大意
霍乱者。腹中卒痛。上下奔迫。(三因)手足抽掣而挥霍。眼目旋转而撩乱也。(参黄)
内因
盖因饮食不节。寒温不调。伤于中脏。停积胃脘。外为风寒暑湿相干。以致浊邪壅滞。脾土不运。阴阳反戾。
升降失宜而成此症。(大全)
外候
心腹卒痛。呕吐下利。憎寒壮热。头痛眩晕。先心痛则先吐。先腹痛则先泻。心腹俱痛。吐泻俱作。甚则转筋。
入腹则毙。(三因)
寒症
因寒腹痛者。腹痛吐泻。口和不渴。四肢清凉。此症发于秋后者较多。然当三伏时。亦有挟寒而病者。乃因
暑求凉。过吞生冷。填塞至阴。抑遏肝气故也。宜用辛温芳香之品。(汇补)
暑症
因暑霍乱者。口渴心烦。吐泻清水。自汗面白。出言懒怯。此症发于暑月者恒多。然在秋冬亦有之。因冒伏
藏之暑而患者。宜甘寒清胃治之。(汇补)
吐泻分别
邪在胃腑则吐。邪在脾脏则泻。脾胃两伤。吐泻兼作。(巢氏)
转筋
暴吐暴泻。津液顿亡。宗筋失养。致令挛缩。轻者仅在手足。重者必及遍体。(三因)
寒热分辨
因寒者。不烦少渴。或吐利后。乃见烦渴。以津液外亡也。因暑者。大烦大渴。吐利清水。未吐利前。预见烦渴。
以暑邪内扰故也。(汇补)
禁与谷食
凡霍乱后。切不可即与谷食。恐中气未清。反助邪气。必待吐泻过一二时。饥甚。方可渐与米饮。若遽进饮
食。下咽立毙矣。慎之。(汇补)
脉法
脉微而涩。或代而散。或隐而伏。或大而虚。或结促代。皆不可断为必死。大率脉来洪滑者生。微涩渐迟者死。(汇
补)
治法
霍乱乃湿土兼风木为害。治宜疏风散寒。利湿降火。(入门)如邪气实在上者。宜吐。已经吐利而未透者。仍
宜再吐以提其气。惟吐利不止。元气耗散。病势危笃。或大渴喜冷而不能咽。或恶寒逆冷。或发热烦躁欲
去衣被。此阴盛格阳。不可误认热症。妄投凉药。宜四逆理中汤冷服。(汇补)
干霍乱症
干霍乱者。忽然心腹胀满。绞刺疼痛。欲吐不吐。欲利不利。状若神根据。顷刻之间。忽然闷绝。(三因)此由脾土
郁极。不得发越。以致火热内扰。不可过攻以伤脾。过热以助火。过寒以拒格。惟用反佐之法。然后郁可开。
火可散。古方用炒盐调童便服之探吐。此降火行血。开郁疏利。均得之矣。(必读)
此症俗云痧痛。用开口花椒七粒。或绿豆。阴阳水一盏吞服。或生矾三钱研末。阴阳水调服碗许。或麻
皮蘸油刮臂膊上。或视膝腕内有红筋刺出紫血。或刺十指头出血。立愈。若转筋不止。用木瓜盐汤顿
煎饮之。外仍用热汤浸足。(汇补)
死症
湿霍乱病。大喘大渴大躁大汗。遗尿者死。舌卷囊缩。转筋入腹者死。干霍乱病。上不得吐。下不得泻。所伤
之物不得出。壅闭正气。关格阴阳者死。(汇补)
急救法
转筋者。男子以手挽其阴。女子以手牵乳近两旁。后以盐填脐中。灸艾不计壮数。虽已死而胸中有热气
者立苏。研生蒜涂脚掌心。虽昏危入腹者亦效。再以大蓼一握。煎汤洗之。心腹卒痛。以盐斤许炒热。纸包
纱护。顿其胸腹。频以火熨。觉热气透入即苏。(汇补)
用药
主以藿香正气散。挟暑。加香薷、扁豆。挟寒。加浓朴、官桂。挟食。加山楂、麦芽。挟气。加苏梗、枳壳。胸满。
加枳实。转筋。加木瓜。小便不利。合五苓散。烦渴不宁。调益元散加姜汁。此皆分利之法也。又当引清气上升。浊气
下降。吐泻未彻者。二陈汤加苍术、防风探吐。以提其气。如吐涌不止。二陈汤加木瓜、槟榔。以降其气。不可
纯用凉药。恐伤中气。不可遽用补药。闭塞邪气。惟吐泻既久。汗出肢冷脉脱者。用理中四逆等汤。冷香饮
子之类。煎好冷服。
霍乱选方
藿香正气散 能分理中焦。治不服水土。吐泻腹痛。恶心胸满。
大腹皮 白芷 茯苓 苏梗 藿香(各一钱) 浓朴
白术 陈皮 桔梗 半夏(各五分) 甘草(三分)
水煎。加姜、枣服。
六和汤 益元散(二方见暑症) 理中汤(方见中寒)
人参汤 治寒湿霍乱。吐泻久而脉虚者。
人参 浓朴 广皮(各一钱) 木香 干姜(各五分) 加桂心、半夏。
加味建中汤 治寒湿霍乱转筋之症。
桂枝 白芍 甘草 柴胡 木瓜 饴糖 生姜 大枣
水煎去渣。入饴二匙服。
吴茱萸汤 治转筋入腹。腹痛欲死。
吴茱萸 木瓜 食盐(各一钱)
先炒令极焦。水煎温服。
冷香饮子 治寒湿霍乱。因伤肉面瓜果停物而致者。
草果仁(三钱) 附子 橘红(各一钱) 甘草 生姜
水煎冷服。
人参白术散 治霍乱后。饮食不入。
人参(七分) 白术(一钱) 茯苓(一钱) 甘草 木香(各四分) 藿香(八分) 干葛(五分)
加姜汁。水煎。
暑霍乱症。用丝瓜叶二片、霜梅一个。捣烂。和冷水服。仍以新汲水浸足。
【大意】
霍乱,是指腹部突然疼痛,上下剧烈奔迫。(出自《三因方》)手足抽搐掣动而挥霍不定,眼目旋转而神志撩乱。(参考《黄帝内经》相关论述)
【内因】
大概是因为饮食不节制,寒热不调,损伤了中焦脏腑,导致食物停滞在胃脘。外部又受到风、寒、暑、湿邪气的干扰,致使浊邪壅滞,脾土运化功能失常,阴阳逆乱,升降失调,从而形成这种病症。(出自《太平惠民和剂局方》等综合论述)
【外候(临床表现)】
心腹突然疼痛,呕吐并伴有腹泻,怕冷且高热,头痛眩晕。如果先心痛,则先发生呕吐;如果先腹痛,则先发生腹泻。如果心腹都痛,则呕吐和腹泻同时发作。严重时会出现转筋(肌肉痉挛)。如果痉挛进入腹部,则会导致死亡。(出自《三因方》)
【寒症】
因为受寒引起的腹痛,表现为腹痛、呕吐、腹泻,口中和缓且不口渴,四肢清凉。这种病症在秋季以后发病较多。然而在盛夏三伏时节,也有夹杂寒邪而患病的情况,这是因为贪凉,过量吞食生冷食物,填塞至阴之地,抑制了肝气所致。适宜使用辛温芳香的药物进行治疗。(出自《证治汇补》)
【暑症】
因为中暑引起的霍乱,表现为口渴、心烦,呕吐腹泻清水,自汗、面色苍白,说话懒慢怯弱。这种病症在暑月发病者很多。然而在秋冬季节也有发生,这是因为冒犯了潜伏体内的暑邪而患病。适宜用甘寒清胃的方法治疗。(出自《证治汇补》)
【吐泻分别】
邪气在胃腑则引起呕吐,邪气在脾脏则引起腹泻。脾胃两伤,则呕吐和腹泻兼作。(出自《诸病源候论》)
【转筋】
突然剧烈呕吐和腹泻,津液瞬间亡失,宗筋失去滋养,导致挛缩。轻的仅发生在手足,重的必定波及全身。(出自《三因方》)
【寒热分辨】
因为受寒的,不烦躁或仅有轻微口渴,或者在呕吐腹泻之后,才出现烦渴,这是因为津液向外亡失所致。因为中暑的,大烦大渴,呕吐腹泻清水,在未发生呕吐腹泻之前,就预先见到烦渴,这是因为暑邪在内扰乱所致。(出自《证治汇补》)
【禁与谷食】
