脉
脉多沉。伤于风，则浮而弦；伤于寒；则沉而细，伤于暑，则
沉而微；伤于湿，则沉而缓，泄而腹胀脉弦者死。又云∶脉缓时微小者生，浮大数者死。
证
夫泄泻者，注下之症也。盖大肠为传送之官，脾胃为水谷之海，或为饮食生冷之所伤，或为暑湿风寒之
所感，脾胃停滞，以致阑门清浊不分，发注于下而为泄泻也。《内经》又谓∶湿胜则濡泄。
又曰∶春伤于风，夏生飧泄。又曰∶暴注下迫，皆属于热。又曰∶诸病水液，澄澈清冷，皆属于寒。叔和曰∶
湿多成五泄，肠走若雷奔。故分脾泄、胃泄、大肠、小肠、大瘕，为五泄也。又有飧
泄、肾泄、洞泻、濡泄、骛溏之类。名各不同，原其致病，不过前云所感所伤而已矣。丹溪又云∶泄属湿，
属气虚，有火，有痰，有食积。凡泻水，腹不痛者，湿也。饮食入胃不消，完谷不化者，气虚也。腹痛泻水
如热汤，痛一阵，泻一阵者，火也。或泻或不泻，或多或少者，痰也。腹痛甚而泄泻，泻后痛减者，食积
也。泻下如抱坏鸡子臭者，或咽气作酸者，伤于食也。
治
治疗之法，须看时令，分寒热新久。补脾消食，燥湿利小便，
亦有升提下陷之气，用风药以胜湿。若久泻，肠胃虚滑不禁者，宜收涩之。治法之要，孰有过于此哉。
方
胃苓汤〔批〕（按此方治四时泄泻之总司也） 治中暑伤湿，停饮夹食，脾
胃不和，腹痛泄泻作渴，小便不利，水谷不化，阴阳不分。
苍术（米泔浸，一钱） 浓朴（姜汁炒，一钱） 陈皮（一钱） 猪苓（一钱） 泽泻（一
钱） 白术（炒，一钱） 白茯苓（一钱） 肉桂（三分） 白芍（炒，一钱） 甘草（炙，三分）
上锉一剂，生姜枣水煎，温服。一方加防风、升麻以胜湿。食积，加神曲、麦芽、山楂。水泻，加滑石。
有痰，加半夏、乌梅。气虚，加人参、白术。恼怒，加木香。有热，加黄
连。久泻，加肉豆蔻。暴痢赤白相杂，腹痛里急后重，去桂，加木香、黄连、槟榔，水煎服。
薷苓汤 治暑月泄泻，或欲成痢。
黄连香薷饮合五苓散。锉一剂，生姜煎服。（方见中暑）
藿香正气散〔批〕（按此方治暑泻之剂） 治感湿泄泻，或兼暑者，（方见
霍乱）
根据本方，加黄连、香薷。食加神曲、山楂。
柴苓汤〔批〕（按此方治热泻之剂） 治泄泻发热口渴，里虚之症。
小柴胡汤（方见伤寒） 合五苓散（方见中暑），锉一剂，姜枣煎服。
理中汤（方见中寒）〔批〕（按此方治寒泻之剂） 治脾胃虚冷，中寒泄泻，四肢厥逆。
四君子汤（方见补益） 治气虚脾泄不止者。
根据本方加乌药（醋炒，七分） 姜枣煎服。
参苓白术散（方见补益） 治脾胃虚弱，久泻少食。
瑞运丸（何春元传） 治元气大虚，脾胃怯弱，泄泻不止，不思饮食。
山药（炒，二两） 莲肉（二两） 白术（土炒，二两） 芡实（二两） 人参（去芦，一
两） 橘红（一两） 白茯苓（一两） 白芍药（酒炒，一两） 甘草（炙，五钱）
上为末，用雄猪肚一个，洗净，煮烂，捣和药末为丸，如梧桐子大。每服百丸，空心米汤送下。
养元散〔批〕（按此方治虚泻之剂） 治泄泻，饮食少进。
糯米（一升，水浸一宿，滤干，燥慢火炒，令极热） 干山药（少许） 胡椒（少许）
上各为细末，和匀，每日清晨用半盏，再入砂糖少许，滚汤调
服，其味极佳，且不厌人，大有滋补。其女人子宫虚冷，不能成孕，久服之，亦能怀孕。
平胃散 治濡泄肠鸣多水。
苍术 浓朴 陈皮 甘草（各一钱五分）
上锉一剂，水煎服。
五苓散 治症同前。
白术 茯苓（各一钱） 桂（六分） 猪苓 泽泻（各一钱二分）
上锉一剂，水煎服。
胃苓汤 治水泻腹痛。
陈皮 浓朴 苍术 甘草 白术 茯苓 肉桂 猪苓 泽泻
（各一钱） 加芍药 黄连（各八分）
上锉一剂，姜一片，水煎服。
黄芩汤 治肠垢热泄，所下粘垢，小便赤涩，脉数烦渴。
黄芩（炒，五钱） 芍药（炒，三钱） 甘草（一钱）
上锉一剂，水煎服。
卫生汤 治脾胃虚弱，不能泌别水谷。
陈皮 茯苓 甘草 人参 白术 山药 泽泻 薏苡仁
上锉一剂，加砂仁末一钱，水二钟，煎至八分服。一方加莲肉、芡实、干山药各二两，亦效。一方用
