此症乃纯是下清水，非言下痢也。痢无止法，岂泻水亦无止法乎？故人患水泻者，急宜止遏，方用∶
白术（五钱） 茯苓（三钱） 车前子（一钱） 五味子（一钱） 生枣仁（一钱） 吴茱萸（五分）
水煎服。
〔此方止药少于补药，健脾去湿，水性分消，不收而自收也。〕
治脾泻，方用∶
上党参（四钱） 焦白术（二钱） 茯苓（二钱） 甘草（六分） 陈皮（八分） 砂仁（五分） 白扁豆（二钱）
薏仁（三钱） 谷芽（三钱） 莲子肉（七个）
水煎服。
又方∶
又治脾泄散，方用∶
焦白术（四两） 茯苓（三两） 甘草（一两） 陈皮（一两） 砂仁（七钱） 白扁豆（三两） 薏仁（四两）
谷芽（三两） 莲子肉（四两）
共为细末，每早服四钱，米汤或开水下。每服一钱，加人参末半分。如不用人参，则原方加上党参四两。
此辨痢疾之血色也。火邪之血，色必鲜红，脉必洪缓，口必渴而饮冷水，小便必涩而赤浊。
内伤之血，色不鲜而暗紫，或微红淡白，脉必细而迟，或浮涩而空，口不渴，即渴而喜饮热汤；小便不赤不
涩，即赤而不热不浊，此诀也。
〔血痢者，乃肝经来克脾土也。虽因脾土之湿，又加暑热暗侵，瓜果内伤所致。然终因肝木太旺无制，凌脾土
而然也。滋肝而平木，肝木得养，不来下克脾土，则土亦得养，而血痢自痊矣。〕
〔血痢有腹痛，不痛之分∶痛者，乃火也；不痛者，乃寒也。〕。
这种症状完全是排出清水，并不是所说的痢疾。痢疾没有止住的方法，难道泻水也没有止住的方法吗？因此，人患水泻病时，应当紧急予以制止，处方如下：
白术（五钱） 茯苓（三钱） 车前子（一钱） 五味子（一钱） 生枣仁（一钱） 吴茱萸（五分）
用水煎煮后服用。
〔这个方剂中止涩药少于补益药，能够健脾祛湿，使水液分消，不刻意收敛而自然收敛。〕
治疗脾虚泄泻，处方如下：
上党参（四钱） 焦白术（二钱） 茯苓（二钱） 甘草（六分） 陈皮（八分） 砂仁（五分） 白扁豆（二钱）
薏苡仁（三钱） 谷芽（三钱） 莲子肉（七个）
用水煎煮后服用。
另一个方子：
又治疗脾泄散，处方如下：
焦白术（四两） 茯苓（三两） 甘草（一两） 陈皮（一两） 砂仁（七钱） 白扁豆（三两） 薏苡仁（四两）
谷芽（三两） 莲子肉（四两）
共同研磨成细末，每天早晨服用四钱，用米汤或开水送服。每次服用一钱时，加入人参末半分。如果不用人参，则在原方基础上加上党参四两。
这是辨别痢疾出血颜色的方法。火邪导致的出血，血色必定鲜红，脉象必定洪缓，口必定渴且想喝冷水，小便必定涩滞且赤浊。
内伤导致的出血，血色不鲜亮而是暗紫，或者微红淡白，脉象必定细而迟，或者浮涩而空，口不渴，即使口渴也喜欢喝热汤；小便不赤不涩，即使赤也不热不清浊，这是辨证的诀窍。
〔血痢（带血的痢疾），是肝经克制脾土所致。虽然是因为脾土的湿气，又加上暑热暗中侵袭，以及瓜果内伤所导致。但最终是因为肝木太旺而没有制约，欺凌脾土而造成的。滋养肝脏以平抑肝木，肝木得到滋养，不再向下克制脾土，那么脾土也能得到滋养，而血痢自然痊愈了。〕
〔血痢有腹痛和不痛的区别：痛的，是火邪所致；不痛的，是寒邪所致。〕。
This condition involves the pure discharge of clear water, which is not what is referred to as dysentery. Since there is no specific method to stop dysentery, how could there be no method to stop watery diarrhea? Therefore, when a person suffers from watery diarrhea, it is urgent to arrest it. The prescription is as follows:
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (five qian), Fu Ling (Poria) (three qian), Che Qian Zi (Plantaginis Semen) (one qian), Wu Wei Zi (Schisandrae Chinensis Fructus) (one qian), Sheng Zao Ren (Ziziphi Spinosae Semen) (one qian), Wu Zhu Yu (Evodiae Fructus) (five fen).
