古今治痢皆曰∶热则清之，寒则温之，初起热盛则下之，有表证则汗之，小便赤涩则分
利之。此五者，举世信用如规矩准绳之不可易，予谓五者惟清热一法无忌，余则犯四大忌，
不可用也。今详于后。
一曰忌温补。痢之为病，由于湿热蕴积，胶积于肠胃中而发，宜清邪热，导滞气，行瘀
血，其病即去。若用参、术等温补之药，则热愈盛，气愈滞而血亦凝，久之正气虚、邪气盛
，不可疗矣。此投温补之祸为最烈也。
一曰忌大下。痢因邪热胶滞肠胃而成，与沟渠壅塞相似，惟用磨刮疏通则愈。若用承气
汤大下之，譬如欲清壅塞之渠，而注狂澜之水，壅塞必不可去，无不岸崩堤塌矣。治痢而大
下之，胶滞必不可去，徒伤胃气、损元气而已。正气伤损，邪气不可除，壮者犹可，弱者危
矣。
一曰忌发汗。痢有头痛目眩，身发寒热者，此非外感，乃内毒熏蒸，自内达外，虽有表
证，实非表邪也。若发汗，则正气既耗，即邪气益肆，且风剂燥热，愈助热邪，表虚于外，
邪炽于内，鲜不毙矣。
一曰忌分利。利小便者，治水泻之良法也。以之治痢，则大乖矣。痢因邪热胶滞，津液
枯涩而成，如用五苓等药分利其水，则津液愈枯而滞涩愈甚，遂至缠绵不已，则分利之为害
也。若清热导滞，则痢自愈而小便自清，又安用分利为哉？予于此一症，素畏其险恶，用心
调治，经今二十余年，百试百验，既而身自患之，试验益精，然后能破诸家之迷障，而为奇
妙之方论，用是述其颠末，以拯斯人之疾苦，而悉登诸寿域也。以上系倪涵初集中摘录。
又方∶痢疾每起于暑天之郁热，而又感以水湿雨露之气，红白相间，如血如脓，甚者如
屋漏水，如鱼冻水，里急后重，崩逐瘀痛，欲下而不能，欲不下而不得，一日夜数十次，甚
至百余次，气息奄奄，坐而待毙，此痢之概也。若骤止其邪，则死生顷刻，不止其邪，则危
绝如丝，欲补气而邪气转加，欲清火则下行更甚，此时惟有因势利导之方可行。或疑人已气
血虚败，更加利导，恐其难堪。不知邪气一刻不去，则正气一刻不安，古人治痢无止法，信
不诬也。方用白芍、当归各三两，萝卜子一两，枳壳（面炒）、槟榔、车前子、甘草各三钱，
水煎服，一剂即止，二剂全安，可用饮食矣。此方之奇妙，全在重用归、芍。盖水泻忌当归
之滑，而痢疾则正喜其滑也。芍药味酸以平肝木，使木不敢再侵脾土。又有枳壳、槟榔，消
逐其湿热之邪，又加车前子分利其水湿，而又不耗其真阴之水，所以功胜于茯苓也。尤奇其
用萝卜子一味，盖萝卜子味辣而能逐邪去湿，且又有通达上下，消食利气，使气行于血分之
中，助归芍以生新血而祛荡其败污也。少加甘草以和中，则无逼烈之患，此奏功之神奇，实
有妙理耳。
又方∶水泻、痢疾均治，百发百中，不可轻视。杏仁七十一粒（去皮尖，去油，研），
苍
炒研）
二、三
二分五
下，赤
又方∶不拘红白久近皆治。有患痢日夜不止，越二十八夜不能睡，药穷待毙矣，用此一
服即安，三服全愈。萝卜（槌取自然汁）两杯，生老姜（自然汁）半酒杯，生蜂蜜一酒杯，
细茶
又方∶胡椒一岁一粒（打碎），大鲫鱼一个（去头尾骨肠）入椒末，捣浓，敷脐上，甚
效。
又方∶巴豆一粒，绿豆、胡椒各三粒，布包，槌碎，用红枣二枚，捣为丸，敷脐上，其
痢即止，后即去药。
又方∶见泄泻门木鳖丸。
又方∶点眼法∶初胎小儿粪（瓦上焙干）一钱，雄黄四分，梅花冰片五厘，为极细末，
水
又方∶粗草纸，卷紧成筒，烧燃，取下黑灰，俟冷，加红糖，在石板上锤融为丸如围棋
子大。大人每服二三十丸，分作三五次，一日服完。小儿服十余丸，三日全愈。痢有寒热之
分，且粘滞肠胃，急难推展。若克伐太甚，必伤元气。此方功能推刮积瘀而不伤损，无论寒
热虚实，至稳至灵，百发百中。
又方∶元胡索末三钱，酒调服。有人年五十余，下痢腹痛欲死，棺木已备，服此而愈。
又方∶真川浓朴一钱，煎服，一日三次，两日即愈。神效。
