【七情内伤痢之症】初起先见饮食难化，后复大便不实，时常清泄，久久不愈，渐下脓
血，宛似外感湿热痢，先水泻，复便脓，但病来迟缓，与外感暴发为异。此即方书所谓脾泄痢
，《内经》所谓脾邪传肾，为贼邪症也。
【七情内伤痢之因】忧愁思虑则伤脾，脾阴既伤，则转输失职，日饮水谷，不能运化，
停积肠胃之中，气至其处则凝，血流其处则泣，气凝血泣，与稽留之水谷互相胶固，则脾家壅
滞，而贼邪传肾之症作矣。
【七情内伤痢之脉】脉必重虚，虚大伤气，虚细血亏，虚缓者生，弦大者死。弦而有胃
，尚可挽回，弦多无胃，必死不活。
【七情内伤痢之治】宜先用楂术膏，兼补兼消，助脾化积，次用参苓白术散，补脾固
本。
涩，切不同外感痢，误用寒凉克削。又不可补涩太早，因此症虚中有滞，补涩太早，反助病
气矣。如肾阳不足，见阴冷之症，用肾气八味丸。如肾阴不足，见虚热燥候，六味丸与白术
楂术膏 治脾虚多食，停积成痢之症。
白术 楂肉 陈皮 甘草
煎膏服。
参苓白术散 补脾实脾，虚痢方中必用。
人参 白术 茯苓 甘草 山药 薏苡仁 桔梗
加莲肉、扁豆。
补中益气汤 治脾元虚弱，久泻下陷之症。
人参 白术 黄 当归 陈皮 炙甘草 升麻 柴胡
久滑不止，加诃子、肉果。家秘加茯神、枣仁，以治久泻伤阴，不得安卧之症，即合归
脾汤。
理中汤 治虚寒泻痢。
人参 白术 炮姜 甘草
寒甚加附子。有热加川连。
归脾汤
人参 白术 黄 枣仁 远志 白茯神 木香 甘草
家秘加升麻、柴胡，以治元气下陷之痢，即合补中益气汤。
八味丸 补真阳不足，益火之原，以生脾土。
即六味丸加肉桂、附子。
【七情内伤痢疾的症状】发病初期先出现饮食难以消化，随后大便稀溏不成形，时常发生清稀泄泻，长期不愈，逐渐排出脓血，看起来很像外感湿热引起的痢疾（由外感湿热邪气导致的以腹痛、里急后重、下痢脓血为主要表现的病证），也是先水样腹泻，后变为脓血便，但此病起病缓慢，与外感病突然发作不同。这就是医书中所说的“脾泄痢”，《黄帝内经》中所述的脾脏邪气传变至肾脏，属于“贼邪”（五行相克太过之邪）的病症。
【七情内伤痢疾的病因】忧愁和思虑会损伤脾脏，脾阴既然受损，则转输运化功能失职，每日摄入的水谷精微不能正常运化，停滞积聚在肠胃之中，气运行到此处则凝滞，血液运行到此处则涩滞不畅，气凝且血涩，与停留的水谷互相胶结固着，导致脾家壅塞阻滞，于是出现贼邪传肾的病症。
【七情内伤痢疾的脉象】脉象必定表现为沉取虚弱，虚大提示伤气，虚细提示血亏，脉象虚缓者预后良好可生，脉象弦大者预后不良主死。若弦脉中带有胃气（柔和从容之象），尚可挽回生机；若弦脉多而缺乏胃气，则必死无疑。
【七情内伤痢疾的治疗】适宜先用楂术膏，兼具补益和消导作用，帮助脾脏化解积滞，其次使用参苓白术散，补益脾脏并巩固根本。注意：此症涩滞，绝不同于外感痢疾，误用寒凉攻伐药物是错误的。也不可以过早使用收敛固涩药，因为此症是虚中夹滞，过早补涩反而会助长病气。如果肾阳不足，出现阴冷症状，使用肾气八味丸。如果肾阴不足，出现虚热干燥征候，使用六味丸配合白术山楂膏治疗因脾虚多食、停积成痢的病症。
参苓白术散 补脾实脾，是治疗虚性痢疾方剂中必须使用的。
人参 白术 茯苓 甘草 山药 薏苡仁 桔梗
加入莲子肉、扁豆。
补中益气汤 治疗脾元虚弱，久泻导致气机下陷的病症。
人参 白术 黄芪 当归 陈皮 炙甘草 升麻 柴胡
久泻滑脱不止，加诃子、肉豆蔻。家传秘方加茯神、酸枣仁，以治疗久泻伤阴、无法安卧的病症，即合用归脾汤。
理中汤 治疗虚寒性泻痢。
人参 白术 炮姜 甘草
寒气甚重加附子。有热象加黄连。
[Symptoms of Dysentery due to Internal Injury by Seven Emotions] At the onset, there is initially difficulty in digesting food, followed by loose stools that are not solid, with frequent watery diarrhea. If left untreated for a long time, pus and blood gradually appear in the stool, resembling dysentery caused by external damp-heat (a disease characterized by abdominal pain, tenesmus, and passage of pus and blood in the stool due to external damp-heat pathogens). It starts with watery diarrhea and progresses to pus and blood; however, this condition develops slowly, differing from the sudden onset of external contraction diseases. This is what medical texts refer to as "Spleen Diarrhea Dysentery" (Pi Xie Li), and what the *Huangdi Neijing* (Yellow Emperor's Inner Canon) describes as spleen pathogenic factors transmitting to the kidney, constituting a "Thief Pathogen" (Ze Xie - an excessive controlling pathogen in Five Element theory) syndrome.
