（附论）
夫冷热痢者。由肠胃虚弱。宿有寒而为客热所伤。冷热相乘。其痢乍黄乍白是也。若热
搏于血。血渗肠间。则变为血痢也。而冷伏肠内。外伤于气。气搏津液不能行。则变成白痢
也。其汤熨针石。别有正方。补养宣导。今附于后。养生方导引法云。泄下有寒者。微微使
引气以息内。徐徐吹息。以鼻引气。气足复前即愈。其有热者。亦能运气以去之也。
方
黄连散（出圣惠方）治冷热痢。心腹痛。补不止。
黄连（一两） 龙骨（二两） 木香（半两） 当归（一两锉） 赤芍药（一两） 诃
黎勒（一两半） 赤石脂（半两炙） 干姜（一两炮） 甘草（半两炙） 上捣细罗为散。
每服不计时候。以粥饮调下二钱。
阿胶丸（出圣惠方）治冷热不调。痢下脓血不止。腹痛不可忍。
阿胶（一两捣碎） 干姜（一两炮） 木香（一两） 龙骨（二两） 赤石脂（二两） 黄
连（一两去皮） 当归（一两） 黄芩（一两） 浓朴（一两去粗皮） 上捣罗为末。炼蜜
和丸如梧桐子大。每服不计时候。以粥饮下三十丸。
木香散（出圣惠方）治冷热痢。虚损腹痛。不能饮食。日渐羸瘦。
木香（半两） 甘草（半两炙） 干姜（半两炮） 白术（三分） 黄芩（半两） 柏
叶（三分） 当归（三分） 黄连（三分） 干熟地黄（三分） 上为散。每服三钱。以水
一盏。煎至五分。去滓。不计时候。温服。
二黄丸 治无问冷热新旧痢。
黄连 黄柏 干姜 甘草 艾（三月三日者熟各八分） 附子（三枚） 蜡（一鸡子大）
乌梅肉（熬八分） 上捣罗为末。以蜜和蜡于铛之中。慢火着蜜。须候蜡熔尽。如干益蜜丸。
空腹以饮服四十丸。日二。渐加至五六十丸。忌海藻、菘菜、猪肉、冷水。
归连丸 治痢无问冷热及五色痢。入口即定。
黄连（四分） 黄柏 当归 黄芩（各二两） 阿胶（二两炙） 熟艾（一两） 上捣
罗为散。以醇醋二升。煮胶烊。下药煮令可丸。如大豆。饮服七八分。日二夜一服。若产妇
痢。加蒲黄一两。蜜和为丸。
犀角散（出圣惠方）治冷热痢不止。腹肚疼痛。心神烦闷。
犀角屑（一两） 白术（一两） 黄连（一两去须） 当归（一两锉） 地榆（一两锉）
木香（半两） 上捣粗罗为散。每服三钱。以水一盏。煎至六分。去滓。不计时候服。
诃黎勒散（出千金方）治冷热痢。烦闷不欲饮食。
诃黎勒（煨用皮） 当归（锉微炒） 黄连（各一两） 甘草（半两炙） 木香（半两）
干姜（半两炮） 上为散。每服四钱。以水一盏。煎至六分。去滓。不计时候。温服。
附子散（出圣惠方）治冷热痢。腹痛不能饮食。
附子（炮裂去皮） 黄连（去须微炒） 龙骨 地榆（锉各一两） 当归（三分锉） 木
香（半两） 上细罗为散。每服不计时候。以粥饮调下二钱。
黄连丸（出圣惠方）治冷热痢。心神烦闷。腹中疼痛。
黄连（去须） 黄柏（锉微炒） 艾叶（微炒） 赤芍药（各二两） 当归（二两锉） 羚
羊角（屑二两） 上捣罗为末。炼蜜和捣三二万杵。丸如梧桐子大。每服不计时候。以粥饮
下三十丸。
浓朴丸（出圣惠方）治冷热不调。下痢不止。
浓朴（一两半去粗皮） 黄连（一两去须） 干姜（半两炮） 甘草（半两炙） 龙骨
（半两） 赤石脂（半两） 上捣罗为末。炼蜜和捣百余杵。丸如梧桐子。每服不计时候。
以粥饮下三十丸
香豉汤（出圣惠方）疗下焦冷热不调。暴下赤白痢。
香豉（一升熬） 白术（六两） 薤白（切一升） 蜀升麻（二两） 上以水七升。煮
取二升半。为
生犀散 冷无问伤冷热。及脓血痢。
生犀角屑 黄柏（各二两） 黄连 苦参（各二两） 上为散。以糯米煮作饮。莫令生。
每日空腹服一服。下日再服便瘥。勿轻之。肘后方有当归。
胶连丸 治痢。无问冷热赤白久新。
阿胶（三两一两炙一两入药一两销清作胶） 胡黄连（一两） 干姜（二两） 大黄（半
两） 无食子（一枚久痢肠滑甚者加至三四枚） 上为末。以醋熔胶清。丸如梧桐子大。一
服二十五丸。日再。渐加三十丸。老小须以意斟酌加减服之。若冷痢以酒下。热痢以粥饮下。
内补丸（一名黄连丸）治冷热气不和。腹痛下痢不止。及下脓血。
黄连（一两去须炒） 当归（三分锉炒） 干姜（半两炮） 阿胶（三分捣碎炒） 上
为末。炼蜜和捣百余杵。丸如梧桐子大。每服不计时候。以粥饮下三十丸。日再服。一方以
醋煮胶令消。众手捻圆。又疗产妇下痢不止者。服之甚验。忌生冷、粘腻。（出十便良方。）
甘草汤（一名三神汤） 治冷热痢。心神烦渴。腹痛。胸膈滞闷。（出十便良
方）
甘草（二寸炙） 乌梅肉（五枚微炒） 诃黎勒（五枚煨用皮） 上锉。以水一大盏。
煎至六
分。去滓。食前分温二服。
当归汤（出圣惠方）治冷热气不和。腹痛下痢不止。
当归（一两锉微炒） 黄连（一两去须炒） 上细罗为散。每服不计时候。以粥饮调下
二钱。
加减当归地榆散 治冷热不调。气毒恶毒。温热肠候毒痢。休息膏痢。腥秽。干
呕不食。肌
御米壳（蜜炒二两） 当归（焙一两） 地榆 黄连（拣净） 芍药 甘草（炒各半两）
上罗
匀。每服三钱。水一盏半。煎至七分。去滓。温服。食前进二服。气毒痢。加黄连、当归一
倍。
治冷热痢疾。（出本事方）
罂粟壳（二十个） 白姜（三钱） 甘草（五钱） 艾叶（半两） 上罗匀。分作三服。
每服入
蜜。用水一盏。煎至七分。空心温服。
和中散 治冷热痢。腹痛里急。
附子（炮七度水浸去皮为末） 黄连（去须各一两为末） 乳香（研一分） 上如患冷
