论曰霍乱转筋，缘风冷伤于三焦，传于脾胃，得冷则阳气不得宣行，致四肢筋络不得舒
缓，此盖中下不足，其候冒闷不安，胫筋挛结， 肉紧痛，反急于上，盖足阳明之经虚，膀
胱之脉寒也。然足阳明之脉，其支者起胃下口，循腹里下至气冲中而合，以下髀关，抵伏兔
，下入膝膑中。下循髀外廉，足太阳之经，其脉循髀外后廉，下合 中，下贯 内，是动则
病髀不可回转， 如结， 如裂，治宜调胃腑而温膀胱之经，如此则小水得宣，寒冷自下，
胃腑温和，霍乱可愈。转筋之疾，无由作也。
治霍乱转筋。胡椒汤方
胡椒 吴茱萸（汤洗净炒） 肉豆蔻（去壳各半两） 人参 桂（去粗皮） 干姜（炮
各一两半）
上六味。粗捣筛，每服五钱匕，以水一盏半，煎至八分去滓温服。
治霍乱转筋。蜀椒汤方
蜀椒（去目并闭口者炒出汗一分） 乌梅（七枚去核熬）
上二味。 咀，以水二盏，煎取一盏，再入蜜一匙头，煎两沸，空腹顿服之，老人亦可
服。
治霍乱转筋。肉豆蔻汤方
肉豆蔻（去壳半两） 人参（二两） 桂（去粗皮） 吴茱萸（汤洗净炒各一两半）
上四味。粗捣筛，每服三钱匕，入生姜三片，水一盏，煎至六分，去滓温服。
治霍乱转筋。杜仲汤方
杜仲（去皮锉炒一两一分） 桂（去粗皮一两） 甘草（炙锉一分）
上三味。粗捣筛，每服三钱匕，生姜三片，水一盏，煎至六分，去滓温服。
治霍乱转筋，闷绝欲死。鸡白汤方
鸡粪白（一合熬） 胡椒（二十粒） 高良姜 桂（去粗皮） 白术（各一两一分） 木
瓜（二两） 生姜（切焙六分）
上七味。锉如麻豆，每服五钱匕，水一盏半，煎取八分，去滓不拘时温服。
治霍乱转筋，吐泻不止。木瓜汤方
木瓜（切一两） 青铜钱（四十九文） 乌梅（五枚拍碎炒）
上三味，以水二盏，煎至一盏，去滓分三服，细呷。
治霍乱转筋，脉微而细，风寒客于胃，吐泻不止。浓朴汤方
浓朴（去粗皮涂生姜汁炙五度） 干木瓜（各一两） 高良姜 香薷 陈橘皮（汤浸去
白焙） 紫苏子（各半两）
上六味。粗捣筛，每服五钱匕，生姜三片，盐少许，水一盏半，煎至八分，去滓温服。
治霍乱吐泻，转筋烦闷。 香子散方
香子（炒） 木香 陈橘皮（汤去白焙） 人参（各半两） 菖蒲（切米泔浸一日炒
一两） 甘草（炙锉一分）
上六味。捣罗为散，以冷米饮调下三钱匕，如人行三里再服。
治霍乱转筋不止。桃仁煎方
桃仁（一百枚泡去皮尖双仁研如面）
上一味。以牛乳五升，解如浆水，于铜器内盛，在重汤内煎，瓷器中盛，每服空心温酒
调下两匙。
治霍乱转筋入腹欲死。生姜酒方
生姜（五两切）
上一味。用无灰酒一升，煎取八合，顿服便瘥。
治霍乱转筋入腹，或腹中如欲转。鸡白汤方
鸡粪白（炒一两）
上一味为粗末，每服二钱匕，以水七合，煎三沸，去滓顿服，勿令病患知。
治霍乱转筋淋足。附子汤方
附子（去皮锉一枚） 葱（半斤拍碎） 生椒（绵裹） 生姜（切碎各一两）
上四味。以水一斗，煎三两沸，入瓷盆中滤去滓，以盐浆水解之，冷热得所，淋洗立瘥
治霍乱转筋入腹。盐拓方
盐（三合）
上一味。以水五升，煎取三升，浸青布拓转筋上。
治霍乱转筋。苦酒絮裹足方
苦酒（一斤半）
上取衣絮，纳苦酒中，煮令温，从转筋处裹之。
治转筋入腹裹足法
木瓜（二枚切破）
上以水五升，煎取三升，以故青布浸汤中，用裹转筋上，如无木瓜，煎枝二两亦得。
治霍乱转筋方
木瓜汁（一盏） 木香末（一钱匕）
上二味。以热酒调下，不拘时。
治霍乱转筋，诸药不除方。
胡椒末（一分） 木瓜汁（一升） 砂（研极细一钱匕）
上三味，将木瓜汁，浸椒砂二末搅匀，微火熬令稠，和丸如梧桐子大。每服十丸，香薷
汤下。
治胃气虚，霍乱吐泻，转筋腹痛。神圣香薷饮方
香薷穗（经霜者一两半） 浓朴（去粗皮） 黄连（去须各二两） 扁豆（一两焙）
上四味。先用生姜汁四两，一处捣黄连浓朴二味令细，炒成黑色，入香薷扁豆二味，都
粗捣筛，每服五钱匕，水一盏，酒一盏，共煎至一盏，瓷瓶内蜡纸封，沉入井底，候极冷，
并服二服，至死者亦可救。
治霍乱转筋方
糯米（二两为末） 干姜（炮裂为末） 甘草（生用为末） 人参（为末各二钱）
上四味，拌匀，冷水调下三钱匕，不拘时。