Decoct in water and take orally.
[In this prescription, astringent herbs are fewer than tonifying herbs; it strengthens the Spleen and removes dampness, causing the pathogenic water to separate and dissipate. Thus, without intentional astringency, natural cessation occurs.]
To treat Spleen deficiency diarrhea, use the following prescription:
Shang Dang Shen (Codonopsis Radix) (four qian), Jiao Bai Zhu (Fried Atractylodis Macrocephalae Rhizoma) (two qian), Fu Ling (Poria) (two qian), Gan Cao (Glycyrrhizae Uralensis Radix et Rhizoma) (six fen), Chen Pi (Citri Reticulatae Pericarpium) (eight fen), Sha Ren (Amomi Fructus) (five fen), Bai Bian Dou (Lablab Albus Seed) (two qian), Yi Ren (Coicis Semen) (three qian), Gu Ya (Hordei Fructus Germinatus) (three qian), Lian Zi Rou (Nelumbinis Semen) (seven pieces).
Decoct in water and take orally.
Another prescription:
For treating Spleen Deficiency Scattering Powder, use the following:
Jiao Bai Zhu (Fried Atractylodis Macrocephalae Rhizoma) (four liang), Fu Ling (Poria) (three liang), Gan Cao (Glycyrrhizae Uralensis Radix et Rhizoma) (one liang), Chen Pi (Citri Reticulatae Pericarpium) (one liang), Sha Ren (Amomi Fructus) (seven qian), Bai Bian Dou (Lablab Albus Seed) (three liang), Yi Ren (Coicis Semen) (four liang), Gu Ya (Hordei Fructus Germinatus) (three liang), Lian Zi Rou (Nelumbinis Semen) (four liang).
Grind all into fine powder. Take four qian every morning, swallowed with rice soup or boiling water. For each dose of one qian, add half a fen of Ren Shen (Ginseng Radix et Rhizoma) powder. If Ren Shen is not used, add four liang of Shang Dang Shen (Codonopsis Radix) to the original formula.
This section distinguishes the color of blood in dysentery. Blood caused by Fire pathogen must be bright red, the pulse must be surging and slow, the mouth must be thirsty with a desire to drink cold water, and urination must be difficult, dark, and turbid.
Blood caused by internal injury is not bright but dark purple, or slightly red and pale white. The pulse must be thin and slow, or floating, choppy, and empty. There is no thirst in the mouth; even if thirsty, hot soup is preferred. Urination is neither dark nor difficult; even if dark, it is neither hot nor turbid. This is the key rule for differentiation.
[Bloody dysentery (Xue Li) results from the Liver meridian overcoming the Spleen Earth. Although it is due to dampness in the Spleen Earth, compounded by insidious invasion of summer-heat and internal injury from melons and fruits, the root cause is ultimately excessive Liver Wood lacking restraint, bullying the Spleen Earth. By nourishing the Liver to calm the Liver Wood, once the Liver Wood is nourished and ceases to overcome the Spleen Earth downward, the Spleen Earth also receives nourishment, and bloody dysentery will naturally heal.]
[Bloody dysentery presents with abdominal pain or without pain: pain indicates Fire; absence of pain indicates Cold.]