张戴人曰∶泰和间，余见广济院僧病霍乱，一方士用附子、干姜同煎，放冷服之
。服讫，呕血而死（如此而死，必是暑证。洄溪云∶暑证忌姜，虽与连芩同用，
亦有大害。况与附子同行，祸更烈矣）。顷合流镇李彦直，中夜忽作吐泻，自取理中
丸服之。（洄溪云∶此是寒霍乱之方，百不得一。误用者，祸不旋踵）。
医至，谓有食积，以巴豆药三五丸下之，亦不动，至明而死（纵有食积，何必下以巴豆）。
遂平李仲安，携一仆一佃客至偃城，夜宿邵辅之家，是夜仆逃，仲安觉其逸也，骑马与佃客
往临颖追之。时七月天大热，炎风如箭，埃尘漫天，至辰时而还。曾不及三时，往返百二
十里，既不获其人，复宿于邵氏斋。忽夜间闻呻吟之声，但言救我，不知其谁也。执火寻，乃
仲安之佃客也。上吐下泻，目上视而不下，胸胁痛，不可动摇，口欠而脱臼，四肢厥冷，此
正风湿 三者俱合之证也（夜行风大，兼感凉气，乘马疾驰，更挟劳瘁）。其 曾闻余言，乃取六一散，以新汲水，锉
生姜调之，顿服半升。其人复吐，乃再调半升，令徐服之，良久方息（吐证服药，往往不受
，必徐徐服，始合法也）。至明又饮数服，遂能起（生姜不煎，但
锉入新汲水中而调六一散，取其微辛佐甘凉之剂，以解风暑
而清湿热，略无助火之弊，可为用药之法），调养三日平复（先清外感
，而后调其劳悴之伤，可为治病之法）。
罗谦甫治一蒙人，因食酒肉潼乳而患霍乱，从朝至午，精神昏愦，脉皆浮数（暑邪未去），按之无力，所伤之物已出
矣（正气已虚）。即以新汲水调桂苓白术散，徐徐服之（妙）。随作地浆水，澄取清者一杯，
再调服之（尤妙），吐泻遂止。次日微烦渴，与钱氏白术散，时服而愈
（脉证如是，而所伤之物已出，则知中气伤残，暑邪未解，故用补正清邪之治。凡
虚人受暑而病此者，即以是案为法可也。其理中、四逆等方，皆治阴寒致病，非治暑也。此等
界限不清，亦何足以言医耶）。
又治提举公，年近八十。六月间患霍乱吐利，昏冒终日，不省人事（
暑邪内扰），脉洪大有力，一息七八至（火势冲激），头热如火
（邪热上僭，不是戴阳），足冷如冰（肺气不降，非下虚也），半身不遂（胃气大乱，不能束骨利机关），牙关紧急（热入
阳明之络，不是中风）。遂以甘露散泻热补气安神明，加茯苓以分阴阳，冰水调灌
，渐渐省事，而诸证悉去。后慎言语（虚证最要），节饮食（诸
病宜尔，无病患亦宜尔），三日，以参术调中药理正气，十日后方平复。
汪石山治一人，年三十余，形瘦弱，忽病上吐下泻，水浆不入口七日，自分死矣
（未服燥热药，犹可不死）。诊脉八至而数，曰∶当夏而得是脉，暑邪深入也（提举以八十之年而脉八至。此人七日不进
水浆，脉亦八至，若非明眼，
进半杯，良久复进一杯（徐进可法）。觉稍安，三服后，减去石膏、知母
，而人参渐次加至四五钱（操纵有法）。黄柏、橘皮、麦冬等，随所兼病
而佐使，（制剂有法）一月后平复（暑盛元伤之治，此案可法）
一仆夫燕京人，纵酒，饮食无节，病霍乱吐泻转筋，烦渴几殆。时六七月，淋
雨昼夜
子，起家致富，孙曾绕膝，寿至九秩而终。若富贵人患此，则每为温补药所误也）。
《千金方》云∶轻者水瘥（良然良然，古人岂欺我哉），此偶合古方。
余目击其事，后路途中，及六合县，见一人服新汲井水良愈（凡暑热病渴喜冷冻饮料者，但以
新汲水或冬雪水徐徐饮之，皆能向愈，不但霍乱为然也，今人虽明知其患热，而尤禁饮冷，
何耶）。
一人病霍乱，欲吐不吐，欲泻不泻，心腹 痛，脉之沉伏如无，（痛
脉每如是）此干霍乱也。急令盐汤探吐宿食痰涎碗许，遂泻（上窍得开
，下窍自通。但得吐泻，即可治矣）。与六和汤愈。
孙文垣治程氏子，先醉酒，后入房（其平素纵恣贪凉可知矣）。次早，四
肢冷，胃脘痛极，脉仅四至。或以郁火治，投以寒凉，痛更甚。三日前所食西瓜，吐出未化
（伤冷已甚），乃翁以为阴证伤寒（今人凡闻病犯房事者，虽不
伤冷食，亦谓之阴证伤寒，辄以丁附姜桂杀之，可惨也已），欲用附子理中汤，不
决（此翁颇虚心，故乃郎有命）。逆孙视之，面色青惨，叫痛而声不扬，坐
卧烦乱，是霍乱兼蛔厥证也。先当止痛安蛔，后理霍乱，可免死也，迟则误事矣。急用醋炒
五灵脂三钱，苍术一钱五分，乌梅三个，川椒、炮姜、桂心各五分，水煎饮下，痛减大半（恣啖生冷，复伤于酒，
更误于寒凉之药，故以温胃安蛔得效）。下午以大腹皮
藿香、半夏、橘皮、山楂、茯苓、五灵脂，两帖全安（仍以和中化滞，理其脾胃
而愈。入房一端，略不置议，洵可法也）。
江篁南治从叔于七月间得霍乱证，吐泻转筋，足冷多汗，囊缩。一医以伤寒
治之
脉伏而微），尺部极微，口渴欲饮冷水（足冷囊缩，似属厥阴，口渴，亦
似少阴引水自救，何以辨之，曰，直中阴经无转筋多汗证，若少阴头有汗则死矣），
乃以五苓散与之（此治伤寒霍乱有表证之方，江氏不察，泥于热多欲饮水句而误也
。此时如用桂苓甘露饮则得矣）。觉稍定，向午犹渴（囊缩乃暑热入于
厥阴，故口渴欲饮冷，非伤寒也，而与伤寒药，渴何能已）。以五苓加麦冬、五味、
滑石投之（始知为暑热矣，仅加麦冬、滑石，不足蔽辜，而五味酸温，尤不宜用），更以黄连、香薷饮冷进一服（前方拘
泥
俗说，妄用五味，不知服后何如，
忽进此剂，殊属可笑）。次早，脉稍出，按之无根，且人脱形（连投温
燥，又以香薷升散，宜乎如是），呃忒，手足逆冷，饮食入口即吐（桂术五
味香薷等药见效矣），大便稍不禁。为灸丹田八九壮，囊缩稍舒，手足稍温（伏热得火灸，已有流行之势）。继以理中汤
二三服（茫无头绪，若江氏
，
（焦头烂额之客），投之而愈（此案江氏初治，原知为热，止用
泥古，遂致一误再误，迨哕吐形脱之时，又不知清补兼施，而艾灸理中，几至溃败。幸而不
用附子，故未着尚能挽救，然亦危矣，读者鉴诸）。
江少微治一妇人，六月中旬，病霍乱吐泻转筋，一医投藿香正气散（
此治袭凉饮冷兼寒湿而成霍乱之方），加烦躁面赤，揭衣卧地（藿香正气
散
，温散之剂也。尚不可误施于暑热霍乱，故误投附桂者，每见下咽即昏沉厥冷，浑身青紫而
死
，医者犹谓阴盛已极，此等大热之药，尚不克救。再遇此证，仍以此法投之，至老不悟，而
死者之冤，亦无从诉。此余之所以述霍乱转筋诸治法为世告也）。江诊之，脉虚无
力，
身热引饮，此得之伤暑，宜辛甘大寒之剂，泻其火热，以五苓散加滑石、石膏。吐泻定，
再
与桂苓甘露饮而痊（暑热为病，脉多虚微涩弱，弦细芤迟，以热伤气也。甚至隐
