中 、主腹胀飧泄。下廉、治小腹痛飧泄。次指间痛。唇干。涎出不觉。不得汗出。
毛发
疝瘕。)
素问言春伤于风。夏必飧泄。苟知伤于风而得之。则药自可治。虽不着艾。未为害也。
本事方云、飧泄者、食谷不化也。春时木旺。肝生风邪。淫于脾经。至夏引冷当风。故
。宜芎 丸。芎 神曲白术附子等分。细末。糊丸梧子大。每服三五十丸。米饮下。治脾
湿而泄者。万无不中。其用芎除湿有理。故载于此。
三阴交、治溏泄食不化。(铜见腹胀。)地机、(见水肿。)治溏泄。地机、主溏瘕腹
痛藏痹。太冲等、主溏泄。(见痢。)
予尝患痹疼。既愈而溏利者久之。因灸脐中。遂不登溷。连三日灸之。三夕不登溷。
若灸溏泄。脐中第一。三阴交等穴。乃其次也。
本事方云、一亲每五更初必溏痢一次者数月。有人云、此名肾泄。肾感阴气而然。服五
味子散
溏利有理。故附载之。
予旧患溏利。每天晓必如厕。人教赎豆附丸服即愈。其方不可得也。它年再
患此。只用姜煎附子加豆蔻服愈。
素问言泄痢有五种。一曰胃泄。饮食不化而色黄。胃与脾合故黄也。二曰脾泄。腹胀而
注泄
无休。又上逆呕。此为寒热之患也。三曰大肠泄。食毕肠鸣切痛。而痢白色。大肠与肺合故
白也。四曰小肠泄。身瘦而便脓血。小肠与心合。心主血也。五曰大瘕泄。里急后重。数至
圊不能便。茎中痛。此肾泄也。诸家方有二十余种。此唯言五种。盖举其纲也。必用方亦有
赤白疳蛊之别。其大概则脏腑寒也。廪丘公所谓诸下悉寒是也。数予治人痢。惟与以镇灵丹
。无有不效。或未效、更加丸数。则效矣。若蛊利、则用柏叶黄连煎服。(见既效。)诸痢惟
耆域方用浓朴罂粟壳末最佳。后人又加木香黄连陈皮等分。甘草拌之。黄谷叶数片、姜枣乌
梅水煎。予尝用之验。故载于此。然痢本无恶证。而有患此而死者。或者世医以痢为热病。
多服冷药故也。若其急难。亦当灼艾。不可专用药云。
复溜、主肠 便脓血。泄痢后重。腹痛如 状。(千)交信、主泄痢赤白。(铜同。)漏
血。
大冲、曲泉、主溏泄痢注下血。小肠俞、主泄痢脓血五色。重下肿痛。丹田、主泄痢
不禁。小腹绞痛。关元、大溪、主泄痢不止。脾俞、主泄痢不食。食不生肌。五枢、
主妇人赤白。里急螈 。曲泉、治泄水下利脓血。(铜见风劳。)中膂俞、治肠冷赤白痢
。(明同。)膀胱俞、疗泄痢腹痛。(明)脊俞、疗温病积聚下痢。(铜作下利。)关元、
疗泄痢。(见便不禁。)小儿痢下赤白。秋末脱肛。每厕、腹痛不可忍。灸十二椎下节间名
接脊穴一壮。黄帝疗小儿疳痢脱肛。体瘦渴饮。形容瘦悴。诸药不瘥。灸尾翠骨上三寸骨陷
间三壮。岐伯云、三伏内用桃水浴孩子。午正时当日灸之。用青帛拭。似见疳虫随汗出。
神效。小儿秋深冷痢不止。灸脐下二寸三寸间动脉中三壮。妇人水泄痢。灸气海百壮。
泄痢食不消。不作肌肤。灸脾俞随年壮。(千)泄注五利便脓。重下腹痛。灸小肠俞百壮
。泄痢不禁。小腹绞痛。灸石门百壮。三报。久痢百治不瘥。灸足阳门下一寸高骨上陷
中。去大指岐三寸。随年。又脐中二三百壮。又关元三百。(十日灸。)赤白下、灸穷骨多
为佳。四肢不举。多汗洞痢。灸大横随年。(余见千金。)痢暴下如水云云。气海百壮。(
Zhongwan (CV12) treats abdominal distension and sundry diarrhea (sun xie, diarrhea with undigested food). Xialian (ST89) treats lower abdominal pain and sundry diarrhea; as well as pain between the fingers, dry lips, unconscious drooling, and inability to sweat.
