苍术（二两） 干姜（三钱） 良姜（二钱） 茯苓（一两） 甘草（一钱） 肉桂（一钱）
管仲（三钱） 水煎服。
人有夏秋之间，腹痛作泻，变为痢疾，宛如鱼冻，久则红白相间，此是肝克脾
土也。盖夏秋之间，寒热必然相杂，肝遇凉风，则木气不舒，上不能宣，必至下克。
而脾胃之中受三夏暑热，欺肝木凋零，乃与肝木相争。肝木激而成怒，克土更甚。
脾胃之土伤，难容水谷，遂腹痛而作泻矣。泻久而糟粕已尽，脾乃传肝木之气于肾，
而肾见其子之气，乃相助而作恶，忘其自损母气也。红白相间者，肝不藏血而红见，
肾不藏精而白见也。惟是肝内之血无多，肾中之精有限，何以能绸缪不断，如水之
倾，如泉之涌也，不知六腑畏肝木之横，五脏助肾之困，交相成之也。治法急平其
肝气之怒，少佐祛秽之药，则肝气不降而肾气顿收。不必止痢，脾胃之土自安，脾
胃既安，何惧痢之有？方用平肝止痢汤∶
白芍（一两） 当归（五钱） 栀子（二钱） 枳壳（一钱） 车前子（二钱） 甘草（一钱）
水煎服。一剂痢轻，再剂痢又轻，三剂全愈。
此方全不去治痢，但去平肝而痢自止。盖痢之来也，始于肝；痢之成也，本于
肾。平肝则肝气平，肝平而肾气亦平。肝肾之气平，而脾胃乌有不平者乎。今人但
去治脾胃也，所以痢不能遽止耳。
此症用和腹汤亦可。
白芍（一两） 当归（五钱） 枳壳（三钱） 广木香（二钱） 甘草（一钱） 水煎服。
人有夏秋之间，先泻后痢，腹中疼痛，后重之极，不痢不可，欲痢不得，口渴
饮水，小便艰涩，小肠作胀，人以为火邪之重也，谁知是湿热之盛乎，盖夏伤于热，
必饮水过多，热虽解于一时，湿每留于肠胃，迨至秋天，寒风袭于皮毛，热必秘于
脏腑，于是热欲外泄而不能，热不得不与湿相合。然而湿与热非好相识也，相合相
争，而疼痛生矣，热欲下出，湿欲相留，彼此牵掣于大肠之间，而后重现矣。热欲
出而不得出，则热必上焚，不得不求救于水。然而湿留于下焦，而火则忌水也，使
水不能传入于膀胱，水火战斗，仍从大肠而出，此小腹之所以发胀耳。治法分解其
湿热，俾浊者趋于大肠，清者入于小肠，不必用涩药以止痢也。方用分解湿热汤∶
车前子（一两） 浓朴（三钱） 黄连（一钱） 甘草（一钱） 枳壳（一钱） 槟榔（一钱）
滑石末（三钱） 水
煎服。一剂后重除，二剂疼胀止，三剂口渴解，痢亦全愈。
此方用车前以利水，用黄连以清热，用浓朴以厘清浊，余则止秽去滞，调和于
邪正之间，以解纷争也。君、相、佐、使既用之攸宜，安有不取效之捷哉！
此症用二黄汤亦神效。
泽泻（二钱） 车前子（五钱） 大黄 槟榔 滑石（各二钱） 黄连（一钱） 甘草（五分）
水煎服。二剂愈。
人有湿热作痢，大渴引饮，饮后又不甚快，心中懊 ，小便不利，红白相间，
似脓非脓，似血非血，此是火热未解之故也。夫湿热之极，始成痢疾，但其中有湿
轻热重，热轻湿重之分耳。如此等之痢，明是湿热两重之症，单消水则热存而水难
降；单清火则湿在而火难除，必须两泻之，热与湿俱不能独存也。然而泻热必致伤
阳，泻湿必致伤阴。治法必于补阴之中，佐以泻热湿之剂，则阴既不亏，阳亦无害。
夫泻之既能损伤阴阳，则补阴亦宜补阳矣，何仅补其阴，即能不伤其阳也？不知阴
阳原两相根也。泻热之药，仍走于大肠之内，虽损其阳，仍损其阴也。今补其阴，
则阴不伤矣，何害于阳乎？此补阴之所以不必再补阳耳。方用滋阴止痢丹∶
白芍（一两） 当归（一两） 大黄（三钱） 车前子（五钱） 槟榔（二钱） 萝卜子（三钱）
水煎服。一
剂脓血减，二剂懊 除，三剂口渴解，而痢亦顿止矣。
此方奇在大黄与萝卜子并用，逐瘀秽实神，厘清浊甚速，用之于白芍、当归之
内，补以行攻，有攻之益，无攻之失也。
此症用通快饮亦佳。
黄连 茯苓（各三钱） 白芍（一两） 黄芩 车前子 枳壳（各二钱） 浓朴（一钱） 水煎服。
人有湿热之极，腹痛作痢，上吐不食，下痢不止，至勺水难饮，胸中闷乱，人
以为噤口之痢也，谁知是胃中湿热之毒乎。夫痢宜下行，下利宜也，何以上吐而不
能入乎？此盖胃中之火，得湿而蕴结不宣，一旦作痢，本欲下行，乃投之以饮食，则
火反上炽而不降，以致胃口闭塞，而成噤口也。然而胃火之盛者，由于心火之旺，
心火最恶湿，一得湿则火郁而不通，则停住于胃口；胃中之火，愈增其熏蒸之气，
二火相合，则热之势固结而不散，湿亦停住于肠胃之内，胸中交战，安得不闷乱乎？
治法必须开郁火之门，而门不能易开，必须引火开门之为捷耳。方用引胃汤∶
人参（一钱） 黄连（三钱） 吴茱萸（三分） 菖蒲（三分） 各为细末，滚水调入于茯苓末中，
大约茯苓须用五钱，一匙一匙调如稀糊者咽之。初时咽下必吐，吐后仍咽，药
一受则不吐矣。即将前药服完，上下俱开门矣。然后用靖乱汤∶
白芍（一两） 车前子（五钱） 黄连（一钱） 甘草（一钱） 枳壳（一钱） 木通（一钱）
广木香（五分） 茯苓（三钱） 水煎服。二剂痢止，不必三服也。
前用引胃汤者，以心火喜燥。黄连虽寒，然其性正燥也。以燥投燥原非所恶。
