【痰饮霍乱之症】先胸前懊 不舒，心胁下闷痛，时时欲呕，兀兀欲吐，或时腹如雷
鸣，或时怔忡惊悸，忽尔呕泻，胸腹大痛，此痰饮霍乱也。
【痰饮霍乱之因】脾气素虚，水饮不节，起居不谨，郁结成痰，聚于中脘，阻其升降之
路，呕利交作，遂成痰饮霍乱之症。
【痰饮霍乱之脉】脉多滑大，沉滑痰饮，滑数痰热，或见沉弦，或见伏结。
【痰饮霍乱之治】呕多者属上焦，二陈汤、平胃散，加鲜藿香叶。泻多者属下焦，导痰
汤。外冒三气者，兼风湿热三气治之。
二陈汤 见中暑泻。
平胃散 见湿泻。
导痰汤 见痰积泻。
【食气霍乱之症】胸前饱闷，胀痛嗳气，吐泻交作，呕出食物，泻下酸馊，此食气霍乱
【食气霍乱之因】饮食过饱，损伤中气，不能运化，膏粱浓味，肠胃凝泣，清气不升，
浊气不降，又值风暑湿 之邪外袭，则挥霍撩乱，此症患者独多。
【食气霍乱之脉】或见滑大，或见沉实，填塞太仓，脉反沉伏。
【食气霍乱之治】在上因而越之，当用盐汤探吐之。在中者，枳朴平胃散消之。在下者
，
，湿则利湿，暑用清暑。温散，败毒散，清散，冲和汤。
枳朴平胃散
枳实 浓朴 苍术 陈皮 甘草
枳朴大黄汤 见痰饮门。
羌独败毒散 见痧胀腹痛。
羌活冲和汤 见寒邪泻。
【痰饮霍乱的症候】首先感到胸中烦闷不适，心窝及胁肋下方胀闷疼痛，时常想要呕吐，恶心欲吐，有时腹部像雷鸣一样作响，有时出现心慌惊悸，突然发生呕吐和腹泻，胸部和腹部剧烈疼痛，这就是痰饮霍乱。
【痰饮霍乱的病因】脾气向来虚弱，饮水饮食没有节制，起居生活不谨慎，导致气机郁结形成痰饮，积聚在胃脘部，阻碍了气机升降的道路，呕吐和腹泻同时发作，于是形成了痰饮霍乱的病症。
【痰饮霍乱的脉象】脉象多表现为滑大，沉滑脉主痰饮，滑数脉主痰热，或者见到沉弦脉，或者见到伏结脉（脉搏深伏且结滞）。
【痰饮霍乱的治疗】呕吐为主者病位属上焦，使用二陈汤、平胃散，加入鲜藿香叶。腹泻为主者病位属下焦，使用导痰汤。如果是外感风寒暑湿三气所致，则兼用治疗风湿热的方药。
二陈汤 参见中暑泻章节。
平胃散 参见湿泻章节。
导痰汤 参见痰积泻章节。
【食气霍乱的症候】胸部饱闷，胀痛并伴有嗳气，呕吐和腹泻交替发作，呕吐出未消化的食物，排泄物酸腐馊臭，这就是食气霍乱。
【食气霍乱的病因】饮食过饱，损伤了中焦脾胃之气，导致不能运化水谷，膏粱厚味使得肠胃气血凝滞，清气不能上升，浊气不能下降，又恰逢风、暑、湿邪气从外部侵袭，导致病情挥霍撩乱，这类患者特别多见。
【食气霍乱的脉象】或者见到滑大脉，或者见到沉实脉，因邪气填塞太仓（指胃），脉象反而呈现沉伏。
【食气霍乱的治疗】病邪在上焦的，采用“因其高而越之”的方法，应当用盐汤催吐。病邪在中焦的，使用枳朴平胃散来消导积滞。病邪在下焦的，[原文此处缺失具体治法描述]，若为湿邪则利湿，若为暑邪则清暑。若是温邪散漫，使用败毒散；若是清散之法，使用冲和汤。
枳朴平胃散
组成：枳实、浓朴、苍术、陈皮、甘草
枳朴大黄汤 参见痰饮门章节。
羌独败毒散 参见痧胀腹痛章节。
羌活冲和汤 参见寒邪泻章节。
[Symptoms of Phlegm-Fluid Huoluan] Initially, there is a feeling of restlessness and discomfort in the chest, distending pain and fullness below the heart and hypochondrium. There is frequent desire to vomit, nausea with an urge to retch, sometimes borborygmus (rumbling sounds) in the abdomen, and sometimes palpitations and fright. Suddenly, vomiting and diarrhea occur accompanied by severe pain in the chest and abdomen; this is termed Phlegm-Fluid Huoluan.
