论曰干霍乱之状,中气喘争,而不吐不利是也。肠胃挟实,与冷气相搏,正气暴衰,神
志昏冒,上下隔塞,白汗自出,治之稍缓,则不可救。
治干霍乱大小便不通,手足心俱热闷乱。冬葵子汤方
冬葵子 滑石(碎) 香薷(择各二两) 干木瓜(细切去皮瓤一枚)
上四味。粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓温服,大小便通利,心中快
立瘥,日四五服。
治干霍乱,上不得吐,下不得泻,但冷汗自出,气闷将绝。盐汤方
盐(半匙熬) 童子小便(一盏)
上二味。温和服,少顷吐下愈。
治干霍乱。紫苏丸方
紫苏 桂(去粗皮) 陈橘皮(汤浸去白焙) 高良姜 人参(各一两)
上五味。为细末,炼蜜丸梧桐子大。才觉食不消气满,恶心欲吐干呕,每服二十丸,
温酒下日再。
治干霍乱。浓朴汤方
浓朴(去粗皮生姜炙三分) 大黄(锉炒二两) 槟榔(锉) 枳壳(去瓤麸炒) 朴
硝高良姜(各三分
上六味。粗捣筛,每服五钱匕。水一盏半,煎至一盏,去滓温服。
治干霍乱。人参汤方
人参 浓朴(去粗皮生姜汁炙一两) 高良姜 桂(去粗皮各半两) 白茯苓(去黑皮
一两) 甘草
上六味。粗捣筛,每服三钱匕,水一盏,生姜三片,煎至七分,去滓不拘时温服。
治干霍乱不吐不泻,但壅闷胀满,或 痛。木香散方
木香 青橘皮(汤浸去白焙) 槟榔(生锉) 大黄(锉炒各半两) 桔梗(锉炒一两)
桂(去粗皮) 白
上八味。捣罗为散,每服二钱匕,冷生姜汤调下,加至三钱匕,以瘥为度。
治干霍乱不吐利。大黄丸方
大黄(锉炒一两) 干姜(炮半两) 桂(去粗皮三分) 巴豆(十四枚去皮心膜炒研)
上四味。先捣前三味为细末,与巴豆同研令匀,炼蜜丸如梧桐子大。每服五丸至七丸,
温水下,服久未动,更服三丸,以温粥饮一盏投之,取利为效。
治干霍乱上气冲急欲闷绝,大小便不通。槟榔汤方
槟榔(七枚锉)
上一味。粗捣筛,每服五钱匕,水一盏,童子小便半盏,煎至一盏,去滓温服,日再。
治干霍乱腹胁胀满,不吐利,心胸闷乱不可忍。陈橘皮汤方
陈橘皮(汤浸去白焙三两) 蜀椒(去目并闭口炒出汗四十粒)
上二味。粗捣筛,每服五钱匕,水一盏半,生姜三片,煎至一盏,去滓温服不拘时。
治干霍乱。黍米饮方
黍米(二合水淘净)
上一味。水研澄取白汁,呷尽即瘥。
治干霍乱不吐利,四肢烦疼,身冷汗出。水蓼饮方
水蓼(切) 香薷(择切各二两)
上二味。以水五盏,煎取三盏,去滓分温三服。
治干霍乱心腹胀,烦满气痛,不得吐下方。
盐一合水一升
上同煎令盐消,旋服之,吐出便愈,若不吐又饮之,令吐必瘥。
治脾元虚损,霍乱不吐泻,腹胀如鼓,心胸痰壅。活命饮方
盐(一合) 生姜(半两) 甘草(炙一分) 葛根(半两) 丁香(七粒)
上五味。细锉,如麻豆,用童子小便一盏半,煎至一盏,去滓分温二服。
治干霍乱不吐不利,令人昏冒,烦乱气短,上下隔塞,冷汗自出。二胜散方
诃黎勒皮 干姜(成块者各二两)
上二味。不捣碎,同用水二升,于铫子内煎,水尽为度,取出重细切焙干,捣罗为散,
每服二钱匕,陈米饮调下。
Discussion states: The presentation of Gan Huoluan (Dry Cholera) is characterized by panting and struggling in the chest, without vomiting or diarrhea. This occurs when the intestines and stomach are filled with excess pathogens that contend with cold qi, causing a sudden decline of healthy qi. The spirit becomes confused and obscured, the upper and lower jiao become blocked and obstructed, spontaneous white sweat appears, and if treatment is delayed even slightly, it becomes incurable.
