（附论）
夫内经曰。清气在下。则生飧泄。又曰。久风为飧泄。夫脾胃土也。其气冲和。以化为
事。今清浊交错。风邪之气。得以干胃。故冲气不能化。而食物完出。夕食谓之飧。以食之
难化者。尤在于夕。故食不化而泄出。则谓飧泄。此俗所谓水谷痢也。脾胃交济。所以有水
谷之分。脾气虽强。而胃气不足。故饮食下咽。而大腑之飧泄也。治法用二神丸。破故纸。
肉豆蔻。修合。或不换金正气散。吞安肾丸主之。盖脾胃之气交通。则水谷自然克化。此所
谓妙合而凝者也。
方
红豆丸（出瑞竹堂）治脏腑泄泻。名为飧泄。
麦 （炒） 半夏（汤洗七次） 砂仁 神曲（各一两半炒） 砂（醋化） 甘草 青
皮（去瓤） 陈皮 郁金 红豆 藿香 棠球（炒） 蓬术（各三两煨） 良姜 荜茇（各
二两） 丁香（半两不见火） 上为末。水煮面糊为丸。如梧桐子大。每服一百丸。每清晨
空心下。病甚者日进
桂心丸（出圣济总录）治脾胃气虚。飧泄不止。饮食不消。腹鸣。腹内 痛。
桂（去粗皮） 赤茯苓（去黑皮） 赤石脂（各三两） 黄连（去须一两） 麦 （炒）
神曲（炒） 石斛（去根） 干姜 人参 当归（切焙） 附子（炮裂去皮脐） 蜀椒（去
目并合口炒出汗） 龙骨（各半两） 上为末。炼蜜丸。如梧桐子大。每服三十丸。空心暖
酒下。日午再服。
高良姜汤（出圣济总录）治脾胃寒气。久为飧泄。下痢呕逆。腹内 痛。
高良姜 木香 赤茯苓（去黑皮） 槟榔（锉） 人参（各三分） 肉豆蔻（去壳） 吴
茱萸（汤浸焙炒） 陈橘皮（汤浸去白炒各半两） 干姜（炮一分） 缩砂蜜（去皮半两） 上
捣筛。每服四
干姜丸（出圣济总录）治飧泄色白。食不消化。
干姜（炮） 黄连（去须炒各一两半） 上为末。先以酒一升。微火煎候可丸。即丸如
桐子大。空心米饮下三十丸。日午再服。一方治气痢泻。里急后重。为末空心酒调服。
荜茇散（出圣济总录）治飧泄气胀。满不下食。
荜茇（一两） 肉豆蔻（去壳半生半煨一两） 干姜（炮半两） 白术（三分） 甘草
（半生半炙锉半两） 木香（半生半炒一两） 诃黎勒（半生半炮去核一两） 上为散。每
服二钱。空心米饮调下。日晚再服。
木香散（出圣济总录）治肠胃冷气。飧泄不止。
木香 阿胶（炙燥） 诃黎勒（泡去核） 黄连（去须炒半两） 干姜（炮） 吴茱萸
（汤浸焙炒） 龙骨（各一分） 上为散。每服三钱。空心米饮调下。日晚再服。
地榆汤（出圣济总录）治肠胃寒气。飧泄无度。或下黄水腹痛。
地榆 浓朴（去粗皮生姜汁炙） 当归（切焙各三分） 艾叶（炒） 吴茱萸（汤浸炒）
高良姜（
姜米散（出圣济总录）治脾胃气虚。腹胀飧泄。困劣。暖药即呕逆。食饮不
下。
陈米（一升用生姜二片取汁浸米焙捣筛为末炒令黄） 草豆蔻（十枚煨去皮） 甘草（锉
炙） 肉豆蔻（十枚去壳） 陈橘皮（去白炒） 烧盐（各一两炒） 上研散。每服二钱。
沸汤点服。不拘时候。
鸡舌香散（出直指方）治飧泄生冷久为冷积。
良姜 辣桂 香附（净洗） 天台乌药 益智仁（各一两） 甘草（炙两半） 上为末。
每服二钱。入炒盐沸汤点吞感应丸。
白术汤（出宣明论）治风冷入中。飧泄不止。脉虚而细。日夜数行。口舌干
燥。肚腹疼痛。飧泄症。主冷。清气在下。则生飧泄。清浊交错。食不化而清谷矣。
白术 浓朴（去粗皮锉姜汁炙） 当归（切焙） 龙骨（各一两） 熟艾（炒各半两） 上
捣筛。每服四钱。水一盏。入姜两片。同煎七分。去滓。空心日晚温服。
干姜丸（出圣济总录） 治肠胃风冷。飧泄注下。腹痛不止。
干姜（炮） 浓朴（去粗皮姜汁炙） 当归（切焙各三分） 阿胶（炙燥） 龙骨（各
一两） 上为末。炼蜜丸如梧桐子大。每服三十丸。空心枣汤下。
豆蔻散（出圣济总录）治飧泄。水谷不分。温脾、止腹痛、进食。
草豆蔻（去皮） 干姜 甘草 陈橘皮（汤浸去白） 高良姜 上等分锉碎。都作一处。
用胡饼剂裹。 炭内炮令黄熟。取出面。捣为散。每服二钱。陈米饮调下。食前服。
茯苓汤（出圣济总录）治飧泄。水谷完出。
赤茯苓（去黑皮） 黄连（去须炒） 浓朴（去粗皮生姜汁炙各一两） 干姜（炮半两）
上捣筛。每服四钱。水一盏半。煎八分。去滓。空心日午温服。
治飧泄滑痢不止。（一名茯苓木香散出百一选方）
白茯苓（二两） 南木香（半两纸裹炮） 上为末。紫苏、木瓜煎汤调二钱。
茱萸汤（出圣惠方）治飧泄。水谷不化。及诸色痢。亦治水泻。腹痛肠鸣。
吴茱萸（汤浸焙干炒） 黄连（去须炒等分） 上捣筛。每服四钱。水一盏半。煎至八
分。去滓。空心温服。不止再服。一方饭和丸。粥饮下三十丸。
防风芍药汤 治泄痢。飧泄。身热脉弦。腹痛、头痛、而微汗。法云。泻有虚实
寒热。虚则无力。拈衣不及。便已泄出。为不能禁固也。实则数至圊而不能便。俗云
虚坐努责是也。里急后重。皆根据前法进退大承气汤主之。一说素问曰。春伤于风。夏
生飧泄。又云久风为飧泄。飧泄者。乃水谷不化而完出。非水入胃而成。此症不饮水
