝（四分） 上西黄（四厘三味研细吹口）
某 下痢虽不甚盛，而肛门火热，所下之物，臭秽异常，白腐满布，今白色皆转深黄。此皆湿热化燥，阴
津告竭，车薪杯水，势难与造化争权也。
西洋参（三钱） 北沙参（六钱） 生扁豆（三钱） 淡黄芩（一钱五分） 大麦冬（三钱） 金石斛（四钱）
粉丹皮（二钱） 川雅连（七分） 白荷花露 佛手露（各一两冲）
左 疟后下痢，腹痛甚剧。脉细，苔白质 。有形之积，无形之气，郁阻府中。宜为温通。
范志曲 川朴 砂仁 木香 上湘军 青陈皮 楂炭 附片 茯苓
高 痢疾之后，脾虚湿滞。腰脊不舒，面带微肿。兹则食入运迟，时多沉睡。脉细不爽。此皆脾为湿困，脾
土旋运不及。久恐有胀满之虞。
川朴（一钱） 枳实（一钱） 白术（一钱枳实同炒） 连皮苓（五钱） 砂仁（七分） 广皮（一钱）
香附（二钱） 泽泻（一钱五分） 小温中丸（三钱）
徐（左） 痢后气滞下坠，每至小溲，辄漏粪水。此中气不足，清阳沦陷。拟升补之。
大有 于术 茯苓 炙升麻 生熟谷芽 上安桂 党参 广皮 白芍
此补中益气也。服之效，后用三奇散加砂苓薏泽术木香，续用五苓散方全愈。（正蒙附志）
邵（左） 下痢之后，湿热未清，暑湿蒸动，致下痢复作，色赤粘腻，临圊腹痛。休息情形也。势难急切从事。
枳壳 广皮 川朴 广木香 当归炭 泽泻 砂仁 茯苓 酒炒白芍
朱（右） 久痢不止，临圊仍痛。湿热伏留肠胃屈曲之处。休息情形也。
台冬术 川连炭 白芍 陈皮 上湘军（酒炒后入） 当归炭 丹皮炭 木香 泽泻 茯苓
王（左） 数年前曾经下痢，虽经治愈，然每至夏秋，湿热蒸动，其痢辄发。脉沉而滑。此湿热伏留肠胃，根
蒂未清，所以触之即动也。当以通为止。
广木香 泽泻 川朴 川连 生熟薏仁 赤白苓 广皮 砂仁 炮姜
裘（右） 休息痢迁延数载，临圊作痛。此湿热伏留肠胃屈曲之处，血液由里耗损，天癸自然不行，恐难
以此而便为孕象也。脉细不爽。先为疏通。
丹皮 砂仁 香附 炮姜 泽泻 赤白苓 当归炭 广皮 木香 川连 白芍
Shen (Right) Abdominal pain and diarrhea have persisted for a long time. This year, the Wind-Jueyin Wood Qi is in the lower position; since autumn and winter, it has been the peak season for Wood Qi, causing abdominal pain and dysentery to worsen daily. From summer to winter, diarrhea and dysentery have frequently contained fresh blood. For the past five days, abdominal pain has become particularly severe, so much so that during attacks, one feels unable to support their body. After food enters the stomach, it causes upper epigastric fullness and blockage, while simultaneously triggering the urge to defecate. There is palpitations and anxiety in the heart, with an indescribable suffering. At its worst, there is a sensation of mental confusion, tinnitus, and dizziness. The pain is most severe in the lower abdomen. The pulse is fine and both Guan positions are wiry. Palpation reveals that the sides of the lower abdomen belong to the Liver channel, while the center belongs to the Chong Mai (Penetrating Vessel). Currently, the Qi of the Chong Mai is disharmonious, and Liver Wood is hyperactive. Its violent Qi, constrained by depression and anger, conflicts in the Middle Jiao, which is why the pain is so intense when it occurs. Generally, Qi that presses downward is Yin/Qi, while Yang that rises upward is Yang. When Yang Qi surges and agitates, it shakes the Heart Spirit, leading to the state of indescribable vexation. However, the presence of blood in the stool during summer and autumn indicates that damp-heat must be mixed within. Given the current severity of the pain, only by subduing the Liver and harmonizing the Ying (Nutritive) level can we hope to restrain its violent nature. The patient has a history of throat disorders, making it difficult for medicinal properties to reach the disease site effectively. Following Xu’s method of treating the upper and lower separately, decoctions and pills will be administered together, hoping to prevent syncope due to extreme pain.
