治痰火诸症悉具，倏而大便或溏或泄，此脾肾之气两虚，不能统摄营运，或由饮食内伤
，风寒外袭，冲动其势，宜以此方主之。
山药（微炒，一钱） 人参（高丽者，五分） 黄 （蜜炒，一钱） 白术（土炒，一钱） 白
茯苓（去皮，一钱） 陈皮（留白，八分） 熟地黄（一钱） 白芍（煨，一钱） 甘草（炙，五分）
五味子（二十粒） 贝母（一钱） 麦门冬（去心，一钱）
上十二味，生姜三片，大枣五枚，浓煎，趁热徐徐缓服，不宜骤下。
若果伤谷食，但加炒麦芽少许，以消导之，然麦芽亦能软便，不可过多。
若伤肉食，少加山楂。
若伤面食，少加神曲。
若因风寒直犯太阴，腹痛泄泻，本剂减地黄、麦门冬，加炒干姜一二分热服，外用炒盐
帛裹熨之，更宜少饮汤水。
凡痰火之证，最宜便实，一见便溏，即当警省，用药亦须提防。如本剂有知母，味苦性
寒，润下沉降，便软便溏者，宜去之。不得已而用者，亦须姜汁熟炒。当归味虽甘温，然亦
下利便，用须减半。生熟地黄性寒滞泥，亦须姜汁蒸过。天门冬性味苦寒润利，便溏者亦须
去之。其栀、连、芩、柏，并属苦寒，脾肾虚者，大所忌也。按∶魏氏曰∶凡泄泻宜用丸药
，盖土恶湿而喜燥，即用汤剂，亦须浓煎少服，盖汤者荡也。脾虚者所忌，以服下即行，不
久驻胃中故尔。
治疗痰火引起的各种病症，如果突然大便变稀或发生泄泻，这是因为脾肾之气两虚，不能统摄和运化水谷，或者由于饮食内伤，加上风寒外袭，冲动病势，应当用此方作为主方。
山药（微炒，一钱） 人参（选用高丽参，五分） 黄芪（蜜炒，一钱） 白术（土炒，一钱） 白茯苓（去皮，一钱） 陈皮（保留白色内层，八分） 熟地黄（一钱） 白芍（煨制，一钱） 甘草（炙烤，五分） 五味子（二十粒） 贝母（一钱） 麦门冬（去心，一钱）
以上十二味药，加入生姜三片，大枣五枚，浓煎汤剂，趁热慢慢缓慢服用，不宜快速喝下。
如果确实是伤了谷物食物，只需加少许炒麦芽，以消食导滞，但麦芽也能使大便变软，不可过量。
如果伤了肉食，少量加入山楂。
如果伤了面食，少量加入神曲。
如果是因风寒直接侵犯太阴经，导致腹痛泄泻，本方减去地黄、麦门冬，加入炒干姜一二分，热服，外用炒热的盐包在布里熨烫腹部，更应少喝汤水。
凡是痰火的病症，最适宜大便成形，一旦见到大便溏薄，就应当警惕，用药也必须小心提防。如本方中有知母，味苦性寒，滋润下沉下降，大便软溏者，应当去掉。不得已而使用时，也必须用姜汁炒熟。当归味道虽甘温，但也容易导致腹泻便溏，使用须减半。生地黄和熟地黄性寒且滋腻碍胃，也必须用姜汁蒸过。天门冬性味苦寒润利，大便溏薄者也须去掉。栀子、黄连、黄芩、黄柏，都属于苦寒之品，脾肾虚者，是大忌。按：魏氏说：凡是泄泻宜用丸药，因为土（脾）厌恶湿气而喜欢干燥，即使使用汤剂，也必须浓煎少服，因为汤剂的作用在于荡涤。脾虚者忌讳汤剂，因为服用后药物迅速下行，不能在胃中停留较久的缘故。
To treat various conditions caused by Phlegm-Fire (Tan Huo, phlegm-heat), if sudden loose stools or diarrhea occur, this indicates a deficiency of Qi in both the Spleen and Kidney, failing to control and transport nutrients. This may be due to internal injury from diet, combined with external invasion of Wind-Cold, which agitates the pathogenic factor. In such cases, this formula should be used as the primary prescription.
Shan Yao (Dioscoreae Rhizoma, lightly stir-fried, 1 qian)
Ren Shen (Panax Ginseng Radix, preferably Korean origin, 0.5 qian)
Huang Qi (Astragali Radix, honey-fried, 1 qian)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-fried, 1 qian)
Bai Fu Ling (Poria, peeled, 1 qian)
Chen Pi (Citri Reticulatae Pericarpium, retaining the white pith, 0.8 fen)
Shu Di Huang (Rehmanniae Radix Praeparata, 1 qian)
Bai Shao (Paeoniae Radix Alba, baked/warmed, 1 qian)
Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 0.5 fen)
Wu Wei Zi (Schisandrae Fructus, 20 berries)
Bei Mu (Fritillariae Thunbergii Bulbus, 1 qian)
Mai Men Dong (Ophiopogonis Radix, heart removed, 1 qian)
Take the above twelve herbs, add three slices of fresh ginger (Sheng Jiang, Zingiberis Rhizoma Recens) and five jujubes (Da Zao, Zizyphi Fructus). Decoct strongly with ample water. Drink slowly while warm; do not consume rapidly.
If the cause is indeed dietary accumulation of grains, add a small amount of fried Mai Ya (Hordei Fructus Germinatus) to promote digestion. However, since Mai Ya can also soften stools, it should not be used in excess.
If the cause is overconsumption of meat, add a small amount of Shan Zha (Crataegi Fructus).
If the cause is overconsumption of wheat products, add a small amount of Shen Qu (Medicated Leaven).
If the condition arises from Wind-Cold directly invading the Taiyin (Taiyin Jueyin Cold-Dampness pattern), causing abdominal pain and diarrhea, remove Di Huang (Rehmanniae Radix) and Mai Men Dong from this formula. Add 1-2 fen of dried ginger (Gan Jiang, Zingiberis Rhizoma) that has been stir-fried. Take hot. Externally, apply a cloth bag filled with heated salt for warming compresses. It is also advisable to drink minimal fluids.
In cases of Phlegm-Fire, firm stools are most desirable. The appearance of loose stools should serve as a warning, requiring caution in medication selection. For instance, Zhi Mu (Anemarrhenae Rhizoma) in this formula is bitter and cold, with moistening and descending properties; it should be omitted if stools are soft or loose. If its use is unavoidable, it must be processed with ginger juice. Dang Gui (Angelicae Sinensis Radix), although sweet and warm, can also induce diarrhea and loose stools; therefore, its dosage should be halved. Both Sheng Di Huang (Rehmanniae Radix) and Shu Di Huang are cold and cloying/sticky; they must be steamed with ginger juice. Tian Men Dong (Asparagi Radix) is bitter, cold, moistening, and purgative; it should also be removed in cases of loose stools. Zhi Zi (Gardeniae Fructus), Lian Qiao/Cos? No, Lian (Coptidis Rhizoma), Qin (Scutellariae Radix), and Bo (Phellodendri Cortex) are all bitter and cold. They are strictly contraindicated for patients with Spleen and Kidney deficiency. Note: Mr. Wei stated that for diarrhea, pill forms are preferable. This is because Earth (Spleen) dislikes dampness and prefers dryness. Even when using decoctions, they should be concentrated and taken in small doses, as "decoction" implies sweeping action. Spleen-deficient patients should avoid decoctions because the medicine passes through quickly without staying long in the stomach.