糯米磨粉，不拘多少，入百草霜十分之二，水和为饼，烙熟食之。一方单用糯米，半生半炒，煮粥食之，亦效。
安胃和脾散 治脾胃不和，中脘痞塞，腹痛胀满，不思饮食，
嗜卧无时，呕吐痰涎，逆气吐酸，面黄肌瘦，泄泻不止，四肢乏力，沉困自汗、盗汗等症。
苍术（二两，姜炒） 浓朴（五钱，姜炒） 藿香（五钱） 砂仁（五钱） 人参（去芦，
五钱） 白术（土炒，五钱） 白茯苓（五钱） 木香（火煨，五钱） 槟榔（五钱） 蓬术（火
煨，五钱） 泽泻（五钱） 甘草（炙，五钱） 红枣（二十四个，去皮、核，焙干）
上共为细末，每服二钱，空心淡姜汤送下。
家莲散（陈□堂传） 治经年久泻冷泄，及休息痢。
莲肉（泡去皮、心，微火焙干，四两） 浓朴（姜炒，一两） 干姜（炒黑，一两）
上三味，共为细末，每服二、三匙，米饮下，日三次。
理气健脾丸（方见脾胃） 治脾胃虚弱，久泻久痢。
根据本方，去桔梗，加酒炒白芍药，其效如神。
实肠丸（黄宾江传） 治久泻久痢，虚滑不禁及脱肛。臭椿树根皮，
不拘多少，切碎，酒拌，炒为细末，用真阿胶水化开，和为丸如桐子大。每服三五十丸。空心米汤下。
升气实脏丸（云林制）〔批〕（按此方治滑泄止涩之剂） 治久泻，元气下陷，脾胃衰惫，大肠滑脱，肛
门坠下，日夜无度。饮食不思，米谷不化，汤水直过。烦渴引饮，津液枯竭，肌瘦如柴，寒热互作。
黄 （蜜炙，一两） 人参（去芦，一两） 白术（土炒，二两） 白茯苓（去皮，五钱）
山药（炒，一两） 莲肉（去心，一两） 芡实（一两） 升麻（酒炒，五钱） 柴胡（酒炒，五
钱） 干姜（炒黑，五钱） 肉豆蔻（面裹煨，捶去油净，五钱） 粉草（炙，五钱） 椿树
根皮（酒炒二次，四两）
上为细末，阿胶水化开为丸，如黍米大。每服二钱，用糯米半生半炒，煎汤送下。
灸法 治吐泻日久，胃气大虚，死在旦夕。
天枢二穴（在脐旁各开二寸） 气海（在脐下一寸半） 百会（在顶心中） 用艾灸五、七壮，即愈。
脉象
脉象多表现为沉脉。若感受风邪，则脉浮而弦；若感受寒邪，则脉沉而细；若感受暑邪，则脉沉而微；若感受湿邪，则脉沉而缓。泄泻且伴有腹胀、脉弦者，预后不良（主死）。又说：脉象缓而时见微小者，预后良好（主生）；脉象浮大数急者，预后不良（主死）。
证候
所谓泄泻，是粪便如水直下的症状。大肠是传导糟粕的器官，脾胃是受纳水谷的海域。或因饮食生冷所伤，或因暑湿风寒所感，导致脾胃气机停滞，致使阑门（小肠与大肠交界处，分清泌浊之关口）清浊不分，浑浊之物下注于肠道，从而发生泄泻。《黄帝内经》又说：湿气偏胜则导致濡泄（大便稀溏）。又说：春季感受风邪，夏季会发生飧泄（完谷不化的泄泻）。又说：突然剧烈腹泻伴肛门紧迫感的，都属于热证。又说：各种病理性排泄物，清澈寒冷透明的，都属于寒证。王叔和说：湿气重容易形成五种泄泻，肠鸣声如雷奔。因此分为脾泄、胃泄、大肠泄、小肠泄、大瘕泄，称为五泄。又有飧泄、肾泄、洞泻（泻下无度）、濡泄、骛溏（大便稀薄如鸭粪）等类别。名称各不相同，追溯其致病原因，不过是前面所说的感受外邪或内伤饮食罢了。朱丹溪又说：泄泻属于湿，属于气虚，有火邪，有痰饮，有食积。凡是泻下水样便，腹部不痛的，是湿邪所致。饮食入胃不能消化，排出未消化的食物残渣的，是气虚所致。腹痛剧烈且泻下水样便如热汤，痛一阵泻一阵的，是火邪所致。有时泻有时不泻，或多或少的是痰饮所致。腹痛严重且泄泻，泻后疼痛减轻的，是食积所致。泻下物像坏鸡蛋一样臭秽的，或者嗳气带有酸腐味的，是伤于饮食所致。
治法
治疗的方法，必须根据时令季节，区分寒热及病程的新久。采用补益脾胃、消食导滞、燥湿利小便的方法，也有提升下陷之气，使用风药以祛除湿邪的。如果是久泻，肠胃虚弱滑脱不禁的，适宜用收涩法治疗。治法的要点，没有超过这些的了。
方剂
胃苓汤【批注】（按：此方是治疗四季泄泻的总纲方剂） 治疗中暑伤湿，停饮夹食，脾胃不和，腹痛泄泻且口渴，小便不利，水谷不化，阴阳不分。
