忽然气上喘，不能语言，口中汁流吐逆，齿皆动摇，气出转大则闷绝，苏复如是，名曰伤寒并热霍乱。用
大黄、人参末各半两，水三盏，煎至一盏，去滓热服可安。（《经验良方）（按∶此盖一种奇病，然其方则宜
治寻常干霍，仍列于此。）
与水法《短剧方》治中热暴下利，霍乱变热。心烦脉数者方。
饮新出井水一升，立愈，饮多益善，此治是胃中多热者也。无热者慎之，不可与也。（《医心》）先患胃口
冷者，勿服之。（《千金》）
《医门方》治霍乱吐下不止者方。
煮百沸汤，细细添生水，热饮之。（今按删繁论云∶熟水一升，生水一升，相和饮之，良验。）（《医心》）
如不纳药，宜井泉水半碗，百沸汤半碗，相和服之，立效。（《如宜》）（按∶《袖珍》引《圣惠》，今无考。）
外治法 治之方（主证即源由中所举），可作灼灼尔热汤，着瓮中，渍足令至膝，并铜器贮汤，以着腹
上，衣借之，冷复易。（《肘后》）霍乱手足转筋，以铜器若瓦器盛汤熨之，亦可令蹋器，使脚底热彻，亦可以汤
捋之，冷则易，用醋煮汤更良，煮蓼子及吴茱萸汁亦好，以绵絮及破毡包脚，以汤淋之，贵在热彻。（《本草新
补》）（《原病式》曰∶诸转筋，以汤渍之，而使腠理开泄，阳气散则愈也。）
《删繁论》云∶霍乱转筋方。
取絮巾若绵，炙暖，以敷筋上。（今案《范汪方》，转筋在脚缠脚，入腹缠腹，浓温暖已而向火也。）（《医
心》）
治霍乱，转筋入腹，不可奈何者方。
极咸作盐汤于槽中，暖渍之。（《千金》）
又方，以酢煮青布 之，冷复易之。（同上）
《医门方》治霍乱转筋方。
取热 灰以酽醋和，令微温，炒令极热，以青布裹，及热熨筋上，冷易之，随手消散也。（《医心》）
治转筋不止者方。
若男子，以手挽其阴牵之；女子，挽其乳近左右边。（《千金》）
洗法，治霍乱转筋。
蓼一把去两头，水三升，煮取二升，放温重洗。（《济生》）
《梅师方》治霍乱转筋，皂荚末吹一小豆入鼻中，得嚏便瘥。（《本草》）
治霍乱吐泻转筋，以大蒜研炒熟，敷脚心，瘥。（《琐碎录》）
盐熨方，治霍乱吐泻，心腹作痛。
炒盐二碗，纸包纱护，顿其胸前并腹肚上，即以熨斗火熨，气透则苏，续又以炒盐熨其背，则十分无事。
（《直指》）
灸法《葛氏方》灸之，但明按次第，莫为乱灸，须有其病，乃随病灸之。灸霍乱，艾丸苦不大，壮数
苦不多。本方言七壮为可，四、五壮无不活，便火下，得眠。（今案《范汪方》，凡得霍乱，灸之或时虽未瘥，
终无死忧，不可不逆灸。）（《医心》）
霍乱吐泻，尤当速治，宜服来复丹、镇灵丹等药，以多为贵，尤宜灸上管、中脘、神阙、关元等穴，若水分
穴尤不可缓。盖水谷不分，向后泄泻，此穴亦名分水，能分水谷故
也。或兼灸中管穴，须先中管而后分水可也。（《资生》）
灸法，霍乱已死，腹中有暖气者，盐内脐中令实，就盐上灸二七壮。（《济生》）霍乱吐泻病剧者，以盐
实脐中，大艾灸一百壮。（《王氏》）
调摄法 《短剧方》云∶霍乱吐下，汗出全冷，转筋呕逆，烦闷欲得冷水者方。可与浓朴葛根饮，进
沾喉中而已。慎勿与米饮及粥，但与此单行饮，以代米饮水浆也。（《医心》）
凡霍乱务在温和将息，若冷即遍体转筋。凡此病定一日不食为佳，仍须三日少少吃粥，三日以后，可恣意食，
息七日，勿杂食为佳，所以养脾气也。（《千金》）
霍乱之后，不可早与饮食，恐胃中邪物吐泻不尽。若新谷入胃，不能传化，则必危矣，慎之慎之。病安
之后，宜以粥饮渐渐养之，候其胃气平复则愈矣。（《选要》）
大忌火酒、姜汤、蒜、乌梅、梅酱、热汤，及一切收敛温热之药。（《嵩 尊生》）
一方，治吐泻后，胃气大弱，不进饮食，可进陈胡醋在鼻边，闻气开胃，或用醋浸蒜，粥送亦好。（《寿世
仙丹》）
Sudden upward rushing of Qi causing panting and inability to speak, salivation with vomiting, loosening of teeth, suffocation upon deep exhalation, and recurrence of these symptoms after regaining consciousness is named Cold Damage combined with Hot Huoluan (Acute Gastroenteritis). Use Rhizoma Rhei Preparatum (Dahuang) and Radix Ginseng (Renshen) powder, half tael each. Add three cups of water, decoct until one cup remains, remove dregs, and take hot to relieve. (*Jingyan Liangfang*) [Note: This is likely a rare disease, but this formula is suitable for treating ordinary Gan Huoluan (Dry Huoluan), thus listed here.]
Drinking Therapy: *Duanju Fang* treats sudden diarrhea due to internal heat, Huoluan transforming into heat syndrome, with mental restlessness and rapid pulse.
