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All causes of Huoluan (acute gastroenteritis with vomiting and diarrhea) mostly originate from diet, such as consuming raw, cold, or mixed impure foods. This may result from eating fatty meats and drinking alcohol while exposed to wind and walking in dampness, wearing thin clothes and sitting outdoors, or sleeping at night without adequate covering. Upon initial onset, it is essential to keep the body warm by placing charcoal fire near where the patient lies; if the heat is too intense, move it away. Simultaneously, wrap the patient with steamed quilts or cotton-padded garments. If there are no readily available hot/cold exchange items, one can scorch the ground, pour hot water over a thin cloth laid on it, have the patient lie on top, and cover them thickly. Alternatively, prepare a simple warming device: place hot water in a jar, soak the feet up to the knees, and use a copper vessel filled with hot water placed on the abdomen. Cover with clothing for insulation, replacing when cool. One may also use an ironing iron filled with fire placed on the abdomen. If the condition does not clear after such measures, emergency moxibustion should be performed strictly according to a clear sequence of acupoints, avoiding random application. Moxibustion must be applied only corresponding to the specific disease symptoms; do not apply it prophylactically without indication. Although moxibustion may not cure immediately, it ensures survival. Do not stop moxibustion just because immediate relief is not observed. For treating Huoluan, if the mugwort pills are not potent enough, the number of moxa cones (Zhuang) need not be large; originally, seven Zhuang were considered sufficient, but forty to fifty Zhuang are also acceptable. As long as the heat penetrates, life can be saved. Administer old formulas such as Lizhong Wan (Regulate the Middle Pill) and Nongpo Daoudchi Tongmai Banxia Tang (Magnolia Bark, Soybean Fermented, and Pinellia Decoction to Unblock the Vessels). Medicines used by predecessors are hard to obtain; now, only good moxibustion methods and single prescriptions are listed, which are effective and not inferior to expensive medicines. Even those who have died recently can still be treated with moxibustion. Other medicines may be difficult to prepare, but Lizhong Wan and various decoctions like Sishun and Nongpo can be prepared in advance; purchase ingredients regularly during autumn and winter.

For sudden Huoluan presenting first with abdominal pain: Moxibustion above the umbilicus, 14 Zhuang, named Taicang (CV17 equivalent area), located four cun below the xiphoid process, measure carefully.

For those presenting first with severe diarrhea (Dongxia): Moxibustion one cun lateral to the umbilicus. Left side for males, right side for females, 14 Zhuang; severe cases up to 30-40 Zhuang. Acupoint name Dachangmu (Ex-LE5), suitable for draining method.

For those presenting first with vomiting: Moxibustion two cun below the xiphoid process, 14 Zhuang. This also treats persistent dysentery. For rebellious Qi ascending: Moxibustion 50 Zhuang, named Jueque (CV14), directly below the tip of the xiphoid process by one cun.

For those presenting first with cold extremities (Ni Leng): Moxibustion on the prominent bone above the medial malleolus of both feet, 7 Zhuang each foot; add more if necessary. Acupoint name Sanyinjiao (SP6), three cun above the tip of the medial malleolus.

For muscle spasms (Zhuanjin): Moxibustion at the center of the sole where the tendons gather under the big toe, 6-7 Zhuang, named Yongquan (KI1); also moxibustion in the middle of the crease under the big toe, 1 Zhuang, highly effective.
Another method: Moxibustion at the nail edge of the big toe, 7 Zhuang.

For spasms entering the abdomen causing pain: Have four people hold the limbs. Moxibustion two cun to the left of the umbilicus, 14 Zhuang; moxibustion on the large tendon in the thigh, one cun from the yin region.

For hiccups (Yue): Moxibustion at the first crease of the wrist, 7 Zhuang, named Xin Zhu (Neiguan PC6), opposite the middle finger.

For persistent diarrhea: Moxibustion on the medial side of the base of the big toe, one cun from the white flesh margin, 7 Zhuang on each side, named Dadu (SP2).

For dry retching: Moxibustion three cun posterior to the wrist crease, between the two tendons, 7 Zhuang on each side, named Jianshi (PC5). If true Jue syndrome with vomiting or apparent death occurs, moxibustion restores flow. The *Duanju* text has a formula for reviving the dead.

For simultaneous vomiting and diarrhea: Moxibustion between the two nipples. At the junction of the black nipple and the white skin near the abdomen, 7 Zhuang each, or up to 14 Zhuang.

If vomiting stops but diarrhea persists: Moxibustion one Fu width above the umbilicus, 7 Zhuang; alternatively, one cun two fen below the umbilicus, 7 Zhuang.

For feeling stifled and full: Moxibustion three cun below the xiphoid process, 7 Zhuang, named Weiguan (Jiuwei CV15).
Another method: Place salt in the umbilicus and moxibustion 14 Zhuang.

