（附痧斑）
霍乱者，挥霍撩乱也。外感内伤，阴阳乖隔，以致上吐下利。偏阳多热，偏阴多寒，卒
然而成，危如风烛。得吐利者，名湿霍乱，轻盖所伤之物尽出也。上不得吐，下不得利，所
伤之物不得出，死甚速。须用盐汤探吐，得出则宽，切莫与谷食，入口即死。直至饥甚，吐
泻过二、三时辰，方可与稀粥食之。
玉液散（治伏暑吐泻、便赤烦渴）
滑石四两 藿香 丁香各一钱
为末，米汤下二钱。（《普济方》）
伤暑霍乱吐泻
猪苓 泽泻各七分 赤茯苓 干葛各一钱 花粉二钱 香薷 黄连 甘草 白术各五分
泄极加升麻七分，黄芩、石膏各八分；热极加石膏、知母各一钱；腹痛加芍药（炒）五
钱，肉桂三分，寒极亦然。姜三片煎服。（《秘方集验》）
五更泄（名肾泄，盖阴感而然，脾恶湿，湿则濡而困，困则不能制水，水性下流，
则肾水不
五味（去梗）二两，吴茱萸五钱，同炒香为末。每服二钱，陈米饮下。（采医书）
腹痛难忍
取白扁豆叶三十张，捣汁冲井水服。立验。（《青浦徐氏抄本》）
中寒腹痛（并绞肠痧）
胡椒七粒，以布一层包裹，不拘自己或他人嚼碎，纳脐内，随用膏药粘贴，再以热手按
之，盖被而卧。少倾腹中作热或有汗出，则寒气散而痛自愈矣。（《秘方集验》）
如遇痧肠，急将病患头顶红发拔去，腿弯、指头皆刺出血，将口抉开，喂白鸭脚花（开
花时连根叶风干包贮），三栀泡汤灌下，即活。（《救急良方》）
发斑不出
用白蜡烛点火，照视心胸腹背，隐隐红斑不起，在于肌内，取山羊乳饮之，即起透而自
痊矣。（经验方）
（附：痧斑）
霍乱，是指发病时腹部突然剧烈搅动、紊乱的状态。由于外感邪气或内伤饮食，导致阴阳之气乖违阻隔，从而引起上部呕吐、下部泄泻。若病势偏于阳分则多表现为热证，偏于阴分则多表现为寒证，此病发作突然，病情危重，如同风中残烛般脆弱。出现呕吐和泄泻症状的，称为“湿霍乱”，这是因为所伤的饮食之物能够全部排出体外。如果上不能呕吐，下不能泄泻，所伤之物无法排出，死亡速度非常快。此时必须用盐汤催吐，将毒物吐出后患者才会感到舒缓，切记不可给予谷物食物，一旦入口即会导致死亡。直到患者极度饥饿，且吐泻停止两三个时辰之后，才可以给予稀粥食用。
玉液散（治疗伏暑引起的吐泻、小便赤红、心烦口渴）
滑石四两，藿香、丁香各一钱。
研为细末，用米汤送服二钱。（出自《普济方》）
伤暑导致的霍乱吐泻
猪苓、泽泻各七分，赤茯苓、干葛各一钱，天花粉二钱，香薷、黄连、甘草、白术各五分。
泄泻极其严重加升麻七分，黄芩、石膏各八分；热势极盛加石膏、知母各一钱；腹痛加炒芍药五钱，肉桂三分，若是寒邪极盛也采用同样的配伍。加入生姜三片煎煮后服用。（出自《秘方集验》）
五更泄（又称肾泄，大概是因为阴寒感受所致，脾脏厌恶湿气，湿气重则脾土濡润困顿，困顿则不能制约水液，水性向下流动，导致肾水……[原文此处似有缺漏，依文意推测为肾水失固或类似含义，但按规则不增添内容，故仅翻译可见部分]）
五味子（去掉梗）二两，吴茱萸五钱，共同炒至香气溢出后研为细末。每次服用二钱，用陈年米饮送服。（采自医书）
腹痛难以忍受
取白扁豆叶三十张，捣烂取汁，冲入井水服用。立即见效。（出自《青浦徐氏抄本》）
中寒腹痛（包括绞肠痧）
取胡椒七粒，用一层布包裹，不拘泥于是自己还是他人嚼碎，纳入肚脐内，随即用膏药粘贴固定，再用热手按压，盖上被子躺卧。过了一会儿腹中发热或者出汗，寒气就会消散，疼痛自然痊愈。（出自《秘方集验》）
如果遇到痧症引起的肠绞痛，急忙拔去患者头顶红色的头发，在腿弯处、手指尖皆刺破出血，撬开患者的嘴巴，喂服白鸭脚花（开花时连根叶风干保存），用三枚栀子泡汤灌下，患者即可存活。（出自《救急良方》）
发斑不出（皮疹隐伏不透）
点燃白蜡烛，照射观察心胸、腹部及背部，若见隐隐约约的红斑不起，潜伏在肌肉内部，饮用山羊乳，皮疹即可透出并自行痊愈。（经验方）
(Attached: Sha Spots)
Huoluan (Cholera-like disorder with sudden vomiting and diarrhea) refers to a state of sudden, violent abdominal turmoil and chaos. Caused by external pathogenic factors or internal dietary injury, it leads to the deviation and separation of Yin and Yang Qi, resulting in upper vomiting and lower diarrhea. If the pathology leans toward Yang, heat syndromes predominate; if it leans toward Yin, cold syndromes predominate. The onset is abrupt, and the condition is critical, fragile as a candle flame in the wind. Those who experience both vomiting and diarrhea are diagnosed with Shi Huoluan (Damp Cholera), indicating that the ingested harmful substances are completely expelled. If one cannot vomit upward nor defecate downward, and the harmful substances remain trapped inside, death occurs very rapidly. In such cases, salt water must be used to induce vomiting; once the toxins are expelled, the patient will feel relieved. It is crucial not to provide grain food; ingestion leads to immediate death. Only after the patient feels extreme hunger and vomiting/diarrhea have ceased for two to three hours can thin rice gruel be administered.