况吴茱萸性热而燥，以火入火，同性岂有 格之虞？况入之人参、菖蒲之中乎？盖
胃中之火，乃邪火，而心中之火实正火也。居于邪正之间、非得正人君子之药，则
邪不能散于顷刻，非得导引之使，则心火不能返于故宫。况胃气之闭，正胃气之虚
也。人参补胃气之圣药，胃虚逢补，不啻如饥者之得食，关一开而良将勇士夺门而
入，邪自惊走矣。后用靖乱汤者，譬如以计夺门，若后无大兵相继，则敌且欺寡不
敌众，未必不狭巷而战，死斗而不肯遁，今又以利水、逐秽、平肝之药济之，是前
锋既勇于斩关，而后队又善于荡寇，安得不成功哉。
此症用启关散亦效。
黄连 人参 茯苓（各二钱） 木香（三分） 吴茱萸（五分） 水煎服。缓饮之，随饮即愈。
人有湿热作痢，数日之后，腹不疼痛，如脓如血，阵阵自下，手足厥冷，元气
欲绝，此是火变为寒而阴绝也。夫痢无止法，古人之语也。然痢实不同∶有初起即
宜止者，有日久而不可止者，未可执痢无止法一语，竟不用止也。然不止痢，不过久
病之难痊；若止痢，每至变生于不测，是痢又不可轻言止也。此等之症，正不可不
止者，盖腹中作痛为邪，腹既不痛，何邪之有？腹不痛而脓血阵阵自下，乃气脱而
欲崩也。手足厥冷，乃气脱而不能运也。必须看其舌之滑燥何如耳，热极则舌必燥，
寒极则舌必滑也。热变为寒其舌必滑，须先止其痢以救脱，不可泻其痢以攻邪矣。
方用止脱救痢汤∶
人参（二两） 白术（二两） 白芍（一两） 肉桂（三钱） 茯苓（一两） 甘草（二钱）
赤石脂末（三钱） 水煎服。一剂手足温，二剂脓血止，三剂痢全愈。减各药一半，去赤石脂，再
服十剂，元气如故矣。
此等之痢。世不常有，不可执此方以治痢。余论症不敢不备质于天师，以存此
治法，救万人中之一人也。
此症用加味四君汤亦效。
人参 白术（各二两） 肉桂（三钱） 北五味子（三钱） 茯苓（一两） 甘草（三钱） 水煎服。
人有受暑湿之毒，水谷倾囊而出，一昼夜七、八十行，脓血稠粘，大渴引水，
百杯不止，人以为肠胃为热毒所攻也，谁知是膀胱热结而气不化乎。夫水湿之邪，
从膀胱而出，乃上由于肺气之清肃下行，膀胱奉之而能化也。今胃受暑热之毒，蒸
熏于肺，肺不能受，乃移其热于大肠，而大肠奔迫，必郁结于膀胱矣。膀胱热结，
则气不化而小溲短赤，邪热邪湿，尽趋于大肠而出，不啻如决水转石之骤猛也。治
法必须清膀胱之热，以迅利其小便。但肺与大肠为表里，肺热而大肠始热，故不若
先清肺经之热也。方用清源止痢汤∶
黄芩（三钱） 茯苓（五钱） 紫参（三钱） 诃黎勒（三钱） 甘草（一钱） 天花粉（三钱）
地榆（三钱） 水煎服。一剂减半，三剂痢止。
此方清肺金化源之方也。用黄芩、地榆以凉肺，即所以凉大肠之热也。紫参疗
肠胃之热，能消积聚，而通大小之便。诃黎勒能固肠脱，合而用之于茯苓、甘草诸
药之内，则通中有塞，而塞中又有调和之妙，所以奏功特神也。
此症用迅行汤亦神。
王不留行 茯苓 猪苓 黄芩（各三钱） 白术（三钱） 水煎服。
人有下痢纯血，色如陈腐屋漏之状，肛门大开，不能收闭，面色反觉红润，唇
似朱涂，人以为痢疾之死症也。然治之得法尚可获生，以其症虽见死象，而气犹未
绝，有可续之机也。凡下痢纯红，开手即宜用补阴之药，因人执痢无补法，以至如
此不知痢症何常不可补也。用补阳之药以治痢，则有宜有不宜。用补阴之药以治痢，
则实无不宜也。若一见红白，不问虚与不虚，动用攻邪逐秽之剂，以致白变红，红
变陈腐屋漏之色也。夫下痢纯血，原是阳旺阴虚之症。不补阴以制阳，反助阳以攻
阴，则阴气愈虚，虚极则阴气但有降无升矣。肛门大开，不能收闭，正有降无升之
明验也。面色红润，唇如朱涂，正阳在上而阴沉下之显征也。阳宜降而反升，阴宜升
而反降，则阴阳不交，不死何待乎？然能奄奄不死者，以其阴气虽降，而未绝也。
治法急救其阴，以引其阳气之下降，兼补其阳，以提其阴气之上升，未必非死里求
生之法也。方用补阴升提汤∶
人参（一两） 熟地（一两） 白芍（三两） 茯苓（一两） 升麻（二钱） 甘草（一钱） 山药（一两）
北五味子（三钱） 山茱萸（一两） 诃黎勒（三钱） 水煎服。一剂痢减半，再剂痢止。倘服
之仍如前之痢也，则阴已绝而阳不能交，不必再服。
论此方乃救阴之奇方，提气之圣药。苟有阴气未绝，未有不可续之，而升提者
也。正不可因一用之无功，竟置此方于不用。如一见纯红之症，急以此方减半投之，
何至有死亡之嗟哉。
此症用续绝汤甚佳。
人参（五钱） 熟地 山茱萸 山药 芡实（各一两） 甘草（一钱） 北五味（二钱）
水煎服。
人有贪酒好饮，久经岁月，湿热所积，变成痢疾，虽无崩奔之状，而有溏 之
苦，终年累月而不愈，人以为酒积之在脾也，谁知是肾泄之病，乃湿热之酒气熏之
也。气熏于肾之中，肾即醉于酒之味，正不必其湿热之尽入之也。然而湿热之侵，
由于肾衰之故，肾不能敌，乃移其湿热于脾，脾又久受湿热之困，不能再藏，乃酿
成酒积而作痢矣。虽其积在脾，病实在肾。但治脾而痢不能愈，必须治肾。然徒治
