治中食至甚，胸高满闷，吐法不效，须用此药攻之。若昏晕不醒，四肢僵硬，但心
大黄（酒炒） 巴豆（去壳，去油） 干姜（各一钱
研细，姜汁为丸，如黄豆大。每服五、七丸，用姜汤化下。若服后泻不止者，用冷粥汤饮
治劳瘵骨蒸，疰忤心痛，霍乱吐利，时气鬼魅，瘴疟疫疠，瘀血月闭， 癖疔
肿，惊痫中风，中气痰厥，昏迷等证。
白术 青木香 犀角 香附（炒去毛） 朱砂（水分） 诃黎勒（煨、取皮） 檀香 安息香（酒
熬膏） 沉香 麝香 丁香 荜茇（各二两） 龙脑 薰陆香（别研） 苏合香（各二两
上为细末，研药匀，用安息香膏，并苏合香油，炼蜜和剂，丸如弹子大。以腊匮固，绯
绢当心带之，一切邪祟不敢近。
古称静而得之为中暑，动而得之为中热，暑阴而热阳也。不思暑字，以日为首，正言热
气之袭人耳。夏日烈烈，为太阳之亢气，人触之，则生暑病。至于静而得之者，乃纳凉于深
堂水阁，大扇风车，嗜食瓜果，致生寒疾，或头痛身痛，发热恶寒者，外感于寒也，或呕吐
腹痛，四肢逆冷者，直中于寒也。与暑证有何干涉？大抵暑证辨法，以自汗、口渴、烦心、
溺赤、身热、脉虚为的。然有伤暑、中暑、暑闭之不同。伤暑者，感之轻者也，其症烦热口
渴，益元散主之。中暑者，感之重者也，其症汗大泄，昏闷不醒或烦心、喘 、妄言也。昏
闷之际，以消暑丸灌之，立醒。既醒，则验其暑气之轻重而清之，轻者益元散，重者白虎汤
闭暑者，内伏暑气，而外为风寒闭之也。其头痛、身痛、发热恶寒者，风寒也。口渴、烦
心者，暑也。四味香薷饮加荆芥、秦艽主之。又有暑天受湿，呕吐泻利，发为霍乱，此停食
伏饮所致，宜分寒热治之。热者，口必渴，黄连香薷饮主之。寒者，口不渴，藿香正气散主
之。更有干霍乱证，欲吐不得吐，欲泻不得泻，搅肠大痛，变在须臾，古方以烧盐合阴阳水
引而吐之，或以陈皮同煎吐之，或用多年陈香橼煎汤更佳，俗名搅肠痧、乌痧胀，皆此之
类，此系秽气闭塞经隧，气滞血凝，脾土壅满，不能转输，失天地营运之常，则胀闭而危矣
是以治法宜速，切戒饮粥汤，食诸物，入口即败，慎之慎之。
消暑丸、益元散 （见类中。
白虎汤 （见阳明腑病）
治疗饮食积滞极其严重，胸部高耸、胀满憋闷，使用催吐法无效时，必须用此药进行攻下。如果出现昏迷晕厥不醒、四肢僵硬的症状，（可用）大黄（酒炒制）、巴豆（去壳，去油）、干姜（各一钱），研成细末，用生姜汁调和制成丸药，大小如黄豆。每次服用五到七丸，用姜汤送服化开。如果服药后腹泻不止，饮用冷米汤即可止泻。
治疗虚劳痨病引起的骨蒸潮热，疰忤心痛，霍乱引起的呕吐泄泻，时行疫病及鬼魅邪气，瘴疟瘟疫，瘀血导致的月经闭止，癖积疔肿，惊痫中风，中气痰厥，昏迷等各种证候。
取白术、青木香、犀角、香附（炒制去毛）、朱砂（水飞法处理）、诃黎勒（煨制，取皮）、檀香、安息香（酒熬成膏）、沉香、麝香、丁香、荜茇（各二两）、龙脑、薰陆香（单独研磨）、苏合香（各二两）。
将上述药材制成细末，研磨均匀，用安息香膏和苏合香油，配合炼蜜调和成药，制成如弹子大小的丸药。用蜡封固，系在绯色绢袋中佩戴在心口处，一切邪祟不敢靠近。
古时候称静处所得为中暑，活动所得为中热，暑属阴而热属阳。但不思考“暑”字，以“日”为首，正是说明热气侵袭人体罢了。夏日烈日炎炎，是太阳亢盛之气，人接触它，就会产生暑病。至于静处所得的，是因为在深堂水阁纳凉，使用大扇风车，嗜好食用瓜果，导致产生寒疾，或者出现头痛身痛、发热恶寒的，这是外感于寒；或者出现呕吐腹痛、四肢逆冷的，这是寒邪直中脏腑。这与暑证有什么关系呢？大体上辨别暑证的方法，以自汗、口渴、心烦、小便赤黄、身体发热、脉象虚弱为确切的指征。然而有伤暑、中暑、暑闭的不同。伤暑，是感受较轻的，症状为烦热口渴，用益元散主治。中暑，是感受较重的，症状为大汗淋漓、昏闷不醒或心烦、气喘、胡言乱语。在昏闷之际，用消暑丸灌服，立刻苏醒。既已苏醒，则根据暑气的轻重来清热，轻的用益元散，重的用白虎汤。
暑闭者，体内伏藏暑气，而外部被风寒闭塞所致。其头痛、身痛、发热恶寒的，是风寒表证；口渴、心烦的，是暑热内蕴。用四味香薷饮加荆芥、秦艽主治。又有在暑天受湿，呕吐泄利，发为霍乱的，这是停食伏饮所致，应当区分寒热进行治疗。热的，口中必渴，用黄连香薷饮主治。寒的，口不渴，用藿香正气散主治。更有干霍乱证，想吐吐不出，想拉拉不出，肠道剧烈绞痛，病情变化在顷刻之间，古方用烧盐混合阴阳水引导催吐，或者用陈皮同煎催吐，或者用多年的陈香橼煎汤效果更好，俗名搅肠痧、乌痧胀，都是这一类。这是由于秽浊之气闭塞经络隧道，气滞血凝，脾土壅塞满实，不能转输运化，失去了天地运行的常态，就会胀闭而危及生命。因此治疗方法宜速，切记不要喝粥汤、吃各种食物，入口即会导致病情败坏，务必谨慎再谨慎。
消暑丸、益元散 （见类中篇）。
白虎汤 （见阳明腑病篇）。
For severe food stagnation presenting with a distended, full, and oppressive chest where emetic therapy is ineffective, this formula must be used to purge. If the patient experiences coma, fainting, unresponsiveness, and limb stiffness, use Rhubarb (prepared with wine), Croton Seed (shelled and oil removed), and Dried Ginger (each 1 qian). Grind into fine powder, mix with ginger juice to form pills the size of soybeans. Take 5–7 pills each time, dissolved in ginger soup. If diarrhea persists after administration, drink cold rice gruel to stop it.
