〔大〕产后痢疾者，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，若行起太早，则外伤风冷，乘虚入于肠胃，若误食生冷难化之物，伤于脾胃，
皆令洞泄水泻，甚者变为痢也。若血渗入大肠则为血痢，难治，世谓之产子痢也。得冷
则白，或如鱼脑，得热则赤黄，或为骤血。若冷热相搏，则下痢赤白，或脓血相杂。若下
痢青色，则极冷也。若饮食不进，便利无常，日夜无度。产后本虚，更加久痢不止，无力
瘦乏，愈见羸弱，谓之虚羸下痢。又有产后气宇不顺，而下痢赤白，谓之气痢。治之之
法，热则凉之，冷则温之，冷热相搏则调之，滑者涩之，虚羸者补之，水谷不分者当利小
便。若产妇性情执着，不能宽解，须当顺其气，未有不安者也。
〔薛〕前证白属气分，而赤属血分也。其论详见泻利。一产妇食鸡子，腹中作痛，
面色青黄，服平胃、二陈，更下痢腹胀。用流气饮子，又小腹一块不时上攻，饮食愈少。
此脾胃虚寒，肝木克侮所致。用补中益气加木香、吴茱渐愈。又用八珍大补，兼服调理
寻愈。一妇产后痢未至月满，因食冷物及酒，冷热与血攻击，滞下纯血，缠坠极痛，其
脉大无力，口干，用黄芩芍药汤三服而安。
〔熊〕治产后赤白痢证 用四君子汤加黄 、粟壳神效。
〔云〕救急散 治产后赤白痢，腹中绞痛。
芍药 阿胶 艾叶 熟地黄（各一两） 甘草 当归（各三两）
上 咀，水煎分二服，空心饮。
〔大〕当归芍药散 治妊娠腹中绞痛，心下急痛，及疗产后血晕，崩中久痢。（方见血崩。）
疗妊娠血痢 用阿胶二两，以酒一升半，煮一升，顿服。
产后诸痢 煮薤白食之。又方，羊肾脂炒薤白，空心食之，甚佳。
〔经〕治产后、胎前痢疾 败龟甲一枚，米醋炙研为末，醋汤调下。（丹溪云∶龟甲大补阴，
治劳倦。）
〔丹〕妇人患堕胎后膈满食少，痢不止，脉虚，左手尤甚。
滑石 白芍药（炒） 苍术（各五钱） 白术（二钱五分） 诃子（二钱，煨） 干姜（四钱）
茯苓（一钱）
上为细末，调下保和丸四五十粒。
〔云〕产后血痢，脐腹疼痛 四物汤加槐花、黄连、御米壳等药。
黄连丸 治产后赤白痢，腹中搅痛不可忍。
黄连（四两） 阿胶 蒲黄 栀子仁（各一两） 当归（二两半） 黄芩 黄柏（各二两）
上为末，炼蜜丸如桐子大。每服六七十丸，米饮吞下，日三夜一。
〔仲〕产后下痢虚极，白头翁加甘草阿胶汤主之。（《脉经》作热痢重下，新产虚极者。）
白头翁 阿胶（各二两） 黄连 黄柏 秦皮（各三两） 甘草（二两）
上以水七升，煮取二升半，纳胶令消尽，温分三服。妇人临产痢疾。
山栀不拘多少，烧灰为细末，空心温熟水调下一钱，甚者不过五服。
产后血痢，小便不通，脐腹疼痛。
用生马齿苋捣汁二大合，煎一沸，下蜜一合调，顿服。
〔梅〕治产后血泄不禁，余血作痛兼块。
桂心、干姜等分为末，空心酒调服方寸匕。
〔大〕疗产后痢，日五十行者，取木里蛀虫粪屑炒黄，急以水沃之，令稠稀得所，服
之即瘥。
〔圣〕治产后诸痢方。取苍耳叶捣汁、半盏，日三四，温服。
〔渴〕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，痢则自瘥。
〔薛〕前证若渴而不喜冷冻饮料，属胃气虚，不能生津液，宜用七味白术散。夜间发热口
渴，属肾水弱而不能润，宜用六味丸，并佐以益气汤，以滋化源。一产妇泻痢，发热
作渴，吐痰，肌体消瘦，饮食少思，或胸膈痞闷，或小腹胀坠，年余矣。余以为脾肾之
泻，朝用二神丸，夕用六君子，三月余而痊。
一产妇患前证，形体倦怠，饮食不进，与死为邻，此脾胃俱虚也。用四神丸、十全大
补汤而愈。
《必效》疗产后痢而渴饮无度数。
麦门冬（三两） 乌梅（二十个）
细锉，水一升，煮取七合，细呷。
《经效》疗产后久痢，津液涸，渴不止。
龙骨（十二分） 浓朴 茯苓 黄 麦门冬 人参（各八分） 生姜（六分） 大枣（十四个，并
细锉）
上以水一大升，煮取七合，空心分两服。
疗产后痢，日久津液枯竭，四肢浮肿，口干舌燥。《古今录验》
冬瓜（一枚） 黄泥糊浓五寸，煨烂熟，去皮，绞汁服之瘥。
《补遗》人参白术散，治产后痢，津液竭，渴不止。（方见胎前霍乱。）
