夫痢不瘥。则肠胃虚弱。津液减耗。不能上润于咽嗌。故口舌焦干而内烦。使人引饮。
饮多则湿气淫溢。肌肉虚浮。而痢亦不瘥。
方
人参汤 治泄痢上膈虚热。烦渴引饮。口疮不下食。困劣。
人参 白茯苓 木香 麦门冬 葛根 前胡 栀子仁 黄 陈橘皮 诃黎勒（各一
两） 半夏（二两） 甘草（半两） 上粗捣筛。每服四钱。水一盏半。生姜三片。陈米一
合。同煎至七分。去滓。空心温服。
黄芩汤 治泄痢脏腑虚燥。烦渴不止。
黄芩（三分） 石膏 甘草 枳壳 黄柏 女萎 栝蒌根（各半两） 榉皮（三分） 白
茯苓（半两） 淡竹叶（三分） 上捣筛为粗末。每服五钱。水一盏半。煎至一盏。去滓。
空心温服。
石膏丸 治痢后渴不止。
石膏 麦门冬 栝蒌根 茯苓 知母 黄连 枸杞根皮 白茯苓（各一两） 胡粉（半
两）
上捣研为末。炼蜜丸如梧桐子大。每服三十丸。空心米饮下。晚食前再服。或作散。将熟水
温二钱许服亦得。
乌梅汤 治久痢食即呕吐。烦渴不可忍。
乌梅肉（半两） 黄连（三分） 白茯苓 黄芩 龙骨（各半两） 诃黎勒（三分） 浓
朴（一两） 阿胶（半两） 上捣筛粗末。每服五钱。将水一盏。生姜三片。同煎至七分。
去滓。空心温服。日午再服。
泻心汤 治卒然下痢热。唇干口燥。呕逆引饮。
人参 甘草 黄芩 栝蒌根 橘皮（各一两） 上罗匀。以水六升。煮取二升。分三服。
治老小痢。水谷不化。腹中雷鸣。心下痞满。干呕。一方无橘皮、栝蒌。若寒加附子一枚。
渴加栝蒌一两。呕加橘皮一两。痛加当归一两。仲景用大枣十二枚。
栝蒌根汤 治下痢冷热相冲。脏腑气不和顺。本来下虚。津液耗少。口干咽燥。
常思饮水。人初不许饮水。毒瓦斯更增。烦躁转甚。宜急与汤饮救之。不得令至过度。
止渴。
栝蒌根 甘草 白茯苓（各半两） 上粗捣筛。每服五钱。以水一盏半。麦门冬一分去
心。枣
麦门冬汤 治痢兼渴。
麦门冬（一两半） 乌梅（七枚） 上锉。以水二盏。煎取一盏。去滓。分温二服。空
心晚食前服。
陈米汤 治吐痢后。大渴饮水不止。
上用陈廪米。水淘净二合。水二盏。煎至一盏。去滓。空心温服。
治痢后渴
用糯米二合。以水一盏半同研。绞取汁。空心顿服之。
Dysentery that fails to heal will weaken the intestines and stomach, deplete body fluids (Jin Ye), and prevent them from moistening the throat upwards. Consequently, the mouth and tongue become scorched and dry, causing internal restlessness and prompting excessive drinking.
Excessive drinking leads to an overflow of dampness, resulting in flaccid swelling of the muscles, while the dysentery remains unhealed.
Prescriptions:
Renshen Tang (Ginseng Decoction): Treats diarrhea and dysentery accompanied by deficiency-heat in the upper jiao, restlessness, thirst with a desire to drink, oral ulcers, inability to eat, and physical exhaustion.
Ingredients: Renshen (Radix Ginseng), Baifuling (Poria), Muxiang (Aucklandiae Radix), Maimendong (Ophiopogonis Tuber), Gegen (Puerariae Radix), Qianhu (Peucedani Radix), Zhiziren (Gardeniae Semen), Huangqin (Scutellariae Radix), Chenjupi (Citri Reticulatae Pericarpium), Helile (Chebulae Fructus) each 1 liang; Banxia (Pinelliae Rhizoma) 2 liang; Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 liang.
Usage: Coarsely grind and sieve the ingredients. Take 4 qian per dose, add 1.5 zhan of water, 3 slices of Shengjiang (Zingiberis Rhizoma), and 1 he of Chenmi (aged rice). Decoct until 0.7 portion remains, strain, and take warm on an empty stomach.
Huangqin Tang (Scutellaria Decoction): Treats diarrhea and dysentery causing deficiency-dryness in the viscera and bowels, with incessant restlessness and thirst.
