霍乱及痧胀疫疠诸恶证，初起，即解散其发，细看。如有赤色者，急拔去之。再脱其衣
，细看胸背，如有长毛数茎，必尽拔之。
（热毒深入营分，发为血之余，毒焰上炎，故见赤色。甚至硬如骏鬣，余尝目击之
。宗侄承烈绍武。）
霍乱诸痧，皆由正气为邪气所阻。故浊气不能呼出，清气不能吸入，而气乱于中
，遂成闭塞之证。浊气最热，泰西人谓之炭气，炭气不出，人即昏闷而死。然呼出肺主之，
肺
开窍于鼻，用皂角末或通关散。或痧药吹入鼻中，取嚏以通气道，则邪气外泄，浊气可出，
病自松也。
取嚏，不论有无，随继以刮。有嚏者，肺气虽开，恐营卫气机尚痹。当刮以宣之。无嚏者
，肺既不开，尤
必刮松卫气，使已入营分之邪，时以外泄，而病可松也。故肩、颈、脊、背、胸、前胁肋、
两肋、臂、两膝湾等处，皆
宜用绵纱线，或苎麻绳，或青线，或瓷碗口。蘸菜油自上
向下刮之，以红紫色绽方止。项下及大小腹软肉处，以食盐研细，用手擦之。或以指蘸清水
撮之。景岳云∶凡毒深病急者，非刮背不可。以五脏之系，咸附于背也。或以盐擦背亦可
。
营卫之气，为邪气所阻而不流通，则手足厥冷而腹痛，身有红点而隐约，此名斑痧，亦曰
番痧。俗以其厥冷，谓之阴痧者谬也。宜以灯心微蘸油，点火淬之。以灯火近肉即提起，
有声，病即松。
霍乱以及痧胀、疫疠等各种恶证，在初起阶段，就要立即解散其邪气，并仔细查看。如果发现皮肤上有赤色斑点，要立刻拔除。再脱去患者的衣服，仔细查看胸背部，如果发现有几根长毛，必须全部拔除。
（这是因为热毒深入营分，发为血之余，毒焰上炎，所以见到赤色。甚至毛发硬得像马鬃一样，我曾亲眼目睹过这种情况。堂侄王承烈绍武记载。）
霍乱等各种痧症，都是因为正气被邪气阻滞。所以浊气不能呼出，清气不能吸入，导致气机在中焦紊乱，从而形成闭塞的证候。浊气最热，西方人称之为“炭气”（二氧化碳），如果炭气排不出去，人就会昏闷而死。然而呼气由肺所主，肺开窍于鼻，可以使用皂角末或通关散，或者将痧药吹入鼻中，通过引起喷嚏来通畅气道，这样邪气就能外泄，浊气可以排出，病势自然缓解。
无论是否引起喷嚏，都要紧接着进行刮痧。有喷嚏的，虽然肺气已开，但恐怕营卫之气的气机仍然痹阻。应当刮痧以宣通之。没有喷嚏的，肺气既未开通，更必须刮松卫气，使已经进入营分的邪气能够不时向外排泄，病势才能缓解。因此，肩、颈、脊、背、胸、前胁肋、两肋、手臂、两膝弯等处，都适宜用棉纱线，或者苎麻绳，或者青线，或者瓷碗口边缘，蘸取菜油从上向下刮拭，直到出现红紫色的痧点才停止。颈部下方以及大小腹部柔软肌肉处，用食盐研细，用手擦拭。或者用手指蘸清水撮擦。张景岳说：凡是毒深病急的情况，非刮痧背部不可。因为五脏的联系系带，都附着于背部。也可以用盐擦背。
营卫之气被邪气阻滞而不流通，就会导致手足厥冷和腹痛，身上出现隐约的红点，这叫做斑痧，也叫做番痧。世俗之人因为患者手足厥冷，就称之为阴痧，这是错误的。适宜用灯心草微微蘸油，点燃灯火淬刺患处。让灯火靠近皮肤后立即提起，如果有声响，病势就会缓解。
Huo Luan (cholera) and various severe conditions such as Sha Zhang (sand swelling/acute abdominal pain due to pathogenic factors), Yi Li (epidemic pestilence), at the initial stage, should be treated immediately by dispersing the pathogenic factors, with careful observation. If red spots are found on the skin, they must be extracted immediately. The patient's clothes should then be removed, and the chest and back carefully examined; if several long hairs are found, they must all be plucked out.
(This occurs because heat-toxin has penetrated deeply into the Ying Level (nutritive level), and since hair is considered the surplus of blood, the flaming toxin rises upward, resulting in redness. In severe cases, the hairs become hard like horse mane, a phenomenon I have witnessed personally. Recorded by my cousin Wang Chenglie Shaowu.)
Various Sha syndromes associated with Huo Luan are caused by healthy Qi being obstructed by pathogenic factors. Consequently, turbid Qi cannot be exhaled, and clear Qi cannot be inhaled, leading to chaotic Qi dynamics in the middle Jiao (middle burner), thus forming an obstruction syndrome. Turbid Qi is extremely hot; Westerners refer to it as "carbon gas" (carbon dioxide). If this carbon gas is not expelled, the person will die from suffocation and coma. However, exhalation is governed by the Lung, which opens into the nose. One may use powder of Gleditsiae Sinensis Fructus (Zaojiao, 皂角) or Tongguan San (Opening the Pass Powder), or blow Sha medicine into the nostrils to induce sneezing, thereby unblocking the airway. This allows pathogenic factors to escape externally and turbid Qi to be discharged, naturally relieving the disease.
Regardless of whether sneezing occurs, Gua Sha (scraping therapy) should follow immediately. If sneezing occurs, although Lung Qi has opened, one must fear that the Qi mechanism of Ying and Wei (defensive) levels remains bi (obstructed). Scraping should be performed to disseminate it. If no sneezing occurs, since Lung Qi has not opened, it is even more necessary to loosen the Wei Qi via scraping, allowing pathogens that have entered the Ying Level to be excreted externally from time to time, so the disease can be relieved. Therefore, areas such as the shoulders, neck, spine, back, chest, anterior costal regions, lateral ribs, arms, and popliteal fossae (bends of both knees) are suitable for scraping using cotton yarn, ramie rope, green thread, or the rim of a porcelain bowl, dipped in vegetable oil, scraped from top to bottom, stopping only when purple-red Sha marks appear. For the soft flesh areas below the neck and on the abdomen, finely ground salt should be used for rubbing with the hand, or fingers dipped in clean water can be used for pinching/cupping-like manipulation. Zhang Jingyue stated: "For conditions with deep toxins and acute illness, scraping the back is indispensable." This is because the connections of the Zang organs (solid organs) are all attached to the back. Rubbing the back with salt is also effective.
When Ying and Wei Qi are obstructed by pathogenic factors and fail to circulate freely, it leads to cold extremities and abdominal pain, with faint red spots appearing on the body. This is named Ban Sha (macular Sha) or Fan Sha. It is erroneous for laypeople to call it Yin Sha (Yin-type Sha) merely because of the cold extremities. The appropriate treatment is to dip a rush stem (Jiedixin, 灯心) slightly in oil, ignite it, and perform Cui Fa (quenching/cauterization therapy) on the affected area. Bring the flame close to the skin and immediately lift it away; if a sound is heard, the disease condition will relieve.