(附论)
夫霍乱结心下不散则气不通。故字书。以痞为否。言其不通。然痞为虚。按之不痛。气
虽妨
方
木瓜丸 治霍乱。心下气痞不通。
木瓜(去皮瓤切焙十枚) 木香(三两) 人参(一两半) 肉豆蔻(去皮半两) 上
捣筛为粗
末。
治霍乱吐泻。心腹痞痛方。(出圣惠方)
黑豆(半合炒热) 生姜 黄连(去须) 草豆蔻(去皮各半两) 上细锉和匀。分为
四服。
每服
备急丸 治霍乱心腹疰痛。冷气筑心。
荠 饮 治霍乱心腹痛。
桂心汤(一名浓朴汤)治霍乱中冷。心腹痛。
当归汤
当归(切焙三两) 桂(去粗皮) 甘草(炙各二两) 上捣筛。每服三钱。以水一盏。
煎至
七分
芦根汤 治霍乱心腹痛。
生芦根(切一升入土者) 生姜(一升) 橘皮(五两) 上以水八升。煮取二升。分
二服。
服相
治霍乱心腹胀痛。不得利方。(出圣惠方)
牛粪(绞取汁一合) 百日儿乳汁(一合) 上搅匀顿服。
治霍乱转筋。腹胀不止方。(出圣惠方)
小蒜 盐(各一分) 上烂捣。纳少许脐中。上以艾火灸五七壮。立效。
疗霍乱苦绞痛不止。
用生姜二块。豉二升。合捣。中分为两半。手捻如饼。熬令匀尔。更番以熨脐中。
治霍乱(出肘后方)
用温酒二升。以蜡如弹子丸。一枚置酒中。消乃饮。无蜡。以盐二方寸匕代亦得。
又方(出肘后方)
用桂半夏等分末。方寸匕。水一升。和服之瘥。
又方(出圣惠方)
用芦叶一握。锉。以水一大盏。煎至五分。去滓顿服。
菖蒲汁 治霍乱。腹痛急如中恶。
用生菖蒲锉碎四两。以水同捣。绞取汁一盏。分为四服。每用热汤和。温服。
桃叶饮(出圣惠方)治霍乱吐痢不止。腹俱痛。
用桃叶。秋冬取枝捣二升。以水五盏。和绞取汁。每服一盏。不拘时候。肘后方。用叶
三升
治霍乱腹痛吐下。亦治转筋不止。烦闷。(出经验良方)
用桑叶汁。冬月干者。浓煮服之。
治霍乱心痛烦满。未得吐下。(出肘后方)
用好苦酒三升小饮。老羸者亦可饮。
治霍乱。下气上心。腹痛冷气。内外肾钓痛。
用茱萸叶。热无毒盐研罨神效。干即三浸。复罨。霍乱转筋。和艾以醋汤拌罨。妙也。
治霍乱心腹胀痛。烦满短气。未得吐下。(出肘后方)
用生姜一片。切。水七升。煮取二升。分三服。又用生姜大片。烧皮黑色。捶碎。水浸。
服
盐熨方(出危氏方)治霍乱吐泻。心腹作痛。
用炒盐二碗。纸包纱护。顿其胸前。并腹肚上。一截以熨斗火熨。气透则续。又以炒盐
熨其
又方
用生大豆屑。酒和服方寸。
木瓜汤 治霍乱脐下绞痛。
木瓜(一两半) 桑叶(七片) 枣(三枚) 上以水二升。煮取半升。顿服瘥。
诃黎勒丸 治霍乱吐逆腹痛。或便痢数多。冷热不调。
诃黎勒皮(微炒一两) 干生姜(切用三分) 甘草(炙半两) 陈橘皮(去白焙干二
两) 上
为末
良姜汤(出鸡峰方)治脾胃伤冷。心腹大痛。霍乱吐泻。
浓朴 良姜 桂(各等分) 上细末。每服三钱。水一盏。煎至六分。去滓温服。不拘
时。
主霍乱(出本草)
以铜盆盛灰。浓二寸许。以炭火安其上。令微热。下以衣藉患者。复渐渐熨之。腹痛热
瘥。
(附论)
霍乱病若邪气结聚于心下不散,则导致气机运行不畅。因此字书中将“痞”解释为“否”,意指不通畅。然而,“痞”证属于虚证,按压时并不疼痛,虽然感觉气机阻滞妨碍舒适。
木瓜丸:治疗霍乱。症状表现为心下气滞痞塞不通。
配方:木瓜(去皮、去瓤、切片、焙干,十枚),木香(三两),人参(一两半),肉豆蔻(去皮,半两)。以上药材捣碎并筛成粗末。
治疗霍乱呕吐腹泻,心腹部痞满疼痛的方剂。(出自《太平圣惠方》)
配方:黑豆(半合,炒热),生姜,黄连(去须),草豆蔻(去皮,各半两)。以上药材细切并混合均匀。分为四服。
备急丸:治疗霍乱心腹部的注痛(固定不移的疼痛)。冷气冲击心脏部位。
当归汤:
配方:当归(切片、焙干,三两),桂枝(去掉粗皮),甘草(炙,各二两)。以上药材捣碎并筛成细末。每次服用三钱,用水一盏,煎煮至七分量。
芦根汤:治疗霍乱心腹部疼痛。
配方:生芦根(切,一升,需深入土中的部分),生姜(一升),橘皮(五两)。以上药材用水八升,煮取二升药液。分两次服用。
治疗霍乱心腹胀痛,无法排便的方剂。(出自《太平圣惠方》)
