霍乱之症起仓猝，外因所感内因积。胃中停蓄难运消，吐泻交作腹痛极。上焦但吐而不
泻，下焦但泻无此逆。中焦吐泻两兼之，偏阴多寒偏阳热。因风怕风有汗沾，因寒怕寒无汗
焉。因暑烦热并躁闷，因温倦怠身不便。因食胸肺自饱胀，治用藿香正气堪。红花木瓜转筋
用，食伤曲麦（芽）山楂添。腹痛须加炒白芍，寒宜肉桂炮姜权。枳实青皮心下痞，柴胡干葛
寒热缠。小便不利猪苓泽（泻），中暑发热连薷传。手足厥冷脉将绝，盐纳脐中烧艾烟。火灸
人醒后施药，细将寒热阴阳参。又有一种干霍乱，腹痛欲死病势悍。不吐不泻绞肠痧，盐水
吐之神妙案。但得吐泻病无妨，米饮热汤切莫劝。
藿香正气散
广藿 白芷 茯苓 陈皮 夏曲 紫苏 腹皮 白术 川朴 桔梗 甘草 生姜 枣子
清脾饮
白术 青皮 甘草 草果 茯苓 黄芩 川朴 柴胡 半夏 生姜
（古称注下症）
泄泻之原分六说，虚湿寒痰食与热。五泄之名（湿多成五泄）《内经》传（溏泄痢洞滑
也），三虚之旨先贤诀。饮食伤脾虚不化，色欲伤肾肾虚极。肾虚自不能容藏，忿怒伤肝木土
克（肝虚则木来克土）。健脾利水是主方，燥湿
升提不可缺。芍陈曲朴木香车，二苓木通泻二术（苍白二术）。肠鸣腹痛属火明，方中益以栀
连芩。腹不痛者是属湿，苍白术半加茵陈。完谷不化属虚意，术扁山药砂仁参。或泻不泻或
多少，属痰半夏天南星。痛甚而泻泻痛止，属食枳实山楂增。泻不甚而腹微痛，是为寒泻香
砂仁。新泻宜泻宜消食，久泻升提温补益。泄久下陷亦用升，升麻柴胡更有力。肾虚送下四
神丸，防风羌活兼风入。虚泄久泄古有方，黄土一匙冲服食。
暑湿热
胃苓汤 即平胃散合五苓汤益气汤 白蔻 桔梗 郁金 橘皮 藿香 杏仁 川朴
降香 茯苓 猪苓 广皮 寒水石 泽泻 滑石 木瓜 檀香汁
香砂异功散即六君子去半夏加木香 砂仁
四苓散即五苓去桂 可加椒目 益智 川朴 橘白 黄连 石羔 扁豆 甘草 神
曲吴萸 砂仁 山楂 麦芽 丝瓜叶 资生丸
湿热
人参 柴胡 羌活 山楂 防风 川朴 茯苓 茵陈 苡仁 麦芽 川连 白芍
益智 茅术 黄芩 广皮 川柏 升麻 甘草 泽泻 半夏 猪苓 六曲 藿香 白蒺
藜五苓散 四苓散 小温中丸去川芎
中暑必头胀喜冷冻饮料，咳呕，心中胀，舌白兼泻
柴朴 半夏 石羔 黄芩 杏仁 橘皮
中伤湿滞
胃苓汤加桂木 生姜 四君子加炮姜肉桂
寒湿中宜运通，下直分利
柴朴 藿梗 益智 木香 木瓜 广皮 扁豆 炮姜 砂仁 茅术 吴萸 肉果
白术 腹皮 四苓散 真武汤 术 苓 芍 附 姜
肝犯胃，消渴吐清涎，腹痛
川连 黄芩 乌梅 白芍 干姜 荷叶 浓朴 猪苓 椒目 泽泻 木瓜 桑叶
延胡 桂木 甘草 半夏 广皮 米仁 石脂 枣仁 人参 川楝 异功散加木瓜亦可参用
胆郁伤脾
柴胡 白芍 青皮 黄芩 桑叶 丹皮
脾胃阳虚
干姜 白芍 煨升麻 益智仁 广皮 当归 泽泻 葫芦巴 煨葛根 木瓜 炮姜
川朴 谷芽 半夏 香附四君子汤
晨泄用治中汤
人参 甘草 青皮 白术 干姜 陈皮
夕泄用四神丸
吴萸 肉豆蔻 五味 补骨脂
四神丸加法青皮 沙苑子 杜仲 当归 木瓜 小茴香 理中汤加法五味 赤石脂
枸杞 葫芦巴 胃苓汤 茅术 陈皮 白术 茯苓 泽泻 川朴 甘草 肉桂 猪苓
桂苓术甘汤加法鹿角 煨姜 南枣 禹量石脂丸加法枸杞
中虚腹痛
炙草 白芍 炼饴糖 南枣 茯苓
食伤
人参 炙草 谷芽 葛根 广皮 荷蒂
陈曰∶脾阳微，中焦聚湿则少运，肾阴衰，回摄失司为瘕泄。是中宜旋则运，下宜封乃
藏，肾阳自下炎蒸，脾阳始得变运。王氏以食下不化为无阳，陈参曰∶热胜湿蒸，气伤人倦，
阴茎囊肿，是湿热甚而下坠入府，与方书茎窍症有间。足肿是阳微湿聚，治胃必佐泄肝，制
其胜也。仲景云∶脉弦为胃，减大则病进。脾脏宜补则健，胃腑宜疏乃清。脾宜升，胃宜降，
苦寒必佐风药，是李东垣之旨。久泄必伤肾，八味承气乃从阴引阳。水泻少腹胀满，少腹为
厥阴肝经，肝失疏泄，当以五苓利水导湿，仿古人急开支河之喻。