Dongkui Zi Decoction for treating Gan Huoluan with obstruction of urination and defecation, heat and stuffiness in the palms and soles, and mental restlessness:
Dong Kui Zi (Abutilonis Semen), Hua Shi (Talcum), Xiang Ru (Moslae Herba) (each selected at two liang), Gan Mu Gua (Dried Chaenomeles Fruit) (one fruit, finely sliced, skin and pith removed).
The above four ingredients are coarsely crushed and sieved. Each dose consists of five qian bi (approx. 5-10g depending on era/measurement, here kept as unit), boiled in one dan half (approx. 300ml) of water until reduced to one dan (approx. 200ml). Strain and take warm. Once urination and defecation become smooth and the heart feels relieved, the illness will immediately resolve. Take four to five times daily.
Yan Tang (Salt Decoction) for treating Gan Huoluan where one cannot vomit from above nor purge from below, accompanied only by spontaneous cold sweat and suffocating breath nearing collapse:
Yan (Halitum) (half spoon, roasted), Tong Zi Xiao Nian (Child's Urine) (one dan).
The above two ingredients are taken warm. After a short while, vomiting or purging will occur, leading to recovery.
Zi Su Wan (Perilla Pill) for treating Gan Huoluan:
Zi Su (Perillae Folium), Gui Zhi (Cinnamomi Ramulus) (coarse bark removed), Chen Ju Pi (Citri Reticulatae Pericarpium) (steeped in decoction, white pith removed, dried), Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Ren Shen (Ginseng Radix et Rhizoma) (each one liang).
The above five ingredients are ground into fine powder and formed into pills the size of paulownia seeds using refined honey. When one first feels indigestion, abdominal fullness, nausea, or dry heaving, take twenty pills each time, washed down with warm wine. Take twice daily.
Nong Po Tang (Magnolia Bark Decoction) for treating Gan Huoluan:
Nong Po (Magnoliae Officinalis Cortex) (coarse bark removed, stir-fried with ginger juice, three fen), Da Huang (Rhei Radix et Rhizoma) (crushed and stir-fried, two liang), Bing Lang (Arecae Semen) (crushed), Zhi Ke (Aurantii Fructus) (pith removed, stir-fried with bran), Po Xiao (Natrii Sulfas), Gao Liang Jiang (Alpiniae Officinarum Rhizoma) (each three fen).
The above six ingredients are coarsely crushed and sieved. Each dose consists of five qian bi, boiled in one dan half of water until reduced to one dan. Strain and take warm.
Ren Shen Tang (Ginseng Decoction) for treating Gan Huoluan:
Ren Shen (Ginseng Radix et Rhizoma), Nong Po (Magnoliae Officinalis Cortex) (coarse bark removed, stir-fried with ginger juice, one liang), Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Gui Zhi (Cinnamomi Ramulus) (coarse bark removed, each half liang), Bai Fu Ling (Poria) (black skin removed, one liang), Gan Cao (Glycyrrhizae Radix et Rhizoma).
The above six ingredients are coarsely crushed and sieved. Each dose consists of three qian bi, boiled in one dan of water with three slices of fresh ginger until reduced to seven tenths. Strain and take warm at any time.
Mu Xiang San (Costus Powder) for treating Gan Huoluan without vomiting or diarrhea, presenting only with congestion, stuffiness, distension, or pain:
Mu Xiang (Aucklandiae Radix), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (steeped in decoction, white pith removed, dried), Bing Lang (Arecae Semen) (raw and crushed), Da Huang (Rhei Radix et Rhizoma) (crushed and stir-fried, each half liang), Jie Geng (Platycodonis Radix) (crushed and stir-fried, one liang), Gui Zhi (Cinnamomi Ramulus) (coarse bark removed), Bai [Text incomplete in source, likely referring to a white-colored herb such as Bai Zhu or Bai Shao, but strictly following source text which ends abruptly]:
The above eight ingredients are crushed and sifted into a powder. Each dose consists of two qian bi, mixed with cold ginger water and taken orally. The dose may be increased to three qian bi, stopping when the illness resolves.
