上为末，荷叶裹烧饭为丸，如桐子大。每服五十丸，温水食前下。（一方加藿香一钱。）
治痢久脏腑虚滑，去积不已，用苍术汤下桃花丸。
苍术（二两） 防风（一两）
上锉，水一碗，煎至一大盏，下桃花丸或赤石脂丸，小便利则安。（桃花丸即滞下门桃花汤为丸，
赤石脂、干姜二味是也。）
〔《衍》〕有一人，病大肠寒清，小便精出，诸热药服及一斗二升未效。后教服赤石脂、干姜各一两，胡
椒半钱，同为末，醋糊为丸，如桐子大，空心及食前米饮下五七十丸，终四剂遂愈。
〔《本》〕治脾胃不和，泄泻不止，诸药不效，诃子丸。
诃子皮 川姜 肉豆蔻 龙骨 木香 赤石脂 附子（各等分）
上细末，糊丸如桐子大。每服四十丸，米饮下。
赤石脂禹余粮汤方 治大肠泄泻。
赤石脂（制） 禹余粮（各四钱，制）
上锉碎。每服五钱，水一盏半，煎至八分，去渣温服。
〔孙〕治气虚伤冷，暴作水泻，日夜二三十行，腹痛不止，夏月路行，备急朝真丹。用硫黄一两半，研令
极细；枯白矾五钱，同细研匀，水浸蒸饼，去水和丸，如桐子大，朱砂为衣。每服十五丸，温米饮盐汤下。
（以上止寒泄。）治暴水泄不止。
肉豆蔻（三个，用湿面裹之，置火内煨令面焦，去面。丹溪云∶肉豆蔻属金、属土，温中补脾为有力。
日华子称其下气，以脾胃得补而善运化，气自下也。
非若香附、陈皮之 泄。）
上将肉豆蔻为细末，只作一服，陈米饮调。食前服之，神验。
〔洁〕暴泄如水，周身汗出，一身尽冷，脉沉而弱，气少而不能语，甚者加吐，此谓紧病，宜以浆水散治之。
浆水散
半夏（二两） 良姜（二钱半） 干姜 肉桂 甘草 附子（炮。各五钱）
上细末。每服三五钱，水二盏，煎至一盏，热服。甚者，三四服。若太阳经伤动传太阴，下痢为 溏，大肠
不能禁固，卒然而下，中有硬物，欲起而又下，欲了而又不了，小便多清，此寒也，宜温之。春夏，桂枝汤；
秋冬，白术汤。谦甫云∶ 溏者，大便如水，其中有少结粪是也。
桂枝汤
桂枝 芍药 白术（各半两） 甘草（炙，二钱）
上切。每服半两，水一盏煎至七分，去渣温服。
白术散
白术 芍药（各三钱） 干姜（炮，半两） 甘草（炙，二钱）
上粗末，如前服之。甚则除去干姜，加附子三钱，谓辛能发散也。
〔罗〕曲术丸 治时暑暴泄，壮脾胃，及治饮食所伤，胸膈痞闷。
神曲 苍术（泔浸一宿。各等分）
上为细末，面糊为丸，如桐子大。每服三十丸，温米饮送下。
止泄丸
肉豆蔻（五两） 滑石（制）
上为末，擂饭丸。惟滑石，夏三两半，秋二两，春冬一两一钱半。
〔罗〕中寒治验 参政商公，时年六旬有二，原有胃虚症。至元己巳夏，上都住。时值六月，霖雨大作，
连日不止。因公务劳役过度，饮食失节，每日脐腹作痛，肠鸣自利，须去一二行少定，不喜饮食，懒于言语，
身体困倦。召予视之，予诊其脉沉缓而弦。参政以年高气弱，脾胃宿有虚寒之症，加之霖雨及劳役饮食失节，
重虚中气。《难经》云∶饮食劳倦则伤脾。不足而往，有余随之，岁火不及，寒乃大行，民病 溏。今脾胃正气
不足，肾水必挟木势，反来侮土，乃薄所不胜乘所胜也。此疾非甘辛大热之剂，则不能泻水补土。虽夏暑之时，
有用热远热之戒。又云∶有假者反之，是从权而治其急也。《内经》云∶寒淫于内，治以辛热。干姜、附子辛甘
大热以泻寒水以为君。脾不足者，以甘补之，人参、白术、甘草、陈皮苦甘温以补脾土；胃寒则不欲食，以生
姜、草豆蔻辛温治客寒犯胃；浓朴辛温浓肠胃；白茯苓、甘草助姜、附以导寒湿；芍药酸微寒补金泻木，以防
热伤肺气为佐。不数服即愈。
附子温中汤 治中寒，腹痛自利，米谷不化，脾胃虚弱，不喜饮食，懒言困倦嗜卧。
附子（炮，去皮脐） 干姜（炮。各七钱） 人参 甘草（炙） 白芍药 白茯苓（去皮） 白术（各五钱）
浓朴（姜制） 草豆蔻（面裹煨去皮。） 陈皮（各三钱）
上锉。每服五钱或一两，水二盏半，姜五片，煎一盏，食前温服。
〔《简》〕理中汤治泄泻，加橘红、茯苓各一两，名补中汤。若溏泄不已者，于补中汤内加附子一两。不喜饮
食，水谷不化者，再加砂仁一两，共成八味。（理中汤方见伤寒。）
〔《本》〕治脾胃中风湿，脏腑泄滑，鞠 丸。
芎 神曲 白术 附子（各等分，炮）
上为细末，面糊丸，如桐子大。每服三五十丸，米饮下，左氏述楚子围萧，萧将溃。无社告申叔展曰∶有
