论曰三焦者，水谷之道路，气之所终始也，因风冷或饮食伤胃，致中焦不和，则正气不
守，而邪得以干，挥霍之间，便致撩乱，故名霍乱。盖清浊相干于肠胃之间，心痛则吐，腹
痛则利，甚者吐利俱发，其不吐不利，俗谓之干霍乱，亦以冷气曝争于中而不得出也。然脉
必代者，以气不足也，脉大能言者为可治，若其脉微气劣而不欲言者为难治。
论曰霍乱吐利者，以三焦气不升降，而清浊相干于肠胃间，若先心痛则吐，先腹痛则利
，心腹并痛，则吐利俱发，治此者，当以中焦为本，中焦既和，则清浊自分，而吐利止矣。
治霍乱吐利不止。藿香汤方
藿香（去梗半两） 白芷 缩砂（去皮各一两） 丁香（一分）
上四味。粗捣筛，每服二钱匕，水一中盏，煎至六分，去滓热呷，不计时候。
治霍乱吐利不止。正胃汤方
枇杷叶（拭去毛炙） 桂（去粗皮） 浓朴（去粗皮姜汁炙） 陈橘皮（去白焙各半两）
上四味。捣罗为粗末，每服二钱匕，水一盏，入生姜三片，煎至六分，去滓热服，不计
时候。
治霍乱吐利。白术汤方
白术（三两） 甘草（炙） 附子（炮裂去皮脐） 人参（各一两） 桂（去粗皮） 当
归（切焙） 陈橘皮（去白焙各二两）
上七味。锉如麻豆，每服五钱匕，煮小麦汁一盏半，入竹叶一握，生姜半分拍碎，煎至
八分，去滓温服日三。
治霍乱吐利。陈橘皮汤方
陈橘皮（去白焙二两） 甘草（炙一两） 白术（三两）
上三味。粗捣筛，每服五钱匕，水一盏半，入竹叶十片，生姜半分，小麦汁半盏，煎至
八分，去滓温服日三。
治霍乱。大豆饮方
大豆 香薷 芦根 枇杷叶（拭去毛炙） 竹茹 前胡（去芦头） 陈橘皮（去白焙）
上七味。等分 咀，每服五钱匕，以水一盏半，入生姜一分切，煎取一盏，去滓温服
治霍乱吐利不止。理中汤方
人参 白术（各三两） 甘草（炙） 干姜（炮各二两）
上四味。粗捣筛，每服五钱匕，以水一盏半，煎取一盏，去滓温服，若胸满腹痛吐下者，
加当归二两切焙，浓朴二两，去粗皮姜汁炙透。
治霍乱吐下，虚冷厥逆，腹痛干呕。四逆汤方
干姜（炮） 甘草（炙） 人参（各二两） 附子（一枚炮裂去皮脐）
上四味。锉如麻豆，每服五钱匕，以水一盏半，煎取一盏，去滓温服。一方，下甚加龙
骨二两，腹痛不止，加当归二两，切焙。
治霍乱吐泻不止。蒲饮方
菖蒲（切焙） 高良姜 青橘皮（去白焙各一两） 白术 甘草（炙各半两）
上五味。捣为粗末，每服三钱匕，以水一盏，煎十数沸，倾出放温顿服。
治冷热不调，霍乱吐泻。香薷丸方
香薷（一两半） 白扁豆（炒） 木香（各一两） 丁香皮（二两） 藿香（去梗） 零
陵香（各半两） 益智仁（
上七味。捣罗为末，面糊和丸，如梧桐子大。每服二十丸，食前温紫苏汤下。
治霍乱吐下。人参汤方
人参 干姜（炮） 陈橘皮（去白焙） 桂（去粗皮各一两） 甘草（炙半两）
上五味。粗捣筛，每服三钱匕，水二盏，入枣三枚劈，煎取一盏，去滓热服，连进三服
治霍乱不止。丁香散方
丁香 木香 肉豆蔻（去壳各一两）
上三味。捣罗为细散，每服二钱匕，白粥饮调下，热服。
治霍乱吐逆腹痛，或便利数多，冷热不调。诃黎勒丸方
诃黎勒皮（微炒） 陈橘皮（去白焙各一两） 干生姜（切三分） 甘草（炙半两）
上四味。捣罗为末，炼蜜丸如梧桐子大。每服二十丸，煎生姜米饮下，不计时候。
治饮食过多，当风履湿，薄衣露坐，或夜卧失复，霍乱吐利。人参丸方
人参 高良姜（炮各一两）
上二味。捣罗为末，炼蜜和丸，如弹子大。每服一丸，温米饮嚼下，不计时候。
治霍乱吐利不止。正元汤方
枇杷叶（拭去毛炙） 桂（去粗皮） 浓朴（去粗皮姜汁炙） 陈橘皮（去白焙各半两）
上四味。粗捣筛，每服三钱匕，水一盏，入生姜三片，煎至六分，去滓热服，不以时候
治霍乱吐泻，四肢厥冷。香薷饮方
香薷（去梗二两半） 草乌头（浸切去皮脐曝干二两入盐三两同炒乌头黄褐色去盐不用）
藿香（去梗焙二两） 黄连（去须以吴茱萸二两同炒黄连去茱萸不用取二两）
上四味。捣罗为粗末，每服三钱匕，以水二盏，酒半盏，同煎至一盏去滓，用新汲水沉
冷顿服，相次四肢暖，吐泻定，病轻每服一二钱匕。
治霍乱吐逆不定，手足厥冷面青，诸药不效。青金散方
硫黄（一两熔作汁） 水银（一两随硫黄汁结作沙子）
上二味。研为散，每服二钱匕，冷木瓜汤调下，冷米饮亦得。
治霍乱吐泻，冷热不调。和气煮散方
胡椒 绿豆（各一两） 人参（一分）
上三味。生捣罗为散，每服三钱匕，水一盏，同煎五六沸，去滓热服。
治食饮过伤，霍乱吐泻。丁香丸方
丁香 白术 缩砂仁 木香 肉豆蔻（去皮） 干姜（炮） 桂（去粗皮各三分） 陈
橘皮（去白焙一两） 枳壳（去瓤麸炒） 红豆蔻（去皮各半两）
上一十味，捣罗为末，炼蜜和丸，如梧桐子大。每服二十丸，煎生姜木瓜汤嚼下。
治霍乱吐利，心腹疼痛，气逆手足冷。干姜汤方
干姜（炮） 甘草（炙） 桂（去粗皮） 附子（炮裂去皮脐） 草豆蔻（去皮） 肉
