Library

Ju Fang Taohua Wan (Peach Kernel Pill from the Bureau of Imperial Medical Establishment) treats cold dysentery, characterized by abdominal pain and the passage of white discharge resembling fish brain.
Shizhishi (Red Halloysite) [dose unspecified] Ganjiang (Dried Ginger, processed), equal parts to Shizhishi.
Grind the above ingredients into fine powder, use paste made from steamed bread as a binder to form pills. Take 30-40 pills per dose with rice water, three times daily.
Note: This prescription originates from the treatment examples for Yangming disease patterns.
Danxi stated: Taohua Wan is the same as Taohua Tang (Peach Seed Decoction) in *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet). Zhang Zhongjing used it to treat pus and blood in the stool. In that decoction, Shizhishi, Ganjiang, and Jingmi (Rice) were boiled together; after one dose, if the illness resolved, administration was stopped.
Later physicians reasoned that this condition involves deficiency of blood in the lower jiao accompanied by cold. Without the warming nature of Ganjiang and the astringent property of Shizhishi, with heavy dosage, hemostasis cannot be achieved. Jingmi has a sweet flavor and guides the medicine into the intestines and stomach, preventing the heavy and astringent substances from causing stagnation, allowing the medicinal action to disperse easily and residual toxins to be cleared. However, Ju Fang did not understand this profound meaning and changed it into a pill, using flour paste as a binder, taken three times daily. Does this truly align with Zhang Zhongjing's original intent?
Yan Shi Danggui Wan (Angelica Sinensis Pill by Master Yan) treats dysentery caused by cold pathogen lingering in the intestines and stomach, characterized by pure white discharge and abdominal pain.
Danggui (Angelicae Sinensis Radix, washed with wine) Shaoyao (Paeoniae Radix) Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, umbilicus removed) Baizhu (Atractylodis Macrocephalae Rhizoma) Ganjiang (Dried Ginger, processed) Houpo (Magnoliae Officinalis Cortex) Ejiao (Colla Corii Asini) [each 1 liang] Wumei Rou (Fructus Mume Semen) [2 liang] Gafen (Trogoderma Powder, stir-fried) [each 1 liang].
Grind the above ingredients into fine powder, use vinegar paste to form pills the size of paulownia seeds. Take 50 pills per dose with rice water.
Ju Fang Helile San (Terminalia Chebula Powder from the Bureau of Imperial Medical Establishment) treats diarrhea due to weakness of the intestines and stomach, where undigested food and water are passed, gradually evolving into dysentery.
Qingpi (Citri Reticulatae Pericarpium Viride, pith removed) Roudoukou (Myristicae Semen, baked in flour) Rougui (Cinnamomi Cortex) [5 qian] Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, umbilicus removed, 1 liang) Hezi Ren (Terminaliae Chebulae Fructus Semen) [each 4 liang].
Grind the above ingredients into powder. Take 3 qian per dose, decocted with 3 slices of fresh ginger.
Note: Ju Fang considers white dysentery as a cold pattern and mostly uses acrid, hot, drying, and toxic drugs. If applied to cases of passing undigested food due to intestinal emptiness and cold invasion, it might be acceptable. However, if applied to dysentery with thick, sticky pus and blood, which belongs to fire patterns, using such drugs would essentially amount to killing the patient. But I fear that cases truly caused by cold invasion are rare, perhaps one or two in hundreds.

Gu Fang Chuzhe Wan (Chuzhe Pill from Ancient Formulas) treats mixed cold-heat dysentery with intestinal slippage, characterized by alternating red and white stools.
Huanglian (Coptidis Rhizoma) [6 liang] Ganjiang (Dried Ginger) Danggui (Angelicae Sinensis Radix) [each 2 liang] Ejiao (Colla Corii Asini).
First, dissolve Ejiao by boiling in vinegar, then add the other three medicines, mix evenly, and roll into pills by multiple hands, forming pills the size of paulownia seeds. Take an appropriate amount with rice water.
Ju Fang Xianglian Wan (Costus and Coptis Pill from the Bureau of Imperial Medical Establishment) treats dysentery with mixed red and white pus and blood, accompanied by tenesmus, due to imbalance of cold and heat.
Huanglian (Coptidis Rhizoma, radix removed, 20 liang stir-fried with 10 liang of Wuzhuyu until red, remove Wuzhuyu and do not use) Muxiang (Aucklandiae Radix) [4 liang 8 qian, not roasted over fire].
Grind the above ingredients into fine powder, use vinegar paste to form pills the size of paulownia seeds. Take 20 pills per dose on an empty stomach with rice water.
Note: This prescription originates from the treatment examples for Taiyin disease patterns.
Wuji Wan (Wuji Pill) treats persistent diarrhea and dysentery caused by heat in the Stomach channel.
Huanglian (Coptidis Rhizoma) Wuzhuyu (Evodiae Fructus, stem removed, stir-fried) Baishao (Paeoniae Radix Alba) [each 5 liang].
Grind the above ingredients into powder, use flour paste to form pills the size of paulownia seeds. Take 30 pills per dose with rice water.
Note: This prescription originates from examples of Jueyin disease patterns already complicated by cold. The above three prescriptions are designed for distinguishing cold and heat patterns in dysentery. Generally, cold and heat are opposing qi, and water and fire have contrary natures; how can they coexist in the intestines and stomach to cause disease? This is analyzed in detail in the *Lun* (referring to *Shanghan Lun*). However, their formulation principles also contain subtle and ingenious logic, which is a pity that most people do not understand. All three prescriptions use Huanglian, a bitter-cold herb, as the sovereign drug to directly treat damp-heat qi, assisted by acrid, bitter, and warm herbs. Thus, they can resolve depression, move stagnation, and promote the circulation of qi and blood, leading to spontaneous recovery. Ganjiang, Muxiang, and Wuzhuyu are each used appropriately according to the affected channel. The key lies in practitioners adapting flexibly during clinical practice, rather than rigidly adhering to these specific formulas.