〔总论〕 治痢大法。当祖述内经。参考诸家名论。方能尽善。或六淫之邪侵于外。或
饮食之积伤于内。间或岁时疫气流行。皆能致痢。其病大率至三秋而发者。盖暑湿之邪偏多。
伤气分则白。伤血分则赤。赤白相兼。气血俱病。焦黄色者。食积也。绿豆汁色者。湿也。
纯血无粪者。热毒极深也。杂下散血者。内伤也。五色备者。五脏俱受病也。青碧色者。有
风邪。肝气实也。当分内伤外感。虚实寒热而施治。初起头疼发热。四肢酸痛者。宜表散微
汗之。勿骤服攻里之药。倘口干舌黄。里急后重。或日下数十行者。则攻里又不容缓矣。手
足热能食为实。手足冷不能食为虚。古人以行血调气为主。行血则便脓自愈。调气则后重自
除。三五日内。宜通因通用。不可即服收涩之药而遽止之。必变生他病。惟日久正气虚而不
止者。然后用补涩之剂。更须节饮食。慎起居。忌一切油腻面果之物。若宿滞未除。又增新
积。肠胃何由而清。元气何由而复。渐至痞满恶食。成噤口痢。多至不救者有之。痢稍久不
宜下。胃虚故也。属热滞者十之六七。亦有虚而寒者。虚者宜补。寒者宜温。老年及虚弱人
不宜下。
〔主方〕 黄连。（酒炒一钱半）黄芩。（酒炒二钱半）白芍。（酒炒二钱）木香。枳壳。
（炒
各一钱）槟榔。（五分）炙甘草。（三分） 腹痛加当归。（一钱半）缩砂。（一钱）再加木香。
白
芍。（各五分） 后重小便涩。加滑石。（炒一钱半） 白痢加白术。（炒）白茯苓。（炒）滑
石。
陈皮。（各一钱）烦躁闭急。再加大黄。（五钱）兼食积者。加山楂。枳实。（各一钱） 红
痢加
当归。川芎。桃仁。（各一钱半）初欲下之。再加大黄。（五钱） 红白相杂。加当归。川芎。
桃仁。（各一钱半）以理血。滑石。陈皮。苍术。（炒各一钱半）以理气。有食积。亦加山楂。
枳实。 赤黑相杂。小便赤涩者。加木通。泽泻。茯苓。（各一钱）黑山栀。（五分）以分利
之。
〔痢疾初起〕 水红花近水边者取花叶晒。 炒。研。每服三钱。红痢蜜汤下。白痢砂糖汤
下。 山楂肉。（炒炭研末三钱）槟榔。（一钱焙研末）陈细茶。（二钱研）红痢蜜汤下。白
痢加
橘红。（五分）木香。（六分）同研末。砂糖调服即效。 千金方用薤白一握。细切煮粥食即
止
。灰苋菜子。（连叶阴干研末）每服三钱。砂糖调下。
〔白痢〕 痢下白脓不止。白面。（炒熟筛）煮米粥将好。入面和匀食之。即日痢百行。
亦能见效。 痢下如鱼冻。用白鸭血好酒冲热服。
〔冷痢腹痛〕 肉豆蔻一两去皮。醋和面裹煨捣末。每服一钱。米饮下。即饮食不进者。
亦能见效。 如食蟹冷痢。用鲜藕节洗净。捣碎煮汁热服。 白痢如冻胶。如鼻涕者。又宜
干姜。缩砂。浓朴。肉桂之类温之。
〔热痢〕 痢下纯血鲜红。小便热涩而痛。脉息滑实有力。畏热喜冷。躁急多烦。益元
散。（方见暑症门。）每服三钱。新汲井水调服。以好为止。车前草。（取子叶）捣汁一杯。
入白蜜半杯调服。或用大黄（一两酒浸一日去酒）水煎匀。两次服。或加入煎药内服。
〔血痢〕 韭菜连根捣汁一杯。和酒一杯。温服最效。 荷叶蒂水煎服亦效。 臭椿树。
（取根上白皮）枯矾。（各一两）槐米。（二两）炙甘草。（五钱）俱为末。水法为丸。每服
三钱。
米饮下。日两服。 血痢诸药不效。垂危者。取臭椿根白皮。五钱。酒二杯。煎一杯服下即
效。屡验。 痢下纯血。麻仁汁。绿豆同煮食即效。 饮食不进。疼痛不可忍者。用延胡索
（炒为末）三钱。米饮调下立止。或淡酒温下。 痢下清血。腹中刺痛。樗树根白皮切片炒。
研末。米醋丸。如桐子大。空心米饮下三五十丸。
〔酒痢〕 痢血腹痛。或如鱼脑五色者。老丝瓜一条。连皮烧研。空心酒服二钱。以好
为度
〔不论赤白久痢〕 白扁豆花照本人每岁一朵。加冰糖三钱。陈细茶三钱。水一碗煎至
六分服。缓一顿饭间。再用红扁豆花如前法煎服。屡验。
〔久痢不愈〕 桑树蛀虫屎炒燥。研细。筛过。砂糖调服即效。
〔肛门痛〕 久痢痛不可忍。炒食盐布包温熨之。或用枳实炙热熨之。熟艾。黄蜡。诃
子。烧烟熏之。
〔痢后脱肛〕 赤石脂。伏龙肝。（即灶心土。）研细敷之。 五倍子三钱。研入。白矾
一块。水碗半煎汤洗之。 大肠虚冷脱肛。用蜗牛。（一两焙燥烧灰）猪脂调和。敷之立缩。
最效。
〔清暑丸〕 治痢疾不拘红白。日夜。无度。里急后重等症。用猪苓。（酒炒）赤芍。
广
皮。乌药。玄胡索。（淡醋汤炒）生甘草。（切片晒燥研末各二两）葛根。（三两）黄芩。（三
两
酒炒）泽泻。（四两。盐水拌炒）广木香。（一两切片研）俱为细末。用青蒿。（三两）苏叶。
（二
两）煎浓汤洒药末上。如水法为丸。外用白云苓。（四两研末）滑石。（八两水飞研）为衣。
