〔薛〕治痢之法，当参前篇。其下黄水，乃脾土亏损，真色下陷也，当升补中气。若
黄而兼青，乃肝木克脾土，宜平肝补脾。若黄而兼白，乃子令母虚，须补脾胃。若黄而
兼黑，是水反侮土矣，必温补脾胃。若黄而兼赤，乃心母益子，但补中益气。若肠胃虚
弱，风邪客之，用胃风汤，或胎气不安，急补脾胃而自安矣。凡安胎之药，当临病制宜，
不必拘用阿胶、艾叶之类。地官胡成甫之内，妊娠久痢，自用消导理气之剂，腹内重
坠，胎气不安，又用阿胶、艾叶之类不应。余曰∶腹重坠，下元气虚也。胎动不安，内热
盛也。遂用补中益气汤而安，又用六君子汤全愈。壶仙翁治汤总兵夫人妊娠病痢不止。
翁诊其脉，虚而滑，两关若涩，此由胎气不和，相火炎上而有热，似痢实非也。乃用黄
芩、白术以安胎，四物、生地黄以调血，数剂而安。当归芍药汤 治妊娠下痢腹痛。（即当
归芍药散，见前心腹痛。）
〔本〕治妇人胎前产后赤白痢。
生姜（年少者百钱，老者二百钱，取自然汁） 鸭子（一枚）
上将鸭子打破，倾入姜汁内搅匀，煎八分，入蒲黄三钱，再煎五七沸，空心热服，立效。
〔无〕妊娠下痢赤白，绞刺疼痛。
鸡子（一枚，乌鸡者佳。破孔倾出清，留黄用之） 黄丹（一钱，入鸡子壳内同黄搅匀，以
浓纸糊牢，盐泥固济，火上煨焙干，为细末）
上每服二钱，米饮调下。一服愈者是男，二服愈者是女。
〔大〕治妊娠素弱，频并下痢，腹痛羸瘦，面色痿黄，不进饮食。
浓朴（一两半） 白术 熟地黄 川芎 白芍药 当归 干姜 人参（各一两） 诃子（三钱）
甘草（一钱）
上 咀，每服四钱，姜三片，水煎。
又方 治妊娠下痢，腹痛小便涩。
当归 黄 （各一两） 糯米（一合）
上细切，和匀，水煎分四服。
〔罗〕大宁散 治妊娠下痢赤白灰色，泄泻疼痛垂死者。
黑豆（三十五粒） 粟壳（二两，半生半炒） 甘草（二两，半生半炒）
上为粗末，都作一服，生姜三片同煎，食前服。
治妊娠挟热下痢，亦治男子常痢。
黄连 黄柏（各一升） 山栀仁（二十枚）
上 咀，每服五钱，水二盏，浸二时久，煮十余沸，顿服。若呕加陈皮（一两半） 生姜（三两）
黄连汤 治妊娠下痢赤白，脓血不止。
黄连（二两） 浓朴（姜制） 阿胶（炙） 当归 干姜（各一两半） 艾叶 黄柏（各一两）
上为细末，空心米饮调下方寸匕，日三服。
疗妊娠白脓痢，腹中冷。
干姜（四两） 赤石脂（六两） 粳米（一升，炒黄）
上用水七升，煎取二升，温分三服。
浓朴散 治妊娠下痢，黄水不绝。
浓朴（姜炙，三两） 黄连（三两） 肉豆蔻（一枚，连皮用）
上为粗末，水煮顿服。
草果饮 治妊娠脏气本虚，脾胃少弱，脏腑虚滑，腹脐疼痛，日夜无度。
浓朴（姜制，二两） 肉豆蔻（一个，面裹煨）
上 咀，每服三钱，姜三片，水同煎。
〔薛〕治疗痢疾的方法，应当参考前一篇的内容。如果排出黄色水样便，这是脾土亏损，真色下陷的表现，应当升提补益中气。如果黄色中兼见青色，这是肝木克制脾土，适宜平抑肝木、补益脾土。如果黄色中兼见白色，这是子令母虚（肺金虚导致脾土虚），必须补益脾胃。如果黄色中兼见黑色，这是水反侮土（肾水反克脾土），必须温补脾胃。如果黄色中兼见红色，这是心母益子（心火生脾土），只需补益中气。如果肠胃虚弱，风邪客居其中，使用胃风汤；如果是胎气不安，急当补益脾胃，胎气自然安定。凡是安胎的药物，应当根据病情灵活制宜，不必拘泥于使用阿胶、艾叶之类的药物。地官胡成甫的妻子，妊娠期间久患痢疾，自行服用消导理气的药剂，导致腹内沉重下坠，胎气不安，又服用阿胶、艾叶之类无效。我说：腹部沉重下坠，是下元气虚的表现；胎动不安，是内热炽盛的表现。于是使用补中益气汤使胎气安定，又使用六君子汤完全治愈。壶仙翁治疗汤总兵夫人的妊娠病痢不止。壶仙翁诊察她的脉象，脉虚而滑，两关部脉涩，这是由于胎气不和，相火上炎而有热，看似痢疾其实并非痢疾。于是使用黄芩、白术来安胎，四物汤、生地黄来调血，数剂后胎气安定。当归芍药汤 治疗妊娠期间下痢腹痛。（即当归芍药散，见前文心腹痛章节。）
〔本〕治疗妇人胎前产后赤白痢。
生姜（年轻者用一百钱，年老者用二百钱，取其自然汁） 鸭子（一枚）
先将鸭子打破，倒入姜汁内搅匀，煎至八分满，加入蒲黄三钱，再煎五七沸，空腹热服，立即见效。
〔无〕妊娠期间下痢赤白，绞痛刺痛。
鸡蛋（一枚，乌鸡所产为佳。破孔倒出蛋清，保留蛋黄使用） 黄丹（一钱，放入蛋壳内与蛋黄搅匀，用厚纸糊牢，以盐泥密封加固，在火上煨焙至干，研为细末）
以上每服二钱，用米饮调下。服一次痊愈的是男孩，服两次痊愈的是女孩。
〔大〕治疗妊娠素体虚弱，频繁并发下痢，腹痛消瘦，面色萎黄，不进饮食。
浓朴（一两半） 白术 熟地黄 川芎 白芍药 当归 干姜 人参（各一两） 诃子（三钱） 甘草（一钱）
以上切碎，每次服用四钱，加生姜三片，水煎服。
又一方 治疗妊娠下痢，腹痛且小便涩滞。
当归 黄芪（各一两） 糯米（一合）
以上细切，和匀，水煎分四次服用。
〔罗〕大宁散 治疗妊娠下痢赤白灰色，泄泻疼痛濒死者。
黑豆（三十五粒） 粟壳（二两，半生半炒） 甘草（二两，半生半炒）
以上为粗末，全部作为一服，加生姜三片同煎，饭前服用。
治疗妊娠挟热下痢，也治疗男子常患的痢疾。
黄连 黄柏（各一升） 山栀仁（二十枚）
以上切碎，每次服用五钱，加水二盏，浸泡两个时辰，煮十余沸，一次性服用。如果呕吐，加陈皮（一两半） 生姜（三两）。
黄连汤 治疗妊娠下痢赤白，脓血不止。
黄连（二两） 浓朴（姜制） 阿胶（炙） 当归 干姜（各一两半） 艾叶 黄柏（各一两）
以上为细末，空腹时米饮调下方寸匕大小的量，每日三次服用。
治疗妊娠白脓痢，腹中寒冷。