其肾，病亦不能愈，必须解酒之毒，分消其湿热之气，则不治痢，而痢自止。方用
化酒止痢汤∶
人参（三钱） 白术（一两） 山茱萸（五钱） 黄连（一钱） 茯苓（五钱） 柞木枝（五钱）
白芍（五钱） 槟榔（五分） 薏仁（五钱） 水煎服。连服四剂，痢疾自愈，不可多服。愈后
仍须忌酒，否则暂止而仍发也。
论此方实解酒毒，然力止能解于目前，不能解于日后，非药之过也。盖酒气熏
蒸于肾，受毒最深。用此方以解酒毒，则脾胃有更苏之气。倘不遵酒戒，仍然酣饮，
则酒入于脾胃，其克伐之性较前更甚，盖已伤而不可再伤也。此酒积之病，酒徒每
每坐困，不得享长年之乐，可不慎哉！
此症用萸术杜柞汤亦佳。
山茱萸 白术（各一两） 柞木枝 杜仲（各一钱） 水煎服。十剂可愈。
人有长年累月，里急后重，而作痢者，乍作乍止，无有休歇，人以为休息之痢，
谁知是正气已复，而邪气尚存之故哉。夫痢不可妄止，必须因势利导之。苟邪火、
邪水未曾涤尽，一旦用补塞之药遽止之，则痢虽遏于旦夕，邪在腹中，时动时静，
静则安，动则发，亦其常也。况益之浓味之贪饕，劳役之妄作，安得不成休息之痢
乎？治法必宜以利为主，利小便，不若利大便也。盖正气已复，膀胱之气必能气化
以分水，何必再利其小便？邪之不尽者，火留于大肠也，利大肠则邪且尽下。然而
利大肠之药，必先从胃而入脾，由脾而入大肠。吾恐汤剂之入大肠，不遽受益，胃
与脾先受其损矣。方用尽秽丹∶
大黄（一钱） 滑石（一钱） 浓朴（一钱） 地榆（二钱） 槟榔（一钱） 各为细末，用蜜煮老
为丸，一次服尽。服后即用膳以压之，不使留于胃中。必得微利为度，一利而痢病顿除。
此方专下大肠之湿热也。邪原在大肠，所以一用奏功。倘畏损伤脾胃，用人参
汤送下更妙。然亦止宜于虚弱之人，不宜于健旺之客也。
此症用缓攻汤亦神。
苍术（二两） 干姜（三钱） 良姜（二钱） 茯苓（一两） 甘草（一钱） 肉桂（一钱）
管仲（三钱） 水煎服。
有人在夏秋之间，出现腹痛并腹泻，进而转变为痢疾，大便状如鱼冻，时间久了则红白相间，这是肝木克制脾土所致。因为夏秋季节，寒热之气必然混杂，肝遇到凉风，则肝气不得舒展，上不能宣发，必然向下克制脾胃。而脾胃在夏季受到暑热侵袭，欺侮肝木凋零，于是与肝木相争。肝木被激怒而亢盛，克制脾土更加严重。脾胃之土受伤，难以容纳水谷，于是发生腹痛并腹泻。腹泻久了，糟粕已尽，脾便将肝木之气传给肾，肾见到其子脏（肝）的气机异常，便相助而为恶，忘记了自身母气（肾阴/精）已受损的事实。红白相间，是因为肝不藏血而见红色，肾不藏精而见白色。只是肝内之血不多，肾中之精有限，怎么能像水流倾泻、泉水涌出那样连绵不断呢？这是因为六腑畏惧肝木的横逆，五脏助长肾的困境，相互促成这种病势。治疗法则急需平息肝气的愤怒，稍加祛秽浊的药物，那么肝气下降而肾气顿收。不必刻意止痢，脾胃之土自然安宁，脾胃既已安宁，还怕什么痢疾呢？方用平肝止痢汤：
白芍（一两） 当归（五钱） 栀子（二钱） 枳壳（一钱） 车前子（二钱） 甘草（一钱）
水煎服。服用一剂后痢疾减轻，再服一剂痢疾又减轻，三剂后痊愈。
此方完全不治痢疾，只通过平抑肝气而使痢疾自止。因为痢疾的发生，始于肝；痢疾的形成，根本在于肾。平抑肝气则肝气平和，肝气平和则肾气也平和。肝肾之气平和，脾胃怎么会不平呢？现在的人只知道去治疗脾胃，所以痢疾不能迅速停止。
此症也可以用和腹汤。
白芍（一两） 当归（五钱） 枳壳（三钱） 广木香（二钱） 甘草（一钱） 水煎服。
有人在夏秋之间，先腹泻后痢疾，腹部疼痛，里急后重极其严重，想拉却拉不出来，口渴饮水，小便艰涩，小肠胀满，人们以为是火邪严重，谁知是湿热炽盛呢？因为夏季感受热邪，必然饮水过多，热虽然暂时解除，湿气往往留在肠胃，等到秋天，寒风侵袭皮毛，热气必然闭郁于脏腑，于是热想向外发泄却不能，热不得不与湿相结合。然而湿与热并非好朋友，它们结合又争斗，于是产生疼痛。热想向下排出，湿想留住它，彼此在大肠之间牵制，于是出现里急后重。热想出而不能出，则热必向上焚烧，不得不求救于水。然而湿留在下焦，而火（热）忌讳水，使得水不能传入膀胱，水火战斗，仍然从大肠而出，这就是小腹发胀的原因。治疗法则分解湿热，使浊者趋向大肠，清者进入小肠，不必使用收敛固涩药来止痢。方用分解湿热汤：
车前子（一两） 厚朴（三钱） 黄连（一钱） 甘草（一钱） 枳壳（一钱） 槟榔（一钱）
滑石末（三钱） 水煎服。服用一剂后里急后重消除，二剂后疼痛胀满停止，三剂后口渴解除，痢疾也完全痊愈。
此方用车前草以利水，用黄连以清热，用厚朴以厘清浊，其余药物则是去除秽滞，调和在邪正之间，以解纷争。君、臣、佐、使各药配合得当，哪有不见效快的道理！
此症用二黄汤也有神效。
泽泻（二钱） 车前子（五钱） 大黄 槟榔 滑石（各二钱） 黄连（一钱） 甘草（五分）
水煎服。二剂痊愈。
