广济疗霍乱吐痢,扁豆汤方。
扁豆叶(一升) 香薷叶(一升) 木瓜(一枚) 干姜(一两)
上四味,以水六升,煮取二升五合,绞去滓,分温三服,服别相去如人行六七里,并无
所忌。
又疗冷热不调,霍乱吐痢宿食不消,理中丸方。
人参(八分) 白术(八分) 甘草(八分炙) 干姜(六分) 高良姜(八分) 桂
心(六分)
上六味捣筛蜜丸,空腹以饮下梧子大三十丸,日二服,渐加至四十丸,老小以意减之。
忌生冷油腻生葱海藻菘菜桃李雀肉等物。
又疗霍乱,冷热不调,吐痢高良姜汤方。
高良姜(五两) 木瓜(一枚) 杜梨枝叶(三两)
上三味切,以水六升,煮取二升,绞去滓,空腹温三服,服别如人行六七里,无所忌。
(并出第四卷中)
短剧霍乱吐痢,心烦乱发汤主之方。
乱发(一握烧焦) 人参(一两) 吴茱萸(一升) 甘草(一两炙)
上四味切,以水三升,酒二升,煮取二升,绞去滓,温服五合。忌海藻菘菜。
又疗霍乱吐痢,已服理中及四顺汤不解者,以竹叶汤方。
竹叶(一虎口) 小麦(一升) 生姜(十两) 甘草(一两炙) 人参(一两) 附
子(一两炮
)肉桂(二两) 当归(二两) 芍药(一两) 白术(三两) 橘皮(二两)
上十一味,以水一斗半先煮小麦竹叶,取八升汁,去滓,纳诸药,煮取二升半,分三
服,吐痢后腹满,加浓朴二两炙,上气加吴茱萸半升瘥,理中四顺则大热,热毒霍乱,宜竹
叶汤。忌生葱海藻菘菜猪肉桃李雀肉等。(千金古今录验并同)
又霍乱吐痢而汗出,小便复利,或下利清谷,里外无热,脉微欲绝,或恶寒四肢拘急,
手足厥逆,四逆加猪胆汤主之方。
甘草(二两炙) 干姜(半两炮) 附子(一枚生) 猪胆汁(半合)
上四味切,以水二升,煮取一升四合,温分再服,无猪胆,以羊胆代之,强人可与大附
子一枚,干姜加至三两,若吐之后,吸吸少气者,及下而腹满者,加人参一两,诸药皆减为
一两,如证者,亦宜与理厥人参汤佳。忌海藻
又四顺汤,与前疗同,常用此方。
人参(三两) 干姜(三两) 甘草(三两) 附子(二两)
上四味切,以水六升,煮取二升,绞去滓,温分三服,转筋肉冷,汗出呕哕者良。忌海
藻菘菜猪肉。(千金同删繁范汪方云利甚者加龙骨二两妙)
又白丸,疗霍乱呕吐及暴痢良方。
半夏(三两洗) 附子(四两炮) 干姜(四两炮) 人参(三两) 桔梗(二两)
上五味作散,临病和之,若吐痢不止者,以苦酒和之,饮服二丸,如梧子,不瘥复服,
耐药者加之以意下者,用蜜和丸亦得。忌猪羊肉饧。(范汪同并出第四卷中)
崔氏理中丸,疗三焦不通,呕吐不食并霍乱吐逆下痢,及不得痢悉生之方。
人参(三两) 干姜(二两炮) 白术(三两) 甘草(三两炙)
上四味捣筛,蜜和丸如梧子,平旦取粥清服五丸,日再服,一方干姜三两。忌海藻菘菜
桃李雀肉等。(出第二卷中)
延年理中丸,疗霍乱吐痢,宿食不消方。
白术(二两) 干姜(二两炮) 人参(二两) 甘草(二两炙) 大麦 (二两炒黄)
上五味捣筛,蜜和为丸,以饮服十五丸如梧子大,日再服,稍加至二十丸。忌海藻菘菜
桃李雀肉等。(出第六卷中)
必效理中散,主霍乱及转筋,吐痢不止方。
青木香(六分) 桂心(八分炙) 浓朴(八分炙) 甘草(八分炙) 白术(八分) 干
姜(十
分炮) 附子(六分炮)
上七味捣筛为散,饮服两钱匕,如人行五六里,不定更服一钱匕,瘥止。忌海藻菘菜生
葱猪肉桃李雀肉等。
又方
若热霍乱则渴,心烦欲得冷水吃,则宜恣意饮冷水及土浆,取足定止。
《广济方》治疗霍乱吐泻,扁豆汤方。
扁豆叶(一升) 香薷叶(一升) 木瓜(一枚) 干姜(一两)
以上四味药,用水六升,煎煮至取汁二升五合,过滤去除药渣,分三次温服,每次服药间隔时间相当于人行走六七里的路程,服药期间没有饮食禁忌。
又治疗冷热不调引起的霍乱吐泻、宿食不消化,理中丸方。
人参(八分) 白术(八分) 甘草(八分,炙过) 干姜(六分) 高良姜(八分) 桂心(六分)
以上六味药捣碎过筛,用蜂蜜制成丸剂,空腹时以温水送服梧桐子大小的三十丸,每日服用两次,逐渐增加至四十丸,老人和儿童根据情况酌情减量。
忌食生冷、油腻、生葱、海藻、白菜、李子、桃子、雀肉等食物。
