（附论）
夫霍乱逆满。虽本于饮食不消。亦或痰水积聚。满逆不行。皆气不行之痞证也。胸膈窒
塞。
方
浓朴丸（出圣济总录）治腑脏不调。内寒外热脾胃气冷。宿食不消。乍秘乍
利
不常。霍乱逆
浓朴（去粗皮生姜汁炙） 赤石脂（各二两半） 白术 干姜（炮） 麦 （炮） 人
参白茯
苓（
两） 上捣
罗
柴胡汤（出圣济总录）治霍乱逆满。两胁下妨闷。呕不下食。
柴胡（去苗） 浓朴（去粗皮姜汁炙） 白茯苓（去黑皮各三两） 陈橘皮（汤浸去白
焙） 人
参
上捣
筛。
苏桂丸（出圣济总录） 治霍乱逆满。气痞胸膈。咽塞妨闷。食不消。腹肋虚
胀。肠鸣刺痛。
紫苏叶 桂（去粗皮） 陈橘皮（汤浸去白） 人参 白术（各一两） 甘草（炙半两）
高良
姜（
如
缓
香薷散（出圣济总录）治霍乱逆满。开胃口。
香薷叶（一两焙） 诃黎勒（煨去核十枚） 人参 丁香（各半两） 糯米（一百粒） 甘
草
（炙一
姜
一块。
紫苏子丸（出圣惠方）治霍乱逆满。胸膈噎闷。饮食不消。干呕不吐者。
紫苏（一方无茎叶） 陈橘皮（汤浸去白焙各二两） 桂（去粗皮） 高良姜 人参（各
一两）
上
含
麦门冬汤（出圣济总录）治霍乱逆满。不下食。食即吐出。烦卧不安。
麦门冬（去心焙三两） 茅根（锉焙五两） 甘草（炙锉） 人参（各一两） 上捣筛。
每服五
钱。
麦门冬人参汤（出圣济总录）治霍乱逆满。风邪热气冲心。心闷气短。吐不
下
食。
麦门冬（去心焙二两） 人参（三两） 陈橘皮（汤浸去白焙） 羚羊角（镑屑各一两）
上捣
筛。
半夏汤（出圣济总录）治霍乱。心下逆满。吐逆冒闷。
半夏（汤浸去滑七次四两） 浓朴（去粗皮姜汁炙二两） 赤茯苓（去黑皮二两） 上
捣筛。
每服
豆蔻汤（出圣济总录）治霍乱逆满。不下食。或腹中气妨闷。
草豆蔻仁（半两） 人参（一两） 甘草（炙三分） 上捣筛。每服五钱。水一盏。入
生姜一
枣大
半夏人参汤（出圣济总录）治霍乱逆满。心下痞塞。\x
半夏（为末姜汁搜作饼焙干） 人参（各三两） 上捣筛。每服三钱。水一盏。入白蜜
一匙。
煎
（附论）
霍乱伴胸膈胀满，虽然根本原因在于饮食不消化，但也可能是痰湿和水饮积聚，导致气机阻滞、胀满和上逆无法通行。这些都属于气机运行不畅引起的痞证。表现为胸膈部堵塞感。
方剂：
浓朴丸（出自《圣济总录》），治疗脏腑功能不调，体内有寒而体表发热，脾胃气虚寒冷，宿食停滞不化，时而便秘时而腹泻，没有规律。霍乱伴胸膈胀满。
药材：厚朴（去除粗皮，用生姜汁炙烤）、赤石脂（各二两半）、白术、干姜（炮制）、麦麸（炮制）、人参、白茯苓（各三两）。将上述药材捣碎过筛成细粉。
柴胡汤（出自《圣济总录》），治疗霍乱伴胸膈胀满，两侧胁肋下感到憋闷不适，呕吐且无法进食。
药材：柴胡（去除苗）、厚朴（去除粗皮，用姜汁炙烤）、白茯苓（去除黑皮，各三两）、陈皮（用水浸泡后去除白色内瓤，焙干）、人参。将上述药材捣碎过筛。
苏桂丸（出自《圣济总录》），治疗霍乱伴胸膈胀满，气滞痞塞于胸膈，咽喉堵塞憋闷，食物不消化，腹部和肋部虚胀，肠鸣伴有刺痛。
药材：紫苏叶、桂枝（去除粗皮）、陈皮（用水浸泡后去除白色内瓤）、人参、白术（各一两）、甘草（炙烤，半两）、高良姜（适量）。
香薷散（出自《圣济总录》），治疗霍乱伴胸膈胀满，开通胃口。
药材：香薷叶（一两，焙干）、诃黎勒（煨制后去核，十枚）、人参、丁香（各半两）、糯米（一百粒）、甘草（炙烤，一钱）。[原文此处似有缺漏，通常需加水煎煮]，加入生姜一块如枣大。
紫苏子丸（出自《太平惠民和剂局方·和剂局方》/ 或指《医心方》引《深师方》等，此处标注为《惠方》即《和剂局方》或相关宋代方书），治疗霍乱伴胸膈胀满，胸膈噎塞憋闷，饮食不消化，干呕但无物吐出。
药材：紫苏（一方无茎叶）、陈皮（用水浸泡后去除白色内瓤，焙干，各二两）、桂枝（去除粗皮）、高良姜、人参（各一两）。将上述药材处理成含服或丸剂形式。[原文“上 含”意指制成含化之剂或丸剂]
麦门冬汤（出自《圣济总录》），治疗霍乱伴胸膈胀满，无法进食，吃下去就吐出来，烦躁卧床不安。
药材：麦门冬（去除心，焙干，三两）、白茅根（锉碎，焙干，五两）、甘草（炙烤，锉碎）、人参（各一两）。将上述药材捣碎过筛。每次服用五钱。
麦门冬人参汤（出自《圣济总录》），治疗霍乱伴胸膈胀满，风邪热气冲犯心脏，心中闷乱，气短，呕吐且无法进食。
药材：麦门冬（去除心，焙干，二两）、人参（三两）、陈皮（用水浸泡后去除白色内瓤，焙干）、羚羊角（镑成屑，各一两）。将上述药材捣碎过筛。
半夏汤（出自《圣济总录》），治疗霍乱，胃脘部胀满上逆，呕吐逆气，头晕昏闷。
药材：半夏（用水浸泡去除滑腻感七次，四两）、厚朴（去除粗皮，用姜汁炙烤，二两）、赤茯苓（去除黑皮，二两）。将上述药材捣碎过筛。每次服用... [剂量原文缺失]
豆蔻汤（出自《圣济总录》），治疗霍乱伴胸膈胀满，无法进食，或者腹部气机阻滞憋闷。
药材：草豆蔻仁（半两）、人参（一两）、甘草（炙烤，三分）。将上述药材捣碎过筛。每次服用五钱，用水一盏，加入生姜一块如枣大。
半夏人参汤（出自《圣济总录》），治疗霍乱伴胸膈胀满，胃脘部痞塞不通。
