【外感烦渴之症】霍乱吐泻后，心下烦闷，渴而引饮，唇口干燥，热能消水，此阳火内
【外感烦渴之因】夏秋之交，暑热伤人，吐下交作，上下分消，则烦渴作矣。
【外感烦渴之脉】脉多沉滑，或见沉数，或见躁疾。
【外感烦渴之治】知母石膏汤，或葛根清胃汤，人参白虎汤，或兼清肺饮，止渴汤。
知母石膏汤
知母 石膏 麦冬 甘草 粳米 竹沥
加灯心。虚人加人参。渴甚加天花粉。
葛根清胃汤
黄连 葛根 升麻 甘草 生地 山栀 丹皮
渴甚加石膏、人参、知母、花粉。
人参白虎汤
人参 石膏 知母 麦冬 甘草
水煎冲梨汁半杯温服。
止渴汤
人参 麦冬 茯苓 桔梗 花粉 葛根 泽泻 甘草
【内伤烦渴之症】吐泻后，心烦而渴，渴不引饮，不能消水，干在口而唇舌不干，此因
【内伤烦渴之因】大吐泻后，重亡津液，阴亡神躁，意乱烦心，则有内伤烦渴之症矣。
【内伤烦渴之脉】沉细而软，或见躁疾，或沉细而数，或浮大而空。
【内伤烦渴之治】脉若细软，人参生脉散、人参竹沥汤。脉细而数，六味地黄丸。脉
人参生脉散
人参 麦冬 北五味
人参竹沥汤 人参汤冲竹沥服。
六味地黄丸 见前。
【干霍乱之症】身热烦闷，胸腹绞痛，手足逆冷，升降不通，不吐不泻，名干霍乱症
【干霍乱之因】积温成熟，积热成燥，又感时行燥热之气，外蒸内酿，燥甚于中，不得
流利，则上不得吐，下不得泻，而成干霍乱之症也。
【干霍乱之脉】脉多沉伏，或见洪数，或见滑大，或见沉数。
【干霍乱之治】上焦痛，多用冷盐汤以探吐。中焦痛，多急刺委中穴、少商穴，并刺十
指出血，煎藿香汤，调益元散，以滑顺大肠。若脉沉伏，再用气药疏通经络。
藿香汤 调六一散温服。
[Symptoms of Exogenous Dry Thirst] After cholera with vomiting and diarrhea, there is a feeling of oppression and irritability in the epigastrium, thirst with desire to drink, and dryness of the lips and mouth. This is because Yang fire (Yang heat pathogen) is internal, and heat consumes water fluids.
[Etiology of Exogenous Dry Thirst] At the transition between summer and autumn, summer-heat and heat pathogens injure the human body. Vomiting and diarrhea occur simultaneously, dispersing the pathogenic factors from above and below, thereby inducing irritability and dry thirst.
[Pulse of Exogenous Dry Thirst] The pulse is mostly Chen-Hua (Deep and Slippery), or may appear as Chen-Shu (Deep and Rapid), or Zao-Ji (Restless and Rapid).
[Treatment of Exogenous Dry Thirst] Use Zhimu Shigao Tang (Anemarrhena and Gypsum Decoction), or Gegen Qingwei Tang (Kudzu Root Stomach-Clearing Decoction), Renshen Baihu Tang (Ginseng White Tiger Decoction), or alternatively Qingfei Yin (Lung-Clearing Infusion) and Zhike Tang (Thirst-Stopping Decoction).
Zhimu Shigao Tang (Anemarrhena and Gypsum Decoction)
Herbs: Anemarrhenae Rhizoma (Zhimu), Gypsum Fibrosum (Shigao), Ophiopogonis Radix (Maidong), Glycyrrhizae Radix et Rhizoma (Gancao), Oryza Sativa (Jingmi), Bambusae Caulis in Taeniam Succus (Zhuli).
Add Juncus Effusus (Dengxin). For deficient persons, add Ginseng Radix (Renshen). For severe thirst, add Trichosanthis Radix (Tianhuafen).
Gegen Qingwei Tang (Kudzu Root Stomach-Clearing Decoction)
Herbs: Coptidis Rhizoma (Huanglian), Puerariae Lobatae Radix (Gegen), Cimicifugae Rhizoma (Shengma), Glycyrrhizae Radix et Rhizoma (Gancao), Rehmanniae Radix (Shengdi), Gardeniae Fructus (Zhizi), Moutan Cortex (Danpi).
