（附论）
夫霍乱者。冷热之气。变乱于肠胃之间。搏于阴经。则腹痛而肠鸣。故为霍乱下利之病。
然
方
木瓜丸（出圣惠方）治霍乱。腹中冷气下利。
木瓜 当归（切焙） 熟艾（微炒） 桂（去粗皮各半两） 赤石脂（二两） 陈橘皮
（汤洗去
白焙
三
分）
乌梅汤（出圣惠方）治霍乱后。利不止。冷汗出。腹胁胀。
乌梅肉（微炒） 黄连（去须微炒） 熟艾（微炒） 当归（锉微炒） 附子（炮裂去
皮脐以上
各三
脂上
捣。
升麻汤 治霍乱。下焦热毒。利血如鹅鸭肝片不止。
升麻三分 犀角梢 地榆（去苗各一分） 紫草（去苗三分） 荷根（锉碎一两） 黄
芩（去
每服三
钱。以
黄柏皮汤（出圣济总录）治霍乱。下焦大便洞泄。小便自利。
黄柏（去粗皮一两半） 黄连（去须二两半） 人参（一两半） 艾叶（炒一两） 赤
茯苓（去
黑皮
焙干一
两）
人参散（出圣惠方）治霍乱后下利。
人参（去芦头） 甘草（炙微赤锉） 黄芩（各一两） 芎 当归（锉微炒各一两半）
白茯
苓
水一
大盏
黄连丸（出圣惠方）治霍乱后。下利无度。腹中 痛。
黄连（去须微炒） 浓朴（姜汁炙各三分） 黄柏（一分微炙锉） 阿胶（一两捣碎炒
令黄色）
当
杵。丸
如
止血汤 治霍乱。下焦虚寒。或便利后见血。
续断 当归（切焙各三两） 干姜（炮裂四两） 蒲黄（三两） 生干地黄（焙四两） 桂
（去
粗皮
日
三服
乌梅黄连散（出圣济总录）疗霍乱水利。腹中雷鸣。无不瘥。病缘霍乱而下
利
者。是冷气入
乌梅肉 黄连 熟艾叶 当归 甘草 阿魏（碎熬令黄然后为末三两） 赤石脂 附子
（炮各
猪肉。
黄连散 治霍乱后。下利赤白不定。
黄连（去须微炒） 黄柏 酸石榴皮 地榆（锉） 干姜（炮） 阿胶（打碎炒令黄燥）
浓朴（去
去
滓。
伏龙肝汤 治霍乱。下焦虚寒。或先血后便。此为远血成痢。
伏龙肝（净拣筛二两） 甘草（炙一两） 干姜（炮二两半） 黄芩（去黑心一两半） 生
干地
黄（
分拍碎。
水一盏。煎至七分。去滓。温服。日三服。
赤石脂汤 治霍乱。下焦热结。或痢下脓血烦痛。
赤石脂（四两） 乌梅（去核炒干一两） 栀子仁（半两） 白术（一两半） 干姜（炮
一两）
升麻
三
服。
龙骨汤 治霍乱后。虚冷腹痛。下痢不止。
龙骨 当归（切焙） 干姜（炮裂） 甘草（微炙） 人参（各一两） 附子（炮裂去
皮脐半两）
上
白术汤 治霍乱。下利不止而渴者。
白术 浓朴（去粗皮姜汁炙三次） 当归（切焙） 人参 干姜（炮裂） 甘草（微炒
各三两）
上
香豉汤 治霍乱。下焦热毒。痢如鱼脑杂。赤血并下。脐腹 痛。不可忍。里急后
重。
香豉（微炒二两） 栀子仁（三两） 黄柏（去粗皮半两） 地榆（锉半两） 白术 茜
根（拣
净锉
服。
理中丸 主霍乱。下气能食。止泄利。
人参 白术 浓朴（炙） 茯苓（各六分） 姜屑（二分） 上捣筛。蜜和丸。如梧子
大。一
服十
白茯苓丸（出圣惠方）治霍乱后。水利不止。
白茯苓 黄柏（微炙锉） 干姜（炮锉各一两） 木瓜（一两半干者） 白石脂（二两）
上捣
罗为
白术丸（出圣惠方）治霍乱下利。
白术 人参（去芦头） 浓朴（去粗皮涂生姜汁炙令香熟各一两） 甘草（半两炙微赤
锉）
上捣
诃黎勒丸 治霍乱水泻。肠胃冷滑。
干姜（炮） 龙骨 赤石脂（各一两） 诃黎勒（三两以面裹煨取皮并面为末） 上为
末。以
面糊
藜芦丸 治霍乱。赤白冷热等疾。及暴泻。病势初发。吐泻不止。出入不得。并宜
服。
藜芦（炙去苗） 皂荚（酥炙皮子） 巴豆（去心皮膜炒去油各一两） 上先捣前二味。
细罗
为末
陈橘皮汤 治霍乱下利。
陈橘皮（汤浸去白炒干） 高良姜（锉各三分） 浓朴（去粗皮姜汁涂炙三次一两） 上
捣
筛。每
艾叶汤（出圣惠方）治霍乱后。泄下不止。
艾叶（一两） 诃黎勒（一两煨去皮） 上以水二盏。煎至一盏。去滓。分温三服。如
人行
五六
又方（出千金方）
用艾叶一把。水三升。煮取一升。顿服良。如无新者。旧叶浓煎汤服。亦治霍乱转筋。
又方（出千金方）
用香薷一把。水四升。煮取一升。顿服。良。青木香亦佳。
治水泻。霍乱不止。（出肘后方）
用附子。重七钱。炮去皮脐。为末。每四钱。水二盏。盐半钱。煎取一盏。温服立止。
治霍乱。下利无汗。（出肘后方）
用梨叶枝一大握。水二升。煎取一升。凡正二月勿食梨。
治霍乱。唯利不吐方。（出圣惠方）
人参（半两去芦头） 乌牛 （一团并草） 生姜（三分切） 上细锉。拌匀。以淡浆
水一大盏。
治初得痢。冷热赤白。及霍乱。\x（出海师方）
甘草（一两炙） 草豆蔻（七个锉） 上以水三升。煎取一升。分服。
(Attached Discussion)
What is called Huoluan (Huo Luan, a disease characterized by sudden vomiting and diarrhea) refers to the chaotic disturbance of cold and hot qi between the stomach and intestines. When this pathogenic factor attacks the Yin meridians, it causes abdominal pain and borborygmus, thus forming the disease of Huoluan with diarrhea.
However
Prescriptions
Mugua Wan (Papilla Pill), from *Taiping Shenghui Fang*, treats Huoluan. Symptoms include cold qi attacking in the abdomen and diarrhea.
Ingredients: Chaenomelis Fructus (Mugua, 木瓜), Angelicae Sinensis Radix (Danggui, 当归, sliced and baked), Argyi Folium Praeparatum (Shuai, 熟艾叶, slightly fried), Cinnamomi Ramulus (Guizhi, 桂枝, coarse bark removed, each half liang), Lithops Minii (Chishizhi, 赤石脂, two liang), Citri Reticulatae Pericarpium (Chenjuapi, 陈橘皮, washed with decoction, white pith removed, baked, three fen).
Wumei Tang (Oleaster Decoction), from *Taiping Shenghui Fang*, treats post-Huoluan condition where diarrhea persists, cold sweat occurs, and there is distension in the abdomen and hypochondrium.
Ingredients: Oleae Fructus (Wumei, 乌梅肉, slightly fried), Coptidis Rhizoma (Huanglian, 黄连, mustache removed, slightly fried), Argyi Folium Praeparatum (Shuai, 熟艾叶, slightly fried), Angelicae Sinensis Radix (Danggui, 当归, chopped and slightly fried), Aconiti Lateralis Radix Praeparata (Fuzi, 附子, processed until cracked, skin and umbilicus removed, above ingredients each three liang), Lithops Minii (Chishizhi, 赤石脂, two liang). The above ingredients are crushed and sifted into powder. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Shengma Tang (Cimicifugae Decoction), treats Huoluan. Symptoms include severe heat-toxin in the lower jiao, with continuous bleeding resembling goose or duck liver slices in stool.
Ingredients: Cimicifugae Rhizoma (Shengma, 升麻, three fen), Rhinocerotis Cornu (Xijiao, 犀角, tip used), Sanguisorbae Radix (Diyu, 地榆, seedlings removed, each one fen), Leonuri Herba (Zicao, 紫草, seedlings removed, three fen), Nelumbinis Rhizomatis Radix (Heegen, 荷根, chopped finely, one liang), Scutellariae Radix (Huangqin, 黄芩, black heart removed, one and a half liang), Phellodendri Cortex (Huangbai, 黄柏, coarse bark removed, one liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Huangbai Pi Tang (Phellodendri Cortex Decoction), from *Shengji Zonglu*, treats Huoluan. Symptoms include profuse watery diarrhea in the lower jiao and spontaneous urination.
