（元在十三卷尾。今写在此）
真定一秀士。年三十有一。肌体本弱。左胁下有积气。不敢食冷物。得寒则痛。或呕吐清水。眩运欲
倒。目不敢开。恶人烦冗。静卧一二日。及服辛热之剂。则病退。延至甲戌初秋。因劳役及食冷物。
其病大作。腹痛不止。冷汗自出。四肢厥冷。口鼻气亦冷。面色青黄不泽。全不得卧。扶几而坐。又
兼咳嗽。咽膈不利。故内经云。寒气客于小肠膜原之间。络血之中。血滞不得注于大经。血气稽留
不得行。故宿昔而成积矣。又寒气客于肠胃。厥逆上出。故痛而呕也。诸寒在内作痛。得炅则痛立
止。予与药服之。药不得入。见药则吐。无如之何治之。遂以熟艾约半斤。白纸一张。铺于腹上。
纸上摊艾令匀。又以憨葱数枝。批作两半。铺于熟艾上数
重。再用白纸一张覆之。以慢火熨斗熨之。冷则易之。若觉腹中热。腹皮暖不禁。以绵三
。多缝带系之。待冷时方解。初熨时得暖则痛减。大暖则痛止。至夜得睡。翌日再与对证药服之
。良愈。故录此慰法以救将来之痛也。
活人百问云。问呕吐而利者何也。此名霍乱也。呕吐而利、热多而渴者。五苓散。寒多不饮水者。
理中丸。若夏月中暑霍乱。上吐下利。心腹撮痛。大渴烦躁。四肢逆冷。冷汗自出。两脚转筋。宜
服香薷散。井中沉冷。顿服乃效。
【香薷散】治阴阳不顺。清浊相干。气射中焦。名为霍乱。此皆因饮食或风冷伤于脾胃。
食结不消。阴阳二气。壅而不反。阳气欲降。阴气欲升。阴阳交错。变成吐利。百脉混乱。荣卫俱
虚。冷气搏筋令转。皆宜服此。
浓朴（二两） 黄连（二两。二味入生姜四两。拌炒令黄色） 香薷（一两半）
上三味为末。每服三钱。水一盏。酒半盏。同煎至七分。去渣。新汲水频换。浸令极冷。顿服
之。药冷则效速也。
【增损缩脾饮】解热躁。除烦渴。消暑毒。止吐利。霍乱后服热药太多者。尤宜服之。
草果 乌梅 缩砂 甘草（各四两）
干葛（二两）
上 咀.每服五钱。水一碗。生姜十片。煎至八分。水浸令极冷。旋旋服之。无时。洁古老人
云。霍乱转筋。吐利不止者。其病在中焦也。阴阳交而不和。发为疼痛也。此病最急。不可食分毫
粥饮。谷气入胃则死矣。治有两种。渴欲饮水者。阳气多也。五苓散主之。不欲饮水者。阴气多也
。理中丸主之。只待吐尽多时。微以粥饮渐渐养之。以迟为妙也。
【半夏汤】治霍乱转筋。吐利不止。
茯苓 白术 半夏曲（各十两） 甘草（二钱半）
淡味桂（一钱半）
上为末。渴者凉水调下。不渴者大温水调下三钱。无时。
（此内容原在第十三卷末尾，现抄录于此。）
真定府有一位读书人，三十一岁。他体质本来虚弱，左胁下有气积聚，不敢吃生冷食物，遇到寒冷就会疼痛，有时呕吐清水，头晕目眩想要跌倒，眼睛不敢睁开，厌恶人事繁杂喧闹，安静躺卧一两天，再服用辛热性质的药物，病情就会缓解。直到甲戌年初秋，因为劳累过度且吃了生冷食物，他的病突然加重。腹痛不止，冷汗自出，四肢冰冷，口鼻呼出的气息也是冷的，面色青黄无光泽，完全无法躺卧，只能扶着几案坐着。又兼有咳嗽，咽喉膈部不利索。所以《内经》说：“寒气侵入小肠的膜原之间和络脉血中，血液停滞不能注入大经脉，气血稽留不行，所以久而久之形成积块。”又说：“寒气侵入肠胃，导致气机厥逆向上冲出，所以疼痛并呕吐。”各种寒邪在内引起疼痛，得到温热则疼痛立即停止。我给他开药服用，但药喝不进去，一见药就吐，实在没有办法治疗。于是用熟艾绒大约半斤，铺一张白纸在腹部上，将艾绒摊平在纸上使其均匀，再用几根大葱，剖成两半，铺在熟艾上面好几层，再用一张白纸覆盖在上面。用小火熨斗熨烫，凉了就拿掉换新的。如果感觉腹中发热，腹皮温暖得受不了，就用三层绵布，多缝几道带子系住。等到冷却时再解开。刚开始熨烫时，感到温暖则疼痛减轻，非常热的时候疼痛停止。到了晚上能入睡了，第二天再对症服药，痊愈了。所以记录这种熨法来救治将来可能出现的痛苦。
《活人书百问》中说：问呕吐并且腹泻的是什么病？这名叫霍乱。呕吐并且腹泻，热象多且口渴的，用五苓散。寒象多且不喝水的，用理中丸。如果是夏天中暑引起的霍乱，上吐下泻，心腹拘急疼痛，极度口渴烦躁，四肢逆冷，冷汗自出，双脚抽筋，适宜服用香薷散。将药汁放在井水中浸泡至极冷，一次性服下才见效。
【香薷散】治疗阴阳之气不顺，清浊之气相互干扰，气冲击中焦，名叫霍乱。这都是因为饮食不当或风冷损伤脾胃，食物结滞不消化，阴阳二气壅塞而不能升降回转。阳气想下降，阴气想上升，阴阳交错，变成呕吐和腹泻，百脉混乱，营卫都虚弱，冷气搏结筋脉导致抽筋，都适宜服用此方。
浓朴（二两） 黄连（二两，这两味药放入生姜四两，拌炒至黄色） 香薷（一两半）
以上三味药研为细末，每次服用三钱，用水一盏、酒半盏，同煎至七分，去渣滓，用新汲取的凉水频繁更换浸泡，使药液极冷，一次性服下。药液冷则疗效迅速。
【增损缩脾饮】解除热躁，去除烦渴，消暑毒，止吐利。霍乱后服用过多热性药物的，尤其适宜服用此方。
以上药材切碎，每次服用五钱，用水一碗，生姜十片，煎至八分，用水浸泡至极冷，随时慢慢服用。洁古老人说：霍乱转筋，呕吐腹泻不止的，病在中焦。阴阳交争而不和谐，引发疼痛。这个病最紧急，不能吃丝毫的粥饮，谷气进入胃里就会导致死亡。治疗方法有两种：口渴想喝水的，是阳气偏多，用五苓散主治；不想喝水的，是阴气偏多，用理中丸主治。只等呕吐排泄干净后，稍微用粥饮渐渐调养，以迟缓为宜。
茯苓 白术 半夏曲（各十两） 甘草（二钱半）
淡味桂（一钱半）
以上研为细末，口渴的用凉水调服，不渴的用大温水调服三钱，不限时间。
(This content was originally at the end of Volume 13, now transcribed here.)
