中 、主腹胀飧泄。下廉、治小腹痛飧泄。次指间痛。唇干。涎出不觉。不得汗出。
毛发
疝瘕。）
素问言春伤于风。夏必飧泄。苟知伤于风而得之。则药自可治。虽不着艾。未为害也。
本事方云、飧泄者、食谷不化也。春时木旺。肝生风邪。淫于脾经。至夏引冷当风。故
。宜芎 丸。芎 神曲白术附子等分。细末。糊丸梧子大。每服三五十丸。米饮下。治脾
湿而泄者。万无不中。其用芎除湿有理。故载于此。
三阴交、治溏泄食不化。（铜见腹胀。）地机、（见水肿。）治溏泄。地机、主溏瘕腹
痛藏痹。太冲等、主溏泄。（见痢。）
予尝患痹疼。既愈而溏利者久之。因灸脐中。遂不登溷。连三日灸之。三夕不登溷。
若灸溏泄。脐中第一。三阴交等穴。乃其次也。
本事方云、一亲每五更初必溏痢一次者数月。有人云、此名肾泄。肾感阴气而然。服五
味子散
溏利有理。故附载之。
予旧患溏利。每天晓必如厕。人教赎豆附丸服即愈。其方不可得也。它年再
患此。只用姜煎附子加豆蔻服愈。
素问言泄痢有五种。一曰胃泄。饮食不化而色黄。胃与脾合故黄也。二曰脾泄。腹胀而
注泄
无休。又上逆呕。此为寒热之患也。三曰大肠泄。食毕肠鸣切痛。而痢白色。大肠与肺合故
白也。四曰小肠泄。身瘦而便脓血。小肠与心合。心主血也。五曰大瘕泄。里急后重。数至
圊不能便。茎中痛。此肾泄也。诸家方有二十余种。此唯言五种。盖举其纲也。必用方亦有
赤白疳蛊之别。其大概则脏腑寒也。廪丘公所谓诸下悉寒是也。数予治人痢。惟与以镇灵丹
。无有不效。或未效、更加丸数。则效矣。若蛊利、则用柏叶黄连煎服。（见既效。）诸痢惟
耆域方用浓朴罂粟壳末最佳。后人又加木香黄连陈皮等分。甘草拌之。黄谷叶数片、姜枣乌
梅水煎。予尝用之验。故载于此。然痢本无恶证。而有患此而死者。或者世医以痢为热病。
多服冷药故也。若其急难。亦当灼艾。不可专用药云。
复溜、主肠 便脓血。泄痢后重。腹痛如 状。（千）交信、主泄痢赤白。（铜同。）漏
血。
大冲、曲泉、主溏泄痢注下血。小肠俞、主泄痢脓血五色。重下肿痛。丹田、主泄痢
不禁。小腹绞痛。关元、大溪、主泄痢不止。脾俞、主泄痢不食。食不生肌。五枢、
主妇人赤白。里急螈 。曲泉、治泄水下利脓血。（铜见风劳。）中膂俞、治肠冷赤白痢
。（明同。）膀胱俞、疗泄痢腹痛。（明）脊俞、疗温病积聚下痢。（铜作下利。）关元、
疗泄痢。（见便不禁。）小儿痢下赤白。秋末脱肛。每厕、腹痛不可忍。灸十二椎下节间名
接脊穴一壮。黄帝疗小儿疳痢脱肛。体瘦渴饮。形容瘦悴。诸药不瘥。灸尾翠骨上三寸骨陷
间三壮。岐伯云、三伏内用桃水浴孩子。午正时当日灸之。用青帛拭。似见疳虫随汗出。
神效。小儿秋深冷痢不止。灸脐下二寸三寸间动脉中三壮。妇人水泄痢。灸气海百壮。
泄痢食不消。不作肌肤。灸脾俞随年壮。（千）泄注五利便脓。重下腹痛。灸小肠俞百壮
。泄痢不禁。小腹绞痛。灸石门百壮。三报。久痢百治不瘥。灸足阳门下一寸高骨上陷
中。去大指岐三寸。随年。又脐中二三百壮。又关元三百。（十日灸。）赤白下、灸穷骨多
为佳。四肢不举。多汗洞痢。灸大横随年。（余见千金。）痢暴下如水云云。气海百壮。（
中脘穴，主治腹胀、完谷不化的泄泻。下廉穴，治疗小腹痛及完谷不化的泄泻；以及手指间疼痛、嘴唇干燥、流涎而不自知、无汗出等症状。