豆蔻（去壳面裹煨） 木香 高良姜（炒） 干木瓜（各半两）
上九味。锉如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服。
Commentary: The Sanjiao (Triple Burner) is the pathway for water and grain, and the beginning and end of Qi circulation. If affected by wind-cold or dietary injury to the stomach, causing disharmony in the Middle Jiao, the righteous Qi cannot be maintained, allowing pathogenic factors to interfere. In a moment, this leads to chaos, hence it is named Huoluan (Cholera-like syndrome). Generally, when clear and turbid Qi interfere with each other between the intestines and stomach, heart pain causes vomiting, abdominal pain causes diarrhea, and in severe cases, both vomiting and diarrhea occur simultaneously. Those who do not vomit nor have diarrhea are commonly referred to as Gan Huoluan (Dry Cholera), which is also caused by cold Qi struggling in the middle and unable to exit. However, if the pulse shows a Dai pulse (intermittent pulse), it indicates insufficient Qi; if the pulse is large and the patient can speak, it is treatable; if the pulse is faint, Qi is weak, and the patient does not wish to speak, it is difficult to treat.
Commentary: Huoluan with vomiting and diarrhea results from the failure of Sanjiao Qi to ascend and descend, causing interference between clear and turbid Qi in the intestines and stomach. If heart pain appears first, vomiting occurs; if abdominal pain appears first, diarrhea occurs; if both heart and abdomen hurt, vomiting and diarrhea occur together. To treat this, one should focus on the Middle Jiao as the root. Once the Middle Jiao is harmonized, clear and turbid Qi will separate naturally, and vomiting and diarrhea will cease.
Formula Huoxiang Tang (Agastache Decoction) for treating persistent vomiting and diarrhea due to Huoluan:
Huoxiang (Agasthis Herba, 藿香 - half liang, stem removed), Baizhi (Angelicae Dahuricae Radix, 白芷), Suosha (Amomi Fructus Rotundus, 缩砂 - peeled, each one liang), Dingxiang (Caryophylli Flos, 丁香 - one fen).