Ingredients: Phellodendri Cortex (Huangbai, 黄柏, coarse bark removed, one and a half liang), Coptidis Rhizoma (Huanglian, 黄连, mustache removed, two and a half liang), Ginseng Radix et Rhizoma (Renshen, 人参, one and a half liang), Argyi Folium (Aiye, 艾叶, fried, one liang), Poria Cum Rizoma (Chifuling, 赤茯苓, black skin removed, baked dry, one liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Renshen San (Ginseng Powder), from *Taiping Shenghui Fang*, treats post-Huoluan diarrhea.
Ingredients: Ginseng Radix et Rhizoma (Renshen, 人参, rhizome removed), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, honey-fried until slightly red and chopped), Scutellariae Radix (Huangqin, 黄芩, each one liang), Chuanxiong Rhizoma (Xiong, 川芎), Angelicae Sinensis Radix (Danggui, 当归, chopped and slightly fried, each one and a half liang), Poria (Baifuling, 白茯苓, black skin removed). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Huanglian Wan (Coptis Pill), from *Taiping Shenghui Fang*, treats post-Huoluan condition with uncontrolled diarrhea and abdominal pain.
Ingredients: Coptidis Rhizoma (Huanglian, 黄连, mustache removed, slightly fried), Magnoliae Officinalis Cortex (Nongpou, 浓朴, ginger-juice fried, each three fen), Phellodendri Cortex (Huangbai, 黄柏, one fen, slightly fried and chopped), Asini Corii Colla (Ejiao, 阿胶, one liang, crushed and fried until yellow). The above ingredients are pounded and sifted into fine powder, mixed with refined honey to form pills the size of wutong seeds. Take twenty pills per dose, wash down with warm water, three times daily.
Zhixue Tang (Stop-Bleeding Decoction), treats Huoluan. Symptoms include deficiency-cold in the lower jiao, or blood appearing after bowel movements or urination.
Ingredients: Dipsaci Radix (Xuduan, 续断), Angelicae Sinensis Radix (Danggui, 当归, sliced and baked, each three liang), Zingiberis Rhizoma (Ganjiang, 干姜, processed until cracked, four liang), Pollen Typhae (Puhuang, 蒲黄, three liang), Rehmanniae Radix (Shenggan Dihuang, 生干地黄, baked, four liang), Cinnamomi Ramulus (Guizhi, 桂枝, coarse bark removed, one liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Wumei Huanglian San (Oleaster and Coptis Powder), from *Shengji Zonglu*, treats Huoluan with watery diarrhea and borborygmus, ensuring recovery. The etiology is cold qi entering the stomach and intestines following Huoluan.
Ingredients: Oleae Fructus (Wumei, 乌梅肉), Coptidis Rhizoma (Huanglian, 黄连), Argyi Folium Praeparatum (Shuai Aiye, 熟艾叶), Angelicae Sinensis Radix (Danggui, 当归), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Ferulae Resina (Awei, 阿魏, crushed and fried until yellow then powdered, three liang), Lithops Minii (Chishizhi, 赤石脂), Aconiti Lateralis Radix Praeparata (Fuzi, 附子, processed, each one liang). The above ingredients are made into powder. Take two qian per dose, mix with pork broth, take at any time.
Huanglian San (Coptis Powder), treats post-Huoluan condition with irregular discharge of red and white pus and blood.
Ingredients: Coptidis Rhizoma (Huanglian, 黄连, mustache removed, slightly fried), Phellodendri Cortex (Huangbai, 黄柏), Punicae Granati Pericarpium (Suan Shiliutupi, 酸石榴皮), Sanguisorbae Radix (Diyu, 地榆, chopped), Zingiberis Rhizoma (Ganjiang, 干姜, processed), Asini Corii Colla (Ejiao, 阿胶, broken and fried until dry and yellow), Magnoliae Officinalis Cortex (Nongpou, 浓朴, coarse bark removed, ginger-juice fried). The above ingredients are made into powder. Take two qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, at any time.
Fulonggan Tang (Dragon's House Soil Decoction), treats Huoluan. Symptoms include deficiency-cold in the lower jiao, or blood appearing before stool, known as "distant blood" leading to dysentery.
