《病源论》云∶霍乱而呕哕者,由吐利后胃虚而逆则呕,气逆遇冷折之,气不通则哕之。
《范汪方》治霍乱呕哕、气厥不得息方∶
香豉(一升) 半夏(一两) 甘草(一两) 生姜(二两) 人参(一两) 柴胡(一
两)
六物,以水五升,煮取二升半,服七合,日三。
又方∶半夏二两,生姜二两,水三升,煮得一升二合,分再服。
《葛氏方》∶霍乱若 者,灸手腕第一约理中七壮,名心主,当中指也。
《短剧方》治霍乱呕哕吐逆,良久不止方∶
灸巨阙并太仓各五十壮。(今按∶巨阙穴在去鸠尾骨端一寸;太仓者中管穴,在上管下
一寸
《病源论》云∶霍乱而干呕者,吐下后,脾胃虚冷,三焦不理,气痞结于心下,气时逆
上,
《短剧方》治霍乱或引饮,饮辄干呕方∶生姜五两,以水五升,煮令得二升半,分再服
良。
又云∶治干呕逆哕,手足厥冷橘皮汤方∶
橘皮(四两) 生姜(半斤)
凡二物,以水七升,煮取三升,一服一升,汤下咽,即愈。
《葛氏方》霍乱干呕者方∶灸手腕后三指(寸)大两筋间,左右各七壮,名间使。
又方∶取薤一虎口(一握也),以水二升,煮令得一升半,服之,不过三作。
《病源论》云∶霍乱烦渴者,大利则津液竭,津液竭则脏燥,脏燥则渴也。烦渴不止则
引饮
《葛氏方》治霍乱吐下后大渴多饮则杀人方∶
可以黄粱米五升,水一斗,煮得三升,澄,稍稍饮之,勿饮余饮之。
《医门方》霍乱热心烦渴者方∶以糯米水渍研之,以冷熟水混,取米泔汁,恣意饮之即
定,
《僧深方》霍乱吐后烦而渴方∶紫苏子一升,水五升,煮取二升,分二服。无子取生苏
一把
《短剧方》治霍乱烦渴者方∶粢米汁泔,饮数升,立瘥。
又方∶取新汲冷水饮之。
《集验方》云∶治霍乱而渴者,理中汤主之。
《诸病源候论》说:霍乱伴有呕吐和呃逆的,是因为在吐泻之后胃气虚弱导致气机上逆而呕吐,气机逆乱又遇到寒气遏制,气机不通畅则发生呃逆。
《范汪方》治疗霍乱呕吐、呃逆、气机厥逆导致呼吸困难的方剂:
香豉(一升) 半夏(一两) 甘草(一两) 生姜(二两) 人参(一两) 柴胡(一两)
以上六味药,用水五升,煎煮至剩余二升半,每次服用七合,每日三次。
另一个方子:半夏二两,生姜二两,用水三升,煎煮至剩余一升二合,分两次服用。
《葛氏方》:霍乱如果出现呃逆症状的,灸手腕第一道横纹处的中七壮,这个穴位名叫心主穴,位于中指对应的位置。
《短剧方》治疗霍乱呕吐、呃逆、吐逆,长时间不止的方剂:
灸巨阙穴和中脘穴各五十壮。(现在考证:巨阙穴位于鸠尾骨端向上一寸处;太仓穴即中脘穴,在上脘穴向下的一寸处。)
《诸病源候论》说:霍乱伴有干呕的,是在吐泻之后,脾胃虚寒,三焦功能失调,气机痞塞结聚在心下部位,气机不时上逆,
《短剧方》治疗霍乱想喝水,喝了水就立即干呕的方剂:生姜五两,用水五升,煎煮至剩余二升半,分两次服用,效果很好。
又说:治疗干呕、呃逆、手足厥冷的橘皮汤方剂:
橘皮(四两) 生姜(半斤)
共两味药,用水七升,煎煮至剩余三升,每次服用一升,汤药咽下后,病即刻痊愈。
《葛氏方》治疗霍乱干呕的方剂:灸手腕后方三指宽的两筋之间,左右各灸七壮,这个穴位名叫间使穴。
另一个方子:取薤白一把(约一握的量),用水二升,煎煮至剩余一升半,服用它,不超过三次即可。
《诸病源候论》说:霍乱出现烦躁口渴的,是因为严重腹泻导致津液枯竭,津液枯竭则脏腑干燥,脏腑干燥则产生渴感。如果烦渴不止就会想要饮水,
《葛氏方》治疗霍乱吐泻后大渴多饮会导致死亡的方剂:
可以用黄粱米五升,水一斗,煎煮至剩余三升,澄清后,慢慢饮用,不要一次性喝剩下的所有汤水。
《医门方》治疗霍乱心中发热、烦躁口渴的方剂:用糯米用水浸泡后研磨,用冷却的熟水混合,取米泔汁,随意饮用即可安定。
《僧深方》治疗霍乱吐后烦躁且口渴的方剂:紫苏子一升,水五升,煎煮至剩余二升,分两次服用。如果没有紫苏子,取新鲜紫苏叶一把。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: In cases of Huoluan (cholera-like syndrome) accompanied by vomiting and hiccups, this occurs because after vomiting and diarrhea, the Stomach Qi becomes deficient, leading to rebellious Qi ascent causing vomiting. When this rebellious Qi encounters cold, it is obstructed; when Qi flow is blocked, hiccups ensue.