Da Huang Wan (Rhubarb Pill) for treating Gan Huoluan without vomiting or diarrhea:
Da Huang (Rhei Radix et Rhizoma) (crushed and stir-fried, one liang), Gan Jiang (Zingiberis Rhizoma) (processed, half liang), Gui Zhi (Cinnamomi Ramulus) (coarse bark removed, three fen), Ba Dou (Crotonis Fructus) (fourteen seeds, skin, core, and membrane removed, stir-fried and pounded).
The above four ingredients: First, grind the first three ingredients into a fine powder. Mix evenly with the pounded Ba Dou. Form pills the size of paulownia seeds using refined honey. Take five to seven pills each time, washed down with warm water. If there is no movement after prolonged time, take three more pills, followed by a cup of warm rice gruel, aiming for purging as the therapeutic effect.
Bing Lang Tang (Areca Seed Decoction) for treating Gan Huoluan with urgent upward rushing of qi threatening suffocation, and obstruction of urination and defecation:
Bing Lang (Arecae Semen) (seven seeds, crushed).
The above single ingredient is coarsely crushed and sieved. Each dose consists of five qian bi, boiled in one dan of water and half a dan of child's urine until reduced to one dan. Strain and take warm. Take twice daily.
Chen Ju Pi Tang (Aged Tangerine Peel Decoction) for treating Gan Huoluan with abdominal and hypochondriac distension, without vomiting or diarrhea, and unbearable mental restlessness and chest stuffiness:
Chen Ju Pi (Citri Reticulatae Pericarpium) (steeped in decoction, white pith removed, dried, three liang), Shu Jiao (Zanthoxyli Pericarpium) (remove eyes and closed ones, stir-fry until "sweat" appears, forty grains).
The above two ingredients are coarsely crushed and sieved. Each dose consists of five qian bi, boiled in one dan half of water with three slices of fresh ginger until reduced to one dan. Strain and take warm at any time.
Shu Mi Yin (Millet Drink) for treating Gan Huoluan:
Shu Mi (Panicum mili) (two he, rinsed clean with water).
The above single ingredient is ground in water, clarified, and the white juice is extracted. Drink it all up, and the illness will resolve.
Shui Liao Yin (Polygonum Hydropiper Drink) for treating Gan Huoluan without vomiting or diarrhea, accompanied by vexing pain in the four limbs, cold body, and sweating:
Shui Liao (Polygoni Hydropiperis Herba) (sliced), Xiang Ru (Moslae Herba) (selected and sliced, each two liang).
The above two ingredients are boiled in five dan of water until reduced to three dan. Strain and divide into three warm doses.
Formula for treating Gan Huoluan with abdominal and chest distension, vexing fullness, qi pain, and inability to vomit or purge:
Yan (Halitum) one he, Water one sheng.
Boil together until the salt dissolves. Take immediately. Vomiting will lead to recovery. If vomiting does not occur, drink again to induce vomiting; this will surely cure the illness.
Huo Ming Yin (Life-Sustaining Drink) for treating deficiency damage of the Spleen Yuan, Huoluan without vomiting or diarrhea, drum-like abdominal distension, and phlegm congestion in the chest and heart:
Yan (Halitum) one he, Sheng Jiang (Zingiberis Rhizoma Recens) (half liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted, one fen), Ge Gen (Puerariae Lobatae Radix) (half liang), Ding Xiang (Caryophylli Flos) (seven grains).
The above five ingredients are finely crushed to the size of hemp seeds. Boil in one dan half of child's urine until reduced to one dan. Strain and divide into two warm doses.
Er Sheng San (Two Victories Powder) for treating Gan Huoluan without vomiting or diarrhea, causing dizziness and confusion, vexation, shortness of breath, upper and lower obstruction, and spontaneous cold sweat:
He Li Le Pi (Terminaliae Chebulae Pericarpium), Gan Jiang (Zingiberis Rhizoma) (solid blocks, each two liang).
The above two ingredients are not crushed. Simmer together in two sheng of water in a yinzi (earthenware pot) until the water is exhausted. Remove, cut finely again, dry by roasting, then crush and sift into a powder. Each dose consists of two qian bi, taken with aged rice water.