广济疗霍乱吐痢,扁豆汤方。
扁豆叶(一升) 香薷叶(一升) 木瓜(一枚) 干姜(一两)
上四味,以水六升,煮取二升五合,绞去滓,分温三服,服别相去如人行六七里,并无
所忌。
又疗冷热不调,霍乱吐痢宿食不消,理中丸方。
人参(八分) 白术(八分) 甘草(八分炙) 干姜(六分) 高良姜(八分) 桂
心(六分)
上六味捣筛蜜丸,空腹以饮下梧子大三十丸,日二服,渐加至四十丸,老小以意减之。
忌生冷油腻生葱海藻菘菜桃李雀肉等物。
又疗霍乱,冷热不调,吐痢高良姜汤方。
高良姜(五两) 木瓜(一枚) 杜梨枝叶(三两)
上三味切,以水六升,煮取二升,绞去滓,空腹温三服,服别如人行六七里,无所忌。
(并出第四卷中)
短剧霍乱吐痢,心烦乱发汤主之方。
乱发(一握烧焦) 人参(一两) 吴茱萸(一升) 甘草(一两炙)
上四味切,以水三升,酒二升,煮取二升,绞去滓,温服五合。忌海藻菘菜。
又疗霍乱吐痢,已服理中及四顺汤不解者,以竹叶汤方。
竹叶(一虎口) 小麦(一升) 生姜(十两) 甘草(一两炙) 人参(一两) 附
子(一两炮
)肉桂(二两) 当归(二两) 芍药(一两) 白术(三两) 橘皮(二两)
上十一味,以水一斗半先煮小麦竹叶,取八升汁,去滓,纳诸药,煮取二升半,分三
服,吐痢后腹满,加浓朴二两炙,上气加吴茱萸半升瘥,理中四顺则大热,热毒霍乱,宜竹
叶汤。忌生葱海藻菘菜猪肉桃李雀肉等。(千金古今录验并同)
又霍乱吐痢而汗出,小便复利,或下利清谷,里外无热,脉微欲绝,或恶寒四肢拘急,
手足厥逆,四逆加猪胆汤主之方。
甘草(二两炙) 干姜(半两炮) 附子(一枚生) 猪胆汁(半合)
上四味切,以水二升,煮取一升四合,温分再服,无猪胆,以羊胆代之,强人可与大附
子一枚,干姜加至三两,若吐之后,吸吸少气者,及下而腹满者,加人参一两,诸药皆减为
一两,如证者,亦宜与理厥人参汤佳。忌海藻
又四顺汤,与前疗同,常用此方。
人参(三两) 干姜(三两) 甘草(三两) 附子(二两)
上四味切,以水六升,煮取二升,绞去滓,温分三服,转筋肉冷,汗出呕哕者良。忌海
藻菘菜猪肉。(千金同删繁范汪方云利甚者加龙骨二两妙)
又白丸,疗霍乱呕吐及暴痢良方。
半夏(三两洗) 附子(四两炮) 干姜(四两炮) 人参(三两) 桔梗(二两)
上五味作散,临病和之,若吐痢不止者,以苦酒和之,饮服二丸,如梧子,不瘥复服,
耐药者加之以意下者,用蜜和丸亦得。忌猪羊肉饧。(范汪同并出第四卷中)
崔氏理中丸,疗三焦不通,呕吐不食并霍乱吐逆下痢,及不得痢悉生之方。
人参(三两) 干姜(二两炮) 白术(三两) 甘草(三两炙)
上四味捣筛,蜜和丸如梧子,平旦取粥清服五丸,日再服,一方干姜三两。忌海藻菘菜
桃李雀肉等。(出第二卷中)
延年理中丸,疗霍乱吐痢,宿食不消方。
白术(二两) 干姜(二两炮) 人参(二两) 甘草(二两炙) 大麦 (二两炒黄)
上五味捣筛,蜜和为丸,以饮服十五丸如梧子大,日再服,稍加至二十丸。忌海藻菘菜
桃李雀肉等。(出第六卷中)
必效理中散,主霍乱及转筋,吐痢不止方。
青木香(六分) 桂心(八分炙) 浓朴(八分炙) 甘草(八分炙) 白术(八分) 干
姜(十
分炮) 附子(六分炮)
上七味捣筛为散,饮服两钱匕,如人行五六里,不定更服一钱匕,瘥止。忌海藻菘菜生
葱猪肉桃李雀肉等。
又方
若热霍乱则渴,心烦欲得冷水吃,则宜恣意饮冷水及土浆,取足定止。
*Guangji Fang* treats Huoluan (cholera-like syndrome with vomiting and diarrhea) with Bian Dou Tang (Lablab Bean Decoction).
