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When cold and heat are not in harmony, Huoluan (Cholera-like disease with sudden vomiting and diarrhea) forms. If Huoluan is accompanied by fullness and distension of the heart and abdomen, it indicates that cold pathogenic qi is struggling with the internal organ qi, causing a conflict between healthy qi and evil qi, preventing the expulsion of pathogens through vomiting or diarrhea.
Consequently, the ascending and descending mechanisms of Qi fail, the Stomach becomes deficient, and external pathogenic factors accumulate internally, leading to distension, oppression, and mental restlessness. If accompanied by undigested food, internal irritability, and vomiting, lowering the Qi downward can cure the disease.

Formulas:
Biejia Wan (Turtle Shell Pill) (from *Shengji Zonglu*): Treats Huoluan, all types of cold qi, retention of undigested food, distending pain in the heart and abdomen, cold Stomach causing vomiting and hiccups, and various phlegm-fluids.
Ingredients: Bie Jia (Turtle Shell) (select one with nine ribs, thick, heavy, and green; remove the iron-like feet; place steadily in a furnace over bran charcoal fire; roast until ready; take 5 he of good rice vinegar; soak briefly; grind into powder), Shizhi (Halloysitum Rubrum, ground), Baigu Longgu (Fossilized Bones, ground), Muxiang (Aucklandiae Radix), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine, remove sprouts and skin), Fangfeng (Saposhnikoviae Radix) (remove forked branches), Shaoyao (Paeoniae Radix), Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, remove white pith, dried).
Except for Niu Ru (Cow's Milk), grind the above ingredients into fine powder. Take 1 liang of Biba (Long Pepper Fruit) powder and mix well. For severe cases of Huoluan, chew 50 pills thoroughly and swallow with Gaoliangjiang Tang (Galangal Decoction) prepared with Ren Shen (Ginseng) and Chenjupi.

Gaoliangjiang Tang (Galangal Decoction) (from *Shengji Zonglu*): Treats Huoluan with distending pain in the heart and abdomen; breaks Qi stagnation and promotes digestion.
Ingredients: Gaoliangjiang (Alpiniae Officinarum Rhizoma) (chopped), Houpo (Magnoliae Officinalis Cortex) (remove rough bark, brush with fresh ginger juice 2-3 times, dry by roasting), Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, remove white pith, dried), Baizhu (Atractylodis Macrocephalae Rhizoma), Sangbaipi (Mori Cortex) (chopped, 2 liang), Gui (Cinnamomi Ramulus) (chopped, mixed with salt crystals and ground).
First, pound the first fourteen ingredients into powder and mix evenly with the salt crystal powder. Add 5 sheng of water and one spoonful of the medicine powder to a pot, along with the salt crystals. Boil while stirring constantly. When the water evaporates, remove the medicine into a basin and store when dry. Each dose is 2 qian bi (spoonfuls). Add a little fresh ginger, decoct with water, and take warm.

Muxiang San (Aucklandia Powder) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan with dysentery, abdominal distension due to Qi stagnation, and indigestion.
Ingredients: Muxiang (Aucklandiae Radix), Dingxiang (Syzygii Aromatis Flos), Baizhu (Atractylodis Macrocephalae Rhizoma) (pao processed), Changpu (Acori Tatarinowii Rhizoma), Shanjiangzi (Zingiberis Officinalis Var. Aromatici Fructus), Gui (Cinnamomi Ramulus) (remove rough bark), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted), Renshen (Panacis Ginseng Radix), Wuzhuyu (Evodiae Fructus) (soaked in water, stir-fried).
Equal parts of each ingredient, pounded and sifted into powder.

Baidoukou Wan (Cardamom Pill) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan and Spleen-Stomach Qi deficiency causing abdominal distension, irritability, and loss of appetite.
Ingredients: Baidoukou (Amomi Fructus Rotundus) (3 fen, peeled), Ganjiang (Zingiberis Rhizoma) (half liang, pao processed), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (half liang, roasted until slightly red, chopped), Renshen (Panacis Ginseng Radix) (3 fen, remove rhizome), Helilepi (Terminaliae Chebulae Pericarpium).
Grind into powder, mix with honey to form pills the size of wutong seeds. Take four times a day.

Binglang Tang (Areca Decoction) (from *Shengji Zonglu*): Treats Huoluan with vomiting and distension of the abdomen and hypochondrium.
Ingredients: Binglang (Arecae Semen), Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, remove white pith, dried), Baifuling (Poria) (remove black skin), Fangfeng (Saposhnikoviae Radix) (remove forked branches), Renshen (Panacis Ginseng Radix), Maidong (Ophiopogonis Radix) (remove heart, dried).
Equal parts of each ingredient, chopped. Use 1.5 zhan of water, add one slice of fresh ginger (smashed), decoct to 0.7 zhan, strain, and take warm.