The above four herbs are coarsely crushed and sifted. Each dose consists of two qianbi, boiled in one zhong of water until reduced to six parts. Strain and drink hot, at any time.
Formula Zhengwei Tang (Stomach-Regulating Decoction) for treating persistent vomiting and diarrhea due to Huoluan:
Pipaye (Eriobotryae Folium, 枇杷叶 - brushed clean of hairs and roasted), Gui (Cinnamomi Ramulus, 桂 - coarse bark removed), Nongpou (Moutan Cortex / Magnoliae Officinalis Cortex, 浓朴 - coarse bark removed, stir-fried with ginger juice), Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked, each half liang).
The above four herbs are crushed into coarse powder. Each dose consists of two qianbi, boiled in one zhan of water with three slices of fresh ginger until reduced to six parts. Strain and take hot, at any time.
Formula Baizhu Tang (Atractylodis Macrocephalae Decoction) for treating Huoluan with vomiting and diarrhea:
Baizhu (Atractylodis Macrocephalae Rhizoma, 白术 - three liang), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted), Fuzi (Aconiti Lateralis Radix Praeparata, 附子 - cracked by frying, skin and umbilicus removed), Renshen (Ginseng Radix, 人参 - each one liang), Gui (Cinnamomi Ramulus, 桂 - coarse bark removed), Danggui (Angelicae Sinensis Radix, 当归 - sliced and baked), Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked, each two liang).
The above seven herbs are cut like hemp seeds. Each dose consists of five qianbi, boiled in one and a half zhan of wheat decoction with one handful of Zhuye (Bambusae Folium, 竹叶), half a fen of smashed Shengjiang (Zingiberis Rhizoma Recens, 生姜). Boil until reduced to eight parts, strain, and take warm, three times daily.
Formula Chenjuapi Tang (Tangerine Peel Decoction) for treating Huoluan with vomiting and diarrhea:
Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked, two liang), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted, one liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术 - three liang).
The above three herbs are coarsely crushed and sifted. Each dose consists of five qianbi, boiled in one and a half zhan of water with ten leaves of Zhuye (Bambusae Folium, 竹叶), half a fen of Shengjiang (Zingiberis Rhizoma Recens, 生姜), and half a zhan of wheat decoction. Boil until reduced to eight parts, strain, and take warm, three times daily.
Formula Dadou Yin (Soybean Drink) for treating Huoluan:
Dadou (Sojae Semen, 大豆), Xiangru (Moslae Herba, 香薷), Lugeng (Phragmitis Rhizoma, 芦根), Pipaye (Eriobotryae Folium, 枇杷叶 - brushed clean of hairs and roasted), Zhuru (Bambusae Caulis in Taedia, 竹茹), Qianhu (Peucedani Radix, 前胡 - rhizome removed), Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked).
The above seven herbs are equal parts, cut up. Each dose consists of five qianbi, boiled in one and a half zhan of water with one fen of sliced Shengjiang (Zingiberis Rhizoma Recens, 生姜). Boil to obtain one zhan, strain, and take warm.
Formula Lizhong Tang (Middle-Regulating Decoction) for treating persistent vomiting and diarrhea due to Huoluan:
Renshen (Ginseng Radix, 人参), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术 - each three liang), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted), Ganjiang (Zingiberis Rhizoma, 干姜 - fried, each two liang).
The above four herbs are coarsely crushed and sifted. Each dose consists of five qianbi, boiled in one and a half zhan of water to obtain one zhan. Strain and take warm. If there is chest fullness, abdominal pain, vomiting, or diarrhea, add Danggui (Angelicae Sinensis Radix, 当归 - two liang, sliced and baked) and Nongpou (Magnoliae Officinalis Cortex, 浓朴 - two liang, coarse bark removed, stir-fried thoroughly with ginger juice).
Formula Sini Tang (Reverse-Failure Decoction) for treating Huoluan with vomiting and purging, deficiency-cold, reversal cold, abdominal pain, and dry retching:
Ganjiang (Zingiberis Rhizoma, 干姜 - fried), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted), Renshen (Ginseng Radix, 人参 - each two liang), Fuzi (Aconiti Lateralis Radix Praeparata, 附子 - one piece, cracked by frying, skin and umbilicus removed).
