(附论)
夫中恶霍乱者。邪内干正气为暴。使胃中食物不化。气道痞结。不得宣通。令人心腹卒
痛。
方
十香丸(出圣济总录)治霍乱中恶。不识人。心痛腹胀。不思饮食。
丁香 苏合香 白檀香 沉香 木香 莎草根(炮去毛) 白术(锉炒) 高良姜 安
息香(研)
犀角(镑屑) 浓朴
炼蜜丸。如梧桐子大。
日四五服。以瘥为度
桃枝汤(出圣济总录)治中恶霍乱。心痛。胸胁 痛。喘恶。
向东枝白皮(一握) 丹砂(碎一两) 栀子仁(十四枚) 当归(焙) 桂(去粗皮
各三两) 附子
以水二盏。生姜三片
木香散(出圣济总录)治中恶霍乱。心腹痛。烦闷。
木香(炮三分) 槟榔(锉一两) 青橘皮(汤浸去白瓤) 桂(去粗皮) 桃仁(去
尖皮双仁炒研)
白术汤(出圣济总录)治中恶霍乱吐痢。手足麻痹。或转筋。
白术(锉) 木瓜(去瓤切焙) 人参(各一两) 甘草(炙) 干姜(炮各半两) 上
捣筛。每
服三
橘皮汤(出圣济总录)治中恶霍乱。吐痢心烦。
陈橘皮(汤浸去白瓤) 木瓜(切焙) 桂(去粗皮) 草豆蔻(去皮) 甘草(炙各
一两) 上
捣筛
丹砂丸(出圣济总录)治中恶霍乱垂死。
丹砂(研半分) 附子(炮制去皮脐一分为末) 雄黄(二豆许研) 上以巴豆七粒。
去心
皮。别
止。加
麝香丸(出圣济总录)治中恶霍乱。心腹刺痛。去恶气。
麝香(研一分) 犀角(屑镑) 木香(各半两) 上为细散。空心热水调一钱。日三。
麝醋方(出圣济总录)治中恶霍乱。
用麝香一钱。细研。和醋半盏调。二服即瘥。
又方
用沉香。主心腹痛。霍乱中恶。邪鬼。亡精失神。并宜酒煮取之。
主霍乱中恶。心腹痛。鬼气注忤。飞尸。喉痹。蛊毒。痈疽恶肿。赤白游疹。(出
海上方本
用海桐根以酒及水磨服。敷之亦佳。
治霍乱中恶。
用海桐皮煮汁服之。
(附论)
所谓中恶霍乱,是指邪气突然侵犯正气,导致胃中的食物无法消化,气机阻滞结聚,不能宣通,从而引起心腹部突然疼痛。
方剂
十香丸(出自《圣济总录》),治疗霍乱和中恶。症状表现为神志昏迷、心痛腹胀、不思饮食。
药材:丁香、苏合香、白檀香、沉香、木香、莎草根(炮制去毛)、白术(锉碎炒制)、高良姜、安息香(研细)、犀角(镑成屑)、浓朴。
制作与服用:用炼蜜制成梧桐子大小的药丸。每日服用四五次,以病愈为度。
桃枝汤(出自《圣济总录》),治疗中恶霍乱。症状表现为心痛、胸胁痛、气喘恶心。
药材:向东生长的桃树枝白皮(一握)、丹砂(碎,一两)、栀子仁(十四枚)、当归(焙干)、桂(去掉粗皮,各三两)、附子。
煎服法:用水二盏,生姜三片,煎煮服用。
木香散(出自《圣济总录》),治疗中恶霍乱。症状表现为心腹痛、烦闷。
药材:木香(炮制,三分)、槟榔(锉碎,一两)、青橘皮(热水浸泡去掉白色瓤)、桂(去掉粗皮)、桃仁(去掉尖皮和双仁,炒后研碎)。
白术汤(出自《圣济总录》),治疗中恶霍乱引起的呕吐腹泻。症状表现为手足麻木麻痹,或发生转筋(肌肉痉挛)。
药材:白术(锉碎)、木瓜(去掉瓤切块焙干)、人参(各一两)、甘草(炙)、干姜(炮制,各半两)。
制作与服用:将上述药材捣碎过筛。每次服用三钱(原文此处似有缺字,依常理推测为“三钱”或类似剂量单位,但严格按原文仅译出“每服三”)。
橘皮汤(出自《圣济总录》),治疗中恶霍乱。症状表现为呕吐腹泻、心烦。
药材:陈橘皮(热水浸泡去掉白色瓤)、木瓜(切块焙干)、桂(去掉粗皮)、草豆蔻(去皮)、甘草(炙,各一两)。
制作与服用:将上述药材捣碎过筛。
丹砂丸(出自《圣济总录》),治疗中恶霍乱濒临死亡者。
药材:丹砂(研细,半分)、附子(炮制去皮脐,研为末,一分)、雄黄(如两粒豆子大小,研细)。
制作与服用:取巴豆七粒,去掉心皮,单独处理(原文此处语句不全,依文意译为去除巴豆的心和皮)。
麝香丸(出自《圣济总录》),治疗中恶霍乱。症状表现为心腹刺痛,用于祛除恶气。
药材:麝香(研细,一分)、犀角(镑成屑)、木香(各半两)。
制作与服用:将上述药材制成细散。空腹时用热水调服一钱,每日三次。
麝醋方(出自《圣济总录》),治疗中恶霍乱。
用法:取麝香一钱,细细研磨,与半盏醋调和。服用两次即可痊愈。
又一方
使用沉香,主治心腹痛、霍乱中恶、邪鬼作祟、亡精失神等症,均宜用酒煮取汁服用。
主霍乱中恶。症状包括心腹痛、鬼气注忤、飞尸、喉痹、蛊毒、痈疽恶肿、赤白游疹。(出自《海上方》原本)
用法:使用海桐根,用酒和水磨碎后服用,外敷效果也很好。
(Attached Discussion)
Zhong'e Huoluan (Sudden Collapse due to Evil Qi and Cholera-like Disorder) refers to a condition where pathogenic evil qi suddenly invades the healthy qi, causing food in the stomach to fail to digest. This leads to obstruction and stagnation of the qi mechanism, preventing its free circulation, resulting in sudden pain in the heart and abdomen.
