局方戊已丸治脾胃湿热泄痢不止(方见滞下门)
按泄泻局方多以为寒至刘张始言有属热属火之证故诸方中治热泻之方甚少然仲景治伤寒
挟热下痢用葛根黄芩黄连汤但人未之思耳
局方来复丹治伏暑泄泻如水(方见本方)
易简云硝石性寒佐以陈皮其性疏快硫黄且能利人若作暖药以止泻误矣盖由啖食生冷或冒
暑热之气中脘闭结挥霍变乱此药通利三焦分理阴阳服之甚验
按此出厥阴硫黄例药也
香薷饮治伏暑吐泻(方见暑剂)
按此治暑之表药也肺脾经药也出太阴浓朴例宣明桂苓甘露饮治饮水不消呕吐泄痢或下痢
赤白(方见暑剂)
按五苓散益元散加寒水石解利湿热太阳经药也
机要浆水散治暴泻如水周身汗出一身尽冷脉微而弱气少不能语甚者加吐此为急病
半夏(一两汤洗) 附子(半两泡) 桂(五钱) 甘草(炙五钱) 良姜(二钱半) 干姜(一
作干生姜五钱)
上为细末每服三五钱浆水二盏煎至半盏和滓热服
白术汤
白术 芍药 甘草(炙各三钱) 干姜(半两炮)
上如前服甚者去干姜加附子三钱谓辛能发散也局方理中汤治脏腑停寒泄泻不已(方见寒
剂)
按此出厥阴己寒例药也以上用姜附之药皆为暴泻气脱如五虚等证救急之剂所谓暴泻非阳
者也然有属火者亦当求责
局方戊己丸治疗脾胃湿热导致的泄泻和痢疾，症状持续不止（该方剂详见“滞下”章节）。
按语：在治疗泄泻的方剂中，过去多将其视为寒证，直到刘完素、张元素才提出也有属于热证或火证的病例。因此，在各类方书中，专门治疗热性泄泻的方剂非常少。然而，张仲景在治疗伤寒挟带热邪引起的下痢时，使用了葛根黄芩黄连汤，只是人们未曾深入思考这一点罢了。
局方来复丹治疗伏暑引起的泄泻，大便如水样（该方剂详见本方章节）。
《易简方》记载：硝石性质寒凉，辅以陈皮，其气机疏通畅达；硫黄虽然能通利人体，但如果将其作为温补药物来止泻，就错了。这是因为食用生冷食物或冒犯暑热之气，导致中脘部位闭塞郁结，出现上吐下泻、病情变化迅速的情况。此药能通利三焦，调理阴阳，服用后效果显著。
按语：此方出自厥阴病篇中关于硫黄的用药先例。
按语：这是治疗暑邪在表的方剂，归属于肺经和脾经的药物，出自太阴病篇中关于厚朴的用药先例。
宣明桂苓甘露饮治疗饮水无法消化、呕吐、泄痢，或者下痢赤白相间（该方剂详见“暑剂”章节）。
按语：此方由五苓散和益元散加上寒水石组成，用于解除湿热，归属于太阳经药物。
机要浆水散治疗突发泄泻如水流注，周身出汗，全身发冷，脉象微细而弱，气息微弱不能说话，严重的伴有呕吐，这属于急重症。
药材及剂量：半夏（一两，用热水清洗）、附子（半两，炮制）、桂枝（五钱）、甘草（炙用五钱）、良姜（二钱半）、干姜（一作干生姜五钱）。
制作与服用方法：将上述药材研成细末，每次服用三至五钱，加入两盏浆水，煎煮至一盏，连同药渣一起热服。
服用方法：同前法服用。若病情严重，去掉干姜，加入附子三钱，因为辛味药物具有发散作用。
局方理中汤治疗脏腑内有停滞之寒邪，导致泄泻不止（该方剂详见“寒剂”章节）。
按语：此方出自厥阴病篇中关于内寒的用药先例。以上使用干姜、附子的药物，都是为了应对暴发性泄泻导致的气脱危象，如“五虚”等证候，属于急救之剂。所谓暴发性泄泻，并非都是阳证。但是，也有属于火证的，应当进一步探究其原因。
Ju Fang Wu Ji Wan (Local Formulation Wuji Pill) treats persistent diarrhea and dysentery caused by damp-heat in the Spleen and Stomach (see formula under "Dysentery" section).
