（附论）
夫阴阳清浊相干。谓之气乱。气乱于肠胃之间。为霍乱也。但饮食过度。触冒风冷。使
阴阳不和。致清浊相干。肠胃虚者受之。故霍乱也。霍乱者。先心痛则先吐。先腹痛则先利。
心
风折血气。皮肤闭密。血气不得宣通。致令壮热。风邪乘其经脉。气上冲于头。则头痛。风
气入于肠胃。肠虚则泄利。胃逆则吐逆。故为吐利也。吐利甚则烦。脏腑虚故也。又手足逆
。冷阳气暴竭。谓之四逆也。妊娠而病之。吐利甚者。则伤胎也。
方
白术散 治妊娠霍乱。吐泻过多。伤冷。胎脏不安。
白术 白茯苓 草豆蔻 陈橘皮 浓朴（各一两） 芎 当归（各三分） 人参 干
姜（各半两） 上捣筛为散。每服四钱。水一盏。入枣三枚。煎至六分去滓。不计时候。稍
热服。
藿香散 治妊娠霍乱。吐利不止。腹痛转筋。闷绝。
藿香叶 白术 人参 赤茯苓 五味子 黄 （各半两） 当归 木瓜（各一两） 上
捣筛为散。每服四钱。水一盏。煎至六分去滓。不拘时。温服。
人参散 治妊娠霍乱吐泻。心烦腹痛。
人参 浓朴 橘红（各一两） 当归 干姜 甘草（各半两） 上为散。每服四钱。水
一盏。枣二个。煎至六分。无时温服。
白术散 治妊娠霍乱。腹痛。吐逆不止。
白术 益智仁 枳壳 橘红（各三分） 草豆蔻 良姜（各半两） 上为散。每服三钱。
水一盏半分。煎至六分去滓。无时温服。
芦根饮子 治妊娠霍乱吐泻。心烦。
芦根（一两） 人参（一两） 藿香（三分） 甘草（半两） 枇杷叶（十片） 上细
锉。和匀。每服一分。水一盏。薤白七寸。生姜半分。煎至六分去滓。不计时候。稍热服。
木瓜煎 治妊娠霍乱吐泻。转筋入腹。则闷绝。
吴茱萸 生姜（切各一分） 木瓜（切一两半） 上细锉。水二盏煎至一盏三分。去滓。
分三服。无时热服。一方有茴香一分。甘草一钱。茱萸半两。加紫苏煎。
香 粥 治妊娠霍乱吐泻。心烦多渴。
香 叶 生姜 人参（各半两） 上以水二大盏煎取一盏三分。去滓。研入白米一合。
煮稀粥食之。
丁香散 治妊娠霍乱吐泻。烦闷。
丁香 人参（各半两） 陈橘皮（三分汤浸） 上捣粗罗为散。以水二大盏。生姜半分。
枣五枚。煎至一盏二分。去滓。分温三服。
止渴饮 治妊娠霍乱吐泻。心闷乱。作渴不止。
用糯米一合。淘令净。细研。以水一大盏。研滤取汁。入蜜一合。生姜汁半合。相和。
渴即顿服。立止。
治妊娠霍乱吐泻。转筋不止方。
用盐三合。以水三大盏。煮取二盏。以青布浸拭转筋上。效。
又方
上用木瓜二枚。切。以水五大盏。煮取三盏。以青布浸拓于转筋上。即定。如无木瓜。
煎桂枝五两亦佳。
（附论）
阴阳二气清浊相互干扰，称为气乱。气在肠胃之间混乱，就形成霍乱。如果是饮食过度，或受风冷侵袭，导致阴阳不和，致使清浊之气相互干扰，肠胃虚弱的人受到这种影响，就会发生霍乱。霍乱的病症表现是：如果先感到心痛，就会先呕吐；如果先感到腹痛，就会先腹泻。
风邪折损血气，使皮肤毛孔闭塞，血气不能宣通，从而导致高热。风邪侵入经脉，气向上冲至头部，就会头痛。风气进入肠胃，肠虚则泄泻，胃气上逆则呕吐，所以出现吐利症状。吐利严重时会出现烦躁，这是因为脏腑虚弱所致。另外，手足逆冷，阳气突然衰竭，称为四逆。如果在妊娠期间患上此病，吐利严重的话，就会损伤胎元。
方剂
白术散：治疗妊娠霍乱。因吐泻过多、受寒导致胎脏不安。
药材：白术、白茯苓、草豆蔻、陈橘皮、浓朴（各一两）、川芎、当归（各三分）、人参、干姜（各半两）。
制法与用法：将上述药材捣碎过筛制成散剂。每次服用四钱，加水一盏，放入三枚大枣，煎煮至六分，去渣。不限时间，稍热时服用。
藿香散：治疗妊娠霍乱。吐利不止，腹痛转筋，甚至昏厥闷绝。
药材：藿香叶、白术、人参、赤茯苓、五味子、黄芪（原文“黄”后缺字，据语境及常用配伍补为“芪”，此处依原文仅列“黄”但按常识应为黄芪，为严谨起见保留原文字形或推测，通常古籍中单字“黄”指黄芪）、当归、木瓜（各一两）。
制法与用法：将上述药材捣碎过筛制成散剂。每次服用四钱，加水一盏，煎煮至六分，去渣。不限时间，温服。
人参散：治疗妊娠霍乱吐泻，心烦腹痛。
药材：人参、浓朴、橘红（各一两）、当归、干姜、甘草（各半两）。
制法与用法：将上述药材制成散剂。每次服用四钱，加水一盏，放入两个大枣，煎煮至六分。不限时间，温服。
白术散：治疗妊娠霍乱，腹痛，呕吐不止。
药材：白术、益智仁、枳壳、橘红（各三分）、草豆蔻、良姜（各半两）。
制法与用法：将上述药材制成散剂。每次服用三钱，加水一盏半，煎煮至六分，去渣。不限时间，温服。
芦根饮子：治疗妊娠霍乱吐泻，心烦。
药材：芦根（一两）、人参（一两）、藿香（三分）、甘草（半两）、枇杷叶（十片）。
制法与用法：将上述药材细切，混合均匀。每次服用一分，加水一盏，放入七寸长的薤白、半分生姜，煎煮至六分，去渣。不限时间，稍热时服用。
木瓜煎：治疗妊娠霍乱吐泻，转筋入腹，导致昏厥闷绝。
药材：吴茱萸、生姜（切，各一分）、木瓜（切，一两半）。
制法与用法：将上述药材细切，加水二盏，煎煮至一盏三分，去渣。分三次服用，不限时间，热服。另一版本加茴香一分、甘草一钱、茱萸半两，并加紫苏一起煎煮。
香薷粥：治疗妊娠霍乱吐泻，心烦多渴。
药材：香薷叶、生姜、人参（各半两）。
制法与用法：用水两大盏煎取一盏三分，去渣。加入白米一合，煮成稀粥食用。
丁香散：治疗妊娠霍乱吐泻，烦闷。
药材：丁香、人参（各半两）、陈橘皮（三分，用汤浸泡）。
制法与用法：将上述药材捣粗罗制成散剂。用水两大盏，放入半分生姜、五枚大枣，煎煮至一盏二分，去渣。分三次温服。
止渴饮：治疗妊娠霍乱吐泻，心闷乱，口渴不止。
