（附论）
夫热痢之甚者。为赤痢。本由肠虚为风邪所伤。又挟邪热。血得热而妄行。乘虚必渗入
肠中。与痢相杂。其色纯赤。名为赤痢。若肠虚不服药。则为久痢。变成呕哕疳 之候矣。
方
黄连汤 治因冷冻饮料食。变成赤痢。
黄连（一两） 肉豆蔻（一枚） 桂（去粗皮） 地榆（各一两） 白芷 赤石脂（各
一两半） 诃黎勒皮（一两） 黄芩（半两） 附子 黄 （各一两半） 吴茱萸 当归
（各一两） 上锉如麻豆大。每服五钱。水一盏半。生姜五片。煎至一盏。去滓。温服。日
三。
伏龙肝丸 治赤痢腹疼。四肢羸困。
伏龙肝 艾叶 木香 地榆 阿胶 当归 黄连 赤芍药 黄芩（各一两） 上捣罗为
末。炼蜜和丸。如梧桐子大。每服三十丸。温粥饮下。不拘时候。
龙骨散（出圣惠方）治赤痢烦渴腹痛。不欲饮食。
龙骨 黄连 地榆 当归 黄芩 阿胶（各一两） 犀角屑（半两） 上捣细罗为散。
每服不计时候。以粥饮调下二钱。
六神汤 治赤痢腹痛。或下纯血。
黄连 车前子（各二两） 地榆 山栀子仁 甘草（各两半） 陈橘皮（焙一两） 上
粗捣筛。每
犀角散 治赤痢腹中疼痛。小便涩。口干。顿服。
当归（一两） 犀角屑（三分） 木香（半两） 黄芩（两半） 地榆（三分） 黄连
（一两去须）上
无食子丸 治赤痢腹心疼痛。
无食子 地榆（各半两） 黄连（一两半） 黄柏（一两） 酸石榴皮（一两） 上捣
罗为末。醋煮面糊丸如梧桐子大。每服十五丸。食前温米饮下。
黄柏丸 治赤痢下黄赤脓。四肢烦。皮肤冷者。
黄柏（二两） 黄连（二两） 熟艾（半两） 黄芩（一两一分） 上捣罗为末。用白
蜜三两炼
熟。入蜡一两熔化。入前药末和捣。丸如梧桐子大。每服三十丸。空心米饮下。日晚再服。
一方作汤煎服。
茯苓丸 治赤白痢。及赤痢等疾。
赤茯苓 当归 黄连 黄柏（各一两） 上捣罗为末。炼蜜丸如梧桐子大。每服二十丸。
空心米饮下。赤白痢加阿胶一两。
黄连散 治赤痢兼大肠下血。
黄连 黄柏 木香（各一两） 浓朴（去粗皮） 上捣罗为散。每服三钱。空心粥饮调
下。日午再服。
治赤痢腹痛不可忍。（出圣惠方）
黄连（二两） 当归（一两） 上以水酒三大盏。煎取一大盏半。去滓。食前。分温三
服。
治赤痢脐下痛。
用茱萸一合。黑豆汤吞之。一方。用杵搓磨吞咽。良。
治赤痢。（出本草）
用犀角烧成灰服之。
二黄汤 治赤痢并一切痢。
枳壳散 治赤痢不止。
枳壳 胡桃（各七枚） 皂荚（二梃） 上就新瓦上。以文火烧令烟尽。取研极细。分
为八服。每临卧及二更五更时各一服。
紫参散 治赤痢腹痛。
紫参（三钱） 肉豆蔻（一两） 乌贼鱼骨（二两） 上为细散。每服一钱。食前。温
米饮调下。
疗下赤痢方
秫米（一把） 鲫鱼 （二脔） 薤白（一虎口细切） 上以合煮。如作粥法啖之。
黄连丸 治赤痢。
黄连（四分） 陈仓米（四分） 干姜（四分） 上捣筛为末。缓火炒令色变。以纳二
颗鸡子
白中。熟和丸如梧桐子大。空心服五十丸。以好无灰酒温一盏下之。至晚痢赤色当变白。明
旦即瘥。更服。
疗赤痢方
香淡豉（大半升） 黄连（一大两） 上以水一升半。浸豉一日。滤取汁。碎黄连薄绵
裹。豉汁中煎。
赤芍药散 治赤痢多。腹痛不可忍。溲而便脓者。小肠泄也。脉五至之久洪者。
宜以七宣丸。如脉平者。立秋至春分。宜香连丸。春分至立秋。宜芍药柏皮丸。四季
通用宜加平胃散。七宣丸之类。后宜服此药。去其余邪。兼平胃气。
赤芍药（二两） 黄柏（二两） 上捣筛为散。每服三钱。以淡浆水一中盏。煎至五分。