The *Fan Wang Fang* provides a prescription for treating Huoluan with vomiting, hiccups, and Qi reversal resulting in difficulty breathing:
Fermented Soybean Paste (Xiangchi), 1 sheng; Pinellia Rhizome Processed with Ginger (Banxia), 1 liang; Licorice Root (Gancao), 1 liang; Fresh Ginger Rhizome (Shengjiang), 2 liang; American Ginseng Root (Renshen), 1 liang; Bupleurum Root (Chaihu), 1 liang.
These six ingredients are decocted in 5 sheng of water until 2.5 sheng remains. Take 7 ge per dose, three times daily.
Another prescription: Pinellia Rhizome Processed with Ginger (Banxia), 2 liang; Fresh Ginger Rhizome (Shengjiang), 2 liang. Decoct in 3 sheng of water until 1.2 sheng remains. Divide into two doses.
The *Ge Shi Fang* states: For Huoluan presenting with hiccups, moxibustion should be applied to the first crease at the wrist, seven moxa cones, known as the Xin Zhu (Heart Master) point, located corresponding to the middle finger.
The *Duan Ju Fang* provides a prescription for treating Huoluan with vomiting, hiccups, and retching that persists for a long time:
Moxibustion is applied to the Juque (CV14) and Zhongwan (CV12) points, fifty cones each. (Current verification: The Juque point is located one cun above the end of the Jianwei bone; Zhongwan, also known as Taicang, is located one cun below the Shangwan point.)
The *Zhubing Yuanhou Lun* states: In cases of Huoluan with dry retching, after vomiting and purging, the Spleen and Stomach become deficient and cold, the Sanjiao (Triple Burner) fails to regulate properly, Qi stagnation and knotting occur in the epigastrium, and Qi rebels upward intermittently.
The *Duan Ju Fang* provides a prescription for treating Huoluan where the patient desires to drink but immediately experiences dry retching upon drinking:
Fresh Ginger Rhizome (Shengjiang), 5 liang. Decoct in 5 sheng of water until 2.5 sheng remains. Divide into two doses. This yields good results.
It further states: For treating dry retching, hiccups, and cold extremities, use the Jupi Tang (Citrus Peel Decoction):
Aged Tangerine Peel (Jupi), 4 liang; Fresh Ginger Rhizome (Shengjiang), 0.5 jin.
These two ingredients are decocted in 7 sheng of water until 3 sheng remains. Take 1 sheng per dose. Upon swallowing the decoction, the illness will resolve immediately.
The *Ge Shi Fang* provides a prescription for treating Huoluan with dry retching: Moxibustion is applied between the two tendons three cun behind the wrist, seven cones on each side, known as the Jianshi (PC5) point.
Another prescription: Take one handful (one tiger's mouth grip) of Scallion Bulb (Xie). Decoct in 2 sheng of water until 1.5 sheng remains. Consume it; no more than three administrations are needed.
The *Zhubing Yuanhou Lun* states: In cases of Huoluan with irritability and thirst, severe purging depletes the Body Fluids (Jinye). Depletion of Body Fluids leads to dryness of the Zang organs, which causes thirst. If irritability and thirst persist, the patient will desire to drink.
The *Ge Shi Fang* provides a prescription for treating Huoluan where excessive drinking after vomiting and purging can lead to death:
Use 5 sheng of Yellow Millet (Huangliang Mi) and 1 dou of water. Decoct until 3 sheng remains. Clarify the liquid and drink it slowly; do not consume all the remaining liquid at once.
The *Yi Men Fang* provides a prescription for treating Huoluan with heat sensation in the heart, irritability, and thirst: Soak Glutinous Rice (Nuomi) in water and grind it. Mix with cooled boiled water, extract the rice wash water (Mi Gan), and drink freely to settle the condition.
The *Seng Shen Fang* provides a prescription for treating Huoluan with irritability and thirst after vomiting: Perilla Seed (Zisuzi), 1 sheng. Decoct in 5 sheng of water until 2 sheng remains. Divide into two doses. If seeds are unavailable, use one handful of fresh Perilla Leaf (Sheng Su).
The *Duan Ju Fang* provides a prescription for treating Huoluan with irritability and thirst: Drink Ji Mi Zhi (rice juice/wash water); drinking several sheng leads to immediate recovery.
Another prescription: Drink freshly drawn cold water.
The *Ji Yan Fang* states: For treating Huoluan with thirst, Lizhong Tang (Regulate the Middle Decoction) is the primary treatment.