而谷完出。故名飧泄。治法于后。先以宣风散寒导之使出。钱氏方四味者是也。后服。
苍术防风汤
苍术（去皮四两） 麻黄（去根节四两） 防风（去芦头五钱） 上为粗末。每服一两。
生姜七片。水二盏煎一盏去滓。温服。泄止后。服椒术丸。
椒术丸
苍术（二两） 小椒（一两去口炒） 上为细末。醋糊丸。如桐子大。每服二三十丸。
食前温水下。一法恶痢久不愈者弥佳。如小儿病。丸如黍米大。
木香散 内经曰清气在下。则生飧泄。又曰久风入中。则为肠气飧泄。夫脾胃土
也。其气冲和以化为事。今清气下降不升。则风邪久而干胃。是木贼土也。故冲和之
气。不能化。令物完出。所谓飧泄者。或饮食太过。肠胃致伤。因而水谷不化。此俗
呼之水谷痢也。法当下举而消克之。以加减木香散主之。\x
木香 良姜 升麻（去黑腐） 槟榔 人参（各七钱半） 肉豆蔻（煨） 吴茱萸（汤
洗） 陈皮 砂仁（各半钱） 神曲（炒二钱） 干姜（洗去灰炒半钱） 上同为末。每服
四钱。水一盏半。煎
[Attached Discussion]
The *Neijing* (Inner Canon) states: When clear yang qi descends to the lower part, it generates Sundry Diarrhea (Sun Xie, diarrhea with undigested food). It also states: Long-standing wind pathogen leads to Sundry Diarrhea. The Spleen and Stomach belong to Earth; their qi is balanced and harmonious, functioning through transformation and transportation. Currently, due to the intermingling of clear and turbid qi, the Wind pathogen invades the Stomach, causing the harmonious qi to fail in transformation, resulting in food being excreted without digestion. "Sun" refers to the evening meal, as difficult-to-digest foods are often consumed at night; thus, when food is not digested and is discharged, it is called Sundry Diarrhea. This is what the common people call "Water-Grain Dysentery." The Spleen and Stomach coordinate with each other to distinguish between water and grain. Although the Spleen qi may be strong, if the Stomach qi is insufficient, after food is swallowed, Sundry Diarrhea occurs in the large intestine. The treatment method involves using Er Shen Wan (Two Spirit Pill), composed of Pogu Zhi (Buddha's Lotus Seed/Bonebreaker, *Psoraleae Fructus*) and Rou Dou Kou (Nutmeg, *Myristicae Semen*), prepared through processing and compounding; or alternatively, using Bu Huan Jin Zheng Qi San (Golden Exchange Qi-Regulating Powder) taken together with An Shen Wan (Peace the Kidney Pill). Generally, when the qi of the Spleen and Stomach communicates smoothly, water and grain are naturally transformed and digested. This is referred to as "subtle integration and condensation."
