（附论）
夫阴阳清浊相干。谓之气乱。气乱于肠胃之间。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。霍乱者。先心痛则先吐。先腹痛则先利。
心
风折血气。皮肤闭密。血气不得宣通。致令壮热。风邪乘其经脉。气上冲于头。则头痛。风
气入于肠胃。肠虚则泄利。胃逆则吐逆。故为吐利也。吐利甚则烦。脏腑虚故也。又手足逆
。冷阳气暴竭。谓之四逆也。妊娠而病之。吐利甚者。则伤胎也。
方
白术散 治妊娠霍乱。吐泻过多。伤冷。胎脏不安。
白术 白茯苓 草豆蔻 陈橘皮 浓朴（各一两） 芎 当归（各三分） 人参 干
姜（各半两） 上捣筛为散。每服四钱。水一盏。入枣三枚。煎至六分去滓。不计时候。稍
热服。
藿香散 治妊娠霍乱。吐利不止。腹痛转筋。闷绝。
藿香叶 白术 人参 赤茯苓 五味子 黄 （各半两） 当归 木瓜（各一两） 上
捣筛为散。每服四钱。水一盏。煎至六分去滓。不拘时。温服。
人参散 治妊娠霍乱吐泻。心烦腹痛。
人参 浓朴 橘红（各一两） 当归 干姜 甘草（各半两） 上为散。每服四钱。水
一盏。枣二个。煎至六分。无时温服。
白术散 治妊娠霍乱。腹痛。吐逆不止。
白术 益智仁 枳壳 橘红（各三分） 草豆蔻 良姜（各半两） 上为散。每服三钱。
水一盏半分。煎至六分去滓。无时温服。
芦根饮子 治妊娠霍乱吐泻。心烦。
芦根（一两） 人参（一两） 藿香（三分） 甘草（半两） 枇杷叶（十片） 上细
锉。和匀。每服一分。水一盏。薤白七寸。生姜半分。煎至六分去滓。不计时候。稍热服。
木瓜煎 治妊娠霍乱吐泻。转筋入腹。则闷绝。
吴茱萸 生姜（切各一分） 木瓜（切一两半） 上细锉。水二盏煎至一盏三分。去滓。
分三服。无时热服。一方有茴香一分。甘草一钱。茱萸半两。加紫苏煎。
香 粥 治妊娠霍乱吐泻。心烦多渴。
香 叶 生姜 人参（各半两） 上以水二大盏煎取一盏三分。去滓。研入白米一合。
煮稀粥食之。
丁香散 治妊娠霍乱吐泻。烦闷。
丁香 人参（各半两） 陈橘皮（三分汤浸） 上捣粗罗为散。以水二大盏。生姜半分。
枣五枚。煎至一盏二分。去滓。分温三服。
止渴饮 治妊娠霍乱吐泻。心闷乱。作渴不止。
用糯米一合。淘令净。细研。以水一大盏。研滤取汁。入蜜一合。生姜汁半合。相和。
渴即顿服。立止。
治妊娠霍乱吐泻。转筋不止方。
用盐三合。以水三大盏。煮取二盏。以青布浸拭转筋上。效。
又方
上用木瓜二枚。切。以水五大盏。煮取三盏。以青布浸拓于转筋上。即定。如无木瓜。
煎桂枝五两亦佳。
(Attached Discussion)
When Yin and Yang, clear and turbid qi interfere with each other, it is called Qi Disarray (Qi Luan). When Qi disarrays between the intestines and stomach, Huoluan (Cholera-like disease characterized by sudden vomiting and diarrhea) occurs. This happens due to overeating or exposure to wind and cold, which disrupts the harmony of Yin and Yang, causing clear and turbid energies to mix. If the intestines and stomach are deficient, they are affected, resulting in Huoluan. In Huoluan, if heart pain precedes, vomiting occurs first; if abdominal pain precedes, diarrhea occurs first.
Wind pathogen damages blood and Qi, closing the skin pores tightly, preventing the free circulation of blood and Qi, leading to high fever. Wind pathogen enters the meridians, and Qi rushes upward to the head, causing headache. Wind-Qi enters the intestines and stomach; intestinal deficiency leads to diarrhea, while Stomach Qi rebelling upward causes vomiting, thus resulting in vomiting and diarrhea. Severe vomiting and diarrhea cause irritability due to the deficiency of Zang-Fu organs. Additionally, cold extremities and sudden exhaustion of Yang Qi are referred to as SiNi (Four Coldness/Extremity Cold). If contracted during pregnancy, severe vomiting and diarrhea may damage the fetus.
Formulas
Baizhu San (Atractylodis Macrocephalae Powder): Treats pregnancy Huoluan. Indicated for excessive vomiting and diarrhea, cold injury, and fetal instability.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Caodoukou (Cardamomi Fructus), Chenjupi (Citri Reticulatae Pericarpium), Nongpo (Magnoliae Officinalis Cortex), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma). Dosages: Baizhu, Baifuling, Caodoukou, Chenjupi, Nongpo (each 1 liang); Xiong, Danggui (each 3 fen); Renshen, Ganjiang (each 0.5 liang).
