泄泻，湿热居多。洞泄者，如沟渠决水，一往无留，湿兼热也；火泻腹痛，即欲如厕，
或完
谷不化，（所谓邪火不杀谷）热兼湿也。多由挟暑伤食，夜卧大腹受寒，火郁于内成者。治法
须清热利水消导，芳香开脾药，如黄芩、黑栀、焦白芍、茯苓、泽泻、猪苓、楂肉、神曲、
陈
皮、谷芽、浓朴、砂仁壳之类，随症选用。如热甚完谷不化，当重用黄连，治湿而不利小便
，非其治也。然有春伤于风，夏生飧泄。盖谓风主木，木克土也，宜加散风之药，防风、葛
根、羌活、柴胡、薄荷之类。惟湿热已靖，久而不愈者，当补脾胃，参苓白术散。更如五更
作泻者，为肾虚，四神丸治之。
是症每由暑邪伤食，或受寒凉，卫应于胃，卫气不宣，胃亦阻滞，而成腹痛吐泻并作者
。治
当疏卫和胃，消食利湿，清暑并施，药如香薷、（恶寒可用。）半夏、茯苓、陈皮、甘草、炒
白
术、扁豆、神曲、楂肉、（伤食可用。）浓朴、黄芩、黑栀、广霍之类，随症选用。其转筋者
，属风寒湿俱有，病在肝，当分辨何因，加入对症之药治之。惟霍乱初起，胸闷腹痛，切忌
谷食，不知者竟致殒命。故体中稍有不适，宁至空腹，安后稍食稀粥，渐渐加增，亦养生之
一法也。
古有五疸之名，兼有阴黄、阳黄之别。予所见者，眼白栀色，肌黄，小便着白裤上如柏
汁者
，更胸闷腹胀，肢软嗜卧，其病因郁火与湿气相蒸而成，专治在肝胃两经，古称湿热成黄。
胃中有湿热，则饱闷纳胀，肢软（胃主四肢）嗜卧，脾气欠运，（脾胃相为表里）郁火肝木不达
也，治法宜风以胜湿，苦味泄热，佐以开郁利导之品，药如柴胡、薄荷、防风、葛根、黄连
、黄芩、夏枯草、山栀、郁金、陈皮、苍术、茵陈、茯苓、苡仁、木通、香附、通草、楂肉
、神曲、枳壳之类，随症选用。五疸者，五脏各有是病，然不外乎风以散之，淡以渗之，苦
以泄之，香以开之之法也。其谓阴黄者，肌色虽黄，而带暗滞；阳黄者，鲜而明也。阳黄数
服可愈，阴黄未能即已焉。酒客动怒，最易成此症。
泄泻，多由湿热引起。洞泄（腹泻如水注下），如同沟渠决堤之水，一去不返，这是湿邪兼夹热邪；火泻伴有腹痛，刚想排便，或者大便中有未消化的食物，（这就是所谓的“邪火不能腐熟水谷”），这是热邪兼夹湿邪。多因挟带暑邪、饮食积滞，或夜间睡觉时腹部受寒，导致火热郁结于体内而形成。治疗方法需要清热利水、消食导滞，使用芳香醒脾的药物，如黄芩、黑栀子、焦白芍、茯苓、泽泻、猪苓、山楂肉、神曲、陈皮、谷芽、厚朴、砂仁壳等，根据症状选用。如果热势严重且完谷不化，应当重用黄连；治疗湿邪而不通利小便，不是正确的治法。然而，也有春季感受风邪，夏季发生飧泄（完谷不化的泄泻）的情况。这是因为风属木，木克土（肝木克脾土），适宜加入疏散风邪的药物，如防风、葛根、羌活、柴胡、薄荷等。只有当湿热已清，但病情迁延不愈时，才应当补益脾胃，使用参苓白术散。又如五更时分作泻的，属于肾虚，用四神丸治疗。
这种病症每因暑邪伤食，或受寒凉，卫气应于胃，卫气不得宣发，胃气也随之阻滞，从而形成腹痛、呕吐和腹泻并作的症状。治疗应当疏解卫气、调和胃气，消食利湿，清解暑邪同时进行，药物如香薷（若有恶寒症状可用）、半夏、茯苓、陈皮、甘草、炒白术、扁豆、神曲、山楂肉（若为伤食所致可用）、厚朴、黄芩、黑栀子、广藿香等，根据症状选用。出现转筋（肌肉痉挛）的，属于风寒湿邪俱有，病位在肝，应当分辨具体病因，加入对症的药物进行治疗。只有在霍乱初起，胸闷腹痛时，切忌进食谷物，不知此理的人竟然因此丧命。所以身体稍有不适，宁可保持空腹，待安稳后稍吃稀粥，逐渐增加食量，这也是养生的一种方法。
古代有五疸之名，兼有阴黄、阳黄的区别。我所见到的，眼白发黄，肌肤发黄，小便染在白裤子上像柏树汁一样的，再加上胸闷腹胀，肢体软弱嗜睡，其病因是郁火与湿气相互蒸腾而成，专门治疗在肝、胃两经，古称湿热成黄。胃中有湿热，则饱闷纳呆腹胀，肢体软弱（因为胃主四肢），嗜睡，脾气运化不足（因为脾胃互为表里），郁火导致肝木之气不达，治疗方法宜用风药以胜湿，苦味药以泄热，佐以开郁利导的药物，如柴胡、薄荷、防风、葛根、黄连、黄芩、夏枯草、山栀、郁金、陈皮、苍术、茵陈、茯苓、薏苡仁、木通、香附、通草、山楂肉、神曲、枳壳等，根据症状选用。五疸，五脏各有此病，但不外乎风以散之，淡味以渗之，苦味以泄之，香味以开之的方法。所谓阴黄，肌肤颜色虽黄，但带有暗滞；阳黄，颜色鲜明光亮。阳黄服用几剂药即可痊愈，阴黄则不能立即治愈。饮酒之人动怒，最容易形成此症。
