丁香 诃子皮 藿香 黄连（去须） 青皮（去白） 浓朴（姜制） 甘草（炙） 陈皮（去白。各一两）
干姜（炮） 枳实（麸炒。各半两）
上十七味，为细末，炼蜜丸，如弹子大。每服一丸，水一盏，枣一枚擘开，煎至七分，
和滓稍热食前服。
白术安胃散（《宝鉴》） 治一切泻痢，无问脓血相杂，里急后重窘痛，日夜无度。及治
小肠气痛，妇人脐下虚冷，并产后儿枕痛，虚弱寒热不止者。
御米壳（三两，去顶蒂，醋煮一宿） 茯苓 车前子 白术 乌梅肉（各一两） 五味子（各半两）
上为粗末，每服五钱，水二盏，煎至一盏，空心温服。
升阳除湿防风汤（见下血。）
三奇散 治痢后里急后重。
枳壳 黄 防风（各等分）
上为末，每服二钱，用蜜汤调下，或米饮调亦得。
治里急后重
好蛤粉 穿山甲（炒）
上二味，等分，为末，每服一钱，空心用好酒调服。
木香黄连汤 治下痢脓血，里急后重，神效。
木香 黄连 川木通 川黄柏 枳壳（麸炒） 陈皮（各二钱半） 大黄（三钱）
上 咀，分作二帖，用水二盏，煎至八分，去滓，食前温服。坚中丸 白胶香散（俱泄泻。）
纯阳真人养脏汤（《和剂》） 治大人小儿冷热不调，下痢赤白，或便脓血，有如鱼脑，里
急后重，脐腹 痛。及脱肛坠下，酒毒、温毒便血，并宜服之。
人参 白术 当归（各六钱） 白芍药 木香（各一两六钱） 甘草 肉桂（各八钱） 肉豆蔻（面
裹煨，半两） 御米壳（蜜炙，三两六钱） 诃子肉（一两二钱）
上为 咀，每服四钱，用水一盏半，煎至八分，去滓，食前温服。忌酒、面、生冷、
鱼腥、油腻之物。脏腑滑泄，夜起久不瘥者，可加附子四片煎服。
七宣丸（见大便不通。）
芍药柏皮丸
芍药 黄柏（各等分）
上为细末，醋糊为丸，如桐子大。每服五七十丸，食前温汤下。固肠丸（见泄泻。）
桃花汤（《金匮》） 治下痢脓血。
赤石脂（一升，一半锉，一半筛末） 干姜（一两） 梗米（一升）
上三味，以水七升，煮米令熟，去滓，温七合，纳赤石脂末方寸匕，日三服。若一服愈，余勿服。
《易简》断下汤 治下痢赤白，无问新久长幼。
白术 茯苓（各一钱） 甘草（五分） 草果（连皮一枚）
上 咀，用罂粟壳十四枚，去筋膜并萼蒂，剪碎，用醋淹，为粗末，用作一服，水
一大碗，姜七片，枣子、乌梅各七枚，煎至一大盏，分二服服之。赤痢者加乌豆二粒，白
痢者加干姜五钱。
罂粟壳治痢，服之如神，但性紧涩，多令人呕逆，既以醋制，加以乌梅，不致为害。
然呕吐人，则不可服。大率痢疾，古方谓之滞下，多因肠胃素有积滞而成。此疾始得之
时，不可遽止，先以巴豆感应丸十余粒，白梅汤下，令大便微利，仍以前药服之，无不
应手作效。若脾胃素弱，用豆蔻、橘红、罂粟壳各等分，为末，醋煮面糊为丸，桐子大，
每服五十丸，乌梅汤下。兼治泄泻暴下不止，一服既愈，更令药力相倍为佳。如觉恶心，却
以理中汤、四物汤加豆蔻、木香辈调其胃气，仍以二陈汤煮木香丸以定其呕逆。大凡痢疾，
乃腹心之患，尊年人尤非所宜。若果首尾用平和之剂，决难作效，必致危笃，虽欲服此，
则已晚矣。其秦艽、地榆、黄柏、木通之类，其性苦寒，却难轻服。血痢当服胃风汤并胶
艾汤之类。白者宜服附子理中汤、震灵丹之属，更宜审而用之。若五色杂下，泄泻无时，
当用熟乌头一两，浓朴、干姜、甘草各一分，生姜煎服。今之治痢，多用驻车丸、黄连阿
胶丸之类，其中止有黄连肥肠，其性本冷，若所感积轻，及余痢休息不已，则服之取效，若
病稍重，则非此可疗。
诃子皮散（东垣）
御米壳（五分，去花萼，蜜炒） 干姜（六分，炮） 陈皮（五分） 诃子皮（七分，煨，去核）
水煎服。或为末，白汤调服亦可。
地榆芍药汤（《保命》） 治泄痢脓血脱肛。
苍术（八两） 地榆 卷柏 芍药（各三两）
上 咀，每服二两，水煎温服，病退勿服。
败毒散（见伤湿。）
参苓白术散（《和剂》） 治久泻及大病后、痢后调理，消渴者尤宜。
人参 干山药 莲肉（去心） 白扁豆（去皮，姜汁浸炒。各一斤半） 白术（于潜者，二斤） 桔梗（炒
令黄色） 砂仁 白茯苓（去皮） 薏苡仁 炙甘草（各一斤）
上为细末，每服二钱，米汤调下；或加姜、枣煎服。或枣肉和药，丸如桐子大，每
服七十丸，空心用米汤送下；或炼蜜丸，如弹子大，汤化下。
治中汤（见呕吐。）
仓廪汤 治禁口痢有热，乃毒瓦斯冲心，食即吐。
人参 茯苓 甘草（炙） 前胡 川芎 羌活 独活 桔梗 柴胡 枳壳 陈仓米（各等分）
上 咀，每服五钱，水一盏半，生姜三片，煎至七分，去滓，不拘时，热服。
木香散（《本事》） 治隔年痢不止，并治血痢尤捷。
木香（半两锉，用黄连半两同炒） 罂粟壳（半
