论曰霍乱气结心下不散，则心气不得下通，故字书以痞为否，言其不通也。然痞为虚，
按之不痛，气虽妨闷，不须 利，唯和调其胃，升降其气，则痞气自散，霍乱自宁矣。
治霍乱心下痞满。半夏汤方
半夏（汤洗七遍去滑切焙三两） 人参（二两） 赤茯苓（去黑皮四两）
上三味。 咀如麻豆大，每服三钱匕，水一盏，入生姜一枣大拍碎，煎至六分，去滓温
服。
治霍乱心下结气连胸背痛，及吐酸水，日夜不止。茯苓汤方
赤茯苓（去黑皮） 浓朴（去粗皮生姜汁炙） 吴茱萸汤（浸焙炒各一两） 人参 陈
橘皮（汤浸去白
上六味。粗捣筛，每服五钱匕，水一盏半，入生姜三片，煎至八分，去滓温服不拘时。
治霍乱心下痞满，烦呕不止。浓朴汤方
浓朴（去粗皮生姜汁炙四两） 桂（去粗皮） 枳实（麸炒去瓤各三两）
上三味。粗捣筛，每服三钱匕，水一盏，生姜三片，煎至六分，去滓温服不拘时，腹痛
加当归二两。
治霍乱心下气痞不通。木瓜丸方
木瓜（去皮瓤切焙十枚） 木香（三两） 人参（一两半） 肉豆蔻（去皮半两） 陈
橘皮（汤浸去白焙二两） 胡椒 槟榔（锉各三两） 吴茱萸（汤浸焙炒二两） 草豆蔻
（去皮三两） 浓朴（去粗皮姜汁炙二两） 桂（去粗皮一两） 苍术（米泔浸一宿刮去皮
焙二两） 缩砂（去皮） 高良姜（各三两） 生姜（一斤捣绞取汁）
上一十五味。除生姜汁外为细末，取生姜汁拌匀，用瓷瓶盛，于锅中以重汤煮一复时，
取出更捣令匀，众手丸如梧桐子大。每服十丸熟水下。
治霍乱心下痞逆。半夏汤方
半夏（汤洗七遍去滑切焙） 人参（各三两）
上二味。锉如麻豆，每服三钱匕，入生姜三片，白蜜半匙，水一盏，煎至六分，去滓温
服不拘时。
治霍乱呕吐酸水，气结心下。吴茱萸汤方
吴茱萸（汤浸焙炒一两） 白术 赤茯苓（去黑皮各二两） 陈橘皮（汤浸去白焙一两
半） 荜茇（一两） 浓朴（去粗皮生姜汁炙二两） 槟榔（锉二两半） 人参（一两半） 大
黄（锉炒二两）
上九味。粗捣筛，每服五钱匕，水一盏半，竹茹弹子大，生姜三片，煎至一盏，去滓温
服。
治霍乱心下痞满，饮食吐逆，水谷不化。半夏橘皮汤方
半夏（汤洗七遍去滑切焙） 陈橘皮（汤浸去白焙） 浓朴（去粗皮姜汁炙各一两） 人
参白术
上六味。粗捣筛，每服五钱匕，水一盏半，生姜五片，大枣二枚去核，煎至一盏，去滓
温服。
治霍乱心下痞逆，似中恶状。菖蒲汤方
生菖蒲（一握锉）
上一味，以水同捣取汁一盏，银石器内煎熟，分为三服不拘时。
治霍乱呕吐涎沫，医反下之，心下作痞。小半夏汤方
半夏（汤洗七遍去滑切焙）
上一味。 咀，每服三钱匕，水一盏，生姜三片，煎至六分，去滓温服。
论述说：霍乱导致气机郁结于心下而不能消散，致使心气无法向下通达，因此字书中将“痞”解释为“否”，意指其不通畅。然而，“痞”证属于虚证，按压时不疼痛，虽然感觉气机阻滞闷塞，但不需要使用泻下法，只需调和胃气，使气机升降有序，那么痞结之气自然消散，霍乱症状也会随之平息。
治疗霍乱伴有心下痞满的半夏汤方：
半夏（用热水清洗七遍，去除滑腻感，切片后焙干，三两） 人参（二两） 赤茯苓（去除黑色外皮，四两）
以上三味药。切碎如麻豆大小，每次服用三钱匕，加水一盏，放入一块生姜（大小如枣，拍碎），煎煮至剩余六分水量，滤去药渣，温服。
治疗霍乱伴有心下结气牵连胸背疼痛，以及呕吐酸水，日夜不止的茯苓汤方：
赤茯苓（去除黑色外皮） 浓朴（去除粗皮，用生姜汁炙烤） 吴茱萸（用水浸泡、焙干、炒制，各一两） 人参 陈橘皮（用水浸泡，去除白色内瓤）
以上六味药。粗捣筛过，每次服用五钱匕，加水一盏半，放入生姜三片，煎煮至剩余八分水量，滤去药渣，随时温服。
治疗霍乱伴有心下痞满，烦躁呕吐不止的浓朴汤方：
浓朴（去除粗皮，用生姜汁炙烤，四两） 桂枝（去除粗皮） 枳实（麸皮炒，去除果瓤，各三两）
以上三味药。粗捣筛过，每次服用三钱匕，加水一盏，放入生姜三片，煎煮至剩余六分水量，滤去药渣，随时温服。若腹痛，加当归二两。
治疗霍乱伴有心下气痞不通的木瓜丸方：
木瓜（去除皮和瓤，切片焙干，十枚） 木香（三两） 人参（一两半） 肉豆蔻（去除皮，半两） 陈橘皮（用水浸泡，去除白色内瓤，焙干，二两） 胡椒 槟榔（锉碎，各三两） 吴茱萸（用水浸泡、焙干、炒制，二两） 草豆蔻（去除皮，三两） 浓朴（去除粗皮，姜汁炙，二两） 桂枝（去除粗皮，一两） 苍术（米泔水浸泡一夜，刮去外皮，焙干，二两） 缩砂仁（去除皮） 高良姜（各三两） 生姜（一斤，捣碎绞取汁液）
以上十五味药。除生姜汁外，其余药物研成细末，用生姜汁拌匀，装入瓷瓶中，在锅中隔水重汤煮一个时辰，取出后再捣匀，制成梧桐子大小的药丸。每次服用十丸，用熟水送下。
