洁古大黄汤
大黄（一两，锉）
好酒二大盏，浸半日许，煎至一盏半，去滓分二分，顿服之。痢止勿服。如未止再服，
取利
为度。后服芍药汤和之。利止再服白术黄芩汤，尽彻其毒也，审系寒积留滞，则宜温下之法
治之。
韩 大黄汤
川黄连（吴茱萸炒，一两） 广木香（一两） 大黄（酒浸炒，二两）
上为末水丸，量人虚实，加减丸数。盖暑毒与食物相搏，结在下脘，则升降出入，不得
循其
正，糟粕欲行不得行，而火复迫之，则将脏腑脂膏逼迫而下，故取大黄驱热毒，下糟粕，清
肠脏也。如脓血相杂，而脉浮大者，慎勿以大黄下之，下之必死，谓气竭也。而阳无所收，
不收则死。
芍药汤（洁古） 行血调气。经曰∶溲而便脓血，知气行而血止也。行血则便脓自
愈，调气则后重自除。
芍药（一两） 当归 黄连 黄芩（各半两） 大黄（三钱） 桂（二钱五分） 甘草（炒） 槟
榔（各二钱） 木香（一钱）
上九味， 咀，每服五钱，水二盏，煎至一盏，去滓温服。一方无桂、甘、有枳壳，名
导滞汤。
《先醒斋》滞下丸
川连（姜汁炒，一斤） 滑石（八两，研末） 白芍（酒炒，五两） 甘草（炙，三两） 槟榔
（四两） 枳壳（五两） 木香（二两半）
上为末，荷叶汤稍加姜汁和丸，如绿豆大，每服四钱。
凡燥烦渴恶心者，勿用木香；元气虚弱者，勿用槟榔、枳壳；里急色赤者，加当归，惟
恶心
呕吐不思食勿用。白多加吴茱萸（汤泡七次，七分，）扁豆（炒，二钱）陈皮（一钱；）赤多加乌
梅肉（一钱，）山楂肉（二钱，）红曲（一钱。）腹痛加白芍（三钱，）甘草（三钱；）口渴及发热，
调滑石末（三钱，）小便赤少，或不利，亦加方。恶心欲吐，即噤口痢，多加人参、石莲肉、
绿色升麻，醋炒。久利不止，加肉豆蔻（一钱，）莲肉（去心，炒黄，三钱，）扁豆、茯苓（各
二钱，）人参（三钱。）
刘河间曰∶夫治诸痢者，莫若以辛苦寒药治之，或微加辛热佐之。盖辛热能发散邪气，
开通
郁结，苦能燥湿，寒能除热，使气宣平而已。其湿热郁抑，欲利不利，宜以韩 加大黄汤利
之。
当归导气汤（东垣）
当归 芍药（各一钱） 生地（二钱） 甘草（一钱半） 槟榔 木香（各二钱） 青皮 槐花
（炒，各七分） 泽泻（五分）
上为末用水煎，食前温服。如小便利，去泽泻；恶心去槐花，加姜汁炒黄连；燥渴减木
香一半。
丹溪青六丸 治血痢，及产后腹痛自利，能补脾补血，去三焦湿热。
六一散（三两） 红曲（炒，半两。）
酒糊丸。
按∶和者，和养其肠胃；利者，通利其积滞，凡正不足而邪有余者，宜仿此法治之。
Jiegu Dahuang Tang (Dahuang Decoction by Jiegu)
Radix et Rhizoma Rhei (Dahuang, 大黄) (one tael, cut into pieces).
Soak in two large cups of good-quality wine for about half a day, decoct until one and a half cups remain. Strain the dregs and divide into two doses, taken at once. Stop taking it when dysentery ceases. If it does not cease, take again. The goal is to promote purgation. Afterwards, administer Shaoyao Tang (Peony Decoction) to harmonize. After the diarrhea stops, take Baizhu Huangqin Tang (Atractylodes Macrocephala and Scutellaria Decoction) to thoroughly eliminate the pathogenic toxins. If it is confirmed to be cold accumulation with stagnation, the method of warming and purging should be used.
Han Shi Dahuang Tang (Dahuang Decoction by Han)
Rhizoma Coptidis (Chuanlianhua, 川黄连) (stir-fried with Fructus Evodiae, Wuzhuyu, 吴茱萸, one tael), Aromatic Rush Pith (Guangmuxiang, 广木香) (one tael), Radix et Rhizoma Rhei (Dahuang, 大黄) (soaked in wine and stir-fried, two taels).
Grind the above ingredients into powder and make water pills. Adjust the number of pills according to the patient's deficiency or excess. This is because summer-heat toxin struggles with food, knotting in the lower epigastrium, causing the ascending and descending, entering and exiting of Qi to deviate from the normal path. When feces want to move but cannot, and fire forces them down, the fatty tissues of the zang-fu organs are forced downward. Therefore, Dahuang is used to drive out heat toxins, purge feces, and clear the intestines and viscera. If pus and blood are mixed and the pulse is floating and large, do not use Dahuang to purge; doing so will certainly lead to death due to Qi exhaustion. Yang has nothing to gather; if it does not gather, death ensues.
Shaoyao Tang (Peony Decoction, by Jiegu) Action: Invigorate blood and regulate Qi. The Classics state: "When urination is painful accompanied by pus and blood in stool, it indicates that when Qi moves, blood stops." Invigorating blood heals pus in stool naturally; regulating Qi eliminates tenesmus.
