（附论）
夫霍乱而心烦者。由大吐大利。腑脏气暴极。大吐者。胃气逆。利者肠虚也。大吐大利
者。
冷气
害心火
使清浊
方
白豆蔻丸（出圣济总录）治霍乱后。脾胃尚虚。谷气未实。津液内燥。令人
烦
躁。眠卧不安
白豆蔻（去皮） 陈橘皮（去白焙） 浓朴（去粗皮生姜汁炙熟） 草豆蔻（去皮） 桂
（去粗
皮）
良姜
（炒）
上各一两）
桃仁（
空心
人参散（出圣惠方）治霍乱吐利。汗出心烦。
人参（去芦头） 茯神 麦门冬（去心各三分） 白术 黄 甘草（炙微赤锉） 干
姜（炮
裂锉）
分。
去滓
芦根散 治霍乱心烦。干呕。
芦根（锉一两半） 人参（去芦头） 陈橘皮（汤泡去白瓤焙以上各一两） 枇杷叶（半
两去
毛炙
入生
姜半
麦门冬汤（一名人参散出圣惠方）治霍乱心烦。坐卧不安。
麦门冬（去心焙） 茯神（去木） 人参 陈橘皮（汤浸去白焙） 甘草（炙各一两） 上
捣
筛。每
拘时。
乱发汤（出圣惠方）治霍乱。吐利后心烦。
乱发（一两如鸡子大烧存性） 吴茱萸（汤浸焙干三分） 甘草（炙） 人参（各一两）
上捣
筛。
芦根饮（出圣惠方）治霍乱。干呕心烦。
芦根（锉炙一两一分） 人参 水萍（紫者焙干） 枇杷叶（拭去毛各一两） 上捣筛。
每服
五钱
生姜饮（出圣惠方）治霍乱吐泻。心烦闷乱。
生姜（汁一合） 蜜（一合） 糯米（一合以新汲水淘净并研如粉） 上以新汲水一大
盏相
和。时
又方
甘草（一分炙微赤锉） 槐叶 桑叶（各一两） 上捣筛为散。每服三钱。以水一中盏。
煎
至六
香豉汤（出圣济总录）治霍乱。心中烦闷。
豉（七合绵裹） 栀子仁 浓朴（去粗皮姜汁炙各三两） 上 咀。如麻豆大。每服六
钱。
水二
治霍乱。心烦躁。（出圣惠方）
枣（十三枚） 生姜（二两锉） 上用水二大盏。煎至一盏。去渣。温分二服。
又方
桂心（一分末） 人参（半两去芦头） 上以水二大盏。煎至七分。去滓。温分二服。
又方（出圣惠方）
芦根（半两锉） 麦门冬（一两去心） 上以水二大盏。煎至一大盏。去滓。温分二服。
橘皮汤（出圣济总录）治霍乱吐后。烦满呕逆。
陈橘皮（汤浸去白焙） 栀子仁（各二两） 上捣筛。每服三钱。入豉半合。水一盏。
煎至
七分
竹沥饮（出圣济总录）治霍乱。狂闷烦渴。吐泻无度。气欲绝者。
淡竹沥（一合） 粳米（一合以水二盏同煎去渣取汁用） 上和匀。顿服之。
葱白大枣汤（出圣惠方）治霍乱后。心烦。卧不安席。
葱白（二十茎去须） 大枣（二十枚去核） 上以水三盏。煎取一盏半。去滓。分温二
服。
治中热霍乱。暴利心烦。脉数欲得冷水者。（出千金方）
用新汲井水。顿服一升立愈。先患胃口冷者。勿服之。
治霍乱烦躁。心腹胀痛。（出十便良方）一方治不吐不利。胸膈烦渴。
用烧乱发。如鸡子大。盐汤三升和服之。不吐再服。
浓朴汤 治霍乱。心烦不止。
桑叶饮（出圣惠方）治霍乱已吐利。心烦闷不止。
用桑叶一大握。切。以水一盏。煎至七分。顿服立定。
治霍乱烦闷。（出本草）
取向阳壁上土。水煮服。
治霍乱后。胃气逆烦。\x（出本草）
用苦苣菜。生捣汁饮之。虽冷甚。亦不可用热服。
【附论】
凡是霍乱并伴有心烦症状的，是由于剧烈呕吐和腹泻，导致脏腑之气极度暴乱。剧烈呕吐，是胃气上逆；腹泻，是肠道空虚。剧烈呕吐和腹泻，会导致冷气伤害心火，使得清浊之气紊乱。
方剂：白豆蔻丸（出自《圣济总录》），治疗霍乱之后，脾胃依然虚弱，谷气未充实，津液内部干燥，使人烦躁不安，睡眠卧息不宁。
药材：白豆蔻（去皮）、陈橘皮（去白后焙干）、浓朴（去粗皮，用生姜汁炙熟）、草豆蔻（去皮）、桂枝（去粗皮）、良姜（炒）。以上各一两。
人参散（出自《圣惠方》），治疗霍乱吐泻，汗出且心烦。
药材：人参（去芦头）、茯神、麦门冬（去心，各三分）、白术、黄芪、甘草（炙至微红并锉碎）、干姜（炮裂并锉碎）。以上各一分。煎煮后去滓。
芦根散，治疗霍乱心烦，干呕。
药材：芦根（锉碎一两半）、人参（去芦头）、陈橘皮（热水泡过去白瓤后焙干，以上各一两）、枇杷叶（半两，去毛后炙）、生姜（半两，切碎）。
