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霍乱心腹痛 · 普济方 · 医典·华经

普济方

霍乱心腹痛1140 / 2015

普济方 · 霍乱心腹痛 · 明

古文

（附论）
夫霍乱者。由脾胃虚弱。客风冷之气。阴阳不和。致水谷相并。清浊莫分。变乱于肠胃
之间
经则
方
沉香丸（出圣济总录）治霍乱心腹痛。
沉香丁香犀角（镑）枳实（去瓤麸炒）肉豆蔻（去壳炮用）木香莪术（炮
各半两）
胡
香（研
各
每服五十丸。生姜、橘皮煎汤下。加至十丸。
抵圣散（出圣济总录）治霍乱。宿食不消。心腹痛。
浓朴（去粗皮涂姜汁炙四两）白术（二两）高良姜（半两）吴茱萸（汤浸焙干炒
一两）
枳壳
一两）
草豆
附子散（出圣惠方）治霍乱虚烦。吐泻转筋。冷汗出。腹中痛。
附子（炮裂去皮脐）草豆蔻（去皮）人参（去芦头三分）甘草（炙微赤锉）当
归（锉微
炒）
滓。
不拘时
人参散（出圣惠方）治霍乱吐泻。心腹痛。四肢不和。
人参（去芦头）白术赤芍药甘草（炙微赤锉）当归（切微炒）赤茯苓肉豆
蔻桂
心
不
拘时候温服。
缩砂蜜散（出圣济总录）治霍乱心腹冷痛。呕逆恶心。大肠滑泻。
缩砂蜜（去皮炒）陈曲（炒）白术（切炒）干姜（炮）龙骨赤石脂吴茱萸
（汤浸焙
用）
肉豆蔻散（出圣惠方）治霍乱吐泻不止。冷气入脾胃。攻心腹切痛。
肉豆蔻（去壳）白术桂心枇杷叶（去毛炙微黄）吴茱萸（汤浸七次焙干微炒各
半两）
高
为散。
每
高良姜散（出圣济总录）治霍乱吐泻不止。心腹痛烦渴。
高良姜（锉炒一分）肉豆蔻（去壳）吴茱萸（汤浸焙干炒）人参苍术（米泔浸
一宿锉
炒）
服
藿香正
茯苓。
浓朴人参汤疗霍乱心痛烦。呕吐不止。
浓朴（四两炙）橘皮人参（各二两）高良姜当归藿香（各一两）上以水七
升。煮
取二
理中加二味汤（出十便良方）治霍乱。胸满。腹痛。吐下。
人参干姜（炮）白术（各三两）当归甘草（炙）芍药（各一两）上咀。
以水七
升。煮
温中汤（出圣济总录）治霍乱吐下。虚烦不止。心腹绞痛。
人参干姜（炮）白术甘草（炙）当归（切焙）上等分。粗捣筛。每服三钱。
水一盏。
煎
浓朴汤（出圣济总录）治霍乱。心腹痛。烦不止。或呕。
浓朴（去粗皮姜汁炙锉）桂（去粗皮）枳壳（去瓤麸炒三两）芍药槟榔（锉各
一两）
上捣
桔梗汤疗霍乱。食不消。肠鸣腹痛热不止。
桔梗（四两）白术（五两）干姜茯苓（各二两）仓米（一升）上切。以水八
升。煮仓
米熟
理中丸（出十便良方）治霍乱呕吐。心腹疼痛。
高良姜（切）白术（各一两）桂（去粗皮）甘草（炙各半两）上为末。炼蜜和
丸。如弹
子大
香薷汤疗霍乱。初觉不好。则用此方。主腹痛吐痢。
香薷（切）小蒜（碎各一升）浓朴（六两炙）生姜（十两）上切。以水一斗。
煮取三升。
分
吴茱萸汤治霍乱心腹痛。呕吐不止。
吴茱萸（汤浸焙炒）干姜（炮各一两）干甘草（炙一两半）上锉如麻豆。每服三
钱。水
一盏
茯苓理中汤疗霍乱脐上筑而悸。
茯苓（大如枣者三枚一方二两）干姜（炮一两）甘草（炙）人参木瓜（各三两）
上
咀
理中去术加桂汤（出圣济总录）治霍乱吐过多。脐上筑悸。恐作奔豚。
干姜（炮一两）甘草（炙）人参桂（去粗皮各三两）上捣筛。每服三钱匕。水
一盏。
煎至
茯苓汤（出圣济总录）治霍乱心下筑悸。肾气动。
白茯苓（去黑皮）人参（各三两）甘草（炙）白术（各二两）干姜（炮一两）上
捣筛。
每服
附子汤（出圣济总录）治霍乱脐上筑悸。四肢逆冷。
半夏（生姜汁制）甘草（炙各一两）附子（炮裂去皮脐半两）上锉如麻豆。每服
三钱。
以水

