论曰霍乱心烦者,缘心下有水,水害心火,其气不宣,故令人心烦闷乱而不安也。盖胃
土气衰,不能运化饮食,气郁于中,使清浊不分,阴阳干扰,故霍乱而神情烦躁也。
治霍乱心烦,坐卧不安。麦门冬汤方
麦门冬(去心焙) 茯神(去木) 人参 陈橘皮(汤浸去白焙) 甘草(炙各一两)
上五味。粗捣筛,每服三钱匕,水一盏,入生姜半分,小麦五十粒,竹叶十片,煎至七
分,去滓温服不拘时。
治霍乱吐利后心烦。乱发汤方
乱发(一团如鸡子大烧存性) 吴茱萸(汤浸焙干三分) 甘草(炙) 人参(各一两)
上四味。粗捣筛,每服五钱匕,水一盏,酒半盏,煎至八分,去滓温服,日三。
治霍乱心烦。芦根饮方
芦根(锉焙一两一分) 人参 水萍(紫者焙干) 枇杷叶(拭去毛各一分)
上四味。粗捣筛,每服五钱匕,入薤白四寸拍破,水一盏半,煎至八分,去滓温服,日
三。
治霍乱吐后烦满呕逆。橘皮汤方
陈橘皮(汤浸去白焙) 栀子仁(各二两)
上二味。粗捣筛,每服三钱匕,入豉半合,水一盏,煎至七分,去滓温服日三。
治霍乱狂闷烦渴,吐泻无度,气欲绝者。竹沥饮方
淡竹沥(一合) 粳米(一合炒以水二盏同研去滓取汁)
上二味,和匀顿服之。
治霍乱心烦不止。浓朴汤方
浓朴(去粗皮姜汁炙四两) 桂(去粗皮三两) 枳实(去瓤麸炒二两)
上三味。 咀如麻豆大,每服六钱匕,水二盏,入生姜一枣大拍碎,同煎至一盏,去滓
温服日三。如腹痛,加当归二两。
治霍乱心中烦闷。香豉汤方
豉(七合绵裹) 栀子仁 浓朴(去粗皮姜汁炙各三两)
上三味。 咀如麻豆大,每服六钱匕,水二盏,煎至一盏,去滓温服。
治霍乱心烦。粱米饮方
黄粱米(半升)
上一味。捣为粉,每服六钱匕,水二盏调顿服,糯米亦得。
治霍乱已吐利,心烦闷不止。桑叶饮方
桑叶(一大握切)
上一味,以水一盏,煎取七分,顿服立定。
治霍乱后,心烦卧不安席。葱白大枣汤方
葱白(二十茎去须) 大枣(二十枚去核)
上二味。以水三盏,煎取一盏半,去滓分温二服。
治霍乱后脾胃尚虚,谷气未实,津液内燥,令人烦躁,睡卧不安。白豆蔻丸方
白豆蔻(去皮) 陈橘皮(去白焙) 浓朴(去粗皮生姜汁浸炙) 草豆蔻(去皮) 桂
(去粗皮) 白术(炒) 干木瓜 人参 半夏(汤洗去滑七遍各二两) 缩砂蜜(去皮) 高
良姜(炒) 甘草(炙锉) 陈曲(炒) 麦 (炒) 木香 干姜(炮) 白茯苓(去黑
皮各一两) 桃仁(四两去皮尖双仁炒)
上一十八味。捣研为末,炼蜜和丸,如梧桐子大。每服三十丸至四十丸,空心米饮下。
论述说:霍乱伴随心烦的症状,是因为心下有停水,水邪损害心火,导致气机不能宣通,所以使人心中烦闷混乱而不得安宁。大概是因为胃土之气衰弱,不能运化饮食,气机郁结在中焦,使得清浊之气不分,阴阳相互干扰,因此发生霍乱并出现神情烦躁的症状。
治疗霍乱心烦,坐卧不安的麦门冬汤方:
麦门冬(去除心部,焙干)一两,茯神(去除木质部分)一两,人参一两,陈橘皮(用热水浸泡,去除白色内层后焙干)一两,甘草(炙制)一两。
以上五味药。粗捣筛碎,每次服用三钱匕,加水一盏,放入生姜半块,小麦五十粒,竹叶十片,煎煮至七分满,去渣滓,温服,不限时间。
治疗霍乱呕吐腹泻后心烦的乱发汤方:
乱发(一团如鸡蛋大小,烧存性)三两,吴茱萸(热水浸泡后焙干)三分,甘草(炙制)一两,人参一两。
以上四味药。粗捣筛碎,每次服用五钱匕,加水一盏,酒半盏,煎煮至八分满,去渣滓,温服,每日三次。
治疗霍乱心烦的芦根饮方:
芦根(锉碎焙干)一两一分,人参一分,水萍(紫色的焙干)一分,枇杷叶(擦拭去毛)一分。
以上四味药。粗捣筛碎,每次服用五钱匕,放入薤白四寸拍破,加水一盏半,煎煮至八分满,去渣滓,温服,每日三次。
治疗霍乱呕吐后烦闷呕逆的橘皮汤方:
陈橘皮(热水浸泡,去除白色内层后焙干)二两,栀子仁二两。
以上两味药。粗捣筛碎,每次服用三钱匕,放入豆豉半合,加水一盏,煎煮至七分满,去渣滓,温服,每日三次。
治疗霍乱狂闷烦渴,吐泻无度,气息将绝的竹沥饮方:
淡竹沥一合,粳米一合(炒后加水二盏共同研磨,去渣取汁)。
以上两味药,混合均匀,一次性顿服。
治疗霍乱心烦不止的浓朴汤方:
浓朴(去除粗皮,姜汁炙制)四两,桂枝(去除粗皮)三两,枳实(去除瓤,麸皮炒制)二两。
以上三味药。切碎如麻豆大小,每次服用六钱匕,加水二盏,放入生姜一块如枣大拍碎,同煎至一盏,去渣滓,温服,每日三次。如果腹痛,加当归二两。
治疗霍乱心中烦闷的香豉汤方:
豆豉(七合,用绵布包裹),栀子仁三两,浓朴(去除粗皮,姜汁炙制)三两。
以上三味药。切碎如麻豆大小,每次服用六钱匕,加水二盏,煎煮至一盏,去渣滓,温服。
治疗霍乱心烦的粱米饮方:
黄粱米半升。
以上一味药。捣成粉,每次服用六钱匕,加水二盏调匀一次性顿服,糯米也可以。
治疗霍乱已经呕吐腹泻后,心烦闷不止的桑叶饮方:
桑叶(一大把切细)。
以上一味药,加水一盏,煎取七分,一次性顿服,立即安定。
治疗霍乱后,心烦卧不安席的葱白大枣汤方:
葱白(二十茎,去除须根),大枣(二十枚,去除核)。
以上两味药。加水三盏,煎取一盏半,去渣滓,分两次温服。
治疗霍乱后脾胃尚虚,谷气未实,津液内燥,令人烦躁,睡卧不安的白豆蔻丸方:
白豆蔻(去皮),陈橘皮(去白焙干),浓朴(去粗皮生姜汁浸炙),草豆蔻(去皮),桂枝(去粗皮),白术(炒),干木瓜,人参,半夏(热水洗去滑腻七遍),缩砂蜜(去皮),高良姜(炒),甘草(炙锉),陈曲(炒),麦芽(炒),木香,干姜(炮制),白茯苓(去黑皮各一两),桃仁(四两,去皮尖,双仁者炒)。
