产后七日内外，患赤白痢，里急后重频并，最为难治。欲调气行血，而推荡痢邪，犹患产后元气虚弱；欲滋荣益气，
而大补虚弱，又助痢之邪，惟生化汤减干姜，而代以木香、茯苓，则善消恶露，而兼治痢疾，并行而不相悖也。再服香
连丸，以俟一、二日后，病势如减，可保无虞。若产七日外，有患褐花色后重，频并虚痢，即当加补无疑。若产妇禀浓，
产期已经二十余日，宜服生化汤加连、芩、浓朴、芍药行积之剂。
加减生化汤 治产后七日内患痢。
川芎（二钱） 当归（五钱） 炙草（五分） 桃仁（十二粒） 茯苓（一钱） 陈皮（四分） 木香（磨，三分）
红痢腹痛，加砂仁八分。
青血丸 治噤口痢。
香连为末，加莲肉粉，各一两半，和匀为丸，酒送下四钱。
凡产三、四日后，块散，痢疾少减，共十症，开后根据治∶
一产后久泻∶元气下陷，大便不禁，肛门如脱，宜服六君子汤，加木香四分，肉果一个（制），姜汁五分；
二产后泻痢∶色黄，乃脾土真气虚损，宜服补中益气汤，加木香、肉果；
三产后伤面食∶泻痢，宜服生化汤，加神曲、麦芽；
一本神曲、麦芽下有各一钱。
四产后伤肉食∶泻痢，宜服生化汤，加山楂、砂仁；
五产后胃气虚弱∶泻痢，完谷不化，当温助胃气，宜服六君子汤，加木香四分，肉果一个（制）；
六产后脾胃虚弱∶四肢浮肿，宜服六君子汤，加五皮散（见后水肿）；
七产后泻痢∶无后重，但久不止，宜服六君子汤，加木香、肉果；
八产后赤白痢∶脐下痛，当归、浓朴、黄连、肉果、甘草、桃仁、川芎；
九产后久痢∶色赤，属血虚，宜四物汤，加荆芥、人参；
十产后久痢∶色白，属气虚，宜六君子汤，加木香、肉果。
歌括∶产后患痢治最难，清稀鸭溏定属寒。
赤黄相粘定是热，寒温热清宜详参。
生化汤中减黑姜，加入茯苓广木香。
恶露痢疾相兼治，并行不悖法最良。
产后噤口青血丸，两半莲肉木香连。
和匀为丸酒送下，每服四钱三剂痊。
产后久泻元气损，肛门如脱便不禁。
六君子汤加木香，肉果一个姜汁吞。
产后久痢色白苍，病原血虚四物养。
再加人参与荆芥，连服数剂可复康。
产后久痢色红赤，气虚亦服六君子。
木香肉果同加入，连服数剂痢自止。
产后七日内外，出现赤白痢疾，伴有里急后重且频繁发作，是最难治疗的病症。想要通过调气行血来推荡排出痢疾邪气，却担心产后元气虚弱；想要通过滋荣益气来大补虚弱，又担心会助长痢疾的邪气。只有使用生化汤（促进子宫复旧、化瘀生新的方剂）减去干姜，改用木香和茯苓，这样既能善于消除恶露，又能兼治痢疾，两者并行而不相冲突。再服用香连丸（清热燥湿、行气化滞的方剂），等待一两天后，如果病势减轻，就可以保证没有危险了。如果在产后七日之外，出现褐色或花色便伴后重，频繁发作的虚性痢疾，就应当加入补益药物，这是毫无疑问的。如果产妇体质壮实，产期已经过了二十多天，适宜服用生化汤加上黄连、黄芩、厚朴、芍药等行积导滞的药物。
加减生化汤：治疗产后七日内患痢疾。
川芎（二钱）、当归（五钱）、炙甘草（五分）、桃仁（十二粒）、茯苓（一钱）、陈皮（四分）、木香（磨汁，三分）。
若为红痢且腹痛，加砂仁八分。
青血丸：治疗噤口痢（痢疾重症，饮食不入者）。
将黄连和黄柏制成粉末，加入莲肉粉，各一两半，混合均匀做成丸药，用酒送服四钱。
凡是产后三、四天之后，瘀块消散，痢疾稍微减轻，共有十种症状，下面根据症状分别治疗：
一、产后久泻：元气下陷，大便失禁，肛门感觉像脱出一样，适宜服用六君子汤（健脾益气、燥湿化痰的方剂），加木香四分，肉豆蔻一个（炮制），姜汁五分；
二、产后泻痢：大便色黄，这是脾土真气虚损所致，适宜服用补中益气汤（补中益气、升阳举陷的方剂），加木香、肉豆蔻；
三、产后伤食面食：出现泻痢，适宜服用生化汤，加神曲、麦芽；
（注：原书中神曲、麦芽下注明各一钱。）
四、产后伤食肉食：出现泻痢，适宜服用生化汤，加山楂、砂仁；
五、产后胃气虚弱：出现泻痢，完谷不化（食物未经消化即排出），应当温补胃气，适宜服用六君子汤，加木香四分，肉豆蔻一个（炮制）；
六、产后脾胃虚弱：四肢浮肿，适宜服用六君子汤，加五皮散（见后文水肿章节）；
七、产后泻痢：没有后重感，只是长久不止，适宜服用六君子汤，加木香、肉豆蔻；
八、产后赤白痢：脐下疼痛，用当归、厚朴、黄连、肉豆蔻、甘草、桃仁、川芎；
九、产后久痢：大便色赤，属于血虚，适宜服用四物汤（补血调血的方剂），加荆芥、人参；
十、产后久痢：大便色白，属于气虚，适宜服用六君子汤，加木香、肉豆蔻。
歌诀：
产后患痢治疗最难，清稀如鸭粪的定属寒证。
赤黄色粘稠的定是热证，寒证热证宜详细参详。
在生化汤中减去黑姜，加入茯苓和广木香。
恶露与痢疾同时治疗，并行不悖的方法最好。
产后噤口痢用青血丸，一两半莲肉配木香连。