苍术（米泔水浸泡，一钱） 厚朴（姜汁炒，一钱） 陈皮（一钱） 猪苓（一钱） 泽泻（一钱） 白术（炒，一钱） 白茯苓（一钱） 肉桂（三分） 白芍（炒，一钱） 甘草（炙，三分）
以上锉为一剂，加生姜、大枣用水煎煮，温服。另一方案加防风、升麻以胜湿。若有食积，加神曲、麦芽、山楂。若是水泻，加滑石。若有痰，加半夏、乌梅。若气虚，加人参、白术。若因恼怒引起，加木香。若有热，加黄连。若是久泻，加肉豆蔻。若是暴痢赤白相杂，腹痛里急后重，去掉肉桂，加木香、黄连、槟榔，水煎服。
薷苓汤 治疗暑月泄泻，或者即将发展为痢疾。
即黄连香薷饮合五苓散。锉为一剂，加生姜煎服。（方剂见“中暑”章节）
藿香正气散【批注】（按：此方是治疗暑泻的方剂） 治疗感受湿邪导致的泄泻，或者兼有暑邪的。（方剂见“霍乱”章节）
根据本方，加黄连、香薷。若夹食，加神曲、山楂。
柴苓汤【批注】（按：此方是治疗热泻的方剂） 治疗泄泻发热口渴，属里虚的证候。
小柴胡汤（方剂见“伤寒”章节） 合五苓散（方剂见“中暑”章节），锉为一剂，加姜枣煎服。
理中汤（方剂见“中寒”章节）【批注】（按：此方是治疗寒泻的方剂） 治疗脾胃虚冷，中寒泄泻，四肢厥逆。
四君子汤（方剂见“补益”章节） 治疗气虚脾泄不止者。
根据本方加乌药（醋炒，七分），加姜枣煎服。
瑞运丸（何春元传授） 治疗元气大虚，脾胃怯弱，泄泻不止，不思饮食。
山药（炒，二两） 莲子肉（二两） 白术（土炒，二两） 芡实（二两） 人参（去芦头，一两） 橘红（一两） 白茯苓（一两） 白芍药（酒炒，一两） 甘草（炙，五钱）
以上研为细末，用雄猪肚一个，洗净，煮烂，捣碎并与药末混合制成丸药，如梧桐子大小。每次服用一百丸，空腹时用米汤送服。
养元散【批注】（按：此方是治疗虚泻的方剂） 治疗泄泻，饮食减少。
糯米（一升，用水浸泡一夜，滤干，用文火慢炒至极热） 干山药（少许） 胡椒（少许）
以上各研为细末，混合均匀，每日清晨用半盏，再加入少许砂糖，用滚开水调服，味道极佳，且不令人厌倦，大有滋补作用。女性若子宫虚冷，不能受孕，长期服用，也能怀孕。
平胃散 治疗濡泄肠鸣多水。
苍术 厚朴 陈皮 甘草（各一钱五分）
以上锉为一剂，水煎服。
五苓散 治疗症状同前。
白术 茯苓（各一钱） 桂枝（六分） 猪苓 泽泻（各一钱二分）
以上锉为一剂，水煎服。
胃苓汤 治疗水泻腹痛。
陈皮 厚朴 苍术 甘草 白术 茯苓 肉桂 猪苓 泽泻（各一钱） 加白芍 黄连（各八分）
以上锉为一剂，加一片生姜，水煎服。
黄芩汤 治疗肠垢热泄，所下粘垢，小便赤涩，脉数烦渴。
黄芩（炒，五钱） 白芍（炒，三钱） 甘草（一钱）
以上锉为一剂，水煎服。
卫生汤 治疗脾胃虚弱，不能泌别水谷。
陈皮 茯苓 甘草 人参 白术 山药 泽泻 薏苡仁
以上锉为一剂，加砂仁末一钱，水两钟，煎至八分服。另一方案加莲子肉、芡实、干山药各二两，也有效。另一方案用糯米磨粉，不拘多少，加入百草霜十分之二，和水做成饼，烙熟食用。另一方案单用糯米，半生半炒，煮粥食用，也有效。
安胃和脾散 治疗脾胃不和，中脘痞塞，腹痛胀满，不思饮食，嗜卧无定时，呕吐痰涎，逆气吐酸，面黄肌瘦，泄泻不止，四肢乏力，沉重困倦，自汗、盗汗等症状。
苍术（二两，姜炒） 厚朴（五钱，姜炒） 藿香（五钱） 砂仁（五钱） 人参（去芦头，五钱） 白术（土炒，五钱） 白茯苓（五钱） 木香（火煨，五钱） 槟榔（五钱） 蓬术（火煨，五钱） 泽泻（五钱） 甘草（炙，五钱） 红枣（二十四个，去皮、核，焙干）
以上共研为细末，每次服用二钱，空腹时用淡姜汤送服。
家莲散（陈□堂传授） 治疗经年久泻冷泄，以及休息痢。
莲子肉（泡去皮、心，微火焙干，四两） 厚朴（姜炒，一两） 干姜（炒黑，一两）
以上三味，共研为细末，每次服用二三匙，米饮送下，每日三次。
理气健脾丸（方剂见“脾胃”章节） 治疗脾胃虚弱，久泻久痢。
根据本方，去掉桔梗，加酒炒白芍药，效果神奇。
