水浆不入利不止，气少脉细皮肤寒，纯血噤口呕脏气，身热脉大命难全。
【注】下利不止，水浆不入，气少脉细，皮肤寒，死于阳绝也。下利纯血，噤口，呕
逆，脏气身热脉大，死于阴绝也。
仓廪汤 大黄黄连汤
初痢表热宜仓廪，里热冲心大黄连，寒痢理中诃蔻缩，附白桂赤不须言。
【注】初痢有表证发热者，不宜攻之，法当先解其外，用仓廪汤汗之。里热盛，上冲
心作呕噤口者，法当先攻其里，用大黄、黄连、好酒煎服攻之。寒痢宜用理中汤，加诃
子、肉蔻、缩砂。白多者加附子，赤多者加肉桂也。
芍药汤
初痢内外无大热，芩连枳木芍归榔，桂草尿涩滑石倍，利数窘痛入大黄。
【注】初痢外无表热，内热不盛，宜用芍药汤。即黄芩、黄连、枳实、木香、芍药、当
归、槟榔、甘草、肉桂少许也。小便涩赤加滑石，下利次数无度，下坠痛甚，入大黄也。
香连和胃汤 参连开噤汤 贴脐法
痢疾下后调气血，宜用香连和胃汤，黄芩芍药香连草，陈皮白术缩砂当，赤虚更加
椿榆炒，白虚参苓共炒姜，噤口参连石莲子，贴脐王瓜藤散良。
【注】痢疾攻后病势大减，宜调气血，用香连和胃汤，即黄芩、芍药、木香、黄连、甘
草、陈皮、白术、缩砂、当归也。赤痢下血多虚者，当涩之，加炒椿根白皮、炒地榆。白
痢日久气虚者，加人参、茯苓、炒干姜以补之。实而噤口堪下者，以大黄黄连汤下之。不
堪下者，内以人参、黄连、石莲子煎汤，徐徐服之，下咽即好。外以贴脐王瓜藤散，即
王瓜藤、茎、叶经霜者，烧灰香油调，纳脐中，即有效也。
真人养脏汤
久痢寒热乌梅治，寒虚滑痢养脏汤，参术肉蔻归诃桂，芍药罂粟草木香。
【注】久痢藏有寒热不分者，宜用乌梅丸调和之。寒虚滑脱者，宜用养脏汤温补之，即
人参、白术、肉蔻、当归、诃子、肉桂、芍药、罂粟壳、甘草、木香也。
香连平胃散 胃风汤
水谷调中益气治，湿痢香连平胃方，虚湿风痢胃风治，桂粟八珍减地黄。
【注】水谷痢者，乃脾胃虚，腐化不及，宜调中益气汤。湿痢宜木香、黄连，合平胃
散方。湿而虚者，宜用胃风汤，即肉桂、粟米、八珍汤减地黄也。
Water and grain cannot be taken, diarrhea does not cease; Qi is deficient, pulse is fine, skin is cold. Pure blood, mouth closed (Jinkou), vomiting, organ Qi [deficient]; body heat, pulse is large, life is hard to save.
[Note] Diarrhea that does not cease, inability to take water and grain, deficient Qi, fine pulse, cold skin, leads to death from Yang exhaustion. Diarrhea with pure blood, mouth closed (Jinkou), vomiting and reversal, organ Qi [deficient], body heat, large pulse, leads to death from Yin exhaustion.
Canglin Tang (Granary Decoction) & Dahuang Huanglian Tang (Rhubarb and Coptis Decoction)
For initial dysentery with exterior heat, Canglin Tang is suitable; for interior heat rushing to the heart, Dahuang Huanglian Tang is used. For cold dysentery, Lizhong Tang with Hezi (Chebulae Fructus), Roukou (Arecae Semen), and Suosha (Amomi Fructus Rotundus) is indicated. If white discharge predominates, add Fuzi (Aconiti Lateralis Radix Praeparata); if red discharge predominates, add Rongui (Cinnamomi Cortex).
[Note] For initial dysentery presenting with exterior syndrome and fever, purgation should not be used; the method requires first resolving the exterior, using Canglin Tang to induce sweating. If interior heat is excessive, rushing upward to the heart causing vomiting and mouth closure (Jinkou), the method requires first purging the interior, using Rhubarb (Rhei Radix et Rhizoma), Coptis (Coptidis Rhizoma), and good wine decocted and taken to purge it. For cold dysentery, Lizhong Tang (Regulate the Middle Decoction) should be used, adding Chebulae Fructus (Hezi), Arecae Semen (Roukou), and Amomi Fructus Rotundus (Suosha). If white discharge predominates, add Prepared Aconite Root (Fuzi); if red discharge predominates, add Cinnamon Bark (Rongui).
Shaoyao Tang (Peony Decoction)
For initial dysentery without significant interior or exterior heat, use Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhishi (Aurantii Fructus Immaturus), Muxiang (Aucklandiae Radix), Shaoyao (Paeoniae Radix Alba/Danpi), Danggui (Angelicae Sinensis Radix), Binglang (Arecae Semen), Gucao (Glycyrrhizae Radix et Rhizoma), and a small amount of Rongui (Cinnamomi Cortex). If urination is astringent and red, add doubled Shihuo (Talcum); if defecation frequency is uncontrolled and tenesmus/pain is severe, add Dahuang (Rhei Radix et Rhizoma).
