夫伤寒病。若表实里虚。热气乘虚而入。攻于肠胃。则下赤黄汁。若湿毒瓦斯盛。则腹痛
壮热。下脓血如鱼脑。或如烂肉汁。若寒毒入胃。则腹满身热。下痢者。不可攻其表。汗出
必胀满。表里俱虚故也。伤寒六七日下利。更发热而痢者。其人汗不止者死。但有阴无阳故
也。下痢有微热。其人渴。脉弱者。今自愈。脉沉弦者。为下重。其脉大者。为未已。脉微
数者。为欲自止。虽发热不死。少阴病。八九日而身体手足尽热。在膀胱。必便血下痢。阳
明病下痢。其脉浮大。此皆为虚。强下之故也。伤寒下痢。日十余行。其人脉反实大者死。
又云。伤寒下痢其种固多。然皆由表实里虚。寒热湿气。乘虚客搏于肠胃之间。肠胃随
其所伤而下。若寒则青白。热则黄赤。若寒热相杂。则赤白俱下。兼以湿毒。则又下脓血如
鱼脑。如烂肉也。其候不同。有下痢而脉虚者。有下痢而脉实者。有湿毒胜而腹痛者。有热
气盛而烦渴者。有津液搏滞而肠垢者。有燥屎结聚而谵语者。其要固在审别虚实治之也。
下利须别阴阳。三阳下利。身热。太阴下利。手足温。少阴、厥阴下利。身凉无热。此
大概也。自利不渴。小便色白。脉微。清谷。厥冷恶寒。凡此皆寒。渴欲饮水。屎色不如常。
泄下赤黄。发热后重。凡此皆热毒之风邪入胃。木来胜土。故大肠暴下。其里虚协热者。下
利尤多。或解散。或攻泄。或温中。或固下焦。或利小便。随证有条。但不容发汗。盖邪气
内攻。若外复泄其津液。则胃气转虚。必胀满矣。然则下利之脉何如。曰。身凉脉小者顺。
身热脉大者逆。大则为虚。微弱则自止。滑而数者。是又有宿食也。若夫下利谵语而目直视。
下利厥燥而不得眠。下利发热汗不止。或厥不止。下利厥冷无脉。灸之身不温。而脉不回矣
张仲景伤寒论。阳明无下痢证。不可下。或有云。下利其脉浮大者。此皆为虚。以强下
之故也。设脉浮革。因而肠鸣。当温之。与水即哕。协热利者。曰肠垢。脐下必热。便中垢
秽赤黄。或饮水。乃热也。黄芩汤。白头翁汤。柏皮汤。此证惟黄芩最妙。凡协热下利通用
之。胃寒利者。曰鸭溏。脐下必寒。腹胀满。便中黄白青黑。或清谷。四逆汤。理中汤。白
通加附子汤。寒毒下利。面带阳者。下虚也。温毒利者。腹必痛。下脓血如鱼脑。如烂肉汁。
桃花汤。地榆散。黄连阿胶汤。或用除温汤。胃风汤加木香。下利谵语。有燥屎也。脉不微
细。可下之。用小承气。三部脉平。心下硬而下利者。肠胃积结也。急下之。阴毒阳毒亦有
下利。下痢身痛。腹满。清谷。急救里。用四逆。服药后。清谷止。但身痛者。急解表。用
桂枝汤。
风邪入胃下利。热败毒散。冷则金不换正气散。或加干姜、木香。假如他病肠风失血。
崩中漏血之人。继而下利。
大肠里急。痛不可忍。虽与巴粉取积。已行疏导。其痛独存者。
胜阴故尔。后药当以川芎为
佐。营气一调。其痛立止。设或小便
麦门冬与之。自然快利。或蕴热
血利。腹
诗曰。脏结无阳舌结胎。阴筋结痛引脐来。虽然饮食全如故。下利频烦不可回。
脏结者。脏气闭结而不复流布也。一息不运机缄穷。一毫不续穹壤判。脏其可结乎。
外
时时下利为异耳。其脉寸浮。关沉细而紧。无阳舌胎阴筋者。亦
岂不难矣哉。脏结无阳证。
不往来寒热。或寒而不热。其人反静。
可刺关元穴。仍与小柴胡
汤加生姜。
方
黄连散(出圣惠方)治伤寒吐下后。毒瓦斯不解。致成下痢。是阴阳二气未和。
黄连(三分去须微炒) 人参(二两去芦头) 黄芩(三分) 干姜(半两炮) 上为
散。每服
去滓。不计时候。温服。
阿胶散(出圣惠方)治伤寒壮热头痛。四肢烦疼。未经发汗。下之太早。遂令
阿胶(一两捣碎炒令微燥) 黄连(三分去须微炒) 葛根(一两锉) 黄芩(三分) 上
为
至六分。去滓。不计时候。温服。
