〔霍乱提纲〕 食寒饮冷感风寒,吐利交加总不安,木气失荣筋更转,温脾暖肾治何难。
五苓证
(方见伤寒) 头疼身痛力难支,热渴频思饮水时。霍乱已成何药治,扶阳利湿五苓宜。
理中丸
(证附) 霍乱寒多不饮时,理中丸用效神奇。参姜术草能温补,吐利交加并可医。
四逆证
(方见伤寒) 吐逆适当汗出时,恶寒发热病弥危,四肢厥冷还拘急,附子姜甘却
可医。
茯苓四逆证
(方见伤寒) 肢厥脉微吐泄时,腹中疼痛力难支,真阳已败脾初陷,汤用茯苓
四逆宜。
通脉四逆加猪胆汁汤
(证附) 吐利俱停汗出初,四肢拘急不能舒,姜甘附子加猪胆,扶起残
阳病可除。
四逆加人参汤
(证附) 恶寒脉象尚微和,利止旋惊亡血多,四逆加参真入妙,温中益气病能瘥。
桂枝证
(方见伤寒) 当时吐利病全休,惟觉身中痛尚留,
此是表寒仍未解,桂枝汤用效堪收。
〔疝气提纲〕 疝气发源在肾肝,睾丸肿大是真寒,消除此证须何法,开郁扶阳治不难。
乌头桂枝加味汤
(证附) 寒疝腹疼病甚危,四肢逆冷不仁时,乌头桂芍姜甘枣,加入吴萸泽泻宜。
五苓散加味方
(证附 五苓散见伤寒) 病缘内有湿邪停,寒疝偏宜用五苓,再取木香
能利气,小茴加入合金铃。
外治法
洗用桂乌加味汤,囊消痛止法偏良。雄黄矾石兼甘草,煮水濯来又一方。
蜘蛛散
(证附) 结成狐疝病形危,上下无常偏坠时,桂可疏肝功甚速,蜘蛛破郁用相宜。
【霍乱提纲】因食用生冷食物或感受风寒邪气,导致呕吐与腹泻同时发生,患者全身不适、心神不宁。若肝木之气失于濡养而筋脉拘挛抽搐,采用温补脾阳、暖益肾阳的方法治疗,并非难事。
五苓证
(方剂见《伤寒论》)头痛且身体疼痛,乏力难以支撑;伴有发热、口渴,频繁想喝水。当霍乱病已经形成时,应使用何种药物治疗?宜选用扶助人体的阳气并利去湿气的五苓散。
理中丸
(证候附注)霍乱病中寒象明显且不想饮水时,使用理中丸疗效神奇。人参、干姜、白术、甘草能够温中补虚,对于呕吐与腹泻同时发生的症状均可医治。
四逆证
(方剂见《伤寒论》)在呕吐逆反恰好伴随出汗的时候,出现怕冷、发热的症状,病情更加危急;四肢冰冷厥逆且伴有拘挛急迫,使用附子、干姜、甘草组成的方剂却可以医治。
茯苓四逆证
(方剂见《伤寒论》)当出现四肢厥冷、脉搏微弱、呕吐泄泻时,腹中疼痛且乏力难以支撑,这是真阳已败坏、脾阳初陷落的证候,宜使用茯苓四逆汤。
通脉四逆加猪胆汁汤
(证候附注)呕吐与腹泻刚刚停止,汗出初现,四肢拘挛急迫不能舒展,使用干姜、甘草、附子加入猪胆汁,可扶助起残存的阳气,疾病得以消除。
四逆加人参汤
(证候附注)怕冷,脉象尚且微弱平和,腹泻停止但随即惊悸,这是因为亡血过多所致,四逆汤加入人参极为巧妙,能温中益气,疾病得以痊愈。
桂枝证
(方剂见《伤寒论》)当时呕吐与腹泻的症状完全停止,只感觉身体中仍有疼痛残留,这是因为表层的寒邪仍未解除,使用桂枝汤疗效显著。
〔疝气提纲〕疝气的发病根源在于肾和肝,睾丸肿大属于真正的寒证。要消除这种病症需要何种方法?疏解郁滞、扶助阳气,治疗并不难。
乌头桂枝加味汤
(证候附注)寒疝引起的腹部疼痛病情非常危急,四肢逆冷且麻木不仁时,使用乌头、桂枝、芍药、干姜、甘草、大枣,再加入吴茱萸、泽泻为宜。
五苓散加味方
(证候附注 五苓散见《伤寒论》)病因是体内有湿邪停滞,寒疝特别适宜使用五苓散,再取木香以利于气机运行,加入小茴香与金铃子(川楝子)。
[Outline of Huoluan (Acute Vomiting and Diarrhea)] Contracting wind-cold pathogen after consuming cold food or drinks, resulting in simultaneous vomiting and diarrhea, causing general discomfort and restlessness. If the Wood Qi fails to nourish the tendons leading to convulsions, treating with methods to warm the Spleen and warm the Kidney is not difficult.
