生黄豆，细嚼，不腥者痧也。既可试病，亦解痧毒，生芋亦可。
大赤雄鸡一只，放病患腹上，以鸡口朝其面，鸡即伏而不动。痛止，鸡自跳下。亦治尸厥中
神清而嚼姜，不辣者，真寒证也。
新汲井水，百沸天泉，各半和服，名阴阳水。《濒湖》曰∶上焦主纳，中焦腐
化，下焦主出。三焦通利，阴阳调和，升降周流，则脏腑畅达。一失其道，二气淆乱，浊阴不降，
清阳不升，故发为霍乱吐利之病。饮此即定者，分其阴阳，使得其平也。案∶汲井泉以上升
，天雨水而下降，故汲者宜新，而降者宜熟也。以之煎疟疾药。盖取分解寒热之邪，而和其阴
东壁土煎汁饮。（《圣济》）
锅底墨煤、灶突上墨煤（各五分）百沸汤急搅数千下，以碗覆之，通口服一二口。
生扁豆（研末）入醋少许，新汲水和服。（《普济》）
丝瓜络（一斤）白霜梅肉（一钱并核中仁用），共研烂，
梨树枝 煎汁服。（《圣惠》）
海桐皮 煎汁饮。（《圣济》）
路旁破草鞋，（去两头，洗三四次，）水煎服。（《事海文山》）
生藕 捣汁饮。（《圣惠》）
陈仓米煮清汤，稍稍饮之，治霍乱大渴。（《永类钤方》）
冬瓜 水煮清汤，俟凉饮之，（半痴。）案∶陈仓米，虽云清热止渴，惟霍乱已止者，服之为宜。
邪势方张，吐下未平之际，尚嫌其守。冬瓜，甘淡微凉，极清暑湿。无论病前、病后，用以
代饮，妙不可言。即温、湿、暑、疫、泻、痢诸病，皆可用也。
芦根、麦冬，水煎服。（《千金》）案∶单用芦根煎饮，亦止烦渴，或与竹叶同煎，更佳。
梨肉 煮汤服，渴甚，捣汁饮。（梦隐）
莱菔 煮汤服，或生嚼咽汁，吐去渣。（梦隐）
生绿豆急火煎清汤，凉服。（梦隐）
枇杷叶（刷去毛） 浓煎，徐饮。此方不但解霍乱之渴也，若深冬采之，刷毛洗净切碎，净锅炒
干，瓷缸密收，常以代茗，可杜暑湿时疫，及噎利诸病。（梦隐）
以下治霍乱转筋。
雄鸡矢白 腊月收之，为末，水和温服。（《金匮》）
地浆（掘干净地作坎，深三尺，以新汲井水沃入搅之，少顷取清者）饮三五杯。（《千金》）案∶
谦甫云∶霍乱乃暑热内伤，七神迷乱所致。阴气静则神藏，躁则消亡，非至阴之气不愈。
坤为地，属阴，土曰静顺，地浆作于阴地坎中，为阴中之阴，能泻阳中之阳也。愚谓得罗氏此
言，治霍乱，已思过半矣。蒋式玉称其勤求古训，洵不诬也。
新汲井水 徐徐冷冻饮料之，外以一盆盛水浸两足，忌食热物。（《救急良方》）案∶果系暑热炽盛，
扁豆叶一握捣绞汁一碗，饮。（《广笔记》）
桑叶一握煎汁服。（《圣惠》）
木瓜一两水煎服。余汤浸青布，裹其腓。本方加桑叶七片尤良。（《圣惠》）
龙脑薄荷 煎汤饮。（《圣惠》）案∶有汗者，此方勿服。
青钱（四十九枚） 木瓜（一两） 乌梅（炒，五个） 水二盏煎，分温服。（《圣济》）案∶此方专治风木
行脾之证。时行重感，非所宜也。
盐梅 煎汤，细细饮。（《如宜方》）案∶方义与上同。
垂死者，用败蒲席一握（切），浆水一盏，煎服。（《圣惠》）
原蚕沙（一两）阴阳水煎，澄清、温服。（梦隐）案∶蚕沙乃桑叶所化。夫桑叶主息风化湿，
故《圣惠》方以之治霍乱转筋也。既经蚕食，蚕亦主胜风去湿。且蚕僵而不腐，得清气于造物者独
纯。故其矢不臭、不变色，殆桑从蚕化，虽走浊道而清气独全。《金匮》以鸡矢治霍乱转筋者
，鸡，属巽，虽不溺而矢独干，亦取其胜风湿，以领浊气下趋也。蚕沙，既引浊下趋，又能化浊使之
归清，性较鸡矢更优。故余用以为霍乱转筋之主药，颇奏肤功。嗣见治痧飞龙夺命丹，用人中
白一味，领诸药迅扫浊邪，下趋阴窍，较他方之藉硝以达下者，更
觉贴切。故奏效尤捷。制方
无溺者，西瓜绞汁饮。（梦隐）
（凡阳气遏抑在内，虽热证亦无汗，西瓜汁当慎用。此特标汗频二字，最确当。谢
渴而气机不舒者，金银花、蒲公英、丝瓜叶、丝瓜，并可捣汁服，或用干者，煎
渴而肤有赤色者，益母草，或紫花地丁，捣汁饮。或以干者煎汤服亦可。（《梦隐
案∶紫花地丁，亦名如意草，主清血热。生嚼之，味甘，不作草气，故可同诸草木叶咀食充