治伤寒夹热。腹痛下痢方。(出圣惠方)
川升麻 黄连(去须微炒) 当归(锉微炒) 赤芍药 桂心 黄柏(微炙锉) 甘草
(炙微
各半两) 上为散。每服四钱。水一中盏。煎至六分。去滓。不
麻豆。每服三钱。水一盏。煎
至七分。去滓。食前温服。名升麻
犀角散(出圣惠方)治伤寒热毒。攻肠胃下痢。困绝。
犀角屑(一两) 黄连(一两去须微炒) 龙骨(一两) 当归(一两锉微炒) 人参
(三分去
黄燥) 上为散。每服五钱。水一大盏。煎至五分。不计时候。
煎至八分。去滓。食前温服。
名龙骨汤。
赤芍药散(出圣惠方)治伤寒下痢。腹痛不可忍。
赤芍药 当归(锉微炒) 黄芩(去黑心) 黄连(去须微炒以上各三分圣济方以上各
三两)
五钱) 上为散。每服四钱。水一中盏。煎至五分。去滓。不计时候。
温服。圣济方。每服三钱。水一盏。煎至六分。去滓。食前温服。名芍药汤。
黄 散(出圣惠方)治伤寒下痢。烦热不止。每有所注。涩滞疼痛。
黄 (一两锉) 枳壳(半两麸炒微黄去瓤) 大腹皮(一两锉) 黄连(三分去须微
炒) 赤
甘草(三分炙微赤锉) 阿胶(一两捣碎炒令黄燥) 上为散。每
六分。
去滓。不计时候服。
大青散(出圣惠方)治伤寒烦热不解。下痢困笃。
大青(一两) 甘草(一两炙微赤锉圣济作半两) 阿胶(一两捣碎炒令黄燥) 赤石
脂(一
两) 上为散。每服五钱。水一大盏。入豉五十粒。薤白三茎。
温服。圣济方。作水一盏半。
入豉一百粒。薤白五寸。同煎至
治伤寒泄痢。或渴。不得下食。虚而烦呕方。(出圣惠方)
附子(半两炮裂去皮脐) 干姜(半两炮) 甘草(半两炙微赤锉) 犀角屑(三分) 上
为
散。每服四钱。水一中盏。入
葱白五寸。煎至六分。去滓。不计时候。温服。
秦皮散(出圣惠方)治伤寒腹中微痛。下痢不止。
秦皮(三分) 黄连(三分去须微炒) 白头翁(半两) 阿胶(三分捣碎炒令黄燥) 当
归
三钱。水一中盏。煎至六分。去滓。不计时候。温服。一方无
豉薤汤(出千金方)治伤寒暴痢腹痛。及温毒内虚外攻胃。下黄赤汁。烂肉
汁。赤滞。诸毒
豉(一合) 薤白(一握长三寸) 栀子仁(五枚擘) 上以水一大盏。煎至六分。去
滓。不
惠草散(出圣惠方)治伤寒热毒在胃。下痢。
惠草(一两外台秘要作二两) 黄连(二两去须微炒外台秘要作四两) 当归(一两锉
微炒
每服三钱。水一中盏。煎至六分。去滓。不计时候。温服。外
适寒温。饮五合。日三。
忌猪肉、冷水等物。名惠草汤。治
黄连散(出圣惠方)治伤寒下痢。谎语。心中虚热。
黄连(一两去须微炒) 牡蛎(三分烧为粉) 龙骨(一两) 当归(三分锉微炒) 人
参(三
甘草(半两炙微赤锉) 上为散。每服三钱。粥饮调下。不计时
牡蛎散(出圣惠方)治伤寒壮热下痢。烦渴。
牡蛎(一两烧为粉) 龙骨(一两半) 黄连(一两去须微炒) 乌梅肉(三分微炒) 上
为
拘时候。圣济方。空心食前调服。
又方(出圣惠方)
黄连(三分去须微炒) 当归(三分锉微炒) 赤石脂(二两) 子芩(三分) 上为
末。炼蜜
粥饮送下。不计时候。
治伤寒下痢。不能食。(方见黄连丸)
治伤寒后痢。日久津液枯竭。四肢浮肿。口干。(出本草)
上用冬瓜一枚。黄土泥浓裹五寸。煨令烂熟。去土。绞汁服之。
赤石脂禹余粮汤 治伤寒下痢不止。心中痞硬。利在下焦者主之。
诃黎勒丸 治伤寒后。脓血痢。下部疼痛。
诃黎勒(炮去核) 人参(各一两) 白茯苓(去黑皮) 当归(切焙) 木香 白芷
(各三
分)
末。炼蜜和捣五百下。丸如梧桐子大。每服三十丸。食前。米饮下。
日再。
香豉汤 治伤寒后下痢赤白如烂肉。壮热。大肠痛。