[Note] For initial dysentery without exterior heat and with mild interior heat, Shaoyao Tang is suitable. It consists of Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), Immature Bitter Orange (Zhishi), Aucklandia Root (Muxiang), White Peony Root (Shaoyao), Angelica Sinensis Root (Danggui), Areca Seed (Binglang), Licorice Root (Gucao), and a small amount of Cinnamon Bark (Rongui). If urination is astringent and red, add Talcum (Shihuo); if defecation frequency is uncontrolled and lower abdominal pain/tenesmus is severe, add Rhubarb (Dahuang).
Xianglian Hewei Tang (Costus and Coptis Stomach-Harmonizing Decoction), Shenlian Kaijin Tang (Ginseng and Coptis Mouth-Opening Decoction), & Navel-Pasting Method
After purging for dysentery, regulate Qi and Blood; Xianglian Hewei Tang is suitable. It contains Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), Gucao (Glycyrrhizae Radix), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Suosha (Amomi Fructus Rotundus), and Danggui (Angelicae Sinensis Radix). For deficiency-type red dysentery, add fried Chun Gen Bai Pi (Toonae Radix) and fried Diyu (Sanguisorbae Radix). For long-standing white dysentery with Qi deficiency, add Renshen (Ginseng Radix), Fuling (Poria), and fried Ganjiang (Zingiberis Rhizoma) to tonify. For excess-type mouth closure (Jinkou) where purging is tolerable, use Dahuang Huanglian Tang to purge. If purging is not tolerable, internally administer a decoction of Ginseng, Coptis, and Stone Lotus Seed (Shi Lianzi), taken slowly; improvement occurs upon swallowing. Externally apply Wanggua Teng San (Trichosanthes Vine Powder) to the navel: freeze-dried Trichosanthes Vine, stem, and leaves are burned to ash, mixed with sesame oil, and applied into the navel, which is effective.
[Note] After purging for dysentery, when the pathogenic factor is significantly reduced, Qi and Blood should be regulated using Xianglian Hewei Tang, consisting of Scutellaria Root (Huangqin), Peony Root (Shaoyao), Aucklandia Root (Muxiang), Coptis Rhizome (Huanglian), Licorice Root (Gucao), Tangerine Peel (Chenpi), Atractylodes Rhizome (Baizhu), Cardamom Fruit (Suosha), and Angelica Sinensis Root (Danggui). For red dysentery with excessive bleeding due to deficiency, astringents should be used, adding fried Toona Root Bark (Chun Gen Bai Pi) and fried Sanguisorba Root (Diyu). For white dysentery lasting long with Qi deficiency, add Ginseng Root (Renshen), Poria (Fuling), and fried Ginger Rhizome (Ganjiang) to tonify. For excess patterns with mouth closure (Jinkou) where purging is bearable, use Dahuang Huanglian Tang to purge. If purging is not bearable, internally decoct Ginseng, Coptis, and Stone Lotus Seed (Shi Lianzi), taking it slowly; relief comes immediately upon swallowing. Externally, apply Wanggua Teng San to the navel: this consists of Trichosanthes Vine, stems, and leaves after frost, burned to ash, mixed with sesame oil, and placed in the navel, which is effective.
Zhenren Yangzang Tang (True Man's Nourishing Viscera Decoction)
For chronic dysentery with mixed cold and heat, Wumei Wan (Mume Pill) regulates. For cold-deficiency with slipping/dysentery, Yangzang Tang warms and tonifies. It contains Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Roukou (Arecae Semen), Danggui (Angelicae Sinensis Radix), Hezi (Chebulae Fructus), Rongui (Cinnamomi Cortex), Shaoyao (Paeoniae Radix), Ying Susu Ke (Papaveris Capsula), Gucao (Glycyrrhizae Radix), and Muxiang (Aucklandiae Radix).
[Note] For chronic dysentery where internal cold and heat are indistinguishable, Wumei Wan (Mume Pill) should be used to harmonize. For cold-deficiency with slipping/dysentery, Yangzang Tang (Nourishing Viscera Decoction) should be used to warm and tonify, consisting of Ginseng Root (Renshen), Atractylodes Rhizome (Baizhu), Areca Seed (Roukou), Angelica Sinensis Root (Danggui), Chebula Fruit (Hezi), Cinnamon Bark (Rongui), Peony Root (Shaoyao), Poppy Capsule (Yingsu Ke), Licorice Root (Gucao), and Aucklandia Root (Muxiang).
Xianglian Pingwei San (Costus and Coptis Stomach-Suppressing Powder), Weifeng Tang (Stomach-Wind Decoction)
For dysentery of undigested food and grain, Tiaozhong Yiqi Tang regulates the middle and boosts Qi. For damp dysentery, Xianglian Pingwei Fang (Costus-Coptis Formula) is used. For deficiency-dampness-wind dysentery, Weifeng Tang treats it. It contains Rongui (Cinnamomi Cortex), Sumi (Panicum miliacum), and Bazhen Tang (Eight-Treasure Decoction) minus Dihuang (Rehmanniae Radix).
[Note] Dysentery of undigested food and grain is due to Spleen-Stomach deficiency with insufficient transformation; Tiaozhong Yiqi Tang (Regulate Middle and Boost Qi Decoction) is suitable. For damp dysentery, Aucklandia Root (Muxiang) and Coptis Rhizome (Huanglian) combined with Pingwei San (Stomach-Suppressing Powder) are indicated. For dampness with deficiency, Weifeng Tang (Stomach-Wind Decoction) is suitable, consisting of Cinnamon Bark (Rongui), Millet (Sumi), and Eight-Treasure Decoction (Bazhen Tang) minus Rehmannia Root (Dihuang).