夫乳石之性刚猛。气多炎上。理之伤温。则火转为炽。内煎脾肺。苦热遂成。其渴饮水
过多
下痢
方
黄柏汤（出圣济总录）治乳石发。夹时行。兼有客热。下血痢。止血。
黄柏（微炙锉碎） 黄连（去须） 石榴皮（炙锉碎） 芍药（各半两） 干姜（炮裂
一两） 阿
胶（
滓温
服
黄 散（出圣惠方）治乳石发动。热毒伤肠胃。下痢腹痛。
黄 地榆 当归（锉微炒各一两） 茜根 黄柏（各三分） 犀角屑（半两） 上为
散。每
服半
木香散（出圣惠方）治乳石发动。变下痢。赤色。腹痛不可忍。
木香（二分） 黄连（去须） 当归（锉微炒） 地榆（锉各一两） 甘草（炙微赤锉
半两） 赤
芍药
地榆散（出圣惠方）治乳石发动。烦热腹痛。变为下痢。不欲饮食。
地榆（一两） 木香（半两） 葳蕤 当归（锉微炒） 黄芩（各三分） 上为散。每
服四钱。
水一
黄连汤 治解散除热止痢。
甘草（炙） 升麻（各一两） 黄连（锉三两） 豉（五合） 栀子仁（十四枚） 上
切。以水三
升。
犀角散（出圣惠方）治乳石发动。心神虚烦。变为下痢。腹痛。不思饮食。
犀角屑 木香（各十两） 地榆（一两） 赤芍药 黄芩（各三分） 上为散。分为六
服。每
服以
白术散（出圣惠方）治乳石发动。多服凉药过度。致脾胃虚冷。腹痛下痢。
不能饮食。
白术 当归（锉微炒） 陈橘皮（用汤浸去白切焙各一两） 人参（去芦头三分） 木
香（半
两）
稍热服。
栀子仁汤（出圣济总录）治乳石发下痢。
栀子仁（二十一枚） 人参 黄连（去须） 甘草（炙令赤色锉各三两） 上粗捣筛。
每服四
钱。
香豉饮（出圣济总录名葱白豉汤）治乳石发下痢。
豉（五合） 葱白（一握切） 干姜（炮制捣末二两） 甘草（微炙锉捣末一两） 上
先以水三
盏。
滓。
治痈肿热盛。取冷过多。寒中下痢。食入完出。
甘草（炙） 干姜 附子（炮各六两） 蜀椒（二百三十枚去汗） 上切以水六升。煮
取三
升。分
黄连汤（出圣济总录）治乳石发白痢。
黄连（去须绵裹一两） 白蜜（一合） 童子小便（二盏）
上以水二盏。与小便渍药一宿。煎至一盏半。去滓。分为二服。弱人三服。早晨日午晚
后各
栀子汤（出圣济总录）治乳石发赤白痢。兼热烦闷。
栀子仁（十枚） 薤白（一握切） 豉（一合） 上以水三盏。煎至一盏半。去滓。分
温二服。
弱
黄连汤（出圣济总录）治乳石发下痢。
黄连（去须一两） 豉（五合外台秘要方不用豉） 乌梅（取肉十枚） 上锉碎。以水
三盏。
入童
粱米汤（出圣济总录）治乳石发散。已经快利。热尚不退。兼痢不断。
粱米（一合） 黄连（去须锉碎三两） 上粗捣筛。以水四盏。煎至一盏。分三服。去
滓食
前温服。一日令尽。
治乳石下痢。及常服压石方。（出圣济总录）
用豉三两炒令黄香。候冷捣筛为末。每服二钱。冷水调下。又方服干豉即止。多服益佳。
解乳石痢方（出圣济总录）
用紫笋茶二两。捣罗为末。每服三钱。以水一盏煎至七分。和滓服之。早晨日午晚后食
前各
治药发下痢。
用干姜五两。切。以水二升。煮取一升。去滓顿服。
治热毒赤白痢
用羊肝去膜、切。以水淘二十遍。血尽。以粟米饭拌作面饼。以水煮熟。漉着浆水中淘
之。
解石痢方（出圣济总录）
用真好芥淡煮浓汁。服二三盏。重者三服。轻者一二服瘥。
若下痢如寒中者。为行止食饮犯热所致。
宜速脱衣。冷食冷冻饮料。冷水洗即瘥。
乳石的药性刚烈猛烈。其气多炎上（向上熏蒸）。如果调理不当导致受温邪，则火热之势转为炽盛，在内煎熬脾肺，苦热遂成。因其口渴而饮水过多，导致下痢。
黄柏汤（出自《圣济总录》），治疗乳石发动，夹杂时行疫病，兼有客热，出现下血痢，能止血。
药材：黄柏（微炙后锉碎）、黄连（去须）、石榴皮（炙后锉碎）、芍药（各半两）、干姜（炮裂，一两）、阿胶（捣碎）。
用法：上药为散。每服三钱，水一盏，煎至七分，去滓，温服。
黄芩散（出自《圣惠方》），治疗乳石发动，热毒伤害肠胃，导致下痢腹痛。
药材：黄芩、地榆、当归（锉碎后微炒，各一两）、茜根、黄柏（各三分）、犀角屑（半两）。
用法：上药为散。每服二钱，水一中盏，煎至六分，去滓，温服。
木香散（出自《圣惠方》），治疗乳石发动，变为下痢，大便赤色，腹痛不可忍受。
药材：木香（二分）、黄连（去须）、当归（锉碎后微炒）、地榆（锉碎，各一两）、甘草（炙微赤锉碎，半两）、赤芍药。