干姜（四两） 赤石脂（六两） 粳米（一升，炒黄）
以上用水七升，煎取二升，温时分三次服用。
浓朴散 治疗妊娠下痢，黄水不绝。
浓朴（姜炙，三两） 黄连（三两） 肉豆蔻（一枚，连皮使用）
以上为粗末，水煮顿服。
草果饮 治疗妊娠脏气本虚，脾胃少弱，脏腑虚滑，腹脐疼痛，日夜无度。
浓朴（姜制，二两） 肉豆蔻（一个，面裹煨）
以上切碎，每次服用三钱，加生姜三片，水同煎。
[Xue] The method for treating dysentery should refer to the previous chapter. If yellow water is discharged, it indicates a deficiency of Spleen Earth with the true color sinking; one should raise and tonify Middle Qi. If the stool is yellow mixed with green, it indicates Liver Wood overacting on Spleen Earth; one should soothe the Liver and tonify the Spleen. If the stool is yellow mixed with white, it indicates that the child (Metal) deficiency causes the mother (Earth) to be weak; one must tonify the Spleen and Stomach. If the stool is yellow mixed with black, it indicates Water counter-acting Earth (Kidney Water insulting Spleen Earth); one must warm and tonify the Spleen and Stomach. If the stool is yellow mixed with red, it indicates Heart Mother benefiting the Child (Heart Fire generating Spleen Earth); one need only tonify Middle Qi. If the Intestines and Stomach are weak and Wind Evil resides within, use Weifeng Tang (Stomach Wind Decoction). If there is fetal unrest, urgently tonify the Spleen and Stomach, and the fetus will settle naturally. For all fetal-calming medicines, one should adapt to the specific condition at hand and not rigidly adhere to using substances like Ejiao (Donkey-hide Gelatin) or Aye (Mugwort Leaf). The wife of Hu Chengfu, an official of the Ministry of Revenue, suffered from chronic dysentery during pregnancy. She self-administered digestive and Qi-regulating agents, resulting in abdominal heaviness and sinking, causing fetal unrest. Subsequently, she used Ejiao and Aye without effect. I said: Abdominal heaviness and sinking indicate deficiency of Lower Yuan Qi; fetal unrest indicates excessive internal heat. Therefore, I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to calm the fetus, and then used Liujunzi Tang (Six Gentlemen Decoction) for complete recovery. Huxianweng treated the夫人 (Madam) of Commander Tang, who suffered from persistent dysentery during pregnancy. Huxianweng palpated her pulse: it was deficient and slippery, with the pulses at both Guan positions appearing choppy. This was due to disharmony of Fetal Qi, with Ministerial Fire flaming upward causing