论曰霍乱者，由脾胃虚弱，外客风冷之气，阴阳不和，致水谷相并，清浊莫分，变乱于
肠胃之间，令人心胸烦懊，闷乱不安，因名霍乱。然邪气上干于阳络，则心痛而呕吐，下搏
于阴经，则腹痛而泄利，故谓之霍乱心腹痛也。
治霍乱吐逆，心腹疼痛，或便利数多，冷热不调。诃黎勒丸方
诃黎勒皮（炒） 陈橘皮（汤浸去白焙各一两） 生姜（切炒三分） 甘草（炙半两）
上四味，捣罗为末，炼蜜和丸，如梧桐子大。每服二十丸，煎生姜米饮下，不计时候。
治霍乱吐泻，心腹疼痛。理中丸方
高良姜（锉） 白术（各一两） 桂（去粗皮） 甘草（炙各半两）
上四味。捣罗为末，炼蜜和丸，如弹子大。每服一丸，不计时候，浓煎橘皮汤化下。
治霍乱心腹痛，烦呕不止。桂心汤方
桂（去粗皮三两） 浓朴（去粗皮涂生姜汁炙四两） 枳实（去瓤麸炒五两）
上三味。粗捣筛，每服三钱匕，生姜三片，水一盏，煎至七分，去滓温服不拘时。
治霍乱中冷心腹痛。当归汤方
当归（切焙三两） 桂（去粗皮） 甘草（炙各二两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治霍乱吐下虚烦不止，心腹绞痛。温中汤方
人参 干姜（炮） 白术 甘草（炙） 当归（切焙）
上五味。等分，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治霍乱心腹痛。荠 饮方
荠 浓朴（去粗皮涂生姜汁炙锉） 知母（焙） 栝蒌（实） 枳壳（去瓤麸炒） 葛
根（锉） 犀角（镑） 桔梗（炒） 陈橘皮（去白切焙） 白茯苓（去黑皮） 甘草（炙）
人参 蓝实（炒） 黄芩（去黑心各一两）
上一十四味。粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治霍乱宿食不消，心腹 痛。抵圣散方
浓朴（去粗皮生姜汁涂炙四两） 白术（二两） 吴茱萸（汤洗焙干炒一两） 高良姜
（半两） 人参 白茯苓（去黑皮） 甘草（炙锉） 木香 枳壳（去瓤麸炒） 草豆蔻（去
皮） 陈橘皮（去白焙各一两）
上一十一味。捣罗为散，每服二钱匕，沸汤调下，不拘时候。
治霍乱心腹痛急，如中恶。菖蒲汁方
生菖蒲（锉碎四两）
上一味。以水同捣，绞取汁一盏，分为四服，每用热汤和温服，并三服。
治霍乱心腹 痛。沉香丸方
沉香 丁香 犀角（镑） 枳实（去瓤麸炒） 肉豆蔻（去壳炮） 木香 蓬莪术（炮
各半两） 胡椒（一分） 槟榔（锉四枚） 乳香（研） 没药（研各半两） 巴豆（去皮
心研出油） 麝香（研各一钱）
上一十三味。先捣前九味为末，与巴豆没药乳香麝香和令匀，糯米粥为丸，如莱菔子大
。每服五丸，用生姜橘皮煎汤下，加至十丸。
治霍乱吐下，心腹痛干呕，手足冷不止。干姜汤方
干姜（炮） 甘草（炙） 人参（各一两） 附子（炮裂去皮脐一枚）
上四味。锉如麻豆，每服三钱匕，水一盏，煎七分，去滓温服，不拘时。
治霍乱猝曝心腹痛。备急丸方
干姜（炮） 大黄（炮各一两） 巴豆（去皮心炒干别研半两）
上三味。捣罗二味为末，与巴豆和匀，面糊为丸，如绿豆大，每服二丸，橘皮汤下，得
利为效，痛止勿服。
治霍乱心腹痛烦不止，或呕。浓朴汤方
浓朴（去粗皮生姜汁炙锉） 桂（去粗皮） 枳壳（去瓤麸炒各二两） 芍药 槟榔（锉
各一两）
上五味。粗捣筛，每服三钱匕，水一盏，入生姜五片，煎取七分，去滓温服，不拘时。
治霍乱吐利不止，心腹俱痛。桃叶饮方
桃叶（秒冬取枝捣一升）
上一味。捣碎，以水五盏，和绞取汁，每温服一盏，不拘时。
治霍乱心腹冷痛，呕逆恶心，大肠滑泄。缩砂蜜散方
缩砂蜜（去皮炒） 陈曲（炮） 白术（锉炒） 干姜（炮） 龙骨 赤石脂 吴茱萸
（汤浸焙炒） 芎
上九味。等分，捣罗为散，每服二钱匕，热米饮调下，不拘时。
治霍乱吐泻不止，心腹 痛烦渴。良姜散方
高良姜（锉炒一分） 苍术（米泔浸一宿锉炒） 麦门冬（去心焙） 陈橘皮（汤浸去
白焙） 肉豆蔻（去壳） 吴茱萸（汤浸锉炒） 人参 诃黎勒皮（各三分）
上八味。捣罗为散，每服三钱匕，米饮调下，不拘时服。
Discourse states: Huoluan (acute vomiting and diarrhea) is caused by the deficiency of the Spleen and Stomach, external invasion of wind-cold pathogens, disharmony of Yin and Yang, leading to the mixing of water and grain, failure to separate clear from turbid, and chaos between the intestines and stomach. This causes vexation and oppression in the chest and heart, restlessness and discomfort, hence named Huoluan. However, if pathogenic factors ascend to invade the Yang collaterals, it results in heart pain and vomiting; if they descend to strike the Yin meridians, it results in abdominal pain and diarrhea. Therefore, it is called Huoluan with heart and abdominal pain.
