伏暑痢兼赤白，腹痛窘迫，闻谷欲呕，此名噤
口。宜用生姜泻心汤加石莲肉、乌梅、白芍等味，
苦辛泄降也。
凡痢称噤口，最为险候，俗言吃勿死的泻痢，信然也。
然亦有虚实之分。如痢色清淡，口不甚渴，舌白脉软，身无
大热，而食入呕恶，此属虚寒。宜用泻心汤之姜、连苦辛通
降，参、草甘温养胃，加梅、芍酸收制肝，石莲苦寒坚阴，且
得苦辛甘酸之味，而无拒格之患。若痢色浓秽，舌黄口渴，
脉滑或数，发热痛甚，而闻谷欲呕，此属实热。宜用芩、连
苦寒以降其逆，白芍，秦皮以和其肝，山楂，厚朴以疏其
滞，大黄、芒硝以攻其积，车前，赤芩以分水道，则积滞祛
而邪火退，其痢自止。
伏暑痢兼五色，腹痛里急，不食，神疲脉弦，
此名五色痢。宜用东垣补中益气汤，加禹粮石，白
芍、茯苓，泽泻等味，升清泄浊也。
凡痢兼五色，病涉五脏矣。而食减脉弦，胃虚之象益
着。故用补中益气汤以升清阳，加茯苓、泽泻以降湿浊，禹
粮石以止泻痢，使阳升阴降 而痢可止焉。
伏暑痢赤转白，渐变为泻，此脏邪转腑。宜用
真人养脏汤，温涩止痢也。
痢赤转白，又变为泻，此由脏转腑，从重转轻，将愈之
兆，并无积滞。故用真人养脏汤，涩肠止泄，斯为的当。
伏暑痢疾兼见赤白脓血，腹痛且排便急迫窘迫，闻到食物气味就想呕吐，这种情况称为“噤口痢”。适宜使用生姜泻心汤加入石莲肉、乌梅、白芍等药物，这是利用苦辛之味来泄降邪气。
凡是痢疾被称为噤口痢的，都属于最为危险的证候，俗话说“吃不下东西不会死的泻痢”，确实如此。然而也有虚证和实证的区分。如果痢下颜色清淡，口中不太渴，舌苔白，脉象软弱，身体没有大热，但进食后出现呕恶，这属于虚寒证。适宜使用泻心汤中的干姜、黄连以苦辛之性通降，人参、甘草以甘温之性养胃，加入乌梅、白芍以酸收之性制约肝木，石莲肉以苦寒之性坚固阴液，并且具备苦、辛、甘、酸各种味道，从而避免药入即吐的格拒现象。如果痢下颜色浓浊秽臭，舌苔黄，口渴，脉象滑或数，发热且疼痛剧烈，闻到食物气味就想呕吐，这属于实热证。适宜使用黄芩、黄连以苦寒之性降逆，白芍、秦皮以调和肝脏，山楂、厚朴以疏通积滞，大黄、芒硝以攻逐积滞，车前子、赤茯苓以分利水道，这样积滞祛除而邪火消退，痢疾自然停止。
伏暑痢疾兼见五色脓血，腹痛且有里急后重感，不能进食，精神疲倦，脉象弦，这种情况称为“五色痢”。适宜使用李东垣的补中益气汤，加入禹余粮、白芍、茯苓、泽泻等药物，这是为了升举清阳、泄降浊阴。
凡是痢疾兼见五色，说明病情涉及五脏。而且食欲减退、脉象弦，更加显露出胃气虚弱的征象。因此使用补中益气汤来升举清阳，加入茯苓、泽泻来降泄湿浊，禹余粮来止住泻痢，使阳气上升、阴气下降，那么痢疾就可以停止了。
伏暑痢疾由赤色转为白色，逐渐变为泄泻，这是脏邪转归到腑的表现。适宜使用真人养脏汤，通过温补固涩来止痢。
痢疾由赤色转为白色，又转变为泄泻，这是病邪由脏转腑，从重症转向轻症，是即将痊愈的征兆，此时体内并无积滞。因此使用真人养脏汤，涩肠止泻，这才是恰当的治疗方法。
Damp-heat dysentery complicated by red and white pus and blood, abdominal pain with tenesmus (urgency and straining during defecation), and nausea upon smelling food is named "Jinkou Dysentery" (Dysentery with inability to eat). It is appropriate to use Shengjiang Xiexin Tang (Ginger Decoction to Drain the Epigastrium) added with Shi Lian Rou (Lotus Seed Endosperm), Wu Mei (Mume Fruit), Bai Shao (White Peony Root), etc. This employs bitter and acrid flavors to drain and descend [pathogenic factors].
