（附论）
夫霍乱者。多吐痢也。干霍乱者。冷气碍于胃。饮食不消。但腹满闷乱。绞痛短气。其
肠胃
方
浓朴汤（出圣济总录）治干霍乱。
浓朴（去粗皮生姜汁炙三分） 大黄（锉炒二两） 枳壳（去瓤麸炒） 朴硝 槟榔 高
良姜（各
人参汤（出圣济总录）治干霍乱。
人参 浓朴（去粗皮姜汁炙各一两） 高良姜 桂（去粗皮各半两） 白茯苓（去黑皮
一两） 甘
拘时温服。
活命饮（出圣济总录）治脾虚损。霍乱不止。泻。腹胀如鼓。心胸痰壅。
盐（一合） 生姜（半两） 甘草（炙一分） 葛根（半两） 丁香（七粒） 上细锉。
用童便一盏半
干姜丸（出圣惠方）治干霍乱。心腹 痛。气短急。四体闷。不吐痢。烧难
忍。此名干霍乱
干姜（三分炮制锉） 川大黄（一两锉碎微炒） 巴豆（三枚去皮心研纸包压去油） 吴
茱萸（一
大。每服
冬葵子汤 治干霍乱。大小便不通。手足心俱热闷乱。
冬葵子 滑石（碎） 香薷（择各二两） 干木瓜（细切去皮瓤一枚） 上捣筛。每服
五钱。以水
大黄丸（出圣济总录）治干霍乱不吐痢。
大黄（锉炒一两） 干姜（炮半两） 桂（去粗皮三分） 巴豆（十四枚去皮心膜炒研）
上先
捣煎
动。
肉桂汤（出圣惠方）治干霍乱。众医无效。
肉桂（末一两） 诃黎勒皮（末一分） 巴豆（一枚去皮心研纸包压去油） 上除桂。
先将二
味绵
大效
木香汤（出圣惠方）疗霍乱无间干湿。冷热不止。宿食不消。烦乱腹痛。
青木香（长三寸） 高良姜（二两） 豆蔻子（二枚） 上 咀。以水一大升。煮取半
升。顿
服之
备急丸（出圣惠方）疗干湿霍乱丸。干霍死者多。湿霍死者少。俱由饮食不
节。将息失宜。
水。大小便不通。求
痛。诸候有与干同。但吐痢
手足逆冷。四体发热。干霍大小
巴豆（一百枚熬令熟去心皮） 干姜（三两桂氏以芒硝五两代千金方同） 大黄（五两）
上
药。
下三
不利
之。
高良姜散 疗湿霍乱。吐痢无限。宜合高良姜等三味服之。
高良姜（三两） 豆蔻子（十二枚） 桂心（二两） 上药切。以水四升。煮取一升。
去滓。
细细
治霍湿乱吐痢不止。心烦。四肢逆冷。（出圣惠方）
用乌牛屎二两。以水二升。煮沸。绞滤顿服。黄牛梨牛屎亦佳。无牛处。干者亦好用。
又方
用壁土一把。生姜一大两。碎之。以水一大升。煎半升热服。
盐汤（出千金方）治忽然心腹胀满。 刺疼痛。蛊毒烦闷。欲吐不吐。欲痢
不
痢。状若神灵
行。及干霍乱。宿
用极咸盐汤三升。热饮一升。刺口令吐宿食使尽。不吐。更服。吐讫复饮。三吐乃止。
此法
汤。
童子
姜盐饮（出直指方）治干霍乱欲吐不吐。欲泻不泻。痰壅。腹胀绞痛。手足
厥
冷。
盐（半两） 生姜（半两切） 上同炒令色变。以水一碗。煎热温服。甚者。加童子小
便一
盏。
陈橘皮汤（出圣济总录）治干霍乱。腹胁胀满。不吐痢。心胸闷乱不可忍。
陈橘皮（汤浸去白焙三两） 蜀椒（去目并闭口炒四十粒） 上捣筛。每服五钱。以水
一盏
半。
二胜散（出圣济总录）治干霍乱。不吐不痢。令人昏冒。烦乱气短。上下隔
塞。冷汗自出。
诃黎勒皮 干姜（成块者各二两） 上不捣碎。同用水二升。于铫子内煎水尽为度。取
出
重细
槟榔汤（出圣济总录）治霍乱上气。冲急欲闷绝。大小便不通。
用槟榔七枚。锉。捣筛。每服五钱。以水一盏。童子小便半盏。煎至一盏。去滓温服。
日三
治干霍乱不吐不下方
用丁香四十枚。以热汤一升和顿服。不瘥。更作服。
治干霍乱。不吐不痢。烦闷不知所为。（出圣惠方）