曲乎？有山鞠 乎？鞠 ，芎 也。意欲令逃水中以避祸。是知芎 能除湿，当加术、附以制之。若脾湿而
泄者，万无不中。亦治飧泄。
〔无〕桂香丸 治脏腑虚为风寒所搏，冷滑注下不禁，老人虚人危笃，累效。
附子（炮，去皮脐） 肉豆蔻（炮。） 白茯苓（ 各一两） 桂心 干姜（炮） 木香（炮。各半两） 丁香（一
分）
上为末，糊丸，如桐子大。米汤下五十丸，空心服。
〔孙〕治水泻无度。干姜末，粥饮调一钱服，立效。
泄而身热，小便不利口渴者，益元、五苓。若火多，四苓加木通、黄芩。（方见湿热条。）泄而困倦
不便者，及脉数者、虚热者，宜参、术、滑石、苓、通。（方见补脾行湿条。）泄而脉滑坚者实热，宜大
承气汤。（方见实条。）
〔丹〕玉龙丸 治一切伏暑泄泻，神效。（方见伤寒部暑门。）
〔仲〕下痢不止，医以理中与之，利益甚，理中者理中焦，此利在下焦，赤石脂禹余粮汤主之。复痢不止
者，当利小便。下痢腹胀满，身体疼痛者，先温其里，乃攻其表，温里宜四逆汤；攻表宜桂枝汤。
大肠小肠为泄。（全文见诊。）一阳发病，少气，善咳善泄。（全文见诊病传变。）
运气 泄泻有六∶
一曰土助脾湿盛而泄泻。经云∶岁土太过，雨湿流行，病溏泄肠鸣。又曰∶岁水不及，湿乃下行，民病身
重濡泄。又云∶岁火不及，寒乃大行，土复则病 溏，腹痛肠鸣泄注。又云∶土郁之发，民病饮发注下。又云∶
湿胜则濡泻，治以苦温是也。
二曰风木攻脾虚而泄泻。经云∶厥阴司天，风淫所胜，民病冷泄溏泄。又云∶春伤于风，邪气留连，乃为
洞泄，治以辛凉是也。
三曰热泻。经云∶少阳所主为暴注。又云∶少阴之胜，腹满溏泄。又云∶火郁之发，民病注下，治以
寒剂是也。
四曰寒泄∶经云∶岁水太过，寒气流行，病肠鸣溏泄。又云∶太阳所至，为流泄禁止。又云∶太阳之胜，
寒入下焦，传为濡泄，治以热剂是也。
五曰热中、寒中泄。经云∶太阳司天之政，三之气，寒气行，民病寒，反热中注下者，是外寒内热泄也。
又云∶长夏善病洞泄，寒中者是外热内寒泄也，治以寒热兼施是也。
六曰燥泄。经云∶岁木不及，燥乃大行，民病肠鸣溏泄。又云∶阳明司天，燥淫所胜，民病腹中鸣，
注泄 溏。又云∶阳明之胜，清发于中溏泄。又云∶阳明之复，腹胀而泄，治以温剂是也。
〔子和〕昔闻山东杨先生者，治府主洞泄不止。杨初未对病患，与众人谈日月星辰缠度及风雷云雨之变，
自辰至未，而病者听之忘其圊。杨尝曰∶治洞泄不已之人，先问其所爱之事，好棋者与之棋，好乐者与笙笛勿
辄。
针灸 泄泻，独取大肠一经。经云∶大肠病者，肠中攻痛而鸣濯濯。冬日中于寒即泄，当脐而痛，取巨虚上廉。
〔罗〕治水渍入胃为溢饮滑泄，渴能饮水，水下复泄，泄而大渴，此无药症，当灸大椎。
〔《脉》〕诸下痢，皆可灸足大都五壮，商丘、阴陵泉皆三壮。
〔《甲》〕溏泄不化食，寒热不节，阴陵泉主之。
〔《玉》〕治久泄泻（内天枢穴，《撮要》《摘英》同。）天枢（二寸半，灸。《摘英》∶五分，留十呼，
灸百壮。）
〔《集》〕自痢不止∶天极 中极
〔世〕又法∶合谷 三里 阴陵泉 不应，取下穴∶中脘 关元 天枢 神阙
〔东〕泄痢不禁，小腹绞痛∶丹田（灸百壮，三报之。）泄痢不嗜食∶长谷（五十壮，三报之，
在胁脐傍相去五寸，一名循元穴。）
〔《衍》〕石硫黄，今人用治下元虚冷，元气将绝，久患寒泄，胃脾虚弱，垂命欲尽，服之无不效。中病
当便已，不可尽剂。世人盖知用而为福，不知用而为祸。此物损益兼行，若俱弃而不用，当仓卒之间，又可阙
乎。
将药物研成细末，用荷叶包裹蒸熟的米饭制成丸药，大小如梧桐子。每次服用五十丸，饭前用温开水送服。（另一配方加一钱藿香。）
治疗痢疾日久导致脏腑虚弱滑脱，积滞无法清除的情况，用苍术汤送服桃花丸。
苍术（二两） 防风（一两）
将药材切碎，加水一碗，煎至一大盏，加入桃花丸或赤石脂丸，小便通畅则病愈。（桃花丸即“滞下门”中的桃花汤制成丸剂，由赤石脂、干姜两味药组成。）
〔《衍》〕有一人，患大肠寒湿清冷之症，小便失禁遗精，服用各种热性药物累计一斗二升未见效。后来教他服用赤石脂、干姜各一两，胡椒半钱，共同研为细末，用醋糊制成丸药，大小如梧桐子，空腹及饭前用米汤送服五七十丸，总共服用四剂后痊愈。
〔《本》〕治疗脾胃不和，泄泻不止，各种药物无效的情况，使用诃子丸。
