恶露不行，渗入大肠，则洞泄不禁，下青、白、黑色，其余非食积则寒湿，再则脾胃弱，肺气虚，皆能致泻。若痢，
亦由恶血渗入大肠，积滞而成，谓之产子痢，其病甚危。又久痢身体羸弱，谓之虚羸痢。气不顺而下痢，谓之气痢。又
有外感六淫，内伤饮食所致。总当兼气血虚处治之，切不可用治痢常法，以致不救。
恶露未尽而泄泻，生化汤加茯苓。俟恶血尽，然后或消而治之。（和二十四）若虚弱不能支持，加人参。
完谷不化，生化汤加茯苓、诃子皮、莲子、生姜；不愈，加人参。（和二十四）
干渴，胃气虚，不生津液也。生化汤合生脉散。（和二十四、二十三）
食物不化常噫，生化汤加茯苓、神曲、山楂、砂仁。（热八）
肋 胀，腹中痛，流注无定处 产未盈月，风邪乘虚
袭之。留于肓膜，散于腹肋，故腹中阵阵作痛，水谷不化，胀鸣泄泻也。宜调中汤。（热八）
脾胃虚弱，血块未散，先服生化汤加木香、砂仁、益智仁；血块已除，六君子汤加肉果、益智仁，再加升麻、柴胡，
以提胃中清气。
余血不尽，渗入大肠，洞泄不禁，服的奇散，荆芥大者四五穗，于盏内烧炭，不可犯油火，入麝香研末，清汤调下。
年久脾泄不止，参苓莲子饮。（补五十七）
产后七日内外，患赤白痢，后重频并，最为难治。欲调气行血，推荡痢邪，又虑产后元虚；欲滋荣益气而大补产弱，
又虑转助痢邪。若行不损元、补不助邪，惟生化汤减黑姜，加茯苓、木香，为善消恶露，兼行痢积，并治而不悖也。
厥逆躁不得卧，殊难救治，人参、当归、荆芥。
积滞腹痛，人参、当归、白芍、红曲、醋炒升麻、甘草、益母草。如恶露未尽，加乳香、没药、砂仁、阿胶。
渴而不喜冷冻饮料，胃气虚，不生津液也。七味白术散（补五十六）。如夜间发热，肾水虚，不能润也。六味丸（补二）。
痢而呕吐，六君子汤加藿香。（补一）如胃火盛，用活田蠃、麝香，捣和掩脐。后用滋阴清胃之剂。
血崩痢不止，加参四物汤。（补七）
脱肛，气血两虚也。加参生化汤。（补五十八）
Lochia fails to discharge, infiltrates the large intestine, causing severe diarrhea that is incontinent, with excretion of green, white, or black stool. Other causes include food stagnation, cold-dampness, weak Spleen and Stomach, and deficient Lung Qi, all of which can lead to diarrhea. If it is dysentery, it is also caused by lochial blood infiltrating the large intestine and accumulating as stagnation, termed "Postpartum Dysentery" (Chan Zi Li), a condition that is extremely critical. Furthermore, prolonged dysentery leading to emaciation is termed "Deficient Emaciated Dysentery" (Xu Lei Li). Dysentery caused by qi stagnation is termed "Qi Dysentery" (Qi Li). Additionally, there are cases caused by external contraction of the Six Evils (Liu Yin) and internal injury from diet. Treatment must always address underlying Qi and Blood deficiency; one must strictly avoid using standard methods for treating ordinary dysentery, lest it lead to untreatable consequences.
If diarrhea occurs while lochia remains, use Shenghua Tang (Transforming the Remains Decoction) with added Poria (Fuling). Wait until the lochial blood is completely discharged, then treat according to the specific condition. (From *He*, Vol. 24). If the constitution is too weak to sustain itself, add Ginseng (Renshen).
For undigested food in the stool (Wan Gu Bu Hua), use Shenghua Tang with added Poria (Fuling), Chebulae Pericarpium (Hezi Pi), Lotus Seed (Lianzi), and Fresh Ginger (Shengjiang); if not improved, add Ginseng (Renshen). (From *He*, Vol. 24).
