(附论)
夫霍乱呕哕者。阴阳冷热不调。清浊相干。胃气不和。风冷加之。故呕。呕不止则哕。
昔人
愈。
方
人参藿香散(出御药院方)治霍乱。定呕逆。止心腹刺痛。进饮食。化痰益
气。皆治。
人参 白茯苓(去皮) 青皮(去白) 干姜(炮) 枇杷叶(去毛炙) 半夏(生姜
制各一两)
甘
为
末。
理中散(出千金方)治年老羸弱。冷气恶心。饮食不化。心腹急。短气。霍
乱
呕逆。四肢厥
麦门冬 干姜(各六两) 人参 白术 甘草(各五两) 附子 茯苓(各三两) 上
治下
筛。以
当归汤(出圣济总录)治霍乱呕哕。手足冷。
当归(切焙) 桂(去粗皮) 吴茱萸(汤浸焙干炒各二两) 细辛(去苗叶) 木通
(锉) 甘
草(
一盏。
去滓温服。
豉汤 疗霍乱呕哕。气厥不得喘息。
豉(一升) 半夏(半两洗) 生姜(二两) 人参(一两) 柴胡(二两) 甘草(一
两炙) 上
以水
藿香吐液散 治大人小儿。诸呕逆吐泻。或霍乱不安。
丁香(一钱) 桂府滑石(四两烧) 藿香(四钱) 上为极细末。每服二钱。小儿半
钱。清
米饮
呕哕
橘皮汤(出圣济总录)治霍乱。呕哕不止。
陈橘皮(汤浸去白焙二两) 甘草(炙一两) 枇杷叶(拭去毛炙二两) 上捣筛。每
服三
钱。水
半夏汤(出圣济总录)治霍乱气厥。呕哕不得息。
半夏(汤浸七次焙二两) 甘草(炙) 人参 前胡(去芦头) 桂(去粗皮各一两) 上
捣
筛。每
枳实汤(出圣济总录)治霍乱卒哕。
用枳实去穣。麸炒二两。捣筛。每服三钱。以羊乳一盏。羊脂一弹子大。煎至七分。去
滓热
治霍乱呕逆。及人常呕吐。(出本草)
用苏方木。水煎服之。破血可用酒煮为良。
糯米粉饮(出圣济总录)治霍乱卒哕。
用糯米粉一升。每服三钱。以井花水调下。不拘时。
生姜饮(出圣济总录)治霍乱呕哕。
用生姜二两切。以水三盏。煎取一盏半。去滓。分温三服。不拘时候。
治霍乱后恶心。(出本草)
以葡萄根。浓煮汁饮之。
治吐逆霍乱。(出本草)
以椰子皮。煮汁服之。
(附论)
所谓霍乱、呕吐和呃逆,是由于阴阳之气与寒热之邪失调,清浊之气相互干扰,导致胃气不和,再加上风冷邪气的侵袭,从而引发呕吐。如果呕吐不止,就会进而发展为呃逆。
方剂:
人参藿香散(出自《御药院方》),用于治疗霍乱,平息呕吐和气逆,停止心腹部的刺痛,增进食欲,化解痰湿并补益元气,各种症状均可治疗。
药材:人参、白茯苓(去除外皮)、青皮(去除白色内层)、干姜(炮制)、枇杷叶(去除绒毛并炙烤)、半夏(用生姜炮制,各一两)。
将上述药材研磨成细末。
理中散(出自《千金方》),用于治疗年老体弱之人,因冷气引起的恶心,饮食不消化,心腹部急痛,呼吸短促,以及霍乱引起的呕吐和气逆,四肢厥冷等症状。
药材:麦门冬、干姜(各六两)、人参、白术、甘草(各五两)、附子、茯苓(各三两)。
将上述药材捣碎过筛。用水煎煮后服用。
当归汤(出自《圣济总录》),用于治疗霍乱引起的呕吐和呃逆,以及手足冰冷。
药材:当归(切片并焙干)、桂枝(去除粗糙外皮)、吴茱萸(用水浸泡后焙干并炒制,各二两)、细辛(去除根苗和叶片)、木通(锉碎)、甘草(适量)。
加水煎煮,去渣后温服。
豉汤,治疗霍乱引起的呕吐和呃逆,气机逆乱导致无法喘息。
药材:豆豉(一升)、半夏(半两,洗净)、生姜(二两)、人参(一两)、柴胡(二两)、甘草(一两,炙烤)。
将上述药材用水煎煮。
藿香吐液散,治疗成人和儿童的各类呕吐、气逆、吐泻,或霍乱导致的不安。
药材:丁香(一钱)、桂府滑石(四两,烧制)、藿香(四钱)。
将上述药材研磨成极细的粉末。每次服用二钱,儿童服用半钱,用清凉的米汤送服。
橘皮汤(出自《圣济总录》),用于治疗霍乱,呕吐和呃逆不止。
药材:陈橘皮(用水浸泡后去除白色内层并焙干,二两)、甘草(炙烤,一两)、枇杷叶(擦拭去毛并炙烤,二两)。
将上述药材捣碎过筛。每次服用三钱,用水煎服。
半夏汤(出自《圣济总录》),用于治疗霍乱引起的气机逆乱,呕吐和呃逆导致呼吸困难。
药材:半夏(用水浸泡七次后焙干,二两)、甘草(炙烤)、人参、前胡(去除芦头)、桂枝(去除粗糙外皮,各一两)。
将上述药材捣碎过筛。每次服用适量,用水煎服。
枳实汤(出自《圣济总录》),用于治疗霍乱突然发生的呃逆。
使用枳实,去除瓤部,用麸皮炒制,用量为二两。捣碎过筛。每次服用三钱,用羊奶一盏、羊脂如弹子大小,煎至七分满,去渣后趁热服用。
苏方木饮(出自《本草》),治疗霍乱引起的呕吐和气逆,以及人们经常性的呕吐。
使用苏方木,用水煎煮后服用。若要破血,用酒煮效果更佳。