Formulas
Shixiang Wan (Ten Fragrance Pill) (from *Shengji Zonglu*): Treats Huoluan and Zhong'e. Symptoms include unconsciousness, heart pain, abdominal distension, and loss of appetite.
Ingredients: Dingxiang (Clove), Suhe Xiang (Styrax), Baitan Xiang (White Sandalwood), Chenxiang (Agarwood), Muxiang (Costus Root), Shacaogen (Rhizoma Cyperi, processed and de-haired), Baizhu (Atractylodis Rhizoma, sliced and stir-fried), Gaoliangjiang (Galangal Root), Anshixiang (Ambra, ground), Xijiao (Rhinocerotis Cornu, shaved into flakes), Houpo (Magnoliae Officinalis Cortex).
Preparation and Administration: Made into pills the size of Sophora seeds using refined honey. Take four or five times daily, until recovery.
Taozhi Tang (Peach Twig Decoction) (from *Shengji Zonglu*): Treats Zhong'e Huoluan. Symptoms include heart pain, chest and hypochondriac pain, asthma, and nausea.
Ingredients: Taozhi Baipi (White bark of peach twigs growing towards the east, one handful), Dansha (Cinnabar, crushed, 1 liang), Zhizi Ren (Gardeniae Fructus Core, 14 pieces), Danggui (Angelicae Sinensis Radix, baked), Gui (Cinnamomi Ramulus, bark removed, each 3 liang), Fuzi (Aconiti Lateralis Radix Praeparata).
Decoction Method: Use two cups of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct and take.
Muxiang San (Costus Powder) (from *Shengji Zonglu*): Treats Zhong'e Huoluan. Symptoms include heart and abdominal pain, restlessness.
Ingredients: Muxiang (Costus Root, processed, 3 fen), Binglang (Arecae Semen, sliced, 1 liang), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in hot water and white pith removed), Gui (Cinnamomi Ramulus, bark removed), Taoren (Persicae Semen, tip and skin removed, double kernels avoided, stir-fried and ground).
Baizhu Tang (Atractylodis Macrocephalae Decoction) (from *Shengji Zonglu*): Treats Zhong'e Huoluan with vomiting and diarrhea. Symptoms include numbness and paralysis of the hands and feet, or muscle spasms (Zhuanjin).
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, sliced), Mugua (Chaenomelis Fructus, pith removed, sliced and baked), Renshen (Ginseng Radix et Rhizoma, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ganjiang (Zingiberis Rhizoma, processed, each 0.5 liang).
Preparation and Administration: Pound and sieve the ingredients. Take 3 qian per dose (Note: Original text appears truncated here).
Jupi Tang (Tangerine Peel Decoction) (from *Shengji Zonglu*): Treats Zhong'e Huoluan. Symptoms include vomiting, diarrhea, and irritability.
Ingredients: Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water and white pith removed), Mugua (Chaenomelis Fructus, sliced and baked), Gui (Cinnamomi Ramulus, bark removed), Caodoukou (Alpiniae Katsumadai Semen, skin removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang).
Preparation and Administration: Pound and sieve the ingredients.
Dansha Wan (Cinnabar Pill) (from *Shengji Zonglu*): Treats critical cases of Zhong'e Huoluan near death.
Ingredients: Dansha (Cinnabar, ground, 0.5 fen), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed, ground into powder, 1 fen), Xionghuang (Realgar, amount of two beans, ground).
Preparation and Administration: Take seven grains of Badou (Crotonis Fructus), remove the heart and skin, process separately (Original text is incomplete here).
Shexiang Wan (Musk Pill) (from *Shengji Zonglu*): Treats Zhong'e Huoluan. Symptoms include stabbing pain in the heart and abdomen; used to expel evil qi.
Ingredients: Shexiang (Moschus, ground, 1 fen), Xijiao (Rhinocerotis Cornu, shaved into flakes), Muxiang (Costus Root, each 0.5 liang).
Preparation and Administration: Make into a fine powder. Take 1 qian mixed with warm water on an empty stomach, three times daily.
Shexi Fang (Musk and Vinegar Formula) (from *Shengji Zonglu*): Treats Zhong'e Huoluan.
Usage: Take 1 qian of Shexiang (Moschus), grind finely, and mix with half a cup of Cu (Vinegar). Two doses will lead to recovery.
Another Formula
Use Chenxiang (Agarwood). It primarily treats heart and abdominal pain, Huoluan Zhong'e, evil spirits, loss of essence, and loss of spirit. All these conditions are suitable for decoction with wine.
Indications for Huoluan Zhong'e: Heart and abdominal pain, Guiqi Zhuwu (Ghost Qi Invasion), Feishi (Flying Corpse), Houbi (Sore Throat), Gudú (Gu Poison), Yongju Ezhong (Malignant Abscesses and Swellings), Chi Bai Youzhen (Red and White Wandering Rash). (From the original *Haishang Fang*)
Usage: Use Haitonggen (Pavloviae Radix), grind with wine and water, and take orally. External application is also effective.
Treatment for Huoluan Zhong'e.
Usage: Use Haitongpi (Pavloviae Cortex), decoct in water, and take the juice.