治疗霍乱伴有心下痞逆的半夏汤方：
半夏（用热水清洗七遍，去除滑腻感，切片后焙干） 人参（各三两）
以上两味药。锉碎如麻豆大小，每次服用三钱匕，放入生姜三片，白蜜半匙，加水一盏，煎煮至剩余六分水量，滤去药渣，随时温服。
治疗霍乱呕吐酸水，气结于心下的吴茱萸汤方：
吴茱萸（用水浸泡、焙干、炒制，一两） 白术 赤茯苓（去除黑色外皮，各二两） 陈橘皮（用水浸泡，去除白色内瓤，焙干，一两半） 荜茇（一两） 浓朴（去除粗皮，用生姜汁炙烤，二两） 槟榔（锉碎，二两半） 人参（一两半） 大黄（锉碎炒制，二两）
以上九味药。粗捣筛过，每次服用五钱匕，加水一盏半，放入弹子大小的竹茹，生姜三片，煎煮至剩余一盏水量，滤去药渣，温服。
治疗霍乱伴有心下痞满，饮食吐逆，水谷不消化的半夏橘皮汤方：
半夏（用热水清洗七遍，去除滑腻感，切片后焙干） 陈橘皮（用水浸泡，去除白色内瓤，焙干） 浓朴（去除粗皮，姜汁炙，各一两） 人参 白术
以上六味药。粗捣筛过，每次服用五钱匕，加水一盏半，放入生姜五片，大枣二枚（去核），煎煮至剩余一盏水量，滤去药渣，温服。
治疗霍乱伴有心下痞逆，症状类似中恶的菖蒲汤方：
生菖蒲（一把，锉碎）
以上一味药，加水同捣取汁一盏，在银器或石器中煎熟，分为三次服用，随时可服。
治疗霍乱呕吐涎沫，医生误用攻下法，导致心下形成痞证的的小半夏汤方：
半夏（用热水清洗七遍，去除滑腻感，切片后焙干）
以上一味药。切碎，每次服用三钱匕，加水一盏，放入生姜三片，煎煮至剩余六分水量，滤去药渣，温服。
Discourse states: When Huoluan (cholera-like syndrome) causes Qi stagnation to knot in the epigastrium and fail to dissipate, Heart Qi cannot descend smoothly. Hence, character dictionaries explain "Pi" (fullness/obstruction) as "Pi" (unfavorable/blockage), indicating a state of obstruction. However, Pi syndrome is characterized by deficiency; it is painless upon palpation. Although there is a sensation of Qi blockage and stifling, purgatives should not be used. Instead, one should harmonize Stomach Qi and regulate the ascending and descending of Qi, whereupon the obstructed Qi will naturally dissipate, and Huoluan will subside.
Banxia Tang Decoction for treating Huoluan with epigastric fullness:
Banxia (Pinelliae Rhizoma, washed seven times in boiling water to remove acridity, sliced and dried, 3 liang) Renshen (Ginseng Radix et Rhizoma, 2 liang) Chifuling (Poria Cocos with Red Cortex, black skin removed, 4 liang)
The above three herbs are cut into pieces the size of hemp seeds. Each dose consists of 3 qianbi, boiled with 1 zhan of water and a piece of Shengjiang (Zingiberis Rhizoma Recens, size of a date, crushed) until reduced to 60% of the original volume. Strain and take warm.
