伤暑解后，胸腕不爽，舌淡不渴，脉缓不饥，此
湿去阳伤。宜甩六君子去术，加蔻壳、擅香、梗米、
姜渣、益智、麦芽等味，扶胃运阳也。
此热势虽解，而阳己受伤，故胸腕不爽，舌淡不渴也。
盖脉已和缓，则无热可知，而犹不饥不食，乃胃阳被伤，失
运行之机，故用六君子合蔻壳、姜渣、檀香斡旋坤饵，去白
术者，恐致壅滞耳。
伤暑初起，恶寒发热，咳逆气喘，此素有痰饮，
复挟暑秽。宜用温胆汤合苏予降气汤，清暑化痰也。
凡有痰饮，阳气必虚，加以暑秽乘袭，则痰动气升，肺
失清降，故喘咳并作。用温胆汤以逐饮，苏子以降气，俾痰
开气顺，则暑邪不攻自走矣。
伤暑发热咳喘，胸肋刺痛，痰中带血，此暑热壅
滞，激伤肺络。宜用苇茎汤加沙参、川贝、新绎，旋
复花、杏仁等味，清肺和络也。
前条暑热动饮，此条暑热动血，故胸肋刺痛，咳痰带
血。用苇茎汤加旋复、新绎、沙参、杏仁、川贝，两清手大阳
气血也。
伤暑发热头痛，泄泻不止，此饰邪下迫。宜用黄
芩汤加葛根、豆卷、二芩、泽泻等味，清肺利湿也。
发热头痛，邪尚在表，而泄泻频频者，乃肺邪不解，下
传大肠。因肺与大肠相为表里，原是一脏一腑也。盖邪既不
能外解，势必直趋大肠，而为泻利，即仲景（伤寒例）中，
三阳合病(1)协热下利之义。故用黄芩之苦寒清肺，甘、芍之
甘苦敛脾，其头痛者，加葛根以解表邪，合二芩、豆卷、泽
泻分利膀胱也。
(1)《伤寒例》中，三阳合病:按今本《伤寒论·伤寒例》中，无三阳合病
之属性。 "
After the resolution of heatstroke, there is discomfort in the chest and wrists, a pale tongue without thirst, a slow pulse, and lack of appetite. This indicates that dampness has been eliminated but Yang Qi (Yang Energy) is damaged. It is appropriate to use Liu Jun Zi Tang (Six Gentlemen Decoction) with Bai Zhu (Atractylodis Rhizoma) removed, adding Dou Kou Qiao (Arecae Pericarpium), Tan Xiang (Sandalwood), Jing Mi (Oryzae Semen), Jiang Zha (Ginger Residue), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), and Mai Ya (Hordei Fructus Germinatus), etc., to support Stomach Qi and transform Yang Qi.
Although the pathogenic heat has resolved, Yang Qi has already been injured, hence the discomfort in the chest and wrists, pale tongue, and absence of thirst. Since the pulse has become harmonious and slow, it can be known that there is no heat; yet the continued lack of hunger and food intake indicates that Stomach Yang has been damaged and lost its motility. Therefore, Liu Jun Zi Tang is combined with Dou Kou Qiao, Jiang Zha, and Tan Xiang to regulate the Middle Jiao (Central Burner). Bai Zhu is removed for fear that it might cause stagnation.
At the onset of heatstroke, aversion to cold, fever, coughing, and wheezing occur. This is due to pre-existing Phlegm-Fluids (Tan Yin) complicated by summer-heat turbidity. It is appropriate to use Wen Dan Tang (Warm the Gallbladder Decoction) combined with Su Zi Jiang Qi Tang (Perilla Fruit Descending Qi Decoction) to clear summer-heat and resolve phlegm.
In cases where Phlegm-Fluids exist, Yang Qi must be deficient. When summer-heat turbidity attacks, phlegm moves and Qi ascends, causing the Lung to lose its clear descending function, resulting in simultaneous wheezing and coughing. Wen Dan Tang is used to expel fluids, and Su Zi (Perillae Fructus) to descend Qi. Once phlegm is cleared and Qi flows smoothly, the summer-heat pathogen will dissipate on its own.
Heatstroke causing fever, cough, wheezing, stabbing pain in the chest and hypochondrium, and blood in sputum indicates that summer-heat heat is stagnant and damaging the Lung collaterals. It is appropriate to use Wei Jing Tang (Reed Shoot Decoction) added with Sha Shen (Glehniae Radix), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Xin Yi (likely referring to a specific herb or typo in original, kept as Xin Yi), Xuan Fu Hua (Inulae Flos), and Xing Ren (Armeniacae Semen Amarum), etc., to clear Lung heat and harmonize the collaterals.
The previous clause discussed summer-heat disturbing Phlegm-Fluids; this clause discusses summer-heat disturbing Blood. Hence, there is stabbing pain in the chest and hypochondrium, and blood in sputum. Wei Jing Tang is used with Xuan Fu Hua, Xin Yi, Sha Shen, Xing Ren, and Chuan Bei Mu to simultaneously clear both Qi and Blood levels of the Hand-Taiyin Lung Meridian.
Heatstroke causing fever, headache, and incessant diarrhea indicates that summer-dampness pathogen is forcing downward. It is appropriate to use Huang Qin Tang (Scutellaria Decoction) added with Ge Gen (Puerariae Lobatae Radix), Dou Juan (Sojae Semen Praeparatum), Er Qin (Huang Qin and Huang Lian), and Ze Xie (Alismatis Rhizoma), etc., to clear Lung heat and promote diuresis to remove dampness.
Fever and headache indicate the pathogen is still at the exterior, while frequent diarrhea suggests that Lung pathogen has not resolved from the exterior and has transmitted downward to the Large Intestine. Since the Lung and Large Intestine are interior-exteriorly related, belonging to one Zang-Fu pair, if the pathogen cannot resolve externally, it will inevitably move directly to the Large Intestine, causing diarrhea. This aligns with the meaning of "Three Yang Combined Disease" (San Yang He Bing) with協热下利 (xie re xia li - diarrhea with accompanying heat) described by Zhang Zhongjing in *Shang Han Li* (Treatise on Cold Damage Examples). Therefore, Huang Qin's bitter-cold nature is used to clear Lung heat; Gan Cao (Licorice Root) and Shao Yao (Peony Root)'s sweet-bitter nature is used to astringe Spleen Qi; for headache, Ge Gen is added to release the exterior pathogen; combined with Er Qin, Dou Juan, and Ze Xie to separately benefit the Bladder water passages.