Library

[Symptoms of Dysentery due to Internal Injury by Seven Emotions] At the onset, there is initially difficulty in digesting food, followed by loose stools that are not solid, with frequent watery diarrhea. If left untreated for a long time, pus and blood gradually appear in the stool, resembling dysentery caused by external damp-heat (a disease characterized by abdominal pain, tenesmus, and passage of pus and blood in the stool due to external damp-heat pathogens). It starts with watery diarrhea and progresses to pus and blood; however, this condition develops slowly, differing from the sudden onset of external contraction diseases. This is what medical texts refer to as "Spleen Diarrhea Dysentery" (Pi Xie Li), and what the *Huangdi Neijing* (Yellow Emperor's Inner Canon) describes as spleen pathogenic factors transmitting to the kidney, constituting a "Thief Pathogen" (Ze Xie - an excessive controlling pathogen in Five Element theory) syndrome.

[Etiology of Dysentery due to Internal Injury by Seven Emotions] Worry and overthinking injure the Spleen. Once the Yin of the Spleen is damaged, its transportive and transformative functions fail. The daily intake of water and grain cannot be properly transformed and transported, leading to stagnation and accumulation within the intestines and stomach. When Qi reaches this area, it becomes stagnant; when Blood flows through this area, it becomes sluggish. Qi stagnation and Blood stasis, combined with retained water and grain, become firmly entangled, causing obstruction and stagnation in the Spleen system, thereby triggering the syndrome of thief pathogen transmission to the Kidney.

[Pulse Diagnosis of Dysentery due to Internal Injury by Seven Emotions] The pulse must be deficient upon heavy pressure. A large and deficient pulse indicates Qi injury; a thin and deficient pulse indicates Blood deficiency. A slow and deficient pulse suggests a favorable prognosis (life); a wiry and large pulse indicates a poor prognosis (death). If the wiry pulse retains a "Stomach Qi" (gentle and moderate quality), recovery is possible; if the wiry quality dominates without Stomach Qi, death is inevitable.

[Treatment of Dysentery due to Internal Injury by Seven Emotions] Initially, use Zhachu Gao ( Hawthorn and Atractylodes Paste), which combines tonification and resolution, to assist the Spleen in transforming accumulations. Subsequently, use Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) to tonify the Spleen and consolidate the root. Note: This condition involves astringency/stagnation and is distinctly different from external dysentery; misusing cold and purgative herbs is erroneous. Furthermore, astringents should not be used too early because this syndrome involves deficiency with underlying stagnation; premature astringency will instead aid the pathogenic factor. If Kidney Yang is insufficient and symptoms of coldness are present, use Shenqi Bawei Wan (Kidney Qi Eight-Ingredient Pill). If Kidney Yin is insufficient and symptoms of deficiency heat and dryness are present, use Liuwei Wan (Six-Ingredient Pill) combined with Baizhu Zhachu Gao to treat dysentery caused by Spleen deficiency, excessive eating, and subsequent accumulation.

Baizhu (Atractylodis Rhizoma), Zhaurou (Crataegi Fructus), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct into a paste and take orally.

Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder): Tonifies and strengthens the Spleen; essential in formulas for deficiency-type dysentery.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), Yiyiren (Coicis Semen), Jiegeng (Platycodonis Radix).
Add Lianrou (Nelumbinis Semen) and Bian Dou (Dolichoris Semen).

Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction): Treats syndromes of Spleen Yuan deficiency and chronic diarrhea with sinking Qi.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix).
For chronic slippery discharge that does not stop, add Hezi (Chebulae Fructus) and Rouguo (Myristicae Semen). Family secret method adds Fushen (Poria cum Radice) and Zaoren (Ziziphi Spinosomi Semen) to treat Yin injury from chronic diarrhea resulting in inability to sleep peacefully, effectively combining with Guipi Tang.

Lizhong Tang (Regulate the Middle Decoction): Treats deficiency-cold diarrhea and dysentery.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Paojiang (Prepared Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
If cold is severe, add Fuzi (Aconiti Lateralis Radix Praeparata). If heat is present, add Chuanlian (Coptidis Rhizoma).

Guipi Tang (Restore the Spleen Decoction)
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Huangqi (Astragali Radix), Zaoren (Ziziphi Spinosomi Semen), Yuanzhi (Polygalae Radix), Bai Fushen (Poria cum Radice), Muxiang (Aucklandiae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Family secret method adds Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) to treat dysentery due to sinking of Yuan Qi, effectively combining with Buzhong Yiqi Tang.

Bawei Wan (Eight-Ingredient Pill): Tonifies insufficiency of True Yang, benefits the source of Fire to generate Spleen Earth.
This is Liuwei Wan (Six-Ingredient Pill) plus Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata).