痢亦不同有阳痢阴痢之分世人不知也皆为湿热所致动言痢无止法而不辨其阴阳之异故往
往杀
人可慨也阴阳之痢内经亦未分别我今日亦泄天地之奇大约便血腹疼后重噤口者阳痢也腹不
痛以手按之而快者粪门无急迫之状日能食无血而白痢者乃阴痢也虽用药得宜一方可以兼治
然终不识症之阴阳犹为不知痢症之人也不可不明辨之庶几用药可分轻重尤易奏功如响吾今立
二方一治阳痢一治阴痢阳痢方名为扫痢神丹一剂即止血二剂即止痢不必三剂也阴痢方名为
化痢仙丹一剂轻二剂止三剂全愈人见血痢为重而不知白痢感于阴分未尝轻也但阳痢火重而
湿轻阴痢火轻而湿重耳阳痢之方妙在用黄连于大黄之中使火毒迅扫而去不久留肠胃之中阴
痢之方妙在用芍药之多平肝以扶脾土使土安而水易去其余皆是祛逐邪秽之物各用之咸宜所
以奏功尤易也
扫痢神丹
黄连（三钱） 当归（五钱） 白芍（五钱） 广木香（一钱） 槟榔（一钱） 枳壳（一钱） 大黄（五
钱） 车前子（五钱）水煎服
化痢仙丹
白芍（一两） 当归（五钱） 枳壳（一钱） 萝卜子（三钱） 槟榔（一钱） 甘草（一钱） 车前子（
一钱）水煎服
癫狂之症世人以癫为阴以狂为阳是矣然而癫之中未尝无阳症狂之中未尝无阴症也何以见
之癫
如羊癫牛马之症此发之阳气之不足阳虚则阴邪自旺此谓之阴症宜也然而其中又有花癫之病见
男子而思亲逢女子而不识呼喊叫号昼夜不止倘亦为阴症而用桂附之品则立刻发狂而死矣狂如
登高而歌弃衣而走见水而入此发之阳邪之有余谓之阳症宜也然其中有似是而非又不可不辨如
见人则骂逢物则 燥扰不宁欲睡不安欲行不得口渴索饮见水则止倘亦视为阳症而投之竹叶石
膏汤下喉即死矣然则二症终于何处辨之亦辨之于两目有神无神而已如阳症则目必红而阴症则
目必白也吾定二方一治阳癫一治阴狂之症阳癫方名散癫汤此方之妙妙在白芍用至一两自能
平肝栀子用至五钱自然散其郁结之火其余柴芥术苓皆去痰去湿之妙品自然心清而火降脾健而
癫除也阴狂方名解狂散此方之妙妙在用玄参二两于群补真阴之中解散其浮游之火木足而火自
消亦火息而狂自定也苟或辨之不清妄投药饵生死存亡正未可定矣
散癫汤
白芍（一两） 白术（五钱） 当归（五钱） 炒栀子（五钱） 菖蒲（五分） 茯神（三钱） 甘草（一
钱） 白芥子（三钱） 丹皮（三钱） 柴胡（一钱） 陈皮（五分）水煎服
解狂散
熟地（一两） 白芍（五钱） 当归（五钱） 山茱萸（五钱） 麦冬（五钱） 北五味（一钱） 玄参（
二两）白芥子（三钱） 菖蒲（三分） 生地（五钱）水煎服
痢疾也有不同，分为阳痢和阴痢两类，世人对此并不知晓。大家都认为痢疾都是由湿热引起的，动不动就说“痢疾没有止法”，而不辨别其阴阳的差异，因此往往导致病人死亡，实在令人感慨。《内经》中也没有分别论述阴阳痢疾，我今天也是泄露天地间的奥秘。大致来说，大便带血、腹痛、里急后重、噤口（不能进食）的，属于阳痢；腹部不痛，用手按压感到舒适的，肛门没有急迫感的，白天能进食，无血而排出白色脓液的，属于阴痢。虽然用药得当，一方可以兼治两种痢疾，但如果终究不认识病症的阴阳属性，仍然算是不知道痢疾病症的人。不可不明辨这一点，这样用药才能分清轻重，容易取得像回声一样迅速的效果。我现在设立两个方子，一个治疗阳痢，一个治疗阴痢。治疗阳痢的方子名为“扫痢神丹”，一剂就能止血，两剂就能止痢，不必用三剂。治疗阴痢的方子名为“化痢仙丹”，一剂症状减轻，两剂停止腹泻，三剂完全痊愈。人们见到血痢就认为病情严重，却不知道白痢感于阴分，也绝非轻症。只是阳痢火邪重而湿邪轻，阴痢火邪轻而湿邪重罢了。治疗阳痢的方子妙在黄连配伍大黄之中，使火热毒邪迅速扫除而去，不久留于肠胃之中；治疗阴痢的方子妙在用大量的芍药平抑肝木以扶持脾土，使脾土安宁而水湿易于去除。其余的药物都是祛除驱逐邪秽之物，各自使用都适宜，所以疗效特别容易显现。
扫痢神丹
黄连（三钱） 当归（五钱） 白芍（五钱） 广木香（一钱） 槟榔（一钱） 枳壳（一钱） 大黄（五钱） 车前子（五钱），水煎服。
化痢仙丹
白芍（一两） 当归（五钱） 枳壳（一钱） 萝卜子（三钱） 槟榔（一钱） 甘草（一钱） 车前子（一钱），水煎服。
癫狂这类病症，世人认为癫属阴、狂属阳，这是正确的。然而，癫证中未尝没有阳证，狂证中未尝没有阴证。怎么知道呢？比如羊癫风、牛马疯等病症，这是阳气不足引发的，阳虚则阴邪自然旺盛，这称为阴证是适宜的。然而其中又有花癫这种病，见到男子就想亲近，遇到女子却不认识，呼喊号叫昼夜不停，如果这也当作阴证而使用桂枝、附子等温热药物，则会立刻发狂而死。狂证如登高而歌、弃衣而走、见水就跳入，这是阳邪有余引发的，称为阳证是适宜的。然而其中有似是而非的情况，也不可不明辨。例如见人则骂、逢物则躁扰不宁、想睡睡不着、想走走不了、口渴索饮、见水则停，如果这也视为阳证而投予竹叶石膏汤，喝下去就会立即死亡。那么这两种症状究竟在哪里辨别呢？也是在两目的有神与无神上辨别而已。如果是阳证，眼睛必定发红；如果是阴证，眼睛必定发白。我定下两个方子，一个治疗阳癫，一个治疗阴狂。治疗阳癫的方子名为“散癫汤”，此方的妙处在于白芍用到一两，自能平抑肝木；栀子用到五钱，自然疏散郁结之火。其余柴胡、荆芥、白术、茯苓等都是祛痰去湿的妙品，自然能使心清火降、脾健而癫除。治疗阴狂的方子名为“解狂散”，此方的妙处在于用玄参二两，在群补真阴的药物中解散浮游之火，肾水充足而火自消，也是火熄灭而狂自定。如果辨证不清，妄投药物，生死存亡正未可定啊。
散癫汤
白芍（一两） 白术（五钱） 当归（五钱） 炒栀子（五钱） 菖蒲（五分） 茯神（三钱） 甘草（一钱） 白芥子（三钱） 丹皮（三钱） 柴胡（一钱） 陈皮（五分），水煎服。
解狂散
熟地（一两） 白芍（五钱） 当归（五钱） 山茱萸（五钱） 麦冬（五钱） 北五味（一钱） 玄参（二两） 白芥子（三钱） 菖蒲（三分） 生地（五钱），水煎服。
