加味六君子汤,治一切脾胃虚弱泄泻之证,于本方去诃子,加黄 、山药、砂仁、浓朴。
真人养脏汤,治冷热不调,泄泻,里急后重。(《直指》)
久泄谷道不合,或脱肛,乃元气下陷,大肠不行收合而然,补中益气加诃子、肉果、五味、乌梅肉为丸。
(《医通》)
泻久不止,大孔如竹筒,直出无禁者,气将脱也,诃子散。
木香(五钱) 甘草(炙) 黄连(各三钱) 诃子(一两半生半熟)
末之,煎芍药白术汤,调服一钱。(《明医指掌》)(按∶更有温中固涩,如六柱散、八柱散,既见上。)
治肾泄,五味子散。
五味子(二两拣) 吴茱萸(半两细粒绿色者)
上二味同炒,香熟为度,细末,每服二钱,陈米饮下。顷年有一亲识,每五更初欲晓时,必溏痢一次,如是
数月。有人云∶此名肾泄,肾感阴气而然。得此方服之而愈。(《本事》)
治脾肾俱虚,泄泻不食,二神丸。(原文作治脾肾虚弱,全不进食,今从《直指》。)
破故纸(四两炒香) 肉豆蔻(二两生)
上为细末,用大肥枣四十九个,生姜四两切片,同煮枣烂,去姜取枣,剥去皮核,用肉研为膏,和杵丸如梧
子大,每服三十丸,盐汤下。(同上)(《直指》不用姜。)《济生续方》枣肉丸,于本方加木香(不用姜)。
《澹寮》四神丸,于本方加木香、茴香。《内科摘要》四神丸,于本方加五味子、吴茱萸。(《续焰》曰∶即二
神丸、五味子散合丸。)
胃关煎,治脾肾虚寒作泻,或甚至久泻,腹痛不止,冷痢等证。
熟地(三、五钱或一两) 山药(炒二钱) 白扁豆(炒二钱) 炙甘草(一、二钱) 焦干姜(一、二、
三钱) 吴茱萸(制五、七分) 白术(炒一、二、三钱)
水二钟,煎七分,食远温服。气虚势甚者,加人参,随宜用。阳虚下脱不固者,加制附子一、二、三钱。
(《景岳》)
艾黄熨法,治泻脱,困乏危笃。
蓖麻(七个去壳研如泥) 熟艾(半两) 硫黄(末二钱)
上拌匀,于脐上先铺纸,付药在上,更用纸铺衬稍浓,用熨斗适温凉熨之,不可令熨斗甚热,以脐内响为
度。(《小儿卫生总微论》)
或水泻不止,以大蒜捣烂,贴脐下并脚心,立止。(《琐碎录》)
回阳方法 予尝治数人,在下则泄泻不止,在上则吐痰不已者皆死,盖气脱无所管摄故也。若用参
术膏救之,早者十活二三。(《医纲》)
大泻如倾,元气渐脱者,宜速用四味回阳饮或六味回阳饮主之。凡暴泻如此者,无不即效。若久泻至此,犹
恐无及。盖五夺之中,惟泻最急,是不可见之不早也。倘药未及效,仍宜速灸气海,以挽回下焦之阳气,仍须
多服人参膏。(《景岳》)
荡实方法(消积方附)下痢而腹痛满为寒实,当下之。下利腹中坚者,当下之。(《脉经》)
夫泄泻却用大黄者,乃通因通用也,非大实热,勿轻用之。(《三因》)
治痼冷在肠胃间,连年腹痛泄泻,休作无时,服诸热药不效,宜先取去,然后调治易瘥,不可畏虚以养病也,
宜温脾汤。
浓朴(去粗皮姜制) 干姜(炮) 甘草 桂心(去皮不见火) 附子(生去皮脐各半两) 大黄(生四钱
碎切,汤一盏渍半日,搦去滓,煎汤时和滓下。)
上细锉,水二升半,煎八合,后下大黄汁,再煎六合去滓,澄去脚,不要晚食,分三服温服,自夜至晓令尽。
不快,食前更以干姜丸佐之。(《本事》)
干姜丸。
干姜(炮) 巴豆(去心炒黄研) 大黄(湿纸裹甑上蒸) 人参(各一钱去芦)
上除巴豆,余为末,同研,炼蜜丸如梧子大,服前汤时,用汤吞下一丸,米饮亦得。(同上)(《圣济》治
水泻不止,黑神丸,出《滞下》针头丸下。)
三棱散,酒食伤积用此。
京三棱(炮) 蓬莪术(炮) 益智仁 甘草(炙) 青皮(去白各二两) 白茯苓(四两)
上末,每二钱,少盐煎,吞感应丸,治伤食泄泻。(《直指》)
