高良姜 当归 桂心 芍药 附子（炮） 川芎（各一两） 甘草（半两）
上为粗末，每服三钱匕。水三盏，煎至一盏，去滓热服。
评曰∶产后下痢，非止一证，当随所因而调之。既云饮冷当风，何所不至。寒热风湿
，本属外因；喜怒忧思，还从自性。况劳役饥饱，皆能致病。若其洞泄，可服调中汤。赤白
带下，非此能愈。各随门类，别有正方。今录桃胶散、白头翁汤以备用，余从滞下门选之。
治产后痢下赤白，里急后重， 刺疼痛等证。
桃胶（瓦上焙干） 沉香 蒲黄（隔纸炒，等分）
上为末，每服二钱，食前，陈米饮调下。
治产后下痢虚极。
白头翁 甘草 阿胶（各二两） 黄连 柏皮 秦皮（各三两）
上 咀，每服四钱。水盏半，煎至七分，去滓，空心服。
治产后泻泄，恶露不行。此余血渗入大肠为泻，分过则愈。虽洞泄不
禁，下青黑色物亦验。因食伤动，用调中汤。
荆芥，大者四、五穗，于盏内燃火烧成灰，不得犯油火；入麝香少许研，沸汤一两呷，
调下此药。虽微，能愈大病，宜勿忽之。
产后诸痢方。煮薤白食之。
又方∶羊肾脂炒薤白，空腹食尤佳。
又方∶炙肥羊肉食之。
论曰∶产后痢疾者，由产劳伤，脏腑不足，日月未满，虚乏未复。或劳动太早；或误
食生冷。若行起太早，则外伤风冷乘虚入于肠胃；若误食生冷、难化之物，伤于脾胃，皆令
洞泄水泻，甚者变为痢也。若血渗入大肠，则为血痢，难治。泄，谓之产子痢是也。得冷
则白，或如鱼脑；得热则赤黄，或为骤血。若冷热相搏，则下痢赤白，或脓血相杂。若下痢
青色，则极冷也。若饮食不进，便利无常，日夜无度，产后本虚，更加久痢不止，无力瘦乏，
愈见羸弱，谓之虚羸下利。又有产后气宇不顺，而下痢赤白，谓之气痢。治之之法，热则凉
之；冷则温之；冷热相搏则调之；滑者涩之。虚羸者补之，水谷不分者，当利小便。若产妇
性情执着，不能宽解，须当顺其气，未有不安者也。治之各有方。
高良姜、当归、桂心、芍药、附子（炮制）、川芎（各一两），甘草（半两）。
以上药材捣成粗末，每次服用三钱匕。加水三盏，煎煮至一盏，滤去药渣，趁热服用。
评论说：产后下痢，不止一种证型，应当根据病因进行调理。既然提到因饮冷受风所致，那么各种情况都有可能发生。寒、热、风、湿，原本属于外因；喜、怒、忧、思，则源于内在情志。况且劳累过度或饥饱失常，都能导致疾病。如果是洞泄（指腹泻剧烈如水注），可以服用调中汤。如果是赤白带下，此方不能治愈。各类病证各有专门的正方。现记录桃胶散、白头翁汤以备选用，其余从滞下门中选取。
治疗产后痢疾下赤白，伴有里急后重、肛门刺痛等症状。
桃胶（在瓦上焙干）、沉香、蒲黄（隔纸炒，等分）。
以上研为细末，每次服用二钱，饭前用陈米汤调服。
治疗产后下痢极度虚弱。
白头翁、甘草、阿胶（各二两），黄连、黄柏、秦皮（各三两）。
以上切碎，每次服用四钱。加水一盏半，煎至七分，滤去药渣，空腹服用。
治疗产后泄泻，恶露不行。这是余血渗入大肠导致的泄泻，分清别浊后即可痊愈。即使是洞泄不禁，排出青黑色物体也有效。如果是因饮食损伤引起，使用调中汤。
取荆芥，大者四、五穗，在盏中点燃烧成灰，不得沾染油火；加入少许麝香研磨，用一两沸水冲服，调入此药。虽然药量微小，却能治愈大病，不可忽视。
产后各种痢疾的方剂：煮薤白食用。
又一方：用羊肾脂炒薤白，空腹食用更佳。
又一方：烤肥羊肉食用。
论述说：产后痢疾，是由于生产时劳伤，脏腑不足，产期未满，身体虚乏尚未恢复。或者劳动过早；或者误食生冷食物。如果起身活动太早，则外伤风冷乘虚侵入肠胃；如果误食生冷、难消化的食物，损伤脾胃，都会导致洞泄水泻，严重的转变为痢疾。如果血液渗入大肠，就成为血痢，难以治疗。泄泻，称为产子痢。感受寒冷则大便色白，或如鱼脑状；感受热邪则色赤黄，或为暴注下迫之血。若冷热相搏结，则下痢赤白，或脓血混杂。若下痢青色，则是极寒的表现。如果饮食不进，排便无常，日夜无度，产后本已虚弱，再加上久痢不止，无力消瘦疲乏，越发羸弱，称为虚羸下利。又有产后气机不顺，而下痢赤白，称为气痢。治疗的方法：热证则用凉法；寒证则用温法；冷热相搏则调和之；滑脱不禁则固涩之。虚羸者予以补益，水谷不分者，应当通利小便。如果产妇性情执着，不能宽解，必须顺其气机，没有不安稳的。治疗各有相应的方剂。
Gao Liang Jiang (Galangal Rhizome), Dang Gui (Angelica Sinensis Radix), Gui Xin (Cinnamon Twig Heart), Shao Yao (Peony Root), Fu Zi (Prepared Aconite Lateralis Radix) (each 1 liang), Gan Cao (Licorice Root) (0.5 liang).
