有人久患痢赤白兼下或纯白或纯赤百药不愈者病久服药已多治痢多用毒药攻击得脏气不
和所
以难愈史载之用轻清和气药与之遂愈后来屡有验其方用罂粟壳蜜炙人参白术白茯苓川芎甘草
炙黄 等分为细末二钱水一盏生姜枣乌梅半个煎八分温服不以时
有人久患泄泻以暖药补脾及分利小水百种治之不愈医诊之心脉独弱以益心气药补脾药服
之遂
愈盖心火也脾土也火生土脾之旺赖火之燥心气不足则火不燥脾土受湿故令泄泻今益心补脾而
又能去湿岂有不效者
又有一种泄泻作冷作积作心气不足治之及服硫黄附子甚多皆不效因服火 丸而愈此肠胃
有风冷也胃风汤兼服暖药亦佳
又有一种脾泄泻服泰山老李炙肝散而愈乃白芷白术白芍药桔梗四味也(医余)
凡人患痢不问赤白脉小身凉者易安脉大身热者难瘥患痢未有不腹痛者皆缘有积也暑积及
热积
多患赤痢冷积多患白痢亦有肠胃有风而患赤痢者有冷热不调而患赤白痢者暑积痢可用黄连阿
胶丸绵煎散加滑石白痢可用驻车丸感应丸之类冷热不调用戊己丸巴豆丸子之类绵煎散入滑石
治赤痢极有功又有豆饮子加减亦有功治诸般痢用之每有效官局灵砂丹亦甚奇此数药自夏及秋
皆不可阙也(同上)
治痢以罂粟古方未闻今人所用虽其法小异而皆有奇功或用数颗慢火炙黄为末米饮下或去
粟用
壳如上法或以壳五七枚甘草一寸半生半炙大碗水煎取半碗温温呷蜀人山叟曰用壳并去核鼠楂
子各数枚焙干末之饮下尤治噤口痢(泊宅编)
有人长期患有痢疾，下痢赤白相间，或者纯白或纯赤，服用各种药物均无效。因为患病日久，服药过多，治疗痢疾多使用毒性较强的药物攻伐，导致脏腑之气不和，所以难以痊愈。史载之采用轻清、调和气机的药物治疗，患者随即痊愈。后来多次验证此法均有疗效。该方剂使用罂粟壳（蜜炙）、人参、白术、白茯苓、川芎、甘草（炙）、黄（原文缺字，疑为黄芪）等分，研成细末。每次服用二钱，加水一盏，生姜、大枣、乌梅半个，煎至八分，不拘时间温服。
有人长期患有泄泻，用温补脾脏及分利小便的药物治了上百种方法都无效。医生诊察发现其心脉独弱，于是用补益心气的药物配合补脾药治疗，患者随即痊愈。这是因为心属火，脾属土，火生土，脾的旺盛依赖于心的阳气燥化。心气不足则火不燥，脾土受湿，从而导致泄泻。现在既补益心气又补脾，同时又能祛湿，岂有不见效的道理？
又有一种泄泻，表现为冷积、食积或因心气不足所致，经过治疗以及服用硫黄、附子很多都不见效，因服用火（原文缺字，疑为某丸名）丸而痊愈。这是肠胃有风冷所致。胃风汤兼服暖性药物也很好。
又有一种脾虚泄泻，服用泰山老李炙肝散而痊愈，该方由白芷、白术、白芍药、桔梗四味药组成。（出自《医余》）
大凡患痢疾的人，不论赤痢还是白痢，如果脉象细小、身体发凉，容易康复；如果脉象洪大、身体发热，则难治愈。患痢疾没有不腹痛的，这都是因为有积滞的缘故。暑热积滞及热积滞多患赤痢，冷积滞多患白痢。也有因肠胃有风邪而患赤痢的，有因冷热不调而患赤白痢的。暑热积滞痢疾可用黄连阿胶丸、绵煎散加滑石；白痢可用驻车丸、感应丸之类；冷热不调可用戊己丸、巴豆丸之类，绵煎散加入滑石治疗赤痢极有功效。还有豆饮子加减也有功劳。治疗各种痢疾使用这些药物每每有效。官局灵砂丹也很奇特。这几味药从夏天到秋天都不可缺漏。（同上）
古代方书中未见用罂粟治痢的方法，今人所用虽然方法略有不同，但都有奇效。有的用几颗罂粟慢火炙黄研末，米汤送服；有的去掉粟粒只用壳，如上法；或者用壳五七枚，甘草一寸半（一半生用一半炙用），大碗水煎取半碗，慢慢呷服。蜀地一位山中说：用罂粟壳并去核鼠楂子各数枚，焙干研末，饮水送下，尤其擅长治疗噤口痢。（出自《泊宅编》）
A person suffered from chronic dysentery with mixed red and white discharge, or purely white or purely red, which resisted all medications. Due to the prolonged illness and excessive medication, where treatments for dysentery often employed toxic drugs to attack the pathogen, the Qi of the Zang-Fu organs became disharmonious, making recovery difficult. Shi Zaizhi treated this patient with light, clear, and Qi-regulating herbs, resulting in a cure. This method was later verified to be effective in numerous cases. The prescription consists of Poppy Capsule (Piperis Papaveris Fructus, processed with honey), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Baifuling), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Licorice Root (Gancao, processed), and Huang [character missing, likely Astragali Radix] in equal parts. These are ground into fine powder. Two qian are taken each time with one lamp of water, along with ginger, jujube, and half a dried plum, decocted until reduced to eight-tenths, and taken warm at any time.
