产后泄泻，大率虚弱食积，土虚不能胜湿而然。但恶露未除，脾胃又弱，难于消燥而用补也。治法∶先服生
化一煎后即加茯苓一钱，以利小便，俟血生化，然后议补、议消、议燥，使无滞涩、虚滑之失。若产毕即泻者，宜
加减生化汤。若胎前久泻，产后不止者，宜参、苓生化汤从权以防虚脱。若久泻不止或脾泻者，须
服参术莲子饮百剂。甚至形脱、眼昏花者，服丹溪急救方。
加减生化汤
川芎（一钱） 当归（一钱五分） 黑姜 炙草（各五分） 桃仁（十粒） 茯苓（一钱五分） 莲肉
诃子（各八分） 姜（一片）
水煎二帖。泻不止，加人参三钱。
参苓生化汤
川芎（一钱） 当归（二钱，土炒） 姜炭 炙草（各五分） 茯苓（一钱五分） 陈皮（一钱） 白术
（一钱五分） 人参（二钱） 肉果（煨） 诃子（各一钱） 莲子（八分） 糯米（一撮）
水煎。寒痛泻，加砂仁五分。热泄，加炒连三分。泻久，加升麻三分。泻水，加苍术一钱。泻出食肉如败卵，
及噫气，加神曲、砂仁各八分，山楂、麦芽各五分，或加豆蔻、丁香各一钱。渴，加麦冬一钱，五味六分。
参术莲子饮
人参 焦术（各二钱） 茯苓（一钱） 当归（一钱五分） 炒芍（八分） 炙草（五分） 陈皮 升麻（各
三分） 山药（一钱） 莲子（十粒） 姜（一片）
如腹痛，加炮姜五分。
丹溪救急方
人参（五钱） 白术（三钱） 茯苓（三钱） 制附（一钱）
水煎服。
以上各方，可加五味子酒炒二十粒，干面粉炒黄二钱。虚脱者，暂加枯矾少许以涩之。
Postpartum diarrhea is generally caused by deficiency and food stagnation, where Spleen Earth (Pi Tu) is too weak to control dampness. However, since lochia has not yet been expelled and the Spleen and Stomach are weak, it is difficult to directly use drying or tonifying methods. Treatment method: First, take one decoction of Shenghua Tang (Life-Birth Decoction), then add one qian of Fuling (Poria) to promote urination and drain dampness. Wait until blood stasis transforms and new blood generates, then discuss whether to use tonification, digestion-promoting, or drying methods, to avoid complications such as Qi/Blood stagnation or incontinence. If diarrhea occurs immediately after delivery, Jiajian Shenghua Tang (Modified Life-Birth Decoction) is suitable. If chronic diarrhea existed during pregnancy and continues postpartum, Shenling Shenghua Tang (Ginseng-Poria Life-Birth Decoction) should be used flexibly to prevent collapse. For persistent chronic diarrhea or Spleen-type diarrhea, Shen Zhu Lian Zi Yin (Ginseng-Atractylodes-Lotus Seed Drink) must be taken for a hundred doses. In severe cases with physical emaciation and blurred vision, Danxi Jiuj Fang (Danxi's Emergency Rescue Formula) is indicated.
Jiajian Shenghua Tang (Modified Life-Birth Decoction)
Chuanxiong (1 qian) Danggui (1.5 qian) Heijiang (Charred Ginger) Zhigancao (Honey-fried Licorice Root) (each 0.5 qian) Taoren (Peach Kernel) (10 grains) Fuling (Poria) (1.5 qian) Lianrou (Lotus Seed Meat) Hezi (Chebula Fruit) (each 0.8 fen) Jiang (Ginger slice) (1 piece)
Decoct in water for two doses. If diarrhea persists, add Renshen (Ginseng) 3 qian.
Shenling Shenghua Tang (Ginseng-Poria Life-Birth Decoction)
Chuanxiong (1 qian) Danggui (2 qian, stir-fried with soil) Jiangtan (Charred Ginger) Zhigancao (Honey-fried Licorice Root) (each 0.5 qian) Fuling (Poria) (1.5 qian) Chenpi (Aged Tangerine Peel) (1 qian) Baizhu (Atractylodes Macrocephala Rhizome) (1.5 qian) Renshen (Ginseng) (2 qian) Rouguo (Nutmeg, baked) Hezi (Chebula Fruit) (each 1 qian) Lianzi (Lotus Seed) (0.8 fen) Nuomi (Glutinous Rice) (a small pinch)
Decoct in water. For cold-induced painful diarrhea, add Sharen (Amomum Fruit) 0.5 fen. For heat-induced diarrhea, add Chao Lian (Stir-fried Coptis Rhizome) 0.3 fen. For chronic diarrhea, add Shengma (Cimicifuga Rhizome) 0.3 fen. For watery stool, add Cangzhu (Atractylodes Lancea Rhizome) 1 qian. If excrement resembles spoiled eggs accompanied by belching, add Shenqu (Medicated Leaven) and Sharen (Amomum Fruit) each 0.8 fen, Shanzha (Hawthorn Fruit) and Maiya (Sprouted Barley) each 0.5 fen, or add Doukou (Cardamom Fruit) and Dingxiang (Clove) each 1 qian. For thirst, add Maidong (Ophiopogon Tuber) 1 qian and Wuweiizi (Schisandra Berry) 0.6 fen.
Shen Zhu Lian Zi Yin (Ginseng-Atractylodes-Lotus Seed Drink)
Renshen (Ginseng) Jiaozhu (Charred Atractylodes Macrocephala Rhizome) (each 2 qian) Fuling (Poria) (1 qian) Danggui (Angelica Sinensis Root) (1.5 qian) Chao Shao (Stir-fried White Peony Root) (0.8 fen) Zhigancao (Honey-fried Licorice Root) (0.5 fen) Chenpi (Aged Tangerine Peel) Shengma (Cimicifuga Rhizome) (each 0.3 fen) Shanyao (Dioscorea Rhizome) (1 qian) Lianzi (Lotus Seed) (10 grains) Jiang (Ginger slice) (1 piece)
If abdominal pain occurs, add Paojiang (Prepared Ginger) 0.5 fen.
Danxi Jiuj Fang (Danxi's Emergency Rescue Formula)
Renshen (Ginseng) (5 qian) Baizhu (Atractylodes Macrocephala Rhizome) (3 qian) Fuling (Poria) (3 qian) Zhi Fu (Prepared Aconite Root) (1 qian)
Decoct in water and take orally.
For all the above formulas, twenty grains of Wuweiizi (Schisandra Berry) stir-fried with wine and two qian of dry flour powder stir-fried until yellow can be added. For patients with collapse, a small amount of Kufan (Alum) may be temporarily added to astringe.