下痢沉小微细者吉，洪大滑数者死。沉弦者重，脉大者为未止，微弱者为欲愈，虽发热不死。下利脉数，
有微热汗出者即愈。下利发热而渴，脉弱者自愈。《医通》曰∶痢白沫初起，脉小滑，能食者，易治；洪大急
疾，四肢厥冷者，难治。久痢脉微弱小细者愈；数实，或虚大无根者危。下痢脓血，初起脉小滑，或弦软，身不
热者，易治。数实滑大而身热者，势虽甚，犹或可治。若先不热，五六日后反发热，脉大者，必死。久则脉宜
芤迟虚，不宜数盛滑实，身热不止，口噤不食，或久痢脉结代，反骤能食，为除中，皆死。下痢脉，六七日后
最忌强盛。凡下痢脉浮身热，作风治。脉沉身重，作湿治。下痢为肠胃病，虽频迸，而能食则吉。若噤口痢初
起，脉数实可治，久痢反不能食，脉见有余者死。惟小弱流利者，当作胃虚治之。
〔调气〕四七汤 见二卷咳嗽。
〔调气〕木香化滞汤 香 柴 陈 夏 归 草 草蔻 香附 红花 胸满加枳壳，腹胀加浓朴。
〔和血〕四物地榆汤 地 芍 归 芎 加地榆，或加阿胶。
〔和营〕理阴煎 见二卷咳嗽。
〔清热〕芩连芍药汤 白芍（二钱） 黄芩 黄连 木香 枳壳（各钱半） 陈皮（一钱） 炙草（三分）
〔温寒〕香砂枳术丸 木香 砂仁 枳 术
〔寒滞〕香砂异功散 木香 砂仁 参 术 苓 草 陈
〔泄湿〕四苓散 苓 术 泽 猪苓
〔消食〕保和丸 见二卷痰饮。
〔导滞〕小承气汤 见一卷温。
〔和痛〕芍药汤 归 芍 芩 连 桂 草 槟 木香 大黄
〔升阳〕补中益气汤 见一卷中风。
〔摄滑〕赤石脂禹余粮丸 赤石脂 禹余粮
〔润涸〕猪脏汤 取不落水猪大肠煮汁，吹去油面饮之。以脏补脏，且润枯涩，最为久痢妙方。
〔润枯〕阿胶丸 阿胶 黄连（各一两） 茯苓（二两）
〔补固〕八珍汤 见一卷中风。
〔调补〕参苓白术散 见三卷脾胃。
〔清导〕导气汤 芩 连 归 芍 槟 枳 木香 大黄
〔温里〕香砂温胃饮 温胃饮见一卷中风，此加木香、砂仁。
〔温摄〕黑豆饮 黑豆（一两半） 罂粟壳（蜜炙，八钱） 地榆 炙草（各六钱） 炮姜（四钱） 白芍（三
钱） 分三四服，水煎。
〔血痢〕地榆丸 地榆 当归 阿胶 黄连 诃子肉 木香 乌梅肉（各五钱） 蜜丸。
〔温脾〕理中汤 参 术 姜 草
〔黑痢〕芩芍汤 芩 芍 草
〔通治〕香连丸 黄连（吴萸拌炒） 木香 醋糊丸。
〔瘀血〕桃仁承气汤 见一卷疫。
〔清血〕胃风汤 见本卷泄泻。
〔五色〕真人养脏汤 归 芍 术 草 参 桂 诃子肉 木香 肉果 粟壳
〔通治〕驻车丸 黄连 阿胶 当归（各一两） 干姜（五钱） 醋糊丸。
〔赤白〕连理汤 见一卷暑。
〔湿郁〕平胃散 术 朴 陈 草
〔冷痛〕附子理中汤 见一卷中风。
〔厥逆〕通脉四逆汤 生附子（一枚） 干姜（一两） 炙草（二两） 冷服，加葱九茎。
〔脓痢〕戊己丸 黄连 茱萸 白芍
〔痢血〕阿胶四物汤 四物汤加阿胶。
〔发热〕仓廪汤 参 苓 羌 独 柴 胡 枳 芎 草 前胡 桂枝 陈米 姜
〔和营〕小建中汤 见二卷咳嗽。
〔救液〕阿胶丸 阿胶 黄连（各二两） 当归 干姜（各一两） 木香
黄芩 赤石脂 龙骨（各一两） 浓朴（五钱）
〔救液〕阿胶梅连丸 阿胶 黄连（各三两） 归 芍 苓 柏 乌梅（各一两五钱） 炮姜（一钱）
醋煮阿胶为丸。
〔存阴〕黄连阿胶丸 即阿胶丸。
〔热痢〕白头翁汤 白头翁 秦皮 黄连 黄柏
〔后重〕升阳除湿汤 见一卷湿。
〔风邪〕三奇散 黄 防风 枳壳
〔虚滑〕桃花汤 赤石脂 干姜 粳米
〔里急〕苏子降气汤 见二卷失音。
〔胃虚〕治中汤 见三卷饮食。
〔呕痢〕吴茱萸汤 见三卷呕吐。
〔休息〕诃黎勒丸 樗白皮（二两） 诃子肉（五钱） 母丁香（三十枚） 陈米汤下三钱。
〔久痢〕大断下丸 良姜 炮姜 细辛（各一两半） 龙骨 枯矾 肉果 诃子肉 赤石脂 牡蛎 附子（各一
两） 石榴皮（五钱）
〔风痢〕苍术防风汤 苍术 防风 麻黄 姜
〔冷痢〕诃子肉汤 诃子（炮） 浓朴 炮姜 草蔻 陈皮 良姜 茯苓 神曲 麦芽 炙草
〔暑痢〕薷苓汤 见本卷泄泻。
〔湿痢〕除湿汤 夏 朴 苍术（各钱二分） 藿香 陈 苓（各七分） 木香 肉桂 甘草（各五分）
姜（三片） 枣（二枚）
〔脾湿〕苍术地榆汤 苍术 地榆
〔气痢〕气痢丸 诃子肉 陈皮 浓朴（各五钱） 蜜丸，米饮下。
〔疫痢〕人参败毒散 见一卷伤风。
〔蛊疰〕乌梅丸 见三卷呕吐。
〔杀虫〕雄黄锐散 雄黄 苦参 青葙子 黄连 桃仁 研细，捣生艾汁为丸，如枣核大，绵裹纳下部。
〔虫痢〕芜荑丸 芜荑（炒） 黄连（各二两） 蚺蛇胆（五钱） 蜜丸。每服二钱，杏仁汤下。
〔疟痢〕东坡姜茶饮 生姜 陈细茶（各三钱）
〔产痢〕伏龙肝汤 伏龙肝 赤石脂（各一两） 生姜 生地（各两半）
甘草 艾叶 当归 肉桂（各六钱）
〔痢风〕大防风汤 参 术 草 地 芍 羌 防 桂 附 川芎 牛膝 杜仲
〔通治〕治痢散 葛根 苦参 松萝茶叶 麦芽 山楂 赤芍 陈皮 研服四钱，加黄连尤效。
〔滋燥〕黑地黄丸 苍术 五味 熟地 干姜
〔润燥〕六味丸 见一卷中风。
〔益火〕四神丸 见三卷饮食。