两锉，用生姜半两同炒） 甘草（炙，一两）
上为细末，入麝香少许，每服一钱，陈米饮下。
诃藜勒丸（《宝鉴》） 治休息痢，昼夜无度，脐腹撮痛，诸药不效。
椿根白皮（二两） 诃子（半两，去核） 母丁香（三十粒）
为细末，醋糊丸，如梧子大。每服五十丸，陈米饮汤入醋少许，一日三服效。（椿树，
俗谓虎眼树，又谓之樗。）
芜荑丸 治久痢不瘥，有虫，并下部脱肛。
芜荑（炒） 黄连（去须，各二两） 蚺蛇胆（半两）
上为细末，炼蜜丸，如梧桐子大。每服三十丸，食前用杏仁汤下，日再服。
驻车丸（《和剂》） 治一切下痢，无问冷热。
阿胶（捣碎，蛤粉炒成珠，为末，以醋四升熬成膏，十五两） 当归（去芦，十五两） 黄连（去须，三十
两） 干姜（炮，十两）
上为末，醋煮阿胶膏丸，梧桐子大。每服三十丸，食前米饮下，日三服。小儿丸如
麻子大，更量岁数加减服。
归连丸 治痢，无问冷热及五色痢，入口即定。
当归 黄柏 黄芩 阿胶 熟艾（各二两） 黄连（一两）
上为末，以醇醋二升，煮胶烊，下药煮，令可为丸，如豆大。每服七八十丸，日二夜
一，用米汤下。若产妇痢，加蒲黄一两，炼蜜和丸。
麦 丸 治休息痢，不能饮食及羸瘦。
大麦 （炒） 附子（炮裂，去皮脐） 陈曲（炒） 官桂（去皮） 乌梅肉（炒） 白茯苓（去皮） 人参（各一两）
上为细末，炼蜜和丸，如梧桐子大。每服三十丸，煮枣肉饮下，不拘时。一方，用
七月七日曲。
治休息痢羸瘦
黄连（去须，为末） 定粉（研。各半两） 大枣（二十枚，去核）
上舂枣如泥，铺于纸上，安二味药裹之，烧令通赤，取出候冷，细研为末，每服使好
精羊肉半斤，切作片子，用散药三钱，掺在肉上，湿纸裹烧熟，放冷食之，不过三两服效。
又方
杏仁（一两，汤浸，去皮尖及双仁，麸炒黄色） 猪肝（一具，去筋膜，切作片）
上件，将肝用水洗去血，切作片，于净铛内一重肝，一重杏仁，入尽，用童子小便
二升，入铛中盖定，慢火煎令小便尽即熟，放冷，任意食之。
又方（一名） 羊肝散
砂仁（一两，去皮） 肉豆蔻（半两，去壳）
上为细末，用羊肝半具，细切拌药，以湿纸三五重裹上，更以面裹，用慢火烧令熟，
去面并纸，入软饭捣和，丸如梧子大。每服三十丸，食前粥饮下。
蓣莲饮
石莲肉 干山药（各等分）
上为细末，生姜、茶煎汤，调下三钱。
异功散 七珍散（俱不能食。） 六柱饮（泄泻。） 独活寄生汤（见腰痛。） 虎骨四斤丸（香港脚。）
大防风汤（鹤膝风。） 橘皮枳术丸（伤食。）
附方
神效参香散 治大人小儿脏气虚怯，冷热不调，积而成痢，或下鲜血，或如豆汁，或
如鱼脑，或下瘀血，或下紫黑血，或赤白相杂，里急后重，日夜频数，无问新久，并皆治之。
白扁豆（炒） 木香 人参（去芦。各二两） 茯苓（去皮） 肉豆蔻（煨。各四两） 罂粟壳（去蒂） 陈
皮（去白。各十两）
上为细末，每服三钱，用温米饮调下，无时。
黑丸子 治脾胃怯弱，饮食过伤，留滞
不化，遂成痢下。服此药推导，更须斟酌受病浅深，增减丸数，当逐尽积滞方佳，然后
徐徐补之。
乌梅肉 杏仁（去皮尖，另研） 半夏（汤泡七次） 缩砂（各十四粒） 百草霜（六钱） 巴豆霜（去
油，半钱）
上为细末，和匀，稀糊为丸，如黍米大。每服十五丸，加至二十丸，用白汤送下。看
人虚实，加减丸数服之。
不二散 治诸般泻痢，神效。
罂粟壳 青皮（去瓤，焙干） 陈皮（去白，焙干。各二两） 当归（去芦，炒） 甘草（炙） 甜藤（如无，
只以干葛代之，各一两）
上件 咀，每服三钱，水一盏，煎七分，去滓，通口服。如患赤白痢，用酸石榴皮一片同煎，极妙。
神效鸡清丸 治一切泻痢。
木香（二两） 黄连（二两半） 肉豆蔻（七个大者，生用）
上先为细末，取鸡子清搜和药作饼子，于慢火上炙令黄色变红，极干再研为末，用面
糊丸，如桐子大。每服五十丸，空心米饮下。
御米丸 治一切泻痢。
肉豆蔻 诃子肉 白茯苓 白术（各一两） 石莲肉 当归（各半两） 乳香（三钱） 罂粟壳
（一两半，蜜炙）
上为细末，水糊为丸，如梧桐子大。每服三五十丸，空心用米饮送下。如血痢，减
豆蔻、白术、当归、粟壳。
犀角丸 但是痢，服之无不瘥者。
犀角屑（取黑色文理粗者，产后用弥佳） 宣州黄连 苦参（多买轻捣） 金州黄柏（赤色紧薄者）
川当归（五味俱取细末）
上各捣研为末，各等分，和匀，空腹，烂煮糯米饮调方寸匕服之，日再服。忌粘滑、油腻、生菜。
栝蒌散 治五色痢，久不愈者。
栝蒌（一个，黄色者，以炭火煨存性用，盖在地下一宿，出火毒）
上研为细末，作一服，用温酒调服。胡大卿有一仆人，患痢半年，至杭州遇一道人
