《范汪方》治霍乱呕吐，附子汤方。
大附子（一枚） 甘草（六铢） 蜀椒（二百粒）
三物水三升，煮取一升半，分再服。（《医心》）
《必效》理中散，主霍乱及转筋，吐痢不止方。
青木香（六分） 桂心（八分炙） 浓朴（八分炙） 甘草（八分炙） 白术（八分） 干姜（十分炮）
附子（六分炮）
上七味捣筛为散，饮服两钱匕，如人行五六里，不定，更服一钱匕，瘥止。（《外台》）《汇言》方龙潭治
阴霍乱吐泻，于本方去青木香、浓朴。加半夏姜制、陈皮，水煎冷服。
治年老羸劣，冷气恶心，饮食不化，心腹虚满，拘急短气，霍乱呕逆，四肢厥冷，心烦气闷流汗，扶老理
中散方。
麦门冬 干姜（各六两） 人参 白术 甘草（各六分） 附子 茯苓（各三两）
上七味治下筛，以白汤三合，服方寸匕。常服将蜜丸，酒服如梧子二十丸。（《千金》）（按∶《外台》、
《医心》并引《短剧》。）
既济汤，治霍乱后，虚烦不得眠。（《大成》）（方见《伤寒·少阴病》中。按∶《千金》竹叶汤，治霍乱
吐利已，服理中、四顺等汤热不解者，用竹叶等十一味，然不如用此方为佳，仍不录。）
和中疏气诸方 《延年》增损理中丸，主霍乱，下气能食，止泄痢方。
人参（六分） 白术（六分） 浓朴（六分炙） 茯苓（六分） 甘草（六分炙） 姜屑（二分）
上六味捣筛，蜜和为丸，如梧子大，一服十丸，饮下，酒下亦得，加至十五、二十丸。（《外台》）
范汪疗霍乱，脐上筑，茯苓理中汤方。
茯苓（大如枣者三枚一方二两） 甘草（三两炙） 干姜（一两炮） 人参（三两） 木瓜（三两）
上五味 咀，以水六升，煮取三升，去滓适寒温，分为四服。（同上）
范汪理中加二味汤，疗霍乱，胸满腹痛，吐下方。
人参（三两） 干姜（三两炮） 甘草（三两炙） 白术（三两） 当归（二两） 芍药（二两）
上六味 咀，以水七升，煮取三升，绞去滓，温服一升，日三，甚良。（同上）
治霍乱吐泻后，转筋，草豆蔻散方。
草豆蔻 高良姜 丁香 白术 人参 陈橘皮 缩砂（各一两） 甘草（半两） 木瓜（二两）
上件药捣，细罗为散，不计时候，以热生姜汤，调下二钱。（《圣惠》）《会解》人参养胃汤，于本方去
草蔻、良姜、甘草、木瓜，加干姜、茯苓，治霍乱冷证。
冷香饮子，夏月饮食杂以水果寒冰之物，食之胸腹大痛霍乱者主之。（《方考》）（方见《中暑》中。按∶
《岭南卫生方》所举，系去橘红，加良姜、檀香、干姜、丁香者，然不如用原方，仍不取。）
《短剧》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（一两炙）
上六味切，以水五升，煮取二升，绞去滓，温分三服。（《外台》）《圣惠》治霍乱吐泻心烦，人参散，于
本方去葛根，入生姜、小麦、竹叶煎服。《济生》麦门冬汤，治霍乱已愈，烦热不解，多渴，小便不利，于本方
去葛根，加半夏、白术、小麦、生姜、乌梅。
白术散，治伤寒杂病，一切吐泻，烦渴霍乱，虚损气
弱。（《宣明》）（按∶即钱氏原方。）《医家类选》加浓朴。
霍乱后，恶心懒食，口干多渴，白术散主之。（《原病集》）
治霍乱，心下痞逆，半夏汤方。
半夏（汤洗七遍去滑切焙） 人参（各三两）
上二味锉如麻豆，每服三钱匕，入生姜三片，白蜜半匙，水一盏，煎至六分，去滓温服，不拘时。（《圣济》）
（按∶此即大半夏汤加生姜者。）
治霍乱，呕吐涎沫，医反下之，心下作痞，小半夏汤。（同上）（按∶此证《千金》用甘草泻心汤，实本于
《金匮·妇人篇》也。）
四片金，治冒暑伏热，腹痛作泻或痢，并饮水过度。治霍乱吐泻，其证或饮冷，或冒寒，或失饥，或大怒，
或乘舟车伤动胃气，令人上吐，上吐不止，令人下泻，吐泻并作，遂作霍乱，令人头旋眼晕，手脚转筋，四肢
逆冷。用药迟，须臾不救，命在顷刻之间。
吴茱萸（半两） 干木瓜（半两） 食盐（半两）
上三味同炒令焦，先用瓷瓶盛，水三升，煮令百沸，却入前件三味炒药，同煎至二升以下，倾一盏，冷热
随病患意与服，药入咽喉即止。如仓卒无前件药，只用枯白矾一味为末，每服一大钱，用百沸汤点服。如无白
矾，只用盐一撮，醋一盏，同煎至八分温服。盐梅咸酸等物，皆可煮服（处方本以酸咸二物煮）。（《家宝》）
（按∶上方《奇效》名吴茱萸汤。又《圣惠》治霍乱泻后，脚转筋，用木瓜、生姜、吴茱萸，盖此方之类也。）
藿香正气散，治霍乱吐泻通用。腹痛者加桂，小便不利
者加茯苓。此药能温散风寒湿气，若暑证加香薷。（《直指》）《续易简》藿香正气散，于不换金正气散去苍
术。曰∶霍乱吐泻，加白术。《回春》有异乡人初到地方，不服水土，或吐或泻，胸腹饱闷，或肿胀，不吐
泻者，宜加减正气散，于不换金加砂仁、香附。
渗利方法 凡觉此证，或先五苓、益元、桂苓甘露饮，乃吐泻之圣药也。（《保命集》）
茯苓泽泻汤。治霍乱吐利后。烦渴欲饮水。（《三因》）（按∶即金匮原方。然犹当用五苓散为佳。）
提学侍其公，年七十九岁，至元丙寅六月初四日中暑毒，霍乱吐利，昏冒终日，不省人事，时方夜半，请
予治之。诊其脉，洪大而有力，一息七八至，头热如火，足寒如冰，半身不遂，牙关紧急。予思《内经·五乱篇》
中云∶清气在阴，浊气在阳，营气顺脉，卫气逆行，乱于胸中，是谓大 云云，乱于肠胃，则为霍乱。于是霍乱
之名，自此而生。盖因年高气弱，不任暑气，阳不维阴则泻，阴不维阳则吐，阴阳不相维，则既吐且泻矣。前贤
见寒多以理中丸、热多以五苓散为定法治之。今暑气极盛，阳明得时，况因动而得之，中 明矣，非甘辛大寒之
剂，则不能泻其暑热，堕浮焰之火而安神明矣。遂以甘露散甘辛大寒，泻热补气，加白茯苓以分阴阳，约重一两，
冰水调灌，渐渐省事而诸证悉去。后慎言语、节饮食三日，以参术调中汤之剂增减服之，理正气，逾十日后，方
平复。（《宝鉴》）
桂苓甘露饮，流湿润燥，治痰涎，止咳嗽，调脏腑，寒热呕吐服之，令人遍身气溢宣平，及治水肿泄利。
官桂 藿香 人参（各半两） 木香（一分） 茯苓 白术 甘草 泽泻 葛根 石膏 寒水石（各一两）
滑石（二两）
上十二味为末，每服三钱，白汤调下，新水或姜汤亦得。（同上）（按∶此方本出《三法六门》。）
江应宿治一妇人，六月中旬，病霍乱，吐泻转筋。一医投藿香正气散，加烦躁面赤，揭衣卧地。予诊视，
脉虚无力，身热引饮。此得之伤暑，宜辛甘大寒之剂泻其火热，以五苓散加滑石、石膏，吐泻定，再与桂苓甘