诃子皮 川姜 肉豆蔻 龙骨 木香 赤石脂 附子（各等分）
将药物研成细末，用糊制成丸药，大小如梧桐子。每次服用四十丸，用米汤送服。
赤石脂禹余粮汤方 治疗大肠泄泻。
赤石脂（制过） 禹余粮（各四钱，制过）
将药材切碎。每次服用五钱，加水一盏半，煎至八分，去渣后温服。
〔孙〕治疗气虚受寒，突然发作水样泄泻，每天二三十次，腹痛不止，夏季赶路时，使用备急朝真丹。用硫黄一两半，研磨至极细；枯白矾五钱，一同细细研磨均匀，用水浸泡蒸饼，去掉多余水分和丸，大小如梧桐子，朱砂为衣。每次服用十五丸，用温米汤盐汤送服。（以上为止寒性泄泻的方法。）治疗暴发性水样泄泻不止。
肉豆蔻（三个，用湿面粉包裹，放在火中煨至面焦，去掉面粉。丹溪说：肉豆蔻属金、属土，温中补脾功效显著。日华子称其能降气，因为脾胃得到补益而善于运化，气自然下降。不像香附、陈皮那样耗散正气。）
上将肉豆蔻研为细末，仅做一服，用陈年米汤调服。饭前服用，效果神奇。
〔洁〕暴发性泄泻如水注，周身出汗，全身发冷，脉象沉而弱，气短不能说话，严重的伴有呕吐，这称为紧病，宜用浆水散治疗。
浆水散
半夏（二两） 良姜（二钱半） 干姜 肉桂 甘草 附子（炮制。各五钱）
将药物研成细末。每次服用三到五钱，加水二盏，煎至一盏，热服。严重的，服用三四次。如果太阳经受邪传变至太阴经，下痢呈稀溏状，大肠不能固摄，突然腹泻，大便中有硬物，想起身却又腹泻，想排尽却排不尽，小便多清长，这是寒证，宜用温法。春夏季节，用桂枝汤；秋冬季节，用白术汤。谦甫说：溏泄，是指大便如水，其中含有少量结粪。
桂枝汤
桂枝 芍药 白术（各半两） 甘草（炙，二钱）
将药材切碎。每次服用半两，加水一盏煎至七分，去渣温服。
白术散
白术 芍药（各三钱） 干姜（炮制，半两） 甘草（炙，二钱）
将药材切成粗末，按前述方法服用。严重的，去掉干姜，加附子三钱，因为辛味能发散。
〔罗〕曲术丸 治疗暑季暴发性泄泻，强壮脾胃，以及治疗饮食所伤导致的胸膈痞闷。
神曲 苍术（用淘米水浸泡一夜。各等分）
将药物研成细末，用面糊制成丸药，大小如梧桐子。每次服用三十丸，用温米汤送服。
止泄丸
肉豆蔻（五两） 滑石（制过）
将药物研为细末，拌饭制成丸剂。只有滑石的用量随季节变化：夏季三两半，秋季二两，春冬季一两一钱半。
〔罗〕中寒治验 参政商公，当时六十二岁，原本就有胃虚的病症。至元己巳年夏天，居住在上都。当时正值六月，大雨倾盆，连日不停。因为公务劳役过度，饮食不节制，每天脐腹部疼痛，肠鸣自利，必须去厕所解一二便才稍缓解，不喜欢饮食，懒于言语，身体困倦。请我诊治，我诊察他的脉象沉缓而弦。参政因年老气弱，脾胃素有虚寒之症，加上霖雨及劳役饮食不节制，使中气更加虚弱。《难经》说：饮食劳倦则伤脾。不足之处，有余随之而来，岁火不及，寒气大行，民众易患溏泄。如今脾胃正气不足，肾水必挟带木势，反过来侮土，这是侵犯所不胜而乘袭所胜。此病非甘辛大热的药物，不能泻水补土。虽然是在夏暑之时，虽有“用热远热”的禁忌。又说：有假者反之，这是权宜之计以治其急。《内经》说：寒淫于内，治以辛热。干姜、附子辛甘大热作为君药以泻寒水。脾不足者，用甘味补益，人参、白术、甘草、陈皮苦甘温以补脾土；胃寒则不欲食，用生姜、草豆蔻辛温治疗客寒犯胃；浓朴辛温厚肠胃；白茯苓、甘草助姜、附以导除寒湿；芍药酸微寒补金泻木，以防热伤肺气作为佐药。不服几次就痊愈了。
附子温中汤 治疗中寒，腹痛自利，米谷不化，脾胃虚弱，不喜欢饮食，懒言困倦嗜卧。
附子（炮制，去皮脐） 干姜（炮制。各七钱） 人参 甘草（炙） 白芍药 白茯苓（去皮） 白术（各五钱）
浓朴（姜制） 草豆蔻（面粉包裹煨后去皮。） 陈皮（各三钱）
将药材切碎。每次服用五钱或一两，加水二盏半，生姜五片，煎至一盏，饭前温服。
〔《简》〕理中汤治疗泄泻，加橘红、茯苓各一两，名为补中汤。如果溏泄不止，在补中汤内加附子一两。不喜欢饮食，水谷不化的，再加砂仁一两，共成八味。（理中汤方见伤寒篇。）
〔《本》〕治疗脾胃中风湿，脏腑泄滑，使用鞠丸。
芎 神曲 白术 附子（各等分，炮制）