Dysentery also varies, divided into Yang dysentery and Yin dysentery, a distinction unknown to the general public. Everyone assumes that dysentery is caused by damp-heat, often claiming "there is no cure for dysentery," without distinguishing its Yin or Yang nature, thus frequently leading to death, which is truly lamentable. The *Neijing* (Classic of Internal Medicine) did not distinguish between Yin and Yang dysentery; today, I am revealing this heavenly secret. Generally speaking, symptoms such as blood in the stool, abdominal pain, tenesmus (straining with little result), and inability to eat (Jinkou) indicate Yang dysentery. Conversely, absence of abdominal pain, comfort upon palpation, lack of urgency at the anus, ability to eat during the day, and passage of white pus without blood indicate Yin dysentery. Although appropriate medication can treat both types with one formula, failing to recognize the Yin-Yang nature of the disease means one still does not understand dysentery. It is essential to clearly distinguish them so that medication can be applied with appropriate weight and measure, achieving results swiftly like an echo. I now establish two formulas: one for Yang dysentery and one for Yin dysentery. The formula for Yang dysentery is named *Saoli Shendan* (Sweeping Dysentery Divine Elixir); it stops bleeding after one dose and halts dysentery after two doses, requiring no third dose. The formula for Yin dysentery is named *Huali Xiandan* (Transforming Dysentery Immortal Elixir); symptoms alleviate after one dose, dysentery ceases after two doses, and full recovery occurs after three doses. People consider bloody dysentery severe but underestimate white dysentery, which affects the Yin aspect and is certainly not mild. The difference lies in Yang dysentery having heavy fire and light dampness, while Yin dysentery has light fire and heavy dampness. The brilliance of the Yang dysentery formula lies in combining Huanglian (Coptis Rhizome) with Dahuang (Rhubarb Root and Rhizome), allowing the fire-toxin to be swept away rapidly without lingering in the intestines and stomach. The brilliance of the Yin dysentery formula lies in using a large amount of Shaoyao (Peony Root) to soothe the Liver to support the Spleen Earth, stabilizing the Earth so that Water-dampness can be easily removed. The remaining herbs are all substances that expel evil filth, each suitable for use, hence the efficacy is easily achieved.