又方∶生藕节捣烂，滚酒冲服，极效。
又方∶金银花五钱，炒枯研末。不论红白，用开水调白糖，空心服。服后，其痢更甚，
两日全愈，奇效无比，小儿一岁服一分。
又方∶山楂炭研末，红痢加白蜜为丸，白痢加红糖为丸，红白痢加蜜与红糖为丸，空心
白开水汤下。大人每服八钱，小儿每服三钱，一日服三次，三日全愈。山楂能去积补脾，无
论虚实久近，屡试屡效，不可轻视。
又方∶陈细茶叶、山楂炭、红砂糖、白砂糖各三钱，老姜一钱，煎服，一日服尽即愈，
甚效。
又方∶木耳一两，红痢用红糖炒，白痢用白糖炒，红白相并者用红、白糖炒，服之极效。
古今治疗痢疾都说道：热证用清热法，寒证用温补法，初起热盛时用攻下法，有表证时用发汗法，小便赤涩时用分利（利尿）法。这五种方法，举世公认如同规矩准绳一样不可改变，我认为这五种方法中只有清热一法没有禁忌，其余四种则犯了四大忌讳，不能使用。现在详细列述于后。
第一是忌用温补。痢疾这种病，是由于湿热蕴结积聚，胶着在肠胃中而发作的，应当清除邪热，疏导滞气，行散瘀血，病就能痊愈。如果使用人参、白术等温补的药物，那么热势会更盛，气机更加阻滞，血液也会凝结，时间久了正气虚弱、邪气强盛，就无法治愈了。这是投用温补药带来的祸害最为剧烈的。
第二是忌用大剂量攻下。痢疾是因为邪热胶滞于肠胃形成的，与沟渠堵塞相似，只有用磨刮疏通的方法才能痊愈。如果使用承气汤进行大剂量攻下，这就好比想要清理堵塞的沟渠，却注入狂暴的水流，堵塞必然无法去除，只会导致河岸崩塌、堤坝倒塌。治疗痢疾而用大剂量攻下，胶滞之物必然无法去除，只是徒然损伤胃气和元气罢了。正气受损，邪气无法除去，身体强壮的人还可以忍受，体弱的人就危险了。
第三是忌用发汗。痢疾患者如果有头痛目眩、身体发冷发热等症状，这并不是外感风寒，而是内部毒素熏蒸，从内达外，虽然表面有表证，实际上并不是表邪。如果发汗，那么正气既已耗损，邪气会更加放肆，而且风药性燥热，会进一步助长热邪，导致外表虚损，邪气炽盛于内，很少有不死亡的。
第四是忌用分利（利尿）。利小便是治疗水泻的好方法。用它来治疗痢疾，就大错特错了。痢疾是因为邪热胶滞，津液枯涩而形成的，如果使用五苓散等药物分利其水，那么津液会更加枯竭，滞涩会更加严重，于是导致病情缠绵不愈，这就是分利法的危害。如果清热导滞，那么痢疾自然痊愈，小便自然清澈，又何必用分利法呢？我对这一病症，向来畏惧其险恶，用心调治，至今二十多年，百试百验，后来我自己也患此病，试验更加精到，然后才能破除各家学说的迷障，提出奇妙的方论，因此叙述始末，以拯救人们的疾苦，使他们都能达到长寿健康的境界。以上系摘录自倪涵初的医案集中。
另一个方子：痢疾多起因于暑天的郁热，又感受了水湿雨露之气，大便红白相间，如血如脓，严重的像屋漏水，像鱼冻水，里急后重，崩逐瘀痛，想拉拉不出，想不下又忍不住，一天一夜几十次，甚至百余次，气息奄奄，坐以待毙，这是痢疾的大概情况。如果骤然止住邪气，则生死只在顷刻之间；如果不祛除邪气，则危绝如游丝。想要补气，邪气反而加重；想要清火，腹泻更甚。此时唯有因势利导的方法才可以施行。有人怀疑病人已经气血虚败，再加利导，恐怕难以承受。不知道邪气一刻不去，正气就一刻不安，古人治疗痢疾没有止法（指不单纯止泻），确实不是虚假的。方用白芍、当归各三两，萝卜子一两，枳壳（面粉炒）、槟榔、车前子、甘草各三钱，水煎服，一剂即止，二剂全安，可以进食了。这个方子的奇妙之处，全在于重用归、芍。一般来说水泻忌用当归之滑腻，而痢疾则正喜欢它的滑利。芍药味酸以平抑肝木，使肝木不敢再侵犯脾土。又有枳壳、槟榔，消逐湿热之邪，又加车前子分利水湿，而不耗伤真阴之水，所以功效胜过茯苓。尤其奇妙的是使用萝卜子一味，萝卜子味辣能驱逐邪气去湿，且具有通达上下、消食利气的作用，使气行于血分之中，辅助归、芍生成新血并荡除败污。少加甘草以调和脾胃，就没有猛烈之患，这奏效的神奇，实在是有妙理的。