凡是霍乱之后,切不可立即给予谷物食物,恐怕中气尚未清理,反而助长邪气。必须等到呕吐腹泻过去一两个时辰,感到极度饥饿时,才可以逐渐给予米汤。如果急于进食饮水,咽下后立即致死。务必谨慎。(出自《证治汇补》)
【脉法】
脉搏微细而涩,或者代脉而散,或者隐伏不见,或者大而虚,或者结、促、代脉,都不可以断定为必死之症。大体上,脉象来势洪滑的预后良好(生),脉象微涩且逐渐变迟的预后不良(死)。(出自《证治汇补》)
【治法】
霍乱是湿土兼风木为害,治疗应当疏风散寒,利湿降火。(出自《医学入门》)如果邪气实在上部,适宜催吐。已经呕吐腹泻但病邪未透出的,仍然适宜再次催吐以提举正气。只有当呕吐腹泻不止,元气耗散,病情危重笃定时,或者出现大渴喜冷饮但不能吞咽,或者恶寒逆冷,或者发热烦躁想要脱去衣被,这是阴盛格阳(真寒假热),不可误认为是热症,妄投凉药。适宜用四逆理中汤冷服。(出自《证治汇补》)
【干霍乱症】
干霍乱,突然心腹胀满,绞刺样疼痛,想吐吐不出,想拉拉不出,症状像被鬼神附体一样,顷刻之间突然闷绝昏迷。(出自《三因方》)这是由于脾土郁结到了极点,不得发散,导致火热在内扰乱。不可过度攻下以免损伤脾气,不可过热以免助长火势,不可过寒以免产生格拒。只能用反佐的方法,然后郁结可开,火热可散。古方用炒盐调童便服用以探吐,这既能降火行血,又能开郁疏利,都很得当。(出自《医宗必读》)
此症俗称痧痛。用开口花椒七粒,或者绿豆,用阴阳水一盏吞服。或者用生矾三钱研成末,用阴阳水调服一碗左右。或者用麻皮蘸油刮臂膀,或者看膝腕内有红筋,刺出紫血。或者刺十指头出血,立刻痊愈。如果转筋不止,用木瓜加盐汤顿煎饮用。外部仍用热汤浸足。(出自《证治汇补》)
【死症】
湿霍乱病,出现大喘、大渴、大躁、大汗、遗尿的,预后不良(死)。舌卷缩、囊缩、转筋进入腹部的,预后不良(死)。干霍乱病,上不能吐,下不能泻,所伤之物不得排出,壅闭正气,关格阴阳的,预后不良(死)。(出自《证治汇补》)
【急救法】
对于转筋,男子用手挽住其阴部,女子用手牵拉乳房近旁两侧,随后用盐填满脐中,灸艾草不计壮数,即使已经死亡但胸中有热气的,立刻苏醒。研磨生蒜涂抹脚掌心,即使昏危入腹也有效。再用大蓼一把,煎汤清洗。心腹突然疼痛,用盐一斤许炒热,用纸包好纱布护着,顿压于胸腹部,频繁用火熨烫,觉得热气透入即苏醒。(出自《证治汇补》)
【用药】
主要使用藿香正气散。夹暑的,加香薷、扁豆。夹寒的,加厚朴、官桂。夹食的,加山楂、麦芽。夹气的,加苏梗、枳壳。胸满的,加枳实。转筋的,加木瓜。小便不利的,合用五苓散。烦渴不安的,调服益元散加姜汁。这些都是分利的方法。还应当引导清气上升,浊气下降。呕吐腹泻未彻底的,用二陈汤加苍术、防风探吐,以提举正气。如吐涌不止,用二陈汤加木瓜、槟榔,以降气。不可纯用凉药,恐怕损伤中气。不可急于用补药,以免闭塞邪气。只有当呕吐腹泻已久,出汗、肢冷、脉脱时,使用理中汤、四逆汤等,以及冷香饮子之类,煎好后冷服。
【霍乱选方】
藿香正气散:能分理中焦,治疗不服水土,呕吐腹泻腹痛,恶心胸满。
大腹皮、白芷、茯苓、苏梗、藿香(各一钱)、厚朴、白术、陈皮、桔梗、半夏(各五分)、甘草(三分)。
水煎,加姜、枣服用。
六和汤、益元散(这两个方子见暑症章节)、理中汤(方子见中寒章节)。
人参汤:治疗寒湿霍乱,呕吐腹泻日久且脉虚的。
人参、厚朴、广皮(各一钱)、木香、干姜(各五分)。加桂心、半夏。
加味建中汤:治疗寒湿霍乱转筋的病症。
桂枝、白芍、甘草、柴胡、木瓜、饴糖、生姜、大枣。
水煎去渣,加入饴糖二匙服用。
吴茱萸汤:治疗转筋入腹,腹痛欲死的。
吴茱萸、木瓜、食盐(各一钱)。
先炒至极焦,水煎温服。
冷香饮子:治疗寒湿霍乱,因食用肉类瓜果停积之物而导致的。
草果仁(三钱)、附子、橘红(各一钱)、甘草、生姜。
水煎冷服。
人参白术散:治疗霍乱后,饮食不入的。
人参(七分)、白术(一钱)、茯苓(一钱)、甘草、木香(各四分)、藿香(八分)、干葛(五分)。
加姜汁,水煎。
[General Meaning]
Huoluan (Colic and Vomiting-Diarrhea Syndrome) refers to sudden abdominal pain with violent rushing sensations up and down. (From *San Yin Fang*) The limbs twitch and spasm restlessly, and the eyes rotate causing mental confusion. (Referencing discussions in the *Huangdi Neijing*)
[Internal Causes]
Generally, it is due to irregular diet and imbalance of cold and heat, damaging the middle Jiao organs, leading to food stagnation in the stomach. Externally, interference from Wind, Cold, Summerheat, and Dampness causes turbid pathogens to obstruct, impairing the Spleen Earth's transport function, resulting in rebellion of Yin and Yang, and loss of proper ascending and descending, thus forming this syndrome. (Comprehensive references including *Tai Ping Hui Min He Ji Ju Fang*)
[External Manifestations]