【大】产后痢疾，是由于分娩时劳力损伤，导致脏腑功能虚弱。若未满月，身体虚乏尚未恢复，过早劳动，或误食生冷食物；若过早起身活动，则外受风冷之邪，乘虚侵入肠胃；若误食难以消化的生冷之物，则损伤脾胃。这些情况都会导致腹泻如水，严重时转变为痢疾。如果血液渗入大肠，则成为血痢，难以治疗，世间称为“产子痢”。感受寒邪则下白痢，状如鱼脑；感受热邪则下赤黄痢，或为鲜血直下。若冷热之邪相互搏结，则下痢赤白相间，或脓血混杂。若下痢青色，则是极寒之象。若饮食不进，二便失常，日夜无度。产妇本身体质虚弱，再加上久痢不止，导致无力、消瘦疲乏，更加羸弱，这称为“虚羸下痢”。又有产后气机不畅而下痢赤白的，称为“气痢”。治疗方法：热证用凉法，寒证用温法，冷热相搏用调和法，滑脱不禁用固涩法，虚羸者用补益法，水谷不分者当利小便。若产妇性情执着，不能宽心解郁，应当顺其气机，没有不安稳的。
【薛】上述症状中，白痢属于气分病变，赤痢属于血分病变。详细论述见“泻利”篇。一位产妇食用鸡蛋后，腹中疼痛，面色青黄，服用平胃散和二陈汤后，反而出现下痢和腹胀。改用流气饮子后，小腹又有一块状物不时上攻，饮食更少。这是脾胃虚寒，肝木克伐脾土所致。使用补中益气汤加木香、吴茱萸，逐渐痊愈。后又用八珍汤大补气血，兼服调理药物，最终痊愈。另一位产妇产后未满月，因吃冷物及饮酒，冷热与血相攻击，导致纯血下痢，里急后重，疼痛剧烈，脉象大而无力，口干，服用黄芩芍药汤三剂而安。
【熊】治疗产后赤白痢证，使用四君子汤加黄芪、罂粟壳，效果神效。
【云】救急散，治疗产后赤白痢，腹中绞痛。
组成：芍药、阿胶、艾叶、熟地黄（各一两）；甘草、当归（各三两）。
制法：切碎，加水煎煮，分两次服用，空腹饮用。
【大】当归芍药散，治疗妊娠腹中绞痛，心下急痛，以及治疗产后血晕、崩漏日久引起的痢疾。（方剂见“血崩”篇。）
治疗妊娠血痢：用阿胶二两，以酒一升半，煮至一升，一次性服用。
产后各种痢疾：煮薤白食用。另一方法，将羊肾脂炒薤白，空腹食用，效果很好。
【经】治疗产后、胎前痢疾：败龟甲一枚，用米醋炙烤后研为粉末，醋汤调服。（丹溪说：龟甲大补阴，治疗劳倦。）
【丹】妇人患堕胎后，胸膈满闷，饮食减少，痢疾不止，脉象虚弱，左手脉尤甚。
组成：滑石、白芍药（炒）、苍术（各五钱）；白术（二钱五分）；诃子（二钱，煨）；干姜（四钱）；茯苓（一钱）。
制法：研为细末，送服保和丸四五十粒。
【云】产后血痢，脐腹疼痛：四物汤加槐花、黄连、御米壳等药。
黄连丸，治疗产后赤白痢，腹中搅痛不可忍受。
组成：黄连（四两）；阿胶、蒲黄、栀子仁（各一两）；当归（二两半）；黄芩、黄柏（各二两）。
制法：研为粉末，炼蜜为丸，如梧桐子大。每次服用六七十丸，米饮送下，每日三次，夜间一次。
【仲】产后下痢，正气极度虚弱，用白头翁加甘草阿胶汤主治。（《脉经》作热痢重下，新产虚极者。）
组成：白头翁、阿胶（各二两）；黄连、黄柏、秦皮（各三两）；甘草（二两）。
制法：用水七升，煮取二升半，加入阿胶使其溶化尽，温热分三次服用。
妇人临产痢疾：山栀不拘多少，烧灰为细末，空腹用温熟水调服一钱，严重者不超过五服。
产后血痢，小便不通，脐腹疼痛：用生马齿苋捣汁两大合，煎沸一次，加入蜂蜜一合调和，一次性服用。
【梅】治疗产后血泄不禁，余血作痛兼有积块。
桂心、干姜等分为末，空腹用酒调服一方寸匕。
【大】治疗产后痢疾，每天腹泻五十次者，取木头里的蛀虫粪屑炒黄，立即用水冲淋，使稠稀适度，服用即愈。
【圣】治疗产后各种痢疾方：取苍耳叶捣汁半盏，每日三四次，温服。
【渴】产后下痢口渴者，是因为水谷的精微，化为血气津液以滋养脏腑，脏腑虚燥，所以痢疾且口渴。如果大量饮水则难止，反而溢出水气，脾胃既已虚弱，不能制约水液，水液自流溢，浸渍皮肤，则令人浮肿。只要止住其渴，痢疾自然痊愈。
【薛】上述症状若口渴但不喜冷饮，属于胃气虚，不能生津液，宜用七味白术散。夜间发热口渴，属于肾水弱而不能滋润，宜用六味丸，并佐以益气汤，以滋生化之源。一位产妇泻痢，发热口渴，吐痰，肌体消瘦，饮食少思，或胸膈痞闷，或小腹胀坠，病程一年多了。我认为这是脾肾之泻，早晨服用二神丸，晚上服用六君子汤，三月多痊愈。
一位产妇患前述症状，形体倦怠，饮食不进，濒临死亡，这是脾胃俱虚。用四神丸、十全大补汤而愈。
《必效》疗产后痢而渴饮无度数：麦门冬（三两）、乌梅（二十个）。细锉，水一升，煮取七合，细细呷服。
《经效》疗产后久痢，津液枯竭，渴不止：龙骨（十二分）、浓朴、茯苓、黄芪、麦门冬、人参（各八分）；生姜（六分）；大枣（十四个，并细锉）。用水一大升，煮取七合，空腹分两次服用。