露饮而愈。（《类案》）
加味五苓汤，治口渴身热，此暑热伤中也。
猪苓（七分） 泽泻（七分） 白术（五分） 赤茯苓（一钱） 天花粉（二钱） 干葛（一钱） 香薷
黄连 甘草（各等分）
如热极，加石膏、知母。上用水一钟半，姜三片，煎至七分，温服。（《众妙方》）《医鉴》名加味薷
苓汤，加扁豆。
柴胡四苓汤，若大渴小便不利者用。
柴胡 黄芩 芍药（各一钱） 白术 茯苓 猪苓 泽泻（各八分）
水二钟。煎至八分。去渣加姜汁一匙。冷服。（《伤寒证治明条》）暑食不和，吐泻之后，腹胀肠鸣，小便
不利，或泻不止，以胃苓汤主之。（《原病集》）（按∶此本于《岭南卫生方》。）
解暑诸方 《广济》疗霍乱吐痢，扁豆汤方。
扁豆叶（切一升） 香薷叶（切一升） 木瓜（一枚切） 干姜（一两切）
上四味，以水六升，煮取二升五合，绞去滓，分温三服，服别相去如人行六七里。（《外台》）《鸡峰》草
豆蔻散，治霍乱吐泻不止，脉细而紧，此为内寒。于本方去扁豆，加草豆蔻、藿香、陈橘皮。
治霍乱，及脾胃气虚，腹胀不能饮食方。
人参（三分） 香薷（一握锉） 陈橘皮（一两）
上件药捣筛为散，分为四服，每服以水一中盏，入枣二枚，生姜半分，煎至六分去滓，不计时候温服。
（《圣惠》）
无比香薷散，治非时吐泻，便霍乱躁渴不定，脐腹撮痛及转筋，遍身冷汗，四肢厥逆。（《传家秘宝》）
（方见《中暑》中）《活人》若夏月中暑霍乱，宜服香薷散，须井水沉令极冷，顿服之乃效。（《本草衍义》
曰∶香薷暑月亦作菜蔬，治霍乱不可阙也，用之无不效。）
增损缩脾饮，治霍乱之后，服热药太多，致烦躁者，浸令如冰，尤宜服。（《易简》）（方见《中暑》中）
治妊娠霍乱，吐泻心烦，芦根饮子方。
芦根（一两） 人参（一两去芦头） 藿香（三分） 枇杷叶（十片拭去毛炙微黄） 甘草（半两炙微赤锉）
上件药细锉和匀，每服一分，以水一中盏，入薤白七寸，生姜半分，煎至六分去滓，不计时候，稍热服。
（《圣惠》）又治霍乱，心烦干呕，芦根散，于本方去藿香、薤白，加陈橘皮、木瓜。
治霍乱，心腹胀痛，烦满短气，未得吐下方。
取蓼若叶，细切二升，水五升，煮三沸，顿服之。（《肘后》）治霍乱转筋方，蓼一把去两头，以水二升，
煮取一升，顿服之。（《千金》）（按∶古方用蓼治 ，故次于此。）
清热诸方 《范汪方》治霍乱呕 ，气厥不得息方。
香豉（一升） 半夏（一两） 甘草（一两） 生姜（二两） 人参（一两） 柴胡（一两）
六物以水五升，煮取二升半，服七合，日三。（《医心》）
《医门方》疗霍乱心烦方。
香豉（七合绵裹） 栀子仁（三两） 浓朴（三两炙）
水五升，煮取二升，去滓分温二服，重者不过再，必愈。（同上）
治霍乱烦渴头痛，石膏散方。
石膏（二两） 麦门冬（一两） 甘草（三分） 白茯苓（一两）
上件药捣筛为散，每服三钱，以水一中盏，入生姜半分，豉一百粒，竹叶二七片，煎至七分，去滓温服。
（《圣惠》）
涌吐诸方 治霍乱，心腹胀痛，烦满短气，未得吐下方。盐二升，以水五升，煮取二升，顿服得吐愈。
（《肘后》）（按∶此本《金匮》治贪食，食多不消，心腹坚满痛方。）《短剧方》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，热饮一升，刺吐（《千金》刺口令吐）令宿食尽，不吐复服，吐
讫复饮，三吐乃佳，须静乃止，胜诸汤丸。（《医心》）《千金》霍乱蛊毒（按∶此当是二证），宿食不消，
积冷，心腹烦满，鬼气方（方与短剧同）。俗人以为田舍浅近法，鄙而不用，守死而已。凡有此病，即须先用
之。《得效》用盐半盏许，以热汤数碗泡盐，令患人尽服，连至数碗，不得住手方可。却以鸡羽扫咽喉间，即
时吐，所吃盐汤尽出，其证即愈。（《医方集解》烧盐热水调饮，以指探吐。）
唐柳柳州纂救三死、治霍乱盐汤方云∶元和十一年十月，得干霍乱，上不可吐，下不可利，出冷汗三大斗
许，气即绝。河南房伟传此汤，入口即吐，绝气复通。其法用盐一大匙，熬令黄，童子小便一升，二物温和服
之，少顷吐下，即愈。（《本草图经》）《圣惠》加生姜。
救干霍乱方。
用鲜生姜煎浓汁，加炒盐，滴桐油数点，频频灌下二、三碗，用鹅毛探喉令吐。如不吐，急用瓜蒂散吐之。
若终不吐，用备急丸下之，庶几可生。若怠缓姑息，立亡可待。（《苍生司命》）（按∶《辨证录》治干霍乱，
用人参一两，瓜蒂七个，水煎一大碗饮之。其说颇巧，然瓜蒂快吐之际，人参何能安胃，不如吐后，随宜调补，
今仍不取。）
泻下诸方 干霍乱大小便不通，烦冤欲死，宜急与巴豆等三味丸服之，服取快利方。
巴豆（一百枚熬令熟去皮心） 干姜（三两，崔氏以芒消五两代，与《千金》同。） 大黄（五两）
上药先捣干姜、大黄为散，后别捣巴豆如膏，和前二味同捣令调，细细下蜜，堪丸出之，以饮下，初服三丸，
丸如梧子大，服讫数 肚，令转动速下利。良久不觉，则以热饮投之。又良久不利，更服一丸，须臾当利。利
后好将息，食饮寒温，以意取适。如渴者，煮浆水粥少少啜之。张文仲处。（《外台》引许仁则）《千金月令》
抵圣备急丸，主干霍乱，心腹百病疰痛等方。（即本方）
治干霍乱，不吐不利，烦闷不知所为方。
巴豆（一枚去皮心）
上以熟水研服之，当快利三两行，即以浆水粥止，立定。（《圣惠》）（按∶此即走马汤变方。）
治干霍乱，浓朴汤方。
浓朴（去粗皮生姜炙三分） 大黄（锉炒二两） 槟榔（锉） 枳壳（去穣麸炒） 朴消 高良姜（各三分）
上六味粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服。（《圣济》）
《范汪方》治疗霍乱呕吐，附子汤方。
大附子（一枚） 甘草（六铢） 蜀椒（二百粒）
以上三味药用水三升，煮取一升半，分两次服用。（引自《医心方》）
《必效方》理中散，主治霍乱及转筋，吐泻不止的方剂。
青木香（六分） 桂心（八分，炙） 厚朴（八分，炙） 甘草（八分，炙） 白术（八分） 干姜（十分，炮）
附子（六分，炮）
以上七味药捣碎过筛制成散剂，用温水送服两钱匕。如果行走五六里后症状未定，再服一钱匕，病愈即止。（引自《外台秘要》）《汇言》中的龙潭方治疗阴霍乱吐泻，在本方基础上去掉青木香、厚朴，加入姜制的半夏和陈皮，水煎后冷服。
