治伏暑症之法。
青蒿（一钱） 白芍 黄芩（各钱半） 知母 贝母（各一钱） 生地（三钱） 杏仁
（光三钱）
治暑厥症。亦治中恶。
苍术（二钱） 石膏（三钱） 炒知母（一钱） 生甘草（五分）水煎服。或加滑石
（三钱）桂枝（三分）治同。
治暑厥面赤口渴者。
石膏（三钱 ） 秦艽（二钱） 白芍（一钱） 赤小豆（一钱） 石决明（六钱生） 琥
珀（八分）
凡暑厥之症。其危已甚。如不及投剂。用苏合丸开水冲就灌下。或以苏合丸擦牙。使香
气入
无津
脉候 暑者之脉。六部皆虚。伤其气分。右寸必虚。伤及血分。左寸必虚 若见浮数
阳气不舒。两尺见洪。热深难除。右关之洪。停积何如。阴脉为吉。阳脉难祛。左关若弦。
非疟谁与。紧革牢促。生意有诸。此是死脉。命将安予。脉虚身热。载在古书。更察根气。
两尺当纾。纾为和缓。根蒂独居。脉象如
霍乱者。挥霍发乱也。成氏曰。病有干霍乱。有湿霍乱。干霍乱死者多。湿霍乱死者少。
盖
霍乱
扰闷
吐利
作。
而后
四肢
必
余治病数十载。于此症最为决定。靡不应手而瘥。此即成无己所云湿霍乱也。又有干霍乱一
症。腹痛如绞。欲吐不吐。欲泻不泻。口渴。肢冷如冰。唇青指甲青者。此木旺土败之候。
法在不治。余每选四逆汤与承气汤并授。使不吐者得吐。不泻者得泻。一吐一泻。病势自缓
。更进黄连理中汤以和其中土。活者多而死者少也。如湿霍乱吐利并作。腹痛如绞。肢冷。
汗退场门渴。以自制黄连和中汤治之。凡伤寒吐利并作。邪在上者。以黄连泻心汤治之。邪在
下者。黄连五苓散治之。邪在中焦者。以连附理中汤治之。然干霍乱与湿霍乱二症。虽口中
大燥大渴。忌食生冷水果茶汤等物。沾唇则成不起之症也。何则。因中土已伤。更加生冷水
饮。伤其真阳。遏其邪气。焉有生机者哉。此恳切之语。勿以为诬而忽之。
Methods for treating latent summerheat syndrome.
Qinghao (Artemisiae Annuae Herba, one qian) Baishao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix, each one and a half qian) Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus, each one qian) Shengdi (Rehmanniae Radix, three qian) Xingren (Armeniacae Semen Amarum, smooth, three qian).
Treating summerheat syncope syndrome. Also treats sudden evil invasion (Zhong'e).
Cangzhu (Atractylodis Rhizoma, two qian) Shigao (Gypsum Fibrosum, three qian) Chao Zhimu (Fried Anemarrhenae Rhizoma, one qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, five fen) Decoct in water and take orally. Alternatively, add Huashi (Talcum, three qian) and Guizhi (Cinnamomi Ramulus, three fen); the treatment is the same.
Treating summerheat syncope with facial redness and thirst.
Shigao (Gypsum Fibrosum, three qian) Qinjiao (Gentianae Macrophyllae Radix, two qian) Baishao (Paeoniae Radix Alba, one qian) Chixiaodou (Phaseoli Semen Rubrum, one qian) Shijueming (Haliotidis Shell, six qian, raw) Hupo (Amber, eight fen).
In cases of summerheat syncope, the condition is extremely critical. If medication cannot be administered immediately, administer Suheli Wan (Styrax Pill) dissolved in boiling water by force-feeding. Alternatively, rub Suheli Wan on the teeth to allow the aromatic qi to enter.
Absence of body fluids.
Pulse diagnosis: The pulse of those suffering from summerheat is deficient in all six positions. Injury to the Qi level results in a definitely deficient Right Cun (Radial position corresponding to Lung and Heart). Injury to the Blood level results in a definitely deficient Left Cun. If a Floating-Rapid pulse is seen, it indicates unsoothing Yang Qi. A Surging pulse at both Chi (Cubital) positions indicates deep-seated heat that is difficult to eliminate. A Surging pulse at the Right Guan (Middle position corresponding to Spleen and Stomach) raises questions about stagnation and accumulation. Yin pulses are auspicious; Yang pulses are difficult to dispel. If the Left Guan pulse is Wiry, who else but malaria could it be? Tight, Knife-edge, Deep, and Urgent pulses—where is there any life? These are death pulses; where will life reside? Pulse deficiency with bodily heat is recorded in ancient texts. One must further examine the root Qi; the Chi pulses should be relaxed. Relaxed means harmonious and slow, with the root standing alone. The pulse image resembles...
Huoluan (Cholera-like disorder) refers to the sudden chaos and turmoil of onset. Cheng Shi stated that there are Dry Huoluan and Wet Huoluan. Dry Huoluan has more deaths, while Wet Huoluan has fewer deaths.
Huoluan
Distress and stuffiness
Vomiting and diarrhea
Onset.
Subsequently,
the four limbs
must
Other than this, having treated dozens of illnesses over decades, I am most decisive regarding this syndrome, with no case failing to heal promptly. This is what Cheng Wuji referred to as Wet Huoluan. There is also Dry Huoluan, characterized by abdominal pain like twisting, desire to vomit but unable to do so, desire to defecate but unable to do so, thirst, cold limbs like ice, and cyanosis of the lips and fingernails. This is a sign of Wood excess and Earth failure.
The method dictates non-treatment. However, I often prescribe Sizni Tang (Four Reversal Decoction) and Chengqi Tang (Attacking the Qi Decoction) together. This enables those unable to vomit to vomit and those unable to defecate to defecate. Through vomiting and defecation, the disease momentum naturally alleviates. Subsequently, administer Huanglian Lizhong Tang (Coptis and Zingiberis Decoction for Regulating the Middle) to harmonize the middle Jiao (Spleen and Stomach). Many survive, few die. In cases of Wet Huoluan with simultaneous vomiting and diarrhea, abdominal pain like twisting, cold limbs, sweating, anal dryness, and thirst, treat with my self-made Huanglian Hezhong Tang (Coptis Decoction for Harmonizing the Middle). For all Taiyang disease cases with simultaneous vomiting and diarrhea, if the pathogen is in the Upper Jiao, treat with Huanglian Xiexin Tang (Coptis Decoction for Draining the Heart). If the pathogen is in the Lower Jiao, treat with Huanglian Wuling San (Coptis and Five-Ingredient Powder with Poria). If the pathogen is in the Middle Jiao, treat with Lianfu Lizhong Tang (Coptis, Aconite, and Zingiberis Decoction for Regulating the Middle). However, for both Dry Huoluan and Wet Huoluan, despite severe oral dryness and thirst, one must avoid consuming raw, cold fruits, teas, or soups. Even touching the lips with these can lead to an incurable condition. Why? Because the Middle Earth (Spleen/Stomach) is already injured. Adding raw, cold drinks further damages True Yang and obstructs the pathogenic qi. How could there be any vitality? These are earnest words; do not consider them false and ignore them.