忽然气上喘，不能语言，口中汁流吐逆，齿皆动摇，气出转大则闷绝，苏复如是，名曰伤寒并热霍乱。用
大黄、人参末各半两，水三盏，煎至一盏，去滓热服可安。（《经验良方）（按∶此盖一种奇病，然其方则宜
治寻常干霍，仍列于此。）
与水法《短剧方》治中热暴下利，霍乱变热。心烦脉数者方。
饮新出井水一升，立愈，饮多益善，此治是胃中多热者也。无热者慎之，不可与也。（《医心》）先患胃口
冷者，勿服之。（《千金》）
《医门方》治霍乱吐下不止者方。
煮百沸汤，细细添生水，热饮之。（今按删繁论云∶熟水一升，生水一升，相和饮之，良验。）（《医心》）
如不纳药，宜井泉水半碗，百沸汤半碗，相和服之，立效。（《如宜》）（按∶《袖珍》引《圣惠》，今无考。）
外治法 治之方（主证即源由中所举），可作灼灼尔热汤，着瓮中，渍足令至膝，并铜器贮汤，以着腹
上，衣借之，冷复易。（《肘后》）霍乱手足转筋，以铜器若瓦器盛汤熨之，亦可令蹋器，使脚底热彻，亦可以汤
捋之，冷则易，用醋煮汤更良，煮蓼子及吴茱萸汁亦好，以绵絮及破毡包脚，以汤淋之，贵在热彻。（《本草新
补》）（《原病式》曰∶诸转筋，以汤渍之，而使腠理开泄，阳气散则愈也。）
《删繁论》云∶霍乱转筋方。
取絮巾若绵，炙暖，以敷筋上。（今案《范汪方》，转筋在脚缠脚，入腹缠腹，浓温暖已而向火也。）（《医
心》）
治霍乱，转筋入腹，不可奈何者方。
极咸作盐汤于槽中，暖渍之。（《千金》）
又方，以酢煮青布 之，冷复易之。（同上）
《医门方》治霍乱转筋方。
取热 灰以酽醋和，令微温，炒令极热，以青布裹，及热熨筋上，冷易之，随手消散也。（《医心》）
治转筋不止者方。
若男子，以手挽其阴牵之；女子，挽其乳近左右边。（《千金》）
洗法，治霍乱转筋。
蓼一把去两头，水三升，煮取二升，放温重洗。（《济生》）
《梅师方》治霍乱转筋，皂荚末吹一小豆入鼻中，得嚏便瘥。（《本草》）
治霍乱吐泻转筋，以大蒜研炒熟，敷脚心，瘥。（《琐碎录》）
盐熨方，治霍乱吐泻，心腹作痛。
炒盐二碗，纸包纱护，顿其胸前并腹肚上，即以熨斗火熨，气透则苏，续又以炒盐熨其背，则十分无事。
（《直指》）
灸法《葛氏方》灸之，但明按次第，莫为乱灸，须有其病，乃随病灸之。灸霍乱，艾丸苦不大，壮数
苦不多。本方言七壮为可，四、五壮无不活，便火下，得眠。（今案《范汪方》，凡得霍乱，灸之或时虽未瘥，
终无死忧，不可不逆灸。）（《医心》）
霍乱吐泻，尤当速治，宜服来复丹、镇灵丹等药，以多为贵，尤宜灸上管、中脘、神阙、关元等穴，若水分
穴尤不可缓。盖水谷不分，向后泄泻，此穴亦名分水，能分水谷故
也。或兼灸中管穴，须先中管而后分水可也。（《资生》）
灸法，霍乱已死，腹中有暖气者，盐内脐中令实，就盐上灸二七壮。（《济生》）霍乱吐泻病剧者，以盐
实脐中，大艾灸一百壮。（《王氏》）
调摄法 《短剧方》云∶霍乱吐下，汗出全冷，转筋呕逆，烦闷欲得冷水者方。可与浓朴葛根饮，进
沾喉中而已。慎勿与米饮及粥，但与此单行饮，以代米饮水浆也。（《医心》）
凡霍乱务在温和将息，若冷即遍体转筋。凡此病定一日不食为佳，仍须三日少少吃粥，三日以后，可恣意食，
息七日，勿杂食为佳，所以养脾气也。（《千金》）
霍乱之后，不可早与饮食，恐胃中邪物吐泻不尽。若新谷入胃，不能传化，则必危矣，慎之慎之。病安
之后，宜以粥饮渐渐养之，候其胃气平复则愈矣。（《选要》）
大忌火酒、姜汤、蒜、乌梅、梅酱、热汤，及一切收敛温热之药。（《嵩 尊生》）
一方，治吐泻后，胃气大弱，不进饮食，可进陈胡醋在鼻边，闻气开胃，或用醋浸蒜，粥送亦好。（《寿世
仙丹》）
忽然气息上逆而喘促，不能言语，口中津液流出并伴有呕吐，牙齿松动，呼气加重时出现昏厥，苏醒后症状依旧，这种病症称为伤寒兼热霍乱。使用大黄、人参粉末各半两，加水三盏，煎煮至一盏，去渣后趁热服用即可缓解。（《经验良方》）（按语：这大概是一种奇病，但此方适宜治疗寻常的干霍乱，因此仍列于此。）
饮水疗法：《短剧方》治疗中热暴发性下利，霍乱转化为热证，心烦且脉数者的方剂。
饮用刚从井中取出的水一升，立即痊愈，喝得越多越好，这是治疗胃中多热的方法。没有热象者慎用，不可给予。（《医心宝鉴》）先前患有胃寒者，不要服用。（《千金方》）
《医门方》治疗霍乱呕吐腹泻不止的方剂。
煮沸百次的汤水，慢慢加入生水，温热饮用。（今按：《删繁论》记载：熟水一升与生水一升混合饮用，疗效显著。）（《医心宝鉴》）
如果无法接受药物，可用井泉水半碗与百沸汤半碗混合服用，立见成效。（《如宜方》）（按语：《袖珍方》引用《太平圣惠方》，如今已无法考证。）
