夫久血痢者。由体虚受热。热折于血。血渗入肠。故成血痢。热若不歇。胃虚不复。故
为痢也。血久不痢者。多变呕哕。及为湿 也。
治久血痢。心神烦热。腹内疼痛。不思饮食。犀角散方。
犀角屑（一分） 赤芍药（三分） 伏龙肝（三分） 川升麻（半两） 青橘皮（半两
汤浸去白
瓤焙
两） 地
榆（三
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治血痢。经年月不瘥。黄连散方。
黄连（一两去须微炒） 黄柏 栀子仁 地榆 马蔺子 当归（锉微炒） 黄芩 茜根 柏
叶（以上各一分）
上件药。捣筛为散。每服半两。以水一中盏。煎至六分。去滓。不计时候温服。
治久血痢不瘥。四肢黄瘦。腹内疼痛。木香散方。
木香（半两） 樗树皮（一两炙黄锉） 茜根（一两） 地榆（一两锉） 甘草（半两
炙微赤锉）
犀角屑（二分） 黄连（一两去须微炒） 当归（一两锉微炒）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治久血痢不瘥。地榆散方。
地榆 臭椿树皮（炙） 野狼牙 黄芩（以上各半两）
上件药。捣筛为散。每服半两。以水一中（大）盏。煎至七分。去滓。不计时候。分温
二
服。
治久血痢。小腹结痛不可忍。艾叶散方。
艾叶（一两微炒） 黄芩（一两） 赤芍药（一两） 地榆（半两锉） 当归（一两半
锉微炒）
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候温服。
又方。
柏叶（二两） 地榆（一两锉）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治久血痢不止。腹痛心烦。桑黄散方。
桑黄（一两微炒） 地榆（三分锉） 黄连（三分去须微炒） 当归（一两锉微炒） 黄
芩（半
两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治久血痢。连年不瘥。鼠尾草散方。
鼠尾草（四两） 地榆（三两）
上件药。细锉。每服半两。以水一大盏。煎至六分。去滓。不计时候。分温二服。
治久血痢不止。腹中 痛。面黄羸瘦。当归散方。
当归（一两锉微炒） 樗树皮（一两炙黄锉） 黄连（一两去须微炒） 地榆（一两锉）
艾叶
（一两微炒） 酸石榴皮（三分烧灰） 阿胶（三分捣碎炒令黄燥）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治久血痢。日夜不止。宜服此樗树皮散方。
樗树皮（一两炙黄锉） 橡实（一两） 地榆（一两锉） 黄连（一两去须微炒） 甘
草（半两
炙微赤锉）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
又方。
香墨（二两） 木香（半两）
上件药。捣细罗为散。每服。不计时候。以粥饮调下一钱。
又方。
地肤子（一两） 地榆（三分锉） 黄芩（三分）
上件药。捣细罗为散。每服。不计时候。以粥饮调下二钱。
治久血痢。腹内疼痛。四肢羸瘦。面色萎黄。阿胶丸方。
阿胶（三分捣碎炒令黄燥） 地榆（一两半锉） 诃黎勒（三分用皮） 熟干地黄（一
两） 干
姜（半两炮
枳壳（半两
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以粥饮下三
十丸。
治久痢。久不效方。
构叶（一两） 橡斗子（半两） 缩砂（半两去皮）
上件药。都微炒过。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
牡蛎（二两烧为粉细研）
上以枣肉和为团。入文火烧令黄色。细研。每于食前。以粥饮调下一钱。
又方。
当归（一两细锉微炒）
上以水一大盏。入生姜半分。煎至六分。去滓。食前稍热分为二服。
久血痢，是由于体质虚弱感受热邪，热邪损伤血液，血液渗入肠道，从而形成血痢。如果热邪不能平息，胃气虚弱无法恢复，就会持续发生痢疾。如果血痢长期不愈，往往会转变为呕吐呃逆，以及湿证。
治疗久血痢，伴有心神烦热、腹部疼痛、不思饮食的症状，使用犀角散方。
犀角屑（一分） 赤芍药（三分） 伏龙肝（三分） 川升麻（半两） 青橘皮（半两，汤浸去白瓤焙干） 地榆（三两）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎至六分，去渣滓。不分时候温服。
治疗血痢，经过年月不愈，使用黄连散方。
黄连（一两，去须微炒） 黄柏 栀子仁 地榆 马蔺子 当归（锉碎微炒） 黄芩 茜根 柏叶（以上各一分）
以上药物，捣碎过筛制成散剂。每次服用半两，用水一中盏，煎至六分，去渣滓。不分时候温服。