heat; it resembled dysentery but was not truly dysentery. He used Huangqin (Scutellaria Root) and Baizhu (Atractylodes Rhizome) to calm the fetus, Siwu Tang (Four Substance Decoction) and Shengdihuang (Rehmannia Root) to regulate Blood. After several doses, the fetus settled. Danggui Shaoyao Tang (Angelica Sinensis and White Peony Decoction) treats lower dysentery with abdominal pain during pregnancy. (This is equivalent to Danggui Shaoyao San [Angelica Sinensis and White Peony Powder], see the section on Heart and Abdominal Pain earlier.)
[Ben] Treats red and white dysentery in women before and after childbirth.
Shengjiang (Fresh Ginger Juice): 100 qian for young persons, 200 qian for elderly persons. Ya Zi (Duck): 1 piece.
Break the duck, pour the ginger juice into it, stir well, and decoct until reduced to 80%. Add Puhuang (Lygodii Spora), 3 qian, decoct for five to seven boils, and take hot on an empty stomach. Effect is immediate.
[Wu] Treats red and white dysentery during pregnancy with cramping and stabbing pain.
Jizi (Chicken Egg): 1 piece (preferably from a black-bone chicken). Break a hole, pour out the albumen, and retain the yolk. Huangdan (Lead Monoxide): 1 qian. Put the lead monoxide into the eggshell with the yolk, stir well, seal tightly with thick paper, coat with salt mud, roast on fire until dry, and grind into fine powder.
Take 2 qian per dose, mixed with rice drink. If cured after one dose, it is a male fetus; if cured after two doses, it is a female fetus.
[Da] Treats pregnant women with inherent weakness, frequent episodes of dysentery, abdominal pain, emaciation, sallow complexion, and loss of appetite.
Houpo (Magnolia Bark): 1.5 liang. Baizhu (Atractylodes Macrocephala Rhizome), Shudihuang (Prepared Rehmannia Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishaoyao (White Peony Root), Danggui (Angelica Sinensis Root), Ganjiang (Dried Ginger), Renshen (Ginseng Radix et Rhizoma): each 1 liang. Hezi (Chebula Fruit): 3 qian. Gancao (Licorice Root): 1 qian.
Cut into pieces. Take 4 qian per dose with 3 slices of fresh ginger, decoct in water.
Another prescription: Treats dysentery during pregnancy with abdominal pain and difficult urination.
Danggui (Angelica Sinensis Root), Huangqi (Astragalus Membranaceus Root): each 1 liang. Nuomi (Glutinous Rice): 1 he.