将药物研成细末，用面糊制成丸药，大小如梧桐子。每次服用三五十丸，用米汤送服。左氏叙述楚王包围萧国，萧国即将溃败。无社告诉申叔展说：有曲吗？有山鞠吗？鞠，就是芎。意思是想让逃入水中以避祸。由此可知芎能除湿，应当加术、附以制约它。如果是脾湿导致的泄泻，没有不有效的。也治疗飧泄。
〔无〕桂香丸 治疗脏腑虚弱被风寒搏结，冷滑注下不禁，老人虚人危重笃定，多次有效。
附子（炮制，去皮脐） 肉豆蔻（炮制。） 白茯苓（各一两） 桂心 干姜（炮制） 木香（炮制。各半两） 丁香（一分）
将药物研为细末，用糊制成丸药，大小如梧桐子。米汤送服五十丸，空腹服用。
泄泻而身热，小便不利口渴的，用益元散、五苓散。如果火多，用四苓散加木通、黄芩。（方剂见湿热条。）泄泻而困倦不便的，以及脉数者、虚热者，宜用人参、白术、滑石、茯苓、通草。（方剂见补脾行湿条。）泄泻而脉滑坚的是实热，宜用大承气汤。（方剂见实条。）
〔丹〕玉龙丸 治疗一切伏暑泄泻，效果神奇。（方剂见伤寒部暑门。）
〔仲〕下痢不止，医生用理中汤给他，痢疾反而更严重。理中汤是调理中焦的，此痢在下焦，应用赤石脂禹余粮汤主治。如果复痢不止，应当利小便。下痢腹胀满，身体疼痛的，先温其里，再攻其表，温里宜用四逆汤；攻表宜用桂枝汤。
大肠小肠为泄。（全文见诊法篇。）一阳发病，少气，善咳善泄。（全文见诊病传变篇。）
运气学说认为泄泻有六种：
一是土助脾湿盛而泄泻。经文说：岁土太过，雨湿流行，病溏泄肠鸣。又说：岁水不及，湿乃下行，民病身重濡泄。又说：岁火不及，寒乃大行，土复则病溏泄，腹痛肠鸣泄注。又说：土郁之发，民病饮发注下。又说：湿胜则濡泻，治以苦温是正确的。
二是风木攻脾虚而泄泻。经文说：厥阴司天，风淫所胜，民病冷泄溏泄。又说：春伤于风，邪气留连，乃为洞泄，治以辛凉是正确的。
三是热泻。经文说：少阳所主为暴注。又说：少阴之胜，腹满溏泄。又说：火郁之发，民病注下，治以寒剂是正确的。
四是寒泄：经文说：岁水太过，寒气流行，病肠鸣溏泄。又说：太阳所至，为流泄禁止。又说：太阳之胜，寒入下焦，传为濡泄，治以热剂是正确的。
五是热中、寒中泄。经文说：太阳司天之政，三之气，寒气行，民病寒，反热中注下者，是外寒内热泄也。又说：长夏善病洞泄，寒中者是外热内寒泄也，治以寒热兼施是正确的。
六是燥泄。经文说：岁木不及，燥乃大行，民病肠鸣溏泄。又说：阳明司天，燥淫所胜，民病腹中鸣，注泄溏。又说：阳明之胜，清发于中溏泄。又说：阳明之复，腹胀而泄，治以温剂是正确的。
〔子和〕过去听说山东杨先生，治疗府主的洞泄不止。杨起初不对病患，与众人谈论日月星辰缠度及风雷云雨的变化，从辰时至未时，而病患者听之忘记了上厕所。杨先生曾说：治疗洞泄不已的人，先问他所喜爱的事，喜欢下棋的就与他下棋，喜欢音乐的就给笙笛不要停止。
针灸治疗泄泻，独取大肠一经。经文说：大肠病者，肠中攻痛而鸣濯濯。冬日中于寒即泄，当脐而痛，取巨虚上廉。
〔罗〕治疗水渍入胃为溢饮滑泄，渴能饮水，水下复泄，泄而大渴，这是无药可治的症状，应当灸大椎穴。
〔《玉》〕治疗久泄泻（内天枢穴，《撮要》《摘英》同。）天枢（二寸半，灸。《摘英》：五分，留十呼，灸百壮。）
〔世〕又法∶合谷 三里 阴陵泉 不应，取下穴∶中脘 关元 天枢 神阙
〔东〕泄痢不禁，小腹绞痛∶丹田（灸百壮，三次重复灸。）泄痢不嗜食∶长谷（五十壮，三次重复灸，在胁脐旁相距五寸，一名循元穴。）
〔《衍》〕石硫黄，今人用来治疗下元虚冷，元气将绝，久患寒泄，胃脾虚弱，垂命欲尽，服用无不有效。中病应当停止，不可服完所有药剂。世人只知道用它为福，不知道用它为祸。此物损益兼行，如果全部弃而不用，在仓促之间，又可以缺少吗？
Grind the herbs into fine powder, wrap them in lotus leaves with steamed rice to make pills, sized like paulownia seeds. Take 50 pills each time, administered before meals with warm water. (Another prescription adds one qian of Huoxiang [Agastache Herba].)
