病源伤寒病若表实里虚，热气乘虚而入，攻于肠胃，则下黄赤汁，若温毒瓦斯盛，则腹痛
壮热，下脓血如鱼脑，或如烂肉汁，若寒毒入胃，则腹满身热下清谷，下清谷者，不可攻表，
汗
伤寒六七日下利，便发热而痢，其人汗出不止者死，但有阴无阳故也。
下利有微热，其人渴，脉弱者今自愈，脉沉弦者下重，其脉大者为未止，脉微数者为欲
自止，虽发热不死，少阴病八九日，而一身手足尽热，热在膀胱，必便血下利，脉反浮数，
尺中自涩，其人必圊脓血，少阴病下利，若利自止，恶寒而欲蜷，手足温者可疗，阳明病下
利，
伤寒下利日十余行，其人脉反实者死。（出第八卷中张仲景伤寒论阳明无下利证不可下
或有云下利其脉浮大者此皆为虚以强下之故也，设脉浮革因尔肠鸣当温之与水即哕）
仲景伤寒论伤寒本自寒下，医复吐之下之不解者，寒格更逆吐下，食入还吐出者，属干
姜黄连人参汤主之方。
干姜 黄连 黄芩 人参（各三两）
上四味切，以水六升，煮取二升，去滓，分再服之。忌猪肉冷水等。（出第六卷中）
又太阳病桂枝证，医反下之，利遂不止，脉促者，表未解也，喘而汗出者，属葛根黄连
汤方。
葛根（八两） 黄连（三两金色者） 黄芩（三两切） 甘草（二两）
上四味切，以水八升，先煮葛根减二升，掠去沫纳诸药，煮取二升，去滓，温分再服。
忌猪肉冷水海藻菘菜。（出第七卷中）
肘后疗伤寒若下脓血者，赤石脂汤方。
赤石脂（二两碎） 干姜（二两切） 附子（一两炮破）
上三味，以水五升，煮取三升，去滓，温分三服，后脐下痛者，加当归一两，芍药二两
，用水六升煮。忌猪肉。（范汪张文仲同）
又主下利不能食者，兼疗天行，黄连丸方。
黄连（一两） 乌梅（二十枚炙燥）
上二味捣末，腊如博棋子一枚，蜜一升于微火煎，令可丸如梧子，一服十五丸日三。忌
猪肉冷水。（出第一卷中）
又白通汤，疗伤寒泄痢不已，口渴不得下食，虚而烦方。
大附子（一枚生削去黑皮破八片） 干姜（半两炮） 甘草（半两炙） 葱白（十四茎）
上四味切，以水三升，煮取一升二合，去滓，温分再服，渴微呕心下停水者，一方加
犀角半两大良。忌海藻菘菜猪肉。（范汪同出第十四卷中张仲景伤寒论白通汤惟主少阴下利
厥游无脉干躁而烦者白通加猪胆汤主之本无甘草仍不加犀角）
范汪疗伤寒腹中微痛不止下利，秦皮汤方。
秦皮（三两） 黄连（四两） 白头翁（二两） 阿胶（三两）
上四味 咀三味，以水八升，煮得二升，绞去滓，纳胶令烊，适寒温，先食饮七合，日
二服。忌猪肉冷水。
又豉薤汤，疗伤寒暴下，及滞利腹痛方。
豉（一升） 薤白（一把寸切）
上二物，以水三升，煮令薤熟，漉去滓，分为再服，不瘥复作。
又蕙草汤，疗伤寒除热止下利方。
蕙草（二两） 黄连（四两） 当归（二两）
上三味切，以水六升，煮得二升，适寒温，饮五合，日三。忌猪肉冷水等物。
又疗伤寒下利脉微，足厥冷，通草汤方。
通草（一两） 干姜（一两） 枳实（四两炙） 人参（一两） 附子（一枚炮令裂破）
上五味切，以水六升，煮取二升，适寒温，饮五合，日三，不瘥稍加至七合。忌猪肉。
（并出第三十卷中）
短剧犀角汤，疗热毒下黄赤汁，及赤如腐烂血，及赤滞如鱼脑，腹痛壮热，诸药无效方
黄柏（一两半） 黄芩（一两半） 白头翁（一两） 黄连（二两） 当归（一两） 牡
蛎（一两
半熬） 犀角（屑半两） 艾叶（半两） 石榴皮（一两半） 桑寄生（一两） 甘草（一
两炙）
上十一味切，以水八升，煮取三升，分三服。忌猪肉冷水海藻菘菜。（出第六卷中古今
录验同）
集验疗伤寒后下利脓血，柏皮汤方。
黄柏（二两） 黄连（四两） 栀子仁（十四枚擘） 阿胶（一两炙）
上四味切，以水六升，煮三味取二升，去滓，纳胶令烊，温分再服。忌猪肉冷水。（范
汪同出第二卷中）
千金翼热利下重，白头翁汤主之方。
白头翁（二两） 黄柏（三两） 黄连（三两） 秦皮（三两切）
上四味切，以水七升，煮取二升，去滓，分服一升，不愈更服。忌猪肉冷水。（范汪同
出第十卷中此张仲景伤寒论方）
崔氏疗伤寒后赤白滞下无数，阮氏桃花汤方。
赤石脂（八两冷多白滞者加四两） 粳米（一升） 干姜（四两冷多白滞者加四两切）
上三味，以水一斗，煮米熟，汤成去滓，服一升，不瘥复作，热多则带赤，冷多则带白
。（千金翼方不同加减稍别伤寒论千金范汪同张仲景伤寒论煮汤和赤石脂末一方寸匕服）
又疗伤寒热利，黄连丸方。
黄连（三两去毛） 当归（三两） 干姜（二两） 赤石脂（二两切）
上四味捣筛，蜜和丸如梧子大，服三十丸，日三，叔尚书以疗热痢，是岁传与东都当方
诸军营，及夏口戍人发者数千余人，余时亦复用之，亦佳，但时用之，不及诸汤速耳，当服
百丸许乃断。忌猪肉冷水。（并出第一卷中）
张文仲陶氏伤寒下利，豉薤汤方。
豉（一斤绵裹） 薤白（一握） 栀子（十四枚擘破）
上三味，以水五升，煮取二升半，去滓，温分三服，短剧云，此方主温毒，及伤寒内虚
，外热攻肠胃，下黄赤汁，及如烂肉汁，并去赤滞，下伏气腹痛诸热毒，悉土之，水四升，
先煮栀子薤白令熟，纳豉煮取二升，分三服。（千金备急方同）
又疗伤寒下利，恶血不止，犀角汤方。
干姜（一两） 犀角（一两末） 地榆（一两） 蜜（二合）
上四味切，以水五升，煮取一升半，去滓，下蜜更煮至一升，分三服，自愈，此治热毒
蛊利。（千金同并出第十五卷中）
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：伤寒下痢及脓血黄赤方一十六首 类别：方剂
【原文翻译】
疾病源流：伤寒病如果表实里虚，热气乘虚而入，攻冲于肠胃，则排出黄赤色的汁液；如果温毒之气旺盛，则出现腹痛、高热，排出如鱼脑般的脓血，或者像烂肉汁一样的排泄物；如果寒毒进入胃中，则腹部胀满、身体发热但排出未消化的食物（清谷）。对于排出未消化食物的情况，不可使用发汗法攻解表邪。
《伤寒论》记载：患伤寒病六七天，出现下利，同时伴有发热和痢疾，如果此人汗出不止，属于死证，这是因为只有阴气而没有阳气（阴阳离决）的缘故。
下利伴有轻微发热，且患者感到口渴，脉象微弱，这是即将自愈的征兆；如果脉象沉弦，说明有里急后重感；脉象大的，说明病情尚未停止；脉象微数，说明病情将要自行停止，虽然伴有发热但不会死亡。少阴病经过八九日，全身及手足都发热，热邪在膀胱，必然导致便血和下利，脉象反而浮数，尺部脉涩，此人必然排出脓血。少阴病下利，如果腹泻自行停止，虽有恶寒且想蜷缩，但手足温暖，是可以治疗的。阳明病下利……
《伤寒论》记载：伤寒下利一天十多次，如果脉象反而坚实有力，属于死证。（出自第八卷张仲景《伤寒论》，其中提到阳明病本无下利证，不可用泻下法；有的版本说下利脉浮大，这都是虚证，因为强行泻下导致的。如果脉象浮革，因此出现肠鸣，应当温补，如果给水喝则会发生呃逆。）
张仲景《伤寒论》指出：伤寒本来就有寒性下利，医生反而用吐法和下法，病仍不愈，导致寒邪格拒，更加逆乱引起呕吐和下利，食物吃进去又吐出来，这属于干姜黄连人参汤的主治范围。
【方剂】干姜黄连人参汤
组成：干姜、黄连、黄芩、人参（各三两）
制法：以上四味药切碎，用水六升，煮取二升，去渣，分两次温服。忌食猪肉、冷水等。（出自第六卷）
另外，太阳病桂枝证，医生反而用下法，导致腹泻不止，脉象急促，说明表邪未解，伴有气喘和出汗，这属于葛根黄芩黄连汤的主治范围。
【方剂】葛根黄芩黄连汤
组成：葛根（八两）、黄连（三两，以金色者为佳）、黄芩（三两，切碎）、甘草（二两）
制法：以上四味药切碎，用水八升，先煮葛根，减少二升水量，撇去浮沫，加入其他药物，煮取二升，去渣，分两次温服。忌食猪肉、冷水、海藻、菘菜。（出自第七卷）
《肘后备急方》治疗伤寒排出脓血的赤石脂汤方。
组成：赤石脂（二两，捣碎）、干姜（二两，切碎）、附子（一两，炮制后破开）
制法：以上三味药，用水五升，煮取三升，去渣，分三次温服。如果服药后脐下疼痛，加当归一两、芍药二两，用水六升煮。忌食猪肉。（范汪、张文仲观点相同）
另外主治下利不能进食的，兼治时行疫病，黄连丸方。
组成：黄连（一两）、乌梅（二十枚，炙烤干燥）
制法：以上两味药捣成末，制成如博戏棋子大小的一枚，用蜜一升在微火上煎，使其可以做成梧桐子大小的丸药，每次服用十五丸，每日三次。忌食猪肉、冷水。（出自第一卷）
另外白通汤，治疗伤寒泄痢不止，口渴无法进食，体虚烦躁的方剂。
组成：大附子（一枚，生用，削去黑皮，破成八片）、干姜（半两，炮制）、甘草（半两，炙制）、葱白（十四茎）
