治暑风猝倒法 凡人中暑,先着于心,一时昏迷,切不可与冷水饮并卧湿地。其法先以
热汤灌或童便灌,及用布蘸热汤熨脐并气海,续续令暖气透彻脐腹,俟其苏省,然后进药。
若旅途中猝然晕倒,急扶在阴凉处,掬路中热灰土作窝于脐中,令人尿其内,即苏。却灌以
人尿或搅地浆,饮之半碗,或车轮土五钱,冷水调,澄清服,皆可。
一方用大蒜三两瓣细嚼,温汤送下,禁冷水,即愈。
丹溪云∶挟火、挟痰,用二陈东加黄连,实者可用吐法。
戴氏曰∶暑风者,夏月猝倒,不省人事者是也。有因火者,有因痰者。火,君、相二火
也;暑,天、地二火也。内外合而炎烁,所以猝倒也。痰者,人身之痰饮也。因暑气入而鼓
激痰饮,塞碍心之窍道,则手足不知动蹑而猝倒也。此二者皆可吐。《内经》曰∶火郁则发
之。
疰夏属阴虚元气不足。夏初春末,头疼脚软,食少体热者是。
宜补中益气汤去柴胡、升麻,加炒柏、白芍药。挟痰者加南星、半夏、陈皮煎服。又或
用生脉汤。
补中益气汤(方见内伤门。)
天气下降,地气上腾,二气熏蒸,此即湿也。岂必水流湿而后为湿哉?且风之撼动,人
知其为风;寒之严凝,人知其为寒;暑之炎热,人知其为暑;惟湿之入人,行住坐卧,实熏
染于冥冥之中,人居、戴、履,受湿最多,况夫湿能伤脾,脾土一亏,百病根源发轫于此矣。
滞而为喘嗽,渍而为呕吐,渗而为泄泻,溢而为浮肿。湿淤热则发黄,湿遍
体则重着,湿入关节则一身尽痛,湿聚痰涎则昏不知人。至于为身热,为鼻塞,为直视,为
郑声,为虚汗,为香港脚,为腹中胀,脐下坚,为小便难,大便自利,皆其证也。湿家不可汗,
汗之则发 ,热而 者,毙。又不可下,下之则额汗,胸满微喘而哕,小便淋闭,难以有瘳。
治湿之法,通利小便为上,益脾顺气次之,半夏、茯苓、苍术、白术、官桂、干姜皆要药耳。
其若小便挟热不利,则赤茯苓、防己辈,自有奇功。大抵湿之为病,易至沉深,渐润之余,
沦肌浃髓于斯时也,须以术、附、姜、桂作大剂与之药力相接,病当渐解,不可以旦暮而责
效焉。要之,治湿莫若生附、苍术为快。
Method for treating sudden collapse due to Summerheat-Wind: When a person suffers from Summerheat, the pathogenic factor first affects the Heart (Zang organ governing blood and spirit), causing temporary unconsciousness. One must strictly avoid drinking cold water or lying on damp ground. The treatment method is to first administer hot water or child's urine (Tongbian) orally, and apply hot water-soaked cloths to moxibustion points Shenque (CV-8, Umbilicus) and Qihai (CV-6, Sea of Qi), continuously allowing warmth to penetrate the umbilical and abdominal regions. Wait for the patient to regain consciousness before administering medicine. If one faints suddenly while traveling, urgently move them to a cool place, scoop up hot ash/soil from the road to form a nest around the umbilicus, and have someone urinate into it; the patient will immediately recover. Subsequently, administer human urine or stirred earth slurry (Dijiang), drinking half a bowl, or use 5 qian of wheel-soil (Chelutu), mixed with cold water, clarified, and taken orally; all are acceptable.
Another prescription uses three cloves of garlic, chewed finely, and swallowed with warm water. Cold water is prohibited, and recovery follows.