If pain reaches the umbilicus urgently: Moxibustion three cun below the umbilicus, 3x7=21 Zhuang, named Guanyuan (CV4), effective.

Mysterious moxibustion method for reviving Huoluan patients: Use an object to horizontally measure across the Renzhong (GV26), bending from the heart's Jiwei (CV15) flying across downwards to moxibust. Finish central moxibustion first, then horizontally moxibust left and right. Also moxibust on the spine, using an object to circle so it aligns with the xiphoid, and one cun left and right of the spine, 7 Zhuang each; this constitutes three points on the front and back.

Hua Tuo treated Huoluan patients who appeared dead, calling for their souls from rooftops, and applying all treatments without success.
Hold the patient's abdomen while they lie prone, extend arms, measure with a rope from end to end. Based on the elbow tips aligned with the rope, clamp the large bone of the spinal column, one cun from the spine on each side, moxibustion 100 Zhuang. If not cured, moxibust the Zhoushui (DU12) acupoint. Tested on hundreds, all sat up immediately after treatment. Hua Tuo passed this technique to his descendants, keeping it secret.
The above are all moxibustion methods.

Formula for treating Huoluan with heart/abdominal distension/pain, stifling sensation, shortness of breath, before vomiting or purging can occur.
Two sheng of salt, five sheng of water, boil to two sheng, take once. Cured if vomiting occurs.
Another method: Ginger (fresh or dried, 1-2 sheng), chopped, six sheng of water, boil three times, take once. If not cured immediately, reboil; old dregs are acceptable.
Another method: Drink three sheng of good sour wine (Ku Jiu). Weak or thin patients drink 1-2 sheng.
Another method: Warm wine 1-2 sheng, add a wax pill the size of a bullet, melt and drink. If no wax, substitute with two Fang Cun Bi of salt.
Another method: Half sheng of Cassia bark powder, mix with two sheng of warm water, drink all.
Another method: Concentrated Bamboo Leaf Decoction 5-6 sheng, use hot to compress/spasm areas.
Another method: Take Nanmu or Zhang wood, palm-sized slices, three sheng of water, boil three times, remove dregs, use hot for compression.
Another method: Take three Fang Cun Bi of dried ginger powder.
Another method: Take Polygonum leaves, finely chop two sheng, five sheng of water, boil three times, take once. Boiled Perilla or fresh juice is also good.
Another method: One sheng of small garlic, chopped, three sheng of water, boil to one sheng, take once.
Another method: Soak five sheng of small garlic in warm water, take the juice.
Another method: Mix human blood with Dan Sha (Cinnabar), form pills like wu zi (walnut seeds), take two pills.
Another method: One jin of sliced ginger, seven sheng of water, boil to one sheng, divide into three doses.
Another method: Take grime from a butcher's grinding stone, size of a chicken egg, take with warm wine. Cured.
Another method: Drink a little Zhu Li (Bamboo Sap). Cured.
Another method: Dried Ginger two liang, Licorice two liang, Aconite one liang, three sheng of water, boil to one sheng, add one he of Pig Gallbladder bile, mix, divide into three doses.
Another method: A large bunch of Reed Catkins, concentrated decoction, drink two sheng. Cured.

For spasms: Red-hot iron. Compress the white flesh margin of the heel, extending longitudinally towards the back along the foot shape, leaving a blister. Do both feet. Heat enters the abdomen, spasms stop, cured. Can use heated knife tails or shrimp shells.
Another method: Boil Ku Jiu (sour wine) three times, rub on affected area, adding flour is better. Bind with cotton padding from below knee to foot.
Another method: Burn fourteen Gardenia fruits, grind to powder, take.
Another method: Equal parts Cassia and Pinellia, grind to powder, one Fang Cun Bi, mix with one sheng water, take. Cured.
Another method: Raw soybean powder, mix with wine, one Fang Cun Bi.
Another method: Apply burned Centipede ointment. Cured.
If spasms enter the intestines, feeling like turning:
Take one cun of white chicken droppings, six he of water, boil three times, take once, do not let the patient know.
Another method: Boar clothes padding in Ku Jiu, keep warm, wrap from spasm site.
Another method: Burn three tuos of woven mat ropes, take with wine. Cured.
Another method: Pot bottom soot powder, take with wine. Cured.

If spasms are already in the abdomen:
Invert the patient, head down, do not let head touch ground, stop when abdomen is level.

If arms, legs, chest, and ribs have spasms:
One and a half sheng of salt, ten dou of water, boil until very hot. Soak hands and feet. For chest/ribs, wash with soup. If spasms enter abdomen, invert patient, head down, stop when abdomen is level. If extreme, pulling yin leads to contraction and death; inversion can save.

If dysentery persists and spasms enter abdomen nearing death:
Two liang of ginger, broken, boiled in half sheng of wine for three boils, take once. Cured.

