产后血去气损，脾胃亦虚，风冷易乘，饮食易伤，少失调理即有霍乱，心腹绞痛，手足
逆冷，吐泻并作，用加味理中汤∶党参、白术、炙草、干姜（煨）、陈皮、藿香、浓朴，姜
三
产后中风虚损，寒邪易侵，若失调理，外伤风寒，内伤生冷，以致脾胃疼痛，泄泻不止
，用上理中汤。如泻不止者，再加肉桂、豆蔻（面包煨），共为末，蜜丸，米汤下。
湿多成泄，暴注下迫，皆属于热。赤白痢者，乃湿热所为也。故赤者属热，自小肠而来
，白者属湿，从大肠而来。俗云∶赤为热，白为寒，非也。无积不成痢，盖由产母平日不肯
忌口，伤于饮食，停滞于中，以致中风虚损，不能调理，宿积发动而为痢也。亦有因子下之
时，多食鸡蛋与鸡，致伤脾胃，难以克化，停滞而成痢也。务宜详审斟酌，以施治法，庶不
误人。
如果新产之时，饮食过伤者，其症腹中胀痛，里急窘迫，身热口渴，六脉数实，宜下之
。用加味小承气汤∶枳实（麦面炒）、浓朴（姜炒）各二钱，大黄（酒炒）二钱五分，炙草
一钱，
如新产后，未有所伤，其脉其症与上却同者，此宿食为病也，宜消而去之。用枳实汤∶
枳实（麦面炒）、木香、炙草各一钱，浓朴（姜炒）二钱，槟榔钱半，生姜三片，水煎服，
快利
如无新旧食积，下痢赤白，腹痛窘迫，脉沉数者，此虚痢也。宜行气和血为主，用当归
芍花汤∶归身、党参、陈皮、白芍（酒炒）、茯苓各一钱，炙草、炮姜、木香各五分，枳壳
（
如久痢不止者，此气虚血少，肠滑不禁也。用四君子汤加白芍、乌梅、瞿麦、粟壳。
又有产后恶露不下，以致败血渗入大肠而利鲜血者，腹中刺痛，里不急后不重是也。枳
壳（面炒）钱半，芥穗（略炒）二钱半，水煎服，神效。
以上痢症，如恐用药错误，用山楂三钱，以陈灶心土拌炒成炭，去土将山楂研末，加红
糖、米汤调服，其效如神。或照卷七痢疾门各方斟酌治之。
产后失血导致气虚，脾胃功能也随之虚弱，风冷之邪容易侵袭，饮食也易受损，稍加调理不当就会引发霍乱，出现心腹剧烈绞痛、手足逆冷、呕吐与腹泻同时发作的症状，使用加味理中汤：党参、白术、炙甘草、干姜（煨制）、陈皮、藿香、厚朴，生姜三片。
产后中风且身体虚损，寒邪容易入侵，如果调理失当，外受风寒，内伤生冷，导致脾胃疼痛，腹泻不止，使用上方理中汤。如果腹泻仍不止，再加肉桂、豆蔻（用面粉包裹后煨制），共同研为细末，蜂蜜炼丸，米汤送服。
湿气重则形成泄泻，突然急剧的水样腹泻，都属于热证。赤白痢疾，是由湿热引起的。所以便血属热，病源来自小肠；便白脓属湿，病源来自大肠。俗语说：“红色代表热，白色代表寒”，这是错误的。没有积滞就不会形成痢疾，大概是因为产妇平时不注意忌口，饮食受伤，停滞在体内，加上产后中风虚损，无法自我调理，宿存的积滞发动而成为痢疾。也有因为分娩时多吃鸡蛋和鸡肉，损伤脾胃，难以消化，停滞而成痢疾的。务必详细审察斟酌，以施治法，才不会误人。
如果是新近生产之时，饮食过度损伤，症状表现为腹部胀痛，里急后重，身体发热口渴，六脉数而有力，应当使用攻下法。使用加味小承气汤：枳实（麦面炒）、厚朴（姜炒）各二钱，大黄（酒炒）二钱五分，炙甘草一钱。
如果是新产后，并没有饮食所伤，但其脉象和症状与上述相同，这是宿食致病，应当消导去除。使用枳实汤：枳实（麦面炒）、木香、炙甘草各一钱，厚朴（姜炒）二钱，槟榔一钱半，生姜三片，水煎服，使大便通畅。
如果没有新旧食积，却下痢赤白，腹痛窘迫，脉沉数，这是虚痢。应当以行气和血为主，使用当归芍药汤：当归身、党参、陈皮、白芍（酒炒）、茯苓各一钱，炙甘草、炮姜、木香各五分，枳壳（麸皮炒）……（原文此处截断，依语境补全逻辑，但翻译需忠实原文，故仅译出可见部分）。
如果久痢不止，这是气虚血少，肠道滑脱不禁。使用四君子汤加白芍、乌梅、瞿麦、粟壳。
又有产后恶露不下，导致败血渗入大肠而排出鲜血的，表现为腹中刺痛，里急后重感不明显。使用枳壳（麸皮炒）一钱半，荆芥穗（略炒）二钱半，水煎服，效果神奇。
以上痢症，如果担心用药错误，可用山楂三钱，用陈年灶心土拌炒成炭，去掉泥土后将山楂研为细末，加入红糖、米汤调服，其效如神。或者参照卷七痢疾门各方酌情治疗。
After childbirth, blood loss leads to Qi deficiency, and the Spleen and Stomach also become weak. Wind-cold pathogens easily invade, and dietary intake is easily damaged. If care is slightly neglected, Huoluan (Cholera-like syndrome with vomiting and diarrhea) may occur, characterized by severe cramping pain in the heart and abdomen, coldness of the hands and feet, and simultaneous vomiting and diarrhea. Use Jiawei Lizhong Tang (Modified Cinnamon Twig Decoction): Dangshen (Codonopsis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhigancao (Prepared Licorice Root), Ganjiang (Dried Ginger, baked), Chenpi (Tangerine Peel), Huoxiang (Patchouli Herb), Houpo (Magnolia Bark), and three slices of Shengjiang (Fresh Ginger).
