论曰内经曰湿胜则濡泻，甲乙经曰，寒客下焦，传为濡泻，夫脾为五脏之至阴，其性恶
寒湿，今寒湿之气，内客于脾，则不能埤助胃气，腐熟水谷。致清浊不分，水入肠间，虚莫
能制，故洞泄如水，随气而下，谓之濡泻。
治肠胃受湿，濡泻不止。肉豆蔻散方
肉豆蔻（去壳炮） 黄连（去须炒） 诃黎勒炮（去核各三分） 甘草（炙锉） 白术 干
姜炮 赤茯苓
上八味，捣罗为散，每服二钱匕，空心食前、米饮调下、日三。
治脾胃伤湿，濡泻不止，豆蔻散方
肉豆蔻（去壳炮五枚） 甘草（炙锉一两） 浓朴（去粗皮生姜汁炙一两半）
上三味。捣罗为散，每服二钱匕，米饮或汤调下，食前温服。
治肠胃寒湿濡泻。腹内 刺疼痛。当归散方
当归（切焙） 木香 干姜（炮） 肉豆蔻（去壳炮各半两） 诃黎勒（炮去核） 黄
连（去须炒各三分）
上六味。捣罗为散，先用水四盏，入甘草生姜各一分，黑豆一合，并半生半炒。同煎至
二盏，去滓分作二服，每服用调散三钱匕，空心日午服。
治濡泻水痢、久不止。桂附丸方
桂（去粗皮） 附子（炮裂去皮脐） 干姜（炮） 赤石脂（各一两）
上四味。捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空心食前米饮下，日三。
治肠胃寒湿，濡泻无度，嗜卧不食，猪苓丸方
猪苓（去黑皮半两） 肉豆蔻（去壳炮二枚） 黄柏（去粗皮炙一分）
上三味，捣罗为末，米饮和丸，如绿豆大，每服十丸，食前熟水下。
治寒湿伤脾，濡泻，诃黎勒散方
诃黎勒（炮去核） 吴茱萸（汤浸焙炒） 木香 芜荑炒（各半两） 黄连（去须炒一
两）
上五味，捣罗为细散，每服二钱匕，空腹陈米饮调服、日再。
治肠胃受湿，濡泻无度，腹痛饮食不化，白豆蔻汤方
白豆蔻（去皮） 诃黎勒（炮去核） 陈橘皮（汤浸去白焙炒） 干姜（炮各半两） 浓
朴（去粗皮生姜汁
上五味，粗捣筛，每服五钱匕，切薤白三寸，水一盏半，煎至七分，去滓空心温服、日
再。
治濡泻暴下不止。枳壳汤方
枳壳（去瓤麸炒三分） 黄连（去须炒） 浓朴（去粗皮生姜汁炙各一两） 甘草（炙
锉） 阿胶（炙燥各
上五味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓空心温服、日再。
治肠胃寒湿，濡泻不止，及冷痢色白，食不消化，附子汤方
附子（炮裂去皮脐） 甘草（炙锉） 阿胶（炙燥各半两） 黄连（去须炒一两）
上四味，锉如麻豆，每服五钱匕，水一盏半，煎至一盏，去滓空心温服、日再。
治脾胃受湿，濡泻不止，健脾，白术丸方
白术 干姜炮（各三分） 浓朴（去粗皮生姜汁炙一两） 人参（三分）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，空心米饮下、日再。
治寒湿濡泻久不瘥。附子丸方
附子（炮裂去皮脐一两） 甘草（炙锉二两）
上二味。捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空心生姜汤下、日再。
治伤湿濡泻不定，浓朴汤方
浓朴（去粗皮生姜汁炙一两半） 黄连去须炒一两）
上二味，粗捣筛，每服五钱匕，水一盏半，大枣二枚劈破。煎至一盏，去滓空心温服、
日再，如腹痛加当归三分。
治濡泻不止，或冷痢无度，附子丸方
附子（炮裂去皮脐） 高良姜（各一两） 甘草（炙锉一分）
上三味，捣罗为末，陈米煮糊，丸如梧桐子大，每服二十丸，米饮下，不拘时服。
治濡泻里急后重，数至圊，樗根散方
樗根皮（锉一两） 枳壳（去瓤麸炒半两） 甘草（炙锉一分）
上三味。捣罗为散，每服二钱匕，粥饮调下，食前一服止。
治胃虚泄泻，老人冷泻，健脾汤方
乌头（炮裂去皮脐三分） 浓朴（去粗皮生姜汁炙） 甘草（炙锉） 干姜（炮各一分）
上四味、锉如麻豆，每服三钱匕，水一盏，生姜二片，煎至七分，去滓热服，并二服止
治久患脾泄泻。姜连散方
生姜（四两） 黄连（去须一两）
上二味， 咀如麻豆，一处慢火炒令姜赤色，去姜取黄连为细散，每服二钱匕，空腹腊
茶清调下，不过二服瘥。
论述说：《内经》提到湿气过盛会导致濡泻（大便稀溏如水），《甲乙经》指出寒气客居下焦，传变而成濡泻。脾是五脏中至阴之脏，其本性厌恶寒湿。如今寒湿之气内侵于脾，则不能辅助胃气腐熟水谷。导致清浊不分，水液流入肠间，虚弱无力制约，所以腹泻如洞泄般水流直下，随气机下行，称为濡泻。
治疗肠胃受湿邪侵袭，濡泻不止的方剂：肉豆蔻散方
肉豆蔻（去壳炮制） 黄连（去须炒制） 诃黎勒（炮制去核，各三分） 甘草（炙后锉碎） 白术 干姜（炮制） 赤茯苓
以上八味药，捣碎过筛成散剂，每次服用二钱匕，空腹饭前用米汤调服，每日三次。
