凡霍乱泄出不自知。先取太溪。后取太仓之原。(千)三里、主霍乱遗失失气。期门
、主
霍乱泄注。尺泽、主呕泄上下出胁下痛。太白、主腹胀食不化。喜呕泄有脓血。关冲
、治霍乱胸中气噎。不嗜食。臂肘痛不举。(铜)人迎、治吐逆霍乱。胸满喘呼不得息。
期门、治胸中烦热。贲豚上下。目青而呕。霍乱泄利。腹坚硬。大喘不得卧。胁下积气。
上脘、治霍乱吐利。身热汗不出。隐白、治吐泄。(见腹胀。)中脘、治霍乱出泄不自知。
支沟、天枢、治呕吐霍乱。(见脐痛。)太白、治气逆霍乱腹痛。又吐泄脓血。(见腹胀。)
阴、治心痛霍乱。胸满。上管、治霍乱心痛。不可卧。吐利。(明)
巨阙、治胸胁满。霍乱吐利不止。困顿不知人。(下)吐逆霍乱。吐血。灸手心主五十
壮。
(千)凡霍乱先心痛及先吐。灸巨阙七壮。若先腹痛。太仓二七壮。若先下利。灸大肠募。
(脐旁二寸。)男左女右。若吐下不禁。两手脉疾数。灸蔽骨下三寸。又脐下三寸。各七十壮
。若下不止。太都七壮。若泄利伤烦欲死。慈宫二七壮。
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。盖水谷不分而后泄泻。此穴一名分水。能分水谷故也。或兼灸
中管穴。须先中管而后水分可也。
Whenever a patient suffers from Huoluan (cholera-like syndrome with vomiting and diarrhea) and is unaware of the evacuation, first needle Taixi (KI3), then needle the Yuan-Source point of Taicang (Zongjing), which is Zusanli (ST36). Zusanli treats Huoluan with incontinence of urine and feces, and loss of control over flatus. Qimen (LR14) treats Huoluan with urgent diarrhea. Chize (LU5) treats vomiting and diarrhea, simultaneous discharge from above and below, and pain under the ribs. Taibai (SP3) treats abdominal distension, food stagnation, frequent vomiting, and diarrhea containing pus and blood. Guanchong (TE1) treats Huoluan with chest qi obstruction, lack of appetite, and arm/elbow pain with inability to lift. Renying (ST9) treats regurgitation, Huoluan, chest fullness, panting, and dyspnea. Qimen (LR14) also treats chest irritability and heat, running piglet syndrome (Ben Tun) moving up and down, cyanosis of the eyes with vomiting, Huoluan with diarrhea, hard abdomen, severe panting preventing lying down, and accumulated qi under the ribs. Shangwan (CV13) treats Huoluan with vomiting and diarrhea, fever, and absence of sweating. Yinbai (SP1) treats vomiting and diarrhea (accompanied by abdominal distension). Zhongwan (CV12) treats Huoluan where the patient is unaware of the evacuation. Zhigou (TE6) and Tianshu (ST25) treat vomiting and Huoluan (accompanied by umbilical pain). Taibai (SP3) treats Qi-reversal Huoluan with abdominal pain, and vomiting/diarrhea with pus and blood (accompanied by abdominal distension). Yinxi (HT6) treats heart pain and Huoluan with chest fulliness. Shangguan (Shangwan, CV13) treats Huoluan-induced heart pain, inability to lie down, vomiting, and diarrhea. Juque (CV14) treats chest and hypochondriac fullness, persistent Huoluan with vomiting and diarrhea, lethargy, and unconsciousness. For regurgitation, Huoluan, and hematemesis, moxibustion on the Heart Pericardium channel (specifically the palm center area, often referring to Laogong PC8 or Daling PC7 contextually as "Heart Master") for 50 moxa cones.
Generally, for Huoluan: if heart pain occurs first or vomiting occurs first, moxibustion on Juque (CV14) for 7 cones. If abdominal pain occurs first, moxibustion on Taicang (Zhongwan, CV12) for 14 cones (two sevens). If diarrhea occurs first, moxibustion on the Front-Mu point of the Large Intestine (Tianshu, ST25, located 2 cun lateral to the umbilicus), left side for males and right side for females. If vomiting and diarrhea are uncontrollable and the pulse at both wrists is rapid and hurried, moxibustion on the point 3 cun below the xiphoid process (Jiuwei, CV15) and 3 cun below the umbilicus (Guanyuan, CV4), 70 cones each. If diarrhea persists, moxibustion on Tai Du (Taixi, KI3, note: text says Tai Du, likely variant or error for Taixi or another point, but translated as per source) for 7 cones. If diarrhea causes severe distress and feeling of impending death, moxibustion on Ci Gong (Shenque, CV8, note: Ci Gong is an alternative name or typo for Shenque in some contexts, or refers to a specific location, here translated as Ci Gong/Shenque) for 14 cones.
Huoluan with vomiting and diarrhea requires prompt treatment. It is advisable to take large doses of Laifu Dan (Reviving Pill) and Zhenling Dan (Spirit-Calming Pill). Moxibustion on Shangwan (CV13), Zhongwan (CV12), Shenque (CV8), and Guanyuan (CV4) is particularly suitable. The Shuifen (CV9) point should not be delayed. Since diarrhea results from the failure to distinguish between water and grain, this point, also known as Fen Shui (Separating Water), can separate water and grain. Alternatively, one may combine moxibustion on Zhongguan (Zhongwan, CV12); it is necessary to moxibustion Zhongguan first, followed by Shuifen.