何书田曰∶少阳为三阳之枢，相火寄焉。风火煽胃而腐熟五谷，少阴为三阴之枢，龙火
寓焉。熏蒸脏腑而转输糟粕，胃之纳，脾之输，皆火之运也。然非雷藏龙驯，何能无燥无湿无
冒？明燎上之患，必土奠水安，斯不泛不滥，无清气在下之患。故曰∶五泄之治平，水火者，清
其源崇，堤土者，塞其流耳。
霍乱的症状发作突然，既有外感邪气的原因，也有内伤积滞的因素。胃中停滞的水湿难以运化消化，导致呕吐和腹泻同时发生，腹痛剧烈。病位在上焦的，只呕吐而不腹泻；病位在下焦的，只腹泻而没有呕吐这种上逆的症状。病位在中焦的，则呕吐和腹泻兼有。病情偏向阴证的，多表现为寒证；偏向阳证的，多表现为热证。因风邪引起的，怕风且出汗沾衣；因寒邪引起的，怕冷且无汗。因暑邪引起的，烦热并伴有躁动闷乱；因温邪引起的，倦怠乏力且身体沉重不便。因饮食积滞引起的，胸膈肺部自然感到饱胀，治疗可用藿香正气散。出现转筋（肌肉痉挛）用红花、木瓜；因饮食损伤加神曲、麦芽、山楂。腹痛须加炒白芍；偏寒证适宜用肉桂、炮姜权衡使用。心下痞满用枳实、青皮；寒热往来纠结用柴胡、干葛。小便不利用猪苓、泽泻；中暑发热用连翘、香薷传治。手足厥冷、脉搏即将断绝时，将盐纳入脐中，烧艾草熏烟。待火灸使人苏醒后再施用药汤，仔细辨别寒热阴阳的情况。又有一种干霍乱，腹痛欲死，病势凶猛。不吐不泻，称为绞肠痧，用盐水催吐是神妙的医案。只要能够吐泻出来，病就不会有妨碍，切记不要劝患者喝米汤或热水。
藿香正气散：广藿香、白芷、茯苓、陈皮、夏曲（半夏曲）、紫苏、腹皮（大腹皮）、白术、川朴（厚朴）、桔梗、甘草、生姜、枣子。
清脾饮：白术、青皮、甘草、草果、茯苓、黄芩、川朴（厚朴）、柴胡、半夏、生姜。
（古时候称为注下症）
泄泻的成因分为六种说法：虚、湿、寒、痰、食与热。五泄的名称（湿气多转化为五种泄泻）在《内经》中有记载（包括溏泄、痢疾、洞泄、滑泄等），三虚的要旨是先贤的口诀。饮食损伤脾胃，导致虚弱不能运化；房事过度损伤肾脏，导致肾虚至极。肾虚自然不能固摄藏纳，愤怒损伤肝脏，导致木克土（肝虚则肝木来克制脾土）。健脾利水是主要的治疗方剂，燥湿升提不可缺省。方中包含芍药、陈皮、神曲、厚朴、木香、车前子，以及二苓（茯苓、猪苓）、木通、泻二术（苍术、白术）。肠鸣腹痛属于火证很明显，方中增加栀子、黄连、黄芩。腹部不痛的是属于湿证，加入苍术、白术、半夏、茵陈。完谷不化属于虚证之意，加入白术、扁豆、山药、砂仁、人参。或者想泻泻不出，或者次数多少不定，属于痰证，用半夏、天南星。疼痛剧烈而后泻，泻后痛止，属于食积，增加枳实、山楂。泻得不厉害而腹部微痛，这是寒泻，用香附、砂仁。新发的泄泻宜于泻下消食，久泻宜于升提温补。泄泻日久下陷也应用升提法，升麻、柴胡更有力量。肾虚导致的滑脱下注用四神丸，防风、羌活兼治风邪。虚证泄泻、久泻古代已有方子，黄土一匙冲服食用。
暑湿热证：
胃苓汤：即平胃散合五苓散。
益气汤：白蔻、桔梗、郁金、橘皮、藿香、杏仁、川朴（厚朴）、降香、茯苓、猪苓、广皮、寒水石、泽泻、滑石、木瓜、檀香汁。
香砂异功散：即六君子汤去半夏加木香、砂仁。
四苓散：即五苓散去桂枝。可加椒目、益智仁、川朴（厚朴）、橘白、黄连、石膏、扁豆、甘草、神曲、吴茱萸、砂仁、山楂、麦芽、丝瓜叶。
资生丸。
湿热证：
人参、柴胡、羌活、山楂、防风、川朴（厚朴）、茯苓、茵陈、苡仁、麦芽、川连（黄连）、白芍、益智仁、茅术（苍术）、黄芩、广皮（陈皮）、川柏（黄柏）、升麻、甘草、泽泻、半夏、猪苓、六曲（神曲）、藿香、白蒺藜。
五苓散、四苓散、小温中丸去川芎。
中暑：必头胀痛，喜欢冷冻饮料，咳嗽呕吐，心中胀满，舌苔白兼有腹泻。
处方：柴胡、厚朴、半夏、石膏、黄芩、杏仁、橘皮。
寒湿中阻宜运通，下焦直分利：
柴胡、厚朴、藿梗、益智仁、木香、木瓜、广皮（陈皮）、扁豆、炮姜、砂仁、茅术（苍术）、吴茱萸、肉果（肉豆蔻）、白术、腹皮（大腹皮）、四苓散、真武汤（白术、茯苓、芍药、附子、生姜）。
