1.挥霍变乱生仓猝, 心腹大痛吐痢兼, 吐泻不出干霍乱, 舌卷筋缩
入腹难.
【注】欲吐不吐, 欲泻不泻, 心腹大痛, 名曰干霍乱, 又名搅肠痧.
若舌卷筋缩, 则卵阴入腹, 难治也.
藿香正气散 二香汤 甘露饮
2.霍乱风寒暑食水, 杂邪为病正气方, 藿苏陈半茯苓草, 芷桔腹皮
厚朴当, 转筋木瓜吴萸入, 暑合香藿湿入苍, 暑热六一甘露饮, 寒极
乌附理中汤.
【注】霍乱之病, 得之于风寒暑食水邪杂揉为病, 乱于肠胃, 清浊相
干,故心腹大痛吐泻也. 藿香正气散, 即霍香, 苏叶, 陈皮, 半夏,
茯苓, 甘草, 白芷, 桔梗, 大腹皮, 厚朴也; 暑则吐多, 合香薷饮名
二香汤. 湿则泻多, 加苍术. 暑热甚者, 用辰砂六一散, 或五苓散加
石膏, 滑石, 寒水石, 名甘露饮. 寒极肢厥脉伏者, 用炮川乌, 炮川
附合理中汤.
1.三阳热结伤津液, 干枯贲幽魄不通, 贲门不纳为噎膈, 幽门不放
翻胃成. 二证留连传导隘, 魄门应自涩于行, 胸痛便硬如羊粪, 吐沫
呕血命难生.
【注】三阳热结, 谓胃, 小肠, 大肠三腑热结不散, 灼伤津液也. 胃
之上口为贲门, 小肠之上口为幽门, 大肠之下口为魄门. 三腑津液既
伤,三门自然干枯, 而水谷出入之道不得流通矣. 贲门干枯, 则纳入
水谷之道路狭隘, 故食不能下, 为噎塞也. 幽门干枯, 则放出腐化之
道路狭隘, 故食入反出为翻胃也. 二证留连日久, 则大肠传导之路狭
隘,故魄门自应燥涩难行也. 胸痛如刺, 胃腕伤也. 便如羊粪, 津液
枯也. 吐沫呕血, 血液不行, 皆死证也.
人参利膈丸 汞硫散
2.五汁大黄清燥热, 丁沉君子理虚寒, 便秘壅遏应利膈, 吐逆不止
汞硫先, 利膈小承参草木, 归藿槟桃麻蜜丸, 汞一硫二研如墨, 老酒
姜汁服即安.
【注】五汁, 谓五汁饮, 以清燥干也. 大黄, 谓大黄汤, 即大黄一味
,用姜汁炙大黄片变黑黄色, 量人弱强, 每服二, 三钱, 加陈仓米一
撮,葱白二茎, 煎去滓服, 以治热结也. 丁香, 沉香加入四君子, 六
君子, 理中汤内, 治虚寒也. 利膈, 谓利膈丸, 即枳壳, 厚朴, 大黄
,人参, 甘草, 木香, 当归 , 藿香, 槟榔, 桃仁, 火麻仁蜜为丸也.
汞硫, 谓汞硫散也.
四君子汤 四物汤 二陈汤 二十四味流气饮
3.气少血枯四君物, 痰多气滞二陈流, 余者亦同呕吐法, 竭思区昼
待天休.
【注】气少者宜四君子汤. 血枯者宜四物汤. 痰多宜二陈汤. 气滞者
宜二十四味流气饮. 其余之治法同呕吐, 此病虽竭心思区画, 亦不过
尽人事以待天命也.
1. 霍乱发病急骤，变化迅速，表现为心腹部剧烈疼痛，并伴有呕吐和腹泻。如果只有想吐却吐不出、想泻却泻不出的情况，称为干霍乱（又称搅肠痧），此时若出现舌体卷缩、筋脉拘挛收缩，甚至睾丸上缩入腹，则病情危重，难以治愈。
常用方剂：藿香正气散、二香汤、甘露饮。
2. 霍乱多由风、寒、暑、湿、饮食、水邪等杂合之邪侵袭人体所致，导致正气紊乱，清浊之气相互干扰而发病。治疗时，若属风寒湿邪阻滞，可用藿香正气散（由藿香、紫苏叶、陈皮、半夏、茯苓、甘草、白芷、桔梗、大腹皮、厚朴组成）；若兼有转筋（小腿肌肉痉挛），可加入木瓜、吴茱萸；若因暑邪致病且出汗多，可合用香薷饮，称为二香汤；若因湿邪致病且腹泻多，可加入苍术；若暑热极盛，可用辰砂六一散，或五苓散加石膏、滑石、寒水石，称为甘露饮；若寒邪极盛，出现四肢厥冷、脉搏伏匿，可用炮制过的川乌、炮制过的川附子配合理中汤治疗。
1. 三阳经热邪内结，耗伤津液，导致贲门、幽门及魄门干枯闭塞不通。贲门不能接纳食物称为噎膈，幽门不能排出食物称为翻胃。这两种病症日久会导致肠道传导通道狭窄，魄门（肛门）排便涩滞困难。若出现胸痛、大便干硬如羊粪状、吐沫或呕血，则预后不良，难以救治。
常用方剂：人参利膈丸、汞硫散。
2. 燥热证可用五汁饮清热润燥，或用大黄汤攻下热结；虚寒证可用加入丁香、沉香的四君子汤或六君子汤、理中汤温补脾胃；若便秘壅塞严重，应先使用利膈丸通利膈气；若呕吐不止，可先用汞硫散止逆；若需进一步调理，可用小承气汤加减，或用人参、当归、藿香、槟榔、桃仁、火麻仁、蜂蜜制成丸药服用；汞硫散需将汞与硫按一比二比例研成墨色粉末，用老酒和姜汁送服即可见效。
常用方剂：四君子汤、四物汤、二陈汤、二十四味流气饮。
3. 气虚者宜用四君子汤补气，血枯者宜用四物汤养血，痰多者宜用二陈汤化痰，气滞者宜用二十四味流气饮行气。其余治疗方法与呕吐病相同。此病虽需竭尽心思谋划治疗，但也只能尽人事以待天命。
1. Huoluan (cholera-like disease) arises suddenly with rapid changes, characterized by severe pain in the heart and abdomen, accompanied by vomiting and diarrhea. If there is a desire to vomit but inability to do so, and a desire to defecate but inability to do so, it is called Gan Huoluan (Dry Cholera), also known as Jiaochang Sha (Intestine-Twisting Miasma). If the tongue curls up and tendons contract, or if the testes retract into the abdomen, the condition is critical and difficult to treat.
