夫脉经谓大肠有热。便肠垢者。肠间津汁垢腻也。盖传化之府热气积而为痢。痢久不已。
肠间虚滑。津垢方出。是邪热气实。真脏气虚。故有此证。
方
陟厘丸 治久痢下肠垢。
陟厘 绿矾 锻石（各三两） 铅丹 赤石脂 石脂 胡粉（各一两半） 上为末。入
瓶子
内烧一伏时。取出研极细。面糊丸如梧桐子大。每服二十丸。空心粥饮下。一方用吴矾三两。
白
附子散 治久痢不瘥。肠垢出。
附子 赤石脂 桂（去粗皮） 干姜（各等分） 上为末。炼蜜丸如梧桐子大。每服二
十丸。米
麝香丸 治久患冷痢及休息痢。脾胃虚极。大肠滑泄。肠垢不绝。
麝香（半两） 鹿茸（炙二两） 上为末。醋煮面糊丸。如梧桐子大。每服三十丸。粥
饮下。不
乌梅汤 治久痢不瘥。或肠垢。
用乌梅二十个捶研。水一升。煎至四合。去滓。空心服。未愈。日晚再煎服。
石榴汁方 治久痢不瘥。肠垢出。
用酸石榴皮大者一枚。捣研绞取汁。空心服之。不瘥再服。
莨菪丸 治久痢肠滑。下垢不止。羸困劳痢。
莨菪子 干姜 白矾（各二两） 上为末。醋煮面糊丸。如梧桐子大。每服三十丸。粥
饮下。
赤石脂丸 治水谷痢积久不瘥。下肠垢。
赤石脂（一两） 桂心（一两） 白矾（一两） 干姜（一两） 附子（一两炮） 上
捣罗为末。炼蜜
《脉经》认为，大肠有热邪，导致排泄肠垢。所谓肠垢，是指肠道间津液与污浊之物混合而成的腻状物。大概是因为传导和消化的腑中热气积聚而形成痢疾。痢疾日久不愈，导致肠道内部虚弱且滑利，津液和污垢随之排出。这是邪热之气亢盛而真元脏气虚弱的表现，因此出现这种证候。
方剂：
陟厘丸：治疗久痢导致下肠垢。
药材：陟厘、绿矾、锻石（各三两）、铅丹、赤石脂、石脂、胡粉（各一两半）。将上述药材研为细末，放入瓶子内烧制一个时辰（约两小时），取出后研磨至极细，用面糊制成梧桐子大小的药丸。每次服用二十丸，空腹时用米粥汤送服。另一配方使用吴矾三两。
白附子散：治疗久痢不愈，肠垢排出。
药材：附子、赤石脂、桂枝（去除粗皮）、干姜（各等分）。将上述药材研为细末，用炼蜜制成梧桐子大小的药丸。每次服用二十丸。
麝香丸：治疗长期患冷痢及休息痢，脾胃极度虚弱，大肠滑泄不止，肠垢不断排出。
药材：麝香（半两）、鹿茸（炙烤二两）。将上述药材研为细末，用醋煮面糊制成梧桐子大小的药丸。每次服用三十丸，用米粥汤送服。
乌梅汤：治疗久痢不愈，或伴有肠垢排出。
用法：取乌梅二十个，捣碎研烂，加水一升，煎煮至四合，去渣滓。空腹服用。若未痊愈，傍晚时再煎服一次。
石榴汁方：治疗久痢不愈，肠垢排出。
用法：取大酸石榴皮一枚，捣碎研烂并绞取汁液。空腹服用。若未痊愈，可再次服用。
莨菪丸：治疗久痢导致肠道滑利，下泄肠垢不止，身体消瘦困倦的劳损性痢疾。
药材：莨菪子、干姜、白矾（各二两）。将上述药材研为细末，用醋煮面糊制成梧桐子大小的药丸。每次服用三十丸，用米粥汤送服。
赤石脂丸：治疗水谷痢积久不愈，下泄肠垢。
药材：赤石脂（一两）、桂心（一两）、白矾（一两）、干姜（一两）、附子（一两，炮制）。将上述药材捣碎过筛为细末，用炼蜜...
