产后泄泻，大率虚弱、食积与土虚不能湿而然。但恶露未除，脾胃又弱，难于消燥而用
补也。治法当先服生化一煎后，即加茯苓一钱以利小便。俟血生化，然后议补议消议燥，使
无滞涩虚滑之失。若产毕即泻者，宜加减生化汤。若胎前久泻，产后不止者，宜参苓生化汤
，从权以防虚脱。若久泻不止或脾泄者，须服参苓莲子饮百剂，甚至形脱眼花者，服丹溪急
救方。
加减生化汤∶川芎一钱，当归一钱半，黑姜、炙甘草各五分，桃仁十粒，茯苓一钱半，
莲肉、诃子各八分，姜一片，水煎。两帖泻不止，加人参三钱。
参苓生化汤∶川芎一钱，当归二钱（土炒），姜炭、炙甘草各五分，茯苓一钱，陈皮一
钱
泻加
气加
六分
参术莲子饮∶人参、焦术各二钱，茯苓一钱，当归一钱五分，炒芍八分，炙草五分，陈
皮、升麻各三分，山药一钱，莲子十粒，姜一片。如腹痛加炮姜五分。
丹溪急救方∶人参五钱，白术三钱，茯苓三钱，制附一钱，水煎服。
产后七日内外，患赤白痢疾，后重频数，最为难治。欲调气血而推荡邪秽，又虑产后元
虚。欲滋荣养气而大补脾肾，又恐补住瘀邪，惟生化汤减黑姜而代以茯苓、木香，则善消恶
露兼行痢疾，并行而不悖也。再服加味香连丸，以俟一二日后，病势稍减，可保无虞。若七
日外，患褐色后重虚痢，则当加补无疑。其产母禀浓，产期已过二十日，可于生化汤加芩、
连、芍药、枳壳及加味香连丸之类。承气等药，断不可用。如产母虚弱，虽及月余，行积峻
剂，切不可用。若产后阴虚血痢，日久愈甚，又当用四物汤加人参矣。
加减生化汤∶川芎二钱，当归四钱，桃仁十粒，茯苓五分，陈皮五分，木香二分。红痢
腹痛，加砂仁二分。煎八分送香连丸三十粒。
加味香连丸∶即香连丸加莲肉粉一半为丸。
加连生化汤∶川芎一钱五分，当归三钱，白芍一钱炒，川连六分（姜汁炒），枳壳五分，
茯苓一钱，甘草四分，木香三分，水煎服。积重者加山楂一钱。
产后泄泻，大多是由于身体虚弱、饮食积滞以及脾土虚弱不能运化水湿所致。但是恶露尚未排净，脾胃功能又很虚弱，难以直接采用燥湿或进补的方法治疗。治疗方法应当先服用一剂生化汤，随后加入一钱茯苓以利小便。等到瘀血化为新血之后，然后再讨论是进补、消食还是燥湿，以避免出现因阻滞而加重或虚滑不禁的失误。如果分娩结束后立即发生腹泻，适宜使用加减生化汤。如果在怀孕期间长期腹泻，产后仍未停止的，适宜使用参苓生化汤，采取权宜之计以防虚脱。如果是长期腹泻不止或者是脾虚泄泻，必须服用参苓莲子饮一百剂，甚至形体消瘦、眼花的人，可以服用丹溪急救方。
加减生化汤：川芎一钱，当归一钱半，黑姜、炙甘草各五分，桃仁十粒，茯苓一钱半，莲肉、诃子各八分，生姜一片，加水煎煮。如果服用两帖后腹泻仍不止，加入人参三钱。
参苓生化汤：川芎一钱，当归二钱（用土炒），姜炭、炙甘草各五分，茯苓一钱，陈皮一钱。（原文此处有缺漏，标注“泻加”、“气加”、“六分”，未列出具体药物）
参术莲子饮：人参、焦白术各二钱，茯苓一钱，当归一钱五分，炒白芍八分，炙甘草五分，陈皮、升麻各三分，山药一钱，莲子十粒，生姜一片。如果腹痛，加入炮姜五分。
丹溪急救方：人参五钱，白术三钱，茯苓三钱，制附子一钱，加水煎煮后服用。
产后七日内外，患上赤白痢疾，里急后重且次数频繁，是最难治疗的。想要调和气血并推荡体内的邪秽，又担心产后元气虚弱；想要滋养营血、补气并大补脾肾，又恐怕滋补会留滞瘀血和邪气。只有使用生化汤减去黑姜，代之以茯苓和木香，这样既能善于消除恶露，又能兼治痢疾，两者并行而不冲突。再服用加味香连丸，等待一两天后，病情稍减，就可以保证没有危险了。如果在七日之后，患上褐色后重的虚性痢疾，那么应当增加补益药物无疑。对于体质强壮的产妇，产期已过二十天，可以在生化汤中加入黄芩、黄连、芍药、枳壳以及加味香连丸之类的药物。承气汤等峻下药物，绝对不可使用。如果产妇虚弱，即使过了一个多月，也绝不可使用行积峻剂。如果是产后阴虚导致的血痢，日久加重，又应当使用四物汤加入人参了。
加减生化汤：川芎二钱，当归四钱，桃仁十粒，茯苓五分，陈皮五分，木香二分。如果是红痢且腹痛，加入砂仁二分。煎取八分药液，送服香连丸三十粒。
加味香连丸：即在香连丸的基础上，加入一半比例的莲肉粉制作成丸剂。
加连生化汤：川芎一钱五分，当归三钱，炒白芍一钱，川黄连六分（用姜汁炒），枳壳五分，茯苓一钱，甘草四分，木香三分，加水煎煮后服用。如果积滞严重，加入山楂一钱。
