《千金方》云∶论曰,凡利有四种,论冷热甘蛊。冷则白,热则赤,甘则赤白而杂,蛊
则纯
又云∶古今利方千万,不可具载此中,但撮其效者七八而已,虽然,弘之在人也,何则
陟厘
愈也?
《医门方》云∶辨曰∶比见下利者,因多触热饮水,或夜露坐卧冒霜雪,风寒邪气客于
皮肤
而
又云∶下利欲饮者,为有热;利而不渴,其脏有寒;下利后更烦,按其心下软者,为虚
烦也
又云∶下利有不欲食者,有宿食,宜下;下利瘥,时时复发,此为不尽,宜下;下利腹
满不
下利
又云∶下利甚者,手足痹不仁;下利而反发热、身形汗出者,自愈;下利,脉数而渴欲
饮,
又云∶下利,手足无脉,灸之不温,微喘者,死;下利后,脉绝,手足厥冷,卒时脉还,
手
又云∶凡人久下利或热,暴下两日即有 虫,口唇生疮,口中舌上唇并生疮如粟,疮剧
者
之
《葛氏方》云∶下利,手足逆冷,灸之不暖,或无脉,微喘者,死;下利,舌萎,烦躁
而不
今按∶下利人可食物∶
赤小豆(孟诜云∶止痢。) 小麦(《本草》云∶止利。) 青粱米(《本草》云∶止泄。)
黄粱米(《本草》云∶止泄。) 丹黍米(《本草》云∶止泄。) 粳米(《本草》云∶止泄。)
橘(《本草》云∶止泄。) 柚(《本草》云∶止泄。) 梅(《本草》云∶止下利。) 柿(《
本草陶注》云∶火熏者性热,断下。) 石榴(《本草》云∶壳疗下利。) 通草(崔禹云∶
止
云∶止
禹云∶主
鱼(崔禹
禹云∶主止下
名∶之多多美。
下利人可忌物∶
《千金方》云∶凡利病,通忌生冷、酢滑、猪、鸡、鱼油、乳酪、酥、干脯、酱、粉、
碱,
《养生要集》云∶腹中有冷患,饮乳汁,令腹痛泄利。
《七卷食经》云∶杏仁不可多食,令人热利。
The *Qianjin Fang* (Thousand Golden Prescriptions) states: The discussion says that there are four types of diarrhea (Xieli, lower bowel discharge), discussing cold, heat, "gan" (dietary accumulation/stagnation), and "gu" (parasites or toxic pathogens). Cold patterns present with white stool; heat patterns present with red stool; "gan" patterns present with mixed red and white stool; "gu" patterns present with pure pus and blood.
It further states: There are thousands upon thousands of prescriptions for diarrhea in ancient and modern times, which cannot be fully recorded here. Only seven or eight of the most effective ones are selected. Although this is so, its application depends on people. Why? Is it because paper (Zhili, an ancient type of paper) can cure diseases?
The *Yimen Fang* (Medical Gate Prescriptions) states: In differentiation, it is observed that patients with diarrhea often contract it after drinking water while exposed to heat, or by sleeping outdoors at night exposed to frost and snow, causing wind-cold pathogenic factors to lodge in the skin.
It further states: Those with diarrhea who desire to drink have heat; those with diarrhea but no thirst have cold in the zang organs; those who become more irritable after diarrhea, with a soft epigastrium upon palpation, have deficiency irritability (Xu Fan).
It further states: Those with diarrhea who do not desire food have retained food (Su Shi) and are suitable for purgative treatment; those whose diarrhea has resolved but recurs frequently have incomplete elimination of pathogens and are suitable for purgative treatment; those with diarrhea accompanied by abdominal fullness... [text missing].
It further states: Severe diarrhea causes numbness and insensibility of the hands and feet; diarrhea accompanied by fever and sweating of the body indicates spontaneous recovery; diarrhea with a rapid pulse and thirst indicating a desire to drink... [text missing].
It further states: Diarrhea with absent pulses in the hands and feet, where moxibustion fails to warm them, accompanied by slight panting, indicates death; after diarrhea, if the pulse vanishes and the extremities are cold, but the pulse returns after a short time, the hand... [text missing].
It further states: For those suffering from chronic diarrhea or fever, sudden diarrhea lasting two days may lead to... [text missing] worms, sores on the lips, and sores like millet grains appearing on the mouth, tongue, and lips. Severe sores... [text missing].
The *Ge Shi Fang* (Prescriptions by Master Ge) states: Diarrhea with cold reversal of the hands and feet, where moxibustion fails to warm them, or absence of pulse, accompanied by slight panting, indicates death; diarrhea with tongue atrophy, irritability, and... [text missing].
Current commentary: Foods permissible for those with diarrhea:
Adzuki Bean (Vigna angularis) (Meng Xin says: Stops dysentery.) Wheat (Triticum aestivum) (*Bencao* says: Stops diarrhea.) Green Millet (Panicum miliaceum var. viride) (*Bencao* says: Stops loose stools.) Yellow Millet (Panicum miliaceum) (*Bencao* says: Stops loose stools.) Red Broomcorn Millet (Sorghum bicolor var. rubrum) (*Bencao* says: Stops loose stools.) Japonica Rice (Oryza sativa var. japonica) (*Bencao* says: Stops loose stools.) Orange/Citrus (Citrus reticulata) (*Bencao* says: Stops loose stools.) Pomelo (Citrus maxima) (*Bencao* says: Stops loose stools.) Plum (Prunus mume) (*Bencao* says: Stops diarrhea.) Persimmon (Diospyros kaki) (*Bencao Taozhu* says: Fire-dried ones are hot in nature and stop diarrhea.) Pomegranate (Punica granatum) (*Bencao* says: The shell treats diarrhea.) Tong Cao (Tetrapanacis Medulla) (Cui Yu says: Stops...) [text missing] Yun: Stops... [text missing] Yu says: Governs... [text missing] Fish (Cui Yu... Yu says: Governs stopping lower... Name: Zhi duo duo mei. [This segment is garbled/corrupt]).
Foods forbidden for those with diarrhea:
The *Qianjin Fang* states: Generally, for all diarrhea conditions, one should avoid raw and cold foods, sour and slippery foods, pork, chicken, fish oil, milk products, butter, dried meat jerky, sauces, starch/powders, and alkali.
The *Yangsheng Yaoji* (Essentials for Health Preservation) states: If there is cold pathology in the abdomen, drinking milk will cause abdominal pain and diarrhea.
The *Qi Juan Shijing* (Seven-Volume Food Classic) states: Almonds (Prunus armeniaca) should not be eaten in excess, as they cause heat-type diarrhea.