Ingredients: Huangqin (Scutellariae Radix) 3 fen; Shigao (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma), Zhiqiao (Aurantii Fructus), Huangbai (Phellodendri Cortex), Nüwei (Polygoni Multiflori Caulis), Gualougen (Trichosanthis Radix) each 0.5 liang; Jupi (Ulmaceae Bark) 3 fen; Baifuling (Poria) 0.5 liang; Danzhuyeh (Bambusae Folium) 3 fen.
Usage: Grind and sieve into coarse powder. Take 5 qian per dose, add 1.5 zhan of water, decoct until 1 zhan remains, strain, and take warm on an empty stomach.
Shigao Wan (Gypsum Pill): Treats persistent thirst after dysentery.
Ingredients: Shigao (Gypsum Fibrosum), Maimendong (Ophiopogonis Tuber), Gualougen (Trichosanthis Radix), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), Huanglian (Coptidis Rhizoma), Gougigenpi (Lycii Cortex), Baifuling (Poria) each 1 liang; Hufen (Cerussa) 0.5 liang.
Usage: Grind into powder, mix with refined honey to form pills the size of wutong seeds. Take 30 pills per dose, swallow with rice water on an empty stomach, and repeat before evening meal. Alternatively, prepare as a powder; taking approximately 2 qian mixed with warm water is also acceptable.
Wumei Tang (Mume Decoction): Treats chronic dysentery where food intake immediately triggers vomiting, and unbearable restlessness and thirst.
Ingredients: Wumeirou (Fructus Mume) 0.5 liang; Huanglian (Coptidis Rhizoma) 3 fen; Baifuling (Poria), Huangqin (Scutellariae Radix), Longgu (Fossilia Ossis Mastodi et Scapulae) each 0.5 liang; Helile (Chebulae Fructus) 3 fen; Nongpu (Magnoliae Officinalis Cortex) 1 liang; Ejiao (Colla Corii Asini) 0.5 liang.
Usage: Coarsely grind and sieve. Take 5 qian per dose, add 1 zhan of water and 3 slices of Shengjiang (Zingiberis Rhizoma). Decoct until 0.7 portion remains, strain, and take warm on an empty stomach. Repeat at noon.
Xiexin Tang (Drain the Epigastrium Decoction): Treats sudden onset of dysenteric heat, dry lips and mouth, regurgitation with a desire to drink.
Ingredients: Renshen (Radix Ginseng), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Gualougen (Trichosanthis Radix), Jupi (Citri Reticulatae Pericarpium) each 1 liang.
Usage: Sieve evenly. Add 6 sheng of water, boil down to 2 sheng, and divide into three doses.
This prescription is also used for dysentery in the elderly and children, characterized by undigested food and water, borborygmus in the abdomen, epigastric fullness and stuffiness, and dry retching. In another variation, omit Jupi and Gualou. If cold predominates, add one Fuzi (Aconiti Lateralis Preparata Radix); if thirsty, add 1 liang of Gualou; if vomiting, add 1 liang of Jupi; if painful, add 1 liang of Danggui (Angelicae Sinensis Radix). Zhang Zhongjing's original formula uses twelve Dazao (Ziziphi Jujubae Fructus).
Gualougen Tang (Trichosanthes Root Decoction): Treats dysentery caused by the clash of cold and heat, disharmony of visceral qi, underlying deficiency of the lower jiao, depletion of body fluids, dry mouth and throat, and constant desire to drink water. Initially, patients are forbidden to drink, which exacerbates toxic heat and worsens restlessness. It is imperative to provide decoctions promptly to rescue the condition, preventing excessive dehydration to quench thirst.
Ingredients: Gualougen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Baifuling (Poria) each 0.5 liang.
Usage: Coarsely grind and sieve. Take 5 qian per dose, add 1.5 zhan of water, 1 fen of Maimendong (Ophiopogonis Tuber) (decored), and dates. Decoct, strain, and take warm on an empty stomach.
Maimendong Tang (Ophiopogon Decoction): Treats dysentery complicated by thirst.
Ingredients: Maimendong (Ophiopogonis Tuber) 1.5 liang; Wumei (Fructus Mume) 7 pieces.
Usage: Cut into small pieces. Add 2 zhan of water, decoct until 1 zhan remains, strain, and divide into two warm doses. Take on an empty stomach and before the evening meal.
Chenmi Tang (Aged Rice Decoction): Treats extreme thirst with incessant drinking following vomiting and dysentery.
Usage: Take 2 he of Chenlinmi (aged barn rice), wash clean, add 2 zhan of water, decoct until 1 zhan remains, strain, and take warm on an empty stomach.
Treatment for Thirst After Dysentery:
Usage: Take 2 he of Nuomi (Glutinous Rice), grind together with 1.5 zhan of water, squeeze out the juice, and take in one dose on an empty stomach.