发寒热头痛，即是寒邪犯心。寒气犯心，水火相战，故初病时，先发寒热，水火相犯，血
变于中，所以多下赤痢，如紫草水，如苋菜水，无色泽者，寒邪犯心之重也。先发寒热，
而所下之痢止白色者，寒邪犯心之未动也。先下白痢，而后有赤痢之变者，寒邪犯心，其
势渐加也。先下赤痢，而后变成白痢者，寒邪犯心，其势渐减也。赤白相等者，水火相
犯，其气相等，寒湿之气相搏也。忽有赤多而白少，忽有赤少而白多，此寒邪之势有多
少，毒痢之病有重轻，以白多为轻，赤多为重。治之之法，先夺其寒，则其所下之药一
也。以太岁分之，则丙子、丙午、甲子、甲午、庚子、庚午年，丙寅、丙申年，甲寅、甲
申年，庚寅、庚申并辰戌之年，运遇丙甲及庚运所临，其害尤甚。及丑未之年，宜有此
候，又兼无问太岁，盖天地变化，其候多端，难可穷尽。今此但世人亦不必撞定太岁，但
看一年中春夏之内，多有寒肃之化，阳光少见，忽寒热二气更相交争，忽于夏月多寒湿
之化，寒邪犯心所受之痢，先发寒热，忽头痛，忽先转数行，后有赤痢，忽赤白相杂，忽
止下痢，并宜吃此通神散，吃后取壮热便退。若两三盏后，壮热不退，更不吃此方，自别
有方论在下。
麻黄（去根节） 官桂（去粗皮，各七钱半） 大川芎 白术（各二两） 本 独活 桔梗 防
风芍药 白芷（各半两） 牡丹皮（去心） 甘草（各二钱半） 细辛（三钱三分羡） 牵牛（一钱七分）
上为细末，每服二钱，非时熟汤调下，和滓热吃。若吃两三盏后，寒热不退，更不请
吃，自别有方论在下。
若吃此药后，寒热已退，赤痢已消减，便修合第二方、第三方药吃，取安效。若寒热
已退，赤痢未消减，更服两三盏，然不可多吃，一日只两盏。后赤痢消减，忽变成白痢，
旋次修合第二方吃，候出后度数减少，便修合第三方吃，取平安。但六甲之年，六庚之
岁，春夏之内，时气多寒，人得痢疾，此药通神。若是六甲之年，丑未之岁，湿化偏多，
人得痢疾，先发寒热，即于方内添草豆蔻一两，同修合也。又不问太岁，但一年间，春
夏之内多寒，人有痢疾，先发寒热，并宜此方。
治毒痢初得时，先发寒热，吃前方寒热已退，赤痢已消减，宜进此还真散。若吃前
方药，寒热未退，赤痢未消减，更不宜进此药。但天地变化，其候非常，痢疾证候多端，
此不得不尽其仔细。
诃子（五枚，用面裹火煨熟，不要生，亦不要焦，去面不用，就热咬破诃子，擎去核不用，只用皮，焙干）
上捣罗为细末，每服二钱匕，以米汤一盏半，同药煎取一盏，空心和滓吃，若吐出
一两口涎更佳。如此吃经数盏，大腑渐安，出后减少，修合第三方药吃，以牢固大肠。若
吃前方药，壮热未退，血痢未减，不可进此药。
治疫毒痢吃前面两方药，病势已减，所下之痢，止余些小，或下清粪，或如鸭粪，或
如茶汤，或如烛油，或只余些小红色，宜吃此方，以牢固大肠，还复真气，舶上硫黄丸。
舶上硫黄（二两，去砂石，细研为末） 薏苡仁（二两，炒，杵为末）
上二味相和令匀，滴熟水和为丸，如桐子大。每服五十丸，空心米汤下。
黄 散 治热痢下赤黄脓，腹疼心烦。
黄 （锉） 龙骨 当归（各七钱半） 生干地黄（五钱） 黄连（去须，微炒，一两） 黄柏 黄芩
犀角屑 地榆（各半两）
上为细末，每服二钱，不拘时，粥饮调下。
秘传斗门散 治八种毒痢，脏腑撮痛，脓血赤白，或下瘀血，或成片子，或五色相杂，
日夜频并。兼治禁口恶痢，里急后重，渴不止，全不进食，他药不能治者，立见神效。
黑豆（炒，去皮，十二两） 干姜（炮，四两） 罂粟壳（蜜炒，半斤） 地榆（炒） 甘草（炙。各六两） 白
芍药（三两）
上 咀，每服三钱，水一盏，煎七分，温服。
栝蒌根汤 治下痢冷热相冲，气不和顺，本因下虚，津液耗少，口干咽燥，常思饮水，
毒瓦斯更增，烦躁转甚，宜服此药救之。
栝蒌根 白茯苓 甘草（炙。各半两） 麦门冬（去心，二钱半）
上 咀，每服五钱，水一盏半，枣二枚擘破，煎至七分，去滓服，不拘时。
陈米汤 治吐痢后大渴，饮水不止。
上用陈仓米二合，水淘净，以水二盏，煎至一盏，去滓，空心温服，晚食前再煎服。
治痢后渴
上用糯米二合，以水一盏半同煮，研绞汁，空心顿服之。
泽漆汤 治痢后肿满，气急喘嗽，小便如血。
泽漆叶（微炒，五两） 桑根白皮（炙黄） 郁李仁（汤浸，去皮尖，炒熟。各三两） 陈皮（去白） 白术
（炒） 杏仁（汤浸，去皮尖双仁，炒。各一两） 人参（一两半）
上 咀，每服五钱，水二盏，生姜三片，煎取八分，去滓温服，候半时辰再服。取下
黄水数升，或小便利为度。
茯苓汤 治痢后遍身浮肿。
赤茯苓（去黑皮） 泽漆叶（微炒） 白术（微炒。各一两） 桑根白皮（炙黄） 黄芩 射干 防己
泽泻（各三两）
上 咀，每服五钱匕，先以水三盏，煮大豆一合，取二盏，去滓内药，煎取一盏，分
为二服，未瘥，频服两料。
上二方，须以《济生》肾气丸佐之，后方虚者禁用。
If chills, fever, and headache occur, it indicates that cold pathogenic factors are invading the Heart. When cold qi invades the Heart, Water and Fire elements battle each other; thus, at the onset of the disease, chills and fever appear first. The conflict between Water and Fire causes blood to alter within the middle jiao, resulting in dysentery with red discharge resembling water infused with *Arnebiae Radix et Rhizoma* (Zicao) or *Amaranthi Tricoloris Herba* (Xiancai). If the