Hang Bai Shao (Caulis Paeoniae Alba, 2 qian, processed with Gan Cao decoction) Bai Ji Li (Fructus Tribuli, 3 qian) Tian Guang Pi (Pericarpium Citri Reticulatae, 1 qian) Chao Dang Gui (Radix Angelicae Sinensis, stir-fried, 2 qian) Cu Chao Qing Pi (Pericarpium Citri Reticulatae Viride, vinegar-stir-fried, 1 qian) Huang Bo Tan (Cortex Phellodendri Carbonized, 8 fen) Chuan Lian Tan (Rhizoma Coptidis Carbonized, 3 fen); Shang Yao Gui (Ramulus Cinnamomi, 5 fen, the latter three ingredients are ground into fine powder, formed into pills with rice water, dried, and taken with boiled water).
Second visit: Yesterday, warming the Zang organs and clearing the Fu organs, subduing the Liver and harmonizing the Ying level was attempted. From night until noon, the pain became slightly more peaceful but did not fully settle. When the pain is severe, pressing with the hand alleviates it slightly, indicating clearly that this does not belong to the category of excess pain. Bowel movements occur spontaneously but still contain blood. There is a burning sensation in the heart, accompanied by times of indescribable discomfort, and an inability to eat mixed foods. The pulse shows wiry qualities at both Guan positions; the Left Cun is deficient and faint, while the Chi position is fine and choppy. The tongue coating is white, floating, and rough. This is largely because excessive blood loss has deprived Liver Wood of nourishment, causing the deficient Liver to act recklessly. It suppresses Spleen Earth from below and shakes the House of the Spirit from above. The pillar in the middle stream gradually fails, allowing Wood to invade Earth's position. Over time, without recovery, this prolongs into a consumptive disease. We again propose softening the Liver's substance while harmonizing the Stomach.
Qing E Jiao (Colla Corii Asini, 2 qian) Wu Mei Rou (Semen Mume, 5 fen) Ban Xia Qu (Massa Medicata Fermentata, 2 qian) Fu Ling (Poria, 3 qian) Huai Xiao Mai (Frumentum Hordei, 5 qian) Sheng Di Tan (Radix Rehmanniae Preparata Carbonized, 4 qian) Huai Shan Yao (Rhizoma Dioscoreae, 4 qian) Dang Gui Tan (Radix Angelicae Sinensis Carbonized, 2 qian) Ju Bai (Albedo Citri Reticulatae, 1 qian) Da Zao (Fructus Jujubae, split, 4 pieces); Chuan Ya Lian (Rhizoma Coptidis, 3 fen, stir-fried with Wu Zhu Yu decoction) Hang Bai Shao (Caulis Paeoniae Alba, 2 qian, stir-fried with Zhi Gan Cao decoction).
Third visit: After administering variations of E Jiao Mei Lian Tang, the pain intensity decreased, defecation became smoother, and the frequency of toileting reduced. Although the tongue coating remains thick and dense, the roughness on the coating has completely transformed. The pulse has slowed, and fever has subsided. This confirms Spleen Yin deficiency and the rampant nature of Liver Wood. Since the medication is effective, we will expand upon it.
Qing E Jiao (Colla Corii Asini, 2 qian) Fu Ling Shen (Poria cum Radix Pini, each 2 qian) Zhi Wu Mei (Semen Mume, roasted, 5 fen) Sheng Shu Gu Ya (Semen Setariae Germinatum, raw and prepared, each 1.5 qian) Dang Gui Tan (Radix Angelicae Sinensis Carbonized, 2 qian) Chuan Ya Lian (Rhizoma Coptidis, vinegar-stir-fried, 3 fen) Chao Shan Yao (Rhizoma Dioscoreae, stir-fried, 4 qian) Shi Liu Pi (Pericarpium Granati, roasted, 1.5 qian) Mu Li (Concha Ostreae, 3 qian) Ze Xie (Rhizoma Alismatis, 1.5 qian) Long Yan Rou (Sarcocarpa Longan, 4 pieces) Hang Bai Shao (Caulis Paeoniae Alba, 2 qian, stir-fried with Zhi Gan Cao decoction) Ju Bai (Albedo Citri Reticulatae, 1 qian).
Fourth visit: After taking the medicine, diarrhea reduced to twice, but within two days, the frequency returned to five or seven times, with color remaining purple-red. This is because damp-heat pathogens linger in the convoluted parts of the Intestines and cannot be cleared, while Spleen Yin has already been secretly damaged. Fortunately, the rampant Liver Wood has gradually calmed, and severe pain has mostly settled. However, whenever there is heart pain, fresh red blood follows immediately. Both Heart and Spleen are deficient, causing Ying fluid to seep out. We will further incorporate tonification of Heart and Spleen.