Sudden pain in the heart and abdomen, vomiting accompanied by diarrhea, aversion to cold with high fever, headache, and dizziness. If heart pain occurs first, vomiting precedes; if abdominal pain occurs first, diarrhea precedes. If both heart and abdomen hurt, vomiting and diarrhea occur simultaneously. In severe cases, muscle cramps (Zhuanjin) appear. If the cramps extend into the abdomen, death ensues. (From *San Yin Fang*)
[Cold Syndrome]
Abdominal pain caused by Cold presents with abdominal pain, vomiting, and diarrhea, a neutral mouth without thirst, and cool extremities. This syndrome occurs more frequently after autumn. However, during the dog days of summer (Sanfu), there are also cases complicated by Cold, caused by seeking coolness and overconsumption of raw and cold foods, blocking the Zhiyin (Extreme Yin) and suppressing Liver Qi. It is suitable to use acrid-warm and aromatic herbs for treatment. (From *Zhengzhi Huibu*)
[Summerheat Syndrome]
Huoluan caused by Summerheat presents with thirst, vexation, vomiting and diarrhea of clear water, spontaneous sweating, pale complexion, and reluctance to speak. This syndrome is common in summer months but can also occur in autumn and winter, caused by exposure to latent Summerheat. It is suitable to treat with sweet-cold herbs to clear the Stomach. (From *Zhengzhi Huibu*)
[Differentiation of Vomiting and Diarrhea]
Pathogens in the Stomach Fu organ cause vomiting; pathogens in the Spleen Zang organ cause diarrhea. When both Spleen and Stomach are injured, vomiting and diarrhea occur together. (From *Zhubing Yuanhou Lun*)
[Zhuanjin (Muscle Cramps)]
Sudden violent vomiting and diarrhea cause instantaneous loss of Body Fluids, leading to malnourishment of the Sinews (Zongjin), resulting in contraction. Mild cases affect only the hands and feet; severe cases involve the entire body. (From *San Yin Fang*)
[Differentiation of Cold and Heat]
Caused by Cold: No vexation or slight thirst; or vexation and thirst appearing only after vomiting and diarrhea, due to external loss of Body Fluids. Caused by Summerheat: Severe vexation and thirst, vomiting and diarrhea of clear water; vexation and thirst appearing before vomiting and diarrhea begin, due to internal disturbance by Summerheat pathogens. (From *Zhengzhi Huibu*)
[Prohibition of Grain Food]
After Huoluan, grain food must never be given immediately, lest the Middle Qi not yet be cleared, thereby assisting the pathogen. One must wait until one or two hours have passed since vomiting and diarrhea, when extreme hunger sets in, before gradually giving rice water. If food or drink is rushed in, death follows immediately upon swallowing. Be cautious. (From *Zhengzhi Huibu*)
[Pulse Diagnosis]