制法：以上四味药切碎，用水三升，煮取一升二合，去渣，分两次温服。如果口渴、轻微呕吐、心下有水饮停留者，另一版本加犀角半两，效果很好。忌食海藻、菘菜、猪肉。（范汪观点相同，出自第十四卷张仲景《伤寒论》。白通汤只主治少阴病下利、四肢厥冷、无脉、干燥而烦躁的情况；白通加猪胆汁汤主治此证；原方本无甘草，也不加犀角。）
范汪治疗伤寒腹中微痛不止、下利的秦皮汤方。
组成：秦皮（三两）、黄连（四两）、白头翁（二两）、阿胶（三两）
制法：以上四味药，将前三味切碎，用水八升，煮取二升，绞去渣，加入阿胶使其溶化，待温度适宜，饭前饮用七合，每日两次。忌食猪肉、冷水。
另外豉薤汤，治疗伤寒突然腹泻，以及滞涩性下利腹痛的方剂。
组成：豆豉（一升）、薤白（一把，切成寸段）
制法：以上两味药，用水三升，煮至薤白熟透，滤去渣，分两次服用，如果不痊愈，再制作服用。
另外蕙草汤，治疗伤寒清热止下利的方剂。
组成：蕙草（二两）、黄连（四两）、当归（二两）
制法：以上三味药切碎，用水六升，煮取二升，待温度适宜，饮用五合，每日三次。忌食猪肉、冷水等物。
另外治疗伤寒下利脉微、足部厥冷的通草汤方。
组成：通草（一两）、干姜（一两）、枳实（四两，炙制）、人参（一两）、附子（一枚，炮制令裂开）
制法：以上五味药切碎，用水六升，煮取二升，待温度适宜，饮用五合，每日三次，如果不痊愈，稍增加至七合。忌食猪肉。（均出自第三十卷）
《短剧方》犀角汤，治疗热毒导致排出黄赤色汁液，以及红色如腐烂的血，以及红色滞涩如鱼脑状，伴有腹痛高热，诸药无效的方剂。
组成：黄柏（一两半）、黄芩（一两半）、白头翁（一两）、黄连（二两）、当归（一两）、牡蛎（一两半，熬制）、犀角（屑，半两）、艾叶（半两）、石榴皮（一两半）、桑寄生（一两）、甘草（一两，炙制）
制法：以上十一味药切碎，用水八升，煮取三升，分三次服用。忌食猪肉、冷水、海藻、菘菜。（出自第六卷，《古今录验》相同）
《集验方》治疗伤寒后下利脓血的柏皮汤方。
组成：黄柏（二两）、黄连（四两）、栀子仁（十四枚，掰开）、阿胶（一两，炙制）
制法：以上四味药切碎，用水六升，煮前三味药取二升，去渣，加入阿胶使其溶化，分两次温服。忌食猪肉、冷水。（范汪观点相同，出自第二卷）
《千金翼方》热利伴有里急后重，由白头翁汤主治的方剂。
组成：白头翁（二两）、黄柏（三两）、黄连（三两）、秦皮（三两，切碎）
制法：以上四味药切碎，用水七升，煮取二升，去渣，分次服用一升，如果不愈，继续服用。忌食猪肉、冷水。（范汪观点相同，出自第十卷，此为张仲景《伤寒论》方）
崔氏治疗伤寒后赤白滞下无数次的阮氏桃花汤方。
组成：赤石脂（八两，若寒多白滞者加四两）、粳米（一升）、干姜（四两，若寒多白滞者加四两，切碎）
制法：以上三味药，用水一斗，煮米熟，汤成去渣，服用一升，如果不痊愈，再制作服用。热多则大便带红色，寒多则大便带白色。（《千金翼方》加减略有不同，《伤寒论》、《千金》、范汪观点相同。张仲景《伤寒论》煮汤后调和赤石脂末一方寸匕服用。）
另外治疗伤寒热利的黄连丸方。
组成：黄连（三两，去毛）、当归（三两）、干姜（二两）、赤石脂（二两，切碎）
制法：以上四味药捣筛，用蜂蜜和丸如梧桐子大，每次服用三十丸，每日三次。叔尚书用此方治疗热痢，当年传播给东都各军营，以及夏口戍守的人发病的数千余人，我当时也复用此方，效果也很好，只是使用时不如各种汤剂迅速罢了，大约需要服用一百丸才能断根。忌食猪肉、冷水。（均出自第一卷）
张文仲、陶氏治疗伤寒下利的豉薤汤方。
组成：豆豉（一斤，绵裹）、薤白（一握）、栀子（十四枚，掰破）
制法：以上三味药，用水五升，煮取二升半，去渣，分三次温服。《短剧方》说，此方主治温毒，以及伤寒内虚，外热攻冲肠胃，排出黄赤色汁液，以及像烂肉汁一样的排泄物，并去除赤色滞涩，消除潜伏之气引起的腹痛等各种热毒，都能治愈它。用水四升，先煮栀子、薤白令熟，加入豆豉煮取二升，分三次服用。（《千金备急方》相同）
另外治疗伤寒下利，恶血不止的犀角汤方。
组成：干姜（一两）、犀角（一两，研末）、地榆（一两）、蜜（二合）
制法：以上四味药切碎，用水五升，煮取一升半，去渣，加入蜂蜜再煮至一升，分三次服用，病自会痊愈，这是治疗热毒蛊利的方剂。（《千金方》相同，均出自第十五卷）
[Background Information]
