〔海〕吐泻转筋，身热脉长，阳明本病也，宜和中。四君子汤、平胃散、建中汤（方见治虚实气虚条。）每服
一两，水三盏，姜五片，煎至一盏，去渣温服。如吐泻转筋，自汗脉浮者，四君子加桂五钱主之。如吐泻
转筋，胁下痛，脉弦者，宜建中加木瓜柴胡汤。平胃散加木瓜五钱，亦可也。
桂枝（二两半） 芍药（三两） 甘草（一两） 胶饴（半升） 生姜（一两半） 大枣（六枚）
木瓜（五钱） 柴胡（五钱）
上锉，如麻豆大。每服一两，水三盏，煮至一盏半去渣，下胶饴两匙，煎化服。如吐泻后，小便不通，胃
中实痛者，四君子汤加大黄一两主之。如吐泻转筋，腹中痛，体重脉沉而细者，宜四君子汤加芍药高良姜汤。
四君子汤，四味各一两，芍药、良姜各五钱，同前煎法。如吐泻霍乱，四肢拘急，脉沉而迟者，宜四君子汤
加姜附浓朴汤。四君子四味各一两，生姜、附子、浓朴（炮制。各三钱。）同前煎服。
如吐泻转筋，四肢厥冷，脉微缓者，宜建中汤加附子当归汤。
桂枝（一两） 当归（二钱） 芍药（二两） 甘草（半两） 胶饴（半升） 生姜（一两）
附子（三钱，炮） 大枣（六枚）
上同前煎服。
〔《活》〕香薷散 治非时霍乱，大渴烦躁，汗出转筋，疼痛不可忍。（方见伤寒吐利门。）
〔丹〕怡六官，霍乱泄多吐少，口渴，脚转筋。
滑石（三钱） 白术（二钱） 苍术 浓朴 干葛 陈皮（各钱半） 甘草（些，炙） 木通（一钱
）姜（五片）
下保和丸四十粒。
〔《本》〕霍乱转筋。香薷煮汁饮之，无不瘥者。
〔《肘》〕治霍乱，心腹痛烦短气，未得吐下。若转筋，烧栀子二十枚，研末，熟水调下。
〔《保》〕霍乱转筋，吐泻不止。宜半夏汤。
半夏曲 茯苓 白术（各半两） 甘草（炙）
上为末，渴者凉水下，不渴温水下，无时。如吐泻不止，身无汗者，可与泻痢门浆水散兼桂枝汤，又可与
白术汤。
〔《直指》〕木瓜汤 治霍乱吐泻转筋扰闷。
木瓜（二两） 茴香（二钱五分，微炒） 甘草（炙，二钱） 吴茱萸（洗焙七次，二两）
上 咀，每服四钱，水一盏半，生姜五片，乌梅少许，煎温服。
〔《活》〕霍乱转筋者，用理中汤去术，加附子一枚，生用。（理中汤方见伤寒。）
〔《本》〕治霍乱吐泻不止，及转筋诸药不效者，一粒青金丹。
硫黄（一两，研） 水银（八钱）
上二味，铫子内炒，柳木篦子不住手搅匀，更以柳枝蘸冷醋频频洒，候如铁色，结如青金块方成。刮下再
研如粉，留小半为散，余以粽子尖三个，醋约半盏研稀调得所，成膏和丸，如鸡豆大，朱砂为衣。每服一丸，
煎丁香汤磨化下，热服。如服散，丁香汤调下一钱。伤寒阴阳乘伏，用龙脑冷水磨下，日二三服。
〔梅〕治霍乱转筋。皂角末一小豆许，入鼻中，取嚏便瘥。
〔《古今录》〕治霍乱转筋。取蓼花一把，去两头，以水二升半，煮一升半，顿服之。
〔《食》〕治吐后转筋，煮木瓜汁饮之甚良。
〔《外》〕治霍乱注痢不止，转筋入腹欲死。生姜三两捣碎，以酒一升，煮三四沸，顿服。
〔世〕霍乱之症，轻则上吐下泻，两脚转筋，甚则遍体转筋，腹肚疼痛，手足厥冷，若欲绝者。仓卒之际，
宜于脐中灼艾，及用蓼一把，煎汤炮洗，次投以姜附、理中汤之类，其脉洪大者易治，脉微肾缩舌卷者，不治。
〔世〕霍乱转筋，灸承山。（灸二十七壮，神效。）又法中风，亦灸承山。
〔东〕霍乱转筋，在两臂及胸堂中者，筋拘不及动摇∶膻中 中府 巨阙 胃脘 尺泽 太阴（灸七壮。）
〔《甲》〕霍乱转筋∶金门 仆参 承山 承筋主之。
【海藏】呕吐腹泻伴转筋，身体发热且脉象长，这是阳明经的本病，适宜采用调和脾胃的方法。可使用四君子汤、平胃散、建中汤（方剂见治疗虚实气虚条目）。每次服用一两，加水三盏，生姜五片，煎煮至一盏，去渣后温服。如果呕吐腹泻伴转筋，伴有自汗且脉象浮的，用四君子汤加桂枝五钱主治。如果呕吐腹泻伴转筋，胁下疼痛，脉象弦的，适宜用建中汤加木瓜、柴胡汤。也可使用平胃散加木瓜五钱。
桂枝（二两半） 芍药（三两） 甘草（一两） 胶饴（半升） 生姜（一两半） 大枣（六枚）
木瓜（五钱） 柴胡（五钱）
以上药材切碎，如麻豆大小。每次服用一两，加水三盏，煮至一盏半，去渣，加入胶饴两匙，煎化后服用。如果在呕吐腹泻后，小便不通，胃中实痛，用四君子汤加大黄一两主治。如果呕吐腹泻伴转筋，腹中疼痛，身体沉重且脉象沉而细的，适宜用四君子汤加芍药、高良姜汤。四君子汤的四味药各一两，芍药、高良姜各五钱，按前述方法煎煮。如果是呕吐腹泻霍乱，四肢拘挛紧急，脉象沉而迟的，适宜用四君子汤加生姜、附子、厚朴汤。四君子汤四味药各一两，生姜、附子、厚朴（炮制，各三钱），按前述方法煎服。
如果呕吐腹泻伴转筋，四肢厥冷，脉象微缓的，适宜用建中汤加附子、当归汤。
桂枝（一两） 当归（二钱） 芍药（二两） 甘草（半两） 胶饴（半升） 生姜（一两）
附子（三钱，炮制） 大枣（六枚）
以上按前述方法同煎服用。