麦门冬汤（又名人参散，出自《圣惠方》），治疗霍乱心烦，坐卧不安。
药材：麦门冬（去心后焙干）、茯神（去木心）、人参、陈橘皮（热水浸过去白后焙干）、甘草（炙，各一两）。以上捣碎筛成细末。每次服用三钱，用水一盏，煎至六分，温服。
乱发汤（出自《圣惠方》），治疗霍乱，吐泻后心烦。
药材：乱发（一两，如鸡蛋大小，烧至存性）、吴茱萸（热水浸泡后焙干，三分）、甘草（炙）、人参（各一两）。以上捣碎筛成细末。每次服用三钱，水一盏，煎至六分，温服。
芦根饮（出自《圣惠方》），治疗霍乱，干呕心烦。
药材：芦根（锉碎炙干一两一分）、人参、水萍（紫色的焙干）、枇杷叶（拭去毛，各一两）。以上捣碎筛成细末。每次服用五钱，水一盏，煎至六分，温服。
生姜饮（出自《圣惠方》），治疗霍乱吐泻，心烦闷乱。
药材：生姜（取汁一合）、蜂蜜（一合）、糯米（一合，用新汲水淘净并研磨成粉）。以上用新汲水一大盏调和。
又一方：
甘草（一分，炙至微红并锉碎）、槐叶、桑叶（各一两）。以上捣碎筛成散剂。每次服用三钱，水一中盏，煎至六分，温服。
香豉汤（出自《圣济总录》），治疗霍乱，心中烦闷。
药材：豆豉（七合，用绵布包裹）、栀子仁、浓朴（去粗皮，姜汁炙，各三两）。以上切碎如麻豆大。每次服用六钱，水二盏，煎至七分，温服。
治霍乱，心烦躁（出自《圣惠方》）：
大枣（十三枚）、生姜（二两，锉碎）。以上用水二大盏，煎至一盏，去渣，温时分两次服用。
又一方：
桂心（一分，研末）、人参（半两，去芦头）。以上用水二大盏，煎至七分，去滓，温时分两次服用。
又一方（出自《圣惠方》）：
芦根（半两，锉碎）、麦门冬（一两，去心）。以上用水二大盏，煎至一大盏，去滓，温时分两次服用。
橘皮汤（出自《圣济总录》），治疗霍乱呕吐后，烦满呕逆。
药材：陈橘皮（热水浸过去白后焙干）、栀子仁（各二两）。以上捣碎筛成细末。每次服用三钱，加入豆豉半合，水一盏，煎至七分，温服。
竹沥饮（出自《圣济总录》），治疗霍乱，狂闷烦渴，吐泻无度，气息将绝者。
药材：淡竹沥（一合）、粳米（一合，与水二盏同煎，去渣取汁）。以上混合均匀，一次性顿服。
葱白大枣汤（出自《圣惠方》），治疗霍乱后，心烦，卧不安席。
药材：葱白（二十茎，去须）、大枣（二十枚，去核）。以上用水三盏，煎取一盏半，去滓，分温两次服用。
治中热霍乱，暴利心烦，脉数想要喝冷水者（出自《千金方》）：
用新汲取的井水，一次性服用一升，立即痊愈。先前患有胃口冷者，不要服用。
治霍乱烦躁，心腹胀痛（出自《十便良方》）。一方治疗不吐不利，胸膈烦渴：
用烧过的乱发，如鸡蛋大小，用盐汤三升调和服用。如果不吐，再服用。
桑叶饮（出自《圣惠方》），治疗霍乱已吐利后，心烦闷不止。
用桑叶一大把，切碎，用水一盏，煎至七分，一次性顿服，立定。
治霍乱烦闷（出自《本草》）：
取向阳墙壁上的土，用水煮后服用。
[Attached Discussion]
In cases of Huoluan (acute vomiting and diarrhea) accompanied by Heart vexation, the etiology lies in severe vomiting and purging, which causes a sudden and extreme disruption of Zang-Fu Qi. Severe vomiting indicates rebellious Stomach Qi; purging indicates emptiness in the Intestines. Severe vomiting and purging allow Cold Qi to damage Heart Fire, leading to the disorder of Clear and Turbid Qi.
