内有所积，外有所感，致成吐泻，仍用二陈汤加减作吐以提其气。此非鬼神，皆
属饮食，前人确论，乃阳不升，阴不降，垂隔而成。切莫与谷食，虽米饮一呷，入口即
死。必待吐泻
过二三时，直至饥甚，方可与稀粥食之，脉多伏欲绝。见成吐泻不彻，还用吐提其气起不透
或用樟木煎汤，吐之亦可。大法∶生姜理中汤最好，不渴者可用。如渴者用五花散，有吐者
二陈汤探吐，亦有可下者。转筋不住，男子以手挽其阴，女子以手牵乳，近两边，此千金
妙法也。转筋皆属乎血热，四物汤加酒、芩、红花、苍术、南星煎服。干霍乱者，最难治，
在须臾。升降不通，当以吐提其气，极是良法，世多用盐汤。此系内有物所伤，外有邪气
所遏。有用吐者，则兼发散之义；有用温药解散者。不可用凉药，宜二陈汤加解散药。
二陈汤
加川芎 苍术 防风 白芷（又云白术）
上锉。姜五片，煎服。
治霍乱方
苍术 浓朴 陈皮 葛根（各一钱半） 滑石（三钱） 白术（二钱） 木重（一钱） 甘草（炙）
上锉。入姜煎汤，下保和丸四五十丸。
戴云∶霍乱者，吐也，有声有物。凡有声无物而躁乱者，谓之干霍乱也。
〔附录〕霍乱之候，挥霍变乱，起于仓卒，多因夹食伤寒，阴阳乖隔。上吐下利，而燥扰
是其候也。偏阳则多热，偏阴则寒，卒然而来，危甚风烛。其湿霍乱死者少，干霍乱死者
多。盖以所伤之物，或因吐利而尽，泄出则止，故死者少也。夫上不得吐，下不得利，所伤之
物
或有寒腹满而痛，四肢拘急，转筋下利者，以理中汤加生附子、官桂；中暑霍乱，烦燥大
渴，心腹撮痛，四肢冷，冷汗出，脚转筋，用藿香散。《千金》云∶转筋者，用理中汤加火
石膏
。若霍乱吐泻，心腹 痛，先以盐汤探吐，后服藿香正气加木香半钱。若频欲登圊不通者
更加枳壳一钱。人于夏月多食瓜果，多饮冷乘风，以致食留不化，因食成痞，隔绝上下
，遂成霍乱，以六和汤，倍加藿香煎服，皆要药也。
附方
六和汤
砂仁 半夏 杏仁 人参 甘草（炙，各一两） 赤茯苓 藿香 扁豆（炒） 木瓜（各二两）
上锉。每服五钱，水二钟，生姜三片，枣一个煎，温
服。一本有香薷、浓朴各四两。
二陈汤 见中风。
五苓散 见中暑。
理中汤 见中寒。
藿香正气散 见中风。
通脉四逆汤 治霍乱多寒，身冷，脉绝。
吴茱萸（二两，炒） 附子（炮，一两） 桂心 通草 细辛 白芍
甘草（炙，各半两） 当归（二钱）
上咀。每四钱，水酒各半，加生姜煎。
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（各一钱）
上咀。每服四大钱，姜三片，苏十叶，煎。
体内有积滞，外部受邪气侵袭，导致呕吐和腹泻。仍使用二陈汤（燥湿化痰、理气和中的方剂）加减，通过催吐来提升气机。这并非鬼神作祟，都归属于饮食不当所致，前人已有确切的论述，这是阳气不能上升、阴气不能下降，导致上下隔绝而形成的病症。千万不要给予谷物食物，即使是米汤喝一口，入口就会致死。必须等待呕吐和腹泻停止两三个时辰之后，直到患者感到极度饥饿时，才可以给予稀粥食用，此时脉象多呈现伏匿欲绝的状态。如果现有的呕吐和腹泻不彻底，仍然需要用催吐的方法提升气机，使其透发；或者用樟木煎汤，服用后催吐也可以。治疗的大法：生姜理中汤最好，对于不口渴的患者可以使用。如果口渴，则使用五花散；有呕吐症状的，用二陈汤探吐；也有可以用泻下法的。筋脉抽搐不止，男子用手牵引其阴部，女子用手牵拉乳房，靠近两侧，这是《千金方》中的妙法。筋脉抽搐都属于血热，可用四物汤（补血调血的方剂）加酒、黄芩、红花、苍术、天南星煎服。干霍乱（指欲吐不得吐，欲泻不得泻的危重证候），最难治疗，病情变化在顷刻之间。升降之气不通，应当用催吐的方法来提气，这是极好的方法，世人多用盐汤催吐。这是由于内有实物损伤，外有邪气遏制所致。有用催吐法的，其中兼有发散的含义；有用温药来解散邪气的。不可使用凉药，适宜用二陈汤加上发散的药物。
二陈汤加川芎、苍术、防风、白芷（又说是白术）。
以上药物切碎。加入五片生姜，煎煮后服用。
治疗霍乱的方剂：
苍术、厚朴、陈皮、葛根（各一钱半）、滑石（三钱）、白术（二钱）、木重（一钱）、甘草（炙过的）。
以上药物切碎。加入生姜煎汤，送服保和丸四五十丸。
戴元礼说：霍乱，是指呕吐，既有声音又有实物排出。凡是只有声音没有实物排出且烦躁混乱的，称为干霍乱。
〔附录〕霍乱的症候，挥霍变乱，起于仓促之间，多因夹带食积的伤寒，导致阴阳乖隔。上吐下利，而躁扰不安是其征候。偏于阳证则多热，偏于阴证则寒，突然发作，危险程度甚于风中残烛。湿霍乱死亡者少，干霍乱死亡者多。这是因为所伤之物，或因呕吐腹泻而排尽，泄出后病势就停止了，所以死亡者少。如果上不能吐，下不能利，所伤之物滞留，或者有寒邪导致腹部胀满疼痛，四肢拘挛紧急，转筋并伴有腹泻的，用理中汤加生附子、官桂；中暑引起的霍乱，烦躁大渴，心腹撮痛，四肢冰冷，冷汗出，脚部转筋，用藿香散。《千金方》说：出现转筋的，用理中汤加火石膏。如果霍乱吐泻，心腹疼痛，先用盐汤探吐，然后服用藿香正气散加木香半钱。如果频繁想上厕所却解不出来的，再加枳壳一钱。人在夏季多吃瓜果，多饮冷水乘凉，导致食物停留不消化，因食积形成痞块，隔绝上下气机，遂成霍乱，用六和汤，加倍加入藿香煎服，都是重要的药物。
附方
六和汤
砂仁、半夏、杏仁、人参、甘草（炙过的，各一两）、赤茯苓、藿香、扁豆（炒过的）、木瓜（各二两）。
以上药物切碎。每次服用五钱，水两钟，生姜三片，大枣一个，煎煮，温服。另一版本中有香薷、厚朴各四两。
二陈汤 见中风章节。
五苓散 见中暑章节。
理中汤 见中寒章节。
藿香正气散 见中风章节。
通脉四逆汤 治疗霍乱多寒，身体冰冷，脉搏断绝。
吴茱萸（二两，炒过的）、附子（炮制过的，一两）、桂心、通草、细辛、白芍、甘草（炙过的，各半两）、当归（二钱）。
以上药物捣碎。每次取四钱，水和酒各一半，加入生姜煎煮。
