论曰乳石发霍乱转筋者，以服食失度，阴阳不和，清浊相干也，盖服石之人。腑脏多热
，热即引饮，及其饥饱，食又过多。水谷既伤，肠胃不纳，下为泄利，上为吐逆，又为 胀
，吐利不止，塞气益甚，则为转筋，食饮药剂。当调以温和，使石热平息，气道下降，则病
可愈。
治乳石发，霍乱转筋不止。香薷汤方
香薷（三分） 木瓜（干者去瓤） 人参 陈橘皮（汤浸去白焙） 浓朴（去粗皮生姜
汁炙熟
各一两） 桂（去粗皮半两）
上六味，粗捣筛，每服五钱匕，水一盏半，入生姜半分切，煎取八分，去滓温服，不计
时候。
治乳石发，霍乱吐利转筋。木瓜汤方
木瓜（大者一枚去瓤薄切） 仓粳米（一合）
上二味，以水二盏，煎取一盏，去滓时时温服一合。
治乳石发，霍乱吐利不止及转筋。糯米饮方
糯米（淘净三合）
上一味细研，以少许清水，搅如乳状，顿服立止。
治乳石发，霍乱转筋及心腹痛。高良姜汤方
高良姜（锉半两） 桂（去粗皮一两） 木瓜（干者去瓤二两）
上三味，粗捣筛，每服三钱匕，以水一盏，煎取七分，去滓温服，不计时。
治乳石发，霍乱吐利转筋。棠梨木瓜汤方
棠梨枝（一握） 木瓜（大者一枚去瓤）
上二味，细锉，分四服，每服以水一盏，入生姜五片，煎取七分，去滓热服，不计时。
治乳石发，转筋，不吐不下，气急。桑叶饮方
桑叶（切二两）
上一味，以水五盏，煎至一盏半，去滓分温二服，早晚各一。
治乳石发，吐利转筋气急。高良姜饮方
高良姜（锉五两）
上一味，粗捣筛，每服三钱匕，以酒一盏，煎至六分，去滓温服，早晚食前各一，亦疗
暴腹痛恶血气急。
治乳石发，霍乱转筋气急。木瓜饮方
木瓜（一枚去皮子切焙干）
上一味，锉如麻豆大，每服三钱匕，以水一盏半，煎至八分，去滓温服，饮尽更作。无
木瓜，只以枝叶并根代之。
治乳石发，吐利不止，转筋入腹欲死。方
生姜（半两切）
上一味，以酒一盏，煎五七沸，去滓顿服之。
治乳石发动，霍乱疼痛不可忍。方
食茱萸（淘净炒香二两）
上一味，以酒三盏，煎至一盏半，分为二服，得下利即瘥，空腹食前各一。
治乳石发，霍乱转筋入腹。方
鸡屎白（半两）
上一味，捣罗为末，每服二钱匕，空腹以温水半盏调，顿服之良。
It is discussed that when Ru Shi disease (illness caused by the toxicity of mineral drugs) triggers Huo Luan (acute gastroenteritis with vomiting and diarrhea) accompanied by Zhuan Jin (muscle cramps), it is due to the irregular intake of these drugs, leading to disharmony between Yin and Yang and the interference of clear and turbid Qi. Individuals who consume stone drugs often have accumulated heat in their Zang-Fu organs. This heat induces thirst and increased fluid intake; combined with irregular meals and overeating, the water and food damage the intestines and stomach. The digestive system fails to receive and transform nutrients, resulting downward in diarrhea and upward in vomiting, along with abdominal distension. If vomiting and diarrhea persist without cessation, Qi obstruction worsens, leading to muscle cramps. Regarding dietary and medicinal regulation, mild and warm-natured substances should be used to extinguish the mineral heat and facilitate the descent of Qi flow, thereby curing the disease.
Xiang Ru Tang (Elsholtzia Decoction) for treating Ru Shi disease onset, Huo Luan, and persistent muscle cramps:
Elsholtziae Herba (Xiangru, 3 fen), Papayae Fructus (Mugua, dried, pith removed), Ginseng Radix et Rhizoma (Renshen), Citri Reticulatae Pericarpium Viride (Chenpi, soaked in hot water, white pith removed, dried), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, stir-fried with ginger juice until cooked), Cinnamomi Ramulus (Guizhi, coarse bark removed, 0.5 liang).