论述说：霍乱转筋，是由于风冷之邪侵袭三焦，进而传变至脾胃。受到寒冷侵袭后，阳气无法宣通运行，导致四肢的筋络不能舒展舒缓。这主要是因为中焦和下焦正气不足。其临床表现包括头目昏蒙、胸脘痞闷、心神不安，小腿筋脉拘挛结聚，肌肉紧绷疼痛，肢体向上反屈拘急。这是因为足阳明胃经虚弱，足太阳膀胱经脉受寒所致。然而，足阳明胃经的支脉，从胃的下口起始，沿着腹腔内部下行至气冲穴处汇合，再向下经过髀关穴，抵达伏兔穴，向下进入膝盖髌骨之中。接着沿大腿外侧前缘下行；足太阳膀胱经，其经脉循行于大腿外侧后缘，向下交汇于腘窝中，再向下贯穿臀部内侧。如果这两条经脉发生病变，就会出现大腿活动不便、难以回转的症状，腘窝部位感觉像被绳结捆绑一样僵硬，又像被撕裂般疼痛。治疗应当调理胃腑并温通膀胱经，这样小便得以通畅排出，寒冷之气自然下行消散，胃腑恢复温和，霍乱即可痊愈。转筋的疾病也就无从发生了。
治疗霍乱转筋。胡椒汤方
胡椒 吴茱萸（用汤洗净后炒） 肉豆蔻（去壳，各半两） 人参 桂枝（去掉粗皮） 干姜（炮制，各一两半）
以上六味药。捣碎并过筛，每次服用五钱匕，用水一盏半，煎煮至八分，滤去药渣，温服。
治疗霍乱转筋。蜀椒汤方
蜀椒（去掉目和闭口的，炒至出油一分） 乌梅（七枚，去核后熬制）
以上二味药。切碎，用水二盏，煎取一盏，再加入一匙头蜂蜜，煮沸两次，空腹一次性服下，老年人也可以服用。
治疗霍乱转筋。肉豆蔻汤方
肉豆蔻（去壳半两） 人参（二两） 桂枝（去掉粗皮） 吴茱萸（用汤洗净后炒，各一两半）
以上四味药。捣碎并过筛，每次服用三钱匕，加入生姜三片，水一盏，煎煮至六分，滤去药渣，温服。
治疗霍乱转筋。杜仲汤方
杜仲（去掉树皮，锉碎后炒，一两一分） 桂枝（去掉粗皮，一两） 甘草（炙制，锉碎，一分）
以上三味药。捣碎并过筛，每次服用三钱匕，生姜三片，水一盏，煎煮至六分，滤去药渣，温服。
治疗霍乱转筋，胸闷窒息欲死。鸡白汤方
鸡粪白（一合，熬制） 胡椒（二十粒） 高良姜 桂枝（去掉粗皮） 白术（各一两一分） 木瓜（二两） 生姜（切片焙干，六分）
以上七味药。锉碎如麻豆大小，每次服用五钱匕，水一盏半，煎取八分，滤去药渣，不拘时候温服。
治疗霍乱转筋，呕吐腹泻不止。木瓜汤方
木瓜（切片，一两） 青铜钱（四十九文） 乌梅（五枚，拍碎后炒）
以上三味药，用水二盏，煎煮至一盏，滤去药渣，分三次服用，细细啜饮。
治疗霍乱转筋，脉象微细，风寒客居于胃，呕吐腹泻不止。浓朴汤方
厚朴（去掉粗皮，涂生姜汁炙烤五次） 干木瓜（各一两） 高良姜 香薷 陈皮（用汤浸泡，去掉白色内瓤后焙干） 紫苏子（各半两）
以上六味药。捣碎并过筛，每次服用五钱匕，生姜三片，少许盐，水一盏半，煎煮至八分，滤去药渣，温服。
治疗霍乱吐泻，转筋烦闷。荜澄茄散方
荜澄茄（炒） 木香 陈皮（用汤去掉白色内瓤后焙干） 人参（各半两） 石菖蒲（切片，用米泔水浸泡一天后炒，一两） 甘草（炙制，锉碎，一分）
以上六味药。捣碎过罗制成散剂，用冷的米汤调下三钱匕，如人行走三里路的时间后再服用。
治疗霍乱转筋不止。桃仁煎方
桃仁（一百枚，泡后去皮尖及双仁者，研成糊状）
以上一味药。用牛乳五升，将其化开如浆水状，盛放在铜器内，置于双层锅中隔水煎煮，装入瓷器中保存。每次空腹时，用温酒调下两匙。
治疗霍乱转筋入腹，痛苦欲死。生姜酒方
生姜（五两，切片）
以上一味药。用无灰酒一升，煎取八合，一次性服下，病即痊愈。
治疗霍乱转筋入腹，或者腹部有扭转感。鸡白汤方
鸡粪白（炒，一两）
以上一味药，制成粗末，每次服用二钱匕，用水七合，煎煮三沸，滤去药渣，一次性服下，不要让病人知道。
治疗霍乱转筋淋洗双脚。附子汤方
附子（去皮，锉碎，一枚） 葱（半斤，拍碎） 生花椒（用绵布包裹） 生姜（切碎，各一两）
以上四味药。用水一斗，煎煮三沸，倒入瓷盆中滤去药渣，用盐水调和水温，冷热适宜，淋洗患处，立见痊愈。
治疗霍乱转筋入腹。盐拓方
盐（三合）
以上一味药。用水五升，煎取三升，浸湿青布，敷贴于转筋部位。
治疗霍乱转筋。醋絮裹足方
苦酒（一斤半）
以上取衣絮，放入苦酒中，煮至温热，从转筋处包裹双脚。
治疗转筋入腹裹足法
木瓜（二枚，切开破开）
以上用水五升，煎取三升，用旧青布浸入汤中，用来包裹转筋部位。如果没有木瓜，煎桑枝二两也可以。
治疗霍乱转筋方
木瓜汁（一盏） 木香末（一钱匕）
以上二味药。用热酒调下，不拘时候。
