干姜（炮） 巴豆（去心，炒黄，研） 大黄（湿纸裹，甑上蒸） 人参（各一钱，去
芦）
上除巴豆，余为末，同研，炼蜜丸如梧子大。服前汤时用汤吞下一丸，米饮亦得。
有人因忧愁中伤，食结积在肠胃，故发吐利，自后至暑月，稍伤则发，暴下数日不已。
《玉函》云∶下利至隔年月日不期而发者，此为有积，宜下之。只用温脾汤尤佳，如难取
，可佐以干姜丸，后服白术散。
白术 木香 附子（炮，去皮脐） 人参（去芦，各等分）
上细末。每服二钱，水一盏，生姜三片，枣一个，煎六分，温服。
治积痢。
砂（一分） 朱砂（一分，并研极细）
上另用黄蜡半两，巴豆三七粒，去壳皮膜，同于银石器内重汤煮一伏时，候巴豆紫色为
度，去二七粒，只将一七粒与前来二味同再研极匀，再熔蜡匮药，每旋丸绿豆大。每服三丸
至五丸，水泻生姜汤下，白痢艾汤，赤白痢乌梅汤，服时须极空腹。服毕一时，方可吃食，
临卧尤佳，次食淡粥一日。疟疾，乳香汤面东服，不发日晚间服。
此药不动气，服之泻者止，痢者断，疼者愈，有积者内化，亦不动脏腑。大凡痢有沉积
者，不先去其积，虽安暂安，后必为害。尝记陈侍郎泾仲，庚戌秋过仪真求诊。初不觉有疾
，及诊视，则肝脉沉弦，附骨取则牢。予曰∶病在左胁有血积，必发痛。陈曰∶诚如是。前
此守九江被召，冒暑涉长江，暨抵行朝，血痢已数日矣。急欲登对，医者以刚剂燥之，虽得
止数日，脐下一块大如杯，不旬日如碗大，发则不可忍。故急请官祠以归，为之奈何？予曰
∶积痢不可强止，故血结于脐胁下，非抵当丸不可。渠疑而不肯服，次年竟以此终。抵当丸
在第九卷中。
[ Ganjiang Wan (Dried Ginger Pill) ]
Ganjiang (Zingiberis Rhizoma Praeparatum), Badou (Crotonis Fructus, heart removed, stir-fried until yellow, ground), Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper, steamed), Renshen (Panacis Ginseng Radix, each 1 qian, radix neck removed).
Except for Badou, the remaining herbs are ground into fine powder and mixed with Badou. Honey is refined to form pills the size of Sophora japonica seeds. When taking decoction medicine beforehand, swallow one pill with the decoction; rice water may also be used.
A person suffered internal injury due to worry and sorrow, causing food accumulation in the intestines and stomach, leading to vomiting and diarrhea. This persisted from autumn through the summer months; slight dietary indiscretion would trigger an episode, resulting in violent diarrhea lasting several days without cessation.
The *Yujian Jing* states: Diarrhea that recurs unpredictably after a year, month, or day indicates the presence of accumulation, which should be treated with purgation. Using Wenyi Tang (Warm the Spleen Decoction) alone is particularly effective. If difficult to obtain, it can be supplemented with Ganjiang Wan, followed by Baizhu San.
[ Baizhu San (Atractylodes Macrocephala Powder) ]
Baizhu (Atractodis Macrocephalae Rhizoma), Muxiang (Aucklandiae Radix), Fuzi (Aconiti Lateralis Radix Praeparata, skin and navel removed), Renshen (Panacis Ginseng Radix, radix neck removed, all in equal proportions).
Grind all ingredients into a fine powder. Take 2 qian per dose with one cup of water, three slices of fresh ginger, and one jujube. Decoct until reduced to 60%, and take warm.
Indicated for dysentery caused by accumulation.
[ Lingsha Dan (Cinnabar Pill) ]
Zhusha (Cinnabaris, 1 fen), Zhusha (Cinnabaris, 1 fen, both ground extremely fine).
Separately, take half a liang of beeswax and twenty-one grains of Badou (Crotonis Fructus). Remove the shell, skin, and membrane. Boil them together in a silver or earthenware vessel over hot water for one shichen (two hours), until the Badou turns purple. Remove fourteen grains, retaining only seven grains. Mix these seven grains with the two cinnabar powders and grind thoroughly again. Melt the wax to encapsulate the medicine. Form pills the size of mung beans as needed. Take 3 to 5 pills per dose. For watery diarrhea, administer with fresh ginger decoction; for white dysentery, with mugwort decoction; for red-and-white dysentery, with unripe plum decoction. The patient must be extremely hungry when taking the medicine. Food should not be consumed until one hour after administration; taking it before bed is especially good, followed by a day of bland congee. For malaria, administer facing east with frankincense decoction; on evenings when no fever occurs, take it at night.
This medicine does not deplete Qi. It stops diarrhea, halts dysentery, relieves pain, resolves internal accumulations, and does not damage the zang-fu organs. Generally, in cases of dysentery with sediment/accumulation, if the accumulation is not first removed, although temporary relief may occur, harm will inevitably follow later. I once recall Chen Shilang Jingzhong seeking diagnosis in Yizhen during the autumn of the Gengxu year. Initially, he felt no illness. Upon examination, his liver pulse was deep and wiry, becoming firm upon pressing to the bone. I said: "There is blood accumulation in the left hypochondrium, which will certainly cause pain." Chen replied: "Indeed so. Previously, while serving in Jiujiang, I was summoned. Braving the summer heat to cross the Yangtze River, by the time I reached the imperial capital, bloody dysentery had lasted for several days. Eager to attend court, physicians used harsh, drying agents to forcibly stop it. Although it stopped for a few days, a mass appeared below the umbilicus, initially cup-sized, growing bowl-sized within ten days. The pain upon onset was unbearable. Thus, I urgently requested leave to return home. What should be done?" I said: "Accumulative dysentery cannot be forcibly stopped. Therefore, blood has coagulated below the umbilicus and hypochondrium. Only Didang Wan (Resist the Decoction Pill) will suffice." He doubted this and refused to take it. He ultimately died of this condition the following year. Didang Wan is described in Volume Nine.