脉多沉。伤于风则浮。伤于寒则沉细。伤于暑则沉微。伤于湿则沉缓。泄而腹胀。脉弦
者死。又云。脉缓。时微小者生。浮大数者死。
夫泄泻属湿。属气虚。有火。有痰。有食积。有寒。有脾泄。有肾泄。凡泻水腹不痛者
湿
也。饮食入胃不住。完谷不化者。气虚也。腹痛泻水如热汤。痛一阵泻一阵者。火也。或泻
或不泻。或多或少者。痰也。腹痛甚而泄泻。泻后痛减者食积也。肚腹痛四肢冷者。寒也。
常常泄泻者。脾泄也。五更泄者。肾泄也。宜分别而治也。大概泄泻因湿伤其脾者居多。以
胃苓汤加减主之。
一论中暑伤湿。停饮夹食。脾胃不和。腹痛泄泻作渴。小便不利。水谷不化。阴阳不分
者湿也。
胃苓汤 主方
苍术（米泔浸） 浓朴（姜汁炒） 陈皮 猪苓 泽泻（各一钱） 白术（去芦炒二钱） 白茯
苓（一钱五分） 白芍（炒一钱五分） 肉桂 甘草（炙各三分）
上锉一剂。生姜三片。枣二枚。水煎。温服。泄泻稍久。加升麻、防风。有热者。加酒
炒黄连。有寒者。加炒干姜。暴泄水泻。加滑石。食积。加山楂、神曲。有痰。加半夏
、乌梅。气虚。加人参、白术。气恼。加木香。久泄。加干姜、肉蔻。暴痢赤白相杂
腹痛里急后重。去肉桂。加槟榔、木香、黄连。水煎服。
一论泄泻。饮食入胃不住。完谷不化者。气虚也。
益气健脾汤
人参（二钱） 白术（一钱五分去芦土炒） 白茯苓（去皮三钱） 陈皮（二钱） 白芍（炒三
钱）
苍术（一钱五分米泔浸） 干姜（炒黑八分） 诃子（煨二钱） 肉蔻（
面裹煨六分） 升麻（酒洗四分） 甘草（炙八分）
上锉。枣、姜煎服。腹痛。加桂。忌油腻。
一论泄泻腹痛。泻水如热汤。痛一阵泄一阵者。火也。宜
加味四苓散
白术（一钱五分） 白茯苓（去皮二钱） 猪苓（二钱） 泽泻（二钱） 木通（二钱） 栀子（
三钱） 黄芩（二钱） 白芍（三钱） 甘草（八分）
上锉。灯心十茎。水煎。空心服。
一论泄泻或多或少。或泻或不泻者。痰也。宜
加味二陈汤
陈皮（二钱） 半夏（姜炒二钱） 白茯苓（去皮三钱） 苍术（一钱五分） 浓朴（姜汁炒八
分）
砂仁（八分） 山药（炒一钱半） 车前子（二钱） 木通（二钱） 甘草（八分）
上锉一剂。生姜三片。乌梅一个。灯心十茎。水煎。温服。
一论泄泻。腹痛甚而泄泻。泻后痛减者。食积也。用
香砂平胃散
苍术（一钱五分） 陈皮（二钱） 浓朴（姜炒八分） 白术（一钱五分） 白茯苓（去皮三钱）
半夏（姜炒二钱） 砂仁（一钱） 香附（炒二钱） 神曲（炒三钱） 白芍（二钱） 甘草（炙八分）
上锉。生姜煎服。
一论刘草窗痛泻要方。伤食腹痛。得泻便减。今泻而痛不止。故责之土败木贼也。
白术（三钱炒） 白芍（一钱炒） 陈皮（炒钱半） 防风（一钱）
上锉。水煎。温服。
一论泄泻肚腹痛疼。四肢厥冷者。寒也。宜
附子理中汤
白术（一钱五分） 干姜（八分） 人参（二钱） 白茯苓（去皮三钱） 砂仁（一钱） 浓朴（
姜汁炒八分） 苍术（一钱五分米泔浸炒） 熟附子（八分） 甘草（炙八分）
上锉。生姜水煎服。
一论泄。气弱易饱。常便稀溏者。此脾泄也。用
扶脾散
莲肉（去心不去皮一两半） 陈皮（一两） 白茯苓（一两） 白术（东壁土炒二两） 麦芽（
炒五钱）
上为细末。每服二钱。白砂糖二钱。白滚水送下。补脾助元气。令人能食止渴。
一论滑泻。日夜无度。肠胃虚寒不禁。宜服
八柱散
人参（二钱） 白术（一钱五分） 肉蔻（煨二钱） 干姜（炒八分） 诃子（煨二钱） 大附子
（八分面裹煨去皮脐） 粟壳（蜜水炒二钱） 甘草（炙八分）
上锉一剂。姜一片。乌梅一个。灯心一团。水煎。温服。
补脾丸 症治同前
白术（去芦十两分四分一肉蔻二五味三故纸四吴茱萸各二两拌炒去四味只用白术） 莲肉
（去
心炒） 人参（各一两） 甘草 白芍（炒各五钱） 木香（煨四钱） 山药（炒） 陈皮（各七钱）
干姜（三钱炒）
上为细末。煮粥加炒神曲末。打糊为丸。如梧桐子大。每服百丸。空心。淡姜汤下。不专
治老人。弱人脾泄飧泄俱中。
一论泄泻。脾肾虚弱。清晨五更作泻。或全不思食。或食而不化。大便不实者。此肾泄也
凡饭后随即大便者。盖脾肾交济。所以有水谷之分。脾气虽强。而肾气不足。故饮食下咽
而大腑为之飧泄也。治法用二神丸主之。
二神丸
破故纸（四两炒） 肉豆蔻（二两生用）
上为末。用大红枣四十九个。生姜四两切碎。同枣用水煮熟。去姜。取枣肉和为丸。如
