上三味为细末，老米饭捣烂为丸，如萝卜子大，每服七丸，看人肥瘦，或五粒三粒，端午日修合甚妙，药引在后。
赤痢，用蜜糖调滚白汤空心送下。水泻，用姜汤下。脾泄，用姜汤送下，连服七日。凡服药后，直要饿至午时，然后吃
炒米粥半碗，顷刻又进半碗。腹内有热毒，任其自行自止。惟赤痢难治，倘一服不止，再用细茶二两煎 ，生蜜糖二两，
生姜一两取汁，三味共为一处，加前药七粒，空心服之即止。白痢，用黑沙糖调滚白汤，空心送下。（《医宗粹言》）
温里方法 椒艾丸，治三十年下痢，所食之物皆不消化，或青或黄，四肢沉重，起即眩倒，骨肉消尽，
两足逆冷，腹中热，苦筋转，起止须扶，阴冷无子方。
蜀椒（三百粒） 熟艾（一斤） 干姜（三两） 赤石脂（二两） 乌梅（一百枚）
上五味，椒、姜、艾下筛，梅着一斗米下，蒸令饭熟，去核，内姜椒末，合捣三千杵，蜜和丸如梧子，服
十丸，日三服。不瘥，至二十丸，加黄连一升。（《千金》）
治白痢腹痛，胸膈痞满，不能饮食，诃黎勒散方。
诃黎勒（一两半煨用皮） 木香（三两） 附子（一两炮裂去皮脐） 干姜（一两炮裂锉） 浓朴（二两去
粗皮涂生姜汁炙令香熟） 枳实（一两麸炒微黄） 白茯苓（一两） 甘草（半两炙微赤锉） 当归（一两锉微炒）
上件药捣细罗为散，每服不计时候，以粥饮调下二钱。（《圣惠》）
治久赤白痢不止，脐腹 痛，木香散方。
木香（三分） 附子（一两半炒裂去皮脐） 黄连（一两去须微炒） 当归（一两锉微炒） 吴茱萸（半两汤
浸七遍焙干微黄） 浓朴（三两去粗皮生姜汁炙令香熟）
上件药捣筛为散，每服三钱，以水一中盏，煎至五分去滓，不计时候稍热服。（同上）（按∶又治久冷下痢
吴茱萸丸，治冷气水泻缩沙丸，俱与此方相近，兹不具录。）
干姜于火上烧黑，不令成灰，瓷碗合，放冷为末，每服一钱，米饮调下，治血痢神效。仲景云∶小肠有寒
者，其人下重便血。可以此治之。（《准绳》）
治痢止，腹痛不可忍者。
上良姜、芍药等分为末，煮姜盐饭汤调下。（《经验良方》）
族侄良诠患血痢，腹痛里急后重，时师治以香连丸、黄芩芍药汤不愈，腹反增痛，面赤唇红，有似涂朱，
喊叫之声，四舍悚骇。比有太学宁宇者，拉予为胗，六脉洪大。以生熟白芍药六钱，生熟甘草二钱，干姜、肉桂
各一钱，木香二钱，枣二枚，水煎饮之，饮竟嗒焉而卧。太学乃令人觇病者何如。复曰∶夜来痢减十之五，痛减
十之七，早间已啜粥半盏矣。太学喜而叩予曰∶渠面赤唇红脉大，所下皆血，症皆属热，叔乃复投热剂。吾甚
恐，一夜不能寐，乃今疾已减半，生有望焉。不卜今日用何剂？予曰∶比昨剂差小耳，方仍昨也。太学曰∶吾惑
矣，何视热为寒耶？予曰∶君知脉大为热，不知大而无力乃虚寒也。面赤唇红，由中寒而火不能下，阴盛格阳之
症。若是真热腹痛，其人体仰而舒。寒则引而伏，所下血色带晦，均是假热，寒症明矣。前剂果再进而全瘳。
（《赤水》节文）
一老妇食后因怒患痢，里急后重，属脾气下陷。与大剂六君，加附子、肉蔻、煨木香各一钱，吴茱萸五分，
骨脂、五味各一钱五分。二剂诸症悉退，惟小腹胀闷，此肝气滞于脾也。与调中益气，加附子、木香五分，四剂
而愈。后口内觉咸，此肾虚水泛。与六味地黄丸，二剂顿愈。（《内科摘要》）
固涩方法 治热毒下黑血，五内绞切痛，日夜百行，气
绝欲死方。
黄连（一升） 龙骨 白术（各二两） 阿胶 干姜 当归 赤石脂（各三两） 附子（一两）
上八味 咀，以水一斗，煮取五升，分五服。余以正观三年七月十三日忽得此热毒痢，至十五日命将欲绝，
处此方药，入口即定。（《千金》）《千金月令》主赤白痢，不问冷热方。赤石脂、龙骨、干姜、黄连（各三两）
为末，以饮服二钱匕，日再服。《本草图经》胡洽九盏汤，主下痢，不问冷、热、赤、白、谷、滞、休息、久下，
用黄连、龙骨、附子、干姜、胶，水煎服。《圣惠》治赤白痢，腹中 痛，时作寒热，阿胶散，用阿胶、甘草、
附子、黄连、当归，水煎。《圣济》治洞泄冷痢，熟艾汤，于本方去龙骨、白术、当归，加熟艾、甘草。
大桃花汤，治冷白滞痢腹痛方。
赤石脂 干姜 当归 龙骨 牡蛎（各三两） 附子（二两） 白术（一升） 甘草 芍药（各一两）
人参（一两半）
上十味 咀，以水一斗二升，煮术取九升，内诸药煮取二升，分三服。脓者，加浓朴三两。呕者，加橘皮三
两。（《千金》）（按∶此方白术非为主药而先煮之，殊为可疑，且其量云一升，则盖是粳米之讹。）
断痢汤，治胸心下伏水方。
半夏（一升） 生姜（五两） 茯苓 甘草 龙骨（各二两） 附子（一两） 人参 黄连（各三两）
大枣（十二枚）
上九味 咀，以水八升，煮取三升，分三服。（同上）
治热痢烦渴腹痛，黄连散方。
黄连（一两去须微炒） 黄芩（一两） 当归（一两锉微炒） 黄柏（一两锉） 赤石脂（一两）
上件药捣细罗为散，每服不计时候，以粥饮调下二钱。（《圣惠》）
纯阳真人养脏汤，治大人小儿肠胃虚弱，冷热不调，脏腑受寒，下痢赤白，或便脓血，有如鱼脑，里急后
重，脐腹 痛，日夜无度，胸膈痞闷，胁肋胀满，全不思食，及治脱肛坠下，酒毒便血，诸药不效者，并皆治之。
白芍药（一两六钱） 当归（去芦洗焙） 人参（去芦） 白术（焙各六钱） 肉豆蔻（面里煨半两）
肉桂（去粗皮） 甘草（炙各八钱） 木香（不见火一两四钱） 诃子皮（一两二钱） 罂粟壳（去蒂盖蜜炙
三两六钱）
上件锉为粗末，每服二大钱，水一盏半，煎至八分，去滓食前温服。老人孕妇小儿暴泻，宜急服之立愈。