This formula treats consumptive diseases with bone-steaming fever, Zhu-wu heart pain, cholera with vomiting and diarrhea, seasonal epidemics and malevolent influences, miasmic malaria and plague, amenorrhea due to blood stasis, accumulation masses and carbuncles, convulsions, epilepsy, stroke, phlegm-syncope due to qi obstruction, and various conditions such as coma.
Take Atractylodis Macrocephalae Rhizoma, Aquilariae Lignum Resinatum (Qingmuxiang), Rhinocerotis Cornu (Xijiao), Cyperi Rhizoma (stir-fried and hairs removed), Cinnabar (water-triturated), Terminalia Chebula Retz. Fruit (roasted, peel taken), Santalum Album Lignum (Tanxiang), Styrax Resina (Anshixiang) boiled into paste with wine, Aquilae Lignum Resinatum (Chenxiang), Moschus (Shexiang), Syzygium aromaticum Flos (Dingxiang), Piperis Longi Fructus (Bibo) (each 2 liang), Borneolum Syntheticum (Longnao), Olibanum (Xunluxiang), and Liquidambaris Resina (Suhexiang) (each 2 liang).
Grind all ingredients into a fine powder and mix evenly. Use the Styrax paste and Liquidambar resin, combined with refined honey, to form pills the size of a marble. Seal with wax, place in a crimson silk pouch, and wear against the heart; all evil influences will dare not approach.
Ancient texts state that contracting heat while at rest is called "Zhong Shu" (heatstroke from stillness), while contracting it during activity is called "Zhong Re" (heat illness from motion); Shu is yin and Re is yang. However, considering the character "Shu" (暑) begins with "Sun" (日), it essentially describes the invasion of heat qi. In summer, the scorching sun represents the hyperactive qi of the Taiyang; when humans are exposed to it, Shu disease arises. As for cases contracted while at rest, these result from seeking coolness in deep halls or water pavilions, using large fans, and consuming excessive fruits and melons, leading to cold pathogens. Symptoms may include headache, body ache, fever, and aversion to cold, indicating an external contraction of cold; or vomiting, abdominal pain, and cold limbs, indicating direct invasion of cold into the interior. How does this relate to Shu syndrome? Generally, the differentiation of Shu syndrome relies on specific signs: spontaneous sweating, thirst, vexation, dark urine, body heat, and a deficient pulse. There are distinctions among Shang Shu (injured by heat), Zhong Shu (struck by heat), and Shu Bi (blocked heat). Shang Shu indicates mild exposure, with symptoms of vexation, heat, and thirst, treated primarily with Yiyuan San. Zhong Shu indicates severe exposure, with symptoms of profuse sweating, stupor, unresponsiveness, vexation, panting, and delirious speech. During stupor, administer Xiaoshu Wan to induce immediate awakening. Once awake, clear the heat according to its severity: use Yiyuan San for mild cases and Baihu Tang for severe ones.
Shu Bi refers to internal retention of heat qi blocked externally by wind-cold. Headache, body ache, fever, and aversion to cold indicate wind-cold; thirst and vexation indicate internal heat. Treat with Siwei Xiangru Yin plus Schizonepetae Herba and Gentianae Macrophyllae Radix. Additionally, dampness contracted in summer can cause vomiting and diarrhea, manifesting as cholera, resulting from retained food and fluid. This should be treated by distinguishing cold and heat. For heat patterns, characterized by thirst, use Huanglian Xiangru Yin. For cold patterns, characterized by absence of thirst, use Huoxiang Zhengqi San. Furthermore, there is Gan Huoluan (dry cholera), where the patient desires to vomit but cannot, and desires to defecate but cannot, accompanied by severe intestinal cramping and rapid changes. Ancient formulas recommend inducing vomiting with salt mixed with yin-yang water, or decocting with Chenpi (Citri Reticulatae Pericarpium), or preferably decocting aged Citrus medica L. fruit (Xiangyuan). Commonly known as Jiaochang Sha or Wusha Zhang, this condition arises from turbid qi blocking the meridians, causing qi stagnation and blood coagulation, leading to spleen earth congestion and failure of transport and transformation. This disrupts the normal operation of heaven and earth, resulting in distension, blockage, and critical danger. Therefore, treatment must be swift. Strictly avoid drinking gruel or eating any food, as ingestion will worsen the condition immediately. Exercise utmost caution.
Xiaoshu Wan, Yiyuan San (see section on Stroke-like syndromes).
Baihu Tang (see section on Yangming Fu organ disease).