（附论）
夫呕吐而利者。名霍乱也。原疾之由。皆因肠胃虚冷。饮食逆度。触冒风冷。使阴阳不
和。
身体
辨其冷热。观其脉息。热者凉之。冷者温之。以平为期。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。夏月中暑。霍乱烦渴。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。并气短者难治。
方
诃子散 治老幼霍乱吐利。一服取效。及治九种心痛。并心腹冷痛不可忍者。
诃子 甘草 浓朴 干姜 草果仁 陈皮 良姜 茯苓 神曲 麦芽（各等分） 上为
细末。
甘草泻心汤 治妇人霍乱。呕逆吐涎沫。医反下之。心下即痞。当先治其涎沫。可
服小青龙
甘草（四两） 干姜 黄芩（各三两） 黄连（一两） 半夏（半斤） 大枣（十二枚）
上咀。以
加减理中丸 治霍乱临时。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。
吐少利
若体
服。
煎取
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） 猪胆汁（半合） 上 咀。每服五钱。
水三盏。煮
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
胃虚弱。
腹痛而利
或转筋拘
妇霍乱吐
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
令黄
胡椒汤 治霍乱吐利。
胡椒（四十九粒） 绿豆（一百四十七粒） 上为细末。木瓜煎汤调下二钱。
治霍乱困笃。\x
用取童女月经衣和血烧灰。酒服方寸匕。
【附论】
呕吐且伴有腹泻的，称为霍乱。这种疾病的起因，都是由于肠胃虚寒，饮食起居违背常度，触犯风冷邪气，导致阴阳失调。
辨别其属热证还是寒证，观察其脉象和气息。热证用凉法治疗，寒证用温法治疗，以恢复平衡为最终目的。凡是霍乱引起的呕吐腹泻，若热象明显且口渴的，用五苓散；若寒象明显且不饮水的，用理中丸。呕吐腹泻停止后，若出现汗出且四肢厥冷，四肢拘挛紧急不能缓解，脉象微弱几乎摸不到的，用通脉四逆加猪胆汁汤。夏季中暑引发的霍乱，表现为烦躁口渴、四肢逆冷、出冷汗、小腿抽筋转筋的，用香薷散浓煎，放沉冷后服用即见效。
凡是霍乱的脉象，浮洪脉的容易治疗，微迟脉并伴有气短的则难治。
【方剂】
诃子散：治疗老人和儿童霍乱引起的呕吐腹泻，一服即可见效。同时治疗九种心痛，以及心腹冷痛难以忍受的情况。
药材：诃子、甘草、厚朴、干姜、草果仁、陈皮、高良姜、茯苓、神曲、麦芽（各等分）。将上述药材研成细末。
甘草泻心汤：治疗妇女霍乱，呕吐逆气、吐出涎沫。医生误用攻下法治疗后，心下部位痞塞不通。应当先治疗其涎沫症状，可服用小青龙汤（注：原文此处逻辑似有脱漏或笔误，通常甘草泻心汤主治心下痞，但依原文直译）……（原文此处“可服小青龙”后接甘草泻心汤组成，疑为排版错误，按原文结构列出甘草泻心汤组成）
药材：甘草（四两）、干姜、黄芩（各三两）、黄连（一两）、半夏（半斤）、大枣（十二枚）。将药材切碎，用水煎煮。
加减理中丸：治疗霍乱发作时的情况，也可用于治疗男子。
药材：人参、白术、干姜、甘草（各一两）。将上述药材研成细末，用炼蜜制成丸药，每两药粉做成五丸。每次取一丸，用汤药送服。
（原文此处有残缺：“吐少利 / 若体 / 服。 / 煎取”，无法完整翻译，略过残缺部分）
四逆加猪胆汁汤：治疗呕吐停止、腹泻也停止后，出现汗出且四肢厥冷，四肢拘挛紧急不能缓解，脉象微弱几乎摸不到的情况。
药材：甘草（二两）、干姜（三两）、附子（一枚，生用）、猪胆汁（半合）。将药材切碎，每次服用五钱，加水三盏，煎煮。
香薷散：治疗脏腑冷热不调，饮食不节制，或者吃太多腥膻生冷食物，或者起居无节制，或者露天睡在湿地上，或者对着风口受寒，导致胃虚弱，腹痛而腹泻，或者小腿抽筋拘挛，妇女霍乱呕吐……
药材：香薷叶（四两）、白扁豆、厚朴（各二两）。将药材切碎，每次服用半两，加水一大盏，酒一分，慢火煎煮，浓缩至……（原文残缺）
胡椒汤：治疗霍乱呕吐腹泻。
药材：胡椒（四十九粒）、绿豆（一百四十七粒）。将上述药材研成细末，用木瓜煎成的汤调服二钱。
治疗霍乱病情危重困顿的：
取处女月经衣，与血一起烧成灰，用酒送服一方寸匕。
[Supplementary Discussion]
Vomiting accompanied by diarrhea is termed Huoluan (Cholera-like disease). The etiology of this disease stems from deficiency-cold in the intestines and stomach, dietary irregularities, and exposure to wind-cold pathogens, resulting in disharmony between Yin and Yang.
