挥霍变乱生仓卒，心腹大痛吐利兼，吐泻不出干霍乱，舌卷筋缩入腹难。
【注】欲吐不吐，欲泻不泻，心腹大痛，名曰干霍乱，又名搅肠痧。若舌卷筋缩，则
卵阴入腹，难治也。
藿香正气散 二香汤 甘露饮
霍乱风寒暑食水，杂邪为病正气方，藿苏陈半茯苓草，芷桔腹皮浓朴当，转筋木瓜
吴萸入，暑合香薷湿入苍，暑热六一甘露饮，寒极乌附理中汤。
【注】霍乱之病，得之于风寒暑食水邪杂揉为病，乱于肠胃，清浊相干，故心腹大痛
吐泻也。藿香正气散，即藿香、苏叶、陈皮、半夏、茯苓、甘草、白芷、桔梗、大腹皮、浓
朴也；暑则吐多，合香薷饮名二香汤。湿则泻多，加苍术。暑热甚者，用辰砂六一散，或
五苓散加石膏、滑石、寒水石，名甘露饮。寒极肢厥脉伏者，用炮川乌、炮川附合理中汤。
三阳热结伤津液，干枯贲幽魄不通，贲门不纳为噎膈，幽门不放翻胃成。二证留连
传导隘，魄门应自涩于行，胸痛便硬如羊粪，吐沫呕血命难生。
【注】三阳热结，谓胃、小肠、大肠三腑热结不散，灼伤津液也。胃之上口贲门，小
肠之上口为幽门，大肠之下口为魄门。三腑津液既伤，三门自然干枯，而水谷出入之道
不得流通矣，贲门干枯，则纳入水谷之道路狭隘，故食不能下，为噎塞也。幽门干枯，则
放出腐化之道路狭隘，故食入反出为翻胃也。二证留连日久，则大肠传导之路狭隘，故魄
门自应燥涩难行也。胸痛如刺，胃脘伤也。便如羊粪，津液枯也。吐沫呕血，血液不行，皆
死证也。
人参利膈丸 汞硫散
五汁大黄清燥热，丁沉君子理虚寒，便秘壅遏应利膈，吐逆不止汞硫先，利膈小承
参草木，归藿槟桃麻蜜丸，汞一硫二研如墨，老酒姜汁服即安。
【注】五汁，谓五汁饮，以清燥干也。大黄，谓大黄汤，即大黄一味，用姜汁炙大黄
片变黑黄色，量人强弱，每服二二钱，加陈仓米一撮，葱白二茎，煎去滓服，以治热结
也。丁香、沉香加入四君子、六君子、理中汤内，治虚寒也，利膈，谓利膈丸，即枳壳、
浓朴、大黄、人参、甘草、木香、当归、藿香、槟榔、桃仁、火麻仁蜜为丸也。汞硫，谓
汞硫散也。
四君子汤 四物汤 二陈汤 二十四味流气饮
气少血枯四君物，痰多气滞二陈流，余者亦同呕吐法，竭思区画待天休。
【注】气少者宜四君子汤，血枯者宜四物汤，痰多宜二陈汤，气滞者宜二十四味流气
饮。其余之治法同呕吐。此病虽竭心思区画，亦不过尽人事以待天命也。
霍乱病起于突然的挥霍变乱，表现为心腹部剧烈疼痛，并伴有呕吐和腹泻。若吐泻不出，则为干霍乱，此时可见舌体卷缩、筋脉拘急收缩，甚至阴器内缩入腹，病情危重难治。
【注】想吐却吐不出来，想泻却泻不出来，心腹部剧烈疼痛，这种病症称为干霍乱，又叫做“搅肠痧”。如果出现舌体卷缩、筋脉拘急，导致睾丸或阴器上缩入腹，则属于难治之症。
霍乱可由风寒暑湿及饮食水邪等杂邪引起，治疗以调理正气为主（使用藿香正气方）。藿香正气散由藿香、紫苏、陈皮、半夏、茯苓、甘草、白芷、桔梗、大腹皮、厚朴组成；若出现转筋（肌肉痉挛），加入木瓜、吴茱萸；若是暑邪所致，合用香薷饮名为二香汤；若是湿邪所致，加入苍术；若是暑热严重，使用辰砂六一散或五苓散加石膏、滑石、寒水石，名为甘露饮；若是寒气极盛，四肢厥冷、脉搏伏匿者，使用炮制过的川乌、炮制过的川附子配合理中汤。
