流水汤，主虚烦不得眠方。
半夏（二两，洗十遍） 粳米（一升） 茯苓（四两）
上三味，切，以东流水二斗，扬之三千遍，令劳，煮药，取五升，分服一升，日三夜再。
忌羊肉、饧、醋物。有半夏必须着生姜四两，不尔，戟人咽，不审古方，何以如此，今改正
之。
大乌梅汤，治被下之以后，虚烦燥不得眠，剧者颠倒，心中懊 方。
大乌梅（十四枚，擘） 好豉（七合）
凡二物，以水四升煮梅，令得二升半，纳豉令四五沸，得一升半，分二服。
要方第四卷所治如下∶
治霍乱诸方
治中恶诸方
治食毒诸方
治中蛊毒诸方
治吐下血鼻衄尿血诸方
治发黄患淋诸方
上六件
霍乱吐痢，心烦，乱发汤主之方。
乱发（一枚，如鸭子大，烧令焦） 人参（一两） 吴茱萸（一升） 甘草（一两，炙）
上四味，切，以水三升，酒二升，煮取二升，绞去滓，温服五合。忌海藻、菘菜。
治霍乱吐痢，已服理中及四顺汤不解者，以竹叶汤方。
竹叶（一虎口，寸切之） 小麦（一升） 生姜（十两） 甘草（一两，炙） 人参（一
两） 附
子（一两，炮） 肉桂（二两） 当归（二两） 芍药（一两） 白术（三两） 橘皮（二
两）
上十一味，以水一斗半，先煮小麦、竹叶，取八升汁，去滓，纳诸药，煮取二升半，分
三服。吐痢后腹满，加浓朴二两，炙；上气，加吴茱萸半升，瘥。理中、四顺则大热，热毒
霍乱宜竹叶汤。忌生葱、海藻、菘菜、猪肉、桃李、雀肉等。
霍乱吐痢而汗出，小便复利，或下利清谷，里外无热，脉微欲绝，或恶寒，四肢拘急，
手足厥逆，四逆加猪胆汤主之方。
甘草（二两，炙） 干姜（半两，炮） 附子（一枚，生去皮，破八片） 猪胆汁（半
合）
上四味，切，以水二升，煮取一升四合，温分再服。无猪胆，以羊胆代之。强人可与大
附子一枚，干姜加至三两。若吐之后，吸吸少气者，及下而腹满者，加人参一两，诸药皆减
为一两。如证者，亦宜与理厥人参汤佳。忌海藻、菘菜、猪肉。
四顺汤，与前治同，常用此方。
人参（三两，一方二两） 干姜（三两，一方一两） 甘草（三两，一方一两，炙） 附
子（二
两，《范汪方》用一两）
上四味，切，以水六升，煮取二升，绞去滓，温分三服。转筋肉冷，汗出呕哕者良。忌
海藻、菘菜、猪肉。《范汪方》云∶利甚者加龙骨二两炒。
白丸，治霍乱呕吐及暴痢良方。
半夏（三两，洗） 附子（四两，炮） 干姜（四两，炮） 人参（三两） 桔梗（二
两）
上五味，作散，临病和之，若吐痢不止者，以苦酒和之，饮服二丸如梧子，不瘥复服，
耐药者加之以意，下者以蜜和丸亦得。忌猪羊肉、饧。
理中汤，治霍乱吐下，胀满，食不消，心腹痛方。
人参（三两） 白术（三两） 甘草（三两，炙） 干姜（三两）
上四味，以水六升，煮取三升，绞去滓，温分三服。不瘥，频进两三剂。远行防霍乱，
作丸如梧子，服二十丸。散服方寸匕，酒服亦得。若转筋者，加石膏三两。忌海藻、菘菜、
桃李、雀肉等。
治心腹暴痛，及宿食不消，或宿冷烦满，成霍乱方。
作盐汤三升，使极咸，热饮一二升，刺吐，令宿食尽，不吐复服，吐讫复饮，三吐乃佳，
须净乃止，胜诸汤丸。
霍乱腹疼吐下方。
取桃叶，冬天用皮，绞取汁，一服一杯，立愈。亦可浓煮，饮三升。
治霍乱腹痛，胀满短气，不得吐下，灸不效者，热伏心脏中，烦闷郁郁者方。
可取白粉，水和如糜汁，倾之顿饮一升许，即吐者便愈。不吐者刺吐之。永不吐者，皆
危也。无粉者，折秫米取汁。
治霍乱洞下腹痛方。
以艾一把，以水三升，煮得一升，顿服之良。
霍乱脐上筑者，肾气动也，先治气，理中汤去术加桂。凡方加术者，以内虚也；加桂者，
恐作奔豚也，理中汤方。
人参（三两） 甘草（三两，炙） 白术（三两） 干姜（三两，炮）
上四味，切，以水八升，煮取三升，去滓，温服一升，日三夜一。若脐上筑者，肾气动
也，去术加桂心四两；吐多者，去术加生姜三两；若下多者，复用术，悸者加茯苓二两；若
病先时渴喜得水者，加术合前成四两半；若腹中痛者，加人参合前成四两半；若恶寒者，加
干姜合前成四两半；若腹满者，去术加附子一枚，炮去皮、破六片。服汤后一食顷，饮热粥
一升许，汗微出自温，勿发揭衣被也。忌海藻、菘菜、桃李、雀肉等。
霍乱脐上筑者，以吐多故也，若吐多者，理中汤主之，如前法加减。霍乱四逆，吐少呕
多者，附子粳米汤主之方。
附子（一枚，炮去皮，破六片） 半夏（半升，洗，完用） 甘草（一两，炙） 大
枣（十
枚，擘） 粳米（半升）
