三因木瓜汤治霍乱吐下举体转筋入腹则闷绝
干木瓜(一两) 吴茱萸(半两) 茴香 炙甘草(各二钱)
上 咀每服四大钱入姜三片苏叶十片煎
按此阳明例药也大抵转筋亦有所兼之证不同用者自宜推格
三因胃气丸治忧思过度脾气闭聚结痰饮留滞肠胃气郁于阴凝之于阳阴阳反戾吐利交作四
肢厥冷头目晕眩或复发热
硫黄(不以多少入猪脏内缚定头米泔酒童便各一碗煮干一半取出洗去秽晒干秤十两用)
半夏(洗去滑五两) 人参 白茯苓(各一两) 石膏
上为末生姜汁浸炊饼为丸每五十丸至百丸空心食前米汤下
三因七气汤治七气发郁致脏气刑克阴阳反戾变成吐利交作寒热眩晕痞满咽塞
半夏(五钱) 浓朴 桂心(各三钱) 茯苓 白芍 紫苏 橘皮(各二钱) 人参(一钱)
上 咀每服四五钱入姜枣煎
诃子散治心脾冷痛霍乱吐利如神
诃子 甘草(炙) 浓朴(制) 干姜 草果 陈皮 良姜 茯苓 神曲(炒) 曲(各等分)
上为末每服二钱入盐些小水煎服
按以上并足阳明经药也
三因红丸子治脾胃虚冷冻饮料食失节宿食留饮聚癖肠胃或因食不调冲冒寒湿忽作霍乱吐利并
作心腹绞痛
蓬术 三棱(各二两同用米醋炙一伏时) 胡椒(一两) 青皮(三两炒) 阿魏(一分)
上为末化阿魏入陈米粉为丸如梧子大朱砂为衣每服百丸至二百丸不拘时生姜甘草汤下
杂方
严氏洗法治霍乱转筋
蓼一把去两头水三升煮二升放温熏洗
渍法治霍乱转筋入腹
盐多用煎汤于槽中暖渍之
三因吐法治干霍乱蛊毒宿食不消积冷心腹烦满鬼气极咸盐汤三升热饮一升刺口令吐宿食
便
尽不吐更服吐讫复饮三吐乃止此法大胜诸治俗人以为田舍浅近鄙而不用守死而已凡有此证即
先用之元戎云吐定用理中汤
灸法治霍乱已死腹中有暖气者 盐内脐中灸二七壮
三因木瓜汤，治疗霍乱引起的呕吐腹泻，全身肌肉痉挛抽搐，若筋脉拘急牵引至腹部，则会导致胸闷气绝。
干木瓜（一两），吴茱萸（半两），小茴香，炙甘草（各二钱）。
以上药物捣碎，每次服用四大钱，加入生姜三片、紫苏叶十片，煎煮后服用。
按语：此方属于阳明经用药的范例。大抵而言，转筋症状往往兼夹其他证候，各不相同，使用者应当根据具体情况推演变通。
三因胃气丸，治疗因忧思过度导致脾气闭结聚滞，痰饮留滞于肠胃，气机郁结于阴分，凝滞于阳分，阴阳之气逆乱，出现上吐下泻交替发作，四肢厥冷，头目晕眩，或者再次发热。
硫黄（用量不限，将其放入猪大肠内，将两头缚紧，用米泔水、酒、童便各一碗，煮至液体减半时取出，洗净去除秽物，晒干，称取十两使用），半夏（洗去滑腻，五两），人参，白茯苓（各一两），石膏。
以上药物研为细末，用生姜汁浸湿炊饼（一种面食）制成丸药，每次服用五十丸至一百丸，空腹或食前用米汤送服。
三因七气汤，治疗因七情之气发郁导致脏腑之气相互刑克，阴阳逆乱，变成上吐下泻交替发作，寒热往来，眩晕，痞满，咽喉堵塞感。
半夏（五钱），厚朴，桂心（各三钱），茯苓，白芍，紫苏，橘皮（各二钱），人参（一钱）。
以上药物捣碎，每次服用四五钱，加入生姜、大枣煎煮后服用。
诃子散，治疗心脾寒冷疼痛，治疗霍乱呕吐腹泻效果如神。
诃子，炙甘草，制厚朴，干姜，草果，陈皮，良姜，茯苓，炒神曲，曲（各等分）。
以上药物研为细末，每次服用二钱，加入少许盐，用水煎服。
按语：以上方剂均属于足阳明经的药物。
三因红丸子，治疗脾胃虚寒，因饮食失节导致宿食停留、饮邪积聚成癖，在肠胃中形成；或者因饮食不调，冲犯寒湿，突然发生霍乱，呕吐腹泻同时发作，心腹绞痛。
蓬术（即莪术），三棱（各二两，一同用米醋炙烤一个时辰），胡椒（一两），青皮（三两，炒），阿魏（一分）。
以上药物研为细末，将阿魏融化后加入陈年米粉制成丸药，大小如梧桐子大，以朱砂为衣，每次服用一百丸至二百丸，不拘时间，用生姜甘草汤送服。
杂方
严氏洗法，治疗霍乱引起的肌肉痉挛抽搐。
取蓼一把，去掉两头，加水三升，煮至二升，放温后用于熏洗患处。
渍法治，治疗霍乱引起的肌肉痉挛抽搐，且筋脉拘急牵引至腹部。
多用盐煎汤，倒入槽中，温暖浸泡患处。
三因吐法，治疗干霍乱、蛊毒、宿食不消、积冷导致的心腹烦闷胀满、鬼气（指突发的怪病）。用极咸的盐汤三升，热饮一升，刺破喉咙诱导其吐出宿食，使其吐尽。若不吐，再服用催吐，吐完后再次饮用，连续三次催吐才停止。此法胜过各种治疗方法，但世俗之人认为这是乡野浅近鄙陋的方法而不使用，宁愿死守常规而已。凡是有此类证候，应立即先用此法。元戎说：吐定之后，使用理中汤调理。
灸法治，治疗霍乱假死，但腹部尚有暖气者。将盐填入脐中，艾灸二七壮（十四壮）。
San Yin Mugua Decoction (Three Causes Quince Decoction) treats Huoluan (cholera-like syndrome with vomiting and diarrhea), where the whole body experiences muscle spasms and twitching; if the tendons contract and pull into the abdomen, it leads to chest oppression and sudden collapse.