【注】霍乱这一疾病，是由于风寒暑湿食水等邪气混杂致病，扰乱肠胃，清浊之气相互干扰，所以出现心腹剧烈疼痛、呕吐腹泻。藿香正气散，即由藿香、苏叶、陈皮、半夏、茯苓、甘草、白芷、桔梗、大腹皮、厚朴组成；暑邪致病多呕吐，合用香薷饮称为二香汤。湿邪致病多腹泻，加入苍术。暑热严重者，用辰砂六一散，或者五苓散加石膏、滑石、寒水石，名为甘露饮。寒气极盛、四肢厥冷、脉搏伏匿者，用炮川乌、炮川附子配合理中汤。
三阳经热结损伤津液，导致脏腑干枯，贲门与幽门闭塞不通。贲门不能纳受食物称为噎膈，幽门不能排泄食物导致翻胃形成。这两种病症迁延日久，传导通道狭窄，魄门（肛门）排便自然涩滞困难。胸痛且大便干硬如羊粪状，吐沫呕血，则性命难保。
【注】三阳热结，是指胃、小肠、大肠这三个腑的热邪结聚不散，灼伤津液。胃的上口叫贲门，小肠的上口叫幽门，大肠的下口叫魄门。三个腑的津液既然受损，三个门户自然干枯，导致水谷进出的道路不得流通。贲门干枯，则纳入水谷的道路狭隘，所以食物不能下行，形成噎塞。幽门干枯，则排出腐化食物的道路狭隘，所以食物吃进去反而吐出来，形成翻胃。这两种病症留连日久，大肠传导之路变得狭隘，所以魄门自然干燥涩滞难以排便。胸痛如针刺，是胃脘受伤的表现。大便像羊粪一样干硬，是津液枯竭的表现。吐沫呕血，是血液运行停滞，这些都是死证。
五汁饮和大黄汤用于清除燥热，丁香、沉香配合四君子汤或六君子汤、理中汤用于调理虚寒。便秘壅遏应当使用利膈丸，呕吐不止首先使用汞硫散。利膈丸是小承气汤加人参、甘草、当归、藿香、槟榔、桃仁、火麻仁，炼蜜为丸。汞硫散是一两汞配二两硫磺，研成墨色粉末，用老酒和姜汁送服即可安愈。
【注】五汁，指的是五汁饮，用来清除燥热干枯。大黄，指的是大黄汤，即单味大黄，用姜汁炙烤大黄片至黑黄色，根据患者体质强弱，每次服用二到三钱，加入一撮陈仓米、两根葱白，煎煮去渣后服用，用于治疗热结。丁香、沉香加入四君子汤、六君子汤、理中汤内，用于治疗虚寒。利膈，指的是利膈丸，即枳壳、厚朴、大黄、人参、甘草、木香、当归、藿香、槟榔、桃仁、火麻仁，炼蜜为丸。汞硫，指的是汞硫散。
气虚血枯适用四君子汤和四物汤，痰多气滞适用二陈汤和二十四味流气饮。其余治疗方法同呕吐病。竭尽心思筹划，也只能尽人事以待天命。
【注】气少（气虚）适宜用四君子汤，血枯（血虚）适宜用四物汤，痰多适宜用二陈汤，气滞适宜用二十四味流气饮。其余的治疗方法同呕吐病。此病虽然竭尽心思筹划，也不过是尽人事以待天命罢了。
Huo Luan (Acute Vomiting and Diarrhea) arises suddenly with chaotic symptoms, characterized by severe pain in the heart and abdomen, accompanied by vomiting and diarrhea. If vomiting and diarrhea fail to occur, it is termed Gan Huo Luan (Dry Huo Luan), where the tongue curls up, tendons contract, and the genitals may retract into the abdomen, indicating a difficult-to-treat condition.
