疮疡泄泻不止，或因脓血出多，脾气有伤；或命门火衰不能生土；或脾气虚寒，不能司摄；或禀肾虚不能禁固；或
乳母脾胃亏损，元气下陷，致儿为患。若泻而烦热无寐，脾气虚也，用东垣圣愈汤。泻而口干饮汤，胃气虚也，用钱氏
白术散。泻而烦渴饮水，胃经有热也，用东垣泻黄散。泻而色黄，饮食不化，或腹中作痛，脾气虚弱也，用六君加木香。
泻而色黄，小腹重坠；或大便去而不了，脾气下陷也，用补中益气汤。泻而色青，饮食少思，腹中作痛，肝木侮土也，
用六君、木香、升麻、柴胡。东垣先生云∶诊右关脉弦，风邪伤脾也，用芍药甘草汤之类。右关脉洪，热邪伤脾也，用
三黄丸之类。右关脉缓，本经湿热伤脾也，用平胃散之类。右关脉涩，燥邪伤脾也，用异功散加当归；或四君子汤加熟
地黄之类。右关脉沉细，寒邪伤脾也，用益黄散、理中丸之类，寒甚加附子。大凡饮沸汤而不知热者，阳气虚寒之症也，
急用四君、桂、附。饮冰水而不知寒者，阳气亢热之症也，急用清凉饮之类。又法以手足并冷者为虚寒，用五味异功散
加姜、桂，不应，急加附子。手足不热者，为虚热，用五味异功散、七味白术散。手足并热者为实热，用泻黄散。多有
更生者。
一小儿臂痈久溃，饮食后即泄泻，小腹重坠，面色或痿黄，或皎白，两寸脉短不及本位，按之若无，此脾气虚寒下
陷，不能升化而然，用八味丸补命门火，佐以益气汤以倍胃气，月余渐愈，更佐以二神丸，两月余而疮愈。
一小儿腿痈溃后泄泻，饮食少思，手足并冷，多在侵晨夜间，此变脾肾虚寒也，用四神丸、六君、姜、桂渐愈，以
益气汤间服而愈。
一小儿便痈久不愈，泄泻面黄，手足时冷，小腹重坠，此脾气虚弱下陷之恶症也，朝用益气汤，内人参五钱、白术
二钱；夕用异功散、内人参三钱、白术二钱，更以人参二两煎汤代茶，两月余而愈。至十七岁毕姻后，患便痈泄泻，手
足并冷几危，余谓命门火衰，用八味丸、益气汤而愈。
一小儿流注，溃后作泻，饮食难化，余谓脾气虚弱，用六君子汤而愈。后因停食泄泻，手足并冷，用六君、姜、桂，
不应，用人参一两、附子一钱数剂，诸症始退，却用独参汤，月许而愈。
一小儿瘰 泄泻，面青腹胀。审乳母乳头、乳房作痛，盖乳房属胃经，乳头属肝经，乃肝木胜脾土而然耳，儿病正
属是经，乃母子同病也，朝用益气汤，夕用六君、升麻、柴胡为主，佐以肥儿丸，母子同服并愈。
一小儿瘰 泄泻，服分利之剂，小便不利，面黄少食，余谓因脾肺气虚，不能分布诸脏，朝用益气汤，夕用异功散，
诸症悉愈。
一小儿瘰 作泻，面青腹胀，此脾虚而肝侮也，用异功散为主，以四味肥儿丸为佐，诸症渐愈；却用肥儿丸为主，
异功散为佐而愈。
一小儿臀痈久不愈，大便泄泻，小便不调，发热作渴，余谓肾开窍于二阴，故二便不调，此禀肾气虚热而然也。用
地黄丸、益气汤之类，诸症渐退，肌肉渐生，疮口自愈。
一小儿瘰 兼泻，形气骨立，此肝脾疳症，用异功散三剂，却用蚵蟆丸一服，月余而愈。
一小儿十五岁，已近女色，患此，服十宣散，久不愈，余谓当大补元气。不信，致恶寒发热，或作渴唾痰，或头目
眩晕，或手足发热，去后大小便牵痛，形体骨立，余谓此精血未满而亏损所致，用补中益气汤、加减八味丸，日以人参
二两煎汤代茶，三月余而愈。
一小儿十五岁，腿痈将愈而作泻，余用补中益气汤，及六君子汤而愈。后因功课劳神，饮食失节，或时复泻，余谓
胃气未复，仍用前药。不信，另服消导之药，泄泻不止而殁。夫胃气和平，饮食入胃，精气则输于脾土，归于肺，行于
百脉，而成荣卫。若饮食一伤，起居不时，损其胃气，则上升精华之气，反下降而飧泄，非升阳补气，决不能愈。
八味地黄丸 治诸疮因命门火衰，不能生脾土，致血气虚弱，不能生肌，而疮口不合，或变诸败症。又诸疮愈
后，小便频数，大便作泄，饮食不入，作渴发热，肌肉不生之圣药。但世人未经试验而不信用，惜哉！
熟地黄（用生地黄酒浸透，砂器内九蒸九晒，仍晒干，八两） 山茱萸（酒拌取肉） 山药（各四两） 牡丹皮
白茯苓 泽泻（各三两） 炮附子（一两） 肉桂（用浓者括去外皮净一两）
上以地黄酒拌湿杵膏，各味为末和匀，再入酒糊丸少许，量大小白汤送下。
四神丸 治疮疡，脾虚胃弱，大便不实，饮食少思，或泄泻腹痛。又治肾虚五更初泻。
肉豆蔻（二两） 补骨子（四两） 五味子（二两） 吴茱萸（一两）
上为细末，用红枣六十五枚，生姜六两，水二钟煮干，取枣肉，丸桐子大。每服二三十丸，白汤送下，或化服。
二神丸 治疮疡，因脾肾阴虚泄泻。
补骨脂（四两） 肉豆蔻（二两生用）
上为末，用红枣四十九枚，生姜四两，水一钟，煮干，取枣肉，丸桐子大。每服二三十丸，白滚汤下。
补中益气汤（方见肌肉不生）
五味异功散（方见用败毒之药）
六味地黄丸（方见作渴不止）
六君子汤（方见腋痈）
独参汤（方见出血不止）
四味肥儿丸（方见贴骨痈）
蚵蟆汤（方见诸疽口疮，即蟾蜍丸）