治疗年老体弱，寒气恶心，饮食不化，心腹虚满，拘急短气，霍乱呕逆，四肢厥冷，心烦气闷流汗，扶老理中散方。
麦门冬 干姜（各六两） 人参 白术 甘草（各六分） 附子 茯苓（各三两）
以上七味药处理后过筛，用白开水三合，送服方寸匕大小的药量。平时可将药蜜炼为丸，用酒送服如梧桐子大的二十丸。（引自《千金方》）（按：《外台秘要》、《医心方》均引用《短剧方》。）
既济汤，治疗霍乱后，虚烦不得眠。（引自《普济方》）（方剂见《伤寒论·少阴病篇》中。按：《千金方》中的竹叶汤，治疗霍乱吐利已止，服用理中汤、四顺汤等热势不退者，使用竹叶等十一味药，然而不如使用此方为佳，故不再收录。）
和中疏气诸方 《延年方》增损理中丸，主治霍乱，下气能食，止泄痢的方剂。
人参（六分） 白术（六分） 厚朴（六分，炙） 茯苓（六分） 甘草（六分，炙） 姜屑（二分）
以上六味药捣碎过筛，蜂蜜和丸，如梧桐子大，每次服十丸，饮水送下，饮酒送下也可以，加量至十五、二十丸。（引自《外台秘要》）
范汪治疗霍乱，脐上悸动不安，茯苓理中汤方。
茯苓（大如枣者三枚，一方用二两） 甘草（三两，炙） 干姜（一两，炮） 人参（三两） 木瓜（三两）
以上五味药切碎，用水六升，煮取三升，去渣滓，适寒温，分四次服用。（同上）
范汪理中加二味汤，治疗霍乱，胸满腹痛，吐下的方剂。
人参（三两） 干姜（三两，炮） 甘草（三两，炙） 白术（三两） 当归（二两） 芍药（二两）
以上六味药切碎，用水七升，煮取三升，绞去渣滓，温服一升，每日三次，效果很好。（同上）
治疗霍乱吐泻后，转筋，草豆蔻散方。
草豆蔻 高良姜 丁香 白术 人参 陈橘皮 缩砂仁（各一两） 甘草（半两） 木瓜（二两）
以上药物捣碎，细罗过筛制成散剂，不限时候，用热生姜汤调下二钱。（引自《太平圣惠方》）《会解》中的人参养胃汤，在本方基础上去掉草豆蔻、高良姜、甘草、木瓜，加入干姜、茯苓，治疗霍乱冷证。
冷香饮子，夏季饮食混杂水果寒冰之物，食用后胸腹大痛霍乱者主之。（引自《医方考》）（方剂见《中暑篇》中。按：《岭南卫生方》所列举的是去掉橘红，加入高良姜、檀香、干姜、丁香的版本，然而不如使用原方，故不采用。）
《短剧方》治疗霍乱，突然吐泻不止，脉搏急促者，人参汤主之的方剂。
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（一两，炙）
以上六味药切碎，用水五升，煮取二升，绞去渣滓，温服分三次。（引自《外台秘要》）《太平圣惠方》治疗霍乱吐泻心烦，人参散，在本方基础上去掉葛根，加入生姜、小麦、竹叶煎服。《济生方》麦门冬汤，治疗霍乱已愈，烦热不解，多渴，小便不利，在本方基础上去掉葛根，加入半夏、白术、小麦、生姜、乌梅。
白术散，治疗伤寒杂病，一切吐泻，烦渴霍乱，虚损气弱。（引自《宣明论方》）（按：即钱乙的原方。）《医家类选》中加入厚朴。
治疗霍乱，心下痞塞逆气，半夏汤方。
半夏（汤洗七遍去滑切焙） 人参（各三两）
以上两味药锉如麻豆大小，每次服三钱匕，加入生姜三片，白蜜半匙，水一盏，煎至六分，去渣滓温服，不拘时候。（引自《圣济总录》）（按：此即大半夏汤加生姜的版本。）
治疗霍乱，呕吐涎沫，医生反而用攻下法，导致心下作痞，小半夏汤。（同上）（按：此证《千金方》用甘草泻心汤，实则源于《金匮要略·妇人篇》。）
四片金，治疗冒暑伏热，腹痛作泻或痢，并饮水过度。治疗霍乱吐泻，其证或因饮冷，或因冒寒，或因失饥，或因大怒，或因乘舟车伤动胃气，令人上吐，上吐不止，令人下泻，吐泻并作，遂成霍乱，令人头旋眼晕，手脚转筋，四肢逆冷。用药迟缓，须臾之间若不救治，命在顷刻之间。
吴茱萸（半两） 干木瓜（半两） 食盐（半两）
以上三味药同炒令焦，先用瓷瓶盛水三升，煮令沸腾，然后放入前述三味炒药，同煎至二升以下，倒出一盏，冷热随病患意愿给予服用，药入咽喉即止。如果仓促前无上述药物，只用枯白矾一味研末，每次服一大钱，用沸水冲服。如果没有白矾，只用盐一撮，醋一盏，同煎至八分温服。盐梅咸酸等物，皆可煮服（处方本以酸咸二物煮）。（引自《家宝方》）（按：上方在《奇效良方》中名为吴茱萸汤。又《太平圣惠方》治疗霍乱泻后，脚转筋，用木瓜、生姜、吴茱萸，大概是此类方剂的变方。）
藿香正气散，治疗霍乱吐泻通用。腹痛者加肉桂，小便不利者加茯苓。此药能温散风寒湿气，若暑证加香薷。（引自《直指方》）《续易简方》藿香正气散，在不换金正气散基础上去掉苍术。说：霍乱吐泻，加白术。《回春方》有异乡人初到地方，不服水土，或吐或泻，胸腹饱闷，或肿胀，不吐泻者，宜加减正气散，在不换金正气散基础上加砂仁、香附。
渗利方法 凡觉此证，或先服五苓散、益元散、桂苓甘露饮，乃是吐泻的圣药也。（引自《保命集》）
茯苓泽泻汤。治疗霍乱吐利后。烦渴欲饮水。（引自《三因极一病证方论》）（按：即《金匮要略》原方。然而仍当用五苓散为佳。）
提学侍其公，年七十九岁，至元丙寅六月初四日中暑毒，霍乱吐利，昏冒终日，不省人事，时方夜半，请我诊治。诊其脉，洪大而有力，一息七八至，头热如火，足寒如冰，半身不遂，牙关紧急。我想《内经·五乱篇》中说：清气在阴，浊气在阳，营气顺脉，卫气逆行，乱于胸中，是谓大乱云云，乱于肠胃，则为霍乱。于是霍乱之名，自此而生。大概因为年高气弱，不胜暑气，阳不维阴则泻，阴不维阳则吐，阴阳不相维系，则既吐且泻矣。前贤见寒证多以理中丸、热证多以五苓散为定法治之。今暑气极盛，阳明得时，况且因动而得之，中热明了，非甘辛大寒之剂，则不能泻其暑热，堕浮焰之火而安神明矣。遂以甘露散甘辛大寒，泻热补气，加白茯苓以分阴阳，约重一两，冰水调灌，渐渐省事而诸证悉去。后慎言语、节饮食三日，以参术调中汤之剂增减服之，理正气，逾十日后，方平复。（引自《医学入门》/《宝鉴》注：此处原文标注《宝鉴》，通常指李东垣《兰室秘藏》或相关著作，但根据语境可能是《医学入门》引用的案例，依原文输出）
桂苓甘露饮，流湿润燥，治疗痰涎，止咳嗽，调脏腑，寒热呕吐服之，令人遍身气溢宣平，及治疗水肿泄利。
官桂 藿香 人参（各半两） 木香（一分） 茯苓 白术 甘草 泽泻 葛根 石膏 寒水石（各一两）
滑石（二两）
以上十二味药为末，每次服三钱，白开水调下，新水或姜汤也可以。（同上）（按：此方本出《三法六门》。）