治疗脾胃被湿邪所伤，濡泻不止的方剂：豆蔻散方
肉豆蔻（去壳炮制五枚） 甘草（炙后锉碎一两） 浓朴（去粗皮，用生姜汁炙制一两半）
以上三味药，捣碎过筛成散剂，每次服用二钱匕，用米汤或开水调服，饭前温服。
治疗肠胃寒湿引起的濡泻，腹内刺痛疼痛的方剂：当归散方
当归（切后焙干） 木香 干姜（炮制） 肉豆蔻（去壳炮制，各半两） 诃黎勒（炮制去核） 黄连（去须炒制，各三分）
以上六味药，捣碎过筛成散剂。先用水四盏，加入甘草、生姜各一分，黑豆一合（一半生用，一半炒制），共同煎煮至二盏，滤去药渣，分两次服用。每次服用时取散剂三钱匕，空腹及中午时分服用。
治疗濡泻、水样痢疾，久治不愈的方剂：桂附丸方
桂枝（去粗皮） 附子（炮裂去皮脐） 干姜（炮制） 赤石脂（各一两）
以上四味药，捣碎过筛成粉末，用炼蜜制成梧桐子大小的丸剂，每次服用二十丸，空腹饭前用米汤送服，每日三次。
治疗肠胃寒湿，濡泻无度，嗜睡不想进食的方剂：猪苓丸方
猪苓（去黑皮半两） 肉豆蔻（去壳炮制二枚） 黄柏（去粗皮炙制一分）
以上三味药，捣碎过筛成粉末，用米汤和丸，如绿豆大小，每次服用十丸，饭前用熟水送服。
治疗寒湿损伤脾脏，引起濡泻的方剂：诃黎勒散方
诃黎勒（炮制去核） 吴茱萸（汤浸后焙炒） 木香 芜荑（炒制，各半两） 黄连（去须炒制一两）
以上五味药，捣碎过筛成细散剂，每次服用二钱匕，空腹时用陈年米汤调服，每日两次。
治疗肠胃受湿邪侵袭，濡泻无度，腹痛且饮食不消化的方剂：白豆蔻汤方
白豆蔻（去皮） 诃黎勒（炮制去核） 陈橘皮（汤浸去白后焙炒） 干姜（炮制，各半两） 浓朴（去粗皮，用生姜汁炙制）
以上五味药，粗捣过筛，每次服用五钱匕，切碎薤白三寸，加水一盏半，煎煮至七分，滤去药渣，空腹温服，每日两次。
治疗濡泻突然剧烈腹泻不止的方剂：枳壳汤方
枳壳（去瓤麸炒三分） 黄连（去须炒制） 浓朴（去粗皮，用生姜汁炙制，各一两） 甘草（炙后锉碎） 阿胶（炙燥，各...[原文此处似有缺字，依常理推测为各半两或类似剂量，但严格按原文翻译]）
以上五味药，粗捣过筛，每次服用五钱匕，加水一盏半，煎煮至一盏，滤去药渣，空腹温服，每日两次。
治疗肠胃寒湿，濡泻不止，以及冷痢颜色发白，食物不消化的方剂：附子汤方
附子（炮裂去皮脐） 甘草（炙后锉碎） 阿胶（炙燥，各半两） 黄连（去须炒制一两）
以上四味药，锉碎如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至一盏，滤去药渣，空腹温服，每日两次。
治疗脾胃受湿邪侵袭，濡泻不止，具有健脾作用的方剂：白术丸方
白术 干姜（炮制，各三分） 浓朴（去粗皮，用生姜汁炙制一两） 人参（三分）
以上四味药，捣碎过筛成粉末，用炼蜜制成梧桐子大小的丸剂，每次服用三十丸，空腹用米汤送服，每日两次。
治疗寒湿引起的濡泻久治不愈的方剂：附子丸方
附子（炮裂去皮脐一两） 甘草（炙后锉碎二两）
以上二味药，捣碎过筛成粉末，用炼蜜制成梧桐子大小的丸剂，每次服用二十丸，空腹用生姜汤送服，每日两次。
治疗因湿邪损伤引起的濡泻发作不定，具有调理作用的方剂：浓朴汤方
浓朴（去粗皮，用生姜汁炙制一两半） 黄连（去须炒制一两）
以上二味药，粗捣过筛，每次服用五钱匕，加水一盏半，大枣二枚劈破。煎煮至一盏，滤去药渣，空腹温服，每日两次。如果腹痛，增加当归三分。
治疗濡泻不止，或者冷痢无度的方剂：附子丸方
附子（炮裂去皮脐） 高良姜（各一两） 甘草（炙后锉碎一分）
以上三味药，捣碎过筛成粉末，用陈年米煮成糊状，制成梧桐子大小的丸剂，每次服用二十丸，用米汤送服，不拘泥于固定时间服用。
治疗濡泻伴有里急后重，频繁上厕所的方剂：樗根散方
樗根皮（锉碎一两） 枳壳（去瓤麸炒半两） 甘草（炙后锉碎一分）
以上三味药，捣碎过筛成散剂，每次服用二钱匕，用粥饮调服，饭前服用一次即可止泻。
治疗胃虚引起的泄泻，老人冷性泄泻，具有健脾作用的方剂：健脾汤方
乌头（炮裂去皮脐三分） 浓朴（去粗皮，用生姜汁炙制） 甘草（炙后锉碎） 干姜（炮制，各一分）
以上四味药，锉碎如麻豆大小，每次服用三钱匕，加水一盏，生姜两片，煎煮至七分，滤去药渣热服，总共服用两次即可停止。
治疗长期患有脾虚泄泻的方剂：姜连散方
生姜（四两） 黄连（去须一两）
以上二味药，锉碎如麻豆大小，一起用慢火炒至生姜呈赤色，去掉生姜，取黄连研成细散剂，每次服用二钱匕，空腹时用腊茶清调服，不超过两次即可痊愈。
