人有饥渴思饮食，饮食下腹便觉饱闷。必大泻后快，或早或晚，一昼夜数次以
为常，面色黄稿，肢肉减削，此非胃气之虚，乃脾气之困也。夫脾与胃宜分讲也，
能消不能食者，胃气之虚，由于心包之冷也；能食不能消者，脾气之困，由于命门
之寒也。今饥渴思饮食，食后反饱，饮后反闷，是胃能纳，而脾不能受也。但脾不能
受，何至大泻后快？盖脾乃湿土，既无温暖之气，又受水谷，则湿以助湿，惟恐久
留以害土，情愿速传之为快。譬如黄河之水，入于中州，既无高山峻岭以为防，又
少深池大泽以为蓄，水过之处，土松水泛，易于冲决，其波涛汹涌，连泥带水，一
泻千里，不可止遏，亦其势然也。日积月累，非断岸之摧崩，即长堤之迁徙也。脾
正中州之土，其大泻之状，正复相同。治法不宜治胃，而宜治脾；不宜单治脾，兼
宜治肾中之火。方用奠土汤∶
白术（一两） 茯苓（一两） 砂仁（五分） 山药（一两） 人参（五钱） 萝卜子（二钱）
附子（三分） 半夏（一
钱） 破故纸（一钱） 水煎服。
此方白术、茯苓、人参皆健脾之圣药，附子、破故纸助命门之神品，山药补肾
之奇味，砂仁、半夏醒脾之灵丹，而萝卜子又厘清浊之妙剂也。一、二服便能止，
泻止不必多用。然多用亦无妨碍，自能回阳于既危，生阴于将绝。
此症用加味四君汤亦效。
人参 小茴香（各三钱） 白术 山药（各一两） 肉桂（一钱） 萝卜子（一钱） 甘草（一钱）
肉豆蔻（一枚 茯苓（五钱） 水煎服。
人有长年作泻，五更时必痛泻二、三次，重则五、六次，至日间又不作泻，人
以为脾胃之虚寒，谁知是肾与命门之虚寒乎。此等之病亦从脾胃虚寒而起，乃久泻
亡阴，脾传入肾。苟肾中之火不衰，脾即传肾，久之而肾仍传于脾而自愈。惟其命
门火衰，不能蒸腐水谷，脾遂传水湿之气于肾而不返矣。五更乃亥子之时也，其位
在北，正肾水主令之时。水寒而火不能温，水乃大泻，此泻即《内经》所谓大瘕泻
也。用止水之剂，反不能止，必须用补水之味，使亡阴者速生。尤须于补阴之中，
兼补其火，则阳旺始能摄阴也。方用填坎汤∶
山茱萸（一两） 茯苓（一两） 巴戟天（五钱） 肉桂（三钱） 车前子（三钱） 北五味（三钱）
人参（三钱） 芡实（一两） 白术（二两） 水煎服。一剂泻轻，再剂泻又轻，连服十剂，断不再
泻。
此方脾肾兼补，又是分水止泻之药，则湿气自解。况得肉桂以温命门之气，则
膀胱易于化水，宁复走大肠而作泻哉。
此症用五神丹亦佳。
熟地（二两） 山萸（一两） 五味子（二钱） 破故纸 肉桂（各二钱） 水煎服。
人有腹中大痛，手不可按，一时大泻，饮食下喉即出，完谷不化，势如奔马，
不可止抑，顷刻之间，泻数十次，一日一夜约至百次，死亡呼吸，此肝经风木挟邪而
大泻也。其病得之夏日贪凉，向风坐卧，将暑热之气遏抑不宣，藏于脾胃之内。一
过秋天，凉风透入，以克肝木，而肝木之风，郁而不舒，乃下克脾胃。而脾胃之热，
遂与风战，将腹中所有之水谷尽驱而直下，必欲无留一丝以为快，故腹中作痛，其
势甚急。脾胃欲止而风不肯止，脾胃欲闭而热不可闭，下焦之关门大开，上焦之关
门难阖，所以食甫下喉，不及传化而即泻也。治法必须急救其脾胃之气，而后因势
利导之。然非多用药饵，星速补救，则王道迟迟，鲜不立亡矣。方用逆挽汤∶
人参（一两） 茯苓（二两） 大黄（一两） 黄连（三钱） 栀子（三钱） 甘草（三钱）
水煎服。一剂腹痛除，泻亦顿止。
此方用人参以固其脾胃之气，则气不至于骤脱，然最奇在用大黄也。盖此泻乃
火留于肠胃，非用大黄迅逐，则火不遽散，水不尽流。然徒用大黄不用黄连、栀子，
则火邪甚炽，盘踞于断涧曲溪，未必骤涸。三味并用，则大小河渠，无不尽行启泄。
然分消无法，则壅塞阻滞亦未可知。益之茯苓以厘清浊，且是健脾开胃之药，则土
气既坚，自无冲决之患。更虑过于迅逐，邪去虽速，未免伤损肠阴，又佐甘草之和
缓，以调剂于迟速之间，使人参易于生气，所谓剿抚并用，无激而死斗之虞，自然
风浪息平，水归故道，平成立奏也。
此症用参连汤亦效。
人参 茯苓（各一两） 白芍（二两） 黄连（三钱） 甘草（一钱） 水煎服，愈。
人有口渴饮水，忽然大泻，一日或十余行，或数十行，昼夜之间，泻至数百次，
完谷不化，直下无留，人以为火泻也，谁知是肾水不足以制火乎。夫胃为肾之关，
胃火必得肾水以相制，肾水一亏，胃火必旺。而内火无资，自索外水以相济，然外
水只可少止上焦之炎，不能竟助下焦之水，故外水入而肾不受。肾与膀胱为表里，
而膀胱亦不纳，水无从而化，乃直趋于大肠而作泻矣。但胃火既盛，渴饮凉水，宜
变为汗。今不为汗，而作泻者，故因肾水不能制胃火之炎，胃火必欺肾水之弱，于
是挟水以侮肾，不泄汗而泻水耳。及其后也，不特水之骤崩，且火亦骤降，关门不
闭，上下尽开，不啻如崩湍倒峡，建瓴而下也。论其治法，自宜急救其标，然而
徒止其泻，不急救其阴，则亡阴立尽，何以制火以存其胃气乎？方用生阴止泻汤∶
山茱萸（二两） 车前子（一两） 茯苓（一两） 白芍（二两） 肉桂（三分）
白术（一两） 甘草（五钱） 山药（二两） 薏仁（一两） 水煎服。一剂泻减，再剂泻又减，
三剂泻全止矣。
此方纯是补肾补胃之药，非止泻之剂也，然而止泻之妙，已存于补阴之中，盖
阳火得阴而即止也。倘作胃虚有火治之，亦能止泻，然下多亡阴，虽止泻于一时，
而阴虚何能骤复？何若此方既能止泻，而阴阳两不相伤之为得哉。
此症用存阴汤亦效。
熟地（二两） 山药 茯苓（各一两） 车前子（五钱） 白术（二两） 甘草 泽泻（各二钱）
水煎服。
人有终年饮酒，不知禁忌，逞醉入房，过于泄精，久则脾气大伤，变成水泻，
一感风寒，遂大泻不止，如溏如积，人以为酒湿损脾也，谁知是酒湿伤肾乎。夫脾
乃湿土，最恶者湿也。而酒又最湿，幸酒性大热，而脾亦喜热，湿热相合，则脾
不甚伤。无如人借酒气之热，以助其命门之火，鼓动其焰，以博久战之欢，究之热
不可长恃，精不能坚守，兴阑精泄，火息而湿留于肾宫矣。夫五脏六腑之水，皆赖
肾火以化之也。而肾中有湿，则火去湿存，长年相伴，岁月既深，火日衰而湿日盛，
肾不能久留，仍传出于脾。前酒之湿未去，新酒之湿又来，于是湿盛而热亦盛，脾