江应宿治疗一妇人，六月中旬，病霍乱，吐泻转筋。一位医生投予藿香正气散，加重烦躁面赤，揭衣卧地。我诊视，脉虚无力，身热引饮。此为伤暑所致，宜用辛甘大寒之剂泻其火热，以五苓散加滑石、石膏，吐泻定，再与桂苓甘露饮而愈。（引自《名医类案》）
加味五苓汤，治疗口渴身热，此暑热伤中也。
猪苓（七分） 泽泻（七分） 白术（五分） 赤茯苓（一钱） 天花粉（二钱） 干葛（一钱） 香薷
黄连 甘草（各等分）
如果热极，加石膏、知母。以上用水一钟半，姜三片，煎至七分，温服。（引自《众妙方》）《医鉴》名为加味薷苓汤，加扁豆。
柴胡四苓汤，若大渴小便不利者用。
柴胡 黄芩 芍药（各一钱） 白术 茯苓 猪苓 泽泻（各八分）
水二钟。煎至八分。去渣加姜汁一匙。冷服。（引自《伤寒证治明条》）暑食不和，吐泻之后，腹胀肠鸣，小便不利，或泻不止，以胃苓汤主之。（引自《原病集》）（按：此本于《岭南卫生方》。）
解暑诸方 《广济方》治疗霍乱吐痢，扁豆汤方。
扁豆叶（切一升） 香薷叶（切一升） 木瓜（一枚切） 干姜（一两切）
以上四味药，用水六升，煮取二升五合，绞去渣滓，分温三服，服药间隔时间如人行走六七里的路程。（引自《外台秘要》）《鸡峰方》草豆蔻散，治疗霍乱吐泻不止，脉细而紧，此为内寒。在本方基础上去掉扁豆，加入草豆蔻、藿香、陈橘皮。
治疗霍乱，及脾胃气虚，腹胀不能饮食方。
人参（三分） 香薷（一握锉） 陈橘皮（一两）
以上药物捣筛为散，分为四服，每服用水一中盏，入枣二枚，生姜半分，煎至六分去渣，不限时候温服。（引自《太平圣惠方》）
无比香薷散，治疗非时吐泻，便霍乱躁渴不定，脐腹撮痛及转筋，遍身冷汗，四肢厥逆。（引自《传家秘宝》）（方剂见《中暑篇》中）《活人书》若夏月中暑霍乱，宜服香薷散，须井水沉令极冷，顿服之乃效。（《本草衍义》说：香薷暑月亦作菜蔬，治疗霍乱不可缺也，用之无不效。）
增损缩脾饮，治疗霍乱之后，服热药太多，致烦躁者，浸令如冰，尤宜服。（引自《易简方》）（方剂见《中暑篇》中）
治疗妊娠霍乱，吐泻心烦，芦根饮子方。
芦根（一两） 人参（一两去芦头） 藿香（三分） 枇杷叶（十片拭去毛炙微黄） 甘草（半两炙微赤锉）
以上药物细锉和匀，每次服一分，用水一中盏，入薤白七寸，生姜半分，煎至六分去渣，不限时候，稍热服。（引自《太平圣惠方》）又治疗霍乱，心烦干呕，芦根散，在本方基础上去掉藿香、薤白，加入陈橘皮、木瓜。
治疗霍乱，心腹胀痛，烦满短气，未得吐下方。
取蓼若叶，细切二升，水五升，煮三沸，顿服之。（引自《肘后备急方》）治疗霍乱转筋方，蓼一把去两头，用水二升，煮取一升，顿服之。（引自《千金方》）（按：古方用蓼治疗霍乱，故次于此。）
清热诸方 《范汪方》治疗霍乱呕逆，气厥不得息方。
香豉（一升） 半夏（一两） 甘草（一两） 生姜（二两） 人参（一两） 柴胡（一两）
六味药用水五升，煮取二升半，服七合，每日三次。（引自《医心方》）
《医门方》治疗霍乱心烦方。
香豉（七合绵裹） 栀子仁（三两） 厚朴（三两炙）
水五升，煮取二升，去渣分温二服，重者不过再服，必愈。（同上）
治疗霍乱烦渴头痛，石膏散方。
石膏（二两） 麦门冬（一两） 甘草（三分） 白茯苓（一两）
以上药物捣筛为散，每次服三钱，用水一中盏，入生姜半分，豉一百粒，竹叶二七片，煎至七分，去渣温服。（引自《太平圣惠方》）
涌吐诸方 治疗霍乱，心腹胀痛，烦满短气，未得吐下方。盐二升，用水五升，煮取二升，顿服得吐愈。（引自《肘后备急方》）（按：此本《金匮要略》治疗贪食，食多不消，心腹坚满痛方。）《短剧方》治疗心腹暴痛，及宿食不消，或宿冷烦满成霍乱方。作盐汤三升，使极咸，热饮一升，刺喉催吐（《千金方》刺喉令吐）令宿食尽，不吐复服，吐讫复饮，三吐乃佳，须静乃止，胜诸汤丸。（引自《医心方》）《千金方》霍乱蛊毒（按：此当是二证），宿食不消，积冷，心腹烦满，鬼气方（方与短剧同）。俗人以为田舍浅近法，鄙而不用，守死而已。凡有此病，即须先用之。《得效方》用盐半盏许，用热汤数碗泡盐，令患人尽服，连至数碗，不得住手方可。却以鸡羽扫咽喉间，即时吐，所吃盐汤尽出，其证即愈。（《医方集解》烧盐热水调饮，以指探吐。）
唐柳柳州纂救三死、治疗霍乱盐汤方云：元和十一年十月，得干霍乱，上不可吐，下不可利，出冷汗三大斗许，气即绝。河南房伟传此汤，入口即吐，绝气复通。其法用盐一大匙，熬令黄，童子小便一升，二物温和服之，少顷吐下，即愈。（引自《本草图经》）《太平圣惠方》加生姜。
救干霍乱方。
用鲜生姜煎浓汁，加炒盐，滴桐油数点，频频灌下二、三碗，用鹅毛探喉令吐。如不吐，急用瓜蒂散吐之。若终不吐，用备急丸下之，庶几可生。若怠缓姑息，立亡可待。（引自《苍生司命》）（按：《辨证录》治疗干霍乱，用人参一两，瓜蒂七个，水煎一大碗饮之。其说颇巧，然瓜蒂快吐之际，人参何能安胃，不如吐后，随宜调补，今仍不取。）
泻下诸方 干霍乱大小便不通，烦冤欲死，宜急与巴豆等三味丸服之，服取快利方。
巴豆（一百枚熬令熟去皮心） 干姜（三两，崔氏以芒硝五两代，与《千金方》同。） 大黄（五两）
以上药先捣干姜、大黄为散，后别捣巴豆如膏，和前二味同捣令调，细细下蜜，堪丸出之，以饮下，初服三丸，丸如梧子大，服讫按摩腹部，令转动速下利。良久不觉，则以热饮投之。又良久不利，更服一丸，须臾当利。利后好将息，食饮寒温，以意取适。如渴者，煮浆水粥少少啜之。张文仲处。（引自《外台秘要》引许仁则）《千金月令》抵圣备急丸，主干霍乱，心腹百病疰痛等方。（即本方）
治疗干霍乱，不吐不利，烦闷不知所为方。
巴豆（一枚去皮心）
以上以熟水研服之，当快利三两行，即以浆水粥止，立定。（引自《太平圣惠方》）（按：此即走马汤变方。）
治疗干霍乱，厚朴汤方。
厚朴（去粗皮生姜炙三分） 大黄（锉炒二两） 槟榔（锉） 枳壳（去穣麸炒） 朴硝 高良姜（各三分）
以上六味药粗捣筛，每次服五钱匕，水一盏半，煎至一盏，去渣温服。（引自《圣济总录》）
*Fan Wang Fang* treats Huoluan (cholera-like syndrome) with vomiting, Fuzi Tang formula.