用法：上药为散。每服三钱，水一中盏，煎至六分，去滓，温服。
地榆散（出自《圣惠方》），治疗乳石发动，烦热腹痛，变为下痢，不欲饮食。
药材：地榆（一两）、木香（半两）、葳蕤、当归（锉碎后微炒）、黄芩（各三分）。
用法：上药为散。每服四钱，水一中盏，煎至六分，去滓，温服。
黄连汤，治疗解散除热止痢。
药材：甘草（炙）、升麻（各一两）、黄连（锉碎，三两）、豉（五合）、栀子仁（十四枚）。
用法：上药切碎。以水三升，煎至一升，去滓，分温二服。
犀角散（出自《圣惠方》），治疗乳石发动，心神虚烦，变为下痢，腹痛，不思饮食。
药材：犀角屑、木香（各十两）、地榆（一两）、赤芍药、黄芩（各三分）。
注：原文此处剂量“十两”疑为笔误或特殊用法，依原文录入。
用法：上药为散。分为六服。每服以水一中盏，煎至六分，去滓，温服。
白术散（出自《圣惠方》），治疗乳石发动，多服凉药过度，致使脾胃虚冷，腹痛下痢，不能饮食。
药材：白术、当归（锉碎后微炒）、陈橘皮（用汤浸去白切焙，各一两）、人参（去芦头，三分）、木香（半两）。
用法：上药为散。每服三钱，水一中盏，煎至六分，去滓，稍热服。
栀子仁汤（出自《圣济总录》），治疗乳石发下痢。
药材：栀子仁（二十一枚）、人参、黄连（去须）、甘草（炙令赤色锉碎，各三两）。
用法：上药粗捣筛。每服四钱，水一中盏，煎至六分，去滓，温服。
香豉饮（出自《圣济总录》，名葱白豉汤），治疗乳石发下痢。
药材：豉（五合）、葱白（一握切碎）、干姜（炮制捣末，二两）、甘草（微炙锉捣末，一两）。
用法：上药先以水三盏，煎至一盏，去滓，温服。
治痈肿热盛，取冷过多，寒中下痢，食入完出（食物原样排出）。
药材：甘草（炙）、干姜、附子（炮，各六两）、蜀椒（二百三十枚，去汗）。
用法：上药切碎，以水六升，煮取三升，分温三服。
黄连汤（出自《圣济总录》），治疗乳石发白痢。
药材：黄连（去须绵裹，一两）、白蜜（一合）、童子小便（二盏）。
用法：以上药用水二盏，与小便浸泡药物一夜，煎至一盏半，去滓，分为二服。体弱者三服。早晨、日午、晚后各服一次。
栀子汤（出自《圣济总录》），治疗乳石发赤白痢，兼热烦闷。
药材：栀子仁（十枚）、薤白（一握切碎）、豉（一合）。
用法：以上药以水三盏，煎至一盏半，去滓，分温二服。体弱者三服。
黄连汤（出自《圣济总录》），治疗乳石发下痢。
药材：黄连（去须，一两）、豉（五合，《外台秘要》方不用豉）、乌梅（取肉，十枚）。
用法：以上药锉碎，以水三盏，入童便一盏，煎至一盏，去滓，温服。
粱米汤（出自《圣济总录》），治疗乳石发散，已经快利（腹泻急迫），热尚不退，兼痢不断。
药材：粱米（一合）、黄连（去须锉碎，三两）。
用法：以上药粗捣筛，以水四盏，煎至一盏，分三服。去滓，食前温服。一日令尽。
治乳石下痢，及常服压石方。（出自《圣济总录》）
用法：用豉三两，炒令黄香，候冷捣筛为末。每服二钱，冷水调下。又方：服干豉即止，多服益佳。
解乳石痢方（出自《圣济总录》）
用法：用紫笋茶二两，捣罗为末。每服三钱，以水一盏煎至七分，和滓服之。早晨、日午、晚后食前各服一次。
治药发下痢。
用法：用干姜五两，切，以水二升，煮取一升，去滓顿服。
治热毒赤白痢
用法：用羊肝去膜、切，以水淘二十遍，血尽，以粟米饭拌作面饼，以水煮熟，漉着浆水中淘之。食之。
解石痢方（出自《圣济总录》）
用法：用好真芥菜淡煮浓汁。服二三盏。重者三服，轻者一二服瘥。
The nature of *rushi* (mineral drugs) is rigid and fierce. Its qi tends to flare upward. If regulated improperly leading to warmth injury, the fire turns blazing, internally frying the Spleen and Lungs, resulting in bitter heat. Due to excessive thirst from drinking too much water, dysentery ensues.
