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Treats the condition where "moving qi" (abnormal movement of Qi, often associated with abdominal masses or palpitations) is located in the lower jiao (lower burner). Sweating methods are contraindicated. If sweating is mistakenly induced, it may result in an absence of sweat, severe mental restlessness (xin zhong da fan), pain in the bone joints, blurred vision (mu xuan), aversion to cold, vomiting after eating, and inability to retain food. This formula is appropriate.

Chenpi (Citri Reticulatae Pericarpium, 1.5 liang)
Gancao (Licorice Root, roasted, 0.5 liang)
Renshen (Ginseng Radix et Rhizoma, 1 fen)
Zhuru (Bambusae Caulis in Taenia, 0.5 liang)

Crush these into a powder. Take 5 qian per dose, with one sheng of water, three slices of fresh ginger (Shengjiang), and one jujube (Dazao). Decoct until only 7/10 remains, strain, and take before meals.

In cases where Shanghan (Cold Damage) is complicated by miscellaneous diseases, symptoms vary; treatment should be administered according to specific categories and careful consideration. For example, if jaundice (huang dan) occurs, use herbs commonly used for the five types of jaundice, treating it primarily as jaundice. Mania (fa kuang) is covered in the Yang Du (Yang Toxin) section; hematemesis (tu xue) and epistaxis (nu xue), along with blood stasis in urination and defecation, are covered in the Shi Xue (Blood Loss) section; dysentery (xia li) is covered in the Zhi Xia section; Ben Tun (running piglet syndrome) is covered in the Wu Ji (Five Accumulations) section; Yin-Yang Jue Ni (Yin-Yang reversal/cold extremities) is covered in the Jue Lun section; vomiting, hiccups, asthma, and cough are covered in their respective sections. Other conditions are not listed exhaustively.

Shangshu (Summerheat Injury) occurs during the period of roughly thirty days before and after the Summer Solstice, when Shaoyang Xianghuo (Ministerial Fire of Shaoyang) is dominant. The heat is intense, capable of scorching stones and melting metals, causing grass to wither and rivers to dry up. If humans are injured by this pathogen, symptoms include fever, spontaneous sweating (zi han), facial grime, coldness in the back, fatigue, and shortness of breath (shao qi). Summerheat consumes Qi; when Qi is consumed, Blood disperses. This resembles Shanghan. However, this refers to illness contracted immediately in summer, not Winter Cold that manifests as Heat Disease in summer. They must be distinguished by pulse diagnosis. The pulse in Shangshu is deficient and weak due to the dispersion of Qi and Blood. In contrast, in Shanghan, Blood becomes sluggish and closed, and the pulse is tight and forceful; they are significantly different. *Jin Gui Yao Lue* states that Shanghan practitioners have a separate disease called "Zhong Ye" (Heat Stroke/Summerheat). This is because editors placed a specific clause later, leading to this distinction. Those with insight will know how to differentiate based on severity.

Patients present with body heat, aversion to cold, headache, resembling Shanghan; or alternating chills and fever like malaria; severe irritability and thirst; dizziness and vomiting; coldness in the back and facial grime; diarrhea; and mental cloudiness/confusion. Their pulses at the cun, guan, and chi positions are all deficient, slow, and faint. All these are caused by Summerheat Injury.

Treats Mao Shu Fu Re (Exposure to Summerheat and latent heat), presenting with dizziness and vertigo of the head and eyes, vomiting and diarrhea,烦渴 (irritability and thirst), coldness in the back, and facial grime.

Chi Fuling (Red Poria, 4 liang)
Gancao (Licorice Root, raw, 4 liang)
Hanshi Mian (Cold Food Powder/Noodle)
Shengjiang (Fresh Ginger, 1 jin, sliced, used to mix the flour evenly)

Grind these into a fine powder. Take 2 qian per dose, mixed with newly drawn cold water (Xin Ji Shui); or taken with hot water decoction. Time of administration is not restricted.