配方:牛粪(绞取汁液一合),百日婴儿乳汁(一合)。以上两者搅匀后一次性服用。
治疗霍乱转筋(肌肉痉挛),腹胀不止的方剂。(出自《太平圣惠方》)
配方:小蒜,盐(各一分)。以上药材捣烂,取少许纳入肚脐中。上方用艾火灸五到七壮,立即见效。
治疗霍乱痛苦绞痛不止。
用法:用生姜两块,豉二升,一起捣碎。中间分开分成两半。用手捏成饼状,加热使其均匀。轮流熨烫肚脐部位。
治疗霍乱(出自《肘后备急方》)
用法:用温酒二升,放入如弹子大小的蜡丸一枚在酒中,待蜡融化后饮用。如果没有蜡,用方寸匕大小的盐代替也可以。
又一方(出自《肘后备急方》)
用法:用桂枝和半夏等分研成末。每次服用方寸匕,用水一升调和服用,病愈。
又一方(出自《太平圣惠方》)
用法:用芦叶一握,切碎。用水一大盏,煎煮至五分量。去渣后一次性服用。
菖蒲汁:治疗霍乱。腹痛剧烈如同中恶(突然昏倒或剧痛)。
用法:用生菖蒲切碎四两,加水一同捣碎,绞取汁液一盏。分为四服。每次服用时用热汤调和,温服。
桃叶饮(出自《太平圣惠方》):治疗霍乱呕吐痢疾不止。腹部全部疼痛。
用法:用桃叶。秋冬季节取枝条捣碎二升,用水五盏,调和绞取汁液。每次服用一盏。不拘时间。《肘后备急方》中用叶三升。
治疗霍乱腹痛吐泻,也治疗转筋不止,烦闷。(出自《经验良方》)
用法:用桑叶汁。冬季干燥者,浓煮后服用。
治疗霍乱心痛烦满,尚未能吐出或泻下。(出自《肘后备急方》)
用法:用好苦酒(醋)三升,少量饮用。年老体弱者也可以饮用。
治疗霍乱。气逆上冲心胸,腹痛伴有冷气。内外肾牵引性疼痛。
用法:用茱萸叶,用热而无毒的盐研磨后敷贴,神效。如果干了就浸湿三次,再次敷贴。霍乱转筋,配合艾草用醋汤拌和后敷贴,效果奇妙。
治疗霍乱心腹胀痛,烦满短气,尚未能吐出或泻下。(出自《肘后备急方》)
用法:用生姜一片,切片。水七升,煮取二升。分三次服用。另外用生姜大片,烧至皮呈黑色,捶碎。用水浸泡后服用。
盐熨方(出自《危氏方》):治疗霍乱呕吐腹泻,心腹部作痛。
用法:用炒盐二碗,用纸包好并用纱护住,顿放在患者胸前及腹部上。一部分用熨斗加热熨烫,热气透入后再续熨。又用炒盐熨其……
又一方
用法:用生大豆屑,用酒调和服用方寸匕。
木瓜汤:治疗霍乱脐下绞痛。
配方:木瓜(一两半),桑叶(七片),枣(三枚)。以上药材用水二升,煮取半升。一次性服用,病愈。
诃黎勒丸:治疗霍乱呕吐逆气腹痛。或者大便痢疾次数多。冷热不调。
配方:诃黎勒皮(微炒,一两),干生姜(切,三分),甘草(炙,半两),陈橘皮(去白焙干,二两)。以上药材研成末。
良姜汤(出自《鸡峰普济方》):治疗脾胃受寒。心腹部大痛。霍乱吐泻。
配方:厚朴,高良姜,桂枝(各等分)。以上药材细末。每次服用三钱,用水一盏,煎煮至六分。去渣后温服。不拘时间。
主治霍乱(出自《本草》)
用法:用铜盆盛放灰烬,厚度约二寸。在灰上放置炭火,使其微微发热。下方用衣物垫着患者身体,再逐渐熨烫。腹痛因热而缓解。
(Attached Discussion)
If the pathogenic factors of Huoluan (cholera-like disease with sudden vomiting and diarrhea) accumulate in the epigastrium and do not dissipate, it leads to the obstruction of Qi mechanism. Therefore, in character dictionaries, "Pi" (fullness/stuffiness) is explained as "Pǐ" (obstruction), indicating a state of blockage. However, Pi syndrome belongs to deficiency patterns; it is painless upon palpation, although there is a sensation of Qi obstruction causing discomfort.
