伤暑不恶寒而发热，身痛呕吐，溺赤便泻，此邪
布三焦，上下交征。宜用六一散合黄芩汤加杏仁、厚
朴、赤芩、豆卷，粉葛根、连翘等味，清泄三焦也。
此与前条同是上焦之病，而溺赤便泻，则已传布三焦，
又与（仿寒论）中三阳合病下利之义同。盖既汗不解，清气
分亦不解，则邪无出路，必致下传面为泻也。故仿六一散合
黄芩汤加杏仁，葛根、厚朴、连翘、赤芩、豆卷，俾三焦表
里之邪一齐尽解，庶为周至尔。
伤暑汗出，身不大热，而舌黄腻，烦闷欲呕，此
邪踞肺胃，留恋不解。宜用黄连温胆汤，苦降辛通，
为流动之品，仍冀汗解也。
此条汗出而不大热，是卫分之邪既解，但舌黄欲呕，又
为邪阻肺胃，气分未清。用温胆汤辛以通阳，加黄连苦以降
逆。不用甘酸腻浊，恐留连不楚耳。
伤暑六七日脉洪而数，口渴，舌干苔红(1)，此热
劫胃津，气血燔蒸。宜用玉女煎加鲜石斛、花粉、麦
冬、梨汁、蔗浆等味，两清气血也。
上条表邪解，而余邪逗留。此条表邪传里，由气及血，
亢阳偏燎，消烁津液。所以口渴舌干，色红少苔，湿尽化
热，兼之脉洪数，而烦渴喜饮，其亢热不独在气，而兼在血
矣。故用玉女煎两清气血，加花粉、石斛、麦冬、梨汁、蔗
(1)舌干苔红，似作"舌红苔干"义较妥。
伤暑症表现为不恶寒而发热，身体疼痛，呕吐，小便色赤，大便泄泻，这是因为邪气散布于三焦（上、中、下三焦），上下同时受病。适宜使用六一散合黄芩汤，并加入杏仁、厚朴、黄芩、大豆卷、粉葛根、连翘等药物，以清泄三焦之邪。
这与前一条所述同为上焦的疾病，但出现小便色赤、大便泄泻，说明邪气已经传布至三焦，其机理又与《伤寒论》中“三阳合病”导致下利的含义相同。因为既然发汗后病不解，清气分的邪气也不解，那么邪气就没有出路，必然向下传导而导致泄泻。所以仿照六一散合黄芩汤，加入杏仁、葛根、厚朴、连翘、黄芩、大豆卷，使三焦表里之邪一齐解散，才算周全细致。
伤暑症见汗出，身体没有明显高热，但舌苔黄腻，心烦闷乱，想要呕吐，这是因为邪气占据肺胃，留恋不去。适宜使用黄连温胆汤，通过苦味降逆、辛味通阳的方法，利用流动性的药物，仍然希望借由汗法来解除病邪。
这一条中汗出且没有明显高热，说明卫分之邪已经解除，但舌苔黄腻、想要呕吐，又是邪气阻滞肺胃，气分未清的表现。使用温胆汤的辛味以通阳，加入黄连的苦味以降逆。不使用甘酸滋腻浑浊的药物，是担心邪气留恋不去。
伤暑六七日，脉象洪大而数，口渴，舌干苔红，这是热邪劫夺胃中津液，气血燔灼蒸腾。适宜使用玉女煎，并加入鲜石斛、天花粉、麦冬、梨汁、甘蔗浆等药物，以两清气分和血分之热。
上一条是表邪已解，余邪逗留；这一条是表邪传入体内，由气分波及血分，亢盛的阳气偏盛燎原，消烁津液。所以出现口渴、舌干、舌色红少苔，湿邪完全化为热邪，加之脉象洪数，烦渴喜饮，说明亢盛的热邪不仅在气分，也兼及血分。因此使用玉女煎两清气血，加入天花粉、石斛、麦冬、梨汁、甘蔗浆，用甘寒之品生津液，以防止出现舌黑神昏的症状。
Heatstroke manifests as fever without aversion to cold, body pain, vomiting, dark urine, and diarrhea. This indicates that the pathogenic factor is distributed throughout the Sanjiao (Triple Burner), affecting both upper and lower parts simultaneously. It is appropriate to use Liu Yi San (Six-to-One Powder) combined with Huang Qin Tang (Scutellaria Decoction), added with Xing Ren (Apricot Seed), Hou Po (Magnolia Bark), Chi Huang Qin (Red Scutellaria Root), Dou Juan (Soybean Sprout), Fen Ge Gen (Kudzu Root), Lian Qiao (Forsythia Fruit), etc., to clear and drain the Sanjiao.
This condition, like the previous one, involves the Upper Jiao, but the presence of dark urine and diarrhea indicates that the pathogen has spread to the Sanjiao. Its mechanism is similar to the concept of "combined disease of the three Yang meridians" causing diarrhea in the *Shanghan Lun* (Treatise on Cold Damage). Since sweating fails to resolve the condition and the Qi-level pathogen remains unresolved, the pathogen has no exit and must transmit downward, leading to diarrhea. Therefore, by imitating Liu Yi San combined with Huang Qin Tang and adding Xing Ren, Ge Gen, Hou Po, Lian Qiao, Chi Huang Qin, and Dou Juan, the pathogenic factors in the exterior and interior of the Sanjiao can be resolved simultaneously, ensuring a comprehensive treatment.
In heatstroke, there is sweating, but the body temperature is not significantly high; however, the tongue coating is yellow and greasy, accompanied by mental restlessness, oppression, and a desire to vomit. This indicates that the pathogen occupies the Lung and Stomach and lingers unresolved. It is appropriate to use Huang Lian Wen Dan Tang (Coptis Warm Gallbladder Decoction). Using bitter herbs to descend rebellious Qi and acrid herbs to unblock Yang, employing mobile agents, the goal is still to resolve the pathogen through sweating.
The presence of sweating without significant heat indicates that the pathogen in the Wei (Defensive) level has been resolved. However, the yellow tongue coating and desire to vomit indicate that the pathogen obstructs the Lung and Stomach, and the Qi level remains turbid. The acrid nature of Wen Dan Tang unblocks Yang, while the addition of Huang Lian uses bitterness to descend rebellion. Sweet, sour, and cloying herbs are avoided to prevent the pathogen from lingering indefinitely.
After six or seven days of heatstroke, the pulse is surging and rapid, with thirst and a dry tongue with red coating. This signifies that heat has depleted the Stomach fluids, causing the Qi and Blood to be scorched and steamed. It is appropriate to use Yu Nu Jian (Jade Woman Decoction), added with fresh Shi Hu (Dendrobium Stem), Hua Fen (Trichosanthes Root), Mai Dong (Ophiopogon Tuber), Li Zhi (Pear Juice), and Zhe Jiang (Sugarcane Juice), to cool both the Qi and Blood levels.
In the previous case, the exterior pathogen was resolved, leaving residual pathogens lingering. In this case, the exterior pathogen has transmitted inward, moving from the Qi level to the Blood level. Excessive Yang flares up, consuming fluids. Hence, there is thirst, a dry tongue, red color with little coating, indicating that dampness has fully transformed into heat. Combined with the surging and rapid pulse, mental irritability, thirst, and preference for drinking, it is evident that the excessive heat exists not only in the Qi level but also in the Blood level. Therefore, Yu Nu Jian is used to cool both Qi and Blood, and Hua Fen, Shi Hu, Mai Dong, Li Zhi, and Zhe Jiang are added. These sweet and cold substances generate fluids, aiming to prevent the progression to black tongue and coma.