论曰霍乱呕哕者，阴阳冷热不调，清浊相干，胃气不和，风冷加之故呕，呕不止则哕，
昔人谓呕哕发于下焦之间是也。此甚于呕吐，治宜降气于下，令上下通达，升降无碍，则病
可愈。
治霍乱呕哕，手足冷脉绝。四逆汤方
人参 干姜（炮） 甘草（炙各三两） 附子（炮裂去皮脐二两）
上四味。 咀，每服三钱匕，水一盏，煎至七分，去滓温服。
治霍乱呕哕，手足冷。当归汤方
当归（切焙） 桂（去粗皮） 吴茱萸（汤洗焙干炒各三两） 细辛（去苗叶） 木通
（锉） 甘草（炙） 干姜
上七味。粗捣筛，每服五钱匕，水一盏，酒半盏，大枣二枚去核，煎至一盏，去滓温服
。治霍乱呕哕不止。橘皮汤方
陈橘皮（汤浸去白焙二两） 甘草（炙一两） 枇杷叶（拭去毛炙二两）
上三味。粗捣筛，每服三钱匕，水一盏，生姜三片，煎至七分，去滓温服，如人行五七
里再服。
治霍乱气厥呕哕不得息。半夏汤方
半夏（汤洗七遍焙二两） 甘草（炙） 人参 前胡（去芦头） 桂（去粗皮各一两）
上五味。粗捣筛，每服五钱匕，水一盏半，生姜一分切，豉五十粒，煎至七分，去滓温
服。
治霍乱心烦干呕。芦根汤方
芦根（三两） 人参（一两半） 薤白（洗切七茎） 枇杷叶（拭去毛一两）
上四味。锉如麻豆，每服五钱匕，水一盏半，煎至一盏，去滓空心温服。
治霍乱猝哕。枳实汤方
枳实（去瓤麸炒二两）
上一味。粗捣筛，每服三钱匕，羊乳一盏，羊脂一弹子大，煎至七分，去滓热服，不拘
时。
治霍乱猝哕。糯米粉方
糯米粉（一升）
上一味，每服三钱匕，以井华水调下，不拘时。
治霍乱呕哕。生姜饮方
生姜（二两切）
上一味。以水三盏，煎取一盏半，去滓分温三服，不拘时。
It is stated that Huoluan (cholera-like syndrome with vomiting and diarrhea), vomiting, and hiccups are caused by the disharmony of yin and yang, cold and heat, the mutual interference of clear and turbid qi, and the disharmony of stomach qi. When wind-cold invades, it causes vomiting; if vomiting persists, it develops into hiccups. Ancient practitioners believed that vomiting and hiccups originate from the lower jiao (lower burner), which is correct. This condition is more severe than simple vomiting. Treatment should focus on descending qi to allow smooth communication between the upper and lower parts, ensuring unobstructed ascending and descending functions, so that the disease can be cured.
For treating Huoluan with vomiting and hiccups, accompanied by cold extremities and absent or faint pulse: Si Ni Tang (Four Reversal Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Gan Jiang (Dried Ginger Rhizome, processed by frying), Zhi Gan Cao (Honey-fried Licorice Root, each 3 liang), Fu Zi (Processed Aconite Lateral Root, fried until cracked, skin and umbilicus removed, 2 liang).
The above four ingredients. Coarsely crush. Take 3 qian bi per dose, add one zhan of water, decoct until reduced to 70%, remove dregs, and take warm.
For treating Huoluan with vomiting and hiccups, accompanied by cold extremities: Dang Gui Tang (Angelica Decoction)
Qiu Dang Gui (Fried Angelica Sinensis Root slices), Gui Zhi (Cinnamon Twig, bark removed), Wu Zhu Yu (Evodia Fruit, washed with hot water, dried, and fried, each 3 liang), Xi Xin (Asarum Root, seedlings and leaves removed), Mu Tong (Akebia Stem, chopped), Zhi Gan Cao (Honey-fried Licorice Root), Gan Jiang (Dried Ginger Rhizome).
The above seven ingredients. Coarsely crush and sieve. Take 5 qian bi per dose, add one zhan of water, half a zhan of wine, and two dates (pitted). Decoct until reduced to one zhan, remove dregs, and take warm.
For treating persistent Huoluan with vomiting and hiccups: Ju Pi Tang (Tangerine Peel Decoction)
Chen Ju Pi (Aged Tangerine Peel, soaked in water, white pith removed, dried, 2 liang), Zhi Gan Cao (Honey-fried Licorice Root, 1 liang), Pi Pa Ye (Loquat Leaf, hairs wiped off, fried, 2 liang).
The above three ingredients. Coarsely crush and sieve. Take 3 qian bi per dose, add one zhan of water and three slices of fresh ginger. Decoct until reduced to 70%, remove dregs, and take warm. Administer again after walking for five to seven li.
For treating Huoluan with qi reversal causing severe vomiting and hiccups and difficulty breathing: Ban Xia Tang (Pinellia Decoction)
Ban Xia (Pinellia Tuber, washed seven times with water and dried, 2 liang), Zhi Gan Cao (Honey-fried Licorice Root), Ren Shen (Ginseng Radix et Rhizoma), Qian Hu (Peucedani Radix, rhizome removed), Gui Zhi (Cinnamon Twig, bark removed, each 1 liang).
The above five ingredients. Coarsely crush and sieve. Take 5 qian bi per dose, add one and a half zhan of water, one fen of sliced fresh ginger, and fifty grains of Dou Chi (Prepared Soybean). Decoct until reduced to 70%, remove dregs, and take warm.
For treating Huoluan with mental restlessness and dry heaving: Lu Gen Tang (Reed Rhizome Decoction)
Lu Gen (Reed Rhizome, 3 liang), Ren Shen (Ginseng Radix et Rhizoma, 1.5 liang), Xie Bai (Allium Macrostemon Bulb, washed and cut, seven stalks), Pi Pa Ye (Loquat Leaf, hairs wiped off, 1 liang).
The above four ingredients. Chop finely like hemp seeds. Take 5 qian bi per dose, add one and a half zhan of water. Decoct until reduced to one zhan, remove dregs, and take warm on an empty stomach.
For treating sudden hiccups due to Huoluan: Zhi Shi Tang (Immature Bitter Orange Decoction)
Zhi Shi (Immature Bitter Orange Fruit, pulp removed, stir-fried with bran, 2 liang).
The above single ingredient. Coarsely crush and sieve. Take 3 qian bi per dose, add one zhan of sheep milk and a piece of sheep fat the size of a bullet. Decoct until reduced to 70%, remove dregs, and take hot. Do not restrict time.
For treating sudden hiccups due to Huoluan: Nuo Mi Fen Fang (Glutinous Rice Powder Formula)
Nuo Mi Fen (Glutinous Rice Flour, 1 sheng).
The above single ingredient. Take 3 qian bi per dose, mix well with Jing Hua Shui (well water drawn at dawn) and swallow. Do not restrict time.
For treating Huoluan with vomiting and hiccups: Sheng Jiang Yin (Fresh Ginger Drink)
Sheng Jiang (Fresh Ginger, 2 liang, sliced).
The above single ingredient. Add three zhan of water, decoct to obtain one and a half zhan. Remove dregs and divide into three warm doses. Do not restrict time.