Formulas
Hong Dou Wan (Red Bean Pill) [From *Ruizhu Tang Jingyan Fang*]: Treats viscera diarrhea, named Sundry Diarrhea.
Mai Fu (Wheat Bran, stir-fried) Ban Xia (Pinellia Rhizome, washed seven times with decoction) Sha Ren (Amomum Fruit) Shen Qu (Medicated Leaven, each 1.5 liang, stir-fried) Sha Ren (Amomum Fruit, dissolved in vinegar) Gan Cao (Licorice Root) Qing Pi (Green Tangerine Peel, pith removed) Chen Pi (Aged Tangerine Peel) Yu Jin (Curcuma Root) Hong Dou (Red Bean) Huo Xiang (Patchouli) Tang Qiu (Crabapple, stir-fried) Peng Zhu (Zedoary Rhizome, each 3 liang, baked) Liang Jiang (Galangal) Bi Bo (Long Pepper, each 2 liang) Ding Xiang (Clove, 0.5 liang, avoid fire). Grind all into powder. Use wheat paste made by boiling water as a binder to form pills the size of Sophora seeds. Take 100 pills per dose, on an empty stomach early in the morning. For severe cases, increase the daily dosage.
Gui Xin Wan (Cinnamon Heart Pill) [From *Shengji Zonglu*]: Treats Spleen-Stomach qi deficiency, persistent Sundry Diarrhea, indigestion, borborygmus, and abdominal pain.
Gui Xin (Cinnamon Twig Heart, bark removed) Chi Fu Ling (Red Poria, black skin removed) Chi Shi Zhi (Red Halloysite, each 3 liang) Huang Lian (Coptis Rhizome, rhizomes removed, 1 liang) Mai Fu (Wheat Bran, stir-fried) Shen Qu (Medicated Leaven, stir-fried) Shi Hu (Dendrobium Stem, roots removed) Gan Jiang (Dried Ginger) Ren Shen (Ginseng Root) Dang Gui (Angelica Sinensis Root, sliced and dried) Fu Zi (Prepared Aconite Child, cracked, skin and umbilicus removed) Shu Jiao (Sichuan Pepper, eyes and closed mouths removed, stir-fried until sweat appears) Long Gu (Fossilized Bone/Mammoth Tooth, each 0.5 liang). Grind into powder. Form pills with refined honey, size of Sophora seeds. Take 30 pills per dose, with warm wine on an empty stomach, and again at noon.
Gao Liang Jiang Tang (Galangal Decoction) [From *Shengji Zonglu*]: Treats Cold-Pathogen in Spleen-Stomach, long-term Sundry Diarrhea, dysentery with vomiting and reflux, and abdominal pain.
Gao Liang Jiang (Galangal Rhizome) Mu Xiang (Aucklandia Root) Chi Fu Ling (Red Poria, black skin removed) Bing Lang (Areca Seed, crushed) Ren Shen (Ginseng Root, each 3 fen) Rou Dou Kou (Nutmeg, husk removed) Wu Zhu Yu (Evodia Fruit, soaked in water, baked, and stir-fried) Chen Ju Pi (Aged Tangerine Peel, soaked in water, white pith removed, stir-fried, each 0.5 liang) Gan Jiang (Dried Ginger, processed, 1 fen) Suo Sha Mi (Cardamom, peeled, 0.5 liang). Crush and sieve. Take 4 qian per dose... [Text cuts off here].