梧子大
每服五十丸。空心。盐汤下。加吴茱萸泡炒一两。五味子一两。名四神丸。治经年久泄不
止者神效。
一人善饮便滑。溺涩食减。胸满。腿足渐肿。症属脾肾虚寒。以金匮肾气丸治之。食进
肿消
更用八味丸。胃强脾健而愈。一人病泄。每至五更辄即利。此肾泄也。用五味子散数服而
愈。因起居不慎。泄复作。年余不瘥。此命门火虚。不能生脾土。法当补其母。火者土之母
也。遂用八味丸补其母。泻即止。食渐进。东垣云。脾胃之气盛。则能食而肥。虚则不能食
而瘦。全赖命门火为生化之源。滋养之根也。故用八味丸奏效。只用六味丸亦可。
一论大便滑利。小便闭涩。或肢体渐肿。喘嗽唾痰。为脾肾气血俱虚。用十全大补汤。
（方见补益）送下四神丸。
一论肾虚久泻不止。用六味地黄丸。加五味子、破故纸、肉豆蔻、吴茱萸。（方见补益）
大抵
久泻。多由泛用消食利水之剂。损其真阴。元气不能自持。遂成久泻。若非补中益气汤、四
神丸。滋其本源。后必胸痞腹胀。小便淋涩。多致不起。
一人患泄泻。日久不止。以致元气下陷。饮食入胃不住。完谷不化。肌肉消削。肢体沉
困。
面目两足肿满。上气喘急。此元气脾胃虚之甚也。宜补中益气汤。（方见内伤）根据本方减当归
加酒炒白芍、茯苓、泽泻、山药、莲肉、木香、干姜炒黑。止泄泻之良方也。
一泄泻因内伤劳倦。饮食化迟而泻。及脾胃素蕴湿热。但遇饮食劳倦即发。而肢体酸软
沉困泄泻者。以益气汤去当归。加炒芍、茯苓、苍术、猪苓、泽泻。姜、枣煎服。
按上诸方治泄泻。有湿泻。有气虚泻。有火泻。有痰泻。有食积泻。有土败木贼泻。有
寒泻
有脾泻。有脾胃泻。有元气下脱泻。有肾泻。有虚寒滑脱。久泻不止者。宜根据病对方而用
也。
一人食下即响。响而即泻。不敢食一些。食之即泻。诸药不效。以生红柿核。纸包水湿
灰火烧熟食之。不三四个即止。
一秘方。治泄泻。用鸡子一个。将小头破开。入胡椒七粒。纸糊顶。煨熟。好酒送下。
烧酒更好。将胡椒完吞下。
一泄泻二三日。或腹疼痛。生姜、豆豉、胡椒煎汤。热服即止。
一治暴泄不止。小便不通。车前子炒为末。每服二钱。米饮调下。其根叶亦可捣汁服。
此药利水道。而不动元气。
一治泄泻。用 猪肚一枚。净洗去脂膜。入大蒜在内。以水煮烂捣膏。入苍术泔制、陈
皮、浓朴姜炒、甘草炙。各等分为末。
同杵为丸。如梧子大。每服三五十丸。空心。米汤下。盐汤亦可。
一治许州黄太守患泄泻。二三年不愈。每饮烧酒三盅则止二三日以为常。畏药不治。召
余诊之。六脉弦数。先服此药。以解酒毒。后服理气健脾丸。加泽泻而愈。（方见伤寒门）
宣黄连（一两） 生姜（四两）
上为一处。以慢火炒令干姜脆色。去姜取连。捣末。每服二钱。空心。腊茶清下。甚者
不过二服。专治久患脾泄。
一大便溏泄。米谷不化。用
黄连（酒炒） 白芍（煨） 吴茱萸（炒各等分）
上为细末。用小米饭为丸。如梧子大。每服五六十丸。空心。米汤送下。
一治泄泻手足冷。不渴腹痛。用人参、白术、干姜、甘草。水煎。热服。中寒重者。加
附子。
一治久泻。大肠滑泄。五倍子炒五两为末。面糊为丸。如梧子大。每服五丸。米饮下。
日三服。
六味丸 金匮肾气丸 八味丸 十全大补汤（俱见补益） 补中益气汤（见内伤）
脉象多呈沉象。若受风邪侵袭，脉象则浮；受寒邪侵袭，脉象沉细；受暑邪侵袭，脉象沉微；受湿邪侵袭，脉象沉缓。泄泻伴有腹胀，若脉象弦硬者，预后不良（主死）。又说，脉象缓和，时而微小者，预后良好（主生）；脉象浮大且数者，预后不良（主死）。
夫泄泻一症，归属于湿邪、气虚，亦有因火、痰、食积、寒邪所致者，还有脾泄、肾泄之分。凡是泻下清水而腹部不痛的，属于湿邪；饮食入胃后无法停留消化，完谷不化的，属于气虚；腹痛且泻下如热汤般灼热，痛一阵泻一阵的，属于火邪；有时泻有时不泻，或多或少无规律的，属于痰邪；腹痛剧烈而后泄泻，泻后疼痛减轻的，属于食积；肚腹疼痛且四肢发冷的，属于寒邪；经常泄泻的，称为脾泄；五更时分（凌晨3-5点）泄泻的，称为肾泄。应当分别辨证施治。大概而言，泄泻多因湿邪损伤脾脏所致，主要以胃苓汤加减治疗。
其一论述中暑伤湿，水饮停滞夹杂食积，导致脾胃不和，出现腹痛泄泻、口渴、小便不利、水谷不化、阴阳不分等症状，这属于湿邪致病。
胃苓汤为主方：