【《活人书》】香薷散 治疗非时霍乱，大渴烦躁，出汗转筋，疼痛难以忍受。（方剂见伤寒吐利门。）
【丹溪】调理六腑，霍乱泄多吐少，口渴，脚部转筋。
滑石（三钱） 白术（二钱） 苍术 厚朴 干葛 陈皮（各一钱半） 甘草（少许，炙烤） 木通（一钱） 姜（五片）
随后服用保和丸四十粒。
【《肘后备急方》】治疗霍乱，心腹痛烦闷短气，尚未得吐或泻。如果出现转筋，烧栀子二十枚，研成末，用熟水调服。
【《保命集》】霍乱转筋，呕吐腹泻不止。适宜用半夏汤。
半夏曲 茯苓 白术（各半两） 甘草（炙烤）
以上研为末，口渴者用凉水下服，不渴者用温水下服，不限时间。如果呕吐腹泻不止，身体无汗的，可与泻痢门的浆水散兼服桂枝汤，也可以与白术汤。
【《直指方》】木瓜汤 治疗霍乱吐泻转筋扰闷。
木瓜（二两） 茴香（二钱五分，微炒） 甘草（炙烤，二钱） 吴茱萸（洗焙七次，二两）
以上切碎，每次服用四钱，加水一盏半，生姜五片，乌梅少许，煎温后服用。
【《活人书》】霍乱转筋者，用理中汤去掉白术，加附子一枚，生用。（理中汤方剂见伤寒篇。）
【《本草》】治疗霍乱吐泻不止，以及转筋诸药无效的，用一粒青金丹。
硫黄（一两，研碎） 水银（八钱）
以上两味药，在铫子内炒，用柳木篦子不停手搅匀，再用柳枝蘸冷醋频频喷洒，候其颜色如铁色，结成青金块状才完成。刮下再研成粉，留小半部分作为散剂，其余用粽子尖三个，醋约半盏研稀调得适中，成膏和丸，如鸡豆大小，朱砂为衣。每次服用一丸，煎丁香汤磨化后热服。如果服用散剂，用丁香汤调下一钱。伤寒阴阳乘伏，用龙脑冷水磨下，每日二三次服用。
【《古今录验方》】治疗霍乱转筋。取蓼花一把，去掉两头，用水二升半，煮至一升半，一次性服用。
【《外台秘要》】治疗霍乱注痢不止，转筋入腹欲死。生姜三两捣碎，用酒一升，煮三四沸，一次性服用。
【世传】霍乱的病症，轻则上吐下泻，两脚转筋，重则遍体转筋，腹肚疼痛，手足厥冷，若欲绝者。仓促之际，适宜于脐中灼艾，并用蓼一把，煎汤炮洗，其次投以姜附、理中汤之类，其脉洪大的容易治疗，脉微肾缩舌卷的，不治。
【世传】霍乱转筋，灸承山穴。（灸二十七壮，神效。）又法中风，也灸承山穴。
[Hai Zang] Vomiting and diarrhea accompanied by muscle cramps (Zhuanjin), fever, and a long pulse indicate a primary disease of the Yangming channel. It is appropriate to harmonize the middle jiao. Sijunzi Tang (Four Gentlemen Decoction), Pingwei San (Stomach-Pacifying Powder), or Jianzhong Tang (Middle-Builder Decoction) may be used. Take one liang per dose with three zhan of water, five slices of ginger, decocted to one zhan. Strain and take warm. If vomiting and diarrhea with cramps are accompanied by spontaneous sweating and a floating pulse, treat with Sijunzi Tang plus Guizhi (Cinnamon Twig) five qian. If vomiting and diarrhea with cramps involve pain in the hypochondrium and a wiry pulse, Jianzhong Tang plus Mugua (Chaenomeles Fruit) and Chaihu (Bupleurum Root) is suitable. Alternatively, Pingwei San plus Mugua five qian may be used.
Guizhi (2.5 liang) Shaoyao (3 liang) Gancao (1 liang) Jiaoyi (half sheng) Shengjiang (1.5 liang) Dazao (6 pieces)
Mugua (5 qian) Chaihu (5 qian)
