（附论）
夫热病。热毒瓦斯盛。攻于腹胃。内乘于血。血性得热则流散。因其大肠虚。血渗入肠内。
与津液相搏。积热蕴结血为脓。故成脓血痢也。
方
犀角散 治热病。毒热不解。日晚即壮热。便痢鲜血。痢无期度。不下饮食。
犀角屑 茜根（锉） 黄芩（各一两） 黄连（二两去须） 地榆（一两半） 栀子仁
（半两）
上为粗散。每服四钱。以水一盏。入韭白两茎。煎至六分。去滓。不计时候。温服。
黄连饮子 治热病。便痢无度。烦愤不安。
黄连（一两去须微炒） 栀子仁（二十枚捶碎） 薤白（二合切） 上以水二大盏。煎
至一盏
三分。去滓。不计时候。分三服。
当归散 治热病热毒。痢下赤白。腹中疼痛。
当归（锉炒） 黄连（去须微炒） 阿胶（捣碎炒令黄燥） 酸石榴皮（各二两） 甘
草（一两
炙微赤锉） 黄柏（微炒锉） 干姜（炮裹锉各一两） 上为粗散。每服五钱。以水一大盏。
煎
至五分。去滓。不计时候。温服。
升麻散 治热病。毒瓦斯攻胃。大便时或泻血。烦闷妄语。
川升麻（一两） 川大黄（锉碎微炒） 地榆（锉） 赤芍药 枳壳（麸炒微黄去瓤） 黄
芩
甘草（炙微赤锉各半两） 当归（三分） 上为粗散。每服三钱。以水一中盏。煎至五分。
去滓。
不拘时候。温服。
茜根散 治热病下痢。脓血不止。
茜根（一两） 黄芩（三分） 栀子仁（一分） 阿胶（半两捣碎炒令黄燥） 上为散。
每服四
钱。以水一中盏。煎至六分。不计时候。温服。
治热病后。热毒入肠胃。下黄赤汁及烂肉等。
赤石脂（二两捣碎） 豉（一合） 薤白（三茎切） 栀子仁（七枚） 上以水二大盏。
煎至一
盏三分。去滓。不拘时候。分温三服。
治热病。卒下脓血无度方。
黄连（去须微炒） 鼠尾草 地榆（锉各二两） 上为粗散。每服四钱。以水一中盏。
煎至
六分。去滓。不计时候。温服。
石脂散 治热病下痢脓血。
白石脂（一两烧过） 乌梅肉（微炒） 黄连（去须微炒） 胡粉（炒令微黄） 诃黎
勒（煨皮）
槟榔 甘草（炙微赤锉各半两） 上为散。每服以粥饮调下二钱。不计时候服。
鹿角胶散（出圣惠方）治热病七六日后。毒瓦斯不散。下脓血不止。
鹿角胶（一两捣碎炒令黄燥） 黄芩 黄连（去须微炒） 胡粉（炒令色微黄各半两） 上
为
散。每服以冷粥饮调下二钱。不拘时候服。
黄连散（出圣惠方）治热病。毒痢下脓血。腰脐下痛。
黄连（去须微炒） 龙骨 当归（锉微炒各一两） 牛黄（一分细研） 麝香（一钱细
研） 上
为散。每服以粥饮调下二钱。不拘时候服。
地榆散（出圣惠方）治热病。壮热头痛。四肢烦疼。下痢黄赤色。日夜十余
行
。及呕吐不下食。
地榆 龙骨 陈橘皮（汤浸去白瓤焙） 人参（去芦头） 酸石榴皮 黄芩（各一两） 浓
朴
（二两去粗皮涂生姜汁炙令香熟） 上为细散。每服以粥饮调下二钱。不拘时候服。
犀角散（出圣惠方）治热病。热毒攻脏腑。下痢脓血。烦渴不止。
犀角屑 黄连（去须微炒） 赤芍药 黄芩 侧柏叶 阿胶（捣碎炒令黄燥） 乌梅肉
（微
炒） 甘草（炙微赤锉各三分） 上为散。每服以粥饮调下二钱。不计时候服。
治热病卒痢脓血无度方。（出圣惠方）
黄连（三两去须） 龙骨（四两） 阿胶（二两捣碎炒令黄燥） 上为细散。每服以粥
饮调下
一钱。不拘时候服。
治热病热毒攻肠胃。下黄赤汁及烂肉。壮热腹痛方。（出圣惠方）
栀子仁（三七枚） 豉（二合） 薤白（一握切） 上以水二盏。煎至一盏。去滓。不
计时候。
分为二服。
短剧犀角汤 治热病毒。痢色赤如腐烂血。及赤滞如鱼脑。腹痛壮热。诸药无效。
黄柏 黄芩（各一两半） 白头翁 当归 桑寄生 甘草（炙各一两） 黄连（二两） 牡
蛎
（）石榴皮（各一两半） 犀角屑 艾叶（各半两） 上切。以水八升。煮取三升。分三
服。忌
猪肉冷水。海藻菘菜。
一方（出肘后方）治热病后。下痢脓血不止。不能食。
用白龙骨末。米饮调方寸匕服。
治热病不解。而下痢欲死。（出本草）
以龙骨半斤捣研。以水一斗。煮取五升。候极冷稍稍饮。得汗即愈。
[Supplementary Discussion]
The so-called "Re Bing" (Heat Disease, febrile disease) occurs because the pathogenic heat-toxin Qi is vigorous, attacking the abdomen and stomach, and invading internally into the blood vessels. Blood naturally flows and scatters when exposed to heat; combined with the deficiency of the large intestine, blood seeps into the intestines, where it struggles with body fluids. The accumulated heat and stagnation cause the blood to transform into pus, thus forming dysentery with pus and blood.