治疗久血痢不愈，四肢黄瘦，腹部疼痛，使用木香散方。
木香（半两） 樗树皮（一两，炙黄锉碎） 茜根（一两） 地榆（一两，锉碎） 甘草（半两，炙微赤锉碎） 犀角屑（二分） 黄连（一两，去须微炒） 当归（一两，锉碎微炒）
以上药物，捣粗罗制成散剂。每次服用三钱，用水一中盏，煎至六分，去渣滓。不分时候温服。
治疗久血痢不愈，使用地榆散方。
地榆 臭椿树皮（炙） 野狼牙 黄芩（以上各半两）
以上药物，捣碎过筛制成散剂。每次服用半两，用水一大盏，煎至七分，去渣滓。不分时候，分两次温服。
治疗久血痢，小腹结聚疼痛难以忍受，使用艾叶散方。
艾叶（一两，微炒） 黄芩（一两） 赤芍药（一两） 地榆（半两，锉碎） 当归（一两半，锉碎微炒）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎至五分，去渣滓。不分时候温服。
又一方。
柏叶（二两） 地榆（一两，锉碎）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎至六分，去渣滓。不分时候温服。
治疗久血痢不止，腹痛心烦，使用桑黄散方。
桑黄（一两，微炒） 地榆（三分，锉碎） 黄连（三分，去须微炒） 当归（一两，锉碎微炒） 黄芩（半两） 甘草（半两，炙微赤锉碎）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎至六分，去渣滓。不分时候温服。
治疗久血痢，连年不愈，使用鼠尾草散方。
鼠尾草（四两） 地榆（三两）
以上药物，细锉碎。每次服用半两，用水一大盏，煎至六分，去渣滓。不分时候，分两次温服。
治疗久血痢不止，腹中疼痛，面色黄瘦，使用当归散方。
当归（一两，锉碎微炒） 樗树皮（一两，炙黄锉碎） 黄连（一两，去须微炒） 地榆（一两，锉碎） 艾叶（一两，微炒） 酸石榴皮（三分，烧成灰） 阿胶（三分，捣碎炒至黄燥）
以上药物，捣细罗制成散剂。每次服用，不分时候，用米粥汁调下二钱。
治疗久血痢，日夜不止，适宜服用此樗树皮散方。
樗树皮（一两，炙黄锉碎） 橡实（一两） 地榆（一两，锉碎） 黄连（一两，去须微炒） 甘草（半两，炙微赤锉碎）
以上药物，捣细罗制成散剂。每次服用，不分时候，用米粥汁调下二钱。
又一方。
香墨（二两） 木香（半两）
以上药物，捣细罗制成散剂。每次服用，不分时候，用米粥汁调下一钱。
又一方。
地肤子（一两） 地榆（三分，锉碎） 黄芩（三分）
以上药物，捣细罗制成散剂。每次服用，不分时候，用米粥汁调下二钱。
治疗久血痢，腹部疼痛，四肢消瘦，面色萎黄，使用阿胶丸方。
阿胶（三分，捣碎炒至黄燥） 地榆（一两半，锉碎） 诃黎勒（三分，用皮） 熟干地黄（一两） 干姜（半两，炮制） 枳壳（半两）
以上药物，捣罗成末，炼蜜调和捣三二百杵，制成梧桐子大小的丸剂。每次服用，不分时候，用米粥汁送下三十丸。
治疗久痢，长期无效的方法。
构叶（一两） 橡斗子（半两） 缩砂（半两，去皮）
以上药物，都微炒过后，捣细罗制成散剂。每次在饭前，用米粥汁调下二钱。
又一方。
牡蛎（二两，烧成粉细研）
以上药物用枣肉和成团，放入文火中烧至黄色，细研。每次在饭前，用米粥汁调下一钱。
Chronic bloody dysentery arises from a constitutionally deficient state combined with the invasion of heat pathogens. The heat damages the blood, causing it to seep into the intestines, thereby forming bloody dysentery. If the heat does not subside and the Stomach Qi remains deficient without recovering, dysentery persists. If bloody dysentery lingers for a long time, it often transforms into vomiting and hiccuping, or dampness syndromes.
For chronic bloody dysentery accompanied by vexatious heat in the heart-mind, abdominal pain, and loss of appetite, use Rhinoceros Horn Powder (Xijiao San).
