凡杂症之痢，皆由暑湿之积邪，或挟食积所致。伤于气分则痢白，伤于血分则痢赤，气血俱伤
赤白兼下。至产后患此，则有不同，治法亦异，盖多有中气虚而停积也。如产后七日内
外，患赤白痢疾后重频并，最为难治。欲调气行血而推荡痢邪，犹虑产后之元气方虚；欲滋荣益气而
大补产虚，又恐反助痢初之邪盛。其行不损元，补不助邪，惟生化汤去干姜，加以木香、茯苓（名香
苓生化汤）为善，以其能消恶露，兼行痢滞也。如痢在七日之外，可酌加芍、连、莲、朴等药；如伤
面食、谷食泻痢，先服生化汤加炒神曲，块痛止，服六君子加麦芽一撮，或神曲一钱；如伤肉食泻痢，
先服生化汤加山楂、砂仁，块痛止，服六君子汤加山楂四、五枚，砂仁四分，炒神曲一钱；如半月外
患赤痢后重，归芍连壳饮；如脾气虚弱泻痢，四肢浮肿，宜六君子汤加木香、肉果（面煨），合五皮
散；如泻痢黄色，乃脾土正气虚耳，宜补中益气汤加木香四分、肉果一枚（煨）；如胃气虚弱泻痢，
完谷不化，当温助胃气，及产后泻痢日久后重者，并宜服加味六君子汤。大凡产后赤痢，去血多，姜、
砂、木香之类不可多用，热则血愈行。倘血痢日久不止者，血虚也，宜四物汤加荆芥、人参。凡诸
症兼呕吐，皆宜加藿香五分，痰加制半夏八分。兼小便短涩，引加灯心三十寸，且灯心利水而不伤阴，
况产后津液已亏，兼之泻痢伤阴，复伤津液，小便理宜短少，故止用灯心足矣，不可用利水伤阴之药
也。如胎前下痢，产后不止，伏龙肝汤丸治之。又有白头翁加甘草阿胶汤，治产后痢不止。冯氏云∶
产后腹痛泻痢，若非外因所伤，乃属肾气亏损，阳虚不能生土，阴虚不能闭藏耳，必用四神、八味补
肾。倘误投分利导水之剂，是益其虚。但泻痢之症，非脾即肾，如病在肾，所谓补脾不如补肾；如
病在脾，自又补肾不如补脾也。
香苓生化汤 治产后七日内，患赤白痢。
川芎（二钱） 当归（五钱） 炙草（五分） 桃仁（十粒） 茯苓（一钱） 陈皮（四分） 木香（一分）
归芍连壳饮 治产后半月外，患赤痢后重。
川芎（一钱半） 当归（三钱） 白芍（酒炒） 茯苓（各一钱） 黄连（六分，姜汁炒）
枳壳（五分，麦炒） 甘草（四分） 木香（三分）
五皮散 治产后风湿伤脾，气血凝滞，以致面目虚浮，四肢肿胀，气喘。
陈皮 桑皮 姜皮 茯苓皮 大腹皮（黑豆水制净，各一钱）
伏龙肝汤丸 治胎前下痢，产后不止，及元气大虚，瘀积小腹结痛，不胜攻击者。
山楂肉（一两，炮黑） 黑糖（二两，熬枯）
二味，一半为丸，一半为末，用伏龙肝二两煎汤代水，煎前末二钱，送前丸二钱，日三夜二服，
一昼夜令尽。气虚，加人参二、三钱，驾驭之；虚热，加炮姜、肉桂、茯苓炙甘草；兼感风寒，加
葱白、香豉；膈气不舒，磨沉香数匙调服。
Any dysentery arising from miscellaneous diseases is caused by the accumulation of pathogenic factors of summerheat and dampness, or by food stagnation. When the pathogen injures the Qi level, white discharge occurs; when it injures the Blood level, red discharge occurs; when both Qi and Blood are injured, red and white discharges occur together. However, when this condition occurs postpartum, the situation differs, and the treatment methods vary, as there is often deficiency of Middle Qi leading to retention of stagnation. For instance, within seven days after delivery, if red and white dysentery with frequent tenesmus occurs, it is extremely difficult to treat. If one attempts to regulate Qi and move Blood to push out the dysenteric pathogens, one must worry that the postpartual Yuan Qi is just now deficient; if one attempts to nourish Ying (Nutritive) Blood and tonify Qi to greatly supplement postpartal deficiency, one fears it may instead assist the flourishing pathogens of early dysentery. The only approach that moves without damaging Yuan Qi and tonifies without assisting pathogens is best: using Shenghua Tang (Decoction for Generating Blood) minus Ganjiang (Dried Ginger), plus Muxiang (Aucklandiae Radix) and Fuling (Poria), named Xiangling Shenghua Tang (Aucklandia and Poria Decoction for Generating Blood). This is beneficial because it can eliminate lochia while simultaneously moving dysenteric stagnation. If dysentery occurs after seven days, Shaoyao (Paeoniae Radix), Lian (Coptidis Rhizoma - likely referring to Huanglian here contextually or Lotus seeds, but standard text implies Coptis for heat/dysentery, though "Lian" usually means Lotus, in dysentery context with Houpo, it often refers to Huanglian/Coptis or potentially Lianxu/Lotus Seed Plumule. Given "Houpo", Huanglian is common. However, strictly translating "Lian": Lianzi (Lotus Seed) or Huanglian. In classical texts, "Lian" alone often refers to Huanglian in dysentery formulas like Guipi Tang variants or similar. Let's stick to literal "Lian" -> Lotus Seed? No, for dysentery, it's likely Huanglian. But the text says "Lian". I will use Huanglian (Coptidis Rhizoma) as it fits the therapeutic logic of clearing heat/dampness in dysentery better than Lotus seed, but strictly "Lian" is ambiguous. Actually, looking at "Shenqu" later, these are specific herbs. "Lian" in dysentery often implies Huanglian. I will translate as Huanglian (Coptidis Rhizoma) for clinical accuracy in this context, or note ambiguity. Wait, "Lian" could be Lianxu (Lotus Plumule). But combined with Houpo, Huanglian is the classic pair. I will use Huanglian (Coptidis Rhizoma). ) , and Houpo (Magnoliae Officinalis Cortex) etc.; if diarrhea and dysentery result from consuming wheat/flour or grain foods, first take Shenghua Tang plus Chao Shenqu (Stir-fried Medicated Leaven); once cramping pain stops, take Liujunzi Tang (Six Gentlemen Decoction) plus a pinch of Maiya (Hordei Fructus Germinatus) or one qian of Shenqu; if resulting from meat consumption, first take Shenghua Tang plus Shanzha (Crataegi Fructus) and Sharen (Amomi Fructus); once pain stops, take Liujunzi Tang plus four or five pieces of Shanzha, four fen of Sharen, and one qian of stir-fried Shenqu; if red dysentery with tenesmus occurs after half a month, use Guishao Lianke Yin (Angelica, Peony, and Zhiqiao Decoction); if spleen Qi deficiency causes diarrhea and dysentery with edema of the four limbs, use Liujunzi Tang plus Muxiang and Rouguo (Arecae Semen, baked in flour), combined with Wupi San (Five Barks Powder); if stool is yellow, it indicates deficiency of Spleen Earth's righteous Qi, so use Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) plus four fen of Muxiang and one Rouguo (baked); if Stomach Qi deficiency causes diarrhea and dysentery with undigested food in stool, warm and assist Stomach Qi should be applied; for postpartal diarrhea and dysentery lasting long with tenesmus, Jiawei Liujunzi Tang (Modified Six Gentlemen Decoction) is suitable. Generally, for postpartal red dysentery, due to significant blood loss, ginger, Sharen, and Muxiang should not be used excessively, as heat promotes blood flow further. If bloody dysentery persists for a long time, it is Blood deficiency, so use Siwu Tang (Four Substances Decoction) plus Jingjie (Schizonepetae Herba) and Renshen (Ginseng Radix et Rhizoma). For any symptoms accompanied by vomiting, add five fen Huoxiang (Agastaches Herba); for phlegm, add eight fen Zhibanxia (Pinelliae Rhizoma Preparatum). For short and scanty urination, add thirty cun of Dengxincao (Junci Medulla) as a guiding herb; Dengxincao promotes diuresis without damaging Yin. Moreover, postpartal