热痢。
取黄连、附子各半钱。乳香一分。以陈米饮调下。永止。再服以青橘皮汤调下。如患赤痢。
附子末半钱。黄连末一钱。乳香一钱。如患白痢。黄连末半钱。附子末一钱。乳香一分。米
饮调下。未止加黑豆七粒。煎汤止之。
治冷热不调。或水或脓。或五色血者。（出千金方）
用酸石榴五枚。合壳子捣。绞取二升汁。服五合即效。一方。粪前有血。令人面黄色。
用皮捣为末。茄子枝汤下。小儿以意服之。
治冷热痢。
用红菜头捣。绞汁服之。
坚肠丸（出十便良方）治一切痢疾。不问赤白脓血皆治。
今有人患痢。其脉微小。再四寻之。又沉而涩。此是一候。若下白痢。其势虽重。庶几
可治。若是下血。切忌发热通身。发热者死。热见七日死。以上所陈。虽未足以达痢之根源。
亦足以明其粗迹。议者谓如子所言以明。自甲子至于癸亥。每六十年中。未尝有一年不生痢
疾。今世人所患痢疾。于数年中间忽止有一年。其故何也。答曰。六十年中。未尝有一年无
木土相攻。未尝无土火相郁。未尝无水火相犯。但五运之政譬如权衡。一年间五行气数更相
承制。得其平等。则其疾自然不作。忽一气太过。一脏有余。痢疾之生应不旋踵。予故备陈
其粗。以开后学之未悟。庶几诊疗之间。无差误之过者矣。但毒痢伤人不一。惟水邪犯心为
重。世人初患痢时。先发寒热。投药治之其热不退。发热甚大食则呕逆。下痢不止。心热如
火。只要入凉处。只思吃冷水。忽思狂走浑走。肌肉疼痛。着手不得。此候十难治其三四也。
治疫毒痢方。须是仔细首尾。读此方论分明。识病根源。然后吃药。但毒痢初得时。先发寒
热。忽头痛。忽壮热。忽转数行便下赤痢。忽赤白相兼。忽止下白痢。忽先下白痢。后变成
赤痢。忽先下赤痢。后却成白痢。并宜吃此方。但初下痢时。先发寒热头痛。即是寒邪犯心
。水火相战。故初病时先发寒热。水火相犯。血变于中。所以多下赤痢如紫草水。如苋菜水
。无色泽者。寒邪犯心之重理。先发寒热。而所下之痢止白色者。寒邪犯心之未动也。先下
白痢。而后有赤痢之变者。寒邪犯心。其势渐加也。先下赤痢。而后变成白痢者。寒邪犯心。
其势渐减也。赤白相等者。水火相犯其气相等。寒温之气相传也。忽有赤多而白少。忽有赤
少而白多。此寒邪之势有多少。毒痢之病有轻重。以白多为轻。以赤多为重。治之之法。先
夺其寒。则其所下之药一也。以太岁分之。则丙子、丙午、甲子、甲午、庚午、庚子、丙寅、
丙申年。甲寅、甲申年。庚寅、庚申。并辰戌之年。运过丙申。及庚运所临。其害尤甚。及
丑未之年。宜有此候。又更无问太岁。盖天地变化其候多端。难可穷尽。今此方但世人亦不
必撞定太岁。但有一年三春中。天时失和。多有寒肃之化。阳光少见。忽寒热二气更相交争。
忽于夏日多寒温之化。寒邪犯心。所受之痢先发寒热。忽头痛。忽先转数行。忽有赤痢。忽
赤白相杂。忽下白痢。并宜吃此通神散。吃后取壮热便退。若两三盏后壮热不退。更不吃此
方。自别有方论在下。
麻黄 官桂（各三分） 大芎 白术（各二两） 本 独活 桔梗 防风 芍药 白
芷（各半两） 牡丹皮 甘草（各一分） 细辛（八分） 牵牛（四钱） 上为细末。每服
二钱。随时
热汤调下。和滓热吃。用酒两三盏。如寒热不退。更不必吃。自别有方论在下。若吃此药后
寒热已退。赤痢已消减。便修合第二方药吃。取安效。若寒热已退。赤痢未消减。便服两三
盏。然不可多吃。一日只两盏。候赤痢消减。忽变泻白痢。渐次修合第二方吃。候白痢度数
减少。便修合第三方吃。取安平。但六丙之年。六庚之岁。春夏之内。时气多寒。人得痢疾。
此药通神。若是六甲之年。丑未之岁。温化便多。人得痢疾。先发寒热。即于方内添草豆蔻
一两。同修合也。又不问太岁。但一年间春夏之内多寒。人有痢疾。先发寒热。并宜吃此方。
治毒痢 初得时。先发寒热。吃前方寒热已退。赤痢已消减。宜进退真散。若吃
前方药寒热未退。赤痢未消减。更不进此药。但天地变化其候非常。痢疾证候多端。
此不得不更加仔细。
诃子（五斤用面火炮热不要生亦不要焦去面不用就熟吃将诃子破去核不用只使皮焙干）
上细杵罗为末。每服二钱半。以米汤一盏半。同药炼取一盏。空心和滓吃。若吐出一两口涎。
更加如此吃经数盏。大腑渐安。出后减少。便修合第三方药吃。以牢固大肠。若吃前方药壮
热未退。血痢犹未减不消。进此药。
治毒痢 吃前面两方药。病势已减。所下之痢。止余些小。忽下清粪如鸭粪。忽
如茶汤。如
舶上黄（去沙石用二两细研如飞尘） 上以薏苡仁二两。炒熟。杵为末。与舶上黄末相
和令匀。滴熟水相和。丸如梧桐子大。空心以米汤下五十丸。
治毒痢 初得痢时。先发寒热。吃前面毒痢方通神散三两盏。经一日。忽隔一夜
寒热不退。下痢不减分数。通身发热。所下之痢多是脓涕。忽如桃花。忽如红米胶。
每一次忽下一盏半盏已来。吃此药二盏至三盏。经一日。忽一夜寒热不退。下痢不减
分数。便不进此药。若根据法进药两盏后。壮热便退。下痢少减分数。即请渐渐进此药
。每日只两盏。候赤痢消减。忽变成白痢。却修合上面还真散吃。取平安。但痢有寒热
。其证一也。前方以暖药解之。此方以凉药投之。其说合也。答曰。水邪犯心。身能发
热。土湿郁火。身亦发热。肝热刑脾。身亦发热。惟至精者识其秋毫之变。切恐世人
未能通其妙旨。于此设此两方以救其失。然毒痢之伤人。惟水邪犯心最为极重。但患
