论曰妊娠饮食过伤，脾胃不和，冷热之气，入于肠间，肠虚则泄，故为痢也，然冷多则
白。热盛则赤，冷热相交，赤白相杂，甚则脓血杂下，宜速疗之，恐伤胎也。
治妊娠下痢，日夜频并，脐腹撮痛。浓朴散方
浓朴（去粗皮生姜汁炙熟三两） 吴茱萸（水浸半日炒三分） 香子（微炒） 干姜
（锉炒）
上六味，捣罗为散，每服二钱匕，煎紫苏木瓜汤调下，食前服。
治妊娠下痢，不可疗者及丈夫脾虚泄泻。肉豆蔻散方
肉豆蔻（十枚大者去壳用白面作面饼子裹文武火煨令黄色去面） 草豆蔻（十枚去皮白
面
核）
上五味，捣罗为散，每服二钱匕，米饮调下，食前。
治妊娠下痢，及水泻不止，米谷不消化者。神捷散方
菖蒲（切作片子于面内炒） 赤石脂（各一两大火内 通赤） 干生姜（半两）
上三味，捣罗为散，空心米饮调下二钱匕，日三。
治妊娠下痢，极甚者，不过三五服见效，狐灰散方
野狐肠连心肺（须腊月收于罐子内以文武火烧取黑灰不得令过火候有青烟出便塞却窍子
勿令透气候冷取）
上一味，研为细散，每服二钱匕，米饮调下，极甚者，一日三服大效，三日内顿安，如
是寻常痢或疼痛立愈。
治妊娠下痢，日夜频并，安胎气，止腹痛。阿胶丸方
阿胶（炒令燥） 酸石榴皮（各半两） 黄连（去须炒一两） 当归（切焙） 肉豆蔻
（去壳各
上五味，捣罗为末，炼蜜丸如赤小豆大，米饮下十五丸，食前。
治妊娠下痢频并，后重里急。黄连汤方
黄连（去须捣碎炒） 黄柏（去粗皮各三两） 白术（四两）
上三味，粗捣筛，每服五钱匕，水一盏半，生姜三片，同煎至八分，去滓温服日三。
治妊娠下痢，脐腹撮痛，益胃气，思饮食，健脾汤方
浓朴（去粗皮锉） 苍术（水浸去皮锉各四两） 大枣（一升煮熟剥去皮核研取枣汁约
五升
二两半） 人参（二两） 甘草（炒三两）
上七味，粗捣筛，每服三钱匕，水一盏，入生姜三片，枣一枚擘破，同煎至六分。去滓
温服。此药能进食调脾胃。
治妊娠下痢，腹痛肠鸣。白豆蔻汤方
白豆蔻（用仁一半生一半熟） 陈橘皮（去白炒细切） 诃黎勒（去核半生半熟） 桂
（去粗
上六味，粗捣筛，每服三钱匕，水一盏，生姜五片，枣二枚擘，同煎至七分，去滓稍热
服，如要丸，用好枣浆水煮去皮核，细研和为丸，如梧桐子大，以生姜拍碎炒黑色，入水煎
汤下十五丸。
治妊娠下痢，日夜不止，方
乌梅（二两软者竹串慢火炙令干焦）
上一味，为细散，食前陈米饮调下二钱匕，如泻血，加黄连一两为末。
治妊娠下痢，和调脾胃，保护胎气。木香散方
木香 肉豆蔻（去壳） 密陀僧（ ） 没药（研） 陈橘皮（去白炒） 龙骨（各一
分） 诃
上一十二味，捣罗为散，每服二钱匕，米饮调下，日三。
治妊娠下痢。方
败龟（一枚用米醋炙）
上一味，捣罗为散，米饮调下二钱，食前服。
治妊娠下痢脓血不止，腹中 痛。阿胶丸方
阿胶（炒令燥三两） 白术（五两） 黄连（去须） 肉豆蔻仁（各一两）
上四味，捣罗为末，炼蜜和丸，如梧桐子大。每服三十丸。食前温米饮下。
治妊娠下痢，冷热相攻，赤白相杂，日夜不止。诃黎勒汤方
诃黎勒（炮去核） 苍术（去皮） 肉豆蔻（去壳） 赤石脂（以上各一两） 干姜（半
两炮裂
两） 陈橘皮（
上一十一味，捣罗为细末，每服二钱匕，以粥饮调下，不计时候。
治妊娠下痢赤白，腹中 痛，腰疼或如欲产，黄柏散方
黄柏（微炙锉） 桑寄生 当归（微炒锉） 赤芍药 阿胶（杵碎炒令黄燥） 艾叶（炒
令微
上九味，捣罗为散，每服四钱匕，以水一中盏，煎至六分，去滓不计时候稍热服。
治妊娠下痢赤白，心腹 痛，小便涩。方
糯米（一合） 黄 （一两锉） 当归（一两半锉微炒）
上三味，拌和匀，以水二大盏半，煎至一盏半，去滓不计时候，温分四服。
治妊娠下痢赤白，腹痛日夜不止。白术散方
白术（一两） 黄芩（一两） 赤石脂（二两） 干姜（半两炮裂锉） 芎 （三分） 艾
叶（一
炒）
上九味，捣罗为细散，每服三钱匕，粥饮调下，不计时候。
治妊娠下痢赤白。 刺腹痛不可忍。石榴皮散方
酸石榴皮（三分微炒） 阿胶（一两捣碎炒令黄燥） 地榆根（一两） 黄柏（一两微
炙锉）
上六味，捣罗为细散，每服三钱匕，薤白粥饮调下，不计时候。
治妊娠下痢赤白。腹痛不止。阿胶散方
阿胶（一两杵碎炒令黄燥） 当归（一两锉微炒） 白术（三分） 艾叶（半两炒令微
