恶露不行，渗入大肠，则洞泄不禁，下青、白、黑色，其余非食积则寒湿，再则脾胃弱，肺气虚，皆能致泻。若痢，
亦由恶血渗入大肠，积滞而成，谓之产子痢，其病甚危。又久痢身体羸弱，谓之虚羸痢。气不顺而下痢，谓之气痢。又
有外感六淫，内伤饮食所致。总当兼气血虚处治之，切不可用治痢常法，以致不救。
恶露未尽而泄泻，生化汤加茯苓。俟恶血尽，然后或消而治之。（和二十四）若虚弱不能支持，加人参。
完谷不化，生化汤加茯苓、诃子皮、莲子、生姜；不愈，加人参。（和二十四）
干渴，胃气虚，不生津液也。生化汤合生脉散。（和二十四、二十三）
食物不化常噫，生化汤加茯苓、神曲、山楂、砂仁。（热八）
肋 胀，腹中痛，流注无定处 产未盈月，风邪乘虚
袭之。留于肓膜，散于腹肋，故腹中阵阵作痛，水谷不化，胀鸣泄泻也。宜调中汤。（热八）
脾胃虚弱，血块未散，先服生化汤加木香、砂仁、益智仁；血块已除，六君子汤加肉果、益智仁，再加升麻、柴胡，
以提胃中清气。
余血不尽，渗入大肠，洞泄不禁，服的奇散，荆芥大者四五穗，于盏内烧炭，不可犯油火，入麝香研末，清汤调下。
年久脾泄不止，参苓莲子饮。（补五十七）
产后七日内外，患赤白痢，后重频并，最为难治。欲调气行血，推荡痢邪，又虑产后元虚；欲滋荣益气而大补产弱，
又虑转助痢邪。若行不损元、补不助邪，惟生化汤减黑姜，加茯苓、木香，为善消恶露，兼行痢积，并治而不悖也。
厥逆躁不得卧，殊难救治，人参、当归、荆芥。
积滞腹痛，人参、当归、白芍、红曲、醋炒升麻、甘草、益母草。如恶露未尽，加乳香、没药、砂仁、阿胶。
渴而不喜冷冻饮料，胃气虚，不生津液也。七味白术散（补五十六）。如夜间发热，肾水虚，不能润也。六味丸（补二）。
痢而呕吐，六君子汤加藿香。（补一）如胃火盛，用活田蠃、麝香，捣和掩脐。后用滋阴清胃之剂。
血崩痢不止，加参四物汤。（补七）
脱肛，气血两虚也。加参生化汤。（补五十八）
恶露排出不畅，渗入大肠，就会导致剧烈腹泻且无法控制，排出青色、白色或黑色的粪便；其余情况若非食积所致，便是寒湿引起，再则是脾胃虚弱、肺气不足，这些都能导致腹泻。如果是痢疾，也是由于恶血渗入大肠，积聚停滞而形成的，称为“产子痢”，病情非常危险。又有长期痢疾导致身体消瘦虚弱的，称为“虚羸痢”。气机不畅而下痢的，称为“气痢”。此外还有因外感六淫邪气、内伤饮食所导致的。治疗时总应当兼顾气血虚损的情况来处理，切不可使用治疗普通痢疾的常规方法，以免导致不可挽救的后果。
如果恶露未尽而出现泄泻，用生化汤加入茯苓。等到恶血排尽后，然后再根据情况进行消导或治疗。（出自《和》卷二十四）如果体质虚弱难以支撑，加入人参。
大便中夹杂未消化的食物（完谷不化），用生化汤加入茯苓、诃子皮、莲子、生姜；如果不见好转，加入人参。（出自《和》卷二十四）
口干口渴，是因为胃气虚弱，不能生成津液。用生化汤合生脉散。（出自《和》卷二十四、二十三）
食物不消化且经常打嗝，用生化汤加入茯苓、神曲、山楂、砂仁。（出自《热》卷八）
胁肋胀满，腹部疼痛，疼痛部位游走不定。产后未满一个月，风邪乘虚侵袭人体。邪气停留在肓膜，散布于腹肋之间，所以腹部阵发性疼痛，水谷不消化，伴有腹胀鸣响和泄泻。适宜用调中汤。（出自《热》卷八）
脾胃虚弱，且有血块未消散，先服用生化汤加入木香、砂仁、益智仁；血块已经消除后，服用六君子汤加入肉豆蔻、益智仁，再加入升麻、柴胡，以提升胃中的清气。
余血未尽，渗入大肠，导致剧烈腹泻且无法控制，服用服的奇散：取大荆芥四至五穗，在盏内烧成炭，注意不可沾染油火，加入麝香研成粉末，用清汤调服。
产后七日内外，患赤白痢，伴有里急后重频繁发作，最为难治。想要调理气机、行血，推荡痢疾邪气，又担心损伤产后元气虚弱；想要滋养营血、益气大补产后虚弱，又担心转而助长痢疾邪气。如果要做到行气活血不损伤元气，滋补又不助长邪气，只有用生化汤减去黑姜，加入茯苓、木香，这样既能善于消除恶露，又能兼行痢疾积滞，两者同治而不冲突。
出现四肢厥冷、躁动不安、无法入睡，极其难以救治，用人参、当归、荆芥。
积滞引起的腹痛，用人参、当归、白芍、红曲、醋炒升麻、甘草、益母草。如果恶露未尽，加入乳香、没药、砂仁、阿胶。
口渴但不喜欢喝冷饮，这是胃气虚弱，不能生成津液。服用七味白术散（出自《补》卷五十六）。如果夜间发热，是肾水虚弱，不能滋润所致。服用六味丸（出自《补》卷二）。
痢疾伴随呕吐，用六君子汤加入藿香（出自《补》卷一）。如果胃火旺盛，用活田螺与麝香，捣碎混合敷贴肚脐。之后再用滋阴清胃的药物。
