(此方论专治妊妇霍乱,然亦可就第七卷第二论选方通用也,故不繁引)
论曰∶夫阴阳清浊相干,谓之气乱。于肠胃则为霍乱也。但饮食过度,触冒风冷,使阴
阳不和,致清浊相干,肠胃虚者受之,故霍乱也。热乱者先吐,或心腹痛则吐痢,并发有头
痛、体疼。发热而吐痢者,亦为霍乱。所以然者,挟风而有实故也。风折于气,皮肤致密,
故血气不得宣通,故令壮热。风邪乘其经脉,气上冲头则头痛。风气入于肠胃则泄痢,胃逆
则呕逆,故为吐痢也。吐痢甚者则多烦,脏腑虚故也。又手足逆冷,阳气暴竭,谓之四逆也
。妊娠之病,吐痢甚者则伤胎也。
治妊娠霍乱吐泻,心烦腹痛。
人参(去芦) 浓朴(姜制) 橘红(各一两) 当归(炒) 干姜(炮) 甘草(炙,
各半两)
上为散,每服四钱。水一盏,枣三个,煎至六分,无时温服。
治妊娠霍乱腹痛,吐逆不止。
白术(炒) 益智仁 枳壳(制) 橘红(各三分) 草豆蔻(煨,去皮) 良姜(炒,
各半两)
上为散,每服三钱。水一盏,姜半分,煎至六分,去滓温服,无时。
治妊娠霍乱吐泻,转筋,入腹则闷绝。
吴茱萸(汤泡七次) 生姜(切,各一分) 木瓜(切,一两半。一方有茴香一分,甘
草一钱,茱萸半两,加紫苏煎)
上细锉,水二盏,煎一盏二分,去滓,分三服,无时热服。
(This treatise on formulas specifically treats pregnant women with cholera-like disease, but one may also refer to the general formulas selected in Chapter 2 of Volume VII; therefore, extensive citation is omitted.)
The treatise states: When Yin and Yang, clear and turbid Qi interfere with each other, it is termed Qi disorder. Within the intestines and stomach, this manifests as cholera-like disease (Huoluan). If caused by excessive food intake or exposure to wind and cold, leading to disharmony between Yin and Yang, causing clear and turbid Qi to mix, those with weak intestines and stomachs are susceptible, thus resulting in cholera-like disease. In cases where heat disturbs, vomiting occurs first; or if there is heart and abdominal pain followed by vomiting and diarrhea, accompanied by headache and body ache. Fever accompanied by vomiting and diarrhea is also classified as cholera-like disease. This is because it involves the complication of wind pathogen and excess pathogens. Wind constrains Qi, making the skin and pores dense, preventing the free circulation of Blood and Qi, thereby causing high fever. When wind pathogen invades the meridians, Qi rushes upward to the head, causing headache. When wind Qi enters the intestines and stomach, it causes diarrhea and dysentery; when Stomach Qi rebels, it causes retching and vomiting, hence vomiting and diarrhea. Severe vomiting and diarrhea lead to much irritability due to the deficiency of the Zang-Fu organs. Furthermore, cold extremities indicate a sudden exhaustion of Yang Qi, termed Si Ni (Four Coldness). Diseases during pregnancy, if vomiting and diarrhea are severe, will damage the fetus.
To treat pregnant women with cholera-like disease presenting with vomiting, diarrhea, irritability, and abdominal pain:
Ren Shen (Ginseng Radix et Rhizoma, remove rhizome) 1 liang, Hou Po (Magnoliae Officinalis Cortex, processed with ginger juice) 1 liang, Ju Hong (Citri Reticulatae Pericarpium Rubrum) 1 liang, Dang Gui (Angelicae Sinensis Radix, stir-fried) [amount not specified, implied equal], Gan Jiang (Zingiberis Rhizoma, processed) [amount not specified, implied equal], Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 0.5 liang.
Grind the above into powder. Take 4 qian per dose. Add 1 cup of water and 3 dates, decoct until reduced to 6 fen. Take warm at any time.
To treat pregnant women with cholera-like disease presenting with abdominal pain and incessant vomiting:
Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried) 3 fen, Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) [amount not specified, implied equal], Zhi Ke (Aurantii Fructus, processed) 3 fen, Ju Hong (Citri Reticulatae Pericarpium Rubrum) 3 fen, Cao Dou Kou (Cardamomi Fructus Rotundus, roasted, peel removed) 0.5 liang, Liang Jiang (Alpiniae Katsumadai Rhizoma, stir-fried) 0.5 liang.
Grind the above into powder. Take 3 qian per dose. Add 1 cup of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain and take warm at any time.
To treat pregnant women with cholera-like disease presenting with vomiting, diarrhea, muscle cramps, and fainting due to pathogen entering the abdomen:
Wu Zhu Yu (Evodiae Fructus, soaked in boiling water seven times) 1 fen, Sheng Jiang (Zingiberis Rhizoma Recens, sliced) 1 fen, Mu Gua (Chaenomelis Fructus, sliced) 1.5 liang. Another prescription includes Hui Xiang (Foeniculi Fructus) 1 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, Wu Zhu Yu (Evodiae Fructus) 0.5 liang, plus Zi Su (Perillae Folium) for decoction.
Finely chop the ingredients. Add 2 cups of water, decoct until reduced to 1.2 cups. Strain. Divide into three doses. Take hot at any time.