黄） 酸
上五味，捣罗为散，每服四钱匕，水一中盏半，入生姜三片，同煎至八分，去滓温服。
治妊娠下痢。干姜散方
干姜（炮） 细辛（去苗叶） 桂（去粗皮） 附子（炮裂去皮脐各一两） 椒目 猪
苓（各半
上七味，捣罗为散，每服方寸匕，温酒调下。
治妊娠下痢。艾叶汤方
艾叶（去梗炙一分） 白芷 阿胶（炙令燥） 白术（锉炒） 浓朴（去粗皮生姜汁炙）
黄连
肉豆蔻（
上一十一味，粗捣筛，每服五钱匕，以水一盏半，生姜五片，煎至八分，去滓温服。
Commentary states: Overindulgence in diet during pregnancy causes damage, leading to disharmony of the Spleen and Stomach. Cold and hot pathogenic factors enter the intestines. When the intestines are deficient, diarrhea occurs, thus constituting dysentery. However, if cold predominates, the stool is white; if heat is excessive, the stool is red. When cold and heat interact, red and white mix; in severe cases, pus and blood discharge together. Prompt treatment is indicated to prevent injury to the fetal Qi.
For treating pregnancy dysentery with frequent day and night episodes and cramping pain in the umbilical and abdominal regions: Nongpo San Formula (Magnolia Bark Powder).
Magnoliae Officinalis Cortex (Nongpo) [removed coarse bark, stir-fried with ginger juice until cooked, 3 liang]; Evodiae Fructus (Wuzhuyu) [soaked in water for half a day, stir-fried, 3 qian]; Xiangzi [lightly stir-fried]; Zingiberis Rhizoma (Ganjiang) [cut into pieces, stir-fried].
The above six herbs are crushed, sifted, and made into a powder. Each dose consists of 2 qianbi, taken with decoction of Perillae Folium (Zisu) and Chaenomelis Fructus (Mugua), administered before meals.
For treating intractable pregnancy dysentery and spleen deficiency diarrhea in men: Roudoukou San Formula (Nutmeg Powder).
Myristicae Semen (Roudoukou) [ten large ones, remove shell, wrap in white flour dough, bake on mild fire until yellow, remove dough]; Cardamomi Fructus (Caodoukou) [ten, remove skin, wrap in white flour dough and bake].
The above five herbs are crushed, sifted, and made into a powder. Each dose consists of 2 qianbi, taken with rice drink, administered before meals.
For treating pregnancy dysentery, continuous watery diarrhea, and undigested food in stool: Shenjie San Formula (Divine Swift Powder).
Acori Tatarinowii Rhizoma (Changpu) [sliced, stir-fried in flour]; Halloysit Rubrum (Chishizhi) [each 1 liang, fired in strong fire until red-hot]; Zingiberis Rhizoma (Ganshengjiang) [0.5 liang].
The above three herbs are crushed, sifted, and made into a powder. Take 2 qianbi with rice drink on an empty stomach, three times daily.
For treating severe pregnancy dysentery, effective within three to five doses: Huhui San Formula (Fox Ash Powder).
Intestinum Tenue Vulpis cum Corde et Pulmone [collected in the twelfth lunar month, placed in a jar, burned with mild fire to black ash without over-heating to produce blue smoke; seal the jar tightly to prevent air leakage, cool and retrieve].
The above single herb is ground into fine powder. Take 2 qianbi with rice drink. For severe cases, take three times daily for great effect; complete recovery within three days. For ordinary dysentery or pain, relief is immediate.
For treating pregnancy dysentery with frequent day and night episodes, calming fetal Qi and relieving abdominal pain: Ejiao Wan Formula (Donkey-Hide Gelatin Pill).
Asini Corii Colla (Ejiao) [stir-fried until dry]; Punicae Granati Cortex (Suan Shiliupi) [each 0.5 liang]; Coptidis Rhizoma (Huanglian) [remove stamens, stir-fried, 1 liang]; Angelicae Sinensis Radix (Danggui) [sliced and baked]; Myristicae Semen (Roudoukou) [remove shell, each...].
The above five herbs are crushed, sifted, and made into powder. Mix with refined honey to form pills the size of Adzuki beans. Take 15 pills with rice drink, before meals.
For treating frequent pregnancy dysentery with tenesmus: Huanglian Tang Formula (Coptis Decoction).
Coptidis Rhizoma (Huanglian) [remove stamens, crush, stir-fried]; Phellodendri Chinensis Cortex (Huangbai) [remove coarse bark, each 3 liang]; Atractylodis Macrocephalae Rhizoma (Baizhu) [4 liang].
The above three herbs are coarsely crushed and sieved. Take 5 qianbi, decoct with 1.5 sheng of water and 3 slices of Zingiberis Rhizoma Freshum (Shengjiang) until reduced to 0.8 sheng. Strain and take warm, three times daily.
For treating pregnancy dysentery with cramping pain in the umbilical/abdominal region, benefiting Stomach Qi, stimulating appetite, and strengthening the Spleen: Jianpi Tang Formula (Spleen-Strengthening Decoction).
Magnoliae Officinalis Cortex (Nongpo) [remove coarse bark, cut]; Atractylodis Rhizoma (Cangzhu) [soak in water, remove skin, cut, each 4 liang]; Jujubae Fructus (Dazao) [1 sheng, boiled, peeled, pitted, pulp taken approx. 2.5 liang]; Ginseng Radix et Rhizoma (Renshen) [2 liang]; Glycyrrhizae Radix et Rhizoma (Gancao) [stir-fried, 3 liang].
The above seven herbs are coarsely crushed and sieved. Take 3 qianbi, decoct with 1 sheng of water, 3 slices of Zingiberis Rhizoma Freshum (Shengjiang), and one broken Jujubae Fructus (Dazao) until reduced to 0.6 sheng. Strain and take warm. This medicine promotes appetite and regulates the Spleen and Stomach.
For treating pregnancy dysentery with abdominal pain and borborygmus: Baidoukou Tang Formula (White Cardamom Decoction).
Cardamomi Albi Fructus (Baidoukou) [use kernel, half raw, half cooked]; Citri Reticulatae Pericarpium (Chenjuapi) [remove white pith, stir-fried, finely cut]; Terminaliae Chebulae Fructus (Helile) [remove pit, half raw, half cooked]; Cinnamomi Ramulus (Guizhi) [remove coarse bark...].
The above six herbs are coarsely crushed and sieved. Take 3 qianbi, decoct with 1 sheng of water, 5 slices of Zingiberis Rhizoma Freshum (Shengjiang), and two broken Jujubae Fructus (Dazao) until reduced to 0.7 sheng. Strain and take slightly warm. If making pills, use good Jujubae Fructus paste, boil to remove skin and pits, grind finely with herbs, and form pills the size of Sophora seeds. Stir-fry crushed Zingiberis Rhizoma Freshum (Shengjiang) until black, decoct in water, and take 15 pills.
Formula for treating pregnancy dysentery not stopping day and night:
Terminalia chebula Retz. (Wumei) [2 liang, soft ones, skewered with bamboo, slow-roasted until dry and charred].
The above single herb is ground into fine powder. Take 2 qianbi with aged rice drink before meals. If bloody diarrhea, add Coptidis Rhizoma (Huanglian) 1 liang ground to powder.
For treating pregnancy dysentery, harmonizing the Spleen and Stomach, and protecting fetal Qi: Muxiang San Formula (Costus Root Powder).
Costi Radix (Muxiang); Myristicae Semen (Roudoukou) [remove shell]; Metalli Plumbi Oxydum (Mituo seng)...; Myrrha (Moyao) [ground]; Citri Reticulatae Pericarpium (Chenjuapi) [remove white pith, stir-fried]; Os Draconis (Longgu) [each 1 fen]; Terminaliae Chebulae Fructus (Helile)...
The above twelve herbs are crushed, sifted, and made into a powder. Take 2 qianbi with rice drink, three times daily.
Formula for treating pregnancy dysentery:
Testudo Testudo (Baigui) [one, stir-fried with rice vinegar].
The above single herb is crushed, sifted, and made into a powder. Take 2 qianbi with rice drink, before meals.
For treating pregnancy dysentery with continuous pus and blood discharge and abdominal... pain: Ejiao Wan Formula (Donkey-Hide Gelatin Pill).
Asini Corii Colla (Ejiao) [stir-fried until dry, 3 liang]; Atractylodis Macrocephalae Rhizoma (Baizhu) [5 liang]; Coptidis Rhizoma (Huanglian) [remove stamens]; Myristicae Semen (Roudoukou Ren) [each 1 liang].
The above four herbs are crushed, sifted, and made into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills, warm rice drink, before meals.
For treating pregnancy dysentery with attacking cold and heat, mixed red and white stool, not stopping day and night: Helile Tang Formula (Chebula Decoction).
Terminaliae Chebulae Fructus (Helile) [processed, remove pit]; Atractylodis Rhizoma (Cangzhu) [remove skin]; Myristicae Semen (Roudoukou) [remove shell]; Halloysit Rubrum (Chishizhi) [each 1 liang above]; Zingiberis Rhizoma (Ganjiang) [0.5 liang, processed and cracked...]; Citri Reticulatae Pericarpium (Chenjuapi)...
The above eleven herbs are crushed, sifted, and made into fine powder. Take 2 qianbi with gruel drink, at any time.
For treating pregnancy dysentery with red and white stool, abdominal... pain, lower back pain, or sensation of impending labor: Huangbai San Formula (Phellodendron Powder).
Phellodendri Chinensis Cortex (Huangbai) [lightly roasted, cut]; Taxilli Cacuminatum (Sangjisheng); Angelicae Sinensis Radix (Danggui) [lightly roasted, cut]; Paeoniae Rubra Radix (Chishaoyao); Asini Corii Colla (Ejiao) [pounded, crushed, roasted until yellow and dry]; Artemisiae Argyi Folium (Aiye) [roasted until slightly...].
The above nine herbs are crushed, sifted, and made into a powder. Take 4 qianbi, decoct with 1 zhongsheng of water until reduced to 0.6 zhongsheng. Strain and take slightly warm at any time.
