中暑之症，面垢闷倒，昏不知人，冷汗自出，手足微冷，或吐或泻，或喘或满，
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。却暑散水调灌
下亦得。候其人稍苏，则用香薷饮、香薷汤煎熟去渣，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。热死人切勿便与冷水及卧冷
地，正如冻死人须先与冷水，若遽近火即死。一法∶行路 死人，惟得置日中，或
令近火，以热汤灌之即活。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。一方用不蛀皂角不拘多少，刮去黑皮，烧烟欲尽，用盆
合于地上，周遭勿令透烟。每用皂角灰一两，甘草末六钱和匀，每服一钱，新汲水
调下。气虚人温浆水调下。昏迷不省者，不过两服。盖中暑人痰塞关窍，皂角能疏
利去痰故也。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
格阳，宜用温药香薷饮加附子，浸冷服。渴者缩脾饮加附子，亦浸冷服。
东垣云∶静而得之谓之中暑。中暑者阴证，当发散也。或避暑热，纳凉于深堂
大厦得之者，名曰中暑。其病必头痛恶寒，身形俱急，肢节疼痛而烦心，肌肤大热，
无汗，为房室之阴寒所遏，使周身阳气不得伸越，世多以大顺散主之是也。动而得
之为中热。中热者阳证，为热伤元气，非形体受病也。若行人或农夫于日中劳役得
之者，名曰中热。其病必苦头疼，发躁热，恶热，扪之肌肤大热，必大渴引饮，汗
大泄，无气以动，乃为天热外伤肺气，苍术白虎汤主之。薛氏云∶若人元气不足，
用前药不应，宜补中益气汤主之。大抵夏月阳气浮于外，阴气伏于内，若人饮食劳
倦内伤中气，或酷暑劳役外伤阳气者多患之。法当调补元气为主，而佐以解暑。若
中者，乃阴寒之症，法当补阳气为主，少佐以解暑。故先哲多用姜、桂、附子之
类，此推《内经》舍时从证之良法也。今患暑症殁，而手足指甲或肢体青黯，此皆不
究其因，不温补其内，而泛用香薷饮之类所误也。夫香薷饮，乃散阳气导真阴之剂也。
须审有是证而服，亦何患哉。若人元气素虚，或犯房过度而饮之者，适所以招暑也。
中暑的症状，表现为面色污浊、胸闷晕倒、神志昏迷不知人事，冷汗自行流出，手脚微微发凉，或者呕吐或者腹泻，或者气喘或者腹部胀满。可以用来复丹（一种温里祛寒、理气止痛的成药）的粉末，配合苏合香丸（一种开窍醒神的成药），用温水调匀后灌服。或者将来复丹研成粉末，用温水调匀后灌服。用却暑散（一种清暑解热的成药）水调匀后灌下也可以。等到患者稍微苏醒，则使用香薷饮（一种解表化湿、和中消暑的方剂）、香薷汤煎煮成熟药液，滤去药渣，加入少许麝香服用。或者将蒜肉塞入鼻孔中，或者将蒜汁研磨出来灌服。这是因为中暑损伤了暑毒，导致阳气外越而阴寒内盛，各种治暑的药物大多含有温热性质的药材，比如大顺散（一种温中散寒的方剂）中使用干姜和肉桂，枇杷叶散（一种清肺化痰的方剂）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，而且大蒜气味臭烈，能够通达全身孔窍，大概极臭或极香的事物，都能通达孔窍的缘故。被热邪致死的人千万不要立刻给予冷水或躺在冰冷的地面上，这就像冻死的人必须先给予冷水一样，如果突然靠近火源就会死亡。另一种方法：对于在路途中因中暑而死的人，只有将其放置在阳光下，或者让人靠近火源，用热水灌服就能救活。刚觉得中暑时，立即用日晒过的瓦片，或者用布蘸取热汤交替熨烫其心腹及脐下部位，急忙以来复丹粉末，用温水调匀后灌服。另一方子使用不蛀蚀的皂角不拘多少，刮去黑皮，烧至烟将尽时，用盆扣在地上，四周不要让烟气透出。每次取皂角灰一两，甘草末六钱混合均匀，每次服用一钱，用新汲取的凉水调服。气虚的人用温浆水（发酵后的米汤）调服。昏迷不省事的，不过两服药即可。因为中暑之人痰浊堵塞了关窍，皂角能够疏通利气、去除痰浊的缘故。又有暑途这一证候，症状类似中暑但较轻，想睡觉且言语懒慢，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，手脚依然逆冷，心烦闷躁且多口渴的，适宜用香薷饮。苏醒后因医生过度投予寒凉药物，导致呕吐腹泻不止，外表发热内部寒冷，烦躁多渴，甚至想要裸露身体，症状如同伤寒，这是阴寒内盛格拒阳气于外，适宜用温热药香薷饮加附子，浸泡冷却后服用。口渴的用缩脾饮（一种清暑生津的方剂）加附子，也是浸泡冷却后服用。李东垣说：静处而得的是中暑。中暑属于阴证，应当发散治疗。或者是为了避暑热，在深堂大厦中纳凉而得的，名叫中暑。这种病必定头痛恶寒，身体拘急，肢节疼痛且心烦，肌肤大热，无汗，这是由于房室中的阴寒所遏制，使周身阳气不能伸展升发，世人多用大顺散主治是正确的。活动而得的是中热。中热属于阳证，是因为热邪损伤元气，并非形体受病。如果是行路人或农夫在烈日下劳役而得的，名叫中热。这种病必定剧烈头痛，烦躁发热，厌恶热邪，触摸肌肤大热，必定大渴引饮，大汗淋漓，没有力气活动，这是天热外伤肺气，用苍术白虎汤主治。薛己说：如果人元气不足，使用前药无效，适宜用补中益气汤主治。大致夏季阳气浮越于外，阴气潜伏于内，如果人饮食劳倦内伤中气，或者酷暑劳役外伤阳气的人多患此病。治法应当以调补元气为主，辅以解暑。若是中暑，乃是阴寒之症，治法应当以补阳气为主，少量佐以解暑。所以先哲多用干姜、肉桂、附子之类，这是推演《内经》“舍时从证”的良好法则。如今患暑症死亡，而手足指甲或肢体青暗，这都是不探究病因，不温补体内，而泛用香薷饮之类所误判的。香薷饮，是散发阳气、引导真阴的方剂。必须审察有相应的证候才服用，又有什么可担忧的呢？如果人元气素来虚弱，或者犯房事过度而饮用它的，恰恰正是招致暑邪的原因。
The symptoms of heatstroke (Zhongshu, 中暑) include a dirty complexion, chest stuffiness and fainting, unconsciousness with loss of awareness, spontaneous cold sweating, slightly cold hands and feet, or vomiting or diarrhea, or wheezing or abdominal fullness. One may administer the powder of Laifu Dan (Revival Pill), combined with Suhexiang Wan (Styrax Pill), mixed with water and forced down the throat. Alternatively, grind Laifu Dan into powder and administer it mixed with water. Administering Queshu San (Heat-Relieving Powder) mixed with water is also acceptable. Once the patient regains slight consciousness, use Xiangru Yin (Elsholtzia Decoction) or Xiangru Tang (Elsholtzia Decoction), boiled until ready, strained to remove dregs, and taken with a small amount of Moschus (Shexiang, 麝香). Alternatively, insert garlic flesh into the nostrils, or grind garlic juice and administer it. This is because heatstroke injures the body with summer-toxin, causing Yang Qi to float outward while Yin Cold resides inward. Most heat-relieving medicines contain warm agents, such as the use of Ginger Rhizome (Shengjiang, 生姜) and Cinnamon Twig (Guizhi, 桂枝) in Dashun San (Great Harmony Powder), Clove (Dingxiang, 丁香) in Pipoye San (Loquat Leaf Powder), and Elsholtzia (Xiangru, 香薷) in Xiangru Yin. Elsholtzia is pungent and warm; garlic is also pungent and warm. Moreover, garlic has a strong, foul odor that can unblock various orifices. Generally, substances with extreme odors or fragrances can unblock orifices. For those dead from heat, one must not immediately give cold water or let them lie on cold ground, just as for those frozen to death, one must first give cold water; if suddenly brought near fire, they will die. Another method: for those who died on the road due to heatstroke, placing them in the sun or near fire, and pouring hot water over them can revive them. Upon initially feeling heatstroke, immediately use roof tiles heated by the sun, or cloths dipped in hot water, alternating to moxa/iron their chest, abdomen, and below the navel. Quickly administer the powder of Erqi Dan (Two Qi Pill) mixed with water and forced down. Another prescription uses uncursed Gleditsia Sinensis Fruit (Zaoguo, 皂角) in any quantity, scrape off the black skin, burn until smoke is nearly gone, cover with a basin placed on the ground, ensuring no smoke escapes around the edges. Take one qian of Gleditsia ash and six qian of Licorice Root (Gancao, 甘草) powder, mix evenly. Take one qian per dose, mixed with fresh drawn cool water. For those with Qi deficiency, mix with warm rice water (Wen Jiangshui, 温浆水). For coma and unconsciousness, two doses are sufficient. This is because phlegm obstructs the orifices in heatstroke patients, and Gleditsia can ventilate and clear phlegm. There is also a condition called "summer journey syndrome," which resembles heatstroke but is milder, characterized by desire to sleep and lazy speech. For excess patterns, add Coptis Rhizome (Huanglian, 黄连) one qian to Xiangru Yin; for deficiency patterns, add Elsholtzia one qian to Xingxiang Yin. After recovery, if cold sweat continues, hands and feet remain inverted/cold, and there is irritability, stuffiness, and excessive thirst, Xiangru Yin is suitable. If after recovery, the physician over-administered cold agents, causing continuous vomiting and diarrhea, external heat and internal cold, irritability, excessive thirst, and even a desire to strip naked, resembling Taiyang disease (Taiyangbing, 太阳病), this is Yin excess repelling Yang outward. Warm medicines like Xiangru Yin added with Aconite Lateral Root (Fuzi, 附子), soaked and cooled before administration, are suitable. For thirst, Suopi Yin (Splese-Restraining Decoction) added with Fuzi, also soaked and cooled, is suitable. Li Dongyuan stated: Obtained while resting is called Zhongshu (heatstroke). Zhongshu is a Yin pattern and should be dispersed. When avoiding summer heat, seeking coolness in deep halls and large buildings leads to what is named Zhongshu. The disease necessarily involves headache, aversion to cold, bodily stiffness, joint pain, vexation, great heat in the skin and muscles, and anhidrosis. This is caused by the Yin cold of rooms suppressing the body's Yang Qi, preventing its extension and emergence. It is correct for the world to mainly use Dashun San. Obtained while moving is called Zhongre (mid-heat). Zhongre is a Yang pattern, caused by heat injuring Yuan Qi, not a disease of the physical form. If walkers or farmers obtain it through labor under the sun, it is named Zhongre. The disease necessarily involves severe headache, restlessness and fever, aversion to heat, great heat upon touching the skin and muscles, excessive thirst with desire to drink, profuse sweating, and lack of energy to move. This is heavenly heat externally injuring Lung Qi, treated mainly with Cangzhu Baitu Tang (Atractylodes Macrocephala and White Tiger Decoction). Xue Ji stated: If a person's Yuan Qi is insufficient and previous medicines are ineffective, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) is suitable. Generally, in summer, Yang Qi floats outward, and Yin Qi hides inward. If people suffer internal injury to Middle Qi from diet and fatigue, or external injury to Yang Qi from summer heat and labor, they often suffer from this. The method should focus on regulating and tonifying Yuan Qi, assisted by resolving summer heat. If it is Zhongshu, it is a Yin-cold pattern; the method should focus on tonifying Yang Qi, with minor assistance from resolving summer heat. Therefore, ancient sages mostly used Ginger Rhizome, Cinnamon Twig, Aconite, etc. This is a good method deduced from the *Neijing* ("abandoning the season to follow the pattern"). Now, those who die from summer-heat symptoms have blue-black fingernails or limbs. This is all due to not investigating the cause, not warming and tonifying the interior, but indiscriminately using Xiangru Yin, etc., which causes error. Xiangru Yin is an agent that disperses Yang Qi and guides True Yin. One must examine whether the pattern matches before taking it; then what is there to worry about? If a person's Yuan Qi is inherently deficient, or engages in excessive sexual activity and drinks it, it precisely invites summer-heat.