每
服三钱。以白扁豆花。（二十朵）鲜荷叶。（三钱）同煎汤吞下。或用陈年萝卜菜干。煎汤下
更
效。服一二次后。屡试立效。忌油腻荤腥。面、蛋、生冷、数日。如酷热之后。宜多备济人。
惟白痢如鱼冻者勿服。水泻勿服。
〔噤口痢〕 古方用石莲肉。二钱为末。陈米饮下。但石莲如无真者。用藕汁煮熟。稍
加砂糖频服。兼进多年陈米稀糜。调其胃口必效。 丹溪方。用人参。（二钱）黄连。（一钱
姜汁炒）水煎浓。终日细细呷之。如吐再服。但得一呷下咽便开。又宜引热下行。用田螺一
个捣碎。入麝香少许。罨脐中即效。 大蒜捣烂贴足心。（并治小儿。） 水蛙。（即田鸡一
个。）连肚肠捣烂。新瓦上烘热。入麝香三分。贴脐上气通即食。 金鲤鱼一尾。（重一二斤
者。治净。）用葱酱入胡椒三五分煮熟。令病患嗅之。欲食随意食之。即效。 乌梅一斤敲
碎。置盆中。用滚水十余碗泡熟。令病患坐盆上。待热气冲上肛门。温即洗。其人如睡去。
即扶上床。煎陈米粥汤候之。如思食即食半碗。少顷再饮。不宜多。若小儿减半治之。 诸
药不效者。用水仙子。（即粪缸中蛆。）洗净。瓦上焙干为末。每服一二匙。米饮调下。便能
思食
凡噤口痢。如头痛。心烦。手足温热。未尝多服凉药。察其脉症。脾胃不弱者。乃毒瓦斯
上冲心肺。以致呕而不食。宜用败毒散。（茯苓。川芎。柴胡。前胡。桔梗。羌活。独活。
枳壳。生甘草。）各等分。每服四钱。加陈仓米百粒。生姜三片。枣一枚。水煎温服。 若
脉气微弱。或心腹膨胀。手足厥冷。初病则不呕。因服罂粟。乌梅。苦涩凉药太过。以致闻
食先呕者。乃脾胃虚弱。用山药。（一半生。一半熟。）炒为末。米饮下。 若虚寒甚。脉弱
者。须理中汤治之。（人参。炒白术。炮干姜。炙甘草。）各一钱。水煎服。
〔渴痢不止〕 羊肺一具。和盐豉作羹食。三次即愈。
[General Principles] The general principle for treating dysentery should follow the *Neijing* (Classic of Internal Medicine), referencing the famous theories of various schools, to achieve perfection. It may be caused by the invasion of the six excess pathogens (Six Excesses) from outside, or damage to the interior from dietary accumulation, or occasionally by the prevalence of seasonal epidemic qi. All can lead to dysentery. This disease generally occurs in late summer and early autumn because there is an abundance of summer-heat and dampness pathogens. Injury to the Qi level results in white stools; injury to the Blood level results in red stools. Mixed red and white indicates both Qi and Blood are affected. Charcoal-yellow color indicates food stagnation; mung bean juice color indicates dampness. Pure blood without feces indicates extreme deep heat-toxin; mixed discharge of scattered blood indicates internal injury; presence of five colors indicates all five Zang organs are diseased. Greenish-blue color indicates wind-pathogen and excess Liver Qi. Treatment must distinguish between