Dysentery with a deep, small, fine, and weak pulse is auspicious; one that is surging, large, slippery, and rapid indicates death. A deep and wiry pulse signifies severe illness; a large pulse means the disease has not yet ceased; a weak and minute pulse indicates impending recovery, and even if fever is present, it is not fatal. In diarrhea/dysentery, a rapid pulse accompanied by slight fever and sweating indicates imminent recovery. Dysentery with fever and thirst, but a weak pulse, will heal spontaneously. *Yi Tong* states: At the onset of dysentery with white mucus discharge, a small and slippery pulse with the ability to eat indicates easy treatment; a surging, large, rapid, and urgent pulse with cold limbs indicates difficult treatment. In chronic dysentery, a weak, minute, and small pulse indicates recovery; a rapid and excess pulse, or a deficient and large rootless pulse, indicates danger. Dysentery with pus and blood, at onset with a small and slippery or wiry-soft pulse and no body heat, is easy to treat. A rapid, excess, slippery, and large pulse with body heat, although the condition is severe, may still be treatable. If there was no initial fever, but fever appears after five or six days with a large pulse, death is certain. In prolonged cases, the pulse should be knotted, slow, deficient, or empty, and should not be rapid, full, slippery, or solid. If body heat persists, the mouth is locked and unable to eat, or in chronic dysentery the pulse becomes knotted and intermittent but the patient suddenly gains an appetite, this is "Chu Zhong" (extinction of stomach qi), all indicating death. For dysentery, a strong pulse after six or seven days is most taboo. Whenever dysentery presents with a floating pulse and body heat, treat as wind pathogen. With a deep pulse and heavy body, treat as dampness. Dysentery is a disease of the intestines and stomach; although defecation is frequent, the ability to eat is auspicious. If it is Jin Kou Li (dysentery with inability to eat due to vomiting), a rapid and excess pulse at onset is treatable; in chronic dysentery, inability to eat with a surplus (excess) pulse indicates death. Only a small, weak, and smooth flowing pulse should be treated as stomach deficiency.
