（附转筋）
〔总论〕 其症初因好饮冷物。或冒寒。或失饥。或大怒大惊。或乘舟车。动伤胃气。
外感内伤。阴阳乖隔。以致心腹卒痛上吐下泻。偏阳多热偏阴多寒。心痛则先吐。腹痛则先
泻。初起宜用淡姜盐汤。令其徐饮徐吐。以尽为度。痛时即得吐泻者。其症轻。盖所伤之物
尽出也。切勿与谷食米饮。吃入口即死。直至饥甚。吐泻过二三时辰。方可与稀粥食之。吐
止后。勿妄用凉药。盖吐泻之后。脾胃更虚。宜以和胃健脾为主。
〔干霍乱〕 胸腹搅痛。胀急闷乱。上欲吐而不能出。下欲泻而不能行。即今所谓绞肠
痧。最为危急之症。急以炒盐搅滚汤内。入皂荚末三分。候汤冷灌之。令其大吐。庶可得生。
或用生白矾末一钱。入滚汤内。候冷灌之如不止。将针刺十指出血。（如治痧法。） 将病患
腿腕横纹上。蘸温水拍打。紫红纹见。以针刺出紫血立愈。 用手在脚弯内拍数十下。即有
青麻突起。用针刺去黑血立愈。 如手足厥冷。转筋入腹。并痰壅汗出。气冷欲绝。即用炒
盐一包。熨其心腹。令气透。又以一包熨其背。待手足暖。再用丁香。白豆蔻。二味等分。
为末。姜汤调下一钱。如寒重数服不拘。 吴茱萸。三四两。食盐数两。炒热熨脐下亦效。 霍
乱危急将死。用盐填脐中。艾灸二七壮。立愈。 以脉气浮洪者易治。若脉微迟。加以气少。
昏沉不语。皆难治。吐后仍照前缓进米饮。吐泻止后口渴者。用白术。茯苓。猪苓。（各一
钱半）泽泻。（二钱半）肉桂。（五七分体寒者加重）水煎服。如不渴者。用白术。人参。（各
三钱）炙甘草。（一钱）干姜。（二三钱）水煎服。 如泻不止。加橘红。茯苓。（各一钱）
肉豆蔻（面煨一钱） 如呕吐不止。加丁香。姜半夏。（各一钱）二三剂后即安。
〔伤暑霍乱〕 丝瓜叶。（一片）白霜梅。（一个同仁）二味。研极烂。用新汲水调服立
愈。
〔中湿霍乱吐泻〕 凡水泻而腹不甚痛者。湿也。夏秋多有之。用苍术。（炒）广皮。
姜半夏。（各一钱半）藿香。（二钱）炙甘草。（五分）加生姜。（三五片）枣二枚。水煎服。
一方加苏叶。桔梗。浓朴。
〔霍乱吐泻不止〕 陈皮。藿香叶。（各三五钱）水煎服。或为末。热酒调服。有一点
胃
气存者。无不见效。 泻痢不止。转筋入腹欲死者。生姜三两捣烂。入酒二碗。煮三四沸顿
服可解。或用艾一把。水三碗煎一碗顿服。亦效。
〔霍乱烦渴不止〕 糯米三合。白蜜一合。同研。煮汁饮即止。 如吐泻已愈。烦热多
渴。小便不利。用麦冬。茯苓。半夏。陈皮。白术。（各一钱半）人参。小麦。（各一钱）生
甘草。（六分）加生姜三片。乌梅半个。水煎服。
〔吐泻不已转筋〕 白扁豆叶捣汁一碗。入米醋少许。温服。因暑而起者。服之立效。 转
筋十指挛急。不能屈伸者。灸足外踝骨尖上五壮。（麦大艾丸。）即止。 转筋不止。用蓼一
大握。水煎浓熏洗。或以帛蘸汤熨患处。
〔寻常转筋〕 不因霍乱而发者。四时皆有。因血虚而转者。多以大蒜捣烂。涂足心即
止。再服四物汤。（方见中风门。）加酒炒黄芩。红花。（各一二钱）水煎服。有筋动于足大
趾。
至腰而住者。乃奉养过浓。因风寒湿而作。用威灵仙一两。窨酒每日服二杯。湿去自止。 如
睡中伸欠而转筋者。男子以手挽其阴。女子以手牵其乳近两边即止。
〔转筋遍身入腹不可忍者〕 重盐汤浸患处。或浓煮蓼汤或白矾汤。皆效。 或以盐擦
痛处。三五十匝。即皮破亦无妨。可以断根。
〔肝虚转筋〕 赤蓼茎叶三两。水一盏。酒一碗。煎六分服。
〔转筋疼痛挛急〕 松节二两。锉如米粒。加乳香。一钱。以瓦器内慢火炒令焦。（出
火性为末。）每服一钱。渐加至二钱。热木瓜酒调下。
〔转筋诸药不效〕 雄猪肾。（二条全者。）薄切。香油煎熟。空心细嚼。盐汤送下三四
次。如神效。
(Attached: Muscle Cramp/Tetany)
[General Discussion] This condition initially arises from a preference for drinking cold substances. Or exposure to cold. Or excessive hunger. Or sudden great anger or fright. Or turbulence while traveling by boat or carriage, damaging the Stomach Qi. External pathogenic factors and internal injury lead to a disruption and separation of Yin and Yang, resulting in sudden pain in the heart and abdomen, with vomiting and diarrhea above and below. Predominantly Yang patterns tend toward heat, while predominantly Yin patterns tend toward cold. Heart pain precedes vomiting; abdominal pain precedes diarrhea. At the onset, light ginger-salt soup should be used, allowing the patient to drink slowly and vomit slowly, continuing until nothing remains. If vomiting and diarrhea occur immediately upon pain, the condition is mild, as the ingested harmful substance has been completely expelled. Do not give grain food, rice, or rice water; ingestion can be fatal. Wait until extreme hunger sets in, and two to three hours have passed since the cessation of vomiting and diarrhea, before offering thin porridge. After vomiting stops, do not recklessly use cooling medicines. Because after vomiting and diarrhea, the Spleen and Stomach are even more deficient, treatment should focus on harmonizing the Stomach and strengthening the Spleen.