Regarding hair and hernia masses (the original text here has omissions or disordered slips, retained as per original).
The *Suwen* states: If wind pathogen is contracted in spring, sundry diarrhea will inevitably occur in summer. If one knows it is caused by wind pathogen, medicinal treatment can naturally cure it. Even without using moxibustion, it does no harm.
The *Bencao Fang* records: Sundry diarrhea (sun xie) refers to food entering the intestines and stomach but failing to digest. In spring, wood qi is vigorous, generating wind pathogen from the Liver. This wind pathogen overflows into the Spleen meridian. In summer, due to cold exposure and seeking coolness in the wind, it is induced. Therefore, Xionglaowan (Chuanxiong Pill) is suitable. The formula consists of equal parts of Chuanxiong Rhizome (Chuanxiong), Medicated Leaven (Shenqu), Atractylodis Macrocephalae Rhizoma (Baizhu), and Aconiti Lateralis Radix Praeparata (Fuzi), ground into fine powder, mixed with rice paste to form pills the size of a Chinese quince seed. Take 30-50 pills each time, washed down with rice water. It treats diarrhea caused by Spleen dampness, infallible. The use of Chuanxiong to remove dampness is reasonable, so it is recorded here.
Sanyinjiao (SP6) treats watery diarrhea (tang xie, loose stools) and indigestion. (See "Abdominal Distension"). Diji (SP8), (See "Edema"), treats watery diarrhea. Diji primarily treats watery diarrhea, abdominal masses with pain, and organ bi-syndrome. Taichong (LR3) etc. treat watery diarrhea. (See "Dysentery").
I once suffered from bi-pain. After recovery, I suffered from watery diarrhea for a long time. I then moxa-ed Zhongwan (CV8, umbilicus), and subsequently stopped having diarrhea. I moxa-ed continuously for three days, and did not visit the toilet for three nights. If moxa-ing for watery diarrhea, Zhongwan (CV8) is the first choice; Sanyinjiao (SP6) etc. are secondary.
The *Bencao Fang* records: A relative of mine had watery dysenteric stool every early morning for several months. Someone said this is called Kidney Diarrhea (Shen Xie, dawn diarrhea). It is caused by the Kidney contracting yin-cold qi. Taking Wuweizi San (Schisandra Powder) to treat watery diarrhea is reasonable, so it is appended here.
I previously suffered from watery diarrhea, needing to go to the toilet every dawn. Someone taught me to take Shudoufu Wan (Red Bean and Fuzi Pill), which cured me immediately. However, the formula is lost. Years later, when I suffered from this again, I only used ginger decoction with Fuzi added with Doukou (Cardamom), and was cured.
The *Suwen* states there are five types of diarrhea and dysentery. First is Wei Xie (Stomach Diarrhea): food is not digested and stool is yellow, because Stomach and Spleen are interior-exterior related, and Spleen corresponds to yellow. Second is Pi Xie (Spleen Diarrhea): abdominal distension and unceasing diarrhea, even vomiting upwards; this is a disorder of cold and heat. Third is Dachang Xie (Large Intestine Diarrhea): bowel sounds and severe pain after eating, with white dysenteric discharge; because Large Intestine and Lung are interior-exterior related, and Lung corresponds to white, hence white. Fourth is Xiaochang Xie (Small Intestine Diarrhea): emaciation and pus-blood in stool; because Small Intestine and Heart are interior-exterior related, and Heart governs blood. Fifth is Da Jia Xie (Great Hernia Diarrhea/Dysentery): tenesmus, frequent visits to the toilet with inability to defecate, and penile pain; this is Kidney Diarrhea. Various medical formulas have more than twenty classifications; this lists only five, likely summarizing the main points. Bi Yong Fang also distinguishes between red-white dysentery and gu-poison dysentery. Generally, they are all due to zang-fu cold. As Linqiu Gong said: "All lower body purging is cold." I have treated many cases of dysentery, using only Zhenling Dan, with no ineffectiveness. If ineffective, increasing the dosage makes it effective. For gu-poison dysentery, use Yemao (Cathaya argyrophylla leaf) and Huanglian (Coptidis Rhizoma) decoction. (See "Ji Xiao"). Among various dysenteries, Qiyu's formula using Houpo (Magnolia Bark) and Ying Susuo (Papaveris Pericarpium) powder is best. Later generations added equal parts of Muxiang (Aucklandiae Radix), Huanglian, and Chenpi (Citri Reticulatae Pericarpium), mixed with Gancao (Glycyrrhizae Radix et Rhizoma), plus a few leaves of Huanggu Ye, decocted with Jiang (Zingiberis Rhizoma), Zao (Jujubae Fructus), and Wumei (Mume Fructus). I have tested it and found it effective, so I record it here. However, dysentery itself has no malignant signs, yet some die from it. Perhaps physicians mistakenly view dysentery as a heat disease and administer too many cold medicines. In emergencies, moxibustion should be applied; one should not rely solely on medicine.
