凡吐呕而泻，病名曰何也？《内经·热论》云∶此乃转筋霍乱之证也。何气使然？此乃邪
气在于中焦，使阴阳二气，不能升降。其证心痛而吐，吐则先腹痛而泻，心腹俱痛则吐泻并
作，使致挥霍之间，自然撩乱。此证喜寒凉之物，可用冰水调五苓、益元则愈矣。大忌热物
。转筋之病，治之奈何？《经》曰∶劳者温之。温者，温存之意也。
又一法∶生姜汤、益元散、白术散、禹功散，加冰沉冷，细细呷之。渴未止者，频频饮之。如无冰
，新汲水亦得。用之，大忌白粥米汤。桂附种种之燥药，不可服之，服之必死。如无药处，
可服地浆。地浆者，掘地作坑，注新水于其中搅浑，旋旋取澄清者，饮三、五盏，立愈。
凡大人、小儿，暴注水泻不止，《内经》曰∶此病暴速注泻。久而不愈者，为涌泄注下。此乃火运
太过之病也，火注暴速故也。急宜用新汲水调下甘露饮子、五苓散、天水散；或用井华水煎此药
，放冷服之，病即瘥矣。不可用御米壳、干姜、豆蔻、圣散子之类，纵然泻止，肠胃气滞不
通，变为腹胀。此法宜分阴阳，利水道，乃为治法之妙也。
《上古天真论》云∶一阴一阳之谓道。故男女有阴阳之质不同，则天癸精血之形亦异，阴静而海满
血溢，阳动而应合精泄。二者通和，故能有子。《易·系辞》曰∶男女媾精，万物化生，人禀天地而成形也。
凡是呕吐兼腹泻，这种病叫什么名字？《黄帝内经·热论》说：这是转筋霍乱的证候。是什么气导致这样的呢？这是因为邪气停留在中焦，使得阴阳二气不能正常升降。其症状是心痛且呕吐，呕吐之前先出现腹痛并腹泻，如果心腹都疼痛，就会呕吐和腹泻同时发作，在顷刻之间，自然造成慌乱无措的局面。这种证候喜欢寒凉的食物，可以用冰水调服五苓散、益元散，病就能痊愈了。特别忌讳吃热的食物。对于转筋这种病，该怎么治疗？《内经》说：劳损的病症要用温养的方法。所谓“温”，是指温存养护的意思。
另一种治疗方法：用生姜汤、益元散、白术散、禹功散，加入冰块使其沉冷，细细地啜饮。如果口渴没有停止，就频繁地饮用。如果没有冰块，新打的井水也可以。使用这些方法时，特别忌讳喝白米粥或米汤。桂枝、附子等种种燥热性质的药物，不可服用，服用了必然致死。如果没有药的地方，可以服用地浆。地浆的做法是：挖掘地面做成坑，注入新水在其中搅浑，随即取澄清的部分，饮用三到五杯，立刻痊愈。
凡是成人、小儿，突然发生水样腹泻不止，《内经》说：这是病情急骤迅速的注泻。如果久了不愈，称为涌泄注下。这是火运太过导致的疾病，因为火势迅猛急速的缘故。应当紧急用新打的井水调服甘露饮子、五苓散、天水散；或者用井华水煎煮这些药，放冷后服用，病就会好了。不可使用御米壳（罂粟壳）、干姜、豆蔻、圣散子之类的药物，纵然腹泻停止了，但肠胃气机阻滞不通，会转变为腹胀。这种方法适宜分辨阴阳，通利水道，这才是治疗的奥妙所在。
《素问·上古天真论》说：一阴一阳交互作用叫做道。所以男女具有不同的阴阳体质，那么天癸、精血的表现形态也各异，女性属阴主静，月经按时满溢；男性属主动，交合时精气外泄。两者通畅调和，所以能够生育子女。《易经·系辞》说：男女交合精气，万物由此化生，人禀受天地之气而形成形体。
What is the name of the disease characterized by both vomiting and diarrhea? The *Neijing·Re Lun* (Treatise on Heat Diseases in the Yellow Emperor’s Inner Canon) states: This is a syndrome of tetany and cholera-like disorder. What qi causes this? It occurs because pathogenic qi resides in the middle jiao, preventing the ascending and descending of yin and yang qi. The symptoms include heart pain and vomiting; before vomiting, there is abdominal pain followed by diarrhea. If both the heart and abdomen are painful, vomiting and diarrhea occur simultaneously, causing sudden chaos and confusion within an instant. Patients with this syndrome prefer cold substances. It can be cured by administering Wuling San (Five-Ingredient Poria Pill) and Yiyuan San (Benefit Origin Powder) mixed with ice water. Hot substances are strictly contraindicated. How should tetany be treated? The Classics state: "For exhaustion, use warmth." Here, "warmth" implies gentle nourishment and preservation.
Another method: Administer Shengjiang Tang (Fresh Ginger Decoction), Yiyuan San (Benefit Origin Powder), Baizhu San (Atractylodes Macrocephala Powder), or Yugong San (Yu Gong Powder), chilled with ice, and sip slowly. If thirst persists, drink frequently. If ice is unavailable, fresh well water is acceptable. When using these remedies, white rice porridge or rice soup is strictly forbidden. Dry and hot herbs such as Guizhi (Cinnamon Twig) and Fuzi (Prepared Aconite Root) must not be taken; ingestion will lead to death. In areas without medicine, one may consume Dijiang (Earth Slurry). To prepare Dijiang, dig a pit, fill it with fresh water, stir until muddy, then immediately collect the clarified portion. Drink three to five cups for immediate recovery.
For adults and children suffering from sudden, incessant watery diarrhea, the *Neijing* states: "This is a rapid-onset pouring diarrhea." If prolonged and unhealed, it is termed Yongxie Zhuxia (Gushing Diarrhea). This is a disease caused by excessive Fire movement due to its swift and violent nature. Urgently administer Ganlu Yinzi (Sweet Dew Elixir), Wuling San (Five-Ingredient Poria Pill), and Tianshui San (Heavenly Water Powder) mixed with fresh well water; or decoct these herbs in Jinghua Shui (First-drawn Well Water), cool them, and take orally. The illness will then subside. Do not use Yu Mi Qiao (Pericarpium Papaveris Rubrum / Poppy Shell), Ganjiang (Dried Ginger), Doukou (Cardamom Fructus), or Sheng Sanzi (Holy Mixture Powder). Even if diarrhea stops, these drugs cause stagnation of intestinal and stomach qi, leading to abdominal distension. This approach emphasizes distinguishing yin and yang and promoting urinary flow, which constitutes the subtlety of treatment.
The *Shanggu Tianzhen Lun* (Discourse on the Heavenly Truth of Antiquity) states: "The interaction of one yin and one yang is called the Dao." Therefore, males and females possess different yin-yang constitutions, resulting in distinct manifestations of Tiangui (Heavenly Nectar / Reproductive Essence) and blood. Females, being yin and static, experience regular menstrual fullness and overflow; males, being yang and active, release essence during sexual intercourse. Through their harmonious union, procreation becomes possible. The *Yijing·Xici* (Great Commentary of the Book of Changes) states: "When male and female unite their essences, all things are transformed." Humans acquire form by inheriting the qi of heaven and earth.