论曰霍乱者,由冷热之气,变乱于肠胃之间,搏于阴经则腹痛而肠鸣,故为霍乱下利之
病。然赤为热,白为寒,冷热相搏,赤白交下,寒甚则青黑,不已则转筋之证生焉。
治霍乱腹中冷气下利。木瓜丸方
木瓜(干者一两) 当归(切焙) 熟艾(微炒) 桂(去粗皮各半两) 陈橘皮(汤
浸去白焙三分) 木香 人参(各半两) 赤石脂(二两) 白术 浓朴(去粗皮姜炙锉)
诃黎勒皮 高良姜(各三分)
上一十二味。捣罗为末,炼蜜为丸,如梧桐子大。每服三十丸,米饮下,空心服。
治霍乱下焦热毒利血,如鹅鸭肝片不止。升麻汤方
升麻(三分) 犀角屑 地榆(去苗各一两) 紫草(去苗三分) 荷根(锉碎一两)
黄芩(去黑心三分) 芭蕉根(锉碎焙干一两) 桔梗(炒三分) 栀子仁(一两)
上九味。粗捣筛,每服三钱匕,以水一盏,煎至七分,去滓温服,日三夜一。
治霍乱下焦虚寒,大便洞泄,小便自利。黄柏皮汤方
黄柏(去粗皮一两半) 黄连(去须二两半) 人参(一两半) 赤茯苓(去黑皮二两)
浓朴(去粗皮姜汁炙二两) 艾叶(炒一两) 地榆(去苗锉一两半) 榉木白皮(锉碎焙
干二两) 阿胶(炙令燥一两半)
上九味。粗捣筛,每服三钱匕,水一盏,煎至七分,去滓空腹温服日三。
治霍乱后,虚冷腹痛,下利不止。龙骨汤方
龙骨 当归(切焙) 干姜(炮裂) 甘草(微炙) 人参(各一两) 附子(炮裂去
皮脐半两)
上六味。锉如豆,每服五钱匕,水一盏半,煎至八分,去滓热服,日三。
治霍乱下利不止而渴者。白术汤方
白术 浓朴(去粗皮涂生姜汁炙三遍) 当归(切焙) 人参 干姜(炮裂) 甘草(微
炙各二两)
上六味。粗捣筛,每服五钱匕,水一盏半,煎至七分,去滓温服,如人行五六里再服。
治霍乱后,水利不止。白茯苓丸方
白茯苓(去黑皮) 黄柏(去粗皮) 干姜(炮裂各三两) 木瓜(干者去瓤一枚切焙)
上四味。捣罗为末,以粳米或粟米饮,和为丸,如梧桐子大。曝干,米饮下三十丸日再
,老小加减,亦治诸利。
治冷利洞泄,及赤白滞利。石榴汤方
酸石榴(一枚大者) 黄连(去须一两) 干姜(炮二两)
上三味。 咀,每服五钱匕,以水一盏半,煎至一盏,去滓入阿胶二片令烊,顿服之
不拘时。
治霍乱赤白冷热等利,及暴泻,病势初发,吐泻不止,食入不得,并宜服藜芦丸方
藜芦炙(去苗) 皂荚(酥炙去皮子) 巴豆(各一两去心皮膜炒出油)
上三味。先捣前,二味,细罗为末,与巴豆同研令匀,炼蜜为丸,如小豆大。每旦米饮
下一丸,取利为度,未利稍加之。
治霍乱下利。陈橘皮汤方
陈橘皮(汤浸去白炒干) 高良(姜锉各三分) 浓朴(去粗皮姜汁涂炙三遍一两)
上三味。粗捣筛,每服三钱匕,生姜半分拍碎,水一盏,煎至七分,去滓温服,日四五
服。
治霍乱水泻,肠胃冷滑。诃黎勒丸方
诃黎勒(二两以面裹煨取皮并面为末) 干姜(炮) 龙骨 赤石脂(各一两)
上四味。捣罗为末,以面糊为丸,如梧桐子大。每服空心以米饮下二十丸。
治霍乱下焦虚寒,或先血后便,此为远血成利。伏龙肝汤方
伏龙肝(净拣筛二两) 甘草(炙一两) 干姜(炮裂) 生干地黄(焙各二两半) 黄
芩(去黑心一两半) 牛膝(酒浸切焙干一两) 乱发(烧灰一分)
上七味。粗捣筛,每服三钱匕,生姜一分拍碎,水一盏,煎至七分,去滓温服,日三。
治霍乱下焦虚寒,或便利后见血。止血汤方
续断 当归(切焙各三两) 干姜(炮裂四两) 甘草(炙二两) 生干地黄(焙四两)
蒲黄(二两) 桂(
上八味。粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服日三。
治霍乱下焦热毒,利如鱼脑,杂赤血并下,脐腹 痛不可忍,里急后重。香豉汤方
香豉(微炒二两) 栀子仁(一两) 黄柏(去粗皮半两) 地榆(锉一两) 白术 茜
根(拣净锉碎各三
上六味。粗捣筛,每服三钱匕,用薤白四寸,水一盏,同煎至七分,去滓温服日三。
治霍乱下焦热结,或利下脓血烦痛。赤石脂汤方
赤石脂(四两) 乌梅(去核炒干一两) 栀子仁(半两) 白术(一两半) 干姜(炮
裂一两) 升麻(一两
上七味。粗捣筛,每服五钱匕,水一盏半,煎至八分去滓,空腹温服日三。
论述说:霍乱病,是由于寒热之气在肠胃之间相互干扰,搏结于阴经,导致腹痛和肠鸣,因此形成霍乱下利的病症。其中,大便色赤属热,色白属寒;若寒热相互搏结,则赤白杂下;若寒邪极盛,则大便呈青黑色;若病情不止,则会发展为转筋(肌肉痉挛)的症状。