治疗霍乱转筋，诸药不除方。
胡椒末（一分） 木瓜汁（一升） 砂（研磨极细，一钱匕）
以上三味药，将木瓜汁浸泡胡椒末和砂仁末，搅拌均匀，用微火熬至稠厚，和丸如梧桐子大。每次服用十丸，用香薷汤送下。
治疗胃气虚，霍乱吐泻，转筋腹痛。神圣香薷饮方
香薷穗（经霜的，一两半） 厚朴（去掉粗皮） 黄连（去掉须，各二两） 扁豆（一两，焙干）
以上四味药。先用生姜汁四两，一起捣碎黄连和厚朴两味药使其细腻，炒至黑色，加入香薷和扁豆两味药，全部粗捣过筛。每次服用五钱匕，水一盏，酒一盏，共同煎煮至一盏，装入瓷瓶内用蜡纸封口，沉入井底，待其极冷后，一并服下两服，即使是垂死之人也可救活。
治疗霍乱转筋方
糯米（二两，磨成粉） 干姜（炮裂，磨成粉） 甘草（生用，磨成粉） 人参（磨成粉，各二钱）
以上四味药，拌匀，用冷水调下三钱匕，不拘时候。
Discourse states: Cholera with muscle cramps (Huoluan Zhuanjin) arises from wind-cold pathogens injuring the Sanjiao (Triple Burner), transmitting to the Spleen and Stomach. Upon receiving cold, Yang Qi fails to circulate freely, causing the meridians and collaterals of the limbs to fail in relaxing and extending. This is fundamentally due to deficiency in the Middle and Lower Jiao. The manifestations include dizziness, chest oppression, restlessness, spasms and knotting of the calf tendons, tightness and pain in the muscles, and upward retraction of the limbs. This is attributed to the deficiency of the Foot-Yangming Meridian and the coldness of the Foot-Taiyang Meridian. However, the branch of the Foot-Yangming Stomach Meridian originates from the lower opening of the Stomach, runs along the interior of the abdomen to converge at the Qichong (ST30) point, then descends through the Bituan (ST31) point, reaches the Futu (ST32) point, and enters below the patella. It then descends along the lateral margin of the thigh. The Foot-Taiyang Bladder Meridian runs along the posterior lateral margin of the thigh, converges below in the popliteal fossa, and penetrates downwards into the medial aspect of the buttock. When these meridians are disturbed, pathology manifests as inability to rotate the thigh, a sensation in the popliteal fossa like being bound by a knot, or like being