Written By Jun Heo (許浚, 1539~1615), translated by Namil Kim, Wung Seok Cha et al. Published by Ministry of Health & Welfare (Korea).
10-7 Intermittent Dysentery 休息痢 휴식리
① Dysentery which repeatedly appears and disappears is called intermittent dysentery.
② Continuous diarrhea from qi-blood deficiency due to many years of intermittent dysentery should be prescribed with an Eight Substances Decoction with the addition of some Citrus Unshius Pericarpium, Asini Corii Colla, Coptidis Rhizoma, and Scutellariae Radix. A Tonify the Center to Augment the qi Decoction and Ginseng, Poria, and White Atractylodes Powder should be prescribed for those with deficiencies of the spleen and stomach.
③ An Augmented Maintain Organs Decoction, Three Roots Drink, Myrobalan and Tribulus Fruit Force Pill, and Miraculously Effective Pill should be prescribed for intermittent dysentery.
- Augmented Maintain Organs Decoction 加味養臟湯 가미양장탕: It treats intermittent dysentery. This prescription is Aconiti Lateralis Radix Preparata, Citri Unshius Pericarpium Immaturus, Linderae Radix, and Poria Sclerotium added to Person of Integrity Maintain Organs Decoction. Slice these medicines, put 3 pieces of Zingiberis Rhizoma and 2 Zizyphi Fructus, decoct together, and take.
- Three Roots Drink 三根飮 삼근음: It treats intermittent dysentery and chronic dysentery with wonderful effects. Root of sumac, root of Xanthii Fructus, and the white skin gathered from scratching the root of the smelling tree of heaven in all the same quantities. Slice these medicines as 7 don each, decoct with 3 pieces of Zingiberis Rhizoma, 2 Zizyphi Fructus, 36 black beans, 49 grains of sticky rice together, and take on an empty stomach.
- Myrobalan and Tribulus Fruit Force Pill 訶黎勒丸 가리륵환: It treats intermittent dysentery otherwise ineffective. Ailanthi Radicis Cortex 2 nyang, Terminaliae Fructus 5 don, and 30 Syzygii Fructus. Powder these medicines, make into paste by putting vinegar, and make into pills the size of a seed of a foxglove tree. Take 50 pills with old rice porridge and a little vinegar, and take three times a day.
- Miraculously Effective Pill 神效丸 신효환: It treats continuous blood-pus, pain, and tiredness. Angelica Gigantis Radix, Mume Fructus Praeparatum, Coptidis Rhizoma, and Asini Corii Colla all the same quantities. Powder these medicines, make into dough with honey, and make into pills the size of a seed of a foxglove tree. Take 30~50 pills with water decocted of Magnoliae Cortex on an empty stomach. When the condition of the patient is severe, make into pills with yellow beeswax.
10-8 Wind Dysentery 風痢 풍리
① In wind dysentery, the patient hates wind, has a blocked nose, heaviness of body, and bluish feces or diarrhea of only water. Atractylodes and Ledebourellia Decoction should be prescribed.
② Diarrhea of wind dysentery looks like dysentery but it is not dysentery, and it looks like blood but actually there is no blood. A Granary Decoction should be prescribed.
③ A stomach Wind Decoction and Sleep Outdoors Decoction should be prescribed for wind dysentery.
- Sleep Outdoors Decoction 露宿湯 노숙탕: It treats whole blood in feces in wind dysentery. 7 Armeniacae Semen, Cortex Toonae Sinensis, 1 Mume Fructus Praeparatum, 1 Amomi Tsao-ko Fructus, Granati Fructus half, 2 Citri Unshius Pericarpium Immaturus, and Glycyrrhizae Radix 1 cun. Slice these medicines as 1 pack, put 3 pieces of Zingiberis Rhizoma, decoct, and leave outside for one night. Take the next morning on an empty stomach.
10-9 Cold Dysentery 寒痢 한리
① Cold dysentery is white diarrhea like duck droppings, rumbling sounds from the abdomen, and moderate abdominal pain and heaviness of the bottom. An Order the Center Decoction with the addition of Terminaliae Fructus and Myristicae Semen should be prescribed. A Coptis Tonify Intestines Decoction should be prescribed for chronic cases.
② Halloysite Powder should be prescribed for cold dysentery.
- Coptis Tonify Intestines Decoction 黃連補腸湯 황련보장탕: It treats bluish or white diarrhea in dysentery from deficient and cold intestines. Coptidis Rhizoma 4 don, Poria Sclerotium, Cnidii Rhizoma 3 don each, Granati Fructus 5 pieces, Sanguisorbae Radix 5 don, and Terba Flava Usta 2 don. Slice these medicines as 1 pack of 8 don, decoct in water, and take on an empty stomach.
