因产后劳倦伤脾，而运转稽迟也，名飧泄；又饮食太过，脾胃受伤，亦然，俗呼水谷痢是也。然产方三日内，
块未消化，此脾胃衰弱，参、 、术未可遽加，且服生化汤加益智、香砂，少温脾气，俟块消后，加参、 、术补
气、肉果、木香、砂仁、益智温胃，升麻、柴胡清胃气，泽泻、茯苓、陈皮以利水，为上策也。
加味生化汤 治产后三日内完谷不化，块未消者。
川芎（一钱） 益智（一钱） 当归（四钱） 黑姜（四分） 炙草（四分） 桃仁（十粒） 茯苓（一钱半）
眉批∶一本当归作三钱，有枣一枚。
参苓生化汤 治产后三日内块已消，谷不化，胎前素弱患此病者。
川芎（一钱） 当归（二钱） 黑姜（四分） 炙草（五分） 人参（二钱） 茯苓（一钱） 白芍（一钱，炒） 益
智（一钱，炒） 白术（二钱，土炒） 肉果（一个，制）
泻水多，加泽泻、木通各八分；腹痛，加砂仁八分；渴，加麦冬、五味子；寒泻，加黑姜一钱，木香四分；食积，
加神曲、麦芽消饭面，砂仁、山楂消肉食。产后泻痢日久，胃气虚弱，完谷不化，宜温助胃气，六君子汤加木香四分，
肉果一个（制）。
眉批∶一本有莲子八枚，去心，枣三枚。
歌括∶产后三日块未散，劳倦伤脾运转难。
或因暴食伤脾胃，完谷不化飧泻现。
加味生化汤川芎，益智当归白茯苓。
黑姜桃仁炙甘草，煎服数剂泻泄停。
健脾参苓生化汤，归芎炙草肉果姜。
白芍白术益智仁，胎前素弱此方尝。
Due to postpartum fatigue and overexertion damaging the Spleen Qi, resulting in sluggish transportation and transformation (Yunhuan), this condition is named Sundry Diarrhea (Sun Xie), characterized by undigested food in the stool; similarly, excessive dietary intake injuring the Spleen and Stomach yields the same result, commonly known as Water-Grain Dysentery. However, within the first three days postpartum, when lochia clots have not yet been digested and expelled, given the weakness of the Spleen and Stomach, tonics such as Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) should not be administered hastily. Instead, one should initially take Modified Shenghua Decoction (Jiawei Shenghua Tang) with added Alpinia Oxyphylla Fruit (Yizhi) and Amomi Fructus Rotundus (Xiangsha) to gently warm the Spleen Qi. Once the clots dissipate, add Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) to tonify Qi, Myristicae Semen (Rouguo), Aucklandiae Radix (Muxiang), and Amomi Fructus Rotundus (Sharen) to warm the Stomach, Cimicifugae Rhizoma (Shengma) and Bupleuri Radix (Chaihu) to clear Stomach Qi, and Alismatis Rhizoma (Zexie), Poria (Fuling), and Citri Reticulatae Pericarpium (Chenpi) to promote water metabolism. This constitutes the superior strategy.
Modified Shenghua Decoction (Jiawei Shenghua Tang): Treats postpartum sundry diarrhea within three days where clots have not yet dissipated.
Ligustici Chuanxiong Rhizoma (Chuanxiong) [1 qian], Alpinia Oxyphylla Fruit (Yizhi) [1 qian], Angelicae Sinensis Radix (Danggui) [4 qian], Zingiberis Rhizoma Carbonisatum (Heijiang) [0.4 qian], Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao) [0.4 qian], Persicae Semen (Taoren) [10 grains], Poria (Fuling) [1.5 qian].
Marginal Note: Another version uses Danggui 3 qian and adds one Jujubae Fructus (Zao).
Ginseng-Poria Modified Shenghua Decoction (Canling Shenghua Tang): Treats cases where clots have dissipated but digestion remains poor within three days postpartum, or in patients with inherent constitutional weakness prior to pregnancy who suffer from this disease.
Ligustici Chuanxiong Rhizoma (Chuanxiong) [1 qian], Angelicae Sinensis Radix (Danggui) [2 qian], Zingiberis Rhizoma Carbonisatum (Heijiang) [0.4 qian], Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao) [0.5 qian], Ginseng Radix et Rhizoma (Renshen) [2 qian], Poria (Fuling) [1 qian], Paeoniae Radix Alba (Baishao) [1 qian, stir-fried], Alpinia Oxyphylla Fruit (Yizhi) [1 qian, stir-fried], Atractylodis Macrocephalae Rhizoma (Baizhu) [2 qian, soil-fried], Myristicae Semen (Rouguo) [1 fruit, processed].
If diarrhea is profuse, add Alismatis Rhizoma (Zexie) and Akebiae Caulis (Mutong) 0.8 fen each; if abdominal pain occurs, add Amomi Fructus Rotundus (Sharen) 0.8 fen; if thirsty, add Ophiopogonis Radix (Maidong) and Schisandrae Fructus (Wuweizi); if cold-type diarrhea, add Zingiberis Rhizoma Carbonisatum (Heijiang) 1 qian and Aucklandiae Radix (Muxiang) 0.4 fen; for food stagnation, add Massae Medicatae Fermentatae (Shenqu) and Hordeum Fructus Germinatus (Maiya) to digest rice/noodles, and Amomi Fructus Rotundus (Sharen) plus Crataegi Fructus (Shanzha) to digest meat. For prolonged postpartum diarrhea/dysentery leading to weak Stomach Qi and sundry diarrhea, it is appropriate to warm and assist Stomach Qi using Six-Ingredient Gentlemen's Decoction (Liujunzi Tang) with added Aucklandiae Radix (Muxiang) 0.4 fen and Myristicae Semen (Rouguo) 1 fruit (processed).
Marginal Note: Another version includes eight Lotus Seeds (Lianzi, heart removed) and three Jujubae Fructus (Zao).
Rhyme Verse:
Within three days postpartum, if clots have not dispersed,
Fatigue injures the Spleen, making transformation difficult.
Excessive eating may damage Spleen and Stomach,
Sundry diarrhea manifests with undigested food.
Modified Shenghua Decoction contains Chuanxiong, Yizhi, Danggui, and Fuling.
Heijiang, Taoren, and Zhigancao, taken for several doses stops the diarrhea.
For strengthening the Spleen, use Canling Shenghua Tang,
Comprising Danggui, Chuanxiong, Zhigancao, Rouguo, and Jiang.
Baishao, Baizhu, and Yizhiren,
This formula is suitable for those with inherent weakness prior to pregnancy.