Book: *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Sixteen Formulas for Cold Damage with Dysentery and Pus-Blood-Yellow-Red Stools
Category: Formulas
[English Translation]
**Etiology:** In cold damage disease, if the exterior is excess and the interior is deficient, heat qi enters through the deficiency and attacks the intestines and stomach, resulting in the discharge of yellow-red fluid. If warm toxin qi is vigorous, abdominal pain and high fever occur, with discharge of pus and blood resembling fish brains or rotten meat juice. If cold toxin enters the stomach, abdominal fullness, body heat, and discharge of undigested food (clear谷物/qing gu) occur. For cases with discharge of undigested food, sweating methods to attack the exterior should not be used.
*Shanghan Lun* records: After six or seven days of cold damage, if diarrhea occurs accompanied by fever and dysentery, and the patient has incessant sweating, it is a death case, because there is only yin without yang (separation of yin and yang).
In diarrhea with slight fever, if the patient feels thirsty and the pulse is weak, self-healing is imminent. If the pulse is deep and wiry, there is a sensation of tenesmus. If the pulse is large, the condition has not stopped. If the pulse is slightly rapid, the condition is about to stop spontaneously; although fever is present, death will not occur. In Shaoyin disease after eight or nine days, if the whole body and hands and feet are hot, the heat is in the Bladder, inevitably leading to hematochezia and diarrhea. The pulse reversely floats and is rapid, the chi position pulse is choppy, and the patient must defecate pus and blood. In Shaoyin disease with diarrhea, if the diarrhea stops spontaneously, despite aversion to cold and a desire to curl up, if the hands and feet are warm, it is treatable. In Yangming disease with diarrhea...
