痢初一二日元气未虚用此方下之
枳壳（一钱半） 槟榔（一钱） 浓朴（一钱） 大黄（壮实五七钱虚人三四钱）
上用水一钟半先煎三味至一钟下大黄再煎二三沸热服得快利为妙
既下之后即以此方上之
当归 赤芍药 淮生地（各七分） 黄连（一钱） 甘草（三分） 酸石榴皮（八分） 粟壳（
蜜炒八分） 地榆（八分）
上用水一钟半煎七分食前服一服即止
治赤白痢立效
木香（一两） 黄连（四两吴茱萸二两同浸一夜炒干去吴萸不用）
上二味为末粟米糊为丸如梧桐子大每服七十丸食远白汤下初起宜推荡本方加大黄（二两）
槟榔（一两）以行之再以本方加肉豆蔻（鸡蛋清炒一两五钱）以止之此谓二妙也
凡下痢恶寒发（热身）头俱痛此谓表症宜微汗和解用苍术川芎陈皮
芍药甘草
生姜三片煎其或腹痛后重小便短此为里症宜和中疏气用炒枳壳制浓朴芍药陈皮甘草滑石煎
其或下坠异常积中有紫黑血而又痛甚此为死血症法当用檑细桃仁滑石行之或口渴及大便口
燥辣是名挟热加黄芩或口不渴身不热喜热手熨是名挟寒加姜桂其或下坠在血泄之后此气滞症
宜于前药加槟榔一枚其或在下则缠住在上则呕食此为毒积未化胃气未平当认其寒则温之热则
清之虚则用参术补之毒解积下食自进其或力倦自觉气少懒食此为挟虚症宜加白术当归身尾甚
者加人参又十分重者止用此一条加陈皮补之虚回而痢自止其或气行血和积少但虚坐努箦此
为无血症倍用当归身尾却以生芍药生地黄而以桃仁佐之复以陈皮和之血生自安其或缠坠退
减十之七八秽积已尽糟粕未实当用炒芍药炒白术炙甘草陈皮茯苓煎汤下固肠丸三十粒然固肠
丸性燥恐尚有滞气未尽行者但当单饮此汤固肠丸未宜遽用盖固肠丸有去湿实肠之功其或痢
后糟粕未实或食粥稍多或饥甚方食腹中作痛切不可惊恐当以白术陈皮各半煎汤服之自安其
或久痢后体虚气弱滑下不止又当以药涩之可
用柯子肉豆蔻白矾半夏甚者添牡蛎可择而用之然须以陈皮为佐恐大涩亦能作痛又甚者灸天枢
气
海上前方用浓朴专泻滞凝之气然浓朴性大温而散久服大能虚人滞气稍行即去之余滞未尽则用
炒枳壳陈皮然枳壳亦能耗气比之浓朴稍缓比陈皮稍重滞气稍退亦当去之只用陈皮以和众药然
陈皮去白有补泻之兼若为参术之佐亦纯作补药用凡痢疾腹痛必以白芍药甘草为君当归白术
为佐恶寒痛者加桂恶热痛者加黄芩达者更能参以岁气时令用药万举万全岂在乎执方而已哉
火症有虚实轻重轻者可降重则从其性而折之实火宜泻虚火宜补阴虚火动难治宜滋阴降火
痢疾初起一两天，元气尚未虚弱，可用此方攻下。
枳壳（一钱半） 槟榔（一钱） 浓朴（厚朴，行气消积）（一钱） 大黄（体质壮实者用五至七钱，体虚者用三至四钱）
以上药物用水一盏半，先煎前三味药至一盏水，加入大黄再煎二三沸，热服，以得快利（通畅排便）为妙。
攻下之后，立即改用此方调理。
当归 赤芍药 淮生地（熟地黄，滋阴补血）（各七分） 黄连（清热燥湿）（一钱） 甘草（调和诸药）（三分） 酸石榴皮（收敛止痢）（八分） 粟壳（罂粟壳，涩肠止泻，蜜炒八分） 地榆（凉血止血）（八分）
以上药物用水一盏半，煎至七分，饭前服用，一服即可止痢。