肝气犯胃，消渴吐清涎，腹痛：
川连（黄连）、黄芩、乌梅、白芍、干姜、荷叶、浓朴（厚朴）、猪苓、椒目、泽泻、木瓜、桑叶、延胡索、桂枝、甘草、半夏、广皮（陈皮）、米仁（薏苡仁）、赤石脂、枣仁、人参、川楝子、异功散加木瓜亦可参考使用。
脾胃阳虚：
干姜、白芍、煨升麻、益智仁、广皮（陈皮）、当归、泽泻、葫芦巴、煨葛根、木瓜、炮姜、川朴（厚朴）、谷芽、半夏、香附、四君子汤。
四神丸加法：青皮、沙苑子、杜仲、当归、木瓜、小茴香。
理中汤加法：五味子、赤石脂、枸杞、葫芦巴。
胃苓汤：茅术（苍术）、陈皮、白术、茯苓、泽泻、川朴（厚朴）、甘草、肉桂、猪苓。
桂苓术甘汤加法：鹿角、煨姜、南枣。
禹粮石脂丸加法：枸杞。
陈氏说：脾阳微弱，中焦聚集湿气则运化无力；肾阴衰败，回摄失司导致瘕泄。所以中焦宜旋转以运化，下焦宜封藏以固摄，肾阳自下向上炎蒸，脾阳始得变化运化。王氏认为食物下咽不消化是无阳气，陈参曰：热胜湿蒸，气伤人倦，阴茎囊肿，是湿热甚盛而下坠入府，与方书中茎窍病症有所不同。足肿是阳气微弱湿气聚集，治疗胃腑必须佐以疏泄肝气，制约其克制太过。张仲景说：脉弦为胃病，脉象减大则病情进展。脾脏宜补则健运，胃腑宜疏则清和。脾宜升，胃宜降，苦寒药必佐风药，这是李东垣的宗旨。久泻必伤肾，八味丸承气汤乃从阴引阳。水泻少腹胀满，少腹为厥阴肝经所主，肝失疏泄，应当用五苓散利水导湿，仿效古人“急开支河”的比喻。
何书田说：少阳是三阳之枢纽，相火寄居其中。风火煽动胃腑而腐熟五谷，少阴是三阴之枢纽，龙火寓居其中。熏蒸脏腑而转输糟粕，胃的受纳，脾的输布，都是火的运化作用。然而如果没有雷藏龙驯（水火既济），怎么能做到无燥无湿无冒？明白燎原之火在上之患，必然需要土奠水安，这样才不会泛滥，没有清气在下之患。所以说：五泄的治疗在于平和，水火者，清其源头崇高地势；堤土者，堵塞其水流而已。
The symptoms of Huoluan (cholera-like disease with sudden vomiting and diarrhea) arise suddenly, caused by both external pathogenic factors and internal accumulation. Stagnant fluids in the stomach are difficult to transform and digest, leading to simultaneous vomiting and diarrhea with severe abdominal pain. If the pathology is in the Upper Jiao (Upper Burner), there is only vomiting without diarrhea; if it is in the Lower Jiao (Lower Burner), there is only diarrhea without the upward reversal of vomiting. If it is in the Middle Jiao (Middle Burner), both vomiting and diarrhea occur together. Conditions tending toward Yin patterns manifest as Cold, while those tending toward Yang patterns manifest as Heat. Caused by Wind, there is aversion to wind and sweating; caused by Cold, there is aversion to cold and no sweat. Caused by Summerheat, there