当盛暑时食饮加意调节缘伏阴在内腐化稍迟又果 园蔬多将生啖苏水桂浆唯欲冷冻饮料生冷
相值
克化尤难微伤即飧泄重伤则霍乱吐利是以暑月食物尤要节减使脾胃易于磨化戒忌生冷免有腹
脏之疾虽盛夏冒暑难为全断饮冷但克意少饮勿与生硬果菜油腻甜食相犯亦不至生病也
病水泄青白或黄白或米谷不化肠鸣腹痛者此伤冷也为洞泄寒中人为霍乱吐泻其脉细弱而
紧宜
理中丸平胃散调中汤以温补之盛则金液丹朝真丹主之或药入则吐出者内阴盛也用汤者当以冷
服用丸者以地浆服热因寒用之法也
病水泄下深黄及有完谷小便赤腹胁但胀满而不痛烦躁闷乱渴而喜饮者此伤热也为挟热下
利
其脉洪大而数宜驻车丸参连散柏皮汤以和之甚则三黄丸调胃承气汤挟热下血者柏皮汤主之
病泄泻色黄而有沫肠鸣腹胁胀满时微作痛者为冷热不调其脉沉紧而小数也服热药则转甚
戊己丸香连丸主之下部注闷里急后重者必欲变脓血利之则愈
病暴泄注下或青白或黄白米谷或化或不化腹胁或胀或不胀或痛或不痛但噫生熟气全不思
食因
与温补诸药而后转有异证者有所伤也此为飧泄其脉外虚而内实关脉况且紧也宜消积丸不二丸
以化之甚则用备急丸主之(上不二丸用砒不可多服曾见医用有害)
又春伤以风夏必飧泄又风气行于肠胃则暴泄下利其脉浮缓而虚也并宜服羌活安中汤胃风
汤荆黄汤诃梨散主之
病赤白下痢或脓多血少或脓少血多皆为有积或先挟热泄泻更服温药因变脓血下痢关脉沉
紧按
之有力而小疾也并宜先与消化积滞才微利过即以香连丸驻车丸戊己丸便愈化积滞用消积丸不
二丸感应丸淹延恶利用朱粉丹主之(集验方)
在盛夏酷暑之时，饮食应当格外注意调节。因为体内潜伏着阴寒之气，食物的腐熟消化过程相对缓慢；加之瓜果蔬菜多生吃，苏叶水、桂浆等饮品往往追求冷冻冷饮，生冷之物相互叠加，更加难以消化。轻微损伤脾胃会导致完谷不化的泄泻（飧泄），严重损伤则引发霍乱，出现呕吐和腹泻。因此，暑月的食物尤其要节制减少，使脾胃容易磨化运化，戒除生冷，以免产生脏腑疾病。即使是盛夏冒着酷暑，完全断绝冷饮也难以做到，但应克制自己少喝，不要与生硬的果菜、油腻甜食同时食用，这样也不会生病。
患水样泄泻，大便颜色青白或黄白，或夹杂未消化的米粒谷物，肠鸣腹痛的，这是受冷邪所伤。如果是洞泄（急迫的水样泻）或寒中（寒邪直中脏腑），人患霍乱吐泻，脉象细弱而紧，适宜用理中丸、平胃散、调中汤来温补。病情严重的，用金液丹、朝真丹主治。如果服药后随即吐出，说明体内阴寒过盛，此时服用汤药应当采用冷服法，服用丸药应当用地浆水送服，这属于“热因寒用”的治疗方法。
患水样泄泻，大便深黄色且含有完谷，小便赤红，腹部胁肋仅有胀满而不疼痛，烦躁闷乱，口渴喜欢饮水的，这是受热邪所伤。这属于挟热下利，脉象洪大而数，适宜用驻车丸、参连散、柏皮汤来调和。病情严重的，用三黄丸、调胃承气汤。挟热导致下血的，用柏皮汤主治。
患泄泻，大便黄色且有泡沫，肠鸣，腹部胁肋胀满，偶尔轻微疼痛的，这是冷热不调所致，脉象沉紧而略数。如果服用热性药物则症状加重，应用戊己丸、香连丸主治。如果有下部注闷、里急后重（想拉拉不出，拉完还想拉）的症状，必然要变成脓血痢，通过利湿化积的方法治疗才能痊愈。
患暴发性泄泻，急迫如水注下，大便或青白或黄白，有米谷或不化，腹部胁肋或胀或不胀，或痛或不痛，只是打嗝带有生熟食物的气味，完全不想进食。如果给予温补类药物后反而出现其他证候，说明有积滞受伤。这属于飧泄，脉象外部虚弱而内部实，关脉尤其紧。适宜用消积丸、不二丸来化解积滞。病情严重的，用备急丸主治。（注：上述不二丸中含有砒霜，不可多服，曾见医生使用造成危害。）
另外，春季受风邪伤害，夏季必定发生飧泄；风气行于肠胃则导致暴泄下利，脉象浮缓而虚。这些情况都适宜服用羌活安中汤、胃风汤、荆黄汤、诃梨散主治。
患赤白痢疾，或脓多血少，或脓少血多，都是因为体内有积滞。或者先有挟热泄泻，又误服温药，因而变为脓血下痢。关脉沉紧，按之有力，这是小病。都应当先用药物消除积滞，待轻微通利之后，再用香连丸、驻车丸、戊己丸即可痊愈。消除积滞用消积丸、不二丸、感应丸；对于迁延难愈的恶痢，用朱粉丹主治（出自《集验方》）。
During the height of summer heat, one must pay special attention to regulating diet and drink. This is because latent Yin-cold resides within the interior, causing the decomposition and transformation of food to be slightly delayed. Furthermore, fruits and vegetables from gardens are often eaten raw, and drinks such as Perilla Water (Sushui) and Cinnamon Syrup (Guishuang) are sought after as frozen cold beverages. The combination of cold and raw foods makes digestion even more difficult. A slight injury leads to undigested stool diarrhea (Sun-xie), while a severe injury results in Huoluan (cholera-like syndrome with vomiting and diarrhea). Therefore, food intake during the summer months should be particularly reduced to facilitate the grinding and transformation by the Spleen and Stomach. One must avoid cold and raw foods to prevent diseases of the Zang-Fu organs. Although it is difficult to completely abstain from cold drinks even in the deep summer while exposed to heat, one should restrain oneself to drink sparingly and avoid combining them with hard raw fruits and vegetables, greasy foods, or sweet treats; this way, illness will not occur.