discharge lacks color, it signifies severe invasion of the Heart by cold pathogenic factors. If chills and fever appear first, but the discharged dysentery is purely white, it indicates that the cold pathogenic factor has invaded the Heart but has not yet disturbed the blood. If white dysentery appears first and later transforms into red dysentery, it means the invasion of the Heart by cold pathogenic factors is gradually intensifying. If red dysentery appears first and later transforms into white dysentery, it means the invasion of the Heart by cold pathogenic factors is gradually subsiding. If red and white discharges are equal, it indicates that Water and Fire are conflicting with equal strength, and cold-damp qi is battling. Sometimes there is more red and less white, sometimes less red and more white; this depends on the magnitude of the cold pathogenic force and the severity of the toxic dysentery. White predominance indicates a mild condition, while red predominance indicates a severe condition. The treatment method is to first eliminate the cold; thus, the prescribed medicine remains the same. According to the sexagenary cycle, in Bingzi, Bingwu, Jiazi, Jiawu, Gengzi, Gengwu years, Bingyin, Bingshen years, Jiayin, Jiashen years, Gengyin, Gengshen years, and Chenxu years, when the movement encounters Bing, Jia, and Geng influences, the harm is particularly severe. In Chouwei years, this syndrome should also appear. Furthermore, regardless of the Tai Sui (Grand Duke Jupiter), because heaven and earth undergo changes, the manifestations are diverse and cannot be fully exhausted. Today, people need not rigidly adhere to the Tai Sui year; one only needs to observe if, during spring and summer of a given year, there is much cold and austere transformation with little sunlight, and if cold and heat energies alternatively contend, or if there is much cold-damp transformation in summer. For dysentery caused by cold pathogenic factors invading the Heart, presenting initially with chills and fever, followed by sudden headache, or initial frequent bowel movements followed by red dysentery, or mixed red and white discharge, or pure dysentery, all are suitable for treating with Tongshen San (Miraculous Spirit Powder). After ingestion, if intense heat occurs, it will subsequently subside. If after two or three doses the intense heat does not subside, do not continue this prescription; see the separate formula discussion below.