Mugua Wan (Papaya Pill): Treats Huoluan. Symptoms include Qi stagnation and stuffiness in the epigastrium.
Ingredients: Fructus Chaenomelis (Mugua, 10 fruits, peeled, seeded, sliced, and baked), Radix Aucklandiae (Muxiang, 3 liang), Radix Ginseng (Renshen, 1.5 liang), Semen Myristicae (Roudoukou, 0.5 liang, peeled). The above ingredients are crushed and sifted into coarse powder.
Formula for treating Huoluan with vomiting and diarrhea, and epigastric/abdominal fullness and pain. (From *Taiping Shenghui Fang*)
Ingredients: Semen Sojae Nigrum (Heidou, 0.5 he, stir-fried until hot), Rhizoma Zingiberis Recens (Shengjiang), Radix Coptidis (Huanglian, de-veined), Fructus Cardamomi Rotundus (Caodoukou, 0.5 liang each, peeled). The above ingredients are finely chopped and mixed evenly. Divided into four doses.
Beiji Wan (Emergency Preparedness Pill): Treats Huoluan with fixed pain in the heart and abdomen. Cold Qi attacking the heart region.
Qi Yin (Shepherd's Purse Decoction): Treats Huoluan with heart and abdominal pain.
Guixin Tang (Cinnamon Heart Decoction, also known as Houpo Tang): Treats Huoluan due to middle Jiao cold. Heart and abdominal pain.
Danggui Tang (Angelica Sinensis Decoction):
Ingredients: Radix Angelicae Sinensis (Danggui, 3 liang, sliced and baked), Ramulus Cinnamomi (Gui, bark removed), Radix Glycyrrhizae Preparata (Gancao, honey-fried, 2 liang each). The above ingredients are crushed and sifted into fine powder. Each dose is 3 qian, decocted in one sheng of water until reduced to 0.7 sheng.
Lugen Tang (Reed Root Decoction): Treats Huoluan with heart and abdominal pain.
Ingredients: Radix et Rhizoma Imperatae (Sheng Lugen, 1 sheng, specifically the part growing deep underground), Rhizoma Zingiberis Recens (Shengjiang, 1 sheng), Pericarpium Citri Reticulatae (Jupi, 5 liang). The above ingredients are boiled in 8 sheng of water until 2 sheng remains. Divided into two doses.
Formula for treating Huoluan with heart and abdominal distension and pain, and inability to defecate. (From *Taiping Shenghui Fang*)
Ingredients: Juice from Bovis Feces (Niufen juice, 1 he), Milk from a 100-day-old infant (1 he). Mix evenly and take in one dose.
Formula for treating Huoluan with muscle cramps (Zhuanjin) and continuous abdominal distension. (From *Taiping Shenghui Fang*)
Ingredients: Allium Macrostemon (Xiaosuan), Salt (1 fen each). Crush the ingredients thoroughly, apply a small amount into the umbilicus. Moxibustion with moxa cones (5-7 moxibustions) applied over the area yields immediate effect.
Treatment for unremitting painful spasms in Huoluan.
Method: Use two pieces of fresh ginger and 2 sheng of fermented soybeans (Chi). Crush them together. Divide into two halves. Shape into cakes by hand. Heat evenly. Apply alternately to warm the umbilicus via moxibustion/warming therapy.
Treatment for Huoluan. (From *Zhouhou Beiji Fang*)
Method: Use 2 sheng of warm wine. Place a pill-sized piece of beeswax into the wine. Once melted, drink. If beeswax is unavailable, salt measured as a square-inch spoonful can be used as a substitute.
Another Formula. (From *Zhouhou Beiji Fang*)
Method: Use equal parts of Ramulus Cinnamomi (Guizhi) and Rhizoma Pinelliae (Banxia) ground into powder. Take one square-inch spoonful, mixed with 1 sheng of water. Drink until recovery.
