是由风冷客于肠胃，肠胃虚则痢。痢久肠虚，风邪客于肛门，邪气与真气相搏，故令肿
夫体虚受风冷，风冷入于肠，故痢。痢后虚烦者，由腑脏尚虚，而气内搏之所为也。水
谷之精，以养脏腑，痢则水谷减耗，致令腑脏微弱。痢断之后，气未调理，不能宣畅，则肤
腠还相搏脏腑。脏腑既虚，而使气还相搏，故令虚烦。
痢后肿，由脾胃尚虚，肌肉为风水所乘故也。脾胃虚弱，受于风邪，则水谷变成痢。脾
与胃为表里，俱象土，胃为水谷之海，脾候肌肉，土性克水。而痢者，则脾胃虚弱，土气衰
微，不能克水，令水妄行，散溢肌肉。痢虽得断，水犹未消，肌肉先受风邪，风水相搏，肤
腠闭密而成肿也。
痢后不能食，由脾胃虚弱，气逆胸间之所为也。风邪入于肠胃而痢，痢则水谷减耗，脾
胃虚弱。痢断之后，脾胃尚虚，不胜于食，邪搏于气，逆上，胃弱不能食也。
痢后腹痛者，体虚受风冷，风冷入于肠胃，则痢后腹痛。是脏气犹虚，风冷余热未尽，
脏腑未平腹，冷气在内，与脏腑相搏，真邪相击，故令腹痛也。
痢后而心下逆满，此由脏虚，心下有停饮，气逆乘之所为也。风邪入肠胃则下痢，下痢
则腑脏虚弱。痢断之后，腑脏犹未调和，邪气尚不消尽，邪乘于气则气逆，与饮食相搏而上
，故令心下逆满也。
This is caused by wind-cold pathogenic factors invading the intestines and stomach; when the intestines and stomach are deficient, dysentery occurs. After prolonged dysentery, the intestines become empty, and wind pathogens lodge in the anal region. The pathogenic factors contend with the healthy qi (vital energy), resulting in swelling.
When the body is deficient and exposed to wind-cold, the wind-cold enters the intestines, causing dysentery. The sensation of deficiency-heat irritability after dysentery arises because the fu and zang organs remain deficient, and qi contends internally. The essence from food and drink nourishes the zang and fu organs; during dysentery, the consumption of food and drink increases, leading to weakness in the zang and fu organs. After the cessation of dysentery, if qi has not yet regulated and cannot circulate freely, the qi at the skin and interstices (skin texture and pores) will contend with the zang and fu organs. Since the zang and fu organs are deficient, this mutual contention of qi causes deficiency-heat irritability.
Swelling after dysentery is due to the continued deficiency of the spleen and stomach, where the muscles are attacked by wind and water pathogens. When the spleen and stomach are weak and subjected to wind pathogens, the transformation of food and drink results in dysentery. The spleen and stomach are exterior-interior partners, both corresponding to Earth in the Five Phases. The stomach is the sea of food and drink, and the spleen governs the muscles. The nature of Earth controls Water. In cases of dysentery, the spleen and stomach are weak, and Earth qi declines, failing to control Water. This allows water to flow recklessly and overflow into the muscles. Although dysentery has ceased, the water remains uneliminated. Since the muscles were previously attacked by wind pathogens, wind and water contend, and the closure of the skin and interstices leads to swelling.
Inability to eat after dysentery is caused by spleen and stomach deficiency and rebellious qi in the chest. Wind pathogens enter the intestines and stomach, causing dysentery, which depletes food and drink essence, weakening the spleen and stomach. After dysentery stops, the spleen and stomach remain deficient and cannot withstand food intake. Pathogenic factors contend with qi, causing it to rebel upward; the weak stomach fails to accept food.
Abdominal pain after dysentery occurs because a deficient body contracts wind-cold, which enters the intestines and stomach, leading to abdominal pain following dysentery. The organ qi remains deficient, residual wind-cold heat has not fully dissipated, and the zang and fu organs have not returned to balance. Cold qi lingers inside, contending with the zang and fu organs, while healthy qi and pathogenic factors strike each other, causing abdominal pain.
Rebellious fullness below the heart after dysentery is caused by organ deficiency and retained fluids (fluid retention) below the heart, with rebellious qi attacking the area. Wind pathogens enter the intestines and stomach, causing lower dysentery, which weakens the fu and zang organs. After dysentery ceases, the fu and zang organs are not yet harmonized, and pathogenic factors have not completely dissipated. Pathogens attack qi, causing rebellion; together with food and drink, they contend and move upward, resulting in rebellious fullness below the heart.