伏不应指，或两尺绝无，皆邪滞经络，上下格拒使然。不可误认为虚寒也。亦有脉因火煽而
反洪大滑数异常者。此霍乱所以无一定之诊，临病极宜善审也）。
陈三农治一妇，暑月方饭后，即饮水而睡，睡中心腹痛极，肢冷上过肘膝，欲吐
利而不得吐利， 痛垂死，六脉俱伏。令以藿香正气散煎汤探吐。一吐减半，再吐而安
（此停食饮冷睡卧当风而成干霍乱也，以对证之剂引吐，又合机宜，不必拘守盐汤一
法也）。
缪仲淳治高存之家仆妇患霍乱，以砂仁一两，炒研，盐一撮，沸汤调，冷服一剂
愈（此治夏月贪凉、脾胃不和之轻证也。冬月感寒患此亦可用，但宜温服，余尝自
验）。伤冷物者，加吴茱萸。
张石顽云∶一少年新婚，陡然腹痛麻瞀（《医通》谓之番痧，即干霍乱之因热者）
。或令饮火酒半杯，（此必疑其阴证也，而不知少年新婚，最多火证，何也。
以不论贫富，冬夏衣被皆新，而合欢成礼，劳则生火也）。腹痛转剧，旋增颅胀
，身
发红点（热毒得酒愈识，若不急从清解，必七窍流血而死）。与芦根汁
（解酒毒而清热），得吐痛解。复有鼻衄，口燥，胸腹略见红斑（血分热极）。啜童子小便稍安（清营妙品）。又浓煎葱豉
汤
（宣解恶气秽毒之圣药），仍入童便，续续与之，得大吐汗出而痊。
叶天士治一人霍乱后，中气大虚，肝风内动，心中空洞，身痛肢浮，用异功散加木瓜、姜
、
枣。按此以培中制木之剂，而为霍乱善后之治，最可法也。若见身痛肢浮，而误用表散之品
，则内风愈动，脾土重伤，因而致殆者多矣。夫霍乱固是中焦土病，而土病多由木侮，故虽
治寒霍乱，必首察厥阴之动静。倘其人肝阴素亏，内风暗动者，姜附等极宜慎用。即当用者
，亦须妥为驾驭，毋使过剂。设或无节，虽不似热霍乱之立时殒命，亦必增剧而生枝节。试
观仲圣治厥阴下利之用白头翁汤，其义自明。盖厥阴虽当两阴交尽，而具合晦朔之理。阴之
初尽，即阳之初生，其本阴，其标热，其体木，其用火，是以独称刚脏。而爵以将军，顾名
思义，可以悟其治矣。世有治肝气惟崇刚燥者，骤则变痉厥，缓则成关格。人但知病之日深
，而不知药之所酿，并及之，以为医家病家两鉴焉。
怀抱奇治一男子，恣饮梅水，吐泻无度，手足厥逆，面色惨晦，声音不出，而脉沉伏，小水
点滴不通，服药入口即吐，医告技穷。余思梅味酸主收，故小便癃闭。而果得麝则败。麝又
香窜走窍，乃取麝半入脐中，半入鼻孔。病者即以手拂其鼻曰，此何物也？少顷，小水大下
二三行，忽如醉而醒，梦而觉，越日索粥渐安（此无外因者，故但以败果通窍即
能奏效，其巧思正不可及也）。
童 庐治陈氏妇，盛夏病霍乱吐泻，腹中 痛，四肢厥冷，冷汗溱溱，转筋
戴眼，烦躁大渴，喜冷冻饮料，饮已即吐，六脉皆伏。虽曰霍乱，实脏厥也。经云∶大气入脏，
腹
痛下注，可以致死，不可以致生，速宜救阳为急，迟则肾阳绝矣。以四逆汤姜、附各三钱
，
炙甘草、吴茱萸各一钱，木瓜四钱，煎成冷服，日夜连进三剂。四肢始和，危象皆退。口渴
，反喜沸汤，寒象始露，即于方中佐以生津存液之品，两服而安。按∶此案论证用药，皆具
卓
识，其真谛全在喜冷冻饮料，而饮已即吐，及服热药后，反喜沸汤也。设能受冷冻饮料者，即为内真
热而外假寒。然热证亦有胸下格拒不通，虽喜冷冻饮料，饮已仍吐，必细细呷之，始能受也。亦
有痰湿内盛，虽渴而喜热饮者，皆不可误认为寒也。故必辨舌苔之色泽，验小水之有无，始
无遁情。案中未及，尚欠周详。且大气入脏，非人人共患之疫，而疫气流行之际，亦间有此
一证。故医者必议病而用药，毋执方以杀人，是乃仁术。
倪姓患霍乱吐泻，审知始不作渴，
四肢不逆，脉不沉细（易治之证），一医用大顺散两帖，渐至于此。因见
四逆，复加附子，脉证更剧（我见实多）。童曰∶此病一误再误，命将殆
矣。若果属寒，投热病已。今反四逆，脉转沉细欲伏，乃酿成热深厥深，与热邪传入厥阴者，
何异（辨证中肯）？即以竹叶石膏汤，人参易西洋参（是），加黄连、滑石，两剂而安。同时有陆姓患此，医用回阳之剂，
日
夜兼进（岂真欲其速死哉，纸上谈兵，读书无眼者，往往如是，不仅粗工尔也，我见亦多），
厥
逆烦躁日增。病患欲得冷水，禁绝不与（可恨可叹）。甚至病者自起，拾
地上痰涎以解渴（可惨可怜），迁延旬日而死（能延旬日，则欲
得冷水时，若能转计，犹可活也）。噫！即使真属阴寒，阳回躁渴如是，热药之性
，郁
而无主，以凉药和之，病亦立起，不学无术，曷胜浩叹（凉药和之妙理，未经人
道，谢城）。
张氏女，夏月患霍乱，医用姜、附，藿、朴、茱、连等药，呕吐虽止，腹痛不已
，
而痢五色。至第八日，童诊脉细数，沉部有力，两目罩翳，舌绛唇红，胸膈烦懑，口渴引饮
，是暑秽之毒，扰乱中宫而病霍乱。苦热虽能开郁止呕，毕竟反助邪势，致变五色毒痢（此暑毒尚不甚重，而兼湿邪，
故仅变五色毒痢，若无湿而暑毒重者，早不救矣）。与子和桂苓甘露饮加黄连、银花、黑豆，两服翳退，而诸恙降序，胃
亦稍苏。因畏药不肯再服，余谓余邪未净，留而不去，残害脏腑，必转他病。乃与三豆汤加甘草频饮而愈。
汤芷卿曰∶常州伍某，素壮健
，方啖饭，忽呼痛倒地，云胸膈如刀割，群医莫治，阅三日，恹恹待毙矣。一老人过问病情
，令磨陈墨汁与啜，痛立止。病如失，因问是何证也？曰∶记少时邻人患病类此，一老医以
此法治愈，云误食天丝毒也。想墨汁无害，故令试之，不料其果合耳（此证虽罕
，设有之，人必以为干霍乱耳，故采之以广闻见）。
固始有人于元旦食汤圆讫，方出门贺岁，忽腹如火烧，痛不可忍，绝晕仆地，移
张戴人说：泰和年间，我见到广济院的一位僧人患霍乱，一位方士用附子、干姜同煎，放冷后给他服用。服完后，他呕血而死（像这样死去，必定是暑热证。洄溪先生说：暑热证忌用生姜，即使与黄连、黄芩同用，也有很大危害。何况与附子同用，祸害更猛烈了）。不久，合流镇的李彦直，半夜突然发生呕吐腹泻，自己取理中丸服用。（洄溪先生说：这是治疗寒霍乱的方子，一百次里也不见得有一例适用。误用的话，灾祸立刻就会降临）。医生到了，说是有食积，用巴豆药三五丸让他泻下，也不见效，到天亮就死了（纵然有食积，何必用巴豆来攻下）。