外治法：治疗该病的方子（主证即前文所述病因），可制作滚烫的热汤，装入瓮中，浸泡双脚直至膝盖，并用铜器盛装热汤敷在腹部，盖上衣物保温，变冷后更换。（《肘后备急方》）霍乱导致手足转筋，用铜器或瓦器盛装热汤熨烫，也可以让人踩踏容器，使脚底受热透彻，也可以用热汤淋洗，变冷则更换，用醋煮的热汤效果更好，煮蓼子及吴茱萸汁也良好，用棉絮和破毡包裹双脚，用热汤淋浇，关键在于热量要透达。（《本草新补》）（《原病式》说：各种转筋，用热水浸泡，使腠理开泄，阳气发散即可痊愈。）
《删繁论》记载：霍乱转筋的方子。
取丝绵巾或棉布，加热暖后，敷在抽筋部位。（今案：《范汪方》记载，转筋在脚部缠绕至脚，入腹则缠绕腹部，需浓温保暖并向火取暖。）（《医心宝鉴》）
治疗霍乱，转筋入腹，无可奈何的方子。
极咸的盐汤倒入槽中，温暖浸泡。（《千金方》）
另一方法，用醋煮青布，变冷后更换。（同上）
《医门方》治疗霍乱转筋的方子。
取热灰用浓醋调和，使其微温，炒至极热，用青布包裹，趁热熨烫抽筋部位，变冷后更换，随手消散。（《医心宝鉴》）
治疗转筋不止的方子。
如果是男子，用手牵引其阴部；如果是女子，牵引其乳房近左右边缘处。（《千金方》）
洗涤法：治疗霍乱转筋。
取一把蓼草，去掉两头，用水三升，煮取二升，放温后反复清洗。（《济生方》）
《梅师方》治疗霍乱转筋，将皂荚末吹入鼻中一小豆量，打喷嚏后即可痊愈。（《本草纲目》引）
治疗霍乱吐泻转筋，将大蒜研碎炒熟，敷于脚心，痊愈。（《琐碎录》）
盐熨方：治疗霍乱吐泻，心腹疼痛。
炒盐两碗，用纸包好再用纱护住，顿放在胸前及腹部，随即用熨斗火熨烫，气通即苏醒，随后又用炒盐熨烫背部，则完全无事。（《直指方》）
灸法：《葛氏方》主张施灸，只要明确按照次序，不要胡乱施灸，必须有相应的病症，才随病施灸。治疗霍乱，艾丸不宜太小，壮数不宜太少。本方言七壮为宜，四、五壮也能救活，火灭后，能入睡。（今案：《范汪方》记载，凡是患霍乱，施灸有时虽未痊愈，但最终无死亡之忧，不可不预先施灸。）（《医心宝鉴》）
霍乱吐泻，尤其应当迅速治疗，适宜服用来复丹、镇灵丹等药物，以量大为贵，尤其适宜灸上脘、中脘、神阙、关元等穴位，若水分穴尤其不可迟缓。因为水谷不分，向后泄泻，此穴又名分水，能分流水谷的缘故。或者兼灸中管穴，须先灸中管而后灸分水方可。（《资生经》）
灸法：霍乱患者看似已死，但腹中有暖气者，将盐填入脐中使其充实，就在盐上灸十四壮。（《济生方》）霍乱吐泻病情严重者，用盐填实脐中，大艾灸一百壮。（《王氏医方》）
调摄法：《短剧方》记载：霍乱吐下，汗出全身冰冷，转筋呕逆，烦躁闷乱想要冷水喝的方子。可以给予浓朴葛根饮，仅沾湿喉咙即可。千万不要给米饮及粥，只给这种单方饮品，以代替米饮水浆。（《医心宝鉴》）
凡霍乱务必温和调养，如果受冷就会遍体转筋。凡此病定一日不进食为佳，仍需三日少量喝粥，三日以后，可随意饮食，休息七日，不杂食为佳，这是为了养护脾气。（《千金方》）
霍乱之后，不可过早给予饮食，恐怕胃中邪物吐泻不尽。如果新谷进入胃中，不能传化，则必然危险，慎之又慎。病安之后，适宜以粥饮渐渐滋养，候其胃气平复则痊愈了。（《选要方》）
大忌火酒、姜汤、蒜、乌梅、梅酱、热汤，以及一切收敛温热之药。（《嵩崖尊生全书》）
一方，治疗吐泻后，胃气大弱，不进饮食，可将陈年胡醋放在鼻边，闻气味开胃，或用醋浸蒜，送粥吃也好。（《寿世仙丹》）
Sudden upward rushing of Qi causing panting and inability to speak, salivation with vomiting, loosening of teeth, suffocation upon deep exhalation, and recurrence of these symptoms after regaining consciousness is named Cold Damage combined with Hot Huoluan (Acute Gastroenteritis). Use Rhizoma Rhei Preparatum (Dahuang) and Radix Ginseng (Renshen) powder, half tael each. Add three cups of water, decoct until one cup remains, remove dregs, and take hot to relieve. (*Jingyan Liangfang*) [Note: This is likely a rare disease, but this formula is suitable for treating ordinary Gan Huoluan (Dry Huoluan), thus listed here.]
