秦子曰∶霍乱之症，心腹绞痛，上吐下泻，躁乱烦闷，甚者转筋。以经络而论，主于阳
明肠胃，若但吐利而无腹痛烦乱之类，乃吐利，非霍乱也。今列外感者六，内伤者四。（其
有外感内伤兼见者，则于治法中详之。）
【湿气霍乱之症】既非饮食所伤，无七情恼怒，但因时令湿淫之气，一旦挥霍撩乱，吐
泻水饮，此外感岁土湿郁之症。《内经》云∶太阴所至，土郁之发，民病霍乱、呕吐注下，即
【湿气霍乱之因】湿土司政，从气太过，脾胃主土，恶湿喜燥，今以湿土之气太过，中
【湿气霍乱之脉】或见沉伏，或见促止，或见代结，或见濡软。
【湿气霍乱之治】仲景用五苓散，今推展平胃散，正气散，加青藿香。若应汗者，防风
五苓散 治不吐下泻。
白术 猪苓 泽泻 肉桂 白茯苓
平胃散 见湿泻门。治胃家作呕。
不换金正气散 治表邪发热。
苍术 浓朴 陈皮 甘草 木香 鲜藿香
防风胜湿汤
防风 荆芥 苍术 白芷 羌活 川芎
【风气霍乱之症】无饮食内伤，七情恼怒，但因时令风淫，头痛身热，上吐下泻，心腹
痛，甚则转筋，此风木太过之症。《内经》云∶岁不及，风乃大行，民病霍乱飧泄，即此症
【风气霍乱之因】岁土不及，风木太过，来克中土，则风淫木贼，水谷不化，而霍乱餐
【风气霍乱之脉】浮紧风寒，浮数风热，浮濡风湿。左关脉浮，风木之邪。右关脉浮，
【风气霍乱之治】风寒、败毒散，风热、家秘神术汤，风湿、海藏神术汤。风木之邪，
柴胡防风汤，内兼食滞者，荆防平胃散。
防风败毒散
荆芥 防风 羌活 独活 川芎 枳壳 陈皮 葛根 甘草
家秘神术汤
苍术 防风 石膏
三味同煎。
海藏神术汤
苍术 防风
柴胡防风汤
柴胡 防风 羌活
荆芥防风汤 治表里两兼之症。
荆芥 防风 苍术 浓朴 陈皮 甘草
秦子说：霍乱的病症，表现为心腹剧烈绞痛，向上呕吐、向下腹泻，烦躁不安、胸闷憋闷，严重的会出现筋脉拘挛抽搐。从经络角度分析，霍乱主要涉及阳明经的胃和肠；如果仅仅是呕吐腹泻而没有腹痛、烦躁等症状，那只是普通的吐利，而不是霍乱。现在列出外感引起的六种类型，内伤引起的四种类型。（如果有外感和内伤症状同时出现的，则在治疗方法中详细说明。）
【湿气霍乱的病症】既不是饮食损伤所致，也没有七情恼怒的影响，而是因为时令季节湿气过盛之气，突然引起挥霍撩乱般的剧烈反应，呕吐泻出清水或饮食物，这是外感岁运土气湿郁的病症。《内经》说：“太阴湿土之气到来时，是土气郁结发作的时候，百姓容易患霍乱、呕吐、泄泻不止”，指的就是这种病症。
【湿气霍乱的成因】湿土当令，气候湿气太过。脾胃属土，厌恶湿气而喜欢燥气，如今湿土之气太过，导致体内湿气困阻。
【湿气霍乱的脉象】或者出现沉伏脉，或者出现促脉（数而时止）、代脉（缓而时止）、结脉（缓而时止），或者出现濡软脉。
【湿气霍乱的治疗】张仲景使用五苓散，现在推广使用平胃散、正气散，并加入青藿香。如果是应当发汗解表的，使用防风胜湿汤。
五苓散：治疗不伴有呕吐和腹泻的症状（注：此处原文可能有误，通常五苓散治水逆或小便不利，但依原文翻译）。
组成：白术、猪苓、泽泻、肉桂、白茯苓。
不换金正气散：治疗表邪发热。
组成：苍术、厚朴、陈皮、甘草、木香、鲜藿香。
【风气霍乱的病症】没有饮食内伤，也没有七情恼怒，只是因为时令风邪过盛，出现头痛、身体发热，向上呕吐、向下腹泻，心腹疼痛，严重的甚至出现筋脉拘挛抽搐，这是风木之气太过的病症。《内经》说：“岁运土气不及，风木之气就会大行于天下，百姓易患霍乱、完谷不化的泄泻”，指的就是这种病症。
【风气霍乱的成因】岁运土气不及，风木之气太过，风木克制中焦脾土，导致风淫木贼（风邪侵袭肝木进而克脾），水谷不能消化，从而发生霍乱飧泄。
【风气霍乱的脉象】浮紧脉主风寒，浮数脉主风热，浮濡脉主风湿。左关脉浮，提示风木之邪；右关脉浮，（提示脾胃受风邪影响）。
【风气霍乱的治疗】风寒型用败毒散，风热型用家秘神术汤，风湿型用海藏神术汤。若是风木之邪引起的，用柴胡防风汤；如果内部兼有食滞，用荆防平胃散。
Qin Zi said: The symptoms of Huoluan (cholera-like disease with sudden vomiting and diarrhea) include severe cramping pain in the heart and abdomen, upward vomiting, downward diarrhea, restlessness, irritability, and chest oppression. In severe cases, it manifests as tendon spasms (Zhuanjin). From the perspective of meridians, Huoluan primarily involves the Yangming Stomach and Intestines. If there is only vomiting and diarrhea without abdominal pain or restlessness, it is merely ordinary vomiting and diarrhea, not Huoluan. Here, six types caused by external pathogens are listed, and four types caused by internal injuries are listed. (For cases where external and internal factors coexist, detailed treatment methods will be provided later.)