[Etiology of Phlegm-Fluid Huoluan] The Spleen Qi has been deficient constitutionally. Irregularity in drinking and eating habits, along with careless daily living, leads to Qi stagnation transforming into phlegm-fluid. This accumulates in the Middle Jiao (epigastrium), obstructing the pathways of ascending and descending Qi. Consequently, vomiting and diarrhea occur simultaneously, resulting in the syndrome of Phlegm-Fluid Huoluan.
[Pulse of Phlegm-Fluid Huoluan] The pulse is mostly slippery and large. A deep-slippery pulse indicates Phlegm-Fluid; a slippery-rapid pulse indicates Phlegm-Heat. Alternatively, a deep-wiry pulse or a hidden-and-knotted pulse may be observed.
[Treatment of Phlegm-Fluid Huoluan] If vomiting predominates, the pathology belongs to the Upper Jiao; Er Chen Tang (Two-Cured Decoction) and Ping Wei San (Calm the Stomach Powder) are used, added with fresh Huoxiang Ye (Agastache Leaf). If diarrhea predominates, the pathology belongs to the Lower Jiao; Dao Tan Tang (Phlegm-Guiding Decoction) is used. If caused by external invasion of the Three Qi (Wind, Cold, Damp/Heat), treatment should concurrently address Wind-Damp-Heat.
Er Chen Tang: See section on Summerheat Diarrhea.
Ping Wei San: See section on Damp Diarrhea.
Dao Tan Tang: See section on Phlegm-Accumulation Diarrhea.
[Symptoms of Food-Qi Huoluan] There is fullness and oppression in the chest, distending pain accompanied by belching. Vomiting and diarrhea alternate. Undigested food is vomited out, and the stool is sour and rancid; this is termed Food-Qi Huoluan.
[Etiology of Food-Qi Huoluan] Overeating damages the Central Qi (Spleen and Stomach Qi), impairing its transformative and transporting functions. Rich and greasy foods cause coagulation and stasis in the intestines and stomach. Clear Qi fails to ascend, and turbid Qi fails to descend. When combined with external invasion by Wind, Summerheat, and Damp pathogens, the condition becomes chaotic and violent; patients with this pattern are particularly numerous.
[Pulse of Food-Qi Huoluan] The pulse may appear slippery and large, or deep and solid. Due to the blockage filling the Tai Cang (Stomach), the pulse may paradoxically appear hidden.
[Treatment of Food-Qi Huoluan] For pathogenic factors located in the Upper Jiao, employ the method "as it is high, induce emesis"; use salt water to provoke vomiting. For factors in the Middle Jiao, use Zhi Po Ping Wei San (Immature Bitter Orange and Magnolia Bark Powder to Calm the Stomach) to resolve stagnation. For factors in the Lower Jiao, [text missing]; if due to Dampness, promote diuresis; if due to Summerheat, clear Summerheat. For dispersing warm pathogens, use Bai Du San (Decoction to Overcome Toxins); for clearing and dispersing methods, use Chong He Tang (Harmonizing Decoction).
Zhi Po Ping Wei San
Ingredients: Zhi Shi (Immature Bitter Orange), Hou Po (Magnolia Bark), Cang Zhu (Atractylodes Rhizome), Chen Pi (Tangerine Peel), Gan Cao (Licorice Root).
Zhi Po Da Huang Tang: See section on Phlegm-Fluid.
Qiang Du Bai Du San: See section on Sha Distension and Abdominal Pain.
Qiang Huo Chong He Tang: See section on Cold Pathogen Diarrhea.