灸法 熙宁四年,予亲老在邵阳,忽患水泻,百药无效,遂灸天枢二穴立止,故述之(《神巧》)
大便不禁,病亦 矣,神阙、石门、丹田、屈骨端等,皆是穴处,宜速灸之。泄泻,宜先灸脐中,次灸关元
等穴。(《资生经》)
凡治湿,皆以利小便为主。诸泄不已,宜灸水分穴,谓水谷之所别也,脐之上一寸半,灸五、七壮,腹鸣如
雷,水道行之候也。(《撮要图》)
邻郡一富翁,病泄泻弥年,礼致子浓(按∶子浓黄姓)诊疗,浃旬莫效。子浓曰,予未得其说,求归。一日
读《易》至天行健,朱子有曰∶天之气运转不息,故阁得地在中间,如人弄碗珠,只运动不住,故在空中不坠,
少有息则坠矣。因悟向者富翁之病,乃气不能举为下脱也。又作字,持水滴吸水,初以大指按滴上窍,则水满筒。
放其按,则水下溜无余。乃豁然悟曰∶吾可治翁证矣。即治装往,翁家惊喜,至即为治艾,灸百会穴,未三、四
十壮,泄泻止矣。生自少识之,后在邺,胡元望女生始六月,亦病泄泻不已,因教以前法,灸即愈。(《撄宁生
传》)(灸大椎,出前溢饮滑泄。)
灸法∶百会(治久泻下陷脱滑者,灸三壮)、脾俞(治泄泻,灸三壮)、中脘(灸七壮)、关元(治泄不
止,可灸七壮)、肾俞(可灸五壮,治洞泻不止)、大肠俞(可灸三壮,治肠鸣腹胀暴泻)、天枢、气海。(《医
统》)
加味六君子汤,治疗各种因脾胃虚弱导致的泄泻证候。在基础方中去掉诃子,加入黄精、山药、砂仁、厚朴。
真人养脏汤,治疗冷热不调引起的泄泻,伴有里急后重。(出自《直指方》)
长期泄泻导致肛门松弛不闭合,或者出现脱肛,这是由于元气下陷,大肠失去收敛固摄功能所致。可用补中益气汤加诃子、肉豆蔻、五味子、乌梅肉制成丸剂服用。(出自《医宗必读》)
泄泻日久不止,肛门像竹筒一样直开无法闭合,大便直接流出不受控制,这是气将脱绝的危象,使用诃子散。
处方:木香(五钱)、甘草(炙)、黄连(各三钱)、诃子(一两半,一半生用一半熟用)。
研成细末,用芍药白术汤煎煮调服一钱。(出自《明医指掌》)(按语:还有温中固涩的方剂,如六柱散、八柱散,前面已经提到过。)
治疗肾泄,使用五味子散。
处方:五味子(二两,挑选好的)、吴茱萸(半两,选用细小的绿色颗粒)。
将这两味药同炒,炒至香气透出为度,研成细末。每次服用二钱,用陈米汤送下。近年有一位亲友,每天五更初天快亮时,必然腹泻一次,持续了几个月。有人说:这叫肾泄,是肾脏感受阴气所致。服用此方后痊愈。(出自《本事方》)
治疗脾肾俱虚,泄泻且不能进食,使用二神丸。(原文写作“治脾肾虚弱,全不进食”,此处依据《直指方》修正。)
处方:破故纸(即补骨脂,四两,炒香)、肉豆蔻(二两,生用)。
研成细末,用大肥枣四十九个,生姜四两切片,与枣同煮至枣烂,去掉姜,取出枣,剥去皮核,将枣肉研成膏状,与药末混合捣匀,制成梧桐子大小的丸剂。每次服用三十丸,用盐汤送下。(同上)(《直指方》不用姜。)《济生续方》中的枣肉丸,是在本方基础上加木香(不用姜)。《澹寮方》中的四神丸,是在本方基础上加木香、小茴香。《内科摘要》中的四神丸,是在本方基础上加五味子、吴茱萸。(《续焰》记载说:这就是二神丸和五味子散合方制成的丸剂。)
胃关煎,治疗脾肾虚寒引起的泄泻,甚至久泻不止,腹痛不止,冷痢等证候。
处方:熟地黄(三、五钱或一两)、山药(炒二钱)、白扁豆(炒二钱)、炙甘草(一、二钱)、焦干姜(一、二、三钱)、吴茱萸(制五、七分)、白术(炒一、二、三钱)。
加水二钟,煎至七分,饭后稍远时温服。气虚症状严重的,加人参,根据情况适量使用。阳虚下脱、固摄无力的,加制附子一、二、三钱。(出自《景岳全书》)
