论曰霍乱逆满,虽本于饮食不消,亦或痰水积聚,满逆不行,皆气为之痞也。其证胸膈
窒塞,胁肋支满,或不得吐,或吐而不止,治法顺其升降则愈。
治霍乱逆满,胸膈气痞,咽塞妨闷,饮食不消,腹胁虚胀,肠鸣刺痛。苏桂丸方
紫苏叶 桂(去粗皮) 陈橘皮(汤浸去白) 人参 白术(各一两) 甘草(炙半两)
高良姜(三分)
上七味,为细末,炼蜜丸如梧桐子大。每服二十丸至三十丸,温酒下,米饮亦得。如
缓急无汤酒,细嚼药咽津。
治霍乱逆满,两胁下妨闷,呕不下食。柴胡汤方
柴胡(去苗) 浓朴(去粗皮姜汁炙) 白茯苓(去黑皮各二两) 陈橘皮(汤浸去白
焙) 人参 诃黎勒(煨去皮) 桔梗(去芦头炒各一两半) 紫苏茎叶 甘草(炙各一两
一分)
上九味。粗捣筛,每服五钱匕,水一盏半,入生姜一枣大拍碎,煎至一盏,去滓温服日
二。
治霍乱逆满不下食,食即吐出。麦门冬汤方
麦门冬(去心焙三两) 茅根(锉焙五两) 甘草(炙锉) 人参(各一两)
上四味。粗捣筛,每服五钱匕,水一盏半,入竹茹弹子大一块,生姜一枣大拍碎,煎至
一盏,去滓温服日三。
治霍乱心下逆满,吐逆冒闷。半夏汤方
半夏(汤洗去滑七遍四两) 浓朴(去粗皮姜汁炙三两) 苏茯苓(去黑皮二两)
上三味。粗捣筛,每服五钱匕,水一盏半,入生姜一枣大拍碎,煎至一盏,去滓温服不
拘时。
治霍乱逆满,开胃口。藿香散方
藿香叶(一两焙) 诃黎勒(煨去核十枚) 人参 丁香(各半两) 糯米(三百粒) 石
莲心(二百个如无
上七味。为细散,每服一钱匕,用煨和皮生姜一块,枣二枚去核,煎汤调下,早晚食前
服。
治霍乱逆满,风邪热气冲心,心闷气短,呕吐不下食。麦门冬人参汤方
麦门冬(去心焙二两) 人参(三两) 陈橘皮(汤浸去白焙) 羚羊角(镑屑各一两)
上四味。粗捣筛,每服五钱匕,水一盏半,入生姜七片,煎至一盏,去滓温服日三。
治霍乱逆满,心下痞塞。半夏人参汤方
半夏(为末姜汁搜作饼焙干) 人参(各三两)
上二味。粗捣筛,每服三钱匕,水一盏,入白蜜一匙,煎至七分,去滓温服,日三,不
拘时。
治霍乱逆满,不下食,或腹中气妨闷。豆蔻汤方
草豆蔻仁(半两) 人参(一两) 甘草(炙三分)
上三味。粗捣筛,每服五钱匕,水一盏半,入生姜一枣大拍碎,煎至一盏,去滓温服。
治霍乱逆满,胸膈噎闷,饮食不消。紫苏子丸方
紫苏子 陈橘皮(汤浸去白焙各二两) 高良姜 桂(去粗皮) 人参(各一两)
上五味。为细末,炼蜜丸如梧桐子大。每服二十丸,米饮下,不拘时,食生冷过多,欲
作霍乱者,含化咽汁。
治腹脏不调,内寒外热,脾胃虚冷,宿食不消,乍秘乍利不常,霍乱逆满。浓朴丸方
浓朴(去粗皮生姜汁炙) 赤石脂(各一两半) 白术 干姜(炮) 麦 (炒) 人
参白茯苓(去黑皮) 当归(切焙) 橘皮(汤浸去白焙) 甘草(炙锉) 诃黎勒(煨
取皮各一两)
上一十一味。捣罗为末,炼蜜和丸,如梧桐子大。空心米饮下二十丸,至三十丸。
论述说:霍乱逆满,虽然根本原因在于饮食不消化,但也可能是痰湿和水饮积聚,导致气机痞塞、胀满上逆而不能下行。其症状表现为胸膈部窒闷堵塞,胁肋部支撑胀满,或者想吐却吐不出来,或者呕吐不止。治疗原则是顺应气机的升降规律,病即可痊愈。
治疗霍乱逆满,胸膈气机痞塞,咽喉堵塞感且胸闷不适,饮食不消化,腹部和胁肋部虚性胀满,肠鸣且伴有刺痛。苏桂丸方:
紫苏叶、桂枝(去除粗糙的外皮)、陈皮(用热水浸泡后去除白色内瓤)、人参、白术(各一两)、甘草(炙制半两)、高良姜(三分)。
以上七味药,研成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用二十至三十丸,用温酒送服,用米汤送服也可以。如果紧急情况下没有汤剂或酒,可以细细咀嚼药物,咽下津液。
治疗霍乱逆满,两侧胁肋下感到堵塞闷痛,恶心欲呕却无法进食。柴胡汤方:
柴胡(去除苗头)、厚朴(去除粗糙外皮,用姜汁炙制)、白茯苓(去除黑色外皮,各二两)、陈皮(用热水浸泡后去除白色内瓤并焙干)、人参、诃黎勒(煨制后去除果皮)、桔梗(去除芦头并炒制,各一两半)、紫苏茎叶、甘草(炙制,各一两一分)。
以上九味药,粗捣筛过。每次服用五钱匕,加水一盏半,放入一块生姜(大小如枣,拍碎),煎煮至一盏量,去渣,温服,每日两次。
治疗霍乱逆满无法进食,吃下去就立即吐出。麦门冬汤方:
麦门冬(去除心并焙干三两)、茅根(锉碎并焙干五两)、甘草(炙制并锉碎)、人参(各一两)。
以上四味药,粗捣筛过。每次服用五钱匕,加水一盏半,放入一块竹茹(大小如弹丸)和一块生姜(大小如枣,拍碎),煎煮至一盏量,去渣,温服,每日三次。
治疗霍乱心下部逆气胀满,呕吐逆气且头晕昏闷。半夏汤方:
半夏(用热水清洗去除滑腻物七遍,四两)、厚朴(去除粗糙外皮,用姜汁炙制三两)、苏茯苓(去除黑色外皮二两)。
以上三味药,粗捣筛过。每次服用五钱匕,加水一盏半,放入一块生姜(大小如枣,拍碎),煎煮至一盏量,去渣,温服,时间不限。
治疗霍乱逆满,开通胃口。藿香散方:
藿香叶(一两,焙干)、诃黎勒(煨制后去核十枚)、人参、丁香(各半两)、糯米(三百粒)、石莲心(二百个,如果没有……[原文此处似有缺漏,按常理推断为若无石莲心则省略或替代,但依指令不增添内容,故仅译出可见部分])。
以上七味药,研成细散。每次服用一钱匕,用煨过的带皮生姜一块、去核的大枣两枚,煎汤调服,早晚饭前服用。
治疗霍乱逆满,风邪热气冲犯心脏,心中闷痛、气短,呕吐无法进食。麦门冬人参汤方:
麦门冬(去除心并焙干二两)、人参(三两)、陈皮(用热水浸泡后去除白色内瓤并焙干)、羚羊角(镑成屑,各一两)。
以上四味药,粗捣筛过。每次服用五钱匕,加水一盏半,放入七片生姜,煎煮至一盏量,去渣,温服,每日三次。
治疗霍乱逆满,心下部痞塞不通。半夏人参汤方:
半夏(研成末,用姜汁调和做成饼状,焙干)、人参(各三两)。
以上二味药,粗捣筛过。每次服用三钱匕,加水一盏,放入一勺白蜜,煎煮至七分量,去渣,温服,每日三次,时间不限。
治疗霍乱逆满,无法进食,或者腹中气机阻滞闷痛。豆蔻汤方:
草豆蔻仁(半两)、人参(一两)、甘草(炙制三分)。
以上三味药,粗捣筛过。每次服用五钱匕,加水一盏半,放入一块生姜(大小如枣,拍碎),煎煮至一盏量,去渣,温服。
治疗霍乱逆满,胸膈噎塞闷痛,饮食不消化。紫苏子丸方:
紫苏子、陈皮(用热水浸泡后去除白色内瓤并焙干,各二两)、高良姜、桂枝(去除粗糙外皮)、人参(各一两)。
以上五味药,研成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,用米汤送服,时间不限。如果是因食用生冷过多,想要发作霍乱的,可以含化吞下津液。
治疗脏腑功能不调,内寒外热,脾胃虚冷,宿食不消化,时而便秘时而腹泻无常,霍乱逆满。厚朴丸方:
厚朴(去除粗糙外皮,用生姜汁炙制)、赤石脂(各一两半)、白术、干姜(炮制)、麦麸(炒制)、人参、白茯苓(去除黑色外皮)、当归(切片并焙干)、橘皮(用热水浸泡后去除白色内瓤并焙干)、甘草(炙制并锉碎)、诃黎勒(煨取果皮,各一两)。
以上十一味药,捣碎研磨成末,用炼蜜和匀制成丸剂,如梧桐子大小。空腹时用米汤送服二十至三十丸。
Discussion states: Huoluan (cholera-like syndrome with vomiting and diarrhea) with rebellious fullness, although fundamentally rooted in the indigestion of food, may also be caused by the accumulation of phlegm-fluids, leading to Qi stagnation, distension, and rebellious upward movement that fails to descend. The manifestations include stifling obstruction in the chest and diaphragm, support-like fullness in the hypochondrium, inability to vomit despite the urge, or continuous vomiting. The treatment principle is to facilitate the ascending and descending of Qi, after which the condition will resolve.