有人患湿热痢疾，大渴引饮，饮水后仍不甚畅快，心中烦闷懊恼，小便不利，大便红白相间，似脓非脓，似血非血，这是火热未解的缘故。湿热至极，才形成痢疾，但其中有湿轻热重、热轻湿重的区别。像这样的痢疾，明显是湿热俱重的病症，单消水则热存而水难降；单清火则湿在而火难除，必须同时泻热与湿，热与湿都不能单独存在。然而泻热必致伤阳，泻湿必致伤阴。治疗法则必须在补阴之中，佐以泻热湿的药剂，这样阴既不亏损，阳也无害。既然泻法能损伤阴阳，那么补阴时也应补阳了，为什么仅补其阴，就能不伤其阳呢？不知道阴阳原本是互相根基的。泻热的药，仍走于大肠之内，虽损其阳，实则也损其阴。现在补其阴，则阴不受伤了，对阳有什么妨害呢？这就是补阴之所以不必再补阳的原因。方用滋阴止痢丹：
白芍（一两） 当归（一两） 大黄（三钱） 车前子（五钱） 槟榔（二钱） 萝卜子（三钱）
水煎服。一剂后脓血减少，二剂后烦闷懊恼消除，三剂后口渴解除，痢疾也顿时停止。
此方奇妙在于大黄与萝卜子并用，驱逐瘀秽实邪神奇，厘清浊气迅速，用在白芍、当归之内，以补药为行攻之基，有攻邪之益，无攻伐之失。
此症用通快饮也很好。
黄连 茯苓（各三钱） 白芍（一两） 黄芩 车前子 枳壳（各二钱） 厚朴（一钱） 水煎服。
有人湿热极盛，腹痛作痢，上吐不食，下痢不止，连一勺水都难以下咽，胸中闷乱，人们以为是噤口痢，谁知是胃中湿热之毒呢？痢疾宜下行，下利宜通畅，为什么反而上吐而不能入食呢？这大概是胃中的火，得到湿气而蕴结不宣，一旦发作痢疾，本欲下行，若投以饮食，则火反上炽而不降，以致胃口闭塞，而成噤口痢。然而胃火之盛，由于心火之旺，心火最厌恶湿，一得湿则火郁而不通，停住于胃口；胃中之火，愈增其熏蒸之气，二火相合，则热之势固结不散，湿也停住于肠胃之内，胸中交战，怎么不闷乱呢？治疗法则必须打开郁火之门，而门不易开，必须引火开门为捷径。方用引胃汤：
人参（一钱） 黄连（三钱） 吴茱萸（三分） 石菖蒲（三分） 各研为细末，滚水调入茯苓末中，大约茯苓须用五钱，一匙一匙调成稀糊状咽下。初时咽下必吐，吐后仍继续咽，药一受纳则不吐矣。即将前药服完，上下俱开门矣。然后用靖乱汤：
白芍（一两） 车前子（五钱） 黄连（一钱） 甘草（一钱） 枳壳（一钱） 木通（一钱）
广木香（五分） 茯苓（三钱） 水煎服。二剂痢止，不必服三剂。
前用引胃汤，是因为心火喜燥。黄连虽寒，但其性正燥。以燥投燥原本不是所厌恶的。况且吴茱萸性热而燥，以火入火，同性岂有格拒之虞？何况加入人参、石菖蒲之中呢？盖胃中之火，乃邪火，而心中之火实为正火。居于邪正之间，非得正人君子之药，则邪不能顷刻消散，非得导引之使，则心火不能返于故居。况且胃气之闭，正是胃气之虚也。人参是补胃气的圣药，胃虚逢补，不啻如饥者得食，关隘一开而良将勇士夺门而入，邪自惊走矣。后用靖乱汤，譬如以计夺门，若后无大兵相继，则敌且欺寡不敌众，未必不在狭巷而战，死斗而不肯遁，如今又以利水、逐秽、平肝之药济之，是前锋既勇于斩关，而后队又善于荡寇，怎能不成功哉。
此症用启关散也有效。
黄连 人参 茯苓（各二钱） 木香（三分） 吴茱萸（五分） 水煎服。缓饮之，随饮即愈。
有人患湿热痢，数日之后，腹部不疼痛，大便如脓如血，阵阵自下，手足厥冷，元气欲绝，这是火变为寒而阴绝也。痢无止法，是古人的话。然痢疾确实不同：有初起即宜止者，有日久而不可止者，不可执着“痢无止法”一句话，竟不用止法。然而不止痢，不过是久病难痊；若止痢，每至变生于不测，是痢疾又不可轻言止也。此等病症，正是不可不止者，盖腹中作痛为邪，腹部既不痛，何邪之有？腹不痛而脓血阵阵自下，乃气脱而欲崩也。手足厥冷，乃气脱而不能运也。必须看其舌苔滑燥如何。热极则舌必燥，寒极则舌必滑也。热变为寒其舌必滑，须先止其痢以救脱，不可泻其痢以攻邪矣。方用止脱救痢汤：
人参（二两） 白术（二两） 白芍（一两） 肉桂（三钱） 茯苓（一两） 甘草（二钱）
赤石脂末（三钱） 水煎服。一剂后手足温，二剂后脓血止，三剂后痢全愈。减各药一半，去赤石脂，再服十剂，元气如故矣。
此等痢疾，世间不常有，不可执着此方以治痢。我论述病症不敢不备质于天师，以存此治法，救万人中之一人也。
此症用加味四君汤也有效。
人参 白术（各二两） 肉桂（三钱） 北五味子（三钱） 茯苓（一两） 甘草（三钱） 水煎服。
有人感受暑湿之毒，水谷倾囊而出，一昼夜七、八十次，脓血稠粘，大渴引水，百杯不止，人们以为是肠胃为热毒所攻，谁知是膀胱热结而气不化呢？夫水湿之邪，从膀胱而出，乃上由于肺气之清肃下行，膀胱奉之而能化也。今胃受暑热之毒，熏蒸于肺，肺不能受，乃移其热于大肠，而大肠奔迫，必郁结于膀胱矣。膀胱热结，则气不化而小溲短赤，邪热邪湿，尽趋于大肠而出，不啻如决水转石之骤猛也。治法必须清膀胱之热，以迅利其小便。但肺与大肠为表里，肺热而大肠始热，故不若先清肺经之热也。方用清源止痢汤：
黄芩（三钱） 茯苓（五钱） 紫参（三钱） 诃黎勒（三钱） 甘草（一钱） 天花粉（三钱）