is vexation, heat, restlessness, and stifling sensation; caused by Warmth, there is fatigue and bodily heaviness/discomfort. Caused by Food Stagnation, there is natural fullness and distension in the chest and lungs; treatment should use Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi). For muscle spasms (Zhuanjin), use Honghua (Carthamus Flower) and Mugua (Chaenomeles Fruit); for food injury, add Shenqu (Medicated Leaven), Maiya (Sprouted Barley), and Shanzha (Hawthorn Fruit). For abdominal pain, add Chao Baishao (Stir-fried White Peony Root); for Cold patterns, Guirui (Cinnamon Twig) and Paojiang (Roasted Ginger) should be used judiciously. For subcostal fullness (Xixin Pi), use Zhishi (Immature Bitter Orange) and Qingpi (Green Tangerine Peel); for alternating chills and fever, use Chaihu (Bupleurum Root) and Gange (Pueraria Root). For difficulty in urination, use Zhuling (Polyporus) and Zexie (Alisma Rhizome); for Summerheat-induced fever, use Lianqiao (Forsythia Fruit) and Xiangru (Elsholtzia Herb). For cold extremities and impending pulse disappearance, place salt in the umbilicus and smoke with moxa. After awakening from moxibustion, administer medicine, carefully analyzing the Cold, Heat, Yin, and Yang. Another type is Gan Huoluan (Dry Cholera), characterized by excruciating abdominal pain and fierce progression, with neither vomiting nor diarrhea, known as Jiaochangsha (Intestinal Twisting Miasma); inducing vomiting with salt water is a miraculous case method. As long as vomiting and diarrhea occur, the condition is not dangerous; strictly advise against drinking rice water or hot soup.