**Saoli Shendan**
Huanglian (3 qian) Danggui (5 qian) Baishao (5 qian) Guangmuxiang (1 qian) Binglang (1 qian) Zhiqiao (1 qian) Dahuang (5 qian) Cheqianzi (5 qian). Decoct in water and take orally.
**Huali Xiandan**
Baishao (1 liang) Danggui (5 qian) Zhiqiao (1 qian) Luobozizi (3 qian) Binglang (1 qian) Gancao (1 qian) Cheqianzi (1 qian). Decoct in water and take orally.
Regarding manic-depressive disorders (Diankuang), the public correctly identifies Dian (depressive psychosis) as Yin and Kuang (manic psychosis) as Yang. However, Dian cases may contain Yang symptoms, and Kuang cases may contain Yin symptoms. How do we know? Conditions like epilepsy (Yangdian) or animal-like madness are caused by insufficiency of Yang Qi; when Yang is deficient, Yin pathogens flourish naturally, constituting a Yin syndrome. This classification is appropriate. Yet, there is a condition called "Flower Dian" where patients show affection toward men but fail to recognize women, shouting and calling incessantly day and night. If treated as a Yin syndrome using Guizhi (Cinnamon Twig) and Fuzi (Aconite Root), the patient will immediately go mad and die. Kuang syndrome, characterized by singing while climbing high, discarding clothes, and jumping into water, is caused by excess Yang pathogens, constituting a Yang syndrome. This is also appropriate. However, there are deceptive similarities that must be distinguished. For instance, cursing at people, agitation upon seeing objects, insomnia despite desire to sleep, restlessness despite desire to walk, thirst seeking drink, and stopping upon seeing water—if treated as a Yang syndrome and administered Zhuyeshigao Tang (Bamboo Leaf and Gypsum Decoction), the patient will die instantly upon swallowing. So how should these two syndromes be differentiated? By observing whether the eyes have spirit (Shen) or lack spirit. In Yang syndromes, the eyes are red; in Yin syndromes, the eyes are white/pale. I have established two formulas: one for Yang Dian and one for Yin Kuang. The formula for Yang Dian is named *Sandian Tang* (Scattering Dian Decoction). Its brilliance lies in using 1 liang of Baishao to naturally soothe the Liver, and 5 qian of Zhizi (Gardenia Fruit) to naturally dissipate constrained fire. The remaining herbs—Chaihu (Bupleurum Root), Jingjie (Schizonepeta Spike), Baizhu (Atractylodes Rhizome), and Fuling (Poria)—are excellent for resolving phlegm and dampness, naturally clearing the Heart, descending fire, strengthening the Spleen, and eliminating Dian. The formula for Yin Kuang is named *Jiekuang San* (Resolving Kuang Powder). Its brilliance lies in using 2 liang of Xuanshen (Scrophularia Root) among yin-nourishing herbs to dissipate floating fire; when Wood/Water is sufficient, fire self-extinguishes, and when fire subsides, Kuang self-resolves. If differentiation is unclear and medications are blindly administered, life and death remain uncertain.
**Sandian Tang**
Baishao (1 liang) Baizhu (5 qian) Danggui (5 qian) Chao Zhizi (5 qian) Changpu (0.5 qian) Fushen (3 qian) Gancao (1 qian) Baijiezi (3 qian) Danpi (3 qian) Chaihu (1 qian) Chenpi (0.5 qian). Decoct in water and take orally.
**Jiekuang San**
Shudi (1 liang) Baishao (5 qian) Danggui (5 qian) Shanzhuyu (5 qian) Maidong (5 qian) Bei Wuwei Zi (1 qian) Xuanshen (2 liang) Baijiezi (3 qian) Changpu (0.3 qian) Shengdi (5 qian). Decoct in water and take orally.