不受热之益，专受湿之害，故经年经月而作泻也。治法必须大补脾肾，而后解其湿
热之毒。方用解酲止泻汤∶
白术（一两） 山茱萸（一两） 茯苓（一两） 柞木（五钱） 黄连（三、五分） 白芍（五钱） 附子（一分）
水煎服。
此方脾肾双补之药也。用柞木、黄连以解其酒毒，用苓、术以消其水湿，用芍
药以敛其耗脱之阴，用附子一分引群药入肾，以扫荡其湿热，而非助其命门之虚阳
也。但此方必须多服为佳。盖酒湿之泻，甚难建功。以湿热入肾，最不易出。或十
服之后，改汤剂为丸，朝夕服三月，可以全愈矣。
此症用萸柞汤亦效。
山茱萸（一钱） 柞木枝 肉桂 五味子（各二钱） 山药 茯苓（各一两） 水煎服。
十剂愈。
人有无端一时作泻，腹痛不可止，面青唇黑，几不欲生，肛门之边，宛如刀割，
大泻倾盆，人以为火泻也，谁知是受毒而作泻乎。夫毒必有所由来，非漫然而作泻
也。或食瓜果，或饮凉水，或斟隔宿之茶，或吸露天之酒，或游神庙阴寒之地，或
探古洞幽暗之方，或贪卧于湿处，或加餐夫树间，或饕牛羊自死之物，或吞禽鸟难
化之肉，皆能受毒而发泻。虽毒受于腹中，泻出于肠外，非必死之症。然腹疼欲死，
乌可无药以救之耶。救法于解毒之中，而辅之泻毒之品，因势利导，祛毒更神。方
用化毒神丹∶
生甘草（五钱） 大黄（一两） 丹皮（五钱） 当归（一两） 雷丸（三钱） 蒲公英（五钱）
水煎服。一剂而所中之毒无不尽出而愈，不必二剂。
此方生甘草、蒲公英以解毒，合之大黄、雷丸则祛毒而无太刚之惧，扫毒而无
过滞之忧，又得当归、丹皮以助之，但逐毒之秽，而不损肠之阴，非孟浪以用之也。
此症用雷轰丹亦神效。
雷丸 红花 甘草（各二钱） 白芍 车前子（各五钱） 泽泻 猪苓（各二钱） 水煎服。
人有面黄体瘦，善食易饥，不食则痛，日以为常，一旦大泻，连虫而下，如团
如结，血裹脓包，人以为虫泻也。然虫之生也，生于湿，虫之养也，养于水谷也。
善食者，虫食则易消；易饥者，虫饥则易饿也；不食则痛，虫无食以养，则啮人肠
胃。岁月既久，虫以生虫，竟将肠胃之间变成巢穴，饮之食之而不肯散，团结包裹，
何肯遽出哉？且所用之饮食，供虫而不足，何能生津化液，以养五脏七腑乎？自然
脏腑之气衰，而胃气亦渐弱矣。胃弱则脾亦弱，胃弱则食必减而不能入，脾弱则食
难化而不能出，久则胃寒而脾亦寒，脾胃寒冷，则虫苦无藏身之地，偶将热汤、热
水乘机下遁而大泻。一虫既行，众虫无止遏之势，成群逐队而下，团结于脓血之内，
势之所必至也。治法乘虫之迁徙，而大下之，则肠胃无留余之蚀。然而下之过甚，
必至损伤脾胃。于攻之中用补，则正气得养，虫亦尽除，两益之道也。方用扫虫汤∶
人参（五钱） 白术（一两） 大黄（三钱） 白薇（三钱） 百部（三钱） 甘草（一钱）
乌梅（一个） 水煎服。一剂大泻虫尽出矣，不必二剂。服此药后，用四君子汤调理而安。
夫此汤虽曰扫虫，实补脾胃以生气。腹中生虫，至于如许之多，其伤损脾胃者，
非一日矣，似宜单补而不用攻，然虫既大出，不用攻虫之药，惟用补剂，则脾胃之
气回，而虫亦回矣，反留为后日之害。故因其自出之时，即用祛虫之药，虫不敢贪
补而流连也。况攻之中，仍有补剂，但泻虫而不耗气，是攻补并用，且善后得宜，
安得不收全功哉。
此症用追虫丹亦神。
甘草 枳壳 雷丸（各一钱） 黄连 百部 槟榔（各二钱） 人参 使君子肉（各三钱）
白术（五钱） 水煎服。
人有脏腑不调，久泻不愈，人以为洞泻也，谁知是肝乘脾土，湿气下行之故乎。
夫肝属木，最能克土。然而土旺则木不能克，木平则土不受克。惟肝木既旺，而土
又过衰，则木来克土，而土之湿气难安矣。人身之脾土易衰，肝木复易旺。肝木能
旺，非肾水生之而旺也，大约得之怒与谋虑者居多。大怒则肝叶开张，过于谋虑不
决，则失于刚断，而躁妄之念生，皆能使肝气之旺；旺则肝气不能发泄，必致乘脾。
脾乃湿士，畏肝之克，气不上升而下降，遂致成泻。人之怒气不常，而谋虑无已，
肝亦乌能平，而泻又乌有止期乎。治法平肝以泻水，则泻可止也。古人有用上涌之
法而效者，有用下泄之法而亦效者，然皆非善法也。方用平泻汤∶
芍药（二两） 茯苓（一两） 白术（二两） 水煎服。一剂肝气平，二剂洞泻止，
三剂不再泻矣。
此方用芍药以平肝，用白术、茯苓健脾以去湿。肝气既平，不去刑土，而脾得
养，无畏于木气之克。况湿去则土燥，无波可兴，何能作泻？奚必上涌以伤气，下
泄以损阴，用劫药以制胜哉。
此症用调脾饮亦妙。
白芍 茯苓（各五钱） 白术（一两） 甘草（一钱） 陈皮（五分） 神曲（二钱）
白豆蔻（二粒） 水煎服。
人有侵染鬼魅，一旦大泻，此阴气之侵伤于脾土也。夫脾属太阴，本是阴脏，
然阴中有阳，则脾土营运易于变化，无复有过湿之虞。是太阴湿土，全藉肾中至阳
之气，以变化之也。若鬼，则至阴之气也，相接至久，则至阳之气，皆为至阴所盗，
阴中无阳，何以消化水谷？况鬼气又邪气也，邪气之盛，由于正气之衰，正不敌邪，
则阴气更胜，阴胜阳微，泄何能止乎？治法非补阳以去湿，助正以消阴，则泻正无
底止也。方用消阴止泻丹∶
苍术（五钱） 白术（一两） 附子（三分） 干姜（一钱） 山药（一两） 水煎服。连服十
剂不特泻止，精神亦健。
此方用苍术以祛邪，用白术以利湿，用姜附以生阳足矣，何又入山药补阴之多
事也？不知人为鬼魅所侵，不惟阳气消亡，而阴精亦必暗耗，加入山药之补阴者，
补真阴之精，非补邪阴之水也。况真阳非真阴不生，补其真阴，正所以速生阳气耳。
阳得阴而姜、附无太胜之虞，反能助二术以生至阳之气。矧山药原是健脾利水之神
物，原非纯阴无阳可比，故同用以出奇也。
此症用逐魑丹亦佳。
【背景信息】
书名：辨证录 作者：陈士铎 朝代：清 章节：大泻门（九则）(1/2) 类别：综合
原文翻译：
