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Cold cholera

寒霍乱 〔寒霍亂〕hán huò luàn

Cholera due to consumption of raw or cold foods or contraction of cold-damp in patients with yáng qì. Cold cholera is characterized by simultaneous vomiting and diarrhea, with vomitus and stool that is normally without foul smell and that is like clear water or like water in which rice has been washed. Other signs include mild abdominal pain, aversion to cold, cold limbs, green-blue or purple lips and nails, and sunken tight or sunken hidden pulse.

Biomedical correspondence: acute enteritis, cholera, and paracholera.

Medicinal therapy: Warm the center, disperse cold, and transform dampness. Use Patchouli Qì-Righting Powder (藿香正气散 huò xiāng zhèng qì sǎn) for mild cases and Center-Rectifying Decoction (理中汤 lǐ zhōng tāng) or Counterflow Cold Decoction (四逆汤 sì nì tāng) for severe cases.

Acumoxatherapy: Base treatment mainly on CV, LI, ST, and SP. Select CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-25 (Celestial Pivot, 天枢 tiān shū), ST-37 (Upper Great Hollow, 上巨虚 shàng jù xū), PC-6 (Inner Pass, 内关 nèi guān), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ); needle with supplementation and large amounts of moxa. Moxibustion on ginger can be performed at CV-8 (Spirit Gate Tower, 神阙 shén què). For yáng vacuity constitution, add CV-6 (Sea of Qì, 气海 qì hǎi) and CV-4 (Pass Head, 关元 guān yuán). For internal damage by raw cold foods, add BL-20 (Spleen Transport, 脾俞 pí shù) and LR-13 (Camphorwood Gate, 章门 zhāng mén). For external cold-damp contraction, needle with drainage and moxa at BL-12 (Wind Gate, 风门 fēng mén), LU-7 (Broken Sequence, 列缺 liè quē), and SP-9 (Yin Mound Spring, 阴陵泉 yīn líng quán).

See cholera.

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