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55. When damp-warmth lingers for a long time, permeating the Triple Burner (San Jiao, a system of three cavities in the torso), clouding the orifices and causing coma, with hardness and fullness in the lower abdomen and constipation, Xuan Qing Dao Zhuo Tang (Disperse Clarity and Guide Out Turbidity Decoction) is the primary treatment.
This presents as dampness stagnating and knotting in the Qi aspect of the Lower Burner, causing blockage and obstruction. Therefore, we use Zhu Ling (Polyporus), which can ascend and descend, bitter to drain stagnation, and bland to leach out dampness, combined with Fu Ling (Poria), which is slightly sweet but predominantly bland, to leach dampness and promote Qi flow. Han Shui Shi (Alumen Rubrum), being white and cold in nature, travels from the Lung channel directly to the anus, dispersing dampness and clearing heat. This is because the Bladder governs Qi transformation; the Lung is the source of Qi transformation; the Lung stores the Po (Corporeal Soul); the anus is called the "Gate of Po"; this illustrates the exterior-interior relationship between the Lung and Large Intestine. Wan Can Sha (Bombyx Batryticatus, silkworm droppings) transforms turbidity while retaining clear Qi. Generally, flesh decays after death, but the silkworm stiffens without rotting because it possesses pure Clear Yang Qi. Thus, its feces do not smell nor change color, retaining the silkworm's pure clarity. Although it acts on turbid pathways, it preserves Clear Qi entirely. It can travel downward to the turbid region of the Lower Abdomen and transform turbid dampness back into clarity, using its own rectitude to correct the body's irregularity. We use late-season Bombyx Batryticatus because it comes from the second generation of silkworms that year, taking advantage of its rapid biological transformation. Zao Jia Zi (Gleditsiae Sinensis Seed), pungent, salty, and drying, enters the Lung and Large Intestine channels. Metal can dispel summer-heat; dryness can remove dampness; pungency can open upper and lower orifices; the seed reaches the Lower Burner directly, treating deficiency-type constipation. Combined with the previous herbs, the stagnant damp pathogen is dispersed through the stool. Er Ling (Zhu Ling and Fu Ling) transform formless Qi stagnation; Can Sha and Zao Jia Zi expel formless dampness.
Xuan Qing Dao Zhuo Tang (Bitter-Pungent-Bland Method)
Zhu Ling (Polyporus) [5 qian], Fu Ling (Poria) [6 qian], Han Shui Shi (Alumen Rubrum) [6 qian], Wan Can Sha (Bombyx Batryticatus) [4 qian], Zao Jia Zi (Gleditsiae Sinensis Seed, peeled) [3 qian].
Boil five cups of water until reduced to two cups; take in two doses. Stop when bowel movement becomes smooth.

56. When dampness coagulates and obstructs Qi, closing all three Burners, resulting in both urinary and fecal retention, Ban Liu Wan (Half-Sulfur Pill) is the primary treatment.
Why does heat injure Qi, and why does dampness also injure Qi? Heat injures Qi because the Lung governs Qi and belongs to Metal; Fire overcomes Metal, thus injuring the Qi governed by the Lung. Dampness injures Qi because the Lung governs Heavenly Qi and the Spleen governs Earthly Qi; both belong to Taiyin Damp-Soil. Excessive dampness damages the transforming Qi of the Zang organs themselves. Long-standing dampness turns into turbid coagulation, reaching the Lower Burner, where Qi is not only injured but also obstructed. Because Qi is obstructed by dampness, both urine and stool are blocked. Currently, people treat constipation using Da Huang (Rhei Radix et Rhizoma), unaware that Da Huang is cold in nature and treats heat-induced, formless dry feces. If dampness obstructs formless Qi, and Qi is both injured and obstructed, one must warm and tonify True Yang. Liu Huang (Sulfur) is hot but not drying, capable of unblocking and lubricating the Large Intestine; Ban Xia (Pinelliae Rhizoma) enters Yin aspects, dries dampness with dryness, descends Qi with pungency, and opens stagnation with warmth. The Triple Burner becomes unblocked, and urination and defecation become free. Regarding the previous case of constipation, it leaned towards heavy dampness, so the focus was on moving dampness. In this case, constipation leans towards Qi deficiency, so the focus is on tonifying Qi. The Kidneys govern urination and defecation; True Yang in the Kidneys is trapped by dampness, becoming increasingly deficient over time, losing its original function; thus, Liu Huang is used to assist Yang. The Liver governs dispersion and drainage; Wind and Dampness compete for dominance. When Wind dominates, Dampness moves; when Dampness coagulates, Wind ceases, and the function of dispersion and drainage is lost; thus, Ban Xia is used to unblock. If dampness is exhausted and heat knots, forming actual dry feces that cannot pass, then Da Huang must be used again. Students should examine the syndrome carefully.
