治饮食不时，饥饱劳役，胃气不足，脾气下溜，气短无力，不能寒热，早饭后转增昏闷，须要眠
睡，怠惰，四肢不收，懒倦动作，及五心烦热。
浓朴（姜制，五分） 升麻 羌活 白芍药，独活 防风 甘草（炙） 泽泻（以上各一钱）
生地黄（一钱五分） 柴胡（二钱五分）
上件为粗末，每服五钱，水二盏，生姜三片，枣二枚，煎至一盏，去渣，大温服，食前。
如腹胀及窄狭，加浓朴。
如腹中似硬，加砂仁三分。
《刺志论》云∶“气虚身热，得之伤暑”。热伤气故也。《痿论》云∶“有所远行劳倦，逢大热而渴，
渴则阳气内伐，内伐则热舍于肾，肾者水脏也，今水不能胜火，则骨枯而髓虚，故足不任身，发为骨痿。
故《下经》曰∶骨痿者，生于大热也。”此湿热成痿，令人骨乏无力，故治痿独取阳明。
时当长夏，湿热大胜，蒸蒸而炽。人感之多四肢困倦，精神短少，懒于动作，胸满气促，肢节沉痛；
或气高而喘，身热而烦，心下膨痞，小便黄而少，大便溏而频，或痢出黄糜，或如泔色；或渴或不渴，
不思饮食，自汗体重；或汗少者，血先病而气不病也。其脉中得洪缓，若湿气相搏，必加之以迟，迟
病虽互换少差，其天暑湿令则一也。宜以清燥之剂治之，名之曰清暑益气汤主之。
Treatment for insufficient Stomach Qi (Stomach Qi) due to irregular diet, alternating hunger and fullness, and physical overexertion; sinking of Spleen Qi (Spleen Qi); shortness of breath and weakness; inability to adapt to cold and heat; worsening dizziness and stuffiness after breakfast, requiring sleep; lethargy; flaccidity and lack of strength in the four limbs; reluctance to move; and five-palm heat (heat sensation in the palms, soles, and chest).
Shengyang Buzhi Tang (Ascending Yang and Tonifying Qi Decoction):
Cortex Magnoli Officinalis Preparata (Nongpu, processed with ginger, 5 fen), Rhizoma Cimicifugae (Shengma), Radix Notopterygii (Qianghuo), Radix Paeoniae Alba (Baishao), Radix Angelicae Pubescentis (Duhuo), Ramulus Saposhnikoviae (Fangfeng), Radix Glycyrrhizae Preparata (Gancao, honey-fried), Rhizoma Alismatis (Zexie) [each 1 qian];
Radix Rehmanniae Preparata (Shengdihuang, 1.5 qian);
Radix Bupleuri (Chaihu, 2.5 qian).
Pulverize the above ingredients into a coarse powder. Take 5 qian per dose, add two zhan of water, three slices of fresh ginger, and two jujubes. Decoct until one zhan remains, strain, and take warm before meals.
If abdominal distension and tightness occur, add Cortex Magnoli Officinalis Preparata.
If the abdomen feels hard, add Pericarpium Amomi Rotundus (Sharen, 3 fen).
The *Suwen: Cizhi Lun* states: "Qi deficiency with body heat results from summerheat injury." This is because heat damages Qi. The *Suwen: Weilun* states: "When one travels far and becomes fatigued, encountering intense heat and thirst, thirst causes Yang Qi to attack internally. Internal attack allows heat to lodge in the Kidney. The Kidney is the Water organ; now Water cannot overcome Fire, leading to dry bones and empty marrow. Thus, the feet cannot support the body, resulting in bone Wei syndrome (flaccidity syndrome). Therefore, the *Xiajing* says: 'Bone Wei syndrome arises from great heat.'" This refers to damp-heat causing Wei syndrome, leading to skeletal fatigue and weakness; hence, treatment of Wei syndrome focuses exclusively on the Yangming channel.
During late summer, damp-heat prevails overwhelmingly, steaming and blazing. Contracting this pathogen often manifests as fatigue in the four limbs, diminished spirit and energy, reluctance to move, chest fullness and shortness of breath, heaviness and pain in the joints; or upward rushing Qi with panting, body heat with vexation, epigastric distension and痞 (stuffiness), yellow and scant urine, loose and frequent stools, or dysentery discharging yellow mushy matter or rice-water-like fluid; thirst or no thirst, anorexia, spontaneous sweating with heavy body; or scant sweating, indicating blood disease preceding Qi disease. The pulse presents as surging and moderate (Hong-Huan); if dampness combats it, a slow (Chi) pulse may be added. Although diseases indicated by different pulses vary slightly, the climatic condition of summer heat and dampness remains the same. It is appropriate to treat with a formula that clears dryness and heat, named Qingshu Yiqi Tang (Clear Summerheat and Boost Qi Decoction).