The above four herbs are cut like hemp seeds. Each dose consists of five qianbi, boiled in one and a half zhan of water to obtain one zhan. Strain and take warm. Another method: if purging is severe, add Longgu (Fossilia Ossis Mastodi, 龙骨 - two liang); if abdominal pain persists, add Danggui (Angelicae Sinensis Radix, 当归 - two liang, sliced and baked).
Formula Pu Yin (Calamus Drink) for treating persistent vomiting and diarrhea due to Huoluan:
Changpu (Acori Tatarinowii Rhizoma, 菖蒲 - sliced and baked), Gaoliangjiang (Alpiniae Officinarum Rhizoma, 高良姜), Qingjuapi (Citri Reticulatae Pericarpium Viride, 青橘皮 - white pith removed, baked, each one liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted, each half liang).
The above five herbs are crushed into coarse powder. Each dose consists of three qianbi, boiled in one zhan of water for more than ten boils. Pour out, let cool slightly, and take in one dose.
Formula Xiangru Wan (Mosla Pill) for treating disharmony of cold and heat, Huoluan with vomiting and diarrhea:
Xiangru (Moslae Herba, 香薷 - one and a half liang), Baibiandou (Phaseoli Tomentosus Semen, 白扁豆 - fried), Muxiang (Aucklandiae Radix, 木香 - each one liang), Dingxiangpi (Caryophylli Cortex, 丁香皮 - two liang), Huoxiang (Agastis Herba, 藿香 - stem removed), Linglingxiang (Lysimachiae Herba, 零陵香 - each half liang), Yizhiren (Alpiniae Oxyphyllae Fructus, 益智仁).
The above seven herbs are crushed into powder, mixed with flour paste to form pills the size of paulownia seeds. Each dose consists of twenty pills, taken before meals with warm Zisu Tang (Perillae Decoction, 紫苏汤).
Formula Renshen Tang (Ginseng Decoction) for treating Huoluan with vomiting and purging:
Renshen (Ginseng Radix, 人参), Ganjiang (Zingiberis Rhizoma, 干姜 - fried), Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked), Gui (Cinnamomi Ramulus, 桂 - coarse bark removed, each one liang), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted, half liang).
The above five herbs are coarsely crushed and sifted. Each dose consists of three qianbi, boiled in two zhan of water with three split dates. Boil to obtain one zhan, strain, and take hot. Take three doses consecutively.
Formula Dingxiang San (Clove Powder) for treating persistent Huoluan:
Dingxiang (Caryophylli Flos, 丁香), Muxiang (Aucklandiae Radix, 木香), Roudoukou (Myristicae Semen, 肉豆蔻 - shell removed, each one liang).
The above three herbs are crushed into fine powder. Each dose consists of two qianbi, taken with white porridge drink, hot.
Formula Helile Wan (Chebula Pill) for treating Huoluan with retching and abdominal pain, frequent loose stools, and disharmony of cold and heat:
Helilepi (Terminaliae Chebulae Pericarpium, 诃黎勒皮 - lightly fried), Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked, each one liang), Ganshengjiang (Zingiberis Rhizoma Recens, 干生姜 - sliced, three fen), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted, half liang).
The above four herbs are crushed into powder, mixed with refined honey to form pills the size of paulownia seeds. Each dose consists of twenty pills, taken with ginger rice drink, at any time.
Formula Renshen Wan (Ginseng Pill) for treating Huoluan with vomiting and diarrhea caused by overeating, exposure to wind and dampness, sitting thinly clothed in the open, or sleeping uncovered at night:
Renshen (Ginseng Radix, 人参), Gaoliangjiang (Alpiniae Officinarum Rhizoma, 高良姜 - fried, each one liang).
The above two herbs are crushed into powder, mixed with refined honey to form pills the size of a bullet. Each dose consists of one pill, chewed down with warm rice drink, at any time.
Formula Zhengyuan Tang (Primary Origin Decoction) for treating persistent vomiting and diarrhea due to Huoluan:
Pipaye (Eriobotryae Folium, 枇杷叶 - brushed clean of hairs and roasted), Gui (Cinnamomi Ramulus, 桂 - coarse bark removed), Nongpou (Magnoliae Officinalis Cortex, 浓朴 - coarse bark removed, stir-fried with ginger juice), Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked, each half liang).