痢疾之人。有增寒壮热。先吃上面通神散三两服。寒热不退。下痢不止。然后进此药
。以太岁分之。惟六壬、六戌、寅申、巳亥之年宜此药。而六戌之年。尚有等差者。盖
火盛之年。必有寒湿相犯故也。然以六气推迁不定。又不可局定年辰。但一年之间。
春夏之内热气偏多。湿化不举。人患痢疾。肝脉弦。心脉洪。吃此药。若吃两盏后不
见效验。不进服。盖痢之初起。切记水之犯心。不可妄投凉药。故此方两盏无验。更
不可进服。
荆芥穗 牡丹皮（去心） 牵牛（炒） 木香 白头翁 芍药 桔梗 防风 独活 地
榆（各一分） 黄连（蜜浸） 上为细末。每服二钱。水一盏。煎一两沸。急泻出。食后温
和吃此药后
治毒痢 初得病时。先发热。所下之痢皆是白涕。并宜吃上面通神散。若人患痢
经一两日。寒热自退。却只下白痢。未效宜服此方。
黄橘皮 防风（各一分） 甘草（四铢） 细辛（三铢） 白术（二分） 草豆蔻（一
个） 大芎（半
吃。
治毒痢 初得病时。微有些小寒热。忽止腹痛。出后时。粪后有些小胶涎与赤痢
相杂。却因误吃凉药。渐渐下痢极多。从早至暮。但只思眠。早朝即颜色枯瘁。身体
稍凉。近晓至夜即面赤。颜色光润。下痢极多。皆是清涎与赤痢相杂。通身发热。不
(Attached Discussion)
The so-called Cold-Heat Dysentery (Leng Re Li) arises from the weakness of the intestines and stomach, where cold pathogens have been retained internally and are subsequently injured by external heat pathogens. Cold and heat mutually contend, resulting in dysenteric discharge that alternates between yellow and white. If heat contends with blood, and blood seeps into the intestinal tract, it transforms into Bloody Dysentery (Xue Li). Conversely, if cold lurks within the intestines and externally affects the Qi, causing Qi stagnation and impeding the movement of body fluids, it transforms into White Dysentery (Bai Li). Regarding treatments involving decoctions, moxibustion/heat application, acupuncture, and stone therapy, there are separate specific formulas. Methods for tonification, nourishment, and guiding/exercising are attached below. The Guiding and Pulling methods in health preservation texts state: For diarrhea accompanied by cold, one should gently guide the Qi to calm the interior, exhale slowly, and inhale clear Qi through the nose; when the Qi is sufficient and returns to normal, the illness will heal. For those with heat, guiding the Qi can also eliminate it.
Formulas
Huanglian San (Coptis Powder) [From *Shenghui Fang*]: Treats Cold-Heat Dysentery, heart and abdominal pain, and ineffectiveness of tonifying treatments.
*Coptidis Rhizoma* (1 liang), *Longgu* (2 liang), *Aucklandiae Radix* (0.5 liang), *Angelicae Sinensis Radix* (1 liang, sliced), *Paeoniae Rubra Radix* (1 liang), *Terminalia chebula Retzii Fructus* (1.5 liang), *Lithosi Semen Rubrum* (0.5 liang, processed with honey), *Zingiberis Rhizoma* (1 liang, processed), *Glycyrrhizae Radix et Rhizoma* (0.5 liang, processed with honey). Pound these finely and sieve to make a powder. Take 2 qian at any time, mixed with rice water.