[Dry Huoluan (Cholera-like Syndrome)] There is churning pain in the chest and abdomen, distension and urgency, with mental restlessness. The desire to vomit exists but cannot be expelled; the desire to defecate exists but cannot pass. This is what is currently called "Intestinal Colic Sha" (Jiaochang Sha), a most critical condition. Immediately stir fried salt into boiling water, add three fen of Gleditsiae Sinensis Endocarp Powder (Zaojia Mo), wait for the liquid to cool, and administer via gavage to induce profuse vomiting, which may save life. Alternatively, use one qian of raw Alum Powder (Baifan Mo) dissolved in boiling water, wait for it to cool, and administer. If symptoms persist, prick the ten fingertips to bleed (as per Sha treatment methods). On the upper part of the patient's ankle crease, pat with warm water-dipped cloth; when purple-red marks appear, prick the skin to release purple blood for immediate cure. Pat the popliteal fossa dozens of times with hand; when greenish numb bumps appear, prick to release black blood for immediate cure. If extremities are cold, tetany extends to the abdomen, accompanied by phlegm obstruction, sweating, cold breath, and near-death state, use a bag of fried salt to moxa-heat the epigastrium and abdomen to penetrate warmth, then use another bag to heat the back. Once extremities are warm, mix equal parts of Eugenia Caryophyllata Flower Bud (Dingxiang) and Amomum Cardamomum Seed (Baidoukou), grind to powder, and take one qian mixed with Ginger Decoction. For severe cold, multiple doses are permissible without restriction. Stir-fried Evodiae Fructus (Wuzhuyu) three to four liang and several liang of salt, heated and applied to below the umbilicus, is also effective. In critical Huoluan nearing death, fill the umbilicus with salt and apply moxibustion fourteen Zhuang (units of moxa cone), leading to immediate recovery. Pulse floating and surging indicates easy treatability. If pulse is faint and slow, accompanied by shortness of breath, lethargy, and muteness, it is difficult to treat. After vomiting, continue to slowly administer rice water as before. For thirst after cessation of vomiting and diarrhea, use Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Polyporus (Zhuling) (each one and a half qian), Alismatis Rhizoma (Zexie) (two and a half qian), and Cinnamomi Cortex (Rougui) (five fen, increase for cold constitution), decoct in water and take. For no thirst, use Atractylodis Macrocephalae Rhizoma (Baizhu) and Ginseng Radix et Rhizoma (Renshen) (each three qian), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (one qian), Zingiberis Rhizoma (Ganjiang) (two to three qian), decoct in water and take. For unceasing diarrhea, add Tangerine Peel (Juhong) and Poria (Fuling) (each one qian), Myristica Fragrans Seed (Roudoukou) (flour-roasted, one qian). For unceasing vomiting, add Eugenia Caryophyllata Flower Bud (Dingxiang) and Pinelliae Rhizoma Preparatum (Jiang Banxia) (each one qian); stability is achieved after two to three doses.
[Heatstroke-induced Huoluan] Luffae Fructus Retinervus Leaf (Siguye) (one piece) and White Frost Plum (Baishuangmei) (one fruit), these two ingredients ground extremely fine, mixed with fresh well-water and taken, leads to immediate cure.