Diarrhea is mostly caused by damp-heat. Dongxie (profuse diarrhea with watery stools) is like water bursting from a canal, flowing away without retention, which indicates dampness combined with heat; Huoxie (fire diarrhea) involves abdominal pain and an immediate urge to defecate, or undigested food in the stool (referred to as "pathogenic fire failing to digest grains"), which indicates heat combined with dampness. It often arises from summerheat and food stagnation, or cold invading the abdomen during sleep at night, causing fire to be constrained internally. The treatment method requires clearing heat, promoting urination to leach out dampness, and aiding digestion using aromatic spleen-arousing herbs such as Huangqin (Scutellariae Radix), Hei Zhi (Gardeniae Fructus processed with bran), Jiao Baishao (Paeoniae Radix Alba processed), Fuling (Poria), Zexie (Alismatis Rhizoma), Zhuling (Polyporus), Shan Zha Rou (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Chenpi (Citri Reticulatae Pericarpium), Guya (Setariae Fructus Germinatus), Houpo (Magnoliae Officinalis Cortex), and Sharen Qiao (Amomi Fructus pericarpium), selected according to symptoms. If heat is severe and undigested food is present, Huanglian (Coptidis Rhizoma) should be used heavily; treating dampness without promoting urination is not the correct approach. However, there are cases where wind is injured in spring, leading to Sunxie (diarrhea with undigested food) in summer. This is because wind belongs to Wood, and Wood overacts on Earth (Liver Wood overacting on Spleen Earth), so it is appropriate to add wind-dispersing herbs such as Fangfeng (Saposhnikoviae Radix), Gegen (Puerariae Lobatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix), and Bohe (Menthae Haplocalycis Herba). Only when damp-heat has subsided but the condition persists for a long time should one tonify the Spleen and Stomach using Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder). Furthermore, diarrhea occurring at the fifth watch (early morning) is due to Kidney deficiency, treated with Sishen Wan (Four Spirits Pill).