[Etiology of Dysentery due to Internal Injury by Seven Emotions] Worry and overthinking injure the Spleen. Once the Yin of the Spleen is damaged, its transportive and transformative functions fail. The daily intake of water and grain cannot be properly transformed and transported, leading to stagnation and accumulation within the intestines and stomach. When Qi reaches this area, it becomes stagnant; when Blood flows through this area, it becomes sluggish. Qi stagnation and Blood stasis, combined with retained water and grain, become firmly entangled, causing obstruction and stagnation in the Spleen system, thereby triggering the syndrome of thief pathogen transmission to the Kidney.
[Pulse Diagnosis of Dysentery due to Internal Injury by Seven Emotions] The pulse must be deficient upon heavy pressure. A large and deficient pulse indicates Qi injury; a thin and deficient pulse indicates Blood deficiency. A slow and deficient pulse suggests a favorable prognosis (life); a wiry and large pulse indicates a poor prognosis (death). If the wiry pulse retains a "Stomach Qi" (gentle and moderate quality), recovery is possible; if the wiry quality dominates without Stomach Qi, death is inevitable.
[Treatment of Dysentery due to Internal Injury by Seven Emotions] Initially, use Zhachu Gao ( Hawthorn and Atractylodes Paste), which combines tonification and resolution, to assist the Spleen in transforming accumulations. Subsequently, use Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) to tonify the Spleen and consolidate the root. Note: This condition involves astringency/stagnation and is distinctly different from external dysentery; misusing cold and purgative herbs is erroneous. Furthermore, astringents should not be used too early because this syndrome involves deficiency with underlying stagnation; premature astringency will instead aid the pathogenic factor. If Kidney Yang is insufficient and symptoms of coldness are present, use Shenqi Bawei Wan (Kidney Qi Eight-Ingredient Pill). If Kidney Yin is insufficient and symptoms of deficiency heat and dryness are present, use Liuwei Wan (Six-Ingredient Pill) combined with Baizhu Zhachu Gao to treat dysentery caused by Spleen deficiency, excessive eating, and subsequent accumulation.
Baizhu (Atractylodis Rhizoma), Zhaurou (Crataegi Fructus), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct into a paste and take orally.
Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder): Tonifies and strengthens the Spleen; essential in formulas for deficiency-type dysentery.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), Yiyiren (Coicis Semen), Jiegeng (Platycodonis Radix).
Add Lianrou (Nelumbinis Semen) and Bian Dou (Dolichoris Semen).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction): Treats syndromes of Spleen Yuan deficiency and chronic diarrhea with sinking Qi.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix).
For chronic slippery discharge that does not stop, add Hezi (Chebulae Fructus) and Rouguo (Myristicae Semen). Family secret method adds Fushen (Poria cum Radice) and Zaoren (Ziziphi Spinosomi Semen) to treat Yin injury from chronic diarrhea resulting in inability to sleep peacefully, effectively combining with Guipi Tang.
Lizhong Tang (Regulate the Middle Decoction): Treats deficiency-cold diarrhea and dysentery.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Paojiang (Prepared Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
If cold is severe, add Fuzi (Aconiti Lateralis Radix Praeparata). If heat is present, add Chuanlian (Coptidis Rhizoma).
Guipi Tang (Restore the Spleen Decoction)
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Huangqi (Astragali Radix), Zaoren (Ziziphi Spinosomi Semen), Yuanzhi (Polygalae Radix), Bai Fushen (Poria cum Radice), Muxiang (Aucklandiae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Family secret method adds Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) to treat dysentery due to sinking of Yuan Qi, effectively combining with Buzhong Yiqi Tang.
Bawei Wan (Eight-Ingredient Pill): Tonifies insufficiency of True Yang, benefits the source of Fire to generate Spleen Earth.
This is Liuwei Wan (Six-Ingredient Pill) plus Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata).