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
之协热下利，并以五苓散利小便，次以黄连阿胶丸，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；寒冷脐下阴冷，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、胃苓汤。此四证之大略也。
薛氏曰∶泄泻若米食所伤，用六君加谷 ；面食所伤，用六君加麦 ；肉食所伤，用六
君加山楂；若兼寒热作呕，乃肝木侮脾土，用六君加柴胡、生姜，兼呕吐腹痛，手足逆冷，乃
寒水侮土，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，用六君加木香、肉果；若作呕不食，腹痛恶寒，乃脾
土虚寒，用六君加木香、姜、桂；若泻在五更侵晨，饮食少思，乃脾胃虚弱，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，急用八味丸，补命门火，以生脾土为善。
进士王征之内，怀妊泄泻，恶食作呕。余曰∶脾气伤也。其夫忧之，强进米饮，余谓饮亦
能伤胃，且不必强，俟脾胃醒，宿滞自化，饮食自进。不信，别用人参养胃汤饮之，吐水酸苦，
又欲投降火寒药。余曰∶若然则胃气益伤也。经云∶损其脾者，调其饮食，适其寒温。后不药果愈。
胃苓汤 治脾湿太过，胃气不和，腹痛泄泻，水谷不化，阴阳不分，此平胃散与五苓散
合方也。
苍术 浓朴 陈皮 白术 茯苓 猪苓 泽泻（各一钱） 官桂 甘草（炙，各五分）
上加生姜三片，枣二枚，水煎，食远服。
不换金正气散 治妊妇伤湿泄泻。
苍术 浓朴 陈皮 藿香 半夏（各一钱） 甘草（五分）
上加姜、枣，煎服。
胃风汤 治风冷乘虚，入客肠胃，米谷不
化，泄泻注下，及肠胃湿毒，下如豆汁，或下瘀血，或下鱼脑，日夜无度。
人参 白术 茯苓 当归 川芎 芍药 肉桂（各等分）
上锉，每服八钱，入粟米一撮，水煎服。（此方治泻久气血两虚诚妙。然肉桂非久虚脏
冷者，断不可用。其曰胃风，取其益胃而升举也）如腹痛加木香。
加味理中汤 治妊娠泄泻。
人参 白术 白芍药 白茯苓 干姜 黄连 木香 藿香叶 诃子肉 肉豆蔻 甘
草（各一钱）
上锉，水二盅，生姜三片，大枣二枚，煎一盅，饥时服。
加味治中汤 治饮食过多，脾胃之气，不足以运化而泻。
人参 白术 干姜（炮） 甘草（炙，各一钱） 陈皮（去白） 青皮（各七分） 砂仁（五分）
钱氏益黄散 治妊娠泄泻，呕吐腹痛，手足厥逆。
陈皮 青皮 诃子肉（各五钱） 丁香（二钱） 甘草（炙，三钱）
上为末，每服三钱，水煎服。
草果散 治脏腑虚寒腹痛，泄泻无度。
浓朴（姜汁拌炒，三两） 肉豆蔻（十个，面煨） 草豆蔻（十个，煨）
上每服三钱，加生姜煎服。
《大全》记载：妊娠期间发生泄泻，大便颜色或青或白，水谷不化，伴有腹痛肠鸣，这称为洞泄（指腹泻急迫如注）；若水谷不化，口渴喜饮且伴有呕吐逆气，这称为协热下利（指外感热邪内陷导致的下利），这两种情况都先用五苓散通过利小便来分利水湿，随后再用黄连阿胶丸，或者三黄熟艾汤来安定调理。如果泻下物中有黄色泡沫，肠鸣腹痛，脉象沉紧而数，用戊己丸调和；若嗳气有腐臭味、不能进食，胃脉沉紧，用感应丸攻下积滞，之后再调和脾胃；若是风冷之邪所致，大便像豆汁一样水谷不化，用胃风汤治疗；若脐下寒冷阴冷，出现洞泄，用理中汤或治中汤治疗；若是伏暑引起的烦渴、泻下如水，用四苓散治疗；若是伤湿导致的泄泻，小便通利，用不换金正气散或胃苓汤治疗。这是上述四种证候的大致治法。
薛氏说：如果是米食所伤导致的泄泻，用六君子汤加谷芽；面食所伤，用六君子汤加麦芽；肉食所伤，用六君子汤加山楂；如果兼有寒热往来并呕吐，这是肝木克制脾土，用六君子汤加柴胡、生姜；如果兼有呕吐腹痛、手足逆冷，这是寒水反侮脾土，用六君子汤加干姜、肉桂，如果无效，用钱氏益黄散；如果是元气下陷，伴有发热口渴、肢体倦怠，用补中益气汤；如果泄泻颜色发黄，这是脾土的本色外露，用六君子汤加木香、肉豆蔻；如果出现呕吐、不能进食、腹痛恶寒，这是脾土虚寒，用六君子汤加木香、干姜、肉桂；如果在五更天清晨泄泻，饮食减少，这是脾胃虚弱，五更时服用四神丸，白天服用白术散，如果无效，或者病愈后复发，或者饮食依然少思，急需使用八味丸，以补命门之火，从而生养脾土，这是最好的办法。
进士王征之的妻子，怀孕后出现泄泻，厌恶食物并呕吐。我说：“这是脾气受伤了。”她的丈夫很担忧，强行喂她喝米汤，我对他说：“米汤也会损伤胃气，不必强行喂食，等脾胃功能恢复，宿食积滞自然化解，食欲自然会恢复。”他们不信，另请医生用人参养胃汤给她喝，结果吐出酸苦的清水，又想服用降火寒凉的药物。我说：“如果这样，胃气会更加受损。”《内经》说：“对于脾脏受损的，要调整饮食，适应寒温。”后来没有用药，果然痊愈。
胃苓汤：治疗脾湿过重，胃气不和，腹痛泄泻，水谷不化，阴阳不分。这是平胃散与五苓散的合方。
组成：苍术、厚朴、陈皮、白术、茯苓、猪苓、泽泻（各一钱），官桂、甘草（炙，各五分）。
用法：上加生姜三片，大枣二枚，水煎，饭后服用。
不换金正气散：治疗孕妇伤湿导致的泄泻。
组成：苍术、厚朴、陈皮、藿香、半夏（各一钱），甘草（五分）。
用法：上加生姜、大枣，煎服。
胃风汤：治疗风冷乘虚侵入肠胃，导致米谷不化，泄泻不止，以及肠胃湿毒，大便像豆汁，或者下瘀血，或者下如鱼脑样的物质，日夜无度。
组成：人参、白术、茯苓、当归、川芎、芍药、肉桂（各等分）。