Ingredients: Fulonggan (Fulonggan, 伏龙肝, cleaned and sifted, two liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, honey-fried, one liang), Zingiberis Rhizoma (Ganjiang, 干姜, processed, two and a half liang), Scutellariae Radix (Huangqin, 黄芩, black heart removed, one and a half liang), Rehmanniae Radix Preparata (Shenggan Dihuang, 生干地黄, chopped, one liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Chishizhi Tang (Lithops Minii Decoction), treats Huoluan. Symptoms include heat-stagnation in the lower jiao, or dysentery with pus and blood accompanied by irritability and pain.
Ingredients: Lithops Minii (Chishizhi, 赤石脂, four liang), Oleae Fructus (Wumei, 乌梅, pit removed, fried dry, one liang), Gardeniae Fructus (Zhizi Ren, 栀子仁, half liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术, one and a half liang), Zingiberis Rhizoma (Ganjiang, 干姜, processed, one liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Longgu Tang (Dragon Bone Decoction), treats post-Huoluan condition with deficiency-cold abdominal pain and persistent dysentery.
Ingredients: Longgu (Longgu, 龙骨), Angelicae Sinensis Radix (Danggui, 当归, sliced and baked), Zingiberis Rhizoma (Ganjiang, 干姜, processed until cracked), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, slightly fried), Ginseng Radix et Rhizoma (Renshen, 人参, each one liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子, processed until cracked, skin and umbilicus removed, half liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Baizhu Tang (Atractylodis Macrocephalae Decoction), treats Huoluan. Symptoms include persistent diarrhea with thirst.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Magnoliae Officinalis Cortex (Nongpou, 浓朴, coarse bark removed, ginger-juice fried three times), Angelicae Sinensis Radix (Danggui, 当归, sliced and baked), Ginseng Radix et Rhizoma (Renshen, 人参), Zingiberis Rhizoma (Ganjiang, 干姜, processed until cracked), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, slightly fried, each three liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Xiangchi Tang (Fermented Soybean Decoction), treats Huoluan. Symptoms include heat-toxin in the lower jiao, dysentery resembling fish brains mixed with red blood, unbearable pain in the navel and abdomen, tenesmus.
Ingredients: Fermented Soybean (Xiangchi, 香豉, slightly fried, two liang), Gardeniae Fructus (Zhizi Ren, 栀子仁, three liang), Phellodendri Cortex (Huangbai, 黄柏, coarse bark removed, half liang), Sanguisorbae Radix (Diyu, 地榆, chopped, half liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Rubiae Radix et Rhizoma (Qigen, 茜根, selected and chopped, each one liang). The above ingredients are chopped. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Lizhong Wan (Regulate the Middle Pill), primarily treats Huoluan. Symptoms include downward flow of qi but ability to eat, stopping diarrhea.
Ingredients: Ginseng Radix et Rhizoma (Renshen, 人参), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Magnoliae Officinalis Cortex (Nongpou, 浓朴, fried), Poria (Fuling, 茯苓, each six fen), Ginger Scrapings (Jiangxie, 姜屑, two fen). The above ingredients are pounded and sifted, mixed with honey to form pills the size of wutong seeds. Take ten pills per dose, wash down with rice soup, three times daily.
Baifuling Wan (White Poria Pill), from *Taiping Shenghui Fang*, treats post-Huoluan condition with persistent watery diarrhea.
Ingredients: White Poria (Baifuling, 白茯苓), Phellodendri Cortex (Huangbai, 黄柏, slightly fried and chopped), Zingiberis Rhizoma (Ganjiang, 干姜, processed and chopped, each one liang), Chaenomelis Fructus (Mugua, 木瓜, one and a half liang, dried), Baideshizhi (Baishizhi, 白石脂, two liang). The above ingredients are pounded and sifted into fine powder, mixed with refined honey to form pills the size of wutong seeds. Take twenty pills per dose, wash down with warm water, three times daily.
Baizhu Wan (Atractylodis Macrocephalae Pill), from *Taiping Shenghui Fang*, treats Huoluan with diarrhea.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Ginseng Radix et Rhizoma (Renshen, 人参, rhizome removed), Magnoliae Officinalis Cortex (Nongpou, 浓朴, coarse bark removed, coated with ginger juice and fried until fragrant, each one liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, half liang, honey-fried until slightly red and chopped). The above ingredients are pounded and sifted into fine powder, mixed with refined honey to form pills the size of wutong seeds. Take twenty pills per dose, wash down with rice soup, three times daily.