[Symptoms of Dampness-induced Huoluan] It is neither caused by dietary injury nor by emotional disturbance (Seven Emotions). Instead, it arises from the excessive dampness of the seasonal climate, causing sudden, chaotic vomiting and diarrhea of water or undigested food. This is a condition of dampness stagnation due to the external pathogen affecting the Earth element. As stated in *Neijing* (The Inner Canon): "When Taiyin (Spleen/Stomach) dominates, and Earth qi stagnates and erupts, the people suffer from Huoluan, vomiting, and profuse diarrhea." This refers to this specific condition.
[Etiology of Dampness-induced Huoluan] When Damp-Earth governs the season, the Qi of Dampness becomes excessive. The Spleen and Stomach belong to Earth; they dislike Dampness and prefer Dryness. Now, because the Qi of Damp-Earth is excessive, it causes internal stagnation.
[Pulse of Dampness-induced Huoluan] The pulse may appear Deep and Hidden (Chen Fu), Rapid with irregular pauses (Cu), Regularly intermittent (Dai), Knotted (Jie - slow with irregular pauses), or Soft and Floating (Ru Ruan).
[Treatment of Dampness-induced Huoluan] Zhang Zhongjing used Wuling San (Five-Ingredient Powder with Poria). Currently, Pingwei San (Stomach-Calming Powder) and Zhengqi San (Righteous Qi Powder) are extended, added with Qing Huoxiang (Green Patchouli). If sweating is indicated for release, Fangfeng Shengshi Tang (Saposhnikovia Decoction for Overcoming Dampness) is used.
Wuling San: Treats conditions without vomiting or diarrhea (Note: Original text context implies specific indications, though clinically often for fluid metabolism issues).
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu), Polyporus (Zhu Ling), Alisma Rhizoma (Zexie), Cinnamomi Ramulus (Rougui), Poria (Fuling).
Pingwei San: See section on Damp Diarrhea. Treats stomach nausea/vomiting.
Buhuanjin Zhengqi San: Treats exterior pathogenic heat.
Ingredients: Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Houpo), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Gancao), Costi Rhizoma (Muxiang), Pogostemonis Herba (Xian Huoxiang).
Fangfeng Shengshi Tang
Ingredients: Saposhnikoviae Radix (Fangfeng), Schizonepetae Herba (Jingjie), Atractylodis Rhizoma (Cangzhu), Angelicae Dahuricae Radix (Baizhi), Notopterygii Rhizoma et Radix (Qianghuo), Chuanxiong Rhizoma (Chuanxiong).
[Symptoms of Wind-induced Huoluan] There is no dietary injury or emotional disturbance. It is solely due to the excessive Wind pathogen of the season, presenting with headache, fever, upward vomiting, downward diarrhea, heart and abdominal pain, and in severe cases, tendon spasms. This is a condition of excessive Wood (Wind) qi. As stated in *Neijing*: "When the yearly Earth qi is insufficient, Wind qi prevails greatly, and the people suffer from Huoluan and incomplete digestion diarrhea (Sunxie)." This refers to this condition.
[Etiology of Wind-induced Huoluan] The yearly Earth qi is insufficient, while Wind-Wood qi is excessive. Wind-Wood overacts upon the Central Earth (Spleen/Stomach), leading to Wind invasion and Wood attacking Earth. Consequently, food and fluids fail to transform, resulting in Huoluan and Sunxie.
[Pulse of Wind-induced Huoluan] Floating and Tight pulse indicates Wind-Cold; Floating and Rapid pulse indicates Wind-Heat; Floating and Soft pulse indicates Wind-Dampness. A Floating pulse at the Left Guan position indicates Wind-Wood pathogen; a Floating pulse at the Right Guan position indicates... [text cuts off, implying Spleen/Stomach involvement].
[Treatment of Wind-induced Huoluan] For Wind-Cold, use Baidu San (Ten-Antidote Powder); for Wind-Heat, use Jiami Shenzhu Tang (Secret Formula Divine Atractylodes Decoction); for Wind-Dampness, use Haizang Shenzhu Tang (Sea Storehouse Divine Atractylodes Decoction). For Wind-Wood pathogen, use Chaihu Fangfeng Tang (Bupleurum and Saposhnikovia Decoction); if accompanied by food stagnation internally, use Jingfang Pingwei San (Schizonepeta and Saposhnikovia Stomach-Calming Powder).
Fangfeng Baidu San
Ingredients: Schizonepetae Herba (Jingjie), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duohuo), Chuanxiong Rhizoma (Chuanxiong), Aurantii Fructus Immaturus (Zhiqiao), Citri Reticulatae Pericarpium (Chenpi), Puerariae Radix (Gegen), Glycyrrhizae Radix et Rhizoma (Gancao).
Jiami Shenzhu Tang
Ingredients: Atractylodis Rhizoma (Cangzhu), Saposhnikoviae Radix (Fangfeng), Gypsum Fibrosum (Shigao).
Preparation: Decoct the three ingredients together.
Haizang Shenzhu Tang
Ingredients: Atractylodis Rhizoma (Cangzhu), Saposhnikoviae Radix (Fangfeng).
Chaihu Fangfeng Tang
Ingredients: Bupleuri Radix (Chaihu), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo).
Jingjie Fangfeng Tang: Treats conditions involving both exterior and interior.
Ingredients: Schizonepetae Herba (Jingjie), Saposhnikoviae Radix (Fangfeng), Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Houpo), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Gancao).