Formula: Baidoukou Wan (White Cardamom Pill) [Source: Shengji Zonglu]. It treats post-Huoluan syndrome where Spleen and Stomach remain deficient, Gu Qi (Grain Qi) is not yet substantial, and internal fluids are dry, causing restlessness, irritability, and disturbed sleep.
Ingredients: Bai Dou Kou (Fructus Amomi Rotundus, peeled), Chen Ju Pi (Dried Tangerine Peel, pith removed and dried), Hou Po (Cortex Magnoliae Officinalis, bark removed and stir-fried with ginger juice), Cao Dou Kou (Fructus Tsaoko, peeled), Gui Zhi (Ramulus Cinnamomi, bark removed), Liang Jiang (Rhizoma Alpiniae Officinarum, stir-fried). Each ingredient is used in an amount of one liang.
Renshen San (Ginseng Powder) [Source: Shenghui Fang]. It treats Huoluan with vomiting and purging, sweating, and Heart vexation.
Ingredients: Ren Shen (Radix Ginseng, radix tip removed), Fu Shen (Poria Cum Radix Xylodi), Mai Men Dong (Radix Ophiopogonis, heart removed, each 3 fen), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Huang Qi (Radix Astragali), Gan Cao (Radix Glycyrrhizae, honey-fried until slightly red and crushed), Gan Jiang (Rhizoma Zingiberis Recens, processed until cracked and crushed). Each ingredient is used in an amount of 1 fen. Decoct and strain.
Lugen San (Reed Rhizome Powder). It treats Huoluan with Heart vexation and dry retching.
Ingredients: Lu Gen (Rhizoma Phragmitis Communis, crushed, 1.5 liang), Ren Shen (Radix Ginseng, radix tip removed), Chen Ju Pi (Dried Tangerine Peel, soaked in hot water, pith removed, dried, each 1 liang), Pi Pa Ye (Folium Eriobotryae, 0.5 liang, hairs removed and stir-fried), Sheng Jiang (Rhizoma Zingiberis Recens, 0.5 liang, sliced).
Maimendong Tang (Ophiopogon Decoction), also known as Renshen San [Source: Shenghui Fang]. It treats Huoluan with Heart vexation, restlessness in sitting or lying down.
Ingredients: Mai Men Dong (Radix Ophiopogonis, heart removed and dried), Fu Shen (Poria Cum Radix Xylodi, wood core removed), Ren Shen (Radix Ginseng), Chen Ju Pi (Dried Tangerine Peel, soaked in hot water, pith removed, dried), Gan Cao (Radix Glycyrrhizae, honey-fried, each 1 liang). Crush and sieve into powder. Take 3 qian per dose, decoct with 1 sheng of water until reduced to 0.6 sheng, take warm.
Luafa Tang (Human Hair Decoction) [Source: Shenghui Fang]. It treats Huoluan with Heart vexation after vomiting and purging.
Ingredients: Luan Fa (Hair, 1 liang, size of a chicken egg, burned until carbonized but retaining nature), Wu Zhu Yu (Fructus Evodiae, soaked in hot water, dried, 3 fen), Gan Cao (Radix Glycyrrhizae, honey-fried), Ren Shen (Radix Ginseng, each 1 liang). Crush and sieve into powder. Take 3 qian per dose, decoct with 1 sheng of water until reduced to 0.6 sheng, take warm.
Lugen Yin (Reed Rhizome Drink) [Source: Shenghui Fang]. It treats Huoluan with dry retching and Heart vexation.
Ingredients: Lu Gen (Rhizoma Phragmitis Communis, crushed, dried, 1.1 liang), Ren Shen (Radix Ginseng), Shui Ping (Azolla, purple variety, dried), Pi Pa Ye (Folium Eriobotryae, hairs wiped off, each 1 liang). Crush and sieve into powder. Take 5 qian per dose, decoct with 1 sheng of water until reduced to 0.6 sheng, take warm.
Shengjiang Yin (Ginger Drink) [Source: Shenghui Fang]. It treats Huoluan with vomiting and diarrhea, Heart vexation and confusion.
Ingredients: Sheng Jiang (Rhizoma Zingiberis Recens, juice 1 he), Mi (Honey, 1 he), Nuomi (Glutinous Rice, 1 he, washed clean with fresh well water and ground into powder). Mix all ingredients with 1 da sheng of fresh well water.