internal injury and external contraction, deficiency and excess, cold and heat. In the initial stage, if accompanied by headache, fever, and soreness/pain in the four limbs, it is appropriate to use exterior-releasing methods to induce slight sweating; do not abruptly administer purgatives for interior excess. If there is dry mouth, yellow tongue coating, tenesmus (urgent sensation with heavy feeling in the rectum), or defecation dozens of times a day, then purging the interior cannot be delayed. Heat in hands and feet with ability to eat indicates excess; cold hands and feet with inability to eat indicates deficiency. Ancients emphasized regulating Blood and moving Qi as the main approach: regulating Blood allows pus-blood stools to heal naturally; moving Qi eliminates tenesmus. Within three to five days of onset, one should employ "treat obstruction with unblocking" (using purgatives for obstructive symptoms); do not immediately use astringents to forcibly stop diarrhea, otherwise other diseases will arise. Only when the condition persists for a long time, righteous Qi is deficient, and diarrhea does not stop, should tonifying and astringent formulas be used. Furthermore, one must regulate diet, be cautious in daily life, and avoid all greasy foods, wheat products, and fruits. If old stagnation is not cleared and new accumulation increases, how can the intestines and stomach become clear? How can Yuan Qi recover? Gradually progressing to epigastric fullness and aversion to food, forming Anorexic Dysentery (Jinkou Li), often leading to untreatable cases. For dysentery that has persisted for some time, purgatives are unsuitable due to Stomach deficiency. Heat-stagnation accounts for 60-70%, while deficiency-cold also exists. Deficiency requires tonification; cold requires warming. Elderly and weak persons should not use purgatives.
