《大全》曰∶产后痢疾，由产劳伤，脏腑不足，日月未满，虚乏未复，或劳动太早，或误食生冷，行起太
早，外伤风冷，乘虚入于肠胃。误食生冷难化之物，伤于脾胃，皆令泄泻，甚则变痢。若血渗大肠，则为血痢，
难治，世谓之产子痢。产后本虚，又加久痢，愈见羸弱，谓之虚羸下痢。又有产后气不顺，下痢赤白，谓之气
痢。治法，热则凉之，冷则温之，冷热相抟则调之，滑则涩之，虚者补之。若产妇不能宽解，须当顺气，未有
不安者也。
郭稽中曰∶产后腹痛，及泻痢者何？答曰∶产后肠胃虚怯，寒邪易侵。若未盈月，饮冷当风，乘虚袭留于
肓膜，散于腹胁，故腹痛作阵，或如刀刺。流入大肠，水谷不化，洞泻肠鸣，或下赤白， 胁 胀，或痛走不
定，急服调中汤立愈。若以为积滞取之，祸不旋踵，谨之。
《产宝百问》曰∶产后下痢作渴者，水谷之精，化为血气津液，以养脏腑，脏腑虚燥，故痢而渴。若引饮则
难止，反溢水气。脾胃既虚，不能克水，水自流溢，浸渍皮肤，则令人肿。但止其渴，痢自瘥。
薛立斋曰∶产后痢作渴，渴而不喜冷冻饮料，属胃气虚，不能生津液也，七味白术散。如夜间发热口渴者，
肾水弱而不能润也，六味丸佐益气汤，以滋化源。
薛立斋曰∶产后痢，或因饮食伤损脾土，脾土虚不能消食，当审治之。若米食所伤，六君子加谷芽。面食伤，
加麦芽、莱菔子。肉
食伤，加山楂、神曲。兼呕吐，加藿香。若久不愈，或非饮食所伤，乃属肾气亏损，必用四神、六味、八味丸
补肾。若用分利导水之剂，是虚其虚也。
《妇人大全良方》说：产后痢疾，是由于分娩时劳累损伤，导致脏腑功能不足，产期未满月，身体虚弱尚未恢复，或者过早劳动，或者误食生冷食物，过早起身活动，外感风冷之邪，趁虚侵入肠胃。误食难以消化的生冷食物，损伤脾胃，都会导致泄泻，严重时转变为痢疾。如果血液渗入大肠，就形成血痢，难以治疗，世人称之为“产子痢”。产后本身体质虚弱，又加上长期患痢疾，身体更加消瘦衰弱，这叫做“虚羸下痢”。又有产后气机不畅，出现赤白相间的痢疾，这叫做“气痢”。治疗方法是：热证用凉药治疗，寒证用温药治疗，寒热错杂则调和治疗，滑脱不禁则固涩治疗，虚证则补益治疗。如果产妇情绪不能宽解，必须顺调气机，没有不安宁的道理。
郭稽中说：产后腹痛以及腹泻痢疾是怎么回事？回答说：产后肠胃虚弱怯弱，寒邪容易侵袭。如果未满月，饮用冷水或当风受凉，寒气乘虚袭留于肓膜（指心膈之间的脂膜），散在于腹胁部位，所以腹痛阵作，有时像刀刺一样。寒气流入大肠，水谷不消化，造成洞泄（如水直下的严重腹泻）和肠鸣，或者排出赤白脓血，胁部胀满，或者疼痛游走不定，应当紧急服用调中汤，立刻痊愈。如果认为是积滞而使用攻下法，灾祸马上就会降临，务必谨慎。
《产宝百问》说：产后下痢且口渴的，是因为水谷的精微物质转化为血气津液以滋养脏腑，现在脏腑虚弱干燥，所以既下痢又口渴。如果大量饮水，则口渴难以止住，反而会导致水气泛滥。脾胃既然虚弱，不能制约水湿，水湿自然流溢，浸渍皮肤，就会导致人体浮肿。只要止住口渴，痢疾自然痊愈。
薛立斋说：产后痢疾伴随口渴，如果口渴但不喜欢喝冷饮，属于胃气虚弱，不能生津液，用七味白术散治疗。如果是夜间发热并口渴，属于肾水虚弱不能滋润，用六味丸配合益气汤，以滋生化之源。
薛立斋又说：产后痢疾，有的因为饮食损伤脾土，脾土虚弱不能消化食物，应当仔细审察治疗。如果是米食所伤，在六君子汤基础上加谷芽；面食所伤，加麦芽、莱菔子；肉食所伤，加山楂、神曲。兼有呕吐的，加藿香。如果久治不愈，或者不是饮食所伤，那就属于肾气亏损，必须使用四神丸、六味丸、八味丸来补肾。如果使用分利导水的药物，这是使虚者更虚的错误做法。
*Daquan* states: Postpartum dysentery arises from labor injuries during childbirth, resulting in insufficiency of the Zang-Fu organs. Before the postpartum period (typically 42 days) has elapsed, if the body is deficient and not yet recovered, or if one engages in labor too early, consumes raw and cold foods by mistake, or rises and moves about prematurely, external wind-cold pathogens may invade the intestines and stomach while taking advantage of the deficiency. Consuming difficult-to-digest raw and cold foods damages the Spleen and Stomach, all leading to diarrhea; in severe cases, it transforms into dysentery. If blood seeps into the Large Intestine, it becomes bloody dysentery, which is difficult to treat and is known in the world as "childbirth dysentery." Since the postpartum state is inherently deficient, compounded by chronic dysentery, the patient becomes increasingly emaciated and weak, termed "deficient and emaciated dysentery" (Xu Lei Xia Li). Additionally, when Qi flow is obstructed after childbirth, resulting in dysentery with both red and white discharge, it is called "Qi dysentery." The treatment principles are: for heat patterns, use cooling methods; for cold patterns, use warming methods; for mixed cold and heat, harmonize them; for sliding/incontinence patterns, use astringents; for deficiency patterns, apply tonification. If the parturient cannot relax emotionally, one must regulate Qi, ensuring peace and stability.
