产后七日内外，患赤白痢疾，后重频数，最为难治。欲调气血而推荡邪秽，又虑产后元虚。欲滋荣养气而大
补脾肾，又恐补住瘀邪。惟生化汤减黑姜而代以茯苓、术、香，则善消恶露，兼
行痢疾，并行而不悖也。再服加味香连丸，以俟一二日后，病势稍减，可保无虞。若七日外患褐色后重虚痢，则当
加补无疑。其产母禀浓，产期已过二十日，可于生化汤加芩、连、芍药、枳壳及加味香连之类。承气等药断不可用。
如产母虚弱，虽及月余，行积峻剂，切不宜用。若产后阴虚，血痢日久愈甚，当用四物汤加人参矣。
加减生化汤
川芎（二钱） 当归（四钱） 桃仁（十粒） 茯苓（一钱五分） 陈皮（五分） 木香（二分）
红痢腹痛，加砂仁二分，煎八分，送香连丸三十粒。
加味香连丸
即香连丸加莲肉粉一半为丸。
加连生化汤
川芎（一钱五分） 当归（三钱） 白芍（一钱，炒） 川连（六分，姜汁炒） 枳壳（五分） 茯苓（一钱）
甘草（四分） 木香（三分）
水煎服。重者，加山楂一钱。
按∶产后痢症不一，总以人参为主，归、芍次之。兼有瘀未净者，则间以肉桂黄连汤，重用人参，自效。盖
桂能去瘀也。如资禀薄，痢症轻者，一日六七次，兼有粪色，亦能饮食。重者，空痛，一日夜数十次，不思饮食，
睡卧不宁，非人参不能救也。
产后七日内外，出现赤白痢疾，里急后重且排便频繁，这是最难治疗的病症。想要调和气血并推荡体内的邪秽，又担心产后元气虚弱；想要滋养营血、补益元气并大补脾肾，又恐怕将瘀滞的邪气补住而难以排出。只有使用生化汤，减去黑姜，改用茯苓、白术、木香，这样既能善于消除恶露，又能兼治痢疾，两者并行不悖。再服用加味香连丸，等待一两天后，病情稍减，就可以保证没有危险了。如果在七日之后患褐色后重的虚性痢疾，那么应当加入补益药物，这毫无疑问。如果产妇体质强壮，产期已过二十天，可以在生化汤中加入黄芩、黄连、芍药、枳壳以及加味香连之类的药物。承气汤等攻下药物绝对不可使用。如果产妇身体虚弱，即使过了一个多月，也不宜使用行积峻猛的药物。如果是产后阴虚，血痢日久且越来越严重，应当使用四物汤加入人参。
加减生化汤
川芎（二钱） 当归（四钱） 桃仁（十粒） 茯苓（一钱五分） 陈皮（五分） 木香（二分）
如果是红痢且腹痛，加入砂仁二分，煎取八分药液，送服香连丸三十粒。
加连生化汤
川芎（一钱五分） 当归（三钱） 白芍（一钱，炒制） 川连（六分，姜汁炒制） 枳壳（五分） 茯苓（一钱） 甘草（四分） 木香（三分）
用水煎服。病情严重的，加入山楂一钱。
按语：产后痢疾症状不一，总以人参为主药，当归、芍药为次。如果兼有瘀血未净的情况，则间歇使用肉桂黄连汤，重用人参，自然见效。因为肉桂能去除瘀血。如果禀赋薄弱，痢疾症状较轻的，一天大便六七次，粪便中兼有粪色，也能进食。症状严重的，腹部空痛，一天一夜数十次，不想吃东西，睡卧不安宁，非用人参不能挽救。
Within seven days before or after childbirth, if the patient suffers from dysentery with red and white discharge, accompanied by tenesmus (a feeling of incomplete defecation) and frequent bowel movements, it is the most difficult condition to treat. One wishes to harmonize Qi and Blood and expel pathogenic turbidity, yet fears the deficiency of Yuan Qi (Original Qi) postpartum. One wishes to nourish Ying (Nutritive Qi) and tonify Qi, greatly supplementing the Spleen and Kidney, yet fears that tonification may retain stasis and pathogens. Only by using Shenghua Tang (Decoction for Generating New Blood), reducing Hei Jiang (Charred Ginger) and substituting it with Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), and Muxiang (Vladimiria Root), can one effectively eliminate lochia while simultaneously treating dysentery; the two actions proceed in harmony without contradiction. Subsequently, Jiawei Xianglian Wan (Modified Coptis and Aromatic Pill) should be taken. After one or two days, when the disease trend subsides slightly, safety can be assured. If, after seven days, the patient suffers from brown tenesmus and deficiency-type dysentery, supplementation is undoubtedly required. If the mother has a robust constitution and more than twenty days have passed since delivery, Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Shaoyao (Peony Root), Zhike (Bitter Orange Fruit), and similar ingredients like Jiawei Xianglian can be added to Shenghua Tang. Chengqi Decoctions (Formulas for Purging Yang-Ming Heat) must absolutely not be used. If the mother is weak, even if more than a month has passed, harsh purgatives for moving accumulation should definitely not be used. If there is Yin deficiency postpartum, and bloody dysentery persists and worsens over time, Siwu Tang (Four Substance Decoction) with Ren Shen (Ginseng Root) should be used.
Modified Shenghua Tang
Chuanxiong (2 qian) Danggui (4 qian) Taoren (10 kernels) Fuling (1.5 qian) Chenpi (0.5 qian) Muxiang (0.2 fen)
For red dysentery with abdominal pain, add Shaoren (Amomum Fruit) 0.2 fen, decoct to obtain 0.8 sheng of liquid, and take with 30 pills of Xianglian Wan.
Jiawei Xianglian Wan (Modified Coptis and Aromatic Pill)
This is Xianglian Wan (Coptis and Aromatic Pill) with half the amount of Lianrou Fen (Lotus Seed Flesh Powder) added to form pills.
Jialian Shenghua Tang (Coptis-Added Shenghua Decoction)
Chuanxiong (1.5 qian) Danggui (3 qian) Baishao (1 qian, stir-fried) Chuanlian (0.6 fen, stir-fried with ginger juice) Zhike (0.5 qian) Fuling (1 qian) Gancao (0.4 qian) Muxiang (0.3 fen)
Decoct in water and take orally. For severe cases, add Shanzha (Hawthorn Fruit) 1 qian.
Note: Postpartum dysentery presents various symptoms, but generally, Ren Shen (Ginseng Root) is the primary herb, followed by Danggui (Angelica Sinensis Root) and Shaoyao (Peony Root). If there is residual stasis, Rougui Huanglian Tang (Cinnamon Bark and Coptis Decoction) should be used intermittently, with a heavy dose of Ren Shen, which will naturally prove effective. This is because Rougui (Cinnamon Bark) can remove stasis. If the constitution is thin and the dysentery is mild, with six or seven bowel movements per day, fecal matter mixed with stool color, and appetite maintained, it is manageable. In severe cases, characterized by empty abdominal pain, dozens of bowel movements day and night, loss of appetite, and restless sleep, only Ren Shen can save the patient.