木瓜汤 治疗霍乱吐泻，全身转筋，筋脉入腹则闷绝。
干木瓜（一两）、吴茱萸（半两）、茴香、炙甘草（各一钱）。
以上药物捣碎。每次服用四大钱，生姜三片，紫苏叶十片，煎煮。
Internal accumulation and external pathogenic invasion lead to vomiting and diarrhea. Use Er Chen Tang (Chenpi Decoction, a formula for drying dampness and resolving phlegm) with modifications to induce vomiting and raise Qi. This is not caused by ghosts or spirits, but is entirely due to dietary indiscretion, as confirmed by predecessors. It results from the failure of Yang Qi to ascend and Yin Qi to descend, leading to an obstruction between the upper and lower jiao. Do not provide any grain food; even a sip of rice water can be fatal upon ingestion. One must wait until vomiting and diarrhea have ceased for two to three shichen (4-6 hours), and only when the patient feels extreme hunger should thin porridge be given. The pulse is often deep and faint, nearly imperceptible. If the existing vomiting and diarrhea are incomplete, one should still use induced vomiting to raise and release the Qi, or decoct camphor wood (Cinnamomum camphora) in water and induce vomiting, which is also effective. The general principle: Shengjiang Lizhong Tang (Ginger Decoction to Regulate the Middle) is best, suitable for those without thirst. For those with thirst, Wuhua San (Five-Flower Powder) should be used. If vomiting is present, use Er Chen Tang to probe for vomiting; there are also cases where purgation is applicable. For persistent muscle cramps, men should have their genitals gently pulled by hand, and women their breasts, near the sides; this is a wonderful method from Qianjin Fang. Muscle cramps are attributed to blood heat; Si Wu Tang (Four Substances Decoction) combined with wine, Huangqin (Scutellariae Radix), Honghua (Carthami Flos), Cangzhu (Atractylodis Rhizoma), and Nanting (Arisaematis Rhizoma Praeparatum) should be decocted and taken. Gan Huoluan (Dry Cholera, characterized by inability to vomit or defecate) is the most difficult to treat, with changes occurring in an instant. When ascending and descending mechanisms are blocked, inducing vomiting to raise Qi is an excellent method; people commonly use salt water for this. This condition arises from internal injury by retained substances and external obstruction by pathogens. Induced vomiting has a dispersing effect; warm herbs can also be used to resolve the pathogen. Cool herbs should not be used; instead, Er Chen Tang combined with dispersing herbs is appropriate.