混合均匀做成丸药，每服四钱三剂痊愈。
产后久泻元气受损，肛门如脱大便不禁。
六君子汤加木香，肉豆蔻一个用姜汁吞服。
产后久痢色白苍白，病因是血虚需用四物汤滋养。
再加人参与荆芥，连服数剂可恢复健康。
产后久痢色红赤，气虚也服用六君子汤。
木香肉豆蔻一同加入，连服数剂痢疾自止。
Within seven days before or after childbirth, if dysentery with red and white discharge occurs, accompanied by frequent tenesmus (a feeling of incomplete defecation), it is the most difficult condition to treat. If one attempts to regulate qi and move blood to expel the dysenteric pathogen, there is a concern regarding the deficiency of primordial qi postpartum; if one attempts to nourish blood and tonify qi to greatly supplement the deficiency, there is a concern that this will aid the dysenteric pathogen. Only by using Shenghua Tang (Decoction for Generating New Blood) minus dried ginger, and substituting it with Amomum fruit (Muxiang) and Poria (Fuling), can one effectively eliminate lochia while simultaneously treating dysentery, allowing both treatments to proceed without conflict. Subsequently, Xianglian Wan (Pilula of Aromatic and Coptis) should be taken. After one or two days, if the disease severity subsides, safety can be assured. If, after seven days postpartum, brown or multi-colored stool with tenesmus occurs, presenting as frequent deficiency-type dysentery, tonifying herbs must undoubtedly be added. If the parturient has a robust constitution and more than twenty days have passed since delivery, it is appropriate to administer Shenghua Tang combined with Coptis chinensis Rhizome (Huanglian), Scutellariae Radix (Huangqin), Magnoliae Officinalis Cortex (Houpo), and Paeoniae Radix Alba (Shaoyao) to promote the movement of stagnation.
Modified Shenghua Tang: Treats dysentery occurring within seven days postpartum.
Chuanxiong Rhizome (Chuanxiong, 2 qian), Angelica Sinensis Root (Danggui, 5 qian), Prepared Licorice Root (Zhi Gancao, 0.5 qian), Peach Kernel (Taoren, 12 grains), Poria (Fuling, 1 qian), Tangerine Peel (Chenpi, 0.4 qian), Amomum fruit (Muxiang, ground, 0.3 qian).