Commentary states: The *Neijing* (Inner Canon) mentions that excessive dampness leads to ru-xie (diarrhea with loose, watery stools). The *Jiayi Jing* (Classics of Difficulty) points out that cold pathogen lodging in the lower jiao transmits and transforms into ru-xie. The Spleen is the most yin organ among the five zang organs; its nature dislikes cold and dampness. Now, when cold-damp qi invades internally and lodges in the Spleen, it fails to assist Stomach qi in rotting and ripening food and fluids. This results in the failure to separate the clear from the turbid, causing water to enter the intestines. Due to deficiency and inability to control, diarrhea occurs like a hole leaking water, flowing downward with the qi, which is called ru-xie.
Treatment for intestinal and stomach affected by dampness, with persistent ru-xie: Roudoukou San Formula
Roudoukou (Seed of Myristica, remove shell and roast) Huanglian (Rhizoma Coptidis, remove stamens and stir-fry) Helile (Fructus Chebulae, roast and remove seed, each 3 fen) Gancao (Radix Glycyrrhizae, honey-fried and crushed) Baizhu (Rhizoma Atractylodis Macrocephalae) Ganjiang (Rhizoma Zingiberis, roasted) Chifuling (Poria with Red Sandalwood Wood, note: Chifuling usually refers to Poria cocos growing on sandalwood or similar variant, here likely Poria)
The above eight ingredients are pounded and sifted into powder. Each dose consists of 2 qianbi, taken before meals on an empty stomach, mixed with rice drink, three times daily.
Treatment for spleen and stomach injured by dampness, with persistent ru-xie: Doukou San Formula
Roudoukou (Seed of Myristica, remove shell and roast, 5 seeds) Gancao (Radix Glycyrrhizae, honey-fried and crushed, 1 liang) Houpo (Cortex Magnoliae Officinalis, remove rough bark and stir-fry with ginger juice, 1.5 liang)
The above three ingredients are pounded and sifted into powder. Each dose consists of 2 qianbi, mixed with rice drink or hot water, taken warm before meals.