[Note] When one desires to vomit but cannot, and desires to defecate but cannot, accompanied by severe pain in the heart and abdomen, this condition is named Gan Huo Luan (Dry Huo Luan), also known as Jiao Chang Sha (Intestine-Turning Plague). If the tongue curls and tendons contract, causing the testicles or genitals to retract into the abdomen, it is considered refractory.
Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi), Er Xiang Tang (Two Fragrances Decoction), Ganlu Yin (Sweet Dew Drink).
Huo Luan can be caused by mixed pathogenic factors such as Wind-Cold, Summerheat, Dampness, food stagnation, and water retention. The primary treatment involves regulating Zheng Qi (Upright Qi) using formulas like Huoxiang Zhengqi San. Huoxiang Zhengqi San consists of Huoxiang (Patchouli Herba), Zi Su Ye (Perilla Leaf), Chen Pi (Aged Tangerine Peel), Banxia (Pinellia Rhizoma), Fuling (Poria), Gancao (Licorice Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Jiegeng (Platycodonis Radix), Dafupi (Arecae Pericarpium), and Houpo (Magnoliae Officinalis Cortex); if muscle spasms (Zhuan Jin) occur, add Mugua (Chaenomelis Fructus) and Wuyu (Evodiae Fructus); for Summerheat pathogens, combine with Xiangru (Moslae Herba) to form Er Xiang Tang; for Dampness pathogens, add Cangzhu (Atractylodis Rhizoma); for severe Summerheat-Heat, use Chensha Liuyi San (Cinnabar Six-One Powder) or Wuling San (Five-Ingredient Powder with Poria) plus Shigao (Gypsum Fibrosum), Huashi (Talcum), and Han Shuishi (Calcitum), named Ganlu Yin; for extreme Cold with cold limbs and hidden pulse, use Pao Chuanwu (Prepared Aconiti Lateralis Radix) and Pao Chuanfu (Prepared Aconiti Radix) combined with Lizhong Tang (Regulate the Middle Decoction).
[Note] Huo Luan disease results from the mixing of pathogenic factors such as Wind-Cold, Summerheat, Dampness, food, and water, which disrupt the intestines and stomach, causing turbid and clear qi to interfere with each other, leading to severe abdominal pain, vomiting, and diarrhea. Huoxiang Zhengqi San comprises Huoxiang, Ziyeye, Chenpi, Banxia, Fuling, Gancao, Baizhi, Jiegeng, Dafupi, and Houpo. For Summerheat causing predominant vomiting, combining with Xiangru Yin forms Er Xiang Tang. For Dampness causing predominant diarrhea, add Cangzhu. For severe Summerheat-Heat, use Chensha Liuyi San, or Wuling San added with Shigao, Huashi, and Hanshuishi, named Ganlu Yin. For extreme Cold with cold limbs and hidden pulse, use Pao Chuanwu and Pao Chuanfu combined with Lizhong Tang.
San Yang (Three Yang) Heat accumulation injures Body Fluids (Jin Ye), leading to dryness and obstruction of Benmen (Cardiac Orifice) and Youmen (Pyloric Orifice). If Benmen fails to receive food, it is called Ye Ge (Dysphagia); if Youmen fails to release food, it becomes Fan Wei (Regurgitation). These two conditions persist over time, narrowing the transmission pathways, causing Po Men (Anal Orifice) to become dry and difficult to pass stool. Chest pain with hard stools resembling sheep feces, along with spitting saliva and hematemesis, indicates a fatal prognosis.