Huangbai Tang (Cinnamon Twig Decoction - *Note: Text says Huangbai/Bark, standard translation for Huangbai is Phellodendri Cortex Decoction*) (from *Shengji Zonglu*), treats *rushi* activation complicated by epidemic pathogens, with guest heat, bloody dysentery, and stops bleeding.
Herbs: Huangbai (Phellodendri Cortex, slightly roasted and chopped), Huanglian (Coptidis Rhizoma, stamens removed), Shiliupi (Pomegranate Peel, roasted and chopped), Shaoyao (Peony Root, each 0.5 liang), Ganjiang (Dried Ginger, processed until cracked, 1 liang), Ejiao (Donkey-hide Gelatin).
Usage: The above herbs are made into powder. Take 3 qian per dose, boil with 1 zhan of water until reduced to 0.7 zhan, remove dregs, and take warm.
Huangqin San (Scutellaria Powder) (from *Shenghui Fang*), treats *rushi* activation where heat-toxin damages the intestines and stomach, causing dysentery and abdominal pain.
Herbs: Huangqin (Scutellariae Radix), Diyü (Sanguisorbae Radix), Danggui (Angelicae Sinensis Radix, chopped and slightly roasted, each 1 liang), Qiangen (Rubiae Radix), Huangbai (Phellodendri Cortex, each 0.3 fen), Xijiaoxie (Rhinocerotis Cornu fragments, 0.5 liang).
Usage: The above herbs are made into powder. Take 2 qian per dose, boil with 1 zhongzhan of water until reduced to 0.6 zhan, remove dregs, and take warm.
Muxiang San (Aucklandiae Powder) (from *Shenghui Fang*), treats *rushi* activation changing into dysentery with red stool and unbearable abdominal pain.
Herbs: Muxiang (Costi Radix, 0.2 fen), Huanglian (Coptidis Rhizoma, stamens removed), Danggui (Angelicae Sinensis Radix, chopped and slightly roasted), Diyü (Sanguisorbae Radix, chopped, each 1 liang), Gancao (Licorice Root, roasted until slightly red and chopped, 0.5 liang), Chishaoyao (Red Peony Root).