治疗赤白痢疾，立见成效。
木香（一两） 黄连（四两，用吴茱萸二两同浸一夜，炒干后去掉吴茱萸不用）
以上两味药研为细末，用粟米糊制成梧桐子大小的丸剂，每次服用七十丸，饭后不久用白开水送服。初起时宜用推荡之法，本方加大黄（二两）、槟榔（一两）以行气导滞；再用本方加肉豆蔻（鸡蛋清炒，一两五钱）以固涩止痢，这称为“二妙”。
凡是下痢伴有恶寒、发热、头痛，这属于表证，宜用微汗和解法，用苍术、川芎、陈皮、芍药、甘草、生姜三片煎服。如果腹痛、里急后重、小便短少，这属于里证，宜用和中疏气法，用炒枳壳、制浓朴、芍药、陈皮、甘草、滑石煎服。如果下坠感异常，大便中有紫黑色血液且疼痛剧烈，这属于死血症，治法当用檑细桃仁、滑石以行瘀通络。如果有口渴及大便干燥辣痛，这名为挟热证，加黄芩；如果口不渴、身不热、喜欢热敷，这名为挟寒证，加姜、桂。如果下坠感出现在血泄之后，这是气滞证，宜在前药中加槟榔一枚。如果病势向下缠结或向上呕吐食物，这是毒积未化、胃气未平，应当辨明寒热：寒则温之，热则清之，虚则用人参、白术补之，毒解积去后饮食自然恢复。如果乏力疲倦、自觉气短、懒食，这属于挟虚证，宜加白术、当归身尾，严重者加人参；又十分重的患者，仅用这一条方法加陈皮补益，虚损恢复而痢疾自止。如果气行血和、积滞减少，但仍有虚坐努责（想拉拉不出），这属于无血症，倍用当归身尾，配合生芍药、生地黄，并以桃仁辅助，再以陈皮调和，血生则安。如果下坠感减退十之七八，秽浊积滞已尽，糟粕未实，当用炒芍药、炒白术、炙甘草、陈皮、茯苓煎汤，送服固肠丸三十粒。然而固肠丸性燥，恐怕还有滞气未尽行，此时只宜单饮此汤，不宜急于使用固肠丸，因为固肠丸有去湿实肠之功。如果痢疾后糟粕未实，或吃粥稍多，或饥饿时进食，腹中作痛，切不可惊恐，当用白术、陈皮各半煎汤服用，自然安宁。如果久痢后体虚气弱，滑脱不止，又当用药涩之，可用柯子（诃子）、肉豆蔻、白矾、半夏，严重者添牡蛎，可择而用之。然而须以陈皮为佐使，恐大涩亦能致痛。又甚者，灸天枢穴、气海穴。
上述前方中用浓朴专泻滞凝之气，然浓朴性大温而散，久服大能耗伤人体正气，滞气稍行即去。其余滞未尽则用炒枳壳、陈皮。然而枳壳亦能耗气，比之浓朴稍缓，比陈皮稍重。滞气稍退亦当去之，只用陈皮以调和众药。然而陈皮去白，兼具补泻之功，若作为人参、白术的佐使，则纯作补药用。凡痢疾腹痛，必以白芍药、甘草为君药，当归、白术为佐药；恶寒痛者加桂枝，恶热痛者加黄芩。通达者更能参考岁气时令用药，万举万全，岂在于拘执一方而已哉！
火证有虚实轻重之分，轻者可降，重则顺从其性而折之。实火宜泻，虚火宜补。阴虚火动难治，宜滋阴降火。
Dysentery in the first one or two days, with Yuan Qi (Vital Energy) not yet deficient, can be treated with this formula to purge.