豉(半合) 山栀仁 乌梅肉 甘草(炙各一分) 薤(五茎) 上锉如麻豆。分二服。
每服
一盏半。煎至八分。去滓。
食前温服。
黄连当归丸(出肘后方一名赤石脂丸)治伤寒后热痢。
黄连(去须锉炒) 当归(切焙各一两) 干姜(炮各半两) 赤石脂(半两) 上捣
罗
为末。
地榆饮 治伤寒后下痢赤白。
地榆(二两) 赤石脂(四两) 上粗捣筛。每服三钱。水一盏。煎至七分。去滓
。食前温
当归汤 治伤寒时气后下痢不止。
当归(切焙) 黄连(去须锉炒) 黄柏(去粗皮) 地骨皮(各一两) 上锉如麻豆。
每服三
龙骨丸 治伤寒后脏腑虚冷。下痢白脓。腹痛。
龙骨 干姜(炮) 附子(炮裂去皮脐等分) 上捣罗为末。醋煮面糊为丸。如梧桐子
大。
黄连丸 治伤寒后一切痢疾。无问冷热腹痛。
黄连(去须炒二两) 木香 吴茱萸(汤洗三次炒干各一两) 上捣罗为末。面糊和丸
如
梧
千针散 治伤寒后下血。及疮子后下血。
千针草 地榆 防风(去芦) 生干地黄(焙) 定粉(炒各半两) 硼砂(二钱) 上
捣
研为
散。每服一钱。空心食前。米饮调下。
贯众散 治大人小儿伤寒后余毒有热。下血不止。
贯众(逐叶摘下令净) 黄柏(去粗皮蜜炙等分) 上捣为散。每服一钱至二钱匕。煎
黑豆
胜金散(出肘后方)治伤寒后阳毒入胃。下血频并。疼痛不可忍。
郁金(大者五枚捣) 牛黄(研皂子大) 上捣研为散。每服一钱。以醋浆水一盏。同
煎二
黄连散 治伤寒后挟热。下血不止。
用黄连去须。为末一两。鸡子白和饼烧黑。再捣罗为末。每服一钱匕。温酒调下。不拘
责毒汤 治太阴病。下痢赤白痛。下重。此凉折热。或水谷寒热所致。
罂粟谷 地榆 白术 诃子 青皮 甘草 当归 紫橘叶(各一两乃旱莲叶是照堂红
者)
上水五升。煮取二升。去滓。温服七合。若但下血。有寒湿者。加干姜一两。
调中汤(出医方集成)治秋夏之间暴寒折于盛热。热结于四肢。则壮热头痛。
自汗。寒伤于
大黄(去皮酒洗三两) 葛根 芍药 桔梗 黄芩 茯苓 本 白术 甘草(炙各一
两)
减三升。去上沫。纳诸药。再煮取三升。去滓。温服一升。得快利。
壮热便歇。小儿减与服。安常云。久年肠风。下之亦瘥。
化毒散 治厥阴病。大便脓血赤黄者。宜消其毒。
槐花 贯众(各等分) 上捣筛。取艾一分。糯米七合。水一升。煮取五合。
和方寸匕服。
坚止汤 治伤寒下痢赤白脓血。腹中痛者。
黄连 吴茱萸 浓朴(各一两) 上以水四升。煮取二升五合。去滓。温服五合。欲
作丸。
瞿麦汤 治伤寒下痢赤白脓血。下重。或不能便。或小便少。当逐其邪则愈。以肠
痹故也。
瞿麦(二两) 扁竹 甘草 车前子(各一两) 大黄(二两) 栀子 木通 滑石(各
五钱)
增损四物汤(出永类钤方)治少阴下痢。手足冷。无热候者。
甘草(炙二两) 人参 龙骨(各二两) 黄连 干姜(各一两) 附子(一枚炮裂去
皮脐)
上锉散。每服三钱。水一盏。煎七分。日三服。不瘥复作。下痢腹痛。加当归二两。呕者。
加橘皮一两。
豉薤汤 治伤寒暴下。及滞痢腹痛。
豉(一升) 薤白(一把寸切) 上以水三升。煮令薤熟。漉去滓。分为再服。不瘥复
作。
通草汤 治伤寒下痢。脉微。足厥冷。
通草 干姜(各一两) 枳实(四两炙) 附子(一枚炮令裂破) 人参(一两) 上
切。以水
六升。煮取二升。适寒温。饮五合。日三。不瘥。稍加至七合。忌猪肉。
阮氏桃花汤(出金匮方)治伤寒后。赤白滞下无数。
赤石脂(八两冷多白滞者减四两) 粳米(一升) 干姜(四两冷多白滞者加四两) 上
以水
一斗。煮米熟汤成。去滓。服一升。不瘥复服。热多则带赤。冷多则带白。张仲景伤寒论。
