三白散 治一切泄泻如神。
白术（去芦炒一钱半） 白芍（炒一钱五分） 白茯苓（去皮一钱） 泽泻（一钱） 浓朴（姜
炒） 黄连（炒各一钱） 干姜（炒五分） 乌梅肉（煎用三钱丸用二钱）
如兼伤食。加神曲炒、麦芽炒各一钱。
上锉。生姜三片。水煎。食前服。为末。神曲为丸服。尤效。
脉大者生。脉微弱而迟者死。脉代者。霍乱。气少不语。舌卷囊缩者。皆不治。
夫霍乱者。挥霍变乱也。其症心腹卒痛。呕吐下利。发热憎寒。头痛眩晕。或泻而不吐
或
吐而不泻。先心痛则先吐。先腹痛则先泻。心腹俱痛。则吐泻俱作。甚则转筋颓顿。手足厥
冷。死生反掌间耳。治宜藿香正气散。加生姜为上。不惟可以温散风邪。抑亦可以调理吐泻
盖有吐有泻。名湿霍乱。死者少也。若上不得吐下不得泻。名干霍乱。而死者多也。治之
急须以盐汤灌之。令其大吐。庶有可生者。切莫与谷食。虽米饮一呷。入口即死。必待吐泻
过二三时。直至饥甚。方可与稀粥。慢慢调理可也。转筋不住。男子以手挽其阴。女子以手
牵其乳。近肱两边。此千金妙法也。
一论四时不正之气。寒疫时气。山岚瘴气。雨湿蒸气或中寒腹痛吐泻。中暑冒风吐泻。
中湿身重
泄泻。或不服水土。脾胃不和。饮食停滞。复感外寒。头痛憎寒。或呕逆恶心。胸膈痞闷。
或发热无汗者并治。
藿香正气散
藿香（二钱） 紫苏 陈皮 浓朴（姜汁炒） 半夏（姜汁炒） 白术（炒去芦） 白茯苓（去
皮） 桔梗 大腹皮 白芷（各一钱） 甘草（五分）
上锉一剂。生姜、枣子煎服。霍乱转筋。加木瓜二钱。腹痛。加炒白芍二钱。寒痛。
加官桂八分。冷甚。加干姜八分。饮食不化。心下痞闷。加香附、砂仁一钱。米谷不
化。加神曲二钱。中暑冒风。加香薷一钱。扁豆二钱。时发憎寒壮热。加柴胡一钱。干
葛二钱。发热。加麦门冬二钱。淡竹叶三钱。口渴作泻。小便不利。合五苓散。湿热
相搏。霍乱转筋。烦渴闷乱。合黄连香薷散。心腹绞痛。加木香一钱。若频欲登圊不通
利者。加枳壳一钱。
一论霍乱之疾。未有不由内伤生冷。外感风寒而致也。余用藿香正气散治之。百发百中
一
岁之内。常治百人。未有不效者。但有热者。须加姜炒黄连六分。寒甚者。加干姜八分。万
无一失。又腹痛。加桂五分。痛甚。去藿香。加吴茱萸四分。小便不利。加茯苓三钱。如干霍
乱。加枳壳一钱。白茯苓三钱。官桂五分最佳。
一治虚弱之人。上吐下泻。霍乱。手足厥冷。腹痛。脉微者。乃阴症也。
理中汤
人参（二钱） 白术（一钱五分）
干姜（炒八分）
甘草（炙八分）
若为寒气湿气所感者。加附子一钱。名附子理中汤。若霍乱吐泻。加青皮二钱。陈皮一
钱。名治中汤。若干霍乱心腹作痛。先以盐汤频服。候吐出。即进此药。若呕吐者。于治
中汤内加丁香五分。半夏二钱。生姜二片。若泄泻。加橘皮、茯苓名补中汤。若溏泻不
已。于补中内加附子一钱。若不喜饮食。米谷不化。加
砂仁八分。附子八分。陈皮二钱。茯苓三钱。若霍乱吐泻。心腹作痛。手足厥冷。去白术
加附子八分。名四顺汤。若伤寒结胸。先以桔梗汤。再不愈。及诸吐利后。胸痞欲绝。
心膈高起。急紧痛手不可近。加枳实二钱。茯苓三钱。名枳实理中汤。若渴者。再于枳实
理中汤。加天花粉三钱。渴欲饮水。加白术一钱五分。若霍乱转筋。理中汤加火 石膏
三钱。若脐上筑者。肾气动也。去白术。加桂五分。肾恶燥。故去白术。恐欲作奔豚。故
加官桂。若悸多。加茯苓三钱。若腹满。去白术。加附子八分。若饮酒过多。或啖炙
