【热气霍乱之症】时值湿热，心腹绞痛，上吐下泻，烦闷扰乱，昏不知人，此热淫所胜
【热气霍乱之因】暑热行令，岁土混浊，挥霍撩乱，即《内经》所云岁土不及，时有
【热气霍乱之脉】少见洪数，或见沉数，或见促止，或见躁疾。
【热气霍乱之治】清暑益元散、家秘甘露饮、黄连香薷饮，煎热，冲益元散服，内兼停
清暑益元散
香薷 鲜藿香
煎汤，调六一散。
家秘甘露饮
人参 薄荷 葛根 滑石 泽泻 鲜藿香 甘草 白茯苓 麦门冬
水煎，冷冻饮料。
黄连香薷饮 见中热。
栀连平胃散 见口眼 斜、呃逆。
【寒气霍乱之症】时值暴寒，恶寒身痛，腹痛吐利，唇青爪青，此寒气霍乱，即仲景三
【寒气霍乱之因】阳气素虚，中气不足，偶值时令寒邪，直中三阴，则阴寒霍乱之症作
【寒气霍乱之脉】脉多沉迟，或见沉伏，或见沉紧，寒重阳竭，六脉不至。
【寒气霍乱之治】太阴霍乱，理中温、补中汤。少阴、厥阴霍乱，四逆汤。内有停滞者
理中汤 见前。加陈皮、青皮，名治中汤。
补中汤
白术 人参 干姜 茯苓 陈皮 甘草
姜附四君子汤
干姜 附子 人参 白术 茯苓 炙甘草
四逆汤
甘草 干姜 附子
桢按∶张戴人曰，霍乱之症，皆风湿 三气之邪，脾土被风木所克，郁则热乃发，火
炎上，故呕吐。呕吐者， 也。湿土下注，故注泄者，湿也。风急甚则转筋，转筋者，风
也。此三条，即发内经土郁之发，则霍乱下注，风乃大行，则霍乱飧泄，有热至，则霍
乱吐下之三条也。明理论叙仲景用理中汤、四逆汤，治伤寒霍乱，此正论寒邪直中三阴
[Symptoms of Heat-Type Huoluan] When damp-heat prevails, there is severe colic in the heart and abdomen, vomiting above and diarrhea below, mental restlessness and agitation, and unconsciousness. This is caused by the excess of heat pathogen.
[Etiology of Heat-Type Huoluan] Summer-heat dominates the season, and the earth qi of the year is turbid. The onset is sudden and chaotic, as stated in the *Neijing* regarding the insufficiency of earth qi in a given year, where...
[Pulse of Heat-Type Huoluan] The pulse is rarely large and rapid (Hong-Shu), or it may appear deep and rapid (Chen-Shu), choppy with pauses (Cu-Zhi), or restless and fast (Zao-Ji).
[Treatment of Heat-Type Huoluan] Qing Shu Yi Yuan San (Clear Summerheat and Benefit Primordial Powder), Jia Mi Gan Lu Yin (Home-Secret Sweet Dew Decoction), Huang Lian Xiang Ru Yin (Coptis and Mosla Decoction) are decocted and taken hot, with Yi Yuan San mixed in for consumption. If there is internal stagnation, use Qing Shu Yi Yuan San, Xiang Ru (Moslae Herba), and Xian Huo Xiang (Fresh Pogostemonis Herba) decocted in water, then mix with Liu Yi San (Six-to-One Powder).
Qing Shu Yi Yuan San
Xiang Ru (Moslae Herba) Fresh Huo Xiang (Fresh Pogostemonis Herba)
Decoct in water, mix with Liu Yi San.
Jia Mi Gan Lu Yin
Ren Shen (Ginseng Radix et Rhizoma) Bo He (Menthae Haplocalycis Herba) Ge Gen (Puerariae Lobatae Radix) Hua Shi (Talcum) Ze Xie (Alismatis Rhizoma) Xian Huo Xiang (Fresh Pogostemonis Herba) Gan Cao (Glycyrrhizae Radix et Rhizoma) Bai Fu Ling (Poria) Mai Men Dong (Ophiopogonis Tuber)
Decoct in water, drink when cooled.
Huang Lian Xiang Ru Yin See section on Middle Heat.
Zhi Lian Ping Wei San See section on Facial Paralysis and Hiccups.
[Symptoms of Cold-Type Huoluan] When violent cold prevails, there is aversion to cold, body pain, abdominal pain with vomiting and diarrhea, cyanosis of the lips and nails. This is Cold-Type Huoluan, as described by Zhang Zhongjing regarding the Three Yin meridians...
[Etiology of Cold-Type Huoluan] Yang qi is inherently deficient, and middle qi is insufficient. Accidental exposure to seasonal cold pathogens directly invades the Three Yin meridians, causing symptoms of Yin-Cold Huoluan to arise.
[Pulse of Cold-Type Huoluan] The pulse is mostly deep and slow (Chen-Chi), or may appear deep and hidden (Chen-Fu), or deep and tight (Chen-Jin). If cold is severe and yang is exhausted, all six pulses may be imperceptible.
[Treatment of Cold-Type Huoluan] For Taiyin Huoluan, use Lizhong Wen (Warm the Middle) and Buzhong Tang (Tonify the Middle Decoction). For Shaoyin and Jueyin Huoluan, use Sini Tang (Reverse the Collapse Decoction). If there is internal stagnation...
Lizhong Tang See previous text. Add Chen Pi (Citri Reticulatae Pericarpium) and Qing Pi (Citri Reticulatae Pericarpium Viride), named Zhizhong Tang.
Buzhong Tang
Bai Zhu (Atractylodis Macrocephalae Rhizoma) Ren Shen (Ginseng Radix et Rhizoma) Gan Jiang (Zingiberis Rhizoma) Fu Ling (Poria) Chen Pi (Citri Reticulatae Pericarpium) Gan Cao (Glycyrrhizae Radix et Rhizoma)
Jiang Fu Sijunzi Tang
Gan Jiang (Zingiberis Rhizoma) Fu Zi (Aconiti Lateralis Radix Praeparata) Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Fu Ling (Poria) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma)
Sini Tang
Gan Cao (Glycyrrhizae Radix et Rhizoma) Gan Jiang (Zingiberis Rhizoma) Fu Zi (Aconiti Lateralis Radix Praeparata)
Commentary by Zhen: Zhang Dairen said that Huoluan symptoms are caused by wind, dampness, and cold pathogens. Earth (Spleen) is overcome by Wood (Liver/Wind); stagnation generates heat, which rises, causing vomiting. Vomiting is related to... Damp-earth flows downward, causing diarrhea; diarrhea is related to dampness. Wind is urgent and severe, causing muscle twitching/convulsions; twitching is related to wind. These three points expound on the *Neijing*'s theory of "Earth Stagnation," where Huoluan flows downward, wind prevails, leading to Huoluan with undigested food (Sunxie); if heat arrives, it leads to the three types of Huoluan with vomiting and diarrhea. The *Mingli Lun* describes Zhang Zhongjing using Lizhong Tang and Sini Tang to treat Shanghan Huoluan; this correctly discusses cold pathogens directly invading the Three Yin meridians...