Usage: The above herbs are made into powder. Take 3 qian per dose, boil with 1 zhongzhan of water until reduced to 0.6 zhan, remove dregs, and take warm.
Diyü San (Sanguisorbae Powder) (from *Shenghui Fang*), treats *rushi* activation with vexing heat and abdominal pain, changing into dysentery with loss of appetite.
Herbs: Diyü (Sanguisorbae Radix, 1 liang), Muxiang (Costi Radix, 0.5 liang), Weirui (Polygonati Odorati Rhizoma), Danggui (Angelicae Sinensis Radix, chopped and slightly roasted), Huangqin (Scutellariae Radix, each 0.3 fen).
Usage: The above herbs are made into powder. Take 4 qian per dose, boil with 1 zhongzhan of water until reduced to 0.6 zhan, remove dregs, and take warm.
Huanglian Tang (Coptis Decoction), treats dispersing resolution, removing heat, and stopping dysentery.
Herbs: Gancao (Licorice Root, roasted), Shengma (Cimicifugae Rhizoma, each 1 liang), Huanglian (Coptidis Rhizoma, chopped, 3 liang), Chi (Fermented Soybean Paste, 5 he), Zhizi Ren (Gardeniae Semen, 14 pieces).
Usage: The above herbs are cut. Boil with 3 sheng of water until reduced to 1 sheng, remove dregs, divide into two warm doses.
Xijiao San (Rhinoceros Horn Powder) (from *Shenghui Fang*), treats *rushi* activation with empty vexation of the heart-mind, changing into dysentery, abdominal pain, and lack of desire to eat.
Herbs: Xijiaoxie (Rhinocerotis Cornu fragments), Muxiang (Costi Radix, each 10 liang), Diyü (Sanguisorbae Radix, 1 liang), Chishaoyao (Red Peony Root), Huangqin (Scutellariae Radix, each 0.3 fen).
Usage: The above herbs are made into powder. Divide into six doses. For each dose, boil with 1 zhongzhan of water until reduced to 0.6 zhan, remove dregs, and take warm.
Baizhu San (Atractylodis Macrocephalae Powder) (from *Shenghui Fang*), treats *rushi* activation where excessive intake of cooling medicines causes deficiency-cold of the Spleen and Stomach, leading to abdominal pain, dysentery, and inability to eat.
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix, chopped and slightly roasted), Chenjupi (Tangerine Peel, soaked in hot water, white part removed, cut, and baked, each 1 liang), Renshen (Ginseng Radix, radicles removed, 0.3 fen), Muxiang (Costi Radix, 0.5 liang).
Usage: The above herbs are made into powder. Take 3 qian per dose, boil with 1 zhongzhan of water until reduced to 0.6 zhan, remove dregs, and take slightly warm.
Zhizi Ren Tang (Gardeniae Decoction) (from *Shengji Zonglu*), treats *rushi* activation causing dysentery.
Herbs: Zhizi Ren (Gardeniae Semen, 21 pieces), Renshen (Ginseng Radix), Huanglian (Coptidis Rhizoma, stamens removed), Gancao (Licorice Root, roasted until red and chopped, each 3 liang).
Usage: The above herbs are coarsely pounded and sifted. Take 4 qian per dose, boil with 1 zhongzhan of water until reduced to 0.6 zhan, remove dregs, and take warm.
Xiangchi Yin (Fermented Bean Drink) (from *Shengji Zonglu*, also named Congbai Chi Tang), treats *rushi* activation causing dysentery.
Herbs: Chi (Fermented Soybean Paste, 5 he), Congbai (Scallion White, one handful chopped), Ganjiang (Dried Ginger, processed and pounded into powder, 2 liang), Gancao (Licorice Root, slightly roasted, chopped, and pounded into powder, 1 liang).
Usage: First boil the above herbs with 3 zhan of water until reduced to 1 zhan, remove dregs, and take warm.
For treating carbuncles and sores with excess heat, taking too much cold leads to cold damaging the interior and dysentery where food passes through undigested.