Lochia fails to discharge, infiltrates the large intestine, causing severe diarrhea that is incontinent, with excretion of green, white, or black stool. Other causes include food stagnation, cold-dampness, weak Spleen and Stomach, and deficient Lung Qi, all of which can lead to diarrhea. If it is dysentery, it is also caused by lochial blood infiltrating the large intestine and accumulating as stagnation, termed "Postpartum Dysentery" (Chan Zi Li), a condition that is extremely critical. Furthermore, prolonged dysentery leading to emaciation is termed "Deficient Emaciated Dysentery" (Xu Lei Li). Dysentery caused by qi stagnation is termed "Qi Dysentery" (Qi Li). Additionally, there are cases caused by external contraction of the Six Evils (Liu Yin) and internal injury from diet. Treatment must always address underlying Qi and Blood deficiency; one must strictly avoid using standard methods for treating ordinary dysentery, lest it lead to untreatable consequences.
If diarrhea occurs while lochia remains, use Shenghua Tang (Transforming the Remains Decoction) with added Poria (Fuling). Wait until the lochial blood is completely discharged, then treat according to the specific condition. (From *He*, Vol. 24). If the constitution is too weak to sustain itself, add Ginseng (Renshen).
For undigested food in the stool (Wan Gu Bu Hua), use Shenghua Tang with added Poria (Fuling), Chebulae Pericarpium (Hezi Pi), Lotus Seed (Lianzi), and Fresh Ginger (Shengjiang); if not improved, add Ginseng (Renshen). (From *He*, Vol. 24).
Dry mouth and thirst due to deficient Stomach Qi failing to generate fluids. Use Shenghua Tang combined with Shengmai San (Generate the Pulse Powder). (From *He*, Vol. 24 & 23).
Food stagnation with frequent belching. Use Shenghua Tang with added Poria (Fuling), Medicated Leaven (Shenqu), Hawthorn Fruit (Shanzha), and Amomi Fructus (Sharen). (From *Re*, Vol. 8).