Treatment for cold-damp affecting intestines and stomach causing ru-xie, with stabbing pain in the abdomen: Danggui San Formula
Danggui (Radix Angelicae Sinensis, slice and bake) Muxiang (Radix Aucklandiae) Ganjiang (Rhizoma Zingiberis, roasted) Roudoukou (Seed of Myristica, remove shell and roast, each 0.5 liang) Helile (Fructus Chebulae, roast and remove seed) Huanglian (Rhizoma Coptidis, remove stamens and stir-fry, each 3 fen)
The above six ingredients are pounded and sifted into powder. First, take four zhan of water, add Gancao (Radix Glycyrrhizae) and Shengjiang (Rhizoma Zingiberis), each 1 fen, and Heidou (Semen Sojae Nigrum), 1 he (half raw, half roasted). Decoct together until two zhan remain, filter dregs, and divide into two doses. For each dose, mix with 3 qianbi of the powder, taken on an empty stomach and at noon.
Treatment for ru-xie and watery dysentery, persisting for a long time: Guifu Wan Formula
Guizhi (Ramulus Cinnamomi, remove rough bark) Fuzi (Radix Aconiti Lateralis Preparata, roast until cracked, remove skin and umbilicus) Ganjiang (Rhizoma Zingiberis, roasted) Chishizhi (Lapis Kaolinis, each 1 liang)
The above four ingredients are pounded and sifted into powder. Mix with refined honey to make pills the size of paulownia seeds. Each dose consists of 20 pills, taken on an empty stomach before meals with rice drink, three times daily.
Treatment for cold-damp affecting intestines and stomach, with uncontrolled ru-xie, lethargy and loss of appetite: Zhuling Wan Formula
Zhuling (Polyporus, remove black skin, 0.5 liang) Roudoukou (Seed of Myristica, remove shell and roast, 2 seeds) Huangbai (Cortex Phellodendri, remove rough bark and stir-fry, 1 fen)
The above three ingredients are pounded and sifted into powder. Mix with rice drink to make pills the size of mung beans. Each dose consists of 10 pills, taken before meals with cooked water.
Treatment for cold-damp injuring the spleen, causing ru-xie: Helile San Formula
Helile (Fructus Chebulae, roast and remove seed) Wuzhuyu (Fructus Evodiae, soak in water, bake and stir-fry) Muxiang (Radix Aucklandiae) Wuyi (Semen Trogopterori, roasted, each 0.5 liang) Huanglian (Rhizoma Coptidis, remove stamens and stir-fry, 1 liang)
The above five ingredients are pounded and sifted into fine powder. Each dose consists of 2 qianbi, taken on an empty stomach mixed with aged rice drink, twice daily.
Treatment for dampness affecting intestines and stomach, with uncontrolled ru-xie, abdominal pain and undigested food: Baidoukou Tang Formula
Baidoukou (Fructus Cardamomi Albi, remove peel) Helile (Fructus Chebulae, roast and remove seed) Chenpi (Pericarpium Citri Reticulatae, soak in water, remove white pith, bake and stir-fry) Ganjiang (Rhizoma Zingiberis, roasted, each 0.5 liang) Houpo (Cortex Magnoliae Officinalis, remove rough bark...)
The above five ingredients are coarsely pounded and sifted. Each dose consists of 5 qianbi. Add chopped Xiebai (Bulbus Allii Macrostemonis), 3 cun, and 1.5 zhan of water. Decoct until 0.7 zhan remains, filter dregs, and take warm on an empty stomach, twice daily.
Treatment for sudden severe ru-xie with uncontrollable diarrhea: Zhike Tang Formula
Zhike (Fructus Aurantii, remove pulp and stir-fry with bran, 3 fen) Huanglian (Rhizoma Coptidis, remove stamens and stir-fry) Houpo (Cortex Magnoliae Officinalis, remove rough bark and stir-fry with ginger juice, each 1 liang) Gancao (Radix Glycyrrhizae, honey-fried and crushed) Ejiao (Colla Corii Asini, honey-fried and dried, each...)
The above five ingredients are coarsely pounded and sifted. Each dose consists of 5 qianbi. Add 1.5 zhan of water. Decoct until 1 zhan remains, filter dregs, and take warm on an empty stomach, twice daily.