Lablab Bean Leaf (1 sheng), Mosla Leaf (1 sheng), Chaenomeles Fruit (1 piece), Dried Ginger (1 liang).
The above four herbs are decocted in 6 sheng of water until reduced to 2.5 sheng. The dregs are strained out, and the liquid is divided into three warm doses. The interval between doses should be equivalent to the time it takes a person to walk six or seven li. There are no dietary restrictions during treatment.
Another prescription for Huoluan vomiting and diarrhea caused by imbalance of cold and heat, and indigestion of retained food, is Lizhong Wan (Regulate the Middle Pill).
Ginseng Root (8 fen), Atractylodes Rhizome (8 fen), Licorice Root (8 fen, honey-fried), Dried Ginger (6 fen), Galangal Rhizome (8 fen), Cinnamon Twig Heart (6 fen).
The above six herbs are crushed, sifted, and formed into pills with honey. Take thirty pills (size of wu zi) on an empty stomach with warm water, twice daily. Gradually increase the dose to forty pills. Elderly and children should reduce the dosage according to their condition.
Avoid raw, cold, greasy foods, raw green onions, kelp, Chinese cabbage, plums, peaches, and sparrow meat.
Another prescription for Huoluan due to cold-heat imbalance causing vomiting and diarrhea is Gaoliangjiang Tang (Galangal Decoction).
Galangal Rhizome (5 liang), Chaenomeles Fruit (1 piece), Branches and leaves of Pyrus betulina (3 liang).
The above three herbs are cut, decocted in 6 sheng of water until reduced to 2 sheng. Strain out the dregs. Take warm in three doses on an empty stomach, with intervals equivalent to walking six or seven li. No dietary restrictions.
(All prescriptions above are from Volume 4.)
*Duanju Fang* treats Huoluan vomiting and diarrhea accompanied by mental restlessness, using Luanfa Tang (Hair Charcoal Decoction) as the main formula.
Charred Human Hair (one handful), Ginseng Root (1 liang), Evodia Fruit (1 sheng), Licorice Root (1 liang, honey-fried).
The above four herbs are cut, decocted in 3 sheng of water and 2 sheng of wine until reduced to 2 sheng. Strain out the dregs. Take 5 he of the warm liquid. Avoid kelp and Chinese cabbage.
Another prescription for Huoluan vomiting and diarrhea, when previous treatments with Lizhong Wan and Sishun Tang have failed, is Zhuye Tang (Bamboo Leaf Decoction).
Bamboo Leaves (one handful), Wheat Grains (1 sheng), Fresh Ginger (10 liang), Licorice Root (1 liang, honey-fried), Ginseng Root (1 liang), Prepared Aconite Root (1 liang), Cinnamon Bark (2 liang), Angelica Sinensis Root (2 liang), White Peony Root (1 liang), Atractylodes Rhizome (3 liang), Tangerine Peel (2 liang).
The above eleven herbs: First decoct wheat and bamboo leaves in 1.5 dou of water until reduced to 8 sheng of juice. Strain out the dregs, then add the remaining herbs. Decoct until reduced to 2.5 sheng. Divide into three doses. If abdominal fullness occurs after vomiting and diarrhea, add 2 liang of processed Magnolia Bark. If there is rebellious qi rising upwards, add 0.5 sheng of Evodia Fruit; the disease will resolve. For cases presenting with intense heat (where Lizhong or Sishun formulas are inappropriate) due to heat-toxin Huoluan, Zhuye Tang is suitable. Avoid raw green onions, kelp, Chinese cabbage, pork, plums, peaches, and sparrow meat. (Recorded identically in *Qianjin Fang* and *Gujin Luyan*).
Another case involves Huoluan vomiting and diarrhea with sweating, frequent urination, or passage of undigested food in stool, absence of internal and external heat, faint pulse nearly imperceptible, aversion to cold, limb cramping and stiffness, and cold extremities. The primary treatment is Sini Jia Zhu Dan Tang (Inverted Cold Decoction plus Pig Bile).