实肠丸（黄宾江传授） 治疗久泻久痢，虚滑不禁以及脱肛。臭椿树根皮，不拘多少，切碎，用酒拌，炒研为细末，用真阿胶胶化开，混合制成丸药如桐子大小。每次服用三五十丸。空腹时用米汤送服。
升气实脏丸（云林配制）【批注】（按：此方是治疗滑泄止涩的方剂） 治疗久泻，元气下陷，脾胃衰惫，大肠滑脱，肛门坠下，日夜无度。饮食不思，米谷不化，汤水直过。烦渴引饮，津液枯竭，肌瘦如柴，寒热互作。
黄芪（蜜炙，一两） 人参（去芦头，一两） 白术（土炒，二两） 白茯苓（去皮，五钱） 山药（炒，一两） 莲子肉（去心，一两） 芡实（一两） 升麻（酒炒，五钱） 柴胡（酒炒，五钱） 干姜（炒黑，五钱） 肉豆蔻（面粉包裹煨，捶打去油净，五钱） 粉草（炙，五钱） 椿树根皮（酒炒两次，四两）
以上研为细末，用阿胶胶化开制成丸药，如黍米大小。每次服用二钱，用糯米半生半炒煎汤送服。
灸法 治疗吐泻日久，胃气大虚，生命垂危在旦夕之间。
天枢穴二穴（在脐旁各开二寸） 气海穴（在脐下一寸半） 百会穴（在头顶正中） 用艾灸五、七壮，即可痊愈。
Pulse Diagnosis
The pulse is mostly deep (Chen Mai, Deep Pulse). If injured by wind, the pulse is floating and wiry (Fu Mai, Floating Pulse; Xian Mai, Wiry Pulse); if injured by cold, the pulse is deep and fine (Xi Mai, Fine Pulse); if injured by summerheat, the pulse is deep and faint (Wei Mai, Faint Pulse); if injured by dampness, the pulse is deep and slow (Huan Mai, Slow Pulse). In diarrhea with abdominal distension and a wiry pulse, death ensues. It is also said: A pulse that is slow and occasionally minute indicates survival (Sheng), whereas a pulse that is floating, large, and rapid indicates death.
Symptoms and Signs
Diarrhea (Xie Xie) is a symptom characterized by the profuse discharge of watery stools. The Large Intestine is the official organ responsible for transmission, while the Spleen and Stomach are the sea of water and grain. Injury from raw or cold food and drink, or contraction of summerheat, dampness, wind, and cold pathogens, causes stagnation in the Spleen and Stomach. This leads to the failure of the Lanmen (the junction between the small and large intestines responsible for separating clear from turbid substances) to distinguish between clear