Treatment for cold-damp affecting intestines and stomach, with persistent ru-xie, as well as cold dysentery with white color and indigestion: Fuzi Tang Formula
Fuzi (Radix Aconiti Lateralis Preparata, roast until cracked, remove skin and umbilicus) Gancao (Radix Glycyrrhizae, honey-fried and crushed) Ejiao (Colla Corii Asini, honey-fried and dried, each 0.5 liang) Huanglian (Rhizoma Coptidis, remove stamens and stir-fry, 1 liang)
The above four ingredients are crushed like hemp seeds. Each dose consists of 5 qianbi. Add 1.5 zhan of water. Decoct until 1 zhan remains, filter dregs, and take warm on an empty stomach, twice daily.
Treatment for dampness affecting spleen and stomach, with persistent ru-xie, having the effect of strengthening the spleen: Baizhu Wan Formula
Baizhu (Rhizoma Atractylodis Macrocephalae) Ganjiang (Rhizoma Zingiberis, roasted, each 3 fen) Houpo (Cortex Magnoliae Officinalis, remove rough bark and stir-fry with ginger juice, 1 liang) Renshen (Radix Ginseng, 3 fen)
The above four ingredients are pounded and sifted into powder. Mix with refined honey to make pills the size of paulownia seeds. Each dose consists of 30 pills, taken on an empty stomach with rice drink, twice daily.
Treatment for cold-damp ru-xie persisting for a long time without cure: Fuzi Wan Formula
Fuzi (Radix Aconiti Lateralis Preparata, roast until cracked, remove skin and umbilicus, 1 liang) Gancao (Radix Glycyrrhizae, honey-fried and crushed, 2 liang)
The above two ingredients are pounded and sifted into powder. Mix with refined honey to make pills the size of paulownia seeds. Each dose consists of 20 pills, taken on an empty stomach with ginger soup, twice daily.
Treatment for irregular ru-xie caused by dampness injury: Houpo Tang Formula
Houpo (Cortex Magnoliae Officinalis, remove rough bark and stir-fry with ginger juice, 1.5 liang) Huanglian (Rhizoma Coptidis, remove stamens and stir-fry, 1 liang)
The above two ingredients are coarsely pounded and sifted. Each dose consists of 5 qianbi. Add 1.5 zhan of water and 2 dates split open. Decoct until 1 zhan remains, filter dregs, and take warm on an empty stomach, twice daily. If abdominal pain occurs, add Danggui (Radix Angelicae Sinensis), 3 fen.
Treatment for persistent ru-xie or uncontrolled cold dysentery: Fuzi Wan Formula
Fuzi (Radix Aconiti Lateralis Preparata, roast until cracked, remove skin and umbilicus) Gaoliangjiang (Rhizoma Alpiniae Officinarum, each 1 liang) Gancao (Radix Glycyrrhizae, honey-fried and crushed, 1 fen)
The above three ingredients are pounded and sifted into powder. Use aged rice to make paste, then form pills the size of paulownia seeds. Each dose consists of 20 pills, taken with rice drink, at any time.
Treatment for ru-xie with tenesmus and frequent defecation: Chugen San Formula
Chugenpi (Cortex Chinensi, crush, 1 liang) Zhike (Fructus Aurantii, remove pulp and stir-fry with bran, 0.5 liang) Gancao (Radix Glycyrrhizae, honey-fried and crushed, 1 fen)
The above three ingredients are pounded and sifted into powder. Each dose consists of 2 qianbi, mixed with porridge drink. One dose before meals stops the diarrhea.
Treatment for diarrhea due to stomach deficiency, cold diarrhea in the elderly, having the effect of strengthening the spleen: Jianpi Tang Formula
Wutou (Radix Aconiti Kusnezoffii, roast until cracked, remove skin and umbilicus, 3 fen) Houpo (Cortex Magnoliae Officinalis, remove rough bark and stir-fry with ginger juice) Gancao (Radix Glycyrrhizae, honey-fried and crushed) Ganjiang (Rhizoma Zingiberis, roasted, each 1 fen)
The above four ingredients are crushed like hemp seeds. Each dose consists of 3 qianbi. Add 1 zhan of water and 2 slices of ginger. Decoct until 0.7 zhan remains, filter dregs, and take hot. Two doses stop the condition.
Treatment for chronic spleen deficiency diarrhea: Jianglian San Formula
Shengjiang (Rhizoma Zingiberis Recens, 4 liang) Huanglian (Rhizoma Coptidis, remove stamens, 1 liang)
The above two ingredients are crushed like hemp seeds. Stir-fry slowly together until the ginger turns red. Remove the ginger, keep the Huanglian, and grind into fine powder. Each dose consists of 2 qianbi, taken on an empty stomach mixed with wax tea liquor. It will heal within no more than two doses.