苍术（用米泔水浸泡）、浓朴（用姜汁炒）、陈皮、猪苓、泽泻（各一钱）、白术（去芦头并炒，二钱）、白茯苓（一钱五分）、白芍（炒，一钱五分）、肉桂、甘草（炙，各三分）。
以上药材锉碎为一剂，加生姜三片、大枣二枚，用水煎煮，温服。若泄泻时间稍久，加升麻、防风；有热者，加酒炒黄连；有寒者，加炒干姜；暴发性水样泄泻，加滑石；有食积者，加山楂、神曲；有痰者，加半夏、乌梅；气虚者，加人参、白术；因气恼诱发者，加木香；久泄者，加干姜、肉豆蔻；若是暴痢，赤白相杂，腹痛且有里急后重感，去掉肉桂，加槟榔、木香、黄连，水煎服。
其二论述泄泻，饮食入胃无法停留，完谷不化，属于气虚。
益气健脾汤：
人参（二钱）、白术（一钱五分，去芦头，土炒）、白茯苓（去皮，三钱）、陈皮（二钱）、白芍（炒，三钱）、苍术（一钱五分，米泔水浸泡）、干姜（炒黑，八分）、诃子（煨，二钱）、肉豆蔻（面粉包裹煨，六分）、升麻（酒洗，四分）、甘草（炙，八分）。
以上药材锉碎，加大枣、生姜煎服。若有腹痛，加肉桂。忌食油腻食物。
其三论述泄泻腹痛，泻下如热汤，痛一阵泻一阵，属于火邪。宜用加味四苓散：
白术（一钱五分）、白茯苓（去皮，二钱）、猪苓（二钱）、泽泻（二钱）、木通（二钱）、栀子（三钱）、黄芩（二钱）、白芍（三钱）、甘草（八分）。
以上药材锉碎，加灯心草十茎，水煎，空腹服用。
其四论述泄泻或多或少，或泻或不泻，属于痰邪。宜用加味二陈汤：
陈皮（二钱）、半夏（姜炒，二钱）、白茯苓（去皮，三钱）、苍术（一钱五分）、浓朴（姜汁炒，八分）、砂仁（八分）、山药（炒，一钱半）、车前子（二钱）、木通（二钱）、甘草（八分）。
以上药材锉碎为一剂，加生姜三片、乌梅一个、灯心草十茎，水煎，温服。
其五论述泄泻，腹痛剧烈而后泄泻，泻后疼痛减轻，属于食积。用香砂平胃散：
苍术（一钱五分）、陈皮（二钱）、浓朴（姜炒，八分）、白术（一钱五分）、白茯苓（去皮，三钱）、半夏（姜炒，二钱）、砂仁（一钱）、香附（炒，二钱）、神曲（炒，三钱）、白芍（二钱）、甘草（炙，八分）。
以上药材锉碎，加生姜煎服。
其六论述刘草窗的痛泻要方，用于伤食腹痛，得泻后疼痛减轻的情况。如今泄泻而疼痛不止，故责之于脾土败坏、肝木乘克（土败木贼）。
白术（三钱，炒）、白芍（一钱，炒）、陈皮（炒，一钱半）、防风（一钱）。
以上药材锉碎，水煎，温服。
其七论述泄泻，肚腹疼痛，四肢厥冷，属于寒邪。宜用附子理中汤：
白术（一钱五分）、干姜（八分）、人参（二钱）、白茯苓（去皮，三钱）、砂仁（一钱）、浓朴（姜汁炒，八分）、苍术（一钱五分，米泔水浸泡并炒）、熟附子（八分）、甘草（炙，八分）。
以上药材锉碎，加生姜、水煎服。
其八论述泄泻，气弱易饱，常大便稀溏，此为脾泄。用扶脾散：
莲肉（去心不去皮，一两半）、陈皮（一两）、白茯苓（一两）、白术（东壁土炒，二两）、麦芽（炒，五钱）。
以上研为细末，每次服二钱，配白砂糖二钱，白开水送服。可补脾助元气，使人能进食止渴。
其九论述滑泻，日夜无度，肠胃虚寒不能固摄，宜服八柱散：
人参（二钱）、白术（一钱五分）、肉豆蔻（煨，二钱）、干姜（炒，八分）、诃子（煨，二钱）、大附子（八分，面粉包裹煨，去皮脐）、粟壳（蜜水炒，二钱）、甘草（炙，八分）。
以上药材锉碎为一剂，加姜一片、乌梅一个、灯心草一团，水煎，温服。
补脾丸，症状治疗同前：
白术（去芦头十两，分为四份，一份配肉豆蔻，一份配五味子，一份配破故纸，一份配吴茱萸，各二两拌炒后去除这四味药，只用白术）、莲肉（去心炒）、人参（各一两）、甘草、白芍（炒，各五钱）、木香（煨，四钱）、山药（炒）、陈皮（各七钱）、干姜（三钱，炒）。
以上研为细末，煮粥加入炒神曲末，打糊为丸，如梧桐子大小。每次服一百丸，空腹，淡姜汤送下。不仅治疗老人，体弱者之脾泄、飧泄均适用。
其十论述泄泻，脾肾虚弱，清晨五更时分作泻，或完全不想进食，或进食后不消化，大便不成形，此为肾泄。凡饭后随即大便者，是因为脾肾交济，所以能分清水谷。脾气虽强，但肾气不足，故饮食咽下后大肠发生飧泄。治法用二神丸为主。
二神丸：
破故纸（四两，炒）、肉豆蔻（二两，生用）。
以上研为末，用大红枣四十九个，生姜四两切碎，同枣用水煮熟，去掉姜，取枣肉和药末为丸，如梧桐子大小。每次服五十丸，空腹，盐汤送下。若加吴茱萸（泡炒一两）、五味子（一两），名为四神丸，治疗常年久泻不止者，效果神奇。