艾黄熨法,治疗泄泻导致阳气脱失,身体困乏危重。
处方:蓖麻子(七个,去壳研成泥状)、熟艾绒(半两)、硫黄(粉末二钱)。
拌匀后,先在肚脐上铺一层纸,将药敷在上面,再铺一层较厚的纸衬垫,用熨斗以适宜的温度熨烫,不可让熨斗太热,以听到脐内有响声为度。(出自《小儿卫生总微论方》)
如果是水泻不止,可将大蒜捣烂,贴敷在肚脐下方和脚心,可立即止泻。(出自《琐碎录》)
回阳方法 我曾经治疗几个人,在下部表现为泄泻不止,在上部表现为吐痰不停,最终都死亡了,这是因为气脱失而无所管摄的缘故。如果早期使用参术膏来抢救,十分之中能救活二三。(出自《医纲》)
大泻如倾盆,元气逐渐脱失的,应当迅速使用四味回阳饮或六味回阳饮主治。凡是暴发性泄泻如此严重的,没有不立即见效的。如果是久泻发展到这种地步,恐怕就来不及救治了。因为在五夺(五种极度虚损)之中,唯独泄泻最为急迫,这是不能不早发现早治疗的。倘若药物尚未见效,仍应迅速艾灸气海穴,以挽回下焦的阳气,并且必须多服人参膏。(出自《景岳全书》)
荡实方法(消积方附)下痢且腹痛胀满是寒实证,应当攻下。下利且腹中有硬结的,应当攻下。(出自《脉经》)
治疗泄泻却使用大黄,这是运用“通因通用”的方法,如果不是大实热证,不要轻易使用。(出自《三因极一病证方论》)
治疗顽固寒气停留在肠胃之间,连年腹痛泄泻,发作没有定时,服用各种热性药物无效,应当先祛除病邪,然后调理容易痊愈,不可因为害怕虚损而迁延病情,宜用温脾汤。
处方:厚朴(去粗皮,姜汁制)、干姜(炮制)、甘草、桂心(去皮,不见火)、附子(生用,去粗皮和脐,各半两)、大黄(生用四钱,切碎,用一盏水浸泡半天,挤去渣滓,煎汤时将药渣一同放入)。
以上药材细锉,加水二升半,煎至八合,然后加入大黄汁,再煎至六合,去渣滓,澄清去掉沉淀物。不要在晚饭时服用,分三次温服,从晚上到早晨服完。如果效果不快,饭前再用干姜丸辅助服用。(出自《本事方》)
干姜丸。
处方:干姜(炮制)、巴豆(去心,炒黄研碎)、大黄(用湿纸包裹,在蒸笼上蒸制)、人参(各一钱,去芦头)。
除去巴豆,其余药材研成细末,共同研磨均匀,用炼蜜制成梧桐子大小的丸剂。服用前面的汤药时,用汤药吞下一丸,用米汤送服也可以。(同上)(《圣济总录》治疗水泻不止的黑神丸,出自《滞下》篇的针头丸之下。)
三棱散,用于酒食损伤导致的积滞。
处方:京三棱(炮制)、蓬莪术(炮制)、益智仁、甘草(炙)、青皮(去白,各二两)、白茯苓(四两)。
研成细末,每次取二钱,加少量盐煎煮,吞服感应丸,治疗伤食引起的泄泻。(出自《直指方》)
灸法 熙宁四年,我的父亲在邵阳,突然患水泻,各种药物无效,于是艾灸天枢穴两个,立刻止住,所以记述此事(出自《神巧万全方》)
大便失禁,病情也很严重了,神阙、石门、丹田、屈骨端等穴位,都是适宜施灸的部位,应当迅速艾灸。泄泻,应当先灸脐中,其次灸关元等穴位。(出自《资生经》)
凡是治疗湿邪,都以利小便为主。各种泄泻不止,宜灸水分穴,因为这里是水谷分别的地方,位于脐上一寸半,灸五、七壮,腹部鸣响如雷,这是水道通畅运行的征象。(出自《针灸聚英》/《撮要图》)