传此方而愈。
葛根汤 专治酒痢。
葛根 枳壳 半夏 生地黄 杏仁（去皮尖） 茯苓（各二钱四分） 黄芩（一钱二分） 甘草（炙，半钱）
上分作二帖，水二盏，黑豆百粒，生姜五片，白梅一个，煎至一盏，去滓，食前温服。
神效散 治休息痢，气痢，脓血不止，疼痛困弱。
当归 乌梅肉 黄连（各等分）
上为细末，研大蒜作膏和丸，如梧子大。每服三四十丸，浓朴煎汤下。一方，加阿胶。
又方 治赤白痢新旧疾。
上用盐霜梅三个，用黄泥裹，于慢火煨干，研为细末，用米汤调下。治肠虫，先下
赤，后下黄白沫，连年不愈。兼治痢下，应先白后赤，若先赤后白，为肠虫。
上用牛膝一两，切，椎碎，以醇酒一升渍一宿，平旦空心服之，再服愈。
阿胶丸 治冷热不调，痢下脓血下止，腹痛不可忍。
阿胶（锉碎，炒令燥） 干姜（炮） 木香 黄连（炒） 当归（炒） 黄芩（各一两） 赤石脂 龙骨（各二
两） 浓朴（一两半，去粗皮，生姜汁涂炙）
上为细末，炼蜜和丸，如梧子大。每服三十丸，不拘时以粥饮下。
木香散 治冷热痢，虚损腹痛，不能饮食，日渐乏力。
木香 干姜（炮） 甘草（炙） 黄芩（各半两） 柏叶（炙） 当归（炒） 白术 干熟地黄（各七钱半）
黄连（炒，五钱）
上锉散，每服三钱，水一中盏，煎至五分，去滓，不拘时，温服。
杨子建万全护命方 今有人患痢，其脉微小，再再寻之，又沉而涩，此之一候，若
下白痢，其势虽重，庶几可治。若是下血，切
忌发热，通身发热者死，热见七日死。以上所陈，虽未足以达痢之渊源，亦足以明其粗
迹。议者谓∶如子所言，自甲子至于癸亥，每六十年中，未尝有一年不生痢疾，今世人所
患痢疾，于数年中间忽止有一年，其故何也？答曰∶六十年中，未尝有一年无木土相攻，未
尝无土火相郁，未尝无水火相犯。但五运之政，譬如权衡，一年间五行气数，更相承制，
得其平等，则其疾自然不作。若或一气太过，一脏有余，痢疾之生，应不旋踵。予故备陈
其粗，以开后学之未悟，庶几诊疗之间，无差误之过者矣。但毒痢伤人不一，惟水邪犯
心为重。世人初患痢时，先发寒热，投药治之，其热不退，发热太甚，食则呕逆，下痢
不止，心热如火，只要入凉处，只思吃冷水，忽思狂走，浑身肌肉疼痛，着手不得，此候
十难治其三四也。治疫毒痢方，须是子细首尾读此方论，令分明识病根源，然后吃药。但
毒痢初得时，先发寒热，忽头痛，忽壮热，忽转数行，便下赤痢，忽赤白相杂，忽止下白
痢，或先下白痢，后变成赤痢，或先下赤痢，后却变成白痢，并宜吃此方。但初下痢时，先
Dingxiang (Caryophylli Flos), Hezi Pi (Pericarpium Terminaliae Chebulae), Huoxiang (Agastaches Herba), Huanglian (Coptidis Rhizoma, remove the rootlets), Qingpi (Exocarpium Citri Reticulatae Viride, remove the white pith), Houpo (Magnoliae Officinalis Cortex, processed with ginger juice), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chenpi (Exocarpium Citri Reticulatae, remove the white pith; each 1 liang); Ganjiang (Zingiberis Rhizoma Praeparatum, roasted), Zhishi (Aurantii Fructus Immaturus, stir-fried with bran; each 0.5 liang). The above seventeen ingredients are ground into a fine powder, mixed with refined honey to form pills the size of a bullet. Take one pill per dose, with one cup of water and one jujube split open, decoct until three-tenths remains, and take it warm with the dregs before meals.