有人感到饥饿口渴想进食，食物咽下后腹部便觉得饱胀闷塞。必须经过剧烈腹泻后才感觉舒畅，无论早晚，一昼夜发作数次，习以为常。面色枯黄憔悴，肢体肌肉消瘦，这并非胃气虚弱，而是脾气被困阻所致。脾与胃应当分开论述：能消化但不能进食的，是胃气虚弱，原因在于心包络寒冷；能进食但不能消化的，是脾气被困阻，原因在于命门火寒。如今患者饥渴思食，食后反而饱胀，饮后反而闷塞，这是胃能受纳而脾不能运化吸收。但是，脾不能运化，怎么会导致剧烈腹泻后才感觉舒畅呢？这是因为脾属湿土，既没有温暖之气，又受到水谷的负担，于是湿气助长湿气，唯恐湿气久留伤害脾土，宁愿迅速传导排出才觉得痛快。这就好比黄河之水流入中原地区，既没有高山峻岭作为堤防，又缺少深池大泽作为蓄积，水流经过的地方，土壤松软，水势泛滥，容易冲决堤岸，波涛汹涌，连泥带水，一泻千里，无法阻挡，这也是形势使然。日积月累，不是河岸崩塌，就是堤坝迁移。脾位于人体中部的土位，其剧烈腹泻的状态，正与此相同。治疗方法不宜治胃，而宜治脾；不宜单治脾，还应兼治肾中的命门之火。方用奠土汤：白术一两、茯苓一两、砂仁五分、山药一两、人参五钱、萝卜子二钱、附子三分、半夏一钱、破故纸一钱，水煎服。
此方中白术、茯苓、人参都是健脾的圣药，附子、破故纸是辅助命门火的珍品，山药是补肾的奇味，砂仁、半夏是醒脾的灵丹，而萝卜子又是分清别浊的妙剂。服用一两次便能止泻，泻止后不必多用。即使多用也无妨碍，自能在阳气危殆时挽回，在阴液将绝时滋生。
此症用加味四君汤也有效。人参、小茴香各三钱、白术一两、山药一两、肉桂一钱、萝卜子一钱、甘草一钱、肉豆蔻一枚、茯苓五钱，水煎服。
有人长年腹泻，每天五更时分必定腹痛腹泻两三次，严重的五到六次，到了白天又不腹泻，人们以为是脾胃虚寒，谁知道这是肾与命门的虚寒呢？这种病也从脾胃虚寒而起，乃是长期腹泻导致亡失阴液，病邪由脾传入肾。如果肾中的命门之火不衰，即使脾传病于肾，久而久之肾仍会传回给脾而自愈。只有当命门火衰，不能蒸腾腐熟水谷，脾便将水湿之气传给肾而不返还。五更是亥子和子时的时刻，方位在北，正是肾水主令的时候。水寒而火不能温煦，水液便大量外泄，这种腹泻就是《内经》所说的“大瘕泻”。使用止水的方法，反而不能止住，必须使用补水的方法，使亡失的阴液迅速再生。尤其需要在补阴之中，兼补其火，这样阳气旺盛才能摄纳阴液。方用填坎汤：山茱萸一两、茯苓一两、巴戟天五钱、肉桂三钱、车前子三钱、北五味子三钱、人参三钱、芡实一两、白术二两，水煎服。服用一剂腹泻减轻，再服一剂腹泻又减轻，连续服用十剂，断不会再泻。
此方脾肾双补，又是分利水湿止泻的药物，湿气自然解除。况且得到肉桂来温煦命门之气，膀胱就容易气化水液，哪里还会流注大肠造成腹泻呢？
此症用五神丹也很好。熟地二两、山茱萸一两、五味子二钱、破故纸二钱、肉桂二钱，水煎服。
有人腹部剧烈疼痛，手不能触碰，一时之间剧烈腹泻，饮食刚入喉即吐出或排出，完谷不化，势如奔马，不可抑制，顷刻之间腹泻数十次，一天一夜约达百次，生死只在呼吸之间，这是肝经风木挟带邪气而导致的大泻。这种病得之于夏天贪凉，对着风口坐卧，将暑热之气遏制压抑不能宣发，藏伏于脾胃之内。一旦过了秋天，凉风透入，克制肝木，而肝木之风，郁结而不能舒展，于是向下克制脾胃。脾胃之热，遂与风邪交战，将腹中所有的水谷全部驱赶直下，一定要不留一丝才觉得痛快，所以腹部作痛，势头非常急迫。脾胃想要停止但风邪不肯停，脾胃想要闭合但热邪不可闭，下焦的关门大开，上焦的关门难合，所以食物刚下喉，来不及传化就立即腹泻了。治疗方法必须急救脾胃之气，然后因势利导。然而如果不是多用药饵，星夜速效补救，那么王道之法过于迟缓，很少有不立刻死亡的。方用逆挽汤：人参一两、茯苓二两、大黄一两、黄连三钱、栀子三钱、甘草三钱，水煎服。服用一剂腹痛消除，腹泻也顿时停止。
此方用人参来固护脾胃之气，则气不至于骤然脱失，然而最奇妙的是使用大黄。因为这种腹泻是火邪留滞于肠胃，不用大黄迅速驱逐，则火邪不会立刻消散，水液不会完全流尽。然而如果只用大黄而不用黄连、栀子，则火邪非常炽盛，盘踞在断涧曲溪之处，未必能迅速枯竭。三味药并用，则大小河渠，无不全部疏通宣泄。然而如果没有分消的方法，则壅塞阻滞也是可能的。加上茯苓来厘清浊气，且茯苓是健脾开胃的药，则土气既然坚固，自然没有冲决的祸患。又担心过于迅猛驱逐，邪气虽去得快，未免损伤肠阴，又佐以甘草的和缓，来调剂于快慢之间，使人参易于生气，所谓剿抚并用，没有激烈死斗的担忧，自然风浪平息，水归故道，平定立奏。
此症用参连汤也有效。人参一两、茯苓一两、白芍二两、黄连三钱、甘草一钱，水煎服，痊愈。
有人口渴饮水，忽然剧烈腹泻，一天或十余次，或数十次，昼夜之间，腹泻达数百次，完谷不化，直下无留，人们以为是火泻，谁知道是肾水不足以制约火邪呢？胃是肾的关隘，胃火必须得到肾水的制约，肾水一旦亏损，胃火必然旺盛。而体内火邪没有资助，自然索取外部的水来济助，然而外部的水只能稍微止住上焦的炎症，不能完全帮助下焦的水，所以外部的水进入后肾不接受。肾与膀胱互为表里，而膀胱也不接纳，水无从气化，于是直接趋向大肠造成腹泻。但是胃火既然旺盛，口渴饮用凉水，本应变成汗液。现在不变成汗，而变成腹泻，是因为肾水不能制约胃火的炎症，胃火必然欺负肾水的虚弱，于是挟带水液来侮犯肾，不排泄汗液而排泄水液罢了。等到后来，不仅是水液的骤然崩溃，而且火邪也骤然下降，关门不闭，上下全开，不啻如崩湍倒峡，从高而下倾泻。论其治疗方法，自然应该急救其标症，然而如果只止住腹泻，不急救其阴液，则亡阴立刻耗尽，用什么来制约火邪以保存胃气呢？方用生阴止泻汤：山茱萸二两、车前子一两、茯苓一两、白芍二两、肉桂三分、白术一两、甘草五钱、山药二两、薏仁一两，水煎服。服用一剂腹泻减少，再服一剂腹泻又减少，三剂腹泻完全停止。
此方纯粹是补肾补胃的药物，不是止泻的药剂，然而止泻的奥妙，已经存在于补阴之中，因为阳火得到阴液就会停止。如果当作胃虚有火来治疗，也能止泻，然而下利多亡失阴液，虽然暂时止住了腹泻，但阴虚怎么能迅速恢复？哪里比得上此方既能止泻，而阴阳两不相伤的做法得当呢？
此症用存阴汤也有效。熟地二两、山药一两、茯苓一两、车前子五钱、白术二两、甘草二钱、泽泻二钱，水煎服。