Danxi stated: If accompanied by Fire or Phlegm, use Erchen Tang (Two-Aged Decoction) added with Huanglian (Coptidis Rhizoma). For excess patterns, emesis (vomiting) therapy may be used.
Dai stated: Summerheat-Wind refers to sudden collapse and loss of consciousness in summer. It can be caused by Fire or by Phlegm. Fire refers to Ministerial Fire and Sovereign Fire; Summerheat refers to Heavenly Fire and Earthly Fire. Internal and external fires combine to scorch, causing sudden collapse. Phlegm refers to phlegm-fluid retention in the body. Due to Summerheat invading and agitating phlegm-fluids, blocking the orifices of the Heart, the limbs become immobile, leading to sudden collapse. Both conditions can be treated with emesis. The *Neijing* states: "When Fire is constrained, disperse it."
Zhuxia (Staying Summerheat) belongs to Yin deficiency and insufficiency of Original Qi. It occurs at the beginning of summer and end of spring, characterized by headache, weak legs, poor appetite, and low-grade fever.
It is suitable to use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), removing Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma), adding stir-fried Baicao (Phellodendri Cortex) and Baishao Yao (Paeoniae Radix Alba). If accompanied by Phlegm, add Nanting (Arisaematis Cum Bile), Banxia (Pinelliae Rhizoma), and Chenpi (Citri Reticulatae Pericarpium) for decoction and administration. Alternatively, use Shengmai San (Generate the Pulse Powder).
Buzhong Yiqi Tang (Formula seen in the Internal Injury section).
Heavenly Qi descends, Earthly Qi ascends; the steaming of these two energies constitutes Dampness. Must there be flowing water to constitute Dampness? Regarding Wind shaking, people know it as Wind; regarding Cold congealing, people know it as Cold; regarding Summerheat burning, people know it as Summerheat; only when Dampness enters the person, whether walking, standing, sitting, or lying, does it熏染 (permeate/dye) in the unseen. Humans living, wearing, and walking are exposed to the most Dampness. Moreover, Dampness injures the Spleen; once Spleen Earth is deficient, the root of hundred diseases originates here. Stagnating leads to wheezing and coughing; soaking leads to vomiting; seeping leads to diarrhea; overflowing leads to edema. Dampness stagnating with Heat causes jaundice; Dampness pervading the body causes heaviness; Dampness entering joints causes whole-body pain; Dampness gathering into phlegm-saliva causes coma and unconsciousness. As for manifestations such as body heat, nasal congestion, fixed gaze, Zhengsheng (repetitive low speech), spontaneous sweating, Hongxiangjiao (Charley Horse/Foot Rot), abdominal distension, hardness below the umbilicus, difficult urination, and free stool, all are its syndromes. Patients with Dampness should not undergo sweating therapy; if sweated, they develop Jing disease (spasm), fever, and convulsions, leading to death. Nor should purgation be used; if purged, forehead sweating, chest fullness, slight wheezing, hiccups, and stranguria occur, making cure difficult.
The method for treating Dampness is prioritizing unblocking and promoting urination; tonifying the Spleen and regulating Qi is secondary. Banxia (Pinelliae Rhizoma), Fuling (Poria), Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Guanzi Gui (Cinnamomi Cortex), and Ganjiang (Zingiberis Rhizoma) are essential herbs. If urination is hindered by Heat, Chi Fuling (Red Poria) and Fangji (Stephaniae Tetrandrae Radix) possess miraculous efficacy. Generally, Dampness pathology easily becomes deep-seated; after gradual infiltration, penetrating muscles and marrow, one must prescribe large doses of Zhuyu (Atractylodis Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata), Jiang (Zingiberis Rhizoma), and Gui (Cinnamomi Cortex) to ensure medicinal power meets the pathogen. The illness will gradually resolve; one cannot demand effects within a day or night. In summary, nothing is faster than using Sheng Fuzi (Raw Aconite Root) and Cangzhu for treating Dampness.