Jilin Ren (Radix Ginseng, 7 fen) Guang Mu Xiang (Radix Aucklandiae, 3 fen) Ban Xia Qu (Massa Medicata Fermentata, salt-water stir-fried, 2 qian) Yan Shui Chao Ju Bai (Albedo Citri Reticulatae, salt-water stir-fried, 1 qian) Zhu Fu Shen (Poria cum Radix Pini et Nitrum, 3 qian) Zhi Wu Mei (Semen Mume, roasted, 3 fen) Yuan Zhi Rou (Radix Polygalae, honey-roasted, 5 fen) Sheng Shu Gu Ya (Semen Setariae Germinatum, raw and prepared, each 2 qian) Dang Gui Tan (Radix Angelicae Sinensis Carbonized, 2 qian) Suan Zao Ren (Semen Ziziphi Spinosae, stir-fried, 2 qian) Zhen E Jiao (Colla Corii Asini, 1.5 qian) Tu Chao Bai Shao (Caulis Paeoniae Alba, earth-stir-fried, 2 qian).
Fifth visit: Continuously tonifying Spleen Yin and softening Liver Wood, the dysentery stopped abruptly, pain disappeared, and the stomach appetite gradually opened. The lingering illness was eliminated within ten days, exceeding expectations, which is commendable. However, the tongue coating has not transformed, and there is still a sense of irritability and heat in the heart. The pulse is fine, wiry, and slightly rapid. This indicates that damp-heat has not yet cleared. We will continue to nourish Yin while clearing damp-heat.
Chao Dan Pi (Cortex Moutan, stir-fried, 2 qian) Hei Dou Yi (Testa Glycines Sojae, 3 qian) Chao Nu Zhen Zi (Fructus Ligustri Lucidi, stir-fried, 3 qian) Qiang Wei Lu (Rosae Rugosae Infusum, 1 liang) Fu Ling (Poria, 4 qian) Jin Shi Hu (Herba Dendrobii, 4 qian) Guang Ju Hong (Exocarpium Citri Reticulatae Rubrum, 1 qian) Chao Ban Xia Qu (Massa Medicata Fermentata, stir-fried, 2 qian) Xian Gu Lu (Hordei Vulgaris Infusum, warm and mixed, 1 liang) Chuan Ya Lian (Rhizoma Coptidis, 4 fen, stir-fried with Gan Jiang decoction).
Jin (Left) After the rash receded, dietary indiscretion led to abdominal pain and diarrhea, followed by recurrent fever. The condition turned into severe dysentery.
Dan Huang Qin (Scutellariae Radix, pale, 1.5 qian) Wei Ge Gen (Puerariae Radix, baked, 8 fen) Jie Geng (Platycodonis Radix, 5 fen) Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, 4 fen) Nan Zha Tan (Fructus Crataegi Carbonized, 3 qian) Zhi Ke Tan (Fructus Aurantii Carbonized, 1 qian) Fan Zhi Qu (Medicated Leaven, 2 qian) Mu Xiang (Radix Aucklandiae, 5 fen) Bai Fu Ling (Poria, 3 qian) Zhi Nei Jin (Endothelium Corneum Gigeriae Galli, roasted, 1.5 qian) Guang Pi (Pericarpium Citri Reticulatae, 1 qian).
Second visit: Attempting to raise and vent pathogens sinking inward, abdominal pain and dysentery persist. There is internal binding and tenesmus. The stool is white like jelly, occasionally mixed with red turbidity. There is tenderness under the navel, refusal to eat, lack of hunger, and fever subsides but discomfort remains. The pulse is slippery and rapid; the tongue is red with a white coating. Food stagnation obstructs Qi flow, causing Wind pathogen and damp-heat to sink downward, transforming into dysentery. Having suffered illness twice, how can one endure such setbacks? We again propose a bitter-pungent unblocking method.
Dan Qin (Scutellariae Radix, pale, 1.5 qian) Bai Shao (Caulis Paeoniae Alba, 1.5 qian) Guang Yu Jin (Radix Curcumae, ground and mixed, 2 fen) Zhen Jian Qu (Medicated Leaven, 3 qian) Zha Tan (Fructus Crataegi Carbonized, 3 qian) Zhi Shi (Fructus Aurantii Immaturus, 1 qian) Fu Ling (Poria, 3 qian) Mo Mu Xiang (Radix Aucklandiae, ground, 3 fen) Sheng Cao (Glycyrrhizae Radix et Rhizoma, raw, 3 fen) Xiang Lian Wan (Compound Pill of Aucklandia and Coptis, 7 fen, taken first, divided into two doses).
Third visit: Unblocking Fu Qi and clearing damp-heat resulted in the passage of fragmented, loose stools. The有形 (solid) accumulation has been resolved, so pain should stop and dysentery decrease. Yet, as dysentery slightly decreases and becomes looser, lower abdominal pain increases relentlessly. The color changes from white to red, with sticky blood, bright purple mixed, emerging. Fire rises, cheeks redden, lips are vermilion, spirit is listless, and no food is eaten. The pulse changes from slippery-rapid to fine-weak; the tongue is red with yellow coating, and fluids are depleted near the root. Although solid accumulation is resolved, wind-damp-heat has moved from Qi level to Blood level, depleting blood. Liver Wood loses soft nourishment, causing deficient Liver to act recklessly, hence lower abdominal pain is worse. The lower abdomen center belongs to Chong Mai, sides to Liver. We propose sour-sweet softening and nourishing Blood.