Ulcer-related diarrhea that does not stop may be caused by excessive loss of pus and blood, injuring the Spleen Qi; or by the decline of Mingmen Fire failing to warm the Earth (Spleen); or by deficiency-cold of the Spleen Qi failing to control and retain; or by congenital Kidney deficiency failing to secure; or by damage to the lactating mother's Spleen and Stomach with sinking of Yuan Qi, thereby affecting the infant. If diarrhea is accompanied by irritability, heat, and insomnia, it indicates Spleen Qi deficiency; use Dongyuan's Shengyu Tang. If diarrhea is accompanied by dry mouth and desire to drink hot water, it indicates Stomach Qi deficiency; use Qianyi's Baizhu San. If diarrhea is accompanied by irritability, thirst, and desire to drink water, it indicates Heat in the Stomach Meridian; use Dongyuan's Xiehuang San. If diarrhea presents with yellow stool, undigested food, or abdominal pain, it indicates Spleen Qi deficiency; use Liujunzi Tang plus Muxiang. If diarrhea presents with yellow stool and a heavy, bearing-down sensation in the lower abdomen; or incomplete evacuation, it indicates Sinking of Spleen Qi; use Buzhong Yiqi Tang. If diarrhea presents with green stool, poor appetite, and abdominal pain, it indicates Liver Wood overacting on Spleen Earth; use Liujunzi Tang, Muxiang, Shengma, and Chaihu. Mr. Dongyuan stated: A wiry pulse at the Right Guan position indicates Wind pathogen injuring the Spleen; use Shaoyao Gancao Tang. A surging pulse at the Right Guan position indicates Heat pathogen injuring the Spleen; use Sanhuang Wan. A slow pulse at the Right Guan position indicates Damp-Heat in the meridian injuring the Spleen; use Pingwei San. A choppy pulse at the Right Guan position indicates Dryness pathogen injuring the Spleen; use Yigong San plus Danggui; or Sijunzi Tang plus Shudihuang. A deep and fine pulse at the Right Guan position indicates Cold pathogen injuring the Spleen; use Yihuang San, Lizhong Wan, etc.; add Fuzi if cold is severe. Generally, those who drink boiling water but feel no heat have symptoms of Yang deficiency and cold; urgently use Sijunzi Tang plus Guizhi and Fuzi. Those who drink ice water but feel no cold have symptoms of hyperactive Yang and heat; urgently use Qingliang Yin. Another method: Cold hands and feet indicate deficiency-cold; use Wuwei Yigong San plus Shengjiang and Guizhi. If ineffective, urgently add Fuzi. Hands and feet that are not hot indicate deficiency-heat; use Wuwei Yigong San and Qiwei Bashu San. Hot hands and feet indicate excess-heat; use Xiehuang San. There are many cases of recurrence.