A scholar from Zhending Prefecture, aged thirty-one, had a constitution that was inherently weak. There was an accumulation of Qi in his left hypochondrium; he dared not consume cold foods, and pain would occur upon exposure to cold. Occasionally, he vomited clear fluids, suffered from vertigo as if fainting, could not open his eyes, and disliked noisy and busy environments. After resting quietly for one or two days and taking acrid-warm medicines, the condition would subside. This persisted until early autumn of the Jiaxu year. Due to overexertion and consumption of cold foods, his illness flared up severely. He experienced unceasing abdominal pain, spontaneous cold sweating, cold limbs, cold breath from mouth and nose, a sallow and dull complexion, complete inability to lie down (preferring to sit leaning on a table), accompanied by cough and pharyngeal obstruction. Thus, the *Neijing* states: "When cold pathogenic factors invade the membrane sources between the small intestine and the collateral blood vessels, blood stasis prevents flow into the main meridians. When Qi and blood stagnate and cannot circulate, accumulations form over time." It also states: "When cold pathogenic factors invade the stomach and intestines, causing rebellious Qi to rush upward, pain and vomiting occur." For pains caused by internal cold, relief is immediate upon warming. I prescribed medicine for him, but he could not retain it, vomiting upon seeing the medicine. With no other effective treatment available, I used approximately half a jin of prepared mugwort (*Ai Ye*). A sheet of white paper was placed on his abdomen, with the mugwort spread evenly upon it. Several stalks of green onion were split in half and layered several times over the mugwort, then covered with another sheet of white paper. Using a slow-fire iron, the area was moxibustion-ironed. When cool, it was replaced. If abdominal heat became intolerable, three layers of cotton cloth were bound tightly around the area with multiple strips and only removed when cooled. Initially, warmth reduced the pain; intense heat stopped the pain. He slept through the night. The following day, symptomatic medicine was administered, resulting in a good recovery. This ironing method is recorded to alleviate future suffering.
