治吐利已断,汗出而厥,四肢拘急不解,脉微欲绝方。
大附子(一枚) 甘草(一两半) 干姜(三两,强者四两)
上三味 咀,以水三升,煮取一升二合,分二服,脉出即愈。若面色赤者,加葱白九茎。
腹中痛者,去葱加芍药二两。呕逆,加生姜三两。咽痛,去芍药加桔梗一两。利止脉不出者,
去桔梗加人参二两。皆与方相应,乃服之。(仲景用通脉四逆加猪胆汁汤。)
治霍乱转筋肉冷汗出呕 者方。
附子(一枚) 人参 干姜 甘草(各三两)
上四味 咀,以水六升,煮取二升,分三服。
治霍乱吐利,已服理中、四顺等汤,热不解者方。
竹叶(一撮) 小麦(一升) 生姜(十累) 甘草 人参 附子 芍药(各一两) 橘
皮桂
心当归(各二两) 白术(三两)
上十一味 咀,以水一斗半,先煮竹叶、小麦,取八升,去滓,下药,煮取三升,分
三服。
上气者加吴茱萸半升即瘥。理中、四顺等皆大热,若有热,宜此汤(《古今录验》无芍
药)。
治妇人霍乱,呕逆吐涎沫,医反下之,心下即痞,当先治其涎沫,可服小青龙汤。涎沫
止,次治其痞可与此方。
甘草(四两) 干姜 黄芩(各三两) 黄连(一两) 半夏(半斤) 大枣(十二枚)
上六味 咀,以水一斗,煮取六升,分六服。
治疗呕吐腹泻已经停止,但出现出汗且四肢厥冷,四肢拘挛紧急不能缓解,脉搏微弱几乎摸不到的方剂。
大附子(一枚) 甘草(一两半) 干姜(三两,体质强壮者用四两)
以上三味药,切碎,用水三升,煮取一升二合,分两次服用,脉搏恢复即痊愈。如果面色发红,加葱白九根。
腹中疼痛的,去掉葱白,加芍药二两。有呕吐逆气的,加生姜三两。咽喉疼痛的,去掉芍药,加桔梗一两。腹泻停止但脉搏仍不出来的,
去掉桔梗,加人参二两。都要根据病情与方剂相应,然后服用。(张仲景使用的是通脉四逆加猪胆汁汤。)
治疗霍乱导致肌肉抽筋、冷汗出、呕吐的方剂。
附子(一枚) 人参 干姜 甘草(各三两)
以上四味药,切碎,用水六升,煮取二升,分三次服用。
治疗霍乱呕吐腹泻,已经服用理中汤、四顺汤等方剂后,热象仍未解除的方剂。
竹叶(一撮) 小麦(一升) 生姜(十累) 甘草 人参 附子 芍药(各一两) 橘皮 桂心 当归(各二两) 白术(三两)
以上十一味药,切碎,用水一斗五升,先煮竹叶和小麦,取八升药液,去渣,加入其他药物,再煮取三升,分三次服用。
气上冲的,加吴茱萸半升即可痊愈。理中汤、四顺汤等都属大热之剂,如果有热象,适宜使用此汤(《古今录验》中没有芍药)。
治疗妇人霍乱,呕吐逆气、吐出涎沫,医生反而使用攻下法,导致心下部痞塞的,应当先治疗其涎沫,可服用小青龙汤。涎沫止住后,接着治疗其痞塞,可给予此方。
甘草(四两) 干姜 黄芩(各三两) 黄连(一两) 半夏(半斤) 大枣(十二枚)
以上六味药,切碎,用水一斗,煮取六升,分六次服用。
Formula for treating cases where vomiting and diarrhea have ceased, but sweating and cold extremities persist, with spasms and tightness of the four limbs unresolved, and the pulse faint to the point of being imperceptible.
Da Fuzi (Cinnamon Twig Decoction - *Note: Context implies Fuzi/Prepared Aconite Root*) (one piece), Gancao (Licorice Root) (1 liang 5 qian), Ganshengjiang (Dried Ginger) (3 liang, 4 liang for robust constitutions).
Crush the above three herbs, decoct in 3 sheng of water until 1 sheng 2 he remains. Divide into two doses. Recovery occurs when the pulse returns. If the facial complexion is red, add Jiubai (Nine stems of Scallion White).
For abdominal pain, remove Jiubai and add Shaoyao (Peony Root) 2 liang. For vomiting and rebellious qi, add Shengjiang (Fresh Ginger) 3 liang. For sore throat, remove Shaoyao and add Jiegeng (Platycodon Root) 1 liang. If diarrhea has stopped but the pulse does not emerge, remove Jiegeng and add Renshen (Ginseng Root) 2 liang. Adjust the formula according to the symptoms before administration. (Zhang Zhongjing used Tongmai Sini Jia Zhu Dan Tang [Pulse-Reviving Cold-Reversing Decoction with Pig Bile]).
Formula for treating Huoluan (Cholera-like disease) causing muscle cramps, cold sweats, and vomiting.
Fuzi (Prepared Aconite Root) (one piece), Renshen (Ginseng Root), Ganshengjiang (Dried Ginger), Gancao (Licorice Root) (each 3 liang).
Crush the above four herbs, decoct in 6 sheng of water until 2 sheng remains. Divide into three doses.
Formula for treating Huoluan (Cholera-like disease) with vomiting and diarrhea, where heat persists despite prior administration of Lizhong Tang [Regulate the Middle Decoction] and Sishun Tang [Four-Obedience Decoction].
Zhuye (Bamboo Leaf) (a handful), Xiaomai (Wheat Grain) (1 sheng), Shengjiang (Fresh Ginger) (10 lei), Gancao (Licorice Root), Renshen (Ginseng Root), Fuzi (Prepared Aconite Root), Shaoyao (Peony Root) (each 1 liang), Ju Pi (Tangerine Peel), Guixin (Cinnamon Heart), Danggui (Angelica Sinensis Root) (each 2 liang), Baizhu (Atractylodes Macrocephala Rhizome) (3 liang).
Crush the above eleven herbs. Decoct in 1.5 dou of water. First decoct Zhuye and Xiaomai until 8 sheng remains, strain, then add the remaining herbs and decoct until 3 sheng remains. Divide into three doses.
If there is rebellious qi ascending, add Wuzhuyu (Evodia Fruit) 0.5 sheng for cure. Lizhong Tang and Sishun Tang are all strongly heating; if heat signs are present, this formula is appropriate (Gu Jin Lu Yan [Ancient and Modern Recorded Experiences] omits Shaoyao).
Formula for treating women with Huoluan (Cholera-like disease), presenting with vomiting, rebellious qi, and expulsion of saliva/phlegm. If the physician erroneously applied purgation, resulting in epigastric fullness/stuffiness (Pi), first treat the saliva/phlegm by administering Xiao Qinglong Tang [Minor Blue Dragon Decoction]. Once the saliva/phlegm ceases, treat the epigastric stuffiness with this formula.
Gancao (Licorice Root) (4 liang), Ganshengjiang (Dried Ginger), Huangqin (Scutellaria Root) (each 3 liang), Huanglian (Coptis Rhizome) (1 liang), Banxia (Pinellia Tuber) (0.5 jin), Dazao (Jujube Fruit) (12 pieces).
Crush the above six herbs, decoct in 1 dou of water until 6 sheng remains. Divide into six doses.