For treating Huoluan with rebellious fullness, Qi stagnation in the chest and diaphragm, a sensation of blockage and stifling oppression in the throat, indigestion, empty distension in the abdomen and hypochondrium, borborygmus, and stabbing pain: Su Gui Wan (Perilla Leaf and Cinnamon Twig Pill).
Zi Su Ye (Perilla Leaf), Gui Zhi (Cinnamon Twig, removed coarse bark), Chen Pi (Aged Tangerine Peel, soaked in water and white pith removed), Ren Shen (Ginseng Root), Bai Zhu (Atractylodis Rhizoma, each 1 liang), Gan Cao (Licorice Root, honey-fried, 0.5 liang), Gao Liang Jiang (Galangal Rhizome, 3 fen).
The above seven herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of Sophora japonica seeds. Take 20 to 30 pills per dose, administered with warm wine; rice decoction is also acceptable. In urgent situations without decoction or wine, chew the medicine finely and swallow with saliva.
For treating Huoluan with rebellious fullness, stifling oppression under both hypochondria, nausea with inability to eat: Chai Hu Tang (Bupleurum Decoction).
Chai Hu (Bupleuri Radix, removed seedlings), Hou Po (Magnoliae Officinalis Cortex, removed coarse bark and fried with ginger juice), Fu Ling (Poria, removed black skin, each 2 liang), Chen Pi (Aged Tangerine Peel, soaked in water, white pith removed and dried), Ren Shen (Ginseng Root), He Le Le (Chebulae Fructus, roasted and skin removed), Jie Geng (Platycodonis Radix, removed rhizome and stir-fried, each 1.5 liang), Zi Su Jing Ye (Perilla Stem and Leaf), Gan Cao (Licorice Root, honey-fried, each 1 liang 1 fen).
The above nine herbs are coarsely crushed and sifted. Take 5 qian bi (approx. 5-7g) per dose, add 1.5 sheng (approx. 300ml) of water, one piece of fresh ginger (size of a jujube, smashed), decoct until 1 sheng remains, remove dregs, and take warm twice daily.
For treating Huoluan with rebellious fullness and inability to retain food, where ingestion leads to immediate vomiting: Mai Men Dong Tang (Ophiopogon Decoction).
Mai Men Dong (Ophiopogonis Tuber, removed heart and dried, 3 liang), Mao Gen (Imperatae Rhizoma, cut and dried, 5 liang), Gan Cao (Licorice Root, honey-fried and cut), Ren Shen (Ginseng Root, each 1 liang).
The above four herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, one piece of Zhu Ru (Bambusa Textilis Caulis, size of a quail egg), and one piece of fresh ginger (size of a jujube, smashed), decoct until 1 sheng remains, remove dregs, and take warm three times daily.
For treating Huoluan with rebellious fullness in the epigastrium, vomiting with dizziness and mental confusion: Ban Xia Tang (Pinellia Decoction).
Ban Xia (Pinelliae Rhizoma, washed in hot water seven times to remove slipperiness, 4 liang), Hou Po (Magnoliae Officinalis Cortex, removed coarse bark and fried with ginger juice, 3 liang), Fu Ling (Poria, removed black skin, 2 liang).