Treats chronic dysentery leading to deficiency and slipping of the Zang-Fu organs, where accumulation cannot be cleared; use Cangzhu Tang (Atractylodis Rhizoma Decoction) to administer Taohua Wan (Peach Blossom Pill).
Cangzhu (Atractylodis Rhizoma, two liang) Fangfeng (Saposhnikoviae Radix, one liang)
Chop the herbs, add one bowl of water, decoct until reduced to one large cup, then add Taohua Wan or Chishizhi Wan (Red Kaolin Pill). If urination becomes smooth, the patient will recover. (Taohua Wan is made from the Taohua Tang [Peach Blossom Decoction] found in the "Dysentery" section, consisting of Chishizhi [Kaolinitum] and Ganjiang [Zingiberis Rhizoma].)
[From *Yan*] A person suffered from cold and clearness of the Large Intestine, with involuntary emission of urine and essence. Various heat-promoting medicines totaling one dou and two sheng were taken without effect. Later, he was taught to take Chishizhi [Kaolinitum] and Ganjiang [Zingiberis Rhizoma], each one liang, and Hujiao [Piperis Fructus], half a qian, ground together into powder, formed into pills with vinegar paste, sized like paulownia seeds. Taken on an empty stomach and before meals with millet drink, 50-70 pills per dose. After four doses, he was cured.
[From *Ben*] Treats disharmony of the Spleen and Stomach, incessant diarrhea unresponsive to various medicines; use Hezi Wan (Chebulae Fructus Pill).
Hezi Pi (Pericarpium Chebulae), Chuannjiang (Zingiberis Rhizoma Praeparatum), Roudoukou (Myristicae Semen), Longgu (Os Draconis), Muxiang (Aucklandiae Radix), Chishizhi (Kaolinitum), Fuzi (Aconiti Lateralis Radix Praeparata) (all in equal parts)
Grind into fine powder, form into pills with paste, sized like paulownia seeds. Take 40 pills each time, administered with millet drink.
Formula: Chishizhi Yuyuliang Tang (Red Kaolin and Hematite Decoction)
Treats Large Intestine diarrhea.
Chishizhi (Prepared Red Kaolinitum), Yuyuliang (Hematitum) (each four qian, prepared)
Crush the herbs. Take five qian each time, add one and a half cups of water, decoct until reduced to eight-tenths, remove dregs, and take warm.
[From *Sun*] Treats Qi deficiency with cold injury, sudden onset of watery diarrhea, twenty to thirty times a day, incessant abdominal pain. During summer travel, use Beijiji Zhaozhen Dan (Emergency Morning-True Elixir). Use Liuhuang [Sulfur], one and a half liang, ground extremely fine; Kubaijian (Alumen Exsiccatum), five qian, ground evenly together. Soak steamed dough cake in water, remove excess water, form into pills sized like paulownia seeds, coated with Zhusha (Cinnabaris). Take 15 pills each time, administered with warm millet salt water. (The above methods stop cold-type diarrhea.) Treats incessant sudden watery diarrhea.
Roudoukou (Myristicae Semen) (three pieces, wrapped in wet flour, roasted in fire until flour is charred, remove flour. Danxi said: Roudoukou belongs to Metal and Earth, effectively warming the middle and tonifying the Spleen. Ri Hua Zi called it qi-descending, because when the Spleen and Stomach are tonified and transport well, qi naturally descends. It is not like Xiangfu [Cyperi Rhizoma] or Chenpi [Citri Reticulatae Pericarpium] which dissipate qi.)
Grind the Roudoukou into fine powder, prepare as a single dose, mix with aged millet drink. Take before meals; miraculous effect.