关于毛发与疝瘕的内容（此处原文有缺漏或错简，依原文保留）。
《素问》说：春季感受风邪，夏季必定发生完谷不化的泄泻。如果知道是风邪致病，那么药物自然可以治愈。即使不使用艾灸，也不会造成危害。
《本事方》记载：所谓飧泄（sūn xiè，指大便中含有未消化食物的泄泻），是指食物进入肠胃后不能消化。春季木气旺盛，肝脏生发风邪，风邪淫溢于脾经，到了夏季又因贪凉受冷、当风取凉而诱发。因此适宜使用芎劳丸。该方由川芎、神曲、白术、附子等量组成，研成细末，用米糊制成梧桐子大小的丸药。每次服用三五十丸，米汤送服。治疗因脾湿引起的泄泻，万无一失。其中使用川芎来除湿是有道理的，所以将其记载于此。
三阴交穴，治疗溏泄（táng xiè，指大便稀薄不成形）和食物不消化。（参考“腹胀”条目）。地机穴，（参考“水肿”条目），治疗溏泄。地机穴，主治溏泄、腹内结块腹痛及脏腑痹痛。太冲等穴，主治溏泄。（参考“痢疾”条目）。
我曾经患过痹证疼痛，痊愈后却长期患有溏泄。于是灸脐中穴，随后就不再腹泻。连续三天每天灸一次，之后三个晚上都没有再上厕所。如果要灸治溏泄，脐中穴是第一选择，三阴交等穴位则是其次。
《本事方》记载：我的一个亲戚每当天刚亮时必然有一次溏泄样痢疾，持续了几个月。有人说，这名叫肾泄（shèn xiè，指黎明前腹泻，又称五更泻）。这是肾脏感受阴寒之气所致。服用五味子散治疗溏利是有道理的，所以附录在这里。
我过去曾患溏泄，每天清晨必定要去厕所。有人教我服用赎豆附丸，服后即愈。但该方的配方已不可得。后来再次患此病，仅用姜汁煎煮附子并加入豆蔻服用，便痊愈了。
《素问》说泄痢有五种类型。第一种叫胃泄，饮食不化且大便色黄，因为胃与脾相表里，脾主黄色，故见黄色。第二种叫脾泄，腹胀且泄泻无休止，甚至向上逆转为呕吐，这是寒热夹杂的病症。第三种叫大肠泄，吃完饭后肠鸣剧烈疼痛，且排出白色脓血样粪便，因为大肠与肺相表里，肺主白色，故见白色。第四种叫小肠泄，身体消瘦且大便带脓血，因为小肠与心相表里，心主血脉，故见红色。第五种叫大瘕泄（dà jiǎ xiè，指里急后重严重的痢疾），感觉腹部紧迫、肛门坠胀，频繁去厕所却无法排便，尿道疼痛，这就是肾泄。各家医方中有二十多种分类，这里只列举五种，大概是提纲挈领地说明。必用方中也有赤白痢疾和蛊毒痢疾的区别，其大致原理都是脏腑虚寒。正如廪丘公所说：“所有的下部泄泻都属于寒证。”多次给人治疗痢疾，只给予镇灵丹，没有不有效的。如果效果不明显，增加丸药的剂量，就会见效。如果是蛊毒痢疾，则使用柏叶和黄连煎服。（参考“既效”条目）。各种痢疾中，只有耆域方使用厚朴和罂粟壳粉末最佳。后人又加入了木香、黄连、陈皮等量，甘草拌合，再加几片黄谷叶，用生姜、大枣、乌梅的水煎服。我曾经使用过并验证有效，所以记载于此。然而，痢疾本身并没有恶证，但有人因此死亡，或许是世间的医生将痢疾视为热病，过多服用寒凉药物所致。如果遇到紧急困难的情况，也应当施以艾灸，不能专门依赖药物。
复溜穴，主治肠道病变导致的大便脓血，泄痢后的里急后重，腹痛如绞痛状。（参考《千金方》）。交信穴，主治泄痢赤白。（《铜人腧穴针灸图经》记载相同）。漏血。
太冲穴、曲泉穴，主治溏泄、痢疾注下鲜血。小肠俞穴，主治泄痢脓血五色，重坠肿痛。丹田穴，主治泄痢不禁，小腹绞痛。关元穴、太溪穴，主治泄痢不止。脾俞穴，主治泄痢无法进食，食物不能滋养肌肉。五枢穴，主治妇女赤白带下，里急后重及抽搐。曲泉穴，治疗泄泻水样便及脓血。（《铜人腧穴针灸图经》参考“风劳”条目）。中膂俞穴，治疗肠寒导致的赤白痢疾。（《明堂》记载相同）。膀胱俞穴，治疗泄痢腹痛。（《明堂》记载）。脊俞穴，治疗温病积聚导致的下痢。（《铜人腧穴针灸图经》作“下利”）。关元穴，治疗泄痢。（参考“便不禁”条目）。
小儿痢疾下赤白，秋末脱肛，每次上厕所时腹痛难忍。灸第十二椎骨下方的节间，名为接脊穴，灸一壮。黄帝治疗小儿疳积痢疾伴脱肛，身体消瘦口渴，形体瘦弱憔悴，各种药物无效。灸尾骶骨上方三寸的骨陷间，灸三壮。岐伯说：在三伏天用桃枝水煮浴孩子，在正午时分当日施灸。用青布擦拭，似乎能看到疳虫随汗水排出，神效。小儿深秋寒冷性痢疾不止，灸脐下二寸至三寸之间的动脉处，灸三壮。妇女水样泄痢，灸气海穴一百壮。泄痢食物不消化，导致肌肤不生，灸脾俞穴，按患者年龄数定壮数。（《千金方》）。泄泻注下五利（指多种排泄异常）及便脓血，重坠腹痛，灸小肠俞穴一百壮。泄痢不禁，小腹绞痛，灸石门穴一百壮，每日三次。久痢经过百次治疗无效，灸足阳门穴下一寸高骨上的凹陷中，距离大脚趾分叉处三寸，按患者年龄数定壮数。另外，脐中灸二三百壮，关元穴灸三百壮（十日灸一次）。赤白痢疾，灸穷骨（尾闾穴附近）多为佳。四肢不能举动，多汗洞泄，灸大横穴，按患者年龄数定壮数。（其余内容参考《千金方》）。痢疾暴下如水状等症，灸气海穴一百壮。
Zhongwan (CV12) treats abdominal distension and sundry diarrhea (sun xie, diarrhea with undigested food). Xialian (ST89) treats lower abdominal pain and sundry diarrhea; as well as pain between the fingers, dry lips, unconscious drooling, and inability to sweat.
Regarding hair and hernia masses (the original text here has omissions or disordered slips, retained as per original).
The *Suwen* states: If wind pathogen is contracted in spring, sundry diarrhea will inevitably occur in summer. If one knows it is caused by wind pathogen, medicinal treatment can naturally cure it. Even without using moxibustion, it does no harm.