忌酒面生冷鱼腥油腻。如脏腑滑泄夜起久不瘥者，可加炮了附子三片煎服。此药的有神效，不可具述。（《和剂》）
斗门散，治八种毒痢，脏腑撮痛，脓血赤白，或有五色相杂，日夜频并，兼治酒痢藏毒，全不进食。
罂粟壳（去穣蜜炙） 黑豆（炒去壳各四两） 当归（去芦） 干姜（炮各一两） 地榆（去芦） 甘草（炙各二
两） 干葛（去皮半斤）
上为细末，每服二钱，水一盏，煎至七分，温服不计时候。（同上）
人有湿热作痢，数日之后，腹不疼痛，如脓如血，阵阵自下，手足厥冷，元气欲绝，此是火变为寒而阴绝
也。夫痢无止法，古人之语也。然痢实不同，有初起即宜止者，有日久而不可止者，未可执痢无止法一语竟不用
止也。然不止痢，不过久痢之难痊；若止痢，每至变生于不测，是痢又不可轻言止也。此等之症正不可不止者，
盖腹中作痛为邪，腹既不痛，何邪之有。腹不痛而脓血阵阵自下，乃气脱而欲崩
也。手足厥冷，乃气脱而不能运也。必须看其舌之滑燥何如耳，热极则舌必燥，寒极则舌必滑也。热变为寒，其
舌必滑，须先止其痢以救脱，不可泻其痢以攻邪矣。方用止脱救痢汤，人参二两，白术二两，白芍一两，肉桂三
钱，茯苓一两，甘草二钱，赤石脂末三钱，水煎服。一剂手足温，二剂脓血止，三剂痢全愈。减各药一半，去赤
石脂，再服十剂，元气如故矣。此等之痢，世不常有，不可执此方以治痢。余论症不敢不备，存此治法，救万人
中之一人也。（《辨证录》）
阿芙蓉，天方国传，专治久痢不止及一切冷证。每用小豆大一粒，空心温水化下，忌葱蒜酱水，如热渴以蜜
水解之，小儿黄米大一粒。（《医林集要》）
霞片香连丸，治久痢诸药不效，服此莫不应验。
川黄连（四两，吴茱萸四两同炒紫色，去茱萸不用。） 木香（八分） 霞片（即霞芙蓉二分）
上为末，水丸如梧桐子大，每服三十丸，白汤下。（《活人心统》）《入门》陈米糊丸，绿豆大，每二三十
丸。此方临危便泄不收，诸方不效，急将莲肉煎汤送下，被盖取睡，效奏神矣。
调补方法（病后调理）治大下后，腹中空竭，胸中虚满，不下食方。
芍药 甘草 半夏（各一两） 浓朴 当归（各三两） 生姜（五两） 桂心（三两）
上七味 咀，以水七升，煮取三升，分三服，服二剂最佳。（《千金》）
有人久患痢，赤白兼下，或纯白，或纯赤，百药不愈者，病久服药已多，治痢多用毒药攻击得藏气不和，
所以难愈。史载之用轻清和气药与之遂愈，后来屡有验。其方用罂粟壳
蜜炙、人参、白术、白茯苓、川芎、甘草炙、黄 等分为细末，二钱，水一盏，生姜、枣、乌梅半分，煎八分，
温服不以时。（《医说》）（按今《史载之方》无考。）
叶先生患滞下，后甚逼迫，正合承气证。予曰∶气口虚，形虽实而面黄稍白，此必平昔食过饱而胃受伤，
宁忍一两日辛苦。遂与参、术、陈皮、芍药等补药十余帖，至三日后胃气稍完，与承气两帖而安。苟不先补完
胃气之伤而遽行承气，吾恐病安之后，宁免瘦惫乎。（《格致余论》）
浦江郑义士病滞下，一夕忽昏仆，目上视，溲注而汗泻。翁诊之，脉大无论，即告曰∶此阴虚阳暴绝也，
盖得之病后酒且纳，吾能愈之。急命治人参膏，而且促灸其气海。顷之手动，又顷而唇动，及参膏成，三饮之，
苏矣。其后服参膏尽数斤，病已。（戴良撰《丹溪翁传》）
参归芍药汤，治痢久一二十日，痢去多不止，用此调理气血自愈。
人参（一钱） 当归（酒洗二钱） 茯苓 白术（一半） 砂仁（七分） 山药（炒） 陈皮（各一半）
甘草（五分）
上锉一剂，乌梅二个，灯草一团，莲肉七个，水煎温服。（《回春》）《寿世》白术和中汤，下痢白多，
不拘新久，或用下后未愈者，用此和之。于本方去人参、砂仁、山药，加黄芩、黄连、木香。
飞畴治朱元臣子，患五色痢二十余日，胸膈胀满而粥饮不进，服药罔效。别延两医诊视，一用大黄，一用
人参。元臣不能自主，因执治于予。予曰∶用大黄者，因其胀满脉大也；用人参者，因其痢久不食也。痢久不
食，大黄断断难施；膈满作胀，人参亦难遽投。今拟伏龙肝为君，专温土藏，用以浓煎代水，煎焦术、茯苓，
甘草、广藿、木香、炒
乌梅。一剂痢减食进，再剂而止，遂不药，调理而起。（《医通》）
十全大补汤，痢疾已愈，气血大虚者，此方主之。（《医方考》）
痢后调补，宜四君子汤加陈皮一钱半，即异功散。恶甜者，生料平胃散，加人参、茯苓各半钱。（《要诀》）
食治诸方 鲫鱼作脍，主赤白痢。（《本草》唐本先附）作脍，治肠 水谷不和。（同上日华子）治
赤白痢久不瘥，鲫鱼脍方。鲫鱼一斤鲜者，去鳞鬣，细切作 ，用蒜齑调和食之。（《圣惠》）（按∶《是斋》
有鲫鱼入白矾纸裹煨食方，不录。）
痢疾噤口，数日不食，食必吐，羸瘠殆尽。用乌骨鸡修事如常，白煮清汁与服。服之一日，胃气顿开，痢止
人活，此异人方也。（《澹寮》引《增品方》）
莱菔汤，治男妇大小赤白痢下。盖血随气运，气滞故血妄行。惟萝卜根叶，主消滞和中，通肠利气。余居
金陵时，用此治人，无不效应，活人不啻数百矣。
萝卜根叶（隔年冬间风干候用）
上不拘多少，煮烂露一宿，次日空心，汁与叶同服。（《医汇》）
金龙汤，治痢疾噤口，病势欲死者。
金丝鲤鱼一尾，重一二斤者，如常治净，用盐酱葱，必入胡椒末三四钱，煮熟置病患前嗅之，欲吃随意连
汤食一饱，病即除根，屡治有效。（同上）
灸法
泄痢不禁，小腹痛，后重，便脓血∶丹田（一寸半） 复溜 小肠俞（灸七壮不已取） 天枢 腹哀（日月下一寸
五分） 冷痢腹痛，泄注赤白∶关元 穷谷（各灸五十壮） 泄痢及下失气脓血∶下腰（五十壮，穴在八魁正中央正脊
骨上。灸，名三宗骨，三报之。）便脓血久痢下重∶小肠俞（灸，《医纲》引东）
久痢阳虚，或因攻击、寒凉太过，致竭脾肾元神而滑脱不止者，本源已败，虽峻用温补诸药，亦必不能奏
效矣。宜速灸百会、气海、天枢、神阙等穴，以回其阳，庶或有可望生者。（《景岳》）
尝治许主簿痢疾愈后，咳逆不止，服诸药无效，遂灸期门穴，不三壮而愈。（《妇人良方》）
调摄法 泻痢须要衣服周密，恐伤风冷。（《直指》）
一宦家小儿病痢，自郾头车载至朱葛寺，入门而死。戴人曰∶有病远行，不可车载马驮。病已扰矣，又以车
马动摇之，是为重扰其即死。（《杂记九门》）（按∶其下疑有脱文。）
大须慎口味，重者瘥后百日，次者一月日，所以常哀骄恣者不能自慎，兴言于此，以为至慨矣。（《千金》）
凡痢病，通忌生冷酢滑、猪鸡鱼油、乳酪酥干、脯酱粉咸。所食诸食，皆须大熟烂为佳，亦不得伤饱，此
将息之大经也。（同上）
Grind the above three medicaments into a fine powder. Mash old rice thoroughly and use it to form pills, sized like radish seeds. Take seven pills per dose; adjust to five or three pills based on the patient's body constitution (fat or thin). It is highly advisable to prepare this medicine on the Dragon Boat Festival (Duanwu Day); the method for using the medicinal vehicle (Yin) is described later.
For red dysentery (dysentery with pus and blood), mix with honey and swallow with boiling water on an empty stomach. For watery diarrhea (diarrhea with stool resembling water), take with ginger decoction. For spleen deficiency diarrhea (spleen-deficiency type diarrhea), take with ginger decoction, continuing for seven days. After taking any of these medicines, one must fast until noon, then consume half a bowl of stir-fried rice porridge, followed by another half bowl shortly after. If there is heat-toxin in the abdomen, allow it to discharge naturally and stop. Red dysentery is particularly difficult to treat. If one dose does not stop it, boil two taels of fine tea leaves, add two taels of raw honey and one tael of fresh ginger juice. Mix these three ingredients together, add seven pills from the previous prescription, and take on an empty stomach to stop the symptoms. For white dysentery (dysentery with white mucus), mix with brown sugar and swallow with boiling water on an empty stomach. (From *Yi Zong Cui Yan*)
Warming Interior Method: Jiao Ai Wan (Pepper and Mugwort Pill), treating thirty-year chronic dysentery where ingested food is undigested, stools are green or yellow, limbs feel heavy, dizziness and collapse occur upon rising, flesh and bones are emaciated, feet are cold upwards, abdomen feels hot, suffering from muscle cramps, requiring support for movement, and causing infertility due to yin-cold.