用巴豆一粒。去皮心。以热水研服之。当快利三两行。以浆水粥止立定。
紫苏子丸（出圣济总录）治干霍乱。
木香散（一名桔梗散）治干霍乱。不吐不泻。但腹胀满。或 痛。
水蓼饮（一名香薷汤）治干霍乱。不吐痢。四肢烦。身冷汗出。
又有干霍乱一证。不吐不泻。只是心烦绞痛。自汗如流。须臾闷绝。（出仁存方）
上以盐一大匙。炒黄色。用汤泡四五碗。入童子小便一碗。灌令吃尽。须是一顿尽方可。
却
上
干
香
治上吐下痢者。为湿霍乱。（出本草）
以黄牛屎半升。水一升。煮三两沸。将牛屎滤过取汁服半升。则止牛子。屎亦得。
治霍乱不吐。（出本草）
用白粱米粉五合。水一升合之。顿服。如粥食。
【附论】
霍乱，主要表现为剧烈的呕吐和腹泻。干霍乱，是由于冷气阻滞于胃脘，导致饮食无法消化，仅出现腹部胀满、烦闷扰乱、绞痛以及呼吸短促等症状。
【方剂】
浓朴汤（出自《圣济总录》），治疗干霍乱。
药材：厚朴（去除粗皮，用生姜汁炙烤，三分）、大黄（锉碎并炒制，二两）、枳壳（去除瓤，用麸皮炒制）、朴硝、槟榔、高良姜（各适量）。
人参汤（出自《圣济总录》），治疗干霍乱。
药材：人参、厚朴（去除粗皮，用姜汁炙烤，各一两）、高良姜、桂枝（去除粗皮，各半两）、白茯苓（去除黑皮，一两）、甘草（炙制，一分）。
服用方法：拘束时间温服。
活命饮（出自《圣济总录》），治疗脾虚受损，霍乱不止，腹泻，腹部胀大如鼓，心胸痰浊壅塞。
药材：盐（一合）、生姜（半两）、甘草（炙制，一分）、葛根（半两）、丁香（七粒）。
制作与服用：将上述药材细锉，用童子小便一盏半煎煮。
干姜丸（出自《太平惠民和剂局方·圣惠方》），治疗干霍乱。症状包括心腹疼痛，气短急促，四肢昏闷，不吐不泻，烧灼感难以忍受。这被称为干霍乱。
药材：干姜（三分，炮制后锉碎）、川大黄（一两，锉碎微炒）、巴豆（三枚，去皮去心，研烂后用纸包裹压去油）、吴茱萸（适量）。
服用方法：制成丸药，每次服用适量。
冬葵子汤，治疗干霍乱，大小便不通，手足心发热烦闷扰乱。
药材：冬葵子、滑石（捣碎）、香薷（择净，各二两）、干木瓜（细切，去皮去瓤，一枚）。
制作与服用：将上述药材捣碎过筛，每次服用五钱，用水煎煮。
大黄丸（出自《圣济总录》），治疗干霍乱，不吐不泻。
药材：大黄（锉碎炒制，一两）、干姜（炮制，半两）、桂枝（去除粗皮，三分）、巴豆（十四枚，去皮去心膜，炒后研碎）。
制作与服用：先将药材捣碎煎煮。
肉桂汤（出自《太平惠民和剂局方·圣惠方》），治疗干霍乱，其他医生治疗无效的情况。
药材：肉桂（研末，一两）、诃黎勒皮（研末，一分）、巴豆（一枚，去皮去心，研烂后用纸包裹压去油）。
制作与服用：除去肉桂，先将另外两味药绵裹，……（原文此处有缺漏，意指先煎他药或特殊处理），……大效。
木香汤（出自《太平惠民和剂局方·圣惠方》），治疗霍乱不分干湿，冷热不止，宿食不消，烦乱腹痛。
药材：青木香（长三寸）、高良姜（二两）、豆蔻子（二枚）。
制作与服用：将药材切碎，用水一大升，煮取半升，一次性服下。
备急丸（出自《太平惠民和剂局方·圣惠方》），治疗干湿霍乱丸药。干霍乱死亡者多，湿霍乱死亡者少。这都是由于饮食不节制，调养失宜所致。
症状：水液代谢失常，大小便不通，求……痛，诸症候与干霍乱相同，但伴有吐泻。
药材：巴豆（一百枚，熬熟去心皮）、干姜（三两，桂氏以芒硝五两代替，《千金方》同）、大黄（五两）。
制作与服用：上药……下三……不利……之。