后来平凉的李仲安，带着一个仆人和一个佃户到偃城，晚上住在邵辅之家。那天夜里仆人逃跑了，李仲安发觉他逃跑，便骑马与佃户去临颖追赶。当时七月天气大热，热风如箭，尘土漫天，到辰时才回来。总共不到三个时辰，往返一百二十多里，既没抓到那人，又宿在邵家书房。忽然夜间听到呻吟声，只喊救命，不知是谁。拿着火把寻找，原来是李仲安的佃户。上吐下泻，眼睛向上翻而不向下看，胸胁疼痛，不能动摇，打哈欠导致下巴脱臼，四肢冰冷，这正是风、湿、暑三者兼夹的证候（夜晚行走风大，又感受凉气，骑马疾驰，更加上劳累疲惫）。他曾听过我的话，于是取六一散，用新打的井水，切碎生姜调匀，一次性服用半升。病人又吐了，于是再调半升，让他慢慢服用，过了很久才停止（呕吐证服药，往往接受不了，必须慢慢服，这才符合法度）。到天亮又喝了几服，就能起床了（生姜不煎煮，只是切碎放入新井水中调六一散，取其微辛辅助甘凉的药剂，以解风暑而清湿热，略微没有助火弊端，可作为用药的法度），调养三天后痊愈（先清外感，然后调理劳累损伤，可作为治病的方法）。
罗谦甫治疗一个蒙古人，因为吃了酒肉和潼乳（一种乳制品）而患霍乱，从早晨到中午，精神昏沉迷糊，脉象都浮数（暑邪未去），按下去无力，所伤的食物已经吐出来了（正气已虚）。立即用新井水调桂苓白术散，慢慢服用（妙）。随即制作地浆水，澄清取清液一杯，再调服（尤其妙），呕吐腹泻于是停止。第二天稍微烦渴，给钱氏白术散，时时服用而痊愈（脉证如此，而所伤之物已出，则知中气伤残，暑邪未解，所以用补正清邪的治疗。凡是虚人受暑而患此病的，就以这个案例为法即可。那些理中、四逆等方，都是治疗阴寒致病的，不是治暑热的。这些界限不清，哪里足以称为医生呢）。
又治疗提举公，年纪近八十。六月间患霍乱吐利，整天昏冒，不省人事（暑邪内扰），脉洪大有力，一息七八至（火势冲激），头热如火（邪热上僭，不是戴阳），脚冷如冰（肺气不降，不是下虚），半身不遂（胃气大乱，不能束骨利关节），牙关紧急（热入阳明之络，不是中风）。于是用甘露散泻热补气安神明，加茯苓以分阴阳，用冰水调灌，渐渐清醒，而各种症状全部去除。后来慎言语（虚证最要紧），节饮食（各种病都应该这样，无病患也应该这样），三天后，用人参、白术调中药理正气，十日后才痊愈。
汪石山治疗一个人，三十多岁，形体瘦弱，忽然病上吐下泻，水浆不进七天，自己认为必死无疑（未服燥热药，还可以不死）。诊脉八至且数，说：正当夏天而得这种脉，是暑邪深入啊（提举以八十之年而脉八至。此人七日不进饮食，脉也是八至，若不是明眼人，很容易误判）。进半杯，过了很久再进一杯（慢慢进服可效法）。觉得稍安，三服后，减去石膏、知母，而人参逐渐加到四五钱（操纵有法）。黄柏、橘皮、麦冬等，随兼病而佐使（制剂有法），一个月后痊愈（暑盛元伤的治疗，此案可效法）。
一个燕京来的仆夫，纵酒，饮食无节制，病霍乱吐泻转筋，烦渴几乎致死。时值六七月，淋雨昼夜不停。回家后，起家致富，子孙绕膝，寿至九十岁而终。如果是富贵人患此病，则常被温补药所误）。《千金方》说：轻者用水瘥（确实确实，古人难道骗我们吗），这偶然符合古方。我在目击此事后，后路途中，及六合县，见一人服新汲井水良愈（凡暑热病渴喜冷冻饮料者，但以新汲水或冬雪水徐徐饮之，皆能向愈，不但霍乱为然也，今人虽明知其患热，而尤禁饮冷，何耶）。
一人病霍乱，想吐吐不出，想拉拉不出，心腹绞痛，脉沉伏如无，（痛脉每如是）这是干霍乱。急令盐汤探吐宿食痰涎碗许，遂泻（上窍得开，下窍自通。但得吐泻，即可治矣）。与六和汤愈。
孙文垣治疗程氏的儿子，先醉酒，后入房（他平时放纵贪凉可知了）。次日早上，四肢冷，胃脘痛极，脉仅四至。有人用郁火治，投以寒凉，痛更甚。三日前所食西瓜，吐出未化（伤冷已甚），乃翁以为阴证伤寒（今人凡闻病犯房事者，虽不伤冷食，亦谓之阴证伤寒，辄以丁附姜桂杀之，可惨也已），欲用附子理中汤，不决（此翁颇虚心，故乃郎有命）。逆孙视之，面色青惨，叫痛而声不扬，坐卧烦乱，是霍乱兼蛔厥证也。先当止痛安蛔，后理霍乱，可免死也，迟则误事矣。急用醋炒五灵脂三钱，苍术一钱五分，乌梅三个，川椒、炮姜、桂心各五分，水煎饮下，痛减大半（恣啖生冷，复伤于酒，更误于寒凉之药，故以温胃安蛔得效）。下午以大腹皮、藿香、半夏、橘皮、山楂、茯苓、五灵脂，两帖全安（仍以和中化滞，理其脾胃而愈。入房一端，略不置议，洵可法也）。
江篁南治疗堂叔在七月间得霍乱证，吐泻转筋，足冷多汗，囊缩。一医以伤寒治之（脉伏而微），尺部极微，口渴欲饮冷水（足冷囊缩，似属厥阴，口渴，亦似少阴引水自救，何以辨之，曰，直中阴经无转筋多汗证，若少阴头有汗则死矣），乃以五苓散与之（此治伤寒霍乱有表证之方，江氏不察，泥于热多欲饮水句而误也。此时如用桂苓甘露饮则得矣）。觉稍定，向午犹渴（囊缩乃暑热入于厥阴，故口渴欲饮冷，非伤寒也，而与伤寒药，渴何能已）。以五苓加麦冬、五味、滑石投之（始知为暑热矣，仅加麦冬、滑石，不足蔽辜，而五味酸温，尤不宜用），更以黄连、香薷饮冷进一服（前方拘泥俗说，妄用五味，不知服后何如，忽进此剂，殊属可笑）。次早，脉稍出，按之无根，且人脱形（连投温燥，又以香薷升散，宜乎如是），呃忒，手足逆冷，饮食入口即吐（桂术五味香薷等药见效矣），大便稍不禁。为灸丹田八九壮，囊缩稍舒，手足稍温（伏热得火灸，已有流行之势）。继以理中汤二三服（茫无头绪，若江氏……（焦头烂额之客），投之而愈（此案江氏初治，原知为热，止用泥古，遂致一误再误，迨哕吐形脱之时，又不知清补兼施，而艾灸理中，几至溃败。幸而不用附子，故未着尚能挽救，然亦危矣，读者鉴诸）。
江少微治疗一妇人，六月中旬，病霍乱吐泻转筋，一医投藿香正气散（此治袭凉饮冷兼寒湿而成霍乱之方），加烦躁面赤，揭衣卧地（藿香正气散，温散之剂也。尚不可误施于暑热霍乱，故误投附桂者，每见下咽即昏沉厥冷，浑身青紫而死，医者犹谓阴盛已极，此等大热之药，尚不克救。再遇此证，仍以此法投之，至老不悟，而死者之冤，亦无从诉。此余之所以述霍乱转筋诸治法为世告也）。江诊之，脉虚无力，身热引饮，此得之伤暑，宜辛甘大寒之剂，泻其火热，以五苓散加滑石、石膏。吐泻定，再与桂苓甘露饮而痊（暑热为病，脉多虚微涩弱，弦细芤迟，以热伤气也。甚至隐伏不应指，或两尺绝无，皆邪滞经络，上下格拒使然。不可误认为虚寒也。亦有脉因火煽而反洪大滑数异常者。此霍乱所以无一定之诊，临病极宜善审也）。
