《大全》云∶妊娠泄泻，或青或白，水谷不化，腹痛肠鸣，谓之洞泄。水谷不化，喜饮
呕逆
，谓之挟热下利，并以五苓散利小便，次以黄连阿胶汤或三黄熟艾汤以安之。若泻黄有沫，
肠鸣腹痛，脉沉紧数，用戊己丸和之。嗳腐不食，胃脉沉紧，用感应丸下之后调和脾胃。若
风冷水谷不化，如豆汁，用胃风汤。寒气脐下阴冷洞泄，用理中汤、治中汤。伏暑烦渴，泻
水，用四苓散。伤湿泄泻，小便自利，用不换金正气散、胃苓散。此四症之大略也(以下诸
症须体酌纯熟，然只用八方加减可谓要而约矣。而八方之中以六君加味者五，补中益气加味
者六，而益黄、四神、八味肾气等药或兼或专，真切确当，于此得心，其他亦可变通矣。又
何患方之不广、用之不神欤)。
薛氏曰∶泄泻若米食所伤，用六君加谷芽。面食所伤，六君加麦芽。肉食所伤，六君加
山楂
。若呕吐，皆加藿香。若兼寒热作呕，乃肝木侮脾，六君加姜桂不应，用钱氏益黄散。若元
气
下陷，发热作渴，肢体倦怠，用补中益气汤。若泄泻色黄，乃脾土之真色，六君加木香、肉
果。若作呕不食，腹痛恶寒，乃脾土虚寒，六君加姜、桂、木香。若泻在五更侵晨，饮食少
思，乃脾肾虚弱，五更服四神丸，日间服白术散。如不应，或愈而复作，或饮食少思，用八
味丸补命火，以生脾土为善。
《妇人大全良方》说：妊娠期间发生泄泻，大便颜色或青或白，水谷不能消化，伴有腹痛、肠鸣，这称为洞泄。如果水谷不化，喜欢饮水且伴有呕吐逆气，这称为挟热下利，都先用五苓散通利小便，随后用黄连阿胶汤或三黄熟艾汤来安抚调理。如果腹泻物呈黄色且有泡沫，肠鸣腹痛，脉象沉紧而数，使用戊己丸调和。如果嗳气有腐臭味、不思饮食，胃脉沉紧，使用感应丸攻下后，再调和脾胃。如果是风冷导致水谷不化，大便像豆汁一样，使用胃风汤。如果是寒气导致脐下阴冷、洞泄，使用理中汤、治中汤。如果是伏暑导致的烦渴、泻水，使用四苓散。如果是伤湿导致的泄泻，小便自利，使用不换金正气散、胃苓散。这是上述四种病症的大略情况（以下诸症需要仔细斟酌并熟练运用，然而仅用八方加减变化，可谓简要而精要了。而在八方之中，以六君子汤加味的有五种，补中益气汤加味的有六种，而益黄散、四神丸、八味肾气丸等药物或兼用或专用，真切恰当，若能在此处心得要领，其他病症也可变通处理了。又何必担心方剂不够广泛、运用不够神奇呢）。
薛己说：如果是米食所伤导致的泄泻，使用六君子汤加谷芽。面食所伤，六君子汤加麦芽。肉食所伤，六君子汤加山楂。如果伴有呕吐，都加藿香。如果兼有寒热且作呕，这是肝木侮脾，使用六君子汤加干姜、肉桂无效时，使用钱乙的益黄散。如果是元气下陷，发热口渴，肢体倦怠，使用补中益气汤。如果泄泻颜色发黄，这是脾土的本色外露，六君子汤加木香、肉豆蔻。如果作呕不食，腹痛恶寒，这是脾土虚寒，六君子汤加干姜、肉桂、木香。如果在五更天或清晨腹泻，饮食减少，这是脾肾虚弱，五更天服用四神丸，白天服用白术散。如果无效，或者痊愈后又复发，或者饮食减少，使用八味丸补命门之火，以生养脾土为好。
*Daquan* states: During pregnancy, if diarrhea occurs with stools that are either green or white, containing undigested food and water, accompanied by abdominal pain and borborygmus (intestinal rumbling), it is called "Dong Xie" (Cavernous Diarrhea). If undigested food and water are present, along with a preference for drinking and vomiting/regurgitation, it is called "Xia Re Xia Li" (Diarrhea with Heat Clinging). In both cases, first use Wuling San (Five-Ingredient Powder with Poria) to promote urination, followed by Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction) or Sanhuang Shuai Ai Tang (Three-Yellows and Mugwort Decoction) to soothe and regulate. If the diarrhea is yellow with froth, accompanied by borborygmus, abdominal pain, and a deep, tight, and rapid pulse, use Wuji Wan (Wu-Ji Pill) to harmonize. If there is belching with a rotten odor and anorexia, with a stomach pulse that is deep and tight, use Yinggan Wan (Responsive Pill) to purge, followed by harmonizing the spleen and stomach. If wind-cold causes undigested food and water resembling bean dregs, use Weifeng Tang (Stomach-Wind Decoction). If cold qi causes Yin-coldness below the navel and cavernous diarrhea, use Lizhong Tang (Regulate the Middle Decoction) or Zhizhong Tang (Treat the Middle Decoction). If latent summerheat causes