- Halloysite Powder 赤石脂散 적석지산: It treats red or white diarrhea in cold dysentery. Myristicae Semen, Amomi Fructus 5 don, Halloysitum Rubrum, and Glycyrrhizae Radix 2.5 don each. Powder these medicines and take 2 don each at a time in millet porridge.
10-10 Dampness Dysentery 濕痢 습리
① Dampness dysentery accompanies abdominal swelling, heaviness of body, and feces that look like black bean juice or black-red in color. This is an urgent symptom. Angelica Calm Blood Powder, Augmented Eliminate Dampness Decoction, and Fifth and Sixth Heavenly Stems Pill should be prescribed.
② Dysentery that looks like bean juice is a symptom of dampness. Because the spleen-stomach is related to the other four viscera as it is the sea of food-water, the five colors are mixed up. It should be the promotion of flow first. This is the meaning of reduction method achieved by countering and depriving qi.
- Augmented Eliminate Dampness Decoction 加味除濕湯 가미제습탕: It treats dysentery that looks like black bean juice from damage due to dampness. Pinelliae Tuber, Magnoliae Cortex, Atractylodis Rhizoma 1.2 don each, Agastachis Herba, Citrus Unshius Pericarpium, Poria Sclerotium 7 pun each, Aucklandiae Radix, Cinnamomi Cortex, and Glycyrrhizae Radix 5 pun each. Slice these medicines as 1 pack, put 3 pieces of Zingiberis Rhizoma and 2 Zizyphi Fructus, decoct in water together, and take.
- Fifth and Sixth Heavenly Stems Pill 戊己丸 무기환: It treats dampness dysentery. Coptidis Rhizoma, Evodiae Fructus, Paeoniae Radix all the same quantities. Powder these medicines, make into dough with flour paste and make into pills the size of a seed of a foxglove tree. Take 50~70 pills with porridge on an empty stomach.
10-11 Heat Dysentery 熱痢 열리
① Heat dysentery is the same as summerheat dysentery.
② Dysentery usually occurs from latent summerheat. Symptoms of summerheat are cold back, dirty or oily face, dried and stuffy teeth, severe teeth, and a longing for water. Hot medicines like Aconiti Lateralis Radix Preparata should not be carelessly prescribed. Prescriptions like a Wine Steamed Coptis Pill should be given.
③ Changhou is when accumulated cool qi and heat qi result in oily feces. This is heat dysentery.
④ Red feces from heat is a symptom of summerheat. Light cases are prescribed with a Scutellaria and Peony Decoction, heavy cases with a Guide Out Stagnation Decoction, and chronic cases with a Coptis and Ass Hide Gelatin Decoction.
⑤ If the patient has dysentery with heat inside, symptoms like bodily fever, thirst, difficult and scanty urine, urgent and painful stools of yellow or red color may be accompanying.
⑥ A Scutellaria and Peony Decoction is the best medicine for heat dysentery.
⑦ When heat is severe in dysentery, a Granary Decoction should be prescribed.
⑧ Longing for water in dysentery is because there is heat. A Pulsatilla Decoction should be prescribed.
⑨ For heat dysentery, a Mume Pill or Stabilize Stomach Powder with the addition of Angelica Gigantis Radix should be prescribed.
- Mume Pill 烏梅丸 오매환: It treats abdominal pain and feces of blood in heat dysentery. Coptidis Rhizoma 1.5 nyang, Mume Fructus Praeparatum, Angelica Gigantis Radix, and Aruantii Fructus Immaturus 1 nyang each. Powder these medicines, make into dough with pate made by vinegar, make into pills, and take 70 pills with porridge on an empty stomach.
- Stabilize the Stomach Powder 寧胃散 영위산: It treats red or white heat dysentery. Paeoniae Radix 2 don, Scutellariae Radix, Coptidis Rhizoma, Aucklandiae Radix, Aruantii Fructus Immaturus 1.5 don each, Citrus Unshius Pericarpium 1 don, and Glycyrrhizae Radix 5 pun. Slice these medicines as 1 pack, decoct in water, and take.
10-12 Qi Dysentery 氣痢 기리
Qi dysentery accompanies froth-like diarrhea and tightening pain in the abdomen. A Coptis and Evodia Pill, Qi Dysentery Pill, and Bovine Milk Decoction should be prescribed.