去滓。不计时候。温服。一方醋和为丸。如梧桐子大。每服五七十丸至二百丸。食前温水下。
治赤痢腹痛不可忍。（出圣惠方）
寒水石（一分） 砒霜（半分） 上细研如粉。以软粟米饮和丸。如绿豆大。每于食前
以甘草汤下三十丸。
治赤痢。（出本草）
用薤白同黄柏煮服之。即瘥。
治三焦壅热。其血流散。乘脾之虚。渗入大肠。而所下之痢。尽皆赤色。别无白
痢相杂。并不壮热。亦无心腹疼痛。诊其脉上部洪大。脾脉外鼓而浮。先宜吃此方。
候上焦气清。赤痢消减。忽变成白。忽赤痢减后。却其小腹膨胀。即便修合后方吃。
取平安。
麻黄 防风 麦门冬 独活 木香 荆芥穗 牡丹皮 大黄 前胡（各一分） 上为细
末。每服二钱。食后热汤下。去滓服。候赤痢消减。忽变成白。忽小腹膨胀。即修合后方吃
也。
治赤痢吃前方了。变成白痢。病已稍可。忽小腹膨胀。宜吃此方。
防风 甘草（各一两） 木香（三钱） 芎（半两） 诃黎勒（火炮） 上为细末。每
服一钱半。水一盏。煎取九分。空心和滓吃。
治赤痢。所下之痢。浑是鲜血。忽有黯黑色者。此皆因使性善怒。致伤肝脏。血
气不和。或
桑寄生（一两） 木香 独活 甘草 大芎 牡丹皮（各一分） 上为细末。水一盏。
煎取八分。非时吃。每服二钱。
小柴胡汤 治赤痢急紧。心烦潮热。
柴胡（八两） 黄芩 人参 甘草（各三两） 半夏（二两半） 上和匀。姜五片。枣
一枚煎。加
治赤痢
取乌蛇骨烧为黑末。饮下三钱。杂蛇亦得。
治赤痢热久不止。
黄连末。鸡子白和为丸。饮服十丸至三十丸。即瘥。
疗重下赤痢者（出本草）
取獭黄赤粪下白者。取白粪烧末。清旦空心服。以饮服一小盏。三日饮之。即愈。
治赤痢经年不愈。\x
上用绿豆角蒸熟。随意食之。如无绿豆角。只蒸好绿豆。者粥食之。当效。
[Attached Discussion]
Severe heat dysentery is called Chi Li (Red Dysentery). Its root cause lies in intestinal deficiency, where wind pathogens invade, compounded by pathogenic heat. Blood, agitated by heat, flows recklessly and seeps into the intestines due to deficiency, mixing with the dysenteric discharge. The color is purely red, hence named Chi Li (Red Dysentery). If intestinal deficiency persists without medication, it becomes chronic dysentery (Jiu Li), evolving into symptoms such as vomiting (Ou), hiccups (Yue), and infantile malnutrition syndrome (Gan Ji).
Formulas
Huanglian Tang (Coptis Decoction): Treats Chi Li (Red Dysentery) caused by consuming frozen drinks and food.