地榆（三钱） 水煎服。一剂减半，三剂痢止。
此方是清肺金化源之方。用黄芩、地榆以凉肺，即所以凉大肠之热也。紫参疗肠胃之热，能消积聚，而通大小之便。诃黎勒能固肠脱，合而用之于茯苓、甘草诸药之内，则通中有塞，而塞中又有调和之妙，所以奏功特神也。
此症用迅行汤也有神效。
王不留行 茯苓 猪苓 黄芩（各三钱） 白术（三钱） 水煎服。
有人下痢纯血，色如陈腐屋漏之状，肛门大开，不能收闭，面色反觉红润，唇似朱涂，人们以为是痢疾之死症。然治之得法尚可获生，以其症虽见死象，而气犹未绝，有可续之机也。凡下痢纯红，开手即宜用补阴之药，因人执痢无补法，以至于如此不知痢症何常不可补也。用补阳之药以治痢，则有宜有不宜。用补阴之药以治痢，则实无不宜也。若一见红白，不问虚与不虚，动用攻邪逐秽之剂，以致白变红，红变陈腐屋漏之色也。夫下痢纯血，原是阳旺阴虚之症。不补阴以制阳，反助阳以攻阴，则阴气愈虚，虚极则阴气但有降无升矣。肛门大开，不能收闭，正有降无升之明验也。面色红润，唇如朱涂，正阳在上而阴沉下之显征也。阳宜降而反升，阴宜升而反降，则阴阳不交，不死何待乎？然能奄奄不死者，以其阴气虽降，而未绝也。治法急救其阴，以引其阳气之下降，兼补其阳，以提其阴气之上升，未必非死里求生之法也。方用补阴升提汤：
人参（一两） 熟地黄（一两） 白芍（三两） 茯苓（一两） 升麻（二钱） 甘草（一钱） 山药（一两）
北五味子（三钱） 山茱萸（一两） 诃黎勒（三钱） 水煎服。一剂痢减半，再剂痢止。倘服之仍如前之痢也，则阴已绝而阳不能交，不必再服。
论此方乃救阴之奇方，提气之圣药。苟有阴气未绝，未有不可续之，而升提者也。正不可因一用之无功，竟置此方于不用。如一见纯红之症，急以此方减半投之，何至有死亡之嗟哉。
此症用续绝汤甚佳。
人参（五钱） 熟地黄 山茱萸 山药 芡实（各一两） 甘草（一钱） 北五味（二钱）
水煎服。
有人贪酒好饮，久经岁月，湿热所积，变成痢疾，虽无崩奔之状，而有溏泄之苦，终年累月而不愈，人们以为是酒积在脾，谁知是肾泄之病，乃湿热之酒气熏之也。气熏于肾之中，肾即醉于酒之味，正不必其湿热之尽入之也。然而湿热之侵，由于肾衰之故，肾不能敌，乃移其湿热于脾，脾又久受湿热之困，不能再藏，乃酿成酒积而作痢矣。虽其积在脾，病实在肾。但治脾而痢不能愈，必须治肾。然徒治其肾，病亦不能愈，必须解酒之毒，分消其湿热之气，则不治痢，而痢自止。方用化酒止痢汤：
人参（三钱） 白术（一两） 山茱萸（五钱） 黄连（一钱） 茯苓（五钱） 柞木枝（五钱）
白芍（五钱） 槟榔（五分） 薏仁（五钱） 水煎服。连服四剂，痢疾自愈，不可多服。愈后仍须忌酒，否则暂止而仍发也。
论此方实解酒毒，然力止能解于目前，不能解于日后，非药之过也。盖酒气熏蒸于肾，受毒最深。用此方以解酒毒，则脾胃有更苏之气。倘不遵酒戒，仍然酣饮，则酒入于脾胃，其克伐之性较前更甚，盖已伤而不可再伤也。此酒积之病，酒徒每每坐困，不得享长年之乐，可不慎哉！
此症用萸术杜柞汤也佳。
山茱萸 白术（各一两） 柞木枝 杜仲（各一钱） 水煎服。十剂可愈。
有人长年累月，里急后重，而作痢者，乍作乍止，无有休歇，人们以为是休息痢，谁知是正气已复，而邪气尚存之故哉。夫痢不可妄止，必须因势利导之。苟邪火、邪水未曾涤尽，一旦用补塞之药遽止之，则痢虽遏于旦夕，邪在腹中，时动时静，静则安，动则发，亦其常也。况益之浓味之贪饕，劳役之妄作，安得不成休息之痢乎？治法必宜以利为主，利小便，不若利大便也。盖正气已复，膀胱之气必能气化以分水，何必再利其小便？邪之不尽者，火留于大肠也，利大肠则邪且尽下。然而利大肠之药，必先从胃而入脾，由脾而入大肠。吾恐汤剂之入大肠，不遽受益，胃与脾先受其损矣。方用尽秽丹：
大黄（一钱） 滑石（一钱） 厚朴（一钱） 地榆（二钱） 槟榔（一钱） 各研为细末，用蜜煮老为丸，一次服尽。服后即用膳以压之，不使留于胃中。必得微利为度，一利而痢病顿除。
此方专下大肠之湿热也。邪原在大肠，所以一用奏功。倘畏损伤脾胃，用人参汤送下更妙。然亦止宜于虚弱之人，不宜于健旺之客也。
此症用缓攻汤也有神效。
Cangzhu (Atractylodis Rhizoma, 2 liang), Ganjiang (Zingiberis Rhizoma Recens, 3 qian), Liangjiang (Alpiniae Officinarum Rhizoma, 2 qian), Fuling (Poria, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Rougui (Cinnamomi Cortex, 1 qian), Guanzhong (Asparagus Fern Rhizome, 3 qian). Decoct in water and take orally.
