论曰乳石发霍乱转筋者，以服食失度，阴阳不和，清浊相干也，盖服石之人。腑脏多热
，热即引饮，及其饥饱，食又过多。水谷既伤，肠胃不纳，下为泄利，上为吐逆，又为 胀
，吐利不止，塞气益甚，则为转筋，食饮药剂。当调以温和，使石热平息，气道下降，则病
可愈。
治乳石发，霍乱转筋不止。香薷汤方
香薷（三分） 木瓜（干者去瓤） 人参 陈橘皮（汤浸去白焙） 浓朴（去粗皮生姜
汁炙熟
各一两） 桂（去粗皮半两）
上六味，粗捣筛，每服五钱匕，水一盏半，入生姜半分切，煎取八分，去滓温服，不计
时候。
治乳石发，霍乱吐利转筋。木瓜汤方
木瓜（大者一枚去瓤薄切） 仓粳米（一合）
上二味，以水二盏，煎取一盏，去滓时时温服一合。
治乳石发，霍乱吐利不止及转筋。糯米饮方
糯米（淘净三合）
上一味细研，以少许清水，搅如乳状，顿服立止。
治乳石发，霍乱转筋及心腹痛。高良姜汤方
高良姜（锉半两） 桂（去粗皮一两） 木瓜（干者去瓤二两）
上三味，粗捣筛，每服三钱匕，以水一盏，煎取七分，去滓温服，不计时。
治乳石发，霍乱吐利转筋。棠梨木瓜汤方
棠梨枝（一握） 木瓜（大者一枚去瓤）
上二味，细锉，分四服，每服以水一盏，入生姜五片，煎取七分，去滓热服，不计时。
治乳石发，转筋，不吐不下，气急。桑叶饮方
桑叶（切二两）
上一味，以水五盏，煎至一盏半，去滓分温二服，早晚各一。
治乳石发，吐利转筋气急。高良姜饮方
高良姜（锉五两）
上一味，粗捣筛，每服三钱匕，以酒一盏，煎至六分，去滓温服，早晚食前各一，亦疗
暴腹痛恶血气急。
治乳石发，霍乱转筋气急。木瓜饮方
木瓜（一枚去皮子切焙干）
上一味，锉如麻豆大，每服三钱匕，以水一盏半，煎至八分，去滓温服，饮尽更作。无
木瓜，只以枝叶并根代之。
治乳石发，吐利不止，转筋入腹欲死。方
生姜（半两切）
上一味，以酒一盏，煎五七沸，去滓顿服之。
治乳石发动，霍乱疼痛不可忍。方
食茱萸（淘净炒香二两）
上一味，以酒三盏，煎至一盏半，分为二服，得下利即瘥，空腹食前各一。
治乳石发，霍乱转筋入腹。方
鸡屎白（半两）
上一味，捣罗为末，每服二钱匕，空腹以温水半盏调，顿服之良。
论述说：乳石病引发霍乱并出现转筋（肌肉痉挛）的情况，是因为服用乳石药物失去节制，导致阴阳失调，清浊之气相互干扰。凡是服用石药的人，脏腑内多蕴积热邪；有热邪就会引动饮水，加上饥饱不均，进食又过多。水谷损伤了肠胃，肠胃无法受纳运化，向下则导致泄泻，向上则引起呕吐，同时伴有腹胀。如果吐泻不止，气机阻滞更加严重，就会发生转筋。对于饮食和药剂的调理，应当使用温和性质的药物，使石热平息，气道下行通畅，这样疾病就可以痊愈。
治疗乳石病发作，霍乱转筋不止的香薷汤方：
香薷（三分），木瓜（干燥者，去瓤），人参，陈橘皮（用热水浸泡后去掉白色部分并焙干），浓朴（去掉粗皮，用生姜汁炙烤至熟），桂枝（去掉粗皮，半两）。
以上六味药，捣碎筛成粗末，每次服用五钱匕，加水一盏半，放入切碎的生姜半分，煎煮取八分量的药液，去掉药渣，温服，不限定具体时间。
治疗乳石病发作，霍乱呕吐泄泻并转筋的木瓜汤方：
木瓜（大的一个，去瓤切成薄片），仓粳米（一合）。
以上两味药，用水二盏，煎煮取一盏药液，去掉药渣，时时少量温服一合。
治疗乳石病发作，霍乱呕吐泄泻不止以及转筋的糯米饮方：
糯米（淘洗干净三合）。
以上一味药，细细研磨，加入少许清水，搅拌成乳状，一次性服用，症状立即停止。
治疗乳石病发作，霍乱转筋以及心腹疼痛的高良姜汤方：
高良姜（锉碎半两），桂枝（去掉粗皮一两），木瓜（干燥者去瓤二两）。
以上三味药，捣碎筛成粗末，每次服用三钱匕，用水一盏，煎煮取七分药液，去掉药渣，温服，不限定时间。
治疗乳石病发作，霍乱呕吐泄泻转筋的棠梨木瓜汤方：
棠梨枝（一把），木瓜（大的一个，去瓤）。
以上两味药，细切碎，分为四次服用，每次用水一盏，放入生姜五片，煎煮取七分药液，去掉药渣，热服，不限定时间。
治疗乳石病发作，转筋，不吐不泻，呼吸急促的桑叶饮方：
桑叶（切碎二两）。
以上一味药，用水五盏，煎煮至一盏半药液，去掉药渣，分两次温服，早晚各一次。
治疗乳石病发作，呕吐泄泻转筋且呼吸急促的高良姜饮方：
高良姜（锉碎五两）。
以上一味药，捣碎筛成粗末，每次服用三钱匕，用酒一盏，煎煮至六分药液，去掉药渣，温服，早晚饭前各一次，也可治疗突发腹痛、恶血及气急。
治疗乳石病发作，霍乱转筋且呼吸急促的木瓜饮方：
木瓜（一枚，去皮去籽切碎焙干）。
以上一味药，锉碎如麻豆大小，每次服用三钱匕，用水一盏半，煎煮至八分药液，去掉药渣，温服，喝完后再制作。如果没有木瓜，只用其枝叶和根部代替也可以。
治疗乳石病发作，呕吐泄泻不止，转筋入腹（痉挛剧烈牵连腹部）几乎濒死的方剂：
生姜（半两，切片）。
以上一味药，用酒一盏，煎煮五到七沸，去掉药渣，一次性服用。
治疗乳石病发动，霍乱疼痛难以忍受的方剂：
食茱萸（淘洗干净炒香二两）。
以上一味药，用酒三盏，煎煮至一盏半药液，分为两次服用，服药后出现下利（腹泻）症状即痊愈，空腹时和饭前各服一次。
治疗乳石病发作，霍乱转筋入腹的方剂：
鸡屎白（半两）。
以上一味药，捣碎过筛成粉末，每次服用二钱匕，空腹时用温水半盏调匀，一次性服用效果良好。
It is discussed that when Ru Shi disease (illness caused by the toxicity of mineral drugs) triggers Huo Luan (acute gastroenteritis with vomiting and diarrhea) accompanied by Zhuan Jin (muscle cramps), it is due to the irregular intake of these drugs, leading to disharmony between Yin and Yang and the interference of clear and turbid Qi. Individuals who consume stone drugs often have accumulated heat in their Zang-Fu organs. This heat induces thirst and increased fluid intake; combined with irregular meals and overeating, the water and food damage the intestines and stomach. The digestive system fails to receive and transform nutrients, resulting downward in diarrhea and upward in vomiting, along with abdominal distension. If vomiting and diarrhea persist without cessation, Qi obstruction worsens, leading to muscle cramps. Regarding dietary and medicinal regulation, mild and warm-natured substances should be used to extinguish the mineral heat and facilitate the descent of Qi flow, thereby curing the disease.
Xiang Ru Tang (Elsholtzia Decoction) for treating Ru Shi disease onset, Huo Luan, and persistent muscle cramps:
Elsholtziae Herba (Xiangru, 3 fen), Papayae Fructus (Mugua, dried, pith removed), Ginseng Radix et Rhizoma (Renshen), Citri Reticulatae Pericarpium Viride (Chenpi, soaked in hot water, white pith removed, dried), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, stir-fried with ginger juice until cooked), Cinnamomi Ramulus (Guizhi, coarse bark removed, 0.5 liang).
The above six herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water and 0.5 fen of sliced fresh ginger. Simmer until reduced to 0.8 zhan, strain, and take warm at any time.