* Huang Lian (Rhizoma Coptidis, 1 liang)
* Rou Dou Kou (Nucis Arecae Semens, 1 piece)
* Gui Zhi (Ramulus Cinnamomi, bark stripped of coarse parts)
* Di Yu (Radix Sanguisorbae, 1 liang)
* Bai Zhi (Radix Angelicae Dahuricae, 1 liang)
* Chi Shi Zhi (Lapis Kaolinii, 1.5 liang)
* He Li Le Pi (Pericarpium Chebulae, 1 liang)
* Huang Qin (Radix Scutellariae, 0.5 liang)
* Fu Zi (Radix Aconiti Lateralis Preparata, 1.5 liang)
* Huang Qi (Radix Astragali, 1.5 liang)
* Wu Zhu Yu (Fructus Evodiae, 1 liang)
* Dang Gui (Radix Angelicae Sinensis, 1 liang)
Crush the herbs to the size of hemp seeds. Take 5 qian per dose, with 1.5 zhan of water and 5 slices of Sheng Jiang (Rhizoma Zingiberis Recens). Decoct to 1 zhan, strain, and take warm. Three times daily.
Fulong Gan Wan (Dragon's House Earth Pill): Treats Chi Li (Red Dysentery) with abdominal pain, emaciation, and fatigue of the four limbs.
* Fu Long Gan (Caulis Fornacis, 1 liang)
* Ai Ye (Folium Artemisiae Argyi, 1 liang)
* Mu Xiang (Radix Aucklandiae, 1 liang)
* Di Yu (Radix Sanguisorbae, 1 liang)
* E Jiao (Colla Corii Asini, 1 liang)
* Dang Gui (Radix Angelicae Sinensis, 1 liang)
* Huang Lian (Rhizoma Coptidis, 1 liang)
* Chi Shao Yao (Radix Paeoniae Rubra, 1 liang)
* Huang Qin (Radix Scutellariae, 1 liang)
Pulverize the herbs, mix with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose, washed down with warm millet gruel. Time is not restricted.
Long Gu San (Fossilized Bone Powder) [From *Sheng Hui Fang*]: Treats Chi Li (Red Dysentery) with irritability, thirst, abdominal pain, and anorexia.
* Long Gu (Os Draconis seu Mastodi, 1 liang)
* Huang Lian (Rhizoma Coptidis, 1 liang)
* Di Yu (Radix Sanguisorbae, 1 liang)
* Dang Gui (Radix Angelicae Sinensis, 1 liang)
* Huang Qin (Radix Scutellariae, 1 liang)
* E Jiao (Colla Corii Asini, 1 liang)
* Xi Jiao Jie (Cornu Rhinocerotis Tritum, 0.5 liang)
Pulverize finely and sieve. Take at any time, mixed with millet gruel, 2 qian per dose.
Liu Shen Tang (Six Divine Decoction): Treats Chi Li (Red Dysentery) with abdominal pain or passage of pure blood.
* Huang Lian (Rhizoma Coptidis, 2 liang)
* Che Qian Zi (Semen Plantaginis, 2 liang)
* Di Yu (Radix Sanguisorbae, 1.5 liang)
* Shan Zhi Zi Ren (Semen Gardenoliae, 1.5 liang)
* Gan Cao (Radix Glycyrrhizae Preparata, 1.5 liang)
* Chen Ju Pi (Pericarpium Citri Reticulatae, roasted, 1 liang)
Coarsely crush and sieve... [Text incomplete in source].
Xi Jiao San (Rhinoceros Horn Powder): Treats Chi Li (Red Dysentery) with abdominal pain, dysuria, dry mouth; taken as a single dose.