又治疗霍乱,因冷热不调导致的吐泻,高良姜汤方。
高良姜(五两) 木瓜(一枚) 杜梨枝叶(三两)
以上三味药切碎,用水六升,煎煮至取汁二升,过滤去除药渣,空腹分三次温服,每次服药间隔时间相当于人行走六七里的路程,没有饮食禁忌。
(以上方剂均出自第四卷)
《短剧方》治疗霍乱吐泻,心烦意乱,以乱发汤为主治方。
乱发(一把,烧成炭状) 人参(一两) 吴茱萸(一升) 甘草(一两,炙过)
以上四味药切碎,用水三升、酒二升,煎煮至取汁二升,过滤去除药渣,温服五合。忌食海藻、白菜。
又治疗霍乱吐泻,已经服用理中丸及四顺汤但无效者,使用竹叶汤方。
竹叶(一把) 小麦(一升) 生姜(十两) 甘草(一两,炙过) 人参(一两) 附子(一两,炮制) 肉桂(二两) 当归(二两) 芍药(一两) 白术(三两) 橘皮(二两)
以上十一味药,用水一斗半先煎煮小麦和竹叶,取汁八升,过滤去除药渣,加入其余药物,煎煮至取汁二升半,分三次服用。若在吐泻后出现腹部胀满,加炙厚朴二两;若出现气逆上冲症状,加吴茱萸半升,病即痊愈。若是理中丸或四顺汤证表现为大热,属于热毒霍乱,适宜使用竹叶汤。忌食生葱、海藻、白菜、猪肉、李子、桃子、雀肉等。(《千金方》与《古今录验》记载相同)
又治疗霍乱吐泻且出汗,小便反而通利,或者下利清谷(排出未消化的食物),体内体外均无热象,脉象微弱几乎摸不到,或者恶寒、四肢拘挛紧急,手足冰冷厥逆,以四逆加猪胆汁汤为主治方。
甘草(二两,炙过) 干姜(半两,炮制) 附子(一枚,生用) 猪胆汁(半合)
以上四味药切碎,用水二升,煎煮至取汁一升四合,分两次温服。若无猪胆,可用羊胆代替。体质强壮的人可给一枚大附子,干姜加至三两。如果在呕吐之后,感到气息微弱短促,以及腹泻后腹部胀满的,加人参一两,其他药物均减为一两。如果是上述证候,也适宜使用理厥人参汤为佳。忌食海藻。
又是四顺汤,与前文治疗的方剂相同,常用此方。
人参(三两) 干姜(三两) 甘草(三两) 附子(二两)
以上四味药切碎,用水六升,煎煮至取汁二升,过滤去除药渣,分三次温服。若转筋、肌肉冷、出汗、呕吐呃逆等症状好转,即为有效。忌食海藻、白菜、猪肉。(《千金方》记载相同,《删繁方》和《范汪方》说:下利严重的加龙骨二两,效果奇妙)
又是白丸,治疗霍乱呕吐及急性痢疾的良好方剂。
半夏(三两,洗过) 附子(四两,炮制) 干姜(四两,炮制) 人参(三两) 桔梗(二两)
以上五味药制成散剂,发病时调和服用。如果吐泻不止,用醋调和服用,每次服两丸,大小如梧桐子,若病未愈继续服用。对于耐药性强的患者,可根据情况增加剂量;对于病情较轻的患者,用蜂蜜和丸也可以。忌食猪羊肉、饴糖。(《范汪方》记载相同,均出自第四卷)
崔氏理中丸,治疗三焦不通畅,呕吐不能进食并伴有霍乱吐逆下痢,以及导致无法排便的所有病症的方剂。
人参(三两) 干姜(二两,炮制) 白术(三两) 甘草(三两,炙过)
以上四味药捣碎过筛,用蜂蜜和丸,大小如梧桐子。清晨用米汤送服五丸,每日服用两次。另一版本中干姜用量为三两。忌食海藻、白菜、李子、桃子、雀肉等。(出自第二卷)
延年理中丸,治疗霍乱吐泻、宿食不消化的方剂。
白术(二两) 干姜(二两,炮制) 人参(二两) 甘草(二两,炙过) 大麦(二两,炒黄)
以上五味药捣碎过筛,用蜂蜜和丸,以温水送服十五丸,大小如梧桐子,每日服用两次,逐渐增加至二十丸。忌食海藻、白菜、李子、桃子、雀肉等。(出自第六卷)
必效理中散,主治霍乱及转筋,吐泻不止的方剂。
青木香(六分) 桂心(八分,炙过) 厚朴(八分,炙过) 甘草(八分,炙过) 白术(八分) 干姜(十分,炮制) 附子(六分,炮制)
以上七味药捣碎过筛制成散剂,以水送服两钱匕,如果行走五六里后症状未定,再服一钱匕,病愈即止。忌食海藻、白菜、生葱、猪肉、李子、桃子、雀肉等。
*Guangji Fang* treats Huoluan (cholera-like syndrome with vomiting and diarrhea) with Bian Dou Tang (Lablab Bean Decoction).