Er Chen Tang plus Chuanxiong (Ligustici Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix) (some say Baizhu).
Crush the above ingredients. Add five slices of fresh ginger, decoct, and take.
Formula for Treating Cholera:
Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Gegen (Puerariae Lobatae Radix) (each 1.5 qian), Huashi (Talcum) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Muzhong (1 qian), Gancao (Licorizia Radix et Rhizoma Praeparata cum Melle) (roasted).
Crush the above ingredients. Decoct with ginger in water, and administer Baohe Wan (Preserve Harmony Pill) 40-50 pills.
Dai Yuanli stated: Huoluan refers to vomiting, accompanied by sound and material discharge. Cases with sound but no material discharge, accompanied by restlessness and chaos, are called Gan Huoluan (Dry Cholera).
[Appendix] The symptoms of Huoluan involve sudden upheaval, arising abruptly, often due to cold damage complicated by food retention, causing a discordance of Yin and Yang. Upper vomiting and lower diarrhea, with restlessness, are its signs. Predominantly Yang patterns manifest more heat; predominantly Yin patterns manifest cold. Sudden onset makes it as critical as a candle in the wind. Shi Huoluan (Wet Cholera) has fewer deaths, while Gan Huoluan has more. This is because the offending substance may be completely expelled through vomiting or diarrhea, stopping the disease process, hence fewer deaths. If one cannot vomit upward nor defecate downward, and the offending substance remains, possibly causing cold-induced abdominal fullness and pain, limb stiffness, cramps, and diarrhea, use Lizhong Tang (Decoction to Regulate the Middle) plus Sheng Fuzi (Prepared Aconiti Lateralis Radix) and Guongui (Cinnamomi Cortex). For summerheat-induced Huoluan with irritability, severe thirst, heart and abdominal pinching pain, cold limbs, cold sweat, and leg cramps, use Huoxiang San (Patchouli Powder). Qianjin Fang states: For cramps, use Lizhong Tang plus Huo Shigao (Calcined Gypsum). If Huoluan involves vomiting and diarrhea with heart and abdominal pain, first probe with salt water to induce vomiting, then administer Huoxiang Zhengqi San (Patchouli Powder to Rectify the Qi) plus Muxiang (Aucklandiae Radix) half a qian. If there is frequent urge to defecate but inability to do so, add Zhike (Aurantii Fructus) one qian. In summer, excessive consumption of melons and fruits, drinking cold water, and exposure to wind cause food stagnation and indigestion, forming pi (glomus) that obstructs the upper and lower jiao, resulting in Huoluan. Use Liuhe Tang (Six Harmonies Decoction) with doubled Huoxiang (Agastaches Herba) decocted and taken; these are essential medicines.
Attached Formulas
Liuhe Tang (Six Harmonies Decoction)
Sharen (Amomi Fructus Rotundus), Banxia (Pinelliae Rhizoma Praeparatum), Xingren (Armeniacae Semen Amarum), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorizia Radix et Rhizoma Praeparata cum Melle) (roasted, each 1 liang), Chi Fuling (Poria with Red Host), Huoxiang (Agastaches Herba), Biandou (Dolichoris Lablab Semen Album) (stir-fried), Mugua (Chaenomelis Fructus) (each 2 liang).
Crush the above ingredients. Take 5 qian per dose, with 2 zhong of water, three slices of fresh ginger, and one jujube. Decoct and take warm. Another version includes Xiangru (Elsholtziae Herba) and Houpo (Magnoliae Officinalis Cortex) each 4 liang.
Er Chen Tang See Stroke section.
Wu Ling San See Summerheat section.
Lizhong Tang See Cold Damage to the Interior section.
Huoxiang Zhengqi San See Stroke section.
Tongmai Sini Tang Treats Huoluan with excess cold, cold body, and absent pulse.
Wuzhuyu (Evodiae Fructus) (2 liang, roasted), Fuzi (Aconiti Lateralis Radix Praeparata) (processed, 1 liang), Guixin (Cinnamomi Ramulus), Tongcao (Tetrapanacis Medulla), Xixin (Asari Radix et Rhizoma), Shaoyao (Paeoniae Radix Alba), Gancao (Licorizia Radix et Rhizoma Praeparata cum Melle) (roasted, each half liang), Danggui (Angelicae Sinensis Radix) (2 qian).
Crush the above. Take 4 qian per dose, with half water and half wine, plus fresh ginger, and decoct.
Mugua Tang Treats Huoluan with vomiting and diarrhea, generalized cramps, and cramps entering the abdomen causing suffocation.
Gan Mugua (Dried Chaenomelis Fructus) (1 liang), Wuzhuyu (Evodiae Fructus) (half liang), Huixiang (Foeniculi Fructus), Zhi Gancao (Prepared Licorizia Radix et Rhizoma) (each 1 qian).
Crush the above. Take 4 large qian per dose, with three slices of fresh ginger and ten leaves of Zisu (Perillae Folium), and decoct.