夫病疳利，米谷不化，日夜无度，腹中雷鸣，下利完谷出，可用导水丸、禹功散
泻讫，一、二日可服胃风汤；不愈则又可与桂枝麻黄汤，发汗则愈矣。《内经》曰∶久风入
中为肠风、飧泄。启玄子云∶风在肠中，上熏于胃，所食不化而出。又云∶飧泄者，是暮食不
化也。又《经》云∶春伤于风，夏必飧泄。故可汗而愈。《内经》曰∶风随汗出，痛随利减。若服
豆蔻、罂粟壳之类，久而不辍，则变为水肿，以成不救也。
夫脏毒下血，可用调胃承气汤加当归；泻讫，次用芍药柏皮丸、黄连解毒汤、五
苓、益元各停，调下五、七钱服之。《内经》曰∶肠 便血何如？答曰∶ 者，肠间积水也。身
热则死，寒则生。热为血气败，故死；寒为荣气在，则生。七日而死者，死于火之成数也。
夫下利脓血，腹痛不止，可用调胃承气汤，加生姜、枣煎；更下藏用七、八十丸
，量虚实加减；泻讫，次用长流水，调五苓散五、七钱；或加灯心煎调下亦得；调益元散五
、七钱亦可。大忌油腻一切热物则愈矣。
夫男子妇人，病水湿泻注不止，因服豆蔻、乌梅、姜、附峻热之剂，遂令三焦闭
涩，水道不行，水满皮肤，身体痞肿，面黄腹大，小便
用独圣散吐之。如时月寒凉，
宜于暖室不透风处，用火一盆，以借火力出汗。次以导水禹功散，量虚实泻十余行，湿去肿减则
愈矣，是汗、下、吐三法齐行。既汗、下、吐讫，腑脏空虚，宜以淡浆粥养肠胃二、三日，次
服五苓散、益元散同煎，灯心汤调下。如势未尽，更宜服神助散，旧名葶苈散，可以流湿润燥，分阴阳，
利小便。不利小便，非其法也。既平之后，宜大将息。忌鱼、盐、酒、肉、果木、房室等
事，如此三年则可矣。如或不然，决死而不救也。
对于疳积腹泻的病证，表现为米谷不消化，日夜无节制地腹泻，腹中肠鸣音亢进，排出未消化的食物残渣，可以先使用导水丸、禹功散进行泻下治疗；待泻下结束后，过一两天可以服用胃风汤；如果病情仍未痊愈，则可以再给予桂枝麻黄汤，通过发汗的方法使疾病痊愈。《黄帝内经》说：久风侵入体内会导致肠风、飧泄（完谷不化的腹泻）。启玄子（王冰）说：风邪在肠道中，向上熏蒸胃部，导致所吃的食物无法消化而排出。又说：飧泄，是指晚上吃的食物到第二天早上仍不能消化。另外《内经》还说：春天感受风邪，夏天必定发生飧泄。因此可以通过发汗的方法治愈。《黄帝内经》说：风邪随汗液排出，疼痛随泻下减轻。如果长期服用豆蔻、罂粟壳等收敛止泻的药物且不停止，就会转变为水肿，最终导致不可救治的后果。
对于脏毒便血的症状，可以使用调胃承气汤加入当归；待泻下结束后，接着使用芍药柏皮丸、黄连解毒汤、五苓散、益元散各适量，调和后每次服用五至七钱。《黄帝内经》问：大便带血的情况如何？回答说：这里的“”指的是肠间积水。身体发热则预后不良会死亡，身体发凉则预后良好能生存。发热是因为血气败坏，所以死亡；发凉是因为营气尚存，所以生存。第七天死亡的，是因为死于火之成数（五行数理中的死期）。
对于腹泻伴有脓血、腹痛不止的症状，可以使用调胃承气汤，加入生姜、大枣煎煮；再次使用泻下法，服用藏用丸七到八十丸，根据患者虚实情况加减用量；待泻下结束后，接着用长流水（流动的新鲜水），调和五苓散五至七钱服用；或者加入灯心草煎汤调和服用也可以；调和益元散五至七钱服用也可以。严格禁止食用油腻及一切热性食物，这样病就能痊愈。
无论男女，患水湿泄泻注下不止，因为服用了豆蔻、乌梅、生姜、附子等大热峻烈的药物，导致三焦闭塞涩滞，水道不通畅，水液充满皮肤，身体痞满肿胀，面色发黄腹部胀大，小便不利，可以使用独圣散进行催吐治疗。如果在寒冷季节，应当在温暖不透风的房间内，放置一盆火，借助火力促使出汗。接着使用导水丸、禹功散，根据患者虚实情况泻下十余次，湿气去除、肿胀消退则痊愈，这是汗法、下法、吐法三种疗法同时使用。既然汗、下、吐法都已实施，脏腑空虚，应当用清淡的米粥调养肠胃两三天，接着服用五苓散、益元散共同煎煮，用灯心草汤调和服用。如果病势未尽，更适宜服用神助散，旧名为葶苈散，可以润燥利湿，分阴阳，通利小便。不通利小便，就不是正确的方法。病情平复之后，应当注意大的调养禁忌。忌食鱼、盐、酒、肉、水果以及房事等活动，坚持这样做三年才可以。如果不这样做，必然死亡且无法救治。
For the condition of Gan accumulation diarrhea (Gan syndrome with diarrhea), characterized by undigested food in stool, uncontrolled defecation day and night, borborygmus (rumbling in the abdomen), and passage of complete undigested grains, one may first use Daoshui Wan (Water-Guiding Pill) and Yugong San (Yu Gong Powder) to purge. After purging is completed, after one or two days, Weifeng Tang (Stomach Wind Decoction) can be administered; if not cured, Guizhi Mahuang Tang (Cinnamon Twig and Ephedra Decoction) may then be given, and the disease will be cured through sweating. The *Neijing* states: "Long-standing wind entering the interior causes Changfeng (Intestinal Wind) and Sunxie (diarrhea with undigested food)." Qixuanzi (Wang Bing) said: "Wind in the intestines steams upward to the stomach, causing ingested food to be expelled without digestion." It also states: "Sunxie refers to food eaten at dusk remaining undigested." Furthermore, the *Classic* says: "If wind is injured in spring, Sunxie will inevitably occur in summer." Therefore, it can be cured by inducing sweating. The *Neijing* states: "Wind exits with sweat, pain diminishes with purging." If substances like Doukou (Nutmeg) and Ying Susiao (Poppy Shell) are taken for a long time without cessation, they will transform into edema, leading to an incurable state.
