小儿暑病有四证，中暑阳邪伤暑阴，暑风攻肝抽搐见，暑厥攻心不识人。
[注]
中暑，为阳邪单中暑热也，阳邪身热有汗，
伤暑，为阴邪中暑复感寒也，阴邪身热无汗，
中暑热极，攻肝则抽搐，攻心则厥冒不省人事，
治者果能因证分别施治，自无难矣。
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暑证门
中暑汗出身壮热，头痛大渴烦不宁，气乏衶倦两足冷，加味人参白虎灵。
[注]
中暑之证，身热有汗，因暑热熏蒸，
故头痛口渴，烦躁不宁，甚则气乏神倦，足冷恶寒，
须以加味人参白虎汤治之。
(加味人参白虎汤) 人参 石膏生 知母 粳米 甘草 苍术 水煎服。
(方歌)
加味人参白虎汤，暑热伤气服最良，参膏知母粳米草，停饮呕水更加苍。
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暑证门
伤暑受暑感风寒，无汗热渴面赤红，干哕恶心腹绞痛，嗜卧懒食肢重疼，
清散二香饮极效，气虚六合汤奏功，夹食恶食多吐泻，加味香薷法最灵。
[注]
小儿伤暑，谓受暑复感风寒也，
其证发热无汗，口渴饮水面色红赤，干呕恶心，或腹中绞痛，嗜卧懒食，
以二香饮治之，此内清外散之法也，
若正气虚弱，当补正袪邪，以六合汤治之，
若伤暑夹食，大吐泻者，以加味香薷饮治之．
(二香饮) 苏叶 藿香 白茯苓 扁豆炒 厚朴姜制 陈皮 半夏姜制
甘草生 大腹皮 白芷 桔梗 川黄连 香薷 引用生姜灯心水煎服。
(方歌)
二香饮治风暑病，苏叶藿香白茯苓，扁豆厚朴陈半草，腹芷桔连香薷灵。
(六合汤)
人参 香薷 半夏姜制 甘草生 砂仁 木瓜 赤茯苓 藿香
杏仁炒去皮尖 厚朴姜炒 扁豆炒 引用姜枣水煎服。
(方歌)
六合虚暑用人参，香薷半夏草砂仁，木瓜赤苓藿香杏，厚朴扁豆枣姜匀。
(加味香薷饮)
香薷 厚朴姜炒 陈皮 扁豆炒 山查肉 猪苓
甘草生 枳实麸炒 水煎服
（方歌）
加味香薷治夹食，香薷厚朴共陈皮，白扁豆配山查肉，猪苓甘草炒枳宜
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暑证门
Pediatric summerheat diseases manifest in four patterns: Summerstroke (Zhongshu) is caused by Yang pathogenic factors, while Heat exhaustion (Shangshu) is caused by Yin pathogenic factors; Summerwind (Shufeng) attacking the Liver presents with convulsions, and Summerjue (Shujue) attacking the Heart leads to unconsciousness.
[Note]
Summerstroke (Zhongshu) refers to contracting summerheat alone via Yang pathogenic factors, characterized by fever and sweating;
Heat exhaustion (Shangshu) refers to contracting summerheat followed by cold exposure via Yin pathogenic factors, characterized by fever but no sweating;
If summerheat becomes extreme and attacks the Liver, convulsions occur; if it attacks the Heart, Jue syndrome (reversal condition) occurs with coma and loss of consciousness.
If practitioners can treat according to specific patterns, there will be no difficulty.
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Summerheat Disease Section
Symptoms of Summerstroke include profuse sweating with high fever, headache, intense thirst, restlessness, Qi deficiency, mental fatigue, and cold feet. Jiawei Renshen Baihu Tang (Modified Ginseng and White Tiger Decoction) is effective.
[Note]
The pattern of Summerstroke involves fever and sweating due to the steaming effect of summerheat,
leading to headache, thirst, and restlessness. In severe cases, it causes Qi deficiency, mental fatigue, cold feet, and aversion to cold.
It must be treated with Jiawei Renshen Baihu Tang.
(Modified Ginseng and White Tiger Decoction): Renshen (Ginseng Radix et Rhizoma), Shigao (Gypsum Fibrosum raw), Zhimu (Anemarrhenae Rhizoma), Jingmi (Oryza Sativa), Gancao (Glycyrrhizae Radix et Rhizoma), Cangzhu (Atractylodis Rhizoma). Decoct in water and take orally.