torn apart. Treatment should regulate the Stomach Fu organ and warm the Bladder Meridian. In this way, urine flow will be promoted, cold will descend and dissipate, the Stomach Fu will become warm, cholera can be cured, and the disease of muscle cramps will have no basis to arise.
For treating cholera with muscle cramps. Hu Jiao Tang (Pepper Decoction) Formula
Hu Jiao (Pepper) Wu Zhu Yu (Evodia Fruit, washed with decoction and stir-fried) Rou Dou Kou (Nutmeg, shelled, each half liang) Ren Shen (Ginseng Root) Gui Zhi (Cinnamon Twig, coarse bark removed) Gan Jiang (Dried Ginger, processed, each one and a half liang)
The above six herbs. Coarsely crush and sieve. Each dose consists of five qian bi, boiled with one and a half zhan of water until reduced to eight fen. Strain and take warm.
For treating cholera with muscle cramps. Shu Jiao Tang (Sichuan Pepper Decoction) Formula
Shu Jiao (Sichuan Pepper, remove eyes and closed ones, stir-fry until oil appears, one fen) Wu Mei (Mume Fruit, seven pieces, remove pits and roast)
The above two herbs. Cut into small pieces. Boil with two zhan of water until reduced to one zhan. Add one spoonful of honey, boil twice more. Take on an empty stomach in one dose. Elderly persons may also take it.
For treating cholera with muscle cramps. Rou Dou Kou Tang (Nutmeg Decoction) Formula
Rou Dou Kou (Nutmeg, shelled, half liang) Ren Shen (Ginseng Root, two liang) Gui Zhi (Cinnamon Twig, coarse bark removed) Wu Zhu Yu (Evodia Fruit, washed with decoction and stir-fried, each one and a half liang)
The above four herbs. Coarsely crush and sieve. Each dose consists of three qian bi. Add three slices of Sheng Jiang (Fresh Ginger), one zhan of water. Boil until reduced to six fen. Strain and take warm.