[Main Formula] Huanglian (Coptidis Rhizoma, stir-fried with wine, 1.5 qian), Huangqin (Scutellariae Radix, stir-fried with wine, 2.5 qian), Baishao (Paeoniae Radix Alba, stir-fried with wine, 2 qian), Muxiang (Aucklandiae Radix), Zhike (Aurantii Fructus Immaturus, stir-fried, each 1 qian), Binglang (Arecae Semen, 0.5 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata cum Melle, 0.3 qian). Add Danggui (Angelicae Sinensis Radix, 1.5 qian) and Suasha (Amomi Fructus Rotundus, 1 qian) for abdominal pain; add more Muxiang and Baishao (each 0.5 qian). Add Huashi (Talcum, stir-fried, 1.5 qian) for tenesmus and astringent/difficult urination. For white dysentery, add Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Baifuling (Poria, stir-fried), Huashi, and Chenpi (Citri Reticulatae Pericarpium, each 1 qian). For irritability and closure/urgency, add Dahuang (Rhei Radix et Rhizoma, 5 qian). For concurrent food stagnation, add Shanzha (Crataegi Fructus) and Zhishi (Aurantii Fructus Immaturus, each 1 qian). For red dysentery, add Danggui, Chuanxiong (Ligustici Chuanxiong Rhizoma), and Taoren (Persicae Semen, each 1.5 qian). If initially using purgation, add Dahuang (5 qian). For mixed red and white, add Danggui, Chuanxiong, Taoren (each 1.5 qian) to regulate Blood; add Huashi, Chenpi, Cangzhu (Atractylodis Rhizoma, stir-fried, each 1.5 qian) to regulate Qi. If food stagnation exists, also add Shanzha and Zhishi. For mixed red-black and reddish-difficult urination, add Mutong (Akebiae Caulis), Zexie (Alismatis Rhizoma), Fuling (Poria, each 1 qian), and Heishanzhi (Gardeniae Fructus Nigra, 0.5 qian) to separate and drain turbidity.
[Dysentery Onset] Collect flowers and leaves of Honghua (Polygoni Multiflori Caulis/Vine near water), dry in sun, stir-fry, and grind into powder. Take 3 qian per dose. For red dysentery, take with honey water; for white dysentery, take with sugar water. Shanzha Rou (Crataegi Fructus, stir-fried to charcoal, ground powder, 3 qian), Binglang (Arecae Semen, baked and ground powder, 1 qian), Chen Xicha (Aged fine tea, ground, 2 qian). For red dysentery, take with honey water; for white dysentery, add Juhong (Citri Reticulatae Pericarpium Rubrum, 0.5 fen) and Muxiang (0.6 fen), grind together, and take with sugar water for immediate effect. Qianjin Fang uses Xiebai (Allii Macrostemonis Bulbus, one handful), finely cut and boiled into porridge to stop dysentery. Hui Xiancaizi (Chenopodium Album Seed, dried in shade with leaves, ground powder), take 3 qian per dose with sugar water.
[White Dysentery] For continuous discharge of white pus, use Baifan (Triticum aestivum flour, stir-fried and sifted). Mix into rice porridge just before it is done and eat. Even if defecating over a hundred times that day, it will be effective. For discharge resembling fish jelly, use White Duck Blood (Anas platyrhynchos domestica blood) mixed with good liquor, taken hot.
[Cold Dysentery with Abdominal Pain] Roudoukou (Myristicae Semen, 1 liang, peeled), wrapped in dough mixed with vinegar, roasted, and ground to powder. Take 1 qian per dose with rice drink. Effective even if unable to eat. For cold dysentery caused by eating crab, wash fresh Oujie (Nymphaeae Nelumbinis Rhizomatis Node), crush, boil juice, and take hot. For white dysentery resembling frozen glue or nasal mucus, warm herbs such as Ganjiang (Zingiberis Rhizoma), Suosha (Amomi Fructus Rotundus), Houpo (Magnoliae Officinalis Cortex), and Rougui (Cinnamomi Cortex) should be used to warm.
[Heat Dysentery] Discharge of pure bright red blood, hot/astringent painful urination, slippery/excess-strong pulse, aversion to heat and preference for cold, irritability/urgency/multitude of vexation. YiYuan San (Formula seen in Summer-heat Chapter), take 3 qian per dose, mixed with newly drawn well water, until improvement. Cheqiancao (Plantaginis Herba, take seeds and leaves), crush juice, one cup, mixed with half cup white honey, take orally. Or use Dahuang (Rhei Radix et Rhizoma, 1 liang, soaked in wine for one day, remove wine), decoct in water evenly, divide into two doses, or add to decoction for oral administration.