陈三农治疗一妇人，暑月方饭后，即饮水而睡，睡中心腹痛极，肢冷上过肘膝，欲吐利而不得吐利，心痛垂死，六脉俱伏。令以藿香正气散煎汤探吐。一吐减半，再吐而安（此停食饮冷睡卧当风而成干霍乱也，以对证之剂引吐，又合机宜，不必拘守盐汤一法也）。
缪仲淳治疗高存之家的仆妇患霍乱，以砂仁一两，炒研，盐一撮，沸汤调，冷服一剂愈（此治夏月贪凉、脾胃不和之轻证也。冬月感寒患此亦可用，但宜温服，余尝自验）。伤冷物者，加吴茱萸。
张石顽说：一少年新婚，陡然腹痛麻瞀（《医通》谓之番痧，即干霍乱之因热者）。或令饮火酒半杯，（此必疑其阴证也，而不知少年新婚，最多火证，何也。以不论贫富，冬夏衣被皆新，而合欢成礼，劳则生火也）。腹痛转剧，旋增颅胀，身发红点（热毒得酒愈识，若不急从清解，必七窍流血而死）。与芦根汁（解酒毒而清热），得吐痛解。复有鼻衄，口燥，胸腹略见红斑（血分热极）。啜童子小便稍安（清营妙品）。又浓煎葱豉汤（宣解恶气秽毒之圣药），仍入童便，续续与之，得大吐汗出而痊。
叶天士治疗一人霍乱后，中气大虚，肝风内动，心中空洞，身痛肢浮，用异功散加木瓜、姜、枣。按此以培中制木之剂，而为霍乱善后之治，最可法也。若见身痛肢浮，而误用表散之品，则内风愈动，脾土重伤，因而致殆者多矣。夫霍乱固是中焦土病，而土病多由木侮，故虽治寒霍乱，必首察厥阴之动静。倘其人肝阴素亏，内风暗动者，姜附等极宜慎用。即当用者，亦须妥为驾驭，毋使过剂。设或无节，虽不似热霍乱之立时殒命，亦必增剧而生枝节。试观仲圣治厥阴下利之用白头翁汤，其义自明。盖厥阴虽当两阴交尽，而具合晦朔之理。阴之初尽，即阳之初生，其本阴，其标热，其体木，其用火，是以独称刚脏。而爵以将军，顾名思义，可以悟其治矣。世有治肝气惟崇刚燥者，骤则变痉厥，缓则成关格。人但知病之日深，而不知药之所酿，并及之，以为医家病家两鉴焉。
怀抱奇治疗一男子，恣饮梅水，吐泻无度，手足厥逆，面色惨晦，声音不出，而脉沉伏，小水点滴不通，服药入口即吐，医告技穷。余思梅味酸主收，故小便癃闭。而果得麝则败。麝又香窜走窍，乃取麝半入脐中，半入鼻孔。病者即以手拂其鼻曰，此何物也？少顷，小水大下二三行，忽如醉而醒，梦而觉，越日索粥渐安（此无外因者，故但以败果通窍即能奏效，其巧思正不可及也）。
童 庐治疗陈氏妇，盛夏病霍乱吐泻，腹中绞痛，四肢厥冷，冷汗溱溱，转筋戴眼，烦躁大渴，喜冷冻饮料，饮已即吐，六脉皆伏。虽曰霍乱，实脏厥也。经云∶大气入脏，腹痛下注，可以致死，不可以致生，速宜救阳为急，迟则肾阳绝矣。以四逆汤姜、附各三钱，炙甘草、吴茱萸各一钱，木瓜四钱，煎成冷服，日夜连进三剂。四肢始和，危象皆退。口渴，反喜沸汤，寒象始露，即于方中佐以生津存液之品，两服而安。按∶此案论证用药，皆具卓识，其真谛全在喜冷冻饮料，而饮已即吐，及服热药后，反喜沸汤也。设能受冷冻饮料者，即为内真热而外假寒。然热证亦有胸下格拒不通，虽喜冷冻饮料，饮已仍吐，必细细呷之，始能受也。亦有痰湿内盛，虽渴而喜热饮者，皆不可误认为寒也。故必辨舌苔之色泽，验小水之有无，始无遁情。案中未及，尚欠周详。且大气入脏，非人人共患之疫，而疫气流行之际，亦间有此一证。故医者必议病而用药，毋执方以杀人，是乃仁术。
倪姓患霍乱吐泻，审知始不作渴，四肢不逆，脉不沉细（易治之证），一医用大顺散两帖，渐至于此。因见四逆，复加附子，脉证更剧（我见实多）。童曰∶此病一误再误，命将殆矣。若果属寒，投热病已。今反四逆，脉转沉细欲伏，乃酿成热深厥深，与热邪传入厥阴者，何异（辨证中肯）？即以竹叶石膏汤，人参易西洋参（是），加黄连、滑石，两剂而安。同时有陆姓患此，医用回阳之剂，日夜兼进（岂真欲其速死哉，纸上谈兵，读书无眼者，往往如是，不仅粗工尔也，我见亦多），厥逆烦躁日增。病患欲得冷水，禁绝不与（可恨可叹）。甚至病者自起，拾地上痰涎以解渴（可惨可怜），迁延旬日而死（能延旬日，则欲得冷水时，若能转计，犹可活也）。噫！即使真属阴寒，阳回躁渴如是，热药之性，郁而无主，以凉药和之，病亦立起，不学无术，曷胜浩叹（凉药和之妙理，未经人道，谢城）。
张氏女，夏月患霍乱，医用姜、附，藿、朴、茱、连等药，呕吐虽止，腹痛不已，而痢五色。至第八日，童诊脉细数，沉部有力，两目罩翳，舌绛唇红，胸膈烦懑，口渴引饮，是暑秽之毒，扰乱中宫而病霍乱。苦热虽能开郁止呕，毕竟反助邪势，致变五色毒痢（此暑毒尚不甚重，而兼湿邪，故仅变五色毒痢，若无湿而暑毒重者，早不救矣）。与子和桂苓甘露饮加黄连、银花、黑豆，两服翳退，而诸恙降序，胃亦稍苏。因畏药不肯再服，余谓余邪未净，留而不去，残害脏腑，必转他病。乃与三豆汤加甘草频饮而愈。
汤芷卿说：常州伍某，素壮健，方啖饭，忽呼痛倒地，云胸膈如刀割，群医莫治，阅三日，恹恹待毙矣。一老人过问病情，令磨陈墨汁与啜，痛立止。病如失，因问是何证也？曰∶记少时邻人患病类此，一老医以此法治愈，云误食天丝毒也。想墨汁无害，故令试之，不料其果合耳（此证虽罕，设有之，人必以为干霍乱耳，故采之以广闻见）。
Zhang Dairen said: During the Taihe era, I witnessed a monk at Guangji Hospital suffering from cholera. A practitioner decocted Fuzi (Aconite Lateral Root) and Ganjiang (Dried Ginger) together, allowed it to cool, and administered it. After ingestion, the patient vomited blood and died (Such a death indicates a heat syndrome caused by summerheat. Huixi stated: Summerheat syndromes contraindicate the use of Shengjiang (Fresh Ginger); even when used with Huanglian (Coptis Rhizome) and Huangqin (Scutellaria Root), it causes significant harm. How much more