The *Bencao Fang* records: Sundry diarrhea (sun xie) refers to food entering the intestines and stomach but failing to digest. In spring, wood qi is vigorous, generating wind pathogen from the Liver. This wind pathogen overflows into the Spleen meridian. In summer, due to cold exposure and seeking coolness in the wind, it is induced. Therefore, Xionglaowan (Chuanxiong Pill) is suitable. The formula consists of equal parts of Chuanxiong Rhizome (Chuanxiong), Medicated Leaven (Shenqu), Atractylodis Macrocephalae Rhizoma (Baizhu), and Aconiti Lateralis Radix Praeparata (Fuzi), ground into fine powder, mixed with rice paste to form pills the size of a Chinese quince seed. Take 30-50 pills each time, washed down with rice water. It treats diarrhea caused by Spleen dampness, infallible. The use of Chuanxiong to remove dampness is reasonable, so it is recorded here.
Sanyinjiao (SP6) treats watery diarrhea (tang xie, loose stools) and indigestion. (See "Abdominal Distension"). Diji (SP8), (See "Edema"), treats watery diarrhea. Diji primarily treats watery diarrhea, abdominal masses with pain, and organ bi-syndrome. Taichong (LR3) etc. treat watery diarrhea. (See "Dysentery").
I once suffered from bi-pain. After recovery, I suffered from watery diarrhea for a long time. I then moxa-ed Zhongwan (CV8, umbilicus), and subsequently stopped having diarrhea. I moxa-ed continuously for three days, and did not visit the toilet for three nights. If moxa-ing for watery diarrhea, Zhongwan (CV8) is the first choice; Sanyinjiao (SP6) etc. are secondary.
The *Bencao Fang* records: A relative of mine had watery dysenteric stool every early morning for several months. Someone said this is called Kidney Diarrhea (Shen Xie, dawn diarrhea). It is caused by the Kidney contracting yin-cold qi. Taking Wuweizi San (Schisandra Powder) to treat watery diarrhea is reasonable, so it is appended here.
I previously suffered from watery diarrhea, needing to go to the toilet every dawn. Someone taught me to take Shudoufu Wan (Red Bean and Fuzi Pill), which cured me immediately. However, the formula is lost. Years later, when I suffered from this again, I only used ginger decoction with Fuzi added with Doukou (Cardamom), and was cured.
The *Suwen* states there are five types of diarrhea and dysentery. First is Wei Xie (Stomach Diarrhea): food is not digested and stool is yellow, because Stomach and Spleen are interior-exterior related, and Spleen corresponds to yellow. Second is Pi Xie (Spleen Diarrhea): abdominal distension and unceasing diarrhea, even vomiting upwards; this is a disorder of cold and heat. Third is Dachang Xie (Large Intestine Diarrhea): bowel sounds and severe pain after eating, with white dysenteric discharge; because Large Intestine and Lung are interior-exterior related, and Lung corresponds to white, hence white. Fourth is Xiaochang Xie (Small Intestine Diarrhea): emaciation and pus-blood in stool; because Small Intestine and Heart are interior-exterior related, and Heart governs blood. Fifth is Da Jia Xie (Great Hernia Diarrhea/Dysentery): tenesmus, frequent visits to the toilet with inability to defecate, and penile pain; this is Kidney Diarrhea. Various medical formulas have more than twenty classifications; this lists only five, likely summarizing the main points. Bi Yong Fang also distinguishes between red-white dysentery and gu-poison dysentery. Generally, they are all due to zang-fu cold. As Linqiu Gong said: "All lower body purging is cold." I have treated many cases of dysentery, using only Zhenling Dan, with no ineffectiveness. If ineffective, increasing the dosage makes it effective. For gu-poison dysentery, use Yemao (Cathaya argyrophylla leaf) and Huanglian (Coptidis Rhizoma) decoction. (See "Ji Xiao"). Among various dysenteries, Qiyu's formula using Houpo (Magnolia Bark) and Ying Susuo (Papaveris Pericarpium) powder is best. Later generations added equal parts of Muxiang (Aucklandiae Radix), Huanglian, and Chenpi (Citri Reticulatae Pericarpium), mixed with Gancao (Glycyrrhizae Radix et Rhizoma), plus a few leaves of Huanggu Ye, decocted with Jiang (Zingiberis Rhizoma), Zao (Jujubae Fructus), and Wumei (Mume Fructus). I have tested it and found it effective, so I record it here. However, dysentery itself has no malignant signs, yet some die from it. Perhaps physicians mistakenly view dysentery as a heat disease and administer too many cold medicines. In emergencies, moxibustion should be applied; one should not rely solely on medicine.