The above three herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, one piece of fresh ginger (size of a jujube, smashed), decoct until 1 sheng remains, remove dregs, and take warm at any time.
For treating Huoluan with rebellious fullness and opening the appetite: Huo Xiang San (Agastache Powder).
Huo Xiang Ye (Agastaches Herba, dried, 1 liang), He Le Le (Chebulae Fructus, roasted and pitted, 10 pieces), Ren Shen (Ginseng Root), Ding Xiang (Caryophylli Flos, each 0.5 liang), Nu Mi (Glutinous Rice, 300 grains), Shi Lian Xin (Nelumbinis Plumula, 200 pieces; if unavailable... [text incomplete]).
The above seven herbs are ground into fine powder. Take 1 qian bi per dose, mix with decoction prepared from one piece of roasted ginger with skin and two pitted jujubes, administer orally, morning and evening before meals.
For treating Huoluan with rebellious fullness, wind-pathogen and heat invading the heart causing chest oppression and shortness of breath, vomiting with inability to eat: Mai Men Dong Ren Shen Tang (Ophiopogon and Ginseng Decoction).
Mai Men Dong (Ophiopogonis Tuber, removed heart and dried, 2 liang), Ren Shen (Ginseng Root, 3 liang), Chen Pi (Aged Tangerine Peel, soaked in water, white pith removed and dried), Ling Yang Jiao (Saiga Tatarica Cornu, shaved into flakes, each 1 liang).
The above four herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, seven slices of fresh ginger, decoct until 1 sheng remains, remove dregs, and take warm three times daily.
For treating Huoluan with rebellious fullness and epigastric stuffiness: Ban Xia Ren Shen Tang (Pinellia and Ginseng Decoction).
Ban Xia (Pinelliae Rhizoma, ground into powder, kneaded with ginger juice into cakes, dried), Ren Shen (Ginseng Root, each 3 liang).
The above two herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 sheng of water, one spoonful of white honey, decoct until 0.7 sheng remains, remove dregs, and take warm three times daily at any time.
For treating Huoluan with rebellious fullness, inability to eat, or abdominal Qi obstruction and stifling pain: Dou Kou Tang (Cardamom Decoction).
Cao Dou Kou Ren (Grass Cardamom Seed Kernel, 0.5 liang), Ren Shen (Ginseng Root, 1 liang), Gan Cao (Licorice Root, honey-fried, 3 fen).
The above three herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, one piece of fresh ginger (size of a jujube, smashed), decoct until 1 sheng remains, remove dregs, and take warm.
For treating Huoluan with rebellious fullness, choking and stifling oppression in the chest and diaphragm, and indigestion: Zi Su Zi Wan (Perilla Fruit Pill).
Zi Su Zi (Perillae Fructus), Chen Pi (Aged Tangerine Peel, soaked in water, white pith removed and dried, each 2 liang), Gao Liang Jiang (Galangal Rhizome), Gui Zhi (Cinnamon Twig, removed coarse bark), Ren Shen (Ginseng Root, each 1 liang).
The above five herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of Sophora japonica seeds. Take 20 pills per dose with rice decoction at any time. If excessive consumption of cold/raw food precedes the onset of Huoluan, hold the pill in the mouth to dissolve and swallow the juice.
For treating disharmony of internal organs, internal cold with external heat, deficiency-cold of Spleen and Stomach, retention of undigested food, alternating constipation and diarrhea, and Huoluan with rebellious fullness: Hou Po Wan (Magnolia Bark Pill).
Hou Po (Magnoliae Officinalis Cortex, removed coarse bark and fried with ginger juice), Chi Shi Zhi (Halloysit Rubrum, each 1.5 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma, processed), Mai Fu (Wheat Bran, stir-fried), Ren Shen (Ginseng Root), Fu Ling (Poria, removed black skin), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Ju Pi (Tangerine Peel, soaked in water, white pith removed and dried), Gan Cao (Licorice Root, honey-fried and cut), He Le Le (Chebulae Fructus, roasted for skin, each 1 liang).
The above eleven herbs are crushed, sieved into powder, mixed with refined honey, and formed into pills the size of Sophora japonica seeds. Take 20 to 30 pills on an empty stomach with rice decoction.