The above six herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water and 0.5 fen of sliced fresh ginger. Simmer until reduced to 0.8 zhan, strain, and take warm at any time.
Mugua Tang (Papaya Decoction) for treating Ru Shi disease onset, Huo Luan with vomiting and diarrhea, and muscle cramps:
Papayae Fructus (Mugua, one large fruit, pith removed, thinly sliced), Oryza Sativa Var. Japonica (Cangjingmi, 1 he).
The above two ingredients are boiled with 2 zhan of water until reduced to 1 zhan. Strain and take 1 he of the warm liquid frequently.
Nuomi Yin (Glutinous Rice Drink) for treating Ru Shi disease onset, persistent Huo Luan vomiting and diarrhea, and muscle cramps:
Oryza Sativa Var. Glutinosa (Nuomi, 3 he, thoroughly washed).
The above single herb is finely ground, mixed with a small amount of clear water, stirred into a milky consistency, and taken in one dose to stop symptoms immediately.
Gaoliangjiang Tang (Galangal Decoction) for treating Ru Shi disease onset, Huo Luan with muscle cramps, and epigastric/abdominal pain:
Alpiniae Officinarum Rhizoma (Gaoliangjiang, chopped, 0.5 liang), Cinnamomi Ramulus (Guizhi, coarse bark removed, 1 liang), Papayae Fructus (Mugua, dried, pith removed, 2 liang).
The above three herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with 1 zhan of water until reduced to 0.7 zhan. Strain and take warm at any time.
Tangli Mugua Tang (Pyrus Betulifolia Branch and Papaya Decoction) for treating Ru Shi disease onset, Huo Luan with vomiting, diarrhea, and muscle cramps:
Ramulus Pyri Betulifoliae (Tangli zhi, one handful), Papayae Fructus (Mugua, one large fruit, pith removed).
The above two ingredients are finely chopped and divided into four doses. Each dose is boiled with 1 zhan of water and five slices of fresh ginger until reduced to 0.7 zhan. Strain and take hot at any time.
Sangye Yin (Mulberry Leaf Drink) for treating Ru Shi disease onset, muscle cramps without vomiting or diarrhea, and shortness of breath:
Folium Mori Sangfolii (Sangye, chopped, 2 liang).
The above single herb is boiled with 5 zhan of water until reduced to 1.5 zhan. Strain and divide into two warm doses, taken once in the morning and once in the evening.
Gaoliangjiang Yin (Galangal Drink) for treating Ru Shi disease onset, vomiting, diarrhea, muscle cramps, and shortness of breath:
Alpiniae Officinarum Rhizoma (Gaoliangjiang, chopped, 5 liang).
The above single herb is coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with 1 zhan of wine until reduced to 0.6 zhan. Strain and take warm, once before breakfast and once before dinner. It also treats sudden abdominal pain, blood stasis, and shortness of breath.
Mugua Yin (Papaya Drink) for treating Ru Shi disease onset, Huo Luan with muscle cramps and shortness of breath:
Papayae Fructus (Mugua, one fruit, skin and seeds removed, chopped and dried).
The above single herb is chopped to the size of hemp seeds. Each dose consists of 3 qianbi, boiled with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm. Prepare another dose after finishing. If Mugua is unavailable, its branches, leaves, and roots may be substituted.
Formula for treating Ru Shi disease onset, persistent vomiting and diarrhea, severe muscle cramps extending to the abdomen approaching death:
Zingiberis Rhizoma Recens (Shengjiang, 0.5 liang, sliced).
The above single herb is boiled in 1 zhan of wine for five to seven boils. Strain and take in one dose.
Formula for treating Ru Shi disease onset, unbearable Huo Luan pain:
Evodiae Fructus (Shizhuyu, 2 liang, washed and stir-fried until fragrant).
The above single herb is boiled with 3 zhan of wine until reduced to 1.5 zhan. Divide into two doses. Recovery occurs upon the onset of diarrhea. Take one dose on an empty stomach and one before meals.
Formula for treating Ru Shi disease onset, Huo Luan with muscle cramps extending to the abdomen:
Stercus Galli Album (Jieshibai, 0.5 liang).
The above single herb is pounded and sieved into powder. Each dose consists of 2 qianbi, mixed with 0.5 zhan of warm water on an empty stomach and taken in one dose for good effect.