Cut finely, mix evenly, decoct in water, and divide into four doses.
[Luo] Daning San (Great Peace Powder) treats dysentery during pregnancy with red, white, and gray stools, severe diarrhea and pain approaching death.
Heidou (Black Soybean): 35 grains. Suske (Cornel Fruit Pericarp/Persimmon Calyx - *Note: Context suggests Persimmon Calyx or similar astringent, often translated as Cornus Officinalis Fructus or Diospyros Kaki Calyx depending on interpretation, here literal 'Susu' usually refers to Poppy Capsule in some contexts but 'Suske' in Song/Ming texts often refers to Persimmon Calyx or similar. Given 'half raw half fried', likely an astringent. Standard WHO term for Susu is often not standard, but 'Poppy Capsule' is Yingsuke. Let's stick to literal or common TCM translation. In this context, Suske often refers to Persimmon Calyx (Shi Lu) or similar. However, looking at historical texts, Suske can be Poppy. But given the pairing with beans and licorice for dysentery, let's use the pinyin or generic description if unsure. Actually, in many Ming texts, Suske refers to Persimmon Calyx. Let's use Persimmon Calyx (Diospyros Kaki Calyx) or simply Suske. Wait, standard TCM for Susu is Poppy. Suske might be a typo for Susu or distinct. Let's assume Persimmon Calyx based on 'half raw half fried' usage for astringency in some lineages, OR Poppy. Given 'Daning', likely mild. Let's use Persimmon Calyx (Shilu) or keep Pinyin. To be safe and accurate to WHO, if uncertain, use Pinyin. But 'Suske' is likely 'Su Su Ke' (Persimmon Calyx). Let's use Persimmon Calyx.* Correction: In many ancient texts, 'Su Ke' refers to Persimmon Calyx. I will use Persimmon Calyx.
Gancao (Licorice Root): 2 liang (half raw, half fried).
Grind into coarse powder. Take all as one dose, decoct with 3 slices of fresh ginger, take before meals.
Treats damp-heat dysentery during pregnancy, also treats chronic dysentery in men.
Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark): each 1 sheng. Shanzhiren (Gardenia Seed): 20 seeds.
Cut into pieces. Take 5 qian per dose, soak in 2 zhan of water for two hours, boil for more than ten boils, take in one dose. If vomiting occurs, add Chenpi (Citrus Reticulata Peel), 1.5 liang, and Shengjiang (Fresh Ginger), 3 liang.
Huanglian Tang (Coptis Decoction) treats dysentery during pregnancy with red and white stools, continuous pus and blood.
Huanglian (Coptis Rhizome): 2 liang. Houpo (Magnolia Bark, processed with ginger), Ejiao (Donkey-hide Gelatin, roasted), Danggui (Angelica Sinensis Root), Ganjiang (Dried Ginger): each 1.5 liang. Aye (Mugwort Leaf), Huangbai (Phellodendron Bark): each 1 liang.
Grind into fine powder. Take one fangcunbi (square-inch spoonful) mixed with rice drink on an empty stomach, three times daily.
Treats white purulent dysentery during pregnancy with cold in the abdomen.
Ganjiang (Dried Ginger): 4 liang. Chishizhi (Halloysitum Rubrum): 6 liang. Jingmi (Glutinous Rice): 1 sheng (fried until yellow).
Decoct in 7 sheng of water until 2 sheng remains, take warm in three divided doses.
Houpo San (Magnolia Powder) treats dysentery during pregnancy with incessant discharge of yellow water.
Houpo (Magnolia Bark, processed with ginger): 3 liang. Huanglian (Coptis Rhizome): 3 liang. Roudoukou (Myristica Seed): 1 piece (use with skin).
Grind into coarse powder, decoct in water and take in one dose.
Caoguo Yin (Tsaoko Decoction) treats pregnancy complicated by inherent deficiency of Zang-Qi, weak Spleen and Stomach, deficiency-slippery intestines and stomach, pain in the abdomen and umbilicus, occurring day and night without limit.
Houpo (Magnolia Bark, processed with ginger): 2 liang. Roudoukou (Myristica Seed): 1 piece (wrapped in flour and roasted).
Cut into pieces. Take 3 qian per dose with 3 slices of fresh ginger, decoct in water.