For treating cholera with muscle cramps. Du Zhong Tang (Eucommia Bark Decoction) Formula
Du Zhong (Eucommia Bark, remove bark, cut into pieces and stir-fried, one liang and one fen) Gui Zhi (Cinnamon Twig, coarse bark removed, one liang) Gan Cao (Licorice Root, honey-fried and cut into pieces, one fen)
The above three herbs. Coarsely crush and sieve. Each dose consists of three qian bi. Add three slices of Sheng Jiang (Fresh Ginger), one zhan of water. Boil until reduced to six fen. Strain and take warm.
For treating cholera with muscle cramps, chest oppression and suffocation resembling death. Ji Bai Tang (Chicken White Decoction) Formula
Ji Bai (Chicken Droppings White, one he, roasted) Hu Jiao (Pepper, twenty grains) Gao Liang Jiang (Galangal Rhizome) Gui Zhi (Cinnamon Twig, coarse bark removed) Bai Zhu (Atractylodes Macrocephala Rhizome, each one liang and one fen) Mu Gua (Chaenomeles Fruit, two liang) Sheng Jiang (Fresh Ginger, sliced and baked, six fen)
The above seven herbs. Cut into sizes similar to hemp seeds. Each dose consists of five qian bi. Add one and a half zhan of water. Boil until eight fen remains. Strain and take warm at any time.
For treating cholera with muscle cramps, continuous vomiting and diarrhea. Mu Gua Tang (Chaenomeles Decoction) Formula
Mu Gua (Chaenomeles Fruit, sliced, one liang) Qing Tong Qian (Bronze Coin, forty-nine wen) Wu Mei (Mume Fruit, five pieces, crushed and stir-fried)
The above three herbs. Boil with two zhan of water until reduced to one zhan. Strain and divide into three doses. Sip slowly.
For treating cholera with muscle cramps, faint and thin pulse, wind-cold lodging in the Stomach, continuous vomiting and diarrhea. Hou Po Tang (Magnolia Bark Decoction) Formula
Hou Po (Magnolia Bark, remove coarse bark, brush with Sheng Jiang juice and roast five times) Gan Mu Gua (Dried Chaenomeles Fruit, each one liang) Gao Liang Jiang (Galangal Rhizome) Xiang Ru (Mosla Herb) Chen Pi (Aged Tangerine Peel, soaked in water, white pith removed and baked) Zi Su Zi (Perilla Seed, each half liang)
The above six herbs. Coarsely crush and sieve. Each dose consists of five qian bi. Add three slices of Sheng Jiang (Fresh Ginger), a little salt, one and a half zhan of water. Boil until eight fen remains. Strain and take warm.
For treating cholera vomiting and diarrhea, muscle cramps and vexation. Bi Cheng Qie San (Long Pepper Powder) Formula
Bi Cheng Qie (Long Pepper Fruit, stir-fried) Mu Xiang (Costus Root) Chen Pi (Aged Tangerine Peel, soaked in water, white pith removed and baked) Ren Shen (Ginseng Root, each half liang) Chang Pu (Acorus Rhizome, sliced, soaked in rice wash water for one day and stir-fried, one liang) Gan Cao (Licorice Root, honey-fried and cut into pieces, one fen)
The above six herbs. Pound and sieve into powder. Mix with cold Mi Yin (Rice Drink) and take three qian bi. Take another dose after walking about three li.
For treating continuous cholera with muscle cramps. Tao Ren Jian (Peach Kernel Decoction) Formula
Tao Ren (Peach Kernel, one hundred pieces, soak, remove skin and tips, discard double-kernel ones, grind into paste)
The above single herb. Use five sheng of Cow Milk. Dissolve the kernel paste like slurry. Place in a copper vessel. Simmer over double-boiler. Store in a porcelain vessel. Each dose: take two spoons mixed with warm wine on an empty stomach.
For treating cholera with muscle cramps entering the abdomen, suffering resembling death. Sheng Jiang Jiu (Fresh Ginger Wine) Formula
Sheng Jiang (Fresh Ginger, five liang, sliced)
The above single herb. Use one sheng of non-ashy wine. Boil until eight ge remains. Take in one dose; the illness will heal immediately.