[Note] San Yang Heat accumulation refers to the heat pathogens in the Stomach, Small Intestine, and Large Intestine accumulating without dispersal, burning and injuring Body Fluids. The upper opening of the Stomach is Benmen, the upper opening of the Small Intestine is Youmen, and the lower opening of the Large Intestine is Po Men. Once the Body Fluids of these three fu organs are damaged, the three orifices naturally become dry, obstructing the passage of water and grain. Dryness of Benmen narrows the pathway for receiving food and drink, so food cannot descend, resulting in Ye Sai (Obstruction/Dysphagia). Dryness of Youmen narrows the pathway for expelling digested food, so food enters but is expelled back out, resulting in Fan Wei (Regurgitation). After these conditions persist for a long time, the transmission path of the Large Intestine narrows, so Po Men naturally becomes dry and difficult to pass stool. Chest pain like stabbing indicates injury to the Epigastrium. Stools resembling sheep feces indicate exhaustion of Body Fluids. Spitting saliva and hematemesis indicate stagnation of Blood flow; all are signs of death.
Renshen Lige Wan (Ginseng Throat-Opening Pill), Gongsu San (Mercury-Sulfur Powder).
Wuzhi Yin (Five Juices Drink) and Dahuang Tang (Rhubarb Decoction) clear Dryness-Heat; Dingxiang (Caryophylli Flos) and Chenxiang (Aquilariae Lignum Resinatum) combined with Sijunzi Tang (Four Gentlemen Decoction), Liujunzi Tang (Six Gentlemen Decoction), or Lizhong Tang treat Deficiency-Cold. For constipation and obstruction, Lige Wan should be used; for incessant vomiting, Gongsu San is administered first. Lige Wan is based on Xiaochengqi Tang (Minor Order the Left Decoction) plus Renshen (Ginseng Radix et Rhizoma), Gancao, Danggui (Angelicae Sinensis Radix), Huoxiang, Binglang (Arecae Semen), Taoren (Persicae Semen), Huomaren (Cannabis Semen), formed into pills with honey. Gongsu San consists of one part Mercury and two parts Sulfur, ground into ink-like powder, taken with aged wine and Ginger Juice (Shengjiang Zhi) for immediate relief.
[Note] "Wuzhi" refers to Wuzhi Yin, used to clear Dryness and dehydration. "Dahuang" refers to Dahuang Tang, consisting solely of Dahuang (Rhei Radix et Rhizoma), prepared by frying slices with Ginger Juice until black-yellow, dosage adjusted to patient strength (2-3 qian per dose), added with a pinch of aged rice and two stalks of Scallion White (Congbai), decocted and strained for treating Heat accumulation. Adding Dingxiang and Chenxiang to Sijunzi Tang, Liujunzi Tang, or Lizhong Tang treats Deficiency-Cold. "Lige" refers to Lige Wan, composed of Zhike (Aurantii Fructus), Houpo, Dahuang, Renshen, Gancao, Muxiang (Aucklandiae Radix), Danggui, Huoxiang, Binglang, Taoren, and Huomaren, formed into pills with honey. "Gongsu" refers to Gongsu San.
Sijunzi Tang (Four Gentlemen Decoction), Siwu Tang (Four Substances Decoction), Erchen Tang (Two Aged Decoction), Ershisiwei Liuqi Yin (Twenty-Four Ingredients Flowing Qi Drink).
For Qi deficiency and Blood depletion, Sijunzi Tang and Siwu Tang are appropriate; for excessive Phlegm and Qi stagnation, Erchen Tang and Ershisiwei Liuqi Yin are appropriate. Other treatments follow those for Vomiting. Exhausting one's efforts in planning can only achieve human diligence while awaiting the will of Heaven.
[Note] Qi deficiency (Qi Shao) is suitable for Sijunzi Tang; Blood depletion (Xue Ku) is suitable for Siwu Tang; excessive Phlegm is suitable for Erchen Tang; Qi stagnation is suitable for Ershisiwei Liuqi Yin. The remaining treatment methods are the same as for Vomiting. Although this disease requires exhausting one's mind and planning, it ultimately amounts to doing one's utmost while awaiting destiny.