Another Prescription:
Gan Cao (Radix Glycyrrhizae, 1 fen, honey-fried until slightly red and crushed), Huai Ye (Folium Morii Albae), Sang Ye (Folium Mori, each 1 liang). Crush and sieve into powder. Take 3 qian per dose, decoct with 1 zhong sheng of water until reduced to 0.6 sheng, take warm.
Xiangchi Tang (Fermented Soybean Decoction) [Source: Shengji Zonglu]. It treats Huoluan with mental oppression and vexation.
Ingredients: Chi (Prepared Fermented Soybean, 7 he, wrapped in silk), Zhi Zi Ren (Semen Gardeniae), Hou Po (Cortex Magnoliae Officinalis, bark removed, stir-fried with ginger juice, each 3 liang). Chop into pieces the size of hemp seeds. Take 6 qian per dose, decoct with 2 sheng of water until reduced to 0.7 sheng, take warm.
To treat Huoluan with Heart vexation and irritability [Source: Shenghui Fang]:
Zao (Jujube, 13 pieces), Sheng Jiang (Rhizoma Zingiberis Recens, 2 liang, chopped). Decoct with 2 da sheng of water until reduced to 1 sheng, strain, and take warm in two divided doses.
Another Prescription:
Gui Xin (Cortex Cinnamomi Cassiae, 1 fen, powdered), Ren Shen (Radix Ginseng, 0.5 liang, radix tip removed). Decoct with 2 da sheng of water until reduced to 0.7 sheng, strain, and take warm in two divided doses.
Another Prescription [Source: Shenghui Fang]:
Lu Gen (Rhizoma Phragmitis Communis, 0.5 liang, chopped), Mai Men Dong (Radix Ophiopogonis, 1 liang, heart removed). Decoct with 2 da sheng of water until reduced to 1 sheng, strain, and take warm in two divided doses.
Jupi Tang (Tangerine Peel Decoction) [Source: Shengji Zonglu]. It treats Huoluan with fullness, vomiting, and rebellion after vomiting.
Ingredients: Chen Ju Pi (Dried Tangerine Peel, soaked in hot water, pith removed, dried), Zhi Zi Ren (Semen Gardeniae, each 2 liang). Crush and sieve into powder. Take 3 qian per dose, add Chi (Prepared Fermented Soybean) 0.5 he, decoct with 1 sheng of water until reduced to 0.7 sheng, take warm.
Zhuli Yin (Bamboo Sap Drink) [Source: Shengji Zonglu]. It treats Huoluan with mania, oppression, thirst, uncontrolled vomiting and diarrhea, and impending collapse of Qi.
Ingredients: Dan Zhu Li (Bamboo Sap, 1 he), Jing Mi (Semen Oryzae Sativum Glutinosa, 1 he, decoct with 2 sheng of water, strain and collect juice). Mix evenly and take in one dose.
Congbai Dazao Tang (Scallion and Jujube Decoction) [Source: Shenghui Fang]. It treats post-Huoluan Heart vexation and inability to lie comfortably.
Ingredients: Cong Bai (Scallion White, 20 stems, remove roots), Da Zao (Jujube, 20 pieces, remove pits). Decoct with 3 sheng of water until reduced to 1.5 sheng, strain, and take warm in two divided doses.
To treat Zhongre Huoluan (Heat-stroke Huoluan) with violent purging, Heart vexation, rapid pulse, and desire for cold water [Source: Qianjin Fang]:
Drink 1 sheng of fresh well water in one go for immediate relief. Do not use if the patient previously suffered from Cold in the Stomach opening.
To treat Huoluan with irritability, abdominal distension, and pain [Source: Shibian Liangfang]. One prescription for cases without vomiting or purging, featuring chest and diaphragm vexation and thirst:
Use burned human hair, size of a chicken egg, mixed with 3 sheng of salt water and taken orally. If vomiting does not occur, administer again.
Houpo Tang (Magnolia Bark Decoction). It treats Huoluan with incessant Heart vexation.
Sangye Yin (Mulberry Leaf Drink) [Source: Shenghui Fang]. It treats Huoluan after vomiting and purging with incessant Heart vexation and oppression.
Take a large handful of Sang Ye (Folium Mori), chop it, decoct with 1 sheng of water until reduced to 0.7 sheng, and take in one dose for immediate cessation.
To treat Huoluan with mental oppression [Source: Bencao]:
Take earth from a wall facing the sun, decoct with water, and take orally.
To treat post-Huoluan rebellious Stomach Qi and vexation [Source: Bencao]:
Use Kuju Cai (Sonchus oleraceus), crush fresh and drink the juice. Although the nature is very cold, do not take it warm.