A pulse that is faint and choppy, or intermittent and scattered, or hidden and deep, or large and empty, or knotted, rapid, or intermittent, should not be judged as inevitably fatal. Generally, a pulse that comes forceful and slippery indicates survival; a pulse that is faint, choppy, and gradually slows indicates death. (From *Zhengzhi Huibu*)
[Therapeutic Methods]
Huoluan is harmful due to Wet Earth combined with Wind Wood. Treatment should focus on dispersing Wind and Cold, promoting diuresis to drain Dampness, and descending Fire. (From *Yixue Rumen*) If pathogens are firmly located in the upper Jiao, emesis is indicated. If vomiting and diarrhea have occurred but pathogens are not fully expelled, repeated emesis may still be used to lift Qi. Only when vomiting and diarrhea are unceasing, Yuan Qi is exhausted, and the condition is critical, or when there is extreme thirst preferring cold drinks but inability to swallow, or aversion to cold with cold extremities, or fever with vexation desiring to remove clothing—this is Yin Excess repelling Yang (True Cold, False Heat). Do not mistake it for a Heat syndrome and wrongly administer cooling medicines. Si Ni Li Zhong Tang (Four Reversals and Middle-Regulating Decoction) should be taken cold. (From *Zhengzhi Huibu*)
[Gan Huoluan (Dry Huoluan) Syndrome]
Gan Huoluan presents with sudden fullness and distension in the heart and abdomen, twisting stabbing pain, desire to vomit but unable to, desire to defecate but unable to, resembling possession by spirits, leading to sudden suffocation and coma within moments. (From *San Yin Fang*) This is due to extreme stagnation of Spleen Earth failing to vent, causing Fire to disturb internally. Over-attacking damages Spleen Qi; overheating aids Fire; over-cooling causes rejection. Only the method of counter-assistance (Fan Zuo) can open stagnation and disperse Fire. Ancient formulas use fried salt mixed with children's urine to induce emesis, which descends Fire, moves Blood, opens stagnation, and promotes free flow. (From *Yizong Bidu*)
This syndrome is commonly known as Sha Tong (Sha Pain). Use seven grains of Hua Jiao (Zanthoxylum bungeanum) with an opening, or Mung Beans, swallowed with one cup of Yin-Yang Water. Or, take three qian of raw Fan (Alum) ground into powder, mixed with about one bowl of Yin-Yang Water. Or, scrape the arms with hemp skin dipped in oil. Or, prick red veins inside the knees and wrists to release purple blood. Or, prick the fingertips to bleed, resulting in immediate recovery. If cramps do not stop, decoct Mu Gua (Chaenomeles speciosa) with salt water and drink. Externally, soak feet in hot water. (From *Zhengzhi Huibu*)