饥。悉无草气，洵救荒之仙草也。附及之以为世告。
以下治干霍乱。
荞麦，（焙燥，去壳，取末三钱。）凉开水调服。（《简便方》）
栀子（二七枚，烧研）酒调下。（《肘后》）
盐（一撮放刀上，用火炙透）热童便和服，或以新汲水和服。少顷，即得吐下而气通矣。
益母草（一两） 煎汤，少投生蜜，俟温服。（《医通》）
马兰根 细嚼咽汁。（《寿域》）
刘寄奴 煎汤温服。（《圣济》）
桃叶 煎汤温服。（《外台》）
石菖蒲（一两杵汁）和水服。（《圣惠》）
烟管中油（俗呼烟油）取豆大一丸，放病患口内，掬水灌之，下咽即活。（《有堂》）
芜菁子 煮汁饮。（《集简》）
黑大豆 生研，水服方寸匕。《普济》案∶今人以黄豆试痧本此。
垂危者，用生芋一片，放入病患口内，咽汁即苏。苏后，再吃几片，取其宽肠去垢浊，破血
清痧毒也。世传饮油吞矾二方，取其引吐澄浊也。然油滋腻，矾兜涩，皆有流弊，吾不取也。
普洱茶 浓煎温服。（梦隐）
淡海蛇（四两）凫茈（即荸荠，一名地栗二两切）水煮，至海蛇烊。取汁，温服。（梦隐）
莱菔 捣汁饮。（梦隐）
雄鼠矢阴阳水下二七枚。（梦隐）案∶《经验方》有马矢绞汁，治干霍乱一方。虽取义
燥湿降浊，然臭味恶劣，径以秽汁灌人，亦觉难堪。易以鼠矢，较近人情，其功似亦稍胜也。
（按∶马矢烧灰存性，名独胜散。治绞肠痧证，服下即瘥。彼所谓臭味恶劣，未经烧
莱菔叶（冬月挂树上，或摊屋上，直至春前，干燥极透时，收入净坛密
贮。每一两洗净）。水煎温服。（梦隐）案∶此味并治时行喉证，诸般外感。疟痢泄泻。
疳膨黄胆，水肿香港脚，诸病如神，物易功多，价廉无损，家家可备以济世也。
稻秆 浓煎温服。（梦隐）
六一散（方见四篇）新汲水调下三钱。（河间）
以下皆治邪深入络，以及干藏之干霍乱。霍乱转筋。
紫雪（方见四篇下同）
碧雪
绛雪（一名红灵散）
行军散
玉枢丹
紫金丹
飞龙夺命丹（与外科飞龙夺命丹名同药异，外科之方用蜈蚣为君，蜈蚣一名天龙，
能飞而制蛇，因以名方，治痧之方用许多宝贵香灵之品，藉人中白驾轻就熟为使，力能迅扫
秽恶之邪下趋浊道，有马到功成之捷效，以骏马有飞行之号，故以名方。）
案∶以上诸方，皆有起死回生之力。惟有力者，卒不易得；无力者，贵不易购。
苟能量力合送，或集资广济，洵造福无涯矣。
以下治寒湿干霍乱。
陈艾叶 煎汤服。（《外台》）
紫苏 捣汁服，干者煎饮。（《肘后》）案∶此方治因食鱼蟹诸水族而腹痛吐利者皆效。
橘红、藿香（各五钱），煎服。（《百一选方》）
薤白 煮汤服。（《独行方》）
姜炙浓朴研，温汤服三钱。挟暑者，新汲水下。（《圣惠》）
丁香（十四枚研末） 沸汤和服。（《千金》）案∶此治食蟹及水果太多而痛泻者并效。
真神曲（三钱），水煎温服。（梦隐）
吴茱萸（二七枚），砂仁（一钱研），泡汤吞下。（梦隐）
伽南香（凉开水磨取三分），沸汤点服。（梦隐）
以下皆治阴寒霍乱。
三圣丹（方见四篇。下同）
速效丹
蟾酥丸
姚氏蟾酥丸
霹雳散
回阳膏
以上数方，亦须预备应用。如合送济人，须将病情叙明，庶免贻误。
霍乱转筋，吐下已多，脉无气短，大汗欲脱者。置好醋二三斤于病患面前，将铁器烧红，频
淬醋内，使闻其气，即可转危为安。足冷者，并捣生附子二两，贴于涌泉穴。再按证用药，
以挽回元气。不论寒热二证，凡元气欲脱者，皆当亟
用。余屡试多验。并治产后昏晕，及诸病之神魂不安者，皆效。
Raw soybeans, chewed thoroughly; if they do not taste fishy, it indicates Sha poison (Sha disease/toxin). It can be used to test the condition and also resolves Sha toxin; raw taro is also effective.