[Da] Dysentery occurring postpartum is caused by labor injury during childbirth, leading to insufficiency of the Zang-Fu organs. If the confinement period has not yet passed and the body's deficiency has not recovered, early exertion or mistaken consumption of raw and cold foods can occur. Rising and moving too early exposes one to external wind-cold pathogens, which enter the intestines and stomach taking advantage of the deficiency. Mistakenly eating hard-to-digest raw and cold items damages the Spleen and Stomach. All these conditions lead to watery diarrhea, which in severe cases transforms into dysentery. If blood seeps into the Large Intestine, it becomes bloody dysentery (Xue Li), which is difficult to treat and is commonly known as "childbirth dysentery" (Chan Zi Li). Contracting cold results in white dysentery, resembling fish brains; contracting heat results in red-yellow dysentery or sudden passage of fresh blood. If cold and heat pathogens contend with each other, the discharge is mixed red and white, or pus and blood are intermingled. If the discharge is green, it indicates extreme cold. If there is no desire for food, irregular bowel movements, and no limit to frequency day or night, this is critical. The postpartum woman is originally deficient; adding prolonged dysentery leads to weakness, emaciation, and fatigue, becoming more debilitated, termed "deficient and emaciated dysentery" (Xu Lei Xia Li). Another type is where Qi mechanism is obstructed postpartum leading to red and white dysentery, termed "Qi dysentery" (Qi Li). Treatment methods: For heat patterns, use cooling methods; for cold patterns, use warming methods; for contending cold and heat, use harmonizing methods; for sliding/incontinence, use astringent methods; for deficiency and emaciation, use tonifying methods; for inability to distinguish water and grain, promote urination. If the parturient has a stubborn temperament and cannot relax, one must smooth her Qi, and she will surely be at peace.
[Xue] In the aforementioned symptoms, white dysentery belongs to the Qi level, while red dysentery belongs to the Blood level. Detailed discussions are found under "Diarrhea and Dysentery." A parturient ate eggs and experienced abdominal pain with a blue-yellow complexion. After taking Pingwei San and Erchen Tang, she developed dysentery and abdominal distension. Switching to Liuqi Yinzi caused a mass in the lower abdomen to attack upwards intermittently, and food intake decreased further. This was due to Spleen-Stomach deficiency-cold and Liver Wood overacting on Earth. Using Buzhong Yiqi Tang added with Muxiang and Wuzhuyu led to gradual recovery. Subsequently, using Bazhen Tang for major tonification, along with regulating herbs, led to full recovery. Another parturient, before the month was complete postpartum, ate cold food and drank alcohol. Cold and heat attacked the blood, causing pure bloody dysentery with severe tenesmus and pain. Her pulse was large but forceless, and she had dry mouth. Taking Huangqin Shaoyao Tang for three doses brought relief.
[Xiong] To treat postpartum red and white dysentery, use Sijunzi Tang added with Huangqi and Yumishe (Poppy Shell); the effect is miraculous.
[Yun] Jiuji San treats postpartum red and white dysentery with colicky abdominal pain.
Ingredients: Baishao (White Peony Root), Ejiao (Donkey-Hide Gelatin), Aiye (Mugwort Leaf), Shudihuang (Prepared Rehmannia Root) (each 1 liang); Gancao (Licorice Root), Danggui (Angelica Sinensis) (each 3 liang).
Preparation: Coarsely crush, decoct in water, divide into two doses, drink on an empty stomach.
[Da] Danggui Shaoyao San treats colicky abdominal pain during pregnancy, urgent pain below the heart, and also treats postpartum blood syncope and chronic dysentery due to metrorrhagia. (Formula see "Metrorrhagia".)
To treat bloody dysentery during pregnancy: Use 2 liang of Ejiao, boil in 1.5 sheng of wine until reduced to 1 sheng, take in one dose.
For various postpartum dysenteries: Boil Xiebai (Allium macrostemon Bulb) and eat. Another method: Stir-fry Xiebai with Sheep Kidney Fat, eat on an empty stomach; very effective.
[Jing] Treat dysentery postpartum and antepartum: One Biejiarjia (Tortoise Plastron), roast with rice vinegar, grind to powder, take with vinegar-water mixture. (Danxi said: Tortoise plastron greatly tonifies Yin, treating fatigue from overwork.)
[Dan] A woman, after spontaneous abortion, suffered from chest fullness, poor appetite, and persistent dysentery. Her pulse was weak, especially on the left hand.
Ingredients: Huashi (Talcum), Baishaoyao (Fried White Peony Root), Cangzhu (Atractylodes Rhizome) (each 5 qian); Baizhu (Atractylopsis Rhizome) (2.5 qian); Hezi (Chebula Fruit, roasted) (2 qian); Ganjiang (Dried Ginger) (4 qian); Fuling (Poria) (1 qian).
Preparation: Grind to fine powder, take with 40-50 pills of Baohe Wan.
[Yun] Postpartum bloody dysentery with umbilical and abdominal pain: Siwu Tang added with Huaihua (Sophora Flower), Huanglian (Coptis Rhizome), Yumike (Poppy Shell), etc.
Huanglian Wan treats postpartum red and white dysentery with unbearable abdominal twisting pain.
Ingredients: Huanglian (4 liang); Ejiao, Puhuang (Pollens Typhae), Zhizi Ren (Gardenia Seed) (each 1 liang); Danggui (2.5 liang); Huangqin (Scutellaria Root), Huangbo (Phellodendron Bark) (each 2 liang).
