✵The Huò Luàn disease described by herbalist Zhang Zhongjing, according to its symptoms and descriptions, could be understood the same as gastroenteritis with symptoms diarrhea and vomiting, etc. The Dysentery is an infectious disease of the intestines, marked by abdominal pain, frequent stools containing blood and mucus, and tenesmus.
✵Herbalist Zhang Zhongjing discussed the Huò Luàn and Dysentery disease in about 23 entries. These syndromes are all defined in details by his famous works.
Huò Luàn and Dysentery Syndrome.
[entry-01]. Asked: there is a disease known as Huò Luàn, what is it?
Answer: vomiting and diarrhea, this is known as the disease of Huò Luàn.
[entry-02]. Master: the Huò Luàn disease belongs to TaiYin, the cases of Huò Luàn surely will vomit and diarrhea, but the cases of vomit and diarrhea does not definitely belong to Huò Luàn. The disease of Huò Luàn, caused by the cold and heat pathogens accumulating chaotically in the center (energizer). The ascending counterflow of heat Qi (upward flow of heat pathogen) leads to vomiting, the downward flow of cold pathogen leads to diarrhea. For those cases improper diet (dietary irregularities, eating and drinking without temperance), retention and stasis of food in the center (energizer), the upper part (of food and drink) flows upward and leads to vomiting, the lower part (of food and drink) flows downward and leads to diarrhea, this is known as Tù Lì (vomiting and dysentery), and is not Huò Luàn.
[entry-03]. Asked: there are cases with symptoms of fever, cephalea (headache), bodily pain, aversion to cold, vomiting and dysentery, what is this disease? Master: this is not Huò Luàn. The cases of Huò Luàn will vomit and diarrhea spontaneously and uninhibited. Now aversion to cold, bodily pain, and also fever again, thus know it is not Huò Luàn.
[entry-04]. Huò Luàn syndrome, vomit and diarrhea, no alternation of cold and fever, the pulse is soggy and weak, ...
[entry-05]. Vomit first, diarrhea later, abdominal distention and pain (fullness and pain in the abdomen), no alternation of cold or fever, the pulse is soggy, weak and choppy (uneven), this is the syndrome abiding food (dyspepsia, indigestion)...
[entry-06]. Fullness in the chest (fullness sensation in chest), want to vomit but not vomit, diarrhea irregularly, no alternation of cold and fever, colic pain in the abdomen, the cunkou pulse is weak and knotted, this is the abiding food (dyspepsia) at the upper part, ...
[entry-07]. Huo Luan syndrome, vomiting, diarrhea with clear grains (undigested grains), cold in extremities (coldness in hands and feet), the pulse is sunken and slow, ...
[entry-08]. Vomiting, diarrhea, fever, the pulse is soggy, weak and large, ...
[entry-09]. Vomiting, and throw up ascarid in a severe case; diarrhea, frequently or occasionally at times; mild fever on the body, cold in hands and feet, blue complexion (looks blue), the pulse is sunken, wiry and tense, ...
[entry-10]. Huò Luàn syndrome, vomiting and diarrhea, thirst, perspiring, short of breath, the pulse is weak and soggy, ...
[entry-11]. Drink water and vomit out immediately, take grains (grain food) and then diarrhea, the pulse is slow and weak, ...
[entry-12]. Abdominal distension and pain (distention fullness and pain in the abdomen), up or down at times, pain and Qi flows upward then leads to vomit, pain and Qi flows downward then leads to diarrhea, the pulse is soggy and choppy (uneven), ...
[entry-13]. Huò Luàn syndrome, there are deficiency or excess, for the patients are of deficiency or excess syndromes, so the syndromes vary with the disease. Cases of deficiency pulse soft and weak, better use...; cases of excess pulse urgent and abrupt, better use...
[entry-14]. Huò Luàn, cramp (spasms, having a twisted muscle), surely there are cold pathogen hiding in the muscles before it, hurt its nutrient Qi (Rong Qi, Ying Qi), break out with syndromes, the pulse should be soggy and weak, the pulse is wiry and swift, counterflow cold of limbs (counterflow cold of hands and feet), ...
[entry-15]. Huò Luàn is relieved, cephalea (headache), fever, bodily ache and pain (ache and pain in the body), much heat, wants to drink water, ...much coldness, not wants to drink water, ...
[entry-16]. Catch the syndrome of Shāng Hán (Tai Yang cold-affection syndrome), the pulse is slight choppy (uneven), it was Huò Luàn syndrome originally, not develops to Shāng Hán (Tai Yang cold-affection syndrome), till the four to five days, transmits to the Yin meridians, if transmits to Yin, surely diarrhea. In cases want to defecate, but contrary (to expectations) turns to flatus, still constipated (difficult in defecation), this belongs to Yangming, excrement is surely hard, will get relieved in thirteen days. For the reasons, channel transmission is completed.
[entry-17]. After diarrhea, the excrement should be hard, cases excrement is hard and could take some food, will get relieved. Now, contrary (to expectations), could not take food, when transmits to the next channel, take food well, when transmits to another channel, also could take food, will get relieved one day after the transmission, if one will not get relieved, does not belong to Yangming.
[entry-18]. Shāng Hán (Tai Yang cold-affection syndrome), the pulse is weak and diarrhea again, diarrhea stops itself, is the syndrome that loss of blood (blood collapse), ...
[entry-19]. Vomiting and diarrhea is stopped (relieved), bodily pain is unstoppable (restless pain in body), should harmonize its exterior syndrome, ...
[entry-20]. Vomiting and diarrhea, perspiring, fever, aversion to cold, spasm of limbs (spasm of hands and feet), counterflow cold of hands and feet, ...
[entry-21]. Vomiting and diarrhea, urine is uninhibited again, and profuse sweating, diarrhea with clear grains (undigested grains), cold in the interior and heat in the exterior, the pulse is faint and moribund, ...
[entry-22]. Vomiting yet, diarrhea, sweating and Jue (cold limbs), spasm of limbs (spasm of hands and feet) and could not spread, the pulse is faint and moribund, ...
[entry-23]. Vomiting and diarrhea, sweating, the pulse normal and small, vexed, for the reason that the new deficiency could not overcome the grain Qi (essence derived from food).
References:
1.Huo Luan and Dysentery Syndrome:an introduction.
2.Shang Han Za Bing Lun:the Treatise on Cold-induced and Miscellaneous Diseases.By Zhāng Zhòngjǐng.
3.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By Zhāng Zhòngjǐng,Wáng Shūhé,Lín Yì,Gāo Bǎohéng.
4.Zhong Jing Quan Shu:the Complete Book of Zhongjing.By Zhào Kāiměi.
✵The Huò Luàn disease described by herbalist Zhang Zhongjing, according to its symptoms and descriptions, could be understood the same as gastroenteritis with symptoms diarrhea and vomiting, etc. The Dysentery is an infectious disease of the intestines, marked by abdominal pain, frequent stools containing blood and mucus, and tenesmus.