Differentiate whether it is a heat syndrome or a cold syndrome, and observe the pulse and breath. For heat syndromes, use cooling methods; for cold syndromes, use warming methods, aiming for balance. In cases of Huoluan with vomiting and diarrhea, if heat signs are prominent with thirst, use Wuling San (Five-Ingredient Poria Pill); if cold signs are prominent without desire to drink water, use Lizhong Wan (Regulate the Middle Pill). After vomiting and diarrhea cease, if sweating occurs with cold limbs, persistent tetany of the four limbs, and a faint pulse nearly imperceptible, use Tongmai Sini Jia Zhudan Dan Decoction (Pulse-Returning Decoction with Pig Bile). In summer, if Huoluan is caused by heatstroke presenting with irritability, thirst, cold limbs, cold sweat, and calf cramps, use Xiangru San (Mosla Powder) decocted strongly, taken cold after settling, which yields immediate effect.
Regarding the pulse of Huoluan, a floating and surging pulse indicates an easier prognosis, whereas a faint and slow pulse accompanied by shortness of breath indicates a difficult prognosis.
[Formulas]
Hezi San (Terminalia Powder): Treats vomiting and diarrhea due to Huoluan in the elderly and children, effective after one dose. It also treats nine types of heart pain and unbearable cold pain in the heart and abdomen.
Ingredients: Hezi (Chebulae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Houpo (Magnoliae Officinalis Cortex), Ganjiang (Zingiberis Rhizoma), Caoguoren (Tsaoko Fructus), Chenpi (Citri Reticulatae Pericarpium), Liangjiang (Galangal Rhizome), Fuling (Poria), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus) (equal parts). Grind into fine powder.
Ganxiao Xiexin Tang (Licorice Decoction for Draining the Epigastrium): Treats Huoluan in women, characterized by vomiting, regurgitation, and spitting of saliva. If the physician erroneously used purgatives, causing epigastric fullness (Pi), one should first treat the salivation. [Note: Text mentions "Xiao Qinglong" but lists ingredients for Ganxiao Xiexin Tang].
Ingredients: Gancao (4 liang), Ganjiang, Huangqin (each 3 liang), Huanglian (1 liang), Banxia (8 liang), Dazao (12 pieces). Cut into pieces and decoct in water.
Jiajian Lizhong Wan (Modified Regulate-the-Middle Pill): Treats acute Huoluan, and can also be used for men.
Ingredients: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang, Gancao (each 1 liang). Grind into fine powder, mix with refined honey to make pills. Each liang of powder makes five pills. Take one pill dissolved in warm liquid per dose.
[Sentence fragments omitted due to text corruption]
Sini Jia Zhudan Dan Decoction (Four-Reversals Decoction with Pig Bile): Treats cases where vomiting has stopped and diarrhea has ceased, yet sweating persists with cold limbs, persistent tetany, and a faint pulse nearly imperceptible.
Ingredients: Gancao (2 liang), Ganjiang (3 liang), Fuzi (one raw), Zhudan Dan (half he). Cut into pieces. Take 5 qian per dose, decoct in 3 zhan of water.
Xiangru San (Mosla Powder): Treats disharmony of cold and heat in the viscera, irregular diet, excessive consumption of raw/cold or fishy foods, irregular lifestyle, sleeping on damp ground, or exposure to wind/cold, leading to weak stomach, abdominal pain with diarrhea, or cramping/tetany, and female Huoluan vomiting...
Ingredients: Xiangruye (Elsholtziae Herba) (4 liang), Baibiandou (Phaseoli Semen Album), Houpo (each 2 liang). Cut into pieces. Take 0.5 liang per dose, decoct in one zhan of water and one fen of wine over low heat, concentrate... [Text incomplete]
Hujiao Tang (Pepper Decoction): Treats Huoluan with vomiting and diarrhea.
Ingredients: Hujiao (Piperis Longi Fructus) (49 grains), Ludou (Vigna Radiata Semen) (147 grains). Grind into fine powder. Mix with 2 qian and take with decoction of Mugua (Chaenomeles Fructus).
For severe and critical Huoluan:
Take the menstrual cloth of an unmarried girl, burn it to ash with blood residue, and administer with wine using a measure of one cun bi.