白话

（附论）
霍乱这种病，是由于脾胃虚弱，受到外来风寒邪气的侵袭，导致阴阳失调，致使饮食水谷混杂在一起，清浊之气无法分离，在肠胃之间发生紊乱。

经方：
沉香丸（出自《圣济总录》），治疗霍乱引起的心腹疼痛。
药材包括：沉香、丁香、犀角（镑片）、枳实（去除瓤部，麸皮炒制）、肉豆蔻（去壳炮制后使用）、木香、莪术（炮制）。以上各半两。
胡...香（研磨）...各...
每次服用五十丸，用生姜和橘皮煎汤送服。剂量可加至十丸。（注：原文此处有缺漏或错简，依文意推测为剂量调整说明）

抵圣散（出自《圣济总录》），治疗霍乱。宿食不消化，心腹疼痛。
药材包括：厚朴（去除粗皮，涂姜汁炙烤，四两）、白术（二两）、高良姜（半两）、吴茱萸（用水浸泡，焙干后炒制，一两）、枳壳（一两）、草豆蔻...

附子散（出自《太平惠民和剂局方·圣惠方》），治疗霍乱引起的虚烦不安，呕吐腹泻伴小腿抽筋，出冷汗，腹部疼痛。
药材包括：附子（炮裂，去皮及脐）、草豆蔻（去皮）、人参（去除芦头，三分）、甘草（炙至微红并锉碎）、当归（锉碎微炒）...药渣...
不拘泥于固定时间服用。

人参散（出自《太平惠民和剂局方·圣惠方》），治疗霍乱引起的呕吐腹泻，心腹疼痛，四肢不适。
药材包括：人参（去除芦头）、白术、赤芍药、甘草（炙至微红并锉碎）、当归（切丝微炒）、赤茯苓、肉豆蔻、桂心...
不拘泥于固定时间，温服。

缩砂蜜散（出自《圣济总录》），治疗霍乱引起的心腹冷痛，恶心呕吐，大肠滑脱泄泻。
药材包括：缩砂蜜（即砂仁，去皮炒制）、陈曲（炒制）、白术（切后炒制）、干姜（炮制）、龙骨、赤石脂、吴茱萸（用水浸泡，焙干后使用）、肉豆蔻...

肉豆蔻散（出自《太平惠民和剂局方·圣惠方》），治疗霍乱引起的呕吐腹泻不止，冷气侵入脾胃，攻冲心腹剧烈疼痛。
药材包括：肉豆蔻（去壳）、白术、桂心、枇杷叶（去毛炙至微黄）、吴茱萸（用水浸泡七次，焙干微炒，各半两）、高良姜...
研为散剂。
每...

高良姜散（出自《圣济总录》），治疗霍乱引起的呕吐腹泻不止，心腹疼痛烦躁口渴。
药材包括：高良姜（锉碎炒制一分）、肉豆蔻（去壳）、吴茱萸（用水浸泡焙干炒制）、人参、苍术（米泔水浸泡一夜，锉碎炒制）、茯苓...
服...