[From *Jie*] Sudden watery diarrhea, sweating over the whole body, coldness throughout the body, pulse deep and weak, shortness of breath unable to speak, severe cases accompanied by vomiting. This is called a "tight disease," treat with Jiangshui San (Fermented Rice Water Powder).
Jiangshui San
Banxia (Pinelliae Rhizoma, two liang), Liangjiang (Alpiniae Officinarum Rhizoma, two qian and half), Ganjiang (Zingiberis Rhizoma), Rougui (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata) (prepared, each five qian)
Grind into fine powder. Take three to five qian each time, add two cups of water, decoct until reduced to one cup, take hot. Severe cases: take three to four doses. If the Taiyang channel is injured and transmits to the Taiyin channel, resulting in loose stools, inability of the Large Intestine to consolidate, sudden diarrhea with hard matter inside, wanting to rise but defecating again, wanting to finish but not finishing, with abundant clear urine, this is cold; treat with warmth. In spring and summer, use Guizhi Tang (Cinnamon Twig Decoction); in autumn and winter, use Baizhu Tang (Atractylodis Macrocephalae Rhizoma Decoction). Qianfu said: Loose stool refers to feces like water containing a small amount of hardened stool.
Guizhi Tang (Cinnamon Twig Decoction)
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma) (each half liang), Gancao (Glycyrrhizae Radix et Rhizoma Praeficta) (roasted, two qian)
Cut the herbs. Take half liang each time, add one cup of water, decoct until reduced to seven-tenths, remove dregs, take warm.
Baizhu San (Atractylodis Macrocephalae Powder)
Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba) (each three qian), Ganjiang (Zingiberis Rhizoma) (prepared, half liang), Gancao (Glycyrrhizae Radix et Rhizoma Praeficta) (roasted, two qian)
Cut into coarse powder, administer as above. For severe cases, remove Ganjiang and add Fuzi (Aconiti Lateralis Radix Praeparata) three qian, because pungent substances can disperse.
[From *Luo*] Quzhu Wan (Saccharomyces and Atractylodes Pill)
Treats sudden summer-heat diarrhea, strengthens Spleen and Stomach, and treats chest and diaphragm fullness due to food injury.
Shenqu (Massa Medicata Fermentata), Cangzhu (Atractylodis Rhizoma) (soaked in rice washing water overnight. Equal parts)
Grind into fine powder, form into pills with wheat paste, sized like paulownia seeds. Take 30 pills each time, administered with warm millet drink.
Zhixie Wan (Stop Diarrhea Pill)
Roudoukou (Myristicae Semen, five liang), Huashi (Talcum) (prepared)
Grind into powder, mix with rice to form pills. Only the dosage of Huashi varies by season: Summer three liang and half, Autumn two liang, Spring and Winter one liang and one qian and half.
[From *Luo*] Case Report on Cold Injury in the Middle Jiao
Canzheng (Vice Director) Shang Gong, aged 62, originally had a condition of Stomach deficiency. In the summer of Ji Si year, he resided in Shangdu. It was June, heavy rain poured continuously for days. Due to excessive official duties and labor, irregular diet, he experienced daily umbilical and abdominal pain, borborygmus, and spontaneous diarrhea, needing to defecate once or twice to feel slightly relieved. He disliked eating, was lazy to speak, and felt physically fatigued. I was summoned to examine him; his pulse was deep, slow, and wiry. The Canzheng, being old and weak, had a pre-existing deficiency-cold of the Spleen and Stomach. Added to this were the continuous rain and irregular diet/labor, further weakening the Middle Qi. *Nan Jing* states: "Irregular diet and fatigue injure the Spleen." Where there is insufficiency, excess follows. The Fire of the year was insufficient, so Cold prevailed greatly, and the people suffered from loose stools. Now, with insufficient righteous Qi of the Spleen and Stomach, Kidney Water must borrow Wood's force to insult Earth, attacking what it cannot overcome and overcoming what it should. This disease requires sweet and pungent, great-hot medicines to drain water and tonify Earth. Although it is summer, there is a warning against using heat in heat. However, it is also said: "In cases of false symptoms, reverse the treatment," which is a temporary measure to address urgency. *Nei Jing* states: "When Cold invades internally, treat with pungent and hot." Ganjiang (Zingiberis Rhizoma) and Fuzi (Aconiti Lateralis Radix Praeparata) are pungent, sweet, and great-hot, serving as Sovereign herbs to drain Cold Water. For Spleen insufficiency, tonify with sweet: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium) are bitter-sweet-warm to tonify Spleen Earth. For Stomach cold causing loss of appetite, use Shengjiang (Zingiberis Rhizoma Recens) and Caodoukou (Cardamomi Semens) pungent-warm to treat external cold invading the Stomach. Houpo (Magnoliae Officinalis Cortex) is pungent-warm to thicken the intestines and stomach. Baifuling (Poria) and Gancao assist Ginger and Aconite to guide out Cold-Dampness. Shaoyao (Paeoniae Radix Alba) is sour and slightly cold to tonify Metal and drain Wood, preventing heat from injuring Lung Qi, serving as Assistant herbs. After a few doses, he recovered.
