杂痢，谓痢色无定，或水谷，或脓血，或青，或黄，或赤，或白，变杂无常，或杂色相
兼而痢也。挟热则黄赤，热甚则变脓血也；冷则白，冷甚则青黑，皆由饮食不节，冷热不调
，胃气虚，故变易。
休息痢者，胃脘有停饮，因痢积久，或冷气，或热气乘之，气动于饮，则饮动，而肠虚
受之，故为痢也。冷热气调，其饮则静，而痢亦休也。肠胃虚弱，易为冷热，其邪气或动或
静，故其痢乍发乍止，谓之休息痢也。
白滞痢者，肠虚而冷气客之，搏于肠间，津液凝滞成白，故为白滞痢也。
痢如膏者，是由脏腑虚冷，冷气入于大肠成痢，冷气积肠，又虚滑，脂凝如膏也。
此由岁时寒暑不调，则有湿毒之气伤人，随经脉血气，渐至于脏腑。大肠虚者，毒瓦斯乘
之，毒瓦斯挟热，与血相搏，则成血痢也。毒瓦斯侵食于脏腑，如病蛊注之家，痢血杂脓瘀黑，
有片如鸡肝，与血杂下是也。
肠蛊痢者，冷热之气入在肠间，先下赤，后下白，连年不愈，侵伤于脏腑，下血杂白，
如病蛊之状，名为肠蛊痢也。
肠垢者，肠间津汁垢腻也。由热痢蕴积，肠间虚滑，所以因下痢而便肠垢也。
夫四方之气，温凉不同，随方嗜欲，因以成性。若移其旧土，多不习伏。必因饮食以入
肠胃，肠胃不习，便为下痢，故名不伏水土痢也，即水谷痢是也。
杂痢，是指痢疾的颜色没有固定规律，有时排出水样物和未消化的食物，有时排出脓血，颜色或青、或黄、或赤、或白，变化杂乱无常，或者多种颜色混杂在一起而发生的痢疾。兼夹热邪则呈现黄色和红色，热邪极盛则转化为脓血；兼夹寒邪则呈现白色，寒邪极盛则呈现青色或黑色，这都是由于饮食不节制，冷热失调，导致胃气虚弱，从而引起大便性状改变所致。
休息痢，是因为胃脘部有停聚的水饮，因患痢疾日久，寒气或热气乘虚侵袭，气机扰动停饮，导致水饮动荡，而肠道空虚受其影响，所以发生痢疾。当寒热之气调和时，停饮就会静止，痢疾也随之暂停。由于肠胃虚弱，容易受到寒热之邪的影响，病邪时而活动时而静止，因此痢疾发作与停止交替出现，称为休息痢。
白滞痢，是因为肠道空虚，寒气客居其中，搏结于肠间，使津液凝滞变成白色，所以形成白滞痢。
痢下如脂膏状，是由于脏腑虚冷，寒气侵入大肠导致痢疾，寒气积聚在肠道，加之肠道虚滑，脂液凝结如同脂膏一样。
这种情况是由于四季寒暑失调，产生了湿毒之气伤害人体，随着经脉气血运行，逐渐深入脏腑。如果大肠虚弱，毒气便乘虚而入，毒气挟带热邪，与血液相互搏结，就形成了血痢。毒气侵蚀脏腑，就像患有蛊注病（一种慢性消耗性疾病）的人一样，痢疾中血液混杂着脓液和瘀黑的物质，有的片状物像鸡肝，与血液混合一起排出。
肠蛊痢，是寒气和热气进入肠间，先排出红色粪便，后排出白色粪便，连年不愈，侵蚀损伤脏腑，排出血液混杂白色物质，症状如同患有蛊病，名为肠蛊痢。
肠垢，是指肠间的津液变得浑浊黏腻。这是由于热痢蕴积日久，肠道虚滑，所以在下痢的同时伴有肠垢排出。
各地的气候条件，温凉各不相同，人们随着居住地的环境形成饮食习惯和体质特性。如果迁移到新的地方，大多不能适应水土。必然因为饮食进入肠胃，肠胃不适应新环境，从而导致下痢，所以称为不伏水土痢，也就是通常所说的水谷痢。
Za Li (Miscellaneous Dysentery) refers to dysentery where the color of the discharge is not fixed; it may contain water and undigested food, pus and blood, or be green, yellow, red, or white. The changes are chaotic and irregular, sometimes presenting mixed colors in the dysenteric stool. When accompanied by Heat, the stool appears yellow and red; when Heat is severe, it transforms into pus and blood. When accompanied by Cold, the stool appears white; when Cold is severe, it turns green or black. All these are caused by unregulated diet, imbalance of Cold and Heat, and deficiency of Stomach Qi, leading to alterations in bowel movements.
Xiu Xi Li (Resting Dysentery) occurs due to retained fluids in the epigastrium. After prolonged dysentery, Cold or Heat pathogenic factors invade. The movement of Qi agitates the retained fluids, causing them to move, and the empty intestines are affected, resulting in dysentery. When the Cold and Heat pathogens harmonize, the retained fluids become still, and the dysentery subsides. Due to the weakness of the intestines and stomach, they are susceptible to Cold and Heat. The pathogenic factors fluctuate between activity and stillness, causing the dysentery to flare up and cease intermittently; this is called Resting Dysentery.
Bai Zhi Li (White Stagnant Dysentery) occurs because the intestines are empty and Cold pathogenic factors lodge within, contending in the intestinal space. This causes body fluids to stagnate and turn white, resulting in White Stagnant Dysentery.
Dysentery resembling paste/grease is caused by deficiency and Cold of the Zang-Fu organs. Cold pathogenic factors enter the Large Intestine causing dysentery. The accumulation of Cold in the intestines, combined with intestinal deficiency and slipping, causes lipids to coagulate like grease.
This condition arises from the imbalance of seasonal Cold and Heat, generating Damp-Toxic Qi that harms the human body. Following the meridians and Blood-Qi, it gradually reaches the Zang-Fu organs. If the Large Intestine is deficient, Toxic Qi takes advantage of this deficiency. The Toxic Qi, carrying Heat, contends with Blood, forming Blood Dysentery. The Toxic Qi invades and damages the Zang-Fu organs. Similar to patients suffering from Gu Zhu (Gu Infestation Disease), the dysenteric blood is mixed with pus and dark瘀 (stasis), containing pieces resembling chicken liver, which are discharged mixed with blood.
Chang Gu Li (Intestinal Gu Dysentery) occurs when Cold and Heat pathogenic factors enter the intestines. Initially, red stool is passed, followed by white stool. It persists for years without healing, invading and damaging the Zang-Fu organs. The discharge consists of blood mixed with white substances, resembling the symptoms of Gu disease, hence named Intestinal Gu Dysentery.
Chang Gou (Intestinal Filth) refers to the turbid and sticky nature of fluids in the intestines. It is caused by the accumulation of Heat Dysentery over time, making the intestines deficient and slippery, thus leading to the passage of intestinal filth along with dysentery.
The Qi of the four directions varies in warmth and coolness. People adapt their desires and constitutions according to their local environments. If one moves to a new place, they often fail to adapt ("Fu"). Food and drink enter the stomach and intestines, but the digestive system is unaccustomed to the new environment, leading to diarrhea/dysentery. Therefore, it is called Bu Fu Shui Tu Li (Dysentery due to Non-Adaptation to Local Water and Soil), which is also known as Shui Gu Li (Water and Grain Dysentery).