肝热刑脾而泄，即经言飧泄，余证当肠鸣，腹支满，口胶渴，小府赤，宜凉其肝，轻益
其胃，诊其脉，六脉轻弦，胃上得肝脉，不至大弦，然六脉虽弦，亦不必有骨力，以泄则气
虚不实故也，宜用荆芥散。
荆芥穗（一分） 防风 芍药 诃子皮 羌活 甘草（各一分） 白蒺藜（半两） 浓
朴（十铢，去皮） 木香（三铢）
上为细末，非时，以水一盏，枣一个，同煎三钱匕，和滓服。
脾湿而泄，经言腹满溏泄，余证，腹痛，体重，食减，甚则足痿，行善契，脚下痛，宜
用削术豆蔻散。
草豆蔻 削术 诃子皮（各一两） 大芎 陈橘皮（各半两） 甘草 本（各八铢） 独
活
上为细末，空心，水一盏，姜两片，枣两个，同煎三钱取八分，和滓服。
肾水之寒，亦生溏泄，以寒湿同化，所生之病一耳，经又言，寒迫下焦，传为濡泄，阴
气入肾窍泄无度，洞泄皆属于水土之所生，其证，体重，食减，腹痛，四肢不举，甚则注下
赤白，腰膝酸痛，股膝不便，若脾气之湿，则六脉混浊如革，濡散而大，如按泥浆，加之肾
寒，则又沉伏迟弱，动而无力，宜并治其水，暖其脾肾，暖脾药，宜以削术豆蔻散，暖肾藏
方，萆 胜金丸。
萆 诃子（各一两） 石斛 续断
两） 蓬莪术 山茱萸 细辛
上为末，炼蜜丸如梧桐子大，空心，米汤下五七十丸。
又方，宜服舶上硫黄丸，（方见痢门。）
肺金之胜，亦生腹鸣溏泄，肺主清肃之气，流入于中，变成寒中 溏，又肺主少腹，故
生斯病，余证，少腹痛，中清， 胁痛，其脉，六脉毛而微，不浮，毛为肺脉，微则泄而气
弱，初泄则本肺脉一指偏，一二日则变而微，但不浮耳，尺泽沉而小击，宜温其肺，四味芍
药散。
吴白术 芍药 桔梗 香白芷
上等分为末，非时，水一盏，生姜三片，同煎三钱匕，入枣二个，取八分服。
肝经有热，克制脾土而导致泄泻，即《内经》所说的飧泄（完谷不化的泄泻），其他症状应当包括肠鸣、腹部两侧胀满、口唇黏腻且口渴、小便短赤。治疗宜清凉肝火，轻微补益胃气。诊察其脉象，六部脉轻取呈弦象，胃脉部位出现肝脉之象，但不至于大弦；然而六脉虽然呈弦象，也不必具备强劲的骨力，因为泄泻会导致气虚而不充实。适宜使用荆芥散。
荆芥穗（一分） 防风 芍药 诃子皮 羌活 甘草（各一分） 白蒺藜（半两） 浓朴（十铢，去皮） 木香（三铢）
以上药物研为细末，不拘时候，用水一盏，大枣一个，同煎至三钱匕的药量，连同药渣一起服用。
脾脏湿盛而导致泄泻，《内经》称为腹满溏泄（腹部胀满、大便稀薄），其他症状包括腹痛、身体沉重、食欲减退，严重时足部痿软无力，行走时容易跌倒，脚底疼痛。适宜使用削术豆蔻散。
草豆蔻 削术（炒白术） 诃子皮（各一两） 大芎（川芎） 陈橘皮（各半两） 甘草 本（藁本，各八铢） 独活
以上药物研为细末，空腹时，用水一盏，生姜两片，大枣两个，同煎至三钱药量的八分，连同药渣一起服用。
肾水之寒，也会产生溏泄，这是因为寒湿共同作用，所生成的病证是一样的，《内经》又说，寒气逼迫下焦，传变为濡泄（因湿盛而致的泄泻），阴气侵入肾窍导致泄泻无度，洞泄（急迫的泄泻）都属于水土之气所生。其症状表现为：身体沉重、食欲减退、腹痛、四肢不能举动，严重时出现痢疾样的赤白冻，腰膝酸痛，大腿和膝盖活动不便。如果是脾气之湿，则六脉混浊如革脉（外坚中空），脉象濡散而大，按之如摸泥浆；加之肾寒，则脉象又沉伏迟弱，跳动无力。适宜同时治疗水寒，温暖脾肾。暖脾的药物，适宜用削术豆蔻散；暖肾藏的方剂，用萆薢胜金丸。
萆薢 诃子（各一两） 石斛 续断（原文缺剂量，依上下文推测可能为一两或半两，此处保留原文结构） 蓬莪术 山茱萸 细辛
以上药物研为细末，用炼蜜制成梧桐子大小的丸药，空腹时，用米汤送服五七十丸。
另一个方子，适宜服用舶上硫黄丸（方剂见痢疾门）。
肺金之气过胜，也会产生腹中鸣响、大便稀薄的泄泻。肺主清肃之气，流入中焦，变成寒中（中焦虚寒）导致的溏泄。又因肺主少腹，所以产生这种病证。其他症状包括：少腹疼痛、心中清冷、胁肋疼痛。其脉象为：六脉毛（浮而无力）而微，不浮。毛是肺脉的特征，微则表明泄泻且气弱。初起泄泻时，原本肺脉的一指偏盛，一二日后则变化为微脉，只是不浮而已，尺泽穴处脉象沉而小击。适宜温补肺脏，使用四味芍药散。
Liver heat punishing the spleen leads to diarrhea, which is referred to in the classics as *sun xie* (diarrhea with undigested food). Other symptoms should include borborygmus (intestinal rumbling), distension and fullness on both sides of the abdomen, sticky mouth with thirst, and dark urine. Treatment should aim to cool the liver and slightly tonify the stomach. Upon pulse diagnosis, the six pulses are lightly wiry; the stomach position exhibits a liver pulse, but not excessively wiry. Although the six pulses are wiry, they need not possess strong "bone force" (firmness), because diarrhea causes qi deficiency and lack of fullness. It is appropriate to use Jingjie San.