有人整年饮酒，不知禁忌，逞醉行房，过度泄精，日久则脾气大伤，变成水泻，一旦感受风寒，于是腹泻不止，如稀溏如积滞，人们以为是酒湿损伤脾脏，谁知道是酒湿损伤肾脏呢？脾属湿土，最厌恶的就是湿。而酒又是最湿的，幸好酒性大热，而脾也喜欢热，湿热相合，则脾不太受伤。无奈人借酒气的热，来助长命门之火，鼓动火势，以博取久战的欢愉，终究热气不可长久依赖，精气不能坚守，兴致阑珊精液泄出，火熄而湿留在肾宫了。五脏六腑的水，都依赖肾火来气化。而肾中有湿，则火去湿存，长年相伴，岁月既深，火日益衰弱而湿日益强盛，肾不能久留，仍然传出给脾。之前的酒湿未去，新的酒湿又来，于是湿盛而热也盛，脾不受热的益处，专受湿的危害，所以经年经月而腹泻。治疗方法必须大补脾肾，而后解除其湿热之毒。方用解酲止泻汤：白术一两、山茱萸一两、茯苓一两、柞木五钱、黄连三至五分、白芍五钱、附子一分，水煎服。
此方是脾肾双补的药物。用柞木、黄连来解酒毒，用茯苓、白术来消水湿，用芍药来收敛耗脱的阴液，用附子一分引导群药入肾，以扫荡湿热，而不是助长命门的虚阳。但是这个方子必须多服为佳。因为酒湿导致的腹泻，很难见效。因为湿热入肾，最不容易排出。或者在十服之后，改汤剂为丸药，早晚服用三个月，可以完全痊愈。
此症用萸柞汤也有效。山茱萸一钱、柞木枝二钱、肉桂二钱、五味子二钱、山药一两、茯苓一两，水煎服。十剂痊愈。
有人无缘无故一时腹泻，腹痛不可忍受，面色青紫嘴唇发黑，几乎不想活，肛门周围宛如刀割，腹泻如倾盆大雨，人们以为是火泻，谁知道是受毒邪而腹泻呢？毒邪必有来源，不是漫无目的地腹泻。或是吃瓜果，或是喝凉水，或是喝隔宿的茶，或是吸露天的酒，或是游览神庙阴寒之地，或是探古洞幽暗之处，或是贪睡在潮湿处，或是加餐树上的果实，或是吃牛羊自死之物，或是吞食禽鸟难化的肉，都能受毒邪而引发腹泻。虽然毒邪受于腹中，腹泻出于肠道，不是必死的病症。然而腹痛欲死，怎么可以不用药来救治呢？救治方法在解毒之中，辅以泻毒的药物，因势利导，祛毒效果更佳。方用化毒神丹：生甘草五钱、大黄一两、丹皮五钱、当归一两、雷丸三钱、蒲公英五钱，水煎服。服用一剂所中之毒无不尽出而愈，不必服第二剂。
此方中生甘草、蒲公英来解毒，合之大黄、雷丸则祛毒而没有太刚猛的恐惧，扫毒而没有过滞的忧虑，又得当归、丹皮来辅助，只驱逐毒秽，而不损伤肠阴，不是鲁莽使用的。
此症用雷轰丹也神效。雷丸二钱、红花二钱、甘草二钱、白芍五钱、车前子五钱、泽泻二钱、猪苓二钱，水煎服。
有人面黄体瘦，善于进食容易饥饿，不吃则痛，每日如此，一旦剧烈腹泻，连同虫体一起排出，如团如结，血裹脓包，人们以为是虫泻。然而虫的产生，生于湿，虫的养育，养于水谷。善于进食，虫吃则易消化；容易饥饿，虫饿则人易饿；不吃则痛，虫无食物养育，则啃咬人的肠胃。岁月既久，虫生虫，竟将肠胃之间变成巢穴，饮之食之而不肯散去，团结包裹，哪肯轻易出来呢？况且所用的饮食，供给虫子尚且不足，怎么能生津化液，以滋养五脏七腑呢？自然脏腑之气衰弱，而胃气也逐渐减弱了。胃弱则脾也弱，胃弱则食物必减少而不能入，脾弱则食物难化而不能出，日久则胃寒而脾也寒，脾胃寒冷，则虫苦于无处藏身，偶然借着热汤、热水乘机下遁而大泻。一只虫既已出行，众虫没有止遏之势，成群结队而下，团结于脓血之内，是形势必然的结果。治疗方法趁着虫迁徙之时，大力攻下，则肠胃没有残留的侵蚀。然而攻下过甚，必至损伤脾胃。在攻伐之中使用补益，则正气得到养护，虫也全部除去，是两全其美的办法。方用扫虫汤：人参五钱、白术一两、大黄三钱、白薇三钱、百部三钱、甘草一钱、乌梅一个，水煎服。服用一剂大泻虫尽出矣，不必服第二剂。服用此药后，用四君子汤调理而安。
这个方子虽然叫扫虫，实际上是补脾胃以生气。腹中生虫，至于如此之多，其损伤脾胃，不是一天了，似乎应该单补而不用攻，然而虫既已大出，不用攻虫的药，只用补剂，则脾胃之气回升，而虫也会回升，反而留下日后的祸害。所以趁其自出的时候，即用祛虫的药，虫不敢贪补而流连。况且攻伐之中，仍有补剂，只是泻虫而不耗气，是攻补并用，且善后处理得当，怎能不收全功呢？
此症用追虫丹也神奇。甘草一钱、枳壳一钱、雷丸一钱、黄连二钱、百部二钱、槟榔二钱、人参三钱、使君子肉三钱、白术五钱，水煎服。
有人脏腑不调，长期腹泻不愈，人们以为是洞泻，谁知道是肝木乘克脾土，湿气下行造成的呢？肝属木，最能克土。然而土旺则木不能克，木平则土不受克。只有肝木既旺，而土又过衰，则木来克土，而土的湿气难以安宁。人身上的脾土易衰，肝木复易旺。肝木能旺，不是肾水生之而旺，大约得之于愤怒与谋虑者居多。大怒则肝叶开张，过于谋虑不决，则失于刚断，而躁妄之念产生，都能使肝气旺盛；旺盛则肝气不能发泄，必致乘克脾土。脾乃湿土，畏惧肝木的克伐，气不上升而下降，遂致成泻。人的怒气不常有，而谋虑无休止，肝又如何能平和，而腹泻又哪里有停止的期限呢？治疗方法平抑肝木以泻水，则腹泻可止。古人有用上涌之法而有效的，有用下泄之法也有效的，然而都不是好方法。方用平泻汤：芍药二两、茯苓一两、白术二两，水煎服。服用一剂肝气平和，二剂洞泻停止，三剂不再腹泻。
此方用芍药来平抑肝木，用白术、茯苓健脾以去湿。肝气既平和，不去刑克脾土，而脾得到养护，无畏于木气的克伐。况且湿去则土燥，无波可兴，怎么能腹泻？何必用上涌来伤气，下泄来损阴，用劫夺药物来制胜呢？
此症用调脾饮也巧妙。白芍五钱、茯苓五钱、白术一两、甘草一钱、陈皮五分、神曲二钱、白豆蔻二粒，水煎服。
有人侵染鬼魅，一旦剧烈腹泻，这是阴气侵伤脾土。脾属太阴，本是阴脏，然而阴中有阳，则脾土营运易于变化，没有过多湿的忧虑。太阴湿土，全赖肾中至阳之气，来变化它。若鬼，则是至阴之气，相接太久，则至阳之气，都被至阴所窃取，阴中无阳，凭什么消化水谷？况且鬼气又是邪气，邪气之盛，由于正气之衰，正不敌邪，则阴气更胜，阴胜阳微，腹泻怎么能停止呢？治疗方法如果不补阳以去湿，助正以消阴，则腹泻正无底止。方用消阴止泻丹：苍术五钱、白术一两、附子三分、干姜一钱、山药一两，水煎服。连续服用十剂，不仅腹泻停止，精神也健壮。