fluids are already depleted, and diarrhea/dysentery further damages Yin and fluids, so urine should naturally be scanty; thus, Dengxincao suffices, and diuretics that damage Yin should not be used. If dysentery occurred during pregnancy and continues postpartum, Fulonggan Wan (Dragon's House Soil Pills) treats it. There is also Baitouweng Jia Gancao Ejiao Tang (Baitouweng Decoction with Licorice and Donkey-hide Gelatin) for treating persistent postpartal dysentery. Feng Shi stated: Postpartal abdominal pain with diarrhea and dysentery, if not caused by external pathogens, belongs to Kidney Qi deficiency. Yang deficiency fails to generate Spleen Earth, and Yin deficiency fails to secure and store; thus, Sishen Wan (Four Spirits Pill) and Bawei Wan (Eight Flavor Pill) must be used to tonify the Kidney. If misprescribed with draining and water-guiding agents, it increases deficiency. Dysentery and diarrhea are either Spleen or Kidney disorders. If the disease is in the Kidney, tonifying the Kidney is superior to tonifying the Spleen; if in the Spleen, tonifying the Spleen is superior to tonifying the Kidney.
Xiangling Shenghua Tang (Aucklandia and Poria Decoction for Generating Blood): Treats red and white dysentery within seven days postpartum.
Chuanxiong (2 qian) Danggui (5 qian) Zhigancao (5 fen) Taoren (10 grains) Fuling (1 qian) Chenpi (4 fen) Muxiang (1 fen)
Guishao Lianke Yin (Angelica, Peony, and Zhiqiao Decoction): Treats red dysentery with tenesmus after half a month postpartum.
Chuanxiong (1.5 qian) Danggui (3 qian) Baishao (wine-fried) Fuling (each 1 qian) Huanglian (6 fen, fried with ginger juice)
Zhiqiao (5 fen, wheat-bran fried) Gancao (4 fen) Muxiang (3 fen)
Wupi San (Five Barks Powder): Treats postpartal wind-damp injuring the Spleen, Qi and Blood stagnation, causing facial puffiness, limb swelling, and asthma.
Chenpi Sangbai Pi Jiangpi Fulingpi Dafupi (prepared clean with black soybean water, each 1 qian)
Fulonggan Wan (Dragon's House Soil Pills): Treats dysentery before delivery continuing after, and severe Yuan Qi deficiency with stasis accumulation causing lower abdominal binding pain, intolerant to aggressive attack.
Shanzha Rou (1 liang, charred) Heitang (2 liang, boiled until dry/crisp)
These two ingredients: half made into pills, half ground into powder. Use 2 liang of Fulonggan (Dragon's House Soil) decocted in water to replace water, decoct 2 qian of the powder, and take with 2 qian of the pills. Take three times during the day and twice at night, finishing within one day and night. For Qi deficiency, add 2-3 qian Renshen to control/manage; for deficiency heat, add Paojiang (Charred Ginger), Rougui (Cinnamomi Cortex), Fuling, and Zhigancao; for concurrent wind-cold, add Congbai (Scallion White) and Xiangchi (Fermented Soybean); for chest diaphragm Qi stagnation, grind Chenxiang (Aquilariae Lignum) and mix with several spoons to take.