有一人喜好饮酒，大便滑利，小便涩滞，食欲减退，胸满，腿足逐渐肿胀，证属脾肾虚寒，用金匮肾气丸治疗，食欲增进，肿胀消退。
又用八味丸，胃强脾健而痊愈。
另一人患泄泻，每到五更即腹泻，此为肾泄。用五味子散服用数次而愈。后因起居不慎，泄泻复发，一年多未愈，此为命门火虚，不能生养脾土，治法当补其母（火者土之母也）。遂用八味丸补其母，泄泻即止，饮食逐渐进益。李东垣说：“脾胃之气盛，则能食而肥；虚则不能食而瘦。”全赖命门之火作为生化之源、滋养之根。故用八味丸奏效，只用六味丸也可以。
其十一论述大便滑利，小便闭涩，或肢体逐渐肿胀，喘咳唾痰，为脾肾气血俱虚，用十全大补汤送服四神丸。（方剂见补益篇）
其十二论述肾虚久泻不止，用六味地黄丸，加五味子、破故纸、肉豆蔻、吴茱萸。（方剂见补益篇）
大抵久泻，多由泛用消食利水之剂，损伤真阴，元气不能自持，遂成久泻。若非用补中益气汤、四神丸滋其本源，后来必致胸痞腹胀，小便淋涩，多导致死亡。
有一人患泄泻，日久不止，以致元气下陷，饮食入胃无法停留，完谷不化，肌肉消瘦，肢体沉重困倦，面目及双足肿满，上气喘急，此为元气脾胃极度虚弱。宜用补中益气汤。（方剂见内伤篇）根据本方减去当归，加酒炒白芍、茯苓、泽泻、山药、莲肉、木香、炒黑干姜，是止泄泻的良方。
有一例泄泻因内伤劳倦，饮食消化迟缓而泻，以及脾胃素蕴湿热，但遇饮食劳倦即发，肢体酸软沉重困倦而泄泻者，以益气汤去当归，加炒芍药、茯苓、苍术、猪苓、泽泻，加姜、枣煎服。
按上述各方治疗泄泻，有湿泻、气虚泻、火泻、痰泻、食积泻、土败木贼泻、寒泻、脾泻、脾胃泻、元气下脱泻、肾泻、虚寒滑脱久泻不止等。应当根据病情对症用药。
有一人进食后即肠鸣，响后即泻，不敢吃一点东西，吃了就泻，诸药无效。用生红柿核，用纸包好，在湿灰中烧熟食用，不过三四次即止。
一方秘法，治疗泄泻，用鸡蛋一个，将小头打破，放入胡椒七粒，用纸糊住顶部，煨熟，用好酒送下，烧酒更好。将胡椒完整吞下。
有一例泄泻二三日，或腹部疼痛，用生姜、豆豉、胡椒煎汤，热服即止。
一方治疗暴泄不止，小便不通，用车前子炒为末，每次服二钱，米饮调下。其根叶亦可捣汁服。此药利水道而不伤元气。
一方治疗泄泻，用猪肚一枚，洗净去掉脂膜，放入大蒜在内，水煮烂捣成膏，加入苍术（米泔制）、陈皮、浓朴（姜炒）、甘草（炙），各等分为末，同捣为丸，如梧桐子大小。每次服三五十丸，空腹，米汤送下，盐汤亦可。
一方治疗许州黄太守患泄泻，二三年不愈，每饮烧酒三盅则停止二三天，以此成为常态，畏惧服药治疗。召我诊治，六脉弦数。先服此药以解酒毒，后服理气健脾丸加泽泻而愈。（方剂见伤寒门）
宣黄连（一两）、生姜（四两）。
以上放在一起，用慢火炒至姜脆色干，去掉姜取黄连，捣末。每次服二钱，空腹，腊茶清送下。严重者不过两次即可。专治长期患脾泄者。
一大便溏泄，米谷不化，用黄连（酒炒）、白芍（煨）、吴茱萸（炒，各等分）。
以上研为细末，用小米饭为丸，如梧桐子大小。每次服五六十丸，空腹，米汤送下。
一方治疗泄泻手足冷，不渴腹痛，用人参、白术、干姜、甘草，水煎，热服。中寒重者，加附子。
The pulse is mostly deep. If injured by wind, the pulse floats; if injured by cold, it is deep and fine; if injured by summerheat, it is deep and minute; if injured by dampness, it is deep and slow. Diarrhea accompanied by abdominal distension with a wiry pulse indicates a fatal prognosis. It is also said that a slow pulse, occasionally minute, indicates survival; a floating, large, and rapid pulse indicates death.