destructive is its combination with Fuzi?). Shortly after, Li Yanzhi of Heliu Town suddenly experienced vomiting and diarrhea in the middle of the night. He self-administered Lizhong Wan (Regulate the Middle Pill). (Huixi noted: This formula treats cold-type cholera; it is applicable in less than one percent of cases. Misuse leads to immediate disaster). When the physician arrived, he diagnosed food stagnation and prescribed three to five pills of Badou (Croton Seed) medicine to induce purgation. There was no effect, and the patient died by dawn (Even if there were food stagnation, why use the harsh purgative Badou?).
Later, Li Zhongan from Pingliang, accompanied by a servant and a tenant farmer, traveled to Yancheng. They stayed overnight at the home of Shao Fu. That night, the servant fled. Upon discovering this, Li Zhongan mounted his horse and pursued him with the tenant farmer toward Linying. It was July, the weather was extremely hot, and the scorching wind felt like arrows, with dust filling the sky. They returned by the Chen hour (7-9 AM). In less than three shichen (6 hours), they had traveled over 120 li round trip without catching the fugitive, and they lodged again in the study of the Shao residence. Suddenly, moaning sounds were heard at night, crying for help, but the source was unknown. Carrying a torch to search, they found Li Zhongan's tenant farmer. The patient suffered from upper vomiting and lower diarrhea, eyes fixed upward, severe pain in the chest and hypochondrium preventing movement, jaw dislocation due to yawning, and cold limbs. This was a syndrome combining Wind, Dampness, and Summerheat (The large wind at night brought cold qi; riding fast added physical exhaustion). Having heard my advice previously, he took Liuyi San (Six-to-One Powder), mixed it with fresh well water and chopped Shengjiang (Fresh Ginger), and ingested half a sheng at once. The patient vomited again, so another half sheng was prepared and administered slowly. After a long while, the symptoms subsided (In vomiting syndromes, medicines are often rejected; slow administration is the correct method). By dawn, after several more doses, the patient could rise (Shengjiang is not decocted but chopped into fresh well water to mix with Liuyi San, utilizing its mild acridity to assist the sweet-cool formula in resolving wind-summerheat and clearing damp-heat, without aiding fire. This serves as a model for medication). After three days of recuperation, he recovered (First clear external pathogens, then regulate physical injury; this is a model for treatment).