Formula for treating Huoluan with vomiting and regurgitation, heart and abdominal pain, or frequent urination and defecation, and imbalance of cold and heat: Helile Wan (Terminalia Chebula Pill).
Helile Pi (Cortex Terminaliae Chebulae, roasted) 1 liang, Chenjupi (Pericarpium Citri Reticulatae, soaked in decoction, white pith removed, dried) 1 liang, Shengjiang (Rhizoma Zingiberis Recens, sliced and roasted) 3 fen, Gancao (Radix Glycyrrhizae Preparata, honey-fried) 0.5 liang.
The above four ingredients are pounded and sifted into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose, administered with a decoction of ginger and rice beverage, at any time.
Formula for treating Huoluan with vomiting and diarrhea, heart and abdominal pain: Lizhong Wan (Regulate the Middle Pill).
Gaoliangjiang (Rhizoma Alpiniae Officinarum, chopped) 1 liang, Baizhu (Rhizoma Atractylodis Macrocephalae) 1 liang, Gui (Ramulus Cinnamomi, coarse bark removed) 0.5 liang, Gancao (Radix Glycyrrhizae Preparata, honey-fried) 0.5 liang.
The above four ingredients are pounded and sifted into powder, mixed with refined honey to form pills the size of a bullet. Take one pill per dose, at any time, dissolved in a strong decoction of Pericarpium Citri Reticulatae.
Formula for treating Huoluan with heart and abdominal pain, persistent vexation and vomiting: Guixin Tang (Cinnamon Heart Decoction).
Gui (Ramulus Cinnamomi, coarse bark removed) 3 liang, Houpo (Cortex Magnoliae Officinalis, coarse bark removed, coated with ginger juice and fried) 4 liang, Zhishi (Fructus Aurantii Immaturus, placenta removed, bran-roasted) 5 liang.
The above three ingredients are coarsely crushed and sieved. Take 3 qianbi (approx. 9-15g depending on era/measure) per dose, add 3 slices of ginger, 1 zhan (approx. 200ml) of water, decoct until 0.7 zhan remains, remove dregs, and take warm at any time.
Formula for treating Huoluan with heart and abdominal pain due to internal cold: Danggui Tang (Angelica Decoction).
Danggui (Radix Angelicae Sinensis, sliced and dried) 3 liang, Gui (Ramulus Cinnamomi, coarse bark removed) 2 liang, Gancao (Radix Glycyrrhizae Preparata, honey-fried) 2 liang.
