（附论）
夫霍乱欲死者。正气厥。而邪气盛也。或邪气暴争而未得吐痢。或吐痢虽极。而邪气犹
盛。
降。
方
赤茯苓汤（出圣惠方）治霍乱吐痢不止。腹痛转筋。烦闷欲死。
赤茯苓（去黑皮） 五味子（各半两） 藿香叶（半两） 黄 （切） 白术（炒） 当
归（切焙
各一
不拘
治霍乱困笃不识人方（出圣惠方）
用鸡苏三两。锉。以水三大盏。煎至一盏半去滓。分三次温服。
治霍乱头旋倒地欲绝方。
用陈橘皮二钱。煎汤点灌之。取砖烧热。醋沃其上。布浓裹熨心下便活。又治转筋。
胡椒汤（出圣惠方）治霍乱烦闷欲死。
胡椒（三十粒） 鸡屎白（半合微炒） 高良姜（锉） 桂心（各半两） 木瓜（干者）
麦门冬（去
温服。
阿魏丸（出圣济总录）治霍乱不吐下痢。气腹满。胀闷欲死者。
阿魏（研） 青橘皮（汤浸去白焙各一两） 酸石榴皮 五味子（各半两） 陈曲（炒
一两）
上先
如
附子散（出圣惠方）治霍乱吐泻。欲垂绝者。
附子（一两炮去皮脐） 干姜（半两炮制锉） 甘草（半分炙微赤锉） 桂心（三分） 上
捣筛
为散
生姜散 治霍乱吐不止。欲死。
生姜（二两切焙） 陈橘皮（汤浸去白焙） 干木瓜（各一两） 上为散。每服二钱。
以水调
下。
雄雀粪丸（出圣济总录）治饮食伤饱。取凉过度。霍乱胀满欲死。及上下不
通。
用雄雀粪二十一粒。研细。用暖酒半盏调服。未效再服。
生姜饮（出圣惠方）治霍乱吐下不止。欲死。
生姜（五两） 牛粪（一升） 上切姜。以水四升煎取二升。分温服。
治霍乱医所不能治秘方（出千金方）
用童女月经衣合血烧末。方寸调服。百方不瘥者。用之。
活命散（出护命方）治一切男女。并小儿上吐下泻。霍乱不止。面色青黑。
命
\x欲临死。宜服
防风 羌活 独活 干姜 细辛（各一分） 草豆蔻 肉豆蔻 川芎（各半两） 官桂 吴
茱萸
(Attached Discussion)
Patients suffering from severe cholera-like illness (Huoluan) nearing death are caused by the collapse of healthy Qi (Zhengqi) and the flourishing of pathogenic factors (Xieqi). This may occur when pathogenic factors suddenly contend violently, preventing vomiting or diarrhea, or even after extreme vomiting and diarrhea, the pathogenic factors remain strong.
Formulas:
Chifuling Tang (Cinnamon Twig and Poria Decoction, from *Shenghui Fang*): Treats Huoluan with incessant vomiting and diarrhea, abdominal pain with muscle spasms (Zhuanjin), mental restlessness, and a sensation of impending death.
Ingredients: Chifuling (Poria with Red Skin, peeled black skin), Wuweizi (Schisandra Berry), Huoxiangye (Patchouli Leaf), Huangqi (Astragalus Root, sliced), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried), Danggui (Angelica Sinensis Root, sliced and roasted). (Dosage adjustments apply as per ancient methods, taken without strict time constraints).
Formula for treating Huoluan where the patient is critically ill and unconscious/unrecognizable (from *Shenghui Fang*):
Take Sanjisusu (Elsholtzia Spica) 3 liang, chop it, decoct in 3 large bowls of water until reduced to 1.5 bowls, filter the dregs, and take warm in three divided doses.
Formula for treating Huoluan with vertigo, falling down, and near-death state:
Take Chenjupi (Aged Tangerine Peel) 2 qian, decoct in water and administer orally. Heat bricks, pour vinegar on them, wrap in thick cloth, and apply hot compress to the epigastrium to restore consciousness. This method also treats muscle spasms.
Hujiao Tang (Pepper Decoction, from *Shenghui Fang*): Treats Huoluan with mental restlessness and a sensation of impending death.
Ingredients: Hujiao (Black Pepper, 30 grains), Jishibai (White excrement of chicken, half he, lightly stir-fried), Gaoliangjiang (Galangal Root, chopped), Guixin (Cinnamon Twig heart, each half liang), Mugua (Chaenomeles Fruit, dried), Maimendong (Ophiopogon Tuber, core removed). (Decoct and take warm).
awei Wan (Asafoetida Pill, from *Shengji Zonglu*): Treats Huoluan without vomiting or diarrhea, abdominal distension, and stifling oppression nearing death.
Ingredients: Awei (Asafoetida, ground), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, roasted, each 1 liang), Suan Shiliupi (Acid Pomegranate Peel), Wuweizi (Schisandra Berry, each half liang), Chenqu (Aged Medicated Leaven, stir-fried, 1 liang). (Process into pills).
Fuzi San (Aconite Powder, from *Shenghui Fang*): Treats Huoluan with vomiting and diarrhea, where vital signs are faint and nearing cessation.
Ingredients: Fuzi (Prepared Aconite Lateral Root, 1 liang, processed, peel and umbilicus removed), Ganjiang (Dried Ginger, half liang, processed and chopped), Gancao (Licorice Root, half fen, honey-fried to light red and chopped), Guixin (Cinnamon Twig heart, 3 fen). Grind all ingredients into a fine powder.
Shengjiang San (Fresh Ginger Powder): Treats Huoluan with incessant vomiting and a sensation of impending death.
Ingredients: Shengjiang (Fresh Ginger, 2 liang, sliced and roasted), Chenjupi (Aged Tangerine Peel, soaked in water, white pith removed and roasted), Gan Mugua (Dried Chaenomeles Fruit, each 1 liang). Grind into powder. Take 2 qian per dose, mixed with water.
Xiongquefen Wan (Male Sparrow Excrement Pill, from *Shengji Zonglu*): Treats Huoluan caused by overeating and excessive cooling, leading to abdominal fullness, near-death sensation, and obstruction of upper and lower pathways.
Take 21 grains of Xiongquefen (Excrement of male sparrow), grind finely, mix with half a cup of warm wine, and take. If ineffective, take again.
Shengjiang Yin (Fresh Ginger Drink, from *Shenghui Fang*): Treats Huoluan with incessant vomiting and diarrhea, nearing death.
Ingredients: Shengjiang (Fresh Ginger, 5 liang), Niufen (Cow Dung, 1 sheng). Chop ginger, decoct in 4 sheng of water until reduced to 2 sheng, and take warm in divided doses.
Secret Formula for treating Huoluan refractory to conventional medicine (from *Qianjin Fang*):
Burn the menstrual cloth of an unmarried girl mixed with blood into ash. Take one fangcun bi (approx. 2.7 cm cube) mixed with water. Use this if hundred formulas fail.
Huoming San (Life-Saving Powder, from *Huming Fang*): Treats all men, women, and children with upper vomiting and lower diarrhea, Huoluan not stopping, cyanotic-black complexion, and life-threatening condition.
Ingredients: Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Ganjiang (Dried Ginger), Xixin (Asarum Root, each 1 fen), Caodoukou (Black Cardamom Seed), Roudoukou (Nutmeg), Chuanxiong (Ligusticum Chuanxiong Rhizome, each half liang), Guangui (Cassia Bark), Wuzhuyu (Evodia Fruit). (Text ends here).