Fuliu (KI7) primarily treats intestinal disorders resulting in pus-blood in stool, post-dysenteric tenesmus, and abdominal pain like colic. (See *Qianjin*). Jiaoxin (KI8) primarily treats red-white dysentery. (*Tongren* agrees). Blood leakage.
Taichong (LR3), Ququan (LR8) primarily treat watery diarrhea and bloody dysentery. Xiaochangshu (BL27) primarily treats dysentery with pus-blood of five colors, heavy tenesmus, and swelling-pain. Dantian (CV11) primarily treats incontinence of dysentery and lower abdominal cramping. Guanyuan (CV4), Taixi (KI3) primarily treat persistent dysentery. Pishu (BL20) primarily treats dysentery with anorexia, where food fails to nourish muscles. Wushu (GB26) primarily treats women's red-white leukorrhea, tenesmus, and spasms. Ququan (LR8) treats watery diarrhea and pus-blood dysentery. (*Tongren* see "Wind-Lao"). Zhonglvshu (BL29) treats intestinal cold causing red-white dysentery. (*Mingtang* agrees). Pangguangshu (BL28) treats dysentery with abdominal pain. (*Mingtang*). Jishu (GV12) treats warm disease accumulations leading to dysentery. (*Tongren* writes "lower purging"). Guanyuan (CV4) treats dysentery. (See "Incontinence").
For children with red-white dysentery, late autumn rectal prolapse, unbearable abdominal pain during defecation: Moxa the space below the 12th thoracic vertebra, named Jieshui (Jieji) point, one moxa cone. Huangdi treats children's gan-accumulation dysentery with rectal prolapse, emaciation, thirst, wasting appearance, where all medicines fail: Moxa three cones in the bony depression three cun above the coccyx. Qibo says: During the Three Fu days, bathe the child in peach water. At noon, moxa on that day. Wipe with green silk; it seems gano-worms come out with sweat. Divine efficacy. For children's deep-autumn cold dysentery that does not stop: Moxa three cones in the arterial pulse between two and three cun below the umbilicus. For women's watery dysenteric diarrhea: Moxa Qihai (CV6) 100 cones. For dysentery with indigestion and failure to build flesh: Moxa Pishu (BL20) according to age in cones. (*Qianjin*). For profuse purging with five types of discharge and pus-blood, heavy tenesmus and abdominal pain: Moxa Xiaochangshu (BL27) 100 cones. For incontinence of dysentery and lower abdominal cramping: Moxa Shimen (CV5) 100 cones, three times daily. For chronic dysentery unresponsive to hundred treatments: Moxa the depression on the high bone one cun below Zuoyangmen (ST26), three cun from the bifurcation of the big toe, according to age. Also, 200-300 cones at Zhongwan (CV12/CV8 context implies umbilicus area here, usually Shenque CV8 for such high counts, but text says Qi Zhong/Umbilicus), and 300 cones at Guanyuan (CV4) (moxa every ten days). For red-white dysentery, moxing Qionggu (near Changqiang GV1) is better. For limbs unable to move, excessive sweating and hole-like diarrhea: Moxa Daheng (SP15) according to age. (Rest see *Qianjin*). Dysentery sudden profuse watery discharge etc.: Moxa Qihai (CV6) 100 cones.