高良姜散，治疗湿霍乱，吐泻无度。适宜配合高良姜等三味药服用。
药材：高良姜（三两）、豆蔻子（十二枚）、桂心（二两）。
制作与服用：将药材切碎，用水四升，煮取一升，去渣滓，细细……
治霍乱湿乱吐泻不止，心烦，四肢逆冷。（出自《太平惠民和剂局方·圣惠方》）
用法：用乌牛屎二两，加水二升，煮沸，绞汁滤过后一次性服下。黄牛粪或牛屎也可以，若无牛的地方，干牛屎也好用。
又一方：
用法：用墙土一把，生姜一大两，捣碎，加水一大升，煎至半升，热服。
盐汤（出自《千金方》），治疗突然心腹胀满，刺痛疼痛，蛊毒烦闷，想吐吐不出，想拉拉不出，状若神灵作祟。
行，及干霍乱，宿……
用法：用极咸的盐汤三升，热饮一升，刺喉令其吐出宿食使其排尽。若不吐，再服用。吐完后再次饮用，吐三次才停止。
此法……
汤。
童子……
姜盐饮（出自《直指方》），治疗干霍乱，想吐吐不出，想拉拉不出，痰浊壅塞，腹部胀满绞痛，手足厥冷。
药材：盐（半两）、生姜（半两，切片）。
制作与服用：一同炒至颜色改变，用水一碗，煎热温服。病情严重者，加童子小便一盏。
陈橘皮汤（出自《圣济总录》），治疗干霍乱，腹胁胀满，不吐不泻，心胸烦闷扰乱不可忍受。
药材：陈橘皮（汤浸去白焙，三两）、蜀椒（去目及闭口炒四十粒）。
制作与服用：捣碎过筛，每次服用五钱，用水一盏半煎煮。
二胜散（出自《圣济总录》），治疗干霍乱，不吐不泻，使人昏冒，烦乱气短，上下隔塞，冷汗自出。
药材：诃黎勒皮、干姜（成块者，各二两）。
制作与服用：不捣碎，同用水二升，在铫子内煎至水尽为度，取出……重细……
槟榔汤（出自《圣济总录》），治疗霍乱上气，冲急欲闷绝，大小便不通。
用法：用槟榔七枚，锉碎，捣碎过筛，每次服用五钱，用水一盏，童子小便半盏，煎至一盏，去渣滓温服，每日三次。
治干霍乱不吐不下方
用法：用丁香四十枚，用热汤一升调和一次性服下。若未痊愈，再做一次服用。
治干霍乱，不吐不泻，烦闷不知所为。（出自《太平惠民和剂局方·圣惠方》）
用法：用巴豆一粒，去皮去心，用热水研碎服下。应当畅快排便两三行，用浆水粥止住并稳定下来。
木香散（一名桔梗散），治疗干霍乱，不吐不泻，仅腹部胀满，或疼痛。
水蓼饮（一名香薷汤），治疗干霍乱，不吐不泻，四肢烦扰，身冷汗出。
又有干霍乱一证，不吐不泻，只是心烦绞痛，自汗如流，须臾间闷绝。（出自《仁存方》）
用法：以上述盐一大匙，炒至黄色，用汤泡四五碗，加入童子小便一碗，灌服令其吃尽。必须是一次性全部喝完方可。
却……
上……
干……
香……
治上吐下痢者，称为湿霍乱。（出自《本草》）
用法：以黄牛屎半升，水一升，煮两三沸，将牛屎滤过取汁服半升，则停止。牛子、屎亦可用。
[Supplementary Discussion]
Huo Luan (Colic with vomiting and diarrhea) is characterized by severe vomiting and diarrhea. Gan Huo Luan (Dry Colic) occurs when cold qi obstructs the stomach, preventing food digestion, resulting in abdominal distension, mental restlessness, colicky pain, and shortness of breath.