Ban Liu Wan (Acrid-Sour-Warm Method)
Shi Liu Huang (Stony Sulfur). Note: There are three types of Sulfur: Earth Sulfur, Water Sulfur, and Stone Sulfur. For medicinal use, Stone Sulfur produced from rocks must be used. Earth Sulfur has earthy patterns; Water Sulfur has straight fibers; both are dull, dark, and foul-smelling. Only Stone Sulfur has square棱 (edges) and stone patterns, possessing a precious luster and no odor. Daoists call it Huang Fan (Yellow Alum). Its shape resembles alum. Sulfur forms from condensing the essence of the Sun and the fluids of the Earth. Sulfur produced in Gen Earth (Lesser Earth) is good; Gen Earth is young soil, crystal clear in color, pure in aroma, and low in toxicity. Sulfur produced in Kun Earth (Old Earth) is bad; Kun Earth is old soil, the gathering place of filth. It is dull in color, turbid in aroma, and highly toxic, unsuitable for medicine, usable only for firecrackers. Stone Sulfur comes from foreign lands via ships, known as Wo Huang (Japanese Sulfur). Boiling it in Radish (Lai Fu Zi) for six hours removes its toxicity. Ban Xia (Pinelliae Rhizoma, processed).
Grind the above two ingredients into fine powder equally. Make pills the size of mulberry seeds using steamed dough. Take 1-2 qian each time, washed down with plain boiled water. (Note: Ban Liu Wan treats deficiency-type constipation. Even if there is chronic loose stool, taking Ban Liu Wan can firm it up, due to its kidney-tonifying and damp-drying effects.)

57. When turbid dampness lingers for a long time and flows downward to the anus, causing Qi blockage, anal prolapse pain, loss of appetite, and a rotten white tongue coating, Shu Fu Tang (Atractylodes and Aconite Decoction) is the primary treatment.
This indicates turbid dampness lingering in the intestines and stomach, trapping Kidney Yang, leading to anal heaviness and pain. The meridian of the anus is called Kao. Kidney deficiency causes pain; Qi stagnation also causes pain. However, there are two types of Qi stagnation pain: Cold-Damp and Hot-Damp. The heaviness and pain caused by excess Heat-Damp are seen in cases like those treated with Huang Lian (Coptidis Rhizoma) and Bing Lang (Arecae Semen) in the Dysentery chapter. Here, however, it is Qi deficiency closed by Cold-Damp. Therefore, Ren Shen (Ginseng Radix et Rhizoma) and Fu Zi (Aconiti Lateralis Radix Praeparata) are used to vigorously tonify the Primordial Yang of the Kidneys; Jiang (Zingiberis Rhizoma) and Zhu (Atractylodis Macrocephalae Rhizoma) tonify the transporting Qi of the Spleen; Hou Po (Magnoliae Officinalis Cortex) and Jie Geng (Platycodonis Radix) move the stagnant Qi of turbid dampness. This fills the deficient, opens the closed, moves the turbid, stops the heaviness and pain, and restores appetite. Note: Anal pain acquired from great fright or sexual exhaustion is treated with Ren Shen and Lu Rong (Cervi Cornu Pantotrichum), belonging to deficiency-wasting syndromes; compare this with the current case. This clause should belong to the Cold-Damp chapter, but is placed here to mutually illuminate the preceding three clauses, aiding student comprehension.
Shu Fu Tang Formula (Bitter-Pungent-Warm Method)
Sheng Mao Zhu (Raw Atractylodis Macrocephalae Rhizoma) [5 qian], Ren Shen (Ginseng Radix et Rhizoma) [2 qian], Nong Hou Po (Thick Magnoliae Officinalis Cortex) [3 qian], Sheng Fu Zi (Raw Aconiti Lateralis Radix Praeparata) [3 qian], Pao Jiang (Prepared Zingiberis Rhizoma) [3 qian], Guang Pi (Citri Reticulatae Pericarpium) [3 qian].
