金文学达泉先生令政，暑月患痢赤白，一日夜三十余度，后重腿急，口渴，小腹痛。孕
已二
月，幸而腰不痛，右手脉弦，左脉滑。与白芍药三钱，黄连、黄芩、当归、陈皮、香附各一
钱，桂皮、木香各五分，水煎服。外与香连丸，服下后重稍轻。因进饭太早，其夜仍十数度
。次早诊之，右弦减半。前药煎成，吞女金丹，一帖痢减大半，六脉已和，但软弱。此气血
不足，宜从补养，用八珍汤加陈皮、香附、阿胶、条芩，一帖全安。凡孕妇痢疾，后重稍轻
，腹痛稍减，独痢不止，必须补养气血为主，加调气之剂为佐，庶可保胎。斯亦丹溪虚回
而痢自止之意也。
金元岩文学，下午发热，痢下红多白少，一日夜七十余度，后重下坠，饮食不思。左脉
细数
，右脉滑，此阴虚之候。询知二日前曾梦遗，续得痢疾，阴虚明矣。但滑脉主食积。法当先
补后攻，乃与小建中汤一帖，白芍药三钱，桂枝七分，粉草、酒连、酒芩各八分，当归一钱
，槟榔五分，水煎饮之。夜半复诊，脉稍克指，改与枳壳三钱，桃仁一钱，当归四钱，煎熟
，吞木香槟榔丸一钱五分。至天明大便泻三次，则见粪矣。次日午进饭，又食火肉，随即大
便频，并后重如前，与山楂枳术丸一服不效，再为诊之，六部皆虚软无力，独右关滑，此进
肉、饭太早，脾弱不能消磨，宜健脾气兼为升举。人参、黄 各二钱，白术一钱，升麻三钱
，防风、藿香、炮姜、粉草各五分，白芍药一钱半，茯苓八分，连进两帖，痢减而后重宽。
因食狗肉过多，复伤脾气，前方加砂仁、山楂，调理痊愈。
金文学达泉先生的夫人，在暑热月份患赤白痢疾，一昼夜腹泻三十多次，伴有里急后重、腿部拘急、口渴和小腹疼痛。怀孕已两个月，幸好腰部不痛，右手脉象弦，左手脉象滑。给予白芍药三钱，黄连、黄芩、当归、陈皮、香附各一钱，桂皮、木香各五分，水煎服用。外用香连丸辅助，服药后里急后重症状稍减轻。因为进食过早，当夜仍腹泻十几次。次日早晨诊察，右脉弦象减半。将前药煎好，吞服女金丹，一剂后痢疾减少大半，六部脉象已调和，但显得软弱。这是气血不足，应当以补养为主，使用八珍汤加陈皮、香附、阿胶、条芩，一剂后完全痊愈。凡是孕妇患痢疾，如果里急后重稍轻，腹痛稍减，唯独痢疾不止，必须以补养气血为主，辅以调气药物，这样才能保全胎儿。这也是丹溪先生“虚证恢复则痢疾自止”的意思。
金元岩文学，下午发热，痢下红色多白色少，一昼夜七十多次，伴有里急后重下坠感，不想饮食。左脉细数，右脉滑，这是阴虚的征候。询问得知两天前曾梦遗，随后患上痢疾，阴虚情况明确。但滑脉主宿食停滞。治法应当先补后攻，于是给予小建中汤一帖，白芍药三钱，桂枝七分，粉草、酒黄连、酒黄芩各八分，当归一钱，槟榔五分，水煎饮用。半夜再次诊察，脉象稍显有力（克指），改为枳壳三钱，桃仁一钱，当归四钱，煎熟后，吞服木香槟榔丸一钱五分。到天亮大便泻下三次，则可见粪便了。次日中午吃饭，又吃了红烧肉，随即大便频繁，并再次出现如前的里急后重，给予山楂枳术丸一服无效，再次诊察，六部脉象皆虚软无力，唯独右关脉滑，这是因为进食肉类和米饭过早，脾气虚弱不能消化，应当健脾气兼以升举。人参、黄芪各二钱，白术一钱，升麻三钱，防风、藿香、炮姜、粉草各五分，白芍药一钱半，茯苓八分，连续服用两帖，痢疾减轻且里急后重缓解。因为吃狗肉过多，再次损伤脾气，前方加入砂仁、山楂，调理后痊愈。
Mr. Jin Wenxue Daquan's wife suffered from dysentery with red and white discharge during the hot summer months, defecating more than thirty times a day, accompanied by tenesmus (a feeling of incomplete evacuation), leg cramps, thirst, and lower abdominal pain. She had been pregnant for two months; fortunately, her waist did not hurt. Her right pulse was wiry (Xian), and her left pulse was slippery (Hua). Prescribed were Bai Shao Yao (Radix Paeoniae Alba) 3 qian, Huang Lian (Rhizoma Coptidis), Huang Qin (Scutellariae Radix), Dang Gui (Radix Angelicae Sinensis), Chen Pi (Pericarpium Citri Reticulatae), and Xiang Fu (Cyperi Rhizoma) each 1 qian, plus Gui Pi (Cinnamomi Cortex) and Mu Xiang (Aucklandiae Radix) each 5 fen, decocted in water and taken orally. Externally, Xiang Lian Wan (Fragrant Coptis Pill) was administered, which slightly relieved the tenesmus after ingestion. However, because she ate too early, she still defecated over ten times that night. The next morning upon examination, the wiry quality of the right pulse had decreased by half. The previous decoction was prepared, and she swallowed Nv Jin Dan (Female Golden Pill); after one dose, the dysentery reduced by more than half, and all six pulse positions became harmonious, though weak and soft. This indicated deficiency of Qi and Blood, so treatment should focus on tonification and nourishment using Ba Zhen Tang (Eight Treasures Decoction) added with Chen Pi, Xiang Fu, E Jiao (Colla Corii Asini), and Tiao Qin (Scutellariae Radix). After one dose, she recovered completely. In cases of pregnant women suffering from dysentery, if tenesmus is slightly relieved and abdominal pain subsides but diarrhea persists, the primary treatment must be to tonify Qi and Blood, assisted by Qi-regulating agents, to ensure the preservation of the fetus. This aligns with Danxi’s principle that "when deficiency returns to normal, dysentery stops naturally."
