夫病疳利,米谷不化,日夜无度,腹中雷鸣,下利完谷出,可用导水丸、禹功散
泻讫,一、二日可服胃风汤;不愈则又可与桂枝麻黄汤,发汗则愈矣。《内经》曰∶久风入
中为肠风、飧泄。启玄子云∶风在肠中,上熏于胃,所食不化而出。又云∶飧泄者,是暮食不
化也。又《经》云∶春伤于风,夏必飧泄。故可汗而愈。《内经》曰∶风随汗出,痛随利减。若服
豆蔻、罂粟壳之类,久而不辍,则变为水肿,以成不救也。
夫脏毒下血,可用调胃承气汤加当归;泻讫,次用芍药柏皮丸、黄连解毒汤、五
苓、益元各停,调下五、七钱服之。《内经》曰∶肠 便血何如?答曰∶ 者,肠间积水也。身
热则死,寒则生。热为血气败,故死;寒为荣气在,则生。七日而死者,死于火之成数也。
夫下利脓血,腹痛不止,可用调胃承气汤,加生姜、枣煎;更下藏用七、八十丸
,量虚实加减;泻讫,次用长流水,调五苓散五、七钱;或加灯心煎调下亦得;调益元散五
、七钱亦可。大忌油腻一切热物则愈矣。
夫男子妇人,病水湿泻注不止,因服豆蔻、乌梅、姜、附峻热之剂,遂令三焦闭
涩,水道不行,水满皮肤,身体痞肿,面黄腹大,小便
用独圣散吐之。如时月寒凉,
宜于暖室不透风处,用火一盆,以借火力出汗。次以导水禹功散,量虚实泻十余行,湿去肿减则
愈矣,是汗、下、吐三法齐行。既汗、下、吐讫,腑脏空虚,宜以淡浆粥养肠胃二、三日,次
服五苓散、益元散同煎,灯心汤调下。如势未尽,更宜服神助散,旧名葶苈散,可以流湿润燥,分阴阳,
利小便。不利小便,非其法也。既平之后,宜大将息。忌鱼、盐、酒、肉、果木、房室等
事,如此三年则可矣。如或不然,决死而不救也。
For the condition of Gan accumulation diarrhea (Gan syndrome with diarrhea), characterized by undigested food in stool, uncontrolled defecation day and night, borborygmus (rumbling in the abdomen), and passage of complete undigested grains, one may first use Daoshui Wan (Water-Guiding Pill) and Yugong San (Yu Gong Powder) to purge. After purging is completed, after one or two days, Weifeng Tang (Stomach Wind Decoction) can be administered; if not cured, Guizhi Mahuang Tang (Cinnamon Twig and Ephedra Decoction) may then be given, and the disease will be cured through sweating. The *Neijing* states: "Long-standing wind entering the interior causes Changfeng (Intestinal Wind) and Sunxie (diarrhea with undigested food)." Qixuanzi (Wang Bing) said: "Wind in the intestines steams upward to the stomach, causing ingested food to be expelled without digestion." It also states: "Sunxie refers to food eaten at dusk remaining undigested." Furthermore, the *Classic* says: "If wind is injured in spring, Sunxie will inevitably occur in summer." Therefore, it can be cured by inducing sweating. The *Neijing* states: "Wind exits with sweat, pain diminishes with purging." If substances like Doukou (Nutmeg) and Ying Susiao (Poppy Shell) are taken for a long time without cessation, they will transform into edema, leading to an incurable state.
For bleeding from Zangdu (Toxic Heat in the Zang organs manifesting as bloody stool), Diaowei Chengqi Tang (Harmonize the Stomach and Direct Downward Decoction) added with Danggui (Angelica Sinensis) can be used; after purging, Shaoyao Bopi Wan (Peony and Phellodendron Bark Pill), Huanglian Jiedu Tang (Coptis Detoxification Decoction), Wuling San (Five-Ingredient Powder with Poria), and Yiyuan San (Benefit Origin Powder) should be mixed in equal proportions, taken orally with five to seven qian each time. The *Neijing* asks: "What about bloody stool?" The answer is: "This refers to water accumulation in the intestines." Fever indicates death, while coldness indicates survival. Fever signifies the failure of blood and qi, hence death; coldness signifies the presence of Ying Qi (Nutritive Qi), hence survival. Death on the seventh day occurs due to the completion number of Fire.
For diarrhea with pus and blood, accompanied by unceasing abdominal pain, Diaowei Chengqi Tang (Harmonize the Stomach and Direct Downward Decoction) added with Shengjiang (Fresh Ginger) and Zao (Jujube) for decoction can be used; followed by purging using Zangyong Wan (Zang Yong Pill), 70 to 80 pills, adjusted according to deficiency or excess; after purging, Wuling San (Five-Ingredient Powder with Poria) mixed with flowing fresh water, taken in doses of five to seven qian; or mixed with Dengxincao (Juncus Effusus) decoction is also acceptable; mixing Yiyuan San (Benefit Origin Powder) in doses of five to seven qian is also permissible. Strictly avoid greasy foods and all hot-natured substances, and the disease will heal.
Whether male or female, suffering from continuous watery diarrhea due to the intake of harsh hot agents such as Doukou (Nutmeg), Wumei (Mume Fruit), Shengjiang (Fresh Ginger), and Fuzi (Aconite Root), resulting in the closure and stagnation of the Sanjiao (Triple Burner), obstruction of water pathways, water filling the skin, body bloating and swelling, yellowish complexion, and distended abdomen with difficult urination, Dusheng San (Single Miracle Powder) can be used to induce vomiting. If during cold seasons, one should be in a warm, draft-free room, place a fire basin nearby to borrow heat to induce sweating. Then, use Daoshui Wan (Water-Guiding Pill) and Yugong San (Yu Gong Powder) to purge more than ten times according to deficiency or excess; when dampness is removed and swelling decreases, the patient heals. This employs the simultaneous application of sweating, purging, and vomiting methods. After sweating, purging, and vomiting are completed, the fu-zang organs are empty; thus, light millet gruel should be used to nourish the stomach and intestines for two to three days. Subsequently, Wuling San (Five-Ingredient Powder with Poria) and Yiyuan San (Benefit Origin Powder) should be decocted together and taken with Dengxincao (Juncus Effusus) tea. If the pathogenic factor remains, Shen Zhu San (Divine Assistance Powder), formerly known as Tingli San (Descurainia Seed Powder), should be taken; it can moisten dryness, separate yin and yang, and promote diuresis. Promoting diuresis is essential; otherwise, it is not the correct method. After the condition stabilizes, major dietary and lifestyle regulation is required. Avoid fish, salt, alcohol, meat, fruits, and sexual intercourse for three years. Otherwise, death is inevitable and incurable.