〔大〕呕吐而利者,名霍乱也。原疾之由,皆因肠胃虚冷,饮食过度,触冒风冷,使
阴阳不和,清浊相干,致令挥霍变乱也。或先心痛而吐者,或先腹痛而利者,或吐利俱
作者,或头痛身体壮热而脉浮洪者,或阳气暴绝而手足逆冷,而脉息微绝者。治之当分
阴阳,察其虚实,辨其冷热,观其脉息。热者凉之,冷者温之,以平为期。《百问》云∶
凡霍乱吐利,热多而渴者,五苓散。寒多不饮水者,理中丸。吐利已,汗出而厥,四肢
拘急不解,脉微欲绝者,通脉四逆加猪胆汁汤。夏月间中暑霍乱,大烦渴,四肢逆冷,冷
汗出,脚转筋者,香薷散浓煎沉冷服即效。(凡霍乱之脉,得浮洪者易治,微迟者并短气者难治。)
〔薛〕贾元良先生云∶暑者,相火行令也。夏月人感之,自口齿而入,伤心胞络之
经,其证头疼口干,面垢自汗,倦怠少气,或背寒恶热,甚者迷闷不省,或霍乱吐利,呕
痰腹痛,或下血发黄生 等证。治法∶清心火,利小便为主。若自汗热甚,用白虎汤。若
头疼恶寒,用十味香薷散。泄泻烦渴,饮水吐逆,用五苓散。热甚烦渴,用益元散清之。
若表解里热甚者,用黄连解毒汤。脉微下利,作渴喜温,或厥冷不省人事,宜竹叶石膏汤
加熟附半枚冷冻饮料;次以来复丹、五苓散治之。故东垣云∶脾胃虚弱,遇夏月淫雨,身重短
气,甚则四肢痿软,脚欹眼黑,当滋肺气以补水之源,是以五月常服五味子、人参、麦
门冬之剂,为热伤元气故尔。丹溪所谓夏月伏阴在内也。盖人之腹属地,巳月六阳尽出
于地之上矣,是人之阳气亦浮于肌表,散于皮毛,而腹中之阳虚矣。又加以凉台水馆,大
扇风车,寒泉水果,冰凉之物,自内及外,不用温热,病所由生。陈无择云∶凡中 切不
得用冷药,惟用温养,得冷即死。道途无汤,即以热土熨脐中,溺以热尿即苏,概可见矣。
《内经》曰∶脉虚身热,得之伤暑。《难经》曰∶伤暑得之为正邪,火自病也。当恶臭,其病
身热而烦,心痛,其脉浮大而散。《伤寒论》曰∶太阳中 者,身热头痛而脉微弱,或发
热恶寒而脉弦细芤迟。大抵寒伤形,热伤气,盖伤气而不伤形,则气消而脉虚弱。故先哲
立法,夏月宜补,良有以也。前证若内有所积,外有所感,用二陈汤加减治之;或萝卜
子捣碎,服而吐之。若饮米汤即死,云云同前论。若转筋不住,男子以手挽阴,女子以
手牵乳近两边,此《千金》妙法也。干霍乱不得升降,死在须臾,当以盐汤吐之,后以
二陈汤加川芎、苍术、防风、白芷、姜煎服。若登圊而不通,加枳壳。若食瓜果、饮冷、乘
风、霍乱,用六和汤倍加藿香。大凡中暑而亡者,皆因元气虚弱,暑热乘之,以致泄泻,
阳气暴脱,实为阴寒之证,宜急补其阳,庶得保生,缓则不救。其他执为暑热,投以寒
药,鲜不误事。愚故以回阳固本之方,继之于后。
加减理中丸 主霍乱临时方,亦可治男子。
人参 白术 干姜 甘草(各一两)
上为细末,炼蜜为丸,每两作五丸,取汤和一丸,服之,日三服。吐多利少者,取
枳实三枚,炙、去幅、四破,水三升煮取一升,和一丸服之。吐少利多者,加干姜一累。
吐利干呕者,取半夏半两,泡洗去滑,水二升,煮取一升,和一丸服。若体疼痛不可堪
者,取枣三枚,水二升,煮一升,和一丸服。吐利太极,转筋者,以韭汁洗腹肾,从胸至
足踝勿逆,即止。若体冷微汗,腹中寒,取附子一枚,炮去皮,四破,以水二升,煮取
一升,和一丸服。吐利悉止,脉不出,体犹冷者,可服诸汤补之。
四顺汤 治霍乱吐利腹痛,手足逆冷,脉微欲绝。
附子(一枚,破八块) 干姜(三两) 人参 甘草(各一两)
上 咀,水煎服。
四逆加猪胆汁汤 治吐已下断,汗出而厥,四肢拘急不解,脉微欲绝者。
甘草(二两) 干姜(三两) 附子(一枚,生用) 猪胆汁(半合)
上三味, 咀,每服五钱,水三盏,煮至二盏,去滓,纳猪胆汁,分二次温服,其
脉即来。
香薷散 治脏腑冷热不调,饮食不节,或食腥 生冷过度,或起居不节,或露卧湿地,
或当风取凉,而风冷之气归于三焦,传于脾胃,脾胃得冷,不能消化水谷,致令真邪相
干,肠胃虚弱,因饮食变乱于肠胃之间,便至吐利,心腹疼痛,霍乱气逆。有先心痛而
吐者,或先腹痛而利者,有吐利俱发者,有发热头痛体疼而后吐利虚烦者,或但吐利心
腹刺痛者,或转筋拘急疼痛者,或但呕而无物出者,或四肢逆冷,脉微欲绝者,或烦闷
昏塞欲死者,妊妇霍乱吐利,此药悉能主之。
香薷叶(四两) 白扁豆 浓朴(各二两)
上 咀,每服半两,水一大盏,酒一分,慢火浓煎至六分,去滓,井中浸令冰冷,顿
服无时候,连并二三服,立见神效。(《苏沈良方》中名香茸散,《百问》同,有
黄连,无扁豆。)
诃子散 治老幼霍乱吐利,一服取效。又治九种心痛及心脾冷痛不可忍。
诃子皮 甘草 浓朴 干姜 草果仁 陈皮 良姜 茯苓 神曲 麦门冬(各等分)
上为细末,每服二钱,候发刺痛不可忍,用水一盏,煎七分,入盐服,急则监点。
胡椒汤 治霍乱吐利甚妙。
胡椒(四十九粒) 绿豆(一百四十九粒)
上为细末,每服二钱,木瓜煎汤调下。
〔补遗〕凡霍乱身热,脉浮洪而渴者,此必胃有热,宜竹茹汤。吐止,然后以五苓
散、不换金正气散、六和汤等治之。或若阳气暴绝,四肢逆冷,脉微欲绝,可用理中汤、
理中丸、治中汤之类,甚者加附子。如中暑霍乱吐利,尝以香薷散入半夏少许,用生姜
自然汁搜药剂,入铜铫炒干,再入好红曲酒,又搜润药,又炒干,却入水一盏半,煎七分,
去滓井中浸冷服,效。
【戴元礼】呕吐兼腹泻的,称为霍乱。其病因,都是由于肠胃虚寒,饮食过量,感受风冷邪气,导致阴阳失调,清浊之气相互干扰,从而引起突然的挥霍变乱。有的先心痛而后呕吐,有的先腹痛而后腹泻,有的呕吐和腹泻同时发生,有的头痛、身体高热且脉象浮洪,有的阳气突然衰竭而手足逆冷,脉搏微弱几乎摸不到。治疗应当分辨阴阳,观察虚实,辨别冷热,诊察脉息。热证用凉药,寒证用温药,以病情平复为度。《百问》说:凡是霍乱吐利,热多且口渴的,用五苓散。寒多且不饮水的,用理中丸。吐利停止后,出汗且四肢厥冷,四肢拘急不缓解,脉微欲绝的,用通脉四逆加猪胆汁汤。夏季中暑引起的霍乱,大烦渴,四肢逆冷,出冷汗,小腿转筋的,用香薷散浓煎后放冷服用即见效。(凡是霍乱的脉象,得浮洪脉的容易治疗,得微迟脉并伴有短气的难以治疗。)
【薛己】贾元良先生说:暑气,是相火当令的表现。夏季人感受暑气,从口鼻进入,损伤心包络的经脉,症状有头疼口干,面色垢腻自汗,倦怠少气,或者背部怕冷却厌恶炎热,严重的昏迷不省人事,或者霍乱吐利,呕吐痰涎腹痛,或者便血发黄生疮等证候。治疗方法:以清心火、利小便为主。如果自汗且热势严重,用白虎汤。如果头疼恶寒,用十味香薷散。泄泻烦渴,喝水后呕吐逆气,用五苓散。热势严重且烦渴,用益元散清热。如果表证已解但里热严重,用黄连解毒汤。脉微下利,口渴喜温,或者四肢厥冷不省人事,宜用竹叶石膏汤加半枚熟附子,冷冻后饮用;随后以来复丹、五苓散治疗。所以李东垣说:脾胃虚弱,遇到夏季连绵阴雨,身体沉重短气,甚至四肢痿软,脚歪眼黑,应当滋肺气以补水之源,因此五月常服五味子、人参、麦门冬的药剂,是因为热伤元气所致。朱丹溪所说的夏季伏阴在内。大概人的腹部属地,巳月六阳之气全部出于地上,此时人的阳气也浮于肌表,散于皮毛,而腹中的阳气就虚了。再加上乘凉避暑,大扇风车,喝寒泉吃水果等冰凉之物,由内及外,如果不使用温热药物,病由此产生。陈无择说:凡是中暑切不可以用冷药,只能用温养之法,受冷就会死亡。路途没有热水,就用热土熨烫脐中,用热尿浇淋即可苏醒,概可见一斑。《内经》说:脉虚身热,是由于伤暑。《难经》说:伤暑属于正邪,火自病也。应当厌恶臭味,病症表现为身热而烦躁,心痛,脉象浮大而散。《伤寒论》说:太阳中暍者,身热头痛而脉微弱,或者发热恶寒而脉弦细芤迟。大抵寒邪伤形,热邪伤气,伤了气而不伤形,则气消而脉虚弱。所以先哲立法,夏季适宜补益,确实是有道理的。前述证候如果内有积滞,外有感触,用二陈汤加减治疗;或者将萝卜子捣碎,服用后催吐。如果喝米汤就会死亡,其余同上论。如果转筋不止,男子用手拉住阴部,女子用手牵拉乳房近两边,这是《千金方》的妙法。干霍乱不得升降,须臾间致死,应当用盐汤催吐,随后用二陈汤加川芎、苍术、防风、白芷、生姜煎服。如果登厕而大便不通,加枳壳。如果因食瓜果、饮冷、乘风导致的霍乱,用六和汤倍加藿香。大凡中暑而亡者,都是因为元气虚弱,暑热乘虚而入,以致泄泻,阳气暴脱,实为阴寒之证,应当急补其阳,庶几能保全生命,迟缓则无法救治。其他固执认为是暑热,投以寒药,很少有不误事的。所以我将在后面继之以回阳固本的方剂。