Distension in the hypochondrium and abdominal pain with migratory location. Within one month postpartum, Wind Evil invades due to deficiency. The pathogen remains in the Mingmen (Blind Membrane) and disperses into the abdomen and hypochondrium, causing paroxysmal abdominal pain, indigestion of food and water, abdominal borborygmus, and diarrhea. Suitable treatment is Tiaozhong Tang (Regulate the Middle Decoction). (From *Re*, Vol. 8).
For weak Spleen and Stomach with unresolved blood stasis, first administer Shenghua Tang with added Costus Root (Muxiang), Amomi Fructus (Sharen), and Alpiniae Oxyphyllae Fructus (Yizhiren); once the blood stasis is resolved, administer Liu Junzi Tang (Six Gentlemen Decoction) with added Myristica Seed (Rouguo), Alpiniae Oxyphyllae Fructus (Yizhiren), plus Cimicifugae Rhizoma (Shengma) and Bupleuri Radix (Chaihu) to raise the clear Yang of the Stomach.
For residual blood infiltrating the large intestine causing incontinent severe diarrhea, take Fuqi San: Burn four to five spikes of large Schizonepeta (Jingjie) in a cup until charred, ensuring no oil or fire contamination, mix with Musk (Shexiang), grind into powder, and take mixed with clear water.
For chronic Spleen diarrhea persisting for years, take Shenling Lianzi Yin (Ginseng, Poria, and Lotus Seed Drink). (From *Bu*, Vol. 57).
Red and white dysentery occurring within seven days postpartum, accompanied by frequent tenesmus, is extremely difficult to treat. One wishes to regulate Qi and move Blood to expel the dysentery pathogen, yet fears damaging the deficient Postpartum Yuan Qi; one wishes to nourish Ying and tonify Qi to strongly support postpartum weakness, yet fears exacerbating the dysentery pathogen. To achieve moving without damaging the Yuan and tonifying without aiding the pathogen, only Shenghua Tang with Blackened Ginger (Heijiang) removed, and added Poria (Fuling) and Costus Root (Muxiang), is suitable. This effectively eliminates lochia while simultaneously resolving dysentery stagnation, treating both without conflict.
Cold extremities, restlessness, and inability to lie down are extremely difficult to save. Use Ginseng (Renshen), Angelica Sinensis (Danggui), and Schizonepeta (Jingjie).
Abdominal pain due to stagnation: Ginseng (Renshen), Angelica Sinensis (Danggui), White Peony Root (Baishao), Red Yeast Rice (Hongqu), Vinegar-processed Cimicifugae Rhizoma (Shengma), Licorice (Gancao), Motherwort (Yimucao). If lochia is not yet finished, add Frankincense (Ruxiang), Myrrh (Moyao), Amomi Fructus (Sharen), and Donkey-hide Gelatin (Ejiao).
Thirst without desire for cold drinks indicates deficient Stomach Qi failing to generate fluids. Take Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder). (From *Bu*, Vol. 56). Fever at night indicates deficient Kidney Water failing to moisten. Take Liuwei Wan (Six-Ingredient Pill). (From *Bu*, Vol. 2).
Dysentery with vomiting: Liu Junzi Tang (Six Gentlemen Decoction) with added Patchouli (Huoxiang). (From *Bu*, Vol. 1). If Stomach Fire is excessive, apply crushed living river snail mixed with Musk to the umbilicus. Subsequently use formulas to nourish Yin and clear Stomach Heat.
Metrorrhagia combined with intractable dysentery: Jia Shen Siwu Tang (Ginseng-Enhanced Four Substance Decoction). (From *Bu*, Vol. 7).
Rectal prolapse due to dual deficiency of Qi and Blood: Jia Shen Shenghua Tang (Ginseng-Enhanced Transforming the Remains Decoction). (From *Bu*, Vol. 58).