未之有也。
凡治滞下，与大肠滑泄自利不同，滑泄有可涩之道，故古人间有用粟壳诃子以正其
滑。若滞下本属湿热涩滞，法宜疏利，最忌兜涩，大肠为肺之腑，大肠既有湿热留滞。
则肺家亦必有郁滞不清，言人用药，每利肺气，知其性喜通利，清脏以及腑也。倘误用
兜涩，则湿热无所宣泄，肺气不得下行，非惟痢疾增剧湿热熏蒸，上及于肺，则胀满气
逆，不眠恶食诸证见矣。
喻嘉言治痢，直肠无度，大用四君子汤调赤石脂禹余粮末，频频与服，而腹反大痛
不可忍，此正所谓通则不痛，痛则将有不通之意矣。仍服之果愈，后用四君子倍茯苓全安。
下利身热脉弱者自愈，汗出者亦自愈，脉虚水沉涩者顺，实大浮者死，手足温者
生，厥者死，利屋漏鱼脑纯血者死。
新旧冷积并妙，虽有巴豆，不令人泻积消痢止。
南木香 南豆蔻 丁香（各一两五钱） 姜（炮，一两） 百草霜（一两） 巴豆（七十粒，
去皮、心膜、研去油） 杏仁（一百四十粒，去皮尖） 前四味为末，外入百草
霜与巴豆、杏仁另研，七味同和匀，用好黄蜡六两溶化成汁，以重绢滤去渣，更以好酒
一升，于砂锅内煮蜡数沸，倾出酒冷，其蜡自浮于上，取蜡四两，用清油一两） 铫内熬
令香热，次下蜡同化成汁，就铫内乘热拌和
前药末，丸如豆大，每服三十九丸，姜汤空心送下。赵养葵、李时珍并言其神效。
这种情况是很少见的。
凡是治疗痢疾（滞下），与大肠滑泄自利是不同的，滑泄有可以固涩的方法，所以古人在间或有用粟壳、诃子来纠正其滑脱的症状。如果痢疾本属于湿热涩滞，治法应当疏利，最忌讳使用兜涩之法。大肠是肺的腑，大肠既有湿热留滞，那么肺家也必然有郁滞不清。因此人用药时，往往利于肺气，知道它喜欢通利，清脏以达及于腑。倘若误用兜涩，则湿热无处宣泄，肺气不得下行，不仅痢疾加重，湿热熏蒸上及于肺，就会出现胀满气逆、不眠恶食等各种症状。
喻嘉言治疗痢疾，直肠无度（指痢疾严重，直肠失去节制），大量使用四君子汤调赤石脂禹余粮末，频频服用，反而腹部大痛不可忍受，这正所谓“通则不痛，痛则将有不通”的意思了。仍然服用后果然痊愈，后来用四君子汤倍加茯苓，完全康复。
下利身热脉弱者自愈，汗出者亦自愈，脉虚水沉涩者为顺证，实大浮者为死证，手足温者为生证，厥冷者为死证，利屋漏鱼脑纯血者为死证。
南木香 南豆蔻 丁香（各一两五钱） 姜（炮，一两） 百草霜（一两） 巴豆（七十粒，去皮、心膜、研去油） 杏仁（一百四十粒，去皮尖） 前四味为末，外入百草霜与巴豆、杏仁另研，七味同和匀，用好黄蜡六两溶化成汁，以重绢滤去渣，更以好酒一升，于砂锅内煮蜡数沸，倾出酒冷，其蜡自浮于上，取蜡四两，用清油一两） 铫内熬令香热，次下蜡同化成汁，就铫内乘热拌和前药末，丸如豆大，每服三十九丸，姜汤空心送下。赵养葵、李时珍并言其神效。
Such cases are rare.
In treating dysentery (Zhi Xia), one must distinguish it from intestinal slipping and spontaneous diarrhea (Chang Da Hua Xie Zi Li). The latter can be treated with astringents; hence, ancient physicians occasionally used Cornus Officinalis Fruit (Shu Yu Pi) and Persimmon Calyx (Xi Ke) to correct the slipping condition. However, if dysentery is fundamentally caused by damp-heat obstruction, the treatment principle should be to promote free flow and drainage, strictly avoiding the use of astringents. The Large Intestine is the Interior-Exterior paired organ of the Lung. If damp-heat stagnates in the Large Intestine, there must also be turbidity and stagnation in the Lung. Therefore, when prescribing, one often benefits the Lung Qi, knowing its nature prefers free flow and unobstructed movement, clearing the Zang organs to reach the Fu organs. If astringents are mistakenly used, damp-heat will have no outlet for excretion, and Lung Qi cannot descend. This not only exacerbates dysentery but allows damp-heat to steaming upward to affect the Lung, leading to symptoms such as distension, qi rebellion, insomnia, and aversion to food.
Yu Jiayan treated severe dysentery where the rectum lost control, using large doses of Si Jun Zi Tang (Four Gentlemen Decoction) mixed with powder of Halloysitum Rubrum (Chi Shi Zhi) and Yuzhuyuan (Yi Yu Liang), administered frequently. The patient subsequently suffered unbearable abdominal pain, illustrating the principle that "free flow prevents pain, pain indicates obstruction." Nevertheless, continuing the medication eventually led to recovery. Later, using Si Jun Zi Tang with doubled Poria Cocos (Fu Ling), full health was restored.
In diarrhea, spontaneous recovery occurs if there is fever with a weak pulse, or if sweating occurs. A pulse that is empty, deep, and choppy indicates a favorable prognosis (Shun); a pulse that is excess, large, and floating indicates death. Warm hands and feet indicate survival; cold limbs (Jue) indicate death. Passing stool resembling house-leak water, fish brains, or pure blood indicates death.
This formula is excellent for both old and new cold accumulations. Although it contains Crotonis Fructus (Ba Dou), it does not cause purging; rather, it eliminates accumulation and stops dysentery.
Aromatic Costus Root (Nan Mu Xiang), Cardamom Seed (Nan Dou Kou), Clove (Ding Xiang) (each 1.5 qian), Ginger (Pao, 1 qian), soot from burning straw (Bai Cao Shuang, 1 qian), Crotonis Fructus (Ba Dou, 70 grains, peeled, heart and membrane removed, ground and oil pressed out), and Apricot Seed (Xing Ren, 140 grains, peeled and tips removed). The first four ingredients are ground into powder. separately, Bai Cao Shuang, Ba Dou, and Xing Ren are ground. The seven ingredients are thoroughly mixed. Six liang of high-quality yellow beeswax is melted into liquid, filtered through heavy silk to remove dregs. One sheng of good wine is added to a clay pot, and the wax is boiled several times. The wine is poured out and cooled; the wax floats to the surface. Four liang of this wax is taken. One qian of clear oil is heated in a small crucible until fragrant and hot. The wax is added and melted together. While hot, the mixture is stirred with the previously prepared medicinal powder. Pills are formed the size of beans. Each dose consists of 39 pills, taken on an empty stomach with ginger decoction. Zhao Yangkui and Li Shizhen both attested to its miraculous efficacy.