*Shanghan Lun* records: In cold damage with diarrhea occurring more than ten times a day, if the pulse reversely becomes solid/excess, it is a death case. (From Volume 8, Zhang Zhongjing's *Shanghan Lun*, which mentions that Yangming disease originally has no diarrhea syndrome and purgatives should not be used; some versions say diarrhea with floating-large pulse indicates deficiency caused by forced purgation. If the pulse is floating-leather-like, causing borborygmus, warming should be applied; giving water causes hiccups.)
Zhang Zhongjing's *Shanghan Lun* states: Cold damage originally presenting with cold-type diarrhea, if the physician incorrectly uses emesis and purgation, and the illness does not resolve, leading to cold rejection and further reversal causing vomiting and diarrhea, where food is eaten and immediately vomited out, this belongs to the indication for Ganjiang Huanglian Renshen Tang (Dried Ginger, Coptis, and Ginseng Decoction).
**Formula: Ganjiang Huanglian Renshen Tang (Dried Ginger, Coptis, and Ginseng Decoction)**
Ingredients: Ganjiang (Dried Ginger), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Renshen (Ginseng Root) (each 3 liang).
Preparation: Cut the four herbs. Boil in 6 sheng of water to obtain 2 sheng. Remove dregs. Divide into two doses and take warm. Avoid pork, cold water, etc. (From Volume 6)
Additionally, in Taiyang disease with Guizhi syndrome, if the physician incorrectly uses purgation, leading to incessant diarrhea, with a rapid pulse indicating the exterior pathogen is unresolved, accompanied by wheezing and sweating, this belongs to the indication for Gegen Huangqin Huanglian Tang (Kudzu, Scutellaria, and Coptis Decoction).