Boil five cups of water until reduced to two cups. Take one cup first; after about three shichen (hours), take the second cup. Stop when anal pain resolves.

58. When Malaria pathogen lingers for a long time, turning malaria into consumptive disease (Lao Nie), it is called Lao Nie (Consumptive Malaria). Deficient collaterals cause pain; Yang deficiency causes distension; Malaria Mother (Nue Mu) exists in the hypochondrium. Pathogen lingers, healthy Qi is injured; Jia Yi Gong Tang (Modified Yi Gong Decoction) is the primary treatment.
This syndrome involves injury to both Qi and Blood. The Classic states: "For consumption, use warmth." Therefore, Yi Gong San (Yi Gong Decoction) warms and tonifies Middle Burner Qi; Dang Gui (Angelicae Sinensis Radix) and Rou Gui (Cinnamomi Cortex) combined with Yi Gong Tang warm and nourish Lower Burner Blood; Sheng Jiang (Zingiberis Recens Rhizoma) and Da Zao (Jujubae Fructus) harmonize Ying and Wei, allowing Qi and Blood to generate each other, curing Lao Nie spontaneously. People easily see the Qi-tonifying aspect of this formula, but do not know the Blood-nourishing aspect. The Classic says: "The Middle Burner receives Qi, extracts juices, changes them to red, and this is called Blood." Whenever Yin and Yang are both injured, one must tonify Blood within Qi; this is a fixed rule.
Jia Yi Gong Tang Formula (Pungent-Sweet-Warm-Yang Method)
Ren Shen (Ginseng Radix et Rhizoma) [3 qian], Dang Gui (Angelicae Sinensis Radix) [1.5 qian], Rou Gui (Cinnamomi Cortex) [1.5 qian], Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) [2 qian], Fu Ling (Poria) [3 qian], Yu Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried scorched) [3 qian], Sheng Jiang (Zingiberis Recens Rhizoma) [3 qian], Da Zao (Jujubae Fructus, pitted) [2 pieces], Guang Pi (Citri Reticulatae Pericarpium) [2 qian].
Boil five cups of water until reduced to two cups. Boil the dregs again to get one cup. Take in three doses.

59. When Malaria persists for a long time and a mass forms under the hypochondrium, it is called Nue Mu (Malaria Mother); Bie Jia Jian Wan (Turtle Shell Decoction Pill) is the primary treatment.
Long-term disturbance by Malaria pathogen inevitably weakens Healthy Qi. The Clear Yang loses its mechanism of transport; the Turbid Yin begins to usurp position. Qi blockage leads to Phlegm stasis and Blood stagnation, forming the mass. The hypochondrium is the passage of Shaoyang and Jueyin. Shaoyang and Jueyin serve as the pivot. Malaria is inseparable from Liver and Gallbladder. Long-term disturbance exhausts the Zang-Fu organs, the pivot fails, and masses form in their respective regions. It is called Malaria Mother because it arises from Malaria and has no end. According to the original text of *Jin Gui Yao Lue*: "If Malaria starts on the first day of the month, it should heal in fifteen days; if not healed, it should resolve by the end of the month. If still not healed, what then? This forms a mass, named Malaria Mother. Treat it urgently with Bie Jia Jian Wan." Human Qi and Blood correspond to Heaven and Earth. Thus, the presence of Malaria pathogen in the body, its waxing and waning, advance and retreat, must also correspond to Heaven and Earth. If it starts on the first day, it occurs during the new moon (dark sky, empty moon outline), indicating Qi deficiency. One should wait for fifteen days for healing. Five is the end of the generating number; ten is the extreme of the completing number. When generating and completing numbers meet, every five days is one cycle; fifteen days is three cycles. When Qi returns, during the full moon (bright sky, full moon outline), Heavenly Qi is substantial and Human Qi recovers, Pathogenic Qi retreats, and the disease should heal. If not healed, one must wait for Heavenly Qi to turn again, resolving by month's end. If still not healed, what then? The moon waxes from waning; Yin is full and Yang is shrinking. From full to waning, Yang grows and Yin declines. The waxing and waning of Heaven and Earth Yin and Yang have completed a cycle. If the disease still does not heal, it means the body's Qi and Blood cannot circulate with Heaven and Earth's transformative mechanisms. The root is deep and established over time, unbreakable, so urgent treatment is required.