煮汤和赤石脂末一方寸匕服。
犀角汤 治伤寒下痢恶血不止。
干姜(一两) 犀角(一两末) 地榆(一两) 蜜(二合) 上切。以水五升。煮取
一升半。
去滓。下蜜。更煮至一升。分三服。自愈。此治热毒蛊利。
治伤寒下痢后更烦。按之心下软者。虚损也。
栀子(十四枚擘) 豉(四合) 上以水四升。煎栀子取二升半。纳豉。更煎取一升。
去滓。
分再服。得吐。余勿服。自呕痈脓者。不可服。呕脓尽乃愈。若无栀子。用乌梅十四枚亦可
。
治少阴病下痢。咽痛。胸满心烦。\x
以猪肤一斤。以水一斗。煮取五升。去滓。加白蜜半分。粉五合。熬香。和匀相得。温
分六服。
In typhoid fever (Shanghan), if the exterior is excess and the interior is deficient, heat qi enters through the deficiency and attacks the intestines and stomach, resulting in the discharge of red and yellow fluid. If damp-toxic qi is vigorous, abdominal pain and high fever occur, with purulent blood like fish brains or rotting meat juice being discharged. If cold-toxin invades the stomach, abdominal fullness and body heat occur, accompanied by dysentery. For patients with dysentery, one must not attack the exterior with sweating methods; if sweating causes perspiration, abdominal fullness will inevitably result, because both the exterior and interior are deficient.
After six or seven days of typhoid fever, if diarrhea occurs, and fever returns with worsening dysentery, if the patient sweats incessantly, death ensues due to the absence of Yang qi (only Yin remains). If dysentery is accompanied by slight fever, thirst, and a weak pulse, recovery is imminent. A deep and string-taut pulse indicates tenesmus (a feeling of incomplete defecation); a large pulse indicates the disease has not yet ceased; a slightly rapid pulse indicates the dysentery is about to stop, and although there is fever, it is not fatal.
