【积寒泄泻之症】腹中绵绵作痛，小便不赤，口唇不干，泻下清白鸭溏之色，此积寒泄
【积寒泄泻之因】或食冷物以伤肠胃，则下流大肠；或形寒饮冷以伤肺气，则下遗大肠，
阳明太阴受寒，皆成寒积之泻。
【积寒泄泻之脉】沉细而迟。或沉而弦，或沉而结。右关沉迟，肠胃积寒，右寸沉迟，
【积寒泄泻之治】寒积内滞者，草蔻丸。肠胃虚冷，宜理中汤，甚者补中汤。肺受寒
草蔻丸 见胃痛。
理中汤
人参 白术 炮姜 炙甘草
补中汤
人参 白术 炮姜 炙甘草 丁香
养肺汤 即生脉散，加黄 、当归、紫菀、甘草。
【痰积泻之症】或泻或止，或多或少，或下白胶如蛋白，腹中漉漉有声，或如雷鸣，或
两肋攻刺作痛，此痰积泄泻也。
【痰积泻之因】饮食过当，或食后即卧，或肥甘纵口，或临食粗咽，磨化渐难，遂成
痰积，下溜大肠，则成泄泻之症矣。
【痰积泻之脉】或见弦滑，弦主寒饮，滑主痰结，弦滑而数，痰兼积热。
【痰积泻之治】二陈平胃散。脉滑实者，导痰汤，有下症者，加大黄、玄明粉，通因通
用。
又有痰积在肺，肺移于大肠，清肺经之痰，则大肠之泻自止，用节斋化痰丸。
二陈平胃散 即平胃散，加半夏、茯苓。
导痰汤
半夏 南星 橘红 枳壳 甘草 赤茯苓 海石 生姜
应下者，或加大黄，或玄明粉。
节斋化痰丸 本治痰嗽之方，家秘用治痰泻。
海石（一两） 青黛（五钱） 橘红（一两） 桔梗（一两） 连翘（一两） 栝蒌霜（一两） 芒
硝（五钱） 黄芩（一两） 香附（一两） 天门冬（一两）
痰凝上焦加半夏。通因通用入芒硝。
[Symptoms of Accumulated Cold Diarrhea] The abdomen aches with a continuous, dull pain; the urine is not red; the lips are not dry; the stool is clear, white, and watery like duck feces. This indicates diarrhea caused by accumulated cold.
[Etiology of Accumulated Cold Diarrhea] It may result from consuming cold foods that damage the stomach and intestines, allowing cold to descend into the large intestine; or from physical exposure to cold and drinking cold water that damages Lung Qi, allowing cold to descend into the large intestine. When the Yangming and Taiyin meridians are affected by cold, they all form diarrhea due to cold accumulation.
[Pulse of Accumulated Cold Diarrhea] The pulse is deep, fine, and slow. It may also be deep and wiry, or deep and knotted. A deep and slow pulse at the Right Guan position indicates accumulated cold in the stomach and intestines; a deep and slow pulse at the Right Cun position [indicates cold affecting the lungs].
[Treatment of Accumulated Cold Diarrhea] For internal stagnation of cold accumulation, use Cao Kou Wan (Cardamom Pill). For deficiency-cold of the stomach and intestines, Li Zhong Tang (Regulate the Middle Decoction) is appropriate; for severe cases, Bu Zhong Tang (Tonify the Middle Decoction) should be used. If the lungs are affected by cold...
Cao Kou Wan See the section on Stomachache.
Li Zhong Tang
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Pao Jiang (Prepared Zingiberis Rhizoma) Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma)
Bu Zhong Tang
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Pao Jiang (Prepared Zingiberis Rhizoma) Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) Ding Xiang (Caryophylli Flos)
Yang Fei Tang (Nourish the Lungs Decoction) Is identical to Sheng Mai San (Generate the Pulse Powder), added with Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Zi Wan (Stemonae Radix), and Gan Cao (Glycyrrhizae Radix et Rhizoma).
[Symptoms of Phlegm-Accumulation Diarrhea] Diarrhea may occur intermittently, varying in volume. Sometimes white, gelatinous material resembling egg white is passed. There may be gurgling sounds in the abdomen, sounding like thunder, or stabbing pain attacking the hypochondriac regions. This is diarrhea caused by phlegm accumulation.
[Etiology of Phlegm-Accumulation Diarrhea] Improper diet, lying down immediately after eating, indulging in rich and sweet foods, or swallowing food hastily during meals can make digestion difficult. This gradually forms phlegm accumulation, which flows downward into the large intestine, resulting in diarrhea.
[Pulse of Phlegm-Accumulation Diarrhea] The pulse may appear wiry and slippery. A wiry pulse indicates cold-fluid retention; a slippery pulse indicates phlegm binding. A wiry, slippery, and rapid pulse indicates phlegm combined with accumulated heat.
[Treatment of Phlegm-Accumulation Diarrhea] Use Er Chen Ping Wei San (Two-Cured and Stomach-Pacifying Powder). If the pulse is slippery and excess, use Dao Tan Tang (Guide Out Phlegm Decoction). If there are signs indicating purgation is needed, add Da Huang (Rhei Radix et Rhizoma) and Xuan Ming Fen (Mirabilite), employing the "treat obstruction with unblocking" method (Tong Yin Tong Yong).
In cases where phlegm accumulation is in the lungs and transfers to the large intestine, clearing phlegm from the Lung meridian will naturally stop the large intestine's diarrhea. Use Jie Zai Hua Tan Wan (Jie Zai Phlegm-Resolving Pill).
Er Chen Ping Wei San Is identical to Ping Wei San (Stomach-Pacifying Powder), added with Ban Xia (Pinelliae Rhizoma) and Fu Ling (Poria).
Dao Tan Tang
Ban Xia (Pinelliae Rhizoma) Nan Xing (Arisaematis Cum Bile) Ju Hong (Citri Reticulatae Pericarpium) Zhi Ke (Aurantii Fructus Immaturus) Gan Cao (Glycyrrhizae Radix et Rhizoma) Chi Fu Ling (Red Poria) Hai Shi (Calcitum) Sheng Jiang (Zingiberis Rhizoma Recens)
For cases requiring purgation, either add Da Huang (Rhei Radix et Rhizoma) or Xuan Ming Fen (Mirabilite).
Jie Zai Hua Tan Wan Originally a formula for treating phlegm-induced cough, this family secret uses it to treat phlegm-diarrhea.
Hai Shi (1 liang) Qing Dai (Indicum) Ju Hong (1 liang) Jie Geng (Platycodonis Radix) Lian Qiao (Forsythiae Fructus) Gua Lou Shuang (Trichosanthis Semen Pulveratum) Mang Xiao (Mirabilite) Huang Qin (Scutellariae Radix) Xiang Fu (Cyperi Rhizoma) Tian Men Dong (Asparagi Radix)
If phlegm coagulates in the Upper Jiao, add Ban Xia (Pinelliae Rhizoma). If employing the "treat obstruction with unblocking" method, add Mang Xiao (Mirabilite).