邻近郡县的一位富翁,患病泄泻整整一年,恭敬地聘请子浓(按:子浓姓黄)诊治,过了十天也没有疗效。子浓说:“我还没找到病因,请求回家。”一天他读《易经》读到“天行健”,朱熹曾说:“天的之气运转不息,所以支撑着地在中间,就像人玩弄碗里的珠子,只有不断运动,所以珠子在空中不会坠落,稍有停息就会掉下来。”因此领悟到之前那位富翁的病,是因为气不能举升而下脱。他又写字,拿着水滴吸水,起初用手指按住滴子上窍,则水充满筒内;放开手指按压,则水向下流尽无余。于是豁然开朗地说:“我可以治疗这位老人的病了。”于是整理行装前往,老人家属惊喜,一到就为他施治艾灸百会穴,未及三四十壮,泄泻就停止了。我从小认识他,后来在邺城,胡元望的女儿刚满六个月,也患泄泻不止,我教他用上述方法,艾灸后即愈。(出自《撄宁生传》)(灸大椎穴,出自前文溢饮滑泄条下。)
灸法∶百会穴(治疗久泻导致的气陷脱滑,灸三壮)、脾俞穴(治疗泄泻,灸三壮)、中脘穴(灸七壮)、关元穴(治疗泄泻不止,可灸七壮)、肾俞穴(可灸五壮,治疗洞泄不止)、大肠俞穴(可灸三壮,治疗肠鸣腹胀暴泻)、天枢穴、气海穴。(出自《医统正脉》)
Jiawei Liujunzi Decoction (Modified Six Gentlemen Decoction) treats all syndromes of diarrhea caused by Spleen and Stomach deficiency. In the base formula, remove Terminalia Chebula Fruit (Hezi), and add Polygonatum Odoratum Rhizome (Huangjing), Dioscorea Opposita Tuber (Shanyao), Amomum Villosum Seed (Sharen), and Magnolia Officinalis Bark (Houpo).
Zhenren Yangzang Tang (True Man Nourish the Viscera Decoction) treats diarrhea accompanied by tenesmus (里急后重), caused by imbalance of cold and heat. (From *Zhizhi Fang*)
Prolonged diarrhea leading to laxity of the anus or rectal prolapse is due to the sinking of Yuan Qi (Primordial Qi), causing the Large Intestine to lose its function of contraction and retention. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Terminalia Chebula Fruit (Hezi), Myristica Fragrans Seed (Rouguo), Schisandra Chinensis Fruit (Wuweizi), and Meat of Mume Fruit (Wumei Rou) to make pills. (From *Yitong*)
When diarrhea persists for a long time without stopping, and the anus opens like a bamboo tube, allowing stool to flow out uncontrollably, this indicates that Qi is about to collapse. Use Hezi San (Terminalia Powder).