and turbid fluids, resulting in the downward flow of turbid matter and causing diarrhea. The *Neijing* further states: Excess dampness leads to Ru Xie (damp diarrhea/loose stools). It also states: Wind injury in spring generates Sun Xie (undigested diarrhea) in summer. It states: Sudden violent diarrhea with tenesmus belongs to heat. It states: All pathological discharges that are clear, cold, and transparent belong to cold. Wang Shuhe said: Dampness often results in five types of diarrhea, with intestinal sounds rushing like thunder. Therefore, they are divided into Pi Xie (Spleen Diarrhea), Wei Xie (Stomach Diarrhea), Da Chang Xie (Large Intestine Diarrhea), Xiao Chang Xie (Small Intestine Diarrhea), and Da Jia Xie (Great Constriction Diarrhea), collectively known as the Five Diarrheas. There are also categories such as Sun Xie, Shen Xie (Kidney Diarrhea), Dong Xie (cavity diarrhea/profuse diarrhea), Ru Xie, and Wu Tang (duck-dung diarrhea). Although the names differ, their etiology stems from the aforementioned external injuries or internal damages. Zhu Danxi further stated: Diarrhea is associated with dampness, Qi deficiency, fire, phlegm, and food retention. Watery diarrhea without abdominal pain is due to dampness. Undigested food in stool after eating is due to Qi deficiency. Severe abdominal pain accompanied by hot, watery diarrhea, where pain and diarrhea occur in waves, is due to fire. Irregular diarrhea with varying amounts is due to phlegm. Severe abdominal pain relieved by defecation is due to food retention. Foul-smelling stool resembling rotten eggs or sour belching is due to dietary injury.