Dried Fructus Chaenomelis (Gan Mugua, 木瓜) (1 liang), Evodiae Fructus (Wu Zhuyu, 吴茱萸) (0.5 liang), Foeniculi Fructus (Hui Xiang, 茴香), Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao, 炙甘草) (2 qian each).
The above herbs are coarsely crushed. For each dose of 4 da qian, add 3 slices of Zingiberis Rhizoma Recens (Sheng Jiang, 生姜) and 10 leaves of Perillae Folium (Zi Su Ye, 紫苏叶), decoct in water, and take orally.
Note: This formula is an example of medicines belonging to the Yangming channel. Generally speaking, muscle spasms often present with accompanying syndromes that vary; practitioners should deduce and adapt according to specific circumstances.
San Yin Weiqi Pill (Three Causes Stomach Qi Pill) treats excessive worry and overthinking causing closure and aggregation of Spleen Qi, with phlegm-fluid retention stagnating in the intestines and stomach. Qi depression in the Yin aspect condenses in the Yang aspect, leading to rebellion of Yin and Yang, resulting in alternating vomiting and diarrhea, cold extremities, dizziness of the head and eyes, or recurrent fever.
Sulfur (amount as needed, placed inside a pig’s intestine, tied at both ends, boiled in rice-washing water, wine, and child’s urine [Tong Bian, 童便] one bowl each until half evaporated, taken out, washed to remove impurities, dried, and weighed to 10 liang), Pinelliae Rhizoma Preparatum (Ban Xia, 半夏) (washed to remove slipperiness, 5 liang), Ginseng Radix et Rhizoma (Ren Shen, 人参), Poria (Bai Fu Ling, 白茯苓) (1 liang each), Gypsum Fibrosum (Shi Gao, 石膏).
Grind the above into powder, mix with juice of Zingiberis Rhizoma Recens (Sheng Jiang, 生姜) and steamed wheat bread (Chui Bing, 炊饼) to form pills. Take 50–100 pills per dose before empty stomach or before meals, with rice soup.
San Yin Qiqi Decoction (Three Causes Seven Qi Decoction) treats depression of the seven emotions causing dysfunction of organ qi and mutual punishment among organs, leading to rebellion of Yin and Yang, manifesting as alternating vomiting and diarrhea, alternating chills and fever, dizziness, epigastric fullness, and sensation of blockage in the throat.