Ingredients: Aquilaria Sinensis Wood (Muxiang, 5 qian), Licorice Root (Gancao, roasted), Coptis Chinensis Rhizome (Huanglian, each 3 qian), Terminalia Chebula Fruit (Hezi, 1.5 liang, half raw and half cooked).
Grind into fine powder. Take 1 qian, mixed with decoction of Paeonia Lactiflora Root and Atractylodes Macrocephala Rhizome (Shaoyao Baizhu Tang). (From *Mingyi Zhizhang*) (Note: There are also warming and astringent formulas such as Liuzhu San and Bazhu San, mentioned above.)
To treat Kidney Diarrhea (Shenxie), use Wuweizi San (Schisandra Powder).
Ingredients: Schisandra Chinensis Fruit (Wuweizi, 2 liang, selected), Evodia Rutaecarpa Fruit (Wuzhuyu, 0.5 liang, small green grains).
Stir-fry these two ingredients together until fragrant. Grind into fine powder. Take 2 qian each time, washed down with aged rice water. Recently, an acquaintance suffered from loose stools once every day at dawn (around 5-7 AM) for several months. Someone said: This is called Kidney Diarrhea, caused by the Kidney contracting Yin pathogenic factors. After taking this prescription, he recovered. (From *Benshi Fang*)
To treat simultaneous deficiency of Spleen and Kidney, characterized by diarrhea and inability to eat, use Ershen Wan (Two Spirits Pill). (Original text says "treats Spleen and Kidney weakness, complete loss of appetite"; here corrected according to *Zhizhi Fang*).
Ingredients: Psoralea Corylifolia Fruit (Po Gu Zhi, 4 liang, stir-fried until fragrant), Myristica Fragrans Seed (Roudoukou, 2 liang, raw).
Grind into fine powder. Use 49 large fat dates and 4 liang of sliced fresh ginger. Boil the dates with ginger until soft. Remove the ginger, take the dates, peel them, remove pits, and mash the flesh into a paste. Mix with the powder and knead into pills the size of mulberry seeds. Take 30 pills each time, washed down with salt water. (Same source) (*Zhizhi Fang* does not use ginger). The Zaorou Wan in *Jisheng Xufang* adds Aquilaria Sinensis Wood (Muxiang) to this formula (no ginger). The Sishen Wan in *Danliao* adds Aquilaria Sinensis Wood (Muxiang) and Fennel (Huixiang) to this formula. The Sishen Wan in *Neike Yaoyuan* adds Schisandra Chinensis Fruit (Wuweizi) and Evodia Rutaecarpa Fruit (Wuzhuyu) to this formula. (*Xuyan* states: This is a combination pill of Ershen Wan and Wuweizi San.)
Weiguan Jian (Stomach Gate Decoction) treats diarrhea caused by Spleen and Kidney deficiency-cold, or even prolonged diarrhea, unceasing abdominal pain, cold dysentery, etc.
Ingredients: Prepared Rehmannia Root (Shudi, 3-5 qian or 1 liang), Fried Chinese Yam (Shanyao, 2 qian), Fried White Hyacinth Bean (Baibian Dou, 2 qian), Roasted Licorice Root (Zhigancao, 1-2 qian), Charred Dried Ginger (Jiao Ganjiang, 1-3 qian), Processed Evodia Rutaecarpa Fruit (Wuzhuyu, 5-7 fen), Fried Atractylodes Macrocephala Rhizome (Baizhu, 1-3 qian).