Bie Jia Jian Wan Formula
Bie Jia (Testudinis Carapax et Plastrum, roasted) [12 fen], Wu Shan (Iris Tectorii Rhizoma, burnt) [3 fen], Huang Qin (Scutellariae Radix) [3 fen], Chai Hu (Bupleuri Radix) [6 fen], Shu Fu (Phytolaccae Radix) [3 fen], Gan Jiang (Zingiberis Rhizoma) [3 fen], Da Huang (Rhei Radix et Rhizoma) [3 fen], Shao Yao (Paeoniae Radix Alba) [5 fen], Gui Zhi (Cinnamomi Ramulus) [3 fen], Ting Li (Lepidii Fructus, roasted) [1 fen], Shi Wei (Pyrrosiae Folium, de-haired) [3 fen], Nong Hou Po (Magnoliae Officinalis Cortex) [3 fen], Mu Dan Pi (Moutan Cortex) [5 fen], Qu Mai (Polygoni Avicularis Herba) [2 fen], Zi Wei (Campsis Radix) [3 fen], Ban Xia (Pinelliae Rhizoma) [1 fen], Ren Shen (Ginseng Radix et Rhizoma) [1 fen], Chong (Mylabris) [5 fen], E Jiao (Asini Corii Colla, fried) [3 fen], Feng Wo (Vespae Nidus, roasted) [4 fen], Chi Xiao Dou (not listed, likely Chi Xiao Dou or similar, text says Chi Xiao/Nitrum? Text says Chi Xiao (Sal Nitri)) [12 fen], Qiang Lang (Scarabaeus) [6 fen], Tao Ren (Persicae Semen) [2 fen].
Grind the above 23 ingredients into fine powder. Take one dou (unit of volume) of ash from the stove bottom, and one jin five dou of clear wine. Soak the ash in the wine. When half the wine is absorbed, boil Bie Jia in it until it dissolves like gelatin. Strain the juice, add all other medicines, and decoct into pills the size of mulberry seeds. Take seven pills on an empty stomach, three times a day.
[Formula Commentary] This uses Bitter-Pungent descending and Salty entering collaterals methods. Bie Jia Jian Wan uses Bie Jia as the Sovereign herb and is made by decoction into pills, distinct from other pill methods, hence "Decoction Pill." Bie Jia is Sovereign because it guards the Spirit, enters deeply, specifically targets Liver Blood aspect, and eliminates masses. It leads four insect drugs deep into organ collaterals. Flying insects ascend; walking insects descend. Flying ones affect Qi aspect in collaterals; walking ones affect Blood aspect in collaterals. Assisted by Tao Ren, Mu Dan Pi, Zi Wei to break fullness and move Blood. Supported by Ting Li, Shi Wei, Qu Mai to move Qi and leach dampness. Ministers are Xiao Chai Hu Tang and Gui Zhi Tang, removing pathogens in the Three Yang meridians not yet knotted. Da Cheng Qi Tang urgently drives out waste knotted in the Fu organs. Assistants are Ren Shen, Gan Jiang, E Jiao, protecting and stirring Healthy Qi, leaving no room for pathogens, extracting the root of disease deep in organ collaterals. Note: Xiao Chai Hu Tang contains Gan Cao; Da Cheng Qi Tang contains Zhi Shi. Zhang Zhongjing removed Gan Cao fearing it too slow (collateral drugs need not follow standard rules); removed Zhi Shi fearing it too fast/direct to intestines/stomach (unsuitable for collateral drugs).

60. Taiyin Triadic Malaria, abdominal distension, no thirst, vomiting water, Wen Pi Tang (Warm Spleen Decoction) is the primary treatment.
Triadic Malaria is a stubborn disease penetrating deep into the Zhen (True) Qi of the organs, often lasting years. Presenting with Spleen-Stomach symptoms is relatively mild. Abdominal distension and no thirst indicate Spleen Cold. Cao Gu (Tsao-ko Fruit) warms the unique cold of Taiyin; Nong Hou Po reduces distension. Vomiting water indicates Stomach Cold. Sheng Jiang descends rebellious Qi; Fu Ling leaches dampness and supports Healthy Qi. Shu Qi (Changshan bud/Metapolygias Myriantha) has a rapid action against Malaria pathogen; Gui Zhi guides it outward to the Taiyang channel.