Da Fuzi (Aconiti Lateralis Radix Praeparata, one piece), Gancao (Glycyrrhizae Radix et Rhizoma, six zhu), Shujiao (Zanthoxyli Pericarpium, two hundred grains).
These three ingredients are boiled in three sheng of water to obtain one and a half sheng; divide into two doses for administration. (*Yi Xin Fang*)
*Bixiao Fang* Lizhong San treats Huoluan (cholera-like syndrome) and zhuanjin (muscle cramps/tendon contraction), for persistent vomiting and diarrhea.
Qingmuxiang (Aucklandiae Radix, six fen), Guixin (Cinnamomi Cortex, eight fen, processed with heat), Houpo (Magnoliae Officinalis Cortex, eight fen, processed with heat), Gancao (Glycyrrhizae Radix et Rhizoma, eight fen, processed with heat), Baizhu (Atractylodis Macrocephalae Rhizoma, eight fen), Ganjiang (Zingiberis Rhizoma, ten fen, processed by roasting), Fuzi (Aconiti Lateralis Radix Praeparata, six fen, processed by roasting).
The above seven ingredients are crushed, sifted, and made into a powder. Take two qianbi with warm water. If symptoms persist after walking for five or six li, administer another qianbi. Discontinue when cured. (*Waitai Miyao*) The Longtan formula in *Huiyan* treats Yin Huoluan (cold-type cholera-like syndrome) with vomiting and diarrhea. It removes Qingmuxiang and Houpo from the base formula, adds Banxia (Pinelliae Rhizoma) processed with ginger, and Chenpi (Citri Reticulatae Pericarpium), decocted in water and taken cold.
Fulao Lizhong San treats elderly patients who are frail, suffering from cold qi causing nausea, indigestion, deficiency-fullness in the heart and abdomen, tension and shortness of breath, Huoluan (cholera-like syndrome) with vomiting and counterflow, cold limbs, mental restlessness, air oppression, and sweating.
Maimendong (Ophiopogonis Radix), Ganjiang (Zingiberis Rhizoma) (each six liang), Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each six fen), Fuzi (Aconiti Lateralis Radix Praeparata), Fuling (Poria) (each three liang).
The above seven ingredients are processed and sifted. Take one cunbi with white water. For long-term use, honey-pilulate and take twenty pills (size of wutong seeds) with wine. (*Qianjin Fang*) (Note: *Waitai Miyao* and *Yi Xin Fang* both cite *Duanju Fang*.)
Jiji Tang treats post-Huoluan (cholera-like syndrome) deficiency-heat irritability and insomnia. (*Puji Fang*) (Formula seen in *Shanghan Lun · Shaoyin Disease* chapter. Note: *Qianjin Fang*'s Zhuye Tang treats Huoluan (cholera-like syndrome) where vomiting and diarrhea have stopped but heat persists despite taking Lizhong Tang or Sishun Tang, using eleven ingredients including Zhuye. However, this formula is superior, so it is not recorded here.)
Formulas for Harmonizing the Middle and Dispelling Qi Stagnation
*Yannian Fang* Zengsun Lizhong Wan treats Huoluan (cholera-like syndrome), promotes downward movement of Qi, improves appetite, and stops dysentery.
Ren Shen (Ginseng Radix et Rhizoma, six fen), Baizhu (Atractylodis Macrocephalae Rhizoma, six fen), Houpo (Magnoliae Officinalis Cortex, six fen, processed with heat), Fuling (Poria, six fen), Gancao (Glycyrrhizae Radix et Rhizoma, six fen, processed with heat), Jiangxier (Zingiberis Rhizoma Recens, two fen).
The above six ingredients are crushed, sifted, and formed into pills with honey, size of wutong seeds. Take ten pills with water or wine. Dosage can be increased to fifteen or twenty pills. (*Waitai Miyao*)
Fan Wang's Lingzhi Lizhong Tang treats Huoluan (cholera-like syndrome) with pulsation above the umbilicus.
Fuling (Poria, three pieces large as dates, or two liang in another version), Gancao (Glycyrrhizae Radix et Rhizoma, three liang, processed with heat), Ganjiang (Zingiberis Rhizoma, one liang, processed by roasting), Ren Shen (Ginseng Radix et Rhizoma, three liang), Mugua (Chaenomelis Fructus, three liang).
The above five ingredients are chopped. Boil in six sheng of water to obtain three sheng. Remove dregs, adjust temperature, and divide into four doses. (Same source)
Fan Wang's Lizhong Jia Erwei Tang treats Huoluan (cholera-like syndrome) with chest fullness, abdominal pain, vomiting, and diarrhea.
Ren Shen (Ginseng Radix et Rhizoma, three liang), Ganjiang (Zingiberis Rhizoma, three liang, processed by roasting), Gancao (Glycyrrhizae Radix et Rhizoma, three liang, processed with heat), Baizhu (Atractylodis Macrocephalae Rhizoma, three liang), Danggui (Angelicae Sinensis Radix, two liang), Shaoyao (Paeoniae Radix Alba, two liang).
The above six ingredients are chopped. Boil in seven sheng of water to obtain three sheng. Strain and take one sheng warm, three times daily. Very effective. (Same source)
Caodoukou San treats Huoluan (cholera-like syndrome) with post-vomiting/diarrhea muscle cramps.
Caodoukou (Alpiniae Katsumadai Semen), Gaoliangjiang (Galangal Rhizome), Dingxiang (Caryophylli Flos), Baizhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Chenjupi (Citri Reticulatae Pericarpium), Suosha (Amomi Fructus Rotundus) (each one liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang), Mugua (Chaenomelis Fructus, two liang).
Crush the above herbs, sift finely into a powder. Take two qian at any time, mixed with hot ginger soup. (*Taiping Shenghui Fang*) Ren Shen Yangwei Tang in *Huijie* removes Caodoukou, Gaoliangjiang, Gancao, and Mugua from this formula, adding Ganjiang (Zingiberis Rhizoma) and Fuling (Poria) to treat cold-type Huoluan (cholera-like syndrome).
Lengxiang Yinzi treats summer consumption of fruits and ice-cold foods leading to severe abdominal pain and Huoluan (cholera-like syndrome). (*Yifang Kao*) (Formula seen in *Zhongshu* chapter. Note: *Lingnan Weisheng Fang* lists a version removing Juhong (Citri Reticulatae Pericarpium Rubrum) and adding Gaoliangjiang (Galangal Rhizome), Tanxiang (Santalum Album Lignum), Ganjiang (Zingiberis Rhizoma), and Dingxiang (Caryophylli Flos). However, the original formula is preferred, so this variant is not adopted.)