藿香正气散（原文作“藿香正”，据名推测为藿香正气散类方，但依原文仅提取可见部分，此处原文似有残缺，结合下文“浓朴人参汤”可能为不同方或误植，暂按原文结构处理，若视为方名则提取，若视为症状描述则归入症状。根据上下文“疗霍乱...”句式，前文多为方名。此处“藿香正”后接“茯苓。”疑似文本断裂。下一句明确为“浓朴人参汤”。故此处“藿香正”可能指代某方或残缺名，鉴于不完整，暂不强行补全方名，但若视作“藿香正气”之略称，可列入。然而严格遵循“只提取原文中明确出现的实体”，原文仅有“藿香正”三字且后接句号，极大概率为OCR错误或抄写遗漏。为了准确性，若无完整方名，通常不提取。但考虑到“藿香”是药材，“正”可能是“正气”的一部分。此处存疑。再看下一行“浓朴人参汤疗霍乱心痛烦。呕吐不止。”这是完整的方剂条目。因此，“藿香正”及其后的“茯苓。”属于上一段残留或错误断行。我们将忽略不完整的片段，从“浓朴人参汤”开始继续翻译。）

*修正策略*：重新审视原文段落。
“服 ... 藿香正 ... 茯苓。” 这一行非常破碎。
紧接着是 “浓朴人参汤疗霍乱心痛烦。呕吐不止。”
为了忠实于原文且不增添内容，对于破碎不清的“藿香正”，由于无法确定其是否为完整方名（如藿香正气散），且缺乏后续组成，暂不将其作为独立方剂实体提取，除非能明确对应。但在翻译时，需体现其存在。鉴于任务要求“不增添内容”，对于明显残缺的文本，翻译时应反映其残缺或尽量通顺。
让我们看下一句：“浓朴人参汤疗霍乱心痛烦。呕吐不止。”

浓朴人参汤，治疗霍乱引起的心痛烦躁，呕吐不止。
药材包括：厚朴（炙，四两）、橘皮、人参（各二两）、高良姜、当归、藿香（各一两）。以上用水七升，煮取二升...

理中加二味汤（出自《十便良方》），治疗霍乱。胸满，腹痛，吐泻。
药材包括：人参、干姜（炮制）、白术（各三两）、当归、甘草（炙）、芍药（各一两）。以上切碎。
用水七升，煮...

温中汤（出自《圣济总录》），治疗霍乱引起的吐泻，虚烦不止，心腹绞痛。
药材包括：人参、干姜（炮制）、白术、甘草（炙）、当归（切后焙干）。以上等分，粗捣筛。每次服用三钱，用水一盏，煎...

浓朴汤（出自《圣济总录》），治疗霍乱。心腹疼痛，烦躁不止，或者呕吐。
药材包括：厚朴（去除粗皮，姜汁炙后锉碎）、桂（去除粗皮）、枳壳（去除瓤部，麸皮炒制三两）、芍药、槟榔（锉碎，各一两）。以上捣...

桔梗汤，治疗霍乱。食物不消化，肠鸣腹痛，热势不止。
药材包括：桔梗（四两）、白术（五两）、干姜、茯苓（各二两）、仓米（一升）。以上切碎，用水八升，煮仓米熟...

理中丸（出自《十便良方》），治疗霍乱呕吐，心腹疼痛。
药材包括：高良姜（切）、白术（各一两）、桂（去除粗皮）、甘草（炙，各半两）。以上研为末，炼蜜和丸，如弹子大...

香薷汤，治疗霍乱。刚感觉不适，就用此方。主治腹痛吐痢。
药材包括：香薷（切）、小蒜（捣碎，各一升）、厚朴（炙，六两）、生姜（十两）。以上切碎，用水一斗，煮取三升，分...

吴茱萸汤，治疗霍乱心腹疼痛，呕吐不止。
药材包括：吴茱萸（用水浸泡焙炒）、干姜（炮制，各一两）、干甘草（炙，一两半）。以上锉成麻豆大小。每次服用三钱，用水一盏...

茯苓理中汤，治疗霍乱脐上跳动悸动。
药材包括：茯苓（大如枣者三枚，一方用二两）、干姜（炮制一两）、甘草（炙）、人参、木瓜（各三两）。以上切碎...