[Death Signs]
In Shi Huoluan (Wet Huoluan), death occurs with severe panting, extreme thirst, severe agitation, profuse sweating, and urinary incontinence. Death occurs with tongue retraction, scrotal retraction, and cramps entering the abdomen. In Gan Huoluan (Dry Huoluan), death occurs when one cannot vomit above nor defecate below, the ingested pathogenic matter cannot exit, blocking Zheng Qi and causing Guan Ge (Obstruction and Repulsion) of Yin and Yang. (From *Zhengzhi Huibu*)
[Emergency Rescue Methods]
For cramps: For men, hold their genitals with hand; for women, pull near the sides of the breasts. Then fill the navel with salt and moxibustion without counting the number of cones. Even if already dead, if there is warmth in the chest, they will revive instantly. Grind fresh Garlic and apply to the sole of the foot; effective even in critical coma with cramps entering the abdomen. Also, decoct a handful of Da Liao (Polygonum orientale) and wash with the soup. For sudden heart/abdominal pain: Stir-fry one jin of salt until very hot, wrap in paper and gauze, press onto the chest and abdomen, and frequently iron with fire. Revival occurs when warmth penetrates. (From *Zhengzhi Huibu*)
[Medication]
The primary formula is Huo Xiang Zheng Qi San. For Summerheat complication, add Xiang Ru (Elsholtzia splendens) and Bian Dou (Vigna angularis). For Cold complication, add Hou Po (Magnolia officinalis bark) and Guan Gui (Cinnamon twig). For Food complication, add Shan Zha (Crataegus pinnatifida) and Mai Ya (Hordeum vulgare sprout). For Qi complication, add Su Geng (Perilla stem) and Zhi Ke (Aurantii fructus). For chest fullness, add Zhi Shi (Aurantii immaturus fruit). For cramps, add Mu Gua. For difficult urination, combine with Wu Ling San (Five-Ingredient Powder with Poria). For vexation and thirst with unrest, mix Yi Yuan San (Benefit Prime Powder) with Ginger Juice. These are all methods of separating and draining. One must also guide Clear Qi to ascend and Turbid Qi to descend. For incomplete vomiting/diarrhea, use Er Chen Tang (Two-Cured Decoction) plus Cang Zhu (Atractylodes lancea) and Fang Feng (Saposhnikovia divaricata) to probe emesis and lift Qi. If vomiting continues uncontrollably, use Er Chen Tang plus Mu Gua and Bing Lang (Areca seed) to descend Qi. Do not use purely cooling medicines, lest they damage Middle Qi. Do not rush to use tonics, lest they trap pathogens. Only when vomiting/diarrhea have persisted long, with sweating, cold limbs, and absent pulse, use Li Zhong Tang, Si Ni Tang, etc., or Leng Xiang Yin Zi (Cold Fragrant Drink), decocted and taken cold.
