湿热伤 赤白痢 王损庵论痢，专主湿热。其症里急后重，腹痛，欲便不便，脓血秽浊
，或白或赤，或赤白相半。
热胜湿 赤痢渍 胃为多气多血之海。热，阳邪也。热胜于湿，则伤胃之血分而为赤痢。
湿胜热 白痢坠 湿，阴邪也。湿胜于热，则伤胃之气分而为白痢。赤白相半，则为气血两伤。
调行箴 须切记 行血，则脓血自愈。调气，则后重自除。此四句为治初痢之格言，须切记之。
芍药汤 热盛饵 芍药汤调气行血，虽为初痢之总方，究竟宜于热症。
平胃加 寒湿试 寒湿泻痢初起者，以平胃散，加干姜、泽泻、猪苓、木香治之。久而
不愈，送下香连丸。
热不休 死不治 方书云∶痢症发热，不休者，不治。
痢门方 皆所忌 凡痢症初起即发热，非肌表有邪，即经络不和，温散而调营卫，外邪
一解，痢亦松去。若概以为热，开手即用痢门套方，多有陷入变剧者。
桂葛投 鼓邪出 时医有发汗之戒，以其无外证而妄汗之也。若头痛、发热、恶寒，有
汗宜用桂枝汤法，无汗宜用葛根汤法，鼓邪外出，然后治其痢。
外疏通 内畅遂 此二句是解所以发汗之故也。张飞畴云∶当归四逆汤治痢极效。若发
热而呕者，小柴胡汤、葛根黄连黄芩甘草汤。口渴下重者，白头翁汤如神。
嘉言书 独得秘 喻嘉言《医门法律》中，议论甚见透彻。
寓意存 补金匮 喻嘉言《寓意草》中，如麻黄附子细辛汤及人参败毒散等案，却能补
《金匮》所未及。
湿热伤 赤白痢：王损庵论述痢疾，专门主张以湿热为病因。其症状表现为里急后重（腹痛窘迫，时时欲便，肛门重坠，便出不爽），腹痛，想排便却排不出，排出脓血秽浊之物，颜色或白、或红、或红白相间。
热胜湿 赤痢渍：胃是多气多血之海。热，属于阳邪。热胜于湿，就会损伤胃的血分，从而形成赤痢（红色为主的痢疾）。
湿胜热 白痢坠：湿，属于阴邪。湿胜于热，就会损伤胃的气分，从而形成白痢（白色为主的痢疾）。如果红白相半，就是气血两伤。
调行箴 须切记：调理血液，则脓血自然痊愈；调理气机，则后重感自然消除。这四句话是治疗初起痢疾的格言，必须牢记。
芍药汤 热盛饵：芍药汤能调气行血，虽然它是治疗初起痢疾的通用方剂，但终究适用于热证。
平胃加 寒湿试：对于寒湿引起的泻痢初起者，用平胃散（燥湿运脾，行气和胃的方剂），加入干姜、泽泻、猪苓、木香来治疗。如果久治不愈，送服香连丸。
热不休 死不治：医书说：痢疾患者发热，如果热势不退，属于不治之症。
痢门方 皆所忌：凡是痢疾初起就发热的，如果不是肌表有外邪，就是经络不和，应当用温散法调和营卫，一旦外邪解除，痢疾也会随之缓解。如果一概认为是热证，一开始就用治疗痢疾的常规套方，大多会导致病情陷入严重恶化。
桂葛投 鼓邪出：当时的医生有禁止发汗的戒律，因为患者没有外感症状而误用发汗法。但如果出现头痛、发热、恶寒，有汗的情况宜用桂枝汤（解肌发表，调和营卫的方剂）的方法，无汗的情况宜用葛根汤（发汗解表，升津舒筋的方剂）的方法，将邪气鼓动排出体外，然后再治疗痢疾。
外疏通 内畅遂：这两句话解释了为什么要发汗的原因。张飞畴说：当归四逆汤（养血通脉，温经散寒的方剂）治疗痢疾极有效。如果发热且呕吐，用小柴胡汤（和解少阳的方剂）、葛根黄连黄芩甘草汤（清热止痢，解表清里的方剂）。如果口渴且后重明显，用白头翁汤（清热解毒，凉血止痢的方剂）效果如神。
嘉言书 独得秘：喻嘉言在《医门法律》中的议论非常透彻。
寓意存 补金匮：喻嘉言在《寓意草》中，像麻黄附子细辛汤（助阳解表的方剂）及人参败毒散（益气解表，散风祛湿的方剂）等医案，却能补充《金匮要略》所未涉及的内容。
Heat-Dampness Injury, Red and White Dysentery: Wang Sun'an's treatise on dysentery specifically emphasizes heat-dampness as the etiology. The symptoms include tenesmus (urgent desire to defecate with a feeling of incomplete evacuation), abdominal pain, the urge to defecate but inability to do so, and the discharge of purulent, bloody, and turbid matter, which may be white, red, or a mixture of both.
