神术散 燥湿理脾,为泄泻之良药。兼治呕吐。
苍术(陈土炒,钱半) 陈皮(一钱) 浓朴(姜汁炒) 炙甘草 藿香(各八分) 砂仁(四分) 姜(一片)
水煎服。
湿泻。肠鸣,腹不痛,身体重,泻如酱色,是湿气。宜燥渗∶用神术散加连翘、茯苓各
一钱。藿乱症泻水,或兼风水谷混杂,是湿兼寒风,神术散加木香、炮姜各五分,防风一钱
,升麻六分,柴胡六分。
食积泻。腹痛甚而泻,泻后痛减,泻出酸气,是食积∶神术散加楂肉、炒麦芽、煨神曲
各一钱二分。
痰泻。时泻时止,或多或少,是痰积∶神术散加茯苓、制半夏各二钱。
热泻。腹痛肠鸣,泻水,痛一阵,泻一阵,小便赤,大便老黄色,是实热。宜清解∶神
术散加连翘、栀仁、泽泻各一钱。
虚热泻。前症泻出淡黄色,是虚热∶神术散加漂白术、茯苓、炒白芍各钱半,粉葛一钱
。
热泻暴注下迫。谓其出物而迅疾也。便黄溺赤,口气蒸,烦渴少食。宜五苓饮∶猪苓钱
半,茯苓、泽泻各一钱,白术钱半,青化桂去粗六分。加栀仁、藿香各一钱。
虚泻。脾土虚寒作泻,所下白色,或谷食不化,或水液澄清,其候神思疲倦,唇口舌俱
白色。宜用理中汤或六君子汤,方俱见前“非搐”。
风泻。色青稠粘。宜用六君子汤,方见前。加柴胡八分,白芍,炒,钱半。
凡大泻烦躁大渴。其病不论新久,皆用七味白术散,生其津液。痢疾作泻亦然。此治小
儿泄泻之圣药。
人参 漂白术 云苓 藿香叶 粉葛(各一钱) 木香(三分) 炙草(五分)
水煎,当茶频饮,不可别用汤水。
Shen Shu San (Divine Art Powder) dries dampness and regulates the spleen, serving as an excellent remedy for Xie Xie (Diarrhea). It also treats vomiting concurrently.
Cang Zhu (Atractylodis Rhizoma, stir-fried with aged soil, 1.5 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Huo Xiang (Pogostemonis Herba, each 0.8 fen), Sha Ren (Amomi Fructus, 0.4 fen), Jiang (Zingiberis Rhizoma Recens, one slice).
Decoct in water and take orally.
Dampness-induced diarrhea: characterized by borborygmus (intestinal rumbling), absence of abdominal pain, heaviness of the body, and stool resembling soy sauce color, indicating dampness pathogen. The appropriate method is to dry dampness and promote diuresis: Use Shen Shu San added with Lian Qiao (Forsythiae Fructus) and Fu Ling (Poria, each 1 qian). For Huo Luan syndrome (cholera-like illness) causing watery diarrhea, or mixed with wind-water and undigested food, indicating dampness combined with cold-wind, use Shen Shu San added with Mu Xiang (Aucklandiae Radix) and Pao Jiang (Zingiberis Rhizoma Preparatum, each 0.5 fen), Fang Feng (Saposhnikoviae Radix, 1 qian), Sheng Ma (Cimicifugae Rhizoma, 0.6 fen), and Chai Hu (Bupleuri Radix, 0.6 fen).
Food stagnation-induced diarrhea: severe abdominal pain accompanied by diarrhea, pain relieved after defecation, and sour odor in excrement, indicating food stagnation: Use Shen Shu San added with Zha Rou (Crataegi Fructus), Chao Mai Ya (Hordei Fructus Germinatus stir-fried), and Wei Shen Qu (Medicated Leaven calcined, each 1.2 qian).
Phlegm-induced diarrhea: intermittent diarrhea with variable volume, indicating phlegm accumulation: Use Shen Shu San added with Fu Ling (Poria) and Zhi Ban Xia (Pinelliae Tuber preparatum, each 2 qian).
Heat-induced diarrhea: abdominal pain with borborygmus, watery stools, alternating episodes of pain and diarrhea, red urine, and dark yellow stool, indicating excess heat. The appropriate method is to clear heat and resolve: Use Shen Shu San added with Lian Qiao (Forsythiae Fructus), Zhi Ren (Gardeniae Semen, 1 qian), and Ze Xie (Alismatis Rhizoma, 1 qian).
Deficiency-heat-induced diarrhea: if the aforementioned symptoms present with pale yellow stool, it indicates deficiency-heat: Use Shen Shu San added with Biao Bai Zhu (Atractylodis Macrocephalae Rhizoma bleached), Fu Ling (Poria), and Chao Bai Shao (Paeoniae Radix Alba stir-fried, each 1.5 qian), and Fen Ge (Puerariae Lobatae Radix, 1 qian).
Heat-induced Bao Zhu Xia Po (sudden violent diarrhea with urgent tenesmus): referring to rapid expulsion of contents. Symptoms include yellow stool, red urine, steaming breath from the mouth, irritability, thirst, and poor appetite. The appropriate formula is Wu Ling Yin (Five-Ingredient Decoction with Poria): Zhu Ling (Polypori Umbilicati Sclerotium, 1.5 qian), Fu Ling (Poria, 1 qian), Ze Xie (Alismatis Rhizoma, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian), Qing Hua Gui (Cinnamomi Ramulus de-barked, 0.6 fen). Added with Zhi Ren (Gardeniae Semen) and Huo Xiang (Pogostemonis Herba, each 1 qian).
Deficiency-induced diarrhea: caused by deficiency-cold of Spleen Earth, presenting with white stool, undigested food, or clear watery stool; signs include mental fatigue and whiteness of lips, mouth, and tongue. The appropriate formulas are Li Zhong Tang (Regulate the Middle Decoction) or Liu Jun Zi Tang (Six-Gentlemen Decoction); see the "Fei Chu" section previously for formulas.
Wind-induced diarrhea: green, thick, and sticky stool. The appropriate formula is Liu Jun Zi Tang (Six-Gentlemen Decoction); see previous text. Added with Chai Hu (Bupleuri Radix, 0.8 fen) and Bai Shao (Paeoniae Radix Alba, stir-fried, 1.5 qian).
For any case of severe diarrhea accompanied by irritability and extreme thirst: regardless of whether the disease is new or chronic, use Qi Wei Bai Zhu San (Seven-Ingredient Powder with Atractylodis Macrocephalae Rhizoma) to generate fluids. This applies similarly to diarrhea caused by Li Ji (Dysentery). This is the sacred medicine for treating pediatric diarrhea.
Ren Shen (Ginseng Radix et Rhizoma), Biao Bai Zhu (Atractylodis Macrocephalae Rhizoma bleached), Yun Ling (Poria), Huo Xiang Ye (Pogostemonis Folium), Fen Ge (Puerariae Lobatae Radix, each 1 qian), Mu Xiang (Aucklandiae Radix, 0.3 fen), Zhi Cao (Glycyrrhizae Radix et Rhizoma preparatum, 0.5 fen).
Decoct in water, drink frequently like tea, do not consume other liquids.