干姜（炮） 巴豆（去心，炒黄，研） 大黄（湿纸裹，甑上蒸） 人参（各一钱，去
芦）
上除巴豆，余为末，同研，炼蜜丸如梧子大。服前汤时用汤吞下一丸，米饮亦得。
有人因忧愁中伤，食结积在肠胃，故发吐利，自后至暑月，稍伤则发，暴下数日不已。
《玉函》云∶下利至隔年月日不期而发者，此为有积，宜下之。只用温脾汤尤佳，如难取
，可佐以干姜丸，后服白术散。
白术 木香 附子（炮，去皮脐） 人参（去芦，各等分）
上细末。每服二钱，水一盏，生姜三片，枣一个，煎六分，温服。
治积痢。
砂（一分） 朱砂（一分，并研极细）
上另用黄蜡半两，巴豆三七粒，去壳皮膜，同于银石器内重汤煮一伏时，候巴豆紫色为
度，去二七粒，只将一七粒与前来二味同再研极匀，再熔蜡匮药，每旋丸绿豆大。每服三丸
至五丸，水泻生姜汤下，白痢艾汤，赤白痢乌梅汤，服时须极空腹。服毕一时，方可吃食，
临卧尤佳，次食淡粥一日。疟疾，乳香汤面东服，不发日晚间服。
此药不动气，服之泻者止，痢者断，疼者愈，有积者内化，亦不动脏腑。大凡痢有沉积
者，不先去其积，虽安暂安，后必为害。尝记陈侍郎泾仲，庚戌秋过仪真求诊。初不觉有疾
，及诊视，则肝脉沉弦，附骨取则牢。予曰∶病在左胁有血积，必发痛。陈曰∶诚如是。前
此守九江被召，冒暑涉长江，暨抵行朝，血痢已数日矣。急欲登对，医者以刚剂燥之，虽得
止数日，脐下一块大如杯，不旬日如碗大，发则不可忍。故急请官祠以归，为之奈何？予曰
∶积痢不可强止，故血结于脐胁下，非抵当丸不可。渠疑而不肯服，次年竟以此终。抵当丸
在第九卷中。
【干姜丸】
干姜（炮制）、巴豆（去除心仁，炒至黄色，研磨）、大黄（用湿纸包裹，在蒸笼上蒸制）、人参（各一钱，去除芦头）。
以上药物除去巴豆外，其余研成细末，与巴豆一同研磨均匀，用炼蜜制成如梧桐子大小的药丸。服药前喝汤药时，用汤药送服一丸，用米饮送服也可以。
有人因忧愁内伤，导致食物积结在肠胃中，因此引发呕吐和腹泻，从秋季延续到暑月，稍微饮食不慎就会发作，剧烈腹泻数日不止。
《玉函经》说：腹泻到了隔年、隔月、隔日不定时发作的，这是因为体内有积滞，应当使用攻下法治疗。只用温脾汤尤其好，如果难以获取该方，可以辅助服用干姜丸，之后再服用白术散。
【白术散】
白术、木香、附子（炮制，去除皮和脐）、人参（去除芦头，各等分）。
以上药物研成细末。每次服用二钱，用水一盏，生姜三片，大枣一个，煎煮至六分满，温热服用。
用于治疗积滞性痢疾。
【灵砂丹】
朱砂（一分）、辰砂（一分，均研磨至极细）。
另外取黄蜡半两，巴豆三七粒，去除壳、皮和内膜，一同在银器或石器中隔水煮沸一个时辰（约两小时），等到巴豆变成紫色为止，取出其中十四粒（二七粒），只将剩下的七粒与前两种药材一同再次研磨极匀，重新熔化蜡封藏药物，每次现搓成绿豆大小的药丸。每次服用三丸至五丸，水泻用生姜汤送服，白痢用艾叶汤送服，赤白痢用乌梅汤送服，服药时必须极度空腹。服药后过一个时辰，才可以进食，临睡前服用尤其好，随后一天吃清淡的粥。疟疾，面向东用乳香汤送服，不发病的晚间服用。
此药不耗损正气，服用后腹泻者停止，痢疾者断绝，疼痛者痊愈，有积滞者在体内化解，也不损伤脏腑。大凡痢疾有沉积物的，如果不先去除其积滞，即使暂时安宁，日后必定造成危害。曾记得陈侍郎泾仲，庚戌年秋天经过仪真求诊。起初他不觉得有病，等到诊视时，发现他的肝脉沉弦，重按至骨则感觉坚实有力。我说：病位在左胁下有血积，一定会发作疼痛。陈说：确实是这样。此前他在九江任职时被召见，冒着酷暑渡过长江，等到抵达行在（皇帝所在之地）时，血痢已经持续数日了。他急于上朝应对，医生用刚燥的药物强行止住，虽然止住了几天，但脐下一块肿块大如杯子，不到十天变得像碗一样大，发作时痛苦难忍。所以他急忙请求辞去官职回家，问我该怎么办？我说：积滞性痢疾不可强行止住，所以血液凝结在脐胁下，非用抵当丸不可。他怀疑而不肯服用，第二年竟然因此去世。抵当丸在第九卷中。
[ Ganjiang Wan (Dried Ginger Pill) ]
Ganjiang (Zingiberis Rhizoma Praeparatum), Badou (Crotonis Fructus, heart removed, stir-fried until yellow, ground), Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper, steamed), Renshen (Panacis Ginseng Radix, each 1 qian, radix neck removed).