又一个方子：水泻、痢疾均治，百发百中，不可轻视。杏仁七十一粒（去皮尖，去油，研碎），苍术（麸炒研碎）二钱五分，下痢红色者……（原文此处有缺漏或排版错误，依文意推测为配伍说明，但根据提取规则只提取明确实体，故略过不明部分，翻译时保留语意连贯性，若无法通顺则按字面译）……
又一个方子：不拘红白痢疾及病程久近皆治。有患痢疾日夜不止，过了二十八夜不能睡觉，药石无灵等待死亡，用这一方一服即安，三服全愈。萝卜（捣取自然汁）两杯，生老姜（自然汁）半酒杯，生蜂蜜一酒杯，细茶……（原文此处截断，按现有文本翻译）
又一个方子：胡椒一岁一粒（打碎），大鲫鱼一个（去头尾骨肠），放入椒末，捣浓，敷在脐上，非常有效。
又一个方子：巴豆一粒，绿豆、胡椒各三粒，布包，捣碎，用红枣二枚，捣为丸，敷在脐上，痢疾即止，之后去掉药物。
又一个方子：见泄泻门木鳖丸。
又一个方子：点眼法：初胎小儿粪（瓦上焙干）一钱，雄黄四分，梅花冰片五厘，研为极细末，水……（原文截断）
又一个方子：粗草纸，卷紧成筒，烧燃，取下黑灰，待冷，加红糖，在石板上锤融为丸如围棋子大。大人每服二三十丸，分作三五次，一日服完。小儿服十余丸，三日全愈。痢疾有寒热之分，且粘滞肠胃，急难推展。如果克伐太甚，必伤元气。此方功能推刮积瘀而不伤损，无论寒热虚实，至稳至灵，百发百中。
又一个方子：元胡索末三钱，酒调服。有人年五十余岁，下痢腹痛欲死，棺木已备好，服此而愈。
又一个方子：生藕节捣烂，滚酒冲服，极效。
又一个方子：金银花五钱，炒枯研末。不论红白痢，用开水调白糖，空腹服。服后，其痢更甚，两日全愈，奇效无比，小儿一岁服一分。
又一个方子：山楂炭研末，红痢加白蜜为丸，白痢加红糖为丸，红白痢加蜜与红糖为丸，空腹白开水汤下。大人每服八钱，小儿每服三钱，一日服三次，三日全愈。山楂能去积补脾，无论虚实久近，屡试屡效，不可轻视。
又一个方子：陈细茶叶、山楂炭、红砂糖、白砂糖各三钱，老姜一钱，煎服，一日服尽即愈，甚效。
又一个方子：木耳一两，红痢用红糖炒，白痢用白糖炒，红白相并者用红、白糖炒，服之极效。
Ancient and modern treatments for dysentery all state: For heat syndromes, use clearing methods; for cold syndromes, use warming methods; if heat is excessive at the onset, use purgation; if exterior symptoms are present, use sweating methods; if urination is red and difficult, use diuresis (promoting urination). These five methods are universally trusted as unchangeable as compasses and squares. I assert that among these five, only the method of clearing heat has no contraindications; the others fall into four major taboos and should not be used. Details follow.
