〔凡痢〕腹不痛者，寒也。方用∶
白芍（三钱） 当归（三钱） 卜子（一钱） 枳壳（一钱） 槟榔（一钱） 甘草（一
钱） 水煎服
前方治壮实之人，火邪挟湿乃尔也。〔此方治寒痢腹不痛者。〕更有内伤劳倦、与中气虚
寒之人，脾不摄血而成血痢，当用理中汤加木香、肉桂；或〔用〕补中益气汤加熟地、炒黑
干姜，治之而愈〔也〕。
〔此症〕人以为大肠燥甚，谁知〔是〕肺气燥乎？〔盖〕肺燥则清肃之气不能下行于大
肠，
熟地（三两） 元参（三两） 升麻（三钱） 牛乳（一碗） 火麻仁（一钱）
水二樽，煎六分，将牛乳同调服之。一、二剂，必大便矣。
此方不在润大肠，而在补肾、大补肺。夫大肠居于下流，最难独治，必须从肾以润之，
从肺以清之，启其上窍，则下窍自然流动通利，此下病而治上之一法也。
大黄（五钱） 归尾（一两） 升麻（五分） 蜜（半樽） 水煎〔服〕
此方大黄泄利，当归以润之，仍以为君，虽泄而不至十分猛烈，不至有亡阴之弊；况有
升麻
凡久病之后，大便秘者，宜用此〔方〕
熟地（一两） 元参（一两） 当归（一两） 川芎（五钱） 火麻仁（一钱） 大黄
（一
膀胱之气化不行，即小便不通。是宜治膀胱而已矣，然而治法全不在膀胱也。方用∶
人参（三钱） 莲子（三钱） 茯苓（三钱） 车前子（一钱） 王不留（一钱） 肉
桂（一
此方妙在用人参、肉桂，盖膀胱必得气化而始出。气化者何？必（乃）心包络之气也；
既用参
群药；况车前子、王不留尽下泄之药，服之而前阴有不利者乎？
【凡痢】腹部不疼痛的，属于寒证。方剂如下：
白芍（三钱） 当归（三钱） 莱菔子（一钱） 枳壳（一钱） 槟榔（一钱） 甘草（一钱） 用水煎服。
前方适用于身体壮实之人，是火邪挟带湿邪所致。〔此方专门治疗寒性痢疾且腹部不疼痛的患者。〕更有因内伤劳倦、以及中气虚寒的人，脾脏不能统摄血液而形成的血痢，应当使用理中汤加入木香、肉桂；或者使用补中益气汤加入熟地黄、炒黑的干姜来治疗，即可痊愈。
〔这种症状〕人们以为是大肠过于干燥，谁知道其实是肺气干燥呢？〔因为〕肺燥则清肃之气不能下行到大肠，
熟地黄（三两） 玄参（三两） 升麻（三钱） 牛乳（一碗） 火麻仁（一钱）
水两碗，煎至六分，将牛乳混合调匀服用。一到两剂药后，必然能大便通畅。
此方不在于滋润大肠，而在于补肾、大补肺气。大肠位于下焦，最难单独治疗，必须从肾脏来滋润它，从肺部来清肃它，开启上部的窍道，下部的窍道自然流动通利，这是“下病治上”的一种方法。
大黄（五钱） 当归尾（一两） 升麻（五分） 蜂蜜（半碗） 用水煎服。
此方中大黄用于泻下通便，当归用来滋润肠道，仍以当归为君药，虽然具有泻下作用但不至于十分猛烈，不至于造成亡阴的危害；况且还有升麻……
凡是久病之后，出现大便秘结的，适宜使用此方。
熟地黄（一两） 玄参（一两） 当归（一两） 川芎（五钱） 火麻仁（一钱） 大黄（一……
膀胱的气化功能不行，就会导致小便不通。这似乎应该只治疗膀胱就可以了，然而治疗方法完全不在膀胱本身。方剂如下：
人参（三钱） 莲子（三钱） 茯苓（三钱） 车前子（一钱） 王不留行（一钱） 肉桂（一……
此方的妙处在于使用人参、肉桂，因为膀胱必须依赖气化功能才能排出尿液。所谓气化是什么？必然是心包络的气；既然用了人参……各种药物；况且车前子、王不留行都是向下泄利的药物，服用后前阴会有不利吗？
[Regarding Dysentery] Abdominal painlessness indicates a Cold syndrome. The prescription is as follows:
Bai Shao (Radix Paeoniae Alba, 3 qian) Dang Gui (Radix Angelicae Sinensis, 3 qian) Bo Zi (Fructus Brassicae, 1 qian) Zhi Qiao (Pericarpium Citri Reticulatae Viride, 1 qian) Bing Lang (Semen Arecae, 1 qian) Gan Cao (Radix Glycyrrhizae, 1 qian). Decoct in water and take orally.