Fuzi Wenzhong Tang (Aconite Warming Middle Decoction)
Treats Cold Injury in the Middle Jiao, abdominal pain with spontaneous diarrhea, undigested food, Spleen and Stomach weakness, dislike of eating, laziness to speak, fatigue, and desire to lie down.
Fuzi (Aconiti Lateralis Radix Praeparata) (prepared, skin and umbilicus removed), Ganjiang (Zingiberis Rhizoma) (prepared. Each seven qian), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma Praeficta), Baishaoyao (Paeoniae Radix Alba), Baifuling (Poria) (skin removed), Baizhu (Atractylodis Macrocephalae Rhizoma) (each five qian)
Houpo (Magnoliae Officinalis Cortex) (processed with ginger), Caodoukou (Cardamomi Semens) (wrapped in flour, roasted, skin removed), Chenpi (Citri Reticulatae Pericarpium) (each three qian)
Chop the herbs. Take five qian or one liang each time, add two and a half cups of water, five slices of ginger, decoct until reduced to one cup, take warm before meals.
[From *Jian*] Lizhong Tang (Regulate the Middle Decoction) treats diarrhea; add Juhong (Citri Reticulatae Pericarpium Rubrum) and Fuling (Poria) each one liang, named Buzhong Tang (Tonify the Middle Decoction). If loose diarrhea persists, add Fuzi (Aconiti Lateralis Radix Praeparata) one liang to Buzhong Tang. For those who dislike eating and have undigested food/water, add Sharen (Amomi Fructus) one liang, totaling eight ingredients. (Lizhong Tang formula see *Shanghan*).
[From *Ben*] Treats Wind-Damp in Spleen and Stomach, slipping diarrhea of Zang-Fu organs; use Ju Wan (Angelicae Dahuricae Pill).
Xiong (Angelicae Dahuricae Radix), Shenqu (Massa Medicata Fermentata), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata) (equal parts, prepared)
Grind into fine powder, form into pills with wheat paste, sized like paulownia seeds. Take 30-50 pills each time, administered with millet drink. Zuo Shi narrated that when King Chu besieged Xiao, and Xiao was about to fall, Wushe told Shenshuzhan: "Do you have Qu? Do you have Shanju?" Ju refers to Xiong (Angelicae Dahuricae Radix). The intent was to tell him to escape into water to avoid disaster. Thus, we know Xiong can drain Dampness; it should be added with Zhu (Atractylodis Rhizoma/Macrocephalae Rhizoma) and Fu (Aconiti Lateralis Radix Praeparata) to control it. If diarrhea is due to Spleen Dampness, it will certainly be effective. It also treats Sundry Diarrhea (Sunxie).
[From *Wu*] Guixiang Wan (Cinnamon and Agarwood Pill)
Treats deficiency of Zang-Fu organs combated by Wind-Cold, cold slippery diarrhea uncontrollable, critical conditions in elderly and deficient persons; repeatedly effective.
Fuzi (Aconiti Lateralis Radix Praeparata) (prepared, skin and umbilicus removed), Roudoukou (Myristicae Semen) (prepared), Baifuling (Poria) (each one liang), Guixin (Cinnamomi Cortex), Ganjiang (Zingiberis Rhizoma) (prepared), Muxiang (Aucklandiae Radix) (prepared. Each half liang), Dingxiang (Caryophylli Flos) (one fen)
Grind into powder, form into pills with paste, sized like paulownia seeds. Take 50 pills with millet soup, on an empty stomach.
[From *Sun*] Treats unlimited watery diarrhea. Ganjiang (Zingiberis Rhizoma) powder, mixed with porridge drink, one qian per dose; immediate effect.
Diarrhea with body heat, difficult urination, and thirst: use Yiyuan San (Beneficial Origin Powder) and Wuling San (Five Ling Powder). If Fire is excessive, use Siling San (Four Ling Powder) plus Mutong (Akebiae Caulis) and Huangqin (Scutellariae Radix). (Formulas see Heat-Damp section.) Diarrhea with fatigue and difficulty, rapid pulse, or deficiency-heat: use Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Huashi (Talcum), Ling (Poria), Tongcao (Tetrapanacis Medulla). (Formulas see Tonify Spleen and Move Dampness section.) Diarrhea with slippery and firm pulse indicates Excess-Heat; use Dachengqi Tang (Major Order the Qi Decoction). (Formula see Excess section.)
[From *Dan*] Yulong Wan (Jade Dragon Pill)
Treats all latent summer-heat diarrhea; miraculous effect. (Formula see *Shanghan* Summer-Heat section.)
[From *Zhong*] Dysentery unceasing; the physician gave Lizhong Tang (Regulate the Middle Decoction), but the dysentery worsened. Lizhong Tang regulates the Middle Jiao; this dysentery is in the Lower Jiao, treated primarily with Chishizhi Yuyuliang Tang (Red Kaolin and Hematite Decoction). If dysentery persists after this, promote urination. Dysentery with abdominal fullness and body pain: first warm the interior, then attack the exterior. Warm interior with Sini Tang (Frigid Extremities Decoction); attack exterior with Guizhi Tang (Cinnamon Twig Decoction).
Large Intestine and Small Intestine cause diarrhea. (Full text see Diagnosis.) One Yang pathogenesis causes shortness of breath, frequent coughing, and frequent diarrhea. (Full text see Disease Transmission.)
