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Gao Liang Jiang (Galangal Rhizome), Dang Gui (Angelica Sinensis Radix), Gui Xin (Cinnamon Twig Heart), Shao Yao (Peony Root), Fu Zi (Prepared Aconite Lateralis Radix) (each 1 liang), Gan Cao (Licorice Root) (0.5 liang).
Crush the above ingredients into coarse powder. For each dose, take three qian bi (approx. 3-4 grams). Add three zhan (approx. 600 ml) of water, decoct until one zhan remains, remove the dregs, and take hot.

Comment: Postpartum dysentery is not limited to a single syndrome; treatment should be adjusted according to the etiology. Since it is mentioned that drinking cold water and exposure to wind can cause it, various conditions may arise. Cold, heat, wind, and dampness originally belong to external causes; joy, anger, worry, and thought stem from internal nature. Moreover, overwork and irregular eating habits can all induce disease. If there is dong xie (profuse watery diarrhea), Tiao Zhong Tang (Regulate the Middle Decoction) can be taken. For red and white leukorrhea, this formula cannot cure it. Each category has its own specific formula. Here, Tao Jiao San (Peach Gum Powder) and Bai Tou Weng Tang (Belleric Myrobalan Decoction) are recorded for备用 (backup use); others are selected from the section on stagnation and downward discharge.

Treats postpartum dysentery with red and white stools, tenesmus, and anal stinging pain.
Tao Jiao (Peach Gum) (baked dry on tile), Chen Xiang (Aquilaria Wood), Pu Huang (Typha Pollen) (stir-fried between papers, equal parts).
Grind the above into fine powder. Take two qian per dose, before meals, mixed with aged rice water.

Treats postpartum dysentery with extreme deficiency.
Bai Tou Weng (Pulsatilla Root), Gan Cao (Licorice Root), E Jiao (Donkey-hide Gelatin) (each 2 liang), Huang Lian (Coptis Rhizome), Bai Pi (Phellodendron Bark), Qin Pi (Ash Bark) (each 3 liang).
Cut the above into small pieces. Take four qian per dose. Add one and a half zhan of water, decoct until seven tenths remain, remove the dregs, and take on an empty stomach.

Treats postpartum diarrhea with lochia retention. This is caused by residual blood seeping into the large intestine leading to diarrhea; separating clear from turbid will lead to recovery. Even if there is uncontrollable profuse diarrhea, passing dark green or black substances is also effective. If caused by dietary injury, use Tiao Zhong Tang (Regulate the Middle Decoction).
Take Jing Jie (Schizonepeta Spike), four or five large spikes, ignite in a cup until ash, ensuring no oil or fire contamination; add a small amount of She Xiang (Musk), grind, mix with one liang of boiling water, and take orally. Although the dosage is small, it can cure major illnesses; do not neglect it.

Formulas for various postpartum dysenteries: Boil and eat Xie Bai (Allium Macrostem Bulb).
Another formula: Stir-fry Xie Bai with Yang Shen Zhi (Sheep Kidney Fat); best taken on an empty stomach.
Another formula: Roast and eat fatty mutton.

Discussion: Postpartum dysentery arises from labor injuries during childbirth, resulting in insufficiency of the zang-fu organs. Before the postpartum period is complete, the body is deficient and has not yet recovered. Either excessive early exertion or mistaken consumption of raw and cold foods can cause issues. If rising and moving too early, external wind-cold invades the intestines and stomach due to deficiency; if raw and cold or indigestible foods are mistakenly consumed, the spleen and stomach are injured, all leading to dong xie (profuse watery diarrhea), which in severe cases transforms into dysentery. If blood seeps into the large intestine, it becomes bloody dysentery, which is difficult to treat. Diarrhea is called chan zi li (postpartum infant dysentery). Contracting cold results in white stool, or stool resembling fish brains; contracting heat results in red-yellow stool, or sudden bloody purging. If cold and heat contend, red and white dysentery occurs, or pus and blood are mixed. If the stool is green, it indicates extreme cold. If food intake ceases, bowel movements are irregular, day and night without limit, combined with postpartum deficiency and prolonged dysentery causing weakness and emaciation, worsening frailty, it is called xu lei xia li (deficiency-emaciation downward discharge). There is also qi li (qi dysentery), where postpartum qi mechanism is obstructed, leading to red and white dysentery. The treatment principles are: for heat, cool it; for cold, warm it; for contending cold and heat, harmonize it; for sliding/incontinence, astringe it. For deficiency-emaciation, tonify it; for inability to distinguish water and grain, promote urination. If the parturient woman is stubborn in temperament and cannot relax, her qi must be smoothed; there will be no unrest. Treatment has respective formulas.