[Blood Dysentery] Jiucai (Allii Tuberosi Herba, with roots), crush juice, one cup, mix with one cup liquor, take warm for best effect. Hetiao (Nelumbinis Folii Petiolus) decocted in water is also effective. Chuqianshu (Toosendan Fructus/Celastrus root bark), Qufan (Alumen, each 1 liang), Huaimi (Sophorae Flavescentis Flos, 2 liang), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata cum Melle, 5 qian). All ground to powder, made into pills with water. Take 3 qian per dose with rice drink, twice daily. For blood dysentery where various medicines fail and condition is critical, take Chuqian Gen Baipi (Root bark of Celastrus/Ochrosia, 5 qian), two cups of liquor, decoct to one cup, take orally for immediate effect, frequently verified. For pure blood discharge, Mashiren (Cannabis Fructus) juice cooked with Lüdou (Phaseoli Radiati Semen) and eaten is effective. For inability to eat and unbearable pain, use Yanshusuo (Cyperi Rhizoma, stir-fried to powder, 3 qian), mixed with rice drink to stop immediately, or take warm with light liquor. For clear blood discharge and stabbing abdominal pain, Chunken Baipi (Broussonetiae Papyriferae Cortex/Root bark), slice and stir-fry, grind to powder, make pills with rice vinegar, size of tung tree seeds, take 30-50 pills on empty stomach with rice drink.
[Wine Dysentery] Dysentery with blood and abdominal pain, or stool like fish brain/five colors. Lao Sigua (Lagenariae Spongiosa Fructus, one old loofah), burn with peel to ash, grind. Take 2 qian with liquor on empty stomach, until improved.
[Regardless of Red/White Chronic Dysentery] Bai Biandou Hua (Lablab Purpureus Flower), take number equal to patient's age in years, add Bingtang (Rock Sugar, 3 qian), Chen Xicha (Aged fine tea, 3 qian). Decoct in one bowl of water to 60% volume, take. Wait one meal interval, then use Hong Biandou Hua (Red Lablab Flower) decocted similarly. Frequently verified.
[Chronic Dysentery Not Healing] Sangshu Zhuchong Shi (Silkworm excrement from mulberry tree), stir-fry until dry, grind fine, sift, take with sugar water for immediate effect.
[Anal Pain] For chronic dysentery with unbearable anal pain, wrap stir-fried Yan Yan (Salt) in cloth and apply warm compress. Or use Zhishi (Aurantii Fructus Immaturus) heated and applied. Smoke Shuai Ai (Artemisiae Argyi Folium), Huangla (Beeswax), Hezi (Terminalia Chebulae Fructus) and fumigate the area.
[Rectal Prolapse after Dysentery] Shizhi (Halloysitum Rubrum), Fulonggan (Furnacis Terra Cinerata/Zao Xin Tu), grind fine and apply. Wubeizi (Chinese Gall, 3 qian) ground and inserted; Baifan (Alumen, one piece), decoct in half bowl of water to wash. For large intestine deficiency-cold prolapse, use Woniu (Helix Aspersa/Snail, 1 liang, baked dry and burned to ash), mixed with Zhuzhi (Porci Adeps/Pig fat), apply to area for immediate retraction, most effective.
[Qingshu Wan] Treats dysentery regardless of red/white, day/night, unlimited frequency, tenesmus, etc. Use Zhuling (Polypori Porria, stir-fried with wine), Chishao (Paeoniae Radix Rubra), Guangpi (Citri Reticulatae Pericarpium), Wuyao (Linderae Radix), Yanhusuo (Cyperi Rhizoma, stir-fried with light vinegar soup), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, sliced and sun-dried, ground powder, each 2 liang), Gegen (Puerariae Lobatae Radix, 3 liang), Huangqin (Scutellariae Radix, 3 liang stir-fried with wine), Zexie (Alismatis Rhizoma, 4 liang stir-fried with salt water), Guangmuxiang (Aucklandiae Radix, 1 liang sliced and ground). All made into fine powder. Use Qinghao (Artemisiae Annuae Herba, 3 liang), Ziye (Perillae Folium, 2 liang) decocted into thick soup, sprinkle onto powder, make pills with water method. Coat with Baiyunling (Poria, 4 liang ground powder), Huashi (Talcum, 8 liang water-flowered and ground). Take 3 qian per dose, swallow with soup decocted from Bai Biandou Hua (20 flowers) and Xian Heye (Fresh Lotus Leaf, 3 qian). Or decoct Chen Niangan Luobocai Gan (Dried radish greens from previous year) soup for better effect. After one or two doses, frequently tested for immediate effect. Avoid greasy/meaty foods, wheat, eggs, raw/cold foods for several days. Prepare this medicine for others after intense heat. Do not use for white dysentery resembling fish jelly or watery diarrhea.