Literati Jin Yuanyan experienced afternoon fever, with dysenteric stools containing more red blood than white mucus, defecating more than seventy times a day, accompanied by a sensation of heaviness and prolapse due to tenesmus, and loss of appetite. His left pulse was fine and rapid (Xi Shu), and his right pulse was slippery (Hua), indicating Yin deficiency. Upon inquiry, it was learned that he had nocturnal emission two days prior, followed by the onset of dysentery, confirming Yin deficiency. However, the slippery pulse also suggests food stagnation. The method should be to tonify first and then purge. Thus, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) was prescribed for one dose: Bai Shao Yao 3 qian, Gui Zhi (Ramulus Cinnamomi) 7 fen, Fen Cao (Glycyrrhizae Radix et Rhizoma Praeparata), Jiu Lian (Coptidis Rhizoma processed with wine), and Jiu Qin (Scutellariae Radix processed with wine) each 8 fen, Dang Gui 1 qian, and Bing Lang (Arecae Semen) 5 fen, decocted in water and drunk. At midnight, upon re-examination, the pulse felt slightly stronger against the fingers. The prescription was changed to Zhi Qiao (Fructus Aurantii) 3 qian, Tao Ren (Semen Persicae) 1 qian, and Dang Gui 4 qian, decocted and taken with Mu Xin Bing Lang Wan (Aucklandia and Areca Pill) 1.5 qian swallowed. By dawn, he had three bowel movements, and feces were visible. The next noon, after eating rice and then consuming braised pork, his bowel movements became frequent again, and tenesmus returned as before. Shan Zha Zhi Zhu Wan (Hawthorn and Immature Bitter Orange Pill) was given once without effect. Upon re-examination, all six pulse positions were deficient, soft, and powerless, except for the slippery pulse at the right Guan position. This was due to eating meat and rice too early, causing Spleen Qi weakness and inability to digest. Treatment should strengthen Spleen Qi and lift Yang. Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix) each 2 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 qian, Sheng Ma (Cimicifugae Rhizoma) 3 qian, Fang Feng (Saposhnikoviae Radix), Huo Xiang (Agastachis Herba), Pao Jiang (Zingiberis Rhizoma Praeparatum), and Fen Cao each 5 fen, Bai Shao Yao 1.5 qian, and Fu Ling (Poria) 8 fen were prescribed. After two consecutive doses, the dysentery decreased, and tenesmus eased. Due to excessive consumption of dog meat, which further injured Spleen Qi, Sha Ren (Amomi Fructus) and Shan Zha (Crataegi Fructus) were added to the previous formula, leading to recovery through regulation.