* Shu Jiao (Sichuan Pepper) (300 grains)
* Shu Ai Ye (Prepared Artemisia argyi Leaf) (1 jin)
* Gan Jiang (Dried Ginger) (3 liang)
* Chi Shi Zhi (Red Halloysite) (2 liang)
* Wu Mei (Dark Plum) (100 pieces)
Sieve the pepper, ginger, and mugwort into fine powder. Steam the plums with one dou of rice until cooked, remove pits, add the ginger and pepper powder, and pound together for three thousand strokes. Mix with honey to form pills the size of *Celastrus orbiculatus* seeds. Take ten pills, three times daily. If not cured, increase to twenty pills, and add one sheng of Huang Lian (Coptis Rhizome). (From *Qian Jin Fang*)
He Li Le San (Terminalia Powder), treating white dysentery with abdominal pain, chest and diaphragm fullness/stuffiness, and inability to eat.
* He Li Le (Terminalia chebula Fruit) (1.5 liang, roasted, use peel)
* Mu Xiang (Vladimiria Root) (3 liang)
* Fu Zi (Aconitum Lateralis Radix Praeparata) (1 liang, processed, peel and navel removed)
* Gan Jiang (Dried Ginger) (1 liang, processed, crushed)
* Hou Po (Magnolia Bark) (2 liang, remove rough bark, coat with ginger juice, roast until fragrant)
* Zhi Shi (Immature Bitter Orange) (1 liang, bran-roasted until slightly yellow)
* Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang) - *Note: Text says Bai Fu Ling, but standard formula often uses Bai Zhu or both. Translating as written: Bai Fu Ling (Poria)* (1 liang)
* Gan Cao (Licorice Root) (0.5 liang, roasted until slightly red, crushed)
* Dang Gui (Angelica Sinensis Radix) (1 liang, crushed, slightly roasted)
Pulverize the above herbs finely. Take two qian at any time, mixed with rice drink. (From *Tai Ping Sheng Hui Fang*)
Mu Xiang San (Vladimiria Powder), treating chronic red and white dysentery that does not stop, with umbilical and abdominal pain.
* Mu Xiang (Vladimiria Root) (3 fen)
* Fu Zi (Aconitum Lateralis Radix Praeparata) (1.5 liang, roasted until cracked, peel and navel removed)
* Huang Lian (Coptis Rhizome) (1 liang, remove roots, slightly roasted)
* Dang Gui (Angelica Sinensis Radix) (1 liang, crushed, slightly roasted)
* Wu Zhu Yu (Evodia Fruit) (0.5 liang, soaked in water seven times, dried until slightly yellow)
* Hou Po (Magnolia Bark) (3 liang, remove rough bark, roast with ginger juice until fragrant)
Pulverize and sieve the above herbs. Take three qian per dose. Boil in one zhong of water until reduced to five fen, strain, and take warm at any time. (Ibid.) (Note: The Wu Zhu Yu Wan for chronic cold dysentery and Suo Sha Wan for cold qi watery diarrhea are similar to this formula and are not listed here.)
Burn Gan Jiang (Dried Ginger) on fire until blackened but not ashed. Cover with a porcelain bowl, let cool, and grind into powder. Take one qian per dose, mixed with rice drink. This is miraculous for bloody dysentery. Zhang Zhongjing said: "When there is cold in the Small Intestine, the person experiences heaviness in the anus and bloody stools." This can be used to treat it. (From *Yi Zong Bi Jian*)
Treating dysentery that has stopped but with unbearable abdominal pain.
Powder equal parts of high-quality Liang Jiang (Galangal) and Shao Yao (Peony Root). Mix with ginger-salt rice soup and take. (From *Jing Yan Liang Fang*)
My clan nephew Liang Quan suffered from bloody dysentery with abdominal pain, tenesmus (urgent desire to defecate with heavy sensation in rectum), and straining. The local physicians treated him with Xiang Lian Wan (Fragrant Coptis Pill) and Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) without success; his abdominal pain worsened. His face was red and lips bright red, as if painted with vermilion. His shouting terrified the neighbors. The Taixue student Ning Yu invited me to examine him. His six pulses were flooding (Hong Da). I prescribed Liu Qian of raw and prepared Shao Yao (White Peony Root), Er Qian of raw and prepared Gan Cao (Licorice Root), Yi Qian each of Gan Jiang (Dried Ginger) and Rou Gui (Cinnamon Bark), Er Qian of Mu Xiang (Vladimiria Root), and two Jujubes. Decoct in water and drink. After finishing the medicine, he lay down quietly. The Taixue student asked someone to observe the patient. The report came back: Last night, dysentery decreased by five-tenths, pain decreased by seven-tenths, and by morning he had drunk half a cup of porridge. The Taixue student happily asked me: "His face is red, lips red, pulse large, and he passes only blood; all symptoms belong to Heat. Yet you prescribe Hot agents. I was very worried and slept poorly all night. Now the illness is halved, and there is hope. What formula do you use today?" I said: "The dosage is slightly smaller than yesterday, but the formula remains the same." The Taixue student said: "I am confused. Why do you view Heat as Cold?" I said: "You know that a Large pulse indicates Heat, but do not know that Large yet Forceless indicates Deficiency-Cold. The red face and lips are due to Cold in the Middle Jiao preventing Fire from descending; this is Yin Excess repelling Yang. If it were true Heat abdominal pain, the patient would lie supine and relaxed. In Cold patterns, the patient curls up. The blood passed is dark/dull. These are all false Heat; the Cold pattern is clear. The previous formula, when taken again, completely cured him." (Excerpt from *Chi Shui Xuan Zhu*)
An old woman developed dysentery after eating and getting angry, with tenesmus. This belongs to Spleen Qi sinking. I gave a large dose of Liu Jun Zi Tang (Six Gentlemen Decoction), adding Fu Zi (Aconite), Rou Dou Kou (Nutmeg), and Wei Mu Xiang (Roasted Vladimiria) each 1 qian, Wu Zhu Yu (Evodia) 5 fen, Gu Zhi (Psoralea Fruit) and Wu Wei Zi (Schisandra Berry) each 1.5 qian. After two doses, all symptoms receded, except for lower abdominal distension and stuffiness, which indicated Liver Qi stagnation in the Spleen. I prescribed Tiao Zhong Yi Qi Tang (Regulate the Middle and Boost Qi Decoction), adding Fu Zi (Aconite) and Mu Xiang (Vladimiria) 5 fen each. After four doses, she recovered. Later, she felt a salty taste in her mouth, indicating Kidney Deficiency with Water overflowing. I prescribed Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), and she recovered instantly after two doses. (From *Nei Ke Zheng Zhai*)
Astringent Methods: Treating heat-toxin causing passage of black blood, severe internal twisting pain, defecating over a hundred times a day, with breathlessness approaching death.