Diarrhea belongs to dampness and qi deficiency, but may also be caused by fire, phlegm, food stagnation, or cold. There are also spleen diarrhea and kidney diarrhea. Diarrhea of watery stool without abdominal pain belongs to dampness. Food entering the stomach cannot be retained and digested, resulting in undigested food in the stool, which belongs to qi deficiency. Abdominal pain with diarrhea like hot soup, where pain comes in waves followed by diarrhea, belongs to fire. Diarrhea that occurs intermittently, varying in amount, belongs to phlegm. Severe abdominal pain followed by diarrhea, with pain relief after defecation, belongs to food stagnation. Abdominal pain with cold limbs belongs to cold. Frequent diarrhea is called spleen diarrhea. Diarrhea occurring at dawn (between 3-5 AM) is called kidney diarrhea. Differentiation and treatment should be applied accordingly. Generally, diarrhea is mostly caused by dampness injuring the spleen, primarily treated with Weiling Tang (Cinnamon Twig and Atractylodes Decoction) modified.
One discussion on summerheat injuring dampness, stagnant fluids mixed with food, leading to spleen-stomach disharmony, presenting with abdominal pain, diarrhea, thirst, difficult urination, indigestion of water and grain, and failure to distinguish yin and yang, this is due to dampness.
Weiling Tang (Cinnamon Twig and Atractylodes Decoction) is the main formula:
Cangzhu (Atractylodis Rhizoma), Nongpo (Moulaudii Cortex), Chenpi (Citri Reticulatae Pericarpium), Zhuling (Polypori Umbellati Sclerotium), Zexie (Alismatis Rhizoma) (each 1 qian); Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian, de-rhizome and stir-fried); Bai Fu Ling (Poria) (1.5 qian); Baishao (Paeoniae Radix Alba) (stir-fried, 1.5 qian); Rougui (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 0.3 qian).