爆热食。发为鼻衄。加川芎一钱五分。若伤胃吐血。以此药能理中脘。分利阴阳。安定血
脉。
一论转筋霍乱。上吐下泻。腹内疼痛。及干霍乱。俗名绞肠痧。真阴症。手足厥冷。宜
服
理中丸
人参（二钱） 干姜（炮八分） 白术（三钱） 甘草（炙八分）
上为末。炼蜜为丸。每重一钱。细嚼。淡姜汤下。忌食米汤。此即理中汤改为丸。取土
能塞水之义。若仍煎汤。则不效矣。一论干霍乱者。俗名绞肠痧。其症因宿食不消。心腹绞
痛。欲吐不吐。欲泻不泻。挥霍撩乱。所伤之物。不得泄出故也。死在须臾。急宜多灌盐汤
探吐之。令物出尽。却服理中汤。或理中丸亦可。更刺十指出血。并委中出血。
一霍乱身热口渴。此热暑中也。
加减薷苓汤
猪苓（二钱） 泽泻（二钱） 香薷（一钱） 干葛（二钱） 赤茯苓（三钱）
上锉一剂。生姜煎服。如热极。加石膏二钱。知母二钱。泄极。加升麻五分。滑石三钱
腹痛。加炒芍药二钱。桂三分。寒痛亦如此。
一霍乱吐泻。用生姜细切。以新汲水调益元散。炖热服之即止。
一论霍乱吐泻。因饮冷。或冒寒。或失饥。或大怒。或乘车舟。伤动胃气。令人上吐下
泻不止。头晕眼花。手足转筋。四肢厥冷。用药迟缓。须臾不救。
百沸汤
吴茱萸（五钱） 木瓜（五钱） 食盐（五钱）
上三味同炒焦。用沸汤煎之。随病患意。冷热服之。
一方。用枯白矾为末。每服一钱。百沸汤煎。点服。
一治伤食吐泻腹胀。
顺逆丹
白术（去芦土炒） 白茯苓（去皮） 陈皮 川浓朴（去皮姜炒） 泽泻（各一两） 猪苓（八
钱）
苍术（米泔浸炒两半） 神曲（炒七钱） 麦芽（炒七钱） 砂仁（三钱） 木香
（三钱） 甘草（五钱）
上为末。炼蜜为丸。如龙眼大。每服一丸。米汤研化下。
一治脾虚气陷。吐泻烦渴。用
参术散
人参 白术（炒用） 白茯苓（去皮） 山药 藿香 葛根 升麻
上为末。每服二钱。米汤调下。
一论霍乱已愈。烦热多渴。小便不利。宜
麦门冬汤
人参（二钱） 白术（一钱五分） 白茯苓（去皮三钱） 陈皮（二钱） 半夏（姜炒二钱） 麦
门冬（三钱去心） 甘草（八分） 小茴香（八分） 乌梅（二钱）
上锉。生姜五片。水煎服。
一论干霍乱。上不得吐。下不得利。出冷汗欲绝者。盐一大把。炒令黄。入童便一碗。
温和服之。少顷。吐下即愈。
一治霍乱吐泻。心腹作痛。炒盐两碗。纸包纱护。顿其胸前。并肚腹上截。以熨斗火熨
气透则苏。续又以炒盐熨其背。则十分无事。
一治霍乱转筋。用皂角末吹一小豆入鼻中。得吐即愈。
一霍乱转筋。用大蓼一握。煎汤荡洗。北人以麦糖代之。便腠理开泄。阳气散则愈。河
间云。热气燥灼于筋。则挛螈而痛也。
一转筋入腹欲死者。生姜一两捣烂。以酒五杯煎服。
一霍乱上吐下泻。（邓对峰传）用韭菜捣汁一盏。重汤煮熟。热服之。立止。
一霍乱吐泻腹痛。服药即吐。无法可施。用百沸汤半碗。井泉水半碗。合而服之即安。
名阴阳汤。极效。
一治霍乱吐泻。樟树皮一把煎汤。温服立止。
一霍乱不拘寒暑。吐泻不出。腹痛烦躁。谓之干霍乱。死在旦夕。急将病患腿腕黄纹上
蘸温水拍打。紫红脉见。以布针或瓷瓦刺破。出紫血即愈。
一治霍乱吐泻。霍香梗一味。水煎服。立效。一方。加陈皮尤妙。
三白散，治疗各种泄泻效果神奇。
白术（去除芦头，炒制一钱半） 白芍（炒制一钱五分） 白茯苓（去皮一钱） 泽泻（一钱） 厚朴（姜汁炒） 黄连（炒制各一钱） 干姜（炒制五分） 乌梅肉（煎汤用三钱，制成丸剂用二钱）
如果兼有伤食的情况，加入炒神曲、炒麦芽各一钱。