Whenever dysentery is termed Jinkou Dysentery, it is considered a most critical condition. The common saying that "diarrhea or dysentery where one cannot eat will not be fatal" is indeed true. However, there are distinctions between deficiency-cold and excess-heat patterns. If the dysenteric discharge is pale and clear, thirst in the mouth is slight, the tongue coating is white, the pulse is soft, and there is no significant fever, yet vomiting and nausea occur after eating, this belongs to deficiency-cold. It is appropriate to use the ginger and Coptis Chinensis Rhizoma (Huanglian, 黄连) from Xiexin Tang for their bitter and acrid properties to unblock and descend; Ren Shen (Ginseng Radix et Rhizoma) and Gan Cao (Licorice Root) for their sweet and warm properties to nourish the stomach; adding Wu Mei and Bai Shao for their sour astringent properties to restrain the Liver; and Shi Lian Rou for its bitter and cold property to consolidate Yin. Furthermore, possessing bitter, acrid, sweet, and sour flavors avoids the risk of gastric rejection (vomiting immediately after ingestion). If the dysenteric discharge is thick, turbid, and foul-smelling, the tongue coating is yellow, there is thirst, the pulse is slippery or rapid, fever is present, pain is severe, and nausea occurs upon smelling food, this belongs to excess-heat. It is appropriate to use Huang Qin (Scutellaria Root) and Huang Lian for their bitter and cold properties to descend rebellious Qi; Bai Shao and Qin Pi (Ailanthus Bark) to harmonize the Liver; Shan Zha (Hawthorn Fruit) and Hou Po (Magnolia Bark) to relieve stagnation; Da Huang (Rhubarb Root and Rhizome) and Mang Xiao (Mirabilite) to purge accumulated matter; Che Qian Zi (Plantago Seed) and Chi Fu Ling (Red Poria) to separate the water passages. Thus, when accumulation and stagnation are removed and pathogenic fire recedes, the dysentery will naturally cease.
Damp-heat dysentery complicated by five-colored discharge, abdominal pain with tenesmus, anorexia, mental fatigue, and a wiry pulse is named "Five-Colored Dysentery." It is appropriate to use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) by Li Dongyuan, added with Yu Liang Shi (Limonitum), Bai Shao, Fu Ling (Poria), Ze Xie (Alisma Rhizome), etc. This aims to raise the clear Yang and drain turbid Yin.
Whenever dysentery involves five colors, the pathology affects the Five Zang Organs. Moreover, reduced appetite and a wiry pulse further manifest the image of Spleen-Stomach deficiency. Therefore, Bu Zhong Yi Qi Tang is used to raise Clear Yang, while Fu Ling and Ze Xie are added to descend damp-turbidity, and Yu Liang Shi is used to stop diarrhea and dysentery. When Yang rises and Yin descends, the dysentery can be arrested.
Damp-heat dysentery changing from red to white, gradually transforming into diarrhea, indicates the transmission of pathogenic factors from the Zang organs to the Fu organs. It is appropriate to use Zhenren Yangzang Tang (True Person's Nourishing the Viscera Decoction) to warm and astringe to stop dysentery.
When dysentery changes from red to white and then transforms into diarrhea, this signifies the pathogen moving from the Zang to the Fu organs, shifting from severe to mild, which is a sign of impending recovery. At this stage, there is no longer any accumulation or stagnation. Therefore, using Zhenren Yangzang Tang to astringe the intestines and stop diarrhea is the precise and appropriate treatment.