上五味，切，以水八升，煮米熟，去滓，温服一升，日三。忌羊肉、猪肉、海藻、菘菜、
饧。
霍乱卒吐下不禁，脉暴数者，人参汤主之方。
人参（二两） 茯苓（二两） 葛根（二两） 橘皮（二两） 麦门冬（去心，二两，）
甘草（二
两，炙）
上六味，切，以水五升，煮取二升，绞去滓，温分三服。忌海藻、菘菜、酢物。
扶老理中散，并作丸，长服亦得，治羸老冷气恶心，食饮不化，腹虚满，拘急短气，及
霍乱吐逆，四肢厥冷，心烦，气闷，流汗，悉主之方。
人参（五两） 干姜（六两） 白术（五两） 麦门冬（六两，去心） 附子（三两，
炮） 茯
苓（三两） 甘草（五两，炙）
上七味，作散，临病煮取三合，白汤饮和方寸匕。一服不效又服。常将蜜丸酒服，如梧
子二十丸。忌海藻、菘菜、猪肉、桃李、雀肉、大醋。
治干呕逆哕，手足厥冷，橘皮汤方。
橘皮（四两） 生姜（半斤）
凡二物，以水七升，煮取三升，一服一升，汤下咽即愈。
霍乱多寒，手足寒厥，脉绝，茱萸四逆汤主之方。
吴茱萸（二升） 当归（三两） 芍药（二两） 桂心（四两） 细辛（二两） 生姜
（半斤）
通草（二两） 甘草（二两）
凡八物，以水四升，清酒四升，合煮取三升，分四服。
治霍乱，或引饮，饮辄干呕方。
生姜五两，以水五升，煮令得二升半，分再服，良。
又方
煮高良姜饮之，大佳。
治霍乱烦渴者方。
粢米汁泔，饮数升，立瘥。
又方
取新汲冷水饮之。
治中热，暴下利，霍乱变热，心烦脉数者方。
饮新出井水一升，立愈。饮多益善。此治，是胃中多热者也。无热者，慎之，不可与也。
荠汤，治先有石热，因霍乱吐下，服诸热药，吐下得止，因空虚，仍变烦，手足热，口燥
，欲得水，吐逆迷闷，脉急数者，及时行热病后，毒未尽，因霍乱吐下，仍发热烦闷，胸心
欲破裂者方。
荠 （二两） 人参（二两） 浓朴（二两） 知母（二两） 栝蒌（二两） 葛根（二
两） 枳
实（
芩（二两）
甘草（二两）
凡十四物，以水八升，煮取三升，分五服。
治霍乱烦扰，未得吐下方。
煮香薷汁浓，热饮之。
霍乱吐下，汗出肉冷转筋，呕逆烦闷，欲得冷水者方。
可与浓朴、葛根饮，进沾喉中而已。慎勿与米饮及粥，但与此单行饮，以代米饮水浆也。
又方
取藿香一把，以水四升，煮取一升，顿服立愈。
又方
煮青木香汁饮，至佳。
若霍乱注痢不止，而转筋入腹欲死者方。
生姜三两，捣破，以酒一升，煮三四沸，顿服之。
霍乱转筋入腹，不可奈何方。
极咸作盐汤，于槽中暖渍之，则瘥。
又方
以醋煮青布， 之脚膝，冷复易之
又方
蓼一把，去两头，以水二升，煮取一升，顿服。
治霍乱转筋方。
可以白 煮粉，及热洗之。
治霍乱呕 ，气厥不得喘息，豉汤方。
豉（一升） 半夏（一两，洗） 生姜（二两） 人参（一两） 柴胡（一两） 甘草
（一两，
炙）
上六物，切，以水五升，煮取二升半，温服七合，忌羊肉、饧、海藻、菘菜等。
治卒道中得霍乱，无有方药，气息危急，医视舍去，皆云必死，治之方。
芦蓬茸一大把，煮令味浓，顿服二升则瘥。已用有效。食中鱼蟹毒者，服之尤良。
治霍乱，诸药不能治，乱发汤方。
乱发（握如鸡子，熬令焦） 小蒜（十四枚） 附子（一两，炮） 甘草（三两，炙）
上四味，切，以水六升，煮取三升，去滓，温分三服。忌猪肉、海藻、菘菜。
凡霍乱，医所不治方。
童女月衣，合血烧，酒服方寸匕，秘方。汤药灸周 不瘥，服之立愈。
流水汤，主治虚烦导致无法入睡的方剂。
半夏（二两，清洗十遍） 粳米（一升） 茯苓（四两）
以上三味药，切碎，用东流水二斗，反复扬洒三千次，使其动荡，然后煮药，取药液五升，分次服用，每次一升，白天服三次，夜间服两次。
忌食羊肉、饴糖、醋制食物。如果有半夏，必须加入生姜四两，否则半夏会刺激咽喉；不知古人为何如此，现予以改正。
大乌梅汤，主治被误用下法之后，出现虚烦燥热无法入睡，严重者出现神志颠倒、心中懊恼不快的方剂。
大乌梅（十四枚，掰开） 优质豆豉（七合）
以上两味药，用水四升煮乌梅，待水量减至二升半时，放入豆豉，煮沸四五次，得到药液一升半，分两次服用。
《要方》第四卷所收录的治疗如下：
治疗霍乱的诸方
治疗中恶的诸方
治疗食物中毒的诸方
治疗中蛊毒的诸方
治疗吐血、下血、鼻衄、尿血的诸方
治疗发黄兼患淋证的诸方
以上六类
霍乱伴有呕吐腹泻，心烦意乱，乱发汤主治的方剂。