糯米粉饮(出自《圣济总录》),用于治疗霍乱突然发生的呃逆。
使用糯米粉一升。每次服用三钱,用井水调服。不限时间。
生姜饮(出自《圣济总录》),用于治疗霍乱引起的呕吐和呃逆。
使用生姜二两切片,用水三盏,煎取一盏半,去渣后分三次温服。不限时间。
(Attached Discussion)
The conditions of Huoluan (acute gastrointestinal disorder with vomiting and diarrhea), Ouyue (vomiting and hiccups), are caused by the disharmony of Yin and Yang, cold and heat, leading to the interference of clear and turbid Qi, stomach Qi disharmony, and the addition of wind-cold pathogenic factors, thus causing vomiting. If vomiting persists, it will progress to hiccups (Yue).
Formulas:
Renshen Huoxiang San (Ginseng and Agastache Powder) [Source: *Yuyao Yuan Fang*] is used to treat Huoluan, stabilize vomiting and rebellious Qi, stop stabbing pain in the heart and abdomen, promote appetite, resolve phlegm, and benefit Qi. It treats all these symptoms.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Qingpi (Citri Reticulatae Pericarpium Viride), Ganjiang (Zingiberis Rhizoma Recens Praeparatum), Pipaye (Eriobotryae Folium), Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine), each 1 liang.
Grind the above ingredients into a fine powder.
Lizhong San (Regulate the Middle Powder) [Source: *Qianjin Fang*] is used to treat elderly and frail individuals suffering from nausea due to cold Qi, indigestion, acute pain in the heart and abdomen, shortness of breath, and vomiting/rebellious Qi associated with Huoluan, as well as cold limbs (Sijue).
Ingredients: Maimendong (Ophiopogonis Radix), Ganjiang (Zingiberis Rhizoma Recens Praeparatum), each 6 liang; Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), each 5 liang; Fuzi (Aconiti Lateralis Radix Praeparata), Fuling (Poria), each 3 liang.
Crush and sieve the above ingredients. Decoct with water and take.
Danggui Tang (Angelica Decoction) [Source: *Shengji Zonglu*] is used to treat vomiting and hiccups due to Huoluan, and cold hands and feet.