此方用苍术来祛邪，用白术来利湿，用姜附来生阳足够了，为什么又加入山药补阴的多事之举呢？不知道人被鬼魅所侵，不仅阳气消亡，而阴精也必暗耗，加入山药之补阴者，是补真阴之精，不是补邪阴之水。况且真阳非真阴不生，补其真阴，正是为了迅速生发阳气。阳得到阴而姜、附没有太盛的虞忧，反而能助二术以生至阳之气。何况山药原是健脾利水的神物，原本不是纯阴无阳可比，所以同用以出奇。
此症用逐魑丹也很好。
Background Information:
Book: Bian Zheng Lu (Record of Syndrome Differentiation)
Author: Chen Shiduo
Dynasty: Qing
Chapter: Da Xie Men (Nine Cases) (1/2)
Category: Comprehensive
Translation:
There are cases where a person feels hungry and thirsty, desiring food and drink. After swallowing food, the abdomen immediately feels full and stifled. Relief is only felt after a severe diarrhea, occurring several times a day at various hours, becoming a routine. The complexion is sallow and withered, and limb muscles are emaciated. This is not due to deficiency of Stomach Qi, but rather stagnation of Spleen Qi. The Spleen and Stomach should be discussed separately: The ability to digest but inability to eat indicates deficiency of Stomach Qi, caused by cold in the Pericardium; the ability to eat but inability to digest indicates stagnation of Spleen Qi, caused by cold in the Gate of Vitality (Mingmen). Now, the patient craves food when hungry and thirsty, yet feels full after eating and stifled after drinking. This shows that the Stomach can receive but the Spleen cannot transform and transport. However, how does Spleen dysfunction lead to severe diarrhea followed by relief? It is because the Spleen belongs to Wet Earth. Lacking warm energy and burdened by food and water, dampness aids dampness. Fearing long-term retention harming the Earth, it prefers rapid transmission for relief. Consider the Yellow River flowing into the Central Plains: without high mountains as barriers or deep pools for storage, water loosens the soil and floods, easily breaching banks. Waves surge, carrying mud and water, rushing thousands of miles uncontrollably—this is the nature of the situation. Day by day, month by month, either cliffs collapse or dikes shift. The Spleen, located in the central Earth region, exhibits similar severe diarrhea patterns. Treatment should not focus on the Stomach but on the Spleen; not merely the Spleen, but also the Fire of the Kidney (Mingmen). Use Di Tu Tang (Founding Earth Decoction): Baizhu (Atractylodis Rhizoma) 30g, Fuling (Poria) 30g, Sharen (Amomi Fructus) 1.5g, Shanyao (Dioscoreae Rhizoma) 30g, Renshen (Ginseng Radix) 15g, Luobozhi (Raphani Semen) 6g, Fuzi (Aconiti Lateralis Radix Praeparata) 0.9g, Banxia (Pinelliae Rhizoma) 3g, Pogu Zhi (Psoraleae Fructus) 3g. Decoct in water and take orally.