加减理中丸 主治霍乱临时方,也可治男子。
人参、白术、干姜、甘草(各一两)
以上研为细末,炼蜜为丸,每两做成五丸,取汤药化开一丸服用,每日三次。呕吐多腹泻少的,取枳实三枚,炙过,去掉粗皮,分成四块,水三升煮取一升,化开一丸服用。呕吐少腹泻多的,加干姜一两。呕吐腹泻伴干呕的,取半夏半两,泡洗去滑,水二升,煮取一升,化开一丸服用。如果身体疼痛难以忍受的,取枣三枚,水二升,煮一升,化开一丸服用。吐利极重,转筋的,用韭菜汁清洗腹部肾脏区域,从胸至足踝不要逆向,即可停止。如果身体冷微汗,腹中寒,取附子一枚,炮制去皮,分成四块,水二升,煮取一升,化开一丸服用。吐利完全停止,脉不出,身体仍然冷的,可以服用各种汤药补益。
四顺汤 治疗霍乱吐利腹痛,手足逆冷,脉微欲绝。
附子(一枚,破成八块)、干姜(三两)、人参、甘草(各一两)
以上切碎,水煎服。
四逆加猪胆汁汤 治疗吐已下断,汗出而厥,四肢拘急不解,脉微欲绝者。
甘草(二两)、干姜(三两)、附子(一枚,生用)、猪胆汁(半合)
以上三味,切碎,每次服五钱,水三盏,煮至二盏,去渣,纳入猪胆汁,分两次温服,脉即恢复。
香薷散 治疗脏腑冷热不调,饮食不节,或食腥膻生冷过度,或起居不节,或露卧湿地,或当风取凉,而风冷之气归于三焦,传于脾胃,脾胃得冷,不能消化水谷,导致真邪相干,肠胃虚弱,因饮食变乱于肠胃之间,便至吐利,心腹疼痛,霍乱气逆。有先心痛而呕吐的,或先腹痛而腹泻的,有吐利同时发作的,有发热头痛体疼而后吐利虚烦的,或仅吐利心腹刺痛的,或转筋拘急疼痛的,或仅呕吐而无物出的,或四肢逆冷,脉微欲绝的,或烦闷昏塞欲死的,孕妇霍乱吐利,此药都能主治。
香薷叶(四两)、白扁豆、厚朴(各二两)
以上切碎,每次服半两,水一大盏,酒一分,慢火浓煎至六分,去渣,井中浸泡令冰冷,顿服不限时候,连服二三服,立即见效。(《苏沈良方》中名为香茸散,《百问》同,有黄连,无扁豆。)
诃子散 治疗老幼霍乱吐利,一服取效。又治九种心痛及心脾冷痛不可忍。
诃子皮、甘草、厚朴、干姜、草果仁、陈皮、良姜、茯苓、神曲、麦门冬(各等分)
以上研为细末,每次服二钱,等到发作刺痛不可忍时,用水一盏,煎七分,入盐服用,急症时监点(快速服用)。
胡椒汤 治疗霍乱吐利甚妙。
胡椒(四十九粒)、绿豆(一百四十九粒)
以上研为细末,每次服二钱,用木瓜煎汤调下。
【补遗】凡是霍乱身热,脉浮洪而渴的,这一定是胃有热,宜用竹茹汤。吐止,然后用五苓散、不换金正气散、六和汤等治疗。或者若阳气暴绝,四肢逆冷,脉微欲绝,可用理中汤、理中丸、治中汤之类,严重的加附子。如中暑霍乱吐利,曾用香薷散入少许半夏,用生姜自然汁拌和药剂,入铜锅炒干,再入好红曲酒,又拌润药,又炒干,却入水一盏半,煎七分,去渣井中浸冷服用,有效。