Add 2 zhong of water, decoct to 0.7 zhong. Take warm after meals. For severe Qi deficiency, add Ginseng Root (Renshen) as appropriate. For Yang deficiency with sinking and lack of consolidation, add Processed Aconite Root (Zhi Fuzi, 1-3 qian). (From *Jingyue Quanshu*)
Ai Huang Yun Fa (Moxa and Sulfur Hot Compress Method) treats diarrhea leading to Yang collapse, with extreme fatigue and critical condition.
Ingredients: Castor Seed (Bimazi, 7 seeds, shelled and mashed into paste), Prepared Mugwort Wool (Shuai Ai, 0.5 liang), Sulfur (Liu Huang, powder, 2 qian).
Mix well. Place a layer of paper on the umbilicus first, apply the medicine on top, then cover with another thicker layer of paper. Use a hot iron to compress at a moderate temperature. Do not let the iron be too hot. Stop when a sound is heard inside the umbilicus. (From *Xiao'er Weisheng Zongwei Lun*)
If watery diarrhea persists, crush garlic and apply it to the lower abdomen (below the umbilicus) and the soles of the feet; it will stop immediately. (From *Suosui Lu*)
Methods to Restore Yang I once treated several patients who died because they had unceasing diarrhea below and incessant vomiting of phlegm above. This was because Qi collapsed and lost its controlling function. If Shen Zhu Gao (Ginseng and Atractylodes Paste) is used early for rescue, 2 or 3 out of 10 may survive. (From *Yigang*)
For profuse diarrhea like pouring water, where Yuan Qi (Primordial Qi) is gradually collapsing, one should quickly use Siwei Huiyang Yin (Four Ingredients Decoction to Return Yang) or Liuwei Huiyang Yin (Six Ingredients Decoction to Return Yang) as the main treatment. For acute diarrhea of this severity, there is no case that does not respond immediately. However, if prolonged diarrhea reaches this stage, it may be too late. Among the Five Exhaustions (Wu Duo), diarrhea is the most urgent; thus, early detection is crucial. If the medicine has not yet taken effect, one should quickly moxa Qihai (CV6) to salvage the Yang Qi of the Lower Jiao, and must continue to take large amounts of Ginseng Paste. (From *Jingyue Quanshu*)
Methods to Purge Excess (Attachment: Accumulation-Dissolving Formulas) Dysentery with abdominal pain and fullness indicates Cold Excess, which requires purgation. Diarrhea with hardness in the abdomen requires purgation. (From *Mai Jing*)
Using Rhubarb (Dahuang) to treat diarrhea applies the principle of "Treating Obstruction with Unblocking Agents" (Tong Yin Tong Yong). Do not use it lightly unless there is severe Excess-Heat. (From *Sanyin Fang*)
To treat stubborn cold lodged between the Stomach and Intestines, causing chronic abdominal pain and diarrhea with irregular onset, which does not respond to various hot medicines, one should first eliminate the pathogen, then regulate; do not fear deficiency and thereby nourish the disease. Use Wenpi Tang (Warm the Spleen Decoction).
Ingredients: Magnolia Officinalis Bark (Noupo, bark removed, processed with ginger juice), Dried Ginger (Ganjiang, roasted), Licorice Root (Gancao), Cinnamon Twig (Guixin, bark removed, not exposed to fire), Raw Aconite Root (Fuzi, bark and navel removed, 0.5 liang each), Raw Rhubarb (Dahuang, 4 qian, crushed, soaked in one cup of water for half a day, squeezed to remove dregs; add dregs back when decocting).
Finely chop the herbs. Add 2.5 sheng of water, decoct to 0.8 sheng. Then add the Rhubarb liquid, decoct again to 0.6 sheng, remove dregs, and clarify. Do not take with evening meal. Divide into three doses, take warm, finishing from night to morning. If relief is slow, take Ganjiang Wan (Dried Ginger Pill) before meals as an adjunct. (From *Benshi Fang*)
Ganjiang Wan (Dried Ginger Pill).
Ingredients: Dried Ginger (Ganjiang, roasted), Croton Seed (Badou, heart removed, fried yellow and ground), Rhubarb (Dahuang, wrapped in wet paper and steamed), Ginseng Root (Renshen, each 1 qian, rhizome removed).