In this formula, Baizhu, Fuling, and Renshen are sacred herbs for strengthening the Spleen; Fuzi and Pogu Zhi are divine products assisting the Mingmen Fire; Shanyao is a miraculous flavor for tonifying the Kidney; Sharen and Banxia are spiritual elixirs awakening the Spleen; and Luobozhi is a wonderful agent for separating clear from turbid. One or two doses can stop diarrhea; no need for excessive use once stopped. Even if used excessively, it causes no harm, naturally restoring Yang in critical states and generating Yin on the verge of exhaustion.
This syndrome is also effectively treated with Jia Wei Si Jun Tang (Modified Four Gentlemen Decoction): Renshen (Ginseng Radix), Xiaohuixiang (Foeniculi Fructus) each 9g, Baizhu (Atractylodis Rhizoma) 30g, Shanyao (Dioscoreae Rhizoma) 30g, Rougui (Cinnamomi Cortex) 3g, Luobozhi (Raphani Semen) 3g, Gancao (Glycyrrhizae Radix et Rhizoma) 3g, Roudoukou (Myristicae Semen) one piece, Fuling (Poria) 15g. Decoct in water and take orally.
Some people suffer from chronic diarrhea, necessarily experiencing painful diarrhea two or three times during the fifth watch (early morning, around 3-7 AM), or five to six times in severe cases, but no diarrhea occurs during the day. People assume this is deficiency-cold of the Spleen and Stomach, unaware that it is actually deficiency-cold of the Kidney and Mingmen. Such diseases originate from Spleen-Stomach deficiency-cold, leading to Yin loss from prolonged diarrhea, transmitting from Spleen to Kidney. If the Mingmen Fire in the Kidney is not depleted, even if disease transmits from Spleen to Kidney, eventually it returns from Kidney to Spleen and heals itself. Only when Mingmen Fire declines, failing to steam and rot food and water, does the Spleen transmit dampness to the Kidney without return. The fifth watch corresponds to Hai-Zi hours, located North, when Kidney Water rules. Cold water without warming fire leads to massive diarrhea; this is what Nei Jing calls "Da Jia Xie" (Great Mass Diarrhea). Using agents to stop water fails; one must use agents to replenish water, rapidly regenerating lost Yin. Crucially, within Yin tonification, one must simultaneously tonify Fire, so that robust Yang can control Yin. Use Tian Kan Tang (Filling the Abyss Decoction): Shanzhuyu (Corni Fructus) 30g, Fuling (Poria) 30g, Bajitian (Morindae Officinalis Radix) 15g, Rougui (Cinnamomi Cortex) 9g, Cheqianzi (Plantaginis Semen) 9g, Bei Wuwei Zi (Schisandrae Chinensis Fructus) 9g, Renshen (Ginseng Radix) 9g, Qianshi (Euryales Semen) 30g, Baizhu (Atractylodis Rhizoma) 60g. Decoct in water and take orally. One dose reduces diarrhea, two doses reduce it further, ten consecutive doses ensure no recurrence.
This formula tonifies both Spleen and Kidney and acts as a diuretic to stop diarrhea, resolving dampness naturally. With Rougui warming Mingmen Qi, the Bladder easily transforms water, preventing it from flowing into the Large Intestine causing diarrhea.
This syndrome is also well-treated with Wu Shen Dan (Five Spirit Pill): Shudi (Rehmanniae Radix Preparata) 60g, Shanyu (Corni Fructus) 30g, Wuweizi (Schisandrae Chinensis Fructus) 6g, Pogu Zhi (Psoraleae Fructus) 6g, Rougui (Cinnamomi Cortex) 6g. Decoct in water and take orally.
Some experience severe abdominal pain, intolerable to touch, followed by sudden severe diarrhea. Food and drink exit immediately upon entering, undigested, like a galloping horse, unstoppable. Within moments, dozens of episodes occur; daily total may reach a hundred, life hanging by a thread. This is Da Xie (Severe Diarrhea) caused by Wind-Wood of the Liver channel harboring pathogenic factors. The disease arises from summer cooling excesses, sitting/lying facing wind, suppressing summer heat so it cannot disperse, hiding within Spleen-Stomach. When autumn arrives, cool wind penetrates, overcoming Liver Wood. Liver Wind becomes stagnant and unexpressed, attacking Spleen-Stomach downward. Stomach-Spleen heat battles wind, driving all abdominal fluids and food straight down, wanting to leave nothing behind, causing severe pain and urgency. Spleen-Stomach wants to stop, but wind refuses; wants to close, but heat prevents closure. Lower Jiao gate opens wide, Upper Jiao gate hard to close, so food exits before transformation. Treatment must urgently rescue Spleen-Stomach Qi, then guide according to momentum. Without abundant medication and rapid intervention, slow King’s Way methods will likely fail fatally. Use Ni Wan Tang (Reverse Pulling Decoction): Renshen (Ginseng Radix) 30g, Fuling (Poria) 60g, Dahuang (Rhei Radix et Rhizoma) 30g, Huanglian (Coptidis Rhizoma) 9g, Zhizi (Gardeniae Fructus) 9g, Gancao (Glycyrrhizae Radix et Rhizoma) 9g. Decoct in water and take orally. One dose removes abdominal pain and stops diarrhea instantly.
This formula uses Renshen to secure Spleen-Stomach Qi, preventing sudden collapse. Most remarkably, it uses Dahuang. Since this diarrhea stems from Fire滞留 (retention) in intestines/stomach, Dahuang is needed to swiftly purge; otherwise, Fire won’t scatter, Water won’t flow. However, using only Dahuang without Huanglian and Zhizi leaves intense Fire entrenched in ravines, unlikely to dry up quickly. All three together open all channels. Yet without separation methods, blockage might persist. Adding Fuling separates clear/turbid and strengthens Spleen/Stomach opening, solidifying Earth to prevent breach. Worrying about excessive purging damaging intestinal Yin, Gancao moderates speed, aiding Renshen in generating Qi. This is combining suppression and pacification, avoiding fierce struggle, ensuring calm waters return to their course, achieving quick peace.
This syndrome is also effectively treated with Shen Lian Tang (Ginseng and Coptis Decoction): Renshen (Ginseng Radix) 30g, Fuling (Poria) 30g, Baishao (Paeoniae Radix Alba) 60g, Huanglian (Coptidis Rhizoma) 9g, Gancao (Glycyrrhizae Radix et Rhizoma) 3g. Decoct in water and take orally until cured.
