此药性平，补助脾胃之药也。
人参、白术、白茯苓、山药、白扁豆(姜汁炒)、甘
草。桔梗、意苡仁、石莲肉各一两，加石菖蒲一两。共为
末，陈米汤化服。
祖传治痢：不问赤白，只用保和丸，香连丸调之。
凡痢日久，大热、大渴不退者，不治。
凡痢日久，六脉洪数，面赤身热者，不治。
凡痢日久，作渴不止者，不治。
凡痢日久，呕吐不食，服药无效者，不治。
凡痢日久不止，下紫血成块者，不治。
凡痢日久，下黑水，如屋漏尘水者，不治。
凡痢日久。大肉瘦削折者，不治。
凡痢日久，脱肛出寸余者，不治。
凡痢日久，转作惊搐者，不治。
凡痢变作泄泻，饮食如常者，易治。
西江 月
痢疾古名滞下，食积湿热相参，肠鸣腹痛不能安，里急后重
无遍。赤乃小肠火盛，白自大肠邪传，愚医以白作寒看，辛热乱行
丸散。
治痢无过二法，河间秘诀流传，行气积血术中仙，管取十全
无变。气行后重自止，血和下痢自安，寒凉淡渗禁辛甘，不怕年深
日远。
凡痢先行通药，黄连枳实槟榔，多加酒蒸过大黄，或用三黄
推荡(38)。若是虚人忌此，且从消导(39)推详。保和丸子是仙方，
只要认病停当。
下后病除里急，再将赤白消详，赤痢无过剪红方，白痢固肠
稳当。赤白相兼不愈。香连丸子高强，术精乡郡把名扬，夺取锦缠
头上。
若遇时行痢疾，排门一样无差，头疼身痛慢吁磋，疫疠气行
须怕。先用人参败毒，次将承气推车，然后察脉看减加，虚实分明
调他。
痢久前法不止。气陷肠滑无停，急将凉药与提升，固涩兼行
甚稳。参术升麻归芍，乌梅粟壳连芩，干姜诃子赤茯苓，粳米陈皮
作引。
记得痢症药品，解毒栀子芩连，大黄芒硝可推陈，木香陈皮
痛定。槟榔积壳后重，升麻柴胡提升，固肠粟壳诃梅灵，泽泻猪苓
水顺。
痢疾不治数症。脉若洪大须防，禁口不食吐水浆，大热烦渴
腹胀。大孔不收魄户(40)，粪如尘黑爪櫰。面红唇赤陷眉眶，气
急闷乱危样。
小儿肛头脱出，此由泄痢深沉，气虚下陷不能升，冷热不知
相并。里急后重难便，用力太过伤神，以致肛出冷寒乘，不得收
返而进。
要识脱肛症治，养血和气为宜，川芎白芷与当归，白芍人参
赤石。槐子山药莲肉，龙骨五倍相随，细研五倍作丸子(41)，仍
用米汤吞吃。
内服汤丸取效，外用诸药扶持，粱上倒挂壁尘灰，鳖头烧灰
研细，鼠粪共末艾捻，入桶用火燃之。人坐其上令熏宜，顷刻肛
头收入。
前法若还不效，田螺取捣为泥，朴硝大黄共和之，捶膏敷上
即愈。不效再用搽药，熊胆冰片堪题，鹅胆调搽病即除，此法医人
牢记。
导气苓连共木香，大黄归芍壳槟榔。痢下脓血时无度，管取
一服即安康。
此药性味平和，是补益脾胃的药物。
人参、白术、白茯苓、山药、白扁豆（用姜汁炒制）、甘草、桔梗、薏苡仁、石莲子肉各一两，另加石菖蒲一两。共同研磨成粉末，用陈米汤送服。
祖传治疗痢疾的方法：不论赤痢还是白痢，只用保和丸（消食导滞的方剂），配合香连丸（清热燥湿、行气止痛的方剂）调治。
凡是痢疾日久，出现大热、大渴不退症状的，属于不治之症。
凡是痢疾日久，六脉洪大而数，面色红赤、身体发热的，属于不治之症。
凡是痢疾日久，口渴不止的，属于不治之症。
凡是痢疾日久，呕吐不能进食，服药无效的，属于不治之症。
凡是痢疾日久不止，排出紫色血块的，属于不治之症。
凡是痢疾日久，排出黑色污水，如同屋檐漏下的尘水的，属于不治之症。
凡是痢疾日久，肌肉极度消瘦枯槁的，属于不治之症。
凡是痢疾日久，脱肛出一寸多的，属于不治之症。
凡是痢疾日久，转变为惊风抽搐的，属于不治之症。
凡是痢疾转变为泄泻，但饮食如常的，容易治疗。
西江月词：