*Duanju Fang* Ren Shen Tang treats sudden uncontrollable vomiting and diarrhea in Huoluan (cholera-like syndrome) with rapid pulse.
Ren Shen (Ginseng Radix et Rhizoma, two liang), Fuling (Poria, two liang), Gegen (Puerariae Lobatae Radix, two liang), Ju pi (Citri Reticulatae Pericarpium, two liang), Maimendong (Ophiopogonis Radix, dehearted, two liang), Gancao (Glycyrrhizae Radix et Rhizoma, one liang, processed with heat).
Chop the above six ingredients. Boil in five sheng of water to obtain two sheng. Strain and take warm in three divided doses. (*Waitai Miyao*) *Taiping Shenghui Fang*'s Ren Shen San for Huoluan (cholera-like syndrome) with vomiting, diarrhea, and mental restlessness removes Gegen (Puerariae Lobatae Radix) from this formula, adding Shengjiang (Zingiberis Rhizoma Recens), Xiaomai (Tritici Fructus), and Zhuye (Bambusae Folium) for decoction. *Jisheng Fang*'s Maimendong Tang treats resolved Huoluan (cholera-like syndrome) with lingering fever, excessive thirst, and difficult urination. It removes Gegen (Puerariae Lobatae Radix) from this formula, adding Banxia (Pinelliae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiaomai (Tritici Fructus), Shengjiang (Zingiberis Rhizoma Recens), and Wumei (Mume Fructus).
Baizhu San treats Shanghan (damage by cold) and miscellaneous diseases involving all types of vomiting and diarrhea, irritability/thirst, Huoluan (cholera-like syndrome), deficiency, and weak Qi. (*Xuanming Lun Fang*) (Note: This is Qian Yi's original formula.) *Yijia Leixuan* adds Houpo (Magnoliae Officinalis Cortex).
Post-Huoluan (cholera-like syndrome) nausea, loss of appetite, dry mouth, and excessive thirst are treated with Baizhu San. (*Yuanbing Ji*)
Banxia Tang treats Huoluan (cholera-like syndrome) with epigastric stagnation and counterflow.
Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness, sliced, and roasted), Ren Shen (Ginseng Radix et Rhizoma) (each three liang).
Cut the above two ingredients like hemp seeds. Take three qianbi per dose, add three slices of Shengjiang (Zingiberis Rhizoma Recens) and half spoonful of Baimi (Apis Mellifica), boil in one zhan of water until reduced to six parts. Strain and take warm at any time. (*Shengji Zonglu*) (Note: This is Dabanxia Tang plus Shengjiang.)
Xiao Banxia Tang treats Huoluan (cholera-like syndrome) with vomiting of saliva/phlegm, where the physician mistakenly used purgatives, resulting in epigastric stagnation. (Same source) (Note: *Qianjin Fang* uses Gancao Xiexin Tang for this condition, which originates from *Jingui Yaolue · Women's Diseases* chapter.)
Sipian Jin treats exposure to summer heat and latent heat, abdominal pain with diarrhea or dysentery, and excessive drinking. It treats Huoluan (cholera-like syndrome) caused by drinking cold liquids, exposure to cold, hunger, anger, or motion sickness damaging stomach Qi, leading to upper vomiting and lower diarrhea simultaneously, causing dizziness, vertigo, muscle cramps in hands/feet, and cold limbs. Delayed treatment may lead to death within moments.
Wuzhuyu (Evodiae Fructus, half liang), Gan Mugua (Chaenomelis Fructus, half liang), Yanshi (Sal, half liang).
Stir-fry the above three ingredients together until scorched. Boil three sheng of water in a porcelain bottle until boiling vigorously. Add the fried herbs and simmer until reduced to less than two sheng. Pour out one zhan and administer according to patient's preference for temperature. Stop immediately upon reaching the throat. In emergencies without these herbs, use only Kubaifan (Alumen) powdered, one daqian with boiling water. Without Alumen, use a pinch of salt and one zhan of vinegar, simmer to eight parts, take warm. Salt plums or other sour/salty items can also be decocted and taken. (*Jiabao Fang*) (Note: This formula is named Wuzhuyu Tang in *Qixiao Liangfang*. Also, *Taiping Shenghui Fang* uses Mugua (Chaenomelis Fructus), Shengjiang (Zingiberis Rhizoma Recens), and Wuzhuyu (Evodiae Fructus) for post-Huoluan (cholera-like syndrome) leg cramps, likely a variation of this formula.)
Huoxiang Zhengqi San is generally used for Huoluan (cholera-like syndrome) with vomiting and diarrhea. Add Rougui (Cinnamomi Cortex) for abdominal pain, add Fuling (Poria) for difficult urination. This formula warms and disperses wind-cold-dampness. Add Xiangru (Moslae Herba) for summerheat conditions. (*Zhizhi Fang*) *Xu Yijian Fang*'s Huoxiang Zhengqi San removes Cangzhu (Atractylodis Rhizoma) from Buhuanjin Zhengqi San. It states: For Huoluan (cholera-like syndrome) with vomiting and diarrhea, add Baizhu (Atractylodis Macrocephalae Rhizoma). *Huichun Fang* suggests Jiajian Zhengqi San for travelers experiencing水土不服 (acclimatization issues) with vomiting/diarrhea, chest/abdominal fullness, or swelling without vomiting/diarrhea, adding Shanren (Amomi Fructus) and Xiangfu (Cyperi Rhizoma) to Buhuanjin Zhengqi San.
Draining and Promoting Urination Methods
Upon feeling this syndrome, first consider Wuling San (Five-Ingredient Powder with Poria), Yiyuan San (Benefit Origin Powder), or Guiling Ganlu Yin (Cassia-Gastrodia Sweet Dew Decoction), which are holy medicines for vomiting and diarrhea. (*Baoming Ji*)
Fuling Zexie Tang treats post-Huoluan (cholera-like syndrome) vomiting/diarrhea with irritability, thirst, and desire to drink. (*Sanyan Jingyi Bingzheng Fanglun*) (Note: This is the original formula from *Jingui Yaolue*. However, Wuling San (Five-Ingredient Powder with Poria) is still considered superior.)
Official Shiqi, aged 79, suffered from summerheat toxicity on the 4th day of the 6th month in Bingyin year of Zhiyuan. He had Huoluan (cholera-like syndrome) with vomiting and diarrhea, unconsciousness all day, unresponsive to stimuli. At midnight, he requested my treatment. His pulse was surging, large, and forceful, beating 7-8 times per breath. His head was hot as fire, feet cold as ice, hemiplegia, and lockjaw. I recalled *Neijing · Wuluan Pian*: "Clear Qi in Yin, Turbid Qi in Yang, Ying Qi follows vessels, Wei Qi moves counter-current. Chaos in the chest is called Great Chaos... Chaos in intestines/stomach becomes Huoluan." Thus the name Huoluan originated. Due to old age and weak Qi, he could not withstand summerheat. Yang failing to anchor Yin causes diarrhea; Yin failing to anchor Yang causes vomiting. When Yin and Yang fail to anchor each other, both vomiting and diarrhea occur. Former sages treated cold patterns with Lizhong Wan and heat patterns with Wuling San (Five-Ingredient Powder with Poria) as standard methods. Now, summerheat is extreme, Yangming is in season, and since it was acquired through activity, internal heat is clear. Only sweet-acrid great-cold formulas can drain summerheat, subdue floating fire, and calm the Spirit. I used Ganlu San (Sweet Dew Powder), sweet-acrid and great-cold, to drain heat and tonify Qi, added Baifuling (White Poria) to differentiate Yin and Yang, weighing about one liang. Administered with ice water, he gradually regained consciousness and symptoms resolved. After three days of restricting speech and diet, I adjusted Shenzhu Tiaozhong Tang to regulate Qi and restore health. Over ten days later, he fully recovered. (*Baojian*)
Guiling Ganlu Yin moistens dryness, treats phlegm-saliva, stops cough, regulates organs, treats cold-heat vomiting, promoting smooth Qi flow throughout the body, and treats edema and diarrhea.