Some feel thirst and drink water, then suddenly suffer severe diarrhea, ten or dozens of times a day, hundreds of times day and night, undigested food passing directly through. People assume it is Fire Diarrhea, unaware it is due to insufficient Kidney Water controlling Fire. The Stomach is the gate of the Kidney; Stomach Fire requires Kidney Water to control it. When Kidney Water declines, Stomach Fire flares. Internal Fire lacking resources seeks external water for aid. External water only briefly cools Upper Jiao inflammation, cannot fully assist Lower Jiao Water, so Kidney rejects it. Kidney and Bladder are exterior-interior; Bladder also rejects it. Water cannot transform, flows directly to Large Intestine causing diarrhea. Although Stomach Fire is strong and thirst prompts cold water intake, which should become sweat, instead it causes diarrhea because Kidney Water fails to control Stomach Fire. Stomach Fire bullies weak Kidney Water, carrying water to insult the Kidney, excreting water instead of sweat. Later, not only does water crash down, but Fire also drops sharply. Gates open, top and bottom exposed, like a waterfall crashing down. Treatment should address symptoms urgently, but stopping diarrhea without rescuing Yin leads to immediate Yin exhaustion, unable to control Fire or preserve Stomach Qi. Use Sheng Yin Zhi Xie Tang (Generate Yin Stop Diarrhea Decoction): Shanzhuyu (Corni Fructus) 60g, Cheqianzi (Plantaginis Semen) 30g, Fuling (Poria) 30g, Baishao (Paeoniae Radix Alba) 60g, Rougui (Cinnamomi Cortex) 0.9g, Baizhu (Atractylodis Rhizoma) 30g, Gancao (Glycyrrhizae Radix et Rhizoma) 15g, Shanyao (Dioscoreae Rhizoma) 60g, Yiren (Coicis Semen) 30g. Decoct in water and take orally. One dose reduces diarrhea, two doses reduce it further, three doses stop it completely.
This formula purely tonifies Kidney and Stomach, not a direct anti-diarrheal, yet its miracle lies in Yin tonification, as Yang Fire stops upon receiving Yin. Treating as Stomach deficiency with Fire might stop diarrhea temporarily, but profuse diarrhea loses Yin, which cannot recover quickly. This formula stops diarrhea while protecting both Yin and Yang, which is superior.
This syndrome is also effectively treated with Cun Yin Tang (Preserve Yin Decoction): Shudi (Rehmanniae Radix Preparata) 60g, Shanyao (Dioscoreae Rhizoma) 30g, Fuling (Poria) 30g, Cheqianzi (Plantaginis Semen) 15g, Baizhu (Atractylodis Rhizoma) 60g, Gancao (Glycyrrhizae Radix et Rhizoma) 6g, Zexie (Alismatis Rhizoma) 6g. Decoct in water and take orally.
Some drink alcohol year-round without restraint, engaging in sexual activity while drunk, excessively leaking essence. Over time, Spleen Qi is severely damaged, turning into watery diarrhea. Upon catching wind-cold, diarrhea becomes unremitting, loose and accumulated-like. People attribute this to Alcohol-Damp injuring Spleen, unaware it injures the Kidney. Spleen is Wet Earth, hating dampness most. Alcohol is extremely damp, but its nature is hot, and Spleen likes heat. Heat-damp combination doesn’t severely hurt Spleen. However, people use alcohol’s heat to boost Mingmen Fire, fanning flames for prolonged intercourse. Heat cannot last, essence cannot hold; when excitement fades and essence leaks, fire dies, leaving dampness in the Kidney Palace. Fluids of all organs rely on Kidney Fire for transformation. Dampness in Kidney means Fire departs, Damp remains, accompanying for years. As Fire declines and Damp increases, Kidney cannot retain it, transmitting back to Spleen. Previous alcohol-damp remains, new alcohol-damp arrives. Damp and Heat flourish. Spleen receives no benefit from Heat, only harm from Damp, causing chronic diarrhea. Treatment must greatly tonify Spleen-Kidney, then resolve Heat-Damp toxicity. Use Jie Cheng Zhi Xie Tang (Resolve Intoxication Stop Diarrhea Decoction): Baizhu (Atractylodis Rhizoma) 30g, Shanzhuyu (Corni Fructus) 30g, Fuling (Poria) 30g, Zuomu (Quercus variabilis Bark) 15g, Huanglian (Coptidis Rhizoma) 4.5-9g, Baishao (Paeoniae Radix Alba) 15g, Fuzi (Aconiti Lateralis Radix Praeparata) 0.3g. Decoct in water and take orally.
This formula tonifies Spleen and Kidney. Zuomu and Huanglian resolve alcohol toxicity; Fuling and Baizhu eliminate water-damp; Shaoyao gathers consumed Yin; a small amount of Fuzi guides herbs into Kidney to sweep Heat-Damp, not boosting deficient Mingmen Yang. This formula requires prolonged use. Alcohol-damp diarrhea is hard to cure because Heat-Damp entering Kidney is difficult to expel. After ten doses, switch to pills, taken morning and evening for three months for full recovery.
This syndrome is also effectively treated with Yu Zuo Tang (Cornus and Quercus Decoction): Shanzhuyu (Corni Fructus) 3g, Zuomu Zhi (Quercus variabilis Branch) 6g, Rougui (Cinnamomi Cortex) 6g, Wuweizi (Schisandrae Chinensis Fructus) 6g, Shanyao (Dioscoreae Rhizoma) 30g, Fuling (Poria) 30g. Decoct in water and take orally. Ten doses cure.
Some experience sudden, unprovoked diarrhea with unbearable abdominal pain, blue face, black lips, near death, anus feeling like knife-cutting, diarrhea pouring like rain. People assume Fire Diarrhea, unaware it is Toxic Diarrhea. Toxins have sources: eating melons/fruits, drinking cold water, overnight tea, outdoor wine, visiting cold temple spots, exploring dark caves, sleeping in damp places, eating tree fruits, consuming dead cattle/sheep, or indigestible bird meat. Though toxin enters abdomen and diarrhea exits intestine, it’s not necessarily fatal. But severe pain demands rescue. Method: detoxify while aiding toxin expulsion, guiding momentum for superior results. Use Hua Du Shen Dan (Transform Toxin Divine Pill): Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) 15g, Dahuang (Rhei Radix et Rhizoma) 30g, Danpi (Moutan Cortex) 15g, Danggui (Angelicae Sinensis Radix) 30g, Leiwan (Omphalophaga Melli Fermentum) 9g, Pugongying (Taraxaci Herba) 15g. Decoct in water and take orally. One dose expels all toxins and cures; no second dose needed.
Sheng Gancao and Pugongying detoxify; combined with Dahuang and Leiwan, they purge toxins without excessive harshness or stagnation risk. Danggui and Danpi assist,驱逐 (expelling) toxin filth without damaging intestinal Yin. Not reckless usage.
This syndrome is also miraculously treated with Lei Hong Dan (Thunder Bomb Pill): Leiwan (Omphalophaga Melli Fermentum) 6g, Honghua (Carthami Flos) 6g, Gancao (Glycyrrhizae Radix et Rhizoma) 6g, Baishao (Paeoniae Radix Alba) 15g, Cheqianzi (Plantaginis Semen) 15g, Zexie (Alismatis Rhizoma) 6g, Zhuling (Polyporus) 6g. Decoct in water and take orally.