For treating cholera with muscle cramps entering the abdomen, or abdominal twisting sensation. Ji Bai Tang (Chicken White Decoction) Formula
Ji Bai (Chicken Droppings White, stir-fried, one liang)
The above single herb. Make into coarse powder. Each dose: two qian bi. Add seven ge of water. Boil for three boils. Strain and take in one dose. Do not let the patient know.
For treating cholera with muscle cramps, washing feet. Fu Zi Tang (Aconite Decoction) Formula
Fu Zi (Prepared Aconite Lateral Root, remove skin and cut into pieces, one piece) Cong Bai (Scallion White, half jin, crushed) Sheng Jiao (Raw Sichuan Pepper, wrapped in cotton) Sheng Jiang (Fresh Ginger, chopped, each one liang)
The above four herbs. Boil with one dou of water for three boils. Pour into a porcelain basin. Filter out residues. Mix with brine solution. Adjust temperature to be suitable. Wash the affected area; cure will be immediate.
For treating cholera with muscle cramps entering the abdomen. Yan Tuo (Salt Compress) Formula
Yan (Salt, three he)
The above single herb. Boil with five sheng of water until three sheng remain. Soak a blue cloth in the liquid and apply as a compress to the cramped area.
For treating cholera with muscle cramps. Ku Jiu Xu Guo Zu (Vinegar-soaked Cotton Wrapping Feet) Formula
Ku Jiu (Vinegar, one jin and a half)
Take clothing floss. Immerse in vinegar. Boil until warm. Wrap around the cramped area starting from the feet.
Method for treating muscle cramps entering the abdomen and wrapping feet.
Mu Gua (Chaenomeles Fruit, two pieces, cut open)
Boil with five sheng of water until three sheng remain. Soak an old blue cloth in the decoction and wrap around the cramped area. If Mu Gua is unavailable, boiling Sang Zhi (Mulberry Twig), two liang, is also acceptable.
Formula for treating cholera with muscle cramps.
Mu Gua Zhi (Chaenomeles Juice, one zhan) Mu Xiang Mo (Costus Root Powder, one qian bi)
The above two ingredients. Mix with hot wine and take. Time is not restricted.
Formula for treating cholera with muscle cramps when other medicines fail.
Hu Jiao Mo (Pepper Powder, one fen) Mu Gua Zhi (Chaenomeles Juice, one sheng) Sha (Cardamom, ground extremely fine, one qian bi)
The above three ingredients. Soak Hu Jiao Mo and Sha in Mu Gua Zhi. Stir evenly. Simmer over low heat until thick. Form pills the size of Sophora seeds. Each dose: ten pills. Take with Xiang Ru Tang (Mosla Decoction).
For treating Stomach Qi deficiency, cholera vomiting and diarrhea, muscle cramps and abdominal pain. Shen Sheng Xiang Ru Yin (Divine Mosla Infusion) Formula
Xiang Rui Sui (Mosla Spike, frost-exposed, one liang and a half) Hou Po (Magnolia Bark, remove coarse bark) Huang Lian (Coptis Rhizome, remove roots, each two liang) Bian Dou (Lablab Bean, one liang, baked)
The above four herbs. First, use four liang of Sheng Jiang juice. Pound Huang Lian and Hou Po together until fine. Stir-fry until black. Add Xiang Rui and Bian Dou. Coarsely crush and sieve. Each dose: five qian bi. Add one zhan of water and one zhan of wine. Boil together until one zhan remains. Seal in a porcelain bottle with wax paper. Submerge in a well bottom until extremely cold. Take both doses together. Even dying patients can be saved.
Formula for treating cholera with muscle cramps.
Nuo Mi (Glutinous Rice, two liang, ground to powder) Gan Jiang (Dried Ginger, cracked and ground to powder) Gan Cao (Licorice Root, raw and ground to powder) Ren Shen (Ginseng Root, ground to powder, each two qian)
The above four herbs. Mix evenly. Take three qian bi mixed with cold water. Time is not restricted.