伤暑胸间痹痛，气逆如阻，此结胸也。宜用小陷
胸汤，加枳壳、桔梗、甘遂、郁金等味，涤痰开结
也。
凡结胸之症，必因其人中气素虚，浊痰复盛，又感暑
浊，交相互结，胸间因而作痛。宜用甘遂，半夏，瓜蒌以涤
浊痰，佐入黄连，枳，桔，泄热开胸。
伤暑瘀热不解、胸肋板痛，此血结胸也。宜用桂
枝、红花、瓜蒌，郁金、桃仁、赤芍、海蛤等味，消
而且散。若少腹硬痛，小便自利，大便黑色，此蓄血
也。宜用桃仁承气汤祛瘀逐邪也。
前二条痞与结胸，皆言热结在气。此条结胸与蓄血，皆
言热结在血。其结在胸者，仿海藏桂枝红花汤加瓜蒌，桃
仁、海蛤，为表里并消，若结在少腹者，用桃仁承气汤，为
上下分消。仲景谓蓄血者，必小便自利，大便黑色：若小便
不利者，乃热结膀胱，非血结也。以此辨诸，最为明验，学
者详之。
伤暑热久不解，神迷如寐，舌红少津，饥不欲
食，脉数无神，此热伤胃阴，津不肯复。宜用复脉汤
去姜桂，加地骨皮、鲜石斛、鲜谷芽等味，养胃和
阴，以待一阴来复也。
此言热久伤阴，胃津大损，故舌于干红，而神疲多寐。余
热消烁则易饥，胃阴被伤则不饮食。用复脉汤养阴，石斛、
谷芽养胃，俾热去津还，而胃纳自旺也。
伤暑导致胸间痹阻疼痛，气机上逆如同受阻，这是结胸证。适宜使用小陷胸汤，加入枳壳、桔梗、甘遂、郁金等药物，以涤除痰浊、开通结滞。
凡是结胸的病症，必定是因为患者中焦之气素来虚弱，体内浊痰又很盛，再加上感受了暑热浊邪，相互交结，从而导致胸间作痛。适宜使用甘遂、半夏、瓜蒌来涤除浊痰，辅以黄连、枳实、桔梗，以泄热开胸。
伤暑后瘀热不解，胸胁部板滞疼痛，这是血结胸证。适宜使用桂枝、红花、瓜蒌、郁金、桃仁、赤芍、海蛤等药物，以消散瘀血。如果少腹部硬痛，小便自利（通畅），大便呈黑色，这是蓄血证。适宜使用桃仁承气汤来祛除瘀血、驱逐邪气。
前两条所述的痞证与结胸，都是论述热邪结滞在气分。这一条所述的结胸与蓄血，都是论述热邪结滞在血分。其结滞在胸部的，仿照海藏桂枝红花汤加入瓜蒌、桃仁、海蛤，以达到表里同消的效果；若结滞在少腹部的，使用桃仁承气汤，以达到上下分消的效果。张仲景说蓄血证，必定是小便自利，大便黑色：如果小便不利，那是热结在膀胱，而不是血结。以此辨别诸证，最为明确验证，学者们要详细研究。
伤暑后热邪久留不解，神志昏迷如同熟睡，舌质红而津液少，感觉饥饿但不想进食，脉象数急但无神气，这是热邪损伤了胃阴，津液不能恢复。适宜使用复脉汤去掉生姜、肉桂，加入地骨皮、鲜石斛、鲜谷芽等药物，以养胃和阴，等待一阴来复。
这里说的是热邪日久损伤阴液，胃中津液大损，所以舌头干燥红绛，精神疲倦多睡。余热消烁则容易感到饥饿，胃阴被伤则不想饮食。使用复脉汤滋养阴液，石斛、谷芽养护胃气，使得热去津回，胃的受纳功能自然旺盛。
Heat-stroke causing bi-syndrome and pain in the chest, with rebellious Qi obstructed as if blocked, this is Jie-Xiong (Chest Binding Syndrome). It is appropriate to use Xiao Xian Xiong Tang (Minor Inverted Chest Decoction), adding Zhi Qiao (Bitter Orange Fruit), Jie Geng (Platycodon Root), Gan Sui (Kansui Root), Yu Jin (Curcuma Aromatica Rhizome) and other ingredients, to cleanse phlegm and open the binding.
In all cases of Jie-Xiong syndrome, it is necessarily because the patient's Middle Qi has been deficient since long ago, turbid phlegm is abundant, and they have contracted summer-heat turbid pathogen; these factors interact and bind together, causing pain in the chest. It is appropriate to use Gan Sui, Ban Xia (Pinellia Tuber), Gua Lou (Trichosanthes Fruit) to cleanse turbid phlegm, assisted by Huang Lian (Coptis Rhizome), Zhi Shi (Immature Bitter Orange), Jie Geng to drain heat and open the chest.
After heat-stroke, if stasis-heat does not resolve, accompanied by board-like pain in the chest and hypochondrium, this is Blood Jie-Xiong (Blood Chest Binding Syndrome). It is appropriate to use Gui Zhi (Cinnamon Twig), Hong Hua (Carthamus Flower), Gua Lou, Yu Jin, Tao Ren (Peach Kernel), Chi Shao (Red Peony Root), Hai Ge Ke (Clam Shell) and other ingredients to dissipate and scatter. If there is hardness and pain in the lower abdomen, free urination, and black stool, this is Xu-Xue (Blood Accumulation Syndrome). It is appropriate to use Tao Ren Cheng Qi Tang (Peach Kernel Decoction to Order the Qi) to dispel stasis and drive out pathogens.
The previous two paragraphs discussing Pi (Stagnation) and Jie-Xiong both refer to heat binding in the Qi level. This paragraph discussing Jie-Xiong and Xu-Xue both refer to heat binding in the Blood level. For binding in the chest, imitate Hai Zang's Gui Zhi Hong Hua Tang (Cinnamon Twig and Carthamus Decoction) adding Gua Lou, Tao Ren, Hai Ge Ke, for simultaneous resolution from interior and exterior; for binding in the lower abdomen, use Tao Ren Cheng Qi Tang, for simultaneous resolution from upper and lower. Zhang Zhongjing stated that for Xu-Xue, there must be free urination and black stool: if urination is difficult, it is heat binding in the Bladder, not blood binding. By distinguishing thus, it is most clearly verified; scholars should study this in detail.
If heat from heat-stroke persists unresolved for a long time, with spirit confused as if sleeping, red tongue with little fluid, sensation of hunger but no desire to eat, rapid pulse lacking spirit, this is heat damaging Stomach Yin, with fluids unable to recover. It is appropriate to use Fu Mai Tang (Pulse-Recovering Decoction), removing Jiang (Ginger) and Gui (Cinnamon Twig), adding Di Gu Pi (Lycium Bark), Xian Shi Hu (Fresh Dendrobium Stem), Xian Gu Ya (Fresh Sprouted Grain) and other ingredients, to nourish the Stomach and harmonize Yin, awaiting the return of one Yin.
This refers to prolonged heat damaging Yin, with great loss of Stomach fluids, hence the dry, red tongue and mental fatigue with excessive sleepiness. Residual heat consuming fluids causes easy hunger, while damaged Stomach Yin causes lack of appetite. Using Fu Mai Tang to nourish Yin, Shi Hu and Gu Ya to nourish the Stomach, so that heat leaves and fluids return, and Stomach reception naturally prospers.