以上药材切碎，加生姜三片，水煎煮。饭前服用。也可以制成粉末，用神曲糊为丸服用，效果更好。
脉象大的可以生还。脉象微弱而迟缓的会死亡。出现代脉的，是霍乱病。气短不能说话的，舌头卷缩、阴囊收缩的，都是无法治疗的。
所谓霍乱，是指病情突然变化紊乱。其症状是心腹突然疼痛，呕吐腹泻，发热怕冷，头痛眩晕。或者只泻不吐，或者只吐不泻。先心痛则先呕吐，先腹痛则先腹泻。心腹都痛，则吐泻同时发作。严重时会出现转筋（小腿肌肉痉挛）、极度疲乏，手足冰冷，生死只在顷刻之间。治疗适宜用藿香正气散，加入生姜为上策。这不仅能温散风邪，也能调理吐泻。因为有吐有泻，称为湿霍乱，死亡的较少。如果上不得吐下不得泻，称为干霍乱，死亡的较多。治疗时必须紧急用盐汤灌服，使其大量呕吐，这样才有生存的希望。千万不要给谷物食物，即使是米汤喝一口，入口即死。必须等待吐泻停止两三个小时后，直到非常饥饿时，才可以给予稀粥，慢慢调理即可。转筋不止，男子用手握住其阴部，女子用手牵拉其乳房靠近腋下的部位，这是《千金方》中的妙法。
一种论述关于四季不正之气，如寒疫时气、山岚瘴气、雨湿蒸气等，或中寒导致腹痛吐泻，中暑冒风导致吐泻，中湿导致身体沉重泄泻，或者不服水土、脾胃不和、饮食停滞，又感受外寒，出现头痛怕冷，或呕逆恶心、胸膈痞闷，或发热无汗等情况，均适用此方治疗。
藿香正气散
藿香（二钱） 紫苏 陈皮 厚朴（姜汁炒） 半夏（姜汁炒） 白术（炒去芦） 白茯苓（去皮） 桔梗 大腹皮 白芷（各一钱） 甘草（五分）
以上药材切碎为一剂，加生姜、大枣煎服。霍乱转筋，加木瓜二钱。腹痛，加炒白芍二钱。寒痛，加官桂八分。寒冷严重，加干姜八分。饮食不化，心下痞闷，加香附、砂仁一钱。米谷不化，加神曲二钱。中暑冒风，加香薷一钱、扁豆二钱。时常发冷高热，加柴胡一钱、干葛二钱。发热，加麦门冬二钱、淡竹叶三钱。口渴作泻，小便不利，合用五苓散。湿热相搏，霍乱转筋，烦渴闷乱，合用黄连香薷散。心腹绞痛，加木香一钱。如果频繁想上厕所但排便不通利，加枳壳一钱。
一种论述霍乱之疾，没有不是由内伤生冷、外感风寒引起的。我用藿香正气散治疗，百发百中。一年内常治百人，没有无效的。但有热象的，须加姜炒黄连六分；寒象严重的，加干姜八分，万无一失。又有腹痛，加桂五分；痛甚，去掉藿香，加吴茱萸四分。小便不利，加茯苓三钱。如果是干霍乱，加枳壳一钱、白茯苓三钱、官桂五分最佳。
一种治疗虚弱之人，上吐下泻，霍乱，手足厥冷，腹痛，脉微弱的，属于阴症。
理中汤
人参（二钱） 白术（一钱五分）
干姜（炒八分）
甘草（炙八分）
如果是被寒气湿气所感，加附子一钱，名为附子理中汤。如果是霍乱吐泻，加青皮二钱、陈皮一钱，名为治中汤。如果是干霍乱心腹作痛，先用盐汤频服，待吐出后，再进此药。如果有呕吐，在治中汤内加丁香五分、半夏二钱、生姜二片。如果有泄泻，加橘皮、茯苓，名为补中汤。如果是溏泻不止，在补中汤内加附子一钱。如果不喜欢饮食，米谷不化，加砂仁八分、附子八分、陈皮二钱、茯苓三钱。如果是霍乱吐泻，心腹作痛，手足厥冷，去掉白术加附子八分，名为四顺汤。如果是伤寒结胸，先用桔梗汤，再不愈，以及诸种吐利后，胸痞欲绝，心膈高起，急紧痛且手不可触碰，加枳实二钱、茯苓三钱，名为枳实理中汤。如果有口渴，再在枳实理中汤中加天花粉三钱。想喝水，加白术一钱五分。如果是霍乱转筋，理中汤加火石膏三钱。如果脐上跳动，是肾气动，去掉白术，加桂五分。肾恶燥，所以去掉白术。恐怕要发作奔豚，所以加官桂。如果心悸多，加茯苓三钱。如果腹部胀满，去掉白术，加附子八分。如果饮酒过多，或吃烤炸热食，引发鼻出血，加川芎一钱五分。如果伤胃吐血，以此药能理中脘，分利阴阳，安定血脉。