Guo Jizhong asks: What causes abdominal pain and diarrhea/dysentery after childbirth? He answers: After childbirth, the intestines and stomach are weak and vulnerable, making them susceptible to invasion by cold pathogens. If within the first month, one drinks cold water or exposes oneself to wind, cold pathogens may invade and lodge in the Huangmo (membranous tissue between the heart and diaphragm), dispersing into the abdomen and hypochondrium. This causes paroxysmal abdominal pain, sometimes feeling like knife-like stabbing. If the pathogen flows into the Large Intestine, food and fluids fail to digest, causing profuse watery diarrhea (Dong Xie), borborygmus, or passage of red and white purulent matter, hypochondriac distension, or wandering pain. One should urgently administer *Tiaozhong Tang* (Regulate the Middle Decoction) for immediate relief. If one mistakes this condition for food stagnation and uses purgatives, disaster will follow swiftly; caution is essential.
*Chanbao Baiwen* states: When postpartum dysentery is accompanied by thirst, it is because the essence of food and drink fails to transform into blood, Qi, and body fluids to nourish the Zang-Fu organs. Due to deficiency and dryness of the Zang-Fu organs, dysentery occurs alongside thirst. If excessive drinking is induced, the thirst cannot be quenched,反而 leading to fluid overflow. Since the Spleen and Stomach are deficient and unable to control water metabolism, water overflows and soaks the skin, causing edema. By stopping the thirst, the dysentery will naturally heal.
Xue Lizhai states: In postpartum dysentery with thirst, if the patient does not desire cold beverages, it belongs to Stomach Qi deficiency failing to generate body fluids; treat with *Qiwei Baizhu San* (Seven-Ingredient White Atractylodes Powder). If there is night fever accompanied by thirst, it belongs to Kidney Water deficiency failing to moisten; treat with *Liuwei Wan* (Six-Ingredient Pill) assisted by *Yiqi Tang* (Qi-Supplementing Decoction) to nourish the source of transformation.
Xue Lizhai further states: Postpartum dysentery may result from dietary injury damaging Spleen Earth. If Spleen Earth is deficient and unable to digest food, treatment must be carefully assessed. For injury caused by rice consumption, add *Guya* (Sprouted Rice) to *Liujunzi Tang* (Six-Gentlemen Decoction); for injury caused by wheat/noodle consumption, add *Maiya* (Sprouted Barley) and *Laifuzi* (Radish Seed); for injury caused by meat consumption, add *Shanzha* (Hawthorn Fruit) and *Shenqu* (Medicated Leaven). If vomiting is present, add *Huoxiang* (Patchouli Herb). If the condition persists chronically, or is not due to dietary injury, it belongs to Kidney Qi deficiency; one must use *Sishen Wan* (Four Miracles Pill), *Liuwei Wan*, or *Bawei Wan* (Eight-Ingredient Pill) to tonify the Kidney. Using diuretic and water-draining agents would constitute "depleting the deficiency," which is erroneous.