凡夏月冷物伤脾,又兼暑气客之,则成燥病,令人发热作渴不止,六脉弦大,乃火热伤肺而津液不能上输
也,有脾胃之分。若发燥热而能食者,热在胃也,易治,服全真丹、荜澄茄散而愈。若发燥热不进饮食,四肢
倦怠,热在脾也,为重,服金液、草神或来复等丹,五日而愈。如作暑治,下以凉药,热虽暂退,必变为中满、
洞泄诸证。暑月发热,务分虚实,六脉沉数,饮食如常者,为实热,服薄荷煎而愈;若六脉弦紧,减食倦怠者,
为虚热,大忌寒凉,宜全真、来复等丹而愈。(夏月发热作渴,脉弦而大,谁肯不作暑治而不用寒凉者,不知
暑热熏蒸,耗人元气,元气既伤,未有不渴。冷物伤脾,有乖输灌;三焦失运,腠理不和,发热作渴,自所不
免。且六脉弦大,弦则为减,大则为虚,体验果真,一温可解。今之医家,专尚香薷、青蒿、黄连、滑石等剂,
变为泻泄,犹云协热,及至虚脱,全然不觉。此由脉理未明,误主作贼之误也。)
凡夏月阴气在腹,又暑能伤人元气,更兼冰水冷物损其脾胃,皆不足证也。《局方》俱用香薷饮、白虎、
益元、黄连解毒等剂,重伤元气,轻则变疟痢、霍乱、泄泻等证,重则成虚劳、中满、注泻等证。余常以保元、
来复、全真、金液、延寿、姜附汤等类治暑,百发百中,好生之士请尝试之。
凡是夏季因生冷食物损伤脾脏,又兼受暑气侵袭,就会形成燥病,导致人体发热且口渴不止,六脉呈现弦大之象。这是火热之邪损伤肺脏,致使津液无法向上输布所致,病情涉及脾胃两个方面。如果表现为燥热但还能进食,说明热邪在胃中,容易治疗,服用全真丹、荜澄茄散即可痊愈。如果表现为燥热且不能进食,四肢倦怠无力,说明热邪在脾脏,属于重症,服用金液丹、草神丹或来复丹等,五天后即可痊愈。如果将其当作暑证治疗,使用寒凉药物攻下,虽然热势暂时消退,但必然转变为心腹胀满、洞泄(严重腹泻)等各种病症。
夏季发热,务必分辨虚实。若六脉沉数,饮食如常,属于实热,服用薄荷煎即可痊愈;若六脉弦紧,食欲减退且倦怠无力,属于虚热,绝对禁忌使用寒凉药物,适宜服用全真丹、来复丹等即可痊愈。(夏季发热且口渴,脉象弦而大,谁愿意不把它当作暑证治疗而不使用寒凉药物呢?殊不知暑热熏蒸,会耗损人的元气,元气既然受损,没有不感到口渴的。生冷食物损伤脾脏,违背了正常的输布灌溉功能;三焦失去运化能力,腠理不和,发热和口渴自然不可避免。况且六脉弦大,弦脉主减(阳气不足),大脉主虚,仔细体察确是如此,用温法即可解除。现在的医家,专门崇尚使用香薷、青蒿、黄连、滑石等方剂,结果导致患者变为腹泻,还说是“协热利”(伴随发热的腹泻),等到出现虚脱症状时,却全然不觉悟。这是由于对脉理不明,误将治病当作害人的错误行为。)
凡是夏季阴气潜伏在腹部,加上暑气伤害人体元气,更兼吃冰水冷水损害脾胃,都属于正气不足的证候。《太平惠民和剂局方》中全部使用香薷饮、白虎汤、益元散、黄连解毒汤等方剂,严重损伤元气,轻则转变为疟疾、痢疾、霍乱、泄泻等病症,重则形成虚劳、心腹胀满、注泻(久泻不止)等病症。我常用保元丹、来复丹、全真丹、金液丹、延寿丹、姜附汤等类别药物治疗暑证,百发百中,喜好救死扶伤的人士请尝试一下。
Whenever cold substances injure the Spleen in summer and are combined with the invasion of Summerheat, Dryness Disease (Zao Bing) forms. This causes persistent fever and thirst, with the six pulses appearing wiry and large. This is due to Fire-Heat injuring the Lungs, preventing Body Fluids (Jin Ye) from ascending and distributing. The pathology involves both the Stomach and Spleen. If dryness-heat occurs but the patient can eat, the heat is in the Stomach; this is easy to treat and will be cured by taking Quanzhen Dan (All-True Pill) and Bichengqie San (Bi Cheng Qie Powder). If dryness-heat occurs and the patient cannot eat, accompanied by fatigue and weakness in the four limbs, the heat is in the Spleen; this is severe and will be cured in five days by taking Jin Ye Dan (Golden Fluid Pill), Caoshen Dan (Divine Grass Pill), or Laifu Dan (Returning to Origin Pill). If treated as a Summerheat condition using cooling purgatives, although the heat may temporarily subside, it will inevitably transform into symptoms such as abdominal fullness and profuse diarrhea.
In summer, fever must be differentiated as deficiency or excess. If the six pulses are deep and rapid, and appetite remains normal, it is Excess Heat, cured by Bohe Jian (Peppermint Decoction). If the six pulses are wiry and tight, with reduced appetite and fatigue, it is Deficiency Heat; cold and cooling agents are strictly contraindicated, and one should use Quanzhen Dan or Laifu Dan for recovery. (When there is fever and thirst in summer with wiry and large pulses, who would refuse to treat it as Summerheat and avoid cold/cooling agents? They do not realize that Summerheat steaming consumes Yuan Qi (Primal Qi). Once Yuan Qi is damaged, thirst is inevitable. Cold substances injure the Spleen, disrupting normal transport and irrigation; when the Triple Burner loses its transformative function and the interstices (Cou Li) are disharmonious, fever and thirst are unavoidable. Moreover, wiry pulses indicate reduction (deficiency of Yang), and large pulses indicate emptiness (deficiency). Careful examination confirms this, and warmth therapy can resolve it. Current physicians exclusively favor formulas containing Moslae Herba (Xiangru), Artemisiae Annuae Herba (Qinghao), Coptidis Rhizoma (Huanglian), and Talcum (Huashi), which often lead to diarrhea, yet they still attribute it to "Heat-collateral" (Xie Re). By the time collapse occurs, they remain unaware. This error stems from a lack of understanding of pulse diagnosis, mistaking treatment for harm.)
In summer, Yin Qi resides in the abdomen. Summerheat damages Yuan Qi, and ice water/cold foods further injure the Spleen and Stomach; all these constitute Deficiency syndromes. The *Ju Fang* (Formulary of the Bureau) uses Xiangru Yin (Mosla Decoction), Baihu Tang (White Tiger Decoction), Yiyuan San (Benefit Primordial Powder), and Huanglian Jiedu Tang (Coptis Detoxification Decoction), which severely damage Yuan Qi. Mild cases transform into Malaria, Dysentery, Cholera, or Diarrhea; severe cases become Consumption (Xu Lao), Abdominal Fullness, or Incessant Diarrhea. I frequently treat Summerheat conditions with Baoyuan Dan, Laifu Dan, Quanzhen Dan, Jin Ye Dan, Yanshou Dan, and Jiang Fu Tang (Ginger and Aconite Decoction), achieving hundred percent success. Those who wish to save lives should try them.