Ejiao Wan (Donkey-Hide Gelatin Pills) [From *Shenghui Fang*]: Treats imbalance of cold and heat, continuous dysenteric discharge of pus and blood, and unbearable abdominal pain.
*Asini Corii Colla* (1 liang, crushed), *Zingiberis Rhizoma* (1 liang, processed), *Aucklandiae Radix* (1 liang), *Longgu* (2 liang), *Lithosi Semen Rubrum* (2 liang), *Coptidis Rhizoma* (1 liang, peeled), *Angelicae Sinensis Radix* (1 liang), *Scutellariae Radix* (1 liang), *Magnoliae Officinalis Cortex* (1 liang, rough bark removed). Pound and sieve to make a powder. Mix with refined honey to form pills the size of paulownia seeds. Take 30 pills at any time with rice water.
Muxiang San (Aucklandia Powder) [From *Shenghui Fang*]: Treats Cold-Heat Dysentery, deficiency-related abdominal pain, inability to eat, and progressive emaciation.
*Aucklandiae Radix* (0.5 liang), *Glycyrrhizae Radix et Rhizoma* (0.5 liang, processed with honey), *Zingiberis Rhizoma* (0.5 liang, processed), *Atractylodis Macrocephalae Rhizoma* (3 fen), *Scutellariae Radix* (0.5 liang), *Plagiopodi Folium* (3 fen), *Angelicae Sinensis Radix* (3 fen), *Coptidis Rhizoma* (3 fen), *Rehmanniae Radix Preparata* (3 fen). Make into a powder. Take 3 qian, decocted in one sheng of water until reduced to 0.5 sheng, strain, and take warm at any time.
Erhuang Wan (Two-Yellow Pills): Treats dysentery regardless of cold, heat, newness, or chronicity.
*Coptidis Rhizoma*, *Phellodendri Cortex*, *Zingiberis Rhizoma*, *Glycyrrhizae Radix et Rhizoma*, *Artemisiae Argyi Folium* (collected on the 3rd day of the 3rd lunar month, each 8 fen), *Aconiti Lateralis Radix Preparata* (3 pieces), Beeswax (size of a chicken egg), *Mume Fructus Carnis* (stewed, 8 fen). Pound and sieve to make a powder. Melt beeswax and honey in a pan over low heat; add more honey if too dry, then form pills. Take 40 pills on an empty stomach with water, twice daily, gradually increasing to 50-60 pills. Avoid seaweed, Chinese cabbage, pork, and cold water.