In Shaoyin disease, after eight or nine days, if the whole body and hands and feet become hot, and the pathogen is in the Bladder, hematochezia (blood in stool) and dysentery will definitely occur. In Yangming disease, if dysentery presents with a floating and large pulse, this indicates deficiency, caused by forced purgation. In typhoid fever with dysentery, if it occurs more than ten times a day and the pulse is unexpectedly excess and large, death ensues.
Furthermore, although there are many types of dysentery in typhoid fever, they all stem from exterior excess and interior deficiency, where cold, heat, and dampness invade the intestines and stomach. The nature of the discharge depends on the pathogen: cold results in greenish-white discharge; heat results in yellow-red discharge; mixed cold and heat result in both red and white discharge; combined with damp-toxin, purulent blood like fish brains or rotting meat is discharged. Symptoms vary: some have dysentery with a deficient pulse, others with an excess pulse; some have abdominal pain due to overwhelming damp-toxin; some have irritability and thirst due to excessive heat qi; some have intestinal mucus due to stagnation of fluids; some have delirium due to accumulation of dry feces. The key lies in distinguishing excess and deficiency for treatment.
Diarrhea must be differentiated by Yin and Yang. Diarrhea involving the Three Yang meridians presents with body heat; Taiyin diarrhea presents with warm hands and feet; Shaoyin and Jueyin diarrhea present with a cool body and no heat. Generally, spontaneous diarrhea without thirst, white urine, fine pulse, undigested food in stool (Qinggu), cold limbs, and aversion to cold indicate Cold. Thirst for water, abnormal stool color, red-yellow discharge, fever, and tenesmus indicate Heat-toxin and Wind-pathogen invading the Stomach, where Wood overacts on Earth, causing sudden violent diarrhea of the Large Intestine. Interior deficiency with concurrent heat often leads to frequent diarrhea. Treatments include resolving the exterior, purging heat, warming the center, securing the lower jiao, or promoting urination, according to the syndrome. Sweating is contraindicated because if pathogens attack internally and sweating further depletes fluids, Stomach Qi becomes weaker, leading to abdominal fullness.
Regarding the pulse of diarrhea: a cool body with a small pulse is favorable; a hot body with a large pulse is unfavorable. A large pulse indicates deficiency; a weak pulse indicates self-resolution. A slippery and rapid pulse suggests retained food. Delirium with dysentery and fixed gaze, cold limbs with insomnia, incessant sweating with fever, unrelenting cold limbs, or cold limbs with no pulse that do not respond to moxibustion are critical conditions.
Zhang Zhongjing's *Treatise on Cold Damage* states that Yangming disease does not typically present with dysentery and should not be purged. However, if dysentery presents with a floating and large pulse, it indicates deficiency due to forced purgation. If the pulse is floating and革 (ge-like), accompanied by borborygmus, warming is indicated. If drinking water causes hiccups, it is concurrent-heat diarrhea (Xie Re Li), characterized by "intestinal filth" (Chang Gou), heat below the umbilicus, and foul red-yellow stool. Huangqi Decoction (Huang Qin Tang), Baitouweng Decoction, and Baipi Decoction are used, with Huang Qin being particularly effective for concurrent-heat dysentery. For cold-dysentery (Ya Tang), characterized by cold below the umbilicus, abdominal fullness, and varied colored stools or undigested food, Sini Decoction, Lizhong Decoction, and Bitong Plus Fuzi Decoction are used. For cold-toxin dysentery with deficiency at the lower jiao, and warm-toxin dysentery with abdominal pain and purulent blood, Taohua Decoction, Diyü San, and Huanglian Ejiao Decoction are used. For delirium with dry feces, Xiaochengqi Decoction is used if the pulse is not fine. For accumulation in the intestines with hardness below the heart, urgent purgation is needed. Yin-Du and Yang-Du may also cause dysentery with body pain and abdominal fullness; Sini Decoction is used to rescue the interior. If body pain persists after digestion resumes, Guizhi Decoction is used to resolve the exterior.
For wind-pathogen-induced diarrhea, Re Bai Du San is used for heat; Jin Bu Huan Zheng Qi San plus Ganjiang and Muxiang for cold. For patients with intestinal wind bleeding or metrorrhagia who subsequently develop dysentery with severe urgency and pain, despite purgation, Chuanxiong is added to regulate Ying Qi.