Fuling Tang Decoction for treating Huoluan with knotted Qi in the epigastrium radiating to chest and back pain, accompanied by vomiting of sour fluid day and night without cessation:
Chifuling (Poria Cocos with Red Cortex, black skin removed) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with Ginger juice) Wuzhuyu (Evodiae Fructus, soaked, dried, fried, 1 liang each) Renshen (Ginseng Radix et Rhizoma) Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed)
The above six herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water and 3 slices of Shengjiang until reduced to 80% of the original volume. Strain and take warm at any time.
Houpo Tang Decoction for treating Huoluan with epigastric fullness, restlessness, and incessant vomiting:
Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with Ginger juice, 4 liang) Guizhi (Cinnamomi Ramulus, coarse bark removed) Zhishi (Aurantii Fructus Immaturus, stir-fried with bran, pith removed, 3 liang each)
The above three herbs are coarsely pounded and sieved. Each dose consists of 3 qianbi, boiled with 1 zhan of water and 3 slices of Shengjiang until reduced to 60% of the original volume. Strain and take warm at any time. If abdominal pain occurs, add Danggui (Angelicae Sinensis Radix, 2 liang).
Mugua Wan Pill for treating Huoluan with Qi obstruction in the epigastrium:
Mugua (Chaenomelis Fructus, peel and pith removed, sliced and dried, 10 fruits) Muxiang (Aucklandiae Radix, 3 liang) Renshen (Ginseng Radix et Rhizoma, 1.5 liang) Roudoukou (Myristicae Semen, peel removed, 0.5 liang) Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, 2 liang) Hujiao (Piperis Nigris Fructus) Binglang (Arecae Semen, chopped, 3 liang each) Wuzhuyu (Evodiae Fructus, soaked, dried, fried, 2 liang) Caodoukou (Alpiniae Katsumadai Semen, peel removed, 3 liang) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice processed, 2 liang) Guizhi (Cinnamomi Ramulus, coarse bark removed, 1 liang) Cangzhu (Atractylodis Rhizoma, soaked in rice washing water overnight, scraped clean, dried, 2 liang) Suosha (Amomi Fructus Rotundus, peel removed) Gaoliangjiang (Galangal Rhizome, 3 liang each) Shengjiang (Zingiberis Rhizoma Recens, 1 jin, pounded and juice extracted)
The above fifteen herbs, excluding the Shengjiang juice, are ground into fine powder. Mix evenly with Shengjiang juice, store in a porcelain bottle, and boil in a double boiler for one shichen (two hours). Remove, pound again to ensure uniformity, and form pills the size of Sophora japonica seeds. Take 10 pills per dose with cooked water.
Banxia Tang Decoction for treating Huoluan with epigastric rebellion:
Banxia (Pinelliae Rhizoma, washed seven times in boiling water to remove acridity, sliced and dried) Renshen (Ginseng Radix et Rhizoma, 3 liang each)
The above two herbs are chopped like hemp seeds. Each dose consists of 3 qianbi, added with 3 slices of Shengjiang and half a spoonful of Baimi (White Honey), boiled with 1 zhan of water until reduced to 60% of the original volume. Strain and take warm at any time.
Wuzhuyu Tang Decoction for treating Huoluan vomiting sour fluid and Qi knotting in the epigastrium:
Wuzhuyu (Evodiae Fructus, soaked, dried, fried, 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma) Chifuling (Poria Cocos with Red Cortex, black skin removed, 2 liang each) Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, 1.5 liang) Bibo (Long Pepper Fruit, 1 liang) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with Ginger juice, 2 liang) Binglang (Arecae Semen, chopped, 2.5 liang) Renshen (Ginseng Radix et Rhizoma, 1.5 liang) Dahuang (Rhei Radix et Rhizoma, chopped and fried, 2 liang)
The above nine herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water, a ball-sized piece of Zhuru (Bambusae Caulis in Taeniam), and 3 slices of Shengjiang until reduced to 1 zhan. Strain and take warm.
Banxia Chenpi Tang Decoction for treating Huoluan with epigastric fullness, regurgitation of food, and indigestion of water and grain:
Banxia (Pinelliae Rhizoma, washed seven times in boiling water to remove acridity, sliced and dried) Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice processed, 1 liang each) Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma)
The above six herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water, 5 slices of Shengjiang, and 2 Dazao (Jujubae Fructus, pitted) until reduced to 1 zhan. Strain and take warm.
Changpu Tang Decoction for treating Huoluan with epigastric rebellion resembling Zhong'e (sudden evil attack):
Shengchangpu (Acori Tatarinowii Rhizoma, fresh, one handful, chopped)
The above single herb is pounded together with water to extract 1 zhan of juice. Boil in a silver or earthenware vessel until cooked. Divide into three doses and take at any time.
Xiao Banxia Tang Decoction for treating Huoluan vomiting saliva/phlegm, where the physician erroneously used purgatives, resulting in epigastric Pi:
Banxia (Pinelliae Rhizoma, washed seven times in boiling water to remove acridity, sliced and dried)
The above single herb is cut. Each dose consists of 3 qianbi, boiled with 1 zhan of water and 3 slices of Shengjiang until reduced to 60% of the original volume. Strain and take warm.