- Qi Dysentery Pill 氣痢丸 기리환: It treats froth-like diarrhea in qi dysentery. Terminaliae Fructus, Citrus Unshius Pericarpium, and Magnoliae Cortex 1 nyang each. Powder these medicines, make into dough with honey, and make into pills the size of a seed of a foxglove tree. Take 30 pills with porridge on an empty stomach.
- Bovine Milk Decoction 牛乳湯 우유탕: ① It treats qi dysentery. Piperis Longi Fructus 2 don, milk half doe. Decoct these medicines together until half remains and take on an empty stomach. ② The first king who founded the Tang dynasty of China once suffered from qi dysentery for which no medicine worked. One guard gave him this medicine and he recovered immediately.
10-13 Deficient Dysentery 虛痢 허리
① Deficient dysentery accompanies weakened qi, tiredness, indigestion, abdominal pain, and spontaneous feces.
② Continuous and deficient dysentery are the same thing. In severe cases, qi and blood may also be exhausted as diarrhea lasts. Blood deficiency should be treated with a Four Substances Decoction with the addition of Ginseng Radix, Atractylodis Rhizoma, Sanguisorbae Radix and Ailanthi Radicis Cortex, and qi deficiency with a Person of Integrity Maintain Organs Decoction.
③ When the stool is white in color and sticky from a qi-deficiency like nasal discharge or Asini Corii Colla, an Order the Center Decoction with the addition of Aucklandiae Radix, Cinnamomi Cortex, Magnoliae Cortex, and Poria Sclerotium should be prescribed.
④ When the patient feels weak and tired as if by overworking and refuses food, it means a deficiency where a tonifying prescription of qi and blood should be used. When the deficiency is recovered, the diarrhea will cease naturally.
⑤ Weaknesses of qi and blood resulting from chronic dysentery should be prescribed with an Eight Substances Decoction and Tonify the Center to Augment the qi Decoction.
⑥ Absence of diarrhea in chronic cases of dysentery results from the deficient stomach. A Regulate the Center and Order the qi Decoction or Augmented Aucklandia and Coptis Pill should be prescribed.
⑦ Tiredness and urgency from the five deficiencies in chronic dysentery should be treated with a Major Chronic Dysentry Pill Body. Five deficiencies refer to fine pulse, cold skin, scanty qi, diarrhea and incontinence of urine, and inability to intake food. When diarrhea ceases as the patients takes rice gruel, then the patient will live even though there is still deficiency.
⑧ Prolapse of the rectum due to deficient dysentery and cold dysentery should be treated with Myrobalan Husk and Tangerine Peel Powder.
- Regulate Center and Order Qi Decoction 調中理氣湯 조중이기탕: It treats weakened qi and lethargy due to deficient dysentery. Atractylodis Rhizoma, Aruantii Fructus Immaturus, Paeoniae Radix, Arecae Semen 1 don each, Atractylodis Rhizoma, Citrus Unshius Pericarpium 8 pun each, Magnoliae Cortex 7 pun, and Aucklandiae Radix 5 pun. Slice these medicines as 1 pack, decoct in water, and take.
- Augmented Aucklandia and Coptis Pill 加味香連丸 가미향련환: It treats every kind of dysentery including deficient dysentery and chronic dysentery. Coptidis Rhizoma 4 nyang, Aucklandiae Radix 1 nyang, and Papaveris Semen 2 don. Powder these medicines, make into dough with paste made of old rice, and make into pills the size of mung beans. Take 20~30 pills with water decocted with Nelumbinis Semen. Patient should go to sleep right after taking this for best results.
- Major Chronic Dysentry Pill Bowls 大斷下丸 대단하환: It treats frequent leaking of stools and weakness of the body from chronic dysentery. Fossilia Ossis Mastodii, Aconiti Lateralis Radix Preparata, Alumen, Myristicae Semen, Ostreae Testa, Terminaliae Fructus, Granati Cortex 1 nyang each, Alpiniae Officinari Phizoma, Zingiberis Rhizoma, Halloysitum Rubrum 7.5 don each, and Asiasari Radix et Rhizoma 3.75 don. Powder these medicines, make into dough with paste made of vinegar, and make into pills the size of a seed of a foxglove tree. Take 30 pills with millet porridge.
- Myrobalan Husk and Tangerine Peel Powder 訶子皮散 가자피산: It treats red-white dysentery and prolapse of the rectum caused by deficient dysentery. Pericarpium Papaveris, Citrus Unshius Pericarpium 5 pun each, Zingiberis Rhizoma 6 pun, and Terminaliae Fructus 7 pun. Powder these medicines as 1 pack, decoct in water, and take with leftovers together on an empty stomach.