Huoxiang Zhengqi San: Guang Huoxiang (Patchouli Herb), Baizhi (Angelicae Dahuricae Radix), Fuling (Poria), Chenpi (Tangerine Peel), Xiaqu (Bromus Medicated Leaven), Zisu (Perilla Leaf), Fupi (Areca Peel), Baizhu (Atractylodes Macrocephala Rhizome), Chuanpu (Aucklandiae Radix), Jiegeng (Platycodon Root), Gancao (Licorice Root), Shengjiang (Fresh Ginger), Zaozi (Jujube).
Qingpi Yin: Baizhu (Atractylodes Macrocephala Rhizome), Qingpi (Green Tangerine Peel), Gancao (Licorice Root), Caoquo (Tsaoko Cardamom Fruit), Fuling (Poria), Huangqin (Scutellaria Root), Chuanpu (Aucklandiae Radix), Chaihu (Bupleurum Root), Banxia (Pinellia Tuber), Shengjiang (Fresh Ginger).
(Previously known as Zhuxia Syndrome)
The origins of Xiexie (diarrhea) are divided into six theories: Deficiency, Dampness, Cold, Phlegm, Food, and Heat. The name "Wu Xie" (Five Diarrheas, where dampness transforms into five types) is transmitted from the *Neijing* (Inner Canon) (including Tangxie [soft stool], Lixi [dysentery], Dongxie [sloshing diarrhea], and Huaxie [slippery diarrhea]), and the essence of "San Xu" (Three Deficiencies) is the secret formula of ancient sages. Dietary injury damages the Spleen, causing deficiency and failure to transform; sexual excess damages the Kidney, leading to extreme Kidney Deficiency. Kidney Deficiency naturally fails to store and secure; anger damages the Liver, causing Wood to overact on Earth (Liver Deficiency leads to Liver Wood attacking Spleen Earth). Strengthening the Spleen and promoting diuresis is the main prescription; drying Dampness and lifting Yang cannot be omitted. The formula contains Shaoyao (Peony Root), Chenpi (Tangerine Peel), Qu (Medicated Leaven), Pu (Aucklandiae Radix), Muxiang (Aucklandiae Root), Cheqian (Plantago Seed), Er Ling (Poria and Polyporus), Mutong (Akebia Stem), and Xie Er Zhu (Cangzhu and Baizhu). Intestinal borborygmus and abdominal pain clearly belong to Fire; add Zhizi (Gardenia Fruit), Lian (Coptis Rhizome), and Qin (Scutellaria Root) to the formula. Abdominal pain absent indicates Dampness; add Cangzhu (Atractylodes Lancea Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Banxia (Pinellia Tuber), and Ychen (Artemisiae Scopariae Herba). Undigested food in stool indicates Deficiency; add Zhu (Atractylodes Rhizome), Biandou (Lablab Bean), Shanyao (Dioscorea Rhizome), Sharen (Amomum Fruit), and Renshen (Ginseng Root). Intermittent desire to defecate or variable frequency indicates Phlegm; use Banxia (Pinellia Tuber) and Tianxing (Arisaema Rhizome). Severe pain followed by diarrhea that stops the pain indicates Food Stagnation; increase Zhishi (Immature Bitter Orange) and Shanzha (Hawthorn Fruit). Mild diarrhea with slight abdominal pain indicates Cold Diarrhea; use Xiangfu (Cyperus Rhizome) and Sharen (Amomum Fruit). New-onset diarrhea should be treated by purging and digesting food; chronic diarrhea should be treated by lifting and warming tonification. Chronic diarrhea with sinking also requires lifting; Shengma (Cimicifuga Rhizome) and Chaihu (Bupleurum Root) are more effective. For Kidney Deficiency with downward slipping, use Sishen Wan (Four Spirits Pill); Fangfeng (Saposhnikovia Root) and Qianghuo (Notopterygium Rhizome) address Wind. Ancient formulas exist for Deficiency and Chronic Diarrhea; take one spoonful of Yellow Earth powder mixed with water.