Formula for Huoluan after vomiting/diarrhea, with heart/abdominal stifling/fullness.
Fourteen Gardenia fruits, three sheng of water, boil to two sheng. Add seven he of fermented soybeans (Chi), boil to one sheng, take once. For vomiting, add two liang of Tangerine Peel. For stifling, add one sheng of Chi, one liang of Licorice, one sheng of Honey, increase water by two sheng, divide into three doses.

Formula for Huoluan with irritability and restless sleep.
Twenty stems of Scallion White, twenty Jujubes, three sheng of water, boil to two sheng, take once.

Formula for Huoluan after vomiting/diarrhea, excessive thirst leading to death if drunk heavily.
Five sheng of Yellow Millet, ten dou of water, boil to three sheng. Clarify and drink slowly. Do not drink other things.

Cui Shi's Lizhong Wan Formula:
Three liang of Licorice, one liang each of Dried Ginger, Ginseng, and Atractylodes Macrocephala. Grind, sieve, make honey pills the size of bullets. If effect is insufficient, take another pill. If not cured after a moment, take with one dou of warm water and Cervus Meat. Repeat 3-5 times until cured. Can also use wine.

Sishun Tang: Treats post-vomiting/diarrhea dry retching, persistent cold extremities.
Two liang each of Dried Ginger, Licorice, Ginseng, and Aconite. Six sheng of water, boil to three and a half sheng, divide into three doses. If diarrhea persists, add one liang of Dragon Bone. If severe abdominal pain, add two liang of Angelica Sinensis. Hu Qia uses one Aconite and one liang of Cassia. For Huoluan without vomiting/diarrhea but with deep pulse in limbs, cold sweat, and thirst, it cures.

Nongpo Tang: Treats irritability, vomiting, abdominal distension.
Four liang of Magnolia Bark, two liang of Roasted Cassia, five Zhi Shi (Immature Bitter Orange), three liang of Roasted Ginger. Six sheng of water, boil to two sheng, divide into three doses.
These four decoctions treat all Huoluan conditions; they must be prepared. If Huoluan involves severe heart pain, it indicates toxin accumulation; combine with Zhong E (Evil Invasion) formulas.

Attached Formulas

Sun Simiao treats Huoluan.
Swallow 30-40 grains of Pepper with water.

*Doumen Fang* treats Huoluan.
Split Huang Shan Wood into slices, one handful, decoct strongly in one cup, take.

*Waitai Miyao* treats Huoluan irritability.
Burn tangled hair to size of chicken egg, mix with three sheng of Salt Water, take. If no vomiting, repeat.
Another method for Huoluan abdominal pain, vomiting, and dysentery.
Chop three sheng of Peach Leaves, five sheng of water, boil to one sheng three he, divide into two warm doses.

*Mei Shi Fang* treats Huoluan heart pain, diarrhea, no sweat.
One handful of Pear Branches/Leaves, three sheng of water, decoct to one sheng, take.
Another method for post-Huoluan irritability and restless sleep.
Twenty Scallion Whites, twenty Jujubes, three sheng of water, decoct to two sheng, divide doses.

*Bingbu Shouji* saves Huoluan patients effectively.
Decoct slightly sour Jiang Shui (Fermented Rice Water) with Dried Ginger powder, sip. Effective for summer abdominal discomfort.

Sun Yonghe treats severe diarrhea and persistent Huoluan.
One Aconite (7 qian weight), processed, peeled, powdered. Take four qian per dose, two cups of water, half qian of salt, decoct to one cup, take warm. Stops immediately. Jixiao Fang.
Treats persistent vomiting/diarrhea, spasms, cold extremities, deficiency wind, unconsciousness. Restores warmth and consciousness.

Huiyang San: Powdered Arisaema. Take three qian, three Jujubes, one and a half cups of water, decoct to eight tenths, take warm. Repeat if unconscious. *Shenghui Fang* treats Huoluan spasms nearing death.
One handful of Withered Rush Mat, finely chopped, one cup of Jiang Shui, decoct juice, take warm at once.
Another method for Liver Deficiency spasms.
Cut Red Polygonum stems/leaves, three he water, one cup, three he wine, decoct to four he, remove dregs, take warm in two doses.
Another method for Liver Wind Deficiency spasms entering abdomen.
Half jin of Salt, boil in water briefly, hot compress. Good.

Sun Shangyao treats foot spasms, pain, and contracture.
One liang of Pine Joint, finely cut like rice grains, one qian of Frankincense. Stir-fry in silver/ceramic pot until scorched but retaining 30% potency. Remove fire toxicity, grind fine. Take 1-2 qian, mixed with hot Quince Wine. Treats acute tendon diseases.

*Gujin Luyan* formula for Huoluan spasms.
One handful of Polygonum, remove ends, two and a half sheng of water, boil to one and a half sheng, take once.