Sheng Di Tan (Radix Rehmanniae Preparata Carbonized, 4 qian) Dang Gui Tan (Radix Angelicae Sinensis Carbonized, 2 qian) E Jiao Zhu (Colla Corii Asini, pearl-processed, 1.5 qian) Sheng Shu Gan Cao (Glycyrrhizae Radix et Rhizoma, raw and prepared, each 3 fen) Chuan Lian Tan (Rhizoma Coptidis Carbonized, 5 fen) Dan Pi Tan (Cortex Moutan Carbonized, 2 qian) Jin Yin Hua (Flos Lonicerae Japonicae, each 1.5 qian) Hang Bai Shao (Caulis Paeoniae Alba, 3 qian) Ge Nian Xiang Dao Gen Xu (Rootlets of Oryza Sativa from previous year, 5 qian; if unavailable, use 100 grains of fragrant rice decocted as water substitute).
Fourth visit: Sour-sweet softening and nourishing Blood slightly eased pain, but diarrhea persists. Every time entering the Yin phase, tenesmus and Qi sinking occur, with frequent unsatisfactory dysentery. The depletion of Ying fluid is evident. However, refusal to eat and lack of hunger, along with dark black sauce-like matter mixed with red accumulation, indicate that while Ying fluid is deficient, damp-heat stagnates in the intestines and stomach, preventing free flow. We will combine the previous method with bitter-pungent unblocking, hoping for damp-heat transformation and intestinal opening.
Dang Gui Tan (Radix Angelicae Sinensis Carbonized, 2 qian) Chao Dan Pi (Cortex Moutan, stir-fried, 2 qian) Dan Huang Qin (Scutellariae Radix, pale, 1.5 qian) Chi Bai Ling (Poria, red and white, each 3 qian) Hang Bai Shao (Caulis Paeoniae Alba, 2 qian) Chuan Lian (Rhizoma Coptidis, stir-fried, 5 fen) Chao Hong Qu (Massa Medicata Fermentata Rubra, stir-fried, 1.5 qian) Xiang Jing Dao Xu (Rootlets of Oryza Sativa, 5 qian) Hua Shi Kuai (Talcum, 3 qian) Shang Yao Gui (Ramulus Cinnamomi, ground and added last, 2 fen).
Fifth visit: Unblocking intestinal stagnation reduced dysentery frequency slightly, and red turbidity faded somewhat. But upon toileting, abdominal pain and tenesmus persist, along with anorexia. The pulse is rapid but not smooth; tongue is red with yellow coating; lips and mouth are ulcerated. Damp-heat stagnates in intestines and stomach; stomach turbidity steams upward, causing aversion to food. Convoluted parts of intestines are blocked by damp-heat, preventing Fu Qi circulation, causing tenesmus. We again use bitter-pungent unblocking to open intestinal stagnation.
Chuan Po (Cortex Magnoliae Officinalis, 7 fen) Guang Pi (Pericarpium Citri Reticulatae, 8 fen) Zhi Ke (Fructus Aurantii, 1 qian) Dan Qin (Scutellariae Radix, pale, 1.5 qian) Xiang Dao Gen Xu (Rootlets of Oryza Sativa, 5 qian) Mu Xiang (Radix Aucklandiae, 5 fen) Bing Lang (Semen Arecae, 8 fen) Fu Ling (Poria, 3 qian) Chuan Lian (Rhizoma Coptidis, wine-stir-fried, 5 fen).
Sixth visit: Unblocking intestines and stomach allowed some opening of chest closure and turbidity; appetite gradually returns, and dysentery decreases. However, abdominal pain and tenesmus persist, with red color resembling paste. Pulse is fine and rapid. Jueyin latent heat invades Spleen, blocking Qi mechanism in intestines and stomach. We again propose bitter-pungent unblocking and draining Jueyin latent heat. Gradual improvement is the favorable sign.
Shang Guang Pi (Pericarpium Citri Reticulatae, 1.5 qian) Shang Chuan Po (Cortex Magnoliae Officinalis, 7 fen) Pao Jiang Tan (Rhizoma Zingiberis Preparatum Carbonized, 2 fen) Hang Bai Shao (Caulis Paeoniae Alba, 1 qian, stir-fried with Gan Cao decoction) Zhi Ban Xia (Rhizoma Pinelliae Preparatum, 1.5 qian) Chao Dan Pi (Cortex Moutan, stir-fried, 2 qian) Dan Huang Qin (Scutellariae Radix, pale, 1.5 qian) Chuan Ya Lian (Rhizoma Coptidis, ginger juice-stir-fried, 5 fen) Fu Ling (Poria, 3 qian) Bing Lang (Semen Arecae, ground, 6 fen).