Guilian Wan (Angelica-Coptis Pills): Treats dysentery regardless of cold, heat, or five-color dysentery; stops pain upon ingestion.
*Coptidis Rhizoma* (4 fen), *Phellodendri Cortex*, *Angelicae Sinensis Radix*, *Scutellariae Radix* (each 2 liang), *Asini Corii Colla* (2 liang, processed), *Artemisiae Argyi Folium Preparatum* (1 liang). Pound and sieve to make a powder. Boil gelatin in 2 sheng of strong vinegar until melted, add the powder, and boil until pillable, forming pills the size of soybeans. Take 7-8 fen with water, twice daily and once at night. For postpartum dysentery, add *Polygoni Multiflori Caulis* (1 liang) and mix with honey to form pills.
Xijiao San (Rhinoceros Horn Powder) [From *Shenghui Fang*]: Treats persistent Cold-Heat Dysentery, abdominal pain, and mental restlessness.
*Rhinocerotis Cornu* (1 liang), *Atractylodis Macrocephalae Rhizoma* (1 liang), *Coptidis Rhizoma* (1 liang, remove roots), *Angelicae Sinensis Radix* (1 liang, sliced), *Sanguisorbae Radix* (1 liang, sliced), *Aucklandiae Radix* (0.5 liang). Coarsely pound and sieve to make a powder. Take 3 qian, decocted in one sheng of water until reduced to 0.6 sheng, strain, and take at any time.
Helile San (Terminalia Chebula Powder) [From *Qianjin Fang*]: Treats Cold-Heat Dysentery, mental restlessness, and loss of appetite.
*Terminalia chebula Retzii Fructus* (roasted, use peel), *Angelicae Sinensis Radix* (sliced, slightly stir-fried), *Coptidis Rhizoma* (each 1 liang), *Glycyrrhizae Radix et Rhizoma* (0.5 liang, processed with honey), *Aucklandiae Radix* (0.5 liang), *Zingiberis Rhizoma* (0.5 liang, processed). Make into a powder. Take 4 qian, decocted in one sheng of water until reduced to 0.6 sheng, strain, and take warm at any time.
Fuzi San (Aconite Powder) [From *Shenghui Fang*]: Treats Cold-Heat Dysentery, abdominal pain, and inability to eat.
*Aconiti Lateralis Radix Preparata* (processed until cracked, peel removed), *Coptidis Rhizoma* (remove roots, slightly stir-fried), *Longgu*, *Sanguisorbae Radix* (sliced, each 1 liang), *Angelicae Sinensis Radix* (3 fen, sliced), *Aucklandiae Radix* (0.5 liang). Finely sieve to make a powder. Take 2 qian at any time, mixed with rice water.
Huanglian Wan (Coptis Pills) [From *Shenghui Fang*]: Treats Cold-Heat Dysentery, mental restlessness, and abdominal pain.
*Coptidis Rhizoma* (remove roots), *Phellodendri Cortex* (sliced, slightly stir-fried), *Artemisiae Argyi Folium* (slightly stir-fried), *Paeoniae Rubra Radix* (each 2 liang), *Angelicae Sinensis Radix* (2 liang, sliced), *Saigae Tataricae Cornu* (shavings, 2 liang). Pound and sieve to make a powder. Mix with refined honey and pound 20,000-30,000 times to form pills the size of paulownia seeds. Take 30 pills at any time with rice water.
Moghong Wan (Magnolia Bark Pills) [From *Shenghui Fang*]: Treats imbalance of cold and heat, continuous dysenteric discharge.
*Magnoliae Officinalis Cortex* (1.5 liang, rough bark removed), *Coptidis Rhizoma* (1 liang, remove roots), *Zingiberis Rhizoma* (0.5 liang, processed), *Glycyrrhizae Radix et Rhizoma* (0.5 liang, processed with honey), *Longgu* (0.5 liang), *Lithosi Semen Rubrum* (0.5 liang). Pound and sieve to make a powder. Mix with refined honey and pound over 100 times to form pills the size of paulownia seeds. Take 30 pills at any time with rice water.
Xiangchi Tang (Fermented Soybean Decoction) [From *Shenghui Fang*]: Treats lower jiao imbalance of cold and heat, sudden onset of red and white dysentery.
*Sojae Seminis Preparatum* (1 sheng, stewed), *Atractylodis Macrocephalae Rhizoma* (6 liang), *Allii Macrostemonis Bulbus* (cut, 1 sheng), *Cyathulae Radix* (2 liang). Decoct in 7 sheng of water to obtain 2.5 sheng.