Rhinoceros horn slices (1 fen), Red Peony Root (Chishao Yao, 3 fen), Longtan Earth (Fulonggan, 3 fen), Sichuan Ma Huang (Chuan Shengma, 0.5 liang), Green Tangerina Peel (Qing Ju Pi, 0.5 liang, soaked in boiling water, white pith removed, dried), Yunnan Sowthistle Root (Diyu, 3 liang).
The above ingredients are crushed, sifted, and made into a powder. Each dose is 4 qian, decocted with one medium bowl of water and half a piece of fresh ginger root until reduced to 6/10 of the original volume. Strain the dregs. Take warm at any time.
For bloody dysentery that has persisted for months or years without cure, use Coptis Powder (Huanglian San).
Coptis Rhizome (Huanglian, 1 liang, remove roots, lightly stir-fried), Phellodendron Bark (Huangbai), Gardenia Seed (Zhizi Ren), Yunnan Sowthistle Root (Diyu), Iris Tectorum Seed (Malinzi), Angelica Sinensis Root (Danggui, cut and lightly stir-fried), Scutellaria Root (Huangqin), Madder Root (Qiangen), Biota Leaf (Baiye) (each of the above 1 fen).
The above ingredients are crushed, sifted, and made into a powder. Each dose is 0.5 liang, decocted with one medium bowl of water until reduced to 6/10 of the original volume. Strain the dregs. Take warm at any time.
For chronic bloody dysentery that has not cured, presenting with yellowish emaciation of the four limbs and abdominal pain, use Aucklandia Powder (Muxiang San).
Aucklandia Root (Muxiang, 0.5 liang), Chinese Toon Tree Bark (Chupi Shu, 1 liang, roasted until yellow and cut), Madder Root (Qiangen, 1 liang), Yunnan Sowthistle Root (Diyu, 1 liang, cut), Licorice Root (Gancao, 0.5 liang, roasted until slightly red and cut), Rhinoceros horn slices (2 fen), Coptis Rhizome (Huanglian, 1 liang, remove roots, lightly stir-fried), Angelica Sinensis Root (Danggui, 1 liang, cut and lightly stir-fried).
The above ingredients are coarsely ground and sifted to make a powder. Each dose is 3 qian, decocted with one medium bowl of water until reduced to 6/10 of the original volume. Strain the dregs. Take warm at any time.
For chronic bloody dysentery that has not cured, use Yunnan Sowthistle Root Powder (Diyu San).
Yunnan Sowthistle Root (Diyu), Chinese Toon Tree Bark (roasted), Wild Tooth Grass (Ye Langya), Scutellaria Root (Huangqin) (each of the above 0.5 liang).
The above ingredients are crushed, sifted, and made into a powder. Each dose is 0.5 liang, decocted with one large bowl of water until reduced to 7/10 of the original volume. Strain the dregs. Divide into two doses and take warm at any time.
For chronic bloody dysentery with unbearable knotting pain in the lower abdomen, use Mugwort Leaf Powder (Aiye San).
Mugwort Leaf (Aiye, 1 liang, lightly stir-fried), Scutellaria Root (Huangqin, 1 liang), Red Peony Root (Chishao Yao, 1 liang), Yunnan Sowthistle Root (Diyu, 0.5 liang, cut), Angelica Sinensis Root (Danggui, 1.5 liang, cut and lightly stir-fried).
The above ingredients are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one medium bowl of water until reduced to 5/10 of the original volume. Strain the dregs. Take warm at any time.
Another prescription.
Biota Leaf (Baiye, 2 liang), Yunnan Sowthistle Root (Diyu, 1 liang, cut).
The above ingredients are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one medium bowl of water until reduced to 6/10 of the original volume. Strain the dregs. Take warm at any time.
For chronic bloody dysentery that does not stop, accompanied by abdominal pain and vexation, use Jackfruit Fungus Powder (Sanghuang San).
Jackfruit Fungus (Sanghuang, 1 liang, lightly stir-fried), Yunnan Sowthistle Root (Diyu, 3 fen, cut), Coptis Rhizome (Huanglian, 3 fen, remove roots, lightly stir-fried), Angelica Sinensis Root (Danggui, 1 liang, cut and lightly stir-fried), Scutellaria Root (Huangqin, 0.5 liang), Licorice Root (Gancao, 0.5 liang, roasted until slightly red and cut).
The above ingredients are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one medium bowl of water until reduced to 6/10 of the original volume. Strain the dregs. Take warm at any time.