The above four herbs are coarsely crushed and sifted. Each dose consists of three qianbi, boiled in one zhan of water with three slices of Shengjiang (Zingiberis Rhizoma Recens, 生姜). Boil until reduced to six parts, strain, and take hot, at any time.
Formula Xiangru Yin (Mosla Drink) for treating Huoluan with vomiting and diarrhea and cold limbs:
Xiangru (Moslae Herba, 香薷 - stem removed, two and a half liang), Caowutou (Aconiti Kusnezoffii Radix, 草乌头 - soaked, cut, skin and umbilicus removed, dried, two liang, stir-fried with three liang of salt until yellow-brown, salt discarded), Huoxiang (Agastis Herba, 藿香 - stem removed, baked, two liang), Huanglian (Coptidis Rhizoma, 黄连 - whiskers removed, stir-fried with two liang of Wuzhuyu, Coptidis Rhizoma used after removing Wuzhuyu, two liang).
The above four herbs are crushed into coarse powder. Each dose consists of three qianbi, boiled in two zhan of water and half a zhan of wine until reduced to one zhan. Strain, sink in freshly drawn cold water, and take in one dose. Subsequently, limbs become warm, vomiting and diarrhea stop. For mild cases, take one or two qianbi per dose.
Formula Qingjin San (Blue Gold Powder) for treating unpredictable Huoluan retching, cold limbs, blue complexion, and ineffectiveness of various medicines:
Liuhuang (Sulfur, 硫黄 - one liang, melted into liquid), Shuiyin (Hydrargyrum, 水银 - one liang, combined with sulfur liquid to form sand-like particles).
The above two substances are ground into powder. Each dose consists of two qianbi, taken with cold Papaya Drink (Chaenomelis Fructus, 木瓜汤), or cold rice drink is also acceptable.
Formula Heqi Zhusan (Harmonizing Qi Boiled Powder) for treating Huoluan with vomiting and diarrhea and disharmony of cold and heat:
Hujiao (Piperis Longi Fructus, 胡椒), Ludou (Vigna Radiata Semen, 绿豆 - each one liang), Renshen (Ginseng Radix, 人参 - one fen).
The above three herbs are raw-crushed into powder. Each dose consists of three qianbi, boiled in one zhan of water for five or six boils. Strain and take hot.
Formula Dingxiang Wan (Clove Pill) for treating Huoluan with vomiting and diarrhea caused by excessive food and drink injury:
Dingxiang (Caryophylli Flos, 丁香), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Suosharen (Amomi Fructus Rotundus, 缩砂仁), Muxiang (Aucklandiae Radix, 木香), Roudoukou (Myristicae Semen, 肉豆蔻 - shell removed), Ganjiang (Zingiberis Rhizoma, 干姜 - fried), Gui (Cinnamomi Ramulus, 桂 - coarse bark removed, each three fen), Chenjuapi (Citri Reticulatae Pericarpium, 陈橘皮 - white pith removed, baked, one liang), Zhiqiao (Aurantii Fructus, 枳壳 - pulp and bran-fried), Hongdoukou (Myristicae Malaccensis Semen, 红豆蔻 - shell removed, each half liang).
The above ten herbs are crushed into powder, mixed with refined honey to form pills the size of paulownia seeds. Each dose consists of twenty pills, chewed down with ginger papaya decoction.
Formula Ganjiang Tang (Dried Ginger Decoction) for treating Huoluan with vomiting and diarrhea, heart and abdominal pain, rebellious Qi, and cold limbs:
Ganjiang (Zingiberis Rhizoma, 干姜 - fried), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - roasted), Gui (Cinnamomi Ramulus, 桂 - coarse bark removed), Fuzi (Aconiti Lateralis Radix Praeparata, 附子 - cracked by frying, skin and umbilicus removed), Caodoukou (Alpiniae Katsumadai Semen, 草豆蔻 - shell removed), Roudoukou (Myristicae Semen, 肉豆蔻 - wrapped in flour and baked), Muxiang (Aucklandiae Radix, 木香), Gaoliangjiang (Alpiniae Officinarum Rhizoma, 高良姜 - fried), Ganmugua (Chaenomelis Fructus, 干木瓜 - each half liang).
The above nine herbs are cut like hemp seeds. Each dose consists of three qianbi, boiled in one zhan of water until reduced to seven parts. Strain and take warm.