Common formulas: Huoxiang Zhengqi San (Agastache Powder for Rectifying the Qi), Erxiang Tang (Two Fragrances Decoction), Ganlu Yin (Sweet Dew Drink).
2. Huoluan is caused by the mixed invasion of pathogenic factors such as wind, cold, summer-heat, dampness, improper diet, and water retention, which disrupt the healthy Qi and cause turbid and clear Qi to interfere with each other, leading to severe abdominal pain, vomiting, and diarrhea. For cases involving wind-cold-dampness obstruction, Huoxiang Zhengqi San (composed of Agastae Herba, Perillae Folium, Citri Reticulatae Pericarpium, Pinelliae Rhizoma, Poria, Glycyrrhizae Radix et Rhizoma, Angelicae Dahuricae Radix, Platycodi Radix, Arecae Pericarpium, and Magnoliae Officinalis Cortex) can be used; if accompanied by tendon spasms (cramps), add Medlar Fructus and Evodiae Fructus; if caused by summer-heat with excessive sweating, combine with Elsholtziae Herba Decoction, named Erxiang Tang; if caused by dampness with excessive diarrhea, add Atractylodis Rhizoma; if summer-heat is extreme, use Cinnabar Liuyi San (Six-to-One Powder with Cinnabar), or Wuling San (Five-Ingredient Powder with Poria) added with Gypsum Fibrosum, Talcum, and Halloysitum Rubrum, named Ganlu Yin; if cold is extreme with cold limbs and hidden pulse, use processed Chuanwu (Aconiti Lateralis Radix Preparata) and processed Fuzi (Aconiti Radix Preparata) combined with Lizhong Tang (Regulate the Middle Decoction).
1. Heat accumulation in the Three Yang channels consumes body fluids, causing dryness and blockage of the贲门 (cardia), 幽门 (pylorus), and 魄门 (anus). When the cardia cannot accept food, it is called Yige (Dysphagia); when the pylorus cannot expel food, it is called Fanwei (Regurgitation). These two conditions, if prolonged, narrow the intestinal transmission pathway, causing the anus to become dry and difficult to pass stool. If chest pain like stabbing, hard stools like sheep dung, spitting saliva, or hematemesis occur, the prognosis is poor and life is difficult to save.
Common formulas: Renshen Lige Wan (Ginseng Powder for Clearing the Diaphragm), Gongsu San (Mercury and Sulfur Powder).
2. For dryness-heat syndrome, use Shizhi Yin (Five-Juice Drink) to clear heat and moisten dryness, or Dahuang Tang (Rhubarb Decoction) to purge heat accumulation; for deficiency-cold syndrome, use Sizijunzi Tang (Four Gentlemen Decoction), Liujunzi Tang (Six Gentlemen Decoction), or Lizhong Tang added with丁香 (Caryophylli Flos) and 沉香 (Aquilariae Lignum Resinatum) to warm and tonify the spleen and stomach; if constipation and obstruction are severe, first use Lige Wan (Diaphragm-Clearing Pill) to unblock the diaphragm; if vomiting persists, first use Gongsu San to stop regurgitation; for further regulation, use Xiao Chengqi Tang modified, or make pills with Ginseng Radix, Angelicae Sinensis Radix, Agastae Herba, Areca Seed, Peach Kernel, Cannabis Fructus, and honey; Gongsu San should be prepared by grinding mercury and sulfur in a 1:2 ratio into black powder, taken with aged wine and ginger juice for immediate relief.
Common formulas: Sizijunzi Tang (Four Gentlemen Decoction), Siwu Tang (Four Substances Decoction), Erchen Tang (Two Aged Ingredients Decoction), Ersishiwu Liuqi Yin (Twenty-Four-Ingredient Qi-Flowing Drink).
3. For Qi deficiency, use Sizijunzi Tang to tonify Qi; for blood depletion, use Siwu Tang to nourish blood; for excessive phlegm, use Erchen Tang to resolve phlegm; for Qi stagnation, use Ersishiwu Liuqi Yin to promote Qi flow. Other treatment methods are the same as those for vomiting. Although this disease requires utmost mental effort and planning, one can only do one's best and await the will of Heaven.