Baizhu Anwei San (from *Baojian*): Treats all types of diarrhea and dysentery, whether pus and blood are mixed, or there is tenesmus and distressing pain, day and night without restraint. Also treats Qi pain in the small intestine, deficiency-cold below the umbilicus in women, postpartum Ezheng pain (mass pain after childbirth), and cases of weakness with unceasing alternating chills and fever.
Yumi Qiao (Papaveris Pericarpium, 3 liang, remove the top and stalk, boil overnight in vinegar), Fuling (Poria), Cheqianzi (Plantaginis Semen), Baizhu (Atractylodis Macrocephalae Rhizoma), Wumei Rou (Sarcocarpa Pruni Mume, each 1 liang), Wuweizi (Schisandrae Fructus, each 0.5 liang). The above are ground into a coarse powder. Take 5 qian per dose, with two cups of water, decoct until one cup remains, and take warm on an empty stomach.
Shengyang Chushi Fangfeng Tang (see Xiexue [Lower Bleeding]).
Sanqi San: Treats tenesmus after dysentery.
Zhike (Aurantii Fructus), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix; equal parts). Grind into powder. Take 2 qian per dose, mixed with honey water, or rice drink is also acceptable.
Treat Tenesmus
Haofen (Calcitrum), Chuanshanjia (Manis Squama, stir-fried). Equal parts of the above two ingredients, ground into powder. Take 1 qian per dose, mixed with good liquor on an empty stomach.
Muxiang Huanglian Tang: Treats dysentery with pus and blood, tenesmus; miraculous effect.
Muxiang (Aquilariae Lignum Resinatum), Huanglian (Coptidis Rhizoma), Chuanmutong (Akebiae Caulis), Chuanhuangbo (Phellodendri Chinensis Cortex), Zhishi (Aurantii Fructus Immaturus, stir-fried with bran), Chenpi (Exocarpium Citri Reticulatae; each 2.5 qian), Dahuang (Rhei Radix et Rhizoma, 3 qian). Cut into pieces, divide into two doses. Decoct with two cups of water until eight-tenths remain, remove dregs, and take warm before meals. Jianzhong Wan, Baijiaoxiang San (see Xiexie [Diarrhea]).
Chunyang Zhenren Yangsang Tang (from *Heji Jufang*): Treats adults and children with imbalance of cold and heat, dysentery with red and white discharge, or pus and blood resembling fish brain, tenesmus, and abdominal pain. Also suitable for prolapse of the rectum, bleeding from alcohol toxicity or warm toxin, etc.
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix; each 6 qian), Shaoyao (Paeoniae Radix Alba), Muxiang (Aquilariae Lignum Resinatum; each 1 liang 6 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Rougui (Cinnamomi Cortex; each 8 qian), Roudoukou (Myristicae Semen, baked in flour, 0.5 liang), Yumi Qiao (Papaveris Pericarpium, honey-fried, 3 liang 6 qian), Hezi Rou (Sarcocarpa Terminaliae Chebulae, 1 liang 2 qian). Cut into pieces. Take 4 qian per dose, with one and a half cups of water, decoct until eight-tenths remain, remove dregs, and take warm before meals. Avoid alcohol, wheat products, raw/cold foods, fishy smells, and greasy substances. For slippery evacuation of the zang-fu, frequent nocturnal urination not healing for a long time, add 4 slices of Fuzi (Aconiti Lateralis Radix Praeparata) and decoct.
Qixuan Wan (see Bianmi Butong [Constipation]).
Shaoyao Bapi Wan
Shaoyao (Paeoniae Radix), Huangbo (Phellodendri Cortex; equal parts). Grind into fine powder, make pills with vinegar paste, size of Sophora seeds. Take 50-70 pills per dose, with warm water before meals. Guchang Wan (see Xiexie [Diarrhea]).
Taohua Tang (from *Jingui Yaolue*): Treats dysentery with pus and blood.
Chishizhi (Halloysitum Rubrum, 1 sheng, half crushed, half sifted into powder), Ganjiang (Zingiberis Rhizoma, 1 liang), Jingmi (Oryza Sativa Japonica Group, 1 sheng). Decoct the three ingredients with seven cups of water until the rice is cooked, remove dregs, take warm 7 he, mix in one fangcunbi of Chishizhi powder, take three times a day. If cured after one dose, do not take the rest.
*Yijian Fang* Duansxia Tang: Treats dysentery with red and white discharge, applicable to new or old cases regardless of age.
Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria; each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian), Caoguo (Tsao-ko Fructus, with skin, one piece). Cut into pieces. Use 14 shells of Yingsuke (Papaveris Pericarpium), remove membranes and calyx, cut into pieces, soak in vinegar, grind into coarse powder as one dose. Add one large bowl of water, 7 slices of Shengjiang (Zingiberis Rhizoma Freshum), 7 jujubes, 7 Wumei (Pruni Mume Fructus). Decoct until one large cup remains, divide into two doses. For red dysentery, add 2 Dou (Vigna angularis); for white dysentery, add 5 qian of Ganjiang (Zingiberis Rhizoma Praeparatum).