乱发（一枚，如鸭子大小，烧至焦黑） 人参（一两） 吴茱萸（一升） 甘草（一两，炙烤）
以上四味药，切碎，用水三升、酒二升，煎煮取药液二升，过滤去渣，温服五合。忌食海藻、白菜。
治疗霍乱呕吐腹泻，已经服用理中汤及四顺汤但无效的，使用竹叶汤方剂。
竹叶（一把，切成寸段） 小麦（一升） 生姜（十两） 甘草（一两，炙烤） 人参（一两） 附子（一两，炮制） 肉桂（二两） 当归（二两） 芍药（一两） 白术（三两） 橘皮（二两）
以上十一味药，用水一斗半，先煮小麦和竹叶，取汁八升，去渣，加入其余药物，煎煮取药液二升半，分三次服用。呕吐腹泻后腹部胀满的，加炙厚朴二两；气逆上冲的，加吴茱萸半升，病愈。理中汤、四顺汤药性大热，热毒型霍乱适宜用竹叶汤。忌食生葱、海藻、白菜、猪肉、桃李、雀肉等。
霍乱呕吐腹泻且出汗，小便反而通利，或者下利清谷（排出未消化的食物），体内体外均无热象，脉微细几乎摸不到，或者恶寒，四肢拘挛紧急，手足冰冷厥逆，四逆加猪胆汁汤主治的方剂。
甘草（二两，炙烤） 干姜（半两，炮制） 附子（一枚，生用，去皮，破成八片） 猪胆汁（半合）
以上四味药，切碎，用水二升，煎煮取药液一升四合，温服，分两次服用。若无猪胆，可用羊胆代替。体质强壮的人可给一枚大附子，干姜加至三两。若呕吐之后，呼吸微弱短气的，以及泻下后腹部胀满的，加人参一两，所有药物剂量均减为一两。如果是上述证候，也适宜服用理厥人参汤为佳。忌食海藻、白菜、猪肉。
四顺汤，与前文治疗相同，常使用该方剂。
人参（三两，另一版本为二两） 干姜（三两，另一版本为一两） 甘草（三两，另一版本为一两，炙烤） 附子（二两，《范汪方》用一两）
以上四味药，切碎，用水六升，煎煮取药液二升，过滤去渣，温服，分三次服用。若出现转筋、肌肉冷、出汗、呕吐呃逆者，服用此方效果良好。忌食海藻、白菜、猪肉。《范汪方》说：腹泻严重的加炒龙骨二两。
白丸，治疗霍乱呕吐及急性腹泻的良好方剂。
半夏（三两，清洗） 附子（四两，炮制） 干姜（四两，炮制） 人参（三两） 桔梗（二两）
以上五味药，制成散剂，发病时调和服用。若呕吐腹泻不止，用醋调和服用，每次服两丸如梧桐子大小，若无效再服，根据耐药情况酌情增加剂量。若以下利为主，用蜜调和做成丸剂也可以。忌食猪羊肉、饴糖。
理中汤，治疗霍乱呕吐下利，腹胀满，食物不消化，心腹疼痛的方剂。
人参（三两） 白术（三两） 甘草（三两，炙烤） 干姜（三两）
以上四味药，用水六升，煎煮取药液三升，过滤去渣，温服，分三次服用。若无效，频繁进服两三剂。长途旅行预防霍乱，可制成如梧桐子大小的丸剂，每次服二十丸。散剂每次服一方寸匕，用酒送服也可以。若出现转筋的，加石膏三两。忌食海藻、白菜、桃李、雀肉等。
治疗心腹突发疼痛，以及宿食不消化，或宿冷导致烦闷胀满，进而形成霍乱的方剂。
制作三升极咸的盐汤，趁热饮用一二升，诱发呕吐，使宿食排尽，若不吐则再次服用，吐完后再次饮用，催吐三次为佳，直到吐净为止，优于各种汤剂和丸剂。
霍乱腹痛呕吐下利的方剂。
取桃叶，冬天用桃树皮，绞取汁液，一次服用一杯，立即痊愈。也可以浓煮，饮用三升。
治疗霍乱腹痛，胀满短气，无法呕吐或下利，艾灸无效的，因热邪伏于心脏中，烦闷郁郁的方剂。
可取米粉，用水调成稀粥状，一次性顿饮约一升，能吐出的便痊愈。不能吐出的，针刺催吐。永远不能吐出的，都是危重病症。没有米粉的，折断秫米取汁。
治疗霍乱腹泻剧烈腹痛的方剂。
取艾草一把，用水三升，煎煮取药液一升，一次性服用效果良好。
霍乱患者脐部跳动不安的，是肾气发动所致，先治气，用理中汤去掉白术加上肉桂。凡是方剂中加入白术的，是因为内部虚弱；加入肉桂的，是担心发生奔豚病。理中汤方剂组成如下：
人参（三两） 甘草（三两，炙烤） 白术（三两） 干姜（三两，炮制）
以上四味药，切碎，用水八升，煎煮取药液三升，过滤去渣，温服一升，白天服三次，夜间服一次。若脐部跳动不安的，是肾气发动所致，去掉白术加肉桂心四两；呕吐多的，去掉白术加生姜三两；若下利多的，重新使用白术，心悸的加茯苓二两；若病前口渴喜欢喝水的，加白术合前总量成四两半；若腹中痛的，加人参合前总量成四两半；若恶寒的，加干姜合前总量成四两半；若腹部胀满的，去掉白术加附子一枚，炮制去皮，破成六片。服药后一顿饭的时间，喝热粥约一升，微微出汗即自温，不要掀开衣被。忌食海藻、白菜、桃李、雀肉等。