Take one large red rooster, place it on the patient's abdomen with its beak facing the patient's face; the chicken will lie still. When the pain stops, the chicken will jump down naturally. This method also treats corpse fainting (sudden collapse and unconsciousness) and sudden evil invasion.
When chewing fresh ginger while conscious, if it does not feel spicy, it indicates a true cold syndrome.
Mix equal parts of newly drawn well water and "Tianquan" water (rainwater boiled repeatedly), known as Yin-Yang Water. Li Shizhen stated in *Binhu Pulse Classification*: The Upper Jiao governs reception, the Middle Jiao governs digestion and transformation, and the Lower Jiao governs excretion. When the Three Jiao are unobstructed, Yin and Yang are harmonious, and ascending and descending movements circulate normally, the Zang-Fu organs function smoothly. If this order is lost, the two Qi become chaotic, turbid Yin fails to descend, and clear Yang fails to ascend, resulting in Huoluan (cholera-like vomiting and diarrhea). Drinking this water stabilizes the condition by separating Yin and Yang to achieve balance. Note: Well water rises, rainwater descends; thus, rising water should be fresh, and descending water should be cooked. It can be used to decoct malaria medicines, aiming to resolve cold-heat pathogens and harmonize Yin and Yang. Decoct East Wall Earth for drinking (*Shengji Zonglu*).
Soot from the bottom of the cooking pot and soot from the chimney flue (each 2.5g), stirred rapidly thousands of times in boiling water, covered with a bowl, and taken orally in small doses.
Raw broad beans (ground into powder) mixed with a little vinegar and taken with newly drawn well water (*Puji Fang*).
Luffa network (500g) and white frost plum flesh (3g, including the kernel), ground together, and taken with juice decocted from pear tree branches (*Shenghui Fang*).
Decoct Haotongpi (Cortex Phellodendri or similar bark) for drinking (*Shengji Zonglu*).
Old straw sandals found by the road (remove both ends, wash three to four times), decocted in water (*Shihai Wenshan*).
Fresh lotus root, crushed for juice (*Shenghui Fang*).
Aged grain from the imperial granary, boiled into a clear soup, sipped slowly to treat excessive thirst in Huoluan (*Yonglei Qianfang*).
Winter melon, boiled into a clear soup, drunk when cool (Note by Banchi). Commentary: Although aged grain clears heat and relieves thirst, it is suitable only after Huoluan symptoms have ceased. During the peak of pathogenic factors, when vomiting and diarrhea are uncontrolled, using it might be too stagnating. Winter melon is sweet, bland, and slightly cool, effectively clearing summerheat and dampness. Whether before or after illness, using it as a beverage is excellent. It can be used for warm diseases, dampness, summerheat, epidemics, diarrhea, and dysentery.
Reed rhizome and Ophiopogon tuber, decocted in water (*Qianjin Fang*). Commentary: Reed rhizome alone decocted relieves irritability and thirst; combining it with bamboo leaves is even better.
Pear flesh, boiled into soup; for severe thirst, crush for juice (Mengyin).
Radish, boiled into soup, or chewed raw to swallow juice, spitting out residue (Mengyin).
Raw mung beans, quickly boiled into clear soup, taken cold (Mengyin).
Loquat leaf (brush off hairs), heavily decocted and sipped slowly. This formula not only relieves thirst in Huoluan; if collected in deep winter, cleaned, chopped, dried in a clean pan, and stored in a sealed porcelain jar, it can replace tea daily to prevent summerheat-damp epidemics and conditions like dysphagia and dysentery (Mengyin).
The following treat Huoluan with muscle cramps.