理中去术加桂汤（出自《圣济总录》），治疗霍乱吐泻过多，脐上筑动悸动，担心发作奔豚病。
药材包括：干姜（炮制一两）、甘草（炙）、人参、桂（去除粗皮，各三两）。以上捣筛。每次服用三钱匕，用水一盏，煎至...

茯苓汤（出自《圣济总录》），治疗霍乱心下筑动悸动，肾气上冲。
药材包括：白茯苓（去除黑皮）、人参（各三两）、甘草（炙）、白术（各二两）、干姜（炮制一两）。以上捣筛。
每次服用...

附子汤（出自《圣济总录》），治疗霍乱脐上筑动悸动，四肢逆冷。
药材包括：半夏（生姜汁制）、甘草（炙，各一两）、附子（炮裂，去皮脐，半两）。以上锉成麻豆大小。每次服用三钱。
用水...

英文

(Attached Discussion)
Huo Luan (Acute Gastroenteritis with Vomiting and Diarrhea) is caused by the deficiency of the Spleen and Stomach, invasion of exogenous Wind-Cold pathogens, disharmony of Yin and Yang, leading to the mixing of food and fluids, failure to separate the clear from the turbid, and chaos within the intestines and stomach.

Classic Formulas:

Chenxiang Wan (Agarwood Pill) [Source: *Shengji Zonglu*] treats Huo Luan with heart and abdominal pain.
Ingredients: Agarwood (Chenxiang), Clove (Dingxiang), Rhinoceros Horn (Xijiao, sliced), Immature Bitter Orange (Zhishi, pulp removed, stir-fried with bran), Nutmeg (Roudoukou, shell removed, processed), Costus Root (Muxiang), Curcuma Zedoaria (Ezhu, processed). Each half liang.
Hu... Xiang (ground)... each...
Take 50 pills per dose, administered with decoction of Fresh Ginger (Shengjiang) and Tangerine Peel (Jupi). Dosage may be increased to ten pills. (Note: Original text has gaps/omissions here).

Disan San (Disheng Powder) [Source: *Shengji Zonglu*] treats Huo Luan. Undigested food retention, heart and abdominal pain.
Ingredients: Magnolia Bark (Houpo, coarse bark removed, brushed with ginger juice and roasted, 4 liang), Atractylodes Macrocephala (Baizhu, 2 liang), Galangal (Gaoliangjiang, 0.5 liang), Evodia Fruit (Wuzhuyu, soaked in water, dried by roasting and stir-fried, 1 liang), Aurantium (Zhiqiao, 1 liang), Cardamom (Caodoukou)...

Fuzi San (Aconite Powder) [Source: *Shenghui Fang*] treats Huo Luan with deficiency irritability, vomiting and diarrhea accompanied by calf cramps, cold sweating, and abdominal pain.
Ingredients: Processed Aconite Root (Fuzi, cracked, peel and umbilicus removed), Cardamom (Caodoukou, peel removed), Ginseng (Renshen, radix removed, 3 qian), Licorice Root (Gancao, roasted until slightly red and crushed), Angelica Sinensis (Danggui, crushed and slightly stir-fried)... Dregs.
Take at any time.

Renshen San (Ginseng Powder) [Source: *Shenghui Fang*] treats Huo Luan with vomiting and diarrhea, heart and abdominal pain, and limb discomfort.
Ingredients: Ginseng (Renshen, radix removed), Atractylodes Macrocephala (Baizhu), Red Peony Root (Chishaoyao), Licorice Root (Gancao, roasted until slightly red and crushed), Angelica Sinensis (Danggui, sliced and slightly stir-fried), Red Poria (Chifuling), Nutmeg (Roudoukou), Cinnamon Heart (Guixin)...
Take warm at any time.