Radix Paeoniae Alba (Baishao, 白芍) (one tael), Radix Angelicae Sinensis (Danggui, 当归), Rhizoma Coptidis (Huanglian, 黄连), Cortex Scutellariae (Huangqin, 黄芩) (each half tael), Radix et Rhizoma Rhei (Dahuang, 大黄) (three qian), Ramulus Cinnamomi (Guizhi, 桂枝) (two qian five fen), Radix Glycyrrhizae Preparata (Zhigancao, 炙甘草), Fructus Arecae (Binglang, 槟榔) (each two qian), Aromatic Rush Pith (Muxiang, 木香) (one qian).
The above nine herbs are cut into small pieces. Take five qian per dose, add two cups of water, decoct to one cup, strain, and take warm. Another version excludes Guizhi and Gancao but includes Pericarpium Citri Reticulatae Viride (Zhiqiao, 枳壳), named Daozhi Tang (Daozhi Decoction).
Xianxing Zhai Zhixia Wan (Zhixia Pills from Xianxing Studio)
Rhizoma Coptidis (Chuanlian, 川连) (stir-fried with Ginger Juice, Jiangzhi, 姜汁, one jin), Talcum (Huashi, 滑石) (eight liang, ground to powder), Radix Paeoniae Alba (Baishao, 白芍) (wine-stir-fried, five liang), Radix Glycyrrhizae Preparata (Zhigancao, 炙甘草) (roasted, three liang), Fructus Arecae (Binglang, 槟榔) (four liang), Pericarpium Citri Reticulatae Viride (Zhiqiao, 枳壳) (five liang), Aromatic Rush Pith (Muxiang, 木香) (two liang half).
Grind into powder. Mix with Lotus Leaf Decoction (Heyetang, 荷叶汤) slightly added with Ginger Juice to form pills the size of mung beans. Take four qian per dose.
For those with dryness, irritability, thirst, and nausea, do not use Muxiang. For those with deficient Yuan Qi, do not use Binglang and Zhiqiao. For those with tenesmus and red stool, add Danggui. However, for those with nausea, vomiting, and loss of appetite, this formula is contraindicated. If white discharge predominates, add Fructus Evodiae (Wuzhuyu, 吴茱萸) (steeped in soup seven times, seven fen), Coix Seed (Baidoufu, 扁豆) (stir-fried, two qian), Exocarpium Citri Reticulatae (Chenpi, 陈皮) (one qian). If red predominates, add Sarcocarpa Pruni Mume (Wumei Rou, 乌梅肉) (one qian), Sarcocarpa Crataegi (Shanzha Rou, 山楂肉) (two qian), Red Yeast Rice (Hongqu, 红曲) (one qian). For abdominal pain, add Baishao (three qian), Zhigancao (three qian). For thirst and fever, mix in Talcum powder (Huashi mo, 滑石末) (three qian). For dark scanty urine or difficult urination, also add to the formula. For nausea and desire to vomit, i.e., Jin Kou Li (Jin Kou Dysentery), add more Ginseng Radix (Renshen, 人参), Semen Nelumbinis (Shilian Rou, 石莲肉), Green Cimicifugae Rhizoma (Qingshemai, 绿色升麻) (vinegar-stir-fried). For chronic dysentery that does not stop, add Nutmeg (Roudoukou, 肉豆蔻) (one qian), Lotus Seed Meat (Lianrou, 莲肉) (heart removed, stir-fried yellow, three qian), Coix Seed (Baidoufu, 扁豆), Poria (Fuling, 茯苓) (each two qian), Ginseng Radix (Renshen, 人参) (three qian).
Liu Hejian stated: "Regarding the treatment of various types of dysentery, there is no better way than using bitter, acrid, and cold medicines, or slightly adding acrid-hot medicines as assistants. Acrid-hot medicines can disperse pathogens and open up stagnation; bitter medicines can dry dampness; cold medicines can remove heat, thereby making Qi flow smoothly and peacefully. For cases where damp-heat is suppressed, wanting to defecate but unable to, it is appropriate to use Han Shi Jia Dahuang Tang to promote purgation."
Danggui Daoqi Tang (Daoqi Decoction with Angelica, by Dongyuan)
Radix Angelicae Sinensis (Danggui, 当归), Radix Paeoniae Alba (Baishao, 白芍) (each one qian), Radix Rehmanniae Preparata (Shengdi, 生地) (two qian), Radix Glycyrrhizae (Gancao, 甘草) (one qian half), Fructus Arecae (Binglang, 槟榔), Aromatic Rush Pith (Muxiang, 木香) (each two qian), Pericarpium Citri Reticulatae (Qingpi, 青皮), Flos Sophorae (Huaihua, 槐花) (stir-fried, each seven fen), Rhizoma Alismatis (Zexie, 泽泻) (five fen).
Grind into powder. Decoct in water and take warm before meals. If urination is smooth, remove Zexie. For nausea, remove Huaihua and add Rhizoma Coptidis (Huanglian, 黄连) stir-fried with Ginger Juice. For dryness and thirst, reduce Muxiang by half.
Danxi Qingliu Wan (Qingliu Pills by Danxi) Treats bloody dysentery, and postpartum abdominal pain with spontaneous diarrhea. It tonifies Spleen and Blood, and removes damp-heat from the Triple Burner.
Liuyi San (Liuyi Powder, 六一散) (three taels), Red Yeast Rice (Hongqu, 红曲) (stir-fried, half tael).
Make pills with wine paste.
Note: "Harmonizing" means nourishing and harmonizing the intestines and stomach; "Purging" means unblocking and draining accumulations. For conditions where righteous Qi is insufficient and pathogenic factors are excessive, it is appropriate to follow this method of treatment.