* Dang Gui (Radix Angelicae Sinensis, 1 liang)
* Xi Jiao Jie (Cornu Rhinocerotis Tritum, 3 fen)
* Mu Xiang (Radix Aucklandiae, 0.5 liang)
* Huang Qin (Radix Scutellariae, 1.5 liang)
* Di Yu (Radix Sanguisorbae, 3 fen)
* Huang Lian (Rhizoma Coptidis, 1 liang, roots removed)... [Text incomplete in source].
Wu Shi Zi Wan (Terminalia Chebula Pill): Treats Chi Li (Red Dysentery) with epigastric and abdominal pain.
* Wu Shi Zi (Fructus Terminaliae Chebulae, 0.5 liang)
* Di Yu (Radix Sanguisorbae, 0.5 liang)
* Huang Lian (Rhizoma Coptidis, 1.5 liang)
* Huang Bo (Cortex Phellodendri, 1 liang)
* Suan Shi Liu Pi (Pericarpium Granati Acidum, 1 liang)
Pulverize, mix with vinegar and wheat paste to form pills the size of Sophora japonica seeds. Take 15 pills per dose before meals, washed down with warm millet drink.
Huang Bo Wan (Phellodendron Bark Pill): Treats Chi Li (Red Dysentery) with passage of yellow-red pus, limb irritability, and cold skin.
* Huang Bo (Cortex Phellodendri, 2 liang)
* Huang Lian (Rhizoma Coptidis, 2 liang)
* Shu Ai Ye (Folium Artemisiae Argyi Preparatum, 0.5 liang)
* Huang Qin (Radix Scutellariae, 1.1 liang)
Pulverize, mix with 3 liang of refined white honey and 1 liang of melted beeswax. Form pills the size of Sophora japonica seeds. Take 30 pills per dose on an empty stomach with millet drink, and again in the evening. Alternatively, decoct as a soup.
Fu Ling Wan (Poria Pill): Treats Chi Bai Li (Red-White Dysentery) and Chi Li (Red Dysentery).
* Chi Fu Ling (Poria cum Radice Xylom, 1 liang)
* Dang Gui (Radix Angelicae Sinensis, 1 liang)
* Huang Lian (Rhizoma Coptidis, 1 liang)
* Huang Bo (Cortex Phellodendri, 1 liang)
Pulverize, mix with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose on an empty stomach with millet drink. For Chi Bai Li (Red-White Dysentery), add E Jiao (Colla Corii Asini) 1 liang.
Huanglian San (Coptis Powder): Treats Chi Li (Red Dysentery) with hematochezia from the large intestine.
* Huang Lian (Rhizoma Coptidis, 1 liang)
* Huang Bo (Cortex Phellodendri, 1 liang)
* Mu Xiang (Radix Aucklandiae, 1 liang)
* Hou Po (Cortex Magnoliae Officinalis, bark stripped)
Pulverize. Take 3 qian per dose on an empty stomach with gruel, and again at noon.
Treats severe Chi Li (Red Dysentery) abdominal pain [From *Sheng Hui Fang*].
* Huang Lian (Rhizoma Coptidis, 2 liang)
* Dang Gui (Radix Angelicae Sinensis, 1 liang)
Decoct with 3 da zhan of water and wine to obtain 1.5 da zhan. Strain. Divide into three warm doses before meals.
Treats Chi Li (Red Dysentery) with pain below the umbilicus.
Take 1 he of Zhu Yu (Evodia Fruit), swallow with black bean soup. Another method: grind with a pestle and swallow; effective.
Treats Chi Li (Red Dysentery) [From *Ben Cao*].
Burn Xi Jiao (Cornu Rhinocerotis) to ash and ingest.
Er Huang Tang (Two Yellows Decoction): Treats Chi Li (Red Dysentery) and all types of dysentery.
Zhi Ke San (Immature Bitter Orange Powder): Treats persistent Chi Li (Red Dysentery).
* Zhi Ke (Fructus Aurantii Immaturus, 7 pieces)
* Hu Tao (Nux Juglandis, 7 pieces)
* Zao Jia (Fructus Gleditsiae Sinensis, 2 sticks)
Roast on new tile over low fire until smoke ceases. Grind to fine powder. Divide into 8 doses. Take one dose each at bedtime, second watch, and fifth watch.