[Jinkou Li / Anorexic Dysentery] Ancient formula uses Shilian Rou (Nelumbinis Plumula, 2 qian ground), taken with aged rice drink. If true Shilian is unavailable, cook Ou Zhi (Nymphaeae Nelumbinis Rhizomatis Juice) until cooked, add little sugar, take frequently. Concurrently consume multi-year aged rice thin congee to regulate Stomach appetite, must be effective. Danxi Formula: Renshen (Ginseng Radix et Rhizoma, 2 qian), Huanglian (Coptidis Rhizoma, 1 qian stir-fried with Ginger Juice). Decoct strongly, sip slowly throughout the day. If vomiting, take again. Once one sip goes down, appetite opens. Also guide heat downward: use one Tianluo (Vivipara Vivipara Snail), crush, add little Shexiang (Moschus), apply to umbilicus for immediate effect. Dasuan (Allii Sativi Bulbus) crushed and paste applied to Yongquan (Kidney 1, sole of foot) (also treats children). Shuiwa (Rana temporaria/Frog, one), crush with entrails, bake hot on new tile, add Shexiang (0.3 fen), apply to umbilicus; once Qi flows, able to eat. Jin Liyu (Goldfish, one tail, 1-2 jin, cleaned), cook with Congbai (Allii Fistulosi Bulbus), Jiang (Ginger), and Hujiao (Piperis Longi Fructus, 3-5 fen). Let patient smell it, eat whatever they desire for immediate effect. Wu Mei (Mume Fructus, 1 jin) cracked, placed in basin, soak with boiling water (more than 10 bowls) until cooked. Let patient sit on basin, let steam rush up to anus, wash when warm. Patient falls asleep, help to bed, decoct aged rice porridge soup to wait. If thinking of eating, eat half bowl, drink again shortly after, not too much. Halve dose for children. For those where all medicines fail, use Shuixianzi (Fly larvae/Maggot from cesspit), wash clean, bake dry on tile to powder. Take 1-2 spoons per dose with rice drink, able to think of eating. For any Jinkou Li, if accompanied by headache, heart vexation, warm hands/feet, and no excessive use of cooling medicines, observe pulse/symptoms: if Spleen/Stomach not weak, it is toxin/qi rushing up to Heart/Lungs causing vomiting/anorexia. Use Baidu San (Decoction for Resolving Toxins: Fuling, Chuanxiong, Chaihu, Qianhu, Jiegeng, Qianghuo, Duhuo, Zhike, Sheng Gancao), equal parts, take 4 qian per dose, add 100 grains of Chencangmi (Aged stored rice), 3 slices of Shengjiang, one date, decoct in water, take warm. If pulse/Qi is weak, or epigastrium/abdomen distended, hands/feet cold, initially no vomiting but caused by excessive use of Poppy (Yangsuyu), Wu Mei, bitter/astringent/cool medicines leading to vomiting upon smelling food: this is Spleen/Stomach deficiency. Use Shanyao (Dioscoreae Rhizoma, half raw, half stir-fried), ground to powder, take with rice drink. If severe deficiency-cold and weak pulse, must treat with Lizhong Tang (Decoction for Regulating the Middle: Renshen, Chuaizhu, Paoganjiang, Zhigancao), each 1 qian, decoct in water and take.
[Thirsty Dysentery Not Stopping] Yangfei (Ovis Aries Lung, one whole), make soup with Yanchi (Fermented Soybean Salt), eat. Cure in three times.