(并治日久不止脾泄症。)
人参(二钱) 白芍(酒炒八分) 白术(二钱) 当归(一钱五分) 莲子(十二粒去心) 姜(二
送药。大忌房劳火动。年久脾泄者。须百余帖。甚者肚痛。加姜炭(
五分) 虚甚加人参(二三钱) 血崩脾泄症。服此方。活人多矣。但虽有热。忌用栀、柏、
芩、连。
产后脾胃虚。产毕即泻。必先服生化汤一帖。第二帖内。加茯苓(一钱) 肉果(一个。面包
煨。熟。去面用。) 诃子皮(一钱去油) 莲子(十粒) 姜(一片) 煎服两帖后。不止。加
人参(一二钱) 小便不通。因泻亡津液。切勿用利水药。
产前久泻。产后不止。产妇虚脱。从权服下方。以扶其虚。若块痛不止。俟脱稍减。去人参
。肉果。以除块痛。
川芎(一钱) 当归(二钱) 干姜 甘草(各五分) 茯苓(一钱五分) 山药(一钱) 肉果(一
个面煨熟) 诃子皮(一钱去油) 莲子(七粒) 人参(二钱) 糯米(一大撮) 虚甚多加人参
。产后七日外。血块尚痛。亦服此方。血块不痛。加白术(二钱) 陈皮(三分) 泻兼热。毋
用栀。柏。芩。连。有痰。毋用半夏。栝蒌。泻兼渴。用生脉散。以回津液。
产后七日内。患赤白痢。后重频仍。最为难治。欲调气行血。推荡痢邪。犹虑产后之元气虚
弱。欲滋荣益气。大补产虚。又恐助邪痢之初盛。其行不损元气。补不助邪。惟生化汤。去
炮姜。加木香顺气。则并治而不悖。再服加味香连丸。以候一二日。视病势加减。可保无虞
。若患褐色后重频仍。丹溪纂要内。有方论。若产妇素浓产。及一月。可用驱荡之方。及芩
连性寒之药。若产妇素弱。虽产后月余。未可峻剂以行积。再禁口痢。摘刊奇方中。自有治
法。慎毋按古方用浓朴。枳壳。以治产痢。宜用香连丸代之。(香连丸方在续集。)
（此方同时也治疗病程长久不止的脾泄症。）
人参（二钱） 白芍（用酒炒制八分） 白术（二钱） 当归（一钱五分） 莲子（十二粒，去心） 生姜（两片）。煎服送药。严格禁止房事劳累和体内火气妄动。对于多年不愈的脾泄症，需要服用一百多帖。如果病情严重出现腹痛，加入姜炭（五分）；如果虚损非常严重，加入人参（二三钱）。针对血崩伴随脾泄的症状，服用这个方子，救活的人很多。但是即使有热象，也忌讳使用栀子、黄柏、黄芩、黄连这些药物。
产后脾胃虚弱，分娩后立即腹泻，必须先服用生化汤一帖。在第二帖中，加入茯苓（一钱） 肉豆蔻（一个，用面粉包裹煨熟，去掉面粉只用肉豆蔻） 诃子皮（一钱，去油） 莲子（十粒） 生姜（一片），煎服两帖后，如果腹泻仍不止，加入人参（一二钱）。如果出现小便不通，是因为腹泻导致津液亡失，千万不要使用利尿药物。
产前长期腹泻，产后仍未停止，产妇出现虚脱症状，权宜之下服用下方以扶助其虚损。如果腹部块状疼痛不止，等待虚脱症状稍减后，去掉人参、肉豆蔻，以消除块状疼痛。
川芎（一钱） 当归（二钱） 干姜 甘草（各五分） 茯苓（一钱五分） 山药（一钱） 肉豆蔻（一个，用面粉煨熟） 诃子皮（一钱，去油） 莲子（七粒） 人参（二钱） 糯米（一大撮）。如果虚损非常严重，多加人参。产后七日以后，如果血块仍然引起疼痛，也服用这个方子。如果血块不再疼痛，加入白术（二钱） 陈皮（三分）。如果腹泻兼有热象，不要使用栀子、黄柏、黄芩、黄连。如果有痰，不要使用半夏、瓜蒌。如果腹泻兼有口渴，使用生脉散，以恢复津液。
产后七日内，患上赤白痢疾，里急后重频繁发作，是最难治疗的。想要调气行血，推荡痢疾邪气，又担忧产后元气虚弱；想要滋养营血益气，大补产后虚损，又恐怕助长邪气，使痢疾初期盛行的病势加重。只有那种既不损伤元气，又不助长邪气的治法，才符合生化汤去掉炮姜，加入木香以顺气的原则，这样并治而不违背医理。再服用加味香连丸，观察一两天，根据病势加减，可以保证没有危险。如果患褐色痢疾且里急后重频繁发作，《丹溪纂要》中有相关的方论。如果产妇体质原本肥胖壮实，以及产后满一个月，可以使用驱荡积滞的方剂，以及黄芩、黄连等性寒的药物。如果产妇体质原本虚弱，即使产后一个多月，也不可用峻猛之剂来行积导滞。另外关于禁口痢，在摘刊奇方中自有治疗方法，务必不要按照古方使用厚朴、枳壳来治疗产后痢疾，应该用香连丸代替。（香连丸的方子在续集中。）
(Also treats chronic spleen diarrhea that persists for a long time.)