以上十八味药。捣研为末,炼蜜和丸,如梧桐子大小。每次服用三十丸至四十丸,空腹时米饮送下。
Discussion states: In cases of cholera with mental restlessness (fanzuo), the cause is water retention below the heart. Water pathogen damages Heart Fire, causing Qi mechanism to fail in dissemination, thus leading to mental irritability, confusion, and discomfort. Generally, this occurs because Spleen-Stomach Earth Qi is deficient, failing to transform and transport food and fluids. Qi stagnates in the middle jiao, preventing the separation of clear and turbid qi, and disturbing Yin and Yang. Consequently, cholera ensues accompanied by mental agitation.
Decoction of Ophiopogon for Cholera with Mental Restlessness and Restless Sitting or Lying:
Ophiopogonis Radix (Ouyi, 麦冬) [remove heart, roast], Fushen (Fuling with Pine Root, 茯神) [remove wood], Ginseng Radix et Rhizoma (Renshen, 人参), Exocarpium Citri Reticulatae Aged (Chenpi, 陈皮) [soak in hot water, remove white pith, roast], Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gancao, 炙甘草). Each one liang.
The above five herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, half a piece of fresh ginger, fifty grains of Triticum aestivum (Xiaomai, 小麦), and ten leaves of Bambusae Folium (Zhuye, 竹叶). Decoct until seven-tenths remain, strain, and take warm at any time.
Decoction of Human Hair for Mental Restlessness after Vomiting and Diarrhea in Cholera:
Human Hair (Luankou, 乱发) [a ball size of a chicken egg, burnt to retain charred nature], Evodiae Fructus (Wuzhuyu, 吴茱萸) [soak in hot water, dry by roasting], Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gancao, 炙甘草), Ginseng Radix et Rhizoma (Renshen, 人参). Each one liang.
The above four herbs are coarsely crushed and sifted. Take five qianbi per dose, add one zhan of water and half a zhan of wine. Decoct until eight-tenths remain, strain, and take warm, three times daily.
Infusion of Phragmitis Rhizoma for Cholera with Mental Restlessness:
Phragmitis Rhizoma (Lugen, 芦根) [cut and roast], Ginseng Radix et Rhizoma (Renshen, 人参), Lemna Minoris Herba (Shuiping, 水萍) [purple ones dried by roasting], Eriobotryae Folium (Pipaye, 枇杷叶) [wipe off hairs]. Each one fen.
