〔薛〕治痢之法，当参前篇。其下黄水，乃脾土亏损，真色下陷也，当升补中气。若
黄而兼青，乃肝木克脾土，宜平肝补脾。若黄而兼白，乃子令母虚，须补脾胃。若黄而
兼黑，是水反侮土矣，必温补脾胃。若黄而兼赤，乃心母益子，但补中益气。若肠胃虚
弱，风邪客之，用胃风汤，或胎气不安，急补脾胃而自安矣。凡安胎之药，当临病制宜，
不必拘用阿胶、艾叶之类。地官胡成甫之内，妊娠久痢，自用消导理气之剂，腹内重
坠，胎气不安，又用阿胶、艾叶之类不应。余曰∶腹重坠，下元气虚也。胎动不安，内热
盛也。遂用补中益气汤而安，又用六君子汤全愈。壶仙翁治汤总兵夫人妊娠病痢不止。
翁诊其脉，虚而滑，两关若涩，此由胎气不和，相火炎上而有热，似痢实非也。乃用黄
芩、白术以安胎，四物、生地黄以调血，数剂而安。当归芍药汤 治妊娠下痢腹痛。（即当
归芍药散，见前心腹痛。）
〔本〕治妇人胎前产后赤白痢。
生姜（年少者百钱，老者二百钱，取自然汁） 鸭子（一枚）
上将鸭子打破，倾入姜汁内搅匀，煎八分，入蒲黄三钱，再煎五七沸，空心热服，立效。
〔无〕妊娠下痢赤白，绞刺疼痛。
鸡子（一枚，乌鸡者佳。破孔倾出清，留黄用之） 黄丹（一钱，入鸡子壳内同黄搅匀，以
浓纸糊牢，盐泥固济，火上煨焙干，为细末）
上每服二钱，米饮调下。一服愈者是男，二服愈者是女。
〔大〕治妊娠素弱，频并下痢，腹痛羸瘦，面色痿黄，不进饮食。
浓朴（一两半） 白术 熟地黄 川芎 白芍药 当归 干姜 人参（各一两） 诃子（三钱）
甘草（一钱）
上 咀，每服四钱，姜三片，水煎。
又方 治妊娠下痢，腹痛小便涩。
当归 黄 （各一两） 糯米（一合）
上细切，和匀，水煎分四服。
〔罗〕大宁散 治妊娠下痢赤白灰色，泄泻疼痛垂死者。
黑豆（三十五粒） 粟壳（二两，半生半炒） 甘草（二两，半生半炒）
上为粗末，都作一服，生姜三片同煎，食前服。
治妊娠挟热下痢，亦治男子常痢。
黄连 黄柏（各一升） 山栀仁（二十枚）
上 咀，每服五钱，水二盏，浸二时久，煮十余沸，顿服。若呕加陈皮（一两半） 生姜（三两）
黄连汤 治妊娠下痢赤白，脓血不止。
黄连（二两） 浓朴（姜制） 阿胶（炙） 当归 干姜（各一两半） 艾叶 黄柏（各一两）
上为细末，空心米饮调下方寸匕，日三服。
疗妊娠白脓痢，腹中冷。
干姜（四两） 赤石脂（六两） 粳米（一升，炒黄）
上用水七升，煎取二升，温分三服。
浓朴散 治妊娠下痢，黄水不绝。
浓朴（姜炙，三两） 黄连（三两） 肉豆蔻（一枚，连皮用）
上为粗末，水煮顿服。
草果饮 治妊娠脏气本虚，脾胃少弱，脏腑虚滑，腹脐疼痛，日夜无度。
浓朴（姜制，二两） 肉豆蔻（一个，面裹煨）
上 咀，每服三钱，姜三片，水同煎。
〔薛〕治疗痢疾的方法，应当参考前一篇的内容。如果排出黄色水样便，这是脾土亏损，真脏之色下陷的表现，应当升提补益中气。如果黄色中兼带青色，这是肝木克制脾土，适宜平抑肝木、补益脾土。如果黄色中兼带白色，这是子病及母导致母虚，必须补益脾胃。如果黄色中兼带黑色，这是水反侮土（水邪侵犯脾土），必须温补脾胃。如果黄色中兼带红色，这是心母益子（心火生脾土，此处指热邪影响），只需补益中气。如果肠胃虚弱，风邪客居其中，使用胃风汤；或者胎气不安，急当补益脾胃，胎气自然安定。凡是安胎的药物，应当根据病情灵活制宜，不必拘泥于使用阿胶、艾叶之类的药物。地官胡成甫的妻子，妊娠期间久患痢疾，自行服用消食导滞、理气的药剂，导致腹内沉重下坠感，胎气不安，又服用阿胶、艾叶等药无效。我说：腹部沉重下坠，是下元之气虚弱所致；胎动不安，是内热炽盛所致。于是使用补中益气汤使胎气安定，又使用六君子汤完全治愈。壶仙翁治疗汤总兵夫人的妊娠痢疾不止。壶仙翁诊察她的脉象，脉虚而滑，两关部脉象涩滞，这是由于胎气不和，相火上炎而有热，看似痢疾实则不是痢疾。于是使用黄芩、白术来安胎，四物汤加生地黄来调血，服用数剂后胎气安定。当归芍药汤 治疗妊娠期间下痢腹痛。（即当归芍药散，见前文心腹痛章节。）
〔本〕治疗妇人产前产后赤白痢。
生姜（年轻者用一百钱，年老者用二百钱，取其自然汁液） 鸭子（一只）
先将鸭子打破，倒入姜汁中搅拌均匀，煎至八分满，加入蒲黄三钱，再煎煮五到七沸，空腹热服，立即见效。
〔无〕妊娠期间下痢赤白，绞痛刺痛。
鸡蛋（一枚，以乌鸡所产为佳。破孔倒出蛋清，保留蛋黄使用） 黄丹（一钱，放入蛋壳内与蛋黄搅拌均匀，用厚纸糊牢，用盐泥密封固定，在火上煨焙至干，研为细末）
以上每服二钱，用米饮送服。服用一次痊愈的是男孩，服用两次痊愈的是女孩。
〔大〕治疗妊娠期间体质素弱，频繁并发下痢，腹痛消瘦，面色萎黄，不能进食。
浓朴（一两半） 白术 熟地黄 川芎 白芍药 当归 干姜 人参（各一两） 诃子（三钱） 甘草（一钱）
以上药材捣碎，每次服用四钱，加生姜三片，用水煎煮。
又一方 治疗妊娠下痢，腹痛且小便涩痛。
当归 黄芪（各一两） 糯米（一合）
以上细细切碎，混合均匀，用水煎煮，分四次服用。
〔罗〕大宁散 治疗妊娠期间下痢赤白灰色，泄泻疼痛濒死者。