Drinking Therapy: *Duanju Fang* treats sudden diarrhea due to internal heat, Huoluan transforming into heat syndrome, with mental restlessness and rapid pulse.
Drink one sheng of newly drawn well water; recovery is immediate. The more the better. This treats excessive heat in the stomach. Those without heat should use caution; do not administer. (*Yixin Baojian*) Do not consume if there was prior cold in the stomach. (*Qianjin Fang*)
*Yimen Fang* treats Huoluan with incessant vomiting and diarrhea.
Boil water repeatedly, slowly add raw water, and drink warm. [Modern Note: *Shanfan Lun* states: Mix one sheng of boiled water with one sheng of raw water and drink; effective.] (*Yixin Baojian*)
If medication cannot be retained, mix half a bowl of well spring water with half a bowl of boiling water and take; effect is immediate. (*Ruyi Fang*) [Note: *Xiu zhen Fang* cites *Taiping Shenghui Fang*, now unverified.]
External Treatment: For the main symptoms described above, prepare scalding hot water in a vat, soak feet up to the knees, and place copper vessels filled with hot water on the abdomen, covering with clothes to retain heat; replace when cool. (*Zhouhou Beiji Fang*) For Huoluan with muscle cramps in hands and feet, use copper or earthenware vessels with hot water for moxibustion-like warming, or have the patient step on the vessel to heat the soles thoroughly. Alternatively, pour hot water over them, replacing when cool. Water boiled with vinegar is superior; decoctions of Polygonum aviculare (Liaozi) and Fructus Evodiae (Wuzhuyu) are also good. Wrap feet in cotton wadding and old felt, pouring hot water over; the key is thorough heat penetration. (*Bencao Xinbu*) (*Yuanbing Shi* states: For various cramps, soaking in hot water opens the pores and disperses Yang Qi, leading to cure.)
*Shanfan Lun* records a formula for Huoluan cramps.