Renshen (Ginseng Radix) [2 qian], Baishao (White Peony Root, stir-fried with wine) [8 fen], Baizhu (Atractylodis Macrocephalae Rhizoma) [2 qian], Danggui (Angelicae Sinensis Radix) [1.5 qian], Lianzi (Nelumbinis Semen, heart removed) [12 grains], Shengjiang (Fresh Ginger, 2 slices). Decoct and take. Strictly forbid sexual exertion and internal fire agitation. For chronic spleen diarrhea lasting many years, more than one hundred doses are required. If the condition is severe with abdominal pain, add Jiangtan (Charred Ginger) [5 fen]; if deficiency is extreme, add Renshen (Ginseng Radix) [2-3 qian]. For symptoms of uterine bleeding accompanied by spleen diarrhea, taking this formula has saved many lives. However, even if there is heat, it is contraindicated to use Zhizi (Gardeniae Fructus), Baipi (Phellodendri Cortex), Huangqin (Scutellariae Radix), and Lianlian (Coptidis Rhizoma).
Postpartum spleen and stomach deficiency, with diarrhea starting immediately after delivery, requires first taking one dose of Shenghua Tang (Decoction for Generating New Blood). In the second dose, add Fuling (Poria) [1 qian], Rouguo (Myristicae Semen, wrapped in flour and baked until ripe, flour removed) [1 fruit], Hezipi (Pericarpium Arecae Seedae, oil removed) [1 qian], Lianzi (Nelumbinis Semen) [10 grains], Shengjiang (Fresh Ginger, 1 slice). Decoct and take two doses; if diarrhea does not stop, add Renshen (Ginseng Radix) [1-2 qian]. If urinary retention occurs due to fluid loss from diarrhea, absolutely do not use diuretic herbs.
For chronic diarrhea before pregnancy that continues postpartum, leading to maternal collapse, use the following formula on an emergency basis to support deficiency. If mass-related pain persists, wait until the collapse subsides slightly, then remove Renshen (Ginseng Radix) and Rouguo (Myristicae Semen) to eliminate the mass pain.
Chuanxiong (Ligustici Chuanxiong Rhizoma) [1 qian], Danggui (Angelicae Sinensis Radix) [2 qian], Ganjiang (Zingiberis Rhizoma), Gancao (Licorice Root) [each 5 fen], Fuling (Poria) [1.5 qian], Shanyao (Dioscoreae Rhizoma) [1 qian], Rouguo (Myristicae Semen, baked in flour until ripe) [1 fruit], Hezipi (Pericarpium Arecae Seedae, oil removed) [1 qian], Lianzi (Nelumbinis Semen) [7 grains], Renshen (Ginseng Radix) [2 qian], Nuomi (Glutinous Rice) [a large pinch]. If deficiency is extreme, increase the amount of Renshen (Ginseng Radix). After seven days postpartum, if blood masses still cause pain, also take this formula. If blood masses no longer cause pain, add Baizhu (Atractylodis Macrocephalae Rhizoma) [2 qian] and Chenpi (Citri Reticulatae Pericarpium) [3 fen]. If diarrhea is accompanied by heat, do not use Zhizi (Gardeniae Fructus), Baipi (Phellodendri Cortex), Huangqin (Scutellariae Radix), or Lianlian (Coptidis Rhizoma). If there is phlegm, do not use Banxia (Pinelliae Rhizoma) or Gualou (Trichosanthis Fructus). If diarrhea is accompanied by thirst, use Shengmai San (Generating Pulse Powder) to restore fluids.
Within seven days postpartum, suffering from dysentery with red and white discharge, frequent tenesmus is the most difficult to treat. One wishes to regulate qi and move blood to push out the dysentery pathogen, yet fears the weakness of postpartury yuanqi (vital energy); one wishes to nourish ying (nutritive qi) and tonify qi to greatly supplement postpartum deficiency, yet fears aiding the pathogen and exacerbating the initial surge of dysentery. Only a method that neither damages yuanqi nor aids the pathogen is suitable. This aligns with modifying Shenghua Tang (Decoction for Generating New Blood) by removing Paoyang (Roasted Ginger) and adding Muxiang (Aucklandiae Radix) to smooth qi, thereby treating both without contradiction. Subsequently, take Jiawei Xianglian Wan (Modified Almond and Coptis Pill) and observe for one or two days, adjusting according to the disease trend, to ensure safety. If brown dysentery with frequent tenesmus occurs, there are relevant discussions in Danxi Zuanyao (Essentials of Zhu Danxi). If the mother was originally robust and it has been a month postpartum, purgative formulas and cold-natured herbs like Huangqin (Scutellariae Radix) and Lianlian (Coptidis Rhizoma) can be used. If the mother was originally weak, even if more than a month postpartum, harsh purgatives should not be used to move stagnation. Regarding anorexic dysentery (Jinkou Li), there are specific treatments in Zhai Kan Qi Fang (Selected Miraculous Formulas). Be careful not to use Houpo (Magnoliae Officinalis Cortex) and Zhike (Aurantii Fructus Immaturus) based on ancient formulas to treat postpartum dysentery; instead, substitute with Xianglian Wan (Almond and Coptis Pill). (The formula for Xianglian Wan is in the continuation volume.)