A child with a chronic ulcer on the arm developed diarrhea after eating, with a heavy, bearing-down sensation in the lower abdomen, and a sallow or pale complexion. The Cun pulses at both wrists were short and did not reach their normal position, feeling empty upon pressure. This was due to deficiency-cold and sinking of Spleen Qi, failing to ascend and transform. Use Bawei Wan to tonify Mingmen Fire, assisted by Yiqi Tang to double the Stomach Qi. After more than a month, gradual improvement occurred, further assisted by Ershen Wan, healing completely after two months.
A child with an ulcer on the leg developed diarrhea after suppuration, with poor appetite and cold hands and feet, occurring mostly in the early morning and night. This transformed into deficiency-cold of the Spleen and Kidney. Use Siming Wan, Liujunzi Tang, Shengjiang, and Guizhi for gradual improvement, intermixed with Yiqi Tang until cured.
A child with a chronic perianal abscess developed diarrhea, sallow complexion, intermittent cold hands and feet, and a heavy, bearing-down sensation in the lower abdomen. This was a serious condition of deficiency and sinking of Spleen Qi. In the morning, use Yiqi Tang containing Renshen 5 qian and Baizhu 2 qian; in the evening, use Yigong San containing Renshen 3 qian and Baizhu 2 qian. Additionally, decoct 2 liang of Renshen as tea. Healed after more than two months. At age seventeen, after marriage, he suffered from perianal abscess and diarrhea with cold hands and feet, nearly fatal. I diagnosed this as decline of Mingmen Fire and used Bawei Wan and Yiqi Tang to cure him.
A child with phlegm-nodules (multiple abscesses) developed diarrhea after suppuration, with difficulty digesting food. I diagnosed this as Spleen Qi deficiency and used Liujunzi Tang to cure him. Later, due to food stagnation causing diarrhea and cold hands and feet, I used Liujunzi Tang with Shengjiang and Guizhi. When ineffective, I administered Renshen 1 liang and Fuzi 1 qian for several doses, after which all symptoms subsided. Then, I used Dushen Tang, curing him after about a month.
A child with scrofula developed diarrhea, a bluish complexion, and abdominal distension. Upon inquiry, the lactating mother had pain in her nipples and breasts. Since the breasts belong to the Stomach Meridian and the nipples to the Liver Meridian, this was caused by Liver Wood overacting on Spleen Earth. The child's disease belonged to these meridians, representing a mother-child concurrent illness. In the morning, use Yiqi Tang; in the evening, use Liujunzi Tang as the main formula, adding Shengma and Chaihu, assisted by Fei'er Wan. Both mother and child took the medicine and recovered together.
A child with scrofula developed diarrhea. After taking diuretic agents, urination became difficult, with a sallow complexion and poor appetite. I diagnosed this as deficiency of Spleen and Lung Qi, failing to distribute nutrients to the viscera. In the morning, use Yiqi Tang; in the evening, use Yigong San. All symptoms resolved.
A child with scrofula developed diarrhea, a bluish complexion, and abdominal distension. This was Spleen deficiency with Liver overaction. Use Yigong San as the main formula, assisted by Siwei Fei'er Wan. Symptoms gradually improved; later, switch to Fei'er Wan as the main formula and Yigong San as the assistant to achieve cure.