Treatment Principles
Treatment methods must consider the season, distinguishing between cold and heat, and acute versus chronic conditions. Strategies include tonifying the Spleen, resolving food stagnation, drying dampness, and promoting urination. Some methods involve lifting sinking Qi and using acrid-warm herbs to overcome dampness. For chronic diarrhea with weak intestines and stomach leading to incontinence, astringent methods should be used. These principles encompass the essentials of treatment.
Formulas
Weiling Decoction [Commentary: This formula serves as the general prescription for treating diarrhea in all seasons.] Treats summerheat and dampness injury, retained fluid with food stagnation, disharmony of the Spleen and Stomach, abdominal pain and diarrhea with thirst, difficult urination, undigested food and water, and imbalance of Yin and Yang.
Cangzhu (Atractylodis Rhizoma, soaked in rice wash water, 1 qian) Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice, 1 qian) Chenpi (Citri Reticulatae Pericarpium, 1 qian) Zhuling (Polypori Umbellati, 1 qian) Zexie (Alismatis Rhizoma, 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 1 qian) Baifuling (Poria, 1 qian) Rougui (Cinnamomi Cortex, 3 fen) Baishao (Paeoniae Radix Alba, stir-fried, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen)
Decoct one dose with fresh ginger and jujube, take warm. Another variation adds Fangfeng (Saposhnikoviae Radix) and Shengma (Cimicifugae Rhizoma) to overcome dampness. For food stagnation, add Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), and Shanzha (Crataegi Fructus). For watery diarrhea, add Huashi (Talcum). For phlegm, add Banxia (Pinelliae Rhizoma) and Wumei (Mume Fructus). For Qi deficiency, add Renshen (Ginseng Radix et Rhizoma) and Baizhu. For anger-related issues, add Muxiang (Aucklandiae Radix). For heat, add Huanglian (Coptidis Rhizoma). For chronic diarrhea, add Roudoukou (Myristicae Semen). For acute dysentery with mixed red and white stool, abdominal pain, and tenesmus, remove Rougui and add Muxiang, Huanglian, and Binglang (Arecae Semen), decoct in water and take.
Ruling Decoction Treats diarrhea in the summer month or impending dysentery.
It combines Huanglian Xiangru Yin (Coptidis Rhizoma and Elsholtziae Herba Drink) with Wuling San (Five-Ingredient Powder with Poria). Decoct one dose with fresh ginger and take. (See "Summerheat" chapter for formula details.)
Huoxiang Zhengqi San [Commentary: This formula treats summerheat diarrhea.] Treats dampness-induced diarrhea or cases complicated by summerheat. (See "Huo Luan" chapter for formula details.)
Based on this formula, add Huanglian and Xiangru. For food stagnation, add Shenqu and Shanzha.
Chailing Tang [Commentary: This formula treats heat diarrhea.] Treats diarrhea with fever and thirst, indicating interior deficiency.
Xiao Chaihu Tang (Minor Bupleurum Decoction) (See "Shang Han" chapter) combined with Wuling San (See "Summerheat" chapter). Decoct one dose with ginger and jujube and take.
Lizhong Tang (Regulate the Middle Decoction) (See "Zhong Han" chapter) [Commentary: This formula treats cold diarrhea.] Treats Spleen-Stomach deficiency-cold, middle-jiao cold-induced diarrhea, and cold limbs.
Sijunzi Tang (Four Gentlemen Decoction) (See "Tonification" chapter) Treats persistent Spleen-diarrhea due to Qi deficiency.
Based on this formula, add Wuyao (Linderae Radix, vinegar-fried, 7 fen), decoct with ginger and jujube and take.
Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) (See "Tonification" chapter) Treats Spleen-Stomach weakness with chronic diarrhea and poor appetite.
Ruiyun Wan (He Chunyuan's Transmission) Treats severe Yuan Qi deficiency, weak Spleen-Stomach, persistent diarrhea, and loss of appetite.
