夏月伏阴在内，当于寒湿中求之。议以理中汤，温理脾阳。服药泻止呕减，舌苔少退。
此由
脾阳向亏，卑监之土，易于酿湿，阳气不足，寒自内生，既无外邪干之，本气自能为病。今
既投机，只可于方内增分两，不必于方外求他味。其所以不骤加阴药者，盖恐肥人之病，虑
虚其阳耳。经云∶阳气者，若天与日，失其所则折寿而不彰，故天运当以日光明。日光不到
之处，恒多湿生，土之薄也。经又云∶脾苦湿，急食苦以燥之。脾阳健可冀运矣。昨方加增
分两有效，足见尚是病重药轻，然当此盛暑参附大剂，服逾两旬，病犹未却，虚寒情状，亦
可畏矣。安心稳守，功到自成。
安波按∶华氏云，低窳湿处，必须以烈日晒之，此病是也。
病起偶然眩仆，医谓急虚身中，猛进甘温峻补，转增胸胀呕吐，不饥不便，有时浮阳上
腾，
面赤，唇口干燥。然脉尚和平，寝尚安稳，言语尚觉明白，求其所因，良由肾元下虚，水不
生木，肝风鸱张，以致发时，状如中厥。经谓诸风眩掉，皆属于肝。温补药重，激动肝阳，
其胸胀呕吐，不饥不便者，无非肝风扰胃，阻胃之降而然。使果真阳飞越，雷龙不藏，则脉
必浮大无根，证必烦躁，无暂安时。且前服温补诸方，岂有不效，而反病增之理。所定制肝
安胃，尚有商者，盖肝阳冲逆，非介不足潜其威，木火沸腾，舍酸无可敛其焰。拟于方内加
牡蛎乌梅二味，更觉相宜。痰涎频吐，胃液必伤，再加赤斛蔗汁，益阴保液，尤为符合。
安波按∶肝风症由肝阳吸耗肾水，致水涸木炽，故上冒为仆，为痰迷，上泛为晕，为
呕，
为惊悸，为不寐，为痉厥，为耳鸣。种种恶候，变态不一。庸流不识，以热补助火致毙者，
何可胜计。故录出以为庸医者解。
夏季体内潜伏着阴寒之气，治疗应当从寒湿的角度去探究。建议采用理中汤（温中散寒、补气健脾的方剂），以温补并调理脾阳。服药后腹泻停止，呕吐减轻，舌苔有所消退。
这是由于脾阳原本亏损，脾土功能低下（卑监之土指脾虚运化无力），容易滋生湿气；阳气不足，寒气便从体内产生。既然没有外邪侵袭，就是本气自病。现在既然用药对症，只需增加原方的剂量，不必在原方之外添加其他药物。之所以不急于加入滋阴药物，是因为考虑到肥胖之人患病，担心会进一步损伤其阳气。《内经》说：“人体的阳气，就像天上的太阳一样，如果失去其正常位置和功能，就会折损寿命而不显赫，所以天体的运行需要阳光的照耀。”阳光照不到的地方，往往多湿气，这是因为土壤浅薄。《内经》又说：“脾脏厌恶湿气，应当急用苦味食物来燥湿。”只要脾阳强健，就可以期望脾的运化功能恢复正常。昨天的方子增加剂量后有效，足以证明还是病重药轻。然而正值盛夏，使用人参、附子等大剂量的温补药，服用超过二十天，病仍未愈，这种虚寒的情况，也是令人担忧的。安心稳固地坚守此法，功夫到了自然见效。
安波按：华氏曾说，低洼潮湿的地方，必须用烈日暴晒才能干燥，这个病症也是如此。
病情起因于偶然的眩晕跌倒，医生认为是“急虚身中”（正气突然虚弱，邪气侵入身体），于是猛烈进用甘温峻补的药物，结果反而增加了胸腹胀满、呕吐、不思饮食、大便不通的症状，有时出现浮阳上腾，导致面红、嘴唇和口腔干燥。但是脉象尚且平和，睡眠尚且安稳，言语尚且清楚明白。推求其原因，确实是由于肾元下部亏虚，肾水不能滋养肝木，导致肝风猖獗，发作时症状类似中风厥逆。《内经》说：“所有的风证眩晕动摇，都归属于肝脏。”温补药物过重，激动了肝阳，那些胸胀呕吐、不思饮食、大便不通的症状，无非是肝风扰乱胃气，阻碍胃气下降所致。如果真的是真阳飞越，雷龙之火不藏，那么脉象必定浮大无根，症状必定烦躁，没有片刻安宁的时候。况且之前服用的温补各方，难道会有无效反而使病情加重的道理吗？所制定的平肝安胃的方案，还有值得商榷的地方。因为肝阳冲逆，非介类潜阳药物不足以压制其威势；木火沸腾，除了酸味药没有其他方法可以收敛其火势。建议在方中加入牡蛎、乌梅两味药，更加适宜。痰涎频繁吐出，胃液必然受损，再加石斛、甘蔗汁，以益阴保液，尤为符合病情。
安波按：肝风症是由肝阳吸耗肾水，导致肾水枯竭、肝木炽盛，因此向上冒犯导致跌倒，形成痰迷心窍；向上泛溢导致眩晕、呕吐、惊悸、失眠、痉厥、耳鸣等。各种恶候，变化不一。庸医不识此理，用热性补药助长火势而导致死亡的，数不胜数。所以记录下来，作为对庸医的警示。
In summer, yin-cold lurks within the body; treatment should be sought from the perspective of cold-dampness. It is proposed to use Lizhong Tang (Regulate the Middle Decoction) to warm and regulate Spleen-Yang. After taking the medicine, diarrhea ceased, vomiting decreased, and the tongue coating receded somewhat.
This arises because Spleen-Yang was previously deficient. The "inferior earth" (Spleen with weak transportive function) easily generates dampness; due to insufficient Yang Qi, cold generates internally. Since there are no external pathogens interfering, it is a disease originating from the body's own constitution. Now that the medication has hit the mark, one need only increase the dosage within the formula, rather than seeking other herbs outside the formula. The reason for not abruptly adding Yin-nourishing medicines is likely due to the concern that patients with obesity are prone to Yang deficiency, and we fear further damaging their Yang. The Classic states: "Human Yang Qi is like the sky and the sun; if it loses its proper place, life is shortened and brilliance is lost. Thus, the movement of heaven depends on the brightness of the sun." Where sunlight does not reach, dampness often abounds, just as thin soil cannot retain warmth. The Classic also states: "The Spleen dislikes dampness; urgently eat bitter substances to dry it." If Spleen-Yang becomes robust, one may hope for the restoration of transportive function. The previous prescription, when increased in dosage, proved effective, sufficient to show that the disease was heavy while the medication was light. However, during midsummer, using large doses of Ginseng and Aconite for over twenty days without curing the illness reveals the severity of this deficiency-cold condition, which is indeed formidable. Remain calm and steadfastly adhere to this method; success will come naturally when the effort is sufficient.
An Bo notes: Hua Shi said that low, damp places must be exposed to the scorching sun to dry out; this case is similar.
The illness began with occasional dizziness and collapse. Physicians attributed it to "sudden deficiency with pathogen invasion" and aggressively administered sweet-warm, potent tonics. This exacerbated chest distension, vomiting, anorexia, and constipation. Occasionally, floating Yang surged upward, causing facial redness and dry lips and mouth. However, the pulse remained harmonious, sleep was stable, and speech was clear. Investigating the cause, it stems from lower Kidney-Yuan deficiency, where Water fails to nourish Wood, leading to rampant Liver-Wind. Upon onset, symptoms resemble stroke or syncope. The Classic states: "All wind syndromes involving dizziness and tremors belong to the Liver." Heavy warm-tonifying medicines agitated Liver-Yang. The chest distension, vomiting, anorexia, and constipation are none other than Liver-Wind disturbing the Stomach, obstructing the descending function of Stomach-Qi. If it were truly True-Yang flying away and Lei-Long Fire failing to hide, the pulse would necessarily be floating, large, and rootless, and symptoms would include restlessness with no moment of peace. Moreover, how could the previous warm-tonifying prescriptions have been ineffective yet worsened the condition? The formulated strategy of calming the Liver and soothing the Stomach still has room for discussion. Since Liver-Yang surges violently, non-piercing (shell/mineral) substances are insufficient to subdue its might; with Wood-Fire boiling, sour flavors are the only means to restrain the flame. It is suggested to add Oyster Shell (Muli) and Mume Fruit (Wumei) to the formula, which would be more appropriate. Frequent expectoration of phlegm-saliva inevitably injures Stomach fluids; adding Dendrobium (Chihu) and Sugarcane Juice to nourish Yin and preserve fluids is particularly fitting.
An Bo notes: Liver-Wind syndrome results from Liver-Yang consuming Kidney-Water, leading to dried-up Water and blazing Wood. Thus, it rises upward causing collapse, phlegm-misting the mind; rising outward causing dizziness, vomiting, palpitations, insomnia, spasms, convulsions, and tinnitus. Various malignant manifestations vary greatly. Quack doctors, failing to recognize this, use hot tonics to aid fire, leading to death, a number too great to count. Therefore, this is recorded as a warning to mediocre physicians.