**Formula: Gegen Huangqin Huanglian Tang (Kudzu, Scutellaria, and Coptis Decoction)**
Ingredients: Gegen (Puerariae Radix) (8 liang), Huanglian (Coptis Rhizome) (3 liang, golden color preferred), Huangqin (Scutellariae Radix) (3 liang, cut), Gancao (Licorice Root) (2 liang).
Preparation: Cut the four herbs. Boil in 8 sheng of water. First boil Gegen until reduced by 2 sheng, skim off foam, add other herbs, boil to obtain 2 sheng. Remove dregs. Divide into two doses and take warm. Avoid pork, cold water, Hai Zao (Sargassum), Song Cai (Chinese Cabbage). (From Volume 7)
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept in My Sleeve) treats cold damage with pus-blood discharge using Chishizhi Tang (Kaolin Decoction).
Ingredients: Chishizhi (Kaolinite) (2 liang, crushed), Ganjiang (Dried Ginger) (2 liang, cut), Fuzi (Aconite Lateral Root) (1 liang, processed and broken).
Preparation: Boil the three herbs in 5 sheng of water to obtain 3 sheng. Remove dregs. Divide into three doses and take warm. If umbilical pain occurs after taking, add Danggui (Angelica Sinensis Root) 1 liang and Shaoyao (Peony Root) 2 liang, boil in 6 sheng of water. Avoid pork. (Fan Wang and Zhang Wenzhong agree)
Additionally, for diarrhea with inability to eat, treating epidemic diseases, Huanglian Wan (Coptis Pill).
Ingredients: Huanglian (Coptis Rhizome) (1 liang), Wumei (Mume Fruit) (20 pieces, roasted dry).
Preparation: Pound the two herbs into powder. Make one pill the size of a chess piece. Boil 1 sheng of honey over low fire until suitable for pill-making. Shape into pills the size of wu zi (chinese chestnut seeds). Take 15 pills per dose, three times daily. Avoid pork, cold water. (From Volume 1)
Additionally, Baitong Tang (White Onion Decoction), treating persistent cold damage diarrhea/dysentery, thirst, inability to eat, deficiency with vexation.
Ingredients: Dafuzi (Large Aconite Lateral Root, raw, black skin removed, broken into 8 pieces) (1 piece), Ganjiang (Dried Ginger) (0.5 liang, processed), Gancao (Licorice Root) (0.5 liang, honey-fried), Congbai (Scallion White) (14 stems).
Preparation: Cut the four herbs. Boil in 3 sheng of water to obtain 1.2 sheng. Remove dregs. Divide into two doses and take warm. For those with thirst, slight vomiting, and water retention below the heart, another version adds Xijiao (Rhinoceros Horn) 0.5 liang for good effect. Avoid Hai Zao, Song Cai, pork. (Fan Wang agrees, From Volume 14, Zhang Zhongjing's *Shanghan Lun*. Baitong Tang mainly treats Shaoyin disease with diarrhea, cold limbs, absent pulse, dryness, and vexation; Baitong Jia Zhudan Tang treats this. The original formula has no Gancao and does not add Xijiao.)
Fan Wang treats cold damage with slight abdominal pain, incessant diarrhea, using Qinpi Tang (Bark of Fraxinus Decoction).
Ingredients: Qinpi (Fraxinus Bark) (3 liang), Huanglian (Coptis Rhizome) (4 liang), Baitouweng (Pulsatilla Root) (2 liang), Ejiao (Donkey-hide Gelatin) (3 liang).
Preparation: Cut the first three herbs. Boil in 8 sheng of water to obtain 2 sheng. Strain to remove dregs. Add gelatin to melt. When temperature is suitable, drink 0.7 sheng before meals, twice daily. Avoid pork, cold water.