Postpartum diarrhea is generally caused by general weakness, food stagnation, and spleen-earth deficiency failing to transform dampness. However, since lochia has not yet been expelled and the spleen and stomach are weak, it is difficult to use drying or tonifying methods directly. The treatment method should first involve taking one dose of Shenghua Decoction (Shenghua Tang), followed by adding 1 qian of Poria (Fuling) to promote urination. Once blood transformation occurs, then decisions regarding tonification, digestion promotion, or drying can be made, thereby avoiding errors such as obstruction leading to worsening symptoms or deficiency-induced incontinence. If diarrhea occurs immediately after delivery, Jiajian Shenghua Decoction (Modified Shenghua Decoction) is suitable. If chronic diarrhea persisted during pregnancy and continues postpartum, Shenling Shenghua Decoction (Ginseng and Poria Shenghua Decoction) should be used as a temporary measure to prevent collapse from deficiency. For prolonged diarrhea or spleen-deficiency diarrhea, hundreds of doses of Shenling Lianzi Yin (Ginseng, Poria, and Lotus Seed Drink) must be taken; even for those with emaciation and blurred vision, Danxi's Emergency Rescue Formula (Danxi Jijiu Fang) may be administered.
Jiajian Shenghua Decoction: Chuanxiong Rhizome (Chuanxiong) 1 qian, Angelicae Sinensis Radix (Danggui) 1.5 qian, Black Ginger (Heijiang), Honey-fried Licorice Root (Zhigancao) each 0.5 qian, Peach Kernel (Taoren) 10 grains, Poria (Fuling) 1.5 qian, Lotus Seed Meat (Lianrou), Chebula Fruit (Hezi) each 0.8 fen, one slice of Fresh Ginger (Jiang), decocted in water. If diarrhea persists after two doses, add 3 qian of Ginseng (Renshen).
Shenling Shenghua Decoction: Chuanxiong Rhizome (Chuanxiong) 1 qian, Angelicae Sinensis Radix (Danggui) 2 qian (soil-fried), Charred Ginger (Jiangtan), Honey-fried Licorice Root (Zhigancao) each 0.5 qian, Poria (Fuling) 1 qian, Tangerine Peel (Chenpi) 1 qian. [Text indicates additions for diarrhea and qi deficiency but lists no specific herbs].