Houpo Wan (Magnolia Bark Pill) (from *Shengji Zonglu*): Treats Huoluan, cold Spleen Qi, abdominal distension preventing eating, and Qi blockage in the chest and diaphragm.
Ingredients: Houpo (Magnoliae Officinalis Cortex) (remove rough bark, ginger juice roasted, 3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Panacis Ginseng Radix), Zhike (Aurantii Fructus Immaturus) (remove pulp, bran-roasted), Gui (Cinnamomi Ramulus) (remove rough bark), Gan Mugua (Chaenomelis Fructus) (dried, half liang each).
Grind into powder, mix with honey to form pills the size of wutong seeds. Take 20 pills per dose, washed down with Lan Cao Tang (Orchid Herb Decoction).

Huoxiang San (Patchouli Powder) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan with excessive vomiting and diarrhea, Spleen-Stomach Qi exhaustion, abdominal distension, and loss of appetite.
Ingredients: Huoxiang (Agastaches Herba), Danggui (Angelicae Sinensis Radix) (chopped, lightly stir-fried), Renshen (Panacis Ginseng Radix) (remove rhizome), Guixin (Cinnamomi Ramulus), Xiongqiong (Ligustici Chuanxiong Rhizoma) (half liang each), Mugua (Chaenomelis Fructus) (dried), Baizhu (Atractylodis Macrocephalae Rhizoma) (one liang each), Dazao (Jujubae Fructus) (three pieces).
Chop the ingredients. Use one zhan of water, add three slices of fresh ginger, decoct to 0.6 zhan, strain, and take warm.

Jiegeng San (Platycodon Powder): Treats Huoluan without vomiting or diarrhea, characterized by congestion, abdominal distension, or abdominal pain.
Ingredients: Jiegeng (Platycodonis Radix) (stir-fried, one liang), Gui (Cinnamomi Ramulus) (remove rough bark), Binglang (Arecae Semen) (chopped), Baizhu (Atractylodis Macrocephalae Rhizoma) (three liang each), Renshen (Panacis Ginseng Radix) (two liang), Qingjupi (Citri Reticulatae Pericarpium Viride) (remove white pith, bran-roasted, chopped).
Pound and sift into powder. Each dose is 3 qian, decocted with one zhan of water to 0.6 zhan, strained, and taken warm.

Guixin San (Cinnamon Heart Powder) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan with vomiting and diarrhea, mental irritability, muscle spasms (cramps), and distension of the abdomen and hypochondrium.
Ingredients: Guixin (Cinnamomi Ramulus), Renshen (Panacis Ginseng Radix) (3 fen, remove rhizome), Xiangru (Elsholtziae Herba) (two liang), Mugua (Chaenomelis Fructus) (dried, two liang), Chenjupi (Citri Reticulatae Pericarpium) (one liang, soaked in water, remove white pith).
Pound and sift into powder. Each dose is 4 qian, decocted with one zhan of water to 0.6 zhan, strained, and taken warm.

Helile San (Chebula Powder) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan with vomiting and diarrhea, abdominal distension, Spleen-Stomach weakness, and cold limbs.
Ingredients: Helilepi (Terminaliae Chebulae Pericarpium) (lightly stir-fried), Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, remove white pith, stir-fried), Guixin (Cinnamomi Ramulus), Baifuling (Poria) (one liang each), Houpo (Magnoliae Officinalis Cortex) (two liang, remove rough bark, brush with ginger juice and roast).
Pound and sift into powder. Each dose is 3 qian, decocted with one zhan of water and three slices of fresh ginger to 0.6 zhan, strained, and taken warm.

Xiangru Tang (Elsholtzia Decoction) (from *Shengji Zonglu* / *Shenghui Fang*): Treats acute Huoluan with vomiting and diarrhea, stabbing abdominal pain, upper vomiting and lower diarrhea.
Ingredients: Xiangru (Elsholtziae Herba) (chopped, two handfuls), Mugua (Chaenomelis Fructus) (remove pulp and seeds, dry, chop), Jingjie Sui (Schizonepetae Spica), Shuai Ai (Artemisiae Argyi Folium) (cooked, half liang each), Chen Linmi (Glucinis Semen) (stir-fried, half he), Heidou (Sojae Semen Praeparatum) (pao processed).
Chop the ingredients. Use five sheng of water, decoct to two sheng, strain, and take warm in divided doses.

Zhenzhen San: Treats irregular emotions (anger and joy), combined with worry and thought, leading to stagnation of internal organ Qi, gradual accumulation of phlegm-fluids, chest distension and oppression, or abdominal pain, aversion to cold, and fever.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata) (two pieces: one raw, one pao processed, both remove skin and navel), Banxia (Pinelliae Rhizoma) (soaked in water for 21 nights, washed to remove slipperiness, 1.5 liang), Huashi (Halsae Pectus), Zhuru (Hemimorphitum) (half liang each).
Grind into powder. Each dose is half a qian bi, mixed with Zhu Ru Tang (Bamboo Shavings Decoction).