Some people experience abdominal pain and diarrhea between summer and autumn, which transforms into dysentery. The stool resembles fish mucus; over time, it becomes a mixture of red and white. This is due to Liver Wood overcoming Spleen Earth. During summer and autumn, cold and heat inevitably mix. When the Liver encounters cool wind, its Qi fails to flow freely. Unable to disperse upward, it necessarily attacks downward. Meanwhile, the Spleen and Stomach are affected by the summer heat. They bully the withering Liver Wood and contend with it. Provoked, the Liver Wood becomes angry and overcomes Earth even more severely. The injured Spleen Earth cannot hold food and fluids, leading to abdominal pain and diarrhea. After prolonged diarrhea, when the residue is exhausted, the Spleen transmits the abnormal Qi of Liver Wood to the Kidney. Seeing its "child" organ's Qi in distress, the Kidney assists in the pathology, forgetting that its own maternal essence has been damaged. The red color appears because the Liver fails to store blood; the white color appears because the Kidney fails to store essence. Since Liver blood is limited and Kidney essence is finite, how can they flow continuously like pouring water or gushing springs? It is unknown that the Six Fu Organs fear the rampant Liver Wood, while the Five Zang Organs exacerbate the Kidney's dilemma, mutually reinforcing this condition. The treatment principle urgently requires calming the anger of Liver Qi and slightly adding herbs to remove turbidity. Then, Liver Qi descends, and Kidney Qi is instantly contained. There is no need to specifically stop dysentery; once Spleen Earth is at peace, why fear dysentery? Use Pinggan Zhili Tang (Liver-Calming Dysentery-Stopping Decoction):
Baishao (Paeoniae Radix Alba, 1 liang), Danggui (Angelicae Sinensis Radix, 5 qian), Zhizi (Gardeniae Fructus, 2 qian), Zhike (Aurantii Fructus Immaturus, 1 qian), Cheqianzi (Plantaginis Semen, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian). Decoct in water and take orally. After one dose, dysentery lightens; after two doses, it lightens further; after three doses, full recovery occurs.
This formula does not directly treat dysentery but stops it by calming the Liver. The onset of dysentery begins in the Liver; its formation stems from the Kidney. Calming the Liver calms Liver Qi; calm Liver Qi leads to calm Kidney Qi. With calm Liver and Kidney Qi, how could the Spleen and Stomach be uncalm? Modern practitioners only treat the Spleen and Stomach, hence dysentery does not stop quickly.
For this syndrome, He Fu Tang (Abdomen-Harmonizing Decoction) is also suitable:
Baishao (Paeoniae Radix Alba, 1 liang), Danggui (Angelicae Sinensis Radix, 5 qian), Zhike (Aurantii Fructus Immaturus, 3 qian), Guangmuxiang (Vladimiriae Root, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian). Decoct in water and take orally.
Some people suffer from diarrhea preceding dysentery between summer and autumn, with severe abdominal pain and extreme tenesmus (feeling of incomplete defecation). They feel the urge to defecate but cannot, accompanied by thirst and difficult urination, and distension in the small intestine. People assume this is severe Fire Pathogen, but it is actually excessive Damp-Heat. Summer heat causes excessive drinking; although heat dissipates temporarily, dampness remains in the intestines and stomach. In autumn, cold wind attacks the skin and hair, trapping heat within the organs. Heat desires to escape outward but cannot, so it combines with dampness. However, dampness and heat are not compatible; their conflict generates pain. Heat wants to exit downward, while dampness tries to retain it, causing tension in the large intestine and resulting in tenesmus. Heat trapped inside burns upward, seeking relief from water. But dampness stays in the lower jiao, and fire fears water, preventing water from entering the bladder. Water and fire battle, exiting through the large intestine, causing lower abdominal distension. The treatment principle is to separate dampness and heat, directing turbid matter to the large intestine and clear matter to the small intestine. Astringents should not be used to stop dysentery. Use Fenjie Shire Tang (Damp-Heat-Separating Decoction):
Cheqianzi (Plantaginis Semen, 1 liang), Houpo (Magnoliae Officinalis Cortex, 3 qian), Huanglian (Coptidis Rhizoma, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Zhike (Aurantii Fructus Immaturus, 1 qian), Binglang (Arecae Semen, 1 qian), Huashi (Talcum Powder, 3 qian). Decoct in water and take orally. After one dose, tenesmus disappears; after two doses, pain and distension cease; after three doses, thirst resolves, and dysentery is fully cured.
This formula uses Cheqianzi to promote urination, Huanglian to clear heat, and Houpo to distinguish clear from turbid. Other herbs remove turbidity and stagnation, harmonizing between pathogenic factors and healthy Qi. With proper coordination of Sovereign, Minister, Assistant, and Envoy herbs, rapid efficacy is assured.
For this syndrome, Erhuang Tang (Two-Yellow Decoction) is also effective:
Zexie (Alismatis Rhizoma, 2 qian), Cheqianzi (Plantaginis Semen, 5 qian), Dahuang (Rhei Radix et Rhizoma), Binglang (Arecae Semen), Huashi (Talcum Powder) (each 2 qian), Huanglian (Coptidis Rhizoma, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian). Decoct in water and take orally. Cured in two doses.
Some people suffer from damp-heat dysentery with intense thirst, drinking yet feeling unsatisfied, mental restlessness (Ao Nu), difficult urination, and stools mixed with red and white resembling pus and blood. This is due to unresolved heat and dampness. Extreme damp-heat forms dysentery, varying in dominance of dampness or heat. Such cases indicate heavy damp-heat. Eliminating water alone leaves heat; clearing fire alone leaves dampness. Both must be drained simultaneously. However, draining heat damages Yang, and draining dampness damages Yin. The treatment principle requires supplementing Yin while assisting in draining heat and dampness, preserving both Yin and Yang. Although drainage harms Yin and Yang, supplementation should address both. Why just supplement Yin without harming Yang? Because Yin and Yang are mutually rooted. Heat-draining herbs act on the large intestine; damaging Yang there also damages Yin. Supplementing Yin protects it, thus sparing Yang. Hence, supplementing Yin suffices. Use Ziyin Zhili Dan (Yin-Nourishing Dysentery-Stopping Pill):
Baishao (Paeoniae Radix Alba, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Dahuang (Rhei Radix et Rhizoma, 3 qian), Cheqianzi (Plantaginis Semen, 5 qian), Binglang (Arecae Semen, 2 qian), Luobozhi (Brassicae Semis, 3 qian). Decoct in water and take orally. After one dose, pus and blood decrease; after two doses, restlessness vanishes; after three doses, thirst resolves, and dysentery stops suddenly.
This formula is unique for combining Dahuang and Luobozhi to expel stasis and turbidity rapidly. Used within Baishao and Danggui, it nourishes while attacking, gaining benefits without harm.