[Formulas]
Nongpo Tang (Magnolia Bark Decoction) (from *Shengji Zonglu*), treats Gan Huo Luan (Dry Colic).
Ingredients: Houpo (Cortex Magnoliae Officinalis, bark removed, processed with ginger juice, 3 fen), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried, 2 liang), Zhike (Fructus Aurantii, pith removed, bran-fried), Xiaoyan (Natrii Sulfas), Binglang (Arecae Semen), Gaoliangjiang (Rhizoma Alpiniae Officinarum) (each appropriate amount).
Renshen Tang (Ginseng Decoction) (from *Shengji Zonglu*), treats Gan Huo Luan (Dry Colic).
Ingredients: Renshen (Radix Ginseng), Houpo (Cortex Magnoliae Officinalis, bark removed, processed with ginger juice, each 1 liang), Gaoliangjiang (Rhizoma Alpiniae Officinarum), Guizhi (Ramulus Cinnamomi, bark removed, each half liang), Baifuling (Poria, black skin removed, 1 liang), Gancao (Radix Glycyrrhizae, honey-fried, 1 fen).
Administration: Take warm at a scheduled time.
Huoming Yin (Life-Saving Infusion) (from *Shengji Zonglu*), treats spleen deficiency damage, unremitting Huo Luan (Colic), diarrhea, abdominal distension like a drum, and phlegm turbidity obstructing the chest and heart.
Ingredients: Yan (Sal), Shengjiang (Rhizoma Zingiberis Recensis, half liang), Gancao (Radix Glycyrrhizae, honey-fried, 1 fen), Gegen (Radix Puerariae Lobatae, half liang), Dingxiang (Flos Caryophylli, 7 grains).
Preparation and Administration: Finely crush the above ingredients. Decoct with one and a half bowls of Tongzi Xiaobian (Child's Urine).
Ganjiang Wan (Dried Ginger Pill) (from *Shenghui Fang*), treats Gan Huo Luan (Dry Colic). Symptoms include epigastric and abdominal pain, shortness of breath and urgency, lethargy of the four limbs, absence of vomiting or diarrhea, unbearable burning sensation. This is named Gan Huo Luan (Dry Colic).
Ingredients: Ganjiang (Rhizoma Zingiberis Preparatum, 3 fen, processed and crushed), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly stir-fried), Badou (Semen Crotonis, 3 seeds, husk and heart removed, pounded and pressed on paper to remove oil), Wuzhuyu (Fructus Evodiae) (appropriate amount).
Administration: Form into pills; take an appropriate dose per serving.
Dongkuizi Tang (Malva Seed Decoction), treats Gan Huo Luan (Dry Colic) with obstruction of urination and defecation, heat and restlessness in the palms and soles.
Ingredients: Dongkuizi (Semen Malvae), Huashi (Talcum, crushed), Xiangru (Herba Moslae) (selected, each 2 liang), Gan Mugua (Fructus Chaenomelis Preparatus, finely sliced, skin and pith removed, 1 fruit).
Preparation and Administration: Pound and sieve the above ingredients. Take 5 qian per dose, decoct with water.
Dahuang Wan (Rhubarb Pill) (from *Shengji Zonglu*), treats Gan Huo Luan (Dry Colic) without vomiting or diarrhea.