* Huang Lian (Coptis Rhizome) (1 sheng)
* Long Gu (Fossilized Bones)
* Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2 liang each)
* E Jiao (Donkey-Hide Gelatin)
* Gan Jiang (Dried Ginger)
* Dang Gui (Angelica Sinensis Radix)
* Chi Shi Zhi (Red Halloysite) (3 liang each)
* Fu Zi (Aconitum Lateralis Radix Praeparata) (1 liang)
Chop the above eight medicaments. Boil in one dou of water until five sheng remain. Divide into five doses. On July 13th of the Zhenguan era, I suddenly contracted this heat-toxin dysentery. By the 15th, my life was nearly gone. I prepared this prescription; upon ingestion, the condition stabilized. (From *Qian Jin Fang*)
*Qian Jin Yue Ling* treats red and white dysentery regardless of cold or heat. Chi Shi Zhi (Red Halloysite), Long Gu (Fossilized Bones), Gan Jiang (Dried Ginger), Huang Lian (Coptis Rhizome) (3 liang each). Grind into powder. Take two qian bi with drink, twice daily.
Hu Qia Jiu Zhan Tang (Hu Qia Nine-Cup Decoction) from *Ben Cao Tu Jing* treats dysentery regardless of cold, heat, red, white, grain, stagnation, rest dysentery, or chronic dysentery. Use Huang Lian (Coptis Rhizome), Long Gu (Fossilized Bones), Fu Zi (Aconite), Gan Jiang (Dried Ginger), and E Jiao (Donkey-Hide Gelatin). Decoct in water.
*Tai Ping Sheng Hui Fang* treats red and white dysentery with abdominal pain and alternating chills and fever. E Jiao San (Gelatin Powder): Use E Jiao (Donkey-Hide Gelatin), Gan Cao (Licorice Root), Fu Zi (Aconite), Huang Lian (Coptis Rhizome), Dang Gui (Angelica Sinensis Radix). Decoct in water.
*Sheng Ji Zong Lu* treats profuse diarrhea and cold dysentery. Shu Ai Tang (Prepared Mugwort Decoction): From the above formula, remove Long Gu (Fossilized Bones), Bai Zhu (Atractylodes), Dang Gui (Angelica). Add Shu Ai Ye (Prepared Mugwort Leaf) and Gan Cao (Licorice Root).
Da Tao Hua Tang (Great Peach Blossom Decoction), treating cold white sticky dysentery with abdominal pain.
* Chi Shi Zhi (Red Halloysite)
* Gan Jiang (Dried Ginger)
* Dang Gui (Angelica Sinensis Radix)
* Long Gu (Fossilized Bones)
* Mu Li (Oyster Shell) (3 liang each)
* Fu Zi (Aconitum Lateralis Radix Praeparata) (2 liang)
* Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 sheng)
* Gan Cao (Licorice Root)
* Shao Yao (Peony Root) (1 liang each)
* Ren Shen (Ginseng Root) (1.5 liang)
Chop the above ten medicaments. Boil in one dou two sheng of water. First boil Bai Zhu (Atractylodes) to obtain nine sheng. Add other herbs and boil to obtain two sheng. Divide into three doses. If pus is present, add Hou Po (Magnolia Bark) 3 liang. If vomiting occurs, add Ju Pi (Citrus Peel) 3 liang. (From *Qian Jin Fang*) (Note: It is suspicious that Bai Zhu is boiled first despite not being the main herb, and the quantity of one sheng suggests it might be a typo for Jing Mi (Rice).)
Duan Li Tang (Stop Dysentery Decoction), treating hidden water under the chest and heart.
* Ban Xia (Pinellia Tuber) (1 sheng)
* Sheng Jiang (Fresh Ginger) (5 liang)
* Fu Ling (Poria)
* Gan Cao (Licorice Root)
* Long Gu (Fossilized Bones) (2 liang each)
* Fu Zi (Aconitum Lateralis Radix Praeparata) (1 liang)
* Ren Shen (Ginseng Root)
* Huang Lian (Coptis Rhizome) (3 liang each)
* Da Zao (Jujube) (12 pieces)
Chop the above nine medicaments. Boil in eight sheng of water until three sheng remain. Divide into three doses. (Ibid.)
Huang Lian San (Coptis Powder), treating heat dysentery with irritability, thirst, and abdominal pain.