Remove the Croton Seed. Grind the rest into powder and mix thoroughly. Make pills with refined honey, size of mulberry seeds. When taking the previous decoction, swallow one pill with the decoction; rice water can also be used. (Same source) (*Shengji Zonglu* Black Spirit Pill for unceasing watery diarrhea, found under Needle Head Pill in the Dysentery section.)
Sanleng San (Burreed Powder) is used for accumulation caused by injury from alcohol and food.
Ingredients: Burreed Rhizome (Jingsanleng, roasted), Curcuma Zedoaria Rhizome (Peng'ezhu, roasted), Alpinia Oxyphylla Fruit (Yizhiren), Licorice Root (Gancao, roasted), Tangerine Peel (Qingpi, white part removed, each 2 liang), Poria (Baifuling, 4 liang).
Grind into powder. Take 2 qian each time, decoct with a little salt. Swallow Yinggan Wan. Treats diarrhea caused by food injury. (From *Zhizhi Fang*)
Moxibustion Method In the fourth year of Xining, my father, living in Shaoyang, suddenly suffered from watery diarrhea. All medicines failed. So I moxified Tian Shu (ST25) twice, and it stopped immediately. Therefore, I record this. (From *Shenqiao Wanquan Fang*)
Incontinence of feces is a serious illness. Shenque (CV8), Shimen (CV5), Dantian (CV17), and Quguduan (CV31) are all suitable acupoints for moxibustion; moxicate them quickly. For diarrhea, first moxicate the center of the umbilicus (Shenque), then moxicate Guanyuan (CV4) and other points. (From *Zisheng Jing*)
Generally, treating dampness focuses on promoting urination. For any persistent diarrhea, moxicate Shuifen (RN9), as this is where water and grain separate. It is located 1.5 cun above the umbilicus. Moxa 5-7 cones. Abdominal borborygmus like thunder indicates the water passages are flowing. (From *Cuoyao Tu*)
A wealthy man in a neighboring prefecture suffered from diarrhea for a whole year. He respectfully invited Zi Nong (surname Huang) for treatment, but after ten days, there was no effect. Zi Nong said, "I have not grasped the cause; I request to return home." One day, while reading the *I Ching* regarding "Heaven's movement is vigorous," Zhu Xi's commentary stated: "The Qi of Heaven rotates ceaselessly, thus supporting the Earth in the middle, like a person playing with a bead in a bowl; only by constant motion does the bead stay suspended in the air without falling; if it stops slightly, it falls." He realized that the wealthy man's illness was due to Qi failing to lift, resulting in sinking/collapse. He then observed dripping water absorbing into a container: pressing the upper orifice with his thumb filled the tube; releasing it allowed the water to drain completely. He suddenly understood: "I can treat this old man's condition." He packed his bags and went. The family was surprised and delighted. Upon arrival, he applied moxibustion to Baihui (GV20). Before reaching 30-40 cones, the diarrhea stopped. I knew him since childhood. Later in Ye, Hu Yuanwang's daughter, just six months old, also suffered from unceasing diarrhea. I taught her parents this method, and she recovered after moxibustion. (From *Yingning Sheng Zhuan*) (Moxa Dazhui (GV14), see previous entry on Overflowing Fluids and Slippery Diarrhea.)
Moxibustion Methods: Baihui (GV20) treats prolonged diarrhea with Qi sinking and prolapse (moxa 3 cones); Pishu (BL20) treats diarrhea (moxa 3 cones); Zhongwan (CV12) (moxa 7 cones); Guanyuan (CV4) treats unceasing diarrhea (can moxa 7 cones); Shenshu (BL23) (can moxa 5 cones, treats洞泄 unceasing diarrhea); Dachangshu (BL25) (can moxa 3 cones, treats borborygmus, abdominal distension, and acute diarrhea); Tianshu (ST25); Qihai (CV6). (From *Yitong*)