Decoct one dose with three slices of Shengjiang (Zingiberis Rhizoma Recens) and two dates, take warm. For prolonged diarrhea, add Shengma (Cimicifugae Rhizoma) and Fangfeng (Saposhnikoviae Radix). For heat, add Huanglian (Coptidis Rhizoma) wine-fried. For cold, add Ganjiang (Zingiberis Rhizoma) stir-fried. For acute watery diarrhea, add Huashi (Talcum). For food stagnation, add Shanzha (Crataegi Fructus) and Shenqu (Massa Medicata Fermentata). For phlegm, add Banxia (Pinelliae Rhizoma) and Wumei (Mume Fructus). For qi deficiency, add Renshen (Ginseng Radix et Rhizoma) and Baizhu. For anger-induced cases, add Muxiang (Aucklandiae Radix). For chronic diarrhea, add Ganjiang and Roudoukou (Myristicae Semen). For acute dysentery with red and white mixture, abdominal pain, and tenesmus, remove Rougui, add Binglang (Arecae Semen), Muxiang, and Huanglian, decoct and take.
Another discussion on diarrhea where food enters the stomach but cannot be retained, resulting in undigested food, belongs to qi deficiency.
Yiqi Jianpi Tang (Qi-Supplementing and Spleen-Strengthening Decoction):
Renshen (2 qian); Baizhu (1.5 qian, de-rhizome, earth-fried); Bai Fu Ling (3 qian, peeled); Chenpi (2 qian); Baishao (stir-fried, 3 qian); Cangzhu (1.5 qian, soaked in rice wash water); Ganjiang (stir-fried black, 0.8 fen); Hezi (Myrobalani Fructus) (roasted, 2 qian); Roudoukou (Myristicae Semen) (wrapped in flour and roasted, 0.6 fen); Shengma (Alcohol-washed, 0.4 fen); Gancao (roasted, 0.8 fen).
Decoct with dates and ginger. Add Rougui for abdominal pain. Avoid greasy food.
Another discussion on diarrhea with abdominal pain, watery stool like hot soup, pain preceding diarrhea, belongs to fire. Use Jiawei Siling San (Modified Four Poria Powder):
Baizhu (1.5 qian); Bai Fu Ling (2 qian, peeled); Zhuling (2 qian); Zexie (2 qian); Mutong (Lini Stem and Fruit) (2 qian); Zhizi (Gardeniae Fructus) (3 qian); Huangqin (Scutellariae Radix) (2 qian); Baishao (3 qian); Gancao (0.8 fen).
Decoct with ten stems of Dengxincao (Junci Medulla), take on an empty stomach.
Another discussion on diarrhea varying in amount or intermittent, belongs to phlegm. Use Jiawei Erchen Tang (Modified Two-Aged Decoction):
Chenpi (2 qian); Banxia (Pinelliae Rhizoma) (ginger-fried, 2 qian); Bai Fu Ling (3 qian, peeled); Cangzhu (1.5 qian); Nongpo (ginger juice-fried, 0.8 fen); Sharen (Amomi Fructus) (0.8 fen); Shanyao (Dioscoreae Rhizoma) (stir-fried, 1.5 qian); Cheqianzi (Plantaginis Semen) (2 qian); Mutong (2 qian); Gancao (0.8 fen).
Decoct one dose with three slices of ginger, one Wumei, and ten stems of Dengxincao, take warm.
Another discussion on severe abdominal pain preceding diarrhea, with pain relief after defecation, belongs to food stagnation. Use Xiangsha Pingwei San (Costus and Amomi Powder for Calming the Stomach):
Cangzhu (1.5 qian); Chenpi (2 qian); Nongpo (ginger-fried, 0.8 fen); Baizhu (1.5 qian); Bai Fu Ling (3 qian, peeled); Banxia (ginger-fried, 2 qian); Sharen (1 qian); Xiangfu (Cyperi Rhizoma) (stir-fried, 2 qian); Shenqu (Massa Medicata Fermentata) (stir-fried, 3 qian); Baishao (2 qian); Gancao (roasted, 0.8 fen).
Decoct with ginger.
Another discussion on Liu Caochuang's Tongxie Yaofang (Essential Formula for Painful Diarrhea), used for food-injury abdominal pain relieved by defecation. Now, diarrhea with persistent pain is attributed to spleen earth failing and liver wood invading.
Baizhu (3 qian, stir-fried); Baishao (1 qian, stir-fried); Chenpi (stir-fried, 1.5 qian); Fangfeng (1 qian).
Decoct and take warm.
Another discussion on diarrhea with abdominal pain and cold limbs, belongs to cold. Use Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle):
Baizhu (1.5 qian); Ganjiang (0.8 fen); Renshen (2 qian); Bai Fu Ling (3 qian, peeled); Sharen (1 qian); Nongpo (ginger juice-fried, 0.8 fen); Cangzhu (1.5 qian, soaked in rice wash and fried); Shu Fuzi (Prepared Aconiti Lateralis Radix) (0.8 fen); Gancao (roasted, 0.8 fen).
