（附∶中 暑风 注夏）
经曰∶夏至后病热为暑。又曰∶脉虚身热，得之伤暑。盖暑时相火司令，炎热盛行，感受为病
，则有阴阳动静之殊。如劳役辛苦之人，于烈日酷暑中作劳奔走致之者，是动而得之，中热之阳证
也。其病必苦头眩，烦躁恶热，齿燥舌干，扪之肌肤烙手，大渴引饮，汗大泄，无气以动，乃暑热
外伤元气也。宜清凉之剂，益元散、黄连香薷饮；虚者，清暑益气汤、生脉散之类。如富贵安逸之士，于深堂广厦中
乘风取凉致之者，是静而得之，伤暑之阴证也。其病必头疼骨痛，恶寒，形体拘急，心烦胸满，发
热无汗，乃阴寒闭塞阳气也。宜辛温之剂，藿香正气散（见二卷末、）缩脾饮，甚者理中汤（方
见中寒）加附子之类。中热脉虚大，伤暑脉弦紧。
主方 （治伤暑阴寒） 干姜 浓朴 苍术 茯苓 陈皮 枳壳 羌活 白芷（各一钱）
甘草（五分） 加姜、葱煎服，取汗。
头痛加川芎（一钱） 细辛（五分） 食积加山楂、麦芽。
十味香薷饮 治中热口渴，或吐或泻，一切暑证。
香藿（二钱） 浓朴 扁豆 人参 白术 茯苓 陈皮 黄 木瓜（各一钱） 甘草（五分）
上水煎，冷服。热甚加黄连；渴甚加石膏、知母。
益元散 （即六一散、天水散） 治中暑身热，烦渴泄泻，小便不利，白浊，痢疾。能燥湿
去热，利水实脾，化食行滞，逐凝血、清火邪之圣药，夏月远行不可缺。小便赤少，合五苓散（方
见便癃。）
滑石（水飞，六两） 甘草末（一两）研匀，每服二钱，不拘时，灯心汤调下。热、渴，新汲水下。
清暑益气汤 治中暑汗出，喘急无气，以动懒言。
苍术 黄 升麻（各一钱） 人参 白术 陈皮 麦冬 神曲 泽泻（各五分） 黄柏 当
归青皮 葛根 甘草（各三分） 五味子（九粒）上水煎服。
缩脾饮 解伏暑，除烦渴，消暑毒，止吐泻、霍乱。
干葛 白扁豆（炒） 甘草（各一钱） 乌梅肉 砂仁 草果（各五分） 上剂水煎，冷服。
生脉散 生津益气，润肺养心，夏月阴内阳外，烦渴宜服。
人参（一钱） 麦门冬（二钱） 五味子（九粒） 上水煎，不拘时服。
简便方 治中暑。车轮上土，水调，澄饮，或掘地坑注水搅、澄，取水饮。
又方 大蒜、热土研烂，水调去渣服。又水蓼煮汁灌之。
又方 丝瓜叶（一片） 白盐梅（一个，连仁，）共研细，新汲水下。亦治中暑、霍乱。
法∶冒暑倒仆者，若饮水即死。宜移置阴凉处，掬途热土于脐上作窝，众人尿窝中；更以童便
灌之，次以前地浆水饮，徐徐扇之，乃苏。
（附注：中暑、暑风、注夏）
经典记载：夏至之后发生的发热病症称为暑病。又说：脉象虚弱且身体发热，是由于感受暑邪所致。大概是因为在暑季，相火当令，炎热盛行，人体感受邪气而发病，则有阴阳动静之分。例如劳役辛苦的人，在烈日酷暑中劳作奔走而致病，这是“动而得之”，属于中热证的阳证。其症状必定包括头晕目眩、烦躁怕热、牙齿干燥、舌苔干枯，触摸肌肤烫手，极度口渴想喝水，大汗淋漓，气息微弱不想活动，这是暑热从外部损伤元气所致。适宜使用清凉的药剂，如益元散、黄连香薷饮；体质虚弱者，可用清暑益气汤、生脉散之类。又如富贵安逸的人，在深堂广厦中乘凉取乐而致病，这是“静而得之”，属于伤暑证的阴证。其症状必定包括头痛骨痛、恶寒、身体拘挛急迫、心烦胸满、发热无汗，这是阴寒闭塞阳气所致。适宜使用辛温的药剂，如藿香正气散（见第二卷末尾）、缩脾饮，病情严重的用理中汤（方剂见中寒章节）加附子之类。中热证脉象虚大，伤暑证脉象弦紧。
主方（治疗伤暑阴寒证）：干姜、厚朴、苍术、茯苓、陈皮、枳壳、羌活、白芷（各一钱），甘草（五分）。加入生姜、葱白煎服，以出汗为度。
头痛加川芎（一钱）、细辛（五分）；食积加山楂、麦芽。
十味香薷饮：治疗中热口渴，或呕吐或腹泻，以及一切暑证。
香薷（二钱）、厚朴、扁豆、人参、白术、茯苓、陈皮、黄芩、木瓜（各一钱），甘草（五分）。
以上药材用水煎煮，冷服。热甚加黄连；渴甚加石膏、知母。
益元散（即六一散、天水散）：治疗中暑身热，烦渴泄泻，小便不利，白浊，痢疾。能燥湿去热，利水实脾，化食行滞，逐除凝血、清除火邪的神药，夏季远行不可缺。若小便赤少，可配合五苓散（方剂见便癃章节）。
滑石（水飞法处理，六两）、甘草末（一两）研匀，每次服用二钱，不限时间，用灯心草汤调下。若有热、渴症状，用新汲水调下。
清暑益气汤：治疗中暑汗出，喘急气短，因动而懒言。
苍术、黄芪、升麻（各一钱），人参、白术、陈皮、麦冬、神曲、泽泻（各五分），黄柏、当归、青皮、葛根、甘草（各三分），五味子（九粒）。以上药材用水煎服。
缩脾饮：解除伏暑，消除烦渴，消暑毒，止吐泻、霍乱。
干葛、白扁豆（炒制）、甘草（各一钱），乌梅肉、砂仁、草果（各五分）。以上药材用水煎煮，冷服。
生脉散：生津益气，润肺养心，夏季阴气在内阳气在外，出现烦渴时适宜服用。
人参（一钱），麦门冬（二钱），五味子（九粒）。以上药材用水煎煮，不限时间服用。
简便方：治疗中暑。取车轮上的泥土，用水调和，澄清后饮用；或者挖掘地坑注入水搅拌、澄清，取水饮用。
又一方：大蒜、热土研烂，用水调和去渣后服用。或者用水蓼煮汁灌服。
又一方：丝瓜叶（一片）、白盐梅（一个，连核），共同研细，用新汲水送服。也治疗中暑、霍乱。
治法：冒犯暑邪而晕倒者，如果立即饮水就会死亡。适宜将其移至阴凉处，捧取路上的热土在肚脐上堆成窝状，将众人的尿液注入窝中；再用童便灌服，随后饮用前述的地浆水，慢慢扇风，患者才能苏醒。
(Attachment: Zhongshu [Heatstroke], Shufeng [Summerwind], Zhuxia [Summer Malaise])
The Classics state: Heat illness occurring after the Summer Solstice is termed Shu (Summerheat). It also states: A weak pulse accompanied by body heat results from injury by Summerheat. Generally, during the Summer season, Ministerial Fire commands and intense heat prevails; contracting pathogenic factors leads to disease, which differs in Yin/Yang and Motion/Stillness. For instance, laborers who work and run under scorching sun and intense heat contract this through "motion," representing Yang syndrome of Zhonger (Heatstroke). Symptoms must include dizziness, irritability, aversion to heat, dry teeth and tongue, burning skin upon touch, extreme thirst with desire to drink, profuse sweating, and lethargy due to Qi deficiency. This is caused by Summerheat-Heat externally damaging Yuan Qi (Original Qi). Coolant formulas are suitable, such as Yiyuan San (Beneficial Origin Powder) or Huanglian Xiangru Yin (Coptis and Elsholtzia Decoction); for deficiency patterns, Qingshu Yiqi Tang (Clear Summerheat and Boost Qi Decoction) or Shengmai San (Generate Pulse Powder) may be used. Conversely, wealthy and idle individuals who seek coolness in deep halls and large mansions contract this through "stillness," representing Yin syndrome of Shangshu (Injury by Summerheat). Symptoms must include headache and bone pain, aversion to cold, bodily stiffness and tension, vexation and chest fullness, fever without sweating. This is caused by Yin-Cold blocking Yang Qi. Acrid-warm formulas are suitable, such as Huoxiang Zhengqi San (Patchouli and Regulatory Qi Powder) (see Vol. 2 end), Suopi Yin (Spleet-Suppressing Drink), or Lizhong Tang (Regulate the Middle Decoction) (formula see Cold Injury chapter) plus Fuzi (Prepared Aconite Root) for severe cases. Zhonger presents with a vacuous and large pulse; Shangshu presents with a string-tight pulse.
Main Formula (Treats Shangshu Yin-Cold): Ganjiang (Dried Ginger Rhizome), Houpo (Magnolia Bark), Cangzhu (Atractylodis Rhizoma), Fuling (Poria), Chenpi (Citrus Reticulatae Pericarpium), Zhike (Aurantii Fructus Immaturus), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix) (each 1 qian), Gancao (Licorice Root) (0.5 qian). Add fresh ginger and green onion, decoct and take orally to induce sweating.
For headache, add Chuanxiong (Ligusticum Chuanxiong Rhizome) (1 qian) and Xixin (Asari Radix et Rhizoma) (0.5 qian); for food stagnation, add Shanzha (Crataegi Fructus) and Maiya (Hordei Fructus Germinatus).
Shiwei Xiangru Yin (Ten-Ingredient Elsholtzia Decoction): Treats Zhonger with thirst, vomiting or diarrhea, and all Summerheat syndromes.
Xiangru (Elsholtziae Herba) (2 qian), Houpo (Magnolia Bark), Biandou (Lablab Bean Seed), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citrus Reticulatae Pericarpium), Huangqin (Scutellariae Radix), Mugua (Chaenomelis Fructus) (each 1 qian), Gancao (Licorice Root) (0.5 qian).
Decoct with water and take cold. If heat is severe, add Huanglian (Coptidis Rhizoma); if thirst is severe, add Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma).
Yiyuan San (Beneficial Origin Powder) (also known as Liuyi San [Six-to-One Powder] or Tianshui San [Heavenly Water Powder]): Treats Zhongshu with body heat, vexation/thirst, diarrhea, difficult urination, leukorrhea, and dysentery. It is a sacred medicine that dries dampness and removes heat, promotes urination and strengthens the Spleen, transforms food and moves stagnation, expels blood stasis, and clears fire pathogens. It is indispensable for long journeys in summer. If urine is red and scanty, combine with Wuling San (Five-Ling Powder) (formula see Lin Syndrome chapter).
Huashi (Talcum) (water-flowered, 6 liang), Gancao powder (Licorice Root powder) (1 liang), ground uniformly. Take 2 qian each time, at any time, mixed with Dengxin Tang (Junci Medullae Decoction). For heat and thirst, use Xinji Shui (freshly drawn cold water).
Qingshu Yiqi Tang (Clear Summerheat and Boost Qi Decoction): Treats Zhongshu with sweating, panting and shortness of breath, and reluctance to speak due to movement.
Cangzhu (Atractylodis Rhizoma), Huangqi (Astragali Radix), Shengma (Cimicifugae Rhizoma) (each 1 qian), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citrus Reticulatae Pericarpium), Maidong (Ophiopogonis Radix), Shenqu (Massa Medicata Fermentata), Zexie (Alismatis Rhizoma) (each 0.5 qian), Huangbai (Phellodendri Cortex), Danggui (Angelicae Sinensis Radix), Qingpi (Aurantii Fructus Immaturus), Gegen (Puerariae Lobatae Radix), Gancao (Licorice Root) (each 0.3 qian), Wuweizi (Schisandrae Chinensis Fructus) (9 grains). Decoct with water and take orally.
Suopi Yin (Spleet-Suppressing Drink): Resolves latent Summerheat, eliminates vexation and thirst, dissipates Summerheat toxicity, stops vomiting/diarrhea, and treats cholera.
Gegen (Puerariae Lobatae Radix), Baibian Dou (Lablab Bean Seed) (stir-fried), Gancao (Licorice Root) (each 1 qian), Wumei Rou (Mume Semen), Sharen (Amomi Fructus), Caoguo (Tsaoko Fructus) (each 0.5 qian). Decoct with water and take cold.
Shengmai San (Generate Pulse Powder): Generates fluids and boosts Qi, moistens the Lungs and nourishes the Heart. Suitable for summer when Yin is internal and Yang is external, presenting with vexation and thirst.
Renshen (Ginseng Radix et Rhizoma) (1 qian), Maimendong (Ophiopogonis Radix) (2 qian), Wuweizi (Schisandrae Chinensis Fructus) (9 grains). Decoct with water and take at any time.
Simple Prescription: Treats Zhongshu. Take soil from cart wheels, mix with water, let settle, and drink the clear liquid; or dig a pit, fill with water, stir, let settle, and drink the clear water.
Another prescription: Crush garlic and hot soil, mix with water, remove dregs, and take orally. Or boil Shuiliao (Polygonum Hydropiper) juice and administer.
Another prescription: Si Gua Ye (Luffae Folium) (one leaf), Bai Yanmei (Salted Plum) (one whole, including seed), grind finely, and swallow with freshly drawn cold water. Also treats Zhongshu and cholera.
Method: For those who faint due to exposure to Summerheat, drinking water immediately causes death. Move them to a cool place, scoop up hot road soil to form a nest on the umbilicus, pour urine from multiple people into the nest; then administer Tongbian (Child's Urine), followed by Di Jiang Shui (Earth Slurry Water) mentioned above, and fan slowly until they recover.