治疗霍乱腹中冷气所致下利的木瓜丸方:
木瓜(干燥者一两)、当归(切碎并焙干)、熟艾(微炒)、桂枝(去除粗皮各半两)、陈橘皮(用汤浸泡后去除白色部分并焙干三分)、木香、人参(各半两)、赤石脂(二两)、白术、厚朴(去除粗皮,用姜汁炙后锉碎)、诃黎勒皮、高良姜(各三分)。
以上十二味药,捣碎过筛成粉末,用炼蜜制成丸药,大小如梧桐子。每次服用三十丸,米汤送服,空腹时服用。
治疗霍乱下焦热毒所致便血,状如鹅鸭肝片且不止的升麻汤方:
升麻(三分)、犀角屑、地榆(去苗各一两)、紫草(去苗三分)、荷根(锉碎一两)、黄芩(去除黑心三分)、芭蕉根(锉碎焙干一两)、桔梗(炒三分)、栀子仁(一两)。
以上九味药,粗捣筛过,每次取三钱匕,用水一盏,煎至七分,去渣温服,白天三次,夜间一次。
治疗霍乱下焦虚寒,大便洞泄,小便自利的黄柏皮汤方:
黄柏(去除粗皮一两半)、黄连(去须二两半)、人参(一两半)、赤茯苓(去除黑皮二两)、厚朴(去除粗皮,用姜汁炙二两)、艾叶(炒一两)、地榆(去苗锉碎一两半)、榉木白皮(锉碎焙干二两)、阿胶(炙令干燥一两半)。
以上九味药,粗捣筛过,每次取三钱匕,用水一盏,煎至七分,去渣空腹温服,每日三次。
治疗霍乱后,因虚冷引起的腹痛,下利不止的龙骨汤方:
龙骨、当归(切碎焙干)、干姜(炮裂)、甘草(微炙)、人参(各一两)、附子(炮裂,去皮脐半两)。
以上六味药,锉如豆大,每次取五钱匕,用水一盏半,煎至八分,去渣热服,每日三次。
治疗霍乱下利不止且口渴的白术汤方:
白术、厚朴(去除粗皮,涂生姜汁炙三遍)、当归(切碎焙干)、人参、干姜(炮裂)、甘草(微炙各二两)。
以上六味药,粗捣筛过,每次取五钱匕,用水一盏半,煎至七分,去渣温服,如人行走五六里的时间后再服。
治疗霍乱后,水泻不止的白茯苓丸方:
白茯苓(去除黑皮)、黄柏(去除粗皮)、干姜(炮裂各三两)、木瓜(干燥者去瓤一枚,切碎焙干)。
以上四味药,捣碎过筛成粉末,用粳米或粟米饮调和制成丸药,大小如梧桐子。晒干,每次用米汤送服三十丸,每日两次,老少酌情加减,也可治疗各种下利。
治疗冷利洞泄,以及赤白滞痢的石榴汤方:
酸石榴(一个大者)、黄连(去须一两)、干姜(炮二两)。
以上三味药,咬碎,每次取五钱匕,用水一盏半,煎至一盏,去渣加入阿胶两片使其溶化,一次性服用,不拘时间。
治疗霍乱赤白冷热等各种下利,以及暴泻,病势初发,吐泻不止,食入不得,都适宜服用的藜芦丸方:
藜芦(炙,去苗)、皂荚(酥炙,去皮子)、巴豆(各一两,去心皮膜,炒出油)。
以上三味药,先将前两种药捣碎细罗成末,与巴豆同研均匀,用炼蜜制成丸药,大小如小豆。每天早晨用米汤送服一丸,以下利为度,未下利者可稍加剂量。
治疗霍乱下利的陈橘皮汤方:
陈橘皮(汤浸去白炒干)、高良姜(锉碎各三分)、厚朴(去除粗皮,姜汁涂炙三遍一两)。
以上三味药,粗捣筛过,每次取三钱匕,生姜半分拍碎,用水一盏,煎至七分,去渣温服,每日四五次。
治疗霍乱水泻,肠胃冷滑的诃黎勒丸方:
诃黎勒(二两,以面裹煨,取皮及面为末)、干姜(炮)、龙骨、赤石脂(各一两)。
以上四味药,捣碎过筛成粉末,用面糊制成丸药,大小如梧桐子。每次空腹用米汤送服二十丸。
治疗霍乱下焦虚寒,或先出血后大便,此为远血成利的伏龙肝汤方:
伏龙肝(净拣筛二两)、甘草(炙一两)、干姜(炮裂)、生干地黄(焙各二两半)、黄芩(去除黑心一两半)、牛膝(酒浸切焙干一两)、乱发(烧灰一分)。
以上七味药,粗捣筛过,每次取三钱匕,生姜一分拍碎,用水一盏,煎至七分,去渣温服,每日三次。
治疗霍乱下焦虚寒,或便利后见血的止血汤方:
续断、当归(切碎焙干各三两)、干姜(炮裂四两)、甘草(炙二两)、生干地黄(焙四两)、蒲黄(二两)、桂枝(原文此处似缺分量,依例补全或保留原意,通常桂枝/肉桂)。
以上八味药,粗捣筛过,每次取三钱匕,用水一盏,煎至七分,去渣温服,每日三次。
治疗霍乱下焦热毒,下利如鱼脑,杂赤血并下,脐腹疼痛不可忍,里急后重。香豉汤方:
香豉(微炒二两)、栀子仁(一两)、黄柏(去除粗皮半两)、地榆(锉碎一两)、白术、茜根(拣净锉碎各三两,原文此处似缺具体数值,依上下文推断)。
以上六味药,粗捣筛过,每次取三钱匕,用薤白四寸,用水一盏,同煎至七分,去渣温服,每日三次。