一种论述转筋霍乱，上吐下泻，腹内疼痛，以及干霍乱，俗名绞肠痧，真阴症，手足厥冷，适宜服用理中丸。
理中丸
人参（二钱） 干姜（炮八分） 白术（三钱） 甘草（炙八分）
以上研为粉末，炼蜜为丸，每丸重一钱，细嚼，淡姜汤送下。忌食米汤。这就是将理中汤改为丸剂，取土能塞水的意思。如果仍煎汤，则无效了。
一种论述干霍乱，俗名绞肠痧。其症状是因为宿食不消，心腹绞痛，想吐吐不出，想拉拉不出，病情突然混乱，受伤的食物无法排出所致。死亡在顷刻之间，急需多灌盐汤探吐，使异物排尽，然后服用理中汤，或者理中丸也可以。还可以刺十指出血，并刺委中穴出血。
一种霍乱身热口渴，这是热暑中伤。
加减薷苓汤
猪苓（二钱） 泽泻（二钱） 香薷（一钱） 干葛（二钱） 赤茯苓（三钱）
以上切碎为一剂，加生姜煎服。如果热极，加石膏二钱、知母二钱。泄泻极严重，加升麻五分、滑石三钱。腹痛，加炒芍药二钱、桂三分。寒痛也如此处理。
一种论述霍乱吐泻，因饮冷，或冒寒，或失饥，或大怒，或乘车舟，伤动胃气，令人上吐下泻不止，头晕眼花，手足转筋，四肢厥冷。用药迟缓，片刻不救就会死亡。
百沸汤
吴茱萸（五钱） 木瓜（五钱） 食盐（五钱）
以上三味同炒焦，用沸水煎之。根据病患意愿，冷热服用。
一方，用枯白矾为末，每次服一钱，用百沸汤煎，点服。
一种治疗伤食吐泻腹胀。
顺逆丹
白术（去芦土炒） 白茯苓（去皮） 陈皮 川厚朴（去皮姜炒） 泽泻（各一两） 猪苓（八钱）
苍术（米泔浸炒一两半） 神曲（炒七钱） 麦芽（炒七钱） 砂仁（三钱） 木香（三钱） 甘草（五钱）
以上研为粉末，炼蜜为丸，如龙眼大小。每次服一丸，米汤研化送下。
一种治疗脾虚气陷，吐泻烦渴，用参术散。
参术散
人参 白术（炒用） 白茯苓（去皮） 山药 藿香 葛根 升麻
以上研为粉末，每次服二钱，米汤调下。
一种论述霍乱已愈，烦热多渴，小便不利，宜用麦门冬汤。
麦门冬汤
人参（二钱） 白术（一钱五分） 白茯苓（去皮三钱） 陈皮（二钱） 半夏（姜炒二钱） 麦门冬（三钱去心） 甘草（八分） 小茴香（八分） 乌梅（二钱）
以上切碎，加生姜五片，水煎服。
一种论述干霍乱，上不得吐，下不得利，出冷汗欲绝者，盐一大把，炒至黄色，入童便一碗，温和服用。不久，吐下即愈。
一种治疗霍乱吐泻，心腹作痛，炒盐两碗，用纸包纱护住，顿敷于胸前及肚腹上截，用熨斗火熨烫，热气透入则苏醒。随后又以炒盐熨烫背部，则十分无事。
一种霍乱转筋，用大蓼一把，煎汤荡洗。北方人用麦糖代替，便腠理开泄，阳气散发则痊愈。河间说：热气燥灼于筋，则挛急抽搐而痛。
一种霍乱上吐下泻。（邓对峰传）用韭菜捣汁一盏，隔水煮熟，热服之，立即停止。
一种霍乱吐泻腹痛，服药即吐，无法可施，用百沸汤半碗，井泉水半碗，合而服之即安，名为阴阳汤，极效。
一种霍乱不拘寒暑，吐泻不出，腹痛烦躁，谓之干霍乱，死在旦夕。急忙将病患腿腕黄纹上蘸温水拍打，见紫红脉现，以布针或瓷瓦刺破，出紫血即愈。
Sanbai San (Three Whites Powder) is effective for treating all types of diarrhea.