Shengxi San (Raw Rhinoceros Horn Powder): Treats dysentery caused by cold or heat, and pus-blood dysentery.
*Rhinocerotis Cornu* shavings, *Phellodendri Cortex* (each 2 liang), *Coptidis Rhizoma*, *Sophorae Flavescentis Radix* (each 2 liang). Make into a powder. Drink with glutinous rice porridge water (do not cook raw). Take once on an empty stomach daily; take again the next day for recovery. Do not underestimate this. *Zhouhou Fang* includes *Angelicae Sinensis Radix*.
Jiaolian Wan (Gelatin-Coptis Pills): Treats dysentery regardless of cold, heat, red, white, chronic, or acute nature.
*Asini Corii Colla* (3 liang; 1 liang processed for medicine, 1 liang melted into gelatin), *Scrophulariae Radix* (1 liang), *Zingiberis Rhizoma* (2 liang), *Rhei Radix et Rhizoma* (0.5 liang), *Chebulae Fructus* (1 piece; increase to 3-4 pieces for chronic dysentery with slippery intestines). Make into a powder. Melt gelatin with vinegar, form pills the size of paulownia seeds. Take 25 pills, twice daily, gradually increasing to 30 pills. Adjust dosage for elderly and children. For cold dysentery, take with wine; for heat dysentery, take with rice water.
Neibu Wan (Inner Tonification Pills, aka Huanglian Wan): Treats imbalance of cold and qi, abdominal pain, continuous dysentery, and pus-blood discharge.
*Coptidis Rhizoma* (1 liang, remove roots, stir-fry), *Angelicae Sinensis Radix* (3 fen, slice and stir-fry), *Zingiberis Rhizoma* (0.5 liang, process), *Asini Corii Colla* (3 fen, crush and stir-fry). Make into a powder. Mix with refined honey and pound over 100 times to form pills the size of paulownia seeds. Take 30 pills at any time with rice water, twice daily. Another method: melt gelatin with vinegar and roll into pills by hand. Also treats persistent postpartum dysentery with high efficacy. Avoid raw/cold and sticky foods. (From *Shibian Liangfang*.)
Gancao Tang (Licorice Decoction, aka Sanshen Tang): Treats Cold-Heat Dysentery, mental restlessness with thirst, abdominal pain, and chest/diaphragm stagnation. (From *Shibian Liangfang*)
*Glycyrrhizae Radix et Rhizoma* (2 cun, processed with honey), *Mume Fructus Carnis* (5 pieces, slightly stir-fried), *Terminalia chebula Retzii Fructus* (5 pieces, roasted, use peel). Slice, decoct in one large sheng of water until reduced to 0.6 sheng, strain, and take warm in two doses before meals.
Danggui Tang (Angelica Decoction) [From *Shenghui Fang*]: Treats imbalance of cold and qi, abdominal pain, and continuous dysentery.
*Angelicae Sinensis Radix* (1 liang, slice and slightly stir-fry), *Coptidis Rhizoma* (1 liang, remove roots and stir-fry). Finely sieve to make a powder. Take 2 qian at any time, mixed with rice water.
Jiajian Danggui Diyu San (Modified Angelica and Sanguisorba Powder): Treats imbalance of cold and heat, qi toxicity, malignant toxins, warm-heat intestinal toxic dysentery, lingering dysentery, foul odor, dry retching without eating, and skin issues...
*Papaveris Pericarpium* (honey-fried, 2 liang), *Angelicae Sinensis Radix* (roasted, 1 liang), *Sanguisorbae Radix*, *Coptidis Rhizoma* (cleaned), *Paeoniae Radix Alba*, *Glycyrrhizae Radix et Rhizoma* (fried, each 0.5 liang). Sieve evenly. Take 3 qian, decoct in 1.5 sheng of water until reduced to 0.7 sheng, strain, and take warm. Take two doses before meals. For qi-toxic dysentery, double the amount of *Coptidis Rhizoma* and *Angelicae Sinensis Radix*.
Treat Cold-Heat Dysentery. (From *Benshi Fang*)
*Papaveris Pericarpium* (20 pieces), *Zingiberis Rhizoma* (3 qian), *Glycyrrhizae Radix et Rhizoma* (5 qian), *Artemisiae Argyi Folium* (0.5 liang). Sieve evenly, divide into three doses. For each dose, add honey, decoct in one sheng of water until reduced to 0.7 sheng, and take warm on an empty stomach.
Hezhong San (Harmonizing Middle Powder): Treats Cold-Heat Dysentery, abdominal pain, and tenesmus.