Licorice Root (2 liang, honey-fried), Dried Ginger (0.5 liang, prepared), Raw Aconite Root (1 piece), Pig Bile (0.5 he).
The above four herbs are cut, decocted in 2 sheng of water until reduced to 1.4 sheng. Take warm in two doses. If pig bile is unavailable, sheep bile may be substituted. For robust individuals, use one large Aconite root and increase Dried Ginger to 3 liang. If shortness of breath follows vomiting, or abdominal fullness follows diarrhea, add 1 liang of Ginseng Root, reducing all other herbs to 1 liang each. In such cases, Lizhi Renshen Tang (Regulate Extremities Ginseng Decoction) is also appropriate. Avoid kelp.
This is also Sishun Tang, identical to the previously mentioned prescription, commonly used.
Ginseng Root (3 liang), Dried Ginger (3 liang), Licorice Root (3 liang), Aconite Root (2 liang).
The above four herbs are cut, decocted in 6 sheng of water until reduced to 2 sheng. Strain out the dregs. Take warm in three doses. It is effective for symptoms such as muscle cramps, cold muscles, sweating, vomiting, and hiccups. Avoid kelp, Chinese cabbage, and pork. (*Qianjin Fang* agrees; *Shanfan Fang* and *Fanwang Fang* state that for severe diarrhea, adding 2 liang of Dragon Bone is excellent).
Another prescription is Bai Wan (White Pills), an excellent formula for Huoluan vomiting and acute dysentery.
Pinellia Tuber (3 liang, washed), Prepared Aconite Root (4 liang), Dried Ginger (4 liang, prepared), Ginseng Root (3 liang), Platycodon Root (2 liang).
The above five herbs are made into a powder. Mix appropriately at the time of illness. If vomiting and diarrhea persist, mix with vinegar and take two pills (size of wu zi). If not cured, continue taking. For patients with drug resistance, increase the dose as needed; for milder cases, honey-pills are also acceptable. Avoid pork, mutton, and malt sugar. (*Fanwang Fang* agrees; both from Volume 4).
Cui Shi's Lizhong Wan treats obstruction of the Sanjiao (Triple Burner), vomiting, inability to eat, Huoluan with vomiting and diarrhea, and conditions leading to constipation.
Ginseng Root (3 liang), Dried Ginger (2 liang, prepared), Atractylodes Rhizome (3 liang), Licorice Root (3 liang, honey-fried).
The above four herbs are crushed, sifted, and formed into pills with honey, size of wu zi. Take five pills with rice gruel at dawn, twice daily. Another version uses 3 liang of Dried Ginger. Avoid kelp, Chinese cabbage, plums, peaches, and sparrow meat. (From Volume 2).
Yannian Lizhong Wan treats Huoluan vomiting and diarrhea, and indigestion of retained food.
Atractylodes Rhizome (2 liang), Dried Ginger (2 liang, prepared), Ginseng Root (2 liang), Licorice Root (2 liang, honey-fried), Barley Grain (2 liang, stir-fried until yellow).
The above five herbs are crushed, sifted, and formed into pills with honey. Take fifteen pills (size of wu zi) with water, twice daily. Gradually increase to twenty pills. Avoid kelp, Chinese cabbage, plums, peaches, and sparrow meat. (From Volume 6).
Bixiao Lizhong San treats Huoluan, muscle cramps (zhuan jin), and persistent vomiting and diarrhea.
Aucklandia Root (6 fen), Cinnamon Twig Heart (8 fen, honey-fried), Magnolia Bark (8 fen, honey-fried), Licorice Root (8 fen, honey-fried), Atractylodes Rhizome (8 fen), Dried Ginger (10 fen, prepared), Prepared Aconite Root (6 fen, prepared).
The above seven herbs are crushed, sifted, and made into a powder. Take two qian bi with water. If symptoms are not stabilized after walking five or six li, take another qian bi. Stop when cured. Avoid kelp, Chinese cabbage, raw green onions, pork, plums, peaches, and sparrow meat.
Another prescription:
If it is Heat Huoluan, characterized by thirst, mental irritability, and desire for cold water, one should drink cold water and earth slurry freely until satisfied, then stop.