Seventh visit: Red accumulation greatly reduced, pain and tenesmus slightly relieved. Most discharged material is yellow, turbid, and frothy. Froth relates to Qi, yellow relates to dampness. Damp-heat is still stagnant, wanting to open but failing, steaming in the Stomach. Fever, cheek redness, and turbid urine. Pulse is rapid; tongue is red with yellow coating. Draining damp-heat and unblocking intestinal stagnation is the current fixed strategy.
Chuan Ya Lian (Rhizoma Coptidis, 5 fen) Zhi Ban Xia (Rhizoma Pinelliae Preparatum, 1 qian) Guang Mu Xiang (Radix Aucklandiae, 5 fen) Dan Gan Jiang (Rhizoma Zingiberis Recens, pale, 2 fen) Ku Jie Geng (Platycodonis Radix, bitter, 1 qian) Dan Qin (Scutellariae Radix, pale, 1.5 qian) Ge Gen (Puerariae Radix, 1.5 qian) Hang Bai Shao (Caulis Paeoniae Alba, wine-stir-fried, 1.5 qian) Chi Bai Ling (Poria, red and white, each 1.5 qian) Dou Juan (Vigna Angularis Sprout, 3 qian) Chao Hong Qu (Massa Medicata Fermentata Rubra, stir-fried, 1.5 qian) Liu Yi San (Six-to-One Powder, 3 qian, wrapped) Xian He Ye Bian (Folium Nelumbinis, fried yellow, 3 qian).
Eighth visit: Red accumulation gradually recedes, abdominal pain lightens, dysentery frequency slightly reduces, tenesmus relaxes, stomach energy awakens, craving food increases, and cyanosis at Shan Gen fades. All signs of improvement. However, despite lighter dysentery, fever recurs, preventing deep sleep all day and night. Pulse is rapid, right side large; tongue is red with yellow coating. Post-rash lower abdominal discomfort and cyanosis at Shan Gen, combined with dietary indiscretion, led to dysentery. Jueyin must have latent heat; upper/middle jiao damp-heat sank due to internal deficiency. Now intestinal stagnation slightly opens, but damp-heat fills the Triple Burner, causing steaming fever. We follow the treatment for dysentery with accompanying heat.
Bai Tou Weng (Herba Pulsatillae, 2 qian) Bei Qin Pi (Cortex Fraxini, 1.5 qian) Zhu Fu Shen (Poria cum Radix Pini et Nitrum, 3 qian) Yi Yuan San (Benefit Origin Powder, wrapped, 1.5 qian) Hang Bai Shao (Caulis Paeoniae Alba, 1 qian) Chuan Huang Bo (Cortex Phellodendri, 1.5 qian) Chuan Ya Lian (Rhizoma Coptidis, 4 fen) Dan Huang Qin (Scutellariae Radix, pale, 1.5 qian) Chen Deng Xin (Ammoherba Sparganii, 3 chi).
Ninth visit: Pathogens sinking from upper/middle to lower are guided back up. Without inducing sweating, heat significantly subsides, dysentery greatly reduces, tenesmus relaxes, abdominal pain stops, and appetite increases. This is a turning point. Adhering to the effective formula, we hope for continued success.
Bai Tou Weng (Herba Pulsatillae, 2 qian) Chuan Ya Lian (Rhizoma Coptidis, 5 fen) Dan Qin (Scutellariae Radix, pale, 1.5 qian) Chuan Huang Bo (Cortex Phellodendri, 1.5 qian) Fu Shen (Poria cum Radix Pini, 3 qian) Sheng Yi Ren (Semen Coicis, raw, 3 qian) Chen Deng Xin (Ammoherba Sparganii, 3 chi) Yi Yuan San (Benefit Origin Powder, wrapped, 3 qian) Bei Qin Pi (Cortex Fraxini, 1.5 qian) Bai Shao (Caulis Paeoniae Alba, 8 fen).
Zuo Defecation has stopped, but anus feels heavy and pressing uncomfortably. Taking rising-tonifying herbs did not relieve heaviness; pulse is soggy and slippery. This is damp-heat stagnation causing Fu Qi to sink. Bitter-draining method is suitable.
Tai Bai Zhu (Rhizoma Atractylodis Macrocephalae, Tai variety) Zhi Ke (Fructus Aurantii) Chi Bai Ling (Poria, red and white) Ze Xie (Rhizoma Alismatis) Jie Geng (Platycodonis Radix) Fang Feng (Radix Saposhnikoviae) Zhi Ban Xia (Rhizoma Pinelliae Preparatum) Zhu Ling (Polyporus) Shang Yao Gui (Ramulus Cinnamomi, 3 fen) Chao Huang Bo (Cortex Phellodendri, stir-fried, 7 fen) Chuan Lian (Rhizoma Coptidis, 3 fen; last three ingredients ground into powder for pill intake).