[Regulating Qi] Si Qi Tang (Four Seven Decoction) See Vol. 2, Cough.
[Regulating Qi] Mu Xiang Hua Zhi Tang (Aucklandia Regulating Stagnation Decoction) Mu Xiang, Chai Hu, Chen Pi, Ban Xia, Dang Gui, Gan Cao, Cao Dou Kou, Xiang Fu, Hong Hua. Add Zhi Ke for chest fullness, add Hou Po for abdominal distension.
[Harmonizing Blood] Si Wu Di Yu Tang (Four Substances with Sanguisorba Decoction) Di Huang, Bai Shao, Dang Gui, Chuan Xiong, plus Di Yu, or plus E Jiao.
[Nourishing Ying] Li Yin Jian (Nourishing Yin Infusion) See Vol. 2, Cough.
[Clearing Heat] Qin Lian Shao Yao Tang (Scutellaria and Coptis Peony Decoction) Bai Shao (2 qian), Huang Qin, Huang Lian, Mu Xiang, Zhi Ke (1.5 qian each), Chen Pi (1 qian), Zhi Gan Cao (0.3 qian).
[Warming Cold] Xiang Sha Ji Zhu Wan (Aucklandia and Amomum Bitter Orange and Atractylodes Pill) Mu Xiang, Sha Ren, Zhi Shi, Bai Zhu.
[Cold Stagnation] Xiang Sha Yi Gong San (Aucklandia and Amomum Yi Gong Powder) Mu Xiang, Sha Ren, Ren Shen, Bai Zhu, Fu Ling, Gan Cao, Chen Pi.
[Draining Damp] Si Ling San (Four Poria Powder) Fu Ling, Bai Zhu, Ze Xie, Zhu Ling.
[Digesting Food] Bao He Wan (Preserve Harmony Pill) See Vol. 2, Phlegm-Fluids.
[Guiding Out Stagnation] Xiao Cheng Qi Tang (Minor Order the Qi Decoction) See Vol. 1, Warm Disease.
[Harmonizing Pain] Shao Yao Tang (Peony Decoction) Dang Gui, Bai Shao, Huang Qin, Huang Lian, Gui Zhi, Gan Cao, Bing Lang, Mu Xiang, Da Huang.
[Raising Yang] Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction) See Vol. 1, Wind Stroke.
[Astringing Slippery) Chi Shi Zhi Yu Liang Wan (Red Halloysite and Hematite Pill) Chi Shi Zhi, Yu Liang.
[Moistening Depletion) Zhu Zang Tang (Pig Intestine Decoction) Take fresh pig large intestine before it touches the ground, boil to make broth, skim off oil, and drink. Using viscera to nourish viscera, and moistening dryness and astringency, it is an excellent formula for chronic dysentery.
[Moistening Dryness) E Jiao Wan (Donkey-hide Gelatin Pill) E Jiao, Huang Lian (1 liang each), Fu Ling (2 liang).
[Supplementing and Consolidating) Ba Zhen Tang (Eight Treasures Decoction) See Vol. 1, Wind Stroke.
[Regulating and Supplementing) Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) See Vol. 3, Spleen and Stomach.
[Clearing and Guiding) Dao Qi Tang (Guide Qi Decoction) Huang Qin, Huang Lian, Dang Gui, Bai Shao, Bing Lang, Zhi Ke, Mu Xiang, Da Huang.
[Warming Interior) Xiang Sha Wen Wei Yin (Aucklandia and Amomum Warming Stomach Infusion) Wen Wei Yin is in Vol. 1, Wind Stroke; this adds Mu Xiang and Sha Ren.
[Warming and Astringing) Hei Dou Yin (Black Soybean Infusion) Hei Dou (1.5 liang), Ying Su Qiao (honey-fried, 8 qian), Di Yu, Zhi Gan Cao (6 qian each), Pao Jiang (4 qian), Bai Shao (3 qian). Divide into three or four doses, decoct in water.