For bleeding from Zangdu (Toxic Heat in the Zang organs manifesting as bloody stool), Diaowei Chengqi Tang (Harmonize the Stomach and Direct Downward Decoction) added with Danggui (Angelica Sinensis) can be used; after purging, Shaoyao Bopi Wan (Peony and Phellodendron Bark Pill), Huanglian Jiedu Tang (Coptis Detoxification Decoction), Wuling San (Five-Ingredient Powder with Poria), and Yiyuan San (Benefit Origin Powder) should be mixed in equal proportions, taken orally with five to seven qian each time. The *Neijing* asks: "What about bloody stool?" The answer is: "This refers to water accumulation in the intestines." Fever indicates death, while coldness indicates survival. Fever signifies the failure of blood and qi, hence death; coldness signifies the presence of Ying Qi (Nutritive Qi), hence survival. Death on the seventh day occurs due to the completion number of Fire.
For diarrhea with pus and blood, accompanied by unceasing abdominal pain, Diaowei Chengqi Tang (Harmonize the Stomach and Direct Downward Decoction) added with Shengjiang (Fresh Ginger) and Zao (Jujube) for decoction can be used; followed by purging using Zangyong Wan (Zang Yong Pill), 70 to 80 pills, adjusted according to deficiency or excess; after purging, Wuling San (Five-Ingredient Powder with Poria) mixed with flowing fresh water, taken in doses of five to seven qian; or mixed with Dengxincao (Juncus Effusus) decoction is also acceptable; mixing Yiyuan San (Benefit Origin Powder) in doses of five to seven qian is also permissible. Strictly avoid greasy foods and all hot-natured substances, and the disease will heal.
Whether male or female, suffering from continuous watery diarrhea due to the intake of harsh hot agents such as Doukou (Nutmeg), Wumei (Mume Fruit), Shengjiang (Fresh Ginger), and Fuzi (Aconite Root), resulting in the closure and stagnation of the Sanjiao (Triple Burner), obstruction of water pathways, water filling the skin, body bloating and swelling, yellowish complexion, and distended abdomen with difficult urination, Dusheng San (Single Miracle Powder) can be used to induce vomiting. If during cold seasons, one should be in a warm, draft-free room, place a fire basin nearby to borrow heat to induce sweating. Then, use Daoshui Wan (Water-Guiding Pill) and Yugong San (Yu Gong Powder) to purge more than ten times according to deficiency or excess; when dampness is removed and swelling decreases, the patient heals. This employs the simultaneous application of sweating, purging, and vomiting methods. After sweating, purging, and vomiting are completed, the fu-zang organs are empty; thus, light millet gruel should be used to nourish the stomach and intestines for two to three days. Subsequently, Wuling San (Five-Ingredient Powder with Poria) and Yiyuan San (Benefit Origin Powder) should be decocted together and taken with Dengxincao (Juncus Effusus) tea. If the pathogenic factor remains, Shen Zhu San (Divine Assistance Powder), formerly known as Tingli San (Descurainia Seed Powder), should be taken; it can moisten dryness, separate yin and yang, and promote diuresis. Promoting diuresis is essential; otherwise, it is not the correct method. After the condition stabilizes, major dietary and lifestyle regulation is required. Avoid fish, salt, alcohol, meat, fruits, and sexual intercourse for three years. Otherwise, death is inevitable and incurable.