人参 干姜(炮) 甘草(炙) 白术各三两 当归 芍药各二两
以水三升,去滓,温服一升,日三。
霍乱大吐大下后,其肠胃俱虚,乃主汗出,其脉欲绝,手足皆冷者,各为四逆。宜急用∶
吴茱萸 细辛 通草 甘草(炙) 葛根各二两 当归 桂心 芍药各三两 生姜八两
以水六升,酒六升,合煮取三升,分四服。并灸两足内踝上一尖骨是也,两足各七壮,
不愈加数。名三阴交,在内踝尖上三寸是也。
其症为霍乱吐下之后,烦躁而不得安卧。用∶
葱白二十茎 大枣二十枚
以水二升半,煮取一升,去滓,顿服之。
本症因大吐之后,上焦虚气不调,气乘于心,则烦闷也。大利之后,则津液竭,津液竭
则脏燥,脏燥则渴也。可用∶
木瓜一枚
以水四升,煮取二升,渴则即令饮之。根茎亦可用之。
凡霍乱多吐利,若上不得吐,下不得利,腹痛欲死者,名干霍乱。宜用。
盐一匕熬令色黄,和童溺一碗,温服之,俟能吐即愈。
马粪一两(炒黑)
入黄土一撮,微炒,以陈酒热服五钱,一剂即痛去如失。
患者寂无声息。宜先用瓷匕浸于热水与香油汁中,在背心自上而下刮之。始轻后重,俟
刮之痧点起块乃止。再用∶
乌药 青皮 陈皮 山楂 紫朴
上五味,等分,温服。
人参、干姜(炮制)、甘草(炙烤)、白术各三两,当归、芍药各二两。
用水三升煎煮,滤去药渣,每次温服一升,每日服用三次。
霍乱在大吐大泻之后,肠胃都虚弱,出现汗出、脉搏微弱欲绝、手脚冰凉的症状,这属于四逆证。应当紧急使用:
吴茱萸、细辛、通草、甘草(炙烤)、葛根各二两,当归、桂心、芍药各三两,生姜八两。
用水六升、酒六升混合煎煮,取汁液三升,分四次服用。同时艾灸双足内踝上方突出的尖骨处,每侧脚灸七壮,如果不缓解则增加灸量。这个穴位名叫三阴交,位于内踝尖上三寸处。
病症表现为霍乱吐泻之后,烦躁不安且无法躺卧休息。使用:
葱白二十根,大枣二十枚。
用水二升半煎煮,取汁液一升,滤去药渣,一次性服下。
本症是因为大吐之后,上焦虚气不调,气机冲犯心脏,导致烦闷。大泻之后,津液枯竭,津液枯竭则脏腑干燥,脏腑干燥则口渴。可以使用:
木瓜一枚。
用水四升煎煮,取汁液二升,感到口渴时就令其饮用。木瓜的根和茎也可以使用。
凡是霍乱多伴有呕吐腹泻,如果上面不能吐出,下面不能泻出,腹痛剧烈像要死掉一样,这叫干霍乱。适宜使用:
盐一匕(勺),炒至黄色,与一碗童子尿混合,温服,等到能吐出来就好了。
马粪一两(炒黑)。
加入一撮黄土,微炒,用陈年热酒送服五钱,一剂后疼痛消失如失。
患者寂静无声息(昏迷或休克状态)。宜先用瓷勺浸在热水与香油汁中,从背部上方往下刮拭。开始轻后来重,等到刮出的痧点起块为止。再用:
乌药、青皮、陈皮、山楂、紫朴(厚朴的一种)。
以上五味药,等量分配,温服。
患者腹胀痛,蔓延到背部或腰胯部,感觉像有芒刺扎入。可用烧酒坛底部的泥土,研磨得极细,调和烧酒涂抹擦拭疼痛处,随即会有细白的毛粘在上面。
Ren Shen (Ginseng Radix), Gan Jiang (Zingiberis Rhizoma Preparatum), Zhi Gan Cao (Prepared Licorice Root), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 3 liang, Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix) each 2 liang.
Decoct with 3 sheng of water, remove the dregs, and take 1 sheng warm at a time, three times daily.
After severe vomiting and purging in Huoluan (cholera-like syndrome with sudden vomiting and diarrhea), the stomach and intestines are both deficient. If sweating occurs, the pulse is faint and nearly imperceptible, and the hands and feet are cold, this constitutes Sini Syndrome (Four-Chill Syndrome). Urgently use:
Wu Zhu Yu (Evodiae Fructus), Xi Xin (Asari Radix et Rhizoma), Tong Cao (Tetrapanacis Medulla), Zhi Gan Cao (Prepared Licorice Root), Ge Gen (Puerariae Lobatae Radix) each 2 liang; Dang Gui (Angelicae Sinensis Radix), Gui Xin (Cinnamomi Ramulus Cortex), Shao Yao (Paeoniae Radix) each 3 liang; Sheng Jiang (Zingiberis Rhizoma Recens) 8 liang.
Decoct together with 6 sheng of water and 6 sheng of wine to obtain 3 sheng of liquid, divided into four doses. Simultaneously, moxa-ignite the prominent bone above the medial malleolus of both feet, seven moxa cones per foot. If there is no improvement, increase the number of cones. This acupoint is named Sanyinjiao (Three Yin Intersection), located three cun above the tip of the medial malleolus.
The symptoms manifest as restlessness and inability to lie down comfortably after vomiting and purging due to Huoluan. Use:
Cong Bai (Scallion White Stem) 20 stalks, Da Zao (Jujubae Fructus) 20 pieces.
Decoct with 2.5 sheng of water to obtain 1 sheng of liquid, remove the dregs, and administer in one dose.
This condition arises because severe vomiting leads to disharmony of deficient qi in the Upper Jiao (Upper Burner); when qi attacks the Heart, it causes irritability and oppression. Severe purging depletes body fluids; depletion of fluids leads to dryness of the Zang organs, which results in thirst. One may use:
Mu Gua (Chaenomeles Fructus) one piece.
Decoct with 4 sheng of water to obtain 2 sheng of liquid; drink immediately when thirsty. The roots and stems may also be used.
Generally, Huoluan involves frequent vomiting and purging. If one cannot vomit from above nor purge from below, accompanied by severe abdominal pain resembling death, it is called Gan Huoluan (Dry Cholera). It is suitable to use:
One spoonful of salt, roasted until yellow, mixed with one bowl of urine from an uncircumcised boy, taken warm. Recovery occurs once vomiting is achieved.
Ma Fen (Equi Feces) 1 liang (roasted until black).
Add a pinch of Yellow Earth (Huang Tu), lightly stir-fried, and take 5 qian with hot aged wine. Pain will vanish after one dose.
The patient is silent and unresponsive. First, immerse a porcelain spoon in hot water and sesame oil juice, then scrape the back from top to bottom. Start gently and increase pressure, stopping when sand-point rashes appear in clusters. Then use:
Wu Yao (Linderae Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Shan Zha (Crataegi Fructus), Zi Pu (Magnoliae Officinalis Cortex).
These five herbs are used in equal parts and taken warm.
The patient suffers from abdominal distension and pain extending to the back or waist/hips, feeling like prickling thorns. One may use the soil from the bottom of a fired liquor jar, ground extremely fine, mixed with liquor to rub the painful area. Fine white hairs will adhere to it.