For this syndrome, Tongkuai Yin (Unblocking and Speeding Infusion) is also good:
Huanglian (Coptidis Rhizoma), Fuling (Poria) (each 3 qian), Baishao (Paeoniae Radix Alba, 1 liang), Huangqin (Scutellariae Radix), Cheqianzi (Plantaginis Semen), Zhike (Aurantii Fructus Immaturus) (each 2 qian), Houpo (Magnoliae Officinalis Cortex, 1 qian). Decoct in water and take orally.
Some people suffer from extreme damp-heat dysentery with vomiting, inability to eat, continuous diarrhea, inability to drink even a spoonful of water, and chest stuffiness. People call this Jin Kou Li (Jammed-Mouth Dysentery), but it is actually toxic damp-heat in the Stomach. Dysentery should descend; if it ascends as vomiting, it indicates Stomach Fire combined with dampness, blocking the appetite. Stomach Fire stems from Heart Fire. Heart Fire hates dampness; dampness traps fire, stopping it at the Stomach entrance. Combined fires create solidified heat and stagnant dampness in the chest, causing confusion. Treatment must open the door of constrained fire. Direct opening is hard; guiding fire out is faster. Use Yingwei Tang (Stomach-Guiding Decoction):
Renshen (Ginseng Radix, 1 qian), Huanglian (Coptidis Rhizoma, 3 qian), Wuzhuyu (Evodiae Fructus, 0.3 qian), Changpu (Acori Tatarinowii Rhizoma, 0.3 qian). Grind into fine powder. Mix with Fuling powder (approx. 5 qian) using boiling water to form a thin paste. Swallow spoon by spoon. Initially, vomiting may occur; continue swallowing until the medicine settles. This opens upper and lower passages. Then use Jingluan Tang (Chaos-Pacifying Decoction):
Baishao (Paeoniae Radix Alba, 1 liang), Cheqianzi (Plantaginis Semen, 5 qian), Huanglian (Coptidis Rhizoma, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Zhike (Aurantii Fructus Immaturus, 1 qian), Mutong (Akebiae Caulis, 1 qian), Guangmuxiang (Vladimiriae Root, 0.5 qian), Fuling (Poria, 3 qian). Decoct in water and take orally. Dysentery stops in two doses; three doses are unnecessary.
The previous Yingwei Tang was used because Heart Fire prefers dryness. Huanglian is cold but dry. Using dryness for dryness is acceptable. Wuzhuyu is hot and dry; combining fire with fire avoids rejection. Added to Renshen and Changpu, it guides properly. Stomach Fire is evil fire; Heart Fire is righteous fire. Between them, righteous herbs disperse evil. Renshen tonifies Stomach Qi, opening the gate like a general storming a fortress. Jingluan Tang follows up with troops to eliminate pathogens. With water-promoting, turbidity-expelling, and Liver-calming herbs, success is guaranteed.
For this syndrome, Qiguan San (Gate-Opening Powder) is also effective:
Huanglian (Coptidis Rhizoma), Renshen (Ginseng Radix), Fuling (Poria) (each 2 qian), Muxiang (Aucklandiae Radix, 0.3 qian), Wuzhuyu (Evodiae Fructus, 0.5 qian). Decoct in water and take orally slowly. Recovery follows immediately.
Some people suffer from damp-heat dysentery. After several days, abdominal pain ceases, but pus and blood pass spontaneously in waves. Hands and feet are cold, and Yuan Qi (Original Qi) is nearly exhausted. This is Fire transforming into Cold with Yin exhaustion. Ancient texts say dysentery has no stopping method, but this is not absolute. Some require immediate stopping; others do not. Not stopping leads to chronic illness; stopping risks unpredictable changes. Thus, dysentery should not be lightly stopped. However, in this case, stopping is necessary. Pain indicates pathogen; absence of pain suggests no pathogen. Spontaneous passage of pus and blood without pain indicates Qi collapse. Cold extremities indicate Qi failure to circulate. Check the tongue: dryness indicates extreme heat; slipperiness indicates extreme cold. Heat turning to cold shows a slippery tongue. Stop dysentery first to save collapse; do not purge to attack pathogen. Use Zhituo Jiuli Tang (Collapse-Stopping Dysentery-Saving Decoction):
Renshen (Ginseng Radix, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Baishao (Paeoniae Radix Alba, 1 liang), Rougui (Cinnamomi Cortex, 3 qian), Fuling (Poria, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Chishizhi Powder (Kaolinite Powder, 3 qian). Decoct in water and take orally. After one dose, hands and feet warm; after two doses, pus and blood stop; after three doses, dysentery cures. Reduce all herbs by half, remove Chishizhi, take ten more doses to restore Yuan Qi.
Such dysentery is rare. Do not rigidly apply this formula. I record this method to save lives.
For this syndrome, Jiawei Sijun Tang (Modified Four Gentlemen Decoction) is also effective:
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 liang), Rougui (Cinnamomi Cortex, 3 qian), Beiweizi (Schisandrae Fructus, 3 qian), Fuling (Poria, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian). Decoct in water and take orally.
Some people contract summer-damp toxicity, evacuating food and water violently, 70-80 times a day, with thick sticky pus and blood, intense thirst, and unquenchable drinking. People think intestinal heat toxins attack, but it is actually Bladder heat binding with failed Qi transformation. Water-damp exits via the Bladder, guided by Lung Qi descending. Now, Stomach heat steams the Lung, which transfers heat to the Large Intestine, causing pressure that blocks the Bladder. Bladder heat binding prevents Qi transformation, leading to scanty dark urine. Pathogenic heat and damp rush to the Large Intestine, flowing fiercely like bursting water. Treatment must clear Bladder heat to promote urination. Since Lung and Large Intestine are exterior-interior pairs, clearing Lung heat is preferable. Use Qingyuan Zhili Tang (Source-Clearing Dysentery-Stopping Decoction):
Huangqin (Scutellariae Radix, 3 qian), Fuling (Poria, 5 qian), Zishen (Bistortae Radix, 3 qian), Helile (Terminalia Chebulae Fructus, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Tianhuafen (Trichosanthis Radix, 3 qian), Diyü (Sanguisorbae Radix, 3 qian). Decoct in water and take orally. Half reduction after one dose; dysentery stops after three doses.