Another Formula. (From *Taiping Shenghui Fang*)
Method: Use a handful of Phragmitis Folium (Luye). Chop it. Decoct in one large cup of water until reduced to 0.5 portion. Strain and take in one dose.
Changpu Zhi (Acorus Juice): Treats Huoluan. Severe abdominal pain resembling Zhong'e (sudden collapse or severe pain).
Method: Use 4 liang of fresh Rhizoma Acori Tatarinowii (Sheng Changpu). Chop finely. Crush with water. Squeeze out the juice (one cup). Divide into four doses. Each time, mix with hot water and take warm.
Tao Ye Yin (Peach Leaf Drink). (From *Taiping Shenghui Fang*): Treats Huoluan with unremitting vomiting and dysentery. Pain throughout the abdomen.
Method: Use peach leaves. In autumn and winter, take branches and crush 2 sheng. Add 5 cups of water, mix and squeeze out the juice. Take one cup per dose. Time is not restricted. *Zhouhou Beiji Fang* uses 3 sheng of leaves.
Treatment for Huoluan with abdominal pain, vomiting, and diarrhea. Also treats continuous muscle cramps and restlessness. (From *Jingyan Liangfang*)
Method: Use juice of Morus alba folium (Sangye). For winter-dried leaves, decoct strongly and drink.
Treatment for Huoluan with heart pain, fullness, and restlessness, before vomiting or defecation has occurred. (From *Zhouhou Beiji Fang*)
Method: Drink 3 sheng of good vinegar (Ku Jiu) in small sips. Elderly or frail patients may also drink it.
Treatment for Huoluan. Qi rebelling upward to the heart, abdominal pain with cold qi. Pulling pain in the internal and external kidneys.
Method: Use Corni Fructus Folium (Zhuyu Ye). Grind with hot, non-toxic salt and apply externally. This is highly effective. If it dries, soak three times and reapply. For Huoluan with muscle cramps, mix with mugwort and vinegar water for application. This is excellent.
Treatment for Huoluan with heart and abdominal distension and pain, fullness, shortness of breath, before vomiting or defecation has occurred. (From *Zhouhou Beiji Fang*)
Method: Use one slice of fresh ginger. Slice it. Boil in 7 sheng of water until 2 sheng remains. Divide into three doses. Alternatively, use large slices of fresh ginger, burn until the skin is black, crush them. Soak in water and drink.
Yan Yi Fang (Salt Warming Method). (From *Wei Shi Fang*): Treats Huoluan with vomiting and diarrhea, and heart/abdominal pain.
Method: Use two bowls of stir-fried salt. Wrap in paper and protect with gauze. Place firmly on the chest and abdomen. Heat one section with a warming iron/moxa warmer. Continue applying heat as it penetrates. Then use stir-fried salt to warm...
Another Formula
Method: Use powder of Soybean Seed (Sheng Da Dou Xie). Mix with wine and take one square-inch spoonful.
Mugua Tang (Papaya Decoction): Treats Huoluan with colicky pain below the umbilicus.
Ingredients: Fructus Chaenomelis (Mugua, 1.5 liang), Folium Mori (Sangye, 7 leaves), Fructus Jujubae (Zao, 3 dates). Boil the above ingredients in 2 sheng of water until 0.5 sheng remains. Take in one dose for recovery.
Helile Wan (Terminalia Pill): Treats Huoluan with vomiting, rebellious Qi, and abdominal pain. Or frequent dysenteric stools. Imbalance of cold and heat.
Ingredients: Cortex Terminaliae Chebulae (Helile Pi, lightly stir-fried, 1 liang), Rhizoma Zingiberis Siccatum (Gan Shengjiang, sliced, 3 fen), Radix Glycyrrhizae Preparata (Gancao, honey-fried, 0.5 liang), Pericarpium Citri Reticulatae Chenpi (Chen Jupi, peeled and dried, 2 liang). Grind the above ingredients into powder.
Liangjiang Tang (Galangal Decoction). (From *Jifeng Puji Fang*): Treats Spleen and Stomach injury by cold. Severe heart and abdominal pain. Huoluan with vomiting and diarrhea.
Ingredients: Cortex Magnoliae Officinalis (Houpo), Rhizoma Alpiniae Officinarum (Liangjiang), Ramulus Cinnamomi (Guizhi) (equal parts). Grind into fine powder. Each dose is 3 qian, decocted in one sheng of water until reduced to 0.6 sheng. Strain and take warm. Time is not restricted.
Main Treatment for Huoluan. (From *Ben Cao*)
Method: Fill a copper basin with ash, about 2 cun thick. Place charcoal fire on top of the ash to make it slightly hot. Place clothing under the patient. Gradually apply heat/warmth. Abdominal pain will alleviate due to the heat.