见类搐“暑症”。
有出于天气者，雨露是也；出于地气者，泥水是也；由饮食者，酒浆生冷是也；由人事
者，汗衣卧湿，如小儿澡浴便溺衣褓不干是也。然所因虽异，总由脾气之虚。治法有二，一
曰湿热、一曰寒湿尽之矣。病而发热者，为湿热，宜清宜利；病而多寒者，为寒湿，宜燥宜
温。
柴苓汤 治发热身重，多烦渴，小便赤涩，大便秘结，脉见洪滑，是湿热。
柴胡（钱半） 人参 黄芩 制半夏 漂白术 猪苓 泽泻 茯苓（各一钱） 青化桂 炙草（各
五分） 生姜（三片） 大枣（三枚） 水煎热服。
若大小便秘，兼用外治法，见后“二便不通”。
茵陈五苓饮 治中湿发黄作热，小便赤涩。
茵陈（二钱） 漂白术（一钱） 赤苓（钱半） 猪苓 泽泻（各一钱） 青化桂 甘草（各五分） 生姜（三
片） 大枣（三枚） 水煎服。
以上皆治湿热。
胃苓汤 治寒湿头重体重，往来寒热，胀满泄泻。并可和水土，调脾胃。
漂苍术 浓朴（姜炒） 广皮 白术（土炒） 云苓 猪苓 泽泻（各一钱） 青化桂 炙草（各五分）
生姜（三片）
水煎食前服。如兼吐呕，加藿香、砂仁各八分。
五皮饮 此方合胃苓汤，专治中湿浮肿，神效。
生姜皮 大腹皮 茯苓皮 桑白皮 五加皮（各二钱） 灯芯（十根） 大枣（三枚） 水煎，空心
服。
若合胃苓汤，服数剂不效，必用温补，如理中汤、八味丸，宜择用之。
八味丸
熟地（八两） 山药（炒） 云苓（各四两） 山茱 丹皮（酒炒） 泽泻（各二两） 附子（熟，两半） 肉
桂（去粗，一两）
炼蜜为丸，如梧子大，每服三钱，开水下。
理中汤 见上“非搐”。
参见“类搐”章节中的“暑症”。
致病原因有的来自天气，如雨露；有的来自地气，如泥水；有的来自饮食，如酒浆、生冷食物；有的来自人事，如穿着汗湿的衣服睡觉、卧于潮湿之处，例如小儿洗澡后大小便弄脏的衣被未及时晾干等。虽然致病原因各不相同，但总归是由于脾气虚弱所致。治疗方法主要有两种，一是针对湿热，二是针对寒湿，涵盖了所有情况。患病且发热的，属于湿热证，适宜采用清热利湿的方法；患病且怕冷的，属于寒湿证，适宜采用燥湿温中的方法。
柴苓汤：治疗发热、身体沉重、心烦口渴、小便短赤涩痛、大便秘结、脉象洪滑，这是湿热证的表现。
组成：柴胡（一钱半）、人参、黄芩、制半夏、漂白术、猪苓、泽泻、茯苓（各一钱）、青化桂、炙甘草（各五分）、生姜（三片）、大枣（三枚）。用水煎煮，热服。
如果大小便均不通畅，兼用外治法，详见后文“二便不通”章节。
茵陈五苓饮：治疗因中湿导致的身发黄、发热、小便短赤涩痛。
组成：茵陈（二钱）、漂白术（一钱）、赤茯苓（一钱半）、猪苓、泽泻（各一钱）、青化桂、甘草（各五分）、生姜（三片）、大枣（三枚）。用水煎煮服用。
以上方剂皆用于治疗湿热证。
胃苓汤：治疗寒湿引起的头重、身体沉重、往来寒热、腹胀满、泄泻。此方还可以调和水土，调理脾胃。
组成：漂苍术、浓朴（姜炒）、广陈皮、白术（土炒）、云茯苓、猪苓、泽泻（各一钱）、青化桂、炙甘草（各五分）、生姜（三片）。用水煎煮，饭前服用。如果兼有呕吐，加藿香、砂仁各八分。
五皮饮：此方配合胃苓汤使用，专门治疗因中湿引起的水肿，效果显著。
组成：生姜皮、大腹皮、茯苓皮、桑白皮、五加皮（各二钱）、灯芯草（十根）、大枣（三枚）。用水煎煮，空腹服用。
如果配合胃苓汤服用数剂后无效，必须采用温补法，如理中汤、八味丸，宜酌情选用。
八味丸：
组成：熟地黄（八两）、山药（炒）、云茯苓（各四两）、山茱萸、牡丹皮（酒炒）、泽泻（各二两）、附子（炮熟，一两半）、肉桂（去粗皮，一两）。
用炼蜜制成丸药，如梧桐子大小，每次服用三钱，开水送服。
理中汤：详见上文“非搐”章节。
Refer to "Summerheat Syndrome" in the "Tetany-like Convulsions" chapter.