Gan Jiang Wan (Dried Ginger Pill) [From *Shengji Zonglu*]: Treats Sundry Diarrhea with white color and undigested food.
Gan Jiang (Dried Ginger, processed) Huang Lian (Coptis Rhizome, rhizomes removed, stir-fried, each 1.5 liang). Grind into powder. First, boil one sheng of wine over low heat until suitable for pill formation. Immediately form pills the size of sesame seeds. Take 30 pills with rice drink on an empty stomach, and again at noon. Another prescription treats Qi-Dysentery with tenesmus; grind into powder and take with wine on an empty stomach.
Bi Bo San (Long Pepper Powder) [From *Shengji Zonglu*]: Treats Sundry Diarrhea with Qi distension, fullness, and inability to eat.
Bi Bo (Long Pepper, 1 liang) Rou Dou Kou (Nutmeg, husk removed, half raw half baked, 1 liang) Gan Jiang (Dried Ginger, processed, 0.5 liang) Bai Zhu (Atractylodes Macrocephala Rhizome, 3 fen) Gan Cao (Licorice Root, half raw half honey-fried, crushed, 0.5 liang) Mu Xiang (Aucklandia Root, half raw half stir-fried, 1 liang) He Li Le (Chebula Fruit, half raw half processed, pitted, 1 liang). Grind into powder. Take 2 qian per dose, mixed with rice drink on an empty stomach, and again in the evening.
Mu Xiang San (Aucklandia Powder) [From *Shengji Zonglu*]: Treats Cold-Qi in Intestines and Stomach, persistent Sundry Diarrhea.
Mu Xiang (Aucklandia Root) E Jiao (Donkey-Hide Gelatin, roasted dry) He Li Le (Chebula Fruit, soaked, pitted) Huang Lian (Coptis Rhizome, rhizomes removed, stir-fried, 0.5 liang) Gan Jiang (Dried Ginger, processed) Wu Zhu Yu (Evodia Fruit, soaked in water, baked, and stir-fried) Long Gu (Fossilized Bone/Mammoth Tooth, each 1 fen). Grind into powder. Take 3 qian per dose, mixed with rice drink on an empty stomach, and again in the evening.
Di Yu Tang (Sanguisorba Decoction) [From *Shengji Zonglu*]: Treats Cold-Pathogen in Intestines and Stomach, uncontrolled Sundry Diarrhea, or discharge of yellow fluid with abdominal pain.
Di Yu (Sanguisorba Root) Hou Po (Magnolia Bark, coarse bark removed, roasted with ginger juice) Dang Gui (Angelica Sinensis Root, sliced and dried, each 3 fen) Ai Ye (Mugwort Leaf, stir-fried) Wu Zhu Yu (Evodia Fruit, soaked in water and stir-fried) Gao Liang Jiang (Galangal Rhizome)... [Text cuts off here].
Jiang Mi San (Ginger Rice Powder) [From *Shengji Zonglu*]: Treats Spleen-Stomach qi deficiency, abdominal distension and Sundry Diarrhea, physical weakness; taking warm medicines causes vomiting and inability to ingest food/drink.
Chen Mi (Old Rice, 1 sheng, soak in juice of 2 slices of fresh ginger, bake, crush, sieve, and stir-fry until yellow) Cao Dou Kou (Greater Cardamom, 10 pods, baked, peeled) Gan Cao (Licorice Root, crushed and honey-fried) Rou Dou Kou (Nutmeg, 10 pods, husked) Chen Ju Pi (Aged Tangerine Peel, white pith removed, stir-fried) Shao Yan (Burnt Salt, each 1 liang, stir-fried). Grind into powder. Take 2 qian per dose, mixed with boiling water. Take at any time.
Ji She Xiang San (Tiger Tallow Powder) [From *Zhizhi Fang*]: Treats Sundry Diarrhea caused by long-standing cold accumulation from raw/cold foods.