For chronic bloody dysentery persisting for years without cure, use Salvia Miltiorrhiza Powder (Shuweicao San). Note: "Shuweicao" here likely refers to *Salvia miltiorrhiza* or a local herb named similarly, but literally "Mouse Tail Grass". Given the context of blood disorders, *Salvia* is common, but we translate literally as per text.
Salvia Miltiorrhiza / Mouse Tail Grass (Shuweicao, 4 liang), Yunnan Sowthistle Root (Diyu, 3 liang).
The above ingredients are finely cut. Each dose is 0.5 liang, decocted with one large bowl of water until reduced to 6/10 of the original volume. Strain the dregs. Divide into two doses and take warm at any time.
For chronic bloody dysentery that does not stop, with abdominal pain, sallow complexion, and emaciation, use Angelica Sinensis Powder (Danggui San).
Angelica Sinensis Root (Danggui, 1 liang, cut and lightly stir-fried), Chinese Toon Tree Bark (Chupi Shu, 1 liang, roasted until yellow and cut), Coptis Rhizome (Huanglian, 1 liang, remove roots, lightly stir-fried), Yunnan Sowthistle Root (Diyu, 1 liang, cut), Mugwort Leaf (Aiye, 1 liang, lightly stir-fried), Sour Pomegranate Peel (Suan Shiliu Pi, 3 fen, burned to ash), Donkey-hide Gelatin (Ejiao, 3 fen, crushed and roasted until yellow and dry).
The above ingredients are finely ground and sifted to make a powder. Each dose is taken at any time, mixed with two qian of rice gruel liquid.
For chronic bloody dysentery persisting day and night without stopping, this Chinese Toon Tree Bark Powder (Chupi Shu San) is suitable.
Chinese Toon Tree Bark (Chupi Shu, 1 liang, roasted until yellow and cut), Acorn (Xiangshi, 1 liang), Yunnan Sowthistle Root (Diyu, 1 liang, cut), Coptis Rhizome (Huanglian, 1 liang, remove roots, lightly stir-fried), Licorice Root (Gancao, 0.5 liang, roasted until slightly red and cut).
The above ingredients are finely ground and sifted to make a powder. Each dose is taken at any time, mixed with two qian of rice gruel liquid.
Another prescription.
Ink Stick (Xiangmo, 2 liang), Aucklandia Root (Muxiang, 0.5 liang).
The above ingredients are finely ground and sifted to make a powder. Each dose is taken at any time, mixed with one qian of rice gruel liquid.
Another prescription.
Chenopodium Fruit (Difuzi, 1 liang), Yunnan Sowthistle Root (Diyu, 3 fen, cut), Scutellaria Root (Huangqin, 3 fen).
The above ingredients are finely ground and sifted to make a powder. Each dose is taken at any time, mixed with two qian of rice gruel liquid.
For chronic bloody dysentery with abdominal pain, emaciation of the four limbs, and sallow complexion, use Donkey-hide Gelatin Pills (Ejiao Wan).
Donkey-hide Gelatin (Ejiao, 3 fen, crushed and roasted until yellow and dry), Yunnan Sowthistle Root (Diyu, 1.5 liang, cut), Chebula Fruit (Helile, 3 fen, using the peel), Prepared Rehmannia Root (Shu Dihuang, 1 liang), Dried Ginger (Ganjiang, 0.5 liang, processed), Aurantium Fruit (Zhiqiao, 0.5 liang).
The above ingredients are ground into powder, mixed with refined honey, and pounded three to two hundred times. Form pills the size of paulownia seeds. Each dose is taken at any time, washed down with thirty pills using rice gruel liquid.
For chronic dysentery where previous treatments have been ineffective for a long time.
Mulberry Leaf (Gouye, 1 liang), Acorn Cup (Xiangdouzi, 0.5 liang), Bitter Cardamom Seed (Suosha, 0.5 liang, peeled).
The above ingredients are all lightly stir-fried, then finely ground and sifted to make a powder. Each dose is taken before meals, mixed with two qian of rice gruel liquid.
Another prescription.
Oyster Shell (Muli, 2 liang, calcined into powder and finely ground).
Mix the above with jujube flesh to form balls. Roast over gentle fire until yellow, then grind finely. Each dose is taken before meals, mixed with one qian of rice gruel liquid.
Another prescription.
Angelica Sinensis Root (Danggui, 1 liang, finely cut and lightly stir-fried).
Decoct the above with one large bowl of water and half a piece of fresh ginger root until reduced to 6/10 of the original volume. Strain the dregs. Divide into two doses, take warm shortly before meals.