This syndrome often results from summerheat injuring food intake, or exposure to cold and chill. When Wei Qi (Defensive Qi) responds to the Stomach, if Wei Qi fails to circulate freely, Stomach Qi also becomes obstructed, resulting in simultaneous abdominal pain, vomiting, and diarrhea. Treatment should involve releasing the exterior and harmonizing the Stomach, resolving food stagnation and promoting dampness drainage, while clearing summerheat simultaneously. Herbs include Xiangru (Elsholtziae Herba) (can be used if aversion to cold is present), Banxia (Pinelliae Tuber), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Chao Baizhu (Atractylodis Macrocephalae Rhizoma stir-fried), Biandou (Dolichoris Semen), Shenqu (Massa Medicata Fermentata), Shan Zha Rou (Crataegi Fructus) (can be used for food stagnation), Houpo (Magnoliae Officinalis Cortex), Huangqin (Scutellariae Radix), Hei Zhi (Gardeniae Fructus processed with bran), and Guang Huo (Magnoliiae Officinalis Cortex / Magnolia Bark, specifically referring to Guang Huo Xiang here contextually though listed as Guang Huo, likely implying Guang Huo Xiang/Aucklandiae Radix or similar aromatic damp-resolving herb, standard translation for 广霍 usually refers to Guang Huo Xiang Petiveriae Herba or similar, but strictly 广霍 is often shorthand for 广藿香 Pogostemonis Herba in clinical notes. I will use Pogostemonis Herba (Guang Huo Xiang) for clarity as it fits the formula profile of Huo Xiang Zheng Qi San derivatives). *Correction*: The text says "Guang Huo", typically short for Guang Huo Xiang. I will translate as Pogostemonis Herba (Guang Huo Xiang). Selected according to symptoms. For those with muscle cramps (Zhuanjin), it involves wind, cold, and dampness, with the disease located in the Liver; one must distinguish the cause and add symptomatic herbs. In the early stage of Huoluan (cholera-like syndrome) with chest tightness and abdominal pain, grain food must be strictly avoided; ignorance of this can lead to death. Therefore, if one feels slightly unwell, it is better to remain fasting; after stability, consume a little thin porridge and gradually increase intake, which is also a method of health preservation.
In ancient times, there were five types of Jaundice (Dan), distinguished into Yin Jaundice and Yang Jaundice. What I have observed includes yellowing of the whites of the eyes, yellow skin, and urine staining white trousers like cypress juice, accompanied by chest tightness, abdominal distension, limb weakness, and lethargy. The etiology is steaming of constrained fire and dampness, primarily treated in the Liver and Stomach meridians, traditionally called Jaundice formed by damp-heat. Damp-heat in the Stomach causes fullness, poor appetite, and abdominal distension; limb weakness (as the Stomach governs the four limbs); and lethargy due to impaired Spleen Qi transportation (as the Spleen and Stomach are interior-exterior paired organs), with constrained fire preventing the free flow of Liver Wood. The treatment method should use wind herbs to overcome dampness, bitter herbs to drain heat, assisted by herbs that open depression and promote drainage, such as Chaihu (Bupleuri Radix), Bohe (Menthae Haplocalycis Herba), Fangfeng (Saposhnikoviae Radix), Gegen (Puerariae Lobatae Radix), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Xiakucao (Prunellae Spica), Shanzhi (Gardeniae Fructus), Yujin (Curcumae Longae Radix), Chenpi (Citri Reticulatae Pericarpium), Cangzhu (Atractylodis Rhizoma), Yinchen (Artemisiae Scopariae Herba), Fuling (Poria), Yiren (Coicis Semen), Mutong (Akebiae Caulis), Xiangfu (Cyperi Rhizoma), Tongcao (Tetrapanacis Medulla), Shan Zha Rou (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), and Zhike (Aurantii Fructus Immaturus), selected according to symptoms. The five Dan syndromes affect the five Zang organs respectively, but generally do not exceed the methods of dispersing with wind,渗ing (percolating/diuresing) with bland taste, draining with bitter taste, and opening with aromatic taste. Yin Jaundice is described as having a yellow skin color that is dull and stagnant; Yang Jaundice is bright and lustrous. Yang Jaundice can be cured in a few doses, whereas Yin Jaundice cannot be resolved immediately. Individuals who drink alcohol and become angry are most prone to developing this syndrome.