The preceding formula is for robust individuals, where Fire pathogen combines with Dampness. [This formula treats Cold dysentery with abdominal painlessness.] For those with internal injury from overwork, or with deficiency-Cold of the Middle Jiao, where the Spleen fails to control blood resulting in bloody dysentery, one should use Lizhong Tang (Regulate the Middle Decoction) added with Mu Xiang (Radix Aucklandiae) and Rou Gui (Cortex Cinnamomi); or use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shu Di Huang (Prepared Radix Rehmanniae) and Chao Hei Gan Jiang (Stir-fried Black Rhizoma Zingiberis), which will lead to recovery.
[Regarding this symptom] People assume it is extreme dryness of the Large Intestine, who would know it is actually dryness of the Lung? [Because] when the Lung is dry, its Clear and Descending Qi cannot descend to the Large Intestine.
Shu Di Huang (Prepared Radix Rehmanniae, 3 liang) Yuan Shen (Radix Scrophulariae, 3 liang) Sheng Ma (Rhizoma Cimicifugae, 3 qian) Niu Nai (Cow's Milk, 1 bowl) Huo Ma Ren (Semen Cannabis, 1 qian).
Decoct in two bowls of water until reduced to six-tenths. Mix with cow's milk and take orally. After one or two doses, bowel movement will surely occur.
This formula does not focus on moistening the Large Intestine, but on tonifying the Kidney and greatly supplementing Lung Qi. Since the Large Intestine resides in the lower pathway and is difficult to treat alone, it must be moistened via the Kidney and cleared via the Lung. By opening the upper orifice, the lower orifice naturally flows and becomes unobstructed. This is a method of treating lower diseases by addressing the upper.
Da Huang (Radix et Rhizoma Rhei, 5 qian) Gui Wei (Radix Angelicae Sinensis Cauda, 1 liang) Sheng Ma (Rhizoma Cimicifugae, 5 fen) Mi (Honey, half bowl). Decoct in water and take orally.
In this formula, Da Huang purges and promotes defecation, while Dang Gui moistens; Dang Gui remains the Sovereign herb. Although it has a purgative effect, it is not extremely fierce, avoiding the detriment of Yin exhaustion; moreover, there is Sheng Ma...
For cases of chronic constipation following prolonged illness, this formula is suitable.
Shu Di Huang (Prepared Radix Rehmanniae, 1 liang) Yuan Shen (Radix Scrophulariae, 1 liang) Dang Gui (Radix Angelicae Sinensis, 1 liang) Chuan Xiong (Rhizoma Chuanxiong, 5 qian) Huo Ma Ren (Semen Cannabis, 1 qian) Da Huang (Radix et Rhizoma Rhei, 1...)
When the Qi transformation of the Bladder fails, urinary retention occurs. One might think only the Bladder needs treatment, but the therapeutic approach lies entirely elsewhere than the Bladder itself. The prescription is as follows:
Ren Shen (Radix Ginseng, 3 qian) Lian Zi (Semnen Nelumbinis, 3 qian) Fu Ling (Poria, 3 qian) Che Qian Zi (Semen Plantaginis, 1 qian) Wang Bu Liu Xing (Semen Vaccariae, 1 qian) Rou Gui (Cortex Cinnamomi, 1...)
The brilliance of this formula lies in using Ren Shen and Rou Gui, because the Bladder requires Qi transformation to excrete urine. What is Qi transformation? It is necessarily the Qi of the Pericardium Collateral (Xin Bao Luo); since Ren Shen was used... along with other herbs; furthermore, Che Qian Zi and Wang Bu Liu Xing are all downward-draining herbs, so how could the anterior orifice be obstructed after taking them?