黑豆（三十五粒） 粟壳（二两，一半生用一半炒用） 甘草（二两，一半生用一半炒用）
以上制成粗末，全部作为一服的量，加生姜三片同煎，饭前服用。
治疗妊娠挟热下痢，也治疗男子常患的痢疾。
黄连 黄柏（各一升） 山栀仁（二十枚）
以上捣碎，每次服用五钱，加水两盏，浸泡两个时辰之久，煮十余沸，一次性服用。如果呕吐，加陈皮（一两半） 生姜（三两）。
黄连汤 治疗妊娠下痢赤白，脓血不止。
黄连（二两） 浓朴（姜制） 阿胶（炙） 当归 干姜（各一两半） 艾叶 黄柏（各一两）
以上研为细末，空腹时用米饮调服方寸匕大小的药量，每日三次服用。
治疗妊娠白脓痢，腹中寒冷。
干姜（四两） 赤石脂（六两） 粳米（一升，炒黄）
以上用水七升，煎取二升，温热分三次服用。
浓朴散 治疗妊娠下痢，黄水不绝。
浓朴（姜炙，三两） 黄连（三两） 肉豆蔻（一枚，连皮使用）
以上制成粗末，用水煮后一次性服用。
草果饮 治疗妊娠脏腑之气本虚，脾胃少弱，脏腑虚滑，腹脐疼痛，日夜无度。
浓朴（姜制，二两） 肉豆蔻（一个，面粉包裹后煨熟）
以上捣碎，每次服用三钱，加生姜三片，与水同煎。
[Xue] The method for treating dysentery should refer to the previous chapter. If yellow watery stool is discharged, this indicates a deficiency of Spleen Earth with the true color sinking downward; it is necessary to raise and tonify Middle Qi. If the yellow color is accompanied by green, this indicates Liver Wood overacting on Spleen Earth; it is appropriate to soothe the Liver and tonify the Spleen. If the yellow color is accompanied by white, this represents the "child disease affecting the mother" leading to maternal deficiency; it is essential to tonify the Spleen and Stomach. If the yellow color is accompanied by black, this signifies Water counter-acting and insulting Earth (Water pathogen invading Spleen Earth); it is mandatory to warm and tonify the Spleen and Stomach. If the yellow color is accompanied by red, this indicates Heart Fire generating Spleen Earth (heat pathogen affecting the middle); one need only tonify Middle Qi. If the Intestines and Stomach are weak and Wind Evil resides within, use Weifeng Tang (Stomach Wind Decoction). Or, if fetal qi is unsettled, urgently tonifying the Spleen and Stomach will naturally stabilize the fetus. All herbs for calming the fetus should be adapted to the specific condition; one should not rigidly rely on herbs such as Ejiao (Donkey-hide Gelatin) or Aye (Mugwort Leaf). The wife of Hu Chengfu, an official of the Ministry of Works, suffered from chronic dysentery during pregnancy. She self-administered digestive and qi-regulating agents, resulting in a sensation of heaviness and bearing-down in the abdomen and unsettled fetal qi. Subsequently, she took Ejiao