Drink one sheng of newly drawn well water; recovery is immediate. The more the better. This treats excessive heat in the stomach. Those without heat should use caution; do not administer. (*Yixin Baojian*) Do not consume if there was prior cold in the stomach. (*Qianjin Fang*)
*Yimen Fang* treats Huoluan with incessant vomiting and diarrhea.
Boil water repeatedly, slowly add raw water, and drink warm. [Modern Note: *Shanfan Lun* states: Mix one sheng of boiled water with one sheng of raw water and drink; effective.] (*Yixin Baojian*)
If medication cannot be retained, mix half a bowl of well spring water with half a bowl of boiling water and take; effect is immediate. (*Ruyi Fang*) [Note: *Xiu zhen Fang* cites *Taiping Shenghui Fang*, now unverified.]
External Treatment: For the main symptoms described above, prepare scalding hot water in a vat, soak feet up to the knees, and place copper vessels filled with hot water on the abdomen, covering with clothes to retain heat; replace when cool. (*Zhouhou Beiji Fang*) For Huoluan with muscle cramps in hands and feet, use copper or earthenware vessels with hot water for moxibustion-like warming, or have the patient step on the vessel to heat the soles thoroughly. Alternatively, pour hot water over them, replacing when cool. Water boiled with vinegar is superior; decoctions of Polygonum aviculare (Liaozi) and Fructus Evodiae (Wuzhuyu) are also good. Wrap feet in cotton wadding and old felt, pouring hot water over; the key is thorough heat penetration. (*Bencao Xinbu*) (*Yuanbing Shi* states: For various cramps, soaking in hot water opens the pores and disperses Yang Qi, leading to cure.)
*Shanfan Lun* records a formula for Huoluan cramps.
Take silk or cotton cloth, heat it warmly, and apply to the cramped area. [Case Note: *Fan Wang Fang* records that cramps wrapping around the legs extend to the abdomen; keep warm and face the fire.] (*Yixin Baojian*)
For Huoluan with cramps extending into the abdomen, when helpless:
Prepare extremely salty brine in a trough and soak warmly. (*Qianjin Fang*)
Another method: Boil green cloth in vinegar, replace when cool. (Ibid.)
*Yimen Fang* treats Huoluan cramps.