痢疾古称“滞下”，是由于食积与湿热相互夹杂所致。肠鸣腹痛不得安宁，有里急后重感而无便意。赤痢乃小肠火盛所致，白痢自大肠邪气传入。愚医将白痢误认为寒证，滥用辛热药物乱投丸散。
治疗痢疾没有超过两种方法，这是刘河间（金元四大家之一）的秘诀流传下来：在行气和活血术中堪称仙法，保证十全十美无变化。气行则后重自止，血和则下痢自安，禁用辛甘温热之品，宜用寒凉淡渗之法，不怕病程年深日远。
凡是痢疾初期先用通下药，如黄连、枳实、槟榔，多加酒蒸过的大黄，或者使用三黄推荡方。如果是虚人忌用此法，且应从消导法详细推敲。保和丸是仙方，只要准确辨证即可。
下法之后病除里急，再仔细分辨赤白：赤痢无过于剪红方，白痢用固肠方稳妥。赤白相兼不愈者，香连丸效果高强，医术精湛者在乡郡扬名，夺取锦缠头奖。
若遇时行痢疾（流行性痢疾），家家户户无一例外，头疼身痛慢慢叹息，疫疠之气流行必须警惕。先用人参败毒散，接着用承气汤推车（指攻下积滞），然后诊察脉象看病情增减，虚实分明地调理他。
痢疾日久前述方法无效，气陷肠滑无休止，急忙给予凉药并加以提升，固涩兼行非常稳妥。用药包括人参、白术、升麻、当归、白芍、乌梅、粟壳（罂粟壳）、黄连、黄芩、干姜、诃子、赤茯苓，以粳米、陈皮作为引经药。
记得治疗痢疾的药品：解毒用栀子、黄芩、黄连，大黄、芒硝可推陈出新，木香、陈皮使疼痛定止，槟榔、枳壳缓解后重，升麻、柴胡提升阳气，固肠用粟壳、诃子、乌梅，泽泻、猪苓使水湿顺行。
痢疾不治的数种症状：脉象若洪大须防危象，禁口痢不食吐水浆，大热烦渴腹胀。肛门不收（魄户穴处松弛或指肛门失禁），粪便如尘黑爪櫰状。面红唇赤眼窝凹陷，气急闷乱呈现危重样子。
小儿肛头脱出，这是由于泄痢深沉，气虚下陷不能上升，冷热不知相互并合。里急后重难排便，用力太过伤神，以致肛出受冷寒侵袭，不得收回而进。
要认识脱肛症的治疗，养血和气为宜，药用川芎、白芷、当归、白芍、人参、赤石脂。槐子、山药、莲肉，龙骨、五倍子相随，细研五倍子做成丸子，仍用米汤吞服。
内服汤丸取效，外用诸药扶持：梁上倒挂壁尘灰，鳖头烧灰研细，鼠粪共末艾绒捻成条，放入桶中用火点燃。人坐其上令其熏蒸适宜，顷刻间肛头收入。
前述方法若还不效，取田螺捣为泥，朴硝、大黄共和之，捶打成膏敷上即愈。不效再用搽药，熊胆、冰片值得推荐，鹅胆调搽病即除，此法医人牢记。
This medicine has a neutral nature and is a remedy that tonifies the Spleen and Stomach.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Shan Yao (Dioscoreae Rhizoma), Bai Bian Dou (Lablab Seed) (stir-fried with ginger juice), Gan Cao (Licorice Root), Jie Geng (Platycodon Root), Yi Yi Ren (Coicis Semen), Shi Lian Rou (Stone Lotus Seed Endocarp) each one liang, plus Shi Chang Pu (Acori Tatarinowii Rhizoma) one liang. Grind them all into powder, and take with Chen Mi Tang (aged rice decoction).