霍乱脐部跳动不安的，是因为呕吐过多所致，若呕吐多者，理中汤主治，按前述方法加减。霍乱四肢厥逆，呕吐少而呃逆多的，附子粳米汤主治的方剂。
附子（一枚，炮制去皮，破成六片） 半夏（半升，清洗，完整使用） 甘草（一两，炙烤） 大枣（十枚，掰开） 粳米（半升）
以上五味药，切碎，用水八升，煮米熟透，去渣，温服一升，每天三次。忌食羊肉、猪肉、海藻、白菜、饴糖。
霍乱突然呕吐下利不止，脉搏突然急促数动的，人参汤主治的方剂。
人参（二两） 茯苓（二两） 葛根（二两） 橘皮（二两） 麦门冬（去心，二两） 甘草（二两，炙烤）
以上六味药，切碎，用水五升，煎煮取药液二升，过滤去渣，温服，分三次服用。忌食海藻、白菜、醋制食物。
扶老理中散，也可做成丸剂，长期服用也可以，治疗瘦弱老人冷气恶心，饮食不化，腹部虚胀，拘急短气，以及霍乱呕吐逆气，四肢厥冷，心烦，气闷，流汗，全部主治的方剂。
人参（五两） 干姜（六两） 白术（五两） 麦门冬（六两，去心） 附子（三两，炮制） 茯苓（三两） 甘草（五两，炙烤）
以上七味药，制成散剂，发病时煎煮取三合，用白开水调和一方寸匕服用。一次服用无效再服。常备蜜丸用酒送服，如梧桐子大小二十丸。忌食海藻、白菜、猪肉、桃李、雀肉、大醋。
治疗干呕逆气呃逆，手足厥冷的，橘皮汤方剂。
橘皮（四两） 生姜（半斤）
以上两味药，用水七升，煎煮取药液三升，一次服用一升，汤药咽下即愈。
霍乱多寒症，手足寒冷厥逆，脉搏断绝，茱萸四逆汤主治的方剂。
吴茱萸（二升） 当归（三两） 芍药（二两） 桂心（四两） 细辛（二两） 生姜（半斤）
通草（二两） 甘草（二两）
以上八味药，用水四升，清酒四升，混合煎煮取药液三升，分四次服用。
治疗霍乱，或者想饮水，一喝水就干呕的方剂。
生姜五两，用水五升，煎煮取药液二升半，分两次服用，效果良好。
又一方
取新打的冷水饮用。
治疗中暑，急性腹泻，霍乱变热，心烦脉搏数的方剂。
饮用刚从井里打出的水一升，立即痊愈。喝得多更好。这是治疗胃中多热的。没有热症的，慎重，不可给予。
荠汤，主治原本有石热（结石之热），因霍乱呕吐下利，服用各种热药后，呕吐下利停止，但因身体空虚，仍然变为烦热，手足发热，口干燥，想要喝水，呕吐逆气昏迷闷乱，脉搏急数的，以及时行热病后，毒邪未尽，因霍乱呕吐下利，仍然发热烦闷，胸心欲破裂的方剂。
荠（二两） 人参（二两） 厚朴（二两） 知母（二两） 栝蒌（二两） 葛根（二两） 枳实（二两） 黄芩（二两） 甘草（二两）
以上十四味药，用水八升，煎煮取药液三升，分五次服用。
霍乱呕吐下利，出汗肌肉冷转筋，呕吐逆气烦闷，想要冷水的方剂。
可以给予厚朴、葛根饮，仅沾润喉咙即可。千万不要给米汤及粥，只给这种单方饮品，以替代米饮水浆。
又一方
取藿香一把，用水四升，煎煮取药液一升，一次性服用立即痊愈。
若霍乱泄泻不止，且转筋入腹快要死去的方剂。
生姜三两，捣碎，用酒一升，煮沸三四次，一次性服用。
霍乱转筋入腹，无可奈何的方剂。
极咸的盐汤，在槽中温暖浸泡双脚，则痊愈。
又一方
用醋煮青布，敷贴脚膝，冷了再换新的。
又一方
取蓼草一把，去掉两头，用水二升，煎煮取药液一升，一次性服用。
治疗霍乱呕吐呃逆，气厥不能喘息的，豉汤方剂。
豆豉（一升） 半夏（一两，清洗） 生姜（二两） 人参（一两） 柴胡（一两） 甘草（一两，炙烤）
以上六味药，切碎，用水五升，煎煮取药液二升半，温服七合，忌食羊肉、饴糖、海藻、白菜等。
治疗突然在路上得霍乱，没有方药，气息危急，医生查看后舍弃离去，都说必死，治疗的方剂。
芦蓬茸一大把，煮至味道浓郁，一次性服用二升则痊愈。已验证有效。食用鱼蟹中毒者，服用此方尤其良好。
治疗霍乱，各种药物不能治愈的，乱发汤方剂。
乱发（握如鸡蛋大小，熬至焦黑） 小蒜（十四枚） 附子（一两，炮制） 甘草（三两，炙烤）
以上四味药，切碎，用水六升，煎煮取药液三升，过滤去渣，温服，分三次服用。忌食猪肉、海藻、白菜。
凡霍乱，医生所不能治疗的方剂。
童女月经衣，与血混合烧灰，用酒送服一方寸匕，秘方。汤药针灸周围都不见效的，服用此方立即痊愈。
Liushui Tang (Flowing Water Decoction) is indicated for deficiency-related vexation and insomnia.