Guigui (Cinnamomi Ramulus), Huoxiang (Agastaches Herba), Ren Shen (Ginseng Radix et Rhizoma) (each half liang), Muxiang (Aucklandiae Radix, one fen), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Zexie (Alismatis Rhizoma), Gegen (Puerariae Lobatae Radix), Shigao (Gypsum Fibrosum), Hanshuishi (Halloysitum Rubrum) (each one liang), Huashi (Talcum, two liang).
Grind the above twelve ingredients into powder. Take three qian per dose, mixed with white water, new water, or ginger soup. (Same source) (Note: This formula originates from *Sanfa Liu Men*.)
Jiang Yingsu treated a woman in mid-June with Huoluan (cholera-like syndrome), vomiting, diarrhea, and muscle cramps. A physician prescribed Huoxiang Zhengqi San, worsening her condition with irritability, red face, and restlessness (pulling clothes off, lying on ground). My diagnosis showed a deficient, powerless pulse, body heat, and thirst. This was caused by summerheat damage. I used sweet-acrid great-cold formulas to drain fire, prescribing Wuling San (Five-Ingredient Powder with Poria) plus Huashi (Talcum) and Shigao (Gypsum Fibrosum). Once vomiting/diarrhea stopped, I administered Guiling Ganlu Yin (Cassia-Gastrodia Sweet Dew Decoction) and she recovered. (*Mingyi Leian*)
Jiawei Wuling Tang treats thirst and body heat due to summerheat damaging the middle.
Zhuling (Polypori Umbilicati Sclerotium, seven fen), Zexie (Alismatis Rhizoma, seven fen), Baizhu (Atractylodis Macrocephalae Rhizoma, five fen), Chi Fuling (Red Poria, one qian), Tianhuafen (Trichosanthis Radix, two qian), Gan Ge (Puerariae Lobatae Radix, one qian), Xiangru (Moslae Herba), Huanglian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
If heat is extreme, add Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma). Boil one and a half zhong of water with three slices of ginger until reduced to seven parts. Take warm. (*Zhongmiao Fang*) *Yijian* names this Jiawei Ru Ling Tang, adding Bian Dou (Phaseoli Semen).
Chaihu Siling Tang is used for excessive thirst and difficult urination.
Chaihu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Shaoyao (Paeoniae Radix Alba) (each one qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zhuling (Polypori Umbilicati Sclerotium), Zexie (Alismatis Rhizoma) (each eight fen).
Boil two zhong of water until reduced to eight parts. Strain, add one spoonful of Jiangzhi (Ginger Juice). Take cold. (*Shanghan Zhengzhi Mingtiao*) For disharmony of summerheat and food, post-vomiting/diarrhea abdominal distension, borborygmus, difficult urination, or persistent diarrhea, treat with Weiling Tang. (*Yuanbing Ji*) (Note: Based on *Lingnan Weisheng Fang*.)
Summerheat-Resolving Formulas
*Guangji Fang* Bian Dou Tang treats Huoluan (cholera-like syndrome) with vomiting and dysentery.
Biandou Ye (Lablab Leaf, cut one sheng), Xiangru Ye (Mosla Leaf, cut one sheng), Mugua (Chaenomelis Fructus, one piece cut), Ganjiang (Zingiberis Rhizoma, one liang cut).
Boil the above four ingredients in six sheng of water to obtain two sheng five he. Strain and take warm in three divided doses, spaced by the time it takes to walk six or seven li. (*Waitai Miyao*) *Jifeng Fang* Caodoukou San treats persistent Huoluan (cholera-like syndrome) with vomiting/diarrhea and fine-tight pulse indicating internal cold. It removes Biandou (Lablab Seed) from this formula, adding Caodoukou (Alpiniae Katsumadai Semen), Huoxiang (Agastaches Herba), and Chenjupi (Citri Reticulatae Pericarpium).
Formula for Huoluan (cholera-like syndrome) and Spleen-Stomach Qi deficiency with abdominal distension and anorexia.
Ren Shen (Ginseng Radix et Rhizoma, three fen), Xiangru (Moslae Herba, one handful cut), Chenjupi (Citri Reticulatae Pericarpium, one liang).
Crush and sift the above ingredients into a powder. Divide into four doses. Each dose boiled with one zhan of water, two jujubes, and half slice of Shengjiang (Zingiberis Rhizoma Recens) until reduced to six parts. Strain and take warm at any time. (*Taiping Shenghui Fang*)
Wubi Xiangru San treats irregular vomiting/diarrhea, Huoluan (cholera-like syndrome) with restlessness/thirst, umbilical/abdominal cramping pain, muscle cramps, cold sweat over the body, and cold limbs. (*Chuanjia Mibao*) (Formula seen in *Zhongshu* chapter.) *Huo Ren Shu* states that for summer Huoluan (cholera-like syndrome) due to summerheat, Xiangru San should be taken, submerged in well water until extremely cold, and taken in one dose for efficacy. (*Bencao Yan Yi* says: Mosla is eaten as a vegetable in summer; indispensable for treating Huoluan (cholera-like syndrome); always effective.)
Zengsun Suopi Yin treats post-Huoluan (cholera-like syndrome) irritability caused by excessive intake of warming herbs. Soaked until ice-cold, especially suitable. (*Yijian Fang*) (Formula seen in *Zhongshu* chapter.)
Lugen Yinzi treats pregnant women with Huoluan (cholera-like syndrome), vomiting, diarrhea, and mental restlessness.
Lugen (Phragmitis Rhizoma, one liang), Ren Shen (Ginseng Radix et Rhizoma, one liang, remove rhizome), Huoxiang (Agastaches Herba, three fen), Pipaye (Loquat Leaf, ten sheets, brush off hairs, roast slightly yellow), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, roast slightly red, chop).
Finely chop and mix the above ingredients. Take one fen per dose, boil with one zhan of water, seven cun of Xiebai (Allii Macrostemonis Bulbus), and half slice of Shengjiang (Zingiberis Rhizoma Recens) until reduced to six parts. Strain and take slightly warm at any time. (*Taiping Shenghui Fang*) Another formula, Lugen San, for Huoluan (cholera-like syndrome) with mental restlessness and dry retching, removes Huoxiang (Agastaches Herba) and Xiebai (Allii Macrostemonis Bulbus) from this formula, adding Chenjupi (Citri Reticulatae Pericarpium) and Mugua (Chaenomelis Fructus).
Formula for Huoluan (cholera-like syndrome) with heart/abdominal distension/pain, fullness, shortness of breath, before vomiting/diarrhea occurs.
Take Liaoruo Ye (Polygoni Multiflori Vine Leaf), finely cut two sheng. Boil in five sheng of water for three boils. Take in one dose. (*Zhouhou Beiji Fang*) Formula for Huoluan (cholera-like syndrome) muscle cramps: Take one handful of Liao (Polygonum hydropiper), remove ends, boil in two sheng of water to obtain one sheng. Take in one dose. (*Qianjin Fang*) (Note: Ancient formulas used Polygonum for Huoluan, hence listed here.)