White feces of male chickens (collected in the twelfth lunar month), ground into powder, mixed with water and taken warm (*Jin Gui Yao Lue*).
Earth slurry (dig a pit three feet deep in clean soil, pour in new well water, stir, wait briefly, and take the clear supernatant), drink three to five cups (*Qianjin Fang*). Commentary: Qianfu said: Huoluan is caused by internal injury from summerheat, confusing the seven spirits. Yin energy calms the spirit; agitation destroys it. Only extreme Yin energy can cure it. Kun represents Earth, belonging to Yin; Earth is quiet and compliant. Earth slurry made in a Yin pit is Yin within Yin, capable of draining Yang within Yang. I believe understanding Luo's words means half the treatment for Huoluan is achieved. Jiang Shiyu praised his diligent study of ancient teachings, truly justified.
Newly drawn well water, slowly cooled and drunk; externally, soak both feet in a basin of water. Avoid hot food (*Jiuji Liangfang*). Commentary: Applicable if summerheat is blazing.
One handful of broad bean leaves, crushed to extract one bowl of juice, drink (*Guang Biji*).
One handful of mulberry leaves, decocted for drinking (*Shenghui Fang*).
Papaya (15g), decocted in water. Use the remaining liquid to soak a blue cloth and wrap the calf muscles. Adding seven mulberry leaves to this formula is especially good (*Shenghui Fang*).
Mentha arvensis (wild mint), decocted for drinking (*Shenghui Fang*). Commentary: Do not use if sweating.
Forty-nine copper coins, Papaya (15g), Smoked plum (five, stir-fried), decocted in two cups of water, divided and taken warm (*Shengji Zonglu*). Commentary: This formula specifically treats Liver Wood overacting on Spleen Earth. It is not suitable for severe epidemic infections.
Salted plum, decocted into soup, sip slowly (*Ruyi Fang*). Commentary: Same principle as above.
For those near death, use one handful of broken rush mat (cut), one cup of sour rice water, decoct and drink (*Shenghui Fang*).
Silkworm excrement (15g), decocted in Yin-Yang water, clarified and taken warm (Mengyin). Commentary: Silkworm excrement comes from mulberry leaves. Mulberry leaves calm wind and resolve dampness, hence used in *Shenghui Fang* for Huoluan cramps. Since eaten by silkworms, it retains wind-resolving and damp-draining properties. Silkworms remain rigid without rotting, retaining pure clear Qi from nature. Thus, their excrement is odorless and unchanged in color, indicating transformation of mulberry into silkworm body, maintaining clear Qi despite traversing turbid pathways. *Jin Gui* uses chicken excrement for Huoluan cramps; chickens belong to Xun, dry excrement helps overcome wind-damp and guide turbidity downward. Silkworm excrement guides turbidity down and transforms it to clarity, superior to chicken excrement. I use it as the main drug for Huoluan cramps with good results. Later, I saw Feilong Duoming Dan for Sha disease, using human calcined bone to lead drugs to sweep turbid evil downward through the yin orifices, more precise than formulas using mirabilite. Hence, faster effect. Formulation...
For those unable to urinate, drink juice extracted from watermelon (Mengyin).
(Use watermelon juice cautiously if Yang Qi is constrained internally causing heat without sweat. The note "frequent sweating" is accurate. Xie...)
For thirst with stagnant Qi mechanism, crushed juice of Honeysuckle, Dandelion, Luffa leaf, or Luffa fruit can be drunk, or decocted dried herbs (*Mengyin*). Commentary: Violet flower (Viola yedoensis), also called Ruyi Grass, clears blood heat. Chewed raw, it tastes sweet without grassy odor, suitable for famine relief. Truly a celestial herb for survival. Noted for public awareness.
The following treat Dry Huoluan (inability to vomit or defecate).
Buckwheat (roasted, hulled, 9g powder), mixed with cool boiled water (*Jianbian Fang*).
Gardenia seeds (14 pieces, burnt and ground), taken with wine (*Zhouhou Fang*).
Salt (a pinch heated on a knife until hot), taken with warm child's urine or new well water. Soon, vomiting and defecation occur, and Qi flows freely.
Motherwort herb (15g), decocted, add raw honey, take warm (*YiTong*).
Calystegia hederacea root, chewed and juice swallowed (*Shouyu Shenfang*).
Herba Siegesbeckiae, decocted and taken warm (*Shengji Zonglu*).
Peach leaves, decocted and taken warm (*Waitai Mi Yao*).
Acorus tatarinowii (15g crushed for juice), mixed with water (*Shenghui Fang*).
Oil from tobacco pipes (soot oil), one pill size placed in mouth,灌ed with water, alive upon swallowing (*You Tang Yi Shu*).