Bai Zhu (Atractylodis Rhizoma, remove rhizome, stir-fry, 1.5 qian) Bai Shao (Paeoniae Radix Alba, stir-fry, 1.5 qian) Bai Fu Ling (Poria, remove skin, 1 qian) Ze Xie (Alismatis Rhizoma, 1 qian) Hou Po (Magnoliae Officinalis Cortex, stir-fry with ginger juice) Huang Lian (Coptidis Rhizoma, stir-fry, 1 qian each) Gan Jiang (Zingiberis Rhizoma, stir-fry, 0.5 qian) Wu Mei Rou (Mume Fructus Flesh, decoction use 3 qian, pill use 2 qian).
If accompanied by food stagnation, add Shen Qu (Medicated Leaven, stir-fry) and Mai Ya (Hordei Fructus Germinatus, stir-fry), 1 qian each.
The above herbs are cut into pieces. Add three slices of fresh Ginger (Sheng Jiang), decoct in water, and take before meals. Alternatively, grind into powder and form pills with Shen Qu paste; this is even more effective.
A large pulse indicates survival. A weak and slow pulse indicates death. A choppy pulse indicates Huoluan (Cholera-like disease). Shortness of breath and inability to speak, curled tongue, and retracted scrotum are all untreatable.
Huoluan refers to sudden and chaotic changes in the body. Its symptoms include sudden pain in the heart and abdomen, vomiting and diarrhea, fever and aversion to cold, headache, and dizziness. It may present as diarrhea without vomiting, or vomiting without diarrhea. Heart pain precedes vomiting; abdominal pain precedes diarrhea. If both heart and abdomen hurt, vomiting and diarrhea occur simultaneously. In severe cases, it leads to muscle cramps (Zhuanjin), extreme prostration, and cold limbs; life and death depend on a moment. Treatment should prioritize Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) with added fresh Ginger. This not only warms and disperses wind-cold but also regulates vomiting and diarrhea. Vomiting with diarrhea is called Shi Huoluan (Damp Cholera), with fewer deaths. Vomiting and diarrhea that cannot be expelled is called Gan Huoluan (Dry Cholera), with more deaths. Urgent treatment requires administering salt water to induce profuse vomiting, offering a chance of survival. Do not give grain food; even a sip of rice drink can cause death upon entry. Wait until vomiting and diarrhea cease for two to three hours, until the patient is very hungry, then offer thin porridge and regulate slowly. For persistent muscle cramps, men should hold their genitals, and women should pull their breasts near the axilla; this is a wonderful method from Qianjin Fang.