[Dampness-induced Huoluan with Vomiting and Diarrhea] Watery diarrhea with little abdominal pain indicates Dampness. Common in summer and autumn. Use Atractylodis Rhizoma (Cangzhu) (stir-fried), Citri Reticulatae Pericarpium (Guangpi), Pinelliae Rhizoma Preparatum (Jiang Banxia) (each one and a half qian), Agastaches Herba (Huoxiang) (two qian), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (five fen), add Zingiberis Recens Rhizoma (Shengjiang) (three to five slices) and two Jujubes (Zao), decoct in water and take. One formula adds Perillae Folium (Suye), Platycodonis Radix (Jiegeng), and Magnoliae Officinalis Cortex (Houpo).
[Unceasing Huoluan Vomiting and Diarrhea] Tangerine Peel (Chenpi) and Agastaches Herba (Huoxiangye) (each three to five qian), decoct in water and take. Or grind to powder, take mixed with hot wine. Effective for any case retaining even a trace of Stomach Qi. For unceasing dysentery and diarrhea with tetany extending to the abdomen nearing death, crush three liang of Zingiberis Recens Rhizoma (Shengjiang), add two bowls of wine, boil three to four times, take in one dose to resolve. Alternatively, take one handful of Artemisia Argyi Herb (Aiye) decocted in three bowls of water down to one bowl, taken in one dose, also effective.
[Unceasing Thirst and Irritability in Huoluan] Three he of Glinis Japonici Semen (Nuomici) and one he of White Honey (Baimi), ground together, boiled for juice, and drunk stops the condition. If vomiting and diarrhea have ceased but irritability, heat, and excessive thirst persist, with difficult urination, use Ophiopogonis Radix (Maidong), Poria (Fuling), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Macrocephalae Rhizoma (Baizhu) (each one and a half qian), Ginseng Radix et Rhizoma (Renshen) and Triticum Aestivum Fructus (Xiaomai) (each one qian), Glycyrrhizae Radix et Rhizoma (Shenggancao) (six fen), add three slices of Zingiberis Recens Rhizoma (Shengjiang) and half a Prunus Mume Fructus (Wumei), decoct in water and take.
[Unceasing Vomiting/Diarrhea with Tetany] One bowl of juice from捣碎 Dolichos Lablab Leaf (Baibiandouye), mixed with a small amount of Rice Vinegar (Micu), taken warm. Effective immediately for cases arising from Summerheat. For tetany causing spasm of the ten fingers unable to flex or extend, moxa-burn five Zhuang on the tip of the lateral malleolus of the foot (using moxa cones the size of wheat grains). Stops immediately. For unceasing tetany, boil a large handful of Polygonum orientale Herb (Liao) in water for strong fumigation and washing, or soak cloth in the decoction to apply heat to the affected area.
[Ordinary Tetany] Occurring in all seasons not caused by Huoluan. Caused by Blood deficiency, applying crushed Garlic (Dasuan) to the sole of the foot stops it. Follow up with Siwu Tang (see Stroke section), adding Scutellariae Radix fried in wine and Carthami Flos (Honghua) (each one to two qian), decoct in water and take. Some cases involve tendon movement starting from the big toe and stopping at the waist, caused by excessive rich nourishment leading to Wind-Cold-Damp invasion. Take one liang of Clematis Chinensis Radix et Caulis (Weilingxian) daily with two cups of aged wine; removing Dampness stops the condition. For tetany occurring during stretching/yawning in sleep, for men, pull the genitals with hand; for women, pull the breasts near both sides; this stops it.
[Tetany Extending All Over Body and Abdomen, Intolerable] Soak affected area in heavy salt water, or strong Polygonum orientale Herb decoction or Alum solution, all effective. Or rub salt on painful areas for thirty to fifty circles; even if skin breaks, it is harmless and can eradicate the root cause.
[Liver Deficiency Tetany] Three liang of Polygonum orientale Stem and Leaf (Chiliao), one cup of water, one bowl of wine, decoct to six parts and take.
[Tetany Pain and Spasm] Two liang of Pinus Massoniana Node (Songjie), cut like rice grains, add one qian of Boswelliae Resina (Ruxiang), stir-fry slowly in a clay vessel until scorched (remove fire toxicity, then grind to powder). Take one qian per dose, gradually increasing to two qian, taken with hot Quince Wine (Muqiu Jiu).
[Tetany Unresponsive to Various Medicines] Two whole male Pig Kidneys (Xiong Zhushen), thinly sliced, fried in Sesame Oil (Xiangyou) until cooked, chewed finely on an empty stomach, washed down with Salt Water three to four times. Effect like a deity.