每至五更即溏泻一二次，经年不止者，名为肾泻，此阴盛也。用五味子（去梗）二两，
吴
愈。
五神丸∶专治五更肾泻久不愈者。以此丸补命门相火，即以补脾也。破故纸（炒、酒浸
，蒸用）四两，核桃肉（去皮）四两，五味子（炒）三两，吴茱萸（盐水炒）一两，生姜煮
枣为丸
莲米散∶黄老米（炒）三合，莲肉三两（去心），猪苓、泽泻（炒）、白术（炒）各五钱，
木香
其效
肉豆蔻三钱（面裹煨熟，去面，研末），乳香一两，为末，陈米粉煮糊为丸梧子大。每
服
白术（土炒）、白芍（炒）各一两，冬月加煨肉豆蔻五钱，共为末，饭丸梧子大。每服
五十
破故纸焙干，为末一钱，用猪腰子一个，去白筋油膜，破开，将故纸末装入裹紧，蒸
不用着水，食二三次，自愈。极效。
小儿科痘症门治验篇末有妙方，应参看。凡大人、小儿泄泻食物不化，胃无火也，是胃
阳虚。生白术、真云苓各二钱，川浓朴（姜汁炒）、砂仁、陈皮各一钱，生益智二钱，水煎
数
又方∶参术散、七味豆蔻散，均见痘症泄泻方，俱极神效。
又方∶柿饼，烧红，放地上，用碗盖住（不盖则成灰，无性），俟冷，研末。米汤调服
二
每当五更时分就发生一到两次稀便，常年不愈的，称为肾泻，这是阴气过盛所致。使用五味子（去除梗）二两，吴茱萸一两，破故纸四两，核桃肉四两，生姜煮枣为丸。
五神丸：专门治疗五更肾泻长久不愈者。此丸通过补益命门相火来补脾。破故纸（炒制、酒浸后蒸用）四两，核桃肉（去皮）四两，五味子（炒制）三两，吴茱萸（盐水炒制）一两，生姜煮枣为丸。
莲米散：黄老米（炒制）三合，莲肉三两（去心），猪苓、泽泻（炒制）、白术（炒制）各五钱，木香一钱，共为细末。每次服用三钱，陈米汤调服，其效果显著。
又方：肉豆蔻三钱（面粉包裹煨熟，去掉面粉，研成粉末），乳香一两，研成细末，用陈米粉煮糊制成梧桐子大小的丸剂。每次服用五十丸，空腹淡盐汤送下。
又方：白术（土炒制）、白芍（炒制）各一两，冬季加煨肉豆蔻五钱，共为细末，饭丸梧桐子大小。每次服用五十丸，米汤送下。
又方：破故纸焙干，研成粉末一钱，取猪腰子一个，去除白色筋膜和油膜，剖开，将破故纸粉末装入并裹紧，蒸熟。不用沾水，吃两三次，自然痊愈。效果极佳。
小儿科痘症门治验篇末有妙方，应当参考查看。凡是大人、小儿泄泻且食物不消化，是胃中无火，即胃阳虚。生白术、真云苓各二钱，川浓朴（姜汁炒制）、砂仁、陈皮各一钱，生益智二钱，水煎服。
又方：柿饼，烧至红透，放在地上，用碗盖住（不盖则变成灰烬，失去药性），待冷却后，研成粉末。米汤调服二钱。
Whenever the time comes to the fifth watch (approximately 1-3 AM), one experiences loose stools once or twice, persisting for years without cure, this is named Kidney Diarrhea (Shen Xie), caused by an excess of Yin. Use Schisandrae Fructus (Wuweizi) [Schisandrae Fructus (Quasi-stem removed)] two liang, Evodiae Fructus (Wuzhuyu) one liang, Psoraleae Fructus (Puguzhi) four liang, Juglandis Semen (Hetaoren) four liang, boil dates with fresh ginger and form pills.