Herbs: Gancao (Licorice Root, roasted), Ganjiang (Dried Ginger), Fuzi (Prepared Aconite Root, processed, each 6 liang), Shujiao (Sichuan Pepper, 230 pieces, perspiration removed).
Usage: Cut the above herbs. Boil with 6 sheng of water until reduced to 3 sheng, divide into three warm doses.
Huanglian Tang (Coptis Decoction) (from *Shengji Zonglu*), treats *rushi* activation causing white dysentery.
Herbs: Huanglian (Coptidis Rhizoma, stamens removed and wrapped in silk, 1 liang), Baimi (White Honey, 1 he), Tongzi Xiaonian (Child's Urine, 2 zhan).
Usage: Soak the herbs in 2 zhan of water and child's urine overnight. Boil until reduced to 1.5 zhan, remove dregs, and divide into two doses. For weak persons, divide into three doses. Take once in the morning, at noon, and in the evening.
Zhizi Tang (Gardeniae Decoction) (from *Shengji Zonglu*), treats *rushi* activation causing red and white dysentery, accompanied by heat and vexation.
Herbs: Zhizi Ren (Gardeniae Semen, 10 pieces), Xiebai (Allii Macrostemonis Bulbus, one handful chopped), Chi (Fermented Soybean Paste, 1 he).
Usage: Boil with 3 zhan of water until reduced to 1.5 zhan, remove dregs, and divide into two warm doses. For weak persons, divide into three doses.
Huanglian Tang (Coptis Decoction) (from *Shengji Zonglu*), treats *rushi* activation causing dysentery.
Herbs: Huanglian (Coptidis Rhizoma, stamens removed, 1 liang), Chi (Fermented Soybean Paste, 5 he; note: *Waitai Miyao* does not use Chi), Wumei (Mume Fruit, flesh only, 10 pieces).
Usage: Chop the above herbs. Boil with 3 zhan of water and 1 zhan of child's urine until reduced to 1 zhan, remove dregs, and take warm.
Liangmi Tang (Broomcorn Millet Decoction) (from *Shengji Zonglu*), treats *rushi* dispersion where rapid diarrhea has occurred, heat remains unsubsided, and dysentery continues.
Herbs: Liangmi (Broomcorn Millet, 1 he), Huanglian (Coptidis Rhizoma, stamens removed and chopped, 3 liang).
Usage: Coarsely pound and sift the above herbs. Boil with 4 zhan of water until reduced to 1 zhan, divide into three doses. Remove dregs and take warm before meals. Finish within one day.
To treat *rushi* dysentery and formulas commonly taken to suppress mineral drug effects. (From *Shengji Zonglu*)
Use 3 liang of Chi (Fermented Soybean Paste), stir-fry until yellow and fragrant. After cooling, pound and sift into powder. Take 2 qian per dose, mixed with cold water. Another method: take dry Chi to stop it; more is better.
Jie Rushi Li Fang (Formula to Resolve *Rushi* Dysentery) (from *Shengji Zonglu*)
Use 2 liang of Zisun Cha (Purple Bamboo Shoot Tea), pound and sieve into powder. Take 3 qian per dose, boil with 1 zhan of water until reduced to 0.7, and take with the dregs. Take once before meals in the morning, at noon, and in the evening.
To treat drug-induced dysentery.
Use 5 liang of Ganjiang (Dried Ginger), cut. Boil with 2 sheng of water until reduced to 1 sheng, remove dregs, and take in one dose.
To treat heat-toxin red and white dysentery.
Use Lamb Liver, remove membrane and cut. Wash with water twenty times until blood is gone. Mix with millet rice to make dough cakes. Boil in water until cooked. Strain and wash in bean juice water. Eat.
Jie Shi Li Fang (Formula to Resolve Stone Dysentery) (from *Shengji Zonglu*)
Use good quality Mustard Greens, boil lightly to make a thick decoction. Take 2-3 zhan. For severe cases, take 3 doses; for mild cases, 1-2 doses will cure.
If dysentery resembles cold damage, it is caused by movement, stopping, eating, or drinking violating heat.
One should quickly remove clothes, eat cold food and frozen drinks, and wash with cold water to be cured.