Crush the herbs to the size of hemp seeds. Take one liang per dose with three zhan of water, boil to one and a half zhan, strain, add two spoons of Jiaoyi (Malt Sugar), melt, and take. If after vomiting and diarrhea there is urinary retention and solid pain in the stomach, treat with Sijunzi Tang plus Dahuang (Rhubarb Root) one liang. If vomiting and diarrhea with cramps involve abdominal pain, heavy body sensation, and a deep, fine pulse, treat with Sijunzi Tang plus Shaoyao and Gaoliangjiang (Galangal Rhizome). For Sijunzi Tang, each of the four ingredients is one liang; Shaoyao and Gaoliangjiang are each five qian. Decoct as previously described. If Huoluan (Epidemic Vomiting and Diarrhea) presents with limb stiffness and urgency, and a deep, slow pulse, treat with Sijunzi Tang plus Shengjiang, Fuzi (Aconite Lateralis Radix Praeparata), and Houpo (Magnolia Bark). The four ingredients of Sijunzi Tang are each one liang; Shengjiang, Fuzi, and Houpo (processed) are each three qian. Decoct and take as previously described.
If vomiting and diarrhea with cramps present with cold limbs and a faint, slow pulse, treat with Jianzhong Tang plus Fuzi and Danggui (Angelica Sinensis).
Guizhi (1 liang) Danggui (2 qian) Shaoyao (2 liang) Gancao (0.5 liang) Jiaoyi (half sheng) Shengjiang (1 liang)
Fuzi (3 qian, processed) Dazao (6 pieces)
Decoct and take as previously described.
[Huoren Shu] Xiangru San (Elsholtzia Powder) treats atypical Huoluan with severe thirst, irritability, sweating, cramps, and unbearable pain. (Formula see Shanghan Vomiting and Diarrhea Section.)
[Danxi] Regulate the six fu organs. For Huoluan with more diarrhea than vomiting, thirst, and leg cramps:
Huashi (Talcum) (3 qian) Baizhu (Atractylodes Macrocephala Rhizome) (2 qian) Cangzhu (Atractylodes Lancea Rhizome) Houpo Chenpi (Citrus Reticulatae Pericarpium) (each 1.5 qian) Gancao (Licorice Root) (a little, honey-fried) Mutong (Akebia Caulis) (1 qian) Jiang (Ginger) (5 slices)
Follow with Baohe Wan (Harmonizing the Stomach Pill) forty pills.