Yingsuke (Papaveris Pericarpium) treats dysentery with miraculous effect, but its nature is astringent and often causes vomiting. Since it is processed with vinegar and combined with Wumei (Pruni Mume Fructus), it does no harm. However, it should not be taken by those who vomit. Generally, dysentery was called "Zhixia" (Stagnant Downward Flow) in ancient texts, mostly caused by accumulated stagnation in the intestines and stomach. At the beginning of the disease, stopping diarrhea immediately is inadvisable. First, give 10-20 pills of Badou Yinggan Wan (Crotonis Semen Induced Pill) with White Plum Water to induce mild loose stools, then take the previous medicine, which will be effective. If the spleen and stomach are weak, use Roudoukou (Myristicae Semen), Juhong (Exocarpium Citri Reticulatae Rubrum), and Yingsuke (Papaveris Pericarpium) in equal parts, grind into powder, make pills with vinegar-boiled flour paste, size of Sophora seeds. Take 50 pills per dose with Wumei Water. It also treats acute diarrhea with unceasing flow. One dose cures it; doubling the efficacy is better. If nausea occurs, use Lizhong Tang (Regulate the Middle Decoction) or Siwu Tang (Four Substances Decoction) added with Roudoukou (Myristicae Semen) and Muxiang (Aquilariae Lignum Resinatum) to regulate stomach qi, and use Erchen Tang (Two Aged Decoction) boiled with Muxiang (Aquilariae Lignum Resinatum) pills to stop vomiting. Dysentery is a heart-belly affliction, especially unsuitable for the elderly. If only mild agents are used throughout, effectiveness is difficult to achieve, leading to critical danger; by the time one wishes to take this strong medicine, it is too late. Drugs like Qinjiao (Gentianae Macrophyllae Radix), Diyü (Sanguisorbae Radix), Huangbo (Phellodendri Cortex), Mutong (Akebiae Caulis) have bitter-cold nature and should not be taken lightly. For blood dysentery, use Weifeng Tang (Wind-Stomach Decoction) and Jiao'ai Tang (Donkey-hide Gelatin Decoction). For white dysentery, use Fuzi Lizhong Tang (Aconite Regulate-the-Middle Decoction) and Zhenling Dan (Spirit-Shaking Pellet), used with caution. If five colors discharge simultaneously with unregulated diarrhea, use 1 liang of Shuwutou (Aconiti Radix Preparata), 1 fen of Houpo (Magnoliae Officinalis Cortex), Ganjiang (Zingiberis Rhizoma Praeparatum), Gancao (Glycyrrhizae Radix et Rhizoma), decoct with Shengjiang (Zingiberis Rhizoma Freshum). Current treatments for dysentery often use Zhuche Wan (Park-Chew Pill) or Huanglian Ejiao Wan (Coptis Donkey-hide Gelatin Pill). Only Huanglian (Coptidis Rhizoma) thickens the intestines, but its nature is cold. If the accumulated pathogen is light, or for lingering intermittent dysentery, it is effective. If the disease is heavier, this cannot treat it.
Hezi Pi San (Li Dongyuan's Formula)
Yumi Qiao (Papaveris Pericarpium, 0.5 qian, remove calyx, honey-fried), Ganjiang (Zingiberis Rhizoma Praeparatum, 0.6 qian, roasted), Chenpi (Exocarpium Citri Reticulatae, 0.5 qian), Hezi Pi (Pericarpium Terminaliae Chebulae, 0.7 qian, baked, remove seed). Decoct with water. Or grind into powder, take with warm water.
Diyu Shaoyao Tang (from *Baoming Ji*): Treats diarrhea/dysentery with pus/blood and rectal prolapse.
Cangzhu (Atractylodis Rhizoma, 8 liang), Diyu (Sanguisorbae Radix), Juanbai (Selaginellae Herba), Shaoyao (Paeoniae Radix Alba; each 3 liang). Cut into pieces. Take 2 liang per dose, decoct with water, take warm. Stop taking when the illness recedes.
Baidu San (see Shangshi [Injury by Dampness]).
Shenling Baizhu San (from *Heji Jufang*): Treats chronic diarrhea and recovery after severe illness or dysentery; especially suitable for Xiao Ke (Wasting-Thirst).
Renshen (Ginseng Radix), Gansanyao (Dioscoreae Rhizoma Dryum), Lianrou (Nelumbinis Semen, remove heart), Baibiandou (Phaseoli Semen, remove skin, soak in ginger juice and stir-fry; each 1.5 jin), Baizhu (Atractylodis Macrocephalae Rhizoma, from Qianjiang, 2 jin), Jiegeng (Platycodonis Radix, stir-fried until yellow), Sharen (Amomi Fructus Rotundus), Baifuling (Poria, remove skin), Yiyiren (Coicis Semen), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried; each 1 jin). Grind into fine powder. Take 2 qian per dose, mixed with rice water; or add ginger and jujube and decoct. Or mix with jujube flesh to make pills size of Sophora seeds, take 70 pills on empty stomach with rice water; or make honey pills size of bullets, dissolve in water.
Zhizhong Tang (see Outu [Vomiting]).
Canglin Tang: Treats Jin Kou Li (Forbidden Mouth Dysentery) with heat, where toxic vapors rush to the heart, causing vomiting upon eating.
Renshen (Ginseng Radix), Fuling (Poria), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Qianhu (Peucedani Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Jiegeng (Platycodonis Radix), Chaihu (Bupleuri Radix), Zhike (Aurantii Fructus), Chen Cangmi (Old Stored Rice; equal parts). Cut into pieces. Take 5 qian per dose, with one and a half cups of water, 3 slices of Shengjiang (Zingiberis Rhizoma Freshum), decoct until seven-tenths remain, remove dregs, take hot anytime.