The *Mai Jing* (Pulse Classic) states that heat in the Large Intestine causes the discharge of intestinal mucus. "Intestinal mucus" refers to the greasy mixture of body fluids and turbid substances within the intestines. Generally, accumulation of heat qi in the fu organs responsible for transportation and transformation leads to dysentery. If dysentery persists for a long time without resolution, the interior of the intestines becomes deficient and slippery, causing fluids and filth to be discharged. This condition arises from excess pathogenic heat qi coupled with deficiency of the true zang qi.
Formulas:
Zhili Wan (Zhi Li Pill): Treats chronic dysentery with discharge of intestinal mucus.
Ingredients: Zhili (Ferrous Sulfate), Lüfan (Green Vitriol), Duanshi (Calcined Stone), Qiandan (Lead Tetroxide), Chishizhi (Red Kaolin), Shizhi (Kaolin), Hufen (Lead Carbonate) (each 3 liang). Grind the above ingredients into fine powder, place them in a bottle, and calcine for one fushi (approx. 2 hours). Remove, grind to an extremely fine powder, and mix with wheat paste to form pills the size of sophora seeds. Take 20 pills per dose, administered orally on an empty stomach with congee water. Another prescription uses Sanliang of Wufan (Ammonium Alum).
Baifuzi San (Aconite Powder): Treats chronic dysentery that does not heal, with discharge of intestinal mucus.
Ingredients: Fuzi (Prepared Aconite Root), Chishizhi (Red Kaolin), Guizhi (Cinnamon Twig, remove coarse bark), Ganjiang (Dried Ginger) (equal parts). Grind the above ingredients into powder, mix with refined honey, and form pills the size of sophora seeds. Take 20 pills per dose.
Shexiang Wan (Musk Pill): Treats chronic cold dysentery and intermittent dysentery, characterized by extreme deficiency of the Spleen and Stomach, slipping and leaking of the Large Intestine, and continuous discharge of intestinal mucus.
Ingredients: Shexiang (Musk) (0.5 liang), Lurong (Deer Antler, roasted) (2 liang). Grind the above ingredients into powder, boil wheat paste with vinegar, and form pills the size of sophora seeds. Take 30 pills per dose, administered orally with congee water.
Wumei Tang (Dark Plum Decoction): Treats chronic dysentery that does not heal, or cases accompanied by discharge of intestinal mucus.
Usage: Take 20 dark plums, crush and grind them. Add one sheng of water, decoct until reduced to four ge. Strain and remove dregs. Take orally on an empty stomach. If not healed, decoct and take again in the evening.
Shiliu Zhi Fang (Pomegranate Peel Juice Formula): Treats chronic dysentery that does not heal, with discharge of intestinal mucus.
Usage: Take one large sour pomegranate peel, crush, grind, and press to extract juice. Take orally on an empty stomach. If not healed, take again.
Langdang Wan (Henbane Pill): Treats chronic dysentery with intestinal slipping, continuous discharge of filth, emaciation, fatigue, and consumptive dysentery.
Ingredients: Langdangzi (Hyoscyamus Seed), Ganjiang (Dried Ginger), Baifan (White Alum) (each 2 liang). Grind the above ingredients into powder, boil wheat paste with vinegar, and form pills the size of sophora seeds. Take 30 pills per dose, administered orally with congee water.
Chishizhi Wan (Red Kaolin Pill): Treats dysentery involving undigested food and water persisting for a long time without healing, with discharge of intestinal mucus.
Ingredients: Chishizhi (Red Kaolin) (1 liang), Guixin (Cinnamon Heart) (1 liang), Baifan (White Alum) (1 liang), Ganjiang (Dried Ginger) (1 liang), Fuzi (Prepared Aconite Root, processed) (1 liang). Pound and sieve the above ingredients into fine powder, mix with refined honey...