Formulas
Xijiao San (Rhinoceros Horn Powder): Treats Re Bing where toxic heat is not resolved, presenting with high fever in the evening, passage of fresh blood in stool, continuous dysentery without relief, and inability to eat.
Ingredients: Xijiao Jie (Rhinoceros Horn fragments), Qian Gen (Madder Root, *Rubiae Radix et Rhizoma*) (cut), Huang Qin (Scutellaria Root, *Scutellariae Radix*) (each 1 liang), Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (2 liang, remove whiskers), Di Yu (Sanguisorba Root, *Sanguisorbae Radix*) (1.5 liang), Zhizi Ren (Gardenia Seed, *Gardeniae Fructus*) (0.5 liang).
Preparation: Grind the above ingredients into a coarse powder. Each dose is 4 qian. Add 1 zhen of water and 2 stalks of the white part of Chinese Leek (*Allium tuberosum*). Decoct until reduced to 6 fen. Strain the dregs. Take warm at any time.
Huanglian Yinzi (Coptis Decoction): Treats Re Bing with continuous dysentery, mental restlessness, and agitation.
Ingredients: Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (1 liang, remove whiskers, slightly stir-fried), Zhizi Ren (Gardenia Seed, *Gardeniae Fructus*) (20 seeds, crushed), Xie Bai (Chinese Onion Bulb, *Allii Macrostemonis Bulbus*) (2 he, cut).
Preparation: Add 2 large zhen of water. Decoct until reduced to 1 zhen and 3 fen. Strain the dregs. Divide into three doses and take at any time.
Danggui San (Angelica Sinensis Powder): Treats Re Bing and heat toxin, presenting with dysentery containing both red and white matter, and abdominal pain.
Ingredients: Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (cut and stir-fried), Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (remove whiskers, slightly stir-fried), E Jiao (Donkey-hide Gelatin, *Colla Corii Asini*) (crushed, stir-fried until yellow and dry), Suan Shiliu Pi (Pericarpium Granati Acidi, sour pomegranate peel) (each 2 liang), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (1 liang, honey-fried until slightly red, cut), Huang Bo (Phellodendron Bark, *Phellodendri Cortex*) (slightly stir-fried, cut), Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*) (processed, wrapped, and cut, each 1 liang).
Preparation: Grind into a coarse powder. Each dose is 5 qian. Add 1 large zhen of water. Decoct until reduced to 5 fen. Strain the dregs. Take warm at any time.
Shengma San (Cimicifuga Powder): Treats Re Bing where toxic qi attacks the stomach, presenting with occasional bloody diarrhea, mental confusion, and delirious speech.
Ingredients: Chuan Sheng Ma (Cimicifuga Rhizome, *Cimicifugae Rhizoma*) (1 liang), Chuan Da Huang (Rhubarb Root and Rhizome, *Rhei Radix et Rhizoma*) (cut, slightly stir-fried), Di Yu (Sanguisorba Root, *Sanguisorbae Radix*) (cut), Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*), Zhi Ke (Aurantium Fruit, *Aurantii Fructus*) (bran-fried until slightly yellow, remove pulp), Huang Qin (Scutellaria Root, *Scutellariae Radix*), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (honey-fried until slightly red, cut, each 0.5 liang), Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (3 fen).
Preparation: Grind into a coarse powder. Each dose is 3 qian. Add 1 medium zhen of water. Decoct until reduced to 5 fen. Strain the dregs. Take warm at any time.