Crush the above ingredients into coarse powder. For each dose, take three qian bi (approx. 3-4 grams). Add three zhan (approx. 600 ml) of water, decoct until one zhan remains, remove the dregs, and take hot.
Comment: Postpartum dysentery is not limited to a single syndrome; treatment should be adjusted according to the etiology. Since it is mentioned that drinking cold water and exposure to wind can cause it, various conditions may arise. Cold, heat, wind, and dampness originally belong to external causes; joy, anger, worry, and thought stem from internal nature. Moreover, overwork and irregular eating habits can all induce disease. If there is dong xie (profuse watery diarrhea), Tiao Zhong Tang (Regulate the Middle Decoction) can be taken. For red and white leukorrhea, this formula cannot cure it. Each category has its own specific formula. Here, Tao Jiao San (Peach Gum Powder) and Bai Tou Weng Tang (Belleric Myrobalan Decoction) are recorded for备用 (backup use); others are selected from the section on stagnation and downward discharge.
Treats postpartum dysentery with red and white stools, tenesmus, and anal stinging pain.
Tao Jiao (Peach Gum) (baked dry on tile), Chen Xiang (Aquilaria Wood), Pu Huang (Typha Pollen) (stir-fried between papers, equal parts).
Grind the above into fine powder. Take two qian per dose, before meals, mixed with aged rice water.
Treats postpartum dysentery with extreme deficiency.
Bai Tou Weng (Pulsatilla Root), Gan Cao (Licorice Root), E Jiao (Donkey-hide Gelatin) (each 2 liang), Huang Lian (Coptis Rhizome), Bai Pi (Phellodendron Bark), Qin Pi (Ash Bark) (each 3 liang).
Cut the above into small pieces. Take four qian per dose. Add one and a half zhan of water, decoct until seven tenths remain, remove the dregs, and take on an empty stomach.
Treats postpartum diarrhea with lochia retention. This is caused by residual blood seeping into the large intestine leading to diarrhea; separating clear from turbid will lead to recovery. Even if there is uncontrollable profuse diarrhea, passing dark green or black substances is also effective. If caused by dietary injury, use Tiao Zhong Tang (Regulate the Middle Decoction).
Take Jing Jie (Schizonepeta Spike), four or five large spikes, ignite in a cup until ash, ensuring no oil or fire contamination; add a small amount of She Xiang (Musk), grind, mix with one liang of boiling water, and take orally. Although the dosage is small, it can cure major illnesses; do not neglect it.
Formulas for various postpartum dysenteries: Boil and eat Xie Bai (Allium Macrostem Bulb).
Another formula: Stir-fry Xie Bai with Yang Shen Zhi (Sheep Kidney Fat); best taken on an empty stomach.
Another formula: Roast and eat fatty mutton.
Discussion: Postpartum dysentery arises from labor injuries during childbirth, resulting in insufficiency of the zang-fu organs. Before the postpartum period is complete, the body is deficient and has not yet recovered. Either excessive early exertion or mistaken consumption of raw and cold foods can cause issues. If rising and moving too early, external wind-cold invades the intestines and stomach due to deficiency; if raw and cold or indigestible foods are mistakenly consumed, the spleen and stomach are injured, all leading to dong xie (profuse watery diarrhea), which in severe cases transforms into dysentery. If blood seeps into the large intestine, it becomes bloody dysentery, which is difficult to treat. Diarrhea is called chan zi li (postpartum infant dysentery). Contracting cold results in white stool, or stool resembling fish brains; contracting heat results in red-yellow stool, or sudden bloody purging. If cold and heat contend, red and white dysentery occurs, or pus and blood are mixed. If the stool is green, it indicates extreme cold. If food intake ceases, bowel movements are irregular, day and night without limit, combined with postpartum deficiency and prolonged dysentery causing weakness and emaciation, worsening frailty, it is called xu lei xia li (deficiency-emaciation downward discharge). There is also qi li (qi dysentery), where postpartum qi mechanism is obstructed, leading to red and white dysentery. The treatment principles are: for heat, cool it; for cold, warm it; for contending cold and heat, harmonize it; for sliding/incontinence, astringe it. For deficiency-emaciation, tonify it; for inability to distinguish water and grain, promote urination. If the parturient woman is stubborn in temperament and cannot relax, her qi must be smoothed; there will be no unrest. Treatment has respective formulas.