湿霍乱乃暑饮合邪，其证吐泻交作，刻无停机，肚腹疼痛，口渴引饮，胸膈膨闷，饮盛者，古法主二香饮（如
苏叶、藿香、茯苓、扁豆、浓朴、陈皮、半夏、生甘草、大腹皮、白芷、桔梗、黄连、香薷，引用生姜、灯芯）。
暑盛者，古法主辰砂益元散（如辰砂、滑石、甘草，引用灯芯、生姜）合抱龙丸冲服。
〔真按〕小儿得吐泻寒证，方用潞党参二钱，炒白术六分，炙甘草一钱，北干姜三分，淡附子一片，阴阳水
煎服。寒甚，加来复丹一分，冲服。
热证方用荷叶梗二钱，缩砂仁五分，生扁豆钱半，油浓朴五分，宣木瓜六分，赤茯苓钱半，新会皮一钱，块
滑石三钱，生甘草五分。
注意∶热汤米汤，切忌勿犯，必待其吐泻过后一二时，服药过后，俟胃气稍回，渴止知饥，方可稍与稀粥吃之。
小儿湿霍乱，有先泻后吐者，乃脾胃虚寒，故先泻白水，而
吐亦不多，口气缓而神色不慢，额上有汗，六脉沉细，此属虚寒，方用理中丸三钱，加藿香五分，木瓜三分，川
朴五分，阴阳水煎服。
小儿湿霍乱，有先吐后泻者，乃脾胃有热，故喘促唇红，吐多面赤，随即泄泻，渴饮水浆，脉数，此属积热，
方用云茯苓三钱，漂白术二钱，结猪苓二钱，宣泽泻二钱，藿香梗一钱，川朴花一朵，扁豆皮一钱，引用鲜荷梗
五寸，阴阳水煎服。
Damp Cholera (Shi Huoluan) is caused by the combination of Summerheat (Shu) and Fluid retention (Yin). Its manifestations include simultaneous vomiting and diarrhea without pause, abdominal pain, thirst with desire to drink, and distension and fullness in the chest and diaphragm. For cases where fluid retention is predominant, ancient methods primarily employ Erxiang Yin (Two Fragrances Decoction), which contains Perillae Folium (Suye), Agastache Herba (Huoxiang), Poria (Fuling), Dolichos Lablab Seed (Biandou), Magnolia Bark (Nongpu), Citrus Reticulatae Pericarpium (Chenpi), Pinellia Tuber (Banxia), Raw Licorice Root (Sheng Gancao), Areca Seed (Dafupi), Angelica Dahurica Radix (Baizhi), Platycodon Root (Jiegeng), Coptis Rhizome (Huanglian), and Mosla Herb (Xiangru), with Fresh Ginger (Shengjiang) and Sparganium Rhizome (Dengxin) as guides for administration. For cases where Summerheat is predominant, ancient methods primarily employ Chensha Yiyuan San (Cinnabar Yi Yuan Powder), containing Cinnabar (Chensha), Talcum (Huashi), and Licorice Root (Gancao), combined with Baolong Wan (Embrace Dragon Pill) taken with water; it uses Sparganium Rhizome (Dengxin) and Fresh Ginger (Shengjiang) as guides.
[True's Commentary] For infants suffering from vomiting and diarrhea presenting as Cold Syndrome, the formula consists of Codonopsis Radix (Ludangshen) 2 qian, Stir-fried Atractylodes Macrocephala Rhizome (Chao Baizhu) 6 fen, Honey-fried Licorice Root (Zhi Gancao) 1 qian, Dried Northern Ginger (Bei Ganjiang) 3 fen, and Prepared Aconite Lateralis Radix Preparata (Dan Fuzi) 1 slice, decocted in Yin-Yang Water. If the cold is severe, Laifu Dan (Return to Life Pill) 1 fen is added and taken with water.
For Heat Syndrome, the formula consists of Lotus Stem (Heyegeng) 2 qian, Amomum Fruit (Suosharen) 5 fen, Raw Dolichos Lablab Seed (Sheng Biandou) 1.5 qian, Oil-treated Magnolia Bark (You Nongpu) 5 fen, Chaenomeles Fruit (Xuan Mugua) 6 fen, Red Poria (Chi Fuling) 1.5 qian, Xinhui Citrus Peel (Xinhui Pi) 1 qian, Block Talcum (Kuai Huashi) 3 qian, and Raw Licorice Root (Sheng Gancao) 5 fen.
Note: Hot soups and rice soup must be strictly avoided. One must wait until one or two hours after vomiting and diarrhea have ceased, and after taking the medicine, until the Stomach Qi recovers slightly, thirst stops, and hunger is felt, before giving a small amount of thin porridge.
In pediatric damp cholera, there are cases where diarrhea precedes vomiting. This is due to Deficiency-Cold of the Spleen and Stomach, resulting in the initial discharge of clear watery stool, with little vomiting, slow breath, calm demeanor, sweating on the forehead, and deep, fine pulses in all six positions. This belongs to Deficiency-Cold, treated with Lizhong Wan (Regulate the Middle Pill) 3 qian, added with Agastache Herba (Huoxiang) 5 fen, Chaenomeles Fruit (Mugua) 3 fen, and Magnolia Bark (Chuan Pu) 5 fen, decocted in Yin-Yang Water.
In pediatric damp cholera, there are cases where vomiting precedes diarrhea. This is due to Heat in the Spleen and Stomach, resulting in panting, red lips, profuse vomiting with a flushed face, followed immediately by diarrhea, thirst with desire to drink fluids, and rapid pulse. This belongs to Accumulated Heat, treated with Cloud Poria (Yun Fuling) 3 qian, Bleached Atractylodes Macrocephala Rhizome (Biaobai Zhu) 2 qian, Knotted Polyporus (Jie Zhuling), Alisma Rhizome (Xuan Zexie) 2 qian, Agastache Stem (Huoxiang Geng) 1 qian, Magnolia Flower (Chuan Pu Hua) 1 flower, Dolichos Lablab Skin (Biandou Pi) 1 qian, using fresh Lotus Stem (Xian Hegeng) 5 cun as a guide, decocted in Yin-Yang Water.