霍乱者,由温凉不调,阴阳清浊二气有相干乱之时,其乱在于肠胃之间者,因遇饮食而
变,发则心腹绞痛。其有先心痛则先吐,先腹痛者则先痢,心腹俱痛,则吐痢兼发。谓之霍
乱者,言其病挥霍之间便致撩乱也。宜急用∶
半夏 人参各三两 附子(炮) 干姜(炮)各四两 桔梗二两
共捣为末,为丸如梧子,以苦酒下二丸,不瘥复服。如霍乱已死,上屋唤魂,又以诸治
皆至,而独不瘥者,可捧病患腹之,伸臂对以绳度两头肘尖头,根据绳下夹背脊不骨穴中,去
脊各一寸,灸之百壮,可治者,可灸肘椎。已试数百人,皆灸毕即起坐。
转筋者,由冷气入于筋故也。凡霍乱大吐痢之后,阴阳俱虚,则手足逆冷,而营卫不理,
冷搏于筋,则筋为之转。急用∶
吴茱萸一升 甘草(炙) 干姜(炮)各二两 蓼子一把 乱发一两(烧) 桂心二两
以水七升,煮取二升三合,去滓分温三服。服毕相去如人行六、七里,并灸蹶心,当拇
指大聚筋上六七壮,名涌泉。又灸足大趾下约中一壮,神验。
干呕者,谓欲呕而无出也。用∶
浓朴(炙)二两 生姜 枳实(炙)各三两
以水六升,煮取二升,分三服。并灸手腕后三寸,两筋间左右各七壮,名间使。若正厥
呕绝,灸之便通。
鳖甲、蛇床子、白芷,各取等份。
研磨成粉末,用香油调和后外敷,效果极佳。
霍乱(一种以剧烈呕吐和腹泻为特征的急性病证),是由于冷暖失调,导致阴阳之气与清浊之气相互干扰混乱所致。这种混乱发生在肠胃之间,往往因饮食不当而引发,发作时心腹绞痛。如果先出现心痛,就会先呕吐;如果先出现腹痛,就会先腹泻;如果心腹都痛,则呕吐和腹泻同时发生。称之为“霍乱”,是因为病情在挥霍之间就导致身体撩乱不堪。应当紧急使用:
半夏 人参各三两 附子(炮制) 干姜(炮制)各四两 桔梗二两
共同捣碎研末,制成梧桐子大小的药丸,用醋送服两丸,若未痊愈可再次服用。如果患者霍乱已死,需上屋呼唤灵魂,且各种治疗方法都已用到却唯独无效时,可以捧住患者的腹部,伸直手臂,用绳子测量两端肘尖的距离,根据绳子的长度,夹住背部距离脊柱一寸处的非骨穴位(即腰俞穴附近),施灸一百壮,若能治愈,也可灸治肘椎穴。此法已试用数百人,皆在灸毕后立即起身坐立。
转筋(肌肉痉挛),是由于冷气侵入筋脉所致。凡是霍乱大吐大泻之后,阴阳两虚,导致手足逆冷,营卫之气运行不畅,寒气搏结于筋脉,就会导致筋脉抽搐扭转。应当紧急使用:
吴茱萸一升 甘草(炙烤) 干姜(炮制)各二两 蓼子一把 乱发一两(烧焦) 桂心二两
用水七升,煮取二升三合,去渣分三次温服。服完药后,间隔如人行走六、七里路的时间,并灸治蹶心穴(即涌泉穴),位于大拇指根部聚集的筋上方六七壮,名为涌泉。又灸足大趾下褶皱中间一壮,神效验证。
干呕(想呕吐但没有东西吐出),是指想要呕吐却无物可出。使用:
浓朴(炙烤)二两 生姜 枳实(炙烤)各三两
用水六升,煮取二升,分三次服用。并灸治手腕后方三寸处,两筋之间的左右两侧各七壮,名为间使穴。如果是真正的厥逆呕吐气绝,灸治此穴即可通畅。
Bie Jia (Testudinis Carapax et Plastrum), Chuang Xin Zi (Cnidii Fructus), and Bai Zhi (Angelicae Dahuricae Radix) in equal parts.
Grind into powder, mix with sesame oil for topical application; extremely effective.
Huo Luan (Cholera-like syndrome characterized by sudden vomiting and diarrhea) arises from the imbalance of warmth and cold, causing the Qi of Yin and Yang, as well as clear and turbid energies, to interfere and chaoticize. When this chaos occurs between the intestines and stomach, it is triggered by dietary irregularities, manifesting as severe pain in the heart and abdomen. If heart pain precedes, vomiting occurs first; if abdominal pain precedes, diarrhea occurs first; if both heart and abdomen hurt, vomiting and diarrhea occur simultaneously. It is called "Huo Luan" because the disorder causes chaotic turmoil suddenly. Urgently use:
Ban Xia (Pinelliae Rhizoma) 3 liang, Ren Shen (Ginseng Radix) 3 liang, Fu Zi (Aconiti Lateralis Radix Praeparata, prepared) 4 liang, Gan Jiang (Zingiberis Rhizoma, prepared) 4 liang, Jie Geng (Platycodonis Radix) 2 liang.
Pound together into powder, form pills the size of wu zi (Chinese honeylocust seeds). Take two pills down with Ku Jiu (bitter vinegar). If not cured, take again. If the patient has died from Huo Luan, call for the soul from the roof, and if all other treatments have been applied but remain ineffective, hold the patient's abdomen, extend the arms, and measure the distance between the two elbow tips with a rope. Based on the length of the rope, locate the non-bone points on the back flanking the spine at one cun away from the spine, moxa them with 100 zhuang. If curable, also moxa the Zhou Zhui (Elbow Vertebra) point. This method has been tested on hundreds of people, all of whom sat up immediately after moxibustion was completed.
Zhuan Jin (Muscle Spasm/Cramp) is caused by cold Qi entering the sinews. After severe vomiting and diarrhea from Huo Luan, both Yin and Yang are deficient, leading to cold extremities and disordered Ying (Nutritive) and Wei (Defensive) Qi. When cold combats the sinews, the sinews twist and cramp. Urgently use:
Wu Zhu Yu (Evodiae Fructus) 1 sheng, Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted) 2 liang, Gan Jiang (Zingiberis Rhizoma, prepared) 2 liang, Liao Zi (Polygoni Orientalis Fructus) one handful, Luan Fa (Human Hair, burned) 1 liang, Gui Xin (Cinnamomi Cortex internal part) 2 liang.
Boil in seven sheng of water until two sheng and three he remain. Remove dregs and divide into three warm doses. After finishing the dose, wait the time it takes a person to walk six or seven li, then moxa Jue Xin (a point often identified with Yongquan, located above the gathered sinuses near the big toe) with 6-7 zhuang, named Yong Quan (Gushing Spring). Also moxa the center of the fold under the big toe with one zhuang; this is divinely effective.
Gan Ou (Dry Heaving) refers to the desire to vomit without anything coming out. Use:
Hou Po (Magnoliae Officinalis Cortex, roasted) 2 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 3 liang, Zhi Shi (Aurantii Fructus Immaturus, roasted) 3 liang.
Boil in six sheng of water until two sheng remain. Divide into three doses. Also moxa the Jian Shi (Pericardium 5) point, located three cun posterior to the wrist crease between the two tendons, seven zhuang on each side left and right. If suffering from true Jue Ni (Cold Reversal) with vomiting and Qi collapse, moxing this point restores flow.