Additionally, Chi-Xie Tang (Fermented Soybean and Allium Macrostemon Decoction), treating sudden cold damage diarrhea and stagnant dysentery with abdominal pain.
Ingredients: Chi (Fermented Soybean/Douchi) (1 sheng), Xiebai (Allii Macrostemonis Bulbus) (one handful, cut into inch segments).
Preparation: Boil the two herbs in 3 sheng of water until Xiebai is cooked. Strain to remove dregs. Divide into two doses. If not cured, prepare again.
Additionally, Huicao Tang (Melilotus/Herb Decoction - note: text says Hui Cao, likely referring to a specific herb like Melilotus or similar, kept as Huicao), treating cold damage to clear heat and stop diarrhea.
Ingredients: Huicao (Huicao Herb) (2 liang), Huanglian (Coptis Rhizome) (4 liang), Danggui (Angelica Sinensis Root) (2 liang).
Preparation: Cut the three herbs. Boil in 6 sheng of water to obtain 2 sheng. When temperature is suitable, drink 0.5 sheng, three times daily. Avoid pork, cold water, etc.
Additionally, Tongcao Tang (Tetrapanacis Medulla Decoction), treating cold damage diarrhea with faint pulse and cold feet.
Ingredients: Tongcao (Tetrapanacis Medulla) (1 liang), Ganjiang (Dried Ginger) (1 liang), Zhishi (Immature Bitter Orange) (4 liang, processed), Renshen (Ginseng Root) (1 liang), Fuzi (Aconite Lateral Root) (1 piece, processed until cracked).
Preparation: Cut the five herbs. Boil in 6 sheng of water to obtain 2 sheng. When temperature is suitable, drink 0.5 sheng, three times daily. If not cured, increase slightly to 0.7 sheng. Avoid pork. (All from Volume 30)
*Duanju Fang* (Short Drama Formula) Xijiao Tang (Rhinoceros Horn Decoction), treating heat toxin causing yellow-red fluid discharge, red blood like rotting flesh, red stagnation like fish brains, abdominal pain, high fever, ineffective with other formulas.
Ingredients: Huangbai (Phellodendron Bark) (1.5 liang), Huangqin (Scutellaria Root) (1.5 liang), Baitouweng (Pulsatilla Root) (1 liang), Huanglian (Coptis Rhizome) (2 liang), Danggui (Angelica Sinensis Root) (1 liang), Muli (Oyster Shell) (1.5 liang, calcined), Xijiao (Rhinoceros Horn) (0.5 liang, powdered), Aiye (Mugwort Leaf) (0.5 liang), Shiliupi (Pomegranate Peel) (1.5 liang), Sangjisheng (Taxillus Branch) (1 liang), Gancao (Licorice Root) (1 liang, honey-fried).
Preparation: Cut the eleven herbs. Boil in 8 sheng of water to obtain 3 sheng. Divide into three doses. Avoid pork, cold water, Hai Zao, Song Cai. (From Volume 6, *Gujin Luyan* agrees)
*Jiyan Fang* (Collected Proven Experiences) treats post-cold damage diarrhea with pus-blood using Bapi Tang (Phellodendron Bark Decoction).
Ingredients: Huangbai (Phellodendron Bark) (2 liang), Huanglian (Coptis Rhizome) (4 liang), Zhizi Ren (Gardenia Seed) (14 pieces, split), Ejiao (Donkey-hide Gelatin) (1 liang, honey-fried).
Preparation: Cut the four herbs. Boil the first three in 6 sheng of water to obtain 2 sheng. Remove dregs. Add gelatin to melt. Divide into two doses and take warm. Avoid pork, cold water. (Fan Wang agrees, From Volume 2)
*Qianjin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold) Heat diarrhea with tenesmus is treated by Baitouweng Tang (Pulsatilla Decoction).