First is the taboo against warming tonification. Dysentery arises from damp-heat accumulation, adhering in the intestines and stomach. It should be treated by clearing evil heat, guiding out stagnation, and moving blood stasis, after which the disease will resolve. If warming tonics like Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) are used, heat will intensify, qi stagnation will worsen, and blood will coagulate. Over time, righteous qi becomes deficient while evil qi becomes excessive, making it incurable. This is the most severe disaster caused by using warming tonics.
Second is the taboo against drastic purgation. Dysentery results from evil heat adhering in the intestines and stomach, similar to a blocked canal. Only scraping and dredging can cure it. Using Da Cheng Qi Tang (Major Order the Qi Decoction) for drastic purgation is like trying to clear a blocked canal by pouring raging water into it; the blockage cannot be removed, leading inevitably to bank collapse and dike failure. Drastic purgation in treating dysentery fails to remove adhesions, merely damaging Stomach qi and Yuan qi. With damaged righteous qi, evil qi cannot be eliminated. The robust may survive, but the weak face danger.
Third is the taboo against sweating. Dysentery patients with headache, dizziness, chills, and fever do not have an external contraction; rather, internal toxins steaming outward create these signs. Although exterior symptoms appear, they are not due to exterior pathogens. Sweating consumes righteous qi, allowing evil qi to flourish further. Wind-dispelling herbs are dry and hot, aiding heat pathogens, leaving the exterior deficient and internal evil blazing. Death is common.
Fourth is the taboo against diuresis (promoting urination). Diuresis is an excellent method for watery diarrhea but is entirely inappropriate for dysentery. Dysentery forms from heat adhesion and fluid depletion/dryness. Using formulas like Wu Ling San (Five-Ingredient Powder with Poria) to promote urination depletes fluids further and worsens stagnation, leading to lingering illness. Clearing heat and guiding out stagnation cures dysentery naturally, clearing urine without needing diuretics. Having feared the severity of this condition, I have carefully treated it for over twenty years with hundred-percent success. After suffering from it myself, my testing became more refined, allowing me to break through misconceptions and propose unique prescriptions. I record this to alleviate suffering and promote longevity. The above is excerpted from Ni Hanchu's collection.
Another prescription: Dysentery often originates from summer-heat depression combined with dampness and rain. Stools are mixed red and white, resembling blood and pus; severely, they look like leaking roof water or fish jelly. There is tenesmus (straining with little output), bursting pain from stasis, inability to pass stool despite urgency, occurring dozens to hundreds of times daily. The patient lies dying. This is the general presentation. Abruptly stopping the discharge causes immediate death; failing to expel evil leads to critical weakness. Tonifying qi aggravates evil; clearing fire worsens downward flow. Here, only following the trend to guide out evil works. Skeptics worry that draining a depleted patient is intolerable. However, as long as evil remains, righteous qi is unsettled. Ancients said there is no "stopping" method for dysentery, which is true. Use White Peony Root (Baishao) and Angelica Sinensis Radix (Danggui) 3 liang each, Raphani Semen (Luobozzi) 1 liang, Aurantii Fructus (Zhiqiao, stir-fried with flour), Areca Seed (Binglang), Plantaginis Semen (Cheqianzi), and Licorice Root (Gancao) 3 qian each. Decoct in water. One dose stops it; two doses restore health, allowing food intake. The miracle lies in heavy use of Danggui and Baishao. While slippery Danggui is avoided in watery diarrhea, it is beneficial in dysentery. Sour Baishao pacifies Liver Wood, preventing invasion of Spleen Earth. Zhiqiao and Binglang eliminate damp-heat; Cheqianzi drains dampness without consuming Yin, surpassing Poria (Fuling). Uniquely, Luobozzi is pungent, expelling evil and dampness, promoting qi movement in the blood level, assisting Danggui and Baishao in generating new blood and cleansing filth. Mild Gancao harmonizes the middle, avoiding harshness. This efficacy is truly miraculous.
