论曰霍乱昏塞下利者，其人脾肾久虚，阳气不足，因风冷之气，客于三焦，传于胃腑，
使水谷不化，清浊相干，吐利不止，致令真气暴虚，阴阳离守，神识不明，大便遗利，无所
觉知。
治霍乱虚寒，精神不守，泄利不止，语声不出。茯苓安心汤方
白茯苓（去黑皮） 人参 干姜（炮） 桂（去粗皮） 远志（去心各一两半） 甘草
（炙一两）
上六味。粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服日三，不拘时。
治霍乱下焦虚寒，洞泄不止。黄柏皮汤方
黄柏（去粗皮） 人参 地榆（锉） 阿胶（炙燥各一两半） 浓朴（去粗皮姜汁炙） 白
茯苓（去黑皮） 榉木 白皮（各二两） 艾叶（一两） 黄连（去须二两半）
上九味。粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服日三，不拘时。
治霍乱暴利不自知。理中汤方
人参 白术 干姜（炮） 甘草（炙各二两）
上四味。粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服日三。
治脾胃气冷，霍乱下利不自知。诃黎勒丸方
诃黎勒皮 黄连（去须） 钟乳粉 五倍子 白矾（烧汁尽各一两） 缩沙（去皮） 浓
朴（去粗皮姜汁炙） 樗皮 当归（切焙） 酸石榴皮（各二两） 木瓜（切） 甘草（炙）
橡实（各一两） 陈橘皮（汤浸去白焙炒二两） 肉豆蔻（去壳炮五枚） 干姜（炮一两半）
胡椒（半两）
上一十七味。为细散，先醋煎艾叶一两，去滓取汁煮面糊，丸如梧桐子大。每服三十丸
，煎枣汤下，不拘时。
治霍乱昏塞下利。吴茱萸饼方
吴茱萸（汤洗焙炒） 浓朴（去粗皮姜汁炙） 陈橘皮（汤浸去白焙切炒） 人参（各
一两） 高良姜 胡椒（各一分） 木瓜（切） 香薷（各一两） 乌牛溺（半升）
上九味。先以八味为细末，将牛溺捻作饼子曝干，临用时炙燥，再为细末，每服二钱匕
，水一盏，煎至七分温服。
治霍乱暴利不禁，腹中雷鸣。乌梅散方
乌梅肉（炒） 黄连（去须） 艾叶 赤石脂（别研） 当归（切焙） 甘草（炙） 附
子（炮裂去皮脐） 阿胶（
上八味。为细散，每服二钱匕，觉冷则酒调下，觉热则热水调下。
治霍乱昏塞下利，或病后泄泻黄白无度，腹中虚痛。黄连汤方
黄连（去须四两） 黄柏（去粗皮） 当归（切焙） 浓朴（去粗皮姜汁炙） 干姜（炮
各三两） 地榆 阿
上八味。粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服，不拘时。
治霍乱下利，手足逆冷，昏塞不自知。龙骨汤方
龙骨（烧） 附子（炮裂去皮脐各一两） 人参 干姜 甘草（炙各一两半）
上五味。锉如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服日三。
治霍乱暴利，昏塞不自知。吴茱萸散方
吴茱萸（汤洗焙炒一两） 陈橘皮（汤浸去白焙二两）
上二味。为细散，每服三钱匕，米饮调下，不拘时。
Commentary states: Regarding Huoluan (cholera-like syndrome) with coma, obstruction, and diarrhea, the patient has long-standing deficiency of the Spleen and Kidney, insufficient Yang Qi. Due to Wind-Cold pathogenic factors invading the Sanjiao (Triple Burner) and transmitting to the Stomach Fu-organ, water and food fail to digest. Clear and turbid energies interfere with each other, causing incessant vomiting and diarrhea. This leads to a sudden and severe depletion of True Qi, separation and loss of Yin and Yang, unclear consciousness, incontinence of feces, and lack of perception.