Ingredients: Baitouweng (Pulsatilla Root) (2 liang), Huangbai (Phellodendron Bark) (3 liang), Huanglian (Coptis Rhizome) (3 liang), Qinpi (Fraxinus Bark) (3 liang, cut).
Preparation: Cut the four herbs. Boil in 7 sheng of water to obtain 2 sheng. Remove dregs. Divide doses to take 1 sheng. If not cured, continue taking. Avoid pork, cold water. (Fan Wang agrees, From Volume 10, this is Zhang Zhongjing's *Shanghan Lun* formula)
Cui Shi treats post-cold damage red-white stagnant dysentery numerous times using Ruan Shi Taohua Tang (Ruan's Peach Blossom Decoction).
Ingredients: Chishizhi (Kaolinite) (8 liang, add 4 liang if cold-dominant white stagnation), Jingmi (Glutinous Rice) (1 sheng), Ganjiang (Dried Ginger) (4 liang, cut, add 4 liang if cold-dominant white stagnation).
Preparation: Boil the three herbs in 1 dou of water until rice is cooked. Strain to remove dregs. Take 1 sheng. If not cured, prepare again. Heat-dominant presents with red stool; cold-dominant presents with white stool. (*Qianjin Yi Fang* differs slightly in additions/subtractions; *Shanghan Lun*, *Qianjin*, Fan Wang agree. Zhang Zhongjing's *Shanghan Lun*: mix decoction with Chishizhi powder, one cun bi dose).
Additionally, treating cold damage heat diarrhea, Huanglian Wan (Coptis Pill).
Ingredients: Huanglian (Coptis Rhizome) (3 liang, remove hairs), Danggui (Angelica Sinensis Root) (3 liang), Ganjiang (Dried Ginger) (2 liang), Chishizhi (Kaolinite) (2 liang, cut).
Preparation: Pound and sieve the four herbs. Mix with honey to make pills the size of wu zi. Take 30 pills per dose, three times daily. Uncle Shangshu used this to treat heat dysentery; that year it was spread to various military camps in the Eastern Capital and garrison troops at Xiakou, numbering thousands. I also reused it then, and it was good, but its action is not as fast as various decoctions. About 100 pills are needed to cure. Avoid pork, cold water. (All from Volume 1)
Zhang Wenzhong, Tao Shi treat cold damage diarrhea using Chi-Xie Tang (Fermented Soybean and Allium Macrostemon Decoction).
Ingredients: Chi (Fermented Soybean/Douchi) (1 jin, wrapped in silk), Xiebai (Allii Macrostemonis Bulbus) (one handful), Zhizi (Gardenia Fruit) (14 pieces, split).
Preparation: Boil the three herbs in 5 sheng of water to obtain 2.5 sheng. Strain to remove dregs. Divide into three doses and take warm. *Duanju Fang* says this formula mainly treats warm toxin, and cold damage with internal deficiency and external heat attacking intestines/stomach, causing yellow-red fluid discharge, rotten meat-like juice, removing red stagnation, eliminating latent qi causing abdominal pain, and all heat toxins can be cured by it. Use 4 sheng of water, first boil Zhizi and Xiebai until cooked, add Chi, boil to obtain 2 sheng, divide into three doses. (*Qianjin Beijifang* agrees)
Additionally, treating cold damage diarrhea with unceasing evil blood, Xijiao Tang (Rhinoceros Horn Decoction).
Ingredients: Ganjiang (Dried Ginger) (1 liang), Xijiao (Rhinoceros Horn) (1 liang, powdered), Diyü (Sanguisorba Root) (1 liang), Mi (Honey) (2 he).
Preparation: Cut the four herbs. Boil in 5 sheng of water to obtain 1.5 sheng. Remove dregs. Add honey and boil again to 1 sheng. Divide into three doses. Disease heals spontaneously. This treats heat toxin gu dysentery. (*Qianjin Fang* agrees, All from Volume 15)