Summerheat-Damp-Heat Patterns:
Weiling Tang: Combination of Pingwei San (Calm the Stomach Powder) and Wuling San (Five-Ingredient Powder with Poria).
Yiqi Tang: Baokou (Black Cardamom), Jiegeng (Platycodon Root), Yujin (Curcuma Root), Jupi (Tangerine Peel), Huoxiang (Patchouli Herb), Xingren (Apricot Seed), Chuanpu (Aucklandiae Radix), Jiangxiang (Dalbergia Odoriferous Lignum), Fuling (Poria), Zhuling (Polyporus), Guangpi (Tangerine Peel), Hanshuishi (Calcitum), Zexie (Alisma Rhizome), Huashi (Talcum), Mugua (Chaenomeles Fruit), Tanxiang (Sandalwood Juice).
Xiangsha Yigong San: Liujunzi Tang (Six Gentlemen Decoction) minus Banxia (Pinellia Tuber), plus Muxiang (Aucklandiae Root) and Sharen (Amomum Fruit).
Siling San: Wuling San (Five-Ingredient Powder with Poria) minus Guizhi (Cinnamon Twig). Can add Jiaomu (Zanthoxyli Semen), Yizhi (Alpinia Oxyphylla Fruit), Chuanpu (Aucklandiae Radix), Ju Bai (Tangerine Albedo), Huanglian (Coptis Rhizome), Shigao (Gypsum Fibrosum), Biandou (Lablab Bean), Gancao (Licorice Root), Shenqu (Medicated Leaven), Wuyu (Evodia Fruit), Sharen (Amomum Fruit), Shanzha (Hawthorn Fruit), Maiya (Sprouted Barley), Siguye (Loofah Leaf).
Zisheng Wan.
Damp-Heat Patterns:
Renshen (Ginseng Root), Chaihu (Bupleurum Root), Qianghuo (Notopterygium Rhizome), Shanzha (Hawthorn Fruit), Fangfeng (Saposhnikovia Root), Chuanpu (Aucklandiae Radix), Fuling (Poria), Yichen (Artemisiae Scopariae Herba), Yiren (Coix Seed), Maiya (Sprouted Barley), Chuanlian (Coptis Rhizome), Baishao (White Peony Root), Yizhi (Alpinia Oxyphylla Fruit), Maozhu (Atractylodes Lancea Rhizome), Huangqin (Scutellaria Root), Guangpi (Tangerine Peel), Chuanbai (Phellodendron Bark), Shengma (Cimicifuga Rhizome), Gancao (Licorice Root), Zexie (Alisma Rhizome), Banxia (Pinellia Tuber), Zhuling (Polyporus), Liuqu (Medicated Leaven), Huoxiang (Patchouli Herb), Baijili (Tribulus Fruit).
Wuling San (Five-Ingredient Powder with Poria), Siling San (Four-Ingredient Powder with Poria), Xiaowenzhong Wan (Minor Warming the Center Pill) minus Chuanxiong (Ligusticum Rhizome).
Zhongshu (Summerheat Stroke): Must have head distension/pain, preference for cold drinks, cough and vomiting, chest fullness, white tongue coating accompanied by diarrhea.
Formula: Chaihu (Bupleurum Root), Pu (Aucklandiae Radix), Banxia (Pinellia Tuber), Shigao (Gypsum Fibrosum), Huangqin (Scutellaria Root), Xingren (Apricot Seed), Jupi (Tangerine Peel).
