病源霍乱者,多吐痢也,干霍乱者,冷气搏于胃,饮食不消,但腹满烦乱,绞痛短气,
其肠胃先挟实,故不吐痢,名为干霍乱也。(出第二十二卷中)
救急疗霍乱无问干湿冷热等,木香汤方。
青木香(长三寸) 高良姜(二两) 豆蔻子(二枚)
上三味 咀,以水一大升,煮取半升,顿服之则定。
又方
取乌牛屎二两,以水二升,煮沸绞滤,顿服之,大良。
又生姜汤方。
以东壁土一把,生姜一大两碎之。
上二味,用水一大升,煮取半升,澄清,热饮之,如渴依前进。(并出第一卷中)
必效疗上吐下痢者,名为湿霍乱方。
黄牛屎半大升许,取水一大升,煮三两沸,和牛屎滤取汁,服半升即止,犁牛子屎亦佳
,无牛处,常将干者相随,亦好用。(备急崔氏范汪同出第三卷中)
又四神丸,主霍乱冷实不除,及痰饮百病,无所不主方。
干姜(一两) 桂心(一两) 附子(一两炮) 巴豆(六十枚制)
上四味末之,蜜和为丸如小豆大,饮服二丸,取快下,不下又服一丸。忌生葱野猪肉芦
笋。(胡洽同出第四卷中)
病源霍乱而心腹痛者,是风邪之气,客于脏腑之间,冷气与真气相击,或上攻心,或下
攻腹,故心腹痛也。(出第二十二卷中)
广济疗霍乱心腹痛,烦呕不止,浓朴人参汤方。
浓朴(四两炙) 橘皮(二两) 人参(二两) 高良姜(一两) 当归(一两) 藿
香(一两)
上六味,以水七升,煮取二升五合,绞去滓,分温三服,服别相去如人行六七里。忌生
冷粘腻。(出第四卷中)
肘后疗霍乱苦绞痛不止方。
姜(二累) 豉(二升) 合捣中分为两,分手捻令如粉,熬令灼灼尔更番以熨脐中,
取愈
。(并第一卷中)
千金霍乱蛊毒宿食心腹痛,冷气鬼气方。
极咸盐汤三升一味,霍乱心腹暴痛,宿食不消,积冷烦满者,热饮一升,以指刺口,令
吐宿食使尽,不尽更刺,吐讫复饮,三吐住静止,此法大胜诸药,俗人以为田舍浅近法,鄙
而不用,守死而已,凡有此疾,即须先用之。(备急崔氏集验文仲并同出第二十卷中)
病因方面,霍乱这种病,大多表现为呕吐和腹泻。干霍乱则是由于冷气与胃气相搏结,导致饮食无法消化,仅仅出现腹部胀满、心烦意乱、剧烈绞痛以及呼吸短促的症状。因为其肠胃原本就蕴积了实邪,所以不发生呕吐和腹泻,因此被称为干霍乱。(出自第二十二卷中)
急救治疗霍乱,不分干霍乱、湿霍乱或寒热等不同类型,使用木香汤方。
青木香(长度三寸的) 高良姜(二两) 豆蔻子(两枚)
以上三味药,切碎,用水一大升,煎煮至半升,一次性服下,症状即可平息。
又一方:
取黑牛粪便二两,用水二升,煮沸后过滤去渣,一次性服下,效果很好。
又是生姜汤方:
取东墙根下的土一把,生姜一大两,捣碎。
以上两味药,用水一大升,煎煮至半升,澄清后,趁热饮用。如果口渴,依照前面的方法继续服用。(均出自第一卷中)
必效方治疗上吐下泻的,称为湿霍乱方。
黄牛粪便约半大升,取水一大升,煮三沸,混合牛粪汁液过滤取汁,服用半升即可停止,犁牛的粪便也可以,如果没有牛的地方,平时常备干粪便随身携带,也很好用。(备急方、崔氏方、范汪方相同,出自第三卷中)
又是四神丸,主治霍乱冷实之邪不能消除,以及痰饮引起的各种疾病,无所不主方。
干姜(一两) 桂心(一两) 附子(一两,炮制) 巴豆(六十枚,制过)
以上四味药研成细末,用蜂蜜调和制成如小豆大小的丸药,用温水送服两丸,以求迅速通便,如果未通再服一丸。忌食生葱、野猪肉、芦笋。(胡洽方相同,出自第四卷中)
病因方面,霍乱伴随心腹疼痛的,是风邪之气,客居于脏腑之间,冷气与人体真气相互搏击,或者向上攻冲心脏,或者向下攻冲腹部,从而导致心腹痛。(出自第二十二卷中)
广济方治疗霍乱心腹疼痛,烦闷呕吐不止,使用浓朴人参汤方。
浓朴(四两,炙制) 橘皮(二两) 人参(二两) 高良姜(一两) 当归(一两) 藿香(一两)
以上六味药,用水七升,煎煮至二升五合,绞去药渣,分三次温服,每次服药间隔时间相当于人行走六七里的路程。忌食生冷、黏腻食物。(出自第四卷中)
肘后备急方治疗霍乱痛苦绞痛不止的方子。
生姜(二累,注:古代重量单位,此处保留原文) 豉(二升) 两者混合捣碎,分为两份,用手捻磨成粉末状,交替加热后熨烫脐中,直到痊愈。(均出自第一卷中)
千金方治疗霍乱、蛊毒、宿食引起的心腹疼痛,以及冷气、鬼气等方子。
极咸的盐汤三升,单味药。对于霍乱突发的心腹剧痛、宿食不消、积冷烦满的情况,热饮一升,用手指刺激咽喉催吐,使宿食排尽,如果未尽再催吐,吐完后再次饮用,经过三次催吐后静止休息,此法胜过许多药物,世俗之人认为这是乡野浅陋的方法,轻视而不使用,结果只能坐以待毙。凡是有这种病症,就必须先使用此法。(备急方、崔氏方、集验方、文仲方相同,出自第二十卷中)
Etiologically, Huoluan (cholera-like syndrome) is characterized mostly by vomiting and diarrhea. Gan Huoluan (dry cholera) occurs when cold qi clashes with the stomach, leading to indigestion of food and drink. The patient experiences only abdominal distension, mental restlessness, severe colicky pain, and shortness of breath. Because the intestines and stomach are initially filled with excess pathogens, vomiting and diarrhea do not occur; hence it is named Gan Huoluan (dry cholera). (From Volume 22)
For emergency treatment of Huoluan (cholera-like syndrome), regardless of whether it is dry or wet, or cold or hot types, use the Muxiang Tang (Cinnamon Twig and Aquilaria Decoction).