用法：切碎，每次服用八钱，加入粟米一撮，水煎服。（此方治疗久泻导致的气血两虚确实巧妙。然而肉桂如果不是用于久病体虚、脏腑寒冷者，绝对不可使用。名为“胃风”，是取其益胃并升举阳气之意。）如果腹痛，加木香。
加味理中汤：治疗妊娠泄泻。
组成：人参、白术、白芍药、白茯苓、干姜、黄连、木香、藿香叶、诃子肉、肉豆蔻、甘草（各一钱）。
用法：切碎，用水二盅，生姜三片，大枣二枚，煎至一盅，饥饿时服用。
加味治中汤：治疗饮食过多，脾胃之气不足以运化而导致的泄泻。
组成：人参、白术、干姜（炮）、甘草（炙，各一钱），陈皮（去白）、青皮（各七分），砂仁（五分）。
钱氏益黄散：治疗妊娠泄泻，呕吐腹痛，手足厥逆。
组成：陈皮、青皮、诃子肉（各五钱），丁香（二钱），甘草（炙，三钱）。
用法：研为末，每次服用三钱，水煎服。
草果散：治疗脏腑虚寒引起的腹痛，泄泻无度。
组成：厚朴（姜汁拌炒，三两），肉豆蔻（十个，面煨），草豆蔻（十个，煨）。
用法：每次服用三钱，加生姜煎服。
Quan Da records: During pregnancy, if diarrhea occurs with stools that are either green or white, containing undigested food and water, accompanied by abdominal pain and borborygmus, it is called Dong Xie (draining diarrhea); if there is undigested food and water, thirst with a desire to drink, and vomiting with reflux, it is called Xie Re Xia Li (diarrhea associated with heat); both conditions should first be treated with Wu Ling San (Five-Ingredient Powder with Poria) to promote urination and separate fluids, followed by Huang Lian E Jiao Wan (Coptis and Donkey-Hide Gelatin Pill) or San Huang Shu Ai Tang (Decoction of Three Yellows and Cooked Mugwort) to stabilize the condition. If the stool contains yellow foam, with borborygmus and abdominal pain, and the pulse is deep, tight, and rapid, use Wu Ji Wan (Wuji Pill) to harmonize; if there is belching with a putrid odor and an inability to eat, and the stomach pulse is deep and tight, use Gan Ying Wan (Miraculous Response Pill) to purge accumulation, followed by harmonizing the spleen and stomach; if caused by wind-cold, with undigested food resembling bean juice, use Wei Feng Tang (Stomach Wind Decoction); if there is coldness below the umbilicus and yin coldness, with draining diarrhea, use Li Zhong Tang (Regulate the Middle Decoction) or Zhi Zhong Tang (Treat the Middle Decoction); if caused by latent summerheat with irritability, thirst, and watery diarrhea, use Si Ling San (Four-Poria Powder); if caused by dampness injury with free urination, use Bu Huan Jin Zheng Qi San (Golden-Substitute Upright Qi Powder) or Wei Ling Tang (Stomach Poria Decoction). These are the general treatments for these four syndromes.