Except for Badou, the remaining herbs are ground into fine powder and mixed with Badou. Honey is refined to form pills the size of Sophora japonica seeds. When taking decoction medicine beforehand, swallow one pill with the decoction; rice water may also be used.
A person suffered internal injury due to worry and sorrow, causing food accumulation in the intestines and stomach, leading to vomiting and diarrhea. This persisted from autumn through the summer months; slight dietary indiscretion would trigger an episode, resulting in violent diarrhea lasting several days without cessation.
The *Yujian Jing* states: Diarrhea that recurs unpredictably after a year, month, or day indicates the presence of accumulation, which should be treated with purgation. Using Wenyi Tang (Warm the Spleen Decoction) alone is particularly effective. If difficult to obtain, it can be supplemented with Ganjiang Wan, followed by Baizhu San.
[ Baizhu San (Atractylodes Macrocephala Powder) ]
Baizhu (Atractodis Macrocephalae Rhizoma), Muxiang (Aucklandiae Radix), Fuzi (Aconiti Lateralis Radix Praeparata, skin and navel removed), Renshen (Panacis Ginseng Radix, radix neck removed, all in equal proportions).
Grind all ingredients into a fine powder. Take 2 qian per dose with one cup of water, three slices of fresh ginger, and one jujube. Decoct until reduced to 60%, and take warm.
Indicated for dysentery caused by accumulation.
[ Lingsha Dan (Cinnabar Pill) ]
Zhusha (Cinnabaris, 1 fen), Zhusha (Cinnabaris, 1 fen, both ground extremely fine).
Separately, take half a liang of beeswax and twenty-one grains of Badou (Crotonis Fructus). Remove the shell, skin, and membrane. Boil them together in a silver or earthenware vessel over hot water for one shichen (two hours), until the Badou turns purple. Remove fourteen grains, retaining only seven grains. Mix these seven grains with the two cinnabar powders and grind thoroughly again. Melt the wax to encapsulate the medicine. Form pills the size of mung beans as needed. Take 3 to 5 pills per dose. For watery diarrhea, administer with fresh ginger decoction; for white dysentery, with mugwort decoction; for red-and-white dysentery, with unripe plum decoction. The patient must be extremely hungry when taking the medicine. Food should not be consumed until one hour after administration; taking it before bed is especially good, followed by a day of bland congee. For malaria, administer facing east with frankincense decoction; on evenings when no fever occurs, take it at night.
This medicine does not deplete Qi. It stops diarrhea, halts dysentery, relieves pain, resolves internal accumulations, and does not damage the zang-fu organs. Generally, in cases of dysentery with sediment/accumulation, if the accumulation is not first removed, although temporary relief may occur, harm will inevitably follow later. I once recall Chen Shilang Jingzhong seeking diagnosis in Yizhen during the autumn of the Gengxu year. Initially, he felt no illness. Upon examination, his liver pulse was deep and wiry, becoming firm upon pressing to the bone. I said: "There is blood accumulation in the left hypochondrium, which will certainly cause pain." Chen replied: "Indeed so. Previously, while serving in Jiujiang, I was summoned. Braving the summer heat to cross the Yangtze River, by the time I reached the imperial capital, bloody dysentery had lasted for several days. Eager to attend court, physicians used harsh, drying agents to forcibly stop it. Although it stopped for a few days, a mass appeared below the umbilicus, initially cup-sized, growing bowl-sized within ten days. The pain upon onset was unbearable. Thus, I urgently requested leave to return home. What should be done?" I said: "Accumulative dysentery cannot be forcibly stopped. Therefore, blood has coagulated below the umbilicus and hypochondrium. Only Didang Wan (Resist the Decoction Pill) will suffice." He doubted this and refused to take it. He ultimately died of this condition the following year. Didang Wan is described in Volume Nine.