Zhiqiao (Fructus Aurantii, 1.5 qian), Binglang (Arecae Semen, 1 qian), Houpo (Cortex Magnoliae Officinalis, 1 qian), Dahuang (Radix et Rhizoma Rhei, 5-7 qian for robust individuals, 3-4 qian for deficient individuals).
Take 1.5 zhong of water, decoct the first three herbs until reduced to 1 zhong, add Dahuang, boil for two or three boils, take hot. The ideal outcome is rapid purgation (Kuai Li).
After purgation, immediately switch to this formula for regulation.
Danggui (Radix Angelicae Sinensis), Chishao (Radix Paeoniae Rubra), Shengdi (Radix Rehmanniae Preparata, each 0.7 qian), Huanglian (Rhizoma Coptidis, 1 qian), Gancao (Radix Glycyrrhizae, 0.3 qian), Suan Shiliupi (Pericarpium Granati, 0.8 qian), Susu (Pericarpium Papaveris, honey-fried, 0.8 qian), Diyü (Herba Siegesbeckiae, 0.8 qian).
Take 1.5 zhong of water, decoct until reduced to 0.7 zhong, take before meals. One dose will stop dysentery.
For treating red and white dysentery with immediate effect.
Muxiang (Radix Aucklandiae, 1 liang), Huanglian (Rhizoma Coptidis, 4 liang, soaked overnight with 2 liang of Wuzhuyu, stir-fried dry, remove Wuzhuyu).
Grind the above two herbs into fine powder, bind with millet paste into pills the size of paulownia seeds. Take 70 pills per dose, with plain warm water after meals. In the early stage, use a purging method: add Dahuang (2 liang) and Binglang (1 liang) to promote movement. Then, use the base formula with added Roudoukou (Semen Myristicae, fried in egg white, 1.5 liang) to arrest diarrhea. This is called "Two Miracles".
If dysentery is accompanied by aversion to cold, fever, and headache, this is a Exterior Syndrome (Biao Zheng). Use mild sweating and harmonizing methods: decoct Cangzhu (Rhizoma Atractylodis Macrocephalae), Chuanyu (Radix Ligustici Chuanxiong), Chenpi (Pericarpium Citri Reticulatae), Shaoyao (Radix Paeoniae Alba/Lactiflorae), Gancao (Radix Glycyrrhizae), and three slices of Shengjiang (Rhizoma Zingiberis Recens). If there is abdominal pain, tenesmus, and scanty urination, this is an Interior Syndrome (Li Zheng). Use harmonizing middle and dispersing qi methods: decoct fried Zhiqiao (Fructus Aurantii), processed Houpo (Cortex Magnoliae Officinalis), Shaoyao (Radix Paeoniae), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae), and Huashi (Talcum). If there is abnormal prolapse, purple-black blood in stool, and severe pain, this is a Dead Blood Syndrome (Si Xue Zheng). Treat with Taoren (Semen Persicae) and Huashi (Talcum) to move stasis. If there is thirst, dryness, and burning sensation in the bowel, this is Heat Clamping Syndrome (Jia Re). Add Huangqin (Radix Scutellariae). If there is no thirst, no fever, and preference for warmth, this is Cold Clamping Syndrome (Jia Han). Add Jiang (Shengjiang/Ganjiang) and Gui (Rougui/Guizhi). If prolapse occurs after bloody discharge, this is Qi Stagnation Syndrome (Qi Zhi Zheng). Add one piece of Binglang (Arecae Semen) to the previous prescription. If symptoms are downward stagnation or upward vomiting of food, this is Unresolved Toxic Accumulation with Unbalanced Stomach Qi. Differentiate cold and heat: warm if cold, clear if heat, tonify deficiency with Renshen (Radix Ginseng) and Baizhu (Rhizoma Atractylodis Macrocephalae). Once toxins resolve and accumulation moves, appetite returns. If fatigue, shortness of breath, and anorexia occur, this is Deficiency Clamping