药材：半夏（研为细末，用姜汁调和做成饼状，焙干）、人参（各三两）。将上述药材捣碎过筛。每次服用三钱，用水一盏，加入白蜂蜜一匙。煎煮... [原文结束]
(Attached Discussion)
Huoluan (acute vomiting and diarrhea) accompanied by chest and diaphragm fullness, although fundamentally rooted in the indigestion of food, may also be caused by the accumulation of phlegm-fluids and water retention. This leads to stagnation of Qi, resulting in fullness, rebellion, and obstruction of circulation. These all belong to Pi syndrome (obstruction due to Qi stagnation). The manifestation is a sensation of blockage in the chest and diaphragm.
Prescriptions:
Noupo Wan (Thick Bark Pill) (from *Shengji Zonglu*): Treats disharmony of the fu and zang organs, internal cold with external heat, cold Qi in the spleen and stomach, retention of undigested food, alternating constipation and diarrhea without regularity. Huoluan with chest and diaphragm fullness.
Ingredients: Houpo (Magnoliae Officinalis Cortex), processed by removing coarse bark and stir-frying with ginger juice; Chishizhi (Halloysitum Rubrum); Baizhu (Atractylodis Macrocephalae Rhizoma); Ganjiang (Zingiberis Radix Preparata), processed; Maidong (Ophiopogonis Radix), processed; Renshen (Ginseng Radix et Rhizoma); Bai Fuling (Poria), each two taels and half. Pound the above ingredients into powder and sift.
Chaihu Tang (Bupleurum Decoction) (from *Shengji Zonglu*): Treats Huoluan with chest and diaphragm fullness, oppression and stuffiness under both hypochondria, vomiting, and inability to eat.
Ingredients: Chaihu (Bupleuri Radix), remove seedlings; Houpo (Magnoliae Officinalis Cortex), remove coarse bark and stir-fry with ginger juice; Bai Fuling (Poria), remove black skin, each three taels; Chenpi (Citri Reticulatae Pericarpium), soak in water, remove white pith, dry over fire; Renshen (Ginseng Radix et Rhizoma). Pound the above ingredients and sift.
Sugui Wan (Perilla and Cinnamon Pill) (from *Shengji Zonglu*): Treats Huoluan with chest and diaphragm fullness, Qi stagnation and pi-syndrome in the chest and diaphragm, throat obstruction and oppression, indigestion, false distension of the abdomen and ribs, borborygmus with stabbing pain.