The *Baiwen Luoren Shu* asks: What is the condition characterized by vomiting and diarrhea? This is named Huoluan (Cholera-like syndrome). For vomiting and diarrhea with predominant heat and thirst, Wuling San is indicated. For predominant cold without desire to drink, Lizhong Wan is indicated. In cases of summerheat-induced Huoluan during summer, presenting with upper vomiting and lower diarrhea, cramping abdominal pain, extreme thirst and irritability, cold limbs, cold sweating, and calf cramps, Xiangru San should be administered. The decoction should be chilled in well water and taken in one dose for efficacy.
[Xiangru San] Treats disharmony of Yin and Yang, interference between clear and turbid Qi, and Qi attacking the Middle Jiao, termed Huoluan. These conditions arise from dietary irregularities or wind-cold damaging the Spleen and Stomach, leading to food retention and failure to digest. The Qi of Yin and Yang becomes obstructed and fails to ascend/descend properly. Yang Qi desires to descend, while Yin Qi desires to ascend; their intermingling results in vomiting and diarrhea, chaos in the hundred vessels, and deficiency of Ying and Wei. Cold Qi clashing with sinews causes cramping. All such cases are suitable for this formula.
Magnolia Bark (*Houpo*, 2 liang) Coptis Rhizome (*Huanglian*, 2 liang; stir-fried with 4 liang fresh ginger until yellow) Mosla Herb (*Xiangru*, 1.5 liang).
Grind the above three herbs into powder. Take 3 qian per dose, decoct with one cup of water and half a cup of wine until reduced to 0.7 parts. Strain. Soak the decoction in newly drawn cold water frequently until extremely cold. Take in one dose. Cold medication yields faster effects.
[Zengsun Suopi Yin] Relieves heat and restlessness, eliminates thirst, clears summerheat toxicity, and stops vomiting and diarrhea. Particularly suitable for patients who have taken excessive warm/hot medicines after Huoluan.
Tsaoko Cardamom Fruit (*Caoguo*) Dark Plum (*Wumei*) Amomum Fruit (*Suosha*) Licorice Root (*Gancao*) (each 4 liang)
Kudzu Root (*Gange*, 2 liang).
Cut the herbs into pieces. Take 5 qian per dose, decoct with one bowl of water and ten slices of fresh ginger until reduced to 0.8 parts. Soak in water until extremely cold. Take slowly at any time. Elder Jiegu stated: Huoluan with cramping and unceasing vomiting/diarrhea indicates pathology in the Middle Jiao. Yin and Yang clash and lack harmony, causing pain. This condition is most urgent; absolutely no porridge or drinks should be consumed, as grain Qi entering the stomach can be fatal. Treatment has two approaches: For those thirsty and desiring water, Yang Qi is predominant; Wuling San governs. For those not desiring water, Yin Qi is predominant; Lizhong Wan governs. Only after vomiting and purging cease completely should one gradually nourish with light porridge drinks; slow administration is optimal.
[Banxia Tang] Treats Huoluan with cramping and unceasing vomiting and diarrhea.
Poria (*Fuling*) Atractylodes Macrocephala Rhizome (*Baizhu*) Prepared Pinellia Paste (*Banxia Qu*) (each 10 liang) Licorice Root (*Gancao*, 2.5 qian)
Cinnamon Twig (*Guizhi*), mild flavor (1.5 qian).
Grind into powder. For those with thirst, take with cool water; for those without thirst, take with warm water, 3 qian per dose, at any time.