Xue Shi states: If diarrhea is caused by rice injury, use Liu Jun Zi Tang (Six-Gentleman Decoction) plus Gu Ya (Sprouted Grain); if caused by wheat injury, use Liu Jun Zi Tang plus Mai Ya (Sprouted Wheat); if caused by meat injury, use Liu Jun Zi Tang plus Shan Zha (Hawthorn Fruit); if accompanied by alternating chills and fever with vomiting, this is Liver Wood insulting Spleen Earth, treat with Liu Jun Zi Tang plus Chai Hu (Bupleurum Root) and Sheng Jiang (Fresh Ginger); if accompanied by vomiting, abdominal pain, and cold extremities, this is Cold Water insulting Earth, treat with Liu Jun Zi Tang plus Gan Jiang (Dried Ginger) and Rou Gui (Cinnamon Bark); if ineffective, use Qian Shi Yi Huang San (Qian's Yellow-Enhancing Powder); if Yuan Qi (Primal Qi) sinks, accompanied by fever, thirst, and limb fatigue, use Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Augment the Qi); if the diarrhea is yellow in color, representing the true color of Spleen Earth, use Liu Jun Zi Tang plus Mu Xiang (Aucklandia Root) and Rou Dou Kou (Nutmeg); if accompanied by vomiting, anorexia, abdominal pain, and aversion to cold, this is deficiency-cold of Spleen Earth, use Liu Jun Zi Tang plus Mu Xiang, Gan Jiang, and Rou Gui; if diarrhea occurs at dawn (Wu Geng), with reduced appetite, this is deficiency of Spleen and Stomach, take Si Shen Wan (Four Spirits Pill) at dawn and Bai Zhu San (Atractylodes Powder) during the day; if ineffective, or if the disease recurs after remission, or if appetite remains poor, urgently use Ba Wei Wan (Eight-Ingredient Pill) to tonify Ming Men Fire (Fire of the Gate of Vitality) to generate Spleen Earth, which is the best approach.
The wife of Jinshi Wang Zhengzhi suffered from diarrhea and anorexia with vomiting during pregnancy. I said, "This is an injury to Spleen Qi." Her husband was worried and forced her to drink rice water. I told him, "Rice water can also damage Stomach Qi; do not force it. Wait for the Spleen and Stomach to awaken, and the retained stagnation will resolve naturally, restoring appetite." They did not believe me and used Ren Shen Yang Wei Tang (Ginseng Decoction to Nourish the Stomach) prescribed by another doctor. She vomited sour and bitter water and wanted to take fire-descending cold medicines. I said, "If so, Stomach Qi will be further damaged." The Classic says: "For those injured in the Spleen, regulate their diet and adapt to cold and warmth." Later, without medication, she recovered.