Zhong Shang Shi Zhi (Injury by Dampness Stagnation):
Weiling Tang plus Guizhi (Cinnamon Twig) and Shengjiang (Fresh Ginger); Sijunzi Tang (Four Gentlemen Decoction) plus Paojiang (Roasted Ginger) and Rougui (Cinnamon Bark).
Cold-Damp obstructing the Middle should be transformed and unblocked; Lower Jiao should be directly drained.
Chaihu (Bupleurum Root), Pu (Aucklandiae Radix), Huogeng (Patchouli Stem), Yizhi (Alpinia Oxyphylla Fruit), Muxiang (Aucklandiae Root), Mugua (Chaenomeles Fruit), Guangpi (Tangerine Peel), Biandou (Lablab Bean), Paojiang (Roasted Ginger), Sharen (Amomum Fruit), Maozhu (Atractylodes Lancea Rhizome), Wuyu (Evodia Fruit), Rouguo (Myristica Seed), Baizhu (Atractylodes Macrocephala Rhizome), Fupi (Areca Peel), Siling San (Four-Ingredient Powder with Poria), Zhenwu Tang (True Warrior Decoction) (Zhu [Atractylodes Rhizome], Ling [Poria], Shao [Peony Root], Fu [Aconite Root], Jiang [Ginger]).
Liver invading Stomach, thirst, vomiting clear saliva, abdominal pain:
Chuanlian (Coptis Rhizome), Huangqin (Scutellaria Root), Wumei (Mume Fruit), Baishao (White Peony Root), Ganjiang (Dried Ginger), Heye (Lotus Leaf), Nongpu (Thick Aucklandiae Radix), Zhuling (Polyporus), Jiaomu (Zanthoxyli Semen), Zexie (Alisma Rhizome), Mugua (Chaenomeles Fruit), Sangye (Mulberry Leaf), Yanhusuo (Corydalis Rhizome), Guimu (Cinnamon Twig), Gancao (Licorice Root), Banxia (Pinellia Tuber), Guangpi (Tangerine Peel), Reni (Coix Seed), Shizhi (Red Halloysite), Zaoren (Ziziphus Seed), Renshen (Ginseng Root), Chuanlian (Toosendan Fruit), Yigong San (Benefiting the Work Powder) plus Mugua (Chaenomeles Fruit) can also be considered.
Gallbladder Depression injuring Spleen:
Chaihu (Bupleurum Root), Baishao (White Peony Root), Qingpi (Green Tangerine Peel), Huangqin (Scutellaria Root), Sangye (Mulberry Leaf), Danpi (Moutan Cortex).
Spleen-Stomach Yang Deficiency:
Ganjiang (Dried Ginger), Baishao (White Peony Root), Wei Shengma (Roasted Cimicifuga Rhizome), Yizhiren (Alpinia Oxyphylla Fruit), Guangpi (Tangerine Peel), Danggui (Angelica Sinensis Root), Zexie (Alisma Rhizome), Huluhaba (Trigonella Foenum-Graecum Seed), Wei Gegen (Roasted Pueraria Root), Mugua (Chaenomeles Fruit), Paojiang (Roasted Ginger), Chuanpu (Aucklandiae Radix), Guya (Sprouted Grain), Banxia (Pinellia Tuber), Xiangfu (Cyperus Rhizome), Sijunzi Tang (Four Gentlemen Decoction).
Morning Diarrhea uses Zhizhong Tang (Regulate the Center Decoction):
Renshen (Ginseng Root), Gancao (Licorice Root), Qingpi (Green Tangerine Peel), Baizhu (Atractylodes Macrocephala Rhizome), Ganjiang (Dried Ginger), Chenpi (Tangerine Peel).
Evening Diarrhea uses Sishen Wan (Four Spirits Pill):
Wuyu (Evodia Fruit), Roudoukou (Myristica Seed), Wuwei (Schisandra Berry), Buguzhi (Psoralea Fruit).