* Huang Lian (Coptis Rhizome) (1 liang, remove roots, slightly roasted)
* Huang Qin (Scutellaria Root) (1 liang)
* Dang Gui (Angelica Sinensis Radix) (1 liang, crushed, slightly roasted)
* Huang Bo (Phellodendron Bark) (1 liang, crushed)
* Chi Shi Zhi (Red Halloysite) (1 liang)
Pulverize finely. Take two qian at any time, mixed with rice drink. (From *Tai Ping Sheng Hui Fang*)
Chun Yang Zhen Ren Yang Zang Tang (Pure Yang True Man Nourishing Viscera Decoction), treating weak intestines and stomach in adults and children, imbalance of cold and heat, cold invading viscera, passing red and white dysentery, or pus and blood resembling fish brains, tenesmus, umbilical and abdominal pain, frequent day and night, chest and diaphragm stuffiness, hypochondriac distension, complete loss of appetite, as well as prolapsed rectum, bloody stools from alcohol toxicity, and cases where other medicines fail.
* Bai Shao Yao (White Peony Root) (1 liang 6 qian)
* Dang Gui (Angelica Sinensis Radix) (remove rhizome, wash, dry)
* Ren Shen (Ginseng Root) (remove rhizome)
* Bai Zhu (Atractylodis Macrocephalae Rhizoma) (roasted, 6 qian each)
* Rou Dou Kou (Nutmeg) (wrapped in flour, roasted, 0.5 liang)
* Rou Gui (Cinnamon Bark) (remove rough bark)
* Gan Cao (Licorice Root) (roasted, 8 qian each)
* Mu Xiang (Vladimiria Root) (do not expose to fire, 1 liang 4 qian)
* He Zi Pi (Terminalia Chebula Peel) (1 liang 2 qian)
* Ying Su Ke (Poppy Capsule) (remove stem cover, honey-roasted, 3 liang 6 qian)
Crush into coarse powder. Take two large qian per dose. Boil in one and a half cups of water until eight tenths remain. Strain and take warm before meals. Elderly, pregnant women, and children with acute diarrhea should take this urgently for immediate cure. Avoid alcohol, wheat products, raw/cold foods, fish, seafood, grease, and oil. If viscera are slippery with nocturnal diarrhea persisting, add three slices of processed Fu Zi (Aconite) and decoct. This medicine has miraculous effects, too numerous to describe. (From *He Ji Ju Fang*)
Dou Men San (Dou Gate Powder), treating eight types of toxic dysentery, visceral gripping pain, pus and blood red and white, or mixed five colors, frequent day and night, also treating wine dysentery and intestinal abscesses with complete anorexia.
* Ying Su Ke (Poppy Capsule) (remove pulp, honey-roasted)
* Hei Dou (Black Soybean) (roasted, shell removed, 4 liang each)
* Dang Gui (Angelica Sinensis Radix) (remove rhizome)
* Gan Jiang (Dried Ginger) (processed, 1 liang each)
* Di Yu (Sanguisorba Root) (remove rhizome)
* Gan Cao (Licorice Root) (roasted, 2 liang each)
* Gan Ge (Kudzu Root) (peeled, 0.5 jin)
Grind into fine powder. Take two qian per dose. Boil in one cup of water until seven tenths remain. Take warm at any time. (Ibid.)
When damp-heat causes dysentery, after several days, if abdominal pain ceases, and pus and blood pass in waves, accompanied by cold hands and feet and impending depletion of Yuan Qi, this indicates Fire transforming into Cold and Yin exhaustion. The ancients said "Dysentery has no stopping method." However, dysentery varies. Some early cases require stopping; chronic cases may not. One cannot blindly ignore the "no stopping" rule. Not stopping leads to difficult chronic recovery; stopping may cause unpredictable changes. Thus, dysentery should not be lightly stopped. But in such cases, stopping is necessary. Abdominal pain indicates pathogen; no pain means no pathogen. Pus and blood passing without pain indicate Qi depletion and impending collapse. Cold hands and feet indicate Qi depletion failing to circulate. Observe the tongue: extreme Heat makes it dry; extreme Cold makes it slippery. Heat turning to Cold results in a slippery tongue. One must first stop the dysentery to save the collapse, not purge to attack the pathogen. Formula: Zhi Tuo Jiu Li Tang (Stop Collapse Save Dysentery Decoction): Ren Shen (Ginseng) 2 liang, Bai Zhu (Atractylodes) 2 liang, Bai Shao (White Peony) 1 liang, Rou Gui (Cinnamon) 3 qian, Fu Ling (Poria) 1 liang, Gan Cao (Licorice) 2 qian, Chi Shi Zhi (Red Halloysite) powder 3 qian. Decoct in water. One dose warms hands/feet; two doses stop pus/blood; three doses cure dysentery. Reduce all herbs by half, remove Chi Shi Zhi, take ten more doses to restore Yuan Qi. Such dysentery is rare; do not rigidly apply this formula. I record this treatment to save one in ten thousand. (From *Bian Zheng Lu*)
A Fu Rong (Opium), transmitted from Tian Fang Country, specifically treats chronic dysentery and all cold patterns. Take a pill the size of a soybean, dissolve in warm water on an empty stomach. Avoid garlic, onions, and sauces. If heat/thirst exists, dissolve with honey water. For children, use a pill the size of millet. (From *Yi Lin Ji Yao*)
Xia Pian Xiang Lian Wan (Camphor Fragrant Coptis Pill), treating chronic dysentery unresponsive to other medicines.
