辽宁寇姓媪，年过六旬，得霍乱脱证。
病因 孟秋下旬染霍乱，经医数人调治两日，病势垂危。
证候 其证从前吐泻交作，至此吐泻全无。奄奄一息，昏昏似睡，肢体甚凉，六脉全无。询之
犹略能言语，惟觉心中发热难受。
诊断 此证虽身凉脉闭，而心中自觉发热，仍当以热论。其所以身凉脉闭者，因霍乱之毒菌窜入
心脏，致心脏行血之机关将停，血脉不达于周身，所以内虽蕴热而仍身凉脉闭也。此当
用药消其毒菌，清其内热，并以助心房之跳动，虽危险仍可挽回。
处方 镜面朱砂（钱半） 粉甘草（一钱细面） 冰片（三分） 薄荷冰（二分）
共研细末，分作三次服，病急者四十分钟服一次，病缓者一点钟服一次，开水送下。
复诊 将药末分三次服完，心热与难受皆愈强半。而脉犹不出，身仍发凉，知其年过花甲，吐
泻两日，未进饮食，其血衰惫已极，所以不能鼓脉外出以温暖于周身。
处方 野台参（一两） 生怀地黄（一两） 生怀山药（一两） 净萸肉（八钱） 甘草（三钱蜜炙）
煎汤两大盅，分两次温服。
方解 方中之义，用台参以回阳，生怀地黄以滋阴，萸肉以敛肝之脱（此证吐泻之始，肝木助邪
侮土、至吐泻之极，而肝气转先脱），炙甘草以和中气之漓。至于生山药其味甘性温，可助台参回阳，
其汁浆稠润又可助地黄滋阴。且此证胃中毫无谷气，又可惜之以培养脾胃，俾脾胃运化诸药有力也。
效果 将药两次服完，脉出周身亦热，惟自觉心中余火未清，知其阴分犹亏不能潜阳也。又
用玄参、沙参、生山药各六钱，煎汤服下，病遂全愈。
辽宁一位姓寇的老妇人，年龄超过六十岁，患上了霍乱脱证。
病因：在孟秋（农历七月）下旬感染了霍乱，经过几位医生调理治疗两天后，病情变得极其危险。
证候：此前她呕吐和腹泻交替发作，到了此时，呕吐和腹泻完全停止。她气息微弱，昏昏沉沉像是要睡着的样子，四肢非常凉，六脉全部摸不到。询问她，她还能勉强说话，只觉得心中发热，很难受。
诊断：这个病症虽然身体发凉、脉搏闭绝，但患者自觉心中发热，仍然应当按热证来论治。之所以出现身体发凉、脉搏闭绝的情况，是因为霍乱的毒菌侵入心脏，导致心脏推动血液运行的功能即将停止，血脉无法通达全身，所以体内虽然蕴积热邪，但体表依然发凉、脉搏闭绝。此时应当用药消除毒菌，清除内部热邪，并帮助心房跳动，虽然情况危险，但仍然可以挽回。
处方：镜面朱砂（半钱），粉甘草（一钱，研成细末），冰片（三分），薄荷冰（二分）。
以上药物共同研磨成细末，分三次服用。病情紧急者，每四十分钟服一次；病情缓和者，每小时服一次，用开水送服。
复诊：将药末分三次服完后，心热和难受的感觉都减轻了一半以上。但是脉搏仍然摸不到，身体依然发凉。由此推断，因为她年过六十，又经历两天的呕吐腹泻，没有进食，她的血液已经极度衰弱疲惫，所以不能鼓动脉搏外出以温暖周身。
处方：野台参（一两），生怀地黄（一两），生怀山药（一两），净萸肉（八钱），甘草（三钱，蜜炙）。
煎煮成两大碗汤剂，分两次温服。
方解：方中的用意，是用台参来回阳救逆，用生怀地黄来滋阴，用萸肉来收敛肝气的耗散（此证在呕吐腹泻开始时，肝木助长邪气克制脾土；等到呕吐腹泻达到极点时，肝气反而先发生耗散），用炙甘草来调和中气的流失。至于生山药，它味甘性温，可以帮助台参回阳，它的汁液稠润又可以辅助地黄滋阴。而且此证胃中完全没有谷气，可惜用它来培养脾胃，使得脾胃运化这些药物更有力量。
效果：将药分两次服完后，脉搏出现了，周身也变热了，只是自觉心中余火未清，知道是阴分仍然亏损，不能潜藏阳气。于是又用玄参、沙参、生山药各六钱，煎汤服用，病便完全痊愈。
A sixty-something surnamed Kou, an elderly woman from Liaoning, suffered from Huoluan Tuozheng (Huoluan collapse syndrome).
