典藏书目

To open the appetite, promote digestion, and stop vomiting.
Ren Shen (Ginseng Radix), Mu Xiang (Aucklandiae Radix) (each 3 qian); Zhi Ke (Bitter Orange Pericarpium, stir-fried with bran) (1 liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1.5 liang); Chen Pi (Citri Reticulatae Pericarpium) (4 qian); Gan Sheng Jiang (Dried Fresh Ginger) (2 qian).
Grind the above herbs into a fine powder. Wrap rice in lotus leaves and bake it, then mix with cooked rice to form pills the size of Sophora japonica seeds. Take 50–70 pills each time, at any time, washed down with rice gruel.

The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When Taiyin [Spleen/Stomach] is affected, it leads to fullness in the middle jiao, cholera-like syndrome, and vomiting and diarrhea." Liu Hejian stated: Cholera-like syndrome with vomiting and diarrhea occurs because dampness remains as retained fluid, causing chest and diaphragm obstruction, and disrupting the transmission and transformation functions, thus leading to severe cholera-like vomiting and diarrhea. This disease originates in the middle jiao, caused by exposure to summer-heat, excessive drinking when thirsty, overconsumption of alcohol, eating a large meal after fasting, or overeating. Irregular diet, imbalance of cold and heat, interference between clear and turbid qi, and separation of yin and yang occur. In summer, wind, dampness, and heat (yue) pathogens act upon the body, causing strong pathogenic factors. Wind corresponds to Wood and internally relates to the Foot Jueyin Liver Meridian; Dampness corresponds to Earth and internally relates to the Foot Taiyin Spleen Meridian; Yue (summer-heat/heat) corresponds to Fire and internally relates to the Hand Shaoyin Heart Meridian. These three meridians manifest distinct diseases. The classics state: "All cases of twisting, convulsions, and turbid urine belong to Heat." Heat dries and scorches the sinews, causing them to twist and hurt; this corresponds to Wind relating to the Liver. Therefore, for various cases of muscle cramps, soaking in hot water opens the cou-li (pores/skin texture), allows Yang Qi to dissipate, and results in recovery. Because recovery follows hot water soaking, laypeople mistakenly suspect Cold. It is also said: "Excess Dampness leads to loose stools." Diarrhea belongs to Damp-Earth, and the Spleen governs Dampness, corresponding to Dampness relating to the Spleen. It is further stated: "All vomiting and regurgitation belong to Heat." Wang Bing’s commentary notes: "Intense heat approaches and scorches, which is the Qi of the Heart." Heart Fire flares upward, causing extreme heat in the stomach and diaphragm, resulting in vomiting; this corresponds to relating to the Heart. Thus, Wind stirring Liver Heat causes muscle cramps; Water-Damp injuring the Spleen causes diarrhea; Summer-Heat attacking the Stomach causes vomiting. The mixture of these three pathogens constitutes Cholera-like syndrome. There are also distinctions between Dry Cholera-like Syndrome and Wet Cholera-like Syndrome: When vomiting and diarrhea occur together, allowing pathogenic factors to exit, it is named Wet Cholera-like Syndrome, with eight or nine out of ten survivors. If there is neither vomiting nor diarrhea, but sudden turmoil and chaos, with no way for pathogens to exit, it is named Dry Cholera-like Syndrome, with only one out of ten survivors. Since humans must have both intake and output, having intake without output indicates blockage and stagnation, representing severe constraint and obstruction. Li Dongyuan elucidated "If Wood is constrained, unblock it," referring precisely to this situation. For example, injury from overeating fills the chest; if one should induce vomiting but fails to do so, death ensues. The *Huangdi Neijing · Wu Luan Pian* (Chapter on Five Disorders) states: "Clear Qi is in the Yin, Turbid Qi is in the Yang, Ying Qi circulates smoothly, Wei Qi moves in reverse. Disorder in the chest is called great oppression; disorder in the intestines and stomach becomes Cholera-like syndrome." The *Huangdi Neijing* also states: "The source of Yin lies in the Five Flavors; the five palaces of Yin are damaged by the Five Flavors." From this, although the Five Flavors can nourish the Five Zang Organs, excess can damage the body, leading to weakness and triggering the aforementioned symptoms. Changsha Gong (Zhang Zhongjing) discussed treatment methods derived from this. If pathogens are in the Upper Jiao, vomiting occurs; if in the Lower Jiao, diarrhea occurs; if in the Middle Jiao, both vomiting and diarrhea occur. For cases with more heat and desire for water, use Wuling San (Five-Ling Powder); for cases with more cold and no desire for water, use Lizhong Wan (Regulate the Middle Pill). The *Yuanbing Shi* (Book on Original Causes of Disease) states: "The general rule is that vomiting and diarrhea with irritability and thirst indicate Heat; without thirst indicates Cold. Or, in Heat-type vomiting/diarrhea, initial lack of thirst is due to loss of Jin-Ye (Body Fluids), followed by thirst later. Or, in Cold-type cases originally without thirst, excessive loss of Jin-Ye leads to dryness and thirst." Pure Cold patterns present with deep, fine, and slow pulses; Heat patterns present with solid, large, and rapid pulses. Dai Ren (Zhang Congzheng) discussed this disease, stating life and death depend on quick action. Earth (Spleen) is overcome by Wind-Wood, failing to transform. The book records successful treatments, refutes Chao Yuanfang’s theory that the cause is Cold, and criticizes quacks for using hot remedies erroneously, leading to death. It advocates using Liuyi San (Six-One Powder) to treat Spleen-Stomach injury caused by Wind, Dampness, and Heat pathogens, which is appropriate for the season. Therefore, dietary regulation is crucial; it is strictly forbidden to eat too early, as the Spleen-Stomach is severely damaged and unable to transmit and transform. Food entering the stomach will be critical. After the illness subsides, gradually nourish with rice gruel. Generally, in Cholera-like syndrome, a large pulse indicates survival; a deep, fine, slow pulse with shortness of breath and inability to speak indicates difficult-to-treat cases.