Qian Gen San (Madder Root Powder): Treats Re Bing with dysentery where pus and blood do not stop.
Ingredients: Qian Gen (Madder Root, *Rubiae Radix et Rhizoma*) (1 liang), Huang Qin (Scutellaria Root, *Scutellariae Radix*) (3 fen), Zhizi Ren (Gardenia Seed, *Gardeniae Fructus*) (1 fen), E Jiao (Donkey-hide Gelatin, *Colla Corii Asini*) (0.5 liang, crushed, stir-fried until yellow and dry).
Preparation: Grind into a powder. Each dose is 4 qian. Add 1 medium zhen of water. Decoct until reduced to 6 fen. Take warm at any time.
Formula for treating post-Re Bing where heat toxin enters the stomach and intestines, discharging yellow-red juice and rotten flesh-like material.
Ingredients: Chishi Zhi (Halloysitum Rubrum, Red Halloysite) (2 liang, crushed), Chi (Fermented Soybean, *Sojae Semen Preparatum*) (1 he), Xie Bai (Chinese Onion Bulb, *Allii Macrostemonis Bulbus*) (3 stalks, cut), Zhizi Ren (Gardenia Seed, *Gardeniae Fructus*) (7 seeds).
Preparation: Add 2 large zhen of water. Decoct until reduced to 1 zhen and 3 fen. Strain the dregs. Divide into three warm doses and take at any time.
Formula for sudden onset of severe dysentery with pus and blood after Re Bing.
Ingredients: Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (remove whiskers, slightly stir-fried), Shuwei Cao (Salvia Miltiorrhiza Root, *Salviae Miltiorrhizae Radix* - note: historically 'Shuwei Cao' may refer to various herbs, often associated with Salvia or similar astringents in this context), Di Yu (Sanguisorba Root, *Sanguisorbae Radix*) (cut, each 2 liang).
Preparation: Grind into a coarse powder. Each dose is 4 qian. Add 1 medium zhen of water. Decoct until reduced to 6 fen. Strain the dregs. Take warm at any time.
Shizhi San (Halloysite Powder): Treats Re Bing with dysentery and pus/blood.
Ingredients: Baishi Zhi (Halloysitum Album, White Halloysite) (1 liang, calcined), Wumei Rou (Pericarpium Mume, Meat of Mume Fruit) (slightly stir-fried), Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (remove whiskers, slightly stir-fried), Hufen (Lead Carbonate, *Plumbum Carbonas*) (stir-fried until slightly yellow), Helile (Chebula Fruit, *Terminaliae Chebulae Fructus*) (roasted, skin removed), Bing Lang (Areca Seed, *Arecae Semen*), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (honey-fried until slightly red, cut, each 0.5 liang).
Preparation: Grind into a powder. Each dose is 2 qian, taken with rice gruel. Take at any time.
Lujiao Jiao San (Deer Antler Glue Powder) (from *Shenghui Fang*): Treats Re Bing after 6-7 days where toxic qi does not dissipate, resulting in continuous dysentery with pus and blood.
Ingredients: Lujiao Jiao (Deer Antler Glue, *Colla Cornus Cervi*) (1 liang, crushed, stir-fried until yellow and dry), Huang Qin (Scutellaria Root, *Scutellariae Radix*), Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (remove whiskers, slightly stir-fried), Hufen (Lead Carbonate, *Plumbum Carbonas*) (stir-fried until slightly yellow, each 0.5 liang).
Preparation: Grind into a powder. Each dose is 2 qian, taken with cold rice gruel. Take at any time.
Huanglian San (Coptis Powder) (from *Shenghui Fang*): Treats Re Bing with toxic dysentery discharging pus and blood, and pain below the waist and umbilicus.
Ingredients: Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (remove whiskers, slightly stir-fried), Long Gu (Fossilized Mammal Bones, *Os Fossum Mammutis*), Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (cut, slightly stir-fried, each 1 liang), Niu Huang (Calculus Bovis, Bovine Gallstone) (1 fen, finely ground), She Xiang (Moschus, Musk) (1 qian, finely ground).
Preparation: Grind into a powder. Each dose is 2 qian, taken with rice gruel. Take at any time.
Di Yu San (Sanguisorba Powder) (from *Shenghui Fang*): Treats Re Bing with high fever and headache, painful limbs, yellow-red dysentery occurring more than ten times a day, vomiting, and inability to eat.