Muxiang San (from *Benshi Fang*): Treats persistent dysentery lasting over a year, especially effective for bloody dysentery.
Muxiang (Aquilariae Lignum Resinatum, 0.5 liang cut, stir-fried with 0.5 liang Huanglian [Coptidis Rhizoma]), Yingsuke (Papaveris Pericarpium, 0.5 liang cut, stir-fried with 0.5 liang Shengjiang [Zingiberis Rhizoma Freshum]), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang). Grind into fine powder, add a little Shexiang (Moschus). Take 1 qian per dose with aged rice drink.
Helile Wan (from *Baojian*): Treats Xixi Li (Intermittent Dysentery), unceasing day and night, cramping abdominal pain, ineffective with other medicines.
Chungen Bapi (Celastronis Cortex Albus, 2 liang), Hezi (Terminaliae Fructus, 0.5 liang, remove seed), Mudingxiang (Caryophylli Flos, 30 grains). Grind into fine powder, make pills with vinegar paste, size of Sophora seeds. Take 50 pills per dose, with aged rice drink plus a little vinegar, three times a day for effect. (Chunshu, commonly known as Huyan Shu or Chu.)
Wangyi Wan: Treats chronic dysentery not healing, presence of parasites, and lower body rectal prolapse.
Wangyi (Toosendan Fructus, stir-fried), Huanglian (Coptidis Rhizoma, remove rootlets; each 2 liang), Ranchedan (Boas Gallus, 0.5 liang). Grind into fine powder, make honey pills size of Sophora seeds. Take 30 pills per dose before meals with Xingren (Pruni Armeniaci Semen) water, twice a day.
Zhuche Wan (from *Heji Jufang*): Treats all types of dysentery, regardless of cold or heat.
Ejiao (Asini Corii Colla, crush, stir-fry with Ge Fen [Calamina] until pearls form, grind into powder, boil with 4 sheng of vinegar into paste, 15 liang), Danggui (Angelicae Sinensis Radix, remove radicle, 15 liang), Huanglian (Coptidis Rhizoma, remove rootlets, 30 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, roasted, 10 liang). Grind into powder, make pills with vinegar-boiled Ejiao paste, size of Sophora seeds. Take 30 pills per dose before meals with rice drink, three times a day. For children, make pills size of hemp seeds, adjust dosage according to age.
Guilian Wan: Treats dysentery, regardless of cold/heat or five-color dysentery; effective immediately upon ingestion.
Danggui (Angelicae Sinensis Radix), Huangbo (Phellodendri Cortex), Huangqin (Scutellariae Radix), Ejiao (Asini Corii Colla), Shuai Ai (Artemisiae Argyi Folium, prepared; each 2 liang), Huanglian (Coptidis Rhizoma, 1 liang). Grind into powder, boil 2 sheng of strong vinegar, melt gelatin, add drugs, boil until pillable, size of beans. Take 70-80 pills, twice daily and once at night, with rice water. For postpartum dysentery, add 1 liang of Puhuang (Typhas Pollen), mix with honey to make pills.
Mai Wan: Treats Xixi Li (Intermittent Dysentery), inability to eat, and emaciation.
Damai (Hordei Fructus Germinatus, stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, roasted cracked, remove skin and navel), Chenqu (Fermented Medicinal Leaven, stir-fried), Guanzi Gui (Cinnamomi Cortex, remove bark), Wumei Rou (Sarcocarpa Pruni Mume, stir-fried), Baifuling (Poria, remove skin), Renshen (Ginseng Radix; each 1 liang). Grind into fine powder, mix with honey to make pills size of Sophora seeds. Take 30 pills per dose with boiled jujube flesh drink, anytime. Another formula uses Qu made on July 7th.
Treat Intermittent Dysentery with Emaciation
Huanglian (Coptidis Rhizoma, remove rootlets, grind into powder), Dingfen (Minii Carbonas, grind; each 0.5 liang), Dazao (Jujubae Fructus, 20 pieces, remove pits). Pound jujubes into paste, spread on paper, place the two powders inside, wrap, and burn until red-hot. Remove, cool, grind into fine powder. Each time, take 0.5 jin of fine mutton, slice, sprinkle 3 qian of powder on the meat, wrap in wet paper, roast until cooked, cool, and eat. Not more than 2-3 doses for effect.
Another Formula
Xingren (Pruni Armeniaci Semen, 1 liang, soak in water, remove skin/spikes/double kernels, stir-fry with bran until yellow), Zhugan (Sus Scrofa Domesticus Liver, one piece, remove membranes, slice). Wash liver to remove blood, slice. In a clean pot, layer liver and Xingren. Add 2 sheng of Tongzi Xiaoniao (Child's Urine), cover tightly, simmer slowly until urine is exhausted and liver is cooked. Cool and eat as desired.
Another Formula (also named Yanggan San)
Sharen (Amomi Fructus Rotundus, 1 liang, remove skin), Roudoukou (Myristicae Semen, 0.5 liang, remove shell). Grind into fine powder. Take half a sheep liver, slice finely, mix with powder, wrap in 3-5 layers of wet paper, then wrap in dough. Roast slowly until cooked. Remove dough and paper, mix with soft rice, pound, make pills size of Sophora seeds. Take 30 pills per dose before meals with porridge drink.