Zhang (Left) Dysentery has lasted months, yet defecation still brings abdominal pain, jumping at the umbilicus, cold feet. Stool is red but dull, not bright. Spleen Yang is secretly damaged, damp accumulation unresolved. Propose tonifying Zang and unblocking Fu.
Yu Zhu (Rhizoma Atractylodis Macrocephalae) Bai Shao (Caulis Paeoniae Alba) Zhi Cao (Glycyrrhizae Radix et Rhizoma, roasted) Kui Dang Shen (Radix Codonopsis, Kwei variety) Mu Zhu Ling (Poria, wood core removed) Dang Gui Tan (Radix Angelicae Sinensis Carbonized) Zhi Shi (Fructus Aurantii Immaturus) Fu Ling (Poria) Pao Jiang (Rhizoma Zingiberis Preparatum) Mu Xiang (Radix Aucklandiae) Ze Xie (Rhizoma Alismatis) Mu Xiang Bing Lang Wan (Pill of Aucklandia and Areca).
Feng (Right) Dysentery slightly less frequent, but abdominal pain remains severe. Qi and dampness stagnation threatens to cause "Jin Kou" (closed-mouth) dysentery.
Chuan Po (Cortex Magnoliae Officinalis) Sha Ren (Fructus Amomi) Chao Hong Qu (Massa Medicata Fermentata Rubra, stir-fried) Liu Yi San (Six-to-One Powder) Chi Sha Tang (Brown Sugar, burnt and ground, added to decoction) Mu Xiang (Radix Aucklandiae) Bai Shao (Caulis Paeoniae Alba) Guang Pi (Pericarpium Citri Reticulatae) Wu Yao (Radix Linderae) Fu Ling (Poria) Ze Xie (Rhizoma Alismatis) He Ye (Folium Nelumbinis).
This formula specifically treats bloody dysentery; its brilliance lies in Brown Sugar. Master said: Small Intestine is the Fire Mansion; sugar enters it. Sugar is sticky and cloying, so it is burnt before use. (Zheng Meng Zhi)
Zhao (Left) Lower abdominal Qi sinking and tenesmus slightly relaxed; Right pulse intermitting is more harmonious. Color still carries red turbidity. Indeed, damp-heat pathogen is still abundant. Although signs of turning appear, they are not reliable.
Tai Shen Xu (Radix Ginseng, beard) Hua Shi (Talcum) Bai Shao (Caulis Paeoniae Alba) Dan Gan Jiang (Rhizoma Zingiberis Recens, pale) Chuan Lian (Rhizoma Coptidis) Xiang Dao Gen Xu (Rootlets of Oryza Sativa) Dang Gui (Radix Angelicae Sinensis, stir-fried) Dan Qin (Scutellariae Radix, pale) Zhu Ling (Polyporus) Sha Ren (Fructus Amomi) Mu Xiang (Radix Aucklandiae).
Xi (Left) Unblocking and tonifying combined. Dysentery over a hundred times gradually reduced to twenty-plus movements. Tenderness under umbilicus is fully resolved, showing improvement. However, Qi is timid, speech is reluctant, frequent hiccups and nausea, inability to eat. Pulse is fine and spiritless, resembling Sparrow-pecking pulse. Food stagnation has passed, but Summer-Heat-Damp fills the Triple Burner, suppressing Stomach Qi and stagnating Spleen Qi. Compared to yesterday, there is improvement, but deficiency of Zheng and excess of disease remain detrimental overall.
Tai Shen Tiao (Radix Ginseng, strip, 1 qian) Chuan Lian (Rhizoma Coptidis, stir-fried, 5 fen) Guang Chen Pi (Pericarpium Citri Reticulatae, 1 qian) Shui Chao Zhu Ru (Caulis Bambusae in Taenia, water-stir-fried, 1 qian) Guang Mu Xiang (Radix Aucklandiae, 5 fen) Sheng Jiang Zhi (Jucundum Zingiberis Recens, 1 spoon) Fu Ling (Poria, 3 qian) Ou Zhi (Succus Nelumbinis Rhizomatis, 1 liang, warmed in boiling water and mixed) Bai Jing Mi (Oryza Sativa, white, a pinch, decocted as water). If vomiting is severe, first use Shi Lian and Chuan Lian to stop vomiting.
Second visit: Condition slightly improved. Use Sheng Jiang Xie Xin Tang.
Third visit: Dysentery gradually reduces, anal涩滞 (stagnation) clears, tenesmus relaxes, nausea settles, pulse rises.
