霍乱者,由温凉不调,阴阳清浊二气有相干乱之时,其乱在于肠胃之间者,因遇饮食而
变,发则心腹绞痛。其有先心痛则先吐,先腹痛者则先痢,心腹俱痛,则吐痢兼发。谓之霍
乱者,言其病挥霍之间便致撩乱也。宜急用∶
半夏 人参各三两 附子(炮) 干姜(炮)各四两 桔梗二两
共捣为末,为丸如梧子,以苦酒下二丸,不瘥复服。如霍乱已死,上屋唤魂,又以诸治
皆至,而独不瘥者,可捧病患腹之,伸臂对以绳度两头肘尖头,根据绳下夹背脊不骨穴中,去
脊各一寸,灸之百壮,可治者,可灸肘椎。已试数百人,皆灸毕即起坐。
转筋者,由冷气入于筋故也。凡霍乱大吐痢之后,阴阳俱虚,则手足逆冷,而营卫不理,
冷搏于筋,则筋为之转。急用∶
吴茱萸一升 甘草(炙) 干姜(炮)各二两 蓼子一把 乱发一两(烧) 桂心二两
以水七升,煮取二升三合,去滓分温三服。服毕相去如人行六、七里,并灸蹶心,当拇
指大聚筋上六七壮,名涌泉。又灸足大趾下约中一壮,神验。
干呕者,谓欲呕而无出也。用∶
浓朴(炙)二两 生姜 枳实(炙)各三两
以水六升,煮取二升,分三服。并灸手腕后三寸,两筋间左右各七壮,名间使。若正厥
呕绝,灸之便通。
Bie Jia (Testudinis Carapax et Plastrum), Chuang Xin Zi (Cnidii Fructus), and Bai Zhi (Angelicae Dahuricae Radix) in equal parts.
Grind into powder, mix with sesame oil for topical application; extremely effective.
Huo Luan (Cholera-like syndrome characterized by sudden vomiting and diarrhea) arises from the imbalance of warmth and cold, causing the Qi of Yin and Yang, as well as clear and turbid energies, to interfere and chaoticize. When this chaos occurs between the intestines and stomach, it is triggered by dietary irregularities, manifesting as severe pain in the heart and abdomen. If heart pain precedes, vomiting occurs first; if abdominal pain precedes, diarrhea occurs first; if both heart and abdomen hurt, vomiting and diarrhea occur simultaneously. It is called "Huo Luan" because the disorder causes chaotic turmoil suddenly. Urgently use:
Ban Xia (Pinelliae Rhizoma) 3 liang, Ren Shen (Ginseng Radix) 3 liang, Fu Zi (Aconiti Lateralis Radix Praeparata, prepared) 4 liang, Gan Jiang (Zingiberis Rhizoma, prepared) 4 liang, Jie Geng (Platycodonis Radix) 2 liang.
Pound together into powder, form pills the size of wu zi (Chinese honeylocust seeds). Take two pills down with Ku Jiu (bitter vinegar). If not cured, take again. If the patient has died from Huo Luan, call for the soul from the roof, and if all other treatments have been applied but remain ineffective, hold the patient's abdomen, extend the arms, and measure the distance between the two elbow tips with a rope. Based on the length of the rope, locate the non-bone points on the back flanking the spine at one cun away from the spine, moxa them with 100 zhuang. If curable, also moxa the Zhou Zhui (Elbow Vertebra) point. This method has been tested on hundreds of people, all of whom sat up immediately after moxibustion was completed.
Zhuan Jin (Muscle Spasm/Cramp) is caused by cold Qi entering the sinews. After severe vomiting and diarrhea from Huo Luan, both Yin and Yang are deficient, leading to cold extremities and disordered Ying (Nutritive) and Wei (Defensive) Qi. When cold combats the sinews, the sinews twist and cramp. Urgently use:
Wu Zhu Yu (Evodiae Fructus) 1 sheng, Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted) 2 liang, Gan Jiang (Zingiberis Rhizoma, prepared) 2 liang, Liao Zi (Polygoni Orientalis Fructus) one handful, Luan Fa (Human Hair, burned) 1 liang, Gui Xin (Cinnamomi Cortex internal part) 2 liang.
Boil in seven sheng of water until two sheng and three he remain. Remove dregs and divide into three warm doses. After finishing the dose, wait the time it takes a person to walk six or seven li, then moxa Jue Xin (a point often identified with Yongquan, located above the gathered sinuses near the big toe) with 6-7 zhuang, named Yong Quan (Gushing Spring). Also moxa the center of the fold under the big toe with one zhuang; this is divinely effective.
Gan Ou (Dry Heaving) refers to the desire to vomit without anything coming out. Use:
Hou Po (Magnoliae Officinalis Cortex, roasted) 2 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 3 liang, Zhi Shi (Aurantii Fructus Immaturus, roasted) 3 liang.
Boil in six sheng of water until two sheng remain. Divide into three doses. Also moxa the Jian Shi (Pericardium 5) point, located three cun posterior to the wrist crease between the two tendons, seven zhuang on each side left and right. If suffering from true Jue Ni (Cold Reversal) with vomiting and Qi collapse, moxing this point restores flow.