Yulian Yin
Shilian Rou (Nelumbinis Semen Rubrum), Gansanyao (Dioscoreae Rhizoma Dryum; equal parts). Grind into fine powder. Decoct Shengjiang (Zingiberis Rhizoma Freshum) and tea, mix with powder, take 3 qian.
Yigong San, Qizhen San (see Buneng Shi [Inability to Eat]). Liuzhu Yin (see Xiexie [Diarrhea]). Duhuo Jisheng Tang (see Yao Tong [Waist Pain]). Hugu Sijin Wan (Hongjiaojiao [Beriberi]). Dafeng Tang (Hexikeng Feng [Knee Deformity]). Jupi Zhizhu Wan (Shangshi [Food Stagnation]).
Supplementary Formulas
Shenxiao Shenxiang San: Treats adults and children with deficient viscera qi, imbalance of cold/heat, accumulation leading to dysentery, or passage of fresh blood, bean-jelly-like substance, fish-brain-like substance, stasis blood, purple-black blood, or mixed red/white, tenesmus, frequent day and night, applicable to new or old cases.
Baibiandou (Phaseoli Semen, stir-fried), Muxiang (Aquilariae Lignum Resinatum), Renshen (Ginseng Radix, remove radicle; each 2 liang), Fuling (Poria, remove skin), Roudoukou (Myristicae Semen, baked; each 4 liang), Yingsuke (Papaveris Pericarpium, remove stalk), Chenpi (Exocarpium Citri Reticulatae, remove white pith; each 10 liang). Grind into fine powder. Take 3 qian per dose, mixed with warm rice drink, anytime.
Hei Wan: Treats weak spleen/stomach, overeating causing stagnation and indigestion, leading to dysentery. This formula promotes expulsion; adjust dosage based on depth of disease. Expel all stagnation first, then gradually tonify.
Wumei Rou (Sarcocarpa Pruni Mume), Xingren (Pruni Armeniaci Semen, remove skin/spikes, grind separately), Banxia (Pinelliae Rhizoma, soak in water 7 times), Suosha (Amomi Fructus Rotundus; each 14 grains), Baicaoshuang (Carbonis Cytisi), Badoushuang (Crotonis Semen, oil removed, 0.5 qian). Grind into fine powder, mix evenly, make pills with thin paste, size of millet seeds. Take 15 pills, increase to 20, with warm water. Adjust dosage based on patient's deficiency/excess.
Bu'er San: Treats various diarrheas and dysenteries; miraculous effect.
Yingsuke (Papaveris Pericarpium), Qingpi (Exocarpium Citri Reticulatae Viride, remove pulp, bake dry), Chenpi (Exocarpium Citri Reticulatae, remove white pith, bake dry; each 2 liang), Danggui (Angelicae Sinensis Radix, remove radicle, stir-fry), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Tianteng (Uncariae Ramulus cum Uncis, if unavailable, use Gan Ge [Puerariae Lobatae Radix]; each 1 liang). Cut into pieces. Take 3 qian per dose, with one cup of water, decoct until seven-tenths remain, remove dregs, take orally. For red/white dysentery, decoct with one piece of Suan Shiliupi (Punica Granati Cortex Acidum) for best results.
Shenxiao Qing Wan: Treats all types of diarrhea and dysentery.
Muxiang (Aquilariae Lignum Resinatum, 2 liang), Huanglian (Coptidis Rhizoma, 2.5 liang), Roudoukou (Myristicae Semen, 7 large ones, raw). Grind into fine powder first. Take egg white to mix medicine into cakes, roast on slow fire until yellow turns red, extremely dry, then grind into powder. Make pills with flour paste, size of Sophora seeds. Take 50 pills on empty stomach with rice drink.
Yumi Wan: Treats all types of diarrhea and dysentery.
Roudoukou (Myristicae Semen), Hezi Rou (Sarcocarpa Terminaliae Chebulae), Baifuling (Poria, remove skin), Baizhu (Atractylodis Macrocephalae Rhizoma; each 1 liang), Shilian Rou (Nelumbinis Semen Rubrum), Danggui (Angelicae Sinensis Radix; each 0.5 liang), Ruxiang (Olibanum, 3 qian), Yingsuke (Papaveris Pericarpium, 1.5 liang, honey-fried). Grind into fine powder, make pills with water paste, size of Sophora seeds. Take 30-50 pills on empty stomach with rice drink. For blood dysentery, reduce Roudoukou (Myristicae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), and Yingsuke (Papaveris Pericarpium).
Xijiao Wan: Effective for all dysenteries.
Xijiao Xie (Rhinocerotis Cornu, choose coarse black grain texture, better for postpartum), Xuanzhou Huanglian (Coptidis Rhizoma), Kushen (Sophorae Flavescentis Radix, buy more and lightly crush), Jinzhou Huangbo (Phellodendri Chinensis Cortex, choose tight thin red ones), Chuan Danggui (Angelicae Sinensis Radix). Grind all into fine powder, mix equal parts. On empty stomach, take one fangcunbi with well-cooked glutinous rice drink, twice a day. Avoid sticky, greasy, and raw vegetables.
Gualou San: Treats five-color dysentery, chronic and unhealed.
Gualou (Trichosanthis Fructus, one yellow one, roast in charcoal fire to retain nature, cover underground overnight to remove fire toxicity). Grind into fine powder, take as one dose, mixed with warm wine. Hu Daqing had a servant suffering from dysentery for half a year; met a Daoist in Hangzhou who passed this formula, and he recovered.