* Chuan Huang Lian (Sichuan Coptis Rhizome) (4 liang, stir-fried with 4 liang Wu Zhu Yu (Evodia) until purple, discard Evodia)
* Mu Xiang (Vladimiria Root) (8 fen)
* Xia Pian (Camphor) (2 fen)
Grind into powder. Form water pills the size of *Celastrus* seeds. Take thirty pills per dose with plain water. (From *Huo Ren Xin Tong*) *Ru Men* Chen Mi Hu Wan (Chen Rice Paste Pill), size of mung beans, take 20-30 pills. This formula is for critical cases with incontinence unresponsive to other prescriptions. Quickly decoct Lotus Seeds (Lian Zi) in water to send down the pill, cover with blankets to sleep. Miraculous effect.
Tonifying Methods (Post-illness Regulation): Treating emptiness in abdomen after severe purging, deficiency fullness in chest, inability to eat.
* Shao Yao (Peony Root)
* Gan Cao (Licorice Root)
* Ban Xia (Pinellia Tuber) (1 liang each)
* Hou Po (Magnolia Bark)
* Dang Gui (Angelica Sinensis Radix) (3 liang each)
* Sheng Jiang (Fresh Ginger) (5 liang)
* Gui Xin (Cinnamon Heart) (3 liang)
Chop the above seven medicaments. Boil in seven sheng of water until three sheng remain. Divide into three doses. Two doses are best. (From *Qian Jin Fang*)
Someone suffered chronic dysentery, passing red and white, or pure white, or pure red, unresponsive to hundreds of medicines. Chronic illness and excessive medication using harsh drugs have disturbed Zang Qi, making it hard to cure. Shi Zai Zhi used light, clear, harmonizing Qi medicines and achieved cure, verified repeatedly. Formula: Honey-roasted Ying Su Ke (Poppy Capsule), Ren Shen (Ginseng), Bai Zhu (Atractylodes), Bai Fu Ling (Poria), Chuan Xiong (Sichuan Lovage Rhizome), Roasted Gan Cao (Licorice), Huang Qin (Scutellaria) in equal parts. Grind to powder. Take two qian. Boil in one cup of water with Sheng Jiang (Fresh Ginger), Da Zao (Jujube), and Wu Mei (Dark Plum) 0.5 fen. Decoct to eight tenths. Take warm at any time. (From *Yi Shuo*) (Note: *Shi Zai Zhi Fang* is currently unavailable for verification.)
Mr. Ye suffered from sticky dysentery (Li Ji), with severe urgency, fitting Cheng Qi pattern. I said: The Qi Kou pulse is deficient. Although the body appears solid, the face is yellowish-white. This is likely due to overeating damaging the Stomach. Better to endure hardship for a day or two. I gave tonics like Ren Shen (Ginseng), Bai Zhu (Atractylodes), Chen Pi (Citrus Peel), Shao Yao (Peony) for over ten doses. After three days, Stomach Qi recovered slightly. Then gave Cheng Qi Tang (Descending Qi Decoction) for two doses, and he stabilized. Had I not first repaired the Stomach Qi damage before abruptly using Cheng Qi, I fear post-recovery weakness would be inevitable. (From *Ge Zhi Yu Lun*)
Zheng Yishi from Pujiang suffered from sticky dysentery. Suddenly fainted one night, eyes rolled up, urine incontinence, and sweating. Dai Li diagnosed a large pulse regardless of position, and said: This is Yin Deficiency with sudden Yang collapse, likely caused by drinking and intercourse after illness. I can cure it. Urgently ordered preparation of Ren Shen Gao (Ginseng Paste) and moxa on Qi Hai (CV6). Soon hands moved, then lips moved. After three drinks of Ginseng Paste, he revived. He consumed several jin of Ginseng Paste thereafter, and the disease was cured. (Recorded by Dai Li in *Biography of Weng Danxi*)
Shen Gui Shao Yao Tang (Ginseng, Angelica, and Peony Decoction), treating dysentery lasting 10-20 days, with excessive loss and non-stop passage. Use this to regulate Qi and Blood for self-healing.
* Ren Shen (Ginseng Root) (1 qian)
* Dang Gui (Angelica Sinensis Radix) (wine-washed, 2 qian)
* Fu Ling (Poria)
* Bai Zhu (Atractylodis Macrocephalae Rhizoma) (half amount)
* Sha Ren (Amomum Fruit) (7 fen)
* Shan Yao (Dioscorea Rhizome) (stir-fried)
* Chen Pi (Citrus Peel) (half amount each)
* Gan Cao (Licorice Root) (5 fen)
Decoct one dose with two Dark Plums (Wu Mei), a bundle of Rush Pith (Deng Cao), and seven Lotus Seeds (Lian Zi). Drink warm. (From *Hui Chun*) *Shou Shi* Bai Zhu He Zhong Tang (Atractylodes Harmonizing Middle Decoction): For dysentery with mostly white stool, new or chronic, or unresolved after purging. Remove Ren Shen, Sha Ren, Shan Yao from the above formula. Add Huang Qin (Scutellaria), Huang Lian (Coptis), Mu Xiang (Vladimiria).
