凡暑月饮食生冷太过，伤人六腑。伤胃则注下暴泄；伤脾则滑泄，米谷不化；伤大肠则泻白，肠中痛，皆
宜服金液丹、霹雳汤，三日而愈。不愈则成脾泄，急灸神阙百壮。（神阙恐是命关之误。）《难经》虽言五泄，
不传治法，凡一应泄泻，皆根据此法治之。
治验
一女人因泄泻发狂言，六脉紧数，乃胃中积热也。询其丈夫，因吃胡椒、生姜太多，以致泄泻，五日后发
狂言，令服黄芩知母汤而愈。（平日恣啖炙爆，喜食椒姜，胃中积热者，有此一证，临证自明，然亦希遇。更
有泻脱津液，致舌胎干燥，发热神昏，谵妄不宁者，此脾胃大虚，法当温补，若用寒凉，虚脱立见。）
凡人多食生冷，湿热伤其脾胃，致成痢疾。初起服如圣饼子，下积而愈；若无大便，止下赤脓者，乃胃有
大热伤血也，宜当归芍药汤、阿胶汤；若下白脓者，乃饮食冷物伤大肠也，服桃花汤、全真丹而愈；若腹痛发
热昏睡，六脉洪数，纯泄赤脓，乃热气滞于肠胃也，名疳蛊痢，亦有错服热药而得者，服黄连丸，甚者大通散。
（痢疾固当化积清热，香连、承气等方，用果得宜，何尝不应手而愈？若涉脾胃虚寒，经脉内陷，三焦失运而
致者，又不可不以温补为要也，盖热药之误，易于转手，凉药之误，救治殊难。虚衷以应，临证误人自少。）
Whenever excessive consumption of raw and cold food during the summer months damages the Six Fu-organs: injury to the Stomach leads to sudden, profuse diarrhea; injury to the Spleen results in slippery diarrhea with undigested food; injury to the Large Intestine causes white stools accompanied by abdominal pain. In all these cases, Jin Ye Dan (Golden Fluid Pill) and Pi Li Tang (Thunderbolt Decoction) are appropriate, and recovery occurs within three days. If not cured, it develops into Pi Xie (Spleen Diarrhea), requiring urgent moxibustion on Shenque (Belly Button, CV8) for one hundred moxa cones. (Shenque may be a miswriting of Mingguan.) Although the Nan Jing (Classic of Difficult Issues) discusses the Five Types of Diarrhea, it does not transmit treatment methods. For all types of diarrhea, treatment should follow this principle.
Clinical Case
A woman suffered from diarrhea accompanied by delirious speech. Her six pulses were tight and rapid, indicating accumulated heat in the Stomach. Inquiry revealed that her husband had consumed too much pepper and ginger, causing diarrhea. Five days later, she began speaking deliriously. She was prescribed Huang Qin Zhi Mu Tang (Scutellaria and Anemarrhena Decoction) and recovered. (Those who indulgently eat roasted and fried foods and prefer pepper and ginger often have accumulated heat in the Stomach, leading to this syndrome. This is clear in clinical practice, though such cases are rare. Furthermore, those whose diarrhea depletes body fluids, resulting in dry tongue coating, fever, coma, and restless delirium, suffer from severe deficiency of the Spleen and Stomach. The method should be warming and tonifying; if cold-natured herbs are used, collapse will occur immediately.)
When people consume excessive amounts of raw and cold food, damp-heat damages the Spleen and Stomach, leading to dysentery. At the onset, Ru Sheng Bing Zi (Like-Sage Pills) should be taken to expel accumulation and cure the disease. If there is no stool but only red pus is discharged, it indicates severe heat in the Stomach damaging the blood; Dang Gui Shao Yao Tang (Angelica and Peony Decoction) or E Jiao Tang (Donkey-Hide Gelatin Decoction) is suitable. If white pus is discharged, it indicates that cold food has damaged the Large Intestine; Tao Hua Tang (Peach Blossom Decoction) or Quan Zhen Dan (Complete True Pill) should be taken for recovery. If abdominal pain, fever, drowsiness, and rapid, flooding pulses occur with pure discharge of red pus, it is due to heat qi stagnating in the intestines and stomach, named Gangu Dysentery. It can also result from the erroneous use of hot herbs; in such cases, Huang Lian Wan (Coptis Pill) is used, and for severe cases, Da Tong San (Great Unblocking Powder). (Dysentery certainly requires resolving accumulation and clearing heat. Formulas such as Xiang Lian and Cheng Qi, when used appropriately, can indeed achieve immediate cures. However, if the condition involves deficiency-cold of the Spleen and Stomach, sinking of meridians, and loss of transportation by the Triple Burner, warming and tonifying must be prioritized. Generally, errors from hot herbs are easier to correct, whereas errors from cold herbs are difficult to rescue. With a humble and sincere approach, clinical mistakes will naturally be minimized.)