and Aye without effect. I stated: Abdominal heaviness and bearing-down indicate deficiency of Lower Yuan Qi; unsettled fetal movement indicates excessive internal heat. Therefore, I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to stabilize the fetus, followed by Liujunzi Tang (Six Gentlemen Decoction) for complete recovery. Huxianweng treated the夫人 (Madam) of Commander Tang for persistent dysentery during pregnancy. Huxianweng palpated her pulse: it was deficient and slippery, with the pulses at both Guan positions appearing choppy. This was due to disharmony of fetal qi, with Ministerial Fire flaring upward causing heat; it appeared to be dysentery but was not truly so. He used Huangqin (Scutellaria Root) and Baizhu (Atractylodes Rhizome) to calm the fetus, and Siwu Tang (Four Substance Decoction) combined with Shengdihuang (Rehmannia Root) to regulate blood. After several doses, the fetus stabilized. Danggui Shaoyao Tang (Angelica and Peony Decoction) treats abdominal pain with dysentery during pregnancy. (This is equivalent to Danggui Shaoyao San [Angelica and Peony Powder], see the section on Heart and Abdominal Pain earlier.)
[Ben] Treats red and white dysentery in women before and after childbirth.
Shengjiang (Fresh Ginger Juice): 100 qian for young persons, 200 qian for elderly persons.
Ya Zi (Duck): 1 piece.
Break the duck, pour the ginger juice into it, stir evenly, and decoct until reduced to 80%. Add Puhuang (Typha Pollen), 3 qian, boil for five to seven boils, and take hot on an empty stomach. Immediate effect.
[Wu] For pregnancy complicated by red and white dysentery with cramping and stabbing pain.
Jizi (Chicken Egg): 1 piece (preferably from a black-bone chicken). Break a hole, drain the albumen, retain the yolk.
Huangdan (Lead Monoxide): 1 qian. Place inside the eggshell with the yolk, mix well. Seal tightly with thick paper, coat with salt mud, and roast/bake over fire until dry. Grind into fine powder.
Take 2 qian per dose, mixed with rice water. If cured after one dose, it is a male fetus; if cured after two doses, it is a female fetus.