According to the Theory of Five Movements and Six Qi, there are six types of diarrhea:
1. Earth assists Spleen Dampness causing diarrhea. Classic says: When Earth is excessive, rain and dampness prevail, causing loose stools and borborygmus. Also: When Water is insufficient, dampness flows downward, people suffer from heavy body and damp diarrhea. Also: When Fire is insufficient, Cold prevails greatly, Earth retaliates causing loose stools, abdominal pain, borborygmus, and projectile diarrhea. Also: When Earth stagnation erupts, people suffer from fluid retention and projectile diarrhea. Also: When Dampness dominates, it causes damp diarrhea; treat with bitter-warm.
2. Wind-Wood attacks Spleen deficiency causing diarrhea. Classic says: When Jueyin governs, Wind prevails excessively, people suffer from cold diarrhea and loose stools. Also: Wind injury in Spring, pathogen lingers, causing hole-like diarrhea; treat with pungent-cool.
3. Heat Diarrhea. Classic says: Shaoyang governs sudden projectile diarrhea. Also: Shao Yin victory causes abdominal fullness and loose stools. Also: Fire stagnation erupts, people suffer from projectile diarrhea; treat with cold agents.
4. Cold Diarrhea: Classic says: When Water is excessive, Cold prevails, causing borborygmus and loose stools. Also: Taiyang arrival causes flow and discharge prohibition. Also: Taiyang victory, Cold enters Lower Jiao, transmitting to damp diarrhea; treat with hot agents.
5. Heat-Middle and Cold-Middle Diarrhea. Classic says: Taiyang governs administration, third Qi, Cold Qi moves, people suffer from Cold, yet reverse Heat-Middle projectile diarrhea; this is external Cold and internal Heat diarrhea. Also: Late Summer prone to hole-like diarrhea, Cold-Middle is external Heat and internal Cold diarrhea; treat with simultaneous Cold and Heat.
6. Dryness Diarrhea. Classic says: When Wood is insufficient, Dryness prevails greatly, people suffer from borborygmus and loose stools. Also: Yangming governs, Dryness prevails excessively, people suffer from abdominal borborygmus, projectile diarrhea and loose stools. Also: Yangming victory, Clearness erupts internally causing loose stools. Also: Yangming recurrence, abdominal distension and diarrhea; treat with warm agents.
[From *Zihehe*] I once heard of Mr. Yang from Shandong treating a Prefect's incessant hole-like diarrhea. Mr. Yang did not initially address the patient but talked with others about the movements of sun, moon, stars, and changes in wind, thunder, clouds, and rain from Chen hour to Wei hour. The patient listened and forgot to go to the toilet. Mr. Yang often said: To treat people with incessant hole-like diarrhea, first ask what they love. If they like chess, play chess with them; if they like music, provide flutes and pipes without stopping.
Acupuncture and Moxibustion
For diarrhea, exclusively select the Large Intestine channel. Classic says: Large Intestine disease involves piercing pain and gurgling in the intestines. Cold entering in winter causes diarrhea, pain at the navel; select Shanglianshu (ST37).
[From *Luo*] Treats water infiltrating the Stomach causing overflow drinking and slippery diarrhea, thirst able to drink, water passes then diarrhea returns, diarrhea with extreme thirst. This is a symptom without medicine; moxa Dazhui (GV14).
[From *Mai*] All dysenteries can be treated by moxibustion on Dadu (SP4) five moxa cones, Shangqiu (SP5) and Yinlingquan (SP9) three moxa cones each.
[From *Jia Yi*] Loose diarrhea with undigested food, irregular chills and fever; Yinlingquan (SP9) governs.
[From *Yu Ji*] Treats chronic diarrhea (internally Tian Shu ST25, same as *Cuoyao* and *Zha Ying*). Tian Shu (ST25) (two and a half cun, moxa. *Zha Ying*: five fen, retain ten breaths, moxa hundred cones.)
[From *Ji*] Spontaneous dysentery unceasing: Tianji (CV11), Zhongji (CV3).
[From *Shi Zong*] Another method: Hegu (LI4), Zusanli (ST36), Yinlingquan (SP9). If ineffective, select lower points: Zhongwan (CV12), Guanyuan (CV4), Tian Shu (ST25), Shenque (CV8).
[From *Dong Feng*] Uncontrollable diarrhea and dysentery, severe lower abdominal cramping: Dantian (CV4) (moxa hundred cones, repeat three times). Diarrhea/dysentery with poor appetite: Changgu (CV4 alternative name?) (fifty cones, repeat three times, located beside hypochondrium and navel, five cun apart, also named Xunyuan point.)
[From *Yan*] Shi Liuhuang (Mineral Sulfur). Nowadays used to treat deficiency-cold of the Lower Yuan, impending exhaustion of Original Qi, chronic cold diarrhea, weak Stomach and Spleen, life hanging by a thread. Taking it is invariably effective. When the disease is addressed, stop; do not consume the entire dose. People only know using it brings fortune, not that it brings disaster. This substance has both benefits and harms. If completely discarded and unused, could it be omitted in emergencies?