The above three ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm at any time.
Formula for treating Huoluan with post-vomiting/diarrhea deficiency vexation, persistent heart and abdominal colic: Wenzhong Tang (Warm the Middle Decoction).
Renshen (Radix Ginseng), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Baizhu (Rhizoma Atractylodis Macrocephalae), Gancao (Radix Glycyrrhizae Preparata, honey-fried), Danggui (Radix Angelicae Sinensis, sliced and dried).
The above five ingredients are equal parts, coarsely crushed and sieved. Take 3 qianbi per dose, 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm at any time.
Formula for treating Huoluan with heart and abdominal pain: Qini Yin (Qin Decoction).
Qini (Radix Adenophorae seu Platycodi), Houpo (Cortex Magnoliae Officinalis, coarse bark removed, coated with ginger juice, fried, and chopped), Zhimu (Rhizoma Anemarrhenae, dried), Gualou (Fructus Trichosanthis, whole fruit), Zhike (Fructus Aurantii, placenta removed, bran-roasted), Gegen (Radix Puerariae Lobatae, chopped), Xijiao (Cornu Rhinocerotis, shaved), Jiegeng (Radix Platycodonis, roasted), Chenjipi (Pericarpium Citri Reticulatae, white pith removed, sliced and dried), Bai Fuling (Poria, black skin removed), Gancao (Radix Glycyrrhizae Preparata, honey-fried), Renshen (Radix Ginseng), Lanshi (Semen Isatidis, roasted), Huangqin (Radix Scutellariae, black center removed) each 1 liang.
The above fourteen ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm at any time.
Formula for treating Huoluan with undigested food retention, heart and abdominal pain: Disheng San (Reach the Sage Powder).
Houpo (Cortex Magnoliae Officinalis, coarse bark removed, coated with ginger juice, fried) 4 liang, Baizhu (Rhizoma Atractylodis Macrocephalae) 2 liang, Wuzhuyu (Fructus Evodiae, washed with decoction, dried, and fried) 1 liang, Gaoliangjiang (Rhizoma Alpiniae Officinarum) 0.5 liang, Renshen (Radix Ginseng), Bai Fuling (Poria, black skin removed), Gancao (Radix Glycyrrhizae Preparata, honey-fried and chopped), Muxiang (Radix Aucklandiae), Zhike (Fructus Aurantii, placenta removed, bran-roasted), Caodoukou (Semen Cardamomi Rotundae, peeled), Chenjipi (Pericarpium Citri Reticulatae, white pith removed, dried) each 1 liang.
The above eleven ingredients are pounded and sifted into powder. Take 2 qianbi per dose, mixed with boiling water, at any time.
Formula for treating Huoluan with acute heart and abdominal pain, resembling evil invasion: Changpu Zhi (Acorus Juice).
Sheng Changpu (Rhizoma Acori Tatarinowii, chopped) 4 liang.
The above single ingredient is pounded with water, squeezed to obtain 1 zhan of juice, divided into four doses. Each dose is taken warm mixed with hot water, totaling three doses.
Formula for treating Huoluan with heart and abdominal pain: Chenxiang Wan (Agarwood Pill).
Chenxiang (Lignum Aquilariae Resinatum), Dingxiang (Flos Caryophylli), Xijiao (Cornu Rhinocerotis, shaved), Zhishi (Fructus Aurantii Immaturus, placenta removed, bran-roasted), Roudoukou (Semen Myristicae, shell removed, processed), Muxiang (Radix Aucklandiae), Peng Ezhu (Rhizoma Curcumae Phaeocaulis, processed) each 0.5 liang, Hujiao (Fructus Piperis Nigris) 1 fen, Binglang (Semen Arecae, chopped) 4 pieces, Ruxiang (Resina Draconis, ground), Moyao (Resina Myrrhae, ground) each 0.5 liang, Badou (Semen Crotonis, shell and heart removed, oil expressed out), Shexiang (Moschus, ground) each 1 qian.