Luo Qianfu treated a Mongolian man who developed cholera after consuming alcohol, meat, and Tongru (a dairy product). From morning until noon, he was mentally confused, with floating and rapid pulses (Summerheat pathogen remains), which were empty upon pressure (Righteous Qi is deficient), as the damaged food had already been expelled. Luo immediately mixed Guiling Baizhu San (Cinnamon Twig, Poria, and Atractylodes Macrocephala Powder) with fresh well water and administered it slowly (Excellent). Then, he prepared Dijiangshui (Earth Slurry Water), clarified it, took one cup of the clear liquid, and administered it again (Superb). Vomiting and diarrhea ceased. The next day, he had slight irritability and thirst, so Qianshi Baizhu San (Qian's Atractylodes Macrocephala Powder) was given intermittently until recovery (Given the pulse and symptoms, and the expulsion of damaged food, it is known that Middle Qi is injured and Summerheat remains unresolved. Thus, tonifying righteousness and clearing pathogens is the approach. For deficient individuals contracting this from summerheat, this case serves as a model. Formulas such as Lizhong Tang and Sini Tang treat Yin-cold diseases, not Summerheat. Confusing these boundaries shows one is unfit to be called a physician).
He also treated Director Gong, nearly eighty years old. In June, he suffered from cholera with vomiting and diarrhea, daily coma, and unconsciousness (Summerheat disturbing internally). His pulse was flooding and forceful, beating seven or eight times per breath (Fire energy surging). His head was hot as fire (Pathogenic heat rising, not Yang floating), while his feet were cold as ice (Lung Qi failing to descend, not Lower deficiency). He had hemiplegia (Stomach Qi severely disrupted, unable to control bones and joints) and locked jaws (Heat entering the Yangming collaterals, not wind-stroke). Luo used Ganlu San (Sweet Dew Powder) to purge heat, tonify Qi, and calm the Spirit, adding Fuling (Poria) to differentiate Yin and Yang. Mixed with ice water and灌 (instilled), the patient gradually regained consciousness, and all symptoms resolved. Later, he was advised to speak sparingly (Crucial for deficiency) and regulate diet (Applicable to all illnesses, even for the healthy). After three days, Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala) were used to regulate Middle Qi. Ten days later, he fully recovered.
Wang Shishan treated a man in his thirties, thin and weak, who suddenly developed vomiting and diarrhea, unable to keep down fluids for seven days, believing he would die (Without using drying-hot drugs, death was not inevitable). His pulse beat eight times per breath and was rapid. Wang said: "In summer, this pulse indicates deep penetration of Summerheat." (Director Gong, at eighty, had this pulse. This man, without fluids for seven days, also had this pulse; only an expert would distinguish the prognosis). Half a cup was administered, followed by another cup after a long interval (Slow administration is effective). Feeling slightly better, after three doses, Shigao (Gypsum) and Zhimu (Anemarrhena Rhizome) were reduced, while Renshen (Ginseng) was gradually increased to four or five qian (Manipulation is skillful). Huangbai (Phellodendron Bark), Chuanpi (Tangerine Peel), and Maidong (Ophiopogon Tuber) were added according to accompanying conditions (Formulation is skillful). He recovered after one month (Treatment for severe Summerheat damaging Yuan Qi; this case is a model).
A servant from Beijing, indulging in alcohol and irregular diet, suffered from cholera with vomiting, diarrhea, and muscle cramps, nearly dying from irritability and thirst. It was June or July, with continuous rain day and night. After returning home, he became wealthy, had descendants around his knees, and lived to ninety. If wealthy people suffer this, they are often misled by warming-tonic drugs). The *Qianjin Fang* states: "Mild cases heal with water" (Truly, truly; did the ancients deceive us?). This coincidentally matches ancient formulas. I witnessed this event personally. Later, on the road and in Liuhe County, I saw a person recover well after drinking fresh well water (For any summerheat-heat illness where thirst favors cold drinks, slowly drinking fresh well water or winter snow water promotes recovery, not just in cholera. Why do moderns, despite knowing the heat pathology, strictly forbid cold drinks?).
One person suffered from cholera, wanting to vomit but unable, wanting to defecate but unable, with heart and abdominal colic. The pulse was deep, hidden, and almost imperceptible (Pain pulses are often like this). This is Dry Cholera. Immediately, salt water was used to induce vomiting of retained food and phlegm, about one bowl. Defecation ensued (Opening the upper orifice allows the lower orifice to open. Once vomiting or defecation occurs, treatment can proceed). He was cured with Liuhe Tang (Harmonize the Six Decoction).
Sun Wen Yuan treated the son of the Cheng family, who first got drunk, then engaged in sexual intercourse (His usual indulgence and love for coolness are evident). The next morning, his limbs were cold, epigastric pain was extreme, and the pulse was only four beats per breath. Someone treated it as constrained fire, administering cold-cooling herbs, which worsened the pain. Three days prior, un-digested watermelon was vomited (Severe cold injury). His father thought it was Yin-type Cold Damage (Moderns, hearing of sexual activity during illness, call it Yin-type Cold Damage even without cold food injury, and kill patients with Ding (Clove), Fuzi (Aconite), Jiang (Ginger), and Gui (Cinnamon). Tragic!). He wanted to use Fuzi Lizhong Tang but hesitated (This father was open-minded, hence the son's survival). Sun examined him: face dark green, screaming in pain with a weak voice, restless sitting and lying. This was Cholera combined with Ascaris Jue (Cold Limb Syndrome due to parasites). First, stop pain and calm parasites, then treat cholera to avoid death; delay means error. Quickly, Cu Chao Wulingzhi (Vitaminized Trogopterus Dung fried in vinegar) 3 qian, Cangzhu (Atractylodes Lancea Rhizome) 1.5 qian, Wumei (Mume Fruit) 3 pieces, Chuanjiao (Sichuan Pepper) and Paoyang (Fried Ginger) and Guixin (Cinnamon Bark) each 0.5 fen, decocted in water and drunk. Pain reduced by more than half (Indulgence in raw/cold food, alcohol injury, and mistaken cold herbs necessitate warming the stomach and calming parasites). In the afternoon, Dafupi (Areca Peel), Huoxiang (Patchouli), Banxia (Pinellia Tuber), Chenpi (Tangerine Peel), Shanzha (Hawthorn Fruit), Fuling (Poria), and Wulingzhi were used. Two prescriptions led to full recovery (Regulating Middle, resolving stagnation, and harmonizing Spleen/Stomach cured it. Omitting discussion on the sexual aspect is indeed praiseworthy).