治疗霍乱下焦热结,或下利脓血烦痛。赤石脂汤方:
赤石脂(四两)、乌梅(去核炒干一两)、栀子仁(半两)、白术(一两半)、干姜(炮裂一两)、升麻(一两,原文此处似缺具体数值,依上下文推断)。
以上七味药,粗捣筛过,每次取五钱匕,用水一盏半,煎至八分去渣,空腹温服,每日三次。
Discourse states: Huoluan (cholera-like syndrome) arises from the chaotic interaction of cold and heat pathogens within the intestines and stomach. When these pathogens contend with the Yin meridians, it results in abdominal pain and borborygmus, thus forming the disease of Huoluan with diarrhea. Specifically, red stool indicates heat, while white stool indicates cold. If cold and heat contend with each other, red and white substances are discharged together; if cold is severe, the stool turns greenish-black; if the condition persists, symptoms of tendon twitching (muscle spasms) may develop.
Formula for treating Huoluan with cold qi in the abdomen causing diarrhea: Mugua Wan (Quince Pill).
Dried Chaenomelis Fructus (Mugua, 1 liang), Danggui Radix Angelicae Sinensis (cut and roasted), Shuai Ai Folium Artemisiae Argyi (lightly fried), Guizhi Ramulus Cinnamomi (bark removed, each half liang), Chenpi Pericarpium Citri Reticulatae (soaked in water, albedo removed, roasted, 3 fen), Muxiang Radix Aucklandiae, Renshen Radix Ginseng (each half liang), Chishizhi Halloysit Rubra (2 liang), Baizhu Radix Atractylodis Macrocephalae, Houpo Cortex Magnoliae Officinalis (bark removed, ginger-juice fried and cut), Helilei Pericarpium Chebulae, Gaoliangjiang Rhizoma Zingiberis Officinalis (each 3 fen).
The above twelve ingredients are pounded into powder, refined honey is added to form pills the size of Sophora seeds. Take 30 pills per dose, washed down with rice decoction, taken on an empty stomach.
Shengma Tang (Cimicifugae Decoction) for treating Huoluan where lower jiao heat toxin causes bloody diarrhea resembling goose or duck liver slices that does not stop.