Heat-Clearing Formulas
*Fan Wang Fang* treats Huoluan (cholera-like syndrome) with vomiting, Qi reversal, and inability to breathe.
Xiangchi (Fermented Soybean, one sheng), Banxia (Pinelliae Rhizoma, one liang), Gancao (Glycyrrhizae Radix et Rhizoma, one liang), Shengjiang (Zingiberis Rhizoma Recens, two liang), Ren Shen (Ginseng Radix et Rhizoma, one liang), Chaihu (Bupleuri Radix, one liang).
Boil the six ingredients in five sheng of water to obtain two sheng five he. Take seven he, three times daily. (*Yi Xin Fang*)
*Yimen Fang* treats Huoluan (cholera-like syndrome) with mental restlessness.
Xiangchi (Fermented Soybean, seven he, wrapped in cotton), Zhizi Ren (Gardeniae Fructus, three liang), Houpo (Magnoliae Officinalis Cortex, three liang, processed with heat).
Boil in five sheng of water to obtain two sheng. Strain and take warm in two divided doses. Severe cases may require no more than two doses; must cure. (Same source)
Shigao San treats Huoluan (cholera-like syndrome) with irritability, thirst, and headache.
Shigao (Gypsum Fibrosum, two liang), Maimendong (Ophiopogonis Radix, one liang), Gancao (Glycyrrhizae Radix et Rhizoma, three fen), Baifuling (White Poria, one liang).
Crush and sift the above ingredients into a powder. Take three qian per dose, boil with one zhan of water, half slice of Shengjiang (Zingiberis Rhizoma Recens), one hundred grains of Chi (Fermented Soybean), and fourteen leaves of Zhuye (Bambusae Folium) until reduced to seven parts. Strain and take warm. (*Taiping Shenghui Fang*)
Emetic Formulas
Formula for Huoluan (cholera-like syndrome) with heart/abdominal distension/pain, fullness, shortness of breath, before vomiting/diarrhea occurs. Two sheng of salt boiled in five sheng of water to obtain two sheng. Take in one dose to induce vomiting and cure. (*Zhouhou Beiji Fang*) (Note: Based on *Jingui Yaolue* formula for gluttony, undigested food, hard/full painful abdomen.) *Duanju Fang* treats sudden heart/abdominal pain, undigested food, or chronic cold causing fullness/Huoluan (cholera-like syndrome). Make three sheng of salty soup, make it very salty, drink one sheng hot, stimulate throat to vomit (*Qianjin Fang* stimulates throat to vomit) until undigested food is gone. If not vomiting, repeat. After vomiting, drink again. Three emetic cycles are best. Rest quietly. Superior to other decoctions/pills. (*Yi Xin Fang*) *Qianjin Fang* Huoluan Gudu (Note: These are two conditions), undigested food, accumulated cold, heart/abdominal fullness, Guiqi formula (Same as Duanju). Commoners consider this a rustic method and disdain it, preferring to die. For such diseases, this must be used first. *Defang* uses half a zhan of salt soaked in several bowls of hot water, have patient drink all, up to several bowls without stopping. Then sweep throat with chicken feather to induce immediate vomiting. All salt soup expelled, condition cured. (*Yifang Jijie* burns salt, mixes with hot water, induces vomiting with finger.)
Liu Zongyuan of Tang compiled Salt Soup Formula to Save Three Deaths and Treat Huoluan (cholera-like syndrome): In the 10th month of the 11th year of Yuanhe, I suffered from Gan Huoluan (dry cholera-like syndrome), unable to vomit or purge, sweating cold sweat heavily, Qi ceased. Fang Wei from Henan transmitted this soup. Upon entering mouth, vomiting occurred, Qi restored. Method: One large spoonful of salt, roasted until yellow, one sheng of child's urine. Mix moderately warm and take. Soon vomiting/purging occurs, then cured. (*Bencao Tujing*) *Taiping Shenghui Fang* adds Shengjiang (Zingiberis Rhizoma Recens).
Emergency Formula for Gan Huoluan (Dry Cholera-Like Syndrome).
Decoct fresh Shengjiang (Zingiberis Rhizoma Recens) to make thick juice, add roasted salt, drop a few drops of Tongyou (Toona Sinensis Oil). Administer frequently, two to three bowls. Use goose feather to probe throat to induce vomiting. If no vomiting, urgently use Guiti San (Melon Seed Powder) to induce vomiting. If still no vomiting, use Beijji Wan (Emergency Rescue Pill) to purge. There is hope for survival. If delayed or lenient, death is imminent. (*Cangsheng Siming*) (Note: *Bianzheng Lu* treats Gan Huoluan (Dry Cholera-Like Syndrome) with one liang of Ren Shen (Ginseng Radix et Rhizoma) and seven Guiti (Momordicae Fructus), decocted in one bowl. The idea is clever, but during strong vomiting induced by Guiti (Melon Seed), how can Ren Shen (Ginseng Radix et Rhizoma) stabilize the Stomach? Better to tonify appropriately after vomiting. Therefore, not adopted here.)
Purgative Formulas
For Gan Huoluan (Dry Cholera-Like Syndrome) with blockage of stool and urine, extreme distress, urgently administer Badou Sanwei Wan (Three-Ingredient Pill with Croton Seed) to achieve rapid purgation.
Badou (Crotonis Fructus, one hundred pieces, roasted熟, skin and heart removed), Ganjiang (Zingiberis Rhizoma, three liang, Cui Shi replaced with five liang of Mangxiao (Natrii Sulfas), same as *Qianjin Fang*), Dahuang (Rhei Radix et Rhizoma, five liang).
First crush Ganjiang (Zingiberis Rhizoma) and Dahuang (Rhei Radix et Rhizoma) into powder. Separately crush Badou (Crotonis Fructus) into paste. Mix with the previous two powders. Add honey slowly to form pills. Take with water. Initial dose: three pills, size of wutong seeds. After taking, massage abdomen to promote rapid purgation. If no effect after a while, give hot drink. If still no effect, take one more pill. Purging should occur soon. After purging, rest well, adjust diet temperature as appropriate. If thirsty, sip thin millet gruel. Prescribed by Zhang Wenzhong. (*Waitai Miyao* citing Xu Renze) *Qianjin Yueling* Disheng Beijji Wan mainly treats Gan Huoluan (Dry Cholera-Like Syndrome), various heart/abdominal pains. (This is the same formula.)
Formula for Gan Huoluan (Dry Cholera-Like Syndrome) with no vomiting or purging, extreme restlessness.
Badou (Crotonis Fructus, one piece, skin and heart removed).
Grind with cooked water and take. Should have rapid purgation two to three times. Stop with millet gruel immediately. (*Taiping Shenghui Fang*) (Note: This is a variation of Zouma Tang.)
Houpo Tang treats Gan Huoluan (Dry Cholera-Like Syndrome).
Houpo (Magnoliae Officinalis Cortex, remove bark, process with ginger, three fen), Dahuang (Rhei Radix et Rhizoma, chop and stir-fry, two liang), Binglang (Arecae Semen, chop), Zhike (Aurantii Fructus, remove pith, stir-fry with bran), Poxiao (Natrii Sulfas), Gaoliangjiang (Galangal Rhizome) (each three fen).
Coarsely crush and sift the above six ingredients. Take five qianbi per dose, boil in one and a half zhan of water until reduced to one zhan. Strain and take warm. (*Shengji Zonglu*)