Preparation: Grind to powder, make pills with refined honey the size of paulownia seeds. Take 60-70 pills per dose, swallow with rice water, three times daily and once at night.
[Zhong] For postpartum dysentery with extreme deficiency, Baitouweng Jia Gancao Ejiao Tang is indicated. (Maijing writes: Severe heat dysentery with heavy discharge, in newly delivered women with extreme deficiency.)
Ingredients: Baitouweng (Pulsatilla Root), Ejiao (each 2 liang); Huanglian, Huangbai, Qinpi (each 3 liang); Gancao (2 liang).
Preparation: Add 7 sheng of water, decoct to obtain 2.5 sheng, add Ejiao and stir until dissolved completely. Take warm, divided into three doses.
For women with dysentery at the time of delivery: ShanZhi (Gardenia Fruit) in any amount, burn to ash, grind to fine powder. On an empty stomach, mix with warm cooked water and take 1 qian. For severe cases, do not exceed five doses.
Postpartum bloody dysentery with urinary retention and umbilical/abdominal pain: Crush fresh Machixian (Portulaca Oleracea) to extract juice (2 da he), boil for one boil, add 1 he of honey, mix, and take in one dose.
[Mei] Treat postpartum uncontrollable bloody discharge, pain from residual blood, and masses.
Guixin (Cinnamon Twig) and Ganjiang (Dried Ginger) in equal parts, grind to powder. Mix with wine and take on an empty stomach, one fangcun bi (measure).
[Da] To treat postpartum dysentery with fifty stools per day: Collect excrement of wood-boring insects from inside the wood, stir-fry until yellow. Immediately pour water over it to achieve appropriate thickness. Take this mixture, and the condition will heal immediately.
[Sheng] Formula to treat various postpartum dysenteries: Crush Cang'er Ye (Xanthium Leaf) to extract juice, half zhan. Take warm, three to four times daily.
[Ke] When postpartum dysentery causes 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. The Zang-Fu become deficient and dry, causing dysentery and thirst. If forced drinking occurs, it is hard to stop, and instead, water qi overflows. Since the Spleen and Stomach are deficient and cannot control water, water flows freely, soaking the skin, causing edema. One should only stop the thirst, and the dysentery will heal itself.
[Xue] If the aforementioned symptom involves thirst without preference for cold drinks, it belongs to Stomach Qi deficiency failing to generate fluids; use Qiwei Baizhu San. Nighttime fever and thirst belong to Kidney Water deficiency failing to moisten; use Liuwei Wan, assisted by Yiqi Tang, to nourish the source of transformation. A parturient had diarrhea and dysentery, fever, thirst, expectoration, emaciation, poor appetite, chest/epigastric stuffiness, or lower abdominal bearing-down sensation, lasting over a year. I considered this Spleen-Kidney diarrhea. Morning:ersh Shen Wan; Evening: Liujunzi Tang. Recovered after three months.
Another parturient with the above symptoms was exhausted, could not eat, and was near death. This was Spleen and Stomach dual deficiency. Treated with Sishen Wan and Shiquan Dabu Tang, and she recovered.
"Bixiao" treats postpartum dysentery with unmeasured thirst and drinking: Maidong (Ophiopogon Tuber, 3 liang), Wumei (Chinese Plum, 20 pieces). Finely cut, boil in 1 sheng of water to obtain 7 he. Sip slowly.
"Jingxiao" treats chronic postpartum dysentery with dried-up fluids and unceasing thirst: Longgu (Fossilized Bones, 12 fen), Houpo (Magnolia Bark), Fuling, Huangqi, Maidong, Renshen (each 8 fen); Shengjiang (Fresh Ginger, 6 fen); Dazao (Jujube, 14 pieces, finely cut). Add 1 da sheng of water, decoct to obtain 7 he. Divide into two doses, take on an empty stomach.
Treat postpartum dysentery where long duration leads to fluid exhaustion, edema of limbs, dry mouth, and dry tongue. "Gujin Luyan": One Donggua (Winter Melon). Paste thickly with yellow mud (5 cun thick), bake until soft and cooked. Peel, squeeze out juice, and take to cure.
"Buyi" Renshen Baizhu San treats postpartum dysentery with exhausted fluids and unceasing thirst. (Formula see "Antepartum Cholera-like Disease".)