Turnip seeds, boiled for juice (*Jijian Fang*).
Black soybeans, raw ground, taken with water in a cubic inch measure. *Puji Fang*. Commentary: Current practice of testing Sha with soybeans originates here.
For critical cases, place a slice of raw taro in the mouth; swallowing juice revives consciousness. After revival, eat a few more slices to widen intestines, remove filth, break blood stasis, and clear Sha toxin. Folk methods of drinking oil and swallowing alum aim to induce vomiting and clarify turbidity. However, oil is cloying and alum is astringent, having drawbacks; I do not adopt them.
Pu'er tea, heavily decocted and taken warm (Mengyin).
Light sea snake (120g) and Chinese water chestnut (60g, sliced), boiled until snake dissolves. Take juice, warm (Mengyin).
Radish, crushed for juice (Mengyin).
Male rat excrement, fourteen pieces, decocted in Yin-Yang water (Mengyin). Commentary: *Jingyan Fang* has a formula using horse manure juice for Dry Huoluan. Though it dries dampness and descends turbidity, the foul smell makes direct administration difficult. Rat excrement is more acceptable and seemingly equally effective. (Note: Horse manure burnt to ash is named Dusheng San, treating intestinal twisting Sha, effective immediately. The complaint about smell refers to unburnt manure...)
Radish leaves (hung in winter or spread on roofs until early spring, thoroughly dried, stored in sealed jars). One ounce washed, decocted and taken warm (Mengyin). Commentary: Also treats epidemic throat conditions, external invasions, malaria, dysentery, diarrhea, infantile malnutrition, jaundice, edema, and beriberi. Effective, accessible, cheap, and beneficial for all families.
Rice stalks, heavily decocted and taken warm (Mengyin).
Liuyi San (see Part 4), three qian mixed with new well water (Hejian).
The following treat pathogens deeply entering collaterals, and Dry Huoluan affecting Zang organs, along with Huoluan cramps.
Zixue (Purple Snow) (see Part 4)
Bixue (Green Snow)
Jiangxue (Crimson Snow, aka Hongling San)
Xingjun San
Yushu Dan
Zijin Dan
Feilong Duoming Dan (Same name as surgical formula but different ingredients. Surgical formula uses centipede as chief; centipede flies and controls snakes, hence the name. Sha-treatment formula uses precious aromatic substances, aided by human calcined bone to swiftly sweep turbid evil downward, achieving rapid success like a galloping horse, hence the name.)
Commentary: All above formulas have life-saving power. Powerful ones are hard to obtain suddenly; expensive ones are hard to buy. If distributed according to ability or funded for charity, the merit is boundless.
The following treat Cold-Damp Dry Huoluan.
Aged mugwort leaves, decocted and taken (*Waitai Mi Yao*).
Perilla, crushed for juice or decocted dried herbs (*Zhouhou Fang*). Commentary: Effective for abdominal pain and diarrhea/vomiting caused by eating fish and crabs.
Citrus reticulata peel and Pogostemon cablin (each 15g), decocted (*Baiyi Xuanfang*).
Allium macrostemon, boiled into soup (*Duxing Fang*).
Ginger-processed Magnolia bark, ground, taken with warm water (3qian). For cases with summerheat, use new well water (*Shenghui Fang*).
Cloves (14 pieces ground), mixed with boiling water (*Qianjin Fang*). Commentary: Effective for pain and diarrhea from excessive crab and fruit consumption.
True Shenqu (3qian), decocted and taken warm (Mengyin).
Evodia fruit (14 pieces), Amomum fruit (3g ground), swallowed with soaked liquid (Mengyin).
Agarwood (3 fen ground with cool boiled water), taken with boiling water (Mengyin).
The following treat Yin-Cold Huoluan.
Sansheng Dan (see Part 4)
Suxiao Dan
Chan Su Wan
Yao Shi Chan Su Wan
Pili San
Huiyang Gao
These formulas must be prepared. If distributing to others, clearly describe the condition to avoid errors.
For Huoluan cramps with excessive vomiting/diarrhea, weak pulse, shortness of breath, and profuse sweating indicating collapse: Place 2-3 jin of good vinegar near the patient. Red-hot iron tools are frequently quenched in the vinegar, allowing the patient to inhale the vapor, turning danger to safety. For cold feet, crush 30g raw Aconite, apply to Yongquan point (KI1). Then medicate according to syndrome to restore Yuan Qi. Regardless of cold or heat syndromes, for impending Yuan Qi collapse, this method should be urgently used. I have tested it many times with success. It also treats postpartum syncope and restlessness in various diseases.