Ingredients: Danggui (Angelicae Sinensis Radix), Gui (Cinnamomi Ramulus), Wuzhuyu (Evodiae Fructus), each 2 liang (soaked in water, dried, and stir-fried); Xixin (Asari Radix et Rhizoma), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct with water, remove dregs, and take warm.
Chi Tang (Soja Preparata Decoction) treats vomiting and hiccups due to Huoluan, where Qi rebellion prevents breathing.
Ingredients: Chi (Soja Preparata), 1 sheng; Banxia (Pinelliae Rhizoma), half liang (washed); Shengjiang (Zingiberis Rhizoma Recens), 2 liang; Renshen (Ginseng Radix et Rhizoma), 1 liang; Chaihu (Bupleuri Radix), 2 liang; Gancao (Glycyrrhizae Radix et Rhizoma), 1 liang (roasted).
Decoct the above ingredients with water.
Huoxiang Tuye San (Agastache Emetic Powder) treats adults and children with various types of vomiting, rebellious Qi, vomiting and diarrhea, or restlessness due to Huoluan.
Ingredients: Dingxiang (Caryophylli Flos), 1 qian; Guifu Huashi (Kaolin from Guilin), 4 liang (calcined); Huoxiang (Agastaches Pallidae Herba), 4 qian.
Grind the above ingredients into an extremely fine powder. Take 2 qian per dose for adults, half a qian for children, taken with cool rice water.
Jupi Tang (Tangerine Peel Decoction) [Source: *Shengji Zonglu*] treats Huoluan with persistent vomiting and hiccups.
Ingredients: Chenjupi (Citri Reticulatae Pericarpium), 2 liang (soaked in water, white pith removed, dried); Gancao (Glycyrrhizae Radix et Rhizoma), 1 liang (roasted); Pipaye (Eriobotryae Folium), 2 liang (brushed clean of hairs, roasted).
Crush and sieve the above ingredients. Take 3 qian per dose, decocted with water.
Banxia Tang (Pinellia Decoction) [Source: *Shengji Zonglu*] treats Qi rebellion due to Huoluan, where vomiting and hiccups cause difficulty in breathing.
Ingredients: Banxia (Pinelliae Rhizoma), 2 liang (soaked in water seven times, then dried); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted); Renshen (Ginseng Radix et Rhizoma); Qianhu (Peucedani Radix); Gui (Cinnamomi Ramulus), each 1 liang (rough bark removed).
Crush and sieve the above ingredients. Take appropriate amount, decocted with water.
Zhishi Tang (Immature Bitter Orange Decoction) [Source: *Shengji Zonglu*] treats sudden hiccups due to Huoluan.
Use Zhishi (Aurantii Fructus Immaturus), remove the pulp, stir-fry with bran, 2 liang. Crush and sieve. Take 3 qian per dose, decocted with one zhan of sheep milk and a piece of sheep fat (size of a bullet), reduce to 70%, remove dregs, and take hot.
Su Fangmu Yin (Sappan Wood Drink) [Source: *Bencao*] treats vomiting and rebellious Qi due to Huoluan, and frequent vomiting in people.
Use Su Fangmu (Sappan Lignum), decoct with water and take. For breaking blood stasis, decocting with wine is better.
Nuomifen Yin (Glutinous Rice Flour Drink) [Source: *Shengji Zonglu*] treats sudden hiccups due to Huoluan.
Use Nuomifen (Oryza Sativa Var. Glutinosa Farina), 1 sheng. Take 3 qian per dose, mixed with well water. Time is not restricted.
Shengjiang Yin (Fresh Ginger Drink) [Source: *Shengji Zonglu*] treats vomiting and hiccups due to Huoluan.
Use Shengjiang (Zingiberis Rhizoma Recens), 2 liang, sliced. Decoct with three zhan of water until one and a half zhan remains. Remove dregs, divide into three warm doses. Time is not restricted.
Putao Gen Zhi (Vitis Root Juice) [Source: *Bencao*] treats nausea after Huoluan.
Boil Putao Gen (Vitisis Radix et Caulis) thickly to extract juice and drink.
Yezi Pi Zhi (Coconut Husk Juice) [Source: *Bencao*] treats vomiting/rebellious Qi and Huoluan.
Boil Yezi Pi (Cocos Nucifera Pericarpium) to extract juice and take.