Take silk or cotton cloth, heat it warmly, and apply to the cramped area. [Case Note: *Fan Wang Fang* records that cramps wrapping around the legs extend to the abdomen; keep warm and face the fire.] (*Yixin Baojian*)
For Huoluan with cramps extending into the abdomen, when helpless:
Prepare extremely salty brine in a trough and soak warmly. (*Qianjin Fang*)
Another method: Boil green cloth in vinegar, replace when cool. (Ibid.)
*Yimen Fang* treats Huoluan cramps.
Take hot ash, mix with strong vinegar to make slightly warm, stir-fry until very hot, wrap in green cloth, and apply hot compress to the cramps while hot; replace when cool, resolving immediately. (*Yixin Baojian*)
For incessant cramps:
For men, pull the genitalia by hand; for women, pull the breasts near the sides. (*Qianjin Fang*)
Washing Method: Treats Huoluan cramps.
Take a handful of Polygonum aviculare (Liao), remove ends, boil in three sheng of water until two sheng remain, let cool to warm, and wash repeatedly. (*Jisheng Fang*)
*Meishi Fang* treats Huoluan cramps: Blowing a bean-sized amount of Gleditsia Sinensis (Zaojia) powder into the nose induces sneezing and cure. (*Bencao Gangmu* citation)
For Huoluan vomiting, diarrhea, and cramps: Grind garlic, stir-fry until cooked, and apply to the sole of the foot for cure. (*Suosui Lu*)
Salt Compress Formula: Treats Huoluan vomiting/diarrhea with heart/abdominal pain.
Stir-fry two bowls of salt, wrap in paper and gauze, place on chest and abdomen, then iron with a heated iron tool until Qi returns and consciousness is restored. Subsequently, iron the back with hot salt for complete recovery. (*Zhizhi Fang*)
Moxibustion: *Ge Shi Fang* advocates moxibustion, following order strictly, avoiding random application. Apply only corresponding to specific diseases. For Huoluan, moxa cones should not be too small, and number of moxa moxibustions (Zhuang) should not be few. Seven Zhuang is recommended; four or five Zhuang can save lives. Sleep follows extinguishing the fire. [Case Note: *Fan Wang Fang* states that for Huoluan, moxibustion may not cure immediately but prevents death; prophylactic moxibustion is essential.] (*Yixin Baojian*)
Huoluan vomiting and diarrhea require urgent treatment. Administer large doses of Laifu Dan (Revival Pill) and Zhenling Dan (Spirit-Calming Pill). Moxibustion on Shangwan (CV13), Zhongwan (CV12), Shenque (CV8), and Guanyuan (CV4) is especially indicated. Shuifen (CV9) must not be delayed, as it separates water and grain. If Zhongguan (CV12) is also moxibusted, treat Zhongguan before Shuifen. (*Zisheng Jing*)
Moxibustion for apparent death in Huoluan with warmth in abdomen: Fill umbilicus with salt, apply fourteen Zhuang of moxibustion on the salt. (*Jisheng Fang*) For severe Huoluan vomiting/diarrhea: Fill umbilicus with salt, apply one hundred Zhuang of large moxibustion. (*Wang Shi*)
Regulation/Dietary Care: *Duanju Fang* treats Huoluan with vomiting/diarrhea, cold sweat, cramps, vomiting, restlessness, and desire for cold water. Provide Nongpu Genyin (Magnolia Bark and Pueraria Drink); moisten throat only. Do not give rice drink or porridge; use this single-ingredient drink instead of food/water. (*Yixin Baojian*)
Huoluan requires gentle care; cold causes whole-body cramps. Fasting for one day is best. Eat small amounts of porridge for three days. After three days, eat freely. Rest for seven days without mixed foods to nourish Spleen Qi. (*Qianjin Fang*)
After Huoluan, do not feed early to avoid retaining pathogenic factors. New grains entering the stomach cannot be transformed, leading to danger. Caution is vital. After stability, nourish gradually with porridge until Stomach Qi recovers. (*Xuanyao Fang*)
Strictly avoid alcoholic beverages, ginger soup, garlic, dark plum, plum sauce, hot water, and all astringent/warm-tonifying herbs. (*Songya Zunsheng Quanshu*)
One formula for post-vomiting/diarrhea weak Stomach Qi and anorexia: Place aged vinegar near the nose to stimulate appetite via smell, or eat vinegar-soaked garlic with porridge. (*Shoushi Xiandan*)