Ingredients: Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried, 1 liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed, half liang), Guizhi (Ramulus Cinnamomi, bark removed, 3 fen), Badou (Semen Crotonis, 14 seeds, husk, heart, and membrane removed, stir-fried and pounded).
Preparation and Administration: First pound the ingredients and decoct.
Rougui Tang (Cinnamon Bark Decoction) (from *Shenghui Fang*), treats Gan Huo Luan (Dry Colic) when other physicians are ineffective.
Ingredients: Rougui (Cortex Cinnamomi, powdered, 1 liang), Helilepi (Pericarpium Chebulae, powdered, 1 fen), Badou (Semen Crotonis, 1 seed, husk and heart removed, pounded and pressed on paper to remove oil).
Preparation and Administration: Remove the cinnamon. First process the other two ingredients wrapped in silk... [text missing] ... great efficacy.
Muxiang Tang (Costus Root Decoction) (from *Shenghui Fang*), treats Huo Luan (Colic) regardless of dry or wet type, unceasing cold or heat, undigested food retention, mental restlessness, and abdominal pain.
Ingredients: Qingmuxiang (Radix Aucklandiae, 3 cun long), Gaoliangjiang (Rhizoma Alpiniae Officinarum, 2 liang), Doukouzi (Semen Cardamomi Rotundae, 2 seeds).
Preparation and Administration: Chop the ingredients. Decoct with one large sheng of water until half a sheng remains. Take in one dose.
Beiji Wan (Emergency-Ready Pill) (from *Shenghui Fang*), treats Gan and Shi Huo Luan (Dry and Wet Colic) pills. Mortality is high in Gan Huo Luan (Dry Colic) and low in Shi Huo Luan (Wet Colic). Both result from irregular diet and improper care.
Symptoms: Water metabolism dysfunction, obstruction of urination and defecation, seeking... pain. Various symptoms are similar to Gan Huo Luan (Dry Colic), but accompanied by vomiting and diarrhea.
Ingredients: Badou (Semen Crotonis, 100 seeds, roasted until cooked, heart and husk removed), Ganjiang (Rhizoma Zingiberis Preparatum, 3 liang; Guishi substitutes with 5 liang Mangxiao/Natrii Sulfas; same as *Qianjin Fang*), Dahuang (Radix et Rhizoma Rhei, 5 liang).
Preparation and Administration: The above medicines... lower three... unfavorable... thereof.
Gaoliangjiang San (Alpinia Powder), treats Shi Huo Luan (Wet Colic) with unlimited vomiting and diarrhea. It is suitable to take together with Gaoliangjiang and two other herbs.
Ingredients: Gaoliangjiang (Rhizoma Alpiniae Officinarum, 3 liang), Doukouzi (Semen Cardamomi Rotundae, 12 seeds), Guixin (Cortex Cinnamomi Cassiae, 2 liang).
Preparation and Administration: Cut the medicines. Decoct with four sheng of water until one sheng remains. Remove dregs. Fine...
Treating Huo Luan Shi Luan with unremitting vomiting and diarrhea, mental restlessness, and cold extremities. (from *Shenghui Fang*)
Usage: Use 2 liang of black cow dung. Add two sheng of water, boil, squeeze and filter, take in one dose. Yellow cow dung or cow feces are also good. If cows are unavailable, dried cow dung is also effective.
Another prescription:
Usage: Take a handful of wall earth, one large liang of fresh ginger, crush them. Decoct with one large sheng of water until half a sheng remains. Take hot.
Yan Tang (Salt Soup) (from *Qianjin Fang*), treats sudden epigastric and abdominal fullness, stabbing pain, gu poison causing mental distress, desire to vomit but unable, desire to defecate but unable, resembling spiritual possession.
Movement, and Gan Huo Luan (Dry Colic), retained...
Usage: Drink three sheng of extremely salty soup hot, one sheng at a time. Stimulate the throat to induce vomiting of retained food until empty. If no vomiting occurs, take more. After vomiting, drink again. Stop after three episodes of vomiting.
This method...
Soup.
Child...
Jiangyan Yin (Ginger-Salt Infusion) (from *Zhizhi Fang*), treats Gan Huo Luan (Dry Colic) with desire to vomit but unable, desire to defecate but unable, phlegm turbidity obstruction, abdominal distension and colicky pain, and cold extremities.