Wuling Syndrome
(See Formula in Shanghan Lun) Headache and body pain with weakness making it hard to support oneself; fever and thirst with frequent desire to drink water. When Huoluan has already formed, what medicine should be used? It is suitable to use Wuling San to assist Yang and promote diuresis to remove dampness.
Lizhong Wan
(Syndrome Attached) When Huoluan presents with excess cold and no desire to drink, using Lizhong Wan yields miraculous effects. Ginseng, dried ginger, Atractylodes macrocephala Rhizome, and licorice can warm and tonify; they can treat simultaneous vomiting and diarrhea.
Sini Syndrome
(See Formula in Shanghan Lun) When vomiting and regurgitation coincide with sweating, aversion to cold and fever make the condition more critical; cold limbs with tetany can be treated with a decoction containing Aconite Lateralis Radix Preparata, dried ginger, and licorice.
Fuling Sini Syndrome
(See Formula in Shanghan Lun) When cold limbs, thready pulse, vomiting, and diarrhea occur, accompanied by abdominal pain and weakness, indicating that True Yang is failing and Spleen Yang is initially sinking, Fuling Sini Tang is suitable.
Tongmai Sini Jia Zhudanshi Decoction
(Syndrome Attached) When vomiting and diarrhea have just stopped and sweating begins, with tetanic limbs unable to relax, adding pig bile to dried ginger, licorice, and Aconite Lateralis Radix Preparata can rescue residual Yang and eliminate the disease.
Sini Jia Renshen Decoction
(Syndrome Attached) Aversion to cold with a still weak and moderate pulse; diarrhea stops but palpitations follow due to excessive blood loss. Adding Ginseng to Sini Decoction is truly excellent, warming the middle and benefiting Qi so the disease may heal.
Guizhi Syndrome
(See Formula in Shanghan Lun) At this time, vomiting and diarrhea symptoms have completely ceased, only feeling residual body pain remains. This indicates that exterior cold has not yet been resolved; using Guizhi Tang yields significant results.
[Outline of Shanqi (Hernia)] The origin of Shanqi lies in the Kidney and Liver; swelling of the testicles is a true cold syndrome. To eliminate this syndrome, resolving stagnation and assisting Yang makes treatment not difficult.
Wutou Guizhi Jiawei Decoction
(Syndrome Attached) When abdominal pain caused by Cold Hernia is critical, and limbs are cold and numb, using Aconite Root, Cinnamon Twig, White Peony Root, dried ginger, licorice, and jujube, added with Evodia Fruit and Alisma Rhizome, is suitable.
Wuling San Jiawei Formula
(Syndrome Attached, Wuling San see Shanghan Lun) The cause is retention of damp-evil inside the body; Cold Hernia is particularly suitable for Wuling San. Add Costus Root to regulate Qi, and add Fennel Seed combined with Sichuan Chinaberry Fruit.
External Treatment Method
For washing, use Guizhi Wutou Jiawei Decoction; reducing scrotal swelling and stopping pain is a favorable method. Realgar, Alum, and licorice boiled in water for soaking is another method.
Zhizhu San
(Syndrome Attached) For Fox Hernia where the condition is critical, with irregular movement up and down and unilateral prolapse, Cinnamon Twig can rapidly soothe the Liver meridian, and Spider is suitable for breaking stagnation.