Sishen Wan addition: Qingpi (Green Tangerine Peel), Shayuanzi (Astragalus Complanatus Seed), Duzhong (Eucommia Bark), Danggui (Angelica Sinensis Root), Mugua (Chaenomeles Fruit), Xiaohuixiang (Fennel Fruit).
Lizhong Tang (Regulate the Middle Decoction) addition: Wuwei (Schisandra Berry), Chishizhi (Red Halloysite), Gouqi (Goji Berry), Huluhaba (Trigonella Foenum-Graecum Seed).
Weiling Tang: Maozhu (Atractylodes Lancea Rhizome), Chenpi (Tangerine Peel), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Zexie (Alisma Rhizome), Chuanpu (Aucklandiae Radix), Gancao (Licorice Root), Rougui (Cinnamon Bark), Zhuling (Polyporus).
Guiling Zhugan Tang addition: Lujiao (Deer Antler Glue), Wei Jiang (Roasted Ginger), Nanzao (Southern Jujube).
Yuliang Shizhi Wan addition: Gouqi (Goji Berry).
Middle Deficiency Abdominal Pain:
Zhi Cao (Prepared Licorice Root), Baishao (White Peony Root), Lian Yitang (Refined Maltose), Nanzao (Southern Jujube), Fuling (Poria).
Food Injury:
Renshen (Ginseng Root), Zhi Cao (Prepared Licorice Root), Guya (Sprouted Grain), Gegen (Pueraria Root), Guangpi (Tangerine Peel), Heti (Lotus Peduncle).
Mr. Chen said: When Spleen Yang is weak, Dampness accumulates in the Middle Jiao, leading to poor transformation; when Kidney Yin declines, control and retention fail, resulting in Xia Xie (mass diarrhea). Therefore, the Middle should rotate to transform, and the Lower should seal to store. Kidney Yang steams upward from below, allowing Spleen Yang to begin transforming. Mr. Wang considers undigested food after eating as a lack of Yang. Mr. Chen states: Heat overcoming Dampness steams, Qi injures people causing fatigue. Penile cysts indicate severe Damp-Heat sinking into the lower fu organs, distinct from penile orifice diseases in medical texts. Foot swelling indicates weak Yang and accumulated Dampness; treating the Stomach must assist in draining the Liver to restrain its excessive overaction. Zhang Zhongjing said: A string-like pulse indicates Stomach disease; if the pulse becomes large, the disease progresses. The Spleen organ benefits from tonification to become healthy; the Stomach腑 (Fu organ) benefits from dispersing to become clear. The Spleen should ascend, the Stomach should descend. Bitter-Cold herbs must be assisted by Wind herbs; this is the principle of Li Dongyuan. Chronic diarrhea inevitably damages the Kidney; Bawei Chengqi Tang draws Yang from Yin. Watery diarrhea with lower abdominal fullness: the lower abdomen belongs to the Jueyin Liver Meridian. Liver loss of free flow requires Wuling San to promote diuresis and guide out Dampness, imitating the ancients' metaphor of "urgently opening branch rivers."
He Shutian said: Shaoyang (Lesser Yang) is the pivot of the Three Yangs, housing Ministerial Fire. Wind and Fire stir the Stomach to rot and ripen grains. Shaoyin (Lesser Yin) is the pivot of the Three Yins, housing Dragon Fire. Steaming the zang-fu organs to transport waste, the Stomach's reception and the Spleen's distribution are all operations of Fire. However, without Thunder hidden and Dragon tamed (Water and Fire harmonizing), how can there be no Dryness, no Dampness, no冒 (mist/cloud)? Understanding the harm of blazing fire above requires Earth to settle and Water to be safe, thus avoiding flooding and the harm of Clear Qi sinking below. Thus it is said: The treatment of Five Diarrheas lies in peace. For Water and Fire, clear their source and elevate the embankment; for Earth dams, block their flow.