The above four herbs are coarsely crushed and sifted. Take five qianbi per dose, add four cun of Allii Fistulosi Bulbus (Xiebai, 薤白) smashed, and one and a half zhan of water. Decoct until eight-tenths remain, strain, and take warm, three times daily.
Decoction of Citrus Peel for Cholera with Post-Vomiting Irritability, Fullness, and Reverse Flow:
Exocarpium Citri Reticulatae Aged (Chenpi, 陈皮) [soak in hot water, remove white pith, roast], Gardeniae Fructus (Zhizi, 栀子). Each two liang.
The above two herbs are coarsely crushed and sifted. Take three qianbi per dose, add half he of Sojae Semen Preparatum (Douchi, 豆豉), and one zhan of water. Decoct until seven-tenths remain, strain, and take warm, three times daily.
Infusion of Bamboo Sap for Cholera with Manic Confusion, Thirst, Unrestrained Vomiting and Diarrhea, and Impending Exhaustion of Qi:
Bambusa Textilis Cacumen Infusum (Dan Zhuli, 淡竹沥), Oryza Sativa Germen (Jingmi, 粳米). Each one he. Stir-fry Jingmi, grind together with two zhan of water, strain to obtain juice.
Mix the above two ingredients evenly and take in one dose.
Decoction of Magnolia Bark for Unceasing Mental Restlessness in Cholera:
Magnoliae Officinalis Cortex (Houpo, 厚朴) [remove rough bark, stir-fry with ginger juice], Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark], Aurantii Immaturus Fructus (Zhishi, 枳实) [remove pulp, stir-fry with bran].
The above three herbs are cut into pieces the size of hemp seeds. Take six qianbi per dose, add two zhan of water and a piece of fresh ginger the size of a date, smashed. Decoct until one zhan remains, strain, and take warm, three times daily. If abdominal pain occurs, add Angelicae Sinensis Radix (Danggui, 当归) two liang.
Decoction of Fermented Soybean for Mental Agitation in Cholera:
Sojae Semen Preparatum (Douchi, 豆豉) [seven he, wrapped in silk], Gardeniae Fructus (Zhizi, 栀子), Magnoliae Officinalis Cortex (Houpo, 厚朴) [remove rough bark, stir-fry with ginger juice]. Each three liang.
The above three herbs are cut into pieces the size of hemp seeds. Take six qianbi per dose, add two zhan of water. Decoct until one zhan remains, strain, and take warm.
Infusion of Setaria Italica Grain for Cholera with Mental Restlessness:
Setaria Italica Granum (Liangmi, 梁米) [half sheng].
The above single herb is pounded into powder. Take six qianbi per dose, mix with two zhan of water and take in one dose. Glutinous rice may also be used.
Infusion of Morus Folium for Unceasing Mental Restlessness after Vomiting and Diarrhea in Cholera:
Mori Folium (Sangye, 桑叶) [one large handful, cut].
The above single herb is decocted in one zhan of water until seven-tenths remain. Take in one dose; calmness will be achieved immediately.
Decoction of Scallion White and Jujube Fruit for Restlessness in Bed after Cholera:
Allii Fistulosi Bulbus (Congbai, 葱白) [twenty stems, remove roots], Ziziphi Jujubae Fructus (Dazao, 大枣) [twenty fruits, remove pits].
The above two herbs are decocted in three zhan of water until one and a half zhan remain. Strain and divide into two warm doses.
Pill of Cardamomum Rotundum for Deficient Spleen-Stomach, Insufficient Grain Qi, Internal Dryness of Fluids, Irritability, and Restless Sleep after Cholera:
Cardamomum Rotundum Fructus (Baishadoukou, 白豆蔻) [remove skin], Exocarpium Citri Reticulatae Aged (Chenpi, 陈皮) [remove white pith, roast], Magnoliae Officinalis Cortex (Houpo, 厚朴) [remove rough bark, soak in ginger juice, stir-fry], Amomi Fructus Rotundus (Caodoukou, 草豆蔻) [remove skin], Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark], Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [stir-fry], Dried Chaenomelis Fructus (Gan Mugua, 干木瓜), Ginseng Radix et Rhizoma (Renshen, 人参), Pinelliae Rhizoma Preparatum (Banxia, 半夏) [wash in hot water seven times to remove slipperiness], Biotae Semen (Suanshemi, 缩砂蜜) [remove skin], Alpiniae Officinarum Rhizoma (Gaoliangjiang, 高良姜) [stir-fry], Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gancao, 炙甘草) [roast and cut], Saccharomyces (Chenqu, 陈曲) [stir-fry], Malto (Maiya, 麦芽) [stir-fry], Costi Radix (Muxiang, 木香), Zingiberis Rhizoma Preparatum (Ganjiang, 干姜) [pao], Poria (Baifuling, 白茯苓) [remove black skin]. Each one liang. Persicam Semen (Taoren, 桃仁) [four liang, remove skin and tips, stir-fry double-kernel ones].
The above eighteen herbs are pounded and ground into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take thirty to forty pills per dose, swallowed with grain infusion on an empty stomach.