[Blood Dysentery) Di Yu Wan (Sanguisorba Pill) Di Yu, Dang Gui, E Jiao, Huang Lian, He Zi Rou, Mu Xiang, Wu Mei Rou (5 qian each), honey pills.
[Warming Spleen) Li Zhong Tang (Regulate the Middle Decoction) Ren Shen, Bai Zhu, Gan Jiang, Gan Cao.
[Black Dysentery) Qin Shao Tang (Scutellaria and Peony Decoction) Huang Qin, Bai Shao, Gan Cao.
[General Treatment) Xiang Lian Wan (Aucklandia and Coptis Pill) Huang Lian (stir-fried with Wu Zhu Yu), Mu Xiang, vinegar paste pills.
[Blood Stasis) Tao Ren Cheng Qi Tang (Peach Kernel Order the Qi Decoction) See Vol. 1, Epidemic Disease.
[Clearing Blood) Wei Feng Tang (Stomach Wind Decoction) See this volume, Diarrhea.
[Five Colors Dysentery) Zhen Ren Yang Zang Tang (True Human Nourishing Viscera Decoction) Dang Gui, Bai Shao, Bai Zhu, Gan Cao, Ren Shen, Gui Zhi, He Zi Rou, Mu Xiang, Rou Dou Kou, Ying Su Qiao.
[General Treatment) Zhu Che Wan (Stopping Cartilage Pill) Huang Lian, E Jiao, Dang Gui (1 liang each), Gan Jiang (5 qian), vinegar paste pills.
[Red and White Dysentery) Lian Li Tang (Coptis and Regulate Decoction) See Vol. 1, Summer Heat.
[Dampness Stagnation) Ping Wei San (Peace the Stomach Powder) Bai Zhu, Hou Po, Chen Pi, Gan Cao.
[Cold Pain) Fu Zi Li Zhong Tang (Aconite Regulate the Middle Decoction) See Vol. 1, Wind Stroke.
[Reversal Cold) Tong Mai Si Ni Tang (Unblocking Pulse Four Reversals Decoction) Sheng Fu Zi (1 piece), Gan Jiang (1 liang), Zhi Gan Cao (2 liang), take cold, add nine stalks of Cong Bai.
[Purulent Dysentery) Wu Ji Wan (Five Elements Pill) Huang Lian, Wu Zhu Yu, Bai Shao.
[Dysentery with Blood) E Jiao Si Wu Tang (Donkey-hide Gelatin Four Substances Decoction) Si Wu Tang plus E Jiao.
[Fever) Cang Lin Tang (Granary Decoction) Ren Shen, Fu Ling, Qiang Huo, Du Huo, Chai Hu, Hu Lian, Zhi Ke, Chuan Xiong, Gan Cao, Qian Hu, Gui Zhi, Chen Mi, Sheng Jiang.
[Nourishing Ying) Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) See Vol. 2, Cough.
[Saving Fluids) E Jiao Wan (Donkey-hide Gelatin Pill) E Jiao, Huang Lian (2 liang each), Dang Gui, Gan Jiang (1 liang each), Mu Xiang, Huang Qin, Chi Shi Zhi, Long Gu (1 liang each), Hou Po (5 qian).
[Saving Fluids) E Jiao Mei Lian Wan (Donkey-hide Gelatin, Sour Plum, and Coptis Pill) E Jiao, Huang Lian (3 liang each), Dang Gui, Bai Shao, Fu Ling, Huang Bo, Wu Mei (1.5 liang each), Pao Jiang (1 qian), vinegar-boiled E Jiao pills.
[Preserving Yin) Huang Lian E Jiao Wan (Coptis Donkey-hide Gelatin Pill) Same as above E Jiao Wan.
[Heat Dysentery) Bai Tou Weng Tang (Pulsatilla Decoction) Bai Tou Weng, Qin Pi, Huang Lian, Huang Bo.
[Tenesmus) Sheng Yang Chu Shi Tang (Raising Yang Draining Damp Decoction) See Vol. 1, Dampness.
[Wind Pathogen) San Qi San (Three Marvels Powder) Huang Qi, Fang Feng, Zhi Ke.
[Deficiency Slippery) Tao Hua Tang (Peach Blossom Decoction) Chi Shi Zhi, Gan Jiang, Jing Mi.
[Urgency) Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) See Vol. 2, Aphonia.