Mugua Tang (Papaya Decoction) for treating Ru Shi disease onset, Huo Luan with vomiting and diarrhea, and muscle cramps:
Papayae Fructus (Mugua, one large fruit, pith removed, thinly sliced), Oryza Sativa Var. Japonica (Cangjingmi, 1 he).
The above two ingredients are boiled with 2 zhan of water until reduced to 1 zhan. Strain and take 1 he of the warm liquid frequently.
Nuomi Yin (Glutinous Rice Drink) for treating Ru Shi disease onset, persistent Huo Luan vomiting and diarrhea, and muscle cramps:
Oryza Sativa Var. Glutinosa (Nuomi, 3 he, thoroughly washed).
The above single herb is finely ground, mixed with a small amount of clear water, stirred into a milky consistency, and taken in one dose to stop symptoms immediately.
Gaoliangjiang Tang (Galangal Decoction) for treating Ru Shi disease onset, Huo Luan with muscle cramps, and epigastric/abdominal pain:
Alpiniae Officinarum Rhizoma (Gaoliangjiang, chopped, 0.5 liang), Cinnamomi Ramulus (Guizhi, coarse bark removed, 1 liang), Papayae Fructus (Mugua, dried, pith removed, 2 liang).
The above three herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with 1 zhan of water until reduced to 0.7 zhan. Strain and take warm at any time.
Tangli Mugua Tang (Pyrus Betulifolia Branch and Papaya Decoction) for treating Ru Shi disease onset, Huo Luan with vomiting, diarrhea, and muscle cramps:
Ramulus Pyri Betulifoliae (Tangli zhi, one handful), Papayae Fructus (Mugua, one large fruit, pith removed).
The above two ingredients are finely chopped and divided into four doses. Each dose is boiled with 1 zhan of water and five slices of fresh ginger until reduced to 0.7 zhan. Strain and take hot at any time.
Sangye Yin (Mulberry Leaf Drink) for treating Ru Shi disease onset, muscle cramps without vomiting or diarrhea, and shortness of breath:
Folium Mori Sangfolii (Sangye, chopped, 2 liang).
The above single herb is boiled with 5 zhan of water until reduced to 1.5 zhan. Strain and divide into two warm doses, taken once in the morning and once in the evening.
Gaoliangjiang Yin (Galangal Drink) for treating Ru Shi disease onset, vomiting, diarrhea, muscle cramps, and shortness of breath:
Alpiniae Officinarum Rhizoma (Gaoliangjiang, chopped, 5 liang).
The above single herb is coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with 1 zhan of wine until reduced to 0.6 zhan. Strain and take warm, once before breakfast and once before dinner. It also treats sudden abdominal pain, blood stasis, and shortness of breath.
Mugua Yin (Papaya Drink) for treating Ru Shi disease onset, Huo Luan with muscle cramps and shortness of breath:
Papayae Fructus (Mugua, one fruit, skin and seeds removed, chopped and dried).
The above single herb is chopped to the size of hemp seeds. Each dose consists of 3 qianbi, boiled with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm. Prepare another dose after finishing. If Mugua is unavailable, its branches, leaves, and roots may be substituted.
Formula for treating Ru Shi disease onset, persistent vomiting and diarrhea, severe muscle cramps extending to the abdomen approaching death:
Zingiberis Rhizoma Recens (Shengjiang, 0.5 liang, sliced).
The above single herb is boiled in 1 zhan of wine for five to seven boils. Strain and take in one dose.
Formula for treating Ru Shi disease onset, unbearable Huo Luan pain:
Evodiae Fructus (Shizhuyu, 2 liang, washed and stir-fried until fragrant).
The above single herb is boiled with 3 zhan of wine until reduced to 1.5 zhan. Divide into two doses. Recovery occurs upon the onset of diarrhea. Take one dose on an empty stomach and one before meals.
Formula for treating Ru Shi disease onset, Huo Luan with muscle cramps extending to the abdomen:
Stercus Galli Album (Jieshibai, 0.5 liang).
The above single herb is pounded and sieved into powder. Each dose consists of 2 qianbi, mixed with 0.5 zhan of warm water on an empty stomach and taken in one dose for good effect.