Lablab Bean Leaf (1 sheng), Mosla Leaf (1 sheng), Chaenomeles Fruit (1 piece), Dried Ginger (1 liang).
The above four herbs are decocted in 6 sheng of water until reduced to 2.5 sheng. The dregs are strained out, and the liquid is divided into three warm doses. The interval between doses should be equivalent to the time it takes a person to walk six or seven li. There are no dietary restrictions during treatment.
Another prescription for Huoluan vomiting and diarrhea caused by imbalance of cold and heat, and indigestion of retained food, is Lizhong Wan (Regulate the Middle Pill).
Ginseng Root (8 fen), Atractylodes Rhizome (8 fen), Licorice Root (8 fen, honey-fried), Dried Ginger (6 fen), Galangal Rhizome (8 fen), Cinnamon Twig Heart (6 fen).
The above six herbs are crushed, sifted, and formed into pills with honey. Take thirty pills (size of wu zi) on an empty stomach with warm water, twice daily. Gradually increase the dose to forty pills. Elderly and children should reduce the dosage according to their condition.
Avoid raw, cold, greasy foods, raw green onions, kelp, Chinese cabbage, plums, peaches, and sparrow meat.
Another prescription for Huoluan due to cold-heat imbalance causing vomiting and diarrhea is Gaoliangjiang Tang (Galangal Decoction).
Galangal Rhizome (5 liang), Chaenomeles Fruit (1 piece), Branches and leaves of Pyrus betulina (3 liang).
The above three herbs are cut, decocted in 6 sheng of water until reduced to 2 sheng. Strain out the dregs. Take warm in three doses on an empty stomach, with intervals equivalent to walking six or seven li. No dietary restrictions.
(All prescriptions above are from Volume 4.)
*Duanju Fang* treats Huoluan vomiting and diarrhea accompanied by mental restlessness, using Luanfa Tang (Hair Charcoal Decoction) as the main formula.
Charred Human Hair (one handful), Ginseng Root (1 liang), Evodia Fruit (1 sheng), Licorice Root (1 liang, honey-fried).
The above four herbs are cut, decocted in 3 sheng of water and 2 sheng of wine until reduced to 2 sheng. Strain out the dregs. Take 5 he of the warm liquid. Avoid kelp and Chinese cabbage.
Another prescription for Huoluan vomiting and diarrhea, when previous treatments with Lizhong Wan and Sishun Tang have failed, is Zhuye Tang (Bamboo Leaf Decoction).
Bamboo Leaves (one handful), Wheat Grains (1 sheng), Fresh Ginger (10 liang), Licorice Root (1 liang, honey-fried), Ginseng Root (1 liang), Prepared Aconite Root (1 liang), Cinnamon Bark (2 liang), Angelica Sinensis Root (2 liang), White Peony Root (1 liang), Atractylodes Rhizome (3 liang), Tangerine Peel (2 liang).
The above eleven herbs: First decoct wheat and bamboo leaves in 1.5 dou of water until reduced to 8 sheng of juice. Strain out the dregs, then add the remaining herbs. Decoct until reduced to 2.5 sheng. Divide into three doses. If abdominal fullness occurs after vomiting and diarrhea, add 2 liang of processed Magnolia Bark. If there is rebellious qi rising upwards, add 0.5 sheng of Evodia Fruit; the disease will resolve. For cases presenting with intense heat (where Lizhong or Sishun formulas are inappropriate) due to heat-toxin Huoluan, Zhuye Tang is suitable. Avoid raw green onions, kelp, Chinese cabbage, pork, plums, peaches, and sparrow meat. (Recorded identically in *Qianjin Fang* and *Gujin Luyan*).