Another person suffered from chronic diarrhea. Treatments involving warming and tonifying the Spleen and promoting diuresis failed after hundreds of attempts. The physician diagnosed a weak Heart pulse alone and treated the patient with herbs to tonify Heart Qi combined with Spleen-tonifying herbs, leading to a cure. This is because the Heart belongs to Fire and the Spleen to Earth; Fire generates Earth. The prosperity of the Spleen relies on the drying warmth of Heart Fire. If Heart Qi is insufficient, Fire does not dry, causing Dampness to affect the Spleen Earth, thus leading to diarrhea. By tonifying the Heart and Spleen while simultaneously removing Dampness, efficacy is inevitable.
There is another type of diarrhea characterized by cold accumulation, food stagnation, or deficiency of Heart Qi. Treatments and the extensive use of Realgar (Shihuang) and Aconite Root (Fuzi) were ineffective. However, it was cured by taking Huo [character missing, likely a pill name] Wan. This indicates Wind-Cold in the intestines and stomach. Taking Weifeng Tang combined with warming herbs is also beneficial.
Yet another type of Spleen-deficiency diarrhea was cured by Taishan Laoli Zhigan San, which consists of Angelica Dahurica Root (Baizhi), Atractylodis Macrocephalae Rhizoma (Baizhu), White Peony Root (Baishaoyao), and Platycodon Root (Jiegeng). (From *Yiyu*)
Generally, for patients with dysentery regardless of red or white discharge, if the pulse is small and the body is cool, recovery is easy; if the pulse is large and the body is hot, recovery is difficult. Dysentery invariably involves abdominal pain due to the presence of accumulations. Summer-heat and heat accumulations mostly cause red dysentery, while cold accumulations mostly cause white dysentery. Some cases of red dysentery arise from Wind in the intestines and stomach, and mixed red-white dysentery arises from disharmony of cold and heat. For summer-heat accumulation dysentery, Huanglian Ejiao Wan or Mianjian San plus Talcum (Huashi) can be used. For white dysentery, Zhuche Wan or Yinggan Wan may be used. For disharmony of cold and heat, Wuji Wan or Badou Wan may be used. Adding Talcum (Huashi) to Mianjian San is highly effective for treating red dysentery. Modified Douyin Zi is also effective. These remedies are useful for various types of dysentery and often yield results. Lingsha Dan from the Imperial Pharmacy Bureau is also remarkable. These medicines should not be omitted from summer to autumn. (Ibid.)
Ancient prescriptions do not record the use of Poppy for treating dysentery. Modern usage, though slightly varied in method, yields miraculous effects. Some use several grains, slow-fire roasted yellow, ground into powder, and taken with rice water. Others use only the shell as described above. Or, five to seven shells and one-and-a-half cun of Licorice Root (half raw, half processed) are decocted in a large bowl of water until half remains, to be sipped warm. An old man from Shu said: using Poppy shells and de-seeded Rhamnus Jujuba Fruit (Shuzhaizi), each a few pieces, roasted dry and ground into powder, taken with water, is especially effective for treating Jin Kou Li (dysentery with inability to eat/drink). (From *Bozhai Bian*)