Wen Pi Tang Formula (Bitter-Pungent-Warm Interior Method)
Cao Gu (Tsao-ko Fruit) [2 qian], Gui Zhi (Cinnamomi Ramulus) [3 qian], Sheng Jiang (Zingiberis Recens Rhizoma) [5 qian], Fu Ling (Poria) [5 qian], Shu Qi (Metapolygias Myriantha, fried) [3 qian], Nong Hou Po (Magnoliae Officinalis Cortex) [3 qian].
Boil five cups of water until reduced to two cups. Take in two warm doses.

61. Shaoyin Triadic Malaria, persisting for a long time without cure, aversion to cold, desire to lie down, pale tongue, faint pulse, no thirst during attacks, Qi and Blood both deficient, Fu Yang Tang (Support Yang Decoction) is the primary treatment.
In the *Malaria Theory* chapter: Yellow Emperor asked: Sometimes attacks occur every two days, or several days later; sometimes thirsty, sometimes not. Why? Qibo replied: The intermittent ones occur because the pathogen resides in the Six Fu organs, occasionally losing sync with Wei Qi, unable to interact, hence resting for days before attacking. Malaria is alternating victory/defeat of Yin and Yang. Severity varies, hence thirst varies. *Needling Malaria* chapter says: Shaoyin Malaria causes severe vomiting, many chills and fever, more heat than cold, desire to close doors/windows. Shaoyin Malaria, pathogen enters deeply, inherently hard to cure quickly; Triadic Malaria is accumulated heaviness hard to reverse, losing sync with Wei Qi. Long persistence is normal. Since it persists long, Qi and Blood must dissipate over time. Aversion to cold and desire to lie down are Shaoyin proper symptoms. Pale tongue, faint pulse, no thirst indicate Yang deficiency. Therefore, Lu Rong (Cervi Cornu Pantotrichum) is Sovereign, vigorously tonifying the Du Mai (Governing Vessel). First, Eight Extraordinary Vessels attach to Liver and Kidney; Shaoyin deficiency implies Eight Vessels deficiency. Second, Du Mai commands all Yang, the root of Wei Qi. Ren Shen, Fu Zi, Gui Zhi follow Lu Rong to vigorously tonify Taiyang, solidifying Wei Qi. Dang Gui follows Lu Rong to tonify Qi in Blood, unblocking Yang in Yin. Only Shu Qi is used alone to urgently lift the entrenched Malaria pathogen, striving with the Yang drugs to exit via Wei Qi. Yin Zang, Yin Syndrome, hence named Fu Yang (Support Yang) Tang.
Fu Yang Tang (Pungent-Sweet-Warm-Yang Method)
Lu Rong (Cervi Cornu Pantotrichum, fresh ground powder, pre-decocted in yellow wine) [5 qian], Shu Fu Zi (Prepared Aconiti Lateralis Radix) [3 qian], Ren Shen (Ginseng Radix et Rhizoma) [2 qian], Cu Gui Zhi (Coarse Cinnamomi Ramulus) [3 qian], Dang Gui (Angelicae Sinensis Radix) [2 qian], Shu Qi (Metapolygias Myriantha, fried black) [3 qian].
Boil eight cups of water, add Lu Rong wine, decoct to three small cups. Take three times a day.

62. Jueyin Triadic Malaria, persisting for a long time, fever upon exertion, possible epigastric fullness/mass, rebellious Qi with urge to vomit, Jian Wei Wu Mei Wan Fa (Reduced Wu Mei Pill Method) is the primary treatment.
Severe Jueyin diseases invariably involve Yangming. Pathogen not deep does not cause Triadic Malaria. Triadic Malaria has inherent difficulty in cure. Long persistence injures both Yin and Yang. Fever upon exertion indicates Yin injury. Fullness/mass indicates Yin pathogen. Rebellious Qi and urge to vomit indicate Jueyin invading Yangming, with Yangming Yang nearing exhaustion. Therefore, the Wu Mei Wan method uses both rigid (Yang) and soft (Yin) approaches. Soft saves Yin, accommodating Jueyin's rigid Zang nature. Rigid saves Yang, filling Yangming's Yang Fu nature.