Shenzhu Lianzi Yin: Ginseng (Renshen), Charred Atractylodes Macrocephala Rhizome (Jiaozhuzhu) each 2 qian, Poria (Fuling) 1 qian, Angelicae Sinensis Radix (Danggui) 1.5 qian, Stir-fried White Peony Root (Chaoshao) 0.8 fen, Honey-fried Licorice Root (Zhigancao) 0.5 qian, Tangerine Peel (Chenpi), Cimicifugae Rhizoma (Shengma) each 0.3 qian, Chinese Yam (Shanyao) 1 qian, Lotus Seeds (Lianzi) 10 grains, one slice of Fresh Ginger (Jiang). If abdominal pain occurs, add 0.5 qian of Processed Ginger (Paojiang).
Danxi's Emergency Rescue Formula: Ginseng (Renshen) 5 qian, Atractylodes Macrocephala Rhizome (Baizhu) 3 qian, Poria (Fuling) 3 qian, Prepared Aconite Root (Zhi Fu Zi) 1 qian, decocted in water and taken orally.
Within seven days before or after delivery, suffering from dysentery with red and white discharge, tenesmus, and frequent bowel movements, is the most difficult to treat. One wishes to harmonize qi and blood and expel pathogenic turbidity, yet fears the postpartum primordial deficiency. One wishes to nourish ying-blood and boost qi, greatly tonifying the spleen and kidney, yet fears that tonification will retain stasis and pathogens. Only by using Shenghua Decoction, removing Black Ginger and substituting it with Poria (Fuling) and Aucklandiae Radix (Muxiang), can one effectively eliminate lochia while simultaneously treating dysentery, allowing both actions to proceed without conflict. Subsequently, Jiawei Xianglian Wan (Modified Xianglian Pills) should be taken. After one or two days, if the condition slightly subsides, safety can be ensured. If after seven days, brown tenesmus and deficiency-type dysentery occur, supplementation is undoubtedly required. For mothers with strong constitutions whose confinement period has exceeded twenty days, Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), White Peony Root (Shaoyao), and Aurantii Fructus (Zhike) can be added to Shenghua Decoction, along with Jiawei Xianglian Wan. Chengqi Decoction (Chengqi Tang) and other purgatives must absolutely not be used. If the mother is weak, even if more than a month has passed, harsh purgative agents acting on accumulation must strictly not be used. If postpartum yin-deficiency leads to bloody dysentery that worsens over time, Siwu Decoction (Four Substance Decoction) with added Ginseng (Renshen) should be used.
Jiajian Shenghua Decoction: Chuanxiong Rhizome (Chuanxiong) 2 qian, Angelicae Sinensis Radix (Danggui) 4 qian, Peach Kernel (Taoren) 10 grains, Poria (Fuling) 0.5 qian, Tangerine Peel (Chenpi) 0.5 qian, Aucklandiae Radix (Muxiang) 0.2 fen. For red dysentery with abdominal pain, add 0.2 fen of Amomi Fructus (Sharen). Decoct to obtain 0.8 portion of liquid, take with 30 pills of Xianglian Wan.
Jiawei Xianglian Wan: Consists of Xianglian Wan plus half the amount of Lotus Seed Powder (Lianrou Fen) mixed into pills.
Jialian Shenghua Decoction: Chuanxiong Rhizome (Chuanxiong) 1.5 qian, Angelicae Sinensis Radix (Danggui) 3 qian, Stir-fried White Peony Root (Chaobaishao) 1 qian, Coptidis Rhizoma (Chuanlian) 0.6 fen (stir-fried with ginger juice), Aurantii Fructus (Zhike) 0.5 qian, Poria (Fuling) 1 qian, Licorice Root (Gancao) 0.4 qian, Aucklandiae Radix (Muxiang) 0.3 qian, decocted in water and taken orally. For severe accumulation, add Hawthorn Fruit (Shanzha) 1 qian.