Commentary: In formulas for treating diarrhea, it was traditionally mostly considered a Cold pattern. It was not until Liu Wansu and Zhang Yuansu that they pointed out there are cases belonging to Heat or Fire patterns. Therefore, among various formularies, formulas specifically treating Heat-type diarrhea are very few. However, Zhang Zhongjing used Gegen Qinlian Tang (Kudzu, Scutellaria, and Coptis Decoction) for treating dysentery with heat accompanying Shaoyang disease (Taiyang disease), but people have rarely pondered this point.
Ju Fang Laifu Dan (Local Formulation Laifu Pill) treats diarrhea resembling water due to latent summerheat (see formula under this section).
Yi Jian Fang states: Shixiao (Niter) is cold in nature; assisted by Chenpi (Tangerine Peel), its qi moves freely and smoothly. Huangqi (Sulfur) can also benefit the body. If one mistakenly uses it as a warming medicine to stop diarrhea, it is an error. This occurs because consuming raw/cold foods or being exposed to summerheat qi causes closure and stagnation in the Middle Jiao (Epigastrium), leading to sudden vomiting and diarrhea with rapid changes. This medicine unblocks the Sanjiao (Triple Burner) and regulates Yin and Yang; taking it yields very effective results.
Commentary: This comes from the precedent of using Sulfur in the Jueyin chapter.
Xiangru Yin (Mosla Decoction) treats vomiting and diarrhea due to latent summerheat (see formula under "Summerheat Agents" section).
Commentary: This is a surface-releasing formula for treating summerheat. It acts on the Lung and Spleen meridians, derived from the precedent of Houpo (Magnolia Bark) in the Taiyin chapter.
Xuanming Guiling Ganlu Yin (Revealing Clarity Cinnamon, Atractylodes Macrocephala, Poria, Alisma, Talcum, and Rock Salt Decoction) treats inability to digest ingested water, vomiting, diarrhea and dysentery, or dysentery with red and white discharge (see formula under "Summerheat Agents" section).
Commentary: This consists of Wuling San (Five-Ling Powder) and Yiyuan San (Benefit Origin Powder) plus Hanshuishi (Aragonite) to resolve damp-heat. It belongs to the Taiyang meridian agents.
Jiyao Jiangshui San (Essential Secrets Porridge Water Powder) treats acute diarrhea like flowing water, sweating over the whole body, coldness throughout the body, faint and weak pulse, shortness of breath and inability to speak, and severe cases accompanied by vomiting. This is an urgent condition.
Herbs and Dosages: Banxia (Pinelliae Rhizoma, 1 liang, washed with hot water); Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, processed); Guizhi (Cinnamomi Ramulus, 5 qian); Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 5 qian, honey-fried); Liangjiang (Alpiniae Officinarum Rhizoma, 2.5 qian); Ganjiang (Zingiberis Rhizoma, 5 qian, sometimes recorded as dried fresh ginger).
Preparation and Administration: Grind the above herbs into fine powder. Take 3-5 qian per dose, add two zhan of Jiangshui (fermented porridge water), decoct until half a zhan remains, and take warm including the dregs.
Baizhu Tang (Atractylodes Macrocephala Decoction)
Herbs: Baizhu (Atractodis Macrocephalae Rhizoma); Shaoyao (Paeoniae Radix Alba); Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 qian each, honey-fried); Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed).
Administration: Same as above. For severe cases, remove Ganjiang and add Fuzi (Aconiti Lateralis Radix Praeparata) 3 qian, because pungent substances can disperse.
Ju Fang Lizhong Tang (Local Formulation Regulate the Middle Decoction) treats continuous diarrhea due to lingering cold in the Zang-Fu organs (see formula under "Cold Agents" section).
Commentary: This comes from the precedent of internal cold in the Jueyin chapter. The aforementioned medicines using Ginger and Aconite are all emergency rescue agents for Qi collapse caused by acute diarrhea, such as in "Wu Xu" (Five Deficiencies) syndromes. Acute diarrhea is not necessarily a Yang syndrome. However, some cases belong to Fire patterns, and their root causes must be investigated.