Formula for treating Huoluan deficiency-cold, where spirit fails to reside, diarrhea is incessant, and voice is absent or weak: Fuling Anxin Tang (Poria Decoction for Calming the Mind).
Fuling (Poria, *Polyporus umbellatus*) [removed black skin], Renshen (Ginseng Root, *Panax ginseng*), Ganjiang (Dried Ginger, *Zingiberis Rhizoma) [processed], Guizhi (Cinnamon Twig, *Cinnamomi Ramulus) [removed coarse bark], Yuanzhi (Polygala Root, *Polygalae Radix) [removed heart, each 1.5 liang], Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma) [roasted, 1 liang].
The above six herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm. Administer three times daily, at any time.
Formula for treating Huoluan lower jiao deficiency-cold with profuse, unceasing diarrhea: Huangbai Pi Tang (Phellodendron Bark Decoction).
Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*) [removed coarse bark], Renshen (Ginseng Root, *Panax ginseng*), Diyü (Sanguisorba Root, *Sanguisorbae Radix*) [chopped], Ejiao (Donkey-hide Gelatin, *Asini Corii Colla) [roasted dry, each 1.5 liang], Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex) [removed coarse bark, roasted with ginger juice], Fuling (Poria, *Polyporus umbellatus*) [removed black skin], Jumu Baipi (Bark of Zelkova schneideriana, *Zelkovae schneiderianae Cortex), each 2 liang; Aye (Mugwort Leaf, *Artemisiae Argyi Folium), 1 liang; Huanglian (Coptis Rhizome, *Coptidis Rhizoma) [removed stamens, 2.5 liang].
The above nine herbs are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm. Administer three times daily, at any time.
Formula for treating Huoluan violent sudden diarrhea without self-awareness: Lizhong Tang (Regulate the Middle Decoction).
Renshen (Ginseng Root, *Panax ginseng*), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Ganjiang (Dried Ginger, *Zingiberis Rhizoma) [processed], Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma) [roasted, each 2 liang].
The above four herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm. Administer three times daily.
Formula for treating Spleen and Stomach cold qi, Huoluan diarrhea without self-awareness: Helile Wan (Terminalia Pill).
Helile Pi (Terminalia Chebula Pericarpium, *Terminaliae Chebulae Pericarpium), Huanglian (Coptis Rhizome, *Coptidis Rhizoma) [removed stamens], Zhongru Fen (Stalactitum Pulvis), Wubeizi (Galla Chinensis, *Rhois Chinensis), Baifan (Alumen, *Alumen) [burned until juice is gone, each 1 liang], Suosha (Amomum Fruit, *Amomi Fructus) [peeled], Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex) [removed coarse bark, roasted with ginger juice], Chupi (Bark of Toona sinensis, *Toonae Sinensis Cortex), Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix) [sliced and roasted), Suan Shiliu Pi (Pericarpium Granati Acidum, *Punicae Granati Pericarpium), each 2 liang; Mugua (Chaenomelis Fructus, *Chaenomelis Fructus) [sliced], Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma) [roasted], Xiangshi (Acorn, *Quercus Fructus), each 1 liang; Chenpi (Citrus Reticulata Peel, *Citri Reticulatae Pericarpium) [soaked in water, white pith removed, roasted and fried, 2 liang], Roudoukou (Nutmeg, *Myristicae Semen) [shelled and processed, 5 pieces], Ganjiang (Dried Ginger, *Zingiberis Rhizoma) [processed, 1.5 liang], Hujiao (Pepper, *Piperis Longi Fructus) [0.5 liang].
The above seventeen herbs are ground into fine powder. First, decoct 1 liang of Aye (Mugwort Leaf, *Artemisiae Argyi Folium) in vinegar, remove dregs to obtain juice, and use this juice to cook wheat flour paste. Form pills the size of Sophora japonica seeds. Take 30 pills per dose, washed down with Jujube Decoction, at any time.