One discussion concerns abnormal qi of the four seasons, such as cold epidemic qi, mountain miasma, rain-damp vapor, or cold invasion causing abdominal pain and diarrhea, summerheat-wind invasion causing vomiting and diarrhea, dampness invasion causing heavy body and diarrhea, or failure to adapt to local conditions, spleen-stomach disharmony, food stagnation, combined with external cold, leading to headache, aversion to cold, nausea, chest oppression, or fever without sweating. All these are treated with:
Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi)
Huo Xiang (Pogostemonis Herba, 2 qian) Zi Su (Perillae Folium) Chen Pi (Citri Reticulatae Pericarpium) Hou Po (Magnoliae Officinalis Cortex, stir-fry with ginger juice) Ban Xia (Pinelliae Tuber, stir-fry with ginger juice) Bai Zhu (Atractylodis Rhizoma, stir-fry, remove rhizome) Bai Fu Ling (Poria, remove skin) Jie Geng (Platycodonis Radix) Da Fu Pi (Arecae Pericarpium) Bai Zhi (Angelicae Dahuricae Radix, 1 qian each) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Cut one dose. Decoct with fresh Ginger and dates. For Huoluan with muscle cramps, add Mu Gua (Chaenomelis Fructus), 2 qian. For abdominal pain, add Chao Bai Shao (Stir-fried Paeoniae Radix Alba), 2 qian. For cold pain, add Guan Gui (Cinnamomi Cortex), 0.8 fen. For severe cold, add Gan Jiang (Zingiberis Rhizoma), 0.8 fen. For undigested food and epigastric fullness, add Xiang Fu (Cyperi Rhizoma) and Sha Ren (Amomi Fructus), 1 qian. For undigested grains, add Shen Qu (Medicated Leaven), 2 qian. For summerheat-wind invasion, add Xiang Ru (Moslae Herba), 1 qian, and Bian Dou (Vigna Semen), 2 qian. For intermittent chills and high fever, add Chai Hu (Bupleuri Radix), 1 qian, and Gan Ge (Puerariae Radix), 2 qian. For fever, add Mai Men Dong (Ophiopogonis Radix), 2 qian, and Dan Zhu Ye (Lophatheri Herba), 3 qian. For thirst with diarrhea and difficult urination, combine with Wuling San (Five-Ingredient Powder with Poria). For damp-heat conflict, Huoluan with muscle cramps, irritability, thirst, and confusion, combine with Huanglian Xiangru San (Coptis and Mosla Powder). For severe heart-abdominal colic, add Mu Xiang (Aucklandiae Radix), 1 qian. For frequent urge to defecate but difficulty passing stool, add Zhi Ke (Aurantii Fructus Immaturus), 1 qian.
One discussion states that Huoluan disease is always caused by internal injury from raw/cold foods and external contraction of wind-cold. I use Huoxiang Zhengqi San to treat it, with 100% success. Within a year, treating hundreds of people, none failed. If there is heat, add Huang Lian stir-fried with ginger, 0.6 fen. If cold is severe, add Gan Jiang, 0.8 fen, ensuring no mistakes. For abdominal pain, add Gui (Cinnamon Twig), 0.5 fen; for severe pain, remove Huo Xiang and add Wu Zhu Yu (Evodiae Fructus), 0.4 fen. For difficult urination, add Fu Ling (Poria), 3 qian. For Gan Huoluan (Dry Cholera), add Zhi Ke, 1 qian, Bai Fu Ling, 3 qian, and Guan Gui, 0.5 fen, which is best.
One treats weak individuals with upper vomiting and lower diarrhea, Huoluan, cold limbs, abdominal pain, and a faint pulse, indicating Yin syndrome.
Lizhong Tang (Regulate the Middle Decoction)
Ren Shen (Ginseng Radix, 2 qian) Bai Zhu (Atractylodis Rhizoma, 1.5 qian)
Gan Jiang (Zingiberis Rhizoma, stir-fry, 0.8 fen)
Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 0.8 fen).
If affected by cold and dampness, add Fu Zi (Aconiti Lateralis Radix Praeparata), 1 qian, named Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction). For Huoluan vomiting and diarrhea, add Qing Pi (Citri Reticulatae Pericarpium Viride), 2 qian, and Chen Pi, 1 qian, named Zhizhong Tang (Regulate the Middle Decoction). For Gan Huoluan with heart-abdominal pain, first administer salt water frequently until vomited, then give this medicine. If vomiting occurs, add Ding Xiang (Caryophylli Flos), 0.5 fen, Ban Xia, 2 qian, and Sheng Jiang, 2 slices, to Zhizhong Tang. If diarrhea occurs, add Ju Pi (Tangerine Peel) and Fu Ling, named Buzhong Tang (Tonify the Middle Decoction). If loose diarrhea persists, add Fu Zi, 1 qian, to Buzhong Tang. If appetite is poor and grains are undigested, add Sha Ren, 0.8 fen, Fu Zi, 0.8 fen, Chen Pi, 2 qian, and Fu Ling, 3 qian. For Huoluan vomiting/diarrhea, heart-abdominal pain, and cold limbs, remove Bai Zhu and add Fu Zi, 0.8 fen, named Sishun Tang (Four Smoothness Decoction). For Taiyang disease with Jie Xiong (Chest Binding), first use Jiegeng Tang (Platycodon Decoction); if ineffective, and after various vomiting/diarrhea, with chest oppression nearing collapse, elevated epigastrium, tight painful sensation intolerant to touch, add Zhi Shi (Aurantii Fructus Immaturus), 2 qian, and Fu Ling, 3 qian, named Zhishi Lizhong Tang (Immature Bitter Orange Regulate the Middle Decoction). If thirsty, add Tian Hua Fen (Trichosanthis Radix), 3 qian, to Zhishi Lizhong Tang. If desiring to drink water, add Bai Zhu, 1.5 qian. For Huoluan muscle cramps, add Huo Shi Gao (Gypsum Fibrosum), 3 qian, to Lizhong Tang. If pulsation above the navel indicates Kidney Qi movement, remove Bai Zhu and add Gui, 0.5 fen. The Kidney dislikes dryness, hence remove Bai Zhu. To prevent Ben Tun (Running Piglet), add Guan Gui. If palpitations are frequent, add Fu Ling, 3 qian. If abdominal fullness, remove Bai Zhu and add Fu Zi, 0.8 fen. If excessive alcohol intake or consumption of roasted/hot foods causes nosebleeds, add Chuan Xiong (Ligustici Chuanxiong Rhizoma), 1.5 qian. If stomach injury causes hematemesis, this medicine regulates the Middle Jiao, separates Yin and Yang, and stabilizes blood vessels.