Pinelliae Rhizoma Preparatum (Ban Xia, 半夏) (5 qian), Magnoliae Officinalis Cortex (Nou Pu, 浓朴/厚朴), Cinnamomi Ramulus (Gui Xin, 桂心) (3 qian each), Poria (Fu Ling, 茯苓), Paeoniae Radix Alba (Bai Shao, 白芍), Perillae Folium (Zi Su, 紫苏), Citri Reticulatae Pericarpium (Ju Pi, 橘皮) (2 qian each), Ginseng Radix et Rhizoma (Ren Shen, 人参) (1 qian).
The above herbs are coarsely crushed. For each dose of 4–5 qian, add Zingiberis Rhizoma Recens (Sheng Jiang, 生姜) and Jujubae Fructus (Da Zao, 大枣), decoct in water, and take orally.
Hezi San (Chebula Powder) treats cold pain of the Heart and Spleen, and Huoluan (cholera-like syndrome) with vomiting and diarrhea, with miraculous efficacy.
Terminalia Chebula Retz. Fructus (He Zi, 诃子), Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao, 炙甘草), Processed Magnoliae Officinalis Cortex (Zhi Hou Po, 制厚朴), Dried Zingiberis Rhizoma (Gan Jiang, 干姜), Tsaoko Fructus (Cao Guo, 草果), Citri Reticulatae Pericarpium (Chen Pi, 陈皮), Alpiniae Katsumadai Rhizoma (Liang Jiang, 良姜), Poria (Fu Ling, 茯苓), Stir-fried Massa Medicata Fermentata (Chao Shen Qu, 炒神曲), Massa Medicata Fermentata (Qu, 曲) (equal parts).
Grind the above into powder. Take 2 qian per dose with a small amount of salt, decocted in water.
Note: The above formulas all consist of medicines belonging to the Foot-Yangming Stomach Channel.
San Yin Hongwanzi Pill (Three Causes Red Pill) treats deficiency-cold of the Spleen and Stomach, irregular diet leading to retained food and accumulated fluid forming masses in the intestines and stomach; or improper diet combined with invasion of cold-dampness, suddenly causing Huoluan (cholera-like syndrome) with simultaneous vomiting and diarrhea, and severe colicky pain in the heart and abdomen.
Curcumae Longae Rhizoma (Peng Zhu, 蓬术/莪术), Sparganii Rhizoma (San Leng, 三棱) (2 liang each, stir-fried with rice vinegar for one fushi [approx. 2 hours]), Piperis Nigrum Fructus (Hu Jiao, 胡椒) (1 liang), Citri Reticulatae Pericarpium Viride (Qing Pi, 青皮) (3 liang, stir-fried), Asafetida (A Wei, 阿魏) (1 fen).
Grind the above into powder, melt the Asafetida, mix with aged rice flour to form pills the size of Sophora japonica seeds, coat with Cinnabar (Zhu Sha, 朱砂). Take 100–200 pills per dose at any time, with Ginger and Licorice Decoction (Sheng Jiang Gan Cao Tang, 生姜甘草汤).
Miscellaneous Formulas
Yan Shi Washing Method treats Huoluan (cholera-like syndrome) with muscle spasms.
Take one handful of Polygoni Multiflori Herba (Liao, 蓼), remove both ends, add 3 sheng of water, boil down to 2 sheng, let cool to warm temperature, and use for fumigation and washing.
Soaking Method treats Huoluan (cholera-like syndrome) with muscle spasms pulling into the abdomen.
Use abundant salt to make a decoction, pour into a trough, and soak the affected area warmly.
San Yin Vomiting Method treats Dry Huoluan (severe cholera without vomiting/diarrhea initially), Gu Du (poisoning), retained food not digesting, accumulation of cold causing abdominal distension and fullness, and Gui Qi (sudden mysterious illness). Use extremely salty salt water (3 sheng), drink 1 sheng hot, stimulate the throat to induce vomiting of retained food until empty. If no vomiting occurs, administer again; after vomiting, drink more, inducing vomiting three times in total, then stop. This method surpasses other treatments, but laypeople consider it rustic and crude, refusing to use it, preferring death by adherence to convention. For such syndromes, this method should be used first. Yuan Rong stated: After vomiting subsides, use Lizhong Decoction (Lizhong Tang, 理中汤) to regulate.
Moxibustion Method treats Huoluan (cholera-like syndrome) where the patient appears dead but warmth remains in the abdomen. Fill the umbilicus with salt and perform moxibustion for 2 × 7 zhuang (14 moxa cones).