For red dysentery with abdominal pain, add Amomum fruit (Sharen, 0.8 fen).
Qingxue Wan: Treats Jin Kou Li (Dysentery with inability to eat/drink).
Grind Coptis chinensis Rhizome (Huanglian) and Phellodendri Cortex (Huangbo) into powder, add Lotus Seed Flesh powder (Lianrou Fen), each 1.5 liang, mix evenly to form pills. Take 4 qian with wine.
For cases three to four days postpartum where clots have dispersed and dysentery has slightly subsided, there are ten symptoms listed below for specific treatment:
1. Postpartum chronic diarrhea: Primordial qi sinks, fecal incontinence, sensation of anal prolapse. Appropriate to take Liujunzi Tang (Six Gentlemen Decoction), plus Amomum fruit (Muxiang, 0.4 qian), one prepared Myristica Seed (Rouguo), and 0.5 fen ginger juice.
2. Postpartum diarrhea and dysentery: Stool is yellow, indicating deficiency of Spleen Earth's true qi. Appropriate to take Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting Qi), plus Amomum fruit (Muxiang) and Myristica Seed (Rouguo).
3. Postpartum injury from wheat/starch foods: Diarrhea and dysentery. Appropriate to take Shenghua Tang, plus Medicated Leaven (Shenqu) and Malt (Maiya).
(Note: Original text specifies Shenqu and Maiya at 1 qian each.)
4. Postpartum injury from meat foods: Diarrhea and dysentery. Appropriate to take Shenghua Tang, plus Hawthorn Fruit (Shanzha) and Amomum fruit (Sharen).
5. Postpartum weak Stomach qi: Diarrhea and dysentery with undigested food in stool. Should warm and assist Stomach qi. Appropriate to take Liujunzi Tang, plus Amomum fruit (Muxiang, 0.4 qian), one prepared Myristica Seed (Rouguo).
6. Postpartum weak Spleen and Stomach: Edema of the four limbs. Appropriate to take Liujunzi Tang, plus Wupi San (Five-Bark Powder, see edema section later).
7. Postpartum diarrhea and dysentery: No tenesmus, but persistent for a long time. Appropriate to take Liujunzi Tang, plus Amomum fruit (Muxiang) and Myristica Seed (Rouguo).
8. Postpartum red and white dysentery: Pain below the umbilicus. Use Angelica Sinensis Root (Danggui), Magnoliae Officinalis Cortex (Houpo), Coptis chinensis Rhizome (Huanglian), Myristica Seed (Rouguo), Licorice Root (Gancao), Peach Kernel (Taoren), Chuanxiong Rhizome (Chuanxiong).
9. Postpartum chronic dysentery: Red color, belonging to Blood deficiency. Appropriate to take Siwu Tang (Four Substance Decoction), plus Schizonepeta Spike (Jingjie) and Ginseng Root (Renshen).
10. Postpartum chronic dysentery: White color, belonging to Qi deficiency. Appropriate to take Liujunzi Tang, plus Amomum fruit (Muxiang) and Myristica Seed (Rouguo).
Rhyme Prescription:
Treating dysentery postpartum is most difficult; clear and thin duck-dung type indicates Cold.
Red and yellow sticky type indicates Heat; Cold and Heat patterns require careful differentiation.
In Shenghua Tang, remove Black Ginger, add Poria and Guang Amomum.
Treating lochia and dysentery together, parallel methods are best.
For postpartum Jin Kou Li, use Qingxue Wan; half liang lotus seed with Muxiang and Huanglian.
Mix evenly into pills, send down with wine; four qian per dose, three doses for recovery.
Postpartum chronic diarrhea damages primordial qi; anus feels like prolapse, bowel control lost.
Liujunzi Tang plus Muxiang, swallow one Rouguo with ginger juice.
Postpartum chronic dysentery white and pale, etiology is Blood deficiency, nourish with Siwu.
Add Renshen and Jingjie, take several doses to recover health.
Postpartum chronic dysentery red and crimson, Qi deficiency also uses Liujunzi.
Add Muxiang and Rouguo together, take several doses and dysentery stops naturally.