湿热蒸人夏日长,气虚体弱热因伤。胸中气促四肢倦,心烦食少不如常。好卧口干或泄泻,清暑益气法无
忌。若还盗汗不时出,煎服可加浮小麦。便赤山桅滑石宜,口渴乌梅花粉吃。头痛川芎与石膏,嗽加杏石升苍细
(用杏仁、石膏而去升麻、苍术)。木香砂仁胸不舒,泻可茯苓肉蔻益。
东南地卑恒多湿,居民感受病非一。或涉水中雨露蒸,或过饮冷因而得。小便短赤身体重,骨肉酸麻行不
疾。渐加浮肿及身黄,燥土
渗湿汤可则。茯苓香附半陈皮,川朴泽猪苍白术。引用砂仁并枣姜,临服半匙盐可入(炒飞
盐)。外湿寒热身肿痛,羌活防通加有力。内湿胸满兼呕吐,喘胀腹膨用枳实。川连山楂炒
菔子,溺闭车前木通益。湿热发黄仗茵陈,山栀车前兼滑石。丹溪云湿得燥收,苍术为先不
可却。湿从风散独羌须,湿久生热连栀吃。麻黄可用不宜多,汗甚变端恐莫测。
陈曰∶湿阻上焦宜开肺气,佐淡渗通膀胱,即启上闸,开支河,导水势下行之理。《内
经》云∶脾窍在舌,邪滞窍必少灵致,语言欲謇,法当分利,佐辛香以默运坤阳,是太阴里症治法。
仲景云∶湿家大忌发散,汗之则变痉厥。切记。
脾阳不运,湿滞中焦,宜用术朴姜半以温通之,苓泽腹皮滑石以淡渗之(陈又注)。
Damp-heat steams the human body, and in the long summer days, those with Qi deficiency and weak constitutions are easily injured by heat. Symptoms include shortness of breath in the chest, fatigue in the four limbs, irritability, poor appetite, and a condition worse than usual. There is a preference for lying down, dry mouth, or diarrhea; the method of clearing summerheat and benefiting Qi has no contraindications. If night sweats occur intermittently, floating wheat (Fumai) can be added to the decoction. For dark red urine, Gardenia (Zhizi) and Talcum (Huashi) are suitable; for thirst, Chinese Plum (Wumei) and Trichosanthes Root (Tianhuafen) should be taken. For headache, Ligusticum Chuanxiong Rhizome (Chuanxiong) and Gypsum (Shigao) are used; for cough, add Almond (Xingren) and Gypsum (Shigao), removing Ephedrae Herba (Mahuang) and Atractylodis Rhizoma (Cangzhu). For chest discomfort, Aucklandiae Radix (Muxiang) and Amomi Fructus (Sharen) are used; for diarrhea, Poria (Fuling) and Myristica Seed (Roukou) help improve it.
The southeast region is low-lying and perpetually damp; residents contracting dampness present with various diseases. Some contract it wading through water or being steamed by rain and dew; others get it from excessive consumption of cold drinks. Urine is scanty and dark red, the body feels heavy, bones and muscles ache and numb, and movement is slow. Gradually, edema and jaundice appear; Zao Tu Shen Shi Tang (Dry Earth Damp-Draining Decoction) is indicated. The formula contains Poria (Fuling), Cyperi Rhizoma (Xiangfu), Pinelliae Tuber (Ban), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex (Houpo), Alismatis Rhizoma (Zexie), Polyporus (Zhuling), Atractylodis Macrocephalae Rhizoma (Baizhu), and Atractylodis Rhizoma (Cangzhu). Use Amomi Fructus (Sharen), Jujubae Fructus (Zao), and Zingiberis Rhizoma Recens (Shengjiang) as guides; before taking, half a spoonful of salt (roasted and washed) can be added. For external dampness causing chills, fever, swelling, and pain, Qianghuo, Fangfeng, and Tongcao have strong efficacy and are suitable. For internal dampness causing chest fullness and vomiting, for wheezing and abdominal distension, Aurantii Fructus Immaturus (Zhishi) is used. Coptidis Rhizoma (Chuanlian), Crataegi Fructus (Shanzha), and fried Raphani Fructus (Laifuzi); for urinary retention, Plantaginis Semen (Cheqianzi) and Akebiae Caulis (Mutong) are beneficial. For damp-heat jaundice, Yinchen relies on Artemisiae Scopariae Herba (Yinchen), combined with Gardenia (Zhizi), Plantaginis Semen (Cheqianzi), and Talcum (Huashi). Danxi said that dampness is consolidated by dryness; Atractylodis Rhizoma (Cangzhu) is the priority and cannot be discarded. Dampness dispersed by wind requires Qianghuo alone; if dampness persists and generates heat, Coptidis Rhizoma (Huanglian) and Gardenia (Zhizi) should be taken. Ephedrae Herba (Mahuang) can be used but not in large amounts, as excessive sweating may lead to unpredictable changes.
Mr. Chen said: When dampness obstructs the Upper Jiao, one should open Lung Qi, assisted by bland-draining herbs to unblock the Bladder, following the principle of "opening the upper sluice and branching rivers" to guide water flow downward. The *Neijing* states: The orifice of the Spleen is the tongue; when pathogens stagnate in the orifice, sensitivity is lost, leading to slurred speech. The treatment method should involve separating and draining dampness, assisted by acrid-aromatic herbs to silently transform Taiyin Spleen Yang. This is the treatment method for Taiyin interior syndromes. Zhang Zhongjing said: Patients with dampness strictly avoid diaphoresis; inducing sweat will lead to tetany and syncope. Remember this well.
When Spleen Yang fails to transport and dampness stagnates in the Middle Jiao, use Atractylodis Rhizoma (Cangzhu/Baizhu), Magnoliae Officinalis Cortex (Houpo), Zingiberis Rhizoma (Ganjiang), and Pinelliae Tuber (Ban) to warm and unblock it; use Poria (Fuling), Alismatis Rhizoma (Zexie), Benincasae Exocarpium (Fupi), and Talcum (Huashi) to drain it blandly (Mr. Chen also annotated).