Some have sallow faces, thin bodies, good appetite, easy hunger, pain if not eating, daily routine. Suddenly severe diarrhea passes worms in clumps, blood-wrapped pus packets. People assume Worm Diarrhea. Worms arise from dampness, nourished by food/water. Good appetite means worms eat, digestion speeds up; easy hunger means worms starve, human feels hungry; pain without eating means worms lack food, gnawing intestines. Years pass, worms multiply, turning gut into nests, refusing to scatter despite feeding. Food supplies worms but fails to generate fluids/nourish organs. Organ Qi declines, Stomach Qi weakens. Weak Stomach leads to Weak Spleen; weak Stomach reduces intake; weak Spleen impedes output. Long-term leads to Cold Stomach/Spleen. Cold environment makes worms seek warmth, escaping via hot water decoctions causing severe diarrhea. Once one worm moves, others follow, forming groups in pus/blood, inevitable outcome. Treatment: attack heavily during worm migration to clear gut erosion. However, excessive purging damages Spleen-Stomach. Combine attack with tonification to support Righteous Qi and eliminate worms, a dual benefit. Use Sao Chong Tang (Sweep Worms Decoction): Renshen (Ginseng Radix) 15g, Baizhu (Atractylodis Rhizoma) 30g, Dahuang (Rhei Radix et Rhizoma) 9g, Baiwei (Cleome Herba) 9g, Baibu (Stemonae Radix) 9g, Gancao (Glycyrrhizae Radix et Rhizoma) 3g, Wumei (Mume Fructus) one piece. Decoct in water and take orally. One dose causes massive diarrhea expelling all worms; no second dose needed. Follow with Si Jun Zi Tang (Four Gentlemen Decoction) for regulation and safety.
Though called Sweep Worms, this actually tonifies Spleen-Stomach to generate Qi. Worm infestation damages Spleen-Stomach over time. One might think pure tonification suffices, but if worms exit heavily without purgatives, only tonics used, Spleen-Stomach Qi recovers, but worms also recover, causing future harm. Thus, use vermifuges when worms self-expel, preventing them from lingering on tonics. Attack contains tonification, expelling worms without depleting Qi. Attack and tonify together, proper aftercare ensures complete success.
This syndrome is also miraculously treated with Zhui Chong Dan (Chase Worms Pill): Gancao (Glycyrrhizae Radix et Rhizoma) 3g, Zhike (Aurantii Fructus Immaturus) 3g, Leiwan (Omphalophaga Melli Fermentum) 3g, Huanglian (Coptidis Rhizoma) 6g, Baibu (Stemonae Radix) 6g, Binglang (Arecae Semen) 6g, Renshen (Ginseng Radix) 9g, Shijunzi Rou (Quisqualis Semen Endocarpium) 9g, Baizhu (Atractylodis Rhizoma) 15g. Decoct in water and take orally.
Some have disharmonious organs, chronic unresolved diarrhea, assumed to be Hole Diarrhea, but actually caused by Liver overcoming Spleen Earth, descending dampness. Liver belongs to Wood, best at overcoming Earth. But if Earth is robust, Wood cannot overcome; if Wood is balanced, Earth is not harmed. Only when Liver Wood is hyperactive and Earth is severely deficient does Wood overcome Earth, making Earth’s dampness unstable. Human Spleen Earth easily declines, Liver Wood easily rises. Liver rise isn’t just from Kidney Water nourishment, mostly from anger and overthinking. Great anger opens Liver lobes; excessive deliberation lacks decisiveness, generating restless thoughts, all causing Liver Qi hyperactivity. Hyperactive Qi cannot vent, attacks Spleen. Spleen is Wet Earth, fearing Wood attack, Qi descends instead of rising, causing diarrhea. Anger is intermittent, thinking endless, so Liver cannot balance, diarrhea has no end. Treatment: calm Liver to drain water, stopping diarrhea. Ancients used inducing vomiting or purging methods successfully, but neither is ideal. Use Ping Xie Tang (Calm Drain Decoction): Shaoyao (Paeoniae Radix) 60g, Fuling (Poria) 30g, Baizhu (Atractylodis Rhizoma) 60g. Decoct in water and take orally. One dose calms Liver Qi, two doses stop hole diarrhea, three doses prevent recurrence.
Shaoyao calms Liver; Baizhu and Fuling strengthen Spleen to remove damp. Calmed Liver doesn’t punish Earth; Spleen nurtured, fears no Wood attack. Damp removal dries Earth, no waves rise, no diarrhea. Why use vomiting to damage Qi or purging to damage Yin, using coercive drugs to win?
This syndrome is also excellently treated with Tiao Pi Yin (Regulate Spleen Drink): Baishao (Paeoniae Radix Alba) 15g, Fuling (Poria) 15g, Baizhu (Atractylodis Rhizoma) 30g, Gancao (Glycyrrhizae Radix et Rhizoma) 3g, Chenpi (Citri Reticulatae Pericarpium) 1.5g, Shenqu (Massae Medicatae Fermentatae) 6g, Baidoukou (Amomi Fructus Rotundus) two grains. Decoct in water and take orally.
Some infected by ghosts/spirits suffer sudden severe diarrhea, Yin Qi invading Spleen Earth. Spleen is Taiyin, inherently Yin organ, but Yin contains Yang, allowing Spleen Earth to circulate and change, avoiding excessive dampness. Taiyin Wet Earth relies entirely on Kidney’s Supreme Yang Qi for transformation. Ghosts are Supreme Yin Qi. Prolonged contact steals Supreme Yang, leaving Yin without Yang, unable to digest food/water. Ghost Qi is also Evil Qi; evil strength comes from righteous weakness. Righteousness fails evil, Yin wins, Yang weakens, diarrhea unstoppable. Treatment: tonify Yang to remove damp, assist Righteousness to eliminate Yin, otherwise diarrhea never ends. Use Xiao Yin Zhi Xie Dan (Eliminate Yin Stop Diarrhea Pill): Cangzhu (Atractylodis Rhizoma) 15g, Baizhu (Atractylodis Rhizoma) 30g, Fuzi (Aconiti Lateralis Radix Praeparata) 0.9g, Ganjiang (Zingiberis Rhizoma) 3g, Shanyao (Dioscoreae Rhizoma) 30g. Decoct in water and take orally. Ten consecutive doses stop diarrhea and restore spirit.
Cangzhu dispels evil, Baizhu promotes dampness, Ginger/Aconite generate Yang sufficiently. Why add Shanyao for Yin tonification? Being ghost-infected consumes not only Yang but secretly drains Yin Essence. Shanyao tonifies True Yin Essence, not Evil Yin Water. True Yang needs True Yin to generate; tonifying True Yin speeds Yang generation. Yang receiving Yin prevents Ginger/Aconite from being too excessive, helping Er Zhu generate Supreme Yang. Moreover, Shanyao is a divine object for strengthening Spleen/drainage, not purely Yin without Yang. Combined, they achieve novelty.
This syndrome is also well-treated with Zhu Chi Dan (Expel Demon Pill).