[Bencao] For Huoluan with cramps, drinking decoction of Xiangru (Elsholtzia Herb) ensures recovery.
[Zhouhou Beiji Fang] Treat Huoluan with heart and abdominal pain, irritability, and shortness of breath, before vomiting or purging occurs. If cramps develop, roast twenty Zhizi (Gardenia Fruit), grind to powder, and take with cooked water.
[Baoming Ji] For Huoluan with cramps and incessant vomiting and diarrhea, Banxia Tang (Pinellia Decoction) is suitable.
Banxiaqu (Pinellia Fermented) Fuling (Poria) Baizhu (each 0.5 liang) Gancao (honey-fried)
Grind to powder. Take with cool water if thirsty, warm water if not, at any time. If vomiting and diarrhea persist without sweating, combine with Jiangshui San (Fermented Rice Water Powder) from the Dysentery section plus Guizhi Tang, or use Baizhu Tang.
[Zhizhi Fang] Mugua Tang (Chaenomeles Decoction) treats Huoluan with vomiting, diarrhea, cramps, and restlessness.
Mugua (2 liang) Huixiang (Fennel Fruit) (2.5 qian, lightly stir-fried) Gancao (honey-fried, 2 qian) Wuzhuyu (Evodia Fruit) (washed and dried seven times, 2 liang)
Chop finely. Take four qian per dose with one and a half zhan of water, five slices of ginger, and a few Wu Mei (Mume Fruit). Decoct, warm, and take.
[Huoren Shu] For Huoluan with cramps, use Lizhong Tang (Middle-Warmer Decoction) removing Baizhu, adding one raw Fuzi. (Lizhong Tang formula see Shanghan.)
[Bencao] For Huoluan with incessant vomiting/diarrhea and cramps unresponsive to other medicines, use Yili Qingjindan (One Grain Green Gold Pill).
Huangshi (Sulfur) (1 liang, ground) Shuiyin (Mercury) (8 qian)
Stir-fry these two ingredients in a ding vessel, stirring constantly with a willow spatula. Frequently spray with cold vinegar using a willow branch until the color resembles iron and it forms green-gold clumps. Scrape down, grind to powder. Keep a small portion as powder. Mix the remainder with three rice dumpling tips and about half a zhan of vinegar to form a paste, then roll into pills the size of chicken beans, coated with Zhusha (Cinnabar). Take one pill per dose, dissolved in Dingxiang (Clove) decoction, taken hot. If taking powder, mix one qian with Dingxiang decoction. For Shanghan with yin-yang intermingling, dissolve with Longnao (Borneolum Syntheticum) and cold water, take two to three times daily.
[Meishi] Treat Huoluan with cramps. Insert a amount of Zaojiao (Gleditsia Sinensis Fruit) powder equivalent to a small bean into the nose to induce sneezing for cure.
[Gujin Lu Yan Fang] Treat Huoluan with cramps. Take a handful of Liaohua (Polygonum Flaccidum Flower), remove both ends, boil in two and a half sheng of water to one and a half sheng, and take in one dose.
[Shiliao Bencao] For cramps after vomiting, drinking boiled Mugua juice is very effective.
[Waitai Miyao] Treat Huoluan with persistent dysentery and cramps entering the abdomen causing near-death state. Crush three liang of ginger, boil in one sheng of wine for three to four boils, and take in one dose.
[World Transmission] Huoluan symptoms: mild cases present with upper vomiting and lower diarrhea, and calf cramps; severe cases present with whole-body cramps, abdominal pain, and cold limbs approaching death. In emergencies, moxa should be applied to the umbilicus, and washed with decoction of Liaohua. Subsequently administer Jiangfu (Ginger and Aconite) or Lizhong Tang. Cases with a surging pulse are easy to treat; those with a faint pulse, retracted kidneys, and curled tongue are untreatable.
[World Transmission] For Huoluan with cramps, moxa Chengshan (BL57). (Twenty-seven moxa cones, miraculous effect.) Another method for wind-stroke also uses Chengshan.
[Dongyuan] For Huoluan with cramps in the arms and chest center, where tendons are stiff and immobile: Danzhong (CV17), Zhongfu (LU1), Juque (CV14), Weiwuan (ST19), ChiZe (LU5), Taiyin (SP6). Moxa seven cones.
[Jiayi Jing) Huoluan with cramps: Jinmen (GB63), Pucan (BL60), Chengshan (BL57), Chengjin (BL56) govern this condition.