Another prescription: Treats both watery diarrhea and dysentery with high accuracy. Do not underestimate it. Almond Seeds (Xingren) 71 grains (remove skin/point, remove oil, grind); Atractylodis Rhizoma (Cangzhu, bran-fried, ground) 2.5 qian... [Text fragment].
Another prescription: Treats red, white, chronic, or acute dysentery. A patient suffered continuous day and night dysentery for 28 nights, unable to sleep, awaiting death despite medicine. One dose brought relief; three doses cured completely. Radish (fresh juice) 2 cups, Fresh Old Ginger (fresh juice) half wine cup, Raw Honey 1 wine cup, Fine Tea... [Text fragment].
Another prescription: Pepper 1 grain per year of age (crushed). Large Crucian Carp (remove head/tail/bones/guts), mix with pepper powder, mash thick, apply to navel. Very effective.
Another prescription: Croton Seed (Badou) 1 grain, Mung Bean (Lvdou) 3 grains, Pepper 3 grains. Wrap in cloth, crush. Mix with 2 Red Dates, form pills, apply to navel. Dysentery stops immediately; remove medicine afterwards.
Another prescription: See "Wood Turtle Pill" under Diarrhea section.
Another prescription: Eye-drop method: Infant feces (first stool, dried on tile) 1 qian, Realgar (Xionghuang) 4 fen, Borneol (Meibingpian) 5 li. Grind to fine powder, mix with water... [Text fragment].
Another prescription: Coarse toilet paper, rolled tight, burned. Collect black ash when cool. Add brown sugar, melt on stone slab, form pills size of Go stones. Adults take 20-30 pills, divided into 3-5 doses per day. Children take ~10 pills, cured in 3 days. Dysentery involves cold/heat differentiation and sticky intestinal obstruction. Harsh purgatives damage Yuan qi. This formula scrapes accumulation without injury, stable and effective for all types.
Another prescription: Corydalis Rhizome (Yanyhusuo) powder 3 qian, taken with wine. A man over 50 suffered fatal dysentery and abdominal pain, coffin ready. Cured by this.
Another prescription: True Sichuan Magnolia Bark (Chuan Houpo) 1 qian, decocted. Taken 3 times daily. Cured in 2 days. Divine effect.
Another prescription: Fresh Lotus Node mashed, taken with boiling rice wine. Extremely effective.
Another prescription: Honeysuckle Flower (Jinyinhua) 5 qian, stir-fried until charred, ground. For any type, mix with white sugar in boiled water, taken on empty stomach. Dysentery may worsen initially, then cured in 2 days. Extraordinary effect. Infants 1 sui take 1 fen.
Another prescription: Charred Hawthorn Fruit (Shanzhata) ground. Red dysentery + white honey pills; White dysentery + brown sugar pills; Mixed + honey and brown sugar pills. Taken with plain water on empty stomach. Adults 8 qian, children 3 qian, 3 times daily. Cured in 3 days. Hawthorn removes accumulation and tonifies Spleen. Effective regardless of deficiency/excess or duration. Do not underestimate.
Another prescription: Aged fine tea leaves, Charred Hawthorn, Brown sugar, White sugar each 3 qian, Old Ginger 1 qian. Decoct. Cure in one day. Very effective.
Another prescription: Black Fungus (Mu'er) 1 liang. Red dysentery stir-fried with brown sugar; White dysentery with white sugar; Mixed with both. Take. Extremely effective.