For severe thirst, add Gypsum Fibrosum, Ginseng Radix, Anemarrhenae Rhizoma, and Trichosanthis Radix.
Renshen Baihu Tang (Ginseng White Tiger Decoction)
Herbs: Ginseng Radix (Renshen), Gypsum Fibrosum (Shigao), Anemarrhenae Rhizoma (Zhimu), Ophiopogonis Radix (Maidong), Glycyrrhizae Radix et Rhizoma (Gancao).
Decoct in water, mix with half a cup of Pyrus Communis Juice (Lizhi), and take warm.
Zhike Tang (Thirst-Stopping Decoction)
Herbs: Ginseng Radix (Renshen), Ophiopogonis Radix (Maidong), Poria (Fuling), Platycodonis Radix (Jiegeng), Trichosanthis Radix (Huafen/Gegen), Alismatis Rhizoma (Zexie), Glycyrrhizae Radix et Rhizoma (Gancao).
[Symptoms of Endogenous Dry Thirst] After vomiting and diarrhea, there is mental restlessness and thirst, but no desire to drink, inability to transform fluids, a sensation of dryness in the mouth while the lips and tongue remain moist. This is due to...
[Etiology of Endogenous Dry Thirst] Following severe vomiting and diarrhea, body fluids are severely depleted. The loss of Yin fluids leads to spiritual agitation, chaotic thoughts, and mental irritability, resulting in endogenous dry thirst.
[Pulse of Endogenous Dry Thirst] The pulse is Chen-Xi-Ruan (Deep, Fine, and Soft), or may appear Zao-Ji (Restless and Rapid), Chen-Xi-Shu (Deep, Fine, and Rapid), or Fu-Da-Kong (Floating, Large, and Empty).
[Treatment of Endogenous Dry Thirst] If the pulse is Xi-Ruan (Fine and Soft), use Renshen Shengmai San (Ginseng Pulse-Generating Powder) and Renshen Zhuli Tang (Ginseng Bamboo Sap Decoction). If the pulse is Xi-Shu (Fine and Rapid), use Liujia Dihuang Wan (Six-Ingredient Rehmannia Pill). Regarding the pulse...
Renshen Shengmai San (Ginseng Pulse-Generating Powder)
Herbs: Ginseng Radix (Renshen), Ophiopogonis Radix (Maidong), Schisandrae Chinensis Fructus (Beiwuweizi).
Renshen Zhuli Tang (Ginseng Bamboo Sap Decoction)
Take Ginseng Decoction mixed with Bamboo Sap.
Liujia Dihuang Wan (Six-Ingredient Rehmannia Pill)
See previous text.
[Symptoms of Gan Huoluan / Dry Cholera] The body is feverish and irritable, with colicky pain in the chest and abdomen, cold extremities, obstruction of ascending and descending Qi mechanisms, without vomiting or diarrhea. This is named Gan Huoluan (Dry Cholera).
[Etiology of Gan Huoluan / Dry Cholera] Accumulated warmth matures into summer-heat; accumulated heat becomes dryness. Additionally, one contracts the epidemic dry-heat Qi. External steaming and internal brewing cause extreme dryness in the middle jiao. Qi cannot flow freely, preventing vomiting upwards and diarrhea downwards, thus forming Gan Huoluan.
[Pulse of Gan Huoluan / Dry Cholera] The pulse is mostly Chen-Fu (Deep and Hidden), or may appear Hong-Shu (Surging and Rapid), Hua-Da (Slippery and Large), or Chen-Shu (Deep and Rapid).
[Treatment of Gan Huoluan / Dry Cholera] If pain is in the Upper Jiao, induce vomiting using cold salt water. If pain is in the Middle Jiao, urgently needle Wezhong (BL40) and Shaoshang (LU11), and prick the ten fingertips to bleed. Decoct Huoxiang Tang (Agastache Decoction), mix with Yiyuan San (Benefit Primordial Powder), to lubricate and smooth the Large Intestine. If the pulse is Chen-Fu (Deep and Hidden), use Qi-moving herbs to unblock the meridians.
Huoxiang Tang (Agastache Decoction) mixed with Liuyi San (Six-to-One Powder), taken warm.