Etiology: She contracted Huoluan (cholera-like disease) in the late stage of Mengqiu (the seventh lunar month). After two days of treatment by several physicians, her condition became critical.
Symptoms: Previously, she experienced alternating vomiting and diarrhea. At this stage, both vomiting and diarrhea had completely ceased. Her breath was faint, she appeared drowsy as if sleeping, her limbs were very cold, and all six pulse positions were imperceptible. Upon inquiry, she could still speak faintly, but reported feeling intense heat and discomfort in the heart region.
Diagnosis: Although her body is cold and pulses are closed, the patient's subjective sensation of heat in the heart indicates that this should still be treated as a heat syndrome. The reason for her cold body and closed pulses is that the toxins of Huoluan have invaded the heart, causing the heart's mechanism for pumping blood to nearly cease, preventing blood vessels from reaching the whole body. Thus, although there is internal heat accumulation, the exterior remains cold and pulses closed. Medication should be used to eliminate the toxins, clear the internal heat, and assist atrial contraction. Although dangerous, the condition can still be reversed.
Prescription: Jingmian Zhusha (Mirror-polished Cinnabar, 0.5 qian), Fen Gancao (Powdered Licorice Root, 1 qian, finely ground), Bingpian (Borneol, 3 fen), Bohebing (Mint Ice/Borneol preparation, 2 fen).
Grind all ingredients into a fine powder, divide into three doses. For urgent cases, administer every 40 minutes; for milder cases, administer every hour. Take with boiled water.
Follow-up Visit: After completing the three doses of the powder, the heart heat and discomfort improved by more than half. However, the pulse remained imperceptible, and the body remained cold. It is inferred that because she is over sixty years old and has undergone two days of vomiting and diarrhea without food intake, her blood essence is extremely depleted and exhausted, thus unable to propel the pulse outward to warm the body.
Prescription: Yetaishen (Wild Taishen/Ginseng root, 1 liang), Sheng Huai Dihuang (Raw Rehmannia Root from Huaiqing, 1 liang), Sheng Huai Shanyao (Raw Chinese Yam from Huaiqing, 1 liang), Jing Yurou (Cleaned Cornus Officinalis Fruit, 8 qian), Gancao (Licorice Root, 3 qian, honey-fried).
Decoct in water to yield two large bowls of liquid, divide into two doses, and take warm.
Formula Analysis: The intent of the formula is to use Taishen to restore Yang, Raw Huai Dihuang to nourish Yin, and Yurou to consolidate the leakage of Liver Qi (at the onset of vomiting and diarrhea, Liver Wood assists the pathogen to insult Spleen Earth; when vomiting and diarrhea reach their peak, Liver Qi tends to leak first). Honey-fried Gancao harmonizes and stabilizes the leaking Middle Qi. As for Raw Shanyao, its sweet flavor and warm nature help Taishen restore Yang, while its viscous juice aids Dihuang in nourishing Yin. Furthermore, since the stomach lacks grain qi in this condition, it is beneficial to use Shanyao to cultivate the Spleen and Stomach, enabling them to transform and transport the medicinal herbs effectively.
Outcome: After taking the medicine in two doses, the pulse emerged, and the whole body became warm. However, she still felt residual fire in the heart, indicating that Yin deficiency still prevented the submergence of Yang. Subsequently, Xuanshen (Scrophulariae Radix), Shashen (Glehniae Radix), and Sheng Shanyao (Raw Chinese Yam), each 6 qian, were decocted and taken as soup. The illness was completely cured.