Pathogenic factors may originate from heavenly qi, such as rain and dew; from earthly qi, such as mud and water; from diet, such as wine, beverages, and cold or raw foods; or from human activities, such as sleeping in sweat-soaked clothes or lying on damp surfaces, for instance, when infants' clothing and swaddling clothes soiled with urine and feces after bathing are not dried promptly. Although the causes differ, they all fundamentally stem from Spleen Qi deficiency. There are two main treatment approaches: one addresses Damp-Heat, and the other addresses Cold-Dampness, covering all scenarios. When the disease presents with fever, it is classified as Damp-Heat syndrome, suitable for clearing heat and promoting diuresis; when the disease presents with excessive cold sensations, it is classified as Cold-Dampness syndrome, suitable for drying dampness and warming the interior.
Chai Ling Tang (Bupleurum and Poria Decoction): Treats fever, heavy body, irritability, thirst, dark and scanty urination, constipation, and a surging and slippery pulse, indicating Damp-Heat syndrome.
Ingredients: Chai Hu (Bupleuri Radix, 1.5 qian), Ren Shen (Ginseng Radix et Rhizoma), Huang Qin (Scutellariae Radix), Zhi Ban Xia (Pinelliae Rhizoma Praeparatum), Bai Zhu (Atractylodis Macrocephalae Rhizoma, bleached), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Fu Ling (Poria, each 1 qian), Qing Hua Gui (Cinnamomi Ramulus, greenish bark), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, each 0.5 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices), Da Zao (Jujubae Fructus, 3 pieces). Decoct in water and take hot.
If both bowel movements and urination are obstructed, combine with external treatments; see the "Obstruction of Both Bowel Movements and Urination" section below.
Yin Chen Wu Ling Yin (Artemisiae Scopariae and Five-Ingredient Poria Decoction): Treats jaundice and fever caused by dampness invasion, accompanied by dark and scanty urination.
Ingredients: Yin Chen (Artemisiae Scopariae Herba, 2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, bleached, 1 qian), Chi Ling (Red Poria, 1.5 qian), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma, each 1 qian), Qing Hua Gui (Cinnamomi Ramulus, greenish bark), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 0.5 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices), Da Zao (Jujubae Fructus, 3 pieces). Decoct in water and take.
The above formulas are all used to treat Damp-Heat syndrome.
Wei Ling Tang (Stomach and Poria Decoction): Treats headache heaviness, body heaviness, alternating chills and fever, abdominal distension, and diarrhea caused by Cold-Dampness. It can also harmonize water and earth, and regulate the Spleen and Stomach.
Ingredients: Cang Zhu (Atractylodis Rhizoma,漂 washed), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger), Guang Pi (Citri Reticulatae Pericarpium), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Yun Ling (Cloud Poria), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma, each 1 qian), Qing Hua Gui (Cinnamomi Ramulus, greenish bark), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, each 0.5 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices). Decoct in water and take before meals. If vomiting is present, add Huo Xiang (Agastaches Herba) and Sha Ren (Amomi Fructus Rotundus), each 0.8 qian.
Wu Pi Yin (Five-Peel Decoction): This formula, combined with Wei Ling Tang, specifically treats edema caused by dampness invasion, with remarkable efficacy.
Ingredients: Sheng Jiang Pi (Zingiberis Pericarpium), Da Fu Pi (Arecae Pericarpium), Fu Ling Pi (Poria Peridium), Sang Bai Pi (Mori Cortex), Wu Jia Pi (Acanthopanacis Cortex, each 2 qian), Deng Xin Cao (Junci Medulla, 10 strands), Da Zao (Jujubae Fructus, 3 pieces). Decoct in water and take on an empty stomach.
If there is no effect after taking several doses combined with Wei Ling Tang, warm-tonifying methods must be employed, such as Li Zhong Tang (Regulate the Middle Decoction) or Ba Wei Wan (Eight-Ingredient Pill); choose appropriately.
Ba Wei Wan (Eight-Ingredient Pill):
Ingredients: Shu Di Huang (Rehmanniae Radix Preparata, 8 liang), Shan Yao (Dioscoreae Rhizoma, stir-fried), Yun Ling (Cloud Poria, each 4 liang), Shan Zhu Yu (Corni Fructus), Dan Pi (Moutan Cortex, wine-stir-fried), Ze Xie (Alismatis Rhizoma, each 2 liang), Fu Zi (Aconiti Lateralis Radix Preparata, cooked, 1.5 liang), Rou Gui (Cinnamomi Cortex, coarse bark removed, 1 liang).
Make pills using refined honey, sized like wu-tou seeds (approx. 6mm diameter). Take 3 qian per dose, swallowed with boiled water.
Li Zhong Tang (Regulate the Middle Decoction): See the "Non-Tetanic Convulsions" section above.