Gegen Tang: Specifically treats Jiu Li (Alcohol Dysentery).
Gegen (Puerariae Lobatae Radix), Zhike (Aurantii Fructus), Banxia (Pinelliae Rhizoma Praeparatum), Shengdihuang (Rehmanniae Radix), Xingren (Pruni Armeniaci Semen, remove skin/spikes), Fuling (Poria; each 2.4 qian), Huangqin (Scutellariae Radix, 1.2 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 qian). Divide into two doses. Decoct with two cups of water, 100 black beans, 5 slices of Shengjiang (Zingiberis Rhizoma Freshum), one Bai Mei (Pruni Mume Fructus), until one cup remains, remove dregs, take warm before meals.
Shenxiao San: Treats Xixi Li (Intermittent Dysentery), Qi Li (Qi Dysentery), unceasing pus/blood, pain and weakness.
Danggui (Angelicae Sinensis Radix), Wumei Rou (Sarcocarpa Pruni Mume), Huanglian (Coptidis Rhizoma; equal parts). Grind into fine powder, grind garlic into paste, mix and make pills size of Sophora seeds. Take 30-40 pills per dose with Houpo (Magnoliae Officinalis Cortex) decoction. Another formula adds Ejiao (Asini Corii Colla).
Another Formula: Treats new and old red/white dysentery.
Take 3 Yan Shuang Mei (Salted Plum), wrap in yellow clay, roast slowly until dry, grind into fine powder, take with rice water. Treats intestinal worms: first pass red, then yellow-white foam, unhealed for years. Also treats dysentery: if white passes first then red, it is intestinal worms; if red first then white, it is not.
Take 1 liang of Niuxi (Achyranthis Bidentatae Radix), cut, crush, soak in 1 sheng of strong wine overnight. Take on empty stomach at dawn; second dose cures.
Ejiao Wan: Treats imbalance of cold/heat, dysentery with pus/blood stopped, unbearable abdominal pain.
Ejiao (Asini Corii Colla, cut into pieces, stir-fry until dry), Ganjiang (Zingiberis Rhizoma Praeparatum, roasted), Muxiang (Aquilariae Lignum Resinatum), Huanglian (Coptidis Rhizoma, stir-fried), Danggui (Angelicae Sinensis Radix, stir-fried), Huangqin (Scutellariae Radix; each 1 liang), Chishizhi (Halloysitum Rubrum), Longgu (Fossilia Ossis Mastodi et Femoris, each 2 liang), Houpo (Magnoliae Officinalis Cortex, 1.5 liang, remove rough bark, coat with ginger juice and roast). Grind into fine powder, mix with honey to make pills size of Sophora seeds. Take 30 pills per dose, anytime with porridge drink.
Muxiang San: Treats cold/heat dysentery, deficiency-induced abdominal pain, inability to eat, gradual fatigue.
Muxiang (Aquilariae Lignum Resinatum), Ganjiang (Zingiberis Rhizoma Praeparatum, roasted), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqin (Scutellariae Radix; each 0.5 liang), Bo Ye (Pubescentia Folium, roasted), Danggui (Angelicae Sinensis Radix, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Gan Shudihuang (Rehmanniae Radix Preparata; each 0.75 liang), Huanglian (Coptidis Rhizoma, stir-fried, 0.5 liang). Cut into pieces. Take 3 qian per dose, with one medium cup of water, decoct until five-tenths remain, remove dregs, take warm anytime.
Yang Zijian Wanquan Huming Fang: Currently, someone suffers from dysentery, pulse is minute and faint, searching again reveals deep and choppy quality. In this condition, if passing white dysentery, although severe, it is treatable. If passing blood, absolutely avoid fever; whole-body fever indicates death, fever lasting seven days indicates death. The above exposition, while insufficient to reach the origin of dysentery, clarifies its general outlines. Critics ask: As you said, from Jiazi to Guihai, every 60 years, there is never a year without dysentery. Yet nowadays, people suffer dysentery only in one year out of several. Why? Answer: In 60 years, there is never a year without Wood attacking Earth, Earth suppressing Fire, or Water clashing with Fire. But the governance of the Five Movements is like a scale. Within a year, the Qi numbers of the Five Elements control each other; if balanced, the disease naturally does not arise. If one Qi is excessive, or one Zang is surplus, dysentery arises instantly. Therefore, I have detailed the basics to enlighten students, hoping to avoid errors in diagnosis and treatment. However, toxic dysentery harms people differently; only Water Evil attacking the Heart is severe. When people first get dysentery, they start with chills and fever. After taking medicine, fever does not subside. Severe fever, vomiting upon eating, unceasing dysentery, heart heat like fire, desire to enter cool places, craving cold water, sudden urge to run madly, whole-body muscle pain, unable to touch. This condition is difficult to cure in 3-4 out of 10 cases. To treat Epidemic Toxic Dysentery, one must carefully read this formula discussion from start to finish, clearly understand the root of the disease, then take medicine. When Toxic Dysentery first appears, it starts with chills and fever, sudden headache, sudden high fever, frequent bowel movements, suddenly passing red dysentery, suddenly mixed red/white, suddenly only white dysentery, or starting with white then turning red, or starting with red then turning white. All are suitable for this formula. But when dysentery first starts, initially...