Another case involves Huoluan vomiting and diarrhea with sweating, frequent urination, or passage of undigested food in stool, absence of internal and external heat, faint pulse nearly imperceptible, aversion to cold, limb cramping and stiffness, and cold extremities. The primary treatment is Sini Jia Zhu Dan Tang (Inverted Cold Decoction plus Pig Bile).
Licorice Root (2 liang, honey-fried), Dried Ginger (0.5 liang, prepared), Raw Aconite Root (1 piece), Pig Bile (0.5 he).
The above four herbs are cut, decocted in 2 sheng of water until reduced to 1.4 sheng. Take warm in two doses. If pig bile is unavailable, sheep bile may be substituted. For robust individuals, use one large Aconite root and increase Dried Ginger to 3 liang. If shortness of breath follows vomiting, or abdominal fullness follows diarrhea, add 1 liang of Ginseng Root, reducing all other herbs to 1 liang each. In such cases, Lizhi Renshen Tang (Regulate Extremities Ginseng Decoction) is also appropriate. Avoid kelp.
This is also Sishun Tang, identical to the previously mentioned prescription, commonly used.
Ginseng Root (3 liang), Dried Ginger (3 liang), Licorice Root (3 liang), Aconite Root (2 liang).
The above four herbs are cut, decocted in 6 sheng of water until reduced to 2 sheng. Strain out the dregs. Take warm in three doses. It is effective for symptoms such as muscle cramps, cold muscles, sweating, vomiting, and hiccups. Avoid kelp, Chinese cabbage, and pork. (*Qianjin Fang* agrees; *Shanfan Fang* and *Fanwang Fang* state that for severe diarrhea, adding 2 liang of Dragon Bone is excellent).
Another prescription is Bai Wan (White Pills), an excellent formula for Huoluan vomiting and acute dysentery.
Pinellia Tuber (3 liang, washed), Prepared Aconite Root (4 liang), Dried Ginger (4 liang, prepared), Ginseng Root (3 liang), Platycodon Root (2 liang).
The above five herbs are made into a powder. Mix appropriately at the time of illness. If vomiting and diarrhea persist, mix with vinegar and take two pills (size of wu zi). If not cured, continue taking. For patients with drug resistance, increase the dose as needed; for milder cases, honey-pills are also acceptable. Avoid pork, mutton, and malt sugar. (*Fanwang Fang* agrees; both from Volume 4).
Cui Shi's Lizhong Wan treats obstruction of the Sanjiao (Triple Burner), vomiting, inability to eat, Huoluan with vomiting and diarrhea, and conditions leading to constipation.
Ginseng Root (3 liang), Dried Ginger (2 liang, prepared), Atractylodes Rhizome (3 liang), Licorice Root (3 liang, honey-fried).
The above four herbs are crushed, sifted, and formed into pills with honey, size of wu zi. Take five pills with rice gruel at dawn, twice daily. Another version uses 3 liang of Dried Ginger. Avoid kelp, Chinese cabbage, plums, peaches, and sparrow meat. (From Volume 2).
Yannian Lizhong Wan treats Huoluan vomiting and diarrhea, and indigestion of retained food.
Atractylodes Rhizome (2 liang), Dried Ginger (2 liang, prepared), Ginseng Root (2 liang), Licorice Root (2 liang, honey-fried), Barley Grain (2 liang, stir-fried until yellow).
The above five herbs are crushed, sifted, and formed into pills with honey. Take fifteen pills (size of wu zi) with water, twice daily. Gradually increase to twenty pills. Avoid kelp, Chinese cabbage, plums, peaches, and sparrow meat. (From Volume 6).
Bixiao Lizhong San treats Huoluan, muscle cramps (zhuan jin), and persistent vomiting and diarrhea.
Aucklandia Root (6 fen), Cinnamon Twig Heart (8 fen, honey-fried), Magnolia Bark (8 fen, honey-fried), Licorice Root (8 fen, honey-fried), Atractylodes Rhizome (8 fen), Dried Ginger (10 fen, prepared), Prepared Aconite Root (6 fen, prepared).
The above seven herbs are crushed, sifted, and made into a powder. Take two qian bi with water. If symptoms are not stabilized after walking five or six li, take another qian bi. Stop when cured. Avoid kelp, Chinese cabbage, raw green onions, pork, plums, peaches, and sparrow meat.
Another prescription:
If it is Heat Huoluan, characterized by thirst, mental irritability, and desire for cold water, one should drink cold water and earth slurry freely until satisfied, then stop.