Liang Jiang (Galangal Rhizome) La Gui (Spicy Cinnamon) Xiang Fu (Cyperus Rhizome, thoroughly washed) Tian Tai Wu Yao (Lindera Root) Yi Zhi Ren (Alpinia Oxyphylla Fruit, each 1 liang) Gan Cao (Licorice Root, honey-fried, 0.5 liang). Grind into powder. Take 2 qian per dose, mixed with boiled salt water, while swallowing Yin Gan Wan (Miracle Response Pill).
Bai Zhu Tang (Atractylodes Decoction) [From *Xuan Ming Lun Fang*]: Treats Wind-Cold invading the interior, persistent Sundry Diarrhea, deficient and thin pulse, frequent defecation day and night, dry mouth and tongue, abdominal pain. This is the symptom of Sundry Diarrhea, primarily characterized by Cold. Clear qi descending below generates Sundry Diarrhea. Intermingling of clear and turbid qi results in undigested food being excreted.
Bai Zhu (Atractylodes Macrocephala Rhizome) Hou Po (Magnolia Bark, coarse bark removed, crushed, roasted with ginger juice) Dang Gui (Angelica Sinensis Root, sliced and dried) Long Gu (Fossilized Bone/Mammoth Tooth, each 1 liang) Shu Ai (Processed Mugwort, stir-fried, each 0.5 liang). Crush and sieve. Take 4 qian per dose, with one cup of water, add two slices of ginger, decoct to 70%, strain. Take warm on an empty stomach and in the evening.
Gan Jiang Wan (Dried Ginger Pill) [From *Shengji Zonglu*]: Treats Wind-Cold in Intestines and Stomach, pouring Sundry Diarrhea, continuous abdominal pain.
Gan Jiang (Dried Ginger, processed) Hou Po (Magnolia Bark, coarse bark removed, roasted with ginger juice) Dang Gui (Angelica Sinensis Root, sliced and dried, each 3 fen) E Jiao (Donkey-Hide Gelatin, roasted dry) Long Gu (Fossilized Bone/Mammoth Tooth, each 1 liang). Grind into powder. Form pills with refined honey, size of Sophora seeds. Take 30 pills per dose, with jujube soup on an empty stomach.
Dou Kou San (Cardamom Powder) [From *Shengji Zonglu*]: Treats Sundry Diarrhea, indistinguishable water and grain, warms the Spleen, stops abdominal pain, promotes appetite.
Cao Dou Kou (Greater Cardamom, peeled) Gan Jiang (Dried Ginger) Gan Cao (Licorice Root) Chen Ju Pi (Aged Tangerine Peel, soaked in water, white pith removed) Gao Liang Jiang (Galangal Rhizome). Equal parts, crushed. Wrap together in a dough wrapper. Roast in charcoal until yellow and cooked. Remove the dough, crush into powder. Take 2 qian per dose, mixed with old rice drink. Take before meals.
Fu Ling Tang (Poria Decoction) [From *Shengji Zonglu*]: Treats Sundry Diarrhea, complete discharge of water and grain.
Chi Fu Ling (Red Poria, black skin removed) Huang Lian (Coptis Rhizome, rhizomes removed, stir-fried) Hou Po (Magnolia Bark, coarse bark removed, roasted with ginger juice, each 1 liang) Gan Jiang (Dried Ginger, processed, 0.5 liang). Crush and sieve. Take 4 qian per dose, with 1.5 cups of water, decoct to 80%, strain. Take warm on an empty stomach and at noon.
Treating Persistent Slippery Dysentery from Sundry Diarrhea. (Also known as Fu Ling Mu Xiang San, from *Bai Yi Xuan Fang*)
Bai Fu Ling (White Poria, 2 liang) Nan Mu Xiang (Southern Aucklandia Root, 0.5 liang, wrapped in paper and processed). Grind into powder. Mix with decoction of Zi Su (Perilla Leaf) and Mu Gua (Chaenomeles Fruit) and take 2 qian.
Zhu Yu Tang (Evodia Decoction) [From *Shenghui Fang*]: Treats Sundry Diarrhea, undigested water and grain, and dysentery of various colors. Also treats watery diarrhea, abdominal pain, and borborygmus.