Zi Shen San (Codonopsis/Scrophularia Powder? Note: Zi Shen usually refers to Codonopsis or Scrophularia depending on context, here likely Scrophularia ningpoensis or similar root): Treats Chi Li (Red Dysentery) with abdominal pain.
* Zi Shen (Radix Scrophulariae seu Codonopsidis, 3 qian)
* Rou Dou Kou (Nucis Arecae Semens, 1 liang)
* Ou Mei Yu Gu (Endoconcha Sepiae, 2 liang)
Make fine powder. Take 1 qian per dose before meals, mixed with warm millet drink.
Formula for Lowering Red Dysentery
* Shu Mi (Sorghum Vulgare, 1 handful)
* Ji Yu (Cyprinus Carpio, 2 pieces)
* Xie Bai (Bulbus Allii Macrostemonis, cut finely)
Boil together like porridge and eat.
Huanglian Wan (Coptis Pill): Treats Chi Li (Red Dysentery).
* Huang Lian (Rhizoma Coptidis, 4 fen)
* Chen Cang Mi (Aged Rice, 4 fen)
* Gan Jiang (Rhizoma Zingiberis Secum, 4 fen)
Pulverize, stir-fry slowly until color changes. Mix into 2 egg whites. Cook and form pills the size of Sophora japonica seeds. Take 50 pills on an empty stomach, washed down with 1 zhan of good clear wine. By evening, red stool should turn white. Cure expected next morning; continue taking.
Formula for Treating Chi Li (Red Dysentery)
* Xiang Dan Chi (Fermented Soybean, half sheng)
* Huang Lian (Rhizoma Coptidis, 1 da liang)
Soak beans in 1.5 sheng of water for one day. Filter juice. Wrap crushed Huang Lian in thin silk, decoct in bean juice.
Chi Shao Yao San (Red Peony Root Powder): Treats severe Chi Li (Red Dysentery), unbearable abdominal pain, dysuria with purulent stool, known as Xiao Chang Xie (Small Intestine Leakage). If pulse is long-term surging (five beats per respiration), use Qi Xuan Wan (Seven Circulation Pill). If pulse is peaceful, from Start of Autumn to Spring Equinox, use Xiang Lian Wan (Aucklandia-Coptis Pill); from Spring Equinox to Start of Autumn, use Shao Yao Bai Pi Wan (Peony-Phellodendron Pill). Year-round, add Ping Wei San (Powder for Peaceful Stomach) or similar. Afterwards, take this medicine to clear residual pathogens and harmonize Stomach Qi.
* Chi Shao Yao (Radix Paeoniae Rubra, 2 liang)
* Huang Bo (Cortex Phellodendri, 2 liang)
Pulverize. Take 3 qian per dose with dan jiang shui (light fermented rice water), decoct to 0.5 zhan. Strain, take warm at any time. Alternative: mix with vinegar into pills the size of Sophora japonica seeds. Take 50-200 pills before meals with warm water.
Treats severe Chi Li (Red Dysentery) abdominal pain [From *Sheng Hui Fang*].
* Han Shui Shi (Halloysitum Rubrum, 1 fen)
* Pi Shuang (Arsenic Trioxide, 0.5 fen)
Grind to powder. Mix with soft millet drink to form pills the size of mung beans. Take 30 pills before meals with licorice soup.
Treats Chi Li (Red Dysentery) [From *Ben Cao*].
Decoct Xie Bai (Bulbus Allii Macrostemonis) with Huang Bo (Cortex Phellodendri) and take; cure follows.