Chuan Ya Lian (Rhizoma Coptidis, 5 fen) Ban Xia (Rhizoma Pinelliae, 1.5 qian) Sha Ren (Fructus Amomi, 7 fen) Xian Zhu Ru (Caulis Bambusae in Taenia, fresh, 1 qian) Chi Bai Ling (Poria, red and white, each 2 qian) Tian Guang Pi (Pericarpium Citri Reticulatae, sweet, 1 qian) Dan Qin (Scutellariae Radix, pale, 1.5 qian) Hua Shi (Talcum, 3 qian) Xian Sheng Jiang (Rhizoma Zingiberis Recens, fresh, 4 qian) Xiang Dao Gen (Rootlets of Oryza Sativa, 1.5 liang) Ou (Rhizoma Nelumbinis, 1.5 liang, decocted as water).
This case, despite reduction in pain and dysentery towards the end, ultimately failed to recover due to deficiency of Zheng. (Qing Ru Annotation)
Qiu (Left) Previously had hemorrhoid prolapse and tenesmus; now suffers from unsatisfactory dysentery. Summer-Heat-Damp stagnates in intestines, forming stagnation dysentery. Purple-red discoloration suggests complexity, not comparable to ordinary cases.
Guang Pi (Pericarpium Citri Reticulatae) Sha Ren (Fructus Amomi) Zhi Ke (Fructus Aurantii) Bai Shao (Caulis Paeoniae Alba) Sheng Cao (Glycyrrhizae Radix et Rhizoma, raw) Xiang Lian Wan (Compound Pill of Aucklandia and Coptis) Mu Xiang (Radix Aucklandiae) Hua Shi (Talcum) Chuan Po (Cortex Magnoliae Officinalis) Huang Qin (Scutellariae Radix) Sheng Yi Ren (Semen Coicis, raw).
Yuan (Left) Dysentery damages Yin; damp-heat transforms entirely into dryness. Defecation is not severe, but mouth and tongue are covered with ulcers. Approaching collapse. Propose saving Yin while clearing damp-heat.
Qing E Jiao (Colla Corii Asini) Chao Song Sheng Di (Radix Rehmanniae Preparata, stir-fried with pine nuts) Jin Shi Hu (Herba Dendrobii) Fu Ling (Poria) Ju Hong (Exocarpium Citri Reticulatae Rubrum) Chuan Ya Lian (Rhizoma Coptidis) Shui Chao Zhu Ru (Caulis Bambusae in Taenia, water-stir-fried) Bai He Hua Lu (Rosae Infusum, white) Fo Shou Lu (Citri Sarcodactylis Infusum, each warmed before ingestion) Shang Lian Zhu (Corallium Rubrum, 3 fen) Chuan Bei (Bulbus Fritillariae Cirrhosae, 4 fen) Shang Xi Huang (Moschus, 4 li; last three ground fine and blown into mouth).
Mou Dysentery is not severe, but anus feels hot. Discharged matter is extremely foul-smelling, covered with white putrefaction, now turning deep yellow. This is damp-heat transforming into dryness, Yin fluids exhausted. Like adding firewood to a cart or a cup of water to a bonfire, it is impossible to contend with Nature.
Xi Yang Shen (Radix Panacis Quinquefolii, Western Ginseng, 3 qian) Bei Sha Shen (Radix Glehniae, 6 qian) Sheng Bian Dou (Semen Dolichoris Lablabis, raw, 3 qian) Dan Huang Qin (Scutellariae Radix, pale, 1.5 qian) Da Mai Dong (Radix Ophiopogonis, 3 qian) Jin Shi Hu (Herba Dendrobii, 4 qian) Fen Dan Pi (Cortex Moutan, powdered, 2 qian) Chuan Ya Lian (Rhizoma Coptidis, 7 fen) Bai He Hua Lu (Rosae Infusum, white) Fo Shou Lu (Citri Sarcodactylis Infusum, each 1 liang, mixed).
Zuo Post-malaria dysentery, severe abdominal pain. Pulse is fine, tongue white, texture [missing]. Solid accumulation and formless Qi stagnate in Fu organs. Warm-unblocking is indicated.
Fan Zhi Qu (Medicated Leaven) Chuan Po (Cortex Magnoliae Officinalis) Sha Ren (Fructus Amomi) Mu Xiang (Radix Aucklandiae) Shang Xiang Jun (Rhizoma Pinelliae, Shang variety) Qing Chen Pi (Pericarpium Citri Reticulatae, green and aged) Zha Tan (Fructus Crataegi Carbonized) Fu Pian (Radix Aconiti Lateralis Preparata, slice) Fu Ling (Poria).