Wu Zhu Yu (Evodia Fruit, soaked in water, baked dry, and stir-fried) Huang Lian (Coptis Rhizome, rhizomes removed, stir-fried, equal parts). Crush and sieve. Take 4 qian per dose, with 1.5 cups of water, decoct to 80%, strain. Take warm on an empty stomach. If not stopped, take again. Another method: mix powder with rice to form pills, take 30 pills with porridge drink.
Fang Feng Shao Yao Tang (Saposhnikovia and Peony Decoction): Treats dysentery, Sundry Diarrhea, fever, wiry pulse, abdominal pain, headache, and slight sweating. Medical theory states: Diarrhea has Deficiency/Excess and Cold/Heat distinctions. Deficiency presents as lack of strength, inability to hold clothing before evacuation occurs, indicating failure of consolidation. Excess presents as frequent trips to the toilet with inability to pass stool, commonly called "empty straining." Tenesmus and heaviness in the rectum are treated according to the aforementioned methods, adjusting Da Cheng Qi Tang (Major Order the Yellow Decoction) as the main formula. Another view: *Suwen* states, "Wind injury in Spring leads to Sundry Diarrhea in Summer." It also says, "Long-standing wind leads to Sundry Diarrhea." Sundry Diarrhea refers to water and grain being excreted undigested, not formed by water entering the stomach. In this condition, food is excreted whole without drinking water, hence the name Sundry Diarrhea. Treatment methods follow: First, use Xuan Feng San (Disperse Wind Powder) to dispel cold and guide out pathogens. This refers to the four-ingredient formula of Qian Yi. Afterwards, take Cang Zhu Fang Feng Tang.
Cang Zhu Fang Feng Tang (Atractylodes and Saposhnikovia Decoction)
Cang Zhu (Atractylodes Lancea Rhizome, peeled, 4 liang) Ma Huang (Ephedra Herb, roots and nodes removed, 4 liang) Fang Feng (Saposhnikovia Root, awn removed, 5 qian). Grind into coarse powder. Take 1 liang per dose, with 7 slices of fresh ginger, 2 cups of water, decoct to 1 cup, strain. Take warm. After diarrhea stops, take Jiao Zhu Wan.
Jiao Zhu Wan (Pepper and Atractylodes Pill)
Cang Zhu (Atractylodes Lancea Rhizome, 2 liang) Xiao Jiao (Small Pepper, 1 liang, remove openings, stir-fried). Grind into fine powder. Form pills with vinegar paste, size of sesame seeds. Take 20-30 pills per dose, with warm water before meals. One method suggests it is particularly good for chronic severe dysentery. For children, make pills the size of millet grains.
Mu Xiang San (Aucklandia Powder) The *Neijing* states: When clear yang qi descends to the lower part, it generates Sundry Diarrhea. It also states: Long-standing wind entering the interior leads to intestinal Qi Sundry Diarrhea. The Spleen and Stomach belong to Earth; their qi is balanced and harmonious, functioning through transformation. Currently, clear yang qi descends but does not ascend, so the Wind pathogen invades the Stomach over time. This is Wood attacking Earth. Thus, the harmonious qi fails to transform, causing food to be excreted whole. Sundry Diarrhea is either due to excessive eating damaging the intestines and stomach, leading to undigested water and grain. This is commonly called Water-Grain Dysentery. The treatment method should involve lifting and digesting. Use Jia Jian Mu Xiang San (Modified Aucklandia Powder) as the main formula.
Mu Xiang (Aucklandia Root) Liang Jiang (Galangal Rhizome) Sheng Ma (Cimicifuga Rhizome, remove black rot) Bing Lang (Areca Seed) Ren Shen (Ginseng Root, each 7.5 qian) Rou Dou Kou (Nutmeg, baked) Wu Zhu Yu (Evodia Fruit, washed with water) Chen Pi (Aged Tangerine Peel) Sha Ren (Amomum Fruit, each 0.5 qian) Shen Qu (Medicated Leaven, stir-fried, 2 qian) Gan Jiang (Dried Ginger, washed to remove ash, stir-fried, 0.5 qian). Grind all into powder. Take 4 qian per dose, with 1.5 cups of water, decoct... [Text cuts off here].