Poem: "Zang Jie without Yang shows a coated tongue; Yin-Jing constriction pain draws to the navel. Although diet remains normal, frequent dysentery cannot be reversed." Zang Jie refers to the closure of Zang Qi circulation. A floating pulse at Cun, deep-fine-tight at Guan, with no Yang signs, is difficult to treat. Acupuncture at Guanyuan (CV4) and Xiaochaihu Decoction plus Shengjiang may be used.
Huanglian San (from *Shenghui Fang*) treats dysentery after vomiting/purging due to unresolved toxic qi and disharmony of Yin-Yang. Ingredients: Huang Lian, Renshen, Huang Qin, Ganjiang. Powder form, taken warm.
Ejiao San (from *Shenghui Fang*) treats high fever, headache, limb pain, and premature purgation. Ingredients: Ejiao, Huang Lian, Gegen, Huang Qin. Decoction, taken warm.
Formula for Typhoid with Heat, Abdominal Pain, and Dysentery (from *Shenghui Fang*). Ingredients: Chuanshengma, Huang Lian, Danggui, Chi Shaoyao, Guixin, Huangbai, Gancao. Powder/Decoction.
Xijiao San (from *Shenghui Fang*) treats heat-toxin attacking intestines/stomach causing severe dysentery. Ingredients: Xijiao, Huang Lian, Longgu, Danggui, Renshen. Decoction, taken before meals. Also known as Longgu Tang.
Chi Shaoyao San (from *Shenghui Fang*) treats unbearable abdominal pain in dysentery. Ingredients: Chi Shaoyao, Danggui, Huang Qin, Huang Lian. Decoction. Known as Shaoyao Tang in *Shengji Fang*.
Daqing San (from *Shenghui Fang*) treats unresolved irritability and severe dysentery. Ingredients: Daqing, Gancao, Ejiao, Chishizhi. Decoction with Dou and Xiebai.
Formula for Typhoid Diarrhea/Dysentery with Thirst, Anorexia, Deficiency, and Vomiting (from *Shenghui Fang*). Ingredients: Fuzi, Ganjiang, Gancao, Xijiao. Decoction with Congbai.
Qinpi San (from *Shenghui Fang*) treats mild abdominal pain and persistent dysentery. Ingredients: Qinpi, Huang Lian, Baitouweng, Ejiao, Danggui. Decoction.
Douxie Tang (from *Qianjin Fang*) treats sudden dysentery with abdominal pain and warm-toxin attacking the stomach. Ingredients: Dou, Xiebai, Zhizi. Decoction.
Huicao San (from *Shenghui Fang*) treats heat-toxin in the Stomach causing dysentery. Ingredients: Huicao, Huang Lian, Danggui. Decoction. Avoid pork and cold water. Known as Huicao Tang.
Huanglian San (from *Shenghui Fang*) treats dysentery with delirium and empty heat in the chest. Ingredients: Huang Lian, Muli, Longgu, Danggui, Renshen, Gancao. Taken with porridge drink.
Muli San (from *Shenghui Fang*) treats high fever, dysentery, irritability, and thirst. Ingredients: Muli, Longgu, Huang Lian, Wumei. Powder taken before meals.
Another Formula (from *Shenghui Fang*). Ingredients: Huang Lian, Danggui, Chishizhi, Ziqin. Honey pills taken with porridge drink.
Treatment for inability to eat after typhoid dysentery (See Huanglian Wan).
Treatment for post-typhoid dysentery with fluid depletion, edema, and dry mouth (from *Bencao*). Use winter melon wrapped in mud and baked, juice extracted and drunk.
Chishizhi Yuyuliang Tang treats persistent dysentery with epigastric stuffiness and lower jiao involvement.
Helile Wan treats post-typhoid purulent bloody dysentery with lower body pain. Ingredients: Helile, Renshen, Baifuling, Danggui, Muxiang, Baizhi. Honey pills.
Xiangchi Tang treats dysentery resembling rotting meat, high fever, and Large Intestine pain. Ingredients: Chi, Zhizi, Wumei, Gancao, Xie. Decoction.