The above thirteen ingredients: First, pound the first nine ingredients into powder, mix evenly with Badou, Moyao, Ruxiang, and Shexiang. Use glutinous rice porridge as a binder to form pills the size of Radish seeds. Take 5 pills per dose, administered with a decoction of ginger and Pericarpium Citri Reticulatae. Dosage can be increased to 10 pills.
Formula for treating Huoluan with vomiting and diarrhea, heart and abdominal pain, dry retching, and unceasing cold hands and feet: Ganjiang Tang (Ginger Decoction).
Ganjiang (Rhizoma Zingiberis Preparatum, processed), Gancao (Radix Glycyrrhizae Preparata, honey-fried), Renshen (Radix Ginseng) each 1 liang, Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed) 1 piece.
The above four ingredients are chopped like hemp seeds. Take 3 qianbi per dose, 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm at any time.
Formula for treating sudden onset of Huoluan with heart and abdominal pain: Beiji Wan (Emergency Aid Pill).
Ganjiang (Rhizoma Zingiberis Preparatum, processed) 1 liang, Dahuang (Radix et Rhizoma Rhei, processed) 1 liang, Badou (Semen Crotonis, shell and heart removed, dried and separately ground) 0.5 liang.
The above three ingredients: Pound Ganjiang and Dahuang into powder, mix evenly with Badou. Use flour paste to form pills the size of mung beans. Take 2 pills per dose, administered with Pericarpium Citri Reticulatae decoction. The effect is achieved when bowel movement occurs; stop taking if pain ceases.
Formula for treating Huoluan with heart and abdominal pain, persistent vexation, or vomiting: Houpo Tang (Magnolia Bark Decoction).
Houpo (Cortex Magnoliae Officinalis, coarse bark removed, ginger juice fried and chopped), Gui (Ramulus Cinnamomi, coarse bark removed), Zhike (Fructus Aurantii, placenta removed, bran-roasted) each 2 liang, Shaoyao (Radix Paeoniae Alba), Binglang (Semen Arecae, chopped) each 1 liang.
The above five ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, 1 zhan of water, add 5 slices of ginger, decoct until 0.7 zhan remains, remove dregs, and take warm at any time.
Formula for treating Huoluan with unceasing vomiting and diarrhea, heart and abdominal pain: Taoye Yin (Peach Leaf Decoction).
Taoye (Folium Persicae, branches taken in winter and pounded) 1 sheng.
The above single ingredient is pounded, mixed with 5 zhan of water, squeezed to extract juice. Take 1 zhan warm per dose, at any time.
Formula for treating Huoluan with cold pain in heart and abdomen, vomiting and nausea, and slippery diarrhea of the large intestine: Suosha Mi San (Cardamom Honey Powder).
Suoshami (Semen Amomi Rotundae, shell removed, fried), Chenqu (Massa Medicata Fermentata, processed), Baizhu (Rhizoma Atractylodis Macrocephalae, chopped and fried), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Longgu (Os Draconis), Chishizhi (Halloysit Rubrum), Wuzhuyu (Fructus Evodiae, soaked in decoction, dried, and fried), Xiong (Radix Ligustici Chuanxiong).
The above nine ingredients are equal parts, pounded and sifted into powder. Take 2 qianbi per dose, mixed with hot rice beverage, at any time.
Formula for treating Huoluan with unceasing vomiting and diarrhea, heart and abdominal pain, vexation, and thirst: Liangjiang San (Galangal Powder).
Gaoliangjiang (Rhizoma Alpiniae Officinarum, chopped and fried) 1 fen, Cangzhu (Rhizoma Atractylodis, soaked in rice wash overnight, chopped and fried), Maidong (Tuber Ophiopogonis, heart removed, dried), Chenjipi (Pericarpium Citri Reticulatae, soaked in decoction, white pith removed, dried), Roudoukou (Semen Myristicae, shell removed), Wuzhuyu (Fructus Evodiae, soaked in decoction, chopped and fried), Renshen (Radix Ginseng), Helile Pi (Cortex Terminaliae Chebulae) each 3 fen.
The above eight ingredients are pounded and sifted into powder. Take 3 qianbi per dose, mixed with rice beverage, at any time.