[Da] Treats pregnancy in patients with inherent weakness, frequent concurrent dysentery, abdominal pain, emaciation, sallow complexion, and loss of appetite.
Houpo (Magnolia Bark): 1.5 liang.
Baizhu (Atractylodes Macrocephala Rhizome): 1 liang.
Shudihuang (Prepared Rehmannia Root): 1 liang.
Chuanxiong (Sichuan Lovage Rhizome): 1 liang.
Baishao (White Peony Root): 1 liang.
Danggui (Angelica Sinensis): 1 liang.
Ganjiang (Dried Ginger): 1 liang.
Renshen (Ginseng Radix): 1 liang.
Hezi (Chebula Fruit): 3 qian.
Gancao (Licorice Root): 1 qian.
Crush the herbs. Take 4 qian per dose, with 3 slices of fresh ginger, decoct in water.
Another Prescription: Treats pregnancy with dysentery, abdominal pain, and difficult urination.
Danggui (Angelica Sinensis): 1 liang.
Huangqi (Astragalus Root): 1 liang.
Nuomi (Glutinous Rice): 1 he.
Finely cut and mix evenly. Decoct in water and divide into four doses.
[Luo] Daning San (Great Peace Powder) treats pregnancy complicated by red, white, and gray dysentery, with diarrhea and severe pain approaching death.
Heidou (Black Soybean): 35 grains.
Suliang (Pomegranate Rind): 2 liang (half raw, half stir-fried).
Gancao (Licorice Root): 2 liang (half raw, half stir-fried).
Grind into coarse powder. Prepare as a single dose, decoct with 3 slices of fresh ginger. Take before meals.
Treats pregnancy complicated by heat-type dysentery; also treats chronic dysentery in men.
Huanglian (Coptis Rhizome): 1 sheng.
Huangbai (Phellodendron Bark): 1 sheng.
Shanzhiren (Gardenia Seed): 20 pieces.
Crush the herbs. Take 5 qian per dose, soak in 2 zhan of water for two hours, boil for more than ten boils, and take all at once. If vomiting occurs, add Chenpi (Citrus Peel), 1.5 liang, and Shengjiang (Fresh Ginger), 3 liang.
Huanglian Tang (Coptis Decoction) treats pregnancy with red and white dysentery and continuous pus and blood discharge.
Huanglian (Coptis Rhizome): 2 liang.
Houpo (Magnolia Bark): Prepared with ginger, 1.5 liang.
Ejiao (Donkey-hide Gelatin): Roasted, 1.5 liang.
Danggui (Angelica Sinensis): 1.5 liang.
Ganjiang (Dried Ginger): 1.5 liang.
Aiye (Mugwort Leaf): 1 liang.
Huangbai (Phellodendron Bark): 1 liang.
Grind into fine powder. Take one fangcunbi (a measure roughly the size of a square inch) with rice water on an empty stomach, three times daily.
Treats pregnancy with white purulent dysentery and cold in the abdomen.
Ganjiang (Dried Ginger): 4 liang.
Chishizhi (Halloysitum Rubrum): 6 liang.
Jingmi (Glutinous Rice): 1 sheng, stir-fried until yellow.
Decoct in 7 sheng of water until 2 sheng remains. Take warm, divided into three doses.
Houpo San (Magnolia Powder) treats pregnancy with dysentery and continuous yellow watery discharge.
Houpo (Magnolia Bark): Prepared with ginger, 3 liang.
Huanglian (Coptis Rhizome): 3 liang.
Roudoukou (Nutmeg): 1 piece, use with skin.
Grind into coarse powder. Decoct in water and take all at once.
Caoguo Yin (Tsao-ko Drink) treats pregnancy where Zang-Fu Qi is inherently deficient, Spleen and Stomach are weak, Zang-Fu are loose and slipping, with abdominal and umbilical pain occurring day and night without restraint.
Houpo (Magnolia Bark): Prepared with ginger, 2 liang.
Roudoukou (Nutmeg): 1 piece, wrapped in flour and roasted.
Crush the herbs. Take 3 qian per dose, with 3 slices of fresh ginger, decoct in water.