[Dai Yuanli] Vomiting accompanied by diarrhea is called Huoluan (cholera-like syndrome). The etiology of this disease stems from deficiency-cold in the stomach and intestines, excessive food intake, and exposure to wind-cold pathogens. This disrupts the harmony of Yin and Yang, causing turbid and clear Qi to interfere with each other, resulting in sudden chaotic vomiting and diarrhea. Some patients experience heart pain followed by vomiting; some have abdominal pain followed by diarrhea; some present with simultaneous vomiting and diarrhea; some exhibit headache, high fever, and a floating-hong (floating and full) pulse; others suffer from sudden collapse of Yang Qi, cold extremities, and a faint pulse nearly imperceptible. Treatment requires distinguishing between Yin and Yang, assessing excess and deficiency, differentiating heat and cold, and examining the pulse. Heat patterns are treated with cooling agents, cold patterns with warming agents, aiming for balance. *Baiwen* states: For Huoluan with vomiting and diarrhea where heat predominates and thirst is present, use Wuling San (Five-Ingredient Powder with Poria). Where cold predominates and there is no desire to drink, use Lizhong Wan (Regulate the Middle Pill). After vomiting and diarrhea cease, if sweating occurs with cold extremities, persistent limb stiffness, and a faint pulse, use Tongmai Sini Jia Zhudanshi Tang (Pulse-Reviving Four Reversal Decoction with Pig Bile). In summer, for Huoluan caused by heatstroke presenting with severe restlessness and thirst, cold extremities, cold sweat, and calf cramps, use Xiangru San (Elsholtzia Powder) decocted strongly and taken cold after cooling. (Generally, a floating-hong pulse in Huoluan indicates an easier prognosis, whereas a faint-slow pulse with shortness of breath indicates a difficult prognosis.)