Excess Heat, Red Dysentery Staining: The stomach is the sea of qi and blood. Heat is a yang pathogen. When heat exceeds dampness, it injures the blood aspect of the stomach, resulting in red dysentery.
Excess Dampness, White Dysentery Dropping: Dampness is a yin pathogen. When dampness exceeds heat, it injures the qi aspect of the stomach, resulting in white dysentery. If red and white are mixed equally, it indicates injury to both qi and blood.
Guidelines for Regulating and Moving, Must Be Remembered: Regulating the blood leads to the natural healing of pus and blood; regulating the qi eliminates tenesmus. These four sentences are maxims for treating initial dysentery and must be firmly remembered.
Shaoyao Decoction, Taken in Excess Heat: Shaoyao Decoction regulates qi and moves blood. Although it is a general formula for initial dysentery, it is ultimately suitable for heat syndromes.
Pingwei San Added, Test for Cold-Dampness: For initial cases of diarrhea and dysentery caused by cold-dampness, Pingwei San (a formula to dry dampness, strengthen the spleen, move qi, and harmonize the stomach) is used, added with Ganjiang (Dried Ginger), Zexie (Alisma), Zhuling (Polyporus), and Muxiang (Aucklandia). If it persists without cure, Xianglian Wan is administered.
Unremitting Fever, Incurable: Medical texts state: If a patient with dysentery has fever that does not subside, it is incurable.
Formulas for Dysentery Are All Taboo: Whenever dysentery begins with fever, if it is not due to exterior pathogens or disharmony of the meridians, one should use warm dispersing methods to harmonize Ying and Wei (nutritive and defensive qi). Once the exterior pathogen is resolved, the dysentery will also ease. If one generally assumes it is heat and immediately uses standard formulas for dysentery, the condition often deteriorates severely.
Guizhi and Gegen, Expel Pathogens: Contemporary physicians have a taboo against sweating, fearing it when there are no exterior signs. However, if headache, fever, and aversion to cold are present, sweating with sweat suggests using the method of Guizhi Tang (Cinnamon Twig Decoction); without sweat, the method of Gegen Tang (Kudzu Root Decoction) is appropriate. This drives pathogens out from the exterior before treating the dysentery.
Exterior Unblocked, Interior Smooth: These two sentences explain the reason for inducing sweating. Zhang Feichou stated: Danggui Sini Tang (Angelica Sinensis Decoction for Replenishing Blood and Unblocking Collaterals) is extremely effective for treating dysentery. If there is fever accompanied by vomiting, Xiaochaihu Tang (Minor Bupleurum Decoction) or Gegen Huanglian Huangqin Gancao Tang (Kudzu Root, Coptis, Scutellaria, and Licorice Decoction) should be used. If there is thirst and severe tenesmus, Baitouweng Tang (Pulsatilla Decoction) works miraculously.
Jiayan's Writings, Unique Secrets: Yu Jiayan's discussions in *Yimen Falü* (Medical Laws and Standards) are particularly thorough.
Meaning Preserved, Supplementing Jingui: In Yu Jiayan's *Yuyi Cao*, cases such as those involving Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction) and Renshen Baidu San (Ginseng and Toxin-Expelling Powder) supplement what was omitted in *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet).