中气、因七情内伤。气逆为病。痰潮昏塞。牙关紧急。但七情皆能使人中因怒而中尤多
气之状。大略与中风同。风与气亦自难辨。以气药治风则可以风药治气则不可。才觉中气急
以苏合香丸灌之。候醒。继以八味顺气散。或调气散。中气与中风相似。所以别者。风中身
气中身冷。既苏之后。尚有余痰未尽平复。宜多进四七汤。及星香散。若其人本虚痰。气上
逆。关膈不通。上下不升降。或大便虚闭宜用三和丹诸气皆可用。不独中气。
中寒之证。人身体强直口噤不语。或四肢战掉或洒洒恶寒或翕翕发热。或卒然眩晕身无
此为寒毒所中。宜先用酒调苏合香丸。轻则进五积散加香附一钱。麝香少许。重则用姜附
汤若人渐苏。身体回暖。稍能言语。须臾。问其别有何证。挟气攻刺姜附汤。加木香半钱。
挟气不仁。加防风一钱。挟湿而肿痛者。加白术一钱。筋脉牵急者。加木瓜一钱。肢节疼痛
者。加桂二钱。
中暑为证。面垢闷倒。昏不知人冷汗自出手足微冷。或吐或泻。或喘或满。切不可以冷
水及
用十分冷剂。却暑散水调灌下亦得。或以来复丹末同苏合香丸用汤调灌。或以来复丹研末汤
调灌之。候其人稍苏。则用香薷饮香薷汤煎熟去滓。入麝香少许服或剥蒜肉入鼻中或研蒜水
解灌之。盖中伤暑毒阳外阴内。诸暑药多有暖剂。如大顺散之用姜桂。枇杷叶散之用丁香。
香薷饮之用香薷。香薷味辛性暖。蒜亦辛暖。又蒜气臭烈。能通诸窍。大概极臭。极香之物
皆能通窍故也。
初觉中暑。即以日晒瓦。或布蘸热汤更易熨其心腹脐下。急以二气丹末汤调灌下。
曾有客人。中暑迷闷。四肢厥逆。冷汗如雨裸形欲投水中。口吻涎沫流溢。此中暑已深
阴阳离绝难除。又有暑途一证。似中而轻。欲睡懒语。实人香薷饮加黄连一钱。虚人星香饮
加香薷一钱。苏后冷汗不止。手足尚逆。烦闷多渴者。宜香薷饮。苏后为医者过投冷剂。致
吐利不止。外热内寒。烦躁多渴。甚欲裸形。状如伤寒。阴盛隔阳。当用温药。香薷饮加附
子浸冷服。渴者缩脾饮加附子亦浸冷服。
中气病，是由于七情（喜、怒、忧、思、悲、恐、惊）内伤所致。气机逆乱引发疾病，表现为痰涎上涌、神志昏塞、牙关紧闭。虽然七情都能导致这种气机紊乱的症状，但因愤怒而引发的尤为多见。其症状大体与中风相似，风邪致病与气滞致病也难以辨别。用治气的药物治疗风病可以，但用治风的药物治疗气病则不行。刚感觉到中气发作时，立即灌服苏合香丸。待患者苏醒后，继以八味顺气散或调气散服用。中气与中风相似，区别在于：中风时身体发热，中气时身体发冷。既已苏醒之后，如果还有余痰未尽，身体尚未完全平复，宜多服用四七汤及星香散。如果患者本身体虚有痰，气机上逆，导致膈部闭塞不通，上下气机升降受阻，或者大便因虚而闭结，宜使用三和丹。各种气滞病症都可以使用此法，不独是中气病。
中寒的证候，表现为身体强直、口噤不能言语，或者四肢颤抖，或者感到阵阵恶寒，或者微微发热，或者突然眩晕。这是因为被寒毒所中。宜先用酒调服苏合香丸。病情轻的服用五积散加香附一钱、麝香少许；病情重的服用姜附汤。如果患者逐渐苏醒，身体回暖，稍能言语，须臾之间，询问是否有其他兼证。若兼有气滞攻刺疼痛，在姜附汤中加入木香半钱；若兼有气滞导致肢体麻木不仁，加入防风一钱；若兼有湿邪导致肿痛，加入白术一钱；若筋脉拘急牵引，加入木瓜一钱；若肢节疼痛，加入桂枝二钱。
中暑的证候，表现为面部污垢、胸闷晕倒、昏迷不知人事、冷汗自出、手足微冷，或者呕吐或者腹泻，或者气喘或者胀满。切不可以用冷水及十分冷的药物来治疗。可用消暑散用水调服灌下也可以。或者以来复丹粉末同苏合香丸一起，用汤剂调服灌下。或者以来复丹研末，用汤剂调服灌下。待患者稍微苏醒，则使用香薷饮。将香薷汤煎熟去渣，加入少许麝香服用；或者将蒜肉塞入鼻中；或者研碎大蒜用水解药灌服。因为中暑是暑毒伤人，外受阴寒内蕴阳热，各种治暑药物多有温性药剂，如大顺散中使用干姜、肉桂；枇杷叶散中使用丁香；香薷饮中使用香薷。香薷味辛性温，大蒜也味辛性温。而且蒜气臭烈，能通诸窍。大概极臭、极香之物皆能通窍的缘故。
刚开始觉得中暑，立即用晒热的瓦片，或用布蘸热汤交替熨烫心腹脐下部位。紧急情况下用二气丹粉末，汤剂调服灌下。
曾有一位客人，中暑迷闷，四肢厥冷，冷汗如雨，裸身想要跳入水中，口角流涎沫。这是中暑已深，阴阳离绝，难以治愈。又有暑途之证，类似中暑但较轻，想睡觉且懒于说话。实证者用香薷饮加黄连一钱；虚证者用星香饮加香薷一钱。苏醒后冷汗不止，手足尚且厥冷，烦躁闷乱且多口渴者，宜用香薷饮。苏醒后因医生过度投予冷剂，导致吐泻不止，外热内寒，烦躁多渴，甚欲裸身，状如伤寒，此为阴盛格阳，当用温药。香薷饮加附子，浸冷后服用。口渴者用缩脾饮加附子，亦浸冷后服用。
Zhongqi (Qi Stagnation/Strike), caused by internal injury from the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright). The disease arises from rebellious Qi, manifesting as flooding phlegm, unconsciousness and obstruction, and lockjaw. Although all Seven Emotions can cause this Qi disturbance, those triggered by anger are particularly common. The symptoms are generally similar to Zhongfeng (Wind Strike), making it difficult to distinguish between Wind and Qi pathologies. Treating Wind with Qi-regulating herbs is acceptable, but treating Qi disorders with Wind-dispelling herbs is not. Upon the initial sensation of Zhongqi, administer Suhexiang Wan (Styrax Pill) immediately. After the patient regains consciousness, follow up with Bawei Shunqi San (Eight-Ingredient Qi-Smooth Powder) or Tiaoqi San (Qi-Regulating Powder). Zhongqi resembles Zhongfeng; the distinction lies in the fact that in Wind Strike the body is hot, whereas in Qi Strike the body is cold. After regaining consciousness, if residual phlegm remains and the body has not fully recovered, Siqi Tang (Four-Seven Decoction) and Xingxiang San (Star-Aromatic Powder) should be administered frequently. If the patient inherently has deficiency with phlegm, with rebellious Qi causing blockage at the diaphragm, obstructing the ascending and descending of Qi, or experiencing constipation due to deficiency, Sanhe Dan (Three-Harmony Pill) should be used. This approach applies to various Qi stagnation conditions, not solely Zhongqi.
The syndrome of Zhonghan (Cold Strike) presents with rigidity of the body, lockjaw with inability to speak, trembling of the four limbs, aversion to cold (Shasha Ehan), slight fever (Xixi Refa), or sudden vertigo. This is caused by being struck by Cold Toxin. Initially, administer Suhexiang Wan mixed with wine. For mild cases, administer Wuji San (Five Accumulations Powder) with added Cyperi Rhizoma (Xiangfu, 1 qian) and Moschus (Shexiang, a small amount); for severe cases, use Jiangfu Tang (Ginger and Aconite Decoction). If the patient gradually revives, the body warms up, and speech resumes, inquire about other accompanying symptoms after a short while. If accompanied by Qi attack causing stabbing pain, add Aucklandiae Radix (Muxiang, 0.5 qian) to Jiangfu Tang; if accompanied by Qi stagnation leading to numbness, add Saposhnikoviae Radix (Fangfeng, 1 qian); if accompanied by Dampness causing swelling and pain, add Atractylodis Macrocephalae Rhizoma (Baizhu, 1 qian); if tendons and vessels are pulled tight, add Chaenomelis Fructus (Mugua, 1 qian); if joint pain occurs, add Cinnamomi Ramulus (Guizhi, 2 qian).
The syndrome of Zhongshu (Summerheat Strike) manifests as a greasy face, chest oppression, fainting, unconsciousness, spontaneous cold sweat, slightly cold hands and feet, vomiting or diarrhea, wheezing, or fullness. One must absolutely avoid using cold water or highly cooling agents. Instead, Xiaoshu San (Summerheat-Relieving Powder) can be administered mixed with water. Alternatively, Laifu Dan (Reviving Life Pill) powder can be combined with Suhexiang Wan and administered with decoction. Or, Laifu Dan powder can be administered with decoction. Once the patient slightly revives, Xiangru Yin (Elsholtzia Decoction) should be used. Boil Elsholtziae Herba (Xiangru, 麻黄 is often associated but here refers to Elsholtzia in this context, specifically Elsholtzia splendens or similar aromatic herb) until cooked, remove dregs, and add a small amount of Moschus (Shexiang) for oral administration. Alternatively, insert garlic flesh into the nose, or crush garlic and administer the water solution. This is because Summerheat toxicity injures the person, with external Yin cold and internal Yang heat. Most summerheat remedies contain warming agents, such as Zingiberis Rhizoma (Shengjiang, Ginger) and Cinnamomi Cortex (Rougui, Cinnamon) in Dashun San; Eugeniae Caryophyllati Flos (Dingxiang, Clove) in Pipaye Ye San; and Elsholtziae Herba (Xiangru) in Xiangru Yin. Xiangru is pungent and warm; garlic is also pungent and warm. Moreover, garlic has a strong odor capable of opening orifices. Generally, substances with extreme odors or aromas can open orifices.
Upon initially feeling summerheat strike, immediately apply heated roof tiles, or cloths dipped in hot water, alternating to moxa/iron the epigastrium, abdomen, and below the umbilicus. Urgently administer Erqi Dan (Two-Qi Pill) powder mixed with decoction.
A guest once suffered from deep summerheat strike with confusion, cold extremities, profuse cold sweat like rain, nakedness desiring to jump into water, and overflowing salivary foam. This indicated deep summerheat strike with separation of Yin and Yang, which is difficult to cure. There is also a "Summerheat Journey" syndrome, which resembles summerheat strike but is milder, characterized by desire to sleep and reluctance to speak. For excess patterns, use Xiangru Yin with added Coptidis Rhizoma (Huanglian, 1 qian); for deficiency patterns, use Xingxiang Yin with added Elsholtziae Herba (Xiangru, 1 qian). After revival, if cold sweat persists, extremities remain cold, and there is irritability, oppression, and excessive thirst, use Xiangru Yin. If after revival, the physician over-administered cooling agents, causing persistent vomiting and diarrhea, external heat with internal cold, irritability, excessive thirst, and desire to undress, resembling Taiyang disease (Shaoyin/Shanghan pattern), this is Yin Excess repelling Yang. Warming herbs should be used: Xiangru Yin with added Aconiti Lateralis Radix Praeparata (Fuzi, Prepared Aconite Root), taken after soaking in cold liquid. For thirst, Suopi Yin (Spleen-Constricting Drink) with added Fuzi, also taken after soaking in cold liquid.