Take hot ash, mix with strong vinegar to make slightly warm, stir-fry until very hot, wrap in green cloth, and apply hot compress to the cramps while hot; replace when cool, resolving immediately. (*Yixin Baojian*)
For incessant cramps:
For men, pull the genitalia by hand; for women, pull the breasts near the sides. (*Qianjin Fang*)
Washing Method: Treats Huoluan cramps.
Take a handful of Polygonum aviculare (Liao), remove ends, boil in three sheng of water until two sheng remain, let cool to warm, and wash repeatedly. (*Jisheng Fang*)
*Meishi Fang* treats Huoluan cramps: Blowing a bean-sized amount of Gleditsia Sinensis (Zaojia) powder into the nose induces sneezing and cure. (*Bencao Gangmu* citation)
For Huoluan vomiting, diarrhea, and cramps: Grind garlic, stir-fry until cooked, and apply to the sole of the foot for cure. (*Suosui Lu*)
Salt Compress Formula: Treats Huoluan vomiting/diarrhea with heart/abdominal pain.
Stir-fry two bowls of salt, wrap in paper and gauze, place on chest and abdomen, then iron with a heated iron tool until Qi returns and consciousness is restored. Subsequently, iron the back with hot salt for complete recovery. (*Zhizhi Fang*)
Moxibustion: *Ge Shi Fang* advocates moxibustion, following order strictly, avoiding random application. Apply only corresponding to specific diseases. For Huoluan, moxa cones should not be too small, and number of moxa moxibustions (Zhuang) should not be few. Seven Zhuang is recommended; four or five Zhuang can save lives. Sleep follows extinguishing the fire. [Case Note: *Fan Wang Fang* states that for Huoluan, moxibustion may not cure immediately but prevents death; prophylactic moxibustion is essential.] (*Yixin Baojian*)
Huoluan vomiting and diarrhea require urgent treatment. Administer large doses of Laifu Dan (Revival Pill) and Zhenling Dan (Spirit-Calming Pill). Moxibustion on Shangwan (CV13), Zhongwan (CV12), Shenque (CV8), and Guanyuan (CV4) is especially indicated. Shuifen (CV9) must not be delayed, as it separates water and grain. If Zhongguan (CV12) is also moxibusted, treat Zhongguan before Shuifen. (*Zisheng Jing*)
Moxibustion for apparent death in Huoluan with warmth in abdomen: Fill umbilicus with salt, apply fourteen Zhuang of moxibustion on the salt. (*Jisheng Fang*) For severe Huoluan vomiting/diarrhea: Fill umbilicus with salt, apply one hundred Zhuang of large moxibustion. (*Wang Shi*)
Regulation/Dietary Care: *Duanju Fang* treats Huoluan with vomiting/diarrhea, cold sweat, cramps, vomiting, restlessness, and desire for cold water. Provide Nongpu Genyin (Magnolia Bark and Pueraria Drink); moisten throat only. Do not give rice drink or porridge; use this single-ingredient drink instead of food/water. (*Yixin Baojian*)
Huoluan requires gentle care; cold causes whole-body cramps. Fasting for one day is best. Eat small amounts of porridge for three days. After three days, eat freely. Rest for seven days without mixed foods to nourish Spleen Qi. (*Qianjin Fang*)
After Huoluan, do not feed early to avoid retaining pathogenic factors. New grains entering the stomach cannot be transformed, leading to danger. Caution is vital. After stability, nourish gradually with porridge until Stomach Qi recovers. (*Xuanyao Fang*)
Strictly avoid alcoholic beverages, ginger soup, garlic, dark plum, plum sauce, hot water, and all astringent/warm-tonifying herbs. (*Songya Zunsheng Quanshu*)
One formula for post-vomiting/diarrhea weak Stomach Qi and anorexia: Place aged vinegar near the nose to stimulate appetite via smell, or eat vinegar-soaked garlic with porridge. (*Shoushi Xiandan*)