治滞下赤白便脓血。后重。
初痢多宗芍药汤。芩连槟草桂归香。（芍药三钱。黄芩黄连当归各八分。肉桂三分。甘
草槟榔木香各五分。水煎服。痢不减。加大黄。）须知。（调气。兼。行血。后重便脓自尔康。
痢不
陈修园曰。此方原无深义。不过以行血则便脓自愈。调气则后重自除立法。方中当归白
芍以调血。木香槟榔以调气。芩连燥湿而清热。甘草调中而和药又用肉桂之温。是反佐法。
芩连必有所制之而不偏也。或加大黄之勇。是通滞法。实痛必大下之而后已也。余又有加减
之法。肉桂色赤入血分。赤痢取之为反佐。而地榆、川芎、槐花之类。亦可加入也。干姜辛
热入气分。白痢取之为反佐。而苍术砂仁茯苓之类。亦可加入也。方无深义。罗东逸方论。
求深而反浅。
治脏腑不和。津液偏渗于膀胱。以致小便多。大便秘结者。
燥热便难脾约丸。芍麻枳朴杏黄餐。（白芍、火麻仁、杏仁、去皮尖、枳实、浓朴、姜
炒各五两五钱蒸大黄十两。炼蜜丸如桐子大。白汤送下二十丸大便利即止。）润而甘缓存津
液。溺数肠干
陈修园曰物之多脂者。可以润燥。故以麻仁为君。杏仁为臣。破结者必以苦故以大黄之
苦寒。芍药之苦平为佐。行滞者必顺气故以枳实顺气而除痞。浓朴顺气以泄满为佐。以蜜为
丸者。取其缓行而不骤也。
治疗痢疾，大便带有脓血，里急后重。
初起患痢疾多采用芍药汤。方中包含黄芩、黄连、槟榔、甘草、肉桂、当归、木香。（芍药三钱，黄芩、黄连、当归各八分，肉桂三分，甘草、槟榔、木香各五分，水煎服。如果痢疾症状不减，加大黄。）必须知道，（调理气机，兼以活血，里急后重和大便脓血自然痊愈，痢疾不愈……）
陈修园说：这个方子原本没有深奥的道理。不过是依据“行血则便脓自愈，调气则后重自除”的原则立法的。方中用当归、白芍来调和血液，用木香、槟榔来调理气机，用黄芩、黄连燥湿清热，用甘草调和脾胃并协调诸药，又加入肉桂的温性，这是反佐法。黄芩、黄连必然有所制约而不偏颇。或者加入大黄的猛烈药性，这是通滞法。实证疼痛必须通过峻下才能停止。我还有加减的方法。肉桂色赤入血分，治疗赤痢时取它作为反佐，而地榆、川芎、槐花之类，也可以加入。干姜辛热入气分，治疗白痢时取它作为反佐，而苍术、砂仁、茯苓之类，也可以加入。方子没有深奥道理，罗东逸对方论的追求深入反而显得浅薄。
治疗脏腑功能不和，津液偏渗于膀胱，导致小便频多，大便秘结的情况。
使用脾约丸治疗因燥热引起的大便困难。方中包含白芍、火麻仁、枳实、厚朴、杏仁、大黄。（白芍、火麻仁、杏仁[去皮尖]、枳实、厚朴[姜炒]各五两五钱，蒸大黄十两，炼蜜制成如梧桐子大小的丸剂，白开水送服二十丸，大便通畅即停药。）滋润且甘缓以保存津液，尿频而肠道干燥。
陈修园说：油脂多的物品，可以润燥。所以用火麻仁为君药，杏仁为臣药。破除结聚必须用苦味药，所以用大黄之苦寒，芍药之苦平作为佐药。消除滞涩必须顺气，所以用枳实顺气以消除痞满，厚朴顺气以泄除胀满。用蜂蜜制丸，是取其药力缓行而不骤猛的意思。
Treats dysentery (dysentery) with pus and blood in the stool, and tenesmus (a feeling of incomplete defecation).