Jiang Huangnan treated his paternal uncle in July with cholera: vomiting, diarrhea, cramps, cold feet, excessive sweating, and retraction of the scrotum. One physician treated it as Cold Damage (Pulse hidden and faint). The Chi position was extremely faint, thirst for cold water (Cold feet and scrotal retraction suggest Jueyin; thirst suggests Shaoyin seeking water to save itself. How to distinguish? Direct invasion of Yin meridians lacks cramps and sweating; if Shaoyin has head sweat, death ensues). He prescribed Wuling San (Five-Ingredient Powder with Poria). (This treats Cold Damage cholera with exterior signs. Jiang failed to observe, sticking to "more heat desires water," causing error. Guiling Ganlu Yin would have been appropriate). Feeling slightly settled, by noon still thirsty (Scrotal retraction is Summerheat entering Jueyin, causing thirst for cold; not Cold Damage. Giving Cold Damage meds won't stop thirst). He added Maidong (Ophiopogon Tuber), Wuweizi (Schisandra Berry), and Huashi (Talc) to Wuling San (Only then realizing Summerheat; adding only Maidong and Huashi is insufficient, and Wuweizi's sour-warm nature is particularly unsuitable). Then, Huanglian (Coptis Rhizome) and Xiangru (Elsholtzia Herb) decoction was taken cold (The previous prescription stubbornly followed vulgar sayings, wrongly using Wuweizi. Who knows what happened after? Suddenly adding this agent is ridiculous). Next morning, pulse emerged slightly but lacked root, body emaciated (Continuous warm-dry drugs plus ascending-dispersing Xiangru caused this). Hiccups, cold hands and feet, immediate vomiting upon eating (Guizhi, Baizhu, Wuweizi, Xiangru etc. had effects), slight fecal incontinence. Moxibustion on Dantian for 8-9 cones relaxed the scrotum slightly and warmed hands/feet (Hidden heat begins to circulate with fire moxa). Subsequently, Lizhong Tang was given 2-3 doses (At a loss. If Jiang... [burnt-head guest], administered and cured (In this case, Jiang initially knew it was heat but stuck to antiquity, causing repeated errors. When hiccups, vomiting, and emaciation occurred, he didn't know to combine clearing and tonifying, using moxa and Lizhong instead, nearly leading to collapse. Fortunately, Fuzi was not used, so rescue was possible, though critical. Readers should take note).
Jiang Shaowei treated a woman in mid-June with cholera vomiting, diarrhea, and cramps. One physician prescribed Huoxiang Zhengqi San (Regulate Qi and Rectify Viscera Powder with Patchouli) (This treats cholera from catching chill, drinking cold, and cold-dampness). Irritability and red face increased, tearing clothes and lying on the ground (Huoxiang Zhengqi San is a warm-dispersing agent. It cannot be mistakenly used for Summerheat cholera. Those who mistakenly use Fuzi and Rougui often see immediate coma, cold limbs, and cyanosis upon swallowing, dying. Physicians still claim extreme Yin excess. Such great heat drugs cannot save them. Meeting this syndrome again and using this method, they remain ignorant until old age, and the冤 (wronged) dead have no one to appeal to. This is why I describe these treatments for cholera cramps to warn the world). Jiang diagnosed: pulse empty and weak, body heat with desire to drink. This is Summerheat injury. Suitable for pungent-sweet-great-cold agents to purge fire-heat. Wuling San plus Huashi (Talc) and Shigao (Gypsum) was used. After vomiting/diarrhea stopped, Guiling Ganlu Yin was given for recovery (Summerheat disease pulses are often empty, fine, choppy, weak, string-taut, knotted, or delayed due to heat injuring Qi. Even hidden or absent at Chi positions occur due to pathogen stagnating in collaterals and mutual rejection above and below. Do not mistake for deficiency-cold. Also, pulses may be flooding, slippery, and rapid abnormally due to fire fanning. Thus, cholera has no fixed pulse diagnosis; careful examination is crucial).
Chen Sansan treated a woman. In summer, after eating, she drank water and slept. She woke with extreme heart and abdominal pain, cold limbs extending past elbows and knees, wanting to vomit/defecate but unable, heart pain near death, six pulses hidden. Ordered Huoxiang Zhengqi San decoction to induce vomiting. One vomiting reduced pain by half; second vomiting brought peace (This is Dry Cholera from food retention, drinking cold, sleeping in draft. Using a matching agent to induce vomiting fits the situation; no need to stick solely to salt water).
Miu Zhongchun treated a maid in Gao Cunzhi's household with cholera. Sandaren (Amomum Fruit) 1 liang, stir-fried and ground, with a pinch of salt, mixed with boiling water, taken cold. One dose cured (This treats mild cases of summer coolness indulgence and Spleen/Stomach disharmony. Usable in winter for cold-induced cases, but taken warm. I have verified this myself). For cold-damaged food, add Wuzhuyu (Evodia Fruit).
Zhang Shiwan said: A young man, newly married, suddenly had abdominal pain, numbness, and dizziness (*YiTong* calls it Fan Sha, i.e., Dry Cholera due to heat). Someone ordered half a cup of fiery wine (Suspecting Yin syndrome, not knowing young newlyweds often have Fire syndromes. Why? Regardless of wealth, winter/summer bedding is new, and marital rites cause exertion generating fire). Abdominal pain worsened, followed by cranial distension and red spots on body (Heat toxin becomes apparent with wine; without urgent clearing/resolving, bleeding from seven orifices will occur). Given Lugenzhi (Reed Rhizome Juice) (Resolves wine toxin and clears heat). Vomiting relieved pain. Then epistaxis, dry mouth, slight red spots on chest/abdomen (Extreme heat in Blood level). Drank child urine for slight relief (Excellent for clearing Ying level). Strongly decocted Congchi Tang (Scallion and Soybean Decoction) (Holy medicine for dispersing foul qi and turbid toxins), still adding child urine, administered continuously. Great vomiting and sweating occurred, and he recovered.