One discussion covers Zhuanjin Huoluan (Cramping Cholera) with upper vomiting, lower diarrhea, abdominal pain, and Gan Huoluan, commonly known as Jiaochang Sha (Intestinal Colic Plague), a true Yin syndrome with cold limbs. It is suitable to take Lizhong Wan (Regulate the Middle Pill).
Lizhong Wan (Regulate the Middle Pill)
Ren Shen (Ginseng Radix, 2 qian) Gan Jiang (Zingiberis Rhizoma, processed, 0.8 fen) Bai Zhu (Atractylodis Rhizoma, 3 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 0.8 fen).
Grind into powder, make pills with refined honey, each weighing 1 qian. Chew thoroughly and swallow with light ginger soup. Avoid rice soup. This is Lizhong Tang converted to pills, utilizing the principle that Earth controls Water. If decocted as soup, it is ineffective.
One discussion on Gan Huoluan (Dry Cholera), commonly known as Jiaochang Sha. Symptoms arise from undigested food causing severe heart-abdominal colic, desire to vomit but unable, desire to defecate but unable, sudden chaos, and trapped pathogenic factors. Death occurs quickly. Urgently administer abundant salt water to induce vomiting, expelling the pathogen completely, then administer Lizhong Tang or Lizhong Wan. Additionally, prick the ten fingertips and Weizhong (BL40) acupoint to bleed.
One case of Huoluan with body heat and thirst indicates Summerheat invasion.
Jiajian Ruiling Tang (Modified Ruiling Decoction)
Zhu Ling (Polypori Umbilicatus, 2 qian) Ze Xie (Alismatis Rhizoma, 2 qian) Xiang Ru (Moslae Herba, 1 qian) Gan Ge (Puerariae Radix, 2 qian) Chi Fu Ling (Red Poria, 3 qian).
Cut one dose. Decoct with fresh Ginger. If heat is extreme, add Shi Gao (Gypsum Fibrosum), 2 qian, and Zhi Mu (Anemarrhenae Rhizoma), 2 qian. If diarrhea is extreme, add Sheng Ma (Cimicifugae Rhizoma), 0.5 fen, and Hua Shi (Talcum), 3 qian. For abdominal pain, add Chao Shao Yao (Stir-fried Paeoniae Radix), 2 qian, and Gui (Cinnamon Twig), 0.3 fen. Cold pain is treated similarly.
For Huoluan vomiting and diarrhea, finely cut fresh Ginger, mix with newly drawn water and Yiyuan San (Beneficial Origin Powder), warm and take to stop immediately.
One discussion on Huoluan vomiting and diarrhea caused by drinking cold liquids, exposure to cold, hunger, anger, or travel by carriage/boat, damaging Stomach Qi, leading to continuous vomiting and diarrhea, dizziness, blurred vision, muscle cramps in hands and feet, cold limbs. Delayed medication leads to death within moments.
Baifei Tang (Boiling Water Decoction)
Wu Zhu Yu (Evodiae Fructus, 5 qian) Mu Gua (Chaenomelis Fructus, 5 qian) Shi Yan (Halitum, 5 qian).
Stir-fry the three ingredients until scorched. Decoct with boiling water. Take hot or cold according to patient preference.
Another prescription: Use Ku Bai Fan (Alumen Exsiccatum) powder, 1 qian per dose, decoct with boiling water, and take.
One treats food-injury vomiting, diarrhea, and abdominal distension.