Qingmuxiang (Aquilariae Lignum Resinatum, length three cun) Gaoliangjiang (Alpiniae Officinarum Rhizoma, two liang) Doukouzi (Cardamomi Fructus, two pieces)
The above three herbs are chopped, boiled in one sheng of water until reduced to half a sheng, and taken in one dose to settle the symptoms.
Another prescription:
Take two liang of black cow dung, boil in two sheng of water, strain, and take in one dose. It is highly effective.
Another recipe for Shengjiang Tang (Fresh Ginger Decoction):
Take a handful of soil from the east wall, and one da liang of fresh ginger, crushed.
The above two ingredients are boiled in one sheng of water until reduced to half a sheng. After clarifying, drink it while hot. If thirsty, continue according to the previous method. (All from Volume 1)
Bixiao Fang (Effective Prescription) treats upper vomiting and lower diarrhea, named Shi Huoluan (wet cholera) formula.
Take approximately half a da sheng of yellow cow dung, add one sheng of water, boil for three boils, mix with the dung juice, filter, and take half a sheng to stop the symptoms. Dung from plowing oxen is also good. In areas without cattle, keeping dried dung on hand is also very useful. (Same as Beiji Fang, Cui Shi Fang, Fan Wang Fang, from Volume 3)
Another is Sishen Wan (Four Divine Pills), which mainly treats persistent cold excess in Huoluan (cholera-like syndrome) and various diseases caused by phlegm-fluid retention, acting universally.
Ganjiang (Zingiberis Rhizoma Recens, one liang) Guixin (Cinnamomi Cortex, one liang) Fuzi (Aconiti Lateralis Radix Praeparata, one liang, processed) Badou (Crotonis Fructus, sixty seeds, processed)
The above four herbs are powdered, mixed with honey to form pills the size of small beans. Take two pills with warm water to induce rapid purgation; if ineffective, take one more pill. Avoid raw green onions, wild pork, and Asparagus Fern Sprouts. (Same as Hu Qia Fang, from Volume 4)
Etiologically, Huoluan (cholera-like syndrome) accompanied by heart and abdominal pain is caused by wind-pathogenic qi lodging between the zang-fu organs. Cold qi clashes with true qi, attacking either upwards to the heart or downwards to the abdomen, resulting in heart and abdominal pain. (From Volume 22)
Guangji Fang treats Huoluan (cholera-like syndrome) with heart and abdominal pain, incessant irritability and vomiting, using Nongmu Renshen Tang (Magnolia Bark and Ginseng Decoction).
Nongmu (Magnoliae Officinalis Cortex, four liang, stir-baked) Jupi (Citri Reticulatae Pericarpium, two liang) Renshen (Ginseng Radix et Rhizoma, two liang) Gaoliangjiang (Alpiniae Officinarum Rhizoma, one liang) Danggui (Angelicae Sinensis Radix, one liang) Huoxiang (Pogostemonis Herba, one liang)
The above six herbs are boiled in seven sheng of water until reduced to two sheng and five he. Strain the dregs, and divide into three warm doses. The interval between doses should be equivalent to the time it takes a person to walk six or seven li. Avoid cold, raw, and sticky/greasy foods. (From Volume 4)
Zhouhou Beiji Fang (Essential Prescriptions Kept Up My Sleeve) for relieving unbearable colicky pain in Huoluan (cholera-like syndrome).
Jiang (Fresh Ginger, two lei) Chi (Fermented Soybean, two sheng) Mash them together, divide into two portions, rub each portion by hand until powdery, heat alternately, and apply as a compress to the umbilicus until cured. (All from Volume 1)
Qianjin Fang (Prescriptions Worth a Thousand Gold) for Huoluan (cholera-like syndrome), gu poison, retained food causing heart and abdominal pain, as well as cold qi and ghost qi.
Use three sheng of extremely salty salt water as a single ingredient. For sudden severe heart and abdominal pain due to Huoluan (cholera-like syndrome), indigestion of retained food, and accumulation of cold causing irritability and fullness, drink one sheng hot. Stimulate the throat with fingers to induce vomiting of retained food until empty. If not empty, induce vomiting again. After vomiting, drink again. After three cycles of vomiting, rest and remain still. This method surpasses many other medicines. Common people consider it a rustic and shallow method and disdain its use, preferring to die rather than try it. However, whenever this disease occurs, this method must be used first. (Same as Beiji Fang, Cui Shi Fang, Jiyan Fang, Wen Zhong Fang, from Volume 20)