Jian Wei Wu Mei Wan Method (Sour-Bitter for Yin, Pungent-Sweet for Yang Recovery)
(Note: Dosages omitted below as they are difficult to preset; adjust according to circumstances.)
Ban Xia (Pinelliae Rhizoma), Huang Lian (Coptidis Rhizoma), Gan Jiang (Zingiberis Rhizoma), Wu Zhu Yu (Evodiae Fructus), Fu Ling (Poria), Gui Zhi (Cinnamomi Ramulus), Bai Shao (Paeoniae Radix Alba), Chuan Jiao (Zanthoxyli Pericarpium, fried black), Wu Mei (Mume Fructus).
Regarding Malaria and Dysentery chapters: Long-term untreated, Summer-Heat-Damp pathogens mix with Lower Burner Qi and Blood. They may lean Yin, Yang, Rigid, or Soft; require Tonification, Purging, Unblocking, or Astringing; may originate from Taiyin, Shaoyin, Jueyin, or protect Yangming. Syndromes are extremely complex and numerous, not fully recorded here. This treatise was originally set for Warm-Heat and Summer-Heat. Appending these clauses to the Damp-Warmth chapter shows that Malaria and Dysentery originate from Summer-Heat-Damp, helping students identify origins and categorize miscellaneous diseases, providing a rough framework. For completeness, study various schools diligently.

63. Wine-drinker's chronic dysentery, food intake unchanged, Yin Chen Bai Zhi Tang (Artemisiae Scopariae and Angelicae Dahuricae Decoction) is the primary treatment.
Chronic dysentery without other symptoms, and normal appetite, indicates the disease has not injured the Zhen Qi or Stomach Earth, but remains in the intestines. Persistent dysentery in wine drinkers is due to Damp-Heat flowing downward. Therefore, use acrid wind herbs to raise Spleen Yang, assisted by bitter herbs entering intestines, aromatic, cool, and bland. Acrid overcomes dampness and raises Spleen Yang; bitter leaches dampness and clears heat; aromatic pleases Spleen and dries dampness; cool clears heat; bland leaches dampness. This removes Damp-Heat, raises Spleen Yang, and stops dysentery.
Yin Chen Bai Zhi Tang Formula (Bitter-Pungent-Bland Method)
Mian Yin Chen (Artemisiae Scopariae Herba), Bai Zhi (Angelicae Dahuricae Radix), Bei Qin Pi (Fraxini Cortex), Fu Ling Pi (Poria Peel), Huang Bo (Phellodendri Cortex), Huo Xiang (Agastaches Herba).

64. Elderly person's chronic dysentery, Spleen Yang injured, slippery food passage and loose stools, Kidney Yang also declining, Shuang Bu Tang (Double Tonification Decoction) is the primary treatment.
Elderly lower deficiency chronic dysentery injures Spleen and affects Kidney. Slippery food passage and loose stools indicate dual Spleen-Kidney injury. Absence of abdominal pain, anal prolapse, or Qi distension indicates less pathogen and more deficiency. Therefore, Ren Shen, Shan Yao (Dioscoreae Rhizoma), Fu Ling, Lian Zi (Nelumbinis Semen), Qian Shi (Euryales Semen), sweet-warm and bland, tonify Spleen and leach dampness. Lian Zi and Qian Shi are grains from water, tonifying Earth without overcoming Water. Bu Gu Zhi (Psoraleae Fructus), Cong Rong (Cynomorii Herba), Ba Ji Tian (Morindae Officinalis Radix), Tu Si Zi (Cuscutae Semen), Fu Pen Zi (Rubi Fructus), Yu Rou (Corni Fructus), Wu Wei Zi (Schisandrae Fructus), sour-sweet-mildly pungent, ascend and tonify Yang within Yin of Kidneys, benefiting Essence/Qi and calming Five Zang. Compare this with the previous clause. Previous: Wine drinker, Zhen Qi intact, Damp-Heat heavy, focus on clearing heat/leaching dampness despite duration. This: Elderly, little Damp-Heat, Zhen Qi depleted, focus on tonifying Zang and securing Healthy Qi despite incomplete evacuation. This teaches that treating disease requires identifying the syndrome first.