用法：取糯米一合，淘洗干净，细细研磨。用水一大盏，研磨过滤取汁。加入蜜一合、生姜汁半合，混合均匀。口渴时一次性顿服，可立即止渴。
治疗妊娠霍乱吐泻，转筋不止的方子。
用法：取盐三合，用水三大盏，煮取二盏。用青布浸湿药液擦拭发生转筋的部位，有效。
又一方
用法：取上述木瓜二枚，切开，用水五大盏，煮取三盏。用青布浸透药液拓敷于发生转筋的部位，即可缓解。如果没有木瓜，煎煮桂枝五两也很好。
(Attached Discussion)
When Yin and Yang, clear and turbid qi interfere with each other, it is called Qi Disarray (Qi Luan). When Qi disarrays between the intestines and stomach, Huoluan (Cholera-like disease characterized by sudden vomiting and diarrhea) occurs. This happens due to overeating or exposure to wind and cold, which disrupts the harmony of Yin and Yang, causing clear and turbid energies to mix. If the intestines and stomach are deficient, they are affected, resulting in Huoluan. In Huoluan, if heart pain precedes, vomiting occurs first; if abdominal pain precedes, diarrhea occurs first.
Wind pathogen damages blood and Qi, closing the skin pores tightly, preventing the free circulation of blood and Qi, leading to high fever. Wind pathogen enters the meridians, and Qi rushes upward to the head, causing headache. Wind-Qi enters the intestines and stomach; intestinal deficiency leads to diarrhea, while Stomach Qi rebelling upward causes vomiting, thus resulting in vomiting and diarrhea. Severe vomiting and diarrhea cause irritability due to the deficiency of Zang-Fu organs. Additionally, cold extremities and sudden exhaustion of Yang Qi are referred to as SiNi (Four Coldness/Extremity Cold). If contracted during pregnancy, severe vomiting and diarrhea may damage the fetus.
Formulas
Baizhu San (Atractylodis Macrocephalae Powder): Treats pregnancy Huoluan. Indicated for excessive vomiting and diarrhea, cold injury, and fetal instability.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Caodoukou (Cardamomi Fructus), Chenjupi (Citri Reticulatae Pericarpium), Nongpo (Magnoliae Officinalis Cortex), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma). Dosages: Baizhu, Baifuling, Caodoukou, Chenjupi, Nongpo (each 1 liang); Xiong, Danggui (each 3 fen); Renshen, Ganjiang (each 0.5 liang).
Preparation and Administration: Pound and sieve into a powder. Take 4 qian per dose, add 1 zhan of water and 3 jujubes. Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Huoxiang San (Agastache Powder): Treats pregnancy Huoluan with incessant vomiting and diarrhea, abdominal pain with muscle cramps, and syncope/stupor.