*Aconiti Lateralis Radix Preparata* (processed seven times, soaked in water, peel removed, made into powder), *Coptidis Rhizoma* (remove roots, each 1 liang, made into powder), *Boswelliae Resina* (ground, 1 fen). For Cold-Heat Dysentery, take 0.5 qian each of *Coptidis Rhizoma* and *Aconiti Lateralis Radix Preparata*, plus 1 fen *Boswelliae Resina*, mixed with aged rice water to stop dysentery permanently. For subsequent doses, use green tangerine peel water. For red dysentery, take 0.5 qian *Aconiti Lateralis Radix Preparata*, 1 qian *Coptidis Rhizoma*, 1 qian *Boswelliae Resina*. For white dysentery, take 0.5 qian *Coptidis Rhizoma*, 1 qian *Aconiti Lateralis Radix Preparata*, 1 fen *Boswelliae Resina*, mixed with rice water. If not stopped, add 7 black beans, decoct in water to stop it.
Treat imbalance of cold and heat, watery, purulent, or five-color bloody discharge. (From *Qianjin Fang*)
Use 5 sour pomegranates, crush including the shell, squeeze out 2 sheng of juice, and take 0.5 sheng for effect. Another formula: for blood before stool causing sallow complexion, use the shell powdered, taken with eggplant branch water. Adjust for children.
Treat Cold-Heat Dysentery.
Crush red beetroot, squeeze juice, and take.
Jianchang Wan (Intestine-Firming Pills) [From *Shibian Liangfang*]: Treats all types of dysentery, regardless of red, white, pus, or blood.
Currently, patients with dysentery present with minute pulses, deep and choppy upon repeated palpation; this is one sign. If discharging white dysentery, even if severe, it may be treatable. If discharging blood, fever throughout the body is strictly contraindicated; fever indicates death, and fever lasting seven days leads to death. The above explains only the superficial aspects, not the root cause. Scholars argue that in every 60-year cycle (from Jiazi to Guihai), there is no year without dysentery. Yet recently, dysentery has ceased for a year among several years. Why? Because in 60 years, there is always Wood-Earth conflict, Earth-Fire stagnation, and Water-Fire clash. However, the Five Movements act like a scale; if the five elements balance each other annually, disease does not arise. If one Qi becomes excessive and one Zang organ surplus, dysentery arises instantly. I detail this to enlighten students and avoid diagnostic errors. Among toxic dysenteries, Water Evil invading the Heart is most severe. Initially, patients have chills and fever. If fever persists after medication, becomes severe, causes vomiting upon eating, continuous dysentery, heart heat like fire, desire for cool places and cold water, manic running, muscle pain, and touch intolerance, only 3-4 out of 10 cases are treatable.
Formula for Epidemic Toxic Dysentery: Read carefully to understand the pathology before medicating. Initial symptoms include chills, fever, headache, high fever, frequent bowel movements with red dysentery, mixed red-white, pure white, or transformation from white to red or red to white. All are suitable for this formula. Initial chills, fever, and headache indicate Cold Evil invading the Heart, with Water-Fire battle. Blood changes internally, leading to red dysentery resembling purple grass water or amaranth water. Lack of luster indicates severe Cold Evil invasion. Pure white discharge indicates Cold Evil has not yet moved. Transformation from white to red indicates worsening Cold Evil. Transformation from red to white indicates diminishing Cold Evil. Equal red and white indicates balanced Water-Fire and transmission of cold/warm Qi. Variations in red/white ratio reflect the severity of Cold Evil and toxicity. White predominance is mild; red predominance is severe. Treatment first addresses Cold. Based on Tai Sui (Year Pillar), Bing Zi, Bing Wu, Jia Zi, Jia Wu, Geng Wu, Geng Zi, Bing Yin, Bing Shen, Jia Yin, Jia Shen, Geng Yin, Geng Shen, Chen Xu years, and Geng Yun periods are particularly harmful. Chou Wei years also show this pattern. Regardless of Tai Sui, heaven and earth changes are complex. In spring, if weather is imbalanced with cold transformations and little sunlight, cold and heat contend. In summer, if cold-warm transformations occur, Cold Evil invades the Heart. Initial chills, fever, headache, frequent stools, red/mixed/white dysentery are treated with Tongshen San. Fever should subside after 2-3 doses. If not, use other formulas below.