Fuliu (KI7) primarily treats intestinal disorders resulting in pus-blood in stool, post-dysenteric tenesmus, and abdominal pain like colic. (See *Qianjin*). Jiaoxin (KI8) primarily treats red-white dysentery. (*Tongren* agrees). Blood leakage.
Taichong (LR3), Ququan (LR8) primarily treat watery diarrhea and bloody dysentery. Xiaochangshu (BL27) primarily treats dysentery with pus-blood of five colors, heavy tenesmus, and swelling-pain. Dantian (CV11) primarily treats incontinence of dysentery and lower abdominal cramping. Guanyuan (CV4), Taixi (KI3) primarily treat persistent dysentery. Pishu (BL20) primarily treats dysentery with anorexia, where food fails to nourish muscles. Wushu (GB26) primarily treats women's red-white leukorrhea, tenesmus, and spasms. Ququan (LR8) treats watery diarrhea and pus-blood dysentery. (*Tongren* see "Wind-Lao"). Zhonglvshu (BL29) treats intestinal cold causing red-white dysentery. (*Mingtang* agrees). Pangguangshu (BL28) treats dysentery with abdominal pain. (*Mingtang*). Jishu (GV12) treats warm disease accumulations leading to dysentery. (*Tongren* writes "lower purging"). Guanyuan (CV4) treats dysentery. (See "Incontinence").
For children with red-white dysentery, late autumn rectal prolapse, unbearable abdominal pain during defecation: Moxa the space below the 12th thoracic vertebra, named Jieshui (Jieji) point, one moxa cone. Huangdi treats children's gan-accumulation dysentery with rectal prolapse, emaciation, thirst, wasting appearance, where all medicines fail: Moxa three cones in the bony depression three cun above the coccyx. Qibo says: During the Three Fu days, bathe the child in peach water. At noon, moxa on that day. Wipe with green silk; it seems gano-worms come out with sweat. Divine efficacy. For children's deep-autumn cold dysentery that does not stop: Moxa three cones in the arterial pulse between two and three cun below the umbilicus. For women's watery dysenteric diarrhea: Moxa Qihai (CV6) 100 cones. For dysentery with indigestion and failure to build flesh: Moxa Pishu (BL20) according to age in cones. (*Qianjin*). For profuse purging with five types of discharge and pus-blood, heavy tenesmus and abdominal pain: Moxa Xiaochangshu (BL27) 100 cones. For incontinence of dysentery and lower abdominal cramping: Moxa Shimen (CV5) 100 cones, three times daily. For chronic dysentery unresponsive to hundred treatments: Moxa the depression on the high bone one cun below Zuoyangmen (ST26), three cun from the bifurcation of the big toe, according to age. Also, 200-300 cones at Zhongwan (CV12/CV8 context implies umbilicus area here, usually Shenque CV8 for such high counts, but text says Qi Zhong/Umbilicus), and 300 cones at Guanyuan (CV4) (moxa every ten days). For red-white dysentery, moxing Qionggu (near Changqiang GV1) is better. For limbs unable to move, excessive sweating and hole-like diarrhea: Moxa Daheng (SP15) according to age. (Rest see *Qianjin*). Dysentery sudden profuse watery discharge etc.: Moxa Qihai (CV6) 100 cones.