Ingredients: Yan (Sal, half liang), Shengjiang (Rhizoma Zingiberis Recensis, half liang, sliced).
Preparation and Administration: Stir-fry together until color changes. Decoct with one bowl of water, take warm. For severe cases, add one bowl of Tongzi Xiaobian (Child's Urine).
Chenju Pi Tang (Aged Tangerine Peel Decoction) (from *Shengji Zonglu*), treats Gan Huo Luan (Dry Colic) with abdominal and hypochondriac distension, absence of vomiting or diarrhea, and unbearable epigastric and chest restlessness.
Ingredients: Chenju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried, 3 liang), Shujiao (Fructus Zanthoxyli, eyes and closed-mouth ones removed, stir-fried, 40 grains).
Preparation and Administration: Pound and sieve. Take 5 qian per dose, decoct with one and a half bowls of water.
Ersheng San (Two Victories Powder) (from *Shengji Zonglu*), treats Gan Huo Luan (Dry Colic) without vomiting or diarrhea, causing faintness, mental restlessness, shortness of breath, upper and lower blockage, and spontaneous cold sweat.
Ingredients: Helilepi (Pericarpium Chebulae), Ganjiang (Rhizoma Zingiberis Preparatum, in blocks, each 2 liang).
Preparation and Administration: Do not pound. Decoct together with two sheng of water in a clay pot until the water is exhausted. Remove... heavy and fine...
Binglang Tang (Areca Nut Decoction) (from *Shengji Zonglu*), treats Huo Luan (Colic) with rebellious qi, urgent rushing sensation leading to suffocation, and obstruction of urination and defecation.
Usage: Use seven Areca nuts (Binglang). Crush, pound, and sieve. Take 5 qian per dose, decoct with one bowl of water and half a bowl of Tongzi Xiaobian (Child's Urine) until one bowl remains. Remove dregs and take warm. Three times daily.
Treatment for Gan Huo Luan (Dry Colic) without vomiting or downward discharge
Usage: Use forty Dingxiang (Flos Caryophylli). Mix with one sheng of hot water and take in one dose. If not cured, prepare and take again.
Treatment for Gan Huo Luan (Dry Colic), without vomiting or diarrhea, mental distress and confusion. (from *Shenghui Fang*)
Usage: Use one Badou (Semen Crotonis) seed. Remove husk and heart. Grind with hot water and take. There should be rapid defecation two or three times. Stop with Jiangshui Zhou (Grain Water Porridge) to stabilize.
Zisu Zi Wan (Perilla Seed Pill) (from *Shengji Zonglu*), treats Gan Huo Luan (Dry Colic).
Muxiang San (Costus Root Powder) (also known as Jiegeng San), treats Gan Huo Luan (Dry Colic) without vomiting or diarrhea, only abdominal distension, or pain.
Shuiliao Yin (Water Pepper Infusion) (also known as Xiangru Tang), treats Gan Huo Luan (Dry Colic) without vomiting or diarrhea, limb restlessness, body cold sweat.
There is another syndrome of Gan Huo Luan (Dry Colic): no vomiting or diarrhea, only mental restlessness and colicky pain, profuse sweating like flowing water, followed by sudden suffocation/fainting. (from *Ren Cun Fang*)
Usage: Take one large spoonful of salt, stir-fry until yellow. Brew with water in four or five bowls. Add one bowl of Tongzi Xiaobian (Child's Urine). Administer by force-feeding until completely consumed. Must be taken in one go.
Yet...
Up...
Dry...
Fragrant...
Treating those with upper vomiting and lower diarrhea is called Shi Huo Luan (Wet Colic). (from *Bencao*)
Usage: Take half a sheng of yellow cow dung and one sheng of water. Boil for two or three boils. Filter out the dung and take half a sheng of the juice to stop the condition. Cow urine or dung are also acceptable.
Treating Huo Luan (Colic) without vomiting. (from *Bencao*)
Usage: Take five he of white sorghum flour. Mix with one sheng of water. Take in one dose, like porridge.