Shanyao (Dioscoreae Rhizoma, stir-fried, 2 liang) Lianrou (Nelumbinis Semen, 2 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried, 2 liang) Qianshi (Euryales Semen, 2 liang) Renshen (Ginseng Radix et Rhizoma, de-gorged, 1 liang) Juhong (Citri Reticulatae Pericarpium Rubrum, 1 liang) Baifuling (Poria, 1 liang) Baishaoyao (Paeoniae Radix Alba, wine-stir-fried, 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian)
Grind into fine powder. Clean one male pig stomach, boil until tender, mash, and mix with the powder to form pills the size of paulownia seeds. Take 100 pills per dose with rice gruel on an empty stomach.
Yangyuan San [Commentary: This formula treats deficiency-type diarrhea.] Treats diarrhea with reduced food intake.
Nuomi (Oryza Sativa Glutinosa, 1 sheng, soaked overnight, drained, stir-fried slowly over low heat until very hot) Ganshanyao (Dioscoreae Rhizoma, dried, a little) Hujiao (Piperis Longi Fructus, a little)
Grind each into fine powder, mix well. Each morning, take half a cup, add a little brown sugar, and mix with boiling water to drink. It tastes excellent, is not cloying, and has strong nourishing effects. Women with uterine deficiency-cold unable to conceive may also achieve pregnancy with long-term use.
Pingwei San (Peace the Stomach Powder) Treats Ru Xie with borborygmus and excessive water.
Cangzhu (Atractylodis Rhizoma) Houpo (Magnoliae Officinalis Cortex) Chenpi (Citri Reticulatae Pericarpium) Gancao (Glycyrrhizae Radix et Rhizoma) (each 1.5 qian)
Decoct one dose in water and take.
Wuling San (Five-Ingredient Powder with Poria) Treats symptoms as described above.
Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) (each 1 qian) Gui (Cinnamomi Ramulus, 6 fen) Zhuling (Polypori Umbellati) Zexie (Alismatis Rhizoma) (each 1.2 qian)
Decoct one dose in water and take.
Weiling Decoction Treats watery diarrhea with abdominal pain.
Chenpi (Citri Reticulatae Pericarpium) Houpo (Magnoliae Officinalis Cortex) Cangzhu (Atractylodis Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Rougui (Cinnamomi Cortex) Zhuling (Polypori Umbellati) Zexie (Alismatis Rhizoma) (each 1 qian) Add Baishao (Paeoniae Radix Alba) and Huanglian (Coptidis Rhizoma) (each 8 fen).
Decoct one dose with one slice of fresh ginger in water and take.
Huangqin Tang (Scutellaria Decoction) Treats intestinal mucus-heat diarrhea, sticky discharge, dark and scanty urine, rapid pulse, irritability, and thirst.
Huangqin (Scutellariae Radix, stir-fried, 5 qian) Shaoyao (Paeoniae Radix, stir-fried, 3 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian)
Decoct one dose in water and take.
Weisheng Tang (Hygiene Decoction) Treats Spleen-Stomach weakness failing to separate clear from turbid water and grain.
Chenpi (Citri Reticulatae Pericarpium) Fuling (Poria) Gancao (Glycyrrhizae Radix et Rhizoma) Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Shanyao (Dioscoreae Rhizoma) Zexie (Alismatis Rhizoma) Yiyiren (Coicis Semen)
Decoct one dose with 1 qian of Amomum cardamomum powder, two cups of water, reduce to 0.8 cup, and take. Another variation adds Lianrou, Qianshi, and Ganshanyao (each 2 liang), which is also effective. Another variation uses glutinous rice flour, mixed with 20% Baicaoshuang (soot from various herbs), formed into cakes with water, baked, and eaten. Another variation uses glutinous rice, half raw and half stir-fried, cooked into porridge and eaten, which is also effective.
Angwei Hepi San (Stomach-Anchoring and Spleen-Harmonizing Powder) Treats Spleen-Stomach disharmony, epigastric fullness/stuffiness, abdominal pain and distension, loss of appetite, frequent drowsiness, vomiting of phlegm-saliva, rebellious Qi with acid regurgitation, sallow complexion and emaciation, persistent diarrhea, limb fatigue, heaviness, spontaneous sweating, and night sweats.