Postpartum wind-stroke with deficiency and damage makes it easy for Cold pathogens to invade. If management is improper, external exposure to Wind-Cold and internal injury from raw or cold foods can lead to Spleen-Stomach pain and unceasing diarrhea. Use the aforementioned Lizhong Tang. If diarrhea persists, add Rougui (Cinnamon Bark) and Doukou (Cardamom Seed, wrapped in flour and baked), grind them into powder, form pills with honey, and take with Rice Decoction.
Excess dampness leads to diarrhea; sudden, violent watery stools belong to Heat. Dysentery with red and white discharge is caused by Damp-Heat. Therefore, red discharge belongs to Heat and originates from the Small Intestine; white discharge belongs to Dampness and originates from the Large Intestine. The common saying "red indicates Heat, white indicates Cold" is incorrect. Without stagnation, there is no dysentery. This is generally because the postpartum woman did not observe dietary restrictions previously, injuring her diet, causing stagnation in the middle Jiao. Combined with postpartum wind-stroke and deficiency, she cannot regulate herself, causing old stagnation to activate and result in dysentery. There are also cases where eating too many eggs and chicken during delivery injures the Spleen and Stomach, making digestion difficult, leading to stagnation and dysentery. One must carefully examine and deliberate to apply treatment methods, so as not to harm patients.
If at the time of recent childbirth, dietary overindulgence causes injury, symptoms include abdominal distension and pain, tenesmus (urgent need to defecate with little output), fever, thirst, and rapid, full pulses in all six positions. Purging should be employed. Use Jiawei Xiaochengqi Tang (Modified Minor Order the Qi Decoction): Zhishi (Immature Bitter Orange, stir-fried with wheat bran), Houpo (Magnolia Bark, stir-fried with ginger) each 2 qian, Dahuang (Rhubarb Root, stir-fried with wine) 2.5 qian, Zhigancao (Prepared Licorice Root) 1 qian.
If after recent childbirth, there has been no dietary injury, but the pulse and symptoms are the same as above, this is due to retained food. It should be resolved and expelled. Use Zhishi Tang (Immature Bitter Orange Decoction): Zhishi (Immature Bitter Orange, stir-fried with wheat bran), Muxiang (Costus Root), Zhigancao (Prepared Licorice Root) each 1 qian, Houpo (Magnolia Bark, stir-fried with ginger) 2 qian, Binglang (Areca Seed) 1.5 qian, Shengjiang (Fresh Ginger) 3 slices. Decoct in water and take. It promotes smooth bowel movement.
If there is no new or old food stagnation, yet dysentery with red and white discharge occurs, accompanied by abdominal pain, tenesmus, and a deep, rapid pulse, this is Deficiency Dysentery. Treatment should focus on regulating Qi and nourishing Blood. Use Danggui Shaoyao San (Angelica and Peony Powder): Dangguishen (Radix Angelicae Sinensis, root portion), Dangshen (Codonopsis Radix), Chenpi (Tangerine Peel), Shaoyao (White Peony Root, stir-fried with wine), Fuling (Poria) each 1 qian, Zhigancao (Prepared Licorice Root), Paojiang (Prepared Ginger), Muxiang (Costus Root) each 0.5 qian, Zhike (Bitter Orange Fruit, stir-fried with bran)... [Text cuts off here].
If chronic dysentery persists, this indicates Qi deficiency and Blood insufficiency, with intestinal slipping and inability to control defecation. Use Sijunzi Tang (Four Gentlemen Decoction) plus Shaoyao (White Peony Root), Wumei (Mume Fruit), Qumai (Herba Desmodii Styracifolii), and Suké (Poppy Shell).
In cases where Lochia (postpartum uterine discharge) does not flow down, causing败血 (stagnant blood) to seep into the Large Intestine and resulting in bloody stool, the symptom is stabbing abdominal pain without significant tenesmus or heaviness. Use Zhike (Bitter Orange Fruit, stir-fried with bran) 1.5 qian, Jiesui (Schizonepeta Spike, lightly stir-fried) 2.5 qian. Decoct in water and take; the effect is miraculous.
For the above dysentery syndromes, if one fears medication errors, use Shan Zha (Hawthorn Fruit) 3 qian, stir-fried with Chen Zaoshintu (Old Hearth Soil) until charred, remove the soil, grind the Hawthorn into powder, mix with Hongtang (Brown Sugar) and Rice Decoction, and take orally; the effect is miraculous. Alternatively, refer to the formulas in the Dysentery section of Volume 7 for appropriate treatment.