Treats San Jiao Yong Re (Stagnant Heat in Triple Burner), where blood flow scatters, enters the Large Intestine due to Spleen deficiency. The dysentery is entirely red, no white mixture, no high fever, no heart/abdominal pain. Pulse: upper part surging and large, Spleen pulse bulging externally and floating. First, take this formula. Wait for Upper Jiao Qi to clear and Chi Li (Red Dysentery) to subside, suddenly turning white. If Chi Li reduces but lower abdomen becomes distended, then prepare and take the following formula for safety.
* Ma Huang (Herba Ephedrae, 1 fen)
* Fang Feng (Radix Saposhnikoviae, 1 fen)
* Mai Men Dong (Radix Ophiopogonis, 1 fen)
* Du Huo (Radix Angelicae Pubescentis, 1 fen)
* Mu Xiang (Radix Aucklandiae, 1 fen)
* Jing Jie Sui (Spica Schizonepetae, 1 fen)
* Mu Dan Pi (Cortex Moutan, 1 fen)
* Da Huang (Radix et Rhizoma Rhei, 1 fen)
* Qian Hu (Radix Peucedani, 1 fen)
Pulverize. Take 2 qian after meals with hot water. Strain and drink. When Chi Li subsides and turns white, or if lower abdomen distends, prepare the following formula.
After treating Chi Li (Red Dysentery) with the previous formula, it turns to Bai Li (White Dysentery), condition slightly improves, but lower abdomen distends. Take this formula.
* Fang Feng (Radix Saposhnikoviae, 1 liang)
* Gan Cao (Radix Glycyrrhizae Preparata, 1 liang)
* Mu Xiang (Radix Aucklandiae, 3 qian)
* Xiong (Radix Ligustici Chuanxiong, 0.5 liang)
* He Li Le (Fructus Terminaliae Chebulae, fire-roasted)
Pulverize. Take 1.5 qian per dose with 1 zhan of water, decoct to 0.9 zhan. Take on an empty stomach with dregs.
Treats Chi Li (Red Dysentery) where discharge is fresh blood, suddenly appearing dark/black. This is due to anger injuring the Liver, causing disharmony of Qi and Blood.
* Sang Ji Sheng (Cacumen Taxilli, 1 liang)
* Mu Xiang (Radix Aucklandiae, 1 fen)
* Du Huo (Radix Angelicae Pubescentis, 1 fen)
* Gan Cao (Radix Glycyrrhizae Preparata, 1 fen)
* Da Xiong (Radix Ligustici Chuanxiong, 1 fen)
* Mu Dan Pi (Cortex Moutan, 1 fen)
Pulverize. Decoct with 1 zhan of water to 0.8 zhan. Take at any time, 2 qian per dose.
Xiao Chai Hu Tang (Minor Bupleurum Decoction): Treats urgent Chi Li (Red Dysentery), mental restlessness, tidal fever.
* Chai Hu (Radix Bupleuri, 8 liang)
* Huang Qin (Radix Scutellariae, 3 liang)
* Ren Shen (Radix Ginseng, 3 liang)
* Gan Cao (Radix Glycyrrhizae Preparata, 3 liang)
* Ban Xia (Rhizoma Pinelliae Preparatum, 2.5 liang)
Mix evenly. Decoct with 5 slices of Sheng Jiang (Rhizoma Zingiberis Recens) and 1 date. Add... [Text incomplete in source].
Treats Chi Li (Red Dysentery)
Burn Wu She Gu (Bone of Black Snake) to black powder. Take 3 qian with water. Other snakes are also acceptable.
Treats prolonged Chi Li (Red Dysentery) heat not stopping.
Huang Lian (Rhizoma Coptidis) powder, mixed with egg white into pills. Take 10-30 pills with water; cure follows.
Treats severe lower red dysentery [From *Ben Cao*].
Take the white feces found beneath the red feces of a wild dog (Ta Huang). Burn to powder. Take on an empty stomach in the early morning with a small cup of water. Drink for three days; cure follows.
Treats Chi Li (Red Dysentery) persisting for years.
Steam green bean pods and eat as desired. If unavailable, steam green beans and eat as porridge; effective.