Syndrome (Jia Xu Zheng). Add Baizhu (Rhizoma Atractylodis Macrocephalae) and Danggui (Radix Angelicae Sinensis) root ends; add Renshen (Radix Ginseng) for severe cases. For extremely severe cases, use only Chenpi (Pericarpium Citri Reticulatae) to tonify; when deficiency recovers, dysentery stops. If qi flows, blood harmonizes, and accumulation decreases, but there is empty straining (Xu Zuo Nu Ze), this is No-Blood Syndrome (Wu Xue Zheng). Double the dosage of Danggui (Radix Angelicae Sinensis) root ends, combine with raw Shaoyao (Radix Paeoniae) and raw Shengdi (Radix Rehmanniae), assist with Taoren (Semen Persicae), and harmonize with Chenpi (Pericarpium Citri Reticulatae). When blood generates, peace is restored. If prolapse reduces by 70-80%, and foul accumulation is exhausted but feces are not solidified, decoct fried Shaoyao (Radix Paeoniae), fried Baizhu (Rhizoma Atractylodis Macrocephalae), roasted Gancao (Radix Glycyrrhizae), Chenpi (Pericarpium Citri Reticulatae), and Fuling (Sclerotium Poriae) to swallow 30 pills of Guochang Wan (Intestine-Firming Pill). However, Guochang Wan is drying and may retain stagnant qi; thus, drink only the decoction initially and do not rush to use Guochang Wan, as it has damp-draining and intestine-firming properties. If after dysentery, feces are not solid, or pain occurs after eating slightly more porridge or eating when very hungry, do not panic. Decoct equal parts Baizhu (Rhizoma Atractylodis Macrocephalae) and Chenpi (Pericarpium Citri Reticulatae) to restore peace. If long-term dysentery leads to body weakness, qi deficiency, and uncontrolled slipping, use astringents: Kezi (Fructus Chebulae), Roudoukou (Semen Myristicae), Baifan (Alumen), Banxia (Rhizoma Pinelliae); add Muli (Concha Ostreae) for severe cases. Use Chenpi (Pericarpium Citri Reticulatae) as an assistant to prevent pain from excessive astringency. For even worse cases, moxa Tianshu (ST25) and Qihai (CV6).
In the aforementioned formulas, Houpo (Cortex Magnoliae Officinalis) is used specifically to drain stagnant qi. However, Houpo is warm and dispersing; long-term use greatly depletes qi. Remove it once stagnant qi moves. For residual stagnation, use fried Zhiqiao (Fructus Aurantii) and Chenpi (Pericarpium Citri Reticulatae). Zhiqiao also consumes qi; it is milder than Houpo but heavier than Chenpi. Remove it once stagnation recedes. Use only Chenpi (Pericarpium Citri Reticulatae) to harmonize other herbs. Chenpi without peel has both tonifying and draining effects; when assisting Renshen (Radix Ginseng) and Baizhu (Rhizoma Atractylodis Macrocephalae), it acts purely as a tonic. For all dysentery with abdominal pain, Shaoyao (Radix Paeoniae) and Gancao (Radix Glycyrrhizae) must be the Sovereign herbs, with Danggui (Radix Angelicae Sinensis) and Baizhu (Rhizoma Atractylodis Macrocephalae) as Ministers. Add Guizhi (Ramulus Cinnamomi) for cold pain, Huangqin (Radix Scutellariae) for heat pain. Proficient practitioners adjust according to annual qi and seasons, ensuring success every time, rather than rigidly adhering to a single formula!
Fire syndromes have deficiency/excess and light/severe distinctions. Light cases can be descended; severe cases follow their nature to subdue them. Excess fire should be purged; deficiency fire should be tonified. Yin-deficiency fire agitation is difficult to treat; nourish yin and descend fire.