[Selected Formulas for Huoluan]
Huo Xiang Zheng Qi San: Separates and regulates the Middle Jiao, treats intolerance to local climate/water and soil, vomiting, diarrhea, abdominal pain, nausea, and chest fullness.
Da Fu Pi (Arecae Pericarpium), Bai Zhi (Angelicae Dahuricae Radix), Fu Ling (Poria), Su Geng (Perillae Caulis), Huo Xiang (Agastaches Herba) (each 1 qian), Hou Po (Magnoliae Officinalis Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Jie Geng (Platycodonis Radix), Ban Xia (Pinelliae Rhizoma) (each 0.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.3 qian).
Decoct in water, take with Ginger and Jujube.
Liu He Tang (Six-Harmonies Decoction), Yi Yuan San (see Summerheat section), Li Zhong Tang (see Middle-Cold section).
Ren Shen Tang (Ginseng Decoction): Treats Cold-Damp Huoluan with prolonged vomiting/diarrhea and deficient pulse.
Ren Shen (Ginseng Radix), Hou Po (Magnoliae Officinalis Cortex), Guang Pi (Citri Reticulatae Pericarpium) (each 1 qian), Mu Xiang (Aucklandiae Radix), Gan Jiang (Zingiberis Rhizoma) (each 0.5 qian). Add Gui Xin (Cinnamomi Ramulus) and Ban Xia.
Jia Wei Jian Zhong Tang (Modified Regulate-the-Middle Decoction): Treats Cold-Damp Huoluan with cramps.
Gui Zhi (Cinnamomi Ramulus), Bai Shao (Paeoniae Radix Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chai Hu (Bupleuri Radix), Mu Gua (Chaenomelis Fructus), Yi Tang (Maltose), Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus).
Decoct, strain, add 2 chi of Yi Tang, and take.
Wu Zhu Yu Tang (Evodiae Fructus Decoction): Treats cramps entering the abdomen and severe abdominal pain.
Wu Zhu Yu (Evodiae Fructus), Mu Gua (Chaenomelis Fructus), Yan Yan (Halitum) (each 1 qian).
Stir-fry until extremely charred, decoct in water, and take warm.
Leng Xiang Yin Zi (Cold Fragrant Drink): Treats Cold-Damp Huoluan caused by retention of meat and melon/fruit.
Cao Guo Ren (Tsaoko Cardamomi Fructus) (3 qian), Fu Zi (Aconiti Lateralis Radix Praeparata), Ju Hong (Citri Reticulatae Pericarpium Rubrum) (each 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens).
Decoct in water and take cold.
Ren Shen Bai Zhu San (Ginseng and Atractylodes Macrocephala Powder): Treats inability to eat after Huoluan.
Ren Shen (Ginseng Radix) (0.7 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Fu Ling (Poria) (1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Xiang (Aucklandiae Radix) (each 0.4 qian), Huo Xiang (Agastaches Herba) (0.8 qian), Gan Ge (Puerariae Lobatae Radix) (0.5 qian).
Add Ginger Juice, decoct in water.
For Summerheat Huoluan: Use two leaves of Si Gua Ye (Luffae Fructus Retinervus) and one Shuang Mei (Frost Plum), mash them, mix with cold water, and take. Soak feet in freshly drawn cold water.