A child with a chronic buttock abscess developed diarrhea, irregular urination and defecation, fever, and thirst. I reasoned that the Kidney opens into the two yin orifices, hence the irregularity of urination and defecation. This was due to congenital Kidney Qi deficiency and heat. Use Dihuang Wan and Yiqi Tang. Symptoms gradually receded, muscles regenerated, and the wound healed spontaneously.
A child with scrofula and diarrhea presented with emaciation. This was Liver-Spleen malnutrition syndrome. Use Yigong San for three doses, then administer Ema Wan once. Cured after more than a month.
A fifteen-year-old boy, engaging in sexual activity prematurely, suffered from this condition. He took Shixuan San without success. I advised strongly tonifying Yuan Qi. He refused, leading to aversion to cold and fever, thirst with expectoration, dizziness, hot hands and feet, and painful defecation/urination. His body became emaciated. I diagnosed this as depletion of essence and blood before full maturity. Use Buzhong Yiqi Tang and Jiaban Bawei Wan, decocting 2 liang of Renshen daily as tea. Cured after more than three months.
A fifteen-year-old boy developed diarrhea as his leg abscess was healing. I used Buzhong Yiqi Tang and Liujunzi Tang to cure him. Later, due to mental fatigue from studies and irregular diet, diarrhea recurred. I diagnosed unrestored Stomach Qi and continued the previous prescription. He refused, taking digestive aids instead, leading to incessant diarrhea and death. When Stomach Qi is harmonious, food enters the Stomach, its essence is transported to the Spleen, returns to the Lung, circulates through the vessels, and forms Ying and Wei. If diet is damaged or daily routine irregular, harming Stomach Qi, the ascending clear essence instead descends, causing undigested stool diarrhea. Without raising Yang and tonifying Qi, it cannot be cured.
Bawei Dihuang Wan treats various ulcers where decline of Mingmen Fire fails to generate Spleen Earth, leading to Qi and Blood deficiency, inability to generate flesh, and failure of wounds to close, or transformation into various deteriorating conditions. It is also a sacred medicine for post-ulcer symptoms such as frequent urination, loose stools, anorexia, thirst, fever, and lack of muscle regeneration. Unfortunately, people often distrust it without trial.
Shudihuang (8 liang, soaked in Shengdihuang with Huangjiu, steamed and sun-dried nine times in a clay pot), Shanzhuyu (meat taken after mixing with Huangjiu), Shanyao (4 liang each), Mudanpi, Baifuling, Zexie (3 liang each), Paofuzi (1 liang), Rougui (1 liang, scraped clean).
Mix ingredients with Huangjiu to form a paste, grind other herbs into powder, mix evenly, add wine paste to make pills. Administer with plain water according to age.
Siming Wan treats ulcers with Spleen deficiency and weak Stomach, loose stools, poor appetite, or diarrhea with abdominal pain. Also treats Kidney deficiency diarrhea at dawn.
Roudoukou (2 liang), Buguzhi (4 liang), Wuweizi (2 liang), Wuzhuyu (1 liang).
Grind into fine powder. Boil 65 red dates and 6 liang of Shengjiang in 2 zhong of water until dry. Take the date pulp to make pills the size of paulownia seeds. Take 20-30 pills with plain water or dissolve in mouth.
Ershen Wan treats ulcers with diarrhea due to Spleen-Kidney Yin deficiency.
Buguzhi (4 liang), Roudoukou (2 liang, raw).
Grind into powder. Boil 49 red dates and 4 liang of Shengjiang in 1 zhong of water until dry. Take the date pulp to make pills the size of paulownia seeds. Take 20-30 pills with boiled water.
Buzhong Yiqi Tang (See "Muscle Not Regenerating")
Wuwei Yigong San (See "Use of Detoxifying Herbs")
Liuhuang Dihuang Wan (See "Unremitting Thirst")
Liujunzi Tang (See "Axillary Abscess")
Dushen Tang (See "Unstopping Bleeding")
Siwei Fei'er Wan (See "Deep Bone Abscess")
Ema Tang (See "Various Carbuncles and Mouth Ulcers", i.e., Chan Chu Wan)