This formula clears Lung Metal and its source. Huangqin and Diyü cool the Lung, thereby cooling the Large Intestine. Zishen treats intestinal heat and removes accumulation. Helile secures the intestines. Combined with Fuling and Gancao, it balances unblocking and securing, achieving miraculous results.
For this syndrome, Xunxing Tang (Swift-Action Decoction) is also effective:
Wangbuliuxing (Vaccariae Semen), Fuling (Poria), Zhuling (Polyporus, Huangqin (Scutellariae Radix)) (each 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian). Decoct in water and take orally.
Some people have pure blood dysentery, resembling old roof leaks, with an open anus that cannot close, flushed face, and red lips. People consider this a fatal sign. However, with correct treatment, survival is possible as Qi is not yet exhausted. For pure red dysentery, start with Yin-nourishing herbs. Many believe dysentery cannot be tonified, leading to such conditions. Yang-tonics are sometimes suitable; Yin-tonics are always suitable. If one sees red-white stool and uses attacking herbs regardless of deficiency, white turns to red, then to old-leak color. Pure blood dysentery is Yang excess and Yin deficiency. Not nourishing Yin to control Yang, but aiding Yang to attack Yin, worsens Yin deficiency. Extreme deficiency leads to descent without ascent. An open anus proves descent without ascent. Flushed face and red lips prove Yang rising and Yin sinking. If Yang rises instead of descending and Yin sinks instead of ascending, Yin and Yang do not interact, leading to death. Survival indicates Yin is low but not extinct. Treatment urgently nourishes Yin to guide Yang down and supplements Yang to lift Yin. Use Buyin Shengti Tang (Yin-Supplementing Lifting Decoction):
Renshen (Ginseng Radix, 1 liang), Shudi (Rehmanniae Radix Praeparata, 1 liang), Baishao (Paeoniae Radix Alba, 3 liang), Fuling (Poria, 1 liang), Shengma (Cimicifugae Rhizoma, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shanyao (Dioscoreae Rhizoma, 1 liang), Beiweizi (Schisandrae Fructus, 3 qian), Shanzhuyu (Corni Fructus, 1 liang), Helile (Terminalia Chebulae Fructus, 3 qian). Decoct in water and take orally. Half reduction after one dose; stops after two doses. If symptoms persist, Yin is extinct and Yang cannot interact; stop medication.
This formula is a miracle for saving Yin and lifting Qi. If Yin is not extinct, it can be restored. Do not discard it due to initial failure. Apply halved dose immediately for pure red dysentery to avoid death.
For this syndrome, Xuéjue Tang (Continuing Extinction Decoction) is excellent:
Renshen (Ginseng Radix, 5 qian), Shudi (Rehmanniae Radix Praeparata), Shanzhuyu (Corni Fructus), Shanyao (Dioscoreae Rhizoma), Qianshi (Euryales Semen) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Beiwei (Schisandrae Fructus, 2 qian). Decoct in water and take orally.
Some people indulge in alcohol for years, accumulating damp-heat, leading to dysentery. Though lacking violent evacuation, they suffer loose stools year-round. People attribute this to Spleen wine accumulation, but it is actually Kidney leakage caused by damp-heat wine vapor. Wine vapor intoxicates the Kidney. Damp-heat invasion occurs due to Kidney weakness. The Kidney transfers damp-heat to the Spleen, which suffers long-term, failing to store,酿成酒积 (brewing wine accumulation) and dysentery. Though accumulation is in the Spleen, the root is in the Kidney. Treating the Spleen alone fails; treating the Kidney alone fails. One must resolve wine toxicity and separate damp-heat. Then dysentery stops naturally. Use Huajiu Zhili Tang (Wine-Resolving Dysentery-Stopping Decoction):
Renshen (Ginseng Radix, 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Shanzhuyu (Corni Fructus, 5 qian), Huanglian (Coptidis Rhizoma, 1 qian), Fuling (Poria, 5 qian), Zuozhizhi (Quercus Ramulus, 5 qian), Baishao (Paeoniae Radix Alba, 5 qian), Binglang (Arecae Semen, 0.5 qian), Yiren (Coicis Semen, 5 qian). Decoct in water and take orally. Take four doses consecutively for self-cure; do not overdose. Avoid alcohol after cure, or it will recur.
This formula resolves wine toxicity but only currently, not preventatively. Wine vapor deeply poisons the Kidney. While it revives Spleen and Stomach, continued drinking worsens damage. Alcohol accumulators often suffer prematurely; caution is advised.
For this syndrome, Yushu Duozhe Tang (Cornus-Atractylodes-Douglas Fir Branch Decoction) is also good:
Shanzhuyu (Corni Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang), Zuozhizhi (Quercus Ramulus), Duzhong (Eucommiae Cortex) (each 1 qian). Decoct in water and take orally. Cured in ten doses.
Some people suffer from tenesmus and dysentery for years, fluctuating without rest. People call this Resting Dysentery, but it is actually residual pathogen after healthy Qi recovery. Dysentery should not be arbitrarily stopped; follow the trend. If pathogenic fire and water are not cleared, sudden tonification and astringency trap pathogens in the abdomen, causing intermittent flare-ups. Combined with rich diet and overwork, resting dysentery forms. Treatment should prioritize promoting urination or defecation. Promoting bowel movement is better than promoting urination since healthy Qi has recovered and Bladder Qi can separate clear and turbid. Residual pathogen is fire in the Large Intestine; promoting Large Intestine movement expels it. However, Large Intestine-purging herbs pass through Stomach and Spleen, potentially harming them before reaching the Large Intestine. Use Jinhui Dan (Exhausting Turbidity Pill):
Dahuang (Rhei Radix et Rhizoma, 1 qian), Huashi (Talcum Powder, 1 qian), Houpo (Magnoliae Officinalis Cortex, 1 qian), Diyü (Sanguisorbae Radix, 2 qian), Binglang (Arecae Semen, 1 qian). Grind into fine powder. Boil honey to make pills. Take all at once. Eat a meal immediately after to suppress gastric retention. Aim for mild purgation; one passage cures dysentery.
This formula specifically drains Large Intestine damp-heat. Since pathogen is in the Large Intestine, it works instantly. If fearing Spleen/Stomach damage, take with Renshen decoction. Suitable only for weak constitutions, not robust ones.
For this syndrome, Huangong Tang (Slow-Attack Decoction) is also effective.