Formula for treating pregnancy dysentery with red and white stool, epigastric/abdominal... pain, and difficult urination:
Oryza Glutinosa Semen (Nuomi) [1 he]; Astragali Membranacei Radix (Huangqi) [1 liang, cut]; Angelicae Sinensis Radix (Danggui) [1.5 liang, cut, lightly roasted].
The above three herbs are mixed evenly, decoct with 2.5 dazhang of water until reduced to 1.5 zhang. Strain and take warm in four divided doses at any time.
For treating pregnancy dysentery with red and white stool and abdominal pain not stopping day and night: Baizhu San Formula (Atractylodes Powder).
Atractylodis Macrocephalae Rhizoma (Baizhu) [1 liang]; Scutellariae Radix (Huangqin) [1 liang]; Halloysit Rubrum (Chishizhi) [2 liang]; Zingiberis Rhizoma (Ganjiang) [0.5 liang, processed, cracked, cut]; Ligustici Chuanxiong Rhizoma (Xiongnu) [3 qian]; Artemisiae Argyi Folium (Aiye) [1... roasted].
The above nine herbs are crushed, sifted, and made into fine powder. Take 3 qianbi with gruel drink, at any time.
For treating pregnancy dysentery with red and white stool. ... piercing unbearable abdominal pain: Shiliupi San Formula (Pomegranate Peel Powder).
Punicae Granati Cortex (Suan Shiliupi) [3 qian, lightly roasted]; Asini Corii Colla (Ejiao) [1 liang, crushed, roasted until yellow and dry]; Sanguisorbae Radix (Diyugen) [1 liang]; Phellodendri Chinensis Cortex (Huangbai) [1 liang, lightly roasted, cut].
The above six herbs are crushed, sifted, and made into fine powder. Take 3 qianbi with Allii Macrostemonis Bulbus (Xiebai) gruel drink, at any time.
For treating pregnancy dysentery with red and white stool. Unstopping abdominal pain: Ejiao San Formula (Donkey-Hide Gelatin Powder).
Asini Corii Colla (Ejiao) [1 liang, pounded, crushed, roasted until yellow and dry]; Angelicae Sinensis Radix (Danggui) [1 liang, cut, lightly roasted]; Atractylodis Macrocephalae Rhizoma (Baizhu) [3 qian]; Artemisiae Argyi Folium (Aiye) [0.5 liang, roasted until slightly yellow]; Acid...
The above five herbs are crushed, sifted, and made into a powder. Take 4 qianbi, decoct with 1.5 zhongsheng of water and 3 slices of Zingiberis Rhizoma Freshum (Shengjiang) until reduced to 0.8 zhongsheng. Strain and take warm.
For treating pregnancy dysentery: Ganjiang San Formula (Dried Ginger Powder).
Zingiberis Rhizoma (Ganjiang) [processed]; Asari Radix et Rhizoma (Xixin) [remove seedlings and leaves]; Cinnamomi Ramulus (Guizhi) [remove coarse bark]; Aconiti Lateralis Radix Praeparata (Fuzi) [processed, remove skin and navel, each 1 liang]; Zanthoxyli Fructus (Jiaomu); Polyporus (Zhuling) [each half...].
The above seven herbs are crushed, sifted, and made into a powder. Take one fangcunbi, taken with warm wine.
For treating pregnancy dysentery: Aiye Tang Formula (Mugwort Decoction).
Artemisiae Argyi Folium (Aiye) [remove stems, roasted 1 fen]; Angelicae Dahuricae Radix (Baizhi); Asini Corii Colla (Ejiao) [roasted until dry]; Atractylodis Macrocephalae Rhizoma (Baizhu) [cut, roasted]; Magnoliae Officinalis Cortex (Nongpo) [remove coarse bark, ginger juice roasted]; Coptidis Rhizoma (Huanglian)...; Myristicae Semen (Roudoukou)...
The above eleven herbs are coarsely crushed and sieved. Take 5 qianbi, decoct with 1.5 sheng of water and 5 slices of Zingiberis Rhizoma Freshum (Shengjiang) until reduced to 0.8 sheng. Strain and take warm.