Shengma Rhizoma Cimicifugae (3 fen), Xijiaho Cornu Rhinocerotis (powdered), Diyü Radix Sanguisorbae (roots removed, each 1 liang), Zicao Radix Arnebiae/Lithospermi (roots removed, 3 fen), Hegēn Radix Nelumbinis (cut into pieces, 1 liang), Huangqin Radix Scutellariae (black heart removed, 3 fen), Bajiaogen Radix Musae (cut into pieces, dried, 1 liang), Jiegeng Radix Platycodi (fried, 3 fen), Zhizi Fructus Gardeniae (1 liang).
The above nine ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, boil until reduced to seven-tenths, remove dregs, and take warm. Three times during the day and once at night.
Huangbai Pi Tang (Phellodendri Decoction) for treating Huoluan with deficiency-cold in the lower jiao, resulting in watery diarrhea and spontaneous urination.
Huangbai Cortex Phellodendri (bark removed, 1.5 liang), Huanglian Rhizoma Coptidis (stems removed, 2.5 liang), Renshen Radix Ginseng (1.5 liang), Chifuling Poria (black skin removed, 2 liang), Houpo Cortex Magnoliae Officinalis (bark removed, ginger-juice fried, 2 liang), Aiye Folium Artemisiae Argyi (fried, 1 liang), Diyü Radix Sanguisorbae (roots removed, cut, 1.5 liang), Jimubaiqi Cortex Zelkovae (cut into pieces, dried, 2 liang), Ejiao Colla Corii Asini (fried until dry, 1.5 liang).
The above nine ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, boil until reduced to seven-tenths, remove dregs, and take warm on an empty stomach. Three times daily.
Longgu Tang (Dragon Bone Decoction) for treating post-Huoluan abdominal pain due to deficiency-cold and persistent diarrhea.
Longgu Os Draconis, Danggui Radix Angelicae Sinensis (cut and roasted), Ganjiang Rhizoma Zingiberis (processed), Gancao Radix Glycyrrhizae (lightly fried), Renshen Radix Ginseng (each 1 liang), Fuzii Radix Aconiti Lateralis Preparata (processed, skin and bud removed, half liang).
The above six ingredients are cut like beans. Take five qianbi per dose, add one and a half zhan of water, boil until reduced to eight-tenths, remove dregs, and take hot. Three times daily.
Baizhu Tang (Atractylodis Decoction) for treating Huoluan with persistent diarrhea accompanied by thirst.
Baizhu Radix Atractylodis Macrocephalae, Houpo Cortex Magnoliae Officinalis (bark removed, coated with ginger juice and fried three times), Danggui Radix Angelicae Sinensis (cut and roasted), Renshen Radix Ginseng, Ganjiang Rhizoma Zingiberis (processed), Gancao Radix Glycyrrhizae (lightly fried, each 2 liang).
The above six ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one and a half zhan of water, boil until reduced to seven-tenths, remove dregs, and take warm. Re-administer after walking for about five to six li.
Baifuling Wan (Poria Pill) for treating persistent watery diarrhea after Huoluan.
Baifuling Poria (black skin removed), Huangbai Cortex Phellodendri (bark removed), Ganjiang Rhizoma Zingiberis (processed, each 3 liang), Mugua Chaenomelis Fructus (dried, pith removed, one fruit, cut and roasted).
The above four ingredients are pounded into powder. Mix with rice or millet decoction to form pills the size of Sophora seeds. Dry in the sun. Take 30 pills with rice decoction twice daily. Dosage adjusted for age and constitution. Also treats various types of diarrhea.
Shiliu Tang (Pomegranate Decoction) for treating cold diarrhea with profuse discharge, as well as dysentery with red and white mucus.
Suan Shiliu Acid Pomegranate (one large fruit), Huanglian Rhizoma Coptidis (stems removed, 1 liang), Ganjiang Rhizoma Zingiberis (processed, 2 liang).
The above three ingredients are chewed/crushed. Take five qianbi per dose, add one and a half zhan of water, boil until reduced to one zhan. Remove dregs, add two pieces of Ejiao Colla Corii Asini until dissolved, and take all at once. Time of administration is unrestricted.
Lilu Wan (Veratrum Pill) suitable for treating Huoluan with red and white diarrhea of mixed cold and heat, sudden diarrhea, early stage of illness with persistent vomiting and diarrhea, inability to retain food.
Lilu Veratri Rhizoma (fried, roots removed), Zaojiao Fructus Gleditsiae (fried in butter, skin and seeds removed), Badou Semen Crotonis (each 1 liang, hearts, skins, and membranes removed, fried to release oil).