Pinelliae Rhizoma (Banxia, 半夏), two liang, washed ten times; Oryza Sativa Germen (Jingmi, 粳米), one sheng; Poria (Fuling, 茯苓), four liang.
The above three herbs are cut. Using two dou of flowing water from the east, agitate it three thousand times to make it turbulent, then decoct the herbs. Obtain five sheng of liquid. Divide into doses of one sheng each, taken three times during the day and twice at night.
Avoid mutton, malt sugar, and vinegar-preserved foods. When using Pinelliae Rhizoma, Gingeris Rhizoma Recens (Shengjiang, 生姜), four liang, must be added; otherwise, it will irritate the throat. Not knowing why the ancients prescribed it this way, I have corrected it now.
Da Wumei Tang (Large Mume Decoction) is indicated for deficiency-related vexation and restlessness leading to insomnia after erroneous purgative treatment, with severe cases presenting as mental confusion and intra-cardiac discomfort (Xin Zhong Ao Nao, 心中懊憹).
Large Fructus Mume (Wumei, 乌梅), fourteen pieces, broken open; Good quality Semen Sojae Praeparatum (Douchi, 豆豉), seven he.
The above two substances are decocted in four sheng of water. Boil the Mume until the volume reduces to two and a half sheng. Add the Douchi and boil for four or five boils. Obtain one and a half sheng of liquid. Divide into two doses.
The following are treated in Volume Four of Yao Fang:
Formulas for treating Huoluan (Vomiting and Diarrhea Syndrome);
Formulas for treating Zhong'e (Sudden Evil Invasion);
Formulas for treating Food Poisoning;
Formulas for treating Gu Poison (Gu Toxin);
Formulas for treating Hematemesis, Hematochezia, Epistaxis, and Hematuria;
Formulas for treating Jaundice complicated by Lin Syndrome (Strangury);
These six categories.
Huoluan with vomiting, diarrhea, and mental vexation is treated with Luangfa Tang (Hair Burning Decoction).
Luangfa (Burnt Human Hair), one piece, duck-egg sized, burnt until charred; Ren Shen (Ginseng Radix et Rhizoma, 人参), one liang; Evodiae Fructus (Wuzhuyu, 吴茱萸), one sheng; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), one liang, roasted.
The above four herbs are cut. Decoct in three sheng of water and two sheng of wine. Obtain two sheng of liquid. Strain and discard the dregs. Take five he warm. Avoid Seaweed (Haizao, 海藻), Chinese Cabbage (Songcai, 菘菜).
For Huoluan with vomiting and diarrhea, if Lizhong Tang (Regulate the Middle Decoction) and Sishun Tang (Four Smooths Decoction) fail to resolve the condition, use Zhuye Tang (Bamboo Leaf Decoction).
Zhuye (Bamboo Leaves), one handful, cut into inch-lengths; Tritici Fructus (Xiaomai, 小麦), one sheng; Zingiberis Rhizoma Recens (Shengjiang, 生姜), ten liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), one liang, roasted; Ren Shen (Ginseng Radix et Rhizoma, 人参), one liang; Aconiti Lateralis Radix Preparata (Fuzi, 附子), one liang, processed; Cinnamomi Cortex (Rougui, 肉桂), two liang; Angelicae Sinensis Radix (Danggui, 当归), two liang; Paeoniae Radix Alba (Shaoyao, 芍药), one liang; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), three liang; Citri Reticulatae Pericarpium (Chenpi, 橘皮), two liang.
The above eleven herbs are decocted in one and a half dou of water. First decoct the Xiaomai and Zhuye to obtain eight sheng of juice. Strain and discard dregs. Add the remaining herbs and decoct to obtain two and a half sheng. Divide into three doses. If abdominal fullness occurs after vomiting and diarrhea, add Zhi Houpo (Processed Magnolia Bark, 厚朴), two liang. If rebellious Qi rises, add Wuzhuyu, half a sheng. The condition resolves. Lizhong Tang and Sishun Tang are excessively hot; for Huoluan with heat toxin, Zhuye Tang is suitable. Avoid raw scallions, Haizao, Songcai, pork, peaches, plums, sparrow meat, etc.