Wushen Wan (Five-God Pill): Specifically treats chronic cases of Kidney Diarrhea occurring at the fifth watch that have not healed for a long time. This pill tonifies the Ministerial Fire of the Gate of Life (Mingmen), thereby also tonifying the Spleen. Psoraleae Fructus (Puguzhi) [stir-fried, soaked in wine, then steamed] four liang, Juglandis Semen (Hetaoren) [peeled] four liang, Schisandrae Fructus (Wuweizi) [stir-fried] three liang, Evodiae Fructus (Wuzhuyu) [stir-fried with salt water] one liang, boil dates with fresh ginger and form pills.
Lianmi San (Lotus Seed Powder): Coix Seed (Huanglaomi) [stir-fried] three he, Lotus Seed (Lianrou) [core removed] three liang, Polyporus (Zuling), Alisma Rhizoma (Zexie) [stir-fried], Atractylodis Macrocephalae Rhizoma (Baizhu) [stir-fried] each five qian, Aucklandiae Radix (Muxiang) one qian, grind into fine powder. Take three qian per dose, mix with old rice decoction; its efficacy is remarkable.
Another prescription: Myristicae Semen (Roudoukou) three qian [wrapped in flour, baked until cooked, remove flour, grind into powder], Frankincense (Ruxiang) one liang, grind into fine powder, use old rice flour paste to form pills the size of wutong seeds. Take fifty pills per dose, swallow with warm light salt water on an empty stomach.
Another prescription: Atractylodis Macrocephalae Rhizoma (Baizhu) [soil-stir-fried], Paeoniae Radix Alba (Baishao) [stir-fried] each one liang, in winter add baked Myristicae Semen (Roudoukou) five qian, grind into fine powder, form pills with rice dough the size of wutong seeds. Take fifty pills per dose, swallow with rice gruel.
Another prescription: Dry-bake Psoraleae Fructus (Puguzhi), grind into powder, take one qian. Take one pig kidney, remove white tendons and fatty membranes, split open, insert the Puguzhi powder inside and wrap tightly, steam until cooked. Do not add water when eating; consume two or three times, and it will heal itself. Extremely effective.
There are excellent prescriptions at the end of the "Verified Cases" section in the Pediatric Smallpox Chapter; refer to them. For adults and children suffering from diarrhea where food is not digested, this indicates lack of fire in the Stomach, i.e., Stomach Yang Deficiency (Wei Yang Xu). Raw Atractylodis Rhizoma (Baizhu), genuine Poria (Yunling) each two qian, Magnoliae Officinalis Cortex (Chuan Nongpu) [stir-fried with ginger juice], Amomi Fructus (Sharen), Citri Reticulatae Pericarpium (Chenpi) each one qian, raw Alpinia Oxyphylla Fruit (Yizhi) two qian, decoct in water and drink.
Another prescription: Shenji San (Ginseng and Atractylodes Powder), Qiwei Doukou San (Seven-Ingredient Nutmeg Powder), both found in the formulas for smallpox-related diarrhea, are extremely efficacious.
Another prescription: Persimmon cake (Shibing), burn until red-hot, place on the ground, cover with a bowl (if not covered, it turns to ash and loses medicinal properties), wait until cool, grind into powder. Mix with rice gruel and take two qian.
This is due to Cold in the Stomach. Use Alpinia Oxyphylla Fruit (Yizhiren) two liang, wrap in flour and roast, decoct and drink; immediate recovery occurs.
This condition can be divided into Qi Stagnation (Qi Zhi) and Blood Stagnation (Xue Zhi). One patient suffered from this; treatment based on Qi Stagnation was ineffective. Later, using Pruni Semen (Taoren), Rheum Palmatum Radix et Rhizoma (Dahuang), Natrii Sulfas (Mangxiao), Glycyrrhizae Radix et Rhizoma (Gancao), Cinnamomi Ramulus (Guizhi), Angelicae Dahuricae Radix (Baizhi), taken over several doses, resulted in recovery.