*Ephedrae Herba* (Mahuang, 麻黄) (remove roots and nodes) 7.5 qian, *Cinnamomi Ramulus* (Guizhi, 官桂) (remove rough bark) 7.5 qian, *Ligustici Chuanxiong Rhizoma* (Chuanxiong, 川芎) 2 liang, *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) 2 liang, *Ligustici Wallichii Rhizoma* (Gaoben, 本) 0.5 liang, *Angelicae Pubescentis Radix* (Duhuo, 独活) 0.5 liang, *Platycodonis Radix* (Jiegeng, 桔梗) 0.5 liang, *Saposhnikoviae Radix* (Fangfeng, 防风) 0.5 liang, *Paeoniae Radix Alba* (Shaoyao, 芍药) 0.5 liang, *Angelicae Dahuricae Radix* (Baizhi, 白芷) 0.5 liang, *Moutan Cortex* (Mudanpi, 牡丹皮) (remove heart) 2.5 qian, *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) 2.5 qian, *Asari Radix et Rhizoma* (Xixin, 细辛) 3.3 qian plus, *Semen Kochiae* (Qianniu, 牵牛) 1.7 qian. Grind the above into fine powder. Take 2 qian per dose, at any time, mixed with boiled water, and drink warm including the dregs. If after two or three doses the chills and fever do not subside, do not request this prescription again; see the separate formula discussion below.
If after taking this medicine the chills and fever have subsided and the red dysentery has decreased, prepare and take the second and third formulas to achieve efficacy. If the chills and fever have subsided but the red dysentery has not decreased, take two or three more doses, but do not consume too much; limit to two doses per day. Later, when the red dysentery decreases and suddenly turns into white dysentery, sequentially prepare and take the second formula. When the frequency of defecation decreases, then prepare and take the third formula to ensure safety. However, in Liujia years and Liugeng years, during spring and summer, the seasonal qi is often cold. When people suffer from dysentery, this "Tongshen" (Miraculous Spirit) medicine is effective. If it is a Liujia year or Chouwei year, where dampness predominates, and people suffer from dysentery starting with chills and fever, add 1 liang of *Cardamomi Fructus Rotundus* (Roudoukou, 草豆蔻) to the formula and prepare together. Regardless of the Tai Sui, as long as during the year, especially in spring and summer, the climate is cold, and people suffer from dysentery starting with chills and fever, this formula is suitable.
When treating toxic dysentery at the onset, presenting initially with chills and fever, and after taking the previous formula the chills and fever have subsided and the red dysentery has decreased, it is appropriate to advance to Zhenhai San (Restore True Powder). If after taking the previous formula the chills and fever have not subsided and the red dysentery has not decreased, do not administer this medicine. Heaven and earth change, and symptoms are unpredictable; dysentery syndromes are manifold, so detailed explanation is necessary here.
*Terminalia chebula* (Hezi, 诃子) 5 fruits, wrapped in flour and roasted in fire until cooked, not raw, not burnt. Remove flour. Bite open while hot, remove seeds, use only the peel, and dry by baking. Grind and sieve into fine powder. Take 2 qian-bi (spoonfuls) per dose. Mix with 1.5 zhan of rice soup, decoct together to obtain 1 zhan. Consume warm with dregs on an empty stomach. Vomiting one or two mouthfuls of saliva is even better. After consuming several doses in this manner, the large intestine will gradually stabilize, and defecation frequency will decrease. Then prepare and take the third formula to consolidate the large intestine. If after taking the previous formula the intense heat has not subsided and bloody dysentery has not decreased, do not administer this medicine.
To treat epidemic toxic dysentery: after taking the previous two formulas, if the disease trend has subsided, and the discharged dysentery is minimal, or resembles clear feces, duck feces, tea soup, candle oil, or leaves only a small amount of red residue, it is appropriate to take this formula to consolidate the large intestine and restore true qi: Bo Shang Liu Huang Wan (Shipborne Sulfur Pill).
*Flumen Sulfur* (Liuhuang, 硫黄) (Bo Shang variety) 2 liang, remove sand and stones, grind finely into powder. *Coicis Semen* (Yiyiren, 薏苡仁) 2 liang, stir-fry, pound into powder. Mix the above two ingredients evenly, add boiled water to form pills the size of *Koelreuteriae Fructus* (Wutongzi, 桐子). Take 50 pills per dose, with rice soup on an empty stomach.
Huang Qin San (Scutellaria Powder): Treats heat dysentery with red-yellow pus discharge, abdominal pain, and restlessness.
*Scutellariae Radix* (Huangqin, 黄芩) (cut), *Os Draconis* (Longgu, 龙骨), *Angelicae Sinensis Radix* (Danggui, 当归) (each 7.5 qian), *Rehmanniae Radix Recens* (Shengdihuang, 生干地黄) (5 qian), *Coptidis Rhizoma* (Huanglian, 黄连) (remove stamens, slightly stir-fry, 1 liang), *Phellodendri Cortex* (Huangbai, 黄柏), *Scutellariae Radix* (Huangqin, 黄芩), *Rhino Cerios Cornu* (Xijiao, 犀角屑), *Sanguisorbae Radix* (Diyu, 地榆) (each 0.5 liang). Grind into fine powder. Take 2 qian per dose, at any time, mixed with gruel drink.