Decoct with ginger and water.
Another discussion on diarrhea, weakness, easy satiety, and frequent loose stools, this is spleen diarrhea. Use Fupi San (Spleen-Supporting Powder):
Lianrou (Lotus Seed) (de-heart, skin on, 1.5 liang); Chenpi (1 liang); Bai Fu Ling (1 liang); Baizhu (east-wall earth-fried, 2 liang); Maiya (Hordei Fructus Germinatus) (stir-fried, 5 qian).
Grind into fine powder. Take 2 qian per dose with 2 qian white rock sugar, washed down with plain boiled water. Tonifies spleen and assists yuan qi, promoting appetite and relieving thirst.
Another discussion on slippery diarrhea, day and night without control, due to deficiency-cold of intestines and stomach unable to retain, use Bazhu San (Eight Pillars Powder):
Renshen (2 qian); Baizhu (1.5 qian); Roudoukou (roasted, 2 qian); Ganjiang (stir-fried, 0.8 fen); Hezi (roasted, 2 qian); Da Fuzi (Large Aconite Root) (0.8 fen, wrapped in flour, roasted, peel and navel removed); Suké (Papaveris Pericarpium) (honey-water fried, 2 qian); Gancao (roasted, 0.8 fen).
Decoct one dose with one slice of ginger, one Wumei, and a bundle of Dengxincao, take warm.
Bupi Wan (Spleen-Supplementing Pills), indications same as above:
Baizhu (de-rhizome 10 liang, divided into four parts: one part mixed with Roudoukou, one with Wuweizi, one with Pogostemonis Patchouliae Folium [Note: Text says 'Po Gu Zhi' which is Bu Gu Zhi/Acaciae Semen, likely typo in source or specific variant, standard is Acaciae Semen], one with Evodiae Fructus, each 2 liang, stir-fry together then remove these four herbs, use only Baizhu); Lianrou (de-heart, stir-fried); Renshen (each 1 liang); Gancao; Baishao (stir-fried, each 5 qian); Muxiang (roasted, 4 qian); Shanyao (stir-fried); Chenpi (each 7 qian); Ganjiang (3 qian, stir-fried).
Grind into fine powder, mix with porridge and stir-fried Shenqu powder, make pills like paulownia seeds. Take 100 pills per dose on an empty stomach with light ginger soup. Suitable not only for the elderly but also for weak individuals with spleen diarrhea or undigested food diarrhea.
Another discussion on diarrhea due to spleen-kidney deficiency, morning diarrhea at dawn, loss of appetite or indigestion, unformed stools, this is kidney diarrhea. Defecation immediately after eating indicates failure of spleen-kidney interaction to separate clear from turbid. Although spleen qi is strong, kidney qi is insufficient, causing undigested food diarrhea. Treatment usesershenshen Wan (Two Spirits Pill) as the main formula.
Ersen Wan (Two Spirits Pill):
Pogostemonis Patchouliae Folium (Bu Gu Zhi) (4 liang, stir-fried); Roudoukou (Myristicae Semen) (2 liang, raw).
Grind into powder. Cook 49 large red dates and 4 liang chopped ginger in water until soft. Remove ginger, mix date flesh with powder to make pills like paulownia seeds. Take 50 pills on an empty stomach with salt water. Adding Wu Zhu Yu (Evodiae Fructus) (1 liang, soaked and stir-fried) and Wuweizi (Schisandrae Fructus) (1 liang) makes Six Spirits Pill (Sishen Wan), highly effective for chronic long-term diarrhea.
One person who enjoys drinking has slippery bowels, difficult urination, reduced appetite, chest fullness, and swelling in legs/feet, syndrome of spleen-kidney deficiency-cold, treated with Jinkui Shenqi Wan (Golden Book Kidney Qi Pill), appetite improved, swelling subsided.
Then used Bawei Wan (Eight Flavor Pill), stomach strong, spleen healthy, recovered.
Another person had diarrhea every dawn, kidney diarrhea, cured with Wuweizi San (Schisandra Powder) after several doses. Relapsed due to careless lifestyle, lasting over a year, due to Mingmen Fire deficiency failing to generate spleen earth. Treatment should tonify the mother (Fire generates Earth). Used Bawei Wan to tonify the mother, diarrhea stopped, appetite returned. Li Dongyuan said: "Strong spleen-stomach qi leads to eating and gaining weight; deficiency leads to inability to eat and emaciation." All depends on Mingmen Fire as the source of transformation and nourishment. Thus Bawei Wan was effective; Liuwei Wan (Six Flavor Pill) could also be used.