Yuye San (Jade Fluid Powder) [Treats Fu Shu (Latent Summerheat) causing vomiting, diarrhea, dark urine, irritability, and thirst]
Hua Shi (Talcum, 4 liang), Huo Xiang (Patchouli Herb, 1 qian), Ding Xiang (Clove, 1 qian).
Grind into fine powder. Take 2 qian, washed down with rice soup. (Source: *Puji Fang*)
Shang Shu (Summerheat Injury) causing Huoluan vomiting and diarrhea
Zhu Ling (Polyporus, 7 fen), Ze Xie (Alisma Rhizome, 7 fen), Chi Fu Ling (Red Poria, 1 qian), Gan Ge (Kudzu Root, 1 qian), Hua Fen (Trichosanthes Root, 2 qian), Xiang Ru (Mosla Herb, 5 fen), Huang Lian (Coptis Rhizome, 5 fen), Gan Cao (Licorice Root, 5 fen), Bai Zhu (Atractylodes Macrocephala Rhizome, 5 fen).
If diarrhea is extremely severe, add Sheng Ma (Cimicifuga Rhizome, 7 fen), Huang Qin (Scutellaria Root, 8 fen), Shi Gao (Gypsum Fibrosum, 8 fen); if heat is extreme, add Shi Gao (Gypsum Fibrosum, 1 qian), Zhi Mu (Anemarrhena Rhizome, 1 qian); if abdominal pain occurs, add Shao Yao (Paeonia Radix, fried, 5 qian), Rou Gui (Cinnamon Bark, 3 fen); if cold is extreme, use the same formulation. Decoct with 3 slices of fresh ginger and take orally. (Source: *Mifang Jiyuan*)
Wugeng Xie (Fifth Watch Diarrhea) [Also known as Shen Xie (Kidney Diarrhea), likely caused by Yin-Cold invasion. The Spleen dislikes dampness; when dampness prevails, the Spleen becomes soggy and sluggish, losing its ability to control water. Water nature flows downward...]
Wu Wei Zi (Schisandra Berry, stems removed, 2 liang), Wu Zhu Yu (Evodia Fruit, 5 qian). Stir-fry together until fragrant, then grind into powder. Take 2 qian per dose, washed down with aged rice drink. (Source: Medical Books)
Abdominal Pain Unbearable
Take 30 leaves of Bai Bian Dou Ye (White Hyacinth Bean Leaf), crush and extract juice, mix well with well water, and drink. Immediate effect. (Source: *Qingpu Xu Family Manuscript*)
Zhong Han Abdominal Pain [Including Jiao Chang Sha (Intestinal Colic due to Sha Toxin)]
Take 7 grains of Hu Jiao (Black Pepper), wrap them in a layer of cloth. Whether chewed by oneself or another person, place the chewed pepper into the umbilicus. Immediately apply a plaster over it, then press with warm hands. Lie down covered with a blanket. After a short while, if warmth arises in the abdomen or sweating occurs, the Cold pathogen will dissipate and pain will heal spontaneously. (Source: *Mifang Jiyuan*)
In cases of Sha intestinal colic, urgently pluck out red hairs from the top of the patient's head. Prick the popliteal fossa (back of the knee) and fingertips to bleed. Pry open the mouth and administer a decoction of Bai Ya Jiao Hua (White Duck-foot Flower, dried whole plant including roots and leaves at flowering stage) and San Zhi (Gardenia Fruit, 3 pieces) soaked in water. The patient will survive. (Source: *Jiuji Liangfang*)
Fa Ban Bu Chu (Rashes failing to erupt)
Light a white candle and shine it on the chest, heart, abdomen, back, and body. If faint red spots are visible but do not rise, remaining within the muscle layer, drink Shan Yang Ru (Goat Milk). The rashes will emerge and the patient will recover spontaneously. (Empirical Formula)