When suffering from watery diarrhea with stools that are bluish-white or yellowish-white, or containing undigested rice and grain, accompanied by borborygmus (intestinal rumbling) and abdominal pain, this is caused by an injury from Cold. If it presents as Dong-xie (draining diarrhea) or Han-zhong (Cold invading the interior), manifesting as Huoluan with vomiting and diarrhea, and the pulse is fine, weak, and tight, Li Zhong Wan (Regulate the Middle Pill), Ping Wei San (Calm the Stomach Powder), or Tiao Zhong Tang (Regulate the Middle Decoction) should be used for warming and tonification. In severe cases, Jin Ye Dan (Golden Fluid Pill) or Chao Zhen Dan (Pay Homage to Truth Pill) are indicated. If the medicine is vomited immediately upon ingestion, it indicates excessive internal Yin-cold. In such cases, decoctions should be taken cold, and pills should be taken with Di Jiang Shui (Earth Slurry Water); this method is known as "treating heat with cold" (Re Yin Han Yong).
When suffering from watery diarrhea with deep yellow stools containing undigested food, red urine, abdominal and hypochondriac fullness without pain, restlessness, mental confusion, thirst, and a desire to drink, this is caused by an injury from Heat. This is classified as Xia Re Xia Li (Diarrhea with accompanying Heat). The pulse is surging and rapid. Zhu Che Wan (Stop Cartilage Pill), Can Lian San (Ginseng and Coptis Powder), or Bai Pi Tang (Phellodendron Bark Decoction) should be used to harmonize. In severe cases, San Huang Wan (Three Yellows Pill) or Tiao Wei Cheng Qi Tang (Regulate the Stomach and Direct Downward Decoction) are indicated. For bloody diarrhea due to accompanying Heat, Bai Pi Tang is the primary treatment.
When suffering from diarrhea with yellow stools containing froth, borborygmus, abdominal and hypochondriac fullness, and occasional mild pain, this is due to a disorder of Cold and Heat. The pulse is deep, tight, and slightly rapid. If hot medicines cause symptoms to worsen, Wu Ji Wan (Five Earths Pill) or Xiang Lian Wan (Cinnamon and Coptis Pill) are indicated. If there is heaviness in the lower part, tenesmus (urgent but ineffective defecation), it will inevitably turn into dysentery with pus and blood; resolving the damp-heat through purgation will lead to recovery.
In cases of sudden, profuse watery diarrhea where stools are bluish-white or yellowish-white, containing rice/grain either digested or undigested, with abdominal/hypochondriac distension varying from present to absent, pain varying from present to absent, belching of raw and cooked food odors, and complete loss of appetite: if administering warming and tonifying medicines leads to different syndromes, it indicates an injury from accumulation. This is Sun-xie. The exterior pulse is deficient while the interior is excess, and the Guan position pulse is notably tight. Xiao Ji Wan (Eliminate Accumulation Pill) or Bu Er Wan (Not Two Pills) should be used to transform the accumulation. In severe cases, Bei Ji Wan (Emergency Aid Pill) is indicated. (Note: The aforementioned Bu Er Wan contains Arsenic; do not take excessively. I have seen doctors cause harm by using it.)
Furthermore, Wind injury in Spring leads to Sun-xie in Summer. When Wind pathogen moves through the intestines and stomach, it causes sudden diarrhea and dysentery; the pulse is floating, slow, and deficient. Qiang Huo An Zhong Tang (Notopterygium Calms the Middle Decoction), Wei Feng Tang (Stomach Wind Decoction), Jing Huang Tang (Aristolochia and Rhubarb Decoction), and He Li San (Persimmon Sepal Powder) are all suitable treatments.
For Chi Bai Li Ji (Dysentery with red and white discharge), whether pus is abundant and blood scanty, or blood is abundant and pus scanty, it is due to the presence of accumulation. Or, if initial diarrhea with accompanying Heat was mistakenly treated with warm medicines, leading to dysentery with pus and blood: the Guan pulse is deep, tight, and forceful upon pressure. This is a minor disease. All cases should first be treated with medicines to eliminate accumulation. Once slight purgation has occurred, Xiang Lian Wan, Zhu Che Wan, or Wu Ji Wan can cure it. To eliminate accumulation, use Xiao Ji Wan, Bu Er Wan, or Gan Ying Wan. For lingering malignant dysentery, Zhu Fen Dan (Vermilion Powder Pill) is indicated (from *Ji Yan Fang*).