Secretly Transmitted Doumen San: Treats eight types of toxic dysentery, organ cramping pain, pus and blood discharge (red and white), or expulsion of blood clots, membrane-like pieces, or mixed colors, occurring frequently day and night. Also treats anorexic malignant dysentery with tenesmus, unquenchable thirst, inability to eat, and cases refractory to other medicines, showing miraculous effects immediately.
*Sojae Semen Nigrum* (Heidou, 黑豆) (stir-fried, skin removed, 12 liang), *Zingiberis Rhizoma* (Ganjiang, 干姜) (processed, 4 liang), *Papaveris Capsula* (Yingsuke, 罂粟壳) (honey-fried, 0.5 jin), *Sanguisorbae Radix* (Diyu, 地榆) (stir-fried), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) (roasted. Each 6 liang), *Paeoniae Radix Alba* (Baishaoyao, 白芍药) (3 liang). Cut into pieces. Take 3 qian per dose, with 1 zhan of water, decoct to 0.7 zhan, take warm.
Gualou Gen Tang (Trichosanthes Root Decoction): Treats dysentery with conflicting cold and heat, disharmonious qi flow, originally due to lower deficiency and consumption of fluids, causing dry mouth and throat, constant desire to drink, increased toxic vapors, and worsening restlessness. This medicine is suitable for rescue.
*Trichosanthis Radix* (Gualougen, 栝蒌根), *Poria* (Fuling, 白茯苓), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) (roasted. Each 0.5 liang), *Ophiopogonis Tuber* (Maidong, 麦门冬) (remove heart, 2.5 qian). Cut into pieces. Take 5 qian per dose, with 1.5 zhan of water and 2 dates split open, decoct to 0.7 zhan, remove dregs and take, at any time.
Chen Mi Tang (Aged Rice Soup): Treats extreme thirst after vomiting and dysentery, with incessant drinking.
Take 2 he of aged stored rice, wash clean. With 2 zhan of water, decoct to 1 zhan. Remove dregs, take warm on an empty stomach, and decoct again before evening meal.
Treating Thirst after Dysentery:
Take 2 he of glutinous rice, cook with 1.5 zhan of water, grind and squeeze juice. Take in one dose on an empty stomach.
Ze Qi Tang (Euphorbia Lathyris Decoction): Treats swelling and fullness after dysentery, shortness of breath and wheezing cough, urine resembling blood.
*Euphorbiae Lathyridis Folium* (Zeqiye, 泽漆叶) (slightly stir-fried, 5 liang), *Mori Cortex Radicis* (Sangbaipipi, 桑根白皮) (roasted yellow), *Pruni Semen* (Yuliren, 郁李仁) (soaked in water, remove skin and tips, stir-fried. Each 3 liang), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮) (remove white pith), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) (stir-fried), *Prunus Armeniaca Seed* (Xingren, 杏仁) (soaked in water, remove skin and tips, stir-fried. Each 1 liang), *Ginseng Radix* (Renshen, 人参) (1.5 liang). Cut into pieces. Take 5 qian per dose, with 2 zhan of water and 3 slices of fresh ginger, decoct to 0.8 zhan. Remove dregs and take warm. Re-administer after half a shichen (one hour). Continue until several sheng of yellow fluid are discharged, or until urination becomes free.
Fuling Tang (Poria Decoction): Treats generalized edema after dysentery.
*Poria Cocos* (Chifuling, 赤茯苓) (remove black skin), *Euphorbiae Lathyridis Folium* (Zeqiye, 泽漆叶) (slightly stir-fried), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) (slightly stir-fried. Each 1 liang), *Mori Cortex Radicis* (Sangbaipipi, 桑根白皮) (roasted yellow), *Scutellariae Radix* (Huangqin, 黄芩), *Belamcandae Rhizoma* (Shegan, 射干), *Stephaniae Tetrandrae Radix* (Fangji, 防己), *Alismatis Rhizoma* (Zexie, 泽泻) (each 3 liang). Cut into pieces. Take 5 qian-bi per dose. First, boil 1 he of soybeans in 3 zhan of water to obtain 2 zhan. Remove dregs, add herbs, decoct to 1 zhan. Divide into two doses. If not cured, take two courses frequently.
For the above two formulas, they must be assisted by Shenqi Wan (Kidney Qi Pill) from *Jisheng Fang*. The latter formula is contraindicated for those with deficiency.