Wei Ling Tang (Stomach Poria Decoction): Treats excessive Spleen dampness, disharmony of Stomach Qi, abdominal pain, diarrhea, undigested food, and indistinct Yin and Yang. This is a combined formula of Ping Wei San (Peaceful Stomach Powder) and Wu Ling San (Five-Ingredient Powder with Poria).
Ingredients: Cang Zhu (Atractodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhu Ling (Polypori Umbellati mycelium), Ze Xie (Alismatis Rhizoma) (each 1 qian), Guan Gui (Cinnamomi Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 0.5 qian).
Usage: Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and two dates (Da Zao, Zizyphi Fructus), decoct in water, and take far from meals.
Bu Huan Jin Zheng Qi San (Golden-Substitute Upright Qi Powder): Treats dampness injury causing diarrhea in pregnant women.
Ingredients: Cang Zhu (Atractodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Huo Xiang (Agastaches Herba), Ban Xia (Pinelliae Rhizoma Preparatum) (each 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Usage: Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Zizyphi Fructus), decoct and take.
Wei Feng Tang (Stomach Wind Decoction): Treats wind-cold invading the intestines and stomach due to deficiency, causing undigested food, profuse diarrhea, and intestinal-stomach damp-toxin, resulting in stools like bean juice, or passing blood stasis, or fish-brain-like material, day and night without limit.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix Alba), Rou Gui (Cinnamomi Cortex) (equal parts).
Usage: Coarsely crush, take 8 qian per dose, add a pinch of Su Mi (Setaria Italica), decoct in water and take. (This formula is excellent for treating chronic diarrhea leading to dual deficiency of Qi and Blood. However, Rou Gui (Cinnamomi Cortex) must absolutely not be used unless there is long-term deficiency and cold in the viscera. The name "Stomach Wind" implies benefiting the Stomach and lifting Yang.) If abdominal pain is present, add Mu Xiang (Aucklandiae Radix).
Jia Wei Li Zhong Tang (Modified Regulate the Middle Decoction): Treats pregnancy diarrhea.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Bai Fu Ling (Poria), Gan Jiang (Zingiberis Rhizoma), Huang Lian (Coptidis Rhizoma), Mu Xiang (Aucklandiae Radix), Huo Xiang Ye (Agastaches Folium), He Zi Rou (Terminalia Chebulae Fructus), Rou Dou Kou (Myristicae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Usage: Coarsely crush, use two zhong of water, add three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and two dates (Da Zao, Zizyphi Fructus), decoct to one zhong, and take when hungry.
Jia Wei Zhi Zhong Tang (Modified Treat the Middle Decoction): Treats diarrhea caused by overeating, where Spleen and Stomach Qi is insufficient to transform and transport.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma, processed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 1 qian), Chen Pi (Citri Reticulatae Pericarpium, pith removed), Qing Pi (Citri Reticulatae Pericarpium Viride) (each 0.7 qian), Sha Ren (Amomi Fructus Rotundus) (0.5 qian).
Qian Shi Yi Huang San (Qian's Yellow-Enhancing Powder): Treats pregnancy diarrhea, vomiting, abdominal pain, and cold extremities.
Ingredients: Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), He Zi Rou (Terminalia Chebulae Fructus) (each 5 qian), Ding Xiang (Syzygii Flos) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (3 qian).
Usage: Grind into powder, take 3 qian per dose, decoct in water and take.
Cao Guo San (Tsao-Ko Powder): Treats abdominal pain and uncontrolled diarrhea caused by deficiency-cold of the Zang-Fu organs.
Ingredients: Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice, 3 liang), Rou Dou Kou (Myristicae Semen, ten pieces, baked in flour), Cao Dou Kou (Cardamomi Fructus, ten pieces, baked).
Usage: Take 3 qian per dose, add Sheng Jiang (Zingiberis Rhizoma Recens), decoct and take.