Shuang Bu Tang Formula (Compound Formula, method in notes)
Ren Shen (Ginseng Radix et Rhizoma), Shan Yao (Dioscoreae Rhizoma), Fu Ling (Poria), Lian Zi (Nelumbinis Semen), Qian Shi (Euryales Semen), Bu Gu Zhi (Psoraleae Fructus), Cong Rong (Cynomorii Herba), Yu Rou (Corni Fructus), Wu Wei Zi (Schisandrae Fructus), Ba Ji Tian (Morindae Officinalis Radix), Tu Si Zi (Cuscutae Semen), Fu Pen Zi (Rubi Fructus).

65. Chronic dysentery with no urination, aversion to eating with urge to vomit, Jia Jian Li Yin Jian (Modified Li Yin Decoction) is the primary treatment.
This is injury extending from Yang to Yin. No urination indicates Yin fluid exhaustion. Aversion to eating and urge to vomit indicate failure of Spleen and Stomach Yang. Therefore, Shu Di Huang (Rehmanniae Radix Preparata), Bai Shao (Paeoniae Radix Alba), Wu Wei Zi (Schisandrae Fructus) gather Yin of Three Yin channels. Fu Zi (Aconiti Lateralis Radix Praeparata) unblocks Kidney Yang. Pao Jiang (Prepared Zingiberis Rhizoma) regulates Spleen Yang. Fu Ling (Poria) regulates Stomach Yang. Original formula combines unblocking and guarding, rigid and soft, named Li Yin (Regulating Yin) Decoction, intending to protect Yin. Shu Di guards Lower Burner Blood aspect; Gan Cao guards Middle Burner Qi aspect; Dang Gui unblocks Lower Burner Blood aspect; Pao Jiang unblocks Middle Burner Qi aspect. Qi controls Blood; unblocking Qi leads to guarding Blood; this is "Li" (Regulation). This formula removes Gan Cao and Dang Gui, adding Bai Shao, Wu Wei Zi, Fu Zi, Fu Ling, due to aversion to eating and urge to vomit. If chronic dysentery does not injure Yang, no signs of poor appetite/vomiting, but severe Yin injury, one can remove rigid herbs and increase soft ones. Using prepared formulas requires flexibility and matching herbs to syndrome.
Jia Jian Li Yin Jian Formula (Pungent-Bland for Yang, Sour-Sweet generating Yin recovery method. Recovery methods imply long diseases cannot be cured by one method alone.)
Shu Di Huang (Rehmanniae Radix Preparata), Bai Shao (Paeoniae Radix Alba), Fu Zi (Aconiti Lateralis Radix Praeparata), Wu Wei Zi (Schisandrae Fructus), Pao Jiang (Prepared Zingiberis Rhizoma), Fu Ling (Poria).

66. Chronic dysentery with blood stasis, anal heaviness/prolapse, no abdominal pain, Duan Xia Shen Shi Tang (Stop Dysentery and Leach Dampness Decoction) is the primary treatment.
This is a method of astringing Blood aspect. No abdominal pain indicates no accumulation; no accumulation allows astringing. Although no accumulation, anal heaviness and bloody dysentery indicate Damp-Heat in Qi aspect entering Blood aspect over time. Therefore, heavily use Chu Gen Pi (Celastrae Cortex) bitter-drying dampness and cold-clearing heat. Astringing stops dysentery, specifically entering Blood aspect to astringe Blood as Sovereign. Di Yu (Sanguisorbae Radix) obtains early spring Qi, essence of Wood/Fire, removing stasis generating new. Mao Zhu (Atractylodis Rhizoma), Huang Bo (Phellodendri Cortex), Chi Ling (Red Poria), Zhu Ling (Polyporus) open Bladder, letting Damp-Heat in Qi aspect exit via anterior yin, preventing residue in Blood aspect. Zha Rou ( Hawthorn flesh) is for resolving stasis; Yin Hua (Lonicerae Japonicae Flos) is for detoxifying.
Duan Xia Shen Shi Tang Formula (Bitter-Pungent-Bland Method)
Chu Gen Pi (Celastrae Cortex, fried black) [1 liang], Sheng Mao Zhu (Raw Atractylodis Rhizoma) [1 qian], Sheng Huang Bo (Raw Phellodendri Cortex) [1 qian], Di Yu (Sanguisorbae Radix, fried black) [1.5 qian], Zha Rou (Hawthorn Flesh, fried black)