Ye Tianshi treated a person post-cholera with severe Middle Qi deficiency, internal Liver Wind stirring, emptiness in heart, body pain, and limb edema. Yigong San (Extraordinary Efficacy Powder) plus Mugua (Chaenomelos Fruit), Jiang (Ginger), and Zao (Jujube) was used. Note: This is a Middle-boosting and Wood-restraining agent, excellent for post-cholera recuperation. If body pain/limb edema are seen and mistaken for exterior syndrome, using dispersing agents will stir internal wind further, severely injure Spleen Earth, and often lead to danger. Cholera is indeed a Middle Jiao Earth disease, but Earth diseases often result from Wood insulting Earth. Thus, even treating cold cholera, one must first observe Jueyin dynamics. If Liver Yin is chronically deficient with hidden internal wind, Jiang (Ginger) and Fuzi (Aconite) must be used with extreme caution. Even if necessary, they must be managed properly to avoid overdose. Without restraint, although not instantly fatal like heat cholera, symptoms will worsen and complications arise. Observe Zhang Zhongjing's use of Baitouweng Tang for Jueyin diarrhea; the meaning is clear. Jueyin, though ending two Yins, follows the logic of new moon/full moon. End of Yin is beginning of Yang. Its root is Yin, branch is Heat, body is Wood, function is Fire, thus uniquely called the "Gan Zang" (Rigid Organ). Ranked as General, the name reveals its treatment. Some treat Liver Qi only with rigid-dry herbs; acute cases become spasms/fainting, chronic cases become Guan Ge (Obstruction/Regurgitation). People know disease deepens but don't know drug-induced damage. Let this be a warning for physicians and patients alike.
Huai Baoqi treated a man who indulged in plum water, suffering endless vomiting/diarrhea, cold limbs, pale/dull face, voicelessness, hidden pulse, and complete urinary retention. Medicine was vomited immediately. Physician gave up. I reasoned Plum is sour and astringent, causing urinary retention. Musk defeats fruit. Musk is aromatic and opens orifices. So, half Musk was inserted into the umbilicus, half into nostrils. Patient touched nose asking "What is this?" Soon, urine flowed heavily 2-3 times. Suddenly awake from drunken dream-like state. Next day, asked for porridge and gradually recovered (No external factor, so defeating the fruit with musk to open orifices worked. Ingenious thinking is unmatched).
Tong Lu treated Mrs. Chen in midsummer with cholera vomiting/diarrhea, abdominal colic, cold limbs, profuse cold sweat, cramps, eyes rolling up, irritability, extreme thirst, desire for cold drinks, immediate vomiting upon drinking, six pulses hidden. Though called cholera, it is actually Zang Jue (Visceral Cold Limb). Classic says: "Large Qi enters Zang, abdominal pain and downward flow, can cause death, not life. Urgently save Yang, or Kidney Yang will perish." Sini Tang (Reverse the Five Decoction): Jiang (Ginger) and Fuzi (Aconite) each 3 qian, Zhi Gancao (Honey-fried Licorice) and Wuzhuyu (Evodia) each 1 qian, Mugua (Chaenomelos) 4 qian. Decocted and taken cold. Three doses day and night. Limbs harmonized, crisis receded. Thirst remained, but now preferred boiling water, revealing cold signs. Added fluids-generating ingredients to the formula. Two doses brought peace. Note: Case analysis and medication show outstanding insight. The truth lies in desiring cold drinks but vomiting immediately, and preferring boiling water after hot medicine. If cold drinks are tolerated, it is Internal True Heat/External False Cold. However, heat syndromes can also have chest rejection; even if desiring cold drinks, vomiting occurs unless sipped slowly. Also, Phlegm-Damp abundance can cause thirst preferring hot drinks. All must not be mistaken for cold. Must examine tongue coating color and urine presence/absence to reveal truth. The case omitted details, lacking thoroughness. "Large Qi entering Zang" is not a common epidemic, but occurs during epidemics. Physicians must prescribe based on disease, not stick to formulas killing people. This is benevolent art.
Mr. Ni suffered cholera vomiting/diarrhea. Initially no thirst, limbs not cold, pulse not deep/thin (Easy to treat). One physician used Dashun San for two doses, leading to this state. Seeing cold limbs, added Fuzi, worsening pulse/symptoms (I have seen much). Tong said: "This disease, mistreated twice, life is in danger. If truly cold, heat meds should cure it. Now reverse cold, pulse deep/thin/hiding, it has brewed Deep Heat/Deep Cold Limb, similar to Heat pathogen entering Jueyin (Accurate differentiation)?" Used Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction), replacing Renshen with Xiyangshen (American Ginseng), adding Huanglian (Coptis) and Huashi (Talc). Two doses brought peace. Simultaneously, Mr. Lu suffered similarly. Physician used Yang-returning agents day and night (Does he really want quick death? Paper talk, blind readers often do this, not just crude workers. I've seen much). Cold limbs and irritability increased daily. Patient wanted cold water, denied (Detestable/Sigh). Patient even picked up phlegm from ground to quench thirst (Tragic/Pitiful). Delayed ten days and died (If ten days survived, when wanting cold water, if strategy changed, could live). Alas! Even if truly Yin-cold, with Yang returning and irritability/thirst like this, the nature of heat drugs is stagnant and masterless. Harmonizing with cool meds would cure immediately. Ignorance brings heavy sighs (Wonderful principle of harmonizing with cool meds, unheard of before. Xie Cheng).
Miss Zhang, summer cholera. Physician used Jiang (Ginger), Fuzi (Aconite), Huoxiang (Patchouli), Houpo (Magnolia Bark), Wuzhuyu (Evodia), Lian (Coptis). Vomiting stopped, but abdominal pain continued, becoming five-colored dysentery. On eighth day, Tong diagnosed: pulse fine/rapid, strong in deep position, cloudy eyes, crimson tongue/red lips, chest oppression, thirst drinking eagerly. This is Summer-Turbidity toxin disturbing Middle Palace causing cholera. Bitter-hot can open depression and stop vomiting, but ultimately aids pathogen, transforming into five-colored toxic dysentery (Summer toxin not very heavy, combined with dampness, so only five-colored dysentery. Without dampness and heavy summer toxin, early rescue would fail). Given Hezi's Guiling Ganlu Yin plus Huanglian (Coptis), Yinhua (Honeysuckle Flower), and Heidou (Black Soybean). Two doses cleared cloudiness, symptoms subsided sequentially, Stomach revived. Afraid of medicine, refused more. I said residual pathogen remains, harming organs, turning into other diseases. Gave Sandou Tang (Three Bean Decoction) plus Gancao (Licorice) frequently until cured.
Tang Zhiqing said: Wu from Changzhou, usually robust, suddenly cried out in pain while eating, fell, claiming chest/diaphragm cut by knife. Physicians couldn't treat. After three days, languishing waiting for death. An old man asked about condition, ordered grinding old ink juice to drink. Pain stopped immediately. Illness vanished. Asked what syndrome? Said: Remember neighbor with similar illness in youth, old doctor cured with this method, said accidental ingestion of "Sky Silk Poison". Thought ink harmless, tried it, didn't expect it to fit (Rare syndrome, if exists, people think Dry Cholera. Collected to broaden knowledge).
Someone from Gushi ate Tangyuan (glutinous rice balls) on New Year's Day, went out to celebrate, suddenly abdomen burned like fire, unbearable pain, fainted and fell, moved