irritability, thirst, and watery diarrhea, use Siling San (Four-Ingredient Powder). If dampness injury causes diarrhea with free urination, use Buhuanjin Zhengqi San (Golden-Exchange Upright Qi Powder) or Weiling San (Stomach-Poria Powder). These are the general principles for these four conditions (The following symptoms require careful consideration and proficiency; however, using only eight main formulas with modifications is concise and essential. Among these eight formulas, Liu Jun Zi Tang (Six-Gentlemen Decoction) is modified in five instances, Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) is modified in six instances, while Yihuang San (Benefit Yellow Powder), Sishen Wan (Four-Spirit Pill), and Bawei Shenqi Wan (Eight-Ingredient Kidney-Qi Pill) are used either concurrently or exclusively. These applications are precise and appropriate. Once mastery is achieved here, other conditions can be adapted accordingly. Why then worry about the lack of breadth in formulas or efficacy in application?).
Xue Ji stated: For diarrhea caused by rice injury, use Liu Jun Zi Tang (Six-Gentlemen Decoction) with Guya (Valley Sprout). For injury from wheat/noodles, add Maiya (Barley Sprout). For meat injury, add Shanzha (Hawthorn Fruit). If vomiting is present, add Huoxiang (Patchouli Herb) in all cases. If accompanied by alternating chills and fever with vomiting, this indicates Liver Wood insulting Spleen Earth; if Liu Jun Zi Tang with Jiang (Ginger Rhizome) and Gui (Cinnamon Twig) is ineffective, use Qian Yi's Yihuang San (Benefit Yellow Powder). If Yuan Qi (Primal Qi) sinks, causing fever, thirst, and limb fatigue, use Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction). If the diarrhea is yellow, reflecting the true color of Spleen Earth, use Liu Jun Zi Tang (Six-Gentlemen Decoction) with Muxiang (Aucklandia Root) and Rouguo (Nutmeg Seed). If vomiting and anorexia occur with abdominal pain and aversion to cold, this indicates Spleen Earth deficiency and cold; use Liu Jun Zi Tang (Six-Gentlemen Decoction) with Jiang (Ginger Rhizome), Gui (Cinnamon Twig), and Muxiang (Aucklandia Root). If diarrhea occurs at dawn (Wugeng time) with reduced appetite, this indicates Spleen and Kidney deficiency; take Sishen Wan (Four-Spirit Pill) at dawn and Baizhu San (Atractylodes Macrocephala Powder) during the day. If there is no response, or if the condition recurs after remission, or if appetite remains low, use Bawei Wan (Eight-Ingredient Pill) to tonify Minghuo (Mingmen Fire) to generate Spleen Earth, which is advisable.