[Xue Ji] Mr. Jia Yuanliang stated: Summerheat is the manifestation of Ministerial Fire in command. When humans contract summerheat in summer, it enters through the mouth and nose, damaging the meridians of the Pericardium. Symptoms include headache, dry mouth, greasy complexion with spontaneous sweating, fatigue, and shortness of Qi; or aversion to cold on the back but aversion to heat; severely, coma and loss of consciousness; or Huoluan with vomiting and diarrhea, vomiting phlegm, abdominal pain, bloody stools, jaundice, and skin sores. The treatment principle focuses on clearing Heart Fire and promoting urination. If there is spontaneous sweating and severe heat, use Baihu Tang (White Tiger Decoction). If there is headache and aversion to cold, use Shiwei Xiangru San (Ten-Ingredient Elsholtzia Powder). If there is diarrhea, restlessness, thirst, drinking water leading to vomiting and reflux, use Wuling San. If heat is severe with restlessness and thirst, use Yiyuan San (Benefit Origin Powder) to clear heat. If the exterior pattern is resolved but interior heat is severe, use Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity). If the pulse is faint with diarrhea, thirst preferring warmth, or cold extremities with unconsciousness, use Zhuye Shigao Tang (Leaf of Bamboo and Gypsum Decoction) plus half a prepared Aconite root, taken chilled; subsequently treat with Laifu Dan (Restoring Vitality Pellet) and Wuling San. Thus, Li Dongyuan said: With Spleen-Stomach deficiency, during continuous summer rains, one may experience heavy body, shortness of breath, and even flaccidity of limbs, foot deviation, and blacking out of eyes. One should nourish Lung Qi to supplement the source of Water; hence, in May, one often takes formulas containing Wuweizi (Schisandra), Renshen (Ginseng), and Maimendong (Ophiopogon) because heat damages Yuan Qi. This aligns with Zhu Danxi’s concept of "latent Yin inside during summer." Essentially, the human abdomen corresponds to Earth. In the Si month, all Six Yang energies emerge above ground; similarly, human Yang Qi floats to the muscle surface and disperses into the skin and hair, leaving the internal Yang deficient. Added to this are behaviors like seeking cool pavilions, using large fans, drinking cold spring water, eating fruits, and consuming icy substances. These cold factors act from within and without. Without the use of warming herbs, disease arises. Chen Wuzhe stated: For heatstroke, one must absolutely not use cold medicines; only warm nourishment should be used. Exposure to cold leads to death. If hot water is unavailable on the road, apply hot earth to the umbilicus and pour hot urine to revive consciousness, illustrating this point. *Neijing* states: Faint pulse and body heat result from Summerheat injury. *Nanjing* states: Summerheat injury is a direct pathogen, fire originating from the disease itself. The patient dislikes odors; symptoms include body heat, irritability, heart pain, and a floating-large-dispersed pulse. *Shanghan Lun* states: Taiyang Zhongyue (Summerheat in Taiyang) presents with body heat, headache, and a weak pulse, or fever with aversion to cold and a string-tiny-hollow-slow pulse. Generally, Cold damages the Form, while Heat damages Qi. Damaging Qi without damaging Form leads to Qi consumption and a weak pulse. Therefore, ancient sages established that summer is suitable for tonification, which is well-founded. For the aforementioned patterns, if there is internal accumulation and external contraction, use Erchen Tang (Two-Aged Decoction) with modifications; or crush Radish seeds, ingest them to induce vomiting. Drinking rice soup causes death, as discussed previously. If cramps persist, men should pull their genitals, and women should pull their breasts near the sides; this is a wonderful method from *Qianjin Fang*. Gan Huoluan (Dry Cholera) prevents ascending and descending, leading to death shortly; induce vomiting with salt water, then administer Erchen Tang modified with Chuanxiong, Cangzhu, Fangfeng, Baizhi, and Ginger. If defecation is obstructed despite urgency, add Zhiqiao. For Huoluan caused by eating melons/fruits, drinking cold liquids, or exposure to wind, use Liuhe Tang (Six-Harmony Decoction) with doubled Huoxiang. Generally, death from heatstroke occurs because Yuan Qi is weak, allowing Summerheat to invade, causing diarrhea and sudden Yang collapse. This is essentially a Yin-Cold pattern; urgently tonify Yang to preserve life. Delay means no rescue. Others stubbornly attribute it to Summerheat and administer cold medicines, rarely avoiding error. Therefore, I follow with formulas for restoring Yang and securing the Root.
Modified Lizhong Wan: Main formula for acute Huoluan, also applicable to men.
Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Ganjiang (Dried Ginger), Gancao (Licorice Root) (each 1 liang).
Grind into fine powder, make pills with refined honey. Each liang makes five pills. Take one pill dissolved in decoction, three times daily. For more vomiting and less diarrhea, take three roasted Zhisshi (Immature Bitter Orange), remove seeds, cut into four pieces, boil in 3 sheng water to obtain 1 sheng, dissolve one pill. For less vomiting and more diarrhea, add 1 liang Ganjiang. For vomiting, diarrhea, and dry heaving, take 0.5 liang Banxia (Pinellia Tuber), soak and wash to remove slipperiness, boil in 2 sheng water to obtain 1 sheng, dissolve one pill. For unbearable body pain, take three dates, boil in 2 sheng water to obtain 1 sheng, dissolve one pill. For extreme vomiting/diarrhea with cramps, wash the abdomen and kidney area with Leizhi juice (Chinese chive juice) from chest to ankle without reversing direction to stop symptoms. For cold body with slight sweat and cold abdomen, take one Paofu Zi (Prepared Aconite Root), peel, cut into four pieces, boil in 2 sheng water to obtain 1 sheng, dissolve one pill. If vomiting/diarrhea cease, pulse is absent, and body remains cold, various tonic decoctions may be used.