(Decoction Song):
Jiawei Renshen Baihu Tang is best for summerheat damaging Qi; Ginseng, Gypsum, Anemarrhena, Oryza, and Licorice are used; if fluid retention or vomiting of clear fluids occurs, add Atractylodes lancea.
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Summerheat Disease Section
Heat exhaustion results from contracting summerheat combined with wind-cold, presenting with no sweating, fever, thirst, flushed face, dry retching, nausea, abdominal colic, lethargy, poor appetite, and heavy, painful limbs. Qingsan Erxiang Yin (Clearing and Dispersing Double Fragrance Drink) is highly effective; for Qi deficiency, Liuhe Tang (Six Harmonies Decoction) works well; for summerheat complicated by food stagnation causing aversion to food, frequent vomiting, and diarrhea, Jiawei Xiangru Yin (Modified Elsholtzia Drink) is most efficacious.
[Note]
Pediatric heat exhaustion refers to contracting summerheat followed by wind-cold,
with symptoms of fever without sweating, thirst with desire to drink, flushed face, dry retching, nausea, abdominal colic, lethargy, and poor appetite.
Treat with Erxiang Yin, which employs internal clearing and external dispersing methods.
If Zhengqi (Righteous Qi) is weak, tonify Zhengqi and expel pathogens using Liuhe Tang.
If summerheat is complicated by food stagnation with severe vomiting and diarrhea, treat with Jiawei Xiangru Yin.
(Double Fragrance Drink): Suye (Perillae Folium), Huoxiang (Agastaches Herba), Baifuling (Poria), Bian Dou (Dolichoris Semen stir-fried), Houpo (Magnoliae Officinalis Cortex processed with ginger), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma processed with ginger), Gancao (Glycyrrhizae Radix et Rhizoma raw), Dafupi (Arecae Pericarpium), Baizhi (Angelicae Dahuricae Radix), Jiegeng (Platycodonis Radix), Chuan Huanglian (Coptidis Rhizoma), Xiangru (Elsholtviae Herba). Use Shengjiang (Zingiberis Rhizoma Recens) and Dengxincao (Junci Medullia) as guides, decoct in water and take orally.
(Decoction Song):
Erxiang Yin treats wind-summerheat diseases; Perilla, Agastache, and Poria; Dolichos, Magnolia, Citrus, Pinellia, and Licorice; Areca peel, Angelica, Platycodon, Coptis, and Elsholtvia are effective.
(Six Harmonies Decoction):
Renshen (Ginseng Radix et Rhizoma), Xiangru (Elsholtviae Herba), Banxia (Pinelliae Rhizoma processed with ginger), Gancao (Glycyrrhizae Radix et Rhizoma raw), Sharen (Amomi Fructus), Mugua (Chaenomelis Fructus), Chifuling (Poria cum Rubro), Huoxiang (Agastaches Herba), Xingren (Armeniacae Semen Amarum stir-fried, skin and tip removed), Houpo (Magnoliae Officinalis Cortex stir-fried with ginger), Bian Dou (Dolichoris Semen stir-fried). Use Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) as guides, decoct in water and take orally.
(Decoction Song):
Liuhe Tang uses Ginseng for deficient summerheat; Elsholtzia, Pinellia, Licorice, and Amomum; Chaenomeles, Poria cum Rubro, Agastache, and Apricot seed; Magnolia, Dolichos, Jujube, and Ginger are balanced.
(Modified Elsholtzia Drink):
Xiangru (Elsholtviae Herba), Houpo (Magnoliae Officinalis Cortex stir-fried with ginger), Chenpi (Citri Reticulatae Pericarpium), Bian Dou (Dolichoris Semen stir-fried), Shanzha Rou (Crataegi Fructus flesh), Zhuling (Polyporus), Gancao (Glycyrrhizae Radix et Rhizoma raw), Zhishi (Aurantii Fructus Immaturus stir-fried with bran). Decoct in water and take orally.
(Decoction Song):
Modified Elsholtzia Drink treats food-complexed cases; Elsholtzia and Magnolia with Citrus; Dolichos paired with Crataega; Polyporus, Licorice, and stir-fried Aurantium are suitable.
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Summerheat Disease Section