Ingredients: Ziye (Perillae Folium); Gui (Cinnamomi Ramulus), remove coarse bark; Chenpi (Citri Reticulatae Pericarpium), soak in water, remove white pith; Renshen (Ginseng Radix et Rhizoma); Baizhu (Atractylodis Macrocephalae Rhizoma), each one tael; Gancao (Glycyrrhizae Radix et Rhizoma), stir-fried, half a tael; Gaoliangjiang (Alpiniae Officinarum Rhizoma), appropriate amount.
Xiangru San (Mosla Powder) (from *Shengji Zonglu*): Treats Huoluan with chest and diaphragm fullness, opens the stomach appetite.
Ingredients: Xiangru Ye (Moslae Herba), one tael, dried over fire; Helile (Terminalia Chebulae Fructus), roasted, remove pits, ten fruits; Renshen (Ginseng Radix et Rhizoma); Dingxiang (Caryophylli Flos), each half a tael; Nuomi (Oryza Sativa Glutinosa), one hundred grains; Gancao (Glycyrrhizae Radix et Rhizoma), stir-fried, one qian. [Text implies decoction], add fresh ginger (Shengjiang) one piece the size of a jujube.
Zisu Zi Wan (Perilla Seed Pill) (from *Heji Fang* / *Hui Fang*): Treats Huoluan with chest and diaphragm fullness, choking and oppression in the chest and diaphragm, indigestion of food, dry retching without vomiting.
Ingredients: Zisu (Perillae Folium or Fructus, one version lacks stems and leaves); Chenpi (Citri Reticulatae Pericarpium), soak in water, remove white pith, dry over fire, each two taels; Gui (Cinnamomi Ramulus), remove coarse bark; Gaoliangjiang (Alpiniae Officinarum Rhizoma); Renshen (Ginseng Radix et Rhizoma), each one tael. Process the above for lozenges or pills.
Maidong Tang (Ophiopogon Decoction) (from *Shengji Zonglu*): Treats Huoluan with chest and diaphragm fullness, inability to eat, immediate vomiting after eating, restlessness and discomfort in lying down.
Ingredients: Maidong (Ophiopogonis Radix), remove heart, dry over fire, three taels; Maogen (Imperatae Rhizoma), cut and dry over fire, five taels; Gancao (Glycyrrhizae Radix et Rhizoma), stir-fried and cut; Renshen (Ginseng Radix et Rhizoma), each one tael. Pound the above ingredients and sift. Take five qian per dose.
Maidong Renshen Tang (Ophiopogon and Ginseng Decoction) (from *Shengji Zonglu*): Treats Huoluan with chest and diaphragm fullness, wind-pathogenic heat rushing to the heart, cardiac oppression, shortness of breath, vomiting, and inability to eat.
Ingredients: Maidong (Ophiopogonis Radix), remove heart, dry over fire, two taels; Renshen (Ginseng Radix et Rhizoma), three taels; Chenpi (Citri Reticulatae Pericarpium), soak in water, remove white pith, dry over fire; Lingyangjiao (Saigae Tataricae Cornu), shaved into flakes, each one tael. Pound the above ingredients and sift.
Banxia Tang (Pinellia Decoction) (from *Shengji Zonglu*): Treats Huoluan, rebellious fullness below the heart (epigastrium), vomiting and regurgitation, dizziness and confusion.
Ingredients: Banxia (Pinelliae Rhizoma), soak in water to remove slipperiness seven times, four taels; Houpo (Magnoliae Officinalis Cortex), remove coarse bark and stir-fry with ginger juice, two taels; Chi Fuling (Poria), remove black skin, two taels. Pound the above ingredients and sift. Take ... per dose.
Doukou Tang (Cardamom Decoction) (from *Shengji Zonglu*): Treats Huoluan with chest and diaphragm fullness, inability to eat, or abdominal Qi obstruction causing oppression.
Ingredients: Caodoukou Ren (Amomi Fructus Rotundus Kernel), half a tael; Renshen (Ginseng Radix et Rhizoma), one tael; Gancao (Glycyrrhizae Radix et Rhizoma), stir-fried, three fen. Pound the above ingredients and sift. Take five qian per dose, with one sheng of water, adding fresh ginger (Shengjiang) one piece the size of a jujube.
Banxia Renshen Tang (Pinellia and Ginseng Decoction) (from *Shengji Zonglu*): Treats Huoluan with chest and diaphragm fullness, pi-obstruction below the heart.
Ingredients: Banxia (Pinelliae Rhizoma), grind into fine powder, knead with ginger juice into cakes, dry over fire; Renshen (Ginseng Radix et Rhizoma), each three taels. Pound the above ingredients and sift. Take three qian per dose, with one sheng of water, adding one spoonful of white honey. Decoct...