Fei Chou treated the son of Zhu Yuanchen, who suffered from five-color dysentery for over 20 days, with chest fullness and inability to eat porridge/drinks, unresponsive to medicine. Two other doctors were consulted: one used Da Huang (Rhubarb), the other Ren Shen (Ginseng). Zhu Yuanchen could not decide and entrusted me. I said: The one using Da Huang did so because of fullness and large pulse; the one using Ren Shen did so because of chronic dysentery and anorexia. Chronic dysentery with anorexia makes Da Huang absolutely unsuitable; chest fullness makes Ren Shen difficult to administer immediately. I propose using Fu Long Gan (Dragon's House Earth) as the sovereign herb to warm the Earth organ, decocting thickly to replace water. Decoct Chao Bai Zhu (Stir-fried Atractylodes), Fu Ling (Poria), Gan Cao (Licorice), Guang Huo Xiang (Patchouli), Mu Xiang (Vladimiria), Chao Wu Mei (Stir-fried Dark Plum). One dose reduced dysentery and increased appetite; two doses stopped it. No further medicine needed; he recovered through regulation. (From *Yi Tong*)
Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction): For dysentery cured but with severe Qi and Blood deficiency. This formula is indicated. (From *Yi Fang Kao*)
Post-dysentery tonification: Si Jun Zi Tang (Four Gentlemen Decoction) plus 1.5 qian Chen Pi (Citrus Peel), i.e., Yi Gong San (Extraordinary Ability Powder). If averse to sweetness, use Sheng Liao Ping Wei San (Raw Material Leveling the Stomach Powder) plus 0.5 qian each of Ren Shen (Ginseng) and Fu Ling (Poria). (From *Yao Jue*)
Dietary Therapy Prescriptions: Crucian carp sashimi (Kuai) treats red and white dysentery. (*Ben Cao* Tang Ben Xian Appendix). Sashimi treats intestinal disharmony of water and grain. (Ibid. Ri Hua Zi). Treating chronic red and white dysentery: Crucian Carp Sashimi Prescription. Take one jin of fresh crucian carp, remove scales and fins, cut finely into sashimi. Mix with minced garlic sauce and eat. (From *Tai Ping Sheng Hui Fang*) (Note: *Shi Zhai* has a prescription of crucian carp wrapped in alum paper and roasted, not listed here.)
Dysentery with closed mouth (Jin Kou), unable to eat for days, vomiting everything, severely emaciated. Prepare black-bone chicken normally, boil in clear water, and drink the juice. After one day of consumption, Stomach Qi opens, dysentery stops, and life is saved. This is a strange person's prescription. (From *Dan Liao* citing *Zeng Pin Fang*)
Lai Fu Tang (Radish Decoction), treating men, women, and children with red and white dysentery. Blood follows Qi movement; Qi stagnation causes blood to move recklessly. Only radish roots and leaves resolve stagnation, harmonize the middle, and promote bowel/intestinal Qi flow. When I lived in Jinling, I used this to treat people with universal efficacy, saving hundreds.
* Luo Bo Gen Ye (Radish Root and Leaves) (Wind-dried during winter of the previous year for use)
Take any amount. Boil until soft, leave exposed overnight. Next morning on an empty stomach, drink the juice and eat the leaves. (From *Yi Hui*)
Jin Long Tang (Golden Dragon Decoction), treating dysentery with closed mouth, critical condition approaching death.
One golden-threaded carp, weighing 1-2 jin. Clean normally. Use salt, soy sauce, scallions, and definitely add 3-4 qian of black pepper powder. Cook thoroughly. Place in front of the patient for them to smell. If they wish to eat, let them eat their fill with the soup. The disease will be eradicated. Proven effective repeatedly. (Ibid.)
Moxibustion Methods
Incontinence of diarrhea/dysentery, lower abdominal pain, tenesmus, pus and blood in stool: Dan Tian (CV12) (1.5 cun), Fu Liu (KI7), Xiao Chang Shu (BL27) (moxa 7 zhu, if not effective take...), Tian Shu (ST25), Fu Ai (Ren Mai point below Ri Yue by 1.5 cun). Cold dysentery with abdominal pain, profuse red/white discharge: Guan Yuan (CV4), Qiong Gu (EX-B3) (moxa 50 zhu each). Diarrhea/dysentery with loss of gas and pus/blood: Xia Yao (50 zhu, located in the center of Ba Kui, directly on the spine. Moxa, named San Zong Gu, repeat three times). Pus and blood, chronic dysentery with tenesmus: Xiao Chang Shu (BL27) (moxa, cited from *Yi Gang* referencing Dong...).
Chronic dysentery with Yang Deficiency, or due to excessive attacking/cold-cooling medicines exhausting Spleen and Kidney Yuan Shen leading to incontinence: The root source is failed. Even strong warming-tonifying medicines will fail. Immediately moxa Bai Hui (GV20), Qi Hai (CV6), Tian Shu (ST25), Shen Que (CV8) to restore Yang, perhaps offering hope for survival. (From *Jing Yue Quan Shu*)
I once treated Magistrate Xu who, after recovering from dysentery, suffered persistent coughing and reverse Qi, unresponsive to medicines. I moxa Qi Men (LR14). Not even three zhus were needed for cure. (From *Fu Ren Liang Fang*)
Regulation Methods: During diarrhea/dysentery, clothing must be tight/warm to avoid wind-cold injury. (From *Zhi Zhi Fang*)
A eunuch's child suffered dysentery, transported by cart from Yantou to Zhuge Temple, and died upon entering. Dai Yuanli said: One traveling while ill should not be carried by cart or horse. The illness already disturbs; shaking by cart/horse heavily disturbs it, leading to immediate death. (From *Za Ji Jiu Men*) (Note: Text below suspected to be missing.)
One must strictly guard diet. Severe cases abstain for 100 days post-recovery; moderate cases for one month. Those who are arrogant and indulgent cannot guard themselves. Speaking of this brings deep sighs. (From *Qian Jin Fang*)
All dysentery patients generally avoid raw, cold, sour, slippery foods, pork/chicken/fish oils, dairy/cheese/butter/dried meats, cured meats/sauces/powders/salts. All food eaten must be thoroughly cooked and soft. Do not overeat. This is the major principle of recuperation. (Ibid.)