Dry mouth and thirst due to deficient Stomach Qi failing to generate fluids. Use Shenghua Tang combined with Shengmai San (Generate the Pulse Powder). (From *He*, Vol. 24 & 23).
Food stagnation with frequent belching. Use Shenghua Tang with added Poria (Fuling), Medicated Leaven (Shenqu), Hawthorn Fruit (Shanzha), and Amomi Fructus (Sharen). (From *Re*, Vol. 8).
Distension in the hypochondrium and abdominal pain with migratory location. Within one month postpartum, Wind Evil invades due to deficiency. The pathogen remains in the Mingmen (Blind Membrane) and disperses into the abdomen and hypochondrium, causing paroxysmal abdominal pain, indigestion of food and water, abdominal borborygmus, and diarrhea. Suitable treatment is Tiaozhong Tang (Regulate the Middle Decoction). (From *Re*, Vol. 8).
For weak Spleen and Stomach with unresolved blood stasis, first administer Shenghua Tang with added Costus Root (Muxiang), Amomi Fructus (Sharen), and Alpiniae Oxyphyllae Fructus (Yizhiren); once the blood stasis is resolved, administer Liu Junzi Tang (Six Gentlemen Decoction) with added Myristica Seed (Rouguo), Alpiniae Oxyphyllae Fructus (Yizhiren), plus Cimicifugae Rhizoma (Shengma) and Bupleuri Radix (Chaihu) to raise the clear Yang of the Stomach.
For residual blood infiltrating the large intestine causing incontinent severe diarrhea, take Fuqi San: Burn four to five spikes of large Schizonepeta (Jingjie) in a cup until charred, ensuring no oil or fire contamination, mix with Musk (Shexiang), grind into powder, and take mixed with clear water.
For chronic Spleen diarrhea persisting for years, take Shenling Lianzi Yin (Ginseng, Poria, and Lotus Seed Drink). (From *Bu*, Vol. 57).
Red and white dysentery occurring within seven days postpartum, accompanied by frequent tenesmus, is extremely difficult to treat. One wishes to regulate Qi and move Blood to expel the dysentery pathogen, yet fears damaging the deficient Postpartum Yuan Qi; one wishes to nourish Ying and tonify Qi to strongly support postpartum weakness, yet fears exacerbating the dysentery pathogen. To achieve moving without damaging the Yuan and tonifying without aiding the pathogen, only Shenghua Tang with Blackened Ginger (Heijiang) removed, and added Poria (Fuling) and Costus Root (Muxiang), is suitable. This effectively eliminates lochia while simultaneously resolving dysentery stagnation, treating both without conflict.
Cold extremities, restlessness, and inability to lie down are extremely difficult to save. Use Ginseng (Renshen), Angelica Sinensis (Danggui), and Schizonepeta (Jingjie).
Abdominal pain due to stagnation: Ginseng (Renshen), Angelica Sinensis (Danggui), White Peony Root (Baishao), Red Yeast Rice (Hongqu), Vinegar-processed Cimicifugae Rhizoma (Shengma), Licorice (Gancao), Motherwort (Yimucao). If lochia is not yet finished, add Frankincense (Ruxiang), Myrrh (Moyao), Amomi Fructus (Sharen), and Donkey-hide Gelatin (Ejiao).
Thirst without desire for cold drinks indicates deficient Stomach Qi failing to generate fluids. Take Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder). (From *Bu*, Vol. 56). Fever at night indicates deficient Kidney Water failing to moisten. Take Liuwei Wan (Six-Ingredient Pill). (From *Bu*, Vol. 2).
Dysentery with vomiting: Liu Junzi Tang (Six Gentlemen Decoction) with added Patchouli (Huoxiang). (From *Bu*, Vol. 1). If Stomach Fire is excessive, apply crushed living river snail mixed with Musk to the umbilicus. Subsequently use formulas to nourish Yin and clear Stomach Heat.
Metrorrhagia combined with intractable dysentery: Jia Shen Siwu Tang (Ginseng-Enhanced Four Substance Decoction). (From *Bu*, Vol. 7).
Rectal prolapse due to dual deficiency of Qi and Blood: Jia Shen Shenghua Tang (Ginseng-Enhanced Transforming the Remains Decoction). (From *Bu*, Vol. 58).