Suosha Mi San (Amomum Honey Powder) [Source: *Shengji Zonglu*] treats Huo Luan with cold pain in the heart and abdomen, nausea and vomiting, and loose stools due to large intestine slippage.
Ingredients: Amomum Fruit (Suosha Mi, i.e., Sand Ren, peel removed and stir-fried), Old Fermented Grain Qu (Chenqu, stir-fried), Atractylodes Macrocephala (Baizhu, sliced and stir-fried), Dried Ginger (Ganjiang, processed), Dragon Bone (Longgu), Red Halloysite (Chishizhi), Evodia Fruit (Wuzhuyu, soaked in water, dried by roasting and used), Nutmeg (Roudoukou)...

Roudoukou San (Nutmeg Powder) [Source: *Shenghui Fang*] treats Huo Luan with persistent vomiting and diarrhea, cold qi invading the Spleen and Stomach, attacking the heart and abdomen with severe pain.
Ingredients: Nutmeg (Roudoukou, shell removed), Atractylodes Macrocephala (Baizhu), Cinnamon Heart (Guixin), Loquat Leaf (Pipaye, hairs removed, roasted until slightly yellow), Evodia Fruit (Wuzhuyu, soaked in water seven times, dried by roasting and slightly stir-fried, each 0.5 liang), Galangal (Gaoliangjiang)...
Grind into powder.
Each...

Gaoliangjiang San (Galangal Powder) [Source: *Shengji Zonglu*] treats Huo Luan with persistent vomiting and diarrhea, heart and abdominal pain, irritability, and thirst.
Ingredients: Galangal (Gaoliangjiang, crushed and stir-fried, 1 fen), Nutmeg (Roudoukou, shell removed), Evodia Fruit (Wuzhuyu, soaked in water, dried by roasting and stir-fried), Ginseng (Renshen), Coix Seed-prepared Atractylodes (Cangzhu, soaked in rice wash water overnight, crushed and stir-fried), Poria (Fuling)...
Take...

*Text Fragment Note*: The original text contains fragmented lines "Luohuang Zheng... Fuling." which appear to be OCR errors or missing text preceding the next complete formula. To adhere strictly to the source without adding content, these fragments are noted as incomplete.

Noupo Renshen Tang (Magnolia and Ginseng Decoction) treats Huo Luan with heart pain and irritability, and persistent vomiting.
Ingredients: Magnolia Bark (Noupo/Houpo, roasted, 4 liang), Tangerine Peel (Jupi), Ginseng (Renshen, each 2 liang), Galangal (Gaoliangjiang), Angelica Sinensis (Danggui), Agastache (Huoxiang, each 1 liang). Take 7 sheng of water, boil to obtain 2 sheng...

Lizhong Jia Erwei Tang (Regulate the Middle Plus Two Ingredients Decoction) [Source: *Shibian Liangfang*] treats Huo Luan. Chest fullness, abdominal pain, vomiting and diarrhea.
Ingredients: Ginseng (Renshen), Dried Ginger (Ganjiang, processed), Atractylodes Macrocephala (Baizhu, each 3 liang), Angelica Sinensis (Danggui), Licorice Root (Gancao, roasted), Peony Root (Shaoyao, each 1 liang). Chop coarsely.
Take 7 sheng of water, boil...

Wenzhong Tang (Warm the Middle Decoction) [Source: *Shengji Zonglu*] treats Huo Luan with vomiting and diarrhea, persistent deficiency irritability, and colicky pain in the heart and abdomen.
Ingredients: Ginseng (Renshen), Dried Ginger (Ganjiang, processed), Atractylodes Macrocephala (Baizhu), Licorice Root (Gancao, roasted), Angelica Sinensis (Danggui, sliced and dried). Equal parts. Coarsely crush and sieve. Take 3 qian per dose, with 1 zhan of water, decoct...

Noupo Tang (Magnolia Decoction) [Source: *Shengji Zonglu*] treats Huo Luan. Heart and abdominal pain, persistent irritability, or vomiting.
Ingredients: Magnolia Bark (Noupo/Houpo, coarse bark removed, ginger juice roasted and crushed), Cinnamon (Gui, coarse bark removed), Aurantium (Zhiqiao, pulp removed, bran-stir-fried, 3 liang), Peony Root (Shaoyao), Areca Seed (Binglang, crushed, each 1 liang). Crush...