Huoluan with vomiting, diarrhea, sweating, and paradoxical free urination, or passing undigested food, with no internal or external heat, faint pulse nearly imperceptible, aversion to cold, limb contracture and urgency, and cold extremities (Jue Ni, 厥逆) are treated with Sini Jia Zhu Dan Tang (Cooling Extremities Decoction plus Pig Bile).
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), two liang, roasted; Zingiberis Rhizoma (Ganjiang, 干姜), half a liang, processed; Aconiti Radix (Fuzi, 附子), one piece, raw, skin removed, broken into eight pieces; Porcis Bile (Zhudanshui, 猪胆汁), half a he.
The above four herbs are cut. Decoct in two sheng of water to obtain one and four-tenths sheng. Take warm, divided into two doses. If pig bile is unavailable, sheep bile may substitute. For robust individuals, use one large Fuzi and increase Ganjiang to three liang. If shortness of breath follows vomiting, or abdominal fullness follows purging, add Ren Shen, one liang, and reduce all other herbs to one liang. For such syndromes, Li Jue Renshen Tang (Regulate Cold Ginseng Decoction) is also appropriate. Avoid Haizao, Songcai, pork.
Sishun Tang (Four Smooths Decoction) is used similarly to previous treatments and is commonly employed.
Ren Shen (Ginseng Radix et Rhizoma, 人参), three liang (another version: two liang); Zingiberis Rhizoma (Ganjiang, 干姜), three liang (another version: one liang); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), three liang (another version: one liang, roasted); Aconiti Radix Preparata (Fuzi, 附子), two liang (Fan Wang Fang uses one liang).
The above four herbs are cut. Decoct in six sheng of water to obtain two sheng. Strain and discard dregs. Take warm, divided into three doses. It is effective for muscle cramps, cold limbs, sweating, vomiting, and hiccups. Avoid Haizao, Songcai, pork. Fan Wang Fang states: for severe diarrhea, add Longgu (Fossilized Bones, 龙骨), two liang, roasted.
Bai Wan (White Pills) is an excellent formula for Huoluan with vomiting and acute diarrhea.
Pinelliae Rhizoma (Banxia, 半夏), three liang, washed; Aconiti Radix Preparata (Fuzi, 附子), four liang, processed; Zingiberis Rhizoma (Ganjiang, 干姜), four liang, processed; Ren Shen (Ginseng Radix et Rhizoma, 人参), three liang; Platycodonis Radix (Jiegeng, 桔梗), two liang.
The above five herbs are made into powder. Mix appropriately when treating the patient. If vomiting and diarrhea persist, mix with Cujiu (Vinegar, 苦酒) and take two pills the size of wutong seeds. If ineffective, take again. Adjust dosage according to tolerance. For predominant diarrhea, honey can be used to form pills. Avoid pork, mutton, malt sugar.
Lizhong Tang (Regulate the Middle Decoction) treats Huoluan with vomiting and diarrhea, abdominal fullness, indigestion, and heart/abdominal pain.
Ren Shen (Ginseng Radix et Rhizoma, 人参), three liang; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), three liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), three liang, roasted; Zingiberis Rhizoma (Ganjiang, 干姜), three liang.
The above four herbs are decocted in six sheng of water to obtain three sheng. Strain and discard dregs. Take warm, divided into three doses. If ineffective, administer frequently, two or three courses. For long-distance travel prevention of Huoluan, make pills the size of wutong seeds, taking twenty per dose. Powder dose is one fangcun bi (square-inch spoonful). Taking with wine is also acceptable. If muscle cramps occur, add Shigao (Gypsum Fibrosum, 石膏), three liang. Avoid Haizao, Songcai, peaches, plums, sparrow meat, etc.
To treat sudden heart/abdominal pain, retained food not digesting, or old cold causing vexation and fullness leading to Huoluan:
Prepare three sheng of extremely salty salt soup. Drink one or two sheng while hot to induce vomiting, ensuring retained food is expelled. If vomiting does not occur, drink again. After vomiting, drink again. Three inductions are ideal. Stop only when empty. This method surpasses various decoctions and pills.
Formula for Huoluan with abdominal pain, vomiting, and diarrhea:
Take peach leaves; in winter, use the bark. Juice them. Take one cup per dose. Cure immediately. Alternatively, decoct strongly and drink three sheng.
For Huoluan with abdominal pain, fullness, shortness of breath, inability to vomit or purge, where moxibustion is ineffective, due to heat hiding in the heart causing vexation and depression:
Take rice flour, mix with water to form a thin gruel. Drink about one sheng at once. If vomiting occurs, cure. If not, induce vomiting via stimulation. If vomiting never occurs, the condition is critical. If flour is unavailable, break Sorghum (Shumi, 秫米) to extract juice.
Formula for Huoluan with profuse diarrhea and abdominal pain:
Take one handful of Artemisia Argyi (Aiye, 艾), decoct in three sheng of water to obtain one sheng. Drink at once for good effect.