Another discussion on slippery bowels, obstructed urination, limb swelling, wheezing/cough with sputum, due to spleen-kidney qi and blood deficiency, use Shiquan Dabu Tang (Ten Significant Tonic Decoction) taken with Sishen Wan. (Formula see Tonification section).
Another discussion on chronic diarrhea due to kidney deficiency, use Liuwei Dihuang Wan (Six Flavor Rehmannia Pill) added with Wuweizi, Pogostemonis Patchouliae Folium (Bu Gu Zhi), Roudoukou, and Wu Zhu Yu. (Formula see Tonification section).
Generally, chronic diarrhea often results from indiscriminate use of digestive and diuretic agents damaging true yin, causing yuan qi to fail, leading to chronic diarrhea. Without using Buzhong Yiqi Tang (Middle-Boosting Qi-Supplementing Decoction) and Sishen Wan to nourish the root, later complications include chest oppression, abdominal distension, and difficult urination, often leading to death.
One person had chronic diarrhea, causing sinking of yuan qi, food retention, undigested stools, muscle wasting, heavy limbs, facial and foot edema, shortness of breath, indicating severe spleen-stomach deficiency. Use Buzhong Yiqi Tang. (Formula see Internal Injury section). Modify by removing Danggui (Angelicae Sinensis Radix), adding wine-fried Baishao, Fuling, Zexie, Shanyao, Lianrou, Muxiang, and charred Ganjiang. This is an excellent formula for stopping diarrhea.
One case of diarrhea due to internal injury and fatigue, slow digestion, and latent spleen-stomach damp-heat, triggered by diet/fatigue, with sore/heavy limbs, use Yiqi Tang (Qi-Supplementing Decoction) minus Danggui, added with stir-fried Shaoyao, Fuling, Cangzhu, Zhuling, Zexie, decoct with ginger and dates.
In summary, the above formulas treat various types of diarrhea: damp, qi-deficiency, fire, phlegm, food stagnation, spleen-earth failure/liver-invasion, cold, spleen, spleen-stomach, yuan qi sinking, kidney, deficiency-cold slippery, and chronic diarrhea. Apply according to the specific condition.
One person had bowel sounds immediately after eating, followed by diarrhea, afraid to eat, all medicines failed. Used raw persimmon seeds, wrapped in paper, baked in wet ashes, eaten. Cured in 3-4 doses.
Secret recipe for diarrhea: One egg, break small end, insert 7 grains of Hu jiao (Piperis Longi Fructus), seal with paper, roast/bake, take with good liquor (baijiu) or better yet, burn liquor. Swallow pepper whole.
Diarrhea for 2-3 days with abdominal pain: Decoct Shengjiang, Dou Chi (Sojae Semens Praeparatum), and Hu jiao, take hot to stop.
For acute uncontrollable diarrhea with no urine: Stir-fried Cheqianzi powder, 2 qian per dose, mixed with rice drink. Roots/leaves can be crushed for juice. This herb promotes urination without damaging yuan qi.
For diarrhea: One pig stomach, clean fat membrane, put garlic inside, boil until soft, mash into paste. Add equal parts of Cangzhu (rice wash prepared), Chenpi, Nongpo (ginger-fried), Gancao (roasted), grind to powder. Mix with paste to make pills like paulownia seeds. Take 30-50 pills on empty stomach with rice soup or salt water.
Case of Prefect Huang from Xuzhou with chronic diarrhea for 2-3 years, relieved temporarily by 3 cups of baijiu, feared medicine. Pulse was wiry and rapid. First took this formula to resolve alcohol toxicity, then Lizhi Jianpi Wan (Qi-Calming Spleen-Strengthening Pills) with added Zexie, cured. (Formula see Cold Damage section).
Xuan Huanglian (Coptidis Rhizoma) (1 liang), Shengjiang (4 liang).
Stir-fry slowly until ginger is crisp and dry, remove ginger, keep Huanglian, grind to powder. Take 2 qian on empty stomach with winter tea infusion. Severe cases need no more than two doses. Specifically treats chronic spleen diarrhea.
Loose stools with undigested grain: Huanglian (wine-fried), Baishao (roasted), Wu Zhu Yu (stir-fried), equal parts. Grind to powder, make pills with millet rice like paulownia seeds. Take 50-60 pills on empty stomach with rice soup.
For diarrhea with cold hands/feet, no thirst, abdominal pain: Renshen, Baizhu, Ganjiang, Gancao, decoct, take hot. For severe cold, add Fuzi.
For chronic diarrhea with large intestine slipping: Wu Bei Zi (Galla Chinensis) stir-fried 5 liang, powder, paste pills like paulownia seeds. Take 5 pills with rice drink, 3 times daily.
Liuwei Wan, Jinkui Shenqi Wan, Bawei Wan, Shiquan Dabu Tang (see Tonification); Buzhong Yiqi Tang (see Internal Injury).