Jiegeng Tang (Platycodon Decoction) treats Huo Luan. Indigestion, borborygmus, abdominal pain, and persistent heat.
Ingredients: Platycodon Root (Jiegeng, 4 liang), Atractylodes Macrocephala (Baizhu, 5 liang), Dried Ginger (Ganjiang), Poria (Fuling, each 2 liang), Cang Rice (Cangmi, 1 sheng). Cut coarsely. Take 8 sheng of water, cook Cang Rice until soft...

Lizhong Wan (Regulate the Middle Pill) [Source: *Shibian Liangfang*] treats Huo Luan with vomiting, heart and abdominal pain.
Ingredients: Galangal (Gaoliangjiang, sliced), Atractylodes Macrocephala (Baizhu, each 1 liang), Cinnamon (Gui, coarse bark removed), Licorice Root (Gancao, roasted, each 0.5 liang). Grind into powder. Mix with refined honey to form pills, size of a bullet...

Xiangru Tang (Elsholtzia Decoction) treats Huo Luan. Use this formula when feeling unwell initially. Mainly treats abdominal pain, vomiting, and dysentery.
Ingredients: Elsholtzia (Xiangru, sliced), Small Garlic (Xisuan, crushed, each 1 sheng), Magnolia Bark (Noupo/Houpo, roasted, 6 liang), Fresh Ginger (Shengjiang, 10 liang). Cut coarsely. Take 1 dou of water, boil to obtain 3 sheng, divide...

Wuzhuyu Tang (Evodia Decoction) treats Huo Luan with heart and abdominal pain, and persistent vomiting.
Ingredients: Evodia Fruit (Wuzhuyu, soaked in water, dried by roasting and stir-fried), Dried Ginger (Ganjiang, processed, each 1 liang), Dried Licorice Root (Gancao, roasted, 1.5 liang). Crush to the size of hemp seeds. Take 3 qian per dose, with 1 zhan of water...

Fuling Lizhong Tang (Poria Regulate-the-Middle Decoction) treats Huo Luan with pulsation and palpitation above the umbilicus.
Ingredients: Poria (Fuling, three pieces as large as dates, or 2 liang according to another prescription), Dried Ginger (Ganjiang, processed, 1 liang), Licorice Root (Gancao, roasted), Ginseng (Renshen), Quince (Mugua, each 3 liang). Chop coarsely...

Lizhong Qushu Jiagui Tang (Regulate-the-Middle Remove-Atractylodes Add-Cinnamon Decoction) [Source: *Shengji Zonglu*] treats Huo Luan with excessive vomiting and diarrhea, pulsation and palpitation above the umbilicus, fearing the onset of Ben Tun (Running Piglet syndrome).
Ingredients: Dried Ginger (Ganjiang, processed, 1 liang), Licorice Root (Gancao, roasted), Ginseng (Renshen), Cinnamon (Gui, coarse bark removed, each 3 liang). Crush and sieve. Take 3 qian-bi per dose, with 1 zhan of water, decoct to...

Fuling Tang (Poria Decoction) [Source: *Shengji Zonglu*] treats Huo Luan with pulsation and palpitation below the heart, and rising Kidney Qi.
Ingredients: White Poria (Baifuling, black skin removed), Ginseng (Renshen, each 3 liang), Licorice Root (Gancao, roasted), Atractylodes Macrocephala (Baizhu, each 2 liang), Dried Ginger (Ganjiang, processed, 1 liang). Crush and sieve.
Take per dose...

Fuzi Tang (Aconite Decoction) [Source: *Shengji Zonglu*] treats Huo Luan with pulsation and palpitation above the umbilicus, and cold limbs.
Ingredients: Pinellia Ternata (Banxia, prepared with ginger juice), Licorice Root (Gancao, roasted, each 1 liang), Processed Aconite Root (Fuzi, cracked, peel and umbilicus removed, 0.5 liang). Crush to the size of hemp seeds. Take 3 qian per dose.
With water...