Sishun Tang: Treats Huoluan with vomiting, diarrhea, abdominal pain, cold extremities, and faint pulse.
Fuzi (Aconite Lateralis Radix Praeparata) (one piece, broken into eight), Ganjiang (three liang), Renshen, Gancao (each one liang).
Cut into pieces, decoct in water and take.
Sini Jia Zhudanshi Tang: Treats cessation of vomiting and diarrhea, sweating with cold extremities, persistent limb stiffness, and faint pulse.
Gancao (two liang), Ganjiang (three liang), Fuzi (one piece, raw), Zhudanshi (Pig Bile) (half he).
Decoct the first three ingredients. Take 5 qian per dose, boil 3 zhan water down to 2 zhan, strain, add Pig Bile, divide into two doses, take warm. Pulse will return.
Xiangru San: Treats disharmony of cold/heat in organs, irregular diet, excessive consumption of raw/cold/fishy foods, irregular lifestyle, sleeping in damp places, or exposure to wind while cooling. Wind-cold Qi returns to the Sanjiao, transmits to Spleen/Stomach. Cold Spleen/Stomach cannot digest food/water, causing true/pathogenic interference, weakening intestines/stomach. Dietary chaos leads to vomiting/diarrhea, heart/abdominal pain, Huoluan with rebellious Qi. Patterns include heart pain before vomiting, abdominal pain before diarrhea, simultaneous vomiting/diarrhea, fever/headache/body ache followed by vomiting/diarrhea with empty irritability, stabbing heart/abdominal pain during vomiting/diarrhea, cramping stiffness/pain, vomiting without material expulsion, cold extremities with faint pulse, or severe oppression/coma threatening death. Pregnant women with Huoluan vomiting/diarrhea can also be treated.
Xiangru Ye (Elsholtzia Leaf) (4 liang), Baibian Dou (White Hyacinth Bean), Houpo (Magnolia Bark) (each 2 liang).
Cut into pieces. Take 0.5 liang per dose, decoct with 1 large zhan water and 1 fen wine over slow fire until 6 fen remains. Strain, immerse in well water until ice-cold. Take in one gulp at any time. Two to three doses yield immediate miraculous effects. (*Su Shen Liang Fang* calls it Xiangrong San; *Baiwen* agrees, adding Huanglian, omitting Baibian Dou).
Hezi San: Treats Huoluan vomiting/diarrhea in old and young, effective in one dose. Also treats nine types of heart pain and unbearable cold pain in heart/Spleen.
Hezi Pi (Chebula Epicarpium), Gancao, Houpo, Ganjiang, Caoguoren (Tsaoko Cardamom Seed), Chenpi (Citrus Reticulata Peel), Liangjiang (Galangal Rhizome), Fuling (Poria), Shenqu (Medicated Leaven), Maimendong (each equal parts).
Grind into fine powder. Take 2 qian per dose. When stabbing pain becomes unbearable, decoct in 1 zhan water to 7 fen, add salt, take immediately.
Hujiao Tang: Excellent for Huoluan vomiting/diarrhea.
Hujiao (Pepper) (49 grains), Ludou (Mung Bean) (149 grains).
Grind into fine powder. Take 2 qian per dose, mixed with Mugua (Chaenomeles Fruit) decoction.
[Supplement] For Huoluan with body heat, floating-hong pulse, and thirst, this indicates Stomach Heat; use Zhuru Tang (Bamboo Shavings Decoction). After vomiting stops, treat with Wuling San, Buhuanjin Zhengqi San, or Liuhe Tang. If Yang Qi suddenly collapses with cold extremities and faint pulse, use Lizhong Tang, Lizhong Wan, or Zhizhong Tang, adding Fuzi for severe cases. For heatstroke Huoluan vomiting/diarrhea, I once used Xiangru San with a little Banxia, mixed with fresh Ginger juice, stir-fried in a copper pot until dry, then added good Red Qu Wine, moistened again, stir-fried dry, added 1.5 zhan water, decocted to 7 fen, strained, cooled in well water, and taken effectively.