*Ephedrae Herba*, *Cinnamomi Ramulus* (each 3 fen), *Ligustici Wallichii Rhizoma et Radix* (Da Xiong), *Atractylodis Macrocephalae Rhizoma* (each 2 liang), *Ligustici Chuanxiong Rhizoma* (Ben), *Angelicae Dahuricae Radix*, *Platycodonis Radix*, *Saposhnikoviae Radix*, *Paeoniae Radix Alba*, *Angelicae Dahuricae Radix* (each 0.5 liang), *Moutan Cortex*, *Glycyrrhizae Radix et Rhizoma* (each 1 fen), *Asari Radix et Rhizoma* (8 fen), *Semen Kochiae* (4 qian). Make fine powder. Take 2 qian with hot water, drink warm with dregs, followed by 2-3 cups of wine. If chills/fever persist, stop and use other formulas. If chills/fever resolve and red dysentery reduces, proceed to Formula 2. If chills/fever resolve but red dysentery persists, take 2-3 doses (max 2/day) until red dysentery reduces. If it turns to white dysentery, proceed to Formula 2, then Formula 3 as white dysentery decreases. In Liu Bing/Geng years, spring/summer cold favors this formula. In Liu Jia/Chou Wei years, warmth prevails; add *Alpiniae Katsumadai Semen* (1 liang) if chills/fever occur initially. Regardless of Tai Sui, if spring/summer is cold and chills/fever occur, use this formula.
Treat Toxic Dysentery: After initial chills/fever resolve with previous formula and red dysentery reduces, use Jin Tui Zhen San. If chills/fever/red dysentery persist, do not use this yet. Heaven and earth changes are variable; dysentery patterns are diverse; caution is required.
*Terminalia chebula Retzii Fructus* (5 jin, flour-roasted until hot, not raw/burnt, remove flour, roast peel until dry, remove pit, use only peel). Pound and sieve finely. Take 2.5 qian with 1.5 sheng rice water, reduce to 1 sheng, take warm with dregs on empty stomach. If phlegm/saliva is vomited, continue for several doses until bowels stabilize and discharge reduces, then proceed to Formula 3 to firm the large intestine. If previous formula failed to reduce fever/blood dysentery, use this.
Treat Toxic Dysentery: After previous two formulas reduce severity and discharge is minimal, if sudden clear stool like duck feces or tea soup occurs, use Bo Shang Huang (desanded, 2 liang, ground fine). Mix with 2 liang roasted *Coicis Semen* powder. Add cooked water to form paulownia seed-sized pills. Take 50 pills with rice water on empty stomach.
Treat Toxic Dysentery: Initial chills/fever treated with Tongshen San (3 doses). If after one day/night chills/fever persist, dysentery unchanged, whole body fever, discharge like pus/traces, peach blossom, or red rice glue, taking 2-3 doses of this medicine for one day/night with persistent symptoms means stop. If fever subsides and dysentery reduces after 2 doses, continue gradually (max 2/day). When red dysentery reduces and turns white, switch back to Zhen Huan San. Dysentery has cold/heat signs but same pathology. Previous formula uses warm herbs; this uses cool herbs. Explanation: Water Evil invading Heart causes fever; Earth dampness stifling Fire causes fever; Liver Heat punishing Spleen causes fever. Only experts discern subtle changes. These two formulas correct errors. Water Evil invading Heart is most severe. Patients with increased chills/high fever should take Tongshen San first. If chills/fever persist and dysentery continues, then take this formula. Based on Tai Sui, Ren, Xu, Yin-Shen, Si-Hai years suit this. Xu years have variations due to Fire excess and Cold-Damp clash. Six Qi shifts are unpredictable; do not fixate on years. If spring/summer heat dominates and dampness fails, with wiry Liver pulse and flooding Heart pulse, take this. If 2 doses fail, stop. Remember Water Evil invading Heart at onset; do not recklessly use cool herbs.
*Schizonepetae Spica*, *Moutan Cortex* (remove heart), *Semen Kochiae* (fried), *Aucklandiae Radix*, *Pedicularis Resupinatae Herba*, *Paeoniae Radix*, *Platycodonis Radix*, *Saposhnikoviae Radix*, *Angelicae Dahuricae Radix*, *Sanguisorbae Radix* (each 1 fen), *Coptidis Rhizoma* (honey-soaked). Make fine powder. Take 2 qian, decoct in one sheng of water for one boil, strain immediately, take warm after meals.
Treat Toxic Dysentery: Initial fever with white mucus discharge. Use Tongshen San. If dysentery lasts 1-2 days, chills/fever resolve spontaneously, leaving only white dysentery without effect, use this formula.
*Citri Reticulatae Pericarpium*, *Saposhnikoviae Radix* (each 1 fen), *Glycyrrhizae Radix et Rhizoma* (4 zhu), *Asari Radix et Rhizoma* (3 zhu), *Atractylodis Macrocephalae Rhizoma* (2 fen), *Alpiniae Katsumadai Semen* (1 piece), *Ligustici Wallichii Rhizoma et Radix* (half...
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Treat Toxic Dysentery: Initial slight chills/fever, sudden abdominal pain. Post-defecation, small amount of mucus mixed with red dysentery. Mistakenly taking cool herbs leads to massive dysentery from morning to night, sleepiness, sallow complexion, cool body early, flushed face late, massive clear mucus and red dysentery, whole body fever, un...