Gao Post-dysentery, Spleen deficiency with damp stagnation. Waist and spine uncomfortable, face slightly swollen. Digestion is slow after eating, frequent deep sleep. Pulse is fine and not smooth. Spleen is confined by damp, rotation insufficient. Fear of bloating in the long run.
Chuan Po (Cortex Magnoliae Officinalis, 1 qian) Zhi Shi (Fructus Aurantii Immaturus, 1 qian) Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 qian, stir-fried with Zhi Shi) Lian Pi Ling (Poria with skin, 5 qian) Sha Ren (Fructus Amomi, 7 fen) Guang Pi (Pericarpium Citri Reticulatae, 1 qian) Xiang Fu (Rhizoma Cyperi, 2 qian) Ze Xie (Rhizoma Alismatis, 1.5 qian) Xiao Wen Zhong Wan (Minor Pill Warming the Center, 3 qian).
Xu (Left) Post-dysentery Qi stagnation and sinking. Leakage of fecal water during urination. Middle Qi deficiency, Clear Yang sinking. Propose rising-tonifying.
Da You (Major Variety) Yu Zhu (Rhizoma Atractylodis Macrocephalae) Fu Ling (Poria) Zhi Sheng Ma (Rhizoma Cimicifugae, roasted) Sheng Shu Gu Ya (Semen Setariae Germinatum, raw and prepared) Shang An Gui (Ramulus Cinnamomi, Shang variety) Dang Shen (Radix Codonopsis) Guang Pi (Pericarpium Citri Reticulatae) Bai Shao (Caulis Paeoniae Alba).
This is Bu Zhong Yi Qi Tang. Effective after taking. Later used San Qi San plus Sha Ling Yi Ze Zhu Mu Xiang, continuing with Wu Ling San for full recovery. (Zheng Meng Appendix)
Shao (Left) Post-dysentery, damp-heat not cleared. Summer-damp steams, causing recurrence of dysentery, red and sticky, painful defecation. Relapsing dysentery pattern. Difficult to treat urgently.
Zhi Ke (Fructus Aurantii) Guang Pi (Pericarpium Citri Reticulatae) Chuan Po (Cortex Magnoliae Officinalis) Guang Mu Xiang (Radix Aucklandiae) Dang Gui Tan (Radix Angelicae Sinensis Carbonized) Ze Xie (Rhizoma Alismatis) Sha Ren (Fructus Amomi) Fu Ling (Poria) Jiu Chao Bai Shao (Caulis Paeoniae Alba, wine-stir-fried).
Zhu (Right) Chronic dysentery persists, painful defecation. Damp-heat lingers in intestinal convolutions. Relapsing dysentery pattern.
Tai Dong Zhu (Rhizoma Atractylodis Macrocephalae, Tai variety) Chuan Lian Tan (Rhizoma Coptidis Carbonized) Bai Shao (Caulis Paeoniae Alba) Chen Pi (Pericarpium Citri Reticulatae) Shang Xiang Jun (Rhizoma Pinelliae, Shang variety, wine-stir-fried then added) Dang Gui Tan (Radix Angelicae Sinensis Carbonized) Dan Pi Tan (Cortex Moutan Carbonized) Mu Xiang (Radix Aucklandiae) Ze Xie (Rhizoma Alismatis) Fu Ling (Poria).
Wang (Left) Had dysentery years ago, cured, but recurs every summer/autumn when damp-heat steams. Pulse deep and slippery. Damp-heat lingers in intestines, roots not cleared, hence triggered easily. Treat obstruction to achieve cessation.
Guang Mu Xiang (Radix Aucklandiae) Ze Xie (Rhizoma Alismatis) Chuan Po (Cortex Magnoliae Officinalis) Chuan Lian (Rhizoma Coptidis) Sheng Shu Yi Ren (Semen Coicis, raw and prepared) Chi Bai Ling (Poria, red and white) Guang Pi (Pericarpium Citri Reticulatae) Sha Ren (Fructus Amomi) Pao Jiang (Rhizoma Zingiberis Preparatum).
Qiu (Right) Relapsing dysentery persists for years, painful defecation. Damp-heat lingers in intestinal convolutions, blood consumed internally, Tian Gui (menstruation) naturally ceases. Hard to assume pregnancy based on this. Pulse fine and not smooth. First, unblock.
Dan Pi (Cortex Moutan) Sha Ren (Fructus Amomi) Xiang Fu (Rhizoma Cyperi) Pao Jiang (Rhizoma Zingiberis Preparatum) Ze Xie (Rhizoma Alismatis) Chi Bai Ling (Poria, red and white) Dang Gui Tan (Radix Angelicae Sinensis Carbonized) Guang Pi (Pericarpium Citri Reticulatae) Mu Xiang (Radix Aucklandiae) Chuan Lian (Rhizoma Coptidis) Bai Shao (Caulis Paeoniae Alba).