Jinzhen Wan (Golden Needle Pill) (from *Shengji Zonglu*): Treats Huoluan with mind confusion due to fullness and Qi in the heart and abdomen, or internal irritability with vomiting, and cold extremities.
Ingredients: Yangqishi (Yangqishi), Buhui Mu (Buhui Mu), Awei (Ferulae Resina) (grind each, half liang), Badou (Crotonis Fructus) (remove skin and heart, do not remove oil, 25 grains), Xingren (Pruni Armeniaci Semen) (soak in water, peel and remove bitter kernels, fry yellow).
Grind into powder, mix with honey to form pills the size of mung beans. Take three pills per dose with warm water.

Dafu Tang (Betel Nut Decoction) (from *Shengji Zonglu*): Treats Huoluan where dysentery has not yet occurred, with abdominal distension and stabbing pain, and incessant vomiting and regurgitation.
Ingredients: Dafu (Arecae Pericarpium) (use with skin), Houpo (Magnoliae Officinalis Cortex) (remove rough bark, ginger juice roasted three times until dry), Fangfeng (Saposhnikoviae Radix) (remove forked branches), Banxia (Pinelliae Rhizoma) (soaked in water seven times, remove slipperiness, dry).
Equal parts of each ingredient, chopped. Use two zhan of water, decoct to one zhan, strain, and take warm.

Wuzhuyu Tang (Evodia Decoction) (from *Shengji Zonglu*): Treats Huoluan where defecation is difficult, with urgent breathing, bloating, and stabbing abdominal pain.
Ingredients: Wuzhuyu (Evodiae Fructus) (wash away sand, half liang), Caodoukou Ren (Cardamomi Fructus Seed) (ten grains), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, one fen), Gan Mugua (Chaenomelis Fructus) (remove skin, pulp, and seeds, dry, three fen).
Pound and sift into powder. Each dose is 3 qian, decocted with one zhan of water to 0.6 zhan, strained, and taken warm.

Wenzhong Wan (Warm Middle Pill) (from *Heji Fang*): Treats Spleen damage from cold, retention of undigested food, Huoluan with vomiting and diarrhea, abdominal distension, and stabbing pain.
Ingredients: Liangjiang (Alpiniae Officinarum Rhizoma) (remove sprouts), Ganjiang (Zingiberis Rhizoma) (pao processed), Qingpi (Citri Reticulatae Pericarpium Viride) (remove white pith), Chenpi (Citri Reticulatae Pericarpium) (remove white pith, five liang each).
Grind into fine powder, use salt and flour paste to form pills the size of wutong seeds. Take thirty pills per dose with millet gruel.

Baizhu San (Atractylodes Powder) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan with abdominal distension and fullness.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Zhike (Aurantii Fructus Immaturus) (bran-roasted until slightly yellow, remove pulp, two liang each), Guixin (Cinnamomi Ramulus) (one liang).
Pound and sift into powder. Each dose is 3 qian, decocted with one zhan of water to 0.6 zhan, strained, and taken warm.

Renshen San (Ginseng Powder) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan and Spleen-Stomach Qi deficiency causing abdominal distension and inability to eat.
Ingredients: Renshen (Panacis Ginseng Radix) (3 fen, remove rhizome), Xiang (Fermented Soybean) (one handful, chopped), Chenjupi (Citri Reticulatae Pericarpium) (one liang, soaked in wine, remove white pith, dry).
Pound and sift into powder. Divide into four doses.

Chenjupi San (Aged Tangerine Peel Powder) (from *Shengji Zonglu* / *Shenghui Fang*): Treats Huoluan with vomiting and regurgitation, abdominal borborygmus and difficulty in defecation, and subcostal distension.
Ingredients: Chenjupi (Citri Reticulatae Pericarpium) (one liang, soaked in water, remove white pith, dry), Banxia (Pinelliae Rhizoma) (3 fen, washed in water seven times, remove slipperiness), Ganjiang (Zingiberis Rhizoma) (half liang, pao processed, chopped).
Pound and sift into powder. Each dose is 3 qian, decocted with one zhan of water to 0.6 zhan, strained, and taken warm.

Baizhu Tang (Atractylodes Decoction): Treats Huoluan where Spleen-Stomach Qi attacks the abdomen, causing distension and inability to eat.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (one and a half liang), Zhike (Aurantii Fructus Immaturus) (remove pulp, bran-roasted, one liang and one fen).
Pound and sift. Each dose is 3 qian, add two dates (Da Zao), split and remove pits, decoct with one zhan of water to 0.6 zhan, strain, and take warm.