Shunni Dan (Smooth Reversal Pill)
Bai Zhu (Atractylodis Rhizoma, remove rhizome, stir-fry with soil) Bai Fu Ling (Poria, remove skin) Chen Pi (Citri Reticulatae Pericarpium) Chuan Hou Po (Magnoliae Officinalis Cortex, remove bark, stir-fry with ginger) Ze Xie (Alismatis Rhizoma, 1 liang each) Zhu Ling (Polypori Umbilicatus, 8 qian)
Cang Zhu (Atractylodis Rhizoma, soak in rice wash water, stir-fry, 1.5 liang) Shen Qu (Medicated Leaven, stir-fry, 7 qian) Mai Ya (Hordei Fructus Germinatus, stir-fry, 7 qian) Sha Ren (Amomi Fructus, 3 qian) Mu Xiang (Aucklandiae Radix, 3 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 qian).
Grind into powder, make pills with refined honey, size of longan. Take one pill per dose, dissolve in rice soup.
One treats Spleen deficiency with Qi sinking, vomiting, diarrhea, irritability, and thirst, using Shenzhu San (Ginseng and Atractylodes Powder).
Shenzhu San
Ren Shen (Ginseng Radix) Bai Zhu (Atractylodis Rhizoma, stir-fry) Bai Fu Ling (Poria, remove skin) Shan Yao (Dioscoreae Rhizoma) Huo Xiang (Pogostemonis Herba) Ge Gen (Puerariae Radix) Sheng Ma (Cimicifugae Rhizoma).
Grind into powder. Take 2 qian per dose, mixed with rice soup.
One discussion on post-Huoluan recovery with irritability, heat, thirst, and difficult urination, suitable for Maidong Tang (Ophiopogon Decoction).
Maidong Tang (Ophiopogon Decoction)
Ren Shen (Ginseng Radix, 2 qian) Bai Zhu (Atractylodis Rhizoma, 1.5 qian) Bai Fu Ling (Poria, remove skin, 3 qian) Chen Pi (Citri Reticulatae Pericarpium, 2 qian) Ban Xia (Pinelliae Tuber, ginger-fried, 2 qian) Mai Men Dong (Ophiopogonis Radix, remove heart, 3 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.8 fen) Xiao Hui Xiang (Foeniculi Fructus, 0.8 fen) Wu Mei (Mume Fructus, 2 qian).
Cut. Decoct with five slices of fresh Ginger in water.
One discussion on Gan Huoluan (Dry Cholera) with inability to vomit or defecate, cold sweat, nearing collapse. Take a handful of salt, stir-fry until yellow, add one bowl of child's urine, and take warm. Soon, vomiting and defecation will resolve.
One treats Huoluan vomiting/diarrhea with heart-abdominal pain. Stir-fry two bowls of salt, wrap in paper and gauze, place on the chest and upper abdomen. Iron with a heated iron tool until warmth penetrates, then revive. Subsequently, iron the back with salt for complete recovery.
One treats Huoluan muscle cramps. Blow a small amount of Zao Jiao Mo (Gleditsiae Sinensis Spina) powder into the nostril like a soybean; inducing vomiting cures it.
One Huoluan muscle cramp: Boil a handful of Da Liao (Polygoni Orientalis Herba) in water to wash. Northerners substitute with wheat sugar. This opens pores and dissipates Yang Qi, curing the condition. He Jian stated: Heat drying and burning the tendons causes spasms and pain.
One case of cramps entering the abdomen, nearing death: Mash one liang of fresh Ginger, decoct in five cups of wine, and take.
One Huoluan with upper vomiting and lower diarrhea (Transmitted by Deng Duifeng): Crush leeks to extract one cup of juice, cook thoroughly in double boiler, take hot to stop immediately.
One Huoluan vomiting/diarrhea with abdominal pain where medicine induces vomiting. Mix half a bowl of Baifei Tang (Boiling Water) with half a bowl of well spring water, take together to find relief. Named Yinyang Tang (Yin-Yang Decoction), extremely effective.
One treats Huoluan vomiting/diarrhea: Decoct a handful of Zhang Shu Pi (Cortex Camphorae) in water, take warm to stop immediately.
One Huoluan regardless of cold or heat, with inability to vomit or defecate, abdominal pain, and irritability, is called Gan Huoluan (Dry Cholera), fatal within days. Quickly dip warm water on the yellow veins of the patient's ankles and pat. When purple-red pulses appear, prick with cloth needle or broken porcelain tile to release purple blood, which cures it.
One treats Huoluan vomiting/diarrhea: Decoct Huo Xiang Geng (Pogostemonis Caulis) alone in water for immediate effect. Another prescription adds Chen Pi, which is excellent.