The above three ingredients: First pound the first two ingredients into fine powder, then grind together with Badou Semen Crotonis until uniform. Add refined honey to form pills the size of Vigna seeds. Take one pill every morning with rice decoction. The goal is to induce diarrhea; adjust dosage slightly if diarrhea has not occurred.
Chenju Pi Tang (Citrus Peel Decoction) for treating Huoluan diarrhea.
Chenpi Pericarpium Citri Reticulatae (soaked in water, albedo removed, fried dry), Gaoliangjiang Rhizoma Zingiberis Officinalis (cut, each 3 fen), Houpo Cortex Magnoliae Officinalis (bark removed, coated with ginger juice and fried three times, 1 liang).
The above three ingredients are coarsely crushed and sifted. Take three qianbi per dose, add half a piece of fresh ginger smashed, add one zhan of water, boil until reduced to seven-tenths, remove dregs, and take warm. Take four to five times daily.
Helilei Wan (Chebul Myrobalan Pill) for treating Huoluan watery diarrhea and cold slipperiness of the intestines and stomach.
Helilei Pericarpium Chebulae (2 liang, wrapped in flour and baked, use skin and flour as powder), Ganjiang Rhizoma Zingiberis (processed), Longgu Os Draconis, Chishizhi Halloysit Rubra (each 1 liang).
The above four ingredients are pounded into powder. Use flour paste to form pills the size of Sophora seeds. Take 20 pills on an empty stomach with rice decoction.
Fulonggan Tang (Household Chimney Soil Decoction) for treating Huoluan with deficiency-cold in the lower jiao, or bleeding preceding stool, known as distant blood leading to diarrhea.
Fulonggan Terra Caulis (cleaned and sifted, 2 liang), Gancao Radix Glycyrrhizae (fried, 1 liang), Ganjiang Rhizoma Zingiberis (processed), Shengdihuang Radix Rehmanniae Preparata (dried, each 2.5 liang), Huangqin Radix Scutellariae (black heart removed, 1.5 liang), Niuxi Radix Achyranthis Bidentatae (wine-soaked, cut, dried, 1 liang), Luankun Hair (burned to ash, 1 fen).
The above seven ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one part of fresh ginger smashed, add one zhan of water, boil until reduced to seven-tenths, remove dregs, and take warm. Three times daily.
ZhiXue Tang (Stop Bleeding Decoction) for treating Huoluan with deficiency-cold in the lower jiao, or bleeding following normal bowel movements.
Xuduan Radix Dipsaci, Danggui Radix Angelicae Sinensis (cut and roasted, each 3 liang), Ganjiang Rhizoma Zingiberis (processed, 4 liang), Gancao Radix Glycyrrhizae (fried, 2 liang), Shengdihuang Radix Rehmanniae Preparata (dried, 4 liang), Puhuang Pollen Typhae (2 liang), Guizhi Ramulus Cinnamomi.
The above eight ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, boil until reduced to seven-tenths, remove dregs, and take warm. Three times daily.
Xiangchi Tang (Fermented Soybean Decoction) for treating Huoluan with heat accumulation in the lower jiao, discharging stool resembling fish brains mixed with red blood, unbearable abdominal pain, tenesmus.
Xiangchi Semen Sojae Preparatum (lightly fried, 2 liang), Zhizi Fructus Gardeniae (1 liang), Huangbai Cortex Phellodendri (bark removed, half liang), Diyü Radix Sanguisorbae (cut, 1 liang), Baizhu Radix Atractylodis Macrocephalae, QianGen Radix Rubiae Cordifoliae (cleaned and cut, each [amount implied]).
The above six ingredients are coarsely crushed and sifted. Take three qianbi per dose, add four cun of Xiebai Bulbus Allii Macrostemonis, add one zhan of water, boil together until reduced to seven-tenths, remove dregs, and take warm. Three times daily.
Chishizhi Tang (Halloysit Rubra Decoction) for treating Huoluan with heat knot in the lower jiao, or purulent and bloody diarrhea with irritability and pain.
Chishizhi Halloysit Rubra (4 liang), Wumei Fructus Mume (pits removed, fried dry, 1 liang), Zhizi Fructus Gardeniae (half liang), Baizhu Radix Atractylodis Macrocephalae (1.5 liang), Ganjiang Rhizoma Zingiberis (processed, 1 liang), Shengma Rhizoma Cimicifugae (1 liang).
The above seven ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one and a half zhan of water, boil until reduced to eight-tenths, remove dregs, and take warm on an empty stomach. Three times daily.