“痛泻要方”源于《丹溪心法》,《景岳全书》取名曰“白术芍药散”,因主治痛泻,《医方考》称之为“痛泻要方”。该方的主治证是什么呢?三版、四版、1985年版大专函授教材《方剂学》,均认为是肝郁脾虚证:一版、二版、五版教材虽未提及证型而只写症状,但对病机的分析也认为是脾虚木乘。历版教材有一个共同的特点,就是均沿袭《医方考》”泻责之脾,痛责之肝,肝责之实,脾责之虚,脾虚肝实,故令痛泻”,来归纳分析该方的治证和病机。对此笔者认为。该方主治以不提脾虚、归纳为 “Diarrhea and Pregnancy” originated from “Danxi Xinfa” and “King Yue Quan Shu” was named “Atractylodes Rhizome”. Because of the indication of dysentery, “Medicine Exam” was called “Diarrhea Prescription”. What is the cardinal card of this party? The three editions, the fourth edition, and the 1985 version of the correspondence textbook “Fangxuexue” are all considered to be liver depression and spleen deficiency syndrome: the first, second, and fifth editions of textbooks did not mention the syndrome but only Writing symptoms, but the analysis of the pathogenesis is also believed to be spleen deficiency. The calendar version of the textbook has a common feature, that is, follow the “medical examination”, “the spleen of the diarrhea, the blaming of the liver, the responsibility of the liver, the deficiency of the spleen, the deficiency of the spleen, and the resulting diarrhea”. Analyze the party’s treatment and pathogenesis. I believe this. Indications of this party do not mention the spleen deficiency and are summarized as