Ingredients: Di Yu (Sanguisorba Root, *Sanguisorbae Radix*), Long Gu (Fossilized Mammal Bones, *Os Fossum Mammutis*), Chen Ju Pi (Aged Tangerine Peel, *Citri Reticulatae Pericarpium*) (soaked in water, remove white pith, baked), Ren Shen (Ginseng Root, *Panacis Ginseng Radix*) (remove rhizome), Suan Shiliu Pi (Pericarpium Granati Acidi, sour pomegranate peel), Huang Qin (Scutellaria Root, *Scutellariae Radix*) (each 1 liang), Hou Po (Magnolia Bark, *Magnoliae Officinalis Cortex*) (2 liang, remove rough bark, coat with ginger juice, fry until fragrant).
Preparation: Grind into a fine powder. Each dose is 2 qian, taken with rice gruel. Take at any time.
Xijiao San (Rhinoceros Horn Powder) (from *Shenghui Fang*): Treats Re Bing where heat toxin attacks the zang-fu organs, causing dysentery with pus and blood, and unrelenting thirst and irritability.
Ingredients: Xijiao Jie (Rhinoceros Horn fragments), Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (remove whiskers, slightly stir-fried), Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*), Huang Qin (Scutellaria Root, *Scutellariae Radix*), Ce Bai Ye (Biota Top Leaf, *Platycladi Cacumen*), E Jiao (Donkey-hide Gelatin, *Colla Corii Asini*) (crushed, stir-fried until yellow and dry), Wumei Rou (Pericarpium Mume, Meat of Mume Fruit) (slightly stir-fried), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (honey-fried until slightly red, cut, each 3 fen).
Preparation: Grind into a powder. Each dose is 2 qian, taken with rice gruel. Take at any time.
Formula for sudden severe dysentery with pus and blood after Re Bing (from *Shenghui Fang*).
Ingredients: Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (3 liang, remove whiskers), Long Gu (Fossilized Mammal Bones, *Os Fossum Mammutis*) (4 liang), E Jiao (Donkey-hide Gelatin, *Colla Corii Asini*) (2 liang, crushed, stir-fried until yellow and dry).
Preparation: Grind into a fine powder. Each dose is 1 qian, taken with rice gruel. Take at any time.
Formula for Re Bing where heat toxin attacks the stomach and intestines, discharging yellow-red juice and rotten flesh, accompanied by high fever and abdominal pain (from *Shenghui Fang*).
Ingredients: Zhizi Ren (Gardenia Seed, *Gardeniae Fructus*) (37 seeds), Chi (Fermented Soybean, *Sojae Semen Preparatum*) (2 he), Xie Bai (Chinese Onion Bulb, *Allii Macrostemonis Bulbus*) (one handful, cut).
Preparation: Add 2 zhen of water. Decoct until reduced to 1 zhen. Strain the dregs. Divide into two doses and take at any time.
Duanju Xijiao Tang (Short Drama Rhinoceros Horn Decoction): Treats heat toxin where dysentery color is red like rotting blood, or sticky red like fish brain, accompanied by abdominal pain and high fever, when other medicines are ineffective.
Ingredients: Huang Bo (Phellodendron Bark, *Phellodendri Cortex*), Huang Qin (Scutellaria Root, *Scutellariae Radix*) (each 1.5 liang), Baitouweng (Pulsatilla Root, *Pulsatillae Radix*), Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), Sangjisheng (Taxillus Branch, *Taxilli Herba*), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (honey-fried, each 1 liang), Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*) (2 liang), Mu Li (Oyster Shell, *Concha Ostreae*), Shiliu Pi (Pericarpium Granati Acidi, pomegranate peel) (each 1.5 liang), Xijiao Jie (Rhinoceros Horn fragments), Ai Ye (Mugwort Leaf, *Artemisiae Argyi Folium*) (each 0.5 liang).
Preparation: Cut the ingredients. Add 8 sheng of water. Boil until reduced to 3 sheng. Divide into three doses. Avoid pork, cold water, Hai Zao (Seaweed, *Sargassum Herba*), and Song Cai (Chinese Cabbage, *Brassica pekinensis*).
One Formula (from *Zhouhou Fang*): Treats post-Re Bing with continuous dysentery of pus and blood and inability to eat.
Use Bai Long Gu (White Fossilized Mammal Bones) powder. Mix with rice drink and take one fang cun bi (a measure roughly equivalent to a spoonful).
Treatment for Re Bing that does not resolve, leading to fatal dysentery (from *Bencao*).
Use 0.5 jin of Long Gu (Fossilized Mammal Bones, *Os Fossum Mammutis*), crush and grind. Add 1 dou of water. Boil until reduced to 5 sheng. Wait until extremely cold, then drink slowly. Recovery occurs with sweating.