For initial onset of dysentery, Shaoyao Tang (Peony Decoction) is generally adopted. It contains Huangqin (Scutellariae Radix), Lianlian (Coptidis Rhizoma), Binglang (Arecae Semen), Gancao (Glycyrrhizae Radix et Rhizoma), Rougui (Cinnamomi Cortex), Gui (Angelicae Sinensis Radix), and Xiang (Aucklandiae Radix). [Shaoyao 3 qian, Huangqin, Lianlian, and Gui each 8 fen, Rougui 3 fen, Gancao, Binglang, and Xiang each 5 fen; decoct in water and take orally. If dysentery does not subside, add Dahuang.] One must understand that [regulating Qi and promoting blood circulation will naturally resolve tenesmus and pus/blood in the stool; if dysentery persists...]
Chen Xiuyuan said: This formula originally lacks profound meaning. It is merely based on the principle that "promoting blood circulation heals pus and blood in the stool, while regulating Qi eliminates tenesmus." In the formula, Danggui (Angelicae Sinensis Radix) and Baishao (Paeoniae Radix Alba) are used to harmonize blood; Muxiang (Aucklandiae Radix) and Binglang (Arecae Semen) are used to regulate Qi; Huangqin (Scutellariae Radix) and Lianlian (Coptidis Rhizoma) dry dampness and clear heat; Gancao (Glycyrrhizae Radix et Rhizoma) harmonizes the middle jiao and moderates the other herbs; and the warmth of Rougui (Cinnamomi Cortex) is added as a counter-agent (antidote/reversal method). Huangqin and Lianlian are necessarily restrained to prevent bias. Alternatively, the potent action of Dahuang (Rhei Radix et Rhizoma) is employed for the method of unblocking stagnation. For excess pain, vigorous purgation is required until it ceases. I also have methods for modification. Rougui (Cinnamomi Cortex) is red and enters the blood level; for red dysentery, it is taken as a counter-agent, and herbs such as Diyü (Sanguisorbae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Huaihua (Sophorae Flos) can also be added. Ganjiang (Zingiberis Rhizoma) is acrid and hot, entering the qi level; for white dysentery, it is taken as a counter-agent, and herbs such as Cangzhu (Atractylodis Rhizoma), Sharen (Amomi Fructus), and Fuling (Poria) can also be added. The formula has no profound meaning; Luo Dongyi's discussion of formulas seeks depth but ends up being shallow.
Treats disharmony of the zang-fu organs, where body fluids leak excessively into the bladder, resulting in frequent urination and constipation.
Use Piyue Wan (Splee Restriction Pill) to treat difficulty in defecation caused by dryness-heat. It contains Baishao (Paeoniae Radix Alba), Huomaren (Mallavi Semen), Zhishi (Aurantii Fructus Immaturus), Houpo (Magnoliae Officinalis Cortex), Xingren (Armeniacae Semen Amarum), and Huanglian (Coptidis Rhizoma - *Note: Text says Huanglian in poem but Dahuang in prescription details, context implies Dahuang/Rhubarb for constipation*). [Baishao, Huomaren, Xingren [deprived of skin and tip], Zhishi, and Houpo [stir-fried with ginger] each 5 liang 5 qian; Zheng Dahuang (Steamed Rhubarb) 10 liang; refine honey to make pills the size of tung tree seeds; take 20 pills with warm water; stop when bowel movement becomes smooth.] Moistening and sweet-slowing preserves body fluids; frequent urination with dry intestines.
Chen Xiuyuan said: Substances rich in oil can moisten dryness. Therefore, Huomaren (Mallavi Semen) is used as the sovereign herb, and Xingren (Armeniacae Semen Amarum) as the minister herb. To break accumulations, bitter substances are necessary; thus, the bitter-cold nature of Dahuang (Rhei Radix et Rhizoma) and the bitter-neutral nature of Baishao (Paeoniae Radix Alba) are used as assistant herbs. To move stagnation, one must follow the flow of Qi; therefore, Zhishi (Aurantii Fructus Immaturus) follows Qi to eliminate fullness/stagnation, and Houpo (Magnoliae Officinalis Cortex) follows Qi to drain distension as an assistant herb. Using honey to make pills takes advantage of its slow-moving property, preventing abrupt action.