（附蛤蟆瘟）
【因】 阳明邪热太甚，故资实少阳相火而为之也。湿热为肿痛，治之视其肿热
在何部分，随结而取之，是天行也。
【治】 黄芩（炒） 甘草 大黄（煨） 黍粘子（炒） 芒硝
阳明渴，加石膏；少阳渴，加栝蒌根；阳明行经，加升麻、白芍、葛根、甘草；太阳行
经，加羌活、防风。
蛤蟆瘟
【因】 风热。
【治】 解毒丸下之。
侧柏叶自然汁调蚯蚓粪敷。烧灰大妙。
车前叶服；或丁香尖、附子尖、南星，醋磨敷皆可。五叶藤汁敷亦可。
【脉】 微涩，或代，或伏。脉弦滑者，膈有宿食；身却不热，为霍乱。大者生
，微迟者死，脉洪者热。
【因】 其气有三∶一曰火，二曰风，三曰湿。
邪在上焦则吐，下焦则泻，中焦则吐而且利。吐为 热也；泻为湿也；风胜则动，故转
筋也
。或因大渴而大饮，或饥，或饱甚，伤损胃气，阴阳交争而不和。此为急病也，不死。如干
霍乱而不得吐利，必死。
【证】 其状心腹卒痛，呕吐下利，憎寒发热，头痛眩晕。先心痛则先吐，先腹
痛则先下，心腹俱痛，吐利并作。甚则转筋，入腹则死，不然则吐泻。
干霍乱者，忽然心腹胀满，绞刺痛，欲吐不吐，欲利不利，须臾则死。以盐汤大吐之佳
。
外有冲恶，病同而名异。
【治】 五苓散治热多饮水，关上脉洪者，热也。宜清之。
理中丸 治寒多不饮水，身不热者。
半夏汤 治霍乱转筋，吐利不止。身痛不止者，宜加桂枝汤。
半夏曲 茯苓 陈皮 白术 薄荷 桂枝 甘草
和解散 治霍乱。此条，内有所积，外为邪气所阻。甚用吐法，二陈汤。
和解散 川芎 苍术 白芷 防风
(Attached: Toad Plague)
[Etiology] The pathogenic heat in the Yangming channel is excessive, thereby assisting the Ministerial Fire of Shaoyang to cause this condition. Damp-heat causes swelling and pain; treatment should be based on which part of the body exhibits swelling and heat, addressing the accumulation accordingly. This is an epidemic disease.
[Treatment] Huangqin (Scutellariae Radix, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma, baked), Shuniuzi (Achyranthis Bidentatae Fructus, stir-fried), Mangxiao (Natrii Sulfas).
If there is thirst due to Yangming involvement, add Shigao (Gypsum Fibrosum); if due to Shaoyang involvement, add Gualougen (Trichosanthis Radix); if the pathogen follows the Yangming channel trajectory, add Shengma (Cimicifugae Rhizoma), Baishao (Paeoniae Radix Alba), Gegen (Puerariae Lobatae Radix), and Gancao; if it follows the Taiyang channel trajectory, add Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix).
Toad Plague
[Etiology] Wind-heat.
[Treatment] Administer Jiedu Wan (Detoxification Pill) to purge.
Apply a paste made from fresh juice of Cebaiye (Platycladi Cacumen) mixed with earthworm feces externally. Burning it into ash for external use is also highly effective.
Take Cheqianye (Plantaginis Herba) orally; or apply a mixture of Dingxiangjian (Caryophylli Flos tip), Fuzijian (Aconiti Lateralis Radix Preparata tip), and Nanting (Arisaematis Rhizoma) ground with vinegar externally. Applying juice from Wuyeteng (Tetrastigma Vitis-Idaeae Caulis) is also acceptable.
[Pulse] The pulse may be faint and choppy (Wei Se), intermittent (Dai), or deep and hidden (Fu). A string-taut and slippery pulse (Xian Hua) indicates retained food in the diaphragm; if the body is not hot, it is Huoluan (Cholera-like syndrome). A large pulse indicates survival; a faint and slow pulse indicates death; a surging pulse (Hong) indicates heat.
[Etiology] The pathogenic qi consists of three aspects: one is Fire, two is Wind, and three is Dampness.
Pathogenic qi in the Upper Jiao causes vomiting; in the Lower Jiao, diarrhea; in the Middle Jiao, both vomiting and diarrhea. Vomiting is caused by Heat; diarrhea by Dampness; excess Wind causes movement, hence muscle spasms (Zhuanjin). It may also result from drinking excessively due to extreme thirst, hunger, or overeating, which damages Stomach Qi, causing Yin and Yang to contend and lose harmony. This is an acute condition but not necessarily fatal. However, Dry Huoluan, where neither vomiting nor diarrhea can occur, is fatal.
[Symptoms] The presentation includes sudden pain in the heart and abdomen, vomiting with diarrhea, aversion to cold with fever, headache, and dizziness. If heart pain precedes, vomiting occurs first; if abdominal pain precedes, diarrhea occurs first; if both heart and abdomen hurt, vomiting and diarrhea occur simultaneously. In severe cases, muscle spasms occur; if the pathogen enters the interior (abdomen deeply), it is fatal; otherwise, it presents as vomiting and diarrhea.
Dry Huoluan manifests as sudden fullness and distension in the heart and abdomen, cramping and stabbing pain, inability to vomit despite the urge, and inability to defecate despite the urge; death may occur within moments. Inducing vomiting with salt water soup is beneficial.
External exposure to malicious qi results in the same pathology but under a different name.
[Treatment] Wuling San (Five-Ingredient Poria Powder) is used for cases with more heat and increased thirst, especially when the Guan position pulse is surging, indicating heat that requires clearing.
Lizhong Wan (Regulate the Middle Pill) is used for cases with more cold, no desire to drink, and no body heat.
Banxia Tang (Pinellia Decoction) is used for Huoluan with muscle spasms and unceasing vomiting and diarrhea. For those with unceasing body pain, Guizhi Tang (Cinnamon Twig Decoction) should be added.
Ingredients: Banxiaqu (Pinelliae Rhizoma Praeparatum), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Bohe (Menthae Haplocalycis Herba), Guizhi (Cinnamomi Ramulus), Gancao.
Hejie San (Harmonizing Decoction) is used for Huoluan. This specific pattern involves internal accumulation obstructed by external pathogenic qi. For severe cases, emesis is indicated, using Erchen Tang (Two-Aged Phlegm Decoction).
Another formulation of Hejie San contains Chuanxiong (Ligustici Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), and Fangfeng.