Ancestral prescription for treating Li Ji (Dysentery): Regardless of whether it is Chi Li (bloody dysentery) or Bai Li (mucoid dysentery), use only Bao He Wan (Preserve Harmony Pill) to harmonize with Xiang Lian Wan (Fragrant Coptis Pill).
For cases where Li Ji has persisted for a long time, accompanied by severe fever and unrelenting thirst, it is incurable.
For cases where Li Ji has persisted for a long time, with six pulses being surging and rapid, face red, and body hot, it is incurable.
For cases where Li Ji has persisted for a long time, with incessant thirst, it is incurable.
For cases where Li Ji has persisted for a long time, with vomiting and inability to eat, and ineffective medication, it is incurable.
For cases where Li Ji persists without stopping, passing purple blood clots, it is incurable.
For cases where Li Ji has persisted for a long time, passing black water resembling dust-laden rainwater from a leaking roof, it is incurable.
For cases where Li Ji has persisted for a long time, with extreme emaciation and wasting of muscles, it is incurable.
For cases where Li Ji has persisted for a long time, with rectal prolapse extending more than one cun, it is incurable.
For cases where Li Ji has persisted for a long time, transforming into convulsions and tremors, it is incurable.
If Li Ji transforms into Xie Xie (Diarrhea) but dietary intake remains normal, it is easy to treat.
Xi Jiang Yue (Tune):
Li Ji was anciently known as "Zhi Xia" (Stagnant Downward Flow), caused by food stagnation mixed with damp-heat. Intestinal rumbling and abdominal pain cause restlessness; there is tenesmus (urgent need to defecate with little result) and no relief. Chi Li (bloody stool) results from excessive fire in the Small Intestine; Bai Li (mucous stool) transmits from pathogenic factors in the Large Intestine. Ignorant physicians mistake Bai Li for cold, recklessly administering pungent-warm pills and powders.
There is no method beyond two for treating Li Ji; this secret passed down from He Jian (Liu Wansu) is excellent. Regulating Qi and moving Blood is a divine technique, ensuring complete recovery without deviation. When Qi moves, tenesmus stops naturally; when Blood harmonizes, dysentery settles. Avoid pungent-sweet warm substances; use cold-bland and leaching methods. Do not fear if the disease has lasted many years.
For initial stages of Li Ji, first use purgatives: Huang Lian (Coptidis Rhizome), Zhi Shi (Aurantii Fructus Immaturus), Bing Lang (Areca Seed), add plenty of Da Huang (Rhei Radix et Rhizoma) steamed with wine, or use San Huang Tui Dang (Three Yellows Pushing Purge). If the patient is deficient, avoid this method; instead, analyze carefully using Xiao Dao (Digestion-promoting) methods. Bao He Wan is an immortal formula; simply ensure accurate diagnosis.
After purgation removes the pathogen and tenesmus ceases, further distinguish between Chi and Bai: For Chi Li, Jian Hong Fang (Cut Red Formula) is unsurpassed; for Bai Li, Gu Chang (Solidify Intestine) is steady. If Chi and Bai are mixed and unhealed, Xiang Lian Wan is highly effective, bringing fame to skilled practitioners in the countryside.