Ingredients: Huoxiangye (Agastaches Herba), Baizhu, Renshen, Chifuling (Poria cum Ramo Quercus), Wuweizi (Schisandrae Chinensis Fructus), Huangqi (Astragali Membranacei Radix - inferred from context "Huang"), Danggui, Mugua (Chaenomelis Fructus). Dosages: Each 1 liang.
Preparation and Administration: Pound and sieve into a powder. Take 4 qian per dose, add 1 zhan of water. Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Renshen San (Ginseng Powder): Treats pregnancy Huoluan with vomiting and diarrhea, irritability, and abdominal pain.
Ingredients: Renshen, Nongpo, Juhong (Citri Reticulatae Pericarpium Rubrum), Danggui, Ganjiang, Gancao (Glycyrrhizae Radix et Rhizoma). Dosages: Renshen, Nongpo, Juhong (each 1 liang); Danggui, Ganjiang, Gancao (each 0.5 liang).
Preparation and Administration: Make into a powder. Take 4 qian per dose, add 1 zhan of water and 2 jujubes. Decoct until reduced to 6 fen. Take warm at any time.
Baizhu San (Atractylodis Macrocephalae Powder): Treats pregnancy Huoluan with abdominal pain and incessant vomiting.
Ingredients: Baizhu, Yizhiren (Alpiniae Oxyphyllae Fructus), Zhike (Aurantii Fructus Immaturus), Juhong, Caodoukou, Liangjiang (Galangal Rhizoma). Dosages: Baizhu, Yizhiren, Zhike, Juhong (each 3 fen); Caodoukou, Liangjiang (each 0.5 liang).
Preparation and Administration: Make into a powder. Take 3 qian per dose, add 1.5 zhan of water. Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Lugen Yinzi (Reed Rhizome Decoction): Treats pregnancy Huoluan with vomiting and diarrhea, and irritability.
Ingredients: Lugen (Phragmitis Rhizoma, 1 liang), Renshen (1 liang), Huoxiang (3 fen), Gancao (0.5 liang), Pipaye (Loquat Leaf, 10 pieces).
Preparation and Administration: Finely chop and mix evenly. Take 1 fen per dose, add 1 zhan of water, 7 cun of Xiubai (Allii Macrostemonis Bulbus), and 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens). Decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Mugua Jian (Chaenomelis Decoction): Treats pregnancy Huoluan with vomiting and diarrhea, muscle cramps entering the abdomen causing syncope.
Ingredients: Wuzhuyu (Evodiae Fructus), Shengjiang (1 fen each), Mugua (1.5 liang).
Preparation and Administration: Finely chop. Add 2 zhan of water, decoct until reduced to 1.3 zhan, remove dregs. Divide into three doses. Take hot at any time. Another variant adds Huixiang (Foeniculi Fructus, 1 fen), Gancao (1 qian), Wuzhuyu (0.5 liang), and Zisu (Perillae Folium) for decoction.
Xiangru Zhou (Elsholtzia Porphyrophylla Porridge): Treats pregnancy Huoluan with vomiting, diarrhea, irritability, and excessive thirst.
Ingredients: Xiangruye (Elsholtziae Spica), Shengjiang, Renshen (each 0.5 liang).
Preparation and Administration: Decoct 2 large zhan of water to obtain 1.3 zhan, remove dregs. Mix with 1 he of white rice and cook into thin porridge. Eat.
Dingxiang San (Caryophylli Flos Powder): Treats pregnancy Huoluan with vomiting, diarrhea, and stifling sensation.
Ingredients: Dingxiang (Caryophylli Flos, 0.5 liang), Renshen (0.5 liang), Chenjupi (3 fen, soaked in boiling water).
Preparation and Administration: Coarsely sieve into a powder. Use 2 large zhan of water, 0.5 fen of Shengjiang, and 5 jujubes. Decoct until reduced to 1.2 zhan, remove dregs. Divide into three warm doses.
Zhikeyin (Thirst-Relieving Drink): Treats pregnancy Huoluan with vomiting, diarrhea, mental confusion, and incessant thirst.
Usage: Take 1 he of Nuomi (Glutinous Rice), wash clean, and grind finely. Add 1 large zhan of water, grind and filter to extract juice. Mix with 1 he of honey and 0.5 he of Shengjiangzhi (Zingiberis Rhizoma Recens Juice). Drink immediately when thirsty to stop thirst instantly.
Formula for Pregnancy Huoluan with Vomiting, Diarrhea, and Incessant Muscle Cramps:
Usage: Take 3 he of Yan (Salt), boil in 3 large zhan of water until reduced to 2 zhan. Soak a green cloth in the solution and wipe the area of muscle cramps. Effective.
Another Formula:
Usage: Take 2 Mugua fruits, slice them, and boil in 5 large zhan of water until reduced to 3 zhan. Soak a green cloth in the liquid and apply compresses to the area of muscle cramps to relieve them. If Mugua is unavailable, decocting Guizhi (Cinnamomi Ramulus, 5 liang) is also effective.