Helile Wan (Terminalia Pill), treats Huoluan with watery diarrhea and cold-slippery stomach and intestines.
Ingredients: Zingiberis Rhizoma (Ganjiang, 干姜, processed), Longgu (Longgu, 龙骨), Lithops Minii (Chishizhi, 赤石脂, each one liang), Terminalia Chebulae Fructus (Helile, 诃黎勒, three liang, wrapped in flour and roasted, skin and flour powdered). The above ingredients are made into powder, mixed with flour paste to form pills the size of wutong seeds. Take twenty pills per dose, wash down with rice soup, three times daily.
Lilu Wan (Veratrum Pill), treats Huoluan, diseases of red and white, cold and heat, as well as sudden diarrhea. In the initial stage of the disease, if vomiting and diarrhea persist without relief, this is suitable for use.
Ingredients: Veratri Rhizoma (Lilu, 藜芦, fried and seedlings removed), Gleditsiae Sinensis Spina (Zaojia, 皂荚, fried in lard, skin and seeds removed), Crotonis Fructus (Badou, 巴豆, heart, skin, and membrane removed, fried and oil removed, each one liang). First pound the first two ingredients, sift finely into powder, then add the Badou powder, mix evenly, refine honey to form pills the size of wutong seeds. Take one pill per dose, wash down with warm water, three times daily.
Chenjuapi Tang (Citri Reticulatae Pericarpium Decoction), treats Huoluan with diarrhea.
Ingredients: Citri Reticulatae Pericarpium (Chenjuapi, 陈橘皮, soaked in decoction, white pith removed, fried dry), Alpiniae Officinarum Rhizoma (Gaoliangjiang, 高良姜, chopped, each three fen), Magnoliae Officinalis Cortex (Nongpou, 浓朴, coarse bark removed, coated with ginger juice and fried three times, one liang). The above ingredients are pounded and sifted. Take three qian per dose, add one zhan of water, decoct to seven tenths, remove dregs, take warm, three times daily.
Aiye Tang (Artemisia Argyi Leaf Decoction), from *Taiping Shenghui Fang*, treats post-Huoluan condition with persistent diarrhea.
Ingredients: Artemisiae Argyi Folium (Aiye, 艾叶, one liang), Terminalia Chebulae Fructus (Helile, 诃黎勒, one liang, roasted and skin removed). Add two zhan of water to the above, decoct to one zhan, remove dregs, divide into three warm doses. Administer every five to six li of walking distance.
Another Prescription (from *Qianjin Fang*)
Use one handful of fresh Artemisiae Argyi Folium (Aiye, 艾叶), three sheng of water, boil to obtain one sheng, take in one dose. Effective. If fresh ones are unavailable, old leaves boiled into strong decoction can be taken. Also treats Huoluan with muscle cramps.
Another Prescription (from *Qianjin Fang*)
Use one handful of Moslae Herba (Xiangru, 香薷), four sheng of water, boil to obtain one sheng, take in one dose. Effective. Qingmuxiang (Green Aucklandia Root) is also good.
Treats watery diarrhea, Huoluan not stopping. (from *Zhouhou Fang*)
Use Fuzi (Aconiti Lateralis Radix Praeparata, 附子), weighing seven qian, processed, skin and umbilicus removed, powdered. Take four qian per dose, add two zhan of water, half qian of salt, decoct to obtain one zhan, take warm, stops immediately.
Treats Huoluan, diarrhea without sweating. (from *Zhouhou Fang*)
Use a large handful of Pyri Ramulus et Folium (Liyezhi, 梨叶枝), two sheng of water, decoct to obtain one sheng. Do not eat pears in the first and second lunar months.
Treats Huoluan, only diarrhea without vomiting. (from *Taiping Shenghui Fang*)
Ginseng Radix et Rhizoma (Renshen, 人参, half liang, rhizome removed), Bos Taurus Urine and Grass (Wuniu Niao, 乌牛屎, one ball including grass), Zingiberis Rhizoma Recens (Shengjiang, 生姜, three fen, sliced). Chop finely above, mix well, add one large zhan of light grain water, decoct to seven tenths, remove dregs, take warm.
Treats initial onset of dysentery, cold and heat, red and white, and Huoluan. (from *Haishi Fang*)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, one liang, honey-fried), Cardamomi Fructus (Caodoukou, 草豆蔻, seven, chopped). Add three sheng of water to the above, decoct to obtain one sheng, divide and take.