If encountering epidemic Li Ji (Shi Xing Li Ji), affecting everyone uniformly, with headache and body pain causing sighs, beware of the epidemic pestilence Qi. First use Ren Shen Bai Du San (Ginseng Detoxifying Powder), then use Cheng Qi Tang (Order the Qi Decoction) to push out stagnation. Then observe the pulse to adjust加减 (additions and subtractions), distinguishing clearly between deficiency and excess to regulate.
If previous methods fail for chronic Li Ji, with Qi sinking and intestinal slipping continuing urgently, quickly administer cold medicines combined with lifting agents; combining astringents is very stable. Use Ren Shen (Ginseng), Bai Zhu (Atractylodes), Sheng Ma (Cimicifugae Rhizome), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Wu Mei (Mume Fruit), Su Ke (Poppy Shell), Huang Lian (Coptis), Huang Qin (Scutellariae Radix), Gan Jiang (Zingiberis Rhizoma), He Zi (Terminalia Chebulae Fructus), Chi Fu Ling (Red Poria), using Jing Mi (Oryza Sativa Germ) and Chen Pi (Citri Reticulatae Pericarpium) as guides.
Remember the herbs for Li Ji: To detoxify, use Zhi Zi (Gardeniae Fructus), Huang Qin, Huang Lian; Da Huang and Mang Xiao (Natrii Sulfas) can push out the old; Mu Xiang (Aucklandiae Radix) and Chen Pi settle pain; Bing Lang and Zhi Ke (Aurantii Fructus) relieve tenesmus; Sheng Ma and Chai Hu (Bupleuri Radix) lift Qi; Gu Chang (Solidify Intestine) uses Su Ke, He Zi, Wu Mei; Ze Xie (Alismatis Rhizoma) and Zhu Ling (Polyporus) smooth water flow.
Several symptoms of incurable Li Ji: If the pulse is surging and large, beware; if mouth-closed (Jin Kou) preventing eating and vomiting fluids occur; severe fever, vexation, thirst, and abdominal distension; anus flaccid (Po Hu point area relaxed or anal incontinence); feces like black dust or claw fragments; red face, red lips, sunken eye sockets, rapid breathing, and mental confusion indicate critical danger.
In children, rectal prolapse occurs due to deep-seated diarrhea/dysentery; Qi deficiency causes sinking unable to rise, mixing cold and heat indistinguishably. Tenesmus makes defecation difficult; excessive straining damages Shen (Spirit), causing the anus to protrude and be invaded by cold, preventing retraction.
To recognize the treatment for rectal prolapse, nourishing Blood and harmonizing Qi is appropriate: Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Dang Gui, Bai Shao, Ren Shen, Chi Shi Zhi (Halloysit Rubrum). Huai Zi (Sophorae Tonkinensis Seed), Shan Yao, Lian Rou (Lotus Seed Endocarp), Long Gu (Fossilia Ossis Mastodi et Scapulae), Wu Bei Zi (Galla Chinensis) follow. Grind Wu Bei Zi finely into pills, still taken with rice water.
Internal decoctions and pills achieve efficacy; external remedies support: Dust from inverted walls on beams, ash from calcined turtle heads ground fine, mouse feces mixed with mugwort moxa, ignited in a bucket. Sit above it to fumigate; within moments, the anus retracts.
If previous methods fail, crush fresh Snail (Tian Luo) into paste, mix with Po Xiao (Mirabilite) and Da Huang, pound into ointment and apply; it heals immediately. If still ineffective, use topical application: Xiong Dan (Ursi Bile) and Bing Pian (Borneolum Syntheticum) are recommended; Goose bile applied heals the disease. Physicians must remember this well.
Dao Qi (Guide Qi) with Fu Ling, Huang Lian, and Mu Xiang; Da Huang, Dang Gui, Bai Shao, Su Ke, Bing Lang. When dysenteric pus and blood flow endlessly, guarantee one dose brings health.