Formula for treating Huoluan with coma, obstruction, and diarrhea: Wuzhuyu Bing (Evodia Cake).
Wuzhuyu (Evodia Fruit, *Evodiae Fructus) [washed with water, roasted and fried], Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex) [removed coarse bark, roasted with ginger juice], Chenpi (Citrus Reticulata Peel, *Citri Reticulatae Pericarpium) [soaked in water, white pith removed, roasted, sliced, and fried], Renshen (Ginseng Root, *Panax ginseng), each 1 liang; Gaoliangjiang (Galangal Rhizome, *Alpiniae Officinarum Rhizoma), Hujiao (Pepper, *Piperis Longi Fructus), each 1 fen; Mugua (Chaenomelis Fructus, *Chaenomelis Fructus) [sliced], Xiangru (Elsholtzia Herb, *Elsholtziae Herba), each 1 liang; Niuniao (Cow Urine, *Urina Bovis) [0.5 sheng].
The above nine herbs: First, grind the first eight herbs into fine powder. Shape the Cow Urine (*Urina Bovis) into cakes and dry them in the sun. When needed, roast them until dry, then grind into fine powder. Take 2 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, and take warm.
Formula for treating Huoluan violent sudden diarrhea uncontrollable, with borborygmus in the abdomen: Wumei San (Mume Powder).
Wumei Rou (Mume Seed, *Pruni Mume Semen) [fried], Huanglian (Coptis Rhizome, *Coptidis Rhizoma) [removed stamens], Aye (Mugwort Leaf, *Artemisiae Argyi Folium), Chishizhi (Halloysitum Rubrum, *Halloysitum Rubrum) [separately ground], Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix) [sliced and roasted), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma) [roasted], Fuzi (Aconite Lateralis Radix Praeparata, *Aconiti Lateralis Radix Praeparata) [processed, cracked, skin and navel removed], Ejiao (Donkey-hide Gelatin, *Asini Corii Colla).
The above eight herbs are ground into fine powder. Take 2 qianbi per dose. If feeling cold, mix with wine; if feeling hot, mix with hot water.
Formula for treating Huoluan with coma, obstruction, and diarrhea, or post-illness diarrhea with yellow and white discharge without limit, and empty pain in the abdomen: Huanglian Tang (Coptis Decoction).
Huanglian (Coptis Rhizome, *Coptidis Rhizoma) [removed stamens, 4 liang], Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex) [removed coarse bark], Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix) [sliced and roasted), Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex) [removed coarse bark, roasted with ginger juice], Ganjiang (Dried Ginger, *Zingiberis Rhizoma) [processed, each 3 liang], Diyü (Sanguisorba Root, *Sanguisorbae Radix), Ejiao (Donkey-hide Gelatin, *Asini Corii Colla).
The above eight herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm, at any time.
Formula for treating Huoluan diarrhea with cold extremities, coma, and lack of self-awareness: Longgu Tang (Dragon Bone Decoction).
Longgu (Fossilized Bones, *Ossis Femoris seu Mastoidis) [calcined], Fuzi (Aconite Lateralis Radix Praeparata, *Aconiti Lateralis Radix Praeparata) [processed, cracked, skin and navel removed, each 1 liang], Renshen (Ginseng Root, *Panax ginseng), Ganjiang (Dried Ginger, *Zingiberis Rhizoma), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma) [roasted, each 1.5 liang].
The above five herbs are chopped like hemp seeds. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm. Administer three times daily.
Formula for treating Huoluan violent sudden diarrhea, coma, and lack of self-awareness: Wuzhuyu San (Evodia Powder).
Wuzhuyu (Evodia Fruit, *Evodiae Fructus) [washed with water, roasted and fried, 1 liang], Chenpi (Citrus Reticulata Peel, *Citri Reticulatae Pericarpium) [soaked in water, white pith removed, roasted, 2 liang].
The above two herbs are ground into fine powder. Take 3 qianbi per dose, mixed with Mi Yin (Rice Drink), at any time.