Huanglian Danggui Wan (from *Zhouhou Fang*, also Chishizhi Wan) treats post-typhoid heat dysentery. Ingredients: Huanglian, Danggui, Ganjiang, Chishizhi. Pills.
Diyu Yin treats post-typhoid red and white dysentery. Ingredients: Diyu, Chishizhi. Decoction.
Danggui Tang treats persistent dysentery after seasonal qi invasion. Ingredients: Danggui, Huanglian, Huangbai, Digupi.
Longgu Wan treats post-typhoid internal cold with white purulent dysentery and abdominal pain. Ingredients: Longgu, Ganjiang, Fuzi. Vinegar-wheat paste pills.
Huanglian Wan treats all post-typhoid dysentery regardless of cold/heat. Ingredients: Huanglian, Muxiang, Wuzhuyu. Wheat-paste pills.
Qianzhen San treats post-typhoid bleeding and post-chickenpox bleeding. Ingredients: Qianzhenc grass, Diyu, Fangfeng, Sheng Dihuang, Dingfen, Pengsha. Powder taken with rice drink.
Guanzhong San treats residual heat and persistent bleeding in adults/children after typhoid. Ingredients: Guanzhong, Huangbai. Powder taken with black soybean decoction.
Shengjin San (from *Zhouhou Fang*) treats Yang-Du entering the Stomach causing frequent painful bleeding. Ingredients: Yujin, Niuhuang. Powder taken with vinegar-water.
Huanglian San treats post-typhoid heat with persistent bleeding. Ingredients: Huanglian, egg white. Blackened powder taken with warm wine.
Jiedu Tang (labeled Ze Du Tang) treats Taiyin dysentery with red/white pain and tenesmus. Ingredients: Ying Su Gu, Diyu, Baizhu, Hezi, Qingpi, Gancao, Danggui, Zi Ju Ye. Decoction. Add Ganjiang for cold-damp bleeding.
Tiaozhong Tang (from *Yifang Jicheng*) treats sudden cold overcoming summer heat, causing high fever, headache, sweating. Ingredients: Dahuang, Gegen, Shaoyao, Jiegeng, Huangqin, Fuling, Ben, Baizhu, Gancao. Decoction.
Huadu San treats Jueyin dysentery with pus/blood. Ingredients: Huaihua, Guanzhong. Mugwort and glutinous rice decoction.
Jianzhi Tang treats red/white pus/blood dysentery with abdominal pain. Ingredients: Huanglian, Wuzhuyu, Houpo. Decoction.
Qumai Tang treats dysentery with tenesmus, difficulty passing stool, or scanty urine due to intestinal obstruction. Ingredients: Qumai, Bianzhu, Gancao, Cheqianzi, Dahuang, Zhizi, Mutong, Huashi.
Zengsun Siwu Tang (from *Yonglei Lingfang*) treats Shaoyin dysentery with cold limbs and no heat. Ingredients: Gancao, Renshen, Longgu, Huanglian, Ganjiang, Fuzi. Decoction. Add Danggui for pain, Chenpi for vomiting.
Dou Xie Tang treats sudden diarrhea and stagnant dysentery with pain. Ingredients: Chi, Xiebai. Decoction.
Tongcao Tang treats dysentery with fine pulse and cold feet. Ingredients: Tongcao, Ganjiang, Zhishi, Fuzi, Renshen. Decoction. Avoid pork.
Ruan Shi Taohua Tang (from *Jingui Fang*) treats endless red/white dysentery post-typhoid. Ingredients: Chishizhi, Jingmi, Ganjiang. Rice soup with Chishizhi powder.
Xijiao Tang treats malignant blood dysentery. Ingredients: Ganjiang, Xijiao, Diyu, Honey. Decoction. Treats heat-toxin gu dysentery.
Formula for irritability after dysentery with soft epigastrium (deficiency). Ingredients: Zhizi, Chi. Decoction. Induces vomiting. Do not use if vomiting pus. Wumei can substitute Zhizi.
Treatment for Shaoyin dysentery with sore throat, chest fullness, and irritability. Pig skin (Zhufu) boiled with honey and flour, taken warm in six doses.