Preparation and Administration: Pound and sieve into a powder. Take 4 qian per dose, add 1 zhan of water and 3 jujubes. Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Huoxiang San (Agastache Powder): Treats pregnancy Huoluan with incessant vomiting and diarrhea, abdominal pain with muscle cramps, and syncope/stupor.
Ingredients: Huoxiangye (Agastaches Herba), Baizhu, Renshen, Chifuling (Poria cum Ramo Quercus), Wuweizi (Schisandrae Chinensis Fructus), Huangqi (Astragali Membranacei Radix - inferred from context "Huang"), Danggui, Mugua (Chaenomelis Fructus). Dosages: Each 1 liang.
Preparation and Administration: Pound and sieve into a powder. Take 4 qian per dose, add 1 zhan of water. Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Renshen San (Ginseng Powder): Treats pregnancy Huoluan with vomiting and diarrhea, irritability, and abdominal pain.
Ingredients: Renshen, Nongpo, Juhong (Citri Reticulatae Pericarpium Rubrum), Danggui, Ganjiang, Gancao (Glycyrrhizae Radix et Rhizoma). Dosages: Renshen, Nongpo, Juhong (each 1 liang); Danggui, Ganjiang, Gancao (each 0.5 liang).
Preparation and Administration: Make into a powder. Take 4 qian per dose, add 1 zhan of water and 2 jujubes. Decoct until reduced to 6 fen. Take warm at any time.
Baizhu San (Atractylodis Macrocephalae Powder): Treats pregnancy Huoluan with abdominal pain and incessant vomiting.
Ingredients: Baizhu, Yizhiren (Alpiniae Oxyphyllae Fructus), Zhike (Aurantii Fructus Immaturus), Juhong, Caodoukou, Liangjiang (Galangal Rhizoma). Dosages: Baizhu, Yizhiren, Zhike, Juhong (each 3 fen); Caodoukou, Liangjiang (each 0.5 liang).
Preparation and Administration: Make into a powder. Take 3 qian per dose, add 1.5 zhan of water. Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Lugen Yinzi (Reed Rhizome Decoction): Treats pregnancy Huoluan with vomiting and diarrhea, and irritability.
Ingredients: Lugen (Phragmitis Rhizoma, 1 liang), Renshen (1 liang), Huoxiang (3 fen), Gancao (0.5 liang), Pipaye (Loquat Leaf, 10 pieces).
Preparation and Administration: Finely chop and mix evenly. Take 1 fen per dose, add 1 zhan of water, 7 cun of Xiubai (Allii Macrostemonis Bulbus), and 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens). Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Mugua Jian (Chaenomelis Decoction): Treats pregnancy Huoluan with vomiting and diarrhea, muscle cramps entering the abdomen causing syncope.
Ingredients: Wuzhuyu (Evodiae Fructus), Shengjiang (1 fen each), Mugua (1.5 liang).
Preparation and Administration: Finely chop. Add 2 zhan of water, decoct until reduced to 1.3 zhan, remove dregs. Divide into three doses. Take hot at any time. Another variant adds Huixiang (Foeniculi Fructus, 1 fen), Gancao (1 qian), Wuzhuyu (0.5 liang), and Zisu (Perillae Folium) for decoction.
Xiangru Zhou (Elsholtzia Porphyrophylla Porridge): Treats pregnancy Huoluan with vomiting, diarrhea, irritability, and excessive thirst.
Ingredients: Xiangruye (Elsholtziae Spica), Shengjiang, Renshen (each 0.5 liang).
Preparation and Administration: Decoct 2 large zhan of water to obtain 1.3 zhan, remove dregs. Mix with 1 he of white rice and cook into thin porridge. Eat.
Dingxiang San (Caryophylli Flos Powder): Treats pregnancy Huoluan with vomiting, diarrhea, and stifling sensation.
Ingredients: Dingxiang (Caryophylli Flos, 0.5 liang), Renshen (0.5 liang), Chenjupi (3 fen, soaked in boiling water).
Preparation and Administration: Coarsely sieve into a powder. Use 2 large zhan of water, 0.5 fen of Shengjiang, and 5 jujubes. Decoct until reduced to 1.2 zhan, remove dregs. Divide into three warm doses.
Zhikeyin (Thirst-Relieving Drink): Treats pregnancy Huoluan with vomiting, diarrhea, mental confusion, and incessant thirst.
Usage: Take 1 he of Nuomi (Glutinous Rice), wash clean, and grind finely. Add 1 large zhan of water, grind and filter to extract juice. Mix with 1 he of honey and 0.5 he of Shengjiangzhi (Zingiberis Rhizoma Recens Juice). Drink immediately when thirsty to stop thirst instantly.
Formula for Pregnancy Huoluan with Vomiting, Diarrhea, and Incessant Muscle Cramps:
Usage: Take 3 he of Yan (Salt), boil in 3 large zhan of water until reduced to 2 zhan. Soak a green cloth in the solution and wipe the area of muscle cramps. Effective.
Another Formula:
Usage: Take 2 Mugua fruits, slice them, and boil in 5 large zhan of water until reduced to 3 zhan. Soak a green cloth in the liquid and apply compresses to the area of muscle cramps to relieve them. If Mugua is unavailable, decocting Guizhi (Cinnamomi Ramulus, 5 liang) is also effective.