Jingjie Sui (Schizonepetae Spica, 1 fen) Fangfeng (Saposhnikoviae Radix) Shaoyao (Paeoniae Radix) Hezi Pi (Arecae Pericarpium) Qianghuo (Notopterygii Rhizoma et Radix) Gancao (Glycyrrhizae Radix et Rhizoma, each 1 fen) Baijili (Tribuli Fructus, 0.5 liang) Nongpo (Magnoliae Officinalis Cortex) Muxiang (Aucklandiae Radix, 3 zhu)
Grind the above into fine powder. At any time, decoct three qianbi (approx. 3-4 grams) of the powder with one cup of water and one jujube. Take the decoction together with the dregs.
Spleen dampness leading to diarrhea is described in the classics as abdominal fullness and loose stools (*tang xie*). Other symptoms include abdominal pain, heaviness of the body, reduced appetite, and in severe cases, flaccidity of the legs, frequent stumbling while walking, and pain in the soles of the feet. It is appropriate to use Xiaozhu Doukou San.
Caodoukou (Alpiniae Katsumadai Semen) Xiaozhu (Zedoary Rhizome / Stir-fried Atractylodis Macrocephalae Rhizome) Hezi Pi (Arecae Pericarpium, each 1 liang) Daxiong (Ligusticum Chuanxiong Rhizoma / Chuanxiong Rhizoma) Chenju Pi (Citri Reticulatae Pericarpium, each 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma) Ben (Ligustici Wallichii Rhizoma et Radix / Gaoben, each 8 zhu) Duhuo (Angelicae Pubescentis Radix)
Grind the above into fine powder. On an empty stomach, decoct three qianbi of the powder with one cup of water, two slices of ginger, and two jujubes. Take the decoction (reduced to 80% volume) together with the dregs.
Cold from Kidney Water also generates loose stools, as cold and dampness act together to produce the same pathology. The classics further state that when cold forces the lower jiao, it transforms into *ru xie* (damp diarrhea); when yin qi enters the kidney orifices, it causes uncontrolled diarrhea, and *dong xie* (sudden profuse diarrhea) all belong to diseases generated by earth and water. Symptoms include: heaviness of the body, reduced appetite, abdominal pain, inability to move the limbs, and in severe cases, dysentery-like passage of red and white mucus, soreness and pain in the waist and knees, and inconvenience in the thighs and knees. If the pathology is due to Spleen dampness, the six pulses will be turbid like a leather pulse (tense on the outside, hollow inside), soggy, scattered, and large, feeling like mud under pressure. With added Kidney cold, the pulses become deep, hidden, slow, weak, and powerless upon movement. It is appropriate to treat both the water-cold and warm the Spleen and Kidneys. For warming the Spleen, Xiaozhu Doukou San is suitable; for warming the Kidney organ, Bixie Shengjin Wan is used.
Bixie (Dioscoreae Hypoglaucae Rhizoma) Hezi (Arecae Semen, each 1 liang) Shihu (Dendrobii Caulis) Xuduan (Dipsaci Radix) Peng'e Zhu (Curcumae Longae Rhizoma) Shanzhuyu (Corni Fructus) Xixin (Asari Radix et Rhizoma)
Grind the above into powder, mix with refined honey, and make pills the size of paulownia seeds. On an empty stomach, take 50-70 pills with rice soup.
Another prescription: Bo Shang Liuhuang Wan (see the section on Dysentery).
Excess Lung Metal can also cause borborygmus and loose stools. The Lung governs clear and肃 (descending/clearing) qi; when this flows into the middle jiao, it transforms into cold affecting the middle, leading to loose stools. Furthermore, since the Lung governs the lower abdomen, this disease arises. Other symptoms include: lower abdominal pain, a sense of cold in the center, and hypochondriac pain. The pulse is: six pulses are hair-like (floating and weak) and micro, without being floating. Hair-like indicates a Lung pulse; micro indicates diarrhea and weak qi. In early diarrhea, the original Lung pulse may show bias in one finger position; after one or two days, it changes to a micro pulse, merely lacking the floating quality. The Chi Ze point shows a deep, small, and striking pulse. It is appropriate to warm the Lung using Siwei Shaoyao San.
Wuaizhu (Stir-fried Atractylodis Macrocephalae Rhizoma) Shaoyao (Paeoniae Radix) Jiegeng (Platycodonis Radix) Xiangbaizhi (Angelicae Dahuricae Radix)
Grind the above into equal parts of fine powder. At any time, decoct three qianbi of the powder with one cup of water and three slices of fresh ginger. Add two jujubes, decoct until 80% remains, and take.