冷热不调，饮食不节，使人阴阳清浊之气相干，而变乱于肠胃之间，则成霍乱。霍乱而
心腹胀满者，是寒气与脏气相搏，真邪相攻，不得吐利，故令心腹胀满。其有吐利过多，脏
虚，邪犹未尽，邪搏于气，气不宣发，亦令心腹胀满。
冷热不调，饮食不节，使人阴阳清浊之气相干，而变乱于肠胃之间，则成霍乱。霍乱而
下痢，是冷气先入于肠胃，肠胃之气得冷，则交击而痛，故霍乱若先腹痛者，则行利也。
冷热不调，饮食不节，使人阴阳清浊之气相干，而变乱于肠胃之间，则成霍乱。霍乱而
下痢不止者，因肠胃俱冷，而挟宿虚，谷气不消，肠滑故洞下不止也。痢不止，虚冷气极，
冷入于筋，则变转筋。其胃虚，冷气乘之，亦变呕哕。
冷热不调，饮食不节，使人阴阳清浊之气相干，而变乱于肠胃之间，则成霍乱。霍乱欲
死者，由饮食不消，冷气内搏，或未得吐利，或虽得吐利，冷气未歇，致真邪相干，阴阳交
争，气厥不理，则烦闷逆满困乏，故欲死也。
冷热不调，饮食不节，使人阴阳清浊之气相干，而变乱于肠胃之间，则成霍乱。霍乱而
呕哕者，由吐利后，胃虚而逆则呕；气逆遇冷折之，气不通则哕。
冷热不调，饮食不节，使人阴阳清浊之气相干，而变乱于肠胃之间，则成霍乱。霍乱而
烦渴者，由大吐逆，上焦虚，气不调理，气乘于心则烦闷；大痢则津液竭，津液竭则脏燥，
脏燥则渴。烦渴不止则引饮，引饮则痢亦不止也。
冷热之气不调和，饮食没有节制，导致人体阴阳清浊之气相互干扰，在肠胃之间发生紊乱，从而形成霍乱。
出现霍乱并伴有心腹胀满症状的，是因为寒气与脏腑之气相互搏结，正气与邪气相互攻冲，导致无法通过呕吐或腹泻排出病邪，因此引起心腹胀满。
那些呕吐和腹泻过多的患者，由于脏腑虚弱，而邪气尚未清除完毕，邪气搏结于气机，致使气机不能宣通发散，同样会引起心腹胀满。
出现霍乱并伴有下痢（腹泻）症状的，是因为冷气先侵入肠胃，肠胃之气受到寒冷刺激，两者交击而产生疼痛，所以霍乱如果先出现腹痛，随后就会发生腹泻。
出现霍乱并伴有下痢不止症状的，是因为肠胃都寒冷，且夹杂有宿有的虚损，谷食之气无法消化，肠道滑利，所以导致洞泄（水样便）不止。
下痢不止，导致虚冷之气极盛，冷气侵入筋脉，就会转变为转筋（肌肉痉挛）。如果胃气虚弱，冷气乘虚而入，也会引发呕吐和呃逆。
出现霍乱濒死感的，是由于饮食不消化，冷气在内搏结，或者还没有得到呕吐或腹泻，又或者虽然已经吐泻，但冷气仍未平息，导致正气与邪气相互干扰，阴阳之气激烈交争，气机厥逆而不通畅，从而出现烦闷、气逆、胸满、困乏等症状，所以感觉快要死去。
出现霍乱并伴有呕吐和呃逆症状的，是因为在呕吐腹泻之后，胃气虚弱导致气机上逆而发生呕吐；气机上逆时遇到寒气的遏制，气机不通畅则发生呃逆。
出现霍乱并伴有烦躁口渴症状的，是因为剧烈的呕吐导致上焦虚弱，气机失调，气机上乘于心则产生烦闷；严重的腹泻导致津液枯竭，津液枯竭则脏腑干燥，脏腑干燥则产生口渴。烦躁口渴不止就会想要饮水，饮水后如果脾胃运化无力，下痢也不会停止。
If the cold and hot qi are not in harmony, and dietary habits are irregular, it causes the yin and yang, clear and turbid qi of the human body to interfere with each other and become chaotic between the stomach and intestines, resulting in Huoluan (cholera-like syndrome).
In cases of Huoluan accompanied by abdominal distension and fullness, this is due to the struggle between cold qi and the qi of the zang organs, where healthy qi and pathogenic factors attack each other. The inability to vomit or have diarrhea leads to abdominal distension and fullness.
For those who have experienced excessive vomiting and diarrhea, the zang organs become deficient while the pathogenic factors remain. The pathogen combats the qi, preventing its free diffusion, which also results in abdominal distension and fullness.
In cases of Huoluan accompanied by dysentery (diarrhea), cold qi enters the stomach and intestines first. When the qi of the stomach and intestines encounters cold, they clash causing pain; thus, if abdominal pain precedes the symptoms in Huoluan, diarrhea follows.
In cases of Huoluan with persistent dysentery, it is because both the stomach and intestines are cold, compounded by underlying deficiency. The qi of food grains fails to digest, and the intestines become slippery, leading to continuous profuse watery stools. Persistent dysentery leads to extreme deficiency and cold; when cold enters the sinews, it transforms into muscle cramps (zhuanjin). If the stomach is deficient and cold qi takes advantage of this, it also transforms into vomiting and hiccups.
Cases of Huoluan approaching death occur because undigested food and internal cold qi struggle. Whether vomiting and diarrhea have not yet occurred, or although they have occurred, the cold qi has not subsided, causing a conflict between healthy and pathogenic qi and a fierce struggle between yin and yang. This leads to qi jue (reversal) and dysfunction, resulting in restlessness, oppression, chest fullness, and exhaustion, making the patient feel as if dying.
Cases of Huoluan with vomiting and hiccups occur because after vomiting and diarrhea, the stomach becomes deficient, causing rebellious qi to lead to vomiting. When rebellious qi meets the constraint of cold, the blockage of qi flow results in hiccups.
Cases of Huoluan with irritability and thirst occur because severe vomiting causes deficiency in the upper jiao and dysfunction of qi regulation. When qi attacks the heart, it causes restlessness; severe dysentery exhausts body fluids. Exhaustion of body fluids leads to dryness of the zang organs, which causes thirst. Persistent irritability and thirst lead to drinking water; however, if the spleen and stomach cannot transform it, the dysentery will not cease.