When Huoluan presents with pulsation above the umbilicus, it indicates Kidney Qi movement. Treat the Qi first using Lizhong Tang removing Baizhu and adding Rougui (Cinnamon Twig/Bark, 桂). Adding Baizhu addresses internal deficiency; adding Rougui prevents Ben Tun (Running Piglet Syndrome, 奔豚). Lizhong Tang composition:
Ren Shen (Ginseng Radix et Rhizoma, 人参), three liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), three liang, roasted; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), three liang; Zingiberis Rhizoma (Ganjiang, 干姜), three liang, processed.
The above four herbs are cut. Decoct in eight sheng of water to obtain three sheng. Strain and discard dregs. Take one sheng warm, three times daily and once at night. If pulsation above the umbilicus (Kidney Qi movement), remove Baizhu and add Rou Xin (Cinnamon Heart, 桂心), four liang. For excessive vomiting, remove Baizhu and add Shengjiang (Fresh Ginger, 生姜), three liang. For excessive diarrhea, reuse Baizhu. For palpitations, add Fuling (Poria, 茯苓), two liang. If thirsty and desiring water prior to illness, add Baizhu to total four and a half liang. If abdominal pain, add Ren Shen to total four and a half liang. If aversion to cold, add Ganjiang to total four and a half liang. If abdominal fullness, remove Baizhu and add Fuzi (Aconite Root, 附子), one piece, processed, skin removed, broken into six pieces. One meal period after taking the decoction, drink about one sheng of hot porridge. Mild sweating indicates self-warming. Do not uncover clothes or blankets. Avoid Haizao, Songcai, peaches, plums, sparrow meat, etc.
Pulsation above the umbilicus in Huoluan is due to excessive vomiting. For excessive vomiting, Lizhong Tang is primary, with modifications as described. For Huoluan with Jue Ni (Cold Extremities), less vomiting but more hiccups, Fuzi Jingmi Tang (Aconite and Rice Decoction) is indicated.
Aconiti Radix Preparata (Fuzi, 附子), one piece, processed, skin removed, broken into six pieces; Pinelliae Rhizoma (Banxia, 半夏), half a sheng, washed, used whole; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), one liang, roasted; Ziziphi Jujubae Fructus (Dazao, 大枣), ten pieces, broken open; Oryza Sativa Germen (Jingmi, 粳米), half a sheng.
The above five herbs are cut. Decoct in eight sheng of water until rice is cooked. Strain and discard dregs. Take one sheng warm, three times daily. Avoid mutton, pork, Haizao, Songcai, malt sugar.
For sudden uncontrollable vomiting and diarrhea in Huoluan with rapid pulse, Renshen Tang (Ginseng Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 人参), two liang; Poria (Fuling, 茯苓), two liang; Puerariae Radix (Gegen, 葛根), two liang; Citri Reticulatae Pericarpium (Chenpi, 橘皮), two liang; Ophiopogonis Tuber (Mendong, 麦门冬), two liang, heart removed; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), two liang, roasted.
The above six herbs are cut. Decoct in five sheng of water to obtain two sheng. Strain and discard dregs. Take warm, divided into three doses. Avoid Haizao, Songcai, vinegar products.
Fulao Lizhong San (Support-Elder Regulate-Middle Powder), which can also be made into pills for long-term use, treats emaciated elderly patients with cold qi, nausea, indigestion, abdominal deficiency-fullness, contracture, shortness of breath, Huoluan with vomiting/reversal, cold extremities, vexation, chest oppression, and sweating.
Ren Shen (Ginseng Radix et Rhizoma, 人参), five liang; Zingiberis Rhizoma (Ganjiang, 干姜), six liang; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), five liang; Ophiopogonis Tuber (Mendong, 麦门冬), six liang, heart removed; Aconiti Radix Preparata (Fuzi, 附子), three liang, processed; Poria (Fuling, 茯苓), three liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), five liang, roasted.
The above seven herbs are made into powder. When treating, decoct to obtain three he. Mix one fangcun bi with plain water and drink. If one dose is ineffective, take another. Usually prepared as honey pills taken with wine, twenty pills the size of wutong seeds. Avoid Haizao, Songcai, pork, peaches, plums, sparrow meat, strong vinegar.
For dry retching, reversal, hiccups, and cold extremities, Chenpi Tang (Tangerine Peel Decoction) is indicated.
Citri Reticulatae Pericarpium (Chenpi, 橘皮), four liang; Zingiberis Rhizoma Recens (Shengjiang, 生姜), half a jin.
The above two herbs are decocted in seven sheng of water to obtain three sheng. Take one sheng per dose. Cure upon swallowing.
For Huoluan with excess cold, cold extremities, and absent pulse, Zhuyu Sini Tang (Evodia Cooling-Extremities Decoction) is indicated.
Evodiae Fructus (Wuzhuyu, 吴茱萸), two sheng; Angelicae Sinensis Radix (Danggui, 当归), three liang; Paeoniae Radix Alba (Shaoyao, 芍药), two liang; Cinnamomi Cortex (Guixin, 桂心), four liang; Asari Radix et Rhizoma (Xixin, 细辛), two liang; Zingiberis Rhizoma Recens (Shengjiang, 生姜), half a jin; Tetrapanacis Medulla (Tongcao, 通草), two liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), two liang.
The above eight herbs are decocted together in four sheng of water and four sheng of clear wine to obtain three sheng. Divide into four doses.
For Huoluan with desire to drink but immediate dry retching upon drinking:
Decoct five liang of Shengjiang (Fresh Ginger, 生姜) in five sheng of water to obtain two and a half sheng. Divide into two doses. Effective.
Another Formula:
Decoct Galangal (Gaoliangjiang, 高良姜) and drink. Very good.
For Huoluan with vexation and thirst:
Drink Ji Mi Jiang (Millet Wash Water, 粢米汁泔) several sheng. Cure immediately.
Another Formula:
Drink newly drawn cold well water.
For Heat Stroke, acute diarrhea, Huoluan transforming into heat, vexation, and rapid pulse:
Drink one sheng of fresh well water. Cure immediately. More is better. This treats Stomach Heat. Caution: do not give if there is no heat.
Qi Tang (Shepherd's Purse Decoction) treats pre-existing Stone Heat (Shi Re, 石热) where Huoluan vomiting/diarrhea stopped after taking various hot medicines, leading to emptiness, subsequent transformation into vexation, hot extremities, dry mouth, desire for water, vomiting/reversal, coma/oppression, and rapid/tight pulse. It also treats post-epidemic heat disease where toxins remain, Huoluan vomiting/diarrhea causes persistent fever/vexation, and chest/heart feels like bursting.
Shepherd's Purse (Qicai, 荠), two liang; Ren Shen (Ginseng Radix et Rhizoma, 人参), two liang; Magnolia Bark (Houpo, 厚朴), two liang; Anemarrhenae Rhizoma (Zhimu, 知母), two liang; Trichosanthis Radix (Gualou, 栝蒌), two liang; Puerariae Radix (Gegen, 葛根), two liang; Immature Bitter Orange (Zhishi, 枳实), two liang; Scutellariae Radix (Huangqin, 黄芩), two liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), two liang.
The above fourteen herbs are decocted in eight sheng of water to obtain three sheng. Divide into five doses.
For Huoluan with vexation where vomiting/purging has not yet occurred:
Decoxicate Elsholtzia (Xiangru, 香薷) strongly and drink hot.
For Huoluan with vomiting/diarrhea, sweating, cold muscles/cramps, vomiting/reversal, vexation, and desire for cold water:
Provide Houpo (Magnolia Bark, 厚朴) and Gegen (Kudzu Root, 葛根) drink. Just moisten the throat. Do NOT provide rice water or porridge. Use only this single herb drink to replace fluids.
Another Formula:
Take Huoxiang (Patchouli, 藿香), one handful. Decoct in four sheng of water to obtain one sheng. Drink at once for immediate cure.
Another Formula:
Decoct Aquilariae Lignum Resinatum (Qingmuxiang, 青木香) juice and drink. Excellent.
For Huoluan with unceasing diarrhea and cramps entering the abdomen approaching death:
Crush three liang of Shengjiang (Fresh Ginger, 生姜). Decoct in one sheng of wine for three or four boils. Drink at once.
For Huoluan cramps entering the abdomen, helpless case:
Make extremely salty salt soup. Warm and soak feet in a trough. Cure.
Another Formula:
Boil green cloth in vinegar. Apply to feet/knees. Replace when cool.
Another Formula:
Take Polygoni Orientalis Herba (Liao, 蓼), one handful, remove ends. Decoct in two sheng of water to obtain one sheng. Drink at once.
For Huoluan cramps:
Can use Bai Fen (White Flour/Rice Powder, 白粉) boiled in water, and hot washes.
For Huoluan vomiting/hiccups, Qi reversal preventing breathing, Chitang (Fermented Soybean Decoction):
Semen Sojae Praeparatum (Chi, 豉), one sheng; Pinelliae Rhizoma (Banxia, 半夏), one liang, washed; Zingiberis Rhizoma Recens (Shengjiang, 生姜), two liang; Ren Shen (Ginseng Radix et Rhizoma, 人参), one liang; Bupleuri Radix (Chaihu, 柴胡), one liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), one liang, roasted.
The above six herbs are cut. Decoct in five sheng of water to obtain two and a half sheng. Take seven he warm. Avoid mutton, malt sugar, Haizao, Songcai.
For sudden Huoluan contracted on the road, without medicine, critical breath, doctors abandoning saying it is fatal, this treatment applies:
Reed Catkin (Lupengrong, 芦蓬茸), one large handful. Decoct until strong flavor. Drink two sheng at once for cure. Proven effective. Especially good for fish/crab poisoning.
For Huoluan untreatable by other drugs, Luangfa Tang (Hair Burning Decoction):
Luangfa (Burnt Human Hair, 乱发), fist-sized, burnt charred; Allium Fistulosum (Xiosuan, 小蒜), fourteen pieces; Aconiti Radix Preparata (Fuzi, 附子), one liang, processed; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), three liang, roasted.
The above four herbs are cut. Decoct in six sheng of water to obtain three sheng. Strain and discard dregs. Take warm, divided into three doses. Avoid pork, Haizao, Songcai.
For Huoluan untreatable by physicians:
Menstrual cloth from an unmarried girl, mixed with blood and burnt to ash. Take one fangcun bi with wine. Secret recipe. If decoctions, acupuncture, and moxibustion fail, this cures immediately.