Cangzhu (Atractylodis Rhizoma, 2 liang, ginger-stir-fried) Houpo (Magnoliae Officinalis Cortex, 5 qian, ginger-stir-fried) Huoxiang (Agastaches Herba, 5 qian) Sharen (Amomi Fructus, 5 qian) Renshen (Ginseng Radix et Rhizoma, de-gorged, 5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried, 5 qian) Baifuling (Poria, 5 qian) Muxiang (Aucklandiae Radix, fire-roasted, 5 qian) Binglang (Arecae Semen, 5 qian) Pengzhu (Curcumae Zedoariae Rhizoma, fire-roasted, 5 qian) Zexie (Alismatis Rhizoma, 5 qian) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian) Hongzao (Jujubae Fructus, 24 pieces, skin and pit removed, roasted dry)
Grind into fine powder. Take 2 qian per dose with light ginger tea on an empty stomach.
Jialian San (Chen □tang's Transmission) Treats chronic cold diarrhea lasting years and rest dysentery.
Lianrou (Nelumbinis Semen, soaked, skin and heart removed, lightly roasted dry, 4 liang) Houpo (Magnoliae Officinalis Cortex, 1 liang, ginger-stir-fried) Jiang (Zingiberis Rhizoma, dried, 1 liang, charcoal-fried)
Grind these three ingredients into fine powder. Take 2-3 teaspoons per dose with rice drink, three times daily.
Li Qi Jianpi Wan (Qi-Circulating and Spleen-Strengthening Pill) (See "Spleen-Stomach" chapter) Treats Spleen-Stomach weakness with chronic diarrhea and dysentery.
Based on this formula, remove Jiegeng (Platycodonis Radix) and add Jiuchao Baishaoyao (wine-stir-fried Paeoniae Radix Alba); the effect is miraculous.
Shichang Wan (Intestinal-Solidifying Pill) (Huang Binjiang's Transmission) Treats chronic diarrhea and dysentery, deficiency-slippage with incontinence, and rectal prolapse. Quanchunshu Genpi (Toosendan Cortex, amount unspecified), chop finely, mix with wine, roast, and grind into fine powder. Dissolve real Ejiao (Asini Corii Colla) and mix to form pills the size of tung seeds. Take 30-50 pills per dose with rice gruel on an empty stomach.
Shengqi Shizang Wan (Qi-Lifting and Viscera-Solidifying Pill) (Yunlin's Preparation) [Commentary: This formula treats slippage diarrhea and acts as an astringent.] Treats chronic diarrhea with sinking of Yuan Qi, exhaustion of Spleen-Stomach, slippage of Large Intestine, anal prolapse, uncontrolled day and night defecation. Loss of appetite, undigested food, passage of liquids directly through. Irritability, thirst, depletion of body fluids, emaciation, alternating chills and fever.
Huangqi (Astragali Radix, honey-roasted, 1 liang) Renshen (Ginseng Radix et Rhizoma, de-gorged, 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried, 2 liang) Baifuling (Poria, peeled, 5 qian) Shanyao (Dioscoreae Rhizoma, stir-fried, 1 liang) Lianrou (Nelumbinis Semen, de-heartened, 1 liang) Qianshi (Euryales Semen, 1 liang) Shengma (Cimicifugae Rhizoma, wine-stir-fried, 5 qian) Chaihu (Bupleuri Radix, wine-stir-fried, 5 qian) Jiang (Zingiberis Rhizoma, dried, charcoal-fried, 5 qian) Roudoukou (Myristicae Semen, wrapped in flour and roasted, pounded to remove oil, 5 qian) Fencao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian) Chunshugenpi (Toosendan Cortex, wine-stir-fried twice, 4 liang)
Grind into fine powder, dissolve Ejiao to bind into pills the size of millet seeds. Take 2 qian per dose with rice gruel made from half-raw, half-roasted glutinous rice.
Moxibustion Treats prolonged vomiting and diarrhea with severe Stomach Qi deficiency, life-threatening condition imminent.
Tianshu (ST25, 2 points, 2 cun lateral to umbilicus) Qihai (CV6, 1.5 cun below umbilicus) Baihui (GV20, at the vertex center). Apply moxibustion 5-7 moxa cones for cure.