[Stomach Deficiency) Zhi Zhong Tang (Regulate Middle Decoction) See Vol. 3, Diet.
[Vomiting Dysentery) Wu Zhu Yu Tang (Evodia Decoction) See Vol. 3, Vomiting.
[Intermittent Dysentery) He Li Le Wan (Terminalia Pill) Chu Bai Pi (2 liang), He Zi Rou (5 qian), Mu Ding Xiang (30 pieces), take 3 qian with aged rice soup.
[Chronic Dysentery) Da Duan Xia Wan (Great Stopper of Downward Flow Pill) Liang Jiang, Pao Jiang, Xi Xin (1.5 liang each), Long Gu, Ku Fan, Rou Dou Kou, He Zi Rou, Chi Shi Zhi, Mu Li, Fu Zi (1 liang each), Shi Liu Pi (5 qian).
[Wind Dysentery) Cang Zhu Fang Feng Tang (Atractylodes and Saposhnikovia Decoction) Cang Zhu, Fang Feng, Ma Huang, Sheng Jiang.
[Cold Dysentery) He Zi Rou Tang (Terminalia Flesh Decoction) He Zi (fried), Hou Po, Pao Jiang, Cao Dou Kou, Chen Pi, Liang Jiang, Fu Ling, Shen Qu, Mai Ya, Zhi Gan Cao.
[Summer Heat Dysentery) Ru Ling Tang (Agastache and Poria Decoction) See this volume, Diarrhea.
[Damp Dysentery) Chu Shi Tang (Drain Damp Decoction) Ban Xia, Hou Po, Cang Zhu (1.2 qian each), Huo Xiang, Chen Pi, Fu Ling (0.7 qian each), Mu Xiang, Rou Gui, Gan Cao (0.5 qian each), Sheng Jiang (3 slices), Da Zao (2 pieces).
[Spleen Damp) Cang Zhu Di Yu Tang (Atractylodes and Sanguisorba Decoction) Cang Zhu, Di Yu.
[Qi Dysentery) Qi Li Wan (Qi Dysentery Pill) He Zi Rou, Chen Pi, Hou Po (5 qian each), honey pills, take with rice drink.
[Epidemic Dysentery) Ren Shen Bai Du San (Ginseng Detoxifying Powder) See Vol. 1, Wind Injury.
[Parasitic/Infectious) Wu Mei Wan (Sour Plum Pill) See Vol. 3, Vomiting.
[Killing Parasites) Xiong Huang Rui San (Realgar Sharp Powder) Xiong Huang, Ku Shen, Qing Xiang Zi, Huang Lian, Tao Ren, grind fine, mix with raw Ai Ye juice to form pills like jujube pits, wrap in cotton and insert into lower orifice.
[Parasitic Dysentery) Wang Yi Wan (Melia Pill) Wang Yi (fried), Huang Lian (2 liang each), Ran She Dan (5 qian), honey pills. Take 2 qian per dose, with Apricot Kernel soup.
[Malaria Dysentery) Dong Po Jiang Cha Yin (Dongpo Ginger Tea Drink) Sheng Jiang, Chen Xi Cha (3 qian each).
[Postpartum Dysentery) Fu Long Gan Tang (Dragon's House Earth Decoction) Fu Long Gan, Chi Shi Zhi (1 liang each), Sheng Jiang, Sheng Di (1.5 liang each), Gan Cao, Ai Ye, Dang Gui, Rou Gui (6 qian each).
[Dysentery Wind) Da Fang Feng Tang (Major Saposhnikovia Decoction) Ren Shen, Bai Zhu, Gan Cao, Shu Di, Bai Shao, Qiang Huo, Fang Feng, Gui Zhi, Fu Zi, Chuan Xiong, Niu Xi, Du Zhong.
[General Treatment) Zhi Li San (Stop Dysentery Powder) Ge Gen, Ku Shen, Song Luo Cha Ye, Mai Ya, Shan Zha, Chi Shao, Chen Pi, grind and take 4 qian; adding Huang Lian is more effective.
[Nourishing Dryness) Hei Di Huang Wan (Black Earth Pill) Cang Zhu, Wu Wei Zi, Shu Di, Gan Jiang.
[Moistening Dryness) Liu Wei Wan (Six Ingredients Pill) See Vol. 1, Wind Stroke.
[Benefiting Fire) Si Shen Wan (Four Miracles Pill) See Vol. 3, Diet.