Houpo Tang (Magnolia Bark Decoction): Treats Huoluan with bloody dysentery, abdominal distension, and dry retching.
Ingredients: Houpo (Magnoliae Officinalis Cortex) (remove rough bark, brush with ginger juice, roast three times until dry, four liang), Zhike (Aurantii Fructus Immaturus) (remove pulp, bran-roasted until slightly yellow, one and a half liang).
Pound and sift. Each dose is 3 qian bi.

Jiuming San (Life-Saving Powder): Treats Huoluan with abdominal distension, incessant irritability, and cold extremities.
Ingredients: Dilong (Pheretima) (self-dead or stepped-on, dry by roasting), Hafan (Calamina).
Equal parts, grind into fine powder. Each dose is 2 qian, taken with honey water.

Wuzhuyu San (Evodia Powder): Treats Huoluan with vomiting and regurgitation, difficulty in defecation, abdominal distension and pain, leg cramps, and cold hands and feet.
Ingredients: Wuzhuyu (Evodiae Fructus) (half liang, soaked in water seven times, dry, lightly stir-fried), Houpo (Magnoliae Officinalis Cortex) (remove rough bark, brush with ginger juice, roast until yellow and cooked).
Grind into powder. Each dose is 3 qian.

Treatment for Huoluan with abdominal distension and pain.
Take Zhangmu (Camphor Wood), about the size of a palm, shave it, boil in three sheng of water for three boils, remove dregs, and wash/rinse with the liquid.

Treatment for Huoluan with abdominal distension and fullness, where Qi has not yet been expelled via vomiting or defecation.
Take one sheng of Suansuan (Small Garlic), crush it, boil in three sheng of water to obtain one sheng, take in one dose. Another method: take five sheng of small garlic, soak in warm water to extract juice, and drink.

Another Formula
Take half a sheng of Guixin (Cinnamon Heart) chips, mix with two sheng of rice beverage, take all. Avoid raw green onions.

Another Formula
Take Renxue Hedan (Human Blood Combined Pill), size of wutong seeds, take two pills.

Another Formula
Drink a small amount of Zhuli (Bamboo Juice). This is also good.

Another Formula
Take dirt from the tables of butchers/slaughterers, size of a chicken egg, take with warm wine. It will heal.

Another Formula
Drink fresh Suzhi (Perilla Juice) in one dose. Boiled dry Su (Perilla Leaf) is also acceptable. Liao Ye (Polygoni Orientalis Folium) is also good. Take two sheng of Liao, five sheng of water, boil and take.

Lingzhi Wan (Trogopterus Dung Pill): Treats vomiting, diarrhea, abdominal distension, and chest/diaphragm blockage in adults and children.
Ingredients: Wulingzhi (Trogopterori Faeces), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Liuhuang (Sulfur), Mangxiao (Natrii Sulfas) (equal parts of each).
First, melt Liuhuang and Mangxiao in a crucible using mild heat.
Huangmi (Panicum miliaceum).

Treatment for Huoluan with abdominal distension and pain, irritability, fullness, shortness of breath, before vomiting or defecation occurs.
Use two sheng of Jiang (Ginger), boil in five sheng of water to obtain two sheng, take in one dose. Healing occurs if vomiting ensues.

Another Formula (from *Zhouhou Fang*)
Take three square-cun spoonfuls of Ganjiang Xie (Dried Ginger Chips).

Shengre Tang (Raw Hot Decoction) (from *Bencao*): Treats abdominal distension, impending Huoluan.
Make a raw hot decoction, boil salt and add it to the drink. It induces vomiting of retained food and toxic/evil substances. If one feels instability in the abdomen, drink one or two sheng more to ensure complete vomiting, then healing occurs.

Mainly treats Huoluan with cold abdomen and distension, attack by cold Qi, and internal disharmony.
Boil and take Liao Qiao (Smartweed Buckwheat?).

Treatment for Huoluan with abdominal distension and pain, irritability, fullness, shortness of breath, before vomiting or defecation, including cramps. (from *Zhouhou Fang*)
Burn seven pairs (14) of Zhizi (Gardeniae Fructus), grind into powder, mix with hot water and take.

Treatment for Huoluan with abdominal distension. (from *Bencao*)
Boil Manjingzi (Vitex Trifolia Fructus) in water and drink.

Treatment for Huoluan with abdominal distension and fullness, retention of undigested food, and frequent vomiting of sour/smelly water.
Boil Zhangmu (Camphor Wood) in wine and take. In emergencies where no medicine is available, this can be used. In the Jiangdong region, people on boats often grind Camphor Wood into chips for use. Those with a pungent and strong taste are best.